,,ii #aae? ,,congress #a/ ,session ,s4 #ajad ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,may #c1 #bjag,mrs4 ,fis*] 7= h]self & ,mr4 ,book]7 introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,vet]ans' ,affairs ,a ,,bill ,to direct ! ,secret>y ( ,vet]ans ,affairs to make grants to eligible organizations to provide s]vice dogs to vet]ans ) sev]e po/-traumatic /ress disord]1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,puppies ,assi/+ ,w\nd$ ,s]vicememb]s ,act ( #bjag or ! ,,paws ,act ( #bjag4 #b4 ,f9d+s2 ,s5se ( ,congress 7a7 ,f9d+s ,congress makes ! foll[+ f9d+s3 7#a7 ,accord+ to ! analysis ( vet]an suicide publi%$ by ! ,dep>tm5t ( ,vet]ans ,affairs 9 ,augu/ #bjaf & titl$ ,suicide ,among ,vet]ans & ,o!r ,am]icans-- 7,a7 an av]age ( #bj vet]ans di$ by suicide ea* day 9 #bjad2 7,b7 m5tal heal? disord]s1 includ+ major depression & o!r mood disord]s1 h be5 associat$ ) increas$ risk = suicide2 7,c7 s9ce #bjja1 ! proportion ( us]s ( ! ,vet]ans ,heal? ,adm9i/ration ) m5tal heal? conditions or sub/ance use disord]s has increas$ f approximately #bg p]c5t 9 #bjja to m ?an #dj p]c5t 9 #bjad2 & 7,d7 ov]all1 suicide rates are highe/ among pati5ts ) m5tal heal? & sub/ance use disord] diagnoses :o are 9 treatm5t & l[] among ^? :o receiv$ a m5tal heal? diagnosis b 7 n at risk en\gh to require enhanc$ c>e f a m5tal heal? provid]4 7#b7 ,pair+ a s]vice dog ) a vet]an co/s approximately #be1jjj1 includ+ ) respect to tra9+ ( ! s]vice dog z well z tra9+ ( ! vet]an ) ! s]vice dog4 7b7 ,s5se ( ,congress ,x is ! s5se ( ,congress t ! ,dep>tm5t ( ,vet]ans ,affairs mu/ be m effective 9 its approa* to r$uc+ ! burd5 ( vet]an suicide connect$ to m5tal heal? disord]s1 includ+ po/-traumatic /ress disord]1 & a pilot program & /udy to assess ! b5efits ( pair+ s]vice dogs ) vet]ans suff]+ f m5tal heal? disord]s w\ld all[ ! ,dep>tm5t to bett] det]m9e ! efficacy ( us+ s]vice dogs z a nontraditional !rapy to ensure ! well-be+ ( vet]ans4 #c4 ,dep>tm5t ( ,vet]ans ,affairs pilot program to aw>d grants = ! provision ( s]vice dogs to c]ta9 vet]ans ) sev]e po/-traumatic /ress disord] 7a7 ,grants ,! ,secret>y ( ,vet]ans ,affairs %all c>ry out a pilot program "u :i* ! ,secret>y aw>ds a grant 9 ! am\nt ( #be1jjj to eligible organizations = ea* eligible vet]an ref]r$ to t organization = a s]vice dog pair+4 7b7 ,b5efits provid$ 7#a7 ,9 g5]al ,an organization t receives a grant "u subsection 7a7 %all provide ! foll[+ = ea* s]vice dog & vet]an p>ticipat+ 9 ! pilot program3 7,a7 ,cov]age ( a comm]cially available vet]9>y heal? insurance policy to ma9ta9 ! heal? ( ! dog & keep ! dog function+ 9 ! prescrib$ role = ! life ( ! dog4 7,b7 ,h>dw>e1 or repairs or replacem5ts = h>dw>e1 t are cl9ically det]m9$ to be requir$ by ! dog to p]=m ! tasks necess>y to assi/ ! vet]an ) ! diagnos$ disord] ( ! vet]an4 7,c7 ,paym5ts = travel exp5ses = ! vet]an to obta9 ! dog1 calculat$ 9 ! same mann] z simil> travel exp5ses provid$ pursuant to section #aaa ( title #ch1 ,unit$ ,/ates ,code4 7#b7 ,o!r travel exp5ses ,if a vet]an is requir$ to replace a s]vice dog provid$ pursuant to a grant "u ?is section1 ! ,secret>y %all pay = ! travel exp5ses describ$ 9 p>agraph 7#a77;,c7 requir$ to obta9 a new s]vice dog pursuant to subsection 7c77#c71 reg>dless ( any o!r b5efits ! vet]an is receiv+ = ! fir/ s]vice dog "u ?is section4 7c7 ,eligible organizations ,to be eligible to receive a grant "u ?is section1 an organization %all-- 7#a7 be a nonpr(it organization t provides tra9$ s]vice dogs-- 7,a7 t-- 7i7 is c]tifi$ by ,assi/ance ,dogs ,int]national2 7ii7 on av]age1 provides "o-on-"o tra9+ = ea* s]vice dog & recipi5t = #cj h\rs or m dur+ a p]iod ( #ij days or m2 7iii7 provides a wellness v]ification f a lic5s$ vet]9>ian = ea* s]vice dog2 7iv7 provides an 9-h\se resid5tial facility1 or o!r accommodations ne>by1 9 :i* s]vice dog recipi5ts /ay = a m9imum ( #aj days :ile receiv+ n less ?an #cj h\rs ( tra9+ ) _! new s]vice dog2 7v7 ensures all s]vice dogs pass ! ,am]ican ,k5nel ,club ,community ,can9e te/ & ! ,assi/ance ,dogs ,int]national ,public ,access ,te/ prior to p]man5t placem5t ) a recipi5t2 & 7vi7 provides foll[-up support s]vice = ! life ( ! s]vice dog1 to include a contact plan betwe5 ! vet]an & organization to all[-- 7,i7 ! vet]an to rea* out = & receive adequate help ) ! s]vice dog2 & 7,,ii7 ! organization to communicate ) ! vet]an to ensure t ! s]vice dog is receiv+ prop] c>e2 or 7,b7 t meets ! s]vice dog ag5cy /&>ds e/abli%$ by ! ,association ( ,s]vice ,dog ,provid]s = ,milit>y ,vet]ans t cat] to ! unique ne$s ( vet]ans ) po/-traumatic /ress disord]2 7#b7 agree to cov] all co/s 9 excess ( ! grant am\nt to gu>antee ! b5efits li/$ "u subsection 7b77#a72 7#c7 agree to reaccept or replace a s]vice dog provid$ by ! organization to a vet]an1 if necess>y1 z det]m9$ by ! vet]an & ! organization2 & 7#d7 submit to ! ,secret>y an application conta9+ su* in=mation1 c]tification1 & assurances z ! ,secret>y may require4 7d7 ,eligible vet]ans 7#a7 ,approval & ref]ral 7,a7 ,9 g5]al ,! ,secret>y ( ,vet]ans ,affairs %all review & approve vet]ans eligible to p>ticipate "u ?is section & %all ref] approv$ vet]ans to eligible organizations4 7,b7 ,approval det]m9ation ,! p]iod beg9n+ on ! date on :i* a vet]an applies to p>ticipate "u ?is section & ! date on :i* ! ,secret>y makes an approval det]m9ation may n exce$ #ij days4 7#b7 ,initial eligibility ,= purposes ( ?is section1 an eligible vet]an is a vet]an-- 7,a7 :o is enroll$ 9 ! sy/em ( annual pati5t enrollm5t ( ! ,dep>tm5t ( ,vet]ans ,affairs e/abli%$ & op]at$ "u section #agje ( title #ch1 ,unit$ ,/ates ,code2 7,b7 :o has be5 treat$ & has complet$ an e/abli%$ evid5ce-bas$ treatm5t = po/-traumatic /ress disord] yet rema9s diagnos$ ) po/-traumatic /ress disord] by a qualifi$ heal? c>e provid] z rat$ on ! po/-traumatic /ress disord] *eckli/ 7,,pcl-#e72 7,c7 ) respect to :om ! heal? c>e provid] or cl9ical team ( ! ,dep>tm5t ( ,vet]ans ,affairs t is treat+ ! vet]an = su* disord] det]m9es bas$ ^u m$ical judgm5t t ! vet]an may pot5tially b5efit f a s]vice dog2 & 7,d7 :o agrees to successfully complete tra9+ provid$ by an eligible organization pursuant to subsection 7c74 7#c7 ,ongo+ eligibility ,to rema9 eligible to p>ticipate 9 ! pilot program "u ?is section1 a vet]an %all