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Congressional Record, House, June 23, 2022 — STRONG Veterans Act of 2022, H.R. 6411

Summary

This House section of the Congressional Record for June 23, 2022 (H5845 and H5846) covers the STRONG Veterans Act of 2022, the short title of the Support The Resiliency of Our Nation's Great Veterans Act of 2022. It opens with remarks supporting the Campus Prevention and Recovery Services for Students Act of 2022. Levin of California moves to suspend the rules and pass the bill to amend title 38, United States Code, to make certain improvements in the mental health care provided by the Department of Veterans Affairs, and the bill text follows. Subject to the availability of appropriations, the bill would have the Secretary hire an additional 50 full-time equivalent employees for Vet Centers and add an additional 250 paid trainee slots in covered mental health disciplines.

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Cite this document

“Congressional Record, House, June 23, 2022 — STRONG Veterans Act of 2022, H.R. 6411.” Original at www.govinfo.gov. Archived at Pandemic Darlings, https://pandemicdarlings.com/source-documents/crec-crec-2022-06-23-crec-2022-06-23-pt1-pgh5845-6b89e53cfe/, SHA-256 b9dc3b1c1c8ef5c205f7eb72485203003b3d233c48cbfe5fdec413432160d1d4.

Full text

                                              June 23, 2022                                      CONGRESSIONAL RECORD — HOUSE                                                                     H5845
                                                 Today substance misuse targets our nation                 The Clerk read the title of the bill.              Sec. 506. Expansion of suicide prevention
                                              at a volatile rate. Specifically, when looking at            The text of the bill is as follows:                             and mental health research.
                                              our institutions of higher education our stu-                               H.R. 6411                           Sec. 507. Study on mental health and suicide
                                                                                                                                                                           prevention support for military
                                              dents are much more susceptible to being vic-             Be it enacted by the Senate and House of Rep-                      families.
                                              tims of substance misuse.                               resentatives of the United States of America in         Sec. 508. Research on brain health.
                                                 Common triggers for substance misuse in-             Congress assembled,                                     Sec. 509. Study on efficacy of clinical and
                                              clude peer pressure, stress, social organiza-           SECTION 1. SHORT TITLE; TABLE OF CONTENTS.                           at-home resources for post-
                                              tion, and mental health issues.                           (a) SHORT TITLE.—This Act may be cited as                          traumatic stress disorder.
                                                 Currently the ‘‘Campus Prevention and Re-            the ‘‘Support The Resiliency of Our Nation’s
                                                                                                                                                                   TITLE I—TRAINING TO SUPPORT
                                              covery Services for Students Act of 2022’’,             Great Veterans Act of 2022’’ or the ‘‘STRONG
                                                                                                                                                                     VETERANS’ MENTAL HEALTH
                                              seeks to ensure that our public institutions are        Veterans Act of 2022’’.
                                                                                                        (b) TABLE OF CONTENTS.—The table of con-              SEC. 101. MENTAL HEALTH AND SUICIDE PRE-
                                              using funding given to them to provide the              tents for this Act is as follows:                                  VENTION OUTREACH TO MINORITY
                                              necessary outlets for recovery and re-entry                                                                                VETERANS AND AMERICAN INDIAN
                                                                                                      Sec. 1. Short title; table of contents.                            AND ALASKA NATIVE VETERANS.
                                              into campus life.
                                                                                                           TITLE I—TRAINING TO SUPPORT                          (a) STAFFING REQUIREMENT.—Beginning not
                                                 Solutions the original bill provides include
                                                                                                             VETERANS’ MENTAL HEALTH                          later than 90 days after the date of the enact-
                                              models for ‘‘prevention of the use of illicit
                                                                                                      Sec. 101. Mental health and suicide preven-             ment of this Act, the Secretary of Veterans
                                              drugs and the abuse of alcohol’’ by students                          tion outreach to minority vet-            Affairs shall ensure that each medical center
                                              and staff through connecting them with cam-                           erans and American Indian and             of the Department of Veterans Affairs has no
                                              pus intervention, and rehabilitation resources.                       Alaska Native veterans.                   fewer than one full-time employee whose re-
                                                 As it stands the bill targets many of the nec-       Sec. 102. Expansion of Vet Center workforce.            sponsibility is serving as a minority veteran
                                              essary areas it needs to promote rehabilitation         Sec. 103. Expansion of mental health train-             coordinator.
                                              of substance abuse, but what it fails to do is                        ing for Department of Veterans              (b) TRAINING.—Not later than 180 days after
                                              provide the necessary funding allocations in                          Affairs.                                  the date of the enactment of this Act, the
                                                                                                      Sec. 104. Expansion of scholarships and loan            Secretary, in consultation with the Indian
                                              ongoing to ensure the longevity of keeping our
                                                                                                                    repayment programs for mental             Health Service and the Director of the Office
                                              students safe.                                                        health providers.                         of Mental Health and Suicide Prevention of
                                                 Students who are struggling with substance
                                                                                                          TITLE II—VETERANS CRISIS LINE                       the Department of Veterans Affairs, shall en-
                                              misuse issues deserve to know that they are                                                                     sure that all minority veteran coordinators
                                                                                                      Sec. 201. Veterans Crisis Line.
                                              receiving the best possible care that they can,                                                                 receive training in delivery of mental health
                                              and we can foster that by making sure that                Subtitle A—Veterans Crisis Line Training
                                                                                                                                                              and suicide prevention services culturally
                                                                                                                 and Quality Management
                                              our institutions of higher education have the                                                                   appropriate for American Indian and Alaska
                                              resources they desperately need to be able              Sec. 211. Staff training.                               Native veterans, especially with respect to
                                                                                                      Sec. 212. Quality review and management.                the identified populations and tribes within
                                              continue to serve their student populations.            Sec. 213. Guidance for high-risk callers.
                                                 Through H.R. 6493 it will further push cam-                                                                  the coordinators’ catchment areas.
                                                                                                      Sec. 214. Oversight of training of social serv-
                                              puses to ensure that they are working with or-                                                                    (c) COORDINATION WITH SUICIDE PREVENTION
                                                                                                                    ice assistants and clarification
                                                                                                                                                              COORDINATORS.—Not later than 180 days after
                                              ganizations both on and off campus.                                   of job responsibilities.
                                                                                                                                                              the date of the enactment of this Act, the
                                                 Campuses will now be required to work with           Subtitle B—Pilot Programs and Research on               Secretary, in consultation with the Director
                                              the Secretary of Education in conjunction with                       Veterans Crisis Line                       of the Office of Mental Health and Suicide
                                              the Secretary of Health and Human Services              Sec. 221. Pilot programs.                               Prevention, shall ensure that the suicide pre-
                                              to ensure that each campus is using their               Sec. 222. Authorization of appropriations for           vention coordinator and minority veteran
                                              funding for the highest quality of rehabilitation                     research on effectiveness and             coordinator of each medical center of the De-
                                              and re-entry services.                                                opportunities for improvement             partment have developed and disseminated
                                                 H.R. 6493 will grant $15 million to institu-                       of Veterans Crisis Line.                  to the director of the medical center a writ-
                                              tions annually from to 2021–2028 to aid in              Subtitle C—Transition of Crisis Line Number             ten plan for conducting mental health and
                                                                                                      Sec. 231. Feedback on transition of crisis              suicide prevention outreach to all tribes and
                                              funding public institutions’ recovery, rehabilita-
                                                                                                                    line number.                              urban Indian health organizations within the
                                              tion, and re-entry programs.                                                                                    catchment area of the medical center. Each
                                                 I ask that my colleagues join me in support             TITLE III—OUTREACH TO VETERANS
                                                                                                                                                              such plan shall include for each tribe covered
                                              of H.R. 6493—the Campus Prevention and                  Sec. 301. Solid Start program of the Depart-            by the plan—
                                              Recovery Services for Students Act of 2022.                           ment of Veterans Affairs.                   (1) contact information for tribal leader-
                                                 The SPEAKER pro tempore. The                         Sec. 302. Designation of Buddy Check Week               ship and the tribal health facility or Indian
                                              question is on the motion offered by                                  by Secretary of Veterans Af-              Health Service facility serving that tribe;
                                                                                                                    fairs.                                      (2) a schedule for and list of outreach plans
                                              the gentleman from Virginia (Mr.                        Sec. 303. Improvements to Veterans Justice
                                              SCOTT) that the House suspend the                                                                               (including addressing any barriers to access-
                                                                                                                    Outreach Program.                         ing Department mental health care);
                                              rules and pass the bill, H.R. 6493, as                  Sec. 304. Department of Veterans Affairs
                                                                                                                                                                (3) documentation of any conversation
                                              amended.                                                              Governors Challenge Program.
                                                                                                                                                              with tribal leaders that may guide culturally
                                                 The question was taken.                                  TITLE IV—MENTAL HEALTH CARE                         appropriate delivery of mental health care to
                                                 The SPEAKER pro tempore. In the                                        DELIVERY                              American Indian or Alaska Native veterans;
                                              opinion of the Chair, two-thirds being                  Sec. 401. Expansion of peer specialist sup-               (4) documentation of any progress in incor-
                                              in the affirmative, the ayes have it.                                 port program of Department of             porating traditional healing practices into
                                                 Mr. GOOD of Virginia. Madam Speak-                                 Veterans Affairs.                         mental health and suicide prevention proto-
                                              er, on that I demand the yeas and nays.                 Sec. 402. Expansion of Vet Center services.             cols and options available for veterans who
                                                 The SPEAKER pro tempore. Pursu-                      Sec. 403. Eligibility for mental health serv-           are members of such tribe; and
                                              ant to section 3(s) of House Resolution                               ices.                                       (5) documentation of any coordination
                                                                                                      Sec. 404. Mental health consultations.                  among the Department, the Indian Health
                                              8, the yeas and nays are ordered.
                                                 Pursuant to clause 8 of rule XX, fur-                            TITLE V—RESEARCH                            Service, urban Indian health organizations,
                                                                                                      Sec. 501. Veterans integration to academic              and the Substance Abuse and Mental Health
                                              ther proceedings on this motion are
                                                                                                                    leadership program of the De-             Services Administration for the purpose of
                                              postponed.                                                                                                      improving suicide prevention efforts tailored
                                                                                                                    partment of Veterans Affairs.
                                                               f                                      Sec. 502. Improvement of sleep disorder care            to veterans who are members of such tribe
                                                                                                                    furnished by Department of                and the provision of culturally competent
                                              SUPPORT THE RESILIENCY OF
                                                                                                                    Veterans Affairs.                         mental health care to such veterans.
                                                OUR NATION’S GREAT VETERANS                                                                                     (d) REPORT.—Not later than one year after
                                                                                                      Sec. 503. Study on inpatient mental health
                                                ACT OF 2022                                                         and substance use care from               the enactment of this Act, the Secretary
                                                Mr. LEVIN of California. Madam                                      Department of Veterans Af-                shall submit to the Committee on Veterans’




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                                              Speaker, I move to suspend the rules                                  fairs.                                    Affairs of the Senate and the Committee on
                                              and pass the bill (H.R. 6411) to amend                  Sec. 504. Study on treatment from Depart-               Veterans’ Affairs of the House of Representa-
                                                                                                                    ment of Veterans Affairs for co-          tives a report on outreach efforts to minor-
                                              title 38, United States Code, to make
                                                                                                                    occurring mental health and               ity veterans and American Indian and Alas-
                                              certain improvements in the mental                                    substance use disorders.                  ka Native veterans. Such report shall in-
                                              health care provided by the Depart-                     Sec. 505. Study on workload of suicide pre-             clude each of the following:
                                              ment of Veterans Affairs, and for other                               vention teams of Department of              (1) The number of minority veteran coordi-
                                              purposes, as amended.                                                 Veterans Affairs.                         nators within the Department.




