,i  #aacth ,,congress  #b;d ,session    
,h4 ,r4 #edjd  ,,in ,,the ,,house ,,of  
,,representatives  ,september #h1 #bjad 
,mr4 ,denham 7for himself and ,mr4      
,miller of ,florida7 introduced the     
following bill2 which was referred to   
the ,committee on ,veterans' ,affairs1  
and in addition to the ,committees on   
,armed ,services and the ,budget1 for a 
period to be subsequently determined by 
the ,speaker1 in each case for          
consideration of such provisions as fall
 within the jurisdiction of the         
committee concerned  ,a ,,bill  ,to     
amend title #ch1 ,united ,states ,code1 
to extend certain expiring provisions of
 law administered by the ,secretary of  
,veterans ,affairs1 and for other       
purposes4  #a4 ,short title2 table of   
contents  7a7 ,short title ,this ,act   
may be cited as the ,department of      
,veterans ,affairs ,expiring            
,authorities ,act of #bjad4  7b7 ,table 
of contents ,the table of contents for  
this ,act is as follows3  ,sec4 #a4     

,short title2 table of contents4 ,sec4  
#b4 ,references to title #ch1 ,united   
,states ,code4 ,sec4 #c4 ,scoring of    
budgetary effects4 ,title               
,i--,extensions of ,authority ,relating 
to ,health ,care ,sec4 #aja4 ,extension 
of requirement to provide nursing home  
care to certain veterans with           
service-connected disabilities4 ,sec4   
#ajb4 ,extension of authority for pilot 
program on counseling in retreat        
settings for women veterans newly       
separated from service in the ,armed    
,forces4 ,sec4 #ajc4 ,extension of      
authority for pilot program on          
assistance for child care for certain   
veterans receiving health care4 ,sec4   
#ajd4 ,extension of authority to make   
grants to veterans service organizations
 for transportation of highly rural     
veterans4 ,sec4 #aje4 ,extension of     
requirement for report on activities of 
,department of ,defense-,department of  
,veterans ,affairs ,interagency ,program
 ,office4 ,sec4 #ajf4 ,extension of     

authority for the performance of medical
 disabilities examinations by contract  
physicians4 ,sec4 #ajg4 ,extension of   
authority for collection of copayments  
for hospital care and nursing home care4
 ,sec4 #ajh4 ,extension of authority for
 recovery from third parties of cost of 
care and services furnished to veterans 
with health-plan contracts for          
non-service-connected disability4 ,title
 ,,ii--,extensions of ,authority        
,relating to ,homelessness ,sec4 #bja4  
,extension of current funding level for 
comprehensive service programs for      
homeless veterans4 ,sec4 #bjb4          
,extension of authority for homeless    
veterans reintegration programs4 ,sec4  
#bjc4 ,extension of authority to provide
 referral and counseling services for   
certain veterans at risk of             
homelessness4 ,sec4 #bjd4 ,extension of 
authority for treatment and             
rehabilitation services for seriously   
mentally ill and homeless veterans4     
,sec4 #bje4 ,extension of authority to  

provide housing assistance for homeless 
veterans4 ,sec4 #bjf4 ,extension of     
authority to provide financial          
assistance for supportive services for  
very low-income veteran families in     
permanent housing4 ,sec4 #bjg4          
,extension of authority for grant       
program for homeless veterans with      
special needs4 ,sec4 #bjh4 ,extension of
 authority for the ,advisory ,committee 
on ,homeless ,veterans4 ,title          
,,iii--,extensions of ,authority        
,relating to ,benefits ,sec4 #cja4      
,extension of authority for the         
,veterans' ,advisory ,committee on      
,education4 ,sec4 #cjb4 ,extension of   
authority for calculating net value of  
real property at time of foreclosure4   
,sec4 #cjc4 ,extension of authority     
relating to vendee loans4 ,sec4 #cjd4   
,extension of authority to provide      
rehabilitation and vocational benefits  
to members of the ,armed ,forces with   
severe injuries or illnesses4 ,title    
,,iv--,other ,extensions of ,authority  

