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<bill bill-stage="Introduced-in-House" bill-type="olc" dms-id="H5463094F506A4389BB1E8D4C94257E30" public-private="public">
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<dc:title>113 HR 5336 IH: Mental Health Exposure Military Official Record Act of 2014</dc:title>
<dc:publisher>U.S. House of Representatives</dc:publisher>
<dc:date>2014-07-31</dc:date>
<dc:format>text/xml</dc:format>
<dc:language>EN</dc:language>
<dc:rights>Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.</dc:rights>
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<form>
		<distribution-code display="yes">I</distribution-code>
		<congress>113th CONGRESS</congress>
		<session>2d Session</session>
		<legis-num>H. R. 5336</legis-num>
		<current-chamber>IN THE HOUSE OF REPRESENTATIVES</current-chamber>
		<action>
			<action-date date="20140731">July 31, 2014</action-date>
			<action-desc><sponsor name-id="D000622">Ms. Duckworth</sponsor> (for herself, <cosponsor name-id="S001187">Mr. Stivers</cosponsor>, <cosponsor name-id="C001063">Mr. Cuellar</cosponsor>, and <cosponsor name-id="H001063">Ms. Hahn</cosponsor>) introduced the following bill; which was referred to the <committee-name committee-id="HAS00">Committee on Armed Services</committee-name></action-desc>
		</action>
		<legis-type>A BILL</legis-type>
		<official-title>To establish or integrate an online significant event tracker (SET) system for tracking, reporting,
			 and summarizing exposures of members of the Armed Forces, including
			 members of the reserve components thereof, to traumatic events, and for
			 other purposes.</official-title>
	</form>
	<legis-body id="HCD9FB985ADD342C7B308A449A8FB22EC" style="OLC">
		<section id="H065F241350314148A1E710DEE982870D" section-type="section-one"><enum>1.</enum><header>Short title</header><text display-inline="no-display-inline">This Act may be cited as the <quote><short-title>Mental Health Exposure Military Official Record Act of 2014</short-title></quote>.</text>
		</section><section id="HDB9D83552EC74433B67FF9F96DAEF8D6"><enum>2.</enum><header>Purpose</header><text display-inline="no-display-inline">The purpose of this Act is to implement a significant event tracker (SET) system to train and
			 enable members of the Armed Forces, including members of the reserve
			 components thereof, to track exposures to traumatic events and address
			 mental health issues during and after service.</text>
		</section><section id="HD0291F1DBB6046188DC237C8F96C0DF1"><enum>3.</enum><header>Definitions</header><text display-inline="no-display-inline">In this Act:</text>
			<paragraph id="H7D4839FAB5B042F5B77FB8884B187302"><enum>(1)</enum><header>Unit commander defined</header><text>The term <term>unit commander</term> means the first individual in the chain of command with authority over the member concerned under
			 the Uniform Code of Military Justice.</text>
			</paragraph><paragraph id="H28DFE2E2034E45C6AC5BCB2D33CF58FF"><enum>(2)</enum><header>Reportable event</header><text>The term <term>reportable event</term> includes—</text>
				<subparagraph id="H79DF33C0F7214A878948BDD3EE9FF256"><enum>(A)</enum><text>a kinetic combat patrol;</text>
				</subparagraph><subparagraph id="H21564CDE595F4067BBE29F4FDD52739C"><enum>(B)</enum><text>witnessed loss of life, dismemberment, or significant physical injury in a combat operation,
			 expeditionary operation, or peacetime regular training;</text>
				</subparagraph><subparagraph id="H0AB73F7F01A9451891674C1174D93FC7"><enum>(C)</enum><text>an injury or exposure that may constitute a traumatic brain injury (TBI), including a concussive or
			 mechanical event involving the head that occurs in a combat operation,
			 expeditionary operation, or peacetime regular training;</text>
				</subparagraph><subparagraph id="H3953B4DB8651425DADE2094CE6F0A697"><enum>(D)</enum><text>victimization or witnessing of a sexual assault; and</text>
				</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="H602F8CAA3832458A936E31A4BAA93193"><enum>(E)</enum><text>any other event determined by the Secretary of Defense to be potentially traumatic to an affected
			 individual.</text>
