,,ii  #aai? ,,congress  #b;d ,session   
,s4 #dbbj  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,m>* #bf1 #bjbf,mr4    
,%eehy 7= himself1 ,mr4 ,gallego1 ,ms4  
,duckwor?1 & ,mr4 ,boozman7 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 e/abli% )9 ! ,vet]ans  
,heal? ,adm9i/ration an ,(fice ( ,novel 
,!rapeutics1 & = o!r purposes4  #a4     
,%ort title ,?is ,act may be cit$ z !   
,vet]ans ,heal? ,adm9i/ration ,novel    
,!rapeutics ,prep>$ness ,act4  #b4      
,f9d+s ,congress f9ds ! foll[+3 7#a7    
,em]g+ !rapeutic int]v5tions1 includ+   
c]ta9 psy*$elic-assi/$ !rapies "u       
evaluation by ! ,food & ,drug           
,adm9i/ration z ( ! date ( ! enactm5t ( 
?is ,act1 may significantly alt] !      
treatm5t l&scape = po/-traumatic /ress  
disord]1 depression1 & o!r m5tal heal?  
conditions affect+ vet]ans4  7#b7 ,!    
adm9i/ration ( c]ta9 em]g+ !rapies may  
require int5sive cl9ical engagem5t1     

int]discipl9>y teams1 d$icat$ cl9ical   
space1 /ructur$ prep>ation1 &           
po/-treatm5t integration t diff]        
sub/antially f traditional outpati5t    
m5tal heal? s]vices4  7#c7 ,! ,dep>tm5t 
( ,vet]ans ,affairs is uniquely         
position$ to deliv] integrat$1          
vet]an-c5t]$ c>e t comb9es m$ical1 m5tal
 heal?1 & pe] support s]vices )9 a s+le 
sy/em ( c>e4  7#d7 ,abs5t c5traliz$     
gov]nance & implem5tation plann+1 !     
,dep>tm5t may face delays1 safety risks1
 or inconsi/5t access foll[+ regulatory 
approval ( su* !rapies4  7#e7 ,e/abli%+ 
a d$icat$ ,(fice ( ,novel ,!rapeutics w 
ensure t ! ,dep>tm5t is prep>$ to       
responsibly evaluate1 rese>*1 & implem5t
 em]g+ treatm5t modalities consi/5t )   
pati5t safety & evid5ce-bas$ practice4  
#c4 ,e/abli%m5t ( ,(fice ( ,novel       
,!rapeutics )9 ,vet]ans ,heal?          
,adm9i/ration  7a7 ,e/abli%m5t  7#a7 ,9 
g5]al ,*apt] #gc ( title #ch1 ,unit$    
,/ates ,code1 is am5d$ by add+ at ! end 
! foll[+ new sub*apt]3  ,,vi ,novel     

,!rapeutics  #gcia4 ,def9itions ,9 ?is  
sub*apt]3 7#a7 ,c5t] ( excell5ce ,! t]m 
c5t] ( excell5ce means a m$ical c5t] ( !
 ,dep>tm5t designat$ "u section #gcid ( 
?is title z a c5t] ( excell5ce = novel  
!rapeutics to advance rese>*1 tra9+1 &  
implem5tation ( em]g+ !rapeutic         
int]v5tions4  7#b7 ,em]g+ !rapeutic     
int]v5tion ,! t]m em]g+ !rapeutic       
int]v5tion means a ph>macological1      
biological1 or o!r !rapeutic modality "u
 evaluation or review by ! ,food & ,drug
 ,adm9i/ration4  #gcib4 ,(fice ( ,novel 
,!rapeutics  7a7 ,e/abli%m5t ,!re is    
e/abli%$ )9 ! ,vet]ans ,heal?           
,adm9i/ration1 "u ! ,(fice ( ! ,"u      
,secret>y = ,heal?1 an ,(fice ( ,novel  
,!rapeutics 79 ?is section ref]r$ to z !
 ,(fice74  7b7 ,director ,! head ( !    
,(fice %all be ! ,director ( ! ,(fice ( 
,novel ,!rapeutics1 :o %all be appo9t$  
by ! ,"u ,secret>y = ,heal? & :o %all-- 
7#a7 possess demon/rat$ exp]tise 9      
cl9ical rese>* & implem5tation sci5ce2 &
  7#b7 report directly to ! ,"u         

