,,ii  #aac? ,,congress  #a/ ,session    
,s4 #aafe  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,june #ac1 #bjac ,mr4  
,te/] 7= himself1 ,mr4 ,pryor1 ,mr4     
,begi*1 & ,mr4 ,wyd57 introduc$ ! foll[+
 bill2 :i* 0 read twice & ref]r$ to !   
,committee on ,vet]ans' ,affairs  ,a    
,,bill  ,to am5d title #ch1 ,unit$      
,/ates ,code1 to provide = c]ta9        
requirem5ts relat+ to ! immunization (  
vet]ans1 & = o!r purposes4  #a4 ,%ort   
title ,?is ,act may be cit$ z ! ,access 
to ,appropriate ,immunizations =        
,vet]ans ,act ( #bjac4  #b4 ,ensur+     
vet]an access to appropriate            
immunizations  7a7 ,inclusion (         
recomm5d$ adult vacc9ations z m$ical    
s]vices  7#a7 ,cov]$ b5efit ,subp>agraph
 7,f7 ( section #agja7i7 ( title #ch1   
,unit$ ,/ates ,code1 is am5d$ to read z 
foll[s3  7,f7 immunizations aga9/       
infecti\s diseases1 includ+ ea*         
immunization on ! recomm5d$ adult       
immunization s*$ule at ! "t su*         
immunization is indicat$ on t s*$ule2  4

  7#b7 ,def9ition ,section #agja ( su*  
title is am5d$ by add+ aft] p>agraph    
7#i7 ! foll[+ new p>agraph3  7#aj7 ,!   
t]m recomm5d$ adult immunization s*$ule 
means ! s*$ule e/abli%$ 7& p]iodically  
review$ &1 z appropriate1 revis$7 by !  
,advisory ,committee on ,immunization   
,practices e/abli%$ by ! ,secret>y (    
,heal? & ,human ,s]vices & delegat$ to !
 ,c5t]s = ,disease ,control &           
,prev5tion4  4  7b7 ,report to ,congress
 ,section #agjd7a77;,a7 ( su* title is  
am5d$--  7#a7 9 clause 7i71 by /rik+ &  
at ! end2  7#b7 9 clause 7ii71 by /rik+ 
! p]iod at ! end & ins]t+ 2 &2 &  7#c7  
by ins]t+ aft] clause 7ii7 ! foll[+ new 
clause3  7iii7 to ensure t vet]ans h    
receiv$ ea* immunization on ! recomm5d$ 
adult immunization s*$ule at ! "t su*   
immunization is indicat$ on t s*$ule4  4
  7c7 ,assurance t adm9i/ration (       
vacc9ations con/itutes appropriate      
managem5t & co/-,effective deliv]y (    
heal? c>e s]vices  7#a7 ,9 g5]al        
,section #agjf7;a7 ( su* title is       

am5d$--  7,a7 by /rik+ ,9 manag+ !      
provision & ins]t+ 7#a7 ,9 manag+ !     
provision2 &  7,b7 by add+ at ! end !   
foll[+ new p>agraph3  7#b7 7,a7 ,9      
manag+ ! provision ( m$ical s]vices "u  
su* section1 ! ,secret>y %all develop & 
implem5t quality measures & metrics to  
ensure t vet]ans receiv+ m$ical s]vices 
"u ?is title receive ea* immunization on
 ! recomm5d$ adult immunization s*$ule  
at ! "t su* immunization is indicat$ on 
t s*$ule4  7,b7 ,quality measures &     
metrics develop$ & implem5t$ "u         
subp>agraph 7,a7 %all include t>gets =  
compliance4  7,c7 ,! ,secret>y %all1 to 
! maximum ext5t feasible1 develop &     
implem5t measures & metrics requir$ by  
subp>agraph 7,a7 concurr5tly &          
consi/5tly ) ! metrics 9 place1 z ( !   
date ( ! enactm5t ( ?is p>agraph1 )     
respect to influ5za & pneumococcal      
vacc9ations4  4  7#b7 ,report to        
,congress ,section #agjd7a7 ( su* title 
is am5d$ by add+ at ! end ! foll[+ new  
subp>agraph3  7,h7 ,/ati/ics relat$ to !

 quality measures & metrics develop$ &  
implem5t$ "u section #agjf7;a77#b7 ( ?is
 title4  4  7#c7 ,effective dates  7,a7 
,developm5t ( initial s*$ule ,!         
,secret>y %all e/abli% ! quality        
measures & metrics describ$ 9 p>agraph  
7#b7 ( section #agjf7;a7 ( su* title1 z 
add$ by p>agraph 7#a71 ?r\gh notice &   
comm5t rulemak+4 ,! ,secret>y %all      
publi% 9 ! ,f$]al ,regi/] propos$       
measures & metrics by no lat] ?an ,july 
#a1 #bjac1 & %all f9alize su* measures &
 metrics by no lat] ?an ,decemb] #ca1   
#bjac4  7,b7 ,implem5tation ( measures &
 metrics ,! ,secret>y %all implem5t     
p>agraph 7#b7 ( su* section on ,janu>y  
#a1 #bjad4  7,c7 ,report to ,congress   
,subp>agraph 7,h7 ( p>agraph 7#a7 (     
section #agjd ( su* title1 z add$ by    
p>agraph 7#b71 %all apply ) respect to !
 fir/ report submitt$ "u su* section    
aft] ,janu>y #a1 #bjad4