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<dc:title>117 HR 1448 : Puppies Assisting Wounded Servicemembers for Veterans Therapy Act</dc:title>
<dc:publisher>U.S. House of Representatives</dc:publisher>
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<distribution-code display="yes">IIB</distribution-code><congress display="yes">117th CONGRESS</congress><session display="yes">1st Session</session><legis-num display="yes">H. R. 1448</legis-num><current-chamber>IN THE SENATE OF THE UNITED STATES</current-chamber><action><action-date>May 13, 2021</action-date><action-desc>Received; read twice and referred to the <committee-name committee-id="SSVA00">Committee on Veterans' Affairs</committee-name></action-desc></action><legis-type>AN ACT</legis-type><official-title display="yes">To direct the Secretary of Veterans Affairs to carry out a pilot program on dog training therapy, and to amend title 38, United States Code, to authorize the Secretary of Veterans Affairs to provide service dogs to veterans with mental illnesses who do not have mobility impairments.</official-title></form><legis-body id="H0F4E11F71407416CAAAFB0AC5F38DF99" style="OLC"><pagebreak></pagebreak><section id="HC952BF11657047E68BA8E51D980E4AC4" 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>Puppies Assisting Wounded Servicemembers for Veterans Therapy Act</short-title></quote> or the <quote><short-title>PAWS for Veterans Therapy Act</short-title></quote>.</text></section><section id="H2F96900A0D154881909C37A73E71D2F4"><enum>2.</enum><header>Department of Veterans Affairs pilot program on dog training therapy</header><subsection id="HE385081A943442C59268B881A9F9CB54"><enum>(a)</enum><header>In general</header><text display-inline="yes-display-inline">Not later than 180 days after the date of the enactment of the Act, the Secretary of Veterans Affairs shall commence the conduct of a pilot program to provide canine training to eligible veterans diagnosed with post-traumatic stress disorder (in this section referred to as <quote>PTSD</quote>) as an element of a complementary and integrative health program for such veterans.</text></subsection><subsection id="H4477FC8E57C940AC96F156C857B073F4"><enum>(b)</enum><header>Duration; medical centers</header><paragraph id="HBD3299731985402E9862AA16BC27F389"><enum>(1)</enum><header>Duration</header><text>The Secretary shall carry out the pilot program under subsection (a) for a 5-year period beginning on the date of the commencement of the pilot program.</text></paragraph><paragraph id="H0EDD3A5352654FAE8E5DF7A431EC057E"><enum>(2)</enum><header>Medical centers</header><text display-inline="yes-display-inline">The Secretary shall ensure that such pilot program is carried out by not fewer than five medical centers of the Department of Veterans Affairs located in geographically diverse areas.</text></paragraph></subsection><subsection id="H7ADC42E50CA44456B83AED61D79415E6" commented="no"><enum>(c)</enum><header>Agreements with entities</header><text display-inline="yes-display-inline">In carrying out the pilot program under subsection (a), the Secretary shall seek to enter into agreements with nongovernmental entities that the Secretary determines have the demonstrated ability to provide the canine training specified in subsection (a).</text></subsection><subsection id="HD5E0C028838F4CB4BA69AA238AF9C7E1"><enum>(d)</enum><header>Required conditions</header><text>The Secretary shall include in any agreement under subsection (c) conditions requiring that the nongovernmental entity seeking to enter into the agreement—</text><paragraph id="HDE269868DB714330A3DA9D998566FEB5"><enum>(1)</enum><text>submits to the Secretary certification that the entity is an accredited service dog training organization;</text></paragraph><paragraph id="HAD693FA014564016A42EDA9B93821425"><enum>(2)</enum><text>agrees to ensure that veterans participating in the pilot program under subsection (a) receive training from certified service dog training instructors for a period of time determined appropriate by the entity;</text></paragraph><paragraph id="H5B9D750BF73142EC9ED9DAF6C8320186"><enum>(3)</enum><text>agrees to ensure that veterans participating in such pilot program are prohibited from having access to a dog under such pilot program at any time during such participation without the supervision of a certified service dog training instructor;</text></paragraph><paragraph id="HADA75AFE0B334BAB9A63C43B69E16FEB"><enum>(4)</enum><text>agrees to ensure that veterans participating in such pilot program receive training in skills unique to the needs of the veteran to address or alleviate PTSD symptoms of the veteran;</text></paragraph><paragraph id="H3569AF96EEF347BBB5FD58B44C026BD1"><enum>(5)</enum><text display-inline="yes-display-inline">agrees not to use shock collars or prong collars as training tools and to use positive reinforcement training; and</text></paragraph><paragraph id="HE30728A2B55E48EC8777F8961B315619"><enum>(6)</enum><text>agrees to provide any follow-up training support specified in subsection (e)(2), as applicable.