II 118THCONGRESS 1 STSESSION S. 132 To require a pilot program on activities under the pre-separation transition process of members of the Armed Forces for a reduction in suicide among veterans, and for other purposes. IN THE SENATE OF THE UNITED STATES JANUARY30, 2023 Mr. B ROWN(for himself and Mr. WHITEHOUSE) introduced the following bill; which was read twice and referred to the Committee on Veterans’ Affairs A BILL To require a pilot program on activities under the pre-separa- tion transition process of members of the Armed Forces for a reduction in suicide among veterans, and for other purposes. Be it enacted by the Senate and House of Representa-1 tives of the United States of America in Congress assembled, 2 SECTION 1. SHORT TITLE. 3 This Act may be cited as the ‘‘Daniel J. Harvey Jr. 4 and Adam Lambert Improving Servicemember Transition 5 to Reduce Veteran Suicide Act’’. 6 VerDate Sep 11 2014 06:14 Feb 06, 2023 Jkt 039200 PO 00000 Frm 00001 Fmt 6652 Sfmt 6201 E:\BILLS\S132.IS S132 kjohnson on DSK79L0C42PROD with BILLS 2 •S 132 IS SEC. 2. PILOT PROGRAM ON ACTIVITIES UNDER THE PRE- 1 SEPARATION TRANSITION PROCESS OF MEM-2 BERS OF THE ARMED FORCES FOR A REDUC-3 TION IN SUICIDE AMONG VETERANS. 4 (a) P ILOTPROGRAMREQUIRED.—The Secretary of 5 Defense and the Secretary of Veterans Affairs shall jointly 6 carry out a pilot program to assess the feasibility and ad-7 visability of providing the module described in subsection 8 (b) and services under subsection (c) as part of the pre- 9 separation transition process for members of the Armed 10 Forces as a means of reducing the incidence of suicide 11 among veterans. 12 (b) M ODULE.— 13 (1) I N GENERAL.—The module described in this 14 subsection shall include the following: 15 (A) An in-person meeting between a cohort 16 of members of the Armed Forces participating 17 in the pilot program and a social worker or 18 nurse in which the social worker or nurse— 19 (i) educates the cohort on resources 20 for and specific potential risks confronting 21 such members after discharge or release 22 from the Armed Forces, including— 23 (I) loss of community or a sup-24 port system; 25 VerDate Sep 11 2014 06:14 Feb 06, 2023 Jkt 039200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\S132.IS S132 kjohnson on DSK79L0C42PROD with BILLS 3 •S 132 IS (II) isolation from family, 1 friends, or society; 2 (III) identity crisis in the transi-3 tion from military to civilian life; 4 (IV) vulnerability viewed as a 5 weakness; 6 (V) need for empathy; 7 (VI) self-medication and addic-8 tion; 9 (VII) importance of sleep and ex-10 ercise; 11 (VIII) homelessness; 12 (IX) risk factors contributing to 13 attempts of suicide and deaths by sui-14 cide; and 15 (X) safe storage of firearms as 16 part of suicide prevention lethal 17 means safety efforts; 18 (ii) educates the cohort on— 19 (I) the signs and symptoms of 20 suicide risk and physical, psycho-21 logical, or neurological issues, such as 22 post-traumatic stress disorder, trau-23 matic brain injury, chronic pain, sleep 24 disorders, substance use disorders, ad-25 VerDate Sep 11 2014 06:14 Feb 06, 2023 Jkt 039200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6201 E:\BILLS\S132.IS S132 kjohnson on DSK79L0C42PROD with BILLS 4 •S 132 IS verse childhood experiences, depres-1 sion, bipolar disorder, and socio-eco-2 logical concerns, such as homeless-3 ness, unemployment, and relationship 4 strain; 5 (II) the potential risks for mem-6 bers of the Armed Forces from such 7 issues after discharge or release from 8 the Armed Forces; and 9 (III) the resources and treatment 10 options available to such members for 11 such issues through the Department 12 of Veterans Affairs, the Department 13 of Defense, and non-profit organiza-14 tions; 15 (iii) educates the cohort about the re-16 sources available to victims of military sex-17 ual trauma through the Department of 18 Veterans Affairs; and 19 (iv) educates the cohort about the 20 manner in which members might experi-21 ence challenges during the transition from 22 military to civilian life, and the resources 23 available to them through the Department 24 VerDate Sep 11 2014 06:14 Feb 06, 2023 Jkt 039200 PO 00000 Frm 00004 Fmt 6652 Sfmt 6201 E:\BILLS\S132.IS S132 kjohnson on DSK79L0C42PROD with BILLS 5 •S 132 IS of Veterans Affairs, the Department of De-1 fense, and other organizations. 