In this task, you are given text for US Congressional and California state bills, your task is to generate a summary for this bill.

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Armed Forces Behavioral Health 
Awareness Act''.

SEC. 2. ELIGIBILITY OF MEMBERS OF THE ARMED FORCES WHO SERVE IN 
              OPERATION IRAQI FREEDOM OR OPERATION ENDURING FREEDOM FOR 
              READJUSTMENT COUNSELING AND SERVICES THROUGH VET CENTERS.

    (a) In General.--A member of the Armed Forces, including the 
Reserve components, who is deployed in support of Operation Enduring 
Freedom or Operation Iraqi Freedom shall be eligible for readjustment 
counseling and related mental health services under section 1712A of 
title 38, United States Code, through the centers for readjustment 
counseling and related mental health services (commonly known as ``Vet 
Centers'') operated by the Secretary of Veterans Affairs under that 
section.
    (b) Eligibility.--
            (1) Regulations.--Except as provided in paragraph (2), the 
        eligibility of a member of the Armed Forces, including the 
        Reserve components, for counseling and services under 
        subsection (a) shall be subject to such regulations as the 
        Secretary of Defense and the Secretary of Veterans Affairs 
        shall jointly prescribe for purposes of this section.
            (2) Duty status.--The duty status of a member may not have 
        an effect on the eligibility of the member to receive 
        counseling and services under subsection (a).

SEC. 3. GRANTS FOR NONPROFIT ORGANIZATIONS FOR THE PROVISION OF 
              EMOTIONAL SUPPORT SERVICES TO FAMILY MEMBERS OF MEMBERS 
              OF THE ARMED FORCES.

    (a) In General.--The Secretary of Defense shall carry out a program 
to award grants to nonprofit organizations that provide emotional 
support services for family members of members of the Armed Forces, 
including the Reserve components.
    (b) Award of Grants.--
            (1) Eligibility.--To be eligible for a grant under the 
        program under this section, a nonprofit organization shall meet 
        such criteria as the Secretary shall establish for purposes of 
        the program.
            (2) Application.--A nonprofit organization seeking a grant 
        under the program shall submit to the Secretary an application 
        for the grant in such form and manner as the Secretary shall 
        specify for purposes of the program.
    (c) Grants.--
            (1) Amount.--The amount of each grant awarded to a 
        nonprofit organization under the program under this section 
        shall be such amount as the Secretary determines appropriate 
        for purposes of the program.
            (2) Duration.--The duration of each grant awarded to a 
        nonprofit organization shall be such period as the Secretary 
        determines appropriate for purposes of the program.
    (d) Use of Grant Funds.--Each nonprofit organization awarded a 
grant under the program under this section shall use amounts under the 
grant to provide emotional support services for family members of 
members of the Armed Forces, including the Reserve components, through 
certain programs as the Secretary shall specify in the grant.
    (e) Funding.--Amounts for grants under the program under this 
section shall be derived from amounts authorized to be appropriated to 
the Department of Defense for military personnel.

SEC. 4. PILOT PROGRAM TO ENHANCE AWARENESS OF POST-TRAUMATIC STRESS 
              DISORDER.

    (a) Pilot Program Required.--The Secretary of the Army shall carry 
out a pilot program to enhance awareness of post-traumatic stress 
disorder among members of the Army. The Secretary shall carry out the 
pilot program in the following locations:
            (1) Fort Huachuca, Arizona.
            (2) Fort Carson, Colorado.
            (3) Fort Leonard Wood, Missouri.
    (b) Activities.--
            (1) In general.--In carrying out the pilot program, the 
        Secretary shall implement activities that--
                    (A) for a member of the Army who will be deployed 
                in support of a contingency operation, increase the 
                understanding of--
                            (i) the neurophysiological effects of 
                        stress and trauma associated with combat, 
                        including post-traumatic stress disorder; and
                            (ii) the means of eliminating or mitigating 
                        such effects after returning from combat;
                    (B) for a member of the Army deployed in support of 
                a contingency operation, reinforce the information 
                provided under subparagraph (A);
                    (C) for a member of the Army who returns from being 
                deployed in support of a contingency operation, assist 
                the member in reintegrating into noncombat life; and
                    (D) for the family of a member of the Army covered 
                under this subsection, include training and assistance 
                (including Internet-based training and assistance) at 
                each stage of deployment in order to assist the family 
                and member in recognizing and addressing post-traumatic 
                stress disorder.
            (2) Development of activities.--In developing activities 
        under this subsection, the Secretary shall consider methods to 
        address stress and trauma used by other appropriate 
        populations, including special operations forces and elite 
        athlete communities.
    (c) Duration.--The Secretary shall carry out the pilot program for 
a period of three years.
    (d) Report.--Not later than two years after the date of the 
enactment of this Act, the Secretary shall submit to Congress a report 
assessing the pilot program, including the effectiveness of the 
activities under subsection (b).
Armed Forces Behavioral Health Awareness Act - Makes any member of the Armed Forces who is deployed in support of Operations Iraqi Freedom or Enduring Freedom eligible for readjustment counseling and related mental health services through Vet Centers (centers for such counseling and services for veterans), regardless of the member's duty status.

