H.R. 918House115th Congress (2017-2019)Passed House

Veteran Urgent Access to Mental Healthcare Act

Introduced February 7, 2017

AI-Generated Summary

Updated April 15, 2026 at 12:46 PM UTC

The Veteran Urgent Access to Mental Healthcare Act expands VA mental‑health services to former service members who received a non‑honorable discharge (excluding dishonorable or bad‑conduct discharges) and who served in combat zones or were victims of sexual assault. It also creates a process for those individuals to request a determination of their character of service and receive information about how to address any discharge‑related benefit barriers. The bill affects veterans who are currently ineligible for VA health care because of their discharge status.

Key Provisions

  • VA must provide an initial mental‑health assessment and any needed treatment, including suicide‑risk care, to eligible former members meeting the new criteria.
  • Eligibility is limited to former members with a non‑honorable discharge (not dishonorable or bad‑conduct), pending character‑of‑service determination, who served in combat or experienced sexual assault, and who are otherwise ineligible for VA health care.
  • VA may deliver care at non‑VA facilities when VA care is clinically inadvisable or geographically inaccessible.
  • VA must offer a toll‑free number, post information at facilities, coordinate with the Department of Defense, and provide referrals for services outside the VA system.
  • VA must submit an annual report to Congress detailing the number of men and women receiving care and other relevant data.
  • The bill adds a new section establishing a process for individuals to request a character‑of‑service determination and receive guidance on how to address discharge‑related benefit restrictions.

Legislative Activity

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15 earlier actions
SenateIntro Referral Latest Action

Received in the Senate and Read twice and referred to the Committee on Veterans' Affairs.

November 8, 2017

View full timeline
HouseIntro Referral

Introduced in House

February 7, 2017

HouseIntro Referral

Referred to the House Committee on Veterans' Affairs.

February 7, 2017

HouseCommittee

Referred to the Subcommittee on Health.

March 3, 2017

HouseCommittee

Subcommittee Hearings Held.

March 29, 2017

HouseCommittee

Forwarded by Subcommittee to Full Committee by Voice Vote .

April 6, 2017

HouseCommittee

Committee Consideration and Mark-up Session Held.

July 19, 2017

HouseCommittee

Ordered to be Reported (Amended) by Voice Vote.

July 19, 2017

HouseCommittee

Reported (Amended) by the Committee on Veterans' Affairs. H. Rept. 115-390.

November 6, 2017

HouseCalendars

Placed on the Union Calendar, Calendar No. 287.

November 6, 2017

HouseFloor

Mr. Bilirakis moved to suspend the rules and pass the bill, as amended.

November 7, 2017 • 2:45 PM

HouseFloor

Considered under suspension of the rules. (consideration: CR H8550-8553)

November 7, 2017 • 2:45 PM

HouseFloor

DEBATE - The House proceeded with forty minutes of debate on H.R. 918.

November 7, 2017 • 2:45 PM

HouseFloor

Passed/agreed to in House: On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote.(text: CR H8550)

November 7, 2017 • 3:04 PM

HouseFloor

On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote. (text: CR H8550)

November 7, 2017 • 3:04 PM

HouseFloor

Motion to reconsider laid on the table Agreed to without objection.

November 7, 2017 • 3:04 PM

SenateIntro Referral

Received in the Senate and Read twice and referred to the Committee on Veterans' Affairs.

November 8, 2017

Floor Debate

12 members

What members said about H.R. 918 on the floor

6 Republicans6 Democrats
Ron Estes
Rep. Ron EstesR-KS-4 · Sep 12, 2018

Mr. Speaker, I ask unanimous consent that all Members have 5 legislative days to revise and extend their remarks and include extraneous material on the topic of this Special Order. Mr. Speaker, I…

Pete Olson
Rep. Pete OlsonR-TX-22 · Sep 12, 2018

Mr. Speaker, I want to thank my dear friend from Kansas for letting me share with the American people the stories from home, Texas 22. My home county, my home district is on the verge of coming close…

Timothy J. Walz
Rep. Timothy J. WalzD-MN-1 · Nov 7, 2017

Mr. Speaker, I yield myself such time as I may consume. Mr. Speaker, I would like to thank the gentleman from Florida for his long service to this Nation's veterans, as well as his family's service…

