,,ii #aah? ,,congress #a/ ,session ,s4 #ajbh ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,m>* #bi1 #bjbc ,mr4 ,te/] 7= himself & ,ms4 ,murk[ski7 introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,vet]ans' ,affairs ,a ,,bill ,to am5d title #ch1 ,unit$ ,/ates ,code1 to exp& heal? c>e & b5efits f ! ,dep>tm5t ( ,vet]ans ,affairs = milit>y sexual trauma1 & = o!r purposes4 #a4 ,%ort title2 table ( cont5ts 7a7 ,%ort title ,?is ,act may be cit$ z ! ,s]vicememb]s & ,vet]ans ,emp[]m5t & ,support ,act ( #bjbc4 7b7 ,table ( cont5ts ,! table ( cont5ts = ?is ,act is z foll[s3 ,sec4 #a4 ,%ort title2 table ( cont5ts4 ,,title ,i--,def9+ milit>y sexual trauma ,sec4 #aja4 ,report on milit>y sexual trauma 9 ! digital age4 ,,title ,,ii--,disability comp5sation & claims process+ ,sec4 #bja4 ,def9ition ( milit>y sexual trauma4 ,sec4 #bjb4 ,con=m+ *anges relat+ to specializ$ teams to evaluate claims involv+ milit>y sexual trauma4 ,sec4 #bjc4 ,evaluation ( claims involv+ milit>y sexual trauma4 ,sec4 #bjd4 ,*oice ( location ( ,dep>tm5t ( ,vet]ans ,affairs m$ical exam9ation = assessm5t ( claims = comp5sation relat+ to disability result+ f milit>y sexual trauma4 ,sec4 #bje4 ,communications f ! ,dep>tm5t ( ,vet]ans ,affairs to individuals :o h exp]i5c$ milit>y sexual trauma4 ,sec4 #bjf4 ,/udy on tra9+ & process+ relat+ to claims = disability comp5sation relat+ to milit>y sexual trauma4 ,sec4 #bjg4 ,annual special focus review ( claims = disability comp5sation = disabilities relat+ to milit>y sexual trauma4 ,,title ,,iii--,access to ,heal? ,c>e ,sec4 #cja4 ,expansion ( eligibility = c\nsel+ & treatm5t = milit>y sexual trauma to include all =m] memb]s ( ! res]ve compon5ts ( ! ,arm$ ,=ces4 ,sec4 #cjb4 ,connection to ,vet]ans ,heal? ,adm9i/ration :5 a disability claim relat$ to milit>y sexual trauma is submitt$ to ,vet]ans ,b5efits ,adm9i/ration4 ,sec4 #cjc4 ,pilot program = int]im access to m5tal heal? c>e = individuals :o h exp]i5c$ milit>y sexual trauma4 ,sec4 #cjd4 ,comptroll] ,g5]al /udy on access to c>e f ,dep>tm5t ( ,vet]ans ,affairs = individuals :o h exp]i5c$ milit>y sexual trauma4 ,i ,def9+ milit>y sexual trauma #aja4 ,report on milit>y sexual trauma 9 ! digital age 7a7 ,report requir$ ,n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,vet]ans ,affairs %all submit to ! ,committee on ,vet]ans' ,affairs ( ! ,s5ate & ! ,committee on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives a report on milit>y sexual trauma 9 ! digital age4 7b7 ,requirem5ts ,! report requir$ "u subsection 7a7 %all include ! foll[+3 7#a7 ,a compreh5sive evaluation & assessm5t ( curr5t ,dep>tm5t ( ,vet]ans ,affairs /atutes1 regulations1 & ag5cy guidance relat+ to milit>y sexual trauma = ! purposes ( access to heal? c>e "u *apt] #ag ( title #ch1 ,unit$ ,/ates ,code1 & comp5sation "u *apt] #aa ( su* title to id5tify-- 7,a7 gaps 9 cov]age = heal? c>e & comp5sation eligibility relat+ to milit>y sexual trauma involv+ onl9e or o!r te*nological communications2 & 7,b7 ! feasibility & advisability ( exp&+ heal? c>e & comp5sation = trauma t is nonsexual 9 nature involv+ onl9e or o!r te*nological communications4 7#b7 ,recomm5dations = revis+ /atutes1 regulations1 & ag5cy guidance 9 response to ! evaluation & assessm5t "u p>agraph 7#a74 7c7 ,consultation ,9 c>ry+ out subsection 7a71 ! ,secret>y ( ,vet]ans ,affairs %all consult vet]ans s]vice organizations & su* o!r /akehold]s z ! ,secret>y consid]s relevant & appropriate4 7d7 ,milit>y sexual trauma def9$ ,9 ?is section1 ! t]m milit>y sexual trauma-- 7#a7 ) respect to eligibility = heal? c>e1 has ! mean+ giv5 su* t]m 9 section #agbj;,d7f7 ( title #ch1 ,unit$ ,/ates ,code1 z add$ by section #cja2 & 7#b7 ) respect to eligibility = comp5sation1 has ! mean+ giv5 su* t]m 9 section #aafi7;i7 ( title #ch1 ,unit$ ,/ates ,code1 z add$ by section #bjc7;a74 ,,ii ,disability comp5sation & claims process+ #bja4 ,def9ition ( milit>y sexual trauma ,9 ?is title1 ! t]m milit>y sexual trauma has ! mean+ giv5 su* t]m 9 section #aafi7;i7 ( title #ch1 ,unit$ ,/ates ,code1 z add$ by section #bjc7;a74 #bjb4 ,con=m+ *anges relat+ to specializ$ teams to evaluate claims involv+ milit>y sexual trauma ,subsection 7d7 ( section #aaff ( title #ch1 ,unit$ ,/ates ,code1 is am5d$ to read z foll[s3 7a7 ,def9itions ,9 ?is section1 ! t]ms cov]$ m5tal heal? condition & milit>y sexual trauma h ! mean+s giv5 ^? t]ms 9 section #aafi7;i7 ( ?is title4 4 #bjc4 ,evaluation ( claims involv+ milit>y sexual trauma 7a7 ,9 g5]al ,sub*apt] ,,vi ( *apt] #aa ( su* title is am5d$ by ins]t+ aft] section #aaff ! foll[+ new section3 #aaff;,a4 ,evaluation ( claims involv+ milit>y sexual trauma 7a7 ,9 g5]al 7#a7 ,9 ! case ( any vet]an :o claims t a cov]$ m5tal heal? condition bas$ on milit>y sexual trauma 0 incurr$ 9 or aggravat$ by active milit>y1 naval1 air1 or space s]vice1 ! ,secret>y %all consid] ! foll[+3 7,a7 ,a diagnosis ( su* m5tal heal? condition by a m5tal heal? pr(essional4 7,b7 ,a l9k1 e/abli%$ by m$ical evid5ce1 betwe5 curr5t symptoms & a milit>y sexual trauma4 7,c7 ,cr$ible support+ evid5ce1 9 accordance ) subsections 7b7 & 7c7 t ! claim$ milit>y sexual trauma occurr$4 7#b7 ,! reasons = grant+ or d5y+ s]vice-connection 9 ea* case describ$ 9 p>agraph 7#a7 %all be record$ 9 full4 7b7 ,nonmilit>y s\rces ( evid5ce 7#a7 ,= purposes ( subsection 7a71 evid5ce f s\rces o!r ?an (ficial records ( ! ,dep>tm5t ( ,def5se reg>d+ ! vet]an's active milit>y1 naval1 air1 or space s]vice may corroborate ! vet]an's acc\nt ( ! trauma4 7#b7 ,examples ( evid5ce describ$ 9 p>agraph 7#a7 include ! foll[+3 7,a7 ,records f law en=cem5t au?orities1 rape crisis c5t]s1 m5tal heal? c\nsel+ c5t]s1 hospitals1 & physicians4 7,b7 ,pregnancy te/s & te/s = sexually transmitt$ diseases4 7,c7 ,/atem5ts f family memb]s1 roommates1 o!r memb]s ( ! ,arm$ ,=ces or vet]ans1 & cl]gy4 7c7 ,evid5ce ( behavior *anges 7#a7 ,= purposes ( subsection 7a71 evid5ce ( a behavior *ange foll[+ milit>y sexual trauma is "o type ( relevant evid5ce t may be f\nd 9 s\rces describ$ 9 su* subsection4 7#b7 ,examples ( behavior *anges t may be relevant evid5ce ( milit>y sexual trauma include ! foll[+3 7,a7 ,a reque/ = a transf] to ano!r milit>y duty assignm5t4 7,b7 ,det]ioration 9 "w p]=mance4 7,c7 ,sub/ance abuse or sub/ance use disord]4 7,d7 ,episodes ( depression1 panic attacks1 or anxiety )\t an id5tifiable cause4 7,e7 ,unexpla9$ economic or social behavior *anges4 7d7 ,notice & opportunity ,to supply evid5ce ,! ,secret>y may n d5y a claim ( a vet]an = comp5sation "u ?is *apt] = a cov]$ m5tal heal? condition t is bas$ on milit>y sexual trauma )\t fir/-- 7#a7 advis+ ! vet]an t evid5ce describ$ 9 subsections 7b7 & 7c7 may con/itute cr$ible corroborat+ evid5ce ( ! milit>y sexual trauma2 & 7#b7 all[+ ! vet]an an opportunity to furni% su* corroborat+ evid5ce or advise ! ,secret>y ( pot5tial s\rces ( su* evid5ce4 7e7 ,review ( evid5ce ,9 review+ a claim = comp5sation describ$ 9 subsection 7a77#a71 = any evid5ce id5tifi$ z "p ( su* claim t is describ$ 9 subsection 7b7 or 7c71 ! ,secret>y %all submit su* evid5ce to su* m$ical or m5tal heal? pr(essional z ! ,secret>y consid]s appropriate1 includ+ cl9ical & c\nsel+ exp]ts employ$ by ! ,dep>tm5t1 to obta9 an op9ion z to :e!r ! evid5ce indicates t a milit>y sexual trauma occurr$4 7f7 ,po9t ( contact ,! ,secret>y %all ensure t ea* docum5t provid$ to a vet]an relat+ to a claim = comp5sation describ$ 9 subsection 7a77#a7 includes contact in=mation = an appropriate po9t ( contact ) ! ,dep>tm5t4 7g7 ,specializ$ teams ,! ,secret>y %all ensure t all claims = comp5sation describ$ 9 subsection 7a77#a7 are review$ & process$ by a specializ$ team e/abli%$ "u section #aaff ( ?is title4 7h7 ,rule ( con/ruction reg>d+ application to nonsexual p]sonal assault ,! ,secret>y %all n con/rue ?is section z supplant+ ! /&>d ( pro( or evid5ce requir$ = claims = po/traumatic /ress disord] bas$ on nonsexual p]sonal assault1 :i* ! ,secret>y %all cont9ue to def9e 9 