,secret>y = ,heal?4  7c7 ,coord9at+     
au?ority ,! ,(fice %all s]ve z ! prim>y 
coord9at+ au?ority )9 ! ,vet]ans ,heal? 
,adm9i/ration = matt]s relat+ to em]g+ &
 novel !rapeutic int]v5tions4  7d7      
,duties ,! ,(fice %all-- 7#a7 develop & 
ov]see national policy1 guidance1 &     
cl9ical /&>ds = ! evaluation1 rese>*1 & 
pot5tial implem5tation by ! ,vet]ans    
,heal? ,adm9i/ration ( em]g+ & novel    
!rapeutic int]v5tions = m5tal heal?     
conditions affect+ vet]ans2  7#b7       
develop a national cl9ical model = !    
adm9i/ration ( int5sive !rapeutic       
int]v5tions1 includ+ /ructur$           
prep>ation1 monitor$ adm9i/ration1 &    
po/-adm9i/ration integration2  7#c7     
develop guidance reg>d+ pati5t          
eligibility & c&idacy = em]g+ !rapeutic 
int]v5tions1 ensur+ t utilization       
managem5t or /ep !rapy requirem5ts d n  
unduly re/rict access :]e cl9ically     
appropriate2  7#d7 develop              
implem5tation-read9ess plans = !rapies t
 may receive approval f ! ,food & ,drug 

,adm9i/ration1 includ+-- 7,a7 facility  
infra/ructure requirem5ts2  7,b7        
int]discipl9>y team composition /&>ds2  
7,c7 allocation ( protect$ cl9ical "t   
necess>y to safely adm9i/] int5sive     
!rapeutic int]v5tions1 includ+ full     
session & integration requirem5ts2  7,d7
 pati5t safety & adv]se ev5t monitor+ & 
response protocols2 &  7,e7 integration 
) suicide prev5tion1 po/-traumatic /ress
 disord]1 & sub/ance use disord]        
programs2  7#e7 conduct a               
work=ce-read9ess assessm5t to id5tify   
cl9icians & pe] support speciali/s )    
prior tra9+ or c]tification relevant to 
em]g+ !rapeutic int]v5tions & gaps 9    
tra9+1 sup]vision1 & cl9ical capacity   
necess>y to support safe & effective    
implem5tation ( su* int]v5tions2  7#f7  
e/abli% national tra9+ & cr$5tial+ /&>ds
 = cl9icians adm9i/]+ novel !rapeutics2 
7#g7 develop a /&>diz$1 compet5cy-bas$  
tra9+ framework = cl9icians & pe]       
support speciali/s p>ticipat+ 9 em]g+   
!rapeutic int]v5tions1 includ+          

prep>ation1 monitor$ adm9i/ration1      
integration1 safety monitor+1           
int]discipl9>y collaboration1 &         
culturally compet5t c>e2  7#h7 di/+ui%  
betwe5 rese>* protocols & cl9ical       
implem5tation /&>ds to ensure t pati5t  
c>e models are n con/ra9$ solely by     
sponsor-driv5 rese>* design2  7#i7      
coord9ate ) ! ,(fice ( ,rese>* &        
,developm5t-- 7,a7 to align rese>*      
priorities ) implem5tation-read9ess     
ne$s2  7,b7 to recomm5d specializ$      
review pa?ways = rese>* involv+ em]g+   
!rapeutic int]v5tions2 &  7,c7 to       
develop /&>ds = allocation ( protect$   
rese>* "t = cl9icians p>ticipat+ 9      
rese>* involv+ em]g+ !rapeutic          
int]v5tions1 includ+ cl>ification t     
pati5ts se5 "u approv$ rese>* protocols 
%all be c\nt$ t[>d /&>d cl9ical         
productivity metrics2  7#aj7 develop    
guidance to ensure cont9uity ( c>e1     
includ+-- 7,a7 po/-adm9i/ration         
integration s]vices2  7,b7 incorporation
 ( pe] support speciali/s2 &  7,c7      

