,,ii #aag? ,,congress #a/ ,session ,s4 #cbic ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,decemb] #a1 #bjba,mr4 ,te/] 7= himself & ,mr4 ,moran7 introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,vet]ans' ,affairs ,a ,,bill ,to exp& access ( vet]ans to m5tal heal? c>e f ! ,dep>tm5t ( ,vet]ans ,affairs1 & = o!r purposes4 #a4 ,%ort title2 table ( cont5ts 7a7 ,%ort title ,?is ,act may be cit$ z ! ,po/-#i_/aa ,vet]ans' ,m5tal ,heal? ,c>e ,improvem5t ,act ( #bjba4 7b7 ,table ( cont5ts ,! table ( cont5ts = ?is ,act is z foll[s3 ,sec4 #a4 ,%ort title2 table ( cont5ts4,,title ,i--,access to care,sec4 #aja4 ,improvem5t ( sleep disord] c>e furni%$ by ,dep>tm5t ( ,vet]ans ,affairs4,sec4 #ajb4 ,m5tal heal? consultations4,sec4 #ajc4 ,/udy on inpati5t m5tal heal? & sub/ance use c>e f ,dep>tm5t ( ,vet]ans ,affairs4,sec4 #ajd4 ,/udy on treatm5t f ,dep>tm5t ( ,vet]ans ,affairs = co-occurr+ m5tal heal? & sub/ance use disord]s4,,title ,,ii--,m5tal heal? workforce,sec4 #bja4 ,expansion ( ,vet ,c5t] work=ce4,sec4 #bjb4 ,expansion ( m5tal heal? tra9+ = ,dep>tm5t ( ,vet]ans ,affairs4,sec4 #bjc4 ,expansion ( s*ol>%ips & loan repaym5t programs = m5tal heal? provid]s4,sec4 #bjd4 ,/udy on workload ( suicide prev5tion teams ( ,dep>tm5t ( ,vet]ans ,affairs4,,title ,,iii--,m5tal heal? research,sec4 #cja4 ,expansion ( suicide prev5tion & m5tal heal? rese>*4,sec4 #cjb4 ,/udy on m5tal heal? & suicide prev5tion support = milit>y families4,sec4 #cjc4 ,rese>* on bra9 heal?4,sec4 #cjd4 ,/udy on efficacy ( cl9ical & at-home res\rces = po/-traumatic /ress disord]4 ,i ,access to c>e #aja4 ,improvem5t ( sleep disord] c>e furni%$ by ,dep>tm5t ( ,vet]ans ,affairs 7a7 ,9 g5]al ,pursuant to ! analysis conduct$ "u subsection 7b71 ! ,secret>y ( ,vet]ans ,affairs %all take su* action z ! ,secret>y consid]s appropriate to improve ! assessm5t & treatm5t ( vet]ans ) sleep disord]s1 includ+ by conduct+ 9-home sleep /udies = vet]ans4 7b7 ,analysis ,! ,secret>y %all conduct an analysis ( ! ability ( ! ,dep>tm5t ( ,vet]ans ,affairs to treat sleep disord]s among vet]ans1 includ+-- 7#a7 assessm5t & treatm5t options = su* disord]s2 7#b7 b>ri]s to c>e = su* disord]s1 su* z wait "t1 travel "t1 & lack ( /aff+2 7#c7 ! efficacy ( ! cl9ical practice guidel9es ( ! ,dep>tm5t ( ,vet]ans ,affairs & ! ,dep>tm5t ( ,def5se = su* disord]s2 & 7#d7 ! availability ( & efficacy ( ! use by ! ,dep>tm5t ( ,vet]ans ,affairs ( cognitive behavioral !rapy = insomnia4 7c7 ,report ,n lat] ?an two ye>s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y %all submit to ! ,committee on ,vet]ans' ,affairs ( ! ,s5ate & ! ,committee on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives a report on-- 7#a7 ! f9d+s f ! analysis conduct$ "u subsection 7b72 & 7#b7 any actions tak5 "u subsection 7a7 to improve ! assessm5t & treatm5t ( vet]ans ) sleep disord]s4 7d7 ,au?orization ( appropriations = 9-,home sleep /udies ,!re is au?oriz$ to be appropriat$ to ! ,secret>y ( ,vet]ans ,affairs #e1jjj1jjj