Directs the Secretary of Defense to award grants to nonprofit organizations that provide emotional support services for family members of members of the Armed Forces, including members of the reserves.

Requires the Secretary of the Army to carry out a pilot program to enhance awareness of post-traumatic-stress-disorder (PTSD) among members of the Army.

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Preserving Rehabilitation Innovation 
Centers Act of 2016''.

SEC. 2. FINDINGS.

    Congress makes the following findings:
            (1) In the United States, there are an estimated 1,181 
        inpatient rehabilitation facilities. Among these facilities is 
        a small group of inpatient rehabilitation institutions that are 
        contributing to the future of rehabilitation care medicine, as 
        well as to patient recovery, scientific innovation, and quality 
        of life.
            (2) This unique category of inpatient rehabilitation 
        institutions treats the most complex patient conditions, such 
        as traumatic brain injury, stroke, spinal cord injury, 
        childhood disease, burns, and wartime injuries.
            (3) These leading inpatient rehabilitation institutions are 
        all not-for-profit or Government-owned institutions and serve a 
        high volume of Medicare or Medicaid beneficiaries.
            (4) These leading inpatient rehabilitation institutions 
        have been recognized by the Federal Government for their 
        contributions to cutting-edge research to develop solutions 
        that enhance quality of care, improve patient outcomes, and 
        reduce health care costs.
            (5) These leading inpatient rehabilitation institutions 
        help to improve the practice and standard of rehabilitation 
        medicine across the Nation in urban, suburban, and rural 
        communities by training physicians, medical students, and other 
        clinicians, and providing care to patients from all 50 States.
            (6) It is vital that these leading inpatient rehabilitation 
        institutions are supported so they can continue to lead the 
        Nation's efforts to--
                    (A) advance integrated, multidisciplinary 
                rehabilitation research;
                    (B) provide cutting-edge medical care to the most 
                complex rehabilitation patients;
                    (C) serve as education and training facilities for 
                the physicians, nurses, and other health professionals 
                who serve rehabilitation patients;
                    (D) ensure Medicare and Medicaid beneficiaries 
                receive state-of-the-art, high-quality rehabilitation 
                care by developing and disseminating best practices and 
                advancing the quality of care utilized by post-acute 
                providers in all 50 States; and
                    (E) support other inpatient rehabilitation 
                institutions in rural areas to help ensure access to 
                quality post-acute care for patients living in these 
                communities.

SEC. 3. STUDY AND REPORT RELATING TO THE COSTS INCURRED BY, AND THE 
              MEDICARE PAYMENTS MADE TO, REHABILITATION INNOVATION 
              CENTERS.

