,,ii #aai? ,,congress #b;d ,session ,s4 #djca ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,m>* #i1 #bjbf,mr4 ,gallego 7= himself & ,mr4 ,mc,cormick7 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 require ! ,secret>y ( ,vet]ans ,affairs to designate m$ical facilities ( ! ,dep>tm5t ( ,vet]ans ,affairs z innovative !rapies c5t]s ( excell5ce1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,innovative ,!rapies ,c5t]s ( ,excell5ce ,act4 #b4 ,dep>tm5t ( ,vet]ans ,affairs designation ( innovative !rapies c5t]s ( excell5ce 7a7 ,9 g5]al ,sub*apt] ,,ii ( *apt] #gc ( title #ch1 ,unit$ ,/ates ,code1 is am5d$ by add+ at ! end ! foll[+ new section3 #gccj;,e4 ,innovative !rapies c5t]s ( excell5ce 7a7 ,e/abli%m5t ( c5t]s 7#a7 ,designation ,! ,secret>y1 ^u ! recomm5dation ( ! ,"u ,secret>y = ,heal?1 %all designate n few] ?an five m$ical facilities ( ! ,dep>tm5t z ! locations = innovative !rapies c5t]s ( excell5ce4 7#b7 ,e/abli%m5t & op]ation ,subject to ! availability ( appropriations = su* purpose1 ! ,secret>y %all e/abli% & op]ate innovative !rapies c5t]s ( excell5ce at ! locations designat$ pursuant to p>agraph 7#a74 7b7 ,geographic di/ribution ( facilities ,9 designat+ m$ical facilities z c5t]s ( excell5ce "u subsection 7a77#a71 ! ,secret>y1 ^u ! recomm5dation ( ! ,"u ,secret>y = ,heal?1 %all ensure appropriate geographic di/ribution ( su* facilities4 7c7 ,requirem5ts = designation 7#a7 ,highe/ competitive /&>ds ,! ,secret>y may n designate a m$ical facility z a location = a c5t] "u subsection 7a77#a7 unless ! pe] review panel e/abli%$ "u subsection 7d7 has det]m9$ "u t subsection t ! proposal submitt$ by su* facility z a location = a new c5t] "u subsection 7a77#a7 is among ^? proposals t meet ! highe/ competitive /&>ds ( sci5tific & cl9ical m]it4 7#b7 ,o!r elem5ts ,! ,secret>y may n designate a m$ical facility z a location = a c5t] "u subsection 7a77#a7 unless ! ,secret>y1 ^u ! recomm5dation ( ! ,"u ,secret>y = ,heal?1 det]m9es t ! facility has1 or may reasonably be anticipat$ to develop1 ea* ( ! foll[+3 7,a7 ,an arrangem5t )-- 7i7 an accr$it$ m$ical s*ool t provides education & tra9+ 9 innovative !rapies & ) :i* ! facility is affiliat$ "u :i* resid5ts receive education & tra9+ 9 use ( innovative !rapies to treat cov]$ conditions2 7ii7 an accr$it$ s*ool ( psy*iatry2 & 7iii7 an accr$it$ s*ool ( social "w4 7,b7 ,! ability to attract ! p>ticipation ( sci5ti/s :o are capable ( +5uity & creativity 9 m$ical rese>* ef=ts4 7,c7 ,an advisory committee compos$ ( vet]ans & appropriate m$ical & rese>* repres5tatives ( ! facility & ( ! affiliat$ s*ool or s*ools to advise ! directors ( ! facility & su* c5t] on policy matt]s p]ta9+ to ! activities ( ! c5t] dur+ ! p]iod ( ! op]ation ( su* c5t]4 7,d7 ,! capability to conduct effectively evaluations ( ! activities ( su* c5t]4 7,e7 ,! capability to coord9ate 7z "p ( an integrat$ national sy/em7 education1 cl9ical1 & rese>* activities )9 all facilities ) su* c5t]s4 7,f7 ,! capability to jo9tly develop a consortium ( provid]s ) int]e/ 9 treat+ cov]$ conditions ) innovative !rapies at facilities ( ! ,dep>tm5t )\t su* c5t]s 9 ord] to ensure bett] access to /ate-(-!