,i #aaf? ,,congress #b;d ,session ,h4 ,r4 #hadg ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,septemb] #a1 #bjbj ,mr4 ,lamb 7= himself & ,mr4 ,fitzpatrick7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,vet]ans' ,affairs ,a ,,bill ,to direct ! ,secret>y ( ,vet]ans ,affairs to exp& an exi/+ pilot program1 & to e/abli% a new pilot program1 relat$ to complem5t>y & integrative heal? s]vices = vet]ans4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,te/+1 ,rese>*+1 & ,exp&+ ,alt]native ,treatm5ts ,act or ! ,,treat ,act 4 #b4 ,expansion ( c]ta9 complem5t>y & integrative heal? s]vices 7a7 ,plan requir$ ,n lat] ?an #ahj days aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,vet]ans ,affairs %all develop a plan to exp& ! pilot program "u section #icc ( ! ,jason ,simcakoski ,memorial & ,promise ,act 7title ,,ix ( ,public ,law #aad-aih2 #ch ,u4,s4,c4 #agja note74 7b7 ,assessm5t2 elem5ts ,! plan "u subsection 7a7 %all include provisions = assess+ ! implem5tation ( ! plan & ! effectiv5ess ( s]vices & programs describ$ 9 subsection 7f7 ( t section #icc1 includ+-- 7#a7 ! use & efficacy ( complem5t>y & integrative heal? s]vices deliv]$ ?r\gh ! pilot program = address+ m5tal heal?1 pa9 managem5t1 & treatm5t ( *ronic illness2 7#b7 ! outrea* conduct$ by ! ,secret>y to in=m vet]ans & community organizations ( su* s]vices2 & 7#c7 ! exp]i5ces ( vet]ans :o receiv$ su* s]vices4 7c7 ,treatm5ts describ$ ,complem5t>y & integrative heal? treatm5ts describ$ 9 ?is subjection %all consi/ ( ! foll[+3 7#a7 ,yoga4 7#b7 ,m$itation4 7#c7 ,acupuncture4 7#d7 ,*iropractic c>e4 7#e7 ,o!r treatm5ts t %[ suffici5t evid5ce ( efficacy at treat+ m5tal or physical heal? conditions1 z det]m9$ by ! ,secret>y4 7d7 ,implem5tation ,n lat] ?an #bgj days aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y %all implem5t ! plan "u subsection 7a74 7e7 ,report ,n lat] ?an two ye>s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y %all submit to ! ,committees on ,vet]ans' ,affairs ( ! ,s5ate & ,h\se ( ,repres5tatives a report on activities c>ri$ out "u ?is section1 includ+-- 7#a7 ! assessm5t "u subsection 7b72 7#b7 implem5tation "u subsection 7d72 & 7#c7 su* recomm5dations reg>d+ ! furni%+ ( complem5t>y & integrative heal? treatm5ts describ$ 9 subsection 7c7 ! ,secret>y det]m9es appropriate4 #c4 ,pilot program to provide vet]ans access to complem5t>y & integrative heal? s]vices ?r\gh animal !rapy1 agri!rapy1 & adaptive sports1 recreation1 & outdoor adv5ture 7a7 ,9 g5]al ,n lat] ?an #ahj days aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,vet]ans ,affairs %all comm5ce ! conduct ( a pilot program to provide complem5t>y & integrative heal? s]vices describ$ 9 subsection 7b7 to eligible vet]ans f ! ,dep>tm5t ( ,vet]ans ,affairs or ?r\gh ! use ( non-,dep>tm5t entities = ! treatm5t ( po/-traumatic /ress disord]1 depression1 anxiety1 or o!r conditions z det]m9$ by ! ,secret>y4 7b7 ,treatm5ts describ$ ,complem5t>y & integrative heal? treatm5ts describ$ 9 ?is subsection %all consi/ ( ! foll[+3 7#a7 ,equ9e assi/$ !rapy4 7#b7 ,o!r animal !rapy4 7#c7 ,agri!rapy4 7#d7 ,po/-traumatic gr[? programm+4 7#e7 ,adaptive sports1 recreation1 & outdoor adv5ture4 7c7 ,eligible vet]ans ,a vet]an is eligible to p>ticipate 9 ! pilot