<num value="I">TITLE I—</num><heading>IMPROVEMENT OF TRANSITION OF INDIVIDUALS TO SERVICES FROM DEPARTMENT OF VETERANS AFFAIRS</heading> <section id="d229484e351" identifier="/us/pl/116/171/tI/s101" style="-uslm-lc:I658143"><num class="fontsize12" value="101">SEC. 101. </num><heading>STRATEGIC PLAN ON EXPANSION OF HEALTH CARE COVERAGE FOR VETERANS TRANSITIONING FROM SERVICE IN THE ARMED FORCES.</heading><subsection class="firstIndent0 fontsize10" id="ydfa75839-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s101/a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="a">(a) </num><heading class="fontsize10"><inline class="smallCaps">Strategic Plan</inline>.—</heading><paragraph class="fontsize10" id="ydfa7583a-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s101/a/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><sidenote>Deadline.Consultation.Web posting.Time period.</sidenote><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><content>Not later than one year after the date of the enactment of this Act, the Secretary of Veterans Affairs, in consultation with the Secretary of Defense, shall submit to the appropriate committees of Congress and publish on a <page identifier="/us/stat/134/780">134 STAT. 780</page> website of the Department of Veterans Affairs a strategic plan for the provision by the Department of health care to any veteran during the one-year period following the discharge or release of the veteran from active military, naval, or air service.</content></paragraph> <paragraph class="fontsize10" id="ydfa7583f-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s101/a/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><heading class="fontsize10"><inline class="smallCaps">Elements</inline>.—</heading><chapeau>The plan submitted under paragraph (1) shall include the following:</chapeau><subparagraph class="fontsize10" id="ydfa75840-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s101/a/2/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>An identification of general goals and objectives for the provision of health care to veterans described in such paragraph.</content></subparagraph> <subparagraph class="fontsize10" id="ydfa75841-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s101/a/2/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><chapeau>A description of how such goals and objectives are to be achieved, including—</chapeau><clause class="fontsize10" id="ydfa75842-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s101/a/2/B/i" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">(i) </num><content>a description of the use of existing personnel, information, technology, facilities, public and private partnerships, and other resources of the Department of Veterans Affairs;</content></clause> <clause class="fontsize10" id="ydfa75843-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s101/a/2/B/ii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">(ii) </num><content>a description of the anticipated need for additional resources for the Department; and</content></clause> <clause class="fontsize10" id="ydfa75844-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s101/a/2/B/iii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iii">(iii) </num><content>an assessment of cost.</content></clause> </subparagraph> <subparagraph class="fontsize10" id="ydfa75845-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s101/a/2/C" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">(C) </num><sidenote>Analysis.</sidenote><content>An analysis of the anticipated health care needs, including mental health care, for such veterans, disaggregated by geographic area.</content></subparagraph> <subparagraph class="fontsize10" id="ydfa75847-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s101/a/2/D" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="D">(D) </num><sidenote>Analysis.</sidenote><content>An analysis of whether such veterans are eligible for enrollment in the system of annual patient enrollment of the Department under <ref href="/us/usc/t38/s1705/a">section 1705(a) of title 38, United States Code</ref>.</content></subparagraph> <subparagraph class="fontsize10" id="ydfa75849-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s101/a/2/E" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="E">(E) </num><content>A description of activities designed to promote the availability of health care from the Department for such veterans, including outreach to members of the Armed Forces though the Transition Assistance Program under sections 1142 and 1144 of <ref href="/us/usc/t10">title 10, United States Code</ref>.</content></subparagraph> <subparagraph class="fontsize10" id="ydfa7584a-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s101/a/2/F" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="F">(F) </num><content>A description of legislative or administrative action required to carry out the plan.</content></subparagraph> <subparagraph class="fontsize10" id="ydfa7584b-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s101/a/2/G" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="G">(G) </num><content>A description of how the plan would further the ongoing initiatives under Executive Order 13822 (<ref href="/us/fr/83/1513">83 Fed. Reg. 1513</ref>; relating to supporting our veterans during their transition from uniformed service to civilian life) to provide seamless access to high-quality mental health care and suicide prevention resources to veterans as they transition, with an emphasis on the one-year period following separation.</content></subparagraph> </paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ydfa7584c-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s101/b" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="b">(b) </num><heading class="fontsize10"><inline class="smallCaps">Definitions</inline>.—</heading><chapeau>In this section:</chapeau><paragraph class="fontsize10" id="ydfa7584d-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s101/b/1" role="definitions" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><heading class="fontsize10"><inline class="smallCaps">Active military, naval, or air service</inline>.—</heading><content>The term “<term>active military, naval, or air service</term>” has the meaning given that term in <ref href="/us/usc/t38/s101/24">section 101(24) of title 38, United States Code</ref>.</content></paragraph> <paragraph class="fontsize10" id="ydfa7584e-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s101/b/2" role="definitions" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><heading class="fontsize10"><inline class="smallCaps">Appropriate committees of congress</inline>.—</heading><chapeau>The term “<term>appropriate committees of Congress</term>” means—</chapeau><subparagraph class="fontsize10" id="ydfa7584f-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s101/b/2/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>the Committee on Veterans’ Affairs and the Committee on Appropriations of the Senate; and</content></subparagraph> <subparagraph class="fontsize10" id="ydfa75850-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s101/b/2/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>the Committee on Veterans’ Affairs and the Committee on Appropriations of the House of Representatives.</content></subparagraph> </paragraph> </subsection> </section> <section id="d229484e505" identifier="/us/pl/116/171/tI/s102" style="-uslm-lc:I658143"><num class="fontsize12" value="102">SEC. 102. </num><heading>REVIEW OF RECORDS OF FORMER MEMBERS OF THE ARMED FORCES WHO DIE BY SUICIDE WITHIN ONE YEAR OF SEPARATION FROM THE ARMED FORCES.</heading><subsection class="firstIndent0 fontsize10" id="ydfa869c1-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s102/a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="a">(a) </num><heading class="fontsize10"><inline class="smallCaps">Review</inline>.—</heading><paragraph class="fontsize10" id="ydfa869c2-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s102/a/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><sidenote>Determination.Time periods.</sidenote><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><content>The Secretary of Defense and the Secretary of Veterans Affairs shall jointly review the records of <page identifier="/us/stat/134/781">134 STAT. 781</page> each former member of the Armed Forces who died by suicide, as determined by the Secretary of Defense or the Secretary of Veterans Affairs, within one year following the discharge or release of the former member from active military, naval, or air service during the five-year period preceding the date of the enactment of this Act.</content></paragraph> <paragraph class="fontsize10" id="ydfa869c5-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s102/a/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><heading class="fontsize10"><inline class="smallCaps">Records to be reviewed</inline>.—</heading><chapeau>In completing the review required under paragraph (1), the Secretary of Defense and the Secretary of Veterans Affairs shall review the following records maintained by the Department of Defense:</chapeau><subparagraph class="fontsize10" id="ydfa869c6-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s102/a/2/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>Health treatment records.</content></subparagraph> <subparagraph class="fontsize10" id="ydfa869c7-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s102/a/2/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>Fitness, medical, and dental records.</content></subparagraph> <subparagraph class="fontsize10" id="ydfa869c8-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s102/a/2/C" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">(C) </num><content>Ancillary training records.</content></subparagraph> <subparagraph class="fontsize10" id="ydfa869c9-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s102/a/2/D" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="D">(D) </num><content>Safety forms and additional duties sections of the personnel information files.</content></subparagraph> </paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ydfa869ca-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s102/b" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="b">(b) </num><heading class="fontsize10"><inline class="smallCaps">Elements</inline>.—</heading><chapeau>The review required by subsection (a) with respect to a former member of the Armed Forces shall include consideration of the following:</chapeau><paragraph class="fontsize10" id="ydfa869cb-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s102/b/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><sidenote>Time period.</sidenote><content>Whether the Department of Defense had identified the former member as being at elevated risk during the 365-day period before separation of the member from the Armed Forces.</content></paragraph> <paragraph class="fontsize10" id="ydfa890dd-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s102/b/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><content>In the case that the member was identified as being at elevated risk as described in paragraph (1), whether that identification had been communicated to the Department of Veterans Affairs via the Solid Start initiative of the Department pursuant to Executive Order 13822 (<ref href="/us/fr/83/1513">83 Fed. Reg. 1513</ref>; relating to supporting our veterans during their transition from uniformed service to civilian life), or any other means.</content></paragraph> <paragraph class="fontsize10" id="ydfa890de-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s102/b/3" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">(3) </num><content>The presence of evidence-based and empirically-supported contextual and individual risk factors specified in subsection (c) with respect to the former member and how those risk factors correlated to the circumstances of the death of the former member.</content></paragraph> <paragraph class="fontsize10" id="ydfa890df-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s102/b/4" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="4">(4) </num><chapeau>Demographic variables, including the following:</chapeau><subparagraph class="fontsize10" id="ydfa890e0-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s102/b/4/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>Sex.</content></subparagraph> <subparagraph class="fontsize10" id="ydfa890e1-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s102/b/4/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>Age.</content></subparagraph> <subparagraph class="fontsize10" id="ydfa890e2-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s102/b/4/C" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">(C) </num><content>Rank at separation from the Armed Forces.</content></subparagraph> <subparagraph class="fontsize10" id="ydfa890e3-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s102/b/4/D" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="D">(D) </num><content>Career field after separation from the Armed Forces.</content></subparagraph> <subparagraph class="fontsize10" id="ydfa890e4-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s102/b/4/E" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="E">(E) </num><content>State and county of residence one month prior to death.</content></subparagraph> <subparagraph class="fontsize10" id="ydfa890e5-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s102/b/4/F" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="F">(F) </num><content>Branch of service in the Armed Forces.</content></subparagraph> <subparagraph class="fontsize10" id="ydfa890e6-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s102/b/4/G" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="G">(G) </num><content>Marital status.</content></subparagraph> <subparagraph class="fontsize10" id="ydfa890e7-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s102/b/4/H" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="H">(H) </num><content>Reason for separation from the Armed Forces.</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ydfa890e8-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s102/b/5" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="5">(5) </num><content>Support or medical services furnished to the former member through the Department of Defense, specified by the type of service or care provided.</content></paragraph> <paragraph class="fontsize10" id="ydfa890e9-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s102/b/6" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="6">(6) </num><content>Support or medical services furnished to the former member through the Department of Veterans Affairs, specified by the type of service or care provided.</content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ydfa890ea-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s102/c" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="c">(c) </num><heading class="fontsize10"><inline class="smallCaps">Evidence-based and Empirically-supported Contextual and Individual Risk Factors</inline>.—</heading><chapeau>Evidence-based and empirically-supported contextual and individual risk factors specified in this subsection include the following:</chapeau><paragraph class="fontsize10" id="ydfa890eb-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s102/c/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><content>Exposure to violence.</content></paragraph> <paragraph class="fontsize10" id="ydfa890ec-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s102/c/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><content>Exposure to suicide.</content></paragraph> <paragraph class="fontsize10" id="ydfa890ed-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s102/c/3" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">(3) </num><content>Housing instability.<page identifier="/us/stat/134/782">134 STAT. 782</page></content></paragraph> <paragraph class="fontsize10" id="ydfa890ee-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s102/c/4" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="4">(4) </num><content>Financial instability.</content></paragraph> <paragraph class="fontsize10" id="ydfa890ef-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s102/c/5" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="5">(5) </num><content>Vocational problems or insecurity.</content></paragraph> <paragraph class="fontsize10" id="ydfa890f0-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s102/c/6" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="6">(6) </num><content>Legal problems.</content></paragraph> <paragraph class="fontsize10" id="ydfa890f1-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s102/c/7" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="7">(7) </num><content>Highly acute or significantly chronic relational problems.</content></paragraph> <paragraph class="fontsize10" id="ydfa890f2-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s102/c/8" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="8">(8) </num><content>Limited access to health care.</content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ydfa890f3-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s102/d" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="d">(d) </num><heading class="fontsize10"><inline class="smallCaps">Report</inline>.—</heading><content>Not later than three years after the date of the enactment of this Act, the Secretary of Defense and the Secretary of Veterans Affairs shall jointly submit to the appropriate committees of Congress an aggregated report on the results of the review conducted under subsection (a) with respect to the year-one cohort of former members of the Armed Forces covered by the review.</content></subsection> <subsection class="firstIndent0 fontsize10" id="ydfa890f4-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s102/e" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="e">(e) </num><heading class="fontsize10"><inline class="smallCaps">Definitions</inline>.—</heading><chapeau>In this section:</chapeau><paragraph class="fontsize10" id="ydfa890f5-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s102/e/1" role="definitions" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><heading class="fontsize10"><inline class="smallCaps">Active military, naval, or air service</inline>.—</heading><content>The term “<term>active military, naval, or air service</term>” has the meaning given that term in <ref href="/us/usc/t38/s101/24">section 101(24) of title 38, United States Code</ref>.</content></paragraph> <paragraph class="fontsize10" id="ydfa890f6-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s102/e/2" role="definitions" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><heading class="fontsize10"><inline class="smallCaps">Appropriate committees of congress defined</inline>.—</heading><chapeau>The term “<term>appropriate committees of Congress</term>” means—</chapeau><subparagraph class="fontsize10" id="ydfa890f7-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s102/e/2/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>the Committee on Armed Services and the Committee on Veterans’ Affairs of the Senate; and</content></subparagraph> <subparagraph class="fontsize10" id="ydfa890f8-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s102/e/2/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>the Committee on Armed Services and the Committee on Veterans’ Affairs of the House of Representatives.</content></subparagraph> </paragraph> </subsection> </section> <section id="d229484e756" identifier="/us/pl/116/171/tI/s103" style="-uslm-lc:I658143"><num class="fontsize12" value="103">SEC. 103. </num><heading>REPORT ON REACH VET PROGRAM OF DEPARTMENT OF VETERANS AFFAIRS.</heading><subsection class="firstIndent0 fontsize10" id="ydfa8de19-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s103/a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="a">(a) </num><heading class="fontsize10"><inline class="smallCaps">In General</inline>.—</heading><content>Not later than 180 days after the date of the enactment of this Act, the Secretary of Veterans Affairs 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 REACH VET program.</content></subsection> <subsection class="firstIndent0 fontsize10" id="ydfa8de1a-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s103/b" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="b">(b) </num><sidenote>Assessments.</sidenote><heading class="fontsize10"><inline class="smallCaps">Elements</inline>.—</heading><chapeau>The report required by subsection (a) shall include the following:</chapeau><paragraph class="fontsize10" id="ydfa8de1c-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s103/b/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><content>An assessment of the impact of the REACH VET program on rates of suicide among veterans.</content></paragraph> <paragraph class="fontsize10" id="ydfa8de1d-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s103/b/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><content>An assessment of how limits within the REACH VET program, such as caps on the number of veterans who may be flagged as high risk, are adjusted for differing rates of suicide across the country.</content></paragraph> <paragraph class="fontsize10" id="ydfa8de1e-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s103/b/3" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">(3) </num><content>A detailed explanation, with evidence, for why the conditions included in the model used by the REACH VET program were chosen, including an explanation as to why certain conditions, such as bipolar disorder II, were not included even though they show a similar rate of risk for suicide as other conditions that were included.</content></paragraph> <paragraph class="fontsize10" id="ydfa8de1f-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s103/b/4" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="4">(4) </num><content>An assessment of the feasibility of incorporating certain economic data held by the Veterans Benefits Administration into the model used by the REACH VET program, including financial data and employment status, which research indicates may have an impact on risk for suicide.</content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ydfa8de20-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s103/c" role="definitions" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="c">(c) </num><heading class="fontsize10"><inline class="smallCaps">REACH VET Program Defined</inline>.—</heading><content>In this section, the term “<term>REACH VET program</term>” means the Recovery Engagement and Coordination for Health—Veterans Enhanced Treatment program of the Department of Veterans Affairs.</content></subsection> </section> <section id="d229484e811" identifier="/us/pl/116/171/tI/s104" role="instruction" style="-uslm-lc:I658143"><num class="fontsize12" value="104">SEC. 104. </num><heading>REPORT ON CARE FOR FORMER MEMBERS OF THE ARMED FORCES WITH OTHER THAN HONORABLE DISCHARGE.</heading><chapeau class="indentUp0 firstIndent0 fontsize10" id="xdfa90531-e827-11f0-bc57-ad3ac4b1618c" style="-uslm-lc:I658120"> <ref href="/us/usc/t38/s1720I/f">Section 1720I(f) of title 38, United States Code</ref>, <amendingAction type="amend">is amended</amendingAction>—<page identifier="/us/stat/134/783">134 STAT. 783</page></chapeau><paragraph class="fontsize10" id="ydfa90532-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s104/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><content>in paragraph (1) by <amendingAction type="delete">striking</amendingAction> “<quotedText>Not less frequently than once</quotedText>” and <amendingAction type="insert">inserting</amendingAction> “<quotedText>Not later than February 15</quotedText>”; and</content></paragraph> <paragraph class="fontsize10" id="ydfa90533-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s104/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><chapeau>in paragraph (2)—</chapeau><subparagraph class="fontsize10" id="ydfa90534-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s104/2/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>by <amendingAction type="redesignate">redesignating</amendingAction> subparagraph (C) as subparagraph (F); and</content></subparagraph> <subparagraph class="fontsize10" id="ydfa90535-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s104/2/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>by <amendingAction type="insert">inserting</amendingAction> after subsection (B) the following new subparagraphs:<quotedContent><subparagraph class="indentDown1 fontsize10" id="ydfa92c46-e827-11f0-bc57-ad3ac4b1618c" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">“(C) </num><content>The types of mental or behavioral health care needs treated under this section.</content></subparagraph> <subparagraph class="indentDown1 fontsize10" id="ydfa92c47-e827-11f0-bc57-ad3ac4b1618c" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="D">“(D) </num><chapeau>The demographics of individuals being treated under this section, including—</chapeau><clause class="fontsize10" id="ydfa92c48-e827-11f0-bc57-ad3ac4b1618c" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">“(i) </num><content>age;</content></clause> <clause class="fontsize10" id="ydfa92c49-e827-11f0-bc57-ad3ac4b1618c" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">“(ii) </num><content>era of service in the Armed Forces;</content></clause> <clause class="fontsize10" id="ydfa92c4a-e827-11f0-bc57-ad3ac4b1618c" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="iii">“(iii) </num><content>branch of service in the Armed Forces; and</content></clause> <clause class="fontsize10" id="ydfa92c4b-e827-11f0-bc57-ad3ac4b1618c" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="iv">“(iv) </num><content>geographic location.</content></clause> </subparagraph> <subparagraph class="indentDown1 fontsize10" id="ydfa92c4c-e827-11f0-bc57-ad3ac4b1618c" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="E">“(E) </num><content>The average number of visits for an individual for mental or behavioral health care under this section.”</content></subparagraph> </quotedContent>.</content></subparagraph> </paragraph> </section>

An Act To improve mental health care provided by the Department of Veterans Affairs, and for other purposes.

Oct. 17, 2020

[S. 785]

Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,

Commander John Scott Hannon Veterans Mental Health Care Improvement

Act of 2019.

38 USC 101 note.

SECTION 1. SHORT TITLE; TABLE OF CONTENTS.(a) Short Title.—This Act may be cited as the “Commander John Scott Hannon Veterans Mental Health Care Improvement Act of 2019”. (b) Table of Contents.—The table of contents for this Act is as follows: Sec. 1. Short title; table of contents. TITLE I— IMPROVEMENT OF TRANSITION OF INDIVIDUALS TO SERVICES FROM DEPARTMENT OF VETERANS AFFAIRS Sec. 101. Strategic plan on expansion of health care coverage for veterans transitioning from service in the Armed Forces. Sec. 102. Review of records of former members of the Armed Forces who die by suicide within one year of separation from the Armed Forces. Sec. 103. Report on REACH VET program of Department of Veterans Affairs. Sec. 104. Report on care for former members of the Armed Forces with other than honorable discharge. TITLE II— SUICIDE PREVENTION Sec. 201. Financial assistance to certain entities to provide or coordinate the provision of suicide prevention services for eligible individuals and their families. Sec. 202. Analysis on feasibility and advisability of the Department of Veterans Affairs providing certain complementary and integrative health services. Sec. 203. Pilot program to provide veterans access to complementary and integrative health programs through animal therapy, agritherapy, sports and recreation therapy, art therapy, and posttraumatic growth programs. Sec. 204. Department of Veterans Affairs study of all-cause mortality of veterans, including by suicide, and review of staffing levels of mental health professionals. Sec. 205. Comptroller General report on management by Department of Veterans Affairs of veterans at high risk for suicide. TITLE III— PROGRAMS, STUDIES, AND GUIDELINES ON MENTAL HEALTH Sec. 301. Study on connection between living at high altitude and suicide risk factors among veterans. Sec. 302. Establishment by Department of Veterans Affairs and Department of Defense of a clinical provider treatment toolkit and accompanying training materials for comorbidities. Sec. 303. Update of clinical practice guidelines for assessment and management of patients at risk for suicide. Sec. 304. Establishment by Department of Veterans Affairs and Department of Defense of clinical practice guidelines for the treatment of serious mental illness. Sec. 305. Precision medicine initiative of Department of Veterans Affairs to identify and validate brain and mental health biomarkers.134 STAT. 779 Sec. 306. Statistical analyses and data evaluation by Department of Veterans Affairs. TITLE IV— OVERSIGHT OF MENTAL HEALTH CARE AND RELATED SERVICES Sec. 401. Study on effectiveness of suicide prevention and mental health outreach programs of Department of Veterans Affairs. Sec. 402. Oversight of mental health and suicide prevention media outreach conducted by Department of Veterans Affairs. Sec. 403. Comptroller General management review of mental health and suicide prevention services of Department of Veterans Affairs. Sec. 404. Comptroller General report on efforts of Department of Veterans Affairs to integrate mental health care into primary care clinics. Sec. 405. Joint mental health programs by Department of Veterans Affairs and Department of Defense. TITLE V— IMPROVEMENT OF MENTAL HEALTH MEDICAL WORKFORCE Sec. 501. Staffing improvement plan for mental health providers of Department of Veterans Affairs. Sec. 502. Establishment of Department of Veterans Affairs Readjustment Counseling Service Scholarship Program. Sec. 503. Comptroller General report on Readjustment Counseling Service of Department of Veterans Affairs. Sec. 504. Expansion of reporting requirements on Readjustment Counseling Service of Department of Veterans Affairs. Sec. 505. Briefing on alternative work schedules for employees of Veterans Health Administration. Sec. 506. Suicide prevention coordinators. Sec. 507. Report on efforts by Department of Veterans Affairs to implement safety planning in emergency departments. TITLE VI— IMPROVEMENT OF CARE AND SERVICES FOR WOMEN VETERANS Sec. 601. Expansion of capabilities of Women Veterans Call Center to include text messaging. Sec. 602. Requirement for Department of Veterans Affairs internet website to provide information on services available to women veterans. TITLE VII— OTHER MATTERS Sec. 701. Expanded telehealth from Department of Veterans Affairs. Sec. 702. Partnerships with non-Federal Government entities to provide hyperbaric oxygen therapy to veterans and studies on the use of such therapy for treatment of post-traumatic stress disorder and traumatic brain injury. Sec. 703. Prescription of technical qualifications for licensed hearing aid specialists and requirement for appointment of such specialists. Sec. 704. Use by Department of Veterans Affairs of commercial institutional review boards in sponsored research trials. Sec. 705. Creation of Office of Research Reviews within the Office of Information and Technology of the Department of Veterans Affairs.

<num value="I">TITLE I—</num><heading>IMPROVEMENT OF TRANSITION OF INDIVIDUALS TO SERVICES FROM DEPARTMENT OF VETERANS AFFAIRS</heading> <section id="d229484e351" identifier="/us/pl/116/171/tI/s101" style="-uslm-lc:I658143"><num class="fontsize12" value="101">SEC. 101. </num><heading>STRATEGIC PLAN ON EXPANSION OF HEALTH CARE COVERAGE FOR VETERANS TRANSITIONING FROM SERVICE IN THE ARMED FORCES.</heading><subsection class="firstIndent0 fontsize10" id="ydfa75839-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s101/a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="a">(a) </num><heading class="fontsize10"><inline class="smallCaps">Strategic Plan</inline>.—</heading><paragraph class="fontsize10" id="ydfa7583a-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s101/a/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><sidenote>Deadline.Consultation.Web posting.Time period.</sidenote><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><content>Not later than one year after the date of the enactment of this Act, the Secretary of Veterans Affairs, in consultation with the Secretary of Defense, shall submit to the appropriate committees of Congress and publish on a <page identifier="/us/stat/134/780">134 STAT. 780</page> website of the Department of Veterans Affairs a strategic plan for the provision by the Department of health care to any veteran during the one-year period following the discharge or release of the veteran from active military, naval, or air service.</content></paragraph> <paragraph class="fontsize10" id="ydfa7583f-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s101/a/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><heading class="fontsize10"><inline class="smallCaps">Elements</inline>.—</heading><chapeau>The plan submitted under paragraph (1) shall include the following:</chapeau><subparagraph class="fontsize10" id="ydfa75840-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s101/a/2/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>An identification of general goals and objectives for the provision of health care to veterans described in such paragraph.</content></subparagraph> <subparagraph class="fontsize10" id="ydfa75841-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s101/a/2/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><chapeau>A description of how such goals and objectives are to be achieved, including—</chapeau><clause class="fontsize10" id="ydfa75842-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s101/a/2/B/i" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">(i) </num><content>a description of the use of existing personnel, information, technology, facilities, public and private partnerships, and other resources of the Department of Veterans Affairs;</content></clause> <clause class="fontsize10" id="ydfa75843-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s101/a/2/B/ii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">(ii) </num><content>a description of the anticipated need for additional resources for the Department; and</content></clause> <clause class="fontsize10" id="ydfa75844-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s101/a/2/B/iii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iii">(iii) </num><content>an assessment of cost.</content></clause> </subparagraph> <subparagraph class="fontsize10" id="ydfa75845-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s101/a/2/C" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">(C) </num><sidenote>Analysis.</sidenote><content>An analysis of the anticipated health care needs, including mental health care, for such veterans, disaggregated by geographic area.</content></subparagraph> <subparagraph class="fontsize10" id="ydfa75847-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s101/a/2/D" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="D">(D) </num><sidenote>Analysis.</sidenote><content>An analysis of whether such veterans are eligible for enrollment in the system of annual patient enrollment of the Department under <ref href="/us/usc/t38/s1705/a">section 1705(a) of title 38, United States Code</ref>.</content></subparagraph> <subparagraph class="fontsize10" id="ydfa75849-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s101/a/2/E" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="E">(E) </num><content>A description of activities designed to promote the availability of health care from the Department for such veterans, including outreach to members of the Armed Forces though the Transition Assistance Program under sections 1142 and 1144 of <ref href="/us/usc/t10">title 10, United States Code</ref>.</content></subparagraph> <subparagraph class="fontsize10" id="ydfa7584a-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s101/a/2/F" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="F">(F) </num><content>A description of legislative or administrative action required to carry out the plan.</content></subparagraph> <subparagraph class="fontsize10" id="ydfa7584b-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s101/a/2/G" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="G">(G) </num><content>A description of how the plan would further the ongoing initiatives under Executive Order 13822 (<ref href="/us/fr/83/1513">83 Fed. Reg. 1513</ref>; relating to supporting our veterans during their transition from uniformed service to civilian life) to provide seamless access to high-quality mental health care and suicide prevention resources to veterans as they transition, with an emphasis on the one-year period following separation.</content></subparagraph> </paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ydfa7584c-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s101/b" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="b">(b) </num><heading class="fontsize10"><inline class="smallCaps">Definitions</inline>.—</heading><chapeau>In this section:</chapeau><paragraph class="fontsize10" id="ydfa7584d-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s101/b/1" role="definitions" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><heading class="fontsize10"><inline class="smallCaps">Active military, naval, or air service</inline>.—</heading><content>The term “<term>active military, naval, or air service</term>” has the meaning given that term in <ref href="/us/usc/t38/s101/24">section 101(24) of title 38, United States Code</ref>.</content></paragraph> <paragraph class="fontsize10" id="ydfa7584e-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s101/b/2" role="definitions" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><heading class="fontsize10"><inline class="smallCaps">Appropriate committees of congress</inline>.—</heading><chapeau>The term “<term>appropriate committees of Congress</term>” means—</chapeau><subparagraph class="fontsize10" id="ydfa7584f-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s101/b/2/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>the Committee on Veterans’ Affairs and the Committee on Appropriations of the Senate; and</content></subparagraph> <subparagraph class="fontsize10" id="ydfa75850-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s101/b/2/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>the Committee on Veterans’ Affairs and the Committee on Appropriations of the House of Representatives.</content></subparagraph> </paragraph> </subsection> </section> <section id="d229484e505" identifier="/us/pl/116/171/tI/s102" style="-uslm-lc:I658143"><num class="fontsize12" value="102">SEC. 102. </num><heading>REVIEW OF RECORDS OF FORMER MEMBERS OF THE ARMED FORCES WHO DIE BY SUICIDE WITHIN ONE YEAR OF SEPARATION FROM THE ARMED FORCES.</heading><subsection class="firstIndent0 fontsize10" id="ydfa869c1-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s102/a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="a">(a) </num><heading class="fontsize10"><inline class="smallCaps">Review</inline>.—</heading><paragraph class="fontsize10" id="ydfa869c2-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s102/a/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><sidenote>Determination.Time periods.</sidenote><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><content>The Secretary of Defense and the Secretary of Veterans Affairs shall jointly review the records of <page identifier="/us/stat/134/781">134 STAT. 781</page> each former member of the Armed Forces who died by suicide, as determined by the Secretary of Defense or the Secretary of Veterans Affairs, within one year following the discharge or release of the former member from active military, naval, or air service during the five-year period preceding the date of the enactment of this Act.</content></paragraph> <paragraph class="fontsize10" id="ydfa869c5-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s102/a/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><heading class="fontsize10"><inline class="smallCaps">Records to be reviewed</inline>.—</heading><chapeau>In completing the review required under paragraph (1), the Secretary of Defense and the Secretary of Veterans Affairs shall review the following records maintained by the Department of Defense:</chapeau><subparagraph class="fontsize10" id="ydfa869c6-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s102/a/2/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>Health treatment records.</content></subparagraph> <subparagraph class="fontsize10" id="ydfa869c7-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s102/a/2/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>Fitness, medical, and dental records.</content></subparagraph> <subparagraph class="fontsize10" id="ydfa869c8-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s102/a/2/C" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">(C) </num><content>Ancillary training records.</content></subparagraph> <subparagraph class="fontsize10" id="ydfa869c9-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s102/a/2/D" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="D">(D) </num><content>Safety forms and additional duties sections of the personnel information files.</content></subparagraph> </paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ydfa869ca-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s102/b" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="b">(b) </num><heading class="fontsize10"><inline class="smallCaps">Elements</inline>.—</heading><chapeau>The review required by subsection (a) with respect to a former member of the Armed Forces shall include consideration of the following:</chapeau><paragraph class="fontsize10" id="ydfa869cb-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s102/b/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><sidenote>Time period.</sidenote><content>Whether the Department of Defense had identified the former member as being at elevated risk during the 365-day period before separation of the member from the Armed Forces.</content></paragraph> <paragraph class="fontsize10" id="ydfa890dd-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s102/b/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><content>In the case that the member was identified as being at elevated risk as described in paragraph (1), whether that identification had been communicated to the Department of Veterans Affairs via the Solid Start initiative of the Department pursuant to Executive Order 13822 (<ref href="/us/fr/83/1513">83 Fed. Reg. 1513</ref>; relating to supporting our veterans during their transition from uniformed service to civilian life), or any other means.</content></paragraph> <paragraph class="fontsize10" id="ydfa890de-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s102/b/3" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">(3) </num><content>The presence of evidence-based and empirically-supported contextual and individual risk factors specified in subsection (c) with respect to the former member and how those risk factors correlated to the circumstances of the death of the former member.</content></paragraph> <paragraph class="fontsize10" id="ydfa890df-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s102/b/4" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="4">(4) </num><chapeau>Demographic variables, including the following:</chapeau><subparagraph class="fontsize10" id="ydfa890e0-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s102/b/4/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>Sex.</content></subparagraph> <subparagraph class="fontsize10" id="ydfa890e1-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s102/b/4/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>Age.</content></subparagraph> <subparagraph class="fontsize10" id="ydfa890e2-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s102/b/4/C" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">(C) </num><content>Rank at separation from the Armed Forces.</content></subparagraph> <subparagraph class="fontsize10" id="ydfa890e3-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s102/b/4/D" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="D">(D) </num><content>Career field after separation from the Armed Forces.</content></subparagraph> <subparagraph class="fontsize10" id="ydfa890e4-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s102/b/4/E" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="E">(E) </num><content>State and county of residence one month prior to death.</content></subparagraph> <subparagraph class="fontsize10" id="ydfa890e5-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s102/b/4/F" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="F">(F) </num><content>Branch of service in the Armed Forces.</content></subparagraph> <subparagraph class="fontsize10" id="ydfa890e6-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s102/b/4/G" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="G">(G) </num><content>Marital status.</content></subparagraph> <subparagraph class="fontsize10" id="ydfa890e7-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s102/b/4/H" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="H">(H) </num><content>Reason for separation from the Armed Forces.</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ydfa890e8-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s102/b/5" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="5">(5) </num><content>Support or medical services furnished to the former member through the Department of Defense, specified by the type of service or care provided.</content></paragraph> <paragraph class="fontsize10" id="ydfa890e9-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s102/b/6" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="6">(6) </num><content>Support or medical services furnished to the former member through the Department of Veterans Affairs, specified by the type of service or care provided.</content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ydfa890ea-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s102/c" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="c">(c) </num><heading class="fontsize10"><inline class="smallCaps">Evidence-based and Empirically-supported Contextual and Individual Risk Factors</inline>.—</heading><chapeau>Evidence-based and empirically-supported contextual and individual risk factors specified in this subsection include the following:</chapeau><paragraph class="fontsize10" id="ydfa890eb-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s102/c/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><content>Exposure to violence.</content></paragraph> <paragraph class="fontsize10" id="ydfa890ec-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s102/c/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><content>Exposure to suicide.</content></paragraph> <paragraph class="fontsize10" id="ydfa890ed-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s102/c/3" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">(3) </num><content>Housing instability.<page identifier="/us/stat/134/782">134 STAT. 782</page></content></paragraph> <paragraph class="fontsize10" id="ydfa890ee-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s102/c/4" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="4">(4) </num><content>Financial instability.