#aac? ,,congress  #b;d ,session  ,h4 ,r4
 #ceg  ,,an ,,act  ,to am5d title #ch1  
,unit$ ,/ates ,code1 to require c\rses (
 education provid$ by public in/itutions
 ( high] education t are approv$ =      
purposes ( ! educational assi/ance      
programs adm9i/]$ by ! ,secret>y (      
,vet]ans ,affairs to *>ge vet]ans       
tuition & fees at ! 9-,/ate tuition     
rate1 to make o!r improvem5ts 9 ! laws  
relat+ to b5efits adm9i/]$ by !         
,secret>y ( ,vet]ans ,affairs1 & = o!r  
purposes4  #a4 ,%ort title2 table (     
cont5ts  7a7 ,%ort title ,?is ,act may  
be cit$ z ! ,,gi ,bill ,tuition         
,fairness ,act ( #bjad4  7b7 ,table (   
cont5ts ,! table ( cont5ts = ?is ,act is
 z foll[s3  ,sec4 #a4 ,%ort title2 table
 ( cont5ts4 ,sec4 #b4 ,ref]5ces to title
 #ch1 ,unit$ ,/ates ,code4 ,sec4 #c4    
,scor+ ( budget>y effects4 ,sec4 #d4    
,approval ( c\rses ( education provid$  
by public in/itutions ( high] education 
= purposes ( ,all-,volunte] ,=ce        
,educational ,assi/ance ,program &      

,po/-#i_/aa ,educational ,assi/ance     
conditional on 9-,/ate tuition rate =   
vet]ans4 ,sec4 #e4 ,cl>ification (      
eligibility = s]vices "u ! ,homeless    
,vet]ans ,re9tegration ,program4 ,sec4  
#f4 ,ext5sion ( eligibility p]iod =     
vocational rehabilitation programs4     
,sec4 #g4 ,"w-/udy all[ance4 ,sec4 #h4  
,responsibilities ( ! ,directors (      
,vet]ans' ,employm5t & ,tra9+4 ,sec4 #i4
 ,cont5ts ( ,transition ,assi/ance      
,program4 ,sec4 #aj4 ,r\nd+ d[n (       
increase 9 rates ( disability           
comp5sation & dep5d5cy & indemnity      
comp5sation4 ,sec4 #aa4 ,limitation on  
p]=mance aw>ds 9 ! s5ior executive      
s]vice4 ,sec4 #ab4 ,semiannual reports  
to ,congress on co/ ( c]ta9 travel4     
,sec4 #ac4 ,report ( infecti\s disease  
at m$ical facilities ( ,dep>tm5t (      
,vet]ans ,affairs4 ,sec4 #ad4           
,prohibition ( visual record+ )\t in=m$ 
cons5t4 ,sec4 #ae4 ,two-mon? ext5sion ( 
,vet]ans ,retra9+ ,assi/ance ,program4  
#b4 ,ref]5ces to title #ch1 ,unit$      

,/ates ,code ,except z o!rwise expressly
 provid$1 :5ev] 9 ?is ,act an am5dm5t or
 repeal is express$ 9 t]ms ( an am5dm5t 
to1 or a repeal (1 a section or o!r     
provision1 ! ref]5ce %all be consid]$ to
 be made to a section or o!r provision (
 title #ch1 ,unit$ ,/ates ,code4  #c4   
,scor+ ( budget>y effects ,! budget>y   
effects ( ?is ,act1 = ! purpose (       
comply+ ) ! ,/atutory ,pay-,z-,y-,g ,act
 ( #bjaj1 %all be det]m9$ by ref]5ce to 
! late/ /atem5t titl$ ,budget>y ,effects
 ( ,,paygo ,legislation = ?is ,act1     
submitt$ = pr9t+ 9 ! ,congressional     
,record by ! ,*airman ( ! ,h\se ,budget 
,committee1 provid$ t su* /atem5t has   
be5 submitt$ prior to ! vote on passage4
  #d4 ,approval ( c\rses ( education    
provid$ by public in/itutions ( high]   
education = purposes ( ,all-,volunte]   
,=ce ,educational ,assi/ance ,program & 
,po/-#i_/aa ,educational ,assi/ance     
conditional on 9-,/ate tuition rate =   
vet]ans  7a7 ,9 g5]al ,section #cfgi is 
am5d$ by add+ at ! end ! foll[+ new     