</text></paragraph></subsection><subsection id="HFE7BEBEDB89C46628B2C7712913B69B1" commented="no"><enum>(e)</enum><header>Adoption of dog</header><paragraph id="H57DE3CA0850546588388B1CEACA20782" commented="no"><enum>(1)</enum><header>In general</header><text>A veteran who has participated in the pilot program under subsection (a) may adopt a dog that the veteran assisted in training during such pilot program if the veteran and the veteran’s health provider (in consultation with the entity that provided the canine training with respect to the dog under such pilot program) determine that it is in the best interest of the veteran.</text></paragraph><paragraph id="H660EB9E1AB0641C8B3DB6F93AC9F9FC7" commented="no"><enum>(2)</enum><header>Follow-up training support</header><text display-inline="yes-display-inline">If a veteran adopts a dog under paragraph (1), the entity that provided the canine training with respect to the dog under the pilot program shall provide follow-up training support for the life of the dog. Such support shall include the provision of a contact plan between the veteran and the entity that enables the veteran to seek and receive assistance from the entity to ensure the dog is being properly cared for.</text></paragraph></subsection><subsection id="HADE73552379747978A83F148C98A9FD9" commented="no"><enum>(f)</enum><header>Eligibility for other care and treatment</header><text display-inline="yes-display-inline">Participation in the pilot program under subsection (a) may not preclude a veteran from receiving any other medical care or treatment for PTSD furnished by the Department, including therapy, for which the veteran is otherwise eligible.</text></subsection><subsection id="H02346544E66E4209B0173DD8346CE351"><enum>(g)</enum><header>Collection of data</header><text>In carrying out this section, the Secretary shall—</text><paragraph id="HBF09F05B6C84407FAE736667241EEF58"><enum>(1)</enum><text>develop metrics and other appropriate means to measure, with respect to veterans participating in the pilot program under subsection (a)—</text><subparagraph id="H48D19BA605A74E50AC9023BB29DA886B"><enum>(A)</enum><text>the number of such veterans participating;</text></subparagraph><subparagraph id="H6F4F5921FA65478E8C57803023F58AA3"><enum>(B)</enum><text>the satisfaction of such veterans with the pilot program;</text></subparagraph><subparagraph id="HA66B290BB9764CB5B760D2DF7235F14A"><enum>(C)</enum><text display-inline="yes-display-inline">whether participation in the pilot program resulted in any clinically relevant improvements for such veterans, as determined by the health care provider or clinical team that referred the veteran to participate in the pilot program; and</text></subparagraph><subparagraph id="HC9113EADB58D423D8E9DDD24EDDFD1ED"><enum>(D)</enum><text display-inline="yes-display-inline">such other factors as the Secretary may determine appropriate; and</text></subparagraph></paragraph><paragraph id="HCCA3234EDB8843908CB36D9ACCE5C3F9"><enum>(2)</enum><text display-inline="yes-display-inline">establish processes to document and track the progress of such veterans under the pilot program with respect to health benefits and improvements.</text></paragraph></subsection><subsection id="H7F36E41917FE49E1A4178F9DD0891A12"><enum>(h)</enum><header>Report by secretary</header><text display-inline="yes-display-inline">Not later than 1 year before the date on which the pilot program under subsection (a) terminates, the Secretary shall submit to the Committees on Veterans’ Affairs of the House of Representatives and the Senate a report containing the recommendations of the Secretary regarding—</text><paragraph id="H533E7123E4084BEBA867C99F423A5457"><enum>(1)</enum><text>whether to extend or make permanent the pilot program; and</text></paragraph><paragraph id="H2BCF9179820C403EA4FAD8BE5A7606D5"><enum>(2)</enum><text>the feasibility and advisability of expanding the pilot program to address mental health conditions other than PTSD.</text></paragraph></subsection><subsection id="HDEF273149D004694B2E2FDC9D7F6A441"><enum>(i)</enum><header>GAO briefing and study</header><paragraph id="H18C23A17F3A346B3A47F3B002483A417"><enum>(1)</enum><header>Briefing</header><text display-inline="yes-display-inline">Not later than 1 year after the date of the commencement of the pilot program under subsection (a), the Comptroller General of the United States shall provide to the Committees on Veterans’ Affairs of the House of Representatives and the Senate a briefing on the methodology established for the pilot program.</text></paragraph><paragraph id="HA99DBAB175EF4219ACAE3E3A798154EC"><enum>(2)</enum><header>Report</header><text display-inline="yes-display-inline">Not later than 270 days after the date on which the pilot program terminates, the Comptroller General shall submit to the committees specified in paragraph (1) a report on the pilot program. Such report shall include an evaluation of the approach and methodology used for the pilot program with respect to—</text><subparagraph id="H5ABCDE4651F346E4B972AA04C68505C1"><enum>(A)</enum><text>assisting veterans with PTSD; and</text></subparagraph><subparagraph id="H8C6823C70FD54BF59AA0B9766B8791A7"><enum>(B)</enum><text>measuring relevant metrics, such as reduction in scores under the Clinician Administered PTSD Scale (CAPS), improvement in psychosocial function, and therapeutic compliance.