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<dc:title>116 S1906 IS: Improve Well-Being for Veterans Act</dc:title>
<dc:publisher>U.S. Senate</dc:publisher>
<dc:date>2019-06-19</dc:date>
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<dc:language>EN</dc:language>
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<distribution-code display="yes">II</distribution-code><congress>116th CONGRESS</congress><session>1st Session</session><legis-num>S. 1906</legis-num><current-chamber>IN THE SENATE OF THE UNITED STATES</current-chamber><action><action-date date="20190619">June 19, 2019</action-date><action-desc><sponsor name-id="S343">Mr. Boozman</sponsor> (for himself, <cosponsor name-id="S327">Mr. Warner</cosponsor>, <cosponsor name-id="S398">Mr. Cramer</cosponsor>, <cosponsor name-id="S381">Mr. Rounds</cosponsor>, and <cosponsor name-id="S384">Mr. Tillis</cosponsor>) introduced the following bill; which was read twice and referred to the <committee-name committee-id="SSVA00">Committee on Veterans' Affairs</committee-name></action-desc></action><legis-type>A BILL</legis-type><official-title>To require the Secretary of Veterans Affairs to provide financial assistance to eligible entities
			 to provide and coordinate the provision of suicide prevention services for
			 veterans at risk of suicide and veteran families through the award of
 grants to such entities, and for other purposes.</official-title></form><legis-body><section id="S1" section-type="section-one"><enum>1.</enum><header>Short title</header><text display-inline="no-display-inline">This Act may be cited as the <quote><short-title>Improve Well-Being for Veterans Act</short-title></quote>.</text></section><section id="id19B18B147139485C89A72360C6417D20"><enum>2.</enum><header>Financial assistance to certain entities to provide and coordinate the provision of suicide
 prevention services for veterans at risk of suicide and veteran families</header><subsection id="idd9f3520b28b74bffa627207db2d65bda"><enum>(a)</enum><header>Distribution of financial assistance</header><text>The Secretary of Veterans Affairs shall provide financial assistance to eligible entities approved under this section through the award of grants to such entities to provide and coordinate the provision services to veterans and veteran families to reduce the risk of suicide.</text></subsection><subsection id="idf8487d53a37a440dad9a067e677e16df"><enum>(b)</enum><header>Award of grants</header><paragraph id="idCCD4F194779E430B8E24DCFDC2705CA7"><enum>(1)</enum><header>In general</header><text>The Secretary shall award a grant to each eligible entity for which the Secretary has approved an application under subsection (e) to provide or coordinate the provision of suicide prevention services under this section.</text></paragraph><paragraph id="id1801a05ed0b94da7afed79ef2ad14a1f"><enum>(2)</enum><header>Grant amounts, intervals of payment, and matching funds</header><text>In accordance with the services being provided under a grant under this section and the duration of those services, the Secretary may establish—</text><subparagraph id="idA45F5A63DD514668AB32E0B1DFF97C42"><enum>(A)</enum><text>a maximum amount to be awarded under the grant;</text></subparagraph><subparagraph id="idB9915B5C4AFF416789FD978E84D3EEAB"><enum>(B)</enum><text>intervals of payment for the administration of the grant; and</text></subparagraph><subparagraph id="iddcdba094e0e54f3fa4b4639cf2880ca6"><enum>(C)</enum><text>a requirement for the recipient of the grant to provide matching funds in a specified percentage.</text></subparagraph></paragraph></subsection><subsection id="ide78ccbf2190041f99f2b64daac5b8751"><enum>(c)</enum><header>Distribution of financial assistance and preference</header><paragraph id="id460615AA53E846229BDA1BD60482ECD6"><enum>(1)</enum><header>Distribution</header><subparagraph id="idfb84424901ad4b3da525346c6e5f8f32"><enum>(A)</enum><header>Geographic</header><text>The Secretary shall ensure that, to the extent practicable and in compliance with subparagraph (B), financial assistance under this section is equitably distributed across geographic regions, including rural communities and Tribal land.</text></subparagraph><subparagraph id="idE17774F27FBE4D11939F8476C7BBECEF"><enum>(B)</enum><header>Areas with need</header><text>The Secretary shall ensure that, to the extent practicable, financial assistance under this section is distributed—</text><clause id="idC1997B9712F5460287EC2FC9C558D8E2"><enum>(i)</enum><text>to provide services in areas of the United States that have experienced high rates or a high burden of veteran suicide; and</text></clause><clause id="idF264543209F54CB8AFF8C5A9DB6FDDF4"><enum>(ii)</enum><text>to eligible entities that can assist veterans at risk of suicide that are not currently receiving health care furnished by the Department of Veterans Affairs.