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                                              H5846                                              CONGRESSIONAL RECORD — HOUSE                                                          June 23, 2022
                                                (2) The number and percentage of minority             under the Department of Veterans Affairs               SEC. 212. QUALITY REVIEW AND MANAGEMENT.
                                              veteran coordinators who are women.                     Education Debt Reduction Program under                   (a) MONITORING OF CALLS ON VETERANS CRI-
                                                (3) The number and percentage of minority             subchapter VII of chapter 76 of title 38,              SIS LINE.—
                                              veteran coordinators who are persons of                 United States Code, to be used to recruit                (1) IN GENERAL.—The Secretary of Veterans
                                              color.                                                  mental health professionals to the Depart-             Affairs shall require that not fewer than two
                                                (4) The number and percentage of Depart-              ment of Veterans Affairs in disciplines that           calls per month for each Veterans Crisis Line
                                              ment medical centers with minority veteran              include psychiatry, psychology, advanced               call responder be subject to supervisory si-
                                              coordinators.                                           practice nursing (with a focus on mental               lent monitoring, which is used to monitor
                                                (5) The number and percentage of Depart-              health or substance use disorder), and social          the quality of conduct by such call responder
                                              ment mental health providers who are en-                work.                                                  during the call.
                                              rolled members of a federally recognized In-              (2) AUTHORIZATION OF APPROPRIATIONS.—                  (2) BENCHMARKS.—The Secretary shall es-
                                              dian tribe or self-identify as Native Amer-             There is authorized to be appropriated to the          tablish benchmarks for requirements and
                                              ican.                                                   Secretary of Veterans Affairs $8,000,000 per           performance of Veterans Crisis Line call re-
                                                (6) The number and percentage of Depart-              year to carry out the additional awards                sponders on supervisory silent monitored
                                              ment mental health providers who speak a                under paragraph (1).                                   calls.
                                              second language.                                          (c) OUTREACH.—                                         (3) QUARTERLY REPORTS.—Not less fre-
                                                (7) A review of the outreach plans devel-               (1) IN GENERAL.—Not later than one year              quently than quarterly, the Secretary shall
                                              oped and submitted to all Department med-               after the date of the enactment of this Act,           submit to the Office of Mental Health and
                                              ical centers for outreach to American Indian            the Secretary shall develop a public aware-            Suicide Prevention of the Department of
                                              and Alaska Native veterans.                             ness campaign to encourage veterans and                Veterans Affairs a report on occurrence and
                                                (8) A review of mental health care provided           mental health professionals to choose the              outcomes of supervisory silent monitoring of
                                              annually by the Department to American In-              Department for their mental health career.             calls on the Veterans Crisis Line.
                                              dian and Alaska Native veterans for the past              (2) ELEMENTS.—The campaign required                    (b) QUALITY MANAGEMENT PROCESSES FOR
                                              three years, including number of appoint-               under paragraph (1)—                                   VETERANS CRISIS LINE.—Not later than one
                                              ments, and an assessment of any barriers to               (A) shall advertise the paid trainee, schol-         year after the date of the enactment of this
                                              providing this care.                                    arship, and loan repayment opportunities of-           Act, the leadership for the Veterans Crisis
                                              SEC. 102. EXPANSION OF VET CENTER WORK-                 fered by the Department; and                           Line, in partnership with the Office of Men-
                                                         FORCE.                                         (B) may highlight the new graduate med-              tal Health and Suicide Prevention of the De-
                                                (a) IN GENERAL.—Not later than one year               ical education residencies available at the            partment and the National Center for Pa-
                                              after the date of the enactment of this Act             Department for medical students entering               tient Safety of the Department, shall estab-
                                              and subject to the availability of appropria-           residency.                                             lish quality management processes and ex-
                                              tions, the Secretary of Veterans Affairs shall                TITLE II—VETERANS CRISIS LINE                    pectations for staff of the Veterans Crisis
                                              hire an additional 50 full-time equivalent                                                                     Line, including with respect to reporting of
                                                                                                      SEC. 201. VETERANS CRISIS LINE.
                                              employees for Vet Centers to bolster the                                                                       adverse events and close calls.
                                              workforce of Vet Centers and to provide ex-               In this title, the term ‘‘Veterans Crisis              (c) ANNUAL COMMON CAUSE ANALYSIS FOR
                                              panded mental health care to veterans, mem-             Line’’ means the toll-free hotline for vet-            CALLERS TO VETERANS CRISIS LINE WHO DIE
                                              bers of the Armed Forces, and their families            erans established under section 1720F(h) of            BY SUICIDE.—
                                              through outreach, community access points,              title 38, United States Code.                            (1) IN GENERAL.—Not less frequently than
                                              outstations, and Vet Centers.                             Subtitle A—Veterans Crisis Line Training             annually, the Secretary shall perform a com-
                                                (b) VET CENTER DEFINED.—In this section,                         and Quality Management                      mon cause analysis for all identified callers
                                              the term ‘‘Vet Center’’ has the meaning                 SEC. 211. STAFF TRAINING.                              to the Veterans Crisis Line that died by sui-
                                              given that term in section 1712A(h) of title              (a) REVIEW OF TRAINING FOR VETERANS CRI-             cide during the one-year period preceding
                                              38, United States Code.                                 SIS LINE CALL RESPONDERS.—                             the conduct of the analysis before the caller
                                              SEC. 103. EXPANSION OF MENTAL HEALTH TRAIN-                                                                    received contact with emergency services
                                                                                                        (1) IN GENERAL.—The Secretary of Veterans
                                                          ING FOR DEPARTMENT OF VET-                                                                         and in which the Veterans Crisis Line was
                                                          ERANS AFFAIRS.                              Affairs shall enter into an agreement with
                                                                                                      an organization outside the Department of              the last point of contact.
                                                (a) IN GENERAL.—Not later than three                                                                           (2) SUBMITTAL OF RESULTS.—The Secretary
                                              years after the date of the enactment of this           Veterans Affairs to review the training for
                                                                                                      Veterans Crisis Line call responders on as-            shall submit to the Office of Mental Health
                                              Act and subject to the availability of appro-                                                                  and Suicide Prevention of the Department
                                              priations, the Secretary of Veterans Affairs,           sisting callers in crisis.
                                                                                                        (2) COMPLETION OF REVIEW.—The review                 the results of each analysis conducted under
                                              in collaboration with the Office of Mental                                                                     paragraph (1).
                                              Health and Suicide Prevention and the Office            conducted under paragraph (1) shall be com-
                                                                                                      pleted not later than one year after the date            (3) APPLICATION OF THEMES OR LESSONS.—
                                              of Academic Affiliations, shall add an addi-                                                                   The Secretary shall apply any themes or les-
                                              tional 250 paid trainee slots in covered men-           of the enactment of this Act.
                                                                                                        (3) ELEMENTS OF REVIEW.—The review con-              sons learned under an analysis under para-
                                              tal health disciplines to the workforce of the                                                                 graph (1) to updating training and standards
                                              Department of Veterans Affairs.                         ducted under paragraph (1) shall consist of a
                                                                                                      review of the training provided by the De-             of practice for staff of the Veterans Crisis
                                                (b) COVERED MENTAL HEALTH DISCIPLINES
                                                                                                      partment on subjects including risk assess-            Line.
                                              DEFINED.—In this section, the term ‘‘covered
                                                                                                      ment, lethal means assessment, substance               SEC. 213. GUIDANCE FOR HIGH-RISK CALLERS.
                                              mental health disciplines’’ means psychi-
                                              atry, psychology, advanced practice nursing             use and overdose risk assessment, safety                 (a) DEVELOPMENT OF ENHANCED GUIDANCE
                                              (with a focus on mental health or substance             planning, referrals to care, supervisory con-          AND PROCEDURES FOR RESPONSE TO CALLS RE-
                                              use disorder), social work, licensed profes-            sultation, and emergency dispatch.                     LATED TO SUBSTANCE USE AND OVERDOSE
                                              sional mental health counseling, and mar-                 (4) UPDATE OF TRAINING.—If any defi-                 RISK.—Not later than one year after the date
                                              riage and family therapy.                               ciencies in the training for Veterans Crisis           of the enactment of this Act, the Secretary
                                              SEC. 104. EXPANSION OF SCHOLARSHIPS AND                 Line call responders are found pursuant to             of Veterans Affairs, in consultation with na-
                                                         LOAN REPAYMENT PROGRAMS FOR                  the review under paragraph (1), the Sec-               tional experts within the Department of Vet-
                                                         MENTAL HEALTH PROVIDERS.                     retary shall update such training and associ-          erans Affairs on substance use disorder and
                                                (a) EXPANSION OF HEALTH PROFESSIONAL                  ated standards of practice to correct those            overdose, shall—
                                              SCHOLARSHIP PROGRAM.—Beginning in aca-                  deficiencies not later than one year after the           (1) develop enhanced guidance and proce-
                                              demic year 2022, the Secretary of Veterans              completion of the review.                              dures to respond to calls to the Veterans Cri-
                                              Affairs shall include not fewer than an addi-             (b) RETRAINING GUIDELINES FOR VETERANS               sis Line related to substance use and over-
                                              tional (as compared to academic year 2021) 50           CRISIS LINE CALL RESPONDERS.—                          dose risk;
                                              awards per academic year under the Depart-                (1) IN GENERAL.—Not later than one year                (2) update training materials for staff of
                                              ment of Veterans Affairs Health Professional            after the date of the enactment of this Act,           the Veterans Crisis Line in response to such
                                              Scholarship Program under subchapter II of              the Secretary shall develop guidelines on re-          enhanced guidance and procedures; and
                                              chapter 76 of title 38, United States Code, for         training and quality management for when a               (3) update criteria for monitoring compli-
                                              applicants otherwise eligible for such pro-             Veterans Crisis Line call responder has an             ance with such enhanced guidance and proce-
                                              gram who are pursuing degrees or training in            adverse event or when a quality review                 dures.
                                              mental health disciplines, including ad-                check by a supervisor of such a call re-                 (b) REVIEW AND IMPROVEMENT OF STAND-
                                              vanced practice nursing (with a focus on                sponder denotes that the call responder                ARDS FOR EMERGENCY DISPATCH.—




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                                              mental health or substance use disorder),               needs improvement.                                       (1) IN GENERAL.—Not later than one year
                                              psychology, and social work.                              (2) ELEMENTS OF GUIDELINES.—The guide-               after the date of the enactment of this Act,
                                                (b) EXPANSION OF EDUCATION DEBT REDUC-                lines developed under paragraph (1) shall              the Secretary shall—
                                              TION PROGRAM.—                                          specify the subjects and quantity of retrain-            (A) review the current emergency dispatch
                                                (1) IN GENERAL.—Beginning in fiscal year              ing recommended and how supervisors                    standard operating procedure of the Vet-
                                              2022, the Secretary shall provide not fewer             should implement increased use of silent               erans Crisis Line to identify any additions to
                                              than an additional (as compared to fiscal               monitoring or other performance review                 such procedure to strengthen communica-
                                              year 2021) 200 debt reduction awards per year           mechanisms.                                            tion regarding—