2 (B) The provision to each member of the 3 cohort of contact information for a counseling 4 or other appropriate facility of the Department 5 of Veterans Affairs in the locality in which such 6 member intends to reside after discharge or re-7 lease. 8 (C) The submittal by each member of the 9 cohort to the Department of Veterans Affairs 10 (including both the Veterans Health Adminis-11 tration and the Veterans Benefits Administra-12 tion) of their medical records in connection with 13 service in the Armed Forces, whether or not 14 such members intend to file a claim with the 15 Department for benefits with respect to any 16 service-connected disability. 17 (2) C OMPOSITION OF COHORT .—Each cohort 18 participating in the module described in this sub-19 section shall be comprised of not fewer than 50 indi-20 viduals. 21 (c) S ERVICES.—In carrying out the pilot program, 22 the Secretary of Defense and the Secretary of Veterans 23 Affairs shall provide to each individual participating in the 24 pilot program the following services: 25 VerDate Sep 11 2014 06:14 Feb 06, 2023 Jkt 039200 PO 00000 Frm 00005 Fmt 6652 Sfmt 6201 E:\BILLS\S132.IS S132 kjohnson on DSK79L0C42PROD with BILLS 6 •S 132 IS (1) During the transition process and prior to 1 discharge or release from the Armed Forces, a one- 2 on-one meeting with a social worker or nurse of the 3 Department of Veterans Affairs who will— 4 (A) conduct an assessment of the indi-5 vidual regarding eligibility to receive health care 6 or counseling services from the Department of 7 Veterans Affairs; 8 (B) for those eligible, or likely to be eligi-9 ble, to receive health care or counseling services 10 from the Department of Veterans Affairs— 11 (i) identify and provide contact infor-12 mation for an appropriate facility of the 13 Department of Veterans Affairs in the lo-14 cality in which such individual intends to 15 reside after discharge or release; 16 (ii) facilitate registration or enroll-17 ment in the system of patient enrollment 18 of the Department of Veterans Affairs 19 under section 1705(a) of title 38, United 20 States Code, if applicable; 21 (iii) educate the individual about care, 22 benefits, and services available to the indi-23 vidual through the Veterans Health Ad-24 ministration; and 25 VerDate Sep 11 2014 06:14 Feb 06, 2023 Jkt 039200 PO 00000 Frm 00006 Fmt 6652 Sfmt 6201 E:\BILLS\S132.IS S132 kjohnson on DSK79L0C42PROD with BILLS 7 •S 132 IS (iv) coordinate health care based on 1 the health care needs of the individual, if 2 applicable, to include establishing an initial 3 appointment, at the election of the indi-4 vidual, to occur not later than 90 days 5 after the date of discharge or release of the 6 member from the Armed Forces. 7 (2) For each individual determined ineligible for 8 care and services from the Department of Veterans 9 Affairs during the transition process, the Secretary 10 of Defense shall conduct an assessment of the indi-11 vidual to determine the needs of the individual and 12 appropriate follow-up, which shall be identified and 13 documented in the appropriate records of the De-14 partment of Defense. 15 (3) During the appointment scheduled pursuant 16 to paragraph (1)(B)(iv), the Secretary of Veterans 17 Affairs shall conduct an assessment of the individual 18 to determine the needs of the individual and appro-19 priate follow-up, which shall be identified and docu-20 mented in the appropriate records of the Depart-21 ment of Veterans Affairs. 