,,ii  #aac? ,,congress  #b;d ,session   
,s4 #bcjj  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,may #g1 #bjad ,mr4    
,donnelly 7= himself & ,mr4 ,wick]7     
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on ,arm$ 
,s]vices  ,a ,,bill  ,to am5d title #aj1
 ,unit$ ,/ates ,code1 to require !      
,secret>y ( ,def5se to conduct p]iodic  
m5tal heal? assessm5ts = memb]s ( !     
,arm$ ,=ces & to submit reports )       
respect to m5tal heal?1 & = o!r         
purposes4  #a4 ,%ort title  ,?is ,act   
may be cit$ z ! ,jacob ,sexton ,milit>y 
,suicide ,prev5tion ,act ( #bjad4  #b4  
,annual m5tal heal? assessm5ts = memb]s 
( ! ,arm$ ,=ces  7a7 ,m5tal heal?       
assessm5ts  7#a7 ,9 g5]al ,*apt] #ee (  
title #aj1 ,unit$ ,/ates ,code1 is am5d$
 by ins]t+ aft] section #ajgdm ! foll[+ 
new section3  #ajgdn4 ,annual m5tal     
heal? assessm5ts = memb]s ( ! arm$ =ces 
7a7 ,m5tal heal? assessm5ts ,subject to 
subsection 7d71 n less frequ5tly ?an    
once ea* cal5d> ye>1 ! ,secret>y (      

,def5se %all provide a p]son-to-p]son   
m5tal heal? assessm5t =-- 7#a7 ea* memb]
 ( ! arm$ =ces on active duty2 &  7#b7  
ea* memb] ( ! ,ready ,res]ve ( an arm$  
=ce4  7b7 ,purpose ,! purpose ( a m5tal 
heal? assessm5t provid$ pursuant to ?is 
section %all be to id5tify m5tal heal?  
conditions among memb]s ( ! arm$ =ces 9 
ord] to det]m9e :i* su* memb]s are 9 ne$
 ( additional c>e1 treatm5t1 or o!r     
s]vices = su* heal? conditions4  7c7    
,elem5ts ,! m5tal heal? assessm5ts      
provid$ pursuant to ?is section %all--  
7#a7 be conduct$ 9 accordance ) !       
requirem5ts ( subsection 7c77#a7 (      
section #ajgdm ( ?is title ) respect to 
a m5tal heal? assessm5t provid$ pursuant
 to su* section2 &  7#b7 include a      
review ( ! heal? records ( ! memb] t are
 relat$ to ea* previ\s heal? assessm5t  
or o!r relevant activities ( ! memb]    
:ile s]v+ 9 ! arm$ =ces1 z det]m9$ by ! 
,secret>y4  7d7 ,suffici5cy ( o!r m5tal 
heal? assessm5ts  7#a7 ,! ,secret>y is n
 requir$ to provide a m5tal heal?       

assessm5t pursuant to ?is section to an 
individual 9 a cal5d> ye> 9 :i* !       
individual has receiv$ a m5tal heal?    
assessm5t pursuant to section #ajgdm (  
?is title4  7#b7 ,! ,secret>y may treat 
p]iodic heal? assessm5ts & o!r          
p]son-to-p]son assessm5ts t are provid$ 
to memb]s ( ! arm$ =ces1 includ+        
exam9ations "u section #ajgd;f ( ?is    
title1 z meet+ ! requirem5ts = m5tal    
heal? assessm5ts requir$ "u ?is section 
if ! ,secret>y det]m9es t su* assessm5ts
 & p]son-to-p]son assessm5ts meet !     
requirem5ts = m5tal heal? assessm5ts    
e/abli%$ by ?is section4  7e7 ,reports  
7#a7 ,n less frequ5tly ?an once ea* ye>1
 ! ,secret>y ( ,def5se %all submit to ! 
,committee on ,arm$ ,s]vices ( ! ,s5ate 
& ! ,committee on ,arm$ ,s]vices ( !    
,h\se ( ,repres5tatives a report on !   
annual m5tal heal? assessm5ts ( memb]s (
 ! arm$ =ces conduct$ pursuant to ?is   
section4  7#b7 ,ea* report requir$ by   
p>agraph 7#a7 %all include1 ) respect to
 assessm5ts conduct$ pursuant to ?is    