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                                              June 23, 2022                                      CONGRESSIONAL RECORD — HOUSE                                                                       H5847
                                                (i) emergency dispatch for disconnected               SEC. 222. AUTHORIZATION OF APPROPRIATIONS                ‘‘(E) prioritizing outreach to veterans who
                                              callers; and                                                        FOR RESEARCH ON EFFECTIVENESS              have accessed mental health resources prior
                                                                                                                  AND OPPORTUNITIES FOR IMPROVE-
                                                (ii) the role of social service assistants in                                                                to separation from the Armed Forces;
                                                                                                                  MENT OF VETERANS CRISIS LINE.
                                              requesting emergency dispatch and record-                                                                        ‘‘(F) providing women veterans with infor-
                                                                                                        There is authorized to be appropriated to
                                              ing such dispatches; and                                                                                       mation that is tailored to their specific
                                                                                                      the Secretary of Veterans Affairs for fiscal
                                                (B) update such procedure to include the                                                                     health care and benefit needs;
                                                                                                      years 2022 and 2023, a total of $5,000,000 for
                                              additions identified under subparagraph (A).                                                                     ‘‘(G) as feasible, providing information on
                                                                                                      the Mental Illness Research, Education, and
                                                (2) TRAINING.—The Secretary shall ensure              Clinical Centers of the Department of Vet-             access to State and local resources, includ-
                                              that all staff of the Veterans Crisis Line are          erans Affairs to conduct research on the ef-           ing Vet Centers and veterans service organi-
                                              trained on all updates made under paragraph             fectiveness of the Veterans Crisis Line and            zations; and
                                              (1)(B) to the emergency dispatch standard               areas for improvement for the Veterans Cri-              ‘‘(H) gathering and analyzing data assess-
                                              operating procedure of the Veterans Crisis              sis Line.                                              ing the effectiveness of the Solid Start pro-
                                              Line.                                                                                                          gram.
                                                                                                      Subtitle C—Transition of Crisis Line Number
                                                                                                                                                               ‘‘(2) The Secretary, in coordination with
                                              SEC. 214. OVERSIGHT OF TRAINING OF SOCIAL               SEC. 231. FEEDBACK ON TRANSITION OF CRISIS
                                                          SERVICE ASSISTANTS AND CLARI-
                                                                                                                                                             the Secretary of Defense, may carry out the
                                                                                                                  LINE NUMBER.
                                                          FICATION OF JOB RESPONSIBIL-                                                                       Solid Start program by—
                                                                                                        (a) IN GENERAL.—The Secretary of Vet-
                                                          ITIES.                                                                                               ‘‘(A) encouraging members of the Armed
                                                                                                      erans Affairs shall solicit feedback from vet-
                                                                                                                                                             Forces who are transitioning to civilian life
                                                Not later than one year after the date of             erans service organizations on how to con-
                                                                                                                                                             to authorize alternate points of contact who
                                              the enactment of this Act, the Secretary of             duct outreach to members of the Armed
                                                                                                                                                             can be reached should the member be un-
                                              Veterans Affairs shall—                                 Forces, veterans, their family members, and
                                                                                                      other members of the military and veterans             available during the first year following the
                                                (1) establish oversight mechanisms to en-                                                                    separation of the member from the Armed
                                                                                                      community on the move to 988 as the new,
                                              sure that social service assistants and super-                                                                 Forces;
                                                                                                      national three-digit suicide and mental
                                              visory social service assistants working with                                                                    ‘‘(B) following up missed phone calls with
                                                                                                      health crisis hotline, which is expected to be
                                              the Veterans Crisis Line are appropriately                                                                     tailored mailings to ensure the veteran still
                                                                                                      implemented by July 2022, to minimize con-
                                              trained and implementing guidance of the                fusion and ensure veterans are aware of their          receives similar information; and
                                              Department regarding the Veterans Crisis                options for reaching the Veterans Crisis                 ‘‘(C) striving to reach out to veterans who
                                              Line; and                                               Line.                                                  separated prior to the initiation of the Solid
                                                (2) refine standard operating procedures to             (b) NONAPPLICATION OF FACA.—The Fed-                 Start program to provide similar services to
                                              delineate roles and responsibilities for all            eral Advisory Committee Act (5 U.S.C. App.)            those veterans, as feasible.
                                              levels of supervisory social service assistants         shall not apply to any feedback solicited                ‘‘(3) In this subsection:
                                              working with the Veterans Crisis Line.                  under subsection (a).                                    ‘‘(A) The term ‘Vet Center’ has the mean-
                                                                                                        (c) VETERANS SERVICE ORGANIZATION DE-                ing given that term in section 1712A(h) of
                                              Subtitle B—Pilot Programs and Research on               FINED.—In this section, the term ‘‘veterans            this title.
                                                         Veterans Crisis Line                         service organization’’ means an organization             ‘‘(B) The term ‘veterans service organiza-
                                              SEC. 221. PILOT PROGRAMS.                               recognized by the Secretary for the represen-          tion’ means an organization recognized by
                                                                                                      tation of veterans under section 5902 of title         the Secretary for the representation of vet-
                                                (a) EXTENDED SAFETY PLANNING PILOT PRO-               38, United States Code.                                erans under section 5902 of this title.’’.
                                              GRAM FOR VETERANS CRISIS LINE.—                             TITLE III—OUTREACH TO VETERANS                       (b) CONFORMING AMENDMENTS.—Chapter 63
                                                (1) IN GENERAL.—Commencing not          later         SEC. 301. SOLID START PROGRAM OF THE DE-               of such title, as amended by subsection (a), is
                                              than 180 days after the date of the enactment                       PARTMENT OF VETERANS AFFAIRS.              further amended—
                                              of this Act, the Secretary of Veterans Affairs            (a) IN GENERAL.—Chapter 63 of title 38,                (1) by inserting before section 6301 the fol-
                                              shall carry out a pilot program to determine            United States Code, is amended by adding at            lowing:
                                              whether a lengthier, templated safety plan              the end the following new subchapter:                  ‘‘Subchapter I—Outreach Services Program’’;
                                              used in clinical settings could be applied in               ‘‘SUBCHAPTER II—OTHER OUTREACH
                                              call centers for the Veterans Crisis Line.                                                                     and
                                                                                                                PROGRAMS AND ACTIVITIES                        (2) in sections 6301, 6303, 6304, 6305, 6306, and
                                                (2) BRIEFING.—Not later than two years
                                                                                                      ‘‘§ 6320. Solid Start program                          6307, by striking ‘‘this chapter’’ each place it
                                              after the date of the enactment of this Act,
                                              the Secretary shall provide to Congress a                  ‘‘(a) IN GENERAL.—The Secretary shall               appears and inserting ‘‘this subchapter’’.
                                              briefing on the findings of the Secretary               carry out a program, to be known as the                  (c) CLERICAL AMENDMENTS.—The table of
                                              under the pilot program conducted under                 ‘Solid Start program’, under which the Sec-            sections at the beginning of chapter 63 of
                                              paragraph (1), which shall include any rec-             retary shall—                                          such title is amended—
                                              ommendations of the Secretary with respect                 ‘‘(1) build the capacity of the Department            (1) by inserting before the item relating to
                                              to the continuation or discontinuation of the           to efficiently and effectively respond to the          section 6301 the following new item:
                                              pilot program.                                          queries and needs of veterans who have re-                   ‘‘SUBCHAPTER I—OUTREACH SERVICES
                                                                                                      cently separated from the Armed Forces; and                               PROGRAM’’;
                                                (b) CRISIS LINE FACILITATION PILOT PRO-                  ‘‘(2) systemically integrate and coordinate
                                              GRAM.—
                                                                                                                                                             and
                                                                                                      efforts to assist veterans, including efforts—
                                                (1) IN   GENERAL.—Commencing not later
                                                                                                                                                               (2) by adding at the end the following new
                                                                                                         ‘‘(A) to proactively reach out to newly sep-
                                              than one year after the date of the enact-                                                                     items:
                                                                                                      arated veterans to inform them of their eli-
                                              ment of this Act, the Secretary shall carry             gibility for programs of and benefits pro-             ‘‘SUBCHAPTER II—OTHER OUTREACH PROGRAMS
                                              out a pilot program on the use of crisis line           vided by the Department; and                                             AND ACTIVITIES
                                              facilitation to increase use of the Veterans               ‘‘(B) to connect veterans in crisis to re-          ‘‘6320. Solid Start program.’’.
                                              Crisis Line among high-risk veterans.                   sources that address their immediate needs.            SEC. 302. DESIGNATION OF BUDDY CHECK WEEK
                                                (2) BRIEFING.—Not later than two years                   ‘‘(b) ACTIVITIES OF THE SOLID START PRO-                        BY SECRETARY OF VETERANS AF-
                                              after the date of the enactment of this Act,            GRAM.—(1) The Secretary, in coordination                           FAIRS.
                                              the Secretary shall provide to Congress a               with the Secretary of Defense, shall carry               (a) IN GENERAL.—The Secretary of Vet-
                                              briefing on the findings of the Secretary               out the Solid Start program of the Depart-             erans Affairs shall designate one week each
                                              under the pilot program under paragraph (1),            ment by—                                               year to organize outreach events and educate
                                              including any recommendations of the Sec-                  ‘‘(A) collecting up-to-date contact informa-        veterans on how to conduct peer wellness
                                              retary with respect to the continuation or              tion during transition classes or separation           checks, which shall be known as ‘‘Buddy
                                              discontinuation of the pilot program.                   counseling for all members of the Armed                Check Week’’.
                                                (3) DEFINITIONS.—In this section:                     Forces who are separating from the Armed                 (b) EDUCATIONAL OPPORTUNITIES.—
                                                (A) The term ‘‘crisis line facilitation’’,            Forces, while explaining the existence and               (1) IN GENERAL.—During Buddy Check
                                              with respect to a high-risk veteran, means              purpose of the Solid Start program;                    Week, the Secretary, in consultation with
                                              the    presentation   by    a     therapist of             ‘‘(B) calling each veteran, regardless of           organizations that represent veterans, non-
                                              psychoeducational information about the                 separation type or characterization of serv-           profits that serve veterans, mental health
                                              Veterans Crisis Line and a discussion of the            ice, three times within the first year after           experts, members of the Armed Forces, and
                                              perceived barriers and facilitators to future           separation of the veteran from the Armed               such other entities and individuals as the
                                              use of the Veterans Crisis Line for the vet-            Forces;                                                Secretary considers appropriate, shall col-




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                                              eran, which culminates in the veteran call-                ‘‘(C) providing information about the Solid         laborate with organizations that represent
                                              ing the Veterans Crisis Line with the thera-            Start program on the website of the Depart-            veterans to provide educational opportuni-
                                              pist to provide firsthand experiences that              ment and in materials of the Department, es-           ties for veterans to learn how to conduct
                                              may counter negative impressions of the                 pecially transition booklets and other re-             peer wellness checks.
                                              Veterans Crisis Line.                                   sources;                                                 (2) TRAINING MATTERS.—As part of the edu-
                                                (B) The term ‘‘high-risk veteran’’ means a               ‘‘(D) ensuring calls are truly tailored to          cational opportunities provided under para-
                                              veteran receiving inpatient mental health               the needs of each veteran’s unique situation           graph (1), the Secretary shall provide the fol-
                                              care following a suicidal crisis.                       by conducting quality assurance tests;                 lowing:




