,,ii #aae? ,,congress #a/ ,session ,s4 #hcc ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,april #e 7legislative day1 ,april #d71 #bjag ,mr4 ,te/] 7= himself1 ,ms4 ,murk[ski1 ,ms4 ,h>ris1 ,ms4 ,klobu*>1 ,mrs4 ,mc,caskill1 ,mrs4 ,murray1 ,mr4 ,k+1 & ,mr4 ,blum5?al7 introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,vet]ans' ,affairs ,a ,,bill ,to am5d title #ch1 ,unit$ ,/ates ,code1 to exp& heal? c>e & b5efits f ! ,dep>tm5t ( ,vet]ans ,affairs = milit>y sexual trauma1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,s]vicememb]s & ,vet]ans ,emp[]m5t & ,support ,act ( #bjag4 #b4 ,expansion ( cov]age by ! ,dep>tm5t ( ,vet]ans ,affairs ( c\nsel+ & treatm5t = sexual trauma 7a7 ,cov]age ( cyb] h>assm5t ( a sexual nature ,p>agraph 7#a7 ( section #agbj;,d7a7 ( title #ch1 ,unit$ ,/ates ,code1 is am5d$ by ins]t+ cyb] h>assm5t ( a sexual nature1 aft] batt]y ( a sexual nature14 7b7 ,expansion ( availability = memb]s ( ! ,arm$ ,=ces ,p>agraph 7#b77;,a7 ( su* section is am5d$-- 7#a7 by /rik+ on active duty2 & 7#b7 by ins]t+ t 0 suff]$ by ! memb] :ile s]v+ on active duty1 active duty = tra9+1 or inactive duty tra9+ be=e ! p]iod at ! end4 #c4 ,/&>d ( pro( = s]vice-connection ( m5tal heal? conditions relat$ to milit>y sexual trauma 7a7 ,/&>d ( pro( ,section #aaed ( title #ch1 ,unit$ ,/ates ,code1 is am5d$ by add+ at ! end ! foll[+ new subsection3 7c7 7#a7 ,9 ! case ( any vet]an :o claims t a cov]$ m5tal heal? condition 0 incurr$ 9 or aggravat$ by milit>y sexual trauma dur+ active milit>y1 naval1 or air s]vice1 ! ,secret>y %all accept z suffici5t pro( ( s]vice-connection a diagnosis ( su* m5tal heal? condition by a m5tal heal? pr(essional toge!r ) satisfactory lay or o!r evid5ce ( su* trauma & an op9ion by ! m5tal heal? pr(essional t su* cov]$ m5tal heal? condition is relat$ to su* milit>y sexual trauma1 if consi/5t ) ! circum/ances1 conditions1 or h>d%ips ( su* s]vice1 not)/&+ ! fact t !re is no (ficial record ( su* incurr5ce or aggravation 9 su* s]vice1 &1 to t end1 %all resolve e reasonable d\bt 9 favor ( ! vet]an4 ,s]vice-connection ( su* cov]$ m5tal heal? condition may be rebutt$ by cle> & conv9c+ evid5ce to ! contr>y4 ,! reasons = grant+ or d5y+ s]vice-connection 9 ea* case %all be record$ 9 full4 7#b7 ,9 ?is subsection3 7,a7 ,! t]m cov]$ m5tal heal? condition means po/-traumatic /ress disord]1 anxiety1 depression1 or o!r m5tal heal? diagnosis describ$ 9 ! curr5t v]sion ( ! ,diagno/ic & ,/ati/ical ,manual ( ,m5tal ,disord]s publi%$ by ! ,am]ican ,psy*iatric ,association t ! ,secret>y det]m9es to be relat$ to milit>y sexual trauma4 7,b7 ,! t]m milit>y sexual trauma means1 ) respect to a vet]an1 a physical assault ( a sexual nature1 batt]y ( a sexual nature1 cyb] h>assm5t ( a sexual nature1 or sexual h>assm5t :i* occurr$ dur+ active milit>y1 naval1 or air s]vice4 4 7b7 ,use ( evid5ce 9 evaluat+ disability claims involv+ milit>y sexual trauma 7#a7 ,9 g5]al ,sub*apt] ,,vi ( *apt] #aa ( su* title is am5d$ by add+ at ! end ! foll[+ new section3 #aafd4 ,evaluation ( claims involv+ milit>y sexual trauma 7a7 ,nonmilit>y s\rces ( evid5ce 7#a7 ,9 c>ry+ out section #aaed7;c7 ( ?is title1 ! ,secret>y %all