S. 1177Senate109th Congress (2005-2007)In Committee

Veterans Mental Health Care Capacity Enhancement Act of 2005

Introduced June 7, 2005

Legislative Activity

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4 earlier actions
SenateCommittee Latest Action

Committee on Veterans' Affairs. Provisions of measure incorporated into measure S. 1182, as amended, ordered to be reported.

September 15, 2005

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SenateIntro Referral

Introduced in Senate

June 7, 2005

SenateIntro Referral

Sponsor introductory remarks on measure. (CR S6157-6158)

June 7, 2005

SenateIntro Referral

Read twice and referred to the Committee on Veterans' Affairs. (text of measure as introduced: CR S6158-6159)

June 7, 2005

SenateCommittee

Committee on Veterans' Affairs. Hearings held. Hearings printed: S.Hrg. 109-217.

June 9, 2005

SenateCommittee

Committee on Veterans' Affairs. Provisions of measure incorporated into measure S. 1182, as amended, ordered to be reported.

September 15, 2005

Floor Debate

11 members

What members said about S. 1177 on the floor

6 Republicans5 Democrats
Daniel K. Akaka
Sen. Daniel K. AkakaD-HI · Jun 7, 2005

Mr. President, I rise today to introduce the ``Neighbor Islands Veterans Health Care Improvements Act.'' My State of Hawaii is home to 115,000 veterans, nearly 18,000 of whom avail themselves of VA…

Larry E. Craig
Sen. Larry E. CraigR-ID · Jun 7, 2005

Mr. President, I seek recognition today to introduce legislation that will expand the services available to our Nation's veterans and their dependents, and improve the ability of the Department of…

Pete V. Domenici
Sen. Pete V. DomeniciR-NM · Jun 7, 2005

Mr. President, I rise today to introduce again legislation to eliminate one of the great inconsistencies in the Internal Revenue Code. The bill I am introducing today with Senator Schumer is designed…

John Warner
Sen. John WarnerR-VA · Jun 7, 2005

Mr. President, I rise today to introduce an important bill related to education and our national, homeland, and economic security. I am pleased to be joined in this bipartisan effort with Senators…

John Cornyn
Sen. John CornynR-TX · Jun 7, 2005

Mr. President, on February 16, shortly before the President's Day recess, the Senator from Vermont and I introduced the OPEN Government Act of 2005 (S. 394)--bipartisan legislation to promote…

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Larry E. Craig
Sen. Larry E. CraigR-ID · Jul 28, 2005

Mr. President, I ask unanimous consent that the Committee on Armed Services be authorized to meet during the session of the Senate on July 28, 2005, at 9:30 a.m., in open session to consider the…

Jim DeMint
Sen. Jim DeMintR-SC · Jun 7, 2005

Mr. President, today I introduce the Secret Ballot Protection Act, a measure that would amend the National Labor Relations Act, NLRA, to ensure the right of employees to a secret ballot election…

Daniel K. Akaka
Sen. Daniel K. AkakaD-HI · Jun 7, 2005

Mr. President, I rise proudly today to introduce legislation that would enhance the Department of Veterans Affairs' (VA) ability to provide mental health and other specialized services to its…

Patrick J. Leahy
Sen. Patrick J. LeahyD-VT · Jun 7, 2005

For the third time this year, Senator Cornyn and I have joined to introduce common sense proposals to strengthen open government and the Freedom of Information Act, or FOIA. The Senator from Texas…

Barbara Boxer
Sen. Barbara BoxerD-CA · Jun 7, 2005

Mr. President, today I am reintroducing the Commercial Airline Missile Defense Act. This legislation is designed to ensure that our commercial aircraft are protected against the threat posed by…

Chuck Grassley
Sen. Chuck GrassleyR-IA · Sep 15, 2005

Mr. President, I ask unanimous consent that the Committee on Banking, Housing, and Urban Affairs be authorized to meet during the session of the Senate on September 15, 2005, at 10 a.m., to conduct a…

Barack Obama
Sen. Barack ObamaD-IL · Jun 7, 2005

Mr. President, the Department of Veterans Affairs estimates that on any given day, as many as 200,000 veterans are homeless. That is 200,000 men and women who have fought for this country who will go…

Joseph R. Biden Jr.
Sen. Joseph R. Biden Jr.D-DE · Jun 7, 2005

Mr. President, today I introduce a bill to remedy a small gap in our passport laws. The change that I propose could be important to family members of servicemembers who lose their lives in service of…

Bill Text

Latest available legislative text

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Introduced in SenateIssued June 7, 2005

II

109th CONGRESS

1st Session

S. 1177

IN THE SENATE OF THE UNITED STATES

June 7, 2005

Mr. Akaka introduced the following bill; which was read twice and referred to the Committee on Veterans' Affairs

A BILL

To improve mental health services at all facilities of the Department of Veterans Affairs.

1.

Short title

This Act may be cited as the Veterans Mental Health Care Capacity Enhancement Act of 2005.

2.

Findings

Congress makes the following findings:

(1)

Mental health treatment capacity at community-based outpatient clinics remains inadequate and inconsistent, despite the requirement under section 1706(c) of title 38, United States Code, that every primary care health care facility of the Department of Veterans Affairs develop and carry out a plan to meet the mental health care needs of veterans who require such services.

