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<?I97 135 STAT. ?>
<?I98 135 STAT. ?>
<?I99 135 STAT. ?>
<?I50 PUBLIC LAW 117–21—JUNE 30, 2021?>
<?I51 PUBLIC LAW 117–21—JUNE 30, 2021?>
<?I52 PUBLIC LAW 117–21—JUNE 30, 2021?>


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<meta><dc:title>Public Law 117–21: To direct the Secretary of Veterans Affairs to expand the Rural Access Network for Growth Enhancement Program of the Department of Veterans Affairs, and to direct the Comptroller General of the United States to conduct a study to assess certain mental health care resources of the Department of Veterans Affairs available to veterans who live in rural areas.</dc:title>
<dc:type>Public Law</dc:type><docNumber>21</docNumber>
<citableAs>Public Law 117–21</citableAs><citableAs>135 Stat. 292</citableAs>
<approvedDate>2021-06-30</approvedDate>
<dc:date>2021-06-30</dc:date>
<dc:publisher>United States Government Publishing Office</dc:publisher><dc:creator>National Archives and Records Administration</dc:creator><dc:creator>Office of the Federal Register</dc:creator><dc:format>text/xml</dc:format><dc:language>EN</dc:language><dc:rights>Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.</dc:rights>
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<preface><centerRunningHead>PUBLIC LAW 117–21—JUNE 30, 2021</centerRunningHead>
<page identifier="/us/stat/135/292">135 STAT. 292</page>
<dc:type>Public Law</dc:type><docNumber>117–21</docNumber>
<congress value="117">117th Congress</congress>
</preface>
<main>
<longTitle>
<docTitle class="centered fontsize12" style="-uslm-lc:I658005">An Act</docTitle>
<officialTitle class="indentUp0 firstIndent1 fontsize8" style="-uslm-lc:I658011">To direct the Secretary of Veterans Affairs to expand the Rural Access Network for Growth Enhancement Program of the Department of Veterans Affairs, and to direct the Comptroller General of the United States to conduct a study to assess certain mental health care resources of the Department of Veterans Affairs available to veterans who live in rural areas.<sidenote><p class="centered fontsize8" id="xa8a3aaf3-e819-11f0-bc57-ad3ac4b1618c" style="-uslm-lc:I658076"><approvedDate date="2021-06-30">June 30, 2021</approvedDate></p><p class="centered fontsize8" id="xa8a3aaf4-e819-11f0-bc57-ad3ac4b1618c" style="-uslm-lc:I658076">[<ref href="/us/bill/117/hr/2441">H.R. 2441</ref>]<?GPOvSpace 08?></p></sidenote></officialTitle>
</longTitle>
<enactingFormula style="-uslm-lc:I658120"><i>  Be it enacted by the Senate and House of Representa­tives of the United States of America in Congress assembled,</i></enactingFormula><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xa8a3aaf5-e819-11f0-bc57-ad3ac4b1618c" style="-uslm-lc:I658180">Sgt. Ketchum Rural Veterans Mental Health Act of 2021.</p></sidenote>
<section id="d118513e88" identifier="/us/pl/117/21/s1" style="-uslm-lc:I658146"><num class="bold" value="1">SECTION 1. </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xa8a3aaf6-e819-11f0-bc57-ad3ac4b1618c" style="-uslm-lc:I658180"><ref href="/us/usc/t38/s101">38 USC 101 note</ref>.</p></sidenote><heading>SHORT TITLE.</heading><content style="-uslm-lc:I658120">  This Act may be cited as the “<shortTitle role="act">Sgt. Ketchum Rural Veterans Mental Health Act of 2021</shortTitle>”.</content></section>
<section id="d118513e103" identifier="/us/pl/117/21/s2" style="-uslm-lc:I658141"><num class="fontsize12" value="2">SEC. 2. </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xa8a3aaf7-e819-11f0-bc57-ad3ac4b1618c" style="-uslm-lc:I658180"><ref href="/us/usc/t38/s1712A">38 USC 1712A note</ref>.</p></sidenote><heading>EXPANSION OF RURAL ACCESS NETWORK FOR GROWTH ENHANCEMENT PROGRAM OF THE DEPARTMENT OF VETERANS AFFAIRS.</heading><subsection class="firstIndent0 fontsize10" id="ya8a3f918-e819-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/117/21/s2/a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="a">(a) </num><heading class="fontsize10"><inline class="smallCaps">Expansion</inline>.—</heading><content>The Secretary of Veterans Affairs shall establish and maintain three new centers of the RANGE Program.</content></subsection>
