HOPE for Heroes Act of 2025

Subsection (b) of section 201 of the Commander John Scott Hannon Veterans Mental Health Care Improvement Act of 2019 (38 U.S.C. 1720F note; Public Law 116–171) is amended, in the second sentence, by striking the Office of Mental Health and Suicide Prevention and inserting the Assistant Under Secretary for Health for Clinical Services.

Subsection (c) of such section is amended—

(1) in the subsection heading, by inserting; use of grant funds after grants;

(2) in paragraph (2)(A)—

(A) by striking a maximum and inserting except as provided in paragraph (3), a maximum; and

(B) by striking $750,000 and inserting $1,000,000; and

(3) by adding at the end the following new paragraphs:

The Secretary may award amounts to a grantee in addition to the maximum amount under paragraph (2)(A) based on a performance-based metric established by the Secretary.

The performance-based metric established under subparagraph (A) with respect to a grantee shall be based on the number of individuals who go through the intake process to receive suicide prevention services from the grantee under this section.

The additional amount authorized under subparagraph (A) may not exceed $500,000 per grantee per fiscal year.

For any grant awarded under this section—

(A) not more than 30 percent of the grant funds may be spent on administrative costs; and

(B) not more than five percent of the grant funds may be spent on food and beverages.

Subsection (e)(3) of such section is amended—

(1) by redesignating subparagraphs (B) and (C) as subparagraphs (C) and (D), respectively; and

(2) by inserting after subparagraph (A) the following new subparagraph (B):

(B) coordinate with the Secretary to develop a plan for communication between the entity and local suicide prevention coordinators regarding whether veterans receiving assistance under this section from the entity are attending appointments to ensure continuity of care;

Subsection (g) of such section is amended—

(1) in paragraph (1)(A), by inserting, including training on how to properly use the Columbia Protocol (also known as the Columbia-Suicide Severity Rating Scale (C–SSRS)) after management; and

(2) by adding at the end the following new paragraph:

The Secretary shall provide training to employees of the Department on the grant program under this section.

Subsection (h) of such section is amended by adding at the end the following new paragraph:

Not less frequently than once per calendar quarter, the Secretary shall provide, to the appropriate personnel of each medical center of the Department located not more than 100 miles from the primary location of a recipient of a grant under this section, a briefing about the grant program under this section in order to improve coordination between such recipient and personnel.

Subsection (j) of such section is amended by striking the date that is three years after the date on which the first grant is awarded under this section and inserting September 30, 2030.

Subsection (k)(1)(B) of such section is amended by adding at the end the following new clause:

(xiii) A description of the Secretary's compliance with the requirement to train employees of the Department under subsection (g)(3).

Subsection (n) of such section is amended—

(1) by striking When the Secretary and inserting the following:

When the Secretary

(1) ; and

(2) by adding at the end the following new paragraph:

If the Secretary does not provide mental health or behavioral health care services under paragraph (1) to an eligible individual during the 72-hour period following a referral under subsection (m), such eligible individual shall be treated as eligible for emergent suicide care under section 1720J of title 38, United States Code.

Subsection (p) of such section is amended by striking 2025 and inserting 2030.

Subsection (q)(5) of such section is amended, in the first sentence—

(1) by striking Medical services and inserting The term emergency treatment means medical services; and

(2) by striking was rendered and inserting rendered.

Subsection (q)(8)(A) of such section is amended by striking any of the following (to a degree determined by the Secretary pursuant to regulations) and inserting any of the following health, environmental, or historical risk factors (to any degree).

Subsection (q)(11)(A)(ii) of such section is amended by adding at the end the following new sentence: In the case of a recipient of a grant awarded under this section on or after the date of the enactment of the Helping Optimize Prevention and Engagement for Heroes Act of 2025, such screening shall be the Columbia Protocol (also known as the Columbia-Suicide Severity Rating Scale (C–SSRS))..

Subsection (q)(11)(A) of such section is amended—

(A) by redesignating clause (xi) as clause (xii); and

(B) by inserting after clause (x) the following new clause:

(xi) Transportation and rideshare services for eligible individuals to use for appointments.