,,ii  #aah? ,,congress  #a/ ,session    
,s4 #agff  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,may #ca 7legislative  
day1 ,may #cj71 #bjbc ,mr4 ,m>key 7=    
himself1 ,ms4 ,murk[ski1 ,ms4 ,w>r51    
,mr4 ,braun1 ,mr4 ,van ,holl51 ,mr4 ,k+1
 ,ms4 ,baldw91 ,mrs4 ,capito1 & ,mr4    
,he9ri*7 introduc$ ! foll[+ bill2 :i* 0 
read twice & ref]r$ to ! ,committee on  
,arm$ ,s]vices  ,a ,,bill  ,to require !
 ,secret>y ( ,def5se to submit a report 
on ov]doses among memb]s ( ! ,arm$      
,=ces4  #a4 ,%ort title ,?is ,act may be
 cit$ z ! ,dep>tm5t ( ,def5se ,ov]dose  
,data ,act ( #bjbc4  #b4 ,annual report 
on milit>y ov]doses  7a7 ,9 g5]al ,n    
lat] ?an #a ye> aft] ! date ( ! enactm5t
 ( ?is ,act1 & annually !reaft]1 !      
,secret>y ( ,def5se %all submit to !    
appropriate congressional committees a  
report on ! numb] ( annual ov]doses     
among s]vicememb]s4  7b7 ,cont5ts ,!    
report requir$ by subsection 7a7 %all   
include ! foll[+3 7#a7 ,! total numb] ( 
s]vicememb]s :o suff]$ a fatal ov]dose  

dur+ ! previ\s cal5d> ye>1 includ+--    
7,a7 demographic in=mation1 includ+     
g5d]1 race1 age1 milit>y dep>tm5t1      
milit>y rank1 pay grade1 /ation1 numb] (
 previ\s deploym5ts1 & :e!r su* memb] 0 
a victim ( milit>y sexual assault2  7,b7
 ! location ( ! fatal ov]dose1 includ+  
:e!r ! ov]dose 0 on a milit>y base2 &   
7,c7 a li/ ( ! sub/ances involv$ 9 !    
fatal ov]dose4  7#b7 ,( ! s]vicememb]s  
id5tifi$ 9 p>agraph 7#a7--  7,a7 ! numb]
 ( s]vicememb]s :o previ\sly _h a       
non-fatal ov]dose2  7,b7 ! numb] (      
s]vicememb]s :o receiv$ m5tal heal? or  
sub/ance use disord] s]vices prior to a 
fatal or non-fatal ov]dose1 includ+ a   
description ( :e!r su* s]vices 7 receiv$
 f a private sector provid]2  7,c7 !    
numb] ( s]vicememb]s ) co-morbid m5tal  
heal? diagnoses2  7,d7 ! numb] (        
s]vicememb]s :o _h be5 prescrib$        
opioids1 b5zodiazep9es1 or /imulants2   
7,e7 ! numb] ( s]vicememb]s :o 7        
previ\sly prescrib$ or provid$ naloxone2
  7,f7 ! numb] ( s]vicememb]s :o _h a   

positive drug te/ prior to ! fatal      
ov]dose1 includ+ any sub/ance id5tifi$ 9
 su* te/2  7,g7 ! numb] ( s]vicememb]s  
ref]r$1 includ+ by self-ref]ral1 to     
m$ical treatm5t1 includ+ m$ication      
treatm5t = opioid use disord]2  7,h7 )  
respect to ea* s]vicememb] id5tifi$ 9   
subp>agraph 7,g71 :e!r ! s]vicememb] 0  
ref]r$ aft] a positive drug te/ & !     
s\rce ( su* ref]ral2  7,i7 ( !          
s]vicememb]s id5tifi$ 9 subp>agraph     
7,g71 ! numb] ( s]vicememb]s :o engag$ 9
 su* m$ical treatm5t2  7,j7 ! numb] (   
s]vicememb]s :o suff]$ a fatal ov]dose 9
 :i* a by/&] 0 pres5t2 &  7,k7 ! numb] (
 fatal ov]doses4  7#c7 ,! total numb] ( 
s]vicememb]s :o suff]$ a non-fatal      
ov]dose dur+ ! previ\s cal5d> ye>1      
includ+--  7,a7 demographic in=mation1  
includ+ g5d]1 race1 age1 milit>y        
dep>tm5t1 milit>y rank1 pay grade1      
/ation1 numb] ( previ\s deploym5ts1 &   
:e!r su* memb] 0 a victim ( milit>y     
sexual assault2  7,b7 a li/ ( !         
sub/ances involv$ 9 ! non-fatal ov]dose2

