WASHINGTON, D.C. – Senator Tillis, founder and co-chair of the bipartisan Senate Mental Health Caucus, applauded the recent announcement by the Substance Abuse and Mental Health Services Administration (SAMHSA) to begin implementing geo-routing for incoming calls to the 9-8-8 Suicide & Crisis Lifeline Network. 

“From the creation of the 9-8-8 Suicide & Crisis Lifeline to historic mental health investments included in the Bipartisan Safer Communities Act, we have made substantial progress in recent years in expanding access to quality mental health care,” said Senator Tillis. “This new geo-routing policy furthers that goal by ensuring those experiencing a mental health crisis receive rapid and localized care when calling the Lifeline.”

Background:

Currently, calls to the 9-8-8 Suicide & Crisis Lifeline are routed by area code rather than by the caller’s location. This system leads to callers oftentimes being connected to centers that cannot connect them with local mental health resources. Geo-routing allows callers to be connected to crisis call centers and resources closest to their physical location, improving the effectiveness of the crisis care continuum and ensuring more timely, appropriate, and equitable access to crisis services. Importantly, geo-routing does not provide a precise location of the caller and allows callers to maintain their location privacy. Studies have shown that after speaking with a trained crisis counselor, most callers feel more hopeful and less depressed, suicidal and overwhelmed. 

In North Carolina, the 9-8-8 Suicide & Crisis Lifeline has received over 112,000 calls, texts, and chats over the last 12 months, with an average response time of 14.2 seconds and a 98% answer rate. 90% of North Carolinians who contacted the hotline with thoughts of suicide reported improvement in how they were feeling by the end of the call.

In December 2023, Senator Tillis introduced the Local 9-8-8 Response Act of 2023, legislation would expedite the process of connecting callers with their nearest call center so they can receive appropriate care from mental health professionals as quickly and as safely as possible, while still protecting user privacy. 

In March 2024, Senator Tillis joined Senator Padilla, Health and Human Services Secretary Xaiver Becerra, and Federal Communication Commission (FCC) Chairwoman Jessica Rosenworcel to announce that the FCC issued a Notice of Proposed Rulemaking (NPRM) address the discrepancies and inefficiencies of the current system by proposing the adoption of a rule that would require a geo-routing solution to be implemented for all wireless calls to the 9-8-8 Lifeline while balancing the privacy needs of individuals in crisis. The FCC is expected to vote on final rules to codify geo-routing on October 17.

These new rules, if adopted next month, would build on SAMHSA’s announcement, requiring all U.S. wireless carriers to implement geo-routing. In addition, the rules will also establish an implementation timeline for geo-routing calls to the 988 Lifeline of 30 days following the effective date of the rule for nationwide wireless providers and 24 months after the effective date of the rule for smaller, non-nationwide providers.  

A one-page summary of the bill is available HERE. Full text of the bill is available HERE. 

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