,,ii #aac? ,,congress #b;d ,session ,s4 #bahb ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,m>* #bg1 #bjad ,mr4 ,wal% 7= himself & ,mr4 ,te/]7 introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,vet]ans' ,affairs ,a ,,bill ,to exp& & improve c>e provid$ to vet]ans & memb]s ( ! ,arm$ ,=ces ) m5tal heal? disord]s or at risk ( suicide1 to review ! t]ms or *>act]ization ( ! dis*>ge or sep>ation ( c]ta9 individuals f ! ,arm$ ,=ces1 to require a pilot program on loan repaym5t = psy*iatri/s :o agree to s]ve 9 ! ,vet]ans ,heal? ,adm9i/ration ( ! ,dep>tm5t ( ,vet]ans ,affairs1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,suicide ,prev5tion = ,am]ican ,vet]ans ,act4 #b4 ,ext5sion ( eligibility = domicili>y c>e = c]ta9 vet]ans :o s]v$ 9 a !at] ( combat op]ations ,section #agaj7;e77#c77;,a7 ( title #ch1 ,unit$ ,/ates ,code1 is am5d$ by /rik+ p]iod ( five ye>s & ins]t+ p]iod ( #ae ye>s4 #c4 ,review ( *>act]ization or t]ms ( dis*>ge f ! ,arm$ ,=ces ( individuals ) m5tal heal? disord]s alleg$ to affect t]ms ( dis*>ge 7a7 ,9 g5]al ,! ,secret>ies ( ! milit>y dep>tm5ts %all ea* provide = a process by :i* a cov]$ individual may *all5ge ! t]ms or *>act]ization ( ! individual's dis*>ge or sep>ation f ! ,arm$ ,=ces4 7b7 ,cov]$ individuals ,= purposes ( ?is section1 a cov]$ individual is any individual z foll[s3 7#a7 ,an individual :o 0 dis*>g$ or sep>at$ f ! ,arm$ ,=ces = a p]sonality disord]4 7#b7 ,an individual :o-- 7,a7 0 dis*>g$ or sep>at$ f ! ,arm$ ,=ces on a punitive basis1 or "u o!r ?an honorable conditions2 & 7,b7 :o alleges t ! basis = su* dis*>ge or sep>ation 0 a m5tal heal? injury or disord] incurr$ or aggravat$ by ! individual dur+ s]vice 9 ! ,arm$ ,=ces4 7c7 ,dis*>ge ( process ?r\gh bo>ds ( corrections ( records ,! ,secret>y ( a milit>y dep>tm5t %all c>ry out ! process requir$ by subsection 7a7 ?r\gh bo>ds = ! correction ( milit>y records ( ! milit>y dep>tm5t conc]n$4 7d7 ,consid]ations on modification ( t]ms ( dis*>ge or sep>ation ,9 decid+ :e!r to modify ! t]ms or *>act]ization ( an individual's dis*>ge or sep>ation pursuant to ! process requir$ by subsection 7a71 ! ,secret>y ( ! milit>y dep>tm5t conc]n$ %all in/ruct bo>ds to give due consid]ation to any m5tal heal? injury or disord] det]m9$ to h be5 incurr$ or aggravat$ by ! individual dur+ s]vice 9 ! ,arm$ ,=ces & to :at be>+ su* injury or disord] may h _h on ! circum/ances surr\nd+ ! individual's dis*>ge or sep>ation f ! ,arm$ ,=ces4 #d4 ,improvem5t ( m5tal heal? c>e provid$ by ,dep>tm5t ( ,vet]ans ,affairs & ,dep>tm5t ( ,def5se 7a7 ,evaluations ( m5tal heal? c>e & suicide prev5tion programs 7#a7 ,9 g5]al ,n less frequ5tly ?an once ea* ye>1 ! ,secret>y conc]n$ %all provide = ! conduct ( an evaluation ( ! m5tal heal? c>e & suicide prev5tion programs c>ri$ out "u ! laws adm9i/]$ by su* ,secret>y4 7#b7 ,elem5ts ,ea* evaluation conduct$ "u p>agraph 7#a7 %all-- 7,a7 use metrics t are common among & useful = practition]s 9 ! field ( m5tal heal? c>e & suicide prev5tion2 7,b7 id5tify ! mo/ effective m5tal heal? c>e & suicide prev5tion programs conduct$ by ! ,secret>y conc]n$2 & 7,c7 propose be/ practices = c>+ = individuals :o suff] f m5tal heal? disord]s or are at risk ( suicide4 7#c7 ,?ird p>ty ,ea* evaluation conduct$ "u p>agraph 7#a7 %all be conduct$ by an indep5d5t ?ird p>ty unaffiliat$ ) ! ,dep>tm5t ( ,vet]ans ,affairs & ! ,dep>tm5t ( ,def5se4 7b7 ,tra9+ ( provid]s 7#a7 ,9 g5]al ,! ,secret>y conc]n$ %all tra9 all provid]s ( heal? c>e "u ! laws adm9i/]$ by su* ,secret>y on ! foll[+3 7,a7 ,recogniz+ if an individual is at risk ( suicide4 7,b7 ,treat+ or ref]r+ = treatm5t an individual :o is at risk ( suicide4 7,c7 ,recogniz+ ! symptoms ( po/traumatic /ress disord]4 7#b7 ,dissem9ation ( be/ practices ,! ,secret>y conc]n$ %all ensure t be/ practices = id5tify+ individuals at risk ( suicide & provid+ quality m5tal heal? c>e are dissem9at$ to provid]s ( heal? c>e "u ! laws adm9i/]$ by su* ,secret>y4 7c7 ,secret>y conc]n$ def9$ ,9 ?is section1 ! t]m ,secret>y conc]n$ means-- 7#a7 ! ,secret>y ( ,vet]ans ,affairs ) respect to matt]s conc]n+ ! ,dep>tm5t ( ,vet]ans ,affairs2 & 7#b7 ! ,secret>y ( ,def5se ) respect to matt]s conc]n+ ! ,dep>tm5t ( ,def5se4 #e4 ,collaboration betwe5 ,dep>tm5t ( ,vet]ans ,affairs & ,dep>tm5t ( ,def5se on heal? c>e matt]s 7a7 ,timel9e = implem5t+ int]op]able electronic heal? records 7#a7 ,9 g5]al ,section #afce ( ! ,w\nd$ ,w>rior ,act 7#aj ,u4,s4,c4 #ajga note7 is am5d$ by add+ at ! end ! foll[+ new subsection3 7k7 ,timel9e ,9 c>ry+ out ?is section1 ! ,secret>y ( ,def5se & ! ,secret>y ( ,vet]ans ,affairs %all ensure t-- 7#a7 ! creation ( a heal? data au?oritative s\rce by ! ,dep>tm5t ( ,def5se & ! ,dep>tm5t ( ,vet]ans ,affairs t c be access$ by multiple provid]s & /&>dizes ! input ( new m$ical in=mation is a*iev$ n lat] ?an #ahj days aft] ! date ( ! enactm5t ( ?is subsection2 7#b7 ! ability ( pati5ts ( bo? ! ,dep>tm5t ( ,def5se & ! ,dep>tm5t ( ,vet]ans ,affairs to d[nload ! m$ical records ( ! pati5t 7commonly ref]r$ to z ! ,blue ,button ,initiative7 is a*iev$ n lat] ?an #ahj days aft] ! date ( ! enactm5t ( ?is subsection2 7#c7 ! full int]op]ability ( p]sonal heal? c>e in=mation betwe5 ! ,dep>tm5ts is a*iev$ n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is subsection2 7#d7 ! accel]ation ( ! ex*ange ( real-"t data betwe5 ! ,dep>tm5ts is a*iev$ n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is subsection2 7#e7 ! upgrade ( ! graphical us] int]face to display a jo9t common graphical us] int]face is a*iev$ n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is subsection2 & 7#f7 ea* curr5t memb] ( ! ,arm$ ,=ces & ! dep5d5t ( su* a memb] may elect to receive an electronic