-art diagnosis1 c>e1 & education = innovative !rapies ?r\gh\t ! m$ical sy/em ( ! ,dep>tm5t4 7,g7 ,! capability to develop a national repository 9 ! m$ical sy/em ( ! ,dep>tm5t = ! collection ( data on heal? s]vices deliv]$ to vet]ans seek+ innovative !rapies4 7d7 ,pe] review panel 7#a7 ,9 g5]al ,! ,"u ,secret>y = ,heal? %all e/abli% a panel to assess ! sci5tific & cl9ical m]it ( proposals t are submitt$ to ! ,secret>y = ! e/abli%m5t ( c5t]s "u ?is section4 7#b7 ,memb]%ip 7,a7 ,9 g5]al ,! memb]%ip ( ! panel e/abli%$ "u p>agraph 7#a7 %all consi/ ( exp]ts 9 innovative !rapies4 7,b7 ,p]iod ( s]vice 7i7 ,9 g5]al ,memb]s ( ! panel e/abli%$ "u p>agraph 7#a7 %all s]ve = a p]iod ( n m ?an two ye>s1 except z specifi$ 9 clause 7ii74 7ii7 ,initial appo9tm5t ,( ! memb]s fir/ appo9t$ to ! panel e/abli%$ "u p>agraph 7#a71 "o-half %all be appo9t$ = a p]iod ( ?ree ye>s & "o-half %all be appo9t$ = a p]iod ( two ye>s1 z designat$ by ! ,"u ,secret>y = ,heal? at ! "t ( appo9tm5t4 7#c7 ,duties ,! panel e/abli%$ "u p>agraph 7#a7 %all review ea* proposal submitt$ to ! panel by ! ,"u ,secret>y = ,heal? & %all submit its views on ! relative sci5tific & cl9ical m]it ( ea* su* proposal to ! ,"u ,secret>y4 7#d7 ,application ( laws reg>d+ ,f$]al advisory committees ,! panel e/abli%$ "u p>agraph 7#a7 %all n be subject to *apt] #aj ( title #e4 7e7 ,annual report 7#a7 ,9 g5]al ,n lat] ?an two ye>s aft] ! date ( ! enactm5t ( ?is section1 & annually !reaft]1 ! ,"u ,secret>y = ,heal? %all submit to ! ,committee on ,vet]ans' ,affairs ( ! ,s5ate & ! ,committee on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives a report on ! activities ( ! c5t]s e/abli%$ "u subsection 7a7 dur+ ! p]iod cov]$ by ! report4 7#b7 ,elem5ts ,ea* report requir$ "u p>agraph 7#a7 %all include-- 7,a7 a summ>y ( activities c>ri$ out by ! c5t]s e/abli%$ "u subsection 7a7 dur+ su* p]iod2 7,b7 an id5tification ( key f9d+s made at su* c5t]s dur+ su* p]iod2 7,c7 recomm5dations to improve ! deliv]y ( innovative !rapies to vet]ans2 & 7,d7 su* o!r matt]s z ! ,"u ,secret>y det]m9es relevant4 7f7 ,au?orization ( appropriations 7#a7 ,9 g5]al ,!re are au?oriz$ to be appropriat$ #cj1jjj1jjj = ea* fiscal ye> to support ! rese>* & education activities ( ! c5t]s e/abli%$ "u subsection 7a74 7#b7 ,allocation ( additional am\nts ,! ,"u ,secret>y = ,heal? %all allocate to ! c5t]s e/abli%$ "u subsection 7a7 f o!r am\nts appropriat$ g5]ally = ! m$ical s]vices acc\nt & m$ical & pro/hetics rese>* acc\nt ( ! ,dep>tm5t1 z appropriate1 su* am\nts z ! ,"u ,secret>y det]m9es appropriate4 7g7 ,def9itions ,9 ?is section3 7#a7 ,! t]m cov]$ condition means any ( ! foll[+3 7,a7 ,anxiety4 7,b7 ,bipol> disord]4 7,c7 ,*ronic pa94 7,d7 ,depression4 7,e7 ,p>k9son's disease4 7,f7 ,po/-traumatic /ress disord]4 7,g7 ,sub/ance use disord]4 7,h7 ,su* o!r conditions z may be designat$ by ! ,"u ,secret>y = ,heal?4 7#b7 ,! t]m innovative !rapy means any ( ! foll[+3 7,a7 #c1d-,me?yl5$ioxy-me?amphetam9e4 7,b7 #e-,me?oxy-,n1,n-dime?yltryptam9e4 7,c7 ,iboga9e4 7,d7 ,ketam9e4 7,e7 ,psilocyb94 7,f7 ,su* o!r !rapies z may be designat$ by ! ,"u ,secret>y = ,heal?4 4 7b7 ,cl]ical am5dm5t ,! table ( sections at ! beg9n+ ( su* *apt] is am5d$ by ins]t+ aft] ! item relat+ to section #gccj;,d ! foll[+ new item3 #gccj;,e4 ,innovative !rapies c5t]s ( excell5ce4 4