,i #aah? ,,congress #a/ ,session ,h4 ,r4 #ccgc ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,may #af1 #bjbc,mrs4 ,kiggans ( ,virg9ia 7= h]self1 ,mr4 ,wittman1 ,mr4 ,panetta1 ,mr4 ,scott ( ,virg9ia1 ,ms4 ,tokuda1 ,mrs4 ,mc,clellan1 ,mr4 ,fitzpatrick1 & ,mr4 ,joyce ( ,ohio7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,arm$ ,s]vices ,a ,,bill ,to direct ! ,secret>y ( ! ,navy to take c]ta9 actions relat+ to improv$ m5tal heal? c>e1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,sailor ,/&>d ( ,c>e ,act ( #bjbc4 #b4 ,actions by ,secret>y ( ! ,navy relat+ to improv$ m5tal heal? c>e 7a7 ,re=ms relat+ to limit$ duty 7#a7 ,additional res\rces ,! ,secret>y ( ! ,navy %all provide additional res\rces to any unit ) great] ?an #ae memb]s ( ! ,navy designat$ = limit$ duty at a giv5 "t1 includ+ ?r\gh ! e/abli%m5t ( a new billet = a m$ical (fic]1 *apla91 & civilian employee ( ! ,dep>tm5t ( ,def5se 9 a m5tal heal? position = su* unit4 7#b7 ,m5tal heal? scre5+ ,! ,secret>y ( ! ,navy %all require t ea* memb] ( ! ,navy designat$ = limit$ duty receives1 ^u su* designation & once e #fj days !reaft] = ! duration ( su* designation1 a m5tal heal? scre5+ by a m5tal heal? pr(essional ( ! ,dep>tm5t4 7#c7 ,framework ,! ,secret>y ( ! ,navy %all e/abli% a framework to ensure-- 7,a7 c5traliz$ lead]%ip = ! managem5t ( memb]s ( ! ,navy designat$ = limit$ duty & c5traliz$ responsibility = ! well-be+ ( su* memb]s :ile s designat$2 & 7,b7 a smoo? transition = memb]s ( ! ,navy :o h suicidal ideations or o!r m5tal heal? c>e ne$s dur+ transf]s betwe5 units or :ile designat$ = limit$ duty4 7#d7 ,report ,n lat] ?an ,decemb] #ca1 #bjbd1 ! ,secret>y ( ! ,navy %all submit to ! ,committees on ,arm$ ,s]vices ( ! ,h\se ( ,repres5tatives & ! ,s5ate a report on-- 7,a7 :e!r timel9ess /&>ds applicable to ! tim+ ( appo9tm5ts betwe5 m$ical provid]s & memb]s ( ! ,navy designat$ = limit$ duty are suffici5t1 z det]m9$ by ! ,secret>y ( ! ,navy1 & ! ext5t to :i* su* /&>ds are compli$ )2 & 7,b7 ! numb] ( databases us$ to track ! /atus ( su* appo9tm5ts & recomm5dations by ! ,secret>y ( ! ,navy reg>d+ me?ods to simplify su* track+4 7#e7 ,brief+ ,n lat] ?an ,janu>y #ca1 #bjbd1 ! ,secret>y ( ! ,navy %all provide to ! ,committees on ,arm$ ,s]vices ( ! ,h\se ( ,repres5tatives & ! ,s5ate a brief+ on-- 7,a7 ! av]age numb] ( days = ! m$ical sep>ation ( a memb] ( ! ,navy previ\sly designat$ = limit$ duty2 & 7,b7 recomm5dations = /eps ! ,secret>y ( ! ,navy may take to /reaml9e & exp$ite applicable processes to ensure su* sep>ation is timely4 7b7 ,res\rces da%bo>d ,n lat] ?an ,decemb] #ca1 #bjbd1 ! ,assi/ant ,secret>y ( ! ,navy = ,manp[] & ,res]ve ,affairs %all e/abli% & ma9ta9 a da%bo>d to track quality ( life programs ( ! ,dep>tm5t ( ! ,navy 7includ+ su* programs relat+ to *ildc>e1 heal?c>e1 education1 h\s+1 & sp\se employm5t7 & ! rate ( usage ( ea* su* program4 7c7 ,be/ practices 9 deal+ ) multiple suicides 7#a7 ,/udy ,! ,secret>y ( ! ,navy %all conduct a /udy on rec5t cases 9 :i* multiple suicides occurr$ )9 #cj days ( ea* o!r among memb]s assign$ to ! same unit or comm& ( ! ,dep>tm5t ( ! ,navy4 7#b7 ,elem5ts ,! /udy "u p>agraph 7#a7 %all include an assessm5t ( ! foll[+3 7,a7 ,any und]ly+ quality ( life issues t may h be5 preval5t among ! unit or comm& lead+ up to ! initial suicide4 7,b7 ,! culture ( ! unit or comm& prior to su* initial