</content></paragraph> <paragraph class="fontsize10" id="ydfa890ef-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s102/c/5" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="5">(5) </num><content>Vocational problems or insecurity.</content></paragraph> <paragraph class="fontsize10" id="ydfa890f0-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s102/c/6" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="6">(6) </num><content>Legal problems.</content></paragraph> <paragraph class="fontsize10" id="ydfa890f1-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s102/c/7" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="7">(7) </num><content>Highly acute or significantly chronic relational problems.</content></paragraph> <paragraph class="fontsize10" id="ydfa890f2-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s102/c/8" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="8">(8) </num><content>Limited access to health care.</content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ydfa890f3-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s102/d" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="d">(d) </num><heading class="fontsize10"><inline class="smallCaps">Report</inline>.—</heading><content>Not later than three years after the date of the enactment of this Act, the Secretary of Defense and the Secretary of Veterans Affairs shall jointly submit to the appropriate committees of Congress an aggregated report on the results of the review conducted under subsection (a) with respect to the year-one cohort of former members of the Armed Forces covered by the review.</content></subsection> <subsection class="firstIndent0 fontsize10" id="ydfa890f4-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s102/e" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="e">(e) </num><heading class="fontsize10"><inline class="smallCaps">Definitions</inline>.—</heading><chapeau>In this section:</chapeau><paragraph class="fontsize10" id="ydfa890f5-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s102/e/1" role="definitions" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><heading class="fontsize10"><inline class="smallCaps">Active military, naval, or air service</inline>.—</heading><content>The term “<term>active military, naval, or air service</term>” has the meaning given that term in <ref href="/us/usc/t38/s101/24">section 101(24) of title 38, United States Code</ref>.</content></paragraph> <paragraph class="fontsize10" id="ydfa890f6-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s102/e/2" role="definitions" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><heading class="fontsize10"><inline class="smallCaps">Appropriate committees of congress defined</inline>.—</heading><chapeau>The term “<term>appropriate committees of Congress</term>” means—</chapeau><subparagraph class="fontsize10" id="ydfa890f7-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s102/e/2/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>the Committee on Armed Services and the Committee on Veterans’ Affairs of the Senate; and</content></subparagraph> <subparagraph class="fontsize10" id="ydfa890f8-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s102/e/2/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>the Committee on Armed Services and the Committee on Veterans’ Affairs of the House of Representatives.</content></subparagraph> </paragraph> </subsection> </section> <section id="d229484e756" identifier="/us/pl/116/171/tI/s103" style="-uslm-lc:I658143"><num class="fontsize12" value="103">SEC. 103. </num><heading>REPORT ON REACH VET PROGRAM OF DEPARTMENT OF VETERANS AFFAIRS.</heading><subsection class="firstIndent0 fontsize10" id="ydfa8de19-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s103/a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="a">(a) </num><heading class="fontsize10"><inline class="smallCaps">In General</inline>.—</heading><content>Not later than 180 days after the date of the enactment of this Act, the Secretary of Veterans Affairs 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 REACH VET program.</content></subsection> <subsection class="firstIndent0 fontsize10" id="ydfa8de1a-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s103/b" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="b">(b) </num><sidenote>Assessments.</sidenote><heading class="fontsize10"><inline class="smallCaps">Elements</inline>.—</heading><chapeau>The report required by subsection (a) shall include the following:</chapeau><paragraph class="fontsize10" id="ydfa8de1c-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s103/b/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><content>An assessment of the impact of the REACH VET program on rates of suicide among veterans.</content></paragraph> <paragraph class="fontsize10" id="ydfa8de1d-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s103/b/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><content>An assessment of how limits within the REACH VET program, such as caps on the number of veterans who may be flagged as high risk, are adjusted for differing rates of suicide across the country.</content></paragraph> <paragraph class="fontsize10" id="ydfa8de1e-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s103/b/3" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">(3) </num><content>A detailed explanation, with evidence, for why the conditions included in the model used by the REACH VET program were chosen, including an explanation as to why certain conditions, such as bipolar disorder II, were not included even though they show a similar rate of risk for suicide as other conditions that were included.</content></paragraph> <paragraph class="fontsize10" id="ydfa8de1f-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s103/b/4" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="4">(4) </num><content>An assessment of the feasibility of incorporating certain economic data held by the Veterans Benefits Administration into the model used by the REACH VET program, including financial data and employment status, which research indicates may have an impact on risk for suicide.</content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ydfa8de20-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s103/c" role="definitions" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="c">(c) </num><heading class="fontsize10"><inline class="smallCaps">REACH VET Program Defined</inline>.—</heading><content>In this section, the term “<term>REACH VET program</term>” means the Recovery Engagement and Coordination for Health—Veterans Enhanced Treatment program of the Department of Veterans Affairs.</content></subsection> </section> <section id="d229484e811" identifier="/us/pl/116/171/tI/s104" role="instruction" style="-uslm-lc:I658143"><num class="fontsize12" value="104">SEC. 104. </num><heading>REPORT ON CARE FOR FORMER MEMBERS OF THE ARMED FORCES WITH OTHER THAN HONORABLE DISCHARGE.</heading><chapeau class="indentUp0 firstIndent0 fontsize10" id="xdfa90531-e827-11f0-bc57-ad3ac4b1618c" style="-uslm-lc:I658120"> <ref href="/us/usc/t38/s1720I/f">Section 1720I(f) of title 38, United States Code</ref>, <amendingAction type="amend">is amended</amendingAction>—<page identifier="/us/stat/134/783">134 STAT. 783</page></chapeau><paragraph class="fontsize10" id="ydfa90532-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s104/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><content>in paragraph (1) by <amendingAction type="delete">striking</amendingAction> “<quotedText>Not less frequently than once</quotedText>” and <amendingAction type="insert">inserting</amendingAction> “<quotedText>Not later than February 15</quotedText>”; and</content></paragraph> <paragraph class="fontsize10" id="ydfa90533-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s104/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><chapeau>in paragraph (2)—</chapeau><subparagraph class="fontsize10" id="ydfa90534-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s104/2/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>by <amendingAction type="redesignate">redesignating</amendingAction> subparagraph (C) as subparagraph (F); and</content></subparagraph> <subparagraph class="fontsize10" id="ydfa90535-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tI/s104/2/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>by <amendingAction type="insert">inserting</amendingAction> after subsection (B) the following new subparagraphs:<quotedContent><subparagraph class="indentDown1 fontsize10" id="ydfa92c46-e827-11f0-bc57-ad3ac4b1618c" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">“(C) </num><content>The types of mental or behavioral health care needs treated under this section.</content></subparagraph> <subparagraph class="indentDown1 fontsize10" id="ydfa92c47-e827-11f0-bc57-ad3ac4b1618c" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="D">“(D) </num><chapeau>The demographics of individuals being treated under this section, including—</chapeau><clause class="fontsize10" id="ydfa92c48-e827-11f0-bc57-ad3ac4b1618c" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">“(i) </num><content>age;</content></clause> <clause class="fontsize10" id="ydfa92c49-e827-11f0-bc57-ad3ac4b1618c" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">“(ii) </num><content>era of service in the Armed Forces;</content></clause> <clause class="fontsize10" id="ydfa92c4a-e827-11f0-bc57-ad3ac4b1618c" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="iii">“(iii) </num><content>branch of service in the Armed Forces; and</content></clause> <clause class="fontsize10" id="ydfa92c4b-e827-11f0-bc57-ad3ac4b1618c" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="iv">“(iv) </num><content>geographic location.</content></clause> </subparagraph> <subparagraph class="indentDown1 fontsize10" id="ydfa92c4c-e827-11f0-bc57-ad3ac4b1618c" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="E">“(E) </num><content>The average number of visits for an individual for mental or behavioral health care under this section.”</content></subparagraph> </quotedContent>.</content></subparagraph> </paragraph> </section> <num value="II">TITLE II—</num><heading>SUICIDE PREVENTION</heading> <section id="d229484e904" identifier="/us/pl/116/171/tII/s201" style="-uslm-lc:I658143"><num class="fontsize12" value="201">SEC. 201. </num><sidenote><ref href="/us/usc/t38/s1720F">38 USC 1720F note</ref>.</sidenote><heading>FINANCIAL ASSISTANCE TO CERTAIN ENTITIES TO PROVIDE OR COORDINATE THE PROVISION OF SUICIDE PREVENTION SERVICES FOR ELIGIBLE INDIVIDUALS AND THEIR FAMILIES.</heading><subsection class="firstIndent0 fontsize10" id="ydfb0cd6e-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="a">(a) </num><heading class="fontsize10"><inline class="smallCaps">Purpose; Designation</inline>.—</heading><paragraph class="fontsize10" id="ydfb0cd6f-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/a/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><heading class="fontsize10"><inline class="smallCaps">Purpose</inline>.—</heading><content>The purpose of this section is to reduce veteran suicide through a community-based grant program to award grants to eligible entities to provide or coordinate suicide prevention services to eligible individuals and their families.</content></paragraph> <paragraph class="fontsize10" id="ydfb0f480-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/a/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><heading class="fontsize10"><inline class="smallCaps">Designation</inline>.—</heading><content>The grant program under this section shall be known as the “Staff Sergeant Parker Gordon Fox Suicide Prevention Grant Program”.</content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ydfb0f481-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/b" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="b">(b) </num><sidenote>Grants.</sidenote><heading class="fontsize10"><inline class="smallCaps">Financial Assistance and Coordination</inline>.—</heading><content>The Secretary shall provide financial assistance to eligible entities approved under this section through the award of grants to such entities to provide or coordinate the provision of services to eligible individuals and their families to reduce the risk of suicide.<sidenote>Consultation.</sidenote> The Secretary shall carry out this section in coordination with the President’s Roadmap to Empower Veterans and End a National Tragedy of Suicide Task Force and in consultation with the Office of Mental Health and Suicide Prevention of the Department, to the extent practicable.</content></subsection> <subsection class="firstIndent0 fontsize10" id="ydfb0f484-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/c" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="c">(c) </num><heading class="fontsize10"><inline class="smallCaps">Award of Grants</inline>.—</heading><paragraph class="fontsize10" id="ydfb0f485-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/c/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><content>The Secretary shall award a grant to each eligible entity for which the Secretary has approved an application under subsection (f) to provide or coordinate the provision of suicide prevention services under this section.</content></paragraph> <paragraph class="fontsize10" id="ydfb0f486-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/c/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><heading class="fontsize10"><inline class="smallCaps">Grant amounts, intervals of payment, and matching funds</inline>.—</heading><chapeau>In accordance with the services being provided under a grant under this section and the duration of those services, the Secretary shall establish—</chapeau><subparagraph class="fontsize10" id="ydfb0f487-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/c/2/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>a maximum amount to be awarded under the grant of not more than $750,000 per grantee per fiscal year; and</content></subparagraph> <subparagraph class="fontsize10" id="ydfb0f488-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/c/2/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>intervals of payment for the administration of the grant.</content></subparagraph> </paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ydfb0f489-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/d" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="d">(d) </num><heading class="fontsize10"><inline class="smallCaps">Distribution of Grants and Preference</inline>.—</heading><page identifier="/us/stat/134/784">134 STAT. 784</page> <paragraph class="fontsize10" id="ydfb0f48a-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/d/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><heading class="fontsize10"><inline class="smallCaps">Distribution</inline>.—</heading><subparagraph class="fontsize10" id="ydfb0f48b-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/d/1/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><heading class="fontsize10"><inline class="smallCaps">Priority</inline>.—</heading><chapeau>In compliance with subparagraphs (B) and (C), in determining how to distribute grants under this section, the Secretary may prioritize—</chapeau><clause class="fontsize10" id="ydfb0f48c-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/d/1/A/i" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">(i) </num><content>rural communities;</content></clause> <clause class="fontsize10" id="ydfb0f48d-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/d/1/A/ii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">(ii) </num><content>Tribal lands;</content></clause> <clause class="fontsize10" id="ydfb0f48e-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/d/1/A/iii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iii">(iii) </num><content>territories of the United States;</content></clause> <clause class="fontsize10" id="ydfb0f48f-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/d/1/A/iv" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iv">(iv) </num><content>medically underserved areas;</content></clause> <clause class="fontsize10" id="ydfb0f490-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/d/1/A/v" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="v">(v) </num><content>areas with a high number or percentage of minority veterans or women veterans; and</content></clause> <clause class="fontsize10" id="ydfb0f491-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/d/1/A/vi" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="vi">(vi) </num><content>areas with a high number or percentage of calls to the Veterans Crisis Line.</content></clause> </subparagraph> <subparagraph class="fontsize10" id="ydfb0f492-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/d/1/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><heading class="fontsize10"><inline class="smallCaps">Areas with need</inline>.—</heading><chapeau>The Secretary shall ensure that, to the extent practicable, grants under this section are distributed—</chapeau><clause class="fontsize10" id="ydfb0f493-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/d/1/B/i" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">(i) </num><content>to provide services in areas of the United States that have experienced high rates of suicide by eligible individuals, including suicide attempts; and</content></clause> <clause class="fontsize10" id="ydfb0f494-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/d/1/B/ii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">(ii) </num><content>to eligible entities that can assist eligible individuals at risk of suicide who are not currently receiving health care furnished by the Department.</content></clause> </subparagraph> <subparagraph class="fontsize10" id="ydfb0f495-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/d/1/C" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">(C) </num><heading class="fontsize10"><inline class="smallCaps">Geography</inline>.—</heading><content>In distributing grants under this paragraph, the Secretary may provide grants to eligible entities that furnish services to eligible individuals and their families in geographically dispersed areas.</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ydfb0f496-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/d/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><heading class="fontsize10"><inline class="smallCaps">Preference</inline>.—</heading><content>The Secretary shall give preference to eligible entities that have demonstrated the ability to provide or coordinate suicide prevention services.</content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ydfb0f497-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/e" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="e">(e) </num><heading class="fontsize10"><inline class="smallCaps">Requirements for Receipt of Grants</inline>.—</heading><paragraph class="fontsize10" id="ydfb0f498-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/e/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><heading class="fontsize10"><inline class="smallCaps">Notification that services are from department</inline>.—</heading><content>Each entity receiving a grant under this section to provide or coordinate suicide prevention services to eligible individuals and their families shall notify the recipients of such services that such services are being paid for, in whole or in part, by the Department.</content></paragraph> <paragraph class="fontsize10" id="ydfb0f499-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/e/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><sidenote>Consultation.</sidenote><heading class="fontsize10"><inline class="smallCaps">Development of plan with eligible individuals and their family</inline>.—</heading><content>Any plan developed with respect to the provision of suicide prevention services for an eligible individual or their family shall be developed in consultation with the eligible individual and their family.</content></paragraph> <paragraph class="fontsize10" id="ydfb0f49b-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/e/3" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">(3) </num><sidenote>Notification.</sidenote><heading class="fontsize10"><inline class="smallCaps">Coordination</inline>.—</heading><chapeau>An entity receiving a grant under this section shall—</chapeau><subparagraph class="fontsize10" id="ydfb0f49d-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/e/3/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>coordinate with the Secretary with respect to the provision of clinical services to eligible individuals in accordance with subsection (n) or any other provisions of the law regarding the delivery of health care by the Secretary;</content></subparagraph> <subparagraph class="fontsize10" id="ydfb0f49e-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/e/3/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>inform every veteran who receives assistance under this section from the entity of the ability of the veteran to apply for enrollment in the patient enrollment system of the Department under <ref href="/us/usc/t38/s1705/a">section 1705(a) of title 38, United States Code</ref>; and</content></subparagraph> <subparagraph class="fontsize10" id="ydfb0f49f-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/e/3/C" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">(C) </num><content>if such a veteran wishes to so enroll, inform the veteran of a point of contact at the Department who can assist the veteran in such enrollment.</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ydfb0f4a0-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/e/4" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="4">(4) </num><heading class="fontsize10"><inline class="smallCaps">Measurement and monitoring</inline>.—</heading><chapeau>An entity receiving a grant under this section shall submit to the Secretary a <page identifier="/us/stat/134/785">134 STAT. 785</page> description of such tools and assessments the entity uses or will use to determine the effectiveness of the services furnished by the entity, which shall include the measures developed under subsection (h)(2) and may include—</chapeau><subparagraph class="fontsize10" id="ydfb0f4a1-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/e/4/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>the effect of the services furnished by the entity on the financial stability of the eligible individual;</content></subparagraph> <subparagraph class="fontsize10" id="ydfb0f4a2-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/e/4/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>the effect of the services furnished by the entity on the mental health status, wellbeing, and suicide risk of the eligible individual; and</content></subparagraph> <subparagraph class="fontsize10" id="ydfb0f4a3-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/e/4/C" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">(C) </num><content>the effect of the services furnished by the entity on the social support of the eligible individuals receiving those services.</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ydfb0f4a4-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/e/5" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="5">(5) </num><heading class="fontsize10"><inline class="smallCaps">Reports</inline>.—</heading><chapeau>The Secretary—</chapeau><subparagraph class="fontsize10" id="ydfb0f4a5-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/e/5/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>shall require each entity receiving a grant under this section to submit to the Secretary an annual report that describes the projects carried out with such grant during the year covered by the report;</content></subparagraph> <subparagraph class="fontsize10" id="ydfb0f4a6-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/e/5/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><sidenote>Criteria.Data.</sidenote><content>shall specify to each such entity the evaluation criteria and data and information to be submitted in such report; and</content></subparagraph> <subparagraph class="fontsize10" id="ydfb0f4a9-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/e/5/C" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">(C) </num><content>may require each such entity to submit to the Secretary such additional reports as the Secretary considers appropriate.</content></subparagraph> </paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ydfb0f4aa-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/f" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="f">(f) </num><heading class="fontsize10"><inline class="smallCaps">Application for Grants</inline>.—</heading><paragraph class="fontsize10" id="ydfb0f4ab-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/f/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><content>An eligible entity seeking a grant under this section shall submit to the Secretary an application therefor in such form, in such manner, and containing such commitments and information as the Secretary considers necessary to carry out this section.</content></paragraph> <paragraph class="fontsize10" id="ydfb0f4ac-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/f/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><heading class="fontsize10"><inline class="smallCaps">Matters to be included</inline>.—</heading><chapeau>Each application submitted by an eligible entity under paragraph (1) shall contain the following:</chapeau><subparagraph class="fontsize10" id="ydfb0f4ad-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/f/2/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>A description of the suicide prevention services proposed to be provided by the eligible entity and the identified need for those services.</content></subparagraph> <subparagraph class="fontsize10" id="ydfb0f4ae-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/f/2/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><sidenote>Plan.</sidenote><chapeau>A detailed plan describing how the eligible entity proposes to coordinate or deliver suicide prevention services to eligible individuals, including—</chapeau><clause class="fontsize10" id="ydfb0f4b0-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/f/2/B/i" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">(i) </num><content>an identification of the community partners, if any, with which the eligible entity proposes to work in delivering such services;</content></clause> <clause class="fontsize10" id="ydfb0f4b1-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/f/2/B/ii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">(ii) </num><content>a description of the arrangements currently in place between the eligible entity and such partners with regard to the provision or coordination of suicide prevention services;</content></clause> <clause class="fontsize10" id="ydfb0f4b2-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/f/2/B/iii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iii">(iii) </num><content>an identification of how long such arrangements have been in place;</content></clause> <clause class="fontsize10" id="ydfb0f4b3-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/f/2/B/iv" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iv">(iv) </num><content>a description of the suicide prevention services provided by such partners that the eligible entity shall coordinate, if any; and</content></clause> <clause class="fontsize10" id="ydfb0f4b4-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/f/2/B/v" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="v">(v) </num><content>an identification of local suicide prevention coordinators of the Department and a description of how the eligible entity will communicate with local suicide prevention coordinators.</content></clause> </subparagraph> <subparagraph class="fontsize10" id="ydfb0f4b5-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/f/2/C" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">(C) </num><content>A description of the population of eligible individuals and their families proposed to be provided suicide prevention services.<page identifier="/us/stat/134/786">134 STAT. 786</page></content></subparagraph> <subparagraph class="fontsize10" id="ydfb0f4b6-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/f/2/D" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="D">(D) </num><sidenote>Estimate.</sidenote><content>Based on information and methods developed by the Secretary for purposes of this subsection, an estimate of the number of eligible individuals at risk of suicide and their families proposed to be provided suicide prevention services, including the percentage of those eligible individuals who are not currently receiving care furnished by the Department.</content></subparagraph> <subparagraph class="fontsize10" id="ydfb0f4b8-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/f/2/E" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="E">(E) </num><content>Evidence of measurable outcomes related to reductions in suicide risk and mood-related symptoms utilizing validated instruments by the eligible entity (and the proposed partners of the entity, if any) in providing suicide prevention services to individuals at risk of suicide, particularly to eligible individuals and their families.</content></subparagraph> <subparagraph class="fontsize10" id="ydfb0f4b9-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/f/2/F" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="F">(F) </num><chapeau>A description of the managerial and technological capacity of the eligible entity—</chapeau><clause class="fontsize10" id="ydfb0f4ba-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/f/2/F/i" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">(i) </num><sidenote>Coordination.</sidenote><content>to coordinate the provision of suicide prevention services with the provision of other services;</content></clause> <clause class="fontsize10" id="ydfb0f4bc-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/f/2/F/ii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">(ii) </num><sidenote>Assessment.</sidenote><content>to assess on an ongoing basis the needs of eligible individuals and their families for suicide prevention services;</content></clause> <clause class="fontsize10" id="ydfb0f4be-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/f/2/F/iii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iii">(iii) </num><sidenote>Coordination.</sidenote><content>to coordinate the provision of suicide prevention services with the services of the Department for which eligible individuals are also eligible;</content></clause> <clause class="fontsize10" id="ydfb0f4c0-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/f/2/F/iv" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iv">(iv) </num><content>to tailor suicide prevention services to the needs of eligible individuals and their families;</content></clause> <clause class="fontsize10" id="ydfb0f4c1-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/f/2/F/v" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="v">(v) </num><content>to seek continuously new sources of assistance to ensure the continuity of suicide prevention services for eligible individuals and their families as long as they are determined to be at risk of suicide; and</content></clause> <clause class="fontsize10" id="ydfb0f4c2-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/f/2/F/vi" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="vi">(vi) </num><content>to measure the effects of suicide prevention services provided by the eligible entity or partner organization, in accordance with subsection (h)(2), on the lives of eligible individuals and their families who receive such services provided by the organization using pre- and post-evaluations on validated measures of suicide risk and mood-related symptoms.</content></clause> </subparagraph> <subparagraph class="fontsize10" id="ydfb0f4c3-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/f/2/G" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="G">(G) </num><content>Clearly defined objectives for the provision of suicide prevention services.</content></subparagraph> <subparagraph class="fontsize10" id="ydfb0f4c4-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/f/2/H" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="H">(H) </num><content>A description and physical address of the primary location of the eligible entity.</content></subparagraph> <subparagraph class="fontsize10" id="ydfb0f4c5-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/f/2/I" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="I">(I) </num><content>A description of the geographic area the eligible entity plans to serve during the grant award period for which the application applies.</content></subparagraph> <subparagraph class="fontsize10" id="ydfb0f4c6-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/f/2/J" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="J">(J) </num><content>If the eligible entity is a State or local government or an Indian tribe, the amount of grant funds proposed to be made available to community partners, if any, through agreements.</content></subparagraph> <subparagraph class="fontsize10" id="ydfb0f4c7-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/f/2/K" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="K">(K) </num><content>A description of how the eligible entity will assess the effectiveness of the provision of grants under this section.</content></subparagraph> <subparagraph class="fontsize10" id="ydfb0f4c8-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/f/2/L" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="L">(L) </num><sidenote>Contracts.</sidenote><content>An agreement to use the measures and metrics provided by the Department for the purposes of measuring the effectiveness of the programming as described in subsection (h)(2).</content></subparagraph> <subparagraph class="fontsize10" id="ydfb0f4ca-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/f/2/M" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="M">(M) </num><content>Such additional application criteria as the Secretary considers appropriate.</content></subparagraph> </paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ydfb0f4cb-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/g" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="g">(g) </num><heading class="fontsize10"><inline class="smallCaps">Training and Technical Assistance</inline>.—</heading><page identifier="/us/stat/134/787">134 STAT. 787</page> <paragraph class="fontsize10" id="ydfb0f4cc-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/g/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><sidenote>Coordination.</sidenote><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><chapeau>The Secretary shall provide training and technical assistance, in coordination with the Centers for Disease Control and Prevention, to eligible entities in receipt of grants under this section regarding—</chapeau><subparagraph class="fontsize10" id="ydfb0f4ce-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/g/1/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>suicide risk identification and management;</content></subparagraph> <subparagraph class="fontsize10" id="ydfb0f4cf-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/g/1/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><sidenote>Data.</sidenote><content>the data required to be collected and shared with the Department;</content></subparagraph> <subparagraph class="fontsize10" id="ydfb0f4d1-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/g/1/C" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">(C) </num><sidenote>Data.</sidenote><content>the means of data collection and sharing;</content></subparagraph> <subparagraph class="fontsize10" id="ydfb0f4d3-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/g/1/D" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="D">(D) </num><content>familiarization with and appropriate use of any tool to be used to measure the effectiveness of the use of the grants provided; and</content></subparagraph> <subparagraph class="fontsize10" id="ydfb0f4d4-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/g/1/E" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="E">(E) </num><content>the requirements for reporting under subsection (e)(5) on services provided via such grants.</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ydfb0f4d5-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/g/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><sidenote>Grants.Contracts.</sidenote><heading class="fontsize10"><inline class="smallCaps">Provision of training and technical assistance</inline>.—</heading><content>The Secretary may provide the training and technical assistance described in paragraph (1) directly or through grants or contracts with appropriate public or nonprofit entities.</content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ydfb11be8-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/h" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="h">(h) </num><heading class="fontsize10"><inline class="smallCaps">Administration of Grant Program</inline>.—</heading><paragraph class="fontsize10" id="ydfb11be9-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/h/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><sidenote>Consultation.</sidenote><heading class="fontsize10"><inline class="smallCaps">Selection criteria</inline>.—</heading><content>The Secretary, in consultation with entities specified in paragraph (3), shall establish criteria for the selection of eligible entities that have submitted applications under subsection (f).</content></paragraph> <paragraph class="fontsize10" id="ydfb11beb-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/h/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><sidenote>Consultation.</sidenote><heading class="fontsize10"><inline class="smallCaps">Development of measures and metrics</inline>.—</heading><chapeau>The Secretary shall develop, in consultation with entities specified in paragraph (3), the following:</chapeau><subparagraph class="fontsize10" id="ydfb11bed-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/h/2/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>A framework for collecting and sharing information about entities in receipt of grants under this section for purposes of improving the services available for eligible individuals and their families, set forth by service type, locality, and eligibility criteria.</content></subparagraph> <subparagraph class="fontsize10" id="ydfb11bee-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/h/2/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>The measures and metrics to be used by each entity in receipt of grants under this section to determine the effectiveness of the programming being provided by such entity in improving mental health status, wellbeing, and reducing suicide risk and completed suicides of eligible individuals and their families, which shall include an existing measurement tool or protocol for the grant recipient to utilize when determining programmatic effectiveness.</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ydfb11bef-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/h/3" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">(3) </num><sidenote>Consultation.</sidenote><heading class="fontsize10"><inline class="smallCaps">Coordination</inline>.—</heading><chapeau>In developing a plan for the design and implementation of the provision of grants under this section, including criteria for the award of grants, the Secretary shall consult with the following:</chapeau><subparagraph class="fontsize10" id="ydfb11bf1-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/h/3/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>Veterans service organizations.</content></subparagraph> <subparagraph class="fontsize10" id="ydfb11bf2-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/h/3/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><chapeau>National organizations representing potential community partners of eligible entities in providing supportive services to address the needs of eligible individuals and their families, including national organizations that—</chapeau><clause class="fontsize10" id="ydfb11bf3-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/h/3/B/i" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">(i) </num><content>advocate for the needs of individuals with or at risk of behavioral health conditions;</content></clause> <clause class="fontsize10" id="ydfb11bf4-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/h/3/B/ii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">(ii) </num><content>represent mayors;</content></clause> <clause class="fontsize10" id="ydfb11bf5-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/h/3/B/iii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iii">(iii) </num><content>represent unions;</content></clause> <clause class="fontsize10" id="ydfb11bf6-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/h/3/B/iv" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iv">(iv) </num><content>represent first responders;</content></clause> <clause class="fontsize10" id="ydfb11bf7-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/h/3/B/v" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="v">(v) </num><content>represent chiefs of police and sheriffs;</content></clause> <clause class="fontsize10" id="ydfb11bf8-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/h/3/B/vi" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="vi">(vi) </num><content>represent governors;</content></clause> <clause class="fontsize10" id="ydfb11bf9-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/h/3/B/vii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="vii">(vii) </num><content>represent a territory of the United States; or<page identifier="/us/stat/134/788">134 STAT. 788</page></content></clause> <clause class="fontsize10" id="ydfb11bfa-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/h/3/B/viii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="viii">(viii) </num><content>represent a Tribal alliance.</content></clause> </subparagraph> <subparagraph class="fontsize10" id="ydfb11bfb-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/h/3/C" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">(C) </num><content>National organizations representing members of the Armed Forces.</content></subparagraph> <subparagraph class="fontsize10" id="ydfb11bfc-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/h/3/D" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="D">(D) </num><content>National organizations that represent counties.</content></subparagraph> <subparagraph class="fontsize10" id="ydfb11bfd-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/h/3/E" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="E">(E) </num><content>Organizations with which the Department has a current memorandum of agreement or understanding related to mental health or suicide prevention.</content></subparagraph> <subparagraph class="fontsize10" id="ydfb11bfe-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/h/3/F" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="F">(F) </num><content>State departments of veterans affairs.</content></subparagraph> <subparagraph class="fontsize10" id="ydfb11bff-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/h/3/G" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="G">(G) </num><content>National organizations representing members of the reserve components of the Armed Forces.</content></subparagraph> <subparagraph class="fontsize10" id="ydfb11c00-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/h/3/H" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="H">(H) </num><content>National organizations representing members of the Coast Guard.</content></subparagraph> <subparagraph class="fontsize10" id="ydfb11c01-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/h/3/I" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="I">(I) </num><content>Organizations, including institutions of higher education, with experience in creating measurement tools for purposes of advising the Secretary on the most appropriate existing measurement tool or protocol for the Department to utilize.</content></subparagraph> <subparagraph class="fontsize10" id="ydfb11c02-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/h/3/J" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="J">(J) </num><content>The National Alliance on Mental Illness.</content></subparagraph> <subparagraph class="fontsize10" id="ydfb11c03-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/h/3/K" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="K">(K) </num><content>A labor organization (as such term is defined in <ref href="/us/usc/t5/s7103/a/4">section 7103(a)(4) of title 5, United States Code</ref>).</content></subparagraph> <subparagraph class="fontsize10" id="ydfb11c04-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/h/3/L" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="L">(L) </num><content>The Centers for Disease Control and Prevention, the Substance Abuse and Mental Health Services Administration, the President’s Roadmap to Empower Veterans and End a National Tragedy of Suicide Task Force, and such other organizations as the Secretary considers appropriate.</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ydfb11c05-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/h/4" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="4">(4) </num><heading class="fontsize10"><inline class="smallCaps">Report on grant criteria</inline>.—</heading><chapeau>Not later than 30 days before notifying eligible entities of the availability of funding under this section, the Secretary shall submit to the appropriate committees of Congress a report containing—</chapeau><subparagraph class="fontsize10" id="ydfb11c06-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/h/4/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>criteria for the award of a grant under this section;</content></subparagraph> <subparagraph class="fontsize10" id="ydfb11c07-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/h/4/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>the already developed measures and metrics to be used by the Department to measure the effectiveness of the use of grants provided under this section as described in subsection (h)(2); and</content></subparagraph> <subparagraph class="fontsize10" id="ydfb11c08-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/h/4/C" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">(C) </num><content>a framework for the sharing of information about entities in receipt of grants under this section.</content></subparagraph> </paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ydfb11c09-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/i" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">(i) </num><heading class="fontsize10"><inline class="smallCaps">Information on Potential Eligible Individuals</inline>.—</heading><paragraph class="fontsize10" id="ydfb11c0a-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/i/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><content>The Secretary may make available to recipients of grants under this section certain information regarding potential eligible individuals who may receive services for which such grant is provided.