,,ii ,cal5d> ,no4 #ecf #aaf? ,,congress #b;d ,session ,s4 #ead ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,febru>y #ad1 #bjai,mr4 ,te/] 7= himself1 ,mr4 ,boozman1 ,mrs4 ,capito1 ,mrs4 ,blackburn1 ,ms4 ,/ab5[1 ,mr4 ,s*atz1 ,ms4 ,s9ema1 ,ms4 ,w>r51 ,mr4 ,m55dez1 ,ms4 ,hassan1 ,mr4 ,re$1 ,mr4 ,:iteh\se1 ,ms4 ,baldw91 ,ms4 ,duckwor?1 ,mr4 ,blum5?al1 ,mrs4 ,%ahe51 ,mrs4 ,murray1 ,ms4 ,cortez ,ma/o1 ,mr4 ,van ,holl51 ,ms4 ,h>ris1 ,mrs4 ,gillibr&1 ,mr4 ,m]kley1 ,mr4 ,book]1 ,mr4 ,casey1 ,mr4 ,br[n1 ,mr4 ,pet]s1 ,mrs4 ,fe9/e91 ,mr4 ,s&]s1 ,ms4 ,mc,sally1 ,mr4 ,m>key1 ,mr4 ,sullivan1 ,mr4 ,k+1 ,ms4 ,smi?1 ,mr4 ,ka9e1 ,ms4 ,hirono1 ,mr4 ,moran1 ,mr4 ,cram]1 ,mr4 ,coons1 ,ms4 ,klobu*>1 ,mr4 ,cornyn1 ,mr4 ,durb91 ,mr4 ,w>n]1 ,mr4 ,jones1 ,ms4 ,ros51 ,ms4 ,coll9s1 ,mr4 ,wyd51 ,ms4 ,murk[ski1 ,mr4 ,g>dn]1 ,mr4 ,man*91 & ,mr4 ,b5net7 introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,vet]ans' ,affairs ,septemb] #ae1 #bjbj,report$ by ,mr4 ,moran1 ) an amendment,strike out all aft] ! enact+ clause & ins]t ! "p pr9t$ 9 italic ,a ,,bill ,to am5d title #ch1 ,unit$ ,/ates ,code1 to improve ! b5efits & s]vices provid$ by ! ,dep>tm5t ( ,vet]ans ,affairs to wom5 vet]ans1 & = o!r purposes4 #a4 ,%ort title2 table ( cont5ts 7a7 ,%ort title ,?is ,act may be cit$ z ! ,deborah ,sampson ,act4 7b7 ,table ( cont5ts ,! table ( cont5ts = ?is ,act is z foll[s3 ,sec4 #a4 ,%ort title2 table ( cont5ts4,,title ,i--,readju/m5t & ,relat$ ,assistance,sec4 #aja4 ,provision ( re9tegration & readju/m5t s]vices to vet]ans & family memb]s 9 gr\p retreat sett+s4,sec4 #ajb4 ,expansion ( capabilities ( ,wom5 ,vet]ans ,call ,c5t] to include text messag+4,,title ,,ii--,legal & ,supportive ,services,sec4 #bja4 ,dep>tm5t ( ,vet]ans ,affairs public-private p>tn]%ip on legal s]vices = wom5 vet]ans4,sec4 #bjb4 ,additional am\nt = ,supportive ,s]vices = ,vet]an ,families grant program to support organizations t h a focus on provid+ assi/ance to wom5 vet]ans & _! families4,sec4 #bjc4 ,gap analysis ( ,dep>tm5t ( ,vet]ans ,affairs programs t provide assi/ance to wom5 vet]ans :o are homeless4,,title ,,iii--,newborn ,care,sec4 #cja4 ,ext5sion ( p]iod ( eligibility = c>e = newborn *ildr5 f ! ,dep>tm5t ( ,vet]ans ,affairs4,,title ,,iv--,elim9at+ ,b>ri]s to ,access,sec4 #dja4 ,wom5 ,vet]ans ,retr(it ,initiative4,sec4 #djb4 ,/aff+ ( wom5's heal? prim>y c>e provid]s at m$ical facilities ( ! ,dep>tm5t ( ,vet]ans ,affairs4,sec4 #djc4 ,additional fund+ = prim>y c>e & em]g5cy c>e cl9icians 9 ,wom5 ,vet]ans ,heal? ,c>e ,m9i-,resid5cy ,program4,sec4 #djd4 ,e/abli%m5t ( wom5 vet]an tra9+ module = non-,dep>tm5t ( ,vet]ans ,affairs heal? c>e provid]s4,sec4 #dje4 ,/udy on /aff+ ( ,wom5 ,vet]an ,program ,manag] program at m$ical c5t]s ( ! ,dep>tm5t ( ,vet]ans ,affairs & tra9+ ( /aff4,,title ,v--,data ,collection & ,reporting,sec4 #eja4 ,requirem5t = collection & analysis ( data on ,dep>tm5t ( ,vet]ans ,affairs b5efits & s]vices & disaggregation ( su* data by sex & m9ority /atus4,sec4 #ejb4 ,report on availability ( pro/hetics = wom5 vet]ans f ! ,dep>tm5t ( ,vet]ans ,affairs4,sec4 #ejc4 ,requirem5t = ,dep>tm5t ( ,vet]ans ,affairs int]net website to provide in=mation on s]vices available to wom5 vet]ans4,sec4 #ejd4 ,report on locations :]e wom5 vet]ans are us+ heal? c>e f ,dep>tm5t ( ,vet]ans ,affairs4,sec4 #eje4 ,report on models ( m$ical facilities ( ,dep>tm5t ( ,vet]ans ,affairs = ! treatm5t ( wom54,sec4 #ejf4 ,report on /aff+ ( ,dep>tm5t ( ,vet]ans relat+ to ! treatm5t ( wom54 ,i ,readju/m5t & relat$ assi/ance #aja4 ,provision ( re9tegration & readju/m5t s]vices to vet]ans & family memb]s 9 gr\p retreat sett+s 7a7 ,9 g5]al ,section #agab;,a ( title #ch1 ,unit$ ,/ates ,code1 is am5d$-- 7#a7 9 subsection 7a77#a77;,b7-- 7,a7 9 clause 7ii71 by r$esignat+ subclauses 7,i7 & 7,,ii7 z items 7aa7 & 7bb72 7,b7 by r$esignat+ clauses 7i7 & 7ii7 z subclauses 7,i7 & 7,,ii72 7,c7 9 ! matt] prec$+ subclause 7,i71 z r$esignat$ by subp>agraph 7,b71 by /rik+ ,c\nsel+ & ins]t+ 7i7 ,c\nsel+2 & 7,d7 by add+ at ! end ! foll[+ new clause3 7ii7 7,i7 ,except z provid$ 9 subclause 7,,iv71 c\nsel+ furni%$ to an individual "u subp>agraph 7,a7 may include re9tegration & readju/m5t s]vices describ$ 9 subclause 7,,ii7 furni%$ 9 gr\p retreat sett+s4 7,,ii7 ,re9tegration & readju/m5t s]vices describ$ 9 ?is subclause are ! foll[+3 7aa7 ,in=mation on re9tegration ( ! individual into family1 employm5t1 & community4 7bb7 ,f9ancial c\nsel+4 7cc7 ,occupational c\nsel+4 7dd7 ,in=mation & c\nsel+ on /ress r$uction4 7ee7 ,in=mation & c\nsel+ on conflict resolution4 7ff7 ,su* o!r in=mation & c\nsel+ z ! ,secret>y consid]s appropriate to assi/ ! individual 9 re9tegration into family1 employm5t1 & community4 7,,iii7 ,9 furni%+ re9tegration & readju/m5t s]vices "u subclause 7,i71 ! ,secret>y %all (f] wom5 ! opportunity to receive su* s]vices 9 gr\p retreat sett+s 9 :i* ! only p>ticipants are wom54 7,,iv7 ,an individual ref]r$ to 9 subp>agraph 7,c77v7 may receive re9tegration & readju/m5t s]vices "u subclause 7,i7 only if ! individual receives su* s]vices ) a family memb] describ$ 9 subclause 7,i7 or 7,,ii7 ( su* subp>agraph4 4 7b7 ,reque/ = s]vices ,subsection 7a77#b7 ( su* section is am5d$-- 7#a7 by /rik+ ,^u & ins]t+ 7,a7 ,^u2 7#b7 by /rik+ p>agraph 7#a77;,b7 & ins]t+ p>agraph 7#a77;,b77i72 & 7#c7 by add+ at ! end ! foll[+ new subp>agraph3 7,b7 ,^u ! reque/ ( an individual describ$ 9 p>agraph 7#a77;,c71 ! ,secret>y %all furni% ! individual re9tegration & readju/m5t s]vices 9 gr\p retreat sett+s "u p>agraph 7#a77;,b77ii74 4 #ajb4 ,expansion ( capabilities ( ,wom5 ,vet]ans ,call ,c5t] to include text messag+ ,! ,secret>y ( ,vet]ans ,affairs %all exp& ! capabilities ( ! ,wom5 ,vet]ans ,call ,c5t] ( ! ,dep>tm5t ( ,vet]ans ,affairs to include a text messag+ capability4 ,,ii ,legal & supportive s]vices #bja4 ,dep>tm5t ( ,vet]ans ,affairs public-private p>tn]%ip on legal s]vices = wom5 vet]ans 7a7 ,p>tn]%ip requir$ ,! ,secret>y ( ,vet]ans ,affairs %all e/abli% a p>tn]%ip ) at lea/ "o nongov]nm5tal organization to provide legal s]vices to wom5 vet]ans4 7b7 ,focus ,! focus ( ! p>tn]%ip e/abli%$ "u subsection 7a7 %all be on ! #aj highe/ unmet ne$s ( wom5 vet]ans z set =? 9 ! mo/ rec5tly complet$ ,community ,homelessness ,assessm5t1 ,local ,education & ,network+ ,gr\ps = ,vet]ans 7,,*al5g = ,vet]ans7 survey4 #bjb4 ,additional am\nt = ,supportive ,s]vices = ,vet]an ,families grant program to support organizations t h a focus on provid+ assi/ance to wom5 vet]ans & _! families ,section #bjdd7;e7 ( title #ch1 ,unit$ ,/ates ,code1 is am5d$-- 7#a7 9 p>agraph 7#a71 by add+ at ! end ! foll[+ new subp>agraph3 7,f7 #djj1jjj1jjj = ea* ( fiscal ye>s #bjbj ?r\gh #bjbb4 2 & 7#b7 by add+ at ! end ! foll[+ new p>agraph3 7#d7 ,n less ?an #bj1jjj1jjj %all be available "u p>agraph 7#a77;,h7 = ! provision ( f9ancial assi/ance "u subsection 7a7 to organizations t h a focus on provid+ assi/ance to wom5 vet]ans & _! families4 4 #bjc4 ,gap analysis ( ,dep>tm5t ( ,vet]ans ,affairs programs t provide assi/ance to wom5 vet]ans :o are homeless 7a7 ,9 g5]al ,! ,secret>y ( ,vet]ans ,affairs %all complete an analysis ( programs ( ! ,dep>tm5t ( ,vet]ans ,affairs t provide assi/ance to wom5 vet]ans :o are homeless or prec>i\sly h\s$ to id5tify ! areas 9 :i* su* programs are fail+ to meet ! ne$s ( su* wom54 7b7 ,report ,n lat] ?an #bgj days aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y %all submit to ! ,committee on ,vet]ans' ,affairs ( ! ,s5ate & ! ,committee on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives a report on ! analysis complet$ "u subsection 7a74 ,,iii ,newborn c>e #cja4 ,ext5sion ( p]iod ( eligibility = c>e = newborn *ildr5 f ! ,dep>tm5t ( ,vet]ans ,affairs ,section #aghf7;a7 ( title #ch1 ,unit$ ,/ates ,code1 is am5d$1 9 ! matt] prec$+ p>agraph 7#a71 by /rik+ sev5 days & ins]t+ #ad days4 ,,iv ,elim9at+ b>ri]s to access #dja4 ,wom5 ,vet]ans ,retr(it ,initiative 7a7 ,9 g5]al ,! ,secret>y ( ,vet]ans ,affairs %all retr(it exi/+ m$ical facilities ( ! ,dep>tm5t ( ,vet]ans ,affairs ) fixtures1 mat]ials1 & o!r outfitt+ measures to support ! provision ( c>e to wom5 vet]ans at su* facilities4 7b7 ,plan ,n lat] ?an #ahj days aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y %all submit to ! ,committee on ,vet]ans' ,affairs ( ! ,s5ate & ! ,committee on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives a plan to address defici5cies 9 environm5t ( c>e = wom5 vet]ans at m$ical facilities ( ! ,dep>tm5t4 7c7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to ! ,secret>y #bj1jjj1jjj to c>ry out subsection 7a7 9 addition to am\nts o!rwise made available to ! ,secret>y = ! purposes set =? 9 su* subsection4 #djb4 ,/aff+ ( wom5's heal? prim>y c>e provid]s at m$ical facilities ( ! ,dep>tm5t ( ,vet]ans ,affairs ,! ,secret>y ( ,vet]ans ,affairs %all ensure t ea* m$ical facility ( ! ,dep>tm5t ( ,vet]ans ,affairs has n few] ?an "o full-"t or "p-"t wom5's heal? prim>y c>e provid] ^: duties include1 to ! ext5t possible1 provid+ tra9+ to o!r heal? c>e provid]s ( ! ,dep>tm5t on ! ne$s ( wom5 vet]ans4 #djc4 ,additional fund+ = prim>y c>e & em]g5cy c>e cl9icians 9 ,wom5 ,vet]ans ,heal? ,c>e ,m9i-,resid5cy ,program 7a7 ,9 g5]al ,!re is au?oriz$ to be appropriat$ to ! ,secret>y ( ,vet]ans ,affairs #a1jjj1jjj = ea* fiscal ye> = ! ,wom5 ,vet]ans ,heal? ,c>e ,m9i-,resid5cy ,program ( ! ,dep>tm5t ( ,vet]ans ,affairs to provide opportunities = p>ticipation 9 su* program = prim>y c>e & em]g5cy c>e cl9icians4 7b7 ,treatm5t ( am\nts ,! am\nts au?oriz$ to be appropriat$ "u subsection 7a7 %all be 9 addition to am\nts o!rwise made available to ! ,secret>y = ! purposes set =? 9 su* subsection4 #djd4 ,e/abli%m5t ( wom5 vet]an tra9+ module = non-,dep>tm5t ( ,vet]ans ,affairs heal? c>e provid]s 7a7 ,9 g5]al ,n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,vet]ans ,affairs %all e/abli% & make available to community provid]s a tra9+ module t is specific to wom5 vet]ans4 7b7 ,community provid] def9$ ,9 ?is section1 ! t]m community provid] means a non-,dep>tm5t ( ,vet]ans ,affairs heal? c>e provid] :o provides heal? c>e to vet]ans "u ! laws adm9i/]$ by ! ,secret>y ( ,vet]ans ,affairs4 #dje4 ,/udy on /aff+ ( ,wom5 ,vet]an ,program ,manag] program at m$ical c5t]s ( ! ,dep>tm5t ( ,vet]ans ,affairs & tra9+ ( /aff 7a7 ,/udy ,! ,secret>y ( ,vet]ans ,affairs %all conduct a /udy on ! use ( ! ,wom5 ,vet]an ,program ,manag] program ( ! ,dep>tm5t ( ,vet]ans ,affairs to det]m9e-- 7#a7 if ! program is appropriately /aff$ at ea* m$ical c5t] ( ! ,dep>tm5t2 7#b7 :e!r ea* m$ical c5t] ( ! ,dep>tm5t is /aff$ ) a ,wom5 ,vet]an ,program ,manag]2 & 7#c7 :e!r x w\ld be feasible & advisable to h a ,wom5 ,vet]an ,program ,ombudsman at ea* m$ical c5t] ( ! ,dep>tm5t4 7b7 ,report ,n lat] ?an #bgj days aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y %all submit to ! ,committee on ,vet]ans' ,affairs ( ! ,s5ate & ! ,committee on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives a report on ! /udy conduct$ "u subsection 7a74 7c7 ,tra9+ ,! ,secret>y %all ensure t all ,wom5 ,vet]an ,program ,manag]s & ,wom5 ,vet]an ,program ,ombudsm5 receive ! prop] tra9+ to c>ry out _! duties4 ,v ,data collection & report+ #eja4 ,requirem5t = collection & analysis ( data on ,dep>tm5t ( ,vet]ans ,affairs b5efits & s]vices & disaggregation ( su* data by sex & m9ority /atus ,! ,secret>y ( ,vet]ans ,affairs %all-- 7#a7 collect & analyze data on ea* program ( ! ,dep>tm5t ( ,vet]ans ,affairs t provides a s]vice or b5efit to a vet]an1 includ+ ! program c>ri$ out "u section #aadd ( title #aj1 ,unit$ ,/ates ,code2 7#b7 disaggregate su* data by sex & m9ority /atus1 :5 ! data l5ds itself to su* disaggregation2 & 7#c7 publi% ! data collect$ & analyz$ "u p>agraph 7#a71 except = su* cases 9 :i* ! ,secret>y det]m9es t "s portions ( ! data w\ld und]m9e ! anonymity ( a vet]an4 #ejb4 ,report on availability ( pro/hetics = wom5 vet]ans f ! ,dep>tm5t ( ,vet]ans ,affairs ,n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,vet]ans ,affairs %all submit to ! ,committee on ,vet]ans' ,affairs ( ! ,s5ate & ! ,committee on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives a report