#aafth ,,congress #ast ,session ,h4 ,r4 #cbbd ,,an ,,act ,to amend title #ch1 ,united ,states ,code1 to provide for increased access to ,department of ,veterans ,affairs medical care for women veterans4 #a4 ,short title2 table of contents 7a7 ,short title ,this ,act may be cited as the ,deborah ,sampson ,act4 7b7 ,table of contents ,the table of contents for this ,act is as follows3 ,sec4 #a4 ,short title2 table of contents4 ,title ,i--,veterans ,health ,administration ,sec4 #aja4 ,office of ,women's ,health in the ,department of ,veterans ,affairs4 ,sec4 #ajb4 ,expansion of capabilities of women veterans call center to include text messaging4 ,sec4 #ajc4 ,requirement for ,department of ,veterans ,affairs internet website to provide information on services available to women veterans4 ,sec4 #ajd4 ,report on ,women ,veterans ,retrofit ,initiative4 ,sec4 #aje4 ,establishment of environment of care standards and inspections at ,department of ,veterans ,affairs medical centers4 ,sec4 #ajf4 ,additional funding for primary care and emergency care clinicians in ,women ,veterans ,health ,care ,mini-,residency ,program4 ,sec4 #ajg4 ,establishment of women veteran training module for non-,department of ,veterans ,affairs health care providers4 ,title ,,ii--,medical care ,sec4 #bja4 ,improved access to ,department of ,veterans ,affairs medical care for women veterans4 ,sec4 #bjb4 ,counseling and treatment for sexual trauma4 ,sec4 #bjc4 ,counseling in retreat settings for women veterans and other individuals4 ,sec4 #bjd4 ,improvement of health care services provided to newborn children by ,department of ,veterans ,affairs4 ,title ,,iii--,reports and other matters ,subtitle ,a--,reports ,sec4 #cja4 ,assessment of effects of intimate partner violence on women veterans by ,advisory ,committee on ,women ,veterans4 ,sec4 #cjb4 ,study on staffing of ,women ,veteran ,program ,manager program at medical centers of the ,department of ,veterans ,affairs and training of staff4 ,sec4 #cjc4 ,report on availability of prosthetic items for women veterans from the ,department of ,veterans ,affairs4 ,sec4 #cjd4 ,study of barriers for women veterans to health care from the ,department of ,veterans ,affairs4 ,sec4 #cje4 ,report regarding veterans who receive benefits under laws administered by the ,secretary of ,veterans ,affairs4 ,sec4 #cjf4 ,study on ,women ,veteran ,coordinator program4 ,subtitle ,b--,other matters ,sec4 #cba4 ,anti-harassment and anti-sexual assault policy of the ,department of ,veterans ,affairs4 ,sec4 #cbb4 ,support for organizations that have a focus on providing assistance to women veterans and their families4 ,sec4 #cbc4 ,gap analysis of ,department of ,veterans ,affairs programs that provide assistance to women veterans who are homeless4 ,sec4 #cbd4 ,department of ,veterans ,affairs public-private partnership on legal services for women veterans4 ,sec4 #cbe4 ,program to assist veterans who experience intimate partner violence or sexual assault4 ,sec4 #cbf4 ,study and task force on veterans experiencing intimate partner violence or sexual assault4 ,i ,veterans ,health ,administration #aja4 ,office of ,women's ,health in the ,department of ,veterans ,affairs 7a7 ,director of ,women's ,health ,subsection 7a7 of section #gcjf of title #ch1 ,united ,states ,code1 is amended-- 7#a7 by redesignating paragraph 7#aj7 as paragraph 7#aa72 and 7#b7 by inserting after paragraph 7#i7 the following new paragraph3 7#aj7 ,the ,director of ,women's ,health4 4 7b7 ,organization of ,office 7#a7 ,in general ,subchapter ,i of chapter #gc of title #ch1 ,united ,states ,code1 is amended by adding at the end of the following new sections3 #gcaj4 ,office of ,women's ,health 7a7 ,establishment 7#a7 ,the ,under ,secretary for ,health shall establish and operate in the ,veterans ,health ,administration the ,office of ,women's ,health 7hereinafter in this section referred to as the ,office74 ,the ,office shall be located at the ,central ,office of the ,department of ,veterans ,affairs4 7#b7 ,the head of the ,office is the ,director of ,women's ,health 7hereinafter in this section referred to as the ,director74 ,the ,director shall report to the ,under ,secretary for ,health4 7#c7 ,the ,under ,secretary for ,health shall provide the ,office with such staff and other support as may be necessary for the ,office to carry out effectively its functions under this section4 7#d7 ,the ,under ,secretary for ,health may reorganize existing offices within the ,veterans ,health ,administration as of the date of the enactment of this section in order to avoid duplication with the functions of the ,office4 7b7 ,purpose ,the functions of the ,office include the following3 7#a7 ,to provide a central office for monitoring and encouraging the activities of the ,veterans ,health ,administration with respect to the provision1 evaluation1 and improvement of women veterans' health care services in the ,department4 7#b7 ,to develop and implement standards of care for the provision of health care for women veterans in the ,department4 7#c7 ,to monitor and identify deficiencies in standards of care for the provision of health care for women veterans in the ,department1 to provide technical assistance to medical facilities of the ,department to address and remedy deficiencies1 and to perform oversight of implementation of standards of care for women veterans' health care in the ,department4 7#d7 ,to monitor and identify deficiencies in standards of care for the provision of health care for women veterans provided through the community pursuant to this title1 and to provide recommendations to the appropriate office to address and remedy any deficiencies4 7#e7 ,to oversee distribution of resources and information related to women veterans' health programming under this title4 7#f7 ,to promote the expansion and improvement of clinical1 research1 and educational activities of the ,veterans ,health ,administration with respect the health care of women veterans4 7#g7 ,to provide1 as part of the annual budgeting process1 recommendations with respect to the amount of funds to be requested for furnishing hospital care and medical services to women veterans pursuant to chapter #ag of this title1 including1 at a minimum1 recommendations that ensure that such amount of funds either reflect or exceed the proportion of veterans enrolled in the patient enrollment system under section #agje of this title who are women4 7#h7 ,to provide recommendations to the ,under ,secretary for ,health with respect to modifying the ,veterans ,equitable ,resource ,allocation system to ensure that resource allocations under such system reflect the health care needs of women veterans4 7#i7 ,to carry out such other duties as the ,under ,secretary for ,health may require4 7c7 ,recommendations ,if the ,under ,secretary for ,health determines not to implement any recommendation made by the ,director with respect to the allocation of resources to address the health care needs of women veterans1 the ,secretary shall notify the appropriate congressional committees of such determination by not later than #cj days after the date on which the ,under ,secretary for ,health receives the recommendation4 ,each such notification shall include the following3 7#a7 ,the reasoning of the ,under ,secretary for ,health in making such determination4 7#b7 ,an alternative1 if one is selected1 to such recommendation that the ,under ,secretary for ,health will carry out to fulfill the health care needs of women veterans4 7d7 ,standards of care ,in this section1 the standards