,,ii ,cal5d> ,no4 #cja #aac? ,,congress 
#b;d ,session  ,s4 #aihb  ,,9 ,,!       
,,s5ate ,,( ,,! ,,unit$ ,,/ates         
,febru>y #c1 #bjad,mr4 ,s&]s 7= himself1
 ,ms4 ,hirono1 ,ms4 ,l&rieu1 ,mr4       
,begi*1 ,mr4 ,s*atz1 ,mr4 ,br[n1 ,mr4   
,blum5?al1 ,ms4 ,heitkamp1 ,mrs4 ,box]1 
,mr4 ,:iteh\se1 ,mrs4 ,gillibr&1 ,mrs4  
,murray1 ,mr4 ,casey1 ,mr4 ,m]kley1 ,mr4
 ,he9ri*1 ,mrs4 ,%ahe51 & ,mr4 ,re$7    
introduc$ ! foll[+ bill2 :i* 0 read !   
fir/ "t  ,febru>y #d1 #bjad,read !      
second "t & plac$ on ! cal5d>  ,a ,,bill
  ,to improve ! provision ( m$ical      
s]vices & b5efits to vet]ans1 & = o!r   
purposes4  #a4 ,%ort title2 table (     
cont5ts  7a7 ,%ort title ,?is ,act may  
be cit$ z ! ,compreh5sive ,vet]ans      
,heal? & ,b5efits & ,milit>y ,retirem5t 
,pay ,re/oration ,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 ,budget>y               

effects4,,title ,i--,survivor & ,dep5d5t
 ,matters,sec4 #aja4 ,ext5sion ( initial
 p]iod = increas$ dep5d5cy & indemnity  
comp5sation = surviv+ sp\ses )          
*ildr54,sec4 #ajb4 ,eligibility =       
dep5d5cy & indemnity comp5sation1       
educational assi/ance1 & h\s+ loans =   
surviv+ sp\ses :o rem>ry aft] age       
#ee4,sec4 #ajc4 ,ext5sion ( m>riage     
delimit+ date = surviv+ sp\ses ( ,p]sian
 ,gulf ,w> vet]ans to qualify = dea?    
p5sion4,sec4 #ajd4 ,mak+ effective date 
provision consi/5t ) provision = b5efits
 eligibility ( a vet]an's *ild bas$ ^u  
t]m9ation ( rem>riage by annulm5t4,sec4 
#aje4 ,expansion ( ,m>9e ,gunn]y        
,s]geant ,john ,david ,fry              
,s*ol>%ip4,sec4 #ajf4 ,expansion (      
,yell[ ,ribbon ,g4,i4 ,education        
,enhancem5t ,program4,sec4 #ajg4        
,b5efits = *ildr5 ( c]ta9 ,?ail& s]vice 
vet]ans born ) sp9a bifida4,sec4 #ajh4  
,program on assi/$ liv+ = *ildr5 (      
,vietnam vet]ans & c]ta9 ,korea s]vice  
vet]ans born ) sp9a bifida4,sec4 #aji4  

,program on grief c\nsel+ 9 retreat     
sett+s = surviv+ sp\ses ( memb]s ( !    
,arm$ ,=ces :o die :ile s]v+ on active  
duty 9 ! ,arm$ ,=ces4,sec4 #aaj4        
,program evaluation on survivors' &     
dep5d5ts' educational assi/ance         
au?orities4,,title ,,ii--,education     
,matters,sec4 #bja4 ,approval ( c\rses (
 education provid$ by public in/itutions
 ( high] le>n+ = purposes (             
,all-,volunte] ,=ce ,educational        
,assi/ance ,program & ,po/-#i_/aa       
,educational ,assi/ance conditional on  
9-,/ate tuition rate = vet]ans4,sec4    
#bjb4 ,ext5sion & expansion ( au?ority =
 c]ta9 qualify+ "w-/udy activities =    
purposes ( ! educational assi/ance      
programs ( ! ,dep>tm5t ( ,vet]ans       
,affairs4,sec4 #bjc4 ,prohibitions      
relat+ to ref]5ces to ,,gi ,bill &      
,po/-#i_/aa ,,gi ,bill4,sec4 #bjd4      
,review ( utilization ( educational     
assi/ance to pursue programs ( tra9+ on 
! job & p>ticipat+ employ]s4,sec4 #bje4 
,report on debt managem5t &             

collection4,sec4 #bjf4 ,re/oration (    
prior report+ fee multipli]s4,,title    
,,iii--,heal? ,c>e ,matters,subtitle    
,a--,expansion & ,improvem5ts ( ,b5efits
 ,generally,sec4 #cja4 ,requirem5t =    
enrollm5t 9 pati5t enrollm5t sy/em ( !  
,dep>tm5t ( ,vet]ans ,affairs ( c]ta9   
vet]ans eligible = enrollm5t by law b n 
curr5tly p]mitt$ to enroll4,sec4 #cjb4  
,fur!r ext5sion ( p]iod ( eligibility = 
heal? c>e = vet]ans ( combat s]vice dur+
 c]ta9 p]iods ( ho/ilities & w>4,sec4   
#cjc4 ,ext5sion to all vet]ans ) a s]i\s
 s]vice-connect$ disability (           
eligibility = p>ticipation 9 family     
c>egiv] program4,sec4 #cjd4 ,improv$    
access to appropriate immunizations =   
vet]ans4,sec4 #cje4 ,expansion (        
provision ( *iropractic c>e & s]vices to
 vet]ans4,sec4 #cjf4 ,modification (    
comm5cem5t date ( p]iod ( s]vice at     
,camp ,lejeune1 ,nor? ,c>ol9a1 =        
eligibility = hospital c>e & m$ical     
s]vices 9 connection ) exposure to      
contam9at$ wat]4,sec4 #cjg4 ,expansion (

 em]g5cy treatm5t reimbursem5t = c]ta9  
vet]ans4,sec4 #cjh4 ,modification (     
det]m9ation ( eligibility ( vet]ans =   
treatm5t z a l[-income family = purposes
 ( enrollm5t 9 ! pati5t enrollm5t sy/em 
( ! ,dep>tm5t ( ,vet]ans ,affairs4,sec4 
#cji4 ,ext5sion ( sunset date reg>d+    
transportation ( individuals to & f     
facilities ( ,dep>tm5t ( ,vet]ans       
,affairs & requirem5t ( report4,sec4    
#caj4 ,cov]age ( co/s ( c>e = vet]ans at
 m$ical fo/] homes4,sec4 #caa4 ,ext5sion
 & modification ( pilot program on      
assi/$ liv+ s]vices = vet]ans )         
traumatic bra9 injury4,sec4 #cab4       
,program on heal? promotion = ov]weight 
& obese vet]ans ?r\gh support ( fitness 
c5t] memb]%ips4,sec4 #cac4 ,program on  
heal? promotion = vet]ans ?r\gh         
e/abli%m5t ( ,dep>tm5t ( ,vet]ans       
,affairs fitness facilities4,subtitle   
,b--,heal? ,c>e ,administration,sec4    
#cba4 ,ext5sion ( ,dep>tm5t ( ,vet]ans  
,affairs ,heal? ,pr(essional ,s*ol>%ip  
,program4,sec4 #cbb4 ,expansion (       

availability ( pro/hetic & or?otic c>e =
 vet]ans4,sec4 #cbc4 ,contract+ = heal? 
c>e4,sec4 #cbd4 ,limitation on expansion
 ( dialysis pilot program4,sec4 #cbe4   
,requirem5t = ,dep>tm5t ( ,vet]ans      
,affairs policy on report+ cases (      
infecti\s diseases at facilities ( !    
,dep>tm5t4,sec4 #cbf4 ,indep5d5t        
assessm5t ( ! ,vet]ans ,integrat$       
,s]vice ,networks & m$ical c5t]s (      
,dep>tm5t ( ,vet]ans ,affairs4,sec4     
#cbg4 ,requirem5ts 9 connection ) next  
update ( curr5t /rategic plan = ,(fice (
 ,rural ,heal? ( ! ,dep>tm5t ( ,vet]ans 
,affairs4,sec4 #cbh4 ,report on         
provision ( telem$ic9e s]vices4,sec4    
#cbi4 ,designation ( ,corporal ,mi*ael  
,j4 ,cresc5z ,dep>tm5t ( ,vet]ans       
,affairs ,m$ical ,c5t]4,subtitle        
,c--,complem5t>y & ,alt]native          
,medicine,sec4 #cca4 ,expansion ( rese>*
 & education on & deliv]y ( complem5t>y 
& alt]native m$ic9e to vet]ans4,sec4    
#ccb4 ,program on integration (         
complem5t>y & alt]native m$ic9e )9      

,dep>tm5t ( ,vet]ans ,affairs m$ical    
c5t]s4,sec4 #ccc4 ,/udies ( b>ri]s      
enc\nt]$ by vet]ans 9 receiv+1 &        
adm9i/rators & cl9icians 9 provid+1     
complem5t>y & alt]native m$ic9e s]vices 
furni%$ by ! ,dep>tm5t ( ,vet]ans       
,affairs4,sec4 #ccd4 ,program on use (  
wellness programs z complem5t>y approa* 
to m5tal heal? c>e = vet]ans & family   
memb]s ( vet]ans4,subtitle ,d--,m5tal   
,heal? ,care,sec4 #cda4 ,inclusion (    
m5tal heal? pr(essionals 9 ! education &
 tra9+ program = heal? p]sonnel ( !     
,dep>tm5t ( ,vet]ans ,affairs4,sec4     
#cdb4 ,education program & pe] support  
program = family memb]s & c>egiv]s (    
vet]ans ) m5tal heal? disord]s4,sec4    
#cdc4 ,report on provision ( m5tal heal?
 s]vices = families ( c]ta9 vet]ans at  
facilities ( ! ,dep>tm5t4,sec4 #cdd4    
,annual report on community m5tal heal? 
p>tn]%ip pilot program4,subtitle        
,e--,d5tal c>e eligibility expansion &  
enhancement,sec4 #cea4 ,re/orative d5tal
 s]vices = vet]ans4,sec4 #ceb4 ,pilot   

program on expansion ( furni%+ ( d5tal  
c>e to all enroll$ vet]ans4,sec4 #cec4  
,program on education to promote d5tal  
heal? 9 vet]ans4,sec4 #ced4 ,in=mation  
on d5tal s]vices = inclusion 9          
electronic m$ical records "u d5tal      
insurance pilot program4,sec4 #cee4     
,au?orization ( appropriations4,subtitle
 ,f--,heal? c>e relat$ to sexual        
trauma,sec4 #cfa4 ,expansion (          
eligibility = sexual trauma c\nsel+ &   
treatm5t to vet]ans on inactive duty    
tra9+4,sec4 #cfb4 ,provision ( c\nsel+ &
 treatm5t = sexual trauma by ! ,dep>tm5t
 ( ,vet]ans ,affairs to memb]s ( ! ,arm$
 ,=ces4,sec4 #cfc4 ,dep>tm5t ( ,vet]ans 
,affairs scre5+ me*anism to detect      
incid5ts ( dome/ic abuse4,sec4 #cfd4    
,reports on milit>y sexual trauma &     
dome/ic abuse4,subtitle                 
,g--,reproductive treatm5t &            
services,sec4 #cga4 ,cl>ification t     
f]tility c\nsel+ & treatm5t are m$ical  
s]vices :i* ! ,secret>y may furni% to   
vet]ans l o!r m$ical s]vices4,sec4 #cgb4

 ,reproductive treatm5t & c>e = sp\ses &
 surrogates ( vet]ans4,sec4 #cgc4       
,adoption assi/ance = sev]ely w\nd$     
vet]ans4,sec4 #cgd4 ,regulations on     
furni%+ ( f]tility c\nsel+ & treatm5t & 
adoption assi/ance by ,dep>tm5t (       
,vet]ans ,affairs4,sec4 #cge4           
,coord9ation betwe5 ,dep>tm5t ( ,vet]ans
 ,affairs & ,dep>tm5t ( ,def5se on      
furni%+ ( f]tility c\nsel+ &            
treatm5t4,sec4 #cgf4 ,facilitation (    
reproduction & inf]tility rese>*4,sec4  
#cgg4 ,annual report on provision (     
f]tility c\nsel+ & treatm5t furni%$ by  
,dep>tm5t ( ,vet]ans ,affairs4,sec4     
#cgh4 ,program on assi/ance = *ild c>e =
 c]ta9 vet]ans4,sec4 #cgi4 ,c\nsel+ 9   
retreat sett+s = wom5 vet]ans newly     
sep>at$ f s]vice 9 ! ,arm$              
,=ces4,subtitle ,h--,major m$ical       
facility leases,sec4 #cha4 ,au?orization
 ( major m$ical facility leases4,sec4   
#chb4 ,budget>y treatm5t ( ,dep>tm5t (  
,vet]ans ,affairs major m$ical          
facilities leases4,,title               

,,iv--,employm5t & ,relat$              
,matters,subtitle ,a--,tra9+ & o!r      
s]vices = vet]ans seek+ employment,sec4 
#dja4 ,reau?orization ( vet]ans retra9+ 
assi/ance program4,sec4 #djb4 ,ext5sion 
( au?ority ( ,secret>y ( ,vet]ans       
,affairs to provide rehabilitation &    
vocational b5efits to memb]s ( ,arm$    
,=ces ) sev]e injuries or               
illnesses4,sec4 #djc4 ,ext5sion (       
additional rehabilitation programs =    
p]sons :o h exhau/$ rights to           
unemploym5t b5efits "u ,/ate law4,sec4  
#djd4 ,unifi$ employm5t portal =        
vet]ans4,sec4 #dje4 ,report on unifi$   
,gov]nm5t ,int]net portal = vet]ans on  
jobs available ?r\gh ! ,f$]al           
,gov]nm5t4,sec4 #djf4 ,in=mation on     
disability-relat$ employm5t & education 
protections 9 ,transition ,assi/ance    
,program4,subtitle ,b--,employm5t (     
vet]ans & recognition ( vet]an /atus )  
respect to employm5t relat$ matters,sec4
 #daa4 ,employm5t ( vet]ans ) ! ,f$]al  
,gov]nm5t4,sec4 #dab4 ,/ate recognition 

( milit>y exp]i5ce ( vet]ans 9 issu+    
lic5ses & cr$5tials to vet]ans4,sec4    
#dac4 ,grants to hire vet]ans z fir/    
respond]s4,sec4 #dad4 ,employm5t (      
vet]ans z evaluation factor 9 ! aw>d+ ( 
,f$]al contracts4,sec4 #dae4 ,report on 
discrim9ation aga9/ memb]s ( res]ve     
compon5ts ( ,arm$ ,=ces & vet]ans 9     
civilian labor m>ket4,subtitle          
,c--,program on ,c>e] ,transition,sec4  
#dba4 ,program on provision ( c>e]      
transition s]vices to "y                
vet]ans4,subtitle ,d--,improv+ employm5t
 & reemploym5t rights ( memb]s ( !      
uni=m$ services,sec4 #dca4 ,en=cem5t (  
rights ( memb]s ( uni=m$ s]vices )      
respect to ,/ates & private             
employ]s4,sec4 #dcb4 ,susp5sion1        
t]m9ation1 or deb>m5t ( contractors =   
repeat$ violations ( employm5t or       
reemploym5t rights ( memb]s ( uni=m$    
s]vices4,sec4 #dcc4 ,subpo5a p[] =      
,special ,c\nsel 9 en=cem5t ( employm5t 
& reemploym5t rights ( memb]s ( uni=m$  
s]vices ) respect to ,f$]al executive   

ag5cies4,sec4 #dcd4 ,issuance & s]vice (
 civil inve/igative dem&s by ,attorney  
,g5]al4,subtitle ,e--,small ,bus9ess    
,matters,sec4 #dda4 ,expansion (        
contract+ goals & pref]5ces ( ,dep>tm5t 
( ,vet]ans ,affairs to include          
conditionally own$ small bus9ess conc]ns
 #ajj p]c5t own$ by vet]ans4,sec4 #ddb4 
,modification ( treatm5t "u contract+   
goals & pref]5ces ( ,dep>tm5t ( ,vet]ans
 ,affairs = small bus9esses own$ by     
vet]ans ( small bus9esses aft] dea? (   
disabl$ vet]an own]s4,sec4 #ddc4        
,treatm5t ( bus9esses aft] dea?s (      
s]vicememb]-own]s = purposes ( ,dep>tm5t
 ( ,vet]ans ,affairs contract+ goals &  
pref]5ces4,sec4 #ddd4 ,special rule =   
treatm5t "u contract+ goals & pref]5ces 
( ,dep>tm5t ( ,vet]ans ,affairs ( small 
bus9ess conc]ns lic5s$ 9 community      
prop]ty ,/ates4,sec4 #dde4 ,report on   
assi/ance = vet]ans 9 obta9+ tra9+ on   
pur*as+ & op]at+ a fran*ise4,,title     
,v--,acc\ntability & ,adm9i/rative      
,improvements,sec4 #eja4 ,adm9i/ration (

 ,vet]ans ,integrat$ ,s]vice            
,networks4,sec4 #ejb4 ,regional support 
c5t]s = ,vet]ans ,integrat$ ,s]vice     
,networks4,sec4 #ejc4 ,commission on    
,capital ,plann+ = ,dep>tm5t ( ,vet]ans 
,affairs ,m$ical ,facilities4,sec4 #ejd4
 ,advance appropriations = c]ta9 acc\nts
 ( ! ,dep>tm5t ( ,vet]ans ,affairs4,sec4
 #eje4 ,public access to ,dep>tm5t (    
,vet]ans ,affairs rese>* & data %>+     
betwe5 ,dep>tm5ts4,sec4 #ejf4 ,assessm5t
 by ,comptroll] ,g5]al ( ! ,unit$ ,/ates
 ( in=mation made available by ,vet]ans 
,b5efits ,adm9i/ration4,sec4 #ejg4      
,comptroll] g5]al report on advisory    
committees ( ! ,dep>tm5t ( ,vet]ans     
,affairs4,,title ,,vi--,improvem5t (    
,process+ ( ,claims =                   
,compensation,subtitle ,a--,claims ,bas$
 on ,milit>y ,sexual ,trauma,sec4 #fja4 
,m$ical exam9ation & op9ion = disability
 comp5sation claims bas$ on milit>y     
sexual trauma4,sec4 #fjb4 ,case         
repres5tative (fic]s = milit>y sexual   
trauma support4,sec4 #fjc4 ,report on   

/&>d ( pro( = s]vice-connection ( m5tal 
heal? conditions relat$ to milit>y      
sexual trauma4,sec4 #fjd4 ,reports on   
claims = disabilities incurr$ or        
aggravat$ by milit>y sexual             
trauma4,subtitle ,b--,claims = dep5d5cy 
& indemnity compensation,sec4 #faa4     
,program on treatm5t ( c]ta9            
applications = dep5d5cy & indemnity     
comp5sation z fully develop$            
claims4,sec4 #fab4 ,report by ,secret>y 
( ,vet]ans ,affairs on improv+ timel9ess
 & accuracy ( adm9i/ration ( claims =   
dep5d5cy & indemnity comp5sation &      
p5sion = surviv+ sp\ses &               
*ildr54,subtitle ,c--,ag5cy ( ,orig9al  
,jurisdiction,sec4 #fba4 ,work+ gr\p to 
improve employee "w cr$it & "w managem5t
 sy/ems ( ,vet]ans ,b5efits             
,adm9i/ration 9 an electronic           
environm5t4,sec4 #fbb4 ,task =ce on     
ret5tion & tra9+ ( ,dep>tm5t ( ,vet]ans 
,affairs claims processors &            
adjudicators4,sec4 #fbc4 ,reports on    
reque/s by ! ,dep>tm5t ( ,vet]ans       

,affairs = records ( o!r ,f$]al         
ag5cies4,sec4 #fbd4 ,recognition (      
repres5tatives ( ,indian tribes 9 !     
prep>ation1 pres5tation1 & prosecution (
 claims "u laws adm9i/]$ by ! ,secret>y 
( ,vet]ans ,affairs4,sec4 #fbe4 ,program
 on p>ticipation ( local & tribal       
gov]nm5ts 9 improv+ quality ( claims =  
disability comp5sation submitt$ to      
,dep>tm5t ( ,vet]ans ,affairs4,sec4     
#fbf4 ,dep>tm5t ( ,vet]ans ,affairs     
notice ( av]age times = process+        
comp5sation claims4,sec4 #fbg4 ,qu>t]ly 
reports on progress ( ,dep>tm5t (       
,vet]ans ,affairs 9 elim9at+ backlog (  
claims = comp5sation t h n be5          
adjudicat$4,sec4 #fbh4 ,reports on use (
 exi/+ au?orities to exp$ite b5efits    
decisions4,sec4 #fbi4 ,reports on       
,dep>tm5t disability m$ical exam9ations 
& prev5tion ( unnecess>y m$ical         
exam9ations4,subtitle ,d--,bo>d (       
,vet]ans' ,appeals & ,c\rt ( ,appeals = 
,vet]ans ,claims,sec4 #fca4 ,treatm5t ( 
c]ta9 misfil$ docum5ts z a notice (     

appeal to ! ,c\rt ( ,appeals = ,vet]ans 
,claims4,sec4 #fcb4 ,det]m9ation ( mann]
 ( appe>ance = he>+s be=e ,bo>d (       
,vet]ans' ,appeals4,,title              
,,vii--,outrea* ,matters,sec4 #gja4     
,program to increase coord9ation (      
outrea* ef=ts betwe5 ! ,dep>tm5t (      
,vet]ans ,affairs & ,f$]al1 ,/ate1 &    
local ag5cies & nonpr(it                
organizations4,sec4 #gjb4 ,coop]ative   
agreem5ts betwe5 ,secret>y ( ,vet]ans   
,affairs & ,/ates on outrea*            
activities4,sec4 #gjc4 ,advisory        
committee on outrea* activities (       
,dep>tm5t ( ,vet]ans ,affairs4,sec4     
#gjd4 ,advisory bo>ds on outrea*        
activities ( ,dep>tm5t ( ,vet]ans       
,affairs relat+ to heal? c>e4,sec4 #gje4
 ,modification ( requirem5t = p]iodic   
reports to ,congress on outrea*         
activities ( ,dep>tm5t ( ,vet]ans       
,affairs4,sec4 #gjf4 ,budget transp>5cy 
= outrea* activities ( ,dep>tm5t (      
,vet]ans ,affairs4,,title               
,,viii--,enhancem5t ( rights "u         

,s]vicememb]s ,civil ,relief ,act,sec4  
#hja4 ,modification ( p]iod det]m9+ :i* 
actions are cov]$ "u /ay ( proce$+s &   
adju/m5t ( obligation protections       
conc]n+ mortgages & tru/ de$s ( memb]s (
 uni=m$ s]vices4,sec4 #hjb4 ,protections
 = memb]s ( uni=m$ s]vices reg>d+       
pr(essional lic5ses4,sec4 #hjc4         
,prohibition on d5ial ( cr$it because ( 
eligibility = protection4,sec4 #hjd4    
,int]e/ rate limitation on debt ent]$   
into dur+ milit>y s]vice to consolidate 
or ref9ance /ud5t loans incurr$ be=e    
milit>y s]vice4,sec4 #hje4 ,t]m9ation ( 
resid5tial leases aft] assignm5t or     
relocation to qu>t]s ( ,unit$ ,/ates or 
h\s+ facility "u jurisdiction ( uni=m$  
s]vice4,sec4 #hjf4 ,protection ( surviv+
 sp\se ) respect to mortgage            
=eclosure4,sec4 #hjg4 ,improv$          
protection ( memb]s ( uni=m$ s]vices    
aga9/ default judgm5ts4,sec4 #hjh4      
,cl>ification reg>d+ application (      
en=cem5t au?ority ( ,attorney ,g5]al &  
private "r ( action "u ,s]vicememb]s    

,civil ,relief ,act4,sec4 #hji4 ,cl]ical
 am5dm5ts4,,title ,,ix--,o!r            
,matters,sec4 #ija4 ,repeal ( r$uctions 
made by ,bip>tisan ,budget ,act (       
#bjac4,sec4 #ijb4 ,consid]ation by      
,secret>y ( ,vet]ans ,affairs ( res\rces
 dispos$ ( = less ?an fair m>ket value  
by individuals apply+ = p5sion4,sec4    
#ijc4 ,ext5sion ( r$uc$ p5sion = c]ta9  
vet]ans cov]$ by m$icaid plans = s]vices
 furni%$ by nurs+ facilities4,sec4 #ijd4
 ,conditions on aw>d ( p] diem paym5ts  
by ,secret>y ( ,vet]ans ,affairs =      
provision ( h\s+ or s]vices to homeless 
vet]ans4,sec4 #ije4 ,exception to c]ta9 
recapture requirem5ts & treatm5t (      
contracts & grants ) ,/ate homes )      
respect to c>e = homeless vet]ans4,sec4 
#ijf4 ,ext5d$ p]iod = s*$ul+ ( m$ical   
exams = vet]ans receiv+ tempor>y        
disability rat+s = sev]e m5tal          
disord]s4,sec4 #ijg4 ,au?ority to issue 
,vet]ans ,,id ,c>ds4,sec4 #ijh4 ,honor+ 
z vet]ans c]ta9 p]sons :o p]=m$ s]vice 9
 ! res]ve compon5ts ( ! ,arm$           

,=ces4,sec4 #iji4 ,ext5sion ( au?ority =
 ,secret>y ( ,vet]ans ,affairs to obta9 
in=mation f ,secret>y ( ,treasury &     
,commission] ( ,social ,security =      
income v]ification purposes4,sec4 #iaj4 
,ext5sion ( au?ority = ,secret>y (      
,vet]ans ,affairs to issue & gu>antee   
c]ta9 loans4,sec4 #iaa4 ,review (       
det]m9ation ( c]ta9 s]vice 9 ,philipp9es
 dur+ ,_w ,w> ,,ii4,sec4 #iab4 ,review (
 det]m9ation ( c]ta9 s]vice ( m]*ant    
m>9]s dur+ ,_w ,w> ,,ii4,sec4 #iac4     
,report on ,laotian milit>y support (   
,arm$ ,=ces ( ! ,unit$ ,/ates dur+      
,vietnam ,w>4,sec4 #iad4 ,report on     
practices ( ! ,dep>tm5t ( ,vet]ans      
,affairs to adequately provide s]vices  
to vet]ans ) he>+ loss4,sec4 #iae4      
,report on jo9t programs ( ,dep>tm5t (  
,vet]ans ,affairs & ,dep>tm5t ( ,def5se 
) respect to he>+ loss ( memb]s ( !     
,arm$ ,=ces & vet]ans4,sec4 #iaf4       
,limitation on aggregate am\nt ( bonuses
 payable to p]sonnel ( ! ,dep>tm5t (    
,vet]ans ,affairs dur+ fiscal ye>       

#bjad4,sec4 #iag4 ,am5dm5t to ,,oco     
adju/m5ts4  #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 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 ,budget>y effects  7a7      
,paygo scorec>d ,! budget>y effects (   
?is ,act %all n be ent]$ on ei!r ,,paygo
 scorec>d ma9ta9$ pursuant to section   
#d7;d7 ( ! ,/atutory ,pay-,z-,y-,g ,act 
( #bjaj 7#b ,u4,s4,c4 #icc7;d774  7b7   
,s5ate paygo scorec>d ,! budget>y       
effects ( ?is ,act %all n be ent]$ on   
any ,,paygo scorec>d ma9ta9$ = purposes 
( section #bja ( ,s4 ,con4 ,res4 #ba    
7#aaj? ,congress74  ,i ,survivor &      
,dep5d5t ,matt]s  #aja4 ,ext5sion (     
initial p]iod = increas$ dep5d5cy &     
indemnity comp5sation = surviv+ sp\ses )
 *ildr5  7a7 ,9 g5]al ,section          
#acaa7;f77#b7 is am5d$ by /rik+ two-ye> 

& ins]t+ ?ree-ye>4  7b7 ,effective date 
,! am5dm5t made by subsection 7a7 %all  
take effect z ( ,septemb] #cj1 #bjad1 & 
%all apply to any surviv+ sp\se :o 0    
eligible = or 9 receipt ( b5efits "u    
section #acaa7;f7 ( title #ch1 ,unit$   
,/ates ,code1 on or aft] ! date ( !     
enactm5t ( ?is ,act4  #ajb4 ,eligibility
 = dep5d5cy & indemnity comp5sation1    
educational assi/ance1 & h\s+ loans =   
surviv+ sp\ses :o rem>ry aft] age #ee   
7a7 ,9 g5]al ,p>agraph 7#b77;,b7 (      
section #ajc7;d7 is am5d$ to read z     
foll[s3  7,b7 ,! rem>riage aft] age #ee 
( ! surviv+ sp\se ( a vet]an %all n b> !
 furni%+ ( b5efits specifi$ 9 p>agraph  
7#e7 to su* p]son z ! surviv+ sp\se ( ! 
vet]an4  4  7b7 ,con=m+ am5dm5t         
,p>agraph 7#e7 ( su* section is am5d$ by
 /rik+ ,p>agraphs 7#b77;,a7 & ins]t+    
,p>agraphs 7#b74  7c7 ,effective date ,!
 am5dm5ts made by ?is section %all take 
effect on ! date t is "o ye> aft] ! date
 ( ! enactm5t ( ?is ,act4  #ajc4        
,ext5sion ( m>riage delimit+ date =     

surviv+ sp\ses ( ,p]sian ,gulf ,w>      
vet]ans to qualify = dea? p5sion        
,section #aeda7;f77#a77;,e7 is am5d$ by 
/rik+ ,janu>y #a1 #bjja & ins]t+ ! date 
t is #aj ye>s & "o day aft] ! date on   
:i* ! ,p]sian ,gulf ,w> 0 t]m9at$1 z    
prescrib$ by ,presid5tial proclamation  
or by law4  #ajd4 ,mak+ effective date  
provision consi/5t ) provision = b5efits
 eligibility ( a vet]an's *ild bas$ ^u  
t]m9ation ( rem>riage by annulm5t       
,section #eaaj7l7 is am5d$ by /rik+ 1 or
 ( an aw>d or increase ( b5efits bas$ on
 recognition ( a *ild ^u t]m9ation ( !  
*ild's m>riage by dea? or divorce14     
#aje4 ,expansion ( ,m>9e ,gunn]y        
,s]geant ,john ,david ,fry ,s*ol>%ip    
7a7 ,expansion ( entitlem5t ,subsection 
7b77#i7 ( section #ccaa is am5d$ by     
ins]t+ or sp\se aft] *ild4  7b7         
,limitation & election on c]ta9 b5efits 
,subsection 7f7 ( su* section is am5d$--
 7#a7 by r$esignat+ p>agraph 7#b7 z     
p>agraph 7#d72 &  7#b7 by ins]t+ aft]   
p>agraph 7#a7 ! foll[+ new p>agraphs3   

7#b7 ,limitation ,! entitlem5t ( an     
individual to assi/ance "u subsection   
7a7 pursuant to p>agraph 7#i7 (         
subsection 7b7 because ! individual 0 a 
sp\se ( a p]son describ$ 9 su* p>agraph 
%all expire on ! e>li] (-- 7,a7 ! date t
 is #ae ye>s aft] ! date on :i* ! p]son 
di$2 &  7,b7 ! date on :i* ! individual 
rem>ries4  7#c7 ,election on receipt (  
c]ta9 b5efits ,a surviv+ sp\se entitl$  
to assi/ance "u subsection 7a7 pursuant 
to p>agraph 7#i7 ( subsection 7b7 :o is 
also entitl$ to educational assi/ance "u
 *apt] #ce ( ?is title may n receive    
assi/ance "u bo? ?is section & su*      
*apt]1 b %all make an irrevocable       
election 79 su* =m & mann] z ! ,secret>y
 may prescribe7 "u :i* section or *apt] 
to receive educational assi/ance4  4    
7c7 ,con=m+ am5dm5t ,section            
#ccba7;b77#d7 is am5d$-- 7#a7 by /rik+  
an individual & ins]t+ a *ild2 &  7#b7  
by /rik+ su* individual's ea* "t x      
appe>s & ins]t+ su* *ild's4  7d7        
,effective date ,! am5dm5ts made by ?is 

section %all take effect on ! date t is 
two ye>s aft] ! date ( ! enactm5t ( ?is 
,act4  #ajf4 ,expansion ( ,yell[ ,ribbon
 ,g4,i4 ,education ,enhancem5t ,program 
7a7 ,9 g5]al ,section #ccag7;a7 is am5d$
 by /rik+ 9 p>agraphs 7#a7 & 7#b7 &     
ins]t+ 9 p>agraphs 7#a71 7#b71 & 7#i74  
7b7 ,effective date ,! am5dm5t made by  
subsection 7a7 %all apply ) respect to  
academic t]ms beg9n+ aft] ,july #a1     
#bjae4  #ajg4 ,b5efits = *ildr5 ( c]ta9 
,?ail& s]vice vet]ans born ) sp9a bifida
  7a7 ,9 g5]al ,sub*apt] ,,iii ( *apt]  
#ah is am5d$ by add+ at ! end ! foll[+  
new section3  #ahbb4 ,b5efits = *ildr5 (
 c]ta9 ,?ail& s]vice vet]ans born ) sp9a
 bifida  7a7 ,b5efits au?oriz$ ,!       
,secret>y may provide to any *ild ( a   
vet]an ( cov]$ s]vice 9 ,?ail& :o is    
suff]+ f sp9a bifida ! heal? c>e1       
vocational tra9+ & rehabilitation1 &    
monet>y all[ance requir$ to be paid to a
 *ild ( a ,vietnam vet]an :o is suff]+ f
 sp9a bifida "u sub*apt] ,i ( ?is *apt] 
z if su* *ild ( a vet]an ( cov]$ s]vice 

9 ,?ail& 7 a *ild ( a ,vietnam vet]an :o
 is suff]+ f sp9a bifida "u su*         
sub*apt]4  7b7 ,sp9a bifida conditions  
cov]$ ,?is section applies ) respect to 
all =ms & manife/ations ( sp9a bifida1  
except sp9a bifida occulta4  7c7 ,vet]an
 ( cov]$ s]vice 9 ,?ail& ,= purposes (  
?is section1 a vet]an ( cov]$ s]vice 9  
,?ail& is any individual1 )\t reg>d to !
 *>act]ization ( t individual's s]vice1 
:o-- 7#a7 s]v$ 9 ! active milit>y1      
naval1 or air s]vice 9 ,?ail&1 z det]m9$
 by ! ,secret>y 9 consultation ) !      
,secret>y ( ,def5se1 dur+ ! p]iod beg9n+
 on ,janu>y #i1 #aifb1 & end+ on ,may   
#g1 #aige2 &  7#b7 is det]m9$ by !      
,secret>y1 9 consultation ) ! ,secret>y 
( ,def5se1 to h be5 expos$ to a h]bicide
 ag5t dur+ su* s]vice 9 ,?ail&4  7d7    
,h]bicide ag5t ,= purposes ( ?is        
section1 ! t]m h]bicide ag5t means a    
*emical 9 a h]bicide us$ 9 support (    
,unit$ ,/ates & alli$ milit>y op]ations 
9 ,?ail&1 z det]m9$ by ! ,secret>y 9    
consultation ) ! ,secret>y ( ,def5se1   

dur+ ! p]iod beg9n+ on ,janu>y #i1      
#aifb1 & end+ on ,may #g1 #aige4  4  7b7
 ,con=m+ am5dm5t to def9ition ( *ild    
,section #ahca7a7 is am5d$-- 7#a7 9     
subp>agraph 7,b7-- 7,a7 by /rik+        
sub*apt] ,,iii ( ?is *apt] & ins]t+     
section #ahba ( ?is title2 &  7,b7 9    
clause 7i71 by /rik+ section #ahba ( ?is
 title & ins]t+ t section2 &  7#b7 by   
add+ at ! end ! foll[+ new subp>agraph3 
7,c7 ,= purposes ( section #ahbb ( ?is  
title1 an individual1 reg>dless ( age or
 m>ital /atus1 :o-- 7i7 is ! natural    
*ild ( a vet]an ( cov]$ s]vice 9 ,?ail& 
7z det]m9$ = purposes ( t section72 &   
7ii7 0 conceiv$ aft] ! date on :i* t    
vet]an fir/ ent]$ s]vice describ$ 9     
subsection 7c7 ( t section4  4  7c7     
,cl]ical am5dm5ts  7#a7 ,sub*apt] head+ 
,! head+ = sub*apt] ,,iii ( *apt] #ah is
 am5d$ by ins]t+ & ,?ail& aft] ,korea4  
7#b7 ,table ( sections ,! table (       
sections at ! beg9n+ ( *apt] #ah is     
am5d$-- 7,a7 by /rik+ ! item relat+ to  
sub*apt] ,,iii & ins]t+ ! foll[+ new    

item3  ,sub*apt] ,,iii--,*ildr5 ( c]ta9 
,korea & ,?ail& s]vice vet]ans born )   
sp9a bifida  2  &  7,b7 by ins]t+ aft] !
 item relat+ to section #ahba ! foll[+  
new item3  #ahbb4 ,b5efits = *ildr5 (   
c]ta9 ,?ail& s]vice vet]ans born ) sp9a 
bifida4  4  7d7 ,effective date ,!      
am5dm5ts made by ?is section %all take  
effect on ! date t is "o ye> aft] ! date
 ( ! enactm5t ( ?is ,act4  #ajh4        
,program on assi/$ liv+ = *ildr5 (      
,vietnam vet]ans & c]ta9 ,korea s]vice  
vet]ans born ) sp9a bifida  7a7 ,program
 ,comm5c+ n lat] ?an #ahj days aft] !   
date on :i* ?is section takes effect1 ! 
,secret>y ( ,vet]ans ,affairs %all c>ry 
out a program to assess ! feasibility & 
advisability ( provid+ assi/$ liv+1 gr\p
 home c>e1 or simil> s]vices 9 lieu (   
nurs+ home c>e to cov]$ individuals4    
7b7 ,cov]$ individuals ,= purposes ( ?is
 section1 a cov]$ individual is any     
individual :o is entitl$ to heal? c>e "u
 sub*apt] ,i or ,,iii ( *apt] #ah (     
title #ch1 ,unit$ ,/ates ,code4  7c7    

,duration  7#a7 ,9 g5]al ,except z      
o!rwise provid$ 9 ?is subsection1 !     
program %all be c>ri$ out dur+ !        
?ree-ye> p]iod beg9n+ on ! date ( !     
comm5cem5t ( ! program4  7#b7           
,cont9uation ,subject to p>agraph 7#c71 
! ,secret>y may cont9ue ! program = an  
additional two-ye> p]iod z ! ,secret>y  
consid]s appropriate4  7#c7 ,t]m9ation  
,! program may n op]ate aft] ! date t is
 five ye>s aft] ! date ( ! comm5cem5t ( 
! program4  7d7 ,scope ( s]vices &      
program ,"u ! program1 ! ,secret>y %all 
provide cov]$ individuals ) integrat$1  
compreh5sive s]vices1 includ+ ! foll[+3 
7#a7 ,assi/$ liv+1 gr\p home c>e1 or su*
 o!r simil> s]vices z ! ,secret>y       
consid]s appropriate4  7#b7             
,transportation s]vices4  7#c7 ,su* o!r 
s]vices z ! ,secret>y consid]s          
appropriate = ! c>e ( cov]$ individuals 
"u ! program4  7e7 ,program requirem5ts 
,9 c>ry+ out ! program1 ! ,secret>y     
%all-- 7#a7 in=m all cov]$ individuals (
 ! s]vices available "u ! program2  7#b7

 ent] into agreem5ts ) appropriate      
provid]s ( assi/$ liv+1 gr\p home c>e1  
or o!r simil> s]vices = provision (     
s]vices "u ! program2 &  7#c7 det]m9e ! 
appropriate numb] ( cov]$ individuals to
 be enroll$ 9 ! program & crit]ia = su* 
enrollm5t4  7f7 ,reports  7#a7          
,prelim9>y reports  7,a7 ,9 g5]al ,n    
lat] ?an "o ye> aft] ! date ( !         
comm5cem5t ( ! program &1 if ! program  
is cont9u$ "u subsection 7c77#b71 n lat]
 ?an ?ree ye>s aft] ! date ( !          
comm5cem5t ( ! program1 ! ,secret>y %all
 submit to ! ,committee on ,vet]ans'    
,affairs ( ! ,s5ate & ! ,committee on   
,vet]ans' ,affairs ( ! ,h\se (          
,repres5tatives a report on ! program4  
7,b7 ,cont5ts ,ea* report submitt$ "u   
subp>agraph 7,a7 %all include ! foll[+3 
7i7 ,a description ( ! implem5tation &  
op]ation ( ! program4  7ii7 ,! numb] (  
cov]$ individuals receiv+ b5efits "u !  
program4  7iii7 ,an analysis t comp>es !
 co/s ( furni%+ assi/$ liv+1 gr\p home  
c>e1 or simil> s]vices ) ! co/s (       

furni%+ nurs+ home c>e4  7iv7 ,an       
analysis ( ! co/s & b5efits "u !        
program4  7v7 ,! f9d+s & conclusions ( !
 ,secret>y ) respect to ! program4  7vi7
 ,su* recomm5dations = ! cont9uation or 
expansion ( ! program z ! ,secret>y may 
h4  7#b7 ,f9al report  7,a7 ,9 g5]al ,n 
lat] ?an #ahj days aft] ! completion ( !
 program1 ! ,secret>y %all submit to !  
,committee on ,vet]ans' ,affairs ( !    
,s5ate & ! ,committee on ,vet]ans'      
,affairs ( ! ,h\se ( ,repres5tatives a  
report on ! program4  7,b7 ,cont5ts ,!  
report submitt$ "u subp>agraph 7,a7 %all
 include ! foll[+3 7i7 ,! f9d+s &       
conclusions ( ! ,secret>y ) respect to !
 program4  7ii7 ,su* recomm5dations = ! 
cont9uation or expansion ( ! program z !
 ,secret>y may h4  7g7 ,fund+ ,am\nts to
 c>ry out ! program %all be d]iv$ f     
am\nts appropriat$ or o!rwise made      
available = ! furni%+ ( nurs+ home c>e  
"u *apt] #ah ( title #ch1 ,unit$ ,/ates 
,code4  7h7 ,effective date ,?is section
 %all take effect on ! date t is "o ye> 

aft] ! date ( ! enactm5t ( ?is ,act4    
#aji4 ,program on grief c\nsel+ 9       
retreat sett+s = surviv+ sp\ses ( memb]s
 ( ! ,arm$ ,=ces :o die :ile s]v+ on    
active duty 9 ! ,arm$ ,=ces  7a7        
,program requir$  7#a7 ,9 g5]al ,comm5c+
 n lat] ?an #ahj days aft] ! date on :i*
 ?is section takes effect1 ! ,secret>y (
 ,vet]ans ,affairs %all c>ry out1 ?r\gh 
! ,readju/m5t ,c\nsel+ ,s]vice ( !      
,vet]ans ,heal? ,adm9i/ration1 a program
 to assess ! feasibility & advisability 
( provid+ grief c\nsel+ s]vices describ$
 9 subsection 7b7 9 gr\p retreat sett+s 
to surviv+ sp\ses ( memb]s ( ! ,arm$    
,=ces :o die :ile s]v+ on active duty 9 
! ,arm$ ,=ces :o w\ld1 z det]m9$ by !   
,readju/m5t ,c\nsel+ ,s]vice1 b5efit f !
 s]vices provid$ "u ! program4  7#b7    
,p>ticipation at election ( surviv+     
sp\se ,! p>ticipation ( a surviv+ sp\se 
9 ! program "u ?is section %all be at ! 
election ( ! surviv+ sp\se4  7b7 ,cov]$ 
s]vices ,! s]vices provid$ to a surviv+ 
sp\se "u ! program %all include !       

foll[+3 7#a7 ,in=mation & c\nsel+ on    
cop+ ) grief4  7#b7 ,in=mation ab\t     
b5efits & s]vices available to surviv+  
sp\ses "u laws adm9i/]$ by ! ,secret>y4 
7#c7 ,su* o!r in=mation & c\nsel+ z !   
,secret>y consid]s appropriate to assi/ 
a surviv+ sp\se "u ! program ) adju/+ to
 ! dea? ( a sp\se4  7c7 ,ev5ts ,!       
,secret>y %all c>ry out ! program at n  
few] ?an six ev5ts z foll[s3 7#a7 ,?ree 
ev5ts at :i* surviv+ sp\ses ) dep5d5t   
*ildr5 are enc\rag$ to br+ _! *ildr54   
7#b7 ,?ree ev5ts at :i* surviv+ sp\ses )
 dep5d5t *ildr5 are n enc\rag$ to br+ _!
 *ildr54  7d7 ,duration ,! program %all 
be c>ri$ out dur+ ! two-ye> p]iod beg9n+
 on ! date ( ! comm5cem5t ( ! program4  
7e7 ,reports  7#a7 ,9 g5]al ,n lat] ?an 
#ahj days aft] ! completion ( ! fir/ ye>
 ( ! program & n lat] ?an #ahj days aft]
 ! completion ( ! program1 ! ,secret>y  
%all submit to ,congress a report on !  
program4  7#b7 ,cont5ts ,ea* report     
submitt$ "u p>agraph 7#a7 %all conta9 ! 
f9d+s & conclusions ( ! ,secret>y z a   

result ( ! program1 & %all include su*  
recomm5dations = ! cont9uation or       
expansion ( ! program z ! ,secret>y     
consid]s appropriate4  7f7 ,def9itions  
,9 ?is section1 ! t]ms active duty1     
,arm$ ,=ces1 & surviv+ sp\se h ! mean+s 
giv5 su* t]ms 9 section #aja ( title    
#ch1 ,unit$ ,/ates ,code4  7g7          
,effective date ,?is section %all take  
effect on ! date t is "o ye> aft] ! date
 ( ! enactm5t ( ?is ,act4  #aaj4        
,program evaluation on survivors' &     
dep5d5ts' educational assi/ance         
au?orities  7a7 ,9 g5]al ,! ,secret>y ( 
,vet]ans ,affairs %all ent] into a      
contract ) an appropriate private sector
 entity to conduct a program evaluation 
( ! au?orities = survivors' & dep5d5ts' 
educational assi/ance "u *apt] #ce (    
title #ch1 ,unit$ ,/ates ,code4  7b7    
,report ,n lat] ?an six mon?s aft] !    
entry into ! contract requir$ by        
subsection 7a71 ! ,secret>y %all submit 
to ! ,committee on ,vet]ans' ,affairs ( 
! ,s5ate & ! ,committee on ,vet]ans'    

,affairs ( ! ,h\se ( ,repres5tatives a  
report sett+ =? ! results ( ! program   
evaluation conduct$ pursuant to !       
contract1 toge!r ) su* comm5ts on !     
results ( ! program evaluation z !      
,secret>y consid]s appropriate4  7c7    
,effective date ,?is section %all take  
effect "o ye> aft] ! date ( ! enactm5t (
 ?is ,act4  ,,ii ,education ,matt]s     
#bja4 ,approval ( c\rses ( education    
provid$ by public in/itutions ( high]   
le>n+ = 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]  
le>n+ 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] le>n+ 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 any   
individual z foll[s3 7,a7 ,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$4  7,b7 ,an individual :o  
is entitl$ to assi/ance "u section      
#ccaa7;b77#i7 or #ccai ( ?is title by   
virtue ( su* individual's relation%ip to
 a vet]an describ$ 9 subp>agraph 7,a74  
7#c7 ,if aft] enrollm5t 9 a c\rse (     
education t is subject to disapproval "u
 p>agraph 7#a7 by reason ( p>agraph     
7#b77;,a7 or 7#b77;,b7 a cov]$          
individual pursues "o or m c\rses (     

education at ! same public in/itution ( 
high] le>n+ :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] le>n+1 any c\rse
 s pursu$ by ! cov]$ individual at t    
in/itution ( high] le>n+ :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] le>n+ 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 #bjae1 ?r\gh c\rses (        
education t comm5ce on or aft] t date4  
#bjb4 ,ext5sion & expansion ( au?ority =
 c]ta9 qualify+ "w-/udy activities =    
purposes ( ! educational assi/ance      
programs ( ! ,dep>tm5t ( ,vet]ans       
,affairs  7a7 ,ext5sion ( expir+ curr5t 
au?ority ,section #cdhe7;a77#d7 is am5d$
 by /rik+ ,june #cj1 #bjac ea* place x  
appe>s & ins]t+ ,june #cj1 #bjae4  7b7  
,expansion to outrea* s]vices provid$   
?r\gh congressional (fices ,su* section 
is fur!r am5d$ by add+ at ! end ! foll[+
 new subp>agraph3  7,k7 ,dur+ ! p]iod   
beg9n+ on ,june #cj1 #bjac1 & end+ on   

,june #cj1 #bjae1 ! foll[+ activities   
c>ri$ out at ! (fices ( ,memb]s (       
,congress = su* ,memb]s3 7i7 ,!         
di/ribution ( in=mation to memb]s ( !   
,arm$ ,=ces1 vet]ans1 & _! dep5d5ts ab\t
 ! b5efits & s]vices "u laws adm9i/]$ by
 ! ,secret>y & o!r appropriate          
gov]nm5tal & nongov]nm5tal programs4    
7ii7 ,! prep>ation & process+ ( pap]s & 
o!r docum5ts1 includ+ docum5ts to assi/ 
9 ! prep>ation & pres5tation ( claims = 
b5efits "u laws adm9i/]$ by ! ,secret>y4
  4  7c7 ,annual reports  7#a7 ,9 g5]al 
,n lat] ?an ,june #cj ( #bjad & #bjae1 !
 ,secret>y ( ,vet]ans ,affairs %all     
submit to ,congress a report on !       
"w-/udy all[ances paid "u p>agraph 7#a7 
( section #cdhe7;a7 ( title #ch1 ,unit$ 
,/ates ,code1 dur+ ! mo/ rec5t "o-ye>   
p]iod = qualify+ "w-/udy activities     
describ$ 9 p>agraph 7#d7 ( su* section1 
z am5d$ by subsections 7a7 & 7b7 ( ?is  
section4  7#b7 ,cont5ts ,ea* report     
submitt$ "u p>agraph 7#a7 %all include1 
= ! ye> cov]$ by su* report1 ! foll[+3  

7,a7 ,a description ( ! recipi5ts ( su* 
"w-/udy all[ances4  7,b7 ,a li/ ( !     
locations :]e qualify+ "w-/udy          
activities 7 c>ri$ out4  7,c7 ,a        
description ( ! outrea* conduct$ by !   
,secret>y to increase aw>5ess ( !       
eligibility ( su* "w-/udy activities =  
su* "w-/udy all[ances4  #bjc4           
,prohibitions relat+ to ref]5ces to ,,gi
 ,bill & ,po/-#i_/aa ,,gi ,bill  7a7 ,9 
g5]al ,sub*apt] ,,ii ( *apt] #cf is     
am5d$ by add+ at ! end ! foll[+ new     
section3  #cfig;,b4 ,prohibition relat+ 
to ref]5ces to ,,gi ,bill & ,po/-#i_/aa 
,,gi ,bill  7a7 ,prohibition  7#a7 ,no  
p]son may1 except ) ! writt5 p]mission (
 ! ,secret>y1 use ! words & phrases     
cov]$ by ?is subsection 9 connection )  
any promotion1 goods1 s]vices1 or       
comm]cial activity 9 a mann] t          
reasonably & falsely sugge/s t su* use  
is approv$1 endors$1 or au?oriz$ by !   
,dep>tm5t or any compon5t !re(4  7#b7 ,=
 purposes ( ?is subsection1 ! words &   
phrases cov]$ by ?is subsection are z   

foll[s3 7,a7 ,,gi ,bill4  7,b7          
,po/-#i_/aa ,,gi ,bill4  7#c7 ,a        
det]m9ation t a use ( "o or m words &   
phrases cov]$ by ?is subsection 9       
connection ) a promotion1 goods1        
s]vices1 or comm]cial activity is n a   
violation ( ?is subsection may n be made
 solely on ! gr\nd t su* promotion1     
goods1 s]vices1 or comm]cial activity   
includes a disclaim] ( affiliation ) !  
,dep>tm5t or any compon5t !re(4  7b7    
,en=cem5t by ,attorney ,g5]al  7#a7 ,:5 
any p]son is engag$ or is ab\t to engage
 9 an act or practice :i* con/itutes or 
w con/itute conduct prohibit$ by        
subsection 7a71 ! ,attorney ,g5]al may  
initiate a civil proce$+ 9 a di/rict    
c\rt ( ! ,unit$ ,/ates to enjo9 su* act 
or practice4  7#b7 ,su* c\rt may1 at any
 "t be=e f9al det]m9ation1 ent] su*     
re/ra9+ ord]s or prohibitions1 or take  
su* o!r action z is w>rant$1 to prev5t  
injury to ! ,unit$ ,/ates or to any     
p]son or class ( p]sons = ^: protection 
! action is br\ght4  4  7b7 ,cl]ical    

am5dm5t ,! table ( sections at ! beg9n+ 
( *apt] #cf is am5d$ by ins]t+ aft] !   
item relat+ to section #cfig;,a ! foll[+
 new item3  #cfig;,b4 ,prohibition      
relat+ to ref]5ces to ,,gi ,bill &      
,po/-#i_/aa ,,gi ,bill4  4  #bjd4       
,review ( utilization ( educational     
assi/ance to pursue programs ( tra9+ on 
! job & p>ticipat+ employ]s  7a7 ,9     
g5]al ,n lat] ?an two ye>s aft] ! date (
 ! enactm5t ( ?is ,act1 ! ,secret>y (   
,vet]ans ,affairs %all comm5ce a review 
(-- 7#a7 ! utilization ( educational    
assi/ance "u laws adm9i/]$ by !         
,secret>y ( ,vet]ans ,affairs to pursue 
programs ( tra9+ on ! job 7o!r ?an      
programs ( appr5tice%ip72 &  7#b7 !     
availability ( su* programs to          
individuals seek+ to pursue su* programs
 ) su* educational assi/ance4  7b7      
,report  7#a7 ,9 g5]al ,n lat] ?an two  
ye>s aft] ! date on :i* ! ,secret>y     
comm5ces ! review requir$ by subsection 
7a71 ! ,secret>y %all submit to         
,congress a report on su* review4  7#b7 

,cont5ts ,! report requir$ by p>agraph  
7#a7 %all include ! foll[+3 7,a7 ,!     
ext5t ( utilization z describ$ 9        
p>agraph 7#a7 ( subsection 7a74  7,b7   
,an assessm5t ( ! availability (        
programs z describ$ 9 p>agraph 7#b7 (   
su* subsection4  7,c7 ,a description (  
any b>ri]s ! ,secret>y has id5tifi$ to  
great] utilization ( educational        
assi/ance = pursuit ( a program ( tra9+ 
on ! job or availability ( su* programs4
  7,d7 ,su* recomm5dations = legislative
 or adm9i/rative action z ! ,secret>y   
may h to increase or decrease su*       
utilization or availability4  7,e7 ,su* 
o!r matt]s z ! ,secret>y consid]s       
appropriate4  #bje4 ,report on debt     
managem5t & collection  7a7 ,report ,n  
lat] ?an "o ye> aft] ! effective date   
specifi$ 9 subsection 7c71 ! ,comptroll]
 ,g5]al ( ! ,unit$ ,/ates %all submit to
 ! ,committee on ,vet]ans' ,affairs ( ! 
,s5ate & ! ,committee on ,vet]ans'      
,affairs ( ! ,h\se ( ,repres5tatives a  
report on processes us$ by ! ,dep>tm5t (

 ,vet]ans ,affairs to id5tify & resolve 
cases ( incorrect paym5ts associat$ )   
educational assi/ance "u *apt]s #cj &   
#cc ( title #ch1 ,unit$ ,/ates ,code4   
7b7 ,issues address$ ,! report requir$  
by subsection 7a7 %all1 to ! ext5t      
possible1 address ! foll[+3 7#a7 ,!     
effectiv5ess ( ! processes ref]r$ to 9  
subsection 7a7 9 id5tify+ & resolv+     
incorrect paym5ts associat$ )           
educational assi/ance "u *apt]s #cj &   
#cc ( title #ch1 ,unit$ ,/ates ,code4   
7#b7 ,! accuracy ( ov]paym5t in=mation  
provid$ to vet]ans by ! ,education      
,s]vice & ,debt ,managem5t ,c5t] ( !    
,dep>tm5t4  7#c7 ,h[ well ! ,debt       
,managem5t ,c5t] ( ! ,dep>tm5t          
communicates & works ) vet]ans to       
resolve disput$ debt am\nts4  7#d7 ,h[ !
 paym5t & debt collection processes ( ! 
,dep>tm5t comp>e to comp>able programs 9
 o!r ,f$]al ag5cies4  7#e7 ,any         
recomm5dations to improve ! paym5t &    
debt collection processes ( ! ,dep>tm5t 
t ! ,comptroll] ,g5]al consid]s         

appropriate4  7c7 ,effective date ,?is  
section %all take effect on ! date t is 
"o ye> aft] ! date ( ! enactm5t ( ?is   
,act4  #bjf4 ,re/oration ( prior report+
 fee multipli]s ,section #cfhd7;c7 is   
am5d$-- 7#a7 by /rik+ #ab & ins]t+ #g2 &
  7#b7 by /rik+ #ae & ins]t+ #aa4  ,,iii
 ,heal? ,c>e ,matt]s  ,a ,expansion &   
,improvem5ts ( ,b5efits ,g5]ally  #cja4 
,requirem5t = enrollm5t 9 pati5t        
enrollm5t sy/em ( ! ,dep>tm5t ( ,vet]ans
 ,affairs ( c]ta9 vet]ans eligible =    
enrollm5t by law b n curr5tly p]mitt$ to
 enroll  7a7 ,requirem5t = enrollm5t    
,section #agje is am5d$ by add+ at ! end
 ! foll[+ new subsection3  7d7 7#a7 ,!  
,secret>y %all provide = ! enrollm5t 9 !
 pati5t enrollm5t sy/em ( vet]ans       
specifi$ 9 p>agraph 7#b7 by n lat] ?an  
,decemb] #ca1 #bjad4  7#b7 ,vet]ans     
specifi$ 9 ?is p>agraph are z foll[s3   
7,a7 ,vet]ans ) noncomp5sable           
s]vice-connect$ disabilities rat$ z z]o 
p]c5t disabl+ :o-- 7i7 are n o!rwise    
p]mitt$ to enroll 9 ! sy/em z ( ! date (

 ! enactm5t ( ! ,compreh5sive ,vet]ans  
,heal? & ,b5efits & ,milit>y ,retirem5t 
,pay ,re/oration ,act ( #bjad2 &  7ii7 z
 ( ! date ( enrollm5t "u ?is section1 d 
n h access to heal? insurance except    
?r\gh a heal? ex*ange e/abli%$ pursuant 
to section #acaa ( ! ,pati5t ,protection
 & ,af=dable ,c>e ,act 7#db ,u4,s4,c4   
#ahjca74  7,b7 ,vet]ans )\t             
s]vice-connect$ disability :o-- 7i7 are 
n o!rwise p]mitt$ to enroll 9 ! sy/em z 
( ! date ( ! enactm5t ( ! ,compreh5sive 
,vet]ans ,heal? & ,b5efits & ,milit>y   
,retirem5t ,pay ,re/oration ,act (      
#bjad2 &  7ii7 z ( ! date ( enrollm5t "u
 ?is section1 d n h access to heal?     
insurance except ?r\gh a heal? ex*ange  
e/abli%$ pursuant to section #acaa ( !  
,pati5t ,protection & ,af=dable ,c>e    
,act4  7#c7 ,a vet]an :o1 aft] enroll+ 9
 ! pati5t enrollm5t sy/em pursuant to   
?is subsection1 obta9s access to heal?  
insurance o!r ?an ?r\gh a heal? ex*ange 
%all rema9 enroll$ 9 ! pati5t enrollm5t 
sy/em not)/&+ obta9+ access to su* heal?

 insurance4  7#d7 ,a vet]an enroll$ 9 ! 
pati5t enrollm5t sy/em pursuant to ?is  
subsection %all ma9ta9 ! priority = c>e 
( ! vet]an at ! "t ( enrollm5t unless & 
until a *ange 9 circum/ances ( ! vet]an 
results 9 a high] priority = c>e ( !    
vet]an "u subsection 7a74  4  7b7       
,v]ification ( eligibility = enrollm5t  
7#a7 ,use ( in=mation on heal? insurance
 cov]age  7,a7 ,9 g5]al ,*apt] #ec is   
am5d$ by ins]t+ aft] section #ecah !    
foll[+ new section3  #ecai4 ,review (   
report+ ( heal? insurance cov]age ,!    
,secret>y %all notify ea* vet]an :o     
enrolls "u subsection 7d7 ( section     
#agje ( ?is title 9 ! pati5t enrollm5t  
sy/em ( vet]ans "u su* section t        
in=mation on ! vet]an's access to heal? 
insurance t is furni%$ to ! ,secret>y = 
purposes ( su* enrollm5t may be comp>$ )
 in=mation obta9$ by ! ,secret>y ( !    
,treasury "u section #fajc7l77#bc7 ( !  
,int]nal ,rev5ue ,code ( #aihf4  4  7,b7
 ,cl]ical am5dm5t ,! table ( sections at
 ! beg9n+ ( *apt] #ec is am5d$ by add+  

at ! end ! foll[+ new item3  #ecai4     
,review ( report+ ( heal? insurance     
cov]age4  4  7#b7 ,disclosure ( return  
in=mation by ,int]nal ,rev5ue ,s]vice   
,section #fajc7l7 ( ! ,int]nal ,rev5ue  
,code ( #aihf is am5d$ by add+ at ! end 
! foll[+ new p>agraph3  7#bc7           
,disclosure ( c]ta9 return in=mation =  
v]ification ( eligibility ( vet]ans =   
enrollm5t 9 ,dep>tm5t ( ,vet]ans        
,affairs pati5t enrollm5t sy/em  7,a7   
,return in=mation f ,int]nal ,rev5ue    
,s]vice ,! ,secret>y %all1 ^u writt5    
reque/1 disclose curr5t return in=mation
 f returns "u section #fjee ) respect to
 m9imum ess5tial cov]age ( individuals  
to ! ,secret>y ( ,vet]ans ,affairs = !  
purposes ( v]ify+ ! eligibility (       
vet]ans = enrollm5t 9 ! pati5t enrollm5t
 sy/em ( ! ,dep>tm5t ( ,vet]ans ,affairs
 "u section #agje7;d7 ( title #ch4  7,b7
 ,re/riction on disclosure ,! ,secret>y 
%all disclose return in=mation "u       
subp>agraph 7,a7 only = purposes (1 & to
 ! ext5t necess>y 91 v]ify+ !           

