| 1 | 1 | | I |
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| 2 | 2 | | 118THCONGRESS |
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| 3 | 3 | | 1 |
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| 4 | 4 | | STSESSION H. R. 3011 |
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| 5 | 5 | | To establish a task force of the Department of Defense on mental health. |
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| 6 | 6 | | IN THE HOUSE OF REPRESENTATIVES |
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| 7 | 7 | | APRIL28, 2023 |
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| 8 | 8 | | Mr. K |
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| 9 | 9 | | ILMER(for himself, Mr. WITTMAN, Ms. HOULAHAN, Mr. |
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| 10 | 10 | | R |
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| 11 | 11 | | ESCHENTHALER, Ms. NORTON, Mr. STEWART, Mr. RYAN, Mr. NICKEL, |
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| 12 | 12 | | Mr. K |
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| 13 | 13 | | ELLYof Mississippi, Ms. SHERRILL, Mr. TONKO, Ms. WILD, Mr. |
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| 14 | 14 | | W |
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| 15 | 15 | | OMACK, Mr. BISHOPof Georgia, Mr. FITZPATRICK, Ms. MCCOLLUM, |
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| 16 | 16 | | Mrs. M |
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| 17 | 17 | | CCLELLAN, Ms. TITUS, Mr. SCOTTof Virginia, and Mr. NOR- |
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| 18 | 18 | | CROSS) introduced the following bill; which was referred to the Committee |
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| 19 | 19 | | on Armed Services |
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| 20 | 20 | | A BILL |
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| 21 | 21 | | To establish a task force of the Department of Defense |
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| 22 | 22 | | on mental health. |
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| 23 | 23 | | Be it enacted by the Senate and House of Representa-1 |
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| 24 | 24 | | tives of the United States of America in Congress assembled, 2 |
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| 25 | 25 | | SECTION 1. TASK FORCE OF THE DEPARTMENT OF DE-3 |
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| 26 | 26 | | FENSE ON MENTAL HEALTH. 4 |
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| 27 | 27 | | (a) E |
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| 28 | 28 | | STABLISHMENT.—The Secretary of Defense 5 |
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| 29 | 29 | | shall establish a task force to examine matters relating 6 |
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| 30 | 30 | | to the mental health of members of the Armed Forces. 7 |
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| 31 | 31 | | (b) M |
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| 32 | 32 | | EMBERSHIP.— 8 |
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| 35 | 35 | | •HR 3011 IH |
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| 36 | 36 | | (1) QUALIFICATIONS.—The Secretary of De-1 |
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| 37 | 37 | | fense shall appoint to the task force individuals who 2 |
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| 38 | 38 | | have demonstrated expertise in the following areas: 3 |
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| 39 | 39 | | (A) National mental health policy. 4 |
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| 40 | 40 | | (B) Military personnel policy. 5 |
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| 41 | 41 | | (C) Research in the field of mental health. 6 |
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| 42 | 42 | | (D) Clinical care in mental health. 7 |
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| 43 | 43 | | (E) Military chaplain or pastoral care. 8 |
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| 44 | 44 | | (2) N |
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| 45 | 45 | | UMBER; COMPOSITION.—The Secretary 9 |
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| 46 | 46 | | shall appoint not more than 15 individuals to the 10 |
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| 47 | 47 | | task force in accordance with the following: 11 |
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| 48 | 48 | | (A) DOD |
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| 49 | 49 | | APPOINTEES.—One half of the 12 |
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| 50 | 50 | | appointees shall include— 13 |
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| 51 | 51 | | (i) at least one member of each of the 14 |
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| 52 | 52 | | Army, Navy, Air Force, Marine Corps, and 15 |
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| 53 | 53 | | the National Guard; 16 |
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| 54 | 54 | | (ii) at least one surgeon general of an 17 |
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| 55 | 55 | | Armed Force; and 18 |
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| 56 | 56 | | (iii) at least one dependent of a mem-19 |
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| 57 | 57 | | ber of the Armed Forces who has experi-20 |
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| 58 | 58 | | ence working with military families. 21 |
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| 59 | 59 | | (B) N |
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| 60 | 60 | | ON-DOD APPOINTEES.—One half of 22 |
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| 61 | 61 | | the appointees shall be individuals who are not 23 |
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| 62 | 62 | | members of the Armed Forces, civilian employ-24 |
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| 65 | 65 | | •HR 3011 IH |
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| 66 | 66 | | ees of the Department of Defense, or depend-1 |
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| 67 | 67 | | ents of such members, including— 2 |
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| 68 | 68 | | (i) an officer or employee of the De-3 |
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| 69 | 69 | | partment of Veterans Affairs; and 4 |
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| 70 | 70 | | (ii) an officer or employee of the Sub-5 |