of care for the provision of health care for women veterans in the ,department shall include1 at a minimum1 the following3 7#a7 ,requirement for-- 7,a7 at least one designated women's health primary care provider at each medical center whose duties include1 to the extent practicable1 providing training to other health care providers of the ,department with respect to the needs of women veterans2 and 7,b7 at least one designated women's health primary care provider at each community-based outpatient clinic of the ,department who may serve female patients as a percentage of the total duties of the provider4 7#b7 ,other requirements as determined by the ,under ,secretary for ,health4 7e7 ,outreach ,the ,director shall ensure that-- 7#a7 not less frequently than biannually1 each medical facility of the ,department holds a public forum for women veterans that occurs outside of regular business hours2 and 7#b7 not less frequently than quarterly1 each medical facility of the ,department convenes a focus group of women veterans that includes a discussion of harassment occurring at such facility4 7f7 ,definitions ,in this section3 7#a7 ,the term appropriate congressional committees has the meaning given that term in section #gcaj;,a of this title4 7#b7 ,the term facility of the ,department has the meaning given the term in section #agja7c74 7#c7 ,the term ,veterans ,equitable ,resource ,allocation system means the resource allocation system established pursuant to section #dbi of the ,departments of ,veterans ,affairs and ,housing and ,urban ,development1 and ,independent ,agencies ,appropriations ,act1 #aiig 7,public ,law #ajd-bjd2 #aaj ,stat4 #bibi74 #gcaj;,a4 ,annual reports on women's ,health 7a7 ,annual reports ,not later than ,december #a of each year1 the ,director of ,women's ,health shall submit to the appropriate congressional committees a report containing the matters under subsections 7b7 through 7g74 7b7 ,office of ,women's ,health ,each report under subsection 7a7 shall include a description of-- 7#a7 actions taken by the ,office of ,women's ,health in the preceding fiscal year to improve the ,department's provision of health care to women veterans2 7#b7 any identified deficiencies related to the ,department's provision of health care to women veterans and the standards of care established in section #gcaj of this title1 and the ,department's plan to address such deficiencies2 7#c7 the funding and personnel provided to the ,office and whether additional funding or personnel are needed to meet the requirements of such section2 and 7#d7 other information that would be of interest to the appropriate congressional committees with respect to oversight of the ,department's provision of health care to women veterans4 7c7 ,access to gender-,specific services ,each report under subsection 7a7 shall include an analysis of the access of women veterans to gender-specific services under contracts1 agreements1 or other arrangements with non-,department medical providers entered into by the ,secretary for the provision of hospital care or medical services to veterans4 ,such analysis shall include data and performance measures for the availability of gender specific services1 including-- 7#a7 the average wait time between the veteran's preferred appointment date and the date on which the appointment is completed2 7#b7 the average driving time required for veterans to attend appointments2 and 7#c7 reasons why appointments could not be scheduled with non-,department medical providers4 7d7 ,locations where women veterans are using health care ,each report under subsection 7a7 shall include an analysis of the use by women veterans of health care from the ,department1 including the following information3 7#a7 ,the number of women veterans who reside in each ,state4 7#b7 ,the number of women veterans in each ,state who are enrolled in the system of patient enrollment of the ,department established and operated under section #agje7;a7 this title4 7#c7 ,of the women veterans who are so enrolled1 the number who have received health care under the laws administered by the ,secretary at least one time during the #a-year period preceding the submittal of the report4 7#d7 ,the number of women veterans who have been seen at each medical facility of the ,department during such year4 7#e7 ,the number of appointments that women veterans have had at each such facility during such year4 7#f7 ,if known1 an identification of the medical facility of the ,department in each ,veterans ,integrated ,service ,network with the largest rate of increase in patient population of women veterans as measured by the increase in unique women veteran patient use4 7#g7 ,if known1 an identification of the medical facility of the ,department in each ,veterans ,integrated ,service ,network with the largest rate of decrease in patient population of women veterans as measured by the decrease in unique women veterans patient use4 7e7 ,models of care ,each report under subsection 7a7 shall include an analysis of the use by the ,department of general primary care clinics1 separate but shared spaces1 and women's health centers as models of providing health care to women veterans4 ,such analysis shall include the following3 7#a7 ,the number of facilities of the ,department that fall into each such model1 disaggregated by ,veterans ,integrated ,service ,network and ,state4 7#b7 ,a description of the criteria used by the ,department to determine which such model is most appropriate for each facility of the ,department4 7#c7 ,an assessment of how the ,department decides to make investments to modify facilities to a different model4 7#d7 ,a description of what1 if any1 plans the ,department has to modify facilities from general primary care clinics to another model4 7#e7 ,an assessment of whether any facilities could be modified to a separate but shared space for a women's health center within planned investments under the strategic capital investment planning process of the ,department4 7#f7 ,an assessment of whether any facilities could be modified to a separate or shared space1 or women's health center with minor modifications to existing plans under the strategic capital investment planning process of the ,department4 7#g7 ,an assessment of whether the ,department has a goal for how many facilities should fall into each such model4 7f7 ,staffing ,each report under subsection 7a7 shall include an analysis of the staffing of the ,department relating to the treatment of women1 including the following1 disaggregated by ,veterans ,integrated ,service ,network and ,state 7except with respect to paragraph 7#d773 7#a7 ,the number of women's health centers4 7#b7 ,the number of patient aligned care teams of the ,department relating to women's health4 7#c7 ,the number of full- and part-time gynecologists of the ,department4 7#d7 ,the number of designated women's health care providers of the ,department1 disaggregated by facility of the ,department4 7#e7 ,the number of health care providers of the ,department who have completed a mini-residency for women's health care through ,women ,veterans ,health ,care ,mini-,residency ,program of the ,department during the #a-year period preceding the submittal of the report1 and the number that plan to participate in such a mini-residency during the #a-year period following such date4 7#f7 ,the number of designated women's health care providers of the ,department who have sufficient female patients to retain their competencies and proficiencies4 7g7 ,accessibility and treatment options ,each report under subsection 7a7 shall include an analysis of the accessibility and treatment options for women veterans1 including the following3 7#a7 ,an assessment of wheelchair accessibility of women's health centers of the ,department1 including1 with respect to each such facility1 an assessment of such accessibility for each kind of treatment provided at the center1 including with respect to radiology and mammography1 that addresses all relevant factors1 including door sizes1 hoists1 and equipment4 7#b7 ,the options for women veterans to access female mental health providers and primary care providers4 7#c7 ,the options for women veterans at medical facilities of the ,department with respect to clothing sizes1 including for gowns1 drawstring pants1 and pajamas4 7h7 ,definitions ,in this section3 7#a7 ,the term appropriate congressional committees means-- 7,a7 the ,committees on ,veterans' ,affairs of the ,house of ,representatives and the ,senate2 and 7,b7 the ,committees on ,appropriations of the ,house of ,representatives and the ,senate4 7#b7 ,the term gender-specific services means mammography1 obstetric care1 gynecological care1 and such other services as the ,secretary determines appropriate4 4 7#b7 ,clerical amendment ,the table of sections for such chapter is amended by inserting after the item relating to section #gcji;,a the following new items3 #gcaj4 ,office of ,women's ,health4 #gcaj;,a4 ,annual reports on women's ,health4 4 7c7 ,initial report ,the ,secretary of ,veterans ,affairs shall submit the initial report under section #gcaj;,a of title #ch1 ,united ,states ,code1 as added by subsection 7b71 by not later than #ahj days after the date of the enactment of this ,act4 #ajb4 ,expansion of capabilities of women veterans call center to include text messaging ,the ,secretary of ,veterans ,affairs shall expand the capabilities of the ,women ,veterans ,call ,center of the ,department of ,veterans ,affairs to include a text messaging capability4 #ajc4 ,requirement for ,department of ,veterans ,affairs internet website to provide information on services available to women veterans 7a7 ,in general ,the ,secretary of ,veterans ,affairs shall survey the internet websites and information resources of the ,department of ,veterans ,affairs in effect on the day before the date of the enactment of this ,act and publish an internet website that serves as a centralized source for the provision to women veterans of information about the benefits and services available to them under laws administered by the ,secretary4 7b7 ,elements ,the internet website published under subsection 7a7 shall provide to women veterans information regarding all of the services available in the district in which the veteran is seeking such services1 including1 with respect to each medical center and community-based outpatient clinic in the applicable ,veterans ,integrated ,service ,network-- 7#a7 the name and contact information of each women veterans program manager2 7#b7 a list of appropriate staff for other benefits available from the ,veterans ,benefits ,administration1 the ,national ,cemetery ,administration1 and such other entities as the ,secretary considers appropriate2 and 7#c7 such other information as the ,secretary considers appropriate4 7c7 ,updated information ,the ,secretary shall ensure that the information described in subsection 7b7 that is published on the internet website required by subsection 7a7 is updated not less frequently than once every #ij days4 7d7 ,outreach ,in carrying out this section1 the ,secretary shall ensure that the outreach conducted under section #agbj;,f7i7 of title #ch1 ,united ,states ,code1 includes information regarding the internet website required by subsection 7a74 7e7 ,derivation of funds ,amounts used by the ,secretary to carry out this section shall be derived from amounts made available to the ,secretary to publish internet websites of the ,department4 #ajd4 ,report on ,women ,veterans ,retrofit ,initiative 7a7 ,report ,not later than #ahj days after the date of the enactment of this ,act1 the ,secretary of ,veterans ,affairs shall submit to the ,committees on ,veterans' ,affairs and the ,committees on ,appropriations of the ,senate and the ,house of ,representatives a report on requirements to retrofit existing medical facilities of the ,department of ,veterans ,affairs with fixtures1 materials1 and other outfitting measures to support the provision of care to women veterans at such facilities4 7b7 ,elements ,the report under subsection 7a7 shall include the following3 7#a7 ,an assessment of how the ,secretary prioritizes retrofitting existing medical facilities to support provision of care to women veterans in comparison to other requirements4 7#b7 ,a #e-year plan for retrofitting medical facilities of the ,department to support the provision of care to women veterans4 #aje4 ,establishment of environment of care standards and inspections at ,department of ,veterans ,affairs medical centers 7a7 ,in general ,the ,secretary of ,veterans ,affairs shall establish a policy under which the environment of care standards and inspections at medical centers of the ,department of ,veterans ,affairs include-- 7#a7 an alignment of the requirements for such standards and inspections with the women's health handbook of the ,veterans ,health ,administration2 7#b7 a requirement for the frequency of such inspections2 7#c7 delineation of the roles and responsibilities of staff at the medical center who are responsible for compliance2 7#d7 the requirement that each medical center submit to the ,secretary and make publicly available a report on the compliance of the medical center with the standards2 and 7#e7 a remediation plan4 7b7 ,report ,not later than #ahj days after the date of the enactment of this ,act1 the ,secretary shall submit to the ,committees on ,veterans' ,affairs of the ,senate and ,house of ,representatives certification in writing that the policy required by subsection 7a7 has been finalized and disseminated to ,department all medical centers4 #ajf4 ,additional funding for primary care and emergency care clinicians in ,women ,veterans ,health ,care ,mini-,residency ,program 7a7 ,in general ,there is authorized to be appropriated to the ,secretary of ,veterans ,affairs #a1jjj1jjj for each fiscal year for the ,women ,veterans ,health ,care ,mini-,residency ,program of the ,department of ,veterans ,affairs to provide opportunities for participation in such program for primary care and emergency care clinicians4 7b7 ,treatment of amounts ,the amounts authorized to be appropriated under subsection 7a7 shall be in addition to amounts otherwise made available to the ,secretary for the purposes set forth in such subsection4 #ajg4 ,establishment of women veteran training module for non-,department of ,veterans ,affairs health care providers 7a7 ,in general ,not later than #a year after the date of the enactment of this ,act1 the ,secretary of ,veterans ,affairs shall establish and make available to community providers a training module that is specific to women veterans4 7b7 ,community provider defined ,in this section1 the term community provider means a non-,department of ,veterans ,affairs health care provider who provides health care to veterans under the laws administered by the ,secretary of ,veterans ,affairs4 ,,ii ,medical care #bja4 ,improved access to ,department of ,veterans ,affairs medical care for women veterans 7a7 ,in general ,subchapter ,,ii of chapter #ag of title #ch1 ,united ,states ,code1 is amended by adding at