subsection3  7c7  7#a7 ,not)/&+ any o!r 
provision ( ?is *apt] & subject to      
p>agraphs 7#c7 ?r\gh 7#f71 ! ,secret>y  
%all disapprove a c\rse ( education     
provid$ by a public in/itution ( high]  
education to a cov]$ individual pursu+ a
 c\rse ( education ) educational        
assi/ance "u *apt] #cj or #cc ( ?is     
title :ile liv+ 9 ! ,/ate 9 :i* ! public
 in/itution ( high] education is locat$ 
if ! in/itution *>ges tuition & fees = t
 c\rse = ! cov]$ individual at a rate t 
is high] ?an ! rate ! in/itution *>ges =
 tuition & fees = t c\rse = resid5ts ( !
 ,/ate 9 :i* ! in/itution is locat$1    
reg>dless ( ! cov]$ individual's ,/ate (
 resid5ce4  7#b7 ,= purposes ( ?is      
subsection1 a cov]$ individual is a     
vet]an :o 0 dis*>g$ or releas$ f a p]iod
 ( n few] ?an #ij days ( s]vice 9 !     
active milit>y1 naval1 or air s]vice    
less ?an ?ree ye>s be=e ! date (        
enrollm5t 9 ! c\rse conc]n$4  7#c7 ,if  
aft] enrollm5t 9 a c\rse ( education t  
is subject to disapproval "u p>agraph   

7#a7 a cov]$ individual pursues "o or m 
c\rses ( education at ! same public     
in/itution ( high] education :ile rema9+
 cont9u\sly enroll$ 7o!r ?an dur+       
regul>ly s*$ul$ breaks betwe5 c\rses1   
seme/]s or t]ms7 at t in/itution ( high]
 education1 any c\rse s pursu$ by !     
cov]$ individual at t in/itution ( high]
 education :ile s cont9u\sly enroll$    
%all also be subject to disapproval "u  
p>agraph 7#a74  7#d7 ,x %all n be gr\nds
 to disapprove a c\rse ( education "u   
p>agraph 7#a7 if a public in/itution (  
high] education requires a cov]$        
individual pursu+ a c\rse ( education at
 ! in/itution to demon/rate an int5t1 by
 means o!r ?an satisfy+ a physical      
pres5ce requirem5t1 to e/abli% resid5cy 
9 ! ,/ate 9 :i* ! in/itution is locat$1 
or to satisfy o!r requirem5ts n relat+  
to ! e/abli%m5t ( resid5cy1 9 ord] to be
 *>g$ tuition & fees = t c\rse at a rate
 t is equal to or less ?an ! rate !     
in/itution *>ges = tuition & fees = t   
c\rse = resid5ts ( ! ,/ate4  7#e7 ,!    

,secret>y may waive su* requirem5ts (   
p>agraph 7#a7 z ! ,secret>y consid]s    
appropriate4  7#f7 ,disapproval "u      
p>agraph 7#a7 %all apply only ) respect 
to educational assi/ance "u *apt]s #cj &
 #cc ( ?is title4  4  7b7 ,effective    
date ,subsection 7c7 ( section #cfgi (  
title #ch1 ,unit$ ,/ates ,code 7z add$  
by subsection 7a7 ( ?is section71 %all  
apply ) respect to educational assi/ance
 provid$ = pursuit ( programs (         
education dur+ academic t]ms t beg9 aft]
 ,july #a1 #bjaf1 ?r\gh c\rses (        
education t comm5ce on or aft] t date4  
#e4 ,cl>ification ( eligibility =       
s]vices "u ! ,homeless ,vet]ans         
,re9tegration ,program ,subsection 7a7 (
 section #bjba is am5d$ by /rik+        
re9tegration ( homeless vet]ans into !  
labor =ce4 & ins]t+ ! foll[+3           
8re9tegration into ! labor =ce (--  7#a7
 homeless vet]ans2  7#b7 vet]ans        
p>ticipat+ 9 ! ,dep>tm5t ( ,vet]ans     
,affairs support$ h\s+ program = :i*    
r5tal assi/ance provid$ pursuant to     