</text></clause></subparagraph></paragraph><paragraph id="id9521f70ecdf14d159d23c0a6ef88ca32"><enum>(2)</enum><header>Preference</header><text>The Secretary shall give preference in the provision of financial assistance under this section to eligible entities providing or coordinating, or who have demonstrated the ability to provide or coordinate, suicide prevention services or other services that improve the quality of life of veterans and their families and reduce the factors that contribute to veteran suicide.</text></paragraph></subsection><subsection id="id83efe94bd73e46239e073834edc84494"><enum>(d)</enum><header>Requirements for receipts of financial assistance</header><paragraph id="id8CD0E5E436974C848C8181D992E190CA"><enum>(1)</enum><header>Notification that services are from Department</header><text>Each entity receiving financial assistance under this section to provide suicide prevention services to veterans at risk of suicide and veteran families shall notify the recipients of such services that such services are being paid for, in whole or in part, by the Department.</text></paragraph><paragraph id="id20a3d8cece88410d8740517a8310bb6e"><enum>(2)</enum><header>Development of plan with beneficiaries</header><subparagraph id="id4897CC196CCA4CF9B3ED72A04D4BF77E"><enum>(A)</enum><header>In general</header><text>If an entity receiving financial assistance under this section provides temporary cash assistance under subsection (k)(5)(K), the entity shall develop a plan to ensure that any beneficiary of such temporary cash assistance is self-sustaining at the end of the period of eligibility for such temporary cash assistance.</text></subparagraph><subparagraph id="id6BBA87C088BE470AA3E37F0AC2C40413"><enum>(B)</enum><header>Consultation with beneficiary</header><text>Any plan developed under subparagraph (A) with respect to a beneficiary shall be developed in consultation with the beneficiary.</text></subparagraph></paragraph><paragraph id="id28C3E46922E244EF8BFCE2B5BE792058"><enum>(3)</enum><header>Reports</header><text>The Secretary—</text><subparagraph id="idDC0A968404C949FCBB57947057B259D9"><enum>(A)</enum><text>shall require each entity receiving financial assistance under this section to submit to the Secretary an annual report that describes the projects carried out with such financial assistance during the year covered by the report;</text></subparagraph><subparagraph id="id62987B411E2E4A3498680081C6261A36"><enum>(B)</enum><text>shall specify to each such entity the evaluation criteria and data and information, which shall include a mental health measurement of each veteran served, to be submitted in such report; and</text></subparagraph><subparagraph id="id17835F320C8849E1B3DF9966856DE6C7"><enum>(C)</enum><text>may require such entities to submit to the Secretary such additional reports as the Secretary considers appropriate.</text></subparagraph></paragraph></subsection><subsection id="idb3ea0ce6d07a46bb91274b77827a418c"><enum>(e)</enum><header>Application for financial assistance</header><paragraph id="id38B42A7671784731B24DD2870FE57364"><enum>(1)</enum><header>In general</header><text>An eligible entity seeking financial assistance under this section shall submit to the Secretary an application therefor in such form, in such manner, and containing such commitments and information as the Secretary considers necessary to carry out this section.</text></paragraph><paragraph id="id32590213e03b4057930b727f7b216be7"><enum>(2)</enum><header>Matters To be included</header><text>Each application submitted by an eligible entity under paragraph (1) shall contain the following:</text><subparagraph id="iddc13bcea6432411b9ddd9eebf0e03f34"><enum>(A)</enum><text>A description of the suicide prevention services proposed to be provided by the eligible entity and the identified need for those services.