,,ii #aacth ,,congress #b;d ,session ,h4 ,r4 #edjd ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,september #ag 7legislative day1 ,september #af71 #bjad,received ,,an ,,act ,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 ,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 ,restoration of prior reporting fee multipliers4 ,sec4 #djg4 ,extension of authority for agreement with ,national ,academy of ,sciences4 ,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 7a7 ,extension of authority ,subsection 7d7 of section #bjbc is amended by striking ,september #cj1 #bjad and inserting ,september #cj1 #bjae4 7b7 ,technical amendment ,subsection 7c77#c7 of such section is amended by striking enter into contracts and inserting make grants4 #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 #bjae4 ,,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 #bjae4 #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 ,,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 #bjae4 #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 ,restoration of prior reporting fee multipliers ,during the one-year period beginning on the date of the enactment of this ,act1 the second sentence of section #cfhd7;c7 shall be applied-- 7#a7 by substituting #i for #ab2 and 7#b7 by substituting #ac for #ae4 #djg4 ,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 #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 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 7d77#a77;,a71 by adding at the end the following new sentences3 ,an agreement entered into pursuant to this subparagraph may not be treated as a ,federal contract for the acquisition of goods or services and is not subject to any provision of law governing ,federal contracts for 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 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 contacts 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 ,passed the ,house of ,representatives ,september #af1 #bjad4,karen ,l4 ,haas1,clerk