ensure t if a claim = comp5sation "u ?is *apt] is receiv$ by ! ,secret>y = po/-traumatic /ress disord] bas$ on a physical assault ( a sexual nature1 batt]y ( a sexual nature1 cyb] h>assm5t ( a sexual nature1 or sexual h>assm5t exp]i5c$ by a vet]an dur+ active milit>y1 naval1 or air s]vice1 evid5ce f s\rces o!r ?an (ficial records ( ! ,dep>tm5t ( ,def5se reg>d+ ! vet]an's s]vice may corroborate ! vet]an's acc\nt ( ! assault1 batt]y1 or h>assm5t4 7#b7 ,examples ( evid5ce describ$ 9 p>agraph 7#a7 include ! foll[+3 7,a7 ,records f law en=cem5t au?orities1 rape crisis c5t]s1 m5tal heal? c\nsel+ c5t]s1 hospitals1 & physicians4 7,b7 ,pregnancy te/s & te/s = sexually transmitt$ diseases4 7,c7 ,/atem5ts f family memb]s1 roommates1 o!r memb]s ( ! ,arm$ ,=ces or vet]ans1 & cl]gy4 7b7 ,behavior *anges corroborat+ evid5ce 7#a7 ,9 c>ry+ out section #aaed7;c7 ( ?is title1 ! ,secret>y %all ensure t evid5ce ( a behavior *ange foll[+ an assault1 batt]y1 or h>assm5t describ$ 9 subsection 7a77#a7 is "o type ( relevant evid5ce t may be f\nd 9 s\rces describ$ 9 su* subsection4 7#b7 ,examples ( behavior *anges t may be relevant evid5ce ( an assault1 batt]y1 or h>assm5t describ$ 9 subsection 7a77#a7 include ! foll[+3 7,a7 ,a reque/ = a transf] to ano!r milit>y duty assignm5t4 7,b7 ,det]ioration 9 "w p]=mance4 7,c7 ,sub/ance abuse4 7,d7 ,episodes ( depression1 panic attacks1 or anxiety )\t an id5tifiable cause4 7,e7 ,unexpla9$ economic or social behavior *anges4 7c7 ,notice & opportunity ,to supply evid5ce ,! ,secret>y may n d5y a claim ( a vet]an = comp5sation "u ?is *apt] = a po/-traumatic /ress disord] t is bas$ on an assault1 batt]y1 or h>assm5t describ$ 9 subsection 7a77#a7 )\t fir/-- 7#a7 advis+ ! vet]an t evid5ce describ$ 9 subsections 7a7 & 7b7 may con/itute cr$ible corroborat+ evid5ce ( ! assault1 batt]y1 or h>assm5t2 & 7#b7 all[+ ! vet]an an opportunity to furni% su* corroborat+ evid5ce or advise ! ,secret>y ( pot5tial s\rces ( su* evid5ce4 7d7 ,review ( evid5ce ,9 review+ a claim = comp5sation describ$ 9 subsection 7a77#a71 = any evid5ce receiv$ ) su* claim t is describ$ 9 subsection 7a7 or 7b71 ! ,secret>y may submit su* evid5ce to su* m$ical or m5tal heal? pr(essional z ! ,secret>y consid]s appropriate1 includ+ cl9ical & c\nsel+ exp]ts employ$ by ! ,dep>tm5t1 to obta9 a cr$ible op9ion z to :e!r ! evid5ce indicates t an assault1 batt]y1 or h>assm5t describ$ 9 subsection 7a77#a7 occurr$4 7e7 ,po9t ( contact ,! ,secret>y %all ensure t ea* docum5t provid$ to a vet]an relat+ to a claim = comp5sation describ$ 9 subsection 7a77#a7 includes contact in=mation = an appropriate po9t ( contact ) ! ,dep>tm5t4 4 7#b7 ,cl]ical am5dm5t ,! table ( sections at ! beg9n+ ( su* *apt] is am5d$ by add+ at ! end ! foll[+ new item3 #aafd4 ,evaluation ( claims involv+ milit>y sexual trauma4 4 7c7 ,annual reports 7#a7 ,9 g5]al ,sub*apt] ,,vi ( *apt] #aa ( title #ch1 ,unit$ ,/ates ,code1 z am5d$ by subsection 7b71 is fur!r am5d$ by add+ at ! end ! foll[+ new section3 #aafe4 ,reports on claims = disabilities incurr$ or aggravat$ by milit>y sexual trauma 7a7 ,reports ,n lat] ?an ,m>* #a1 #bjah1 & n less frequ5tly ?an once ea* ye> !reaft] ?r\gh #bjbg1 ! ,secret>y %all submit to ,congress a report on cov]$ claims submitt$ dur+ ! previ\s fiscal ye> to id5tify & track ! consi/5cy ( decisions across regional (fices4 7b7 ,elem5ts ,ea* report "u subsection 7a7 %all include ! foll[+3 7#a7 ,! numb] ( cov]$ claims submitt$ to or consid]$ by ! ,secret>y dur+ ! fiscal ye> cov]$ by ! report4 7#b7 ,( ! cov]$ claims li/$ "u p>agraph 7#a71 ! numb] & p]c5tage ( su* claims-- 7,a7 submitt$ by ea* sex2 7,b7 t 7 approv$1 includ+ ! numb] & p]c5tage ( su* approv$ claims submitt$ by ea* sex2 & 7,c7 t 7 d5i$1 includ+ ! numb] & p]c5tage ( su* d5i$ claims submitt$ by ea* sex4 7#c7 ,( ! cov]$ claims li/$ "u p>agraph 7#a7 t 7 approv$1 ! numb] & p]c5tage1 disaggregat$ by sex1 ( claims assign$ to ea* rat+ p]c5tage4 7#d7 ,( ! cov]$ claims li/$ "u p>agraph 7#a7 t 7 d5i$-- 7,a7 ! ?ree mo/ common reasons giv5 by ! ,secret>y "u section #eajd7;b77#a7 ( ?is title = su* d5ials2 & 7,b7 ! numb] ( d5ials t 7 bas$ on ! failure ( a vet]an to report = a m$ical exam9ation4 7#e7 ,! numb] ( cov]$ claims t1 z ( ! end ( ! fiscal ye> cov]$ by ! report1 are p5d+ &1 sep>ately1 ! numb] ( su* claims on appeal4 7#f7 ,= ! fiscal ye> cov]$ by ! report1 ! av]age numb] ( days t cov]$ claims take to complete1 beg9n+ on ! date on :i* ! claim is submitt$4 7#g7 ,a description ( ! tra9+ t ! ,secret>y provides to employees ( ! ,vet]ans ,b5efits ,adm9i/ration specifically ) respect to cov]$ claims1 includ+ ! frequ5cy1 l5g?1 & cont5t ( su* tra9+4 7c7 ,def9itions ,9 ?is section3 7#a7 ,! t]m cov]$ claims means claims = disability comp5sation submitt$ to ! ,secret>y bas$ on a cov]$ m5tal heal? condition alleg$ to h be5 incurr$ or aggravat$ by milit>y sexual trauma4 7#b7 ,! t]ms cov]$ m5tal heal? condition & milit>y sexual trauma h ! mean+s giv5 su* t]ms 9 section #aaed7;c77#c7 ( ?is title4 4 7#b7 ,cl]ical am5dm5t ,! table ( sections at ! beg9n+ ( su* *apt]1 z am5d$ by subsection 7b71 is fur!r am5d$ by add+ at ! end ! foll[+ new item3 #aafe4 ,reports on claims = disabilities incurr$ or aggravat$ by milit>y sexual trauma4 4 7d7 ,effective date ,subsection 7c7 ( section #aaed ( title #ch1 ,unit$ ,/ates ,code1 z add$ by subsection 7a71 %all apply ) respect to any claim = disability comp5sation "u laws adm9i/]$ by ! ,secret>y ( ,vet]ans ,affairs = :i* no f9al decision has be5 made be=e ! date ( ! enactm5t ( ?is ,act4 #d4 ,in=mation = memb]s ( ! ,arm$ ,=ces reg>d+ availability ( s]vices at ,vet ,c5t]s 7a7 ,9 g5]al ,! ,secret>y ( ,def5se %all in=m memb]s ( ! ,arm$ ,=ces1 us+ me*anisms available to ! ,secret>y1 ( ! eligibility ( su* memb]s = s]vices at ,vet ,c5t]s4 7b7 ,in=mation f ,sexual ,assault ,response ,coord9ators ,! ,secret>y %all ensure t ,sexual ,assault ,response ,coord9ators ( ! ,dep>tm5t ( ,def5se advise memb]s ( ! ,arm$ ,=ces :o report in/ances ( milit>y sexual trauma reg>d+ ! eligibility ( su* memb]s = s]vices at ,vet ,c5t]s4 7c7 ,def9itions ,9 ?is section3 7#a7 ,milit>y sexual trauma ,! t]m milit>y sexual trauma means psy*ological trauma describ$ 9 section #agbj;,d7a77#a7 ( title #ch1 ,unit$ ,/ates ,code4 7#b7 ,vet ,c5t] ,! t]m ,vet ,c5t] has ! mean+ giv5 t t]m 9 section #agab;,a7h7 ( su* title4