on ! availability f ! ,dep>tm5t ( ,vet]ans ,affairs ( pro/hetics made = wom5 vet]ans1 includ+ an assessm5t ( ! availability ( su* pro/hetics at ea* m$ical facility ( ! ,dep>tm5t4 #ejc4 ,requirem5t = ,dep>tm5t ( ,vet]ans ,affairs int]net website to provide in=mation on s]vices available to wom5 vet]ans 7a7 ,9 g5]al ,! ,secret>y ( ,vet]ans ,affairs %all survey ! int]net websites & in=mation res\rces ( ! ,dep>tm5t ( ,vet]ans ,affairs 9 effect on ! day be=e ! date ( ! enactm5t ( ?is ,act & publi% an int]net website t s]ves z a c5traliz$ s\rce = ! provision to wom5 vet]ans ( in=mation ab\t ! b5efits & s]vices available to !m "u laws adm9i/]$ by ! ,secret>y4 7b7 ,elem5ts ,! int]net website publi%$ "u subsection 7a7 %all provide to wom5 vet]ans in=mation reg>d+ all ( ! s]vices available 9 ! di/rict 9 :i* t ! vet]an is seek+ su* s]vices1 includ+1 ) respect to ea* m$ical c5t] & community-bas$ outpati5t cl9ic 9 ! applicable ,vet]ans ,integrat$ ,s]vice ,network-- 7#a7 ! "n & contact in=mation ( ea* wom5's heal? coord9ator2 7#b7 a li/ ( appropriate /aff = o!r b5efits available f ! ,vet]ans ,b5efits ,adm9i/ration1 ! ,national ,cemet]y ,adm9i/ration1 & su* o!r entities z ! ,secret>y consid]s appropriate2 & 7#c7 su* o!r in=mation z ! ,secret>y consid]s appropriate4 7c7 ,updat$ in=mation ,! ,secret>y %all ensure t ! in=mation describ$ 9 subsection 7b7 t is publi%$ on ! int]net website requir$ by subsection 7a7 is updat$ n less frequ5tly ?an once e #ij days4 7d7 ,outrea* ,9 c>ry+ out ?is section1 ! ,secret>y %all ensure t ! outrea* conduct$ "u section #agbj;,f7i7 ( title #ch1 ,unit$ ,/ates ,code1 includes in=mation reg>d+ ! int]net website requir$ by subsection 7a74 7e7 ,d]ivation ( funds ,am\nts us$ by ! ,secret>y to c>ry out ?is section %all be d]iv$ f am\nts made available to ! ,secret>y to publi% int]net websites ( ! ,dep>tm5t4 #ejd4 ,report on locations :]e wom5 vet]ans are us+ heal? c>e f ,dep>tm5t ( ,vet]ans ,affairs 7a7 ,9 g5]al ,n lat] ?an #ij days aft] ! date ( ! enactm5t ( ?is ,act1 & annually !reaft]1 ! ,secret>y ( ,vet]ans ,affairs %all submit to ! ,committee on ,vet]ans' ,affairs ( ! ,s5ate & ! ,committee on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives a report on ! use by wom5 vet]ans ( heal? c>e f ! ,dep>tm5t ( ,vet]ans ,affairs4 7b7 ,elem5ts ,ea* report requir$ by subsection 7a7 %all include ! foll[+ in=mation3 7#a7 ,! numb] ( wom5 vet]ans :o reside 9 ea* ,/ate4 7#b7 ,! numb] ( wom5 vet]ans 9 ea* ,/ate :o are enroll$ 9 ! sy/em ( pati5t enrollm5t ( ! ,dep>tm5t e/abli%$ & op]at$ "u section #agje7;a7 ( title #ch1 ,unit$ ,/ates ,code4 7#c7 ,( ! wom5 vet]ans :o are s enroll$1 ! numb] :o h receiv$ heal? c>e "u ! laws adm9i/]$ by ! ,secret>y at lea/ "o "t dur+ ! "o-ye> p]iod prec$+ ! submittal ( ! report4 7#d7 ,! numb] ( wom5 vet]ans :o h be5 se5 at ea* m$ical facility ( ! ,dep>tm5t dur+ su* ye>4 7#e7 ,! numb] ( appo9tm5ts t wom5 vet]ans h _h at ea* su* facility dur+ su* ye>4 7#f7 ,if kn[n1 an id5tification ( ! m$ical facility ( ! ,dep>tm5t 9 ea* ,vet]ans ,integrat$ ,s]vice ,network ) ! l>ge/ rate ( increase 9 pati5t population ( wom5 vet]ans z measur$ by ! increase 9 unique wom5 vet]an pati5t use4 7#g7 ,if kn[n1 an id5tification ( ! m$ical facility ( ! ,dep>tm5t 9 ea* ,vet]ans ,integrat$ ,s]vice ,network ) ! l>ge/ rate ( decrease 9 pati5t population ( wom5 vet]ans z measur$ by ! decrease 9 unique wom5 vet]ans pati5t use4 #eje4 ,report on models ( m$ical facilities ( ,dep>tm5t ( ,vet]ans ,affairs = ! treatm5t ( wom5 7a7 ,9 g5]al ,n lat] ?an #ij days aft] ! date ( ! enactm5t ( ?is ,act1 & annually !reaft]1 ! ,secret>y ( ,vet]ans ,affairs %all submit to ! ,committee on ,vet]ans' ,affairs ( ! ,s5ate & ! ,committee on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives a report on ! use by ! ,dep>tm5t ( ,vet]ans ,affairs ( g5]al prim>y c>e cl9ics1 sep>ate b %>$ spaces1 & wom5's heal? c5t]s z models ( provid+ heal? c>e to wom5 vet]ans4 7b7 ,elem5ts ,ea* report requir$ by subsection 7a7 %all include ! foll[+3 7#a7 ,! numb] ( facilities ( ! ,dep>tm5t t fall into ea* model describ$ 9 subsection 7a71 disaggregat$ by ,vet]ans ,integrat$ ,s]vice ,network & ,/ate4 7#b7 ,a description ( ! crit]ia us$ by ! ,dep>tm5t to det]m9e :i* su* model is mo/ appropriate = ea* facility ( ! ,dep>tm5t4 7#c7 ,an assessm5t ( h[ ! ,dep>tm5t decides to make inve/m5ts to upgrade facilities to ! next high]-level model4 7#d7 ,a description ( :at1 if any1 plans ! ,dep>tm5t has to upgrade facilities f ! l[e/-level model1 g5]al prim>y c>e cl9ics1 to ano!r model4 7#e7 ,an assessm5t ( :e!r any facilities c\ld be upgrad$ to ! next high]-level model )9 plann$ inve/m5ts "u ! /rategic capital inve/m5t plann+ process ( ! ,dep>tm5t4 7#f7 ,an assessm5t ( :e!r any facilities c\ld be upgrad$ to ! next high]-level model ) m9or modifications to exi/+ plans "u ! /rategic capital inve/m5t plann+ process ( ! ,dep>tm5t4 7#g7 ,an assessm5t ( :e!r ! ,dep>tm5t has a goal = h[ _m facilities %\ld fall into ea* su* model4 #ejf4 ,report on /aff+ ( ,dep>tm5t ( ,vet]ans relat+ to ! treatm5t ( wom5 7a7 ,9 g5]al ,n lat] ?an #ij days aft] ! date ( ! enactm5t ( ?is ,act1 & annually !reaft]1 ! ,secret>y ( ,vet]ans ,affairs %all submit to ! ,committee on ,vet]ans' ,affairs ( ! ,s5ate & ! ,committee on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives a report on ! /aff+ ( ! ,dep>tm5t ( ,vet]ans ,affairs relat+ to ! treatm5t ( wom54 7b7 ,elem5ts ,ea* report requir$ by subsection 7a7 %all include ! foll[+1 disaggregat$ by ,vet]ans ,integrat$ ,s]vice ,network & ,/ate 7except ) respect to p>agraph 7#d773 7#a7 ,! numb] ( wom5's heal? c5t]s4 7#b7 ,! numb] ( pati5t align$ c>e teams ( ! ,dep>tm5t relat+ to wom5's heal?4 7#c7 ,! numb] ( full- & "p-"t gynecologi/s ( ! ,dep>tm5t4 7#d7 ,! numb] ( designat$ wom5's heal? c>e provid]s ( ! ,dep>tm5t1 disaggregat$ by facility ( ! ,dep>tm5t4 7#e7 ,! numb] ( heal? c>e provid]s ( ! ,dep>tm5t :o h complet$ a m9i-resid5cy = wom5's heal? c>e ?r\gh ,wom5 ,vet]ans ,heal? ,c>e ,m9i-,resid5cy ,program ( ! ,dep>tm5t dur+ ! "o-ye> p]iod prec$+ ! submittal ( ! report1 & ! numb] t plan to p>ticipate 9 su* a m9i-resid5cy dur+ ! "o-ye> p]iod foll[+ su* date4 7#f7 ,! numb] ( designat$ wom5's heal? c>e provid]s ( ! ,dep>tm5t :o h suffici5t female pati5ts to reta9 _! compet5cies & pr(ici5cies4 #a4 ,%ort title 7a7 ,%ort title ,?is ,act may be cit$ z ! ,deborah ,sampson ,act4 7b7 ,table ( cont5ts ,! table ( cont5ts = ?is ,act is z foll[s3 ,sec4 #a4 ,%ort title4,,title ,i--,improv+ access = wom5 vet]ans to ! ,dep>tm5t ( ,vet]ans ,affairs,sec4 #aja4 ,(fice ( ,wom5's ,heal? 9 ,dep>tm5t ( ,vet]ans ,affairs4,sec4 #ajb4 ,wom5 vet]ans retr(it initiative4,sec4 #ajc4 ,e/abli%m5t ( environm5t ( c>e /&>ds & inspections at ,dep>tm5t ( ,vet]ans ,affairs m$ical c5t]s4,sec4 #ajd4 ,provision ( re9tegration & readju/m5t s]vices to vet]ans & family memb]s 9 gr\p retreat sett+s4,sec4 #aje4 ,provision ( legal s]vices = wom5 vet]ans4,sec4 #ajf4 ,comptroll] ,g5]al surveys & report on supportive s]vices provid$ = v l[-income wom5 vet]ans4,sec4 #ajg4 ,programs on assi/ance = *ild c>e = c]ta9 vet]ans4,sec4 #ajh4 ,availability ( pro/hetics = wom5 vet]ans f ,dep>tm5t ( ,vet]ans ,affairs4,sec4 #aji4 ,requirem5t to improve ,dep>tm5t ( ,vet]ans ,affairs wom5 vet]ans call c5t]4,sec4 #aaj4 ,facilitation ( reproduction & inf]tility rese>*4,sec4 #aaa4 ,in=mation = memb]s ( ! ,arm$ ,=ces reg>d+ availability ( s]vices provid$ by ,dep>tm5t ( ,vet]ans ,affairs4,sec4 #aab4 ,s5se ( ,congress on access to facilities ( ,dep>tm5t ( ,vet]ans ,affairs by res]vi/s = c\nsel+ & treatm5t relat+ to milit>y sexual trauma4,,title ,,ii--,increas+ /aff cultural competency,sec4 #bja4 ,/aff+ ( wom5's heal? prim>y c>e provid]s at m$ical facilities ( ,dep>tm5t ( ,vet]ans ,affairs4,sec4 #bjb4 ,additional fund+ = prim>y c>e & em]g5cy c>e cl9icians 9 ,wom5 ,vet]ans ,heal? ,c>e ,m9i-,resid5cy ,program4,sec4 #bjc4 ,e/abli%m5t ( wom5 vet]an tra9+ module = non-,dep>tm5t ( ,vet]ans ,affairs heal? c>e provid]s4,sec4 #bjd4 ,/udy on /aff+ ( wom5 vet]an program manag] program at m$ical c5t]s ( ,dep>tm5t ( ,vet]ans ,affairs & tra9+ ( /aff4,sec4 #bje4 ,/udy on ,wom5 ,vet]an ,coord9ator program4,sec4 #bjf4 ,/aff+ improvem5t plan = pe] speciali/s ( ,dep>tm5t ( ,vet]ans ,affairs :o are wom54,,title ,,iii--,elim9at+ h>assm5t & assault,sec4 #cja4 ,expansion ( cov]age by ,dep>tm5t ( ,vet]ans ,affairs ( c\nsel+ & treatm5t = sexual trauma4,sec4 #cjb4 ,assessm5t ( effects ( intimate p>tn] viol5ce on wom5 vet]ans by ,advisory ,committee on ,wom5 ,vet]ans4,sec4 #cjc4 ,anti-h>assm5t & anti-sexual assault policy ( ,dep>tm5t ( ,vet]ans ,affairs4,sec4 #cjd4 ,pilot program on assi/+ vet]ans :o exp]i5ce intimate p>tn] viol5ce or sexual assault4,sec4 #cje4 ,/udy & task =ce on vet]ans exp]i5c+ intimate p>tn] viol5ce or sexual assault4,,title ,,iv--,data collection & reporting,sec4 #dja4 ,requirem5t = collection & analysis ( data on ,dep>tm5t ( ,vet]ans ,affairs b5efits & s]vices & disaggregation ( su* data by g5d]1 race1 & e?nicity4,sec4 #djb4 ,/udy on b>ri]s = wom5 vet]ans to receipt ( heal? c>e f ,dep>tm5t ( ,vet]ans ,affairs4,sec4 #djc4 ,/udy on feasibility & advisability ( (f]+ ,p>5t+ ,,/air program at all m$ical c5t]s ( ,dep>tm5t ( ,vet]ans ,affairs4,sec4 #djd4 ,gap analysis ( ,dep>tm5t ( ,vet]ans ,affairs programs t provide assi/ance to wom5 vet]ans :o are homeless4,,title ,v--,b5efits matters,sec4 #eja4 ,/&>d ( pro( = s]vice-connection ( m5tal heal? conditions relat$ to milit>y sexual trauma4,sec4 #ejb4 ,*oice ( sex ( ,dep>tm5t ( ,vet]ans ,affairs m$ical exam9] = assessm5t ( claims = comp5sation relat+ to disability result+ f physical assault ( a sexual nature1 batt]y ( a sexual nature1 or sexual h>assm5t4,sec4 #ejc4 ,secret>y ( ,vet]ans ,affairs report on implem5t+ recomm5dations ( ,inspector ,g5]al ( ,dep>tm5t ( ,vet]ans ,affairs 9 c]ta9 report on d5i$ po/traumatic /ress disord] claims relat$ to milit>y sexual trauma4 ,i ,improv+ access = wom5 vet]ans to ! ,dep>tm5t ( ,vet]ans ,affairs #aja4 ,(fice ( ,wom5's ,heal? 9 ,dep>tm5t ( ,vet]ans ,affairs 7a7 ,*ief ,(fic] ( ,wom5's ,heal? ,subsection 7a7 ( section #gcjf ( title #ch1 ,unit$ ,/ates ,code1 is am5d$-- 7#a7 by r$esignat+ p>agraph 7#aj7 z p>agraph 7#aa72 & 7#b7 by ins]t+ aft] p>agraph 7#i7 ! foll[+ new p>agraph 7#aj73 7#aj7 ,! ,*ief ,(fic] ( ,wom5's ,heal?4 4 7b7 ,organization ( (fice & annual reports 7#a7 ,9 g5]al ,sub*apt] ,i ( *apt] #gc ( title #ch1 ,unit$ ,/ates ,code1 is am5d$ by add+ at ! end ( ! foll[+ new sections3 #gcaj4 ,(fice ( ,wom5's ,heal? 7a7 ,e/abli%m5t 7#a7 ,! ,"u ,secret>y = ,heal? %all e/abli% & op]ate 9 ! ,vet]ans ,heal? ,adm9i/ration ! ,(fice ( ,wom5's ,heal? 79 ?is section ref]r$ to z ! ,(fice74 7#b7 ,! ,(fice %all be locat$ at ! ,c5tral ,(fice ( ! ,dep>tm5t ( ,vet]ans ,affairs4 7#c7 7,a7 ,! head ( ! ,(fice is ! ,*ief ,(fic] ( ,wom5's ,heal? 79 ?is section ref]r$ to z ! ,*ief ,(fic]74 7,b7 ,! ,*ief ,(fic] %all report to ! ,"u ,secret>y = ,heal?4 7#d7 ,! ,"u ,secret>y = ,heal? %all provide ! ,(fice ) su* /aff & o!r support z may be necess>y = ! ,(fice to c>ry out effectively ! functions ( ! ,(fice "u ?is section4 7#e7 ,! ,"u ,secret>y = ,heal? may reorganize exi/+ (fices )9 ! ,vet]ans ,heal? ,adm9i/ration z ( ! date ( ! enactm5t ( ?is section 9 ord] to avoid duplication ) ! functions ( ! ,(fice4 7b7 ,functions ,! functions ( ! ,(fice include ! foll[+3 7#a7 ,to provide a c5tral (fice = monitor+ & enc\rag+ ! activities ( ! ,vet]ans ,heal? ,adm9i/ration ) respect to ! provision1 evaluation1 & improvem5t ( heal? c>e s]vices provid$ to wom5 vet]ans by ! ,dep>tm5t4 7#b7 ,to develop & implem5t /&>ds ( c>e = ! provision ( heal? c>e = wom5 vet]ans by ! ,dep>tm5t4 7#c7 ,to monitor & id5tify defici5cies 9 /&>ds ( c>e = ! provision ( heal? c>e = wom5 vet]ans by ! ,dep>tm5t1 to provide te*nical assi/ance to m$ical facilities ( ! ,dep>tm5t to address & rem$y defici5cies1 & to p]=m ov]sight ( implem5tation ( su* /&>ds ( c>e4 7#d7 ,to monitor & id5tify defici5cies 9 /&>ds ( c>e = ! provision ( heal? c>e = wom5 vet]ans provid$ ?r\gh ! community pursuant to ?is title & to provide recomm5dations to ! appropriate (fice to address & rem$y any defici5cies4 