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<bill bill-stage="Introduced-in-House" dms-id="HA8404A3CF2D14652AEB260269F258863" public-private="public" key="H" bill-type="olc">
<metadata xmlns:dc="http://purl.org/dc/elements/1.1/">
<dublinCore>
<dc:title>116 HR 8147 IH: Testing, Researching, and Expanding Alternative Treatments Act</dc:title>
<dc:publisher>U.S. House of Representatives</dc:publisher>
<dc:date>2020-09-01</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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</metadata>
<form>
<distribution-code display="yes">I</distribution-code>
<congress display="yes">116th CONGRESS</congress><session display="yes">2d Session</session>
<legis-num display="yes">H. R. 8147</legis-num>
<current-chamber>IN THE HOUSE OF REPRESENTATIVES</current-chamber>
<action display="yes">
<action-date date="20200901">September 1, 2020</action-date>
<action-desc><sponsor name-id="L000588">Mr. Lamb</sponsor> (for himself and <cosponsor name-id="F000466">Mr. Fitzpatrick</cosponsor>) introduced the following bill; which was referred to the <committee-name committee-id="HVR00">Committee on Veterans' Affairs</committee-name></action-desc>
</action>
<legis-type>A BILL</legis-type>
<official-title display="yes">To direct the Secretary of Veterans Affairs to expand an existing pilot program, and to establish a new pilot program, related to complementary and integrative health services for veterans.</official-title>
</form>
<legis-body id="H8F3A4D89742942CF8E943C330251FD68" style="OLC"> 
<section id="H2CAF25CDA4C04EF7BDA036D7850FE631" 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>Testing, Researching, and Expanding Alternative Treatments Act</short-title></quote> or the <quote><short-title>TREAT Act</short-title></quote> .</text></section> <section id="H7AE537660CFD41BC8B1ACC94FB24AC2E" section-type="subsequent-section"><enum>2.</enum><header>Expansion of certain complementary and integrative health services</header> <subsection id="HEAC3DE9BD9FA43F9ABD79AA8DA6911FE"><enum>(a)</enum><header>Plan required</header><text display-inline="yes-display-inline">Not later than 180 days after the date of the enactment of this Act, the Secretary of Veterans Affairs shall develop a plan to expand the pilot program under section 933 of the Jason Simcakoski Memorial and Promise Act (title IX of <external-xref legal-doc="public-law" parsable-cite="pl/114/198">Public Law 114–198</external-xref>; <external-xref legal-doc="usc" parsable-cite="usc/38/1701">38 U.S.C. 1701</external-xref> note). </text></subsection> 
<subsection id="H36B952D3486B41F2ADEEDECA3ADF7356"><enum>(b)</enum><header>Assessment; elements</header><text>The plan under subsection (a) shall include provisions for assessing the implementation of the plan and the effectiveness of services and programs described in subsection (f) of that section 933, including—</text> <paragraph id="HA3ECC6FCF8D14C84B43E6F26ECAD599E" display-inline="no-display-inline"><enum>(1)</enum><text display-inline="yes-display-inline">the use and efficacy of complementary and integrative health services delivered through the pilot program for addressing mental health, pain management, and treatment of chronic illness;</text></paragraph> 
<paragraph id="H600792A636CC48A7A13EA44CB08278B7"><enum>(2)</enum><text display-inline="yes-display-inline">the outreach conducted by the Secretary to inform veterans and community organizations of such services; and</text></paragraph> <paragraph id="H079C57D29AA746639AF482C0071D0740"><enum>(3)</enum><text display-inline="yes-display-inline">the experiences of veterans who received such services.</text></paragraph></subsection> 
<subsection id="HD4CE669E09DE44908F84A3EBBA4FDF23"><enum>(c)</enum><header>Treatments described</header><text>Complementary and integrative health treatments described in this subjection shall consist of the following:</text> <paragraph id="HCAEF36D6EB21407499AD7488CD9CD32A"><enum>(1)</enum><text>Yoga.</text></paragraph> 
<paragraph id="H45A795235F984589AB55AC1F94348C5D"><enum>(2)</enum><text>Meditation.</text></paragraph> <paragraph id="H90AC176657684C29B3A81DEC5085FD84"><enum>(3)</enum><text>Acupuncture.</text></paragraph> 
<paragraph id="HB790AC79D9D54F1AB82A360EE536695C"><enum>(4)</enum><text>Chiropractic care.</text></paragraph> <paragraph id="HCD6B64C74FFB41B9B55A05B7E861254C"><enum>(5)</enum><text>Other treatments that show sufficient evidence of efficacy at treating mental or physical health conditions, as determined by the Secretary.</text></paragraph></subsection> 