eligibility ( vet]ans to enroll 9 !     
pati5t enrollm5t sy/em describ$ 9 t     
subp>agraph4  7,c7 ,re/riction on use ( 
disclos$ in=mation ,return in=mation    
disclos$ "u subp>agraph 7,a7 may be us$ 
by ! ,secret>y ( ,vet]ans ,affairs only 
= ! purposes (1 & to ! ext5t necess>y 91
 v]ify+ ! eligibility ( vet]ans to      
enroll 9 ! pati5t enrollm5t sy/em       
describ$ 9 t subp>agraph4  4  7c7       
,public notice ( comm5cem5t ( enrollm5t 
,! ,secret>y ( ,vet]ans ,affairs %all   
publi% 9 ! ,f$]al ,regi/]1 & %all make  
available to ! public on an ,int]net    
website ( ! ,dep>tm5t ( ,vet]ans        
,affairs1 a notice reg>d+ ! date on :i* 
vet]ans cov]$ by subsection 7d7 (       
section #agje ( title #ch1 ,unit$ ,/ates
 ,code 7z add$ by subsection 7a7 ( ?is  
section71 may comm5ce enrollm5t 9 !     
pati5t enrollm5t sy/em requir$ by t     
section4  #cjb4 ,fur!r ext5sion ( p]iod 
( eligibility = heal? c>e = vet]ans (   
combat s]vice dur+ c]ta9 p]iods (       
ho/ilities & w> ,section #agaj7;e77#c7  

is am5d$-- 7#a7 9 subp>agraph 7,a71 by  
/rik+ ! date t is five ye>s be=e ! date 
( ! enactm5t ( ! ,national ,def5se      
,au?orization ,act = ,fiscal ,ye> #bjjh1
 aft] a p]iod ( five ye>s & ins]t+      
,janu>y #bg1 #bjjc1 aft] a p]iod ( #aj  
ye>s2 &  7#b7 9 subp>agraph 7,b71 by    
/rik+ m ?an five ye>s & all t foll[s &  
ins]t+ be=e ,janu>y #bh1 #bjjc1 & :o did
 n enroll 9 ! pati5t enrollm5t sy/em "u 
section #agje ( ?is title be=e ,janu>y  
#bh1 #bjjh1 aft] ,janu>y #bg1 #bjah44   
#cjc4 ,ext5sion to all vet]ans ) a s]i\s
 s]vice-connect$ disability (           
eligibility = p>ticipation 9 family     
c>egiv] program  7a7 ,9 g5]al ,section  
#agbj;,g7a77#b77;,b7 is am5d$ by /rik+  
on or aft] ,septemb] #aa1 #bjja4  7b7   
,effective date ,! am5dm5t made by      
subsection 7a7 %all take effect on      
,septemb] #cj1 #bjad4  #cjd4 ,improv$   
access to appropriate immunizations =   
vet]ans  7a7 ,inclusion ( recomm5d$     
adult immunizations z m$ical s]vices    
7#a7 ,cov]$ b5efit ,subp>agraph 7,f7 (  

section #agja7i7 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*$ule2  4
  7#b7 ,recomm5d$ adult immunization    
s*$ule def9$ ,section #agja 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
 ,inclusion ( recomm5d$ adult           
immunizations 9 annual report ,section  
#agjd7a77;,a7 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 provide vet]ans ea* immunization on !

 recomm5d$ adult immunization s*$ule at 
! "t su* immunization is indicat$ on t  
s*$ule4  4  7c7 ,report to ,congress    
7#a7 ,9 g5]al ,n lat] ?an two ye>s aft] 
! date ( ! enactm5t ( ?is ,act1 !       
,secret>y ( ,vet]ans ,affairs %all      
submit to ! ,committee on ,vet]ans'     
,affairs ( ! ,s5ate & ! ,committee on   
,vet]ans' ,affairs ( ! ,h\se (          
,repres5tatives a report on ! developm5t
 & implem5tation by ! ,dep>tm5t (       
,vet]ans ,affairs ( quality measures &  
metrics1 includ+ t>gets = compliance1 to
 ensure t vet]ans receiv+ m$ical s]vices
 "u *apt] #ag ( title #ch1 ,unit$ ,/ates
 ,code1 receive ea* immunization on !   
recomm5d$ adult immunization s*$ule at !
 "t su* immunization is indicat$ on t   
s*$ule4  7#b7 ,recomm5d$ adult          
immunization s*$ule def9$ ,9 ?is        
subsection1 ! t]m recomm5d$ adult       
immunization s*$ule has ! mean+ giv5 t  
t]m 9 section #agja7aj7 ( title #ch1    
,unit$ ,/ates ,code1 z add$ by          
subsection 7a77#b74  7#c7 ,effective    

date ,?is subsection %all take effect on
 ! date t is "o ye> aft] ! date ( !     
enactm5t ( ?is ,act4  #cje4 ,expansion (
 provision ( *iropractic c>e & s]vices  
to vet]ans  7a7 ,program = provision (  
*iropractic c>e & s]vices to vet]ans    
,section #bjd7;c7 ( ! ,dep>tm5t (       
,vet]ans ,affairs ,heal? ,c>e ,programs 
,enhancem5t ,act ( #bjja 7,public ,law  
#ajg-ace2 #aae ,/at4 #bdei2 #ch         
,u4,s4,c4 #agaj note7 is am5d$-- 7#a7 by
 ins]t+ 7#a7 be=e ,! program2 &  7#b7 by
 add+ at ! end ! foll[+ new p>agraph3   
7#b7 ,! program %all be c>ri$ out at n  
few] ?an two m$ical c5t]s or cl9ics 9   
ea* ,vet]ans ,integrat$ ,s]vice ,network
 by n lat] ?an "o ye> aft] ! effective  
date specifi$ 9 section #cje7;c7 ( !    
,compreh5sive ,vet]ans ,heal? & ,b5efits
 & ,milit>y ,retirem5t ,pay ,re/oration 
,act ( #bjad1 & at n few] ?an #ej p]c5t 
( all m$ical c5t]s 9 ea* ,vet]ans       
,integrat$ ,s]vice ,network by n lat]   
?an two ye>s aft] su* effective date4  4
  7b7 ,exp&$ *iropractor s]vices        

available to vet]ans  7#a7 ,m$ical      
s]vices ,p>agraph 7#f7 ( section #agja  
is am5d$ by add+ at ! end ! foll[+ new  
subp>agraph3  7,h7 ,*iropractic s]vices4
  4  7#b7 ,rehabilitative s]vices       
,p>agraph 7#h7 ( su* section is am5d$ by
 ins]t+ *iropractic1 aft] c\nsel+14     
7#c7 ,prev5tive heal? s]vices ,p>agraph 
7#i7 ( su* section is am5d$-- 7,a7 by   
r$esignat+ subp>agraphs 7,f7 ?r\gh 7,k7 
z subp>agraphs 7,g7 ?r\gh 7,l71         
respectively2 &  7,b7 by ins]t+ aft]    
subp>agraph 7,e7 ! foll[+ new           
subp>agraph 7,f73  7,f7 p]iodic &       
prev5tive *iropractic exam9ations &     
s]vices2  4  7c7 ,effective date ,?is   
section & ! am5dm5ts made by ?is section
 %all take effect on ! date t is "o ye> 
aft] ! date ( ! enactm5t ( ?is ,act4    
#cjf4 ,modification ( comm5cem5t date ( 
p]iod ( s]vice at ,camp ,lejeune1 ,nor? 
,c>ol9a1 = eligibility = hospital c>e & 
m$ical s]vices 9 connection ) exposure  
to contam9at$ wat]  7a7 ,modification   
,section #agaj7;e77#a77;,f7 is am5d$ by 

/rik+ ,janu>y #a1 #aieg1 & ins]t+ ,augu/
 #a1 #aiec 7or su* e>li] date = !       
comm5cem5t ( exposure to contam9at$ wat]
 at ,camp ,lejeune z ! ,secret>y1 9     
consultation ) ! ,ag5cy = ,toxic        
,sub/ances & ,disease ,regi/ry1 %all    
specify714  7b7 ,publication ,!         
,secret>y ( ,vet]ans ,affairs %all      
publi% 9 ! ,f$]al ,regi/] a notice ( any
 e>li] date = ! comm5cem5t ( exposure to
 contam9at$ wat] at ,camp ,lejeune1     
,nor? ,c>ol9a1 = purposes ( section     
#agaj7;e77#a77;,f7 ( title #ch1 ,unit$  
,/ates ,code1 z am5d$ by subsection 7a74
  #cjg4 ,expansion ( em]g5cy treatm5t   
reimbursem5t = c]ta9 vet]ans  7a7 ,9    
g5]al ,section #agbe7;b77#b77;,b7 is    
am5d$-- 7#a7 by ins]t+ 7i7 aft] 7,b72   
7#b7 by /rik+ ! p]iod at ! end & ins]t+ 
2 or2 &  7#c7 by add+ at ! end ! foll[+3
  7ii7 ! vet]an 0 unable to receive c>e 
"u ?is *apt] )9 su* #bd-mon? p]iod      
because ( a wait+ p]iod impos$ by !     
,dep>tm5t ) respect to a new pati5t     
exam9ation ( su* vet]an4  4  7b7        

,effective date ,! am5dm5ts made by     
subsection 7a7 %all take effect on !    
date t is "o ye> aft] ! date ( !        
enactm5t ( ?is ,act4  #cjh4             
,modification ( det]m9ation (           
eligibility ( vet]ans = treatm5t z a    
l[-income family = purposes ( enrollm5t 
9 ! pati5t enrollm5t sy/em ( ! ,dep>tm5t
 ( ,vet]ans ,affairs  7a7 ,areas (      
resid5ce ,! ,secret>y ( ,vet]ans        
,affairs %all modify ! areas 9 :i*      
vet]ans reside z specifi$ = purposes (  
det]m9+ :e!r vet]ans qualify = treatm5t 
z l[-income families = enrollm5t 9 !    
pati5t enrollm5t sy/em ( ! ,dep>tm5t (  
,vet]ans ,affairs "u section            
#agje7;a77#g7 ( title #ch1 ,unit$ ,/ates
 ,code1 to meet ! requirem5ts z foll[s3 
7#a7 ,any area s specifi$ %all be )9    
only "o ,/ate4  7#b7 ,any area s        
specifi$ %all be co-ext5sive ) "o or m  
c\nties 7or simil> political            
subdivisions7 9 ! ,/ate conc]n$4  7b7   
,v>iable income ?re%olds ,! ,secret>y   
%all modify ! ?re%olds = income z       

specifi$ = purposes ( det]m9+ :e!r      
vet]ans qualify = treatm5t z l[-income  
families = enrollm5t 9 ! pati5t         
enrollm5t sy/em ref]r$ to 9 subsection  
7a7 to meet ! requirem5ts z foll[s3 7#a7
 ,!re %all be "o income ?re%old = ea*   
,/ate1 equal to ! highe/ income ?re%old 
among ! c\nties )9 su* ,/ate4  7#b7 ,!  
calculation ( ! highe/ income ?re%old ( 
a c\nty %all be consi/5t ) ! calculation
 us$ = purposes ( section #c7;b7 ( !    
,unit$ ,/ates ,h\s+ ,act ( #aicg 7#db   
,u4,s4,c4 #adcg;a7b774  7#c7 ,! tim+ &  
me?odology = implem5t+ any modifications
 9 geographic income ?re%olds pursuant  
to p>agraph 7#a7 %all be det]m9$ by !   
,secret>y 9 su* a mann] z to p]mit !    
,dep>tm5t to build capacity = enroll+   
su* additional vet]ans 9 ! pati5t       
enrollm5t sy/em ( ! ,dep>tm5t z become  
eligible = enrollm5t z a result ( su*   
modifications1 except t all requir$     
modifications %all be complet$ n lat]   
?an five ye>s aft] date ( ! enactm5t (  
?is ,act4  #cji4 ,ext5sion ( sunset date

 reg>d+ transportation ( individuals to 
& f facilities ( ,dep>tm5t ( ,vet]ans   
,affairs & requirem5t ( report  7a7     
,ext5sion ( sunset date ,subsection     
7a77#b7 ( section #aaa;,a is am5d$ by   
/rik+ ,decemb] #ca1 #bjad & ins]t+      
,septemb] #cj1 #bjae4  7b7 ,fund+       
available ,su* section is fur!r am5d$ by
 add+ at ! end ! foll[+ new subsection3 
7c7 ,fund+ ,!re is h]eby au?oriz$ to be 
appropriat$ = ea* ( fiscal ye>s #bjad & 
#bjae = ! ,dep>tm5t1 #d1jjj1jjj to c>ry 
out ?is section4  4  7c7 ,report ,n lat]
 ?an "o ye> aft] ! date ( ! enactm5t (  
?is ,act1 ! ,secret>y %all submit to !  
,committee on ,vet]ans' ,affairs ( !    
,s5ate & ! ,committee on ,vet]ans'      
,affairs ( ! ,h\se ( ,repres5tatives a  
report on-- 7#a7 ! ef=ts ( ! ,secret>y  
to c>ry out ! transportation s]vices    
requir$ by section #aaa;,a7a7 ( title   
#ch1 ,unit$ ,/ates ,code2  7#b7 !       
utilization ( ^? s]vices by cov]$       
vet]ans2 &  7#c7 ! feasibility &        
advisability ( ! cont9uation ( !        

provision ( su* s]vices aft] ,septemb]  
#cj1 #bjae4  #caj4 ,cov]age ( co/s ( c>e
 = vet]ans at m$ical fo/] homes  7a7 ,9 
g5]al ,9 conduct+ ! m$ical fo/] home    
program pursuant to section #ag4gc (    
title #ch1 ,code ( ,f$]al ,regulations1 
! ,secret>y ( ,vet]ans ,affairs may cov]
 ! co/s associat$ ) ! c>e ( vet]ans at  
m$ical fo/] homes4  7b7 ,effective date 
,subsection 7a7 %all take effect on !   
date t is "o ye> aft] ! date ( !        
enactm5t ( ?is ,act4  #caa4 ,ext5sion & 
modification ( pilot program on assi/$  
liv+ s]vices = vet]ans ) traumatic bra9 
injury  7a7 ,ext5sion ( program         
,subsection 7a7 ( section #agje ( !     
,national ,def5se ,au?orization ,act =  
,fiscal ,ye> #bjjh 7,public ,law        
#aaj-aha2 #ch ,u4,s4,c4 #agaj;,c note7  
is am5d$ by /rik+ a five-ye> & ins]t+ an
 eight-ye>4  7b7 ,modification (        
locations ,subsection 7b7 ( su* section 
is am5d$-- 7#a7 by r$esignat+ p>agraph  
7#b7 z p>agraph 7#c72 &  7#b7 by /rik+  
p>agraph 7#a7 & ins]t+ ! foll[+ new     

p>agraphs3  7#a7 ,9 g5]al ,! pilot      
program %all be c>ri$ out at locations  
select$ by ! ,secret>y = purposes ( !   
pilot program4  7#b7 ,locat$ 9 same     
region z polytrauma c5t]s ,( ! locations
 select$ "u p>agraph 7#a71 at lea/ "o   
location %all be 9 ea* heal? c>e region 
( ! ,vet]ans ,heal? ,adm9i/ration ( !   
,dep>tm5t ( ,vet]ans ,affairs t conta9s 
a polytrauma c5t] ( ! ,dep>tm5t (       
,vet]ans ,affairs4  4  7c7 ,modification
 ( report requirem5ts ,subsection 7e7 ( 
su* section is am5d$ to read z foll[s3  
7e7 ,reports  7#a7 ,annual report  7,a7 
,9 g5]al ,n lat] ?an two ye>s aft] !    
date ( ! enactm5t ( ! ,compreh5sive     
,vet]ans ,heal? & ,b5efits & ,milit>y   
,retirem5t ,pay ,re/oration ,act (      
#bjad1 & n lat] ?an ,septemb] #cj ea*   
ye> !reaft] until #bjah1 ! ,secret>y    
%all submit to ! ,committee on ,vet]ans'
 ,affairs ( ! ,s5ate & ! ,committee on  
,vet]ans' ,affairs ( ! ,h\se (          
,repres5tatives a report on ! pilot     
program4  7,b7 ,elem5ts ,ea* report     

submitt$ "u subp>agraph 7,a7 %all       
include ! foll[+3 7i7 ,! numb] (        
individuals t p>ticipat$ 9 ! pilot      
program dur+ ! ye> prec$+ ! submission (
 ! report4  7ii7 ,! numb] ( individuals 
t successfully complet$ ! pilot program 
dur+ ! ye> prec$+ ! submission ( !      
report4  7iii7 ,! degree to :i* pilot   
program p>ticipants & family memb]s (   
pilot program p>ticipants 7 satisfi$ ) !
 pilot program4  7iv7 ,! int]im f9d+s & 
conclusions ( ! ,secret>y ) respect to !
 success ( ! pilot program &            
recomm5dations = improvem5t4  7#b7 ,f9al
 report  7,a7 ,9 g5]al ,n lat] ?an #fj  
days aft] ! completion ( ! pilot        
program1 ! ,secret>y %all submit to !   
,committee on ,vet]ans' ,affairs ( !    
,s5ate & ! ,committee on ,vet]ans'      
,affairs ( ! ,h\se ( ,repres5tatives a  
f9al report on ! pilot program4  7,b7   
,elem5ts ,! f9al report requir$ by      
subp>agraph 7,a7 %all include ! foll[+3 
7i7 ,a description ( ! pilot program4   
7ii7 ,an assessm5t ( ! utility ( !      

activities "u ! pilot program 9 enhanc+ 
! rehabilitation1 quality ( life1 &     
community re9tegration ( vet]ans )      
traumatic bra9 injury1 includ+ complex  
mild traumatic bra9 injury4  7iii7 ,su* 
recomm5dations z ! ,secret>y consid]s   
appropriate reg>d+ improv+ ! pilot      
program4  4  7d7 ,modification (        
def9itions  7#a7 ,community-bas$ bra9   
injury resid5tial rehabilitative c>e    
s]vices ,su* section is fur!r am5d$--   
7,a7 9 ! section head+1 by /rik+ assi/$ 
liv+& ins]t+ community-bas$ bra9 injury 
resid5tial rehabilitative c>e2  7,b7 9  
subsection 7c71 9 ! subsection head+1 by
 /rik+ assi/$ liv+ & ins]t+             
community-bas$ bra9 injury resid5tial   
rehabilitative c>e2  7,c7 by /rik+      
assi/$ liv+ ea* place x appe>s1 & ins]t+
 community-bas$ bra9 injury             
rehabilitative c>e2 &  7,d7 9 subsection
 7f77#a71 by /rik+ & p]sonal c>e &      
ins]t+ rehabilitation1 & p]sonal c>e4   
7#b7 ,eligible vet]an ,subsection       
7f77#c7 ( su* section is am5d$-- 7,a7 9 

subp>agraph 7,c71 by /rik+ 2 & & ins]t+ 
a semicolon2  7,b7 9 subp>agraph 7,d71  
by /rik+ ! p]iod at ! end & ins]t+ 2 &2 
&  7,c7 by add+ at ! end ! foll[+ new   
subp>agraph3  7,e7 has a traumatic bra9 
injury t is classifi$ z complex-mild to 
sev]e4  4  7e7 ,au?orization (          
appropriations ,!re is au?oriz$ to be   
appropriat$ = ! ,dep>tm5t ( ,vet]ans    
,affairs = fiscal ye> #bjae #df1jjj1jjj 
to c>ry out ! pilot program "u section  
#agje ( ! ,national ,def5se             
,au?orization ,act = ,fiscal ,ye> #bjjh 
7,public ,law #aaj-aha2 #ch ,u4,s4,c4   
#agaj;,c note71 z am5d$ by ?is section4 
,! am\nt s au?oriz$ to be appropriat$   
%all be available = obligation = !      
?ree-ye> p]iod beg9n+ on ! date t is "o 
ye> aft] ! date ( ! enactm5t ( ?is ,act4
  7f7 ,effective date ,! am5dm5ts made  
by ?is section %all take effect on      
,octob] #a1 #bjad4  #cab4 ,program on   
heal? promotion = ov]weight & obese     
vet]ans ?r\gh support ( fitness c5t]    
memb]%ips  7a7 ,program requir$ ,comm5c+

 n lat] ?an #ahj days aft] ! date on :i*
 ?is section takes effect1 ! ,secret>y (
 ,vet]ans ,affairs %all1 ?r\gh !        
,national ,c5t] = ,prev5tive ,heal?1    
c>ry out a program to assess !          
feasibility & advisability ( promot+    
heal? 9 cov]$ vet]ans1 includ+ a*iev+ a 
heal?y weight & r$uc+ risks ( *ronic    
disease1 ?r\gh support = fitness c5t]   
memb]%ip4  7b7 ,cov]$ vet]ans ,=        
purposes ( ?is section1 a cov]$ vet]an  
is any vet]an :o-- 7#a7 is enroll$ 9 !  
sy/em ( annual pati5t enrollm5t e/abli%$
 & op]at$ by ! ,secret>y "u section     
#agje ( title #ch1 ,unit$ ,/ates ,code2 
7#b7 is det]m9$ by a cl9ician ( !       
,dep>tm5t ( ,vet]ans ,affairs to be     
ov]weight or obese z ( ! date ( !       
comm5cem5t ( ! program2 &  7#c7 resides 
9 a location t is m ?an #ae m9utes driv+
 di/ance f a fitness c5t] at a facility 
( ! ,dep>tm5t t w\ld o!rwise be         
available to ! vet]an = at lea/ eight   
h\rs p] day dur+ five or m days p] week4
  7c7 ,duration ( program ,! program    

%all be c>ri$ out dur+ ! two-ye> p]iod  
beg9n+ on ! date ( ! comm5cem5t ( !     
program4  7d7 ,locations  7#a7 ,9 g5]al 
,9 c>ry+ out ! program1 ! ,secret>y %all
 select-- 7,a7 n less ?an five m$ical   
c5t]s ( ! ,dep>tm5t at :i* ! ,secret>y  
%all cov] ! full reasonable co/ ( a     
fitness c5t] memb]%ip = cov]$ vet]ans )9
 ! cat*m5t area ( su* c5t]s2 &  7,b7 n  
less ?an five m$ical c5t]s ( ! ,dep>tm5t
 at :i* ! ,secret>y %all cov] half !    
reasonable co/ ( a fitness c5t] memb]%ip
 = cov]$ vet]ans )9 ! cat*m5t area ( su*
 c5t]s4  7#b7 ,consid]ations ,9 select+ 
locations = ! program1 ! ,secret>y %all 
consid] ! feasibility & advisability (  
select+ locations 9 ! foll[+ areas3 7,a7
 ,rural areas4  7,b7 ,areas t are n 9   
close proximity to an active duty       
milit>y in/allation4  7,c7 ,areas 9     
diff]5t geographic locations4  7e7      
,p>ticipation  7#a7 ,maximum numb] (    
p>ticipants ,! numb] ( cov]$ vet]ans :o 
may p>ticipate 9 ! program at ea*       
location select$ "u subsection 7d7 may n

 exce$ #ajj4  7#b7 ,volunt>y            
p>ticipation ,! p>ticipation ( a cov]$  
vet]an 9 ! program %all be at ! election
 ( ! cov]$ vet]an 9 consultation ) a    
cl9ician ( ! ,dep>tm5t4  7f7 ,memb]%ip  
paym5t  7#a7 ,9 g5]al ,except z provid$ 
9 p>agraph 7#b71 9 c>ry+ out ! program1 
! ,secret>y %all pay ! foll[+3 7,a7 ,!  
full reasonable co/ ( a fitness c5t]    
memb]%ip = cov]$ vet]ans )9 ! cat*m5t   
area ( c5t]s select$ "u subsection      
7d77#a77;,a7 :o are p>ticipat+ 9 !      
program4  7,b7 ,half ! reasonable co/ ( 
a fitness c5t] memb]%ip = cov]$ vet]ans 
)9 ! cat*m5t area ( c5t]s select$ "u    
subsection 7d77#a77;,b7 :o are          
p>ticipat+ 9 ! program4  7#b7           
,limitation ,paym5t = a fitness c5t]    
memb]%ip ( a cov]$ vet]an may n exce$   
#ej p] mon? ( memb]%ip4  7g7 ,reports   
7#a7 ,p]iodic reports ,n lat] ?an #ij   
days aft] ! date ( ! comm5cem5t ( !     
program & n less frequ5tly ?an once e   
#ij days !reaft]1 ! ,secret>y %all      
submit to ! ,committee on ,vet]ans'     

,affairs ( ! ,s5ate & ! ,committee on   
,vet]ans' ,affairs ( ! ,h\se (          
,repres5tatives a report on activities  
c>ri$ out to implem5t ! program1 includ+
 outrea* activities to vet]ans &        
community organizations4  7#b7 ,f9al    
report ,n lat] ?an #ahj days aft] ! date
 ( ! completion ( ! program1 ! ,secret>y
 %all submit to ! ,committee on         
,vet]ans' ,affairs ( ! ,s5ate & !       
,committee on ,vet]ans' ,affairs ( !    
,h\se ( ,repres5tatives a report on !   
program detail+-- 7,a7 ! f9d+s &        
conclusions ( ! ,secret>y z a result ( !
 program2 &  7,b7 recomm5dations = !    
cont9uation or expansion ( ! program4   
7h7 ,effective date ,?is section %all   
take effect on ! date t is "o ye> aft] !
 date ( ! enactm5t ( ?is ,act4  #cac4   
,program on heal? promotion = vet]ans   
?r\gh e/abli%m5t ( ,dep>tm5t ( ,vet]ans 
,affairs fitness facilities  7a7        
,program requir$ ,comm5c+ n lat] ?an    
#ahj days aft] ! date on :i* ?is section
 takes effect1 ! ,secret>y ( ,vet]ans   

,affairs %all c>ry out a program to     
assess ! feasibility & advisability (   
promot+ heal? 9 cov]$ vet]ans1 includ+  
a*iev+ a heal?y weight1 ?r\gh e/abli%m5t
 ( ,dep>tm5t ( ,vet]ans ,affairs fitness
 facilities4  7b7 ,cov]$ vet]ans ,=     
purposes ( ?is section1 a cov]$ vet]an  
is any vet]an :o is enroll$ 9 ! sy/em ( 
annual pati5t enrollm5t e/abli%$ &      
op]at$ by ! ,secret>y "u section #agje (
 title #ch1 ,unit$ ,/ates ,code4  7c7   
,duration ( program ,! program %all be  
c>ri$ out dur+ ! ?ree-ye> p]iod beg9n+  
on ! date ( ! comm5cem5t ( ! program4   
7d7 ,locations  7#a7 ,9 g5]al ,!        
,secret>y %all c>ry out ! program by    
e/abli%+ fitness facilities 9 ,dep>tm5t 
facilities z foll[s3 7,a7 ,9 n few] ?an 
five ,dep>tm5t ( ,vet]ans ,affairs      
m$ical c5t]s select$ by ! ,secret>y =   
purposes ( ! program4  7,b7 ,9 n few]   
?an five outpati5t cl9ics ( ! ,dep>tm5t 
select$ by ! ,secret>y = purposes ( !   
program4  7#b7 ,consid]ations ,9 select+
 locations = ! program1 ! ,secret>y %all

 consid] ! feasibility & advisability ( 
select+ locations 9 ! foll[+ areas3 7,a7
 ,rural areas4  7,b7 ,areas t are n 9   
close proximity to an active duty       
milit>y in/allation4  7,c7 ,areas 9     
diff]5t geographic locations4  7e7      
,limitation on exp5ses ,9 e/abli%+ &    
support+ a fitness facility 9 a facility
 ( ! ,dep>tm5t "u ! program1 ! ,secret>y
 may exp5d am\nts z foll[s3 7#a7 ,=     
e/abli%m5t & support ( a fitness        
facility 9 a ,dep>tm5t ( ,vet]ans       
,affairs m$ical c5t]1 n m ?an #fj1jjj4  
7#b7 ,= e/abli%m5t & support ( a fitness
 facility 9 an outpati5t cl9ic ( !      
,dep>tm5t1 n m ?an #dj1jjj4  7f7        
,repurpos+ ( physical space & pur*ases (
 equipm5t  7#a7 ,9 g5]al ,subject to    
subsection 7e71 ! ,secret>y may1 9 c>ry+
 out ! program1 repurpose exi/+ physical
 space ( ! ,dep>tm5t & pur*ase su*      
fitness equipm5t & supplies z !         
,secret>y consid]s appropriate =        
purposes ( ! program4  7#b7 ,repurpos+  
exception ,exi/+ physical space us$ = ! 

direct deliv]y ( heal? c>e to pati5ts   
may n be repurpos$ "u p>agraph 7#a74    
7g7 ,prohibition on assessm5t ( us] fees
 ,! ,secret>y may n assess a fee ^u a   
cov]$ vet]an = use ( a fitness facility 
e/abli%$ "u ! program4  7h7 ,volunt>y   
p>ticipation ,! p>ticipation ( a cov]$  
vet]an 9 ! program %all be at ! election
 ( ! cov]$ vet]an4  7i7 ,reports  7#a7  
,p]iodic reports ,n lat] ?an #ij days   
aft] ! date ( ! comm5cem5t ( ! program &
 n less frequ5tly ?an once e #ij days   
!reaft]1 ! ,secret>y %all submit to !   
,committee on ,vet]ans' ,affairs ( !    
,s5ate & ! ,committee on ,vet]ans'      
,affairs ( ! ,h\se ( ,repres5tatives a  
report on activities c>ri$ out to       
implem5t ! program1 includ+ outrea*     
activities to vet]ans & community       
organizations4  7#b7 ,f9al report ,n    
lat] ?an #ahj days aft] ! date ( !      
completion ( ! program1 ! ,secret>y %all
 submit to ! ,committee on ,vet]ans'    
,affairs ( ! ,s5ate & ! ,committee on   
,vet]ans' ,affairs ( ! ,h\se (          

,repres5tatives a report on ! program   
detail+-- 7,a7 ! f9d+s & conclusions ( !
 ,secret>y z a result ( ! program2 &    
7,b7 recomm5dations = ! cont9uation or  
expansion ( ! program4  7j7 ,effective  
date ,?is section %all take effect on ! 
date t is "o ye> aft] ! date ( !        
enactm5t ( ?is ,act4  ,b ,heal? ,c>e    
,adm9i/ration  #cba4 ,ext5sion (        
,dep>tm5t ( ,vet]ans ,affairs ,heal?    
,pr(essional ,s*ol>%ip ,program ,section
 #gfai is am5d$ by /rik+ ,decemb] #ca1  
#bjad & ins]t+ ,decemb] #ca1 #bjai4     
#cbb4 ,expansion ( availability (       
pro/hetic & or?otic c>e = vet]ans  7a7  
,e/abli%m5t or expansion ( advanc$      
degree programs ,to exp& availability ( 
provision ( c>e ,! ,secret>y ( ,vet]ans 
,affairs %all "w ) in/itutions ( high]  
education to develop p>tn]%ips = !      
e/abli%m5t or expansion ( programs (    
advanc$ degrees 9 pro/hetics & or?otics 
9 ord] to improve & enhance !           
availability ( high quality pro/hetic & 
or?otic c>e = vet]ans4  7b7 ,report ,n  

lat] ?an "o ye> aft] ! date ( ! enactm5t
 ( ?is ,act1 ! ,secret>y %all submit to 
! ,committee on ,vet]ans' ,affairs ( !  
,s5ate & ! ,committee on ,vet]ans'      
,affairs ( ! ,h\se ( ,repres5tatives a  
report sett+ =? a plan = c>ry+ out      
subsection 7a74 ,! ,secret>y %all       
develop ! plan 9 consultation ) vet]ans 
s]vice organizations1 in/itutions (     
high] education ) accr$it$ degree       
programs 9 pro/hetics & or?otics1 &     
repres5tatives ( ! pro/hetics & or?otics
 field4  7c7 ,fund+  7#a7 ,au?orization 
( appropriations ,!re is h]eby au?oriz$ 
to be appropriat$ = fiscal ye> #bjae = !
 ,dep>tm5t ( ,vet]ans ,affairs1         
#aj1jjj1jjj to c>ry out ?is section4    
7#b7 ,availability ,! am\nt au?oriz$ to 
be appropriat$ by p>agraph 7#a7 %all    
rema9 available = exp5diture until      
,septemb] #cj1 #bjag4  #cbc4 ,contract+ 
= heal? c>e  7a7 ,use ( capitation-bas$ 
res\rce allocation 9 entry into         
contracts ,9 ent]+ into contracts = !   
furni%+ ( heal? c>e s]vices "u ! laws   

adm9i/]$ by ! ,secret>y ( ,vet]ans      
,affairs 7includ+ "u ?is title & !      
am5dm5ts made by ?is title71 ! ,secret>y
 %all use ! capitation-bas$ res\rce     
allocation model ( ! ,dep>tm5t (        
,vet]ans ,affairs4  7b7 ,priority =     
contracts ) c]ta9 entities ,9 ent]+ into
 contracts = ! furni%+ ( heal? c>e      
s]vices "u ! laws adm9i/]$ by !         
,secret>y1 ! ,secret>y %all af=d a      
priority = entry into contracts =       
,f$]ally ,qualifi$ ,heal? ,c5t]s        
7,f,q,h,cs7 & ,community ,heal? ,c5t]s  
7,c,h,cs71 :5ev] appropriate4  7c7 ,be/ 
practices ,! ,secret>y %all modify !    
guidance ( ! ,dep>tm5t ( ,vet]ans       
,affairs on contracts = heal? c>e       
s]vices 9 ord] to provide = !           
incorporation into su* contracts (      
/&>diz$ requirem5ts = su* be/ practices 
"u su* contracts1 includ+ ! foll[+3 7#a7
 ,requirem5ts t contracts provide !     
,dep>tm5t on a regul> basis in=mation on
 s*$ul+ & appe>ance = appo9tm5ts = heal?
 c>e on p]-pati5t basis4  7#b7 ,su* o!r 

be/ practices requirem5ts z ! ,secret>y 
consid]s appropriate4  7d7 ,f$]ally     
,qualifi$ ,heal? ,c5t] def9$ ,9 ?is     
section ! t]m ,f$]ally ,qualifi$ ,heal? 
,c5t] means a ,f$]ally-qualifi$ heal?   
c5t] z def9$ 9 section #aije7l77#b77;,b7
 ( ! ,social ,security ,act 7#db        
,u4,s4,c4 #acif;d7l77#b77;,b774  #cbd4  
,limitation on expansion ( dialysis     
pilot program  7a7 ,limitation ,!       
,secret>y ( ,vet]ans ,affairs %all n    
exp& ! dialysis pilot program to1 or    
exp& ! capacity to provide additional   
dialysis c>e at1 any facility own$ or   
leas$ by ! ,dep>tm5t t is n an initial  
facility until aft] ! date t-- 7#a7 !   
,secret>y has implem5t$ ! dialysis pilot
 program at ea* initial facility = a    
p]iod ( n less ?an two ye>s2  7#b7 an   
indep5d5t analysis ( ! dialysis pilot   
program has be5 conduct$ at ea* initial 
facility1 includ+ a consid]ation &      
comp>ison ( factors includ+-- 7,a7 !    
ability ( vet]ans to access c>e "u !    
dialysis pilot program2  7,b7 ! quality 

( c>e provid$ "u ! dialysis pilot       
program2 &  7,c7 ! satisfaction (       
vet]ans :o h receiv$ treatm5t "u !      
dialysis pilot program2 &  7#c7 ! report
 requir$ by subsection 7b7 has be5      
submitt$4  7b7 ,report ,n lat] ?an #fj  
days aft] ! date ( ! completion ( !     
indep5d5t analysis requir$ by subsection
 7a77#b71 ! ,secret>y %all submit to    
,congress a report t-- 7#a7 includes !  
results ( t indep5d5t analysis2 &  7#b7 
addresses any recomm5dations ) respect  
to ! dialysis pilot program provid$ 9 a 
report prep>$ by ! ,gov]nm5t            
,acc\ntability ,(fice4  7c7 ,utilization
 ( exi/+ dialysis res\rces ,9 ord] to   
increase ! access ( vet]ans to dialysis 
c>e & decrease ! travel "t ( su* vet]ans
 to receive su* c>e1 ! ,secret>y %all   
fully utilize exi/+ dialysis res\rces ( 
! ,dep>tm5t1 includ+ any community      
dialysis provid] ) :i* ! ,dep>tm5t has  
ent]$ into a contract or agreem5t = !   
provision ( su* c>e4  7d7 ,def9itions ,9
 ?is section3 7#a7 ,dialysis pilot      

program ,! t]m dialysis pilot program   
means ! pilot demon/ration program      
e/abli%$ by ! ,secret>y 9 #bjji to      
provide dialysis c>e to pati5ts at c]ta9
 outpati5t facilities op]at$ by !       
,dep>tm5t ( ,vet]ans ,affairs4  7#b7    
,initial facility ,! t]m initial        
facility means "o ( ! f\r outpati5t     
facilities id5tifi$ by ! ,secret>y to   
p>ticipate 9 ! dialysis pilot program   
prior to ! date ( ! enactm5t ( ?is ,act4
  7e7 ,effective date ,?is section %all 
take effect on ! date t is "o ye> aft] !
 date ( ! enactm5t ( ?is ,act4  #cbe4   
,requirem5t = ,dep>tm5t ( ,vet]ans      
,affairs policy on report+ cases (      
infecti\s diseases at facilities ( !    
,dep>tm5t  7a7 ,9 g5]al ,sub*apt] ,,ii (
 *apt] #gc is am5d$ by add+ at ! end !  
foll[+ new section3  #gccj;,b4 ,report+ 
( infecti\s diseases  7a7 ,report+ ,!   
,secret>y %all ensure t ! ,dep>tm5t has 
9 effect an up-to-date policy on report+
 a notifiable infecti\s disease diagnos$
 at a facility "u ! jurisdiction ( !    

,secret>y 9 accordance ) ! provisions ( 
,/ate & local law 9 effect :]e su*      
facility is locat$4  7b7 ,notifiable    
infecti\s disease ,= purposes ( ?is     
section1 a notifiable infecti\s disease 
is any infecti\s disease t is-- 7#a7 on 
! li/ ( nationally notifiable diseases  
publi%$ 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  
diseases4  7c7 ,p]=mance measures ,!    
,secret>y %all develop p]=mance measures
 to assess :e!r & to :at degree !       
directors ( ,vet]ans ,integrat$ ,s]vice 
,networks & ,dep>tm5t m$ical c5t]s are  
comply+ ) ! policy requir$ by subsection
 7a74  4  7b7 ,cl]ical am5dm5t ,! table 
( sections at ! beg9n+ ( *apt] #gc is   
am5d$ by ins]t+ aft] ! item relat+ to   
section #gccj;,a ! foll[+ new item3     
#gccj;,b4 ,report+ ( infecti\s diseases4
  4  7c7 ,effective date ,! am5dm5ts    
made by ?is section %all take effect on 

! date t is "o ye> aft] ! date ( !      
enactm5t ( ?is ,act4  #cbf4 ,indep5d5t  
assessm5t ( ! ,vet]ans ,integrat$       
,s]vice ,networks & m$ical c5t]s (      
,dep>tm5t ( ,vet]ans ,affairs  7a7      
,contract  7#a7 ,9 g5]al ,! ,secret>y ( 
,vet]ans ,affairs %all seek to ent] into
 a contract ) an indep5d5t ?ird-p>ty to 
p]=m ! s]vices cov]$ by ?is section4    
7#b7 ,tim+ ,! ,secret>y %all seek to    
ent] into ! contract describ$ 9 p>agraph
 7#a7 n lat] ?an #edj days aft] ! date (
 ! enactm5t ( ?is ,act4  7b7 ,indep5d5t 
/udy  7#a7 ,9 g5]al ,"u a contract      
betwe5 ! ,secret>y & an indep5d5t       
?ird-p>ty "u ?is section1 ! ?ird p>ty   
%all c>ry out a /udy-- 7,a7 to assess ! 
organizational /ructures ( m$ical c5t]s 
( ! ,dep>tm5t ( ,vet]ans ,affairs2 &    
7,b7 to improve succession plann+ among 
key lead]%ip roles at ,vet]ans          
,integrat$ ,s]vice ,networks & m$ical   
c5t]s ( ! ,dep>tm5t4  7#b7 ,matt]s /udi$
 & propos$ ,9 c>ry+ out ! /udy1 ! ?ird  
p>ty %all-- 7,a7 assess :e!r !          

organizational /ructure ( ! m$ical c5t]s
 ( ! ,dep>tm5t is effective = ! furni%+ 
( m$ical s]vices1 address+ issues t     
arise reg>d+ ! furni%+ ( m$ical s]vices1
 & address+ /&>d bus9ess op]ations2     
7,b7 propose "o organizational *>t =    
,dep>tm5t m$ical c5t]s ) a common set ( 
base position descriptions2  7,c7       
propose a base set ( m$ical positions t 
%\ld be fill$ to ensure t ! heal? c>e   
provid$ to vet]ans by ! ,dep>tm5t is (  
good quality2 &  7,d7 id5tify :i* key   
lead]%ip positions at ,vet]ans          
,integrat$ ,s]vice ,networks & ,dep>tm5t
 m$ical c5t]s %\ld h succession plans & 
propose h[ to implem5t su* plans4  7#c7 
,tim+ ,! ?ird p>ty %all complete ! /udy 
"u ?is section n lat] ?an #bgj days aft]
 ent]+ into ! contract describ$ 9       
subsection 7a74  7c7 ,report ,n lat] ?an
 #ij days aft] ! date on :i* ! ?ird p>ty
 completes ! /udy "u ?is section1 !     
,secret>y %all submit to ! ,committee on
 ,vet]ans' ,affairs ( ! ,s5ate & !      
,committee on ,vet]ans' ,affairs ( !    

,h\se ( ,repres5tatives a report on !   
results ( su* /udy4  7d7 ,effective date
 ,?is section %all take effect on ! date
 t is "o ye> aft] ! date ( ! enactm5t ( 
?is ,act4  #cbg4 ,requirem5ts 9         
connection ) next update ( curr5t       
/rategic plan = ,(fice ( ,rural ,heal? (
 ! ,dep>tm5t ( ,vet]ans ,affairs  7a7   
,requirem5ts  7#a7 ,9 g5]al ,! fir/     
update ( ! ,/rategic ,plan ,refre% =    
,fiscal ,ye>s #bjab ?r\gh #bjad ( !     
,(fice ( ,rural ,heal? ( ! ,dep>tm5t (  
,vet]ans ,affairs aft] ! date ( !       
enactm5t ( ?is ,act1 :e!r an update or  
refre% ( su* ,/rategic ,plan ,refre% or 
a /rategic plan to sup]s$e su* ,/rategic
 ,plan ,refre%1 %all be prep>$ 9        
accordance ) ?is section4  7#b7         
,consultation ,! ,director ( ! ,(fice ( 
,rural ,heal? %all prep>e ! update 9    
consultation ) ! foll[+3 7,a7 ,!        
,director ( ! ,heal? ,c>e ,ret5tion &   
,recruitm5t ,(fice ( ! ,dep>tm5t4  7,b7 
,! ,director ( ! ,(fice ( ,quality &    
,p]=mance ( ! ,dep>tm5t4  7,c7 ,!       

,director ( ! ,(fice ( ,c>e ,coord9ation
 ,s]vices ( ! ,dep>tm5t4  7b7 ,elem5ts  
,! update describ$ 9 subsection 7a7 %all
 include1 = ! p]iod cov]$ by ! update1 !
 foll[+3 7#a7 ,goals & objectives = !   
recruitm5t & ret5tion by ! ,vet]ans     
,heal? ,adm9i/ration ( heal? c>e        
p]sonnel 9 rural areas4  7#b7 ,goals &  
objectives = ensur+ timel9ess & improv+ 
quality 9 ! deliv]y ( heal? c>e s]vices 
by ! ,vet]ans ,heal? ,adm9i/ration 9    
rural areas ?r\gh contract & fee-basis  
provid]s4  7#c7 ,goals & objectives = ! 
implem5tation1 expansion1 & enhanc$ use 
( telem$ic9e s]vices by ! ,vet]ans      
,heal? ,adm9i/ration 9 rural areas1     
includ+ ?r\gh coord9ation ) o!r         
appropriate (fices ( ! ,dep>tm5t4  7#d7 
,goals & objectives = ensur+ ! full &   
effective use ( mobile outpati5t cl9ics 
by ! ,vet]ans ,heal? ,adm9i/ration = !  
provision ( heal? c>e s]vices 9 rural   
areas1 includ+ goals & objectives = !   
use ( su* cl9ics on a fully mobile basis
 & = enc\rag+ heal? c>e provid]s :o     

provide s]vices ?r\gh su* cl9ics to d s 
9 rural areas4  7#e7 ,proc$ures =       
solicit+ f ea* ,vet]ans ,heal?          
,adm9i/ration facility t s]ves a rural  
area ! foll[+3 7,a7 ,a /atem5t ( !      
cl9ical capacity ( su* facility4  7,b7  
,! proc$ures ( su* facility 9 ! ev5t ( a
 m$ical1 surgical1 or m5tal heal?       
em]g5cy outside ! scope ( ! cl9ical     
capacity ( su* facility4  7,c7 ,!       
proc$ures & me*anisms ( su* facility = !
 provision & coord9ation ( heal? c>e =  
wom5 vet]ans1 includ+ proc$ures &       
me*anisms = coord9ation ) local         
hospitals & heal? c>e facilities1       
ov]sight ( prim>y c>e & fee-basis c>e1 &
 managem5t ( specialty c>e4  7#f7 ,goals
 & objectives = ! modification ( ! fund+
 allocation me*anisms ( ! ,(fice (      
,rural ,heal? 9 ord] to ensure t !      
,(fice di/ributes funds to compon5ts ( !
 ,dep>tm5t to be/ a*ieve ! goals &      
objectives ( ! ,(fice & 9 a timely      
mann]4  7#g7 ,goals & objectives = !    
coord9ation (1 & %>+ ( res\rces )       

respect to1 ! provision ( heal? c>e     
s]vices to vet]ans 9 rural areas betwe5 
! ,dep>tm5t ( ,vet]ans ,affairs1 !      
,dep>tm5t ( ,def5se1 ! ,indian ,heal?   
,s]vice ( ! ,dep>tm5t ( ,heal? & ,human 
,s]vices1 & o!r ,f$]al ag5cies1 z       
appropriate & prud5t4  7#h7 ,specific   
mile/ones = ! a*ievem5t ( ! goals &     
objectives develop$ = ! update4  7#i7   
,proc$ures = ensur+ ! effective         
implem5tation ( ! update4  7c7          
,transmittal to ,congress ,n lat] ?an   
#ij days aft] ! date ( ! issuance ( !   
update describ$ 9 subsection 7a71 !     
,secret>y ( ,vet]ans ,affairs %all      
transmit ! update to ,congress1 toge!r )
 su* comm5ts & recomm5dations 9         
connection ) ! update z ! ,secret>y     
consid]s appropriate4  #cbh4 ,report on 
provision ( telem$ic9e s]vices  7a7 ,9  
g5]al ,n lat] ?an two ye>s aft] ! date (
 ! enactm5t ( ?is ,act1 ! ,secret>y (   
,vet]ans ,affairs %all submit to !      
,committee on ,vet]ans' ,affairs ( !    
,s5ate & ! ,committee on ,vet]ans'      

,affairs ( ! ,h\se ( ,repres5tatives a  
report on ! foll[+3 7#a7 ,issues t may  
be imp$+ ! provision by ! ,dep>tm5t (   
,vet]ans ,affairs ( telem$ic9e s]vices =
 vet]ans1 includ+ ! foll[+3 7,a7        
,/atutory or regulatory re/rictions4    
7,b7 ,lic5sure or cr$5tial+ issues = any
 provid] practic+ telem$ic9e ) vet]ans  
:o live 9 a diff]5t ,/ate ?an ! provid]4
  7,c7 ,limit$ broadb& access 9 rural   
areas4  7,d7 ,limit$ in=mation te*nology
 res\rces or capabilities4  7,e7 ,long  
di/ances vet]ans mu/ travel to access a 
facility or cl9ic ) telem$ic9e          
capabilities4  7,f7 ,insuffici5t        
liability protection = provid]s4  7,g7  
,reimbursem5t issues fac$ by provid]s4  
7,h7 ,travel limitations = provid]s t   
are unaffiliat$ ) ! ,dep>tm5t & are     
p>ticipat+ or seek+ to p>ticipate 9 a   
telem$ic9e program ( ! ,dep>tm5t4  7#b7 
,actions tak5 to address ! issues       
id5tifi$ 9 p>agraph 7#a74  7#c7 ,an     
update on ef=ts by ! ,dep>tm5t to c>ry  
out ! initiative ( teleconsultation = ! 

provision ( remote m5tal heal? &        
traumatic bra9 injury assessm5ts requir$
 by section #agji;,a ( title #ch1 ,unit$
 ,/ates ,code4  7#d7 ,an update on ef=ts
 by ! ,dep>tm5t to (f] tra9+            
opportunities 9 telem$ic9e to m$ical    
resid5ts1 z requir$ by section #ajh7;b7 
( ! ,janey ,ensm+] ,act 7,public ,law   
#aab-aed2 #ch ,u4,s4,c4 #gdjf note74    
7#e7 ,an update on ef=ts by ! ,dep>tm5t 
to1 9 p>tn]%ip ) prim>y c>e provid]s1   
in/all video cam]as & in/rum5ts to      
monitor weight1 blood pressure1 & o!r   
vital /ati/ics 9 ! homes ( pati5ts4  7b7
 ,telem$ic9e def9$ ,9 ?is section1 ! t]m
 telem$ic9e means ! use by a heal? c>e  
provid] ( telecommunications to assi/ 9 
! diagnosis or treatm5t ( a pati5t's    
m$ical condition4  7c7 ,effective date  
,?is section %all take effect on ! date 
t is "o ye> aft] ! date ( ! enactm5t (  
?is ,act4  #cbi4 ,designation (         
,corporal ,mi*ael ,j4 ,cresc5z ,dep>tm5t
 ( ,vet]ans ,affairs ,m$ical ,c5t]  7a7 
,designation ,! m$ical c5t] ( !         

,dep>tm5t ( ,vet]ans ,affairs locat$ at 
#cijj ,woodl& ,av5ue 9 ,philadelphia1   
,p5nsylvania1 %all aft] ! date ( !      
enactm5t ( ?is ,act be kn[n & designat$ 
z ! ,corporal ,mi*ael ,j4 ,cresc5z      
,dep>tm5t ( ,vet]ans ,affairs ,m$ical   
,c5t]4  7b7 ,ref]5ces ,any ref]5ce 9 any
 law1 regulation1 map1 docum5t1 pap]1 or
 o!r record ( ! ,unit$ ,/ates to !      
m$ical c5t] ref]r$ to 9 subsection 7a7  
%all be consid]$ to be a ref]5ce to !   
,corporal ,mi*ael ,j4 ,cresc5z ,dep>tm5t
 ( ,vet]ans ,affairs ,m$ical ,c5t]4  ,c 
,complem5t>y & ,alt]native ,m$ic9e      
#cca4 ,expansion ( rese>* & education on
 & deliv]y ( complem5t>y & alt]native   
m$ic9e to vet]ans  7a7 ,developm5t (    
plan ,to exp& rese>*1 education1 &      
deliv]y ,n lat] ?an six mon?s aft] !    
effective date specifi$ 9 subsection    
7f71 ! ,secret>y ( ,vet]ans ,affairs    
%all develop a plan to exp& mat]ially & 
sub/antially ! scope ( rese>* &         
education on1 & deliv]y & integration (1
 complem5t>y & alt]native m$ic9e s]vices

 into ! heal? c>e s]vices provid$ to    
vet]ans4  7b7 ,elem5ts ,! plan requir$  
by subsection 7a7 %all provide = !      
foll[+3 7#a7 ,rese>* on ! foll[+3 7,a7  
,! comp>ative effectiv5ess ( v>i\s      
complem5t>y & alt]native m$ic9e !rapies4
  7,b7 ,approa*es to integrat+          
complem5t>y & alt]native m$ic9e s]vices 
into o!r heal? c>e s]vices provid$ by ! 
,dep>tm5t4  7#b7 ,education & tra9+ =   
heal? c>e pr(essionals ( ! ,dep>tm5t on 
! foll[+3 7,a7 ,complem5t>y & alt]native
 m$ic9e s]vices select$ by ! ,secret>y =
 purposes ( ! plan4  7,b7 ,appropriate  
uses ( su* s]vices4  7,c7 ,integration (
 su* s]vices into ! deliv]y ( heal? c>e 
to vet]ans4  7#c7 ,rese>*1 education1 & 
cl9ical activities on complem5t>y &     
alt]native m$ic9e at c5t]s ( innovation 
at ,dep>tm5t m$ical c5t]s4  7#d7        
,id5tification or developm5t ( metrics &
 outcome measures to evaluate !         
provision & integration ( complem5t>y & 
alt]native m$ic9e s]vices into ! deliv]y
 ( heal? c>e to vet]ans4  7#e7          

,integration & deliv]y ( complem5t>y &  
alt]native m$ic9e s]vices ) o!r heal?   
c>e s]vices provid$ by ! ,dep>tm5t4  7c7
 ,consultation  7#a7 ,9 g5]al ,9 c>ry+  
out subsection 7a71 ! ,secret>y %all    
consult ) ! foll[+3 7,a7 ,! ,director ( 
! ,national ,c5t] on ,complem5t>y &     
,alt]native ,m$ic9e ( ! ,national       
,in/itutes ( ,heal?4  7,b7 ,!           
,commission] ( ,food & ,drugs4  7,c7    
,in/itutions ( high] education1 private 
rese>* in/itutes1 & individual rese>*]s 
) ext5sive exp]i5ce 9 complem5t>y &     
alt]native m$ic9e & ! integration (     
complem5t>y & alt]native m$ic9e         
practices into ! deliv]y ( heal? c>e4   
7,d7 ,nationally recogniz$ provid]s (   
complem5t>y & alt]native m$ic9e4  7,e7  
,su* o!r (ficials1 entities1 &          
individuals ) exp]tise on complem5t>y & 
alt]native m$ic9e z ! ,secret>y consid]s
 appropriate4  7#b7 ,scope (            
consultation ,! ,secret>y %all und]take 
consultation "u p>agraph 7#a7 9 c>ry+   
out subsection 7a7 ) respect to !       

foll[+3 7,a7 ,to develop ! plan4  7,b7  
,to id5tify specific complem5t>y &      
alt]native m$ic9e practices t1 on !     
basis ( rese>* f9d+s or promis+ cl9ical 
int]v5tions1 are appropriate to include 
z s]vices to vet]ans4  7,c7 ,to id5tify 
b>ri]s to ! effective provision &       
integration ( complem5t>y & alt]native  
m$ic9e s]vices into ! deliv]y ( heal?   
c>e to vet]ans1 & to id5tify me*anisms =
 ov]com+ su* b>ri]s4  7d7 ,fund+ ,!re is
 au?oriz$ to be appropriat$ to !        
,secret>y su* sums z may be necess>y to 
c>ry out ?is section4  7e7 ,complem5t>y 
& alt]native m$ic9e def9$ ,9 ?is        
section1 ! t]m complem5t>y & alt]native 
m$ic9e %all h ! mean+ giv5 t t]m 9      
regulations ! ,secret>y %all prescribe =
 purposes ( ?is section1 :i* %all1 to ! 
degree practicable1 be consi/5t ) !     
mean+ giv5 su* t]m by ! ,secret>y (     
,heal? & ,human ,s]vices4  7f7          
,effective date ,?is section %all take  
effect on ! date t is "o ye> aft] ! date
 ( ! enactm5t ( ?is ,act4  #ccb4        

,program on integration ( complem5t>y & 
alt]native m$ic9e )9 ,dep>tm5t (        
,vet]ans ,affairs m$ical c5t]s  7a7     
,program requir$ ,! ,secret>y ( ,vet]ans
 ,affairs %all-- 7#a7 c>ry out1 ?r\gh ! 
,(fice ( ,pati5t ,c5t]$ ,c>e & ,cultural
 ,trans=mation ( ! ,dep>tm5t ( ,vet]ans 
,affairs1 a program to assess !         
feasibility & advisability ( integrat+ !
 deliv]y ( complem5t>y & alt]native     
m$ic9e s]vices select$ by ! ,secret>y ) 
o!r heal? c>e s]vices provid$ by !      
,dep>tm5t = vet]ans ) m5tal heal?       
conditions1 *ronic pa9 conditions1 o!r  
*ronic conditions1 & su* o!r conditions 
z ! ,secret>y det]m9es appropriate2 &   
7#b7 9 develop+ ! program1 id5tify &    
resolve b>ri]s to ! provision (         
complem5t>y & alt]native m$ic9e s]vices 
select$ by ! ,secret>y & ! integration (
 ^? s]vices ) o!r heal? c>e s]vices     
provid$ by ! ,dep>tm5t4  7b7 ,duration (
 program ,! program %all be c>ri$ out   
dur+ ! ?ree-ye> p]iod beg9n+ on !       
effective date specifi$ 9 subsection    

7j74  7c7 ,locations  7#a7 ,9 g5]al ,!  
,secret>y %all c>ry out ! program at n  
few] ?an #ae sep>ate ,dep>tm5t m$ical   
c5t]s4  7#b7 ,polytrauma c5t]s ,n less  
?an two ( ! m$ical c5t]s designat$ "u   
p>agraph 7#a7 %all be locat$ at         
polytrauma rehabilitation c5t]s ( !     
,dep>tm5t4  7#c7 ,selection ( locations 
,9 c>ry+ out ! program1 ! ,secret>y %all
 select locations t include ! foll[+    
areas3 7,a7 ,rural areas4  7,b7 ,areas t
 are n 9 close proximity to an active   
duty milit>y in/allation4  7,c7 ,areas  
repres5t+ diff]5t geographic locations1 
su* z c5sus tracts e/abli%$ by ! ,bureau
 ( ! ,c5sus4  7d7 ,provision ( s]vices  
,"u ! program1 ! ,secret>y %all provide 
cov]$ s]vices to cov]$ vet]ans by       
integrat+ complem5t>y & alt]native      
m$ic9e s]vices ) o!r s]vices provid$ by 
! ,dep>tm5t at ! m$ical c5t]s designat$ 
"u subsection 7c77#a74  7e7 ,cov]$      
vet]ans ,= purposes ( ! program1 a cov]$
 vet]an is any vet]an :o-- 7#a7 has a   
m5tal heal? condition diagnos$ by a     

cl9ician ( ! ,dep>tm5t2  7#b7 exp]i5ces 
*ronic pa92 or  7#c7 has a *ronic       
condition be+ treat$ by a cl9ician ( !  
,dep>tm5t4  7f7 ,cov]$ s]vices  7#a7 ,9 
g5]al ,= purposes ( ! program1 cov]$    
s]vices are s]vices consi/+ (           
complem5t>y & alt]native m$ic9e z       
select$ by ! ,secret>y4  7#b7           
,adm9i/ration ( s]vices ,cov]$ s]vices  
%all be adm9i/]$ "u ! program z foll[s3 
7,a7 ,cov]$ s]vices %all be adm9i/]$ by 
cl9icians employ$ by ! ,secret>y =      
purposes ( ?is section :o1 to ! ext5t   
practicable1 %all provide s]vices       
consi/+ ( complem5t>y & alt]native      
m$ic9e1 includ+ ^? cl9icians :o solely  
provide su* s]vices4  7,b7 ,cov]$       
s]vices %all be includ$ z "p ( ! ,pati5t
 ,align$ ,c>e ,teams initiative ( !     
,(fice ( ,pati5t ,c>e ,s]vices1 ,prim>y 
,c>e ,program ,(fice1 9 coord9ation ) ! 
,(fice ( ,pati5t ,c5t]$ ,c>e & ,cultural
 ,trans=mation4  7,c7 ,cov]$ s]vices    
%all be made available to bo?-- 7i7     
cov]$ vet]ans ) m5tal heal? conditions1 

pa9 conditions1 or *ronic conditions    
describ$ 9 subsection 7e7 :o h receiv$  
conv5tional treatm5ts f ! ,dep>tm5t =   
su* conditions2 &  7ii7 cov]$ vet]ans ) 
m5tal heal? conditions1 pa9 conditions1 
or *ronic conditions describ$ 9         
subsection 7e7 :o h n receiv$           
conv5tional treatm5ts f ! ,dep>tm5t =   
su* conditions4  7g7 ,volunt>y          
p>ticipation ,! p>ticipation ( a vet]an 
9 ! program %all be at ! election ( !   
vet]an & 9 consultation ) a cl9ician ( !
 ,dep>tm5t4  7h7 ,reports to ,congress  
7#a7 ,qu>t]ly reports ,n lat] ?an #ij   
days aft] ! date ( ! comm5cem5t ( !     
program & n less frequ5tly ?an once e   
#ij days !reaft] = ! duration ( !       
program1 ! ,secret>y %all submit to !   
,committee on ,vet]ans' ,affairs ( !    
,s5ate & ! ,committee on ,vet]ans'      
,affairs ( ! ,h\se ( ,repres5tatives a  
report on ! ef=ts ( ! ,secret>y to c>ry 
out ! program1 includ+ a description ( !
 outrea* conduct$ by ! ,secret>y to     
vet]ans & community organizations to    

in=m su* organizations ab\t ! program4  
7#b7 ,f9al report  7,a7 ,9 g5]al ,n lat]
 ?an #ahj days aft] ! completion ( !    
program1 ! ,secret>y %all submit to !   
,committee on ,vet]ans' ,affairs ( !    
,s5ate & ! ,committee on ,vet]ans'      
,affairs ( ! ,h\se ( ,repres5tatives a  
report on ! program4  7,b7 ,cont5ts ,!  
report submitt$ "u subp>agraph 7,a7 %all
 include ! foll[+3 7i7 ,! f9d+s &       
conclusions ( ! ,secret>y ) respect to !
 program1 includ+ ) respect to-- 7,i7 ! 
utilization & efficacy ( ! complem5t>y &
 alt]native m$ic9e s]vices e/abli%$ "u !
 program2  7,,ii7 an assessm5t ( !      
b5efit ( ! program to cov]$ vet]ans 9   
m5tal heal? diagnoses1 pa9 managem5t1 & 
treatm5t ( *ronic illness2 &  7,,iii7 ! 
comp>ative effectiv5ess ( v>i\s         
complem5t>y & alt]native m$ic9e !rapies4
  7ii7 ,b>ri]s id5tifi$ "u subsection   
7a77#b7 t 7 n resolv$4  7iii7 ,su*      
recomm5dations = ! cont9uation or       
expansion ( ! program z ! ,secret>y     
consid]s appropriate4  7i7 ,complem5t>y 

& alt]native m$ic9e def9$ ,9 ?is        
section1 ! t]m complem5t>y & alt]native 
m$ic9e %all h ! mean+ giv5 t t]m 9      
section #cca7;e7 ( ?is ,act4  7j7       
,effective date ,?is section %all take  
effect on ! date t is "o ye> aft] ! date
 ( ! enactm5t ( ?is ,act4  #ccc4 ,/udies
 ( b>ri]s enc\nt]$ by vet]ans 9 receiv+1
 & adm9i/rators & cl9icians 9 provid+1  
complem5t>y & alt]native m$ic9e s]vices 
furni%$ by ! ,dep>tm5t ( ,vet]ans       
,affairs  7a7 ,/udies requir$  7#a7 ,9  
g5]al ,! ,secret>y ( ,vet]ans ,affairs  
%all conduct compreh5sive /udies ( !    
b>ri]s enc\nt]$ by vet]ans 9 receiv+1 & 
adm9i/rators & cl9icians 9 provid+1     
complem5t>y & alt]native m$ic9e s]vices 
furni%$ by ! ,dep>tm5t ( ,vet]ans       
,affairs4  7#b7 ,/udies conduct$  7,a7  
,vet]ans ,9 conduct+ ! /udy ( vet]ans1 !
 ,secret>y %all-- 7i7 survey vet]ans :o 
seek or receive hospital c>e or m$ical  
s]vices furni%$ by ! ,dep>tm5t1 z well z
 vet]ans :o d n seek or receive su* c>e 
or s]vices2  7ii7 adm9i/] ! survey to a 

repres5tative sample ( vet]ans f ea*    
,vet]ans ,integrat$ ,s]vice ,network2 & 
7iii7 ensure t ! sample ( vet]ans       
survey$ is ( suffici5t size = ! /udy    
results to be /ati/ically significant4  
7,b7 ,adm9i/rators & cl9icians ,9       
conduct+ ! /udy ( cl9icians &           
adm9i/rators1 ! ,secret>y %all-- 7i7    
survey adm9i/rators ( ! ,dep>tm5t :o are
 involv$ 9 ! provision ( heal? c>e      
s]vices2  7ii7 survey cl9icians t h     
provid$ complem5t>y & alt]native m$ic9e 
s]vices ?r\gh ! program e/abli%$ "u     
section #ccb ( ?is ,act1 aft] ^?        
cl9icians h provid$ ^? s]vices ?r\gh su*
 program = at lea/ #ij days2 &  7iii7   
adm9i/] ! survey to adm9i/rators "u     
clause 7i7-- 7,i7 be=e ! introduction ( 
complem5t>y & alt]native m$ic9e s]vices 
?r\gh su* program2 &  7,,ii7 n e>li] ?an
 #ij days aft] ! introduction (         
complem5t>y & alt]native m$ic9e s]vices 
?r\gh su* program4  7b7 ,elem5ts (      
/udies  7#a7 ,vet]ans ,9 conduct+ ! /udy
 ( vet]ans requir$ by subsection 7a71 ! 

