,i #aafth ,,congress #ast ,session ,h4 ,r4 #eddj ,,in ,,the ,,house ,,of ,,representatives ,december #af1 #bjai,mr4 ,meadows introduced the following bill2 which was referred to the ,committee on ,veterans' ,affairs ,a ,,bill ,to require the ,secretary of ,veterans ,affairs to provide financial assistance to eligible entities to provide and coordinate the provision of post-traumatic stress disorder prevention services for veterans through the award of grants to such entities1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,remembering the ,life of ,kyle ,poteat ,act4 #b4 ,financial assistance to certain entities to provide and coordinate the provision of post-traumatic stress disorder prevention services for veterans 7a7 ,distribution of financial assistance ,the ,secretary of ,veterans ,affairs shall provide financial assistance to eligible entities approved under this section through the award of grants to such entities to provide and coordinate the provision of post-traumatic stress disorder prevention services to veterans4 7b7 ,award of grants 7#a7 ,in general ,the ,secretary shall award a grant to each eligible entity for which the ,secretary has approved an application under subsection 7e7 to provide or coordinate the provision of post-traumatic stress disorder prevention services under this section4 7#b7 ,grant amounts1 intervals of payments1 and matching funds ,in accordance with the services being provided under a grant under this section and the duration of those services1 the ,secretary may establish-- 7,a7 a maximum amount to be awarded under the grant2 7,b7 intervals of payment for the administration of the grant2 and 7,c7 a requirement for the recipient of the grant to provide matching funds in a specified percentage4 7c7 ,distribution of financial assistance and preference 7#a7 ,distribution 7,a7 ,geographic ,the ,secretary shall ensure that1 to the extent practicable and in compliance with subparagraph 7,b71 financial assistance under this section is equitably distributed across geographic regions1 including rural communities and ,tribal land4 7,b7 ,areas with need ,the ,secretary shall ensure that1 to the extent practicable1 financial assistance under this section is distributed-- 7i7 to provide services in areas of the ,united ,states that have experienced high rates of1 or a high burden of1 veteran post-traumatic stress disorder2 and 7ii7 to eligible entities that can assist veterans at risk of or who have post-traumatic stress disorder4 7#b7 ,preference ,the ,secretary shall give preference in the provision of financial assistance under this section to eligible entities providing or coordinating1 or who have demonstrated the ability to provide or coordinate1 post-traumatic stress disorder prevention services4 7d7 ,requirements for receipt of financial assistance 7#a7 ,notification that services are from the ,department ,each entity receiving financial assistance under this section to provide post-traumatic stress disorder prevention services to veterans shall notify the recipients of such services that such services are being paid for1 in whole or in part1 by the ,department4 7#b7 ,reports ,the ,secretary-- 7,a7 shall require each entity receiving financial assistance under this section to submit to the ,secretary an annual report that describes the projects carried out with such financial assistance during the year covered by the report2 7,b7 shall specify to each such entity the evaluation criteria and data and information to be submitted in such report2 and 7,c7 may require such entity to submit to the ,secretary such additional reports as the ,secretary considers appropriate4 7e7 ,application for financial assistance 7#a7 ,in general ,an eligible entity seeking financial assistance under this section shall submit to the ,secretary an application therefor in such form1 in such manner1 and containing such commitments and information as the ,secretary considers necessary to carry out this section4 7#b7 ,matters to be included ,each application submitted by an eligible entity under paragraph 7#a7 shall contain the following3 7,a7 ,a description of the post-traumatic stress disorder prevention services proposed to be provided by the eligible entity and the identified need for those services4 7,b7 ,a detailed plan describing how the eligible entity proposes to coordinate and deliver post-traumatic stress disorder prevention services to veterans1 including-- 7i7 an identification of the community partners with which the eligible entity proposes to work in delivering such services2 7ii7 a description of the arrangements currently in place between the eligible entity and such partners2 and 7iii7 an identification of how long such arrangements have been in place4 7,c7 ,a description of the types of veterans at risk of post-traumatic stress disorder proposed to be provided post-traumatic stress disorder prevention services4 7,d7 ,an estimate of the number of veterans at risk of post-traumatic stress disorder proposed to be provided post-traumatic stress disorder prevention services and the basis for such estimate1 including the percentage of those veterans who are not currently receiving care furnished by