,i #aac? ,,congress #a/ ,session ,h4 ,r4 #ceaf ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,novemb] #ae1 #bjac ,mr4 ,ryan ( ,ohio 7= himself1 ,mr4 ,nug5t1 & ,mr4 ,ruiz7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,vet]ans' ,affairs1 & 9 addition to ! ,committee on ,arm$ ,s]vices1 = a p]iod to be subsequ5tly det]m9$ by ! ,speak]1 9 ea* case = consid]ation ( su* provisions z fall )9 ! jurisdiction ( ! committee conc]n$ ,a ,,bill ,to improve heal? c>e furni%$ by ! ,dep>tm5t ( ,vet]ans ,affairs & ! ,dep>tm5t ( ,def5se by increas+ access to complem5t>y & alt]native m$ic9e & o!r approa*es to wellness & prev5tive c>e1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,vet]ans & ,arm$ ,=ces ,heal? ,promotion ,act ( #bjac4 #b4 ,dep>tm5t ( ,vet]ans ,affairs & ,dep>tm5t ( ,def5se expansion ( rese>* & education into integration ( complem5t>y & alt]native m$ic9e int]v5tions 7a7 ,developm5t & implem5tation ( expansion plan ,n lat] ?an #bgj days aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,vet]ans ,affairs & ! ,secret>y ( ,def5se %all jo9tly develop & implem5t a plan to exp& mat]ially & sub/antially ! scope ( rese>* & education on1 & deliv]y ( holi/ic c>e t includes1 ! integration ( appropriate complem5t>y & alt]native m$ic9e int]v5tions 9 ! deliv]y ( heal? c>e to vet]ans "u *apt] #ag ( title #ch1 ,unit$ ,/ates ,code1 & memb]s ( ! ,arm$ ,=ces at milit>y m$ical treatm5t facilities "u title #aj1 ,unit$ ,/ates ,code4 ,su* plan %all provide =-- 7#a7 ! conduct ( rese>* on-- 7,a7 integrat+ prov5 or promis+ complem5t>y & alt]native m$ic9e int]v5tions into ! deliv]y ( heal? c>e to vet]ans & memb]s ( ! ,arm$ ,=ces2 & 7,b7 models & sy/ems = provid+ holi/ic c>e t includes complem5t>y & alt]native m$ic9e int]v5tions2 7#b7 education & tra9+ = heal? c>e pr(essionals on-- 7,a7 prov5 & promis+ complem5t>y & alt]native m$ic9e int]v5tions2 7,b7 appropriate uses ( su* int]v5tions !rapeutic options2 & 7,c7 holi/ic integration ( su* int]v5tions into ! deliv]y ( heal? c>e to vet]ans2 7#c7 c>ry+ out ! rese>*1 education1 & cl9ical activities describ$ 9 p>agraphs 7#a7 & 7#b7 at c5t]s ( innovation at geographically disp]s$ m$ical c5t]s op]at$ jo9tly by ! ,secret>y ( ,vet]ans ,affairs & ! ,secret>y ( ,def5se2 & 7#d7 ! developm5t ( jo9t metrics & outcome measures to evaluate ! provision 7& co/ effectiv5ess7 ( complem5t>y & alt]native m$ic9e int]v5tions 9 ! c>e ( pati5ts ( bo? ! ,dep>tm5t ( ,vet]ans ,affairs & ! ,dep>tm5t ( ,def5se4 7b7 ,consultation ) exp]ts 7#a7 ,consultation requir$ ,= ! purposes describ$ 9 p>agraph 7#b71 ! ,secret>y ( ,vet]ans ,affairs & ! ,secret>y ( ,def5se %all consult ) ! foll[+3 7,a7 ,! ,director ( ! ,c5t] on ,complem5t>y & ,alt]native ,m$ic9e at ! ,national ,in/itute ( ,heal?4 7,b7 ,! ,director ( ! ,food & ,drug ,adm9i/ration4 7,c7 ,academic c5t]s1 private rese>* in/itutes1 & individual rese>*]s t h ext5sive exp]i5ce 9 /udy+ complem5t>y & alt]native m$ic9e & ! integration ( su* int]v5tions 9 ! deliv]y ( conv5tional m$ical c>e4 7,d7 ,nationally recogniz$ provid]s ( complem5t>y & alt]native m$ic9e4 7,e7 ,su* o!r s\rces ( exp]tise z ! ,secret>y deems appropriate4 7#b7 ,purpose ( consultation ,! ,secret>y ( ,vet]ans ,affairs & ! ,secret>y ( ,def5se %all und]take ! consultation describ$ 9 p>agraph 7#a7-- 7,a7 9 develop+ ! plan requir$ "u subsection 7a72 7,b7 to id5tify specific prov5 or promis+ complem5t>y & alt]native m$ic9e int]v5tions t1 on ! basis ( rese>* f9d+s or promis+ cl9ical int]v5tions1 are appropriate to include z cov]$ s]vices "u section #c2 & 7,c7 to id5tify b>ri]s to ! effective provision & integration ( complem5t>y & alt]native m$ic9e int]v5tions 7& means ( circumv5t+ su* b>ri]s74 7c7 ,fund+ ,none ( ! am\nts au?oriz$ to be appropriat$ to c>ry out ?is section may be obligat$ or exp5d$ except = a jo9t ef=t ( ! ,dep>tm5t ( ,def5se & ! ,dep>tm5t ( ,vet]ans ,affairs4 #c4 ,m$ical treatm5t & rese>* facilities jo9tly op]at$ by ! dep>tm5t ( vet]ans affairs & ! dep>tm5t ( def5se 7a7 ,pilot program requir$ ,comm5c+ n lat] ?an #bgj days aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,vet]ans ,affairs & ! ,secret>y ( ,def5se %all jo9tly develop & implem5t a plan to e/abli% jo9tly-op]at$ m$ical treatm5t & rese>* facilities4 ,su* facilities %all-- 7#a7 be /aff$ by employees ( ! ,dep>tm5t ( ,vet]ans ,affairs & ! ,dep>tm5t ( ,def5se & memb]s ( ! ,arm$ ,=ces2 7#b7 be op]at$ by divid+ ! op]ation & ma9t5ance exp5ses betwe5 bo? ! ,dep>tm5t ( ,vet]ans ,affairs & ! ,dep>tm5t ( ,def5se by a ratio det]m9$ 9 a memor&um ( und]/&+ betwe5 ! ,secret>ies2 & 7#c7 bill to ea* ,dep>tm5t ! co/ ( c]ta9 specialty m$ical s]vices1 includ+ radiology1 laboratory1 & surg]y1 z su* s]vices are us$4 7b7 ,duration ( program ,! pilot program %all be c>ri$ out dur+ ! ?ree-ye> p]iod beg9n+ on ! date ( ! comm5cem5t ( ! pilot program4 7c7 ,locations 7#a7 ,9 g5]al ,! ,secret>ies %all c>ry out ! pilot program by e/abli%+ n few] ?an #e jo9t m$ical treatm5t & rese>* facilities4 7#b7 ,consid]ations ,9 select+ locations = ! pilot program1 ! ,secret>ies %all consid] ! feasibility & advisability ( select+ locations-- 7,a7 9 areas ) a high conc5tration ( vet]ans & memb]s ( ! ,arm$ ,=ces2 7,b7 t pres5t a reasonable probability ( co/ sav+s to ! taxpay] by consolidation ( s]vices & facilities curr5tly adm9i/]$ sep>ately z det]m9$ jo9tly by ! ,secret>ies2 & 7,c7 :]e collaboration ( rese>* & treatm5t w be mo/ b5eficial to ! common ne$s ( ! pati5ts "u ! c>e ( bo? ,dep>tm5ts1 z det]m9$ jo9tly by ! ,secret>ies4 7d7 ,fund+ ,none ( ! am\nts au?oriz$ to be appropriat$ to c>ry out ?is section may be obligat$ or exp5d$ except = a jo9t ef=t ( ! ,dep>tm5t ( ,def5se & ! ,dep>tm5t ( ,vet]ans ,affairs4 #d4 ,pilot program on e/abli%m5t ( complem5t>y & alt]native m$ic9e c5t]s )9 ,dep>tm5t ( ,vet]ans ,affairs m$ical c5t]s 7a7 ,pilot program requir$ ,comm5c+ n lat] ?an #ahj days aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,vet]ans ,affairs %all c>ry out1 ?r\gh ! ,(fice ( ,pati5t ,c5t]$ ,c>e & ,cultural ,trans=mation ( ! ,dep>tm5t ( ,vet]ans ,affairs1 a pilot program to assess ! feasibility & advisability ( e/abli%+ complem5t>y & alt]native m$ic9e c5t]s )9 ,dep>tm5t ( ,vet]ans ,affairs m$ical c5t]s to promote ! use & integration ( complem5t>y & alt]native m$ic9e s]vices = m5tal heal? diagnoses & pa9 managem5t4 7b7 ,duration ( program ,! pilot program %all be c>ri$ out dur+ ! ?ree-ye> p]iod beg9n+ on ! date ( ! comm5cem5t ( ! pilot program4 7c7 ,locations 7#a7 ,9 g5]al ,! ,secret>y %all c>ry out ! pilot program by e/abli%+ n few] ?an #aj complem5t>y & alt]native m$ic9e c5t]s 9 #aj sep>ate ,dep>tm5t m$ical c5t]s z foll[s3 7,a7 ,?ree ,dep>tm5t m$ical c5t]s designat$ by ! ,secret>y z polytrauma c5t]s4 7,b7 ,sev5 ,dep>tm5t m$ical c5t]s n designat$ by ,secret>y z polytrauma c5t]s4 7#b7 ,consid]ations ,9 select+ locations = ! pilot program1 ! ,secret>y %all consid] ! feasibility & advisability ( select+ locations 9-- 7,a7 rural areas2 7,b7 areas t are n 9 close proximity to an active duty milit>y in/allation2 & 7,c7 areas repres5t+ diff]5t geographic locations1 su* z c5sus tracts e/abli%$ by ! ,bureau ( ! ,c5sus4 7d7 ,provision ( s]vices ,"u ! pilot program1 ! ,secret>y %all provide cov]$ s]vices to cov]$ pati5ts ?r\gh ! complem5t>y & alt]native m$ic9e c5t]s e/abli%$ "u subsection 7c77#a74 7e7 ,cov]$ pati5ts ,= purposes ( ! pilot program1 a cov]$ pati5t is any pati5t :o is a vet]an or memb] ( ! ,arm$ ,=ces :o has-- 7#a7 a m5tal heal? condition diagnos$ by a cl9ician ( ! ,dep>tm5t ( ,vet]ans ,affairs1 9 ! case ( a pati5t :o is a vet]an1 or a cl9ician ( ! ,dep>tm5t ( ,def5se1 9 ! case ( a pati5t :o is a memb] ( ! ,arm$ ,=ces2 or 7#b7 a pa9 condition = :i* ! vet]an has receiv$ a pa9 managem5t plan f a cl9ician ( ! ,dep>tm5t ( ,vet]ans ,affairs1 9 ! case ( a pati5t :o is a vet]an1 or a cl9ician ( ! ,dep>tm5t ( ,def5se1 9 ! case ( a pati5t :o is a memb] ( ! ,arm$ ,=ces4 7f7 ,cov]$ s]vices 7#a7 ,9 g5]al ,= purposes ( ! pilot program1 cov]$ s]vices are s]vices consi/+ ( complem5t>y or alt]native m$ic9e4 7#b7 ,adm9i/ration ( s]vices ,cov]$ s]vices %all be adm9i/]$ "u ! pilot program z foll[s3 7,a7 ,cov]$ s]vices %all be adm9i/]$ by cl9icians :o exclusively provide s]vices consi/+ ( complem5t>y or alt]native m$ic9e4 7,b7 ,cov]$ s]vices %all be includ$ z "p ( ! ,pati5t ,align$ ,c>e ,teams initiative ( ! ,(fice ( ,pati5t ,c>e ,s]vices1 ,prim>y ,c>e ,program ,(fice4 7,c7 ,cov]$ s]vices %all be made available to bo?