,,ii  #aag? ,,congress  #a/ ,session    
,s4 #adfg  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,april #bi1 #bjba,mr4  
,te/] 7= himself & ,mr4 ,sullivan7      
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,vet]ans' ,affairs  ,a ,,bill  ,to      
direct ! ,secret>y ( ,vet]ans ,affairs  
to c>ry out a s]ies ( cl9ical trials on 
! effects ( cannabis on c]ta9 heal?     
outcomes ( vet]ans ) *ronic pa9 &       
po/-traumatic /ress disord]1 & = o!r    
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,,va ,m$ic9al ,cannabis    
,rese>* ,act ( #bjba4  #b4 ,dep>tm5t (  
,vet]ans ,affairs cl9ical trials on !   
effects ( cannabis on c]ta9 heal?       
outcomes ( vet]ans ) *ronic pa9 &       
po/-traumatic /ress disord]  7a7        
,cl9ical trials requir$  7#a7 ,9 g5]al  
,! ,secret>y ( ,vet]ans ,affairs %all   
c>ry out a s]ies ( cl9ical trials on !  
effects ( m$ical-grade cannabis on !    
heal? outcomes ( cov]$ vet]ans diagnos$ 
) *ronic pa9 & cov]$ vet]ans diagnos$ ) 

po/-traumatic /ress disord]4  7#b7      
,requir$ elem5ts ,! cl9ical trials      
requir$ by p>agraph 7#a7 %all include-- 
7,a7 ) respect to cov]$ vet]ans diagnos$
 ) *ronic pa91 an evaluation ( ! effects
 ( ! use ( cannabis on-- 7i7 o/eopa?ic  
pa9 7includ+ pa9 int5sity & pa9-relat$  
outcomes72  7ii7 ! r$uction or increase 
9 opioid use or dosage2  7iii7 !        
r$uction or increase 9 b5zodiazep9e use 
or dosage2  7iv7 ! r$uction or increase 
9 alcohol use2  7v7 inflammation2  7vi7 
sleep quality2  7vii7 agitation2 &      
7viii7 quality ( life2  7,b7 ) respect  
to cov]$ vet]ans diagnos$ )             
po/-traumatic /ress disord]1 an         
evaluation ( ! effects ( ! use (        
cannabis on-- 7i7 ! symptoms (          
po/-traumatic /ress disord] 7,,ptsd7 z  
e/abli%$ by or d]iv$ f ! cl9ician       
adm9i/]$ ,,ptsd scale1 ! ,,ptsd *eckli/1
 ! ,,ptsd symptom scale1 ! po/-traumatic
 diagno/ic scale1 & o!r applicable      
me?ods ( evaluat+ symptoms (            
po/-traumatic /ress disord]2  7ii7 !    

r$uction or increase 9 b5zodiazep9e use 
or dosage2  7iii7 ! r$uction or increase
 9 alcohol use2  7iv7 mood2  7v7        
anxiety2  7vi7 social function+2  7vii7 
agitation2  7viii7 suicidal ideation2 & 
7ix7 sleep quality1 includ+ frequ5cy (  
nightm>es & night t]rors4  7#c7         
,optional elem5ts ,! cl9ical trials     
requir$ by p>agraph 7#a7 may include an 
evaluation ( ! effects ( ! use (        
cannabis to treat *ronic pa9 &          
po/-traumatic /ress disord] on-- 7,a7   
pulmon>y function2  7,b7 c>diovascul>   
ev5ts2  7,c7 head1 neck1 & oral canc]2  
7,d7 te/icul> canc]2  7,e7 ov>ian canc]2
  7,f7 transitional cell canc]2  7,g7   
inte/9al inflammation2  7,h7 motor      
vehicle accid5ts2  7,i7 mania2  7,j7    
psy*osis2  7,k7 cognitive effects2  7,l7
 cannab9oid hyp]emesis syndrome2  7,m7  
neuropa?y2 or  7,n7 spa/icity4  7b7     
,long-,t]m obs]vational /udy ,!         
,secret>y may c>ry out a long-t]m       
obs]vational /udy ( ! p>ticipants 9 !   
cl9ical trials requir$ by subsection    

