,,ii  #aaf? ,,congress  #b;d ,session   
,s4 #dede  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,septemb] #i1 #bjbj,ms4
 ,ros5 7= h]self & ,mr4 ,cram]7         
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,vet]ans' ,affairs  ,a ,,bill  ,to      
direct ! ,secret>y ( ,vet]ans ,affairs  
to e/abli% ! ,z]o ,suicide ,initiative  
pilot program ( ! ,dep>tm5t ( ,vet]ans  
,affairs4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,,va ,z]o ,suicide         
,demon/ration ,project ,act ( #bjbj4    
#b4 ,z]o ,suicide ,initiative pilot     
program  7a7 ,e/abli%m5t ,n lat] ?an    
#ahj days aft] ! date ( ! enactm5t ( ?is
 ,act1 ! ,secret>y ( ,vet]ans ,affairs  
%all e/abli% a pilot program call$ !    
,z]o ,suicide ,initiative 7ref]r$ to 9  
?is section z ! program74  7b7 ,purpose 
,! program %all implem5t ! curriculum ( 
! ,z]o ,suicide ,in/itute ( ! ,education
 ,developm5t ,c5t] 7ref]r$ to 9 ?is     
section z ! ,in/itute7 to improve safety
 & suicide c>e = vet]ans1 !reby         

significantly r$uc+ rates ( suicide4    
7c7 ,developm5t ,! fir/ ye> ( ! program 
%all be d$icat$ to program developm5t1  
includ+ plann+ & site selection4 ,9     
develop+ ! program1 ! ,secret>y %all    
consult )-- 7#a7 ! ,secret>y ( ,heal? & 
,human ,s]vices2  7#b7 ! ,national      
,in/itutes ( ,heal?2  7#c7 public &     
private in/itutions ( high] education2  
7#d7 educators2  7#e7 exp]ts 9 suicide  
assessm5t1 treatm5t1 & managem5t2  7#f7 
vet]ans s]vice organizations2 &  7#g7   
pr(essional associations ! ,secret>y    
det]m9es relevant to ! purposes ( !     
program4  7d7 ,/aff lead]s2 program     
elem5ts ,! program %all consi/ ( n less 
?an #aj weeks ( education reg>d+ suicide
 c>e1 beg9n+ ) ! selection ( five to t5 
/aff lead]s f ea* site select$ "u       
subsection 7e7 :o %all c>ry out ! foll[+
 program elem5ts3 7#a7 ,complete !      
organizational self-/udy ( ! ,in/itute z
 a team4  7#b7 ,att5d ! two-day ,z]o    
,suicide ,academy ( ! ,in/itute4  7#c7  
,=mulate a plan to collect data to      

support evaluation & quality improvem5t 
us+ ! data elem5ts work%eet ( !         
,in/itute4  7#d7 ,communicate to /aff at
 ! respective site ! adoption ( a       
specific suicide c>e approa*4  7#e7     
,adm9i/] ! work=ce survey ( ! ,in/itute 
to all /aff at ! respective site to le>n
 m ab\t p]ceiv$ com=t ) & compet5ce 9   
c>+ = pati5ts at risk ( suicide4  7#f7  
,review1 develop1 & implem5t tra9+ on   
processes & policies reg>d+ pati5ts at  
risk ( suicide1 includ+-- 7,a7 scre5+2  
7,b7 assessm5t2  7,c7 use ( electronic  
heal? records2  7,d7 risk =mulation2    
7,e7 treatm5t2 &  7,f7 c>e transition4  
7e7 ,sites  7#a7 ,numb] ,! ,secret>y    
%all c>ry out ! program at five m$ical  
c5t]s ( ! ,dep>tm5t ( ,vet]ans ,affairs1
 "o ( :i* prim>ily s]ves vet]ans :o live
 9 rural & remote areas z det]m9$ by !  
,secret>y4  7#b7 ,timel9e ,! ,secret>y  
%all select-- 7,a7 #ae c&idate sites = !
 program n lat] ?an #ahj days aft] !    
date ( ! enactm5t ( ?is ,act2 &  7,b7 ! 
f9al five sites n lat] ?an #bgj days    

