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<dc:title>109 HR 1588 IH: Comprehensive Assistance for Veterans Exposed to Traumatic Stressors Act of 2005</dc:title>
<dc:publisher>U.S. House of Representatives</dc:publisher>
<dc:date>2005-04-13</dc:date>
<dc:format>text/xml</dc:format>
<dc:language>EN</dc:language>
<dc:rights>Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.</dc:rights>
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<form> 
<distribution-code display="yes">I</distribution-code> 
<congress>109th CONGRESS</congress>
<session>1st Session</session>
<legis-num>H. R. 1588</legis-num> 
<current-chamber>IN THE HOUSE OF REPRESENTATIVES</current-chamber> 
<action> 
<action-date date="20050413">April 13, 2005</action-date> 
<action-desc><sponsor name-id="E000250">Mr. Evans</sponsor> (for himself, <cosponsor name-id="F000116">Mr. Filner</cosponsor>, <cosponsor name-id="G000535">Mr. Gutierrez</cosponsor>, <cosponsor name-id="B000911">Ms. Corrine Brown of Florida</cosponsor>, <cosponsor name-id="M001149">Mr. Michaud</cosponsor>, <cosponsor name-id="H001037">Ms. Herseth</cosponsor>, <cosponsor name-id="S001004">Mr. Strickland</cosponsor>, <cosponsor name-id="B001231">Ms. Berkley</cosponsor>, <cosponsor name-id="U000039">Mr. Udall of New Mexico</cosponsor>, <cosponsor name-id="D000598">Mrs. Davis of California</cosponsor>, <cosponsor name-id="B000490">Mr. Bishop of Georgia</cosponsor>, <cosponsor name-id="D000191">Mr. DeFazio</cosponsor>, <cosponsor name-id="L000562">Mr. Lynch</cosponsor>, <cosponsor name-id="D000216">Ms. DeLauro</cosponsor>, <cosponsor name-id="G000551">Mr. Grijalva</cosponsor>, <cosponsor name-id="V000128">Mr. Van Hollen</cosponsor>, <cosponsor name-id="J000126">Ms. Eddie Bernice Johnson of Texas</cosponsor>, <cosponsor name-id="M000404">Mr. McDermott</cosponsor>, <cosponsor name-id="S001150">Mr. Schiff</cosponsor>, <cosponsor name-id="A000014">Mr. Abercrombie</cosponsor>, <cosponsor name-id="C001055">Mr. Case</cosponsor>, <cosponsor name-id="M000312">Mr. McGovern</cosponsor>, <cosponsor name-id="P000258">Mr. Peterson of Minnesota</cosponsor>, <cosponsor name-id="J000284">Mrs. Jones of Ohio</cosponsor>, <cosponsor name-id="B001245">Ms. Bordallo</cosponsor>, <cosponsor name-id="O000107">Mr. Ortiz</cosponsor>, <cosponsor name-id="M000725">Mr. George Miller of California</cosponsor>, <cosponsor name-id="A000210">Mr. Andrews</cosponsor>, <cosponsor name-id="B001229">Mr. Baird</cosponsor>, <cosponsor name-id="K000113">Mr. Kennedy of Rhode Island</cosponsor>, <cosponsor name-id="L000559">Mr. Langevin</cosponsor>, <cosponsor name-id="K000336">Mr. Kucinich</cosponsor>, <cosponsor name-id="E000287">Mr. Emanuel</cosponsor>, and <cosponsor name-id="T000075">Mr. Taylor of Mississippi</cosponsor>) introduced the following bill; which was referred to the <committee-name committee-id="HVR00">Committee on Veterans’ Affairs</committee-name>, and in addition to the Committee on <committee-name committee-id="HAS00">Armed Services</committee-name>, 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</action-desc>
</action> 
<legis-type>A BILL</legis-type> 
<official-title>To improve programs for the identification and treatment of post-deployment mental health conditions, including post-traumatic stress disorder, in veterans and members of the Armed Forces, and for other purposes.</official-title> 
</form> 
<legis-body id="H3FB06E66EE114C7EB36928A200FAEBE3" style="OLC"> 
<section id="H3E8A819BB88E41830015908FAE1B702B" section-type="section-one"><enum>1.</enum><header>Short title</header> 
<subsection id="HFBA8416F081840A4BFFF46BDB5AECA7C"><enum>(a)</enum><header>Short title</header><text display-inline="yes-display-inline">This Act may be cited as the <quote><short-title>Comprehensive Assistance for Veterans Exposed to Traumatic Stressors Act of 2005</short-title></quote>.</text></subsection> 
<subsection id="H06D4F44D63E94AE9BBF5E316BECC8800"><enum>(b)</enum><header>Table of contents</header><text>The table of contents for this Act is as follows:</text> 
<toc container-level="legis-body-container" quoted-block="no-quoted-block" lowest-level="section" regeneration="yes-regeneration" lowest-bolded-level="division-lowest-bolded">
<toc-entry idref="H3E8A819BB88E41830015908FAE1B702B" level="section">Sec. 1. Short title</toc-entry> 
<toc-entry idref="HFE7B4AADA5AD44BD80DE9FABCBA5A050" level="section">Sec. 2. Definition</toc-entry> 
<toc-entry idref="H4C976B85A5864C32B728083FA7737092" level="title">Title I—Veterans of Past Deployments</toc-entry> 
<toc-entry idref="H4F18381247CB45A6871B0142F6DB81DD" level="section">Sec. 101. Six-year extension of eligibility for readjustment counseling services for Vietnam-era veterans</toc-entry> 
<toc-entry idref="HB4E98BE6EE0D434A962911069BD356DF" level="title">Title II—Military Issues</toc-entry> 
<toc-entry idref="H2E6439BFB2AC4159B6006D6072BEB027" level="section">Sec. 201. Department of Veterans Affairs-Department of Defense Health Care Sharing Incentive Fund</toc-entry> 
<toc-entry idref="H1A3C705C2E0440BFBE7C308D46648E47" level="section">Sec. 202. Collection of data from pre- and post-deployment health assessments</toc-entry> 
<toc-entry idref="H85965907601141C898A621561E1F1304" level="section">Sec. 203. Preventative maintenance post-deployment intervention</toc-entry> 
<toc-entry idref="H0AF1B8A421004785B5274C26379920FD" level="title">Title III—Prevention, Early Detection, and Treatment for Returning Troops</toc-entry> 
<toc-entry idref="HB20AF60A4EE44606B0C7B3A65B20015C" level="section">Sec. 301. Study to identify factors that decrease the likelihood of the development of chronic PTSD despite combat exposure</toc-entry> 
<toc-entry idref="H415171DBBB684E768DCE3E00CD779F89" level="section">Sec. 302. Extension of period of enhanced eligibility for VA health services for veterans who served in combat theaters of operations</toc-entry> 