,secret>y %all /udy ! foll[+3 7,a7 ,!   
p]ceiv$ b>ri]s associat$ ) obta9+       
complem5t>y & alt]native m$ic9e s]vices 
f ! ,dep>tm5t4  7,b7 ,! satisfaction (  
vet]ans ) complem5t>y & alt]native      
m$ic9e s]vices 9 prim>y c>e4  7,c7 ,!   
degree to :i* vet]ans are aw>e (        
eligibility requirem5ts =1 & ! scope (  
s]vices available "u1 complem5t>y &     
alt]native m$ic9e s]vices furni%$ by !  
,dep>tm5t4  7,d7 ,! effectiv5ess (      
outrea* to vet]ans on ! availability (  
complem5t>y & alt]native m$ic9e =       
vet]ans4  7,e7 ,su* o!r b>ri]s z !      
,secret>y consid]s appropriate4  7#b7   
,adm9i/rators & cl9icians ,9 conduct+ ! 
/udy ( adm9i/rators & cl9icians requir$ 
by subsection 7a71 ! ,secret>y %all /udy
 ! foll[+3 7,a7 ,! ext5t ( ! integration
 ( complem5t>y & alt]native m$ic9e      
s]vices )9 ! s]vices provid$ by !       
,dep>tm5t4  7,b7 ,! p]ception by        
adm9i/rators & cl9icians ( ! /ructural &
 attitud9al b>ri]s to ! deliv]y ( high  
quality complem5t>y & alt]native m$ic9e 

s]vices by ! ,dep>tm5t4  7,c7 ,/rategies
 t h be5 us$ to r$uce or elim9ate su*   
b>ri]s & ! results ( su* /rategies4     
7,d7 ,! satisfaction ( adm9i/rators &   
cl9icians reg>d+ ! integration (        
complem5t>y & alt]native m$ic9e s]vices 
)9 ! s]vices provid$ by ! ,dep>tm5t4    
7,e7 ,! p]ception by adm9i/rators &     
cl9icians ( ! value ( specific          
complem5t>y & alt]native m$ic9e s]vices 
= inpati5t & outpati5t vet]an           
populations4  7c7 ,dis*>ge by contract  
,! ,secret>y %all ent] into a contract )
 a qualifi$ indep5d5t entity or         
organization to c>ry out ! /udies       
requir$ by ?is section4  7d7 ,m&atory   
review ( data by ! ,national ,rese>*    
,advisory ,c\ncil  7#a7 ,9 g5]al ,!     
,secret>y %all ensure t ! head ( !      
,national ,rese>* ,advisory ,c\ncil     
reviews ! results ( ! /udies conduct$ "u
 ?is section4  7#b7 ,submittal ( f9d+s  
,! head ( ! ,national ,rese>* ,advisory 
,c\ncil %all submit f9d+s ) respect to !
 /udies to ! ,"u ,secret>y = ,heal? & to

 o!r p]t95t program (fices )9 !         
,dep>tm5t ) responsibilities relat+ to  
heal? c>e s]vices = vet]ans4  7e7       
,reports  7#a7 ,report on implem5tation 
,n lat] ?an "o ye> aft] ! date ( !      
enactm5t ( ?is ,act1 ! ,secret>y %all   
submit to ,congress a report on ! /atus 
( ! implem5tation ( ?is section4  7#b7  
,report on /udy  7,a7 ,9 g5]al ,n lat]  
?an #de days aft] ! date ( ! completion 
( ! /udy1 ! ,secret>y %all submit to    
,congress a report on ! /udy requir$ by 
subsection 7a74  7,b7 ,cont5ts ,! report
 requir$ by subp>agraph 7,a7 %all       
include ! foll[+3 7i7 ,recomm5dations = 
su* adm9i/rative & legislative proposals
 & actions z ! ,secret>y consid]s       
appropriate4  7ii7 ,! f9d+s ( ! head ( !
 ,national ,rese>* ,advisory ,c\ncil & (
 ! ,"u ,secret>y = ,heal?4  7f7         
,au?orization ( appropriations ,!re is  
au?oriz$ to be appropriat$ = fiscal ye> 
#bjae = ! ,dep>tm5t ( ,vet]ans ,affairs1
 #b1jjj1jjj to c>ry out ?is section4    
7g7 ,complem5t>y & alt]native m$ic9e    

def9$ ,9 ?is section1 ! t]m complem5t>y 
& alt]native m$ic9e %all h ! mean+ giv5 
t t]m 9 section #cca7;e7 ( ?is ,act4    
#ccd4 ,program on use ( wellness        
programs z complem5t>y approa* to m5tal 
heal? c>e = vet]ans & family memb]s (   
vet]ans  7a7 ,program requir$  7#a7 ,9  
g5]al ,! ,secret>y ( ,vet]ans ,affairs  
%all c>ry out a program ?r\gh ! aw>d (  
grants to public or private nonpr(it    
entities to assess ! feasibility &      
advisability ( us+ wellness programs to 
complem5t ! provision ( m5tal heal? c>e 
to vet]ans & family memb]s eligible =   
c\nsel+ "u section #agab;,a7a77#a77;,c7 
( title #ch1 ,unit$ ,/ates ,code4  7#b7 
,matt]s to be address$ ,! program %all  
be c>ri$ out s z to assess ! foll[+3    
7,a7 ,means ( improv+ coord9ation betwe5
 ,f$]al1 ,/ate1 local1 & community      
provid]s ( heal? c>e 9 ! provision (    
m5tal heal? c>e to vet]ans & family     
memb]s describ$ 9 p>agraph 7#a74  7,b7  
,means ( enhanc+ outrea*1 & coord9ation 
( outrea*1 by & among provid]s ( heal?  

c>e ref]r$ to 9 subp>agraph 7,a7 on !   
m5tal heal? c>e s]vices available to    
vet]ans & family memb]s describ$ 9      
p>agraph 7#a74  7,c7 ,means ( us+       
wellness programs ( provid]s ( heal? c>e
 ref]r$ to 9 subp>agraph 7,a7 z         
complem5ts to ! provision by ! ,dep>tm5t
 ( ,vet]ans ,affairs ( m5tal heal? c>e  
to vet]ans & family memb]s describ$ 9   
p>agraph 7#a74  7,d7 ,:e!r wellness     
programs describ$ 9 subp>agraph 7,c7 are
 effective 9 enhanc+ ! quality ( life & 
well-be+ ( vet]ans & family memb]s      
describ$ 9 p>agraph 7#a74  7,e7 ,:e!r   
wellness programs describ$ 9 subp>agraph
 7,c7 are effective 9 increas+ ! adh]5ce
 ( vet]ans describ$ 9 p>agraph 7#a7 to !
 prim>y m5tal heal? s]vices provid$ su* 
vet]ans by ! ,dep>tm5t4  7,f7 ,:e!r     
wellness programs describ$ 9 subp>agraph
 7,c7 h an impact on ! s5se ( wellbe+ ( 
vet]ans describ$ 9 p>agraph 7#a7 :o     
receive prim>y m5tal heal? s]vices f !  
,dep>tm5t4  7,g7 ,:e!r wellness programs
 describ$ 9 subp>agraph 7,c7 are        

effective 9 enc\rag+ vet]ans receiv+    
heal? c>e f ! ,dep>tm5t to adopt a m    
heal?y life/yle4  7b7 ,duration ,!      
,secret>y %all c>ry out ! program = a   
p]iod ( ?ree ye>s beg9n+ on ! date t is 
"o ye> aft] ! date ( ! enactm5t ( ?is   
,act4  7c7 ,locations ,! ,secret>y %all 
c>ry out ! program at facilities ( !    
,dep>tm5t provid+ m5tal heal? c>e       
s]vices to vet]ans & family memb]s      
describ$ 9 subsection 7a77#a74  7d7     
,grant proposals  7#a7 ,9 g5]al ,a      
public or private nonpr(it entity seek+ 
! aw>d ( a grant "u ?is section %all    
submit an application !re= to !         
,secret>y 9 su* =m & 9 su* mann] z !    
,secret>y may require4  7#b7            
,application cont5ts ,ea* application   
submitt$ "u p>agraph 7#a7 %all include !
 foll[+3 7,a7 ,a plan to coord9ate      
activities "u ! program1 to ! ext5t     
possible1 ) ! ,f$]al1 ,/ate1 & local    
provid]s ( s]vices = vet]ans to enhance 
! foll[+3 7i7 ,aw>5ess by vet]ans (     
b5efits & heal? c>e s]vices provid$ by !

 ,dep>tm5t4  7ii7 ,outrea* ef=ts to     
increase ! use by vet]ans ( s]vices     
provid$ by ! ,dep>tm5t4  7iii7          
,educational ef=ts to in=m vet]ans ( !  
b5efits ( a heal?y & active life/yle4   
7,b7 ,a /atem5t ( und]/&+ f ! entity    
submitt+ ! application t1 if select$1   
su* entity w be requir$ to report to !  
,secret>y p]iodically on /&>diz$ data & 
o!r p]=mance data necess>y to evaluate  
individual outcomes & to facilitate     
evaluations among entities p>ticipat+ 9 
! program4  7,c7 ,o!r requirem5ts t !   
,secret>y may prescribe4  7e7 ,grant    
uses  7#a7 ,9 g5]al ,a public or private
 nonpr(it entity aw>d$ a grant "u ?is   
section %all use ! aw>d = purposes      
prescrib$ by ! ,secret>y4  7#b7         
,eligible vet]ans & family ,9 c>ry+ out 
! purposes prescrib$ by ! ,secret>y 9   
p>agraph 7#a71 a public or private      
nonpr(it entity aw>d$ a grant "u ?is    
section %all use ! aw>d to furni%       
s]vices only to individuals specifi$ 9  
section #agab;,a7a77#a77;,c7 ( title    

#ch1 ,unit$ ,/ates ,code4  7f7 ,reports 
7#a7 ,p]iodic reports  7,a7 ,9 g5]al ,n 
lat] ?an #ahj days aft] ! date ( !      
comm5cem5t ( ! program1 & e #ahj days   
!reaft]1 ! ,secret>y %all submit to     
,congress a report on ! program4  7,b7  
,report elem5ts ,ea* report requir$ by  
subp>agraph 7,a7 %all include ! foll[+3 
7i7 ,! f9d+s & conclusions ( ! ,secret>y
 ) respect to ! program dur+ ! #ahj-;day
 p]iod prec$+ ! report4  7ii7 ,an       
assessm5t ( ! b5efits ( ! program to    
vet]ans & _! family memb]s dur+ !       
#ahj-;day p]iod prec$+ ! report4  7#b7  
,f9al report ,n lat] ?an #ahj days aft] 
! end ( ! program1 ! ,secret>y %all     
submit to ,congress a report detail+ !  
recomm5dations ( ! ,secret>y z to !     
advisability ( cont9u+ or exp&+ !       
program4  7g7 ,wellness def9$ ,9 ?is    
section1 ! t]m wellness has ! mean+ giv5
 t t]m 9 regulations prescrib$ by !     
,secret>y4  ,d ,m5tal ,heal? ,c>e  #cda4
 ,inclusion ( m5tal heal? pr(essionals 9
 ! education & tra9+ program = heal?    

p]sonnel ( ! ,dep>tm5t ( ,vet]ans       
,affairs  7a7 ,9 g5]al ,9 c>ry+ out !   
education & tra9+ program requir$ "u    
section #gcjb7;a77#a7 ( title #ch1      
,unit$ ,/ates ,code1 ! ,secret>y (      
,vet]ans ,affairs %all include education
 & tra9+ ( m>riage & family !rapi/s &   
lic5s$ pr(essional m5tal heal?          
c\nselors4  7b7 ,fund+ ,! ,secret>y %all
 apportion fund+ = ! education & tra9+  
program equally among ! pr(essions      
includ$ 9 ! program4  7c7 ,effective    
date ,?is section %all take effect on ! 
date t is "o ye> aft] ! date ( !        
enactm5t ( ?is ,act4  #cdb4 ,education  
program & pe] support program = family  
memb]s & c>egiv]s ( vet]ans ) m5tal     
heal? disord]s  7a7 ,programs  7#a7 ,9  
g5]al ,n lat] ?an "o ye> aft] ! date ( !
 enactm5t ( ?is ,act1 ! ,secret>y (     
,vet]ans ,affairs %all e/abli% an       
education program 79 ?is section ref]r$ 
to z ! education program7 & a pe]       
support program 79 ?is section ref]r$ to
 z ! pe] support program7 = ! education 

& tra9+ ( family memb]s & c>egiv]s (    
eligible vet]ans ) m5tal heal? disord]s4
  7#b7 ,def9itions ,9 ?is section3 7,a7 
,family memb]2 c>egiv] ,! t]ms family   
memb] & c>egiv] h ! mean+ giv5 ^? t]ms 9
 section #agbj;,g7d7 ( title #ch1 ,unit$
 ,/ates ,code4  7,b7 ,eligible vet]an ,!
 t]m eligible vet]an means a vet]an :o  
is enroll$ 9 ! heal? c>e sy/em e/abli%$ 
"u section #agje7;a7 ( title #ch1 ,unit$
 ,/ates ,code4  7b7 ,education program  
7#a7 ,9 g5]al ,"u ! education program1 !
 ,secret>y %all provide a c\rse (       
education to family memb]s & c>egiv]s ( 
eligible vet]ans on matt]s relat+ to    
cop+ ) m5tal heal? disord]s 9 vet]ans4  
7#b7 ,duration  7,a7 ,9 g5]al ,!        
education program %all be c>ri$ out dur+
 ! f\r-ye> p]iod beg9n+ on ! date ( !   
comm5cem5t ( ! education program4  7,b7 
,au?ority = ext5sion ,! ,secret>y may   
ext5d ! duration ( ! education program =
 an additional f\r ye>s4  7#c7          
,locations  7,a7 ,9 g5]al ,except z     
requir$ by subp>agraph 7,d71 ! ,secret>y

 %all c>ry out ! education program at ! 
foll[+ facilities ( ! ,dep>tm5t (       
,vet]ans ,affairs3 7i7 ,n less ?an #aj  
m$ical c5t]s ( ! ,dep>tm5t4  7ii7 ,n    
less ?an #aj cl9ics ( ! ,dep>tm5t4      
7iii7 ,n less ?an #aj ,vet ,c5t]s 7z    
def9$ 9 section #agab;,a7h7 ( title #ch1
 ,unit$ ,/ates ,code74  7,b7            
,solicitation ( applications ,9 select+ 
locations = ! education program1 !      
,secret>y %all solicit applications f   
eligible facilities ( ! ,dep>tm5t t are 
int]e/$ 9 c>ry+ out ! education program4
  7,c7 ,consid]ations ,9 select+        
locations = ! education program1 !      
,secret>y %all consid] ! feasibility &  
advisability ( select+ locations 9 !    
foll[+ areas3 7i7 ,rural areas4  7ii7   
,areas t are n 9 close proximity to an  
active duty in/allation4  7iii7 ,areas 9
 diff]5t geographic locations4  7,d7    
,expansion ( locations ,n lat] ?an two  
ye>s aft] ! date ( ! comm5cem5t ( !     
education program1 ! ,secret>y %all exp&
 ! numb] ( facilities at :i* ! ,secret>y

 is c>ry+ out ! education program to    
include ! foll[+3 7i7 ,n less ?an #aj   
additional m$ical c5t]s ( ! ,dep>tm5t4  
7ii7 ,n less ?an #aj additional cl9ics (
 ! ,dep>tm5t4  7iii7 ,n less ?an #aj    
additional ,vet ,c5t]s4  7#d7 ,contracts
  7,a7 ,9 g5]al ,9 c>ry+ out ! education
 program1 ! ,secret>y %all ent] into    
contracts ) qualifi$ entities describ$ 9
 subp>agraph 7,b7 to (f] ! c\rse (      
education describ$ 9 p>agraph 7#e7 to   
family memb]s & c>egiv]s ( eligible     
vet]ans & cov]$ vet]ans4  7,b7 ,qualifi$
 entity describ$ ,a qualifi$ entity     
describ$ 9 ?is subp>agraph is a         
non-pr(it entity ) exp]i5ce 9 m5tal     
heal? education & outrea*1 includ+ "w ) 
*ildr51 te5s1 & "y adults1 t-- 7i7 uses 
high quality1 relevant1 &               
age-appropriate in=mation 9 educational 
programm+1 mat]ials1 & c\rsework1       
includ+ su* programm+1 mat]ials1 &      
c\rsework = *ildr51 te5s1 & "y adults2 &
  7ii7 works ) ag5cies1 dep>tm5ts1      
nonpr(it m5tal heal? organizations1 e>ly

 *ildhood educators1 & m5tal heal?      
provid]s to develop educational         
programm+1 mat]ials1 & c\rsework4  7,c7 
,priority ,9 ent]+ into contracts "u ?is
 p>agraph1 ! ,secret>y %all give        
priority to qualifi$ entities t1 to !   
maximum ext5t practicable1 use ,int]net 
te*nology = ! deliv]y ( c\rse cont5t 9  
an ef=t to exp& ! availability ( support
 s]vices1 especially 9 rural areas4     
7#e7 ,elem5ts ,! c\rse ( education      
describ$ 9 ?is p>agraph %all consi/ ( n 
less ?an #aj weeks ( education & %all   
include ! foll[+3 7,a7 ,g5]al education 
on diff]5t m5tal heal? disord]s1 includ+
 in=mation to improve und]/&+ ( !       
exp]i5ces ( individuals suff]+ f ^?     
disord]s4  7,b7 ,te*niques = h&l+ crisis
 situations & adm9i/]+ m5tal heal? fir/ 
aid to individuals suff]+ f m5tal heal? 
disord]s4  7,c7 ,te*niques = cop+ ) !   
/ress ( liv+ ) someone ) a m5tal heal?  
disord]4  7,d7 ,in=mation on additional 
s]vices available = family memb]s &     
c>egiv]s ?r\gh ! ,dep>tm5t or community 

organizations & provid]s relat$ to m5tal
 heal? disord]s4  7,e7 ,su* o!r matt]s z
 ! ,secret>y consid]s appropriate4  7#f7
 ,in/ructors  7,a7 ,tra9+ ,ea* in/ructor
 ( ! c\rse ( education describ$ 9       
p>agraph 7#e7 %all ma9ta9 a level (     
pr(ici5cy 9 ! c\rse ( education z       
det]m9$ by ! ,secret>y1 & %all submit   
pro( ( t level ( pr(ici5cy to !         
,secret>y at su* "t & 9 su* mann] z !   
,secret>y det]m9es appropriate4  7,b7   
,individuals :o h complet$ ! c\rse z    
in/ructors ,comm5c+ z ( ! date t is two 
ye>s aft] ! date ( ! comm5cem5t ( !     
education program1 any individual :o has
 successfully complet$ ! c\rse (        
education describ$ 9 p>agraph 7#e7 & has
 successfully complet$ su* additional   
tra9+ z is requir$ = in/ructors pursuant
 to subp>agraph 7,a7 may act z an       
in/ructor 9 ! c\rse ( education4  7c7   
,pe] support program  7#a7 ,9 g5]al ,"u 
! pe] support program1 ! ,secret>y %all 
provide pe] support to family memb]s &  
c>egiv]s ( eligible vet]ans on matt]s   

relat+ to cop+ ) m5tal heal? disord]s 9 
vet]ans4  7#b7 ,locations ,! ,secret>y  
%all provide pe] support "u ! pe]       
support program at ea* location at :i* !
 ,secret>y provides education "u !      
education program4  7#c7 ,elem5ts ,pe]  
support "u ! pe] support program %all   
consi/ ( meet+s 9 gr\p sett+s betwe5 a  
pe] support coord9ator "u p>agraph 7#d7 
& family memb]s & c>egiv]s ( eligible   
vet]ans on matt]s relat+ to cop+ ) m5tal
 heal? disord]s 9 vet]ans4 ,at ea*      
location1 ^? meet+s %all be conduct$ n  
less (t5 ?an twice ea* cal5d> qu>t]4    
7#d7 ,pe] support coord9ator  7,a7 ,9   
g5]al ,! ,secret>y1 act+ ?r\gh !        
director ( ea* p>ticipat+ facility1 may 
select an individual :o has successfully
 complet$ ! c\rse ( education describ$ 9
 subsection 7b77#e7 to s]ve z a pe]     
support coord9ator = ea* su* facility to
 c>ry out ! pe] support program4  7,b7  
,pr(ici5cy ( in/ructors ,ea* pe] support
 coord9ator %all ma9ta9 a level (       
pr(ici5cy 9 pe] support z det]m9$ by !  

,secret>y1 & %all submit pro( ( t level 
( pr(ici5cy to ! ,secret>y at su* "t & 9
 su* mann] z ! ,secret>y det]m9es       
appropriate4  7d7 ,surveys  7#a7 ,9     
g5]al ,! ,secret>y %all conduct a       
compreh5sive & /ati/ically significant  
survey ( ! satisfaction ( individuals t 
h p>ticipat$ 9 ! c\rse ( education      
describ$ 9 subsection 7b77#e7 &         
individuals t h p>ticipat$ 9 ! pe]      
support program t includes ! foll[+3    
7,a7 ,! g5]al satisfaction ( ^?         
individuals ) ! education & assi/ance   
provid$ 9 ! education program & ! pe]   
support program4  7,b7 ,! p]ceiv$       
effectiv5ess ( ! education program & !  
pe] support program 9 provid+ education 
& assi/ance t is useful = ^?            
individuals4  7,c7 ,! applicability ( ! 
education program & ! pe] support       
program to ! issues fac$ by ^?          
individuals4  7,d7 ,su* o!r matt]s z !  
,secret>y consid]s appropriate4  7,e7 ,a
 repres5tative sample ( ! in=mation     
requir$ by subp>agraphs 7,a7 ?r\gh 7,d7 

f ea* ,vet]ans ,integrat$ ,s]vice       
,network t is p>ticipat+ 9 ! education  
program & ! pe] support program4  7#b7  
,compilation ( in=mation ,! in=mation   
compil$ z a result ( ! surveys requir$  
by p>agraph 7#a7 %all be includ$ 9 !    
annual report requir$ by subsection     
7e77#a74  7e7 ,reports  7#a7 ,annual    
report  7,a7 ,9 g5]al ,n lat] ?an "o ye>
 aft] ! date ( ! comm5cem5t ( !         
education program & n lat] ?an ,septemb]
 #cj ea* ye> !reaft] until #bjag1 !     
,secret>y %all submit to ! ,committee on
 ,vet]ans' ,affairs ( ! ,s5ate & !      
,committee on ,vet]ans' ,affairs ( !    
,h\se ( ,repres5tatives a report on !   
education program & ! pe] support       
program4  7,b7 ,elem5ts ,ea* report     
submitt$ "u subp>agraph 7,a7 %all       
include ! foll[+3 7i7 ,! numb] (        
individuals t p>ticipat$ 9 ! c\rse (    
education describ$ 9 subsection 7b77#e7 
dur+ ! ye> prec$+ ! submission ( !      
report4  7ii7 ,! numb] ( individuals t  
p>ticipat$ 9 ! pe] support program dur+ 

! ye> prec$+ ! submission ( ! report4   
7iii7 ,a detail$ analysis ( ! surveys   
conduct$ "u subsection 7d7 ) respect to 
! individuals describ$ 9 clause 7i7 &   
7ii74  7iv7 ,! degree to :i* vet]ans &  
family memb]s & c>egiv]s ( vet]ans are  
aw>e ( ! eligibility requirem5ts =      
enrollm5t 9 ! education program & ! pe] 
support program4  7v7 ,any plans =      
expansion ( ! education program & ! pe] 
support program4  7vi7 ,! int]im f9d+s &
 conclusions ( ! ,secret>y ) respect to 
! success ( ! education program & ! pe] 
support program4  7#b7 ,f9al report     
7,a7 ,9 g5]al ,n lat] ?an "o ye> aft] ! 
completion ( ! education program1 !     
,secret>y %all submit to ! ,committee on
 ,vet]ans' ,affairs ( ! ,s5ate & !      
,committee on ,vet]ans' ,affairs ( !    
,h\se ( ,repres5tatives a report on !   
feasibility & advisability ( cont9u+ !  
education program & ! pe] support       
program4  7,b7 ,elem5ts ,! report       
submitt$ "u subp>agraph 7,a7 %all       
include ! foll[+3 7i7 ,a detail$        

analysis ( ! surveys conduct$ "u        
subsection 7d74  7ii7 ,! feasibility &  
advisability ( cont9u+ ! education      
program )\t ent]+ into contracts = !    
c\rse ( education describ$ 9 subsection 
7b77#e7 & in/ead us+ pe] support        
coord9ators select$ "u subsection       
7c77#d7 z in/ructors ( ! c\rse (        
education4  7iii7 ,! feasibility &      
advisability ( exp&+ ! education program
 & ! pe] support program4  #cdc4 ,report
 on provision ( m5tal heal? s]vices =   
families ( c]ta9 vet]ans at facilities (
 ! ,dep>tm5t ,n lat] ?an "o ye> aft] !  
date ( ! enactm5t ( ?is ,act1 !         
,secret>y ( ,vet]ans ,affairs %all      
submit to ! ,committee on ,vet]ans'     
,affairs ( ! ,s5ate & ! ,committee on   
,vet]ans' ,affairs ( ! ,h\se (          
,repres5tatives a report on !           
feasibility & advisability ( provid+    
s]vices "u ! program e/abli%$ by section
 #cjd7;a7 ( ! ,c>egiv]s & ,vet]ans      
,omnibus ,heal? ,s]vices ,act ( #bjaj   
7,public ,law #aaa-afc2 #ch ,u4,s4,c4   

#agab;,a note7 at m$ical facilities ( ! 
,dep>tm5t ( ,vet]ans ,affairs4  #cdd4   
,annual report on community m5tal heal? 
p>tn]%ip pilot program  7a7 ,9 g5]al ,n 
lat] ?an "o ye> aft] ! date ( ! enactm5t
 ( ?is ,act & n lat] ?an ,septemb] #cj  
ea* ye> !reaft] until ! completion ( !  
pilot program describ$ 9 subsection 7b71
 ! ,secret>y ( ,vet]ans ,affairs %all   
submit to ! ,committee on ,vet]ans'     
,affairs ( ! ,s5ate & ! ,committee on   
,vet]ans' ,affairs ( ! ,h\se (          
,repres5tatives a report on t pilot     
program4  7b7 ,pilot program describ$ ,!
 pilot program describ$ 9 ?is subsection
 is ! pilot program conduct$ by !       
,vet]ans ,heal? ,adm9i/ration to connect
 m$ical c5t]s ( ! ,dep>tm5t ( ,vet]ans  
,affairs ) community-bas$ m5tal heal?   
c>e provid]s & sub/ance abuse treatm5t  
provid]s = ! purpose ( assi/+ 9 !       
treatm5t ( vet]ans ) m5tal heal?        
disord]s1 commonly kn[n z ! ,community  
,m5tal ,heal? ,p>tn]%ip ,pilot4  7c7    
,elem5ts ,ea* report submitt$ "u        

subsection 7a7 %all include ! foll[+3   
7#a7 ,! numb] ( sites p>ticipat+ 9 !    
pilot program4  7#b7 ,! numb] (         
individuals p>ticipat+ 9 ! pilot program
 at ea* site4  7#c7 ,a detail$ assessm5t
 ( ! effectiv5ess (1 ! p>ticipation (   
vet]ans 91 & ! satisfaction ( vet]ans ) 
! pilot program4  7#d7 ,an analysis (   
b>ri]s to ! effectiv5ess (1 !           
p>ticipation ( vet]ans 91 & !           
satisfaction ( vet]ans ) ! pilot        
program4  7#e7 ,a description ( ! plans 
( ! ,secret>y to conduct outrea* &      
provide in=mation to vet]ans & community
 m5tal heal? provid]s ) respect to !    
pilot program4  7#f7 ,a description (   
any plans to exp& ! pilot program1      
includ+ plans t focus on ! unique ne$s (
 vet]ans locat$ 9 rural areas4  7#g7 ,an
 explanation ( h[ ! c>e provid$ "u !    
pilot program is consi/5t ) ! m9imum    
cl9ical m5tal heal? guidel9es promulgat$
 by ! ,vet]ans ,heal? ,adm9i/ration1    
includ+ cl9ical guidel9es conta9$ 9 !   
,uni=m ,m5tal ,heal? ,s]vices ,h&book ( 

su* ,adm9i/ration4  ,e ,d5tal c>e       
eligibility expansion & enhancem5t      
#cea4 ,re/orative d5tal s]vices =       
vet]ans  7a7 ,9 g5]al ,section #agaj7;c7
 is am5d$-- 7#a7 9 ! second s5t5ce--    
7,a7 by r$esignat+ subp>agraphs 7,a7 &  
7,b7 z clauses 7i7 & 7ii71 respectively2
 &  7,b7 by r$esignat+ p>agraphs 7#a7 & 
7#b7 z subp>agraphs 7,a7 & 7,b71        
respectively2  7#b7 by ins]t+ 7#a7 aft] 
7c72  7#c7 by /rik+ ,! ,secret>y &      
ins]t+ ! foll[+3  7#b7 ,! ,secret>y  2 &
  7#d7 by add+ at ! end ! foll[+ new    
p>agraph3  7#c7 ,9 addition to ! d5tal  
s]vices1 treatm5t1 & appliances au?oriz$
 to be furni%$ by p>agraph 7#b71 !      
,secret>y may furni% d5tal s]vices &    
treatm5t1 & d5tal appliances1 ne$$ to   
re/ore function+ 9 a vet]an t is lo/ z a
 result ( any s]vices or treatm5t       
furni%$ "u ?is subsection4  4  7b7      
,effective date ,! am5dm5ts made by     
subsection 7a7 %all take effect on !    
date t is "o ye> aft] ! date ( !        
enactm5t ( ?is ,act4  #ceb4 ,pilot      

program on expansion ( furni%+ ( d5tal  
c>e to all enroll$ vet]ans  7a7 ,pilot  
program requir$ ,comm5c+ n lat] ?an #edj
 days aft] ! date ( ! enactm5t ( ?is    
,act1 ! ,secret>y ( ,vet]ans ,affairs   
%all c>ry out a pilot program to assess 
! feasibility & advisability ( furni%+  
d5tal c>e to vet]ans enroll$ 9 ! sy/em (
 pati5t enrollm5t "u section #agje (    
title #ch1 ,unit$ ,/ates ,code1 :o are n
 eligible = d5tal s]vices & treatm5t1 & 
relat$ d5tal appliances1 "u curr5t      
au?orities4  7b7 ,duration ( pilot      
program ,! pilot program %all be c>ri$  
out dur+ ! ?ree-ye> p]iod beg9n+ on !   
date ( ! comm5cem5t ( ! pilot program4  
7c7 ,locations  7#a7 ,9 g5]al ,!        
,secret>y %all c>ry out ! pilot program 
at n few] ?an #af locations z foll[s3   
7,a7 ,f\r ,dep>tm5t ( ,vet]ans ,affairs 
m$ical c5t]s ) an e/abli%$ d5tal cl9ic4 
7,b7 ,f\r ,dep>tm5t m$ical c5t]s ) a    
curr5t contract = ! furni%+ ( d5tal c>e4
  7,c7 ,f\r ,community-,bas$ ,outpati5t 
,cl9ics 7,c,b,o,cs7 ) space available = 

! furni%+ ( s]vices & treatm5t "u !     
pilot program4  7,d7 ,f\r facilities    
select$ f among ,f$]ally ,qualifi$      
,heal? ,c5t]s 7,f,q,h,cs7 & ,indian     
,heal? ,s]vice facilities ) e/abli%$    
d5tal cl9ics1 ( :i*-- 7i7 at lea/ "o    
facility %all be su* an ,indian ,heal?  
,s]vice facility2 &  7ii7 any ,indian   
,heal? ,s]vice facility s select$ %all  
be select$ 9 consultation ) ! ,secret>y 
( ,heal? & ,human ,s]vices4  7#b7       
,consid]ations ,9 select+ locations = ! 
pilot program1 ! ,secret>y %all consid] 
! feasibility & advisability ( select+  
locations 9 ea* ( ! foll[+3 7,a7 ,rural 
areas4  7,b7 ,areas t are n 9 close     
proximity to an active duty milit>y     
in/allation4  7,c7 ,areas repres5t+     
diff]5t geographic locations1 su* z     
c5sus tracts e/abli%$ by ! ,bureau (    
,c5sus4  7d7 ,limitation on numb] (     
p>ticipat+ vet]ans  7#a7 ,9 g5]al ,!    
total numb] ( eligible vet]ans :o may   
p>ticipate 9 ! pilot program may n exce$
 #cj1jjj4  7#b7 ,di/ribution (          

limitation ,9 apply+ ! limitation 9     
p>agraph 7#a7 to ! pilot program1 !     
,secret>y %all di/ribute ! limitation   
across & among locations select$ = !    
pilot program 9 a mann] t takes         
appropriate acc\nt ( ! size & ne$ (     
vet]ans = d5tal s]vices at ea* su*      
location4  7e7 ,scope ( s]vices ,! d5tal
 s]vices & treatm5t furni%$ to vet]ans  
"u ! pilot program %all be consi/5t ) ! 
d5tal s]vices & treatm5t furni%$ by !   
,secret>y to vet]ans ) s]vice-connect$  
disabilities rat$ #ajj p]c5t disabl+ "u 
! laws adm9i/]$ by ! ,secret>y4  7f7    
,volunt>y p>ticipation ,! p>ticipation (
 a vet]an 9 ! pilot program %all be at !
 election ( ! vet]an4  7g7 ,limitation  
on am\nt ( s]vices  7#a7 ,9 g5]al ,!    
total am\nt ! ,secret>y may exp5d       
furni%+ d5tal s]vices & treatm5t to a   
vet]an p>ticipat+ 9 ! pilot program dur+
 any "o-ye> p]iod may n exce$ su* am\nt 
z ! ,secret>y det]m9es appropriate4 ,!  
am\nt s det]m9$ may n be less ?an       
#a1jjj4  7#b7 ,consultation ,! ,secret>y

 %all make ! det]m9ation "u p>agraph    
7#a7-- 7,a7 9 consultation ) ! ,director
 ( ! ,indian ,heal? ,s]vice2 &  7,b7 9  
consultation ) ! ,director ( ! ,heal?   
,res\rces & ,s]vices ,adm9i/ration ( !  
,dep>tm5t ( ,heal? & ,human ,s]vices if 
"o or m ,f$]ally ,qualifi$ ,heal? ,c5t] 
is select$ z a location = ! pilot       
program "u subsection 7c77#a77;,d74  7h7
 ,copaym5ts ,! ,secret>y may collect    
copaym5ts = d5tal s]vices & treatm5t    
furni%$ "u ! pilot program 9 accordance 
) au?orities on ! collection ( copaym5ts
 = m$ical c>e ( vet]ans "u *apt] #ag (  
title #ch1 ,unit$ ,/ates ,code4  7i7    
,program adm9i/ration  7#a7 ,notice to  
eligible vet]ans on pilot program ,9    
c>ry+ out ! pilot program1 ! ,secret>y  
%all in=m all vet]ans eligible to       
p>ticipate 9 ! pilot program ( ! s]vices
 & treatm5t available "u ! pilot        
program4  7#b7 ,contracts ,9 c>ry+ out !
 pilot program1 ! ,secret>y may ent]    
into contracts ) appropriate entities = 
! provision ( d5tal s]vices & treatm5t  

"u ! pilot program4 ,ea* su* contract   
%all specify p]=mance /&>ds & metrics & 
processes = ensur+ compliance ( !       
contractor conc]n$ ) su* p]=mance /&>ds4
  7j7 ,reports  7#a7 ,prelim9>y reports 
7,a7 ,9 g5]al ,n lat] ?an ea* ( #edj    
days & ?ree ye>s aft] ! date ( !        
comm5cem5t ( ! pilot program1 !         
,secret>y %all submit to ! ,committee on
 ,vet]ans' ,affairs ( ! ,s5ate & !      
,committee on ,vet]ans' ,affairs ( !    
,h\se ( ,repres5tatives a report on !   
pilot program4  7,b7 ,cont5ts ,ea*      
report "u subp>agraph 7,a7 %all include 
! foll[+3 7i7 ,a description ( !        
implem5tation & op]ation ( ! pilot      
program4  7ii7 ,! numb] ( vet]ans       
receiv+ s]vices & treatm5t "u ! pilot   
program1 & a description ( ! d5tal      
s]vices & treatm5t furni%$ to su*       
vet]ans4  7iii7 ,an analysis ( ! co/s & 
b5efits ( ! pilot program1 includ+ a    
comp>ison ( co/s & b5efits by location  
type4  7iv7 ,an assessm5t ( ! impact ( !
 pilot program on m$ical c>e1 wellness1 

employability1 & p]ceiv$ quality ( life 
( vet]ans4  7v7 ,! curr5t f9d+s &       
conclusions ( ! ,secret>y ) respect to !
 pilot program4  7vi7 ,su*              
recomm5dations = ! cont9uation or       
expansion ( ! pilot program z !         
,secret>y consid]s appropriate4  7#b7   
,f9al report  7,a7 ,9 g5]al ,n lat] ?an 
#ahj days aft] ! completion ( ! pilot   
program1 ! ,secret>y %all submit to !   
,committee on ,vet]ans' ,affairs ( !    
,s5ate & ! ,committee on ,vet]ans'      
,affairs ( ! ,h\se ( ,repres5tatives a  
report on ! pilot program4  7,b7        
,cont5ts ,! report "u subp>agraph 7,a7  
%all include ! foll[+3 7i7 ,! f9d+s &   
conclusions ( ! ,secret>y ) respect to !
 pilot program4  7ii7 ,su*              
recomm5dations = ! cont9uation or       
expansion ( ! pilot program z !         
,secret>y consid]s appropriate4  7k7    
,f$]ally ,qualifi$ ,heal? ,c5t] def9$ ,9
 ?is section ! t]m ,f$]ally ,qualifi$   
,heal? ,c5t] means a ,f$]ally-qualifi$  
heal? c5t] z def9$ 9 section            

#aije7l77#b77;,b7 ( ! ,social ,security 
,act 7#db ,u4,s4,c4                     
#acif;d7l77#b77;,b774  7l7 ,effective   
date ,?is section %all take effect on ! 
date t is "o ye> aft] ! date ( !        
enactm5t ( ?is ,act4  #cec4 ,program on 
education to promote d5tal heal? 9      
vet]ans  7a7 ,program requir$  7#a7 ,9  
g5]al ,! ,secret>y ( ,vet]ans ,affairs  
%all c>ry out a program ( education to  
promote d5tal heal? = vet]ans :o are    
enroll$ 9 ! sy/em ( pati5t enrollm5t ( !
 ,dep>tm5t ( ,vet]ans ,affairs "u       
section #agje ( title #ch1 ,unit$ ,/ates
 ,code4  7#b7 ,con/ruction ,no?+ 9 !    
program %all be deem$ to alt] or revise 
! eligibility ( any vet]an = d5tal c>e  
"u ! laws adm9i/]$ by ! ,secret>y4  7b7 
,elem5ts ,! program requir$ by          
subsection 7a7 %all provide education = 
vet]ans on ! foll[+3 7#a7 ,! association
 betwe5 d5tal heal? & ov]all heal? &    
well-be+4  7#b7 ,prop] te*niques = d5tal
 c>e4  7#c7 ,signs & symptoms ( commonly
 occurr+ d5tal conditions4  7#d7        

,treatm5t options = commonly occurr+    
d5tal issues4  7#e7 ,options = obta9+   
access to d5tal c>e1 includ+ in=mation  
on eligibility = d5tal c>e ?r\gh !      
,dep>tm5t & on pur*as+ private d5tal    
insurance4  7#f7 ,available & accessible
 options = obta9+ l[ or no-co/ d5tal    
c>e1 includ+ ?r\gh d5tal s*ools &       
,f$]ally ,qualifi$ ,heal? ,c5t]s        
7,f,q,h,cs74  7#g7 ,su* o!r matt]s      
relat+ to d5tal heal? z ! ,secret>y     
consid]s appropriate4  7c7 ,deliv]y (   
educational mat]ials  7#a7 ,9 g5]al ,!  
,secret>y %all provide educational      
mat]ials to vet]ans "u ! program requir$
 by subsection 7a7 ?r\gh a v>iety (     
me*anisms1 includ+ ! foll[+3 7,a7 ,!    
availability & di/ribution ( pr9t       
mat]ials at ,dep>tm5t facilities        
7includ+ at m$ical c5t]s1 cl9ics1 ,vet  
,c5t]s1 & readju/m5t c\nsel+ c5t]s7 & to
 provid]s 7includ+ memb]s ( ,pati5t     
,align$ ,c>e ,teams74  7,b7 ,!          
availability & di/ribution ( mat]ials   
ov] ! ,int]net1 includ+ ?r\gh web9>s &  

,my ,healthe,vet4  7,c7 ,pres5tations ( 
in=mation1 includ+ bo? small gr\p & l>ge
 gr\p pres5tations4  7#b7 ,selection (  
me*anisms ,9 select+ me*anisms =        
purposes ( ?is subsection1 ! ,secret>y  
%all select me*anisms design$ to        
maximize ! numb] ( vet]ans :o receive   
education "u ! program4  7d7 ,f$]ally   
,qualifi$ ,heal? ,c5t] def9$ ,9 ?is     
section ! t]m ,f$]ally ,qualifi$ ,heal? 
,c5t] means a ,f$]ally-qualifi$ heal?   
c5t] z def9$ 9 section #aije7l77#b77;,b7
 ( ! ,social ,security ,act 7#db        
,u4,s4,c4 #acif;d7l77#b77;,b774  7e7    
,effective date ,?is section %all take  
effect on ! date t is "o ye> aft] ! date
 ( ! enactm5t ( ?is ,act4  #ced4        
,in=mation on d5tal s]vices = inclusion 
9 electronic m$ical records "u d5tal    
insurance pilot program  7a7 ,9 g5]al   
,comm5c+ n lat] ?an #edj days aft] !    
date ( ! enactm5t ( ?is ,act1 !         
,secret>y ( ,vet]ans ,affairs %all exp& 
! d5tal insurance pilot program e/abli%$
 by section #ag4afi ( title #ch1 ,code (

 ,f$]al ,regulations1 to e/abli% a      
me*anism by :i* private sector d5tal c>e
 provid]s %all =w>d to ! ,dep>tm5t (    
,vet]ans ,affairs in=mation on d5tal c>e
 furni%$ to individuals "u ! pilot      
program = inclusion 9 ! electronic      
m$ical records ( ! ,dep>tm5t ) respect  
to su* individuals4  7b7 ,con/ruction ) 
curr5t pilot program requirem5ts  7#a7  
,9 g5]al ,no?+ 9 ?is section %all be    
con/ru$ to revise eligibility =         
p>ticipation 91 or ! locations (1 !     
pilot program ref]r$ to 9 subsection    
7a74  7#b7 ,duration ,! ,secret>y may   
cont9ue ! pilot program = two ye>s 9    
addition to ! duration o!rwise provid$ =
 ! pilot program 9 section #ag4afi (    
title #ch1 ,code ( ,f$]al ,regulations1 
if ! ,secret>y det]m9es t ! cont9uation 
is ne$$ to assess ! me*anism requir$ by 
subsection 7a74  7#c7 ,volunt>y         
p>ticipation 9 me*anism ,! p>ticipation 
9 ! me*anism requir$ by subsection 7a7 (
 an individual o!rwise p>ticipat+ 9 !   
pilot program %all be at ! election ( ! 

individual4  7c7 ,inclusion ( in=mation 
on me*anism 9 reports ,ea* report to    
,congress on ! pilot program aft] ! date
 ( ! comm5cem5t ( ! me*anism requir$ by 
subsection 7a7 %all include in=mation on
 ! me*anism1 includ+ a curr5t assessm5t 
( ! feasability & advisability ( us+ !  
me*anism to include in=mation on d5tal  
c>e furni%$ individuals 9 ! electronic  
m$ical records ( ! ,dep>tm5t ) respect  
to su* individuals4  7d7 ,effective date
 ,?is section %all take effect on ! date
 t is "o ye> aft] ! date ( ! enactm5t ( 
?is ,act4  #cee4 ,au?orization (        
appropriations ,!re is au?oriz$ to be   
appropriat$ = ! ,dep>tm5t ( ,vet]ans    
,affairs = fiscal ye> #bjae #cje1jjj1jjj
 to c>ry out ?is subtitle & ! am5dm5ts  
made by ?is subtitle4 ,! am\nt s        
au?oriz$ to be appropriat$ %all be      
available = obligation = ! five-ye>     
p]iod beg9n+ on ! date t is "o ye> aft] 
! date ( ! enactm5t ( ?is ,act4  ,f     
,heal? c>e relat$ to sexual trauma      
#cfa4 ,expansion ( eligibility = sexual 

trauma c\nsel+ & treatm5t to vet]ans on 
inactive duty tra9+ ,section            
#agbj;,d7a77#a7 is am5d$ by /rik+ or    
active duty = tra9+ & ins]t+ 1 active   
duty = tra9+1 or inactive duty tra9+4   
#cfb4 ,provision ( c\nsel+ & treatm5t = 
sexual trauma by ! ,dep>tm5t ( ,vet]ans 
,affairs to memb]s ( ! ,arm$ ,=ces  7a7 
,expansion ( cov]age to memb]s ( ! ,arm$
 ,=ces ,subsection 7a7 ( section        
#agbj;,d is am5d$-- 7#a7 by r$esignat+  
p>agraph 7#b7 z p>agraph 7#c72  7#b7 by 
ins]t+ aft] p>agraph 7#a7 ! foll[+ new  
p>agraph 7#b73  7#b7 7,a7 ,9 op]at+ !   
program requir$ by p>agraph 7#a71 !     
,secret>y may1 9 consultation ) !       
,secret>y ( ,def5se1 provide c\nsel+ &  
c>e & s]vices to memb]s ( ! ,arm$ ,=ces 
7includ+ memb]s ( ! ,national ,gu>d &   
,res]ves7 on active duty to ov]come     
psy*ological trauma describ$ 9 t        
p>agraph4  7,b7 ,a memb] describ$ 9     
subp>agraph 7,a7 %all n be requir$ to   
obta9 a ref]ral be=e receiv+ c\nsel+ &  
c>e & s]vices "u ?is p>agraph4  2 &     

7#c7 9 p>agraph 7#c71 z r$esignat$ by   
p>agraph 7#a7-- 7,a7 by /rik+ a vet]an &
 ins]t+ an individual2 &  7,b7 by /rik+ 
t vet]an ea* place x appe>s & ins]t+ t  
individual4  7b7 ,in=mation to memb]s on
 availability ( c\nsel+ & s]vices       
,subsection 7c7 ( su* section is am5d$--
 7#a7 by /rik+ to vet]ans ea* place x   
appe>s2 &  7#b7 9 p>agraph 7#c71 by     
ins]t+ memb]s ( ! ,arm$ ,=ces & be=e    
individuals4  7c7 ,inclusion ( memb]s 9 
reports on c\nsel+ & s]vices ,subsection
 7e7 ( su* section is am5d$-- 7#a7 9 !  
matt] prec$+ p>agraph 7#a71 by /rik+ to 
vet]ans2  7#b7 9 p>agraph 7#b7-- 7,a7 by
 /rik+ wom5 vet]ans & ins]t+            
individuals2 &  7,b7 by /rik+ tra9+ "u  
subsection 7d74 & ins]t+ 8tra9+ "u      
subsection 7d71 disaggregat$ by--  7,a7 
vet]ans2  7,b7 memb]s ( ! ,arm$ ,=ces   
7includ+ memb]s ( ! ,national ,gu>d &   
,res]ves7 on active duty2 &  7,c7 = ea* 
( subp>agraphs 7,a7 & 7,b7-- 7i7 m52 &  
7ii7 wom54  2  7#c7 9 p>agraph 7#d71 by 
/rik+ vet]ans & ins]t+ individuals2 &   

7#d7 9 p>agraph 7#e7-- 7,a7 by /rik+    
wom5 vet]ans & ins]t+ individuals 2 &   
7,b7 by ins]t+ 1 includ+ specific       
recomm5dations = individuals specifi$ 9 
subp>agraphs 7,a71 7,b71 & 7,c7 (       
p>agraph 7#b7 be=e ! p]iod at ! end4    
7d7 ,effective date ,! am5dm5ts made by 
?is section %all take effect on ! date t
 is "o ye> aft] ! date ( ! enactm5t (   
?is ,act4  #cfc4 ,dep>tm5t ( ,vet]ans   
,affairs scre5+ me*anism to detect      
incid5ts ( dome/ic abuse  7a7 ,9 g5]al  
,n lat] ?an two ye>s aft] ! date ( !    
enactm5t ( ?is ,act1 ! ,secret>y (      
,vet]ans ,affairs %all develop &        
implem5t a scre5+ me*anism to be us$ :5 
a vet]an seeks heal?c>e s]vices f !     
,dep>tm5t ( ,vet]ans ,affairs to detect 
if ! vet]an has be5 a victim ( dome/ic  
abuse = purposes ( improv+ ! treatm5t ( 
! vet]an & assess+ ! preval5ce ( dome/ic
 abuse 9 ! vet]an population4  7b7      
,readily available scre5+ tools ,9      
develop+ & implem5t+ a scre5+ me*anism  
"u subsection 7a71 ! ,secret>y may      

incorporate into ! scre5+ me*anism su*  
readily available scre5+ tools z !      
,secret>y consid]s appropriate = !      
scre5+ me*anism4  7c7 ,dome/ic abuse    
def9$ ,9 ?is section1 ! t]m dome/ic     
abuse means behavior ) respect to an    
individual t-- 7#a7 con/itutes-- 7,a7 a 
patt]n ( behavior result+ 9 physical or 
emotional abuse1 economic control1 or   
int]f]5ce ) ! p]sonal lib]ty ( t        
individual2  7,b7 a violation ( ,f$]al  
or ,/ate law involv+ ! use1 attempt$    
use1 or ?reat5$ use ( =ce or viol5ce    
aga9/ t individual2 or  7,c7 a violation
 ( a lawful ord] issu$ = ! protection ( 
t individual2 &  7#b7 is committ$ by a  
p]son :o-- 7,a7 is a curr5t or =m] sp\se
 or dome/ic p>tn] ( t individual2  7,b7 
%>es a *ild 9 common ) t individual2    
7,c7 is a curr5t or =m] intimate p>tn] (
 t individual t %>es or has %>$ a common
 domicile ) t individual2  7,d7 is a    
c>egiv] or family c>egiv] ( t individual
 7z su* t]ms are def9$ 9 section        
#agbj;,g7d7 ( title #ch1 ,unit$ ,/ates  

,code72 or  7,e7 is 9 any o!r type (    
relation%ip ) t individual t ! ,secret>y
 may specify = purposes ( ?is section4  
#cfd4 ,reports on milit>y sexual trauma 
& dome/ic abuse  7a7 ,report on s]vices 
available = milit>y sexual trauma 9 !   
,dep>tm5t ( ,vet]ans ,affairs ,n lat]   
?an #fcj days aft] ! date ( ! enactm5t (
 ?is ,act1 ! ,secret>y ( ,vet]ans       
,affairs %all submit to ! ,committee on 
,vet]ans' ,affairs ( ! ,s5ate & !       
,committee on ,vet]ans' ,affairs ( !    
,h\se ( ,repres5tatives a report on !   
treatm5t & s]vices available f !        
,dep>tm5t ( ,vet]ans ,affairs = male    
vet]ans :o exp]i5ce milit>y sexual      
trauma comp>$ to su* treatm5t & s]vices 
available to female vet]ans :o exp]i5ce 
milit>y sexual trauma4  7b7 ,report on  
dome/ic abuse among vet]ans ,n lat] ?an 
two ye>s aft] ! implem5tation ( ! scre5+
 me*anism requir$ by section #cfc7;a7 ( 
?is ,act1 ! ,secret>y ( ,vet]ans        
,affairs & ! ,secret>y ( ,heal? & ,human
 ,s]vices1 act+ ?r\gh ! ,director ( !   

,c5t]s = ,disease ,control & ,prev5tion1
 %all jo9tly submit to ! ,committee on  
,vet]ans' ,affairs ( ! ,s5ate & !       
,committee on ,vet]ans' ,affairs ( !    
,h\se ( ,repres5tatives a report on     
dome/ic abuse among vet]ans t includes !
 foll[+3 7#a7 ,a summ>y ( ! types1      
outcomes1 & circum/ances ( incid5ts (   
dome/ic abuse t h be5 report$ by vet]ans
 dur+ ! two-ye> p]iod prec$+ !          
submission ( ! report4  7#b7 ,a summ>y (
 ! treatm5ts available f ! ,dep>tm5t (  
,vet]ans ,affairs = vet]ans :o exp]i5ce 
dome/ic abuse & an assessm5t ( !        
effectiv5ess ( ^? treatm5ts4  7#c7 ,data
 & analysis on any correlation betwe5 an
 incid5t ( milit>y sexual trauma or     
sexual trauma exp]i5c$ aft] ! age ( #ah 
& dome/ic abuse4  7#d7 ,any o!r issues t
 ! ,secret>y ( ,vet]ans ,affairs or !   
,director ( ! ,c5t]s = ,disease ,control
 & ,prev5tion det]m9es appropriate4  7c7
 ,reports on transition ( milit>y sexual
 trauma & dome/ic abuse treatm5t f      
,dep>tm5t ( ,def5se to ,dep>tm5t (      

,vet]ans ,affairs ,n lat] ?an #fcj days 
aft] ! date ( ! enactm5t ( ?is ,act1 &  
annually !reaft] = five ye>s1 !         
,dep>tm5t ( ,vet]ans ,affairs-,dep>tm5t 
( ,def5se ,jo9t ,executive ,committee   
e/abli%$ by section #cbj7;a7 ( title    
#ch1 ,unit$ ,/ates ,code1 %all submit to
 ! appropriate committees ( ,congress a 
report on milit>y sexual trauma &       
dome/ic abuse t includes ! foll[+3 7#a7 
,! processes & proc$ures utiliz$ by !   
,dep>tm5t ( ,vet]ans ,affairs & !       
,dep>tm5t ( ,def5se to facilitate       
transition ( treatm5t ( individuals :o h
 exp]i5c$ milit>y sexual trauma or      
dome/ic abuse f treatm5t provid$ by !   
,dep>tm5t ( ,def5se to treatm5t provid$ 
by ! ,dep>tm5t ( ,vet]ans ,affairs4     
7#b7 ,a description & assessm5t ( !     
collaboration betwe5 ! ,dep>tm5t (      
,vet]ans ,affairs & ! ,dep>tm5t (       
,def5se 9 assi/+ vet]ans 9 fil+ claims =
 disabilities relat$ to milit>y sexual  
trauma or dome/ic abuse1 includ+ p]mitt+
 vet]ans access to in=mation & evid5ce  

necess>y to develop or support su*      
claims4  7d7 ,def9itions ,9 ?is section3
 7#a7 ,appropriate committees ( congress
 ,! t]m appropriate committees (        
,congress means-- 7,a7 ! ,committee on  
,vet]ans' ,affairs & ! ,committee on    
,arm$ ,s]vices ( ! ,s5ate2 &  7,b7 !    
,committee on ,vet]ans' ,affairs & !    
,committee on ,arm$ ,s]vices ( ! ,h\se (
 ,repres5tatives4  7#b7 ,dome/ic abuse  
,! t]m dome/ic abuse has ! mean+ giv5 t 
t]m 9 section #cfc7;c7 ( ?is ,act4  7#c7
 ,milit>y sexual trauma ,! t]m milit>y  
sexual trauma means psy*ological trauma1
 :i* 9 ! judgm5t ( a m5tal heal?        
pr(essional employ$ by ! ,dep>tm5t1     
result$ f a physical assault ( a sexual 
nature1 batt]y ( a sexual nature1 or    
sexual h>assm5t :i* occurr$ :ile !      
vet]an 0 s]v+ on active duty or active  
duty = tra9+4  7#d7 ,sexual h>assm5t ,! 
t]m sexual h>assm5t means repeat$1      
unsolicit$ v]bal or physical contact ( a
 sexual nature :i* is ?reat5+ 9 "*4     
7#e7 ,sexual trauma ,! t]m sexual trauma

 %all h ! mean+ giv5 t t]m by !         
,secret>y ( ,vet]ans ,affairs = purposes
 ( ?is section4  7e7 ,effective date    
,?is section %all take effect on ! date 
t is #bgj days aft] ! date ( ! enactm5t 
( ?is ,act4  ,g ,reproductive treatm5t &
 s]vices  #cga4 ,cl>ification t f]tility
 c\nsel+ & treatm5t are m$ical s]vices  
:i* ! ,secret>y may furni% to vet]ans l 
o!r m$ical s]vices ,section #agja7f71 z 
am5d$ by section #cje7;b77#a7 ( ?is     
,act1 is fur!r am5d$ by add+ at ! end ! 
foll[+ new subp>agraph3  7,i7 ,f]tility 
c\nsel+ & treatm5t1 includ+ treatm5t us+
 assi/$ reproductive te*nology4  4      
#cgb4 ,reproductive treatm5t & c>e =    
sp\ses & surrogates ( vet]ans  7a7 ,9   
g5]al ,sub*apt] ,,viii ( *apt] #ag is   
am5d$ by add+ at ! end ! foll[+ new     
section3  #aghh4 ,reproductive treatm5t 
& c>e = sp\ses & surrogates ( vet]ans   
7a7 ,9 g5]al ,! ,secret>y %all furni%   
f]tility c\nsel+ & treatm5t1 includ+    
?r\gh ! use ( assi/$ reproductive       
te*nology1 to a sp\se or surrogate ( a  

sev]ely w\nd$1 ill1 or injur$ vet]an :o 
has an inf]tility condition incurr$ or  
aggravat$ 9 l9e ( duty 9 ! active       
milit>y1 naval1 or air s]vice & :o is   
enroll$ 9 ! sy/em ( annual pati5t       
enrollm5t e/abli%$ "u section #agje7;a7 
( ?is title if ! sp\se or surrogate & ! 
vet]an apply jo9tly = su* c\nsel+ &     
treatm5t ?r\gh a process prescrib$ by ! 
,secret>y4  7b7 ,coord9ation ( c>e = o!r
 sp\ses & surrogates ,9 ! case ( a sp\se
 or surrogate ( a vet]an n describ$ 9   
subsection 7a7 :o is seek+ f]tility     
c\nsel+ & treatm5t1 ! ,secret>y may     
coord9ate f]tility c\nsel+ & treatm5t = 
su* sp\se or surrogate4  7c7            
,con/ruction ,no?+ 9 ?is section %all be
 con/ru$ to require ! ,secret>y-- 7#a7  
to f9d or c]tify a surrogate = a vet]an 
or to connect a surrogate ) a vet]an2 or
  7#b7 to furni% mat]nity c>e to a sp\se
 or surrogate ( a vet]an4  7d7 ,assi/$  
reproductive te*nology def9$ ,9 ?is     
section1 ! t]m assi/$ reproductive      
te*nology includes 9 vitro f]tilization 

& o!r f]tility treatm5ts 9 :i* bo? eggs 
& sp]m are h&l$ :5 cl9ically            
appropriate4  4  7b7 ,cl]ical am5dm5t ,!
 table ( sections at ! beg9n+ ( *apt]   
#ag is am5d$ by ins]t+ aft] ! item      
relat+ to section #aghg ! foll[+ new    
item3  #aghh4 ,reproductive treatm5t &  
c>e = sp\ses & surrogates ( vet]ans4  4 
#cgc4 ,adoption assi/ance = sev]ely     
w\nd$ vet]ans  7a7 ,9 g5]al ,sub*apt]   
,,viii ( *apt] #ag1 z am5d$ by section  
#cgb7;a7 ( ?is ,act1 is fur!r am5d$ by  
add+ at ! end ! foll[+ new section3     
#aghi4 ,adoption assi/ance  7a7 ,9 g5]al
 ,! ,secret>y may pay an am\nt1 n to    
exce$ ! limitation am\nt1 to assi/ a    
cov]$ vet]an 9 ! adoption ( "o or m     
*ildr54  7b7 ,cov]$ vet]an ,= purposes (
 ?is section1 a cov]$ vet]an is any     
sev]ely w\nd$1 ill1 or injur$ vet]an    
:o-- 7#a7 has an inf]tility condition   
incurr$ or aggravat$ 9 l9e ( duty 9 !   
active milit>y1 naval1 or air s]vice2 & 
7#b7 is enroll$ 9 ! sy/em ( annual      
pati5t enrollm5t e/abli%$ "u section    

