Rural Veterans Mental Health Care Improvement Act - Amends appropriations authorities for veterans' benefits to provide advanced appropriations for information technology relating to medical services, support, compliance, and facilities of the Veterans Health Administration (VHA).
Directs the Secretary of Veterans Affairs (VA) to include, as a component of VHA health-care personnel education and training programs, education and training of marriage and family therapists as well as licensed professional mental health counselors.
Amends the Caregivers and Veterans Omnibus Health Services Act of 2010 to require the Secretary, through VA medical centers, to provide mental health services, including outpatient care, to the immediate families of certain veterans returning from Operation Enduring Freedom or Operation Iraqi Freedom.
Requires the Secretary to report to Congress regarding telemedicine services (the use by a health care provider of telecommunications to assist in the diagnosis or treatment of a patient's medical condition) for veterans, including updates on VA teleconsultation and telemedicine initiatives, training, and partnerships with primary care providers.
[Congressional Bills 113th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3499 Introduced in House (IH)]
113th CONGRESS
1st Session
H. R. 3499
To provide for advance appropriations for certain information
technology accounts of the Department of Veterans Affairs, to include
mental health professionals in training programs of the Department, and
for other purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
November 14, 2013
Mrs. Kirkpatrick (for herself, Mr. DeFazio, Mr. Hinojosa, Ms. Brownley
of California, Mr. Barber, Mrs. Napolitano, Mr. Grijalva, Mrs.
Christensen, Ms. Sinema, Mr. Michaud, Mr. Rahall, Mr. Lowenthal, Ms.
Kuster, Mrs. Davis of California, Ms. Shea-Porter, Mr. Honda, Mr.
Enyart, and Mr. McNerney) introduced the following bill; which was
referred to the Committee on Veterans' Affairs
_______________________________________________________________________
A BILL
To provide for advance appropriations for certain information
technology accounts of the Department of Veterans Affairs, to include
mental health professionals in training programs of the Department, and
for other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Rural Veterans Mental Health Care
Improvement Act''.
SEC. 2. ADVANCE APPROPRIATIONS FOR ACCOUNTS FOR HEALTH-RELATED
INFORMATION TECHNOLOGY FOR THE DEPARTMENT OF VETERANS
AFFAIRS.
(a) Advance Appropriations for Information Technology Accounts.--
Section 117(c) of title 38, United States Code, is amended by adding at
the end the following:
``(4) Accounts, including subaccounts of the Accounts
referred to in paragraphs (1) through (3), providing funds for
information technology.''.
(b) Effective Date.--The amendment made by subsection (a) shall
take effect on October 1, 2014, and shall apply with respect to fiscal
years beginning on or after that date.
SEC. 3. INCLUSION OF MENTAL HEALTH PROFESSIONALS IN THE EDUCATION AND
TRAINING PROGRAM FOR HEALTH PERSONNEL OF THE DEPARTMENT
OF VETERANS AFFAIRS.
(a) In General.--In carrying out the education and training program
required under section 7302(a)(1) of title 38, United States Code, the
Secretary of Veterans Affairs shall include education and training of
marriage and family therapists and licensed professional mental health
counselors.
(b) Funding.--The Secretary shall apportion funding for the
education and training program equally among the professions included
in the program.
SEC. 4. PROVISION OF MENTAL HEALTH SERVICES FOR FAMILIES OF CERTAIN
VETERANS AT FACILITIES OF THE DEPARTMENT.
(a) Provision of Mental Health Services at Department Facilities.--
Subsection (e) of section 304 of the Caregivers and Veterans Omnibus
Health Services Act of 2010 (38 U.S.C. 1712A note; Public Law 111-163)
is amended--
(1) by striking ``Peer Outreach and Peer Support Services''
and inserting ``Services''; and
(2) by striking ``The Secretary shall carry out the
services'' and inserting ``The Secretary shall carry out--
``(1) the services'';
(3) by striking the period at the end and inserting ``;
and''; and
(4) by adding at the end the following new paragraph:
``(2) the mental health services required by subsection
(a)(2) at or through Department medical centers.''.
(b) Definition of Mental Health Services.--Such section is further
amended by striking subsection (f) and inserting the following:
``(f) Definitions.--In this section:
``(1) Mental health services.--The term `mental health
services' includes outpatient mental healthcare referred to in
section 17.38(a)(1)(i) of title 38, Code of Federal Regulations
(as in effect on the day before the date of enactment of this
Act).
``(2) Vet center.--The term `vet center' means a center for
readjustment counseling and related mental health services for
veterans under section 1712A of title 38, United States
Code.''.
SEC. 5. REPORT ON PROVISION OF TELEMEDICINE SERVICES.
(a) In General.--Not later than 120 days after the date of the
enactment of this Act, the Secretary of Veterans Affairs shall submit
to the Committee on Veterans' Affairs of the Senate and the Committee
on Veterans' Affairs of the House of Representatives a report on the
following:
(1) Issues that may be impeding the provision by the
Department of Veterans Affairs of telemedicine services for
veterans, including the following:
(A) Statutory or regulatory restrictions.
(B) Licensure or credentialing issues for any
provider practicing telemedicine with veterans who live
in a different State than the provider.
(C) Limited broadband access in rural areas.
(D) Limited information technology resources or
capabilities.
(E) Long distances veterans must travel to access a
facility or clinic with telemedicine capabilities.
(F) Insufficient liability protection for
providers.
(G) Reimbursement issues faced by providers.
(H) Travel limitations for providers that are
unaffiliated with the Department and are participating
or seeking to participate in a telemedicine program of
the Department.
(2) Actions taken to address the issues identified in
paragraph (1).
(3) An update on efforts by the Department to carry out the
initiative of teleconsultation for the provision of remote
mental health and traumatic brain injury assessments required
by section 1709A of title 38, United States Code.
(4) An update on efforts by the Department to offer
training opportunities in telemedicine to medical residents, as
required by section 108(b) of the Janey Ensminger Act (Public
Law 112-154; 38 U.S.C. 7406 note).
(5) An update on efforts by the Department to, in
partnership with primary care providers, install video cameras
and instruments to monitor weight, blood pressure, and other
vital statistics in the homes of patients.
(b) Telemedicine Defined.--In this section, the term
``telemedicine'' means the use by a health care provider of
telecommunications to assist in the diagnosis or treatment of a
patient's medical condition.
<all>
Introduced in House
Introduced in House
Referred to the House Committee on Veterans' Affairs.
Referred to the Subcommittee on Health.
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