 &  7,c7 a det]m9ation ( :e!r !         
non-fatal ov]dose 0 int5tional4  7#d7 ,(
 ! s]vicememb]s id5tifi$ 9 p>agraph     
7#c7--  7,a7 ! numb] ( s]vicememb]s :o  
previ\sly _h a non-fatal ov]dose2  7,b7 
! numb] ( s]vicememb]s :o receiv$ m5tal 
heal? or sub/ance use disord] s]vices   
prior to a non-fatal ov]dose2  7,c7 !   
numb] ( s]vicememb]s ) co-morbid m5tal  
heal? diagnoses prior to a non-fatal    
ov]dose2  7,d7 ! numb] ( s]vicememb]s :o
 _h be5 prescrib$ opioids1              
b5zodiazep9es1 or /imulants prior to a  
non-fatal ov]dose2  7,e7 ! numb] (      
s]vicememb]s :o _h a positive drug te/  
prior to ! non-fatal ov]dose1 includ+   
any sub/ance id5tifi$ 9 su* te/2  7,f7 !
 numb] ( s]vicememb]s :o suff]$ a       
non-fatal ov]dose 9 :i* a by/&] 0       
pres5t2  7,g7 ! numb] ( s]vicememb]s :o 
_h be5 categoriz$ z high risk &         
prescrib$ or provid$ naloxone prior to a
 non-fatal ov]dose2  7,h7 ! numb] (     
s]vicememb]s :o suff]$ a non-fatal      
ov]dose 9 :i* naloxone 0 adm9i/]$2  7,i7

 ! numb] ( s]vicememb]s ref]r$ to m$ical
 treatm5t1 includ+ m$ication treatm5t = 
opioid use disord]1 foll[+ a non-fatal  
ov]dose2  7,j7 ( ! s]vicememb]s id5tifi$
 9 subp>agraph 7,i71 ! numb] (          
s]vicememb]s :o engag$ 9 su* m$ical     
treatm5t2  7,k7 ! numb] ( s]vicememb]s  
ref]r$1 includ+ by self-ref]ral1 to     
m$ical treatm5t1 includ+ m$ication      
treatm5t = opioid use disord]2  7,l7 )  
respect to ea* s]vicememb] id5tifi$ 9   
subp>agraph 7,k71 :e!r ! s]vicememb] 0  
ref]r$ aft] a positive drug te/ & !     
s\rce ( su* ref]ral2  7,m7 ( !          
s]vicememb]s id5tifi$ 9 subp>agraph     
7,k71 ! numb] ( s]vicememb]s :o engag$ 9
 su* m$ical treatm5t2 &  7,n7 ! numb] ( 
int5tional ov]doses4  7#e7 ,an analysis 
( disc]nable patt]ns 9 fatal & non-fatal
 ov]doses ( s]vicememb]s1 & exi/+ or    
anticipat$ responses to su* patt]ns by !
 ,secret>y ( ,def5se4  7#f7 ,a          
description ( exi/+ or anticipat$       
response ef=ts to fatal & non-fatal     
ov]doses at milit>y bases t h rates (   

fatal ov]doses t exce$ ! av]age rate (  
fatal ov]doses 9 ! ,unit$ ,/ates4  7#g7 
,! numb] ( s]vicememb]s :o are 9 recov]y
 or curr5tly tak+ a prescription        
m$ication = opioid use disord]4  7#h7 ,!
 numb] ( milit>y family memb]s (        
s]vicememb]s :o receive sub/ance use    
disord] treatm5t at a m$ical facility ( 
! ,dep>tm5t ( ,def5se4  7#i7 ,an        
assessm5t ( ! availability ( sub/ance   
use disord] treatm5t = s]vicememb]s :o--
 7,a7 transf]r$ milit>y bases2 or  7,b7 
return$ to ! ,unit$ ,/ates foll[+ an    
ov]seas t\r4  7#aj7 ,! numb] ( m$ical   
facilities (1 or affiliat$ )1 !         
,dep>tm5t ( ,def5se t h opioid treatm5t 
programs4  7#aa7 ,a description (       
punitive measures tak5 by ! ,secret>y ( 
,def5se 9 response to sub/ance misuse1  
sub/ance use disord]1 or ov]dose by     
s]vicememb]s4  7#ab7 ,! numb] ( milit>y 
family memb]s :o live on a milit>y base 
:o suff]$ a fatal or non-fatal ov]dose  
dur+ ! previ\s cal5d> ye>1 includ+--    
7,a7 demographic in=mation1 includ+     