				</subparagraph></paragraph><paragraph commented="no" display-inline="no-display-inline" id="H4B78F6C802084942B5A361FD06C5EDF4"><enum>(3)</enum><header>Reserve component</header><text>The term <term>reserve component</term> means a reserve component of the Armed Forces named in <external-xref legal-doc="usc" parsable-cite="usc/10/10101">section 10101</external-xref> of title 10, United States
			 Code.</text>
			</paragraph></section><section id="H95E06C30BA6943D3A2653DF117E79602"><enum>4.</enum><header>Requirement to implement SET system</header><text display-inline="no-display-inline">Not later than 180 days after the date of the enactment of this Act, the Secretary of Defense shall
			 prescribe regulations to implement the significant event tracker system
			 described under section 5 (in this Act referred to as the <quote>SET system</quote>).</text>
		</section><section id="HA31F3F374BD34FC5A7D0C2D2B71262B4"><enum>5.</enum><header>Significant event tracker (SET) system</header>
			<subsection id="HE3C159ACFFCC4228BFA4488BC7F12E45"><enum>(a)</enum><header>Establishment</header><text>The Secretary of Defense shall establish a SET system to track, report, and summarize individual
			 exposures to traumatic events for the purpose of enabling former members
			 of the Armed Forces, including members of the reserve components thereof,
			 to show evidence of possible traumatic events incurred during their
			 service.</text>
			</subsection><subsection id="H490F2B4A92AC4C7F8D2233AAC1E916B1"><enum>(b)</enum><header>Recording of events</header>
				<paragraph id="H33CF3A35A68A458DB534C8B02E587AF1"><enum>(1)</enum><header>Responsibility</header>
					<subparagraph id="H208A466EA19B4AB38AE18605FB2F1335"><enum>(A)</enum><header>Unit commanders</header><text>A unit commander may enter reportable events that affect the entire unit and its members or
			 delegate to a leader of a subunit of the unit commander's command the
			 entry of reportable events affecting the subunit.</text>
					</subparagraph><subparagraph id="HACFCA0B8CD0B410EB016C548F2E89832"><enum>(B)</enum><header>Individual reporting</header><text>A unit commander may choose to delegate event reporting to the individual members of units who are
			 employed as short-term, temporary (less than 30 days) detachments and
			 individual augments which, by the nature of their mission, preclude the
			 persistent inclusion in one common reviewing unit. The delegation may be
			 until a predetermined date such as the end of a deployment or on a 30-day
			 basis, as determined by the unit commander.</text>
					</subparagraph><subparagraph id="H07C52BCBEBDF436196BE5880AA94472E"><enum>(C)</enum><header>Medical treatment facility</header><text>A medical treatment facility may directly enter a reportable event affecting a member of the Armed
			 Forces undergoing treatment at such facility for an injury identified by a
			 military medical personnel or as reported by a member of the Armed Forces
			 to such an individual.</text>
					</subparagraph><subparagraph id="H377C37360CEF44C8ACA7BB02EB5ED6E1"><enum>(D)</enum><header>Military law enforcement</header><text>Military law enforcement may directly enter a reportable event involving victimization or
			 witnessing of a sexual assault.</text>
					</subparagraph><subparagraph id="H5FCA496C8808422E8F7EDE4BB107F96F"><enum>(E)</enum><header>Reporting of outside incidents</header><text>The Secretary of Defense shall issue guidance regarding the entry of reportable events involving
			 members of the Armed Forces that occur while in duty status outside of
			 military installations and are initially reported to local non-military
			 law enforcement or non-military medical treatment facilities.</text>
					</subparagraph><subparagraph id="HEB33C4E7F0C8416395EBB5DF07A258E0"><enum>(F)</enum><header>Reporting of previous incidents for currently serving servicemembers</header><text>The Secretary of Defense shall issue guidance regarding the potential entry of past reportable
			 events involving currently serving members of the Armed Forces that
			 occurred earlier in their career.</text>
					</subparagraph></paragraph><paragraph id="HD60F0F3C51D045C9A94499B416DBA118"><enum>(2)</enum><header>Included information</header><text>Each entry for a reportable event shall include the following information:</text>
					<subparagraph id="HA47B3CEA4280417CA161E0A3F997D4BC"><enum>(A)</enum><text>Name, date, location, and unit.</text>
