,i  #aae? ,,congress  #a/ ,session  ,h4 
,r4 #cfdb  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,augu/ #d1 #bjag ,mr4 
,b>r introduc$ ! foll[+ bill2 :i* 0     
ref]r$ to ! ,committee on ,vet]ans'     
,affairs  ,a ,,bill  ,to direct !       
,secret>y ( ,vet]ans ,affairs to c>ry   
out a pilot program to improve ! access 
to private heal? c>e = vet]ans :o are   
survivors ( milit>y sexual trauma4  #a4 
,%ort title ,?is ,act may be cit$ z !   
,milit>y ,sexual ,assault ,victims      
,emp[]m5t ,act or ! ,milit>y ,,save     
,act4  #b4 ,pilot program = private     
heal? c>e = vet]ans :o are survivors (  
milit>y sexual trauma  7a7 ,e/abli%m5t  
,! ,secret>y ( ,vet]ans ,affairs1 act+  
?r\gh ! ,(fice ( ,community ,c>e ( !    
,dep>tm5t ( ,vet]ans ,affairs1 %all c>ry
 out a pilot program to furni% hospital 
c>e & m$ical s]vices to eligible vet]ans
 at non-,dep>tm5t heal? c>e provid]s to 
treat physical & psy*ological injuries  
or illnesses :i* 9 ! judgm5t ( a m5tal  
heal? pr(essional employ$ by ! ,dep>tm5t

 result$ f a physical assault ( a sexual
 nature1 batt]y ( a sexual nature1 or   
sexual h>assm5t :i* occurr$ :ile !      
vet]an 0 s]v+ on active duty1 active    
duty = tra9+1 or inactive duty tra9+4   
7b7 ,duration ,! ,secret>y %all c>ry out
 ! pilot program "u subsection 7a7 = a  
?ree-ye> p]iod4 ,if at ! completion ( ! 
pilot program an eligible vet]an is     
receiv+ hospital c>e & m$ical s]vices f 
a non-,dep>tm5t heal? c>e provid] "u !  
pilot program1 ! ,secret>y may approve1 
on a case by case basis1 ! cont9uation (
 su* hospital c>e & m$ical s]vices f t  
non-,dep>tm5t heal? c>e provid] until ! 
completion ( ! episode ( c>e4  7c7      
,eligible vet]ans ,a vet]an is eligible 
to p>ticipate 9 ! pilot program "u      
subsection 7a7 if ! vet]an-- 7#a7 is    
eligible to p>ticipate 9 ! program "u   
section #agbj;,d ( title #ch1 ,unit$    
,/ates ,code2 &  7#b7 resides 9 a       
location select$ "u subsection 7d74  7d7
 ,locations  7#a7 ,selection ,!         
,secret>y %all select n m ?an five      

locations 9 :i* to c>ry out ! pilot     
program "u subsection 7a74 ,ea* location
 %all meet ea* ( ! foll[+ crit]ia3  7,a7
 ,! location is )9 #ajj miles ( a major 
milit>y in/allation1 z det]m9$ by !     
,secret>y1 9 ! same ,/ate z ! location4 
7,b7 ,except z provid$ by p>agraph 7#b71
 ! location consi/s ( a city ) a        
population betwe5 #bjj1jjj & #ejj1jjj1 z
 det]m9$ by ! ,bureau ( ! ,c5sus4  7,c7 
,! location is 9 a ,/ate 9 :i* !        
,national ,viol5ce ,aga9/ ,wom5         
,prev5tion ,rese>* ,c5t] or ! ,c5t]s =  
,disease ,control & ,prev5tion1 or bo?1 
has det]m9$ ! rate ( sexual assault to  
be a sub/antial problem4  7,d7 ,!       
location is 9 a ,/ate t has a weight$   
p]c5tage ( report$ rape ( n less ?an #bj
 p]c5t b n m ?an #be p]c5t ( sexual     
assault cases1 9 accordance ) ! f9d+ ( !
 ,c5t]s = ,disease ,control & ,prev5tion
 conta9$ 9 ! #8,lifetime ,preval5ce (   
,sexual ,viol5ce by any ,p]petrator     
7,,nisvs #bjaj74  7#b7 ,rural location  
,n few] ?an "o location select$ "u      

