IIB 

117TH CONGRESS 

2D SESSION H. R. 6064 

IN THE SENATE OF THE UNITED STATES 

MAY 19 (legislative day, MAY 17), 2022 

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

AN ACT 

To direct the Secretary of Veterans Affairs to seek to enter 

into an agreement with the National Academies of 

Sciences, Engineering, and Medicine for a review of examinations, furnished by the Secretary, to individuals 

who submit claims to the Secretary for compensation 

under chapter 11 of title 38, United States Code, for 

mental and physical conditions linked to military sexual 

trauma. 


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1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. INDEPENDENT REVIEW OF ASSESSMENTS BY 

4 THE SECRETARY OF VETERANS AFFAIRS OF 

5 MENTAL AND PHYSICAL CONDITIONS LINKED 

6 TO MILITARY SEXUAL TRAUMA FOR PUR7 POSES OF AWARDING DISABILITY COM8 PENSATION. 

9 (a) AGREEMENT.—Not later than 90 days after the 

10 date of the enactment of this Act, the Secretary of Vet11 erans Affairs shall seek to enter into an agreement with 

12 the National Academies of Sciences, Engineering, and 

13 Medicine (in this Act referred to as the ‘‘National Acad14 emies’’) to perform the services covered by this section. 

15 (b) COMPREHENSIVE REVIEW.—Under an agreement 

16 between the Secretary and the National Academies under 

17 this section, the National Academies shall conduct a com18 prehensive review of examinations, furnished by the Sec19 retary to individuals who submit claims to the Secretary 

20 for compensation under chapter 11 of title 38, United 

21 States Code, for mental and physical conditions linked to 

22 military sexual trauma (in this Act referred to as ‘‘MST’’), 

23 for the purpose of assessing the impairments of such indi24 viduals arising from MST. The review carried out pursu25 ant to paragraph (1) shall include the following elements: 


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1 (1) A determination of the adequacy of tools 

2 and protocols used by the Secretary to provide ex3 aminations described in this subsection, including— 

4 (A) the Disability Benefits Questionnaires; 

5 (B) the Department’s schedule of rating 

6 disabilities; 

7 (C) consideration of whether certain condi8 tions linked to MST should require referral for 

9 both a mental health examination and a phys10 ical health examination; and 

11 (D) the necessity of internal pelvic exami12 nations to diagnose certain conditions linked to 

13 MST, and whether alternatives to such exami14 nations could be considered if a veteran objects 

15 to or cannot complete such examination. 

16 (2) A determination of what credentials and 

17 training are necessary for a health care specialist or 

18 provider to perform such examinations related to 

19 physical conditions linked to MST, for men and for 

20 women, including— 

21 (A) sexual dysfunction; 

22 (B) pelvic pain; 

23 (C) pelvic dysfunction; 

24 (D) musculoskeletal disabilities; and 


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1 (E) cardiovascular conditions (including 

2 stroke). 

3 (3) A determination of what credentials and 

4 training are necessary for a health care specialist or 

5 provider to perform such examinations related to 

6 mental health conditions linked to MST, for men 

7 and for women. 

8 (4) An assessment of the quality of MST train9 ing for individuals who perform such examinations, 

10 including recommendations for improvements to 

11 such training. 

12 (c) REPORTS.— 

13 (1) REPORT OF THE NATIONAL ACADEMIES.— 

14 Not later than 540 days after the date on which the 

15 Secretary enters into an agreement under subsection 

16 (a), the National Academies shall submit to the 

17 Committees on Veterans’ Affairs of the Senate and 

18 House of Representatives a report on the com19 prehensive review conducted under subsection (b). 

20 Such report shall include the following elements: 

21 (A) The findings of the National Acad22 emies under subsection (b). 

23 (B) Recommendations of the National 

24 Academies regarding legislative or administraVerDate Sep 11 2014 23:18 May 19, 2022 Jkt 029200 PO 00000 Frm 00004 Fmt 6652 Sfmt 6201 E:\BILLS\H6064.RFS H6064

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1 tive action to improve of the adjudication of 

2 claims described in subsection (b). 

3 (2) REPORT OF THE SECRETARY.—Not later 

4 than 90 days after submission of the report under 

5 paragraph (1), the Secretary shall submit to the 

6 Committees on Veterans’ Affairs of the House of 

7 Representatives and the Senate a report on the 

8 plans of the Secretary to carry out any action based 

9 on the findings and recommendations of the Na10 tional Academies. 

Passed the House of Representatives May 18, 2022. 

Attest: CHERYL L. JOHNSON, 

Clerk. 


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