regulation4 7i7 ,def9itions ,9 ?is section3 7#a7 ,! t]m cov]$ m5tal heal? condition means po/-traumatic /ress disord]1 anxiety1 depression1 or o!r m5tal heal? diagnosis t ! ,secret>y det]m9es to be relat$ to milit>y sexual trauma & :i* may be s]vice-connect$ "u section #aaaj ( ?is title4 7#b7 ,! t]m m5tal heal? pr(essional means a provid] 9 ! field ( m5tal heal? :o meets ! cr$5tial1 lic5sure1 education1 & tra9+ requirem5ts e/abli%$ by ! ,secret>y4 7#c7 ,! t]m milit>y sexual trauma means1 ) respect to a vet]an1 a physical assault ( a sexual nature1 batt]y ( a sexual nature1 or sexual h>assm5t t occurr$ :ile ! vet]an 0 s]v+ 9 ! active milit>y1 naval1 air1 or space s]vice4 4 7b7 ,outrea* ,n lat] ?an #ahj days aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,vet]ans ,affairs %all implem5t1 ) input f ! vet]an community1 an in=mative outrea* program = vet]ans reg>d+ ! /&>d ( pro( = evaluation ( claims relat+ to milit>y sexual trauma1 includ+ requirem5ts = a m$ical exam9ation & op9ion4 7c7 ,cl]ical am5dm5t ,! table ( sections at ! beg9n+ ( su* *apt] is am5d$ by ins]t+ aft] ! item relat+ to section #aaff ! foll[+ new item3 #aaff;,a4 ,evaluation ( claims involv+ milit>y sexual trauma4 4 #bjd4 ,*oice ( location ( ,dep>tm5t ( ,vet]ans ,affairs m$ical exam9ation = assessm5t ( claims = comp5sation relat+ to disability result+ f milit>y sexual trauma 7a7 ,9 g5]al ,section #aafe ( title #ch1 ,unit$ ,/ates ,code1 is am5d$-- 7#a7 9 ! section head+1 by ins]t+ & location ( m$ical exam9ation aft] exam9]2 7#b7 9 subsection 7a71 by /rik+ a physical assault ( a sexual nature1 batt]y ( a sexual nature1 or sexual h>assm5t & ins]t+ milit>y sexual trauma 7z def9$ 9 section #aaff;,a7i7 ( ?is title72 7#c7 by r$esignat+ subsection 7c7 z subsection 7d72 & 7#d7 by ins]t+ aft] subsection 7b7 ! foll[+ new subsection 7c73 7c7 ,*oice ( exam9ation location 7#a7 ,! ,secret>y %all ensure t a vet]an :o requires a m$ical exam9ation 9 support ( a claim describ$ 9 subsection 7a7 may reque/ t ! m$ical exam9ation take place at a m$ical facility ( ! ,dep>tm5t by a qualifi$ employee ( ! ,dep>tm5t r ?an at a location designat$ by a ,dep>tm5t contractor t p]=ms su* exam9ations on behalf ( ! ,dep>tm5t4 7#b7 ,! ,secret>y-- 7,a7 %all grant any reque/ "u p>agraph 7#a7 if a m$ical facility ( ! ,dep>tm5t is available n fur!r ?an #ajj miles f ! vet]an's home2 & 7,b7 may n issue a decision on a claim describ$ 9 su* p>agraph be=e ! reque/$ exam9ation is complet$1 or notice is provid$ p] p>agraph 7c77#c74 7#c7 ,if a m$ical facility ( ! ,dep>tm5t is n available )9 #ajj miles ( ! vet]an's home1 ! ,secret>y %all notify ! vet]an & provide ! vet]an ! opportunity-- 7,a7 to h ! exam9ation complet$ by a contractor ( ! ,dep>tm5t2 or 7,b7 to complete ! exam9ation at a m$ical facility fur!r ?an #ajj miles f ! vet]an's home4 4 7b7 ,cl]ical am5dm5t ,! table ( sections at ! beg9n+ ( *apt] #aa ( su* title is am5d$ by /rik+ ! item relat+ to section #aafe & ins]t+ ! foll[+ new item3 #aafe4 ,*oice ( sex ( m$ical exam9] & location ( m$ical exam9ation = c]ta9 disabilities4 4 #bje4 ,communications f ! ,dep>tm5t ( ,vet]ans ,affairs to individuals :o h exp]i5c$ milit>y sexual trauma 7a7 ,review bo>d 7#a7 ,9 g5]al ,! ,secret>y ( ,vet]ans ,affairs %all e/abli% a bo>d to review correspond5ce relat+ to milit>y sexual trauma4 7#b7 ,memb]%ip ,! bo>d e/abli%$ "u p>agraph 7#a7 %all be compos$ ( memb]s :o %all be appo9t$ by ! ,secret>y f among employees ( ! ,dep>tm5t ( ,vet]ans ,affairs :o are exp]ts 9 milit>y sexual trauma & m5tal heal?1 ( :om-- 7,a7 "o or m %all be appo9t$ f among m5tal heal? provid]s ( ! ,vet]ans ,heal? ,adm9i/ration2 7,b7 "o or m %all be appo9t$ f among exp]ts on sexual assault & sexual h>assm5t ( ! ,vet]ans ,b5efits ,adm9i/ration2 & 7,c7 "o or m %all be appo9t$ f among exp]ts on sexual assault & sexual h>assm5t ( ! ,bo>d ( ,vet]ans' ,appeals4 7#c7 ,duties ,! bo>d e/abli%$ "u p>agraph 7#a7 %all-- 7,a7 review /&>d correspond5ce1 :i* may include templates = notices "u sections #eajc1 #eajd1 #eajd;,b1 & #gajd ( title #ch1 ,unit$ ,/ates ,code1 f ! ,dep>tm5t to individuals :o h exp]i5c$ milit>y sexual trauma = s5sitivity2 & 7,b7 ensure t ! correspond5ce-- 7i7 treats su* individuals ) dignity & respect2 & 7ii7 does n re-traumatize su* individuals4 7#d7 ,individual :o has exp]i5c$ milit>y sexual trauma def9$ ,9 ?is subsection1 ! t]m individual :o has exp]i5c$ milit>y sexual trauma means-- 7,a7 a vet]an :o has fil$ a claim = comp5sation "u *apt] #aa ( title #ch1 ,unit$ ,/ates ,code1 relat+ to milit>y sexual trauma2 7,b7 a vet]an :o has be5 aw>d$ comp5sation "u su* *apt] relat+ to milit>y sexual trauma2 or 7,c7 a =m] memb] ( ! ,arm$ ,=ces or a vet]an :o is receiv+ c>e f ! ,dep>tm5t relat+ to milit>y sexual trauma4 7b7 ,cont5ts ( c]ta9 writt5 communications to individuals :o h exp]i5c$ milit>y sexual trauma 7#a7 ,notice to claimants ( requir$ in=mation & evid5ce ,section #eajc ( title #ch1 ,unit$ ,/ates ,code1 is am5d$ by add+ at ! end ! foll[+ new subsection3 7c7 ,writt5 communications to individuals :o h exp]i5c$ milit>y sexual trauma 7#a7 ,! ,secret>y %all ensure t any writt5 communication "u ?is section f ! ,dep>tm5t to an individual :o has exp]i5c$ milit>y sexual trauma includes contact in=mation = ea* ( ! foll[+3 7,a7 ,! milit>y sexual trauma coord9ator ( ! ,vet]ans ,b5efits ,adm9i/ration4 7,b7 ,! milit>y sexual trauma coord9ator ( ! ,vet]ans ,heal? ,adm9i/ration4 7,c7 ,! ,vet]ans ,crisis ,l9e4 7,d7 ,! facility ( ! ,vet]ans ,heal? ,adm9i/ration close/ to :]e ! individual resides4 7#b7 ,9 ?is subsection3 7,a7 ,! t]m individual :o has exp]i5c$ milit>y sexual trauma means-- 7i7 a vet]an :o has fil$ a claim = comp5sation "u *apt] #aa ( ?is title relat+ to milit>y sexual trauma2 7ii7 a vet]an :o has be5 aw>d$ comp5sation "u su* *apt] relat+ to milit>y sexual trauma2 or 7iii7 a =m] memb] ( ! ,arm$ ,=ces or a vet]an :o is receiv+ c>e f ! ,dep>tm5t relat+ to milit>y sexual trauma4 7,b7 ,! t]m milit>y sexual trauma has ! mean+ giv5 t t]m 9 section #aaff;,a7i7 ( ?is title4 7,c7 ,! t]m ,vet]ans ,crisis ,l9e means ! toll-free hotl9e = vet]ans e/abli%$ "u section #agbj;,f7h7 ( ?is title4 4 7#b7 ,decisions & notices ( decisions ,section #eajd ( title #ch1 ,unit$ ,/ates ,code1 is am5d$ by add+ at ! end ! foll[+ new subsection3 7e7 7#a7 ,! ,secret>y %all ensure t any writt5 communication "u ?is section f ! ,dep>tm5t to an individual :o has exp]i5c$ milit>y sexual trauma includes contact in=mation = ea* ( ! foll[+3 7,a7 ,! milit>y sexual trauma coord9ator ( ! ,vet]ans ,heal? ,adm9i/ration4 7,b7 ,! ,vet]ans ,crisis ,l9e4 7,c7 ,! facility ( ! ,vet]ans ,heal? ,adm9i/ration close/ to :]e ! individual resides4 7#b7 ,! ,secret>y %all ensure t any writt5 communication "u ?is section f ! ,dep>tm5t to an individual :o has exp]i5c$ milit>y sexual trauma t includes notification ( an aw>d ( comp5sation "u *apt] #aa ( ?is title relat+ to milit>y sexual trauma includes-- 7,a7 ! contact in=mation describ$ 9 p>agraph 7#a72 & 7,b7 ! contact in=mation = ! milit>y sexual trauma coord9ator ( ! ,vet]ans ,b5efits ,adm9i/ration4 7#c7 ,9 ?is subsection3 7,a7 ,! t]m individual :o has exp]i5c$ milit>y sexual trauma means-- 7i7 a vet]an :o has fil$ a claim = comp5sation "u *apt] #aa ( ?is title relat+ to milit>y sexual trauma2 7ii7 a vet]an :o has be5 aw>d$ comp5sation "u su* *apt] relat+ to milit>y sexual trauma2 or 7iii7 a =m] memb] ( ! ,arm$ ,=ces or a vet]an :o is receiv+ c>e f ! ,dep>tm5t relat+ to milit>y sexual trauma4 7,b7 ,! t]m milit>y sexual trauma has ! mean+ giv5 t t]m 9 section #aaff;,a7i7 ( ?is title4 7,c7 ,! t]m ,vet]ans ,crisis ,l9e means ! toll-free hotl9e = vet]ans e/abli%$ "u section #agbj;,f7h7 ( ?is title4 4 7#c7 ,high]-level review by ! ag5cy ( orig9al jurisdiction ,section #eajd;,b ( title #ch1 ,unit$ ,/ates ,code1 is am5d$ by add+ at ! end ! foll[+ new subsection3 7f7 ,writt5 communications to individuals :o h exp]i5c$ milit>y sexual trauma 7#a7 ,! ,secret>y %all ensure t any writt5 