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H.R. 1324: Effective Suicide Screening and Assessment in the Emergency Department Act of 2021


The text of the bill below is as of May 7, 2021 (Preprint (Suspension)).


I




                                                                     117TH CONGRESS
                                                                        1ST SESSION
                                                                                                          H. R. 1324
                                                                     To amend the Public Health Service Act to establish a program to improve
                                                                         the identification, assessment, and treatment of patients in hospital emer-
                                                                         gency departments who are at risk of suicide, and for other purposes.




                                                                                   IN THE HOUSE OF REPRESENTATIVES
                                                                                                 FEBRUARY 25, 2021
                                                                     Mr. BILIRAKIS (for himself and Mr. SOTO) introduced the following bill; which
                                                                              was referred to the Committee on Energy and Commerce




                                                                                                               A BILL
                                                                     To amend the Public Health Service Act to establish a pro-
                                                                        gram to improve the identification, assessment, and
                                                                        treatment of patients in hospital emergency departments
                                                                        who are at risk of suicide, and for other purposes.

                                                                       1              Be it enacted by the Senate and House of Representa-
                                                                       2 tives of the United States of America in Congress assembled,
                                                                       3     SECTION 1. SHORT TITLE.

                                                                       4              This Act may be cited as the ‘‘Effective Suicide
                                                                       5 Screening and Assessment in the Emergency Department
                                                                       6 Act of 2021’’.
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2 1 SEC. 2. PROGRAM TO IMPROVE THE CARE PROVIDED TO 2 PATIENTS IN THE EMERGENCY DEPARTMENT 3 WHO ARE AT RISK OF SUICIDE. 4 Part P of title III of the Public Health Service Act 5 (42 U.S.C. 280g et seq.) is amended by adding at the end 6 the following new section: 7 ‘‘SEC. 399V–7. PROGRAM TO IMPROVE THE CARE PROVIDED 8 TO PATIENTS IN THE EMERGENCY DEPART- 9 MENT WHO ARE AT RISK OF SUICIDE. 10 ‘‘(a) IN GENERAL.—The Secretary shall establish a 11 program (in this Act referred to as the ‘Program’) to im- 12 prove the identification, assessment, and treatment of pa- 13 tients in emergency departments who are at risk for sui- 14 cide, including by— 15 ‘‘(1) developing policies and procedures for 16 identifying and assessing individuals who are at risk 17 of suicide; and 18 ‘‘(2) enhancing the coordination of care for 19 such individuals after discharge. 20 ‘‘(b) GRANT ESTABLISHMENT AND PARTICIPA- 21 TION.— 22 ‘‘(1) IN GENERAL.—In carrying out the Pro- 23 gram, the Secretary shall award grants on a com- 24 petitive basis to not more than 40 eligible health pbinns on DSKJLVW7X2PROD with BILLS 25 care sites described in paragraph (2). •HR 1324 IH VerDate Sep 11 2014 01:51 Mar 22, 2021 Jkt 019200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\H1324.IH H1324
3 1 ‘‘(2) ELIGIBILITY.—To be eligible for a grant 2 under this section, a health care site shall— 3 ‘‘(A) submit an application to the Sec- 4 retary at such time, in such manner, and con- 5 taining such information as the Secretary may 6 specify; 7 ‘‘(B) be a hospital (as defined in section 8 1861(e) of the Social Security Act); 9 ‘‘(C) have an emergency department; and 10 ‘‘(D) deploy onsite health care or social 11 service professionals to help connect and inte- 12 grate patients who are at risk of suicide with 13 treatment and mental health support services. 14 ‘‘(3) PREFERENCE.—In awarding grants under 15 this section, the Secretary may give preference to eli- 16 gible health care sites described in paragraph (2) 17 that meet at least one of the following criteria: 18 ‘‘(A) The eligible health care site is a crit- 19 ical access hospital (as defined in section 20 1861(mm)(1) of the Social Security Act). 21 ‘‘(B) The eligible health care site is a sole 22 community hospital (as defined in section 23 1886(d)(5)(D)(iii) of the Social Security Act). 24 ‘‘(C) The eligible health care site is oper- pbinns on DSKJLVW7X2PROD with BILLS 25 ated by the Indian Health Service, by an Indian •HR 1324 IH VerDate Sep 11 2014 01:51 Mar 22, 2021 Jkt 019200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6201 E:\BILLS\H1324.IH H1324
