,,ii #aag? ,,congress #a/ ,session ,s4 #aid ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,febru>y #c1 #bjba,mrs4 ,%ahe5 7= h]self1 ,mr4 ,tillis1 ,mrs4 ,capito1 & ,ms4 ,hirono7 introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,arm$ ,s]vices ,a ,,bill ,to am5d title #aj1 ,unit$ ,/ates ,code1 to provide treatm5t = eat+ disord]s = dep5d5ts ( memb]s ( ! uni=m$ s]vices4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,support+ ,eat+ ,disord]s ,recov]y ,?r\gh ,vital ,expansion ,act or ! ,,s]ve ,act4 #b4 ,f9d+s ,congress f9ds ! foll[+3 7#a7 ,eat+ disord]s affect approximately #cj1jjj1jjj individuals 9 ! ,unit$ ,/ates1 or n9e p]c5t ( ! population1 dur+ _! lifetime1 includ+ individuals f e age1 g5d]1 body size1 race1 e?nicity1 & socioeconomic /atus4 7#b7 ,eat+ disord]s are sev]e1 biologically bas$ m5tal illnesses caus$ by a complex int]action ( g5etic1 biological1 social1 behavioral1 & psy*ological factors4 7#c7 ,eat+ disord]s result 9 ! second highe/ case fatality rate ( any psy*iatric illness1 ) "o dea? e #eb m9utes z a direct result ( an eat+ disord] due to s]i\s m$ical comorbidities & suicide4 7#d7 ,untreat$ eat+ disord]s co/ ! economy ( ! ,unit$ ,/ates #fd1gjj1jjj1jjj annually1 ) individuals & _! families exp]i5c+ an economic loss ( #bc1ejj1jjj1jjj annually4 7#e7 ,a /udy f ! ,arm$ ,=ces ,heal? ,surveillance ,bran* f\nd t diagnoses ( eat+ disord]s among milit>y p]sonnel increas$ by #bf p]c5t f #bjac to #bjaf4 7#f7 ,al?\gh accurate e/imates are *all5g+ due to und]report+1 ! preval5ce ( eat+ disord]s among memb]s ( ! ,arm$ ,=ces is two to ?ree times high] ?an 9 ! civilian population4 7#g7 ,! ,def5se ,heal? ,bo>d f\nd t wom5 memb]s ( ! ,arm$ ,=ces on active duty exp]i5ce high rates ( eat+ disord]s1 :i* c adv]sely affect ! read9ess & heal? ( su* memb]s4 7#h7 ,risk factors = eat+ disord]s among memb]s ( ! ,arm$ ,=ces include pressure to ma9ta9 weight & fitness /&>ds1 trauma1 sexual h>assm5t1 weight /igmatization1 & po/-traumatic /ress disord]4 7#i7 ,family memb]s ( memb]s ( ! ,arm$ ,=ces h a high] preval5ce ( eat+ disord]s ?an ! g5]al population1 ) #ba p]c5t ( *ildr5 & #bf p]c5t ( sp\ses ( memb]s ( ! ,arm$ ,=ces f\nd to be at risk ( develop+ an eat+ disord]4 7#aj7 ,rese>* demon/rates a /rong correlation 9 ! risk ( develop+ an eat+ disord] betwe5 a milit>y sp\se & _! adolesc5t *ild4 ,an adolesc5t female dep5d5t ( a memb] ( ! ,arm$ ,=ces is m likely to be at risk = an eat+ disord] if _! nonmilit>y p>5t is at risk = an eat+ disord]4 #c4 ,treatm5t = eat+ disord]s = dep5d5ts ( memb]s ( ! uni=m$ s]vices ,section #ajgi ( title #aj1 ,unit$ ,/ates ,code1 is am5d$-- 7#a7 9 subsection 7a71 by add+ at ! end ! foll[+ new p>agraph3 7#ah7 ,treatm5t = an eat+ disord] may be provid$ 9 accordance ) subsection 7r74 2 & 7#b7 by add+ at ! end ! foll[+ new subsection3 7r7 7#a7 ,! provision ( heal? c>e s]vices = an eat+ disord] "u subsection 7a77#ah7 %all include treatm5t at facilities provid+ ! foll[+ s]vices3 7,a7 ,inpati5t s]vices1 includ+ resid5tial s]vices4 7,b7 ,outpati5t s]vices = 9-p]son & teleheal? c>e1 includ+-- 7i7 p>tial hospitalization s]vices2 & 7ii7 int5sive outpati5t s]vices4 7#b7 ,a dep5d5t may be provid$ heal? c>e s]vices = an eat+ disord] "u subsection 7a77#ah7 )\t reg>d to ! age ( ! dep5d5t1 except ) respect to resid5tial s]vices "u p>agraph 7#a77;,a71 :i* may be provid$ only to a dep5d5t :o is n eligible = hospital insurance b5efits "u "p ,a ( title ,,xviii ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie;c et seq474 7#c7 ,9 ?is section1 ! t]m eat+ disord] has ! mean+ giv5 ! t]m fe$+ & eat+ disord]s 9 ! ,diagno/ic & ,/ati/ical ,manual ( ,m5tal ,disord]s1 #e? ,edition 7or successor edition71 publi%$ by ! ,am]ican ,psy*iatric ,association4 4 #d4 ,id5tification & treatm5t ( eat+ disord]s = memb]s ( ! ,arm$ ,=ces 7a7 ,9 g5]al ,section #ajij ( title #aj1 ,unit$ ,/ates ,code1 is am5d$-- 7#a7 by /rik+ ,! ,secret>y ( ,def5se & ins]t+ ! foll[+3 7a7 ,id5tification & treatm5t ( eat+ disord]s & drug & alcohol dep5d5ce ,! ,secret>y ( ,def5se 2 7#b7 by ins]t+ h an eat+ disord] or be=e are dep5d5t on drugs or alcohol2 7#c7 by add+ at ! end ! foll[+ new subsections3 7b7 ,facilities available to individuals ) eat+ disord]s ,= purposes ( ?is section1 necess>y facilities describ$ 9 subsection 7a7 %all include ! facilities describ$ 9 section #ajgi7r77#a7 ( ?is title4 7c7 ,eat+ disord] def9$ ,9 ?is section1 ! t]m eat+ disord] has ! mean+ giv5 t t]m 9 section #ajgi7r77#c7 ( ?is title4 2 & 7#d7 9 ! section head+1 by ins]t+ eat+ disord]s & aft] treat+4 7b7 ,cl]ical am5dm5t ,! table ( sections at ! beg9n+ ( *apt] #ee ( su* title is am5d$ by /rik+ ! item relat+ to section #ajij & ins]t+ ! foll[+ new item3 #ajij4 ,id5tify+ & treat+ eat+ disord]s & drug & alcohol dep5d5ce4 4 #e4 ,cl9ical practice crit]ia & guidel9es on ! id5tification & treatm5t ( eat+ disord]s 7a7 ,9 g5]al ,n lat] ?an two ye>s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,def5se & ! ,secret>y ( ,vet]ans ,affairs1 9 consultation ) specializ$ /akehold]s1 %all jo9tly develop1 publi%1 & dissem9ate cl9ical practice crit]ia & guidel9es on ! id5tification & treatm5t ( eat+ disord]s4 7b7 ,inclusion ( recomm5dations & guidel9es ,! crit]ia & guidel9es develop$1 publi%$1 & dissem9at$ "u subsection 7a7 %all include-- 7#a7 recomm5dations & guidel9es e/abli%$ by1 & any guidance f1 ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration1 ! ,c5t]s = ,disease ,control & ,prev5tion1 & ! ,national ,in/itute ( ,m5tal ,heal?2 & 7#b7 cl9ical practice guidel9es develop$ by specializ$ nonpr(it pr(essional associations4