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

This Act establishes a limited grant program to fund primary care offices in hiring clinical social workers to screen patients and provide short-term suicide and self-harm prevention services.

Mark DeSaulnier
D

Mark DeSaulnier

Representative

CA-10

LEGISLATION

Primary Care Offices Get Grants to Hire Social Workers for Suicide Prevention, But Only 10 Spots Available Nationwide

The new Suicide Prevention Assistance Act sets up a small but significant federal grant program aimed at integrating mental health crisis support directly into primary care offices. The core idea is to catch self-harm and suicide risks early, right where people go for their routine checkups.

This isn't a massive rollout, though. The Secretary of Health and Human Services (HHS) is authorized to award a maximum of 10 grants across the entire country, with no state receiving more than one. Each grant is capped at $500,000 over two years. If your local doctor’s office gets one, here’s what changes: they must hire at least one clinical social worker specifically for prevention services.

The New Primary Care Playbook

For patients, this means that alongside the usual blood pressure check, your primary care doctor will start screening you for self-harm and suicide risks. This screening has to follow specific, official standards that the HHS Secretary is required to develop within 180 days of the law passing. If that screening flags a potential risk, the doctor must immediately loop in the newly hired clinical social worker.

That social worker’s job is divided into two parts: first, providing immediate, short-term prevention services right there in the primary care office. Think of it as triage and initial stabilization. Second, if the patient needs sustained help—which most will—the social worker is responsible for making sure the patient is referred to another facility for long-term care. This creates a clear, structured pathway from routine checkup to crisis intervention and specialized treatment.

Small Program, Big Responsibility

While the goal is crucial—saving lives through early intervention—the program’s extremely limited scope means its direct impact will be minimal and highly localized. With only 10 grants available nationwide, most primary care offices and the vast majority of the public won’t see this service added to their local clinic. It’s a pilot program, really, designed to test the model rather than scale it immediately. For the few offices that do receive the funding, they’ll be under the microscope.

Offices that get the $500,000 must report back to the Secretary every three months. These reports need to detail how many patients were screened, how many received short-term care from the social worker, and how many were successfully referred for long-term treatment. This heavy reporting requirement ensures accountability and provides the data HHS needs to evaluate if this model actually works. Within two years, the Secretary must report all these findings to Congress, which will determine the program’s future.