and ,other ,matters ,sec4 #dja4         
,extension of authority to transport    
certain individuals to and from         
,department of ,veterans ,affairs       
facilities4 ,sec4 #djb4 ,extension of   
authority for operation of the          
,department of ,veterans ,affairs       
regional office in ,manila1 the         
,republic of the ,philippines4 ,sec4    
#djc4 ,extension of requirement to      
provide reports to ,congress regarding  
equitable relief in the case of         
administrative error4 ,sec4 #djd4       
,extension of authority for ,advisory   
,committee on ,minority ,veterans4 ,sec4
 #dje4 ,extension of authority for      
temporary expansion of eligibility for  
specially adapted housing assistance for
 certain veterans with disabilities     
causing difficulty ambulating4 ,sec4    
#djf4 ,extension of authority for       
agreement with ,national ,academy of    
,sciences4 ,sec4 #djg4 ,assistance and  
enforcement of ,,userra rights with     
respect to employers that are ,federal  

departments and agencies4 ,sec4 #djh4   
,health professionals education debt    
reduction4 ,sec4 #dji4 ,amendments to   
,veterans ,access1 ,choice1 and         
,accountability ,act of #bjad4  #b4     
,references to title #ch1 ,united       
,states ,code ,except as otherwise      
expressly provided1 whenever in this    
,act an amendment or repeal is expressed
 in terms of an amendment to1 or repeal 
of1 a section or other provision1 the   
reference shall be considered to be made
 to a section or other provision of     
title #ch1 ,united ,states ,code4  #c4  
,scoring of budgetary effects ,the      
budgetary effects of this ,act1 for the 
purpose of complying with the ,statutory
 ,pay-,as-,you-,go ,act of #bjaj1 shall 
be determined by reference to the latest
 statement titled ,budgetary ,effects of
 ,,paygo ,legislation for this ,act1    
submitted for printing in the           
,congressional ,record by the ,chairman 
of the ,house ,budget ,committee1       
provided that such statement has been   

submitted prior to the vote on passage4 
,i ,extensions of ,authority ,relating  
to ,health ,care  #aja4 ,extension of   
requirement to provide nursing home care
 to certain veterans with               
service-connected disabilities ,section 
#agaj;,a7d7 is amended by striking      
,december #ca1 #bjad and inserting      
,december #ca1 #bjae4  #ajb4 ,extension 
of authority for pilot program on       
counseling in retreat settings for women
 veterans newly separated from service  
in the ,armed ,forces  7a7 ,extension of
 authority ,subsection 7d7 of section   
#bjc of the ,caregivers and ,veterans   
,omnibus ,health ,services ,act of #bjaj
 7,public ,law #aaa-afc2 #abd ,stat4    
#aadc2 #ch ,u4,s4,c4 #agab;,a note7 is  
amended to read as follows3  7d7        
,termination ,the authority to carry out
 a pilot program under this section     
shall terminate on ,december #ca1 #bjae4
  4  7b7 ,authorization of              
appropriations ,subsection 7f7 of such  
section is amended by striking fiscal   

years #bjaj and #bjaa and inserting     
fiscal years #bjaj1 #bjaa1 and #bjae4   
#ajc4 ,extension of authority for pilot 
program on assistance for child care for
 certain veterans receiving health care 
7a7 ,extension of authority ,subsection 
7e7 of section #bje of the ,caregivers  
and ,veterans ,omnibus ,health ,services
 ,act of #bjaj 7,public ,law #aaa-afc2  
#abd ,stat4 #aadd2 #ch ,u4,s4,c4 #agaj  
note7 is amended to read as follows3    
7e7 ,termination ,the authority to carry
 out a pilot program under this section 
shall terminate on ,december #ca1 #bjae4
  4  7b7 ,authorization of              
appropriations ,subsection 7h7 of such  
section is amended by striking #bjad and
 inserting #bjae4  #ajd4 ,extension of  
authority to make grants to veterans    
service organizations for transportation
 of highly rural veterans ,section      
#cjg7;d7 of the ,caregivers and         
,veterans ,omnibus ,health ,services    
,act of #bjaj 7,public ,law #aaa-afc2   
#abd ,stat4 #aaed2 #ch ,u4,s4,c4 #agaj  

