114TH CONGRESS 
1ST SESSION 
H. R. 203 
AN ACT 
To direct the Secretary of Veterans Affairs to provide for 
the conduct of annual evaluations of mental health care 
and suicide prevention programs of the Department of 
Veterans Affairs, to require a pilot program on loan 
repayment for psychiatrists who agree to serve in the 
Veterans Health Administration of the Department of 
Veterans Affairs, and for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled,
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Clay Hunt Suicide Pre-
vention for American Veterans Act’’ or the ‘‘Clay Hunt 
SAV Act’’. 
SEC. 2. EVALUATIONS OF MENTAL HEALTH CARE AND SUI-
CIDE PREVENTION PROGRAMS OF DEPART-
MENT OF VETERANS AFFAIRS. 
(a) EVALUATIONS.— 
(1) IN GENERAL.—Subchapter I of chapter 17 
of title 38, United States Code, is amended by add-
ing at the end the following new section: 
‘‘§ 1709B. Evaluations of mental health care and sui-
cide prevention programs 
‘‘(a) EVALUATIONS.—(1) Not less frequently than 
once during each period specified in paragraph (3), the 
Secretary shall provide for the conduct of an evaluation 
of the mental health care and suicide prevention programs 
carried out under the laws administered by the Secretary. 
‘‘(2) Each evaluation conducted under paragraph (1) 
shall— 
‘‘(A) use metrics that are common among and 
useful for practitioners in the field of mental health 
care and suicide prevention; 
‘‘(B) identify the most effective mental health 
care and suicide prevention programs conducted by
subsection (a)(1), shall submit to the Committee on Vet-
erans’ Affairs of the Senate and the Committee on Vet-
erans’ Affairs of the House of Representatives a report 
on the mental health care and suicide prevention programs 
carried out under the laws administered by the Secretary 
that includes, with respect to each such program, the fol-
lowing: 
(1) A description of the program. 
(2) The number of veterans served by the pro-
gram. 
(3) The budget of the program. 
(4) The number of full-time equivalent employ-
ees assigned to the program. 
(5) Whether veterans may repeat participation 
in the program or participate in the program in ad-
dition to other similar programs. 
(6) Any study results or research published re-
garding the efficacy of the program. 
(7) Any other information the Secretary deter-
mines appropriate. 
SEC. 3. PUBLICATION OF INTERNET WEBSITE TO PROVIDE 
INFORMATION REGARDING MENTAL HEALTH 
CARE SERVICES. 
(a) IN GENERAL.—Using funds made available to the 
Secretary of Veterans Affairs to publish the Internet
websites of the Department of Veterans Affairs, the Sec-
retary shall survey the existing Internet websites and in-
formation resources of the Department to publish an 
Internet website that serves as a centralized source to pro-
vide veterans with information regarding all of the mental 
health care services provided by the Secretary. 
(b) ELEMENTS.—The Internet website published 
under subsection (a) shall provide to veterans information 
regarding all of the mental health care services available 
in the Veteran Integrated Service Network that the vet-
eran is seeking such services, including, with respect to 
each medical center, Vet Center (as defined in section 
1712A of title 38, United States Code), and community- 
based outpatient center in the Veterans Integrated Service 
Network— 
(1) the name and contact information of each 
social work office; 
(2) the name and contact information of each 
mental health clinic; 
(3) a list of appropriate staff; and 
(4) any other information the Secretary deter-
mines appropriate. 
(c) UPDATED INFORMATION.—The Secretary shall 
ensure that the information described in subsection (b)
that is published on the Internet website under subsection 
(a) is updated not less than once every 90 days. 
(d) OUTREACH.—In carrying out this section, the 
Secretary shall ensure that the outreach conducted under 
section 1720F(i) of title 38, United States Code, includes 
information regarding the Internet website published 
under subsection (a). 
SEC. 4. PILOT PROGRAM FOR REPAYMENT OF EDU-
CATIONAL LOANS FOR CERTAIN PSYCHIA-
TRISTS OF VETERANS HEALTH ADMINISTRA-
TION. 
(a) ESTABLISHMENT.—The Secretary of Veterans 
Affairs shall carry out a pilot program to repay loans of 
individuals described in subsection (b) that— 
(1) were used by such individuals to finance 
education relating to psychiatric medicine, including 
education leading to— 
(A) a degree of doctor of medicine; or 
(B) a degree of doctor of osteopathy; and 
(2) were obtained from any of the following: 
(A) A governmental entity. 
(B) A private financial institution. 
(C) A school. 
(D) Any other authorized entity as deter-
mined by the Secretary.
(b) ELIGIBLE INDIVIDUALS.— 
(1) IN GENERAL.—Subject to paragraph (2), an 
individual eligible for participation in the pilot pro-
gram is an individual who— 
(A) either— 
(i) is licensed or eligible for licensure 
to practice psychiatric medicine in the Vet-
erans Health Administration of the De-
partment of Veterans Affairs; or 
(ii) is enrolled in the final year of a 
residency program leading to a specialty 
qualification in psychiatric medicine that is 
approved by the Accreditation Council for 
Graduate Medical Education; and 
(B) demonstrates a commitment to a long- 
term career as a psychiatrist in the Veterans 
Health Administration, as determined by the 
Secretary. 
