,i #aag? ,,congress #a/ ,session ,h4 ,r4 #acji ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,febru>y #bd1 #bjba ,mr4 ,m\lton 7= himself1 ,mr4 ,katko1 ,ms4 ,escob>1 ,mr4 ,deut*1 ,mr4 ,fitzpatrick1 ,mr4 ,cr[1 ,ms4 ,*u1 ,mr4 ,c\rtney1 ,ms4 ,mc,collum1 ,mr4 ,ryan1 ,mrs4 ,axne1 ,mr4 ,connolly1 ,miss ,rice ( ,new ,york1 ,mr4 ,price ( ,nor? ,c>ol9a1 ,mr4 ,ru%1 ,mr4 ,neguse1 ,ms4 ,scanlon1 ,ms4 ,%]rill1 ,mr4 ,fo/]1 ,mr4 ,keat+1 ,ms4 ,om>1 ,mr4 ,cleav]1 & ,mr4 ,lev9 ( ,cali=nia7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,arm$ ,s]vices1 & 9 addition to ! ,committee on ,vet]ans' ,affairs1 = a p]iod to be subsequ5tly det]m9$ by ! ,speak]1 9 ea* case = consid]ation ( su* provisions z fall )9 ! jurisdiction ( ! committee conc]n$ ,a ,,bill ,to am5d title #aj1 ,unit$ ,/ates ,code1 to provide = eat+ disord]s treatm5t = memb]s ( ! ,arm$ ,=ces & c]ta9 dep5d5ts ( memb]s & =m] memb]s ( ! uni=m$ s]vices1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,support+ ,eat+ disord]s ,recov]y ?r\gh ,vital ,expansion ,act or ! ,,s]ve ,act4 #b4 ,eat+ disord]s treatm5t = c]ta9 memb]s ( ! ,arm$ ,=ces & dep5d5ts 7a7 ,f9d+s ,congress f9ds ! foll[+3 7#a7 ,eat+ disord]s affect approximately #cj1jjj1jjj ,am]icans 7or n9e p]c5t ( ! population7 dur+ _! lifetime1 includ+ individuals f e age1 g5d]1 body size1 race1 e?nicity1 & socioeconomic /atus4 7#b7 ,eat+ disord]s are sev]e1 biologically bas$1 m5tal illnesses caus$ by a complex int]action ( g5etic1 biological1 social1 behavioral1 & psy*ological factors4 7#c7 ,eat+ disord]s result 9 ! second highe/ case fatality rate ( any m5tal illness1 ) "o dea? occurr+ e #eb m9utes z a direct result ( an eat+ disord] due to s]i\s m$ical co-morbidities & suicide4 7#d7 ,untreat$ eat+ disord]s co/ ! economy ( ! ,unit$ ,/ates #fd4gj billion annually1 ) families & individuals exp]i5c+ an economic loss ( #bc4ej billion annually4 7#e7 ,a /udy f ! ,arm$ ,=ces ,heal? ,surveillance ,bran* f\nd t diagnoses ( eat+ disord]s among milit>y p]sonnel increas$ by #bf p]c5t f #bjac to #bjaf4 ,al?\gh accurate e/imates are *all5g+ due to und]report+1 ! preval5ce ( eat+ disord]s 9 ! milit>y is two to ?ree times high] ?an 9 ! civilian population4 7#f7 ,! ,def5se ,heal? ,bo>d f\nd t female memb]s ( ! ,arm$ ,=ces on active duty exp]i5ce high rates ( eat+ disord]s1 :i* c adv]sely affect _! read9ess & heal?4 7#g7 ,risk factors = eat+ disord]s 9 ! milit>y include pressure to ma9ta9 weight & fitness /&>ds1 trauma1 sexual h>assm5t1 weight /igmatization1 & po/-traumatic /ress disord]4 7#h7 ,family memb]s ( memb]s ( ! ,arm$ ,=ces h a high] preval5ce ( eat+ disord]s ?an ! g5]al population1 ) #ba p]c5t ( *ildr5 & #bf p]c5t ( sp\ses ( memb]s ( ! ,arm$ ,=ces f\nd at risk ( develop+ an eat+ disord]4 7#i7 ,rese>* demon/rates a /rong correlation betwe5 a milit>y sp\se & _! adolesc5t *ild's risk = an eat+ disord]4 ,adolesc5t female milit>y dep5d5ts are m likely to be at risk = an eat+ disord] if _! non-milit>y p>5t is at risk = an eat+ disord]4 7b7 ,eat+ disord]s treatm5t = c]ta9 dep5d5ts ,section #ajgi ( title #aj1 ,unit$ ,/ates ,code1 is am5d$-- 7#a7 9 subsection 7a71 by add+ at ! end ! foll[+ new p>agraph3 7#ah7 ,treatm5t = eat+ disord]s may be provid$ 9 accordance ) subsection 7r74 2 & 7#b7 by add+ at ! end ! foll[+ new subsection3 7r7 7#a7 ,! provision ( heal? c>e s]vices = an eat+ disord] "u subsection 7a77#ah7 %all include ! foll[+ s]vices3 7,a7 ,inpati5t s]vices1 includ+ resid5tial s]vices4 7,b7 ,outpati5t s]vices = 9-p]son or teleheal? c>e1 includ+ p>tial hospitalization s]vices & int5sive outpati5t s]vices4 7#b7 ,a dep5d5t may be provid$ heal? c>e s]vices = an eat+ disord] "u subsection 7a77#ah7 )\t reg>d to-- 7,a7 ! age ( ! dep5d5t1 except ) respect to resid5tial s]vices "u p>agraph 7#a77;,b71 :i* may be provid$ only to a dep5d5t :o is n eligible = hospital insurance b5efits "u "p ,a ( title ,,xviii ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie;c et seq472 & 7,b7 :e!r ! eat+ disord] is ! prim>y or second>y diagnosis ( ! dep5d5t4 7#c7 ,9 ?is section1 ! t]m eat+ disord] has ! mean+ giv5 ! t]m fe$+ & eat+ disord]s 9 ! ,diagno/ic & ,/ati/ical ,manual ( ,m5tal ,disord]s1 #e? ,edition 7or successor edition71 publi%$ by ! ,am]ican ,psy*iatric ,association4 4 7c7 ,id5tification & treatm5t ( eat+ disord]s = memb]s ( ! ,arm$ ,=ces ,section #ajij ( title #aj1 ,unit$ ,/ates ,code1 is am5d$-- 7#a7 by /rik+ ,! ,secret>y ( ,def5se & ins]t+ ! foll[+3 7a7 ,id5tification & treatm5t ( eat+ disord]s & drug & alcohol dep5d5ce ,! ,secret>y ( ,def5se 2 7#b7 by ins]t+ h an eat+ disord] or be=e are dep5d5t on drugs or alcohol2 & 7#c7 by add+ at ! end ! foll[+ new subsections3 7b7 ,facilities available to individuals ) eat+ disord]s ,= purposes ( ?is section1 necess>y facilities describ$ 9 subsection 7a7 %all include1 ) respect to individuals :o h an eat+ disord]1 facilities t provide ! s]vices specifi$ 9 section #ajgi7r77#a7 ( ?is title4 7c7 ,eat+ disord] def9$ ,9 ?is section1 ! t]m eat+ disord] has ! mean+ giv5 t t]m 9 section #ajgi7r77#c7 ( ?is title4 4 7d7 ,cl9ical practice guidel9es & crit]ia relat+ to eat+ disord]s 7#a7 ,guidel9es & crit]ia ,n lat] ?an two ye>s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,def5se & ! ,secret>y ( ,vet]ans ,affairs %all jo9tly develop1 publi%1 & dissem9ate cl9ical practice guidel9es & crit]ia = ! id5tification & treatm5t ( eat+ disord]s4 ,su* guidel9es %all be consi/5t ) g5]ally accept$ /&>ds ( c>e4 7#b7 ,consultation ,9 c>ry+ out subsection 7a71 ! ,secret>ies %all consult )1 & incorporate into ! guidel9es & crit]ia develop$ "u su* subsection ! recomm5dations & guidel9es (1 ! foll[+3 7,a7 ,! ,adm9i/rator ( ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration4 7,b7 ,! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion4 7,c7 ,! ,director ( ! ,national ,in/itute ( ,m5tal ,heal?4 7,d7 ,nonpr(it cl9ical specialty associations & any o!r organizations or associations det]m9$ relevant by ! ,secret>ies4