coord9ation ) community-bas$            
organizations = aft]c>e support z       
appropriate2  7#aa7 id5tify n few] ?an  
"o m$ical c5t] 9 ea* ,vet]ans ,integrat$
 ,s]vice ,network to develop            
infra/ructure & work=ce-read9ess = em]g+
 !rapeutic models2 &  7#ab7 e/abli%     
crit]ia = ! designation ( c5t]s (       
excell5ce & ov]see compliance ) national
 /&>ds4  #gcic4 ,cl9ical ,implem5tation 
,program = ,em]g+ ,!rapeutics  7a7      
,e/abli%m5t ,! ,secret>y1 act+ ?r\gh !  
,(fice ( ,novel ,!rapeutics1 %all       
e/abli% a ,cl9ical ,implem5tation       
,program = ,em]g+ ,!rapeutics 79 ?is    
section ref]r$ to z ! ,program7 to      
evaluate ! effectiv5ess1 feasibility1   
safety1 & scalability ( em]g+ !rapeutic 
int]v5tions )9 ! ,dep>tm5t4  7b7        
,purpose ,! ,program %all-- 7#a7 utilize
 effectiv5ess-implem5tation hybrid      
models to evaluate bo? cl9ical outcomes 
& real-_w implem5tation factors )       
respect to em]g+ !rapeutic int]v5tions2 
7#b7 te/ & ref9e c>e deliv]y models1    

includ+ pati5t eligibility crit]ia1     
safety protocols1 int]discipl9>y team   
models1 & po/-adm9i/ration integration  
s]vices2  7#c7 g5]ate real-_w evid5ce to
 in=m pot5tial sy/emwide adoption2 &    
7#d7 assess work=ce1 infra/ructure1 co/1
 & op]ational requirem5ts necess>y =    
broad] implem5tation4  7c7 ,cov]$       
conditions ,9 c>ry+ out ! ,program1 !   
,secret>y may prioritize "o or m bra9 or
 m5tal heal? conditions affect+ vet]ans1
 includ+-- 7#a7 po/-traumatic /ress     
disord]2  7#b7 treatm5t-resi/ant        
depression2  7#c7 sub/ance use disord]s2
  7#d7 suicidality2  7#e7 traumatic bra9
 injury2  7#f7 repetitive l[-level bla/ 
exposure2  7#g7 *ronic pa92  7#h7       
co-occurr+ conditions2 &  7#i7 o!r      
cl9ically appropriate conditions z      
det]m9$ appropriate by ! ,secret>y4  7d7
 ,site selection ,! ,secret>y may       
conduct ! ,program at-- 7#a7 "o or m    
c5t]s ( excell5ce2 &  7#b7 su* o!r      
m$ical c5t]s z ! ,secret>y det]m9es     
appropriate4  #gcid4 ,c5t]s ( excell5ce 

= novel !rapeutics  7a7 ,designation ,! 
,secret>y may designate "o or m m$ical  
c5t]s ( ! ,dep>tm5t z c5t]s ( excell5ce 
= novel !rapeutics4  7b7 ,functions ,ea*
 c5t] ( excell5ce designat$ "u          
subsection 7a7 %all-- 7#a7 s]ve z a     
national lead] 9 rese>*1 cl9ical tra9+1 
& implem5tation ( em]g+ !rapeutic       
int]v5tions2  7#b7 develop & dissem9ate 
be/ practices & cl9ical /&>ds across !  
,vet]ans ,heal? ,adm9i/ration2  7#c7    
provide te*nical assi/ance & tra9+ to   
o!r m$ical c5t]s ( ! ,dep>tm5t2  7#d7   
integrate int]discipl9>y c>e models1    
includ+ pe] support & po/-adm9i/ration  
integration s]vices2  7#e7 incorporate  
vet]an advisory input into program      
developm5t2 &  7#f7 coord9ate ) academic
 affiliates & ext]nal rese>* p>tn]s1 z  
appropriate4  7c7 ,coord9ation ,c5t]s ( 
excell5ce designat$ "u subsection 7a7   
%all op]ate 9 coord9ation )1 & "u /&>ds 
e/abli%$ by1 ! ,(fice ( ,novel          
,!rapeutics4  #gcie4 ,vet]an ,advisory  
,committee on ,novel ,!rapeutics  7a7   