section #h7o77#ai7 ( ! ,unit$ ,/ates    
,h\s+ ,act ( #aicg 7#db ,u4,s4,c4       
#adcg;f7o77#ai772 &  7#c7 vet]ans :o are
 transition+ f be+ inc>c]at$4  4  #f4   
,ext5sion ( eligibility p]iod =         
vocational rehabilitation programs  7a7 
,ext5sion ,section #cajc is am5d$ by    
/rik+ twelve-ye> p]iod & ins]t+ #ag-ye> 
p]iod ea* place x appe>s4  7b7          
,effective date ,! am5dm5t made by      
subsection 7a7 %all apply ) respect to a
 vet]an apply+ = assi/ance "u *apt] #ca 
( title #ch1 ,unit$ ,/ates ,code1 on or 
aft] ! date ( ! enactm5t ( ?is ,act4    
#g4 ,"w-/udy all[ance ,section          
#cdhe7;a77#d7 is am5d$ by /rik+ ,june   
#cj1 #bjac ea* place x appe>s & ins]t+  
,june #cj1 #bjah4  #h4 ,responsibilities
 ( ! ,directors ( ,vet]ans' ,employm5t &
 ,tra9+ ,section #dajc is am5d$--  7#a7 
by r$esignat+ subsection 7b7 z          
subsection 7c72 &  7#b7 by ins]t+ aft]  
subsection 7a7 ! foll[+ new subsection  
7b73  7b7 ,responsibilities ,ea*        
,director assign$ to a ,/ate "u         

subsection 7a7 %all c>ry out ! foll[+   
responsibilities3  7#a7 ,monitor+ !     
p]=mance ( vet]ans' tra9+ & employm5t   
programs 9 ! ,/ate1 ) special emphasis  
on s]vices to disabl$ vet]ans4  7#b7    
,monitor+ ! p]=mance ( ! ,/ate work=ce  
ag5cy 9 comply+ ) section #dbab ( ?is   
title4  7#c7 ,sugge/+ to ! ,assi/ant    
,secret>y ( ,labor = ,vet]ans'          
,employm5t & ,tra9+ corrective actions t
 c\ld be tak5 by ! ,/ate work=ce ag5cy  
to address defici5cies 9 ! p]=mance (   
vet]ans' tra9+ & employm5t programs 9 ! 
,/ate4  7#d7 ,annually negotiat+ ) !    
,/ate work=ce ag5cy to e/abli% p]=mance 
goals = vet]ans' tra9+ & employm5t      
programs 9 ! ,/ate4  7#e7 ,review+ !    
,/ate's reque/s = fund+ = vet]ans' tra9+
 & employm5t programs & provid+ advice  
to ! ,/ate work=ce ag5cy & ! ,assi/ant  
,secret>y reg>d+ su* fund+ reque/s4     
7#f7 ,=w>d+ compla9ts reg>d+ possible   
violations ( *apt] #dc ( ?is title to ! 
appropriate ,regional ,adm9i/rator or to
 ! to ! ,assi/ant ,secret>y1 z requir$4 

