,i #aaf? ,,congress #a/ ,session ,h4 ,r4 #aifc ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,m>* #bh1 #bjai,ms4 ,br[nley ( ,cali=nia introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,vet]ans' ,affairs ,a ,,bill ,to exp& ! rese>* & education on & deliv]y ( complem5t>y & integrative m$ic9e to vet]ans1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,exp&+ ,c>e = ,vet]ans ,act4 #b4 ,expansion ( rese>* & education on & deliv]y ( complem5t>y & integrative m$ic9e to vet]ans 7a7 ,developm5t ( plan ,to exp& rese>*1 education1 & deliv]y ,n lat] ?an six mon?s aft] ! effective date specifi$ 9 subsection 7f71 ! ,secret>y ( ,vet]ans ,affairs %all develop a plan to exp& mat]ially & sub/antially ! scope ( rese>* & education on1 & deliv]y & integration (1 complem5t>y & integrative m$ic9e s]vices into ! heal? c>e s]vices provid$ to vet]ans4 7b7 ,elem5ts ,! plan requir$ by subsection 7a7 %all provide = ! foll[+3 7#a7 ,rese>* on ! foll[+3 7,a7 ,! comp>ative effectiv5ess ( v>i\s complem5t>y & integrative m$ic9e !rapies4 7,b7 ,approa*es to integrat+ complem5t>y & integrative m$ic9e s]vices into o!r heal? c>e s]vices provid$ by ! ,dep>tm5t4 7#b7 ,education & tra9+ = heal? c>e pr(essionals ( ! ,dep>tm5t on ! foll[+3 7,a7 ,complem5t>y & integrative m$ic9e s]vices select$ by ! ,secret>y = purposes ( ! plan4 7,b7 ,appropriate uses ( su* s]vices4 7,c7 ,integration ( su* s]vices into ! deliv]y ( heal? c>e to vet]ans4 7#c7 ,rese>*1 education1 & cl9ical activities on complem5t>y & integrative m$ic9e at c5t]s ( innovation at ,dep>tm5t m$ical c5t]s4 7#d7 ,id5tification or developm5t ( metrics & outcome measures to evaluate ! provision & integration ( complem5t>y & integrative m$ic9e s]vices into ! deliv]y ( heal? c>e to vet]ans4 7#e7 ,integration & deliv]y ( complem5t>y & integrative m$ic9e s]vices ) o!r heal? c>e s]vices provid$ by ! ,dep>tm5t4 7c7 ,consultation 7#a7 ,9 g5]al ,9 c>ry+ out subsection 7a71 ! ,secret>y %all consult ) ! foll[+3 7,a7 ,! ,director ( ! ,national ,c5t] on ,complem5t>y & ,integrative ,heal? ( ! ,national ,in/itutes ( ,heal?4 7,b7 ,! ,commission] ( ,food & ,drugs4 7,c7 ,in/itutions ( high] education1 private rese>* in/itutes1 & individual rese>*]s ) ext5sive exp]i5ce 9 complem5t>y & integrative m$ic9e & ! integration ( complem5t>y & integrative m$ic9e practices into ! deliv]y ( heal? c>e4 7,d7 ,nationally recogniz$ provid]s ( complem5t>y & integrative m$ic9e4 7,e7 ,su* o!r (ficials1 entities1 & individuals ) exp]tise on complem5t>y & integrative m$ic9e z ! ,secret>y consid]s appropriate4 7#b7 ,scope ( consultation ,! ,secret>y %all und]take consultation "u p>agraph 7#a7 9 c>ry+ out subsection 7a7 ) respect to ! foll[+3 7,a7 ,to develop ! plan4 7,b7 ,to id5tify specific complem5t>y & integrative m$ic9e practices t1 on ! basis ( rese>* f9d+s or promis+ cl9ical int]v5tions1 are appropriate to include z s]vices to vet]ans4 7,c7 ,to id5tify b>ri]s to ! effective provision & integration ( complem5t>y & integrative m$ic9e s]vices into ! deliv]y ( heal? c>e to vet]ans1 & to id5tify me*anisms = ov]com+ su* b>ri]s4 7d7 ,fund+ ,!re is au?oriz$ to be appropriat$ to ! ,secret>y su* sums z may be necess>y to c>ry out ?is section4 7e7 ,complem5t>y & integrative m$ic9e def9$ ,9 ?is section1 ! t]m complem5t>y & integrative m$ic9e %all h ! mean+ giv5 t t]m 9 regulations ! ,secret>y %all prescribe = purposes ( ?is section1 :i* %all1 to ! degree practicable1 be consi/5t ) ! mean+ giv5 su* t]m by ! ,secret>y ( ,heal? & ,human ,s]vices4 7f7 ,effective date ,?is section %all take effect on ! date t is "o ye> aft] ! date ( ! enactm5t ( ?is ,act4 #c4 ,program on integration ( complem5t>y & integrative m$ic9e )9 ,dep>tm5t ( ,vet]ans ,affairs m$ical c5t]s 7a7 ,program requir$ ,! ,secret>y ( ,vet]ans ,affairs %all-- 7#a7 c>ry out1 ?r\gh ! ,(fice ( ,pati5t ,c5t]$ ,c>e & ,cultural ,trans=mation ( ! ,dep>tm5t ( ,vet]ans ,affairs1 a program to assess ! feasibility & advisability ( integrat+ ! deliv]y ( complem5t>y & integrative m$ic9e s]vices select$ by ! ,secret>y ) o!r heal? c>e s]vices provid$ by ! ,dep>tm5t = vet]ans ) m5tal heal? conditions1 *ronic pa9 conditions1 o!r *ronic conditions1 & su* o!r conditions z ! ,secret>y det]m9es appropriate2 & 7#b7 9 develop+ ! program1 id5tify & resolve b>ri]s to ! provision ( complem5t>y & integrative m$ic9e s]vices select$ by ! ,secret>y & ! integration ( ^? s]vices ) o!r heal? c>e s]vices provid$ by ! ,dep>tm5t4 7b7 ,duration ( program ,! program %all be c>ri$ out dur+ ! ?ree-ye> p]iod beg9n+ on ! effective date specifi$ 9 subsection 7j74 7c7 ,locations 7#a7 ,9 g5]al ,! ,secret>y %all c>ry out ! program at n few] ?an #ae sep>ate ,dep>tm5t m$ical c5t]s4 7#b7 ,polytrauma c5t]s ,n less ?an two ( ! m$ical c5t]s designat$ "u p>agraph 7#a7 %all be locat$ at polytrauma rehabilitation c5t]s ( ! ,dep>tm5t4 7#c7 ,selection ( locations ,9 c>ry+ out ! program1 ! ,secret>y %all select locations t include ! foll[+ areas3 7,a7 ,rural areas4 7,b7 ,areas t are n 9 close proximity to an active duty milit>y in/allation4 7,c7 ,areas repres5t+ diff]5t geographic locations1 su* z c5sus tracts e/abli%$ by ! ,bureau ( ! ,c5sus4 7d7 ,provision ( s]vices ,"u ! program1 ! ,secret>y %all provide cov]$ s]vices to cov]$ vet]ans by integrat+ complem5t>y & integrative m$ic9e s]vices ) o!r s]vices provid$ by ! ,dep>tm5t at ! m$ical c5t]s designat$ "u subsection 7c77#a74 7e7 ,cov]$ vet]ans ,= purposes ( ! program1 a cov]$ vet]an is any vet]an :o-- 7#a7 has a m5tal heal? condition diagnos$ by a cl9ician ( ! ,dep>tm5t2 7#b7 exp]i5ces *ronic pa92 or 7#c7 has a *ronic condition be+ treat$ by a cl9ician ( ! ,dep>tm5t4 7f7 ,cov]$ s]vices 7#a7 ,9 g5]al ,= purposes ( ! program1 cov]$ s]vices are s]vices consi/+ ( complem5t>y & integrative m$ic9e z select$ by ! ,secret>y4 7#b7 ,adm9i/ration ( s]vices ,cov]$ s]vices %all be adm9i/]$ "u ! program