note7 is amended by striking #bjad and  
inserting #bjae4  #aje4 ,extension of   
requirement for report on activities of 
,department of ,defense-,department of  
,veterans ,affairs ,interagency ,program
 ,office ,section #afce7;h77#a7 of the  
,wounded ,warrior ,act 7title ,,xvi of  
,public ,law #aaj-aha2 #abb ,stat4 #dfj2
 #aj ,u4,s4,c4 #ajga note7 is amended by
 striking #bjad and inserting #bjae4    
#ajf4 ,extension of authority for the   
performance of medical disabilities     
examinations by contract physicians     
,section #gjd7;c7 of the ,veterans      
,benefits ,act of #bjjc 7,public ,law   
#ajh-ahc2 #ch ,u4,s4,c4 #eaja note7 is  
amended by striking ,december #ca1 #bjad
 and inserting ,december #ca1 #bjae4    
#ajg4 ,extension of authority for       
collection of copayments for hospital   
care and nursing home care ,section     
#agaj7;f77#b77;,b7 is amended by        
striking ,september #cj1 #bjad and      
inserting ,september #cj1 #bjae4  #ajh4 
,extension of authority for recovery    

from third parties of cost of care and  
services furnished to veterans with     
health-plan contracts for               
non-service-connected disability        
,section #agbi7;a77#b77;,e7 is amended  
by striking ,october #a1 #bjad and      
inserting ,october #a1 #bjae4  ,,ii     
,extensions of ,authority ,relating to  
,homelessness  #bja4 ,extension of      
current funding level for comprehensive 
service programs for homeless veterans  
,section #bjac7g7 is amended by striking
 #aej1jjj1jjj and inserting             
#bej1jjj1jjj4  #bjb4 ,extension of      
authority for homeless veterans         
reintegration programs ,section         
#bjba7;e77#a77;,f7 is amended by        
striking #bjad and inserting #bjae4     
#bjc4 ,extension of authority to provide
 referral and counseling services for   
certain veterans at risk of homelessness
 ,section #bjbc7;d7 is amended by       
striking ,september #cj1 #bjad and      
inserting ,september #cj1 #bjae4  #bjd4 
,extension of authority for treatment   

and rehabilitation services for         
seriously mentally ill and homeless     
veterans  7a7 ,general treatment        
,section #bjca7;b7 is amended by        
striking ,december #ca1 #bjad and       
inserting ,september #cj1 #bjae4  7b7   
,additional services at certain         
locations ,section #bjcc7;d7 is amended 
by striking ,december #ca1 #bjad and    
inserting ,september #cj1 #bjae4  #bje4 
,extension of authority to provide      
housing assistance for homeless veterans
 ,section #bjda7;c7 is amended by       
striking ,december #ca1 #bjad and       
inserting ,september #cj1 #bjae4  #bjf4 
,extension of authority to provide      
financial assistance for supportive     
services for very low-income veteran    
families in permanent housing ,section  
#bjdd7;e77#a77;,e7 is amended by        
striking fiscal years #bjac and #bjad   
and inserting fiscal years #bjac through
 #bjae4  #bjg4 ,extension of authority  
for grant program for homeless veterans 
with special needs ,section             

