| Home > 106th Congressional Bills > H.R. 5245 (ih) To amend the Railroad Retirement Act of 1974 to eliminate a limitation on benefits. [Introduced in House] ...
H.R. 5245 (ih) To amend the Railroad Retirement Act of 1974 to eliminate a limitation on benefits. [Introduced in House] ...
108th CONGRESS 2d Session H. R. 5244 To improve programs for the identification and treatment of Post- Traumatic Stress Disorder in veterans and members of the Armed Forces, and for other purposes. _______________________________________________________________________ IN THE HOUSE OF REPRESENTATIVES October 7, 2004 Mr. Evans (for himself, Mr. Filner, Mr. Gutierrez, Ms. Corrine Brown of Florida, Mr. Rodriguez, Mr. Michaud, Ms. Hooley of Oregon, Mr. Strickland, Mr. Udall of New Mexico, Mrs. Davis of California, Ms. Herseth, Mr. Baird, Mr. Kennedy of Rhode Island, Mr. Emanuel, Mr. Stenholm, Ms. Bordallo, Mr. Langevin, Mr. Faleomavaega, Mr. Abercrombie, and Mr. Larson of Connecticut) introduced the following bill; which was referred to the Committee on Veterans' Affairs, and in addition to the Committee on Armed Services, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned _______________________________________________________________________ A BILL To improve programs for the identification and treatment of Post- Traumatic Stress Disorder in veterans and members of the Armed Forces, 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 ``Comprehensive Assistance for Veterans Exposed to Traumatic Stressors Act of 2004''. (b) Table of Contents.--The table of contents for this Act is as follows: Sec. 1. Short title; table of contents. Sec. 2. Definition. TITLE I--VETERANS OF PAST DEPLOYMENTS Sec. 101. Extension of eligibility for readjustment counseling services for Vietnam-era veterans. TITLE II--MILITARY ISSUES Sec. 201. Department of Veterans Affairs-Department of Defense Health Care Sharing Incentive Fund. Sec. 202. Collection of aggregate data from pre- and post-deployment health assessments. Sec. 203. Telemedicine support for front-line Department of Defense providers. TITLE III--PREVENTION, EARLY DETECTION, AND TREATMENT FOR RETURNING TROOPS Sec. 301. Study to identify factors that decrease the likelihood of the development of chronic PTSD despite combat exposure. Sec. 302. Extension of period of enhanced eligibility for VA health services for veterans who served in combat theater of operations. Sec. 303. Department of Veterans Affairs to participate in all demobilizations and Transitional Assistance Program activities. Sec. 304. Educational materials. Sec. 305. Demonstration project to station Department of Veterans Affairs psychologists and psychiatrists at major demobilization sites and military treatment facilities. Sec. 306. Model care plan for integrated mental health and a primary care model for PTSD practice. Sec. 307. Performance measures for Department of Veterans Affairs health care administrators. TITLE IV--DEPARTMENT OF DEFENSE/DEPARTMENT OF VETERANS AFFAIRS COUNCIL ON POST-DEPLOYMENT MENTAL HEALTH Sec. 401. Establishment of Council. Sec. 402. Duties of Council. TITLE V--CAPACITY BUILDING IN DEPARTMENT OF VETERANS AFFAIRS Sec. 501. Plan for expansion of Department of Veterans Affairs system to expand access to specialized PTSD care. Sec. 502. Additional Department of Veterans Affairs resources. TITLE VI--FAMILY THERAPY Sec. 601. Eligibility period for counseling and bereavement counseling. TITLE VII--EDUCATIONAL INITIATIVES Sec. 701. Training program for health-care providers. Sec. 702. Curriculum and protocols for cross-training of Department of Veterans Affairs clinicians. Sec. 703. Publication of state-of-the-art PTSD diagnosis and treatment. Sec. 704. Protocols for pain management for PTSD and war-related pain. Sec. 705. Case management techniques for VA PTSD clinicians. TITLE VIII--NATIONAL STEERING COMMITTEE ON PTSD EDUCATION Sec. 801. National Steering Committee. Sec. 802. Funding support for National Center for PTSD. Sec. 803. Continuing education to mental health providers. Sec. 804. Web-based curriculum to sponsor clinician training initiatives. TITLE IX--BENEFITS Sec. 901. Identification