22 (d) L OCATIONS.— 23 (1) M ODULE AND MEETING .—The module 24 under subsection (b) and the one-on-one meeting 25 VerDate Sep 11 2014 06:14 Feb 06, 2023 Jkt 039200 PO 00000 Frm 00007 Fmt 6652 Sfmt 6201 E:\BILLS\S132.IS S132 kjohnson on DSK79L0C42PROD with BILLS 8 •S 132 IS under subsection (c)(1) shall be carried out at not 1 fewer than 10 locations of the Department of De-2 fense that serve not fewer than 300 members of the 3 Armed Forces annually that are jointly selected by 4 the Secretary of Defense and the Secretary of Vet-5 erans Affairs for purposes of the pilot program. 6 (2) A SSESSMENT AND APPOINTMENT .—The as-7 sessment under subsection (c)(2) and the appoint-8 ment under subsection (c)(3) may occur at any loca-9 tion determined appropriate by the Secretary of De-10 fense or the Secretary of Veterans Affairs, as the 11 case may be. 12 (3) M EMBERS SERVED.—The locations selected 13 under paragraph (1) shall, to the extent practicable, 14 be locations that, whether individually or in aggre-15 gate, serve all the Armed Forces and both the reg-16 ular and reserve components of the Armed Forces. 17 (e) S ELECTION AND COMMENCEMENT .—The Sec-18 retary of Defense and the Secretary of Veterans Affairs 19 shall jointly select the locations of the pilot program under 20 subsection (d)(1) and commence carrying out activities 21 under the pilot program by not later than September 30, 22 2024. 23 (f) D URATION.—The duration of the pilot program 24 shall be five years. 25 VerDate Sep 11 2014 06:14 Feb 06, 2023 Jkt 039200 PO 00000 Frm 00008 Fmt 6652 Sfmt 6201 E:\BILLS\S132.IS S132 kjohnson on DSK79L0C42PROD with BILLS 9 •S 132 IS (g) REPORTS.— 1 (1) I N GENERAL.—Not later than one year 2 after the commencement of the pilot program, and 3 annually thereafter during the duration of the pilot 4 program, the Secretary of Defense and the Secretary 5 of Veterans Affairs shall jointly submit to the appro-6 priate committees of Congress a report on the activi-7 ties under the pilot program. 8 (2) E LEMENTS.—Each report required by para-9 graph (1) shall include the following: 10 (A) The demographic information of the 11 members and former members of the Armed 12 Forces who participated in the pilot program 13 during the one-year period ending on the date 14 of such report. 15 (B) A description of the activities under 16 the pilot program during such period. 17 (C) An assessment of the benefits of the 18 activities under the pilot program during such 19 period to members and former members of the 20 Armed Forces. 21 (D) An assessment of whether the activi-22 ties under the pilot program as of the date of 23 such report have met the targeted outcomes of 24 the pilot program among members and former 25 VerDate Sep 11 2014 06:14 Feb 06, 2023 Jkt 039200 PO 00000 Frm 00009 Fmt 6652 Sfmt 6201 E:\BILLS\S132.IS S132 kjohnson on DSK79L0C42PROD with BILLS 10 •S 132 IS members who participated in the pilot program 1 within one year of discharge or release from the 2 Armed Forces. 3 (E) Such recommendations as the Sec-4 retary of Defense and the Secretary of Veterans 5 Affairs jointly consider appropriate regarding 6 the feasibility and advisability of expansion of 7 the pilot program, extension of the pilot pro-8 gram, or both. 9 (h) A PPROPRIATECOMMITTEES OF CONGRESSDE-10 FINED.—In this section, the term ‘‘appropriate commit-11 tees of Congress’’ means— 12 (1) the Committee on Armed Services and the 13 Committee on Veterans’ Affairs of the Senate; and 14 (2) the Committee on Armed Services and the 15 Committee on Veterans’ Affairs of the House of 16 Representatives. 17 Æ VerDate Sep 11 2014 06:14 Feb 06, 2023 Jkt 039200 PO 00000 Frm 00010 Fmt 6652 Sfmt 6301 E:\BILLS\S132.IS S132 kjohnson on DSK79L0C42PROD with BILLS