to be us$ to conduct 9-home sleep /udies = vet]ans1 z "p ( sleep disord] assessm5t & treatm5t conduct$ by ! ,dep>tm5t ( ,vet]ans ,affairs4 #ajb4 ,m5tal heal? consultations 7a7 ,m5tal heal? consultations = vet]ans fil+ = comp5sation 7#a7 ,9 g5]al ,sub*apt] ,,vi ( *apt] #aa ( title #ch1 ,unit$ ,/ates ,code1 is am5d$ by add+ at ! end ! foll[+ new section3 #aafg4 ,m5tal heal? consultations 7a7 ,9 g5]al ,n lat] ?an #cj days aft] ! date on :i* a vet]an submits to ! ,secret>y a claim = comp5sation "u ?is *apt] = s]vice-connect$ disability relat+ to a m5tal heal? diagnosis1 ! ,secret>y %all (f] ! vet]an a m5tal heal? consultation to assess ! m5tal heal? ne$s ( & c>e options = ! vet]an4 7b7 ,availability ,! ,secret>y %all ensure t a vet]an (f]$ a m5tal heal? consultation "u subsection 7a7 may elect to receive su* consultation dur+ ! "o-ye> p]iod beg9n+ on ! date on :i* ! consultation is (f]$ or dur+ su* long] p]iod beg9n+ on su* date z ! ,secret>y consid]s appropriate4 4 7#b7 ,cl]ical am5dm5t ,! table ( sections at ! beg9n+ ( *apt] #aa ( su* title is am5d$ by add+ at ! end ! foll[+ new item3 #aafg4 ,m5tal heal? consultations4 4 7b7 ,m5tal heal? consultations = vet]ans ent]+ ,homeless ,programs ,(fice programs 7#a7 ,9 g5]al ,sub*apt] ,,vii ( *apt] #bj ( title #ch1 ,unit$ ,/ates ,code1 is am5d$ by add+ at ! end ! foll[+ new section3 #bjfh4 ,m5tal heal? consultations 7a7 ,9 g5]al ,n lat] ?an two weeks aft] ! date on :i* a vet]an describ$ 9 subsection 7b7 ent]s into a program adm9i/]$ by ! ,homeless ,programs ,(fice ( ! ,dep>tm5t1 ! ,secret>y %all (f] ! vet]an a m5tal heal? consultation to assess ! heal? ne$s ( & c>e options = ! vet]an4 7b7 ,vet]an describ$ ,a vet]an describ$ 9 ?is subsection is a vet]an to :om a m5tal heal? consultation is n (f]$ or provid$ ?r\gh ! case managem5t s]vices ( ! program ( ! ,homeless ,programs ,(fice into :i* ! vet]an ent]s4 4 7#b7 ,cl]ical am5dm5t ,! table ( sections at ! beg9n+ ( *apt] #bj ( su* title is am5d$ by add+ at ! end ! foll[+ new item3 #bjfh4 ,m5tal heal? consultations4 4 #ajc4 ,/udy on inpati5t m5tal heal? & sub/ance use c>e f ,dep>tm5t ( ,vet]ans ,affairs 7a7 ,9 g5]al ,n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,vet]ans ,affairs %all complete ! conduct ( a /udy on access ( vet]ans to c>e "u ! resid5tial rehabilitation treatm5t programs ( ! ,dep>tm5t ( ,vet]ans ,affairs to det]m9e-- 7#a7 if !re are suffici5t geographic (f]+s ( inpati5t m5tal heal? c>e1 especially = vet]ans 9 rural & remote communities2 7#b7 if !re are suffici5t b$ spaces at ea* location1 bas$ on dem& & drive "t f ! homes ( vet]ans2 7#c7 if !re are any work=ce-relat$ capacity limitations at ea* location1 includ+ if b$s are unable to be us$ because !re are n en\gh provid]s to c>e = additional pati5ts2 7#d7 if !re are diagnosis-specific or sex-specific b>ri]s to access+ c>e "u su* programs2 & 7#e7 ! av]age wait "t = a b$ 9 su* a program1 brok5 out by-- 7,a7 ,vet]ans ,integrat$ ,s]vice ,network2 7,b7 rural or