,i  #aaf? ,,congress  #a/ ,session  ,h4 
,r4 #ejcj  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,novemb] #h1 #bjai,mr4
 ,watk9s introduc$ ! foll[+ bill2 :i* 0 
ref]r$ to ! ,committee on ,vet]ans'     
,affairs  ,a ,,bill  ,to direct !       
,comptroll] ,g5]al ( ! ,unit$ ,/ates to 
take c]ta9 actions reg>d+ suicides by   
vet]ans & m5tal heal? c>e furni%$ by !  
,secret>y ( ,vet]ans ,affairs4  #a4     
,%ort title ,?is ,act may be cit$ z !   
,,va ,suicide ,prev5tion ,s]vices       
,acc\ntability ,act4  #b4 ,comptroll]   
,g5]al report on managem5t by ,dep>tm5t 
( ,vet]ans ,affairs ( vet]ans at high   
risk = suicide  7a7 ,9 g5]al ,n lat] ?an
 #ah mon?s aft] ! date ( ! enactm5t (   
?is ,act1 ! ,comptroll] ,g5]al ( !      
,unit$ ,/ates %all submit to !          
,committees on ,vet]ans' ,affairs ( !   
,s5ate & ,h\se ( ,repres5tatives a      
report on ! ef=ts ( ! ,secret>y to      
manage vet]ans at high risk = suicide4  
7b7 ,elem5ts ,! report "u subsection 7a7
 %all include ! foll[+3 7#a7 ,an        

assessm5t ( suicide prev5tion practices 
& initiatives available f ! ,dep>tm5t & 
?r\gh community p>tn]%ips4  7#b7 ,a     
description ( h[ ! ,dep>tm5t id5tifies  
vet]ans z high risk = suicide1 )        
p>ticul> consid]ation to ! efficacy (   
inputs into ! ,recov]y ,engagem5t &     
,coord9ation = ,heal?--,vet]ans ,enhanc$
 ,treatm5t 7commonly ref]r$ to z ,,rea* 
,,vet7 program ( ! ,dep>tm5t1 includ+ an
 assessm5t ( ! efficacy ( su*           
id5tifications disaggregat$ by age1     
g5d]1 &1 to ! ext5t practicable1        
,vet]ans ,integrat$ ,s]vice ,network1 & 
m$ical c5t] ( ! ,dep>tm5t4  7#c7 ,a     
description ( h[ ! ,dep>tm5t int]v5es :5
 a vet]an is id5tifi$ z high risk1      
includ+ an assessm5t ( ! efficacy ( su* 
int]v5tions disaggregat$ by age1 g5d]1  
&1 to ! ext5t practicable1 ,vet]ans     
,integrat$ ,s]vice ,network1 & m$ical   
c5t] ( ! ,dep>tm5t4  7#d7 ,a description
 ( h[ ! ,dep>tm5t monitors vet]ans :o h 
be5 id5tifi$ z high risk1 includ+ an    
assessm5t ( ! efficacy ( su* monitor+ & 

any foll[-ups disaggregat$ by age1 g5d]1
 &1 to ! ext5t practicable1 ,vet]ans    
,integrat$ ,s]vice ,network1 & m$ical   
c5t] ( ! ,dep>tm5t4  7#e7 ,a review (   
/aff+ levels ( suicide prev5tion        
coord9ators across ! ,vet]ans ,heal?    
,adm9i/ration4  7#f7 ,a review ( !      
res\rces & programm+ (f]$ to family     
memb]s & fri5ds ( vet]ans :o h a m5tal  
heal? condition 9 ord] to assi/ t vet]an
 9 treatm5t & recov]y4  7#g7 ,an        
assessm5t ( su* o!r areas ! ,comptroll] 
,g5]al det]m9es appropriate4  #c4       
,comptroll] ,g5]al managem5t review (   
m5tal heal? & suicide prev5tion s]vices 
( ,dep>tm5t ( ,vet]ans ,affairs  7a7 ,9 
g5]al ,n lat] ?an ?ree ye>s aft] ! date 
( ! enactm5t ( ?is ,act1 ! ,comptroll]  
,g5]al ( ! ,unit$ ,/ates %all submit to 
! ,committees on ,vet]ans' ,affairs ( ! 
,s5ate & ,h\se ( ,repres5tatives a      
managem5t review ( ! m5tal heal? &      
suicide prev5tion s]vices provid$ by !  
,secret>y4  7b7 ,elem5ts ,! managem5t   
review "u subsection 7a7 %all include ! 

