[Congressional Bills 108th Congress]
[From the U.S. Government Publishing Office]
[H.R. 5244 Introduced in House (IH)]






108th CONGRESS
  2d Session
                                H. R. 5244

   To improve programs for the identification and treatment of Post-
Traumatic Stress Disorder in veterans and members of the Armed Forces, 
                        and for other purposes.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                            October 7, 2004

Mr. Evans (for himself, Mr. Filner, Mr. Gutierrez, Ms. Corrine Brown of 
    Florida, Mr. Rodriguez, Mr. Michaud, Ms. Hooley of Oregon, Mr. 
  Strickland, Mr. Udall of New Mexico, Mrs. Davis of California, Ms. 
   Herseth, Mr. Baird, Mr. Kennedy of Rhode Island, Mr. Emanuel, Mr. 
      Stenholm, Ms. Bordallo, Mr. Langevin, Mr. Faleomavaega, Mr. 
 Abercrombie, and Mr. Larson of Connecticut) introduced the following 
bill; which was referred to the Committee on Veterans' Affairs, and in 
    addition to the Committee on Armed Services, for a period to be 
subsequently determined by the Speaker, in each case for consideration 
  of such provisions as fall within the jurisdiction of the committee 
                               concerned

_______________________________________________________________________

                                 A BILL


 
   To improve programs for the identification and treatment of Post-
Traumatic Stress Disorder in veterans and members of the Armed Forces, 
                        and for other purposes.

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

SECTION 1. SHORT TITLE; TABLE OF CONTENTS.

    (a) Short Title.--This Act may be cited as the ``Comprehensive 
Assistance for Veterans Exposed to Traumatic Stressors Act of 2004''.
    (b) Table of Contents.--The table of contents for this Act is as 
follows:

Sec. 1. Short title; table of contents.
Sec. 2. Definition.
                 TITLE I--VETERANS OF PAST DEPLOYMENTS

Sec. 101. Extension of eligibility for readjustment counseling services 
                            for Vietnam-era veterans.
                       TITLE II--MILITARY ISSUES

Sec. 201. Department of Veterans Affairs-Department of Defense Health 
                            Care Sharing Incentive Fund.
Sec. 202. Collection of aggregate data from pre- and post-deployment 
                            health assessments.
Sec. 203. Telemedicine support for front-line Department of Defense 
                            providers.
  TITLE III--PREVENTION, EARLY DETECTION, AND TREATMENT FOR RETURNING 
                                 TROOPS

Sec. 301. Study to identify factors that decrease the likelihood of the 
                            development of chronic PTSD despite combat 
                            exposure.
Sec. 302. Extension of period of enhanced eligibility for VA health 
                            services for veterans who served in combat 
                            theater of operations.
Sec. 303. Department of Veterans Affairs to participate in all 
                            demobilizations and Transitional Assistance 
                            Program activities.
Sec. 304. Educational materials.
Sec. 305. Demonstration project to station Department of Veterans 
                            Affairs psychologists and psychiatrists at 
                            major demobilization sites and military 
                            treatment facilities.
Sec. 306. Model care plan for integrated mental health and a primary 
                            care model for PTSD practice.
Sec. 307. Performance measures for Department of Veterans Affairs 
                            health care administrators.
TITLE IV--DEPARTMENT OF DEFENSE/DEPARTMENT OF VETERANS AFFAIRS COUNCIL 
                    ON POST-DEPLOYMENT MENTAL HEALTH

Sec. 401. Establishment of Council.
Sec. 402. Duties of Council.
      TITLE V--CAPACITY BUILDING IN DEPARTMENT OF VETERANS AFFAIRS

Sec. 501. Plan for expansion of Department of Veterans Affairs system 
                            to expand access to specialized PTSD care.
Sec. 502. Additional Department of Veterans Affairs resources.
                        TITLE VI--FAMILY THERAPY

Sec. 601. Eligibility period for counseling and bereavement counseling.
                   TITLE VII--EDUCATIONAL INITIATIVES

Sec. 701. Training program for health-care providers.
Sec. 702. Curriculum and protocols for cross-training of Department of 
                            Veterans Affairs clinicians.
Sec. 703. Publication of state-of-the-art PTSD diagnosis and treatment.
Sec. 704. Protocols for pain management for PTSD and war-related pain.
Sec. 705. Case management techniques for VA PTSD clinicians.
       TITLE VIII--NATIONAL STEERING COMMITTEE ON PTSD EDUCATION