7a74  7c7 ,type ( cannabis  7#a7 ,9     
g5]al ,9 c>ry+ out ! cl9ical trials     
requir$ by subsection 7a71 ! ,secret>y  
%all /udy v>y+ =ms ( cannabis1 includ+  
:ole plant raw mat]ial & extracts4  7#b7
 ,plant cultiv>s ,( ! v>y+ =ms (        
cannabis requir$ "u p>agraph 7#a71 !    
,secret>y %all /udy n few] ?an sev5     
unique plant cultiv>s ) ratios (        
tetrahydrocannab9ol to cannabidiol 9 ea*
 ( ! foll[+ categories3 7,a7 ,less ?an  
#a3e4  7,b7 ,betwe5 #a3b & #a3e4  7,c7  
,approximately #a3b4  7,d7              
,approximately #a3a4  7,e7              
,approximately #b3a4  7,f7 ,betwe5 #b3a 
& #e3a4  7,g7 ,m ?an #e3a4  7d7 ,use (  
control & exp]im5tal gr\ps ,! cl9ical   
trials requir$ by subsection 7a7 %all   
include bo? a control gr\p & an         
exp]im5tal gr\p t %all-- 7#a7 be (      
simil> size & /ructure2 &  7#b7 repres5t
 ! demographics ( ! vet]an population1 z
 det]m9$ by ! mo/ rec5t data f !        
,am]ican ,community ,survey ( ! ,bureau 
( ! ,c5sus t is available prior to !    

comm5cem5t ( ! cl9ical trials4  7e7     
,data pres]vation ,! cl9ical trials     
requir$ by subsection 7a7 %all include a
 me*anism to ensure ! pres]vation ( all 
data1 includ+ all data sets1 collect$ or
 us$ = purposes ( su* trials 9 a mann] t
 w facilitate fur!r rese>*4  7f7        
,implem5tation ,n lat] ?an #ahj days    
aft] ! date ( ! enactm5t ( ?is ,act1 !  
,secret>y %all-- 7#a7 develop a plan to 
implem5t ?is section & submit su* plan  
to ! ,committee on ,vet]ans' ,affairs ( 
! ,s5ate & ! ,committee on ,vet]ans'    
,affairs ( ! ,h\se ( ,repres5tatives2 & 
7#b7 issue any reque/s = proposals !    
,secret>y det]m9es appropriate = su*    
implem5tation4  7g7 ,effect on o!r      
b5efits ,! eligibility or entitlem5t ( a
 cov]$ vet]an to any o!r b5efit "u !    
laws adm9i/]$ by ! ,secret>y or any o!r 
provision ( law %all n be affect$ by !  
p>ticipation ( ! cov]$ vet]an 9 a       
cl9ical trial "u subsection 7a7 or a    
/udy "u subsection 7b74  7h7 ,p]iodic   
reports ,dur+ ! five-ye> p]iod beg9n+ on

 ! date ( ! enactm5t ( ?is ,act1 !      
,secret>y %all submit p]iodically1 b n  
less frequ5tly ?an annually1 to !       
,committee on ,vet]ans' ,affairs ( !    
,s5ate & ! ,committee on ,vet]ans'      
,affairs ( ! ,h\se ( ,repres5tatives    
reports on ! implem5tation ( ?is        
section4  7i7 ,cov]$ vet]an def9$ ,9 ?is
 section1 ! t]m cov]$ vet]an means a    
vet]an :o is enroll$ 9 ! pati5t         
enrollm5t sy/em ( ! ,dep>tm5t ( ,vet]ans
 ,affairs e/abli%$ & op]at$ "u section  
#agje7;a7 ( title #ch1 ,unit$ ,/ates    
,code4