#agje7;a7 ( ?is title4  7c7 ,limitation 
am\nt ,= purposes ( ?is section1 !      
limitation am\nt is ! am\nt equal to !  
less] (-- 7#a7 ! co/ ! ,dep>tm5t w\ld   
incur if ! ,secret>y 7 to provide a     
cov]$ vet]an ) "o cycle ( f]tility      
treatm5t ?r\gh ! use ( assi/$           
reproductive te*nology "u section #aghh 
( ?is title1 z det]m9$ by ! ,secret>y2  
or  7#b7 ! co/ ! ,dep>tm5t w\ld incur by
 pay+ ! exp5ses ( ?ree adoptions by     
cov]$ vet]ans1 z det]m9$ by ! ,secret>y4
  7d7 ,assi/$ reproductive te*nology    
def9$ ,9 ?is section1 ! t]m assi/$      
reproductive te*nology has ! mean+ giv5 
t t]m 9 section #aghh ( ?is title4  4   
7b7 ,cl]ical am5dm5t ,! table ( sections
 at ! beg9n+ ( *apt] #ag1 z am5d$ by    
section #cgb7;b7 ( ?is ,act1 is fur!r   
am5d$ by ins]t+ aft] ! item relat+ to   
section #aghh ! foll[+ new item3  #aghi4
 ,adoption assi/ance4  4  #cgd4         
,regulations on furni%+ ( f]tility      
c\nsel+ & treatm5t & adoption assi/ance 
by ,dep>tm5t ( ,vet]ans ,affairs  7a7 ,9

 g5]al ,n lat] ?an #edj days aft] ! date
 ( ! enactm5t ( ?is ,act1 ! ,secret>y ( 
,vet]ans ,affairs %all prescribe        
regulations-- 7#a7 on ! furni%+ (       
f]tility treatm5t to vet]ans us+ assi/$ 
reproductive te*nology2  7#b7 to c>ry   
out section #aghh ( title #ch1 ,unit$   
,/ates ,code1 z add$ by section #cgb (  
?is ,act2 &  7#c7 to c>ry out section   
#aghi ( su* title1 z add$ by section    
#cgc ( ?is ,act4  7b7 ,limitation       
,not)/&+ any o!r provision ( law1 dur+ !
 p]iod beg9n+ on ! date ( ! enactm5t (  
?is ,act & end+ on ! date on :i* !      
,secret>y prescribes regulations "u     
subsection 7a71 ! ,secret>y may n       
furni%-- 7#a7 to a vet]an any f]tility  
treatm5t t uses an assi/$ reproductive  
te*nology t ! ,secret>y has n us$ 9 !   
provision ( a f]tility treatm5t to a    
vet]an be=e ! date ( ! enactm5t ( ?is   
,act2  7#b7 any f]tility c\nsel+ or     
treatm5t "u section #aghh ( su* title1 z
 add$ by section #cgb ( ?is ,act2 or    
7#c7 any assi/ance "u section #aghi (   

su* title1 z add$ by section #cgc ( ?is 
,act4  7c7 ,assi/$ reproductive         
te*nology def9$ ,9 ?is section1 ! t]m   
assi/$ reproductive te*nology has !     
mean+ giv5 ! t]m 9 section #aghh ( su*  
title1 z add$ by section #cgb ( ?is     
,act4  #cge4 ,coord9ation betwe5        
,dep>tm5t ( ,vet]ans ,affairs &         
,dep>tm5t ( ,def5se on furni%+ (        
f]tility c\nsel+ & treatm5t ,! ,secret>y
 ( ,vet]ans ,affairs & ! ,secret>y (    
,def5se %all %>e be/ practices &        
facilitate ref]rals1 z !y consid]       
appropriate1 on ! furni%+ ( f]tility    
c\nsel+ & treatm5t4  #cgf4 ,facilitation
 ( reproduction & inf]tility rese>*  7a7
 ,9 g5]al ,sub*apt] ,,ii ( *apt] #gc1 z 
am5d$ by section #cbe7;a7 ( ?is ,act1 is
 fur!r am5d$ by add+ at ! end ! foll[+  
new section3  #gccj;,c4 ,facilitation ( 
reproduction & inf]tility rese>*  7a7   
,facilitation ( rese>* requir$ ,!       
,secret>y %all facilitate rese>*        
conduct$ collaboratively by ! ,secret>y 
( ,def5se & ! ,secret>y ( ,heal? &      

,human ,s]vices to improve ! ability ( !
 ,dep>tm5t ( ,vet]ans ,affairs to meet !
 long-t]m reproductive heal? c>e ne$s ( 
vet]ans :o h a g5it\r9>y s]vice-connect$
 disability or a condition t 0 incurr$  
or aggravat$ 9 l9e ( duty 9 ! active    
milit>y1 naval1 or air s]vice1 su* z a  
sp9al cord injury1 t affects ! vet]ans' 
ability to reproduce4  7b7 ,dissem9ation
 ( in=mation ,! ,secret>y %all ensure t 
in=mation produc$ by ! rese>* facilitat$
 "u ?is section t may be useful = o!r   
activities ( ! ,vet]ans ,heal?          
,adm9i/ration is dissem9at$ ?r\gh\t !   
,vet]ans ,heal? ,adm9i/ration4  4  7b7  
,cl]ical am5dm5t ,! table ( sections at 
! beg9n+ ( *apt] #gc1 z am5d$ by section
 #cbe7;b7 ( ?is ,act1 is fur!r am5d$ by 
ins]t+ aft] ! item relat+ to section    
#gccj;,b ! foll[+ new item3  #gccj;,c4  
,facilitation ( reproduction &          
inf]tility rese>*4  4  7c7 ,report ,n   
lat] ?an ?ree ye>s aft] ! date ( !      
enactm5t ( ?is ,act1 ! ,secret>y (      
,vet]ans ,affairs %all submit to        

,congress a report on ! rese>*          
activities conduct$ by ! ,secret>y "u   
section #gccj;,c ( title #ch1 ,unit$    
,/ates ,code1 z add$ by subsection 7a74 
#cgg4 ,annual report on provision (     
f]tility c\nsel+ & treatm5t furni%$ by  
,dep>tm5t ( ,vet]ans ,affairs  7a7 ,9   
g5]al ,n lat] ?an "o ye> aft] ! date ( !
 enactm5t ( ?is ,act & n less frequ5tly 
?an annually !reaft]1 ! ,secret>y (     
,vet]ans ,affairs %all submit to !      
,committee on ,vet]ans' ,affairs ( !    
,s5ate & ! ,committee on ,vet]ans'      
,affairs ( ! ,h\se ( ,repres5tatives a  
report on ! f]tility c\nsel+ & treatm5t 
furni%$ by ! ,dep>tm5t ( ,vet]ans       
,affairs dur+ ! ye> prec$+ ! submittal (
 ! report4  7b7 ,elem5ts ,ea* report    
submitt$ "u subsection 7a7 %all include1
 = ! p]iod cov]$ by ! report1 ! foll[+3 
7#a7 ,! numb] ( vet]ans :o receiv$      
f]tility c\nsel+ or treatm5t furni%$ by 
! ,dep>tm5t ( ,vet]ans ,affairs1        
disaggregat$ by era ( milit>y s]vice (  
su* vet]ans4  7#b7 ,! numb] ( sp\ses &  

surrogates ( vet]ans :o receiv$ f]tility
 c\nsel+ or treatm5t furni%$ by !       
,dep>tm5t4  7#c7 ,! co/ to ! ,dep>tm5t (
 furni%+ f]tility c\nsel+ & treatm5t1   
disaggregat$ by co/ ( s]vices &         
adm9i/ration4  7#d7 ,! av]age co/ to !  
,dep>tm5t p] recipi5t ( su* c\nsel+ &   
treatm5t4  7#e7 ,9 cases 9 :i* !        
,dep>tm5t furni%$ f]tility treatm5t     
?r\gh ! use ( assi/$ reproductive       
te*nology1 ! av]age numb] ( cycles p]   
p]son furni%$4  7#f7 ,a description ( h[
 f]tility c\nsel+ & treatm5t s]vices ( !
 ,dep>tm5t are coord9at$ ) simil>       
s]vices ( ! ,dep>tm5t ( ,def5se4  #cgh4 
,program on assi/ance = *ild c>e = c]ta9
 vet]ans  7a7 ,assi/ance = *ild c>e =   
c]ta9 vet]ans receiv+ heal? c>e  7#a7 ,9
 g5]al ,sub*apt] ,i ( *apt] #ag is am5d$
 by add+ at ! end ! foll[+ new section3 
#agji;,b4 ,assi/ance = *ild c>e = c]ta9 
vet]ans receiv+ heal? c>e  7a7 ,program 
requir$ ,! ,secret>y %all c>ry out a    
program to provide1 subject to          
subsection 7b71 assi/ance to qualifi$   

vet]ans describ$ 9 subsection 7c7 to    
obta9 *ild c>e s t su* vet]ans c receive
 heal? c>e s]vices describ$ 9 subsection
 7c74  7b7 ,limitation on p]iod (       
paym5ts ,assi/ance may only be provid$  
to a qualifi$ vet]an "u ?is section =   
receipt ( *ild c>e dur+ ! p]iod t !     
qualifi$ vet]an-- 7#a7 receives heal?   
c>e s]vices describ$ 9 subsection 7c7 at
 a facility ( ! ,dep>tm5t2 &  7#b7      
requires travel to & f su* facility = ! 
receipt ( su* heal? c>e s]vices4  7c7   
,qualifi$ vet]ans ,= purposes ( ?is     
section1 a qualifi$ vet]an is a vet]an  
:o is-- 7#a7 ! prim>y c>etak] ( a *ild  
or *ildr52 &  7#b7 7,a7 receiv+ f !     
,dep>tm5t-- 7i7 regul> m5tal heal? c>e  
s]vices2  7ii7 int5sive m5tal heal? c>e 
s]vices2 or  7iii7 su* o!r int5sive     
heal? c>e s]vices t ! ,secret>y det]m9es
 t provision ( assi/ance to ! vet]an to 
obta9 *ild c>e w\ld improve access to   
su* heal? c>e s]vices by ! vet]an2 or   
7,b7 9 ne$ ( regul> or int5sive m5tal   
heal? c>e s]vices f ! ,dep>tm5t1 & b =  

lack ( *ild c>e s]vices1 w\ld receive   
su* heal? c>e s]vices f ! ,dep>tm5t4    
7d7 ,locations ,! ,secret>y %all c>ry   
out ! program 9 no few] ?an ?ree        
,vet]ans ,integrat$ ,s]vice ,networks   
select$ by ! ,secret>y = purposes ( !   
program4  7e7 ,=ms ( *ild c>e assi/ance 
7#a7 ,*ild c>e assi/ance "u ?is section 
may include ! foll[+3 7,a7 ,/ip5ds = !  
paym5t ( *ild c>e (f]$ by lic5s$ *ild   
c>e c5t]s 7ei!r directly or ?r\gh a v\*]
 program7 :i* %all be1 to ! ext5t       
practicable1 model$ aft] ! ,dep>tm5t (  
,vet]ans ,affairs ,*ild ,c>e ,subsidy   
,program e/abli%$ pursuant to section   
#fcj ( ! ,treasury & ,g5]al ,gov]nm5t   
,appropriations ,act1 #bjjb 7,public    
,law #ajg-fg2 #aae ,/at4 #eeb74  7,b7   
,direct provision ( *ild c>e at an      
on-site facility ( ! ,dep>tm5t4  7,c7   
,paym5ts to private *ild c>e ag5cies4   
7,d7 ,collaboration ) facilities or     
programs ( o!r ,f$]al dep>tm5ts or      
ag5cies4  7,e7 ,su* o!r =ms ( assi/ance 
z ! ,secret>y consid]s appropriate4     

7#b7 ,9 ! case t *ild c>e assi/ance "u  
?is section is provid$ z a /ip5d "u     
p>agraph 7#a77;,a71 su* /ip5d %all cov] 
! full co/ ( su* *ild c>e4  4  7#b7     
,cl]ical am5dm5t ,! table ( sections at 
! beg9n+ ( *apt] #ag is am5d$ by ins]t+ 
aft] ! item relat+ to section #agji;,a !
 foll[+ new item3  #agji;,b4 ,assi/ance 
= *ild c>e = c]ta9 vet]ans receiv+ heal?
 c>e4  4  7#c7 ,con=m+ am5dm5t ,section 
#bje7;e7 ( ! ,c>egiv]s & ,vet]ans       
,omnibus ,heal? ,s]vices ,act ( #bjaj   
7,public ,law #aaa-afc2 #ch ,u4,s4,c4   
#agaj note7 is am5d$ by ins]t+ b n aft] 
! date ( ! enactm5t ( ! ,compreh5sive   
,vet]ans ,heal? & ,b5efits & ,milit>y   
,retirem5t ,pay ,re/oration ,act ( #bjad
 be=e ! p]iod at ! end4  7b7 ,assi/ance 
= *ild c>e = individuals receiv+        
readju/m5t c\nsel+ & relat$ m5tal heal? 
s]vices  7#a7 ,9 g5]al ,sub*apt] ,i (   
*apt] #ag1 z am5d$ by subsection 7a77#a7
 ( ?is section1 is fur!r am5d$ by add+  
at ! end ! foll[+ new section3          
#agji;,c4 ,assi/ance = *ild c>e =       

individuals receiv+ readju/m5t c\nsel+ &
 relat$ m5tal heal? s]vices  7a7        
,program requir$ ,! ,secret>y %all c>ry 
out a program to provide1 subject to    
subsection 7b71 assi/ance to qualifi$   
individuals describ$ 9 subsection 7c7 to
 obta9 *ild c>e s t su* individuals c   
receive readju/m5t c\nsel+ & relat$     
m5tal heal? s]vices4  7b7 ,limitation on
 p]iod ( paym5ts ,assi/ance may only be 
provid$ to a qualifi$ individual "u ?is 
section = receipt ( *ild c>e dur+ !     
p]iod t ! qualifi$ individual receives  
readju/m5t c\nsel+ & relat$ heal? c>e   
s]vices at a ,vet ,c5t]4  7c7 ,qualifi$ 
individuals ,= purposes ( ?is section1 a
 qualifi$ individual is an individual :o
 is-- 7#a7 ! prim>y c>etak] ( a *ild or 
*ildr52 &  7#b7 7,a7 receiv+ f !        
,dep>tm5t regul> readju/m5t c\nsel+ &   
relat$ m5tal heal? s]vices2 or  7,b7 9  
ne$ ( readju/m5t c\nsel+ & relat$ m5tal 
heal? s]vices f ! ,dep>tm5t1 & b = lack 
( *ild c>e s]vices1 w\ld receive su*    
c\nsel+ & s]vices f ! ,dep>tm5t4  7d7   

,locations ,! ,secret>y %all c>ry out ! 
program "u ?is section 9 no few] ?an    
?ree ,readju/m5t ,c\nsel+ ,s]vice       
,regions select$ by ! ,secret>y =       
purposes ( ! program4  7e7 ,=ms ( *ild  
c>e assi/ance  7#a7 ,*ild c>e assi/ance 
"u ?is section may include ! foll[+3    
7,a7 ,/ip5ds = ! paym5t ( *ild c>e (f]$ 
by lic5s$ *ild c>e c5t]s 7ei!r directly 
or ?r\gh a v\*] program7 :i* %all be1 to
 ! ext5t practicable1 model$ aft] !     
,dep>tm5t ( ,vet]ans ,affairs ,*ild ,c>e
 ,subsidy ,program e/abli%$ pursuant to 
section #fcj ( ! ,treasury & ,g5]al     
,gov]nm5t ,appropriations ,act1 #bjjb   
7,public ,law #ajg-fg2 #aae ,/at4 #eeb74
  7,b7 ,paym5ts to private *ild c>e     
ag5cies4  7,c7 ,collaboration )         
facilities or programs ( o!r ,f$]al     
dep>tm5ts or ag5cies4  7,d7 ,su* o!r =ms
 ( assi/ance z ! ,secret>y consid]s     
appropriate4  7#b7 ,9 ! case t *ild c>e 
assi/ance "u ?is subsection is provid$ z
 a /ip5d "u p>agraph 7#a77;,a71 su*     
/ip5d %all cov] ! full co/ ( su* *ild   

c>e4  7f7 ,vet ,c5t] def9$ ,9 ?is       
section1 ! t]m ,vet ,c5t] means a c5t] =
 readju/m5t c\nsel+ & relat$ m5tal heal?
 s]vices = individuals "u section       
#agab;,a ( ?is title4  4  7#b7 ,cl]ical 
am5dm5t ,! table ( sections at ! beg9n+ 
( *apt] #ag1 z am5d$ by subsection      
7a77#b7 ( ?is section1 is fur!r am5d$ by
 ins]t+ aft] ! item relat+ to section   
#agji;,b ! foll[+ new item3  #agji;,c4  
,assi/ance = *ild c>e = individuals     
receiv+ readju/m5t c\nsel+ & relat$     
m5tal heal? s]vices4  4  #cgi4 ,c\nsel+ 
9 retreat sett+s = wom5 vet]ans newly   
sep>at$ f s]vice 9 ! ,arm$ ,=ces  7a7   
,c\nsel+ 9 retreat sett+s  7#a7 ,9 g5]al
 ,sub*apt] ,,ii ( *apt] #ag is am5d$ by 
add+ at ! end ! foll[+ new section3     
#agbj;,h4 ,c\nsel+ 9 retreat sett+s =   
wom5 vet]ans newly sep>at$ f s]vice 9 ! 
,arm$ ,=ces  7a7 ,9 g5]al ,! ,secret>y  
%all provide1 ?r\gh ! ,readju/m5t       
,c\nsel+ ,s]vice ( ! ,vet]ans ,heal?    
,adm9i/ration1 re9tegration & readju/m5t
 s]vices describ$ 9 subsection 7c7 9    

gr\p retreat sett+s to wom5 vet]ans :o  
are rec5tly sep>at$ f s]vice 9 ! ,arm$  
,=ces aft] a prolong$ deploym5t4  7b7   
,election ( vet]an ,! receipt ( s]vices 
"u ?is section by a woman vet]an %all be
 at ! election ( ! vet]an4  7c7 ,cov]$  
s]vices ,! s]vices provid$ to a woman   
vet]an "u ?is section %all include !    
foll[+3 7#a7 ,in=mation on re9tegration 
into ! vet]an's family1 employm5t1 &    
community4  7#b7 ,f9ancial c\nsel+4     
7#c7 ,occupational c\nsel+4  7#d7       
,in=mation & c\nsel+ on /ress r$uction4 
7#e7 ,in=mation & c\nsel+ on conflict   
resolution4  7#f7 ,su* o!r in=mation &  
c\nsel+ z ! ,secret>y consid]s          
appropriate to assi/ ! vet]an 9         
re9tegration into ! vet]an's family1    
employm5t1 & community4  4  7#b7        
,cl]ical am5dm5t ,! table ( sections at 
! beg9n+ ( *apt] #ag is am5d$ by ins]t+ 
aft] ! item relat+ to section #agbj;,g !
 foll[+ new item3  #agbj;,h4 ,c\nsel+ 9 
retreat sett+s = wom5 vet]ans newly     
sep>at$ f s]vice 9 ! ,arm$ ,=ces4  4    

7b7 ,repeal ( sup]s$$ pilot program     
au?ority ,section #bjc ( ! ,c>egiv]s &  
,vet]ans ,omnibus ,heal? ,s]vices ,act (
 #bjaj 7,public ,law #aaa-afc2 #ch      
,u4,s4,c4 #agab;,a note7 is h]eby       
repeal$4  ,h ,major m$ical facility     
leases  #cha4 ,au?orization ( major     
m$ical facility leases ,! ,secret>y (   
,vet]ans ,affairs may c>ry out ! foll[+ 
major m$ical facility leases at !       
locations specifi$1 & 9 an am\nt = ea*  
lease n to exce$ ! am\nt %[n = su*      
location 7n includ+ any e/imat$         
cancellation co/s73 7#a7 ,= a cl9ical   
rese>* & ph>macy coord9at+ c5t]1        
,albuqu]que1 ,new ,mexico1 an am\nt n to
 exce$ #i1efj1jjj4  7#b7 ,= a           
community-bas$ outpati5t cl9ic1 ,brick1 
,new ,j]sey1 an am\nt n to exce$        
#g1bhj1jjj4  7#c7 ,= a new prim>y c>e & 
d5tal cl9ic annex1 ,*>le/on1 ,s\?       
,c>ol9a1 an am\nt n to exce$ #g1jgj1bej4
  7#d7 ,= ! ,cobb ,c\nty community-bas$ 
,outpati5t ,cl9ic1 ,cobb ,c\nty1        
,georgia1 an am\nt n to exce$           

#f1dji1jjj4  7#e7 ,= ! ,leew>d          
,outpati5t ,heal?c>e ,access ,c5t]1     
,honolulu1 ,hawaii1 includ+ a co-locat$ 
cl9ic ) ! ,dep>tm5t ( ,def5se & !       
co-location ( ! ,honolulu ,regional     
,(fice ( ! ,vet]ans ,b5efits            
,adm9i/ration & ! ,kapolei ,vet ,c5t] ( 
! ,dep>tm5t ( ,vet]ans ,affairs1 an     
am\nt n to exce$ #ae1hhg1cgj4  7#f7 ,= a
 community-bas$ outpati5t cl9ic1        
,johnson ,c\nty1 ,kansas1 an am\nt n to 
exce$ #b1bfc1jjj4  7#g7 ,= a replacem5t 
community-bas$ outpati5t cl9ic1         
,lafayette1 ,l\isiana1 an am\nt n to    
exce$ #b1iif1jjj4  7#h7 ,= a            
community-bas$ outpati5t cl9ic1 ,lake   
,*>les1 ,l\isiana1 an am\nt n to exce$  
#b1fbf1jjj4  7#i7 ,= outpati5t cl9ic    
consolidation1 ,new ,port ,ri*ey1       
,florida1 an am\nt n to exce$           
#aa1ibg1jjj4  7#aj7 ,= an outpati5t     
cl9ic1 ,ponce1 ,pu]to ,rico1 an am\nt n 
to exce$ #aa1ece1jjj4  7#aa7 ,= lease   
consolidation1 ,san ,antonio1 ,texas1 an
 am\nt n to exce$ #ai1dbf1jjj4  7#ab7 ,=

 a community-bas$ outpati5t cl9ic1 ,san 
,diego1 ,cali=nia1 an am\nt n to exce$  
#aa1idf1ajj4  7#ac7 ,= an outpati5t     
cl9ic1 ,tyl]1 ,texas1 an am\nt n to     
exce$ #d1cbg1jjj4  7#ad7 ,= ! ,err]a    
,community ,c>e ,c5t]1 ,we/ ,hav51      
,connecticut1 an am\nt n to exce$       
#d1hhc1jjj4  7#ae7 ,= ! ,worce/]        
community-bas$ ,outpati5t ,cl9ic1       
,worce/]1 ,massa*usetts1 an am\nt n to  
exce$ #d1hee1jjj4  7#af7 ,= ! expansion 
( a community-bas$ outpati5t cl9ic1     
,cape ,gir>deau1 ,miss\ri1 an am\nt n to
 exce$ #d1bcb1jfj4  7#ag7 ,= a          
multispecialty cl9ic1 ,*attanooga1      
,t5nessee1 an am\nt n to exce$          
#g1jfi1jjj4  7#ah7 ,= ! expansion ( a   
community-bas$ outpati5t cl9ic1 ,*ico1  
,cali=nia1 an am\nt n to exce$          
#d1ecd1jjj4  7#ai7 ,= a community-bas$  
outpati5t cl9ic1 ,*ula ,vi/a1 ,cali=nia1
 an am\nt n to exce$ #c1gad1jjj4  7#bj7 
,= a new rese>* lease1 ,h9es1 ,ill9ois1 
an am\nt n to exce$ #bb1jcb1jjj4  7#ba7 
,= a replacem5t rese>* lease1 ,h\/on1   

,texas1 an am\nt n to exce$ #f1adb1jjj4 
7#bb7 ,= a community-bas$ outpati5t     
cl9ic1 ,l9coln1 ,nebraska1 an am\nt n to
 exce$ #g1agh1djj4  7#bc7 ,= a          
community-bas$ outpati5t cl9ic1         
,lubbock1 ,texas1 an am\nt n to exce$   
#h1eed1jjj4  7#bd7 ,= a community-bas$  
outpati5t cl9ic consolidation1 ,myrtle  
,bea*1 ,s\? ,c>ol9a1 an am\nt n to exce$
 #h1jbb1jjj4  7#be7 ,= a community-bas$ 
outpati5t cl9ic1 ,pho5ix1 ,arizona1 an  
am\nt n to exce$ #bj1geg1jjj4  7#bf7 ,= 
! expansion ( a community-bas$ outpati5t
 cl9ic1 ,r$d+1 ,cali=nia1 an am\nt n to 
exce$ #h1aed1jjj4  7#bg7 ,= ! expansion 
( a community-bas$ outpati5t cl9ic1     
,tulsa1 ,oklahoma1 an am\nt n to exce$  
#ac1bfi1bjj4  #chb4 ,budget>y treatm5t (
 ,dep>tm5t ( ,vet]ans ,affairs major    
m$ical facilities leases  7a7 ,f9d+s    
,congress f9ds ! foll[+3 7#a7 ,title    
#ca1 ,unit$ ,/ates ,code1 requires !    
,dep>tm5t ( ,vet]ans ,affairs to record 
! full co/ ( its contractual obligation 
aga9/ funds available at ! "t a contract

 is execut$4  7#b7 ,(fice ( ,managem5t &
 ,budget ,circul> ,a-#aa provides       
guidance to ag5cies 9 meet+ ! /atutory  
requirem5ts "u title #ca1 ,unit$ ,/ates 
,code1 ) respect to leases4  7#c7 ,=    
op]at+ leases1 ,(fice ( ,managem5t &    
,budget ,circul> ,a-#aa requires !      
,dep>tm5t ( ,vet]ans ,affairs to record 
up-front budget au?ority 9 an am\nt     
equal to total paym5ts "u ! full t]m ( !
 lease or an am\nt suffici5t to cov]    
fir/ ye> lease paym5ts plus cancellation
 co/s4  7b7 ,requirem5t = obligation (  
full co/ ,subject to ! availability (   
appropriations provid$ 9 advance1 9     
ex]cis+ ! au?ority ( ! ,secret>y (      
,vet]ans ,affairs to ent] into leases   
provid$ 9 ?is ,act1 ! ,secret>y %all    
record1 pursuant to section #aeja (     
title #ca1 ,unit$ ,/ates ,code1 z ! full
 co/ ( ! contractual obligation at ! "t 
a contract is execut$ ei!r-- 7#a7 an    
am\nt equal to total paym5ts "u ! full  
t]m ( ! lease2 or  7#b7 if ! lease      
specifies paym5ts to be made 9 ! ev5t ! 

lease is t]m9at$ be=e its full t]m1 an  
am\nt suffici5t to cov] ! fir/ ye> lease
 paym5ts plus ! specifi$ cancellation   
co/s4  7c7 ,transp>5cy  7#a7 ,compliance
 ,subsection 7b7 ( section #hajd is     
am5d$ by add+ at ! end ! foll[+ new     
p>agraph3  7#g7 ,9 ! case ( a prospectus
 propos+ fund+ = a major m$ical facility
 lease1 a detail$ analysis ( h[ ! lease 
is expect$ to comply ) ,(fice (         
,managem5t & ,budget ,circul> ,a-#aa &  
section #acda ( title #ca 7commonly     
ref]r$ to z ! ,anti-,defici5cy ,act74   
,any su* analysis %all include-- 7,a7 an
 analysis ( ! classification ( ! lease z
 a lease-pur*ase1 capital lease1 or     
op]at+ lease z ^? t]ms are def9$ 9      
,(fice ( ,managem5t & ,budget ,circul>  
,a-#aa2  7,b7 an analysis ( ! obligation
 ( budget>y res\rces associat$ ) !      
lease2 &  7,c7 an analysis ( !          
me?odology us$ 9 det]m9+ ! asset co/1   
fair m>ket value1 & cancellation co/s ( 
! lease4  4  7#b7 ,submittal to         
,congress ,su* section #hajd is fur!r   

am5d$ by add+ at ! end ! foll[+ new     
subsection3  7h7 7#a7 ,n less ?an #cj   
days be=e ent]+ into a major m$ical     
facility lease1 ! ,secret>y %all submit 
to ! ,committees on ,vet]ans' ,affairs (
 ! ,s5ate & ! ,h\se ( ,repres5tatives-- 
7,a7 notice ( ! ,secret>y's int5tion to 
ent] into ! lease2  7,b7 a copy ( !     
propos$ lease2  7,c7 a description &    
analysis ( any diff]5ces betwe5 !       
prospectus submitt$ pursuant to         
subsection 7b7 & ! propos$ lease2 &     
7,d7 a scor+ analysis demon/rat+ t !    
propos$ lease fully complies ) ,(fice ( 
,managem5t & ,budget ,circul> ,a-#aa4   
7#b7 ,ea* committee describ$ 9 p>agraph 
7#a7 %all ensure t any in=mation        
submitt$ to ! committee "u su* p>agraph 
is treat$ by ! committee ) ! same level 
( confid5tiality z is requir$ by law ( !
 ,secret>y & subject to ! same /atutory 
p5alties = unau?oriz$ disclosure or use 
z ! ,secret>y4  7#c7 ,n m ?an #cj days  
aft] ent]+ into a major m$ical facility 
lease1 ! ,secret>y %all submit to ea*   

committee describ$ 9 p>agraph 7#a7 a    
report on any mat]ial diff]5ces betwe5 !
 lease t 0 ent]$ into & ! propos$ lease 
describ$ "u su* p>agraph1 includ+ h[ !  
lease t 0 ent]$ into *anges ! previ\sly 
submitt$ scor+ analysis describ$ 9      
subp>agraph 7,d7 ( su* p>agraph4  4  7d7
 ,rule ( con/ruction ,no?+ 9 ?is        
section1 or ! am5dm5ts made by ?is      
section1 %all be con/ru$ to 9 any way   
relieve ! ,dep>tm5t ( ,vet]ans ,affairs 
f any /atutory or regulatory obligations
 or requirem5ts exi/+ prior to !        
enactm5t ( ?is section & su* am5dm5ts4  
,,iv ,employm5t & ,relat$ ,matt]s  ,a   
,tra9+ & o!r s]vices = vet]ans seek+    
employm5t  #dja4 ,reau?orization (      
vet]ans retra9+ assi/ance program  7a7  
,ext5sion ,subsection 7k7 ( section #baa
 ( ! ,,v[ to ,hire ,h]oes ,act ( #bjaa  
7,public ,law #aab-ef2 #ch ,u4,s4,c4    
#dajj note7 is am5d$ by /rik+ ,m>* #ca1 
#bjad & ins]t+ ,june #cj1 #bjaf4  7b7   
,numb] ( eligible vet]ans ,subsection   
7a77#b7 ( su* section is am5d$-- 7#a7 9 

subp>agraph 7,a71 by /rik+ & at ! end2  
7#b7 9 subp>agraph 7,b71 by /rik+ !     
p]iod at ! end & ins]t+ a semicolon2 &  
7#c7 by add+ at ! end ! foll[+ new      
subp>agraphs3  7,c7 #ej1jjj dur+ ! p]iod
 beg9n+ ,april #a1 #bjad1 & end+ ,june  
#cj1 #bjae2 &  7,d7 #ej1jjj dur+ ! p]iod
 beg9n+ ,july #a1 #bjae1 & end+ ,june   
#cj1 #bjaf4  4  7c7 ,cl>ification (     
limitation on aggregate am\nt (         
assi/ance ,subsection 7b7 ( su* section 
is am5d$ by /rik+ up to #ab mon?s (     
retra9+ assi/ance provid$ by ! ,secret>y
 ( ,vet]ans ,affairs & ins]t+ an        
aggregate ( n m ?an #ab mon?s ( retra9+ 
assi/ance provid$ by ! ,secret>y (      
,vet]ans ,affairs "u ?is section4  7d7  
,provid]s ( retra9+ assi/ance           
,subsection 7b7 ( su* section is fur!r  
am5d$-- 7#a7 by r$esignat+ p>agraphs    
7#c71 7#d71 & 7#e7 z p>agraphs 7#d71    
7#e71 & 7#f71 respectively2 &  7#b7 by  
ins]t+ aft] p>agraph 7#b7 ! foll[+ new  
p>agraph 7#c73  7#c7 is (f]$ by a       
f\r-ye> educational in/itution &1 z     

det]m9$ by ! ,secret>y1 is n reasonably 
available at a community college or     
te*nical s*ool2  4  7e7 ,ext5sion (     
application date ,subsection            
7e77#a77;,g7 ( su* section is am5d$ by  
/rik+ ,octob] #a1 #bjac & ins]t+ ,octob]
 #a1 #bjae4  7f7 ,reports ,subsection   
7i7 ( su* section is am5d$-- 7#a7 9 !   
subsection head+1 by /rik+ ,report &    
ins]t+ ,reports2  7#b7 by /rik+ p>agraph
 7#a7 & ins]t+ ! foll[+ new p>agraph    
7#a73  7#a7 ,9 g5]al ,! ,secret>y (     
,vet]ans ,affairs %all submit to !      
appropriate committees ( ,congress      
reports on tra9+ assi/ance provid$ "u   
?is section z foll[s3 7,a7 ,by n lat]   
?an ,octob] #a1 #bjae1 = p>ticipants    
provid$ assi/ance ?r\gh ,m>* #ca1 #bjad4
  7,b7 ,by n lat] ?an ,octob] #a1 #bjag1
 = p>ticipants provid$ assi/ance dur+ ! 
p]iod beg9n+ on ,april #a1 #bjad1 & end+
 on ,june #bjaf4  2 &  7#c7 9 p>agraph  
7#b71 by /rik+ ,! report requir$ by     
p>agraph 7#a7 %all include & ins]t+ ,ea*
 report requir$ by p>agraph 7#a7 %all   

include1 = ! p]iod cov]$ by su* report14
  #djb4 ,ext5sion ( au?ority ( ,secret>y
 ( ,vet]ans ,affairs to provide         
rehabilitation & vocational b5efits to  
memb]s ( ,arm$ ,=ces ) sev]e injuries or
 illnesses  7a7 ,9 g5]al ,section       
#afca7;b77#b7 ( ! ,w\nd$ ,w>rior ,act   
7title ,,xvi ( ,public ,law #aaj-aha2   
#aj ,u4,s4,c4 #ajga note7 is am5d$ by   
/rik+ ,decemb] #ca1 #bjad & ins]t+      
,decemb] #ca1 #bjaf4  7b7 ,report  7#a7 
,9 g5]al ,n lat] ?an #ahj days aft] !   
date ( ! enactm5t ( ?is ,act1 !         
,secret>y ( ,vet]ans ,affairs %all      
submit to ! appropriate committees (    
,congress a report on ! b5efits provid$ 
by ! ,secret>y "u section #afca7;b7 (   
su* ,act4  7#b7 ,appropriate committees 
( congress ,9 ?is subsection1 ! t]m     
appropriate committees ( ,congress      
means-- 7,a7 ! ,committee on ,arm$      
,s]vices & ! ,committee on ,vet]ans'    
,affairs ( ! ,s5ate2 &  7,b7 !          
,committee on ,arm$ ,s]vices & !        
,committee on ,vet]ans' ,affairs ( !    

,h\se ( ,repres5tatives4  #djc4         
,ext5sion ( additional rehabilitation   
programs = p]sons :o h exhau/$ rights to
 unemploym5t b5efits "u ,/ate law       
,section #cajb7;b77#d7 is am5d$ by /rik+
 ,m>* #ca1 #bjad & ins]t+ ,m>* #ca1     
#bjaf4  #djd4 ,unifi$ employm5t portal =
 vet]ans  7a7 ,9 g5]al ,section #daje is
 am5d$ by add+ at ! end ! foll[+3  7c7  
7#a7 ,! ,secret>y %all develop a s+le1  
unifi$ ,f$]al web-bas$ employm5t portal1
 = use by vet]ans1 conta9+ in=mation    
reg>d+ all ,f$]al programs & activities 
conc]n+ employm5t1 unemploym5t1 & tra9+ 
to ! ext5t ! programs & activities      
affect vet]ans4  7#b7 ,! ,secret>y %all 
"w ) repres5tatives f ! ,dep>tm5t (     
,def5se1 ! ,dep>tm5t ( ,vet]ans         
,affairs1 ! ,small ,bus9ess             
,adm9i/ration1 & o!r ,f$]al ag5cies &   
organizations conc]n$ ) vet]ans' issues1
 to det]m9e an appropriate plat=m &     
implem5t+ ag5cy = ! portal4 ,! ,secret>y
 %all ent] into an agreem5t ) ! o!r     
,f$]al ag5cies = ! implem5tation ( !    

portal4  4  7b7 ,implem5tation ,!       
,secret>y ( ,labor %all implem5t !      
portal requir$ by subsection 7c7 (      
section #daje ( title #ch1 ,unit$ ,/ates
 ,code 7z add$ by subsection 7a7 ( ?is  
section71 by n lat] ?an ,janu>y #a1     
#bjae4  #dje4 ,report on unifi$         
,gov]nm5t ,int]net portal = vet]ans on  
jobs available ?r\gh ! ,f$]al ,gov]nm5t 
7a7 ,id5tification ( ,int]net websites &
 applications t c assi/ vet]ans seek+   
employm5t  7#a7 ,9 g5]al ,! ,secret>y ( 
,labor %all1 9 consultation ) !         
,secret>y ( ,vet]ans ,affairs1 !        
,secret>y ( ,def5se1 & o!r appropriate  
public & private entities1 take         
appropriate actions to id5tify ,int]net 
websites & applications t c assi/       
vet]ans 9 seek+ employm5t4  7#b7        
,priority 9 id5tification ( c]ta9       
websites & applications ,9 id5tify+     
websites & applications pursuant to     
p>agraph 7#a71 ! ,secret>y %all place a 
p>ticul> priority on id5tify+ websites &
 applications t d ! foll[+3 7,a7 ,mat*  

vet]ans seek+ employm5t ) available jobs
 bas$ on ! skills ! vet]ans acquir$ z   
memb]s ( ! ,arm$ ,=ces4  7,b7 ,p]mit    
employ]s to po/ in=mation ab\t available
 jobs4  7b7 ,report ,n lat] ?an #ahj    
days aft] ! effective date specifi$ 9   
subsection 7c71 ! ,secret>y ( ,labor    
%all submit to ! ,committee on ,vet]ans'
 ,affairs ( ! ,s5ate & ! ,committee on  
,vet]ans' ,affairs ( ! ,h\se (          
,repres5tatives a report on ! actions ( 
! ,secret>y "u subsection 7a74 ,! report
 %all include an assessm5t ( !          
feasibility & advisability ( creat+ a   
s+le1 unifi$ ,int]net-bas$ employm5t    
portal = ! ,f$]al ,gov]nm5t = use by    
vet]ans reg>d+ employm5t ?r\gh ! ,f$]al 
,gov]nm5t1 includ+ ! co/ ( creat+ !     
portal1 ! collaboration ) o!r ,f$]al    
ag5cies requir$ to create ! portal1 & ! 
anticipat$ use ( ! portal4  7c7         
,effective date ,?is section %all take  
effect on ! date t is "o ye> aft] ! date
 ( ! enactm5t ( ?is ,act4  #djf4        
,in=mation on disability-relat$         

employm5t & education protections 9     
,transition ,assi/ance ,program  7a7 ,9 
g5]al ,section #aadd7;b7 ( title #aj1   
,unit$ ,/ates ,code1 is am5d$ by add+ at
 ! end ! foll[+ new p>agraph3  7#i7     
,provide in=mation ab\t                 
disability-relat$ employm5t & education 
protections4  4  7b7 ,effective date ,! 
am5dm5t made by subsection 7a7 %all take
 effect on ! date t is "o ye> aft] !    
date ( ! enactm5t ( ?is ,act4  ,b       
,employm5t ( vet]ans & recognition (    
vet]an /atus ) respect to employm5t     
relat$ matt]s  #daa4 ,employm5t (       
vet]ans ) ! ,f$]al ,gov]nm5t  7a7 ,9    
g5]al ,section #dbad is am5d$-- 7#a7 9  
subsection 7b71 by add+ at ! end !      
foll[+3  7#d7 7,a7 ,! requirem5t "u ?is 
p>agraph is 9 addition to ! appo9tm5t ( 
qualifi$ cov]$ vet]ans "u ! au?ority "u 
p>agraph 7#a7 by ! ,dep>tm5t ( ,vet]ans 
,affairs & ! ,dep>tm5t ( ,def5se4  7,b7 
,! head ( ea* ag5cy1 9 consultation ) ! 
,director ( ! ,(fice ( ,p]sonnel        
,managem5t1 %all develop a plan =       

ex]cis+ ! au?ority specifi$ 9           
subp>agraph 7,c7 dur+ ! five-ye> p]iod  
beg9n+ on ! date ( ! enactm5t ( !       
,compreh5sive ,vet]ans ,heal? & ,b5efits
 & ,milit>y ,retirem5t ,pay ,re/oration 
,act ( #bjad4  7,c7 ,! au?ority specifi$
 9 ?is subp>agraph is ! au?ority z      
foll[s3 7i7 ,! au?ority "u p>agraph     
7#a74  7ii7 ,! au?ority available to !  
ag5cy conc]n$ "u ! ,vet]ans ,employm5t  
,opportunities ,act ( #aiih 7,public    
,law #aje-cci7 & ! am5dm5ts made by t   
,act4  7,d7 ,! ,director ( ! ,(fice (   
,p]sonnel ,managem5t %all ensure t "u ! 
plans develop$ "u subp>agraph 7,b7      
ag5cies %all appo9t to exi/+ vacancies n
 few] ?an #ae1jjj qualifi$ cov]$ vet]ans
 dur+ ! five-ye> p]iod beg9n+ on ! date 
( ! enactm5t ( ! ,compreh5sive ,vet]ans 
,heal? & ,b5efits & ,milit>y ,retirem5t 
,pay ,re/oration ,act ( #bjad4 ,=       
purposes ( comply+ ) ?is subp>agraph1 an
 appo9tm5t pursuant to ! au?ority ref]r$
 to 9 subp>agraph 7,c77ii7 %all n c\nt  
t[>d ! numb] requir$ by ?is subp>agraph 

unless ! appo9tm5t is to a vacancy 9 a  
full-"t1 p]man5t position4  2  7#b7 9   
subsection 7d71 9 ! ?ird s5t5ce1 by     
ins]t+ 7includ+1 dur+ ! #e-ye> p]iod    
beg9n+ on ! date ( ! enactm5t ( !       
,compreh5sive ,vet]ans ,heal? & ,b5efits
 & ,milit>y ,retirem5t ,pay ,re/oration 
,act ( #bjad1 ! developm5t &            
implem5tation by ea* ag5cy ( ! plan     
requir$ "u subsection 7b77#d71 :i* %all 
include in=mation reg>d+ ! grade or pay 
level ( appo9tm5ts by ! ag5cy "u ! plan 
& :e!r ! appo9tm5ts are1 or are conv]t$ 
to1 c>e] or c>e]-conditional appo9tm5ts7
 aft] subsection 7b7 ( ?is section2 &   
7#c7 9 subsection 7e7-- 7,a7 9 p>agraph 
7#a7-- 7i7 9 ! matt] be=e subp>agraph   
7,a71 by /rik+ to ! ,congress & ins]t+  
to ! appropriate committees ( ,congress2
 &  7ii7 9 subp>agraph 7,a71 by ins]t+  
7includ+1 dur+ ! #e-ye> p]iod beg9n+ on 
! date ( ! enactm5t ( ! ,compreh5sive   
,vet]ans ,heal? & ,b5efits & ,milit>y   
,retirem5t ,pay ,re/oration ,act (      
#bjad1 ! developm5t & implem5tation by !

 ag5cy ( ! plan requir$ "u subsection   
7b77#d71 :i* %all include in=mation     
reg>d+ ! grade or pay level ( appo9tm5ts
 by ! ag5cy "u ! plan & :e!r !          
appo9tm5ts are1 or are conv]t$ to1      
p]man5t appo9tm5ts7 be=e ! p]iod2 &     
7,b7 by add+ at ! end ! foll[+ new      
p>agraph3  7#c7 ,9 ?is subsection1 ! t]m
 appropriate committees ( ,congress     
means-- 7,a7 ! ,committee on ,vet]ans'  
,affairs & ! ,committee on ,homel&      
,security & ,gov]nm5tal ,affairs ( !    
,s5ate2 &  7,b7 ! ,committee on         
,vet]ans' ,affairs & ! ,committee on    
,ov]sight & ,gov]nm5t ,re=m ( ! ,h\se ( 
,repres5tatives4  4  7b7 ,report ,n lat]
 ?an #ahj days aft] ! date ( enactm5t ( 
?is ,act1 ! ,director ( ! ,(fice (      
,p]sonnel ,managem5t %all submit to !   
appropriate committees ( ,congress 7z   
def9$ "u section #dbad7;e77#c7 ( title  
#ch1 ,unit$ ,/ates ,code1 z am5d$ by    
subsection 7a77 reg>d+ ! developm5t ( a 
plan to c>ry out ! am5dm5ts made by     
subsection 7a74  #dab4 ,/ate recognition

 ( milit>y exp]i5ce ( vet]ans 9 issu+   
lic5ses & cr$5tials to vet]ans  7a7 ,9  
g5]al ,section #dajb;,a7c7 is am5d$ by  
/rik+ p>agraph 7#i7 & ins]t+ ! foll[+   
new p>agraph 7#i73  7#i7 7,a7 ,z a      
condition ( a grant or contract "u :i*  
funds are made available to a ,/ate "u  
subsection 7b77#e7 9 ord] to c>ry out   
section #dajc;,a or #dajd ( ?is title1 !
 ,/ate %all-- 7i7 e/abli% a program "u  
:i* ! ,/ate adm9i/]s an exam9ation to   
ea* vet]an seek+ a lic5se or cr$5tial   
issu$ by ! ,/ate & issues su* lic5se or 
cr$5tial to su* vet]an )\t requir+ su*  
vet]an to und]go any tra9+ or           
appr5tice%ip if ! vet]an-- 7,i7 receives
 a satisfactory score on completion (   
su* exam9ation1 z det]m9$ by ! ,/ate2   
7,,ii7 has be5 aw>d$ a milit>y          
occupational specialty t is sub/antially
 equival5t to or exce$s ! requirem5ts ( 
! ,/ate = ! issuance ( su* lic5se or    
cr$5tial2  7,,iii7 has engag$ 9 ! active
 practice ( ! occupation = :i* ! vet]an 
is seek+ su* lic5se or cr$5tial = at    

lea/ two ( ! five ye>s prec$+ ! date (  
application2 &  7,,iv7 pays any cu/om>y 
or usual fees requir$ by ! ,/ate = su*  
lic5se or cr$5tial2 &  7ii7 submit ea*  
ye> to ! ,secret>y a report on ! exams  
adm9i/]$ "u clause 7i7 dur+ ! mo/       
rec5tly complet$ #ab-mon? p]iod t       
includes1 = ! p]iod cov]$ by ! report ! 
numb] ( vet]ans :o complet$ an exam     
adm9i/]$ by ! ,/ate "u clause 7i7 & a   
description ( ! results ( su* exams1    
disaggregat$ by occupational field4     
7,b7 ,! ,secret>y may waive ! requirem5t
 "u subp>agraph 7,a7 t a ,/ate e/abli% a
 program describ$ 9 t subp>agraph z a   
condition ( a grant or contract if !    
,/ate c]tifies to ! ,secret>y t !       
,/ate-- 7i7 takes into acc\nt previ\s   
milit>y tra9+ = ! purposes ( issu+      
lic5ses or cr$5tials2  7ii7 p]mits      
vet]ans to completely satisfy ?r\gh     
exam9ation any tra9+ or te/+ requirem5ts
 = a lic5se or cr$5tial ) respect to :i*
 a vet]an has previ\sly complet$ milit>y
 tra9+2 &  7iii7 = any cr$5tial or      

lic5se = :i* a vet]an is unable to      
completely satisfy su* requirem5ts ?r\gh
 exam9ation1 ! ,/ate sub/antially r$uces
 tra9+ "t requir$ to satisfy su*        
requirem5t bas$ on ! milit>y tra9+      
receiv$ by ! vet]an4  7,c7 ,n less      
frequ5tly ?an once ea* ye>1 ! ,secret>y 
%all submit to ,congress & ! ,secret>y (
 ,def5se a report summ>iz+ ! in=mation  
receiv$ by ! ,secret>y "u subp>agraph   
7,a77ii74  4  7b7 ,effective date  7#a7 
,exams ,subp>agraph 7,a7 ( section      
#dajb;,a7c77#i7 ( title #ch1 ,unit$     
,/ates ,code1 z add$ by subsection 7a71 
%all take effect on ! date t is "o ye>  
aft] ! date ( ! enactm5t ( ?is ,act &   
%all apply ) respect to grants &        
contracts describ$ 9 su* subp>agraph    
aw>d$ aft] su* date4  7#b7 ,reports     
,subp>agraph 7,b7 ( su* section         
#dajb;,a7c77#i71 z s add$1 %all take    
effect on ! date t is "o ye> aft] ! date
 ( ! enactm5t ( ?is ,act & ! ,secret>y (
 ,labor %all submit ! fir/ report "u su*
 subp>agraph n lat] ?an two ye>s aft] ! 

date ( ! enactm5t ( ?is ,act4  #dac4    
,grants to hire vet]ans z fir/ respond]s
  7a7 ,grants = firefight]s ,! ,secret>y
 ( ,homel& ,security %all aw>d grants "u
 section #cd ( ! ,f$]al ,fire ,prev5tion
 & ,control ,act ( #aigd 7#ae ,u4,s4,c4 
#bbbi;a7 to hire vet]ans z firefight]s4 
7b7 ,grants = law en=cem5t (fic]s ,!    
,attorney ,g5]al %all aw>d grants "u "p 
,q ( title ,i ( ! ,omnibus ,crime       
,control & ,safe ,/reets ,act ( #aifh   
7#db ,u4,s4,c4 #cgif;dd et seq47 to hire
 vet]ans z law en=cem5t (fic]s4  7c7    
,priority ,9 aw>d+ grants "u ?is section
 to hire vet]ans1 ! ,secret>y ( ,homel& 
,security & ! ,attorney ,g5]al %all give
 priority to ! hir+ ( vet]ans :o s]v$ on
 active duty 9 ! ,arm$ ,=ces on or aft] 
,septemb] #aa1 #bjja4  7d7 ,fund+  7#a7 
,dep>tm5t ( ,homel& ,security ,!re is   
au?oriz$ to be appropriat$ = fiscal ye> 
#bjae = ! ,dep>tm5t ( ,homel& ,security1
 #abe1jjj1jjj to c>ry out subsection    
7a74  7#b7 ,dep>tm5t ( ,ju/ice ,!re is  
au?oriz$ to be appropriat$ = fiscal ye> 

#bjae = ! ,dep>tm5t ( ,ju/ice1          
#abe1jjj1jjj to c>ry out subsection 7b74
  7#c7 ,availability ,! am\nts au?oriz$ 
to be appropriat$ by ?is subsection %all
 be available = exp5diture ?r\gh        
,septemb] #cj1 #bjah4  #dad4 ,employm5t 
( vet]ans z evaluation factor 9 ! aw>d+ 
( ,f$]al contracts  7a7 ,civilian       
contracts  7#a7 ,9 g5]al ,*apt] #cc (   
title #da1 ,unit$ ,/ates ,code1 is am5d$
 by add+ at ! end ! foll[+ new section3 
#ccac4 ,employm5t ( vet]ans z evaluation
 factor ,! head ( ea* executive ag5cy   
%all consid] favorably z an evaluation  
factor 9 solicitations = contracts &    
task or deliv]y ord] valu$ at or above  
#be1jjj1jjj ! employm5t by a prospective
 contractor ( vet]ans con/itut+ at lea/ 
#e p]c5t ( ! contractor's work=ce4  4   
7#b7 ,cl]ical am5dm5t ,! table (        
sections at ! beg9n+ ( *apt] #cc ( su*  
title is am5d$ by add+ aft] ! item      
relat+ to section #ccab ! foll[+ new    
item3  #ccac4 ,employm5t ( vet]ans z    
evaluation factor4  4  7b7 ,def5se      

contracts  7#a7 ,9 g5]al ,*apt] #acg (  
title #aj1 ,unit$ ,/ates ,code1 is am5d$
 by add+ at ! end ! foll[+ new section3 
#bcch4 ,employm5t ( vet]ans z evaluation
 factor ,! head ( ea* ag5cy %all consid]
 favorably z an evaluation factor 9     
solicitations = contracts & task or     
deliv]y ord] valu$ at or above          
#be1jjj1jjj ! employm5t by a prospective
 contractor ( vet]ans con/itut+ at lea/ 
#e p]c5t ( ! contractor's work=ce4  4   
7#b7 ,cl]ical am5dm5t ,! table (        
sections at ! beg9n+ ( *apt] #acg ( su* 
title is am5d$ by add+ aft] ! item      
relat+ to section #bccg ! foll[+ new    
item3  #bcch4 ,employm5t ( vet]ans z    
evaluation factor4  4  7c7 ,regulations 
,n lat] ?an #ahj days aft] ! date ( !   
enactm5t ( ?is ,act1 ! ,f$]al           
,acquisition ,regulatory ,c\ncil %all   
am5d ! ,f$]al ,acquisition ,regulation  
to c>ry out ! provisions ( section #ccac
 ( title #da1 ,unit$ ,/ates ,code1 &    
section #bcch ( title #aj1 ,unit$ ,/ates
 ,code1 z add$ by subsections 7a7 & 7b71

 respectively4  #dae4 ,report on        
discrim9ation aga9/ memb]s ( res]ve     
compon5ts ( ,arm$ ,=ces & vet]ans 9     
civilian labor m>ket  7a7 ,9 g5]al ,n   
lat] ?an #egj days aft] ! date ( !      
enactm5t ( ?is act1 ! ,secret>y (       
,labor1 9 coord9ation ) ! heads ( su*   
ag5cies z ! ,secret>y consid]s          
appropriate1 %all submit to !           
appropriate committees ( ,congress a    
report on b>ri]s & pot5tial             
discrim9ation fac+ vet]ans 9 ! labor    
m>ket4  7b7 ,cont5ts ,! report requir$  
by subsection 7a7 %all include ! foll[+3
 7#a7 ,an evaluation ( ! foll[+3 7,a7 ,!
 ext5t to :i* memb]s ( ! res]ve         
compon5ts ( ! ,arm$ ,=ces & vet]ans face
 b>ri]s to entry into ! civilian labor  
m>ket1 includ+ :e!r su* memb]s & vet]ans
 face ob/acles 9 obta9+ employm5t1      
ma9ta9+ employm5t1 or receiv+ promotions
 :ile employ$4  7,b7 ,! ext5t to :i* a  
memb] ( a res]ve compon5t ( ! ,arm$     
,=ces or a vet]an faces discrim9ation 9 
! civilian labor m>ket bas$ on ! memb]'s

 or vet]an's /atus z a memb] ( a res]ve 
compon5t ( ! ,arm$ ,=ces or z a vet]an1 
z ! case may be4  7,c7 ,! adequacy &    
effectiv5ess ( ,f$]al laws 9 effect on !
 day be=e ! date ( ! enactm5t ( ?is ,act
 9 prev5t+ or ameliorat+ acts (         
discrim9ation aga9/ memb]s ( ! res]ve   
compon5ts ( ! ,arm$ ,=ces & vet]ans     
seek+ or reta9+ employm5t 9 ! civilian  
labor m>ket4  7,d7 ,! adequacy &        
effectiv5ess ( programs ( ! ,dep>tm5t ( 
,labor 9 effect on ! day be=e ! date ( !
 enactm5t ( ?is ,act 9 educat+ private  
sector employ]s on matt]s relevant to   
hir+ & employ+ vet]ans & ! milit>y      
exp]i5ce ( vet]ans4  7#b7 ,su*          
recomm5dations z ! ,secret>y may h =    
legislative or adm9i/rative action--    
7,a7 to address b>ri]s or discrim9ation 
t memb]s ( ! res]ve compon5ts ( ! ,arm$ 
,=ces & vet]ans may face 9 ! civilian   
labor m>ket2  7,b7 to improve education 
& outrea* = employ]s 9 ! civilian labor 
m>ket on issues reg>d+ hir+ & employ+   
su* memb]s & vet]ans2 &  7,c7 to assi/  

employ]s 9 ! civilian labor m>ket 9     
mat*+ ! milit>y exp]i5ce ( su* memb]s & 
vet]ans ) ! ne$s ( su* employ]s4  7#c7  
,su* o!r matt]s z ! ,secret>y consid]s  
appropriate4  7c7 ,appropriate          
committees ( congress ,9 ?is section1 ! 
t]m appropriate committees ( ,congress  
means-- 7#a7 ! ,committee on ,vet]ans'  
,affairs & ! ,committee on ,heal?1      
,education1 ,labor1 & ,p5sions ( !      
,s5ate2 &  7#b7 ! ,committee on         
,vet]ans' ,affairs & ! ,committee on    
,education & ! ,work=ce ( ! ,h\se (     
,repres5tatives4  7d7 ,effective date   
,?is section %all take effect on ! date 
t is "o ye> aft] ! date ( ! enactm5t (  
?is ,act4  ,c ,program on ,c>e]         
,transition  #dba4 ,program on provision
 ( c>e] transition s]vices to "y vet]ans
  7a7 ,9 g5]al ,comm5c+ n lat] ?an #ahj 
days aft] ! date ( ! enactm5t ( ?is     
,act1 ! ,secret>y ( ,vet]ans ,affairs   
%all1 9 collaboration ) ! ,secret>y (   
,labor1 c>ry out a program to assess !  
feasibility & advisability ( e/abli%+ a 

program to provide c>e] transition      
s]vices to eligible individuals-- 7#a7  
to provide eligible individuals ) "w    
exp]i5ce 9 ! civilian sector2  7#b7 to  
increase ! m>ketable skills ( eligible  
individuals2  7#c7 to assi/ eligible    
individuals 9 obta9+ long-t]m employm5t2
 &  7#d7 to assi/ 9 integrat+ eligible  
individuals into _! local communities4  
7b7 ,eligible individuals ,= purposes ( 
! program1 an eligible individual is an 
individual :o-- 7#a7 is-- 7,a7 a vet]an 
( ! ,arm$ ,=ces :o 0 dis*>g$ or releas$ 
f s]vice !re9 "u conditions o!r ?an     
di%onorable2 or  7,b7 a memb] ( a res]ve
 compon5t ( ! ,arm$ ,=ces 7includ+ !    
,national ,gu>d7 :o-- 7i7 s]v$ on active
 duty 9 ! ,arm$ ,=ces 7o!r ?an active   
duty = tra9+7 = m ?an #ahj consecutive  
days dur+ ! ?ree-ye> p]iod end+ on !    
date ( application = p>ticipation 9 !   
program2 &  7ii7 is n s]v+ on active    
duty on ! date ( comm5cem5t (           
p>ticipation 9 ! program2  7#b7 if      
dis*>g$ or releas$ f ! ,arm$ ,=ces on ! 

date ( comm5cem5t ( p>ticipation 9 !    
program1 0 s dis*>g$ or releas$ n lat]  
?an ?ree ye>s be=e application =        
p>ticipation 9 ! program2  7#c7 is      
unemploy$ or und]employ$1 z det]m9$ by !
 ,secret>y2 &  7#d7 is1 at ! "t at :i* !
 individual applies = p>ticipation 9 !  
program1 #ah ye>s ( age or old]1 b n m  
?an #cj ye>s ( age4  7c7 ,eligible      
employ]s  7#a7 ,9 g5]al ,= purposes ( ! 
program1 an eligible employ] is an      
employ] det]m9$ by ! ,secret>y to meet  
su* crit]ia = p>ticipation 9 ! program z
 ! ,secret>y %all e/abli% = purposes ( !
 program4  7#b7 ,pa/ p]=mance on c]ta9  
matt]s ,! crit]ia e/abli%$ by !         
,secret>y "u p>agraph 7#a7 may include  
pa/ p]=mance ( an employ] ) respect to !
 foll[+3 7,a7 ,job tra9+1 basic skills  
tra9+1 & relat$ activities4  7,b7       
,f9ancial acc\ntability4  7,c7          
,demon/rat$ high pot5tial = gr[? &      
long-t]m job creation4  7#c7 ,=-pr(it & 
n-=-pr(it employ]s ,! employ]s det]m9$  
by ! ,secret>y to be eligible employ]s  

"u p>agraph 7#a7 may include bo? =-pr(it
 & n-=-pr(it employ]s4  7#d7 ,small     
bus9ess conc]ns ,9 det]m9+ employ]s to  
be eligible employ]s "u p>agraph 7#a71 !
 ,secret>y %all ensure t small bus9ess  
conc]ns are af=d$ opportunities to      
p>ticipate 9 ! program4  7#e7           
,exclusions ,! foll[+ employ]s may n be 
det]m9$ to be an eligible employ] "u    
p>agraph 7#a73 7,a7 ,an ag5cy ( ! ,f$]al
 ,gov]nm5t or a ,/ate or local gov]nm5t4
  7,b7 ,an employ] t has previ\sly      
p>ticipat$ 9 ! program &1 z det]m9$ by !
 ,secret>y1 fail$ to abide by any       
requirem5t ( ! program4  7,c7 ,an       
employ] t _c give an assurance to !     
,secret>y at ! "t ( application =       
p>ticipation 9 ! program "u subsection  
7l71 & 9 su* mann] z ! ,secret>y %all   
specify pursuant to t subsection1 on ea*
 matt] z foll[s3 7i7 ,t ! employ] has n 
be5 inve/igat$ or subject to a case or  
action by ! ,f$]al ,trade ,commission   
dur+ ! #ahj-;day p]iod end+ on ! date ! 
employ] w\ld o!rwise comm5ce            

p>ticipation 9 ! program4  7ii7 ,t !    
employ] has be5 9 good /&+ ) a ,/ate    
bus9ess bureau dur+ ! p]iod describ$ 9  
clause 7i74  7iii7 ,t ! employ] is n    
del9qu5t ) respect to paym5t ( any taxes
 or employ] contributions describ$ "u   
section #ccja & #ccjb 7a77#a7 ( !       
,int]nal ,rev5ue ,code ( #aihf 7#bf     
,u4,s4,c4 #ccja & #ccjb7;a77#a774  7iv7 
,t ! employ] w\ld n reque/ ! placem5t ( 
an additional eligible individual "u !  
program1 if aft] su* additional         
placem5t1 ! numb] ( eligible individuals
 plac$ 9 int]n%ips at su* employ] "u !  
program w\ld con/itute m ?an #aj p]c5t (
 ! eligible employ]'s work=ce4 ,=       
purposes ( ! previ\s s5t5ce1 be+ an     
int]n "u ! program plac$ at an employ]  
%all be consid]$ "p ( ! employ]'s       
work=ce4  7v7 ,t ! employ] has !        
int5tion ( reta9+ eligible p>ticipants  
aft] su* p>ticipants h complet$         
p>ticipation 9 ! program4  7d7 ,duration
 ,! ,secret>y %all c>ry out ! program   
dur+ ! ?ree-ye> p]iod beg9n+ on ! date (

 ! comm5cem5t ( ! program4  7e7 ,c>e]   
transition s]vices ,= purposes ( !      
program1 c>e] transition s]vices are !  
foll[+3 7#a7 ,int]n%ips "u subsection   
7f74  7#b7 ,m5tor%ip & job-%ad[+ "u     
subsection 7g74  7#c7 ,volunte]         
opportunities "u subsection 7h74  7#d7  
,pr(essional skill work%ops "u          
subsection 7i74  7#e7 ,skills assessm5t 
"u subsection 7j74  7#f7 ,additional    
s]vices "u subsection 7k74  7f7         
,int]n%ips  7#a7 ,9 g5]al ,= ea*        
eligible individual :om ! ,secret>y     
approves = p>ticipation 9 ! program1 !  
,secret>y %all attempt to place su*     
eligible individual 9 an int]n%ip on a  
full-"t basis ) an eligible employ] :om 
! ,secret>y has approv$ = p>ticipation 9
 ! program4  7#b7 ,duration ,ea*        
int]n%ip "u ! program %all be = a p]iod 
( "o ye>4  7#c7 ,wages  7,a7 ,9 g5]al ,!
 ,secret>y %all furni% pay & b5efits to 
ea* eligible individual p>ticipat+ 9 an 
int]n%ip "u ! program = ! duration ( su*
 p>ticipation 9 an aggregate am\nt n to 

exce$ #be1jjj4  7#d7 ,employm5t /atus ,=
 purposes ( ! ,pati5t ,protection &     
,af=dable ,c>e ,act 7,public ,law       
#aaa-adh71 an eligible individual plac$ 
9 an int]n%ip ) an eligible employ] "u !
 program %all be consid]$ an employee ( 
! ,dep>tm5t ( ,vet]ans ,affairs & n !   
eligible employ] dur+ ! p]iod ( su*     
int]n%ip "u ! program4  7#e7 ,relation  
to o!r ,f$]al assi/ance ,not)/&+ any o!r
 provision ( law1 pay receiv$ by an     
individual "u ?is subsection may n be   
us$ 9 any calculation to det]m9e !      
eligibility ( su* individual = any      
,f$]al program = ! purpose ( obta9+ *ild
 c>e assi/ance4  7g7 ,m5tor%ip &        
job-,%ad[+  7#a7 ,9 g5]al ,z a condition
 ( an eligible employ]'s p>ticipation 9 
! program & ! placem5t ( an eligible    
individual 9 an int]n%ip at ! eligible  
employ]1 ! eligible employ] %all provide
 ea* eligible individual plac$ 9 an     
int]n%ip at ! eligible employ] "u !     
program ) at lea/ "o m5tor :o is an     
employee ( ! eligible employ]4  7#b7    