(2) PROHIBITION
ON
SIMULTANEOUS
ELIGI-
BILITY.—An individual who is participating in any 
other program of the Federal Government that re-
pays the educational loans of the individual is not el-
igible to participate in the pilot program. 
(c) SELECTION.—The Secretary shall select not less 
than 10 individuals described in subsection (b) to partici-
pate in the pilot program for each year in which the Sec-
retary carries out the pilot program. 
(d) PERIOD
OF OBLIGATED SERVICE.—The Sec-
retary shall enter into an agreement with each individual 
selected under subsection (c) in which such individual 
agrees to serve a period of 2 or more years of obligated 
service for the Veterans Health Administration in the field 
of psychiatric medicine, as determined by the Secretary. 
(e) LOAN REPAYMENTS.— 
(1) AMOUNTS.—Subject to paragraph (2), a 
loan repayment under this section may consist of 
payment of the principal, interest, and related ex-
penses of a loan obtained by an individual who is 
participating in the pilot program for all educational 
expenses (including tuition, fees, books, and labora-
tory expenses) of such individual relating to edu-
cation described in subsection (a)(1). 
(2) LIMIT.—For each year of obligated service 
that an individual who is participating in the pilot 
program agrees to serve under subsection (d), the 
Secretary may pay not more than $30,000 in loan 
repayment on behalf of such individual. 
(f) BREACH.— 
(1) LIABILITY.—An individual who participates 
in the pilot program and fails to satisfy the period
of obligated service under subsection (d) shall be lia-
ble to the United States, in lieu of such obligated 
service, for the amount that has been paid or is pay-
able to or on behalf of the individual under the pilot 
program, reduced by the proportion that the number 
of days served for completion of the period of obli-
gated service bears to the total number of days in 
the period of obligated service of such individual. 
(2) REPAYMENT PERIOD.—Any amount of dam-
ages that the United States is entitled to recover 
under this subsection shall be paid to the United 
States not later than 1 year after the date of the 
breach of the agreement. 
(g) REPORT.— 
(1) INITIAL REPORT.—Not later than 2 years 
after the date on which the pilot program under sub-
section (a) commences, the Secretary 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 pilot pro-
gram. 
(2) ELEMENTS.—The report required by para-
graph (1) shall include the following:
(A) The number of individuals who partici-
pated in the pilot program, including the num-
ber of new hires. 
(B) The locations in which such individuals 
were employed by the Department, including 
how many such locations were rural or urban 
locations. 
(C) An assessment of the quality of the 
work performed by such individuals in the 
course of such employment, including the per-
formance reviews of such individuals. 
(D) The number of psychiatrists the Sec-
retary determines is needed by the Department 
in the future. 
(3) FINAL REPORT.—Not later than 90 days 
before the date on which the pilot program termi-
nates under subsection (i), the Secretary shall sub-
mit to the Committee on Veterans’ Affairs of the 
Senate and the Committee on Veterans’ Affairs of 
the House of Representatives an update to the re-
port submitted under paragraph (1) and any rec-
ommendations that the Secretary considers appro-
priate. 
(h) REGULATIONS.—The Secretary shall prescribe 
regulations to carry out this section, including standards
for qualified loans and authorized payees and other terms 
and conditions for the making of loan repayments. 
(i) TERMINATION.—The authority to carry out the 
pilot program shall expire on the date that is 3 years after 
the date on which the Secretary commences the pilot pro-
gram. 
SEC. 5. PILOT PROGRAM ON COMMUNITY OUTREACH. 
(a) IN GENERAL.—The Secretary of Veterans Affairs 
shall establish a pilot program to assist veterans 
transitioning from serving on active duty and to improve 
the access of veterans to mental health services. 
(b) LOCATIONS.—The Secretary shall carry out the 
pilot program under subsection (a) at not less than five 
Veterans Integrated Service Networks that have a large 
population of veterans who— 
(1) served in the reserve components of the 
Armed Forces; or 
(2) are transitioning into communities with an 
established population of veterans after having re-
cently separated from the Armed Forces. 
(c) FUNCTIONS.—The pilot program at each Vet-
erans Integrated Service Network described in subsection 
(b) shall include the following: 
(1) A community oriented veteran peer support 
network, carried out in partnership with an appro-
priate entity with experience in peer support pro-
grams, that— 
(A) establishes peer support training 
guidelines; 
(B) develops a network of veteran peer 
support counselors to meet the demands of the 
communities in the Veterans Integrated Service 
Network; 
(C) conducts training of veteran peer sup-
port counselors; 
(D) with respect to one medical center se-
lected by the Secretary in each such Veterans 
Integrated Service Network, has— 
(i) a designated peer support spe-
cialist who acts as a liaison to the commu-
nity oriented veteran peer network; and 
(ii) a certified mental health profes-
sional designated as the community ori-
ented veteran peer network mentor; and 
(E) is readily available to veterans, includ-
ing pursuant to the Veterans Integrated Service 
Network cooperating and working with State 
and local governments and appropriate entities.
