II 117th CONGRESS 2d Session S. 4271 IN THE SENATE OF THE UNITED STATES May 19 (legislative day, May 17), 2022 Mr. Reed (for himself and Ms. Murkowski ) introduced the following bill; which was read twice and referred to the Committee on Health, Education, Labor, and Pensions A BILL To reauthorize the Garrett Lee Smith Memorial Act, and for other purposes.

1. Short title This Act may be cited as the Garrett Lee Smith Memorial Act Reauthorization of 2022 . 2. Reauthorization of programs (a) Suicide prevention resource center Section 520C of the Public Health Service Act ( 42 U.S.C. 290bb–34 ) is amended— (1) in subsection (a), by adding at the end the following: In carrying out this subsection with respect to assistance to entities serving members of the Armed Forces and veterans, the Secretary shall collaborate with the Secretary of Defense and the Secretary of Veterans Affairs. ; (2) in subsection (b)(9), by inserting and local educational agencies after higher education ; (3) in subsection (c), by striking $5,988,000 for each of fiscal years 2018 through 2022 and inserting $9,000,000 for each of fiscal years 2023 through 2027 ; and (4) in subsection (d), by striking date of enactment of this subsection and inserting date of enactment of the Garrett Lee Smith Memorial Act Reauthorization of 2022 . (b) Garrett Lee Smith Youth Suicide Prevention Section 520E of the Public Health Service Act ( 42 U.S.C. 290bb–36 ) is amended— (1) in subsection (a)(1), by inserting pediatric health programs, after mental health programs, ; (2) in subsection (c)— (A) in paragraphs (1) and (7), by inserting pediatric health programs, after mental health programs, each place it appears; and (B) in paragraph (9), by striking and youth organizations and inserting youth organizations, and pediatric health programs ; (3) in subsection (e)(3)(A), by striking Department of Health and Human Services agencies and inserting agencies of the Department of Health and Human Services and the Department of Education ; (4) in subsection (g)(2), by striking Helping Families in Mental Health Crisis Reform Act of 2016 and inserting the Garrett Lee Smith Memorial Act Reauthorization of 2022 ; and (5) in subsection (m), by striking $30,000,000 for each of fiscal years 2018 through 2022 and inserting $50,000,000 for each of fiscal years 2023 through 2027 . (c) Mental health and substance use disorder services on campus Section 520E–2 of the Public Health Service Act ( 42 U.S.C. 290bb–36b ) is amended— (1) in subsection (b)— (A) in paragraph (1)— (i) by inserting and providing resiliency training for after Educating ; and (ii) by inserting health after mental ; (B) in paragraph (3), by inserting on mental health services before the period; (C) in paragraph (4), by striking and substance use disorder and inserting health and substance use disorder resources and ; (D) in each of paragraphs (5), (7), and (8), by inserting health after mental ; (E) by amending paragraph (6) to read as follows: (6) Supporting the training of, and providing resources to, students, faculty, and staff to recognize and respond effectively and appropriately to students experiencing mental health and substance use disorders. ; (F) in paragraph (9)— (i) by inserting , including comprehensive needs assessments and evaluation of services, after Conducting research ; (ii) by striking regarding improving and inserting to improve ; and (iii) by inserting promotion of mental health and wellness, after prevention, ; (G) in paragraph (10)— (i) by inserting and school- or student-run extracurricular groups after athletic teams ; and (ii) by striking disorders, and promote mental health and inserting health disorders, and promote mental health and wellness ; (H) in paragraph (11), by striking staff and inserting college and university wellness or behavioral health center staff, which may include interns, residents, or fellows in a mental health field who have not yet been licensed or certified, but can provide care as part of their training under the supervision of a licensed individual or certified professional ; and (I) in paragraph (12), by inserting , trauma-informed practices, student peer support programs, and post-vention planning before the period; (2) in subsection (c)— (A) in paragraph (2), by striking psychological service centers and inserting wellness or behavioral health centers, including medical sites that deliver behavioral health care ; (B) in paragraph (3), by inserting and substance use disorder after health ; and (C) in paragraph (4), by striking psychology and inserting mental health ; (3) in subsection (d)— (A) in paragraph (1), by inserting health after mental ; and (B) in paragraph (3), by inserting mental health and wellness, and after for promoting ; (4) in subsection (e), by amending paragraph (3) to read as follows: (3) Waivers The Secretary— (A) shall waive the requirement under paragraph (1) with respect to— (i) minority-serving institutions described in sections 371(a) and 326(e)(1) of the Higher Education Act of 1965; and (ii) community colleges, defined as public institutions of higher education, as described in section 101(a) of the Higher Education Act of 1965 and at which the associate’s degree is primarily the highest degree awarded; and (B) may waive such requirement with respect to an institution of higher education not described in subparagraph (A) if the Secretary determines that extraordinary need at the institution justifies the waiver. ; (5) in subsection (f)— (A) in paragraph (2)— (i) by inserting comprehensive, sustainable, and evidence-based after improve access to ; and (ii) by inserting through prevention, early detection, early intervention, and after including ; and (B) by adding at the end the following: (3) An assessment of the continued mental health and substance use disorder needs of the grantees. ; and (6) in subsection (i), by striking $7,000,000 for each of fiscal years 2018 through 2022 and inserting $12,000,000 for each of fiscal years 2023 through 2027 .