</text></subparagraph><subparagraph id="id74d58f82be8744eab92fca5f57dd80b5"><enum>(B)</enum><text>A detailed plan describing how the eligible entity proposes to coordinate and deliver suicide prevention services to veterans not currently receiving care furnished by the Department, including—</text><clause id="id49A73ACC79BF4D549278989BF7512BC2"><enum>(i)</enum><text>an identification of the community partners with which the eligible entity proposes to work in delivering such services;</text></clause><clause id="idB84974DF034448A9B71202698E3987AD"><enum>(ii)</enum><text>a description of the arrangements currently in place between the eligible entity and such partners; and</text></clause><clause id="id96AA4C6864E34F9FA9199DB7636E2BAD"><enum>(iii)</enum><text>an identification of how long such arrangements have been in place.</text></clause></subparagraph><subparagraph id="idc979209463cb4d7da68e32331cf0e983"><enum>(C)</enum><text>A description of the types of veterans at risk of suicide and veteran families proposed to be provided suicide prevention services.</text></subparagraph><subparagraph id="id34950b40142a445fa5bbfac4183ebfb6"><enum>(D)</enum><text>An estimate of the number of veterans at risk of suicide and veteran families proposed to be provided suicide prevention services and the basis for such estimate, including the percentage of those veterans who are not currently receiving care furnished by the Department.</text></subparagraph><subparagraph id="id1d14964887564704b833af8f95db454f"><enum>(E)</enum><text>Evidence of the experience of the eligible entity (and the proposed partners of the entity) in providing suicide prevention services to individuals at risk of suicide, particularly to veterans at risk of suicide and veteran families.</text></subparagraph><subparagraph id="id4b81b21e24e54a5592a36adba60ad830"><enum>(F)</enum><text>A description of the managerial and technological capacity of the eligible entity—</text><clause id="idf7666fb8fa644f51a0787962760ee729"><enum>(i)</enum><text>to coordinate the provision of suicide prevention services with the provision of other services;</text></clause><clause id="ideac8a8c63ae54db6a41c36541f7eae61"><enum>(ii)</enum><text>to assess continuously the needs of veterans at risk of suicide and veteran families for suicide prevention services;</text></clause><clause id="idaab88f3f08d64bd9b3b684856324cb2b"><enum>(iii)</enum><text>to coordinate the provision of suicide prevention services with the services of the Department for which the beneficiaries are eligible;</text></clause><clause id="id37c815a0ee8b40588b343ee5e8d51719"><enum>(iv)</enum><text>to tailor suicide prevention services to the needs of veterans at risk of suicide and veteran families;</text></clause><clause id="id0ec05af686e44941ae3f609dd560eb05"><enum>(v)</enum><text>to continuously seek new sources of assistance to ensure the continuity of suicide prevention services for veterans at risk of suicide and veteran families as long as the veteran is determined to be at risk of suicide; and</text></clause><clause commented="no" id="id5277d5e9b4244ca9b601e1e28914a58f"><enum>(vi)</enum><text>to measure, over a long-term period, the improved mental resiliency and mental outlook of the veteran served.</text></clause></subparagraph><subparagraph id="id432fa0108c514a8b90abf82daf0e389f"><enum>(G)</enum><text>Such additional application criteria as the Secretary considers appropriate.</text></subparagraph></paragraph></subsection><subsection id="ide805b15ea60641d799e5a5a5b917d099"><enum>(f)</enum><header>Technical assistance</header><paragraph id="id044D2A857F814E02B47C760A460DF19C"><enum>(1)</enum><header>In general</header><text>The Secretary shall provide training and technical assistance to eligible entities in receipt of financial assistance under this section regarding—</text><subparagraph id="id94278B6333694FCB9AD79B7110711F44"><enum>(A)</enum><text>the data required to be collected and shared with the Department;</text></subparagraph><subparagraph id="id954058B3519E4C15A73011B8059C2D32"><enum>(B)</enum><text>the means of data collection and sharing;</text></subparagraph><subparagraph id="id42860a58a8eb49fb84e81216993e2357"><enum>(C)</enum><text>familiarization with and appropriate use of any tool to be used to measure the effectiveness of the use of the financial assistance provided; and</text></subparagraph><subparagraph id="id7069CA7F68D14D77A892BFFA17C5EE46"><enum>(D)</enum><text>the requirements for reporting under subsection (d)(3) on services provided via such financial assistance.</text></subparagraph></paragraph><paragraph id="id0080382a2d984f5e9e1be03e548b9e07"><enum>(2)</enum><header>Provision of training and technical assistance</header><text>The Secretary may provide the training and technical assistance described in paragraph (1) directly or through grants or contracts with appropriate public or nonprofit entities.