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<bill bill-stage="Introduced-in-House" bill-type="olc" dms-id="HE7649288F4D64036830F9A821179C9CD" key="H" public-private="public"><metadata xmlns:dc="http://purl.org/dc/elements/1.1/">
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<dc:title>116 HR 4282 IH: To direct the Secretary of Veterans Affairs to develop a training session and a counseling session in suicide prevention and lethal means tailored to veterans who served in the Armed Forces after September 11, 2001, and for other purposes.</dc:title>
<dc:publisher>U.S. House of Representatives</dc:publisher>
<dc:date>2019-09-11</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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<distribution-code display="yes">I</distribution-code><congress display="yes">116th CONGRESS</congress><session display="yes">1st Session</session><legis-num display="yes">H. R. 4282</legis-num><current-chamber>IN THE HOUSE OF REPRESENTATIVES</current-chamber><action display="yes"><action-date date="20190911">September 11, 2019</action-date><action-desc><sponsor name-id="U000040">Ms. Underwood</sponsor> introduced the following bill; which was referred to the <committee-name committee-id="HVR00">Committee on Veterans' Affairs</committee-name></action-desc></action><legis-type>A BILL</legis-type><official-title display="yes">To direct the Secretary of Veterans Affairs to develop a training session and a counseling session
			 in suicide prevention and lethal means tailored to veterans who served in
			 the Armed Forces after September 11, 2001, and for other purposes.</official-title></form>
	<legis-body id="H4C04C0888A9A49B4BA505F53AFE5B522" style="OLC">
		<section id="HAFDD6759DA86499DB7722492DD8B75E5" section-type="section-one"><enum>1.</enum><header>Department of Veterans Affairs training and counseling in suicide prevention and lethal means</header>
 <subsection id="H8E26305BB56642AFAEC44988BBD827C5"><enum>(a)</enum><header>Training session</header><text display-inline="yes-display-inline">Not later than 180 days after the date of the enactment of this Act, the Secretary of Veterans Affairs shall develop a suicide prevention and lethal means training session tailored to veterans who served in the Armed Forces any time after September 11, 2001. Such training shall—</text>
 <paragraph id="H02FA15B1D06E44C3BC255AED2848D56B"><enum>(1)</enum><text display-inline="yes-display-inline">be provided to all primary care practitioners of the Department of Veterans Affairs, and to other Department employees, as directed by the Secretary, by not later than 270 days after the date of the enactment of this Act and at least once every five years thereafter;</text>
 </paragraph><paragraph id="H980B4D6827A04BA7B30D891415013FA1"><enum>(2)</enum><text>be integrated into the whole health initiative of the Department; and</text> </paragraph><paragraph id="H3F409560C90642BE8468B668529C8950"><enum>(3)</enum><text>be updated at least once every two years.</text>
				</paragraph></subsection><subsection id="HB30EE0C45E084AFB88DD16EF633E856B"><enum>(b)</enum><header>Counseling session</header>
 <paragraph id="HD44B5DCD77494253B9D707CFF4A98B45"><enum>(1)</enum><header>In general</header><text>Not later than 360 days after the date of the enactment of this Act, the Secretary shall develop a suicide prevention and lethal means counseling session tailored to veterans who served in the Armed Forces any time after September 11, 2001. Such counseling shall—</text>
 <subparagraph id="HAC09518AC11E494FB61B947FA2DC8E00"><enum>(A)</enum><text display-inline="yes-display-inline">be provided by primary care practitioners of the Department to—</text> <clause id="H6FFEECC067C342BDB71B9745EE9E166C"><enum>(i)</enum><text>all veterans enrolled in the patient enrollment system under section 1705 of title 38, United States Code, who served in the Armed Forces after September 11, 2001; and</text>
 </clause><clause id="HB0146005DFF444E086944680465F949A"><enum>(ii)</enum><text>other veterans, as determined by the Secretary;</text> </clause></subparagraph><subparagraph id="HF99E29ACAB504B329E1A19A054F62479"><enum>(B)</enum><text>be provided during the veterans’ first primary care appointment following development of the counseling session and subsequently as clinically appropriate; and</text>
 </subparagraph><subparagraph id="H501663219D6A4381AAAE236AB579B565"><enum>(C)</enum><text>be integrated into the whole health initiative of the Department.</text> </subparagraph></paragraph><paragraph id="HCE850040B04847248716BEFE4D600864"><enum>(2)</enum><header>Lethal means counseling</header><text>In this subsection, the term <quote>lethal means counseling</quote> means counseling designed to—</text>
 <subparagraph id="H443E8165E5714E2F8573CE9CE683047B"><enum>(A)</enum><text display-inline="yes-display-inline">assess whether a person at risk for suicide has access to lethal means; and</text> </subparagraph><subparagraph id="H5CB8E208AD4B4AA88503B8144AB93660"><enum>(B)</enum><text>work with such person and the family and support system of such person to limit the access of the person to lethal means until the person is no longer at elevated risk of suicide.</text>
 </subparagraph></paragraph></subsection><subsection id="H0F66A29305634C8EB41AC3639E53C22D"><enum>(c)</enum><header>Consultation</header><text display-inline="yes-display-inline">In developing the training and counseling sessions required by this section, the Secretary shall consult with the Secretary of Health and Human Services, the National Institutes of Health, public and private institutions of higher education, educators, experts in suicide assessment, treatment, and management, and affected professional associations.</text>
			</subsection></section></legis-body></bill>