Sec. 801. National Steering Committee.
Sec. 802. Funding support for National Center for PTSD.
Sec. 803. Continuing education to mental health providers.
Sec. 804. Web-based curriculum to sponsor clinician training 
                            initiatives.
                           TITLE IX--BENEFITS

Sec. 901. Identification of deficiencies in PTSD disability 
                            examinations.
Sec. 902. Criteria for determining medical conditions associated with 
                            PTSD.
                       TITLE X--PUBLIC AWARENESS

Sec. 1001. Public awareness program.
Sec. 1002. Web site and materials for general campaign of awareness of 
                            PTSD.

SEC. 2. DEFINITION.

    In this Act, the term ``PTSD'' means post-traumatic stress 
disorder.

                 TITLE I--VETERANS OF PAST DEPLOYMENTS

SEC. 101. EXTENSION OF ELIGIBILITY FOR READJUSTMENT COUNSELING SERVICES 
              FOR VIETNAM-ERA VETERANS.

    Section 1712A(a)(1)(B)(ii) of title 38, United States Code, is 
amended by striking ``January 1, 2004'' and inserting ``January 1, 
2009''.

                       TITLE II--MILITARY ISSUES

SEC. 201. DEPARTMENT OF VETERANS AFFAIRS-DEPARTMENT OF DEFENSE HEALTH 
              CARE SHARING INCENTIVE FUND.

    (a) In General.--The Secretary of Veterans Affairs and the 
Secretary of Defense shall jointly take such steps as necessary to 
implement the proposal of the Center for the Study of Traumatic Stress 
at the Uniformed Services University of the Health Sciences for a 
Department of Veterans Affairs-Department of Defense Health Care 
Sharing Incentive Fund.
    (b) Telecommunications Support.--As part of the implementation of 
such proposal, the two Secretaries shall provide for a system of 
telecommunications to support the following:
            (1) Continuing education and support for front-line 
        (forward-deployed) providers of health-care services.
            (2) Enhanced treatment capacity for addressing acute 
        episodes of PTSD.

SEC. 202. COLLECTION OF AGGREGATE DATA FROM PRE- AND POST-DEPLOYMENT 
              HEALTH ASSESSMENTS.

    (a) Data Collection.--The Secretary of Defense shall take 
appropriate steps to assist the Secretary of Veterans Affairs with the 
collection of data from pre- and post-deployment health assessments of 
members of the Armed Forces that may be relevant for identification and 
treatment of PTSD.
    (b) Consent Forms.--The Secretary of Defense shall develop forms to 
obtain the written consent of members of the Armed Forces to allow the 
Department of Veterans Affairs to collect data contained on pre-
deployment and post-deployment health assessment forms with relevant 
treatment information concerning PTSD from those members of the Armed 
Forces to be discharged or demobilized within 90 days. Such forms shall 
be developed within 60 days of the date of the enactment of this Act.
    (c) Preventative Maintenance Post-Deployment Intervention.--
            (1) In general.--The Secretary of Veterans Affairs shall 
        conduct routine preventative maintenance intervention for all 
        members of the Armed Forces returning from deployment in a 
        combat theater. Such intervention shall be conducted between 90 
        and 180 days after such members return from such deployment.
            (2) Personnel.--For purposes of such intervention, the 
        Secretary of Veterans Affairs may use staff of the Department 
        of Veterans Affairs, including readjustment counseling staff, 
        or persons trained by the Department of Veterans Affairs, 
        including volunteers from military unit associations, veteran 
        service organizations, or other nonprofit organizations.
            (3) Size.--Such intervention shall be conducted with no 
        more than 6 returning servicemembers at a time.
            (4) Purpose.--The purpose of such intervention shall be the 
        following:
                    (A) To identify and distinguish symptoms of 
                ``common'' acute stress reactions from those of chronic 
                and severe post-traumatic stress disorder.
                    (B) To discuss concerns of combat personnel and 
                those expressed by their family members.
                    (C) To refer returning servicemembers to 
                appropriate services, as necessary.
                    (D) To disseminate educational materials about PTSD 
                to servicemembers.
                    (E) To provide follow-up educational materials by 
                mail to family members.
    (d) Identification of Substance Use Disorders.--The Secretary of 
Defense shall add questions to pre-deployment and post-deployment 
screens to assist in identification of existing or potential substance 
use disorders among members of the Armed Forces.
    (e) Substance Use Disorder Treatment Protocols.--The Secretary of 
Defense shall develop appropriate substance use disorder treatment 
protocols for assistance in combat areas of operations and on return to 
the United States.

