PAWS for Veterans Therapy Act

135 STAT. 329 PUBLIC LAW 117–37—AUG. 25, 2021 Public Law 117–37 117th Congress An Act To direct the Secretary of Veterans Affairs to carry out a pilot program on dog training therapy, and to amend title 38, United States Code, to authorize the Secretary of Veterans Affairs to provide service dogs to veterans with mental illnesses who do not have mobility impairments. Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, SECTION 1. SHORT TITLE. This Act may be cited as the ‘‘Puppies Assisting Wounded Servicemembers for Veterans Therapy Act’’ or the ‘‘PAWS for Vet- erans Therapy Act’’. SEC. 2. DEPARTMENT OF VETERANS AFFAIRS PILOT PROGRAM ON DOG TRAINING THERAPY. (a) IN GENERAL.—Not later than 180 days after the date of the enactment of the Act, the Secretary of Veterans Affairs shall commence the conduct of a pilot program to provide canine training to eligible veterans diagnosed with post-traumatic stress disorder (in this section referred to as ‘‘PTSD’’) as an element of a com- plementary and integrative health program for such veterans. (b) DURATION; MEDICAL CENTERS.— (1) DURATION.—The Secretary shall carry out the pilot program under subsection (a) for a 5-year period beginning on the date of the commencement of the pilot program. (2) MEDICAL CENTERS.—The Secretary shall ensure that such pilot program is carried out by not fewer than five medical centers of the Department of Veterans Affairs located in geo- graphically diverse areas. (c) AGREEMENTS WITH ENTITIES.—In carrying out the pilot pro- gram under subsection (a), the Secretary shall seek to enter into agreements with nongovernmental entities that the Secretary deter- mines have the demonstrated ability to provide the canine training specified in subsection (a). (d) REQUIRED CONDITIONS.—The Secretary shall include in any agreement under subsection (c) conditions requiring that the non- governmental entity seeking to enter into the agreement— (1) submits to the Secretary certification that the entity is an accredited service dog training organization; (2) agrees to ensure that veterans participating in the pilot program under subsection (a) receive training from cer- tified service dog training instructors for a period of time deter- mined appropriate by the entity; (3) agrees to ensure that veterans participating in such pilot program are prohibited from having access to a dog under Determination. Certification. Determination. Deadline. 38 USC 1714 note. 38 USC 101 note. Puppies Assisting Wounded Servicemembers for Veterans Therapy Act. Aug. 25, 2021 [H.R. 1448] VerDate Sep 11 2014 16:58 Aug 27, 2021 Jkt 019139 PO 00037 Frm 00001 Fmt 6580 Sfmt 6581 E:\PUBLAW\PUBL037.117 PUBL037 jmbennett on LAP3P8D0R2PROD with PUBLAW 135 STAT. 330 PUBLIC LAW 117–37—AUG. 25, 2021 such pilot program at any time during such participation with- out the supervision of a certified service dog training instructor; (4) agrees to ensure that veterans participating in such pilot program receive training in skills unique to the needs of the veteran to address or alleviate PTSD symptoms of the veteran; (5) agrees not to use shock collars or prong collars as training tools and to use positive reinforcement training; and (6) agrees to provide any follow-up training support speci- fied in subsection (e)(2), as applicable. (e) ADOPTION OF DOG.— (1) IN GENERAL.—A veteran who has participated in the pilot program under subsection (a) may adopt a dog that the veteran assisted in training during such pilot program if the veteran and the veteran’s health provider (in consultation with the entity that provided the canine training with respect to the dog under such pilot program) determine that it is in the best interest of the veteran. (2) FOLLOW-UP TRAINING SUPPORT.—If a veteran adopts a dog under paragraph (1), the entity that provided the canine training with respect to the dog under the pilot program shall provide follow-up training support for the life of the dog. Such support shall include the provision of a contact plan between the veteran and the entity that enables the veteran to seek and receive assistance from the entity to ensure the dog is being properly cared for. (f) ELIGIBILITY FOR OTHER CARE AND TREATMENT.—Participa- tion in the pilot program under subsection (a) may not preclude a veteran from receiving any other medical care or treatment for PTSD furnished by the Department, including therapy, for which the veteran is otherwise eligible. (g) COLLECTION OF DATA.