<toc-entry idref="H10A0B4987C1F4D5C9ED54724FDF0062" level="section">Sec. 303. Demonstration project to station Department of Veterans Affairs psychologists and psychiatrists at major demobilization sites and military treatment facilities</toc-entry> 
<toc-entry idref="H671A4F9C83F54275A3427875ADEB8CD" level="section">Sec. 304. Model programs for post-deployment mental health practice</toc-entry> 
<toc-entry idref="HB26B389879184E7085CC82329FD6D7DF" level="section">Sec. 305. Performance measures for Department of Veterans Affairs health care administrators</toc-entry> 
<toc-entry idref="H8599BE719F8E4EB39B7846C257007700" level="title">Title IV—Department of Defense/Department of Veterans Affairs Council on Post-Deployment Mental Health</toc-entry> 
<toc-entry idref="HEC82AD582FE94EA594E28B4BA0D0FF14" level="section">Sec. 401. Establishment of Council</toc-entry> 
<toc-entry idref="HF0001F395D4043D2B64592531CC8D886" level="section">Sec. 402. Duties of Council</toc-entry> 
<toc-entry idref="H6F0C3A067FF646248C4B2C9F2802163F" level="title">Title V—Capacity Building in Department of Veterans Affairs</toc-entry> 
<toc-entry idref="HD42EC77F3FF14D0989B6587E85044480" level="section">Sec. 501. Plan for expansion of Department of Veterans Affairs system to expand access to specialized PTSD care</toc-entry> 
<toc-entry idref="H9AD537232C734BEDB40026DA003D6540" level="section">Sec. 502. Additional Department of Veterans Affairs resources</toc-entry> 
<toc-entry idref="H371DDFF9D8BC462CB21BF284C13938FC" level="title">Title VI—Family Therapy</toc-entry> 
<toc-entry idref="HFF826E31A9BD4C7DA4767688A2C2A724" level="section">Sec. 601. Eligibility for family counseling and bereavement counseling</toc-entry> 
<toc-entry idref="H134341419682454DA5B14673D204007F" level="title">Title VII—Educational Initiatives</toc-entry> 
<toc-entry idref="H297328908D0E4C63BC5DCF7D223EF3A2" level="section">Sec. 701. Training program for health-care providers</toc-entry> 
<toc-entry idref="H61C1411C09C64AEEB911F400E3962242" level="section">Sec. 702. Curriculum and protocols for cross-training of Department of Veterans Affairs clinicians</toc-entry> 
<toc-entry idref="H0D9637C0587243818D6922036E5BF2F" level="section">Sec. 703. Publication of state-of-the-art post-deployment mental health problems diagnosis and treatment</toc-entry> 
<toc-entry idref="HEC5AF2D504A74626BBC17224FCB9EBE1" level="section">Sec. 704. Protocols for pain management for PTSD and war-related pain</toc-entry> 
<toc-entry idref="H8F0DDB666AF34466B2EC42CF00BBF393" level="section">Sec. 705. Protocols for treatment of substance use disorders</toc-entry> 
<toc-entry idref="HEBB3936BB7E1446988E4F3332D17335F" level="section">Sec. 706. Protocols for diagnosis of post-traumatic stress disorder</toc-entry> 
<toc-entry idref="H115592F944CE444FB697BD6DF02308F1" level="title">Title VIII—National Steering Committee on PTSD Education</toc-entry> 
<toc-entry idref="H9C255FF129AD402EBEBEA393817B0050" level="section">Sec. 801. National steering committee</toc-entry> 
<toc-entry idref="HA41E516722E448DBB68225C74E514CC6" level="section">Sec. 802. Funding support for National Center for PTSD</toc-entry> 
<toc-entry idref="H93B0851A54B944CCA38517A0BE1E43A4" level="section">Sec. 803. Continuing education to mental health providers</toc-entry> 
<toc-entry idref="H093C487ADD9F4955B73C32FFAB9039D1" level="section">Sec. 804. Web-based curriculum to sponsor clinician training initiatives</toc-entry> 
<toc-entry idref="HD62C1D9961754C94BD1EEB1949122BAA" level="title">Title IX—Benefits</toc-entry> 
<toc-entry idref="H5559A10C548F4915B4D4A6DB96892D3" level="section">Sec. 901. Identification of deficiencies in PTSD disability examinations</toc-entry> 
<toc-entry idref="H9E98D1F630B04E3A8574886D25F57B8E" level="section">Sec. 902. Criteria for determining medical conditions associated with PTSD</toc-entry> 
<toc-entry idref="HC2E24DB84AB14DBD896D627E1E10C0DC" level="title">Title X—Public Awareness</toc-entry> 
<toc-entry idref="H5E566F74AC2A41E6BDCF63C355A1C045" level="section">Sec. 1001. Public awareness program</toc-entry> 
<toc-entry idref="H358294739AD842B1A00622C0D2AB2C7B" level="section">Sec. 1002. Web site and materials for general campaign of awareness of PTSD</toc-entry> </toc></subsection></section> 
<section id="HFE7B4AADA5AD44BD80DE9FABCBA5A050"><enum>2.</enum><header>Definition</header><text display-inline="no-display-inline">In this Act, the term <term>PTSD</term> means post-traumatic stress disorder.</text></section> 
<title id="H4C976B85A5864C32B728083FA7737092"><enum>I</enum><header>Veterans of Past Deployments</header> 
<section id="H4F18381247CB45A6871B0142F6DB81DD"><enum>101.</enum><header>Six-year extension of eligibility for readjustment counseling services for Vietnam-era veterans</header><text display-inline="no-display-inline"><external-xref legal-doc="usc" parsable-cite="usc/38/1712A">Section 1712A(a)(1)(B)(ii)</external-xref> of title 38, United States Code, is amended by striking <quote>January 1, 2004</quote> and inserting <quote>January 1, 2010</quote>.</text></section></title> 
<title id="HB4E98BE6EE0D434A962911069BD356DF"><enum>II</enum><header>Military Issues</header> 
<section id="H2E6439BFB2AC4159B6006D6072BEB027"><enum>201.</enum><header>Department of Veterans Affairs-Department of Defense Health Care Sharing Incentive Fund</header> 
<subsection id="HA89B095045CE4957A8F6D838D76F9E1"><enum>(a)</enum><header>In general</header><text>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.</text></subsection> 
<subsection id="HDF0B838CD3D3495497C7D17640E49D06"><enum>(b)</enum><header>Telecommunications support</header><text>As part of the implementation of the proposal referred to in subsection (a), the two Secretaries shall provide for a system of telecommunications to support the following:</text> 