the end the following new section3 #agbj;,j4 ,medical services for women veterans 7a7 ,access to care ,the ,secretary shall ensure that women's health primary care services are available during regular business hours at every medical center and community based outpatient clinic of the ,department4 7b7 ,study on extended hours of care ,the ,secretary shall conduct a study to assess-- 7#a7 the use of extended hours as a means of reducing barriers to care2 7#b7 the need for extended hours based on interviews with women veterans and employees2 and 7#c7 the best practices and resources required to implement use of extended hours4 7c7 ,annual report to ,congress ,not later than ,september #cj of each year1 the ,secretary shall submit to the ,committee on ,veterans' ,affairs of the ,senate and the ,committee on ,veterans' ,affairs of the ,house of ,representatives a report on compliance with subsection 7a74 4 7b7 ,clerical amendment ,the table of sections at the beginning of such chapter is amended by inserting after the item relating to section #agbj;,i the following new item3 #agbj;,j4 ,medical services for women veterans4 4 #bjb4 ,counseling and treatment for sexual trauma ,section #agbj;,d of title #ch1 ,united ,states ,code1 is amended-- 7#a7 in subsection 7a7-- 7,a7 in paragraph 7#a71 by striking active duty1 active duty for training1 or inactive duty training and inserting duty1 regardless of duty status or line of duty determination 7as that term is used in section #abcbc of title #aj72 and 7,b7 in paragraph 7#b77;,a71 by striking active duty1 active duty for training1 or inactive duty training and inserting duty1 regardless of duty status or line of duty determination 7as that term is used in section #abcbc of title #aj72 7#b7 by striking veteran each place it appears and inserting former member of the ,armed ,forces2 7#c7 by striking veterans each place it appears and inserting former members of the ,armed ,forces2 and 7#d7 by adding at the end the following new subsection3 7g7 ,in this section1 the term former member of the ,armed ,forces includes the following3 7#a7 ,a veteran described in section #aja7b7 of this title4 7#b7 ,an individual not described in paragraph 7#a7 who was discharged or released from the ,armed ,forces under a condition that is not honorable but not-- 7,a7 a dishonorable discharge2 or 7,b7 a discharge by court-martial4 4 #bjc4 ,counseling in retreat settings for women veterans and other individuals 7a7 ,in general ,chapter #ag of title #ch1 ,united ,states ,code1 is amended by inserting after section #agab;,c the following new section3 #agab;,d4 ,counseling in retreat settings for women veterans and other individuals 7a7 ,program 7#a7 ,commencing not later than ,january #a1 #bjba1 the ,secretary shall carry out1 through the ,readjustment ,counseling ,service of the ,veterans ,health ,administration1 a program to provide reintegration and readjustment services described in subsection 7b7 in group retreat settings to covered individuals1 including cohorts of women veterans who are eligible for readjustment counseling services under section #agab;,a of this title4 7#b7 ,the participation of a covered individual in the program under paragraph 7#a7 shall be at the election of the individual4 7b7 ,covered services ,the services provided to a covered individual under the program under subsection 7a77#a7 shall include the following3 7#a7 ,information on reintegration into the family1 employment1 and community of the individual4 7#b7 ,financial counseling4 7#c7 ,occupational counseling4 7#d7 ,information and counseling on stress reduction4 7#e7 ,information and counseling on conflict resolution4 7#f7 ,such other information and counseling as the ,secretary considers appropriate to assist the individual in reintegration into the family1 employment1 and community of the veteran4 7c7 ,biennial reports ,not later than ,december #ca1 #bjbb1 and each even-numbered year thereafter1 the ,secretary shall submit to the ,committees on ,veterans' ,affairs of the ,house of ,representatives and the ,senate a report on the program under subsection 7a77#a74 7d7 ,covered individual defined ,in this section1 the term covered individual means-- 7#a7 ,any veteran who is enrolled in the system of annual patient enrollment under section #agje of this title4 7#b7 ,any survivor or dependent of a veteran who is eligible for medical care under section #agha of this title4 4 7b7 ,clerical amendment ,the table of sections at the beginning of such chapter is amended by inserting after the item relating to section #agab;,c the following new item3 #agab;,d4 ,counseling in retreat settings for women veterans and other individuals4 4 #bjd4 ,improvement of health care services provided to newborn children by ,department of ,veterans ,affairs 7a7 ,expansion ,section #aghf of title #ch1 ,united ,states ,code1 is amended-- 7#a7 in subsection 7a71 in the matter preceding paragraph 7#a71 by striking seven days and inserting #ad days2 and 7#b7 by adding at the end the following new subsection3 7f7 ,annual report ,not later than #fj days after the end of each fiscal year1 the ,secretary shall submit to the ,committee on ,veterans' ,affairs of the ,senate and the ,committee on ,veterans' ,affairs of the ,house of ,representatives a report on the health care services provided under subsection 7a7 during such fiscal year1 including the number of newborn children who received such services during such fiscal year4 4 7b7 ,authority ,to furnish medically necessary transportation for newborn children of certain women veterans ,such section is further amended-- 7#a7 in subsection 7a7-- 7,a7 in the matter before paragraph 7#a7-- 7i7 by inserting and transportation necessary to receive such services after described in subsection 7b72 and 7ii7 by inserting 1 except as provided in subsection 7e71 after #ad days2 7,b7 in paragraph 7#a71 by striking or2 7,c7 in paragraph 7#b71 by striking the period at the end and inserting 2 or2 and 7,d7 by adding at the end the following new paragraph3 7#c7 another location1 including a health care facility1 if the veteran delivers the child before arriving at a facility described in paragraph 7#a7 or 7#b74 2 7#b7 in subsection 7b71 by inserting before the period at the end the following3 1 including necessary health care services provided by a facility other than the facility where the newborn child was delivered 7including a specialty pediatric hospital7 that accepts transfer of the newborn child and responsibility for treatment of the newborn child2 and 7#c7 by inserting before subsection 7f71 as added by subsection 7a71 the following new subsections3 7c7 ,transportation 7#a7 ,transportation furnished under subsection 7a7 to1 from1 or between care settings to meet the needs of a newborn child includes costs for either or both the newborn child and parents4 7#b7 ,transportation furnished under subsection 7a7 is transportation by ambulance1 including air ambulance1 or other appropriate medically staffed modes of transportation-- 7,a7 to another health care facility 7including a specialty pediatric hospital7 that accepts transfer of the newborn child or otherwise provides post-delivery care services when the treating facility is not capable of furnishing the care or services required2 or 7,b7 to a health care facility in a medical emergency of such nature that a prudent layperson reasonably expects that delay in seeking immediate medical attention would be hazardous to life or health4 7#c7 ,amounts paid by the ,department for transportation under this section