of new possibilities in life. (D) Realization of personal strength. (E) Spiritual change. (F) Such other areas that the Secretary, in consultation with organizations specified in subsection (b), considers necessary. 204. Progress of Department of Veterans Affairs in meeting goals and objectives of National Strategy for Preventing Veteran Suicide (a) In general The Secretary of Veterans Affairs shall develop metrics to track progress on each of the 14 goals and 43 objectives outlined in the National Strategy for Preventing Veteran Suicide, 2018–2028 prepared by the Office of Mental Health and Suicide Prevention of the Department of Veterans Affairs. (b) Metrics The metrics developed under subsection (a) shall include measures of both performance and effectiveness. (c) Initial report (1) In general Not later than 180 days after the date of the enactment of this Act, the Secretary shall submit to the Committee on Veterans’ Affairs of the Senate and the Committee on Veterans’ Affairs of the House of Representatives a report that contains the metrics developed under subsection (a). (2) Elements The report submitted under paragraph (1) shall include the following: (A) An explanation of why the metrics developed under subsection (a) were chosen. (B) An assessment of how accurately those metrics will reflect the goals and objectives specified in such subsection. (d) Annual report Not later than one year after the submittal of the report under subsection (b), and annually thereafter, the Secretary shall submit to the Committee on Veterans’ Affairs of the Senate and the Committee on Veterans’ Affairs of the House of Representatives a report that contains— (1) an assessment of the progress of the Department in meeting the goals and objectives specified in subsection (a)