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II
113th CONGRESS
1st Session
S. 1155
IN THE SENATE OF THE UNITED STATES
June 12, 2013
Mr. Tester introduced
the following bill; which was read twice and referred to the
Committee on Veterans'
Affairs
A BILL
To provide for advance appropriations for certain
information technology accounts of the Department of Veterans Affairs, to
include mental health professionals in training programs of the Department, and
for other purposes.
1.
Short title
This Act may be cited as the
Rural Veterans Mental Health Care
Improvement Act.
2.
Advance appropriations
for accounts for health-related information technology for the Department of
Veterans Affairs
(a)
Advance
appropriations for information technology accounts
Section 117(c)
of title 38, United States Code, is amended by adding at the end the
following:
(4) Accounts,
including subaccounts of the Accounts referred to in paragraphs (1) through
(3), providing funds for information
technology.
.
(b)
Effective
date
The amendment made by subsection (a) shall take effect on
October 1, 2014, and shall apply with respect to fiscal years beginning on or
after that date.
3.
Inclusion of
mental health professionals in the education and training program for health
personnel of the Department of Veterans Affairs
(a)
In
general
In carrying out the education and training program
required under section 7302(a)(1) of title 38, United States Code, the
Secretary of Veterans Affairs shall include education and training of marriage
and family therapists and licensed professional mental health
counselors.
(b)
Funding
The
Secretary shall apportion funding for the education and training program
equally among the professions included in the program.
4.
Provision of
mental health services for families of certain veterans at facilities of the
Department
(a)
Provision of
mental health services at Department facilities
Subsection (e) of
section 304 of the Caregivers and Veterans Omnibus Health Services Act of 2010
(38 U.S.C. 1712A note; Public Law 111–163) is amended—
(1) by striking peer outreach and peer support
services and inserting services; and
(2) by striking
The Secretary shall carry out the services and inserting “The
Secretary shall carry out—
(1) the
services
;
(3) by striking the
period at the end and inserting ; and; and
(4) by adding at the
end the following new paragraph:
(2) the mental health
services required by subsection (a)(2) at or through Department medical
centers.
.
(b)
Definition of
mental health services
Such section is further amended by
striking subsection (f) and inserting the following:
(f)
Definitions
In this section:
(1)
Mental health
services
The term
mental health services includes outpatient mental healthcare
referred to in section 17.38(a)(1)(i) of title 38, Code of Federal Regulations
(as in effect on the day before the date of enactment of this Act).
(2)
Vet
center
The term vet center means a center for
readjustment counseling and related mental health services for veterans under
section 1712A of title 38, United States
Code.
.
5.
Report on
provision of telemedicine services
(a)
In
general
Not later than 120 days after the date of the enactment
of this Act, the Secretary of Veterans Affairs shall submit to the Committee on
Veterans’ Affairs of the Senate and the Committee on Veterans’ Affairs of the
House of Representatives a report on the following:
(1) Issues that may
be impeding the provision by the Department of Veterans Affairs of telemedicine
services for veterans, including the following:
(A) Statutory or
regulatory restrictions.
(B) Licensure or
credentialing issues for any provider practicing telemedicine with veterans who
live in a different State than the provider.
(C) Limited broadband
access in rural areas.
(D) Limited
information technology resources or capabilities.
(E) Long distances
veterans must travel to access a facility or clinic with telemedicine
capabilities.
(F) Insufficient
liability protection for providers.
(G) Reimbursement
issues faced by providers.
(H) Travel
limitations for providers that are unaffiliated with the Department and are
participating or seeking to participate in a telemedicine program of the
Department.
(2) Actions taken to
address the issues identified in paragraph (1).
(3) An update on
efforts by the Department to carry out the initiative of teleconsultation for
the provision of remote mental health and traumatic brain injury assessments
required by section 1709A of title 38, United States Code.
(4) An update on
efforts by the Department to offer training opportunities in telemedicine to
medical residents, as required by section 108(b) of the Janey Ensminger Act
(Public Law 112–154; 38 U.S.C. 7406 note).
(5) An update on
efforts by the Department to, in partnership with primary care providers,
install video cameras and instruments to monitor weight, blood pressure, and
other vital statistics in the homes of patients.
(b)
Telemedicine
defined
In this section, the term telemedicine means
the use by a health care provider of telecommunications to assist in the
diagnosis or treatment of a patient’s medical condition.