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                                              H5848                                              CONGRESSIONAL RECORD — HOUSE                                                          June 23, 2022
                                                (A) A script for veterans to use to conduct             (2) may be conducted in person, virtually,           through the use of a script or other reference
                                              peer wellness checks that includes informa-             or through other means, including by the               materials).
                                              tion on appropriate referrals to resources              dissemination of informational materials                 (f) REPORTS ON IMPLEMENTATION.—
                                              veterans might need.                                    and contact information.                                 (1) FIRST REPORT.—Not later than one year
                                                (B) Online and in-person training, as appro-            (b) STRATEGIC PLAN.—The Secretary of                 after the date of the enactment of this Act,
                                              priate, on how to conduct a peer wellness               Veterans Affairs shall develop a strategic             the Secretary shall submit to Congress a re-
                                              check.                                                  plan for the Veterans Justice Outreach Pro-            port on the following:
                                                (C) Opportunities for members of organiza-            gram. In developing such plan, the Secretary             (A) An assessment of implementing sub-
                                              tions that represent veterans to learn how to           shall conduct—                                         section (c), including—
                                              train individuals to conduct peer wellness                (1) an assessment of barriers to working               (i) strategies to increase Veterans Justice
                                              checks.                                                 with justice-involved veterans in rural, re-           Outreach specialists responsible for sup-
                                                (D) Training for veterans participating in            mote, and underserved areas, including po-             porting justice-involved veterans in rural,
                                              Buddy Check Week on how to transfer a                   tential steps to address such barriers; and            remote, or underserved areas; and
                                              phone call directly to the Veterans Crisis                (2) a workforce gap analysis for the Pro-              (ii) the progress of the Secretary in ad-
                                              Line.                                                   gram.                                                  dressing gaps in the workforce of the Vet-
                                                (E) Resiliency training for veterans par-               (c) INCREASE IN NUMBER OF VJO SPECIAL-               erans Justice Outreach Program identified
                                              ticipating in Buddy Check Week on handling              ISTS.—                                                 pursuant to paragraph (2) of such subsection.
                                              a veteran in crisis.                                      (1) INCREASE.—The Secretary of Veterans                (B) The performance goals and implemen-
                                                (3) ONLINE MATERIALS.—All training mate-              Affairs shall increase the number of Vet-              tation plans established under subsection
                                              rials provided under the educational oppor-             erans Justice Outreach specialists respon-             (d)(1).
                                              tunities under paragraph (1) shall be made              sible for supporting justice-involved veterans           (2) SUBSEQUENT REPORT.—Not later than
                                              publicly available on a website of the De-              in rural, remote, or underserved areas, in-            three years after the date on which the first
                                              partment of Veterans Affairs.                           cluding areas located far from Department of           report is submitted under paragraph (1), the
                                                (c) OUTREACH.—The Secretary, in collabo-              Veterans Affairs medical centers, as deter-            Secretary shall submit to Congress a report
                                              ration with organizations that represent vet-           mined by the Secretary, through—                       on the progress of the Secretary in meeting
                                              erans, may conduct outreach regarding edu-                (A) the hiring of additional Veterans Jus-           the performance goals and carrying out ac-
                                              cational opportunities under subsection (b)             tice Outreach specialists;                             tivities under the implementation plans es-
                                              at—                                                       (B) the reallocation of existing Veterans            tablished under subsection (d)(1).
                                                (1) public events where many veterans are             Justice Outreach specialists; or                         (g) REPORT ON VETERANS TREATMENT
                                              expected to congregate;                                   (C) such other means as may be determined            COURTS.—Not later than one year after the
                                                (2) meetings of organizations that rep-               appropriate by the Secretary.                          date of the enactment of this Act, the Sec-
                                              resent veterans;                                          (2) DETERMINATION.—The Secretary shall               retary, in consultation with the Attorney
                                                (3) facilities of the Department; and                 determine the number of Veterans Justice               General, shall submit to Congress a report
                                                (4) such other locations as the Secretary,            Outreach specialists required, and the loca-           on the engagement of the Department of
                                              in collaboration with organizations that rep-           tions of such specialists, under paragraph (1)         Veterans Affairs with veterans treatment
                                              resent veterans, considers appropriate.                 by taking into account—                                courts, including—
                                                (d) VETERANS CRISIS LINE PLAN.—                                                                                (1) the availability and efficacy of veterans
                                                                                                        (A) such number and locations needed to
                                                (1) IN GENERAL.—The Secretary shall en-                                                                      treatment courts in meeting the needs of
                                                                                                      achieve the mission and strategic goals of
                                              sure that a plan exists for handling the po-                                                                   justice-involved veterans;
                                                                                                      the Veterans Justice Outreach Program;
                                              tential increase in the number of calls into                                                                     (2) best practices for Department of Vet-
                                                                                                        (B) any gaps in the workforce of the Pro-
                                              the Veterans Crisis Line that may occur dur-                                                                   erans Affairs staff and justice-involved vet-
                                                                                                      gram, including such gaps identified pursu-
                                              ing Buddy Check Week.                                                                                          erans in working with veterans treatment
                                                                                                      ant to subsection (b)(2); and
                                                (2) SUBMITTAL OF PLAN.—The head of the                                                                       courts; and
                                                                                                        (C) strategies to address such gaps.
                                              Veterans Crisis Line shall submit to the Sec-                                                                    (3) the ability of justice-involved veterans
                                                                                                        (3) USE OF TECHNOLOGY.—In carrying out
                                              retary a plan for how to handle excess calls                                                                   to access veterans treatment courts, includ-
                                                                                                      paragraph (1), the Secretary shall consider
                                              during Buddy Check Week, which may in-                                                                         ing any barriers that exist to increasing such
                                                                                                      the use of virtual technology.
                                              clude the following:                                                                                           access.
                                                                                                        (d) PERFORMANCE GOALS AND IMPLEMENTA-
                                                (A) Additional hours for staff.                                                                                (h) DEFINITIONS.—In this section:
                                                                                                      TION PLANS.—
                                                (B) The use of a backup call center.                                                                           (1) The term ‘‘justice-involved veteran’’
                                                                                                        (1) ESTABLISHMENT.—The Secretary of Vet-
                                                (C) Any other plan to ensure that calls                                                                      means a veteran with active, ongoing, or re-
                                                                                                      erans Affairs shall establish performance
                                              from veterans in crisis are being answered in                                                                  cent contact with some component of a local
                                                                                                      goals and implementation plans for—
                                              a timely manner by an individual trained at                                                                    criminal justice system.
                                                                                                        (A) the Veterans Justice Outreach Pro-
                                              the same level as a Veterans Crisis Line re-                                                                     (2) The term ‘‘Veterans Justice Outreach
                                                                                                      gram;
                                              sponder.                                                                                                       Program’’ means the program through which
                                                (e) DEFINITIONS.—In this section:                       (B) Veterans Justice Outreach Specialists;
                                                                                                      and                                                    the Department of Veterans Affairs identi-
                                                (1) The term ‘‘organization that represents                                                                  fies justice-involved veterans and provides
                                              veterans’’ means an organization recognized               (C) providing support for research regard-
                                                                                                      ing justice-involved veterans.                         such veterans with access to Department
                                              by the Secretary for the representation of                                                                     services.
                                              veterans under section 5902 of title 38, United           (2) CONSISTENCY WITH STRATEGIC PLAN.—
                                                                                                      The Secretary shall ensure that the perform-             (3) The term ‘‘Veterans Justice Outreach
                                              States Code.                                                                                                   Specialist’’ means an employee of the De-
                                                (2) The term ‘‘veteran’’ has the meaning              ance goals and implementation plans under
                                                                                                      paragraph (1) are consistent with the stra-            partment of Veterans Affairs who serves as a
                                              given that term in section 101 of such title.                                                                  liaison between the Department and the
                                                (3) The term ‘‘Veterans Crisis Line’’ means           tegic plan under subsection (b) and include—
                                                                                                        (A) qualitative and quantitative mile-               local criminal justice system on behalf of a
                                              the toll-free hotline for veterans provided by                                                                 justice-involved veteran.
                                              the Secretary under section 1720F(h) of such            stones, measures, and metrics, and associ-
                                                                                                      ated timelines for completion of the plans               (4) The term ‘‘veterans treatment court’’
                                              title.                                                                                                         means a State or local court that is partici-
                                              SEC. 303. IMPROVEMENTS TO VETERANS JUSTICE
                                                                                                      under paragraph (1) and barriers to such
                                                                                                      completion;                                            pating in the veterans treatment court pro-
                                                           OUTREACH PROGRAM.
                                                                                                        (B) an identification of relevant staff; and         gram (as defined in section 2991(i)(1) of the
                                                (a) OUTREACH REQUIREMENT.—The Sec-                                                                           Omnibus Crime Control and Safe Streets Act
                                              retary of Veterans Affairs shall conduct out-             (C) an estimate of resource needs and
                                                                                                      sources.                                               of 1968 (42 U.S.C. 3797aa(i)(1))).
                                              reach regarding the Veterans Justice Out-
                                                                                                        (3) PERFORMANCE DATA.—The Secretary                  SEC. 304. DEPARTMENT OF VETERANS AFFAIRS
                                              reach Program to justice-involved veterans,
                                                                                                      shall establish a process to regularly collect                     GOVERNORS CHALLENGE PROGRAM.
                                              military and veterans service organizations,
                                              and relevant stakeholders in the criminal               and analyze performance data to assess the               The Secretary of Veterans Affairs may
                                              justice community, including officials from             efficiency and effectiveness of implementing           enter into agreements with States, terri-
                                              local law enforcement, court, and jail sys-             the plans under paragraph (1).                         tories, and American Indian and Alaska Na-
                                              tems and others as determined appropriate                 (e) TRAINING REQUIREMENT.—The Secretary              tive tribes for the development and imple-
                                              by the Secretary. Such outreach—                        shall ensure that all Veterans Justice Out-            mentation of veteran suicide prevention pro-
                                                (1) shall be designed—                                reach Specialists receive training not less            posals through the Governors Challenge Pro-
                                                (A) to spread awareness and understanding             frequently than annually on—                           gram.




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                                              of the Program;                                           (1) best practices for identifying and con-               TITLE IV—MENTAL HEALTH CARE
                                                (B) to spread awareness and understanding             ducting outreach to justice-involved vet-                               DELIVERY
                                              of veteran eligibility for the Program, in-             erans and relevant stakeholders in the crimi-          SEC. 401. EXPANSION OF PEER SPECIALIST SUP-
                                              cluding the eligibility of veterans who were            nal justice community; and                                         PORT PROGRAM OF DEPARTMENT
                                              discharged from service in the Armed Forces               (2) veteran eligibility for the Veterans Jus-                    OF VETERANS AFFAIRS.
                                              under conditions other than honorable; and              tice Outreach Program, including with re-                (a) EXPANSION.—Section 506 of the VA MIS-
                                                (C) to improve the identification of justice-         spect     to   consistently     communicating          SION Act of 2018 (Public Law 115–182; 38
                                              involved veterans; and                                  changes regarding eligibility (including               U.S.C. 1701 note) is amended—