(2)

In 2001, the minority staff of the Committee on Veterans' Affairs of the Senate conducted a survey of community-based outpatient clinics and found that there was no established systemwide baseline of acceptable mental health service levels at such clinics.

(3)

In 2004, the Department of Veterans Affairs workgroup on mental health care, which developed and submitted a Comprehensive Mental Health Strategic Plan to the Secretary of Veterans Affairs, found service and funding gaps within the Department of Veterans Affairs health care system, and made numerous recommendations for improvements. As of May 2005, Congress had not received a final report on the workgroup's findings.

(4)

In February 2005, the Government Accountability Office reported that the Department of Veterans Affairs had not fully met any of the 24 clinical care and education recommendations made in 2004 by the Special Committee on Post-Traumatic Stress Disorder of the Under Secretary for Health, Veterans Health Administration.

3.

Required capacity for community-Based outpatient clinics

(a)

Strengthening of performance measures for mental health programs

Section 1706(b)(6) of title 38, United States Code, is amended by adding at the end the following:

(D)

The Under Secretary shall include, as goals in the performance contracts entered into with Network Directors to prioritize mental health services—

(i)

establishing appropriate staff-patient ratio levels for various programs (including mental health services at community-based outpatient clinics);

(ii)

fostering collaborative environments for providers; and

(iii)

encouraging clinicians to conduct mental health consultations during primary care visits.

.

(b)

Inflationary indexing of capacity requirements

Section 1706(b) of title 38, United States Code, is amended by adding at the end the following:

(7)

For the purposes of meeting and reporting on the capacity requirements under paragraph (1), the Secretary shall ensure that the funding levels allocated for specialized treatment and rehabilitative services for disabled veterans are adjusted for inflation each fiscal year.

.

(c)

Mental health and substance abuse services

Section 1706(c) of title 38, United States Code, is amended—

(1)

by inserting (1) before The Secretary; and

(2)

by adding at the end the following:

(2)

The Secretary shall ensure that not less than 90 percent of community-based outpatient clinics have the capacity to provide onsite, contract-referral, or tele-mental health services—

(A)

for at least 10 percent of all clinic visits by not later than September 30, 2006; and

(B)

for at least 15 percent of all clinic visits by not later than September 30, 2007.

(3)

The Secretary shall ensure that not less than 2 years after the date of enactment of this paragraph—

(A)

each primary care health care facility of the Department has the capacity and resources to provide not less than 5 days of inpatient, residential detoxification services onsite or at a nearby contracted or Department facility; and

(B)

a case manager is assigned to coordinate follow up outpatient services at each community-based outpatient clinic.

.

(d)

Reporting requirement

Not later than January 31, 2008, the Secretary of Veterans Affairs shall submit a report to Congress that—

(1)

describes the status and availability of mental health services at community-based outpatient clinics;

(2)

describes the substance of services available at such clinics;

(3)

includes the ratios between mental health staff and patients at such clinics; and

(4)

includes the certification of the Inspector General of the Department of Veterans Affairs.

4.

Cooperation on mental health awareness and prevention

(a)

Agreement

The Secretary of Defense and the Secretary of Veterans Affairs shall enter into a Memorandum of Understanding—

(1)

to ensure that separating servicemembers receive standardized individual mental health and sexual trauma assessments as part of separation exams; and

(2)

includes the development of shared guidelines on how to conduct the assessments.

(b)

Establishment of joint VA–DoD workgroup on mental health

(1)

In general

Not later than 180 days after the date of enactment of this Act, the Secretary of Defense and the Secretary of Veterans Affairs shall establish a joint workgroup on mental health, which shall be comprised of not less than 7 leaders in the field of mental health appointed from their respective departments.

(2)

Study

Not later than 1 year after the establishment of the workgroup under paragraph (1), the workgroup shall analyze the feasibility, content, and scope of initiatives related to—

(A)

combating stigmas and prejudices associated with servicemembers who suffer from mental health disorders or readjustment issues, through the use of peer counseling programs or other educational initiatives;

(B)

ways in which the Department of Veterans Affairs can make their expertise in treating mental health disorders more readily available to Department of Defense mental health care providers;

(C)

family and spousal education to assist family members of veterans and servicemembers to recognize and deal with signs of potential readjustment issues or other mental health disorders; and

(D)

seamless transition of servicemembers who have been diagnosed with mental health disorders from active duty to veteran status (in consultation with the Seamless Transition Task Force and other entities assisting in this effort).

(3)

Report

Not later than June 30, 2007, the Secretary of Defense and the Secretary of Veterans Affairs shall submit a report to Congress containing the findings and recommendations of the workgroup established under this subsection.

5.

Primary care consultations for mental health

(a)

Guidelines

The Under Secretary for Health, Veterans Health Administration, shall establish systemwide guidelines for screening primary care patients for mental health disorders and illnesses.

(b)

Training

Based upon the guidelines established under subsection (a), the Under Secretary for Health, Veterans Health Administration, shall conduct appropriate training for clinicians of the Department of Veterans Affairs to carry out mental health consultations.