Gus M. Bilirakis
Rep. Gus M. BilirakisR-FL-12 · Nov 7, 2017

Mr. Speaker, I move to suspend the rules and pass the bill (H.R. 918) to amend title 38, United States Code, to direct the Secretary of Veterans Affairs to furnish mental health care to certain…

Mike Coffman
Rep. Mike CoffmanR-CO-6 · Nov 7, 2017

Mr. Speaker, as we approach Veterans Day, our Nation is still faced with the epidemic of veteran suicide. And while the VA has made it a priority to address this problem, there are still many combat…

Show 8 more
Tulsi Gabbard
Rep. Tulsi GabbardD-HI-2 · Nov 7, 2017

Mr. Speaker, I would like to thank my fellow veteran and friend and colleague from Minnesota for being such a strong advocate on this issue. I also thank our friends on the other side of the aisle…

Beto O'Rourke
Rep. Beto O'RourkeD-TX-16 · Nov 7, 2017

Mr. Speaker, I thank the gentleman from Minnesota, our ranking member on the committee, for yielding. Mr. Speaker, we have a crisis in suicide among veterans today in this country. The official…

Diane Black
Rep. Diane BlackR-TN-6 · Sep 12, 2018

Mr. Speaker, long before 2017, our Tax Code had become broken, complicated, and outdated. It no longer worked for our families or our businesses. We needed to rebuild confidence in our private sector…

Derek Kilmer
Rep. Derek KilmerD-WA-6 · Nov 7, 2017

Mr. Speaker, I thank the gentleman for yielding, and I thank my colleagues across the aisle for working on this issue. I think it is particularly powerful when what happens in this marble building…

Doug Collins
Rep. Doug CollinsR-GA-9 · Nov 8, 2017

Mr. Speaker, I rise today in support of H.R. 918, the Veteran Urgent Access to Mental Healthcare Act. As Veterans Day approaches, we remember the debt of gratitude we owe our nation's veterans, who…

Henry C. "Hank" Johnson, Jr.
Rep. Henry C. "Hank" Johnson, Jr.D-GA-4 · Nov 13, 2017

Mr. Speaker, I rise in support of H.R. 918, the Veteran Urgent Access to Mental Healthcare Act. H.R. 918 directs the Department of Veterans Affairs (VA) to provide mental health care services to…

Danny K. Davis
Rep. Danny K. DavisD-IL-7 · Jun 7, 2018

Mr. Speaker, I was unable to cast votes on the following legislative measures. If I were present for rollcall votes, I would have voted ``no'' for the following votes: Roll 241, June 7, 2018: On…

Gus M. Bilirakis
Rep. Gus M. BilirakisR-FL-12 · Jun 7, 2018

Mr. Speaker, on Wednesday and part of Thursday, June 6 and 7, 2018, I was unavoidably detained and was unable to make votes. Had I been present, I would have voted: ``Yea'' for rollcall 234, the…

Bill Text

4 versions available

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Latest
Referred in SenateIssued November 8, 2017

IIB

115th CONGRESS

1st Session

H. R. 918

IN THE SENATE OF THE UNITED STATES

November 8, 2017

Received; read twice and referred to the Committee on Veterans' Affairs

AN ACT

To amend title 38, United States Code, to direct the Secretary of Veterans Affairs to furnish mental health care to certain former members of the Armed Forces who are not otherwise eligible to receive such care, and for other purposes.

1.

Short title

This Act may be cited as the Veteran Urgent Access to Mental Healthcare Act.

2.

Expansion of mental health care for certain former members of the Armed Forces

(a)

In general

Chapter 17 of title 38, United States Code, is amended by inserting after section 1720H the following new section:

1720I.

Expansion of mental health care for certain former members of the Armed Forces

(a)

In general

The Secretary shall furnish to former members of the Armed Forces described in subsection (b)—

(1)

an initial mental health assessment; and

(2)

the mental health care services authorized under this chapter that the Secretary determines are required to treat the mental health care needs of the former member, including risk of suicide or harming others.