</text></paragraph></subsection><subsection id="idBA49B69ED9C4450385EB582AC01FC54D"><enum>(g)</enum><header>Administration of grant program</header><paragraph commented="no" display-inline="no-display-inline" id="id16f18caa5ffd4cdabe02f8ba401933b4"><enum>(1)</enum><header display-inline="yes-display-inline">Selection criteria</header><text display-inline="yes-display-inline">The Secretary, in consultation with entities specified in paragraph (3), shall establish criteria for the selection of eligible entities that have submitted applications under subsection (e).</text></paragraph><paragraph id="id69E4FAEDF46C465383BA08A088203515"><enum>(2)</enum><header>Development of measures and metrics</header><text>The Secretary shall develop, in consultation with entities specified in paragraph (3), the following:</text><subparagraph id="idcdd17d3e2e7a4980aa8a07e9f9149d71"><enum>(A)</enum><text>A framework for collecting and sharing information about entities in receipt of financial assistance under this section for purposes of improving the discovery of services available for veterans at risk of suicide and veteran families, set forth by service type, locality, and eligibility criteria.</text></subparagraph><subparagraph id="id4CAC16FC58B54AF4B15D45E37D66D2B9"><enum>(B)</enum><text>The measures to be used by each entity in receipt of financial assistance under this section to determine the effectiveness of the programming being provided by such entity in improving mental resiliency and mental outlook of veterans at risk of suicide and veteran families.</text></subparagraph><subparagraph id="id83765DB9942E4A2EB61C8171DEC07A03"><enum>(C)</enum><text>Metrics for measuring the effectiveness of the provision of financial assistance under this section.</text></subparagraph></paragraph><paragraph id="id81e6c7c84163436dbd685884f78e4bcd"><enum>(3)</enum><header>Coordination</header><text>In developing a plan for the design and implementation of the provision of financial assistance under this section, including criteria for the award of grants, the Secretary shall consult with the following:</text><subparagraph id="id1f1171ab9ba7471f80841f6a3f209fba"><enum>(A)</enum><text>Veterans service organizations.</text></subparagraph><subparagraph id="idaf70d7bb90054d529ffcba8061839dde"><enum>(B)</enum><text>National organizations representing potential community partners of eligible entities in providing supportive services to address the needs of veterans at risk of suicide and their families, including national organizations that—</text><clause id="idb65536f4681949da84b21230055f1c20"><enum>(i)</enum><text>advocate for the needs of individuals with or at risk of behavioral health conditions;</text></clause><clause id="id44e012b573254fb782f37373b9b106e6"><enum>(ii)</enum><text>represent mayors;</text></clause><clause id="id3a301997ba934d87a1a5867db74a0691"><enum>(iii)</enum><text>represent first responders; or</text></clause><clause id="id8ea4ee9f1379445abff9a05ea976b57a"><enum>(iv)</enum><text>represent chiefs of police and sheriffs.</text></clause></subparagraph><subparagraph id="id73d0fadef3154862bdf1d7367b17bdf9"><enum>(C)</enum><text>Organizations with which the Department has a current memoranda of agreement or understanding related to mental health or suicide prevention.</text></subparagraph><subparagraph commented="no" id="id696d374b052e4e9f824244c5988cb326"><enum>(D)</enum><text>State departments of veterans affairs.</text></subparagraph><subparagraph commented="no" id="id1DC598259C8244E2AB2F80AF3C5C75E3"><enum>(E)</enum><text>National organizations representing members of the reserve components of the Armed Forces.</text></subparagraph><subparagraph commented="no" id="id77B9BF92B84347C68EC029EAF7CA60D2"><enum>(F)</enum><text>Vet Centers.</text></subparagraph><subparagraph id="id10c423d398954bd698316aee16be2dff"><enum>(G)</enum><text>Organizations with experience in creating measurement tools for purposes of determining programmatic effectiveness.</text></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id6595bb98a25b453c95f608182bfa900c"><enum>(H)</enum><text>Such other organizations as the Secretary considers appropriate.</text></subparagraph></paragraph><paragraph id="id69ea803ac6124fc28a0849db2c02511b"><enum>(4)</enum><header>Report on grant criteria</header><text>Before notifying eligible entities of the availability of funding under this section, the Secretary shall submit to Congress a report containing—</text><subparagraph id="id769AC1F5D4A348BF9820D10D715DE386"><enum>(A)</enum><text>criteria for the award of a grant under this section;</text></subparagraph><subparagraph id="idC199FC10A9AD43B5ACE07841B9ED8A29"><enum>(B)</enum><text>the tool to be used by the Department to measure the effectiveness of the use of financial assistance provided under this section; and</text></subparagraph><subparagraph id="idA5EE8316141E4D4BBBE57F77C9F25212"><enum>(C)</enum><text>a framework for the sharing of information about entities in receipt of financial assistance under this section.