7#g7 ,c>ry+ out grant (fic] te*nical    
repres5tative responsibilities = grants 
issu$ "u programs adm9i/]$ by !         
,dep>tm5t4  7#h7 ,provid+ advice to !   
,/ate work=ce ag5cy on /rategies to     
m>ket vet]ans to employ]s4  7#i7        
,sup]vis+ & manag+ all support /aff1    
includ+ ,assi/ant ,directors1 e/abli%+  
workload priorities1 manag+ all p]sonnel
 actions1 & evaluat+ all assign$        
p]sonnel4  7#aj7 ,submitt+ to !         
,assi/ant ,secret>y regul> reports on ! 
matt]s describ$ 9 p>agraphs 7#a71 7#b71 
7#d71 & 7#h71 & any o!r matt]s !        
,assi/ant ,secret>y det]m9e appropriate4
  7#aa7 ,p]=m+ su* o!r relat$ duties z  
direct$ by ! ,assi/ant ,secret>y4  4    
#i4 ,cont5ts ( ,transition ,assi/ance   
,program  7a7 ,9 g5]al ,section #aadd ( 
title #aj1 ,unit$ ,/ates ,code1 is      
am5d$--  7#a7 9 subsection 7b71 by add+ 
at ! end ! foll[+ new p>agraph3  7#i7   
,provide in=mation ab\t                 
disability-relat$ employm5t & education 
protections4  4  7#b7 by r$esignat+     

subsections 7c71 7d71 & 7e71 z          
subsections 7d71 7e71 & 7f71            
respectively2 &  7#c7 by ins]t+ aft]    
subsection 7b7 ! foll[+ new subsection  
7c73  7c7 ,additional elem5ts ( program 
,! m&atory program c>ri$ out by ?is     
section %all include--  7#a7 = any su*  
memb] :o plans to use ! memb]'s         
entitlem5t to educational assi/ance "u  
title #ch--  7,a7 in/ruction provid+ an 
ov]view ( ! use ( su* entitlem5t2 &     
7,b7 c\rses ( po/-second>y education    
appropriate = ! memb]1 c\rses (         
po/-second>y education compatible ) !   
memb]'s education goals1 & in/ruction on
 h[ to f9ance ! memb]'s po/-second>y    
education2 &  7#b7 in/ruction 9 !       
b5efits "u laws adm9i/]$ by ! ,secret>y 
( ,vet]ans ,affairs & 9 o!r subjects    
det]m9$ by ! ,secret>y conc]n$4  4  7b7 
,deadl9e = implem5tation ,! program     
c>ri$ out "u section #aadd ( title #aj1 
,unit$ ,/ates ,code1 %all comply ) !    
requirem5ts ( subsections 7b77#i7 & 7c7 
( su* section1 z add$ by subsection 7a71

 by n lat] ?an ,april #a1 #bjae4  7c7   
,feasibility /udy ,n lat] ?an #bgj days 
aft] ! date ( ! enactm5t ( ?is ,act1 !  
,secret>y ( ,vet]ans ,affairs %all      
submit to ! ,committee on ,vet]ans'     
,affairs & ! ,committee on ,arm$        
,s]vices ( ! ,s5ate & ! ,committee on   
,vet]ans' ,affairs & ! ,committee on    
,arm$ ,s]vices ( ! ,h\se (              
,repres5tatives ! results ( a /udy c>ri$
 out by ! ,secret>y to det]m9e !        
feasibility ( provid+ ! in/ruction      
describ$ 9 subsection 7b7 ( section     
#aadb ( title #aj1 ,unit$ ,/ates ,code1 
at all ov]seas locations :]e su*        
in/ruction is provid$ by ent]+ into a   
contract jo9tly ) ! ,secret>y ( ,labor =
 ! provision ( su* in/ruction4  #aj4    
,r\nd+ d[n ( increase 9 rates (         
disability comp5sation & dep5d5cy &     
indemnity comp5sation  7a7 ,r\nd+ ,ea*  
doll> am\nt increas$ "u section #b ( !  
,vet]ans' ,comp5sation ,co/- (-,liv+    
,adju/m5t ,act ( #bjac 7,public ,law    
#aac-eb71 if n a :ole doll> am\nt1 %all 