					</subparagraph><subparagraph id="H38572674D9EB4FE28A0EAEA90BF02046"><enum>(B)</enum><text>Duty status.</text>
					</subparagraph><subparagraph id="H42BD9FCD347B44E080DD1A6B90648321"><enum>(C)</enum><text>Type of event.</text>
					</subparagraph><subparagraph id="HE87B0BB5A0E84BD3B222F03812CE20AC"><enum>(D)</enum><text>Whether a physical injury was sustained as a result, and if so, the extent of such injury.</text>
					</subparagraph><subparagraph id="HBCD42383FDCC4F64A9F40966957A8440"><enum>(E)</enum><text>Other information as required by the Secretary of Defense.</text>
					</subparagraph></paragraph></subsection><subsection id="HC21D15CABB5C4D82B5B1A979E0420E8B"><enum>(c)</enum><header>Verification of events</header>
				<paragraph id="H5DF10C4593EC4AFD9846FD234F0C391C"><enum>(1)</enum><header>Events reported by individuals</header>
					<subparagraph id="H85FAFDF0816148DE92790CBCC70087F2"><enum>(A)</enum><header>In general</header><text>A reportable event entered by an individual member under subsection (b)(1)(B) shall be reviewed by
			 the unit commander for purposes of verifying, contesting, or denying the
			 event.</text>
					</subparagraph><subparagraph id="HC7864282CD7A450AADD072F3EA5F0CE4"><enum>(B)</enum><header>Verification tools</header><text>In reviewing reportable events under subparagraph (A), the unit commander shall use all available
			 verification tools, including Department of Defense reports, unit logs,
			 reports from creditable witnesses such as patrol leaders, and any other
			 evidence deemed appropriate by the unit commander.</text>
					</subparagraph><subparagraph id="HC5B2257C17224146B89E87C32CA6C0D0"><enum>(C)</enum><header>Guidance</header><text>The Secretary of Defense shall issue guidance designed to ensure that entries submitted to a unit
			 commander for review are handled accurately with discretion and in a
			 timely fashion while recognizing the challenges posed by operational tempo
			 and competing time demands.</text>
					</subparagraph></paragraph><paragraph id="HE06FB2BFAA534CCF80F9FF9B5F00093C"><enum>(2)</enum><header>Events reported by the unit commanders or delegates</header><text>Reportable events entered by a unit commander or delegate under subsection (b)(1)(A), other than
			 reportable events involving victimization or witnessing of a sexual
			 assault, shall be submitted directly to the respective unit’s commanding
			 officer for review under subsection (d). Reportable events involving
			 victimization or witnessing of a sexual assault shall be submitted
			 directly to the secure central tracking database under subsection (e).</text>
				</paragraph><paragraph id="H28469856D91D4AAA8A35FD53C72016A7"><enum>(3)</enum><header>Events reported by medical treatment facilities</header><text>Reportable events entered by medical treatment facilities under subsection (b)(1)(C) shall be
			 submitted directly to the secure central tracking database under
			 subsection (e).</text>
				</paragraph><paragraph id="H614C3462052C49AC8A6EE12A4F268DF2"><enum>(4)</enum><header>Events reported by military law enforcement</header><text>Reportable events entered by military law enforcement under subsection (b)(1)(D) shall be submitted
			 directly to the secure central tracking database under subsection (e).</text>
				</paragraph></subsection><subsection id="HBA2E96C1247845CC99005B51F538D027"><enum>(d)</enum><header>Command review</header>
				<paragraph id="HD862B22323624053A80AEC2D5869AB12"><enum>(1)</enum><header>Authority and responsibility</header><text>The commanding officer shall have responsibility for reviewing and determining the disposition of a
			 reportable event involving the member submitted pursuant to paragraph (1)
			 or (2) of subsection (c), other than a reportable event involving
			 victimization or witnessing of a sexual assault, and submitting the event
			 and such determination to the secure central tracking database under
			 subsection (e).</text>
				</paragraph><paragraph id="H49502BC126104FBB8358BAE8C22381B7"><enum>(2)</enum><header>Disposition</header><text>The commanding officer shall, in accordance with guidance issued by the Secretary of Defense,
			 assign to each such reportable event one of the following designations:</text>