#bjfa7;d77#a7 is amended by striking    
#bjad and inserting #bjae4  #bjh4       
,extension of authority for the         
,advisory ,committee on ,homeless       
,veterans ,section #bjff7;d7 is amended 
by striking ,december #ca1 #bjad and    
inserting ,december #ca1 #bjag4  ,,iii  
,extensions of ,authority ,relating to  
,benefits  #cja4 ,extension of authority
 for the ,veterans' ,advisory ,committee
 on ,education ,section #cfib7;c7 is    
amended by striking ,december #ca1 #bjad
 and inserting ,december #ca1 #bjag4    
#cjb4 ,extension of authority for       
calculating net value of real property  
at time of foreclosure ,section         
#cgcb7;c77#aa7 is amended by striking   
,october #a1 #bjad and inserting        
,october #a1 #bjae4  #cjc4 ,extension of
 authority relating to vendee loans     
,section #cgcc7;a77#g7 is amended--     
7#a7 in the matter preceding            
subparagraph 7,a71 by striking          
,september #cj1 #bjad and inserting     
,september #cj1 #bjae2 and  7#b7 in     

subparagraph 7,c71 by striking          
,september #cj1 #bjad1 and inserting    
,september #cj1 #bjae14  #cjd4          
,extension of authority to provide      
rehabilitation and vocational benefits  
to members of the ,armed ,forces with   
severe injuries or illnesses ,section   
#afca7;b77#b7 of the ,wounded ,warrior  
,act 7title ,,xvi of ,public ,law       
#aaj-aha2 #abb ,stat4 #deh2 #aj         
,u4,s4,c4 #ajga note7 is amended by     
striking ,december #ca1 #bjad and       
inserting ,december #ca1 #bjae4  ,,iv   
,other ,extensions of ,authority and    
,other ,matters  #dja4 ,extension of    
authority to transport certain          
individuals to and from ,department of  
,veterans ,affairs facilities ,section  
#aaa;,a7a77#b7 is amended by striking   
,december #ca1 #bjad and inserting      
,december #ca1 #bjae4  #djb4 ,extension 
of authority for operation of the       
,department of ,veterans ,affairs       
regional office in ,manila1 the         
,republic of the ,philippines ,section  

#cae7;b7 is amended by striking         
,december #ca1 #bjad and inserting      
,september #cj1 #bjae4  #djc4 ,extension
 of requirement to provide reports to   
,congress regarding equitable relief in 
the case of administrative error        
,section #ejc7;c7 is amended by striking
 ,december #ca1 #bjad and inserting     
,december #ca1 #bjae4  #djd4 ,extension 
of authority for ,advisory ,committee on
 ,minority ,veterans ,section #edd7;e7  
is amended by striking ,december #ca1   
#bjad and inserting ,december #ca1      
#bjag4  #dje4 ,extension of authority   
for temporary expansion of eligibility  
for specially adapted housing assistance
 for certain veterans with disabilities 
causing difficulty ambulating ,section  
#baja7;a77#d7 is amended--  7#a7 in     
subparagraph 7,a71 by striking          
,september #cj1 #bjad and inserting     
,september #cj1 #bjae2 and  7#b7 in     
subparagraph 7,b71 by striking fiscal   
year #bjad and inserting each of fiscal 
years #bjad and #bjae4  #djf4 ,extension

 of authority for agreement with        
,national ,academy of ,sciences ,section
 #c7;i7 of the ,agent ,orange ,act of   
#aiia 7,public ,law #ajb-d2 #aje ,stat4 
#ac2 #ch ,u4,s4,c4 #aaaf note7 is       
amended by striking ,october #a1 #bjad  
and inserting ,december #ca1 #bjae4     
#djg4 ,assistance and enforcement of    
,,userra rights with respect to         
employers that are ,federal departments 
and agencies  7a7 ,assistance ,section  
#dcba is amended--  7#a7 by striking    
,the ,secretary and inserting 7a7 ,state
 and private employers4--,the           
,secretary2  7#b7 by inserting after    
this chapter the following3 with respect
 to a ,state 7as an employer7 or a      
private employer2 and  7#c7 by adding at
 the end the following new subsection3  
7b7 ,federal employers ,the ,office of  
,special ,counsel established by section
 #abaa of title #e shall provide        
assistance to any person with respect to
 the employment and reemployment rights 
and benefits to which such person is    