</content></paragraph> <paragraph class="fontsize10" id="ydfb11c0b-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/i/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><heading class="fontsize10"><inline class="smallCaps">Information included</inline>.—</heading><chapeau>The information made available under paragraph (1) with respect to potential eligible individuals may include the following:</chapeau><subparagraph class="fontsize10" id="ydfb11c0c-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/i/2/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>Confirmation of the status of a potential eligible individual as a veteran.</content></subparagraph> <subparagraph class="fontsize10" id="ydfb11c0d-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/i/2/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>Confirmation of whether the potential eligible individual is enrolled in the patient enrollment system of the Department under <ref href="/us/usc/t38/s1705/a">section 1705(a) of title 38, United States Code</ref>.</content></subparagraph> <subparagraph class="fontsize10" id="ydfb11c0e-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/i/2/C" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">(C) </num><content>Confirmation of whether a potential eligible individual is currently receiving care furnished by the Department or has recently received such care.</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ydfb11c0f-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/i/3" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">(3) </num><heading class="fontsize10"><inline class="smallCaps">Opt-out</inline>.—</heading><content>The Secretary shall allow an eligible individual to opt out of having their information shared under this subsection with recipients of grants under this section.<page identifier="/us/stat/134/789">134 STAT. 789</page></content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ydfb11c10-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/j" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="j">(j) </num><heading class="fontsize10"><inline class="smallCaps">Duration</inline>.—</heading><content>The authority of the Secretary to provide grants under this section shall terminate on the date that is three years after the date on which the first grant is awarded under this section.</content></subsection> <subsection class="firstIndent0 fontsize10" id="ydfb11c11-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/k" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="k">(k) </num><heading class="fontsize10"><inline class="smallCaps">Reporting</inline>.—</heading><paragraph class="fontsize10" id="ydfb11c12-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/k/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><heading class="fontsize10"><inline class="smallCaps">Interim report</inline>.—</heading><subparagraph class="fontsize10" id="ydfb11c13-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/k/1/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><content>Not later than 18 months after the date on which the first grant is awarded under this section, the Secretary shall submit to the appropriate committees of Congress a report on the provision of grants to eligible entities under this section.</content></subparagraph> <subparagraph class="fontsize10" id="ydfb11c14-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/k/1/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><heading class="fontsize10"><inline class="smallCaps">Elements</inline>.—</heading><chapeau>The report submitted under subparagraph (A) shall include the following:</chapeau><clause class="fontsize10" id="ydfb11c15-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/k/1/B/i" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">(i) </num><sidenote>Assessment.</sidenote><chapeau>An assessment of the effectiveness of the grant program under this section, including—</chapeau><subclause class="fontsize10" id="ydfb11c17-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/k/1/B/i/I" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="I">(I) </num><content>the effectiveness of grant recipients and their community partners, if any, in conducting outreach to eligible individuals;</content></subclause> <subclause class="fontsize10" id="ydfb11c18-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/k/1/B/i/II" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="II">(II) </num><content>the effectiveness of increasing eligible individuals engagement in suicide prevention services; and</content></subclause> <subclause class="fontsize10" id="ydfb11c19-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/k/1/B/i/III" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="III">(III) </num><content>such other validated instruments and additional measures as determined by the Secretary and as described in subsection (h)(2).</content></subclause> </clause> <clause class="fontsize10" id="ydfb11c1a-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/k/1/B/ii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">(ii) </num><sidenote>List.</sidenote><content>A list of grant recipients and their partner organizations, if any, that delivered services funded by the grant and the amount of such grant received by each recipient and partner organization.</content></clause> <clause class="fontsize10" id="ydfb11c1c-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/k/1/B/iii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iii">(iii) </num><chapeau>The number of eligible individuals supported by each grant recipient, including through services provided to family members, disaggregated by—</chapeau><subclause class="fontsize10" id="ydfb11c1d-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/k/1/B/iii/I" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="I">(I) </num><sidenote>Determination.Coordination.</sidenote><content>all demographic characteristics as determined necessary and appropriate by the Secretary in coordination with the Centers for Disease Control and Prevention;</content></subclause> <subclause class="fontsize10" id="ydfb11c20-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/k/1/B/iii/II" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="II">(II) </num><content>whether each such eligible individual is enrolled in the patient enrollment system of the Department under <ref href="/us/usc/t38/s1705/a">section 1705(a) of title 38, United States Code</ref>;</content></subclause> <subclause class="fontsize10" id="ydfb11c21-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/k/1/B/iii/III" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="III">(III) </num><content>branch of service in the Armed Forces;</content></subclause> <subclause class="fontsize10" id="ydfb11c22-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/k/1/B/iii/IV" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="IV">(IV) </num><content>era of service in the Armed Forces;</content></subclause> <subclause class="fontsize10" id="ydfb11c23-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/k/1/B/iii/V" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="V">(V) </num><content>type of service received by the eligible individual; and</content></subclause> <subclause class="fontsize10" id="ydfb11c24-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/k/1/B/iii/VI" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="VI">(VI) </num><content>whether each such eligible individual was referred to the Department for care.</content></subclause> </clause> <clause class="fontsize10" id="ydfb11c25-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/k/1/B/iv" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iv">(iv) </num><content>The number of eligible individuals supported by grants under this section, including through services provided to family members.</content></clause> <clause class="fontsize10" id="ydfb11c26-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/k/1/B/v" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="v">(v) </num><content>The number of eligible individuals described in clause (iv) who were not previously receiving care furnished by the Department, with specific numbers for the population of eligible individuals described in subsection (q)(4)(B).</content></clause> <clause class="fontsize10" id="ydfb11c27-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/k/1/B/vi" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="vi">(vi) </num><content>The number of eligible individuals whose mental health status, wellbeing, and suicide risk received a baseline measurement assessment under this section and the number of such eligible individuals <page identifier="/us/stat/134/790">134 STAT. 790</page> whose mental health status, wellbeing, and suicide risk will be measured by the Department or a community partner over a period of time for any improvements.</content></clause> <clause class="fontsize10" id="ydfb11c28-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/k/1/B/vii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="vii">(vii) </num><sidenote>Data.</sidenote><content>The types of data the Department was able to collect and share with partners, including a characterization of the benefits of that data.</content></clause> <clause class="fontsize10" id="ydfb11c2a-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/k/1/B/viii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="viii">(viii) </num><content>The number and percentage of eligible individuals referred to the point of contact at the Department under subsection (e)(3)(C).</content></clause> <clause class="fontsize10" id="ydfb11c2b-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/k/1/B/ix" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ix">(ix) </num><content>The number of eligible individuals newly enrolled in the patient enrollment system of the Department under <ref href="/us/usc/t38/s1705/a">section 1705(a) of title 38, United States Code</ref> based on a referral to the Department from a grant recipient under subsection (e)(3)(C), disaggregated by grant recipient.</content></clause> <clause class="fontsize10" id="ydfb11c2c-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/k/1/B/x" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="x">(x) </num><content>A detailed account of how the grant funds were used, including executive compensation, overhead costs, and other indirect costs.</content></clause> <clause class="fontsize10" id="ydfb11c2d-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/k/1/B/xi" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="xi">(xi) </num><content>A description of any outreach activities conducted by the eligible entity in receipt of a grant with respect to services provided using the grant.</content></clause> <clause class="fontsize10" id="ydfb11c2e-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/k/1/B/xii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="xii">(xii) </num><content>The number of individuals who seek services from the grant recipient who are not eligible individuals.</content></clause> </subparagraph> <subparagraph class="fontsize10" id="ydfb11c2f-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/k/1/C" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">(C) </num><sidenote>Determination.</sidenote><heading class="fontsize10"><inline class="smallCaps">Submittal of information by grant recipients</inline>.—</heading><content>The Secretary may require eligible entities receiving grants under this section to provide to Congress such information as the Secretary determines necessary regarding the elements described in subparagraph (B).</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ydfb11c31-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/k/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><heading class="fontsize10"><inline class="smallCaps">Final report</inline>.—</heading><chapeau>Not later than three years after the date on which the first grant is awarded under this section, and annually thereafter for each year in which the program is in effect, the Secretary shall submit to the appropriate committees of Congress—</chapeau><subparagraph class="fontsize10" id="ydfb11c32-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/k/2/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>a follow-up on the interim report submitted under paragraph (1) containing the elements set forth in subparagraph (B) of such paragraph; and</content></subparagraph> <subparagraph class="fontsize10" id="ydfb11c33-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/k/2/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><chapeau>a report on—</chapeau><clause class="fontsize10" id="ydfb11c34-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/k/2/B/i" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">(i) </num><content>the effectiveness of the provision of grants under this section, including the effectiveness of community partners in conducting outreach to eligible individuals and their families and reducing the rate of suicide among eligible individuals;</content></clause> <clause class="fontsize10" id="ydfb11c35-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/k/2/B/ii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">(ii) </num><sidenote>Assessment.</sidenote><content>an assessment of the increased capacity of the Department to provide services to eligible individuals and their families, set forth by State, as a result of the provision of grants under this section;</content></clause> <clause class="fontsize10" id="ydfb11c37-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/k/2/B/iii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iii">(iii) </num><content>the feasibility and advisability of extending or expanding the provision of grants consistent with this section; and</content></clause> <clause class="fontsize10" id="ydfb11c38-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/k/2/B/iv" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iv">(iv) </num><content>such other elements as considered appropriate by the Secretary.</content></clause> </subparagraph> </paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ydfb11c39-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/l" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="l">(l) </num><heading class="fontsize10"><inline class="smallCaps">Third-party Assessment</inline>.—</heading><paragraph class="fontsize10" id="ydfb11c3a-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/l/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><heading class="fontsize10"><inline class="smallCaps">Study of grant program</inline>.—</heading><subparagraph class="fontsize10" id="ydfb11c3b-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/l/1/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><sidenote>Deadline.Contracts.</sidenote><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><content>Not later than 180 days after the commencement of the grant program under this section, <page identifier="/us/stat/134/791">134 STAT. 791</page> the Secretary shall seek to enter into a contract with an appropriate entity described in paragraph (3) to conduct a study of the grant program.</content></subparagraph> <subparagraph class="fontsize10" id="ydfb11c3e-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/l/1/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><heading class="fontsize10"><inline class="smallCaps">Elements of study</inline>.—</heading><chapeau>In conducting the study under subparagraph (A), the appropriate entity shall—</chapeau><clause class="fontsize10" id="ydfb11c3f-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/l/1/B/i" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">(i) </num><sidenote>Evaluation.</sidenote><chapeau>evaluate the effectiveness of the grant program under this section in—</chapeau><subclause class="fontsize10" id="ydfb11c41-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/l/1/B/i/I" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="I">(I) </num><content>addressing the factors that contribute to suicides;</content></subclause> <subclause class="fontsize10" id="ydfb11c42-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/l/1/B/i/II" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="II">(II) </num><content>increasing the use of suicide prevention services;</content></subclause> <subclause class="fontsize10" id="ydfb11c43-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/l/1/B/i/III" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="III">(III) </num><content>reducing mood-related symptoms that increase suicide and suicide risk; and</content></subclause> <subclause class="fontsize10" id="ydfb11c44-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/l/1/B/i/IV" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="IV">(IV) </num><content>where such information is available due to the time frame of the grant program, reducing suicidal ideation, suicide attempts, self-harm, and deaths by suicide; and</content></subclause> <subclause class="fontsize10" id="ydfb11c45-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/l/1/B/i/V" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="V">(V) </num><content>reducing suicidal ideation, suicide attempts, self-harm, and deaths by suicide among eligible individuals through eligible entities located in communities; and</content></subclause> </clause> <clause class="fontsize10" id="ydfb14356-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/l/1/B/ii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">(ii) </num><content>compare the results of the grant program with other national programs in delivering resources to eligible individuals in the communities where they live that address the factors that contribute to suicide.</content></clause> </subparagraph> </paragraph> <paragraph class="fontsize10" id="ydfb14357-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/l/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><heading class="fontsize10"><inline class="smallCaps">Assessment</inline>.—</heading><subparagraph class="fontsize10" id="ydfb14358-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/l/2/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><sidenote>Deadline.</sidenote><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><content>The contract under paragraph (1) shall provide that not later than 24 months after the commencement of the grant program under this section, the appropriate entity shall submit to the Secretary an assessment based on the study conducted pursuant to such contract.</content></subparagraph> <subparagraph class="fontsize10" id="ydfb1435a-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/l/2/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><sidenote>Records.</sidenote><heading class="fontsize10"><inline class="smallCaps">Submittal to congress</inline>.—</heading><content>Upon receipt of the assessment under subparagraph (A), the Secretary shall transmit to the appropriate committees of Congress a copy of the assessment.</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ydfb1435c-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/l/3" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">(3) </num><heading class="fontsize10"><inline class="smallCaps">Appropriate entity</inline>.—</heading><content>An appropriate entity described in this paragraph is a nongovernment entity with experience optimizing and assessing organizations that deliver services and assessing the effectiveness of suicide prevention programs.</content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ydfb1435d-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/m" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="m">(m) </num><sidenote>Determinations.</sidenote><heading class="fontsize10"><inline class="smallCaps">Referral for Care</inline>.—</heading><paragraph class="fontsize10" id="ydfb1435f-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/m/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><heading class="fontsize10"><inline class="smallCaps">Mental health assessment</inline>.—</heading><content>If an eligible entity in receipt of a grant under this section determines that an eligible individual is at-risk of suicide or other mental or behavioral health condition pursuant to a baseline mental health screening conducted under subsection (q)(11)(A)(ii) with respect to the individual, the entity shall refer the eligible individual to the Department for additional care under subsection (n) or any other provision of law.</content></paragraph> <paragraph class="fontsize10" id="ydfb14360-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/m/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><heading class="fontsize10"><inline class="smallCaps">Emergency treatment</inline>.—</heading><content>If an eligible entity in receipt of a grant under this section determines that an eligible individual furnished clinical services for emergency treatment under subsection (q)(11)(A)(iv) requires ongoing services, the entity shall refer the eligible individual to the Department for additional care under subsection (n) or any other provision of law.<page identifier="/us/stat/134/792">134 STAT. 792</page></content></paragraph> <paragraph class="fontsize10" id="ydfb14361-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/m/3" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">(3) </num><heading class="fontsize10"><inline class="smallCaps">Refusal</inline>.—</heading><content>If an eligible individual refuses a referral by an entity under paragraph (1) or (2), any ongoing clinical services provided to the eligible individual by the entity shall be at the expense of the entity.</content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ydfb14362-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/n" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="n">(n) </num><sidenote>Determination.Assessment.</sidenote><heading class="fontsize10"><inline class="smallCaps">Provision of Care to Eligible Individuals</inline>.—</heading><content>When the Secretary determines it is clinically appropriate, the Secretary shall furnish to eligible individuals who are receiving or have received suicide prevention services through grants provided under this section an initial mental health assessment and mental health or behavioral health care services authorized under <ref href="/us/usc/t38/ch17">chapter 17 of title 38, United States Code</ref>, that are required to treat the mental or behavioral health care needs of the eligible individual, including risk of suicide.</content></subsection> <subsection class="firstIndent0 fontsize10" id="ydfb14365-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/o" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="o">(o) </num><sidenote>Contracts.</sidenote><heading class="fontsize10"><inline class="smallCaps">Agreements With Community Partners</inline>.—</heading><paragraph class="fontsize10" id="ydfb14367-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/o/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><content>Subject to paragraph (2), an eligible entity may use grant funds to enter into an agreement with a community partner under which the eligible entity may provide funds to the community partner for the provision of suicide prevention services to eligible individuals and their families.</content></paragraph> <paragraph class="fontsize10" id="ydfb14368-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/o/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><heading class="fontsize10"><inline class="smallCaps">Limitation</inline>.—</heading><content>The ability of a recipient of a grant under this section to provide grant funds to a community partner shall be limited to grant recipients that are a State or local government or an Indian tribe.</content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ydfb14369-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/p" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="p">(p) </num><sidenote>Time period.</sidenote><heading class="fontsize10"><inline class="smallCaps">Authorization of Appropriations</inline>.—</heading><content>There is authorized to be appropriated to the Secretary to carry out this section a total of $174,000,000 for fiscal years 2021 through 2025.</content></subsection> <subsection class="firstIndent0 fontsize10" id="ydfb1436b-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/q" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="q">(q) </num><heading class="fontsize10"><inline class="smallCaps">Definitions</inline>.—</heading><chapeau>In this section:</chapeau><paragraph class="fontsize10" id="ydfb1436c-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/q/1" role="definitions" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><heading class="fontsize10"><inline class="smallCaps">Appropriate committees of congress</inline>.—</heading><chapeau>The term “<term>appropriate committees of Congress</term>” means—</chapeau><subparagraph class="fontsize10" id="ydfb1436d-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/q/1/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>the Committee on Veterans’ Affairs and the Subcommittee on Military Construction, Veterans Affairs, and Related Agencies of the Committee on Appropriations of the Senate; and</content></subparagraph> <subparagraph class="fontsize10" id="ydfb1436e-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/q/1/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>the Committee on Veterans’ Affairs and the Subcommittee on Military Construction, Veterans Affairs, and Related Agencies of the Committee on Appropriations of the House of Representatives.</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ydfb1436f-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/q/2" role="definitions" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><heading class="fontsize10"><inline class="smallCaps">Department</inline>.—</heading><content>The term “<term>Department</term>” means the Department of Veterans Affairs.</content></paragraph> <paragraph class="fontsize10" id="ydfb14370-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/q/3" role="definitions" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">(3) </num><heading class="fontsize10"><inline class="smallCaps">Eligible entity</inline>.—</heading><chapeau>The term “<term>eligible entity</term>” means—</chapeau><subparagraph class="fontsize10" id="ydfb14371-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/q/3/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><chapeau>an incorporated private institution or foundation—</chapeau><clause class="fontsize10" id="ydfb14372-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/q/3/A/i" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">(i) </num><content>no part of the net earnings of which incurs to the benefit of any member, founder, contributor, or individual; and</content></clause> <clause class="fontsize10" id="ydfb14373-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/q/3/A/ii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">(ii) </num><content>that has a governing board that would be responsible for the operation of the suicide prevention services provided under this section;</content></clause> </subparagraph> <subparagraph class="fontsize10" id="ydfb14374-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/q/3/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>a corporation wholly owned and controlled by an organization meeting the requirements of clauses (i) and (ii) of subparagraph (A);</content></subparagraph> <subparagraph class="fontsize10" id="ydfb14375-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/q/3/C" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">(C) </num><content>an Indian tribe;</content></subparagraph> <subparagraph class="fontsize10" id="ydfb14376-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/q/3/D" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="D">(D) </num><content>a community-based organization that can effectively network with local civic organizations, regional health systems, and other settings where eligible individuals and their families are likely to have contact; or</content></subparagraph> <subparagraph class="fontsize10" id="ydfb14377-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/q/3/E" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="E">(E) </num><content>A State or local government.<page identifier="/us/stat/134/793">134 STAT. 793</page></content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ydfb14378-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/q/4" role="definitions" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="4">(4) </num><heading class="fontsize10"><inline class="smallCaps">Eligible individual</inline>.—</heading><chapeau>The term “<term>eligible individual</term>” includes a person at risk of suicide who is—</chapeau><subparagraph class="fontsize10" id="ydfb14379-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/q/4/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>a veteran as defined in <ref href="/us/usc/t38/s101">section 101 of title 38, United States Code</ref>;</content></subparagraph> <subparagraph class="fontsize10" id="ydfb1437a-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/q/4/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>an individual described in section 1720I(b) of such title; or</content></subparagraph> <subparagraph class="fontsize10" id="ydfb1437b-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/q/4/C" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">(C) </num><content>an individual described in any of clauses (i) through (iv) of section 1712A(a)(1)(C) of such title.</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ydfb1437c-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/q/5" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="5">(5) </num><heading class="fontsize10"><inline class="smallCaps">Emergency treatment</inline>.—</heading><content>Medical services, professional services, ambulance services, ancillary care and medication (including a short course of medication related to and necessary for the treatment of the emergency condition that is provided directly to or prescribed for the patient for use after the emergency condition is stabilized and the patient is discharged) was rendered in a medical emergency of such nature that a prudent layperson would have reasonably expected that delay in seeking immediate medical attention would have been hazardous to life or health. This standard is met by an emergency medical condition manifesting itself by acute symptoms of sufficient severity (including severe pain) that a prudent layperson who possesses an average knowledge of health and medicine could reasonably expect the absence of immediate medical attention to result in placing the health of the individual in serious jeopardy, serious impairment to bodily functions, or serious dysfunction of any bodily organ or part.</content></paragraph> <paragraph class="fontsize10" id="ydfb1437d-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/q/6" role="definitions" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="6">(6) </num><heading class="fontsize10"><inline class="smallCaps">Family</inline>.—</heading><chapeau>The term “<term>family</term>” means, with respect to an eligible individual, any of the following:</chapeau><subparagraph class="fontsize10" id="ydfb1437e-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/q/6/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>A parent.</content></subparagraph> <subparagraph class="fontsize10" id="ydfb1437f-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/q/6/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>A spouse.</content></subparagraph> <subparagraph class="fontsize10" id="ydfb14380-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/q/6/C" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">(C) </num><content>A child.</content></subparagraph> <subparagraph class="fontsize10" id="ydfb14381-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/q/6/D" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="D">(D) </num><content>A sibling.</content></subparagraph> <subparagraph class="fontsize10" id="ydfb14382-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/q/6/E" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="E">(E) </num><content>A step-family member.</content></subparagraph> <subparagraph class="fontsize10" id="ydfb14383-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/q/6/F" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="F">(F) </num><content>An extended family member.</content></subparagraph> <subparagraph class="fontsize10" id="ydfb14384-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/q/6/G" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="G">(G) </num><content>Any other individual who lives with the eligible individual.</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ydfb14385-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/q/7" role="definitions" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="7">(7) </num><heading class="fontsize10"><inline class="smallCaps">Indian tribe</inline>.—</heading><content>The term “<term>Indian tribe</term>” has the meaning given that term in section 4 of the Native American Housing Assistance and Self-Determination Act of 1996 (<ref href="/us/usc/t25/s4103">25 U.S.C. 4103</ref>).</content></paragraph> <paragraph class="fontsize10" id="ydfb14386-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/q/8" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="8">(8) </num><heading class="fontsize10"><inline class="smallCaps">Risk of suicide</inline>.—</heading><subparagraph class="fontsize10" id="ydfb14387-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/q/8/A" role="definitions" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><chapeau>The term “<term>risk of suicide</term>” means exposure to, or the existence of, any of the following (to a degree determined by the Secretary pursuant to regulations):</chapeau><clause class="fontsize10" id="ydfb14388-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/q/8/A/i" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">(i) </num><chapeau>Health risk factors, including the following:</chapeau><subclause class="fontsize10" id="ydfb14389-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/q/8/A/i/I" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="I">(I) </num><content>Mental health challenges.</content></subclause> <subclause class="fontsize10" id="ydfb1438a-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/q/8/A/i/II" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="II">(II) </num><content>Substance abuse.</content></subclause> <subclause class="fontsize10" id="ydfb1438b-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/q/8/A/i/III" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="III">(III) </num><content>Serious or chronic health conditions or pain.</content></subclause> <subclause class="fontsize10" id="ydfb1438c-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/q/8/A/i/IV" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="IV">(IV) </num><content>Traumatic brain injury.</content></subclause> </clause> <clause class="fontsize10" id="ydfb1438d-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/q/8/A/ii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">(ii) </num><chapeau>Environmental risk factors, including the following:</chapeau><subclause class="fontsize10" id="ydfb1438e-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/q/8/A/ii/I" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="I">(I) </num><content>Prolonged stress.</content></subclause> <subclause class="fontsize10" id="ydfb1438f-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/q/8/A/ii/II" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="II">(II) </num><content>Stressful life events.</content></subclause> <subclause class="fontsize10" id="ydfb14390-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/q/8/A/ii/III" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="III">(III) </num><content>Unemployment.</content></subclause> <subclause class="fontsize10" id="ydfb14391-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/q/8/A/ii/IV" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="IV">(IV) </num><content>Homelessness.</content></subclause> <subclause class="fontsize10" id="ydfb14392-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/q/8/A/ii/V" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="V">(V) </num><content>Recent loss.</content></subclause> <subclause class="fontsize10" id="ydfb14393-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/q/8/A/ii/VI" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="VI">(VI) </num><content>Legal or financial challenges.<page identifier="/us/stat/134/794">134 STAT. 794</page></content></subclause> </clause> <clause class="fontsize10" id="ydfb14394-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/q/8/A/iii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iii">(iii) </num><chapeau>Historical risk factors, including the following:</chapeau><subclause class="fontsize10" id="ydfb14395-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/q/8/A/iii/I" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="I">(I) </num><content>Previous suicide attempts.</content></subclause> <subclause class="fontsize10" id="ydfb14396-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/q/8/A/iii/II" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="II">(II) </num><content>Family history of suicide.</content></subclause> <subclause class="fontsize10" id="ydfb14397-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/q/8/A/iii/III" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="III">(III) </num><content>History of abuse, neglect, or trauma.</content></subclause> </clause> </subparagraph> <subparagraph class="fontsize10" id="ydfb14398-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/q/8/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><sidenote>Regulations.Determination.</sidenote><heading class="fontsize10"><inline class="smallCaps">Degree of risk</inline>.—</heading><content>The Secretary may, by regulation, establish a process for determining degrees of risk of suicide for use by grant recipients to focus the delivery of services using grant funds.</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ydfb1439b-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/q/9" role="definitions" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="9">(9) </num><heading class="fontsize10"><inline class="smallCaps">Rural</inline>.—</heading><content>The term “<term>rural</term>”, with respect to a community, has the meaning given that term in the Rural-Urban Commuting Areas coding system of the Department of Agriculture.</content></paragraph> <paragraph class="fontsize10" id="ydfb1439c-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/q/10" role="definitions" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="10">(10) </num><heading class="fontsize10"><inline class="smallCaps">Secretary</inline>.—</heading><content>The term “<term>Secretary</term>” means the Secretary of Veterans Affairs.</content></paragraph> <paragraph class="fontsize10" id="ydfb1439d-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/q/11" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="11">(11) </num><heading class="fontsize10"><inline class="smallCaps">Suicide prevention services</inline>.—</heading><subparagraph class="fontsize10" id="ydfb1439e-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/q/11/A" role="definitions" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><chapeau>The term “<term>suicide prevention services</term>” means services to address the needs of eligible individuals and their families and includes the following:</chapeau><clause class="fontsize10" id="ydfb1439f-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/q/11/A/i" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">(i) </num><content>Outreach to identify those at risk of suicide with an emphasis on eligible individuals who are at highest risk or who are not receiving health care or other services furnished by the Department.</content></clause> <clause class="fontsize10" id="ydfb143a0-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/q/11/A/ii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">(ii) </num><content>A baseline mental health screening for risk.</content></clause> <clause class="fontsize10" id="ydfb143a1-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/q/11/A/iii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iii">(iii) </num><content>Education on suicide risk and prevention to families and communities.</content></clause> <clause class="fontsize10" id="ydfb143a2-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/q/11/A/iv" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iv">(iv) </num><content>Provision of clinical services for emergency treatment.</content></clause> <clause class="fontsize10" id="ydfb143a3-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/q/11/A/v" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="v">(v) </num><content>Case management services.</content></clause> <clause class="fontsize10" id="ydfb143a4-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/q/11/A/vi" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="vi">(vi) </num><content>Peer support services.</content></clause> <clause class="fontsize10" id="ydfb143a5-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/q/11/A/vii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="vii">(vii) </num><chapeau>Assistance in obtaining any benefits from the Department that the eligible individual and their family may be eligible to receive, including—</chapeau><subclause class="fontsize10" id="ydfb143a6-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/q/11/A/vii/I" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="I">(I) </num><content>vocational and rehabilitation counseling;</content></subclause> <subclause class="fontsize10" id="ydfb143a7-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/q/11/A/vii/II" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="II">(II) </num><content>supportive services for homeless veterans;</content></subclause> <subclause class="fontsize10" id="ydfb143a8-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/q/11/A/vii/III" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="III">(III) </num><content>employment and training services;</content></subclause> <subclause class="fontsize10" id="ydfb143a9-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/q/11/A/vii/IV" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="IV">(IV) </num><content>educational assistance; and</content></subclause> <subclause class="fontsize10" id="ydfb143aa-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/q/11/A/vii/V" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="V">(V) </num><content>health care services.</content></subclause> </clause> <clause class="fontsize10" id="ydfb143ab-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/q/11/A/viii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="viii">(viii) </num><sidenote>Coordination.</sidenote><content>Assistance in obtaining and coordinating the provision of other benefits provided by the Federal Government, a State or local government, or an eligible entity.</content></clause> <clause class="fontsize10" id="ydfb143ad-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/q/11/A/ix" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ix">(ix) </num><chapeau>Assistance with emergent needs relating to—</chapeau><subclause class="fontsize10" id="ydfb143ae-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/q/11/A/ix/I" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="I">(I) </num><content>health care services;</content></subclause> <subclause class="fontsize10" id="ydfb143af-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/q/11/A/ix/II" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="II">(II) </num><content>daily living services;</content></subclause> <subclause class="fontsize10" id="ydfb143b0-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/q/11/A/ix/III" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="III">(III) </num><content>personal financial planning and counseling;</content></subclause> <subclause class="fontsize10" id="ydfb143b1-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/q/11/A/ix/IV" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="IV">(IV) </num><content>transportation services;</content></subclause> <subclause class="fontsize10" id="ydfb143b2-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/q/11/A/ix/V" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="V">(V) </num><content>temporary income support services;</content></subclause> <subclause class="fontsize10" id="ydfb143b3-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/q/11/A/ix/VI" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="VI">(VI) </num><content>fiduciary and representative payee services;</content></subclause> <subclause class="fontsize10" id="ydfb143b4-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/q/11/A/ix/VII" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="VII">(VII) </num><content>legal services to assist the eligible individual with issues that may contribute to the risk of suicide; and</content></subclause> <subclause class="fontsize10" id="ydfb143b5-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/q/11/A/ix/VIII" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="VIII">(VIII) </num><content>child care (not to exceed $5,000 per family of an eligible individual per fiscal year).</content></subclause> </clause> <clause class="fontsize10" id="ydfb143b6-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/q/11/A/x" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="x">(x) </num><sidenote>Determination.Consultation.</sidenote><content>Nontraditional and innovative approaches and treatment practices, as determined appropriate by the Secretary, in consultation with appropriate entities.<page identifier="/us/stat/134/795">134 STAT. 795</page></content></clause> <clause class="fontsize10" id="ydfb143b9-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/q/11/A/xi" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="xi">(xi) </num><chapeau>Such other services necessary for improving the mental health status and wellbeing and reducing the suicide risk of eligible individuals and their families as the Secretary considers appropriate, which may include—</chapeau><subclause class="fontsize10" id="ydfb169ca-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/q/11/A/xi/I" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="I">(I) </num><content>adaptive sports, equine assisted therapy, or in-place or outdoor recreational therapy;</content></subclause> <subclause class="fontsize10" id="ydfb169cb-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/q/11/A/xi/II" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="II">(II) </num><content>substance use reduction programming;</content></subclause> <subclause class="fontsize10" id="ydfb169cc-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/q/11/A/xi/III" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="III">(III) </num><content>individual, group, or family counseling; and</content></subclause> <subclause class="fontsize10" id="ydfb169cd-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/q/11/A/xi/IV" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="IV">(IV) </num><content>relationship coaching.