communication "u ?is section f ! ,dep>tm5t to an individual :o has exp]i5c$ milit>y sexual trauma includes contact in=mation = ea* ( ! foll[+3 7,a7 ,! milit>y sexual trauma coord9ator ( ! ,vet]ans ,heal? ,adm9i/ration4 7,b7 ,! ,vet]ans ,crisis ,l9e4 7,c7 ,! facility ( ! ,vet]ans ,heal? ,adm9i/ration close/ to :]e ! individual resides4 7#b7 ,! ,secret>y %all ensure t any writt5 communication "u ?is section f ! ,dep>tm5t to an individual :o has exp]i5c$ milit>y sexual trauma t includes notification ( an aw>d ( comp5sation "u *apt] #aa ( ?is title relat+ to milit>y sexual trauma includes-- 7,a7 ! contact in=mation describ$ 9 p>agraph 7#a72 & 7,b7 ! contact in=mation = ! milit>y sexual trauma coord9ator ( ! ,vet]ans ,b5efits ,adm9i/ration4 7#c7 ,9 ?is subsection3 7,a7 ,! t]m individual :o has exp]i5c$ milit>y sexual trauma means-- 7i7 a vet]an :o has fil$ a claim = comp5sation "u *apt] #aa ( ?is title relat+ to milit>y sexual trauma2 7ii7 a vet]an :o has be5 aw>d$ comp5sation "u su* *apt] relat+ to milit>y sexual trauma2 or 7iii7 a =m] memb] ( ! ,arm$ ,=ces or a vet]an :o is receiv+ c>e f ! ,dep>tm5t relat+ to milit>y sexual trauma4 7,b7 ,! t]m milit>y sexual trauma has ! mean+ giv5 t t]m 9 section #aaff;,a7i7 ( ?is title4 7,c7 ,! t]m ,vet]ans ,crisis ,l9e means ! toll-free hotl9e = vet]ans e/abli%$ "u section #agbj;,f7h7 ( ?is title4 4 7#d7 ,bo>d ( ,vet]ans' ,appeals ,section #gajd ( title #ch1 ,unit$ ,/ates ,code1 is am5d$ by add+ at ! end ! foll[+ new subsection3 7g7 7#a7 ,! ,secret>y %all ensure t any writt5 communication "u ?is section f ! ,dep>tm5t to an individual :o has exp]i5c$ milit>y sexual trauma includes contact in=mation = ea* ( ! foll[+3 7,a7 ,! milit>y sexual trauma coord9ator ( ! ,vet]ans ,heal? ,adm9i/ration4 7,b7 ,! ,vet]ans ,crisis ,l9e4 7,c7 ,! facility ( ! ,vet]ans ,heal? ,adm9i/ration close/ to :]e ! individual resides4 7#b7 ,! ,secret>y %all ensure t any writt5 communication "u ?is section f ! ,dep>tm5t to an individual :o has exp]i5c$ milit>y sexual trauma t includes notification ( an aw>d ( comp5sation "u *apt] #aa ( ?is title relat+ to milit>y sexual trauma includes-- 7,a7 ! contact in=mation describ$ 9 p>agraph 7#a72 & 7,b7 ! contact in=mation = ! milit>y sexual trauma coord9ator ( ! ,vet]ans ,b5efits ,adm9i/ration4 7#c7 ,9 ?is subsection3 7,a7 ,! t]m individual :o has exp]i5c$ milit>y sexual trauma means-- 7i7 a vet]an :o has fil$ a claim = comp5sation "u *apt] #aa ( ?is title relat+ to milit>y sexual trauma2 7ii7 a vet]an :o has be5 aw>d$ comp5sation "u su* *apt] relat+ to milit>y sexual trauma2 or 7iii7 a =m] memb] ( ! ,arm$ ,=ces or a vet]an :o is receiv+ c>e f ! ,dep>tm5t relat+ to milit>y sexual trauma4 7,b7 ,! t]m milit>y sexual trauma has ! mean+ giv5 t t]m 9 section #aaff;,a7i7 ( ?is title4 7,c7 ,! t]m ,vet]ans ,crisis ,l9e means ! toll-free hotl9e = vet]ans e/abli%$ "u section #agbj;,f7h7 ( ?is title4 4 #bjf4 ,/udy on tra9+ & process+ relat+ to claims = disability comp5sation relat+ to milit>y sexual trauma 7a7 ,/udy requir$ ,! ,secret>y ( ,vet]ans ,affairs %all conduct a /udy on-- 7#a7 ! quality ( tra9+ provid$ to p]sonnel ( ! ,dep>tm5t ( ,vet]ans ,affairs :o review claims = disability comp5sation "u *apt] #aa ( title #ch1 ,unit$ ,/ates ,code1 = disabilities relat+ to milit>y sexual trauma2 & 7#b7 ! quality ( ! proc$ures ( ! ,dep>tm5t = review+ ! accuracy ( ! process+ ( su* claims4 7b7 ,elem5ts ,! /udy requir$ by subsection 7a7 %all include ! foll[+3 7#a7 ,) respect to ! quality ( tra9+ describ$ 9 p>agraph 7#a7 ( su* subsection3 7,a7 ,:e!r ! ,dep>tm5t ensures p]sonnel complete su* tra9+ on "t4 7,b7 ,:e!r ! tra9+ has result$ 9 improvem5ts to ! process+ ( claims describ$ 9 su* subsection & issue-bas$ accuracy4 7,c7 ,su* recomm5dations z ! ,secret>y ( ,vet]ans ,affairs may h = improv+ ! tra9+4 7#b7 ,) respect to ! quality ( proc$ures describ$ 9 p>agraph 7#b7 ( su* subsection3 7,a7 ,:e!r ! proc$ures ( ! ,dep>tm5t = review+ ! accuracy ( ! process+ ( claims describ$ 