entitled under this chapter with respect
 to a ,federal executive agency or the  
,office of ,personnel ,management4 ,in  
providing such assistance1 the ,special 
,counsel may request the assistance of  
existing ,federal and ,state agencies   
engaged in similar or related activities
 and utilize the assistance of          
volunteers4  4  7b7 ,investigation and  
enforcement ,section #dcbd is amended-- 
7#a7 in subsection 7a7--  7,a7 by       
striking paragraph 7#a7 and inserting   
the following new paragraph 7#a73  7#a7 
7,a7 ,a person described in subparagraph
 7,b7 may file a complaint with the     
,office of ,special ,counsel established
 by section #abaa of title #e1 and the  
,special ,counsel shall investigate such
 complaint4  7,b7 ,a person described in
 this subparagraph is a person who      
claims that--  7i7 such person is       
entitled under this chapter to          
employment or reemployment rights or    
benefits with respect to employment by  
an employer that is a ,federal executive

 agency2 and  7ii7 such employer or the 
,office of ,personnel ,management has   
failed or refused1 or is about to fail  
or refuse1 to comply with the provisions
 of this chapter4  7,c7 ,such a         
complaint shall be in writing1 be in    
such form as the ,special ,counsel may  
prescribe1 include the name and address 
of the employer against whom the        
complaint is filed1 and contain a       
summary of the allegations that form the
 basis for the complaint4  2 and  7,b7  
in paragraph 7#b7--  7i7 in subparagraph
 7,a71 by striking the person on whose  
behalf a complaint is referred and      
inserting a person who submits a        
complaint2 and  7ii7 in subparagraph    
7,b7--  7,i7 by striking #fj days and   
inserting #ij days2 and  7,,ii7 by      
striking receives a referral and        
inserting receives a person's complaint2
  7#b7 in subsection 7b7--  7,a7 by     
striking paragraphs 7#a7 and 7#b72 and  
7,b7 by redesignating paragraphs 7#c7   
and 7#d7 as paragraphs 7#a7 and 7#b71   

respectively2 and  7#c7 by adding at the
 end the following new subsection3  7e7 
,this subchapter does not apply to any  
action relating to benefits to be       
provided under the ,thrift ,savings     
,plan under title #e4  4  7c7 ,technical
 and conforming amendments ,chapter #dc 
is amended--  7#a7 in section #dcbb--   
7,a7 in subsection 7a7--  7i7 in        
paragraph 7#a71 by inserting after an   
employer the following3 that is a ,state
 or a private employer2 and  7ii7 in    
paragraph 7#b7--  7,i7 by striking 7,a72
  7,,ii7 by striking 2 or and inserting 
a comma2 and  7,,iii7 by striking       
subparagraph 7,b72  7,b7 in subsection  
7c77#a71 by striking or #dcbd1 as the   
case may be2  7,c7 in subsection        
7e77#b71 by striking 7in the case of a  
person submitting a complaint against a 
,state or private employer7 or section  
#dcbd 7in the case of a person          
submitting a complaint against a        
,federal executive agency or the ,office
 of ,personnel ,management72  7,d7 by   

striking subsection 7g72 and  7,e7 by   
striking the section heading and        
inserting the following3 ,investigation 
and resolution of claims with respect to
 a ,state or private employer2  7#b7 in 
section #dcbe7;d7--  7,a7 in paragraph  
7#a71 by inserting or the ,special      
,counsel after ,secretary2 and  7,b7 in 
paragraph 7#b71 by inserting 1 the      
,special ,counsel1 after ,secretary2    
7#c7 in section #dcbf--  7,a7 in        
subsection 7a7--  7i7 by striking the   
,secretary's duly authorized            
representatives and inserting the duly  
authorized representatives of the       
,secretary or the ,special ,counsel1 as 
the case may be1 and  7ii7 by striking  
the ,secretary considers and inserting  
the ,secretary or the ,special ,counsel1
 as the case may be1 considers2  7,b7 in
 subsection 7b71 by inserting after     
,secretary both places it appears the   
following3 7or the ,special ,counsel1 as
 the case may be72 and  7,c7 in         
subsection 7c71 by inserting or the     