section dur+ ! "o-ye> p]iod prec$+ !    
date ( ! submittal ( su* report1 !      
foll[+3 7,a7 ,! numb] ( memb]s :o       
receiv$ an assessm5t4  7,b7 ,a          
description ( ! tools & processes us$ to
 provide su* assessm5ts1 includ+-- 7i7  
:e!r su* tools & processes are          
evid5c$-bas$2 &  7ii7 ! process by :i*  
su* tools & processes h be5 approv$ =   
use 9 provid+ m5tal heal? assessm5ts4   
7,c7 ,a description ( ! m5tal heal?     
conditions detect$ ?r\gh su* assessm5ts4
  7,d7 ,! numb] ( memb]s ref]r$ = c>e & 
s]vices bas$ on m5tal heal? conditions  
detect$ ?r\gh su* assessm5ts4  7,e7 ,su*
 recomm5dations = improv+ ! monitor+ &  
report+ ( ! numb] ( memb]s :o receive   
c>e & s]vices bas$ on su* ref]rals z !  
,secret>y consid]s appropriate4  7,f7   
,su* recomm5dations = improv+ ! tools & 
processes us$ to conduct su* assessm5ts1
 includ+ tools t may address !          
und]report+ ( m5tal heal? conditions1 z 
! ,secret>y consid]s appropriate4  7#c7 
,no p]sonally id5tifiable in=mation may 

be includ$ 9 any report "u p>agraph     
7#a74  7f7 ,privacy matt]s ,any m$ical  
or o!r p]sonal in=mation obta9$ "u ?is  
section %all be protect$ f disclosure or
 misuse 9 accordance ) ! laws on privacy
 applicable to su* in=mation4  7g7      
,regulations ,! ,secret>y ( ,def5se     
%all1 9 consultation ) ! o!r adm9i/]+   
,secret>ies1 prescribe regulations = !  
adm9i/ration ( ?is section4  4  7#b7    
,cl]ical am5dm5t ,! table ( sections at 
! beg9n+ ( *apt] #ee ( su* title is     
am5d$ by ins]t+ aft] ! item relat+ to   
section #ajgdm ! foll[+ new item3       
#ajgdn4 ,annual m5tal heal? assessm5ts =
 memb]s ( ! arm$ =ces4  4  7#c7         
,implem5tation ,n lat] ?an #ahj days    
aft] ! date ( ! issuance ( ! regulations
 prescrib$ "u section #ajgdn7g7 ( title 
#aj1 ,unit$ ,/ates ,code1 z add$ by     
p>agraph 7#a7 ( ?is subsection1 !       
,secret>y ( ,def5se %all implem5t su*   
regulations4  7b7 ,con=m+ am5dm5t       
,section #ajgdm7e77#a7 ( su* title is   
am5d$ by ins]t+ & section #ajgdn ( ?is  

title aft] pursuant to ?is section4  #c4
 ,int]ag5cy work+ gr\p on ! provision ( 
m5tal heal? s]vices to memb]s ( !       
,national ,gu>d & ! ,res]ves  7a7       
,e/abli%m5t ,n lat] ?an #abj days aft] !
 date ( ! enactm5t ( ?is ,act1 !        
,secret>y ( ,def5se %all1 9 consultation
 ) ! ,secret>ies ( ! milit>y dep>tm5ts1 
! ,assi/ant ,secret>y ( ,def5se =       
,res]ve ,affairs1 ! ,assi/ant ,secret>y 
( ,def5se = ,heal? ,affairs1 ! ,*ief ( !
 ,national ,gu>d ,bureau1 & ! ,secret>y 
( ,heal? & ,human ,s]vices1 conv5e an   
int]ag5cy work+ gr\p to review &        
recomm5d collaborative approa*es to     
improv+ ! provision ( m5tal heal?       
s]vices to memb]s ( ! ,national ,gu>d & 
! ,res]ves4  7b7 ,duties ,! duties ( !  
int]ag5cy work+ gr\p conv5$ pursuant to 
subsection 7a7 are z foll[s3 7#a7 ,to   
review exi/+ programs t c be us$ to     
improve ! provision ( accessible1       
timely1 & high-quality m5tal heal?      
s]vices to memb]s ( ! ,national ,gu>d & 
! ,res]ves4  7#b7 ,to recomm5d new      