7#e7 ,to ov]see di/ribution ( res\rces & in=mation relat$ to heal? programm+ = wom5 vet]ans "u ?is title4 7#f7 ,to promote ! expansion & improvem5t ( cl9ical1 rese>*1 & educational activities ( ! ,vet]ans ,heal? ,adm9i/ration ) respect to ! heal? c>e ( wom5 vet]ans4 7#g7 ,to provide1 z "p ( ! annual budget+ process1 recomm5dations ) respect to ! am\nts to be reque/$ = furni%+ hospital c>e & m$ical s]vices to wom5 vet]ans pursuant to *apt] #ag ( ?is title1 includ+1 at a m9imum1 recomm5dations t ensure t su* am\nts ei!r reflect or exce$ ! proportion ( vet]ans enroll$ 9 ! sy/em ( pati5t enrollm5t ( ! ,dep>tm5t e/abli%$ & op]at$ "u section #agje7;a7 ( ?is title :o are wom54 7#h7 ,to provide recomm5dations to ! ,"u ,secret>y = ,heal? ) respect to modify+ ! ,vet]ans ,equitable ,res\rce ,allocation sy/em1 or successor sy/em1 to ensure t res\rce allocations "u su* sy/em1 or successor sy/em1 reflect ! heal? c>e ne$s ( wom5 vet]ans4 7#i7 ,to c>ry out su* o!r duties z ! ,"u ,secret>y = ,heal? may require4 7c7 ,recomm5dations 7#a7 ,if ! ,"u ,secret>y = ,heal? det]m9es n to implem5t any recomm5dation made by ! ,*ief ,(fic] ) respect to ! allocation ( res\rces to address ! heal? c>e ne$s ( wom5 vet]ans1 ! ,secret>y %all notify ! appropriate congressional committees ( su* det]m9ation by n lat] ?an #cj days aft] ! date on :i* ! ,"u ,secret>y = ,heal? receives ! recomm5dation4 7#b7 ,ea* notification "u p>agraph 7#a7 relat+ to a det]m9ation ) respect to a recomm5dation %all include ! foll[+3 7,a7 ,! reason+ ( ! ,"u ,secret>y = ,heal? 9 mak+ ! det]m9ation4 7,b7 ,an alt]native1 if "o is select$1 to ! recomm5dation t ! ,"u ,secret>y = ,heal? w c>ry out to fulfill ! heal? c>e ne$s ( wom5 vet]ans4 7d7 ,/&>ds ( c>e ,= purposes ( c>ry+ out ! functions ( ! ,(fice "u ?is section1 ! /&>ds ( c>e = ! provision ( heal? c>e = wom5 vet]ans f ! ,dep>tm5t %all include1 at a m9imum1 ! foll[+3 7#a7 ,a requirem5t =-- 7,a7 at lea/ "o designat$ wom5's heal? prim>y c>e provid] at ea* m$ical c5t] ( ! ,dep>tm5t ^: duties include1 to ! ext5t practicable1 provid+ tra9+ to o!r heal? c>e provid]s ( ! ,dep>tm5t ) respect to ! ne$s ( wom5 vet]ans2 & 7,b7 at lea/ "o designat$ wom5's heal? prim>y c>e provid] at ea* community-bas$ outpati5t cl9ic ( ! ,dep>tm5t :o may s]ve wom5 pati5ts z a p]c5tage ( ! total duties ( ! provid]4 7#b7 ,o!r requirem5ts z det]m9$ by ! ,"u ,secret>y = ,heal?4 7e7 ,outrea* ,! ,*ief ,(fic] %all ensure t-- 7#a7 n less frequ5tly ?an biannually1 ea* m$ical facility ( ! ,dep>tm5t holds a public =um = wom5 vet]ans t occurs outside ( regul> bus9ess h\rs2 & 7#b7 n less frequ5tly ?an qu>t]ly1 ea* m$ical facility ( ! ,dep>tm5t conv5es a focus gr\p ( wom5 vet]ans t includes a discussion ( h>assm5t occurr+ at su* facility4 7f7 ,def9itions ,9 ?is section3 7#a7 ,! t]m appropriate congressional committees has ! mean+ giv5 t t]m 9 section #gcaj;,a7h7 ( ?is title4 7#b7 ,! t]m facility ( ! ,dep>tm5t has ! mean+ giv5 ! t]m facilities ( ! ,dep>tm5t 9 section #agja7c7 ( ?is title4 7#c7 ,! t]m ,vet]ans ,equitable ,res\rce ,allocation sy/em means ! res\rce allocation sy/em e/abli%$ pursuant to section #dbi ( ! ,dep>tm5ts ( ,vet]ans ,affairs & ,h\s+ & ,urban ,developm5t1 & ,indep5d5t ,ag5cies ,appropriations ,act1 #aiig 7,public ,law #ajd-bjd2 #aaj ,/at4 #bibi74 #gcaj;,a4 ,annual reports on wom5's heal? 7a7 ,annual reports ,n lat] ?an ,decemb] #a ( ea* ye>1 ! ,*ief ,(fic] ( ,wom5's ,heal? %all submit to ! appropriate congressional committees a report conta9+ ! matt]s "u subsections 7b7 ?r\gh 7g74 7b7 ,(fice ( ,wom5's ,heal? ,ea* report "u subsection 7a7 %all include a description (-- 7#a7 actions tak5 by ! ,(fice ( ,wom5's ,heal? e/abli%$ "u section #gcaj ( ?is title 9 ! prec$+ fiscal ye> to improve ! provision ( heal? c>e by ! ,dep>tm5t to wom5 vet]ans2 7#b7 any id5tifi$ defici5cies relat$ to ! provision ( heal? c>e by ! ,dep>tm5t to wom5 vet]ans & ! /&>ds ( c>e e/abli%$ 9 su* section & ! plan ( ! ,dep>tm5t to address su* defici5cies2 7#c7 ! fund+ & p]sonnel provid$ to ! ,(fice & :e!r additional fund+ or p]sonnel are ne$$ to meet ! requirem5ts ( su* section2 & 7#d7 o!r in=mation t w\ld be ( int]e/ to ! appropriate congressional committees ) respect to ov]sight ( ! provision ( heal? c>e by ! ,dep>tm5t to wom5 vet]ans4 7c7 ,access to g5d]-specific s]vices 7#a7 ,ea* report "u subsection 7a7 %all include an analysis ( ! access ( wom5 vet]ans to g5d]-specific s]vices "u contracts1 agreem5ts1 or o!r arrangem5ts ) non-,dep>tm5t m$ical provid]s ent]$ into by ! ,secret>y = ! provision ( hospital c>e or m$ical s]vices to vet]ans4 7#b7 ,! analysis "u p>agraph 7#a7 %all include data & p]=mance measures = ! availability ( g5d]-specific s]vices describ$ 9 su* p>agraph1 includ+-- 7,a7 ! av]age wait "t betwe5 ! pref]r$ appo9tm5t date ( ! vet]an & ! date on :i* ! appo9tm5t is complet$2 7,b7 ! av]age driv+ "t requir$ = vet]ans to att5d appo9tm5ts2 & 7,c7 reasons :y appo9tm5ts c\ld n be s*$ul$ ) non-,dep>tm5t m$ical provid]s4 7d7 ,locations :]e wom5 vet]ans are us+ heal? c>e ,ea* report "u subsection 7a7 %all include an analysis ( ! use by wom5 vet]ans ( heal? c>e f ! ,dep>tm5t1 includ+ ! foll[+ in=mation3 7#a7 ,! numb] ( wom5 vet]ans :o reside 9 ea* ,/ate4 7#b7 ,! numb] ( wom5 vet]ans 9 ea* ,/ate :o are enroll$ 9 ! sy/em ( pati5t enrollm5t ( ! ,dep>tm5t e/abli%$ & op]at$ "u section #agje7;a7 ( ?is title4 7#c7 ,( ! wom5 vet]ans :o are s enroll$1 ! numb] :o h receiv$ heal? c>e "u ! laws adm9i/]$ by ! ,secret>y at lea/ "o "t dur+ ! "o-ye> p]iod prec$+ ! submittal ( ! report4 7#d7 ,! numb] ( wom5 vet]ans :o h be5 se5 at a m$ical facility ( ! ,dep>tm5t dur+ su* ye>1 disaggregat$ by facility4 7#e7 ,! numb] ( appo9tm5ts t wom5 vet]ans h _h at a m$ical facility ( ! ,dep>tm5t dur+ su* ye>1 disaggregat$ by-- 7,a7 facility2 & 7,b7 appo9tm5ts =-- 7i7 prim>y c>e2 7ii7 specialty c>e2 & 7iii7 m5tal heal? c>e4 7#f7 ,= ea* appo9tm5t type specifi$ 9 p>agraph 7#e77;,b71 ! numb] ( appo9tm5ts complet$ face-to-face & ! numb] complet$ via teleheal?4 7#g7 ,if kn[n1 an id5tification ( ! m$ical facility ( ! ,dep>tm5t 9 ea* ,vet]ans ,integrat$ ,s]vice ,network ) ! l>ge/ rate ( increase 9 pati5t population ( wom5 vet]ans z measur$ by ! increase 9 unique wom5 vet]an pati5t use4 7#h7 ,if kn[n1 an id5tification ( ! m$ical facility ( ! ,dep>tm5t 9 ea* ,vet]ans ,integrat$ ,s]vice ,network ) ! l>ge/ rate ( decrease 9 pati5t population ( wom5 vet]ans z measur$ by ! decrease 9 unique wom5 vet]an pati5t use4 7e7 ,models ( c>e 7#a7 ,ea* report "u subsection 7a7 %all include an analysis ( ! use by ! ,dep>tm5t ( g5]al prim>y c>e cl9ics1 sep>ate b %>$ spaces1 & wom5's heal? c5t]s z deliv]y ( c>e models = wom5 vet]ans4 7#b7 ,! analysis "u p>agraph 7#a7 %all include ! foll[+3 7,a7 ,! numb] ( facilities ( ! ,dep>tm5t t fall into ea* deliv]y ( c>e model describ$ 9 su* p>agraph1 disaggregat$ by ,vet]ans ,integrat$ ,s]vice ,network & ,/ate4 7,b7 ,a description ( ! crit]ia us$ by ! ,dep>tm5t to det]m9e :i* su* model is mo/ appropriate = ea* facility ( ! ,dep>tm5t4 7,c7 ,an assessm5t ( h[ ! ,dep>tm5t decides to make inve/m5ts to modify facilities to a diff]5t model4 7,d7 ,a description ( :at1 if any1 plans ! ,dep>tm5t has to modify facilities f g5]al prim>y c>e cl9ics to ano!r model4 7,e7 ,an assessm5t ( :e!r any facilities c\ld be modifi$ to a sep>ate b %>$ space = a wom5's heal? c5t] )9 plann$ inve/m5ts "u ! /rategic capital inve/m5t plann+ process ( ! ,dep>tm5t4 7,f7 ,an assessm5t ( :e!r any facilities c\ld be modifi$ to a sep>ate or %>$ space or a wom5's heal? c5t] ) m9or modifications to exi/+ plans "u ! /rategic capital inve/m5t plann+ process ( ! ,dep>tm5t4 7,g7 ,an assessm5t ( :e!r ! ,dep>tm5t has a goal = h[ _m facilities %\ld fall into ea* su* model4 7f7 ,/aff+ ,ea* report "u subsection 7a7 %all include an analysis ( ! /aff+ ( ! ,dep>tm5t relat+ to ! treatm5t ( wom51 includ+ ! foll[+1 disaggregat$ by ,vet]ans ,integrat$ ,s]vice ,network & ,/ate 7except ) respect to p>agraph 7#d773 7#a7 ,! numb] ( wom5's heal? c5t]s4 7#b7 ,! numb] ( pati5t align$ c>e teams ( ! ,dep>tm5t relat+ to wom5's heal?4 7#c7 ,! numb] ( full- & "p-"t gynecologi/s ( ! ,dep>tm5t4 7#d7 ,! numb] ( designat$ wom5's heal? c>e provid]s ( ! ,dep>tm5t1 disaggregat$ by facility ( ! ,dep>tm5t4 7#e7 ,! numb] ( heal? c>e provid]s ( ! ,dep>tm5t :o h complet$ a m9i-resid5cy = wom5's heal? c>e ?r\gh ! ,wom5 ,vet]ans ,heal? ,c>e ,m9i-,resid5cy ,program ( ! ,dep>tm5t dur+ ! "o-ye> p]iod prec$+ ! submittal ( ! report & ! numb] ( m9i-resid5cy tra9+ slots = su* program t are available dur+ ! "o-ye> p]iod foll[+ su* date4 7#f7 ,! numb] ( designat$ wom5's heal? c>e provid]s ( ! ,dep>tm5t :o h suffici5t wom5 pati5t loads or case complexities to reta9 _! compet5cies & pr(ici5cies4 7g7 ,accessibility & treatm5t options ,ea* report "u subsection 7a7 %all include an analysis ( ! accessibility & treatm5t options = wom5 vet]ans1 includ+ ! foll[+3 7#a7 ,an assessm5t ( :eel*air accessibility ( wom5's heal? c5t]s ( ! ,dep>tm5t1 includ+1 ) respect to ea* su* c5t]1 an assessm5t ( accessibility = ea* k9d ( treatm5t provid$ at ! c5t]1 includ+ ) respect to radiology & mammography1 t addresses all relevant factors1 includ+ door sizes1 hoi/s1 & equipm5t4 7#b7 ,! options = wom5 vet]ans to access m5tal heal? provid]s & prim>y c>e provid]s :o are wom54 7#c7 ,! options = wom5 vet]ans at m$ical facilities ( ! ,dep>tm5t ) respect to clo?+ sizes1 includ+ = g[ns1 draw/r+ pants1 & pajamas4 7h7 ,def9itions ,9 ?is section3 7#a7 ,! t]m appropriate congressional committees means-- 7,a7 ! ,committee on ,appropriations & ! ,committee on ,vet]ans' ,affairs ( ! ,s5ate2 & 7,b7 ! ,committee on ,appropriations & ! ,committee on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives4 7#b7 ,! t]m g5d]-specific s]vices means mammography1 ob/etric c>e1 gynecological c>e1 & su* o!r s]vices z ! ,secret>y det]m9es appropriate4 4 7#b7 ,cl]ical am5dm5t ,! table ( sections = su* *apt] is am5d$ by ins]t+ aft] ! item relat+ to section #gcji;,a ! foll[+ new items3 #gcaj4 ,(fice ( ,wom5's ,heal?4#gcaj;,a4 ,annual reports on wom5's heal?4 4 7c7 ,initial report ,! ,*ief ,(fic] ( ,wom5's ,heal? ( ! ,dep>tm5t ( ,vet]ans ,affairs %all submit ! initial report "u section #gcaj;,a ( title #ch1 ,unit$ ,/ates ,code1 z add$ by subsection 7b71 by n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is ,act4 #ajb4 ,wom5 vet]ans retr(it initiative 7a7 ,9 g5]al ,! ,secret>y ( ,vet]ans ,affairs %all prioritize ! retr(itt+ ( exi/+ m$ical facilities ( ! ,dep>tm5t ( ,vet]ans ,affairs ) fixtures1 mat]ials1 & o!r outfitt+ measures to support ! provision ( c>e to wom5 vet]ans at su* facilities4 7b7 ,plan 7#a7 ,9 g5]al ,n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y %all submit to ! ,committee on ,vet]ans' ,affairs ( ! ,s5ate & ! ,committee on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives a plan to address defici5cies 9 environm5t ( c>e = wom5 vet]ans at m$ical facilities ( ! ,dep>tm5t4 7#b7 ,elem5ts ,! plan requir$ by p>agraph 7#a7 %all include ! foll[+3 7,a7 ,an assessm5t ( h[ ! ,secret>y prioritizes retr(itt+ exi/+ m$ical facilities to support provision ( c>e to wom5 vet]ans 9 comp>ison to o!r requirem5ts4 7,b7 ,a five-ye> /rategic plan = retr(itt+ m$ical facilities ( ! ,dep>tm5t to support ! provision ( c>e to wom5 vet]ans z requir$ "u subsection 7a74 7c7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to ! ,secret>y #bj1jjj1jjj to c>ry out subsection 7a7 9 addition to am\nts o!rwise made available to ! ,secret>y = ! purposes set =? 