,,ii #aaith ,,congress #ast ,session ,s4 #cbeg ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,november #bj1 #bjbe,mr4 ,hoeven 7for himself1 ,ms4 ,duckworth1 ,mrs4 ,britt1 ,mr4 ,durbin1 ,mrs4 ,fischer1 ,mr4 ,hickenlooper1 ,ms4 ,murkowski1 ,ms4 ,klobuchar1 ,mr4 ,curtis1 ,mr4 ,reed1 ,mr4 ,moran1 and ,mr4 ,kim7 introduced the following bill2 which was read twice and referred to the ,committee on ,commerce1 ,science1 and ,transportation ,a ,,bill ,to require the ,administrator of the ,federal ,aviation ,administration to revise regulations for certain individuals carrying out aviation activities who disclose a mental health diagnosis or condition1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,mental ,health in ,aviation ,act of #bjbe4 #b4 ,definitions ,in this ,act3 7#a7 ,administrator ,the term ,administrator means the ,administrator of the ,federal ,aviation ,administration4 7#b7 ,appropriate committees of congress ,the term appropriate committees of ,congress means-- 7,a7 the ,committee on ,transportation and ,infrastructure of the ,house of ,representatives2 7,b7 the ,committee on ,commerce1 ,science1 and ,transportation of the ,senate2 7,c7 the ,committee on ,appropriations of the ,house of ,representatives2 and 7,d7 the ,committee on ,appropriations of the ,senate4 7#c7 ,,faa ,the term ,,faa means the ,federal ,aviation ,administration4 7#d7 ,special issuance ,the term special issuance has the meaning given such term in section #fg4dja of title #ad1 ,code of ,federal ,regulations4 #c4 ,regulations for individuals carrying out aviation activities 7a7 ,in general ,not later than #b years after the date of enactment of this ,act1 the ,administrator shall update regulations1 including in part #fg of title #ad1 ,code of ,federal ,regulations1 and issue relevant guidance as appropriate to encourage individuals to-- 7#a7 seek help for mental health conditions or symptoms of mental health conditions2 and 7#b7 to disclose conditions or symptoms described in paragraph 7#a74 7b7 ,consultation2 report requirements ,section #daa7;d7 of the ,,faa ,reauthorization ,act of #bjbd 7#di ,u4,s4,c4 #ddgjc note7 is amended-- 7#a7 in paragraph 7#d7-- 7,a7 in subparagraphs 7,a7 and 7,b71 by striking and at the end2 7,b7 in subparagraph 7,c71 by striking the period at the end and inserting a semicolon2 and 7,c7 by adding at the end the following new subparagraphs3 7,d7 a review and evaluation of any recommendations reached by the ,national ,transportation ,safety ,board related to aviation workforce mental health2 and 7,e7 a description of relevant clinical studies1 research1 diagnostic manuals1 and protocols used by the licensed professionals as of the date of the enactment of this subparagraph4 2 and 7#b7 by adding at the end the following new paragraph3 7#e7 ,consultation ,in carrying out this subsection1 the task group shall consult with relevant stakeholders from the aviation and medical communities1 as necessary1 including-- 7,a7 the exclusive bargaining representatives of air traffic controllers of the ,,faa certified under section #gaaa of title #e1 ,united ,states ,code2 7,b7 organizations representing collective bargaining representatives of airline pilots2 7,c7 institutions of higher education that are accredited by the ,aviation ,accreditation ,board ,international2 and 7,d7 any other stakeholder determined relevant by the task group1 including any stakeholders described in paragraph 7#c77;,b74 4 7c7 ,implementation 7#a7 ,in general ,not later than #ahj days after the date of enactment of this ,act1 and for any report issued thereafter1 not later than #ahj days after the submission of each report required under section #daa7;f7 of the ,,faa ,reauthorization ,act of #bjbd 7#di ,u4,s4,c4 #ddgjc note71 the ,administrator shall take appropriate action to implement the recommendations of such report4 7#b7 ,justification ,in the event that the ,administrator decides not to implement a recommendation described in paragraph 7#a71 the ,administrator shall submit to the appropriate committees of ,congress the justification for such decision not later than #ij days after receiving the report containing such recommendation4 #d4 ,annual review of mental health special issuance process ,beginning on the date that is #ahj days after the ,administrator submits the first report pursuant to section #daa7;f7 of the ,,faa ,reauthorization ,act of #bjbd 7#di ,u4,s4,c4 #ddgjc note71 and annually thereafter1 the ,administrator shall conduct an annual review of the special issuance process1 and update1 as appropriate1 the applicable regulations1 policies1 orders1 and guidance on mental health-related special issuance for pilots and air traffic controllers to-- 7#a7 consider