program "u ?is section if ! vet]an-- 7#a7 is enroll$ 9 ! sy/em ( pati5t enrollm5t ( ! ,dep>tm5t "u section #agje7;a7 ( title #ch1 ,unit$ ,/ates ,code2 & 7#b7 dur+ ! two-ye> p]iod prec$+ ! initial p>ticipation ( ! vet]an 9 ! pilot program-- 7,a7 has receiv$ heal? c>e "u ! laws adm9i/]$ by ! ,secret>y2 or 7,b7 has receiv$ rehabilitation & c\nsel+ s]vices f a ,vet ,c5t]4 7d7 ,duration 7#a7 ,9 g5]al ,! ,secret>y %all c>ry out ! pilot program "u ?is section = a ?ree-ye> p]iod beg9n+ on ! comm5cem5t ( ! pilot program4 7#b7 ,ext5sion ,! ,secret>y may ext5d ! duration ( ! pilot program "u ?is section if ! ,secret>y1 bas$ on ! results ( ! int]im report submitt$ "u subsection 7f77#a71 det]m9es t x is appropriate to d s4 7e7 ,locations 7#a7 ,9 g5]al ,! ,secret>y %all select n few] ?an five facilities ( ! ,dep>tm5t at :i* to c>ry out ! pilot program "u ?is section4 7#b7 ,selection crit]ia ,9 select+ facilities "u p>agraph 7#a71 ! ,secret>y %all ensure t-- 7,a7 ! locations are 9 geographically div]se areas2 & 7,b7 n few] ?an ?ree facilities s]ve vet]ans 9 rural or highly rural areas 7z det]m9$ ?r\gh ! use ( ! ,rural-,urban ,commut+ ,areas cod+ sy/em ( ! ,dep>tm5t ( ,agriculture74 7f7 ,rese>* on effectiv5ess ( treatm5t 7#a7 ,9 g5]al ,! ,secret>y %all c>ry out ! pilot program 9 conjunction ) academic rese>*]s affiliat$ ) ! ,dep>tm5t ( ,vet]ans ,affairs1 includ+ ?r\gh agreem5ts "u p>agraph 7#b71 9 ord] = ^? rese>*]s to /udy ! effectiv5ess ( ! treatm5ts describ$ 9 subsection 7b74 7#b7 ,agreem5ts ,be=e comm5c+ ! pilot program1 ! ,secret>y %all seek to ent] into agreem5ts ) academic rese>*]s to ensure robu/ data collection & ga!r+ proc$ures are 9 place "u ! pilot program 9 ord] to produce pe]-review$ j\rnal articles4 7g7 ,reports 7#a7 ,int]im report 7,a7 ,9 g5]al ,n lat] ?an "o ye> aft] ! comm5cem5t ( ! pilot program "u ?is section1 ! ,secret>y %all submit to ! ,committee on ,vet]ans' ,affairs ( ! ,s5ate & ! ,committee on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives a report on ! progress ( ! pilot program4 7,b7 ,elem5ts ,! report requir$ by subp>agraph 7,a7 %all include ! foll[+3 7i7 ,! numb] ( p>ticipants 9 ! pilot program4 7ii7 ,! type or types ( !rapy (f]$ at ea* facility at :i* ! pilot program is be+ c>ri$ out4 7iii7 ,an assessm5t ( :e!r p>ticipation by a vet]an 9 ! pilot program result$ 9 any *anges 9 cl9ically relevant endpo9ts = ! vet]an ) respect to ! conditions specifi$ 9 subsection 7a74 7iv7 ,an assessm5t ( effect on quality ( life & well-be+ ( vet]ans p>ticipat+ 9 ! pilot program1 includ+ ! results ( a satisfaction survey ( ! p>ticipants 9 ! pilot program1 disaggregat$ by treatm5t "u subsection 7b74 7v7 ,an assessm5t ( :e!r ! pilot program is effective 9 increas+ ! adh]5ce ( vet]ans to m5tal heal? treatm5t = ! conditions describ$ 9 subsection 7a74 7vi7 ,! det]m9ation ( ! ,secret>y ) respect to ext5d+ ! pilot program "u subsection 7d77#b74 7vii7 ,any recomm5dations ( ! ,secret>y ) respect to exp&+ ! pilot program4 7#b7 ,f9al report ,n lat] ?an #ij days aft] ! t]m9ation ( ! pilot program "u ?is section1 ! ,secret>y %all submit to ! ,committee on ,vet]ans' ,affairs ( ! ,s5ate & ! ,committee on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives a f9al report on ! pilot program4