</content></subclause> </clause> </subparagraph> <subparagraph class="fontsize10" id="ydfb169ce-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/q/11/B" role="definitions" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><heading class="fontsize10"><inline class="smallCaps">Exclusion</inline>.—</heading><content>The term “<term>suicide prevention services</term>” does not include direct cash assistance to eligible individuals or their families.</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ydfb169cf-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/q/12" role="definitions" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="12">(12) </num><heading class="fontsize10"><inline class="smallCaps">Veterans crisis line</inline>.—</heading><content>The term “<term>Veterans Crisis Line</term>” means the toll-free hotline for veterans established under <ref href="/us/usc/t38/s1720F/h">section 1720F(h) of title 38, United States Code</ref>.</content></paragraph> <paragraph class="fontsize10" id="ydfb169d0-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s201/q/13" role="definitions" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="13">(13) </num><heading class="fontsize10"><inline class="smallCaps">Veterans service organization</inline>.—</heading><content>The term “<term>veterans service organization</term>” means any organization recognized by the Secretary for the representation of veterans under <ref href="/us/usc/t38/s5902">section 5902 of title 38, United States Code</ref>.</content></paragraph> </subsection> </section> <section id="d229484e2669" identifier="/us/pl/116/171/tII/s202" style="-uslm-lc:I658143"><num class="fontsize12" value="202">SEC. 202. </num><heading>ANALYSIS ON FEASIBILITY AND ADVISABILITY OF THE DEPARTMENT OF VETERANS AFFAIRS PROVIDING CERTAIN COMPLEMENTARY AND INTEGRATIVE HEALTH SERVICES.</heading><subsection class="firstIndent0 fontsize10" id="ydfb1b7f1-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s202/a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="a">(a) </num><sidenote>Deadline.</sidenote><heading class="fontsize10"><inline class="smallCaps">In General</inline>.—</heading><content>Not later than 180 days after the date of the enactment of this Act, the Secretary of Veterans Affairs shall complete an analysis on the feasibility and advisability of providing complementary and integrative health treatments described in subsection (c) at all medical facilities of the Department of Veterans Affairs.</content></subsection> <subsection class="firstIndent0 fontsize10" id="ydfb1b7f3-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s202/b" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="b">(b) </num><heading class="fontsize10"><inline class="smallCaps">Inclusion of Assessment of Report</inline>.—</heading><content>The analysis conducted under subsection (a) shall include an assessment of the final report of the Creating Options for Veterans’ Expedited Recovery Commission (commonly referred to as the “COVER Commission”) established under section 931 of the Jason Simcakoski Memorial and Promise Act (<ref href="/us/pl/114/198/tIX">title IX of Public Law 114–198</ref>; <ref href="/us/usc/t38/s1701">38 U.S.C. 1701 note</ref>) submitted under subsection (e)(2) of such section.</content></subsection> <subsection class="firstIndent0 fontsize10" id="ydfb1b7f4-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s202/c" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="c">(c) </num><heading class="fontsize10"><inline class="smallCaps">Treatments Described</inline>.—</heading><chapeau>Complementary and integrative health treatments described in this subsection shall consist of the following:</chapeau><paragraph class="fontsize10" id="ydfb1b7f5-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s202/c/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><content>Yoga.</content></paragraph> <paragraph class="fontsize10" id="ydfb1b7f6-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s202/c/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><content>Meditation.</content></paragraph> <paragraph class="fontsize10" id="ydfb1b7f7-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s202/c/3" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">(3) </num><content>Acupuncture.</content></paragraph> <paragraph class="fontsize10" id="ydfb1b7f8-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s202/c/4" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="4">(4) </num><content>Chiropractic care.</content></paragraph> <paragraph class="fontsize10" id="ydfb1b7f9-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s202/c/5" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="5">(5) </num><sidenote>Determination.</sidenote><content>Other treatments that show sufficient evidence of efficacy at treating mental or physical health conditions, as determined by the Secretary.</content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ydfb1b7fb-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s202/d" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="d">(d) </num><heading class="fontsize10"><inline class="smallCaps">Report</inline>.—</heading><chapeau>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 analysis completed under subsection (a), including—</chapeau><paragraph class="fontsize10" id="ydfb1b7fc-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s202/d/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><content>the results of such analysis; and</content></paragraph> <paragraph class="fontsize10" id="ydfb1b7fd-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s202/d/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><sidenote>Recommenda-tions.</sidenote><content>such recommendations regarding the furnishing of complementary and integrative health treatments described in subsection (c) as the Secretary considers appropriate.<page identifier="/us/stat/134/796">134 STAT. 796</page></content></paragraph> </subsection> </section> <section id="d229484e2767" identifier="/us/pl/116/171/tII/s203" style="-uslm-lc:I658143"><num class="fontsize12" value="203">SEC. 203. </num><sidenote><ref href="/us/usc/t38/s1712A">38 USC 1712A note</ref>.</sidenote><heading>PILOT PROGRAM TO PROVIDE VETERANS ACCESS TO COMPLEMENTARY AND INTEGRATIVE HEALTH PROGRAMS THROUGH ANIMAL THERAPY, AGRITHERAPY, SPORTS AND RECREATION THERAPY, ART THERAPY, AND POSTTRAUMATIC GROWTH PROGRAMS.</heading><subsection class="firstIndent0 fontsize10" id="ydfb2c971-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s203/a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="a">(a) </num><heading class="fontsize10"><inline class="smallCaps">In General</inline>.—</heading><content>Not later than 180 days after the date on which the Creating Options for Veterans’ Expedited Recovery Commission (commonly referred to as the “COVER Commission”) established under section 931 of the Jason Simcakoski Memorial and Promise Act (<ref href="/us/pl/114/198/tIX">title IX of Public Law 114–198</ref>; <ref href="/us/usc/t38/s1701">38 U.S.C. 1701 note</ref>) submits its final report under subsection (e)(2) of such section, the Secretary of Veterans Affairs shall commence the conduct of a pilot program to provide complementary and integrative health programs 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.</content></subsection> <subsection class="firstIndent0 fontsize10" id="ydfb2c972-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s203/b" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="b">(b) </num><heading class="fontsize10"><inline class="smallCaps">Programs Described</inline>.—</heading><chapeau>Complementary and integrative health programs described in this subsection may, taking into consideration the report described in subsection (a), consist of the following:<sidenote>Deadline.</sidenote><sidenote>Determination.</sidenote></chapeau><paragraph class="fontsize10" id="ydfb2c973-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s203/b/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><content>Equine therapy.</content></paragraph> <paragraph class="fontsize10" id="ydfb2c974-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s203/b/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><content>Other animal therapy.</content></paragraph> <paragraph class="fontsize10" id="ydfb2c975-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s203/b/3" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">(3) </num><content>Agritherapy.</content></paragraph> <paragraph class="fontsize10" id="ydfb2c976-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s203/b/4" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="4">(4) </num><content>Sports and recreation therapy.</content></paragraph> <paragraph class="fontsize10" id="ydfb2c977-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s203/b/5" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="5">(5) </num><content>Art therapy.</content></paragraph> <paragraph class="fontsize10" id="ydfb2c978-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s203/b/6" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="6">(6) </num><content>Posttraumatic growth programs.</content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ydfb2c979-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s203/c" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="c">(c) </num><heading class="fontsize10"><inline class="smallCaps">Eligible Veterans</inline>.—</heading><chapeau>A veteran is eligible to participate in the pilot program under this section if the veteran—</chapeau><paragraph class="fontsize10" id="ydfb2c97a-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s203/c/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><content>is enrolled in the system of patient enrollment of the Department under <ref href="/us/usc/t38/s1705/a">section 1705(a) of title 38, United States Code</ref>; and</content></paragraph> <paragraph class="fontsize10" id="ydfb2c97b-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s203/c/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><sidenote>Time period.</sidenote><content>has received health care under the laws administered by the Secretary during the two-year period preceding the initial participation of the veteran in the pilot program.</content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ydfb2c97d-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s203/d" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="d">(d) </num><heading class="fontsize10"><inline class="smallCaps">Duration</inline>.—</heading><paragraph class="fontsize10" id="ydfb2c97e-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s203/d/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><content>The Secretary shall carry out the pilot program under this section for a three-year period beginning on the commencement of the pilot program.</content></paragraph> <paragraph class="fontsize10" id="ydfb2c97f-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s203/d/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><heading class="fontsize10"><inline class="smallCaps">Extension</inline>.—</heading><content>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.</content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ydfb2c980-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s203/e" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="e">(e) </num><heading class="fontsize10"><inline class="smallCaps">Locations</inline>.—</heading><paragraph class="fontsize10" id="ydfb2c981-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s203/e/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><content>The Secretary shall select not fewer than five facilities of the Department at which to carry out the pilot program under this section.</content></paragraph> <paragraph class="fontsize10" id="ydfb2c982-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s203/e/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><heading class="fontsize10"><inline class="smallCaps">Selection criteria</inline>.—</heading><chapeau>In selecting facilities under paragraph (1), the Secretary shall ensure that—</chapeau><subparagraph class="fontsize10" id="ydfb2c983-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s203/e/2/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>the locations are in geographically diverse areas; and</content></subparagraph> <subparagraph class="fontsize10" id="ydfb2c984-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s203/e/2/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>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).</content></subparagraph> </paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ydfb2c985-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s203/f" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="f">(f) </num><heading class="fontsize10"><inline class="smallCaps">Reports</inline>.—</heading><page identifier="/us/stat/134/797">134 STAT. 797</page> <paragraph class="fontsize10" id="ydfb2c986-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s203/f/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><heading class="fontsize10"><inline class="smallCaps">Interim report</inline>.—</heading><subparagraph class="fontsize10" id="ydfb2c987-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s203/f/1/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><content>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.</content></subparagraph> <subparagraph class="fontsize10" id="ydfb2c988-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s203/f/1/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><heading class="fontsize10"><inline class="smallCaps">Elements</inline>.—</heading><chapeau>The report required by subparagraph (A) shall include the following:</chapeau><clause class="fontsize10" id="ydfb2c989-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s203/f/1/B/i" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">(i) </num><content>The number of participants in the pilot program.</content></clause> <clause class="fontsize10" id="ydfb2c98a-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s203/f/1/B/ii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">(ii) </num><content>The type or types of therapy offered at each facility at which the pilot program is being carried out.</content></clause> <clause class="fontsize10" id="ydfb2c98b-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s203/f/1/B/iii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iii">(iii) </num><sidenote>Assessment.</sidenote><content>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).</content></clause> <clause class="fontsize10" id="ydfb2f09d-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s203/f/1/B/iv" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iv">(iv) </num><sidenote>Assessment.</sidenote><content>An assessment of the quality of life of veterans participating in the pilot program, including the results of a satisfaction survey of the participants in the pilot program, disaggregated by program under subsection (b).</content></clause> <clause class="fontsize10" id="ydfb2f09f-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s203/f/1/B/v" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="v">(v) </num><sidenote>Determination.</sidenote><content>The determination of the Secretary with respect to extending the pilot program under subsection (d)(2).</content></clause> <clause class="fontsize10" id="ydfb2f0a1-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s203/f/1/B/vi" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="vi">(vi) </num><sidenote>Recommenda-tions.</sidenote><content>Any recommendations of the Secretary with respect to expanding the pilot program.</content></clause> </subparagraph> </paragraph> <paragraph class="fontsize10" id="ydfb2f0a4-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s203/f/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><heading class="fontsize10"><inline class="smallCaps">Final report</inline>.—</heading><content>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.</content></paragraph> </subsection> </section> <section id="d229484e3018" identifier="/us/pl/116/171/tII/s204" style="-uslm-lc:I658143"><num class="fontsize12" value="204">SEC. 204. </num><heading>DEPARTMENT OF VETERANS AFFAIRS STUDY OF ALL-CAUSE MORTALITY OF VETERANS, INCLUDING BY SUICIDE, AND REVIEW OF STAFFING LEVELS OF MENTAL HEALTH PROFESSIONALS.</heading><subsection class="firstIndent0 fontsize10" id="ydfb3db05-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s204/a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="a">(a) </num><heading class="fontsize10"><inline class="smallCaps">Study of Deaths of Veterans by Suicide</inline>.—</heading><paragraph class="fontsize10" id="ydfb3db06-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s204/a/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><sidenote>Contracts.Coordination.Evaluation.</sidenote><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><content>The Secretary of Veterans Affairs shall seek to enter into an agreement with the National Academies of Sciences, Engineering, and Medicine under which the Secretary shall collaborate and coordinate with the National Academies on a revised study design to fulfill the goals of the 2019 study design of the National Academies described in the explanatory statement accompanying the Further Consolidated Appropriations Act, 2020 (<ref href="/us/pl/116/94">Public Law 116–94</ref>), as part of current and additional research priorities of the Department of Veterans Affairs, to evaluate the effects of opioids and benzodiazepine on all-cause mortality of veterans, including suicide, regardless of whether information relating to such deaths has been reported by the Centers for Disease Control and Prevention.</content></paragraph> <paragraph class="fontsize10" id="ydfb3db0a-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s204/a/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><heading class="fontsize10"><inline class="smallCaps">Goals</inline>.—</heading><content>In carrying out the collaboration and coordination under paragraph (1), the Secretary shall seek as much as possible to achieve the same advancement of useful knowledge as the 2019 study design described in such paragraph.</content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ydfb3db0b-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s204/b" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="b">(b) </num><heading class="fontsize10"><inline class="smallCaps">Review of Staffing Levels for Mental Health Professionals</inline>.—</heading><page identifier="/us/stat/134/798">134 STAT. 798</page> <paragraph class="fontsize10" id="ydfb3db0c-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s204/b/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><sidenote>Deadline.</sidenote><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><content>Not later than 90 days after the date of the enactment of this Act, the Comptroller General of the United States shall conduct a review of the staffing levels for mental health professionals of the Department.</content></paragraph> <paragraph class="fontsize10" id="ydfb3db0e-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s204/b/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><heading class="fontsize10"><inline class="smallCaps">Elements</inline>.—</heading><chapeau>The review required by paragraph (1) shall include a description of the efforts of the Department to maintain appropriate staffing levels for mental health professionals, such as mental health counselors, marriage and family therapists, and other appropriate counselors, including the following:</chapeau><subparagraph class="fontsize10" id="ydfb3db0f-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s204/b/2/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>A description of any impediments to carry out the education, training, and hiring of mental health counselors and marriage and family therapists under <ref href="/us/usc/t38/s7302/a">section 7302(a) of title 38, United States Code</ref>, and strategies for addressing those impediments.</content></subparagraph> <subparagraph class="fontsize10" id="ydfb3db10-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s204/b/2/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><chapeau>A description of the objectives, goals, and timing of the Department with respect to increasing the representation of such counselors and therapists in the behavioral health workforce of the Department, including—</chapeau><clause class="fontsize10" id="ydfb3db11-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s204/b/2/B/i" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">(i) </num><content>a review of qualification criteria for such counselors and therapists and a comparison of such criteria to that of other behavioral health professions in the Department; and</content></clause> <clause class="fontsize10" id="ydfb3db12-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s204/b/2/B/ii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">(ii) </num><sidenote>Assessment.</sidenote><content>an assessment of the participation of such counselors and therapists in the mental health professionals trainee program of the Department and any impediments to such participation.</content></clause> </subparagraph> <subparagraph class="fontsize10" id="ydfb3db14-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s204/b/2/C" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">(C) </num><sidenote>Assessment.</sidenote><content>An assessment of the development by the Department of hiring guidelines for mental health counselors, marriage and family therapists, and other appropriate counselors.</content></subparagraph> <subparagraph class="fontsize10" id="ydfb3db16-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s204/b/2/D" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="D">(D) </num><chapeau>A description of how the Department—</chapeau><clause class="fontsize10" id="ydfb3db17-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s204/b/2/D/i" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">(i) </num><content>identifies gaps in the supply of mental health professionals; and</content></clause> <clause class="fontsize10" id="ydfb3db18-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s204/b/2/D/ii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">(ii) </num><content>determines successful staffing ratios for mental health professionals of the Department.</content></clause> </subparagraph> <subparagraph class="fontsize10" id="ydfb3db19-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s204/b/2/E" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="E">(E) </num><sidenote>Consultation.Timeline.</sidenote><content>A description of actions taken by the Secretary, in consultation with the Director of the Office of Personnel Management, to create an occupational series for mental health counselors and marriage and family therapists of the Department and a timeline for the creation of such an occupational series.</content></subparagraph> <subparagraph class="fontsize10" id="ydfb3db1c-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s204/b/2/F" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="F">(F) </num><content>A description of actions taken by the Secretary to ensure that the national, regional, and local professional standards boards for mental health counselors and marriage and family therapists are comprised of only mental health counselors and marriage and family therapists and that the liaison from the Department to such boards is a mental health counselor or marriage and family therapist.</content></subparagraph> </paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ydfb3db1d-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s204/c" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="c">(c) </num><heading class="fontsize10"><inline class="smallCaps">Compilation of Data</inline>.—</heading><content>The Secretary of Veterans Affairs shall ensure that data under subsections (a) and (b) is compiled separately and disaggregated by year and compiled in a manner that allows it to be analyzed across all data fields for purposes of informing and updating clinical practice guidelines of the Department of Veterans Affairs.<page identifier="/us/stat/134/799">134 STAT. 799</page></content></subsection> <subsection class="firstIndent0 fontsize10" id="ydfb3db1e-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s204/d" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="d">(d) </num><sidenote>Deadlines.</sidenote><heading class="fontsize10"><inline class="smallCaps">Briefings</inline>.—</heading><chapeau>The Secretary of Veterans Affairs shall brief the Committee on Veterans’ Affairs of the Senate and the Committee on Veterans’ Affairs of the House of Representatives containing the interim results—</chapeau><paragraph class="fontsize10" id="ydfb3db20-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s204/d/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><content>with respect to the study under subsection (a)(1), not later than 24 months after entering into the agreement under such subsection; and</content></paragraph> <paragraph class="fontsize10" id="ydfb3db21-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s204/d/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><content>with respect to the review under subsection (b)(1), not later than 18 months after the date of the enactment of this Act.</content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ydfb3db22-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s204/e" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="e">(e) </num><sidenote>Public information.Coordination.</sidenote><heading class="fontsize10"><inline class="smallCaps">Reports</inline>.—</heading><paragraph class="fontsize10" id="ydfb3db25-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s204/e/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><heading class="fontsize10"><inline class="smallCaps">Report on study</inline>.—</heading><chapeau>Not later than 90 days after the completion by the Secretary of Veterans Affairs in coordination with the National Academies of Sciences, Engineering, and Medicine of the study required under subsection (a)(1), the Secretary shall—</chapeau><subparagraph class="fontsize10" id="ydfb40236-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s204/e/1/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>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 results of the study; and</content></subparagraph> <subparagraph class="fontsize10" id="ydfb40237-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s204/e/1/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>make such report publicly available.</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ydfb40238-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s204/e/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><heading class="fontsize10"><inline class="smallCaps">Report on review</inline>.—</heading><chapeau>Not later than 90 days after the completion by the Comptroller General of the United States of the review required under subsection (b)(1), the Comptroller General shall—</chapeau><subparagraph class="fontsize10" id="ydfb40239-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s204/e/2/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>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 results of the review; and</content></subparagraph> <subparagraph class="fontsize10" id="ydfb4023a-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s204/e/2/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>make such report publicly available.</content></subparagraph> </paragraph> </subsection> </section> <section id="d229484e3244" identifier="/us/pl/116/171/tII/s205" style="-uslm-lc:I658143"><num class="fontsize12" value="205">SEC. 205. </num><heading>COMPTROLLER GENERAL REPORT ON MANAGEMENT BY DEPARTMENT OF VETERANS AFFAIRS OF VETERANS AT HIGH RISK FOR SUICIDE.</heading><subsection class="firstIndent0 fontsize10" id="ydfb4776b-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s205/a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="a">(a) </num><heading class="fontsize10"><inline class="smallCaps">In General</inline>.—</heading><content>Not later than 18 months after the date of the enactment of this Act, the Comptroller General of the United States 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 efforts of the Department of Veterans Affairs to manage veterans at high risk for suicide.</content></subsection> <subsection class="firstIndent0 fontsize10" id="ydfb4776c-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s205/b" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="b">(b) </num><sidenote>Assessments.Determination.Coordination.</sidenote><heading class="fontsize10"><inline class="smallCaps">Elements</inline>.—</heading><chapeau>The report required by subsection (a) shall include the following:</chapeau><paragraph class="fontsize10" id="ydfb47770-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s205/b/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><chapeau>A description of how the Department identifies patients as high risk for suicide, with particular consideration to the efficacy of inputs into the Recovery Engagement and Coordination for Health – Veterans Enhanced Treatment program (commonly referred to as the “REACH VET” program) of the Department, including an assessment of the efficacy of such identifications disaggregated by—</chapeau><subparagraph class="fontsize10" id="ydfb47771-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s205/b/1/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>all demographic characteristics as determined necessary and appropriate by the Secretary of Veterans Affairs in coordination with the Centers for Disease Control and Prevention;</content></subparagraph> <subparagraph class="fontsize10" id="ydfb47772-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s205/b/1/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>Veterans Integrated Service Network; and</content></subparagraph> <subparagraph class="fontsize10" id="ydfb47773-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s205/b/1/C" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">(C) </num><content>to the extent practicable, medical center of the Department.<page identifier="/us/stat/134/800">134 STAT. 800</page></content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ydfb47774-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s205/b/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><chapeau>A description of how the Department intervenes when a patient is identified as high risk, including an assessment of the efficacy of such interventions disaggregated by—</chapeau><subparagraph class="fontsize10" id="ydfb47775-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s205/b/2/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>all demographic characteristics as determined necessary and appropriate by the Secretary in coordination with the Centers for Disease Control and Prevention;</content></subparagraph> <subparagraph class="fontsize10" id="ydfb47776-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s205/b/2/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>Veterans Integrated Service Network; and</content></subparagraph> <subparagraph class="fontsize10" id="ydfb47777-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s205/b/2/C" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">(C) </num><content>to the extent practicable, medical center of the Department.</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ydfb47778-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s205/b/3" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">(3) </num><chapeau>A description of how the Department monitors patients who have been identified as high risk, including an assessment of the efficacy of such monitoring and any follow-ups disaggregated by—</chapeau><subparagraph class="fontsize10" id="ydfb49e89-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s205/b/3/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>all demographic characteristics as determined necessary and appropriate by the Secretary in coordination with the Centers for Disease Control and Prevention;</content></subparagraph> <subparagraph class="fontsize10" id="ydfb49e8a-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s205/b/3/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>Veterans Integrated Service Network; and</content></subparagraph> <subparagraph class="fontsize10" id="ydfb49e8b-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s205/b/3/C" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">(C) </num><content>to the extent practicable, medical center of the Department.</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ydfb49e8c-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s205/b/4" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="4">(4) </num><sidenote>Review.</sidenote><content>A review of staffing levels of suicide prevention coordinators across the Veterans Health Administration.</content></paragraph> <paragraph class="fontsize10" id="ydfb49e8e-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s205/b/5" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="5">(5) </num><sidenote>Review.</sidenote><content>A review of the resources and programming offered to family members and friends of veterans who have a mental health condition in order to assist that veteran in treatment and recovery.</content></paragraph> <paragraph class="fontsize10" id="ydfb49e90-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tII/s205/b/6" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="6">(6) </num><content>An assessment of such other areas as the Comptroller General considers appropriate to study.</content></paragraph> </subsection> </section> <num value="III">TITLE III—</num><heading>PROGRAMS, STUDIES, AND GUIDELINES ON MENTAL HEALTH</heading> <section id="d229484e3366" identifier="/us/pl/116/171/tIII/s301" style="-uslm-lc:I658143"><num class="fontsize12" value="301">SEC. 301. </num><sidenote>Deadlines.</sidenote><heading>STUDY ON CONNECTION BETWEEN LIVING AT HIGH ALTITUDE AND SUICIDE RISK FACTORS AMONG VETERANS.</heading><subsection class="firstIndent0 fontsize10" id="ydfb4ecb2-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIII/s301/a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="a">(a) </num><sidenote>Consultation.</sidenote><heading class="fontsize10"><inline class="smallCaps">In General</inline>.—</heading><content>Not later than 180 days after the date of the enactment of this Act, the Secretary of Veterans Affairs, in consultation with Rural Health Resource Centers of the Office of Rural Health of the Department of Veterans Affairs, shall commence the conduct of a study on the connection between living at high altitude and the risk of developing depression or dying by suicide among veterans.</content></subsection> <subsection class="firstIndent0 fontsize10" id="ydfb4ecb4-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIII/s301/b" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="b">(b) </num><heading class="fontsize10"><inline class="smallCaps">Completion of Study</inline>.—</heading><content>The study conducted under subsection (a) shall be completed not later than three years after the date of the commencement of the study.</content></subsection> <subsection class="firstIndent0 fontsize10" id="ydfb4ecb5-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIII/s301/c" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="c">(c) </num><heading class="fontsize10"><inline class="smallCaps">Individual Impact</inline>.—</heading><content>The study conducted under subsection (a) shall be conducted so as to determine the effect of high altitude on suicide risk at the individual level, not at the State or county level.</content></subsection> <subsection class="firstIndent0 fontsize10" id="ydfb4ecb6-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIII/s301/d" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="d">(d) </num><heading class="fontsize10"><inline class="smallCaps">Report</inline>.—</heading><content>Not later than 150 days after the completion of the study conducted under subsection (a), 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 results of the study.</content></subsection> <subsection class="firstIndent0 fontsize10" id="ydfb4ecb7-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIII/s301/e" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="e">(e) </num><heading class="fontsize10"><inline class="smallCaps">Follow-up Study</inline>.—</heading><paragraph class="fontsize10" id="ydfb4ecb8-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIII/s301/e/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><sidenote>Determination.</sidenote><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><chapeau>If the Secretary determines through the study conducted under subsection (a) that living at high altitude is a risk factor for developing depression or dying by suicide, <page identifier="/us/stat/134/801">134 STAT. 801</page> the Secretary shall conduct an additional study to identify the following:</chapeau><subparagraph class="fontsize10" id="ydfb4ecba-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIII/s301/e/1/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>The most likely biological mechanism that makes living at high altitude a risk factor for developing depression or dying by suicide.</content></subparagraph> <subparagraph class="fontsize10" id="ydfb4ecbb-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIII/s301/e/1/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>The most effective treatment or intervention for reducing the risk of developing depression or dying by suicide associated with living at high altitude.</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ydfb4ecbc-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIII/s301/e/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><heading class="fontsize10"><inline class="smallCaps">Report</inline>.—</heading><content>Not later than 150 days after completing the study conducted under paragraph (1), 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 results of the study.</content></paragraph> </subsection> </section> <section id="d229484e3457" identifier="/us/pl/116/171/tIII/s302" style="-uslm-lc:I658143"><num class="fontsize12" value="302">SEC. 302. </num><sidenote><ref href="/us/usc/t38/s1712A">38 USC 1712A note</ref>.</sidenote><heading>ESTABLISHMENT BY DEPARTMENT OF VETERANS AFFAIRS AND DEPARTMENT OF DEFENSE OF A CLINICAL PROVIDER TREATMENT TOOLKIT AND ACCOMPANYING TRAINING MATERIALS FOR COMORBIDITIES.</heading><subsection class="firstIndent0 fontsize10" id="ydfb53ade-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIII/s302/a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="a">(a) </num><sidenote>Deadline.Consultation.</sidenote><heading class="fontsize10"><inline class="smallCaps">In General</inline>.—</heading><content>Not later than two years after the date of the enactment of this Act, the Secretary of Veterans Affairs, in consultation with the Secretary of Defense, shall develop a clinical provider treatment toolkit and accompanying training materials for the evidence-based management of comorbid mental health conditions, comorbid mental health and substance use disorders, and a comorbid mental health condition and chronic pain.</content></subsection> <subsection class="firstIndent0 fontsize10" id="ydfb53ae1-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIII/s302/b" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="b">(b) </num><heading class="fontsize10"><inline class="smallCaps">Matters Included</inline>.—</heading><chapeau>In developing the clinical provider treatment toolkit and accompanying training materials under subsection (a), the Secretary of Veterans Affairs and the Secretary of Defense shall ensure that the toolkit and training materials include guidance with respect to the following:</chapeau><paragraph class="fontsize10" id="ydfb53ae2-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIII/s302/b/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><content>The treatment of patients with post-traumatic stress disorder who are also experiencing an additional mental health condition, a substance use disorder, or chronic pain.</content></paragraph> <paragraph class="fontsize10" id="ydfb53ae3-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIII/s302/b/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><content>The treatment of patients experiencing a mental health condition, including anxiety, depression, or bipolar disorder, who are also experiencing a substance use disorder or chronic pain.</content></paragraph> <paragraph class="fontsize10" id="ydfb53ae4-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIII/s302/b/3" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">(3) </num><chapeau>The treatment of patients with traumatic brain injury who are also experiencing—</chapeau><subparagraph class="fontsize10" id="ydfb53ae5-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIII/s302/b/3/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>a mental health condition, including post-traumatic stress disorder, anxiety, depression, or bipolar disorder;</content></subparagraph> <subparagraph class="fontsize10" id="ydfb53ae6-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIII/s302/b/3/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>a substance use disorder; or</content></subparagraph> <subparagraph class="fontsize10" id="ydfb53ae7-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIII/s302/b/3/C" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">(C) </num><content>chronic pain.</content></subparagraph> </paragraph> </subsection> </section> <section id="d229484e3520" identifier="/us/pl/116/171/tIII/s303" style="-uslm-lc:I658143"><num class="fontsize12" value="303">SEC. 303. </num><sidenote><ref href="/us/usc/t38/s1720F">38 USC 1720F note</ref>.</sidenote><heading>UPDATE OF CLINICAL PRACTICE GUIDELINES FOR ASSESSMENT AND MANAGEMENT OF PATIENTS AT RISK FOR SUICIDE.</heading><subsection class="firstIndent0 fontsize10" id="ydfb5d729-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIII/s303/a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="a">(a) </num><sidenote>Publication.</sidenote><heading class="fontsize10"><inline class="smallCaps">In General</inline>.—</heading><chapeau>In the first publication of the Department of Veterans Affairs and Department of Defense Clinical Practice Guideline for Assessment and Management of Patients at Risk for Suicide published after the date of the enactment of this Act, the Secretary of Veterans Affairs and the Secretary of Defense, through the Assessment and Management of Patients at Risk for Suicide Work Group (in this section referred to as the “Work Group”), shall ensure the publication includes the following:</chapeau><paragraph class="fontsize10" id="ydfb5d72b-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIII/s303/a/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><chapeau>Enhanced guidance with respect to gender-specific—</chapeau><subparagraph class="fontsize10" id="ydfb5d72c-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIII/s303/a/1/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>risk factors for suicide and suicidal ideation;<page identifier="/us/stat/134/802">134 STAT. 802</page></content></subparagraph> <subparagraph class="fontsize10" id="ydfb5d72d-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIII/s303/a/1/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>treatment efficacy for depression and suicide prevention;</content></subparagraph> <subparagraph class="fontsize10" id="ydfb5d72e-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIII/s303/a/1/C" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">(C) </num><content>pharmacotherapy efficacy; and</content></subparagraph> <subparagraph class="fontsize10" id="ydfb5d72f-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIII/s303/a/1/D" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="D">(D) </num><content>psychotherapy efficacy.</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ydfb5d730-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIII/s303/a/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><chapeau>Guidance with respect to the efficacy of alternative therapies, other than psychotherapy and pharmacotherapy, including the following:</chapeau><subparagraph class="fontsize10" id="ydfb5d731-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIII/s303/a/2/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>Yoga therapy.</content></subparagraph> <subparagraph class="fontsize10" id="ydfb5d732-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIII/s303/a/2/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>Meditation therapy.</content></subparagraph> <subparagraph class="fontsize10" id="ydfb5d733-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIII/s303/a/2/C" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">(C) </num><content>Equine therapy.</content></subparagraph> <subparagraph class="fontsize10" id="ydfb5d734-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIII/s303/a/2/D" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="D">(D) </num><content>Other animal therapy.</content></subparagraph> <subparagraph class="fontsize10" id="ydfb5d735-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIII/s303/a/2/E" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="E">(E) </num><content>Training and caring for service dogs.</content></subparagraph> <subparagraph class="fontsize10" id="ydfb5d736-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIII/s303/a/2/F" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="F">(F) </num><content>Agritherapy.</content></subparagraph> <subparagraph class="fontsize10" id="ydfb5d737-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIII/s303/a/2/G" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="G">(G) </num><content>Art therapy.</content></subparagraph> <subparagraph class="fontsize10" id="ydfb5d738-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIII/s303/a/2/H" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="H">(H) </num><content>Outdoor sports therapy.</content></subparagraph> <subparagraph class="fontsize10" id="ydfb5d739-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIII/s303/a/2/I" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="I">(I) </num><content>Music therapy.</content></subparagraph> <subparagraph class="fontsize10" id="ydfb5d73a-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIII/s303/a/2/J" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="J">(J) </num><content>Any other alternative therapy that the Work Group considers appropriate.</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ydfb5d73b-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIII/s303/a/3" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">(3) </num><content>Guidance with respect to the findings of the Creating Options for Veterans’ Expedited Recovery Commission (commonly referred to as the “COVER Commission”) established under section 931 of the Jason Simcakoski Memorial and Promise Act (<ref href="/us/pl/114/198/tIX">title IX of Public Law 114–198</ref>; <ref href="/us/usc/t38/s1701">38 U.S.C. 1701 note</ref>).</content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ydfb5d73c-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIII/s303/b" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="b">(b) </num><heading class="fontsize10"><inline class="smallCaps">Rule of Construction</inline>.