<subsection class="firstIndent0 fontsize10" id="ya8a3f919-e819-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/117/21/s2/b" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="b">(b) </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xa8a3f91a-e819-11f0-bc57-ad3ac4b1618c" style="-uslm-lc:I658180">Determination.</p></sidenote><heading class="fontsize10"><inline class="smallCaps">Locations</inline>.—</heading><chapeau>The centers established under subsection (a) shall be located in areas determined by the Secretary based on—</chapeau><paragraph class="fontsize10" id="ya8a3f91b-e819-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/117/21/s2/b/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><content>the need for additional mental health care for rural veterans in such areas; and</content></paragraph>
<paragraph class="fontsize10" id="ya8a3f91c-e819-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/117/21/s2/b/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><content>interest expressed by personnel at facilities of the Department in such areas.</content></paragraph>
</subsection>
<subsection class="firstIndent0 fontsize10" id="ya8a3f91d-e819-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/117/21/s2/c" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="c">(c) </num><heading class="fontsize10"><inline class="smallCaps">Timeline</inline>.—</heading><content>The Secretary shall establish the centers under subsection (a) during fiscal year 2022.</content></subsection>
<subsection class="firstIndent0 fontsize10" id="ya8a3f91e-e819-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/117/21/s2/d" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="d">(d) </num><heading class="fontsize10"><inline class="smallCaps">Funding</inline>.—</heading><content>There is authorized to be appropriated $1,200,000 for each of fiscal years 2022 through 2024 to carry out this section.</content></subsection>
</section>
<section id="d118513e162" identifier="/us/pl/117/21/s3" style="-uslm-lc:I658141"><num class="fontsize12" value="3">SEC. 3. </num><heading>GAO STUDY OF MENTAL HEALTH CARE FURNISHED BY THE SECRETARY OF VETERANS AFFAIRS TO RURAL VETERANS.</heading><subsection class="firstIndent0 fontsize10" id="ya8a4473f-e819-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/117/21/s3/a" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="a">(a) </num><heading class="fontsize10"><inline class="smallCaps">Study Required</inline>.—</heading><chapeau>The Comptroller General of the United States shall conduct a study to assess whether the Department of Veterans Affairs has sufficient resources to serve rural veterans who need covered mental health care. Such study shall include assessments of—</chapeau><paragraph class="fontsize10" id="ya8a44740-e819-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/117/21/s3/a/1" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><content>whether the mental health care furnished by the Secretary (through resources including the RANGE Program, Enhanced RANGE Program, mental health residential rehabilitation treatment programs, inpatient mental health services, and PRR centers) is sufficient to meet the covered mental health care needs of rural veterans;</content></paragraph>
<paragraph class="fontsize10" id="ya8a44741-e819-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/117/21/s3/a/2" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><content>how best to expand and to appropriately locate resources described in paragraph (1);<page identifier="/us/stat/135/293">135 STAT. 293</page></content></paragraph>
<paragraph class="fontsize10" id="ya8a44742-e819-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/117/21/s3/a/3" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">(3) </num><content>whether to require the establishment of a PRR center at a medical facility of the Department that serves 1,000 or more veterans on the National Psychosis Registry;</content></paragraph>
<paragraph class="fontsize10" id="ya8a44743-e819-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/117/21/s3/a/4" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="4">(4) </num><content>the demand by rural veterans for mental health resources specified in paragraph (1);</content></paragraph>
<paragraph class="fontsize10" id="ya8a44744-e819-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/117/21/s3/a/5" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="5">(5) </num><content>the average wait time for a rural veteran for mental health resources specified in paragraph (1); and</content></paragraph>