9 su* subsection4 #ajc4 ,e/abli%m5t ( environm5t ( c>e /&>ds & inspections at ,dep>tm5t ( ,vet]ans ,affairs m$ical c5t]s 7a7 ,9 g5]al ,! ,secret>y ( ,vet]ans ,affairs %all e/abli% a policy "u :i* ! environm5t ( c>e /&>ds & inspections at m$ical c5t]s ( ! ,dep>tm5t ( ,vet]ans ,affairs include-- 7#a7 an alignm5t ( ! requirem5ts = su* /&>ds & inspections ) ! wom5's heal? h&book ( ! ,vet]ans ,heal? ,adm9i/ration2 7#b7 a requirem5t = ! frequ5cy ( su* inspections2 7#c7 del9eation ( ! roles & responsibilities ( /aff at ea* m$ical c5t] :o are responsible = compliance2 7#d7 ! requirem5t t ea* m$ical c5t] submit to ! ,secret>y & make publicly available a report on ! compliance ( ! m$ical c5t] ) ! /&>ds2 & 7#e7 a rem$iation plan4 7b7 ,report ,n lat] ?an #ahj days aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y %all submit to ! ,committee on ,vet]ans' ,affairs ( ! ,s5ate & ! ,committee on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives a report c]tify+ 9 writ+ t ! policy requir$ by subsection 7a7 has be5 f9aliz$ & dissem9at$ to all m$ical c5t]s ( ! ,dep>tm5t4 #ajd4 ,provision ( re9tegration & readju/m5t s]vices to vet]ans & family memb]s 9 gr\p retreat sett+s 7a7 ,9 g5]al ,section #agab;,a ( title #ch1 ,unit$ ,/ates ,code1 is am5d$-- 7#a7 9 subsection 7a77#a77;,b7-- 7,a7 9 clause 7ii71 by r$esignat+ subclauses 7,i7 & 7,,ii7 z items 7aa7 & 7bb72 7,b7 by r$esignat+ clauses 7i7 & 7ii7 z subclauses 7,i7 & 7,,ii72 7,c7 9 ! matt] prec$+ subclause 7,i71 z r$esignat$ by subp>agraph 7,b71 by /rik+ ,c\nsel+ & ins]t+ 7i7 ,c\nsel+2 & 7,d7 by add+ at ! end ! foll[+ new clause3 7ii7 7,i7 ,except z provid$ 9 subclause 7,,iv71 c\nsel+ furni%$ to an individual "u subp>agraph 7,a7 may include re9tegration & readju/m5t s]vices describ$ 9 subclause 7,,ii7 furni%$ 9 gr\p retreat sett+s4 7,,ii7 ,re9tegration & readju/m5t s]vices describ$ 9 ?is subclause are ! foll[+3 7aa7 ,in=mation on re9tegration ( ! individual into family1 employm5t1 & community4 7bb7 ,f9ancial c\nsel+4 7cc7 ,occupational c\nsel+4 7dd7 ,in=mation & c\nsel+ on /ress r$uction4 7ee7 ,in=mation & c\nsel+ on conflict resolution4 7ff7 ,su* o!r in=mation & c\nsel+ z ! ,secret>y consid]s appropriate to assi/ ! individual 9 re9tegration into family1 employm5t1 & community4 7,,iii7 ,9 furni%+ re9tegration & readju/m5t s]vices "u subclause 7,i71 ! ,secret>y %all (f] wom5 ! opportunity to receive su* s]vices 9 gr\p retreat sett+s 9 :i* ! only p>ticipants are wom54 7,,iv7 ,an individual describ$ 9 subp>agraph 7,c77v7 may receive re9tegration & readju/m5t s]vices "u subclause 7,i7 only if ! individual receives su* s]vices ) a family memb] describ$ 9 subclause 7,i7 or 7,,ii7 ( su* subp>agraph4 4 7b7 ,reque/ = s]vices ,subsection 7a77#b7 ( su* section is am5d$-- 7#a7 by /rik+ ,^u & ins]t+ 7,a7 ,^u2 7#b7 by /rik+ p>agraph 7#a77;,b7 & ins]t+ p>agraph 7#a77;,b77i72 & 7#c7 by add+ at ! end ! foll[+ new subp>agraph3 7,b7 ,^u ! reque/ ( an individual describ$ 9 p>agraph 7#a77;,c71 ! ,secret>y %all furni% ! individual re9tegration & readju/m5t s]vices 9 gr\p retreat sett+s "u p>agraph 7#a77;,b77ii7 if ! ,secret>y det]m9es ! exp]i5ce w be !rapeutically appropriate4 4 #aje4 ,provision ( legal s]vices = wom5 vet]ans 7a7 ,agreem5t requir$ ,! ,secret>y ( ,vet]ans ,affairs %all ent] into "o or m agreem5ts ) public or private entities to provide legal s]vices to wom5 vet]ans4 7b7 ,focus ,! focus ( an agreem5t ent]$ into "u subsection 7a7 %all be to address ! foll[+ unmet ne$s ( wom5 vet]ans z set =? 9 ! mo/ rec5tly complet$ ,community ,homelessness ,assessm5t1 ,local ,education & ,network+ ,gr\ps = ,vet]ans 7,,*al5g = ,vet]ans7 survey3 7#a7 ,*ild support4 7#b7 ,prev5tion ( eviction & =eclosure4 7#c7 ,dis*>ge upgrades4 7#d7 ,f9ancial gu>dian%ip4 7#e7 ,cr$it c\nsel+4 7#f7 ,family reconciliation assi/ance4 #ajf4 ,comptroll] ,g5]al surveys & report on supportive s]vices provid$ = v l[-income wom5 vet]ans 7a7 ,surveys 7#a7 ,survey ( wom5 vet]ans ,! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all survey wom5 vet]ans :o h receiv$ or are receiv+ supportive s]vices provid$ "u section #bjdd ( title #ch1 ,unit$ ,/ates ,code1 to det]m9e satisfaction ) ! ability ( su* s]vices to meet ! specific ne$s ( su* vet]ans4 7#b7 ,survey ( eligible entities ,! ,comptroll] ,g5]al %all survey eligible entities receiv+ f9ancial assi/ance "u su* section & o!r p>tn]s ( ! ,dep>tm5t ( ,vet]ans ,affairs1 includ+ vet]ans s]vice organizations & ! ,national ,coalition ( ,homeless ,vet]ans1 on ! view ( su* entities & p>tn]s reg>d+-- 7,a7 :e!r ! ,dep>tm5t is meet+ ! ne$s ( wom5 vet]ans ?r\gh ! provision ( supportive s]vices "u su* section2 & 7,b7 any additional supportive s]vices t may be requir$ to meet su* ne$s4 7b7 ,report 7#a7 ,9 g5]al ,n lat] ?an #ah mon?s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all submit to ! ,committee on ,vet]ans' ,affairs ( ! ,s5ate & ! ,committee on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives a report on ! ef=ts ( ! ,dep>tm5t ( ,vet]ans ,affairs to provide supportive s]vices to wom5 vet]ans "u section #bjdd ( title #ch1 ,unit$ ,/ates4 7#b7 ,elem5ts ,! report requir$ by p>agraph 7#a7 %all include ! foll[+3 7,a7 ,a review ( h[ ! ,dep>tm5t det]m9es :i* categories ( supportive s]vices w\ld be b5eficial to wom5 vet]ans :o receive s]vices "u su* section4 7,b7 ,a description ( ! *all5ges wom5 vet]ans :o h *ildr5 face 9 access+ supportive s]vices "u su* section1 includ+ ) respect to access+-- 7i7 homeless %elt]s ) _! *ildr52 7ii7 homeless %elt]s t h re/rictions on male *ildr52 & 7iii7 af=dable *ild c>e4 7,c7 ,a description ( h[ ! ,dep>tm5t id5tifies eligible entities "u su* section t c provide supportive s]vices to meet ! ne$s ( wom5 vet]ans1 includ+ eligible entities ) exp]i5ce 9-- 7i7 intimate p>tn] viol5ce2 7ii7 legal matt]s p]ta9+ especially to wom5 vet]ans1 includ+ tempor>y re/ra9+ ord]s & *ild c>e ord]s2 7iii7 supportive s]vices = *ildr52 & 7iv7 ! evaluation ( :i* categories ( s]vices w\ld be b5eficial to wom5 vet]ans :o receive su* s]vices "u su* section4 7,d7 ,a description ( h[ mu* ! ,dep>tm5t sp5ds1 f funds appropriat$ to c>ry out su* section & funds provid$ "u ! ,coronavirus ,aid1 ,relief1 & ,economic ,security ,act 7,public ,law #aaf-acf71 on supportive s]vices specifically = wom5 vet]ans1 & 9 p>ticul>1 on ! s]vices describ$ 9 subp>agraph 7,a74 7,e7 ,! results ( ! surveys conduct$ "u subsection 7a74 7,f7 ,a review ( ! res\rces & programm+ (f]$ to woman vet]ans "u su* section4 7,g7 ,an assessm5t ( su* o!r areas z ! ,comptroll] ,g5]al consid]s appropriate4 #ajg4 ,programs on assi/ance = *ild c>e = c]ta9 vet]ans 7a7 ,assi/ance = *ild c>e = c]ta9 vet]ans receiv+ heal? c>e 7#a7 ,9 g5]al ,sub*apt] ,i ( *apt] #ag ( title #ch1 ,unit$ ,/ates ,code1 is am5d$ by add+ at ! end ! foll[+ new section3 #agji;,c4 ,assi/ance = *ild c>e = c]ta9 vet]ans receiv+ heal? c>e 7a7 ,program requir$ ,! ,secret>y %all c>ry out a program to provide1 subject to subsection 7b71 assi/ance to qualifi$ vet]ans describ$ 9 subsection 7c7 to obta9 *ild c>e s t su* vet]ans c receive heal? c>e s]vices describ$ 9 subsection 7c77#b74 7b7 ,limitation on p]iod ( paym5ts ,assi/ance may be provid$ to a qualifi$ vet]an "u ?is section = receipt ( *ild c>e only dur+ ! p]iod t ! qualifi$ vet]an-- 7#a7 receives ! types ( heal? c>e s]vices describ$ 9 subsection 7c77#b7 at a facility ( ! ,dep>tm5t2 & 7#b7 requires travel to & return f su* facility = ! receipt ( su* heal? c>e s]vices4 7c7 ,qualifi$ vet]ans ,= purposes ( ?is section1 a qualifi$ vet]an is a vet]an :o-- 7#a7 is ! prim>y c>etak] ( a *ild or *ildr52 & 7#b7 7,a7 receives f ! ,dep>tm5t-- 7i7 regul> m5tal heal? c>e s]vices2 7ii7 int5sive m5tal heal? c>e s]vices2 or 7iii7 su* o!r int5sive heal? c>e s]vices t ! ,secret>y det]m9es t provision ( assi/ance to ! vet]an to obta9 *ild c>e w\ld improve access to su* heal? c>e s]vices by ! vet]an2 or 7,b7 is 9 ne$ ( regul> or int5sive m5tal heal? c>e s]vices f ! ,dep>tm5t1 & b = lack ( *ild c>e s]vices1 w\ld receive su* heal? c>e s]vices f ! ,dep>tm5t4 7d7 ,locations ,n lat] ?an five ye>s aft] ! date ( ! enactm5t ( ! ,deborah ,sampson ,act1 ! ,secret>y %all c>ry out ! program at ea* m$ical c5t] ( ! ,dep>tm5t4 7e7 ,=ms ( *ild c>e assi/ance 7#a7 ,*ild c>e assi/ance "u ?is section may include ! foll[+3 7,a7 ,/ip5ds = ! paym5t ( *ild c>e (f]$ by a lic5s$ *ild c>e c5t] 7ei!r directly or ?r\gh a v\*] program7 t %all be1 to ! ext5t practicable1 model$ aft] ! ,dep>tm5t ( ,vet]ans ,affairs ,*ild ,c>e ,subsidy ,program e/abli%$ pursuant to section #fcj ( ! ,treasury & ,g5]al ,gov]nm5t ,appropriations ,act1 #bjjb 7,public ,law #ajg-fg2 #aae ,/at4 #eeb74 7,b7 ,direct provision ( *ild c>e at an on-site facility ( ! ,dep>tm5t4 7,c7 ,paym5ts to private *ild c>e ag5cies4 7,d7 ,collaboration ) facilities or programs ( o!r ,f$]al ag5cies4 7,e7 ,su* o!r =ms ( assi/ance z ! ,secret>y consid]s appropriate4 7#b7 ,9 provid+ *ild c>e assi/ance "u ?is section1 ! *ild c>e ne$s ( ! local area %all be consid]$ & ! head ( ea* m$ical c5t] may select ! type ( c>e t is mo/ appropriate or feasible = su* m$ical c5t]4 7#c7 ,9 ! case t *ild c>e assi/ance "u ?is section is provid$ z a /ip5d "u p>agraph 7#a77;,a71 su* /ip5d %all cov] ! full co/ ( su* *ild c>e4 4 7#b7 ,con=m+ am5dm5t ,section #bje7;e7 ( ! ,c>egiv]s & ,vet]ans ,omnibus ,heal? ,s]vices ,act ( #bjaj 7,public ,law #aaa-afc2 #ch ,u4,s4,c4 #agaj note7 is am5d$ by /rik+ ,septemb] #cj1 #bjbj & ins]t+ ! date ( ! enactm5t ( ! ,deborah ,sampson ,act4 7#c7 ,cl]ical am5dm5t ,! table ( sections at ! beg9n+ ( *apt] #ag ( su* title is am5d$ by ins]t+ aft] ! item relat+ to section #agji;,b ! foll[+ new item3 #agji;,c4 ,assi/ance = *ild c>e = c]ta9 vet]ans receiv+ heal? c>e1 4 7b7 ,pilot program on assi/ance = *ild c>e = c]ta9 vet]ans receiv+ readju/m5t c\nsel+ & relat$ m5tal heal? s]vices 7#a7 ,9 g5]al ,! ,secret>y ( ,vet]ans ,affairs %all c>ry out a pilot program to assess ! feasibility & advisability ( provid+1 subject to p>agraph 7#b71 assi/ance to qualifi$ vet]ans describ$ 9 p>agraph 7#c7 to obta9 *ild c>e s t su* vet]ans c receive readju/m5t c\nsel+ & relat$ m5tal heal? s]vices4 7#b7 ,limitation on p]iod ( paym5ts ,assi/ance may be provid$ to a qualifi$ vet]an "u ! pilot program = receipt ( *ild c>e only dur+ ! p]iod t ! qualifi$ vet]an receives readju/m5t c\nsel+ & relat$ heal? c>e s]vices at a ,vet ,c5t]4 7#c7 ,qualifi$ vet]ans ,= purposes ( ?is subsection1 a qualifi$ vet]an is a vet]an :o-- 7,a7 is ! prim>y c>etak] ( a *ild or *ildr52 & 7,b7 7i7 receives f ! ,dep>tm5t regul> readju/m5t c\nsel+ & relat$ m5tal heal? s]vices2 or 7ii7 is 9 ne$ ( regul> readju/m5t c\nsel+ & relat$ m5tal heal? s]vices f ! ,dep>tm5t1 & b = lack ( *ild c>e s]vices1 w\ld receive su* c\nsel+ & s]vices f ! ,dep>tm5t4 7#d7 ,locations ,! ,secret>y %all c>ry out ! pilot program 9 n few] ?an ?ree ,readju/m5t ,c\nsel+ ,s]vice ,regions select$ by ! ,secret>y = purposes ( ! pilot program4 7#e7 ,=ms ( *ild c>e assi/ance 7,a7 ,9 g5]al ,*ild c>e assi/ance "u ! pilot program may include ! foll[+3 7i7 ,/ip5ds = ! paym5t ( *ild c>e (f]$ by a lic5s$ *ild c>e c5t] 7ei!r directly or ?r\gh a v\*] program7 t %all be1 to ! ext5t practicable1 model$ aft] ! ,dep>tm5t ( ,vet]ans ,affairs ,*ild ,c>e ,subsidy ,program e/abli%$ pursuant to section #fcj ( ! ,treasury & ,g5]al ,gov]nm5t ,appropriations ,act1 #bjjb 7,public ,law #ajg-fg2 #aae ,/at4 #eeb74 7ii7 ,paym5ts to private *ild c>e ag5cies4 7iii7 ,collaboration ) facilities or programs ( o!r ,f$]al ag5cies4 7iv7 ,su* o!r =ms ( assi/ance z ! ,secret>y consid]s appropriate4 7,b7 ,local area ,9 provid+ *ild c>e assi/ance "u ! pilot program1 ! *ild c>e ne$s ( ! local area %all be consid]$ & ! head ( ea* ,vet ,c5t] may select ! type ( c>e t is mo/ appropriate or feasible = su* ,vet ,c5t]4 7,c7 ,use ( /ip5d ,9 ! case t *ild c>e assi/ance "u ! pilot program is provid$ z a /ip5d "u subp>agraph 7,a77i71 su* /ip5d %all cov] ! full co/ ( su* *ild c>e4 7#f7 ,duration ,! pilot program %all be c>ri$ out dur+ ! two-ye> p]iod beg9n+ on ! date ( ! comm5cem5t ( ! pilot program4 7#g7 ,report 7,a7 ,9 g5]al ,n lat] ?an #ahj days aft] ! completion ( ! pilot program1 ! ,secret>y %all submit to ,congress a report on ! pilot program4 7,b7 ,elem5ts ,! report requir$ by subp>agraph 7,a7 %all include ! f9d+s & conclusions ( ! ,secret>y reg>d+ ! pilot program1 & %all include su* recomm5dations = ! cont9uation or expansion ( ! pilot program z ! ,secret>y consid]s appropriate4 7#h7 ,vet c5t] def9$ ,9 ?is subsection1 ! t]m ,vet ,c5t] has ! mean+ giv5 t t]m 9 section #agab;,a7h7 ( title #ch1 ,unit$ ,/ates ,code4 #ajh4 ,availability ( pro/hetics = wom5 vet]ans f ,dep>tm5t ( ,vet]ans ,affairs 7a7 ,access at ea* m$ical facility ,section #agad7;a7 ( title #ch1 ,unit$ ,/ates ,code1 is am5d$-- 7#a7 by /rik+ 7a7 ,any vet]an & ins]t+ 7a77#a7 ,any vet]an2 & 7#b7 