PolicyBrief
H.R. 2044
119th CongressMar 11th 2025
Suicide Prevention Assistance Act
IN COMMITTEE

This bill establishes a grant program for primary care offices to hire social workers, screen patients for self-harm and suicide risk, and provide prevention services and referrals.

Mark DeSaulnier
D

Mark DeSaulnier

Representative

CA-10

LEGISLATION

New Bill Proposes $500K Grants to Integrate Suicide Prevention into Primary Care Visits

The Suicide Prevention Assistance Act aims to embed mental health support directly into routine medical care. It authorizes the Department of Health and Human Services (HHS) to award grants, capped at $500,000 each over two years, to primary care offices. The core idea is to fund the hiring of clinical social workers and establish protocols for screening patients for self-harm and suicide risk during regular doctor visits.

Bridging the Gap: Mental Health in Your Doctor's Office

Here’s how it’s designed to work: Primary care offices receiving these grants must use the funds to bring clinical social workers onto their teams (Sec. 2). Physicians would then screen patients for self-harm and suicide risks. If a screening indicates potential risk, the physician notifies the on-site social worker. That social worker is tasked with providing immediate, short-term prevention services and, crucially, referring the patient to appropriate long-term mental health care if needed. Think of it like this: during your annual physical, if certain responses raise a flag, there could be a trained professional available right down the hall to talk, offering immediate support and a pathway to further help.

The Fine Print: Pilot Program Scale and Oversight

This isn't a nationwide rollout just yet; the bill sets clear limits. A maximum of 10 grants will be awarded across the country, with a strict rule of no more than one grant per state and only one grant per primary care office (Sec. 2). This structure suggests a targeted pilot program approach. To ensure consistency and effectiveness, the HHS Secretary is required to develop standardized screening guidelines within 180 days of the bill's enactment, consulting with relevant experts. Grant recipients must submit quarterly reports detailing screening numbers, services provided, referral outcomes, and adherence to these standards. HHS, in turn, will report to Congress every two years on the program's overall performance.

What This Means on the Ground

If implemented, this act could make mental health conversations a more standard part of a primary care visit in the participating clinics. For busy individuals juggling work and life, integrating screening and initial support into a regular doctor's appointment could lower significant barriers to accessing mental health care. The success hinges on effective screening standards and ensuring that referrals connect patients to timely, quality long-term care. Given the limited number of grants, the immediate impact will be localized to just 10 communities, serving as a test case for potentially broader future initiatives.