    (a) In General.--Section 1886(j) of the Social Security Act (42 
U.S.C. 1395ww(j)) is amended--
            (1) by redesignating paragraph (8) as paragraph (9); and
            (2) by inserting after paragraph (7) the following new 
        paragraph:
            ``(8) Study and report relating to the costs incurred by, 
        and the medicare payments made to, rehabilitation innovation 
        centers.--
                    ``(A) Study.--The Secretary shall conduct a study 
                to assess the costs incurred by rehabilitation 
                innovation centers (as defined in subparagraph (C)) 
                that are beyond the prospective rate for each of the 
                following activities:
                            ``(i) Furnishing items and services to 
                        individuals under this title.
                            ``(ii) Conducting research.
                            ``(iii) Providing medical training.
                    ``(B) Report.--Not later than July 1, 2019, the 
                Secretary shall submit to Congress a report containing 
                the results of the study under subparagraph (A), 
                together with recommendations for such legislation and 
                administrative action as the Secretary determines 
                appropriate.
                    ``(C) Rehabilitation innovation center defined.--
                            ``(i) In general.--In this paragraph, the 
                        term `rehabilitation innovation center' means a 
                        rehabilitation facility that, determined as of 
                        the date of the enactment of this paragraph, is 
                        described in clause (ii) or clause (iii).
                            ``(ii) Not-for-profit.--A rehabilitation 
                        facility described in this clause is a facility 
                        that--
                                    ``(I) is classified as a not-for-
                                profit entity under the IRF Rate 
                                Setting File for the Correction Notice 
                                for the Inpatient Rehabilitation 
                                Facility Prospective Payment System for 
                                Federal Fiscal Year 2012 (78 Fed. Reg. 
                                59256);
                                    ``(II) holds at least one Federal 
                                rehabilitation research and training 
                                designation for research projects on 
                                traumatic brain injury, spinal cord 
                                injury, or stroke rehabilitation 
                                research from the Rehabilitation 
                                Research and Training Centers or the 
                                Rehabilitation Engineering Research 
                                Center at the National Institute on 
                                Disability and Rehabilitation Research 
                                at the Department of Education, based 
                                on such data submitted to the Secretary 
                                by a facility, in a form, manner, and 
                                time frame specified by the Secretary;
                                    ``(III) has a minimum Medicare case 
                                mix index of 1.1144 for fiscal year 
                                2012 according to the IRF Rate Setting 
                                File described in subclause (I); and
                                    ``(IV) had at least 300 Medicare 
                                discharges or at least 200 Medicaid 
                                discharges in a prior year as 
                                determined by the Secretary.
                            ``(iii) Government-owned.--A rehabilitation 
                        facility described in this clause is a facility 
                        that--
                                    ``(I) is classified as a 
                                Government-owned institution under the 
                                IRF Rate Setting File described in 
                                clause (ii)(I);
                                    ``(II) holds at least one Federal 
                                rehabilitation research and training 
                                designation for research projects on 
                                traumatic brain injury, spinal cord 
                                injury, or stroke rehabilitation 
                                research from the Rehabilitation 
                                Research and Training Centers, the 
                                Rehabilitation Engineering Research 
                                Center, or the Model Spinal Cord Injury 
                                Systems at the National Institute on 
                                Disability and Rehabilitation Research 
                                at the Department of Education, based 
                                on such data submitted to the Secretary 
                                by a facility, in a form, manner, and 
                                time frame specified by the Secretary;
                                    ``(III) has a minimum Medicare case 
                                mix index of 1.1144 for 2012 according 
                                to the IRF Rate Setting File described 
                                in clause (ii)(I); and
                                    ``(IV) has a Medicare 
                                disproportionate share hospital (DSH) 
                                percentage of at least 0.6300 according 
                                to the IRF Rate Setting File described 
                                in clause (ii)(I)).''.

            Passed the Senate December 10 (legislative day, December 
      9), 2016.

            Attest:

                                                             Secretary.
114th CONGRESS

  2d Session

                                S. 1168

_______________________________________________________________________

                                 AN ACT

 To amend title XVIII of the Social Security Act to preserve access to 
     rehabilitation innovation centers under the Medicare program.
Preserving Rehabilitation Innovation Centers Act of 2016 This bill amends title XVIII (Medicare) of the Social Security Act to direct the Department of Health and Human Services to conduct a study to assess the costs incurred by rehabilitation innovation centers that are beyond the prospective rates for each of the following activities: (1) furnishing items and services to individuals under Medicare; (2) conducting research; and (3) providing medical training.

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Veterans Programs Amendments of 
1996''.

SEC. 2. PRESUMPTION THAT BRONCHIOLO-ALVEOLAR CARCINOMA IS SERVICE-
              CONNECTED.