urban area2 7,c7 sex2 & 7,d7 specialty 7g5]al program1 sub/ance use disord] program1 milit>y sexual trauma program1 etc474 7b7 ,recomm5dations = modifications to treatm5t programs ,us+ ! results f ! /udy conduct$ "u subsection 7a71 ! ,secret>y %all make recomm5dations =-- 7#a7 new locations = op5+ facilities to p>ticipate 9 ! resid5tial rehabilitation treatm5t programs ( ! ,dep>tm5t2 7#b7 facilities "u su* programs at :i* new b$s c be add$2 & 7#c7 any additional specialty tracks to be add$ to su* programs1 su* z sub/ance use disord] or milit>y sexual trauma1 9 ord] to meet vet]an ne$ & dem&4 7c7 ,report ,n lat] ?an #ahj days aft] completion ( ! /udy "u subsection 7a71 ! ,secret>y %all submit to ! ,committee on ,vet]ans' ,affairs ( ! ,s5ate & ! ,committee on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives a report on ! f9d+s ( ! /udy conduct$ "u subsection 7a7 & ! recomm5dations made by ! ,secret>y "u subsection 7b74 #ajd4 ,/udy on treatm5t f ,dep>tm5t ( ,vet]ans ,affairs = co-occurr+ m5tal heal? & sub/ance use disord]s 7a7 ,9 g5]al ,n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,vet]ans ,affairs %all conduct a /udy exam9+-- 7#a7 ! availability ( treatm5t programs = vet]ans ) co-occurr+ m5tal heal? & sub/ance use disord]s 7includ+ bo? inpati5t & outpati5t c>e72 7#b7 any geographic disp>ities 9 access to su* programs1 su* z = rural & remote vet]ans2 & 7#c7 ! av]age wait times = c>e "u su* programs4 7b7 ,report 7#a7 ,9 g5]al ,n lat] ?an two ye>s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y %all submit to ! ,committee on ,vet]ans' ,affairs ( ! ,s5ate & ! ,committee on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives a report on ! f9d+s ( ! /udy conduct$ "u subsection 7a74 7#b7 ,elem5ts ,! report requir$ by p>agraph 7#a7 %all include-- 7,a7 any recomm5dations result+ f ! /udy conduct$ "u subsection 7a7 ) respect to improv+ timel9ess & quality ( c>e & meet+ treatm5t pref]5ces = vet]ans ) co-occurr+ m5tal heal? & sub/ance use disord]s2 & 7,b7 a description ( any actions tak5 by ! ,secret>y to improve c>e = su* vet]ans4 ,,ii ,m5tal heal? work=ce #bja4 ,expansion ( ,vet ,c5t] work=ce 7a7 ,9 g5]al ,n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,vet]ans ,affairs %all hire an additional #ajj full-"t equival5t employees = ,vet ,c5t]s to bol/] ! work=ce ( ,vet ,c5t]s & to provide exp&$ m5tal heal? c>e to vet]ans1 memb]s ( ! ,arm$ ,=ces1 & _! families ?r\gh outrea*1 community access po9ts1 out/ations1 & ,vet ,c5t]s4 7b7 ,vet c5t] def9$ ,9 ?is section1 ! t]m ,vet ,c5t] has ! mean+ giv5 t t]m 9 section #agab;,a7h7 ( title #ch1 ,unit$ ,/ates ,code4 #bjb4 ,expansion ( m5tal heal? tra9+ = ,dep>tm5t ( ,vet]ans ,affairs 7a7 ,9 g5]al ,n lat] ?an ?ree ye>s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,vet]ans ,affairs1 9 collaboration ) ! ,(fice ( ,m5tal ,heal? & ,suicide ,prev5tion & ! ,(fice ( ,academic ,affiliations1 %all add an additional #ejj paid tra9ee slots 9 cov]$ m5tal heal? discipl9es