4 1 Tribe or Tribal organization (as such terms are 2 defined in section 4 of the Indian Self-Deter- 3 mination and Education Assistance Act), or by 4 an urban Indian organization (as defined in 5 section 4 of the Indian Health Care Improve- 6 ment Act). 7 ‘‘(D) The eligible health care site is located 8 in a geographic area with a suicide rate that is 9 higher than the national rate, as determined by 10 the Secretary based on the most recent data 11 from the Centers for Disease Control and Pre- 12 vention. 13 ‘‘(c) PERIOD OF GRANT.—A grant awarded to an eli- 14 gible health care site under this section shall be for a pe- 15 riod of at least 2 years. 16 ‘‘(d) GRANT USES.— 17 ‘‘(1) REQUIRED USES.—A grant awarded under 18 this section to an eligible health care site shall be 19 used for the following purposes: 20 ‘‘(A) To train emergency department 21 health care professionals to identify, assess, and 22 treat patients who are at risk of suicide. 23 ‘‘(B) To establish and implement policies 24 and procedures for emergency departments to pbinns on DSKJLVW7X2PROD with BILLS 25 improve the identification, assessment, and •HR 1324 IH VerDate Sep 11 2014 01:51 Mar 22, 2021 Jkt 019200 PO 00000 Frm 00004 Fmt 6652 Sfmt 6201 E:\BILLS\H1324.IH H1324
5 1 treatment of individuals who are at risk of sui- 2 cide. 3 ‘‘(C) To establish and implement policies 4 and procedures with respect to care coordina- 5 tion, integrated care models, or referral to evi- 6 dence-based treatment to be used upon the dis- 7 charge from the emergency department of pa- 8 tients who are at risk of suicide. 9 ‘‘(2) ADDITIONAL PERMISSIBLE USES.—In ad- 10 dition to the required uses listed in paragraph (1), 11 a grant awarded under this section to an eligible 12 health care site may be used for any of the following 13 purposes: 14 ‘‘(A) To hire emergency department psy- 15 chiatrists, psychologists, nurse practitioners, 16 counselors, therapists, or other licensed health 17 care and behavioral health professionals special- 18 izing in the treatment of individuals at risk of 19 suicide. 20 ‘‘(B) To develop and implement best prac- 21 tices for the follow-up care and long-term treat- 22 ment of individuals who are at risk of suicide. 23 ‘‘(C) To increase the availability of, and 24 access to, evidence-based treatment for individ- pbinns on DSKJLVW7X2PROD with BILLS 25 uals who are at risk of suicide, including •HR 1324 IH VerDate Sep 11 2014 01:51 Mar 22, 2021 Jkt 019200 PO 00000 Frm 00005 Fmt 6652 Sfmt 6201 E:\BILLS\H1324.IH H1324
6 1 through telehealth services and strategies to re- 2 duce the boarding of these patients in emer- 3 gency departments. 4 ‘‘(D) To offer consultation with and refer- 5 ral to other supportive services that provide evi- 6 dence-based treatment and recovery for individ- 7 uals who are at risk of suicide. 8 ‘‘(e) REPORTING REQUIREMENTS.— 9 ‘‘(1) REPORTS BY GRANTEES.—Each eligible 10 health care site receiving a grant under this section 11 shall submit to the Secretary an annual report for 12 each year for which the grant is received on the 13 progress of the program funded through the grant. 14 Each such report shall include information on— 15 ‘‘(A) the number of individuals screened in 16 the site’s emergency department for being at 17 risk of suicide; 18 ‘‘(B) the number of individuals identified 19 in the site’s emergency department as being— 20 ‘‘(i) survivors of an attempted suicide; 21 or 22 ‘‘(ii) are at risk of suicide; 23 ‘‘(C) the number of individuals who are 24 identified in the site’s emergency department as pbinns on DSKJLVW7X2PROD with BILLS 25 being at risk of suicide by a health care or be- •HR 1324 IH VerDate Sep 11 2014 01:51 Mar 22, 2021 Jkt 019200 PO 00000 Frm 00006 Fmt 6652 Sfmt 6201 E:\BILLS\H1324.IH H1324
7 1 havioral health professional hired pursuant to 2 subsection (d)(2)(A); 3 ‘‘(D) the number of individuals referred by 4 the site’s emergency department to other treat- 5 ment facilities, the types of such other facilities, 6 and the number of such individuals admitted to 7 such other facilities pursuant to such referrals; 8 ‘‘(E) the effectiveness of programs and ac- 9 tivities funded through the grant in preventing 10 suicides and suicide attempts; and 11 ‘‘(F) any other relevant additional data re- 12 garding the programs and activities funded 13 through the grant. 14 ‘‘(2) REPORT BY SECRETARY.—Not later than 15 one year after the end of fiscal year 2026, the Sec- 16 retary shall submit to Congress a report that in- 17 cludes— 18 ‘‘(A) findings on the Program; 19 ‘‘(B) overall patient outcomes achieved 20 through the Program; 21 ‘‘(C) an evaluation of the effectiveness of 22 having a trained health care or behavioral 23 health professional onsite to identify, assess, 24 and treat patients who are at risk of suicide; pbinns on DSKJLVW7X2PROD with BILLS 25 and •HR 1324 IH VerDate Sep 11 2014 01:51 Mar 22, 2021 Jkt 019200 PO 00000 Frm 00007 Fmt 6652 Sfmt 6201 E:\BILLS\H1324.IH H1324
8 1 ‘‘(D) a compilation of policies, procedures, 2 and best practices established, developed, or im- 3 plemented by grantees under this section. 4 ‘‘(f) AUTHORIZATION OF APPROPRIATIONS.—There 5 is authorized to be appropriated to carry out this section 6 $20,000,000 for the period of fiscal years 2022 through 7 2026.’’. Æ pbinns on DSKJLVW7X2PROD with BILLS •HR 1324 IH VerDate Sep 11 2014 01:51 Mar 22, 2021 Jkt 019200 PO 00000 Frm 00008 Fmt 6652 Sfmt 6301 E:\BILLS\H1324.IH H1324