<subsection id="H46D333BAA3E241EB9695214C3044D669"><enum>(d)</enum><header>Implementation</header><text display-inline="yes-display-inline">Not later than 270 days after the date of the enactment of this Act, the Secretary shall implement the plan under subsection (a).</text></subsection> <subsection id="H8F218C7AAE634026B53AF808FCE521B0"><enum>(e)</enum><header>Report</header><text display-inline="yes-display-inline">Not later than two years after the date of the enactment of this Act, the Secretary shall submit to the Committees on Veterans’ Affairs of the Senate and House of Representatives a report on activities carried out under this section, including—</text> 
<paragraph id="HC35FB55441784B549E21FA493FDC6848"><enum>(1)</enum><text>the assessment under subsection (b);</text></paragraph> <paragraph id="H97CEE727B98B455F87ECBB9927F75603"><enum>(2)</enum><text>implementation under subsection (d); and</text></paragraph> 
<paragraph id="H7252D7BA72F14C2DB70BF71B09926146"><enum>(3)</enum><text display-inline="yes-display-inline">such recommendations regarding the furnishing of complementary and integrative health treatments described in subsection (c) the Secretary determines appropriate.</text></paragraph></subsection></section> <section id="H8F1B6B09836D4122B2FA258C0A5DA3F8"><enum>3.</enum><header>Pilot program to provide veterans access to complementary and integrative health services through animal therapy, agritherapy, and adaptive sports, recreation, and outdoor adventure</header> <subsection id="H197DDDB82E19424BAFA990C03119A29B"><enum>(a)</enum><header>In general</header><text>Not later than 180 days after the date of the enactment of this Act, the Secretary of Veterans Affairs shall commence the conduct of a pilot program to provide complementary and integrative health services described in subsection (b) to eligible veterans from the Department of Veterans Affairs or through the use of non-Department entities for the treatment of post-traumatic stress disorder, depression, anxiety, or other conditions as determined by the Secretary.</text></subsection> 
<subsection id="HB2523E5CB13E4C71AE786143F8D88014"><enum>(b)</enum><header>Treatments described</header><text>Complementary and integrative health treatments described in this subsection shall consist of the following:</text> <paragraph id="H22E68E03E33A41CFA803DC81D30E8159"><enum>(1)</enum><text>Equine assisted therapy.</text></paragraph> 
<paragraph id="HFFF3115D44884BAEA55FBF378C276DD6"><enum>(2)</enum><text>Other animal therapy.</text></paragraph> <paragraph id="H22D9B1DDDE7146C9AF3644E5238DCFB2"><enum>(3)</enum><text>Agritherapy.</text></paragraph> 
<paragraph id="H50773DD18F964F33987166466A4790EE"><enum>(4)</enum><text>Post-traumatic growth programming.</text></paragraph> <paragraph id="HA7295C4B6C0C43D98508D94408E28949"><enum>(5)</enum><text>Adaptive sports, recreation, and outdoor adventure.</text></paragraph></subsection> 
<subsection id="H1D718916C9AC40019D5EB43FF84AF0C9"><enum>(c)</enum><header>Eligible veterans</header><text>A veteran is eligible to participate in the pilot program under this section if the veteran—</text> <paragraph id="H0109E59C20A742B486D31213B305CBCF"><enum>(1)</enum><text>is enrolled in the system of patient enrollment of the Department under section 1705(a) of title 38, United States Code; and</text></paragraph> 
<paragraph id="H94234A901E324DFA8E3E0DD6AAC31739"><enum>(2)</enum><text>during the two-year period preceding the initial participation of the veteran in the pilot program—</text> <subparagraph id="H793FA0907F0946B79BE4F9CE19B27D1E"><enum>(A)</enum><text display-inline="yes-display-inline">has received health care under the laws administered by the Secretary; or</text></subparagraph> 
<subparagraph id="HC41C5D2BB8DB4591A9B84CB51D036C93"><enum>(B)</enum><text display-inline="yes-display-inline">has received rehabilitation and counseling services from a Vet Center.</text></subparagraph></paragraph></subsection> <subsection id="H99C8ABF3073249778F6F330F313DFDF7"><enum>(d)</enum><header>Duration</header> <paragraph id="HC1335788950546D09F693CF8A5CC3367"><enum>(1)</enum><header>In general</header><text>The Secretary shall carry out the pilot program under this section for a three-year period beginning on the commencement of the pilot program.</text></paragraph> 
<paragraph id="H1602D8A4983F40849A82E9BAF7850AF2"><enum>(2)</enum><header>Extension</header><text>The Secretary may extend the duration of the pilot program under this section if the Secretary, based on the results of the interim report submitted under subsection (f)(1), determines that it is appropriate to do so.</text></paragraph></subsection> <subsection id="H4D00441934CB4106852B8DA29CE8B470"><enum>(e)</enum><header>Locations</header> <paragraph id="H99B71CDBEA374EA5B28B98553AF53782"><enum>(1)</enum><header>In general</header><text>The Secretary shall select not fewer than five facilities of the Department at which to carry out the pilot program under this section.</text></paragraph> 
