116th CONGRESS
2d Session
S. 785


AN ACT

To improve mental health care provided by the Department of Veterans Affairs, and for other purposes.

Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,

SECTION 1. Short title; table of contents.

(a) Short title.   This Act may be cited as the    Commander John Scott Hannon Veterans Mental Health Care Improvement Act of 2019   .

(b) Table of contents.   The table of contents for this Act is as follows:


Sec. 1. Short title; table of contents.

Sec. 101. Strategic plan on expansion of health care coverage for veterans transitioning from service in the Armed Forces.

Sec. 102. Review of records of former members of the Armed Forces who die by suicide within one year of separation from the Armed Forces.

Sec. 103. Report on REACH VET program of Department of Veterans Affairs.

Sec. 104. Report on care for former members of the Armed Forces with other than honorable discharge.

Sec. 201. Financial assistance to certain entities to provide or coordinate the provision of suicide prevention services for eligible individuals and their families.

Sec. 202. Analysis on feasibility and advisability of the Department of Veterans Affairs providing certain complementary and integrative health services.

Sec. 203. Pilot program to provide veterans access to complementary and integrative health programs through animal therapy, agritherapy, sports and recreation therapy, art therapy, and posttraumatic growth programs.

Sec. 204. Department of Veterans Affairs study of all-cause mortality of veterans, including by suicide, and review of staffing levels of mental health professionals.

Sec. 205. Comptroller General report on management by Department of Veterans Affairs of veterans at high risk for suicide.

Sec. 301. Study on connection between living at high altitude and suicide risk factors among veterans.

Sec. 302. Establishment by Department of Veterans Affairs and Department of Defense of a clinical provider treatment toolkit and accompanying training materials for comorbidities.

Sec. 303. Update of clinical practice guidelines for assessment and management of patients at risk for suicide.

Sec. 304. Establishment by Department of Veterans Affairs and Department of Defense of clinical practice guidelines for the treatment of serious mental illness.

Sec. 305. Precision medicine initiative of Department of Veterans Affairs to identify and validate brain and mental health biomarkers.

Sec. 306. Statistical analyses and data evaluation by Department of Veterans Affairs.

Sec. 401. Study on effectiveness of suicide prevention and mental health outreach programs of Department of Veterans Affairs.

Sec. 402. Oversight of mental health and suicide prevention media outreach conducted by Department of Veterans Affairs.

Sec. 403. Comptroller General management review of mental health and suicide prevention services of Department of Veterans Affairs.

Sec. 404. Comptroller General report on efforts of Department of Veterans Affairs to integrate mental health care into primary care clinics.

Sec. 405. Joint mental health programs by Department of Veterans Affairs and Department of Defense.

Sec. 501. Staffing improvement plan for mental health providers of Department of Veterans Affairs.

Sec. 502. Establishment of Department of Veterans Affairs Readjustment Counseling Service Scholarship Program.

Sec. 503. Comptroller General report on Readjustment Counseling Service of Department of Veterans Affairs.

Sec. 504. Expansion of reporting requirements on Readjustment Counseling Service of Department of Veterans Affairs.

Sec. 505. Briefing on alternative work schedules for employees of Veterans Health Administration.

Sec. 506. Suicide prevention coordinators.

Sec. 507. Report on efforts by Department of Veterans Affairs to implement safety planning in emergency departments.

Sec. 601. Expansion of capabilities of Women Veterans Call Center to include text messaging.

Sec. 602. Requirement for Department of Veterans Affairs internet website to provide information on services available to women veterans.

Sec. 701. Expanded telehealth from Department of Veterans Affairs.

Sec. 702. Partnerships with non-Federal Government entities to provide hyperbaric oxygen therapy to veterans and studies on the use of such therapy for treatment of post-traumatic stress disorder and traumatic brain injury.

Sec. 703. Prescription of technical qualifications for licensed hearing aid specialists and requirement for appointment of such specialists.

Sec. 704. Use by Department of Veterans Affairs of commercial institutional review boards in sponsored research trials.

Sec. 705. Creation of Office of Research Reviews within the Office of Information and Technology of the Department of Veterans Affairs.

TITLE I   Improvement of transition of individuals to services from Department of Veterans Affairs

SEC. 101. Strategic plan on expansion of health care coverage for veterans transitioning from service in the Armed Forces.

(a) Strategic plan.   

(1) IN GENERAL.   Not later than one year after the date of the enactment of this Act, the Secretary of Veterans Affairs, in consultation with the Secretary of Defense, shall submit to the appropriate committees of Congress and publish on a website of the Department of Veterans Affairs a strategic plan for the provision by the Department of health care to any veteran during the one-year period following the discharge or release of the veteran from active military, naval, or air service.

(2) ELEMENTS.   The plan submitted under paragraph (1) shall include the following:

(A) An identification of general goals and objectives for the provision of health care to veterans described in such paragraph.

(B) A description of how such goals and objectives are to be achieved, including   

(i) a description of the use of existing personnel, information, technology, facilities, public and private partnerships, and other resources of the Department of Veterans Affairs;

(ii) a description of the anticipated need for additional resources for the Department; and

(iii) an assessment of cost.

(C) An analysis of the anticipated health care needs, including mental health care, for such veterans, disaggregated by geographic area.

(D) An analysis of whether such veterans are eligible for enrollment in the system of annual patient enrollment of the Department under section 1705(a) of title 38, United States Code.

(E) A description of activities designed to promote the availability of health care from the Department for such veterans, including outreach to members of the Armed Forces though the Transition Assistance Program under sections 1142 and 1144 of title 10, United States Code.

(F) A description of legislative or administrative action required to carry out the plan.

(G) A description of how the plan would further the ongoing initiatives under Executive Order 13822 (83 Fed. Reg. 1513; relating to supporting our veterans during their transition from uniformed service to civilian life) to provide seamless access to high-quality mental health care and suicide prevention resources to veterans as they transition, with an emphasis on the one-year period following separation.

(b) Definitions.   In this section:

(1) ACTIVE MILITARY, NAVAL, OR AIR SERVICE.   The term    active military, naval, or air service    has the meaning given that term in section 101(24) of title 38, United States Code.

(2) APPROPRIATE COMMITTEES OF CONGRESS.   The term    appropriate committees of Congress    means   

(A) the Committee on Veterans    Affairs and the Committee on Appropriations of the Senate; and

(B) the Committee on Veterans    Affairs and the Committee on Appropriations of the House of Representatives.

SEC. 102. Review of records of former members of the Armed Forces who die by suicide within one year of separation from the Armed Forces.

(a) Review.   

(1) IN GENERAL.   The Secretary of Defense and the Secretary of Veterans Affairs shall jointly review the records of each former member of the Armed Forces who died by suicide, as determined by the Secretary of Defense or the Secretary of Veterans Affairs, within one year following the discharge or release of the former member from active military, naval, or air service during the five-year period preceding the date of the enactment of this Act.

(2) RECORDS TO BE REVIEWED.   In completing the review required under paragraph (1), the Secretary of Defense and the Secretary of Veterans Affairs shall review the following records maintained by the Department of Defense:

(A) Health treatment records.

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