,,ii #aag? ,,congress #a/ ,session ,s4 #aife ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,june #h1 #bjba,mrs4 ,murray 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 improve long-t]m c>e provid$ to vet]ans by ! ,dep>tm5t ( ,vet]ans ,affairs1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,plann+ = ,ag+ ,vet]ans ,act ( #bjba4 #b4 ,/rategy = long-t]m c>e = ag+ vet]ans 7a7 ,9 g5]al ,! ,secret>y ( ,vet]ans ,affairs %all develop a /rategy = ! long-t]m c>e ( vet]ans4 7b7 ,elem5ts ,! /rategy develop$ "u subsection 7a7 %all-- 7#a7 id5tify curr5t & future ne$s = ! long-t]m c>e ( vet]ans bas$ on demographic data & availability ( s]vices bo? f ,dep>tm5t ( ,vet]ans ,affairs & f non-,dep>tm5t provid]s 9 ! community1 include o!r ,f$]al ,gov]nm5t1 non-,f$]al ,gov]nm5t1 nonpr(it1 = pr(it1 & o!r entities2 7#b7 id5tify ! curr5t & future ne$s ( vet]ans = bo? in/itutional & non-in/itutional long-t]m c>e 7= example1 home-bas$ & community-bas$ s]vices71 tak+ into acc\nt ! ne$s ( gr[+ vet]an population gr\ps1 includ+ wom5 vet]ans1 vet]ans ) traumatic bra9 injury1 vet]ans ) memory loss1 & o!r population gr\ps ) unique ne$s2 & 7#c7 address new & diff]5t c>e deliv]y models1 includ+ by-- 7,a7 assess+ ! implications ( su* models = ! design ( facilities & h[ ^? facilities may ne$ to *ange2 & 7,b7 exam9+ ! work=ce ne$$ to support ag+ populations ( vet]ans z !y gr[ & receive long-t]m c>e ?r\gh diff]5t tr5ds ( c>e deliv]y4 7c7 ,report ,n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y %all submit to ,congress a report on ! /rategy develop$ "u subsection 7a74 #c4 ,improvem5t ( ,/ate vet]ans homes 7a7 ,/&>diz$ %>+ agreem5ts ,! ,secret>y ( ,vet]ans ,affairs %all develop a /&>diz$ process ?r\gh\t ! ,dep>tm5t ( ,vet]ans ,affairs = ent]+ into %>+ agreem5ts betwe5 ,/ate homes & m$ical c5t]s ( ! ,dep>tm5t4 7b7 ,cl>ification on copaym5ts = c]ta9 disabl$ vet]ans ,! ,secret>y %all ensure t all vet]ans :o are cata/rophically disabl$1 z def9$ by ! ,secret>y "u section #agcj;,a ( title #ch1 ,unit$ ,/ates ,code1 are n requir$ to pay a copaym5t = m$ication receiv$ at a ,/ate home4 7c7 ,ov]sight ( inspections 7#a7 ,monitor+ ,! ,secret>y %all monitor any contractor us$ by ! ,dep>tm5t to conduct inspections ( ,/ate homes1 includ+ by review+ ! inspections conduct$ by ea* su* contractor = quality n less frequ5tly ?an qu>t]ly4 7#b7 ,report+ ( defici5cies ,! ,secret>y %all require t any defici5cies ( a ,/ate home not$ dur+ ! inspection ( ! ,/ate home be report$ to ! ,secret>y4 7#c7 ,transp>5cy ,! ,secret>y %all publi% ! results ( any inspection ( a ,/ate home on a publicly available int]net website ( ! ,dep>tm5t4 7d7 ,def9itions ,9 ?is section1 ! t]m ,/ate home has ! mean+ giv5 t t]m 9 section #aja7ai7 ( title #ch1 ,unit$ ,/ates ,code4 #d4 ,g]iatric psy*iatry pilot program at ,/ate vet]ans homes 7a7 ,9 g5]al ,n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,vet]ans ,affairs %all comm5ce ! conduct ( a pilot program "u :i* ! ,secret>y %all provide g]iatric psy*iatry assi/ance to eligible vet]ans at ,/ate homes4 7b7 ,duration ,! ,secret>y %all c>ry out ! pilot program "u ?is section = a two-ye> p]iod4 7c7 ,type ( assi/ance ,assi/ance provid$ "u ! pilot program "u ?is section may include-- 7#a7 direct provision ( g]iatric psy*iatry s]vices1 includ+ heal? c>e if feasible2 7#b7 paym5ts to non-,dep>tm5t ( ,vet]ans ,affairs provid]s 9 ! community to provide su* s]vices2 7#c7 collaboration ) o!r ,f$]al ag5cies to provide su* s]vices2 or 7#d7 su* o!r =ms ( assi/ance z ! ,secret>y consid]s appropriate4 7d7 ,consid]ation ( local area ne$s ,9 provid+ assi/ance "u ! pilot program "u ?is section1 ! ,secret>y %all consid] ! g]iatric psy*iatry ne$s ( ! local area1 includ+ by consid]+-- 7#a7 ,/ate homes ) a high proportion ( resid5ts ) unmet m5tal heal? ne$s2 7#b7 ,/ate homes locat$ 9 m5tal heal? c>e heal? pr(essional %ortage areas designat$ "u section #ccb ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bed;e72 or 7#c7 ,/ate homes locat$ 9 rural or highly rural areas4 7e7 ,def9itions ,9 ?is section3 7#a7 ,active milit>y1 naval1 or air s]vice ,! t]m active milit>y1 naval1 or air s]vice has ! mean+ giv5 t t]m 9 section #aja7bd7 ( title #ch1 ,unit$ ,/ates ,code4 7#b7 ,eligible vet]an ,! t]m eligible vet]an means a vet]an :o ! ,secret>y det]m9es w\ld b5efit f access to g]iatric psy*iatry s]vices1 includ+ vet]ans :o su/a9$ a traumatic bra9 injury or po/traumatic /ress disord] 9 l9e ( duty 9 ! active milit>y1 naval1 or air s]vice4 7#c7 ,/ate home ,! t]m ,/ate home has ! mean+ giv5 t t]m 9 section #aja7ai7 ( title #ch1 ,unit$ ,/ates ,code4 #e4 ,support = ag+ vet]ans at risk ( or exp]i5c+ homelessness 7a7 ,9 g5]al ,! ,secret>y ( ,vet]ans ,affairs %all "w ) public h\s+ au?orities & local organizations to assi/ ag+ homeless vet]ans 9 access+ exi/+ h\s+ & supportive s]vices1 includ+ heal? s]vices l home-bas$ & community-bas$ s]vices f ! ,dep>tm5t ( ,vet]ans ,affairs or f non-,dep>tm5t provid]s 9 ! community1 ev5 if ! vet]an is n eligible = su* s]vices f ! ,dep>tm5t4 7b7 ,paym5t = s]vices ,! ,secret>y may1 & is enc\rag$ to1 pay = s]vices = ag+ homeless vet]ans describ$ 9 subsection 7a74