    Section 1112(c)(2) of title 38, United States Code, is amended by 
adding at the end the following new subparagraph:
            ``(P) Bronchiolo-alveolar carcinoma.''.

SEC. 3. PRESUMPTION OF PERMANENT AND TOTAL DISABILITY FOR VETERANS OVER 
              AGE 65 WHO ARE NURSING HOME PATIENTS.

    Section 1502(a) of title 38, United States Code, is amended by 
inserting ``is 65 years of age or older and a patient in a nursing home 
or, regardless of age,'' after ``such a person''.

SEC. 4. PILOT PROGRAM FOR USE OF CONTRACT PHYSICIANS FOR DISABILITY 
              EXAMINATIONS.

    (a) Authority.--The Secretary of Veterans Affairs may conduct a 
pilot program under this section under which examinations with respect 
to medical disability of applicants for benefits under laws 
administered by the Secretary that are carried out through the Under 
Secretary for Benefits may be made by persons other than employees of 
the Department of Veterans Affairs pursuant to contracts entered into 
with those persons.
    (b) Limitation.--The Secretary may carry out the pilot program 
under this section through not more than 10 regional offices of the 
Department of Veterans Affairs.
    (c) Source of Funds.--Payments for contracts under the pilot 
program under this section shall be made from amounts available to the 
Secretary of Veterans Affairs for payment of examinations of applicants 
for benefits.
    (d) Report to Congress.--Not later than three years after the date 
of the enactment of this Act, the Secretary shall submit to Congress a 
report on the effect of the use of the authority provided by subsection 
(a) on the timeliness and thoroughness of medical disability 
examinations.

SEC. 5. INCREASE IN AUTOMOBILE ALLOWANCE.

    (a) In General.--Section 3902(a) of title 38, United States Code, 
is amended by striking out ``$5,500'' and inserting in lieu thereof 
``$6,000''.
    (b) Effective Date.--The amendment made by subsection (a) shall 
apply with respect to purchases of automobiles and other conveyances on 
or after the date of the enactment of this Act.

SEC. 6. EFFECTIVE DATE OF DISCONTINUANCE OF CERTAIN VETERANS' BENEFITS 
              BY REASON OF DEATH OF RECIPIENT.

    (a) In General.--Section 5112(b)(1) of title 38, United States 
Code, is amended to read as follows:
            ``(1) by reason of--
                    ``(A) the marriage or remarriage of the payee, 
                shall be the last day of the month before the month 
                during which such marriage or remarriage occurs; and
                    ``(B) the death of the payee, shall be (i) the last 
                day of the month before the month during which the 
                death occurs, or (ii) in the case of a payee who was in 
                receipt of compensation or pension and who has a 
                surviving spouse, the date on which the death 
                occurs;''.
    (b) Payment of Benefit for Final Month.--Section 5112 of such title 
is further amended by adding at the end the following new subsection:
    ``(d) In the case of discontinuance of payment of compensation or 
pension covered by subsection (b)(1)(B)(ii), the payment for the final 
calendar month (or any portion thereof) for which such benefit is 
payable shall (notwithstanding any other provision of law) be payable 
to the surviving spouse.''.
    (c) Commencement Date for DIC.--Section 5110(d) of such title is 
amended by adding at the end the following new paragraph:
    ``(3) Notwithstanding paragraph (1), the effective date of an award 
of dependency and indemnity compensation for which application is 
received within one year from the date of death shall, in the case of a 
surviving spouse to whom an amount is payable pursuant to section 
5111(d) of this title, be the day following the date on which the death 
occurred.''.
    (d) Effective Date.--The amendments made by this section shall 
apply with respect to the death of compensation and pension recipients 
occurring after October 1, 1998.

SEC. 7. INCREASE IN PERIOD FOR WHICH ACCRUED BENEFITS PAYABLE.

    Section 5121(a) of title 38, United States Code, is amended by 
striking out ``one year'' in the matter preceding paragraph (1) and 
inserting in lieu thereof ``two years''.

SEC. 8. LIMITATION ON CLOTHING ALLOWANCE FOR INCARCERATED VETERANS.