shall be derived from the ,medical ,services appropriations account of the ,department4 7d7 ,reimbursement or payment for health care services or transportation 7#a7 ,pursuant to regulations the ,secretary shall prescribe to establish rates of reimbursement and any limitations thereto under this section1 the ,secretary shall directly reimburse a covered entity for health care services or transportation services provided under this section1 unless the cost of the services or transportation is covered by an established agreement or contract4 ,if such an agreement or contract exists1 its negotiated payment terms shall apply4 7#b7 7,a7 ,reimbursement or payment by the ,secretary under this section on behalf of an individual to a covered entity shall1 unless rejected and refunded by the covered entity within #cj days of receipt1 extinguish any liability on the part of the individual for the health care services or transportation covered by such payment4 7,b7 ,neither the absence of a contract or agreement between the ,secretary and a covered entity nor any provision of a contract1 agreement1 or assignment to the contrary shall operate to modify1 limit1 or negate the requirements of subparagraph 7,a74 7#c7 ,in this subsection1 the term covered entity means any individual1 transportation carrier1 organization1 or other entity that furnished or paid for health care services or transportation under this section4 7e7 ,exception ,pursuant to such regulations as the ,secretary shall prescribe to carry out this section1 the ,secretary may furnish more than #ad days of health care services described in subsection 7b71 and transportation necessary to receive such services1 to a newborn child based on medical necessity if the child is in need of additional care1 including a case in which the newborn child has been discharged or released from a hospital and requires readmittance to ensure the health and welfare of the newborn child4 4 7c7 ,treatment of certain expenses already incurred ,pursuant to such regulations as the ,secretary of ,veterans ,affairs shall prescribe1 the ,secretary may provide reimbursement under section #aghf of title #ch1 ,united ,states ,code1 as amended by subsection 7a71 health care services or transportation services furnished to a newborn child during the period beginning on ,may #e1 #bjaj1 and ending on the date of the enactment of this ,act1 if the ,secretary determines that1 under the circumstances applicable with respect to the newborn1 such reimbursement appropriate4 ,,iii ,reports and other matters ,a ,reports #cja4 ,assessment of effects of intimate partner violence on women veterans by ,advisory ,committee on ,women ,veterans ,section #edb7;c77#a7 of title #ch1 ,united ,states ,code1 is amended-- 7#a7 in subparagraph 7,b71 by striking and at the end2 7#b7 by redesignating subparagraph 7,c7 as subparagraph 7,d72 and 7#c7 by inserting after subparagraph 7,b7 the following new subparagraph 7,c73 7,c7 an assessment of the effects of intimate partner violence on women veterans2 and 4 #cjb4 ,study on staffing of ,women ,veteran ,program ,manager program at medical centers of the ,department of ,veterans ,affairs and training of staff 7a7 ,study ,the ,secretary of ,veterans ,affairs shall conduct a study on the use of the ,women ,veteran ,program ,manager program of the ,department of ,veterans ,affairs to determine-- 7#a7 if the program is appropriately staffed at each medical center of the ,department2 7#b7 whether each medical center of the ,department is staffed with a ,women ,veteran ,program ,manager2 and 7#c7 whether it would be feasible and advisable to have a ,women ,veteran ,program ,ombudsman at each medical center of the ,department4 7b7 ,report ,not later than #bgj days after the date of the enactment of this ,act1 the ,secretary shall submit to the ,committee on ,veterans' ,affairs of the ,senate and the ,committee on ,veterans' ,affairs of the ,house of ,representatives a report on the study conducted under subsection 7a74 7c7 ,training ,the ,secretary shall ensure that all ,women ,veteran ,program ,managers and ,women ,veteran ,program ,ombudsmen receive the proper training to carry out their duties4 #cjc4 ,report on availability of prosthetic items for women veterans from the ,department of ,veterans ,affairs ,not later than #a year after the date of the enactment of this ,act1 the ,secretary of ,veterans ,affairs shall submit to the ,committee on ,veterans' ,affairs of the ,senate and the ,committee on ,veterans' ,affairs of the ,house of ,representatives a report on the availability from the ,department of ,veterans ,affairs of prosthetic items made for women veterans1 including an assessment of the availability of such prosthetic items at each medical facility of the ,department4 ,the report shall-- 7#a7 address efforts on research1 development1 and employment of additive manufacture technology 7commonly referred to as #c;,d printing7 to provide prosthetic items for women veterans2 and 7#b7 include a survey with a representative sample of #ej1jjj veterans 7of which women shall be overrrepresented7 in amputee care program on satisfaction with prosthetics furnished or procured by the ,department that replace appendages or their function4 #cjd4 ,study of barriers for women veterans to health care from the ,department of ,veterans ,affairs 7a7 ,study required ,the ,secretary of ,veterans ,affairs shall conduct a comprehensive study of the barriers to the provision of comprehensive health care by the ,department of ,veterans ,affairs encountered by women who are veterans4 ,in conducting the study1 the ,secretary shall-- 7#a7 survey women veterans who seek or receive hospital care or medical services provided by the ,department of ,veterans ,affairs as well as women veterans who do not seek or receive such care or services2 7#b7 administer the survey to a representative sample of women veterans from each ,veterans ,integrated ,service ,network2 and 7#c7 ensure that the sample of women veterans surveyed is of sufficient size for the study results to be statistically significant and is a larger sample than that of the study referred to in subsection 7b77#a74 7b7 ,use of previous studies ,in conducting the study required by subsection 7a71 the ,secretary shall build on the work of the studies of the ,department of ,veterans ,affairs titled-- 7#a7 ,national ,survey of ,women ,veterans in ,fiscal ,year #bjjg-bjjh2 and 7#b7 ,study of ,barriers for ,women ,veterans to ,,va ,health ,care #bjae4 7c7 ,elements of study ,in conducting the study required by subsection 7a71 the ,secretary shall conduct research on the effects of the following on the women veterans surveyed in the study3 7#a7 ,the barriers associated with seeking mental health care services1 including with respect to provider availability1 telehealth access1 and family1 work1 and school obligations4 7#b7 ,the effect of driving distance or availability of other forms of transportation to the nearest medical facility on access to care4 7#c7 ,the effect of access to care in the community4 7#d7 ,the availability of child care4 7#e7 ,the acceptability of integrated primary care1 women's health clinics1 or both4 7#f7 ,the comprehension of eligibility requirements for1 and the scope of services available under1 hospital care and medical services4 7#g7 ,the perception of personal safety and comfort in inpatient1 outpatient1 and behavioral health facilities4 7#h7 ,the gender sensitivity of health care providers and staff to issues that particularly affect women4 7#i7 ,the effectiveness