,i #aai? ,,congress #b;d ,session ,h4 ,r4 #iedg ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,june #cj1 #bjbf,mr4 ,hamadeh ( ,arizona 7= himself1 ,mr4 ,bacon1 ,mr4 ,cr5%aw1 & ,mr4 ,m\lton7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,arm$ ,s]vices ,a ,,bill ,to direct ! ,secret>y ( ,def5se to submit to ,congress a report on em]g+ inve/igational treatm5t options = treatm5t-resi/ant po/-traumatic /ress disord] 9 vet]ans1 memb]s ( ! ,arm$ ,=ces1 & memb]s transition+ to civilian life1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,vet]ans & ,s]vicememb]s ,,ptsd ,em]g+ ,treatm5t ,review ,act ( #bjbf4 #b4 ,report on em]g+ treatm5t options = treatm5t-resi/ant po/-traumatic /ress disord] 7a7 ,f9d+s ,congress f9ds ! foll[+3 7#a7 ,po/-traumatic /ress disord] (t5 orig9ates dur+ milit>y s]vice & c h p]si/5t effects on =ce heal?1 m$ical read9ess1 ret5tion1 family /ability1 & successful transition f milit>y s]vice to civilian life4 7#b7 ,memb]s ( ! res]ve compon5ts & ,national ,gu>d may also s]ve 9 civilian fir/ respond] roles1 result+ 9 cumulative trauma exposure t may comp\nd s]vice-connect$ m5tal heal? burd5s4 7#c7 ,exi/+ !rapies = po/-traumatic /ress disord] are n effective = all pati5ts1 & treatm5t-resi/ant cases may be associat$ ) elevat$ risks ( *ronic impairm5t1 sub/ance misuse1 suicidality1 & r$uc$ read9ess4 7#d7 ,rigor\s1 e?ical cl9ical rese>* conduct$ 9 accordance ) ,f$]al law & =ce heal? protection /&>ds is necess>y to evaluate em]g+ treatm5ts = s]vice-connect$ m5tal heal? conditions :]e exi/+ !rapies h prov5 insuffici5t4 7#e7 ,! ,/ate ( ,arizona has enabl$ regulatory & adm9i/rative support = cl9ical trials au?oriz$ by ! ,food & ,drug ,adm9i/ration evaluat+ naturally d]iv$1 :ole-mu%room psilocyb9 adm9i/]$ )9 a /ructur$ gr\p-!rapy sett+ = ! treatm5t ( po/-traumatic /ress disord] 9 vet]ans & fir/ respond]s4 7#f7 ,private-sector innovators & public-private p>tn]%ips play a c5tral role 9 develop+1 supply+1 & evaluat+ f$]ally lawful inve/igational products us$ 9 su* cl9ical trials4 7#g7 ,cl9ical data f ! r&omiz$ controll$ ,phase ,i ,passage ,trial & ! ,phase ,,ii ,=titude ,trial sponsor$ by ! ,/ate ( ,arizona may provide relevant in=mation reg>d+ safety1 dos+1 adv]se ev5ts1 feasibility1 & op]ational consid]ations = future rese>* involv+ vet]ans1 s]vicememb]s1 & transition+ s]vicememb]s4 7#h7 ,c>eful review by ! ,dep>tm5t ( ,def5se ( safety1 dos+1 feasibility1 & cont9uity-(-c>e consid]ations associat$ ) em]g+ inve/igational !rapies is appropriate to in=m future =ce heal? protection policy1 m$ical read9ess plann+1 suicide prev5tion ef=ts1 & milit>y-to-civilian transition support4 7#i7 ,any pot5tial exp&$ access pa?way or pilot activity involv+ an inve/igational ,s*$ule ,i sub/ance mu/ be evaluat$ 9 accordance ) applicable ,f$]al law & regulations1 includ+ requirem5ts adm9i/]$ by ! ,food & ,drug ,adm9i/ration & ! ,drug ,en=cem5t ,adm9i/ration1 & applicable regulatory ag5cies %\ld act 9 a timely mann] to issue or update regulations1 guidance1 au?orizations1 & proc$ures necess>y to enable lawful rese>* & access = eligible pati5ts1 consi/5t ) ! ,f$]al ,"r to ,try ,act1 exp&$ access au?orities1 & ! ,april #ah1 #bjbf1 ,executive ,ord] titl$ ,accel]at+ ,m$ical ,treatm5ts = ,s]i\s ,m5tal ,illness1 :ile ma9ta9+ appropriate safety1 security1 & div]sion-control safegu>ds4 7#aj7 ,congress has a responsibility to ensure t ! ,dep>tm5t ( ,def5se assesses :e!r em]g+ cl9ical rese>* may (f] future b5efit = active-duty s]vicememb]s1 res]ve compon5t memb]s1 vet]ans1 & transition+ s]vicememb]s ) treatm5t-resi/ant po/-traumatic /ress disord]4 7b7 ,report ,n lat] ?an #ahj days aft] ! date ( ! enactm5t ( ?is ,act1 ! ,assi/ant ,secret>y ( ,def5se = ,heal? ,affairs %all submit to ! congressional def5se committees a report on ! op]ational relevance1 safety1 dos+1 & feasibility ( data f ! cov]$ cl9ical trial z su* data w\ld apply to memb]s ( ! ,arm$ ,=ces1 includ+ su* memb]s transition+ to civilian life4 7c7 ,elem5ts ,! report "u subsection 7b7 %all include ! foll[+3 7#a7 ,a summ>y ( ! safety1 dos+1 & adv]se ev5t data f ! cov]$ cl9ical trial t has be5 review$ by any relevant dep>tm5t or ag5cy ( ! ,f$]al ,gov]nm5t1 or t is o!rwise available to ! ,dep>tm5t ( ,def5se1 & an analysis by ! ,dep>tm5t ( ,def5se ( ! applicability ( su* data to memb]s ( ! ,arm$ ,=ces4 7#b7 ,an assessm5t ( ! implications ( su* data = =ce heal? protection1 m$ical read9ess1 & suicide prev5tion /rategies1 includ+ id5tification ( any gaps 9 exi/+ treatm5t options = memb]s ( ! ,arm$ ,=ces ) treatm5t-resi/ant po/-traumatic /ress disord]4 7#c7 ,a description ( ! legal & regulatory requirem5ts = any pot5tial exp&$ access pa?way involv+ an inve/igational ,s*$ule ,i sub/ance1 includ+ coord9ation requirem5ts ) ! ,food & ,drug ,adm9i/ration & ! ,drug ,en=cem5t ,adm9i/ration4 7#d7 ,an assessm5t ( ! applicability ( ! ,f$]al "r to try ! pa?way "u section #efa;,b ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cfj;bbb-#j;a7 & "u ,executive ,ord] ,no4 #addja 7#ia ,f$4 ,reg4 #bagji2 relat+ to accel]at+ m$ical treatm5ts = s]i\s m5tal illness7 ! = treatm5t-resi/ant po/-traumatic /ress disord] & associat$ comorbidities1 includ+ elevat$ suicide risk dur+ po/-deploym5t & transition p]iods4 7#e7 ,an assessm5t ( consid]ations necess>y to ensure cont9uity ( c>e = memb]s ( ! ,arm$ ,=ces transition+ f receiv+ heal? c>e at milit>y m$ical treatm5t facilities to receiv+ heal? c>e furni%$ by ! ,vet]ans ,heal? ,adm9i/ration1 includ+-- 7,a7 eligibility crit]ia2 7,b7 cl9ical treatm5t ov]sight2 7,c7 in=m$ cons5t proc$ures2 7,d7 safety monitor+2 & 7,e7 adv]se ev5t report+4 7#f7 ,an assessm5t ( ! f9ancial res\rces1 work=ce1 & infra/ructure requirem5ts1 & a propos$ timel9e1 = any pot5tial pilot activities or exp&$ cl9ical rese>* beg9n+ 9 fiscal ye> #bjbg1 & = any broad] implem5tation occurr+ !reaft]1 z appropriate4 7d7 ,coord9ation & consultation ,! ,assi/ant ,secret>y ( ,def5se = ,heal? ,affairs %all develop ! report "u subsection 7b7 9 coord9ation ) ! ,director ( ! ,def5se ,heal? ,ag5cy & 9 consultation ) ! ,secret>y ( ,vet]ans ,affairs1 ! ,secret>y ( ,heal? & ,human ,s]vices1 ! ,commission] ( ,food & ,drugs1 & ! heads ( o!r dep>tm5ts & ag5cies ( ! ,f$]al ,gov]nm5t ! ,assi/ant ,secret>y det]m9es appropriate4 7e7 ,=m ,! report requir$ "u subsection 7b7 %all be submitt$ 9 unclassifi$ =m1 b may include a classifi$ annex if necess>y4 7f7 ,def9itions ,9 ?is section3 7#a7 ,! t]m congressional def5se committees has ! mean+ giv5 t t]m 9 section #aja7;a77#af7 ( title #aj1 ,unit$ ,/ates ,code4 7#b7 ,! t]m cov]$ cl9ical trial means ! cl9ical trial conduct$ 9 #bjbf titl$ ,an ,op5-,label1 ,phase #a ,/udy ( ! ,safety ,ph>macok9etic ,pr(ile1 & ,prelim9>y ,efficacy1 ( ,organic ,:ole ,psilocyb9-,conta9+ ,mu%rooms 9 ,pati5ts ,suff]+ ,f ,,ptsd4