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| 71 | 71 | | stance Abuse and Mental Health Services 6 |
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| 72 | 72 | | Administration of the Department of 7 |
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| 73 | 73 | | Health and Human Services. 8 |
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| 74 | 74 | | (C) D |
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| 75 | 75 | | EADLINE.—The Secretary of Defense 9 |
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| 76 | 76 | | shall appoint all members not later than 90 10 |
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| 77 | 77 | | days after the date of the enactment of this 11 |
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| 78 | 78 | | Act. 12 |
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| 79 | 79 | | (D) C |
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| 80 | 80 | | O-CHAIRS.—There shall be two co- 13 |
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| 81 | 81 | | chairs of the task force, one of the whom shall 14 |
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| 82 | 82 | | be designated by the Secretary at the time of 15 |
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| 83 | 83 | | appointment from among the individuals ap-16 |
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| 84 | 84 | | pointed under subparagraph (A). The other co- 17 |
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| 85 | 85 | | chair shall be selected from among the members 18 |
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| 86 | 86 | | appointed under subparagraph (B) by members 19 |
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| 87 | 87 | | so appointed. 20 |
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| 88 | 88 | | (c) A |
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| 89 | 89 | | SSESSMENT AND RECOMMENDATIONS ON MEN-21 |
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| 90 | 90 | | TALHEALTHSERVICES.— 22 |
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| 91 | 91 | | (1) I |
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| 92 | 92 | | N GENERAL.—Not later than 12 months 23 |
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| 93 | 93 | | after the date on which all members of the task 24 |
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| 94 | 94 | | force have been appointed, the task force shall sub-25 |
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| 97 | 97 | | •HR 3011 IH |
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| 98 | 98 | | mit to the Secretary a report containing an assess-1 |
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| 99 | 99 | | ment of, and recommendations for improving, the ef-2 |
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| 100 | 100 | | ficacy of mental health services provided to members 3 |
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| 101 | 101 | | of the Armed Forces by the Department of Defense. 4 |
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| 102 | 102 | | (2) U |
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| 103 | 103 | | TILIZATION OF OTHER EFFORTS .—In pre-5 |
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| 104 | 104 | | paring the report, the task force shall take into con-6 |
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| 105 | 105 | | sideration completed and ongoing efforts by the Sec-7 |
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| 106 | 106 | | retary of Defense and the Secretary of Veterans Af-8 |
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| 107 | 107 | | fairs to improve the efficacy of mental health care 9 |
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| 108 | 108 | | provided to members of the Armed Forces. 10 |
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| 109 | 109 | | (3) E |
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| 110 | 110 | | LEMENTS.—The assessment and rec-11 |
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| 111 | 111 | | ommendations (including recommendations for legis-12 |
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| 112 | 112 | | lative or administrative action) shall include meas-13 |
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| 113 | 113 | | ures to improve the following: 14 |
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| 114 | 114 | | (A) The awareness of the potential for 15 |
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| 115 | 115 | | mental health conditions of members of the 16 |
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| 116 | 116 | | Armed Forces. 17 |
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| 117 | 117 | | (B) The access to, and efficacy of, existing 18 |
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| 118 | 118 | | programs (include telehealth programs) in pri-19 |
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| 119 | 119 | | mary care and mental health care to prevent, 20 |
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| 120 | 120 | | identify, and treat mental health conditions of 21 |
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| 121 | 121 | | members of the Armed Forces, including pro-22 |
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| 122 | 122 | | grams for— 23 |
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| 123 | 123 | | (i) forward-deployed troops; 24 |
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| 126 | 126 | | •HR 3011 IH |
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| 127 | 127 | | (ii) members of the reserve compo-1 |
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| 128 | 128 | | nents; and 2 |
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| 129 | 129 | | (iii) members assigned to remote or 3 |
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| 130 | 130 | | austere duty locations. 4 |
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| 131 | 131 | | (C) The access to adequate telehealth re-5 |
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| 132 | 132 | | sources including for members described in sub-6 |
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| 133 | 133 | | paragraph (B), including access to equipment, 7 |
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| 134 | 134 | | bandwidth, and platforms used to deliver care. 8 |
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| 135 | 135 | | (D) The assessment of disruptions to men-9 |