suicide4 7,c7 ,! actions tak5 imm$iately foll[+ su* initial suicide & prec$+ any subsequ5t suicides4 7,d7 ,:e!r ! individuals :o complet$ suicide _h previ\sly express$ suicide ideation & :e!r su* individuals engag$ ) m5tal heal? res\rces available prior to complet+ suicide4 7,e7 ,! m5tal heal? res\rces t 7 available to su* individuals prior to ! initial suicide1 aft] ! initial suicide1 & aft] any subsequ5t suicides4 7#c7 ,report ,n lat] ?an #ahj days aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ! ,navy %all submit to ! ,committees on ,arm$ ,s]vices ( ! ,h\se ( ,repres5tatives & ! ,s5ate a report conta9+ ! f9d+s ( ! /udy "u p>agraph 7#a7 & a /&>d op]at+ proc$ure ( ! ,dep>tm5t ( ! ,navy = respond+ to multiple suicides4 7d7 ,report on m5tal heal? c>e "u ,,tric>e ,n lat] ?an #ahj days aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,def5se %all submit to ! ,committees on ,arm$ ,s]vices ( ! ,h\se ( ,repres5tatives & ! ,s5ate a report conta9+ ! foll[+3 7#a7 ,an analysis ( ! av]age timel9e to cr$5tial pot5tial m5tal heal? c>e provid]s "u ! ,,tric>e program z comp>$ to ! timel9e "u ,m$ic>e & o!r major insurance networks1 includ+ quantitative data reg>d+1 ) respect to individuals apply+ = cr$5tial+ z m5tal heal? c>e provid]s "u ! ,,tric>e program1 ! foll[+3 7,a7 ,! d5ial ( su* applications4 7,b7 ,! me?od & frequ5cy ( notifications reg>d+ ! application provid$ to su* applicants4 7,c7 ,) respect to d5i$ applications1 ! me?od ( fe$back provid$ to su* applicants1 & ! resolution processes available to su* applicants4 7#b7 ,! numb] ( curr5t & project$ m5tal heal? c>e provid]s "u ! ,,tric>e program1 z comp>$ to ! numb] ( civilian m5tal heal? c>e provid]s outside ( su* program1 & a description ( any capacity %ortfalls ) respect to m5tal heal? c>e provid]s "u ! ,,tric>e program1 tak+ into acc\nt ! m5tal heal? crisis )9 ! ,arm$ ,=ces4 7#c7 ,an analysis ( ! reimbursem5t rates = m5tal heal? c>e provid]s "u ! ,,tric>e program1 disaggregat$ by ,,tric>e provid] network region1 z comp>$ to ! av]age reimbursem5t rates = su* provid]s "u private heal? insurance plans & ,m$ic>e4 7#d7 ,an assessm5t (-- 7,a7 :e!r ! ,secret>y ( ,def5se1 9 c>ry+ out ! ,,tric>e program1 has us$ ! me?ods outl9$ 9 "p #aii4ad ( title #cb1 ,code ( ,f$]al ,regulations1 to increase reimbursem5t rates 9 c]ta9 geographic locations2 & 7,b7 :at1 if any1 corrective measures h be5 tak5 s9ce ! publication by ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates ( ! report titl$ ,def5se ,heal? ,c>e3 ,,tric>e ,multiye> ,surveys ,indicate ,problems ) ,access to ,c>e = ,non5roll$ ,b5efici>ies 7,,gao #ac-cfd7 on ,april #b1 #bjac1 & 9 p>ticul>1 corrective measures address+ ! f9d+ ( su* report deal+ ) civilian m5tal heal? c>e provid]s & reimbursem5t rates4 7#e7 ,! /atus ( implem5t+ ! recomm5dations conta9$ 9 ! report ( ! ,inspector ,g5]al ( ! ,dep>tm5t ( ,def5se publi%$ ,augu/ #aj1 #bjbj1 titl$ ,evaluation ( ,access to ,m5tal ,heal? ,c>e 9 ! ,dep>tm5t ( ,def5se 7,,dodig-#bjbj-aab7 7or any successor report7 & ! e/imat$ implem5tation date = any su* recomm5dations t h n be5 implem5t$ z ( ! date ( ! submission ( ! report4 7#f7 ,an assessm5t ( :at1 if any1 additional au?orities & res\rces may be ne$$ by ! ,dep>tm5t ( ,def5se to effectively address ! issue ( timely access to m5tal heal?c>e = memb]s ( ! ,arm$ ,=ces on active duty & ! dep5d5ts !re(4