</text></subparagraph></paragraph></subsection><subsection id="HF77910EC1D114B7395B365BB23FA9F43"><enum>(j)</enum><header>Definitions</header><text>In this section:</text><paragraph id="H9FECEC5554C948168CEF78D2C82AF67A"><enum>(1)</enum><text>The term <quote>accredited service dog training organization</quote> means an organization described in <external-xref legal-doc="usc" parsable-cite="usc/26/501">section 501(c)(3)</external-xref> of the Internal Revenue Code of 1986 that—</text><subparagraph id="H582EF1EAC1DC48D7A7FA43ED701D6C7F"><enum>(A)</enum><text>provides service dogs to veterans with PTSD; and</text></subparagraph><subparagraph id="HF1EADAD1C7864F2C94461740FE45471B"><enum>(B)</enum><text>is accredited by an accrediting organization with demonstrated experience, national scope, and recognized leadership and expertise in the training of service dogs and education in the use of service dogs (as determined by the Secretary).</text></subparagraph></paragraph><paragraph id="HE44EDC81D5A9455EA07A7ADEB93FE81C"><enum>(2)</enum><text>The term <quote>eligible veteran</quote> means a veteran who—</text><subparagraph id="H064645AF168640958F696CCE40FA79E5" display-inline="no-display-inline"><enum>(A)</enum><text>is enrolled in the patient enrollment system in the Department of Veterans Affairs under section 1705 of title 38, United States Code; and</text></subparagraph><subparagraph id="H4A3371E50A7A4663841EFA2B6F0322C2" display-inline="no-display-inline"><enum>(B)</enum><text>has been recommended for participation in the pilot program under subsection (a) by a qualified mental health care provider or clinical team based on medical judgment that the veteran may benefit from such participation with respect to the diagnosed PTSD of the veteran.</text></subparagraph></paragraph><paragraph id="H5143683F9B574D748D41C8A3BAACECE1"><enum>(3)</enum><text display-inline="yes-display-inline">The term <quote>service dog training instructor</quote> means an instructor who provides the direct training of veterans with PTSD in the art and science of service dog training and handling. </text></paragraph></subsection></section><section id="H57D2307163FE4B1ABAFCD45B9D5F19A6"><enum>3.</enum><header>Provision of service dogs and veterinary insurance benefits to veterans with post-traumatic stress disorder who do not have certain impairments</header><subsection id="H631E8BB2FBAA4496A110B5DDD67AA644"><enum>(a)</enum><header>In general</header><text display-inline="yes-display-inline">Section 1714 of title 38, United States Code, is amended by adding at the end the following new subsections:</text><quoted-block style="USC" display-inline="no-display-inline" id="H604444D50F3343B381141B126967DE4A"><subsection id="H4D42AB34194B42F780159274032C5042"><enum>(e)</enum><text display-inline="yes-display-inline">The Secretary may provide a service dog to a veteran under subsection (c)(3) regardless of whether the veteran has a mobility impairment.</text></subsection><subsection id="H7B5AE73906F1444286AC1887A07A528F"><enum>(f)</enum><paragraph commented="no" display-inline="yes-display-inline" id="H903E208401664A448352FF0B9CF965EA"><enum>(1)</enum><text display-inline="yes-display-inline">The Secretary shall provide to any veteran described in paragraph (2) a commercially available veterinary insurance policy for each dog provided to such veteran under subsection (b) or (c).</text></paragraph><paragraph id="HA0BB2D9F24D64DD48F8F7D467174FA03" indent="up1"><enum>(2)</enum><text>A veteran described in this paragraph is a veteran who—</text><subparagraph id="H997AAD87D0364FB284609AF6D7D2FAEF"><enum>(A)</enum><text>is diagnosed with post-traumatic stress disorder or a visual, hearing, or substantial mobility impairment;</text></subparagraph><subparagraph id="H889290E829A941BD8595BF87B79469D6"><enum>(B)</enum><text>has received a dog under subsection (b) or (c) in connection with such disorder or impairment; and</text></subparagraph><subparagraph id="H484FF5C98FD0426CBED6AD360AD07B45"><enum>(C)</enum><text>meets such other requirements as the Secretary may prescribe.</text></subparagraph></paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block></subsection><subsection id="HF856042168614C7287F4CD501570C152"><enum>(b)</enum><header>Applicability</header><text display-inline="yes-display-inline">Section 1714(f) of title 38, United States Code, as added by subsection (a), shall apply with respect to a veteran provided a dog by the Secretary of Veterans Affairs on or after the date of the enactment of this Act.</text></subsection></section></legis-body><attestation><attestation-group><attestation-date date="20210512" chamber="House">Passed the House of Representatives May 12, 2021.</attestation-date><attestor display="yes">Cheryl L. Johnson,</attestor><role>Clerk.</role></attestation-group></attestation></bill> 