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| 136 | 136 | | tal health care as a result of frequent changes 10 |
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| 137 | 137 | | to TRICARE eligibility and coverage for mem-11 |
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| 138 | 138 | | bers of the National Guard, as well as potential 12 |
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| 139 | 139 | | benefits of more consistent care. 13 |
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| 140 | 140 | | (E) Analysis of the potential effect on ac-14 |
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| 141 | 141 | | cess and outcomes for members serving on ac-15 |
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| 142 | 142 | | tive duty as a result of proposed cuts to mili-16 |
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| 143 | 143 | | tary end strengths regarding members with 17 |
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| 144 | 144 | | medical military occupational specialties. 18 |
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| 145 | 145 | | (F) The access to and programs for family 19 |
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| 146 | 146 | | members of members of the Armed Forces, in-20 |
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| 147 | 147 | | cluding family members overseas. 21 |
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| 148 | 148 | | (G) Access to, and quality of, private men-22 |
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| 149 | 149 | | tal health care received by members through 23 |
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| 150 | 150 | | TRICARE. 24 |
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| 153 | 153 | | •HR 3011 IH |
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| 154 | 154 | | (H) The reduction or elimination of bar-1 |
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| 155 | 155 | | riers to care, including the stigma associated 2 |
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| 156 | 156 | | with mental health conditions, by measures in-3 |
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| 157 | 157 | | cluding enhanced confidentiality for members 4 |
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| 158 | 158 | | who seek care for such conditions. 5 |
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| 159 | 159 | | (I) The awareness of mental health serv-6 |
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| 160 | 160 | | ices available to dependents of members. 7 |
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| 161 | 161 | | (J) The adequacy of outreach, education, 8 |
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| 162 | 162 | | and support programs on mental health matters 9 |
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| 163 | 163 | | for families of members. 10 |
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| 164 | 164 | | (K) The early identification and treatment 11 |
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| 165 | 165 | | of mental health and substance abuse problems 12 |
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| 166 | 166 | | through the use of internal mass media commu-13 |
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| 167 | 167 | | nications (including radio, and television, social 14 |
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| 168 | 168 | | media) and other education tools to change atti-15 |
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| 169 | 169 | | tudes within the Armed Forces regarding men-16 |
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| 170 | 170 | | tal health and substance abuse treatment. 17 |
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| 171 | 171 | | (L) The transition from mental health care 18 |
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| 172 | 172 | | furnished by the Secretary of Defense to such 19 |
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| 173 | 173 | | care furnished by the Secretary of Veterans Af-20 |
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| 174 | 174 | | fairs. 21 |
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| 175 | 175 | | (M) The availability of long-term follow-up 22 |
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| 176 | 176 | | and access to care for mental health conditions 23 |
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| 177 | 177 | | for members of the Individual Ready Reserve 24 |
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| 178 | 178 | | and the Selected Reserve and for discharged, 25 |
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| 181 | 181 | | •HR 3011 IH |
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| 182 | 182 | | separated, or retired members of the Armed 1 |
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| 183 | 183 | | Forces. 2 |
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| 184 | 184 | | (N) Collaboration between agencies of the 3 |
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| 185 | 185 | | Department of Defense with responsibility for, 4 |
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| 186 | 186 | | or jurisdiction over, the provision of mental 5 |
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| 187 | 187 | | health services. 6 |
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| 188 | 188 | | (O) Coordination between the Department 7 |
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| 189 | 189 | | of Defense and civilian communities, including 8 |
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| 190 | 190 | | State, local, Tribal, and territorial governments, 9 |
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| 191 | 191 | | and local support organizations, with respect to 10 |
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| 192 | 192 | | mental health services. 11 |
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| 193 | 193 | | (P) Coordination between the Department 12 |
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| 194 | 194 | | of Defense and relevant Federal stakeholders, 13 |
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| 195 | 195 | | including the Substance Abuse and Mental 14 |
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| 196 | 196 | | Health Administration, National Institutes of 15 |
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| 197 | 197 | | Health, and the Centers for Disease Control. 16 |
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| 198 | 198 | | (Q) The scope and efficacy of curricula 17 |