int]ag5cy programs & p>tn]%ips to       
improve ! provision ( su* m5tal heal?   
s]vices to su* memb]s4  7#c7 ,to        
recomm5d be/ practices = p>tn]%ips among
 ! ,arm$ ,=ces1 ! ,national ,gu>d1 !    
,dep>tm5t ( ,heal? & ,human ,s]vices1   
,/ates1 & private & academic entities to
 improve ! provision ( m5tal heal? c>e  
to memb]s ( ! ,national ,gu>d & !       
,res]ves4  7c7 ,consultation ,9 c>ry+   
out ! duties "u subsection 7b71 !       
int]ag5cy work+ gr\p may consult )      
repres5tatives ( academia1 indu/ry1 &   
su* o!r relevant ag5cies1 organizations1
 & in/itutions z ! int]ag5cy work+ gr\p 
consid]s appropriate4  7d7 ,report  7#a7
 ,9 g5]al ,n lat] ?an "o ye> aft] ! date
 ( ! enactm5t ( ?is ,act1 ! ,secret>y ( 
,def5se %all submit to ! appropriate    
committees ( ,congress a report t       
includes ! f9d+s & recomm5dations ( !   
int]ag5cy work+ gr\p4  7#b7 ,appropriate
 committees ( ,congress ,9 ?is          
subsection1 ! t]m appropriate committees
 ( ,congress means-- 7,a7 !             

congressional def5se committees1 z t t]m
 is def9$ 9 section #aja7;a77#af7 (     
title #aj1 ,unit$ ,/ates ,code2  7,b7 ! 
,committee on ,heal?1 ,education1       
,labor1 & ,p5sions ( ! ,s5ate2 &  7,c7 !
 ,committee on ,en]gy & ,comm]ce ( !    
,h\se ( ,repres5tatives4  7e7 ,privacy  
matt]s  7#a7 ,9 g5]al ,any m$ical or o!r
 p]sonal in=mation obta9$ pursuant to   
any provision ( ?is section %all be     
protect$ f disclosure or misuse 9       
accordance ) ! laws on privacy          
applicable to su* in=mation4  7#b7      
,exclusion ( p]sonally id5tifiable      
in=mation f reports ,no p]sonally       
id5tifiable in=mation may be includ$ 9  
any report requir$ by subsection 7d74   
#d4 ,report on improvem5ts 9 !          
id5tification & treatm5t ( m5tal heal?  
conditions & traumatic bra9 injury among
 memb]s ( ! ,arm$ ,=ces  7a7 ,9 g5]al ,n
 lat] ?an "o ye> aft] ! date ( !        
enactm5t ( ?is ,act1 ! ,secret>y (      
,def5se %all submit to ! ,committee on  
,arm$ ,s]vices ( ! ,s5ate & ! ,committee

 on ,arm$ ,s]vices ( ! ,h\se (          
,repres5tatives a report sett+ =? an    
evaluation ( specific tools1 processes1 
& be/ practices to improve !            
id5tification ( & treatm5t by ! ,arm$   
,=ces ( m5tal heal? conditions &        
traumatic bra9 injury among memb]s ( !  
,arm$ ,=ces4  7b7 ,elem5ts ,! report "u 
subsection 7a7 %all include ! foll[+3   
7#a7 ,an evaluation ( exi/+ pe]-to-pe]  
id5tification & int]v5tion programs 9   
ea* ( ! ,arm$ ,=ces4  7#b7 ,an          
evaluation ( ! ,/> ,behavioral ,heal?   
,provid]s program & simil> programs t   
provide tra9+ & c]tification to heal?   
c>e provid]s t treat m5tal heal?        
conditions & traumatic bra9 injury 9    
memb]s ( ! ,arm$ ,=ces4  7#c7 ,an       
evaluation ( programs & s]vices provid$ 
by ! ,arm$ ,=ces t provide tra9+ &      
c]tification to provid]s ( cognitive    
rehabilitation & o!r rehabilitation =   
traumatic bra9 injury to memb]s ( !     
,arm$ ,=ces4  7#d7 ,an evaluation (     
programs & s]vices provid$ by ! ,arm$   