<paragraph id="H3E4D9560D1C246F2B6A0DDB9439117C6"><enum>(1)</enum><text>Continuing education and support for front-line (forward-deployed) providers of health-care services.</text></paragraph> 
<paragraph id="H5B12521118B34B9D9E2B4300B8B54825"><enum>(2)</enum><text>Enhanced treatment capacity for addressing acute episodes of PTSD and other mental health disorders in combat theaters, including—</text> 
<subparagraph id="H35A1602AAC794F6BB600F56685EF0929"><enum>(A)</enum><text>real-time access to clinical specialty support;</text></subparagraph> 
<subparagraph id="H64C7F9B8AB784BCCB21BB4E5E72E34F2"><enum>(B)</enum><text>web-based information on state-of-the-art protocols for the treatment and diagnosis of PTSD and other mental health disorders; and</text></subparagraph> 
<subparagraph id="H01962BCE84664385B132928782BB3BF"><enum>(C)</enum><text>educational programs concerning PTSD and other mental health disorders commonly associated with deployment.</text></subparagraph></paragraph></subsection></section> 
<section id="H1A3C705C2E0440BFBE7C308D46648E47"><enum>202.</enum><header>Collection of data from pre- and post-deployment health assessments</header> 
<subsection id="H75C996878AF4433686F2EFE360E94062"><enum>(a)</enum><header>Data collection</header><text display-inline="yes-display-inline">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 by the Secretary of Veterans Affairs of PTSD and other post-deployment mental health issues. The Secretary of Defense may provide such information in aggregate, unidentified format and may provide such information on a monthly basis or on such other schedule as the two Secretaries may agree to.</text></subsection> 
<subsection id="HE6893FBC940F40FBB689456DBF007943"><enum>(b)</enum><header>Consent forms</header><text>The Secretary of Defense shall develop forms for use in obtaining 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 and other mental health problems that may be associated with combat stress or readjustment to civilian life from those members of the Armed Forces to be discharged or demobilized within 90 days. Such consent forms shall be developed and made available for use by members of the Armed Forces covered by the preceding sentence not later than 60 days after the date of the enactment of this Act.</text></subsection> 
<subsection id="H64DEBD04A8D945648BA550DB86BA22FE"><enum>(c)</enum><header>Identification of substance use disorders</header><text>The Secretary of Defense shall include in pre-deployment and post-deployment health assessments questions to assist in identification of existing or potential substance use disorders among members of the Armed Forces.</text></subsection></section> 
<section id="H85965907601141C898A621561E1F1304"><enum>203.</enum><header>Preventative maintenance post-deployment intervention</header> 
<subsection id="HA4669BD979DA4CD4A27086F2FDB2E29F"><enum>(a)</enum><header>In general</header><text>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.</text></subsection> 
<subsection id="H1AE2C8BBBDF34F0F82A6C6CC0497E2C2"><enum>(b)</enum><header>Personnel</header><text>For purposes of such intervention, the Secretary of Veterans Affairs may use—</text> 
<paragraph id="H538FD88911174ADABF1C8F94BEEDC33"><enum>(1)</enum><text>staff of the Department of Veterans Affairs, including readjustment counseling staff; and</text></paragraph> 
<paragraph id="H4C6DD300C048401000C5C0C97BD2BA42"><enum>(2)</enum><text>persons trained by the Department of Veterans Affairs, including volunteers from military unit associations, veteran service organizations, or other nonprofit organizations.</text></paragraph></subsection> 
<subsection id="HBBE963E4018642F6B82249F743704091"><enum>(c)</enum><header>Size</header><text>Such intervention shall be conducted with no more than six returning servicemembers at a time.</text></subsection> 
<subsection id="H23BE1E23C6A448B5990196F6C7B3B742"><enum>(d)</enum><header>Purpose</header><text>The purpose of such intervention shall be the following:</text> 
<paragraph id="HAB5F998B48A64708BC1774F586C8AEB"><enum>(1)</enum><text>To identify and distinguish symptoms of <quote>common</quote> acute stress reactions from those of chronic and severe post-traumatic stress disorder.</text></paragraph> 
<paragraph id="HF2F22206D0ED4D11B3E5AF8E005E35AC"><enum>(2)</enum><text>To discuss concerns of combat personnel and those expressed by their family members.</text></paragraph> 
<paragraph id="H778D579B05B44BD1BC447E3181D80048"><enum>(3)</enum><text>To refer returning servicemembers to appropriate services, as necessary.</text></paragraph> 
<paragraph id="H1CD72F30F80642F2B83F9F421BF0FC83"><enum>(4)</enum><text>To disseminate educational materials about post-deployment mental health issues, including PTSD to servicemembers.</text></paragraph> 
<paragraph id="H23D49ACF95214F1582793D74C622D159"><enum>(5)</enum><text>To provide follow-up educational materials by mail to family members.</text></paragraph> 
<paragraph id="HF231D04E36244194B00000959BAE6E89"><enum>(6)</enum><text>To provide information concerning homelessness, including risk factors, awareness assessment, and contact information for preventative assistance associated with homelessness.</text></paragraph></subsection> 
<subsection id="H0C9A665845984E188E55A4897C0037B1"><enum>(e)</enum><header>VA participation in additional demobilization activities</header><text display-inline="yes-display-inline">The Secretary of Defense shall provide for the Secretary of Veterans Affairs to participate in additional demobilization activities, including the Transitional Assistance Program, that are conducted within the Department of Defense for the purposes specified in subsection (d).</text></subsection></section></title> 
<title id="H0AF1B8A421004785B5274C26379920FD"><enum>III</enum><header>Prevention, Early Detection, and Treatment for Returning Troops</header> 