					<subparagraph id="H4942E95D723E4C14AA523E3B20762E58"><enum>(A)</enum><text>Approved, in the case of clear documentation and verification of the facts and the individual’s
			 exposure.</text>
					</subparagraph><subparagraph id="HE5502E26D98E48F1886CBA2DC5FD79CB"><enum>(B)</enum><text>Approved/Contested, in the case of clear documentation and verification of the occurrence of the
			 event, but where the commanding officer has reasonable doubt for approval
			 of the reportable event.</text>
					</subparagraph><subparagraph id="H89BBCF43A7904D19BC4FE0772C87FDB6"><enum>(C)</enum><text>Denied/Contested, in the case of questionable documentation or verification, but where the
			 commanding officer has reasonable doubt for denial of the reportable
			 event.</text>
					</subparagraph><subparagraph id="HF6EF3D9852D04FE79891C5C4301B6CC5"><enum>(D)</enum><text>Denied, in the case of no clear evidence of the facts or the member's exposure.</text>
					</subparagraph></paragraph><paragraph id="H4E81DF8DDD944F169F9FAA5A602A89FF"><enum>(3)</enum><header>Non-removal of designation</header><text>Each reportable entry reviewed under this subsection shall be entered into the secure central
			 tracking database and may not be removed or deleted, regardless of
			 designation.</text>
				</paragraph></subsection><subsection id="HD2FFB3FAF31B416185F1434BEFAA3A05"><enum>(e)</enum><header>Secure central tracking database</header>
				<paragraph id="HEAADB5CA627748E59CDDF605D2CC802C"><enum>(1)</enum><header>Storage of information</header>
					<subparagraph id="HB523CA269EEF450EBA1077397FAD18FE"><enum>(A)</enum><header>In general</header><text>All reportable events shall be submitted to a secure central tracking database, either indirectly
			 pursuant to subsection (d), or directly pursuant to paragraph (3) or (4)
			 of subsection (c) or, in the case of a reportable event involving
			 victimization or witnessing of a sexual assault, paragraph (2) of
			 subsection (c). The database shall serve as the central repository for all
			 reportable events relating to a member of the Armed Forces, including for
			 purposes of preparing the member's official SET record upon separation
			 from service.</text>
					</subparagraph><subparagraph id="HB568705A47B54417AB8025BE80794C7E"><enum>(B)</enum><header>Treatment of information</header>
						<clause id="H3ADCC681E2BC4F20ABCB6E9A4773A292"><enum>(i)</enum><header>Classified and sensitive operations</header><text>The secure central tracking database shall include measures to ensure that information related to
			 classified and sensitive operations is coded so as to document the event
			 without violating operational security concerns.</text>
						</clause><clause id="HB53F04ABB99A473782F0980AEA25ADC9"><enum>(ii)</enum><header>Sexual assault cases</header><text>The secure central tracking database shall include measures to ensure that information related to
			 sexual assault cases in the secure central tracking database is coded in
			 order to protect privacy and to correctly reflect the status, and protect
			 the integrity, of ongoing investigations.</text>
						</clause><clause id="HB4A84CD58A62431485D6F15B19188F2A"><enum>(iii)</enum><header>Confidentiality of individual records</header><text>An individual member’s complete SET record and individual entries may not be reviewed by the
			 member's unit commander or the chain of command, and may not be used by
			 anyone for the purpose of evaluating promotion, reenlistment, or
			 assignment issues.</text>
						</clause></subparagraph><subparagraph id="HE7CAC38FC9FA4C0F98DABB60B0F7E890"><enum>(C)</enum><header>Use by medical treatment facilities</header><text>Medical treatment facilities shall be provided access to the secure central tracking database for
			 purposes of entering reportable events under subsection (b)(1)(C) and
			 consulting for diagnoses.</text>
					</subparagraph><subparagraph id="HFA760B6B3C914C7D8C9707B37AA32BA8"><enum>(D)</enum><header>Use by military law enforcement and criminal investigative services</header><text>Military law enforcement and criminal investigative services shall be provided general access to
			 the secure central tracking database for purposes of entering reportable
			 events under section (b)(1)(D) and to a limited summary for purposes of