,special ,counsel after ,secretary each 
place it appears2  7#d7 in section      
#dcbg--  7,a7 in subsection 7a77#b71 by 
striking #dcbd7;a77#a712 and  7,b7 in   
subsection 7b71 by inserting the        
,special ,counsel1 after the            
,secretary12 and  7#e7 in section       
#dccb7;b77#c7--  7,a7 by striking       
received a referral and inserting       
received a complaint submitted2 and     
7,b7 by striking for such referral4  7d7
 ,clerical amendment ,the table of      
sections at the beginning of chapter #dc
 is amended by striking the item        
relating to section #dcbb and inserting 
the following new item3  #dcbb4         
,investigation and resolution of claims 
with respect to a ,state or private     
employer4  4  7e7 ,effective date  7#a7 
,in general ,this section and the       
amendments made by this section shall   
take effect on the date that is #ij days
 after the date of the enactment of this
 ,act4  7#b7 ,transfer of functions2    
funding ,during the #ij-;day period     

following the date of the enactment of  
this ,act1 the ,special ,counsel shall  
enter into an agreement with the        
,secretary of ,labor to transfer to the 
,special ,counsel such sums as may be   
necessary to carry out the functions    
reassigned to the ,special ,counsel     
pursuant to this section4 ,the ,director
 of the ,office of ,management and      
,budget shall coordinate with the       
,special ,counsel and the ,secretary of 
,labor in entering into and carrying out
 such agreement4 ,no funds may be       
transferred under an agreement entered  
into under this paragraph on or after   
the first day of any period for which   
appropriations are provided for the     
,office of ,special ,counsel in an      
appropriations ,act 7other than a       
continuing resolution7 enacted          
subsequent to the date of the enactment 
of this ,act4  #djh4 ,health            
professionals education debt reduction  
,section #gfhc is amended--  7#a7 by    
striking subsection 7a7 and inserting   

the following new subsection3  7a7 ,in  
general ,education debt reduction       
payments under the ,education ,debt     
,reduction ,program shall consist of--  
7#a7 payments to individuals selected to
 participate in the program of amounts  
to reimburse such individuals for       
payments by such individuals of         
principal and interest on loans         
described in section #gfhb7;a77#b7 of   
this title2 or  7#b7 payments for the   
principal and interest on such loans of 
such individuals to the holders of such 
loans4  2  7#b7 in subsections 7b7 and  
7c71 by striking payments to both places
 it appears and inserting payments to or
 for2 and  7#c7 in subsection 7d7--     
7,a7 in paragraph 7#a71 by striking made
 to and inserting made to or for2 and   
7,b7 in paragraph 7#b77;,a71 by striking
 payable to that and inserting payable  
to or for that4  #dji4 ,amendments to   
,veterans ,access1 ,choice1 and         
,accountability ,act of #bjad  7a7      
,expanded availability of hospital care 

and medical services ,section #aja of   
the ,veterans ,access1 ,choice1 and     
,accountability ,act of #bjad 7,public  
,law #aac-adf2 #ch ,u4,s4,c4 #agja note7
 is amended--  7#a7 in subsection 7c7-- 
7,a7 in paragraph 7#a77;,a71 by         
inserting provide the veteran an        
appointment that exceeds the wait-time  
goals described in such subsection or   
before place such2 and  7,b7 in         
paragraph 7#b71 by inserting 7or other  
digital channel7 after website2  7#b7 in
 subsection 7d7--  7,a7 in paragraph    
7#a77;,a71 by adding at the end the     
following new sentence3 ,an agreement   
entered into pursuant to this           
subparagraph may not be treated as a    
public contract for the acquisition of  
goods or services and is not subject to 
any provision of law governing public   
contracts or the acquisition of goods or
 services4 ,before entering into an     
agreement pursuant to this subparagraph1
 the ,secretary shall1 to the maximum   
extent practicable and consistent with  

