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106th CONGRESS
2d Session
S. 3079
To amend the Public Health Service Act to provide for suicide
prevention activities with respect to children and adolescents.
_______________________________________________________________________
IN THE SENATE OF THE UNITED STATES
September 20, 2000
Mr. Hatch introduced the following bill; which was read twice and
referred to the Committee on Health, Education, Labor, and Pensions
_______________________________________________________________________
A BILL
To amend the Public Health Service Act to provide for suicide
prevention activities with respect to children and adolescents.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SUICIDE PREVENTION.
Subpart 3 of part B of title V of the Public Health Service Act (42
U.S.C. 290bb-31 et seq) is amended by adding at the end the following:
``SEC. 520C. SUICIDE PREVENTION FOR CHILDREN AND ADOLESCENTS.
``(a) In General.--The Secretary shall award grants, contracts, or
cooperative agreements to States, political subdivisions of States,
Indian tribes, tribal organizations, public organizations, or private
nonprofit organizations to establish programs to reduce suicide deaths
in the United States among children and adolescents.
``(b) Collaboration.--In carrying out subsection (a), the Secretary
shall ensure that activities under this section are coordinated among
the Substance Abuse and Mental Health Services Administration, the
relevant institutes at the National Institutes of Health, the Centers
for Disease Control and Prevention, the Health Resources and Services
Administration, and the Administration on Children and Families.
``(c) Requirements.--A State, political subdivision of a State,
Indian tribe, tribal organization, public organization, or private
nonprofit organization desiring a grant, contract, or cooperative
agreement under this section shall demonstrate that the suicide
prevention program such entity proposes will--
``(1) provide for the timely assessment, treatment, or
referral for mental health or substance abuse services of
children and adolescents at risk for suicide;
``(2) be based on best evidence-based, suicide prevention
practices and strategies that are adapted to the local
community;
``(3) integrate its suicide prevention program into the
existing health care system in the community including primary
health care, mental health services, and substance abuse
services;
``(4) be integrated into other systems in the community
that address the needs of children and adolescents including
the educational system, juvenile justice system, welfare and
child protection systems, and community youth support
organizations;
``(5) use primary prevention methods to educate and raise
awareness in the local community by disseminating evidence-
based information about suicide prevention;
``(6) include suicide prevention, mental health, and
related information and services for the families and friends
of those who completed suicide, as needed;
``(7) provide linguistically appropriate and culturally
competent services, as needed;
``(8) provide a plan for the evaluation of outcomes and
activities at the local level, according to standards
established by the Secretary, and agree to participate in a
national evaluation; and
``(9) ensure that staff used in the program are trained in
suicide prevention and that professionals involved in the
system of care have received training in identifying persons at
risk of suicide.
``(d) Use of Funds.--Amounts provided under grants, contracts, or
cooperative agreements under subsection (a) shall be used to supplement
and not supplant other Federal, State, and local public funds that are
expended to provide services for eligible individuals.
``(e) Condition.--An applicant for a grant, contract, or
cooperative agreement under subsection (a) shall demonstrate to the
Secretary that the applicant has the support of the local community and
relevant public health officials.
``(f) Special Populations.--In awarding grants, contracts, and
cooperative agreements under subsection (a), the Secretary shall ensure
that such awards are made in a manner that will focus on the needs of
communities or groups that experience high or rapidly rising rates of
suicide.
``(g) Application.--A State, political subdivision of a State,
Indian tribe, tribal organization, public organization, or private
nonprofit organization receiving a grant, contract, or cooperative
agreement under subsection (a) shall prepare and submit an application
to the Secretary at such time, in such manner, and containing such
information as the Secretary may reasonably require. Such application
shall include a plan for the rigorous evaluation of activities funded
under the grant, contract, or cooperative agreement, including a
process and outcome evaluation.
``(h) Distribution of Awards.--In awarding grants, contracts, and
cooperative agreements under subsection (a), the Secretary shall ensure
that such awards are distributed among the geographical regions of the
United States and between urban and rural settings.
``(i) Evaluation.--A State, political subdivision of a State,
Indian tribe, tribal organization, public organization, or private
nonprofit organization receiving a grant, contract, or cooperative
agreement under subsection (a) shall prepare and submit to the
Secretary at the end of the program period, an evaluation of all
activities funded under this section.
``(j) Dissemination and Education.--The Secretary shall ensure that
findings derived from activities carried out under this section are
disseminated to State, county and local governmental agencies and
public and private nonprofit organizations active in promoting suicide
prevention and family support activities.
``(k) Duration of Projects.--With respect to a grant, contract, or
cooperative agreement awarded under this section, the period during
which payments under such award may be made to the recipient may not
exceed 5 years.
``(l) Study.--Within 1 year after the date of enactment of this
section, the Secretary shall, directly or by grant or contract,
initiate a study to assemble and analyze data to identify--
``(1) unique profiles of children under 13 who attempt or
complete suicide;
``(2) unique profiles of youths between ages 13 and 21 who
attempt or complete suicide; and
``(3) a profile of services which might have been available
to these groups and the use of these services by children and
youths from paragraphs (1) and (2).
``(m) Authorization of Appropriation.--
``(1) In general.--For purposes of carrying out this
section, there is authorized to be appropriated $75,000,000 for
fiscal year 2001 and such sums as may be necessary for each of
the fiscal years 2002 and 2003.
``(2) Program management.--In carrying out this section,
the Secretary shall use 1 percent of the amount appropriated
under paragraph (1) for each fiscal year for managing programs
under this section.''.
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