<paragraph id="H24AF957FAA4A45688A42EB81CA7A6A92"><enum>(2)</enum><header>Selection criteria</header><text>In selecting facilities under paragraph (1), the Secretary shall ensure that—</text> <subparagraph id="H4385AAE7C7D9479BACCC3BD60ED3FF3A"><enum>(A)</enum><text>the locations are in geographically diverse areas; and</text></subparagraph> 
<subparagraph id="H883490A2024744A698B3843AE0FE1E7C"><enum>(B)</enum><text>not fewer than three facilities serve veterans in rural or highly rural areas (as determined through the use of the Rural-Urban Commuting Areas coding system of the Department of Agriculture).</text></subparagraph></paragraph></subsection> <subsection id="HD79D562119AA45D8AC7DE0EFA908C960"><enum>(f)</enum><header>Research on effectiveness of treatment</header> <paragraph id="H8B47B9F3D6FF40ABB0A4DC7A17F15B9D"><enum>(1)</enum><header>In general</header><text>The Secretary shall carry out the pilot program in conjunction with academic researchers affiliated with the Department of Veterans Affairs, including through agreements under paragraph (2), in order for those researchers to study the effectiveness of the treatments described in subsection (b).</text></paragraph> 
<paragraph id="H6F179F8842574B1CAF27F7171B7FCABC"><enum>(2)</enum><header>Agreements</header><text>Before commencing the pilot program, the Secretary shall seek to enter into agreements with academic researchers to ensure robust data collection and gathering procedures are in place under the pilot program in order to produce peer-reviewed journal articles. </text></paragraph></subsection> <subsection id="HB108F2A4E64146678AEBAD78B4805D1D"><enum>(g)</enum><header>Reports</header> <paragraph id="HA5B3E1A1688A4EAAA75E50467E77C697"><enum>(1)</enum><header>Interim report</header> <subparagraph id="HA113A849C2114637926239F92F4A656A"><enum>(A)</enum><header>In general</header><text>Not later than one year after the commencement of the pilot program under this section, the Secretary shall submit to the Committee on Veterans’ Affairs of the Senate and the Committee on Veterans’ Affairs of the House of Representatives a report on the progress of the pilot program.</text></subparagraph> 
<subparagraph id="H1B5CC23D2A5641EC81D07EA16C726B8B"><enum>(B)</enum><header>Elements</header><text>The report required by subparagraph (A) shall include the following:</text> <clause id="HA0A889B82FBD4841B8D960B92DF166ED"><enum>(i)</enum><text>The number of participants in the pilot program.</text></clause> 
<clause id="H1CF25B0E4B91467F8BCD07363E98E03D"><enum>(ii)</enum><text>The type or types of therapy offered at each facility at which the pilot program is being carried out.</text></clause> <clause id="H68ADE45113724B859964618CA8BDA069"><enum>(iii)</enum><text>An assessment of whether participation by a veteran in the pilot program resulted in any changes in clinically relevant endpoints for the veteran with respect to the conditions specified in subsection (a).</text></clause> 
<clause id="H87901A9D44EC4CEAAA04C46279387370"><enum>(iv)</enum><text>An assessment of effect on quality of life and well-being of veterans participating in the pilot program, including the results of a satisfaction survey of the participants in the pilot program, disaggregated by treatment under subsection (b).</text></clause> <clause id="H8A1A3153D5FA4F9498FDCFE1DDBFDAED"><enum>(v)</enum><text display-inline="yes-display-inline">An assessment of whether the pilot program is effective in increasing the adherence of veterans to mental health treatment for the conditions described in subsection (a). </text></clause> 
<clause id="H26391CC440FB406E889DA4E5C8E7CD4B"><enum>(vi)</enum><text>The determination of the Secretary with respect to extending the pilot program under subsection (d)(2).</text></clause> <clause id="H14A7CC8A1A724387A5373E1F6834248D"><enum>(vii)</enum><text>Any recommendations of the Secretary with respect to expanding the pilot program.</text></clause></subparagraph></paragraph> 
<paragraph id="H9177F4EBD08D4818B7F8719BA44E7B35"><enum>(2)</enum><header>Final report</header><text>Not later than 90 days after the termination of the pilot program under this section, the Secretary shall submit to the Committee on Veterans’ Affairs of the Senate and the Committee on Veterans’ Affairs of the House of Representatives a final report on the pilot program.</text></paragraph></subsection></section> </legis-body> </bill> 