<section id="HB20AF60A4EE44606B0C7B3A65B20015C"><enum>301.</enum><header>Study to identify factors that decrease the likelihood of the development of chronic PTSD despite combat exposure</header> 
<subsection id="HDF03C94C3FEB45E2A7E3B1B3CF3CE8ED"><enum>(a)</enum><header>Study</header><text>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.</text></subsection> 
<subsection id="HB31274196AB9470F9B47F8F43496E3F"><enum>(b)</enum><header>Report</header><text>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.</text></subsection></section> 
<section id="H415171DBBB684E768DCE3E00CD779F89"><enum>302.</enum><header>Extension of period of enhanced eligibility for VA health services for veterans who served in combat theaters of operations</header><text display-inline="no-display-inline"><external-xref legal-doc="usc" parsable-cite="usc/38/1710">Section 1710(e)(3)(C)</external-xref> of title 38, United States Code, is amended by striking <quote>2 years</quote> and inserting <quote>five years</quote>.</text></section> 
<section id="H10A0B4987C1F4D5C9ED54724FDF0062"><enum>303.</enum><header>Demonstration project to station Department of Veterans Affairs psychologists and psychiatrists at major demobilization sites and military treatment facilities</header> 
<subsection id="HD837CB923F794CBD96094128D110CD82"><enum>(a)</enum><header>Demonstration project</header><text>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.</text></subsection> 
<subsection id="HF46EA12B208F4E67879417A373301B32"><enum>(b)</enum><header>Purpose</header><text>The purposes of the demonstration project shall be as follows:</text> 
<paragraph id="HFAC621B09A384582BE81A6A2BCBC628"><enum>(1)</enum><text>Identify, on an aggregate level, need for mental health services among active-duty, Reserve, and National Guard members.</text></paragraph> 
<paragraph id="H9C7873C51EAD4B1B0058F5D6B1FB6BEE"><enum>(2)</enum><text>Provide such services or refer members for necessary services.</text></paragraph> 
<paragraph id="H57449031FAB84B64AE398B2E597F3E84"><enum>(3)</enum><text>Advise servicemembers of the need for continuous services.</text></paragraph> 
<paragraph id="H50946CAA58584E04B059B8076403FF60"><enum>(4)</enum><text>Identify the obstacles servicemembers have in seeking appropriate mental health care.</text></paragraph></subsection> 
<subsection id="H4B52CA17B2944B71908E1093D847BCD2"><enum>(c)</enum><header>Funding</header><text>There is authorized to be appropriated such sums as may be necessary for each of fiscal years 2006, 2007, and 2008 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.</text></subsection> 
<subsection id="H098E7DDE3C304727A5D059503B8C33F2"><enum>(d)</enum><header>Eligibility criteria</header><text>Based on the results of the demonstration project, the Secretaries shall identify appropriate eligibility criteria for programs to best respond to the needs of veterans, servicemembers, and their families for post-deployment mental health services. The criteria identified shall be included in the report under subsection (e).</text></subsection> 
<subsection id="H08BB9E2BFC124D3C979039722793EB8B"><enum>(e)</enum><header>Report</header><text>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.</text></subsection></section> 
<section id="H671A4F9C83F54275A3427875ADEB8CD"><enum>304.</enum><header>Model programs for post-deployment mental health practice</header> 
<subsection id="H4BA4553C61014F21A71391DFE6862C73"><enum>(a)</enum><header>Model programs</header><text>The Secretary of Veterans Affairs, in consultation with the Secretary of Defense, shall develop model programs to respond to a variety of mental health disorders prevalent among veterans of service in Operation Iraqi Freedom and Operation Enduring Freedom. The program shall be implemented at three sites selected by the Secretary, of which—</text> 
<paragraph id="H5CF58E54CFCE4947897D95699F28DB27"><enum>(1)</enum><text>at least one site shall assign case managers to veterans receiving care under such program; and</text></paragraph> 
<paragraph id="HB0ADF0E225BC4B218703004BF98631D1"><enum>(2)</enum><text>at least one site shall use an integrated mental health and primary care model for post-deployment mental health practice.</text></paragraph></subsection> 
<subsection id="H933F2456EFA548CEB5FC8F428CA8F1B9"><enum>(b)</enum><header>Purpose</header><text>The purpose of the model program shall be as follows:</text> 
<paragraph id="H7D76D400774147ADB888038BAD4EED42"><enum>(1)</enum><text>Development of training protocols for involved clinicians.</text></paragraph> 
<paragraph id="H188B36D629A24DF7BCA0D605DF122945"><enum>(2)</enum><text>Identification of medical conditions which may be associated with post-deployment mental health problems including PTSD.</text></paragraph> 
<paragraph id="H242810220FBE44F6A8F9EFD3B3911C74"><enum>(3)</enum><text>Identification of <quote>best practices</quote> for treatment of post-deployment mental health problems including PTSD.</text></paragraph> 
<paragraph id="H763C34B341CA418EBE98A151DD1B15D6"><enum>(4)</enum><text>Dissemination of results to the Veterans Health Administration and the Veterans Benefits Administration of the Department of Veterans Affairs.</text></paragraph> </subsection> 
<subsection id="HBA13B9E6CBA44F678CFF58BBEF00C608"><enum>(c)</enum><header>Authorization</header><text>There is authorized to be appropriated for the purposes of subsection (a) the amount of $5,000,000 for each of fiscal years 2006, 2007, and 2008.</text></subsection></section> 
<section id="HB26B389879184E7085CC82329FD6D7DF"><enum>305.</enum><header>Performance measures for Department of Veterans Affairs health care administrators</header> 