,=ces t t>get memb]s ( ! ,arm$ ,=ces &  
family memb]s affect$ by suicides among 
memb]s ( ! ,arm$ ,=ces4  7#e7 ,an       
evaluation ( tools & processes us$ by ! 
,arm$ ,=ces to id5tify traumatic bra9   
injury 9 memb]s ( ! ,arm$ ,=ces & to    
di/+ui% m5tal heal? conditions likely   
caus$ by traumatic bra9 injury f m5tal  
heal? conditions caus$ by o!r factors4  
7#f7 ,an evaluation ( ! unifi$ ef=t ( ! 
,arm$ ,=ces to promote m5tal heal? &    
prev5t suicide ?r\gh ! integration (    
cl9ical & non-cl9ical programs ( ! ,arm$
 ,=ces4  7#g7 ,recomm5dations ) respect 
to improv+1 consolidat+1 exp&+1 &       
/&>diz+ ! programs1 s]vices1 tools1     
processes1 & ef=ts describ$ 9 p>agraphs 
7#a7 ?r\gh 7#f74  7#h7 ,a description ( 
exi/+ ef=ts to r$uce ! "t f developm5t &
 te/+ ( new m5tal heal? & traumatic bra9
 injury tools & treatm5ts = memb]s ( !  
,arm$ ,=ces to widespread dissem9ation (
 su* tools & treatm5ts among ! ,arm$    
,=ces4  7#i7 ,recomm5dations z to !     
feasibility & advisability ( e/abli%+   

prelim9>y m5tal heal? assessm5ts &      
pre-dis*>ge m5tal heal? assessm5ts =    
memb]s ( ! ,arm$ ,=ces1 includ+ !       
utility ( us+ tools & processes 9 su*   
m5tal heal? assessm5ts t con=m to ^? us$
 9 o!r m5tal heal? assessm5ts provid$ to
 memb]s ( ! ,arm$ ,=ces4  7#aj7         
,recomm5dations on track+ *anges 9 !    
m5tal heal? assessm5t ( a memb] ( !     
,arm$ ,=ces relat+ to traumatic bra9    
injury1 po/-traumatic /ress disord]1    
depression1 anxiety1 & o!r conditions4  
7#aa7 ,a description ( ! me?odology us$ 
by ! ,secret>y 9 prep>+ ! report requir$
 by ?is section1 includ+ a description (
 ! input provid$ by ! entity &          
individuals consult$ pursuant to        
subsection 7c74  7c7 ,consultation ,!   
,secret>y ( ,def5se %all c>ry out ?is   
section 9 consultation ) ! foll[+3 7#a7 
,an advisory c\ncil compos$ (-- 7,a7    
behavioral heal? (fic]s ( ! ,public     
,heal? ,s]vice2 &  7,b7 m5tal heal? &   
o!r heal? provid]s :o s]ve memb]s ( !   
regul> & res]ve compon5ts ( ea* ,arm$   

,=ce4  7#b7 ,! ,assi/ant ,secret>y (    
,def5se = ,heal? ,affairs4  7#c7 ,!     
,assi/ant ,secret>y ( ,def5se = ,res]ve 
,affairs4  7#d7 ,! ,secret>ies ( !      
milit>y dep>tm5ts4  7#e7 ,! ,*ief ( !   
,national ,gu>d ,bureau4  7#f7 ,!       
,secret>y ( ,vet]ans ,affairs4  7#g7 ,! 
,secret>y ( ,heal? & ,human ,s]vices4   
7#h7 ,! ,director ( ! ,c5t]s = ,disease 
,control & ,prev5tion4  7#i7 ,!         
,adm9i/rator ( ! ,sub/ance ,abuse &     
,m5tal ,heal? ,s]vices ,adm9i/ration4   
7#aj7 ,! ,director ( ! ,national        
,in/itutes ( ,heal?4  7#aa7 ,! ,presid5t
 ( ! ,in/itute ( ,m$ic9e4  7d7 ,privacy 
matt]s  7#a7 ,9 g5]al ,any m$ical or o!r
 p]sonal in=mation obta9$ pursuant to   
any provision ( ?is section %all be     
protect$ f disclosure or misuse 9       
accordance ) ! laws on privacy          
applicable to su* in=mation4  7#b7      
,exclusion ( p]sonally id5tifiable      
in=mation f reports ,no p]sonally       
id5tifiable in=mation may be includ$ 9  
any report requir$ by subsection 7a74   

7e7 ,def9itions ,9 ?is section3 7#a7    
,prelim9>y m5tal heal? assessm5t ,! t]m 
prelim9>y m5tal heal? assessm5t means a 
m5tal heal? assessm5t conduct$ ) respect
 to an individual be=e ! individual     
enli/s 9 ! ,arm$ ,=ces or is commission$
 z an (fic] 9 ! ,arm$ ,=ces4  7#b7      
,pre-dis*>ge m5tal heal? assessm5t ,!   
t]m pre-dis*>ge m5tal heal? assessm5t   
means a m5tal heal? assessm5t conduct$ )
 respect to an individual dur+ !        
#ij-;day p]iod prec$+ ! date ( dis*>ge  
or release ( ! individual f ! ,arm$     
,=ces4