SEC. 203. TELEMEDICINE SUPPORT FOR FRONT-LINE DEPARTMENT OF DEFENSE 
              PROVIDERS.

    The Secretary of Defense shall, in conjunction with the Secretary 
of Veterans Affairs, establish a program to provide telemedicine 
support to Department of Defense health-care providers in combat 
theaters. Such telemedicine support shall include real-time access to 
clinical specialty support, Web-based information on state-of-the-art 
protocols for the treatment and diagnosis of PTSD, and educational 
programs concerning PTSD.

  TITLE III--PREVENTION, EARLY DETECTION, AND TREATMENT FOR RETURNING 
                                 TROOPS

SEC. 301. STUDY TO IDENTIFY FACTORS THAT DECREASE THE LIKELIHOOD OF THE 
              DEVELOPMENT OF CHRONIC PTSD DESPITE COMBAT EXPOSURE.

    (a) Study.--The Secretary of Veterans Affairs shall provide for a 
study, to be conducted by an entity other than the Department of 
Veterans Affairs and the Department of Defense, to identify factors 
that decrease the likelihood of the development of chronic post-
traumatic stress disorder (PTSD) in servicemembers and veterans who 
have had combat exposure, including exposure to guerilla warfare.
    (b) Report.--The Secretary shall provide for the entity conducting 
the study under subsection (a) to submit a report on the results of the 
study to the Secretary and the Congress not later than one year after 
the date of the enactment of this Act.

SEC. 302. EXTENSION OF PERIOD OF ENHANCED ELIGIBILITY FOR VA HEALTH 
              SERVICES FOR VETERANS WHO SERVED IN COMBAT THEATER OF 
              OPERATIONS.

    Section 1710(e)(3)(C) of title 38, United States Code, is amended 
by striking ``2 years'' and inserting ``5 years''.

SEC. 303. DEPARTMENT OF VETERANS AFFAIRS TO PARTICIPATE IN ALL 
              DEMOBILIZATIONS AND TRANSITIONAL ASSISTANCE PROGRAM 
              ACTIVITIES.

    (a) In General.--The Secretary of Defense shall provide for the 
Secretary of Veterans Affairs to participate in all demobilization and 
Transitional Assistance Program activities conducted within the 
Department of Defense so as to enhance the capability of the Secretary 
of Veterans Affairs to identify risk factors for development of chronic 
PTSD.
    (b) Homelessness Risk Awareness.--In any activity referred to in 
subsection (a), the Secretary of Defense and the Secretary of Veterans 
Affairs shall provide information concerning homelessness, including 
risk factors, awareness assessment, and contact information for 
preventative assistance associated with homelessness.

SEC. 304. EDUCATIONAL MATERIALS.

    The Secretary of Veterans Affairs shall develop educational 
materials concerning PTSD for members of the Armed Forces returning 
from deployments in combat theaters and their family members. The 
Secretary of Defense shall assist in making those materials available 
to such members and family members.

SEC. 305. DEMONSTRATION PROJECT TO STATION DEPARTMENT OF VETERANS 
              AFFAIRS PSYCHOLOGISTS AND PSYCHIATRISTS AT MAJOR 
              DEMOBILIZATION SITES AND MILITARY TREATMENT FACILITIES.

    (a) Demonstration Project.--The Secretary of Defense and the 
Secretary of Veterans Affairs shall jointly provide for the conduct of 
a demonstration project under which Department of Veterans Affairs 
psychologists and psychiatrists are stationed at major demobilization 
sites and military treatment facilities.
    (b) Purpose.--The purposes of the demonstration project shall be as 
follows:
            (1) Identify, on an aggregate level, need for mental health 
        services among active-duty, Reserve, and National Guard 
        members.
            (2) Provide such services or refer members for necessary 
        services.
            (3) Advise servicemembers of the need for continuous 
        services.
            (4) Identify the obstacles servicemembers have in seeking 
        appropriate mental health care.
    (c) Funding.--There is authorized to be appropriated such sums as 
may be necessary for each of fiscal years 2005, 2006, and 2007 for the 
conduct of the demonstration project. Amounts for the conduct of the 
project shall be provided equally by the Secretary of Veterans Affairs 
and the Secretary of Defense.
    (d) Report.--The Secretary of Veterans Affairs shall submit to the 
Committees on Veterans' Affairs of the Senate and House of 
Representatives a report providing the results of the demonstration 
project. The report shall be submitted not later than 18 months after 
the date of the enactment of this Act.

