,,ii #aafth ,,congress #ast ,session ,s4 #bfgc ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,october #bc1 #bjai,mrs4 ,shaheen 7for herself1 ,ms4 ,mc,sally1 ,ms4 ,hirono1 and ,mrs4 ,capito7 introduced the following bill2 which was read twice and referred to the ,committee on ,armed ,services ,a ,,bill ,to amend title #aj1 ,united ,states ,code1 to provide for eating disorders treatment for members and certain former members of the uniformed services1 and dependents of such members1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,supporting ,eating ,disorders ,recovery ,through ,vital ,expansion ,act or the ,,serve ,act4 #b4 ,findings ,congress finds the following3 7#a7 ,eating disorders affect approximately #cj1jjj1jjj ,americans1 including individuals from every age1 gender1 body size1 race1 and socioeconomic status4 7#b7 ,eating disorders include anorexia nervosa1 bulimia nervosa1 binge-eating disorder1 avoidant restrictive intake disorder1 and other specified feeding or eating disorders4 7#c7 ,eating disorders result in the highest mortality rate of any psychiatric illness1 and the suicide rate for individuals with such disorders is #bc percent higher than the suicide rate for the general population4 7#d7 ,research demonstrates that-- 7,a7 eating disorders often co-occur with complex medical conditions1 mental illnesses1 and substance use disorders2 and 7,b7 up to #ce percent of individuals with a substance use disorder have a co-occurring eating disorder4 7#e7 ,studies indicate that there is a higher prevalence of eating disorders among members of the ,armed ,forces and veterans than among the general population4 7#f7 ,family members of members of the ,armed ,forces have a higher prevalence of eating disorders than the general population1 with #bj percent of children of members of the ,armed ,forces found at risk of developing an eating disorder4 7#g7 ,research has found a significant relationship between eating disorders and members of the ,armed ,forces and veterans with a history of post-traumatic stress and sexual trauma4 7#h7 ,female members of the ,armed ,forces have a particularly high risk for an eating disorder1 as studies have found that #af percent of such members have an eating disorder and #cd percent of such members are at risk of developing an eating disorder4 #c4 ,eating disorders treatment for dependents ,section #ajgg of title #aj1 ,united ,states ,code1 is amended-- 7#a7 in subsection 7a77#e71 by inserting 1 including1 in accordance with subsection 7i71 eating disorders after chronic conditions2 and 7#b7 by adding at the end the following new subsection3 7i7 7#a7 ,the provision of health care services for an eating disorder under subsection 7a77#e7 shall include treatment at facilities providing the following hospital-based or freestanding services3 7,a7 ,inpatient services4 7,b7 ,residential services4 7,c7 ,partial hospitalization services4 7,d7 ,intensive outpatient services4 7,e7 ,outpatient services4 7#b7 ,a dependent may be provided health care services for an eating disorder under subsection 7a77#e7 without regard to the age of the dependent4 7#c7 ,treatment may be provided under paragraph 7#a7 at a freestanding facility only if the facility-- 7,a7 is certified to provide such treatment under the ,,tricare program2 and 7,b7 provides to the ,secretary of ,defense verifiable outcome measurements demonstrating clinical improvement of patients when reasonably possible to collect such measurements4 7#d7 ,in this section1 the term eating disorder has the meaning given that term in the ,diagnostic and ,statistical ,manual of ,mental ,disorders1 #eth ,edition 7or successor edition71 published by the ,american ,psychiatric ,association4 4 #d4 ,identification and treatment of eating disorders for members of the ,armed ,forces ,section #ajij of title #aj1 ,united ,states ,code1 is amended-- 7#a7 by striking ,the ,secretary of ,defense and inserting the following3 7a7 ,identification and treatment of eating disorders and drug and alcohol dependence ,the ,secretary of ,defense 2 7#b7 by inserting have an eating disorder or before are dependent on drugs or alcohol2 and 7#c7 by adding at the end the following new subsections3 7b7 ,facilities available to individuals with eating disorders ,for purposes of this section1 necessary facilities described in subsection 7a7 shall include the facilities described in section #ajgg7;i77#a7 of this title4 7c7 ,eating disorder defined ,in this section1 the term eating disorder has the meaning given that term in section #ajgg7;i77#d7 of this title4 4 #e4 ,mental health early identification training ,section #ajij;a of title #aj1 ,united ,states ,code1 is amended-- 7#a7 in subsection 7b7-- 7,a7 in paragraph 7#a71 by striking and at the end2 7,b7 in paragraph 7#b71 by striking the period at the end and inserting 2 and2 and 7,c7 by adding at the end the following new paragraph3 7#c7 require commanders and supervisory personnel to undertake mental health early identification training4 2 and 7#b7 in subsection 7e71 by adding at the end the following new paragraph3 7#d7 ,the term mental health early identification training means training designed to educate the trainee on-- 7,a7 warning signs and symptoms of mental health illness1 including an eating disorder2 and 7,b7 how to refer an individual for mental health treatment4 4