,i #aaf? ,,congress #a/ ,session ,h4 ,r4 #cajc ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,june #e1 #bjai,mr4 ,ru!r=d 7= himself1 ,mr4 ,cisn]os1 ,mr4 ,waltz1 ,mr4 ,lawson ( ,florida1 & ,mr4 ,/iv]s7 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 grant program "u :i* ! ,secret>y %all make grants to private entities = ! provision ( s]vice dogs to eligible vet]ans ) 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 ( #bjai or ! ,,paws ,act ( #bjai4 #b4 ,f9d+s2 s5se ( ,congress 7a7 ,f9d+s ,congress makes ! foll[+ f9d+s3 7#a7 ,accord+ to ! analyses ( vet]an suicide publi%$ by ! ,dep>tm5t ( ,vet]ans ,affairs 9 ,augu/ #bjaf entitl$ ,suicide ,among ,vet]ans & ,o!r ,am]icans & 9 ,june #bjah entitl$ ,,va ,national ,suicide ,date ,report-- 7,a7 an av]age ( #bj vet]ans di$ by suicide ea* day dur+ #bjad2 7,b7 m5tal heal? disord]s1 includ+ major depression & o!r mood disord]s1 h be5 associat$ ) increas$ risk = suicide2 7,c7 ! proportion ( us]s ( ! ,vet]ans ,heal? ,adm9i/ration ) m5tal heal? conditions or sub/ance use disord]s 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? diagnoses 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+ tra9+ ( ! s]vice dog z well z tra9+ ( ! vet]an ) ! s]vice dog & foll[-up s]vices & support4 7#c7 ,organizations l ,k#is ,= ,w>riors & o!r memb]s ( ! ,association ( ,s]vice ,dog ,provid]s = ,milit>y ,vet]ans h prov5 track-records ( tra9+ s]vice dogs = vet]ans ) sev]e po/-traumatic /ress disord] & dramatically improv+ ^? vet]ans' quality ( life1 ability to re-ent] society1 &1 mo/ importantly1 _! *ances ( survival4 7#d7 ,new1 rigor\s sci5tific rese>* provides p]suasive weight to ! gr[+ anecdotal evid5ce t s]vice dogs ameliorate ! symptoms associat$ ) po/-traumatic /ress disord]1 & 9 p>ticul>1 help prev5t vet]an suicide4 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]4 #c4 ,dep>tm5t ( ,vet]ans ,affairs program to provide grants = ! provision ( s]vice dogs to c]ta9 vet]ans ) sev]e po/-traumatic /ress disord] 7a7 ,grants 7#a7 ,9 g5]al ,! ,secret>y ( ,vet]ans ,affairs %all make grants to eligible organizations = ! purposes ( provid+ s]vice dogs to eligible vet]ans4 7#b7 ,am\nt ( grant ,a grant "u ?is section %all be 9 an am\nt n to exce$ #be1jjj = ea* eligible vet]an pair$ ) a s]vice dog4 7b7 ,eligible organizations ,to be eligible to receive a grant "u ?is section1 an organization %all-- 7#a7 be a nonpr(it organization t-- 7,a7 provides s]vice dogs to vet]ans ) po/-traumatic /ress disord] 7h]e9aft] 9 ?is section ref]r$ to z ,,ptsd72 7,b7 meets ! publicly available ,national ,/&>d ( ! ,association ( ,s]vice ,dog ,provid]s = ,milit>y ,vet]ans2 & 7,c7 has exp]tise 9 ! unique ne$s ( vet]ans ) ,,ptsd2 7#b7 agree to provide ! b5efits describ$ 9 subsection 7c7 &1 if necess>y1 to cov] any co/s associat$ ) ! provision ( su* b5efits 9 excess ( ! am\nt ( ! grant2 7#c7 agree to reaccept or replace any s]vice dog ! organization provides to a vet]an us+ a grant "u ?is section1 if necess>y1 z det]m9$ by ! organization & ! vet]an2 & 7#d7 submit to ! ,secret>y an application conta9+ su* in=mation1 c]tification1 & assurances z ! ,secret>y may reasonably require4 7c7 ,b5efits ,to be provid$ us+ grant funds ,an organization t receives a grant "u subsection 7a7 %all use ! grant to-- 7#a7 provide a s]vice dog = ea* eligible vet]an p>ticipat+ 9 ! program2 7#b7 = ea* s]vice dog provid$1 to provide-- 7,a7 comm]cially available or ,gov]nm5t-gu>ante$ vet]9>y heal? insurance to ma9ta9 ! heal? ( ! dog & keep ! dog function+ 9 ! prescrib$ role = ! life ( ! dog2 & 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 cov] ! co/ ( any 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 7d7 ,travel exp5ses = replacem5t dogs ,if a vet]an replaces a s]vice dog provid$ pursuant to a grant "u ?is section1 ! ,secret>y %all pay an additional am\nt = su* ! travel exp5ses1 to be calculat$ 