H. R. 203—5 
(C) An assessment of the quality of the work performed 
by such individuals in the course of such employment, 
including the performance reviews of such individuals. 
(D) The number of psychiatrists the Secretary deter-
mines is needed by the Department in the future. 
(3) FINAL REPORT.—Not later than 90 days before the date 
on which the pilot program terminates under subsection (i), 
the Secretary shall submit to the Committee on Veterans’ 
Affairs of the Senate and the Committee on Veterans’ Affairs 
of the House of Representatives an update to the report sub-
mitted under paragraph (1) and any recommendations that 
the Secretary considers appropriate. 
(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 program. 
SEC. 5. PILOT PROGRAM ON COMMUNITY OUTREACH. 
(a) IN GENERAL.—The Secretary of Veterans Affairs shall estab-
lish 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 recently separated from 
the Armed Forces. 
(c) FUNCTIONS.—The pilot program at each Veterans Integrated 
Service Network described in subsection (b) shall include the fol-
lowing: 
(1) A community oriented veteran peer support network, 
carried out in partnership with an appropriate entity with 
experience in peer support programs, that— 
(A) establishes peer support training guidelines; 
(B) develops a network of veteran peer support coun-
selors to meet the demands of the communities in the 
Veterans Integrated Service Network; 
(C) conducts training of veteran peer support coun-
selors; 
(D) with respect to one medical center selected by 
the Secretary in each such Veterans Integrated Service 
Network, has— 
(i) a designated peer support specialist who acts 
as a liaison to the community oriented veteran peer 
network; and 
(ii) a certified mental health professional des-
ignated as the community oriented veteran peer net-
work mentor; and 
(E) is readily available to veterans, including pursuant 
to the Veterans Integrated Service Network cooperating
H. R. 203—6 
and working with State and local governments and appro-
priate entities. 
(2) A community outreach team for each medical center 
selected by the Secretary pursuant to paragraph (1)(D) that— 
(A) assists veterans transitioning into communities; 
(B) establishes a veteran transition advisory group to 
facilitate outreach activities; 
(C) includes the participation of appropriate community 
organizations, State and local governments, colleges and 
universities, chambers of commerce and other local busi-
ness organizations, and organizations that provide legal 
aid or advice; and 
(D) coordinates with the Veterans Integrated Service 
Network regarding the Veterans Integrated Service Net-
work carrying out an annual mental health summit to 
assess the status of veteran mental health care in the 
community and to develop new or innovative means to 
provide 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) com-
mences, the Secretary shall submit to the Committee on Vet-
erans’ 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 report shall include— 
(A) a full description of the peer support model imple-
mented under the pilot program, participation data, and 
data pertaining to past and current mental health related 
hospitalizations and fatalities; 
(B) recommendations on implementing peer support 
networks throughout the Department; 
(C) whether the mental health resources made avail-
able 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 coordinating 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 terminates under subsection (e), 
the Secretary shall submit to the Committee on Veterans’ 
Affairs of the Senate and the Committee on Veterans’ Affairs 
of the House of Representatives an update to the report sub-
mitted under paragraph (1). 
(e) CONSTRUCTION.—This section may not be construed to 
authorize the Secretary to hire additional employees of the Depart-
ment 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 terminate on the date 
that is 3 years after the date on which the pilot program commences.
H. R. 203—7 
SEC. 
6. 
COLLABORATION 
ON 
SUICIDE 
PREVENTION 
EFFORTS 
BETWEEN DEPARTMENT OF VETERANS AFFAIRS AND NON- 
PROFIT MENTAL HEALTH ORGANIZATIONS. 
(a) COLLABORATION.—The Secretary of Veterans Affairs may 
collaborate with non-profit mental health organizations to prevent 
suicide among veterans as follows: 
(1) To improve the efficiency and effectiveness of suicide 
prevention efforts carried out by the Secretary and non-profit 
mental health organizations. 
(2) To assist non-profit mental health organizations with 
the suicide prevention efforts of such organizations through 
the use of the expertise of employees of the Department of 
Veterans Affairs. 
(3) To jointly carry out suicide prevention efforts. 
(b) EXCHANGE OF RESOURCES.—In carrying out any collabora-
tion under subsection (a), the Secretary and any non-profit mental 
health organization with which the Secretary is collaborating under 
such subsection shall exchange training sessions and best practices 
to help with the suicide prevention efforts of the Department and 
such organization. 
(c) DIRECTOR OF SUICIDE PREVENTION COORDINATION.—The Sec-
retary shall select within the Department a Director of Suicide 
Prevention Coordination to undertake any collaboration with non- 
profit mental health organizations 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 HOSTILITIES 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 January 1, 2009, and before January 
1, 2011, but did not enroll to receive such hospital care, medical 
services, or nursing home care pursuant to such paragraph 
during the five-year period described in subparagraph (A), the 
one-year period beginning on the date of the enactment of 
the Clay Hunt Suicide Prevention 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 begin-
ning on January 27, 2008.’’.
H. R. 203—8 
SEC. 8. PROHIBITION ON NEW APPROPRIATIONS. 
No additional funds are authorized to be appropriated to carry 
out this Act and the amendments made by this Act, and this 
Act and such amendments shall be carried out using amounts 
otherwise made available for such purposes. 
Speaker of the House of Representatives. 
Vice President of the United States and
President of the Senate.