be r\nd$ to ! next l[] :ole doll> am\nt4
  7b7 ,applicability ,subsection 7a7    
%all apply ) respect to a paym5t made   
aft] ! date ( ! enactm5t ( ?is ,act4    
#aa4 ,limitation on p]=mance aw>ds 9 !  
s5ior executive s]vice ,= ea* ( fiscal  
ye>s #bjad ?r\gh #bjah1 ! ,secret>y (   
,vet]ans ,affairs may n make any        
p]=mance aw>ds "u section #echd ( title 
#e1 ,unit$ ,/ates ,code4  #ab4          
,semiannual reports to ,congress on co/ 
( c]ta9 travel  7a7 ,9 g5]al ,sub*apt]  
,i ( *apt] #e is am5d$ by add+ at ! end 
! foll[+ new section3  #eah4 ,semiannual
 reports to ,congress on co/ ( c]ta9    
travel  7a7 ,semiannual reports ,n lat] 
?an ,june #cj1 #bjad1 & n lat] ?an #fj  
days aft] ea* #ahj-;day p]iod !reaft]1 !
 ,secret>y %all submit to ! ,committee  
on ,vet]ans' ,affairs ( ! ,h\se (       
,repres5tatives & ! ,committee on       
,vet]ans' ,affairs ( ! ,s5ate a         
semiannual report on cov]$ travel made  
dur+ ! #ahj-;day p]iod cov]$ by !       
report4  7b7 ,matt]s includ$ ,ea* report

 "u subsection 7a7 %all include !       
foll[+3  7#a7 ,) respect to ea* in/ance 
( cov]$ travel made dur+ ! p]iod cov]$  
by ! report--  7,a7 ! purpose ( su*     
travel2  7,b7 ! de/9ation2  7,c7 ! "n & 
title ( ea* employee includ$ on su*     
travel2  7,d7 ! duration ( su* travel2  
7,e7 ! total co/ to ! ,dep>tm5t ( su*   
travel2 &  7,f7 ) respect to cov]$      
travel describ$ 9 subsection 7d77#b71 ! 
id5tity ( ! p]son or entity t paid or   
reimburs$ = su* travel4  7#b7 ,! f9al   
co/s to ! ,dep>tm5t ) respect to all    
cov]$ travel made dur+ ! p]iod cov]$ by 
! report1 includ+ co/s relat+ to--  7,a7
 transportation1 includ+ f>es = travel  
by air1 rail1 bus1 f]ry1 cruise %ip1    
taxi1 mass transit1 or o!r mode (       
transportation2  7,b7 exp5ses or        
reimbursem5ts relat+ to op]at+ & ma9ta9+
 a c>1 includ+ ! co/s ( fuel & mileage2 
7,c7 passport & visa fees2  7,d7 lodg+2 
7,e7 p] diem paym5ts2  7,f7 baggage     
*>ges2  7,g7 comput] r5tal fees2  7,h7  
r5tal ( halls1 auditoriums1 or o!r      

spaces2  7,i7 ent]ta9m5t2  7,j7         
contractors2  7,k7 regi/ration fees2 &  
7,l7 promotional items4  7c7            
,duplicative in=mation ,ea* report "u   
subsection 7a7 %all include ! in=mation 
describ$ 9 subsection 7b7 reg>dless (   
:e!r su* in=mation is also includ$ 9 a  
report "u section #eag ( ?is title4  7d7
 ,cov]$ travel def9$ ,9 ?is section1 !  
t]m cov]$ travel means travel made by an
 employee ( ! ,dep>tm5t ( ,vet]ans      
,affairs1 includ+ an employee :o is     
/ation$ 9 a =eign c\ntry1 on (ficial    
bus9ess to any ( ! foll[+ locations3    
7#a7 ,if ! ,dep>tm5t or o!r elem5t ( !  
,f$]al ,gov]nm5t pays = su* travel1 a   
location outside (--  7,a7 ! sev]al     
,/ates2  7,b7 ! ,di/rict ( ,columbia2   
7,c7 a t]ritory1 commonweal?1 or        
possession ( ! ,unit$ ,/ates2  7,d7     
,indian l&s 7z def9$ 9 section #d7d7 ( !
 ,indian ,gam+ ,regulatory ,act 7#be    
,u4,s4,c4 #bgjc7d7772 or  7,e7 !        
t]ritorial wat]s ( ! ,unit$ ,/ates4     
7#b7 ,if any p]son or entity o!r ?an !  