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                                              June 23, 2022                                      CONGRESSIONAL RECORD — HOUSE                                                                     H5849
                                                (1) by redesignating subsections (d)                     ‘‘(B) ELEMENTS.—Each report under sub-              section 1712A(h)(6) of title 38, United States
                                              through (f) as subsections (e) through (g);             paragraph (A) shall include, with respect to           Code, as added by subsection (a)); and
                                                (2) in subsection (a), by adding at the end           the one-year period preceding the submission             (2) the efforts of the Department of Vet-
                                              the following new sentence: ‘‘Each such peer            of the report, the following:                          erans Affairs to address such mental health
                                              specialist shall be a full-time employee                   ‘‘(i) The findings and conclusions of the           needs.
                                              whose primary function is to serve as a peer            Secretary with respect to the program.                 SEC. 403. ELIGIBILITY FOR MENTAL HEALTH
                                              specialist and shall be in addition to all                 ‘‘(ii) An assessment of the benefits of the                    SERVICES.
                                              other employees of such medical center.’’;              program to veterans and family members of                (a) IN GENERAL.—Section 1712A(a)(1) of
                                                (3) in the heading of subsection (b), by              veterans.                                              title 38, United States Code, as amended by
                                              striking ‘‘TIMEFRAME’’ and inserting ‘‘INI-                ‘‘(iii) An assessment of the effectiveness of       section 402, is further amended—
                                              TIAL TIMEFRAME’’;                                       peer specialists in engaging under subsection            (1) in subparagraph (A)(ii)—
                                                (4) in subsection (c)—                                (f) with health care providers in the commu-             (A) in subclause (I), by striking ‘‘and’’;
                                                (A) in the heading, by striking ‘‘SELEC-              nity and veterans served by such providers.              (B) in subclause (II), by striking the period
                                              TION’’ and inserting ‘‘INITIAL SELECTION’’;                ‘‘(iv) The name and location of each med-           at the end and inserting ‘‘; and’’; and
                                              and                                                     ical center where new peer specialists were              (C) by adding at the end the following:
                                                (B) in paragraph (1), by striking ‘‘The Sec-          hired.                                                   ‘‘(III) in the case of a veteran or member
                                              retary shall’’ and inserting ‘‘In establishing             ‘‘(v) The number of new peer specialists            who died by suicide, to the degree that coun-
                                              the program at initial locations, the Sec-              hired at each medical center pursuant to this          seling furnished to such individual is found
                                              retary shall’’;                                         section and the total number of peer special-          to aid in coping with the effects of such sui-
                                                (5) by inserting after subsection (c) the fol-        ists within the Department hired pursuant to           cide.’’;
                                              lowing new subsection:                                  this section.                                            (2) in subparagraph (B)(i)(II)—
                                                ‘‘(d) TIMEFRAME FOR EXPANSION OF PRO-                    ‘‘(vi) An assessment of any barriers con-             (A) in item (aa), by striking ‘‘or’’;
                                              GRAM;     SELECTION OF ADDITIONAL LOCA-                                                                          (B) in item (bb), by striking the period at
                                                                                                      fronting the recruitment, training, or reten-
                                              TIONS.—                                                                                                        the end and inserting ‘‘; or’’; and
                                                                                                      tion of peer specialists.
                                                ‘‘(1) TIMEFRAME FOR EXPANSION.—The Sec-                  ‘‘(2) FINAL REPORT.—Not later than one                (C) by adding at the end the following;
                                              retary shall make permanent and expand the              year after the Secretary determines that the             ‘‘(cc) coping with the effects of a suicide
                                              program to additional medical centers of the                                                                   described in subclause (III) of such clause.’’;
                                                                                                      program is being carried out at each medical
                                              Department as follows:                                                                                         and
                                                                                                      center of the Department, the Secretary
                                                ‘‘(A) As of the date of the enactment of the                                                                   (3) in subparagraph (C)(vii)—
                                                                                                      shall submit to the Committees on Veterans’
                                              STRONG Veterans Act of 2021, the Secretary                                                                       (A) in subclause (I), by striking ‘‘or’’ at the
                                                                                                      Affairs of the House of Representatives and
                                              shall make such program permanent at each                                                                      end;
                                                                                                      the Senate a report notifying such commit-
                                              medical center participating in the program                                                                      (B) in subclause (II), by striking the period
                                                                                                      tees of such determination.’’.
                                              on the day before such date of enactment.                                                                      at the end and inserting ‘‘; or’’; and
                                                                                                         (b) AUTHORIZATION OF APPROPRIATIONS.—
                                                ‘‘(B) During the seven-year period fol-                                                                        (C) by adding at the end the following:
                                                                                                      There is authorized to be appropriated to the
                                              lowing such date of enactment, the Sec-                                                                          ‘‘(III) veteran or member of the Armed
                                                                                                      Department of Veterans Affairs to imple-
                                              retary shall expand the program to an addi-                                                                    Forces who died by suicide.’’.
                                                                                                      ment section 506 of the VA MISSION Act of
                                              tional 25 medical centers per year until the                                                                     (b) EFFECTIVE DATE.—The amendments
                                              program is carried out at each medical cen-             2018 (Public Law 115–182; 38 U.S.C. 1701 note),
                                                                                                                                                             made by subsection (a) shall apply with re-
                                              ter of the Department.                                  as amended by subsection (a), the following
                                                                                                                                                             spect to family members of a member or vet-
                                                ‘‘(2) SELECTION OF ADDITIONAL LOCATIONS.—             amounts:
                                                                                                                                                             eran who died by suicide before, on, or after
                                              In selecting medical centers for the expan-                (1) $3,600,000 for fiscal year 2022.
                                                                                                                                                             the date of the enactment of this Act.
                                              sion of the program under paragraph (1)(B),                (2) $7,200,000 for fiscal year 2023.
                                                                                                                                                             SEC. 404. MENTAL HEALTH CONSULTATIONS.
                                              until such time as each medical center of the              (3) $10,800,000 for fiscal year 2024.
                                                                                                                                                               (a) MENTAL HEALTH CONSULTATIONS FOR
                                              Department is participating in the program                 (4) $14,400,000 for fiscal year 2025.
                                                                                                                                                             VETERANS FILING FOR COMPENSATION.—
                                              by establishing not fewer than two peer spe-               (5) $18,000,000 for fiscal year 2026.
                                                                                                                                                               (1) IN GENERAL.—Subchapter VI of chapter
                                              cialists at the medical center, the Secretary              (6) $21,600,000 for fiscal year 2027.
                                                                                                                                                             11 of title 38, United States Code, is amended
                                              shall prioritize medical centers in the fol-               (7) $25,000,000 for fiscal year 2028.
                                                                                                                                                             by adding at the end the following new sec-
                                              lowing areas:                                           SEC. 402. EXPANSION OF VET CENTER SERVICES.
                                                                                                                                                             tion:
                                                ‘‘(A) Rural areas and other areas that are              (a) VETERANS AND MEMBERS USING EDU-                  ‘‘§ 1167. Mental health consultations
                                              underserved by the Department.                          CATIONAL     ASSISTANCE BENEFITS.—Section
                                                                                                                                                                ‘‘(a) IN GENERAL.—Not later than 30 days
                                                ‘‘(B) Areas that are not in close proximity           1712A of title 38, United States Code, is
                                                                                                                                                             after the date on which a veteran submits to
                                              to an active duty military installation.                amended—
                                                                                                                                                             the Secretary a claim for compensation
                                                ‘‘(C) Areas representing different geo-                  (1) by striking ‘‘clauses (i) through (vi)’’
                                                                                                                                                             under this chapter for a service-connected
                                              graphic locations, such as census tracts es-            both places it appears and inserting ‘‘clauses
                                                                                                                                                             disability relating to a mental health diag-
                                              tablished by the Bureau of the Census.’’;               (i) through (vii)’’;                                   nosis, the Secretary shall offer the veteran a
                                                (6) in subsection (e), as redesignated by                (2) by striking ‘‘in clause (vii)’’ both places     mental health consultation to assess the
                                              paragraph (1)—                                          it appears and inserting ‘‘in clause (viii)’’;         mental health needs of, and care options for,
                                                (A) in the heading, by striking ‘‘GENDER-                (3) in subsection (a)(1)(C)—                        the veteran.
                                              SPECIFIC SERVICES’’ and inserting ‘‘CONSIDER-              (A) by redesignating clause (vii) as clause            ‘‘(b) AVAILABILITY.—The Secretary shall—
                                              ATIONS FOR HIRING PEER SPECIALISTS’’;                   (viii); and                                               ‘‘(1) offer a veteran a consultation under
                                                (B) in the matter preceding paragraph (1),               (B) by inserting after clause (vi) the fol-         subsection (a) without regard to any pre-
                                              by striking ‘‘location selected under sub-              lowing new clause:                                     vious denial or approval of a claim of that
                                              section (c)’’ and inserting ‘‘medical center’’;            ‘‘(vii) Any veteran or member of the Armed          veteran for a service-connected disability re-
                                                (C) in paragraph (1), by striking ‘‘and’’ at          Forces pursuing a course of education using            lating to a mental health diagnosis; and
                                              the end; and                                            covered educational assistance benefits.’’;               ‘‘(2) ensure that a veteran offered a mental
                                                (D) by striking paragraph (2) and inserting           and                                                    health consultation under subsection (a)
                                              the following new paragraphs:                              (4) in subsection (h), by adding at the end         may elect to receive such consultation dur-
                                                ‘‘(2) female peer specialists are hired and           the following new paragraph:                           ing the one-year period beginning on the
                                              made available to support female veterans                  ‘‘(6) The term ‘covered educational assist-         date on which the consultation is offered or
                                              who are treated at each medical center; and             ance benefits’ means educational assistance            during such longer period beginning on such
                                                ‘‘(3) to the extent practical, peer special-          benefits provided pursuant to—                         date as the Secretary considers appropriate.
                                              ists are hired in demographic percentages                  ‘‘(A) chapter 30, 31, 32, or 33 of this title;         ‘‘(c) RULE OF CONSTRUCTION.—A consulta-
                                              that reflect the racial and ethnic demo-                   ‘‘(B) chapter 1606 or 1607 of title 10;             tion provided to a veteran under this section
                                              graphic percentages of the overall veterans                ‘‘(C) section 116 of the Harry W. Colmery           shall not be construed as a determination
                                              population.’’; and                                      Veterans Educational Assistance Act of 2017            that any disability of such veteran is serv-
                                                (7) by amending subsection (g), as redesig-           (Public Law 115–48; 38 U.S.C. 3001 note); or           ice-connected for the purposes of any benefit
                                              nated by paragraph (1), to read as follows:                ‘‘(D) section 8006 of the American Rescue           under the laws administered by the Sec-
                                                ‘‘(g) REPORTS.—                                       Plan Act of 2021 (Public Law 117–2; 38 U.S.C.          retary.’’.
                                                ‘‘(1) PERIODIC REPORTS.—                              3001 note prec.).’’.                                      (2) CLERICAL AMENDMENT.—The table of
                                                ‘‘(A) IN GENERAL.—Not later than one year                (b) GAO REPORT.—Not later than one year             sections at the beginning of chapter 11 of




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                                              after the date of the enactment of the                  after the date of the enactment of this Act,           such title is amended by adding at the end
                                              STRONG Veterans Act of 2021, and annually               the Comptroller General of the United States           the following new item:
                                              thereafter for five years, the Secretary shall          shall submit to the Committees on Veterans’            ‘‘1167. Mental health consultations.’’.
                                              submit to the Committees on Veterans’ Af-               Affairs of the House of Representatives and               (b) MENTAL HEALTH CONSULTATIONS FOR
                                              fairs of the House of Representatives and the           the Senate a report assessing—                         VETERANS ENTERING HOMELESS PROGRAMS
                                              Senate a report on the program, including                  (1) the mental health needs of veterans             OFFICE PROGRAMS.—
                                              the expansion of the program under sub-                 pursuing a course of education using covered              (1) IN GENERAL.—Subchapter VII of chapter
                                              section (d)(1).                                         educational assistance benefits (as defined in         20 of title 38, United States Code, is amended