aft] ! date ( ! enactm5t ( ?is ,act4    
7#c7 ,consultation ,9 select+ sites at  
:i* to c>ry out ! program1 ! ,secret>y  
%all consult ) exp]ts includ+ (ficials  
(-- 7,a7 ! ,national ,in/itute ( ,m5tal 
,heal?2  7,b7 ! ,sub/ance ,abuse &      
,m5tal ,heal? ,s]vices ,adm9i/ration ( !
 ,dep>tm5t ( ,heal? & ,human ,s]vices2  
7,c7 ! ,(fice ( ,m5tal ,heal? & ,suicide
 ,prev5tion ( ! ,dep>tm5t ( ,vet]ans    
,affairs2  7,d7 ! ,heal? ,s]vices       
,rese>* ,division ( ! ,dep>tm5t (       
,vet]ans ,affairs2  7,e7 ! ,(fice (     
,heal? ,c>e ,trans=mation ( ! ,dep>tm5t 
( ,vet]ans ,affairs2 &  7,f7 ! ,z]o     
,suicide ,in/itute4  7#d7 ,factors ,9   
select+ sites = ! program1 ! ,secret>y  
%all consid] ! foll[+ factors3 7,a7     
,int]e/ 91 & capacity (1 ! /aff ( !     
m$ical c5t]s to implem5t ! program4     
7,b7 ,geographic v>iation4  7,c7        
,v>iations 9 size ( m$ical c5t]s4  7,d7 
,regional suicide rates ( vet]ans4  7,e7
 ,demographic & heal? *>act]i/ics (     
populations s]v$ by ea* m$ical c5t]4    

7f7 ,annual progress report  7#a7 ,9    
g5]al ,n lat] ?an two ye>s aft] ! date  
on :i* ! ,secret>y e/abli%es ! program1 
& annually !reaft] until t]m9ation ( !  
program1 ! ,secret>y %all submit to !   
,committees on ,vet]ans' ,affairs ( !   
,s5ate & ! ,h\se ( ,repres5tatives a    
report on ! program4  7#b7 ,elem5ts ,ea*
 report "u p>agraph 7#a7 %all include ! 
foll[+3 7,a7 ,progress ( /aff lead]s at 
ea* site 9 c>ry+ out tasks "u p>agraphs 
7#a7 ?r\gh 7#e7 ( subsection 7d74  7,b7 
,! p]c5tage ( /aff at ea* site tra9$ "u 
p>agraph 7#f7 ( subsection 7d74  7,c7   
,an assessm5t ( :e!r policies &         
proc$ures implem5t$ at ea* site align ) 
/&>ds ( ! ,in/itute ) reg>ds to-- 7i7   
suicide scre5+2  7ii7 le?al means       
c\nsel+2  7iii7 ref]rals = compreh5sive 
assessm5t ( suicidality2  7iv7 safety   
plann+ = pati5ts receiv+ ref]rals "u    
clause 7iii72  7v7 risk managem5t dur+  
c>e transitions2 &  7vi7 outrea* to     
high-risk pati5ts4  7,d7 ,a comp>ison ( 
! suicide-relat$ outcomes at program    

sites & ^? ( o!r m$ical c5t]s ( !       
,dep>tm5t ( ,vet]ans ,affairs1 includ+--
 7i7 ! p]c5tage ( pati5ts scre5$ =      
suicide risk2  7ii7 ! p]c5tage ( pati5ts
 c\nsel$ 9 le?al means safety2  7iii7 ! 
p]c5tage ( pati5ts scre5$ = suicide risk
 ref]r$ = compreh5sive assessm5t (      
suicidality2  7iv7 ! p]c5tage ( pati5ts 
ref]r$ = compreh5sive assessm5t :o      
complete safety plann+2  7v7 em]g5cy    
dep>tm5t utilization2  7vi7 inpati5t    
psy*iatric hospitalizations2  7vii7 !   
numb] ( suicide attempts among all      
pati5ts & among pati5ts ref]r$ =        
compreh5sive assessm5t ( suicidality2 & 
7viii7 ! numb] ( suicide dea?s among all
 pati5ts & among pati5ts ref]r$ =       
compreh5sive assessm5t ( suicidality4   
7g7 ,f9al report  7#a7 ,9 g5]al ,n lat] 
?an "o ye> aft] ! t]m9ation ( ! program1
 ! ,secret>y %all submit to !           
,committees on ,vet]ans' ,affairs ( !   
,s5ate & ,h\se ( ,repres5tatives a f9al 
report4  7#b7 ,elem5ts ,! report "u ?is 
subsection %all include ! foll[+3 7,a7  

,a detail$ analysis ( in=mation 9 !     
annual reports "u subsection 7f74  7,b7 
,! det]m9ation ( ! ,secret>y :e!r x is  
feasible to cont9ue ! program4  7,c7 ,! 
recomm5dation ( ! ,secret>y :e!r to     
ext5d ! program or make ! program       
p]man5t4  7h7 ,t]m9ation2 ext5sion  7#a7
 ,9 g5]al ,subject to p>agraph 7#b71 !  
program %all t]m9ate on ! date t is five
 ye>s aft] ! date on :i* ! ,secret>y    
e/abli%es ! program "u subsection 7a74  
7#b7 ,au?ority to ext5d ,! ,secret>y may
 ext5d ! program = n m ?an two ye>s if !
 ,secret>y notifies ,congress 9 writ+ ( 
su* ext5sion n less ?an #ahj days be=e !
 t]m9ation date "u p>agraph 7#a74