the ,department4 7,e7 ,evidence of the experience of the eligible entity 7and the proposed partners of the entity7 in providing post-traumatic stress disorder prevention services to veterans4 7,f7 ,a description of the managerial and technological capacity of the eligible entity-- 7i7 to coordinate the provision of post-traumatic stress disorder prevention services with the provision of other services2 7ii7 to assess continuously the needs of veterans at risk of post-traumatic stress disorder for post-traumatic stress disorder prevention services2 7iii7 to coordinate the provision of post-traumatic stress disorder prevention services with the services of the ,department for which the beneficiaries are eligible2 7iv7 to tailor post-traumatic stress disorder prevention services to the needs of veterans and veteran families2 7v7 to continuously seek new sources of assistance to ensure the continuity of post-traumatic stress disorder prevention services for veterans and veteran families for as long as the veteran is determined to be at risk of post-traumatic stress disorder2 and 7vi7 to measure1 over a period of time1 the improved mental resiliency and mental outlook of the veteran served4 7,g7 ,such additional application criteria as the ,secretary considers appropriate4 7f7 ,technical assistance 7#a7 ,in general ,the ,secretary shall provide training and technical assistance to eligible entities in receipt of financial assistance under this section regarding-- 7,a7 the data required to be collected and shared with the ,department2 7,b7 the means of data collection and sharing2 7,c7 familiarization with and appropriate use of any tool to be used to measure the effectiveness of the use of the financial assistance provided2 and 7,d7 the requirements for reporting under subsection 7d7 on services provided via such financial assistance4 7#b7 ,provision of training and technical assistance ,the ,secretary may provide the training and technical assistance described in paragraph 7#a7 directly or through grants or contracts with appropriate public or nonprofit entities4 7g7 ,administration of grant program 7#a7 ,selection criteria ,the ,secretary1 in consultation with entities specified in paragraph 7#c71 shall establish criteria for the selection of eligible entities that have submitted applications under subsection 7e74 7#b7 ,development of measures and metrics ,the ,secretary shall develop1 in consultation with entities specified in paragraph 7#c71 the following3 7,a7 ,a framework for collecting and sharing information about entities in receipt of financial assistance under this section for purposes of improving the discovery of services available for veterans at risk of post-traumatic stress disorder1 set forth by service type1 locality1 and eligibility criteria4 7,b7 ,the measures to be used by each entity in receipt of financial assistance under this section to determine the effectiveness of the programming being provided by such entity in improving mental resiliency and mental outlook of veterans at risk of post-traumatic stress disorder4 7,c7 ,metrics for measuring the effectiveness of the provision of financial assistance under this section4 7#c7 ,coordination ,in developing a plan for the design and implementation of the provision of financial assistance under this section1 including criteria for the award of grants1 the ,secretary shall consult with the following3 7,a7 ,veterans service organizations4 7,b7 ,national organizations representing potential community partners of eligible entities in providing supportive services to address the needs of veterans at risk of post-traumatic stress disorder1 including national organizations that-- 7i7 advocate for the needs of individuals with or at risk of behavioral health conditions2 7ii7 represent mayors2 7iii7 represent religious or faith leaders2 7iv7 represent first responders2 or 7v7 represent chiefs of police and sheriffs4 7,c7 ,organizations with which the ,department has a current memoranda of agreement or understanding related to mental health or post-traumatic stress disorder4 7,d7 ,state departments of veterans affairs4 7,e7 ,national organizations representing members of the reserve components of the ,armed ,forces4 7,f7 ,vet ,centers4 7,g7 ,organizations with experience in creating measurement tools for purposes of determining programmatic effectiveness4 7,h7 ,such other organizations as the ,secretary considers appropriate4 7#d7 ,report on grant criteria ,before notifying eligible entities of the availability of funding under this section1 the ,secretary shall submit to ,congress a report containing-- 7,a7 criteria for the award of a grant under this section2 7,b7 the tool to be used by the ,department to measure the effectiveness of the use of financial assistance provided under this section2 and 7,c7 a framework for the sharing of information about entities in receipt of financial assistance under this section4 7h7 ,information on potential beneficiaries 7#a7 ,in general ,the ,secretary may make available to recipients of financial assistance under this section certain information regarding potential beneficiaries of services for which such financial assistance is