SEC. 306. MODEL CARE PLAN FOR INTEGRATED MENTAL HEALTH AND A PRIMARY 
              CARE MODEL FOR PTSD PRACTICE.

    (a) Model Care Plan.--The Secretary of Veterans Affairs shall 
develop and implement a ``model care'' plan for integrated mental 
health and primary care model for PTSD practice. The plan shall be 
implemented at three sites selected by the Secretary.
    (b) Purpose.--The purpose of the model care plan shall be as 
follows:
            (1) Develop training protocols for involved clinicians.
            (2) Identify medical conditions which may be associated 
        with PTSD.
            (3) Identify ``best practices'' for treatment of PTSD.
            (4) Disseminate results to the Veterans Health 
        Administration and the Veterans Benefits Administration of the 
        Department of Veterans Affairs.
    (c) Authorization.--There is authorized to be appropriated for the 
purposes of subsection (a) the amount of $1,000,000 for each of fiscal 
years 2005, 2006, and 2007.

SEC. 307. PERFORMANCE MEASURES FOR DEPARTMENT OF VETERANS AFFAIRS 
              HEALTH CARE ADMINISTRATORS.

    (a) Performance Measures.--The Secretary of Defense and the 
Secretary of Veterans Affairs, acting through the Department of 
Defense/Department of Veterans Affairs Council on Post-Deployment 
Mental Health established under section 401, shall develop performance 
measures for Department of Veterans Affairs regional health-care 
directors (referred to as VISN directors) and Department of Defense 
TRICARE regional managers to ensure the appropriate deployment of 
resources to implement the Iraq war clinical practice guidelines.
    (b) Use of Performance Measures.--The performance measures under 
subsection (a) shall be designed to assess--
            (1) access and availability of PTSD treatment for 
        servicemembers returned from deployment in a combat theater; 
        and
            (2) implementation of the Iraq War Clinical Practice 
        Guidelines.

TITLE IV--DEPARTMENT OF DEFENSE/DEPARTMENT OF VETERANS AFFAIRS COUNCIL 
                    ON POST-DEPLOYMENT MENTAL HEALTH

SEC. 401. ESTABLISHMENT OF COUNCIL.

    The Secretary of Defense and the Secretary of Veterans Affairs 
shall jointly establish a council to be known as the Department of 
Defense/Department of Veterans Affairs Council on Post-Deployment 
Mental Health. The council shall be composed of leadership of the two 
departments in the areas of mental health, PTSD, substance abuse, and 
military sexual trauma. The council shall be established not later than 
120 days after the date of the enactment of this Act.

SEC. 402. DUTIES OF COUNCIL.

    (a) Duties.--The Department of Defense/Department of Veterans 
Affairs Council on Post-Deployment Mental Health shall have the 
following duties:
            (1) Review of the continuum of care between the Department 
        of Defense and the Department of Veterans Affairs for mental 
        health, PTSD, substance abuse, and military sexual trauma.
            (2) Identification of gaps in the treatment capability of 
        the health-care systems of the Department of Defense and 
        Department of Veterans Affairs for mental health, PTSD, 
        substance abuse, and military sexual trauma and expected gaps 
        in such continuum, with emphasis on access to services in rural 
        areas, to meet the expected demand from current users and 
        servicemembers returning from Operation Iraqi Freedom and 
        Operation Enduring Freedom and other deployments.
            (3) Promotion, within both systems, of an educational 
        program to implement the jointly developed Iraq War Clinical 
        Practice Guidelines.
            (4) Development of outcome monitors and quality improvement 
        instruments to ensure that internal policy regarding PTSD is 
        implemented (including TRICARE and VISN directors' performance 
        measures under section 307).
            (5) Recommendation of policies to reduce the stigma 
        associated with the seeking of mental health care by active-
        duty, Reserve, and National Guard members.
            (6) Identification of the highest post-deployment mental 
        health research priorities for the two departments.
            (7) Communications to inform active-duty servicemembers and 
        veterans of matters relating to PTSD.
            (8) Meet at least annually with stakeholder groups 
        comprised of veterans, veterans service organizations, and 
        family members of veterans receiving care from the Department 
        of Veterans Affairs mental health programs, and mental health 
        associations.
    (b) Report.--The Council shall prepare a report based on the 
reviews under paragraphs (1) and (2) of subsection (a) to identify the 
necessary resources to create or enhance PTSD treatment capabilities. 
The report shall be made available to the Secretary of both Departments 
for comment. The Secretaries shall indicate recommendations in which 
they concur or disagree and include specific plans for implementation 
of any recommendations accepted. The report, with the comments and 
recommendations of the two Secretaries shall be submitted to the 
Committees on Veterans' Affairs and the Committees on Armed Services of 
the Senate and House of Representatives not later than one year after 
the date of the enactment of this Act. The report shall include 
priority listing of sites which require investments according to the 
greatest perceived need for PTSD services.