</text></subparagraph></paragraph></subsection><subsection id="ida5d516112288440eb026afe6b7506362"><enum>(h)</enum><header>Information on potential beneficiaries</header><paragraph id="id604EB09CB2204C55A28E513540718F1D"><enum>(1)</enum><header>In general</header><text>The Secretary may make available to recipients of financial assistance under this section certain information regarding potential beneficiaries of services for which such financial assistance is provided.</text></paragraph><paragraph id="id52CEDD910D6649168E9AE191B66EE049"><enum>(2)</enum><header>Information included</header><text>The information made available under paragraph (1) with respect to potential beneficiaries may include the following:</text><subparagraph id="idC441C7A5C9E7418591A0C0F27E69D1CD"><enum>(A)</enum><text>Confirmation of the status of a potential beneficiary as a veteran.</text></subparagraph><subparagraph id="idDF86B541FCF34368B4FA9322F539DC8F"><enum>(B)</enum><text>Confirmation of whether a potential beneficiary is currently receiving care furnished by the Department or has recently received such care.</text></subparagraph></paragraph></subsection><subsection id="ide6fe6c083ebe48ef98c7ce1d2e05d3c2"><enum>(i)</enum><header>Duration</header><text>The authority of the Secretary to provide financial assistance under this section shall terminate on the date that is three years after the date on which the first grant is awarded under this section.</text></subsection><subsection id="id9310df7e1cf04b869fea7cece7c2eada"><enum>(j)</enum><header>Reporting</header><paragraph id="id52AA1464410B440E97A7EA985C6D2598"><enum>(1)</enum><header>Interim report</header><subparagraph id="idF2C8D77908764EB1B2713DB08B6A05AF"><enum>(A)</enum><header>In general</header><text>Not later than 18 months after the date on which the first grant is awarded under this section, the Secretary shall submit to the appropriate committees of Congress a report on the provision of financial assistance under this section.</text></subparagraph><subparagraph id="idB72C8301D6DD47508AF3C244559B82B4"><enum>(B)</enum><header>Elements</header><text>The report submitted under subparagraph (A) shall include the following:</text><clause id="id14fd3a1ac1d04c3787179d3a9227a60b"><enum>(i)</enum><text>An assessment of the effectiveness of the provision of financial assistance under this section, including the effectiveness of community partners in conducting outreach to veterans at risk of suicide and veteran families.</text></clause><clause commented="no" id="id9135552362014d14819a859185a7a90b"><enum>(ii)</enum><text>A list of grant recipients and their partner organizations that delivered services funded by the grant and the amount of such grant received by each recipient and partner organization.</text></clause><clause commented="no" id="id7850833B678544BF96D4EF6E472B7FBD"><enum>(iii)</enum><text>The number of veterans supported by each grant recipient, including through services provided to family members.</text></clause><clause commented="no" id="id28F4E2B45BBF47BEA944EBDB962EE845"><enum>(iv)</enum><text>The number of veterans supported by financial assistance under this section, including through services provided to family members.</text></clause><clause commented="no" id="idDC6616681F314CFDB9E42258E77AB4A9"><enum>(v)</enum><text>The number of veterans supported by financial assistance under this section, including through services provided to family members, who were not previously receiving care furnished by the Department.</text></clause><clause commented="no" id="idCF08A89D3218496CB20362457CF447EE"><enum>(vi)</enum><text>The number of veterans whose mental resiliency and mental outlook received a baseline measurement assessment under this section and the number of such veterans whose mental resiliency and mental outlook will be measured by the Department or a community partner over a period of time.</text></clause><clause commented="no" id="idD414635982B24050BC53F30BFD29F94D"><enum>(vii)</enum><text>The types of data the Department was able to collect and share with partners, including a characterization of the benefits of that data.