g5d]1 race1 age1 & relation%ip to a     
s]vicememb]2  7,b7 ! location ( !       
ov]dose2  7,c7 a li/ ( ! sub/ances      
involv$ 9 ! ov]dose2 &  7,d7 a          
det]m9ation ( :e!r ! ov]dose 0          
int5tional4  7#ac7 ,( ! milit>y family  
memb]s id5tifi$ 9 p>agraph 7#ab7-- 7,a7 
( milit>y family memb]s :o suff]$ a     
fatal ov]dose1 ! numb]s ( milit>y family
 memb]s :o _h a previ\s non-fatal       
ov]dose2  7,b7 ! numb] ( milit>y family 
memb]s :o receiv$ m5tal heal? s]vices   
prior to an ov]dose2  7,c7 ! numb] (    
milit>y family memb]s :o h co-morbid    
m5tal heal? diagnoses2  7,d7 ! numb] (  
milit>y family memb]s :o _h be5         
prescrib$ opioids1 b5zodiazep9es1 or    
/imulants prior to an ov]dose2  7,e7 !  
numb] ( milit>y family memb]s :o suff]$ 
an ov]dose 9 :i* a by/&] 0 pres5t2  7,f7
 ! numb] ( milit>y family memb]s :o     
suff]$ an ov]dose 9 :i* naloxone 0      
adm9i/]$2 &  7,g7 ! numb] ( int5tional  
ov]doses4  7c7 ,report+ on few] ?an #e  
s]vicememb]s ,if ! numb] ( s]vicememb]s 

or milit>y family memb]s id5tifi$ "u any
 p>agraph or subp>agraph ( subsection   
7b7 is few] ?an #e1 ! ,secret>y (       
,def5se %all = su* p>agraph or          
subp>agraph-- 7#a7 n report ! exact     
numb] ( s]vicememb]s or milit>y family  
memb]s id5tifi$2 &  7#b7 report t few]  
?an #e s]vicememb]s or milit>y family   
memb]s 7 id5tifi$4  7d7 ,privacy  7#a7  
,9 g5]al ,no?+ 9 ?is section %all be    
con/ru$ to au?orize ! disclosure by !   
,secret>y ( ,def5se ( p]sonally         
id5tifiable in=mation ( s]vicememb]s or 
milit>y family memb]s1 includ+ anonymiz$
 p]sonal in=mation t c\ld be us$ to     
re-id5tify s]vicememb]s or milit>y      
family memb]s4  7#b7 ,application (     
,,hipaa ,9 c>ry+ out ?is section1 !     
,secret>y ( ,def5se %all take /eps to   
protect ! privacy ( s]vicememb]s &      
milit>y family memb]s pursuant to       
regulations promulgat$ "u section       
#bfd7;c7 ( ! ,heal? ,insurance          
,portability & ,acc\ntability ,act (    
#aiif 7#db ,u4,s4,c4 #acbj;d-#b note2   

