MAINTENANCE OF CAPACITY FOR SPECIALIZED TREATMENT AND REHABILITATIVE NEEDS OF DISABLED VETERANS.

SEC. 203. MAINTENANCE OF CAPACITY FOR SPECIALIZED TREATMENT AND REHABILITATIVE NEEDS OF DISABLED VETERANS. (a) Maintenance of Capacity on a Geographic Service Area Basis.—Section 1706(b) is amended— (1) in paragraph (1)— (A) in the first sentence, by inserting “(and each geographic service area of the Veterans Health Administration)” after “ensure that the Department”; and (B) in clause (B), by inserting “(and each geographic service area of the Veterans Health Administration)” after “overall capacity of the Department”; (2) by redesignating paragraphs (2) and (3) as paragraphs (5) and (6), respectively; and (3) by inserting after paragraph (1) the following new paragraphs: “(2) For purposes of paragraph (1), the capacity of the Department (and each geographic service area of the Veterans Health Administration) to provide for the specialized treatment and rehabilitative needs of disabled veterans (including veterans with spinal cord dysfunction, traumatic brain injury, blindness, prosthetics and sensory aids, and mental illness) within distinct programs or facilities shall be measured for seriously mentally ill veterans as follows (with all such data to be provided by geographic service area and totaled nationally): “(A) For mental health intensive community-based care, the number of discrete intensive care teams constituted to provide such intensive services to seriously mentally ill veterans and the number of veterans provided such care. “(B) For opioid substitution programs, the number of patients treated annually and the amounts expended. “(C) For dual-diagnosis patients, the number treated annually and the amounts expended. “(D) For substance-use disorder programs— “(i) the number of beds (whether hospital, nursing home, or other designated beds) employed and the average bed occupancy of such beds; “(ii) the percentage of unique patients admitted directly to outpatient care during the fiscal year who had two or more additional visits to specialized outpatient care within 30 days of their first visit, with a comparison from 1996 until the date of the report; “(iii) the percentage of unique inpatients with substance-use disorder diagnoses treated during the fiscal year who had one or more specialized clinic visits within three days of their index discharge, with a comparison from 1996 until the date of the report; “(iv) the percentage of unique outpatients seen in a facility or geographic service area during the fiscal year who had one or more specialized clinic visits, with a comparison from 1996 until the date of the report; and “(v) the rate of recidivism of patients at each specialized clinic in each geographic service area of the Veterans Health Administration. “(E) For mental health programs, the number and type of staff that are available at each facility to provide specialized mental health treatment, including satellite clinics, outpatient 115 STAT. 2459 programs, and community-based outpatient clinics, with a comparison from 1996 to the date of the report. “(F) The number of such clinics providing mental health care, the number and type of mental health staff at each such clinic, and the type of mental health programs at each such clinic. “(G) The total amounts expended for mental health during the fiscal year. “(3) For purposes of paragraph (1), the capacity of the Department (and each geographic service area of the Veterans Health Administration) to provide for the specialized treatment and rehabilitative needs of disabled veterans within distinct programs or facilities shall be measured for veterans with spinal cord dysfunction, traumatic brain injury, blindness, or prosthetics and sensory aids as follows (with all such data to be provided by geographic service area and totaled nationally): “(A) For spinal cord injury and dysfunction specialized centers and for blind rehabilitation specialized centers, the number of staffed beds and the number of full-time equivalent employees assigned to provide care at such centers. “(B) For prosthetics and sensory aids, the annual amount expended. “(C) For traumatic brain injury, the number of patients treated annually and the amounts expended. “(4) In carrying out paragraph (1), the Secretary may not use patient outcome data as a substitute for, or the equivalent of, compliance with the requirement under that paragraph for maintenance of capacity.”. (b) Extension of Annual Report Requirement.—Paragraph ( 5) of such section, as so redesignated, is amended— (1) by inserting “(A)” before “Not later than”; (2) by striking “April 1, 1999, April 1, 2000, and April 1, 2001” and inserting “April 1 of each year through 2004”; (3) by adding at the end of subparagraph (A), as designated by paragraph (1), the following new sentence: “Each such report shall include information on recidivism rates associated with substance-use disorder treatment.”; and (4) by adding at the end of such paragraph the following new subparagraphs: “(B) In preparing each report under subparagraph (A), the Secretary shall use standardized data and data definitions. “(C) Each report under subparagraph (A) shall be audited by the Inspector General of the Department, who shall submit to Congress a certification as to the accuracy of each such report.”.