<subsection id="H5D74A25F7C89459092AACFF64B9382AD"><enum>(a)</enum><header>Performance measures</header><text>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 treatment protocols referred to as <quote>Iraq War Clinical Practice Guidelines</quote>.</text></subsection> 
<subsection id="H025D7875B3C14BD884EE2C636D6C87D7"><enum>(b)</enum><header>Use of performance measures</header><text>The performance measures under subsection (a) shall be designed to assess—</text> 
<paragraph id="HED828545138549FFBA8E6284C422C974"><enum>(1)</enum><text>access and availability of PTSD treatment for servicemembers returned from deployment in a combat theater; and</text></paragraph> 
<paragraph id="H7CE3DC1C2A7441B5AEBCBE6F7FA0FAFF"><enum>(2)</enum><text>implementation of protocols referred to in subsection (a).</text></paragraph></subsection></section></title> 
<title id="H8599BE719F8E4EB39B7846C257007700"><enum>IV</enum><header>Department of Defense/Department of Veterans Affairs Council on Post-Deployment Mental Health</header> 
<section id="HEC82AD582FE94EA594E28B4BA0D0FF14"><enum>401.</enum><header>Establishment of Council</header><text display-inline="no-display-inline">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.</text></section> 
<section id="HF0001F395D4043D2B64592531CC8D886"><enum>402.</enum><header>Duties of Council</header> 
<subsection id="H50A136A5A16D44338FB127C2ADF797D7"><enum>(a)</enum><header>Duties</header><text>The Department of Defense/Department of Veterans Affairs Council on Post-Deployment Mental Health shall have the following duties:</text> 
<paragraph id="HFA3F50F67D194E819DD0D241E007B9C"><enum>(1)</enum><text>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.</text></paragraph> 
<paragraph id="H3AD36E8104BF4EB487AA0790AE41DF1E"><enum>(2)</enum><text>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.</text></paragraph> 
<paragraph id="HFE84C4B654294B969597B4C8DBBB418E"><enum>(3)</enum><text>Promotion, within both systems, of an educational program to implement the jointly developed Iraq War Clinical Practice Guidelines.</text></paragraph> 
<paragraph id="H3EDDE86595084696AA6343884900DA6E"><enum>(4)</enum><text>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).</text></paragraph> 
<paragraph id="HC720227D8A324F4398E7B936FED874E1"><enum>(5)</enum><text>Recommendation of policies to reduce the stigma associated with the seeking of mental health care by active-duty, Reserve, and National Guard members.</text></paragraph> 
<paragraph id="H9A392513603243D5AD69001B4922D390"><enum>(6)</enum><text>Identification of the highest post-deployment mental health research priorities for the two departments.</text></paragraph> 
<paragraph id="HB8EF73A7CE8140479C006DCE15E414F5"><enum>(7)</enum><text>Communications to inform active-duty servicemembers and veterans of matters relating to PTSD.</text></paragraph> </subsection> 
<subsection id="H863B40BFA8E9485E0033B28522DE486D"><enum>(b)</enum><header>Annual meeting with stakeholders</header><text>The Council shall 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.</text></subsection> 
<subsection id="HA25FF648D9EA4B768F3846CEA4289900"><enum>(c)</enum><header>Report</header><text>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.</text></subsection></section></title> 
<title id="H6F0C3A067FF646248C4B2C9F2802163F"><enum>V</enum><header>Capacity Building in Department of Veterans Affairs</header> 
<section id="HD42EC77F3FF14D0989B6587E85044480"><enum>501.</enum><header>Plan for expansion of Department of Veterans Affairs system to expand access to specialized PTSD care</header> 
<subsection id="H0E8338DE313840649FC625A42D445E88"><enum>(a)</enum><header>Development of plan</header><text>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—</text> 
<paragraph id="HCBFBDA2A630E44428D4B9F007028D9D1"><enum>(1)</enum><text>Readjustment Counseling Service centers operated under <external-xref legal-doc="usc" parsable-cite="usc/38/1712A">section 1712A</external-xref> of title 38, United States Code;</text></paragraph> 
<paragraph id="H40E1E9EBF92E46C5A4CB862982DEBB8"><enum>(2)</enum><text>community-based outpatient clinics; and</text></paragraph> 
<paragraph id="H833D561B05A34B7C956692EA9C7FD4C"><enum>(3)</enum><text>telemedicine.</text></paragraph></subsection> 
<subsection id="H69EC3B05EE504B09BC77FF5B074830B3"><enum>(b)</enum><header>Inspector General investigation</header><text>The Inspector General of the Department of Veterans Affairs shall investigate specialized programs of the Department of Veterans Affairs for the treatment of post-traumatic stress disorder in order to determine—</text> 
<paragraph id="H78E92003219F490A82C5993789E78060"><enum>(1)</enum><text>the current workloads of those programs;</text></paragraph> 
<paragraph id="H6245BB50653D4E2696FC27987D50B059"><enum>(2)</enum><text>staff associated with each of those programs;</text></paragraph> 
<paragraph id="HAD7027050507491492E131DC74E927CA"><enum>(3)</enum><text>funds obligated for those programs; and</text></paragraph> 
<paragraph id="HC90E254DBD324097A85351701F00E19B"><enum>(4)</enum><text>any waiting times associated with those programs.</text></paragraph></subsection> 
<subsection id="H1905BF2124B84E348B36FBFE10231C5B"><enum>(c)</enum><header>Report</header><text>The Inspector General shall submit to the Committees on Veterans’ Affairs of the Senate and House of Representatives a report containing the Inspector General’s findings under subsection (b), together with an assessment of the ability of the Department of Veterans Affairs to address such findings, along with recommendations for accommodating—</text> 
<paragraph id="H5F277368BE1041EAB4C5DAA875A522C"><enum>(1)</enum><text>the current workload of the Department in specialized treatment program;</text></paragraph> 
<paragraph id="H48D06532326848CF8DEE073035B3F287"><enum>(2)</enum><text>102 percent of the current workload of the Department; and</text></paragraph> 