,job-%ad[+ & c>e] c\nsel+ ,to ! ext5t   
practicable1 a m5tor assign$ to an      
eligible individual p>ticipat+ 9 !      
program %all provide su* eligible       
individual ) job %ad[+ & c>e] c\nsel+4  
7h7 ,volunte] opportunities  7#a7 ,9    
g5]al ,z a condition on p>ticipation 9 !
 program1 ea* eligible individual :o    
p>ticipates 9 ! program %all1 n less    
frequ5tly ?an once ea* mon? 9 :i* !     
eligible individual p>ticipates 9 !     
program1 engage 9 a qualify+ volunte]   
activity 9 accordance ) guidel9es !     
,secret>y %all e/abli%4  7#b7 ,qualify+ 
volunte] activities ,= purposes ( ?is   
subsection1 a qualify+ volunte] activity
 is any activity ! ,secret>y consid]s   
relat$ to provid+ assi/ance to1 or = !  
b5efit (1 a vet]an4 ,su* activities may 
include ! foll[+3 7,a7 ,outrea*4  7,b7  
,assi/+ an organization recogniz$ by !  
,secret>y = ! repres5tation ( vet]ans "u
 section #eijb ( title #ch1 ,unit$      
,/ates ,code1 on a volunte] basis4  7,c7
 ,s]vice b5efitt+ a vet]an 9 a ,/ate    

home or a ,dep>tm5t ( ,vet]ans ,affairs 
m$ical facility4  7,d7 ,s]vice b5efitt+ 
a vet]an at an in/itution ( high]       
education4  7i7 ,pr(essional skills     
work%ops  7#a7 ,9 g5]al ,! ,secret>y    
%all provide eligible individuals       
p>ticipat+ 9 ! program ) work%ops = !   
developm5t & improvem5t ( ! pr(essional 
skills ( su* eligible individuals4  7#b7
 ,tailor$ ,! work%ops provid$ by !      
,secret>y %all be tailor$ to meet !     
p>ticul> ne$s ( eligible individuals    
p>ticipat+ 9 ! program z det]m9$ "u     
subsection 7j74  7#c7 ,topics ,!        
work%ops provid$ to eligible individuals
 p>ticipat+ 9 ! program may include     
work%ops = ! developm5t ( su*           
pr(essional skills z ! ,secret>y        
consid]s appropriate1 :i* may include ! 
foll[+3 7,a7 ,writt5 & oral             
communication skills4  7,b7 ,basic ^w   
process+ & o!r comput] skills4  7,c7    
,int]p]sonal skills4  7#d7 ,mann] (     
pres5tation ,work%ops on p>ticul> topics
 %all be provid$ ?r\gh su* means z may  

be appropriate1 effective1 & approv$ (  
by ! ,secret>y = purposes ( ! program4  
,su* means may include use ( electronic 
communication4  7#e7 ,assessm5ts ,!     
,secret>y %all conduct an assessm5t ( a 
p>ticipant 9 a work%op conduct$ "u ?is  
subsection to assess ! p>ticipant's k   
acquir$ z a result ( p>ticipat+ 9 !     
work%op4  7j7 ,skills assessm5t  7#a7 ,9
 g5]al ,"u ! program1 ! ,secret>y %all  
develop & implem5t an objective         
assessm5t ( eligible individuals        
p>ticipat+ 9 ! program to assi/ 9 !     
placem5t ( su* individuals 9 int]n%ips  
"u subsection 7f7 & to assi/ 9 ! tailor+
 ( work%ops "u subsection 7i74  7#b7    
,elem5ts ,! assessm5t may include an    
assessm5t ( ! skill levels & s]vice ne$s
 ( ea* p>ticipant1 :i* may include a    
review ( basic pr(essional entry-level  
skills1 prior "w exp]i5ce1              
employability1 & ! individual's int]e/s4
  7k7 ,additional s]vices  7#a7 ,9 g5]al
 ,except z provid$ 9 p>agraph 7#b71 !   
,secret>y %all1 "u ! program1 furni% !  

foll[+ s]vices to an eligible individual
 p>ticipat+ 9 ! program :5 assessm5t "u 
subsection 7j7 indicates su* s]vices are
 appropriate3 7,a7 ,c\nsel+1 su* z job  
c\nsel+ & c>e] c\nsel+4  7,b7 ,job se>* 
assi/ance4  7,c7 ,foll[-up s]vices )    
p>ticipants t are (f]$ unsubsidiz$      
employm5t by ! employ] ) :om !y 7       
assign$4  7,d7 ,transportation1 z       
describ$ 9 p>agraph 7#c74  7#b7         
,ref]rals ,9 lieu ( furni%+ a s]vice to 
an eligible individual "u p>agraph 7#a71
 ! ,secret>y may ref] su* eligible      
individual to ano!r ,f$]al1 ,/ate1 or   
local gov]nm5t program t provides su*   
s]vice4  7#c7 ,transportation ,9        
accordance ) crit]ia e/abli%$ by !      
,secret>y = purposes ( ! program1 !     
,secret>y may pay an all[ance bas$ ^u   
mileage1 ( any eligible individual plac$
 9 an int]n%ip "u ! program n 9 excess (
 #ge miles to or f a facility ( !       
eligible employ] or o!r place 9         
connection ) su* int]n%ip4  7l7         
,p>ticipation  7#a7 ,application  7,a7  

,9 g5]al ,an eligible employ] or        
eligible individual seek+ to p>ticipate 
9 ! program %all submit to ! ,secret>y  
an application !re= at su* "t1 9 su*    
mann]1 & conta9+ su* in=mation z !      
,secret>y %all specify4  7,b7           
,requirem5ts = eligible employ]s ,an    
application submitt$ by an eligible     
employ] "u subp>agraph 7,a7 %all include
 a c]tification or o!r in=mation1 9 su* 
=m & mann] z ! ,secret>y %all specify1  
on ea* ( ! assurances requir$ by        
subsection 7c77#e77;,c71 includ+ !      
assurance t ! employ] has ! int5tion (  
reta9+ eligible p>ticipants aft] !y h   
complet$ p>ticipation 9 ! program z     
provid$ 9 clause 7v7 ( t subsection4    
7#b7 ,"t ( application = c]ta9 eligible 
individuals ,a memb] ( ! ,arm$ ,=ces on 
active duty :o expects to be an eligible
 individual describ$ 9 subsection       
7b77#a77;,a7 ^u dis*>ge or release f !  
,arm$ ,=ces may submit an application to
 p>ticipate 9 ! program n e>li] ?an #ahj
 days be=e ! date on :i* ! memb] expects

 to be dis*>g$ or releas$ f ! ,arm$     
,=ces4 ,a memb] :o submits su* an       
application %all be treat$ z unemploy$  
or und]employ$ = purposes ( subsection  
7b77#b7 if ! memb] has n accept$ an (f] 
( employm5t aft] dis*>ge or release z ( 
! "t ( ! submittal ( ! application4     
7#c7 ,delimit+ date = comm5cem5t (      
p>ticipation by individuals ,an eligible
 individual may n comm5ce p>ticipation 9
 ! program aft] ! date t is two ye>s    
aft] ! date ( ! comm5cem5t ( ! program4 
7#d7 ,selection ,! ,secret>y %all review
 ea* application submitt$ by an         
applicant "u p>agraph 7#a7 & approve or 
disapprove ! applicant = p>ticipation 9 
! program4  7m7 ,grants  7#a7 ,9 g5]al  
,! ,secret>y may aw>d grants to eligible
 entities to assi/ ! ,secret>y 9 c>ry+  
out ! program4  7#b7 ,eligible entities 
,= purposes ( ! program1 an eligible    
entity is a nonpr(it organization4  7#c7
 ,consid]ations ,9 aw>d+ grants "u ?is  
subsection1 ! ,secret>y may consid] :e!r
 an eligible entity-- 7,a7 has an       

und]/&+ ( ! unemploym5t problems (      
eligible individuals & memb]s ( ! ,arm$ 
,=ces transition+ f s]vice 9 ! ,arm$    
,=ces to civilian life2 &  7,b7 has !   
capability to assi/ ! ,secret>y 9       
adm9i/]+ effectively ! program & provid+
 c>e] transition s]vices to eligible    
individuals4  7#d7 ,use ( funds ,am\nts 
receiv$ by a recipi5t ( a grant "u ?is  
subsection may be us$ z ! ,secret>y     
consid]s appropriate = purposes ( !     
program1 includ+ z foll[s3 7,a7 ,to     
assi/ ! ,secret>y 9 c>ry+ out ! program4
  7,b7 ,to recruit eligible employ]s &  
eligible individuals to p>ticipate 9 !  
program4  7,c7 ,to mat* eligible        
individuals p>ticipat+ 9 ! program )    
int]n%ip opportunities at eligible      
employ]s p>ticipat+ 9 ! program4  7,d7  
,to coord9ate & c>ry out job placem5t & 
o!r employ] outrea* activities4  7n7    
,outrea*  7#a7 ,9 g5]al ,! ,secret>y (  
,vet]ans ,affairs & ! ,secret>y ( ,labor
 %all jo9tly c>ry out a program (       
outrea* to in=m eligible employ]s &     

eligible individuals ab\t ! program & ! 
b5efits ( p>ticipat+ 9 ! program4  7#b7 
,includ$ locations & gr\ps ,! ,secret>y 
( ,vet]ans ,affairs & ! ,secret>y (     
,labor %all ensure t any outrea* program
 & activities conduct$ "u p>agraph 7#a7 
include1 to ! ext5t practicable1 rural  
communities1 tribal l&s ( ! ,unit$      
,/ates1 ,native ,am]icans1 & tribal     
organizations 7z def9$ 9 section #cgfe (
 title #ch1 ,unit$ ,/ates ,code74  7o7  
,aw>ds = out/&+ contributions to program
  7#a7 ,9 g5]al ,ea* ye> ( ! program1 ! 
,secret>y ( ,vet]ans ,affairs may       
recognize "o or m eligible employ]s or  
"o or m eligible individuals p>ticipat+ 
9 ! program = demon/rat+ out/&+         
a*ievem5t 9 c>ry+ out or 9 contribut+ to
 ! success ( ! program4  7#b7 ,crit]ia  
,! ,secret>y %all e/abli% su* selection 
proc$ures & crit]ia z ! ,secret>y       
consid]s appropriate = ! aw>d (         
recognition "u ?is subsection4  7p7     
,m9imization ( adm9i/rative burd5 on    
p>ticipat+ employ]s ,! ,secret>y %all   

take su* measures z may be necess>y to  
m9imize adm9i/rative burd5s incurr$ by  
eligible employ]s due to p>ticipation 9 
! program4  7q7 ,reports  7#a7 ,9 g5]al 
,n lat] ?an #de days aft] ! completion (
 ! fir/ ye> ( ! program & n lat] ?an    
#ahj days aft] ! completion ( ! second &
 ?ird ye>s ( ! program1 ! ,secret>y %all
 submit to ,congress a report on !      
program4  7#b7 ,cont5ts ,ea* report     
submitt$ "u p>agraph 7#a7 %all include !
 foll[+3 7,a7 ,an evaluation ( !        
program4  7,b7 ,! numb] & *>act]i/ics ( 
p>ticipants 9 ! program4  7,c7 ,! numb] 
& types ( int]n%ips 9 :i* eligible      
individuals 7 plac$ "u ! program4  7,d7 
,! numb] ( individuals :o obta9$        
long-t]m full-"t unsubsidiz$ employm5t  
positions aft] p>ticipation 9 ! program1
 ! h\rly wage & nature ( su* employm5t1 
& if available1 :e!r su* individuals 7  
/ill employ$ 9 su* positions ?ree mon?s 
aft] obta9+ su* positions4  7,e7 ,an    
assessm5t ( ! feasibility & advisability
 ( provid+ c>e] transition s]vices to   

eligible individuals4  7,f7 ,an         
assessm5t ( ! effect ( ! program on     
e>n+s ( eligible individuals & !        
employm5t ( eligible individuals4  7,g7 
,su* recomm5dations = legislative &     
adm9i/rative action z ! ,secret>y may h 
to improve ! program1 to exp& ! program1
 or to improve ! employm5t ( eligible   
individuals4  7r7 ,fund+ limitations    
7#a7 ,wages = int]n%ips ,n less ?an #ie 
p]c5t ( am\nts au?oriz$ to be           
appropriat$ = ! program by subsection   
7t7 %all be us$ to provide pay "u       
subsection 7f77#c74  7#b7 ,adm9i/ration 
,n m ?an #e p]c5t ( am\nts au?oriz$ to  
be appropriat$ = ! program by subsection
 7t7 may be us$ to adm9i/] ! program4   
7s7 ,def9itions ,9 ?is section3 7#a7    
,active duty1 ,arm$ ,=ces1 res]ve       
compon5t1 & vet]an ,! t]ms active duty1 
,arm$ ,=ces1 res]ve compon5t1 & vet]an h
 ! mean+s giv5 su* t]ms 9 section #aja (
 title #ch1 ,unit$ ,/ates ,code4  7#b7  
,full-"t basis ,! t]m full-"t basis1 )  
respect to an int]n%ip1 means           

p>ticipation 9 ! int]n%ip ( n few] ?an  
#cj h\rs p] week & n m ?an #dj h\rs p]  
week4  7#c7 ,small bus9ess conc]n ,! t]m
 small bus9ess conc]n has ! mean+ giv5 t
 t]m "u section #c7;a7 ( ! ,small       
,bus9ess ,act 7#ae ,u4,s4,c4 #fcb7;a774 
7#d7 ,unemploym5t comp5sation ,! t]m    
unemploym5t comp5sation means regul>    
comp5sation 7z def9$ 9 section #bje ( ! 
,f$]al-,/ate ,ext5d$ ,unemploym5t       
,comp5sation ,act ( #aigj71 comp5sation 
"u ! ,f$]al-,/ate ,ext5d$ ,comp5sation  
,act ( #aigj1 & comp5sation "u ! em]g5cy
 unemploym5t comp5sation program "u     
title ,,iv ( ! ,supplem5tal             
,appropriations ,act1 #bjjh4  7t7       
,au?orization ( appropriations ,!re is  
h]eby au?oriz$ to be appropriat$ =      
fiscal ye> #bjae = ! ,dep>tm5t (        
,vet]ans ,affairs1 #fjj1jjj1jjj to c>ry 
out ?is section4 ,! am\nt s au?oriz$ to 
be appropriat$ %all rema9 available     
until exp5d$4  ,d ,improv+ employm5t &  
reemploym5t rights ( memb]s ( ! uni=m$  
s]vices  #dca4 ,en=cem5t ( rights (     

memb]s ( uni=m$ s]vices ) respect to    
,/ates & private employ]s  7a7 ,action =
 relief ,subsection 7a7 ( section #dcbc 
is am5d$-- 7#a7 9 p>agraph 7#a7-- 7,a7  
by /rik+ appe> on behalf (1 & act z     
attorney =1 ! p]son on ^: behalf !      
compla9t is submitt$ &2  7,b7 by /rik+ =
 su* p]son2  7,c7 by /rik+ ! f\r?       
s5t5ce2 &  7,d7 by add+ at ! end !      
foll[+3 ,! p]son on ^: behalf ! compla9t
 is ref]r$ may1 ^u timely application1  
int]v5e 9 su* action1 & may obta9 su*   
appropriate relief z is provid$ 9       
subsections 7d7 & 7e742  7#b7 by /rik+  
p>agraph 7#b7 & ins]t+ ! foll[+ new     
p>agraph 7#b73  7#b7 7,a7 ,n lat] ?an   
#fj days aft] ! date ! ,attorney ,g5]al 
receives a ref]ral "u p>agraph 7#a71 !  
,attorney ,g5]al %all transmit1 9 writ+1
 to ! p]son on ^: behalf ! compla9t is  
submitt$-- 7i7 if ! ,attorney ,g5]al has
 made a decision to comm5ce an action = 
relief "u p>agraph 7#a7 relat+ to !     
compla9t ( ! p]son1 notice ( ! decision2
 &  7ii7 if ! ,attorney ,g5]al has n    

made su* a decision1 notice ( :5 !      
,attorney ,g5]al expects to make su* a  
decision4  7,b7 ,if ! ,attorney ,g5]al  
notifies a p]son t ! ,attorney ,g5]al   
expects to make a decision "u           
subp>agraph 7,a77ii71 ! ,attorney ,g5]al
 %all1 n lat] ?an #cj days aft] ! date  
on :i* ! ,attorney ,g5]al makes su*     
decision1 notify1 9 writ+1 ! p]son ( su*
 decision4  2  7#c7 by r$esignat+       
p>agraph 7#c7 z p>agraph 7#d72  7#d7 by 
ins]t+ aft] p>agraph 7#b7 ! foll[+ new  
p>agraph 7#c73  7#c7 ,:5ev] ! ,attorney 
,g5]al has reasonable cause to believe t
 a ,/ate 7z an employ]7 or a private    
employ] is engag$ 9 a patt]n or practice
 ( resi/ance to ! full enjoym5t ( any ( 
! rights & b5efits provid$ = "u ?is     
*apt]1 & t ! patt]n or practice is ( su*
 a nature & is int5d$ to d5y ! full     
ex]cise ( su* rights & b5efits1 !       
,attorney ,g5]al may comm5ce an action =
 relief "u ?is *apt]4  2 &  7#e7 9      
p>agraph 7#d71 z r$esignat$ by p>agraph 
7#c71 by /rik+ subp>agraph 7,c7 & ins]t+

 ! foll[+ new subp>agraph 7,c73  7,c7   
has be5 notifi$ by ! ,attorney ,g5]al t 
! ,attorney ,g5]al does n int5d to      
comm5ce an action = relief "u p>agraph  
7#a7 ) respect to ! compla9t "u su*     
p>agraph4  4  7b7 ,/&+ ,subsection 7f7 (
 su* section is am5d$ to read z foll[s3 
7f7 ,/&+ ,an action "u ?is *apt] may be 
initiat$ only by ! ,attorney ,g5]al or  
by a p]son claim+ rights or b5efits "u  
?is *apt] "u subsection 7a74  4  7c7    
,con=m+ am5dm5t ,subsection 7h77#b7 (   
su* section is am5d$ by /rik+ "u        
subsection 7a77#b7 & ins]t+ "u p>agraph 
7#a7 or 7#d7 ( subsection 7a74  #dcb4   
,susp5sion1 t]m9ation1 or deb>m5t (     
contractors = repeat$ violations (      
employm5t or reemploym5t rights ( memb]s
 ( uni=m$ s]vices  7a7 ,9 g5]al         
,sub*apt] ,,iii ( *apt] #dc is am5d$ by 
add+ at ! end ! foll[+ new section3     
#dcbh4 ,susp5sion1 t]m9ation1 or deb>m5t
 ( contractors  7a7 ,gr\nds = susp5sion1
 t]m9ation1 or deb>m5t ,paym5t "u a     
contract aw>d$ by a ,f$]al executive    

ag5cy may be susp5d$ & ! contract may be
 t]m9at$1 & ! contractor :o made !      
contract ) ! ag5cy may be susp5d$ or    
deb>r$ 9 accordance ) ! requirem5ts (   
?is section1 if ! head ( ! ag5cy        
det]m9es t ! contractor z an employ] has
 repeat$ly be5 convict$ ( fail+ or      
refus+ to comply ) "o or m provisions ( 
?is *apt]4  7b7 ,effect ( deb>m5t ,a    
contractor deb>r$ by a f9al decision "u 
?is section is ineligible = aw>d ( a    
contract by a ,f$]al executive ag5cy1 & 
= p>ticipation 9 a future procurem5t by 
a ,f$]al executive ag5cy1 = a p]iod     
specifi$ 9 ! decision1 n to exce$ #e    
ye>s4  4  7b7 ,cl]ical am5dm5t ,! table 
( sections at ! beg9n+ ( *apt] #dc is   
am5d$ by ins]t+ aft] ! item relat+ to   
section #dcbg ! foll[+ new item3  #dcbh4
 ,susp5sion1 t]m9ation1 or deb>m5t (    
contractor4  4  7c7 ,regulations ,n lat]
 ?an #ahj days aft] ! date ( ! enactm5t 
( ?is ,act1 ! ,f$]al ,acquisition       
,regulatory ,c\ncil %all am5d ! ,f$]al  
,acquisition ,regulation to c>ry out    

section #dcbh ( title #ch1 ,unit$ ,/ates
 ,code1 z add$ by subsection 7a74  7d7  
,effective date ,section #dcbh ( title  
#ch1 ,unit$ ,/ates ,code1 z add$ by     
subsection 7a71 %all apply ) respect to 
failures & refusals to comply )         
provisions ( *apt] #dc ( title #ch1     
,unit$ ,/ates ,code1 occurr+ on or aft] 
! date ( ! enactm5t ( ?is ,act4  7e7    
,annual report ,section #dccb7;a7 is    
am5d$-- 7#a7 by r$esignat+ p>agraph     
7#aj7 z p>agraph 7#aa72 &  7#b7 by      
ins]t+ aft] p>agraph 7#i7 ! foll[+ new  
p>agraph 7#aj73  7#aj7 ,! numb] (       
susp5sions1 t]m9ations1 & deb>m5ts "u   
section #dcbh ( ?is title1 disaggregat$ 
by ! ag5cy or dep>tm5t impos+ !         
susp5sion or deb>m5t4  4  #dcc4 ,subpo5a
 p[] = ,special ,c\nsel 9 en=cem5t (    
employm5t & reemploym5t rights ( memb]s 
( uni=m$ s]vices ) respect to ,f$]al    
executive ag5cies ,section #dcbd is     
am5d$ by add+ at ! end ! foll[+ new     
subsection3  7e7 7#a7 ,9 ord] to c>ry   
out ! ,special ,c\nsel's                

responsibilities "u ?is section1 !      
,special ,c\nsel may require by subpo5a 
! att5dance & te/imony ( ,f$]al         
employees & ! production ( docum5ts f   
,f$]al employees & ,f$]al executive     
ag5cies4  7#b7 ,9 ! case ( contumacy or 
failure to obey a subpo5a issu$ "u      
p>agraph 7#a71 ^u application by !      
,special ,c\nsel1 ! ,m]it ,sy/ems       
,protection ,bo>d may issue an ord]     
requir+ a ,f$]al employee or ,f$]al     
executive ag5cy to comply ) a subpo5a ( 
! ,special ,c\nsel4  7#c7 ,an ord] issu$
 "u p>agraph 7#b7 may be en=c$ by !     
,m]it ,sy/ems ,protection ,bo>d 9 ! same
 mann] z any ord] issu$ "u section #abjd
 ( title #e4  4  #dcd4 ,issuance &      
s]vice ( civil inve/igative dem&s by    
,attorney ,g5]al  7a7 ,9 g5]al ,section 
#dcbc is am5d$-- 7#a7 by r$esignat+     
subsection 7i7 z subsection 7j72 &  7#b7
 by ins]t+ aft] subsection 7h7 ! foll[+ 
new subsection 7i73  7i7 ,issuance &    
s]vice ( civil inve/igative dem&s  7#a7 
,:5ev] ! ,attorney ,g5]al has reason to 

believe t any p]son may be 9 possession1
 cu/ody1 or control ( any docum5t>y     
mat]ial relevant to an inve/igation "u  
?is sub*apt]1 ! ,attorney ,g5]al may1   
be=e comm5c+ a civil action "u          
subsection 7a71 issue 9 writ+ & s]ve ^u 
su* p]son1 a civil inve/igative dem&    
requir+-- 7,a7 ! production ( su*       
docum5t>y mat]ial = inspection & copy+2 
7,b7 t ! cu/odian ( su* docum5t>y       
mat]ial answ] 9 writ+ writt5 que/ions ) 
respect to su* docum5t>y mat]ial2 or    
7,c7 ! production ( any comb9ation ( su*
 docum5t>y mat]ial or answ]s4  7#b7 ,!  
provisions ( section #cgcc ( title #ca  
gov]n+ ! au?ority to issue1 use1 & en=ce
 civil inve/igative dem&s %all apply )  
respect to ! au?ority to issue1 use1 &  
en=ce civil inve/igative dem&s "u ?is   
section1 except t1 = purposes ( apply+  
su* section #cgcc-- 7,a7 ref]5ces to    
false claims law inve/igators or        
inve/igations %all be consid]$ ref]5ces 
to inve/igators or inve/igations "u ?is 
sub*apt]2  7,b7 ref]5ces to             

int]rogatories %all be consid]$ ref]5ces
 to writt5 que/ions1 & answ]s to su* ne$
 n be "u oa?2  7,c7 ! def9itions relat+ 
to false claims law %all n apply2 &     
7,d7 provisions relat+ to qui tam       
relators %all n apply4  4  7b7          
,effective date ,subsection 7i7 (       
section #dcbc ( title #ch1 ,unit$ ,/ates
 ,code1 z add$ by subsection 7a77#b71   
%all take effect on ! date ( ! enactm5t 
( ?is ,act & %all apply ) respect to    
violations ( *apt] #dc ( title #ch1     
,unit$ ,/ates ,code1 alleg$ to h occurr$
 on or aft] su* date4  7c7 ,annual      
reports ,section #dccb7;b77#b7 is       
am5d$-- 7#a7 by /rik+ ,n lat] ?an &     
ins]t+ ! foll[+3  7,a7 ,9 g5]al ,n lat] 
?an  2 &  7#b7 by add+ at ! end ! foll[+
 new subp>agraph3  7,b7 ,annual         
supplem5t on civil inve/igative dem&s   
7i7 ,9 g5]al ,! ,attorney ,g5]al %all   
include ) ea* report submitt$ "u        
subp>agraph 7,a7 = ! la/ qu>t] ( ea*    
fiscal ye> a report on ! issuance (     
civil inve/igative dem&s "u section     

#dcbc7;i7 ( ?is title dur+ ! mo/ rec5tly
 complet$ fiscal ye>4  7ii7 ,elem5ts    
,ea* report submitt$ "u clause 7i7 %all 
include ! foll[+ = ! fiscal ye> cov]$ by
 ! report3 7,i7 ,! numb] ( times t a    
civil inve/igative dem& 0 issu$ "u      
section #dcbc7;i7 ( ?is title4  7,,ii7  
,= ea* civil inve/igative dem& issu$ "u 
su* section ) respect to an             
inve/igation1 :e!r su* inve/igation     
result$ 9 a settlem5t1 ord]1 or judgm5t4
  4  ,e ,small ,bus9ess ,matt]s  #dda4  
,expansion ( contract+ goals & pref]5ces
 ( ,dep>tm5t ( ,vet]ans ,affairs to     
include conditionally own$ small bus9ess
 conc]ns #ajj p]c5t own$ by vet]ans     
,section #habg7l7 is am5d$-- 7#a7 9     
p>agraph 7#b71 by ins]t+ unconditionally
 be=e own$ by ea* place x appe>s2 &     
7#b7 by add+ at ! end ! foll[+ new      
p>agraph3  7#c7 ,! t]m unconditionally  
own$ includes1 ) respect to own]%ip ( a 
small bus9ess conc]n1 conditional       
own]%ip ( su* small bus9ess conc]n if   
su* bus9ess conc]n is #ajj p]c5t own$ by

 "o or m vet]ans4  4  #ddb4             
,modification ( treatm5t "u contract+   
goals & pref]5ces ( ,dep>tm5t ( ,vet]ans
 ,affairs = small bus9esses own$ by     
vet]ans ( small bus9esses aft] dea? (   
disabl$ vet]an own]s  7a7 ,9 g5]al      
,section #habg7;h7 is am5d$-- 7#a7 9    
p>agraph 7#c71 by /rik+ rat$ z & all t  
foll[s ?r\gh disability4 & ins]t+ a     
p]iod2 &  7#b7 9 p>agraph 7#b71 by am5d+
 subp>agraph 7,c7 to read z foll[s3     
7,c7 ,! date t-- 7i7 9 ! case ( a       
surviv+ sp\se ( a vet]an ) a            
s]vice-connect$ disability rat$ z #ajj  
p]c5t disabl+ or :o dies z a result ( a 
s]vice-connect$ disability1 is #aj ye>s 
aft] ! date ( ! vet]an's dea?2 or  7ii7 
9 ! case ( a surviv+ sp\se ( a vet]an ) 
a s]vice-connect$ disability rat$ z less
 ?an #ajj p]c5t disabl+ :o does n die z 
a result ( a s]vice-connect$ disability1
 is ?ree ye>s aft] ! date ( ! vet]an's  
dea?4  4  7b7 ,effective date ,!        
am5dm5ts made by subsection 7a7 %all    
take effect on ! date t is #ahj days    

aft] ! date ( ! enactm5t ( ?is ,act &   
%all apply ) respect to applications    
receiv$ pursuant to section             
#habg7;f77#b7 ( title #ch1 ,unit$ ,/ates
 ,code1 t are v]ifi$ on or aft] su*     
date4  #ddc4 ,treatm5t ( bus9esses aft] 
dea?s ( s]vicememb]-own]s = purposes (  
,dep>tm5t ( ,vet]ans ,affairs contract+ 
goals & pref]5ces  7a7 ,9 g5]al ,section
 #habg is am5d$-- 7#a7 by r$esignat+    
subsections 7i7 ?r\gh 7l7 z subsections 
7j7 ?r\gh 7m71 respectively2 &  7#b7 by 
ins]t+ aft] subsection 7h7 ! foll[+ new 
subsection 7i73  7i7 ,treatm5t (        
bus9esses aft] dea? ( s]vicememb]-,own] 
7#a7 ,if a memb] ( ! ,arm$ ,=ces owns at
 lea/ #ea p]c5t ( a small bus9ess conc]n
 & su* memb] is kill$ 9 l9e ( duty 9 !  
active milit>y1 naval1 or air s]vice1 ! 
surviv+ sp\se or dep5d5t *ild ( su*     
memb] :o acquires su* own]%ip rights 9  
su* small bus9ess conc]n %all1 = ! p]iod
 describ$ 9 p>agraph 7#b71 be treat$ z  
if ! surviv+ sp\se or dep5d5t *ild 7 a  
vet]an ) a s]vice-connect$ disability = 

purposes ( det]m9+ ! /atus ( ! small    
bus9ess conc]n z a small bus9ess conc]n 
own$ & controll$ by vet]ans = purposes (
 contract+ goals & pref]5ces "u ?is     
section4  7#b7 ,! p]iod ref]r$ to 9     
p>agraph 7#a7 is ! p]iod beg9n+ on !    
date on :i* ! memb] ( ! ,arm$ ,=ces dies
 & end+ on ! date z foll[s3 7,a7 ,9 !   
case ( a surviv+ sp\se1 ! e>lie/ ( !    
foll[+ dates3 7i7 ,! date on :i* !      
surviv+ sp\se rem>ries4  7ii7 ,! date on
 :i* ! surviv+ sp\se rel9qui%es an      
own]%ip int]e/ 9 ! small bus9ess conc]n 
& no long] owns at lea/ #ea p]c5t ( su* 
small bus9ess conc]n4  7iii7 ,! date t  
is t5 ye>s aft] ! date ( ! memb]'s dea?4
  7,b7 ,9 ! case ( a dep5d5t *ild1 !    
e>lie/ ( ! foll[+ dates3 7i7 ,! date on 
:i* ! surviv+ dep5d5t *ild rel9qui%es an
 own]%ip int]e/ 9 ! small bus9ess conc]n
 & no long] owns at lea/ #ea p]c5t ( su*
 small bus9ess conc]n4  7ii7 ,! date t  
is t5 ye>s aft] ! date ( ! memb]'s dea?4
  4  7b7 ,effective date ,subsection 7i7
 ( section #habg ( title #ch1 ,unit$    

,/ates ,code1 z add$ by subsection 7a71 
%all take effect on ! date ( ! enactm5t 
( ?is ,act & %all apply ) respect to !  
dea?s ( memb]s ( ! ,arm$ ,=ces occurr+  
on or aft] su* date4  #ddd4 ,special    
rule = treatm5t "u contract+ goals &    
pref]5ces ( ,dep>tm5t ( ,vet]ans        
,affairs ( small bus9ess conc]ns lic5s$ 
9 community prop]ty ,/ates ,section     
#habg1 z am5d$ by section #ddc ( ?is    
,act1 is fur!r am5d$ by add+ at ! end ! 
foll[+ new subsection3  7n7 ,special    
rule = community prop]ty ,/ates ,:5ev] !
 ,secret>y assesses1 = purposes ( ?is   
section1 ! degree ( own]%ip by an       
individual ( a small bus9ess conc]n     
lic5s$ 9 a community prop]ty ,/ate1 !   
,secret>y %all also assess :at t degree 
( own]%ip w\ld be if su* small bus9ess  
conc]n _h be5 lic5s$ 9 a ,/ate o!r ?an a
 community prop]ty ,/ate4 ,if !         
,secret>y det]m9es t su* individual w\ld
 h _h a great] degree ( own]%ip ( !     
small bus9ess conc]n _h su* small       
bus9ess conc]n be5 lic5s$ 9 a ,/ate o!r 

?an a community prop]ty ,/ate1 !        
,secret>y %all treat1 = purposes ( ?is  
section1 su* small bus9ess conc]n z if x
 _h be5 lic5s$ 9 a ,/ate o!r ?an a      
community prop]ty ,/ate4  4  #dde4      
,report on assi/ance = vet]ans 9 obta9+ 
tra9+ on pur*as+ & op]at+ a fran*ise    
7a7 ,report requir$ ,n lat] ?an "o ye>  
aft] ! effective date specifi$ 9        
subsection 7c71 ! ,secret>y ( ,labor    
%all1 9 consultation ) ! ,secret>y (    
,vet]ans ,affairs1 ! ,adm9i/rator ( !   
,small ,bus9ess ,adm9i/ration1 & o!r    
appropriate entities1 submit to         
,congress a report on ! assi/ance       
available to vet]ans to obta9 tra9+     
necess>y to pur*ase & op]ate a fran*ise4
  7b7 ,elem5ts ,! report requir$ by     
subsection 7a7 %all include ! foll[+3   
7#a7 ,a description ( ! assi/ance       
available = vet]ans ?r\gh ! ,dep>tm5t ( 
,labor1 ! ,dep>tm5t ( ,vet]ans ,affairs1
 ! ,small ,bus9ess ,adm9i/ration1 or any
 o!r ag5cy ( ! ,f$]al ,gov]nm5t 9 ord]  
to obta9 tra9+ necess>y to pur*ase or   

op]ate a fran*ise4  7#b7 ,in=mation on !
 numb] ( vet]ans :o h s\ght & obta9$ !  
tra9+ describ$ 9 p>agraph 7#a7 dur+ !   
five cal5d> ye>s prec$+ ! report4  7#c7 
,a description ( any b>ri]s enc\nt]$ by 
vet]ans 9 obta9+ ! tra9+ describ$ 9     
p>agraph 7#a74  7c7 ,effective date ,?is
 section %all take effect on ! date t is
 "o ye> aft] ! date ( ! enactm5t ( ?is  
,act4  ,v ,acc\ntability & ,adm9i/rative
 ,improvem5ts  #eja4 ,adm9i/ration (    
,vet]ans ,integrat$ ,s]vice ,networks   
7a7 ,vet]ans ,integrat$ ,s]vice         
,networks  7#a7 ,9 g5]al ,sub*apt] ,i ( 
*apt] #gc is am5d$ by add+ at ! end !   
foll[+ new section3  #gcaj4 ,vet]ans    
,integrat$ ,s]vice ,networks  7a7       
,organization  7#a7 ,! ,secret>y %all   
organize ! ,vet]ans ,heal? ,adm9i/ration
 9 geographically def9$ ,vet]ans        
,integrat$ ,s]vice ,networks4  7#b7 ,ea*
 ,vet]ans ,integrat$ ,s]vice ,network   
%all be organiz$ 9 consid]ation ( !     
foll[+3 7,a7 ,! size ( ! vet]an         
population ( ! region ( ! network4  7,b7

 ,! complexity ( ! m$ical ne$s ( !      
vet]ans 9 su* region4  7,c7 ,pati5t     
ref]ral patt]ns4  7,d7 ,! availability (
 a full cont9uum ( heal? c>e s]vices4   
7,e7 ,! ability ( ! ,dep>tm5t to furni% 
heal? c>e effici5tly4  7,f7 ,p>tn]%ips )
 non-,dep>tm5t heal? c>e entities4  7b7 
,/aff+ model  7#a7 ,! ,secret>y %all    
e/abli% a /aff+ model = ea* ,vet]ans    
,integrat$ ,s]vice ,network t-- 7,a7 is 
appropriate = ! mission &               
responsibilities ( ! ,vet]ans ,integrat$
 ,s]vice ,network2 &  7,b7 acc\nts = !  
specific heal? c>e ne$s ( diff]+        
populations 9 ! ,vet]ans ,integrat$     
,s]vice ,network4  7#b7 ,! ,secret>y    
%all ensure t ea* ,vet]ans ,integrat$   
,s]vice ,network complies ) ! /aff+     
model e/abli%$ by ! ,secret>y "u        
p>agraph 7#a7 = su* ,vet]ans ,integrat$ 
,s]vice ,network4  7c7 ,integrat$ heal? 
c>e sy/em ,! ,secret>y %all ensure t ea*
 ,vet]ans ,integrat$ ,s]vice ,network   
ma9ta9s a regional integrat$ heal?c>e   
sy/em by-- 7#a7 implem5t+ alliances )   

su* o!r gov]nm5tal1 public1 & private   
heal? c>e organizations & practition]s z
 ! ,secret>y consid]s appropriate to    
meet ! ne$s ( vet]ans 9 ! ,network2     
7#b7 provid+ ov]sight & managem5t (1 &  
tak+ responsibility =1 a regional budget
 = ! activities ( ! ,vet]ans ,heal?     
,adm9i/ration 9 ! geographic area ( !   
,network t is-- 7,a7 align$ ) ! budget  
guidel9es ( ! ,dep>tm5t & ! ,vet]ans    
,heal? ,adm9i/ration2  7,b7 balanc$ at !
 end ( ea* fiscal ye>2 &  7,c7 suffici5t
 to provide high-quality heal? c>e to   
vet]ans )9 ! region & to meet any unique
 ne$s ( ! vet]ans ( ! region2  7#c7 us+ 
national metrics to develop sy/ems to   
provide effective1 effici5t1 & safe     
deliv]y ( heal? c>e2 &  7#d7 ensur+     
high-quality cl9ical programs & s]vices 
are r5d]$ 9 & ?r\gh-- 7,a7 ! m$ical     
c5t]s & outpati5t cl9ics ( ! ,dep>tm5t t
 are locat$ 9 ! ,network2 &  7,b7 o!r   
non-,dep>tm5t cl9ical or heal? c>e      
deliv]y sett+s locat$ 9 ! ,network4  7d7
 ,r$uction 9 duplicate functions ,!     

,secret>y %all ensure t ! ,vet]ans      
,integrat$ ,s]vice ,networks id5tify &  
r$uce1 :5ev] practicable1 ! duplication 
( functions 9 cl9ical1 adm9i/rative1 &  
op]ational processes & practices ( !    
,vet]ans ,heal? ,adm9i/ration4  7e7     
,collaboration & coop]ation ,! ,secret>y
 %all ensure t ea* ,vet]ans ,integrat$  
,s]vice ,network-- 7#a7 works to a*ieve 
maximum effectiv5ess 9 pati5t c>e &     
safety1 graduate m$ical education1 &    
rese>*2 &  7#b7 assesses ! consolidation
 or realignm5t ( in/itutional functions1
 includ+ capital asset1 safety1 &       
op]ational support functions1 9         
collaboration & coop]ation ) o!r        
,vet]ans ,integrat$ ,s]vice ,networks & 
! foll[+ (fices or entities )9 !        
geographical area ( ! ,network3 7,a7 ,! 
(fices ( ! ,vet]ans ,b5efits            
,adm9i/ration & ! ,national ,cemet]y    
,adm9i/ration4  7,b7 ,! (fices1         
in/allations1 & facilities ( ! ,dep>tm5t
 ( ,def5se1 includ+ ! (fices1           
in/allations1 & facilities ( ea* bran* (

 ! ,arm$ ,=ces & ! res]ve compon5ts ( ! 
,arm$ ,=ces4  7,c7 ,! (fices1           
in/allations1 & facilities ( ! ,coa/    
,gu>d4  7,d7 ,(fices ( ,/ate & local    
ag5cies t h a mission to provide        
assi/ance to vet]ans4  7,e7 ,m$ical     
s*ools & o!r affiliates4  7,f7 ,(fices (
 ,congress1 (fices ( ,/ate & local      
elect$ (ficials1 & o!r gov]nm5t (fices4 
7,g7 ,f$]al1 ,/ate1 & local em]g5cy     
prep>$ness organizations4  7,h7         
,community & nonpr(it organizations4    
7,i7 ,su* o!r entities ( ! ,f$]al       
,gov]nm5t z ! ,secret>y consid]s        
appropriate4  7f7 ,headqu>t]s  7#a7 ,!  
,secret>y %all ensure t ea* ,vet]ans    
,integrat$ ,s]vice ,network has only "o 
headqu>t]s (fice4  7#b7 ,! location ( a 
headqu>t]s (fice = a ,vet]ans ,integrat$
 ,s]vice ,network %all be det]m9$ by !  
,secret>y & co-locat$ ) a ,dep>tm5t (   
,vet]ans ,affairs m$ical c5t]4  7#c7    
7,a7 ,! ,secret>y may employ or contract
 = ! s]vices ( su* full "t equival5t    
employees & contractors at ! headqu>t]s 

( ea* ,vet]ans ,integrat$ ,s]vice       
,network z ! ,secret>y consid]s         
appropriate 9 accordance ) ! /aff+      
models e/abli%$ "u subsection 7b74  7,b7
 ,n lat] ?an ,decemb] #ca ea* ye>1 !    
,secret>y %all submit to ! ,committee on
 ,vet]ans' ,affairs ( ! ,s5ate & !      
,committee on ,vet]ans' ,affairs ( !    
,h\se ( ,repres5tatives a report on     
employm5t at ! headqu>t]s ( ,vet]ans    
,integrat$ ,s]vice ,networks dur+ ! mo/ 
rec5tly complet$ fiscal ye>4  7,c7 ,ea* 
report submitt$ "u subp>agraph 7,b7 %all
 include ! foll[+ = ! ye> cov]$ by !    
report3 7i7 ,! numb] ( individuals      
employ$ at ea* headqu>t]s ( a ,vet]ans  
,integrat$ ,s]vice ,network4  7ii7 ,!   
numb] ( individuals employ$ by !        
,vet]ans ,heal? ,adm9i/ration 9 ea*     
,vet]ans ,integrat$ ,s]vice ,network :o 
are n employ$ at ! same location z !    
headqu>t]s ( ! ,network4  7iii7 ,! title
 = ea* position ( employm5t at a        
headqu>t]s ( a ,vet]ans ,integrat$      
,s]vice ,network4  7iv7 ,! title = ea*  

position ( employm5t ) ! ,vet]ans ,heal?
 ,adm9i/ration 9 ea* ,vet]ans ,integrat$
 ,s]vice ,network t is n at ! same      
location z ! headqu>t]s ( ! ,network4   
7v7 ,an assessm5t ( ! impact on ! budget
 ( ! ,dep>tm5t by ! employm5t (         
individuals at ! headqu>t]s ( ! ,vet]ans
 ,integrat$ ,s]vice ,networks4  7g7     
,tri5nial /ructure review1 reassessm5t1 
& report  7#a7 ,beg9n+ ?ree ye>s aft] ! 
date ( ! enactm5t ( ?is section & n less
 frequ5tly ?an once e ?ree ye>s !reaft]1
 ! ,secret>y %all conduct a review &    
assessm5t ( ! /ructure & op]ations ( !  
,vet]ans ,integrat$ ,s]vice ,networks 9 
ord] to id5tify recomm5dations-- 7,a7 = 
/reaml9+ & r$uc+ co/s associat$ ) !     
op]ation ( ea* headqu>t]s ( a ,vet]ans  
,integrat$ ,s]vice ,network2 &  7,b7 =  
r$uc+ co/s ( heal? c>e )9 ! ,vet]ans    
,heal? ,adm9i/ration4  7#b7 ,n lat] ?an 
#ahj days aft] conduct+ a review &      
assessm5t "u p>agraph 7#a71 ! ,secret>y 
%all submit to ! ,committee ( ,vet]ans' 
,affairs ( ! ,s5ate & ! ,committee on   

,vet]ans' ,affairs ( ! ,h\se (          
,repres5tatives a report on su* review &
 assessm5t1 :i* %all include su*        
recomm5dations = legislative or         
adm9i/rative action z ! ,secret>y       
consid]s appropriate to improve !       
,vet]ans ,integrat$ ,s]vice ,networks4  
4  7#b7 ,cl]ical am5dm5t ,! table (     
sections at ! beg9n+ ( *apt] #gc is     
am5d$ by ins]t+ aft] ! item relat+ to   
section #gcji ! foll[+ new item3  #gcaj4
 ,vet]ans ,integrat$ ,s]vice ,networks4 
4  7b7 ,relocation ( headqu>t]s  7#a7 ,9
 g5]al ,9 ! case ( a headqu>t]s (fice ( 
a ,vet]ans ,integrat$ ,s]vice ,network t
 on ! day be=e ! date ( ! enactm5t ( ?is
 ,act 0 9 a location t 0 n co-locat$ ) a
 ,dep>tm5t ( ,vet]ans ,affairs m$ical   
c5t] & ! ,secret>y is engag$ 9 a lease =
 su* location1 ! ,secret>y may-- 7,a7   
relocate su* headqu>t]s ^u ! expiration 
( su* lease s t su* headqu>t]s is       
co-locat$ z requir$ by section          
#gcaj7;f77#b7 ( title #ch1 ,unit$ ,/ates
 ,code 7z add$ by subsection 7a77#a772  

or  7,b7 not)/&+ su* section            
#gcaj7;f77#b7 7z s add$71 r5ew su* lease
 or ent] into a new lease to keep su*   
headqu>t]s 9 su* location4  7#b7 ,report
 ,if ! ,secret>y r5ews a lease or       
engages 9 a new lease "u p>agraph       
7#a77;,b71 ! ,secret>y %all submit to ! 
,committee on ,vet]ans' ,affairs ( !    
,s5ate & ! ,committee on ,vet]ans'      
,affairs ( ! ,h\se ( ,repres5tatives1   
be=e r5ew+ su* lease or engag+ 9 su*    
lease1 a report describ+ ! reasons = su*
 r5ewal or engagem5t4 ,su* report %all  
include ! foll[+3 7,a7 ,a li/ (         
,dep>tm5t ( ,vet]ans ,affairs m$ical    
c5t]s 9 ! ,vet]ans ,integrat$ ,s]vice   
,network ( ! headqu>t]s ) und]utiliz$   
build+s1 ! numb] ( su* build+s1 & !     
total und]utiliz$ squ>e footage = ea*   
su* m$ical c5t]4  7,b7 ,! co/ ( ! curr5t
 lease 7! annual am\nt ( r5t1 ! total   
co/ ov] ! life ( ! lease1 & ! total co/ 
p] squ>e foot7 & ! curr5t squ>e footage 
be+ leas$4  7,c7 ,! co/ ( ! new lease 7!
 annual am\nt ( r5t1 ! total co/ ov] !  

life ( ! lease1 & ! total co/ p] squ>e  
foot7 & ! squ>e footage to be leas$4    
7c7 ,con/ruction ,no?+ 9 ?is section    
%all be con/ru$ to require any *ange 9 !
 location or type ( m$ical c>e or s]vice
 provid$ by a ,dep>tm5t ( ,vet]ans      
,affairs m$ical c5t]1 a ,dep>tm5t       
community bas$ outpati5t cl9ic1 a c5t] =
 readju/m5t c\nsel+ & relat$ m5tal heal?
 s]vices = vet]ans "u section #agab;,a (
 title #ch1 ,unit$ ,/ates ,code 7kn[n z 
a vet c5t]71 or o!r facility t provides 
direct c>e or s]vices "u a law adm9i/]$ 
by ! ,secret>y ( ,vet]ans ,affairs4  7d7
 ,effective date ,?is section1 & !      
am5dm5ts made by ?is section1 %all take 
effect on ! date t is "o ye> aft] ! date
 ( ! enactm5t ( ?is ,act4  #ejb4        
,regional support c5t]s = ,vet]ans      
,integrat$ ,s]vice ,networks  7a7 ,9    
g5]al ,sub*apt] ,i ( *apt] #gc1 z am5d$ 
by section #eja7;a77#a7 ( ?is ,act1 is  
fur!r am5d$ by add+ at ! end ! foll[+   
new section3  #gcaj;,a4 ,regional       
support c5t]s = ,vet]ans ,integrat$     

,s]vice ,networks  7a7 ,e/abli%m5t ,!   
,secret>y %all e/abli% n m ?an f\r      
regional support c5t]s )9 ! ,vet]ans    
,heal? ,adm9i/ration to assess !        
effectiv5ess & effici5cy ( ! ,vet]ans   
,integrat$ ,s]vice ,networks4 ,! head ( 
ea* regional support c5t] %all report to
 ! ,"u ,secret>y ( ,heal?4  7b7         
,functions ,! functions ( ! regional    
support c5t]s e/abli%$ "u subsection 7a7
 are z foll[s3 7#a7 ,to assess ! quality
 ( "w p]=m$ )9 f9ance op]ations & o!r   
compliance relat$ activities ( !        
,vet]ans ,integrat$ ,s]vice ,networks4  
7#b7 ,to assess h[ effectively &        
effici5tly ea* ,vet]ans ,integrat$      
,s]vice ,network conducts outrea* to    
vet]ans :o s]v$ 9 ,op]ation ,endur+     
,fre$om1 ,op]ation ,iraqi ,fre$om1      
,op]ation ,new ,dawn1 or any o!r        
cont+5cy op]ation 7z t t]m is def9$ 9   
section #aja ( title #aj74  7#c7 ,to    
assess h[ effectively & effici5tly ea*  
,vet]ans ,integrat$ ,s]vice ,network    
conducts programs = ! b5efit ( wom5     

vet]ans4  7#d7 ,to assess h[ effectively
 & effici5tly ea* ,vet]ans ,integrat$   
,s]vice ,network conducts programs t    
address homelessness among vet]ans4     
7#e7 ,to assess h[ effectively &        
effici5tly ea* ,vet]ans ,integrat$      
,s]vice ,network consumes en]gy4  7#f7  
,to assess su* o!r matt]s conc]n+ !     
op]ations & activities ( ! ,vet]ans     
,integrat$ ,s]vice ,networks z !        
,secret>y consid]s appropriate4  7c7    
,/aff ,! ,secret>y may hire su*         
employees & contractors z ! ,secret>y   
consid]s appropriate to c>ry out !      
functions ( ! regional support c5t]s4   
7d7 ,location ( regional support c5t]s  
7#a7 ,except z provid$ 9 p>agraph 7#b71 
! location ( ea* regional support c5t]  
e/abli%$ "u subsection 7a7 %all be      
det]m9$ by ! ,secret>y & co-locat$ ) a  
m$ical c5t] ( ! ,dep>tm5t4  7#b7 ,!     
,secret>y may *oose a location = a      
regional support c5t] e/abli%$ "u       
subsection 7a7 t is n co-locat$ ) a     
m$ical c5t] ( ! ,dep>tm5t if ! ,secret>y

 submits to ! ,committee on ,vet]ans'   
,affairs ( ! ,s5ate & ! ,committee on   
,vet]ans' ,affairs ( ! ,h\se (          
,repres5tatives1 be=e ent]+ into a      
contract = a location t is n co-locat$ )
 a m$ical c5t]1 a report describ+ !     
reasons = *oos+ a location = ! regional 
support c5t] t is n co-locat$ ) a m$ical
 c5t] ( ! ,dep>tm5t4 ,su* report %all   
include ! foll[+3 7,a7 ,a li/ ( m$ical  
c5t]s ( ! ,dep>tm5t 9 ! ,vet]ans        
,integrat$ ,s]vice ,network ( ! regional
 support c5t] ) und]utiliz$ build+s1 !  
numb] ( all ,vet]ans ,heal?             
,adm9i/ration build+s 9 su* ,network1 & 
! total und]utiliz$ squ>e footage = ea* 
m$ical c5t] ( ! ,dep>tm5t 9 su*         
,network4  7,b7 ,! e/imat$ co/ ( su*    
lease 7! annual am\nt ( r5t1 ! total co/
 ov] ! life ( ! lease1 & ! total co/ p] 
squ>e foot7 & ! squ>e footage to be     
leas$4  4  7b7 ,initial /aff+ ,9 provid+
 = ! initial /aff ( ea* regional support
 c5t] e/abli%$ "u section #gcaj;,a7a7 ( 
title #ch1 ,unit$ ,/ates ,code1 z add$  

by subsection 7a71 ! ,secret>y (        
,vet]ans ,affairs %all1 to ! degree     
practicable1 transf] employees f        
headqu>t]s ( ,vet]ans ,integrat$ ,s]vice
 ,networks to regional support c5t]s :o 
7 employ$ 9 positions at su* headqu>t]s 
t cov]$ functions simil> to ^? describ$ 
9 section #gcaj;,a7b7 ( su* title1 z s  
add$4  7c7 ,cl]ical am5dm5t ,! table (  
sections at ! beg9n+ ( *apt] #gc1 z     
am5d$ by section #eja7;a77#b7 ( ?is     
,act1 is fur!r am5d$ by ins]t+ aft] !   
item relat+ to section #gcaj ! foll[+   
new item3  #gcaj;,a4 ,regional support  
c5t]s = ,vet]ans ,integrat$ ,s]vice     
,networks4  4  7d7 ,con/ruction ,no?+ 9 
?is section %all be con/ru$ to require  
any *ange 9 ! location or type ( m$ical 
c>e or s]vice provid$ by a ,dep>tm5t (  
,vet]ans ,affairs m$ical c5t]1 a        
,dep>tm5t community bas$ outpati5t      
cl9ic1 a c5t] = readju/m5t c\nsel+ &    
relat$ m5tal heal? s]vices = vet]ans "u 
section #agab;,a ( title #ch1 ,unit$    
,/ates ,code 7kn[n z a vet c5t]71 or o!r

 facility t provides direct c>e or      
s]vices "u a law adm9i/]$ by ! ,secret>y
 ( ,vet]ans ,affairs4  7e7 ,effective   
date ,?is section1 & ! am5dm5ts made by 
?is section1 %all take effect on ! date 
t is "o ye> aft] ! date ( ! enactm5t (  
?is ,act4  #ejc4 ,commission on ,capital
 ,plann+ = ,dep>tm5t ( ,vet]ans ,affairs
 ,m$ical ,facilities  7a7 ,e/abli%m5t ( 
commission  7#a7 ,e/abli%m5t ,!re is    
e/abli%$ ! ,commission on ,capital      
,plann+ = ,dep>tm5t ( ,vet]ans ,affairs 
,m$ical ,facilities 79 ?is section      
ref]r$ to z ! ,commission74  7#b7       
,memb]%ip  7,a7 ,vot+ memb]s ,!         
,commission %all1 subject to subp>agraph
 7,b71 be compos$ ( #aj vot+ memb]s z   
foll[s3 7i7 #a %all be appo9t$ by !     
,presid5t4  7ii7 #a %all be appo9t$ by !
 ,adm9i/rator ( ,g5]al ,s]vices4  7iii7 
#c %all be appo9t$ by ! ,secret>y (     
,vet]ans ,affairs1 ( :om-- 7,i7 #a %all 
be an employee ( ! ,vet]ans ,heal?      
,adm9i/ration2  7,,ii7 #a %all be an    
employee ( ! ,(fice ( ,asset ,ent]prise 

,managem5t ( ! ,dep>tm5t ( ,vet]ans     
,affairs2 &  7,,iii7 #a %all be an      
employee ( ! ,(fice ( ,con/ruction &    
,facilities ,managem5t ( ! ,dep>tm5t (  
,vet]ans ,affairs4  7iv7 #a %all be     
appo9t$ by ! ,secret>y ( ,def5se f among
 employees ( ! ,army ,corps ( ,eng9e]s4 
7v7 #a %all be appo9t$ by ! majority    
lead] ( ! ,s5ate4  7vi7 #a %all be      
appo9t$ by ! m9ority lead] ( ! ,s5ate4  
7vii7 #a %all be appo9t$ by ! ,speak] ( 
! ,h\se ( ,repres5tatives4  7viii7 #a   
%all be appo9t$ by ! m9ority lead] ( !  
,h\se ( ,repres5tatives4  7,b7          
,requirem5t relat+ to c]ta9 appo9tm5ts (
 vot+ memb]s ,( ! memb]s appo9t$        
pursuant to clause 7i71 7ii71 & 7iv7    
?r\gh 7viii7 ( subp>agraph 7,a71 all    
%all h exp]tise 9 capital leas+1        
con/ruction1 or heal? facility managem5t
 plann+4  7,c7 ,non-vot+ memb]s ,!      
,commission %all be assi/$ by #aj       
non-vot+ memb]s1 appo9t$ by ! vote ( a  
majority ( memb]s ( ! ,commission "u    
subp>agraph 7,a71 ( :om-- 7i7 #f %all be

 repres5tatives ( vet]ans s]vice        
organizations recogniz$ by ! ,secret>y (
 ,vet]ans ,affairs2 &  7ii7 #d %all be  
individuals f outside ! ,dep>tm5t (     
,vet]ans ,affairs ) exp]i5ce & exp]tise 
9 matt]s relat+ to managem5t1           
con/ruction1 & leas+ ( capital assets4  
7,d7 ,date ( appo9tm5t ( vot+ memb]s ,! 
appo9tm5ts ( ! memb]s ( ! ,commission "u
 subp>agraph 7,a7 %all be made n lat]   
?an #fj days aft] ! date ( ! enactm5t ( 
?is ,act4  7#c7 ,p]iod ( appo9tm5t2     
vacancies ,memb]s %all be appo9t$ = !   
life ( ! ,commission4 ,any vacancy 9 !  
,commission %all n affect its p[]s1 b   
%all be fill$ 9 ! same mann] z ! orig9al
 appo9tm5t4  7#d7 ,initial meet+ ,n lat]
 ?an #ae days aft] ! date on :i* #g     
memb]s ( ! ,commission h be5 appo9t$1 ! 
,commission %all hold its fir/ meet+4   
7#e7 ,meet+s ,! ,commission %all meet at
 ! call ( ! ,*air4  7#f7 ,quorum ,a     
majority ( ! memb]s ( ! ,commission %all
 con/itute a quorum1 b a less] numb] (  
memb]s may hold he>+s4  7#g7 ,*air &    

vice *air ,! ,commission %all select a  
,*air & ,vice ,*air f among its memb]s4 
7b7 ,duties ( commission  7#a7 ,9 g5]al 
,! ,commission %all und]take a          
compreh5sive evaluation & assessm5t (   
v>i\s options = capital plann+ =        
,dep>tm5t ( ,vet]ans ,affairs m$ical    
facilities1 includ+ an evaluation &     
assessm5t ( ! me*anisms by :i* !        
,dep>tm5t curr5tly selects means = !    
deliv]y ( heal? c>e1 :e!r by major      
con/ruction1 major m$ical facility      
leases1 %>+ agreem5ts ) ! ,dep>tm5t (   
,def5se1 ! ,indian ,heal? ,s]vice1 &    
,f$]ally ,qualifi$ ,heal? ,cl9ics "u    
section #ccj ( ! ,public ,heal? ,s]vice 
,act 7#db ,u4,s4,c4 #bed;b71 contract   
c>e1 multisite c>e1 telem$ic9e1 ext5d$  
h\rs = c>e1 or o!r means4  7#b7 ,context
 ( evaluation & assessm5t ,9 und]tak+ ! 
evaluation & assessm5t1 ! ,commission   
%all consid]-- 7,a7 ! importance (      
access to heal? c>e ?r\gh ! ,dep>tm5t1  
includ+ associat$ guidel9es ( !         
,dep>tm5t on access to1 & drive "t =1   

heal? c>e2  7,b7 limitations &          
requirem5ts applicable to ! con/ruction 
& leas+ ( m$ical facilities = !         
,dep>tm5t1 includ+ applicable laws1     
regulations1 & co/s z det]m9$ by bo? !  
,congressional ,budget ,(fice & ! ,(fice
 ( ,managem5t & ,budget2  7,c7 ! nature 
( capital plann+ = ,dep>tm5t m$ical     
facilities 9 an era ( fiscal unc]ta9ty2 
7,d7 project$ future fluctuations 9 !   
population ( vet]ans2 &  7,e7 ! ext5t to
 :i* ! ,dep>tm5t 0 able to meet ! m&ates
 ( ! ,capital ,asset ,realignm5t =      
,enhanc$ ,s]vices ,commission4  7#c7    
,p>ticul> consid]ations ,9 und]tak+ !   
evaluation & assessm5t1 ! ,commission   
%all address1 9 p>ticul>1 ! foll[+3 7,a7
 ,! ,major ,m$ical ,facility ,lease     
,program ( ! ,dep>tm5t1 includ+ an      
id5tification ( pot5tial improvem5ts to 
! lease au?orization processes "u t     
,program4  7,b7 ,! managem5t processes (
 ! ,dep>tm5t = its ,major ,m$ical       
,facility ,con/ruction ,program1 includ+
 processes relat+ to contract aw>d &    

managem5t1 project managem5t1 & process+
 ( *ange ord]s4  7,c7 ,! ov]all capital 
plann+ program ( ! ,dep>tm5t = m$ical   
facilities1 includ+ an evaluation &     
assessm5t (-- 7i7 ! mann] 9 :i* !       
,dep>tm5t det]m9es :e!r to use capital  
or non-capital means to exp& access to  
heal? c>e2  7ii7 ! mann] 9 :i* !        
,dep>tm5t det]m9es ! disposition (      
"u-utiliz$ & un-utiliz$ build+s on      
campuses ( ,dep>tm5t m$ical c5t]s1 & any
 b>ri]s to disposition2  7iii7 !        
effectiv5ess ( ! facility ma/] plann+   
initiative ( ! ,dep>tm5t2 &  7iv7 !     
ext5t to :i* su/a9able attributes are   
plann$ = to decrease op]at+ co/s =      
,dep>tm5t m$ical facilities4  7,d7 ,!   
curr5t backlog ( con/ruction projects = 
,dep>tm5t m$ical facilities1 includ+ an 
id5tification ( ! mo/ effective means to
 quickly secure ! mo/ critical repairs  
requir$1 includ+ repairs relat+ to      
facility condition defici5cies1         
/ructural safety1 & compliance ) !      
,am]icans ,) ,disabilities ,act ( #aiij4

