Puppies Assisting Wounded Servicemembers Act of 2017

Summary: Puppies Assisting Wounded Servicemembers Act of 2017 or the PAWS Act of 2017 This bill directs the Department of Veterans Affairs (VA) to carry out a five-year pilot program under which it provides grants to eligible nonprofit organizations to provide service dogs to veterans who suffer from post-traumatic stress disorder after completing other evidence-based treatment. An organization that receives a grant shall provide for each participating service dog and veteran:  coverage by a commercially available veterinary health insurance policy, hardware clinically determined to be required by the dog to perform the tasks necessary to assist the veteran, payments for travel expenses to obtain the dog, and  travel expenses required to obtain a replacement service dog.  To be eligible for a grant, an organization must: (1) agree to cover all costs in excess of the grant amount to guarantee such benefits, (2) be certified by Assistance Dogs International, (3) provide one-on-one training for each service dog and recipient for 30 hours or more over 90 days or more, and (4) provide an in-house residential facility or other accommodations nearby in which service dog recipients stay for a minimum of 10 days while receiving at least 30 hours of training.  The VA shall develop metrics to measure the improvement in psychosocial function and therapeutic compliance and changes independence on prescription narcotics and psychotropic medication of veterans participating in the program. The Government Accountability Office must report to Congress on the methodology used for the pilot program.

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Puppies Assisting Wounded 
Servicemembers Act of 2017'' or the ``PAWS Act of 2017''.

SEC. 2. FINDINGS.

    Congress makes the following findings:
            (1) According to the analysis of veteran suicide published 
        by the Department of Veterans Affairs in August 2016 and titled 
        ``Suicide Among Veterans and Other Americans''--
                    (A) an average of 20 veterans died by suicide each 
                day in 2014;
                    (B) mental health disorders, including major 
                depression and other mood disorders, have been 
                associated with increased risk for suicide;
                    (C) since 2001, the proportion of users of the 
                Veterans Health Administration with mental health 
                conditions or substance use disorders has increased 
                from approximately 27 percent in 2001 to more than 40 
                percent in 2014; and
                    (D) overall, suicide rates are highest among 
                patients with mental health and substance use disorder 
                diagnoses who are in treatment and lower among those 
                who received a mental health diagnoses but were not at 
                risk enough to require enhanced care from a mental 
                health provider.
            (2) The Department of Veterans Affairs must be more 
        effective in its approach to reducing the burden of veteran 
        suicide connected to mental health disorders, including post-
        traumatic stress disorder, and a pilot program and study to 
        assess the benefits of pairing service dogs with veterans 
        suffering from mental health disorders would allow the 
        Department to better determine the efficacy of using service 
        dogs as a nontraditional therapy to ensure the well-being of 
        veterans.
            (3) Pairing a service dog with a veteran costs 
        approximately $25,000, including with respect to training of 
        the service dog as well as training of the veteran with the 
        service dog.

SEC. 3. DEPARTMENT OF VETERANS AFFAIRS PILOT PROGRAM TO PROVIDE GRANTS 
              FOR THE PROVISION OF SERVICE DOGS TO CERTAIN VETERANS 
              WITH SEVERE POST-TRAUMATIC STRESS DISORDER.