by add+ at ! end ! foll[+ new p>agraph3 7#b7 ,9 furni%+ pro/hetic appliances "u p>agraph 7#a71 ! ,secret>y %all ensure wom5 vet]ans are able to access cl9ically appropriate pro/hetic appliances ?r\gh ea* m$ical facility ( ! ,dep>tm5t4 4 7b7 ,report 7#a7 ,9 g5]al ,n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,vet]ans ,affairs %all submit to ! ,committee on ,vet]ans' ,affairs ( ! ,s5ate & ! ,committee on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives a report on ! availability f ! ,dep>tm5t ( ,vet]ans ,affairs ( pro/hetics made = wom5 vet]ans1 includ+ an assessm5t ( ! availability ( su* pro/hetics at m$ical facilities ( ! ,dep>tm5t4 7#b7 ,elem5ts ,! report requir$ by p>agraph 7#a7 %all include-- 7,a7 a li/ ( all devices classifi$ by ! ,dep>tm5t z pro/hetic devices1 includ+ a breakd[n ( :e!r a device is consid]$ g5d]-neutral or g5d]-specific2 7,b7 = g5d]-neutral devices1 a breakd[n ( siz+2 7,c7 ! av]age "t x takes = a woman vet]an to receive a pro/hetic device aft] x is prescrib$1 disaggregat$ by ,vet]ans ,integrat$ ,s]vice ,network & m$ical c5t] ( ! ,dep>tm5t2 7,d7 ! total numb] ( wom5 vet]ans utiliz+ ! ,dep>tm5t = pro/hetic s]vices1 disaggregat$ by facility ( ! ,dep>tm5t2 7,e7 an assessm5t ( ef=ts by ! ,dep>tm5t on rese>*1 developm5t1 & employm5t ( additive manufacture te*nology 7commonly ref]r$ to z #c;,d pr9t+7 to provide pro/hetic items = wom5 vet]ans2 7,f7 ! results ( a survey ) a repres5tative sample ( n few] ?an #ej1jjj vet]ans 7( :i* wom5 %all be ov]repres5t$7 9 an amputee c>e program on satisfaction ) pro/hetics furni%$ or procur$ by ! ,dep>tm5t t replace app5dages or _! function2 & 7,g7 su* o!r in=mation z ! ,secret>y consid]s appropriate4 #aji4 ,requirem5t to improve ,dep>tm5t ( ,vet]ans ,affairs wom5 vet]ans call c5t] ,! ,secret>y ( ,vet]ans ,affairs %all enhance ! capabilities ( ! wom5 vet]ans call c5t] ( ! ,dep>tm5t ( ,vet]ans ,affairs-- 7#a7 to respond to reque/s by wom5 vet]ans = assi/ance ) access+ heal? c>e & b5efits furni%$ "u ! laws adm9i/]$ by ! ,secret>y2 & 7#b7 to ref] su* vet]ans to res\rces provid$ by ! ,f$]al ,gov]nm5t & ! community to obta9 assi/ance ) s]vices n furni%$ by ! ,dep>tm5t4 #aaj4 ,facilitation ( reproduction & inf]tility rese>* 7a7 ,9 g5]al ,sub*apt] ,,ii ( *apt] #gc ( title #ch1 ,unit$ ,/ates ,code1 is am5d$ by add+ at ! end ! foll[+ new section3 #gccj;,d4 ,facilitation ( reproduction & inf]tility rese>* 7a7 ,facilitation ( rese>* requir$ ,! ,secret>y %all facilitate rese>* conduct$ collaboratively by ! ,secret>y ( ,def5se & ! ,secret>y ( ,heal? & ,human ,s]vices to improve ! ability ( ! ,dep>tm5t ( ,vet]ans ,affairs to meet ! long-t]m reproductive heal? c>e ne$s ( vet]ans :o h a g5it\r9>y s]vice-connect$ disability or a condition t 0 incurr$ or aggravat$ 9 l9e ( duty 9 ! active milit>y1 naval1 or air s]vice1 su* z a sp9al cord injury1 t affects ! ability ( ! vet]an to reproduce4 7b7 ,dissem9ation ( in=mation ,! ,secret>y %all ensure t in=mation produc$ by ! rese>* facilitat$ "u ?is section t may be useful = o!r activities ( ! ,vet]ans ,heal? ,adm9i/ration is dissem9at$ ?r\gh\t ! ,vet]ans ,heal? ,adm9i/ration4 4 7b7 ,cl]ical am5dm5t ,! table ( sections at ! beg9n+ ( *apt] #gc ( su* title is am5d$ by ins]t+ aft] ! item relat+ to section #gccj;,c ! foll[+ new item3 #gccj;,d4 ,facilitation ( reproduction & inf]tility rese>*4 4 7c7 ,report ,n lat] ?an ?ree ye>s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,vet]ans ,affairs %all submit to ,congress a report on ! rese>* activities conduct$ by ! ,secret>y "u section #gccj;,d ( title #ch1 ,unit$ ,/ates ,code1 z add$ by subsection 7a74 #aaa4 ,in=mation = memb]s ( ! ,arm$ ,=ces reg>d+ availability ( s]vices provid$ by ,dep>tm5t ( ,vet]ans ,affairs 7a7 ,9 g5]al ,! ,secret>y ( ,def5se %all in=m memb]s ( ! ,arm$ ,=ces1 us+ me*anisms available to ! ,secret>y1 ( ! eligibility ( su* memb]s = s]vices provid$ by ! ,dep>tm5t ( ,vet]ans ,affairs4 7b7 ,in=mation f ,sexual ,assault ,response ,coord9ators ,! ,secret>y ( ,def5se %all ensure t ,sexual ,assault ,response ,coord9ators ( ! ,dep>tm5t ( ,def5se advise memb]s ( ! ,arm$ ,=ces :o h exp]i5c$ physical assault ( a sexual nature1 batt]y ( a sexual nature1 or sexual h>assm5t reg>d+ ! eligibility ( su* memb]s = s]vices provid$ by ! ,dep>tm5t ( ,vet]ans ,affairs4 #aab4 ,s5se ( ,congress on access to facilities ( ,dep>tm5t ( ,vet]ans ,affairs by res]vi/s = c\nsel+ & treatm5t relat+ to milit>y sexual trauma 7a7 ,9 g5]al ,x is ! s5se ( ,congress t memb]s ( ! res]ve compon5ts ( ! ,arm$ ,=ces1 includ+ memb]s ( ! ,national ,gu>d1 %\ld be able to access all heal? c>e facilities ( ! ,dep>tm5t ( ,vet]ans ,affairs1 n j ,vet ,c5t]s1 to receive c\nsel+ & treatm5t relat+ to milit>y sexual trauma4 7b7 ,def9itions ,9 ?is section3 7#a7 ,milit>y sexual trauma ,! t]m milit>y sexual trauma means a condition describ$ 9 section #agbj;,d7a77#a7 ( title #ch1 ,unit$ ,/ates ,code4 7#b7 ,vet ,c5t] ,! t]m ,vet ,c5t] has ! mean+ giv5 t t]m 9 section #agab;,a7h7 ( su* title4 ,,ii ,increas+ /aff cultural compet5cy #bja4 ,/aff+ ( wom5's heal? prim>y c>e provid]s at m$ical facilities ( ,dep>tm5t ( ,vet]ans ,affairs ,! ,secret>y ( ,vet]ans ,affairs %all ensure t ea* m$ical facility ( ! ,dep>tm5t ( ,vet]ans ,affairs has n few] ?an "o full-"t or "p-"t wom5's heal? prim>y c>e provid] ^: duties include1 to ! ext5t possible1 provid+ tra9+ to o!r heal? c>e provid]s ( ! ,dep>tm5t on ! ne$s ( wom5 vet]ans4 #bjb4 ,additional fund+ = prim>y c>e & em]g5cy c>e cl9icians 9 ,wom5 ,vet]ans ,heal? ,c>e ,m9i-,resid5cy ,program 7a7 ,9 g5]al ,!re is au?oriz$ to be appropriat$ to ! ,secret>y ( ,vet]ans ,affairs #a1jjj1jjj = ea* fiscal ye> = ! ,wom5 ,vet]ans ,heal? ,c>e ,m9i-,resid5cy ,program ( ! ,dep>tm5t ( ,vet]ans ,affairs to provide opportunities = p>ticipation 9 su* program = prim>y c>e & em]g5cy c>e cl9icians4 7b7 ,treatm5t ( am\nts ,! am\nts au?oriz$ to be appropriat$ "u subsection 7a7 %all be 9 addition to am\nts o!rwise made available to ! ,secret>y = ! purposes set =? 9 su* subsection4 #bjc4 ,e/abli%m5t ( wom5 vet]an tra9+ module = non-,dep>tm5t ( ,vet]ans ,affairs heal? c>e provid]s 7a7 ,9 g5]al ,n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,vet]ans ,affairs %all e/abli% & make available to community provid]s a tra9+ module t is specific to wom5 vet]ans4 7b7 ,tra9+ mat]ials provid$ ,"u ! tra9+ module e/abli%$ & made available to community provid]s "u subsection 7a71 ! ,secret>y %all provide to community provid]s ! same tra9+ mat]ials relat+ to treatm5t ( wom5 vet]ans t is provid$ to heal? c>e provid]s ( ! ,dep>tm5t ( ,vet]ans ,affairs to ensure t all heal? c>e provid]s treat+ wom5 vet]ans h access to ! same mat]ials to support compet5cy ?r\gh\t ! community4 7c7 ,adm9i/ration ( tra9+ module ,! ,secret>y %all adm9i/] ! tra9+ module e/abli%$ "u subsection 7a7 to community provid]s ?r\gh an int]net website ( ! ,dep>tm5t4 7d7 ,annual report ,n lat] ?an "o ye> aft] ! e/abli%m5t ( ! tra9+ module "u subsection 7a71 & annually !reaft]1 ! ,secret>y %all submit to ,congress a report on-- 7#a7 ! utilization by community provid]s ( ! tra9+ module2 & 7#b7 ! effectiv5ess ( ! tra9+ module4 7e7 ,def9itions ,9 ?is section3 7#a7 ,community provid] ,! t]m community provid] means a non-,dep>tm5t ( ,vet]ans ,affairs heal? c>e provid] :o provides preau?oriz$ heal? c>e to vet]ans "u ! laws adm9i/]$ by ! ,secret>y ( ,vet]ans ,affairs4 7#b7 ,preau?oriz$ heal? c>e ,! t]m preau?oriz$ heal? c>e means heal? c>e provid$ to a vet]an t is au?oriz$ by ! ,secret>y be=e be+ provid$4 #bjd4 ,/udy on /aff+ ( wom5 vet]an program manag] program at m$ical c5t]s ( ,dep>tm5t ( ,vet]ans ,affairs & tra9+ ( /aff 7a7 ,/udy ,! ,secret>y ( ,vet]ans ,affairs %all conduct a /udy on ! use ( ! ,wom5 ,vet]an ,program ,manag] program ( ! ,dep>tm5t ( ,vet]ans ,affairs to det]m9e-- 7#a7 if ! program is appropriately /aff$ at ea* m$ical c5t] ( ! ,dep>tm5t2 7#b7 :e!r ea* m$ical c5t] ( ! ,dep>tm5t is /aff$ ) a ,wom5 ,vet]an ,program ,manag]2 & 7#c7 :e!r x w\ld be feasible & advisable to h a ,wom5 ,vet]an ,program ,ombudsman at ea* m$ical c5t] ( ! ,dep>tm5t4 7b7 ,report ,n lat] ?an #bgj days aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y %all submit to ! ,committee on ,vet]ans' ,affairs ( ! ,s5ate & ! ,committee on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives a report on ! /udy conduct$ "u subsection 7a74 7c7 ,tra9+ ,! ,secret>y %all ensure t all ,wom5 ,vet]an ,program ,manag]s & ,wom5 ,vet]an ,program ,ombudsm5 receive ! prop] tra9+ to c>ry out _! duties4 #bje4 ,/udy on ,wom5 ,vet]an ,coord9ator program 7a7 ,/udy & report requir$ ,n lat] ?an #ahj days aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,vet]ans ,affairs %all-- 7#a7 complete a /udy on ! ,wom5 ,vet]an ,coord9ator program ( ! ,vet]ans ,b5efits ,adm9i/ration ( ! ,dep>tm5t ( ,vet]ans ,affairs2 & 7#b7 submit to ! ,committee on ,vet]ans' ,affairs ( ! ,s5ate & ! ,committee on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives a report on ! f9d+s ( ! ,secret>y ) respect to ! /udy complet$ "u p>agraph 7#a74 7b7 ,elem5ts ,! /udy requir$ by subsection 7a77#a7 %all id5tify ! foll[+3 7#a7 ,if ! program describ$ 9 su* subsection is appropriately /aff$ at ea* regional b5efits (fice ( ! ,dep>tm5t4 7#b7 ,:e!r ea* regional b5efits (fice ( ! ,dep>tm5t is /aff$ ) a ,wom5 ,vet]an ,coord9ator4 7#c7 ,! position description ( ! ,wom5 ,vet]an ,coord9ator4 7#d7 ,:e!r an individual s]v+ 9 ! ,wom5 ,vet]an ,coord9ator position concurr5tly s]ves 9 any o!r position1 & if s1 ! allocation ( "t ! individual sp5ds 9 ea* su* position4 7#e7 ,a description ( ! metrics ! ,secret>y uses to det]m9e ! job p]=mance & effectiv5ess ( ! ,wom5 ,vet]an ,coord9ator4 #bjf4 ,/aff+ improvem5t plan = pe] speciali/s ( ,dep>tm5t ( ,vet]ans ,affairs :o are wom5 7a7 ,assessm5t ( capacity 7#a7 ,9 g5]al ,n lat] ?an #ij days aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,vet]ans ,affairs1 9 consultation ) ! ,inspector ,g5]al ( ! ,dep>tm5t ( ,vet]ans ,affairs1 %all comm5ce an assessm5t ( ! capacity ( pe] speciali/s ( ! ,dep>tm5t ( ,vet]ans ,affairs :o are wom54 7#b7 ,elem5ts ,! assessm5t requir$ by p>agraph 7#a7 %all include an assessm5t ( ! foll[+3 7,a7 ,! geographical di/ribution ( pe] speciali/s ( ! ,dep>tm5t :o are wom54 7,b7 ,! geographical di/ribution ( wom5 vet]ans4 7,c7 ,! numb] & proportion ( wom5 pe] speciali/s :o specialize 9 pe] c\nsel+ on m5tal heal? or suicide prev5tion4 7,d7 ,! numb] & proportion ( wom5 pe] speciali/s :o specialize 9 pe] c\nsel+ on non-m5tal heal? relat$ matt]s4 7b7 ,report ,n lat] ?an "o ye> aft] ! assessm5t requir$ by subsection 7a7 has comm5c$1 ! ,secret>y %all submit to ! ,committee on ,vet]ans' ,affairs ( ! ,s5ate & ! ,committee on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives a report detail+ ! f9d+s ( ! assessm5t4 7c7 ,/aff+ improvem5t plan 7#a7 ,9 g5]al ,n lat] ?an #ahj days aft] submitt+ ! report "u subsection 7b71 ! ,secret>y1 9 consultation ) ! ,inspector ,g5]al1 %all submit to ! ,committee on ,vet]ans' ,affairs ( ! ,s5ate & ! ,committee on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives a plan1 bas$ on ! results ( ! assessm5t requir$ by subsection 7a71 to hire additional qualifi$ pe] speciali/s :o are wom51 ) special consid]ation = areas t lack pe] speciali/s :o are wom54 7#b7 ,elem5ts ,! pe] speciali/ positions includ$ 9 ! plan requir$ by p>agraph 7#a7-- 7,a7 %all be non-volunte]1 paid positions2 & 7,b7 may be "p-"t positions4 ,,iii ,elim9at+ h>assm5t & assault #cja4 ,expansion ( cov]age by ,dep>tm5t ( ,vet]ans ,affairs ( c\nsel+ & treatm5t = sexual trauma 7a7 ,expansion ( eligibility = c\nsel+ & treatm5t ,section #agbj;,d ( title #ch1 ,unit$ ,/ates ,code1 is am5d$-- 7#a7 9 subsection 7a7-- 7,a7 9 p>agraph 7#a71 by /rik+ active duty1 active duty = tra9+1 or inactive duty tra9+ & ins]t+ duty1 reg>dless ( duty /atus or l9e ( duty det]m9ation 7z t t]m is us$ 9 section #abcbc ( title #aj72 & 7,b7 9 p>agraph 7#b77;,a71 by /rik+ active duty1 active duty = tra9+1 or inactive duty tra9+ & ins]t+ duty1 reg>dless ( duty /atus or l9e ( duty det]m9ation 7z t t]m is us$ 9 section #abcbc ( title #aj72 7#b7 by /rik+ vet]an ea* place x appe>s & ins]t+ =m] memb] ( ! ,arm$ ,=ces2 7#c7 by /rik+ vet]ans ea* place x appe>s & ins]t+ =m] memb]s ( ! ,arm$ ,=ces2 & 7#d7 by add+ at ! end ! foll[+ new subsection3 7g7 ,9 ?is section1 ! t]m =m] memb] ( ! ,arm$ ,=ces includes ! foll[+3 7#a7 ,a vet]an4 7#b7 ,an individual describ$ 9 section #agbj;,i7b7 ( ?is title4 4 7b7 ,inclusion ( treatm5t = physical heal? conditions ,su* section is fur!r am5d$-- 7#a7 9 subsection 7a7-- 7,a7 9 p>agraph 7#a7-- 7i7 by ins]t+ 1 to include c>e = physical heal? conditions1 z appropriate1 aft] c\nsel+ & appropriate c>e & s]vices2 7ii7 by /rik+ ov]come psy*ological trauma & ins]t+ treat a condition2 & 7iii7 by /rik+ m5tal heal? pr(essional & ins]t+ heal? c>e pr(essional2 & 7,b7 9 p>agraph 7#b77;,a71 by /rik+ ov]come psy*ological trauma & ins]t+ treat a condition2 & 7#b7 9 subsection 7d7-- 7,a7 9 p>agraph 7#a71 by ins]t+ & o!r heal? c>e pr(essionals aft] m5tal heal? pr(essionals2 & 7,b7 9 p>agraph 7#b77;,a71 by ins]t+ & o!r heal? c>e pr(essionals aft] m5tal heal? pr(essionals4 #cjb4 ,assessm5t ( effects ( intimate p>tn] viol5ce on wom5 vet]ans by ,advisory ,committee on ,wom5 ,vet]ans ,section #edb7;c77#a7 ( title #ch1 ,unit$ ,/ates ,code1 is am5d$-- 7#a7 9 subp>agraph 7,b71 by /rik+ & at ! end2 7#b7 by r$esignat+ subp>agraph 7,c7 z subp>agraph 7,d72 & 7#c7 by ins]t+ aft] subp>agraph 7,b7 ! foll[+ new subp>agraph 7,c73 7,c7 an assessm5t ( ! effects ( intimate p>tn] viol5ce on wom5 vet]ans2 & 4 #cjc4 ,anti-h>assm5t & anti-sexual assault policy ( ,dep>tm5t ( ,vet]ans ,affairs 7a7 ,9 g5]al ,sub*apt] ,,ii ( *apt] #e ( title #ch1 ,unit$ ,/ates ,code1 is am5d$ by add+ at ! end ! foll[+ new section3 #ecc4 ,anti-h>assm5t & anti-sexual assault policy 7a7 ,e/abli%m5t 7#a7 ,! ,secret>y1 act+ ?r\gh ! ,(fice ( ,assault & ,prev5tion ( ! ,vet]ans ,heal? ,adm9i/ration1 %all e/abli% a compreh5sive policy to end h>assm5t & sexual assault1 includ+ sexual h>assm5t & g5d]-bas$ h>assm5t1 ?r\gh\t ! ,dep>tm5t4 7#b7 ,! policy requir$ by p>agraph 7#a7 %all include ! foll[+3 7,a7 ,a process = employees & contractors ( ! ,dep>tm5t to respond to report$ incid5ts ( h>assm5t & sexual assault committ$ by any non-,dep>tm5t individual )9 a facility ( ! ,dep>tm5t1 includ+ ) respect to acc\ntability or discipl9>y measures4 7,b7 ,a process = employees & contractors ( ! ,dep>tm5t to respond to report$ incid5ts ( h>assm5t & sexual assault ( any non-,dep>tm5t individual )9 a facility ( ! ,dep>tm5t4 7,c7 ,a process = any non-,dep>tm5t individual to report h>assm5t & sexual assault describ$ 9 subp>agraph 7,a71 includ+ an option = confid5tial report+1 & = ! ,secret>y to respond to & address su* reports4 7,d7 ,cle> me*anisms = non-,dep>tm5t individuals to readily id5tify to :om & h[ to report incid5ts ( h>assm5t & sexual assault committ$ by ano!r non-,dep>tm5t individual4 7,e7 ,cle> me*anisms = employees & contractors ( ! ,dep>tm5t to readily id5tify to :om & h[ to report incid5ts ( h>assm5t & sexual assault & h[ to ref] non-,dep>tm5t individuals ) respect to report+ an incid5t ( h>assm5t or sexual assault4 7,f7 ,a process =1 & m&atory report+ requirem5t applicable to1 any employee or contractor ( ! ,dep>tm5t :o witnesses h>assm5t or sexual assault describ$ 9 subp>agraph 7,a7 or 7,b7 )9 a facility ( ! ,dep>tm5t1 reg>dless ( :e!r ! individual affect$ by su* h>assm5t or sexual assault wants to report su* h>assm5t or sexual assault4 7,g7 ,! actions possible1 includ+ discipl9>y actions1 = employees or contractors ( ! ,dep>tm5t :o fail to report incid5ts ( h>assm5t & sexual assault describ$ 9 subp>agraph 7,a7 or 7,b7 t ! employees or contractors witness4 7,h7 ,on an annual or m frequ5t basis1 m&atory tra9+ = employees & contractors ( ! ,dep>tm5t reg>d+ h[ to report & address h>assm5t & sexual assault describ$ 9 subp>agraphs 7,a7 & 7,b71 includ+ by/&] int]v5tion tra9+4 7,i7 ,on an annual or m frequ5t basis1 ! di/ribution ( ! policy "u ?is subsection & anti-h>assm5t & anti-sexual assault educational mat]ials by mail or email to ea* individual receiv+ a b5efit "u a law adm9i/]$ by ! ,secret>y4 7,j7 ,! prom95t display ( anti-h>assm5t & anti-sexual assault messages 9 ea* facility ( ! ,dep>tm5t1 includ+ h[ non-,dep>tm5t individuals may report h>assm5t & sexual assault describ$ 9 subp>agraphs 7,a7 & 7,b7 at su* facility & ! po9ts ( contact "u subsection 7b74 7,k7 ,! po/+ on int]net websites ( ! ,dep>tm5t1 includ+ ! ma9 int]net website reg>d+ b5efits ( ! ,dep>tm5t & ! ma9 int]net website reg>d+ heal? c>e ( ! ,dep>tm5t1 ( anti-h>assm5t & anti-sexual assault bann]s specifically address+ h>assm5t & sexual assault describ$ 9 subp>agraphs 7,a7 & 7,b74 7b7 ,po9ts ( contact ,! ,secret>y %all designate1 z a po9t ( contact to receive reports ( h>assm5t & sexual assault describ$ 9 subp>agraphs 7,a7 & 7,b7 ( subsection 7a77#b7-- 7#a7 at lea/ "o individual1 9 addition to law en=cem5t1 at ea* facility ( ! ,dep>tm5t 7includ+ ,vet ,c5t]s "u section #agab;,a ( ?is title71 ) reg>d to t facility2 7#b7 at lea/ "o individual employ$ 9 ea* ,vet]ans ,integrat$ ,s]vice ,network1 ) reg>d to facilities 9 t ,vet]ans ,integrat$ ,s]vice ,network2 7#c7 at lea/ "o individual employ$ 9 ea* regional b5efits (fice2 7#d7 at lea/ "o individual employ$ at ea* location ( ! ,national ,cemet]y ,adm9i/ration2 & 7#e7 at lea/ "o individual employ$ at ! ,c5tral ,(fice ( ! ,dep>tm5t to track reports ( su* h>assm5t & sexual assault across ! ,dep>tm5t1 disaggregat$ by facility4 7c7 ,acc\ntability 7#a7 ,! ,secret>y %all e/abli% a policy to ensure t ea* facility ( ! ,dep>tm5t & ea* director ( a ,vet]ans ,integrat$ ,s]vice ,network is responsible = address+ h>assm5t & sexual assault at ! facility & ! ,network4 7#b7 ,! policy requir$ by p>agraph 7#a7 %all include-- 7,a7 a rem$iation plan = facilities t exp]i5ce five or m incid5ts ( sexual h>assm5t1 sexual assault1 or comb9ation !re(1 dur+ any s+le fiscal ye>2 & 7,b7 tak+ appropriate actions "u *apt] #g or sub*apt] ,v ( *apt] #gd ( ?is title4 7d7 ,data ,! ,secret>y %all ensure t ! 9-take process = vet]ans at m$ical facilities ( ! ,dep>tm5t includes a survey to collect ! foll[+ in=mation3 7#a7 ,:e!r ! vet]an feels safe at ! facility & :e!r any ev5ts occurr$ at ! facility t affect su* feel+4 7#b7 ,:e!r ! vet]an wants to be contact$ lat] by ! ,dep>tm5t ) respect to su* safety issues4 7e7 ,work+ gr\p 7#a7 ,! ,secret>y %all e/abli% a work+ gr\p to assi/ ! ,secret>y 9 implem5t+ policies to c>ry out ?is section4 7#b7 ,! work+ gr\p e/abli%$ "u p>agraph 7#a7 %all consi/ ( repres5tatives f-- 7,a7 vet]ans s]vice organizations2 7,b7 ,/ate1 local1 & ,tribal vet]ans ag5cies2 & 7,c7 o!r p]sons ! ,secret>y det]m9es appropriate4 7#c7 ,! work+ gr\p e/abli%$ "u p>agraph 7#a7 %all develop1 & ! ,secret>y %all c>ry out-- 7,a7 an action plan = address+ *anges at ! local level to r$uce in/ances ( h>assm5t & sexual assault2 7,b7 /&>diz$ m$ia = vet]ans s]vice organizations & o!r p]sons to use 9 pr9t & on ! int]net ) respect to r$uc+ h>assm5t & sexual assault2 & 7,c7 by/&] int]v5tion tra9+ = vet]ans4 7#d7 ,! work+ gr\p e/abli%$ "u p>agraph 7#a7 %all n be subject to ! requirem5ts ( ! ,f$]al ,advisory ,committee ,act 7#e ,u4,s4,c4 ,app474 7f7 ,annual reports 7#a7 ,! ,secret>y %all submit to ! ,committee on ,vet]ans' ,affairs ( ! ,s5ate & ! ,committee on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives an annual report on h>assm5t & sexual assault describ$ 9 subp>agraphs 7,a7 & 7,b7 ( subsection 7a77#b7 9 facilities ( ! ,dep>tm5t4 7#b7 ,ea* report submitt$ "u p>agraph 7#a7 %all include ! foll[+3 7,a7 ,results ( h>assm5t & sexual assault programm+1 includ+ ! ,end ,h>assm5t program4 7,b7 ,results ( /udies f ! ,wom5's ,heal? ,practice-,bas$ ,rese>* ,network ( ! ,dep>tm5t relat+ to h>assm5t & sexual assault4 7,c7 ,data collect$ on incid5ts ( sexual h>assm5t & sexual assault4 7,d7 ,a description ( any actions tak5 by ! ,secret>y dur+ ! ye> prec$+ ! date ( ! report to /op h>assm5t & sexual assault at facilities ( ! ,dep>tm5t4 7,e7 ,an assessm5t ( ! implem5tation ( ! tra9+ requir$ 9 subsection 7a77#b77;,h74 7,f7 ,a li/ ( res\rces ! ,secret>y det]m9es necess>y to prev5t h>assm5t & sexual assault at facilities ( ! ,dep>tm5t4 7g7 ,def9itions ,9 ?is section3 7#a7 ,! t]m non-,dep>tm5t individual means any individual pres5t at a facility ( ! ,dep>tm5t :o is n an employee or contractor ( ! ,dep>tm5t4 7#b7 ,! t]m sexual h>assm5t means unsolicit$ v]bal or physical contact ( a sexual nature :i* is ?reat5+ 9 "*4 4 7b7 ,cl]ical am5dm5t ,! table ( sections at ! beg9n+ ( su* *apt] is am5d$ by add+ aft] ! item relat+ to section #ecb ! foll[+ new item3 #ecc4 ,anti-h>assm5t & anti-sexual assault policy4 4 7c7 ,def9ition ( sexual h>assm5t ,section #agbj;,d7f7 ( su* title is am5d$ by /rik+ repeat$14 7d7 ,deadl9e ,! ,secret>y %all comm5ce c>ry+ out section #ecc ( su* title1 z add$ by subsection 7a71 n lat] ?an #ahj days aft] ! date ( enactm5t ( ?is ,act4 #cjd4 ,pilot program on assi/+ vet]ans :o exp]i5ce intimate p>tn] viol5ce or sexual assault 7a7 ,pilot program requir$ ,! ,secret>y ( ,vet]ans ,affairs %all c>ry out a pilot program to assess ! feasibility & advisability ( assi/+ =m] memb]s ( ! ,arm$ ,=ces :o h exp]i5c$ or are exp]i5c+ intimate p>tn] viol5ce or sexual assault 9 access+ b5efits f ! ,dep>tm5t ( ,vet]ans ,affairs1 includ+ coord9at+ access to m$ical treatm5t c5t]s1 h\s+ assi/ance1 & o!r b5efits f ! ,dep>tm5t4 7b7 ,duration ,! ,secret>y %all c>ry out ! pilot program "u subsection 7a7 dur+ ! two-ye> p]iod beg9n+ on ! date ( ! comm5cem5t ( ! pilot program4 7c7 ,collaboration ,! ,secret>y %all c>ry out ! pilot program "u subsection 7a7 9 collaboration )-- 7#a7 intimate p>tn] viol5ce %elt]s & programs2 7#b7 rape crisis c5t]s2 7#c7 ,/ate intimate p>tn] viol5ce & sexual assault coalitions2 & 7#d7 su* o!r heal? c>e or o!r s]vice provid]s t s]ve intimate p>tn] viol5ce or sexual assault victims z det]m9$ by ! ,secret>y1 p>ticul>ly ^? provid+ em]g5cy s]vices or h\s+ assi/ance4 7d7 ,au?oriz$ activities ,9 c>ry+ out ! pilot program "u subsection 7a71 ! ,secret>y may conduct ! foll[+ activities3 7#a7 ,tra9+ = community-bas$ intimate p>tn] viol5ce or sexual assault s]vice provid]s on-- 7,a7 id5tify+ =m] memb]s ( ! ,arm$ ,=ces :o h be5 victims (1 or are curr5tly exp]i5c+1 intimate p>tn] viol5ce or sexual assault2 7,b7 coord9at+ ) local s]vice provid]s ( ! ,dep>tm5t2 & 7,c7 connect+ =m] memb]s ( ! ,arm$ ,=ces ) appropriate h\s+1 m5tal heal?1 m$ical1 & o!r f9ancial assi/ance or b5efits f ! ,dep>tm5t4 7#b7 ,assi/ance to s]vice provid]s to ensure access ( vet]ans to intimate p>tn] viol5ce & sexual assault em]g5cy s]vices1 p>ticul>ly 9 und]s]v$ areas1 includ+ s]vices = ,native ,am]ican vet]ans 7z def9$ 9 section #cgfe ( title #ch1 ,unit$ ,/ates ,code74 7#c7 ,su* o!r outrea* & assi/ance z ! ,secret>y det]m9es necess>y = ! provision ( assi/ance "u subsection 7a74 7e7 ,intimate p>tn] viol5ce & sexual assault outrea* coord9ators 7#a7 ,9 g5]al ,9 ord] to effectively assi/ vet]ans :o h exp]i5c$ intimate p>tn] viol5ce or sexual assault1 ! ,secret>y may e/abli% local coord9ators to provide outrea* "u ! pilot program requir$ by subsection 7a74 7#b7 ,local coord9ator k ,! ,secret>y %all ensure t ea* coord9ator e/abli%$ "u p>agraph 7#a7 is kn[l$geable ab\t-- 7,a7 ! dynamics ( intimate p>tn] viol5ce & sexual assault1 includ+ safety conc]ns1 legal protections1 & ! ne$ = ! provision ( confid5tial s]vices2 7,b7 ! eligibility ( vet]ans = s]vices & b5efits f ! ,dep>tm5t t are relevant to recov]y f intimate p>tn] viol5ce & sexual assault1 p>ticul>ly em]g5cy h\s+ assi/ance1 m5tal heal? c>e1 o!r heal? c>e1 & disability b5efits2 & 7,c7 local community res\rces address+ intimate p>tn] viol5ce & sexual assault4 7#c7 ,local coord9ator assi/ance ,ea* coord9ator e/abli%$ "u p>agraph 7#a7 %all assi/ intimate p>tn] viol5ce %elt]s & rape crisis c5t]s 9 provid+ s]vices to vet]ans4 7f7 ,report 7#a7 ,9 g5]al ,n lat] ?an #ahj days aft] ! completion ( ! pilot program "u subsection 7a71 ! ,secret>y %all submit to ,congress a report on ! pilot program4 7#b7 ,cont5ts ,! report requir$ by p>agraph 7#a7 %all include ! foll[+3 7,a7 ,! f9d+s & conclusions ( ! ,secret>y ) respect to ! pilot program4 7,b7 ,su* recomm5dations = cont9u+ or exp&+ ! pilot program z ! ,secret>y consid]s appropriate4 7g7 ,def9itions ,9 ?is section3 7#a7 ,intimate p>tn] 7,a7 ,9 g5]al ,! t]m intimate p>tn] means a p]son ) :om "o has a close p]sonal relation%ip t may be *>act]iz$ by ! p>tn]s' emotional connect$ness1 regul> contact1 ongo+ physical contact & sexual behavior1 id5tity z a c\ple1 & famili>ity & k ab\t ea* o!r's lives4 7,b7 ,close p]sonal relation%ips ,9 ?is p>agraph1 ! t]m close p]sonal relation%ips includes ! foll[+3 7i7 ,a relation%ip betwe5 m>ri$ sp\ses4 7ii7 ,a relation%ip betwe5 common-law sp\ses4 7iii7 ,a relation%ip betwe5 civil union sp\ses4 7iv7 ,a relation%ip betwe5 dome/ic p>tn]s4 7v7 ,a relation%ip betwe5 dat+ p>tn]s4 7vi7 ,a relation%ip betwe5 ongo+ sexual p>tn]s4 7#b7 ,intimate p>tn] viol5ce ,! t]m intimate p>tn] viol5ce includes physical viol5ce1 sexual viol5ce1 /alk+1 & psy*ological aggression1 includ+ co]cive tactics by a curr5t or =m] intimate p>tn]4 #cje4 ,/udy & task =ce on vet]ans exp]i5c+ intimate p>tn] viol5ce or sexual assault 7a7 ,national basel9e /udy 7#a7 ,9 g5]al ,n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,vet]ans ,affairs1 9 consultation ) ! ,attorney ,g5]al1 %all conduct a national basel9e /udy to exam9e ! scope ( ! problem ( intimate p>tn] viol5ce & sexual assault among vet]ans & sp\ses & intimate p>tn]s ( vet]ans4 7#b7 ,matt]s includ$ ,! /udy "u p>agraph 7#a7 %all-- 7,a7 include a lit]ature review ( all relevant rese>* on intimate p>tn] viol5ce & sexual assault among vet]ans & sp\ses & intimate p>tn]s ( vet]ans2 7,b7 exam9e ! preval5ce ( ! exp]i5ce ( intimate p>tn] viol5ce among-- 7i7 wom5 vet]ans2 7ii7 vet]ans :o are m9ority gr\p memb]s 7z def9$ 9 section #edd ( title #ch1 ,unit$ ,/ates ,code1 & includ+ o!r m9ority populations z ! ,secret>y det]m9es appropriate72 7iii7 urban & rural vet]ans2 7iv7 vet]ans :o are enroll$ 9 a program "u section #agbj;,g ( title #ch1 ,unit$ ,/ates ,code2 7v7 vet]ans :o are 9 intimate relation%ips ) o!r vet]ans2 & 7vi7 vet]ans :o are describ$ 9 m ?an "o clause ( ?is subp>agraph2 7,c7 exam9e ! preval5ce ( ! p]petration ( intimate p>tn] viol5ce by vet]ans2 & 7,d7 include recomm5dations to address ! f9d+s ( ! /udy4 7#c7 ,report ,n lat] ?an #cj days aft] ! date on :i* ! ,secret>y completes ! /udy "u p>agraph 7#a71 ! ,secret>y %all submit to ! ,committee on ,vet]ans' ,affairs ( ! ,s5ate & ! ,committee on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives a report on su* /udy4 7b7 ,task =ce 7#a7 ,9 g5]al ,n lat] ?an #ij days aft] ! date on :i* ! ,secret>y completes ! /udy "u subsection 7a71 ! ,secret>y1 9 consultation ) ! ,attorney ,g5]al & ! ,secret>y ( ,heal? & ,human ,s]vices1 %all e/abli% a national task =ce 79 ?is section ref]r$ to z ! ,task ,=ce7 to develop a compreh5sive national program1 includ+ by integrat+ facilities1 s]vices1 & b5efits ( ! ,dep>tm5t ( ,vet]ans ,affairs into exi/+ networks ( community-bas$ intimate p>tn] viol5ce & sexual assault s]vices1 to address intimate p>tn] viol5ce & sexual assault among vet]ans4 7#b7 ,lead]%ip ,! ,secret>y ( ,vet]ans ,affairs %all lead ! ,task ,=ce 9 collaboration ) ! ,attorney ,g5]al & ! ,secret>y ( ,heal? & ,human ,s]vices4 7c7 ,consultation ) /akehold]s ,9 c>ry+ out ?is section1 ! ,task ,=ce %all consult )-- 7#a7 repres5tatives f vet]an s]vice organizations & milit>y s]vice organizations2 7#b7 repres5tatives f n few] ?an ?ree national organizations or ,/ate coalitions ) demon/rat$ exp]tise 9 intimate p>tn] viol5ce prev5tion1 response1 or advocacy2 & 7#c7 repres5tatives f n few] ?an ?ree national organizations or ,/ate coalitions1 p>ticul>ly ^? repres5t+ und]s]v$ & e?nic m9ority communities1 ) demon/rat$ exp]tise 9 sexual assault prev5tion1 response1 or advocacy4 7d7 ,duties ,! duties ( ! ,task ,=ce %all include ! foll[+3 7#a7 ,to review exi/+ s]vices & policies ( ! ,dep>tm5t & develop a compreh5sive national program to be c>ri$ out by ! ,secret>y ( ,vet]ans ,affairs1 9 collaboration ) ! heads ( relevant ,f$]al ag5cies1 to address intimate p>tn] viol5ce & sexual assault prev5tion1 response1 & treatm5t4 7#b7 ,to review ! feasibility & advisability ( e/abli%+ an exp$it$ process to secure em]g5cy1 tempor>y b5efits1 includ+ h\s+ or o!r b5efits1 = vet]ans :o are exp]i5c+ intimate p>tn] viol5ce or sexual assault4 7#c7 ,to review & make recomm5dations reg>d+ ! feasibility & advisability ( e/abli%+ d$icat$1 tempor>y h\s+ assi/ance = vet]ans exp]i5c+ intimate p>tn] viol5ce or sexual assault4 7#d7 ,to id5tify any requirem5ts reg>d+ intimate p>tn] viol5ce assi/ance or sexual assault response & s]vices t are n be+ met by ! ,dep>tm5t & make recomm5dations on h[ ! ,dep>tm5t c meet su* requirem5ts4 7#e7 ,to review & make recomm5dations reg>d+ ! feasibility & advisability ( provid+ direct s]vices or contract+ = community-bas$ s]vices = vet]ans 9 response to a sexual assault1 includ+ ?r\gh ! use ( sexual assault nurse exam9]s1 p>ticul>ly 9 und]s]v$ or remote areas1 includ+ s]vices = ,native ,am]ican vet]ans4 7#f7 ,to review ! availability ( c\nsel+ s]vices provid$ by ! ,dep>tm5t & ?r\gh pe] network support1 & to provide recomm5dations = ! enhancem5t ( su* s]vices1 to address-- 7,a7 ! p]petration ( intimate p>tn] viol5ce & sexual assault2 & 7,b7 ! recov]y ( vet]ans1 p>ticul>ly wom5 vet]ans1 f intimate p>tn] viol5ce & sexual assault4 7#g7 ,to review & make recomm5dations to exp& s]vices available = vet]ans at risk ( p]petrat+ intimate p>tn] viol5ce4 7e7 ,report ,n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is ,act1 & n less frequ5tly ?an annually !reaft] by ,octob] #a ( ea* ye>1 ! ,task ,=ce %all submit to ! ,secret>y ( ,vet]ans ,affairs & ,congress a report on ! activities ( ! ,task ,=ce1 includ+ any recomm5dations = legislative or adm9i/rative action4 7f7 ,nonapplicability ( ,,faca ,! ,task ,=ce %all n be subject to ! requirem5ts ( ! ,f$]al ,advisory ,committee ,act 7#e ,u4,s4,c4 ,app474 7g7 ,def9itions ,9 ?is section3 7#a7 ,native ,am]ican vet]an ,! t]m ,native ,am]ican vet]an has ! mean+ giv5 t t]m 9 section #cgfe ( title #ch1 ,unit$ ,/ates ,code4 7#b7 ,/ate ,! t]m ,/ate has ! mean+ giv5 t t]m 9 section #aja ( title #ch1 ,unit$ ,/ates ,code4 ,,iv ,data collection & report+ #dja4 ,requirem5t = collection & analysis ( data on ,dep>tm5t ( ,vet]ans ,affairs b5efits & s]vices & disaggregation ( su* data by g5d]1 race1 & e?nicity ,! ,secret>y ( ,vet]ans ,affairs %all-- 7#a7 collect & analyze data on ea* program ( ! ,dep>tm5t ( ,vet]ans ,affairs t provides a s]vice or b5efit to a vet]an1 includ+ ! program c>ri$ out "u section #aadd ( title #aj1 ,unit$ ,/ates ,code2 7#b7 disaggregate su* data by g5d]1 race1 & e?nicity1 :5 ! data l5ds itself to su* disaggregation2 & 7#c7 publi% ! data collect$ & analyz$ "u p>agraph 7#a71 except = su* cases 9 :i* ! ,secret>y det]m9es t "s portions ( ! data w\ld und]m9e ! anonymity ( a vet]an4 #djb4 ,/udy on b>ri]s = wom5 vet]ans to receipt ( heal? c>e f ,dep>tm5t ( ,vet]ans ,affairs 7a7 ,/udy requir$ ,! ,secret>y ( ,vet]ans ,affairs %all conduct a compreh5sive /udy ( ! b>ri]s to ! provision ( compreh5sive heal? c>e by ! ,dep>tm5t ( ,vet]ans ,affairs enc\nt]$ by wom5 :o are vet]ans4 7b7 ,survey ,9 conduct+ ! /udy requir$ by subsection 7a71 ! ,secret>y %all-- 7#a7 survey wom5 vet]ans :o seek or receive hospital c>e or m$ical s]vices provid$ by ! ,dep>tm5t z well z wom5 vet]ans :o d n seek or receive su* c>e or s]vices2 7#b7 adm9i/] ! survey to a repres5tative sample ( wom5 vet]ans f ea* ,vet]ans ,integrat$ ,s]vice ,network2 & 7#c7 ensure t ! sample ( wom5 vet]ans survey$ is ( suffici5t size = ! /udy results to be /ati/ically significant & is a l>g] sample ?an t ( ! /udy specifi$ 9 subsection 7c77#a74 7c7 ,use ( previ\s /udies ,9 conduct+ ! /udy requir$ by subsection 7a71 ! ,secret>y %all build on ! "w ( ! /udies ( ! ,dep>tm5t titl$-- 7#a7 ,national ,survey ( ,wom5 ,vet]ans 9 ,fiscal ,ye> #bjjg-bjjh2 & 7#b7 ,/udy ( ,b>ri]s = ,wom5 ,vet]ans to ,,va ,heal? ,c>e #bjae4 7d7 ,elem5ts ( /udy ,9 conduct+ ! /udy requir$ by subsection 7a71 ! ,secret>y %all conduct rese>* on ! effects ( ! foll[+ on ! wom5 vet]ans survey$ 9 ! /udy3 7#a7 ,! b>ri]s associat$ ) seek+ m5tal heal? c>e s]vices1 includ+ ) respect to provid] availability1 teleheal? access1 & family1 "w1 & s*ool obligations4 7#b7 ,! effect ( driv+ di/ance or availability ( o!r =ms ( transportation to ! ne>e/ m$ical facility on access to c>e4 7#c7 ,! effect ( access to c>e f non-,dep>tm5t provid]s4 7#d7 ,! availability ( *ild c>e4 7#e7 ,! satisfaction ( su* vet]ans ) ! provision by ! ,dep>tm5t ( integrat$ prim>y c>e1 wom5's heal? cl9ics1 or bo?1 includ+ p]ceptions ( quality ( c>e1 safety1 & com=t4 7#f7 ,! und]/&+ & p]ceiv$ accessibility among su* vet]ans ( eligibility requirem5ts =1 & ! scope ( s]vices available "u1 hospital c>e & m$ical s]vices4 7#g7 ,! p]ception ( su* vet]ans ( p]sonal safety & com=t 9 inpati5t1 outpati5t1 & behavioral heal? facilities4 7#h7 ,! g5d] s5sitivity ( heal? c>e provid]s & /aff to issues t p>ticul>ly affect wom54 7#i7 ,! effectiv5ess ( outrea* = heal? c>e s]vices available to wom5 vet]ans4 7#aj7 ,! location & op]at+ h\rs ( heal? c>e facilities t provide s]vices to wom5 vet]ans4 7#aa7 ,! p]ception ( su* vet]ans ( ! motto ( ! ,dep>tm5t4 7#ab7 ,su* o!r significant b>ri]s z ! ,secret>y consid]s appropriate4 7e7 ,dis*>ge by contract ,! ,secret>y %all ent] into a contract ) a qualifi$ indep5d5t entity or organization to c>ry out ! /udy & rese>* requir$ "u ?is section4 7f7 ,m&atory review ( data by c]ta9 ,dep>tm5t divisions 7#a7 ,review 7,a7 ,9 g5]al ,! ,secret>y %all ensure t ! head ( ea* division ( ! ,dep>tm5t ( ,vet]ans ,affairs specifi$ 9 p>agraph 7#b7 reviews ! results ( ! /udy conduct$ "u ?is section4 7,b7 ,submittal ( f9d+s ,! head ( ea* division specifi$ 9 p>agraph 7#b7 %all submit f9d+s ) respect to ! /udy "u ?is section to ! ,"u ,secret>y ( ! ,dep>tm5t ) responsibilities relat+ to heal? c>e s]vices = wom5 vet]ans4 7#b7 ,specifi$ divisions ,! divisions ( ! ,dep>tm5t ( ,vet]ans ,affairs specifi$ 9 ?is p>agraph are ! foll[+3 7,a7 ,! ,(fice ( ! ,"u ,secret>y = ,heal?4 7,b7 ,! ,(fice ( ,wom5's ,heal? e/abli%$ "u section #gcaj ( title #ch1 ,unit$ ,/ates ,code4 7,c7 ,! ,c5t] = ,wom5 ,vet]ans "u section #cah ( su* title4 7,d7 ,! ,advisory ,committee on ,wom5 ,vet]ans e/abli%$ "u section #edb ( su* title4 7g7 ,report 7#a7 ,9 g5]al ,n lat] ?an #cj mon?s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y %all submit to ,congress a report on ! /udy requir$ "u ?is section4 7#b7 ,elem5ts ,! report "u p>agraph 7#a7 %all include-- 7,a7 ! f9d+s ( ! head ( ea* division ( ! ,dep>tm5t specifi$ "u subsection 7f77#b72 & 7,b7 recomm5dations = su* adm9i/rative & legislative action z ! ,secret>y consid]s appropriate4 #djc4 ,/udy on feasibility & advisability ( (f]+ ,p>5t+ ,,/air program at all m$ical c5t]s ( ,dep>tm5t ( ,vet]ans ,affairs 7a7 ,9 g5]al ,! ,secret>y ( ,vet]ans ,affairs %all conduct a /udy on ! feasibility & advisability ( exp&+ ! ,p>5t+ ,,/air program to all m$ical c5t]s ( ! ,dep>tm5t ( ,vet]ans ,affairs & includ+ su* program z "p ( c>e = milit>y sexual trauma = affect$ memb]s & =m] memb]s ( ! ,arm$ ,=ces4 7b7 ,elem5ts ,9 conduct+ ! /udy "u subsection 7a71 ! ,secret>y %all assess-- 7#a7 /aff+ ne$$ to (f] ! ,p>5t+ ,,/air program at all m$ical c5t]s ( ! ,dep>tm5t2 7#b7 any additional infra/ructure or res\rces 7su* z *ild c>e dur+ ! program7 ne$$ = ! expansion ( ! program2 & 7#c7 su* o!r factors relevant to ! expansion ( ! program z ! ,secret>y consid]s appropriate4 7c7 ,reports to ,congress 7#a7 ,int]im report ,n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y %all submit to ! ,committee on ,vet]ans' ,affairs ( ! ,s5ate & ! ,committee on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives a report detail+-- 7,a7 ! curr5t numb] & locations ( all facilities ( ! ,dep>tm5t (f]+ ! ,p>5t+ ,,/air program2 & 7,b7 ! numb] ( vet]ans s]v$ by su* program 9 ! mo/ rec5t fiscal ye> or cal5d> ye> = :i* data is available4 7#b7 ,f9al report ,n lat] ?an ?ree ye>s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y %all submit to ! ,committee on ,vet]ans' ,affairs ( ! ,s5ate & ! ,committee