p>agraph 7#a7 %all be rural1 z det]m9$  
by ! ,secret>y4  7e7 ,p>ticipation  7#a7
 ,election ,an eligible vet]an may elect
 to p>ticipate 9 ! pilot program "u     
subsection 7a74 ,su* an election %all   
include an affidavit atte/+ t ! vet]an  
is eligible to p>ticipate 9 ! program "u
 section #agbj;,d ( title #ch1 ,unit$   
,/ates ,code4 ,su* election %all n      
affect ! ability ( ! vet]an to receive  
heal? c>e furni%$ by ,dep>tm5t provid]s 
) respect to illnesses or injuries t are
 n describ$ 9 subsection 7a74  7#b7     
,*oice ( non-,dep>tm5t heal? c>e        
provid]s ,! ,secret>y may n re/rict !   
ability ( an eligible vet]an :o         
p>ticipates 9 ! pilot program "u        
subsection 7a7 to *oose f :i*           
non-,dep>tm5t heal? c>e provid] ! vet]an
 receives hospital c>e or m$ical        
treatm5t "u ! pilot program4  7#c7      
,provision ( in=mation ,! ,secret>y     
%all-- 7,a7 notify ea* eligible vet]an (
 ! ability ( ! vet]an to make an        
election "u p>agraph 7#a71 & t su*      

election is made )\t prejudice2 &  7,b7 
provide to su* vet]ans educational      
ref]ral mat]ials1 includ+ ?r\gh         
pamphlets & int]net websites1 on !      
non-,dep>tm5t provid]s 9 ! locations    
select$ "u subsection 7d74  7f7 ,paym5ts
  7#a7 ,curr5t provid]s ,if a           
non-,dep>tm5t heal? c>e provid] is ent]$
 into a contract or o!r agreem5t ) !    
,secret>y pursuant to ano!r provision ( 
law to furni% hospital c>e or m$ical    
treatm5t to vet]ans1 ! ,secret>y %all   
pay ! heal? c>e provid] = hospital c>e  
or m$ical treatm5t furni%$ "u ?is       
section us+ ! same rates & paym5t       
s*$ules z provid$ = 9 su* contract or   
agreem5t4  7#b7 ,new provid]s ,if a     
non-,dep>tm5t heal? c>e provid] is n    
ent]$ into an agreem5t ) ! ,secret>y    
pursuant to ano!r provision ( law to    
furni% hospital c>e or m$ical treatm5t  
to vet]ans1 ! ,secret>y %all pay ! heal?
 c>e provid] = hospital c>e or m$ical   
treatm5t furni%$ "u ?is section us+ !   
same rates & paym5t s*$ule z if su* c>e 

& treatm5t 0 furni%$ pursuant to section
 #agjc ( title #ch1 ,unit$ ,/ates ,code4
  7g7 ,collection ( data  7#a7 ,surveys 
,! ,secret>y %all survey ea* eligible   
vet]an1 reg>dless ( :e!r ! vet]an elects
 to p>ticipate 9 ! pilot program "u     
subsection 7a71 to assess ! hospital c>e
 & m$ical treatm5t furni%$ to ! vet]an  
ei!r pursuant to ?is section or section 
#agbj;,d ( title #ch1 ,unit$ ,/ates     
,code1 z ! case may be4  7#b7 ,matt]s   
includ$ ,) respect to ! hospital c>e or 
m$ical treatm5t cov]$ by ?is section or 
section #agbj;,d ( title #ch1 ,unit$    
,/ates ,code1 ! surveys "u p>agraph 7#a7
 %all asc]ta9 ! foll[+ in=mation3  7,a7 
,! numb] ( eligible vet]ans :o elect to 
p>ticipate 9 ! pilot program "u         
subsection 7a7 z comp>$ to ! numb] (    
eligible vet]ans :o d n make su*        
election4  7,b7 ,! l5g? ( "t s9ce an    
eligible vet]an has be5 dis*>g$ or      
releas$ f milit>y s]vice4  7,c7 ,! numb]
 ( heal? c>e provid]s t ! eligible      
vet]an visit$4  7,d7 ,! g5d] ( ea* heal?

 c>e provid] visit$4  7,e7 ,! specific  
degree or lic5sure ( ea* heal? c>e      
provid] visit$4  7,f7 ,:e!r ! eligible  
vet]an visit$ ! same heal? c>e provid] f
 ! beg9n+ ( treatm5t to ! completion (  
treatm5t1 & if n1 ! reasons :y n4  7,g7 
,! l5g? ( "t f ! date ! eligible vet]an 
s\ght an appo9tm5t ) a heal? c>e provid]
 until ! date on :i* ! appo9tm5t        
occurr$4  7,h7 ,! l5g? ( "t t ! eligible
 vet]an has to wait = an appo9tm5t )    
heal? c>e provid]s4  7,i7 ,! di/ance t !
 eligible vet]an has to travel = an     
appo9tm5t ) heal? c>e provid]s4  7,j7 ,!
 frequ5cy ( foll[-up appo9tm5ts made by 
! eligible vet]an4  7,k7 ,! duration (  
treatm5t furni%$ by heal? c>e provid]s4 
7,l7 ,:e!r ! eligible vet]an has tr\ble 
fall+ asleep1 & if s1 ! reasons :y4     
7,m7 ,! types ( any m$ication tak5 by ! 
eligible vet]an & ! reasons = su* use4  
7,n7 ,:e!r ! eligible vet]an _h an      
em]g5cy situation t requir$ m5tal heal? 
treatm5t be=e a s*$ul$ appo9tm5t1 & if  
s--  7i7 ! m5tal heal? s]vices t 7 (f]$ 