(2) A community outreach team for each med-
ical center selected by the Secretary pursuant to 
paragraph (1)(D) that— 
(A) assists veterans transitioning into com-
munities; 
(B) establishes a veteran transition advi-
sory group to facilitate outreach activities; 
(C) includes the participation of appro-
priate community organizations, State and local 
governments, colleges and universities, cham-
bers of commerce and other local business orga-
nizations, and organizations that provide legal 
aid or advice; and 
(D) coordinates with the Veterans Inte-
grated Service Network regarding the Veterans 
Integrated Service Network carrying out an an-
nual mental health summit to assess the status 
of veteran mental health care in the community 
and to develop new or innovative means to pro-
vide mental health services to veterans. 
(d) REPORTS.— 
(1) INITIAL
REPORT.—Not later than 18 
months after the date on which the pilot program 
under subsection (a) commences, the Secretary 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 pilot 
program. With respect to each Veterans Integrated 
Service Network described in subsection (b), the re-
port shall include— 
(A) a full description of the peer support 
model implemented under the pilot program, 
participation data, and data pertaining to past 
and current mental health related hospitaliza-
tions and fatalities; 
(B) recommendations on implementing 
peer support networks throughout the Depart-
ment; 
(C) whether the mental health resources 
made available under the pilot program for 
members of the reserve components of the 
Armed Forces is effective; and 
(D) a full description of the activities and 
effectiveness of community outreach coordi-
nating teams under the pilot program, including 
partnerships that have been established with 
appropriate entities. 
(2) FINAL REPORT.—Not later than 90 days 
before the date on which the pilot program termi-
nates under subsection (e), the Secretary shall sub-
mit to the Committee on Veterans’ Affairs of the 
Senate and the Committee on Veterans’ Affairs of 
the House of Representatives an update to the re-
port submitted under paragraph (1). 
(e) CONSTRUCTION.—This section may not be con-
strued to authorize the Secretary to hire additional em-
ployees of the Department to carry out the pilot program 
under subsection (a). 
(f) TERMINATION.—The authority of the Secretary to 
carry out the pilot program under subsection (a) shall ter-
minate on the date that is 3 years after the date on which 
the pilot program commences. 
SEC. 6. COLLABORATION ON SUICIDE PREVENTION EF-
FORTS 
BETWEEN 
DEPARTMENT 
OF 
VET-
ERANS AFFAIRS AND NON-PROFIT MENTAL 
HEALTH ORGANIZATIONS. 
(a) COLLABORATION.—The Secretary of Veterans Af-
fairs may collaborate with non-profit mental health orga-
nizations to prevent suicide among veterans as follows: 
(1) To improve the efficiency and effectiveness 
of suicide prevention efforts carried out by the Sec-
retary and non-profit mental health organizations. 
(2) To assist non-profit mental health organiza-
tions with the suicide prevention efforts of such or-
ganizations through the use of the expertise of em-
ployees of the Department of Veterans Affairs. 
(3) To jointly carry out suicide prevention ef-
forts. 
(b) EXCHANGE OF RESOURCES.—In carrying out any 
collaboration under subsection (a), the Secretary and any 
non-profit mental health organization with which the Sec-
retary is collaborating under such subsection shall ex-
change training sessions and best practices to help with 
the suicide prevention efforts of the Department and such 
organization. 
(c) DIRECTOR OF SUICIDE PREVENTION COORDINA-
TION.—The Secretary shall select within the Department 
a Director of Suicide Prevention Coordination to under-
take any collaboration with non-profit mental health orga-
nizations under this section or any other provision of law. 
SEC. 7. ADDITIONAL PERIOD OF ELIGIBILITY FOR HEALTH 
CARE FOR CERTAIN VETERANS OF COMBAT 
SERVICE DURING CERTAIN PERIODS OF HOS-
TILITIES AND WAR. 
Paragraph (3) of section 1710(e) of title 38, United 
States Code, is amended to read as follows: 
‘‘(3) In the case of care for a veteran described in 
paragraph (1)(D), hospital care, medical services, and
nursing home care may be provided under or by virtue 
of subsection (a)(2)(F) only during the following periods: 
‘‘(A) Except as provided by subparagraph (B), 
with respect to a veteran described in paragraph 
(1)(D) who is discharged or released from the active 
military, naval, or air service after January 27, 
2003, the five-year period beginning on the date of 
such discharge or release. 
‘‘(B) With respect to a veteran described in 
paragraph (1)(D) who is discharged or released from 
the active military, naval, or air service after Janu-
ary 1, 2009, and before January 1, 2011, but did 
not enroll to receive such hospital care, medical serv-
ices, or nursing home care pursuant to such para-
graph during the five-year period described in sub-
paragraph (A), the one-year period beginning on the 
date of the enactment of the Clay Hunt Suicide Pre-
vention for American Veterans Act. 
‘‘(C) With respect to a veteran described in 
paragraph (1)(D) who is discharged or released from 
the active military, naval, or air service on or before 
January 27, 2003, and did not enroll in the patient 
enrollment system under section 1705 of this title on 
or before such date, the three-year period beginning 
on January 27, 2008.’’.