z foll[s3 7,a7 ,cov]$ s]vices %all be adm9i/]$ by cl9icians employ$ by ! ,secret>y = purposes ( ?is section :o1 to ! ext5t practicable1 %all provide s]vices consi/+ ( complem5t>y & integrative m$ic9e1 includ+ ^? cl9icians :o solely provide su* s]vices4 7,b7 ,cov]$ s]vices %all be includ$ z "p ( ! ,pati5t ,align$ ,c>e ,teams initiative ( ! ,(fice ( ,pati5t ,c>e ,s]vices1 ,prim>y ,c>e ,program ,(fice1 9 coord9ation ) ! ,(fice ( ,pati5t ,c5t]$ ,c>e & ,cultural ,trans=mation4 7,c7 ,cov]$ s]vices %all be made available to bo?-- 7i7 cov]$ vet]ans ) m5tal heal? conditions1 pa9 conditions1 or *ronic conditions describ$ 9 subsection 7e7 :o h receiv$ conv5tional treatm5ts f ! ,dep>tm5t = su* conditions2 & 7ii7 cov]$ vet]ans ) m5tal heal? conditions1 pa9 conditions1 or *ronic conditions describ$ 9 subsection 7e7 :o h n receiv$ conv5tional treatm5ts f ! ,dep>tm5t = su* conditions4 7g7 ,volunt>y p>ticipation ,! p>ticipation ( a vet]an 9 ! program %all be at ! election ( ! vet]an & 9 consultation ) a cl9ician ( ! ,dep>tm5t4 7h7 ,reports to ,congress 7#a7 ,qu>t]ly reports ,n lat] ?an #ij days aft] ! date ( ! comm5cem5t ( ! program & n less frequ5tly ?an once e #ij days !reaft] = ! duration ( ! program1 ! ,secret>y %all submit to ! ,committee on ,vet]ans' ,affairs ( ! ,s5ate & ! ,committee on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives a report on ! ef=ts ( ! ,secret>y to c>ry out ! program1 includ+ a description ( ! outrea* conduct$ by ! ,secret>y to vet]ans & community organizations to in=m su* organizations ab\t ! program4 7#b7 ,f9al report 7,a7 ,9 g5]al ,n lat] ?an #ahj days aft] ! completion ( ! program1 ! ,secret>y %all submit to ! ,committee on ,vet]ans' ,affairs ( ! ,s5ate & ! ,committee on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives a report on ! program4 7,b7 ,cont5ts ,! report submitt$ "u subp>agraph 7,a7 %all include ! foll[+3 7i7 ,! f9d+s & conclusions ( ! ,secret>y ) respect to ! program1 includ+ ) respect to-- 7,i7 ! utilization & efficacy ( ! complem5t>y & integrative m$ic9e s]vices e/abli%$ "u ! program2 7,,ii7 an assessm5t ( ! b5efit ( ! program to cov]$ vet]ans 9 m5tal heal? diagnoses1 pa9 managem5t1 & treatm5t ( *ronic illness2 & 7,,iii7 ! comp>ative effectiv5ess ( v>i\s complem5t>y & integrative m$ic9e !rapies4 7ii7 ,b>ri]s id5tifi$ "u subsection 7a77#b7 t 7 n resolv$4 7iii7 ,su* recomm5dations = ! cont9uation or expansion ( ! program z ! ,secret>y consid]s appropriate4 7i7 ,complem5t>y & integrative m$ic9e def9$ ,9 ?is section1 ! t]m complem5t>y & integrative m$ic9e %all h ! mean+ giv5 t t]m 9 section #b7;e7 ( ?is ,act4 7j7 ,effective date ,?is section %all take effect on ! date t is "o ye> aft] ! date ( ! enactm5t ( ?is ,act4 #d4 ,/udies ( b>ri]s enc\nt]$ by vet]ans 9 receiv+1 & adm9i/rators & cl9icians 9 provid+1 complem5t>y & integrative m$ic9e s]vices furni%$ by ! ,dep>tm5t ( ,vet]ans ,affairs 7a7 ,/udies requir$ 7#a7 ,9 g5]al ,! ,secret>y ( ,vet]ans ,affairs %all conduct compreh5sive /udies ( ! b>ri]s enc\nt]$ by vet]ans 9 receiv+1 & adm9i/rators & cl9icians 9 provid+1 complem5t>y & integrative m$ic9e s]vices furni%$ by ! ,dep>tm5t ( ,vet]ans ,affairs4 7#b7 ,/udies conduct$ 7,a7 ,vet]ans ,9 conduct+ ! /udy ( vet]ans1 ! ,secret>y %all-- 7i7 survey vet]ans :o seek or receive hospital c>e or m$ical s]vices furni%$ by ! ,dep>tm5t1 z well z vet]ans :o d n seek or receive su* c>e or s]vices2 7ii7 adm9i/] ! survey to a repres5tative sample ( vet]ans f ea* ,vet]ans ,integrat$ ,s]vice ,network2 & 7iii7 ensure t ! sample ( vet]ans survey$ is ( suffici5t size = ! /udy results to be /ati/ically significant4 7,b7 ,adm9i/rators & cl9icians ,9 conduct+ ! /udy ( cl9icians & adm9i/rators1 ! ,secret>y %all-- 7i7 survey adm9i/rators ( ! ,dep>tm5t :o are involv$ 9 ! provision ( heal? c>e s]vices2 7ii7 survey cl9icians t h provid$ complem5t>y & integrative m$ic9e s]vices ?r\gh ! program e/abli%$ "u section #c ( ?is ,act1 aft] ^? cl9icians h provid$ ^? s]vices ?r\gh su* program = at lea/ #ij days2 & 7iii7 adm9i/] ! survey to adm9i/rators "u clause 7i7-- 7,i7 be=e ! introduction ( complem5t>y & integrative m$ic9e s]vices ?r\gh su* program2 & 7,,ii7 n e>li] ?an #ij days aft] ! introduction ( complem5t>y & integrative m$ic9e s]vices ?r\gh su* program4 7b7 ,elem5ts ( /udies 7#a7 ,vet]ans ,9 conduct+ ! /udy ( vet]ans requir$ by subsection 7a71 ! ,secret>y %all /udy ! foll[+3 7,a7 ,! p]ceiv$ b>ri]s associat$ ) obta9+ complem5t>y & integrative m$ic9e s]vices f ! ,dep>tm5t4 7,b7 ,! satisfaction ( vet]ans ) complem5t>y & integrative m$ic9e s]vices 9 prim>y c>e4 7,c7 ,! degree to :i* vet]ans are aw>e ( eligibility requirem5ts =1 & ! scope ( s]vices available "u1 complem5t>y & integrative m$ic9e s]vices furni%$ by ! ,dep>tm5t4 7,d7 ,! effectiv5ess ( outrea* to vet]ans on ! availability ( complem5t>y & integrative m$ic9e = vet]ans4 7,e7 ,su* o!r b>ri]s z ! ,secret>y consid]s appropriate4 7#b7 ,adm9i/rators & cl9icians ,9 conduct+ ! /udy ( adm9i/rators & cl9icians requir$ by subsection 7a71 ! ,secret>y %all /udy ! foll[+3 7,a7 ,! ext5t ( ! integration ( complem5t>y & integrative m$ic9e s]vices )9 ! s]vices provid$ by ! ,dep>tm5t4 7,b7 ,! p]ception by adm9i/rators & cl9icians ( ! /ructural & attitud9al b>ri]s to ! deliv]y ( high quality complem5t>y & integrative m$ic9e s]vices by ! ,dep>tm5t4 7,c7 ,/rategies t h be5 us$ to r$uce or elim9ate su* b>ri]s & ! results ( su* /rategies4 7,d7 ,! satisfaction ( adm9i/rators & cl9icians reg>d+ ! integration ( complem5t>y & integrative m$ic9e s]vices )9 ! s]vices provid$ by ! ,dep>tm5t4 7,e7 ,! p]ception by adm9i/rators & cl9icians ( ! value ( specific complem5t>y & integrative m$ic9e s]vices = inpati5t & outpati5t vet]an populations4 7c7 ,dis*>ge by contract ,! ,secret>y %all ent] into a contract ) a qualifi$ indep5d5t entity or organization to c>ry out ! /udies requir$ by ?is section4 