see ! heal? c>e provid] or cl9ical team ( ! ,dep>tm5t ( ,vet]ans ,affairs treat+ ! vet]an = po/-traumatic /ress disord] at lea/ once e #ahj days to det]m9e1 bas$ on a cl9ical evaluation ( efficacy1 :e!r ! vet]an cont9ues to b5efit f a s]vice dog4 7#d7 ,o!r cases ,if at any po9t ! vet]an is no long] able or will+ to c>e = ! s]vice dog1 ! vet]an & ! organization t provid$ ! s]vice dog to ! vet]an %all det]m9e ! appropriate rec\rse to ensure ! safety ( bo? ! vet]an & ! s]vice dog4 7e7 ,relation%ip to ,dep>tm5t ( ,vet]ans ,affairs b5efits ,! provision ( a s]vice dog to a vet]an "u ?is section is 9 addition to any o!r hospital c>e or m$ical s]vice furni%$ by ! ,dep>tm5t = t vet]an = po/-traumatic /ress disord]1 & an improvem5t 9 symptoms z a result ( ! provision ( a s]vice dog %all n affect ! eligibility ( ! vet]an = any o!r b5efit "u ! laws adm9i/]$ by ! ,secret>y4 7f7 ,metrics ,9 c>ry+ out ?is section1 ! ,secret>y %all-- 7#a7 develop metrics & o!r appropriate means to measure1 ) respect to vet]ans p>ticipat+ 9 ! pilot program1 ! improvem5t 9 psy*osocial function & !rapeutic compliance ( su* vet]ans & *anges ) respect to ! dep5d5ce on prescription n>cotics & psy*otropic m$ication ( su* vet]ans2 & 7#b7 e/abli% processes to docum5t & track ! progress ( su* vet]ans "u ! pilot program 9 t]ms ( ! b5efits & improvem5ts not$ z a result ( ! pilot program4 7g7 ,comptroll] ,g5]al brief+ & report 7#a7 ,brief+ ,n lat] ?an "o ye> aft] ! date on :i* ! ,secret>y comm5ces ! pilot program "u subsection 7a71 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all provide to ! ,committee on ,vet]ans' ,affairs ( ! ,s5ate & ! ,committee on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives a brief+ on ! me?odology e/abli%$ = ! pilot program4 7#b7 ,report 7,a7 ,9 g5]al ,n lat] ?an #bgj days aft] ! date on :i* ! pilot program t]m9ates1 ! ,comptroll] ,g5]al %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$ "u subp>agraph 7,a7 %all include an evaluation ( ! approa* & me?odology us$ = ! pilot program ) respect to-- 7i7 help+ vet]ans ) sev]e po/-traumatic /ress disord] return to civilian life2 7ii7 relevant metrics1 su* z r$uction 9 scores "u ! po/-traumatic /ress disord] *eckli/ 7,,pcl-#e71 improvem5t 9 psy*osocial function1 & !rapeutic compliance2 & 7iii7 r$uc+ ! dep5d5ce ( p>ticipants 9 ! pilot program on prescription n>cotics & psy*otropic m$ication4 7h7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ = ! p]iod ( fiscal ye> #bjah ?r\gh fiscal ye> #bjbc1 #aj1jjj1jjj to c>ry out ! pilot program "u ?is section4 7i7 ,(fset ,! am\nts o!rwise au?oriz$ to be appropriat$ = ! ,(fice ( ,human ,res\rces & ,adm9i/ration ( ! ,dep>tm5t ( ,vet]ans ,affairs = ! p]iod ( fiscal ye> #bjah ?r\gh fiscal ye> #bjbc %all be r$uc$ by #aj1jjj1jjj4 7j7 ,t]m9ation 7#a7 ,9 g5]al ,! au?ority to c>ry out ! pilot program "u ?is section %all t]m9ate on ! date t is five ye>s aft] ! date ( ! enactm5t ( ?is ,act4 7#b7 ,possession ( s]vice dog ,an eligible vet]an 9 possession ( a s]vice dog furni%$ "u ! pilot program z ( ! t]m9ation ( ! pilot program may keep ! s]vice dog aft] ! t]m9ation ( ! pilot program = ! life ( ! dog4