			 diagnosing patterns and trends related to crimes committed inside their
			 jurisdiction. The summary shall not include specific information about
			 events, evidence, or individual members, including private personal
			 information such as names and social security numbers.</text>
					</subparagraph><subparagraph id="H3442F78248D34FBFADB45C35BA2331FB"><enum>(E)</enum><header>Access to individual records for purposes of military and non-military disciplinary and judicial
			 proceedings</header>
						<clause id="HCD550F1063A44705BBB24C5D35BE2DB9"><enum>(i)</enum><header>In general</header><text>An individual member’s complete SET record and individual entries may, with the explicit consent of
			 the member, be reviewed, evaluated, and shared with—</text>
							<subclause id="H99FC7B3041FE41E1A3345D4C7DE72964"><enum>(I)</enum><text>in the case of a military disciplinary or judicial hearing or proceeding, the member’s military and
			 civilian legal representative or representatives, unit commander, or
			 military judge for the purpose of addressing concerns related to such
			 hearing or proceeding; and</text>
							</subclause><subclause id="H1F1A3EB281EB4A3082D6938222715A49"><enum>(II)</enum><text>in the case of a non-military disciplinary or judicial hearing or proceeding, the member’s civilian
			 legal representative or representatives for the purpose of addressing
			 concerns related to such hearing or proceeding.</text>
							</subclause></clause><clause commented="no" id="HD51C2D0491F249DCA126732EDDE52FA1"><enum>(ii)</enum><header>Access in cases of mental incapacity</header><text>The Secretary of Defense shall provide guidance for questions related to the accessing a
			 servicemember’s SET record for servicemembers who have been determined to
			 be mentally incapable and thus are unable to provide their own consent or
			 objection to the release of personal information.</text>
						</clause></subparagraph><subparagraph id="HF1D20C6A2C65404C97021E3D3117A666"><enum>(F)</enum><header>Unit commander review</header>
						<clause id="H4FE5841F42434B94878068B73EBD8F5F"><enum>(i)</enum><header>In general</header><text>Except as provided in clause (ii), unit commanders may only view individual pending entries that
			 have been submitted to them for review and designation, and may not view
			 previous entries that have already been reviewed and designated.</text>
						</clause><clause id="H4391DB9B75494F21986C982FEBA26281"><enum>(ii)</enum><header>Administrative access</header><text>Unit commanders may only access entries that have already been reviewed, designated, and entered
			 into the secure central database by that individual commander in order to
			 correct roster entries for subunits, provide additional post-incident
			 documentation, or take such other administrative actions as may be
			 determined appropriate by the Secretary of Defense. In no instance may
			 such access permit the removal of any entry, regardless of designation.</text>
						</clause></subparagraph><subparagraph id="HC9430DA3CB204B469AA3B57120CF7FF1"><enum>(G)</enum><header>Statistical analysis and evaluation of unit commanders</header>
						<clause id="H2F12FD78E8884693826FAB88BD641AEB"><enum>(i)</enum><header>Information sharing</header><text>The Secretary of Defense shall issue guidance governing the sharing of SET entry statistics among
			 unit commands and other Department of Defense individuals, offices,
			 activities, and agencies for purposes of analyzing the number and types of
			 entries generated over time. Information so shared may not include
			 specific information about events, evidence, or individual members,
			 including private personal information such as names and social security
			 numbers.</text>
						</clause><clause id="HF3BBA2E0ACF64BDE80A188B4B3F2CC61"><enum>(ii)</enum><header>Evaluation on unit commanders</header><text>Unit commanders may not be evaluated by their superiors for the number and types of entries
			 generated by their command, but may be evaluated by their superior officer
			 in the chain of command for the speed and accuracy of their entries, and
			 the review of their entries.</text>
						</clause></subparagraph><subparagraph id="HD1632BE036C94433B981E80A36F7D95C"><enum>(H)</enum><header>Additional limitations on access</header><text>No non-Department of Defense agencies, organizations, or individuals, such as veterans’ service
