,i #aag? ,,congress #a/ ,session ,h4 ,r4 #beba ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,april #ad1 #bjba,mrs4 ,lawr5ce 7= h]self1 ,ms4 ,dean1 ,mrs4 ,lesko1 ,miss ,gonzlez-,coln1 & ,mrs4 ,mc,bath7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,vet]ans' ,affairs ,a ,,bill ,to require ! ,secret>y ( ,vet]ans ,affairs to e/abli% a pilot program to furni% d\la s]vices to vet]ans4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,deliv]+ ,optimally ,urg5t ,labor ,access = ,vet]ans ,affairs ,act ( #bjba or ! ,,d\la = ,,va ,act ( #bjba4 #b4 ,pilot program on d\la support = vet]ans 7a7 ,f9d+s ,congress f9ds ! foll[+3 7#a7 ,!re are approximately #b1cjj1jjj wom5 )9 ! vet]an population 9 ! ,unit$ ,/ates4 7#b7 ,! numb] ( wom5 vet]ans us+ s]vices f ! ,vet]ans ,heal? ,adm9i/ration has increas$ by #bh4h p]c5t f #dbc1fdb 9 #bjad to #ede1fgj 9 #bjai4 7#c7 ,dur+ ! p]iod ( #bjaj ?r\gh #bjae1 ! use ( mat]nity s]vices f ! ,vet]ans ,heal? ,adm9i/ration increas$ by #dd p]c5t4 7#d7 ,al?\gh pr5atal c>e & deliv]y is n provid$ 9 facilities ( ! ,dep>tm5t ( ,vet]ans ,affairs1 pregnant wom5 seek c>e f ! ,dep>tm5t = o!r conditions may also ne$ em]g5cy c>e & require coord9ation ( s]vices ?r\gh ! ,vet]ans ,community ,c>e ,program "u section #agjc ( title #ch1 ,unit$ ,/ates ,code4 7#e7 ,! numb] ( unique wom5 vet]an pati5ts ) an ob/etric deliv]y paid = by ! ,dep>tm5t increas$ by #a1ggh p]c5t f #bjj deliv]ies 9 #bjjj to #c1gef deliv]ies 9 #bjae4 7#f7 ,! numb] ( wom5 age #ce ye>s or old] ) an ob/etric deliv]y paid = by ! ,dep>tm5t increas$ #af-;fold f fiscal ye> #bjjj to fiscal ye> #bjae4 7#g7 ,a /udy 9 #bjaj f\nd t vet]ans return+ f ,op]ation ,endur+ ,fre$om & ,op]ation ,iraqi ,fre$om :o exp]i5c$ pregnancy 7 twice z likely to h a diagnosis ( depression1 anxiety1 po/traumatic /ress disord]1 bipol> disord]1 or s*izophr5ia z ^? :o _h n exp]i5c$ a pregnancy4 7#h7 ,! numb] ( wom5 vet]ans ( reproductive age seek+ c>e f ! ,vet]ans ,heal? ,adm9i/ration cont9ues to gr[ 7m ?an #ahe1jjj z ( fiscal ye> #bjae74 7b7 ,program 7#a7 ,9 g5]al ,n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,vet]ans ,affairs %all e/abli% a pilot program to furni% d\la s]vices to cov]$ vet]ans ?r\gh eligible entities by exp&+ ! ,:ole ,heal? model ( ! ,dep>tm5t ( ,vet]ans ,affairs1 or successor model1 to measure ! impact t d\la support s]vices h on bir? & m5tal heal? outcomes ( pregnant vet]ans 79 ?is section ref]r$ to z ! pilot program74 7#b7 ,consid]ation ,9 c>ry+ out ! pilot program1 ! ,secret>y %all consid] all types ( d\las1 includ+ traditional & community-bas$ d\las4 7#c7 ,consultation ,9 design+ & implem5t+ ! pilot program ! ,secret>y %all consult ) /akehold]s1 includ+-- 7,a7 organizations repres5t+ vet]ans1 includ+ vet]ans t are disproportionately impact$ by poor mat]nal heal? outcomes2 7,b7 community-bas$ heal? c>e pr(essionals1 includ+ d\las1 & o!r /akehold]s2 & 7,c7 exp]ts 9 promot+ heal? equity & combat+ racial bias 9 heal? c>e sett+s4 7#d7 ,goals ,! goals ( ! pilot program are ! foll[+3 7,a7 ,to improve-- 7i7 mat]nal1 m5tal heal?1 & infant c>e outcomes2 7ii7 integration ( d\la support s]vices into ! ,:ole ,heal? model ( ! ,dep>tm5t1 or successor model2 & 7iii7 ! exp]i5ce ( wom5 receiv+ mat]nity c>e f ! ,dep>tm5t1 includ+ by increas+ ! ability ( a woman to develop & foll[ h] own bir?+ plan4 7,b7 ,to re5gage vet]ans ) ! ,dep>tm5t aft] giv+ bir?4 7c7 ,locations ,! ,secret>y %all c>ry out ! pilot program 9-- 7#a7 ! ?ree ,vet]ans ,integrat$ ,s]vice ,networks ( ! ,dep>tm5t t h ! highe/ p]c5tage ( female vet]ans enroll$ 9 ! pati5t enrollm5t sy/em ( ! ,dep>tm5t e/abli%$ & op]at$ "u section #agje7;a7 ( title #ch1 ,unit$ ,/ates ,code1 comp>$ to ! total numb] ( enroll$ vet]ans 9 su* ,network2 & 7#b7 ! ?ree ,vet]ans ,integrat$ ,s]vice ,networks t h ! l[e/ p]c5tage ( female vet]ans enroll$ 9 ! pati5t enrollm5t sy/em comp>$ to ! total numb] ( enroll$ vet]ans 9 su* ,network4 7d7 ,op5 p>ticipation ,! ,secret>y %all all[ any eligible entity or cov]$ vet]an int]e/$ 9 p>ticipat+ 9 ! pilot program to p>ticipate 9 ! pilot program4 7e7 ,s]vices provid$ 7#a7 ,9 g5]al ,"u ! pilot program1 a cov]$ vet]an %all receive n m ?an #aj sessions ( c>e f a d\la "u ! ,:ole ,heal? model ( ! ,dep>tm5t1 or successor model1 "u :i* a d\la works z an advocate = ! vet]an alongside ! m$ical team = ! vet]an4 7#b7 ,sessions ,sessions cov]$ "u p>agraph 7#a7 %all be z foll[s3 7,a7 ,?ree or f\r sessions be=e labor & deliv]y4 7,b7 ,"o session dur+ labor & deliv]y4 7,c7 ,?ree or f\r sessions aft] po/-p>tum1 :i* may be conduct$ via ! mobile application = ,,va ,video ,connect4 7f7 ,adm9i/ration ( pilot program 7#a7 ,9 g5]al ,! ,(fice ( ,wom5's ,heal? ( ! ,dep>tm5t ( ,vet]ans ,affairs1 or successor (fice1 %all-- 7,a7 coord9ate s]vices & activities "u ! pilot program2 7,b7 ov]see ! adm9i/ration ( ! pilot program2 & 7,c7 conduct onsite assessm5ts ( m$ical facilities ( ! ,dep>tm5t t are p>ticipat+ 9 ! pilot program4 7#b7 ,guidel9es = vet]an-specific c>e ,! ,(fice %all e/abli% guidel9es "u ! pilot program = tra9+ d\las on milit>y sexual trauma & po/ traumatic /ress disord]4 7#c7 ,am\nts = c>e ,! ,(fice may recomm5d to ! ,secret>y appropriate paym5t am\nts = c>e & s]vices provid$ "u ! pilot program1 :i* %all n exce$ #c1ejj p] d\la p] vet]an4 7g7 ,d\la ,s]vice ,coord9ator 7#a7 ,9 g5]al ,! ,secret>y1 9 consultation ) ! ,(fice ( ,wom5's ,heal?1 or successor (fice1 %all e/abli% a ,d\la ,s]vice ,coord9ator )9 ! functions ( ! ,mat]nity ,c>e ,coord9ator at ea* m$ical facility ( ! ,dep>tm5t t is p>ticipat+ 9 ! pilot program4 7#b7 ,duties ,a ,d\la ,s]vice ,coord9ator e/abli%$ "u p>agraph 7#a7 at a m$ical facility %all be responsible =-- 7,a7 work+ ) eligible entities1 d\las1 & cov]$ vet]ans p>ticipat+ 9 ! pilot program2 & 7,b7 manag+ paym5t betwe5 eligible entities & ! ,dep>tm5t "u ! pilot program4 7#c7 ,track+ ( in=mation ,a d\la provid+ s]vices "u ! pilot program %all report to ! applicable ,d\la ,s]vice ,coord9ator aft] ea* session conduct$ "u ! pilot program4 7#d7 ,coord9ation ) wom5's program manag] ,a ,d\la ,s]vice ,coord9ator = a m$ical facility ( ! ,dep>tm5t %all coord9ate ) ! wom5's program manag] = t facility 9 c>ry+ out ! duties ( ! ,d\la ,s]vice ,coord9ator "u ! pilot program4 7h7 ,t]m ( pilot program ,! ,secret>y %all conduct ! pilot program = a p]iod ( #e ye>s4 7i7 ,te*nical assi/ance ,! ,secret>y %all e/abli% a process to provide te*nical assi/ance to eligible entities & d\las p>ticipat+ 9 ! pilot program4 7j7 ,report 7#a7 ,9 g5]al ,n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is ,act1 & annually !reaft] = ea* ye> 9 :i* ! pilot program is c>ri$ out1 ! ,secret>y %all submit to ! ,committee on ,vet]ans' ,affairs ( ! ,s5ate & ! ,committee on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives a report on ! pilot program4 7#b7 ,f9al report ,z "p ( ! f9al report submitt$ "u p>agraph 7#a71 ! ,secret>y %all include recomm5dations on :e!r ! model /udi$ 9 ! pilot program %\ld be cont9u$ or m widely adopt$ by ! ,dep>tm5t4 7k7 ,au?orization ( appropriations ,!re are au?oriz$ to be appropriat$ to ! ,secret>y1 = ea* ( fiscal ye>s #bjbb ?r\gh #bjbg1 su* sums z may be necess>y to c>ry out ?is section4 7l7 ,def9itions ,9 ?is section3 7#a7 ,! t]m cov]$ vet]an means a pregnant vet]an or a =m]ly pregnant vet]an 7) respect to sessions po/-p>tum7 :o is enroll$ 9 ! pati5t enrollm5t sy/em ( ! ,dep>tm5t ( ,vet]ans ,affairs "u section #agje ( title #ch1 ,unit$ ,/ates ,code4 7#b7 ,! t]m eligible entity means an entity t provides m$ically accurate1 compreh5sive mat]nity s]vices to cov]$ vet]ans "u ! laws adm9i/]$ by ! ,secret>y1 includ+ "u ! ,vet]ans ,community ,c>e ,program "u section #agjc ( title #ch1 ,unit$ ,/ates ,code4 7#c7 ,! t]m ,,va ,video ,connect means ! program ( ! ,dep>tm5t ( ,vet]ans ,affairs to connect vet]ans ) _! heal? c>e team f any:]e1 us+ encryption to ensure a secure & private session4