I 116th CONGRESS 1st Session H. R. 4585 IN THE HOUSE OF REPRESENTATIVES October 1, 2019 Mr. Beyer (for himself and Mr. Gianforte ) introduced the following bill; which was referred to the Committee on Energy and Commerce A BILL To require the Director of the Centers for Disease Control and Prevention to conduct a national suicide prevention media campaign, and for other purposes.

1. Short title This Act may be cited as the Campaign to Prevent Suicide Act . 2. National Suicide Prevention Lifeline Section 520E–3(b)(2) of the Public Health Service Act (42 U.S.C. 290bb–36c(b)(2)) is amended by inserting after suicide prevention hotline the following: , which, beginning not later than one year after the date of the enactment of the Campaign to Prevent Suicide Act, shall be a 3-digit nationwide toll-free telephone number, . 3. National suicide prevention media campaign (a) National suicide prevention media campaign (1) In general Not later than the date that is three years after the date of the enactment of this Act, the Director of the Centers for Disease Control and Prevention (referred to in this section as the Director ), in coordination with the Assistant Secretary for Mental Health and Substance Use (referred to in this section as the Assistant Secretary ), shall conduct a national suicide prevention media campaign (referred to in this section as the national media campaign ), in accordance with the requirements of this section, for purposes of— (A) preventing suicide in the United States; (B) educating families, friends, and communities on how to address suicide and suicidal thoughts, including when to encourage individuals with suicidal risk to seek help; and (C) increasing awareness of suicide prevention resources of the Centers for Disease Control and Prevention and the Substance Abuse and Mental Health Services Administration (including the suicide prevention hotline maintained under section 520E–3 of the Public Health Service Act ( 42 U.S.C. 290bb–36c )), any suicide prevention mobile application of the Centers for Disease Control and Prevention or the Substance Abuse Mental Health Services Administration, and other support resources determined appropriate by the Director, in coordination with the Assistant Secretary. (2) Additional coordination In addition to coordinating with the Assistant Secretary under this section, the Director shall coordinate with State, local, Tribal, and territorial health departments, primary health care providers, hospitals with emergency departments, mental and behavioral health services providers, crisis response services providers, first responders, suicide prevention and mental health professionals, patient advocacy groups, survivors of suicide attempts, and representatives of television and social media platforms in planning the national media campaign to be conducted under paragraph (1). (b) Target audiences (1) Tailoring advertisements and other communications In conducting the national media campaign under subsection (a)(1), the Director, in coordination with the Assistant Secretary, may tailor culturally competent advertisements and other communications of the campaign across all available media for a target audience (such as a particular geographic location or demographic) across the lifespan. (2) Targeting certain local areas The Director, in coordination with the Assistant Secretary, shall, to the maximum extent practicable, use amounts made available under subsection (f) for media that targets individuals in local areas with higher suicide rates. (c) Use of funds (1) Required uses (A) In general The Director, in coordination with the Assistant Secretary, shall use amounts made available under subsection (f) for the following, with respect to the national media campaign: (i) The purchase of advertising time and space, including the strategic planning for, and accounting of, any such purchase. (ii) Creative services and talent costs. (iii) Advertising production costs. (iv) Testing and evaluation of advertising. (v) Evaluation of the effectiveness of the national media campaign. (vi) Operational and management expenses. (vii) The creation of an educational toolkit for television and social media platforms to use in discussing suicide and raising awareness about how to prevent suicide. (B) Specific requirements (i) Testing and evaluation of advertising In testing and evaluating advertising under subparagraph (A)(iv), the Director, in coordination with the Assistant Secretary, shall test all advertisements after use in the national media campaign to evaluate the extent to which such advertisements have been effective in carrying out the purposes of the national media campaign. (ii) Evaluation of effectiveness of national media campaign In evaluating the effectiveness of the national media campaign under subparagraph (A)(v), the Director, in coordination with the Assistant Secretary, shall take into account— (I) the number of unique calls that are made to the suicide prevention hotline maintained under section 520E–3 of the Public Health Service Act ( 42 U.S.C. 290bb–36c ) and assess whether there are any State and regional variations with respect to the capacity to answer such calls; (II) the number of unique encounters with suicide prevention and support resources of the Centers for Disease Control and Prevention and the Substance Abuse and Mental Health Services Administration and assess engagement with such suicide prevention and support resources; (III) whether the national media campaign has contributed to increased awareness that suicidal individuals should be engaged, rather than ignored; (IV) whether the national media campaign has contributed to any reduction in suicide rates, reduction in suicide attempts, reduction in suicidal ideation, and increase in self-outreach for support or outreach for supporting others; and (V) such other measures of evaluation as the Director, in coordination with the Assistant Secretary, determines are appropriate. (2) Optional uses The Director, in coordination with the Assistant Secretary, may use amounts made available under subsection (f) for the following, with respect to the national media campaign: (A) Partnerships with professional and civic groups, community-based organizations, including faith-based organizations, and Government or Tribal organizations that the Director determines have experience in suicide prevention, including the Substance Abuse and Mental Health Services Administration. (B) Entertainment industry outreach, interactive outreach, media projects and activities, public information, news media outreach, outreach through television programs, and corporate sponsorship and participation. (d) Prohibitions None of the amounts made available under subsection (f) may be obligated or expended for any of the following: (1) To supplant current suicide prevention campaigns. (2) To supplant pro bono public service time donated by national and local broadcasting networks for other public service campaigns. (3) For partisan political purposes, or to express advocacy in support of or to defeat any clearly identified candidate, clearly identified ballot initiative, or clearly identified legislative or regulatory proposal. (4) To fund advertising that features any elected officials, persons seeking elected office, cabinet-level officials, or other Federal officials employed pursuant to section 213.3301 or 213.3302 of title 5, Code of Federal Regulations (or any successor regulations). (5) To fund advertising that does not contain a message intended to prevent suicide or increase awareness of suicide prevention resources. (e) Report to Congress The Director, in coordination with the Assistant Secretary, shall, with respect to the first year of the national media campaign, submit to Congress a report that describes— (1) the strategy of the national media campaign and whether specific objectives of such campaign were accomplished, including whether such campaign impacted the number of calls made to lifeline crisis centers and the capacity of such centers to manage such calls; (2) steps taken to ensure that the national media campaign operates in an effective and efficient manner consistent with the overall strategy and focus of the national media campaign; (3) plans to purchase advertising time and space; (4) policies and practices implemented to ensure that Federal funds are used responsibly to purchase advertising time and space and eliminate the potential for waste, fraud, and abuse; and (5) all contracts entered into with a corporation, a partnership, or an individual working on behalf of the national media campaign. (f) Authorization of appropriations For purposes of carrying out this section, there is authorized to be appropriated $10,000,000 for each of fiscal years 2020 through 2024.