of deficiencies in PTSD disability examinations. Sec. 902. Criteria for determining medical conditions associated with PTSD. TITLE X--PUBLIC AWARENESS Sec. 1001. Public awareness program. Sec. 1002. Web site and materials for general campaign of awareness of PTSD. SEC. 2. DEFINITION. In this Act, the term ``PTSD'' means post-traumatic stress disorder. TITLE I--VETERANS OF PAST DEPLOYMENTS SEC. 101. EXTENSION OF ELIGIBILITY FOR READJUSTMENT COUNSELING SERVICES FOR VIETNAM-ERA VETERANS. Section 1712A(a)(1)(B)(ii) of title 38, United States Code, is amended by striking ``January 1, 2004'' and inserting ``January 1, 2009''. TITLE II--MILITARY ISSUES SEC. 201. DEPARTMENT OF VETERANS AFFAIRS-DEPARTMENT OF DEFENSE HEALTH CARE SHARING INCENTIVE FUND. (a) In General.--The Secretary of Veterans Affairs and the Secretary of Defense shall jointly take such steps as necessary to implement the proposal of the Center for the Study of Traumatic Stress at the Uniformed Services University of the Health Sciences for a Department of Veterans Affairs-Department of Defense Health Care Sharing Incentive Fund. (b) Telecommunications Support.--As part of the implementation of such proposal, the two Secretaries shall provide for a system of telecommunications to support the following: (1) Continuing education and support for front-line (forward-deployed) providers of health-care services. (2) Enhanced treatment capacity for addressing acute episodes of PTSD. SEC. 202. COLLECTION OF AGGREGATE DATA FROM PRE- AND POST-DEPLOYMENT HEALTH ASSESSMENTS. (a) Data Collection.--The Secretary of Defense shall take appropriate steps to assist the Secretary of Veterans Affairs with the collection of data from pre- and post-deployment health assessments of members of the Armed Forces that may be relevant for identification and treatment of PTSD. (b) Consent Forms.--The Secretary of Defense shall develop forms to obtain the written consent of members of the Armed Forces to allow the Department of Veterans Affairs to collect data contained on pre- deployment and post-deployment health assessment forms with relevant treatment information concerning PTSD from those members of the Armed Forces to be discharged or demobilized within 90 days. Such forms shall be developed within 60 days of the date of the enactment of this Act. (c) Preventative Maintenance Post-Deployment Intervention.-- (1) In general.--The Secretary of Veterans Affairs shall conduct routine preventative maintenance intervention for all members of the Armed Forces returning from deployment in a combat theater. Such intervention shall be conducted between 90 and 180 days after such members return from such deployment. (2) Personnel.--For purposes of such intervention, the Secretary of Veterans Affairs may use staff of the Department of Veterans Affairs, including readjustment counseling staff, or persons trained by the Department of Veterans Affairs, including volunteers from military unit associations, veteran service organizations, or other nonprofit organizations. (3) Size.--Such intervention shall be conducted with no more than 6 returning servicemembers at a time. (4) Purpose.--The purpose of such intervention shall be the following: (A) To identify and distinguish symptoms of ``common'' acute stress reactions from those of chronic and severe post-traumatic stress disorder. (B) To discuss concerns of combat personnel and those expressed by their family members. (C) To refer returning servicemembers to appropriate services, as necessary. (D) To disseminate educational materials about PTSD to servicemembers. (E) To provide follow-up educational materials by mail to family members. (d) Identification of Substance Use Disorders.--The Secretary of Defense shall add questions to pre-deployment and post-deployment screens to assist in identification of existing or potential substance use disorders among members of the Armed Forces. (e) Substance Use Disorder Treatment Protocols.