provided4 7#b7 ,information included ,the information made available under paragraph 7#a7 with respect to potential beneficiaries may include the following3 7,a7 ,confirmation of the status of a potential beneficiary as a veteran4 7,b7 ,confirmation of whether a potential beneficiary is currently receiving care furnished by the ,department or has recently received such care4 7i7 ,duration ,the authority of the ,secretary to provide financial assistance under this section shall terminate on the date that is three years after the date on which the first grant is awarded under this section4 7j7 ,reporting 7#a7 ,interim report 7,a7 ,in general ,not later than #ah months after the date on which the first grant is awarded under this section1 the ,secretary shall submit to the appropriate committees of ,congress a report on the provision of financial assistance under this section4 7,b7 ,elements4 ,the report submitted under subparagraph 7,a7 shall include the following3 7i7 ,an assessment of the effectiveness of the provision of financial assistance under this section1 including the effectiveness of community partners in conducting outreach to veterans at risk of post-traumatic stress disorder4 7ii7 ,a list of grant recipients and their partner organizations that delivered services funded by the grant and the amount of such grant received by each recipient and partner organization4 7iii7 ,the number of veterans supported by each grant recipient1 including through services provided to family members4 7iv7 ,the number of veterans supported by financial assistance under this section1 including through services provided to family members4 7v7 ,the number of veterans supported by financial assistance under this section1 including through services provided to family members1 who were not previously receiving care furnished by the ,department4 7vi7 ,the number of veterans whose mental resiliency and mental outlook received a baseline measurement assessment under this section and the number of such veterans whose mental resiliency and mental outlook will be measured by the ,department or a community partner over a period of time4 7vii7 ,the types of data the ,department was able to collect and share with partners1 including a characterization of the benefits of that data4 7#b7 ,finial report ,not later than three years after the date on which the first grant is awarded under this section1 the ,secretary shall submit to the appropriate committees of ,congress-- 7,a7 a follow-up on the interim report submitted under paragraph 7#a7 containing the elements set forth in subparagraph 7,b7 of such paragraph2 and 7,b7 a report on-- 7i7 the effectiveness of the provision of financial assistance under this section1 including the effectiveness of community partners in conducting outreach and education to veterans at risk of post-traumatic stress disorder2 7ii7 an assessment of the increased capacity of the ,department to provide services to veterans at risk of post-traumatic stress disorder1 set forth by ,state1 as a result of the provision of financial assistance under this section2 and 7iii7 the feasibility and advisability of extending or expanding the provision of financial assistance under this section4 7k7 ,support for families of veterans ,section #gcji;,a of title #ch1 ,united ,states ,code1 is amended-- 7#a7 in subsection 7d7 by adding at the end the following new paragraph3 7#ae7 ,to support family caregivers1 acting in consultation with the veteran and family advisor1 by sharing information with such family caregivers about the following3 7,a7 ,the rights and responsibilities of a veteran as a patient receiving health care4 7,b7 ,the benefits1 services1 and treatments available to a veteran4 7,c7 ,how an external advocate helps a veteran based upon the specific needs of such veteran1 including by providing support1 resources1 and personalized case management to meet such needs4 2 and 7#b7 by striking subsection 7f7 and inserting the following3 7f7 ,definitions ,in this section3 7#a7 ,the term family caregiver has the meaning given that term in section #agbj;,g7d74 7#b7 ,the term controlled substance has the meaning given that term in section #ajb of the ,controlled ,substances ,act 7#ba ,u4,s4,c4 #hjb74 7#c7 ,the term external advocate has the meaning given that term in ,veterans ,health ,administration directive #ajjc4jd 7or any successor directive74 7#d7 ,the term veteran and family advisor has the meaning given the term ,veteran_/,family ,advisor in ,veterans ,health ,administration directive #ajjc4jd 7or any successor directive74 4 7l7 ,definitions ,in this section3 7#a7 ,appropriate committees of ,congress ,the term appropriate committees of ,congress means-- 7,a7 the ,committee on ,veterans' ,affairs and the ,subcommittee on ,military ,construction1 ,veterans ,affairs1 and ,related ,agencies of the ,committee on ,appropriations of the ,senate2 and 7,b7 the ,committee on ,veterans' ,affairs and the ,subcommittee on ,military ,construction1 ,veterans ,affairs1 and ,related ,agencies of the ,committee on ,appropriations of the ,house of ,representatives4 7#b7 ,eligible entity ,the term eligible entity means-- 7,a7 an incorporated private