9 su* subsection comport ) g5]ally accept$ /ati/ical me?odologies to ensure reasonable accuracy ( su* reviews4 7,b7 ,:e!r su* proc$ures adequately include me*anisms to correct errors f\nd 9 su* reviews4 7,c7 ,su* recomm5dations z ! ,secret>y may h = improv+ su* proc$ures4 7c7 ,report requir$ ,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 detail+ ! f9d+s ( ! ,secret>y ) respect to ! /udy conduct$ "u subsection 7a74 #bjg4 ,annual special focus review ( claims = disability comp5sation = disabilities relat+ to milit>y sexual trauma 7a7 ,annual special focus review 7#a7 ,9 g5]al ,ea* ye>1 ! ,"u ,secret>y = ,b5efits ( ! ,dep>tm5t ( ,vet]ans ,affairs %all conduct a special focus review on ! accuracy ( ! process+ ( claims = disability comp5sation "u *apt] #aa ( title #ch1 ,unit$ ,/ates ,code1 = disabilities relat+ to milit>y sexual trauma4 7#b7 ,elem5ts ,ea* review conduct$ "u p>agraph 7#a7 %all include a review ( ! foll[+3 7,a7 ,a /ati/ically significant1 nationally repres5tative sample ( all claims = b5efits "u ! laws adm9i/]$ by ! ,secret>y ( ,vet]ans ,affairs relat+ to milit>y sexual trauma fil$ dur+ ! fiscal ye> prec$+ ! fiscal ye> 9 :i* ! report is submitt$4 7,b7 ,! accuracy ( ea* decision made ) respect to ea* claim describ$ 9 subp>agraph 7,a74 7,c7 ,! types ( b5efit entitlem5t errors f\nd1 disaggregat$ by category4 7,d7 ,tr5ds f ye> to ye>4 7,e7 ,tra9+ completion rates = p]sonnel ( ! ,dep>tm5t :o process claims describ$ 9 p>agraph 7#a74 7b7 ,reprocess+ ( claims ,if ! ,"u ,secret>y f9ds1 pursuant to a special focus review conduct$ "u subsection 7a77#a71 t an error 0 made ) respect to ! entitlem5t ( a vet]an to a b5efit "u ! laws adm9i/]$ by ! ,secret>y1 ! ,secret>y %all return ! relevant claim ( ! vet]an to ! appropriate regional (fice ( ! ,dep>tm5t = reprocess+ to ensure t ! vet]an receives an accurate decision ) respect to ! claim4 7c7 ,re-,review+ ( claims ,if ! ,"u ,secret>y f9ds1 pursuant to a special focus review conduct$ "u p>agraph 7#a7 ( subsection 7a71 t ! accuracy rate1 "u p>agraph 7#b77;,b7 ( su* subsection1 is less ?an #ij p]c5t1 ! ,secret>y %all conduct a review ( ea* claim = b5efits "u ! laws adm9i/]$ by ! ,secret>y ( ,vet]ans ,affairs relat+ to milit>y sexual trauma fil$ dur+ ! fiscal ye> prec$+ ! fiscal ye> 9 :i* ! report is submitt$4 7d7 ,report ,section #eeja7;b77#b7 ( ! ,johnny ,isakson & ,david ,p4 ,roe1 ,m4,d4 ,vet]ans ,heal? ,c>e & ,b5efits ,improvem5t ,act ( #bjbj 7,public ,law #aaf-cae2 #acd ,/at4 #ejdh7 is am5d$ by add+ at ! end ! foll[+ new subp>agraph3 7,i7 ,! f9d+s ( ! mo/ rec5t special focus review conduct$ "u subsection 7a77#a7 ( section #bjg ( ! ,s]vicememb]s & ,vet]ans ,emp[]m5t & ,support ,act ( #bjbc1 includ+-- 7i7 ! elem5ts "u subsection 7a77#b7 ( su* section2 7ii7 ! numb] ( claims return$ = reprocess+ "u subsection 7b7 ( su* section2 & 7iii7 ! numb] ( claims describ$ 9 clause 7ii7 = :i* ! decision relat+ to s]vice-connection or entitlem5t to comp5sation *ang$ z a result ( reprocess+ ! claim4 4 7e7 ,sunset ,on ! date t ! ,"u ,secret>y det]m9es1 pursuant to special focus reviews conduct$ "u p>agraph 7#a7 ( subsection 7a71 t ! accuracy rates "u p>agraph 7#b77;,b7 ( su* subsection h be5 #ie p]c5t or great] = five consecutive ye>s-- 7#a7 subsection 7a77#a7 %all cease to be 9 effect2 & 7#b7 subp>agraph 7,i7 ( section #eeja7;b77#b7 ( ! ,johnny ,isakson & ,david ,p4 ,roe1 ,m4,d4 ,vet]ans ,heal? ,c>e & ,b5efits ,improvem5t ,act ( #bjbj 7,public ,law #aaf-cae2 #acd ,/at4 #ejdh71 z add$ by subsection 7d71 is repeal$4 ,,iii ,access to ,heal? ,c>e #cja4 ,expansion ( eligibility = c\nsel+ & treatm5t = milit>y sexual trauma to include all =m] memb]s ( ! res]ve compon5ts ( ! ,arm$ ,=ces ,section #agbj;,d ( title #ch1 ,unit$ ,/ates ,code1 is am5d$-- 7#a7 9 subsection 7a7-- 7,a7 9 p>agraph 7#a71 by /rik+ a physical assault & all t foll[s ?r\gh ! p]iod at ! end & ins]t+ milit>y sexual trauma42 & 7,b7 9 p>agraph 7#b77;,a71 by /rik+ 0 suff]$ & all t foll[s ?r\gh ! p]iod at ! end & ins]t+ result$ f milit>y sexual trauma42 & 7#b7 by /rik+ subsections 7f7 & 7g7 & ins]t+ ! foll[+ new subsection 7f73 7f7 ,9 ?is section3 7#a7 ,! t]m =m] memb] ( ! ,arm$ ,=ces means a p]son :o s]v$ on active duty1 active duty = tra9+1 or inactive duty tra9+1 & :o 0 dis*>g$ or releas$ !refrom "u any condition t is n-- 7,a7 a dis*>ge by c\rt-m>tial2 or 7,b7 a dis*>ge subject to a b> to b5efits "u section #ecjc ( ?is title4 7#b7 ,! t]m milit>y sexual trauma means1 ) respect to a memb] ( ! ,arm$ ,=ces or =m] memb] ( ! ,arm$ ,=ces1 a physical assault ( a sexual nature1 batt]y ( a sexual nature1 or sexual h>assm5t :i* occurr$ :ile ! memb] or =m] memb] 0 s]v+ on duty1 reg>dless ( duty /atus or l9e ( duty det]m9ation 7z t t]m is us$ 9 section #abcbc ( title #aj74 7#c7 ,! t]m sexual h>assm5t means unsolicit$ v]bal or physical contact ( a sexual nature :i* is ?reat5+ 9 "*4 4 #cjb4 ,connection to ,vet]ans ,heal? ,adm9i/ration :5 a disability claim relat$ to milit>y sexual trauma is submitt$ to ,vet]ans ,b5efits ,adm9i/ration 7a7 ,9 g5]al ,n lat] ?an #ad days aft] ! date on :i* a vet]an submits a claim = disability comp5sation to ! ,vet]ans ,b5efits ,adm9i/ration = a disability relat$ to milit>y sexual trauma1 ! ,secret>y ( ,vet]ans ,affairs %all s5d a communication to ! vet]an ) ! foll[+ in=mation3 7#a7 ,! contact in=mation = ! ne>e/ milit>y sexual trauma coord9ator = ! vet]an at ! ,vet]ans ,b5efits ,adm9i/ration & a description ( ! assi/ance su* coord9ator c provide4 7#b7 ,! contact in=mation = ! ne>e/ milit>y sexual trauma coord9ator = ! vet]an at ! ,vet]ans ,heal? ,adm9i/ration & a description ( ! assi/ance su* coord9ator c provide4 7#c7 ,! types ( s]vices t individuals :o h exp]i5c$ milit>y sexual trauma are eligible to receive f ! ,dep>tm5t ( ,vet]ans ,affairs1 includ+ ! ne>e/ locations & ! contact in=mation = su* s]vices4 7#d7 ,! contact in=mation = ! ,vet]ans ,crisis ,l9e e/abli%$ "u section #agbj;,f7h7 ( title #ch1 ,unit$ ,/ates ,code4 7#e7 ,su* o!r in=mation on s]vices1 c>e1 or res\rces = milit>y sexual trauma z ! ,secret>y det]m9es appropriate4 7b7 ,def9ition ( milit>y sexual trauma ,9 ?is section1 ! t]m milit>y sexual trauma has ! mean+ giv5 t t]m 9 section #aaff;,a7i7 ( title #ch1 ,unit$ ,/ates ,code1 z add$ by section #bjc7;a74 #cjc4 ,pilot program = int]im access to m5tal heal? c>e = individuals :o h exp]i5c$ milit>y sexual trauma 7a7 ,9 g5]al ,comm5c+ n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,vet]ans ,affairs %all c>ry out a pilot program to provide int5sive outpati5t m5tal heal? c>e to curr5t & =m] memb]s ( ! ,arm$ ,=ces :o h exp]i5c$ milit>y sexual trauma :5 ! wait times = resid5tial m5tal heal? c>e f ! ,dep>tm5t ( ,vet]ans ,affairs = ! individual is m ?an #ad days4 7b7 ,duration ,! ,secret>y %all c>ry out ! pilot program "u subsection 7a7 = a ?ree-ye> p]iod beg9n+ on ! comm5cem5t ( ! pilot program4 7c7 ,locations 7#a7 ,9 g5]al ,! ,secret>y %all c>ry out ! pilot program "u subsection 7a7 at n few] ?an f\r ,vet]ans ,integrat$ ,s]vice ,networks ( ! ,dep>tm5t4 7#b7 ,selection ( locations ,9 select+ locations = ! pilot program "u subsection 7a71 ! ,secret>y %all select locations t h ! longe/ wait times = resid5tial m5tal heal? c>e1 p>ticul>ly = individuals :o h exp]i5c$ milit>y sexual trauma4 7#c7 ,notification ,be=e comm5c+ ! pilot program "u subsection 7a71 ! ,secret>y %all notify ! ,committee on ,vet]ans' ,affairs ( ! ,s5ate & ! ,committee on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives ( ! locations select$ = ! pilot program4 7d7 ,types ( s]vices ,subject to ! pref]5ce ( ! individual p>ticipat+ 9 ! pilot program "u subsection 7a7 & ! capacity ( facilities ( ! ,dep>tm5t1 ! ,secret>y may provide s]vices "u ! pilot program via teleheal? or 9 p]son at a facility ( ! ,dep>tm5t4 7e7 ,p>ticipation 7#a7 ,cl>ification on p>ticipation ,p>ticipation by an individual 9 ! pilot program "u subsection 7a7 %all be dur+ ! p]iod 9 :i* ! individual is wait+ = a resid5tial m5tal