,f$]al ,gov]nm5t pays 7or reimburses7 = 
su* travel1 any location1 reg>dless (   
:e!r ! location is inside or outside ( !
 ,unit$ ,/ates4  4  7b7 ,cl]ical am5dm5t
 ,! table ( sections at ! beg9n+ ( su*  
*apt] is am5d$ by add+ aft] ! item      
relat+ to section #eag ! foll[+ new     
item3  #eah4 ,semiannual reports to     
,congress on co/ ( c]ta9 travel4  4     
#ac4 ,report ( infecti\s disease at     
m$ical facilities ( ,dep>tm5t ( ,vet]ans
 ,affairs  7a7 ,9 g5]al ,section #gcaa  
is am5d$ by add+ at ! end ! foll[+ new  
subsection3  7f7  7#a7 ,! ,secret>y %all
 report to ! appropriate entity ea* case
 ( a notifiable infecti\s disease or    
condition t is diagnos$ at a m$ical     
facility ( ! ,dep>tm5t ( ,vet]ans       
,affairs 9 accordance ) ! laws ( ! ,/ate
 9 :i* ! facility is locat$4  7#b7 ,9   
addition to report+ ea* case ( a        
notifiable infecti\s disease or         
condition at a m$ical facility ( !      
,dep>tm5t pursuant to p>agraph 7#a71 !  
,secret>y %all report ea* su* case t is 

classifi$ z a heal?-c>e-associat$       
infection s5t9el ev5t to ! accr$it+     
organization ( su* facility4  7#c7  7,a7
 ,if ! ,secret>y fails to report a case 
( a notifiable infecti\s disease or     
condition at a m$ical facility ( !      
,dep>tm5t 9 accordance ) ,/ate law      
pursuant to p>agraph 7#a71 ! ,secret>y  
%all--  7i7 take any rem$ial action     
requir$ "u ! laws ( ! ,/ate to correct  
su* failure2 &  7ii7 if ! ,secret>y does
 n correct su* failure pursuant to      
clause 7i71 pay to ! ,/ate an am\nt     
equal to ! am\nt t a m$ical facility n  
own$ by ! ,f$]al ,gov]nm5t t is locat$ 9
 ! same ,/ate w\ld pay z a p5alty to su*
 ,/ate = su* failure4  7,b7 ,! ,/ate may
 file a civil action aga9/ ! ,secret>y 9
 ! ,unit$ ,/ates di/rict c\rt = !       
di/rict 9 :i* ! m$ical facility is      
locat$ to recov] f ! ,unit$ ,/ates !    
am\nt describ$ 9 subp>agraph 7,a77ii74  
7,c7 ,a civil action "u subp>agraph 7,b7
 may n be comm5c$ lat] ?an two ye>s aft]
 ! cause ( action accrues4  7#d7  7,a7  

,9 any case 9 :i* ! ,inspector ,g5]al ( 
! ,dep>tm5t suspects t a director ( a   
,vet]ans ,integrat$ ,s]vice ,network has
 fail$ to comply ) an applicable        
provision ( ?is subsection1 ! ,inspector
 ,g5]al %all conduct an inve/igation to 
det]m9e :e!r su* director fail$ to      
comply ) an applicable provision ( ?is  
section4  7,b7 ,if ! ,inspector ,g5]al  
det]m9es "u subp>agraph 7,a7 t a        
director has fail$ to comply ) a        
provision ( ?is subsection1 ! ,secret>y 
%all susp5d su* director = su* p]iod z !
 ,secret>y consid]s appropriate "u      
sub*apt] ,i or sub*apt] ,,ii ( *apt] #ge
 ( title #e1 z ! case may be4 ,9        
addition to su* susp5sion1 ! ,secret>y  
may impose su* o!r adm9i/rative         
discipl9>y action on ! director z !     
,secret>y consid]s appropriate & = :i* !
 ,secret>y is o!rwise au?oriz$4  7#e7 ,!
 ,secret>y %all--  7,a7 ma9ta9 records (
 ea* notifiable infecti\s disease or    
condition report$ pursuant to p>agraph  
7#a72 &  7,b7 submit to ! ,committees on

