,i #aac? ,,congress #b;d ,session ,h4 ,r4 #eccb ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,july #ca1 #bjad ,mr4 ,cr[ley introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce1 & 9 addition to ! ,committee on ,ways & ,means1 = 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 promote id5tification ( vet]ans & _! heal? ne$s 9 furni%+ ( items & s]vices "u ! ,m$ic>e1 ,m$icaid1 & o!r programs1 & = o!r purposes4 #a4 ,%ort title2 f9d+s 7a7 ,%ort title ,?is ,act may be cit$ z ! ,s]v+ ,am]ica's ,vet]ans ,effectively ,act ( #bjad or ! ,,save ,act ( #bjad4 7b7 ,f9d+s ,congress makes ! foll[+ f9d+s3 7#a7 ,vet]ans (t5 h unique heal? ne$s t may be relat$ to _! s]vice to ! ,am]ican p & may be m at risk = c]ta9 conditions1 includ+ canc]1 infecti\s diseases1 musculoskeletal problems1 po/-traumatic /ress disord]1 traumatic bra9 injury1 d]matological problems1 reproductive heal? issues1 & o!r conditions4 7#b7 ,z "p ( a detail$ pati5t hi/ory1 kn[+ :e!r or n a pati5t is a vet]an helps a physician to make accurate treatm5t recomm5dations or c>ry out ne$$ scre5+s4 7#c7 ,if a physician is n aw>e t a pati5t is a vet]an1 ! physician may n ?9k to p]=m recomm5d$ scre5+s or be able to diagnose symptoms t at fir/ seem$ unconnect$4 ,z a result1 ! pati5t & ! pati5t's family may suff] z m$ical problems g undiagnos$ or misdiagnos$4 7#d7 ,physicians r\t9ely ask ab\t simil> types ( pati5t hi/ory t c affect curr5t heal? /atus1 su* z :e!r a pati5t has a family hi/ory ( c]ta9 conditions or 0 expos$ to c]ta9 environm5tal factors4 ,que/ions ab\t vet]an /atus give pati5ts ! opportunity to volunt>ily answ] ) in=mation t c help _! physicians bett] e/abli% a c\rse ( treatm5t4 7#e7 ,mak+ ! "q ( :e!r a pati5t s]v$ 9 ! ,arm$ ,=ces "p ( consi/5tly us$ frameworks1 su* z ! 8,welcome to ,m$ic>e0 physical exam9ation & ,m$ic>e ,electronic ,heal? ,record program1 ensures t x w become "p ( cl9icians' r\t9e = new pati5ts4 7#f7 ,:ile _m physicians1 su* z ^? work+ at ,dep>tm5t ( ,vet]ans ,affairs facilities1 may already be aw>e ( _! pati5ts' exp]i5ces 9 ! ,arm$ ,=ces1 !re are indications t z mu* z #gj p]c5t ( vet]ans seek c>e f o!r facilities4 7#g7 ,_m organizations s]v+ bo? vet]ans & heal? c>e pr(essionals curr5tly "w to educate heal? provid]s on ! heal? ne$s ( vet]ans & appropriate m$ical c>e t %\ld be provid$4 ,additional ,f$]al support is ne$$ to ensure t all physicians are prop]ly prep>$ to diagnose & treat pati5ts ^u le>n+ t !y h s]v$ 9 ! ,arm$ ,=ces4 #b4 ,activities to promote id5tification & aw>5ess ( vet]ans heal? ne$s 9 furni%+ items & s]vices "u ,m$ic>e1 ,m$icaid1 & o!r programs 7a7 ,inclusion ( vet]an /atus 9 pati5t in=mation = mean+ful use ( electronic heal? records "u ,m$ic>e & ,m$icaid ,9 e/abli%+ regulations reg>d+ :at con/itutes mean+ful use ) respect electronic heal? records 9 apply+ sections #ahdh7o71 #ahec7m71 #ahhf7;b77#c77;,b77ix71 & #ahhf7n77#c7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#d7o71 #aciew-#bc7m71 #acieww7b77#c77;,b77ix71 #acieww7n77#c77 & relat$ provisions ( title ,,xix ( su* ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all include 9 ! pati5t in=mation requir$ = mean+ful use :e!r or n ! pati5t s]v$ 9 ! ,arm$ ,=ces4 7b7 ,id5tification ( vet]ans z "p ( individual hi/ory 9 ,welcome to ,m$ic>e visit ,9 c>ry+ out section #ahfa7ww7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex7ww771 ! ,secret>y ( ,heal? & ,human ,s]vices %all include1 z a compon5t ( review+ an individual's m$ical & social hi/ory "u an initial prev5tive physical exam9ation "u section #daj4af ( title #db1 ,code ( ,f$]al ,regulations1 an inquiry z to :e!r ! individual s]v$ 9 ! ,arm$ ,=ces & any relevant circum/ances relat+ to t individual's s]vice t may be> on ! m$ical or social condition ( t individual4 7c7 ,additional activities ,to improve aw>5ess ( vet]ans' heal? c>e ne$s ,! ,secret>y ( ,heal? & ,human ,s]vices %all take su* additional actions1 o!rwise au?oriz$ "u law1 z may be appropriate to promote aw>5ess1 among non-gov]nm5tal physicians 9 _! furni%+ s]vices1 ( ! special circum/ances & heal? c>e ne$s ( vet]ans4 #c4 ,grants = provid] education on heal? treatm5t = vet]ans 7a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices may make grants to organizations = ! purpose ( educat+ heal? c>e provid]s on appropriate heal? c>e treatm5t = pati5ts :o h s]v$ 9 ! ,arm$ ,=ces4 ,su* grants %all be aw>d$ "u su* t]ms & conditions z ! ,secret>y %all specify4 7b7 ,au?orization ( appropriations ,!re are au?oriz$ to be appropriat$ #aj1jjj1jjj to c>ry out ?is section1 :i* %all rema9 available until exp5d$4