of outreach for health care services available to women veterans4 7#aj7 ,the location and operating hours of health care facilities that provide services to women veterans4 7#aa7 ,the perception of women veterans regarding the motto of the ,department of ,veterans ,affairs4 7#ab7 ,such other significant barriers as the ,secretary considers appropriate4 7d7 ,discharge by contract ,the ,secretary shall enter into a contract with a qualified independent entity or organization to carry out the study and research required under this section4 7e7 ,mandatory review of data by certain department divisions 7#a7 ,in general ,the ,secretary shall ensure that the head of each division of the ,department of ,veterans ,affairs specified in paragraph 7#b7 reviews the results of the study conducted under this section4 ,the head of each such division shall submit findings with respect to the study to the ,under ,secretary for responsibilities relating to health care services for women veterans4 7#b7 ,specified divisions ,the divisions of the ,department of ,veterans ,affairs specified in this paragraph are the following3 7,a7 ,the ,under ,secretary for ,health4 7,b7 ,the ,office of ,women's ,health4 7,c7 ,the ,center for ,women ,veterans established under section #cah of title #ch1 ,united ,states ,code4 7,d7 ,the ,advisory ,committee on ,women ,veterans established under section #edb of such title4 7f7 ,report ,not later than #cj months after the date of the enactment of this ,act1 the ,secretary shall submit to ,congress a report on the study required under this section4 ,the report shall include recommendations for such administrative and legislative action as the ,secretary considers appropriate4 ,the report shall also include the findings of the head of each division of the ,department specified under subsection 7e77#b7 and of the ,under ,secretary for ,health4 #cje4 ,report regarding veterans who receive benefits under laws administered by the ,secretary of ,veterans ,affairs 7a7 ,report ,not later than #ahj days after the date of the enactment of this ,act1 the ,secretary of ,veterans ,affairs shall publish a report regarding veterans who receive benefits under laws administered by the ,secretary1 including the ,transition ,assistance ,program under sections #aadb and #aadd of title #aj1 ,united ,states ,code4 7b7 ,data ,the data regarding veterans published in the report under subsection 7a7-- 7#a7 shall be disaggregated by-- 7,a7 sex2 7,b7 minority group member status2 and 7,c7 minority group member status listed by sex4 7#b7 may not include any personally identifiable information4 7c7 ,matters included ,the report under subsection 7a7 shall include-- 7#a7 identification of any disparities in the use of benefits under laws administered by the ,secretary2 and 7#b7 an analysis of the cause of such disparities and recommendations to address such disparities4 7d7 ,minority group member defined ,in this section1 the term minority group member has the meaning given that term in section #edd of title #ch1 ,united ,states ,code4 #cjf4 ,study on ,women ,veteran ,coordinator program ,not later than #ahj days after the date of the enactment of this ,act1 the ,secretary of ,veterans ,affairs shall submit to the ,committees on ,veterans' ,affairs of the ,house of ,representatives and the ,senate a report containing a study on the ,women ,veteran ,coordinator program of the ,veterans ,benefits ,administration of the ,department of ,veterans ,affairs4 ,such study shall identify the following3 7#a7 ,if the program is appropriately staffed at each regional benefits office of the ,department4 7#b7 ,whether each regional benefits office of the ,department is staffed with a ,women ,veteran ,coordinator4 7#c7 ,the position description of the ,women ,veteran ,coordinator4 7#d7 ,whether an individual serving in the ,women ,veteran ,coordinator position concurrently serves in any other position1 and if so1 the allocation of time the individual spends in each such position4 7#e7 ,a description of the metrics the ,secretary uses to determine the success and performance of the ,women ,veteran ,coordinator4 ,b ,other matters #cba4 ,anti-harassment and anti-sexual assault policy of the ,department of ,veterans ,affairs 7a7 ,in general ,subchapter ,,ii of chapter #e of title #ch1 ,united ,states ,code1 is amended by adding at the end the following new section3 #ecc4 ,anti-harassment and anti-sexual assault policy 7a7 ,establishment ,the ,secretary of ,veterans ,affairs shall establish a comprehensive policy to end harassment and sexual assault1 including sexual harassment and gender-based harassment1 throughout the ,department of ,veterans ,affairs4 ,this policy shall include the following3 7#a7 ,a process for employees and contractors of the ,department to respond to reported incidents of harassment and sexual assault committed by any non-,department individual within a facility of the ,department1 including with respect to accountability or disciplinary measures4 7#b7 ,a process for employees and contractors of the ,department to respond to reported incidents of harassment and sexual assault of any non-,department individual within a facility of the ,department4 7#c7 ,a process for any non-,department individual to report harassment and sexual assault described in paragraph 7#a71 including an option for confidential reporting1 and for the ,secretary to respond to and address such reports4 7#d7 ,clear mechanisms for non-,department individuals to readily identify to whom and how to report incidents of harassment and sexual assault committed by another non-,department individual4 7#e7 ,clear mechanisms for employees and contractors of the ,department to readily identify to whom and how to report incidents of harassment and sexual assault and how to refer non-,department individuals with respect to reporting an incident of harassment or sexual assault4 7#f7 ,a process for1 and mandatory reporting requirement applicable to1 any employee or contractor of the ,department who witnesses harassment or sexual assault described in paragraph 7#a7 or 7#b7 within a facility of the ,department1 regardless of whether the individual affected by such harassment or sexual assault wants to report such harassment or sexual assault4 7#g7 ,the actions possible1 including disciplinary actions1 for employees or contractors of the ,department who fail to report incidents of harassment and sexual assault described in paragraph 7#a7 or 7#b7 that the employees or contractors witness4 7#h7 ,on an annual or more frequent basis1 mandatory training for employees and contractors of the ,department regarding how to report and address harassment and sexual assault described in paragraphs 7#a7 and 7#b71 including bystander intervention training4 7#i7 ,on an annual or more frequent basis1 the distribution of the policy under this subsection and anti-harassment and anti-sexual assault educational materials by mail or email to each individual receiving a benefit under a law administered by the ,secretary4 7#aj7 ,the prominent display of anti-harassment and anti-sexual assault messages in each facility of the ,department1 including how non-,department individuals may report harassment and sexual assault described in paragraphs 7#a7 and 7#b7 at such facility and the points of contact under subsection 7b74 7#aa7 ,the posting on internet websites of the ,department1 including the main internet website regarding benefits of the ,department and the main internet website regarding health care of the ,department1 of anti-harassment and