& f :om2 &  7ii7 :e!r ! eligible vet]an 
accept$ su* s]vices1 & if n1 :y n4  7#c7
 ,tim+ ,! ,secret>y %all conduct surveys
 ( eligible vet]ans "u p>agraph 7#a7 at 
! foll[+ p]iods3  7,a7 ,^u ! election   
made by a vet]an to p>ticipate 9 ! pilot
 program "u subsection 7a71 or z soon z 
practicable aft] ! ,secret>y det]m9es ! 
vet]an w n make su* an election4  7,b7  
,dur+ ea* six-mon? p]iod 9 :i* ! pilot  
program "u subsection 7a7 is be+ c>ri$  
out4  7,c7 ,^u ! completion ( ! pilot   
program "u subsection 7a74  7#d7        
,que/ionnaires ,! ,secret>y %all ensure 
t ea* eligible vet]an p>ticipat+ 9 !    
pilot program "u subsection 7a7         
completes ! foll[+3  7,a7 ,,ptsd        
,*eckli/ = ,,dsm-#e 7,,pcl-#e74  7,b7   
,pati5t ,heal? ,que/ionnaire-#i         
7,,phq-#i74  7,c7 ,! ,_w ,heal?         
,organization ,quality ( ,life          
7,,:oqol7-,,bref4  7,d7                 
,columbia-,suicide ,sev]ity ,rat+       
,scale4  7#e7 ,rese>* ,! ,secret>y %all 
assign a rese>*] ( ! ,dep>tm5t (        

,vet]ans ,affairs to ! elem5t ( !       
,dep>tm5t adm9i/]+ ! pilot program "u   
subsection 7a7 to ensure ! quality &    
integrity ( ! collection & analysis ( ! 
data collect$ "u ?is subsection4  7h7   
,report ,n lat] ?an #fj days be=e !     
completion ( ! pilot program "u         
subsection 7a71 ! ,secret>y %all submit 
to ! ,committees on ,vet]ans' ,affairs (
 ! ,h\se ( ,repres5tatives & ! ,s5ate a 
report on ! pilot program4 ,! report    
%all include ! foll[+3  7#a7 ,! results 
( ! pilot program1 includ+ :e!r eligible
 vet]ans :o p>ticipat$ 9 ! pilot        
program1 z comp>$ to eligible vet]ans :o
 did n s p>ticipate--  7,a7 are sleep+  
bett]2  7,b7 exp]i5ce few] or m episodes
 ( po/-traumatic /ress disord] or       
anxiety2  7,c7 take few] or m m$ications
 relat+ to illnesses or injuries        
describ$ 9 subsection 7a72  7,d7 select$
 non-,dep>tm5t heal? c>e provid]s bas$  
on ! g5d] ( ! provid]2  7,e7 h a l[]    
rate ( suicidal ?\ghts2  7,f7 h a l[]   
rate ( suicide2 &  7,g7 believe t !     

eligible vet]ans are receiv+ ! c>e t be/
 fits ! specific ne$s ( ! vet]ans4  7#b7
 ,in=mation ) respect to ! heal? c>e    
results ( eligible vet]ans :o did n     
p>ticipate 9 ! pilot program4  7#c7 ,!  
recomm5dation ( ! ,secret>y ) respect to
 ext5d+ or mak+ p]man5t ! pilot program4
  7i7 ,def9itions ,9 ?is section3 7#a7  
,! t]m non-,dep>tm5t heal? c>e provid]  
means an entity specifi$ 9 section      
#aja7;a77#a77;,b7 ( section #aja ( !    
,vet]ans ,access1 ,*oice1 &             
,acc\ntability ,act ( #bjae 7,public    
,law #aac-adf2 #ch ,u4,s4,c4 #agja7 or  
any o!r heal? c>e provid] t has ent]$   
into a contract or o!r agreem5t ) !     
,secret>y pursuant to ano!r provision ( 
law to furni% hospital c>e or m$ical    
treatm5t to vet]ans4  7#b7 ,! t]m sexual
 h>assm5t has ! mean+ giv5 t t]m 9      
section #agbj;,d ( title #ch1 ,unit$    
,/ates ,code4  7#c7 ,! t]m ,/ate has !  
mean+ giv5 t t]m 9 section #aja7bj7 (   
title #ch1 ,unit$ ,/ates ,code4