  7#d7 ,reports ,subject to p>agraph    
7#e71 ! ,commission %all submit to !    
,secret>y ( ,vet]ans ,affairs1 & to !   
,committee ,vet]ans' ,affairs ( ! ,s5ate
 & ! ,committee on ,vet]ans' ,affairs ( 
! ,h\se ( ,repres5tatives1 reports z    
foll[s3 7,a7 ,n lat] ?an six mon?s aft] 
its initial meet+ "u subsection 7a77#d71
 a report on ! ,major ,m$ical ,facility 
,lease ,program & ! ,congressional lease
 au?orization process4  7,b7 ,n lat] ?an
 "o ye> aft] its initial meet+1 a       
report-- 7i7 on ! managem5t processes ( 
! ,dep>tm5t = ! con/ruction ( ,dep>tm5t 
m$ical facilities2 &  7ii7 sett+ =? an  
update ( any matt]s cov]$ 9 ! report "u 
subp>agraph 7,a74  7,c7 ,n lat] ?an #ah 
mon?s aft] its initial meet+1 a report--
 7i7 on ! ov]all capital plann+ program 
( ! ,dep>tm5t = m$ical facilities2 &    
7ii7 sett+ =? an update ( any matt]s    
cov]$ 9 e>li] reports "u ?is p>agraph4  
7,d7 ,n lat] ?an two ye>s aft] its      
initial meet+1 a report-- 7i7 on !      
curr5t backlog ( con/ruction projects = 

,dep>tm5t m$ical facilities2  7ii7 sett+
 =? an update ( any matt]s cov]$ 9 e>li]
 reports "u ?is p>agraph2 &  7iii7      
includ+ su* o!r matt]s relat+ to !      
duties ( ! ,commission t ! ,commission  
consid]s appropriate4  7,e7 ,n lat] ?an 
#bg mon?s aft] its initial meet+1 a     
report on ! implem5tation by ! ,secret>y
 ( ,vet]ans ,affairs pursuant to        
subsection 7g7 ( ! recomm5dations       
includ$ pursuant to p>agraph 7#e7 9 !   
reports "u ?is p>agraph4  7#e7          
,recomm5dations ,ea* report "u p>agraph 
7#d7 %all include1 = ! aspect ( !       
capital asset plann+ process ( !        
,dep>tm5t cov]$ by su* report1 su*      
recomm5dations z ! ,commission consid]s 
appropriate = ! improvem5t & enhancem5t 
( su* aspect ( ! capital asset plann+   
process4  7c7 ,p[]s ( commission  7#a7  
,he>+s ,! ,commission may hold su*      
he>+s1 sit & act at su* times & places1 
take su* te/imony1 & receive su* evid5ce
 z ! ,commission consid]s advisable to  
c>ry out ?is section4  7#b7 ,in=mation f

 ,f$]al ag5cies ,! ,commission may      
secure directly f any ,f$]al dep>tm5t or
 ag5cy su* in=mation z ! ,commission    
consid]s necess>y to c>ry out ?is       
section4 ,^u reque/ ( ! ,*air ( !       
,commission1 ! head ( su* dep>tm5t or   
ag5cy %all furni% su* in=mation to !    
,commission4  7d7 ,commission p]sonnel  
matt]s  7#a7 ,comp5sation ( memb]s ,ea* 
memb] ( ! ,commission :o is n an (fic]  
or employee ( ! ,f$]al ,gov]nm5t %all be
 comp5sat$ at a rate equal to ! daily   
equival5t ( ! annual rate ( basic pay   
prescrib$ = level ,,iv ( ! ,executive   
,s*$ule "u section #ecae ( title #e1    
,unit$ ,/ates ,code1 = ea* day 7includ+ 
travel "t7 dur+ :i* su* memb] is engag$ 
9 ! p]=mance ( ! duties ( ! ,commission4
 ,all memb]s ( ! ,commission :o are     
(fic]s or employees ( ! ,unit$ ,/ates   
%all s]ve )\t comp5sation 9 addition to 
t receiv$ = _! s]vices z (fic]s or      
employees ( ! ,unit$ ,/ates4  7#b7      
,travel exp5ses ,! memb]s ( !           
,commission %all be all[$ travel        

exp5ses1 includ+ p] diem 9 lieu (       
subsi/5ce1 at rates au?oriz$ = employees
 ( ag5cies "u sub*apt] ,i ( *apt] #eg ( 
title #e1 ,unit$ ,/ates ,code1 :ile away
 f _! homes or regul> places ( bus9ess 9
 ! p]=mance ( s]vices = ! ,commission4  
7#c7 ,/aff  7,a7 ,9 g5]al ,! ,*air ( !  
,commission may1 )\t reg>d to ! civil   
s]vice laws & regulations1 appo9t &     
t]m9ate an executive director & su* o!r 
additional p]sonnel z may be necess>y to
 enable ! ,commission to p]=m its       
duties4 ,! employm5t ( an executive     
director %all be subject to confirmation
 by ! ,commission4  7,b7 ,comp5sation ,!
 ,*air ( ! ,commission may fix !        
comp5sation ( ! executive director & o!r
 p]sonnel )\t reg>d to *apt] #ea &      
sub*apt] ,,iii ( *apt] #ec ( title #e1  
,unit$ ,/ates ,code1 relat+ to          
classification ( positions & ,g5]al     
,s*$ule pay rates1 except t ! rate ( pay
 = ! executive director & o!r p]sonnel  
may n exce$ ! rate payable = level ,v ( 
! ,executive ,s*$ule "u section #ecaf ( 

su* title4  7#d7 ,detail ( gov]nm5t     
employees ,any ,f$]al ,gov]nm5t employee
 may be detail$ to ! ,commission )\t    
reimbursem5t1 & su* detail %all be )\t  
int]ruption or loss ( civil s]vice /atus
 or privilege4  7#e7 ,procurem5t (      
tempor>y & int]mitt5t s]vices ,! ,*air (
 ! ,commission may procure tempor>y &   
int]mitt5t s]vices "u section #caji7;b7 
( title #e1 ,unit$ ,/ates ,code1 at     
rates = individuals :i* d n exce$ !     
daily equival5t ( ! annual rate ( basic 
pay prescrib$ = level ,v ( ! ,executive 
,s*$ule "u section #ecaf ( su* title4   
7e7 ,t]m9ation ( commission ,!          
,commission %all t]m9ate #fj days aft] !
 date on :i* ! ,commission submits its  
report "u subsection 7b77#d77;,e74  7f7 
,fund+ ,! ,secret>y ( ,vet]ans ,affairs 
%all make available to ! ,commission su*
 am\nts z ! ,secret>y & ! ,*air ( !     
,commission jo9tly consid] appropriate =
 ! ,commission to p]=m its duties "u ?is
 section4  7g7 ,action on recomm5dations
  7#a7 ,9 g5]al ,! ,secret>y ( ,vet]ans 

,affairs %all implem5t ea* recomm5dation
 includ$ 9 a report "u subsection       
7b77#d7 t ! ,secret>y consid]s feasible 
& advisable & c be implem5t$ )\t fur!r  
legislative action4  7#b7 ,reports ,n   
lat] ?an #abj days aft] receipt ( a     
report "u subp>agraphs 7,a7 ?r\gh 7,d7 (
 subsection 7b77#d71 ! ,secret>y %all   
submit to ! ,committee ,vet]ans'        
,affairs ( ! ,s5ate & ! ,committee on   
,vet]ans' ,affairs ( ! ,h\se (          
,repres5tatives a report sett+ =? !     
foll[+3 7,a7 ,an assessm5t ( !          
feasibility & advisability ( ea*        
recomm5dation conta9$ 9 su* report4     
7,b7 ,= ea* recomm5dation assess$ z     
feasible & advisable-- 7i7 if su*       
recomm5dation does n require fur!r      
legislative action = implem5tation1 a   
description ( ! actions tak51 & to be   
tak51 by ! ,secret>y to implem5t su*    
recomm5dation2 &  7ii7 if su*           
recomm5dation requires fur!r legislative
 action = implem5tation1 recomm5dations 
= su* legislative action4  #ejd4        

,advance appropriations = c]ta9 acc\nts 
( ! ,dep>tm5t ( ,vet]ans ,affairs  7a7  
,9 g5]al ,section #aag is am5d$-- 7#a7  
by /rik+ m$ical c>e acc\nts ( !         
,dep>tm5t ea* place x appe>s & ins]t+   
cov]$ acc\nts ( ! ,dep>tm5t2  7#b7 9    
subsection 7c7-- 7,a7 by /rik+ m$ical   
c>e acc\nts ( ! ,vet]ans ,heal?         
,adm9i/ration1 ,dep>tm5t ( ,vet]ans     
,affairs acc\nt & ins]t+ acc\nts ( !    
,dep>tm5t ( ,vet]ans ,affairs acc\nt2   
7,b7 9 p>agraph 7#a71 by ins]t+ ,vet]ans
 ,heal? ,adm9i/ration1 aft] 7#a72  7,c7 
9 p>agraph 7#b71 by ins]t+ ,vet]ans     
,heal? ,adm9i/ration1 aft] 7#b72  7,d7 9
 p>agraph 7#c71 by ins]t+ ,vet]ans      
,heal? ,adm9i/ration1 aft] 7#c72  7,e7  
by r$esignat+ p>agraphs 7#a7 ?r\gh 7#c7 
z p>agraphs 7#g7 ?r\gh 7#i71            
respectively2  7,f7 by ins]t+ be=e      
p>agraph 7#g71 z r$esignat$ by          
subp>agraph 7,e71 ! foll[+ new          
p>agraphs3  7#a7 ,vet]ans ,b5efits      
,adm9i/ration1 ,comp5sation & ,p5sions4 
7#b7 ,vet]ans ,b5efits ,adm9i/ration1   

,readju/m5t ,b5efits4  7#c7 ,vet]ans    
,b5efits ,adm9i/ration1 ,vet]ans        
,insurance & ,indemnities4  7#d7        
,vet]ans ,b5efits ,adm9i/ration1        
,vet]ans ,h\s+ ,b5efit ,program ,fund4  
7#e7 ,vet]ans ,b5efits ,adm9i/ration1   
,vocational ,rehabilitation ,loans      
,program ,acc\nt4  7#f7 ,vet]ans        
,b5efits ,adm9i/ration1 ,native ,am]ican
 ,vet]an ,h\s+ ,loan ,program ,acc\nt4  
2 &  7,g7 9 ! subsection head+1 by /rik+
 ,m$ical c>e acc\nts & ins]t+ ,cov]$    
acc\nts2 &  7#c7 9 ! section head+1 by  
/rik+ c]ta9 m$ical c>e acc\nts & ins]t+ 
c]ta9 acc\nts4  7b7 ,effective date ,!  
am5dm5ts made by subsection 7a7 %all    
apply ) respect to fiscal ye> #bjaf &   
ea* subsequ5t fiscal ye>4  7c7 ,con=m+  
am5dm5t ,section #aaje ( title #ca1     
,unit$ ,/ates ,code1 is am5d$ by /rik+ !
 fir/ p>agraph 7#cg7 & ins]t+ ! foll[+3 
7#cg7 in=mation on e/imates (           
appropriations = ! fiscal ye> foll[+ !  
fiscal ye> = :i* ! budget is submitt$ = 
! foll[+ acc\nts ( ! ,dep>tm5t (        

,vet]ans ,affairs3 7,a7 ,vet]ans        
,b5efits ,adm9i/ration1 ,comp5sation &  
,p5sions4  7,b7 ,vet]ans ,b5efits       
,adm9i/ration1 ,readju/m5t ,b5efits4    
7,c7 ,vet]ans ,b5efits ,adm9i/ration1   
,vet]ans ,insurance & ,indemnities4     
7,d7 ,vet]ans ,b5efits ,adm9i/ration1   
,vet]ans ,h\s+ ,b5efit ,program ,fund4  
7,e7 ,vet]ans ,b5efits ,adm9i/ration1   
,vocational ,rehabilitation ,loans      
,program ,acc\nt4  7,f7 ,vet]ans        
,b5efits ,adm9i/ration1 ,native ,am]ican
 ,vet]an ,h\s+ ,loan ,program ,acc\nt4  
7,g7 ,vet]ans ,heal? ,adm9i/ration1     
,m$ical ,s]vices4  7,h7 ,vet]ans ,heal? 
,adm9i/ration1 ,m$ical ,support &       
,compliance4  7,i7 ,vet]ans ,heal?      
,adm9i/ration1 ,m$ical ,facilities4  4  
7d7 ,te*nical correction ,su* section is
 fur!r am5d$ by r$esignat+ ! second     
p>agraph 7#cg71 z add$ by section       
#aa7;a77#b7 ( ! ,,gpra ,mod]nization    
,act ( #bjaj 7,public ,law #aaa-ceb2    
#abd ,/at4 #chha71 z p>agraph 7#ci74    
#eje4 ,public access to ,dep>tm5t (     

,vet]ans ,affairs rese>* & data %>+     
betwe5 ,dep>tm5ts  7a7 ,e/abli%m5t (    
,int]net website ,! ,secret>y ( ,vet]ans
 ,affairs %all make available on an     
,int]net website ( ! ,dep>tm5t (        
,vet]ans ,affairs available to ! public 
! foll[+3 7#a7 ,data files t conta9     
in=mation on rese>* ( ! ,dep>tm5t4  7#b7
 ,a data diction>y on ea* data file4    
7#c7 ,in/ructions = h[ to obta9 access  
to ea* data file = use 9 rese>*4  7b7   
,public access to manuscripts on        
,dep>tm5t fund$ rese>*  7#a7 ,9 g5]al   
,beg9n+ n lat] ?an #edj days aft] !     
effective date specifi$ 9 subsection    
7e71 ! ,secret>y %all require1 z a      
condition on ! use ( any data ga!r$ or  
=mulat$ f rese>* fund$ by ! ,dep>tm5t1 t
 any f9al1 pe]-review$ manuscript prep>$
 = publication t uses su* data be       
submitt$ to ! ,secret>y = deposit 9 !   
digital ar*ive "u p>agraph 7#b7 &       
publication "u p>agraph 7#c74  7#b7     
,digital ar*ive ,n lat] ?an #edj days   
aft] ! effective date specifi$ 9        

subsection 7e71 ! ,secret>y %all-- 7,a7 
e/abli% a digital ar*ive consi/+ (      
manuscripts describ$ 9 p>agraph 7#a72 or
  7,b7 p>tn] ) ano!r executive ag5cy to 
compile su* manuscripts 9 a digital     
ar*ive4  7#c7 ,public availability  7,a7
 ,availability ( ar*ive ,! ,secret>y    
%all ensure t ! digital ar*ive "u       
p>agraph 7#b7 & ! cont5ts ( su* ar*ive  
are available to ! public via a publicly
 accessible ,int]net website at no co/  
to ! public4  7,b7 ,availability (      
manuscripts ,! ,secret>y %all ensure t  
ea* manuscript submitt$ to ! ,secret>y  
"u p>agraph 7#a7 is available to !      
public "u subp>agraph 7,a7 n lat] ?an "o
 ye> aft] ! (ficial date on :i* !       
manuscript is o!rwise publi%$4  7#d7    
,consi/5t ) copyright law ,! ,secret>y  
%all c>ry out ?is subsection 9 a mann]  
consi/5t ) applicable copyright law4    
7#e7 ,annual report  7,a7 ,9 g5]al ,n   
lat] ?an "o ye> aft] ! date ! ,secret>y 
beg9s mak+ manuscripts available to !   
public "u ?is subsection & n less       

frequ5tly ?an once ea* ye> !reaft]1 !   
,secret>y %all submit to ! ,committee on
 ,vet]ans' ,affairs ( ! ,s5ate & !      
,committee on ,vet]ans' ,affairs ( !    
,h\se ( ,repres5tatives a report on !   
implem5tation ( ?is subsection dur+ !   
mo/ rec5t "o-ye> p]iod4  7,b7 ,cont5ts  
,ea* report submitt$ "u subp>agraph 7,a7
 %all include = ! p]iod ( ! report3 7i7 
,! numb] ( manuscripts submitt$ "u      
p>agraph 7#a74  7ii7 ,! titles ( su*    
manuscripts4  7iii7 ,! au?ors ( su*     
manuscripts4  7iv7 ,= ea* su*           
manuscript1 ! "n & issue numb] or volume
 numb]1 z ! case may be1 ( ! j\rnal or  
o!r publication 9 :i* su* manuscript 0  
publi%$4  7c7 ,recomm5dations = data %>+
 betwe5 ,dep>tm5t ( ,vet]ans ,affairs & 
,dep>tm5t ( ,def5se ,n lat] ?an "o ye>  
aft] ! effective date specifi$ 9        
subsection 7e71 ! ,dep>tm5t ( ,vet]ans  
,affairs-,dep>tm5t ( ,def5se ,jo9t      
,executive ,committee e/abli%$ by       
section #cbj7;a7 ( title #ch1 ,unit$    
,/ates ,code1 %all submit to ! ,secret>y

 ( ,vet]ans ,affairs & ! ,secret>y (    
,def5se options & recomm5dations = !    
e/abli%m5t ( a program = long-t]m       
coop]ation & data %>+ betwe5 & )9 !     
,dep>tm5t ( ,vet]ans ,affairs & !       
,dep>tm5t ( ,def5se to facilitate rese>*
 on outcomes ( milit>y s]vice1          
readju/m5t aft] combat deploym5t1 & o!r 
topics ( importance to ! foll[+3 7#a7   
,vet]ans4  7#b7 ,memb]s ( ! ,arm$ ,=ces4
  7#c7 ,family memb]s ( vet]ans4  7#d7  
,family memb]s ( memb]s ( ! ,arm$ ,=ces4
  7#e7 ,memb]s ( communities t h a      
significant population ( vet]ans or     
memb]s ( ! ,arm$ ,=ces4  7d7 ,executive 
ag5cy def9$ ,9 ?is section1 ! t]m       
executive ag5cy has ! mean+ giv5 t t]m 9
 section #acc ( title #da1 ,unit$ ,/ates
 ,code4  7e7 ,effective date ,?is       
section %all take effect on ! date t is 
"o ye> aft] ! date ( ! enactm5t ( ?is   
,act4  #ejf4 ,assessm5t by ,comptroll]  
,g5]al ( ! ,unit$ ,/ates ( in=mation    
made available by ,vet]ans ,b5efits     
,adm9i/ration  7a7 ,assessm5t (         

in=mation curr5tly available ,n lat] ?an
 two ye>s aft] ! date ( ! enactm5t ( ?is
 ,act1 ! ,comptroll] ,g5]al ( ! ,unit$  
,/ates %all-- 7#a7 conduct an assessm5t 
( ! process by :i* ! ,vet]ans ,b5efits  
,adm9i/ration in=ms vet]ans1 vet]ans    
s]vice organizations1 & su* o!r p]sons z
 ! ,comptroll] ,g5]al consid]s          
appropriate reg>d+ ! furni%+ ( b5efits  
"u laws adm9i/]$ by ! ,secret>y (       
,vet]ans ,affairs to det]m9e ! ext5t to 
:i* ! process results 9 dissem9at$      
in=mation t-- 7,a7 adequately supports &
 improves ! timel9ess & accuracy (      
decisions made by ! ,adm9i/ration )     
respect to claims = disability          
comp5sation & su* o!r b5efits furni%$ "u
 laws adm9i/]$ by ! ,secret>y ( ,vet]ans
 ,affairs z ! ,comptroll] ,g5]al        
consid]s appropriate2 &  7,b7 enc\rages 
! fil+ ( fully develop$ claims = b5efits
 "u laws adm9i/]$ by ! ,secret>y2 &     
7#b7 assess h[ ! ,vet]ans ,b5efits      
,adm9i/ration notifies ea* claimant     
dur+1 & z "p (1 any electronic fil+     

process e/abli%$ by ! ,secret>y = ! fil+
 ( applications = disability comp5sation
 & su* o!r b5efits "u laws adm9i/]$ by !
 ,secret>y z ! ,comptroll] ,g5]al       
consid]s appropriate t s]vices may be   
available to ! claimant f a vet]ans     
s]vice organization4  7b7 ,report ,n    
lat] ?an two ye>s aft] ! date ( !       
enactm5t ( ?is ,act1 ! ,comptroll]      
,g5]al %all submit to ! ,committee on   
,vet]ans' ,affairs ( ! ,s5ate & !       
,committee on ,vet]ans' ,affairs ( !    
,h\se ( ,repres5tatives a report on !   
f9d+s ( ! ,comptroll] ,g5]al "u         
subsection 7a74 ,su* report %all include
 su* recomm5dations z ! ,comptroll]     
,g5]al may h = legislative or           
adm9i/rative action to improve !        
availability ( in=mation made available 
to ! public by ! ,vet]ans ,b5efits      
,adm9i/ration reg>d+ ! furni%+ ( b5efits
 "u laws adm9i/]$ by ! ,secret>y (      
,vet]ans ,affairs4  7c7 ,vet]ans s]vice 
organization def9$ ,9 ?is section1 ! t]m
 vet]ans s]vice organization means an   

organization recogniz$ by ! ,secret>y ( 
,vet]ans ,affairs = ! repres5tation (   
vet]ans "u section #eijb ( title #ch1   
,unit$ ,/ates ,code4  7d7 ,effective    
date ,?is section %all take effect on ! 
date t is "o ye> aft] ! date ( !        
enactm5t ( ?is ,act4  #ejg4 ,comptroll] 
g5]al report on advisory committees ( ! 
,dep>tm5t ( ,vet]ans ,affairs  7a7 ,9   
g5]al ,n lat] ?an "o ye> aft] !         
effective date specifi$ 9 subsection    
7c71 ! ,comptroll] ,g5]al %all submit to
 ! ,committee on ,vet]ans' ,affairs ( ! 
,s5ate & ! ,committee on ,vet]ans'      
,affairs ( ! ,h\se ( ,repres5tatives a  
report on ! advisory committees ( !     
,dep>tm5t ( ,vet]ans ,affairs4  7b7     
,cont5ts ,! report requir$ by subsection
 7a7-- 7#a7 %all include-- 7,a7         
recomm5dations or proposals = cont9u+1  
modify+1 or t]m9at+ c]ta9 advisory      
committees1 includ+ not+ areas ( ov]lap 
& duplication among ! advisory          
committees2 &  7,b7 su* o!r in=mation z 
! ,comptroll] ,g5]al consid]s           

appropriate2 &  7#b7 may include-- 7,a7 
a description ( ea* advisory committee1 
includ+ ) respect to ea* committee-- 7i7
 ! purpose ( ! committee2  7ii7 !       
comm5cem5t date ( ! committee2 &  7iii7 
! anticipat$ t]m9ation date ( !         
committee2  7,b7 a summ>y ( ! anticipat$
 exp5ses & ! actual exp5ses incurr$ =   
ea* advisory committee dur+ ! mo/ rec5t 
?ree fiscal ye>s end+ be=e ! date ( !   
enactm5t ( ?is ,act2 &  7,c7 ) respect  
to meet+s held by ea* advisory          
committee-- 7i7 ! frequ5cy ) :i* ea*    
committee has met dur+ ! %ort] (-- 7,i7 
! mo/ rec5t ?ree fiscal ye>s end+ be=e !
 date ( ! enactm5t ( ?is ,act2 &  7,,ii7
 ! life ( ! committee2  7ii7 ! date ( ! 
mo/ rec5t meet+ held by ! committee be=e
 su* date ( enactm5t2 &  7iii7 ! date ( 
! mo/ rec5t report or o!r writt5 product
 develop$ by ! committee be=e su* date (
 enactm5t4  7c7 ,effective date ,?is    
section %all take effect on ! date t is 
"o ye> aft] ! date ( ! enactm5t ( ?is   
,act4  ,,vi ,improvem5t ( ,process+ (   

,claims = ,comp5sation  ,a ,claims ,bas$
 on ,milit>y ,sexual ,trauma  #fja4     
,m$ical exam9ation & op9ion = disability
 comp5sation claims bas$ on milit>y     
sexual trauma  7a7 ,9 g5]al ,section    
#eajc;,a7d7 is am5d$ by add+ at ! end ! 
foll[+ new p>agraph3  7#c7 7,a7 ,9 !    
case ( a claim = disability comp5sation 
bas$ on a m5tal heal? condition relat$  
to milit>y sexual trauma1 ! ,secret>y   
%all treat an exam9ation or op9ion z be+
 necess>y to make a decision on a claim 
= purposes ( p>agraph 7#a7 if ! evid5ce 
( record be=e ! ,secret>y1 tak+ into    
consid]ation all in=mation & lay or     
m$ical evid5ce 7includ+ /atem5ts ( !    
claimant7-- 7i7 7,i7 conta9s compet5t   
evid5ce t ! claimant has a curr5t       
disability1 or p]si/5t or recurr5t      
symptoms ( disability2 &  7,,ii7        
indicates t ! disability or symptoms may
 be associat$ ) ! claimant's active     
milit>y1 naval1 or air s]vice2 b  7ii7  
does n conta9 a diagnosis or op9ion by a
 m5tal heal? pr(essional t may assi/ 9  

corroborat+ ! occurr5ce ( a milit>y     
sexual trauma /ressor relat$ to a       
diagnosable m5tal heal? condition4  7,b7
 ,9 ?is p>agraph1 ! t]m milit>y sexual  
trauma %all h ! mean+ specifi$ by !     
,secret>y = purposes ( ?is p>agraph1 &  
%all include sexual h>assm5t 7z s       
specifi$74  4  7b7 ,report ,n lat] ?an  
#ah mon?s aft] ! date ( ! enactm5t ( ?is
 ,act1 ! ,secret>y ( ,vet]ans ,affairs  
%all submit to ! ,committee on ,vet]ans'
 ,affairs ( ! ,s5ate & ! ,committee on  
,vet]ans' ,affairs ( ! ,h\se (          
,repres5tatives a report on ! numb] (   
exam9ations & op9ions conduct$ by !     
,secret>y pursuant to p>agraph 7#c7 (   
section #eajc;,a7d7 ( title #ch1 ,unit$ 
,/ates ,code 7z add$ by subsection 7a771
 includ+ ! foll[+3 7#a7 ,! numb] (      
exam9ations conduct$ us+ a /&>diz$      
disability assessm5t4  7#b7 ,! numb] (  
exam9ations conduct$ us+ a non-/&>diz$  
cl9ical int]view4  #fjb4 ,case          
repres5tative (fic]s = milit>y sexual   
trauma support  7a7 ,9 g5]al ,!         

,secret>y ( ,vet]ans ,affairs %all      
assign to ea* individual seek+          
comp5sation "u ! laws adm9i/]$ by !     
,secret>y bas$ on milit>y sexual trauma 
a case repres5tative (fic] :o %all      
provide advice & g5]al in=mation to su* 
individual on ! claims process = su*    
comp5sation4 ,ea* case repres5tative    
(fic] s assign$ %all be assign$ f among 
curr5t p]sonnel ( ! ,dep>tm5t ( ,vet]ans
 ,affairs4  7b7 ,liaison ,a case        
repres5tative (fic] assign$ to an       
individual "u subsection 7a7 %all be    
responsible = s]v+ z a liaison betwe5 ! 
individual1 an au?oriz$ ag5t or attorney
 ( ! individual "u section #eijd ( title
 #ch1 ,unit$ ,/ates ,code1 or an o!rwise
 accr$it$ repres5tative ( ! individual1 
& ! ,dep>tm5t ( ,vet]ans ,affairs on    
matt]s relat+ to ! claim ( ! individual 
= comp5sation "u ! laws adm9i/]$ by !   
,secret>y4  7c7 ,case repres5tative     
(fic] requirem5ts  7#a7 ,compet5ce & k  
,ea* case repres5tative (fic] assign$ "u
 subsection 7a7 %all be compet5t &      

kn[l$geable ab\t ! foll[+3 7,a7 ,!      
claims adjudication process & applicable
 laws1 regulations1 & o!r au?ority      
applicable to ! adjudication (          
disability claims bas$ on milit>y sexual
 trauma4  7,b7 ,su* o!r s]vices to      
victims ( sexual trauma z ! ,secret>y   
consid]s appropriate4  7#b7 ,limitation 
on numb] ( individuals to :i* assign$ ,a
 case repres5tative (fic] may n be      
assign$ to m individuals describ$ 9     
subsection 7a7 ?an1 z det]m9$ by !      
,secret>y1 is appropriate = ! provision 
( individual case managem5t assi/ance by
 su* (fic]4  7d7 ,in=mation on b5efits &
 programs relat+ to milit>y sexual      
trauma  7#a7 ,9 g5]al ,! ,secret>y %all 
make available to ! public in=mation on 
! availability ( case repres5tative     
(fic]s "u subsection 7a7 to assi/ 9 !   
application = b5efits bas$ on milit>y   
sexual trauma4 ,! ,secret>y %all revise 
& update ! in=mation s made available 9 
ord] to ensure t ! in=mation is z curr5t
 z possible4  7#b7 ,individuals sep>at+ 

f milit>y s]vice ,! ,secret>y %all1 9   
consultation ) ! ,secret>y ( ,def5se1   
ensure t individuals :o are be+ sep>at$ 
f ! active milit>y1 naval1 or air s]vice
 are provid$ appropriate in=mation ab\t 
programs1 requirem5ts1 & proc$ures =    
apply+ = b5efits bas$ on milit>y sexual 
trauma & ! availability ( case          
repres5tative (fic]s "u subsection 7a74 
7e7 ,in=mation on tra9+ = ag5ts &       
repres5tatives ( individuals assign$    
case repres5tative (fic] ,! ,secret>y   
%all make available to ! au?oriz$ ag5t  
or attorney ( an individual assign$ a   
case repres5tative "u subsection 7a71 or
 to ! o!rwise accr$it$ repres5tative ( !
 individual1 any relevant mat]ials us$  
to tra9 su* case repres5tative (fic] = !
 duties ( su* position4  7f7 ,advisory  
,committee on ,wom5 ,vet]ans            
consid]ation ( me*anisms ,to enhance    
coord9ation betwe5 ,,vba & ,,vha on     
b5efits = milit>y sexual trauma ,!      
,advisory ,committee on ,wom5 ,vet]ans  
e/abli%$ "u section #edb ( title #ch1   

,unit$ ,/ates ,code1 %all und]take      
actions to id5tify me*anisms to enhance 
coord9ation betwe5 ! ,vet]ans ,b5efits  
,adm9i/ration & ! ,vet]ans ,heal?       
,adm9i/ration 9 ! provision ( b5efits   
bas$ on milit>y sexual trauma1 includ+ !
 id5tification ( b>ri]s to ! appropriate
 provision ( b5efits = milit>y sexual   
trauma by su* ,adm9i/rations & ( means (
 elim9at+ or r$uc+ su* b>ri]s4  7g7     
,annual reports ,n less frequ5tly ?an   
annually1 ! ,secret>y ( ,vet]ans        
,affairs %all submit to ! ,committee on 
,vet]ans' ,affairs ( ! ,s5ate & !       
,committee on ,vet]ans' ,affairs ( !    
,h\se ( ,repres5tatives a report sett+  
=? ! foll[+3 7#a7 ,a c]tification :e!r  
or n ! case repres5tative (fic]s assign$
 "u subsection 7a7 dur+ ! prec$+ ye> met
 ! requirem5ts specifi$ 9 subsection    
7c74  7#b7 ,a description ( ! curr5t    
tra9+ ! ,secret>y provides to employees 
( ! ,vet]ans ,b5efits ,adm9i/ration on  
claims = b5efits bas$ on milit>y sexual 
trauma1 includ+ ! frequ5cy1 l5g?1 &     

cont5t ( su* tra9+4  7#c7 ,a description
 ( curr5t policies & proc$ures on !     
tra9+ ! ,secret>y provides to case      
repres5tative (fic]s1 includ+ ! curr5t  
position descriptions = case            
repres5tative (fic]s4  7#d7 ,a          
description ( curr5t ef=ts to coord9ate 
activities & assi/ance provid$ to       
individuals :o seek c>e or b5efits =    
milit>y sexual trauma betwe5 ! ,vet]ans 
,heal? ,adm9i/ration & ,vet]ans ,b5efits
 ,adm9i/ration1 includ+ ! ef=ts ( !     
,advisory ,committee on ,wom5 ,vet]ans  
"u subsection 7f74  7h7 ,sunset  7#a7 ,9
 g5]al ,no case repres5tative (fic] may 
be assign$ "u subsection 7a7 aft]       
,decemb] #ca1 #bjah4  7#b7 ,cont9uation 
( duties aft] sunset date ,p>agraph 7#a7
 %all n be con/ru$ to prohibit any case 
repres5tative (fic] assign$ to an       
individual be=e ! date specifi$ 9 t     
p>agraph f p]=m+ duties pursuant to ?is 
section aft] t date ) respect to a claim
 = :i* t case repres5tative (fic] 0     
assign$ to su* individual be=e t date4  

7i7 ,def9itions ,9 ?is section3 7#a7    
,active milit>y1 naval1 or air s]vice ,!
 t]m active milit>y1 naval1 or air      
s]vice has ! mean+ giv5 t t]m 9 section 
#aja ( title #ch1 ,unit$ ,/ates ,code4  
7#b7 ,milit>y sexual trauma ,! t]m      
milit>y sexual trauma %all h ! mean+    
specifi$ by ! ,secret>y = purposes ( ?is
 section1 & %all include sexual h>assm5t
 7z s specifi$74  #fjc4 ,report on /&>d 
( pro( = s]vice-connection ( m5tal heal?
 conditions relat$ to milit>y sexual    
trauma  7a7 ,9 g5]al ,n lat] ?an #ij    
days aft] ! date ( ! enactm5t ( ?is     
,act1 ! ,secret>y ( ,vet]ans ,affairs   
%all submit to ! ,committee on ,vet]ans'
 ,affairs ( ! ,s5ate & ! ,committee on  
,vet]ans' ,affairs ( ! ,h\se (          
,repres5tatives a report on ! curr5t    
/&>d ( pro( = s]vice-connection "u *apt]
 #aa ( title #ch1 ,unit$ ,/ates ,code1 =
 cov]$ m5tal heal? conditions bas$ on   
milit>y sexual trauma4  7b7             
,recomm5dations ,! ,secret>y %all       
include 9 ! report "u subsection 7a7 any

 recomm5dations ! ,secret>y consid]s    
appropriate to improve ! adjudication ( 
claims = comp5sation bas$ on milit>y    
sexual trauma1 includ+-- 7#a7           
recomm5dations = an appropriate /&>d (  
pro( = su* claims if ! ,secret>y        
consid]s su* recomm5dations advisable2 &
  7#b7 recomm5dations = legislative     
action1 if necess>y1 to c>ry out su*    
improvem5t4  7c7 ,def9itions ,9 ?is     
section3 7#a7 ,active milit>y1 naval1 or
 air s]vice ,! t]m active milit>y1      
naval1 or air s]vice has ! mean+ giv5 t 
t]m 9 section #aja ( title #ch1 ,unit$  
,/ates ,code4  7#b7 ,cov]$ m5tal heal?  
condition ,! t]m cov]$ m5tal heal?      
condition means po/-traumatic /ress     
disord]1 anxiety1 depression1 or o!r    
m5tal heal? diagnosis t ! ,secret>y     
det]m9es to be relat$ to milit>y sexual 
trauma4  7#c7 ,milit>y sexual trauma ,! 
t]m milit>y sexual trauma %all h ! mean+
 specifi$ by ! ,secret>y = purposes (   
?is section1 & %all include sexual      
h>assm5t 7z s specifi$74  #fjd4 ,reports

 on claims = disabilities incurr$ or    
aggravat$ by milit>y sexual trauma  7a7 
,reports ,n lat] ?an ,decemb] #a1 #bjad1
 & ea* ye> !reaft] ?r\gh #bjah1 !       
,secret>y ( ,vet]ans ,affairs %all      
submit to ,congress a report on ! cov]$ 
claims submitt$ to ! ,secret>y dur+ !   
previ\s fiscal ye>4  7b7 ,elem5ts ,ea*  
report "u subsection 7a7 %all include ! 
foll[+3 7#a7 ,! numb] ( cov]$ claims    
submitt$ to or consid]$ by ! ,secret>y  
dur+ ! fiscal ye> cov]$ by ! report4    
7#b7 ,( ! cov]$ claims "u p>agraph 7#a71
 ! numb] & p]c5tage ( su* claims-- 7,a7 
submitt$ by ea* g5d]2  7,b7 t 7 approv$1
 includ+ ! numb] & p]c5tage ( su*       
approv$ claims submitt$ by ea* g5d]2 &  
7,c7 t 7 d5i$1 includ+ ! numb] &        
p]c5tage ( su* d5i$ claims submitt$ by  
ea* g5d]4  7#c7 ,( ! cov]$ claims "u    
p>agraph 7#a7 t 7 approv$1 ! numb] &    
p]c5tage1 li/$ by ea* g5d]1 ( claims    
assign$ to ea* rat+ p]c5tage (          
disability4  7#d7 ,( ! cov]$ claims "u  
p>agraph 7#a7 t 7 d5i$-- 7,a7 ! ?ree mo/

 common reasons giv5 by ! ,secret>y "u  
section #eajd7;b77#a7 ( title #ch1      
,unit$ ,/ates ,code1 = su* d5ials2 &    
7,b7 ! numb] ( d5ials t 7 bas$ on !     
failure ( a vet]an to report = a m$ical 
exam9ation4  7#e7 ,( ! cov]$ claims "u  
p>agraph 7#a7 t 7 resubmitt$ to !       
,secret>y aft] d5ial 9 a previ\s        
adjudication-- 7,a7 ! numb] ( su* claims
 submitt$ to or consid]$ by ! ,secret>y 
dur+ ! fiscal ye> cov]$ by ! report2    
7,b7 ! numb] & p]c5tage ( su* claims--  
7i7 submitt$ by ea* g5d]2  7ii7 t 7     
approv$1 includ+ ! numb] & p]c5tage (   
su* approv$ claims submitt$ by ea* g5d]2
 &  7iii7 t 7 d5i$1 includ+ ! numb] &   
p]c5tage ( su* d5i$ claims submitt$ by  
ea* g5d]2  7,c7 ! numb] & p]c5tage1 li/$
 by ea* g5d]1 ( claims assign$ to ea*   
rat+ p]c5tage ( disability2 &  7,d7 (   
su* claims t 7 aga9 d5i$-- 7i7 ! ?ree   
mo/ common reasons giv5 by ! ,secret>y  
"u section #eajd7;b77#a7 ( su* title =  
su* d5ials2 &  7ii7 ! numb] ( d5ials t 7
 bas$ on ! failure ( a vet]an to report 

= a m$ical exam9ation4  7#f7 ,! numb] ( 
cov]$ claims t1 z ( ! end ( ! fiscal ye>
 cov]$ by ! report1 are p5d+ &1         
sep>ately1 ! numb] ( su* claims on      
appeal4  7#g7 ,= ! fiscal ye> cov]$ by !
 report1 ! av]age numb] ( days t cov]$  
claims take to complete beg9n+ on ! date
 on :i* ! claim is submitt$4  7c7       
,def9itions ,9 ?is section3 7#a7 ,active
 milit>y1 naval1 or air s]vice ,! t]m   
active milit>y1 naval1 or air s]vice has
 ! mean+ giv5 t t]m 9 section #aja (    
title #ch1 ,unit$ ,/ates ,code4  7#b7   
,cov]$ claims ,! t]m cov]$ claims means 
claims = disability comp5sation submitt$
 to ! ,secret>y bas$ on po/ traumatic   
/ress disord] alleg$ to h be5 incurr$ or
 aggravat$ by milit>y sexual trauma4    
7#c7 ,milit>y sexual trauma ,! t]m      
milit>y sexual trauma %all h ! mean+    
specifi$ by ! ,secret>y = purposes ( ?is
 section1 & %all include sexual h>assm5t
 7z s specifi$74  ,b ,claims = dep5d5cy 
& indemnity comp5sation  #faa4 ,program 
on treatm5t ( c]ta9 applications =      

dep5d5cy & indemnity comp5sation z fully
 develop$ claims  7a7 ,9 g5]al ,!       
,secret>y ( ,vet]ans ,affairs %all c>ry 
out a program to assess ! feasibility & 
advisability ( exp$it+ ! treatm5t ( a   
cov]$ dep5d5cy & indemnity comp5sation  
claim4  7b7 ,cov]$ dep5d5cy & indemnity 
comp5sation claims ,= purposes ( ?is    
section1 a cov]$ dep5d5cy & indemnity   
comp5sation claim is a claim submitt$ to
 ! ,secret>y = comp5sation "u *apt] #ac 
( title #ch1 ,unit$ ,/ates ,code1 = :i* 
! claimant-- 7#a7 applies = su*         
comp5sation )9 "o-ye> ( ! dea? ( !      
vet]an ^u ^: s]vice ! claim is bas$2    
7#b7 0 ! dep5d5t on ! claim ( a vet]an  
:o 0 receiv+ b5efits = "o or m          
s]vice-connect$ conditions z ( ! date ( 
dea?2  7#c7 submits a dea? c]tificate or
 o!r evid5ce ) ! claim indicat+ t !     
vet]an's dea? 0 due to a s]vice-connect$
 or comp5sable disability2 &  7#d7 9 !  
case t ! claimant is ! sp\se ( ! deceas$
 vet]an1 c]tifies t he or %e has n      
rem>ri$ s9ce ! date ( ! vet]an's dea?4  

7c7 ,duration ,! program %all be c>ri$  
out dur+ ! "o-ye> p]iod beg9n+ on ! date
 t is #ij days aft] ! date ( ! enactm5t 
( ?is ,act4  7d7 ,locations ,! program  
%all be c>ri$ out at ! ,p5sion          
,managem5t ,c5t] ( ! ,dep>tm5t (        
,vet]ans ,affairs or su* c5t]s select$  
by ! ,secret>y = purposes ( ! program4  
7e7 ,report  7#a7 ,9 g5]al ,n lat] ?an  
#bgj days aft] ! date on :i* ! program  
is complet$1 ! ,secret>y %all submit to 
! ,committee on ,vet]ans' ,affairs ( !  
,s5ate & ! ,committee on ,vet]ans'      
,affairs ( ! ,h\se ( ,repres5tatives a  
report on ! program4  7#b7 ,cont5ts ,!  
report requir$ by p>agraph 7#a7 %all    
include ! foll[+3 7,a7 ,! numb] ( cov]$ 
dep5d5cy & indemnity comp5sation claims 
t 7 adjudicat$ "u ! program1            
disaggregat$ by ! foll[+3 7i7 ,claims 9 
:i* ! claimant claim$ entitlem5t to     
comp5sation on ! basis ( ! claimant's   
/atus z ! sp\se ( a deceas$ vet]an4     
7ii7 ,claims 9 :i* ! claimant claim$    
entitlem5t to comp5sation on ! basis ( !

 claimant's /atus z ! *ild ( a deceas$  
vet]an4  7iii7 ,claims 9 :i* ! claimant 
claim$ entitlem5t to comp5sation on !   
basis ( ! claimant's /atus z ! p>5t ( a 
deceas$ vet]an4  7,b7 ,! numb] ( cov]$  
dep5d5cy & indemnity comp5sation claims 
t 7 adjudicat$ "u ! program & = :i*     
comp5sation 0 n aw>d$1 disaggregat$ by  
clauses 7i7 ?r\gh 7iii7 ( subp>agraph   
7,a74  7,c7 ,a comp>ison ( ! accuracy & 
timel9ess ( claims adjudicat$ "u !      
program ) claims submitt$ to ! ,secret>y
 = comp5sation "u *apt] #ac ( title #ch1
 ,unit$ ,/ates ,code1 t 7 n provid$     
exp$iti\s treatm5t "u ! program4  7,d7  
,! f9d+s ( ! ,secret>y ) respect to !   
program4  7,e7 ,su* recomm5dations z !  
,secret>y may h = legislative or        
adm9i/rative action to improve !        
adjudication ( claims submitt$ to !     
,secret>y = comp5sation "u *apt] #ac (  
title #ch1 ,unit$ ,/ates ,code4  #fab4  
,report by ,secret>y ( ,vet]ans ,affairs
 on improv+ timel9ess & accuracy (      
adm9i/ration ( claims = dep5d5cy &      

indemnity comp5sation & p5sion = surviv+
 sp\ses & *ildr5  7a7 ,9 g5]al ,n lat]  
?an #dee days aft] ! date ( ! enactm5t (
 ?is ,act1 ! ,secret>y ( ,vet]ans       
,affairs %all submit to ! ,committee on 
,vet]ans' ,affairs ( ! ,s5ate & !       
,committee on ,vet]ans' ,affairs ( !    
,h\se ( ,repres5tatives a report )      
recomm5dations = legislative or         
adm9i/rative actions to improve !       
timel9ess & accuracy ) :i* ! ,secret>y  
processes & adjudicates claims =        
comp5sation "u *apt] #ac ( title #ch1   
,unit$ ,/ates ,code1 & p5sion "u        
sections #aeda & #aedb ( su* title4  7b7
 ,effective date ,?is section %all take 
effect on ! date t is "o ye> aft] ! date
 ( ! enactm5t ( ?is ,act4  ,c ,ag5cy (  
,orig9al ,jurisdiction  #fba4 ,work+    
gr\p to improve employee "w cr$it & "w  
managem5t sy/ems ( ,vet]ans ,b5efits    
,adm9i/ration 9 an electronic environm5t
  7a7 ,e/abli%m5t ,n lat] ?an #ij days  
aft] ! date ( ! enactm5t ( ?is ,act1 !  
,secret>y ( ,vet]ans ,affairs %all      

e/abli% a work+ gr\p to assess & develop
 recomm5dations = ! improvem5t ( !      
employee "w cr$it & "w managem5t sy/ems 
( ! ,vet]ans ,b5efits ,adm9i/ration 9 an
 electronic environm5t4  7b7            
,composition ,! work+ gr\p %all be      
compos$ ( ! foll[+3 7#a7 ,! ,secret>y or
 ! ,secret>y's designee4  7#b7          
,individuals select$ by ! ,secret>y f   
among employees ( ! ,dep>tm5t ( ,vet]ans
 ,affairs :o h&le claims = comp5sation &
 p5sion b5efits & are recomm5d$ to !    
,secret>y by a labor organization =     
purposes ( ?is section1 includ+ at lea/ 
"o ( ea* ( ! foll[+ individuals3 7,a7 ,a
 vet]ans s]vice repres5tative4  7,b7 ,a 
rat+ vet]ans s]vice repres5tative4  7,c7
 ,a decision review (fic]4  7#c7 ,n few]
 ?an ?ree individuals select$ by !      
,secret>y to repres5t diff]5t           
organizations recogniz$ by ! ,secret>y =
 ! repres5tation ( vet]ans "u section   
#eijb ( title #ch1 ,unit$ ,/ates ,code4 
7#d7 ,individuals select$ by !          
,secret>y-- 7,a7 t are n employees ( !  

,dep>tm5t2 &  7,b7 t are exp]ts 9 "w    
cr$it & "w managem5t sy/ems4  7c7       
,duties ,! duties ( ! work+ gr\p are to 
assess & develop recomm5dations = !     
foll[+3 7#a7 ,! improvem5t ( ! employee 
"w cr$it & "w managem5t sy/ems ( !      
,vet]ans ,b5efits ,adm9i/ration 9 an    
electronic environm5t4  7#b7 ,a         
sci5tific1 data bas$ me?odology to be   
us$ 9 revis+ ! employee "w cr$it sy/em (
 ! ,dep>tm5t to improve ! quality &     
quantity ( "w produc$ by employees ( !  
,dep>tm5t4  7#c7 ,! improvem5t ( !      
res\rce allocation model ( ! ,vet]ans   
,b5efits ,adm9i/ration1 ) a focus on !  
process+ ( claims 9 an electronic       
environm5t4  7#d7 ,a s*$ule by :i* !    
revisions ref]r$ to 9 p>agraph 7#b7 w be
 implem5t$ by ! ,dep>tm5t4  7d7 ,review 
& incorporation ( f9d+s f prior /udy ,9 
c>ry+ out its duties "u subsection 7c71 
! work+ gr\p %all review ! f9d+s &      
conclusions ( previ\s /udies ( !        
employee "w cr$it & "w managem5t sy/ems 
( ! ,vet]ans ,b5efits ,adm9i/ration4    

7e7 ,role ( ! ,secret>y ,! ,secret>y    
%all consid] ! recomm5dations ( ! work+ 
gr\p & implem5t su* recomm5dations z !  
,secret>y det]m9es appropriate4  7f7    
,reports  7#a7 ,int]im report ,n lat]   
?an #ahj days aft] ! date ( ! e/abli%m5t
 ( ! work+ gr\p1 ! work+ gr\p %all      
submit to ,congress a report on !       
progress ( ! work+ gr\p4  7#b7 ,f9al    
report ,n lat] ?an "o ye> aft] ! date ( 
! e/abli%m5t ( ! work+ gr\p1 ! ,secret>y
 %all submit to ,congress ! me?odology  
describ$ 9 subsection 7c77#b7 & ! s*$ule
 describ$ 9 subsection 7c77#d7 t !      
,secret>y has decid$ to implem5t        
pursuant to subsection 7e74  7g7        
,implem5tation ( me?odology & s*$ule    
,aft] submitt+ ! report "u subsection   
7f71 ! ,secret>y %all take su* actions z
 may be necess>y to apply ! me?odology  
describ$ 9 subsection 7c77#b7 & ! s*$ule
 describ$ 9 subsection 7c77#d7 t !      
,secret>y has decid$ to implem5t        
pursuant to subsection 7e74  #fbb4 ,task
 =ce on ret5tion & tra9+ ( ,dep>tm5t (  

,vet]ans ,affairs claims processors &   
adjudicators  7a7 ,e/abli%m5t ,!        
,secret>y ( ,vet]ans ,affairs %all      
e/abli% a task =ce to assess ret5tion & 
tra9+ ( claims processors & adjudicators
 t are employ$ by ! ,dep>tm5t ( ,vet]ans
 ,affairs & o!r dep>tm5ts & ag5cies ( ! 
,f$]al ,gov]nm5t4  7b7 ,composition ,!  
task =ce %all be compos$ ( ! foll[+3    
7#a7 ,! ,secret>y ( ,vet]ans ,affairs or
 designee4  7#b7 ,! ,director ( ! ,(fice
 ( ,p]sonnel ,managem5t or designee4    
7#c7 ,! ,commission] ( ,social ,security
 or designee4  7#d7 ,an individual      
select$ by ! ,secret>y ( ,vet]ans       
,affairs :o repres5ts an organization   
recogniz$ by ! ,secret>y = !            
repres5tation ( vet]ans "u section #eijb
 ( title #ch1 ,unit$ ,/ates ,code4  7#e7
 ,su* o!r individuals select$ by !      
,secret>y :o repres5t su* o!r           
organizations & in/itutions z !         
,secret>y consid]s appropriate4  7c7    
,duration ,! task =ce e/abli%$ "u       
subsection 7a7 %all t]m9ate n lat] ?an  

two ye>s aft] ! date on :i* ! task =ce  
is e/abli%$ "u su* subsection4  7d7     
,duties ,! duties ( ! task =ce are z    
foll[s3 7#a7 ,to id5tify key skills     
requir$ by claims processors &          
adjudicators to p]=m ! duties ( claims  
processors & adjudicators 9 ! v>i\s     
claims process+ & adjudication positions
 ?r\gh\t ! ,f$]al ,gov]nm5t4  7#b7 ,to  
id5tify reasons = employee attrition f  
claims process+ positions4  7#c7 ,to    
coord9ate ) educational in/itutions to  
develop tra9+ & programs ( education =  
memb]s ( ! ,arm$ ,=ces to prep>e su*    
memb]s = employm5t 9 claims process+ &  
adjudication positions 9 ! ,f$]al       
,gov]nm5t4  7#d7 ,to id5tify & coord9ate
 (fices ( ! ,dep>tm5t ( ,def5se & !     
,dep>tm5t ( ,vet]ans ,affairs locat$    
?r\gh\t ! ,unit$ ,/ates to provide      
in=mation ab\t1 & promotion (1 available
 claims process+ positions to memb]s ( !
 ,arm$ ,=ces transition+ to civilian    
life & to vet]ans ) disabilities4  7#e7 
,to e/abli% p]=mance measures to        

evaluate ! effectiv5ess ( ! task =ce4   
7#f7 ,n lat] ?an "o ye> aft] ! date ( ! 
e/abli%m5t ( ! task =ce1 to develop a   
,gov]nm5t-wide /rategic & op]ational    
plan = promot+ employm5t ( vet]ans 9    
claims process+ positions 9 ! ,f$]al    
,gov]nm5t4  7#g7 ,to e/abli% p]=mance   
measures to assess ! plan develop$ "u   
p>agraph 7#f71 to assess ! implem5tation
 ( su* plan1 & to revise su* plan z !   
task =ce consid]s appropriate4  7e7     
,reports  7#a7 ,submittal ( plan ,n lat]
 ?an "o ye> aft] ! date ( ! e/abli%m5t (
 ! task =ce1 ! ,secret>y ( ,vet]ans     
,affairs %all submit to ,congress a     
report on ! plan develop$ by ! task =ce 
"u subsection 7d77#f74  7#b7 ,assessm5t 
( implem5tation ,n lat] ?an #abj days   
aft] ! t]m9ation ( ! task =ce1 !        
,secret>y %all submit to ,congress a    
report t assesses ! implem5tation ( !   
plan develop$ by ! task =ce "u          
subsection 7d77#f74  #fbc4 ,reports on  
reque/s by ! ,dep>tm5t ( ,vet]ans       
,affairs = records ( o!r ,f$]al ag5cies 

7a7 ,reports requir$ ,n lat] ?an #ahj   
days aft] ! date ( ! enactm5t ( ?is     
,act1 & e #ahj days !reaft] ?r\gh ! date
 t is #iaj days aft] ! date ( ! enactm5t
 ( ?is ,act1 ! ,secret>y ( ,vet]ans     
,affairs %all submit to ! ,committee on 
,vet]ans' ,affairs ( ! ,s5ate & !       
,committee on ,vet]ans' ,affairs ( !    
,h\se ( ,repres5tatives a report on !   
attempts ( ! ,dep>tm5t ( ,vet]ans       
,affairs to obta9 records necess>y to   
adjudicate claims = b5efits f ano!r     
dep>tm5t or ag5cy ( ! ,f$]al ,gov]nm5t  
dur+ ! #ahj-;day p]iod end+ on ! date ( 
su* report4  7b7 ,elem5ts  7#a7 ,9 g5]al
 ,ea* report %all set =? ! foll[+3 7,a7 
,= ! p]iod cov]$ by su* report1 !       
foll[+3 7i7 ,! total numb] ( reque/s    
made by ! ,dep>tm5t4  7ii7 ,! types (   
records reque/$4  7iii7 ,! numb] (      
reque/s made be=e ! receipt ( ea*       
record4  7iv7 ,! am\nt ( "t betwe5 !    
initial reque/ = ea* record & ! receipt 
( ea* record4  7v7 ,! numb] ( occurr5ces
 ( ! receipt ( a record aft] !          

adjudication ( ! claim = :i* ! record 0 
s\ght4  7vi7 ,a description ( ! ef=ts ( 
! ,secret>y to exp$ite ! deliv]y (      
records to ! ,dep>tm5t f o!r dep>tm5ts &
 ag5cies ( ! ,f$]al ,gov]nm5t4  7,b7    
,su* recomm5dations = legislative or    
adm9i/rative action z ! ,secret>y       
consid]s appropriate 9 light ( su*      
report4  7#b7 ,pres5tation ,! in=mation 
9 a report "u clause 7i7 ?r\gh 7v7 (    
p>agraph 7#a77;,a7 %all be set =?       
sep>ately = ea* dep>tm5t & ag5cy ( !    
,f$]al ,gov]nm5t cov]$ by su* report4   
#fbd4 ,recognition ( repres5tatives (   
,indian tribes 9 ! prep>ation1          
pres5tation1 & prosecution ( claims "u  
laws adm9i/]$ by ! ,secret>y ( ,vet]ans 
,affairs ,section #eijb7;a77#a7 is am5d$
 by ins]t+ 1 includ+ ,indian tribes 7z  
def9$ 9 section #d ( ! ,indian          
,self-,det]m9ation & ,education         
,assi/ance ,act 7#be ,u4,s4,c4 #dej;b77 
aft] z ! ,secret>y may approve4  #fbe4  
,program on p>ticipation ( local &      
tribal gov]nm5ts 9 improv+ quality (    

claims = disability comp5sation submitt$
 to ,dep>tm5t ( ,vet]ans ,affairs  7a7  
,program requir$ ,! ,secret>y ( ,vet]ans
 ,affairs %all c>ry out a program to    
assess ! feasibility & advisability (   
ent]+ into memor&a ( und]/&+ ) local    
gov]nm5ts & tribal organizations-- 7#a7 
to improve ! quality ( claims submitt$  
to ! ,secret>y = comp5sation "u *apt]   
#aa ( title #ch1 ,unit$ ,/ates ,code1 & 
p5sion "u *apt] #ae ( su* title2 &  7#b7
 to provide assi/ance to vet]ans :o may 
be eligible = su* comp5sation or p5sion 
9 submitt+ su* claims4  7b7 ,m9imum     
numb] ( p>ticipat+ tribal organizations 
,9 c>ry+ out ! program requir$ by       
subsection 7a71 ! ,secret>y %all ent]   
into1 or ma9ta9 exi/+1 memor&a ( und]/&+
 ) at lea/-- 7#a7 two tribal            
organizations2 &  7#b7 #aj ,/ate or     
local gov]nm5ts4  7c7 ,duration ,!      
program %all be c>ri$ out dur+ ! two-ye>
 p]iod beg9n+ on ! date ( ! comm5cem5t (
 ! program4  7d7 ,report  7#a7 ,initial 
report ,n lat] ?an "o ye> aft] ! date ( 

! comm5cem5t ( ! program1 ! ,secret>y   
%all submit to ! ,committee on ,vet]ans'
 ,affairs ( ! ,s5ate & ! ,committee on  
,vet]ans' ,affairs ( ! ,h\se (          
,repres5tatives a report t includes !   
foll[+3 7,a7 ,a description ( !         
implem5tation & op]ation ( ! program1   
includ+ a description ( outrea* conduct$
 by ! ,secret>y to tribal organizations 
& ,/ate & local gov]nm5ts4  7,b7 ,an    
evaluation ( ! program1 includ+ ! total 
numb] ( memor&a ( und]/&+ ent]$ into or 
ma9ta9$ by ! ,secret>y4  7#b7 ,f9al     
report ,n lat] ?an #ahj days aft] !     
t]m9ation ( ! program1 ! ,secret>y %all 
submit to ! ,committee on ,vet]ans'     
,affairs ( ! ,s5ate & ! ,committee on   
,vet]ans' ,affairs ( ! ,h\se (          
,repres5tatives a report t includes !   
foll[+3 7,a7 ,a description ( !         
implem5tation & op]ation ( ! program1   
includ+ a description ( outrea* conduct$
 by ! ,secret>y to tribal organizations 
& ,/ate & local gov]nm5ts4  7,b7 ,an    
evaluation ( ! program1 includ+ ! total 

numb] ( memor&a ( und]/&+ ent]$ into or 
ma9ta9$ by ! ,secret>y4  7,c7 ,! f9d+s &
 conclusions ( ! ,secret>y ) respect to 
! program4  7,d7 ,su* recomm5dations =  
cont9uation or expansion ( ! program z !
 ,secret>y consid]s appropriate4  7e7   
,tribal organization def9$ ,9 ?is       
section1 ! t]m tribal organization has !
 mean+ giv5 t t]m 9 section #cgfe (     
title #ch1 ,unit$ ,/ates ,code4  #fbf4  
,dep>tm5t ( ,vet]ans ,affairs notice (  
av]age times = process+ comp5sation     
claims  7a7 ,public notice ,! ,secret>y 
( ,vet]ans ,affairs %all1 to ! ext5t    
practicable1 po/ ! in=mation describ$ 9 
subsection 7b7-- 7#a7 9 physical        
locations1 su* z ,regional ,(fices or   
o!r claims 9-take facilities1 t !       
,secret>y consid]s appropriate2  7#b7 on
 ! ,int]net website ( ! ,dep>tm5t2 &    
7#c7 ?r\gh o!r m$iums or us+ su* o!r    
me?ods1 includ+ collaboration ) vet]ans 
s]vice organizations1 z ! ,secret>y     
consid]s appropriate4  7b7 ,in=mation   
describ$  7#a7 ,9 g5]al ,! in=mation    

describ$ 9 ?is subsection is ! av]age   
process+ "t ( ! claims describ$ 9       
p>agraph 7#b74  7#b7 ,claims describ$ ,!
 claims describ$ 9 ?is p>agraph are ea* 
( ! foll[+ types ( claims = b5efits "u !
 laws adm9i/]$ by ! ,secret>y ( ,vet]ans
 ,affairs3 7,a7 ,a fully develop$ claim4
  7,b7 ,a claim t is n fully develop$4  
7#c7 ,update ( in=mation ,! in=mation   
describ$ 9 ?is subsection %all be updat$
 n less frequ5tly ?an once ea* fiscal   
qu>t]4  7c7 ,expiration ( requirem5ts ,!
 requirem5ts ( subsection 7a7 %all      
expire on ,decemb] #ca1 #bjae4  7d7     
,vet]ans s]vice organization def9$ ,9   
?is section1 ! t]m vet]ans s]vice       
organization means an organization      
recogniz$ by ! ,secret>y ( ,vet]ans     
,affairs = ! repres5tation ( vet]ans "u 
section #eijb ( title #ch1 ,unit$ ,/ates
 ,code4  #fbg4 ,qu>t]ly reports on      
progress ( ,dep>tm5t ( ,vet]ans ,affairs
 9 elim9at+ backlog ( claims =          
comp5sation t h n be5 adjudicat$  7a7 ,9
 g5]al ,n lat] ?an #ij days aft] ! date 

( ! enactm5t ( ?is ,act & n less        
frequ5tly ?an qu>t]ly !reaft] ?r\gh     
cal5d> ye> #bjae1 ! ,secret>y ( ,vet]ans
 ,affairs %all submit to ! ,committee on
 ,vet]ans' ,affairs ( ! ,s5ate & !      
,committee on ,vet]ans' ,affairs ( !    
,h\se ( ,repres5tatives a report on !   
backlog ( claims fil$ ) ! ,dep>tm5t (   
,vet]ans ,affairs = comp5sation t h n   
be5 adjudicat$ by ! ,dep>tm5t4  7b7     
,cont5ts ,ea* report submitt$ "u        
subsection 7a7 %all include ! foll[+3   
7#a7 ,= ea* mon? ?r\gh cal5d> ye> #bjae1
 a projection ( ! foll[+3 7,a7 ,! numb] 
( claims complet$4  7,b7 ,! numb] (     
claims receiv$4  7,c7 ,! numb] ( claims 
on backlog at ! end ( ! mon?4  7,d7 ,!  
numb] ( claims p5d+ at ! end ( ! mon?4  
7,e7 ,! numb] ( appeals p5d+ at ! end ( 
! mon?4  7,f7 ,a description ( ! /atus (
 ! implem5tation ( initiatives c>ri$ out
 by ! ,secret>y to address ! backlog1   
includ+ ! expect$ impact ( ^?           
initiatives on accuracy & timel9ess (   
adjudication ( claims4  7#b7 ,= ea*     

qu>t] ?r\gh cal5d> ye> #bjae1 a         
projection ( ! av]age accuracy (        
disability det]m9ations = comp5sation   
claims t require a disability rat+ 7or  
disability decision74  7#c7 ,= ea* mon? 
dur+ ! mo/ rec5tly complet$ qu>t]1 !    
foll[+3 7,a7 ,! numb] ( claims complet$4
  7,b7 ,! numb] ( claims receiv$4  7,c7 
,! numb] ( claims on backlog at ! end ( 
! mon?4  7,d7 ,! numb] ( claims p5d+ at 
! end ( ! mon?4  7,e7 ,! numb] ( appeals
 p5d+ at ! end ( ! mon?4  7,f7 ,a       
description ( ! /atus ( ! implem5tation 
( initiatives c>ri$ out by ! ,secret>y  
to address ! backlog1 includ+ ! impact (
 ^? initiatives on accuracy & timel9ess 
( adjudication ( claims4  7,g7 ,an      
assessm5t ( ! accuracy ( disability     
det]m9ations = comp5sation claims t     
require a disability rat+ 7or disability
 decision74  7#d7 ,= ! mo/ rec5tly      
complet$ qu>t]-- 7,a7 ! numb] ( cases   
physically receiv$ at ! ,bo>d (         
,vet]ans' ,appeals & docket$2  7,b7 !   
numb] ( cases p5d+ at ! ,bo>d (         

,vet]ans' ,appeals at ! end ( ! qu>t]2  
7,c7 ! numb] ( cases physically at !    
,bo>d ( ,vet]ans' ,appeals at ! end ( ! 
qu>t]2  7,d7 ! numb] ( notices (        
disagreem5t & appeals fil$ to ! ag5cy ( 
orig9al jurisdiction ref]r$ to 9 section
 #gaje7;b77#a7 ( title #ch1 ,unit$      
,/ates ,code2 &  7,e7 ! numb] (         
decisions made by ! ,bo>d ( ,vet]ans'   
,appeals & ! p]c5tage ( su* decisions t 
7 all[$1 rem&$1 d5i$1 or o!rwise dispos$
 (4  7c7 ,availability to public ,!     
,secret>y %all make ea* report submitt$ 
"u subsection 7a7 available to ! public4
  7d7 ,on backlog & p5d+ def9$ ,9 ?is   
section1 ! t]ms on backlog & p5d+1 )    
respect to a claim = comp5sation receiv$
 by ! ,secret>y1 %all h ! mean+ specifi$
 by ! ,secret>y = purposes ( ?is        
section4  #fbh4 ,reports on use ( exi/+ 
au?orities to exp$ite b5efits decisions 
7a7 ,report on curr5t use ( tempor>y1   
int]m$iate1 & provisional rat+ decisions
  7#a7 ,report requir$ ,n lat] ?an #ahj 
days aft] ! date ( ! enactm5t ( ?is     

,act1 ! ,secret>y ( ,vet]ans ,affairs   
%all submit to ! ,committee on ,vet]ans'
 ,affairs ( ! ,s5ate & ! ,committee on  
,vet]ans' ,affairs ( ! ,h\se (          
,repres5tatives a report on ! use (     
tempor>y1 int]m$iate1 & provisional rat+
 decisions to exp$ite ! b5efits         
decisions ( ! ,dep>tm5t ( ,vet]ans      
,affairs4  7#b7 ,report elem5ts ,!      
report requir$ by p>agraph 7#a7 %all    
include ! foll[+3 7,a7 ,) respect to    
tempor>y & int]m$iate rat+ decisions1 ! 
foll[+3 7i7 ,! numb] ( tempor>y &       
int]m$iate rat+ decisions issu$ by !    
,dep>tm5t dur+ ea* ( fiscal ye>s #bjaa1 
#bjab1 & #bjac4  7ii7 ,a description (  
any reasons or ob/acles t prev5t use (  
exi/+ au?orities to issue tempor>y or   
int]m$iate rat+ decisions4  7iii7 ,a    
description ( ! ,quick ,pay ,disability 
initiative1 includ+ ! rationale = n     
exp&+ ! initiative beyond pilot program 
/atus4  7,b7 ,) respect to provisional  
rat+ decisions1 ! foll[+3 7i7 ,! numb] (
 provisional rat+ decisions issu$ by !  