foll[+3 7#a7 ,an assessm5t ( !          
infra/ructure "u ! control ( or         
available to ! ,(fice ( ,m5tal ,heal? & 
,suicide ,prev5tion ( ! ,dep>tm5t4  7#b7
 ,a description ( ! managem5t &         
organizational /ructure ( ! ,(fice (    
,m5tal ,heal? & ,suicide ,prev5tion1    
includ+ roles & responsibilities = ea*  
position4  7#c7 ,a review ( ! op]ational
 policies & processes ( ! ,(fice (      
,m5tal ,heal? & ,suicide ,prev5tion1    
includ+ an assessm5t ( h[ effectively ^!
 policies & processes are implem5t$4    
7#d7 ,an assessm5t ( ! /aff+ levels at !
 ,(fice ( ,m5tal ,heal? & ,suicide      
,prev5tion1 disaggregat$ by type (      
position1 & includ+ ! location ( any    
/aff+ defici5cies4  7#e7 ,an assessm5t (
 ! ,nurse ,advice ,l9e pilot program    
conduct$ by ! ,dep>tm5t4  7#f7 ,an      
assessm5t ( recruitm5t initiatives =    
m5tal heal? pr(essionals ( ! ,dep>tm5t1 
includ+ any special emphasis on rural   
areas4  7#g7 ,an assessm5t ( /rategic   
plann+ conduct$ by ! ,(fice ( ,m5tal    

,heal? & ,suicide ,prev5tion4  7#h7 ,an 
assessm5t ( ! communication1 & !        
effectiv5ess ( su* communication-- 7,a7 
)9 ! c5tral (fice ( ! ,(fice ( ,m5tal   
,heal? & ,suicide ,prev5tion2  7,b7     
betwe5 t c5tral (fice & ! ,c5tral ,(fice
 ( ! ,dep>tm5t2  7,c7 betwe5 t c5tral   
(fice & local facilities & (fices1      
includ+ networks & m$ical c5t]s2 &  7,d7
 betwe5 t c5tral (fice & community      
p>tn]s ( ! ,dep>tm5t1 includ+ fir/      
respond]s1 community support gr\ps1 &   
heal? c>e indu/ry p>tn]s4  7#i7 ,an     
assessm5t ( h[ effectively ! ,secret>y &
 ! ,secret>y ( ,def5se coord9ate m5tal  
heal? & suicide prev5tion ef=ts4  7#aj7 
,an assessm5t ( su* o!r areas !         
,comptroll] ,g5]al det]m9es appropriate4
  #d4 ,comptroll] ,g5]al report on ef=ts
 ( ,dep>tm5t ( ,vet]ans ,affairs to     
integrate m5tal heal? c>e into prim>y   
c>e cl9ics  7a7 ,initial report  7#a7 ,9
 g5]al ,n lat] ?an two ye>s aft] ! date 
( ! enactm5t ( ?is ,act1 ! ,comptroll]  
,g5]al ( ! ,unit$ ,/ates %all submit to 