</text></clause></subparagraph></paragraph><paragraph id="id2391658e19834e51a4dda301e92df6fd"><enum>(2)</enum><header>Final report</header><text>Not later than three years after the date on which the first grant is awarded under this section, the Secretary shall submit to the appropriate committees of Congress—</text><subparagraph id="idEAEAC3D2D1AB43009F9E80A16A985EB5"><enum>(A)</enum><text>a follow-up on the interim report submitted under paragraph (1) containing the elements set forth in subparagraph (B) of such paragraph; and</text></subparagraph><subparagraph id="idF7433E68FFB84102A468E82C00A47668"><enum>(B)</enum><text>a report on—</text><clause id="id9bf605f9acc74e209dcac74ee165a171"><enum>(i)</enum><text>the effectiveness of the provision of financial assistance under this section, including the effectiveness of community partners in conducting outreach to veterans at risk of suicide and veteran families;</text></clause><clause id="id6d2e4e330e324ecf939602956ef0e101"><enum>(ii)</enum><text>an assessment of the increased capacity of the Department to provide services to veterans at risk of suicide and veteran families, set forth by State, as a result of the provision of financial assistance under this section; and</text></clause><clause id="idae4892e5f76d422389bfa4ffe78901ad"><enum>(iii)</enum><text>the feasibility and advisability of extending or expanding the provision of financial assistance under this section.</text></clause></subparagraph></paragraph></subsection><subsection id="idc75cb2e6546b4794a81f64a4b16980ee"><enum>(k)</enum><header>Definitions</header><text>In this section:</text><paragraph id="idBC2E6F3DEF80433AA9893ACEA3F3AF0F"><enum>(1)</enum><header>Appropriate committees of Congress</header><text>The term <term>appropriate committees of Congress</term> means—</text><subparagraph id="id5333BDA034554D94B9999C8CF6EDD348"><enum>(A)</enum><text>the Committee on Veterans’ Affairs and the Subcommittee on Military Construction, Veterans Affairs, and Related Agencies of the Committee on Appropriations of the Senate; and</text></subparagraph><subparagraph id="id68F24D54E20743EAAA60FECEAB0CDE7E"><enum>(B)</enum><text>the Committee on Veterans’ Affairs and the Subcommittee on Military Construction, Veterans Affairs, and Related Agencies of the Committee on Appropriations of the House of Representatives.</text></subparagraph></paragraph><paragraph id="idd3dfda1fe1704033ac9d09db345dfba8"><enum>(2)</enum><header>Eligible entity</header><text>The term <term>eligible entity</term> means—</text><subparagraph id="id1fb7d66158894306ab099352c2963d55"><enum>(A)</enum><text>an incorporated private institution or foundation—</text><clause id="id0ab1277d70344d58ba3126317822becc"><enum>(i)</enum><text>no part of the net earnings of which incurs to the benefit of any member, founder, contributor, or individual;</text></clause><clause id="id8d2e27585be046bca4c837fe5366ad5c"><enum>(ii)</enum><text>that has a governing board that would be responsible for the operation of the suicide prevention services provided under this section; and</text></clause><clause id="idcefae3157eec49edacc00856156604e4"><enum>(iii)</enum><text>that is approved by the Secretary as to financial responsibility;</text></clause></subparagraph><subparagraph id="id513ae715436149ee819f1ac8bb0c33d9"><enum>(B)</enum><text>a corporation wholly owned and controlled by an organization meeting the requirements of clauses (i), (ii), and (iii) of subparagraph (A);</text></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id58dbc9d629ab452782c28df8ac35527c"><enum>(C)</enum><text>a tribally designated housing entity (as defined in section 4 of the Native American Housing Assistance and Self-Determination Act of 1996 (<external-xref legal-doc="usc" parsable-cite="usc/25/4103">25 U.S.C. 4103</external-xref>)); or</text></subparagraph><subparagraph id="id76ef50c5e5944240a84827e706dcb320"><enum>(D)</enum><text>a community-based organization that is physically based in the targeted community and that can effectively network with local civic organizations, regional health systems, and other settings where veterans at risk of suicide and the families of such veterans are likely to have contact.</text></subparagraph></paragraph><paragraph id="id1cf90a0b1bcc47aaa114057313a520f0"><enum>(3)</enum><header>Peer specialist</header><text>The term <term>peer specialist</term> means a person eligible to be appointed as a peer specialist under section 7402(b)(13) of title 38, United States Code.