 ,vet]ans' ,affairs ( ! ,h\se (         
,repres5tatives & ! ,s5ate a            
notification ( ea* su* notifiable       
infecti\s disease or condition4  7#f7 ,9
 ?is subsection1 ! t]m notifiable       
infecti\s disease or condition means any
 infecti\s disease or condition t is--  
7,a7 on ! li/ ( nationally notifiable   
diseases or conditions publi%$ by !     
,c\ncil ( ,/ate & ,t]ritorial           
,epidemiologi/s & ! ,c5t]s = ,disease   
,control & ,prev5tion2 or  7,b7 cov]$ by
 a provision ( law ( a ,/ate t requires 
! report+ ( infecti\s diseases or       
conditions4  4  7b7 ,effective date ,!  
report+ requirem5t "u section #gcaa7;f7 
( title #ch1 ,unit$ ,/ates ,code1 z add$
 by subsection 7a71 %all apply ) respect
 to a case ( a notifiable infecti\s     
disease or condition diagnos$ at a      
m$ical facility ( ! ,dep>tm5t ( ,vet]ans
 ,affairs on or aft] ! date t is #fj    
days aft] ! date ( ! enactm5t ( ?is     
,act4  #ad4 ,prohibition ( visual       
record+ )\t in=m$ cons5t ,section #gcca 

is am5d$--  7#a7 by /rik+ ,! ,secret>y1 
^u & ins]t+ 7a7 ,9 g5]al4--,! ,secret>y1
 ^u2 &  7#b7 by add+ at ! end ! foll[+  
new subsection3  7b7 ,visual record+    
7#a7 ,! ,secret>y %all prescribe        
regulations e/abli%+ proc$ures to ensure
 t1 except z provid$ by p>agraph 7#b71  
any visual record+ made by ! ,secret>y (
 a pati5t dur+ ! c\rse ( furni%+ c>e "u 
?is title is c>ri$ out only ) ! full &  
in=m$ cons5t ( ! pati5t or1 9           
appropriate cases1 a repres5tative !re(4
  7#b7 ,! ,secret>y may waive !         
requirem5t = in=m$ cons5t "u p>agraph   
7#a7 ) respect to ! visual record+ ( a  
pati5t if su* record+ is made--  7,a7   
pursuant to a det]m9ation by a physician
 or psy*ologi/ t su* record+ is m$ically
 necess>y or necess>y = ! safety ( !    
pati5t2  7,b7 pursuant to a w>rant or   
ord] ( a c\rt ( compet5t jurisdiction2  
or  7,c7 9 a public sett+ :]e a p]son   
w\ld n h a reasonable expectation to    
privacy1 su* z a wait+ room or hallway1 
& su* record+ is = g5]al security       

purposes n p>ticul>iz$ to ! pati5t4     
7#c7 ,9 ?is subsection1 ! t]m visual    
record+ means ! record+ or transmission 
( images or video1 b does n include--   
7,a7 m$ical imag+1 includ+ su* imag+    
produc$ by radiographic proc$ures1      
nucle> m$ic9e1 endoscopy1 ultras\nd1 or 
o!r simil> proc$ures2 or  7,b7 images1  
video1 & o!r cl9ical in=mation          
transmitt$ = ! purposes ( provid+       
treatm5t ?r\gh teleheal? & telem$ic9e   
te*nologies4  4  #ae4 ,two-mon? ext5sion
 ( ,vet]ans ,retra9+ ,assi/ance ,program
 ,section #baa ( ! ,,v[ to ,hire ,h]oes 
,act ( #bjaa 7,public ,law #aab-ef2 #abe
 ,/at4 #gac2 #ch ,u4,s4,c4 #dajj note7  
is am5d$--  7#a7 9 subsection           
7a77#b77;,b71 by /rik+ ,m>* #ca1 #bjad &
 ins]t+ ,may #ca1 #bjad2 &  7#b7 9      
subsection 7k71 by /rik+ ,m>* #ca1 #bjad
 & ins]t+ ,may #ca1 #bjad4  ,pass$ !    
,h\se ( ,repres5tatives ,febru>y #c1    
#bjad4;,cl]k4