,e/abli%m5t ,! ,secret>y %all e/abli% a 
,vet]an ,advisory ,committee on ,novel  
,!rapeutics 79 ?is section ref]r$ to z !
 ,committee7 to advise ! ,(fice ( ,novel
 ,!rapeutics4  7b7 ,memb]%ip ,!         
,secret>y %all select ! memb]s ( !      
,committee1 :i* %all include ! foll[+3  
7#a7 ,vet]ans ) liv$ exp]i5ce ( m5tal   
heal? treatm5t furni%$ by ! ,dep>tm5t4  
7#b7 ,vet]ans :o h p>ticipat$ 9 cl9ical 
rese>* involv+ em]g+ !rapeutic          
int]v5tions1 z applicable4  7#c7 ,family
 memb]s or c>egiv]s ( vet]ans describ$ 9
 p>agraph 7#a7 or 7#b74  7#d7           
,repres5tatives f academic in/itutions  
affiliat$ ) ! ,dep>tm5t ) exp]tise 9    
cl9ical rese>*1 behavioral heal?1 or    
em]g+ !rapeutic int]v5tions4  7#e7      
,subject matt] exp]ts z det]m9$         
appropriate by ! ,secret>y4  7c7 ,duties
 ,) respect to ! use ( novel !rapeutics1
 ! ,committee %all provide input on--   
7#a7 pati5t safety consid]ations2  7#b7 
in=m$ cons5t practices2  7#c7           
implem5tation & access b>ri]s2 &  7#d7  

pati5t-c5t]$ c>e design4  #gcif4        
,int]ag5cy coord9ation ,9 c>ry+ out ?is 
sub*apt]1 ! ,secret>y %all coord9ate ) !
 ,secret>y ( ,heal? & ,human ,s]vices1 !
 ,commission] ( ,food & ,drugs1 !       
,adm9i/rator ( ! ,c5t]s = ,m$ic>e       
,m$icaid ,s]vices1 ! ,secret>y (        
,def5se1 & ! ,adm9i/rator ( ! ,drug     
,en=cem5t ,adm9i/ration to support--    
7#a7 regulatory read9ess2  7#b7         
developm5t ( reimbursem5t & bill+       
pa?ways2  7#c7 s*$ul+ & res*$ul+        
consid]ations1 z appropriate2 &  7#d7   
%>$ data infra/ructure = monitor+       
safety1 quality1 & outcomes4  #gcig4    
,annual report ,n less frequ5tly ?an    
annually1 ! ,secret>y %all submit to    
,congress a report describ+-- 7#a7      
rese>* activities ( ! ,dep>tm5t relat+  
to em]g+ !rapeutic int]v5tions2  7#b7   
cl9ical outcomes & pati5t-report$       
outcomes "u ! ,cl9ical ,implem5tation   
,program = ,em]g+ ,!rapeutics "u section
 #gcic ( ?is title2  7#c7 safety ev5ts &
 adv]se outcomes2  7#d7 work=ce read9ess

 & tra9+ capacity2  7#e7 implem5tation  
b>ri]s1 includ+ /aff+1 procurem5t1 &    
infra/ructure ne$s2 &  7#f7             
recomm5dations = legislative or         
adm9i/rative action relat+ to novel     
!rapeutics4  4  7#b7 ,cl]ical am5dm5t ,!
 table ( sections at ! beg9n+ ( *apt]   
#gc ( su* title is am5d$ by add+ at !   
end ! foll[+3  ,,sub*apt] ,,vi--,novel  
,therapeutics,sec4#gcia4                
,def9itions4#gcib4 ,(fice ( ,novel      
,!rapeutics4#gcic4 ,cl9ical             
,implem5tation ,program = ,em]g+        
,!rapeutics4#gcid4 ,c5t]s ( excell5ce = 
novel !rapeutics4#gcie4 ,vet]an         
,advisory ,committee on ,novel          
,!rapeutics4#gcif4 ,int]ag5cy           
coord9ation4#gcig4 ,annual report4  4   
7b7 ,national prep>$ness & implem5tation
 /rategy ,n lat] ?an #ahj days aft] !   
date ( ! enactm5t ( ?is ,act1 !         
,secret>y ( ,vet]ans ,affairs %all      
submit to ,congress a national          
prep>$ness & implem5tation /rategy ( !  
,vet]ans ,heal? ,adm9i/ration = em]g+   

m5tal heal? !rapeutics1 includ+-- 7#a7  
work=ce capacity assessm5ts2  7#b7      
facility modification ne$s2  7#c7       
project$ timel9es = phas$ implem5tation2
 &  7#d7 b>ri]s to implem5tation4