,,ib ,union ,cal5d> ,no4 #af #aag?      
,,congress  #a/ ,session  ,h4 ,r4 #addh 
,report ,no4 #aag-ca ,,9 ,,! ,,h\se ,,( 
,,repres5tatives  ,m>* #a1 #bjba,mr4    
,/iv]s 7= himself1 ,miss ,rice ( ,new   
,york1 ,mr4 ,waltz1 ,ms4 ,slotk91 ,mr4  
,dunn1 ,ms4 ,%]rill1 ,mr4 ,ru!r=d1 ,mr4 
,rice ( ,s\? ,c>ol9a1 ,mr4 ,taylor1 ,ms4
 ,velzquez1 ,mr4 ,fitzpatrick1 ,mr4     
,/eube1 ,mr4 ,coop]1 ,mr4 ,cr5%aw1 ,mr4 
,johnson ( ,ohio1 ,mr4 ,nadl]1 ,mrs4    
,beatty1 ,mr4 ,bu*anan1 ,mr4 ,norman1   
,mrs4 ,murphy ( ,florida1 ,mr4 ,zeld91  
,mrs4 ,axne1 ,mr4 ,ha/+s1 ,mrs4         
,walorski1 ,mr4 ,gonzalez ( ,ohio1 ,mr4 
,lieu1 ,mr4 ,web/] ( ,florida1 ,mr4     
,mc,kinley1 ,ms4 ,moore ( ,wiscons91    
,mr4 ,sean ,patrick ,maloney ( ,new     
,york1 ,mr4 ,coh51 ,mr4 ,vic5te         
,gonzalez ( ,texas1 ,mr4 ,swalwell1 ,mr4
 ,panetta1 ,ms4 ,kaptur1 ,mr4 ,palazzo1 
,ms4 ,h\lahan1 ,mr4 ,rask91 ,mr4        
,womack1 ,mr4 ,o',hall]an1 ,ms4 ,b>ragn1
 ,mr4 ,gallagh]1 ,mr4 ,van ,drew1 ,mr4  
,keat+1 ,mr4 ,gaetz1 ,ms4 ,p+ree1 ,mr4  

,p]lmutt]1 ,mr4 ,co/a1 ,mr4 ,turn]1 ,mr4
 ,kri%namoor?i1 ,mr4 ,bacon1 ,mr4       
,trone1 ,mr4 ,morelle1 ,mr4 ,baird1 ,mr4
 ,joyce ( ,ohio1 ,mr4 ,mool5a>1 ,mr4    
,lamb1 ,mr4 ,grijalva1 ,mr4 ,buck1 ,mr4 
,res*5?al]1 ,ms4 ,del,bene1 ,mr4 ,murphy
 ( ,nor? ,c>ol9a1 ,mr4 ,br5dan ,f4      
,boyle ( ,p5nsylvania1 ,mr4 ,gim5ez1    
,mr4 ,bi%op ( ,nor? ,c>ol9a1 ,mr4 ,p]ry1
 ,mr4 ,kelly ( ,p5nsylvania1 ,mr4 ,hice 
( ,georgia1 ,mr4 ,p5ce1 ,ms4 ,h]rell1   
,mrs4 ,bice ( ,oklahoma1 ,mr4           
,espaillat1 ,mr4 ,b]gman1 ,mr4 ,=t5b]ry1
 ,mr4 ,calv]t1 ,mr4 ,johnson ( ,georgia1
 ,mr4 ,long1 ,ms4 ,mace1 ,mr4 ,/ew>t1   
,mr4 ,c>l1 ,mr4 ,neguse1 ,mr4 ,caw?orn1 
,mrs4 ,mill]-,meeks1 ,mr4 ,williams (   
,texas1 ,mr4 ,smi? ( ,miss\ri1 ,mrs4    
,watson ,coleman1 ,mr4 ,banks1 ,mr4     
,higg9s ( ,l\isiana1 ,mr4 ,suozzi1 ,mr4 
,bald]son1 ,mrs4 ,mill] ( ,we/ ,virg9ia1
 ,mr4 ,l>s5 ( ,wa%+ton1 ,mrs4           
,kirkpatrick1 ,ms4 ,ku/]1 ,mr4 ,graves (
 ,l\isiana1 ,mr4 ,/anton1 ,ms4          
,roybal-,all>d1 ,mr4 ,ru%1 ,mr4         