! ,committees on ,vet]ans' ,affairs ( ! 
,s5ate & ,h\se ( ,repres5tatives a      
report on ! ef=ts ( ! ,secret>y to      
integrate m5tal heal? c>e into prim>y   
c>e cl9ics ( ! ,dep>tm5t4  7#b7 ,elem5ts
 ,! report "u ?is subsection %all       
include ! foll[+3 7,a7 ,an assessm5t ( !
 ef=ts ( ! ,secret>y to integrate m5tal 
heal? c>e into prim>y c>e cl9ics ( !    
,dep>tm5t4  7,b7 ,an assessm5t ( !      
effectiv5ess ( su* ef=ts4  7,c7 ,a      
description ( h[ c>e is coord9at$ by !  
,dep>tm5t betwe5 specialty m5tal heal?  
c>e & prim>y c>e1 includ+ a description 
( ! foll[+3  7i7 ,h[ docum5ts & pati5t  
in=mation are transf]r$ & ! effectiv5ess
 ( ^? transf]s4  7ii7 ,h[ c>e is        
coord9at$ :5 vet]ans mu/ travel to      
diff]5t facilities ( ! ,dep>tm5t4  7iii7
 ,h[ a vet]an is re9tegrat$ into prim>y 
c>e aft] receiv+ 9-pati5t m5tal heal?   
c>e4  7,d7 ,an assessm5t ( h[ !         
integration ( m5tal heal? c>e into      
prim>y c>e cl9ics is implem5t$ at       
diff]5t facilities ( ! ,dep>tm5t4  7,e7 

,an assessm5t ( su* o!r areas !         
,comptroll] ,g5]al det]m9es appropriate4
  7b7 ,community c>e integration report 
7#a7 ,9 g5]al ,n lat] ?an two ye>s aft] 
! date on :i* ! ,comptroll] ,g5]al      
submits ! report "u subsection 7a71 !   
,comptroll] ,g5]al %all submit to !     
,committees on ,vet]ans' ,affairs ( !   
,s5ate & ,h\se ( ,repres5tatives a      
report on ! ef=ts ( ! ,secret>y to      
integrate community-bas$ m5tal heal? c>e
 into ! ,vet]ans ,heal? ,adm9i/ration4  
7#b7 ,elem5ts ,! report "u ?is          
subsection %all include ! foll[+3 7,a7  
,an assessm5t ( ! ef=ts ( ! ,secret>y to
 integrate community-bas$ m5tal heal?   
c>e into ! ,vet]ans ,heal?              
,adm9i/ration4  7,b7 ,an assessm5t ( !  
effectiv5ess ( su* ef=ts4  7,c7 ,a      
description ( h[ c>e is coord9at$ betwe5
 provid]s ( community-bas$ m5tal heal?  
c>e & ! ,vet]ans ,heal? ,adm9i/ration1  
includ+ a description ( h[ docum5ts &   
pati5t in=mation are transf]r$ & !      
effectiv5ess ( ^? transf]s betwe5--  7i7

 ! ,vet]ans ,heal? ,adm9i/ration &      
provid]s ( community-bas$ m5tal heal?   
c>e2 &  7ii7 provid]s ( community-bas$  
m5tal heal? c>e & ! ,vet]ans ,heal?     
,adm9i/ration4  7,d7 ,an assessm5t ( !  
ext5t to :i* ! coord9ation (            
community-bas$ m5tal heal? c>e v>ies by 
facilities ( ! ,dep>tm5t4  7,e7 ,an     
assessm5t ( ! ext5t to :i* milit>y      
cultural compet5cy ( community-bas$     
m5tal heal? c>e provid]s are consid]$ 9 
provid+ m5tal heal? c>e to vet]ans4     
7,f7 ,an assessm5t ( su* o!r areas z !  
,comptroll] ,g5]al consid]s appropriate 
to /udy4  #e4 ,def9itions ,9 ?is ,act3  
7#a7 ,! t]m community-bas$ m5tal heal?  
c>e means m5tal heal? c>e paid = by !   
,secret>y b provid$ by a non-,dep>tm5t  
heal? c>e provid] at a non-,dep>tm5t    
facility1 includ+ c>e furni%$ "u section
 #agjc ( title #ch1 ,unit$ ,/ates ,code4
  7#b7 ,! t]m ,dep>tm5t means !         
,dep>tm5t ( ,vet]ans ,affairs4  7#c7 ,! 
t]m ,secret>y means ! ,secret>y (       
,vet]ans ,affairs4