—</heading><content>Nothing in this section shall be construed to prevent the Secretary of Veterans Affairs and the Secretary of Defense from considering all relevant evidence, as appropriate, in updating the Department of Veterans Affairs and Department of Defense Clinical Practice Guideline for Assessment and Management of Patients at Risk for Suicide, as required under subsection (a), or from ensuring that the final clinical practice guidelines updated under such subsection remain applicable to the patient populations of the Department of Veterans Affairs and the Department of Defense.</content></subsection> </section> <section id="d229484e3647" identifier="/us/pl/116/171/tIII/s304" style="-uslm-lc:I658143"><num class="fontsize12" value="304">SEC. 304. </num><sidenote><ref href="/us/usc/t38/s1712A">38 USC 1712A note</ref>.</sidenote><heading>ESTABLISHMENT BY DEPARTMENT OF VETERANS AFFAIRS AND DEPARTMENT OF DEFENSE OF CLINICAL PRACTICE GUIDELINES FOR THE TREATMENT OF SERIOUS MENTAL ILLNESS.</heading><subsection class="firstIndent0 fontsize10" id="ydfb69a8e-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIII/s304/a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="a">(a) </num><sidenote>Deadline.Consultations.</sidenote><heading class="fontsize10"><inline class="smallCaps">In General</inline>.—</heading><chapeau>Not later than two years after the date of the enactment of this Act, the Secretary of Veterans Affairs, in consultation with the Secretary of Defense and the Secretary of Health and Human Services, shall complete the development of a clinical practice guideline or guidelines for the treatment of serious mental illness, to include the following conditions:</chapeau><paragraph class="fontsize10" id="ydfb69a91-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIII/s304/a/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><content>Schizophrenia.</content></paragraph> <paragraph class="fontsize10" id="ydfb69a92-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIII/s304/a/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><content>Schizoaffective disorder.</content></paragraph> <paragraph class="fontsize10" id="ydfb69a93-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIII/s304/a/3" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">(3) </num><content>Persistent mood disorder, including bipolar disorder I and II.</content></paragraph> <paragraph class="fontsize10" id="ydfb69a94-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIII/s304/a/4" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="4">(4) </num><content>Any other mental, behavioral, or emotional disorder resulting in serious functional impairment that substantially interferes with major life activities as the Secretary of Veterans Affairs, in consultation with the Secretary of Defense and the Secretary of Health and Human Services, considers appropriate.</content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ydfb69a95-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIII/s304/b" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="b">(b) </num><heading class="fontsize10"><inline class="smallCaps">Matters Included in Guidelines</inline>.—</heading><chapeau>The clinical practice guideline or guidelines developed under subsection (a) shall include the following:<page identifier="/us/stat/134/803">134 STAT. 803</page></chapeau><paragraph class="fontsize10" id="ydfb69a96-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIII/s304/b/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><content>Guidance contained in the 2016 Clinical Practice Guidelines for the Management of Major Depressive Disorders of the Department of Veterans Affairs and the Department of Defense.</content></paragraph> <paragraph class="fontsize10" id="ydfb69a97-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIII/s304/b/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><content>Guidance with respect to the treatment of patients with a condition described in subsection (a).</content></paragraph> <paragraph class="fontsize10" id="ydfb69a98-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIII/s304/b/3" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">(3) </num><sidenote>List.</sidenote><content>A list of evidence-based therapies for the treatment of conditions described in subsection (a).</content></paragraph> <paragraph class="fontsize10" id="ydfb69a9a-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIII/s304/b/4" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="4">(4) </num><content>An appropriate guideline for the administration of pharmacological therapy, psychological or behavioral therapy, or other therapy for the management of conditions described in subsection (a).</content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ydfb69a9b-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIII/s304/c" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="c">(c) </num><sidenote>Deadline.Consultation.</sidenote><heading class="fontsize10"><inline class="smallCaps">Assessment of Existing Guidelines</inline>.—</heading><content>Not later than two years after the date of the enactment of this Act, the Secretary of Veterans Affairs, in consultation with the Secretary of Defense and the Secretary of Health and Human Services, shall complete an assessment of the 2016 Clinical Practice Guidelines for the Management of Major Depressive Disorders to determine whether an update to such guidelines is necessary.</content></subsection> <subsection class="firstIndent0 fontsize10" id="ydfb69a9e-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIII/s304/d" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="d">(d) </num><heading class="fontsize10"><inline class="smallCaps">Work Group</inline>.—</heading><paragraph class="fontsize10" id="ydfb69a9f-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIII/s304/d/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><heading class="fontsize10"><inline class="smallCaps">Establishment</inline>.—</heading><content>The Secretary of Veterans Affairs, the Secretary of Defense, and the Secretary of Health and Human Services shall create a work group to develop the clinical practice guideline or guidelines under subsection (a) to be known as the “Serious Mental Illness Work Group” (in this subsection referred to as the “Work Group”).</content></paragraph> <paragraph class="fontsize10" id="ydfb69aa0-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIII/s304/d/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><heading class="fontsize10"><inline class="smallCaps">Membership</inline>.—</heading><chapeau>The Work Group created under paragraph (1) shall be comprised of individuals that represent Federal Government entities and non-Federal Government entities with expertise in the areas covered by the Work Group, including the following entities:</chapeau><subparagraph class="fontsize10" id="ydfb6c0b1-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIII/s304/d/2/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>Academic institutions that specialize in research for the treatment of conditions described in subsection (a).</content></subparagraph> <subparagraph class="fontsize10" id="ydfb6c0b2-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIII/s304/d/2/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>The Health Services Research and Development Service of the Department of Veterans Affairs.</content></subparagraph> <subparagraph class="fontsize10" id="ydfb6c0b3-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIII/s304/d/2/C" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">(C) </num><content>The Office of the Assistant Secretary for Mental Health and Substance Use of the Department of Health and Human Services.</content></subparagraph> <subparagraph class="fontsize10" id="ydfb6c0b4-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIII/s304/d/2/D" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="D">(D) </num><content>The National Institute of Mental Health.</content></subparagraph> <subparagraph class="fontsize10" id="ydfb6c0b5-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIII/s304/d/2/E" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="E">(E) </num><content>The Indian Health Service.</content></subparagraph> <subparagraph class="fontsize10" id="ydfb6c0b6-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIII/s304/d/2/F" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="F">(F) </num><content>Relevant organizations with expertise in researching, diagnosing, or treating conditions described in subsection (a).</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ydfb6c0b7-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIII/s304/d/3" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">(3) </num><heading class="fontsize10"><inline class="smallCaps">Relation to other work groups</inline>.—</heading><content>The Work Group shall be created and conducted in the same manner as other work groups for the development of clinical practice guidelines for the Department of Veterans Affairs and the Department of Defense.</content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ydfb6c0b8-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIII/s304/e" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="e">(e) </num><heading class="fontsize10"><inline class="smallCaps">Rule of Construction</inline>.—</heading><content>Nothing in this section shall be construed to prevent the Secretary of Veterans Affairs and the Secretary of Defense from considering all relevant evidence, as appropriate, in creating the clinical practice guideline or guidelines required under subsection (a) or from ensuring that the final clinical practice guideline or guidelines developed under such subsection and subsequently updated, as appropriate, remain applicable to the patient populations of the Department of Veterans Affairs and the Department of Defense.<page identifier="/us/stat/134/804">134 STAT. 804</page></content></subsection> </section> <section id="d229484e3820" identifier="/us/pl/116/171/tIII/s305" style="-uslm-lc:I658143"><num class="fontsize12" value="305">SEC. 305. </num><sidenote><ref href="/us/usc/t38/s1712A">38 USC 1712A note</ref>.</sidenote><heading>PRECISION MEDICINE INITIATIVE OF DEPARTMENT OF VETERANS AFFAIRS TO IDENTIFY AND VALIDATE BRAIN AND MENTAL HEALTH BIOMARKERS.</heading><subsection class="firstIndent0 fontsize10" id="ydfb7840a-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIII/s305/a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="a">(a) </num><sidenote>Deadline.</sidenote><heading class="fontsize10"><inline class="smallCaps">In General</inline>.—</heading><content>Beginning not later than 18 months after the date of the enactment of this Act, the Secretary of Veterans Affairs shall develop and implement an initiative of the Department of Veterans Affairs to identify and validate brain and mental health biomarkers among veterans, with specific consideration for depression, anxiety, post-traumatic stress disorder, bipolar disorder, traumatic brain injury, and such other mental health conditions as the Secretary considers appropriate. Such initiative may be referred to as the “Precision Medicine for Veterans Initiative”.</content></subsection> <subsection class="firstIndent0 fontsize10" id="ydfb7840c-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIII/s305/b" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="b">(b) </num><heading class="fontsize10"><inline class="smallCaps">Model of Initiative</inline>.—</heading><content>The initiative under subsection (a) shall be modeled on the All of Us Precision Medicine Initiative administered by the National Institutes of Health with respect to large-scale collection of standardized data and open data sharing.</content></subsection> <subsection class="firstIndent0 fontsize10" id="ydfb7840d-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIII/s305/c" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="c">(c) </num><heading class="fontsize10"><inline class="smallCaps">Methods</inline>.—</heading><content>The initiative under subsection (a) shall include brain structure and function measurements, such as functional magnetic resonance imaging and electroencephalogram, and shall coordinate with additional biological methods of analysis utilized in the Million Veterans Program of the Department of Veterans Affairs.</content></subsection> <subsection class="firstIndent0 fontsize10" id="ydfb7840e-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIII/s305/d" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="d">(d) </num><heading class="fontsize10"><inline class="smallCaps">Use of Data</inline>.—</heading><paragraph class="fontsize10" id="ydfb7840f-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIII/s305/d/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><heading class="fontsize10"><inline class="smallCaps">Privacy and security</inline>.—</heading><content>In carrying out the initiative under subsection (a), the Secretary shall develop robust data privacy and security measures, consistent with <ref href="/us/usc/t5/s552a">section 552a of title 5, United States Code</ref> (commonly known as the “Privacy Act of 1974”), and regulations promulgated pursuant to the Health Insurance Portability and Accountability Act of 1996 (parts 160, 162, and 164 of <ref href="/us/cfr/t45">title 45, Code of Federal Regulations</ref>, or successor regulations) to ensure that information of veterans participating in the initiative is kept private and secure.</content></paragraph> <paragraph class="fontsize10" id="ydfb78410-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIII/s305/d/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><heading class="fontsize10"><inline class="smallCaps">Consultation with the national institutes of science and technology</inline>.—</heading><content>The Secretary may consult with the National Institute of Science and Technology in developing the data privacy and security measures described in paragraph (1).</content></paragraph> <paragraph class="fontsize10" id="ydfb78411-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIII/s305/d/3" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">(3) </num><heading class="fontsize10"><inline class="smallCaps">Access standards</inline>.—</heading><content>The Secretary shall provide access to information under the initiative consistent with the standards described in <ref href="/us/usc/t5/s552a/d/1">section 552a(d)(1) of title 5, United States Code</ref>, and <ref href="/us/cfr/t45/s164.524">section 164.524 of title 45, Code of Federal Regulations</ref>, or successor regulations.</content></paragraph> <paragraph class="fontsize10" id="ydfb78412-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIII/s305/d/4" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="4">(4) </num><heading class="fontsize10"><inline class="smallCaps">Open platform</inline>.—</heading><subparagraph class="fontsize10" id="ydfb78413-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIII/s305/d/4/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><heading class="fontsize10"><inline class="smallCaps">Availability of data</inline>.—</heading><content>The Secretary shall make de-identified data collected under the initiative available for research purposes to Federal agencies.</content></subparagraph> <subparagraph class="fontsize10" id="ydfb78414-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIII/s305/d/4/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><heading class="fontsize10"><inline class="smallCaps">Contract</inline>.—</heading><content>The Secretary shall contract with nongovernment entities that comply with requisite data security measures to make available for research purposes de-identified data collected under the initiative.</content></subparagraph> <subparagraph class="fontsize10" id="ydfb78415-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIII/s305/d/4/C" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">(C) </num><heading class="fontsize10"><inline class="smallCaps">Assistance</inline>.—</heading><content>The Secretary shall provide assistance to a Federal agency conducting research using data collected under the initiative at the request of that agency.</content></subparagraph> <subparagraph class="fontsize10" id="ydfb78416-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIII/s305/d/4/D" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="D">(D) </num><heading class="fontsize10"><inline class="smallCaps">Prohibition on transfer of data</inline>.—</heading><content>Federal agencies may not disclose, transmit, share, sell, license, or otherwise transfer data collected under the initiative to any <page identifier="/us/stat/134/805">134 STAT. 805</page> nongovernment entity other than as allowed under subparagraph (B).</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ydfb78417-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIII/s305/d/5" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="5">(5) </num><heading class="fontsize10"><inline class="smallCaps">Standardization</inline>.—</heading><subparagraph class="fontsize10" id="ydfb78418-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIII/s305/d/5/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><content>The Secretary shall ensure that data collected under the initiative is standardized.</content></subparagraph> <subparagraph class="fontsize10" id="ydfb78419-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIII/s305/d/5/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><heading class="fontsize10"><inline class="smallCaps">Consultation</inline>.—</heading><content>The Secretary shall consult with the National Institutes of Health and the Food and Drug Administration to determine the most effective, efficient, and cost-effective way of standardizing data collected under the initiative.</content></subparagraph> <subparagraph class="fontsize10" id="ydfb7841a-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIII/s305/d/5/C" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">(C) </num><sidenote>Consultation.</sidenote><heading class="fontsize10"><inline class="smallCaps">Manner of standardization</inline>.—</heading><content>In consultation with the National Institute for Science and Technology, data collected under the initiative shall be standardized in the manner in which it is collected, entered into the database, extracted, and recorded.</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ydfb7841c-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIII/s305/d/6" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="6">(6) </num><heading class="fontsize10"><inline class="smallCaps">Measures of brain function or structure</inline>.—</heading><content>Any measures of brain function or structure collected under the initiative shall be collected with a device that is approved by the Food and Drug Administration.</content></paragraph> <paragraph class="fontsize10" id="ydfb7841d-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIII/s305/d/7" role="definitions" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="7">(7) </num><heading class="fontsize10"><inline class="smallCaps">De-identified data defined</inline>.—</heading><chapeau>In this subsection, the term “<term>de-identified data</term>” means, with respect to data held by the Department of Veterans Affairs, that the Department—</chapeau><subparagraph class="fontsize10" id="ydfb7841e-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIII/s305/d/7/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>alters, anonymizes, or aggregates the data so that there is a reasonable basis for expecting that the data could not be linked as a practical matter to a specific individual;</content></subparagraph> <subparagraph class="fontsize10" id="ydfb7841f-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIII/s305/d/7/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>publicly commits to refrain from attempting to re-identify the data with a specific individual, and adopts controls to prevent such identification; and</content></subparagraph> <subparagraph class="fontsize10" id="ydfb78420-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIII/s305/d/7/C" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">(C) </num><content>causes the data to be covered by a contractual or other legally enforceable prohibition on each entity to which the Department discloses the data from attempting to use the data to identify a specific individual and requires the same of all onward disclosures.</content></subparagraph> </paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ydfb78421-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIII/s305/e" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="e">(e) </num><heading class="fontsize10"><inline class="smallCaps">Inclusion of Initiative in Program</inline>.—</heading><content>The Secretary shall coordinate efforts of the initiative under subsection (a) with the Million Veterans Program of the Department.</content></subsection> </section> <section id="d229484e4039" identifier="/us/pl/116/171/tIII/s306" style="-uslm-lc:I658143"><num class="fontsize12" value="306">SEC. 306. </num><heading>STATISTICAL ANALYSES AND DATA EVALUATION BY DEPARTMENT OF VETERANS AFFAIRS.</heading><subsection class="firstIndent0 fontsize10" id="ydfb7ab32-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIII/s306/a" role="instruction" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="a">(a) </num><heading class="fontsize10"><inline class="smallCaps">In General</inline>.—</heading><content><ref href="/us/usc/t38/ch1">Chapter 1 of title 38, United States Code</ref>, <amendingAction type="amend">is amended</amendingAction> by <amendingAction type="add">adding</amendingAction> at the end the following new section:<quotedContent><section class="centered fontsize12" id="ydfb7d243-e827-11f0-bc57-ad3ac4b1618c" style="-uslm-lc:I658163"><num class="fontsize12" value="119">“§ 119.</num><heading class="fontsize12"><sidenote><ref href="/us/usc/t38/s119">38 USC 119</ref>.</sidenote> Contracting for statistical analyses and data evaluation</heading><subsection class="firstIndent0 fontsize10" id="ydfb7d245-e827-11f0-bc57-ad3ac4b1618c" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="a">“(a) </num><sidenote>Determination.</sidenote><heading class="fontsize10"><inline class="smallCaps">In General</inline>.—</heading><content>The Secretary may enter into a contract or other agreement with an academic institution or other qualified entity, as determined by the Secretary, to carry out statistical analyses and data evaluation as required of the Secretary by law.”</content></subsection> </section> </quotedContent>.<quotedContent><subsection class="firstIndent0 fontsize10" id="ydfb7d247-e827-11f0-bc57-ad3ac4b1618c" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="b">“(b) </num><heading class="fontsize10"><inline class="smallCaps">Rule of Construction</inline>.—</heading><content>Nothing in this section may be construed to limit the authority of the Secretary to enter into contracts or other agreements for statistical analyses and data evaluation under any other provision of law.”</content></subsection> </quotedContent>.</content></subsection> <subsection class="firstIndent0 fontsize10" id="ydfb7d248-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIII/s306/b" role="instruction" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="b">(b) </num><heading class="fontsize10"><inline class="smallCaps">Clerical Amendment</inline>.—</heading><content>The table of sections at the beginning of chapter 1 of such title<sidenote><ref href="/us/usc/t38/s101">38 USC 101</ref> prec.<?GPOvSpace 04?></sidenote> <amendingAction type="amend">is amended</amendingAction> by <amendingAction type="add">adding</amendingAction> at the end the following new item:<quotedContent><toc> <referenceItem role="section" style="-uslm-lc:I658242"> <designator>“119. </designator> <label>Contracting for statistical analyses and data evaluation.”.</label> </referenceItem></toc> </quotedContent><page identifier="/us/stat/134/806">134 STAT. 806</page></content></subsection> </section> <num value="IV">TITLE IV—</num><heading>OVERSIGHT OF MENTAL HEALTH CARE AND RELATED SERVICES</heading> <section id="d229484e4138" identifier="/us/pl/116/171/tIV/s401" style="-uslm-lc:I658143"><num class="fontsize12" value="401">SEC. 401. </num><heading>STUDY ON EFFECTIVENESS OF SUICIDE PREVENTION AND MENTAL HEALTH OUTREACH PROGRAMS OF DEPARTMENT OF VETERANS AFFAIRS.</heading><subsection class="firstIndent0 fontsize10" id="ydfb97ffa-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s401/a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="a">(a) </num><sidenote>Deadline.Contracts.</sidenote><heading class="fontsize10"><inline class="smallCaps">In General</inline>.—</heading><content>Not later than 180 days after the date of the enactment of this Act, the Secretary of Veterans Affairs shall enter into an agreement with a non-Federal Government entity with expertise in conducting and evaluating research-based studies to conduct a study on the effectiveness of the suicide prevention and mental health outreach materials prepared by the Department of Veterans Affairs and the suicide prevention and mental health outreach campaigns conducted by the Department.</content></subsection> <subsection class="firstIndent0 fontsize10" id="ydfb97ffd-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s401/b" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="b">(b) </num><heading class="fontsize10"><inline class="smallCaps">Use of Focus Groups</inline>.—</heading><paragraph class="fontsize10" id="ydfb97ffe-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s401/b/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><content>The Secretary shall convene not fewer than eight different focus groups to evaluate the effectiveness of the suicide prevention and mental health materials and campaigns as required under subsection (a).</content></paragraph> <paragraph class="fontsize10" id="ydfb97fff-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s401/b/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><heading class="fontsize10"><inline class="smallCaps">Location of focus groups</inline>.—</heading><chapeau>Focus groups convened under paragraph (1) shall be held in geographically diverse areas as follows:</chapeau><subparagraph class="fontsize10" id="ydfb98000-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s401/b/2/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>Not fewer than two in rural or highly rural areas.</content></subparagraph> <subparagraph class="fontsize10" id="ydfb98001-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s401/b/2/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>Not fewer than one in each of the four districts of the Veterans Benefits Administration.</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ydfb98002-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s401/b/3" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">(3) </num><heading class="fontsize10"><inline class="smallCaps">Timing of focus groups</inline>.—</heading><content>Focus groups convened under paragraph (1) shall be held at a variety of dates and times to ensure an adequate representation of veterans with different work schedules.</content></paragraph> <paragraph class="fontsize10" id="ydfb98003-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s401/b/4" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="4">(4) </num><heading class="fontsize10"><inline class="smallCaps">Number of participants</inline>.—</heading><content>Each focus group convened under paragraph (1) shall include not fewer than five and not more than 12 participants.</content></paragraph> <paragraph class="fontsize10" id="ydfb9a714-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s401/b/5" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="5">(5) </num><heading class="fontsize10"><inline class="smallCaps">Representation</inline>.—</heading><chapeau>Each focus group convened under paragraph (1) shall, to the extent practicable, include veterans of diverse backgrounds, including—</chapeau><subparagraph class="fontsize10" id="ydfb9a715-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s401/b/5/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>veterans of all eras, as determined by the Secretary;</content></subparagraph> <subparagraph class="fontsize10" id="ydfb9a716-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s401/b/5/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>women veterans;</content></subparagraph> <subparagraph class="fontsize10" id="ydfb9a717-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s401/b/5/C" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">(C) </num><content>minority veterans;</content></subparagraph> <subparagraph class="fontsize10" id="ydfb9a718-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s401/b/5/D" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="D">(D) </num><content>Native American veterans, as defined in <ref href="/us/usc/t38/s3765">section 3765 of title 38, United States Code</ref>;</content></subparagraph> <subparagraph class="fontsize10" id="ydfb9a719-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s401/b/5/E" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="E">(E) </num><content>veterans who identify as lesbian, gay, bisexual, transgender, or queer (commonly referred to as “LGBTQ”);</content></subparagraph> <subparagraph class="fontsize10" id="ydfb9a71a-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s401/b/5/F" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="F">(F) </num><content>veterans who live in rural or highly rural areas;</content></subparagraph> <subparagraph class="fontsize10" id="ydfb9a71b-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s401/b/5/G" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="G">(G) </num><content>individuals transitioning from active duty in the Armed Forces to civilian life; and</content></subparagraph> <subparagraph class="fontsize10" id="ydfb9a71c-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s401/b/5/H" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="H">(H) </num><content>other high-risk groups of veterans, as determined by the Secretary.</content></subparagraph> </paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ydfb9a71d-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s401/c" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="c">(c) </num><heading class="fontsize10"><inline class="smallCaps">Report</inline>.—</heading><paragraph class="fontsize10" id="ydfb9a71e-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s401/c/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><content>Not later than 90 days after the last focus group meeting under subsection (b), 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 findings of the focus groups.</content></paragraph> <paragraph class="fontsize10" id="ydfb9a71f-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s401/c/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><heading class="fontsize10"><inline class="smallCaps">Elements</inline>.—</heading><chapeau>The report required by paragraph (1) shall include the following:<page identifier="/us/stat/134/807">134 STAT. 807</page></chapeau><subparagraph class="fontsize10" id="ydfb9a720-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s401/c/2/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><sidenote>Assessment.</sidenote><content>Based on the findings of the focus groups, an assessment of the effectiveness of current suicide prevention and mental health materials and campaigns of the Department in reaching veterans as a whole as well as specific groups of veterans (for example, women veterans).</content></subparagraph> <subparagraph class="fontsize10" id="ydfb9a722-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s401/c/2/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><sidenote>Recommenda-tions.</sidenote><content>Based on the findings of the focus groups, recommendations for future suicide prevention and mental health materials and campaigns of the Department to target specific groups of veterans.</content></subparagraph> <subparagraph class="fontsize10" id="ydfb9a725-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s401/c/2/C" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">(C) </num><sidenote>Plan.</sidenote><content>A plan to change the current suicide prevention and mental health materials and campaigns of the Department or, if the Secretary decides not to change the current materials and campaigns, an explanation of the reason for maintaining the current materials and campaigns.</content></subparagraph> <subparagraph class="fontsize10" id="ydfb9a727-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s401/c/2/D" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="D">(D) </num><content>A description of any dissenting or opposing viewpoints raised by participants in the focus group.</content></subparagraph> <subparagraph class="fontsize10" id="ydfb9a728-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s401/c/2/E" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="E">(E) </num><content>Such other issues as the Secretary considers necessary.</content></subparagraph> </paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ydfb9a729-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s401/d" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="d">(d) </num><heading class="fontsize10"><inline class="smallCaps">Representative Survey</inline>.—</heading><paragraph class="fontsize10" id="ydfb9a72a-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s401/d/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><sidenote>Deadline.</sidenote><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><content>Not later than one year after the last focus group meeting under subsection (b), the Secretary shall complete a representative survey of the veteran population that is informed by the focus group data in order to collect information about the effectiveness of the mental health and suicide prevention materials and campaigns conducted by the Department.</content></paragraph> <paragraph class="fontsize10" id="ydfb9a72c-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s401/d/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><heading class="fontsize10"><inline class="smallCaps">Veterans surveyed</inline>.—</heading><subparagraph class="fontsize10" id="ydfb9a72d-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s401/d/2/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><content>Veterans surveyed under paragraph (1) shall include veterans described in subsection (b)(5).</content></subparagraph> <subparagraph class="fontsize10" id="ydfb9a72e-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s401/d/2/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><sidenote>Time period.</sidenote><heading class="fontsize10"><inline class="smallCaps">Disaggregation of data</inline>.—</heading><chapeau>Data of veterans surveyed under paragraph (1) shall be disaggregated by—</chapeau><clause class="fontsize10" id="ydfb9a730-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s401/d/2/B/i" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">(i) </num><content>veterans who have received care from the Department during the two-year period preceding the survey; and</content></clause> <clause class="fontsize10" id="ydfb9a731-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s401/d/2/B/ii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">(ii) </num><content>veterans who have not received care from the Department during the two-year period preceding the survey.</content></clause> </subparagraph> </paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ydfb9a732-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s401/e" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="e">(e) </num><sidenote><ref href="/us/usc/t38/s1720F">38 USC 1720F note</ref>.</sidenote><heading class="fontsize10"><inline class="smallCaps">Treatment of Contracts for Suicide Prevention and Mental Health Outreach Media</inline>.—</heading><paragraph class="fontsize10" id="ydfb9a734-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s401/e/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><heading class="fontsize10"><inline class="smallCaps">Focus groups</inline>.—</heading><subparagraph class="fontsize10" id="ydfb9a735-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s401/e/1/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><sidenote>Assessment.</sidenote><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><content>The Secretary shall include in each contract to develop media relating to suicide prevention and mental health materials and campaigns a requirement that the contractor convene focus groups of veterans to assess the effectiveness of suicide prevention and mental health outreach.</content></subparagraph> <subparagraph class="fontsize10" id="ydfb9a737-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s401/e/1/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><heading class="fontsize10"><inline class="smallCaps">Representation</inline>.—</heading><chapeau>Each focus group required under subparagraph (A) shall, to the extent practicable, include veterans of diverse backgrounds, including—</chapeau><clause class="fontsize10" id="ydfb9a738-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s401/e/1/B/i" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">(i) </num><content>veterans of all eras, as determined by the Secretary;</content></clause> <clause class="fontsize10" id="ydfb9a739-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s401/e/1/B/ii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">(ii) </num><content>women veterans;</content></clause> <clause class="fontsize10" id="ydfb9a73a-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s401/e/1/B/iii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iii">(iii) </num><content>minority veterans;</content></clause> <clause class="fontsize10" id="ydfb9a73b-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s401/e/1/B/iv" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iv">(iv) </num><content>Native American veterans, as defined in <ref href="/us/usc/t38/s3765">section 3765 of title 38, United States Code</ref>;<page identifier="/us/stat/134/808">134 STAT. 808</page></content></clause> <clause class="fontsize10" id="ydfb9a73c-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s401/e/1/B/v" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="v">(v) </num><content>veterans who identify as lesbian, gay, bisexual, transgender, or queer (commonly referred to as “LGBTQ”);</content></clause> <clause class="fontsize10" id="ydfb9a73d-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s401/e/1/B/vi" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="vi">(vi) </num><content>veterans who live in rural or highly rural areas;</content></clause> <clause class="fontsize10" id="ydfb9a73e-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s401/e/1/B/vii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="vii">(vii) </num><content>individuals transitioning from active duty in the Armed Forces to civilian life; and</content></clause> <clause class="fontsize10" id="ydfb9a73f-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s401/e/1/B/viii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="viii">(viii) </num><content>other high-risk groups of veterans, as determined by the Secretary.</content></clause> </subparagraph> </paragraph> <paragraph class="fontsize10" id="ydfb9a740-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s401/e/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><heading class="fontsize10"><inline class="smallCaps">Subcontracting</inline>.—</heading><subparagraph class="fontsize10" id="ydfb9a741-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s401/e/2/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><sidenote>Requirement.</sidenote><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><content>The Secretary shall include in each contract described in paragraph (1)(A) a requirement that, if the contractor subcontracts for the development of media, the contractor shall subcontract with a subcontractor that has experience creating impactful media campaigns that target individuals age 18 to 34.</content></subparagraph> <subparagraph class="fontsize10" id="ydfb9a743-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s401/e/2/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><heading class="fontsize10"><inline class="smallCaps">Budget limitation</inline>.—</heading><content>Not more than two percent of the budget of the Office of Mental Health and Suicide Prevention of the Department for contractors for suicide prevention and mental health media outreach shall go to subcontractors described in subparagraph (A).</content></subparagraph> </paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ydfb9a744-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s401/f" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="f">(f) </num><heading class="fontsize10"><inline class="smallCaps">Paperwork Reduction Act Exemption</inline>.—</heading><content><ref href="/us/usc/t44/ch35">Chapter 35 of title 44, United States Code</ref> (commonly known as the “Paperwork Reduction Act”) shall not apply to any rulemaking or information collection required under this section.</content></subsection> <subsection class="firstIndent0 fontsize10" id="ydfb9a745-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s401/g" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="g">(g) </num><heading class="fontsize10"><inline class="smallCaps">Rural and Highly Rural Defined</inline>.—</heading><content>In this section, with respect to an area, the terms “rural” and “highly rural” have the meanings given those terms in the Rural-Urban Commuting Areas coding system of the Department of Agriculture.</content></subsection> </section> <section id="d229484e4530" identifier="/us/pl/116/171/tIV/s402" style="-uslm-lc:I658143"><num class="fontsize12" value="402">SEC. 402. </num><sidenote><ref href="/us/usc/t38/s1720F">38 USC 1720F note</ref>.</sidenote><heading>OVERSIGHT OF MENTAL HEALTH AND SUICIDE PREVENTION MEDIA OUTREACH CONDUCTED BY DEPARTMENT OF VETERANS AFFAIRS.</heading><subsection class="firstIndent0 fontsize10" id="ydfba91a7-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s402/a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="a">(a) </num><heading class="fontsize10"><inline class="smallCaps">Establishment of Goals</inline>.—</heading><paragraph class="fontsize10" id="ydfba91a8-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s402/a/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><sidenote>Action plans.</sidenote><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><content>The Secretary of Veterans Affairs shall establish goals for the mental health and suicide prevention media outreach campaigns of the Department of Veterans Affairs, which shall include the establishment of targets, metrics, and action plans to describe and assess those campaigns.</content></paragraph> <paragraph class="fontsize10" id="ydfba91aa-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s402/a/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><heading class="fontsize10"><inline class="smallCaps">Use of metrics</inline>.—</heading><subparagraph class="fontsize10" id="ydfba91ab-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s402/a/2/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><content>The goals established under paragraph (1) shall be measured by metrics specific to different media types.</content></subparagraph> <subparagraph class="fontsize10" id="ydfba91ac-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s402/a/2/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><sidenote>Determination.</sidenote><heading class="fontsize10"><inline class="smallCaps">Factors to consider</inline>.—</heading><chapeau>In using metrics under subparagraph (A), the Secretary shall determine the best methodological approach for each media type and shall consider the following:</chapeau><clause class="fontsize10" id="ydfba91ae-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s402/a/2/B/i" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">(i) </num><chapeau>Metrics relating to social media, which may include the following:</chapeau><subclause class="fontsize10" id="ydfba91af-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s402/a/2/B/i/I" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="I">(I) </num><content>Impressions.</content></subclause> <subclause class="fontsize10" id="ydfba91b0-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s402/a/2/B/i/II" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="II">(II) </num><content>Reach.</content></subclause> <subclause class="fontsize10" id="ydfba91b1-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s402/a/2/B/i/III" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="III">(III) </num><content>Engagement rate.</content></subclause> <subclause class="fontsize10" id="ydfba91b2-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s402/a/2/B/i/IV" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="IV">(IV) </num><content>Such other metrics as the Secretary considers necessary.</content></subclause> </clause> <clause class="fontsize10" id="ydfba91b3-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s402/a/2/B/ii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">(ii) </num><chapeau>Metrics relating to television, which may include the following:<page identifier="/us/stat/134/809">134 STAT. 809</page></chapeau><subclause class="fontsize10" id="ydfba91b4-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s402/a/2/B/ii/I" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="I">(I) </num><content>Nielsen ratings.</content></subclause> <subclause class="fontsize10" id="ydfba91b5-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s402/a/2/B/ii/II" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="II">(II) </num><content>Such other metrics as the Secretary considers necessary.</content></subclause> </clause> <clause class="fontsize10" id="ydfba91b6-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s402/a/2/B/iii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iii">(iii) </num><chapeau>Metrics relating to email, which may include the following:</chapeau><subclause class="fontsize10" id="ydfba91b7-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s402/a/2/B/iii/I" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="I">(I) </num><content>Open rate.</content></subclause> <subclause class="fontsize10" id="ydfba91b8-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s402/a/2/B/iii/II" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="II">(II) </num><content>Response rate.</content></subclause> <subclause class="fontsize10" id="ydfba91b9-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s402/a/2/B/iii/III" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="III">(III) </num><content>Click rate.</content></subclause> <subclause class="fontsize10" id="ydfba91ba-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s402/a/2/B/iii/IV" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="IV">(IV) </num><content>Such other metrics as the Secretary considers necessary.</content></subclause> </clause> </subparagraph> <subparagraph class="fontsize10" id="ydfba91bb-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s402/a/2/C" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">(C) </num><heading class="fontsize10"><inline class="smallCaps">Update</inline>.