</text></paragraph><paragraph id="id6d8b079b0e284f5383692b5a004b8e00"><enum>(4)</enum><header>Risk of suicide</header><text>The term <term>risk of suicide</term> means exposure to or the existence of any of the following:</text><subparagraph id="id16dbceac3a1e470380c0c6629a8d5b03"><enum>(A)</enum><text>Health risk factors, including the following:</text><clause id="id9cbac156c76d42558dc0de48bdbb5a6e"><enum>(i)</enum><text>Mental health challenges.</text></clause><clause id="idd097848920d34b7eac1138e16694f678"><enum>(ii)</enum><text>Substance abuse.</text></clause><clause id="id46b7de15743f43d9ae0b4e3935c07ef1"><enum>(iii)</enum><text>Serious or chronic health conditions or pain.</text></clause><clause id="id4ece0dd6b6b14cb18a6fcddfa8c90fa1"><enum>(iv)</enum><text>Traumatic brain injury.</text></clause></subparagraph><subparagraph id="id841d6606e0234a8c9aa34d9a51cabc66"><enum>(B)</enum><text>Environmental risk factors, including the following:</text><clause id="idf34e6ceb4c4f49f29a9c8bc4f2ef2b6d"><enum>(i)</enum><text>Access to lethal means (such as drugs, firearms, etc.).</text></clause><clause id="id130ae6b787f84dc4a5730d1313736271"><enum>(ii)</enum><text>Prolonged stress.</text></clause><clause id="id6b9e23dbbf0b478e9c3596de7df6cf1d"><enum>(iii)</enum><text>Stressful life events.</text></clause><clause id="idb63b7441d4e649efa0355d3b0dac691d"><enum>(iv)</enum><text>Exposure to the suicide of another person or to graphic or sensationalized accounts of suicide.</text></clause><clause id="id8872c4d1dfc04a82be0ba9b6640b70ae"><enum>(v)</enum><text>Unemployment.</text></clause><clause id="ida648d1dea4c34df5b4538b61c3674b11"><enum>(vi)</enum><text>Homelessness.</text></clause><clause id="idabcd54dc1fb048c9a313f2d9d4ad4765"><enum>(vii)</enum><text>Recent loss.</text></clause><clause id="id111d0493655f4bc48ec5c0286ca9385c"><enum>(viii)</enum><text>Legal or financial challenges.</text></clause></subparagraph><subparagraph id="id92b22c39f90340c0a0ece91b48c3a245"><enum>(C)</enum><text>Historical risk factors, including the following:</text><clause id="id152ba35b6ffa4865a8f5d281a427970e"><enum>(i)</enum><text>Previous suicide attempts.</text></clause><clause id="id0c741ae509b34eb29106c9af3e953186"><enum>(ii)</enum><text>Family history of suicide.</text></clause><clause commented="no" display-inline="no-display-inline" id="iddbc64a0d93d64268953f400f973e2298"><enum>(iii)</enum><text>History of abuse, neglect, or trauma.</text></clause></subparagraph></paragraph><paragraph id="id681f2b1c5bc346e58ce499cfaff5c0ac"><enum>(5)</enum><header>Suicide prevention services</header><text>The term <term>suicide prevention services</term> means services to address the needs of veterans at risk of suicide and veteran families and includes the following:</text><subparagraph id="id8299f3636c0b43d885bdd3633fb464f0"><enum>(A)</enum><text>Outreach to identify veterans at risk of suicide, with an emphasis on veterans who are at highest risk or not receiving health care or other services furnished by the Department.</text></subparagraph><subparagraph id="id5c87ffd73ad947e98e84940c8244a596"><enum>(B)</enum><text>A baseline mental health assessment for risk screening and referral to care.</text></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="ida9de7746343243f09810f7a46dda492b"><enum>(C)</enum><text>Education on suicide risk and prevention to families and communities.</text></subparagraph><subparagraph id="id250f2c8e2a5c484883b1d0c17601f700"><enum>(D)</enum><text>Direct treatment.</text></subparagraph><subparagraph id="idee2db28e5719460cac86fd37affb09c0"><enum>(E)</enum><text>Medication management.</text></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id7da28adb2f584f6d94232a07da0f58e4"><enum>(F)</enum><text>Individual and group therapy.</text></subparagraph><subparagraph id="idc4f35d7d204245f9991f0d7e48f3a69d"><enum>(G)</enum><text>Case management services.</text></subparagraph><subparagraph id="id50b937bcf5e04635be0411de9b194827"><enum>(H)</enum><text>Peer support services.</text></subparagraph><subparagraph id="id7dac8756eddb456e82a579e63c117678"><enum>(I)</enum><text>Assistance in obtaining any benefits from the Department that the veteran at risk of suicide or veteran family may be eligible to receive, including—</text><clause id="id567A216BE87B46ACBE78DE754B8CE279"><enum>(i)</enum><text>vocational and rehabilitation counseling;</text></clause><clause id="id8BFB9907953F45DE8F6449CAE5B16823"><enum>(ii)</enum><text>supportive services for homeless veterans;</text></clause><clause id="id0F790CE49B7B4FDBA209F3D98F82107C"><enum>(iii)</enum><text>employment and training services;</text></clause><clause id="id5F1C3B2F9D8448E6BE0E0F8F937D4455"><enum>(iv)</enum><text>educational assistance; and</text></clause><clause id="id248421BA1B8E4091A60E2603CEE9D48A"><enum>(v)</enum><text>health care services.