,f]guson1 ,mr4 ,lamborn1 ,mr4 ,hag$orn1 
,mr4 ,amodei1 ,mr4 ,s*weik]t1 ,mr4      
,posey1 ,mrs4 ,wagn]1 ,mr4 ,latta1 ,mr4 
,craw=d1 ,mr4 ,ku/(f1 ,mr4 ,smuck]1 ,mr4
 ,c>t] ( ,texas1 ,mr4 ,rose1 ,mr4       
,massie1 ,mr4 ,walb]g1 ,mr4 ,huiz5ga1   
,mr4 ,roy1 ,mr4 ,upton1 ,mr4 ,katko1    
,mr4 ,emm]1 ,mr4 ,wel*1 ,mr4 ,mc,nerney1
 ,mr4 ,bilirakis1 ,mr4 ,tiffany1 ,mr4   
,w5/rup1 ,mr4 ,budd1 ,mr4 ,"y1 ,mr4     
,biggs1 ,mr4 ,brady1 ,mr4 ,bur*ett1 ,ms4
 ,e%oo1 ,mr4 ,arm/rong1 ,mr4 ,cr[1 ,mr4 
,hill1 ,ms4 ,malliotakis1 ,mr4 ,ful*]1  
,mr4 ,moore ( ,alabama1 ,mr4 ,la,hood1  
,mr4 ,bab91 ,mr4 ,rodney ,davis (       
,ill9ois1 ,mr4 ,all51 ,mr4 ,curtis1 ,mr4
 ,v>gas1 ,ms4 ,escob>1 ,mr4 ,com]1 ,mr4 
,e/es1 ,mrs4 ,lesko1 ,mr4 ,mc,caul1 ,mr4
 ,scalise1 ,mr4 ,r\z]1 ,mrs4 ,h>tzl]1   
,mr4 ,/eil1 ,mr4 ,la,malfa1 ,ms4        
,/efanik1 ,mr4 ,mc,clintock1 ,ms4 ,h]r]a
 ,beutl]1 ,mrs4 ,rodg]s ( ,wa%+ton1 ,mr4
 ,rog]s ( ,k5tucky1 ,mr4 ,gro?man1 ,mr4 
,au/9 ,scott ( ,georgia1 ,mr4 ,l\d]milk1
 ,mr4 ,cl\d1 ,mr4 ,c\rtney1 ,mr4 ,re$1  

,mr4 ,c>t] ( ,georgia1 ,mr4 ,mc,henry1  
,mr4 ,?ompson ( ,p5nsylvania1 ,mr4      
,we/]man1 ,mr4 ,mull91 ,mr4 ,burgess1   
,mr4 ,joyce ( ,p5nsylvania1 ,mr4 ,c4    
,scott ,frankl9 ( ,florida1 ,mr4        
,simpson1 ,mr4 ,ma/1 ,mr4 ,valadao1 ,mr4
 ,johnson ( ,l\isiana1 ,mr4 ,b>r1 ,mr4  
,des,jarlais1 ,mr4 ,duncan1 ,mr4        
,fleis*mann1 ,mr4 ,gibbs1 ,mr4 ,gre5 (  
,t5nessee1 ,mr4 ,hudson1 ,mr4 ,kelly (  
,mississippi1 ,mr4 ,luetkemey]1 ,mr4    
,ne:\se1 ,mr4 ,rog]s ( ,alabama1 ,mr4   
,timmons1 ,mr4 ,*abot1 ,mrs4 ,mc,clain1 
,mr4 ,g>cia ( ,cali=nia1 ,mr4 ,lyn*1    
,mr4 ,au*9closs1 ,ms4 ,s*ak[sky1 ,mrs4  
,trahan1 ,mrs4 ,torres ( ,cali=nia1 ,mr4
 ,pet]s1 ,mr4 ,meeks1 ,mr4 ,meus]1 ,mr4 
,crd5as1 ,mr4 ,m\lton1 ,mrs4 ,radewag51 
,mr4 ,blum5au]1 ,ms4 ,mc,collum1 ,mr4   
,h>ris1 ,mr4 ,smi? ( ,nebraska1 ,mr4    
,kilm]1 ,mr4 ,soto1 ,mrs4 ,h9son1 ,ms4  
,t5ney1 ,mr4 ,davidson1 ,mr4 ,good5 (   
,texas1 ,mr4 ,gos>1 ,ms4 ,*5ey1 ,mr4    
,buc%on1 ,mr4 ,wilson ( ,s\? ,c>ol9a1   
,mr4 ,sessions1 ,ms4 ,fudge1 & ,mr4     

