[Congressional Record Volume 161, Number 89 (Thursday, June 4, 2015)]
[Senate]
[Pages S3826-S3827]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]

  SA 1757. Ms. WARREN (for herself and Mr. Merkley) submitted an 
amendment intended to be proposed to amendment SA 1463 proposed by Mr. 
McCain to the bill H.R. 1735, to authorize appropriations for fiscal 
year 2016 for military activities of the Department of Defense and for 
military construction, to prescribe military personnel strengths for 
such fiscal year, and for other purposes; which was ordered to lie on 
the table; as follows:

       At the end of subtitle B of title VII, add the following:

     SEC. 721. PREVENTION AND TREATMENT OF PROBLEM GAMBLING 
                   BEHAVIOR AMONG MEMBERS OF THE ARMED FORCES.

       (a) Findings.--Congress makes the following findings:

[[Page S3827]]

       (1) Gambling addiction, or problem gambling, is a public 
     health disorder characterized by increasing preoccupation 
     with gambling, loss of control, restlessness, or irritability 
     when attempting to stop gambling, and continuation of the 
     gambling behavior in spite of mounting serious, negative 
     consequences.
       (2) Over 6,000,000 adults met criteria for a gambling 
     problem in 2013.
       (3) According to the National Council on Problem Gambling, 
     it is estimated that between 36,000 and 48,000 members of the 
     Armed Forces on active duty meet criteria for a gambling 
     problem.
       (4) The Department of Defense operates an estimated 3,000 
     slot machines at military installations overseas that are 
     available to members of the Armed Forces and their families.
       (5) It is estimated that these slot machines generate more 
     than $100,000,000 in revenue for the Department of Defense, 
     which is used for further recreational activities for members 
     of the Armed Forces.
       (6) The United States Army operates bingo games on military 
     installations in the United States, which generate millions 
     of dollars per year.
       (7) The Department of Defense does not currently have 
     treatment programs for members of the Armed Forces with 
     problem gambling behaviors, although it does operate 
     treatment programs for alcohol abuse, illegal substance 
     abuse, and tobacco addiction.
       (8) Individuals with problem gambling behavior have higher 
     incidences of bankruptcy, domestic abuse, and suicide.
       (9) People who engage in problem gambling have high rates 
     of co-occurring substance abuse and mental health disorders.
       (10) Because many members of the Armed Forces and veterans 
     are often at high risk for co-occuring substance abuse and 
     mental health disorders, it is critical that they receive 
     adequate treatment for such disorders.
       (11) The Diagnostic and Statistical Manual of Mental 
     Disorders (Fifth Edition, published in May 2013) includes 
     problem gambling as a behavioral addiction. This reflects 
     research findings that gambling disorders are similar to 
     substance-related disorders in clinical expression, brain 
     origin, comorbidity, physiology, and treatment.
       (b) Policies and Programs to Prevent and Treat Gambling 
     Problems.--
       (1) Department of defense.--The Secretary of Defense shall 
     develop policies on prevention, education, and treatment of 
     problem gambling, including the following elements:
       (A) Prevention programs for members of the Armed Forces and 
     their dependents.
       (B) Responsible gaming education for members of the Armed 
     Forces and their dependents.
       (C) Establishment of a center of excellence for the 
     residential treatment of the most severe cases of problem 
     gambling among members of the Armed Forces.
       (D) Policy and programs to integrate problem gambling into 
     existing mental health and substance abuse programs of the 
     Department of Defense in order to--
       (i) prevent problem gambling among members of the Armed 
     Forces and their families;
       (ii) provide responsible gaming educational materials to 
     members of the Armed Forces and their family members who 
     gamble; and
       (iii) train existing substance abuse and mental health 
     counselors to provide treatment for problem gambling within 
     current mental health and substance abuse treatment programs 
     for members of the Armed Forces.
       (E) Assessment of gambling problems among members of the 
     Armed Forces, factors related to the development of such 
     problems (including co-occurring disorders such as substance 
     use, post-traumatic stress disorder, traumatic brain injury, 
     stress, and sensation seeking), and the social, health, and 
     financial impacts of gambling on members of the Armed Forces 
     by incorporating questions on problem gambling behavior into 
     ongoing research efforts as appropriate, including restoring 
     such questions into the Survey of Health Related Behaviors 
     Among Active Duty Military Personnel conducted by the 
     Department of Defense.
       (2) Consultation.--The Secretary of Defense shall develop 
     the policies described in paragraph (1) in coordination with 
     the Interagency Task Force on Military and Veterans Mental 
     Health.
       (3) Reports.--Not later than one year after the date of the 
     enactment of this Act, the Secretary of Defense shall submit 
     to the appropriate committees of Congress a report on efforts 
     undertaken pursuant to paragraph (1).
       (c) Use of Certain Amounts by Department of Defense.--Of 
     the aggregate amount collected each fiscal year by morale, 
     welfare, and recreation (MWR) facilities of the Department of 
     Defense from the operation of slot machines and bingo games, 
     an amount equal to one percent of such amount shall be 
     available to the Secretary of Defense carry out the policy 
     and programs described in subsection (b)(1)(D).
       (d) Comptroller General Study on Gambling and Problem 
     Gambling Among Members of the Armed Forces.--
       (1) In general.--The Comptroller General of the United 
     States shall conduct a study on problem gambling among 
     members of the Armed Forces.
       (2) Matters included.--The study conducted under paragraph 
     (1) shall include the following:
       (A) With respect to gambling installations (including 
     bingo) operated by each branch of the Armed Forces--
       (i) the number, type, and location of such gambling 
     installations;
       (ii) the total amount of cash flow through such gambling 
     installations;
       (iii) the amount of revenue generated by such gambling 
     installations; and
       (iv) how such revenue is spent.
       (B) An assessment of the prevalence of problem gambling 
     among members of the Armed Forces, including recommendations 
     for policies and programs to be carried out by the Department 
     of Defense to address problem gambling.
       (3) Report.--Not later than one year after the date of the 
     enactment of this Act, the Comptroller General shall submit 
     to the appropriate committees of Congress a report on the 
     results of the study conducted under paragraph (1).
       (e) Appropriate Committees of Congress Defined.--In this 
     section, the term ``appropriate committees of Congress'' 
     means--
       (1) the Committee on Armed Services and the Committee on 
     Appropriations of the Senate; and
       (2) the Committee on Armed Services and the Committee on 
     Appropriations of the House of Representatives.
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