    (a) Pro Rata Reduction.--Chapter 53 of title 38, United States 
Code, is amended by inserting after section 5313 the following new 
section:
``Sec. 5313A. Limitation on payment of clothing allowance to 
              incarcerated veterans
    ``In the case of a veteran who is incarcerated in a Federal, State, 
or local penal institution for a period in excess of 60 days and who is 
furnished clothing without charge by the institution, the amount of an 
annual clothing allowance payable to such veteran under section 1162 of 
this title shall be reduced on a pro rata basis for each day on which 
the veteran was so incarcerated during the 12-month period preceding 
the date on which payment of the allowance would be due. This section 
shall be carried out under regulations prescribed by the Secretary.''.
    (b) Clerical Amendment.--The table of sections at the beginning of 
such chapter is amended by inserting after the item relating to section 
5313 the following new item:

``5313A. Limitation on payment of clothing allowance to incarcerated 
                            veterans.''.

SEC. 9. REPAIR AND LONG-TERM MAINTENANCE OF WAR MEMORIALS.

    Section 5(b)(2) of the Act of March 4, 1923 (36 U.S.C. 125(b)(2)), 
is amended--
            (1) by inserting ``(A)'' after ``(2)''; and
            (2) by adding at the end the following:
    ``(B) In assuming responsibility for a war memorial under paragraph 
(1), the Commission may enter into arrangements with the sponsors of 
the memorial to provide for the repair or long-term maintenance of the 
memorial. Any funds transferred to the Commission for the purpose of 
this subparagraph shall, in lieu of subparagraph (A), be deposited by 
the Commission in the fund established by paragraph (3).
    ``(3)(A) There is established in the Treasury a fund which shall be 
available to the Commission for expenses for the maintenance and repair 
of memorials with respect to which the Commission enters into 
arrangements under paragraph (2)(B). The fund shall consist of (i) 
amounts deposited, and interest and proceeds credited, under 
subparagraph (B), and (ii) obligations obtained under subparagraph (C).
    ``(B) The Commission shall deposit in the fund such amounts from 
private contributions as may be accepted under paragraph (2)(B). The 
Secretary of the Treasury shall credit to the fund the interest on, and 
the proceeds from sale or redemption of, obligations held in the fund.
    ``(C) The Secretary of the Treasury shall invest any portion of the 
fund that, as determined by the Commission, is not required to meet 
current expenses. Each investment shall be made in an interest bearing 
obligation of the United States or an obligation guaranteed as to 
principal and interest by the United States that, as determined by the 
Commission, has a maturity suitable for the fund.''.

Veterans Programs Amendments of 1996 - Adds bronchiolo-alveolar carcinoma to the list of diseases that will be considered service-connected (and therefore compensable) when occurring in a radiation-exposed veteran. 
(Sec. 3) Considers any veteran age 65 or older and a patient in a nursing home as totally and permanently disabled for purposes of eligibility for veterans' disability compensation. 
(Sec. 4) Authorizes the Secretary of Veterans Affairs to conduct a pilot program under which veterans' medical disability evaluation examinations may be made under contract by persons other than employees of the Department of Veterans Affairs.  Requires the Secretary to report to the Congress on the program's effect on the timeliness and thoroughness of such examinations. 
(Sec. 5) Increases from $5,500 to $6,000 the authorized automobile allowance provided to a disabled veteran when used to purchase an automobile containing adaptive equipment. 
(Sec. 6) Provides the effective dates for:  (1) the discontinuance of veterans' disability compensation, dependency and indemnity compensation, or pension benefits due to the remarriage of the beneficiary or the death of the payee; and (2) the award of DIC for which application is received within one year from the date of death of a veteran. 
(Sec. 7) Increases from one to two years after the death of a primary beneficiary the authorized period for the payment of certain accrued veterans' benefits. 
(Sec. 8) Reduces on a prorated basis the annual clothing allowance payable to certain disabled veterans who are incarcerated for a period in excess of 60 days and furnished clothing without charge by the penal institution. 
(Sec. 9) Authorizes the American Battle Monuments Commission to enter into arrangements for the repair and long-term maintenance of war memorials for which the Commission assumes responsibility. Establishes in the Treasury a fund for such repair and maintenance expenses.