—</heading><content>The Secretary shall periodically update the metrics under subparagraph (B) as more accurate metrics become available.</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ydfba91bc-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s402/a/3" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">(3) </num><heading class="fontsize10"><inline class="smallCaps">Targets</inline>.—</heading><content>The Secretary shall establish targets to track the metrics used under paragraph (2).</content></paragraph> <paragraph class="fontsize10" id="ydfba91bd-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s402/a/4" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="4">(4) </num><heading class="fontsize10"><inline class="smallCaps">Consultation</inline>.—</heading><chapeau>In establishing goals under paragraph (1), the Secretary shall consult with the following:</chapeau><subparagraph class="fontsize10" id="ydfba91be-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s402/a/4/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><sidenote>Determination.</sidenote><content>Relevant stakeholders, such as organizations that represent veterans, as determined by the Secretary.</content></subparagraph> <subparagraph class="fontsize10" id="ydfba91c0-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s402/a/4/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>Mental health and suicide prevention experts.</content></subparagraph> <subparagraph class="fontsize10" id="ydfba91c1-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s402/a/4/C" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">(C) </num><content>Such other persons as the Secretary considers appropriate.</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ydfba91c2-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s402/a/5" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="5">(5) </num><heading class="fontsize10"><inline class="smallCaps">Initial report</inline>.—</heading><content>Not later than 180 days after the date of the enactment of this Act, 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 detailing the goals established under paragraph (1) for the mental health and suicide prevention media outreach campaigns of the Department, including the metrics and targets for such metrics by which those goals are to be measured under paragraphs (2) and (3).</content></paragraph> <paragraph class="fontsize10" id="ydfba91c3-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s402/a/6" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="6">(6) </num><heading class="fontsize10"><inline class="smallCaps">Annual report</inline>.—</heading><chapeau>Not later than one year after the submittal of the report under paragraph (5), and annually thereafter, 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 detailing—</chapeau><subparagraph class="fontsize10" id="ydfba91c4-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s402/a/6/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>the progress of the Department in meeting the goals established under paragraph (1) and the targets established under paragraph (3); and</content></subparagraph> <subparagraph class="fontsize10" id="ydfba91c5-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s402/a/6/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>a description of action to be taken by the Department to modify mental health and suicide prevention media outreach campaigns if those goals and targets are not being met.</content></subparagraph> </paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ydfba91c6-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s402/b" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="b">(b) </num><heading class="fontsize10"><inline class="smallCaps">Report on Use of Funds by Office of Mental Health and Suicide Prevention</inline>.—</heading><content>Not later than 180 days after the date of the enactment of this Act, and semiannually thereafter, the Secretary shall submit to the Committee on Appropriations and the Committee on Veterans’ Affairs of the Senate and the Committee on Appropriations and the Committee on Veterans’ Affairs of the House of Representatives a report containing the expenditures and obligations of the Office of Mental Health and Suicide Prevention of the Veterans Health Administration during the period covered by the report.<page identifier="/us/stat/134/810">134 STAT. 810</page></content></subsection> </section> <section id="d229484e4743" identifier="/us/pl/116/171/tIV/s403" style="-uslm-lc:I658143"><num class="fontsize12" value="403">SEC. 403. </num><heading>COMPTROLLER GENERAL MANAGEMENT REVIEW OF MENTAL HEALTH AND SUICIDE PREVENTION SERVICES OF DEPARTMENT OF VETERANS AFFAIRS.</heading><subsection class="firstIndent0 fontsize10" id="ydfbb2e07-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s403/a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="a">(a) </num><sidenote>Deadline.</sidenote><heading class="fontsize10"><inline class="smallCaps">In General</inline>.—</heading><content>Not later than three years after the date of the enactment of this Act, the Comptroller General of the United States shall submit to the Committee on Veterans’ Affairs of the Senate and the Committee on Veterans’ Affairs of the House of Representatives a management review of the mental health and suicide prevention services provided by the Department of Veterans Affairs.</content></subsection> <subsection class="firstIndent0 fontsize10" id="ydfbb2e09-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s403/b" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="b">(b) </num><sidenote>Assessments.</sidenote><heading class="fontsize10"><inline class="smallCaps">Elements</inline>.—</heading><chapeau>The management review required by subsection (a) shall include the following:</chapeau><paragraph class="fontsize10" id="ydfbb2e0b-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s403/b/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><content>An assessment of the infrastructure under the control of or available to the Office of Mental Health and Suicide Prevention of the Department of Veterans Affairs or available to the Department of Veterans Affairs for suicide prevention efforts not operated by the Office of Mental Health and Suicide Prevention.</content></paragraph> <paragraph class="fontsize10" id="ydfbb2e0c-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s403/b/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><content>A description of the management and organizational structure of the Office of Mental Health and Suicide Prevention, including roles and responsibilities for each position.</content></paragraph> <paragraph class="fontsize10" id="ydfbb2e0d-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s403/b/3" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">(3) </num><content>A description of the operational policies and processes of the Office of Mental Health and Suicide Prevention.</content></paragraph> <paragraph class="fontsize10" id="ydfbb2e0e-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s403/b/4" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="4">(4) </num><content>An assessment of suicide prevention practices and initiatives available from the Department and through community partnerships.</content></paragraph> <paragraph class="fontsize10" id="ydfbb2e0f-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s403/b/5" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="5">(5) </num><content>An assessment of the staffing levels at the Office of Mental Health and Suicide Prevention, disaggregated by type of position, and including the location of any staffing deficiencies.</content></paragraph> <paragraph class="fontsize10" id="ydfbb2e10-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s403/b/6" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="6">(6) </num><content>An assessment of the Nurse Advice Line pilot program conducted by the Department.</content></paragraph> <paragraph class="fontsize10" id="ydfbb2e11-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s403/b/7" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="7">(7) </num><content>An assessment of recruitment initiatives in rural areas for mental health professionals of the Department.</content></paragraph> <paragraph class="fontsize10" id="ydfbb2e12-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s403/b/8" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="8">(8) </num><content>An assessment of strategic planning conducted by the Office of Mental Health and Suicide Prevention.</content></paragraph> <paragraph class="fontsize10" id="ydfbb2e13-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s403/b/9" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="9">(9) </num><chapeau>An assessment of the communication, and the effectiveness of such communication—</chapeau><subparagraph class="fontsize10" id="ydfbb2e14-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s403/b/9/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>within the central office of the Office of Mental Health and Suicide Prevention;</content></subparagraph> <subparagraph class="fontsize10" id="ydfbb2e15-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s403/b/9/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>between that central office and any staff member or office in the field, including chaplains, attorneys, law enforcement personnel, and volunteers; and</content></subparagraph> <subparagraph class="fontsize10" id="ydfbb2e16-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s403/b/9/C" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">(C) </num><content>between that central office, local facilities of the Department, and community partners of the Department, including first responders, community support groups, and health care industry partners.</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ydfbb2e17-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s403/b/10" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="10">(10) </num><content>An assessment of how effectively the Office of Mental Health and Suicide Prevention implements operational policies and procedures.</content></paragraph> <paragraph class="fontsize10" id="ydfbb2e18-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s403/b/11" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="11">(11) </num><sidenote>Recommenda-tions.</sidenote><content>An assessment of how the Department of Veterans Affairs and the Department of Defense coordinate suicide prevention efforts, and recommendations on how the Department of Veterans Affairs and Department of Defense can more effectively coordinate those efforts.</content></paragraph> <paragraph class="fontsize10" id="ydfbb2e1b-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s403/b/12" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="12">(12) </num><content>An assessment of such other areas as the Comptroller General considers appropriate to study.<page identifier="/us/stat/134/811">134 STAT. 811</page></content></paragraph> </subsection> </section> <section id="d229484e4857" identifier="/us/pl/116/171/tIV/s404" style="-uslm-lc:I658143"><num class="fontsize12" value="404">SEC. 404. </num><heading>COMPTROLLER GENERAL REPORT ON EFFORTS OF DEPARTMENT OF VETERANS AFFAIRS TO INTEGRATE MENTAL HEALTH CARE INTO PRIMARY CARE CLINICS.</heading><subsection class="firstIndent0 fontsize10" id="ydfbc187c-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s404/a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="a">(a) </num><heading class="fontsize10"><inline class="smallCaps">Initial Report</inline>.—</heading><paragraph class="fontsize10" id="ydfbc187d-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s404/a/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><content>Not later than two years after the date of the enactment of this Act, the Comptroller General of the United States 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 efforts of the Department of Veterans Affairs to integrate mental health care into primary care clinics of the Department.</content></paragraph> <paragraph class="fontsize10" id="ydfbc187e-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s404/a/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><sidenote>Assessments.</sidenote><heading class="fontsize10"><inline class="smallCaps">Elements</inline>.—</heading><chapeau>The report required by subsection (a) shall include the following:</chapeau><subparagraph class="fontsize10" id="ydfbc1880-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s404/a/2/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>An assessment of the efforts of the Department to integrate mental health care into primary care clinics of the Department.</content></subparagraph> <subparagraph class="fontsize10" id="ydfbc1881-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s404/a/2/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>An assessment of the effectiveness of such efforts.</content></subparagraph> <subparagraph class="fontsize10" id="ydfbc1882-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s404/a/2/C" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">(C) </num><content>An assessment of how the health care of veterans is impacted by such integration.</content></subparagraph> <subparagraph class="fontsize10" id="ydfbc1883-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s404/a/2/D" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="D">(D) </num><chapeau>A description of how care is coordinated by the Department between specialty mental health care and primary care, including a description of the following:</chapeau><clause class="fontsize10" id="ydfbc1884-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s404/a/2/D/i" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">(i) </num><content>How documents and patient information are transferred and the effectiveness of those transfers.</content></clause> <clause class="fontsize10" id="ydfbc1885-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s404/a/2/D/ii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">(ii) </num><content>How care is coordinated when veterans must travel to different facilities of the Department.</content></clause> <clause class="fontsize10" id="ydfbc1886-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s404/a/2/D/iii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iii">(iii) </num><content>How a veteran is reintegrated into primary care after receiving in-patient mental health care.</content></clause> </subparagraph> <subparagraph class="fontsize10" id="ydfbc1887-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s404/a/2/E" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="E">(E) </num><content>An assessment of how the integration of mental health care into primary care clinics is implemented at different types of facilities of the Department.</content></subparagraph> <subparagraph class="fontsize10" id="ydfbc1888-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s404/a/2/F" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="F">(F) </num><sidenote>Recommenda-tions.</sidenote><content>Such recommendations on how the Department can better integrate mental health care into primary care clinics as the Comptroller General considers appropriate.</content></subparagraph> <subparagraph class="fontsize10" id="ydfbc188b-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s404/a/2/G" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="G">(G) </num><content>An assessment of such other areas as the Comptroller General considers appropriate to study.</content></subparagraph> </paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ydfbc188c-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s404/b" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="b">(b) </num><heading class="fontsize10"><inline class="smallCaps">Community Care Integration Report</inline>.—</heading><paragraph class="fontsize10" id="ydfbc188d-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s404/b/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><content>Not later than two years after the date on which the Comptroller General submits the report required under subsection (a)(1), the Comptroller General 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 efforts of the Department to integrate community-based mental health care into the Veterans Health Administration.</content></paragraph> <paragraph class="fontsize10" id="ydfbc188e-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s404/b/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><sidenote>Assessments.</sidenote><heading class="fontsize10"><inline class="smallCaps">Elements</inline>.—</heading><chapeau>The report required by paragraph (1) shall include the following:</chapeau><subparagraph class="fontsize10" id="ydfbc1890-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s404/b/2/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>An assessment of the efforts of the Department to integrate community-based mental health care into the Veterans Health Administration.</content></subparagraph> <subparagraph class="fontsize10" id="ydfbc1891-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s404/b/2/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>An assessment of the effectiveness of such efforts.</content></subparagraph> <subparagraph class="fontsize10" id="ydfbc1892-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s404/b/2/C" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">(C) </num><content>An assessment of how the health care of veterans is impacted by such integration.</content></subparagraph> <subparagraph class="fontsize10" id="ydfbc1893-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s404/b/2/D" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="D">(D) </num><chapeau>A description of how care is coordinated between providers of community-based mental health care and the Veterans Health Administration, including a description <page identifier="/us/stat/134/812">134 STAT. 812</page> of how documents and patient information are transferred and the effectiveness of those transfers between—</chapeau><clause class="fontsize10" id="ydfbc1894-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s404/b/2/D/i" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">(i) </num><content>the Veterans Health Administration and providers of community-based mental health care; and</content></clause> <clause class="fontsize10" id="ydfbc1895-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s404/b/2/D/ii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">(ii) </num><content>providers of community-based mental health care and the Veterans Health Administration.</content></clause> </subparagraph> <subparagraph class="fontsize10" id="ydfbc1896-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s404/b/2/E" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="E">(E) </num><content>An assessment of any disparities in the coordination of community-based mental health care into the Veterans Health Administration by location and type of facility.</content></subparagraph> <subparagraph class="fontsize10" id="ydfbc1897-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s404/b/2/F" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="F">(F) </num><content>An assessment of the military cultural competency of health care providers providing community-based mental health care to veterans.</content></subparagraph> <subparagraph class="fontsize10" id="ydfbc1898-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s404/b/2/G" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="G">(G) </num><sidenote>Recommenda-tions.</sidenote><content>Such recommendations on how the Department can better integrate community-based mental health care into the Veterans Health Administration as the Comptroller General considers appropriate.</content></subparagraph> <subparagraph class="fontsize10" id="ydfbc189b-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s404/b/2/H" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="H">(H) </num><content>An assessment of such other areas as the Comptroller General considers appropriate to study.</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ydfbc189c-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s404/b/3" role="definitions" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">(3) </num><heading class="fontsize10"><inline class="smallCaps">Community-based mental health care defined</inline>.—</heading><content>In this subsection, the term “<term>community-based mental health care</term>” means mental health care paid for by the Department but provided by a non-Department health care provider at a non-Department facility, including care furnished under <ref href="/us/usc/t38/s1703">section 1703 of title 38, United States Code</ref> (as in effect on the date specified in section 101(b) of the Caring for Our Veterans Act of 2018 (<ref href="/us/pl/115/182/tI">title I of Public Law 115–182</ref>)).</content></paragraph> </subsection> </section> <section id="d229484e5053" identifier="/us/pl/116/171/tIV/s405" style="-uslm-lc:I658143"><num class="fontsize12" value="405">SEC. 405. </num><heading>JOINT MENTAL HEALTH PROGRAMS BY DEPARTMENT OF VETERANS AFFAIRS AND DEPARTMENT OF DEFENSE.</heading><subsection class="firstIndent0 fontsize10" id="ydfbd511d-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s405/a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="a">(a) </num><sidenote><ref href="/us/usc/t38/s8111">38 USC 8111 note</ref>.</sidenote><heading class="fontsize10"><inline class="smallCaps">Report on Mental Health Programs</inline>.—</heading><paragraph class="fontsize10" id="ydfbd511f-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s405/a/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><content>Not later than one year after the date of the enactment of this Act, and annually thereafter, the Secretary of Veterans Affairs and the Secretary of Defense shall submit to the Committee on Veterans’ Affairs and the Committee on Armed Services of the Senate and the Committee on Veterans’ Affairs and the Committee on Armed Services of the House of Representatives a report on mental health programs of the Department of Veterans Affairs and the Department of Defense and joint programs of the Departments.</content></paragraph> <paragraph class="fontsize10" id="ydfbd5120-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s405/a/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><heading class="fontsize10"><inline class="smallCaps">Elements</inline>.—</heading><chapeau>The report required by paragraph (1) shall include the following:</chapeau><subparagraph class="fontsize10" id="ydfbd5121-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s405/a/2/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><chapeau>A description of mental health programs operated by the Department of Veterans Affairs, including the following:</chapeau><clause class="fontsize10" id="ydfbd5122-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s405/a/2/A/i" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">(i) </num><content>Transition assistance programs.</content></clause> <clause class="fontsize10" id="ydfbd5123-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s405/a/2/A/ii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">(ii) </num><content>Clinical and non-clinical mental health initiatives, including centers of excellence of the Department of Veterans Affairs for traumatic brain injury and post-traumatic stress disorder.</content></clause> <clause class="fontsize10" id="ydfbd5124-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s405/a/2/A/iii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iii">(iii) </num><content>Programs that may secondarily improve mental health, including employment, housing assistance, and financial literacy programs.</content></clause> <clause class="fontsize10" id="ydfbd5125-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s405/a/2/A/iv" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iv">(iv) </num><content>Research into mental health issues and conditions, to include post-traumatic stress disorder, depression, anxiety, bipolar disorder, traumatic brain injury, suicidal ideation, and any other issues or conditions <page identifier="/us/stat/134/813">134 STAT. 813</page> as the Secretary of Veterans Affairs considers necessary.</content></clause> </subparagraph> <subparagraph class="fontsize10" id="ydfbd5126-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s405/a/2/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><chapeau>A description of mental health programs operated by the Department of Defense, including the following:</chapeau><clause class="fontsize10" id="ydfbd5127-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s405/a/2/B/i" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">(i) </num><content>Transition assistance programs.</content></clause> <clause class="fontsize10" id="ydfbd5128-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s405/a/2/B/ii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">(ii) </num><content>Clinical and non-clinical mental health initiatives, including the National Intrepid Center of Excellence and the Intrepid Spirit Centers.</content></clause> <clause class="fontsize10" id="ydfbd5129-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s405/a/2/B/iii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iii">(iii) </num><content>Programs that may secondarily improve mental health, including employment, housing assistance, and financial literacy programs.</content></clause> <clause class="fontsize10" id="ydfbd512a-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s405/a/2/B/iv" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iv">(iv) </num><content>Research into mental health issues and conditions, to include post-traumatic stress disorder, depression, anxiety, bipolar disorder, traumatic brain injury, suicidal ideation, and any other issues or conditions as the Secretary of Defense considers necessary.</content></clause> </subparagraph> <subparagraph class="fontsize10" id="ydfbd512b-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s405/a/2/C" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">(C) </num><chapeau>A description of mental health programs jointly operated by the Department of Veterans Affairs and the Department of Defense, including the following:</chapeau><clause class="fontsize10" id="ydfbd512c-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s405/a/2/C/i" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">(i) </num><content>Transition assistance programs.</content></clause> <clause class="fontsize10" id="ydfbd512d-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s405/a/2/C/ii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">(ii) </num><content>Clinical and non-clinical mental health initiatives.</content></clause> <clause class="fontsize10" id="ydfbd512e-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s405/a/2/C/iii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iii">(iii) </num><content>Programs that may secondarily improve mental health, including employment, housing assistance, and financial literacy programs.</content></clause> <clause class="fontsize10" id="ydfbd512f-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s405/a/2/C/iv" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iv">(iv) </num><content>Research into mental health issues and conditions, to include post-traumatic stress disorder, depression, anxiety, bipolar disorder, traumatic brain injury, suicidal ideation, and completed suicides, including through the use of the joint suicide data repository of the Department of Veterans Affairs and the Department of Defense, and any other issues or conditions as the Secretary of Veterans Affairs and the Secretary of Defense consider necessary.</content></clause> </subparagraph> <subparagraph class="fontsize10" id="ydfbd5130-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s405/a/2/D" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="D">(D) </num><sidenote>Recommenda-tions.</sidenote><content>Recommendations for coordinating mental health programs of the Department of Veterans Affairs and the Department of Defense to improve the effectiveness of those programs.</content></subparagraph> <subparagraph class="fontsize10" id="ydfbd5133-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s405/a/2/E" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="E">(E) </num><sidenote>Recommenda-tions.</sidenote><content>Recommendations for novel joint programming of the Department of Veterans Affairs and the Department of Defense to improve the mental health of members of the Armed Forces and veterans.</content></subparagraph> </paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ydfbd5136-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s405/b" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="b">(b) </num><heading class="fontsize10"><inline class="smallCaps">Evaluation of Collaborative Efforts of Department of Veterans Affairs and Department of Defense and Alternatives of Analysis to Establish a Joint VA/DOD Intrepid Spirit Center</inline>.—</heading><paragraph class="fontsize10" id="ydfbd5137-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s405/b/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><sidenote>Coordination.</sidenote><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><content>The Secretary of Veterans Affairs, in coordination with the Secretary of Defense, shall evaluate the current ongoing collaborative efforts of the Department of Veterans Affairs and the Department of Defense related to post-traumatic stress disorder and traumatic brain injury care, research, and education to improve the quality of and access to such care and seek potential new collaborative efforts to improve and expand such care for veterans and members of the Armed Forces in a joint Department of Veterans Affairs/Department of Defense Intrepid Spirit Center that serves active duty members of the Armed Forces, members of the reserve <page identifier="/us/stat/134/814">134 STAT. 814</page> components of the Armed Forces, and veterans for mutual benefit and growth in treatment and care.</content></paragraph> <paragraph class="fontsize10" id="ydfbd5139-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s405/b/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><heading class="fontsize10"><inline class="smallCaps">Alternatives of analysis</inline>.—</heading><subparagraph class="fontsize10" id="ydfbd513a-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s405/b/2/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><content>The evaluation required under paragraph (1) shall include an alternatives of analysis to establish the joint Department of Veterans Affairs/Department of Defense Intrepid Spirit Center described in paragraph (1).</content></subparagraph> <subparagraph class="fontsize10" id="ydfbd513b-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s405/b/2/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><sidenote>Recommenda-tions.</sidenote><heading class="fontsize10"><inline class="smallCaps">Elements</inline>.—</heading><chapeau>The alternatives of analysis required under subparagraph (A) with respect to the establishment of the joint Department of Veterans Affairs/Department of Defense Intrepid Spirit Center described in paragraph (1) shall provide alternatives and recommendations that consider information including—</chapeau><clause class="fontsize10" id="ydfbd513e-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s405/b/2/B/i" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">(i) </num><content>colocation of the center on an installation of the Department of Defense or property of a medical center of the Department of Veterans Affairs;</content></clause> <clause class="fontsize10" id="ydfbd513f-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s405/b/2/B/ii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">(ii) </num><content>consideration of a rural or highly rural area to establish the center that may include colocation described in clause (i);</content></clause> <clause class="fontsize10" id="ydfbd5140-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s405/b/2/B/iii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iii">(iii) </num><content>geographic distance from existing or planned Intrepid Spirit Centers of the Department of Defense or other such facilities of the Department of Veterans Affairs or the Department of Defense that furnish care for post-traumatic stress disorder or traumatic brain injury; and</content></clause> <clause class="fontsize10" id="ydfbd5141-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s405/b/2/B/iv" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iv">(iv) </num><content>the potential role for private entities and philanthropic organizations in carrying out the activities of the center.</content></clause> </subparagraph> </paragraph> <paragraph class="fontsize10" id="ydfbd5142-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s405/b/3" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">(3) </num><heading class="fontsize10"><inline class="smallCaps">Report to congress</inline>.—</heading><chapeau>Not later than 270 days after the date of the enactment of this Act, the Secretary of Veterans Affairs shall submit to the Committee on Veterans’ Affairs of the Senate and the Committee on Veterans’ Affairs of the House of Representatives a report that includes—</chapeau><subparagraph class="fontsize10" id="ydfbd5143-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s405/b/3/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><sidenote>Summary.</sidenote><content>a summary of the evaluation required under paragraph (1); and</content></subparagraph> <subparagraph class="fontsize10" id="ydfbd7855-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s405/b/3/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>the alternatives of analysis required under paragraph (2).</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ydfbd7856-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tIV/s405/b/4" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="4">(4) </num><heading class="fontsize10"><inline class="smallCaps">Rural and highly rural defined</inline>.—</heading><content>In this subsection, with respect to an area, the terms “rural” and “highly rural” have the meanings given those terms in the Rural-Urban Commuting Areas coding system of the Department of Agriculture.</content></paragraph> </subsection> </section> <num value="V">TITLE V—</num><heading>IMPROVEMENT OF MENTAL HEALTH MEDICAL WORKFORCE</heading> <section id="d229484e5301" identifier="/us/pl/116/171/tV/s501" style="-uslm-lc:I658143"><num class="fontsize12" value="501">SEC. 501. </num><heading>STAFFING IMPROVEMENT PLAN FOR MENTAL HEALTH PROVIDERS OF DEPARTMENT OF VETERANS AFFAIRS.</heading><subsection class="firstIndent0 fontsize10" id="ydfbdc677-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s501/a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="a">(a) </num><heading class="fontsize10"><inline class="smallCaps">Staffing Plan</inline>.—</heading><paragraph class="fontsize10" id="ydfbdc678-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s501/a/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><sidenote>Deadline.Consultation.</sidenote><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><content>Not later than one year after the date of the enactment of this Act, the Secretary of Veterans Affairs, in consultation with the Inspector General of the Department of Veterans Affairs, shall submit to the Committee on Veterans’ Affairs of the Senate and the Committee on Veterans’ Affairs of the House of Representatives a plan to address staffing <page identifier="/us/stat/134/815">134 STAT. 815</page> of mental health providers of the Department of Veterans Affairs, including filling any open positions.</content></paragraph> <paragraph class="fontsize10" id="ydfbdc67b-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s501/a/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><heading class="fontsize10"><inline class="smallCaps">Elements</inline>.—</heading><chapeau>The plan required by paragraph (1) shall include the following:</chapeau><subparagraph class="fontsize10" id="ydfbdc67c-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s501/a/2/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><sidenote>Estimate.</sidenote><content>An estimate of the number of positions for mental health providers of the Department that need to be filled to meet demand.</content></subparagraph> <subparagraph class="fontsize10" id="ydfbdc67e-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s501/a/2/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>An identification of the steps that the Secretary will take to address mental health staffing for the Department.</content></subparagraph> <subparagraph class="fontsize10" id="ydfbdc67f-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s501/a/2/C" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">(C) </num><content>A description of any region-specific hiring incentives to be used by the Secretary in consultation with the directors of Veterans Integrated Service Networks and medical centers of the Department.</content></subparagraph> <subparagraph class="fontsize10" id="ydfbdc680-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s501/a/2/D" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="D">(D) </num><content>A description of any local retention or engagement incentives to be used by directors of Veterans Integrated Service Networks.</content></subparagraph> <subparagraph class="fontsize10" id="ydfbdc681-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s501/a/2/E" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="E">(E) </num><sidenote>Recommenda-tions.</sidenote><content>Such recommendations for legislative or administrative action as the Secretary considers necessary to aid in addressing mental health staffing for the Department.</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ydfbdc684-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s501/a/3" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">(3) </num><sidenote>Time period.</sidenote><heading class="fontsize10"><inline class="smallCaps">Report</inline>.—</heading><content>Not later than one year after the submittal of the plan required by paragraph (1), 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 setting forth the number of mental health providers hired by the Department during the one-year period preceding the submittal of the report.</content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ydfbdc686-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s501/b" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="b">(b) </num><sidenote>Deadline.Consultation.<ref href="/us/usc/t38/s7401">38 USC 7401 note</ref>.</sidenote><heading class="fontsize10"><inline class="smallCaps">Occupational Series for Certain Mental Health Providers</inline>.—</heading><content>Not later than one year after the date of the enactment of this Act, the Secretary of Veterans Affairs, in consultation with the Office of Personnel Management, shall develop an occupational series for licensed professional mental health counselors and marriage and family therapists of the Department of Veterans Affairs.</content></subsection> </section> <section id="d229484e5405" identifier="/us/pl/116/171/tV/s502" style="-uslm-lc:I658143"><num class="fontsize12" value="502">SEC. 502. </num><heading>ESTABLISHMENT OF DEPARTMENT OF VETERANS AFFAIRS READJUSTMENT COUNSELING SERVICE SCHOLARSHIP PROGRAM.</heading><subsection class="firstIndent0 fontsize10" id="ydfbed7fa-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s502/a" role="instruction" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="a">(a) </num><heading class="fontsize10"><inline class="smallCaps">In General</inline>.—</heading><content><ref href="/us/usc/t38/ch76">Chapter 76 of title 38, United States Code</ref>, <amendingAction type="amend">is amended</amendingAction> by <amendingAction type="insert">inserting</amendingAction> after subchapter VIII the following new subchapter:<quotedContent><subchapter id="ydfbf9b4b-e827-11f0-bc57-ad3ac4b1618c" style="-uslm-lc:I658174"><num class="fontsize10 smallCaps" value="IX">“SUBCHAPTER IX—</num><sidenote><ref href="/us/usc/t38/s7698">38 USC 7698</ref> prec.</sidenote><heading class="fontsize10 smallCaps">READJUSTMENT COUNSELING SERVICE SCHOLARSHIP PROGRAM</heading><section class="centered fontsize12" id="ydfbf9b4d-e827-11f0-bc57-ad3ac4b1618c" style="-uslm-lc:I658164"><num class="fontsize12" value="7698">“§ 7698.</num><heading class="fontsize12"><sidenote><ref href="/us/usc/t38/s7698">38 USC 7698</ref>.</sidenote> Requirement for program</heading><content class="indentUp0 firstIndent0 fontsize10" style="-uslm-lc:I658120"> “As part of the Educational Assistance Program, the Secretary shall carry out a scholarship program under this subchapter. The program shall be known as the Department of Veterans Affairs Readjustment Counseling Service Scholarship Program (in this subchapter referred to as the ‘Program’).</content></section> <section class="centered fontsize12" id="ydfbf9b4f-e827-11f0-bc57-ad3ac4b1618c" style="-uslm-lc:I658164"><num class="fontsize12" value="7699">“§ 7699.</num><heading class="fontsize12"><sidenote>Contracts.<ref href="/us/usc/t38/s7699">38 USC 7699</ref>.Determination.</sidenote> Eligibility; agreement</heading><subsection class="firstIndent0 fontsize10" id="ydfbf9b53-e827-11f0-bc57-ad3ac4b1618c" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="a">“(a) </num><heading class="fontsize10"><inline class="smallCaps">In General</inline>.—</heading><chapeau>An individual is eligible to participate in the Program, as determined by the Readjustment Counseling Service of the Department, if the individual—</chapeau><paragraph class="fontsize10" id="ydfbf9b54-e827-11f0-bc57-ad3ac4b1618c" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">“(1) </num><content>is accepted for enrollment or enrolled (as described in section 7602 of this title) in a program of study at an <page identifier="/us/stat/134/816">134 STAT. 816</page> accredited educational institution, school, or training program leading to a terminal degree in psychology, social work, marriage and family therapy, or mental health counseling that would meet the education requirements for appointment to a position under section 7402(b) of this title; and</content></paragraph> <paragraph class="fontsize10" id="ydfbf9b55-e827-11f0-bc57-ad3ac4b1618c" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">“(2) </num><content>enters into an agreement with the Secretary under subsection (c).</content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ydfbf9b56-e827-11f0-bc57-ad3ac4b1618c" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="b">“(b) </num><heading class="fontsize10"><inline class="smallCaps">Priority</inline>.—</heading><chapeau>In selecting individuals to participate in the Program, the Secretary shall give priority to the following individuals:</chapeau><paragraph class="fontsize10" id="ydfbf9b57-e827-11f0-bc57-ad3ac4b1618c" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">“(1) </num><chapeau>An individual who agrees to be employed by a Vet Center located in a community that is—</chapeau><subparagraph class="fontsize10" id="ydfbf9b58-e827-11f0-bc57-ad3ac4b1618c" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">“(A) </num><content>designated as a medically underserved population under section 330(b)(3) of the Public Health Service Act (<ref href="/us/usc/t42/s254b/b/3">42 U.S.C. 254b(b)(3)</ref>); and</content></subparagraph> <subparagraph class="fontsize10" id="ydfbf9b59-e827-11f0-bc57-ad3ac4b1618c" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">“(B) </num><content>in a State with a per capita population of veterans of more than five percent according to the National Center for Veterans Analysis and Statistics and the Bureau of the Census.</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ydfbf9b5a-e827-11f0-bc57-ad3ac4b1618c" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">“(2) </num><content>An individual who is a veteran.</content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ydfbf9b5b-e827-11f0-bc57-ad3ac4b1618c" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="c">“(c) </num><heading class="fontsize10"><inline class="smallCaps">Agreement</inline>.—</heading><chapeau>An agreement between the Secretary and a participant in the Program shall (in addition to the requirements set forth in section 7604 of this title) include the following:</chapeau><paragraph class="fontsize10" id="ydfbf9b5c-e827-11f0-bc57-ad3ac4b1618c" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">“(1) </num><content>An agreement by the Secretary to provide the participant with a scholarship under the Program for a specified number of school years during which the participant pursues a program of study described in subsection (a)(1) that meets the requirements set forth in section 7602(a) of this title.</content></paragraph> <paragraph class="fontsize10" id="ydfbf9b5d-e827-11f0-bc57-ad3ac4b1618c" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">“(2) </num><sidenote>Time period.</sidenote><content>An agreement by the participant to serve as a full-time employee of the Department at a Vet Center for a six-year period following the completion by the participant of such program of study (in this subchapter referred to as the ‘period of obligated service’).</content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ydfbfe87f-e827-11f0-bc57-ad3ac4b1618c" role="definitions" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="d">“(d) </num><heading class="fontsize10"><inline class="smallCaps">Vet Center Defined</inline>.—</heading><content>In this section, the term ‘<term>Vet Center</term>’ has the meaning given that term in section 1712A(h) of this title.</content></subsection> </section> <section class="centered fontsize12" id="ydfbfe880-e827-11f0-bc57-ad3ac4b1618c" style="-uslm-lc:I658165"><num class="fontsize12" value="7699A">“§ 7699A.</num><heading class="fontsize12"><sidenote><ref href="/us/usc/t38/s7699A">38 USC 7699A</ref>.</sidenote> Obligated service</heading><subsection class="firstIndent0 fontsize10" id="ydfbfe882-e827-11f0-bc57-ad3ac4b1618c" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="a">“(a) </num><heading class="fontsize10"><inline class="smallCaps">In General</inline>.—</heading><content>Each participant in the Program shall provide service as a full-time employee of the Department at a Vet Center (as defined in section 7699(d) of this title) for the period of obligated service set forth in the agreement of the participant entered into under section 7604 of this title.</content></subsection> <subsection class="firstIndent0 fontsize10" id="ydfbfe883-e827-11f0-bc57-ad3ac4b1618c" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="b">“(b) </num><sidenote>Deadline.Notification.</sidenote><heading class="fontsize10"><inline class="smallCaps">Determination of Service Commencement Date</inline>.—</heading><paragraph class="inline" id="ydfbfe886-e827-11f0-bc57-ad3ac4b1618c"><num value="1">(1) </num><content>Not later than 60 days before the service commencement date of a participant, the Secretary shall notify the participant of that service commencement date.