institution or foundation-- 7i7 no part of the net earnings of which incurs to the benefit of any member1 founder1 contributor1 or individual2 7ii7 that has a governing board that would be responsible for the operation of the post-traumatic stress disorder prevention services provided under this section2 and 7iii7 that is approved by the ,secretary as to financial responsibility2 7,b7 a corporation wholly owned and controlled by an organization meeting the requirements of clauses 7i71 7ii71 and 7iii7 of subparagraph 7,a72 7,c7 a tribally designated housing entity 7as defined in section #d of the ,native ,american ,housing ,assistance and ,self-,determination ,act of #aiif 7#be ,u4,s4,c4 #dajc772 or 7,d7 a community-based organization that is physically based in the targeted community and that can effectively network with local civic organizations1 regional health systems1 and other settings where veterans at risk of post-traumatic stress disorder are likely to have contact4 7#c7 ,peer specialist ,the term peer specialist means a person eligible to be appointed as a peer specialist under section #gdjb7;b77#ac7 of title #ch1 ,united ,states ,code4 7#d7 ,risk of post-traumatic stress disorder ,the term risk of post-traumatic stress disorder means exposure to or the existence of any of the following3 7,a7 ,health risk factors1 including the following3 7i7 ,mental health challenges4 7ii7 ,substance abuse4 7iii7 ,serious or chronic health conditions or pain4 7iv7 ,traumatic brain injury4 7,b7 ,environmental risk factors1 including the following3 7i7 ,access to lethal means 7such as drugs1 firearms1 etc474 7ii7 ,prolonged stress4 7iii7 ,stressful life events4 7iv7 ,exposure to the suicide of another person or to graphic or sensationalized accounts of suicide4 7v7 ,unemployment4 7vi7 ,homelessness4 7vii7 ,recent loss4 7viii7 ,legal or financial challenges4 7,c7 ,historical risk factors1 including the following3 7i7 ,previous suicide attempts4 7ii7 ,family history of suicide4 7iii7 ,history of abuse1 neglect1 or trauma4 7#e7 ,post-traumatic stress disorder prevention services ,the term post-traumatic stress disorder services means services to address the needs of veterans at risk of post-traumatic stress disorder and includes the following3 7,a7 ,outreach to identify veterans at risk of post-traumatic stress disorder1 with an emphasis on veterans who are at highest risk or not receiving health care or other services furnished by the ,department4 7,b7 ,a baseline mental health assessment for risk screening and referral to care4 7,c7 ,education on post-traumatic stress disorder and how to care for individuals with it and peer support to families and communities4 7,d7 ,direct treatment4 7,e7 ,medication management4 7,f7 ,individual and group therapy4 7,g7 ,case management services4 7,h7 ,peer support services4 7,i7 ,assistance in obtaining any benefits from the ,department that the veteran at risk of post-traumatic stress disorder or veteran family may be eligible to receive1 including-- 7i7 vocational and rehabilitation counseling2 7ii7 supportive services for homeless veterans2 7iii7 employment and training services2 7iv7 educational assistance2 and 7v7 health care services4 7,j7 ,assistance in obtaining and coordinating the provision of other benefits provided by the ,federal ,government1 a ,state or local government1 or an eligible entity4 7,k7 ,temporary cash assistance 7not to exceed #f months7 to assist with emergent needs relating to-- 7i7 health care services2 7ii7 daily living services2 7iii7 personal financial planning2 7iv7 transportation services2 7v7 temporary income support services2 7vi7 fiduciary and representative payee services2 7vii7 legal services to assist the veteran family with issues that may contribute to the risk of post-traumatic stress disorder of the veteran2 and 7viii7 child care 7not to exceed #e1jjj per veteran family per fiscal year74 7,l7 ,such other services necessary for improving the resiliency of veterans at risk of post-traumatic stress disorder and veteran families as the ,secretary considers appropriate1 which may include-- 7i7 adaptive sports or in-place recreational therapy2 7ii7 substance use reduction programming2 7iii7 individual1 group1 or family counseling2 and 7iv7 relationship coaching4 7#f7 ,vet center ,the term ,vet ,center means a center for readjustment counseling and related mental health services for veterans under section #agab;,a of title #ch1 ,united ,states ,code4 7#g7 ,veteran ,the term veteran has the meaning given that term in section #aja of title #ch1 ,united ,states ,code4 7#h7 ,veteran family ,the term veteran family means1 with respect to a veteran at risk of post-traumatic stress disorder1 any of the following3 7,a7 ,a parent4 7,b7 ,a spouse4 7,c7 ,a child4 7,d7 ,a sibling4 7,e7 ,a step-family member4 7,f7 ,an extended family member4 7,g7 ,any other individual who lives with the veteran4 7#i7 ,veterans service organization ,the term veterans service organization means any organization recognized by the ,secretary of ,veterans ,affairs for the representation of veterans included as part of the annually updated list at https3_/_/www4va4gov_/vso_/ or a successor website4