on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives a report detail+-- 7,a7 ! results ( ! /udy conduct$ "u subsection 7a72 7,b7 an update on h[ _m vet]ans h us$ ! ,p>5t+ ,,/air program s9ce its developm5t 9 fiscal ye> #bjag1 disaggregat$ by ye>1 includ+ ! locations 9 :i* vet]ans h us$ su* program2 & 7,c7 a det]m9ation on ! feasibility & advisability ( exp&+ ! ,p>5t+ ,,/air program to all m$ical facilities ( ! ,dep>tm5t (f]+ c>e = milit>y sexual trauma4 7d7 ,def9itions ,9 ?is section3 7#a7 ,affect$ memb]s & =m] memb]s ( ! ,arm$ ,=ces ,! t]m affect$ memb]s & =m] memb]s ( ! ,arm$ ,=ces means memb]s & =m] memb]s ( ! ,arm$ ,=ces :o are p>5ts & h exp]i5c$ milit>y sexual trauma4 7#b7 ,milit>y sexual trauma ,! t]m milit>y sexual trauma means a condition describ$ 9 section #agbj;,d7a77#a7 ( title #ch1 ,unit$ ,/ates ,code4 7#c7 ,p>5t+ /air program ,! t]m ,p>5t+ ,,/air program means ! program ( ! ,dep>tm5t ( ,vet]ans ,affairs t consi/s ( a five-session1 p>5t+-specific treatm5t protocol bas$ on skills tra9+ 9 affective & int]p]sonal regulation 7commonly ref]r$ to z ,,/air71 :i* is a cognitive behavioral !rapy t has be5 id5tifi$ z a promis+ practice = treat+ po/-traumatic /ress disord]1 includ+ *ronic & complicat$ =ms1 among individuals ) co-occurr+ disord]s4 #djd4 ,gap analysis ( ,dep>tm5t ( ,vet]ans ,affairs programs t provide assi/ance to wom5 vet]ans :o are homeless 7a7 ,9 g5]al ,! ,secret>y ( ,vet]ans ,affairs %all complete an analysis ( programs ( ! ,dep>tm5t ( ,vet]ans ,affairs t provide assi/ance to wom5 vet]ans :o are homeless or prec>i\sly h\s$ to id5tify ! areas 9 :i* su* programs are fail+ to meet ! ne$s ( su* wom54 7b7 ,report ,n lat] ?an #bgj days aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y %all submit to ! ,committee on ,vet]ans' ,affairs ( ! ,s5ate & ! ,committee on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives a report on ! analysis complet$ "u subsection 7a74 ,v ,b5efits matt]s #eja4 ,/&>d ( pro( = s]vice-connection ( m5tal heal? conditions relat$ to milit>y sexual trauma 7a7 ,/&>d ( pro( ,section #aaed ( title #ch1 ,unit$ ,/ates ,code1 is am5d$ by add+ at ! end ! foll[+ new subsection3 7c7 7#a7 7,a7 ,9 ! case ( any vet]an :o claims t a cov]$ m5tal heal? condition 0 incurr$ or aggravat$ by milit>y sexual trauma dur+ active milit>y1 naval1 or air s]vice1 ! ,secret>y %all accept z suffici5t pro( ( s]vice-connection a diagnosis ( su* m5tal heal? condition by a m5tal heal? pr(essional toge!r ) satisfactory lay or o!r evid5ce ( su* trauma & an op9ion by ! m5tal heal? pr(essional t su* cov]$ m5tal heal? condition is relat$ to su* milit>y sexual trauma1 if consi/5t ) ! circum/ances1 conditions1 or h>d%ips ( su* s]vice1 not)/&+ ! fact t !re is no (ficial record ( su* incurr5ce or aggravation 9 su* s]vice1 &1 to t end1 %all resolve e reasonable d\bt 9 favor ( ! vet]an4 7,b7 ,s]vice-connection ( a cov]$ m5tal heal? condition describ$ 9 subp>agraph 7,a7 may be rebutt$ by cle> & conv9c+ evid5ce to ! contr>y4 7,c7 ,! reasons = grant+ or d5y+ s]vice-connection 9 ea* case %all be record$ 9 full4 7#b7 ,9 ?is subsection3 7,a7 ,! t]m cov]$ m5tal heal? condition means po/-traumatic /ress disord]1 anxiety1 depression1 or o!r m5tal heal? diagnosis describ$ 9 ! curr5t v]sion ( ! ,diagno/ic & ,/ati/ical ,manual ( ,m5tal ,disord]s publi%$ by ! ,am]ican ,psy*iatric ,association t ! ,secret>y det]m9es to be relat$ to milit>y sexual trauma4 7,b7 ,! t]m milit>y sexual trauma means1 ) respect to a vet]an1 a physical assault ( a sexual nature1 batt]y ( a sexual nature1 te*nological abuse ( a sexual nature1 or sexual h>assm5t dur+ active milit>y1 naval1 or air s]vice4 4 7b7 ,use ( evid5ce 9 evaluat+ disability claims involv+ milit>y sexual trauma 7#a7 ,9 g5]al ,sub*apt] ,,vi ( *apt] #aa ( su* title is am5d$ by add+ at ! end ! foll[+ new section3 #aafd4 ,evaluation ( claims involv+ milit>y sexual trauma 7a7 ,nonmilit>y s\rces ( evid5ce 7#a7 ,9 c>ry+ out section #aaed7;c7 ( ?is title1 ! ,secret>y %all ensure t if a claim = comp5sation "u ?is *apt] is receiv$ by ! ,secret>y = a cov]$ m5tal heal? condition 7z def9$ 9 su* section7 bas$ on milit>y sexual trauma exp]i5c$ by a vet]an dur+ active milit>y1 naval1 or air s]vice1 evid5ce f s\rces o!r ?an (ficial records ( ! ,dep>tm5t ( ,def5se reg>d+ ! vet]an's s]vice may corroborate ! vet]an's acc\nt ( ! assault1 batt]y1 or h>assm5t4 7#b7 ,examples ( evid5ce describ$ 9 p>agraph 7#a7 include ! foll[+3 7,a7 ,records f law en=cem5t au?orities1 rape crisis c5t]s1 m5tal heal? c\nsel+ c5t]s1 hospitals1 & physicians4 7,b7 ,pregnancy te/s & te/s = sexually transmitt$ diseases4 7,c7 ,/atem5ts f family memb]s1 roommates1 o!r memb]s ( ! ,arm$ ,=ces or vet]ans1 & cl]gy4 7b7 ,behavior *anges corroborat+ evid5ce 7#a7 ,9 c>ry+ out section #aaed7;c7 ( ?is title1 ! ,secret>y %all ensure t evid5ce ( a behavior *ange foll[+ milit>y sexual trauma is "o type ( relevant evid5ce t may be f\nd 9 s\rces describ$ 9 su* subsection4 7#b7 ,examples ( behavior *anges t may be relevant evid5ce ( milit>y sexual trauma include ! foll[+3 7,a7 ,a reque/ = a transf] to ano!r milit>y duty assignm5t4 7,b7 ,det]ioration 9 "w p]=mance4 7,c7 ,sub/ance abuse4 7,d7 ,episodes ( depression1 panic attacks1 or anxiety )\t an id5tifiable cause4 7,e7 ,unexpla9$ economic or social behavior *anges4 7c7 ,notice & opportunity to supply evid5ce ,! ,secret>y may n d5y a claim ( a vet]an = comp5sation "u ?is *apt] = a cov]$ m5tal heal? condition t is bas$ on milit>y sexual trauma )\t fir/-- 7#a7 advis+ ! vet]an t evid5ce describ$ 9 subsections 7a7 & 7b7 may con/itute cr$ible corroborat+ evid5ce ( ! milit>y sexual trauma2 & 7#b7 all[+ ! vet]an an opportunity to furni% su* corroborat+ evid5ce or advise ! ,secret>y ( pot5tial s\rces ( su* evid5ce4 7d7 ,review ( evid5ce ,9 review+ a claim = comp5sation describ$ 9 subsection 7a77#a71 = any evid5ce receiv$ ) su* claim t is describ$ 9 subsection 7a7 or 7b71 ! ,secret>y may submit su* evid5ce to su* m$ical or m5tal heal? pr(essional z ! ,secret>y consid]s appropriate1 includ+ cl9ical & c\nsel+ exp]ts employ$ by ! ,dep>tm5t1 to obta9 a cr$ible op9ion z to :e!r ! evid5ce indicates t milit>y sexual trauma occurr$4 7e7 ,po9t ( contact ,! ,secret>y %all ensure t ea* docum5t provid$ to a vet]an relat+ to a claim = comp5sation describ$ 9 subsection 7a77#a7 includes contact in=mation = an appropriate po9t ( contact ) ! ,dep>tm5t4 7f7 ,specializ$ teams 7#a7 ,! ,secret>y %all e/abli% specializ$ teams to process claims = comp5sation describ$ 9 subsection 7a77#a74 7#b7 ,! ,secret>y %all ensure t memb]s ( teams e/abli%$ "u p>agraph 7#a7 are tra9$ to id5tify m>k]s indicat+ milit>y sexual trauma4 7#c7 ,9 any case 9 :i* ! ,secret>y obta9s conflict+ evid5ce relat+ to ! sub/antiation ( a claim = comp5sation describ$ 9 subsection 7a77#a71 ! ,secret>y %all give m cr$5ce to ! evid5ce t is m b5eficial to ! claimant4 7g7 ,def9itions ,9 ?is section1 ! t]ms cov]$ m5tal heal? condition & milit>y sexual trauma h ! mean+s giv5 su* t]ms 9 section #aaed7;c7 ( ?is title4 4 7#b7 ,cl]ical am5dm5t ,! table ( sections at ! beg9n+ ( su* *apt] is am5d$ by add+ at ! end ! foll[+ new item3 #aafd4 ,evaluation ( claims involv+ milit>y sexual trauma4 4 7c7 ,annual reports 7#a7 ,9 g5]al ,sub*apt] ,,vi ( *apt] #aa ( title #ch1 ,unit$ ,/ates ,code1 z am5d$ by subsection 7b71 is fur!r am5d$ by add+ at ! end ! foll[+ new section3 #aaff4 ,annual reports on claims = disabilities incurr$ or aggravat$ by milit>y sexual trauma 7a7 ,reports ,n lat] ?an ,m>* #a1 #bjba1 & n less frequ5tly ?an once ea* ye> !reaft] ?r\gh #bjbg1 ! ,secret>y %all submit to ,congress a report on cov]$ claims submitt$ dur+ ! previ\s fiscal ye> to id5tify & track ! consi/5cy ( decisions across regional (fices4 7b7 ,elem5ts ,ea* report "u subsection 7a7 %all include ! foll[+3 7#a7 ,! numb] ( cov]$ claims submitt$ to or consid]$ by ! ,secret>y dur+ ! fiscal ye> cov]$ by ! report4 7#b7 ,( ! cov]$ claims li/$ "u p>agraph 7#a71 ! numb] & p]c5tage ( su* claims-- 7,a7 submitt$ by ea* sex2 7,b7 t 7 approv$1 includ+ ! numb] & p]c5tage ( su* approv$ claims submitt$ by ea* sex2 & 7,c7 t 7 d5i$1 includ+ ! numb] & p]c5tage ( su* d5i$ claims submitt$ by ea* sex4 7#c7 ,( ! cov]$ claims li/$ "u p>agraph 7#a7 t 7 approv$1 ! numb] & p]c5tage1 disaggregat$ by sex1 ( claims assign$ to ea* rat+ p]c5tage4 7#d7 ,( ! cov]$ claims li/$ "u p>agraph 7#a7 t 7 d5i$-- 7,a7 ! ?ree mo/ common reasons giv5 by ! ,secret>y "u section #eajd7;b77#a7 ( ?is title = su* d5ials2 & 7,b7 ! numb] ( d5ials t 7 bas$ on ! failure ( a vet]an to report = a m$ical exam9ation4 7#e7 ,! numb] ( cov]$ claims t1 z ( ! end ( ! fiscal ye> cov]$ by ! report1 are p5d+ &1 sep>ately1 ! numb] ( su* claims on appeal4 7#f7 ,= ! fiscal ye> cov]$ by ! report1 ! av]age numb] ( days t cov]$ claims take to complete1 beg9n+ on ! date on :i* ! claim is submitt$4 7#g7 ,a description ( ! tra9+ t ! ,secret>y provides to employees ( ! ,vet]ans ,b5efits ,adm9i/ration1 or su* contractors or o!r individuals z ! ,secret>y consid]s appropriate1 specifically ) respect to cov]$ claims1 includ+ ! frequ5cy1 l5g?1 & cont5t ( su* tra9+4 7c7 ,def9itions ,9 ?is section3 7#a7 ,! t]m cov]$ claims means claims = disability comp5sation submitt$ to ! ,secret>y bas$ on a cov]$ m5tal heal? condition alleg$ to h be5 incurr$ or aggravat$ by milit>y sexual trauma4 7#b7 ,! t]ms cov]$ m5tal heal? condition & milit>y sexual trauma h ! mean+s giv5 su* t]ms 9 section #aaed7;c7 ( ?is title4 4 7#b7 ,cl]ical am5dm5t ,! table ( sections at ! beg9n+ ( su* *apt]1 z am5d$ by subsection 7b71 is fur!r am5d$ by add+ at ! end ! foll[+ new item3 #aaff4 ,annual reports on claims = disabilities incurr$ or aggravat$ by milit>y sexual trauma4 4 7d7 ,effective date ,subsection 7c7 ( section #aaed ( title #ch1 ,unit$ ,/ates ,code1 z add$ by subsection 7a71 %all apply ) respect to any claim = disability comp5sation "u laws adm9i/]$ by ! ,secret>y ( ,vet]ans ,affairs = :i* no f9al decision has be5 made be=e ! date ( ! enactm5t ( ?is ,act4 #ejb4 ,*oice ( sex ( ,dep>tm5t ( ,vet]ans ,affairs m$ical exam9] = assessm5t ( claims = comp5sation relat+ to disability result+ f physical assault ( a sexual nature1 batt]y ( a sexual nature1 or sexual h>assm5t 7a7 ,9 g5]al ,sub*apt] ,,vi ( *apt] #aa ( title #ch1 ,unit$ ,/ates ,code1 z am5d$ by section #eja1 is fur!r am5d$ by ins]t+ aft] section #aafd1 z add$ by section #eja1 ! foll[+ new section3 #aafe4 ,*oice ( sex ( m$ical exam9] = c]ta9 disabilities 7a7 ,9 g5]al ,! ,secret>y %all ensure t a vet]an :o requires a m$ical exam9ation f a cov]$ m$ical provid] 9 support ( a claim = comp5sation "u ?is *apt] = a m5tal or physical heal? condition t result$ f a physical assault ( a sexual nature1 batt]y ( a sexual nature1 or sexual h>assm5t may designate ! sex ( ! m$ical provid] :o provides su* m$ical exam9ation4 7b7 ,cov]$ m$ical provid]s ,= purposes ( ?is section1 a cov]$ m$ical provid] is any m$ical provid] :o is employ$ by ! ,dep>tm5t or is "u any contract ) ! ,dep>tm5t to provide m$ical exam9ations = ! purpose ( assess+ a claim = comp5sation "u ?is *apt]4 7c7 ,notice ,be=e provid+ any m$ical exam9ation = a vet]an 9 support = a claim describ$ 9 subsection 7a71 ! ,secret>y %all notify ! vet]an ( ! vet]an's rights "u subsection 7a74 4 7b7 ,cl]ical am5dm5t ,! table ( sections at ! beg9n+ ( *apt] #aa ( su* title1 z am5d$ by section #eja1 is fur!r am5d$ by ins]t+ aft] ! item relat+ to section #aafd ! foll[+ new item3 #aafe4 ,*oice ( sex ( m$ical exam9] = c]ta9 disabilities4 4 #ejc4 ,secret>y ( ,vet]ans ,affairs report on implem5t+ recomm5dations ( ,inspector ,g5]al ( ,dep>tm5t ( ,vet]ans ,affairs 9 c]ta9 report on d5i$ po/traumatic /ress disord] claims relat$ to milit>y sexual trauma ,n lat] ?an #ij days aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,vet]ans ,affairs %all submit to ! ,committee on ,vet]ans' ,affairs ( ! ,s5ate & ! ,committee on ,vet]ans' ,affairs ( ! ,h\se a report on ! progress ( ! ,secret>y 9 implem5t+ ! recomm5dations f ! report ( ! ,inspector ,g5]al ( ! ,dep>tm5t ( ,vet]ans ,affairs entitl$ ,d5i$ ,po/traumatic ,/ress ,disord] ,claims ,relat$ to ,milit>y ,sexual ,trauma 7#ag-jebdh-bda74 ,septemb] #ae1 #bjbj,report$ ) an am5dm5t