#aafth ,,congress #b;d ,session ,h4 ,r4 #dcje ,,an ,,act ,to direct the ,secretary of ,veterans ,affairs to carry out a pilot program on dog training therapy4 #a4 ,short title ,this ,act may be cited as the ,puppies ,assisting ,wounded ,servicemembers for ,veterans ,therapy ,act or the ,,paws for ,veterans ,therapy ,act4 #b4 ,findings ,congress makes the following findings3 7#a7 ,according to the analyses of veteran suicide published by the ,department of ,veterans ,affairs in ,august #bjaf and titled ,suicide ,among ,veterans and ,other ,americans1 and in ,june #bjah1 titled ,,va ,national ,suicide ,date ,report-- 7,a7 an average of #bj veterans died by suicide each day in #bjad2 7,b7 mental health disorders1 including major depression and other mood disorders1 have been associated with increased risk for suicide2 7,c7 since #bjja1 the proportion of users of the ,veterans ,health ,administration with mental health conditions or substance use disorders has increased from approximately #bg percent in #bjja to more than #dj percent in #bjad2 and 7,d7 overall1 suicide rates are highest among patients with mental health and substance use disorder diagnoses who are in treatment and lower among those who received a mental health diagnosis but were not at risk enough to require enhanced care from a mental health provider4 7#b7 ,the ,department of ,veterans ,affairs must be more effective in its approach to reducing the burden of veteran suicide connected to mental health disorders1 including post-traumatic stress disorder 7in this section referred to as ,,ptsd71 and new1 rigorous scientific research provides persuasive weight to the growing anecdotal evidence that service dogs ameliorate the symptoms associated with ,,ptsd1 and in particular1 help prevent veteran suicide4 7#c7 ,several organizations have proven track records of training service dogs for veterans with severe ,,ptsd and dramatically improving those veterans' quality of life1 ability to re-enter society1 and1 most importantly1 their chances of survival4 #c4 ,department of ,veterans ,affairs pilot program on dog training therapy 7a7 ,in general ,commencing not later than #abj days after the date of the enactment of the ,act1 subject to the availability of appropriations1 the ,secretary of ,veterans ,affairs shall carry out a pilot program under which the ,secretary shall make grants to one or more appropriate non-government entities for the purpose of assessing the effectiveness of addressing post-deployment mental health and post-traumatic stress disorder 7in this section referred to as ,,ptsd7 symptoms through a therapeutic medium of training service dogs for veterans with disabilities4 7b7 ,duration of pilot program ,the pilot program required by subsection 7a7 shall be carried out during the #e-year period beginning on the date of the commencement of the pilot program4 7c7 ,conditions on receipt of grants ,as a condition of receiving a grant under this section1 a non-government entity shall-- 7#a7 submit to the ,secretary certification that the entity is an organization described in section #eja7;c77#c7 of the ,internal ,revenue ,code of #aihf that-- 7,a7 provides service dogs to veterans with ,,ptsd2 and 7,b7 is accredited by1 or adheres to standards comparable to those of1 an accrediting organization with demonstrated experience1 national scope1 and recognized leadership and expertise in the training of service dogs and education in the use of service dogs2 7#b7 agree to cover all costs in excess of the grant amount2 7#c7 agree to reaccept or replace the service dog the organization provided to the veteran1 if necessary1 as determined by the organization and the veteran2 7#d7 provide a wellness certification from a licensed veterinarian for any dog participating in the program2 7#e7 employ at least one person with clinical experience related to mental health2 7#f7 ensure that veterans participating in the pilot program receive training from certified service dog training instructors for a period of time determined appropriate by the organization and the ,secretary1 including service skills to address or alleviate symptoms unique to veterans' needs2 7#g7 agree to provide both lectures on service dog training methodologies and practical hands-on training and grooming of service dogs2 7#h7 agree that in hiring service dog training instructors to carry out training under the pilot program1 the non-government entity will give a preference to veterans who have successfully graduated from ,,ptsd or other residential treatment program and who have received adequate certification in service dog training2 7#i7 agree not to use shock collars or prong collars as training tools and to use positive reinforcement training2 7#aj7 agree that upon the conclusion of training provided using the grant funds-- 7,a7 the veteran who received the training will keep the dog unless the veteran and the veteran's health provider decide it is not in the best interest of the veteran2 7,b7 if the veteran does not opt to own the dog1 the entity will be responsible for caring for and appropriately placing the dog2 7,c7 the ,department of ,veterans ,affairs will have no additional responsibility to provide for any benefits under this section2 and 7,d7 the ,department of ,veterans ,affairs will have no liability with respect to the dog2 7#aa7 provide follow-up support service for the life of the dog1 including a contact plan between the veteran and the entity to allow the veteran to reach out for and receive adequate help with the service dog and the organization to communicate with the veteran to ensure the service dog is being properly cared for2 and 7#ab7 submit to the ,secretary an application containing such information1 certification1 and assurances as the ,secretary may require4 7d7 ,veteran eligibility 7#a7 ,in general ,for the purposes of this section1 an eligible veteran is a veteran who-- 7,a7 is enrolled in the patient enrollment system in the ,department of ,veterans ,affairs under section #agje of title #ch1 ,united ,states ,code2 7,b7 has been recommended for the pilot program under this section by a qualified health care provider or clinical team based on the medical judgment that the veteran may potentially benefit from participating2 and 7,c7 agrees to successfully complete training provided by an eligible organization that receives a grant under this section4 7#b7 ,relationship to participation in other program ,veterans may participate in the pilot program in conjunction with the compensated work therapy program of the ,department of ,veterans ,affairs4 7#c7 ,continuing eligibility requirement ,to remain eligible to participate in the program1 a veteran shall see the health care provider or clinical team of the ,department of ,veterans ,affairs treating the veteran for ,,ptsd at least once every #f months to determine1 based on a clinical evaluation of efficacy1 whether the veteran continues to benefit from the program4 7e7 ,collection of data ,in carrying out this section1 the ,secretary shall-- 7#a7 develop metrics and other appropriate means to measure1 with respect to veterans participation in the program1 the improvement in psychosocial function and therapeutic compliance of such veterans and changes with respect to the dependence on prescription narcotics and psychotropic medication of such veterans2 7#b7 establish processes to document and track the progress of such veterans under the program in terms of the benefits and improvements noted as a result of the program2 and 7#c7 in addition1 the ,secretary shall continue to collect these data over the course of #e years for each veteran who has continued with the dog he or she has personally trained4 7f7 ,,gao briefing and study 7#a7 ,briefing ,not later than #a year after the date of the commencement of the pilot program under subsection 7a71 the ,comptroller ,general of the ,united ,states shall provide to the ,committees on ,veterans' ,affairs of the ,house of ,representatives and the ,senate a briefing on the methodology established for the program4 7#b7 ,report ,not later than #bgj days after the date on which the program terminates1 the ,comptroller ,general shall submit to the committees specified in paragraph 7#a7 a report on the program4 ,such report shall include an evaluation of the approach and methodology used for the program with respect to-- 7,a7 helping veterans with severe ,,ptsd return to civilian life2 7,b7 relevant metrics1 including reduction in metrics such as reduction in scores under the ,,ptsd check-list 7,,pcl-#e71 improvement in psychosocial function1 and therapeutic compliance2 and 7,c7 reducing the dependence of participants on prescription narcotics and psychotropic medication4 7g7 ,definition ,for the purposes of this section1 the term service dog training instructor means an instructor who provides the direct training of veterans with ,,ptsd and other post-deployment issues in the art and science of service dog training and handling4 ,passed the ,house of ,representatives ,february #e1 #bjbj4;,clerk4