SB 636 — Transcranial magnetic stimulation; DBHDS to establish pilot program for veterans.

SESSION SENATEHOUSE SUBSTITUTE 24107369D24107964D SENATE BILL NO.

636 AMENDMENT IN THE NATURE OF A SUBSTITUTE (Proposed by the SenateHouse Committee on FinanceHealth and AppropriationsHuman Services on February 22, 2024) (Patron Prior to Substitute––Senator Locke) A BILLBBe toit establishenacted aby pilotthe programGeneral forAssembly transcranialof magneticVirginia:magnetic stimulation;

Be it enacted by the General Assembly of Virginia:

That the Department of Behavioral Health and Development Services (the Department) shall establish a pilot program to make electroencephalogram (EEG) combined transcranial magnetic stimulation available for veterans, first responders, law-enforcement officers, and other federal employees with substance use disorders, mental illness, sleep disorders, traumatic brain injuries, sexual trauma, post-traumaticor stressother disorderquality andof life issues.nd accompanying comorbidities, concussions or other brain trauma,§ or2. other quality of life issues.

§The 2.Department shall choose two locations, one in Northern Virginia and one in Hampton H Roads, for the pilot program and shall enter into a contract for the purchase of services related to the pilot program.

The Departmentcontract shall chooseinclude twoprovisions locations,requiring onethe insupplier Northernto Virginiaestablish and oneoperate ina Hamptonclinical Spractice, pilotto program.evaluate outcomes of the clinical practice, to expend payments received fUom the Chairmen of the Senate Committee on Education and Health and the House Committee on Health andam to the Human Services.

TheS contract§ shall3. include provisions requiring the supplier to create and conduct ao the clinical trial, to establish and operate a clinical practice, to evaluate outcomes of the clinical trial and the clinical practice, to expend payments received from the state as needed for purposes of the program, and to report quarterly regarding the pilot program to the Chairmen of the Senate Committee on Education and Health and the House Committee on Health and Human Services.

AThe State Board of Behavioral Health and Developmental Services (the Board) shall adopt regulations as necessary to administer this act, including regulations that:

Board)E shall adoptT 1.

Food and Drug Administration regulations governing the conduct of clinicalcli2. practice and clinical trials;

E 2.

modulationS based3. on a daily EEG and motor threshold testing, as well as clinical symptoms and signsy and biometrics;

SEstablish 4.that the program protocol will be to use adapted stimulation frequency and intensity modulation based on EEG and motor threshold testing, as well as clinical symptoms and signs andU biometrics;

RequireB that each individual who receives treatment under the program also receive pre- aUd post-neurophysiological monitoring, with EEG and autonomic nervous systems assessments;

receiveBdailyreceiveSdaily andchecklists wellnessof programming;symptoms of alcohol, opioid, or other substance use;

andreceive participateweekly inmedical thecounseling peer-to-peerand supportwellness networkprogramming; established by theling supplier;

Sand 5.participate in the peer-to-peer support network established by the supplier;

RequireI that35 protocols5. and outcomes of the clinical trial, and of any treatment provided by the :

36Require clinicalthat practice,protocols beand collectedoutcomes andof reportedthe quarterlyclinical inpractice, aand reportof any treatment provided by the supplier;37 cli6.

IRequire 37that 6.any individual who receives treatment at the clinical practice be eligible for a / 38 minimum of two electroencephalograms during the course of the individual's treatment;

Requireand thatU any/ individual who receives treatment at the clinical practice be eligible for a 39 min7.7.

U § 4.

TE "Electroencephalogramwhich (EEG) combined transcranial magnetic stimulation"stimulation means(TMS) treatmentfrequency inpulses are tuned to the patient's physiology and biometric data, at the time of each treatment, using a pre-TMS and post-TMS EEG.ent'sEEG. physiElogy "Quality of life issues" means issues affecting human performance, including issues related to or resulting from problems with cognition and problems maintaining attention, concentration, or focus.

S"Quality Bof 1life issues" means issues affecting human performance, including issues related to or resulting from problems with cognition and problems maintaining attention, concentration, or focus.

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