—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 under subsection (a)— (A) the number of such veterans participating; (B) the satisfaction of such veterans with the pilot program; (C) whether participation in the pilot program resulted in any clinically relevant improvements for such veterans, as determined by the health care provider or clinical team that referred the veteran to participate in the pilot pro- gram; and (D) such other factors as the Secretary may determine appropriate; and (2) establish processes to document and track the progress of such veterans under the pilot program with respect to health benefits and improvements. (h) REPORT BY SECRETARY.—Not later than 1 year before the date on which the pilot program under subsection (a) terminates, the Secretary shall submit to the Committees on Veterans’ Affairs of the House of Representatives and the Senate a report containing the recommendations of the Secretary regarding— (1) whether to extend or make permanent the pilot pro- gram; and Recommenda- tions. Determination. Consultation. Determination. VerDate Sep 11 2014 16:58 Aug 27, 2021 Jkt 019139 PO 00037 Frm 00002 Fmt 6580 Sfmt 6581 E:\PUBLAW\PUBL037.117 PUBL037 jmbennett on LAP3P8D0R2PROD with PUBLAW 135 STAT. 331 PUBLIC LAW 117–37—AUG. 25, 2021 (2) the feasibility and advisability of expanding the pilot program to address mental health conditions other than PTSD. (i) GAO BRIEFING AND STUDY.— (1) BRIEFING.—Not later than 1 year after the date of the commencement of 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 Rep- resentatives 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) assisting veterans with PTSD; and (B) measuring relevant metrics, such as reduction in scores under the Clinician Administered PTSD Scale (CAPS), improvement in psychosocial function, and thera- peutic compliance. (j) DEFINITIONS.—In this section: (1) The term ‘‘accredited service dog training organization’’ means an organization described in section 501(c)(3) of the Internal Revenue Code of 1986 that— (A) provides service dogs to veterans with PTSD; and (B) is accredited by an accrediting organization with demonstrated experience, national scope, and recognized leadership and expertise in the training of service dogs and education in the use of service dogs (as determined by the Secretary). (2) The term ‘‘eligible veteran’’ means a veteran who— (A) is enrolled in the patient enrollment system in the Department of Veterans Affairs under section 1705 of title 38, United States Code; and (B) has been recommended for participation in the pilot program under subsection (a) by a qualified mental health care provider or clinical team based on medical judgment that the veteran may benefit from such participa- tion with respect to the diagnosed PTSD of the veteran. (3) The term ‘‘service dog training instructor’’ means an instructor who provides the direct training of veterans with PTSD in the art and science of service dog training and han- dling. SEC. 3. PROVISION OF SERVICE DOGS AND VETERINARY INSURANCE BENEFITS TO VETERANS WITH POST-TRAUMATIC STRESS DISORDER WHO DO NOT HAVE CERTAIN IMPAIRMENTS. (a) IN GENERAL.—Section 1714 of title 38, United States Code, is amended by adding at the end the following new subsections: ‘‘(e) The Secretary may provide a service dog to a veteran under subsection (c)(3) regardless of whether the veteran has a mobility impairment. ‘‘(f)(1) The Secretary shall provide to any veteran described in paragraph (2) a commercially available veterinary insurance policy for each dog provided to such veteran under subsection (b) or (c). ‘‘(2) A veteran described in this paragraph is a veteran who— Evaluation. Deadline. VerDate Sep 11 2014 16:58 Aug 27, 2021 Jkt 019139 PO 00037 Frm 00003 Fmt 6580 Sfmt 6581 E:\PUBLAW\PUBL037.117 PUBL037 jmbennett on LAP3P8D0R2PROD with PUBLAW 135 STAT. 332 PUBLIC LAW 117–37—AUG. 25, 2021 LEGISLATIVE HISTORY—H.R. 1448: HOUSE REPORTS: No. 117–31 (Comm. on Veterans’ Affairs). CONGRESSIONAL RECORD, Vol. 167 (2021): May 12, considered and passed House. Aug. 5, considered and passed Senate. Æ ‘‘(A) is diagnosed with post-traumatic stress disorder or a visual, hearing, or substantial mobility impairment; ‘‘(B) has received a dog under subsection (b) or (c) in connection with such disorder or impairment; and ‘‘(C) meets such other requirements as the Secretary may prescribe.’’. (b) APPLICABILITY.—Section 1714(f) of title 38, United States Code, as added by subsection (a), shall apply with respect to a veteran provided a dog by the Secretary of Veterans Affairs on or after the date of the enactment of this Act. Approved August 25, 2021. 38 USC 1714 note. VerDate Sep 11 2014 16:58 Aug 27, 2021 Jkt 019139 PO 00037 Frm 00004 Fmt 6580 Sfmt 6580 E:\PUBLAW\PUBL037.117 PUBL037 jmbennett on LAP3P8D0R2PROD with PUBLAW