</text></clause></subparagraph><subparagraph id="id36121f1d030f42d9a8cd972ca7c3fcbe"><enum>(J)</enum><text>Assistance in obtaining and coordinating the provision of other benefits provided by the Federal Government, a State or local government, or an eligible entity.</text></subparagraph><subparagraph id="ide4b6a7580aa14486acee7b6f1d785c27"><enum>(K)</enum><text>Temporary cash assistance (not to exceed 6 months) to assist with emergent needs relating to—</text><clause id="id7f5d434572a54959af6a9012ee856fcc"><enum>(i)</enum><text>health care services;</text></clause><clause id="ida07419a0f40347679f124206cddf2446"><enum>(ii)</enum><text>daily living services;</text></clause><clause id="idbcd06503b8fd45e6ad26203bae9c5b10"><enum>(iii)</enum><text>personal financial planning;</text></clause><clause id="idb8ee4ab03dbe404fac064386baa9824d"><enum>(iv)</enum><text>transportation services;</text></clause><clause id="id04680d440ef14ad380eeeb01e7252176"><enum>(v)</enum><text>temporary income support services;</text></clause><clause id="idc1065377debe4fc1bb6e36b4fc3768e5"><enum>(vi)</enum><text>fiduciary and representative payee services;</text></clause><clause id="id014ce22219ce48d9bb70165ecf7a05b2"><enum>(vii)</enum><text>legal services to assist the veteran family with issues that may contribute to the risk of suicide of the veteran; and</text></clause><clause id="id8fc1412f7d7f4c638e7ca9cd16b0ec95"><enum>(viii)</enum><text>child care (not to exceed $5,000 per veteran family per fiscal year).</text></clause></subparagraph><subparagraph id="ida8793e5d60ae49ddaa6e342177075cb9"><enum>(L)</enum><text>Such other services necessary for improving the resiliency of veterans at risk of suicide and veteran families as the Secretary considers appropriate, which may include—</text><clause id="id0FC095EFA14D4B7EB0E4147826F438C6"><enum>(i)</enum><text>adaptive sports or in-place recreational therapy;</text></clause><clause id="idD039007C13BA4FEDBC1A96816240ACD0"><enum>(ii)</enum><text>substance use reduction programming;</text></clause><clause id="id4AB12C9619C342AE82792F6CB2F15C69"><enum>(iii)</enum><text>individual, group, or family counseling; and</text></clause><clause id="id0A59E1708C414AD095AA3938D382D050"><enum>(iv)</enum><text>relationship coaching.</text></clause></subparagraph></paragraph><paragraph id="idb44946896f4e4da7bfacc34eb76c4c64"><enum>(6)</enum><header>Vet Center</header><text>The term <term>Vet Center</term> means a center for readjustment counseling and related mental health services for veterans under section 1712A of title 38, United States Code.</text></paragraph><paragraph id="id37C9C719A09849A1BE458C5F05C0EF77"><enum>(7)</enum><header>Veteran</header><text>The term <term>veteran</term> has the meaning given that term in section 101 of title 38, United States Code.</text></paragraph><paragraph id="id1eb0919c19ef404d8089e22d142605d5"><enum>(8)</enum><header>Veteran family</header><text>The term <term>veteran family</term> means, with respect to a veteran at risk of suicide, any of the following:</text><subparagraph id="idd846652e79fa41acbaf1834efe1e449d"><enum>(A)</enum><text>A parent.</text></subparagraph><subparagraph id="ida4513f6066a2446a9561a6e13da8b4c5"><enum>(B)</enum><text>A spouse.</text></subparagraph><subparagraph id="id5399329d143b4d808f3e6ddf5bb23d01"><enum>(C)</enum><text>A child.</text></subparagraph><subparagraph id="id1e8aebebcb0542489fc77a21161f6e56"><enum>(D)</enum><text>A sibling.</text></subparagraph><subparagraph id="idf0269abeb6944b96b7aacc535cf9089f"><enum>(E)</enum><text>A step-family member.</text></subparagraph><subparagraph id="idb427d2ae65ec4d4f8def61c44593230f"><enum>(F)</enum><text>An extended family member.</text></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id33B267DA478B4A519EDBDEF6074FAA5B"><enum>(G)</enum><text>Any other individual who lives with the veteran.</text></subparagraph></paragraph><paragraph id="id8d06c8bc822d4c9b83d7048f9696d6ef"><enum>(9)</enum><header>Veterans service organization</header><text>The term <term>veterans service organization</term> means any organization recognized by the Secretary of Veterans Affairs for the representation of veterans included as part of the annually updated list at https://www.va.gov/vso/ or a successor website.</text></paragraph></subsection></section></legis-body></bill>