,dep>tm5t dur+ ! olde/ claims fir/      
initiative4  7ii7 ,( ! provisional rat+ 
decisions issu$ dur+ ! olde/ claims fir/
 initiative-- 7,i7 ! numb] ( su*        
decisions t involv$ a claim grant$2     
7,,ii7 ! numb] ( su* decisions t involv$
 a claim d5i$2 &  7,,iii7 ! numb] ( su* 
decisions t involv$ a claim grant$ 9 "p 
or a claim d5i$ 9 "p4  7iii7 ,a /atem5t 
( ! mo/ common reasons claims 7 n grant$
 e>li] "u ! olde/ claims fir/ initiative
 :5 !re 0 suffici5t evid5ce to r5d] an  
aw>d ( b5efits 9 ! provisional rat+     
decision4  7iv7 ,! av]age numb] ( days  
to issue a provisional rat+ decision "u 
! olde/ claims fir/ initiative4  7v7 ,( 
! total numb] ( decisions t 7 complet$  
"u ! olde/ claims fir/ initiative-- 7,i7
 ! numb] t 7 ,category #a claims &      
receiv$ a f9al rat+ decision2 &  7,,ii7 
! numb] t 7 ,category #b claims &       
receiv$ a provisional rat+ decision4    
7vi7 ,! numb] ( rat+ decisions issu$    
dur+ ! olde/ claims fir/ imitative t    
involv$ a brok]$ claim1 set =? by numb] 

( su* claims by ,regional ,(fice ( !    
,dep>tm5t1 includ+-- 7,i7 ! numb] (     
brok]$ claims receiv$ by ea* ,regional  
,(fice2 &  7,,ii7 ! numb] ( brok]$      
claims issu$ by ea* ,regional ,(fice4   
7vii7 ,! numb] ( provisional rat+       
decisions issu$ dur+ ! olde/ claims fir/
 initiative ) respect to :i* ! vet]an   
reque/$ t ! provisional decision become 
f9al 9 ord] to appeal4  7viii7 ,! numb] 
( provisional rat+ decisions issu$ dur+ 
! olde/ claims fir/ initiative ) respect
 to :i* ! vet]an reque/$ an appeal aft] 
! expiration ( ! #a-ye> p]iod beg9n+ on 
! date ( notification ( ! provisional   
rat+ decision4  7ix7 ,an assessm5t ( !  
accuracy ( provisional rat+ decisions   
issu$ dur+ ! olde/ claims fir/          
initiative1 set =? by ,category #a      
claims & ,category #b claims4  7,c7 ,su*
 o!r matt]s z ! ,secret>y consid]s      
appropriate = purposes ( ! report4  7#c7
 ,supplem5tal in=mation ,if ! ,secret>y 
cont9ues to obta9 in=mation on rat+     
decisions "u clauses 7vii7 & 7viii7 (   

p>agraph 7#b77;,b7 aft] ! date ( !      
submittal ( ! report requir$ by p>agraph
 7#a71 ! ,secret>y %all submit to !     
committees ( ,congress ref]r$ to 9      
p>agraph 7#a7 a report on su* in=mation 
t supplem5ts ! in=mation on su* clauses 
9 ! report "u p>agraph 7#a7 :5 !        
,secret>y completes accumulation ( su*  
in=mation4  7b7 ,plan = increase 9 use (
 tempor>y or int]m$iate rat+ decisions  
7#a7 ,report on plan requir$ ,n lat] ?an
 #ahj days aft] ! date ( ! enactm5t (   
?is ,act1 ! ,secret>y %all submit to !  
,committee on ,vet]ans' ,affairs ( !    
,s5ate & ! ,committee on ,vet]ans'      
,affairs ( ! ,h\se ( ,repres5tatives a  
report sett+ =? a plan to increase ! use
 ( tempor>y or int]m$iate rat+ decisions
 to exp$ite b5efit decisions ( !        
,dep>tm5t :5 ! record conta9s suffici5t 
evid5ce to grant any claim at issue1    
includ+ s]vice connection4  7#b7 ,plan  
elem5ts ,! plan requir$ "u p>agraph 7#a7
 %all include ! foll[+3 7,a7 ,me*anisms 
to ov]come ob/acles to ! use ( tempor>y 

or int]m$iate rat+ decisions1 includ+   
me*anisms 7su* z upgrades7 to assure !  
ability ( ! ,vet]ans ,b5efits ,managem5t
 ,sy/em to facilitate ! issuance (      
tempor>y or int]m$iate rat+ decisions4  
7,b7 ,me*anisms to ensure t appropriate 
claimant populations1 su* z claimants :o
 file complex or multi-issue disability 
comp5sation claims1 b5efit f !          
availability ( tempor>y or int]m$iate   
rat+ decisions4  7,c7 ,me*anisms to     
provide = ! use ( tempor>y or int]m$iate
 rat+ decisions1 includ+ me*anisms to   
resolve :e!r a reque/ by a claimant or  
claimant repres5tative %\ld trigg] use (
 a tempor>y or int]m$iate rat+ decision 
dep5d+ on ! circum/ances ( ! claimant4  
7,d7 ,me*anisms to prev5t ! use (       
tempor>y or int]m$iate rat+ decisions 9 
lieu ( a f9al rat+ decision :5 a f9al   
rat+ decision c\ld be made ) little or  
no additional claim developm5t4  7,e7   
,su* recomm5dations = legislative or    
adm9i/rative action z ! ,secret>y       
consid]s appropriate to increase ! use (

 tempor>y or int]m$iate rat+ decisions  
to exp$ite b5efit decisions ( !         
,dep>tm5t4  #fbi4 ,reports on ,dep>tm5t 
disability m$ical exam9ations &         
prev5tion ( unnecess>y m$ical           
exam9ations  7a7 ,report on disability  
m$ical exam9ations furni%$ by ,dep>tm5t 
( ,vet]ans ,affairs  7#a7 ,9 g5]al ,n   
lat] ?an #ahj days aft] ! date ( !      
enactm5t ( ?is ,act1 ! ,secret>y (      
,vet]ans ,affairs %all submit to !      
,committee on ,vet]ans' ,affairs ( !    
,s5ate & ! ,committee on ,vet]ans'      
,affairs ( ! ,h\se ( ,repres5tatives a  
report on ! furni%+ ( g5]al m$ical &    
specialty m$ical exam9ations by !       
,dep>tm5t ( ,vet]ans ,affairs = purposes
 ( adjudicat+ claims = b5efits "u laws  
adm9i/]$ by ! ,secret>y4  7#b7 ,cont5ts 
,! report submitt$ "u p>agraph 7#a7 %all
 include ! foll[+3 7,a7 ,! numb] ( g5]al
 m$ical exam9ations furni%$ by !        
,dep>tm5t dur+ ! p]iod ( fiscal ye>s    
#bjji ?r\gh #bjab = purposes (          
adjudicat+ claims = b5efits "u laws     

adm9i/]$ by ! ,secret>y4  7,b7 ,! numb] 
( g5]al m$ical exam9ations furni%$ by ! 
,dep>tm5t dur+ ! p]iod ( fiscal ye>s    
#bjji ?r\gh #bjab = purposes (          
adjudicat+ a claim 9 :i* a compreh5sive 
jo9t exam9ation 0 conduct$1 b = :i* no  
disability relat+ to a jo9t1 bone1 or   
muscle _h be5 ass]t$ z an issue 9 !     
claim4  7,c7 ,! numb] ( specialty m$ical
 exam9ations furni%$ by ! ,dep>tm5t dur+
 ! p]iod ( fiscal ye>s #bjji ?r\gh #bjab
 = purposes ( adjudicat+ a claim4  7,d7 
,! numb] ( specialty m$ical exam9ations 
furni%$ by ! ,dep>tm5t dur+ ! p]iod (   
fiscal ye>s #bjji ?r\gh #bjab = purposes
 ( adjudicat+ a claim 9 :i* "o or m jo9t
 exam9ations 7 conduct$4  7,e7 ,a summ>y
 ) citations to any m$ical & sci5tific  
/udies t provide a basis = det]m9+ t    
?ree repetitions is adequate to det]m9e 
! effect ( repetitive use on functional 
impairm5ts4  7,f7 ,! names ( all        
exam9ation reports1 includ+ g5]al m$ical
 exam9ations & ,disability ,b5efits     
,que/ionnaires1 us$ = evaluation (      

comp5sation & p5sion disability claims  
:i* require measurem5t ( repeat$ ranges 
( motion te/+ & ! numb] ( exam9ations   
requir+ su* measurem5ts :i* 7 conduct$ 9
 fiscal ye> #bjab4  7,g7 ,! av]age am\nt
 ( "t tak5 by an individual conduct+ a  
m$ical exam9ation to p]=m ! ?ree        
repetitions ( movem5t ( ea* jo9t4  7,h7 
,a discussion ( :e!r !re are m effici5t 
& effective sci5tifically reliable      
me?ods ( te/+ = functional loss on      
repetitive use ( an extremity o!r ?an ! 
?ree "t repetition curr5tly us$ by !    
,dep>tm5t4  7,i7 ,recomm5dations z to ! 
cont9uation ( ! practice ( measur+      
functional impairm5t by us+ ?ree        
repetitions ( movem5t ( ea* jo9t dur+ ! 
exam9ation z a crit]ia = evaluat+ !     
effect ( repetitive motion on functional
 impairm5t ) support+ rationale4  7b7   
,report & plan to prev5t ! ord]+ (      
unnecess>y m$ical exam9ations  7#a7 ,9  
g5]al ,n lat] ?an #ahj days aft] ! date 
( ! enactm5t ( ?is ,act1 ! ,secret>y    
%all submit to ! ,committee on ,vet]ans'

 ,affairs ( ! ,s5ate & ! ,committee on  
,vet]ans' ,affairs ( ! ,h\se (          
,repres5tatives a report on ! ef=ts ( ! 
,secret>y 9 r$uc+ ! necessity = 9-p]son 
disability exam9ations & o!r ef=ts to   
comply ) ! provisions ( section #eabe ( 
title #ch1 ,unit$ ,/ates ,code4  7#b7   
,cont5ts ,! report requir$ by p>agraph  
7#a7 %all include ! foll[+3 7,a7        
,crit]ia us$ by ! ,secret>y to det]m9e  
if a claim is eligible = ! ,acceptable  
,cl9ical ,evid5ce initiative4  7,b7 ,!  
numb] ( claims det]m9$ to be eligible = 
! ,acceptable ,cl9ical ,evid5ce         
initiative dur+ ! p]iod beg9n+ on ! date
 ( ! initiation ( ! initiative & end+ on
 ! date ( ! enactm5t ( ?is ,act1        
disaggregat$-- 7i7 by fiscal ye>2 &     
7ii7 by claims det]m9$ eligible bas$ 9  
:ole or 9 "p on m$ical evid5ce provid$  
by a private heal? c>e provid]4  7,c7 ,!
 total numb] ( claims det]m9$ to be     
eligible = ! ,acceptable ,cl9ical       
,evid5ce initiative t requir$ an        
employee ( ! ,dep>tm5t to supplem5t !   

evid5ce ) in=mation obta9$ dur+ a       
telephone int]view ) a claimant or heal?
 c>e provid]4  7,d7 ,in=mation on any   
o!r initiatives or ef=ts1 includ+       
disability b5efits que/ionnaires1 ( !   
,dep>tm5t to fur!r enc\rage ! use (     
m$ical evid5ce provid$ by a private     
heal? c>e provid] & reliance ^u reports 
( a m$ical exam9ation adm9i/]$ by a     
private physician if ! report is        
suffici5tly complete to be adequate = ! 
purposes ( adjudicat+ a claim4  7,e7 ,a 
plan-- 7i7 to measure1 track1 & prev5t !
 ord]+ ( unnecess>y m$ical exam9ations  
:5 ! provision by a claimant ( a m$ical 
exam9ation adm9i/]$ by a private        
physician 9 support ( a claim = b5efits 
"u *apt] #aa or #ae ( title #ch1 ,unit$ 
,/ates ,code1 is adequate = ! purpose ( 
mak+ a decision on t claim2 &  7ii7 t   
includes ! actions ! ,secret>y w take to
 elim9ate any reque/ by ! ,dep>tm5t = a 
m$ical exam9ation 9 ! case ( a claim =  
b5efits "u *apt] #aa or #ae ( su* title 
9 support ( :i* a claimant submits      

m$ical evid5ce or a m$ical op9ion       
provid$ by a private heal? c>e provid] t
 is compet5t1 cr$ible1 probative1 &     
o!rwise adequate = purposes ( mak+ a    
decision on t claim4  ,d ,bo>d (        
,vet]ans' ,appeals & ,c\rt ( ,appeals = 
,vet]ans ,claims  #fca4 ,treatm5t (     
c]ta9 misfil$ docum5ts z a notice (     
appeal to ! ,c\rt ( ,appeals = ,vet]ans 
,claims ,section #gbff is am5d$ by add+ 
at ! end ! foll[+ new subsection3  7e7  
7#a7 ,if a p]son adv]sely affect$ by a  
f9al decision ( ! ,bo>d1 :o has n fil$ a
 notice ( appeal ) ! ,unit$ ,/ates ,c\rt
 ( ,appeals = ,vet]ans ,claims "u       
subsection 7a71 misfiles a docum5t ) !  
,bo>d or ! ag5cy ( orig9al jurisdiction 
ref]r$ to 9 section #gaje7;b77#a7 ( ?is 
title t expresses disagreem5t ) su*     
decision & a cle> int5t to seek review (
 su* decision by ! ,unit$ ,/ates ,c\rt (
 ,appeals = ,vet]ans ,claims1 n lat] ?an
 #abj days aft] ! date ( su* decision1  
su* docum5t %all be treat$ z timely fil$
 "u subsection 7a74  7#b7 ,! treatm5t ( 

misfil$ docum5ts "u p>agraph 7#a7 does n
 limit equitable relief t may be o!rwise
 available to a p]son describ$ 9 t      
p>agraph4  4  #fcb4 ,det]m9ation ( mann]
 ( appe>ance = he>+s be=e ,bo>d (       
,vet]ans' ,appeals  7a7 ,9 g5]al        
,section #gajg is am5d$-- 7#a7 9        
subsection 7a77#a71 by /rik+ 9          
subsection 7f7 & ins]t+ 9 subsection    
7g72  7#b7 by r$esignat+ subsection 7f7 
z subsection 7g72 &  7#c7 by /rik+      
subsections 7d7 & 7e7 & ins]t+ ! foll[+ 
new subsections3  7d7 7#a7 ,except z    
provid$ 9 p>agraph 7#b71 a he>+ be=e !  
,bo>d %all be conduct$ ?r\gh picture &  
voice transmission1 by electronic or o!r
 means1 9 su* a mann] t ! appellant is n
 pres5t 9 ! same location z ! memb]s ( !
 ,bo>d dur+ ! he>+4  7#b7 7,a7 ,a he>+  
be=e ! ,bo>d %all be conduct$ 9 p]son ^u
 ! reque/ ( an appellant4  7,b7 ,9 !    
abs5ce ( a reque/ "u subp>agraph 7,a71 a
 he>+ be=e ! ,bo>d may also be conduct$ 
9 p]son z ! ,bo>d consid]s appropriate4 
7e7 7#a7 ,9 a case 9 :i* a he>+ be=e !  

,bo>d is to be held z describ$ 9        
subsection 7d77#a71 ! ,secret>y %all    
provide suitable facilities & equipm5t  
to ! ,bo>d or o!r compon5ts ( !         
,dep>tm5t to enable an appellant locat$ 
at an appropriate facility )9 ! area    
s]v$ by a regional (fice to p>ticipate z
 s describ$4  7#b7 ,any he>+ conduct$ z 
describ$ 9 subsection 7d77#a7 %all be   
conduct$ 9 ! same mann] z1 & %all be    
consid]$ ! equival5t (1 a p]sonal he>+4 
7f7 7#a7 ,9 a case 9 :i* a he>+ be=e !  
,bo>d is to be held z describ$ 9        
subsection 7d77#b71 ! appellant may     
reque/ t ! he>+ be held at ! pr9cipal   
location ( ! ,bo>d or at a facility ( ! 
,dep>tm5t locat$ )9 ! area s]v$ by a    
regional (fice ( ! ,dep>tm5t4  7#b7 ,a  
he>+ to be held )9 an area s]v$ by a    
regional (fice ( ! ,dep>tm5t %all       
7except z provid$ 9 p>agraph 7#c77 be   
s*$ul$ to be held 9 accordance ) ! place
 ( ! case on ! docket "u subsection 7a7 
relative to o!r cases on ! docket = :i* 
he>+s are s*$ul$ to be held )9 t area4  

7#c7 ,a he>+ to be held )9 an area s]v$ 
by a regional (fice ( ! ,dep>tm5t may1 =
 cause %[n1 be advanc$ on motion = an   
e>li] he>+4 ,any su* motion %all set =? 
succ9ctly ! gr\nds ^u :i* ! motion is   
bas$4 ,su* a motion may be grant$ only--
 7,a7 if ! case involves int]pretation (
 law ( g5]al application affect+ o!r    
claims2  7,b7 if ! appellant is s]i\sly 
ill or is "u sev]e f9ancial h>d%ip2 or  
7,c7 = o!r suffici5t cause %[n4  4  7b7 
,effective date ,! am5dm5ts made by     
subsection 7a7 %all apply ) respect to  
cases receiv$ by ! ,bo>d ( ,vet]ans'    
,appeals pursuant to notices (          
disagreem5t submitt$ on or aft] ! date (
 ! enactm5t ( ?is ,act4  ,,vii ,outrea* 
,matt]s  #gja4 ,program to increase     
coord9ation ( outrea* ef=ts betwe5 !    
,dep>tm5t ( ,vet]ans ,affairs & ,f$]al1 
,/ate1 & local ag5cies & nonpr(it       
organizations  7a7 ,program requir$ ,!  
,secret>y ( ,vet]ans ,affairs %all c>ry 
out a program to assess ! feasibility & 
advisability ( us+ ,/ate & local        

gov]nm5t ag5cies & nonpr(it             
organizations-- 7#a7 to increase aw>5ess
 ( vet]ans reg>d+ b5efits & s]vices =   
vet]ans2 &  7#b7 to improve coord9ation 
( outrea* activities reg>d+ su* b5efits 
& s]vices betwe5 ! ,secret>y & ,f$]al1  
,/ate1 & local gov]nm5t & nonpr(it      
provid]s ( heal? c>e & b5efit s]vices = 
vet]ans4  7b7 ,duration ,! ,secret>y    
%all c>ry out ! program = a two-ye>     
p]iod4  7c7 ,grants  7#a7 ,9 g5]al ,!   
,secret>y %all c>ry out ! program ?r\gh 
! competitive aw>d ( grants to ,/ate &  
local gov]nm5t ag5cies & nonpr(it       
organizations-- 7,a7 to increase !      
aw>5ess ( vet]ans reg>d+ b5efits &      
s]vices = vet]ans2 &  7,b7 to improve   
coord9ation ( outrea* activities reg>d+ 
su* b5efits & s]vices betwe5 ! ,secret>y
 & ,f$]al1 ,/ate1 & local gov]nm5t &    
nonpr(it provid]s ( heal? c>e & b5efit  
s]vices = vet]ans4  7#b7 ,application   
7,a7 ,9 g5]al ,a ,/ate or local gov]nm5t
 ag5cy or nonpr(it organization seek+ a 
grant "u ! program %all submit to !     

,secret>y an application !re= 9 su* =m &
 9 su* mann] z ! ,secret>y consid]s     
appropriate4  7,b7 ,elem5ts ,ea*        
application submitt$ "u subp>agraph 7,a7
 %all include ! foll[+3 7i7 ,a          
description ( ! consultations1 if any1 )
 ! ,dep>tm5t ( ,vet]ans ,affairs 9 !    
developm5t ( any proposal "u !          
application4  7ii7 ,a description ( !   
project = :i* ! applicant is seek+ a    
grant "u ! program1 includ+ a plan to   
coord9ate "u ! program1 to ! greate/    
ext5t possible1 ! outrea* activities (  
,f$]al1 ,/ate1 & local gov]nm5t ag5cies 
t provide heal? c>e1 b5efits1 & s]vices 
= vet]ans & nonpr(it organizations t    
provide su* c>e1 b5efits1 & s]vices to  
enhance ! aw>5ess & availability ( su*  
c>e1 b5efits1 & s]vices4  7iii7 ,an     
agreem5t to report to ! ,secret>y       
/&>diz$ data & o!r p]=mance measures    
necess>y = ! ,secret>y to evaluate !    
program & to facilitate evaluation (    
projects = :i* grants are aw>d$ "u !    
program4  7iv7 ,su* o!r in=mation z !   

,secret>y may require4  7#c7            
,consid]ations  7,a7 ,9 g5]al ,9 aw>d+  
grants "u ! program to c>ry out         
projects1 ! ,secret>y %all consid]-- 7i7
 :]e ! projects w be c>ri$ out & :i*    
populations are t>get$2 &  7ii7 !       
likelihood t ea* pot5tial grantee w     
successfully c>ry out ! grant proposal4 
7,b7 ,consid]ations reg>d+ location &   
t>get population ,9 tak+ ! matt]s       
specifi$ 9 subp>agraph 7,a77ii7 into    
consid]ation1 ! ,secret>y %all consid] 9
 p>ticul> ! advisability ( aw>d+ grants 
= projects-- 7i7 c>ri$ out 9 areas )    
populations t h a high proportion (     
vet]an repres5tation2  7ii7 c>ri$ out 9 
a v>iety ( geographic areas1 includ+    
urban1 rural1 & highly rural areas2 &   
7iii7 t t>get a v>iety ( vet]an         
populations1 includ+ racial & e?nic     
m9orities1 l[-income populations1 & old]
 populations4  7#d7 ,use ( funds ,!     
,secret>y %all e/abli% appropriate uses 
( grant am\nts receiv$ "u ! program4    
7#e7 ,ov]sight ( use ( funds ,!         

,secret>y %all e/abli% appropriate      
me*anisms = ov]sight ( ! use ( grant    
am\nts receiv$ "u ! program1 includ+ !  
evid5ce grantees mu/ submit to          
demon/rate use ( grant am\nts &         
proc$ures = ! recov]y ( grant am\nts t 7
 improp]ly us$4  7#f7 ,limitation ,9 a  
fiscal ye>1 n m ?an #bj p]c5t ( all     
grant am\nts aw>d$ 9 t fiscal ye> may be
 aw>d$ to a s+le ,/ate entity4  7d7     
,/ate mat*+ requirem5t ,! ,secret>y may 
n make a grant to a ,/ate "u subsection 
7c7 unless t ,/ate agrees t1 ) respect  
to ! co/s to be incurr$ by ! ,/ate 9    
c>ry+ out ! program or projects = :i* ! 
grant 0 aw>d$1 ! ,/ate w make available 
7directly or ?r\gh donations f public or
 private entities7 non-,f$]al           
contributions 9 an am\nt equal to #ej   
p]c5t ( ,f$]al funds provid$ "u ! grant4
  7e7 ,au?orization ( appropriations    
,!re is h]eby au?oriz$ to be appropriat$
 to c>ry out ?is section ! foll[+3 7#a7 
#b1ejj1jjj = fiscal ye> #bjae4  7#b7    
#b1ejj1jjj = fiscal ye> #bjaf4  7f7     

,annual report  7#a7 ,9 g5]al ,n lat]   
?an #abj days aft] ! completion ( ! fir/
 cal5d> ye> beg9n+ aft] ! date ( !      
comm5cem5t ( ! program1 & n less        
frequ5tly ?an once e ye> !reaft] = !    
duration ( ! program1 ! ,secret>y %all  
submit to ,congress a report evaluat+ ! 
program & ! projects support$ by grants 
aw>d$ "u ! program4  7#b7 ,elem5ts ,!   
report requir$ by p>agraph 7#a7 %all    
include ! foll[+3 7,a7 ,! f9d+s &       
conclusions ( ! ,secret>y ) respect to !
 program4  7,b7 ,an assessm5t ( ! b5efit
 to vet]ans ( ! program4  7,c7 ,!       
p]=mance measures us$ by ! ,secret>y =  
purposes ( ! program & data %[+ !       
p]=mance ( grantees "u ! program "u su* 
measures4  7,d7 ,! recomm5dations ( !   
,secret>y z to ! feasibility &          
advisability ( cont9u+ or exp&+ or      
modify+ ! program4  7g7 ,effective date 
,?is section %all take effect on ! date 
t is "o ye> aft] ! date ( ! enactm5t (  
?is ,act4  #gjb4 ,coop]ative agreem5ts  
betwe5 ,secret>y ( ,vet]ans ,affairs &  

,/ates on outrea* activities  7a7 ,9    
g5]al ,*apt] #fc is am5d$ by ins]t+ aft]
 section #fcjf ! foll[+ new section3    
#fcjf;,a4 ,coop]ative agreem5ts ) ,/ates
  7a7 ,9 g5]al ,! ,secret>y may ent]    
into coop]ative agreem5ts & arrangem5ts 
) v>i\s ,/ate ag5cies & ,/ate dep>tm5ts 
to c>ry out ?is *apt] & to o!rwise c>ry 
out1 coord9ate1 improve1 or enhance     
outrea* activities ( ! ,dep>tm5t & !    
,/ates4  7b7 ,report ,! ,secret>y %all  
include 9 ea* report submitt$ "u section
 #fcjh ( ?is title a description ( !    
agreem5ts & arrangem5ts ent]$ into by ! 
,secret>y "u subsection 7a74  4  7b7    
,cl]ical am5dm5t ,! table ( sections at 
! beg9n+ ( *apt] #fc is am5d$ by ins]t+ 
aft] ! item relat+ to section #fcjf !   
foll[+ new item3  #fcjf;,a4 ,coop]ative 
agreem5ts ) ,/ates4  4  #gjc4 ,advisory 
committee on outrea* activities (       
,dep>tm5t ( ,vet]ans ,affairs  7a7      
,e/abli%m5t ,n lat] ?an #ahj days aft] !
 date ( ! enactm5t ( ?is ,act1 !        
,secret>y ( ,vet]ans ,affairs %all      

e/abli% an advisory committee on outrea*
 activities ( ! ,dep>tm5t ( ,vet]ans    
,affairs4  7b7 ,memb]%ip ,! advisory    
committee %all be compos$ ( individuals 
select$ by ! ,secret>y f among ! foll[+3
 7#a7 ,to ! maximum ext5t practicable1  
individuals :o are em95t 9 _! respective
 fields ( public relations4  7#b7       
,repres5tatives ( organizations ) (fices
 t focus on communications & di/ribute  
messages ?r\gh major m$ia news outlets &
 social m$ia4  7#c7 ,to ! maximum ext5t 
practicable1 individuals ) exp]i5ce     
communicat+ f9ancial results & bus9ess  
/rategy = purposes ( %ap+ a confid5t br&
 image4  7#d7 ,to ! maximum ext5t       
practicable1 individuals ) exp]i5ce )   
consum] & life/yle imag+ & creat+       
publicity = a p>ticul> product or       
s]vice4  7#e7 ,to ! maximum ext5t       
practicable1 vet]ans :o h exp]i5ce 9    
press & public relations4  7c7 ,duties  
,! advisory committee %all advise !     
,assi/ant ,secret>y = ,public &         
,int]gov]nm5tal ,affairs-- 7#a7 to      

ensure t ! ,dep>tm5t ( ,vet]ans ,affairs
 is /rategically & effectively-- 7,a7   
engag+ ! public & ,dep>tm5t /akehold]s  
to increase aw>5ess nationally reg>d+   
all b5efits & s]vices furni%$ by !      
,dep>tm5t2  7,b7 expla9+ new or *ang+   
policies ( ! ,dep>tm5t2  7,c7 improv+ ! 
image & reputation ( ! ,dep>tm5t2 &     
7,d7 coord9at+ & collaborat+ ) national 
community-bas$ organizations1 nonpr(its1
 & ,/ate & local gov]nm5t ag5cies2  7#b7
 to assi/ ! ,secret>y 9 conduct+ su* o!r
 press or public relations activities   
relat+ to outrea* activities ( !        
,dep>tm5t z ! ,secret>y & ! ,assi/ant   
,secret>y = ,public & ,int]gov]nm5tal   
,affairs consid] appropriate2 &  7#c7 to
 ensure coord9ation & collaboration on  
ef=ts )9 ! ,dep>tm5t = ! developm5t1    
implem5tation1 & review ( local outrea* 
) respect to b5efits t include ! foll[+3
 7,a7 ,comp5sation & p5sion b5efits4    
7,b7 ,insurance b5efits4  7,c7 ,burial &
 memorial b5efits4  7,d7 ,education     
b5efits4  7,e7 ,vocational              

rehabilitation & employm5t b5efits4     
7,f7 ,readju/m5t c\nsel+ b5efits4  7,g7 
,loan gu>antee b5efits4  7,h7 ,su* o!r  
b5efits z ! ,secret>y consid]s          
appropriate4  7d7 ,location ( meet+s    
,ea* meet+ ( ! advisory committee %all  
take place at a location t is prop]ty ( 
! ,dep>tm5t & %all1 to ! maximum ext5t  
practicable1 use teleconf]5ce te*nology4
  7e7 ,consultation ,! ,secret>y %all   
consult ) & seek ! advice ( ! advisory  
committee n less frequ5tly ?an qu>t]ly  
on matt]s relat+ to ! duties ( !        
advisory committee "u subsection 7c74   
7f7 ,reports  7#a7 ,9 g5]al ,n less     
frequ5tly ?an once e #ij days = ! fir/  
ye> & semiannually !reaft]1 ! advisory  
committee %all submit to ,congress & to 
! ,secret>y a report on outrea*         
activities ( ! ,dep>tm5t4  7#b7         
,recomm5dations ,ea* report submitt$ "u 
p>agraph 7#a7 %all include su*          
recomm5dations = legislative &          
adm9i/rative action z ! advisory        
committee consid]s appropriate to       

improve ! press & public relations ( !  
,dep>tm5t relat+ to outrea*4  7g7       
,t]m9ation ,! advisory committee %all   
t]m9ate on ,octob] #a1 #bjae1 & !       
requirem5ts & au?orities "u ?is section 
%all t]m9ate on su* date4  7h7 ,outrea* 
def9$ ,9 ?is section1 ! t]m outrea* has 
! mean+ giv5 ! t]m 9 section #fcja (    
title #ch1 ,unit$ ,/ates ,code4  #gjd4  
,advisory bo>ds on outrea* activities ( 
,dep>tm5t ( ,vet]ans ,affairs relat+ to 
heal? c>e  7a7 ,e/abli%m5t  7#a7 ,9     
g5]al ,= ea* entity describ$ 9 p>agraph 
7#b71 ! ,secret>y ( ,vet]ans ,affairs   
%all1 act+ ?r\gh ! director ( t entity1 
e/abli% n lat] ?an #ahj days aft] !     
effective date specifi$ 9 subsection 7h7
 an advisory bo>d at t entity on matt]s 
relat+ to outrea* activities ( !        
,dep>tm5t ( ,vet]ans ,affairs at t      
entity4  7#b7 ,entity describ$ ,an      
entity describ$ 9 ?is p>agraph is-- 7,a7
 a heal?c>e sy/em ( ! ,dep>tm5t2 or     
7,b7 a ,vet]ans ,integrat$ ,sy/em       
,network1 if su* ,vet]ans ,integrat$    

,sy/em ,network does n conta9 a heal?c>e
 sy/em4  7b7 ,memb]%ip  7#a7 ,9 g5]al   
,ea* advisory bo>d e/abli%$ "u          
subsection 7a77#a7 %all be1 to ! maximum
 ext5t practicable1 compos$ (           
individuals select$ by ! ,secret>y f    
among ! foll[+3 7,a7 ,individuals :o are
 em95t 9 _! respective fields ( public  
relations4  7,b7 ,repres5tatives (      
organizations ) (fices t focus on       
communications & di/ribute messages     
?r\gh major m$ia news outlets & social  
m$ia4  7,c7 ,individuals ) exp]i5ce     
communicat+ f9ancial results & bus9ess  
/rategy = purposes ( %ap+ a confid5t br&
 image4  7,d7 ,individuals ) exp]i5ce ) 
consum] & life/yle imag+ & creat+       
publicity = a p>ticul> product or       
s]vice4  7,e7 ,employees ( ! ,dep>tm5t  
:o are involv$ 9 press & public         
relations /rategy = an entity describ$ 9
 subsection 7a77#b74  7,f7 ,to ! maximum
 ext5t practicable1 vet]ans :o h        
exp]i5ce 9 press & public relations4    
7#b7 ,volunt>y p>ticipation ,!          

p>ticipation ( an individual select$ "u 
p>agraph 7#a7 %all be at ! election ( ! 
individual4  7c7 ,duties ,ea* advisory  
bo>d e/abli%$ "u subsection 7a77#a7 at  
an entity describ$ 9 subsection 7a77#b7 
%all advise ! ,assi/ant ,secret>y =     
,public & ,int]gov]nm5tal ,affairs--    
7#a7 to ensure t ! ,dep>tm5t ( ,vet]ans 
,affairs is /rategically & effectively--
 7,a7 engag+ ! public & ,dep>tm5t       
/akehold]s to increase aw>5ess          
nationally reg>d+ b5efits & s]vices     
furni%$ by ! ,dep>tm5t2  7,b7 expla9+   
new or *ang+ policies ( ! ,dep>tm5t2    
7,c7 improv+ ! image & reputation ( !   
,dep>tm5t2  7,d7 coord9at+ & collaborat+
 ) national community-bas$              
organizations1 nonpr(its1 & ,/ate &     
local gov]nm5t ag5cies2 &  7,e7         
coord9at+ & collaborat+ on ef=ts )9 !   
,dep>tm5t = ! developm5t1 implem5tation1
 & review ( local outrea* ) respect to  
b5efits t include-- 7i7 comp5sation &   
p5sion b5efits2  7ii7 insurance b5efits2
  7iii7 burial & memorial b5efits2  7iv7

 education b5efits2  7v7 vocational     
rehabilitation & employm5t b5efits2     
7vi7 readju/m5t c\nsel+ b5efits2  7vii7 
loan gu>antee b5efits2 &  7viii7 su* o!r
 b5efits z ! ,secret>y consid]s         
appropriate2 &  7#b7 to assi/ ! director
 ( t entity 9 conduct+ su* o!r press or 
public relations activities relat+ to   
outrea* activities ( ! ,dep>tm5t z t    
advisory bo>d consid]s appropriate4  7d7
 ,meet+ location  7#a7 ,9 g5]al ,if     
teleconf]5ce te*nology is n us$1 meet+s 
( ea* advisory bo>d e/abli%$ "u         
subsection 7a77#a7 %all be held at a    
location t is prop]ty ( ! ,dep>tm5t4    
7#b7 ,teleconf]5ce te*nology ,ea*       
advisory bo>d %all use1 to ! maximum    
ext5t practicable1 teleconf]5ce         
te*nology4  7e7 ,consultation ,ea*      
director ( an entity describ$ 9         
subsection 7a77#b7 %all consult ) & seek
 ! advice ( ! advisory bo>d e/abli%$ at 
su* entity n less frequ5tly ?an once e  
two mon?s on matt]s relat+ to ! duties (
 ! advisory bo>d "u subsection 7c74  7f7

 ,annual reports ,n less frequ5tly ?an  
ea* ye>1 ea* advisory bo>d e/abli%$ "u  
subsection 7a77#a7 %all submit to !     
,secret>y a report ) su* in=mation z may
 be b5eficial to ! ,secret>y 9 prep>+ ! 
reports requir$ by section #fcjh ( title
 #ch1 ,unit$ ,/ates ,code4  7g7         
,t]m9ation ,ea* advisory bo>d e/abli%$  
"u subsection 7a77#a7 & ! au?orities &  
requirem5ts ( ?is section %all t]m9ate  
?ree ye>s aft] ! effective date specifi$
 9 subsection 7h74  7h7 ,effective date 
,?is section %all take effect on ! date 
t is "o ye> aft] ! date ( ! enactm5t (  
?is ,act4  #gje4 ,modification (        
requirem5t = p]iodic reports to         
,congress on outrea* activities (       
,dep>tm5t ( ,vet]ans ,affairs  7a7 ,9   
g5]al ,section #fcjh is am5d$-- 7#a7 9  
subsection 7a71 by /rik+ ev5-numb]$2 &  
7#b7 9 subsection 7b7-- 7,a7 9 p>agraph 
7#a71 by /rik+ bi5nial2  7,b7 9 p>agraph
 7#b71 by ins]t+ = legislative &        
adm9i/rative action aft]                
,recomm5dations2 &  7,c7 by add+ at !   

end ! foll[+ new p>agraph3  7#c7        
,recomm5dations t su* adm9i/rative      
actions z may be tak5-- 7,a7 to maximize
 res\rces = outrea* activities ( !      
,dep>tm5t2 &  7,b7 to focus outrea*     
ef=ts on activities t are prov5 to be m 
effective4  4  7b7 ,cl]ical am5dm5ts    
7#a7 ,section head+ ,! head+ = section  
#fcjh is am5d$ by /rik+ ,bi5nial &      
ins]t+ ,annual4  7#b7 ,table ( sections 
,! table ( sections at ! beg9n+ ( *apt] 
#fc is am5d$ by /rik+ ! item relat+ to  
section #fcjh & ins]t+ ! foll[+ new     
item3  #fcjh4 ,annual report to         
,congress4  4  #gjf4 ,budget transp>5cy 
= outrea* activities ( ,dep>tm5t (      
,vet]ans ,affairs  7a7 ,9 g5]al ,*apt]  
#fc is am5d$ by ins]t+ aft] section     
#fcjh ! foll[+ new section3  #fcji4     
,budget transp>5cy  7a7 ,budget         
requirem5ts ,9 ! budget ju/ification    
mat]ials submitt$ to ,congress 9 support
 ( ! ,dep>tm5t budget = a fiscal ye> 7z 
submitt$ ) ! budget ( ! ,presid5t "u    
section #aaje7;a7 ( title #ca71 !       

,secret>y %all include a sep>ate /atem5t
 ( ! am\nt reque/$ = su* fiscal ye> =   
activities ( ! ,(fice ( ,public &       
,int]gov]nm5tal ,affairs z foll[s3 7#a7 
,= outrea* activities ( ! ,dep>tm5t 9   
aggregate4  7#b7 ,= outrea* activities (
 ea* elem5t ( ! ,dep>tm5t specifi$ 9    
subsection 7b77#a74  7b7 ,proc$ures =   
effective coord9ation & collaboration   
7#a7 ,n lat] ?an #ahj days aft] ! date (
 ! enactm5t ( ! ,compreh5sive ,vet]ans  
,heal? & ,b5efits & ,milit>y ,retirem5t 
,pay ,re/oration ,act ( #bjad1 !        
,secret>y %all e/abli% & ma9ta9         
proc$ures = ! ,(fice ( ,public &        
,int]gov]nm5tal ,affairs to ensure !    
effective coord9ation & collaboration ( 
outrea* activities ( ! ,dep>tm5t betwe5 
& among ! foll[+3 7,a7 ,(fice ( !       
,secret>y4  7,b7 ,vet]ans ,heal?        
,adm9i/ration4  7,c7 ,vet]ans ,b5efits  
,adm9i/ration4  7,d7 ,national ,cemet]y 
,adm9i/ration4  7#b7 ,! ,secret>y %all--
 7,a7 beg9n+ aft] ! date on :i* !       
,secret>y e/abli%es proc$ures "u        

p>agraph 7#a71 n less frequ5tly ?an once
 e two ye>s conduct a review ( !        
proc$ures e/abli%$ & ma9ta9$ "u p>agraph
 7#a7 to ensure t su* proc$ures meet !  
requirem5ts ( su* p>agraph2  7,b7 make  
su* modifications to su* proc$ures z !  
,secret>y consid]s appropriate bas$ ^u  
reviews conduct$ "u subp>agraph 7,a7 9  
ord] to bett] meet su* requirem5ts2 &   
7,c7 n lat] ?an #de days aft] complet+ a
 review "u subp>agraph 7,a71 submit to  
,congress a report on ! f9d+s ( su*     
review4  4  7b7 ,cl]ical am5dm5t ,!     
table ( sections at ! beg9n+ ( *apt] #fc
 is am5d$ by ins]t+ aft] ! item relat+  
to section #fcjh ! foll[+ new item3     
#fcji4 ,budget transp>5cy4  4  ,,viii   
,enhancem5t ( rights "u ,s]vicememb]s   
,civil ,relief ,act  #hja4 ,modification
 ( p]iod det]m9+ :i* actions are cov]$  
"u /ay ( proce$+s & adju/m5t (          
obligation protections conc]n+ mortgages
 & tru/ de$s ( memb]s ( uni=m$ s]vices  
7a7 ,9 g5]al ,section #cjc7;b7 ( !      
,s]vicememb]s ,civil ,relief ,act 7#ej  

,u4,s4,c4 ,app4 #ecc7;b77 is am5d$ by   
/rik+ fil$ & ins]t+ p5d+4  7b7 ,con=m+  
am5dm5ts ,section #gaj7;d7 ( ! ,honor+  
,am]ica's ,vet]ans & ,c>+ = ,camp       
,lejeune ,families ,act ( #bjab 7,public
 ,law #aab-aed2 #abf ,/at4 #abjh7 is    
am5d$-- 7#a7 by /rik+ p>agraph 7#a7 &   
ins]t+ ! foll[+ new p>agraph 7#a73  7#a7
 ,sunset & revival  7,a7 ,9 g5]al       
,subsections 7b7 & 7c7 ( section #cjc ( 
! ,s]vicememb]s ,civil ,relief ,act 7#ej
 ,u4,s4,c4 ,app4 #ecc71 z am5d$ by      
subsections 7a7 & 7b7 ( ?is section1 are
 am5d$ by /rik+ )9 "o ye> ea* place x   
appe>s & ins]t+ )9 #ij days4  7,b7      
,effective date ,! am5dm5ts made by     
subp>agraph 7,a7 %all take effect on    
,janu>y #a1 #bjae4  2 &  7#b7 by /rik+  
p>agraph 7#c74  #hjb4 ,protections =    
memb]s ( uni=m$ s]vices reg>d+          
pr(essional lic5ses  7a7 ,9 g5]al ,title
 ,,vii ( ! ,s]vicememb]s ,civil ,relief 
,act 7#ej ,u4,s4,c4 ,app4 #gja et seq47 
is am5d$ by add+ at ! end ! foll[+ new  
section3  #gjg4 ,pr(essional lic5ses    

7a7 ,expiration dur+ p]iod 9 :i*        
s]vicememb]s are eligible = ho/ile fire 
or imm95t dang] special pay ,if a lic5se
 issu$ by a ,/ate or local lic5s+       
au?ority to a s]vicememb] w\ld o!rwise  
expire dur+ a p]iod 9 :i* su*           
s]vicememb] is eligible = ho/ile fire or
 imm95t dang] special pay "u section    
#caj ( title #cg1 ,unit$ ,/ates ,code1  
su* ,/ate or local lic5s+ au?ority %all 
delay ! expiration ( su* lic5se until n 
e>li] ?an ! date t is #ahj days aft] !  
date on :i* su* p]iod ( eligibility     
ends4  7b7 ,cont9u+ education           
requirem5ts dur+ p]iod 9 :i*            
s]vicememb]s are eligible = ho/ile fire 
or imm95t dang] special pay ,if a ,/ate 
or local lic5s+ au?ority o!rwise        
requires a s]vicememb] to meet any      
cont9u+ education requirem5ts to ma9ta9 
a lic5se = a trade or pr(ession dur+ a  
p]iod 9 :i* su* s]vicememb] is eligible 
= ho/ile fire or imm95t dang] special   
pay "u section #caj ( title #cg1 ,unit$ 
,/ates ,code1 su* ,/ate or local lic5s+ 

au?ority %all delay su* cont9u+         
education requirem5t until n e>li] ?an !
 date t is #ahj days aft] ! date on :i* 
su* p]iod ( eligibility ends4  4  7b7   
,cl]ical am5dm5t ,! table ( cont5ts 9   
section #a7;b7 ( su* ,act 7#ej ,u4,s4,c4
 ,app4 #eja7;b77 is am5d$ by ins]t+ aft]
 ! item relat+ to section #gjf ! foll[+ 
new item3  ,sec4 #gjg4 ,pr(essional     
lic5ses & c]tifications4  4  #hjc4      
,prohibition on d5ial ( cr$it because ( 
eligibility = protection ,section #ajh (
 ! ,s]vicememb]s ,civil ,relief ,act    
7#ej ,u4,s4,c4 ,app4 #eah7 is am5d$--   
7#a7 by /rik+ ,application by & ins]t+ !
 foll[+3  7a7 ,application or receipt   
,application by  2 &  7#b7 by add+ at ! 
end ! foll[+ new subsection3  7b7       
,eligibility  7#a7 ,9 g5]al ,9 addition 
to ! protections "u subsection 7a71 an  
individual :o is entitl$ to any "r or   
protection provid$ "u ?is ,act may n be 
d5i$ or refus$ cr$it or be subject to   
any o!r action describ$ "u p>agraphs    
7#a7 ?r\gh 7#f7 ( subsection 7a7 solely 

by reason ( su* entitlem5t4  7#b7       
,con/ruction ,no?+ 9 ?is subsection %all
 be con/ru$ to prohibit a l5d] f        
consid]+ all relevant factors1 o!r ?an !
 entitlem5t ( an individual to a "r or  
protection provid$ "u ?is ,act1 9 mak+ a
 det]m9ation z to :e!r x is appropriate 
to ext5d cr$it4  4  #hjd4 ,int]e/ rate  
limitation on debt ent]$ into dur+      
milit>y s]vice to consolidate or        
ref9ance /ud5t loans incurr$ be=e       
milit>y s]vice  7a7 ,9 g5]al ,subsection
 7a7 ( section #bjg ( ! ,s]vicememb]s   
,civil ,relief ,act 7#ej ,u4,s4,c4 ,app4
 #ebg7 is am5d$-- 7#a7 9 p>agraph 7#a71 
by ins]t+ on debt incurr$ be=e s]vice   
aft] ,limitation to #f p]c5t2  7#b7 by  
r$esignat+ p>agraphs 7#b7 & 7#c7 z      
p>agraphs 7#c7 & 7#d71 respectively2    
7#c7 by ins]t+ aft] p>agraph 7#a7 !     
foll[+ new p>agraph 7#b73  7#b7         
,limitation to #f p]c5t on debt incurr$ 
dur+ s]vice to consolidate or ref9ance  
/ud5t loans incurr$ be=e s]vice ,an     
obligation or liability be>+ int]e/ at a

 rate 9 excess ( #f p]c5t p] ye> t is   
incurr$ by a s]vicememb]1 or !          
s]vicememb] & ! s]vicememb]'s sp\se     
jo9tly1 dur+ milit>y s]vice to          
consolidate or ref9ance "o or m /ud5t   
loans incurr$ by ! s]vicememb] be=e su* 
milit>y s]vice %all n be> an int]e/ at a
 rate 9 excess ( #f p]c5t dur+ ! p]iod (
 milit>y s]vice4  2  7#d7 9 p>agraph    
7#c71 z r$esignat$ by p>agraph 7#b7 (   
?is subsection1 by ins]t+ or 7#b7 aft]  
p>agraph 7#a72 &  7#e7 9 p>agraph 7#d71 
z s r$esignat$1 by /rik+ p>agraph 7#b7 &
 ins]t+ p>agraph 7#c74  7b7             
,implem5tation ( limitation ,subsection 
7b7 ( su* section is am5d$-- 7#a7 9     
p>agraph 7#a71 by /rik+ ! int]e/ rate   
limitation 9 subsection 7a7 & ins]t+ an 
int]e/ rate limitation 9 p>agraph 7#a7  
or 7#b7 ( subsection 7a72 &  7#b7 9     
p>agraph 7#b7-- 7,a7 9 ! p>agraph head+1
 by /rik+ z ( date ( ord] to active     
duty2 &  7,b7 by ins]t+ be=e ! p]iod at 
! end ! foll[+3 9 ! case ( an obligation
 or liability cov]$ by subsection       

7a77#a71 or z ( ! date ! s]vicememb] 7or
 s]vicememb] & sp\se jo9tly7 incurs !   
obligation or liability conc]n$ "u      
subsection 7a77#b74  7c7 ,/ud5t loan    
def9$ ,subsection 7d7 ( su* section is  
am5d$ by add+ at ! end ! foll[+ new     
p>agraph3  7#c7 ,/ud5t loan ,! t]m /ud5t
 loan means ! foll[+3 7,a7 ,a ,f$]al    
/ud5t loan made1 insur$1 or gu>ante$ "u 
title ,,iv ( ! ,high] ,education ,act ( 
#aife 7#bj ,u4,s4,c4 #ajgj et seq474    
7,b7 ,a private /ud5t loan z t t]m is   
def9$ 9 section #adj7;a7 ( ! ,tru? 9    
,l5d+ ,act 7#ae ,u4,s4,c4 #afej7;a774  4
  #hje4 ,t]m9ation ( resid5tial leases  
aft] assignm5t or relocation to qu>t]s (
 ,unit$ ,/ates or h\s+ facility "u      
jurisdiction ( uni=m$ s]vice  7a7       
,t]m9ation ( resid5tial leases  7#a7 ,9 
g5]al ,section #cje ( ! ,s]vicememb]s   
,civil ,relief ,act 7#ej ,u4,s4,c4 ,app4
 #ece7 is am5d$-- 7,a7 9 subsection     
7a77#a7-- 7i7 9 subp>agraph 7,a71 by    
/rik+ or at ! end2  7ii7 9 subp>agraph  
7,b71 by /rik+ ! p]iod at ! end & ins]t+

 2 or2 &  7iii7 by add+ at ! end !      
foll[+ new subp>agraph3  7,c7 9 ! case (
 a lease describ$ 9 subsection 7b77#a7 &
 subp>agraph 7,c7 ( su* subsection1 !   
date ! lessee is assign$ to or o!rwise  
relocates to qu>t]s or a h\s+ facility z
 describ$ 9 su* subp>agraph4  2 &  7,b7 
9 subsection 7b77#a7-- 7i7 9 subp>agraph
 7,a71 by /rik+ or at ! end2  7ii7 9    
subp>agraph 7,b71 by /rik+ ! p]iod at ! 
end & ins]t+ 2 or2 &  7iii7 by add+ at !
 end ! foll[+ new subp>agraph3  7,c7 !  
lease is execut$ by or on behalf ( a    
p]son :o !reaft] & dur+ ! t]m ( ! lease 
is assign$ to or o!rwise relocates to   
qu>t]s ( ! ,unit$ ,/ates or a h\s+      
facility "u ! jurisdiction ( a uni=m$   
s]vice 7z def9$ 9 section #aja ( title  
#cg1 ,unit$ ,/ates ,code71 includ+ h\s+ 
provid$ "u ! ,milit>y ,h\s+             
,privatization ,initiative4  4  7#b7    
,mann] ( t]m9ation ,subsection 7c77#a7 (
 su* section is am5d$-- 7,a7 9          
subp>agraph 7,a7-- 7i7 by ins]t+ 9 !    
case ( a lease describ$ 9 subsection    

7b77#a7 & subp>agraph 7,a7 or 7,b7 ( su*
 subsection1 be=e by deliv]y2 &  7ii7 by
 /rik+ & at ! end2  7,b7 by r$esignat+  
subp>agraph 7,b7 z subp>agraph 7,c72 &  
7,c7 by ins]t+ aft] subp>agraph 7,a7 !  
foll[+ new subp>agraph 7,b73  7,b7 9 !  
case ( a lease describ$ 9 subsection    
7b77#a7 & subp>agraph 7,c7 ( su*        
subsection1 by deliv]y by ! lessee (    
writt5 notice ( su* t]m9ation1 & a lett]
 f ! s]vicememb]'s comm&+ (fic] indicat+
 t ! s]vicememb] has be5 assign$ to or  
is o!rwise relocat+ to qu>t]s ( ! ,unit$
 ,/ates or a h\s+ facility "u !         
jurisdiction ( a uni=m$ s]vice 7z def9$ 
9 section #aja ( title #cg1 ,unit$      
,/ates ,code71 to ! lessor 7or !        
lessor's grantee71 or to ! lessor's ag5t
 7or ! ag5t's grantee72 &  4  7b7       
,def9ition ( milit>y ord]s & cont95tal  
,unit$ ,/ates = purposes ( ,act  7#a7   
,transf] ( def9itions ,su* ,act is fur!r
 am5d$ by transf]r+ p>agraphs 7#a7 &    
7#b7 ( section #cje7;i7 7#ej ,u4,s4,c4  
,app4 #ece7;i77 to ! end ( section #aja 

7#ej ,u4,s4,c4 ,app4 #eaa7 & r$esignat+ 
su* p>agraphs1 z s transf]r$1 z         
p>agraphs 7#aj7 & 7#aa74  7#b7 ,con=m+  
am5dm5ts ,su* ,act is fur!r am5d$-- 7,a7
 9 section #cje 7#ej ,u4,s4,c4 ,app4    
#ece71 z am5d$ by p>agraph 7#a71 by     
/rik+ subsection 7i72 &  7,b7 9 section 
#gje 7#ej ,u4,s4,c4 ,app4 #eie71 by     
/rik+ or naval bo? places x appe>s4     
#hjf4 ,protection ( surviv+ sp\se )     
respect to mortgage =eclosure  7a7 ,9   
g5]al ,title ,,iii ( ! ,s]vicememb]s    
,civil ,relief ,act 7#ej ,u4,s4,c4 ,app4
 #eca et seq47 is am5d$ by ins]t+ aft]  
section #cjc 7#ej ,u4,s4,c4 ,app4 #ecc7 
! foll[+ new section3  #cjc;,a4         
,protection ( surviv+ sp\se ) respect to
 mortgage =eclosure  7a7 ,9 g5]al       
,subject to subsection 7b71 ) respect to
 a s]vicememb] :o dies :ile 9 milit>y   
s]vice & :o has a surviv+ sp\se :o is ! 
s]vicememb]'s successor 9 int]e/ to     
prop]ty cov]$ "u section #cjc7;a71      
section #cjc %all apply to ! surviv+    
sp\se ) respect to t prop]ty dur+ !     