<paragraph id="H489E9D6243344CD192BD2B008E4BE089"><enum>(3)</enum><text>110 percent of the current workload of the Department.</text></paragraph></subsection></section> 
<section id="H9AD537232C734BEDB40026DA003D6540"><enum>502.</enum><header>Additional Department of Veterans Affairs resources</header><text display-inline="no-display-inline">In order to improve access to mental health services, the Secretary of Veterans Affairs shall provide the following:</text> 
<paragraph id="HB3D665AF9C1B49E49122F0449C46D288"><enum>(1)</enum><text>100 additional full-time equivalent employees to Readjustment Counseling Service outstations.</text></paragraph> 
<paragraph id="H2F36EB0C55E3452587EA146725AD5500"><enum>(2)</enum><text>A PTSD clinical team at every medical center of the Veterans Health Administration.</text></paragraph> 
<paragraph id="H07AAD8DC61E743A5B65376F534411ED5"><enum>(3)</enum><text>A family therapist at each Vet Center under <external-xref legal-doc="usc" parsable-cite="usc/38/1712A">section 1712A</external-xref> of title 38, United States Code.</text></paragraph> 
<paragraph id="H88F54F9348E447D6BE00DA8FE64025B"><enum>(4)</enum><text>A PTSD coordinator in each regional network referred to as a Veterans Integrated Service Network (VISN ) whose duties shall include—</text> 
<subparagraph id="H2CDE0A15CD5E48D59ED689413F1DA005"><enum>(A)</enum><text>development of plans for meeting PTSD and other post-deployment mental health treatment needs consistent with the report under section 402(b);</text></subparagraph> 
<subparagraph id="H2F9AA80270EA4F7A83216E7E75BD8ED8"><enum>(B)</enum><text>assurance of implementation of clinical practice guidelines throughout the VISN;</text></subparagraph> 
<subparagraph id="H5EF49640B99C4606B7D0E7290065C2C6"><enum>(C)</enum><text>liaison among all health-care sites in the VISN and the Department Central Office on matters relating to PTSD.</text></subparagraph></paragraph> 
<paragraph id="H904982936E194565B9BAACC646354339"><enum>(5)</enum><text>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.</text></paragraph></section></title> 
<title id="H371DDFF9D8BC462CB21BF284C13938FC"><enum>VI</enum><header>Family Therapy</header> 
<section id="HFF826E31A9BD4C7DA4767688A2C2A724"><enum>601.</enum><header>Eligibility for family counseling and bereavement counseling</header> 
<subsection id="HACA872A98A394186AE238BE2CD028EC0"><enum>(a)</enum><header>Counseling for family members of veterans being treated for service-connected disabilities</header><text><external-xref legal-doc="usc" parsable-cite="usc/38/1782">Section 1782(a)</external-xref> of title 38, United States Code, is amended by adding at the end the following new sentence: <quote>In addition, the Secretary shall provide to an individual described in subsection (c) such professional counseling and mental health services as are necessary as a consequence of a disability of a veteran described in the preceding sentence. Counseling and mental health services under the preceding sentence shall be provided (if so requested by the individual) for a period of two years from the date on which the individual first receives such counseling or mental health services under the preceding sentence.</quote>. </text></subsection> 
<subsection id="H372F6589AE464AF997C705B8C4E4BCD3"><enum>(b)</enum><header>Bereavement counseling</header><text display-inline="yes-display-inline">Section 1783 of such title is amended—</text> 
<paragraph id="H22B09DF3E2294FBF9C35D4CA16276D6"><enum>(1)</enum><text>by striking <quote>may provide</quote> in subsections (a) and (b) and inserting <quote>shall, upon request, provide</quote>; and</text></paragraph> 
<paragraph id="HBBE5C0FC5CA5467600714D004899A9F4"><enum>(2)</enum><text>by adding at the end the following new subsection:</text> 
<quoted-block style="USC" id="H69C3CD32230F406296728DFE72249E2" display-inline="no-display-inline"> 
<subsection id="HA2FB1B24D2394B67BB1BBA823543953E"><enum>(d)</enum><header>Duration of counseling</header><text display-inline="yes-display-inline">Counseling under subsection (a) or with respect to the death of a veteran or under subsection (b) with respect to the death of a member who dies in the active military, naval, or air service shall be provided to an individual eligible for such counseling (if so requested by that individual) for a period of two years from the date on which the individual first receives counseling under this section with respect to that death.</text></subsection><after-quoted-block>.</after-quoted-block></quoted-block></paragraph></subsection></section></title> 
<title id="H134341419682454DA5B14673D204007F"><enum>VII</enum><header>Educational Initiatives</header> 
<section id="H297328908D0E4C63BC5DCF7D223EF3A2"><enum>701.</enum><header>Training program for health-care providers</header><text display-inline="no-display-inline">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.</text></section> 
<section id="H61C1411C09C64AEEB911F400E3962242"><enum>702.</enum><header>Curriculum and protocols for cross-training of Department of Veterans Affairs clinicians</header><text display-inline="no-display-inline">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 post-deployment mental health problems, including PTSD, and, as appropriate, provide information and appropriate referral to—</text> 
<paragraph id="H864690A57F3D42C9B4E09993854BC811"><enum>(1)</enum><text>primary care providers;</text></paragraph> 
<paragraph id="H113861FB7F364D26B1C7F2DF94C8E9C5"><enum>(2)</enum><text>practitioners assigned as Gulf War points-of-contact; and</text></paragraph> 
<paragraph id="H93930B9F5D104416886D3EFFF92800BC"><enum>(3)</enum><text>clinicians assigned as case managers.</text></paragraph></section> 