			 organizations, local law enforcement, judicial courts, or civilian medical
			 treatment facilities, shall be granted access to the secure central
			 tracking database. Department of Defense medical officers may only review
			 an individual member’s entire SET record for the medical purposes set
			 forth in subsection (e)(2)(A) and such other purposes as may be determined
			 appropriate by the Secretary of Defense.</text>
					</subparagraph></paragraph><paragraph id="H046B7EA910E74D989177CA21AC82C361"><enum>(2)</enum><header>Distribution and control</header>
					<subparagraph id="H42DB7E70BF1244AD9809D663D64F72CF"><enum>(A)</enum><header>Pre-discharge</header>
						<clause id="H244C43E3DAD04946AA593955BDA3ECB9"><enum>(i)</enum><header>Medical retirements</header><text>In the case of a member of the Armed Services preparing for medical retirement due to injury or
			 other conditions, the official SET record shall be provided to and used by
			 the Medical Evaluation Board or Physical Evaluation Board.</text>
						</clause><clause id="H4F0DA94342854E8EA0D6821930607E40"><enum>(ii)</enum><header>Non-medical discharges and retirements</header><text>In the case of a member of the Armed Services preparing for a non-medical discharge or retirement,
			 the official SET record shall be reviewed by the medical officer of the
			 member’s parent unit and serve as the basis for any follow-on actions as
			 determined by the medical officer.</text>
						</clause><clause id="H3ACAA7C40B894612B269E728D48ABCA0"><enum>(iii)</enum><header>Benefits Delivery at Discharge Claims</header><text>In the case of a member of the Armed Services initiating a Benefits Delivery at Discharge (BDD)
			 claim, the BDD Specialist shall be provided with the official SET record
			 in order to file a fully developed claim for the member.</text>
						</clause></subparagraph><subparagraph id="H11B371B9B9CE43FCAC2A8E58DA6B5F6B"><enum>(B)</enum><header>Upon discharge</header><text>Upon a member's separation from service in the Armed Forces, including a member of a reserve
			 component thereof, copies of the member's official SET record, including a
			 compilation of all reported events and a summary prepared by an
			 authorizing agent with cleared access to the secure central tracking
			 database, shall be distributed in accordance with the procedures of the
			 military service in which the individual served, including copies to the
			 following recipients:</text>
						<clause id="H918A8DA56DE94CE69EAE19E79792F925"><enum>(i)</enum><text>The separating member.</text>
						</clause><clause id="HA8F07F6B8E664DF79AE3722D850C4DC3"><enum>(ii)</enum><text>The separating member's Service Personnel and Medical File, or other relevant record as determined
			 under the Secretary of Defense's guidance.</text>
						</clause><clause id="HD5816F2165D0474DACA89CC7D45B3EC2"><enum>(iii)</enum><text>The Department of Veterans Affairs, and if specifically designated by the member, the veteran
			 affairs agency of the State that is the separating member's relevant home
			 of record or intended new residence and such other veterans service
			 organization as may be designated by the member.</text>
						</clause></subparagraph></paragraph></subsection></section><section id="HA41DC39DF87142B9B1C5442EA7457251"><enum>6.</enum><header>Authorization of appropriations</header><text display-inline="no-display-inline">There are authorized to be appropriated out of funds available to the Department of Defense such
			 sums as may be necessary for fiscal year 2015 and fiscal years thereafter
			 to carry out activities under this Act.</text>
		</section><section id="HB0FA6D5836A54F05A4DF17F89C3ACF26"><enum>7.</enum><header>Rule of construction</header><text display-inline="no-display-inline">Nothing in this Act shall be construed as limiting the ability of current and former members of the
			 Armed Forces to provide documentation other than the SET record, including
			 handwritten statements, for purposes of appealing, documenting, or
			 presenting evidence related to post traumatic stress disorder or traumatic
			 brain injury claims.</text>
		</section></legis-body>
</bill>


