I 119th CONGRESS 1st Session H. R. 5434 IN THE HOUSE OF REPRESENTATIVES September 17, 2025 Mr. Krishnamoorthi (for himself, Mr. Lawler , Ms. Davids of Kansas , Mr. Fitzpatrick , and Mr. Moulton ) introduced the following bill; which was referred to the Committee on Energy and Commerce A BILL To direct the Secretary of Health and Human Services to dedicate sufficient resources for the support of LGBTQ+ youth seeking help from the 9–8–8 suicide prevention hotline, and for other purposes. 1. Short title This Act may be cited as the “988 LGBTQ+ Youth Access Act of 2025”. 2. Findings Congress finds that— (1) according to the Centers for Disease Control and Prevention, 45 percent of high school students who seriously considered attempting suicide in 2021 identified as LGBTQ+; (2) since its launch, Specialized Services for LGBTQ+ youth within the 988 Suicide Prevention and Crisis Lifeline have received over 1,500,000 calls, texts, and chats, with an average of 2,200 contacts per day as of May 2025; and (3) given that LGBTQ+ youth are four times more likely to attempt suicide as compared to their peers, Specialized Services for LGBTQ+ youth are equipped with crucial training addressing LGBTQ+ specific challenges and needs. 3. Suicide prevention hotline services for LGBTQ+ youth (a) In general Section 520E–3(b) of the Public Health Service Act (42 U.S.C. 290bb–36c(b)) is amended— (1) in paragraph (4), by striking “and” at the end; (2) in paragraph (5), by striking the period at the end and inserting “; and”; and (3) by adding at the end the following: (6) dedicating sufficient resources, including establishing, re-establishing, operating, and maintaining specialized services (known as the Press 3 option or Integrated Voice Response (IVR)), for the support of youth who are lesbian, gay, bisexual, transgender, queer, or questioning (LGBTQ+) seeking help from the suicide prevention hotline. . (b) Funding Section 520E–3(f) of such Act (42 U.S.C. 290bb–36c(f)) is amended by adding at the end the following: “Of the amounts appropriated under this subsection for a fiscal year, the Secretary shall reserve not less than 9 percent for carrying out subsection (b)(6).”.