,,ii #aagth ,,congress #ast ,session ,s4 #aid ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,february #c1 #bjba,mrs4 ,shaheen 7for herself1 ,mr4 ,tillis1 ,mrs4 ,capito1 and ,ms4 ,hirono7 introduced the following bill2 which was read twice and referred to the ,committee on ,armed ,services ,a ,,bill ,to amend title #aj1 ,united ,states ,code1 to provide treatment for eating disorders for dependents of members of the uniformed services4 #a4 ,short title ,this ,act may be cited as the ,supporting ,eating ,disorders ,recovery ,through ,vital ,expansion ,act or the ,,serve ,act4 #b4 ,findings ,congress finds the following3 7#a7 ,eating disorders affect approximately #cj1jjj1jjj individuals in the ,united ,states1 or nine percent of the population1 during their lifetime1 including individuals from every age1 gender1 body size1 race1 ethnicity1 and socioeconomic status4 7#b7 ,eating disorders are severe1 biologically based mental illnesses caused by a complex interaction of genetic1 biological1 social1 behavioral1 and psychological factors4 7#c7 ,eating disorders result in the second highest case fatality rate of any psychiatric illness1 with one death every #eb minutes as a direct result of an eating disorder due to serious medical comorbidities and suicide4 7#d7 ,untreated eating disorders cost the economy of the ,united ,states #fd1gjj1jjj1jjj annually1 with individuals and their families experiencing an economic loss of #bc1ejj1jjj1jjj annually4 7#e7 ,a study from the ,armed ,forces ,health ,surveillance ,branch found that diagnoses of eating disorders among military personnel increased by #bf percent from #bjac to #bjaf4 7#f7 ,although accurate estimates are challenging due to underreporting1 the prevalence of eating disorders among members of the ,armed ,forces is two to three times higher than in the civilian population4 7#g7 ,the ,defense ,health ,board found that women members of the ,armed ,forces on active duty experience high rates of eating disorders1 which can adversely affect the readiness and health of such members4 7#h7 ,risk factors for eating disorders among members of the ,armed ,forces include pressure to maintain weight and fitness standards1 trauma1 sexual harassment1 weight stigmatization1 and post-traumatic stress disorder4 7#i7 ,family members of members of the ,armed ,forces have a higher prevalence of eating disorders than the general population1 with #ba percent of children and #bf percent of spouses of members of the ,armed ,forces found to be at risk of developing an eating disorder4 7#aj7 ,research demonstrates a strong correlation in the risk of developing an eating disorder between a military spouse and their adolescent child4 ,an adolescent female dependent of a member of the ,armed ,forces is more likely to be at risk for an eating disorder if their nonmilitary parent is at risk for an eating disorder4 #c4 ,treatment for eating disorders for dependents of members of the uniformed services ,section #ajgi of title #aj1 ,united ,states ,code1 is amended-- 7#a7 in subsection 7a71 by adding at the end the following new paragraph3 7#ah7 ,treatment for an eating disorder may be provided in accordance with subsection 7r74 2 and 7#b7 by adding at the end the following new subsection3 7r7 7#a7 ,the provision of health care services for an eating disorder under subsection 7a77#ah7 shall include treatment at facilities providing the following services3 7,a7 ,inpatient services1 including residential services4 7,b7 ,outpatient services for in-person and telehealth care1 including-- 7i7 partial hospitalization services2 and 7ii7 intensive outpatient services4 7#b7 ,a dependent may be provided health care services for an eating disorder under subsection 7a77#ah7 without regard to the age of the dependent1 except with respect to residential services under paragraph 7#a77;,a71 which may be provided only to a dependent who is not eligible for hospital insurance benefits under part ,a of title ,,xviii of the ,social ,security ,act 7#db ,u4,s4,c4 #acie;c et seq474 7#c7 ,in this section1 the term eating disorder has the meaning given the term feeding and eating disorders in the ,diagnostic and ,statistical ,manual of ,mental ,disorders1 #eth ,edition 7or successor edition71 published by the ,american ,psychiatric ,association4 4 #d4 ,identification and treatment of eating disorders for members of the ,armed ,forces 7a7 ,in general ,section #ajij of title #aj1 ,united ,states ,code1 is amended-- 7#a7 by striking ,the ,secretary of ,defense and inserting the following3 7a7 ,identification and treatment of eating disorders and drug and alcohol dependence ,the ,secretary of ,defense 2 7#b7 by inserting have an eating disorder or before are dependent on drugs or alcohol2 7#c7 by adding at the end the following new subsections3 7b7 ,facilities available to individuals with eating disorders ,for purposes of this section1 necessary facilities described in subsection 7a7 shall include the facilities described in section #ajgi7r77#a7 of this title4 7c7 ,eating disorder defined ,in this section1 the term eating disorder has the meaning given that term in section #ajgi7r77#c7 of this title4 2 and 7#d7 in the section heading1 by inserting eating disorders and after treating4 7b7 ,clerical amendment ,the table of sections at the beginning of chapter #ee of such title is amended by striking the item relating to section #ajij and inserting the following new item3 #ajij4 ,identifying and treating eating disorders and drug and alcohol dependence4 4 #e4 ,clinical practice criteria and guidelines on the identification and treatment of eating disorders 7a7 ,in general ,not later than two years after the date of the enactment of this ,act1 the ,secretary of ,defense and the ,secretary of ,veterans ,affairs1 in consultation with specialized stakeholders1 shall jointly develop1 publish1 and disseminate clinical practice criteria and guidelines on the identification and treatment of eating disorders4 7b7 ,inclusion of recommendations and guidelines ,the criteria and guidelines developed1 published1 and disseminated under subsection 7a7 shall include-- 7#a7 recommendations and guidelines established by1 and any guidance from1 the ,substance ,abuse and ,mental ,health ,services ,administration1 the ,centers for ,disease ,control and ,prevention1 and the ,national ,institute of ,mental ,health2 and 7#b7 clinical practice guidelines developed by specialized nonprofit professional associations4