7d7 ,m&atory review ( data by ! ,national ,rese>* ,advisory ,c\ncil 7#a7 ,9 g5]al ,! ,secret>y %all ensure t ! head ( ! ,national ,rese>* ,advisory ,c\ncil reviews ! results ( ! /udies conduct$ "u ?is section4 7#b7 ,submittal ( f9d+s ,! head ( ! ,national ,rese>* ,advisory ,c\ncil %all submit f9d+s ) respect to ! /udies to ! ,"u ,secret>y = ,heal? & to o!r p]t95t program (fices )9 ! ,dep>tm5t ) responsibilities relat+ to heal? c>e s]vices = vet]ans4 7e7 ,reports 7#a7 ,report on implem5tation ,n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y %all submit to ,congress a report on ! /atus ( ! implem5tation ( ?is section4 7#b7 ,report on /udy 7,a7 ,9 g5]al ,n lat] ?an #de days aft] ! date ( ! completion ( ! /udy1 ! ,secret>y %all submit to ,congress a report on ! /udy requir$ by subsection 7a74 7,b7 ,cont5ts ,! report requir$ by subp>agraph 7,a7 %all include ! foll[+3 7i7 ,recomm5dations = su* adm9i/rative & legislative proposals & actions z ! ,secret>y consid]s appropriate4 7ii7 ,! f9d+s ( ! head ( ! ,national ,rese>* ,advisory ,c\ncil & ( ! ,"u ,secret>y = ,heal?4 7f7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ = fiscal ye> #bjai = ! ,dep>tm5t ( ,vet]ans ,affairs1 #b1jjj1jjj to c>ry out ?is section4 7g7 ,complem5t>y & integrative m$ic9e def9$ ,9 ?is section1 ! t]m complem5t>y & integrative m$ic9e %all h ! mean+ giv5 t t]m 9 section #b7;e7 ( ?is ,act4 #e4 ,program on use ( wellness programs z complem5t>y approa* to m5tal heal? c>e = vet]ans & family memb]s ( vet]ans 7a7 ,program requir$ 7#a7 ,9 g5]al ,! ,secret>y ( ,vet]ans ,affairs %all c>ry out a program ?r\gh ! aw>d ( grants to public or private nonpr(it entities to assess ! feasibility & advisability ( us+ wellness programs to complem5t ! provision ( m5tal heal? c>e to vet]ans & family memb]s eligible = c\nsel+ "u section #agab;,a7a77#a77;,c7 ( title #ch1 ,unit$ ,/ates ,code4 7#b7 ,matt]s to be address$ ,! program %all be c>ri$ out s z to assess ! foll[+3 7,a7 ,means ( improv+ coord9ation betwe5 ,f$]al1 ,/ate1 local1 & community provid]s ( heal? c>e 9 ! provision ( m5tal heal? c>e to vet]ans & family memb]s describ$ 9 p>agraph 7#a74 7,b7 ,means ( enhanc+ outrea*1 & coord9ation ( outrea*1 by & among provid]s ( heal? c>e ref]r$ to 9 subp>agraph 7,a7 on ! m5tal heal? c>e s]vices available to vet]ans & family memb]s describ$ 9 p>agraph 7#a74 7,c7 ,means ( us+ wellness programs ( provid]s ( heal? c>e ref]r$ to 9 subp>agraph 7,a7 z complem5ts to ! provision by ! ,dep>tm5t ( ,vet]ans ,affairs ( m5tal heal? c>e to vet]ans & family memb]s describ$ 9 p>agraph 7#a74 7,d7 ,:e!r wellness programs describ$ 9 subp>agraph 7,c7 are effective 9 enhanc+ ! quality ( life & well-be+ ( vet]ans & family memb]s describ$ 9 p>agraph 7#a74 7,e7 ,:e!r wellness programs describ$ 9 subp>agraph 7,c7 are effective 9 increas+ ! adh]5ce ( vet]ans describ$ 9 p>agraph 7#a7 to ! prim>y m5tal heal? s]vices provid$ su* vet]ans by ! ,dep>tm5t4 7,f7 ,:e!r wellness programs describ$ 9 subp>agraph 7,c7 h an impact on ! s5se ( well-be+ ( vet]ans describ$ 9 p>agraph 7#a7 :o receive prim>y m5tal heal? s]vices f ! ,dep>tm5t4 7,g7 ,:e!r wellness programs describ$ 9 subp>agraph 7,c7 are effective 9 enc\rag+ vet]ans receiv+ heal? c>e f ! ,dep>tm5t to adopt a m heal?y life/yle4 7b7 ,duration ,! ,secret>y %all c>ry out ! program = a p]iod ( ?ree ye>s beg9n+ on ! date t is "o ye> aft] ! date ( ! enactm5t ( ?is ,act4 7c7 ,locations ,! ,secret>y %all c>ry out ! program at facilities ( ! ,dep>tm5t provid+ m5tal heal? c>e s]vices to vet]ans & family memb]s describ$ 9 subsection 7a77#a74 7d7 ,grant proposals 7#a7 ,9 g5]al ,a public or private nonpr(it entity seek+ ! aw>d ( a grant "u ?is section %all submit an application !re= to ! ,secret>y 9 su* =m & 9 su* mann] z ! ,secret>y may require4 7#b7 ,application cont5ts ,ea* application submitt$ "u p>agraph 7#a7 %all include ! foll[+3 7,a7 ,a plan to coord9ate activities "u ! program1 to ! ext5t possible1 ) ! ,f$]al1 ,/ate1 & local provid]s ( s]vices = vet]ans to enhance ! foll[+3 7i7 ,aw>5ess by vet]ans ( b5efits & heal? c>e s]vices provid$ by ! ,dep>tm5t4 7ii7 ,outrea* ef=ts to increase ! use by vet]ans ( s]vices provid$ by ! ,dep>tm5t4 7iii7 ,educational ef=ts to in=m vet]ans ( ! b5efits ( a heal?y & active life/yle4 7,b7 ,a /atem5t ( und]/&+ f ! entity submitt+ ! application t1 if select$1 su* entity w be requir$ to report to ! ,secret>y p]iodically on /&>diz$ data & o!r p]=mance data necess>y to evaluate individual outcomes & to facilitate evaluations among entities p>ticipat+ 9 ! program4 7,c7 ,o!r requirem5ts t ! ,secret>y may prescribe4 7e7 ,grant uses 7#a7 ,9 g5]al ,a public or private nonpr(it entity aw>d$ a grant "u ?is section %all use ! aw>d = purposes prescrib$ by ! ,secret>y4 7#b7 ,eligible vet]ans & family ,9 c>ry+ out ! purposes prescrib$ by ! ,secret>y 9 p>agraph 7#a71 a public or private nonpr(it entity aw>d$ a grant "u ?is section %all use ! aw>d to furni% s]vices only to individuals specifi$ 9 section #agab;,a7a77#a77;,c7 ( title #ch1 ,unit$ ,/ates ,code4 7f7 ,reports 7#a7 ,p]iodic reports 7,a7 ,9 g5]al ,n lat] ?an #ahj days aft] ! date ( ! comm5cem5t ( ! program1 & e #ahj days !reaft]1 ! ,secret>y %all submit to ,congress a report on ! program4 7,b7 ,report elem5ts ,ea* report requir$ by subp>agraph 7,a7 %all include ! foll[+3 7i7 ,! f9d+s & conclusions ( ! ,secret>y ) respect to ! program dur+ ! #ahj-;day p]iod prec$+ ! report4 7ii7 ,an assessm5t ( ! b5efits ( ! program to vet]ans & _! family memb]s dur+ ! #ahj-;day p]iod prec$+ ! report4 7#b7 ,f9al report ,n lat] ?an #ahj days aft] ! end ( ! program1 ! ,secret>y %all submit to ,congress a report detail+ ! recomm5dations ( ! ,secret>y z to ! advisability ( cont9u+ or exp&+ ! program4 7g7 ,wellness def9$ ,9 ?is section1 ! t]m wellness has ! mean+ giv5 t t]m 9 regulations prescrib$ by ! ,secret>y4