      TITLE V--CAPACITY BUILDING IN DEPARTMENT OF VETERANS AFFAIRS

SEC. 501. PLAN FOR EXPANSION OF DEPARTMENT OF VETERANS AFFAIRS SYSTEM 
              TO EXPAND ACCESS TO SPECIALIZED PTSD CARE.

    Based upon the report under section 402(b), the Secretary of 
Veterans Affairs shall develop a plan for the Department of Veterans 
Affairs to expand access to specialized PTSD care through--
            (1) Readjustment Counseling Service centers operated under 
        section 1712A of title 38, United States Code;
            (2) community-based outpatient clinics; and
            (3) telemedicine.

SEC. 502. ADDITIONAL DEPARTMENT OF VETERANS AFFAIRS RESOURCES.

    In order to improve access to mental health services, the Secretary 
of Veterans Affairs shall provide the following:
            (1) 100 additional full-time equivalent employees to 
        Readjustment Counseling Service outstations.
            (2) A PTSD Clinical Team at every medical center of the 
        Veterans Health Administration.
            (3) A family therapist at each Vet Center.
            (4) A PTSD Coordinator in each regional network referred to 
        as a Veterans Integrated Service Network (VISN ) whose duties 
        shall include--
                    (A) development of plans for meeting PTSD treatment 
                needs consistent with the report under section 402(b);
                    (B) assurance of implementation of clinical 
                practice guidelines throughout the VISN;
                    (C) liaison among all health-care sites in the VISN 
                and the Department Central Office on matters relating 
                to PTSD.
            (5) A PTSD coordinator in each regional office of the 
        Readjustment Counseling Service whose duties shall include 
        liaison with regional office staff and medical centers for 
        veterans seeking service-connection for PTSD.

                        TITLE VI--FAMILY THERAPY

SEC. 601. ELIGIBILITY PERIOD FOR COUNSELING AND BEREAVEMENT COUNSELING.

    The Secretary of Veterans Affairs may provide counseling to the 
immediate family members of veterans with service-connected 
disabilities and bereavement counseling to the immediate family members 
of members of the Armed Forces who are killed in action for up to one 
year after the initial services are delivered to eligible family 
members.

                   TITLE VII--EDUCATIONAL INITIATIVES

SEC. 701. TRAINING PROGRAM FOR HEALTH-CARE PROVIDERS.

    The Secretary of Veterans Affairs and the Secretary of Defense 
shall jointly develop a broad training program for all health-care 
providers in the Department of Veterans Affairs and the Department of 
Defense to familiarize those providers with mental health-care issues 
that are likely to arise among persons deployed to combat theaters 
during the five years after such a deployment.

SEC. 702. CURRICULUM AND PROTOCOLS FOR CROSS-TRAINING OF DEPARTMENT OF 
              VETERANS AFFAIRS CLINICIANS.

    The Secretary of Veterans Affairs shall develop a curriculum and 
required protocols for cross-training to allow the following clinicians 
of the Department of Veterans Affairs to screen for PTSD and, as 
appropriate, provide information and appropriate referral:
            (1) Primary care providers.
            (2) Practitioners assigned as Gulf War points-of-contact.
            (3) Clinicians assigned as case managers.