the requirements of this section1       
furnish such care and services to such  
veterans under this section with such   
entities pursuant to sharing agreements1
 existing contracts entered into by the 
,secretary1 or other processes available
 at medical facilities of the           
,department42 and  7,b7 in paragraph    
7#b77;,b77ii7--  7i7 in subclause 7,i71 
by striking ,the ,secretary and         
inserting ,except as provided by        
subclause 7,,iii71 the ,secretary2 and  
7ii7 by adding at the end the following 
new subclause3  7,,iii7 ,special rules  
for ,alaska and ,maryland ,with respect 
to furnishing care or services under    
this section in ,alaska1 the ,secretary 
shall negotiate a rate in accordance    
with the ,alaska ,fee ,schedule of the  
,department of ,veterans ,affairs except
 in instances where the ,secretary      
enters into another agreement1 including
 a contract or provider agreement4 ,with
 respect to furnishing care or services 
under this section in ,maryland1 in the 

event of an all-payer ,medicare waiver  
under section #aaae;,a of the ,social   
,security ,act 7#db ,u4,s4,c4 #acae;a71 
the ,secretary shall ensure that rates  
are negotiated in accordance with rates 
established pursuant to such waiver1    
except in instances where the ,secretary
 enters into another payment agreement4 
2  7#c7 in subsection 7l77#a71 by       
inserting a copy of before any medical  
record2 and  7#d7 by adding at the end  
the following new subsection3  7t7      
,waiver of certain printing requirements
 ,section #eja of title #dd1 ,united    
,states ,code1 shall not apply in       
carrying out this section4  4  7b7      
,collaboration between ,,va and ,indian 
,health ,service ,section #ajb of the   
,veterans ,access1 ,choice1 and         
,accountability ,act of #bjad 7,public  
,law #aac-adf2 #ch ,u4,s4,c4 #agja note7
 is amended--  7#a7 in subsection 7b71  
by striking ,the ,secretary of ,veterans
 ,affairs shall establish and inserting 
the following3 ,the ,secretary of       

,veterans ,affairs and the ,director of 
the ,indian ,health ,service shall      
jointly establish and implement2  7#b7  
in subsection 7c71 by adding at the end 
the following new paragraph3  7#c7      
,entering into an agreement between the 
,department and the ,indian ,health     
,service described in paragraph         
7#b77;,a7 with respect to the effect of 
such agreement on the priority access of
 any ,indian to health care services    
provided through the ,indian ,health    
,service1 the eligibility of any ,indian
 to receive health services through the 
,indian ,health ,service1 and the       
quality of health care services provided
 to any ,indian through the ,indian     
,health ,service4  2 and  7#c7 by       
striking subsection 7d74  7c7 ,prompt   
payment ,section #aje of the ,veterans  
,access1 ,choice1 and ,accountability   
,act of #bjad 7,public ,law #aac-adf2   
#ch ,u4,s4,c4 #agja note7 is amended--  
7#a7 in subsection 7a71 by striking     
section #acae and inserting part #acae2 

7#b7 in subsection 7b77#b71 by striking 
chapter #ci and inserting chapter #ci of
 title #ca2 and  7#c7 in subsection 7d71
 by striking required by subsection 7b7 
and inserting required by subsection    
7c74  7d7 ,improvement of access to     
mobile vet centers ,section #bjd of the 
,veterans ,access1 ,choice1 and         
,accountability ,act of #bjad 7,public  
,law #aac-adf2 #ch ,u4,s4,c4 #agja note7
 is amended--  7#a7 in subsection 7a7-- 
7,a7 in paragraph 7#a71 by inserting and
 readjustment counseling services after 
other health care2 and  7,b7 in         
paragraph 7#b7--  7i7 in subparagraph   
7,b71 by inserting and events after     
locations2 and  7ii7 in subparagraph    
7,c71 by inserting and outreach contacts
 after appointments2 and  7#b7 in       
subsection 7b77#b7--  7,a7 in           
subparagraph 7,a7--  7i7 in the matter  
preceding clause 7i71 by inserting and  
readjustment counseling after           
telemedicine services2 and  7ii7 in     
clause 7iii71 by inserting and outreach 