(b)

Former members of the Armed Forces described

A former member of the Armed Forces described in this subsection is an individual who meets the following criteria:

(1)

The individual is a former member of the Armed Forces, including the reserve components, who—

(A)

served in the active military, naval, or air service, and was discharged or released therefrom under a condition that is not honorable except—

(i)

dishonorable; or

(ii)

bad conduct discharge;

(B)

has applied for a character of service determination and such determination has not been made; and

(C)

is not otherwise eligible to enroll in the health care system established by section 1705 of this title by reason of such discharge or release not meeting the requirements of section 101(2) of this title.

(2)

While serving in the Armed Forces—

(A)

the former member was deployed in a theater of combat operations or an area at a time during which hostilities occurred in that area;

(B)

participated in or experienced such combat operations or hostilities, including by controlling an unmanned aerial vehicle from a location other than such theater or area; or

(C)

was the victim of a physical assault of a sexual nature, battery of a sexual nature, or sexual harassment (as defined in section 1720D(f) of this title).

(c)

Non-Department care

(1)

In furnishing mental health care services to an individual under this section, the Secretary may provide such mental health care services at a non-Department facility if—

(A)

in the judgment of a mental health professional employed by the Department, the receipt of mental health care services by that individual in facilities of the Department would be clinically inadvisable; or

(B)

facilities of the Department are not capable of furnishing such mental health care services to that individual economically because of geographical inaccessibility.

(2)

The Secretary shall carry out paragraph (1) pursuant to section 1703 of this title or any other provision of law authorizing the Secretary to enter into contracts or agreements to furnish hospital care and medical services to veterans at non-Department facilities.

(d)

Setting and referrals

In furnishing mental health care services to an individual under this section, the Secretary shall—

(1)

seek to ensure that such mental health care services are furnished in a setting that is therapeutically appropriate, taking into account the circumstances that resulted in the need for such mental health care services; and

(2)

provide referral services to assist former members who are not eligible for services under this chapter to obtain services from sources outside the Department.

(e)

Information

The Secretary shall provide information on the mental health care services available under this section. Efforts by the Secretary to provide such information—

(1)

shall include availability of a toll-free telephone number (commonly referred to as an 800 number);

(2)

shall ensure that information about the mental health care services available under this section—

(A)

is revised and updated as appropriate;

(B)

is made available and visibly posted at appropriate facilities of the Department; and

(C)

is made available to State veteran agencies and through appropriate public information services; and

(3)

shall include coordination with the Secretary of Defense seeking to ensure that members of the Armed Forces and individuals who are being separated from active military, naval, or air service are provided appropriate information about programs, requirements, and procedures for applying for mental health care services under this section.

(f)

Annual reports

Each year, the Secretary shall submit to Congress an annual report on the mental health care services provided pursuant to this section. Each report shall include data for the year covered by the report with respect to each of the following:

(1)

The number of individuals who received mental health care services under subsection (a), disaggregated by the number of men who received such services and the number of women who received such services.

(2)

Such other information as the Secretary considers appropriate.

.

(b)

Clerical amendment

The table of sections at the beginning of chapter 17 of title 38, United States Code, is amended by inserting after the item relating to section 1720H the following new item:

1720I. Expansion of mental health care for certain former members of the Armed Forces.

.

3.

Character of service determinations

(a)

In general

Chapter 53 of title 38, United States Code, is amended by inserting after section 5303A the following new section:

5303B.

Character of service determinations

(a)

Determination

The Secretary shall establish a process by which an individual who served in the Armed Forces and was discharged or dismissed therefrom may seek a determination from the Secretary with respect to whether such discharge or release was under a condition that bars the right of such individual to a benefit under the laws administered by the Secretary based upon the period of service from which discharged or dismissed.

(b)

Provision of information

If the Secretary determines under subsection (a) that an individual is barred to a benefit under the laws administered by the Secretary, the Secretary shall provide to such individual information regarding the ability of the individual to address such condition, including pursuant to section 5303 of this title and chapter 79 of title 10.

.

(b)

Clerical amendment

The table of sections at the beginning of such chapter is amended by inserting after the item relating to section 5303A the following new item:

5303B. Character of service determinations.

.

Passed the House of Representatives November 7, 2017.

Karen L. Haas,

Clerk.