-- 7i7 cov]$ pati5ts ) m5tal heal? conditions or pa9 conditions describ$ 9 subsection 7e7 :o h receiv$ traditional treatm5ts f ! ,dep>tm5t = su* conditions2 & 7ii7 cov]$ pati5ts ) m5tal heal? conditions or pa9 conditions describ$ 9 subsection 7e7 :o h n receiv$ traditional treatm5ts f ! ,dep>tm5t = su* conditions4 7g7 ,volunt>y p>ticipation ,! p>ticipation ( a pati5t 9 ! pilot program %all be at ! election ( ! pati5t & 9 consultation ) a cl9ician ( ! ,dep>tm5t ( ,vet]ans ,affairs1 9 ! case ( a pati5t :o is a vet]an1 & 9 consultation ) a cl9ician ( ! ,dep>tm5t ( ,def5se1 9 ! case ( a pati5t :o is memb] ( ! ,arm$ ,=ces4 7h7 ,reports to ,congress 7#a7 ,qu>t]ly reports ,n lat] ?an #ij days aft] ! date ( ! comm5cem5t ( ! pilot program & n less frequ5tly ?an once e #ij days !reaft] = ! duration ( ! pilot program1 ! ,secret>y %all submit to ! ,committee on ,vet]ans' ,affairs ( ! ,s5ate & ! ,committee on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives a report on ! ef=ts ( ! ,secret>y to c>ry out ! pilot program1 includ+ a description ( ! outrea* conduct$ by ! ,secret>y to vet]ans & community organizations to in=m su* organizations ab\t ! pilot program4 7#b7 ,f9al report 7,a7 ,9 g5]al ,n lat] ?an #ahj days aft] ! completion ( ! pilot program1 ! ,secret>y %all submit to ! ,committee on ,vet]ans' ,affairs ( ! ,s5ate & ! ,committee on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives a report on ! pilot program4 7,b7 ,cont5ts ,! report submitt$ "u subp>agraph 7,a7 %all include ! foll[+3 7i7 ,! f9d+s & conclusions ( ! ,secret>y ) respect to ! pilot program1 includ+ ) respect to ! utilization & efficacy ( ! complem5t>y & alt]native m$ic9e c5t]s e/abli%$ "u ! pilot program4 7ii7 ,su* recomm5dations = ! cont9uation or expansion ( ! pilot program z ! ,secret>y consid]s appropriate4 7i7 ,fund+ ,!re is au?oriz$ to be appropriat$ to ! ,secret>y su* sums z may be necess>y to c>ry out ?is section4 #e4 ,pilot program on use ( wellness programs z complem5t>y approa* to m5tal heal? c>e = vet]ans & family memb]s ( vet]ans 7a7 ,pilot program requir$ 7#a7 ,9 g5]al ,! ,secret>y ( ,vet]ans ,affairs %all c>ry out a pilot program ?r\gh ! aw>d ( grants to public or private nonpr(it entities to assess ! feasibility & advisability ( us+ wellness programs to complem5t ! provision ( m5tal heal? c>e to vet]ans & family memb]s eligible = c\nsel+ "u section #agab;,a7a77#a77;,c7 ( title #ch1 ,unit$ ,/ates ,code4 7#b7 ,matt]s to be address$ ,! pilot program %all be c>ri$ out s z to assess ! foll[+3 7,a7 ,means ( improv+ coord9ation betwe5 ,f$]al1 ,/ate1 local1 & community provid]s ( heal? c>e 9 ! provision ( m5tal heal? c>e to vet]ans & family memb]s describ$ 9 p>agraph 7#a74 7,b7 ,means ( enhanc+ outrea*1 & coord9ation ( outrea*1 by & among provid]s ( heal? c>e ref]r$ to 9 subp>agraph 7,a7 on ! m5tal heal? c>e s]vices available to vet]ans & family memb]s describ$ 9 p>agraph 7#a74 7,c7 ,means ( us+ wellness programs ( provid]s ( heal? c>e ref]r$ to 9 subp>agraph 7,a7 z complem5ts to ! provision by ! ,dep>tm5t ( ,vet]ans ,affairs ( m5tal heal? c>e to vet]ans & family memb]s describ$ 9 p>agraph 7#a74 7,d7 ,:e!r wellness programs describ$ 9 subp>agraph 7,c7 are effective 9 enhanc+ ! quality ( life & well-be+ ( vet]ans & family memb]s describ$ 9 p>agraph 7#a74 7,e7 ,:e!r wellness programs describ$ 9 subp>agraph 7,c7 are effective 9 increas+ ! adh]5ce ( vet]ans describ$ 9 p>agraph 7#a7 to ! prim>y m5tal heal? s]vices provid$ su* vet]ans by ! ,dep>tm5t4 7,f7 ,:e!r wellness programs describ$ 9 subp>agraph 7,c7 h an impact on ! s5se ( wellbe+ ( vet]ans describ$ 9 p>agraph 7#a7 :o receive prim>y m5tal heal? s]vices f ! ,dep>tm5t4 7,g7 ,:e!r wellness programs describ$ 9 subp>agraph 7,c7 are effective 9 enc\rag+ vet]ans receiv+ heal? c>e f ! ,dep>tm5t to adopt a m heal?y life/yle4 7b7 ,duration ,! ,secret>y %all c>ry out ! pilot program = a p]iod ( ?ree ye>s beg9n+ on ! date t is #ij days aft] ! date ( ! enactm5t ( ?is ,act4 7c7 ,locations ,! ,secret>y %all c>ry out ! pilot program at facilities ( ! ,dep>tm5t provid+ m5tal heal? c>e s]vices to vet]ans & family memb]s describ$ 9 subsection 7a77#a74 7d7 ,grant proposals 7#a7 ,9 g5]al ,a public or private nonpr(it entity seek+ ! aw>d ( a grant "u ?is section %all submit an application !re= to ! ,secret>y 9 su* =m & 9 su* mann] z ! ,secret>y may require4 7#b7 ,application cont5ts ,ea* application submitt$ "u p>agraph 7#a7 %all include ! foll[+3 7,a7 ,a plan to coord9ate activities "u ! pilot program1 to ! ext5t possible1 ) ! ,f$]al1 ,/ate1 & local provid]s ( s]vices = vet]ans to enhance ! foll[+3 7i7 ,aw>5ess by vet]ans ( b5efits & heal? c>e s]vices provid$ by ! ,dep>tm5t4 7ii7 ,outrea* ef=ts to increase ! use by vet]ans ( s]vices provid$ by ! ,dep>tm5t4 7iii7 ,educational ef=ts to in=m vet]ans ( ! b5efits ( a heal?y & active life/yle4 7,b7 ,a /atem5t ( und]/&+ f ! entity submitt+ ! application t1 if select$1 su* entity w be requir$ to report to ! ,secret>y p]iodically on /&>diz$ data & o!r p]=mance data necess>y to evaluate individual outcomes & to facilitate evaluations among entities p>ticipat+ 9 ! pilot program4 7,c7 ,o!r requirem5ts t ! ,secret>y may prescribe4 7e7 ,grant uses 7#a7 ,9 g5]al ,a public or private nonpr(it entity aw>d$ a grant "u ?is section %all use ! aw>d = purposes prescrib$ by ! ,secret>y4 7#b7 ,eligible vet]ans & family ,9 c>ry+ out ! purposes prescrib$ by ! ,secret>y 9 p>agraph 7#a71 a public or private nonpr(it entity aw>d$ a grant "u ?is section %all use ! aw>d to furni% s]vices only to individuals specifi$ 9 section #agab;,a7a77#a77;,c7 ( title #ch1 ,unit$ ,/ates ,code4 7f7 ,reports 7#a7 ,p]iodic reports 7,a7 ,9 g5]al ,n lat] ?an #ahj days aft] ! date ( ! enactm5t ( ?is ,act1 & e #ahj days !reaft]1 ! ,secret>y %all submit to ,congress a report on ! pilot program4 7,b7 ,report elem5ts ,ea* report requir$ by subp>agraph 7,a7 %all include ! foll[+3 7i7 ,! f9d+s & conclusions ( ! ,secret>y ) respect to ! pilot program dur+ ! #ahj-;day p]iod prec$+ ! report4 7ii7 ,an assessm5t ( ! b5efits ( ! pilot program to vet]ans & _! family memb]s dur+ ! #ahj-;day p]iod prec$+ ! report4 7#b7 ,f9al report ,n lat] ?an #ahj days aft] ! end ( ! pilot program1 ! ,secret>y %all submit to ,congress a report detail+ ! recomm5dations ( ! ,secret>y z to ! advisability ( cont9u+ or exp&+ ! pilot program4 7g7 ,wellness def9$ ,9 ?is section1 ! t]m wellness %all h ! mean+ giv5 t t]m 9 regulations prescrib$ by ! ,secret>y4 7h7 ,fund+ ,!re is au?oriz$ to be appropriat$ to ! ,secret>y su* sums z may be necess>y to c>ry out ?is section4 #f4 ,pilot program on fitness & nutrition improvem5t = ov]weight & obese vet]ans 7a7 ,pilot program requir$ ,comm5c+ n lat] ?an #ahj days aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,vet]ans ,affairs %all1 ?r\gh ! ,national ,c5t] = ,prev5tive ,heal?1 c>ry out a pilot program to assess ! feasibility & advisability ( promot+ heal? 9 cov]$ vet]ans1 includ+ a*iev+ a heal?y weight & r$uc+ risks ( *ronic disease1 ?r\gh support = fitness c5t] memb]%ip4 7b7 ,cov]$ vet]ans ,= purposes ( ?is section1 a cov]$ vet]an is any vet]an :o-- 7#a7 is det]m9$ by a cl9ician ( ! ,dep>tm5t ( ,vet]ans ,affairs to be ov]weight or obese z ( ! date ( ! comm5cem5t ( ! pilot program2 & 7#b7 resides 9 a location t is m ?an #ae miles f a fitness c5t] at a facility ( ! ,dep>tm5t t w\ld o!rwise be available to ! vet]an = at lea/ eight h\rs p] day dur+ five or m days p] week4 7c7 ,duration ( pilot program ,! pilot program %all be c>ri$ out dur+ ! ?ree-ye> p]iod beg9n+ on ! date ( ! comm5cem5t ( ! pilot program4 7d7 ,locations 7#a7 ,9 g5]al ,9 c>ry+ out ! pilot program1 ! ,secret>y %all select-- 7,a7 n less ?an five m$ical c5t]s ( ! ,dep>tm5t at :i* ! ,secret>y %all cov] ! full reasonable co/ ( a fitness c5t] memb]%ip = cov]$ vet]ans )9 ! cat*m5t area ( su* c5t]s2 7,b7 n less ?an five m$ical c5t]s ( ! ,dep>tm5t at :i* ! ,secret>y %all cov] half ! reasonable co/ ( a fitness c5t] memb]%ip = cov]$ vet]ans )9 ! cat*m5t area ( su* c5t]s2 & 7,c7 n less ?an five m$ical c5t]s ( ! ,dep>tm5t at :i* ! ,secret>y %all provide compreh5sive m$ical nutrition !rapy = cov]$ vet]ans4 7#b7 ,consid]ations ,9 select+ locations = ! pilot program1 ! ,secret>y %all consid] ! feasibility & advisability ( select+ locations 9 ! foll[+ areas3 7,a7 ,areas t are n 9 close proximity to an active duty milit>y in/allation4 7,b7 ,areas 9 diff]5t geographic locations4 7e7 ,p>ticipation 7#a7 ,maximum numb] ( p>ticipants ,! numb] ( cov]$ vet]ans :o may p>ticipate 9 ! pilot program at a location select$ "u subsection 7d7 may n exce$ #ajj4 7#b7 ,volunt>y p>ticipation ,! p>ticipation ( a cov]$ vet]an 9 ! pilot program %all be at ! election ( ! cov]$ vet]an 9 consultation ) a cl9ician ( ! ,dep>tm5t4 7f7 ,fitness c5t] memb]%ip paym5t 7#a7 ,9 g5]al ,except z provid$ 9 p>agraph 7#b71 9 c>ry+ out ! pilot program1 ! ,secret>y %all pay ! foll[+3 7,a7 ,! full reasonable co/ ( a fitness c5t] memb]%ip = cov]$ vet]ans )9 ! cat*m5t area ( c5t]s select$ "u subsection 7b77#a77;,a7 :o are p>ticipat+ 9 ! pilot program4 7,b7 ,half ! reasonable co/ ( a fitness c5t] memb]%ip = cov]$ vet]ans )9 ! cat*m5t area ( c5t]s select$ "u subsection 7b77#a77;,b7 :o are p>ticipat+ 9 ! pilot program4 7#b7 ,limitation ,paym5t = a fitness c5t] memb]%ip ( a cov]$ vet]an may n exce$ #ej p] mon? ( memb]%ip4 7g7 ,reports 7#a7 ,p]iodic reports ,n lat] ?an #ij days aft] ! date ( ! comm5cem5t ( ! pilot program & n less frequ5tly ?an once e #ij days !reaft]1 ! ,secret>y %all submit to ! ,committee on ,vet]ans' ,affairs ( ! ,s5ate & ! ,committee on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives a report on activities c>ri$ out to implem5t ! pilot program1 includ+ outrea* activities to vet]ans & community organizations4 7#b7 ,f9al report ,n lat] ?an #ahj days aft] ! date ( ! completion ( ! pilot program1 ! ,secret>y %all submit to ! ,committee on ,vet]ans' ,affairs ( ! ,s5ate & ! ,committee on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives a report on ! pilot program detail+-- 7,a7 ! f9d+s & conclusions ( ! ,secret>y z a result ( ! pilot program2 & 7,b7 recomm5dations = ! cont9uation or expansion ( ! pilot program4 7h7 ,fund+ ,!re is au?oriz$ to be appropriat$ to ! ,secret>y su* sums z may be necess>y to c>ry out ?is section4 #g4 ,pilot program on trans=mation ( vet]ans s]vices organizations facilities into vet]an heal? & wellness c5t]s 7a7 ,pilot program requir$ 7#a7 ,9 g5]al ,! ,secret>y ( ,vet]ans ,affairs %all c>ry out a pilot program "u :i* ! ,secret>y makes grants to nonpr(it vet]ans s]vices organizations 7h]e9aft] 9 ?is section ref]r$ to z ,v,s,os7 recogniz$ by ! ,secret>y 9 accordance ) section #eijb ( title #ch1 ,unit$ ,/ates ,code1 to upgrade1 ?r\gh con/ruction & repair1 ,,vso community facilities into heal? & wellness c5t]s4 7#b7 ,use ( funds ,! recipi5t ( a grant "u ?is section %all use ! grant to c>ry out ! repair ( a facility own$ by ! recipi5t or to con/ruct a facility on prop]ty own$ by ! recipi5t4 ,su* funds may n be us$ to pur*ase real e/ate or to c>ry out repair ( facilities leas$ by ! recipi5t or to con/ruct facilities on prop]ty leas$ by ! recipi5t4 ,any facility repair$ or con/ruct$ us+ grant funds %all be us$ to provide alt]native m$ical c>e1 or wellness programs1 to vet]ans & family memb]s z su* t]m is def9$ 9 section #agab;,a7h77#c7 ( title #ch1 ,unit$ ,/ates ,code4 7#c7 ,facility op]ation ,z a condition ( ! receipt ( a grant "u ?is section1 a ,,vso %all agree to c>ry out ! op]ation & ma9t5ance ( ! facility t is repair$ or con/ruct$ us+ grant funds = ! ?ree-ye> p]iod beg9n+ on ! date ( ! completion ( ! repair or con/ruction4 7b7 ,duration ( pilot program ,! pilot program %all be c>ri$ out dur+ ! two-ye> p]iod beg9n+ on ! date ( ! comm5cem5t ( ! pilot program4 7c7 ,locations ,9 select+ ! recipi5ts ( grants "u ?is section1 ! ,secret>y %all ensure t ! grant recipi5ts use grant funds to con/ruct or repair facilities locat$ 9 at lea/ t5 diff]5t geographic locations4 ,! ,secret>y %all give priority to locations 9 economically depress$ areas t are n 9 close proximity to ,dep>tm5t ( ,vet]ans ,affairs m$ical c5t]s4 7d7 ,eligibility ,to be eligible to receive a grant "u ?is section1 a ,,vso %all submit to ! ,secret>y an application 9 su* =m & 9 su* mann] z ! ,secret>y may require4 7e7 ,reports 7#a7 ,p]iodic reports 7,a7 ,9 g5]al ,n lat] ?an #ahj days aft] ! date ( ! enactm5t ( ?is ,act1 & e #ahj days !reaft] = ! duration ( ! pilot program1 ! ,secret>y %all submit to ,congress a report on ! pilot program4 7,b7 ,report elem5ts ,ea* report requir$ by subp>agraph 7,a7 %all include ! foll[+3 7i7 ,! f9d+s & conclusions ( ! ,secret>y ) respect to ! pilot program dur+ ! #ahj-;day p]iod cov]$ by ! report4 7ii7 ,an assessm5t ( ! b5efits ( ! pilot program to vet]ans & ei!r family memb]s dur+ ! #ahj-;day p]iod cov]$ by ! report4 7#b7 ,f9al report ,n lat] ?an #ahj days aft] ! conclusion ( ! pilot program1 ! ,secret>y %all submit to ,congress a report detail+ ! recomm5dations ( ! ,secret>y z to ! advisability ( cont9u+ or exp&+ ! pilot program4 7f7 ,fund+ ,!re is au?oriz$ to be appropriat$ to ! ,secret>y su* sums z may be necess>y to c>ry out ?is section4 #h4 ,def9ition ( complem5t>y & alt]native m$ic9e ,9 ?is ,act1 ! t]m complem5t>y & alt]native m$ic9e %all-- 7#a7 h ! mean+ giv5 t t]m 9 regulations ! ,secret>y %all prescribe = purposes ( ?is ,act1 :i* %all1 to ! degree practicable1 be consi/5t ) ! mean+ giv5 su* t]m by ! ,secret>y ( ,heal? & ,human ,s]vices2 & 7#b7 include integrative heal? c>e1 adjunctive heal? c>e1 & functional m$ic9e4