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                                              H5850                                              CONGRESSIONAL RECORD — HOUSE                                                          June 23, 2022
                                              by adding at the end the following new sec-               (2) The term ‘‘student veteran’’ means the             (4) if there are diagnosis-specific or sex-
                                              tion:                                                   following:                                             specific barriers to accessing care under such
                                              ‘‘§ 2068. Mental health consultations                     (A) A veteran or member of the Armed                 programs; and
                                                 ‘‘(a) IN GENERAL.—Not later than two                 Forces using educational assistance under                (5) the average wait time for a bed in such
                                              weeks after the date on which a veteran de-             any of the following provisions of law:                a program, broken out by—
                                              scribed in subsection (b) enters into a pro-              (i) Chapter 30, 31, 32, or 33 of title 38,             (A) Veterans Integrated Service Network;
                                              gram administered by the Homeless Pro-                  United States Code, or chapter 1606 or 1607 of           (B) rural or urban area;
                                              grams Office of the Department, the Sec-                title 10, United States Code.                            (C) sex; and
                                              retary shall offer the veteran a mental                   (ii) Section 116 of the Harry W. Colmery               (D) specialty (general program, substance
                                              health consultation to assess the health                Veterans Educational Assistance Act of 2017            use disorder program, military sexual trau-
                                              needs of, and care options for, the veteran.            (Public Law 115–48; 38 U.S.C. 3001 note).              ma program, etc.).
                                                 ‘‘(b) VETERAN DESCRIBED.—A veteran de-                 (iii) Section 8006 of the American Rescue              (b) RECOMMENDATIONS FOR MODIFICATIONS
                                              scribed in this subsection is a veteran to              Plan Act of 2021 (Public Law 117–2; 38 U.S.C.          TO TREATMENT PROGRAMS.—Using the results
                                              whom a mental health consultation is not of-            3001 note prec.).                                      from the study conducted under subsection
                                              fered or provided through the case manage-                (B) A veteran who is enrolled in an institu-         (a), the Secretary shall make recommenda-
                                              ment services of the program of the Home-               tion of higher learning or other training pro-         tions for—
                                              less Programs Office into which the veteran             gram, without regard to whether the veteran              (1) new locations for opening facilities to
                                              enters.’’.                                              is using educational assistance specified in           participate in the residential rehabilitation
                                                 (2) CLERICAL AMENDMENT.—The table of                 subparagraph (A).                                      treatment programs of the Department;
                                              sections at the beginning of chapter 20 of              SEC. 502. IMPROVEMENT OF SLEEP DISORDER
                                                                                                                                                               (2) facilities under such programs at which
                                              such title is amended by adding at the end                          CARE FURNISHED BY DEPARTMENT               new beds can be added; and
                                              the following new item:                                             OF VETERANS AFFAIRS.                         (3) any additional specialty tracks to be
                                              ‘‘2068. Mental health consultations.’’.                   (a) IN GENERAL.—Pursuant to the analysis             added to such programs, such as substance
                                                                                                      conducted under subsection (b), the Sec-               use disorder or military sexual trauma, in
                                                           TITLE V—RESEARCH                                                                                  order to meet veteran need and demand.
                                                                                                      retary of Veterans Affairs shall take such ac-
                                              SEC. 501. VETERANS INTEGRATION TO ACADEMIC                                                                       (c) REPORT.—Not later than 180 days after
                                                          LEADERSHIP PROGRAM OF THE DE-
                                                                                                      tion as the Secretary considers appropriate
                                                                                                      to improve the assessment and treatment of             completion of the study under subsection (a),
                                                          PARTMENT OF VETERANS AFFAIRS.                                                                      the Secretary shall submit to the Committee
                                                (a) REPORT.—Not later than one year after             veterans with sleep disorders, including by
                                                                                                      conducting in-home sleep studies for vet-              on Veterans’ Affairs of the Senate and the
                                              the date of the enactment of this Act, the                                                                     Committee on Veterans’ Affairs of the House
                                              Secretary of Veterans Affairs shall submit to           erans.
                                                                                                        (b) ANALYSIS.—The Secretary shall conduct            of Representatives a report on the findings of
                                              the Committees on Veterans’ Affairs of the                                                                     the study conducted under subsection (a) and
                                              House of Representatives and the Senate a               an analysis of the ability of the Department
                                                                                                      of Veterans Affairs to treat sleep disorders           the recommendations made by the Secretary
                                              report on the Veterans Integration to Aca-                                                                     under subsection (b).
                                              demic Leadership program of the Depart-                 among veterans, including—
                                                                                                                                                             SEC. 504. STUDY ON TREATMENT FROM DEPART-
                                              ment of Veterans Affairs. The report shall                (1) assessment and treatment options for                         MENT OF VETERANS AFFAIRS FOR
                                              include the following:                                  such disorders;                                                    CO-OCCURRING MENTAL HEALTH
                                                (1) The number of medical centers of the                (2) barriers to care for such disorders, such                    AND SUBSTANCE USE DISORDERS.
                                              Department, institutions of higher learning,            as wait time, travel time, and lack of staff-            (a) IN GENERAL.—Not later than one year
                                              non-college degree programs, and student                ing;                                                   after the date of the enactment of this Act,
                                              veterans supported by the program, and rel-               (3) the efficacy of the clinical practice            the Secretary of Veterans Affairs shall con-
                                              evant trends since the program began.                   guidelines of the Department of Veterans Af-           duct a study examining—
                                                (2) The staff and resources allocated to the          fairs and the Department of Defense for such             (1) the availability of treatment programs
                                              program, and relevant trends since the pro-             disorders; and                                         for veterans with co-occurring mental health
                                              gram began.                                               (4) the availability of and efficacy of the          and substance use disorders (including both
                                                (3) An assessment of the outcomes and ef-             use by the Department of Veterans Affairs of           inpatient and outpatient care);
                                              fectiveness of the program in—                          cognitive behavioral therapy for insomnia.               (2) any geographic disparities in access to
                                                (A) supporting student veterans;                        (c) REPORT.—Not later than two years after           such programs, such as for rural and remote
                                                (B) connecting student veterans to needed             the date of the enactment of this Act, the             veterans; and
                                              services of the Department or services pro-             Secretary shall submit to the Committee on               (3) the average wait times for care under
                                              vided by non-Department entities;                       Veterans’ Affairs of the Senate and the Com-           such programs.
                                                (C) addressing the mental health needs of             mittee on Veterans’ Affairs of the House of              (b) REPORT.—
                                              student veterans;                                       Representatives a report on—                             (1) IN GENERAL.—Not later than two years
                                                (D) lowering the suicide risk of student                (1) the findings from the analysis con-              after the date of the enactment of this Act,
                                              veterans; and                                           ducted under subsection (b); and                       the Secretary shall submit to the Committee
                                                (E) helping student veterans achieve edu-               (2) any actions taken under subsection (a)           on Veterans’ Affairs of the Senate and the
                                              cational goals.                                         to improve the assessment and treatment of             Committee on Veterans’ Affairs of the House
                                                (4) An assessment of barriers to expanding            veterans with sleep disorders.                         of Representatives a report on the findings of
                                              the program and how the Secretary intends                 (d) AUTHORIZATION OF APPROPRIATIONS FOR              the study conducted under subsection (a).
                                              to address such barriers.                               IN-HOME SLEEP STUDIES.—There is author-                  (2) ELEMENTS.—The report required by
                                                (5) An assessment of whether the program              ized to be appropriated to the Secretary of            paragraph (1) shall include—
                                              should be expanded outside of the Office of             Veterans Affairs $5,000,000 to be used to con-           (A) any recommendations resulting from
                                              Mental Health and Suicide Prevention to                 duct in-home sleep studies for veterans, as            the study conducted under subsection (a)
                                              support students veterans with needs unre-              part of sleep disorder assessment and treat-           with respect to improving timeliness and
                                              lated to mental health or suicide.                      ment conducted by the Department of Vet-               quality of care and meeting treatment pref-
                                                (b) UNIFORM BEST PRACTICES, GOALS, AND                erans Affairs.                                         erences for veterans with co-occurring men-
                                              MEASURES.—The Secretary shall establish                 SEC. 503. STUDY ON INPATIENT MENTAL HEALTH             tal health and substance use disorders; and
                                              best practices, goals, and measures for the                         AND SUBSTANCE USE CARE FROM                  (B) a description of any actions taken by
                                                                                                                  DEPARTMENT OF VETERANS AF-
                                              Veterans Integration to Academic Leader-                                                                       the Secretary to improve care for such vet-
                                                                                                                  FAIRS.
                                              ship program of the Department that are                                                                        erans.
                                                                                                        (a) IN GENERAL.—Not later than one year
                                              uniform among the medical centers of the                                                                       SEC. 505. STUDY ON WORKLOAD OF SUICIDE PRE-
                                                                                                      after the date of the enactment of this Act,
                                              Department.                                                                                                                VENTION TEAMS OF DEPARTMENT
                                                (c) OUTREACH.—The Secretary shall con-                the Secretary of Veterans Affairs shall com-                       OF VETERANS AFFAIRS.
                                              duct outreach among the Armed Forces, vet-              plete the conduct of a study on access of vet-           (a) IN GENERAL.—The Secretary of Vet-
                                              erans service organizations, institutions of            erans to care under the residential rehabili-          erans Affairs, acting through the Under Sec-
                                              higher learning, and non-college degree pro-            tation treatment programs of the Depart-               retary for Health and the Office of Mental
                                              grams with respect to the Veterans Integra-             ment of Veterans Affairs to determine—                 Health and Suicide Prevention, shall conduct
                                              tion to Academic Leadership program of the                (1) if there are sufficient geographic offer-        a study evaluating the workload of local sui-
                                              Department.                                             ings of inpatient mental health care, espe-            cide prevention teams of the Department of
                                                (d) ASSESSMENT.—The Secretary shall as-               cially for veterans in rural and remote com-           Veterans Affairs.
                                              sess the feasibility and advisability of in-            munities;                                                (b) ELEMENTS.—The study conducted under




SSpencer on DSK126QN23PROD with HOUSE
                                              cluding the suicide rate for student veterans             (2) if there are sufficient bed spaces at each       subsection (a) shall—
                                              in the National Veteran Suicide Prevention              location, based on demand and drive time                 (1) identify the effects of the growth of the
                                              Annual Report of the Office of Mental Health            from the homes of veterans;                            suicide prevention program of the Depart-
                                              and Suicide Prevention of the Department.                 (3) if there are any workforce-related ca-           ment on the workload of suicide prevention
                                                (e) DEFINITIONS.—In this section:                     pacity limitations at each location, includ-           teams;
                                                (1) The term ‘‘institution of higher learn-           ing if beds are unable to be used because                (2) incorporate key practices for staffing
                                              ing’’ has the meaning given that term in sec-           there are not enough providers to care for             model design in determining suicide preven-
                                              tion 3452 of title 38, United States Code.              additional patients;                                   tion staffing needs; and




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                                              June 23, 2022                                      CONGRESSIONAL RECORD — HOUSE                                                               H5851
                                                (3) determine which facilities of the De-             SEC. 509. STUDY ON EFFICACY OF CLINICAL AND            800–273–8255—and press 1 for responders
                                              partment need increased suicide prevention                          AT-HOME RESOURCES FOR POST-
                                                                                                                  TRAUMATIC STRESS DISORDER.
                                                                                                                                                             with military and veteran expertise.
                                              coordinator staffing to meet the needs of                                                                      There is no reason to suffer alone.
                                              veterans, with an emphasis placed on facili-              Not later than two years after the date of
                                                                                                      the enactment of this Act, the Secretary of              Along with our colleagues in the Sen-
                                              ties with high patient volume and facilities
                                              located in States with high rates of veteran            Veterans Affairs, acting through the Office            ate, we have advanced bipartisan bills
                                              suicide.                                                of Research and Development of the Depart-             over the past year that now make up
                                                (c) REPORT.—Not later than one year after
                                                                                                      ment of Veterans Affairs, shall conduct a              the 22 sections of the STRONG Vet-
                                                                                                      study on—                                              erans Act.
                                              the date of the enactment of this Act, the
                                                                                                        (1) the efficacy of clinical and at-home re-           I want to especially thank our col-
                                              Secretary shall submit to the Committee on
                                                                                                      sources, such as mobile applications like              leagues both on and off the committee
                                              Veterans’ Affairs of the Senate and the Com-
                                                                                                      COVID Coach, for providers, veterans, care-
                                              mittee on Veterans’ Affairs of the House of
                                                                                                      givers, and family members to use for deal-
                                                                                                                                                             for their individual legislative con-
                                              Representatives a report—                                                                                      tributions to this omnibus package.
                                                                                                      ing with stressors;
                                                (1) on the findings of the study conducted                                                                     Congresswoman        BROWNLEY,     who
                                                                                                        (2) the feasibility and advisability of devel-
                                              under subsection (a); and                                                                                      chairs our Veterans’ Affairs Health
                                                                                                      oping more such resources;
                                                (2) indicating any changes made to the
                                                                                                        (3) strategies for improving mental health           Subcommittee, introduced what we
                                              staffing of suicide prevention teams of the
                                              Department resulting from the determina-
                                                                                                      care and outcomes for veterans with post-              consider a cornerstone of STRONG—
                                                                                                      traumatic stress disorder; and                         her American Indian and Alaska Na-
                                              tions made under subsection (b)(3), including
                                                                                                        (4) best practices for helping family mem-           tive Veterans Mental Health Act. This
                                              a list of facilities of the Department where
                                                                                                      bers of veterans deal with secondary post-
                                              staffing was adjusted.                                                                                         provision mandates that VA hire full-
                                                                                                      traumatic stress disorder or mental health
                                              SEC. 506. EXPANSION OF SUICIDE PREVENTION               concerns.                                              time minority veteran coordinators at
                                                          AND MENTAL HEALTH RESEARCH.                                                                        every VA medical center to provide
                                                                                                        The SPEAKER pro tempore. Pursu-                      culturally competent mental health
                                                (a) RESEARCH ON MORAL INJURY.—The Sec-
                                                                                                      ant to the rule, the gentleman from                    and suicide prevention outreach to our
                                              retary of Veterans Affairs, acting through
                                              the Office of Research and Development of               California (Mr. LEVIN) and the gen-                    Tribal veterans.
                                              the Department of Veterans Affairs, shall               tleman from Illinois (Mr. BOST) each                     Congresswoman        SLOTKIN’s    Solid
                                              conduct suicide prevention and mental                   will control 20 minutes.                               Start Act is included in STRONG and
                                              health care improvement research on how                   The Chair recognizes the gentleman                   will ensure that VA continues to con-
                                              moral injury relates to the mental health               from California.                                       tact and check in with veterans fol-
                                              needs of veterans who served in the Armed                                 GENERAL LEAVE
                                              Forces after September 11, 2001, and best                                                                      lowing their transition from Active
                                              practices for mental health treatment for
                                                                                                        Mr. LEVIN of California. Madam                       Duty during what we know is a very
                                              such veterans.                                          Speaker, I ask unanimous consent that                  high-risk time for stress, mental
                                                (b) AUTHORIZATION OF APPROPRIATIONS.—                 all Members may have 5 legislative                     health challenges, and even suicide.
                                              There is authorized to be appropriated to the           days in which to revise and extend                       The committee also was pleased to
                                              Department of Veterans Affairs an addi-                 their remarks and to insert extraneous                 include the Veteran Peer Specialist
                                              tional $10,000,000 to be used by the Center of          material on H.R. 6411, as amended.                     Act from Congressman SCOTT PETERS.
                                              Excellence for Suicide Prevention of the De-              The SPEAKER pro tempore. Is there                    This is an important provision direct-
                                              partment and the Rocky Mountain Mental                  objection to the request of the gen-                   ing VA to expand its peer specialist
                                              Illness Research Education and Clinical Cen-            tleman?                                                program which is extremely popular
                                              ter for purposes of conducting research on                There was no objection.
                                              the factors impacting veteran suicide and                                                                      with veterans.
                                              best practices for early intervention and sup-
                                                                                                        Mr. LEVIN of California. Madam                         Although our colleague, former Con-
                                              port.                                                   Speaker, I yield myself such time as I                 gressman Delgado, recently left the
                                                                                                      may consume.                                           House to become Lieutenant Governor
                                              SEC. 507. STUDY ON MENTAL HEALTH AND SUI-
                                                          CIDE PREVENTION SUPPORT FOR                   Madam Speaker, I rise today in sup-                  of New York, I thank him for intro-
                                                          MILITARY FAMILIES.                          port of H.R. 6411, as amended, the Sup-                ducing the REACH for Veterans Act in
                                                (a) IN GENERAL.—The Secretary of Vet-                 port The Resilience of Our Nation’s                    the House. It is a critical component of
                                              erans Affairs, in collaboration with the Sec-           Great Veterans Act, or STRONG Vet-                     STRONG and will strengthen VA’s Vet-
                                              retary of Defense, shall conduct a study on             erans Act.                                             erans Crisis Line.
                                              secondary post-traumatic stress disorder and              Chairman TAKANO introduced this                        Finally, Chairman TAKANO’s bill in
                                              depression and its impact on spouses, chil-             bill with Ranking Member BOST, and                     STRONG, the VA Governor’s Challenge
                                              dren, and caregivers of members of the                  we are grateful to them and their staff                Expansion Act, mandates, for the first
                                              Armed Forces.
                                                                                                      for working together over many                         time, VA-included Tribes in addition to
                                                (b) REPORT.—                                          months to bring this vital package to
                                                (1) IN GENERAL.—Not later than three years
                                                                                                                                                             States in the successful Governors’
                                              after the date of the enactment of this Act,
                                                                                                      the House floor. This represents a true                Challenge program to prevent veteran
                                              the Secretary of Veterans Affairs, in collabo-          bipartisan effort to address a pressing                suicide. No sovereign nation should
                                              ration with the Secretary of Defense, shall             issue.                                                 have to wait to be invited to a State
                                              submit to Congress, veterans service organi-              Although we all were glad to see the                 Governor’s Challenge team. Instead,
                                              zations, and military support organizations a           veteran suicide rate drop in the last                  Tribes selected for the program will
                                              report on the findings of the study conducted           year for which we have data, one death                 work directly with VA to tailor inno-
                                              under subsection (a).                                   is one too many, and suicide is prevent-               vative suicide prevention ideas to the
                                                (2) DEFINITIONS.—In this subsection:                  able. We must honor our veterans’
                                                (A) The term ‘‘military support organiza-
                                                                                                                                                             needs of their own Native veterans.
                                              tion’’ has the meaning given that term by
                                                                                                      service by getting them the care they                    Overall, STRONG will give VA im-
                                              the Secretary of Defense.                               have earned and deserve now.                           portant new authorities and resources
                                                (B) The term ‘‘veterans service organiza-               Preventing    veteran    suicide   and               to support veterans’ mental health and
                                              tion’’ means an organization recognized by              strengthening veterans’ mental health                  well-being through increased training,
                                              the Secretary of Veterans Affairs for the rep-          and well-being remains a top priority                  outreach, mental health care delivery,
                                              resentation of veterans under section 5902 of           not only of the Biden administration                   and research in line with the commit-
                                              title 38, United States Code.                           and the Department of Veterans Af-                     tee’s public health approach and Presi-
                                              SEC. 508. RESEARCH ON BRAIN HEALTH.                     fairs but also of our committee. There                 dent Biden’s strategy to address vet-
                                                There is authorized to be appropriated to             are prevention approaches and treat-                   eran suicide.
                                              the Department of Veterans Affairs an addi-             ments that work, and we must expand                      It addresses gaps along the spectrum
                                              tional $5,000,000 for ongoing and future re-            all veterans’ access to these lifesaving               of prevention and care by expanding