    (a) Grants.--The Secretary of Veterans Affairs shall carry out a 
pilot program under which the Secretary provides a $25,000 grant to an 
eligible organization for each veteran referred to that organization 
for a service dog pairing.
    (b) Benefits Provided.--
            (1) In general.--An organization that receives a grant 
        under subsection (a) shall provide the following for each 
        service dog and veteran participating in the pilot program:
                    (A) Coverage of a commercially available veterinary 
                health insurance policy to maintain the health of the 
                dog and keep the dog functioning in the prescribed role 
                for the life of the dog.
                    (B) Hardware, or repairs or replacements for 
                hardware, that are clinically determined to be required 
                by the dog to perform the tasks necessary to assist the 
                veteran with the diagnosed disorder of the veteran.
                    (C) Payments for travel expenses for the veteran to 
                obtain the dog, calculated in the same manner as 
                similar travel expenses provided pursuant to section 
                111 of title 38, United States Code.
            (2) Other travel expenses.--If a veteran is required to 
        replace a service dog provided pursuant to a grant under this 
        section, the Secretary shall pay for the travel expenses 
        described in paragraph (1)(C) required to obtain a new service 
        dog pursuant to subsection (c)(3), regardless of any other 
        benefits the veteran is receiving for the first service dog 
        under this section.
    (c) Eligible Organizations.--To be eligible to receive a grant 
under this section, an organization shall--
            (1) be a nonprofit organization that provides trained 
        service dogs--
                    (A) that--
                            (i) is certified by Assistance Dogs 
                        International;
                            (ii) on average, provides one-on-one 
                        training for each service dog and recipient for 
                        30 hours or more over 90 days or more;
                            (iii) provides a wellness verification from 
                        a licensed veterinarian for each service dog;
                            (iv) provides an in-house residential 
                        facility, or other accommodations nearby, in 
                        which service dog recipients stay for a minimum 
                        of 10 days while receiving at least 30 hours of 
                        training with their new service dog;
                            (v) ensures all service dogs pass the 
                        American Kennel Club Community Canine test and 
                        the ADI Public Access Test prior to permanent 
                        placement with a recipient; and
                            (vi) provides follow-up support service for 
                        the life of the service dog, to include a 
                        contact plan between the veteran and 
                        organization to allow--
                                    (I) the veteran to reach out for 
                                and receive adequate help with the 
                                service dog; and
                                    (II) the organization to 
                                communicate with the veteran to ensure 
                                that the service dog is being properly 
                                cared for; or
                    (B) that meets the Association of Service Dog 
                Providers for Military Veterans Service Dog Agency 
                Standards that cater to the unique needs of veterans 
                with post-traumatic stress disorder;
            (2) agree to cover all costs in excess of the grant amount 
        to guarantee the benefits listed under subsection (b)(1);
            (3) agree to reaccept or replace the service dog the 
        organization provided to the veteran, if necessary, as 
        determined by the organization and the veteran; and
            (4) submit to the Secretary an application containing such 
        information, certification, and assurances as the Secretary may 
        require.
    (d) Eligible Veterans.--
            (1) In general.--The Secretary of Veterans Affairs shall 
        review and approve veterans eligible to participate under this 
        section and shall refer approved veterans to eligible 
        organizations. The period beginning on the date on which a 
        veteran applies to participate under this section and the date 
        on which the Secretary makes an approval determination may not 
        exceed 90 days.
            (2) Initial eligibility.--For purposes of this section, an 
        eligible veteran is a veteran who is enrolled in the patient 
        enrollment system of the Department of Veterans Affairs under 
        section 1705 of title 38, United States Code, and--
                    (A) has been treated and has completed an 
                established evidence-based treatment for post-traumatic 
                stress disorder yet remains diagnosed with post-
                traumatic stress disorder by a qualified health care 
                provider as rated on the post-traumatic stress disorder 
                checklist (PCL-5);
                    (B) the health care provider or clinical team of 
                the Department of Veterans Affairs that is treating the 
                veteran for such disorder determines based upon medical 
                judgment that the veteran may potentially benefit from 
                a service dog; and
                    (C) agrees to successfully complete training 
                provided by an eligible organization pursuant to 
                subsection (c).
            (3) Ongoing eligibility.--To remain eligible to participate 
        in the pilot program, a veteran shall see the health care 
        provider or clinical team of the Department of Veterans Affairs 
        treating the veteran for such a disorder at least every six 
        months to determine, based on a clinical evaluation of 
        efficacy, whether the veteran continues to benefit from a 
        service dog.
            (4) Other cases.--If at any point, the veteran is no longer 
        able or willing to care for the service dog, the organization 
        that provided the service dog and the veteran shall determine 
        the appropriate recourse to ensure the safety of both the 
        veteran and the service dog.
    (e) Relationship to Department of Veterans Affairs Benefits.--The 
provision of a service dog to a veteran under this section is in 
addition to any other hospital care or medical service furnished by the 
Department for that veteran for post-traumatic stress disorder, and an 
improvement in symptoms as a result of the provision of a service dog 
shall not affect the eligibility of the veteran for any other benefit 
under the laws administered by the Secretary.
    (f) Metrics.--In carrying out this section, the Secretary shall--
            (1) develop metrics and other appropriate means to measure, 
        with respect to veterans participating in the pilot program, 
        the improvement in psychosocial function and therapeutic 
        compliance of such veterans and changes with respect to the 
        dependence on prescription narcotics and psychotropic 
        medication of such veterans; and
            (2) establish processes to document and track the progress 
        of such veterans under the pilot program in terms of the 
        benefits and improvements noted as a result of the pilot 
        program.
    (g) GAO Briefing and Study.--
            (1) Briefing.--Not later than one year after the date on 
        which the Secretary commences the pilot program under 
        subsection (a), the Comptroller General of the United States 
        shall provide to the Committees on Veterans' Affairs of the 
        House of Representatives and the Senate a briefing on the 
        methodology established for the pilot program.
            (2) Report.--Not later than 270 days after the date on 
        which the pilot program terminates, the Comptroller General 
        shall submit to the committees specified in paragraph (1) a 
        report on the pilot program. Such report shall include an 
        evaluation of the approach and methodology used for the pilot 
        program with respect to--
                    (A) helping veterans with severe post-traumatic 
                stress disorder return to civilian life;
                    (B) relevant metrics, including reduction in 
                metrics such as reduction in scores under the post-
                traumatic stress disorder checklist (PCL-5), 
                improvement in psychosocial function, and therapeutic 
                compliance; and
                    (C) reducing the dependence of participants on 
                prescription narcotics and psychotropic medication.
    (h) Authorization of Appropriations.--There is authorized to be 
appropriated for the period of fiscal year 2018 through fiscal year 
2023, $10,000,000 to carry out the pilot program under this section.
    (i) Offset.--The amounts otherwise authorized to be appropriated 
for Department of Veterans Affairs Office of Human Resources and 
Administration for the period of fiscal year 2018 through fiscal year 
2023 shall be reduced by $10,000,000.
    (j) Termination.--The authority to carry out a pilot program under 
this section shall terminate on the date that is five years after the 
date of the enactment of this Act. An eligible veteran in possession of 
a service dog furnished under the pilot program as of the termination 
of the pilot program may keep the service dog after the termination of 
the program for the life of the dog.