"o-ye> p]iod beg9n+ on ! date ( su* dea?
 9 ! same mann] z if ! s]vicememb] _h n 
di$4  7b7 ,notice requir$  7#a7 ,9 g5]al
 ,to be cov]$ "u ?is section ) respect  
to prop]ty1 a surviv+ sp\se %all submit 
writt5 notice t su* surviv+ sp\se is s  
cov]$ to ! mortgagee1 tru/ee1 or o!r    
cr$itor ( ! mortgage1 tru/ de$1 or o!r  
security 9 ! nature ( a mortgage ) :i* !
 prop]ty is secur$4  7#b7 ,"t ,notice   
provid$ "u p>agraph 7#a7 %all be provid$
 ) respect to a surviv+ sp\se anytime   
dur+ ! "o-ye> p]iod beg9n+ on ! date (  
dea? ( ! s]vicememb] ) respect to :om ! 
surviv+ sp\se is to receive cov]age "u  
?is section4  7#c7 ,address ,notice     
provid$ "u p>agraph 7#a7 ) respect to   
prop]ty %all be provid$ via e-mail1     
facsimile1 /&>d po/1 or express mail to 
facsimile numb]s & addresses1 z ! case  
may be1 designat$ by ! s]vic] ( !       
mortgage1 tru/ de$1 or o!r security 9 ! 
nature ( a mortgage ) :i* ! prop]ty is  
secur$4  7#d7 ,mann] ,notice provid$ "u 
p>agraph 7#a7 %all be provid$ 9 writ+ by

 us+ a =m design$ "u p>agraph 7#e7 or   
submitt+ a copy ( a ,dep>tm5t ( ,def5se 
or ,dep>tm5t ( ,vet]ans ,affairs docum5t
 evid5c+ ! milit>y s]vice-relat$ dea? ( 
a sp\se :ile 9 milit>y s]vice4  7#e7    
,(ficial =ms ,! ,secret>y ( ,def5se %all
 design & di/ribute an (ficial ,dep>tm5t
 ( ,def5se =m t c be us$ by an          
individual to give notice "u p>agraph   
7#a74  4  7b7 ,effective date ,section  
#cjc;,a ( su* ,act1 z add$ by subsection
 7a71 %all apply ) respect to dea?s t   
occur on or aft] ! date ( ! enactm5t (  
?is ,act4  7c7 ,cl]ical am5dm5t ,! table
 ( cont5ts 9 section #a7;b7 ( su* ,act  
7#ej ,u4,s4,c4 ,app4 #eja7 is am5d$ by  
ins]t+ aft] ! item relat+ to section    
#cjc ! foll[+ new item3  ,sec4 #cjc;,a4 
,protection ( surviv+ sp\se ) respect to
 mortgage =eclosure4  4  #hjg4 ,improv$ 
protection ( memb]s ( uni=m$ s]vices    
aga9/ default judgm5ts  7a7             
,modification ( pla9tiff affidavit fil+ 
requirem5t ,p>agraph 7#a7 ( section     
#bja7;b7 ( ! ,s]vicememb]s ,civil       

,relief ,act 7#ej ,u4,s4,c4 ,app4       
#eba7;b77 is am5d$-- 7#a7 by r$esignat+ 
subp>agraphs 7,a7 & 7,b7 z clauses 7i7 &
 7ii71 respectively1 & ind5t+ su*       
clauses two ems to ! "r2  7#b7 9 ! matt]
 be=e clause 7i71 z r$esignat$ by       
p>agraph 7#a71 by /rik+ ,9 any & ins]t+ 
! foll[+3  7,a7 ,9 g5]al ,9 any  2 &    
7#c7 by add+ at ! end ! foll[+ new      
subp>agraph 7,b73  7,b7 ,due dilig5ce   
,be=e fil+ ! affidavit1 ! pla9tiff %all 
conduct a dilig5t & reasonable          
inve/igation to det]m9e :e!r or n !     
def5dant is 9 milit>y s]vice1 includ+ a 
se>* ( available records ( ! ,dep>tm5t (
 ,def5se & any o!r in=mation reasonably 
available to ! pla9tiff4 ,! affidavit   
%all set =? all /eps tak5 to det]m9e !  
def5dant's milit>y /atus & %all h atta*$
 copies ( ! records on :i* ! pla9tiff   
reli$ 9 draft+ ! affidavit4  4  7b7     
,appo9tm5t ( attorney to repres5t       
def5dant 9 milit>y s]vice ,p>agraph 7#b7
 ( su* section 7#ej ,u4,s4,c4 ,app4     
#eba7;b77 is am5d$-- 7#a7 by /rik+ ,if 9

 an action & ins]t+ ! foll[+3  7,a7 ,9  
g5]al ,if 9 an action  2  7#b7 9        
subp>agraph 7,a71 z designat$ by        
p>agraph 7#a71 by /rik+ ,if an attorney 
& ins]t+ ! foll[+3  7,c7 ,limitations on
 appo9t$ attorney ,if an attorney  2    
7#c7 by ins]t+ aft] subp>agraph 7,a71 z 
designat$ by p>agraph 7#a71 ! foll[+ new
 subp>agraph3  7,b7 ,due dilig5ce ,if ! 
c\rt appo9ts an attorney to repres5t !  
def5dant-- 7i7 ! attorney %all conduct a
 dilig5t & reasonable inve/igation to   
det]m9e :e!r or n ! def5dant is 9       
milit>y s]vice1 includ+ a se>* (        
available records ( ! ,dep>tm5t (       
,def5se & any o!r in=mation reasonably  
available to ! attorney2 &  7ii7 !      
pla9tiff %all submit to ! attorney su*  
in=mation z ! pla9tiff may h conc]n+ !  
:]eab\ts or id5tity ( ! def5dant4  2 &  
7#d7 by add+ at ! end ! foll[+ new      
subp>agraph3  7,d7 ,treatm5t ( attorneys
 fees ,! reasonable fees ( an attorney  
appo9t$ to repres5t a s]vicememb] %all  
be treat$ z co/s ( c\rt = c\rt co/      

purposes1 unless ! cr$itor seeks relief 
f su* *>ges f ! c\rt4  4  #hjh4         
,cl>ification reg>d+ application (      
en=cem5t au?ority ( ,attorney ,g5]al &  
private "r ( action "u ,s]vicememb]s    
,civil ,relief ,act ,sections #hja &    
#hjb ( ! ,s]vicememb]s ,civil ,relief   
,act 7#ej ,u4,s4,c4 ,app4 #eig & #eig;a7
 %all apply z if su* sections 7 includ$ 
9 ! enactm5t ( ! ,soldi]s' & ,sailors'  
,civil ,relief ,act ( #aidj 7#ed ,/at4  
#aagh1 *apt] #hhh7 & includ$ 9 !        
re/atem5t ( su* ,act 9 ,public ,law     
#ajh-ahi4  #hji4 ,cl]ical am5dm5ts  7a7 
,9 g5]al ,! head+ = section #cje ( !    
,s]vicememb]s ,civil ,relief ,act 7#ej  
,u4,s4,c4 ,app4 #ece7 is am5d$ by /rik+ 
resid5tial or motor vehicle leases &    
ins]t+ leases ( premises occupi$ & motor
 vehicles us$4  7b7 ,table ( cont5ts ,! 
table ( cont5ts 9 section #a7;b7 ( su*  
,act 7#ej ,u4,s4,c4 ,app4 #eja7;b77 is  
am5d$ by /rik+ ! item relat+ to section 
#cje & ins]t+ ! foll[+ new item3  ,sec4 
#cje4 ,t]m9ation ( leases ( premises    

occupi$ & motor vehicles us$4  4  ,,ix  
,o!r ,matt]s  #ija4 ,repeal ( r$uctions 
made by ,bip>tisan ,budget ,act ( #bjac 
,section #djc ( ! ,bip>tisan ,budget    
,act ( #bjac is repeal$ z ( ! date ( !  
enactm5t ( su* ,act4  #ijb4             
,consid]ation by ,secret>y ( ,vet]ans   
,affairs ( res\rces dispos$ ( = less ?an
 fair m>ket value by individuals apply+ 
= p5sion  7a7 ,vet]ans ,section #aebb is
 am5d$-- 7#a7 9 subsection 7a7-- 7,a7 by
 ins]t+ 7#a7 be=e ,! ,secret>y2 &  7,b7 
by add+ at ! end ! foll[+ new p>agraph3 
7#b7 7,a7 ,if a vet]an o!rwise eligible 
= paym5t ( p5sion "u section #aeac or   
#aeba ( ?is title or ! sp\se ( su*      
vet]an disposes ( cov]$ res\rces = less 
?an fair m>ket value on or aft] !       
look-back date describ$ 9 subp>agraph   
7,c77i71 ! ,secret>y %all d5y or        
discont9ue ! paym5t ( p5sion to su*     
vet]an "u section #aeac or #aeba ( ?is  
title1 z ! case may be1 = mon?s dur+ !  
p]iod beg9n+ on ! date describ$ 9       
subp>agraph 7,d7 & equal to ! numb] (   

mon?s calculat$ z provid$ 9 subp>agraph 
7,e74  7,b7 7i7 ,= purposes ( ?is       
p>agraph1 a cov]$ res\rce is any res\rce
 t 0 a "p ( ! corpus ( ! e/ate ( !      
vet]an or1 if ! vet]an has a sp\se1 !   
corpus ( ! e/ates ( ! vet]an & ( !      
vet]an's sp\se1 t ! ,secret>y consid]s t
 "u all ! circum/ances1 if ! vet]an or  
sp\se _h n dispos$ ( su* res\rce1 x w\ld
 be reasonable t ! res\rce 7or "s       
portion ( ! res\rce7 be consum$ = !     
vet]an's ma9t5ance4  7ii7 ,= purposes ( 
?is p>agraph1 ! ,secret>y may consid]1 9
 accordance ) regulations ! ,secret>y   
%all prescribe1 a transf] ( an asset    
7includ+ a transf] ( an asset to an     
annuity1 tru/1 or o!r f9ancial in/rum5t 
or inve/m5t7 a disposal ( a cov]$       
res\rce = less ?an fair m>ket value if  
su* transf] r$uces ! am\nt 9 ! corpus ( 
! e/ate ( ! vet]an or1 if ! vet]an has a
 sp\se1 ! corpus ( ! e/ates ( ! vet]an &
 ( ! vet]an's sp\se1 t ! ,secret>y      
consid]s1 "u all ! circum/ances1 w\ld be
 reasonable to be consum$ = ! vet]an's  

ma9t5ance4  7,c7 7i7 ,! look-back date  
describ$ 9 ?is clause is a date t is #cf
 mon?s be=e ! date describ$ 9 clause    
7ii74  7ii7 ,! date describ$ 9 ?is      
clause is ! date on :i* ! vet]an applies
 = p5sion "u section #aeac or #aeba (   
?is title or1 if lat]1 ! date on :i* !  
vet]an 7or ! sp\se ( ! vet]an7 disposes 
( cov]$ res\rces = less ?an fair m>ket  
value4  7,d7 ,! date describ$ 9 ?is     
subp>agraph is ! fir/ day ( ! fir/ mon? 
9 or aft] :i* cov]$ res\rces 7 dispos$ (
 = less ?an fair m>ket value & :i* does 
n occur 9 any o!r p]iod ( ineligibility 
"u ?is p>agraph4  7,e7 ,! numb] ( mon?s 
calculat$ "u ?is subp>agraph %all be    
equal to-- 7i7 ! total1 cumulative      
uncomp5sat$ value ( ! portion ( cov]$   
res\rces s dispos$ ( by ! vet]an 7or !  
sp\se ( ! vet]an7 on or aft] ! look-back
 date describ$ 9 subp>agraph 7,c77i7 t !
 ,secret>y det]m9es w\ld reasonably h   
be5 consum$ = ! vet]an's ma9t5ance2     
divid$ by  7ii7 ! maximum am\nt ( mon?ly
 p5sion t is payable to a vet]an "u     

section #aeac or #aeba ( ?is title1     
includ+ ! maximum am\nt ( increas$      
p5sion payable "u su* sections on acc\nt
 ( family memb]s1 b n includ+ any am\nt 
( p5sion payable "u su* sections because
 a vet]an is 9 ne$ ( regul> aid &       
att5dance or is p]man5tly h\seb\nd1     
r\nd$ d[n1 9 ! case ( any fraction1 to !
 ne>e/ :ole numb]1 b %all n 9 any case  
exce$ #cf mon?s4  2  7#b7 9 subsection  
7b7-- 7,a7 by ins]t+ 7#a7 be=e ,!       
,secret>y2 &  7,b7 by add+ at ! end !   
foll[+ new p>agraph3  7#b7 7,a7 ,if a   
vet]an o!rwise eligible = paym5t (      
increas$ p5sion "u subsection 7c71 7d71 
7e71 or 7f7 ( section #aeba ( ?is title 
on acc\nt ( a *ild1 ! sp\se ( ! vet]an1 
or ! *ild disposes ( cov]$ res\rces =   
less ?an fair m>ket value on or aft] !  
look-back date describ$ 9 subp>agraph   
7,c77i71 ! ,secret>y %all d5y or        
discont9ue paym5t ( su* increas$ p5sion 
= mon?s dur+ ! p]iod beg9n+ on ! date   
describ$ 9 subp>agraph 7,d7 & equal to !
 numb] ( mon?s calculat$ z provid$ 9    

subp>agraph 7,e74  7,b7 7i7 ,= purposes 
( ?is p>agraph1 a cov]$ res\rce is any  
res\rce t 0 a "p ( ! corpus ( ! e/ate ( 
! *ild t ! ,secret>y consid]s t "u all !
 circum/ances1 if ! vet]an1 ! sp\se ( ! 
vet]an1 or ! *ild _h n dispos$ ( su*    
res\rce1 x w\ld be reasonable t !       
res\rce 7or "s portion ( ! res\rce7 be  
consum$ = ! *ild's ma9t5ance4  7ii7 ,=  
purposes ( ?is p>agraph1 ! ,secret>y may
 consid]1 9 accordance ) regulations !  
,secret>y %all prescribe1 a transf] ( an
 asset 7includ+ a transf] ( an asset to 
an annuity1 tru/1 or o!r f9ancial       
in/rum5t or inve/m5t7 a disposal ( a    
cov]$ res\rce = less ?an fair m>ket     
value if su* transf] r$uces ! am\nt 9 ! 
corpus ( ! e/ate ( ! *ild t ! ,secret>y 
consid]s1 "u all ! circum/ances1 w\ld be
 reasonable to be consum$ = ! *ild's    
ma9t5ance4  7,c7 7i7 ,! look-back date  
describ$ 9 ?is clause is a date t is #cf
 mon?s be=e ! date describ$ 9 clause    
7ii74  7ii7 ,! date describ$ 9 ?is      
clause is ! date on :i* ! vet]an applies

 = paym5t ( increas$ p5sion "u          
subsection 7c71 7d71 7e71 or 7f7 (      
section #aeba ( ?is title on acc\nt ( a 
*ild or1 if lat]1 ! date on :i* !       
vet]an1 ! sp\se ( ! vet]an1 or ! *ild   
disposes ( cov]$ res\rces = less ?an    
fair m>ket value4  7,d7 ,! date describ$
 9 ?is subp>agraph is ! fir/ day ( !    
fir/ mon? 9 or aft] :i* cov]$ res\rces 7
 dispos$ ( = less ?an fair m>ket value &
 :i* does n occur 9 any o!r p]iod (     
ineligibility "u ?is p>agraph4  7,e7 ,! 
numb] ( mon?s calculat$ "u ?is          
subp>agraph %all be equal to-- 7i7 !    
total1 cumulative uncomp5sat$ value ( ! 
portion ( ! cov]$ res\rces s dispos$ (  
by ! vet]an1 ! sp\se ( ! vet]an1 or !   
*ild on or aft] ! look-back date        
describ$ 9 subp>agraph 7,c77i7 t !      
,secret>y det]m9es w\ld reasonably h be5
 consum$ = ! *ild's ma9t5ance2 divid$ by
  7ii7 ! maximum am\nt ( increas$ mon?ly
 p5sion t is payable to a vet]an "u     
subsection 7c71 7d71 7e71 or 7f7 (      
section #aeba ( ?is title on acc\nt ( a 

*ild1  r\nd$ d[n1 9 ! case ( any        
fraction1 to ! ne>e/ :ole numb]1 b %all 
n 9 any case exce$ #cf mon?s4  2 &  7#c7
 by add+ at ! end ! foll[+ new          
subsection3  7c7 7#a7 7,a7 ,! ,secret>y 
%all n d5y or discont9ue paym5t ( p5sion
 "u section #aeac or #aeba ( ?is title  
or paym5t ( increas$ p5sion "u          
subsection 7c71 7d71 7e71 or 7f7 (      
section #aeba ( ?is title on acc\nt ( a 
*ild by reason ( ! application (        
subsection 7a77#b7 or 7b77#b7 ( ?is     
section to ! disposal ( res\rces by an  
individual-- 7i7 if-- 7,i7 a            
satisfactory %[+ is made to ! ,secret>y 
79 accordance ) regulations promulgat$  
by ! ,secret>y7 t all res\rces dispos$ (
 = less ?an fair m>ket value h be5      
return$ to ! individual :o dispos$ ( !  
res\rces2 or  7,,ii7 ! ,secret>y        
det]m9es1 "u proc$ures e/abli%$ by !    
,secret>y 9 accordance ) subp>agraph    
7,b71 t ! d5ial or discont9uance (      
paym5t w\ld "w an undue h>d%ip2 or  7ii7
 to ! ext5t t any portion ( ! res\rces  

dispos$ ( = less ?an fair m>ket value h 
be5 return$ to ! individual :o dispos$ (
 ! res\rces4  7,b7 ,undue h>d%ip w\ld be
 work$ by ! d5ial or discont9uance (    
paym5t = purposes ( subp>agraph         
7,a77i77,,ii7 if ! d5ial or             
discont9uance ( paym5t w\ld deprive !   
individual dur+ ! p]iod ( d5ial or      
discont9uance-- 7i7 ( m$ical c>e su* t !
 individual's life or heal? w\ld be     
endang]$2  7ii7 ( necess>y food or      
clo?+1 or o!r necessities ( life2 or    
7iii7 on su* o!r basis z ! ,secret>y    
%all specify 9 ! proc$ures requir$ by   
subp>agraph 7,a77i77,,ii74  7,c7 ,if    
paym5t ( p5sion or increas$ p5sion t    
w\ld o!rwise be d5i$ or discont9u$ by   
reason ( ! application ( subsection     
7a77#b7 or 7b77#b7 is d5i$ or discont9u$
 only 9 "p by reason ( ! return (       
res\rces z describ$ 9 subp>agraph       
7,a77ii71 ! p]iod ( ! d5ial or          
discont9uance z det]m9$ pursuant to     
subp>agraph 7,e7 ( subsection 7a77#b7 or
 7b77#b71 z applicable1 %all be         

recalculat$ to take into acc\nt su*     
return ( res\rces4  7#b7 ,at ! "t a     
vet]an applies = p5sion "u section #aeac
 or #aeba ( ?is title or increas$ p5sion
 "u subsection 7c71 7d71 7e71 or 7f7 (  
section #aeba ( ?is title on acc\nt ( a 
*ild1 & at su* o!r times z ! ,secret>y  
consid]s appropriate1 ! ,secret>y %all--
 7,a7 in=m su* vet]an ( ! provisions (  
subsections 7a77#b7 & 7b77#b7 provid+ = 
a p]iod ( ineligibility = paym5t (      
p5sion "u su* sections = individuals :o 
make c]ta9 dispositions ( res\rces =    
less ?an fair m>ket value1 includ+ !    
exception = h>d%ip f su* p]iod (        
ineligibility2  7,b7 obta9 f su* vet]an 
in=mation :i* may be us$ 9 det]m9+ :e!r 
or n a p]iod ( ineligibility = su*      
paym5ts w\ld be requir$ by reason ( su* 
subsections2 &  7,c7 provide su* vet]an 
a timely process = det]m9+ :e!r or n !  
exception = h>d%ip %all apply to su*    
vet]an4  4  7b7 ,surviv+ sp\ses & *ildr5
 ,section #aedc is am5d$-- 7#a7 9       
subsection 7a7-- 7,a7 by r$esignat+     

p>agraph 7#b7 z p>agraph 7#c72  7,b7 by 
ins]t+ aft] p>agraph 7#a7 ! foll[+ new  
p>agraph 7#b73  7#b7 7,a7 ,if a surviv+ 
sp\se o!rwise eligible = paym5t ( p5sion
 "u section #aeda ( ?is title disposes (
 cov]$ res\rces = less ?an fair m>ket   
value on or aft] ! look-back date       
describ$ 9 subp>agraph 7,c77i71 !       
,secret>y %all d5y or discont9ue !      
paym5t ( p5sion to su* surviv+ sp\se "u 
section #aeda ( ?is title = mon?s dur+ !
 p]iod beg9n+ on ! date describ$ 9      
subp>agraph 7,d7 & equal to ! numb] (   
mon?s calculat$ z provid$ 9 subp>agraph 
7,e74  7,b7 7i7 ,= purposes ( ?is       
p>agraph1 a cov]$ res\rce is any res\rce
 t 0 a "p ( ! corpus ( ! e/ate ( !      
surviv+ sp\se t ! ,secret>y consid]s t  
"u all ! circum/ances1 if ! surviv+     
sp\se _h n dispos$ ( su* res\rce1 x w\ld
 be reasonable t ! res\rce 7or "s       
portion ( ! res\rce7 be consum$ = !     
surviv+ sp\se's ma9t5ance4  7ii7 ,=     
purposes ( ?is p>agraph1 ! ,secret>y may
 consid]1 9 accordance ) regulations !  

,secret>y %all prescribe1 a transf] ( an
 asset 7includ+ a transf] ( an asset to 
an annuity1 tru/1 or o!r f9ancial       
in/rum5t or inve/m5t7 a disposal ( a    
cov]$ res\rce = less ?an fair m>ket     
value if su* transf] r$uces ! am\nt 9 ! 
corpus ( ! e/ate ( ! surviv+ sp\se t !  
,secret>y consid]s1 "u all !            
circum/ances1 w\ld be reasonable to be  
consum$ = ! surviv+ sp\se's ma9t5ance4  
7,c7 7i7 ,! look-back date describ$ 9   
?is clause is a date t is #cf mon?s be=e
 ! date describ$ 9 clause 7ii74  7ii7 ,!
 date describ$ 9 ?is clause is ! date on
 :i* ! surviv+ sp\se applies = p5sion "u
 section #aeda ( ?is title or1 if lat]1 
! date on :i* ! surviv+ sp\se disposes (
 cov]$ res\rces = less ?an fair m>ket   
value4  7,d7 ,! date describ$ 9 ?is     
subp>agraph is ! fir/ day ( ! fir/ mon? 
9 or aft] :i* cov]$ res\rces 7 dispos$ (
 = less ?an fair m>ket value & :i* does 
n occur 9 any o!r p]iod ( ineligibility 
"u ?is p>agraph4  7,e7 ,! numb] ( mon?s 
calculat$ "u ?is subp>agraph %all be    

equal to-- 7i7 ! total1 cumulative      
uncomp5sat$ value ( ! portion ( ! cov]$ 
res\rces s dispos$ ( by ! surviv+ sp\se 
on or aft] ! look-back date describ$ 9  
subp>agraph 7,c77i7 t ! ,secret>y       
det]m9es w\ld reasonably h be5 consum$ =
 ! surviv+ sp\se's ma9t5ance2 divid$ by 
7ii7 ! maximum am\nt ( mon?ly p5sion t  
is payable to a surviv+ sp\se "u section
 #aeda ( ?is title1 includ+ ! maximum   
am\nt ( increas$ p5sion payable "u su*  
section on acc\nt ( a *ild1 b n includ+ 
any am\nt ( p5sion payable "u su*       
section because a surviv+ sp\se is 9 ne$
 ( regul> aid & att5dance or is         
p]man5tly h\seb\nd1  r\nd$ d[n1 9 ! case
 ( any fraction1 to ! ne>e/ :ole numb]1 
b %all n 9 any case exce$ #cf mon?s4  2 
7,c7 by add+ at ! end ! foll[+ new      
p>agraph3  7#d7 7,a7 ,if a surviv+ sp\se
 o!rwise eligible = paym5t ( increas$   
p5sion "u subsection 7c71 7d71 or 7e7 ( 
section #aeda ( ?is title on acc\nt ( a 
*ild or ! *ild disposes ( cov]$ res\rces
 = less ?an fair m>ket value on or aft] 

! look-back date describ$ 9 subp>agraph 
7,c77i71 ! ,secret>y %all d5y or        
discont9ue paym5t ( su* increas$ p5sion 
= mon?s dur+ ! p]iod beg9n+ on ! date   
describ$ 9 subp>agraph 7,d7 & equal to !
 numb] ( mon?s calculat$ z provid$ 9    
subp>agraph 7,e74  7,b7 7i7 ,= purposes 
( ?is p>agraph1 a cov]$ res\rce is any  
res\rce t 0 a "p ( ! corpus ( ! e/ate ( 
! *ild t ! ,secret>y consid]s t "u all !
 circum/ances1 if ! surviv+ sp\se or !  
*ild _h n dispos$ ( su* res\rce1 x w\ld 
be reasonable t ! res\rce 7or "s portion
 ( ! res\rce7 be consum$ = ! *ild's     
ma9t5ance4  7ii7 ,= purposes ( ?is      
p>agraph1 ! ,secret>y may consid]1 9    
accordance ) regulations ! ,secret>y    
%all prescribe1 a transf] ( an asset    
7includ+ a transf] ( an asset to an     
annuity1 tru/1 or o!r f9ancial in/rum5t 
or inve/m5t7 a disposal ( a cov]$       
res\rce = less ?an fair m>ket value if  
su* transf] r$uces ! am\nt 9 ! corpus ( 
! e/ate ( ! *ild t ! ,secret>y consid]s1
 "u all ! circum/ances1 w\ld be         

reasonable to be consum$ = ! *ild's     
ma9t5ance4  7,c7 7i7 ,! look-back date  
describ$ 9 ?is clause is a date t is #cf
 mon?s be=e ! date describ$ 9 clause    
7ii74  7ii7 ,! date describ$ 9 ?is      
clause is ! date on :i* ! surviv+ sp\se 
applies = paym5t ( increas$ p5sion "u   
subsection 7c71 7d71 or 7e7 ( section   
#aeda ( ?is title on acc\nt ( a *ild or1
 if lat]1 ! date on :i* ! surviv+ sp\se 
7or ! *ild7 disposes ( cov]$ res\rces = 
less ?an fair m>ket value4  7,d7 ,! date
 describ$ 9 ?is subp>agraph is ! fir/   
day ( ! fir/ mon? 9 or aft] :i* cov]$   
res\rces 7 dispos$ ( = less ?an fair    
m>ket value & :i* does n occur 9 any o!r
 p]iod ( ineligibility "u ?is p>agraph4 
7,e7 ,! numb] ( mon?s calculat$ "u ?is  
clause %all be equal to-- 7i7 ! total1  
cumulative uncomp5sat$ value ( ! portion
 ( ! cov]$ res\rces s dispos$ ( by !    
surviv+ sp\se 7or ! *ild7 on or aft] !  
look-back date describ$ 9 subp>agraph   
7,c77i7 t ! ,secret>y det]m9es w\ld     
reasonably h be5 consum$ = ! *ild's     

ma9t5ance2 divid$ by  7ii7 ! maximum    
am\nt ( increas$ mon?ly p5sion t is     
payable to a surviv+ sp\se "u subsection
 7c71 7d71 or 7e7 ( section #aeda ( ?is 
title on acc\nt ( a *ild1  r\nd$ d[n1 9 
! case ( any fraction1 to ! ne>e/ :ole  
numb]1 b %all n 9 any case exce$ #cf    
mon?s4  2  7#b7 9 subsection 7b7-- 7,a7 
by ins]t+ 7#a7 be=e ,! ,secret>y2 &     
7,b7 by add+ at ! end ! foll[+ new      
p>agraph3  7#b7 7,a7 ,if a *ild o!rwise 
eligible = paym5t ( p5sion "u section   
#aedb ( ?is title or any p]son ) :om su*
 *ild is resid+ :o is legally           
responsible = su* *ild's support        
disposes ( cov]$ res\rces = less ?an    
fair m>ket value on or aft] ! look-back 
date describ$ 9 subp>agraph 7,c77i71 !  
,secret>y %all d5y or discont9ue !      
paym5t ( p5sion to su* *ild "u section  
#aedb ( ?is title = mon?s dur+ ! p]iod  
beg9n+ on ! date describ$ 9 subp>agraph 
7,d7 & equal to ! numb] ( mon?s         
calculat$ z provid$ 9 subp>agraph 7,e74 
7,b7 7i7 ,= purposes ( ?is p>agraph1 a  

cov]$ res\rce is any res\rce t 0 a "p ( 
! corpus ( ! e/ate ( ! *ild or ! corpus 
( ! e/ate ( any p]son ) :om su* *ild is 
resid+ :o is legally responsible = su*  
*ild's support t ! ,secret>y consid]s t 
"u all ! circum/ances1 if ! *ild or     
p]son _h n dispos$ ( su* res\rce1 x w\ld
 be reasonable t ! res\rce 7or "s       
portion ( ! res\rce7 be consum$ = !     
*ild's ma9t5ance4  7ii7 ,= purposes (   
?is p>agraph1 ! ,secret>y may consid]1 9
 accordance ) regulations ! ,secret>y   
%all prescribe1 a transf] ( an asset    
7includ+ a transf] ( an asset to an     
annuity1 tru/1 or o!r f9ancial in/rum5t 
or inve/m5t7 a disposal ( a cov]$       
res\rce = less ?an fair m>ket value if  
su* transf] r$uces ! am\nt 9 ! corpus ( 
! e/ate describ$ 9 clause 7i7 t !       
,secret>y consid]s1 "u all !            
circum/ances1 w\ld be reasonable to be  
consum$ = ! *ild's ma9t5ance4  7,c7 7i7 
,! look-back date describ$ 9 ?is clause 
is a date t is #cf mon?s be=e ! date    
describ$ 9 clause 7ii74  7ii7 ,! date   

describ$ 9 ?is clause is ! date on :i* !
 *ild applies = p5sion "u section #aedb 
( ?is title or1 if lat]1 ! date on :i* !
 *ild 7or p]son describ$ 9 subp>agraph  
7,b77 disposes ( cov]$ res\rces = less  
?an fair m>ket value4  7,d7 ,! date     
describ$ 9 ?is clause is ! fir/ day ( ! 
fir/ mon? 9 or aft] :i* cov]$ res\rces 7
 dispos$ ( = less ?an fair m>ket value &
 :i* does n occur 9 any o!r p]iod (     
ineligibility "u ?is p>agraph4  7,e7 ,! 
numb] ( mon?s calculat$ "u ?is clause   
%all be equal to-- 7i7 ! total1         
cumulative uncomp5sat$ value ( ! portion
 ( ! cov]$ res\rces s dispos$ ( by !    
*ild 7or p]son describ$ 9 subp>agraph   
7,b77 on or aft] ! look-back date       
describ$ 9 subp>agraph 7,c77i7 t !      
,secret>y det]m9es w\ld reasonably h be5
 consum$ = ! *ild's ma9t5ance2 divid$ by
  7ii7 ! maximum am\nt ( mon?ly p5sion t
 is payable to a *ild "u section #aedb (
 ?is title1  r\nd$ d[n1 9 ! case ( any  
fraction1 to ! ne>e/ :ole numb]1 b %all 
n 9 any case exce$ #cf mon?s4  2 &  7#c7

 by add+ at ! end ! foll[+ new          
subsection3  7c7 7#a7 7,a7 ,! ,secret>y 
%all n d5y or discont9ue paym5t ( p5sion
 "u section #aeda or #aedb ( ?is title  
or paym5t ( increas$ p5sion "u          
subsection 7c71 7d71 or 7e7 ( section   
#aeda ( ?is title on acc\nt ( a *ild by 
reason ( ! application ( subsection     
7a77#b71 7a77#d71 or 7b77#b7 ( ?is      
section to ! disposal ( res\rces by an  
individual-- 7i7 if-- 7,i7 a            
satisfactory %[+ is made to ! ,secret>y 
79 accordance ) regulations promulgat$  
by ! ,secret>y7 t all res\rces dispos$ (
 = less ?an fair m>ket value h be5      
return$ to ! individual :o dispos$ ( !  
res\rces2 or  7,,ii7 ! ,secret>y        
det]m9es1 "u proc$ures e/abli%$ by !    
,secret>y 9 accordance ) subp>agraph    
7,b71 t ! d5ial or discont9uance (      
paym5t w\ld "w an undue h>d%ip2 or  7ii7
 to ! ext5t t any portion ( ! res\rces  
dispos$ ( = less ?an fair m>ket value h 
be5 return$ to ! individual :o dispos$ (
 ! res\rces4  7,b7 ,undue h>d%ip w\ld be

 work$ by ! d5ial or discont9uance (    
paym5t = purposes ( subp>agraph         
7,a77i77,,ii7 if ! d5ial or             
discont9uance ( paym5t w\ld deprive !   
individual dur+ ! p]iod ( d5ial or      
discont9uance-- 7i7 ( m$ical c>e su* t !
 individual's life or heal? w\ld be     
endang]$2  7ii7 ( necess>y food or      
clo?+1 or o!r necessities ( life2 or    
7iii7 on su* o!r basis z ! ,secret>y    
%all specify 9 ! proc$ures requir$ by   
subp>agraph 7,a77i77,,ii74  7,c7 ,if    
paym5t ( p5sion or increas$ p5sion t    
w\ld o!rwise be d5i$ or discont9u$ by   
reason ( ! application ( subsection     
7a77#b71 7a77#d71 or 7b77#b7 is d5i$ or 
discont9u$ only 9 "p by reason ( !      
return ( res\rces z describ$ 9          
subp>agraph 7,a77ii71 ! p]iod ( ! d5ial 
or discont9uance z det]m9$ pursuant to  
subp>agraph 7,e7 ( subsection 7a77#b71  
7a77#d71 or 7b77#b71 z applicable1 %all 
be recalculat$ to take into acc\nt su*  
return ( res\rces4  7#b7 ,at ! "t a     
surviv+ sp\se or *ild applies = p5sion  

"u section #aeda or #aedb ( ?is title or
 increas$ p5sion "u subsection 7c71 7d71
 or 7e7 ( section #aeda ( ?is title on  
acc\nt ( a *ild1 & at su* o!r times z ! 
,secret>y consid]s appropriate1 !       
,secret>y %all-- 7,a7 in=m su* surviv+  
sp\se or *ild ( ! provisions (          
subsections 7a77#b71 7a77#d71 & 7b77#b71
 z applicable1 provid+ = a p]iod (      
ineligibility = paym5t ( p5sion or      
increas$ p5sion "u su* sections =       
individuals :o make c]ta9 dispositions (
 res\rces = less ?an fair m>ket value1  
includ+ ! exception = h>d%ip f su* p]iod
 ( ineligibility2  7,b7 obta9 f su*     
surviv+ sp\se or *ild in=mation :i* may 
be us$ 9 det]m9+ :e!r or n a p]iod (    
ineligibility = su* paym5ts w\ld be     
requir$ by reason ( su* subsections2 &  
7,c7 provide su* surviv+ sp\se or *ild a
 timely process = det]m9+ :e!r or n !   
exception = h>d%ip %all apply to su*    
surviv+ sp\se or *ild4  4  7c7          
,effective date ,subsections 7a77#b71   
7b77#b71 & 7c7 ( section #aebb ( title  

#ch1 ,unit$ ,/ates ,code1 z add$ by     
subsection 7a71 & subsections 7a77#b71  
7a77#d71 7b77#b71 & 7c7 ( section #aedc 
( su* title1 z add$ by subsection 7b71  
%all take effect on ! date t is "o ye>  
aft] ! date ( ! enactm5t ( ?is ,act &   
%all apply ) respect to paym5ts ( p5sion
 & increas$ p5sion appli$ = aft] su*    
date & to paym5ts ( p5sion & increas$   
p5sion = :i* eligibility is r$et]m9$    
aft] su* date1 except t no r$uction 9   
p5sion %all be made "u su* subsections  
because ( any disposal ( cov]$ res\rces 
made be=e su* date4  7d7 ,annual reports
  7#a7 ,9 g5]al ,n lat] ?an #cj mon?s   
aft] ! date ( ! enactm5t ( ?is ,act & n 
less frequ5tly ?an once ea* ye> !reaft] 
?r\gh #bjah1 ! ,secret>y ( ,vet]ans     
,affairs %all submit to ! appropriate   
committees ( ,congress a report on !    
adm9i/ration ( subsections 7a77#b71     
7b77#b71 & 7c7 ( section #aebb ( title  
#ch1 ,unit$ ,/ates ,code1 z add$ by     
subsection 7a71 & subsections 7a77#b71  
7a77#d71 7b77#b71 & 7c7 ( section #aedc 

( su* title1 z add$ by subsection 7b71  
dur+ ! mo/ rec5t #ab-mon? p]iod4  7#b7  
,elem5ts ,ea* report submitt$ "u        
p>agraph 7#a7 %all include ! foll[+1 = !
 p]iod cov]$ by ! report3 7,a7 ,! numb] 
( individuals :o appli$ = p5sion "u     
*apt] #ae ( su* title4  7,b7 ,! numb] ( 
individuals :o receiv$ p5sion "u su*    
*apt]4  7,c7 ,! numb] ( individuals )   
respect to :om ! ,secret>y d5i$ or      
discont9u$ paym5t ( p5sion "u !         
subsections ref]r$ to 9 p>agraph 7#a74  
7,d7 ,a description ( any tr5ds id5tifi$
 by ! ,secret>y reg>d+ p5sion paym5ts t 
h occurr$ z a result ( ! am5dm5ts made  
by ?is section4  7,e7 ,su* o!r in=mation
 z ! ,secret>y consid]s appropriate4    
7#c7 ,appropriate committees ( ,congress
 def9$ ,9 ?is subsection1 ! t]m         
appropriate committees ( ,congress      
means-- 7,a7 ! ,committee on ,vet]ans'  
,affairs & ! ,select ,committee on ,ag+ 
( ! ,s5ate2 &  7,b7 ! ,committee on     
,vet]ans' ,affairs ( ! ,h\se (          
,repres5tatives4  #ijc4 ,ext5sion (     

r$uc$ p5sion = c]ta9 vet]ans cov]$ by   
m$icaid plans = s]vices furni%$ by nurs+
 facilities  7a7 ,9 g5]al ,subsection   
7d77#g7 ( section #eejc is am5d$ by     
/rik+ ,novemb] #cj1 #bjaf & ins]t+      
,septemb] #cj1 #bjbc4  7b7 ,cl]ical     
am5dm5ts  7#a7 ,section head+ ,! section
 head+ ( su* section is am5d$ to read z 
foll[s3 ,r$uc$ p5sion = c]ta9           
hospitaliz$ vet]ans & c]ta9 vet]ans     
receiv+ domicili>y1 nurs+ home1 or nurs+
 facility c>e4  7#b7 ,table ( sections  
,! table ( sections at ! beg9n+ ( *apt] 
#ee is am5d$ by /rik+ ! item relat+ to  
section #eejc & ins]t+ ! foll[+ new     
item3  #eejc4 ,r$uc$ p5sion = c]ta9     
hospitaliz$ vet]ans & c]ta9 vet]ans     
receiv+ domicili>y1 nurs+ home1 or nurs+
 facility c>e4  4  #ijd4 ,conditions on 
aw>d ( p] diem paym5ts by ,secret>y (   
,vet]ans ,affairs = provision ( h\s+ or 
s]vices to homeless vet]ans  7a7        
,condition  7#a7 ,9 g5]al ,section      
#bjab7;c77#a7 is am5d$ by /rik+ unless !
 facilities & all t foll[s ?r\gh may    

specify4 & ins]t+ ! foll[+3 8unless !   
,secret>y c]tifies ! foll[+3  7,a7 ,t ! 
build+ :]e ! grant recipi5t or eligible 
entity provides h\s+ or s]vices = :i* ! 
grant recipi5t or eligible entity w\ld  
receive su* paym5t is 9 compliance ) !  
codes relevant to ! op]ations & level ( 
c>e provid$1 includ+ applicable         
provisions ( ! mo/ rec5tly publi%$      
v]sion ( ! ,life ,safety ,code ( !      
,national ,fire ,protection ,association
 or su* o!r comp>able fire & safety     
requirem5ts z ! ,secret>y may specify4  
7,b7 ,t su* build+ & su* h\s+ or s]vices
 are 9 compliance ) lic5s+ requirem5ts1 
fire & safety requirem5ts1 & any o!r    
requirem5ts 9 ! jurisdiction 9 :i* !    
build+ is locat$ reg>d+ ! condition ( ! 
build+ & ! provision ( su* h\s+ or      
s]vices4  4  7#b7 ,effective date ,!    
am5dm5t made by p>agraph 7#a7 %all apply
 ) respect to an application = a p] diem
 paym5t "u section #bjab ( title #ch1   
,unit$ ,/ates ,code1 submitt$ on or aft]
 ! date ( ! enactm5t ( ?is ,act4  7b7   

,annual inspections requir$ ,section    
#bjab is am5d$ by /rik+ subsection 7b7 &
 ins]t+ ! foll[+ new subsection 7b73    
7b7 7#a7 ,n less frequ5tly ?an once ea* 
fiscal ye>1 ! ,secret>y %all inspect ea*
 facility ( ea* grant recipi5t or entity
 eligible = paym5ts "u subsection 7a7 at
 :i* ! recipi5ts & entities provide     
s]vices "u section #bjaa ( ?is title or 
?is section4  7#b7 ,except z provid$ 9  
p>agraph 7#a71 inspections made "u su*  
p>agraph %all be made at su* times z !  
,secret>y consid]s necess>y4  7#c7 ,an  
inspection ( a facility ( a recipi5t or 
entity describ$ 9 p>agraph 7#a7 made "u 
su* p>agraph may be made ) or )\t prior 
notice to ! recipi5t or entity1 z !     
,secret>y consid]s appropriate4  7#d7   
,no p] diem paym5t may be provid$ to a  
grant recipi5t or eligible entity "u ?is
 section unless ! facilities ( ! grant  
recipi5t or eligible entity meet su*    
/&>ds z ! ,secret>y %all prescribe4  4  
7c7 ,revocation ( c]tification au?oriz$ 
,subsection 7c7 ( su* section is am5d$--

 7#a7 by r$esignat+ p>agraphs 7#b7 &    
7#c7 z p>agraphs 7#d7 & 7#e71           
respectively2  7#b7 9 p>agraph 7#a71 z  
am5d$ by subsection 7a77#a71 by /rik+ 9 
p>agraph 7#b7 & ins]t+ 9 p>agraph 7#d72 
&  7#c7 by ins]t+ aft] p>agraph 7#a7 !  
foll[+ new p>agraph 7#b73  7#b7 ,!      
,secret>y may revoke any c]tification   
made "u p>agraph 7#a7 if ! ,secret>y    
det]m9es t su* c]tification is no long] 
accurate4  4  7d7 ,congressional        
notification ( t]m9ation ( p] diem      
requir$ ,su* subsection is fur!r am5d$  
by ins]t+ aft] p>agraph 7#b7 ! foll[+   
new p>agraph 7#c73  7#c7 ,n lat] ?an #cj
 days aft] ! date on :i* ! ,secret>y    
t]m9ates provision ( p] diem paym5t "u  
?is section to a grant recipi5t or an   
eligible entity1 ! ,secret>y %all submit
 to ! ,committee on ,vet]ans' ,affairs (
 ! ,s5ate & ! ,committee on ,vet]ans'   
,affairs ( ! ,h\se ( ,repres5tatives    
notice ( su* t]m9ation if su* t]m9ation 
7 made because a facility ( ! grant     
recipi5t or eligible entity did n comply

 )-- 7,a7 an applicable provision ( !   
mo/ rec5tly publi%$ v]sion ( ! ,life    
,safety ,code ( ! ,national ,fire       
,protection ,association or su* o!r     
comp>able fire & safety requirem5t z !  
,secret>y has specifi$2 or  7,b7 a      
lic5s+ requirem5t1 fire or safety       
requirem5t1 or ano!r requirem5t 9 !     
jurisdiction 9 :i* ! facility is locat$ 
reg>d+ ! condition ( ! facility4  4  7e7
 ,treatm5t ( curr5t recipi5ts ( p] diem 
paym5ts  7#a7 ,assessm5t ,9 ! case ( !  
recipi5t ( a p] diem paym5t "u section  
#bjab ( title #ch1 ,unit$ ,/ates ,code1 
t receives su* a paym5t dur+ ! ye> 9 :i*
 ?is ,act is enact$ = ! provision ( h\s+
 or s]vices1 ! ,secret>y ( ,vet]ans     
,affairs %all assess :e!r ! build+ :]e  
su* h\s+ or s]vices are provid$ is &    
:e!r ! h\s+ & s]vices are 9 compliance z
 requir$ by section #bjab7;c77#a7 ( su* 
title1 z am5d$ by subsection 7a77#a74   
7#b7 ,failure to comply ,9 ! case       
describ$ 9 p>agraph 7#a71 if ! ,secret>y
 does n c]tify ! compliance ( ! build+ &

 ! h\s+ or s]vices "u su* section be=e !
 date t is two ye>s aft] ! date ( !     
enactm5t ( ?is ,act1 ! ,secret>y may n  
make any additional p] diem paym5ts to !
 recipi5t = ! provision ( su* h\s+ or   
s]vices "u section #bjab ( su* title    
until ! ,secret>y c]tifies t su* build+ 
is & su* h\s+ or s]vices are 9          
compliance4  7f7 ,con=m+ condition on   
aw>d ( grants by ,secret>y ( ,vet]ans   
,affairs = compreh5sive s]vice programs 
,section #bjaa7;b77#e77;,a7 is am5d$ by 
ins]t+ 1 includ+ h\s+ & build+ codes14  
#ije4 ,exception to c]ta9 recapture     
requirem5ts & treatm5t ( contracts &    
grants ) ,/ate homes ) respect to c>e = 
homeless vet]ans  7a7 ,exception to     
c]ta9 recapture requirem5ts ,section    
#hacf7;b7 is am5d$ by ins]t+ 1 or !     
provision ( s]vices or conduct ( a      
program pursuant to a contract or grant 
issu$ or aw>d$ by ! ,secret>y "u        
sub*apt] ,,ii ( *apt] #bj or section    
#bjca7;a77#b7 ( ?is title1 aft]         
outpati5t cl9ic4  7b7 ,con/ruction ,!   

am5dm5t made by subsection 7a7 may n be 
con/ru$ to au?orize ! ,secret>y (       
,vet]ans ,affairs to ent] into a        
contract ) a ,/ate home or aw>d a grant 
to a ,/ate home = ! furni%+ ( resid5tial
 c>e = a vet]an )\t-- 7#a7 id5tify+ a   
sub/antial ne$ = su* c>e2 &  7#b7       
det]m9+ t ! ,/ate home is ! mo/         
appropriate provid] ( su* c>e4  #ijf4   
,ext5d$ p]iod = s*$ul+ ( m$ical exams = 
vet]ans receiv+ tempor>y disability     
rat+s = sev]e m5tal disord]s ,section   
#aaef7;a77#c7 is am5d$ by /rik+ six     
mon?s & ins]t+ #ah mon?s4  #ijg4        
,au?ority to issue ,vet]ans ,,id ,c>ds  
7a7 ,au?ority  7#a7 ,9 g5]al ,!         
,secret>y ( ,vet]ans ,affairs may issue 
a c>d to a vet]an t id5tifies ! vet]an z
 a vet]an & includes a photo ( ! vet]an 
& ! "n ( ! vet]an4  7#b7 ,no requirem5t 
= enrollm5t or receipt ( b5efits ,!     
,secret>y may issue a c>d "u p>agraph   
7#a7 to a vet]an1 :e!r or n su* vet]an  
is-- 7,a7 enroll$ 9 ! sy/em ( annual    
pati5t enrollm5t e/abli%$ "u section    

#agje7;a7 ( title #ch1 ,unit$ ,/ates    
,code2 or  7,b7 9 receipt ( educational 
assi/ance1 comp5sation1 or p5sion "u    
laws adm9i/]$ by ! ,secret>y4  7#c7     
,designation ,a c>d issu$ "u p>agraph   
7#a7 may be kn[n z a ,vet]ans ,,id ,c>d4
  7b7 ,recognition ( ,vet]ans ,,id ,c>ds
 = r$uc$ pric+ ( ph>maceuticals1 consum]
 products1 & s]vices ,! ,secret>y may "w
 ) national retail *a9s t (f] r$uc$     
prices on ph>maceuticals1 consum]       
products1 & s]vices to vet]ans to ensure
 t su* retail *a9s recognize c>ds issu$ 
"u subsection 7a77#a7 = purposes ( (f]+ 
r$uc$ prices on ph>maceuticals1 consum] 
products1 & s]vices4  7c7 ,vet]an def9$ 
,9 ?is section1 ! t]m vet]an has ! mean+
 giv5 ! t]m 9 section #aja ( title #ch1 
,unit$ ,/ates ,code4  7d7 ,effective    
date ,?is section %all take effect on ! 
date t is "o ye> aft] ! date ( !        
enactm5t ( ?is ,act4  #ijh4 ,honor+ z   
vet]ans c]ta9 p]sons :o p]=m$ s]vice 9 !
 res]ve compon5ts ( ! ,arm$ ,=ces ,any  
p]son :o is entitl$ "u *apt] #abbc (    

title #aj1 ,unit$ ,/ates ,code1 to      
retir$ pay = nonregul> s]vice or1 b =   
age1 w\ld be entitl$ "u su* *apt] to    
retir$ pay = nonregul> s]vice %all be   
honor$ z a vet]an b %all n be entitl$ to
 any b5efit by reason ( ?is honor4      
#iji4 ,ext5sion ( au?ority = ,secret>y (
 ,vet]ans ,affairs to obta9 in=mation f 
,secret>y ( ,treasury & ,commission] (  
,social ,security = income v]ification  
purposes ,section #ecag7;g7 is am5d$ by 
/rik+ ,septemb] #cj1 #bjaf & ins]t+     
,septemb] #cj1 #bjah4  #iaj4 ,ext5sion (
 au?ority = ,secret>y ( ,vet]ans        
,affairs to issue & gu>antee c]ta9 loans
 ,section #cgbi7;b77#b7 is am5d$-- 7#a7 
9 subp>agraph 7,a7-- 7,a7 9 clause      
7iii71 by /rik+ ,octob] #a1 #bjag &     
ins]t+ ,septemb] #cj1 #bjbc2 &  7,b7 9  
clause 7iv71 by /rik+ ,octob] #a1 #bjag 
& ins]t+ ,septemb] #cj1 #bjbc2  7#b7 9  
subp>agraph 7,b7-- 7,a7 9 clause 7i71 by
 /rik+ ,octob] #a1 #bjag & ins]t+       
,septemb] #cj1 #bjbc2 &  7,b7 9 clause  
7ii71 by /rik+ ,octob] #a1 #bjag &      

ins]t+ ,septemb] #cj1 #bjbc2  7#c7 9    
subp>agraph 7,c7-- 7,a7 9 clause 7i71 by
 /rik+ ,octob] #a1 #bjag & ins]t+       
,septemb] #cj1 #bjbc2 &  7,b7 9 clause  
7ii71 by /rik+ ,octob] #a1 #bjag &      
ins]t+ ,septemb] #cj1 #bjbc2 &  7#d7 9  
subp>agraph 7,d7-- 7,a7 9 clause 7i71 by
 /rik+ ,octob] #a1 #bjag & ins]t+       
,septemb] #cj1 #bjbc2 &  7,b7 9 clause  
7ii71 by /rik+ ,octob] #a1 #bjag &      
ins]t+ ,septemb] #cj1 #bjbc4  #iaa4     
,review ( det]m9ation ( c]ta9 s]vice 9  
,philipp9es dur+ ,_w ,w> ,,ii  7a7 ,9   
g5]al ,! ,secret>y ( ,vet]ans ,affairs1 
9 consultation ) ! ,secret>y ( ,def5se &
 su* milit>y hi/orians z ! ,secret>y (  
,def5se recomm5ds1 %all review ! process
 us$ to det]m9e :e!r a cov]$ individual 
s]v$ 9 support ( ! ,arm$ ,=ces ( !      
,unit$ ,/ates dur+ ,_w ,w> ,,ii 9       
accordance ) section #ajjb7;d7 ( title  
,x ( ,division ,a ( ! ,am]ican ,recov]y 
& ,re9ve/m5t ,act ( #bjji 7,public ,law 
#aaa-e2 #ch ,u4,s4,c4 #ajg note7 =      
purposes ( det]m9+ :e!r su* cov]$       

individual is eligible = paym5ts        
describ$ 9 su* section4  7b7 ,cov]$     
individuals ,9 ?is section1 a cov]$     
individual is any individual :o timely  
submitt$ a claim = b5efits "u subsection
 7c7 ( section #ajjb ( title ,x (       
,division ,a ( ! ,am]ican ,recov]y &    
,re9ve/m5t ,act ( #bjji 7,public ,law   
#aaa-e2 #ch ,u4,s4,c4 #ajg note7 bas$ on
 s]vice z describ$ 9 subsection 7d7 ( t 
section4  7c7 ,report ,n lat] ?an #ij   
days aft] ! date ( ! enactm5t ( ?is     
,act1 ! ,secret>y ( ,vet]ans ,affairs   
%all submit to ! ,committee on ,vet]ans'
 ,affairs ( ! ,s5ate & ! ,committee on  
,vet]ans' ,affairs ( ! ,h\se (          
,repres5tatives a report detail+ any    
f9d+s1 actions tak51 or recomm5dations =
 legislative action ) respect to !      
review conduct$ "u subsection 7a74  7d7 
,prohibition on b5efits = disqualify+   
conduct "u new process pursuant to      
review ,if pursuant to ! review conduct$
 "u subsection 7a7 ! ,secret>y (        
,vet]ans ,affairs det]m9es to e/abli% a 

new process = ! mak+ ( paym5ts z        
describ$ 9 t subsection1 ! process %all 
include me*anisms to ensure t           
individuals are n treat$ z cov]$        
individuals = purposes ( su* paym5ts if 
su* individuals engag$ 9 any disqualify+
 conduct dur+ s]vice describ$ 9 t       
subsection1 includ+ collaboration ) !   
enemy or crim9al conduct4  #iab4 ,review
 ( det]m9ation ( c]ta9 s]vice ( m]*ant  
m>9]s dur+ ,_w ,w> ,,ii  7a7 ,9 g5]al ,!
 ,secret>y ( ,vet]ans ,affairs1 9       
consultation ) ! ,secret>y ( ,def5se1 ! 
,secret>y ( ,homel& ,security & su*     
milit>y hi/orians z ! ,secret>y (       
,def5se recomm5ds1 %all review ! process
 us$ to det]m9e :e!r an individual p]=m$
 s]vice "u honorable conditions t       
satisfies ! requirem5ts ( a coa/wise    
m]*ant seaman :o is recogniz$ pursuant  
to section #dja ( ! ,,gi ,bill          
,improvem5t ,act ( #aigg 7,public ,law  
#ie-bjb2 #ch ,u4,s4,c4 #ajf note7 z hav+
 p]=m$ active duty s]vice 4  7b7 ,report
 ,n lat] ?an #ij days aft] ! date ( !   

enactm5t ( ?is ,act1 ! ,secret>y (      
,vet]ans ,affairs %all submit to !      
,committee on ,vet]ans' ,affairs ( !    
,s5ate & ! ,committee on ,vet]ans'      
,affairs ( ! ,h\se ( ,repres5tatives a  
report detail+ any f9d+s1 actions tak51 
or recomm5dations = legislative action )
 respect to ! review conduct$ "u        
subsection 7a74  #iac4 ,report on       
,laotian milit>y support ( ,arm$ ,=ces (
 ! ,unit$ ,/ates dur+ ,vietnam ,w>  7a7 
,9 g5]al ,n lat] ?an "o ye> aft] !      
effective date specifi$ 9 subsection    
7c71 ! ,secret>y ( ,vet]ans ,affairs1 9 
consultation ) ! ,secret>y ( ,def5se &  
su* ag5cies & individuals z ! ,secret>y 
( ,vet]ans ,affairs consid]s            
appropriate1 %all submit to !           
appropriate committees ( ,congress a    
report on-- 7#a7 ! ext5t to :i* ,laotian
 milit>y =ces provid$ combat support to 
! ,arm$ ,=ces ( ! ,unit$ ,/ates betwe5  
,febru>y #bh1 #aifa1 & ,may #ae1 #aige2 
7#b7 :e!r ! curr5t classification by !  
,civilian_/,milit>y ,s]vice ,review     

,bo>d ( ! ,dep>tm5t ( ,def5se ( s]vice  
by individuals ( ,hmong e?nicity is     
appropriate2 &  7#c7 any recomm5dations 
= legislative action4  7b7 ,appropriate 
committees ( ,congress ,9 ?is section1 !
 t]m appropriate committees ( ,congress 
means-- 7#a7 ! ,committee on ,arm$      
,s]vices & ! ,committee on ,vet]ans'    
,affairs ( ! ,s5ate2 &  7#b7 !          
,committee on ,arm$ ,s]vices & !        
,committee on ,vet]ans' ,affairs ( !    
,h\se ( ,repres5tatives4  7c7 ,effective
 date ,?is section %all take effect on !
 date t is "o ye> aft] ! date ( !       
enactm5t ( ?is ,act4  #iad4 ,report on  
practices ( ! ,dep>tm5t ( ,vet]ans      
,affairs to adequately provide s]vices  
to vet]ans ) he>+ loss  7a7 ,9 g5]al ,n 
lat] ?an two ye>s aft] ! date ( !       
enactm5t ( ?is ,act1 ! ,secret>y (      
,vet]ans ,affairs %all submit to !      
,committee on ,vet]ans' ,affairs ( !    
,s5ate & ! ,committee on ,vet]ans'      
,affairs ( ! ,h\se ( ,repres5tatives a  
report on ! actions tak5 by ! ,secret>y 

to implem5t ! f9d+s & recomm5dations    
includ$ 9 ! #bjjf report by ! ,in/itute 
( ,m$ic9e ( ! ,national ,academies      
entitl$ ,noise & ,milit>y ,s]vice3      
,implications = ,he>+ ,loss & ,t9nitus t
 0 prep>$ pursuant to section #ajd ( !  
,vet]ans ,b5efits ,act ( #bjjb 7,public 
,law #ajg-ccj2 #aaf ,/at4 #bhbb74  7b7  
,effect ( ,duty ,milit>y ,occupational  
,specialty ,noise ,exposure ,li/+ on    
receipt ( b5efits by vet]ans  7#a7 ,9   
g5]al ,! ,secret>y %all include 9 !     
report requir$ by subsection 7a7 an     
evaluation ( ! ext5t to :i* vet]ans :o  
_h a milit>y occupational specialty dur+
 s]vice z a memb] ( ! ,arm$ ,=ces t is n
 includ$ on ! ,duty ,milit>y            
,occupational ,specialty ,noise         
,exposure ,li/+ 79 ?is subsection ref]r$
 to z ! ,,mos ,li/7 are preclud$ f      
receiv+ b5efits relat$ to he>+ loss f ! 
,dep>tm5t ( ,vet]ans ,affairs4  7#b7    
,data ,! ,secret>y %all include 9 !     
evaluation requir$ by p>agraph 7#a7 !   
foll[+3 7,a7 ,) respect to vet]ans :o _h

 a milit>y occupational specialty       
includ$ on ! ,,mos ,li/-- 7i7 ! numb] ( 
claims = b5efits relat$ to he>+ loss f !
 ,dep>tm5t ( ,vet]ans ,affairs t 7      
grant$2 &  7ii7 ! numb] ( claims =      
b5efits relat$ to he>+ loss f !         
,dep>tm5t t 7 d5i$4  7,b7 ,) respect to 
vet]ans :o _h a milit>y occupational    
specialty n includ$ on ! ,,mos ,li/--   
7i7 ! numb] ( claims = b5efits relat$ to
 he>+ loss f ! ,dep>tm5t t 7 grant$2    
7ii7 ! numb] ( claims = b5efits relat$  
to he>+ loss f ! ,dep>tm5t t 7 d5i$2    
7iii7 ( ! numb] ( d5i$ claims "u clause 
7ii71 ! numb] ( ^? claims t 7 appeal$2 &
  7iv7 ( ! numb] ( appeal$ claims "u    
clause 7iii71 ! numb] ( ^? appeal$      
claims t 7 successfully appeal$4  7c7   
,additional matt]s ,! ,secret>y %all    
include 9 ! report requir$ by subsection
 7a7 ! foll[+3 7#a7 ,9 ! case ( a vet]an
 ) unilat]al he>+ loss1 an explanation (
 ! sci5tific basis = ! practice ( !     
,dep>tm5t ( det]m9+ a disability rat+   
level ) respect to he>+ bas$ on an      

exam9ation ( t vet]an's heal?y e> in/ead
 ( ! injur$ e>4  7#b7 ,an analysis ( !  
r$uction 9 e>n+ capacity = vet]ans z a  
result ( unilat]al he>+ loss1 ) a focus 
on ! ability ( ^? vet]ans-- 7,a7 to     
detect ! direction ( s\nd2 &  7,b7 to   
und]/& spee*4  7#c7 ,an explanation ( ! 
rationale = ! practice ( ! ,dep>tm5t ( n
 issu+ a comp5sable rat+ = he>+ loss at 
c]ta9 levels t are sev]e en\gh to       
require ! use ( he>+ aids4  7#d7 ,a     
survey ( ! audiologi/s t conduct        
comp5sation & p5sion exam9ations = !    
,dep>tm5t to assess ! implem5tation ( ! 
mo/ rec5t edition ( ! be/ practices     
manual = he>+ loss & t9nitus exam9ations
 t includes ! foll[+3 7,a7 ,a           
description ( ! tra9+ receiv$ by ^?     
audiologi/s comp>$ to ! me?ods describ$ 
9 ! mo/ rec5t edition ( ! be/ practices 
manual = he>+ loss & t9nitus            
exam9ations4  7,b7 ,an assessm5t ( h[ ^?
 audiologi/s h compli$ ) t tra9+4  7,c7 
,:e!r ^? audiologi/s are us+ a range (  
tones up to #hjjj h]tz to te/ ! he>+ (  

vet]ans4  7d7 ,con/ruction ,no?+ 9 ?is  
section %all be con/ru$ to au?orize or  
require ! ,secret>y to def]1 delay1 or  
replace ! ongo+ ef=ts ( ! ,secret>y to  
update ! s*$ule ( rat+s requir$ by      
section #aaee ( title #ch1 ,unit$ ,/ates
 ,code4  7e7 ,effective date ,?is       
section %all take effect on ! date t is 
"o ye> aft] ! date ( ! enactm5t ( ?is   
,act4  #iae4 ,report on jo9t programs ( 
,dep>tm5t ( ,vet]ans ,affairs &         
,dep>tm5t ( ,def5se ) respect to he>+   
loss ( memb]s ( ! ,arm$ ,=ces & vet]ans 
7a7 ,9 g5]al ,n lat] ?an two ye>s aft] !
 date ( ! enactm5t ( ?is ,act1 !        
,secret>y ( ,vet]ans ,affairs %all1 9   
consultation ) ! ,secret>y ( ,def5se1   
submit to ,congress a report t id5tifies
 ! foll[+3 7#a7 ,goals = ! ,dep>tm5t (  
,vet]ans ,affairs & ! ,dep>tm5t (       
,def5se = ! prev5tion1 e>ly detection1 &
 treatm5t ( he>+ loss by ! ,national    
,c5t] = ,rehabilitative ,auditory       
,rese>* ( ! ,dep>tm5t ( ,vet]ans        
,affairs & ! ,he>+ ,c5t] ( ,excell5ce ( 

! ,dep>tm5t ( ,def5se4  7#b7 ,res\rces (
 ! ,dep>tm5t ( ,vet]ans ,affairs t c\ld 
be made available to assi/ ! ,dep>tm5t (
 ,def5se 9 conduct+ audiometric te/s &  
t9nitus scre5+s = memb]s ( ! ,arm$      
,=ces4  7#c7 ,b>ri]s to in=mation be+   
add$ to ! ,he>+ ,loss & ,auditory ,sy/em
 ,injury ,regi/ry requir$ "u section    
#gba7;c77#a7 ( ! ,duncan ,hunt]         
,national ,def5se ,au?orization ,act =  
,fiscal ,ye> #bjji 7,public ,law        
#aaj-dag2 #abb ,/at4 #dejf74  7#d7      
,recomm5dations = any legislative or    
adm9i/rative actions necess>y ) respect 
to ! ,he>+ ,loss & ,auditory ,sy/em     
,injury ,regi/ry-- 7,a7 to assi/ 9      
a*iev+ ! goals specifi$ 9 p>agraph 7#a72
  7,b7 to improve ! adjudication (      
claims = b5efits ) respect to he>+ loss2
 &  7,c7 to fur!r ! rese>* objectives ( 
! ,national ,c5t] = ,rehabilitative     
,auditory ,rese>* ( ! ,dep>tm5t (       
,vet]ans ,affairs & ! ,he>+ ,c5t] (     
,excell5ce ( ! ,dep>tm5t ( ,def5se4  7b7
 ,effective date ,?is section %all take 

effect on ! date t is "o ye> aft] ! date
 ( ! enactm5t ( ?is ,act4  #iaf4        
,limitation on aggregate am\nt ( bonuses
 payable to p]sonnel ( ! ,dep>tm5t (    
,vet]ans ,affairs dur+ fiscal ye> #bjad 
,! aggregate am\nt ( bonuses & aw>ds    
payable to p]sonnel ( ! ,dep>tm5t (     
,vet]ans ,affairs "u *apt] #de or #ec ( 
title #e1 ,unit$ ,/ates ,code1 or any   
o!r provision ( su* title1 dur+ fiscal  
ye> #bjad may n exce$ #cfh1jjj1jjj4     
#iag4 ,am5dm5t to ,,oco adju/m5ts       
,section #bea ( ! ,balanc$ ,budget &    
,em]g5cy ,deficit ,control ,act ( #aihe 
7#b ,u4,s4,c4 #ija7 is am5d$-- 7#a7 9   
subsection 7a71 by /rik+ p>agraph 7#b7 &
 ins]t+ ! foll[+3  7#b7 ,elim9at+ a     
brea*  7,a7 ,9 g5]al ,ea* non-exempt    
acc\nt )9 a category %all be r$uc$ by a 
doll> am\nt calculat$ by multiply+ !    
enact$ level ( seque/rable budget>y     
res\rces 9 t acc\nt at t "t by ! uni=m  
p]c5tage necess>y to elim9ate a brea* )9
 t category4  7,b7 ,ov]seas cont+5cies  
,any am\nt ( budget au?ority designat$ z

 = ,ov]seas ,cont+5cy                   
,op]ations_/,global ,w> on ,t]rorism =  
any ( fiscal ye>s #bjah ?r\gh #bjba 9   
excess ( ! levels set 9 subsection      
7b77#b77;,e7 %all be c\nt$ 9 det]m9+    
:e!r a brea* has occurr$ 9 ! revis$     
security category dur+ ! fiscal ye>4  2 
&  7#b7 9 subsection 7b77#b7-- 7,a7 9   
subp>agraph 7,a77ii71 by ins]t+ = fiscal
 ye>s #bjab ?r\gh #bjag1 be=e !         
,congress2 &  7,b7 by add+ at ! end !   
foll[+3  7,e7 ,ov]seas cont+5cy         
op]ations_/global w> on t]rorism ,if1 = 
fiscal ye>s #bjah ?r\gh #bjba1          
appropriations = discretion>y acc\nts   
are enact$ t ,congress designates =     
,ov]seas ,cont+5cy ,op]ations_/,global  
,w> on ,t]rorism 9 /atute on an acc\nt  
by acc\nt basis & ! ,presid5t           
subsequ5tly s designates1 ! adju/m5t = !
 fiscal ye> %all be ! total ( su*       
appropriations = ! fiscal ye> 9         
discretion>y acc\nts designat$ z be+ =  
,ov]seas ,cont+5cy ,op]ations_/,global  
,w> on ,t]rorism1 b n to exce$-- 7i7 =  

fiscal ye> #bjah1 #id1jaj1jjj1jjj 9     
additional new budget au?ority2  7ii7 = 
fiscal ye> #bjai1 #if1jgg1jjj1jjj 9     
additional new budget au?ority2  7iii7 =
 fiscal ye> #bjbj1 #ih1bec1jjj1jjj 9    
additional new budget au?ority2 &  7iv7 
= fiscal ye> #bjba1 #ajj1dcg1jjj1jjj 9  
additional new budget au?ority4  4      
,febru>y #d1 #bjad,read ! second "t &   
plac$ on ! cal5d>