,public ,law #ajd-aia74  #c4 ,report on 
improv$ access to data1 treatm5t1 &     
ov]dose prev5tion ,n lat] ?an #a ye>    
aft] ! date ( ! enactm5t ( ?is ,act1 !  
,secret>y ( ,def5se %all contract ) a   
f$]ally fund$ rese>* & developm5t c5t]  
to prep>e a report t includes--  7#a7 an
 assessm5t ( curr5t b>ri]s to det]m9+ ! 
in=mation requir$ "u section #b &       
recomm5dations = improv$ track+ &       
report+ ( sub/ance misuse1 sub/ance use 
disord]s1 ov]doses1 & treatm5t )9 !     
,dep>tm5t ( ,def5se2  7#b7              
recomm5dations =--  7,a7 legislative &  
adm9i/rative actions to increase access 
to m5tal & behavioral heal? c>e =       
s]vicememb]s :o-- 7i7 are at risk (     
ov]dose or sub/ance use disord]2  7ii7 h
 exp]i5c$ a non-fatal ov]dose2 or  7iii7
 h be5 diagnos$ ) a sub/ance use        
disord]2  7,b7 exp&+ non-opioid pa9     
managem5t treatm5t & physical !rapy at  
m$ical facilities ( ! ,dep>tm5t (       
,def5se2  7,c7 organiz+ int]ag5cy       
coord9ation--  7i7 to address ov]doses &

 sub/ance use disord]s among vet]ans    
s]vicememb]s2 &  7ii7 to r$uce /igma    
associat$ ) sub/ance use disord]s &     
treatm5t access among s]vicememb]s & _! 
milit>y family memb]s2  7,d7 address+   
conc]ns among s]vicememb]s reg>d+ !     
consequ5ces ( seek+ or receiv+ c>e = a  
sub/ance use disord] or ov]dose2  7,e7  
educat+ s]vicememb]s on prev5tion       
/rategies1 tools to r$uce or prev5t     
ov]dose or sub/ance use disord]1        
available m5tal & behavioral heal?c>e & 
sub/ance use disord] c>e1 includ+       
m$ication treatm5t = opioid use disord]1
 recov]y support s]vices1 psy*o!rapy1   
inpati5t rehabilitation s]vices1 &      
family support s]vices2  7,f7 pot5tial  
supports = s]vicememb]s 9 recov]y2  7,g7
 improv+ cont9uity ( c>e = sub/ance use 
disord]s f dur+ ! transition to vet]an  
/atus2 &  7,h7 improv+ access to dea?   
inve/igation occurr+ outside !          
jurisdiction ( ! ,arm$ ,=ces ,m$ical    
,exam9] ,sy/em2  7#c7 an id5tification (
 causes ( fatal & non-fatal ov]doses t  

are unique to s]vicememb]s2  7#d7 an    
id5tification ( ! b>ri]s to c>e =       
sub/ance use disord]s = milit>y family  
memb]s ( s]vicememb]s & sugge/ions =    
additional data elem5ts = ! annual      
report requir$ "u section #b2  7#e7 any 
o!r in=mation t ! ,comptroll] ,g5]al ( !
 ,unit$ ,/ates consid]s appropriate )   
respect to ! r$uction ( ov]doses among  
s]vicememb]s2 &  7#f7 qualitative data f
 s]vicememb]s4  #d4 ,/&>ds = ! use (    
mat]ials to prev5t ov]dose & sub/ance   
use disord] ,n lat] ?an #a ye> aft] !   
date ( ! enactm5t ( ?is ,act1 !         
,secret>y ( ,def5se %all e/abli% /&>ds =
 ! di/ribution (1 & tra9+ = ! use (1    
naloxone or o!r m$ication = ov]dose     
rev]sal1 opioid disposal mat]ials1      
f5tanyl te/ /rips1 & o!r mat]ials to    
prev5t or rev]se ov]doses1 sub/ance use 
disord]1 or impacts relat$ to sub/ance  
misuse4  #e4 ,def9itions ,9 ?is ,act3   
7#a7 ,appropriate congressional         
committees ,! t]m appropriate           
congressional committees means--  7,a7 !

 congressional def5se committees2  7,b7 
! ,committee on ,heal?1 ,education1     
,labor1 & ,p5sions ( ! ,s5ate2 &  7,c7 !
 ,committee on ,en]gy & ,comm]ce ( !    
,h\se ( ,repres5tatives4  7#b7 ,milit>y 
family memb] ,! t]m milit>y family memb]
 means a family memb] ( a s]vicememb]1  
includ+ ! sp\se1 p>5t1 dep5d5t1 or *ild 
( a s]vicememb]1 or anyone :o has legal 
responsibility = ! *ild ( a s]vicememb]4
  7#c7 ,s]vicememb] ,! t]m s]vicememb]  
means-- 7,a7 a memb] ( ! ,arm$ ,=ces2 or
  7,b7 a memb] ( ! ,national ,gu>d4