,/aub]7 introduc$ ! foll[+ bill2 :i* 0  
ref]r$ to ! ,committee on ,vet]ans'     
,affairs  ,may #ab1 #bjba;,additional   
sponsors3 ,ms4 ,*u1 ,mr4 ,phillips1 ,mr4
 ,ruiz1 ,mr4 ,rupp]sb]g]1 ,mr4 ,g>b>9o1 
,mr4 ,gue/1 ,mr4 ,bi%op ( ,georgia1 ,ms4
 ,newman1 ,mr4 ,h>d] ( ,cali=nia1 ,mr4  
,k9z+]1 ,ms4 ,spanb]g]1 ,mr4 ,delgado1  
,ms4 ,norton1 ,mr4 ,jones1 ,mr4 ,cl9e1  
,ms4 ,titus1 ,mr4 ,doggett1 ,mr4 ,k9d1  
,mr4 ,s>banes1 ,mr4 ,cleav]1 ,ms4       
,grang]1 ,mr4 ,wittman1 ,mr4 ,gu?rie1   
,mr4 ,nunes1 ,mr4 ,smi? ( ,new ,j]sey1  
,mr4 ,bo/1 ,mr4 ,web] ( ,texas1 ,mr4    
,graves ( ,miss\ri1 ,mr4 ,h]n1 ,mr4     
,aguil>1 ,mr4 ,allr$1 ,ms4 ,bonamici1   
,mrs4 ,bu/os1 ,ms4 ,cl>k (              
,massa*usetts1 ,ms4 ,dean1 ,mr4         
,got!im]1 ,mr4 ,himes1 ,mr4 ,s*rad]1    
,ms4 ,wild1 ,ms4 ,craig1 ,mrs4 ,d+ell1  
,ms4 ,kelly ( ,ill9ois1 ,ms4 ,blunt     
,ro*e/]1 ,ms4 ,sewell1 ,mr4 ,holl+swor?1
 ,mr4 ,diaz-,bal>t1 ,mr4 ,higg9s ( ,new 
,york1 ,ms4 ,jackson ,lee1 ,mr4         
,ad]holt1 ,mr4 ,mooney1 ,mr4 ,brooks1   

,mr4 ,b5tz1 ,mr4 ,palm]1 ,mr4 ,cuell>1  
,mr4 ,cole1 ,mr4 ,norcross1 ,mr4        
,jackson1 ,mr4 ,tony ,gonzales ( ,texas1
 ,mr4 ,ow5s1 ,mr4 ,pflug]1 ,mrs4 ,/eel1 
,mr4 ,fe5/ra1 ,mrs4 ,kim ( ,cali=nia1   
,mr4 ,torres ( ,new ,york1 ,ms4 ,ross1  
,mrs4 ,gre5e ( ,georgia1 ,mr4 ,pocan1   
,mr4 ,moore ( ,utah1 ,mr4 ,meij]1 ,mr4  
,nehls1 ,ms4 ,salaz>1 ,mr4 ,correa1 ,ms4
 ,tlaib1 ,ms4 ,mann+1 ,mr4 ,%]man1 ,mr4 
,mal9[ski1 ,ms4 ,/ev5s1 ,ms4 ,adams1    
,mr4 ,ob]nolte1 ,mr4 ,la,turner1 ,mr4   
,issa1 ,ms4 ,cl>ke ( ,new ,york1 ,ms4   
,jacobs ( ,cali=nia1 ,mrs4 ,sp>tz1 ,mr4 
,lucas1 ,mr4 ,griffi?1 ,mrs4 ,fis*ba*1  
,mr4 ,ros5dale1 ,mr4 ,jordan1 ,mrs4     
,luria1 ,mrs4 ,cammack1 ,mrs4 ,lee (    
,nevada1 ,ms4 ,williams ( ,georgia1 ,mr4
 ,fo/]1 ,mr4 ,jacobs ( ,new ,york1 ,mr4 
,s*neid]1 ,mr4 ,l>son ( ,connecticut1   
,mr4 ,mann1 ,miss ,gonzlez-,coln1 ,mr4  
,lawson ( ,florida1 & ,mr4 ,ca/5  ,may  
#ab1 #bjba,report$ ) an am5dm5t1        
committ$ to ! ,committee ( ! ,:ole ,h\se
 on ! ,/ate ( ! ,union1 & ord]$ to be   

printed,strike out all aft] ! enact+    
clause & ins]t ! "p pr9t$ 9 italic,for  
text ( introduc$ bill1 see copy ( bill z
 introduc$ on ,m>* #a1 #bjba  ,a ,,bill 
,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$ical c5t]s  7#a7     
,duration ,! ,secret>y %all c>ry out !  
pilot program "u subsection 7a7 = a     
five-ye> p]iod beg9n+ on ! date ( !     
comm5cem5t ( ! pilot program4  7#b7     
,m$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 "o  
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 

"o 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 reg>dless ( :e!r ! 
provision occurs be=e1 on1 or aft] !    

date ( ! enactm5t ( ?is ,act4  ,may #ab1
 #bjba,report$ ) an am5dm5t1 committ$ to
 ! ,committee ( ! ,:ole ,h\se on ! ,/ate
 ( ! ,union1 & ord]$ to be pr9t$