SSpencer on DSK126QN23PROD with HOUSE
                                              search at the Translational Research Center             and life-improving services.                           mental health outreach to tradition-
                                              of the Department of Veterans Affairs for                 Madam Speaker, while we are talk-                    ally underserved veterans, developing
                                              traumatic brain injury and stress disorders
                                                                                                      ing about access, I want to make sure                  and delivering the most effective treat-
                                              to provide better understanding of, and im-
                                              proved treatment options for, veterans who              everyone listening today has the Vet-                  ments, better equipping VA’s work-
                                              served in the Armed Forces after September              erans Crisis Line phone number. If you                 force to provide care, and further
                                              11, 2001, and who have traumatic brain injury           or somebody you care about is in dis-                  strengthening VA’s crisis response sys-
                                              or post-traumatic stress disorder.                      tress, call 1–800–273–TALK—that is 1–                  tem.



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                                              H5852                                              CONGRESSIONAL RECORD — HOUSE                                                       June 23, 2022
                                                 With this legislation, we will help VA               grams for the VA mental health pro-                       Far too often, we see the tragedy of
                                              better meet veterans where they are—                    viders. It would direct a series of ac-                our selfless defenders losing their bat-
                                              literally. STRONG directs VA to hire                    tions to improve the Veterans Crisis                   tle to mental health issues when re-
                                              more mental health staff at vet centers                 Line, including enhanced training and                  turning from service. The intention of
                                              close to where veterans live and work.                  oversight. It would codify an existing                 our provision is to aid more of our vet-
                                                 STRONG also directs VA to assess                     VA program that reaches out to vet-                    erans who are readjusting to civilian
                                              and improve how well it serves vet-                     erans in their first year out of the mili-             lives by providing them with overdue
                                              erans on college campuses. It requires                  tary to provide them with information                  access to vital mental health re-
                                              VA to more consistently and com-                        about relevant resources.                              sources.
                                              prehensively reach out and provide                        This bill would require VA to con-                      This is especially personal to my dis-
                                              mental health services to veterans who                  duct numerous studies with the goals                   trict, as I represent 89,000 veterans,
                                              have been involved with the criminal                    of improving care for veterans with                    many of whom are or will be receiving
                                              justice system.                                         sleep disorders, refining inpatient care               benefits via the Post-9/11 GI Bill.
                                                 STRONG mandates that as the new                      for veterans struggling with addiction,                   Regardless of which side of the aisle
                                              three-digit crisis hotline number goes                  identifying treatments for veterans                    we sit on, we have an obligation to
                                              live across the country in July, VA fur-                suffering from both mental health and                  make sure that our counseling services
                                              ther strengthen its Veterans Crisis                     substance use disorders, and assessing                 are more accessible for our veterans,
                                              Line to meet the predicted surge in de-                 the possible secondary impacts PTSD                    and I am glad that the STRONG Act fo-
                                              mand for emergency care and followup.                   and depression may have on veterans’                   cuses on this obligation.
                                                 STRONG lays out important guid-                      families.                                                 My provision would expand coun-
                                              ance for VA’s research program related                    This bill is the product of bipartisan,              seling and mental health support to
                                              to suicide, substance use challenges,                   bicameral negotiations between the                     student veterans through the VA’s re-
                                              and other mental health issues. While                   Veterans Affairs’ Committee leaders. I                 adjustment counseling centers, also
                                              caring for veterans today, VA must al-                  thank Chairman TAKANO for working                      known as Vet Centers. These centers
                                              ways be investing in science and look-                  with me to introduce this bill and                     provide individual, group, marriage,
                                              ing for tomorrow’s innovative solu-                     move it forward today.                                 and family counseling, as well as peer
                                              tions to improve veterans’ lives.                         I thank Senate colleagues Chairman                   support opportunities for Active-Duty
                                                 STRONG and its component bills are                   TESTER and Ranking Member MORAN                        servicemembers, veterans, members of
                                              endorsed by too many veterans service                   for their work on this bill.                           the National Guard and Reserve, and
                                              organizations and health organizations                    This bill contains many provisions
                                                                                                                                                             certain military family members. Vet
                                              to list, but, Madam Speaker, let me                     that were in standalone bills intro-
                                                                                                                                                             Centers are community based, con-
                                              leave you with these words from An-                     duced by many of our other Members,
                                                                                                                                                             fidential, and free.
                                              drew Marshall, National Commander of                    and I recognize them today. I send a
                                                                                                                                                                A recent RAND study shows that 20
                                              Disabled American Veterans, ‘‘There is                  particular thank-you to Dr. Murphy,
                                                                                                                                                             percent of veterans on the GI Bill face
                                              simply no greater or more urgent chal-                  Congressman ROUZER, and to two of my
                                                                                                                                                             feelings of depression from PTSD. That
                                              lenge within the veteran community                      fellow committee members, veterans
                                                                                                                                                             20 percent amounts to over 170,000 vet-
                                              right now than addressing mental                        themselves, Dr. MILLER-MEEKS and
                                                                                                                                                             erans, double the number of veterans in
                                              health concerns and ensuring our Na-                    Congressman ELLZEY. Each of them
                                                                                                      spearheaded vital pieces of this legisla-              my district.
                                              tion’s heroes have access to the sup-                                                                             Currently, the option of student vet-
                                              port they need to both prevent and                      tion that will help veterans and their
                                                                                                                                                             erans using school psychologists, in ac-
                                              mitigate crisis.                                        families thrive for years to come.
                                                                                                        I encourage any veteran listening to                 tuality, provides very little relief for
                                                 ‘‘DAV is pleased to support the                                                                             our veterans. The director of policy
                                              STRONG Veterans Act, and we urge its                    this who is struggling and in need of
                                                                                                      support to contact the veterans hotline                and advocacy for the National Associa-
                                              swift passage and signing into law.’’                                                                          tion of School Psychologists has re-
                                                 In closing, Madam Speaker, Chair-                    by calling 1–800–273–8825 and pressing 1.
                                                                                                      Once again, that is 1–800–273–8825 and                 ported that the national ratio of school
                                              man TAKANO and I support this impor-                                                                           psychologists to students is anywhere
                                              tant piece of legislation, and we urge                  pressing 1. Or you can also get there by
                                                                                                      texting 838255. That is 838255. Or you                 from 1 to 2,000 to 1 to 5,000.
                                              our colleagues to support H.R. 6411, as                                                                           The SPEAKER pro tempore. The
                                              amended.                                                can actually visit the Veterans Crisis
                                                                                                      Line at veteranscrisisline.net, all one                time of the gentleman has expired.
                                                 Madam Speaker, I reserve the bal-                                                                              Mr. BOST. Madam Speaker, I yield
                                              ance of my time.                                        word.
                                                                                                        There is absolutely no shame in ask-                 an additional 2 minutes to the gen-
                                                 Mr. BOST. Madam Speaker, I yield
                                                                                                      ing for help if you need it.                           tleman from North Carolina (Mr. MUR-
                                              myself such time as I may consume.
                                                                                                        I urge my colleagues to join me in                   PHY).
                                                 Madam Speaker, I rise today in sup-
                                                                                                      supporting this bill.                                     Mr. MURPHY of North Carolina. I
                                              port of H.R. 6411, as amended, the Sup-
                                                                                                        Madam Speaker, I reserve the bal-                    have heard personal stories from stu-
                                              port The Resiliency of Our Nation’s
                                                                                                      ance of my time.                                       dent veterans who have had to wait
                                              Great, STRONG, Veterans Act.
                                                 This bill would improve VA’s mental                    Mr. LEVIN of California. Madam                       weeks or even months for a mental
                                              health and suicide prevention strate-                   Speaker, I have no further speakers,                   health appointment if their mental
                                              gies by doing a number of things. It                    and I am prepared to close. I reserve                  health crisis was not deemed in need of
                                              would expand the Vet Center work-                       the balance of my time.                                ‘‘immediate attention.’’ Unfortunately,
                                              force, and it would also allow student                    Mr. BOST. Madam Speaker, I yield 2                   many of our veterans do not have the
                                              veterans the opportunity to seek coun-                  minutes to the gentleman from North                    luxury of weeks or months to see a
                                              seling at Vet Centers during what can                   Carolina (Mr. MURPHY), my good                         mental health provider.
                                              be yet another stressful time in that                   friend.                                                   In addition, many of our universities’
                                              period of transitioning into civilian                     Mr. MURPHY of North Carolina.                        mental health counselors are actually
                                              life.                                                   Madam Speaker, I rise today in enthu-                  not licensed professionals but, instead,
                                                                                                      siastic support of H.R. 6411, the Sup-                 graduate or doctoral students. Our vet-
                                                               b 1315                                 port The Resiliency of Our Nation’s                    erans deserve better than this. They
                                                Additionally, the bill would allow                    Great Veterans Act, commonly known                     deserve the best healthcare from quali-
                                              family members of veterans who died                     as the STRONG Act.                                     fied professionals.
                                              by suicide to seek bereavement coun-                      I am proud that this legislation in-                    Helping students succeed in school