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| 199 | 199 | | and training on mental health matters for com-18 |
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| 200 | 200 | | manders in the Armed Forces. 19 |
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| 201 | 201 | | (R) The efficiency and effectiveness of pre- 20 |
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| 202 | 202 | | and post-deployment mental health screenings, 21 |
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| 203 | 203 | | including mental health screenings for members 22 |
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| 204 | 204 | | of the Armed Forces. 23 |
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| 208 | 208 | | (S) The effectiveness of mental health pro-1 |
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| 209 | 209 | | grams provided in languages other than 2 |
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| 210 | 210 | | English. 3 |
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| 211 | 211 | | (T) Tracking the use of behavioral health 4 |
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| 212 | 212 | | services and related outcomes, including wait 5 |
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| 213 | 213 | | times, continuity of care, symptom resolution, 6 |
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| 214 | 214 | | and maintenance of improvements resulting 7 |
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| 215 | 215 | | from treatment. 8 |
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| 216 | 216 | | (U) Other matters the task force deter-9 |
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| 217 | 217 | | mines appropriate. 10 |
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| 218 | 218 | | (d) A |
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| 219 | 219 | | DMINISTRATIVEMATTERS.— 11 |
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| 220 | 220 | | (1) C |
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| 221 | 221 | | OMPENSATION.—Each member of the task 12 |
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| 222 | 222 | | force who is a member of the Armed Forces or a ci-13 |
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| 223 | 223 | | vilian officer or employee of the United States shall 14 |
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| 224 | 224 | | serve without compensation (other than compensa-15 |
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| 225 | 225 | | tion to which entitled as a member of the Armed 16 |
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| 226 | 226 | | Forces or an officer or employee of the United 17 |
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| 227 | 227 | | States, as the case may be). Other members of the 18 |
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| 228 | 228 | | task force shall be treated for purposes of section 19 |
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| 229 | 229 | | 3161 of title 5, United States Code, as having been 20 |
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| 230 | 230 | | appointed under subsection (b) of such section. 21 |
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| 231 | 231 | | (2) O |
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| 232 | 232 | | VERSIGHT.—The Under Secretary of De-22 |
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| 233 | 233 | | fense for Personnel and Readiness shall oversee the 23 |
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| 234 | 234 | | activities of the task force. 24 |
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| 238 | 238 | | (3) ADMINISTRATIVE SUPPORT .—The Wash-1 |
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| 239 | 239 | | ington Headquarters Services of the Department of 2 |
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| 240 | 240 | | Defense shall provide the task force with personnel, 3 |
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| 241 | 241 | | facilities, and other administrative support as nec-4 |
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| 242 | 242 | | essary for the performance of the duties of the task 5 |
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| 243 | 243 | | force. 6 |
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| 244 | 244 | | (4) A |
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| 245 | 245 | | CCESS TO FACILITIES.—The Under Sec-7 |
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| 246 | 246 | | retary of Defense for Personnel and Readiness shall, 8 |
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| 247 | 247 | | in coordination with the Secretaries of the military 9 |
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| 248 | 248 | | departments, ensure appropriate access by the task 10 |
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| 249 | 249 | | force to military installations and facilities for pur-11 |
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| 250 | 250 | | poses of the discharge of the duties of the task force. 12 |
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| 251 | 251 | | (e) R |
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| 252 | 252 | | EPORT.— 13 |
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| 253 | 253 | | (1) S |
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| 254 | 254 | | UBMISSION TO SECRETARY OF DE -14 |
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| 255 | 255 | | FENSE.—The task force shall submit to the Sec-15 |
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| 256 | 256 | | retary of Defense a report on its activities under this 16 |
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| 257 | 257 | | section. The report shall include— 17 |
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| 258 | 258 | | (A) a description of the activities of the 18 |
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| 259 | 259 | | task force; 19 |
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| 260 | 260 | | (B) the assessment and recommendations 20 |
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| 261 | 261 | | required by subsection (c); and 21 |
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| 262 | 262 | | (C) other matters that the task force de-22 |
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| 263 | 263 | | termines appropriate. 23 |
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| 264 | 264 | | (2) S |
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| 265 | 265 | | UBMISSION TO CONGRESS .—Not later than 24 |