SEC. 703. PUBLICATION OF STATE-OF-THE-ART PTSD DIAGNOSIS AND TREATMENT.

    The Secretary of Veterans Affairs and the Secretary of Defense 
shall jointly develop a plan for the production and dissemination of 
publications to advise clinicians on state-of-the-art PTSD diagnosis 
and treatment, including any medical conditions associated with PTSD.

SEC. 704. PROTOCOLS FOR PAIN MANAGEMENT FOR PTSD AND WAR-RELATED PAIN.

    The Secretary of Veterans Affairs and the Secretary of Defense 
shall jointly develop protocols for pain management for PTSD and war-
related pain.

SEC. 705. CASE MANAGEMENT TECHNIQUES FOR VA PTSD CLINICIANS.

    The Secretary of Veterans Affairs shall assist in development of 
case management techniques for PTSD clinicians of the Department of 
Veterans Affairs.

       TITLE VIII--NATIONAL STEERING COMMITTEE ON PTSD EDUCATION

SEC. 801. NATIONAL STEERING COMMITTEE.

    (a) Establishment.--There is a National Steering Committee on PTSD 
Education, to be appointed by the joint council established under title 
IV. The committee shall be comprised of mental health and other health 
professionals and health educators involved in the care of veterans of 
current deployments.
    (b) Purpose.--The committee shall review training protocols for 
health-care providers and plans for dissemination of educational 
materials to veterans, their families, and other relevant parties and 
shall identify the resources available to provide for these purposes.
    (c) Meetings.--The committee shall meet at least once annually.

SEC. 802. FUNDING SUPPORT FOR NATIONAL CENTER FOR PTSD.

    There is authorized to be appropriated to the Secretary of Veterans 
Affairs for the National Center for PTSD to assist in carrying out a 
joint educational initiative with the Uniformed Services University of 
the Health Sciences the amount of $5,000,000 for each of the fiscal 
years 2005 through 2014.

SEC. 803. CONTINUING EDUCATION TO MENTAL HEALTH PROVIDERS.

    The National Steering Committee established under section 801 shall 
provide continuing education to mental health providers in the 
Department of Veterans Affairs and the Department of Defense.

SEC. 804. WEB-BASED CURRICULUM TO SPONSOR CLINICIAN TRAINING 
              INITIATIVES.

    The National Steering Committee established under section 801 shall 
develop a Web-based curriculum to sponsor clinician training 
initiatives.

                           TITLE IX--BENEFITS

SEC. 901. IDENTIFICATION OF DEFICIENCIES IN PTSD DISABILITY 
              EXAMINATIONS.

    (a) Identification of Deficiencies.--The Secretary of Veterans 
Affairs shall establish a protocol to identify deficiencies in 
compensation and pension examinations conducted by the Secretary to 
determine if a veteran has PTSD and, if the veteran is determined to 
have PTSD, the degree of disabilty associated with that diagnosis.
    (b) Plan.--Based upon the identification of deficiencies pursuant 
to subsection (a), the Secretary shall establish and implement a plan 
for addressing those deficiencies.

SEC. 902. CRITERIA FOR DETERMINING MEDICAL CONDITIONS ASSOCIATED WITH 
              PTSD.

    The Secretary of Veterans Affairs shall develop--
            (1) criteria for determining which medical conditions are 
        as likely as not to be associated with PTSD; and
            (2) standards for determining when secondary service-
        connection should be granted for those conditions.

                       TITLE X--PUBLIC AWARENESS

SEC. 1001. PUBLIC AWARENESS PROGRAM.

    The Secretary of Veterans Affairs shall conduct an aggressive, 
comprehensive outreach program to enhance the awareness of veterans, 
and the public in general, of the symptoms of PTSD and of the services 
available for veterans with those symptoms. The Secretary of Defense 
shall provide the Secretary of Veterans Affairs with such assistance as 
may be required for the purposes of such program. To the extent 
practicable, the program shall be conducted through the joint council 
established under title IV.

SEC. 1002. WEB SITE AND MATERIALS FOR GENERAL CAMPAIGN OF AWARENESS OF 
              PTSD.

    As part of the program under this title, the Secretary of Veterans 
Affairs shall develop and continually update a Web site and materials, 
including pamphlets, news releases, fact sheets, and other materials, 
for the purposes of a general campaign of awareness of post-traumatic 
stress disorder.
                                 <all>