SSpencer on DSK126QN23PROD with HOUSE
                                              seling at Vet Centers. This support,                    cludes language from my bill, H.R.                     and their civilian lives is one of the
                                              from counselors who know veterans                       4233, the Student Veterans Counseling                  most important ways we can thank
                                              and the challenges that their families                  Centers Eligibility Act. I introduced                  them for their service.
                                              often face, would be a valuable re-                     this bill alongside Ranking Member                        Tragically, the suicide rate among
                                              source for those in mourning.                           BOST to aid veteran transition back to                 our veterans now is estimated to be
                                                This bill would expand training,                      civilian life, especially for those look-              anywhere from 17 to 22 suicides a day.
                                              scholarship, and loan repayment pro-                    ing to further their education.                        Forty-six percent of military students



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                                              June 23, 2022                                      CONGRESSIONAL RECORD — HOUSE                                                                        H5853
                                              have reported suicidal thoughts, com-                      Madam Speaker, I encourage all of                     The first electronic vote will be con-
                                              pared with only 6 percent of their non-                 my colleagues to support this bill, and                ducted as a 15-minute vote. Remaining
                                              military peers.                                         I yield back the balance of my time.                   electronic votes will be conducted as
                                                 If we can provide mental health serv-                   Mr. LEVIN of California. Madam                      5-minute votes.
                                              ices that are able to assist just a single              Speaker, again, I ask all of my col-
                                                                                                                                                                               f
                                              veteran who is contemplating suicide                    leagues to join me in passing H.R. 6411,
                                              to choose to live, I believe it is our                  as amended, and I yield back the bal-                       KEEP KIDS FED ACT OF 2022
                                              sworn duty to do so. We have that op-                   ance of my time.
                                              portunity now.                                                                                                   The SPEAKER pro tempore. Pursu-
                                                                                                         Ms. JACKSON LEE. Madam Speaker, I rise
                                                 I am proud to support the STRONG                                                                            ant to clause 8 of rule XX, the unfin-
                                                                                                      in support of H.R. 6411, known as the
                                              Veterans Act, and I am very grateful to                                                                        ished business is the vote on the mo-
                                                                                                      STRONG Veterans Act of 2022.
                                              Chairman TAKANO and Ranking Mem-                                                                               tion to suspend the rules and pass the
                                                                                                         As a senior member of the House Commit-
                                              ber BOST for including my bill, the Stu-                                                                       bill (S. 2089) to amend title 38, United
                                                                                                      tees on Judiciary and Homeland Security, I
                                              dent Veterans Counseling Center Eligi-                                                                         States Code, to ensure that grants pro-
                                                                                                      care deeply about our veterans.
                                              bility Act. I urge my colleagues to vote                                                                       vided by the Secretary of Veterans Af-
                                                                                                         I offer my deepest gratitude to our Nation’s
                                              ‘‘yes’’ on H.R. 6411 in support of our                                                                         fairs for State veterans’ cemeteries do
                                                                                                      troops and reservists, their families, and the
                                              Nation’s veterans.                                                                                             not restrict States from authorizing
                                                                                                      21.6 million veterans, including 29,126 in the
                                                 Mr. LEVIN of California. Madam                                                                              the interment of certain deceased
                                                                                                      18th Congressional District of Texas that I
                                              Speaker, I reserve the balance of my                                                                           members of the reserve components of
                                                                                                      proudly represent.
                                              time.                                                      In Congress, I have sponsored many legis-           the Armed Forces in such cemeteries,
                                                 Mr. BOST. Madam Speaker, I yield 2                   lative proposals and co-sponsored well over            and for other purposes, as amended, on
                                              minutes to the gentleman from North                     50 pieces of legislation that will positively ben-     which the yeas and nays were ordered.
                                              Carolina (Mr. ROUZER).                                  efit our veterans and their families.                    The Clerk read the title of the bill.
                                                 Mr. ROUZER. Madam Speaker, after                        Veterans with mental health diagnoses have            The SPEAKER pro tempore. The
                                              hearing from my constituent whose                       a significantly elevated suicide risk. Suicide         question is on the motion offered by
                                              veteran spouse tragically died by sui-                  rates of veterans are at an all-time high, rising      the gentleman from Virginia (Mr.
                                              cide, and learning of the obstacles they                25 percent in 2021 over the previous year.             SCOTT) that the House suspend the
                                              faced when trying to receive critical                   Veterans continue to have a 50 percent higher          rules and pass the bill, as amended.
                                              mental health support for themselves                    risk of suicide than their peers who have not            The vote was taken by electronic de-
                                              and their children following his death,                 served.                                                vice, and there were—yeas 376, nays 42,
                                              I introduced a bill to ensure veteran                      More than 80 percent of post-9/11 veterans          not voting 11, as follows:
                                              families struggling from such a loss                    say that the public does not understand the                              [Roll No. 290]
                                              have access to the support they need                    problems that veterans face when transitioning                            YEAS—376
                                              and deserve.                                            to civilian life.                                      Adams             Castro (TX)       Fitzpatrick
                                                 My legislative language, included in                    Current resources to help the mental health         Aderholt          Chabot            Fleischmann
                                              this bill before us today, the STRONG                                                                          Aguilar           Cheney            Fletcher
                                                                                                      of our veterans are inadequate. Our veterans           Allen             Cherfilus-        Flores
                                              Veterans Act, expands Vet Center eligi-                 need our support when transitioning back to            Allred              McCormick       Foster
                                              bility for counseling and mental health                 civilian life.                                         Amodei            Chu               Foxx
                                              services to families of servicemembers                     The STRONG Veterans Act will:                       Armstrong         Cicilline         Frankel, Lois
                                                                                                                                                             Arrington         Clark (MA)        Fulcher
                                              or veterans who died by suicide. This                      Open eligibility for more student veterans at       Auchincloss       Clarke (NY)       Gallagher
                                              expansion of services is necessary so                   Vet Centers;                                           Axne              Cleaver           Gallego
                                              that these families can receive the                        Expand culturally competent suicide preven-         Babin             Clyburn           Garamendi
                                              critical mental health support needed                                                                          Bacon             Cohen             Garbarino
                                                                                                      tion at VA for native veterans;                        Baird             Cole              Garcia (CA)
                                              to help them heal and move forward.                        Significantly increase mental health staffing       Balderson         Comer             Garcı́a (IL)
                                                 We all know that grief can be ex-                    and training at VA medical centers and Vet             Barr              Connolly          Garcia (TX)
                                              tremely isolating, and the families of                  Centers;                                               Barragán         Cooper            Gibbs
                                              servicemembers and veterans who have                                                                           Bass              Correa            Gimenez
                                                                                                         Further strengthen the Veterans Crisis Line;        Beatty            Costa             Golden
                                              died by suicide should not have to                         Allow more veterans to benefit from engag-          Bentz             Courtney          Gomez
                                              worry about enduring this difficult                     ing with peer specialists; and                         Bera              Craig             Gonzales, Tony
                                              journey alone.                                             Collect data for VA to guide expansion of in-       Bergman           Crawford          Gonzalez (OH)
                                                                                                                                                             Beyer             Crenshaw          Gonzalez,
                                                 Our military families who support a                  patient mental health and substance use treat-         Bice (OK)         Crist               Vicente
                                              loved one who is serving, or has served,                ment.                                                  Bilirakis         Crow              Gottheimer
                                              make a tremendous sacrifice for our                        I urge my colleagues to vote in favor of H.R.       Bishop (GA)       Cuellar           Granger
                                              country, as well. We must ensure they                                                                          Blumenauer        Curtis            Graves (LA)
                                                                                                      6411.                                                  Blunt Rochester   Davids (KS)       Graves (MO)
                                              have access to the care that they de-                      The SPEAKER pro tempore. The                        Bonamici          Davis, Danny K.   Green (TN)
                                              serve and the help that they need when                  question is on the motion offered by                   Bost              Davis, Rodney     Green, Al (TX)
                                              trying to move forward after a suicide                  the gentleman from California (Mr.                     Bourdeaux         Dean              Griffith
                                                                                                                                                             Boyle, Brendan    DeFazio           Grijalva
                                              has devastated them and their family.                   LEVIN) that the House suspend the                        F.              DeGette           Grothman
                                                 Madam Speaker, I thank the chair-                    rules and pass the bill, H.R. 6411, as                 Brady             DeLauro           Guthrie
                                              man and the ranking member for work-                    amended.                                               Brown (MD)        DelBene           Harder (CA)
                                              ing with me to include this very impor-                                                                        Brown (OH)        Demings           Harshbarger
                                                                                                         The question was taken; and (two-                   Brownley          DeSaulnier        Hartzler
                                              tant piece of legislation in this pack-                 thirds being in the affirmative) the                   Buchanan          DesJarlais        Hayes
                                              age, and I encourage my colleagues to                   rules were suspended and the bill, as                  Bucshon           Deutch            Herrell
                                              support it.                                             amended, was passed.                                   Budd              Diaz-Balart       Herrera Beutler
                                                 Mr. LEVIN of California. Madam                                                                              Burgess           Dingell           Higgins (NY)
                                                                                                         A motion to reconsider was laid on                  Bush              Doggett           Hill
                                              Speaker, I am prepared to close. I re-                  the table.                                             Bustos            Donalds           Himes
                                              serve the balance of my time.                                             f                                    Butterfield       Doyle, Michael    Hinson
                                                 Mr. BOST. Madam Speaker, I yield                                                                            Calvert             F.              Horsford
                                              myself the balance of my time.                          ANNOUNCEMENT BY THE SPEAKER                            Cammack           Duncan            Houlahan
                                                                                                                   PRO TEMPORE                               Carbajal          Dunn              Hoyer
                                                 First off, I say thank you to all the                                                                       Cárdenas         Ellzey            Hudson
                                              people who have worked on this impor-                     The SPEAKER pro tempore. Pursu-                      Carey             Emmer             Huffman




SSpencer on DSK126QN23PROD with HOUSE
                                              tant piece of legislation for the support               ant to clause 8 of rule XX, proceedings                Carl              Escobar           Huizenga
                                                                                                                                                             Carson            Eshoo             Issa
                                              that it is has received.                                will resume on motions to suspend the                  Carter (GA)       Espaillat         Jackson
                                                 The important thing is that we get                   rules previously postponed. Votes will                 Carter (LA)       Estes             Jackson Lee
                                              the care, treatment, and support for all                be taken in the following order:                       Carter (TX)       Evans             Jacobs (CA)
                                              the veterans who are considering sui-                                                                          Cartwright        Fallon            Jacobs (NY)
                                                                                                        S. 2089,                                             Case              Feenstra          Jayapal
                                              cide and the families who suffer from                     H.R. 5407, and                                       Casten            Ferguson          Jeffries
                                              the fact that they have done it.                          H.R. 6493.                                           Castor (FL)       Fischbach         Johnson (GA)




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