copy ( ! heal? c>e record ( ! individual beg9n+ n lat] ?an ,june #cj1 #bjae4 4 7#b7 ,con=m+ am5dm5ts ,section #afce ( su* ,act is fur!r am5d$-- 7,a7 9 subsection 7a71 by /rik+ ,! ,secret>y & ins]t+ ,9 accordance ) ! timel9e describ$ 9 subsection 7k71 ! ,secret>y2 & 7,b7 9 ! matt] prec$+ p>agraph 7#a7 ( subsection 7e71 by ins]t+ 9 accordance ) subsection 7k7 aft] "u ?is section4 7b7 ,e/abli%m5t ( uni=m prescription =mul>y ,! ,secret>y ( ,vet]ans ,affairs & ! ,secret>y ( ,def5se %all jo9tly e/abli% a uni=m prescription =mul>y = use 9 prescrib+ m$ication "u ! laws adm9i/]$ by ! ,secret>y ( ,vet]ans ,affairs & ! laws adm9i/]$ by ! ,secret>y ( ,def5se4 #f4 ,pilot program = repaym5t ( educational loans = c]ta9 psy*iatri/s ( ,vet]ans ,heal? ,adm9i/ration 7a7 ,e/abli%m5t ,! ,secret>y ( ,vet]ans ,affairs %all c>ry out a pilot program to repay loans ( individuals describ$ 9 subsection 7b7 t-- 7#a7 7 us$ by su* individuals to f9ance education relat+ to psy*iatric m$ic9e1 includ+ education lead+ to-- 7,a7 an und]graduate degree2 7,b7 a degree ( doctor ( m$ic9e2 or 7,c7 a degree ( doctor ( o/eopa?y2 & 7#b7 7 obta9$ f any ( ! foll[+3 7,a7 ,a gov]nm5tal entity4 7,b7 ,a private f9ancial in/itution4 7,c7 ,a s*ool4 7,d7 ,any o!r au?oriz$ entity z det]m9$ by ! ,secret>y4 7b7 ,eligible individuals 7#a7 ,9 g5]al ,subject to p>agraph 7#b71 an individual eligible = p>ticipation 9 ! pilot program is an individual :o-- 7,a7 ei!r-- 7i7 is lic5s$ or eligible = lic5sure to practice psy*iatric m$ic9e 9 ! ,vet]ans ,heal? ,adm9i/ration ( ! ,dep>tm5t ( ,vet]ans ,affairs2 or 7ii7 is enroll$ 9 ! f9al ye> ( a resid5cy program lead+ to a specialty qualification 9 psy*iatric m$ic9e t is approv$ by ! ,accr$itation ,c\ncil = ,graduate ,m$ical ,education2 & 7,b7 demon/rates a commitm5t to a long-t]m c>e] z a psy*iatri/ 9 ! ,vet]ans ,heal? ,adm9i/ration1 z det]m9$ by ! ,secret>y4 7#b7 ,prohibition on simultane\s eligibility ,an individual :o is p>ticipat+ 9 any o!r program ( ! ,f$]al ,gov]nm5t t repays ! educational loans ( ! individual is n eligible to p>ticipate 9 ! pilot program4 7c7 ,selection ,! ,secret>y %all select n less ?an #aj individuals describ$ 9 subsection 7b7 to p>ticipate 9 ! pilot program = ea* ye> 9 :i* ! ,secret>y c>ries out ! pilot program4 7d7 ,p]iod ( obligat$ s]vice ,! ,secret>y %all ent] into an agreem5t ) ea* individual select$ "u subsection 7c7 9 :i* su* individual agrees to s]ve a p]iod ( obligat$ s]vice = ! ,vet]ans ,heal? ,adm9i/ration 9 ! field ( psy*iatric m$ic9e1 z det]m9$ by ! ,secret>y4 7e7 ,loan ,repaym5ts 7#a7 ,am\nts ,subject to p>agraph 7#b71 a loan repaym5t "u ?is section may consi/ ( paym5t ( ! pr9cipal1 int]e/1 & relat$ exp5ses ( a loan obta9$ by an individual :o is p>ticipat+ 9 ! pilot program = all educational exp5ses 7includ+ tuition1 fees1 books1 & laboratory exp5ses7 ( su* individual relat+ to education describ$ 9 subsection 7a77#a74 7#b7 ,limit ,= ea* ye> ( obligat$ s]vice t an individual :o is p>ticipat+ 9 ! pilot program agrees to s]ve "u subsection 7d71 ! ,secret>y may pay n m ?an #fj1jjj 9 loan repaym5t on behalf ( su* individual4 7f7 ,brea* 7#a7 ,liability ,an individual :o p>ticipates 9 ! pilot program & fails to satisfy ! p]iod ( obligat$ s]vice "u subsection 7d7 %all be liable to ! ,unit$ ,/ates1 9 lieu ( su* obligat$ s]vice1 = ! am\nt t has be5 paid or is payable to or on behalf ( ! individual "u ! pilot program1 r$uc$ by ! proportion t ! numb] ( days s]v$ = completion ( ! p]iod ( obligat$ s]vice be>s to ! total numb] ( days 9 ! p]iod ( obligat$ s]vice ( su* individual4 7#b7 ,repaym5t p]iod ,any am\nt ( damages t ! ,unit$ ,/ates is entitl$ to recov] "u ?is subsection %all be paid to ! ,unit$ ,/ates n lat] ?an "o ye> aft] ! date ( ! brea* ( ! agreem5t4 7g7 ,report 7#a7 ,9 g5]al ,n lat] ?an #ij days aft] ! date on :i* ! pilot program t]m9ates "u subsection 7i71 ! ,secret>y %all submit to ! ,committee on ,vet]ans' ,affairs ( ! ,s5ate & ! ,committee on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives a report on ! pilot program4 7#b7 ,elem5ts ,! report requir$ by p>agraph 7#a7 %all include ! foll[+3 7,a7 ,! ov]all effect ( ! pilot program on ! psy*iatric work=ce %ortage ( ! ,vet]ans ,heal? ,adm9i/ration4 7,b7 ,! long-t]m /ability ( ! psy*iatric work=ce ( ! ,vet]ans ,heal? ,adm9i/ration4 7,c7 ,/rategies ( ! ,vet]ans ,heal? ,adm9i/ration to improve & increase ! ability ( ! ,adm9i/ration to promote ! physical & m5tal resili5cy ( all vet]ans4 7h7 ,regulations ,! ,secret>y %all prescribe regulations to c>ry out ?is section1 includ+ /&>ds = qualifi$ loans & au?oriz$ payees & o!r t]ms & conditions = ! mak+ ( loan repaym5ts4 7i7 ,t]m9ation ,! au?ority to c>ry out ! pilot program %all expire on ! date t is ?ree ye>s aft] ! date on :i* ! ,secret>y comm5ces ! pilot program4 #g4 ,comptroll] ,g5]al /udy on pay disp>ities ( psy*iatri/s ( ,vet]ans ,heal? ,adm9i/ration 7a7 ,/udy 7#a7 ,9 g5]al ,n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all conduct a /udy ( pay disp>ities among psy*iatri/s ( ! ,vet]ans ,heal? ,adm9i/ration ( ! ,dep>tm5t ( ,vet]ans ,affairs4 7#b7 ,elem5ts ,! /udy requir$ by p>agraph 7#a7 %all include ! foll[+3 7,a7 ,an exam9ation ( laws1 regulations1 practices1 & policies1 includ+ sal>y flexibilities1 t contribute to su* disp>ities4 7,b7 ,recomm5dations = legislative or regulatory action to improve equity 9 pay among su* psy*iatri/s4 7b7 ,report ,n lat] ?an "o ye> aft] ! date on :i* ! ,comptroll] ,g5]al completes ! /udy "u subsection 7a71 ! ,comptroll] ,g5]al %all submit to ! ,committee on ,vet]ans' ,affairs ( ! ,s5ate & ! ,committee on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives a report conta9+ ! results ( ! /udy4