<paragraph class="fontsize10" id="ya8a44745-e819-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/117/21/s3/a/6" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="6">(6) </num><chapeau>how many rural veterans died by suicide or overdose—</chapeau><subparagraph class="fontsize10" id="ya8a44746-e819-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/117/21/s3/a/6/A" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="A">(A) </num><content>while on a wait list for mental health resources specified in paragraph (1); and</content></subparagraph>
<subparagraph class="fontsize10" id="ya8a44747-e819-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/117/21/s3/a/6/B" style="-uslm-lc:I658124"><num class="fontsize10" style="-uslm-lc:emspace2" value="B">(B) </num><content>during the term of the study.</content></subparagraph>
</paragraph>
</subsection>
<subsection class="firstIndent0 fontsize10" id="ya8a44748-e819-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/117/21/s3/b" style="-uslm-lc:I658120"><num class="fontsize10" style="-uslm-lc:emspace2" value="b">(b) </num><heading class="fontsize10"><inline class="smallCaps">Report Required</inline>.—</heading><content>Not later than 18 months after the date of the enactment of this Act, the Comptroller General shall submit to the Committees on Veterans’ Affairs of the Senate and House of Representatives a report containing the results of the study under this section.</content></subsection>
</section>
<section id="d118513e230" identifier="/us/pl/117/21/s4" style="-uslm-lc:I658141"><num class="fontsize12" value="4">SEC. 4. </num><sidenote><p class="leftAlign firstIndent0 fontsize8" id="xa8a44749-e819-11f0-bc57-ad3ac4b1618c" style="-uslm-lc:I658180"><ref href="/us/usc/t38/s1712A">38 USC 1712A note</ref>.</p></sidenote><heading>DEFINITIONS.</heading><chapeau class="indentUp0 firstIndent0 fontsize10" id="xa8a46e5a-e819-11f0-bc57-ad3ac4b1618c" style="-uslm-lc:I658120">  In this Act:</chapeau><paragraph class="fontsize10" id="ya8a46e5b-e819-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/117/21/s4/1" role="definitions" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="1">(1) </num><content>The term “<term>covered mental health care</term>” means mental health care that is more intensive than traditional outpatient therapy.</content></paragraph>
<paragraph class="fontsize10" id="ya8a46e5c-e819-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/117/21/s4/2" role="definitions" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="2">(2) </num><content>The term “<term>PRR center</term>” means a psychosocial rehabilitation and recovery center of the Department of Veterans Affairs.</content></paragraph>
<paragraph class="fontsize10" id="ya8a46e5d-e819-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/117/21/s4/3" role="definitions" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="3">(3) </num><content>The term “<term>RANGE Program</term>” means the Rural Access Network for Growth Enhancement Program of the Department of Veterans Affairs.</content></paragraph>
<paragraph class="fontsize10" id="ya8a46e5e-e819-11f0-bc57-ad3ac4b1618c" identifier="/us/pl/117/21/s4/4" role="definitions" style="-uslm-lc:I658122"><num class="fontsize10" style="-uslm-lc:emspace2" value="4">(4) </num><content>The term “<term>rural veteran</term>” means a veteran who lives in a rural or highly rural area (including such an area in a Tribal or insular area), as determined through the use of the Rural-Urban Commuting Areas coding system of the Department of Agriculture.</content></paragraph>
</section>
<action>
<actionDescription style="-uslm-lc:I658030">Approved</actionDescription> <date date="2021-06-30">June 30, 2021</date>.</action>
</main>
<legislativeHistory>
<heading style="-uslm-lc:I658031"><inline class="underline">LEGISLATIVE HISTORY</inline>—<ref href="/us/bill/117/hr/2441">H.R. 2441</ref>:</heading>
<note>
<heading style="-uslm-lc:I658032">CONGRESSIONAL RECORD, Vol. 167 (2021):</heading>
<p class="indentUp4 firstIndent-1" id="xa8a46e5f-e819-11f0-bc57-ad3ac4b1618c" style="-uslm-lc:I658035">May 17, considered in House.</p><p class="indentUp4 firstIndent-1" id="xa8a46e60-e819-11f0-bc57-ad3ac4b1618c" style="-uslm-lc:I658035">May 18, prior proceedings vacated; considered and passed House.</p><p class="indentUp4 firstIndent-1" id="xa8a46e61-e819-11f0-bc57-ad3ac4b1618c" style="-uslm-lc:I658035">June 24, considered and passed Senate.</p></note>
</legislativeHistory>
<endMarker>○</endMarker>
</pLaw>