<section id="H0D9637C0587243818D6922036E5BF2F"><enum>703.</enum><header>Publication of state-of-the-art post-deployment mental health problems diagnosis and treatment</header><text display-inline="no-display-inline">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 diagnosis and treatment of PTSD and other mental health disorders experienced after deployment, including any medical conditions associated with such disorders.</text></section> 
<section id="HEC5AF2D504A74626BBC17224FCB9EBE1"><enum>704.</enum><header>Protocols for pain management for PTSD and war-related pain</header><text display-inline="no-display-inline">The Secretary of Veterans Affairs and the Secretary of Defense shall jointly develop protocols for pain management for PTSD and war-related pain.</text></section> 
<section id="H8F0DDB666AF34466B2EC42CF00BBF393"><enum>705.</enum><header>Protocols for treatment of substance use disorders</header><text display-inline="no-display-inline">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.</text></section> 
<section id="HEBB3936BB7E1446988E4F3332D17335F"><enum>706.</enum><header>Protocols for diagnosis of post-traumatic stress disorder</header> 
<subsection id="HDF839CC2DFA34F61BD005F85DCE82568"><enum>(a)</enum><header>Findings</header><text>The Congress finds as follows:</text> 
<paragraph id="HCFC8C4E5D570437DBFC5A025AFF16200"><enum>(1)</enum><text>The symptoms of post-traumatic stress disorder are often similar to those of traumatic brain injury and some neurological disorders.</text></paragraph> 
<paragraph id="H0F3CABDD6DA44E79B2351F64004762D7"><enum>(2)</enum><text>Some veterans with PTSD have co-morbidities that may mask or compound the symptoms associated with PTSD.</text></paragraph> 
<paragraph id="HAFC4F4B4FEEF4B4EBC1B2CFB6DBA8521"><enum>(3)</enum><text>Correct diagnosis of PTSD and other disorders is critical to effective treatment of those disorders.</text></paragraph></subsection> 
<subsection id="HA351D858C0A44DFBADD2EE884395B222"><enum>(b)</enum><header>Clinical Practice Guidelines</header><text>The Secretary of Veterans Affairs shall develop clinical practice guidelines to ensure that clinicians are able to effectively distinguish between diagnoses with similar symptoms that may manifest as post-traumatic stress disorder.</text></subsection></section></title> 
<title id="H115592F944CE444FB697BD6DF02308F1"><enum>VIII</enum><header>National Steering Committee on PTSD Education</header> 
<section id="H9C255FF129AD402EBEBEA393817B0050"><enum>801.</enum><header>National steering committee</header> 
<subsection id="H4BA1890DA57D484AB483AA4F4881EF88"><enum>(a)</enum><header>Establishment</header><text>There is a National Steering Committee on PTSD Education, to be appointed by the joint council established under section 401. The committee shall be comprised of mental health and other health professionals and health educators involved in the care of veterans of a deployment to a theater of combat on or after the date of the enactment of this Act.</text></subsection> 
<subsection id="H43AAD93F7A7C41FB950734C365EEC9EF"><enum>(b)</enum><header>Purpose</header><text>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 those purposes.</text></subsection> 
<subsection id="HB7A04EEDB42B43FAA1CB371A09B9265"><enum>(c)</enum><header>Meetings</header><text>The committee shall meet at least once annually.</text></subsection></section> 
<section id="HA41E516722E448DBB68225C74E514CC6"><enum>802.</enum><header>Funding support for National Center for PTSD</header><text display-inline="no-display-inline">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 fiscal years 2005 through 2014.</text></section> 
<section id="H93B0851A54B944CCA38517A0BE1E43A4"><enum>803.</enum><header>Continuing education to mental health providers</header><text display-inline="no-display-inline">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.</text></section> 
<section id="H093C487ADD9F4955B73C32FFAB9039D1"><enum>804.</enum><header>Web-based curriculum to sponsor clinician training initiatives</header><text display-inline="no-display-inline">The National Steering Committee established under section 801 shall develop a Web-based curriculum to sponsor clinician training initiatives.</text></section></title> 
<title id="HD62C1D9961754C94BD1EEB1949122BAA"><enum>IX</enum><header>Benefits</header> 
<section id="H5559A10C548F4915B4D4A6DB96892D3"><enum>901.</enum><header>Identification of deficiencies in PTSD disability examinations</header> 
<subsection id="HAF619D4A737D487498610414994165F6"><enum>(a)</enum><header>Evaluation of Adjudication of Claims</header><text display-inline="yes-display-inline">The Secretary of Veterans Affairs, in consultation with the National Center for PTSD, shall obtain an evaluation of the quality and consistency of adjudication of claims for PTSD, including the adequacy of service-connected compensation examinations for rating purposes and the extent to which veterans who are service-connected for PTSD are actually employed and employable.</text></subsection> 
<subsection id="H50025E1FEFAD4EEAA34134FAF869E529"><enum>(b)</enum><header>Report</header><text>Not later than 12 months after the date of the enactment of this Act, the Secretary shall submit to the Committees on Veterans Affairs of the Senate and House of Representatives a report that includes the following information and recommendations:</text> 
<paragraph id="HB9AC40BDC8F3410AA6A26E507EF4AEEF"><enum>(1)</enum><text>The types of evidence sufficient to confirm combat experience for veterans filing claims for PTSD based on combat.</text></paragraph> 
<paragraph id="H089B0A5A6D6E43EBAD77BAA3F851FE34"><enum>(2)</enum><text>The policies and procedures used to obtain confirmation of a stressor, including documentation of service in combat for claims based on PTSD.</text></paragraph> 