the reclassification of additional medications and evidence-based treatments that may be safely prescribed to treat mental health conditions2 7#b7 improve mental health knowledge and training for aviation medical examiners2 7#c7 if the ,administrator determines appropriate1 expand mental-health related situations in which an aviation medical examiner may issue a certificate consistent with the recommendations of the ,mental ,health and ,aviation ,medical ,clearances ,rulemaking ,committee described in section #f2 and 7#d7 improve the special issuance process for pilots and air traffic controllers4 #e4 ,improving capacity for the ,office of ,aerospace ,medicine ,of the amounts made available pursuant to section #ajf7k77#a7 of title #di1 ,united ,states ,code1 the ,administrator shall designate not more than #ae1jjj1jjj for each of fiscal years #bjbf through #bjbi to-- 7#a7 recruit1 select1 and train additional aviation medical examiners and human intervention motivation study aviation medical examiners1 including those who are psychiatrists2 7#b7 expand capacity to provide oversight of aviation medical examiners and clear the backlog of special issuance requests and cases awaiting review at the ,office of ,aerospace ,medicine of the ,,faa2 7#c7 provide enhanced mental health training to aviation medical examiners to ensure such personnel have requisite knowledge and the ability to appropriately evaluate individuals for ,,faa medical certification2 and 7#d7 support any other related activities1 as determined appropriate by the ,administrator4 #f4 ,implementation of aviation rulemaking committee recommendations 7a7 ,in general ,not later than #b years after the date of enactment of this ,act1 the ,administrator shall implement1 as appropriate1 the recommendations of the ,mental ,health and ,aviation ,medical ,clearances ,aviation ,rulemaking ,committee1 which were submitted to the ,administrator on ,april #a1 #bjbd4 7b7 ,consultation ,in carrying out subsection 7a71 the ,administrator shall consult with the stakeholders described in section #daa7;d77#e7 of the ,,faa ,reauthorization ,act of #bjbd 7as added by this ,act74 7c7 ,justification ,if the ,administrator decides not to implement a recommendation described in subsection 7a71 the ,administrator shall submit to the appropriate committees of ,congress the justification for such decision not later than #ij days after the deadline described in such subsection4 #g4 ,public information campaign 7a7 ,in general ,of the amounts made available pursuant to section #ajf7k77#a7 of title #di1 ,united ,states ,code1 the ,administrator shall designate not more than #a1ejj1jjj for each of fiscal years #bjbf through #bjbi for a public information campaign or similar public education efforts to-- 7#a7 destigmatize individuals in 7or interested in joining7 the aviation industry who seek mental health care2 7#b7 broaden awareness of available supportive services2 and 7#c7 improve trust between the ,,faa and pilots and air traffic controllers4 7b7 ,requirements ,the public information campaign or similar public education efforts described in subsection 7a7 shall include-- 7#a7 making publicly available 7in an easily accessible format and location online7-- 7,a7 information that would help destigmatize the reporting of mental health concerns impacting the aviation workforce1 and encourage individuals to seek help for such concerns2 and 7,b7 other information to effectuate the outcomes described in subsection 7a72 7#b7 posting the information described in paragraph 7#a7 at ,aviation ,medical ,examiner offices2 and 7#c7 collaborating with air carriers 7as defined in section #djajb of title #di1 ,united ,states ,code71 flight training institutions and entities 7as described in parts #fa and #ada of title #ad1 ,code of ,federal ,regulations71 and small1 medium1 and large hub airports 7as defined in such section #djajb7 to encourage such entities to make such information easily accessible to airmen and air traffic controllers4 7c7 ,briefing and report to ,congress 7#a7 ,briefing ,not later than #ij days after the ,administrator establishes the public information campaign described in subsection 7a71 the ,administrator shall brief the appropriate committees of ,congress on the actions taken to develop the campaign and the plans to implement the campaign4 7#b7 ,report ,not later than #b years after the ,administrator implements the public information campaign1 the ,administrator shall submit to the appropriate committees of ,congress a report describing the engagement and outreach resulting from such campaign1 including a description of any applicable feedback from aviation industry stakeholders on the efficacy of the campaign4