#aag? ,,congress #a/ ,session ,h4 ,r4 #addh ,,an ,,act ,to direct ! ,secret>y ( ,vet]ans ,affairs to c>ry out a pilot program on dog tra9+ !rapy1 & to am5d title #ch1 ,unit$ ,/ates ,code1 to au?orize ! ,secret>y ( ,vet]ans ,affairs to provide s]vice dogs to vet]ans ) m5tal illnesses :o d n h mobility impairm5ts4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,puppies ,assi/+ ,w\nd$ ,s]vicememb]s = ,vet]ans ,!rapy ,act or ! ,,paws = ,vet]ans ,!rapy ,act4 #b4 ,dep>tm5t ( ,vet]ans ,affairs pilot program on dog tra9+ !rapy 7a7 ,9 g5]al ,n lat] ?an #ahj days aft] ! date ( ! enactm5t ( ! ,act1 ! ,secret>y ( ,vet]ans ,affairs %all comm5ce ! conduct ( a pilot program to provide can9e tra9+ to eligible vet]ans diagnos$ ) po/-traumatic /ress disord] 79 ?is section ref]r$ to z ,,ptsd7 z an elem5t ( a complem5t>y & integrative heal? program = su* vet]ans4 7b7 ,duration2 m$ical c5t]s 7#a7 ,duration ,! ,secret>y %all c>ry out ! pilot program "u subsection 7a7 = a #e-ye> p]iod beg9n+ on ! date ( ! comm5cem5t ( ! pilot program4 7#b7 ,m$ical c5t]s ,! ,secret>y %all ensure t su* pilot program is c>ri$ out by n few] ?an five m$ical c5t]s ( ! ,dep>tm5t ( ,vet]ans ,affairs locat$ 9 geographically div]se areas4 7c7 ,agreem5ts ) entities ,9 c>ry+ out ! pilot program "u subsection 7a71 ! ,secret>y %all seek to ent] into agreem5ts ) nongov]nm5tal entities t ! ,secret>y det]m9es h ! demon/rat$ ability to provide ! can9e tra9+ specifi$ 9 subsection 7a74 7d7 ,requir$ conditions ,! ,secret>y %all include 9 any agreem5t "u subsection 7c7 conditions requir+ t ! nongov]nm5tal entity seek+ to ent] into ! agreem5t-- 7#a7 submits to ! ,secret>y c]tification t ! entity is an accr$it$ s]vice dog tra9+ organization2 7#b7 agrees to ensure t vet]ans p>ticipat+ 9 ! pilot program "u subsection 7a7 receive tra9+ f c]tifi$ s]vice dog tra9+ in/ructors = a p]iod ( "t det]m9$ appropriate by ! entity2 7#c7 agrees to ensure t vet]ans p>ticipat+ 9 su* pilot program are prohibit$ f hav+ access to a dog "u su* pilot program at any "t dur+ su* p>ticipation )\t ! sup]vision ( a c]tifi$ s]vice dog tra9+ in/ructor2 7#d7 agrees to ensure t vet]ans p>ticipat+ 9 su* pilot program receive tra9+ 9 skills unique to ! ne$s ( ! vet]an to address or alleviate ,,ptsd symptoms ( ! vet]an2 7#e7 agrees n to use %ock coll>s or prong coll>s z tra9+ tools & to use positive re9=cem5t tra9+2 & 7#f7 agrees to provide any foll[-up tra9+ support specifi$ 9 subsection 7e77#b71 z applicable4 7e7 ,adoption ( dog 7#a7 ,9 g5]al ,a vet]an :o has p>ticipat$ 9 ! pilot program "u subsection 7a7 may adopt a dog t ! vet]an assi/$ 9 tra9+ dur+ su* pilot program if ! vet]an & ! vet]an's heal? provid] 79 consultation ) ! entity t provid$ ! can9e tra9+ ) respect to ! dog "u su* pilot program7 det]m9e t x is 9 ! be/ int]e/ ( ! vet]an4 7#b7 ,foll[-up tra9+ support ,if a vet]an adopts a dog "u p>agraph 7#a71 ! entity t provid$ ! can9e tra9+ ) respect to ! dog "u ! pilot program %all provide foll[-up tra9+ support = ! life ( ! dog4 ,su* support %all include ! provision ( a contact plan betwe5 ! vet]an & ! entity t enables ! vet]an to seek & receive assi/ance f ! entity to ensure ! dog is be+ prop]ly c>$ =4 7f7 ,eligibility = o!r c>e & treatm5t ,p>ticipation 9 ! pilot program "u subsection 7a7 may n preclude a vet]an f receiv+ any o!r m$ical c>e or treatm5t = ,,ptsd furni%$ by ! ,dep>tm5t1 includ+ !rapy1 = :i* ! vet]an is o!rwise eligible4 7g7 ,collection ( data ,9 c>ry+ out ?is section1 ! ,secret>y %all-- 7#a7 develop metrics & o!r appropriate means to measure1 ) respect to vet]ans p>ticipat+ 9 ! pilot program "u subsection 7a7-- 7,a7 ! numb] ( su* vet]ans p>ticipat+2 7,b7 ! satisfaction ( su* vet]ans ) ! pilot program2 7,c7 :e!r p>ticipation 9 ! pilot