anti-sexual assault banners specifically addressing harassment and sexual assault described in paragraphs 7#a7 and 7#b74 7b7 ,points of contact ,the ,secretary shall designate1 as a point of contact to receive reports of harassment and sexual assault described in paragraphs 7#a7 and 7#b7 of subsection 7a7-- 7#a7 at least one individual1 in addition to law enforcement1 at each facility of the ,department 7including ,vet ,centers under section #agab;,a of this title71 with regard to that facility2 7#b7 at least one individual employed in each ,veterans ,integrated ,service ,network1 with regards to facilities in that ,veterans ,integrated ,service ,network2 7#c7 at least one individual employed in each regional benefits office2 7#d7 at least one individual employed at each location of the ,national ,cemetery ,administration2 and 7#e7 at least one individual employed at the ,central ,office of the ,department to track reports of such harassment and sexual assault across the ,department1 disaggregated by facility4 7c7 ,accountability ,the ,secretary shall establish a policy to ensure that each facility of the ,department and each director of a ,veterans ,integrated ,service ,network is responsible for addressing harassment and sexual assault at the facility and the ,network4 ,such policy shall include-- 7#a7 a remediation plan for facilities that experience five or more incidents of sexual harassment1 sexual assault1 or combination thereof1 during any single fiscal year2 and 7#b7 taking appropriate actions under chapter #g or subchapter ,v of chapter #gd of this title4 7d7 ,data ,the ,secretary shall ensure that the in-take process for veterans at medical facilities of the ,department includes a survey to collect the following information3 7#a7 ,whether the veteran feels safe at the facility and whether any events occurred at the facility that affect such feeling4 7#b7 ,whether the veteran wants to be contacted later by the ,department with respect to such safety issues4 7e7 ,working group 7#a7 ,the ,secretary shall establish a working group to assist the ,secretary in implementing policies to carry out this section4 7#b7 ,the working group established under paragraph 7#a7 shall consist of representatives from-- 7,a7 veterans service organizations2 7,b7 ,state1 local1 and ,tribal veterans agencies2 and 7,c7 other persons the ,secretary determines appropriate4 7#c7 ,the working group established under paragraph 7#a7 shall develop1 and the ,secretary shall carry out-- 7,a7 an action plan for addressing changes at the local level to reduce instances of harassment and sexual assault2 7,b7 standardized media for veterans service organizations and other persons to use in print and on the internet with respect to reducing harassment and sexual assault2 and 7,c7 bystander intervention training for veterans4 7f7 ,reports ,the ,secretary shall submit to the ,committees on ,veterans' ,affairs of the ,senate and the ,house of ,representatives an annual report on harassment and sexual assault described in paragraphs 7#a7 and 7#b7 of subsection 7a7 in facilities of the ,department4 ,each such report shall include the following3 7#a7 ,results of harassment and sexual assault programming1 including the ,end ,harassment program4 7#b7 ,results of studies from the ,women's ,health ,practice-,based ,research ,network of the ,department relating to harassment and sexual assault4 7#c7 ,data collected on incidents of sexual harassment and sexual assault4 7#d7 ,a description of any actions taken by the ,secretary during the year preceding the date of the report to stop harassment and sexual assault at facilities of the ,department4 7#e7 ,an assessment of the implementation of the training required in subsection 7a77#g74 7#f7 ,a list of resources the ,secretary determines necessary to prevent harassment and sexual assault at facilities of the ,department4 7g7 ,definitions ,in this section3 7#a7 ,the term non-,department individual means any individual present at a facility of the ,department who is not an employee or contractor of the ,department4 7#b7 ,the term sexual harassment has the meaning given that term in section #agbj;,d of this title4 4 7b7 ,clerical amendment ,the table of sections at the beginning of such chapter is amended by adding after the item relating to section #ecb the following new item3 #ecc4 ,anti-harassment and anti-sexual assault policy4 4 7c7 ,definition of sexual harassment ,section #agbj;,d7f7 of such title is amended by striking repeated14 7d7 ,deadline ,the ,secretary shall commence carrying out section #ecc of such title1 as added by subsection 7a71 not later than #ahj days after the date of enactment of this ,act4 #cbb4 ,support for organizations that have a focus on providing assistance to women veterans and their families ,section #bjdd7;e7 of title #ch1 ,united ,states ,code1 is amended by adding at the end the following new paragraph3 7#d7 ,there is authorized to be appropriated #bj1jjj1jjj for fiscal year #bjbj to provide1 under subsection 7a71 financial assistance to organizations that have a focus on providing assistance to women veterans and their families4 4 #cbc4 ,gap analysis of ,department of ,veterans ,affairs programs that provide assistance to women veterans who are homeless 7a7 ,in general ,the ,secretary of ,veterans ,affairs shall complete an analysis of programs of the ,department of ,veterans ,affairs that provide assistance to women veterans who are homeless or precariously housed to identify the areas in which such programs are failing to meet the needs of such women4 7b7 ,report ,not later than #bgj days after the date of the enactment of this ,act1 the ,secretary shall submit to the ,committee on ,veterans' ,affairs of the ,senate and the ,committee on ,veterans' ,affairs of the ,house of ,representatives a report on the analysis completed under subsection 7a74 #cbd4 ,department of ,veterans ,affairs public-private partnership on legal services for women veterans 7a7 ,partnership required ,the ,secretary of ,veterans ,affairs shall establish a partnership with at least one nongovernmental organization to provide legal services to women veterans4 7b7 ,focus ,the focus of the partnership established under subsection 7a7 shall be on the #aj highest unmet needs of women veterans as set forth in the most recently completed ,community ,homelessness ,assessment1 ,local ,education and ,networking ,groups for ,veterans 7,,chaleng for ,veterans7 survey4 #cbe4 ,program to assist veterans who experience intimate partner violence or sexual assault 7a7 ,program required ,the ,secretary of ,veterans ,affairs shall carry out a program to assist former members of the armed forces who have experienced or are experiencing intimate partner violence or sexual assault in accessing benefits from the ,department of ,veterans ,affairs1 including coordinating access to medical treatment centers1 housing assistance1 and other benefits from the ,department4 7b7 ,collaboration ,the ,secretary shall carry out the program under subsection 7a7 in collaboration with-- 7#a7 intimate partner violence shelters and programs2 7#b7 rape crisis centers2 7#c7 ,state intimate partner violence and sexual assault coalitions2 and 7#d7 such other health care or other service providers that serve intimate partner violence or sexual assault victims as determined by the ,secretary1 particularly those providing emergency services or housing assistance4 7c7 ,authorized activities ,in carrying out the program under subsection 7a71 the ,secretary may conduct the following activities3 7#a7 ,training for community-based intimate partner violence or sexual assault service providers on-- 7,a7 identifying former members of the ,armed ,forces who have been victims of intimate partner violence or sexual assault2 7,b7 coordinating with local service providers of the ,department2 and 7,c7 connecting former members of the ,armed ,forces with appropriate housing1 mental health1 medical1 and other financial assistance or benefits from the ,department4 7#b7 ,assistance to service providers to ensure access of veterans to intimate partner violence and sexual assault emergency services1 particularly in underserved areas1 including services for ,native ,american veterans 7as defined in section #cgfe of title #ch1 ,united ,states ,code74 7#c7 ,such other outreach and assistance as the ,secretary determines necessary for the provision of assistance under subsection 7a74 7d7 ,intimate partner violence and sexual assault outreach coordinators 7#a7 ,in general ,in order to effectively assist veterans who have experienced intimate partner violence or sexual assault1 the ,secretary may establish local coordinators to provide outreach under the program required by subsection 7a74 7#b7 ,local coordinator knowledge ,the ,secretary shall ensure that each coordinator established under paragraph 7#a7 is knowledgeable about-- 7,a7 the dynamics of intimate partner violence and sexual assault1 including safety concerns1 legal protections1 and the need for the provision of confidential services2 7,b7 the eligibility of veterans for services and benefits from the ,department that are relevant to recovery from intimate partner violence and sexual assault1 particularly emergency housing assistance1 mental health care1 other health care1 and disability benefits2 and 7,c7 local community resources addressing intimate partner violence and sexual assault4 7#c7 ,local coordinator assistance ,each coordinator established under paragraph 7#a7 shall assist intimate partner violence shelters and rape crisis centers in providing services to veterans4 #cbf4 ,study and task force on veterans experiencing intimate partner violence or sexual assault 7a7 ,national baseline study 7#a7 ,in general ,not later than #a year after the date of the enactment of this ,act1 the ,secretary of ,veterans ,affairs1 in consultation with the ,attorney ,general1 shall conduct a national baseline study to examine the scope of the problem of intimate partner violence and sexual assault among veterans and spouses and intimate partners of veterans4 7#b7 ,matters included ,the study under paragraph 7#a7 shall-- 7,a7 include a literature review of all relevant research on intimate partner violence and sexual assault among veterans and spouses and intimate partners of veterans2 7,b7 examine the prevalence of the experience of intimate partner violence among-- 7i7 women veterans2 7ii7 veterans who are minority group members 7as defined in section #edd of title #ch1 ,united ,states ,code1 and including other minority populations as the ,secretary determines appropriate72 7iii7 urban and rural veterans2 7iv7 veterans who are enrolled in a program under section #agbj;,g of title #ch1 ,united ,states ,code2 7v7 veterans who are in intimate relationships with other veterans2 and 7vi7 veterans who are described in more than one clause of this subparagraph2 7,c7 examine the prevalence of the perpetration of intimate partner violence by veterans2 and 7,d7 include recommendations to address the findings of the study4 7#c7 ,report ,not later than #cj days after the date on which the ,secretary completes the study under paragraph 7#a71 the ,secretary shall submit to the ,committees on ,veterans' ,affairs of the ,house of ,representatives and the ,senate a report on such study4 7b7 ,task force ,not later than #ij days after the date on which the ,secretary completes the study under subsection 7a71 the ,secretary1 in consultation with the ,attorney ,general and the ,secretary of ,health and ,human ,services1 shall establish a national task force 7in this section referred to as the ,task ,force7 to develop a comprehensive national program1 including by integrating facilities1 services1 and benefits of the ,department of ,veterans ,affairs into existing networks of community-based intimate partner violence and sexual assault services1 to address intimate partner violence and sexual assault among veterans4 7c7 ,consultation with stakeholders ,in carrying out this section1 the ,task ,force shall consult with-- 7#a7 representatives from veteran service organizations and military service organizations2 7#b7 representatives from not fewer than three national organizations or ,state coalitions with demonstrated expertise in intimate partner violence prevention1 response1 or advocacy2 and 7#c7 representatives from not fewer than three national organizations or ,state coalitions1 particularly those representing underserved and ethnic minority communities1 with demonstrated expertise in sexual assault prevention1 response1 or advocacy4 7d7 ,duties ,the duties of the ,task ,force shall include the following3 7#a7 ,to review existing services and policies of the ,department and develop a comprehensive national program to address intimate partner violence and sexual assault prevention1 response1 and treatment4 7#b7 ,to review the feasibility and advisability of establishing an expedited process to secure emergency1 temporary benefits1 including housing or other benefits1 for veterans who are experiencing intimate partner violence or sexual assault4 7#c7 ,to review and make recommendations regarding the feasibility and advisability of establishing dedicated1 temporary housing assistance for veterans experiencing intimate partner violence or sexual assault4 7#d7 ,to identify any requirements regarding intimate partner violence assistance or sexual assault response and services that are not being met by the ,department and make recommendations on how the ,department can meet such requirements4 7#e7 ,to review and make recommendations regarding the feasibility and advisability of providing direct services or contracting for community-based services for veterans in response to a sexual assault1 including through the use of sexual assault nurse examiners1 particularly in underserved or remote areas1 including services for ,native ,american veterans4 7#f7 ,to review the availability of counseling services provided by the ,department and through peer network support1 and to provide recommendations for the enhancement of such services1 to address-- 7,a7 the perpetration of intimate partner violence and sexual assault2 and 7,b7 the recovery of veterans1 particularly women veterans1 from intimate partner violence and sexual assault4 7#g7 ,to review and make recommendations to expand services available for veterans at risk of perpetrating intimate partner violence4 7e7 ,report ,not later than #a year after the date of the enactment of this ,act1 and not less frequently than annually thereafter by ,october #a of each year1 the ,task ,force shall submit to the ,secretary of ,veterans ,affairs and ,congress a report on the activities of the ,task ,force1 including any recommendations for legislative or administrative action4 7f7 ,definitions ,in this section3 7#a7 ,the term ,native ,american veteran has the meaning given that term in section #cgfe of title #ch1 ,united ,states ,code4 7#b7 ,the term ,state has the meaning given that term in section #aja of title #ch1 ,united ,states ,code4 ,passed the ,house of ,representatives ,november #ab1 #bjai4;,clerk4