to ! work=ce ( ! ,dep>tm5t ( ,vet]ans ,affairs4 7b7 ,cov]$ m5tal heal? discipl9es def9$ ,9 ?is section1 ! t]m cov]$ m5tal heal? discipl9es means psy*iatry1 psy*ology1 advanc$ practice nurs+ 7) a focus on m5tal heal? or sub/ance use disord]71 social "w1 lic5s$ pr(essional m5tal heal? c\nsel+1 & m>riage & family !rapy4 #bjc4 ,expansion ( s*ol>%ips & loan repaym5t programs = m5tal heal? provid]s 7a7 ,expansion ( ,heal? ,pr(essional ,s*ol>%ip ,program ,beg9n+ 9 academic ye> #bjbb1 ! ,secret>y ( ,vet]ans ,affairs %all include n few] ?an an additional 7z comp>$ to academic ye> #bjba7 #ej aw>ds p] academic ye> "u ! ,dep>tm5t ( ,vet]ans ,affairs ,heal? ,pr(essional ,s*ol>%ip ,program "u sub*apt] ,,ii ( *apt] #gf ( title #ch1 ,unit$ ,/ates ,code1 = applicants o!rwise eligible = su* program :o are pursu+ degrees or tra9+ 9 m5tal heal? discipl9es1 includ+ advanc$ practice nurs+ 7) a focus on m5tal heal? or sub/ance use disord]71 psy*ology1 & social "w4 7b7 ,expansion ( ,education ,debt ,r$uction ,program 7#a7 ,9 g5]al ,beg9n+ 9 fiscal ye> #bjbb1 ! ,secret>y %all provide n few] ?an an additional 7z comp>$ to fiscal ye> #bjba7 #bjj debt r$uction aw>ds p] ye> "u ! ,dep>tm5t ( ,vet]ans ,affairs ,education ,debt ,r$uction ,program "u sub*apt] ,,vii ( *apt] #gf ( title #ch1 ,unit$ ,/ates ,code1 to be us$ to recruit m5tal heal? pr(essionals to ! ,dep>tm5t ( ,vet]ans ,affairs 9 discipl9es t include psy*iatry1 psy*ology1 advanc$ practice nurs+ 7) a focus on m5tal heal? or sub/ance use disord]71 & social "w4 7#b7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to ! ,secret>y ( ,vet]ans ,affairs #h1jjj1jjj p] ye> to c>ry out ! additional aw>ds "u p>agraph 7#a74 7c7 ,outrea* 7#a7 ,9 g5]al ,n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y %all develop a public aw>5ess campaign to enc\rage vet]ans & m5tal heal? pr(essionals to *oose ! ,dep>tm5t = _! m5tal heal? c>e]4 7#b7 ,elem5ts ,! campaign requir$ "u p>agraph 7#a7-- 7,a7 %all adv]tise ! paid tra9ee1 s*ol>%ip1 & loan repaym5t opportunities (f]$ by ! ,dep>tm5t2 & 7,b7 may highlight ! new graduate m$ical education resid5cies available at ! ,dep>tm5t = m$ical /ud5ts ent]+ resid5cy4 #bjd4 ,/udy on workload ( suicide prev5tion teams ( ,dep>tm5t ( ,vet]ans ,affairs 7a7 ,9 g5]al ,! ,secret>y ( ,vet]ans ,affairs1 act+ ?r\gh ! ,"u ,secret>y = ,heal? & ! ,(fice ( ,m5tal ,heal? & ,suicide ,prev5tion1 %all conduct a /udy evaluat+ ! workload ( local suicide prev5tion teams ( ! ,dep>tm5t ( ,vet]ans ,affairs4 7b7 ,elem5ts ,! /udy conduct$ "u subsection 7a7 %all-- 7#a7 id5tify ! effects ( ! gr[? ( ! suicide prev5tion program ( ! ,dep>tm5t on ! workload ( suicide prev5tion teams2 7#b7 incorporate key practices = /aff+ model design 9 det]m9+ suicide prev5tion /aff+ ne$s2 & 7#c7 det]m9e :i* facilities ( ! ,dep>tm5t ne$ increas$ suicide prev5tion coord9ator /aff+ to meet ! ne$s ( vet]ans1 ) an emphasis plac$ on facilities ) high pati5t volume & facilities locat$ 9 ,/ates ) high rates ( vet]an suicide4 