<paragraph id="HB15D45E90FC748C8BEC330008651C83E"><enum>(3)</enum><text>Based on a representative national sample, the number and percentage of veterans for each period of war whose claims for PTSD have been denied based upon the lack of a credible stressor.</text></paragraph> 
<paragraph id="H7DDD114B70304235A991BFE3685BC8A4"><enum>(4)</enum><text>Based on a representative national sample, the number and percentage of veterans for each period of war whose claims for PTSD have been denied based upon the lack of a diagnosis of PTSD.</text></paragraph> 
<paragraph id="H07E96001245A462B8DA32E0088D488D9"><enum>(5)</enum><text>Based on a representative national sample, the number and percentage of veterans for each period of war whose claims for PTSD have been granted and the rating which was initially awarded for that claim.</text></paragraph> 
<paragraph id="HA713DCC2775C4A16AB75E717B578BC31"><enum>(6)</enum><text>The number of initial and subsequent claims and average time to process claims for PTSD which have been granted (including the rating assigned and any determination as to employability) and denied for each regional office for a consecutive six month period.</text></paragraph> 
<paragraph id="H75AC80E526E74169AA6EA11815F5A3C8"><enum>(7)</enum><text>The number and percentage of initial claims for PTSD selected from a representative national sample during a consecutive six month period which had a compensation and pension examination conducted in compliance with best practices for PTSD examinations.</text></paragraph> 
<paragraph id="H106E49F67488470F8CA883376FE83260"><enum>(8)</enum><text>The number and percentage of examinations selected from a representative national sample during a consecutive six month period in which the compensation and pension examinations for PTSD were judged to be inadequate.</text></paragraph> 
<paragraph id="HB5A325BE7BAB4273ACE685833C073E79"><enum>(9)</enum><text>The number and percentage of claims for PTSD selected from a representative national sample during that consecutive six month period for which the examination was returned as inadequate.</text></paragraph> 
<paragraph id="H6ECBC37CA611456FB0A05BC9D34898EE"><enum>(10)</enum><text>The maximum, minimum and average time based upon a representative national sample allocated for completion of an initial compensation and pension examination for PTSD.</text></paragraph> 
<paragraph id="H95F7D7B1513A452FB7821E87D668F97B"><enum>(11)</enum><text>An assessment comparing the employment of veterans rated for psychiatric impairments with similar ratings based upon physical impairments including, the number of veterans in each sample who are employed on a full time or part time basis, the average time such veterans have been unemployed and a comparison of the amount of work lost from employment due to disability and the average earnings of veterans in each group.</text></paragraph> 
<paragraph id="HA0C6AEBBD58E4805A6C56514DCE8DD"><enum>(12)</enum><text>Taking into account criteria such as the information in the Dictionary of Occupational Titles (DOT), including its companion publication, the Selected Characteristics of Occupations Defined in the Revised Dictionary of Occupational Titles (SCO), published by the Department of Labor, examples of the types of employment that an average veteran rated at 30 percent, at 50 percent, and at 70 percent disabled for PTSD can be expected to obtain and retain.</text></paragraph> 
<paragraph id="HBD71442AC5294EC2AA7CBAC764C98993"><enum>(13)</enum><text>The number of claims for PTSD appealed to the Board of Veterans Appeals during fiscal year 2005, including the specific issue appealed (service-connection, effective date, rating) and the results of such appeals (affirmed, denied, remanded, other disposition).</text></paragraph> 
<paragraph id="HB81354249FCD4D488B4F43EDE0719129"><enum>(14)</enum><text>Recommendations for improving the accuracy and consistency of PTSD examinations, claim development and decisions.</text></paragraph> 
<paragraph id="H1F9F2FADC6774F499952640041BA40C3"><enum>(15)</enum><text>Barriers to successful employment for veterans who have been service-connected for PTSD.</text></paragraph> 
<paragraph id="HBAE69E8D7AAD4348B226A65433FB00B3"><enum>(16)</enum><text>Recommendations for removing barriers to employment for veterans who have been service-connected for PTSD.</text></paragraph> 
<paragraph id="HF029ED31BFE748388EA9CF69DEF2B6C"><enum>(17)</enum><text>Recommendations for legislative changes which could improve the potential for vocational rehabilitation and employment of persons service-connected for PTSD.</text></paragraph></subsection></section> 
<section id="H9E98D1F630B04E3A8574886D25F57B8E"><enum>902.</enum><header>Criteria for determining medical conditions associated with PTSD</header><text display-inline="no-display-inline">The Secretary of Veterans Affairs shall develop—</text> 
<paragraph id="H92E888B146B74466BE95A087D1E74793"><enum>(1)</enum><text>criteria for determining those medical conditions that are as likely as not to be associated with PTSD; and</text></paragraph> 
<paragraph id="HA90D982D35FF4F4ABF4EA9A182694340"><enum>(2)</enum><text>standards for determining when secondary service-connection should be granted for those conditions.</text></paragraph></section></title> 
<title id="HC2E24DB84AB14DBD896D627E1E10C0DC"><enum>X</enum><header>Public Awareness</header> 
<section id="H5E566F74AC2A41E6BDCF63C355A1C045"><enum>1001.</enum><header>Public awareness program</header><text display-inline="no-display-inline">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 section 401.</text></section> 
<section id="H358294739AD842B1A00622C0D2AB2C7B"><enum>1002.</enum><header>Web site and materials for general campaign of awareness of PTSD</header><text display-inline="no-display-inline">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.</text></section></title> 
</legis-body> 
</bill> 