program result$ 9 any cl9ically relevant improvem5ts = su* vet]ans1 z det]m9$ by ! heal? c>e provid] or cl9ical team t ref]r$ ! vet]an to p>ticipate 9 ! pilot program2 & 7,d7 su* o!r factors z ! ,secret>y may det]m9e appropriate2 & 7#b7 e/abli% processes to docum5t & track ! progress ( su* vet]ans "u ! pilot program ) respect to heal? b5efits & improvem5ts4 7h7 ,report by secret>y ,n lat] ?an #a ye> be=e ! date on :i* ! pilot program "u subsection 7a7 t]m9ates1 ! ,secret>y %all submit to ! ,committees on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives & ! ,s5ate a report conta9+ ! recomm5dations ( ! ,secret>y reg>d+-- 7#a7 :e!r to ext5d or make p]man5t ! pilot program2 & 7#b7 ! feasibility & advisability ( exp&+ ! pilot program to address m5tal heal? conditions o!r ?an ,,ptsd4 7i7 ,,gao brief+ & /udy 7#a7 ,brief+ ,n lat] ?an #a ye> aft] ! date ( ! comm5cem5t ( ! pilot program "u subsection 7a71 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all provide to ! ,committees on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives & ! ,s5ate a brief+ on ! me?odology e/abli%$ = ! pilot program4 7#b7 ,report ,n lat] ?an #bgj days aft] ! date on :i* ! pilot program t]m9ates1 ! ,comptroll] ,g5]al %all submit to ! committees specifi$ 9 p>agraph 7#a7 a report on ! pilot program4 ,su* report %all include an evaluation ( ! approa* & me?odology us$ = ! pilot program ) respect to-- 7,a7 assi/+ vet]ans ) ,,ptsd2 & 7,b7 measur+ relevant metrics1 su* z r$uction 9 scores "u ! ,cl9ician ,adm9i/]$ ,,ptsd ,scale 7,,caps71 improvem5t 9 psy*osocial function1 & !rapeutic compliance4 7j7 ,def9itions ,9 ?is section3 7#a7 ,! t]m accr$it$ s]vice dog tra9+ organization means an organization describ$ 9 section #eja7;c77#c7 ( ! ,int]nal ,rev5ue ,code ( #aihf t-- 7,a7 provides s]vice dogs to vet]ans ) ,,ptsd2 & 7,b7 is accr$it$ by an accr$it+ organization ) demon/rat$ exp]i5ce1 national scope1 & recogniz$ lead]%ip & exp]tise 9 ! tra9+ ( s]vice dogs & education 9 ! use ( s]vice dogs 7z det]m9$ by ! ,secret>y74 7#b7 ,! t]m eligible vet]an means a vet]an :o-- 7,a7 is enroll$ 9 ! pati5t enrollm5t sy/em 9 ! ,dep>tm5t ( ,vet]ans ,affairs "u section #agje ( title #ch1 ,unit$ ,/ates ,code2 & 7,b7 has be5 recomm5d$ = p>ticipation 9 ! pilot program "u subsection 7a7 by a qualifi$ m5tal heal? c>e provid] or cl9ical team bas$ on m$ical judgm5t t ! vet]an may b5efit f su* p>ticipation ) respect to ! diagnos$ ,,ptsd ( ! vet]an4 7#c7 ,! t]m s]vice dog tra9+ in/ructor means an in/ructor :o provides ! direct tra9+ ( vet]ans ) ,,ptsd 9 ! art & sci5ce ( s]vice dog tra9+ & h&l+4 #c4 ,provision ( s]vice dogs & vet]9>y insurance b5efits to vet]ans ) po/-traumatic /ress disord] :o d n h c]ta9 impairm5ts 7a7 ,9 g5]al ,section #agad ( title #ch1 ,unit$ ,/ates ,code1 is am5d$ by add+ at ! end ! foll[+ new subsections3 7e7 ,! ,secret>y may provide a s]vice dog to a vet]an "u subsection 7c77#c7 reg>dless ( :e!r ! vet]an has a mobility impairm5t4 7f7 7#a7 ,! ,secret>y %all provide to any vet]an describ$ 9 p>agraph 7#b7 a comm]cially available vet]9>y insurance policy = ea* dog provid$ to su* vet]an "u subsection 7b7 or 7c74 7#b7 ,a vet]an describ$ 9 ?is p>agraph is a vet]an :o-- 7,a7 is diagnos$ ) po/-traumatic /ress disord] or a visual1 he>+1 or sub/antial mobility impairm5t2 7,b7 has receiv$ a dog "u subsection 7b7 or 7c7 9 connection ) su* disord] or impairm5t2 & 7,c7 meets su* o!r requirem5ts z ! ,secret>y may prescribe4 4 7b7 ,applicability ,section #agad7;f7 ( title #ch1 ,unit$ ,/ates ,code1 z add$ by subsection 7a71 %all apply ) respect to a vet]an provid$ a dog by ! ,secret>y ( ,vet]ans ,affairs on or aft] ! date ( ! enactm5t ( ?is ,act4 ,pass$ ! ,h\se ( ,repres5tatives ,may #ab1 #bjba4;,cl]k4