7c7 ,report ,n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y %all submit to ! ,committee on ,vet]ans' ,affairs ( ! ,s5ate & ! ,committee on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives a report-- 7#a7 on ! f9d+s ( ! /udy conduct$ "u subsection 7a72 & 7#b7 indicat+ any *anges made to ! /aff+ ( suicide prev5tion teams ( ! ,dep>tm5t result+ f ! det]m9ations made "u subsection 7b77#c71 includ+ a li/ ( facilities ( ! ,dep>tm5t :]e /aff+ 0 adju/$4 ,,iii ,m5tal heal? rese>* #cja4 ,expansion ( suicide prev5tion & m5tal heal? rese>* ,!re is au?oriz$ to be appropriat$ to ! ,dep>tm5t ( ,vet]ans ,affairs an additional #aj1jjj1jjj to be us$ by ! ,c5t] ( ,excell5ce = ,suicide ,prev5tion ( ! ,dep>tm5t & ! ,rocky ,m\nta9 ,m5tal ,illness ,rese>* ,education & ,cl9ical ,c5t] = purposes ( conduct+ rese>* on ! factors impact+ vet]an suicide & be/ practices = e>ly int]v5tion & support4 #cjb4 ,/udy on m5tal heal? & suicide prev5tion support = milit>y families 7a7 ,9 g5]al ,! ,secret>y ( ,vet]ans ,affairs1 9 collaboration ) ! ,secret>y ( ,def5se1 %all conduct a /udy on second>y po/-traumatic /ress disord] & depression & its impact on sp\ses1 *ildr51 & c>egiv]s ( memb]s ( ! ,arm$ ,=ces4 7b7 ,report 7#a7 ,9 g5]al ,n lat] ?an ?ree ye>s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,vet]ans ,affairs1 9 collaboration ) ! ,secret>y ( ,def5se1 %all submit to ,congress1 vet]ans s]vice organizations1 & milit>y support organizations a report on ! f9d+s ( ! /udy conduct$ "u subsection 7a74 7#b7 ,def9itions ,9 ?is subsection3 7,a7 ,milit>y support organization ,! t]m milit>y support organization has ! mean+ giv5 t t]m by ! ,secret>y ( ,def5se4 7,b7 ,vet]ans s]vice organization ,! t]m vet]ans s]vice organization means an organization recogniz$ by ! ,secret>y ( ,vet]ans ,affairs = ! repres5tation ( vet]ans "u section #eijb ( title #ch1 ,unit$ ,/ates ,code4 #cjc4 ,rese>* on bra9 heal? ,!re is au?oriz$ to be appropriat$ to ! ,dep>tm5t ( ,vet]ans ,affairs an additional #e1jjj1jjj = ongo+ & future rese>* at ! ,translational ,rese>* ,c5t] ( ! ,dep>tm5t ( ,vet]ans ,affairs = traumatic bra9 injury & /ress disord]s to provide bett] und]/&+ ( & improv$ treatm5t options = po/-#i_/aa vet]ans ) traumatic bra9 injury or po/-traumatic /ress disord]4 #cjd4 ,/udy on efficacy ( cl9ical & at-home res\rces = po/-traumatic /ress disord] ,n lat] ?an two ye>s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,vet]ans ,affairs1 ?r\gh ! ,(fice ( ,rese>* & ,developm5t ( ! ,dep>tm5t ( ,vet]ans ,affairs1 %all conduct a /udy on-- 7#a7 ! efficacy ( cl9ical & at-home res\rces1 su* z mobile applications l ,,covid ,coa*1 = provid]s1 vet]ans1 c>egiv]s1 & family memb]s to use = deal+ ) /ressors2 7#b7 ! feasibility & advisability ( develop+ m su* res\rces2 7#c7 /rategies = improv+ m5tal heal? c>e & outcomes = vet]ans ) po/-traumatic /ress disord]2 & 7#d7 be/ practices = help+ family memb]s ( vet]ans deal ) second>y po/-traumatic /ress disord] or m5tal heal? conc]ns4