</content></paragraph> <paragraph class="indentUp0 firstIndent0 fontsize10" id="ydfbfe887-e827-11f0-bc57-ad3ac4b1618c" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">“(2) </num><content>The date specified in paragraph (1) with respect to a participant is the date for the beginning of the period of obligated service of the participant.</content></paragraph> </subsection> </section> <section class="centered fontsize12" id="ydfbfe888-e827-11f0-bc57-ad3ac4b1618c" style="-uslm-lc:I658165"><num class="fontsize12" value="7699B">“§ 7699B.</num><heading class="fontsize12"><sidenote>Contracts.<ref href="/us/usc/t38/s7699B">38 USC 7699B</ref>.</sidenote> Breach of agreement: liability</heading><subsection class="firstIndent0 fontsize10" id="ydfbfe88b-e827-11f0-bc57-ad3ac4b1618c" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="a">“(a) </num><heading class="fontsize10"><inline class="smallCaps">Liquidated Damages</inline>.—</heading><paragraph class="inline" id="ydfbfe88c-e827-11f0-bc57-ad3ac4b1618c"><num value="1">(1) </num><content>A participant in the Program (other than a participant described in subsection (b)) who fails to accept payment, or instructs the educational institution in which the participant is enrolled not to accept payment, in whole or in part, of a scholarship under the agreement entered into under <page identifier="/us/stat/134/817">134 STAT. 817</page> section 7604 of this title shall be liable to the United States for liquidated damages in the amount of $1,500.</content></paragraph> <paragraph class="indentUp0 firstIndent0 fontsize10" id="ydfbfe88d-e827-11f0-bc57-ad3ac4b1618c" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">“(2) </num><content>Liability under paragraph (1) is in addition to any period of obligated service or other obligation or liability under such agreement.</content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ydfbfe88e-e827-11f0-bc57-ad3ac4b1618c" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="b">“(b) </num><heading class="fontsize10"><inline class="smallCaps">Liability During Program of Study</inline>.—</heading><paragraph class="inline" id="ydfbfe88f-e827-11f0-bc57-ad3ac4b1618c"><num value="1">(1) </num><chapeau>Except as provided in subsection (d), a participant in the Program shall be liable to the United States for the amount which has been paid to or on behalf of the participant under the agreement if any of the following occurs:</chapeau><subparagraph class="fontsize10" id="ydfbfe890-e827-11f0-bc57-ad3ac4b1618c" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">“(A) </num><sidenote>Determination.Regulations.</sidenote><content>The participant fails to maintain an acceptable level of academic standing in the educational institution in which the participant is enrolled (as determined by the educational institution under regulations prescribed by the Secretary).</content></subparagraph> <subparagraph class="fontsize10" id="ydfbfe893-e827-11f0-bc57-ad3ac4b1618c" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">“(B) </num><content>The participant is dismissed from such educational institution for disciplinary reasons.</content></subparagraph> <subparagraph class="fontsize10" id="ydfbfe894-e827-11f0-bc57-ad3ac4b1618c" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">“(C) </num><content>The participant voluntarily terminates the program of study in such educational institution before the completion of such program of study.</content></subparagraph> </paragraph> <paragraph class="indentUp0 firstIndent0 fontsize10" id="ydfbfe895-e827-11f0-bc57-ad3ac4b1618c" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">“(2) </num><content>Liability under this subsection is in lieu of any service obligation arising under the agreement.</content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ydfbfe896-e827-11f0-bc57-ad3ac4b1618c" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="c">“(c) </num><sidenote>Determinations.</sidenote><heading class="fontsize10"><inline class="smallCaps">Liability During Period of Obligated Service</inline>.—</heading><paragraph class="inline" id="ydfbfe898-e827-11f0-bc57-ad3ac4b1618c"><num value="1">(1) </num><content>Except as provided in subsection (d), if a participant in the Program does not complete the period of obligated service of the participant, the United States shall be entitled to recover from the participant an amount determined in accordance with the following formula: A = 3Φ(t−s/t).</content></paragraph> <paragraph class="indentUp0 firstIndent0 fontsize10" id="ydfbfe899-e827-11f0-bc57-ad3ac4b1618c" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">“(2) </num><chapeau>In the formula in paragraph (1):</chapeau><subparagraph class="fontsize10" id="ydfbfe89a-e827-11f0-bc57-ad3ac4b1618c" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">“(A) </num><content>‘A’ is the amount the United States is entitled to recover.</content></subparagraph> <subparagraph class="fontsize10" id="ydfbfe89b-e827-11f0-bc57-ad3ac4b1618c" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">“(B) </num><chapeau>‘Φ’ is the sum of—</chapeau><clause class="fontsize10" id="ydfbfe89c-e827-11f0-bc57-ad3ac4b1618c" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">“(i) </num><content>the amounts paid under this subchapter to or on behalf of the participant; and</content></clause> <clause class="fontsize10" id="ydfbfe89d-e827-11f0-bc57-ad3ac4b1618c" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">“(ii) </num><content>the interest on such amounts which would be payable if at the time the amounts were paid they were loans bearing interest at the maximum legal prevailing rate, as determined by the Treasurer of the United States.</content></clause> </subparagraph> <subparagraph class="fontsize10" id="ydfbfe89e-e827-11f0-bc57-ad3ac4b1618c" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">“(C) </num><content>‘t’ is the total number of months in the period of obligated service of the participant.</content></subparagraph> <subparagraph class="fontsize10" id="ydfbfe89f-e827-11f0-bc57-ad3ac4b1618c" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="D">“(D) </num><content>‘s’ is the number of months of such period served by the participant.</content></subparagraph> </paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ydfbfe8a0-e827-11f0-bc57-ad3ac4b1618c" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="d">“(d) </num><heading class="fontsize10"><inline class="smallCaps">Limitation on Liability for Reductions-in-force</inline>.—</heading><content>Liability shall not arise under subsection (c) if the participant fails to maintain employment as a Department employee due to a staffing adjustment.</content></subsection> <subsection class="firstIndent0 fontsize10" id="ydfbfe8a1-e827-11f0-bc57-ad3ac4b1618c" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="e">“(e) </num><heading class="fontsize10"><inline class="smallCaps">Period for Payment of Damages</inline>.—</heading><content>Any amount of damages that the United States is entitled to recover under this section shall be paid to the United States within the one-year period beginning on the date of the breach of the agreement.”</content></subsection> </section> </subchapter> </quotedContent>.</content></subsection> <subsection class="firstIndent0 fontsize10" id="ydfbfe8a2-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s502/b" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="b">(b) </num><heading class="fontsize10"><inline class="smallCaps">Conforming and Technical Amendments</inline>.—</heading><paragraph class="fontsize10" id="ydfbfe8a3-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s502/b/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><heading class="fontsize10"><inline class="smallCaps">Conforming amendments</inline>.—</heading><subparagraph class="fontsize10" id="ydfbfe8a4-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s502/b/1/A" role="instruction" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><heading class="fontsize10"><inline class="smallCaps">Establishment of program</inline>.—</heading><chapeau>Section 7601(a) of such title<sidenote><ref href="/us/usc/t38/s7601">38 USC 7601</ref>.</sidenote> <amendingAction type="amend">is amended</amendingAction>—</chapeau><clause class="fontsize10" id="ydfbfe8a6-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s502/b/1/A/i" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">(i) </num><content>in paragraph (5), by <amendingAction type="delete">striking</amendingAction> “<quotedText>and</quotedText>”;</content></clause> <clause class="fontsize10" id="ydfbfe8a7-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s502/b/1/A/ii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">(ii) </num><content>in paragraph (6), by <amendingAction type="delete">striking</amendingAction> the period and <amendingAction type="insert">inserting</amendingAction> “<quotedText>; and</quotedText>”; and<page identifier="/us/stat/134/818">134 STAT. 818</page></content></clause> <clause class="fontsize10" id="ydfbfe8a8-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s502/b/1/A/iii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iii">(iii) </num><content>by <amendingAction type="add">adding</amendingAction> at the end the following new paragraph:<quotedContent><paragraph class="indentDown2 fontsize10" id="ydfc00fb9-e827-11f0-bc57-ad3ac4b1618c" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="7">“(7) </num><content>the readjustment counseling service scholarship program provided for in subchapter IX of this chapter.”</content></paragraph> </quotedContent>.</content></clause> </subparagraph> <subparagraph class="fontsize10" id="ydfc00fba-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s502/b/1/B" role="instruction" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><sidenote><ref href="/us/usc/t38/s7602">38 USC 7602</ref>.</sidenote><heading class="fontsize10"><inline class="smallCaps">Eligibility</inline>.—</heading><chapeau>Section 7602 of such title <amendingAction type="amend">is amended</amendingAction>—</chapeau><clause class="fontsize10" id="ydfc00fbc-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s502/b/1/B/i" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">(i) </num><chapeau>in subsection (a)(1)—</chapeau><subclause class="fontsize10" id="ydfc00fbd-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s502/b/1/B/i/I" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="I">(I) </num><content>by <amendingAction type="delete">striking</amendingAction> “<quotedText>or VI</quotedText>” and <amendingAction type="insert">inserting</amendingAction> “<quotedText>VI, or IX</quotedText>”; and</content></subclause> <subclause class="fontsize10" id="ydfc00fbe-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s502/b/1/B/i/II" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="II">(II) </num><content>by <amendingAction type="delete">striking</amendingAction> “<quotedText>subchapter VI</quotedText>” and <amendingAction type="insert">inserting</amendingAction> “<quotedText>subchapter VI or IX</quotedText>”; and</content></subclause> </clause> <clause class="fontsize10" id="ydfc00fbf-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s502/b/1/B/ii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">(ii) </num><content>in subsection (b), by <amendingAction type="delete">striking</amendingAction> “<quotedText>or VI</quotedText>” and <amendingAction type="insert">inserting</amendingAction> “<quotedText>VI, or IX</quotedText>”.</content></clause> </subparagraph> <subparagraph class="fontsize10" id="ydfc00fc0-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s502/b/1/C" role="instruction" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">(C) </num><heading class="fontsize10"><inline class="smallCaps">Application</inline>.—</heading><content>Section 7603(a)(1) of such title <amendingAction type="amend">is amended</amendingAction> by <amendingAction type="delete">striking</amendingAction> “<quotedText>or VIII</quotedText>” and <amendingAction type="insert">inserting</amendingAction> “<quotedText>VIII, or IX</quotedText>”.</content></subparagraph> <subparagraph class="fontsize10" id="ydfc00fc1-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s502/b/1/D" role="instruction" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="D">(D) </num><heading class="fontsize10"><inline class="smallCaps">Terms of agreement</inline>.—</heading><content>Section 7604 of such title <amendingAction type="amend">is amended</amendingAction> by <amendingAction type="delete">striking</amendingAction> “<quotedText>or VIII</quotedText>” each place it appears and <amendingAction type="insert">inserting</amendingAction> “<quotedText>VIII, or IX</quotedText>”.</content></subparagraph> <subparagraph class="fontsize10" id="ydfc00fc2-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s502/b/1/E" role="instruction" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="E">(E) </num><heading class="fontsize10"><inline class="smallCaps">Annual report</inline>.—</heading><chapeau>Section 7632 of such title <amendingAction type="amend">is amended</amendingAction>—</chapeau><clause class="fontsize10" id="ydfc00fc3-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s502/b/1/E/i" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">(i) </num><content>in paragraph (1), by <amendingAction type="delete">striking</amendingAction> “<quotedText>and the Specialty Education Loan Repayment Program</quotedText>” and <amendingAction type="insert">inserting</amendingAction> “<quotedText>the Specialty Education Loan Repayment Program, and the Readjustment Counseling Service Scholarship Program</quotedText>”; and</content></clause> <clause class="fontsize10" id="ydfc00fc4-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s502/b/1/E/ii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">(ii) </num><content>in paragraph (4), by <amendingAction type="delete">striking</amendingAction> “<quotedText>and per participant in the Specialty Education Loan Repayment Program</quotedText>” and <amendingAction type="insert">inserting</amendingAction> “<quotedText>per participant in the Specialty Education Loan Repayment Program, and per participant in the Readjustment Counseling Service Scholarship Program</quotedText>”.</content></clause> </subparagraph> </paragraph> <paragraph class="fontsize10" id="ydfc00fc5-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s502/b/2" role="instruction" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><heading class="fontsize10"><inline class="smallCaps">Table of sections</inline>.—</heading><content>The table of sections at the beginning of chapter 76 of such title<sidenote><ref href="/us/usc/t38/s7601">38 USC 7601</ref> prec.</sidenote> <amendingAction type="amend">is amended</amendingAction> by <amendingAction type="insert">inserting</amendingAction> after the items relating to subchapter VIII the following:<quotedContent><toc> <referenceItem role="subchapter" style="-uslm-lc:I658274"> <designator><inline class="smallCaps">“subchapter ix—</inline></designator> <label><inline class="smallCaps">readjustment counseling service scholarship program</inline></label> </referenceItem><headingItem role="section" style="-uslm-lc:I658242"> <designator>“Sec.</designator> <label/> </headingItem><referenceItem role="section" style="-uslm-lc:I658242"> <designator>“7698. </designator> <label>Requirement for program.</label> </referenceItem><referenceItem role="section" style="-uslm-lc:I658242"> <designator>“7699. </designator> <label>Eligibility; agreement.</label> </referenceItem><referenceItem role="section" style="-uslm-lc:I658242"> <designator>“7699A. </designator> <label>Obligated service.</label> </referenceItem><referenceItem role="section" style="-uslm-lc:I658242"> <designator>“7699B. </designator> <label>Breach of agreement: liability.”.<?GPOvSpace 04?></label> </referenceItem></toc> </quotedContent></content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ydfc00fc7-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s502/c" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="c">(c) </num><sidenote><ref href="/us/usc/t38/s7698">38 USC 7698 note</ref>.</sidenote><heading class="fontsize10"><inline class="smallCaps">Effective Date</inline>.—</heading><content>The Secretary of Veterans Affairs shall begin awarding scholarships under <ref href="/us/usc/t38/ch76/schIX">subchapter IX of chapter 76 of title 38, United States Code</ref>, as added by subsection (a), for programs of study beginning not later than one year after the date of the enactment of this Act.</content></subsection> </section> <section id="d229484e6028" identifier="/us/pl/116/171/tV/s503" style="-uslm-lc:I658143"><num class="fontsize12" value="503">SEC. 503. </num><heading>COMPTROLLER GENERAL REPORT ON READJUSTMENT COUNSELING SERVICE OF DEPARTMENT OF VETERANS AFFAIRS.</heading><subsection class="firstIndent0 fontsize10" id="ydfc0ac09-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s503/a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="a">(a) </num><heading class="fontsize10"><inline class="smallCaps">In General</inline>.—</heading><content>Not later than one year after the date of the enactment of this Act, the Comptroller General of the United States 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 Readjustment Counseling Service of the Department of Veterans Affairs.</content></subsection> <subsection class="firstIndent0 fontsize10" id="ydfc0ac0a-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s503/b" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="b">(b) </num><sidenote>Assessments.Recommenda-tions.</sidenote><heading class="fontsize10"><inline class="smallCaps">Elements</inline>.—</heading><chapeau>The report required by subsection (a) shall include the following:</chapeau><page identifier="/us/stat/134/819">134 STAT. 819</page> <paragraph class="fontsize10" id="ydfc0ac0e-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s503/b/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><content>An assessment of the adequacy and types of treatment, counseling, and other services provided at Vet Centers, including recommendations on whether and how such treatment, counseling, and other services can be expanded.</content></paragraph> <paragraph class="fontsize10" id="ydfc0ac0f-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s503/b/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><content>An assessment of the efficacy of outreach efforts by the Readjustment Counseling Service, including recommendations for how outreach efforts can be improved.</content></paragraph> <paragraph class="fontsize10" id="ydfc0ac10-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s503/b/3" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">(3) </num><content>An assessment of barriers to care at Vet Centers, including recommendations for overcoming those barriers.</content></paragraph> <paragraph class="fontsize10" id="ydfc0ac11-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s503/b/4" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="4">(4) </num><content>An assessment of the efficacy and frequency of the use of telehealth by counselors of the Readjustment Counseling Service to provide mental health services, including recommendations for how the use of telehealth can be improved.</content></paragraph> <paragraph class="fontsize10" id="ydfc0ac12-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s503/b/5" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="5">(5) </num><chapeau>An assessment of the feasibility and advisability of expanding eligibility for services from the Readjustment Counseling Service, including—</chapeau><subparagraph class="fontsize10" id="ydfc0ac13-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s503/b/5/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>recommendations on what eligibility criteria could be expanded; and</content></subparagraph> <subparagraph class="fontsize10" id="ydfc0ac14-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s503/b/5/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>an assessment of potential costs and increased infrastructure requirements if eligibility is expanded.</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ydfc0ac15-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s503/b/6" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="6">(6) </num><content>An assessment of the use of Vet Centers by members of the reserve components of the Armed Forces who were never activated and recommendations on how to better reach those members.</content></paragraph> <paragraph class="fontsize10" id="ydfc0ac16-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s503/b/7" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="7">(7) </num><content>An assessment of the use of Vet Centers by eligible family members of former members of the Armed Forces and recommendations on how to better reach those family members.</content></paragraph> <paragraph class="fontsize10" id="ydfc0ac17-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s503/b/8" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="8">(8) </num><content>An assessment of the efficacy of group therapy and the level of training of providers at Vet Centers in administering group therapy.</content></paragraph> <paragraph class="fontsize10" id="ydfc0ac18-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s503/b/9" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="9">(9) </num><content>An assessment of the efficiency and effectiveness of the task organization structure of Vet Centers.</content></paragraph> <paragraph class="fontsize10" id="ydfc0ac19-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s503/b/10" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="10">(10) </num><content>An assessment of the use of Vet Centers by Native American veterans, as defined in <ref href="/us/usc/t38/s3765">section 3765 of title 38, United States Code</ref>, and recommendations on how to better reach those veterans.</content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ydfc0ac1a-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s503/c" role="definitions" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="c">(c) </num><heading class="fontsize10"><inline class="smallCaps">Vet Center Defined</inline>.—</heading><content>In this section, the term “<term>Vet Center</term>” has the meaning given that term in <ref href="/us/usc/t38/s1712A/h">section 1712A(h) of title 38, United States Code</ref>.</content></subsection> </section> <section id="d229484e6140" identifier="/us/pl/116/171/tV/s504" style="-uslm-lc:I658143"><num class="fontsize12" value="504">SEC. 504. </num><heading>EXPANSION OF REPORTING REQUIREMENTS ON READJUSTMENT COUNSELING SERVICE OF DEPARTMENT OF VETERANS AFFAIRS.</heading><subsection class="firstIndent0 fontsize10" id="ydfc0d32b-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s504/a" role="instruction" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="a">(a) </num><heading class="fontsize10"><inline class="smallCaps">Expansion of Annual Report</inline>.—</heading><content>Paragraph (2)(C) of <ref href="/us/usc/t38/s7309/e">section 7309(e) of title 38, United States Code</ref>,<sidenote><ref href="/us/usc/t38/s7309">38 USC 7309</ref>.</sidenote> <amendingAction type="amend">is amended</amendingAction> by <amendingAction type="insert">inserting</amendingAction> before the period at the end the following: “<quotedText>, including the resources required to meet such unmet need, such as additional staff, additional locations, additional infrastructure, infrastructure improvements, and additional mobile Vet Centers</quotedText>”.</content></subsection> <subsection class="firstIndent0 fontsize10" id="ydfc0d32d-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s504/b" role="instruction" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="b">(b) </num><heading class="fontsize10"><inline class="smallCaps">Biennial Report</inline>.—</heading><content>Such section <amendingAction type="amend">is amended</amendingAction> by <amendingAction type="add">adding</amendingAction> at the end the following new paragraph:<quotedContent><paragraph class="indentUp0 firstIndent0 fontsize10" id="ydfc0fa3e-e827-11f0-bc57-ad3ac4b1618c" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">“(3) </num><chapeau>For each even numbered year in which the report required by paragraph (1) is submitted, the Secretary shall include in such report a prediction of—</chapeau><subparagraph class="fontsize10" id="ydfc0fa3f-e827-11f0-bc57-ad3ac4b1618c" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">“(A) </num><content>trends in demand for care;</content></subparagraph> <subparagraph class="fontsize10" id="ydfc0fa40-e827-11f0-bc57-ad3ac4b1618c" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">“(B) </num><content>long-term investments required with respect to the provision of care;<page identifier="/us/stat/134/820">134 STAT. 820</page></content></subparagraph> <subparagraph class="fontsize10" id="ydfc0fa41-e827-11f0-bc57-ad3ac4b1618c" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">“(C) </num><content>requirements relating to maintenance of infrastructure; and</content></subparagraph> <subparagraph class="fontsize10" id="ydfc0fa42-e827-11f0-bc57-ad3ac4b1618c" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="D">“(D) </num><content>other capital investment requirements with respect to the Readjustment Counseling Service, including Vet Centers, mobile Vet Centers, and community access points.”</content></subparagraph> </paragraph> </quotedContent>.</content></subsection> </section> <section id="d229484e6217" identifier="/us/pl/116/171/tV/s505" style="-uslm-lc:I658143"><num class="fontsize12" value="505">SEC. 505. </num><heading>BRIEFING ON ALTERNATIVE WORK SCHEDULES FOR EMPLOYEES OF VETERANS HEALTH ADMINISTRATION.</heading><subsection class="firstIndent0 fontsize10" id="ydfc16f73-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s505/a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="a">(a) </num><heading class="fontsize10"><inline class="smallCaps">Survey of Veterans</inline>.—</heading><paragraph class="fontsize10" id="ydfc16f74-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s505/a/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><sidenote>Deadline.</sidenote><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><content>Not later than 180 days after the date of the enactment of this Act, the Secretary of Veterans Affairs shall conduct a survey on the attitudes of eligible veterans toward the Department of Veterans Affairs offering appointments outside the usual operating hours of facilities of the Department, including through the use of telehealth appointments.</content></paragraph> <paragraph class="fontsize10" id="ydfc16f76-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s505/a/2" role="definitions" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><heading class="fontsize10"><inline class="smallCaps">Eligible veteran defined</inline>.—</heading><chapeau>In this subsection, the term “<term>eligible veteran</term>” means a veteran who—</chapeau><subparagraph class="fontsize10" id="ydfc16f77-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s505/a/2/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>is enrolled in the patient enrollment system of the Department under <ref href="/us/usc/t38/s1705/a">section 1705(a) of title 38, United States Code</ref>; and</content></subparagraph> <subparagraph class="fontsize10" id="ydfc16f78-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s505/a/2/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><sidenote>Time period.</sidenote><content>received health care from the Department at least once during the two-year period ending on the date of the commencement of the survey under paragraph (1).</content></subparagraph> </paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ydfc16f7a-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s505/b" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="b">(b) </num><heading class="fontsize10"><inline class="smallCaps">Congressional Briefing</inline>.—</heading><paragraph class="fontsize10" id="ydfc16f7b-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s505/b/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><sidenote>Deadline.</sidenote><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><chapeau>Not later than 270 days after the date of the enactment of this Act, the Secretary shall brief the Committee on Veterans’ Affairs of the Senate and the Committee on Veterans’ Affairs of the House of Representatives on the—</chapeau><subparagraph class="fontsize10" id="ydfc16f7d-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s505/b/1/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>feasibility and advisability of offering appointments outside the usual operating hours of facilities of the Department that do not offer such appointments; and</content></subparagraph> <subparagraph class="fontsize10" id="ydfc16f7e-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s505/b/1/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>effectiveness of offering appointments outside the usual operating hours of facilities of the Department for those facilities that offer such appointments.</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ydfc16f7f-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s505/b/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><heading class="fontsize10"><inline class="smallCaps">Elements</inline>.—</heading><chapeau>The briefing required by paragraph (1) shall include the following:</chapeau><subparagraph class="fontsize10" id="ydfc16f80-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s505/b/2/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>The findings of the survey conducted under subsection (a);</content></subparagraph> <subparagraph class="fontsize10" id="ydfc16f81-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s505/b/2/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>Feedback from employees of the Veterans Health Administration, including clinical, nonclinical, and support staff, with respect to offering appointments outside the usual operating hours of facilities of the Department, including through the use of telehealth appointments; and</content></subparagraph> <subparagraph class="fontsize10" id="ydfc16f82-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s505/b/2/C" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">(C) </num><content>Any other matters the Secretary considers relevant to a full understanding of the feasibility and advisability of offering appointments outside the usual operating hours of facilities of the Department.</content></subparagraph> </paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ydfc16f83-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s505/c" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="c">(c) </num><heading class="fontsize10"><inline class="smallCaps">Paperwork Reduction Act Exemption</inline>.—</heading><content><ref href="/us/usc/t44/ch35">Chapter 35 of title 44, United States Code</ref> (commonly known as the “Paperwork Reduction Act”) shall not apply to any rulemaking or information collection required under this section.</content></subsection> </section> <section id="d229484e6334" identifier="/us/pl/116/171/tV/s506" style="-uslm-lc:I658143"><num class="fontsize12" value="506">SEC. 506. </num><heading>SUICIDE PREVENTION COORDINATORS.</heading><subsection class="firstIndent0 fontsize10" id="ydfc1e4b4-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s506/a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="a">(a) </num><sidenote>Deadline.<ref href="/us/usc/t38/s1720F">38 USC 1720F note</ref>.</sidenote><heading class="fontsize10"><inline class="smallCaps">Staffing Requirement</inline>.—</heading><content>Beginning not later than one year after the date of the enactment of this Act, the Secretary of Veterans Affairs shall ensure that each medical center of the Department <page identifier="/us/stat/134/821">134 STAT. 821</page> of Veterans Affairs has not less than one suicide prevention coordinator.</content></subsection> <subsection class="firstIndent0 fontsize10" id="ydfc1e4b7-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s506/b" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="b">(b) </num><heading class="fontsize10"><inline class="smallCaps">Study on Reorganization</inline>.—</heading><paragraph class="fontsize10" id="ydfc1e4b8-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s506/b/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><sidenote>Deadline.Consultation.Determination.</sidenote><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><chapeau>Not later than one year after the date of the enactment of this Act, the Secretary, in consultation with the Office of Mental Health and Suicide Prevention of the Department, shall commence the conduct of a study to determine the feasibility and advisability of—</chapeau><subparagraph class="fontsize10" id="ydfc20bcc-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s506/b/1/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>the realignment and reorganization of suicide prevention coordinators within the Office of Mental Health and Suicide Prevention; and</content></subparagraph> <subparagraph class="fontsize10" id="ydfc20bcd-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s506/b/1/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>the creation of a suicide prevention coordinator program office.</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ydfc20bce-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s506/b/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><sidenote>Assessment.</sidenote><heading class="fontsize10"><inline class="smallCaps">Program office realignment</inline>.—</heading><content>In conducting the study under paragraph (1), the Secretary shall assess the feasibility of advisability of, within the suicide prevention coordinator program office described in paragraph (1)(B), aligning suicide prevention coordinators and suicide prevention case managers within the organizational structure and chart of the Suicide Prevention Program of the Department, with the Director of the Suicide Prevention program having ultimate supervisory oversight and responsibility over the suicide prevention coordinator program office.</content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ydfc20bd0-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s506/c" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="c">(c) </num><heading class="fontsize10"><inline class="smallCaps">Report</inline>.—</heading><chapeau>Not later than 90 days after the completion of the study under subsection (b), 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 such study, including the following:</chapeau><paragraph class="fontsize10" id="ydfc20bd1-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s506/c/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><sidenote>Assessment.</sidenote><content>An assessment of the feasibility and advisability of creating a suicide prevention coordinator program office to oversee and monitor suicide prevention coordinators and suicide prevention case managers across all medical centers of the Department.</content></paragraph> <paragraph class="fontsize10" id="ydfc20bd3-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s506/c/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><sidenote>Review.</sidenote><content>A review of current staffing ratios for suicide prevention coordinators and suicide prevention case managers in comparison with current staffing ratios for mental health providers within each medical center of the Department.</content></paragraph> <paragraph class="fontsize10" id="ydfc20bd5-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s506/c/3" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">(3) </num><content>A description of the duties and responsibilities for suicide prevention coordinators across the Department to better define, delineate, and standardize qualifications, performance goals, performance duties, and performance outcomes for suicide prevention coordinators and suicide prevention case managers.</content></paragraph> </subsection> </section> <section id="d229484e6435" identifier="/us/pl/116/171/tV/s507" style="-uslm-lc:I658143"><num class="fontsize12" value="507">SEC. 507. </num><heading>REPORT ON EFFORTS BY DEPARTMENT OF VETERANS AFFAIRS TO IMPLEMENT SAFETY PLANNING IN EMERGENCY DEPARTMENTS.</heading><subsection class="firstIndent0 fontsize10" id="ydfc39276-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s507/a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="a">(a) </num><heading class="fontsize10"><inline class="smallCaps">Findings</inline>.—</heading><chapeau>Congress makes the following findings:</chapeau><paragraph class="fontsize10" id="ydfc39277-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s507/a/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><content>The Department of Veterans Affairs must be more effective in its approach to reducing the burden of veteran suicide connected to mental health diagnoses, to include expansion of treatment delivered via telehealth methods and in rural areas.</content></paragraph> <paragraph class="fontsize10" id="ydfc39278-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s507/a/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><content>An innovative project, known as Suicide Assessment and Follow-up Engagement: Veteran Emergency Treatment (in this subsection referred to as “SAFE VET”), was designed to help suicidal veterans seen at emergency departments within <page identifier="/us/stat/134/822">134 STAT. 822</page> the Veterans Health Administration and was successfully implemented in five intervention sites beginning in 2010.</content></paragraph> <paragraph class="fontsize10" id="ydfc39279-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s507/a/3" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">(3) </num><content>A 2018 study found that safety planning intervention under SAFE VET was associated with 45 percent fewer suicidal behaviors in the six-month period following emergency department care and more than double the odds of a veteran engaging in outpatient behavioral health care.</content></paragraph> <paragraph class="fontsize10" id="ydfc3927a-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s507/a/4" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="4">(4) </num><content>SAFE VET is a promising alternative and acceptable delivery of care system that augments the treatment of suicidal veterans in emergency departments of the Veterans Health Administration and helps ensure that those veterans have appropriate follow-up care.</content></paragraph> <paragraph class="fontsize10" id="ydfc3927b-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s507/a/5" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="5">(5) </num><content>Beginning in September 2018, the Veterans Health Administration implemented a suicide prevention program, known as the SPED program, for veterans presenting to the emergency department who are assessed to be at risk for suicide and are safe to be discharged home.</content></paragraph> <paragraph class="fontsize10" id="ydfc3927c-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s507/a/6" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="6">(6) </num><content>The SPED program includes issuance and update of a safety plan and post-discharge follow-up outreach for veterans to facilitate engagement in outpatient mental health care.</content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ydfc3927d-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s507/b" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="b">(b) </num><heading class="fontsize10"><inline class="smallCaps">Report</inline>.—</heading><paragraph class="fontsize10" id="ydfc3927e-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s507/b/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><content>Not later than 180 days after the date of the enactment of this Act, the Secretary of Veterans Affairs shall submit to the appropriate committees of Congress a report on the efforts of the Secretary to implement a suicide prevention program for veterans presenting to an emergency department or urgent care center of the Veterans Health Administration who are assessed to be at risk for suicide and are safe to be discharged home, including a safety plan and post-discharge outreach for veterans to facilitate engagement in outpatient mental health care.</content></paragraph> <paragraph class="fontsize10" id="ydfc3927f-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s507/b/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><sidenote>Assessments.</sidenote><heading class="fontsize10"><inline class="smallCaps">Elements</inline>.—</heading><chapeau>The report required by paragraph (1) shall include the following:</chapeau><subparagraph class="fontsize10" id="ydfc39281-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s507/b/2/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><chapeau>An assessment of the implementation of the current operational policies and procedures of the SPED program at each medical center of the Department of Veterans Affairs, including an assessment of the following:</chapeau><clause class="fontsize10" id="ydfc39282-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s507/b/2/A/i" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">(i) </num><content>Training provided to clinicians or other personnel administering protocols under the SPED program.</content></clause> <clause class="fontsize10" id="ydfc39283-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s507/b/2/A/ii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">(ii) </num><content>Any disparities in implementation of such protocols between medical centers.</content></clause> <clause class="fontsize10" id="ydfc39284-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s507/b/2/A/iii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iii">(iii) </num><sidenote>Criteria.</sidenote><chapeau>Current criteria used to measure the quality of such protocols including—</chapeau><subclause class="fontsize10" id="ydfc39286-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s507/b/2/A/iii/I" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="I">(I) </num><content>methodology used to assess the quality of a safety plan and post-discharge outreach for veterans; or</content></subclause> <subclause class="fontsize10" id="ydfc39287-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s507/b/2/A/iii/II" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="II">(II) </num><sidenote>Timeline.Guidelines.</sidenote><content>in the absence of such methodology, a proposed timeline and guidelines for creating a methodology to ensure compliance with the evidence-based model used under the Suicide Assessment and Follow-up Engagement: Veteran Emergency Treatment (SAFE VET) program of the Department.</content></subclause> </clause> </subparagraph> <subparagraph class="fontsize10" id="ydfc3928a-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s507/b/2/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><chapeau>An assessment of the implementation of the policies and procedures described in subparagraph (A), including the following:</chapeau><page identifier="/us/stat/134/823">134 STAT. 823</page> <clause class="fontsize10" id="ydfc3928b-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s507/b/2/B/i" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">(i) </num><content>An assessment of the quality and quantity of safety plans issued to veterans.</content></clause> <clause class="fontsize10" id="ydfc3928c-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s507/b/2/B/ii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">(ii) </num><content>An assessment of the quality and quantity of post-discharge outreach provided to veterans.</content></clause> <clause class="fontsize10" id="ydfc3928d-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s507/b/2/B/iii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iii">(iii) </num><content>The post-discharge rate of veteran engagement in outpatient mental health care, including attendance at not fewer than one individual mental health clinic appointment or admission to an inpatient or residential unit.</content></clause> <clause class="fontsize10" id="ydfc3928e-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s507/b/2/B/iv" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iv">(iv) </num><content>The number of veterans who decline safety planning efforts during protocols under the SPED program.</content></clause> <clause class="fontsize10" id="ydfc3928f-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s507/b/2/B/v" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="v">(v) </num><content>The number of veterans who decline to participate in follow-up efforts within the SPED program.</content></clause> </subparagraph> <subparagraph class="fontsize10" id="ydfc39290-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s507/b/2/C" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">(C) </num><chapeau>A description of how SPED primary coordinators are deployed to support such efforts, including the following:</chapeau><clause class="fontsize10" id="ydfc39291-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s507/b/2/C/i" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">(i) </num><content>A description of the duties and responsibilities of such coordinators.</content></clause> <clause class="fontsize10" id="ydfc39292-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s507/b/2/C/ii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">(ii) </num><content>The number and location of such coordinators.</content></clause> <clause class="fontsize10" id="ydfc39293-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s507/b/2/C/iii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iii">(iii) </num><content>A description of training provided to such coordinators.</content></clause> <clause class="fontsize10" id="ydfc39294-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s507/b/2/C/iv" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iv">(iv) </num><content>An assessment of the other responsibilities for such coordinators and, if applicable, differences in patient outcomes when such responsibilities are full-time duties as opposed to secondary duties.</content></clause> </subparagraph> <subparagraph class="fontsize10" id="ydfc39295-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s507/b/2/D" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="D">(D) </num><content>An assessment of the feasibility and advisability of expanding the total number and geographic distribution of SPED primary coordinators.</content></subparagraph> <subparagraph class="fontsize10" id="ydfc39296-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s507/b/2/E" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="E">(E) </num><sidenote>Analysis.</sidenote><content>An assessment of the feasibility and advisability of providing services under the SPED program via telehealth channels, including an analysis of opportunities to leverage telehealth to better serve veterans in rural areas.</content></subparagraph> <subparagraph class="fontsize10" id="ydfc39298-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s507/b/2/F" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="F">(F) </num><content>A description of the status of current capabilities and utilization of tracking mechanisms to monitor compliance, quality, and patient outcomes under the SPED program.</content></subparagraph> <subparagraph class="fontsize10" id="ydfc39299-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s507/b/2/G" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="G">(G) </num><sidenote>Recommenda-tions.