1. Short title This Act may be cited as the Native American Suicide Prevention Act of 2018 . 2. Collaboration with Federally recognized Indian tribes, tribal organizations, urban Indian organizations, and Native Hawaiian health care systems in development and implementation of statewide suicide early intervention and prevention strategies Subsection (e) of section 520E of the Public Health Service Act ( 42 U.S.C. 290bb–36 ) is amended by adding at the end the following: (4) Collaboration with Federally recognized Indian tribes, tribal organizations, urban Indian organizations, and Native Hawaiian health care systems As a condition on the receipt of a grant or cooperative agreement under this section for development and implementation of a statewide early intervention and prevention strategy, a State or an eligible entity designated by a State pursuant to subsection (b)(1)(B) shall agree to collaborate with each Federally recognized Indian tribe and tribal organization (as defined in the Indian Self-Determination and Education Assistance Act), each urban Indian organization (as defined in the Indian Health Care Improvement Act), and each Native Hawaiian health care system (as defined in section 12 of the Native Hawaiian Health Care Improvement Act) in the State regarding such development and implementation. .