--The Secretary of Defense shall develop appropriate substance use disorder treatment protocols for assistance in combat areas of operations and on return to the United States. SEC. 203. TELEMEDICINE SUPPORT FOR FRONT-LINE DEPARTMENT OF DEFENSE PROVIDERS. The Secretary of Defense shall, in conjunction with the Secretary of Veterans Affairs, establish a program to provide telemedicine support to Department of Defense health-care providers in combat theaters. Such telemedicine support shall include real-time access to clinical specialty support, Web-based information on state-of-the-art protocols for the treatment and diagnosis of PTSD, and educational programs concerning PTSD. TITLE III--PREVENTION, EARLY DETECTION, AND TREATMENT FOR RETURNING TROOPS SEC. 301. STUDY TO IDENTIFY FACTORS THAT DECREASE THE LIKELIHOOD OF THE DEVELOPMENT OF CHRONIC PTSD DESPITE COMBAT EXPOSURE. (a) Study.--The Secretary of Veterans Affairs shall provide for a study, to be conducted by an entity other than the Department of Veterans Affairs and the Department of Defense, to identify factors that decrease the likelihood of the development of chronic post- traumatic stress disorder (PTSD) in servicemembers and veterans who have had combat exposure, including exposure to guerilla warfare. (b) Report.--The Secretary shall provide for the entity conducting the study under subsection (a) to submit a report on the results of the study to the Secretary and the Congress not later than one year after the date of the enactment of this Act. SEC. 302. EXTENSION OF PERIOD OF ENHANCED ELIGIBILITY FOR VA HEALTH SERVICES FOR VETERANS WHO SERVED IN COMBAT THEATER OF OPERATIONS. Section 1710(e)(3)(C) of title 38, United States Code, is amended by striking ``2 years'' and inserting ``5 years''. SEC. 303. DEPARTMENT OF VETERANS AFFAIRS TO PARTICIPATE IN ALL DEMOBILIZATIONS AND TRANSITIONAL ASSISTANCE PROGRAM ACTIVITIES. (a) In General.--The Secretary of Defense shall provide for the Secretary of Veterans Affairs to participate in all demobilization and Transitional Assistance Program activities conducted within the Department of Defense so as to enhance the capability of the Secretary of Veterans Affairs to identify risk factors for development of chronic PTSD. (b) Homelessness Risk Awareness.--In any activity referred to in subsection (a), the Secretary of Defense and the Secretary of Veterans Affairs shall provide information concerning homelessness, including risk factors, awareness assessment, and contact information for preventative assistance associated with homelessness. SEC. 304. EDUCATIONAL MATERIALS. The Secretary of Veterans Affairs shall develop educational materials concerning PTSD for members of the Armed Forces returning from deployments in combat theaters and their family members. The Secretary of Defense shall assist in making those materials available to such members and family members. SEC. 305. DEMONSTRATION PROJECT TO STATION DEPARTMENT OF VETERANS AFFAIRS PSYCHOLOGISTS AND PSYCHIATRISTS AT MAJOR DEMOBILIZATION SITES AND MILITARY TREATMENT FACILITIES. (a) Demonstration Project.--The Secretary of Defense and the Secretary of Veterans Affairs shall jointly provide for the conduct of a demonstration project under which Department of Veterans Affairs psychologists and psychiatrists are stationed at major demobilization sites and military treatment facilities. (b) Purpose.--The purposes of the demonstration project shall be as follows: (1) Identify, on an aggregate level, need for mental health services among active-duty, Reserve, and National Guard members. (2) Provide such services or refer members for necessary services. (3) Advise servicemembers of the need for continuous services. (4) Identify the obstacles servicemembers have in seeking appropriate mental health care. (c) Funding.--There is authorized to be appropriated such sums as may be necessary for each of fiscal years 2005, 2006, and 2007 for the conduct of the demonstration project. Amounts for the conduct of the project shall be provided equally by the Secretary of Veterans Affairs and the Secretary of Defense. (d) Report.--The Secretary of Veterans Affairs shall submit to the Committees on Veterans' Affairs of the Senate and House of Representatives a report providing the results of the demonstration
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