</sidenote><chapeau>Such recommendations, including specific action items, as the Secretary considers appropriate with respect to how the Department can better implement the SPED program, including recommendations with respect to the following:</chapeau><clause class="fontsize10" id="ydfc3929c-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s507/b/2/G/i" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">(i) </num><content>A process to standardize training under such program.</content></clause> <clause class="fontsize10" id="ydfc3929d-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s507/b/2/G/ii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">(ii) </num><content>Any resourcing requirements necessary to implement the SPED program throughout Veterans Health Administration, including by having a dedicated clinician responsible for administration of such program at each medical center.</content></clause> <clause class="fontsize10" id="ydfc3929e-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s507/b/2/G/iii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iii">(iii) </num><sidenote>Analysis.</sidenote><content>An analysis of current statutory authority and any changes necessary to fully implement the SPED program throughout the Veterans Health Administration.</content></clause> <clause class="fontsize10" id="ydfc392a0-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s507/b/2/G/iv" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iv">(iv) </num><sidenote>Timeline.</sidenote><content>A timeline for the implementation of the SPED program through the Veterans Health Administration once full resourcing and an approved training plan are in place.<page identifier="/us/stat/134/824">134 STAT. 824</page></content></clause> </subparagraph> <subparagraph class="fontsize10" id="ydfc392a2-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s507/b/2/H" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="H">(H) </num><content>Such other matters as the Secretary considers appropriate.</content></subparagraph> </paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ydfc392a3-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s507/c" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="c">(c) </num><heading class="fontsize10"><inline class="smallCaps">Definitions</inline>.—</heading><chapeau>In this section:</chapeau><paragraph class="fontsize10" id="ydfc392a4-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s507/c/1" role="definitions" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><heading class="fontsize10"><inline class="smallCaps">Appropriate committees of congress</inline>.—</heading><chapeau>The term “<term>appropriate committees of Congress</term>” means—</chapeau><subparagraph class="fontsize10" id="ydfc392a5-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s507/c/1/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>the Committee on Veterans’ Affairs and the Subcommittee on Military Construction, Veterans Affairs, and Related Agencies of the Committee on Appropriations of the Senate; and</content></subparagraph> <subparagraph class="fontsize10" id="ydfc392a6-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s507/c/1/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>the Committee on Veterans’ Affairs and the Subcommittee on Military Construction, Veterans Affairs, and Related Agencies of the Committee on Appropriations of the House of Representatives.</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ydfc392a7-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s507/c/2" role="definitions" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><heading class="fontsize10"><inline class="smallCaps">SPED primary coordinator</inline>.—</heading><content>The term “<term>SPED primary coordinator</term>” means the main point of contact responsible for administering the SPED program at a medical center of the Department.</content></paragraph> <paragraph class="fontsize10" id="ydfc392a8-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tV/s507/c/3" role="definitions" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">(3) </num><heading class="fontsize10"><inline class="smallCaps">SPED program</inline>.—</heading><content>The term “<term>SPED program</term>” means the Safety Planning in Emergency Departments program of the Department of Veterans Affairs established in September 2018 for veterans presenting to the emergency department who are assessed to be at risk for suicide and are safe to be discharged home, which extends the evidence-based intervention for suicide prevention to all emergency departments of the Veterans Health Administration.</content></paragraph> </subsection> </section> <num value="VI">TITLE VI—</num><heading>IMPROVEMENT OF CARE AND SERVICES FOR WOMEN VETERANS</heading> <section id="d229484e6725" identifier="/us/pl/116/171/tVI/s601" style="-uslm-lc:I658143"><num class="fontsize12" value="601">SEC. 601. </num><sidenote><ref href="/us/usc/t38/s6303">38 USC 6303 note</ref>.</sidenote><heading>EXPANSION OF CAPABILITIES OF WOMEN VETERANS CALL CENTER TO INCLUDE TEXT MESSAGING.</heading><content style="-uslm-lc:I658120"> The Secretary of Veterans Affairs shall expand the capabilities of the Women Veterans Call Center of the Department of Veterans Affairs to include a text messaging capability.</content></section> <section id="d229484e6737" identifier="/us/pl/116/171/tVI/s602" style="-uslm-lc:I658143"><num class="fontsize12" value="602">SEC. 602. </num><sidenote><ref href="/us/usc/t38/s6303">38 USC 6303 note</ref>.</sidenote><heading>REQUIREMENT FOR DEPARTMENT OF VETERANS AFFAIRS INTERNET WEBSITE TO PROVIDE INFORMATION ON SERVICES AVAILABLE TO WOMEN VETERANS.</heading><subsection class="firstIndent0 fontsize10" id="ydfc407db-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVI/s602/a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="a">(a) </num><sidenote>Survey.</sidenote><heading class="fontsize10"><inline class="smallCaps">In General</inline>.—</heading><content>The Secretary of Veterans Affairs shall survey the internet websites and information resources of the Department of Veterans Affairs in effect on the day before the date of the enactment of this Act and publish an internet website that serves as a centralized source for the provision to women veterans of information about the benefits and services available to them under laws administered by the Secretary.</content></subsection> <subsection class="firstIndent0 fontsize10" id="ydfc407dd-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVI/s602/b" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="b">(b) </num><heading class="fontsize10"><inline class="smallCaps">Elements</inline>.—</heading><chapeau>The internet website published under subsection (a) shall provide to women veterans information regarding all services available in the district in which the veteran is seeking such services, including, with respect to each medical center and community-based outpatient clinic in the applicable Veterans Integrated Service Network—</chapeau><paragraph class="fontsize10" id="ydfc407de-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVI/s602/b/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><content>the name and contact information of each women’s health coordinator;<page identifier="/us/stat/134/825">134 STAT. 825</page></content></paragraph> <paragraph class="fontsize10" id="ydfc407df-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVI/s602/b/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><sidenote>List.</sidenote><content>a list of appropriate staff for other benefits available from the Veterans Benefits Administration, the National Cemetery Administration, and such other entities as the Secretary considers appropriate; and</content></paragraph> <paragraph class="fontsize10" id="ydfc407e1-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVI/s602/b/3" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">(3) </num><content>such other information as the Secretary considers appropriate.</content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ydfc407e2-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVI/s602/c" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="c">(c) </num><sidenote>Time period.</sidenote><heading class="fontsize10"><inline class="smallCaps">Updated Information</inline>.—</heading><content>The Secretary shall ensure that the information described in subsection (b) that is published on the internet website required by subsection (a) is updated not less frequently than once every 90 days.</content></subsection> <subsection class="firstIndent0 fontsize10" id="ydfc407e4-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVI/s602/d" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="d">(d) </num><heading class="fontsize10"><inline class="smallCaps">Outreach</inline>.—</heading><content>In carrying out this section, the Secretary shall ensure that the outreach conducted under <ref href="/us/usc/t38/s1720F/i">section 1720F(i) of title 38, United States Code</ref>, includes information regarding the internet website required by subsection (a).</content></subsection> <subsection class="firstIndent0 fontsize10" id="ydfc407e5-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVI/s602/e" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="e">(e) </num><heading class="fontsize10"><inline class="smallCaps">Derivation of Funds</inline>.—</heading><content>Amounts used by the Secretary to carry out this section shall be derived from amounts made available to the Secretary to publish internet websites of the Department.</content></subsection> </section> <num value="VII">TITLE VII—</num><heading>OTHER MATTERS</heading> <section id="d229484e6830" identifier="/us/pl/116/171/tVII/s701" style="-uslm-lc:I658143"><num class="fontsize12" value="701">SEC. 701. </num><sidenote><ref href="/us/usc/t38/s1701">38 USC 1701 note</ref>.</sidenote><heading>EXPANDED TELEHEALTH FROM DEPARTMENT OF VETERANS AFFAIRS.</heading><subsection class="firstIndent0 fontsize10" id="ydfc54067-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s701/a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="a">(a) </num><sidenote>Contracts.</sidenote><heading class="fontsize10"><inline class="smallCaps">In General</inline>.—</heading><content>The Secretary of Veterans Affairs shall enter into agreements, and expand existing agreements, with organizations that represent or serve veterans, nonprofit organizations, private businesses, and other interested parties for the expansion of telehealth capabilities and the provision of telehealth services to veterans through the award of grants under subsection (b).</content></subsection> <subsection class="firstIndent0 fontsize10" id="ydfc54069-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s701/b" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="b">(b) </num><heading class="fontsize10"><inline class="smallCaps">Award of Grants</inline>.—</heading><paragraph class="fontsize10" id="ydfc5406a-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s701/b/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><content>In carrying out agreements entered into or expanded under this section with entities described in subsection (a), the Secretary shall award grants to those entities.</content></paragraph> <paragraph class="fontsize10" id="ydfc5406b-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s701/b/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><heading class="fontsize10"><inline class="smallCaps">Locations</inline>.—</heading><content>To the extent practicable, the Secretary shall ensure that grants are awarded to entities that serve veterans in rural and highly rural areas (as determined through the use of the Rural-Urban Commuting Areas coding system of the Department of Agriculture) or areas determined to be medically underserved.</content></paragraph> <paragraph class="fontsize10" id="ydfc5406c-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s701/b/3" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">(3) </num><heading class="fontsize10"><inline class="smallCaps">Use of grants</inline>.—</heading><subparagraph class="fontsize10" id="ydfc5406d-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s701/b/3/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><chapeau>Grants awarded to an entity under this subsection may be used for one or more of the following:</chapeau><clause class="fontsize10" id="ydfc5406e-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s701/b/3/A/i" role="instruction" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">(i) </num><content>Purchasing, <amendingAction type="substitute">replacing</amendingAction> or upgrading hardware or software necessary for the provision of secure and private telehealth services.</content></clause> <clause class="fontsize10" id="ydfc5406f-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s701/b/3/A/ii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">(ii) </num><content>Upgrading security protocols for consistency with the security requirements of the Department of Veterans Affairs.</content></clause> <clause class="fontsize10" id="ydfc54070-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s701/b/3/A/iii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iii">(iii) </num><chapeau>Training of site attendants, including payment of those attendants for completing that training, with respect to—</chapeau><subclause class="fontsize10" id="ydfc54071-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s701/b/3/A/iii/I" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="I">(I) </num><content>military and veteran cultural competence, if the entity is not an organization that represents veterans;<page identifier="/us/stat/134/826">134 STAT. 826</page></content></subclause> <subclause class="fontsize10" id="ydfc54072-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s701/b/3/A/iii/II" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="II">(II) </num><content>equipment required to provide telehealth services;</content></subclause> <subclause class="fontsize10" id="ydfc54073-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s701/b/3/A/iii/III" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="III">(III) </num><content>privacy, including the Health Insurance Portability and Accountability Act of 1996 privacy rule under part 160 and subparts A and E of <ref href="/us/cfr/t45/pt164">part 164 of title 45, Code of Federal Regulations</ref>, or successor regulations, as it relates to health care for veterans;</content></subclause> <subclause class="fontsize10" id="ydfc54074-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s701/b/3/A/iii/IV" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="IV">(IV) </num><content>scheduling for telehealth services for veterans; or</content></subclause> <subclause class="fontsize10" id="ydfc54075-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s701/b/3/A/iii/V" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="V">(V) </num><content>any other unique training needs for the provision of telehealth services to veterans.</content></subclause> </clause> <clause class="fontsize10" id="ydfc54076-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s701/b/3/A/iv" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="iv">(iv) </num><chapeau>Upgrading existing infrastructure owned or leased by the entity to make rooms more conducive to telehealth care, including—</chapeau><subclause class="fontsize10" id="ydfc54077-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s701/b/3/A/iv/I" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="I">(I) </num><content>additions or modifications to windows or walls in an existing room, or other alterations as needed to create a new, private room, including permits or inspections required in association with space modifications;</content></subclause> <subclause class="fontsize10" id="ydfc54078-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s701/b/3/A/iv/II" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="II">(II) </num><content>soundproofing of an existing room;</content></subclause> <subclause class="fontsize10" id="ydfc54079-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s701/b/3/A/iv/III" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="III">(III) </num><content>new electrical, telephone, or internet outlets in an existing room; or</content></subclause> <subclause class="fontsize10" id="ydfc5407a-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s701/b/3/A/iv/IV" style="-uslm-lc:I658128"><num class="fontsize10" style="-uslm-lc:emspace2" value="IV">(IV) </num><content>aesthetic enhancements to establish a more suitable therapeutic environment.</content></subclause> </clause> <clause class="fontsize10" id="ydfc5407b-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s701/b/3/A/v" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="v">(v) </num><content>Upgrading existing infrastructure to comply with the Americans with Disabilities Act of 1990 (<ref href="/us/usc/t42/s12101/etseq">42 U.S.C. 12101 et seq.</ref>).</content></clause> <clause class="fontsize10" id="ydfc5407c-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s701/b/3/A/vi" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="vi">(vi) </num><content>Upgrading internet infrastructure and sustainment of internet services.</content></clause> <clause class="fontsize10" id="ydfc5407d-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s701/b/3/A/vii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="vii">(vii) </num><content>Sustainment of telephone services.</content></clause> </subparagraph> <subparagraph class="fontsize10" id="ydfc5407e-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s701/b/3/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><sidenote>Determination.</sidenote><heading class="fontsize10"><inline class="smallCaps">Exclusion</inline>.—</heading><content>Grants may not be used for the purchase of new property or for major construction projects, as determined by the Secretary.</content></subparagraph> </paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ydfc54080-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s701/c" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="c">(c) </num><sidenote>Contracts.</sidenote><heading class="fontsize10"><inline class="smallCaps">Agreement on Telehealth Access Points</inline>.—</heading><paragraph class="fontsize10" id="ydfc54082-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s701/c/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><content>An entity described in subsection (a) that seeks to establish a telehealth access point for veterans but does not require grant funding under this section to do so may enter into an agreement with the Department for the establishment of such an access point.</content></paragraph> <paragraph class="fontsize10" id="ydfc54083-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s701/c/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><heading class="fontsize10"><inline class="smallCaps">Adequacy of facilities</inline>.—</heading><content>An entity described in paragraph (1) shall be responsible for ensuring that any access point is adequately private, secure, clean, and accessible for veterans before the access point is established.</content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ydfc54084-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s701/d" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="d">(d) </num><heading class="fontsize10"><inline class="smallCaps">Assessment of Barriers to Access</inline>.—</heading><paragraph class="fontsize10" id="ydfc54085-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s701/d/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><sidenote>Deadline.</sidenote><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><content>Not later than 18 months after the date of the enactment of this Act, the Secretary shall complete an assessment of barriers faced by veterans in accessing telehealth services.</content></paragraph> <paragraph class="fontsize10" id="ydfc54087-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s701/d/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><heading class="fontsize10"><inline class="smallCaps">Elements</inline>.—</heading><chapeau>The assessment required by paragraph (1) shall include the following:</chapeau><subparagraph class="fontsize10" id="ydfc54088-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s701/d/2/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>A description of the barriers veterans face in using telehealth while not on property of the Department.</content></subparagraph> <subparagraph class="fontsize10" id="ydfc54089-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s701/d/2/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>A description of how the Department plans to address the barriers described in subparagraph (A).<page identifier="/us/stat/134/827">134 STAT. 827</page></content></subparagraph> <subparagraph class="fontsize10" id="ydfc5408a-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s701/d/2/C" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">(C) </num><content>Such other matters related to access by veterans to telehealth while not on property of the Department as the Secretary considers relevant.</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ydfc5408b-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s701/d/3" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">(3) </num><sidenote>Recommenda-tions.</sidenote><heading class="fontsize10"><inline class="smallCaps">Report</inline>.—</heading><content>Not later than 120 days after the completion of the assessment required by paragraph (1), 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 assessment, including any recommendations for legislative or administrative action based on the results of the assessment.</content></paragraph> </subsection> </section> <section id="d229484e7093" identifier="/us/pl/116/171/tVII/s702" style="-uslm-lc:I658143"><num class="fontsize12" value="702">SEC. 702. </num><sidenote>Deadlines.</sidenote><heading>PARTNERSHIPS WITH NON-FEDERAL GOVERNMENT ENTITIES TO PROVIDE HYPERBARIC OXYGEN THERAPY TO VETERANS AND STUDIES ON THE USE OF SUCH THERAPY FOR TREATMENT OF POST-TRAUMATIC STRESS DISORDER AND TRAUMATIC BRAIN INJURY.</heading><subsection class="firstIndent0 fontsize10" id="ydfc7154f-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s702/a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="a">(a) </num><sidenote><ref href="/us/usc/t38/s1701">38 USC 1701 note</ref>.</sidenote><heading class="fontsize10"><inline class="smallCaps">Partnerships to Provide Hyperbaric Oxygen Therapy to Veterans</inline>.—</heading><paragraph class="fontsize10" id="ydfc71551-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s702/a/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><sidenote>Consultation.</sidenote><heading class="fontsize10"><inline class="smallCaps">Use of partnerships</inline>.—</heading><content>The Secretary of Veterans Affairs, in consultation with the Center for Compassionate Innovation within the Office of Community Engagement of the Department of Veterans Affairs, may enter into partnerships with non-Federal Government entities to provide hyperbaric oxygen treatment to veterans to research the effectiveness of such therapy.</content></paragraph> <paragraph class="fontsize10" id="ydfc71553-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s702/a/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><heading class="fontsize10"><inline class="smallCaps">Types of partnerships</inline>.—</heading><chapeau>Partnerships entered into under paragraph (1) may include the following:</chapeau><subparagraph class="fontsize10" id="ydfc71554-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s702/a/2/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>Partnerships to conduct research on hyperbaric oxygen therapy.</content></subparagraph> <subparagraph class="fontsize10" id="ydfc71555-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s702/a/2/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>Partnerships to review research on hyperbaric oxygen therapy provided to nonveterans.</content></subparagraph> <subparagraph class="fontsize10" id="ydfc73c66-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s702/a/2/C" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">(C) </num><content>Partnerships to create industry working groups to determine standards for research on hyperbaric oxygen therapy.</content></subparagraph> <subparagraph class="fontsize10" id="ydfc73c67-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s702/a/2/D" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="D">(D) </num><content>Partnerships to provide to veterans hyperbaric oxygen therapy for the purposes of conducting research on the effectiveness of such therapy.</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ydfc73c68-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s702/a/3" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">(3) </num><heading class="fontsize10"><inline class="smallCaps">Limitation on federal funding</inline>.—</heading><content>Federal Government funding may be used to coordinate and administer the partnerships under this subsection but may not be used to carry out activities conducted under such partnerships.</content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ydfc73c69-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s702/b" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="b">(b) </num><sidenote>Consultation.<ref href="/us/usc/t38/s1701">38 USC 1701 note</ref>.</sidenote><heading class="fontsize10"><inline class="smallCaps">Review of Effectiveness of Hyperbaric Oxygen Therapy</inline>.—</heading><content>Not later than 90 days after the date of the enactment of this Act, the Secretary, in consultation with the Center for Compassionate Innovation, shall begin using an objective and quantifiable method to review the effectiveness and applicability of hyperbaric oxygen therapy, such as through the use of a device approved or cleared by the Food and Drug Administration that assesses traumatic brain injury by tracking eye movement.</content></subsection> <subsection class="firstIndent0 fontsize10" id="ydfc73c6c-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s702/c" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="c">(c) </num><heading class="fontsize10"><inline class="smallCaps">Systematic Review of Use of Hyperbaric Oxygen Therapy to Treat Certain Conditions</inline>.—</heading><paragraph class="fontsize10" id="ydfc73c6d-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s702/c/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><sidenote>Consultation.</sidenote><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><content>Not later than 90 days after the date of the enactment of this Act, the Secretary, in consultation with the Center for Compassionate Innovation, shall commence the conduct of a systematic review of published research literature on off-label use of hyperbaric oxygen therapy to treat <page identifier="/us/stat/134/828">134 STAT. 828</page> post-traumatic stress disorder and traumatic brain injury among veterans and nonveterans.</content></paragraph> <paragraph class="fontsize10" id="ydfc73c6f-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s702/c/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><heading class="fontsize10"><inline class="smallCaps">Elements</inline>.—</heading><chapeau>The review conducted under paragraph (1) shall include the following:</chapeau><subparagraph class="fontsize10" id="ydfc73c70-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s702/c/2/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><sidenote>Assessment.</sidenote><chapeau>An assessment of the current parameters for research on the use by the Department of Veterans Affairs of hyperbaric oxygen therapy, including—</chapeau><clause class="fontsize10" id="ydfc73c72-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s702/c/2/A/i" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="i">(i) </num><content>tests and questionnaires used to determine the efficacy of such therapy; and</content></clause> <clause class="fontsize10" id="ydfc73c73-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s702/c/2/A/ii" style="-uslm-lc:I658126"><num class="fontsize10" style="-uslm-lc:emspace2" value="ii">(ii) </num><content>metrics for determining the success of such therapy.</content></clause> </subparagraph> <subparagraph class="fontsize10" id="ydfc73c74-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s702/c/2/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><sidenote>Analysis.</sidenote><content>A comparative analysis of tests and questionnaires used to study post-traumatic stress disorder and traumatic brain injury in other research conducted by the Department of Veterans Affairs, other Federal agencies, and entities outside the Federal Government.</content></subparagraph> </paragraph> <paragraph class="fontsize10" id="ydfc73c76-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s702/c/3" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">(3) </num><heading class="fontsize10"><inline class="smallCaps">Completion of review</inline>.—</heading><content>The review conducted under paragraph (1) shall be completed not later than 180 days after the date of the commencement of the review.</content></paragraph> <paragraph class="fontsize10" id="ydfc73c77-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s702/c/4" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="4">(4) </num><heading class="fontsize10"><inline class="smallCaps">Report</inline>.—</heading><content>Not later than 90 days after the completion of the review conducted under paragraph (1), 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 results of the review.</content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ydfc73c78-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s702/d" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="d">(d) </num><heading class="fontsize10"><inline class="smallCaps">Follow-up Study</inline>.—</heading><paragraph class="fontsize10" id="ydfc73c79-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s702/d/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><sidenote>Consultation.</sidenote><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><content>Not later than 120 days after the completion of the review conducted under subsection (c), the Secretary, in consultation with the Center for Compassionate Innovation, shall commence the conduct of a study on all individuals receiving hyperbaric oxygen therapy through the current pilot program of the Department for the provision of hyperbaric oxygen therapy to veterans to determine the efficacy and effectiveness of hyperbaric oxygen therapy for the treatment of post-traumatic stress disorder and traumatic brain injury.</content></paragraph> <paragraph class="fontsize10" id="ydfc73c7b-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s702/d/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><sidenote>Review.Publication.</sidenote><heading class="fontsize10"><inline class="smallCaps">Elements</inline>.—</heading><content>The study conducted under paragraph (1) shall include the review and publication of any data and conclusions resulting from research conducted by an authorized provider of hyperbaric oxygen therapy for veterans through the pilot program described in such paragraph.</content></paragraph> <paragraph class="fontsize10" id="ydfc73c7e-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s702/d/3" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">(3) </num><heading class="fontsize10"><inline class="smallCaps">Completion of study</inline>.—</heading><content>The study conducted under paragraph (1) shall be completed not later than three years after the date of the commencement of the study.</content></paragraph> <paragraph class="fontsize10" id="ydfc73c7f-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s702/d/4" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="4">(4) </num><heading class="fontsize10"><inline class="smallCaps">Report</inline>.—</heading><subparagraph class="fontsize10" id="ydfc73c80-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s702/d/4/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><content>Not later than 90 days after completing the study conducted under paragraph (1), 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 results of the study.</content></subparagraph> <subparagraph class="fontsize10" id="ydfc73c81-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s702/d/4/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><sidenote>Recommenda-tions.</sidenote><heading class="fontsize10"><inline class="smallCaps">Elements</inline>.—</heading><content>The report required under subparagraph (A) shall include the recommendation of the Secretary with respect to whether or not hyperbaric oxygen therapy should be made available to all veterans with traumatic brain injury or post-traumatic stress disorder.<page identifier="/us/stat/134/829">134 STAT. 829</page></content></subparagraph> </paragraph> </subsection> </section> <section id="d229484e7334" identifier="/us/pl/116/171/tVII/s703" style="-uslm-lc:I658143"><num class="fontsize12" value="703">SEC. 703. </num><sidenote><ref href="/us/usc/t38/s7402">38 USC 7402 note</ref>.</sidenote><heading>PRESCRIPTION OF TECHNICAL QUALIFICATIONS FOR LICENSED HEARING AID SPECIALISTS AND REQUIREMENT FOR APPOINTMENT OF SUCH SPECIALISTS.</heading><subsection class="firstIndent0 fontsize10" id="ydfc7b0b5-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s703/a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="a">(a) </num><heading class="fontsize10"><inline class="smallCaps">Technical Qualifications</inline>.—</heading><paragraph class="fontsize10" id="ydfc7b0b6-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s703/a/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><sidenote>Deadline.</sidenote><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><content>Not later than 180 days after the date of the enactment of this Act, the Secretary of Veterans Affairs shall prescribe the technical qualifications required under <ref href="/us/usc/t38/s7402/b/14">section 7402(b)(14) of title 38, United States Code</ref>, to be appointed as a licensed hearing aid specialist under section 7401(3) of such title.</content></paragraph> <paragraph class="fontsize10" id="ydfc7b0b8-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s703/a/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><heading class="fontsize10"><inline class="smallCaps">Elements for qualifications</inline>.—</heading><chapeau>In prescribing the qualifications for licensed hearing aid specialists under paragraph (1), the Secretary shall, at a minimum, ensure that such qualifications are consistent with—</chapeau><subparagraph class="fontsize10" id="ydfc7b0b9-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s703/a/2/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>the standards for licensure of hearing aid specialists that are required by a majority of States;</content></subparagraph> <subparagraph class="fontsize10" id="ydfc7b0ba-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s703/a/2/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>any competencies needed to perform tasks and services commonly performed by hearing aid specialists pursuant to such standards; and</content></subparagraph> <subparagraph class="fontsize10" id="ydfc7b0bb-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s703/a/2/C" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">(C) </num><content>any competencies needed to perform tasks specific to providing care to individuals under the laws administered by the Secretary.</content></subparagraph> </paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ydfc7b0bc-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s703/b" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="b">(b) </num><heading class="fontsize10"><inline class="smallCaps">Authority to Set and Maintain Duties</inline>.—</heading><content>The Secretary shall retain the authority to set and maintain the duties for licensed hearing aid specialists appointed under <ref href="/us/usc/t38/s7401/3">section 7401(3) of title 38, United States Code</ref>, for the purposes of the employment of such specialists with the Department of Veterans Affairs.</content></subsection> <subsection class="firstIndent0 fontsize10" id="ydfc7b0bd-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s703/c" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="c">(c) </num><sidenote>Deadline.</sidenote><heading class="fontsize10"><inline class="smallCaps">Appointment</inline>.—</heading><content>Not later than September 30, 2022, the Secretary shall appoint not fewer than one licensed hearing aid specialist at each medical center of the Department.</content></subsection> <subsection class="firstIndent0 fontsize10" id="ydfc7b0bf-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s703/d" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="d">(d) </num><sidenote>Assessments.</sidenote><heading class="fontsize10"><inline class="smallCaps">Report</inline>.—</heading><chapeau>Not later than September 30, 2022, and annually thereafter, 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—</chapeau><paragraph class="fontsize10" id="ydfc7b0c1-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s703/d/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><content>assessing the progress of the Secretary in appointing licensed hearing aid specialists under subsection (c);</content></paragraph> <paragraph class="fontsize10" id="ydfc7b0c2-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s703/d/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><content>assessing potential conflicts or obstacles that prevent the appointment of licensed hearing aid specialists;</content></paragraph> <paragraph class="fontsize10" id="ydfc7b0c3-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s703/d/3" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">(3) </num><content>assessing the factors that led to such conflicts or obstacles;</content></paragraph> <paragraph class="fontsize10" id="ydfc7b0c4-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s703/d/4" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="4">(4) </num><content>assessing access of patients to comprehensive hearing health care services from the Department consistent with the requirements under section 4(b) of the Veterans Mobility Safety Act of 2016 (<ref href="/us/pl/114/256">Public Law 114–256</ref>; <ref href="/us/usc/t38/s7401">38 U.S.C. 7401 note</ref>), including an assessment of the impact of infrastructure and equipment limitations on wait times for audiologic care; and</content></paragraph> <paragraph class="fontsize10" id="ydfc7b0c5-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s703/d/5" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="5">(5) </num><content>indicating the medical centers of the Department with vacancies for audiologists or licensed hearing aid specialists.</content></paragraph> </subsection> </section> <section id="d229484e7462" identifier="/us/pl/116/171/tVII/s704" style="-uslm-lc:I658143"><num class="fontsize12" value="704">SEC. 704. </num><sidenote>Deadlines.<ref href="/us/usc/t38/s7303">38 USC 7303 note</ref>.</sidenote><heading>USE BY DEPARTMENT OF VETERANS AFFAIRS OF COMMERCIAL INSTITUTIONAL REVIEW BOARDS IN SPONSORED RESEARCH TRIALS.</heading><subsection class="firstIndent0 fontsize10" id="ydfc825f8-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s704/a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="a">(a) </num><heading class="fontsize10"><inline class="smallCaps">In General</inline>.—</heading><content>Not later than 90 days after the date of the enactment of this Act, the Secretary of Veterans Affairs shall complete all necessary policy revisions within the directive of the Veterans Health Administration numbered 1200.05 and titled “Requirements for the Protection of Human Subjects in Research”, <page identifier="/us/stat/134/830">134 STAT. 830</page> to allow sponsored clinical research of the Department of Veterans Affairs to use accredited commercial institutional review boards to review research proposal protocols of the Department.</content></subsection> <subsection class="firstIndent0 fontsize10" id="ydfc825f9-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s704/b" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="b">(b) </num><heading class="fontsize10"><inline class="smallCaps">Identification of Review Boards</inline>.—</heading><chapeau>Not later than 90 days after the completion of the policy revisions under subsection (a), the Secretary shall—</chapeau><paragraph class="fontsize10" id="ydfc825fa-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s704/b/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><content>identify accredited commercial institutional review boards for use in connection with sponsored clinical research of the Department; and</content></paragraph> <paragraph class="fontsize10" id="ydfc825fb-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s704/b/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><content>establish a process to modify existing approvals in the event that a commercial institutional review board loses its accreditation during an ongoing clinical trial.</content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ydfc825fc-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s704/c" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="c">(c) </num><heading class="fontsize10"><inline class="smallCaps">Report</inline>.—</heading><paragraph class="fontsize10" id="ydfc825fd-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s704/c/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><content>Not later than 90 days after the completion of the policy revisions under subsection (a), and annually thereafter, 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 all approvals of institutional review boards used by the Department, including central institutional review boards and commercial institutional review boards.</content></paragraph> <paragraph class="fontsize10" id="ydfc825fe-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s704/c/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><heading class="fontsize10"><inline class="smallCaps">Elements</inline>.—</heading><chapeau>The report required by paragraph (1) shall include, at a minimum, the following:</chapeau><subparagraph class="fontsize10" id="ydfc825ff-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s704/c/2/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>The name of each clinical trial with respect to which the use of an institutional review board has been approved.</content></subparagraph> <subparagraph class="fontsize10" id="ydfc82600-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s704/c/2/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>The institutional review board or institutional review boards used in the approval process for each clinical trial.</content></subparagraph> <subparagraph class="fontsize10" id="ydfc82601-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s704/c/2/C" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="C">(C) </num><content>The amount of time between submission and approval.</content></subparagraph> </paragraph> </subsection> </section> <section id="d229484e7548" identifier="/us/pl/116/171/tVII/s705" style="-uslm-lc:I658143"><num class="fontsize12" value="705">SEC. 705. </num><sidenote><ref href="/us/usc/t38/s310">38 USC 310 note</ref>.</sidenote><heading>CREATION OF OFFICE OF RESEARCH REVIEWS WITHIN THE OFFICE OF INFORMATION AND TECHNOLOGY OF THE DEPARTMENT OF VETERANS AFFAIRS.</heading><subsection class="firstIndent0 fontsize10" id="ydfc87423-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s705/a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="a">(a) </num><sidenote>Deadline.</sidenote><heading class="fontsize10"><inline class="smallCaps">In General</inline>.—</heading><content>Not later than one year after the date of the enactment of this Act, the Secretary of Veterans Affairs shall establish within the Office of Information and Technology of the Department of Veterans Affairs an Office of Research Reviews (in this section referred to as the “Office”).</content></subsection> <subsection class="firstIndent0 fontsize10" id="ydfc87425-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s705/b" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="b">(b) </num><heading class="fontsize10"><inline class="smallCaps">Elements</inline>.—</heading><chapeau>The Office shall do the following:</chapeau><paragraph class="fontsize10" id="ydfc87426-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s705/b/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><content>Perform centralized security reviews and complete security processes for approved research sponsored outside the Department, with a focus on multi-site clinical trials.</content></paragraph> <paragraph class="fontsize10" id="ydfc87427-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s705/b/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><sidenote>List.</sidenote><content>Develop and maintain a list of commercially available software preferred for use in sponsored clinical trials of the Department and ensure such list is maintained as part of the official approved software products list of the Department.</content></paragraph> <paragraph class="fontsize10" id="ydfc87429-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s705/b/3" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">(3) </num><content>Develop benchmarks for appropriate timelines for security reviews conducted by the Office.</content></paragraph> </subsection> <subsection class="firstIndent0 fontsize10" id="ydfc8742a-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s705/c" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="c">(c) </num><heading class="fontsize10"><inline class="smallCaps">Report</inline>.—</heading><paragraph class="fontsize10" id="ydfc8742b-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s705/c/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><heading class="fontsize10"><inline class="smallCaps">In general</inline>.—</heading><content>Not later than one year after the establishment of the Office, the Office 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 activity of the Office.<page identifier="/us/stat/134/831">134 STAT. 831</page></content></paragraph> <paragraph class="fontsize10" id="ydfc8742c-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s705/c/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><heading class="fontsize10"><inline class="smallCaps">Elements</inline>.—</heading><chapeau>The report required by paragraph (1) shall include, at a minimum, the following:</chapeau><subparagraph class="fontsize10" id="ydfc8742d-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s705/c/2/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>The number of security reviews completed.</content></subparagraph> <subparagraph class="fontsize10" id="ydfc8742e-e827-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/116/171/tVII/s705/c/2/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>The number of personnel assigned for performing the functions described in subsection (b).</content></subparagraph> </paragraph> </subsection> </section> Approved October 17, 2020.