9 ! same mann] z simil> travel exp5ses provid$ pursuant to section #aaa ( title #ch1 ,unit$ ,/ates ,code4 ,su* paym5t %all be 9 addition to any o!r b5efits ! vet]an receives = ! fir/ s]vice dog provid$ "u ?is section4 7e7 ,eligible vet]ans 7#a7 ,initial eligibility ,= purposes ( ?is section1 an eligible vet]an is a vet]an :o-- 7,a7 is enroll$ 9 ! pati5t enrollm5t sy/em ( ! ,dep>tm5t ( ,vet]ans ,affairs "u section #agje ( title #ch1 ,unit$ ,/ates ,code2 7,b7 has be5 treat$ & has complet$ an e/abli%$ evid5ce-bas$ treatm5t = ,,ptsd yet rema9s diagnos$ ) ,,ptsd by a qualifi$ heal? c>e provid]1 z rat$ on ! po/-traumatic /ress disord] *eckli/ 7,,pcl-#e72 7,c7 ! heal? c>e provid] or cl9ical team ( ! ,dep>tm5t ( ,vet]ans ,affairs t is treat+ ! vet]an = su* disord] det]m9es1 bas$ ^u m$ical judgm5t1 t ! vet]an may pot5tially b5efit f a s]vice dog2 & 7,d7 agrees to successfully complete tra9+ provid$ by an eligible organization 9 conjunction ) ! receipt ( a s]vice dog4 7#b7 ,ongo+ eligibility ,to rema9 eligible to p>ticipate 9 ! program1 a vet]an %all see ! heal? c>e provid] or cl9ical team ( ! ,dep>tm5t ( ,vet]ans ,affairs treat+ ! vet]an = su* a disord] at lea/ once e six mon?s to det]m9e1 bas$ on a cl9ical evaluation ( efficacy1 :e!r ! vet]an cont9ues to b5efit f a s]vice dog4 7#c7 ,o!r cases ,if at any po9t1 ! vet]an is no long] able or will+ to c>e = ! s]vice dog1 ! organization t provid$ ! s]vice dog & ! vet]an %all det]m9e ! appropriate rec\rse to ensure ! safety ( bo? ! vet]an & ! s]vice dog4 7f7 ,approval ( grant applications ,! ,secret>y ( ,vet]ans ,affairs may review an application submitt$ by an eligible organization = a grant "u ?is section only aft] ! organization accepts an eligible vet]an into an appropriate program4 ,! ,secret>y %all approve or d5y su* an application n lat] ?an #ij days aft] ! date on :i* an eligible organization applies to p>ticipate "u ?is section on behalf ( an eligible vet]an4 7g7 ,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 = ,,ptsd4 ,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 7h7 ,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 ! program1 ! improvem5t 9 psy*osocial function & !rapeutic compliance ( su* vet]ans & *anges ) respect to ! dep5d5ce on prescription n>cotics & psy*otropic m$ication ( su* vet]ans2 & 7#b7 e/abli% processes to docum5t & track ! progress ( su* vet]ans "u ! program 9 t]ms ( ! b5efits & improvem5ts not$ z a result ( ! program4 7i7 ,,gao brief+ & /udy 7#a7 ,brief+ ,n lat] ?an "o ye> aft] ! date on :i* ! ,secret>y comm5ces ! grant program "u ?is section1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all provide to ! ,committees on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives & ! ,s5ate a brief+ on ! me?odology e/abli%$ = ! program4 7#b7 ,report ,n lat] ?an #bgj days aft] ! date on :i* ! grant program "u ?is section t]m9ates1 ! ,comptroll] ,g5]al %all submit to ! committees specifi$ 9 p>agraph 7#a7 a report on ! program4 ,su* report %all include an evaluation ( ! approa* & me?odology us$ = ! program ) respect to-- 7,a7 help+ vet]ans ) sev]e ,,ptsd return to civilian life2 7,b7 relevant metrics1 includ+ any r$uction 9 metrics1 includ+ r$uction 9 scores "u ! po/-traumatic /ress disord] *eckli/ 7,,pcl-#e71 improvem5t 9 psy*osocial function1 & !rapeutic compliance2 & 7,c7 r$uc+ ! dep5d5ce ( p>ticipants on prescription n>cotics & psy*otropic m$ication4 7j7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ = ! p]iod ( fiscal ye> #bjai ?r\gh fiscal ye> #bjbb1 #aj1jjj1jjj to c>ry out ! program "u ?is section4 7k7 ,t]m9ation ,! au?ority to c>ry out a program "u ?is section %all t]m9ate on ! date t is #c ye>s aft] ! date ( ! enactm5t ( ?is ,act4 ,an eligible vet]an 9 possession ( a s]vice dog furni%$ "u ! program z ( ! date ( ! t]m9ation ( ! program may keep ! s]vice dog aft] ! t]m9ation ( ! program = ! life ( ! dog4