heal? b$ op5+ & %all n disqualify ! individual f receiv+ resid5tial m5tal heal? c>e foll[+ _! p>ticipation 9 ! pilot program4 7#b7 ,decisions on p>ticipation ,decisions ab\t ! p>ticipation ( an individual 9 ! pilot program & ! transition ( ! individual to resid5tial m5tal heal? c>e %all be made by ! individual & _! heal? c>e provid]4 7f7 ,report ,n lat] ?an #ahj days aft] ! conclusion ( ! pilot program "u subsection 7a71 ! ,secret>y %all submit to ,congress a report on-- 7#a7 p>ticipation 9 ! pilot program2 7#b7 cl9ical outcomes "u ! pilot program2 & 7#c7 su* recomm5dations = cont9uation or t]m9ation ( ! program z ! ,secret>y may h1 includ+ recomm5dations = legislative or adm9i/rative action4 7g7 ,def9ition ( milit>y sexual trauma ,9 ?is section1 ! t]m milit>y sexual trauma has ! mean+ giv5 t t]m 9 section #agbj;,d7f7 ( title #ch1 ,unit$ ,/ates ,code1 z add$ by section #cja4 #cjd4 ,comptroll] ,g5]al /udy on access to c>e f ,dep>tm5t ( ,vet]ans ,affairs = individuals :o h exp]i5c$ milit>y sexual trauma 7a7 ,9 g5]al ,! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all conduct a /udy on access to m5tal heal? c>e at facilities ( ! ,dep>tm5t ( ,vet]ans ,affairs = individuals :o h exp]i5c$ milit>y sexual trauma4 7b7 ,elem5ts ,! /udy conduct$ "u subsection 7a7 %all include an assessm5t ( ! foll[+3 7#a7 ,! availability ( resid5tial & outpati5t s]vices1 includ+ wait times & geographic disp>ities = su* s]vices1 to include-- 7,a7 an assessm5t ( ! availability ( b$ spaces 9 ! m5tal heal? resid5tial rehabilitation treatm5t programs ( ! ,dep>tm5t ( ,vet]ans ,affairs = individuals :o h exp]i5c$ milit>y sexual trauma1 includ+ an assessm5t ( ! suitability ( ^? programs = su* individuals & ! wait times = s]vices "u ^? programs2 7,b7 an assessm5t ( geographic disp>ities 9 access to ^? programs = individuals :o h exp]i5c$ milit>y sexual trauma1 includ+ by region & by rural & urban areas2 7,c7 an assessm5t ( alt]native c>e options provid$ :5 an individual :o has exp]i5c$ milit>y sexual trauma is wait+ = resid5tial c>e1 ! efficacy ( ^? alt]natives1 & ! satisfaction ( pati5ts ) ^? alt]natives2 7,d7 recomm5dations = r$uc+ ! av]age wait "t = s]vices "u ^? programs to #ad days or less1 includ+ by increas+ b$ space or address+ /aff+ ne$s2 & 7,e7 an assessm5t ( ! satisfaction ( pati5ts ) ! tracks ( ^? programs specific to milit>y sexual trauma1 an assessm5t ( ! wait times = s]vices "u ^? tracks1 & recomm5dations = increas+ or *ang+ ! numb] ( locations = s]vices "u ^? tracks to bett] meet ! ne$s ( individuals :o h exp]i5c$ milit>y sexual trauma4 7#b7 ,! communication & adv]tisem5t by ! ,dep>tm5t ( ! c>e1 s]vices1 & res\rces available = individuals :o h exp]i5c$ milit>y sexual trauma4 7#c7 ,! b>ri]s to access+ heal? c>e relat$ to milit>y sexual trauma at a facility ( ! ,dep>tm5t = individuals :o h exp]i5c$ milit>y sexual trauma1 includ+ transportation1 *ild c>e1 lack ( teleheal?1 g5d]-specific b>ri]s1 & m4 7#d7 ,! ext5t to :i* ! ,secret>y has assess$ ! quality ( ! tra9+ provid$ to provid]s ( ! ,dep>tm5t on milit>y sexual trauma & made any adju/m5ts 9 response to su* assessm5t4 7#e7 ,! role ( ,vet ,c5t]s 9 provid+ c>e to individuals :o h exp]i5c$ milit>y sexual trauma1 includ+ curr5t & =m] memb]s ( ! ,arm$ ,=ces4 7#f7 ,any curr5t actions by ! ,secret>y to /r5g!n access to high-quality c>e = individuals :o h exp]i5c$ milit>y sexual trauma & su* recomm5dations = improv+ access to c>e = su* individuals z ! ,comptroll] ,g5]al consid]s appropriate4 7c7 ,report ,n lat] ?an two ye>s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,comptroll] ,g5]al %all submit to ,congress a report on ! f9d+s ( ! /udy conduct$ "u subsection 7a74 7d7 ,def9itions ,9 ?is section3 7#a7 ,milit>y sexual trauma ,! t]m milit>y sexual trauma has ! mean+ giv5 t t]m 9 section #agbj;,d7f7 ( title #ch1 ,unit$ ,/ates ,code1 z add$ by section #cja4 7#b7 ,vet ,c5t] ,! t]m ,vet ,c5t] has ! mean+ giv5 t t]m 9 section #agab;,a7h7 ( title #ch1 ,unit$ ,/ates ,code4