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| 266 | 266 | | 90 days after receipt of the report under paragraph 25 |
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| 270 | 270 | | (1), the Secretary shall submit to the Committees on 1 |
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| 271 | 271 | | Armed Services, and on Veterans’ Affairs, of the 2 |
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| 272 | 272 | | Senate and the House of Representatives, a copy 3 |
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| 273 | 273 | | such report. The Secretary may include in such sub-4 |
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| 274 | 274 | | mission comments on the report the Secretary deter-5 |
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| 275 | 275 | | mines appropriate. 6 |
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| 276 | 276 | | (f) T |
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| 277 | 277 | | ERMINATION.—The task force shall terminate 7 |
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| 278 | 278 | | 90 days after the date on which the report of the task 8 |
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| 279 | 279 | | force is submitted to Congress under subsection (e)(2). 9 |
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| 280 | 280 | | (g) P |
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| 281 | 281 | | LAN OF THESECRETARY.—Not later than six 10 |
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| 282 | 282 | | months after receipt of the report from the task force 11 |
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| 283 | 283 | | under subsection (e), the Secretary of Defense shall de-12 |
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| 284 | 284 | | velop a plan based on the recommendations of the task 13 |
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| 285 | 285 | | force and submit the plan to the congressional defense 14 |
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| 286 | 286 | | committees. 15 |
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| 287 | 287 | | (h) R |
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| 288 | 288 | | EPORTS BY THESECRETARY.—For each of the 16 |
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| 289 | 289 | | five years following the submission of the report from the 17 |
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| 290 | 290 | | Department of Defense Task Force on Mental Health, the 18 |
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| 291 | 291 | | Secretary of Defense shall submit to the congressional de-19 |
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| 292 | 292 | | fense committees a report on the recommendations made 20 |
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| 293 | 293 | | by the Department of Defense Task Force on Mental 21 |
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| 294 | 294 | | Health with respect to the Determinations. Department 22 |
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| 295 | 295 | | of Defense. Each such report shall include— 23 |
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| 299 | 299 | | (1) for each such recommendation, the deter-1 |
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| 300 | 300 | | mination of the Secretary of Defense whether to im-2 |
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| 301 | 301 | | plement the recommendation; 3 |
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| 302 | 302 | | (2) in the case of a recommendation the Sec-4 |
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| 303 | 303 | | retary intends to implement, the intended timeline 5 |
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| 304 | 304 | | for implementation, a description of any additional 6 |
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| 305 | 305 | | resources or authorities required for such implemen-7 |
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| 306 | 306 | | tation, and the plan for such implementation; 8 |
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| 307 | 307 | | (3) in the case of a recommendation the Sec-9 |
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| 308 | 308 | | retary determines is not advisable or feasible, the 10 |
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| 309 | 309 | | analysis and justification of the Secretary in making 11 |
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| 310 | 310 | | that determination; and 12 |
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| 311 | 311 | | (4) in the case of a recommendation the Sec-13 |
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| 312 | 312 | | retary determines the Department is already imple-14 |
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| 313 | 313 | | menting, the analysis and justification of the Sec-15 |
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| 314 | 314 | | retary in making that determination. 16 |
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| 315 | 315 | | (i) B |
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| 316 | 316 | | RIEFINGS BY THESECRETARY.—Not less than 17 |
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| 317 | 317 | | once each of the five years following the submission of the 18 |
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| 318 | 318 | | report, the Secretary of Defense shall provide to the con-19 |
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| 319 | 319 | | gressional defense committees a briefing on— 20 |
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| 320 | 320 | | (1) the progress of the Secretary in analyzing 21 |
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| 321 | 321 | | and implementing the recommendations made by the 22 |
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| 322 | 322 | | task force; 23 |
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| 326 | 326 | | (2) any programs, projects, or other activities of 1 |
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| 327 | 327 | | the Department of Defense that are being carried 2 |
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| 328 | 328 | | out to implement such recommendations; and 3 |
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| 329 | 329 | | (3) the amount of funding provided for such 4 |
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| 330 | 330 | | programs, projects, and activities. 5 |
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| 331 | 331 | | Æ |
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