contracts after appointments2  7,b7 in  
subparagraph 7,b71 by inserting and     
readjustment counseling after health    
care services2 and  7,c7 in subparagraph
 7,e71 by striking mobile vet centers   
and4  7e7 ,improved transparency        
,section #bjf7;b7 of the ,veterans      
,access1 ,choice1 and ,accountability   
,act of #bjad 7,public ,law #aac-adf2   
#ch ,u4,s4,c4 #agja note7 is amended--  
7#a7 in paragraph 7#a71 by striking     
comprehensive database and inserting    
comprehensive1 machine-readable data    
set2  7#b7 in paragraph 7#c71 by        
striking notice in the database of the  
reason and inserting notice of the      
reason2 and  7#c7 in paragraphs 7#b71   
7#c71 and 7#d71 by striking database    
each place it appears and inserting     
data4  7f7 ,information on credentials  
,section #bjg of the ,veterans ,access1 
,choice1 and ,accountability ,act of    
#bjad 7,public ,law #aac-adf2 #ch       
,u4,s4,c4 #agja note7 is amended by     
striking successor database each place  

it appears and inserting successor data 
set4  7g7 ,report on staffing shortages 
,section #cja7;b77#c7 of the ,veterans  
,access1 ,choice1 and ,accountability   
,act of #bjad 7,public ,law #aac-adf7 is
 amended--  7#a7 in subparagraph 7,a71  
by striking ,not later and all that     
follows through #bjai and inserting the 
following3 ,on ,october #a of each year 
beginning in #bjae and ending in #bjai2 
and  7#b7 in subparagraph 7,b7--  7,a7  
in clause 7iii71 by striking at each and
 all that follows through the period at 
the end and inserting the following3 or 
guidelines of the ,department with      
respect to determining the ratio of     
residents to staff supervising          
residents42 and  7,b7 by striking clause
 7v7 and inserting the following new    
clause3  7v7 ,efforts of the            
,department1 as of the date of the      
submittal of the report1 to recruit and 
retain medical residents to work for the
 ,veterans ,health ,administration as   
full-time employees4  4  7h7 ,project   

,,arch ,section #djc7;j7 of the         
,veterans' ,mental ,health and ,other   
,care ,improvements ,act of #bjjh       
7,public ,law #aaj-chg2 #ch ,u4,s4,c4   
#agjc note7 is amended--  7#a7 by       
striking ,in carrying out and inserting 
,notwithstanding any provision of law   
relating to the use of competitive      
procedures in entering into contracts1  
in carrying out2 and  7#b7 by inserting 
under this section after make use of    
contracts entered into4  7i7            
,clarification of approval of courses of
 education provided by public           
institutions of higher learning and     
in-,state tuition rate for veterans     
,paragraph 7#a7 of section #cfgi7;c7 is 
amended to read as follows3  7#a7       
,notwithstanding any other provision of 
this chapter and subject to paragraphs  
7#c7 through 7#f71 the ,secretary shall 
disapprove a course of education        
provided by a public institution of     
higher learning if the institution      
charges tuition and fees for that course

 for covered individuals who are        
pursuing the course with educational    
assistance under chapter #cj or #cc of  
this title while living in the ,state in
 which the institution is located at a  
rate that is higher than the rate the   
institution charges for tuition and fees
 for that course for residents of the   
,state in which the institution is      
located1 regardless of the covered      
individual's ,state of residence4  4