,,ii #aac? ,,congress #b;d ,session ,s4 #bdac ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,june #b1 #bjad ,mr4 ,s&]s 7= himself1 ,ms4 ,hirono1 ,mr4 ,wyd51 ,mr4 ,begi*1 ,mr4 ,he9ri*1 ,mr4 ,re$1 ,ms4 ,mikulski1 ,mr4 ,br[n1 ,mr4 ,blum5?al1 ,mr4 ,s*atz1 ,mr4 ,ka9e1 ,mr4 ,wal%1 ,mr4 ,te/]1 & ,ms4 ,/ab5[7 introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,vet]ans' ,affairs ,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 ! ,re/or+ ,vet]ans ,tru/ ,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 ,,title ,i--,heal? ,c>e ,matt]s ,subtitle ,a--,improvem5t ( ,access to ,c>e by ,/r5g!n+ ,managem5t1 ,te*nology1 & ,metrics ,sec4 #aja4 ,implem5tation ( upgrad$ ,dep>tm5t ( ,vet]ans ,affairs electronic s*$ul+ sy/em = appo9tm5ts = receipt ( heal? c>e f ! ,dep>tm5t4 ,sec4 #ajb4 ,indep5d5t assessm5t ( ! s*$ul+ process = m$ical appo9tm5ts = c>e f ,dep>tm5t ( ,vet]ans ,affairs4 ,sec4 #ajc4 ,modification ( liability = brea* ( p]iod ( obligat$ s]vice "u ,heal? ,pr(essionals ,educational ,assi/ance ,program = prim>y c>e physicians4 ,sec4 #ajd4 ,program ( education at ,uni=m$ ,s]vices ,univ]sity ( ! ,heal? ,sci5ces ) specialization 9 prim>y c>e4 ,sec4 #aje4 ,treatm5t ( /aff+ %ortage & biannual report on /aff+ ( m$ical facilities ( ! ,dep>tm5t ( ,vet]ans ,affairs4 ,sec4 #ajf4 ,cl9ic managem5t tra9+ program ( ! ,dep>tm5t ( ,vet]ans ,affairs4 ,sec4 #ajg4 ,inclusion ( ,dep>tm5t ( ,vet]ans ,affairs facilities 9 ,national ,heal? ,s]vice ,corps ,s*ol>%ip & loan repaym5t programs4 ,sec4 #ajh4 ,improvem5t ( access by vet]ans to heal? c>e f non-,dep>tm5t ( ,vet]ans ,affairs provid]s4 ,sec4 #aji4 ,ext5sion ( & report on jo9t inc5tives program ( ,dep>tm5t ( ,vet]ans ,affairs & ,dep>tm5t ( ,def5se4 ,sec4 #aaj4 ,transf] ( au?ority = paym5ts = hospital c>e1 m$ical s]vices1 & o!r heal? c>e f non-,dep>tm5t provid]s to ! ,*ief ,bus9ess ,(fice ( ! ,vet]ans ,heal? ,adm9i/ration ( ! ,dep>tm5t4 ,sec4 #aaj;,a4 ,contract+ = hospital c>e1 m$ical s]vices1 & o!r heal? c>e4 ,sec4 #aaj;,b4 ,enhancem5t ( collaboration betwe5 ,dep>tm5t ( ,vet]ans ,affairs & ,indian ,heal? ,s]vice4 ,sec4 #aaj;,c4 ,enhancem5t ( collaboration betwe5 ,dep>tm5t ( ,vet]ans ,affairs & ,native ,hawaiian heal? c>e sy/ems4 ,sec4 #aaj;,d4 ,improvem5t ( access ( vet]ans to mobile vet c5t]s ( ! ,dep>tm5t ( ,vet]ans ,affairs4 ,sec4 #aaj;,e4 ,commission on ,access to ,c>e4 ,sec4 #aaj;,f4 ,removal ( ,s5ior ,executive ,s]vice employees ( ! ,dep>tm5t ( ,vet]ans ,affairs = p]=mance4 ,sec4 #aaj;,g4 ,au?orization ( em]g5cy appropriations4 ,subtitle ,b--,expansion & ,improvem5ts ( ,b5efits ,g5]ally ,sec4 #aaa4 ,fur!r ext5sion ( p]iod ( eligibility = heal? c>e = vet]ans ( combat s]vice dur+ c]ta9 p]iods ( ho/ilities & w>4 ,sec4 #aab4 ,expansion ( assi/ance & support s]vices = c>egiv]s ( vet]ans4 ,sec4 #aac4 ,improv$ access to appropriate immunizations = vet]ans4 ,sec4 #aad4 ,expansion ( provision ( *iropractic c>e & s]vices to vet]ans4 ,sec4 #aae4 ,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 #aaf4 ,expansion ( em]g5cy treatm5t reimbursem5t = c]ta9 vet]ans4 ,sec4 #aag4 ,ext5sion ( sunset date reg>d+ transportation ( individuals to & f facilities ( ,dep>tm5t ( ,vet]ans ,affairs & requirem5t ( report4 ,sec4 #aah4 ,ext5sion & modification ( pilot program on assi/$ liv+ s]vices = vet]ans ) traumatic bra9 injury4 ,sec4 #aai4 ,reau?orization & modification ( pilot program ( enhanc$ contract c>e au?ority = heal? c>e ne$s ( vet]ans4 ,subtitle ,c--,heal? ,c>e ,adm9i/ration ,sec4 #aba4 ,ext5sion ( ,dep>tm5t ( ,vet]ans ,affairs ,heal? ,pr(essional ,s*ol>%ip ,program4 ,sec4 #abb4 ,expansion ( availability ( pro/hetic & or?otic c>e = vet]ans4 ,sec4 #abc4 ,limitation on expansion ( dialysis pilot program4 ,sec4 #abd4 ,requirem5t = ,dep>tm5t ( ,vet]ans ,affairs policy on report+ cases ( infecti\s diseases at facilities ( ! ,dep>tm5t4 ,sec4 #abe4 ,indep5d5t assessm5t ( ! ,vet]ans ,integrat$ ,s]vice ,networks & m$ical c5t]s ( ,dep>tm5t ( ,vet]ans ,affairs4 ,sec4 #abf4 ,requirem5ts 9 connection ) next update ( curr5t /rategic plan = ,(fice ( ,rural ,heal? ( ! ,dep>tm5t ( ,vet]ans ,affairs4 ,sec4 #abg4 ,report on provision ( telem$ic9e s]vices4 ,sec4 #abh4 ,designation ( ,corporal ,mi*ael ,j4 ,cresc5z ,dep>tm5t ( ,vet]ans ,affairs ,m$ical ,c5t]4 ,subtitle ,d--,complem5t>y & ,alt]native ,m$ic9e ,sec4 #aca4 ,expansion ( rese>* & education on & deliv]y ( complem5t>y & alt]native m$ic9e to vet]ans4 ,sec4 #acb4 ,program on integration ( complem5t>y & alt]native m$ic9e )9 ,dep>tm5t ( ,vet]ans ,affairs m$ical c5t]s4 ,sec4 #acc4 ,/udies ( b>ri]s enc\nt]$ 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 #acd4 ,program on use ( wellness programs z complem5t>y approa* to m5tal heal? c>e = vet]ans & family memb]s ( vet]ans4 ,subtitle ,e--,m5tal ,heal? ,c>e ,sec4 #ada4 ,inclusion ( m5tal heal? pr(essionals 9 ! education & tra9+ program = heal? p]sonnel ( ! ,dep>tm5t ( ,vet]ans ,affairs4 ,sec4 #adb4 ,report on provision ( m5tal heal? s]vices = families ( c]ta9 vet]ans at facilities ( ! ,dep>tm5t4 ,sec4 #adc4 ,annual report on community m5tal heal? p>tn]%ip pilot program4 ,subtitle ,f--,d5tal ,c>e ,eligibility ,expansion & ,enhancem5t ,sec4 #aea4 ,re/orative d5tal s]vices = vet]ans4 ,sec4 #aeb4 ,pilot program on expansion ( furni%+ ( d5tal c>e to all enroll$ vet]ans4 ,sec4 #aec4 ,program on education to promote d5tal heal? 9 vet]ans4 ,sec4 #aed4 ,au?orization ( appropriations4 ,subtitle ,g--,heal? ,c>e ,relat$ to ,sexual ,trauma ,sec4 #afa4 ,expansion ( eligibility = sexual trauma c\nsel+ & treatm5t to vet]ans on inactive duty tra9+4 ,sec4 #afb4 ,provision ( c\nsel+ & treatm5t = sexual trauma by ! ,dep>tm5t ( ,vet]ans ,affairs to memb]s ( ! ,arm$ ,=ces4 ,sec4 #afc4 ,dep>tm5t ( ,vet]ans ,affairs scre5+ me*anism to detect incid5ts ( dome/ic abuse4 ,sec4 #afd4 ,reports on milit>y sexual trauma & dome/ic abuse4 ,subtitle ,h--,reproductive treatm5t & s]vices ,sec4 #aga4 ,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 #agb4 ,reproductive treatm5t & c>e = sp\ses & surrogates ( vet]ans4 ,sec4 #agc4 ,adoption assi/ance = sev]ely w\nd$ vet]ans4 ,sec4 #agd4 ,regulations on furni%+ ( f]tility c\nsel+ & treatm5t & adoption assi/ance by ,dep>tm5t ( ,vet]ans ,affairs4 ,sec4 #age4 ,coord9ation betwe5 ,dep>tm5t ( ,vet]ans ,affairs & ,dep>tm5t ( ,def5se on furni%+ ( f]tility c\nsel+ & treatm5t4 ,sec4 #agf4 ,facilitation ( reproduction & inf]tility rese>*4 ,sec4 #agg4 ,annual report on provision ( f]tility c\nsel+ & treatm5t furni%$ by ,dep>tm5t ( ,vet]ans ,affairs4 ,sec4 #agh4 ,program on assi/ance = *ild c>e = c]ta9 vet]ans4 ,sec4 #agi4 ,c\nsel+ 9 retreat sett+s = wom5 vet]ans newly sep>at$ f s]vice 9 ! ,arm$ ,=ces4 ,subtitle ,i--,major ,m$ical ,facility ,leases ,sec4 #aha4 ,au?orization ( major m$ical facility leases4 ,sec4 #ahb4 ,budget>y treatm5t ( ,dep>tm5t ( ,vet]ans ,affairs major m$ical facilities leases4 ,,title ,,ii--,survivor & ,dep5d5t ,matt]s ,sec4 #bja4 ,ext5sion ( initial p]iod = increas$ dep5d5cy & indemnity comp5sation = surviv+ sp\ses ) *ildr54 ,sec4 #bjb4 ,eligibility = dep5d5cy & indemnity comp5sation1 educational assi/ance1 & h\s+ loans = surviv+ sp\ses :o rem>ry aft] age #ee4 ,sec4 #bjc4 ,ext5sion ( m>riage delimit+ date = surviv+ sp\ses ( ,p]sian ,gulf ,w> vet]ans to qualify = dea? p5sion4 ,sec4 #bjd4 ,mak+ effective date provision consi/5t ) provision = b5efits eligibility ( a vet]an's *ild bas$ ^u t]m9ation ( rem>riage by annulm5t4 ,sec4 #bje4 ,expansion ( ,m>9e ,gunn]y ,s]geant ,john ,david ,fry ,s*ol>%ip4 ,sec4 #bjf4 ,expansion ( ,yell[ ,ribbon ,g4,i4 ,education ,enhancem5t ,program4 ,sec4 #bjg4 ,b5efits = *ildr5 ( c]ta9 ,?ail& s]vice vet]ans born ) sp9a bifida4 ,sec4 #bjh4 ,program on assi/$ liv+ = *ildr5 ( ,vietnam vet]ans & c]ta9 ,korea s]vice vet]ans born ) sp9a bifida4 ,sec4 #bji4 ,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 #baj4 ,program evaluation on survivors' & dep5d5ts' educational assi/ance au?orities4 ,,title ,,iii--,education ,matt]s ,sec4 #cja4 ,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 #cjb4 ,ext5sion & expansion ( au?ority = c]ta9 qualify+ "w-/udy activities = purposes ( ! educational assi/ance programs ( ! ,dep>tm5t ( ,vet]ans ,affairs4 ,sec4 #cjc4 ,prohibitions relat+ to ref]5ces to ,,gi ,bill & ,po/-#i_/aa ,,gi ,bill4 ,sec4 #cjd4 ,review ( utilization ( educational assi/ance to pursue programs ( tra9+ on ! job & p>ticipat+ employ]s4 ,sec4 #cje4 ,report on debt managem5t & collection4 ,sec4 #cjf4 ,re/oration ( prior report+ fee multipli]s4 ,,title ,,iv--,employm5t & ,relat$ ,matt]s ,subtitle ,a--,tra9+ & o!r s]vices = vet]ans seek+ employm5t ,sec4 #dja4 ,ext5sion ( au?ority ( ,secret>y ( ,vet]ans ,affairs to provide rehabilitation & vocational b5efits to memb]s ( ,arm$ ,=ces ) sev]e injuries or illnesses4 ,subtitle ,b--,employm5t ( vet]ans & recognition ( vet]an /atus ) respect to employm5t relat$ matt]s ,sec4 #daa4 ,employm5t ( vet]ans ) ! ,f$]al ,gov]nm5t4 ,sec4 #dab4 ,/ate recognition ( milit>y exp]i5ce ( vet]ans 9 issu+ lic5ses & cr$5tials to vet]ans4 ,sec4 #dac4 ,report on discrim9ation aga9/ memb]s ( res]ve compon5ts ( ,arm$ ,=ces & vet]ans 9 civilian labor m>ket4 ,subtitle ,c--,improv+ employm5t & reemploym5t rights ( memb]s ( ! uni=m$ s]vices ,sec4 #dba4 ,susp5sion1 t]m9ation1 or deb>m5t ( contractors = repeat$ violations ( employm5t or reemploym5t rights ( memb]s ( uni=m$ s]vices4 ,subtitle ,d--,small ,bus9ess ,matt]s ,sec4 #dca4 ,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 #dcb4 ,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 #dcc4 ,treatm5t ( bus9esses aft] dea?s ( s]vicememb]-own]s = purposes ( ,dep>tm5t ( ,vet]ans ,affairs contract+ goals & pref]5ces4 ,sec4 #dcd4 ,special rule = treatm5t "u contract+ goals & pref]5ces ( ,dep>tm5t ( ,vet]ans ,affairs ( small bus9ess conc]ns lic5s$ 9 community prop]ty ,/ates4 ,sec4 #dce4 ,report on assi/ance = vet]ans 9 obta9+ tra9+ on pur*as+ & op]at+ a fran*ise4 ,,title ,v--,acc\ntability & ,adm9i/rative ,improvem5ts ,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 = ,comp5sation ,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 comp5sation ,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 ,det]m9ation ( mann] ( appe>ance = he>+s be=e ,bo>d ( ,vet]ans' ,appeals4 ,,title ,,vii--,outrea* ,matt]s ,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 ,matt]s ,sec4 #ija4 ,repeal ( c]ta9 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 ,eligibility = int]m5t 9 national cemet]ies = c]ta9 naturaliz$ individuals4 ,sec4 #iab4 ,canadian ,=ces ,base ,gaget[n indep5d5t /udy & regi/ry4 ,sec4 #iac4 ,review ( det]m9ation ( c]ta9 s]vice 9 ,philipp9es dur+ ,_w ,w> ,,ii4 ,sec4 #iad4 ,review ( det]m9ation ( c]ta9 s]vice ( m]*ant m>9]s dur+ ,_w ,w> ,,ii4 ,sec4 #iae4 ,report on practices ( ! ,dep>tm5t ( ,vet]ans ,affairs to adequately provide s]vices to vet]ans ) he>+ loss4 ,sec4 #iaf4 ,report on jo9t programs ( ,dep>tm5t ( ,vet]ans ,affairs & ,dep>tm5t ( ,def5se ) respect to he>+ loss ( memb]s ( ! ,arm$ ,=ces & vet]ans4 ,sec4 #iag4 ,designation ( ,am]ican ,_w ,w> ,,ii ,cities4 #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 ,i ,heal? ,c>e ,matt]s ,a ,improvem5t ( ,access to ,c>e by ,/r5g!n+ ,managem5t1 ,te*nology1 & ,metrics #aja4 ,implem5tation ( upgrad$ ,dep>tm5t ( ,vet]ans ,affairs electronic s*$ul+ sy/em = appo9tm5ts = receipt ( heal? c>e f ! ,dep>tm5t 7a7 ,implem5tation 7#a7 ,9 g5]al ,n lat] ?an ,m>* #ca1 #bjaf1 ! ,secret>y ( ,vet]ans ,affairs %all fully implem5t an upgrad$ & c5traliz$ electronic s*$ul+ sy/em describ$ 9 subsection 7b7 = appo9tm5ts by eligible individuals = heal? c>e f ! ,dep>tm5t ( ,vet]ans ,affairs4 7#b7 ,agile s(tw>e developm5t me?odologies ,9 implem5t+ ! upgrad$ electronic s*$ul+ sy/em requir$ by p>agraph 7#a71 ! ,secret>y %all use agile s(tw>e developm5t me?odologies to fully implem5t portions ( su* sy/em e #ahj days beg9n+ on ! date on :i* ! ,secret>y beg9s ! implem5tation ( su* sy/em1 or ent]s into a contract = ! implem5tation ( su* sy/em1 & end+ on ! date on :i* su* sy/em is fully implem5t$4 7b7 ,electronic s*$ul+ sy/em ,! upgrad$ electronic s*$ul+ sy/em describ$ 9 ?is subsection %all include me*anisms to a*ieve ! foll[+3 7#a7 ,an effici5t & effective graphical us] int]face ) a cal5d> view = use by employees ( ! ,dep>tm5t 9 s*$ul+ appo9tm5ts t enables error-free s*$ul+ ( ! heal? c>e res\rces ( ! ,dep>tm5t4 7#b7 ,a capability to assi/ employees ( ! ,dep>tm5t to easily & consi/5tly implem5t policies ( ! ,dep>tm5t ) respect to s*$ul+ ( appo9tm5ts1 includ+ ) respect to priority = appo9tm5ts = c]ta9 eligible individuals4 7#c7 ,a capability = employees ( ! ,dep>tm5t to sort & view ?r\gh a unifi$ int]face ! availability = ea* heal? c>e provid] ( ! ,dep>tm5t or o!r heal? c>e res\rce ( ! ,dep>tm5t4 7#d7 ,a capability = employees ( ! ,dep>tm5t to sort & view appo9tm5ts = & appo9tm5t reque/s made by a p>ticul> eligible individual4 7#e7 ,a capability = seamless coord9ation ( appo9tm5ts = prim>y c>e1 specialty c>e1 consultations1 or any o!r heal? c>e matt] among facilities ( ! ,dep>tm5t4 7#f7 ,a capability = eligible individuals to access ! sy/em remotely & s*$ule appo9tm5ts directly ?r\gh ! sy/em4 7#g7 ,an electronic time/amp ( ea* activity made by an eligible individual or on behalf ( su* individual ) respect to an appo9tm5t or ! s*$ul+ ( an appo9tm5t t %all be kept 9 ! m$ical record ( su* individual4 7#h7 ,a seamless connection to ! ,comput]iz$ ,pati5t ,record ,sy/em ( ! ,dep>tm5t s t employees ( ! ,dep>tm5t1 :5 s*$ul+ an appo9tm5t = an eligible individual1 h access to recomm5dations f ! heal? c>e provid] ( su* individual ) respect to :5 su* individual %\ld receive an appo9tm5t4 7#i7 ,a capability to provide automat$ rem9d]s to eligible individuals on upcom+ appo9tm5ts ?r\gh v>i\s electronic & voice m$ia4 7#aj7 ,a capability to provide automat$ rem9d]s to employees ( ! ,dep>tm5t :5 an eligible individual :o is on ! wait-li/ = an appo9tm5t becomes eligible to s*$ule an appo9tm5t4 7#aa7 ,a da%bo>d capability to support ef=ts to track ! foll[+ metrics 9 aggregate & by m$ical facility ) respect to heal? c>e provid$ to eligible individuals "u ! laws adm9i/]$ by ! ,secret>y3 7,a7 ,! numb] ( days into ! future t ! s*$ules ( heal? c>e provid]s are available to s*$ule an appo9tm5t4 7,b7 ,! numb] ( provid]s available to see pati5ts ea* day4 7,c7 ,! numb] ( support p]sonnel work+ ea* day4 7,d7 ,! types ( appo9tm5ts available4 7,e7 ,! rate at :i* pati5ts fail to appe> = appo9tm5ts4 7,f7 ,! numb] ( appo9tm5ts cancel$ by a pati5t on a daily basis4 7,g7 ,! numb] ( appo9tm5ts cancel$ by a heal? c>e provid] on a daily basis4 7,h7 ,! numb] ( pati5ts on ! wait li/ at any giv5 "t4 7,i7 ,! numb] ( appo9tm5ts s*$ul$ on a daily basis4 7,j7 ,! numb] ( appo9tm5ts available to be s*$ul$ on a daily basis4 7,k7 ,! numb] ( pati5ts se5 on a daily1 weekly1 & mon?ly basis4 7,l7 ,wait-times = an appo9tm5t ) a heal? c>e provid] ( ! ,dep>tm5t4 7,m7 ,wait-times = an appo9tm5t ) a non-,dep>tm5t heal? c>e provid]4 7,n7 ,wait-times = a ref]ral to a speciali/ or consult4 7#ab7 ,a capability to provide data on ! capacity ( m$ical facilities ( ! ,dep>tm5t = purposes ( det]m9+ ! res\rces ne$$ by ! ,dep>tm5t to provide heal? c>e to eligible individuals4 7#ac7 ,any o!r capabilities z specifi$ by ! ,secret>y = purposes ( ?is section4 7c7 ,plan 7#a7 ,9 g5]al ,n lat] ?an #ij 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 plan = implem5t+ ! upgrad$ electronic s*$ul+ sy/em requir$ by subsection 7a74 7#b7 ,elem5ts ,! plan requir$ by p>agraph 7#a7 %all include ! foll[+3 7,a7 ,a description ( ! priorities ( ! ,secret>y = implem5t+ ! requirem5ts ( ! sy/em "u subsection 7b74 7,b7 ,a detail$ description ( ! mann] 9 :i* ! ,secret>y w fully implem5t su* sy/em1 includ+ deadl9es = complet+ ea* su* requirem5t4 7#c7 ,update ,n lat] ?an #ij days aft] ! submittal ( ! plan requir$ by p>agraph 7#a71 & n less frequ5tly ?an e #ij days !reaft] until su* sy/em is fully implem5t$1 ! ,secret>y %all submit to ! ,committee on ,vet]ans' ,affairs ( ! ,s5ate & ! ,committee on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives an update on ! /atus ( ! implem5tation ( su* plan4 7d7 ,use ( am\nts ,! ,secret>y may use am\nts available to ! ,dep>tm5t ( ,vet]ans ,affairs = ! appropriations acc\nt "u ! head+ ,m$ical ,s]vices 9 implem5t+ & c>ry+ out ! upgrad$ electronic s*$ul+ sy/em requir$ by subsection 7a74 7e7 ,eligible individual def9$ ,9 ?is section1 ! t]m eligible individual means an individual eligible = hospital1 nurs+ home1 domicili>y1 m$ical c>e1 or o!r heal? c>e "u ! laws adm9i/]$ by ! ,secret>y ( ,vet]ans ,affairs4 #ajb4 ,indep5d5t assessm5t ( ! s*$ul+ process = m$ical appo9tm5ts = c>e f ,dep>tm5t ( ,vet]ans ,affairs 7a7 ,indep5d5t assessm5t 7#a7 ,contract ,n lat] ?an #cj days aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,vet]ans ,affairs %all ent] into a contract ) an indep5d5t ?ird p>ty to assess ! process at ea* m$ical facility ( ! ,dep>tm5t ( ,vet]ans ,affairs = s*$ul+ appo9tm5ts = vet]ans to receive hospital c>e1 m$ical s]vices1 or o!r heal? c>e f ! ,dep>tm5t4 7#b7 ,elem5ts ,9 c>ry+ out ! assessm5t requir$ by p>agraph 7#a71 ! indep5d5t ?ird p>ty %all d ! foll[+3 7,a7 ,review all tra9+ mat]ials p]ta9+ to s*$ul+ ( appo9tm5ts at ea* m$ical facility ( ! ,dep>tm5t4 7,b7 ,assess :e!r all employees ( ! ,dep>tm5t conduct+ tasks relat$ to s*$ul+ are prop]ly tra9$ = conduct+ su* tasks4 7,c7 ,assess :e!r *anges 9 ! te*nology or sy/em us$ 9 s*$ul+ appo9tm5ts are necess>y to limit access to ! sy/em to only ^? employees t h be5 prop]ly tra9$ 9 conduct+ su* tasks4 7,d7 ,assess :e!r heal? c>e provid]s ( ! ,dep>tm5t are mak+ *anges to _! s*$ules t h9d] ! ability ( employees conduct+ su* tasks to p]=m su* tasks4 7,e7 ,assess :e!r ! e/abli%m5t ( a c5traliz$ call c5t] ?r\gh\t ! ,dep>tm5t = s*$ul+ appo9tm5ts at m$ical facilities ( ! ,dep>tm5t w\ld improve ! process ( s*$ul+ su* appo9tm5ts4 7,f7 ,assess :e!r book+ templates = ea* m$ical facility or cl9ic ( ! ,dep>tm5t w\ld improve ! process ( s*$ul+ su* appo9tm5ts4 7,g7 ,recomm5d any actions to be tak5 by ! ,dep>tm5t to improve ! process = s*$ul+ su* appo9tm5ts1 includ+ ! foll[+3 7i7 ,*anges 9 tra9+ mat]ials provid$ to employees ( ! ,dep>tm5t ) respect to conduct+ tasks relat$ to s*$ul+ su* appo9tm5ts4 7ii7 ,*anges 9 monitor+ & assessm5t conduct$ by ! ,dep>tm5t ( wait-times ( vet]ans = su* appo9tm5ts4 7iii7 ,*anges 9 ! sy/em us$ to s*$ule su* appo9tm5ts1 includ+ *anges to improve h[ ! ,dep>tm5t-- 7,i7 measures wait-times ( vet]ans = su* appo9tm5ts2 7,,ii7 monitors ! availability ( heal? c>e provid]s ( ! ,dep>tm5t2 & 7,,iii7 provides vet]ans ! ability to s*$ule su* appo9tm5ts4 7iv7 ,su* o!r actions z ! indep5d5t ?ird p>ty consid]s appropriate4 7#c7 ,tim+ ,! indep5d5t ?ird p>ty c>ry+ out ! assessm5t requir$ by p>agraph 7#a7 %all complete su* assessm5t n lat] ?an #ahj days aft] ent]+ into ! contract describ$ 9 su* p>agraph4 7b7 ,report ,n lat] ?an #ij days aft] ! date on :i* ! indep5d5t ?ird p>ty completes ! assessm5t "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* assessm5t4 #ajc4 ,modification ( liability = brea* ( p]iod ( obligat$ s]vice "u ,heal? ,pr(essionals ,educational ,assi/ance ,program = prim>y c>e physicians ,section #gfag is am5d$-- 7#a7 9 subsection 7c77#a71 by /rik+ ,if a p>ticipant & ins]t+ ,except z provid$ 9 subsection 7d71 if a p>ticipant2 & 7#b7 by add+ at ! end ! foll[+ new subsection3 7d7 ,liability %all n arise "u subsection 7c7 9 ! case ( a p>ticipant o!rwise cov]$ by t subsection :o has pursu$ a c\rse ( education or tra9+ 9 prim>y c>e if-- 7#a7 ! p>ticipant-- 7,a7 does n obta91 or fails to ma9ta91 employm5t z a ,dep>tm5t employee due to /aff+ *anges approv$ by ! ,"u ,secret>y = ,heal?2 or 7,b7 does n obta91 or fails to ma9ta91 employm5t 9 a position ( prim>y c>e physician 9 ! ,vet]ans ,heal? ,adm9i/ration due1 z det]m9$ by ! ,secret>y1 to a numb] ( prim>y c>e physicians 9 ! ,adm9i/ration t is excess to ! ne$s ( ! ,adm9i/ration2 & 7#b7 ! p>ticipant agrees to accept & ma9ta9 employm5t z a prim>y c>e physician ) ano!r dep>tm5t or ag5cy ( ! ,f$]al ,gov]nm5t 7) su* employm5t to be "u su* t]ms & conditions z are jo9tly agre$ ^u by ! p>ticipant1 ! ,secret>y1 & ! head ( su* dep>tm5t or ag5cy1 includ+ t]ms & conditions relat+ to a p]iod ( obligat$ s]vice z a prim>y c>e physician ) su* dep>tm5t or ag5cy7 if su* employm5t is (f]$ to ! p>ticipant by ! ,secret>y & ! head ( su* dep>tm5t or ag5cy4 4 #ajd4 ,program ( education at ,uni=m$ ,s]vices ,univ]sity ( ! ,heal? ,sci5ces ) specialization 9 prim>y c>e 7a7 ,program requir$ "u ,heal? ,pr(essionals ,educational ,assi/ance ,program 7#a7 ,9 g5]al ,*apt] #gf is am5d$ by add+ aft] sub*apt] ,,vii ! foll[+ new sub*apt]3 ,,viii ,program ( ,education at ,uni=m$ ,s]vices ,univ]sity ( ! ,heal? ,sci5ces ,) ,specialization 9 ,prim>y ,c>e #gfia4 ,au?ority = program ,z "p ( ! ,educational ,assi/ance ,program1 ! ,secret>y %all1 9 collaboration ) ! ,secret>y ( ,def5se1 c>ry out a program to p]mit individuals to enroll 9 ! ,uni=m$ ,s]vices ,univ]sity ( ! ,heal? ,sci5ces "u *apt] #ajd ( title #aj to pursue a m$ical education ) a specialization 9 prim>y c>e4 ,! program %all be kn[n z ! ,dep>tm5t ( ,vet]ans ,affairs ,prim>y ,c>e ,educational ,assi/ance ,program 79 ?is *apt] ref]r$ to z ! ,prim>y ,c>e ,educational ,assi/ance ,program74 #gfib4 ,selection2 agreem5t2 ineligibility = c]ta9 o!r educational assi/ance 7a7 ,selection 7#a7 ,m$ical /ud5ts at ! ,uni=m$ ,s]vices ,univ]sity ( ! ,heal? ,sci5ces pursuant to ! ,prim>y ,c>e ,educational ,assi/ance ,program %all be select$ by ! ,secret>y1 9 consultation ) ! ,secret>y ( ,def5se1 9 accordance ) proc$ures e/abli%$ by ! ,secret>ies = purposes ( ! ,program4 7#b7 ,! proc$ures ref]r$ to 9 p>agraph 7#a7 %all emphasize ! basic requirem5t t /ud5ts demon/rate a motivation & d$ication to a m$ical c>e] 9 prim>y c>e4 7#c7 ,! numb] ( m$ical /ud5ts select$ ea* ye> = fir/-ye> enrollm5t 9 ! ,univ]sity pursuant to ?is subsection %all be jo9tly det]m9$ by ! ,secret>y & ! ,secret>y ( ,def5se4 7b7 ,agreem5t ,an agreem5t betwe5 ! ,secret>y & a p>ticipant 9 ! ,prim>y ,c>e ,educational ,assi/ance ,program %all 79 addition to ! requirem5ts set =? 9 section #gfjd ( ?is title7 include ! foll[+3 7#a7 ,! ,secret>y's agreem5t to cov] ! co/s ( ! p>ticipant's education & tra9+ at ! ,uni=m$ ,s]vices ,univ]sity ( ! ,heal? ,sci5ces "u *apt] #ajd ( title #aj z if ! p>ticipant 7 a m$ical /ud5t enroll$ 9 ! ,univ]sity pursuant to section #baad ( title #aj4 7#b7 ,! p>ticipant's agreem5t to s]ve z a full-"t employee 9 ! ,vet]ans ,heal? ,adm9i/ration 9 a position z a prim>y c>e physician = a p]iod ( "t 79 ?is sub*apt] ref]r$ to z ! p]iod ( obligat$ s]vice7 ( "o cal5d> ye> = ea* s*ool ye> or "p !re( = :i* ! p>ticipant 0 a m$ical /ud5t at ! ,uni=m$ ,s]vices ,univ]sity ( ! ,heal? ,sci5ces pursuant to ! ,prim>y ,c>e ,educational ,assi/ance ,program1 b = n less ?an "o ye>4 7c7 ,ineligibility = o!r educational assi/ance ,an individual :o receives education & tra9+ "u ! ,prim>y ,c>e ,educational ,assi/ance ,program %all n be eligible = o!r assi/ance "u ?is *apt] 9 connection ) su* education & tra9+4 #gfic4 ,obligat$ s]vice 7a7 ,9 g5]al ,ea* p>ticipant 9 ! ,prim>y ,c>e ,educational ,assi/ance ,program %all provide s]vice z a full-"t employee ( ! ,dep>tm5t 9 ! ,vet]ans ,heal? ,adm9i/ration 9 a prim>y c>e position = ! p]iod ( obligat$ s]vice provid$ 9 ! agreem5t ( ! p>ticipant ent]$ into = purposes ( ?is sub*apt]4 ,su* s]vice %all be provid$ 9 a full-"t prim>y c>e cl9ical practice 9 an assignm5t or location det]m9$ by ! ,secret>y4 7b7 ,s]vice comm5cem5t date 7#a7 ,n lat] ?an #fj days be=e a p>ticipant's s]vice comm5cem5t date1 ! ,secret>y %all notify ! p>ticipant ( t s]vice comm5cem5t date4 ,t date is ! date = ! beg9n+ ( ! p>ticipant's p]iod ( obligat$ s]vice4 7#b7 ,z soon z possible aft] a p>ticipant's s]vice comm5cem5t date1 ! ,secret>y %all-- 7,a7 9 ! case ( a p>ticipant :o is n a full-"t employee 9 ! ,vet]ans ,heal? ,adm9i/ration1 appo9t ! p>ticipant z su* an employee2 & 7,b7 9 ! case ( a p>ticipant :o is an employee 9 ! ,vet]ans ,heal? ,adm9i/ration b is n s]v+ 9 a position = :i* ! p>ticipant's c\rse ( education or tra9+ prep>$ ! p>ticipant1 assign ! p>ticipant to su* a position4 7#c7 ,a p>ticipant's s]vice comm5cem5t = purposes ( ?is subsection date is ! date ^u :i* ! p>ticipant becomes lic5s$ to practice m$ic9e 9 a ,/ate4 7c7 ,comm5cem5t ( obligat$ s]vice ,a p>ticipant 9 ! ,prim>y ,c>e ,educational ,assi/ance ,program %all be consid]$ to h begun s]v+ ! p>ticipant's p]iod ( obligat$ s]vice-- 7#a7 on ! date on :i* ! p>ticipant is appo9t$ z a full-"t employee 9 ! ,vet]ans ,heal? ,adm9i/ration pursuant to subsection 7b77#b77;,a72 or 7#b7 if ! p>ticipant is a full-"t employee 9 ! ,vet]ans ,heal? ,adm9i/ration & assign$ to a position pursuant to subsection 7b77#b77;,b71 on ! date on :i* ! p>ticipant is s assign$ to su* position4 #gfid4 ,brea* ( agreem5t3 liability 7a7 ,liability dur+ c\rse ( education or tra9+ 7#a7 ,a p>ticipant 9 ! ,prim>y ,c>e ,educational ,assi/ance ,program %all be liable to ! ,unit$ ,/ates = ! am\nt :i* has be5 paid on behalf ( ! p>ticipant "u ! agreem5t ent]$ into = purposes ( ?is sub*apt] if any ( ! foll[+ occurs3 7,a7 ,! p>ticipant fails to ma9ta9 an acceptable level ( academic /&+ 9 ! ,uni=m$ ,s]vices ,univ]sity ( ! ,heal? ,sci5ces4 7,b7 ,! p>ticipant is dismiss$ f ! ,uni=m$ ,s]vices ,univ]sity ( ! ,heal? ,sci5ces = discipl9>y reasons4 7,c7 ,! p>ticipant volunt>ily t]m9ates ! c\rse ( m$ical education & tra9+ 9 ! ,uni=m$ ,s]vices ,univ]sity ( ! ,heal? ,sci5ces be=e ! completion ( su* c\rse ( education & tra9+4 7,d7 ,! p>ticipant fails to become lic5s$ to practice m$ic9e 9 a ,/ate dur+ a p]iod ( "t det]m9$ "u regulations prescrib$ by ! ,secret>y4 7#b7 ,liability "u ?is subsection is 9 lieu ( any s]vice obligation aris+ "u a p>ticipant's agreem5t = purposes ( ?is sub*apt]4 7b7 ,liability dur+ p]iod ( obligat$ s]vice 7#a7 ,except z provid$ 9 subsection 7c7 & subject to p>agraph 7#b71 if a p>ticipant 9 ! ,prim>y ,c>e ,educational ,assi/ance ,program brea*es ! agreem5t ent]$ into = purposes ( ?is sub*apt] by fail+ = any reason to complete ! p>ticipant's p]iod ( obligat$ s]vice1 ! ,unit$ ,/ates %all be entitl$ to recov] f ! p>ticipant an am\nt equal to-- 7,a7 ! total am\nt paid "u ?is sub*apt] on behalf ( ! p>ticipant2 multipli$ by 7,b7 a fraction-- 7i7 ! num]ator ( :i* is-- 7,i7 ! total numb] ( mon?s 9 ! p>ticipant's p]iod ( obligat$ s]vice2 m9us 7,,ii7 ! numb] ( mon?s s]v$ by ! p>ticipant pursuant to ! agreem5t2 & 7ii7 ! d5om9ator ( :i* is ! total numb] ( mon?s 9 ! p>ticipant's p]iod ( obligat$ s]vice4 7#b7 ,any p]iod ( int]n%ip or resid5cy tra9+ ( a p>ticipant %all n be treat$ z satisfy+ ! p>ticipant's p]iod ( obligat$ s]vice = purposes ( ?is subsection4 7c7 ,exceptions ,liability %all n arise "u subsection 7b7 9 ! case ( a p>ticipant o!rwise cov]$ by t subsection if-- 7#a7 ! p>ticipant-- 7,a7 does n obta91 or fails to ma9ta91 employm5t z a ,dep>tm5t employee due to /aff+ *anges approv$ by ! ,"u ,secret>y = ,heal?2 or 7,b7 does n obta91 or fails to ma9ta91 employm5t 9 a position ( prim>y c>e physician 9 ! ,vet]ans ,heal? ,adm9i/ration due1 z det]m9$ by ! ,secret>y1 to a numb] ( prim>y c>e physicians 9 ! ,adm9i/ration t is excess to ! ne$s ( ! ,adm9i/ration2 & 7#b7 ! p>ticipant agrees to accept & ma9ta9 employm5t z a prim>y c>e physician ) ano!r dep>tm5t or ag5cy ( ! ,f$]al ,gov]nm5t 7) su* employm5t to be "u su* t]ms & conditions z are jo9tly agre$ ^u by ! p>ticipant1 ! ,secret>y1 & ! head ( su* dep>tm5t or ag5cy1 includ+ t]ms & conditions relat+ to a p]iod ( obligat$ s]vice z a prim>y c>e physician ) su* dep>tm5t or ag5cy7 if su* employm5t is (f]$ to ! p>ticipant by ! ,secret>y & ! head ( su* dep>tm5t or ag5cy4 #gfie4 ,fund+ 7a7 ,9 g5]al ,am\nts = ! ,prim>y ,c>e ,educational ,assi/ance ,program %all be d]iv$ f am\nts available to ! ,secret>y = ! ,vet]ans ,heal? ,adm9i/ration4 7b7 ,transf] 7#a7 ,! ,secret>y %all transf] to ! ,secret>y ( ,def5se am\nts requir$ by ! ,secret>y ( ,def5se to c>ry out ! ,prim>y ,c>e ,educational ,assi/ance ,program4 7#b7 ,am\nts transf]r$ to ! ,secret>y ( ,def5se pursuant to p>agraph 7#a7 %all be cr$it$ to ! appropriation or acc\nt provid+ fund+ = ! ,uni=m$ ,s]vices ,univ]sity ( ! ,heal? ,sci5ces4 ,am\nts s cr$it$ %all be m]g$ ) am\nts 9 ! appropriation or acc\nt to :i* cr$it$ & %all be available1 subject to ! t]ms & conditions applicable to su* appropriation or acc\nt1 = ! ,uni=m$ ,s]vices ,univ]sity ( ! ,heal? ,sci5ces4 4 7#b7 ,cl]ical am5dm5t ,! table ( sections at ! beg9n+ ( *apt] #gf is am5d$ by add+ aft] ! item relat+ to section #gfhd ! foll[+3 ,,sub*apt] ,,viii--,program ( ,education at ,uni=m$ ,s]vices ,univ]sity ( ! ,heal? ,sci5ces ,) ,specialization 9 ,prim>y ,c>e #gfia4 ,au?ority = program4 #gfib4 ,selection2 agreem5t2 ineligibility = c]ta9 o!r educational assi/ance4 #gfic4 ,obligat$ s]vice4 #gfid4 ,brea* ( agreem5t3 liability4 #gfie4 ,fund+4 4 7b7 ,inclusion ( program 9 ,heal? ,pr(essionals ,educational ,assi/ance ,program ,section #gfja7;a7 is am5d$-- 7#a7 9 p>agraph 7#d71 by /rik+ 2 & & ins]t+ a semicolon2 7#b7 9 p>agraph 7#e71 by /rik+ ! p]iod at ! end & ins]t+ 2 &2 & 7#c7 by add+ at ! end ! foll[+ new p>agraph3 7#f7 ! enrollm5t ( individuals 9 ! ,uni=m$ ,s]vices ,univ]sity ( ! ,heal? ,sci5ces = specialization 9 prim>y c>e provid$ = 9 sub*apt] ,,viii ( ?is *apt]4 4 7c7 ,application requirem5ts 7#a7 ,9 g5]al ,subsection 7a77#a7 ( section #gfjc is am5d$ 9 ! matt] prec$+ subp>agraph 7,a7 by /rik+ 1 or ,,vi & ins]t+ 1 ,,vi1 or ,,viii4 7#b7 ,no priority = applications ,subsection 7d7 ( su* section is am5d$-- 7,a7 by /rik+ ,9 select+ & ins]t+ 7#a7 ,except z provid$ 9 p>agraph 7#b71 9 select+2 & 7,b7 by add+ at ! end ! foll[+ new p>agraph3 7#b7 ,p>agraph 7#a7 %all n apply ) respect to applicants = p>ticipation 9 ! ,program ( ,education at ,uni=m$ ,s]vices ,univ]sity ( ! ,heal? ,sci5ces ,) ,specialization 9 ,prim>y ,c>e pursuant to sub*apt] ,,viii ( ?is *apt]4 4 7d7 ,agreem5t requirem5ts ,section #gfjd is am5d$ by /rik+ 1 or ,,vi ea* place x appe>s & ins]t+ 1 ,,vi1 or ,,viii4 #aje4 ,treatm5t ( /aff+ %ortage & biannual report on /aff+ ( m$ical facilities ( ! ,dep>tm5t ( ,vet]ans ,affairs 7a7 ,/aff+ %ortage 7#a7 ,9 g5]al ,n lat] ?an #ahj days aft] ! date ( ! enactm5t ( ?is ,act1 & n lat] ?an ,septemb] #cj ea* ye> !reaft]1 ! ,secret>y ( ,vet]ans ,affairs %all det]m9e1 & publi% 9 ! ,f$]al ,regi/]1 ! five occupations ( heal? c>e provid]s ( ! ,dep>tm5t ( ,vet]ans ,affairs = :i* !re is ! l>ge/ /aff+ %ortage ?r\gh\t ! ,dep>tm5t4 7#b7 ,recruitm5t & appo9tm5t ,not)/&+ sections #ccjd & #ccji ?r\gh #ccah ( title #e1 ,unit$ ,/ates ,code1 ! ,secret>y may1 ^u a det]m9ation by ! ,secret>y "u p>agraph 7#a7 or a modification to su* det]m9ation "u p>agraph 7#b71 t !re is a /aff+ %ortage ?r\gh\t ! ,dep>tm5t ) respect to a p>ticul> occupation ( heal? c>e provid]1 recruit & directly appo9t highly qualifi$ heal? c>e provid]s to a position to s]ve z a heal? c>e provid] 9 t p>ticul> occupation = ! ,dep>tm5t4 7#c7 ,priority 9 ,heal? ,pr(essionals ,educational ,assi/ance ,program to c]ta9 provid]s ,section #gfab7;b77#e7 is am5d$-- 7,a7 9 subp>agraph 7,a71 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 %all give priority to applicants pursu+ a c\rse ( education or tra9+ t[>ds a c>e] 9 an occupation = :i* ! ,secret>y has1 9 ! mo/ curr5t det]m9ation publi%$ 9 ! ,f$]al ,regi/] pursuant to section #aje7;a77#a7 ( ! ,re/or+ ,vet]ans ,tru/ ,act ( #bjad1 det]m9$ t !re is "o ( ! l>ge/ /aff+ %ortage ?r\gh\t ! ,dep>tm5t ) respect to su* occupation2 & 4 7b7 ,reports 7#a7 ,9 g5]al ,n lat] ?an #ahj days aft] ! date ( ! enactm5t ( ?is ,act1 & n lat] ?an ,decemb] #ca ( ea* ev5 numb]$ ye> !reaft] until #bjbd1 ! ,secret>y ( ,vet]ans ,affairs %all submit to ! ,committee on ,vet]ans' ,affairs ( ! ,s5ate & ! ,committee on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives a report assess+ ! /aff+ ( ea* m$ical facility ( ! ,dep>tm5t ( ,vet]ans ,affairs4 7#b7 ,elem5ts ,ea* report submitt$ "u p>agraph 7#a7 %all include ! foll[+3 7,a7 ,! results ( a sy/em-wide assessm5t ( all m$ical facilities ( ! ,dep>tm5t to ensure ! foll[+3 7i7 ,appropriate /aff+ levels = heal? c>e provid]s to meet ! goals ( ! ,secret>y = timely access to c>e = vet]ans4 7ii7 ,appropriate /aff+ levels = support p]sonnel1 includ+ cl]ks4 7iii7 ,appropriate sizes = cl9ical panels4 7iv7 ,appropriate numb]s ( full-"t /aff1 or full-"t equival5t1 d$icat$ to direct c>e ( pati5ts4 7v7 ,appropriate physical plant space to meet ! capacity ne$s ( ! ,dep>tm5t 9 t area4 7vi7 ,su* o!r factors z ! ,secret>y consid]s necess>y4 7,b7 ,a plan = address+ any issues id5tifi$ 9 ! assessm5t describ$ 9 subp>agraph 7,a71 includ+ a timel9e = address+ su* issues4 7,c7 ,a li/ ( ! curr5t wait times & workload levels = ! foll[+ cl9ics 9 ea* m$ical facility3 7i7 ,m5tal heal?4 7ii7 ,prim>y c>e4 7iii7 ,ga/ro5t]ology4 7iv7 ,wom5's heal?4 7v7 ,su* o!r cl9ics z ! ,secret>y consid]s appropriate4 7,d7 ,a description ( ! results ( ! det]m9ation ( ! ,secret>y "u p>agraph 7#a7 ( subsection 7a7 & a plan to use direct appo9tm5t au?ority "u p>agraph 7#b7 ( su* subsection to fill /aff+ %ortages1 includ+ recomm5dations = improv+ ! spe$ at :i* ! cr$5tial+ & privileg+ process c be conduct$4 7,e7 ,! curr5t /aff+ models ( ! ,dep>tm5t = ! foll[+ cl9ics1 includ+ recomm5dations = *anges to su* models3 7i7 ,m5tal heal?4 7ii7 ,prim>y c>e4 7iii7 ,ga/ro5t]ology4 7iv7 ,wom5's heal?4 7v7 ,su* o!r cl9ics z ! ,secret>y consid]s appropriate4 7,f7 ,a detail$ analysis ( succession plann+ at m$ical facilities ( ! ,dep>tm5t1 includ+ ! foll[+3 7i7 ,! numb] ( positions 9 m$ical facilities ?r\gh\t ! ,dep>tm5t t are n fill$ by a p]man5t employee4 7ii7 ,! l5g? ( "t ea* su* position describ$ 9 clause 7i7 rema9$ vacant or fill$ by a tempor>y or act+ employee4 7iii7 ,a description ( any b>ri]s to fill+ ! positions describ$ 9 clause 7i74 7iv7 ,a plan = fill+ any positions t are vacant or fill$ by a tempor>y or act+ employee = m ?an #ahj days4 7v7 ,a plan = h&l+ em]g5cy circum/ances1 su* adm9i/rative leave or sudd5 m$ical leave = s5ior (ficials4 7,g7 ,! numb] ( heal? c>e provid]s :o h be5 remov$ f _! position or h retir$1 by provid] type1 dur+ ! two-ye> p]iod prec$+ ! submittal ( ! report4 7,h7 ,( ! heal? c>e provid]s specifi$ 9 subp>agraph 7,g7 t h be5 remov$ f _! position1 ! foll[+3 7i7 ,! numb] ( su* heal? c>e provid]s :o 7 reassign$ to ano!r position 9 ! ,dep>tm5t4 7ii7 ,! numb] ( su* heal? c>e provid]s :o left ! ,dep>tm5t4 #ajf4 ,cl9ic managem5t tra9+ program ( ! ,dep>tm5t ( ,vet]ans ,affairs 7a7 ,9 g5]al ,n lat] ?an #ahj days aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,vet]ans ,affairs %all implem5t a cl9ic managem5t tra9+ program to provide 9-p]son1 /&>diz$ education on heal? c>e managem5t to all manag]s (1 & heal? c>e provid]s at1 m$ical facilities ( ! ,dep>tm5t ( ,vet]ans ,affairs4 7b7 ,elem5ts ,! cl9ic managem5t tra9+ program requir$ by subsection 7a7 %all include ! foll[+3 7#a7 ,tra9+ on h[ to manage ! s*$ules ( heal? c>e provid]s ( ! ,dep>tm5t1 includ+ ! foll[+3 7,a7 ,ma9ta9+ su* s*$ules 9 a mann] t all[s appo9tm5ts to be book$ at lea/ eight weeks 9 advance4 7,b7 ,prop] plann+ proc$ures = vacation1 leave1 & graduate m$ical education tra9+ s*$ules4 7#b7 ,tra9+ on ! appropriate numb] ( appo9tm5ts t a heal? c>e provid] %\ld conduct on a daily basis1 bas$ on specialty4 7#c7 ,tra9+ on h[ to det]m9e :e!r !re are en\gh available appo9tm5t slots to manage dem& = diff]5t appo9tm5t types & me*anisms = al]t+ managem5t ( insuffici5t slots4 7#d7 ,tra9+ on h[ to prop]ly use ! data produc$ by ! s*$ul+ da%bo>d requir$ by section #aja7;b77#aa7 ( ?is ,act to meet dem& = heal? c>e1 includ+ ! foll[+3 7,a7 ,tra9+ on det]m9+ ! next available appo9tm5t = ea* heal? c>e provid] at ! m$ical facility4 7,b7 ,tra9+ on det]m9+ ! numb] ( heal? c>e provid]s ne$$ to meet dem& = heal? c>e at ! m$ical facility4 7,c7 ,tra9+ on det]m9+ ! numb] ( exam rooms ne$$ to meet dem& = su* heal? c>e 9 an effici5t mann]4 7#e7 ,tra9+ on h[ to prop]ly use ! appo9tm5t s*$ul+ sy/em ( ! ,dep>tm5t1 includ+ any new s*$ul+ sy/em implem5t$ by ! ,dep>tm5t4 7#f7 ,tra9+ on h[ to optimize ! use ( te*nology1 includ+ ! foll[+3 7,a7 ,telem$ic9e4 7,b7 ,electronic mail4 7,c7 ,text messag+4 7,d7 ,su* o!r te*nologies z specifi$ by ! ,secret>y4 7#g7 ,tra9+ on h[ to prop]ly use physical plant space at m$ical facilities ( ! ,dep>tm5t to ensure effici5t fl[ & privacy = pati5ts & /aff4 #ajg4 ,inclusion ( ,dep>tm5t ( ,vet]ans ,affairs facilities 9 ,national ,heal? ,s]vice ,corps ,s*ol>%ip & loan repaym5t programs 7a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices %all use ! funds transf]r$ "u subsection 7e7 to aw>d s*ol>%ip & loan repaym5t contracts "u sections #cch;,a & #cch;,b ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bedl1 #bedl-#a7 to eligible individuals :o agree to a p]iod ( obligat$ s]vice "u section #cch;,a7f77#a7 or #cch;,b7f77#a7 ( su* ,act1 z applicable1 at a heal? facility ( ! ,dep>tm5t ( ,vet]ans ,affairs4 7b7 ,heal? pr(essional %ortage areas ,= purposes ( select+ individuals eligible = ! s*ol>%ips & loan repaym5t contracts "u subsection 7a71 all heal? facilities ( ! ,dep>tm5t ( ,vet]ans ,affairs %all be deem$ heal? pr(essional %ortage areas1 z def9$ 9 section #ccb ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bed;e74 7c7 ,requirem5t ,! ,secret>y ( ,heal? & ,human ,s]vices %all ensure t a m9imum ( #e s*ol>%ips or loan repaym5t contracts are aw>d$ to individuals :o agree to a p]iod ( obligat$ s]vice at ,vet]ans ,affairs facilities 9 ea* ,/ate4 7d7 ,applicability ( ,,nhsc program requirem5ts ,except z o!rwise provid$ 9 ?is section1 ! t]ms ( ! ,national ,heal? ,s]vice ,corps ,s*ol>%ip ,program & ! ,national ,heal? ,s]vice ,corps ,loan ,repaym5t ,program %all apply to p>ticipants aw>d$ a grant or loan repaym5t contract "u subsection 7a7 9 ! same mann] t su* t]ms apply to p>ticipants aw>d$ a grant or loan repaym5t contract "u section #cch;,a or #cch;,b ( ! ,public ,heal? ,s]vice ,act4 7e7 ,inclusion ( g]iatricians ,= purposes ( aw>d+ s*ol>%ips & loan repaym5ts contracts to eligible individuals :o agree to a p]iod ( obligat$ s]vice at a heal? facility ( ! ,dep>tm5t ( ,vet]ans ,affairs pursuant to ?is section1 9 sections #cch;,a & #cch;,b ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bedl1 #bedl-#a71 ! t]m prim>y heal? s]vices %all include g]iatrics4 7f7 ,fund+ ,! ,secret>y ( ,vet]ans ,affairs %all transf] #bj1jjj1jjj f acc\nts ( ! ,vet]ans ,heal? ,adm9i/ration to ! ,secret>y ( ,heal? & ,human ,s]vices to aw>d s*ol>%ips & loan repaym5t contracts1 z describ$ 9 subsection 7a74 ,all funds s transf]r$ %all be us$ exclusively = ! purposes describ$ 9 su* subsection4 #ajh4 ,improvem5t ( access by vet]ans to heal? c>e f non-,dep>tm5t ( ,vet]ans ,affairs provid]s 7a7 ,improvem5t ( access 7#a7 ,9 g5]al ,! ,secret>y ( ,vet]ans ,affairs %all ensure timely access ( all vet]ans to ! hospital c>e1 m$ical s]vices1 & o!r heal? c>e = :i* su* vet]ans are eligible "u ! laws adm9i/]$ by ! ,secret>y ?r\gh ! enhanc$ use ( au?orities specifi$ 9 p>agraph 7#b7 on ! provision ( su* c>e & s]vices ?r\gh non-,dep>tm5t ( ,vet]ans ,affairs provid]s 7commonly ref]r$ to z non-,dep>tm5t ( ,vet]ans ,affairs m$ical c>e74 7#b7 ,au?orities on provision ( c>e ?r\gh non-,dep>tm5t provid]s ,! au?orities specifi$ 9 ?is p>agraph are ! foll[+3 7,a7 ,section #agjc ( title #ch1 ,unit$ ,/ates ,code1 relat+ to contracts = ! provision ( hospital c>e & m$ical s]vices ?r\gh non-,dep>tm5t facilities4 7,b7 ,section #agbe ( su* title1 relat+ to reimbursem5t ( c]ta9 vet]ans = ! reasonable value ( em]g5cy treatm5t at non-,dep>tm5t facilities4 7,c7 ,section #agbh ( su* title1 relat+ to reimbursem5t ( c]ta9 vet]ans = cu/om>y & usual *>ges ( em]g5cy treatm5t f s\rces o!r ?an ! ,dep>tm5t4 7,d7 ,section #aghf ( su* title1 relat+ to heal? c>e s]vices furni%$ to newborn *ildr5 ( wom5 vet]ans :o are receiv+ mat]nity c>e furni%$ by ! ,dep>tm5t at a non-,dep>tm5t facility4 7,e7 ,any o!r au?ority "u ! laws adm9i/]$ by ! ,secret>y to provide hospital c>e1 m$ical s]vices1 or o!r heal? c>e f a non-,dep>tm5t provid]1 includ+ ! foll[+3 7i7 ,a ,f$]ally-qualifi$ heal? c5t] 7z def9$ 9 section #aije7l77#b77;,b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7l77#b77;,b7774 7ii7 ,! ,dep>tm5t ( ,def5se4 7iii7 ,! ,indian ,heal? ,s]vice4 7#c7 ,requirem5ts ,9 ensur+ timely access ( all vet]ans to ! c>e & s]vices describ$ 9 p>agraph 7#a7 ?r\gh ! enhanc$ use ( au?orities specifi$ 9 p>agraph 7#b71 ! ,secret>y %all require ! foll[+3 7,a7 ,t ea* vet]an :o has n receiv$ hospital c>e1 m$ical s]vices1 or o!r heal? c>e f ! ,dep>tm5t & is seek+ an appo9tm5t = prim>y c>e "u ! laws adm9i/]$ by ! ,secret>y receive an appo9tm5t = prim>y c>e at a "t consi/5t ) timel9ess measures e/abli%$ by ! ,secret>y = purposes ( provid+ prim>y c>e to all vet]ans4 7,b7 ,t ! det]m9ation :e!r to ref] a vet]an = specialty c>e ?r\gh a non-,dep>tm5t provid] %all take into acc\nt ! urg5cy & acuity ( su* vet]an's ne$ = su* c>e1 includ+-- 7i7 ! sev]ity ( ! condition ( su* vet]an requir+ specialty c>e2 & 7ii7 ! wait-"t = an appo9tm5t ) a speciali/ ) respect to su* condition at ! ne>e/ m$ical facility ( ! ,dep>tm5t ) ! capacity to provide su* c>e4 7,c7 ,t ! det]m9ation :e!r a vet]an %all receive hospital c>e1 m$ical s]vices1 or o!r heal? c>e f ! ,dep>tm5t ?r\gh facilities ( ! ,dep>tm5t or ?r\gh non-,dep>tm5t provid]s pursuant to ! au?orities specifi$ 9 p>agraph 7#b7 %all take into acc\nt1 9 ! mann] specifi$ by ! ,secret>y1 ! foll[+3 7i7 ,! di/ance ! vet]an w\ld be requir$ to travel to receive c>e or s]vices ?r\gh a non-,dep>tm5t provid] comp>$ to ! di/ance ! vet]an w\ld be requir$ to travel to receive c>e or s]vices f a m$ical facility ( ! ,dep>tm5t4 7ii7 ,any factors t might limit ! ability ( ! vet]an to travel1 includ+ age1 access to transportation1 & infirmity4 7iii7 ,! wait-"t = ! provision ( c>e or s]vices ?r\gh a non-,dep>tm5t provid] comp>$ to ! wait-"t = ! provision ( c>e or s]vices f a m$ical facility ( ! ,dep>tm5t4 7,d7 ,t ! ,dep>tm5t maximize ! use ( hospital c>e1 m$ical s]vices1 & o!r heal? c>e available to ! ,dep>tm5t ?r\gh non-,dep>tm5t provid]s1 includ+ provid]s available to provide su* c>e & s]vices z foll[s3 7i7 ,pursuant to contracts "u ! ,pati5t-,c5t]$ ,community ,c>e ,program ( ! ,dep>tm5t4 7ii7 ,pursuant to contracts betwe5 a facility or facilities ( ! ,dep>tm5t & a local facility or provid]4 7iii7 ,pursuant to contracts ) ,f$]ally-qualifi$ heal? c5t]s 7z def9$ 9 section #aije7l77#b77;,b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7l77#b77;,b7771 ! ,dep>tm5t ( ,def5se1 or ! ,indian ,heal? ,s]vice4 7iv7 ,on a fee-=-s]vice basis4 7b7 ,m$ical records ,9 provid+ hospital c>e1 m$ical s]vices1 & o!r heal? c>e to vet]ans ?r\gh non-,dep>tm5t provid]s pursuant to ! au?orities specifi$ 9 p>agraph 7#b71 ! ,secret>y %all ensure t any su* provid] submits to ! ,dep>tm5t any m$ical record relat$ to ! c>e & s]vices provid$ to a vet]an by t provid] = inclusion 9 ! electronic m$ical record ( su* vet]an ma9ta9$ by ! ,dep>tm5t ^u ! completion ( ! provision ( su* c>e & s]vices to su* vet]an4 7c7 ,reports 7#a7 ,initial report ,n lat] ?an #de 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 ! implem5tation ( ! requirem5ts "u subsections 7a7 & 7b71 includ+ a plan to en=ce ! prop] implem5tation ( su* requirem5ts sy/ematically ?r\gh\t ! ,dep>tm5t4 7#b7 ,p]iodic reports ,n lat] ?an #ij days aft] ! submittal ( ! report requir$ by p>agraph 7#a71 & e #ij days !reaft] = "o ye>1 ! ,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 ,! progress ( ! ,secret>y 9 c>ry+ out ! plan "u p>agraph 7#a7 to en=ce ! prop] implem5tation ( ! requirem5ts "u subsections 7a7 & 7b7 sy/ematically ?r\gh\t ! ,dep>tm5t4 7,b7 ,! impact ( ! implem5tation ( su* requirem5ts on wait-times = vet]ans to receive hospital c>e1 m$ical s]vices1 & o!r heal? c>e1 disaggregat$ by-- 7i7 new pati5ts2 7ii7 exi/+ pati5ts2 7iii7 prim>y c>e2 & 7iv7 specialty c>e4 7,c7 ,any recomm5dations = *anges or improvem5ts to su* requirem5ts4 7,d7 ,any reque/s = additional fund+ necess>y to c>ry out su* requirem5ts4 #aji4 ,ext5sion ( & report on jo9t inc5tives program ( ,dep>tm5t ( ,vet]ans ,affairs & ,dep>tm5t ( ,def5se 7a7 ,ext5sion ,section #haaa7;d77#c7 is am5d$ by /rik+ ,septemb] #cj1 #bjae & ins]t+ ,septemb] #cj1 #bjbj4 7b7 ,reports 7#a7 ,report on implem5tation ( recomm5dations ,n lat] ?an #fj days aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,vet]ans ,affairs & ! ,secret>y ( ,def5se %all jo9tly submit to ,congress a report on ! implem5tation by ! ,dep>tm5t ( ,vet]ans ,affairs & ! ,dep>tm5t ( ,def5se ( ! f9d+s & recomm5dations ( ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates 9 ! ,septemb] #bjab report entitl$ ,,va & ,do,d ,heal? ,c>e3 ,dep>tm5t-,level ,actions ,ne$$ to ,assess ,collaboration ,p]=mance1 ,address ,b>ri]s1 & ,id5tify ,opportunities 7,,gao-#ab-iib74 7#b7 ,comptroll] ,g5]al report 7,a7 ,9 g5]al ,n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all submit to ,congress a report assess+ & provid+ recomm5dations = improvem5t to ! program to id5tify1 provide inc5tives to1 implem5t1 fund1 & evaluate creative coord9ation & %>+ initiatives betwe5 ! ,dep>tm5t ( ,vet]ans ,affairs & ! ,dep>tm5t ( ,def5se requir$ "u section #haaa7;d7 ( su* title4 7,b7 ,elem5ts ,! report requir$ by subp>agraph 7,a7 %all include ! foll[+3 7i7 ,an assessm5t ( ! ext5t to :i* ! program describ$ 9 subp>agraph 7,a7 has accompli%$ ! goal ( su* program to improve ! access to1 & quality & co/ effectiv5ess (1 ! heal? c>e provid$ by ! ,vet]ans ,heal? ,adm9i/ration & ! ,milit>y ,heal? ,sy/em to ! b5efici>ies ( bo? ! ,dep>tm5t ( ,vet]ans ,affairs & ! ,dep>tm5t ( ,def5se4 7ii7 ,an assessm5t ( :e!r adm9i/ration ( su* program ?r\gh ! ,heal? ,executive ,committee ( ! ,dep>tm5t ( ,vet]ans ,affairs-,dep>tm5t ( ,def5se ,jo9t ,executive ,committee e/abli%$ "u section #cbj ( su* title provides suffici5t lead]%ip att5tion & ov]sight to ensure maximum b5efits to ! ,dep>tm5t ( ,vet]ans ,affairs & ! ,dep>tm5t ( ,def5se ?r\gh collaborative ef=ts4 7iii7 ,an assessm5t ( :e!r additional au?orities to jo9tly con/ruct1 lease1 or acquire facilities w\ld facilitate additional collaborative ef=ts "u su* program4 7iv7 ,an assessm5t ( :e!r ! fund+ = su* program is suffici5t to ensure consi/5t id5tification ( pot5tial opportunities = collaboration & ov]sight ( exi/+ collaborations to ensure a mean+ful p>tn]%ip betwe5 ! ,dep>tm5t ( ,vet]ans ,affairs & ! ,dep>tm5t ( ,def5se & remove any b>ri]s to integration or collaboration4 7v7 ,an assessm5t ( :e!r exi/+ processes = id5tify+ opportunities = collaboration are suffici5t to ensure maximum collaboration betwe5 ! ,vet]ans ,heal? ,adm9i/ration & ! ,milit>y ,heal? ,sy/em4 7vi7 ,su* legislative or adm9i/rative recomm5dations = improvem5t to su* program z ! ,comptroll] ,g5]al consid]s appropriate to enhance ! use ( su* program to increase access to heal? c>e4 #aaj4 ,transf] ( au?ority = paym5ts = hospital c>e1 m$ical s]vices1 & o!r heal? c>e f non-,dep>tm5t provid]s to ! ,*ief ,bus9ess ,(fice ( ! ,vet]ans ,heal? ,adm9i/ration ( ! ,dep>tm5t 7a7 ,transf] ( au?ority 7#a7 ,9 g5]al ,effective on ,octob] #a1 #bjad1 ! ,secret>y ( ,vet]ans ,affairs %all transf] ! au?ority to pay = hospital c>e1 m$ical s]vices1 & o!r heal? c>e ?r\gh non-,dep>tm5t provid]s to ! ,*ief ,bus9ess ,(fice ( ! ,vet]ans ,heal? ,adm9i/ration ( ! ,dep>tm5t ( ,vet]ans ,affairs f ! ,vet]ans ,integrat$ ,s]vice ,networks & m$ical c5t]s ( ! ,dep>tm5t ( ,vet]ans ,affairs4 7#b7 ,mann] ( c>e ,! ,*ief ,bus9ess ,(fice %all "w 9 consultation ) ! ,(fice ( ,cl9ical ,op]ations & ,managem5t ( ! ,dep>tm5t ( ,vet]ans ,affairs to ensure t c>e & s]vices describ$ 9 p>agraph 7#a7 is provid$ 9 a mann] t is cl9ically appropriate & effective4 7#c7 ,no delay 9 paym5t ,! transf] ( au?ority "u p>agraph 7#a7 %all be c>ri$ out 9 a mann] t does n delay or imp$e any paym5t by ! ,dep>tm5t = hospital c>e1 m$ical s]vices1 or o!r heal? c>e provid$ ?r\gh a non-,dep>tm5t provid] "u ! laws adm9i/]$ by ! ,secret>y4 7b7 ,budget>y effect ,! ,secret>y %all1 = ea* fiscal ye> t beg9s aft] ! date ( ! enactm5t ( ?is ,act-- 7#a7 include 9 ! budget = ! ,*ief ,bus9ess ,(fice ( ! ,vet]ans ,heal? ,adm9i/ration am\nts to pay = hospital c>e1 m$ical s]vices1 & o!r heal? c>e provid$ ?r\gh non-,dep>tm5t provid]s1 includ+ any am\nts necess>y to c>ry out ! transf] ( au?ority to pay = su* c>e & s]vices "u subsection 7a71 includ+ any increase 9 /aff2 & 7#b7 n include 9 ! budget ( ea* ,vet]ans ,integrat$ ,s]vice ,network & m$ical c5t] ( ! ,dep>tm5t am\nts to pay = su* c>e & s]vices4 7c7 ,removal f p]=mance goals ,= ea* fiscal ye> t beg9s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y %all n include 9 ! p]=mance goals ( any employee ( a ,vet]ans ,integrat$ ,s]vice ,network or m$ical c5t] ( ! ,dep>tm5t any p]=mance goal t might dis9c5tivize ! paym5t ( ,dep>tm5t am\nts to provide hospital c>e1 m$ical s]vices1 or o!r heal? c>e ?r\gh a non-,dep>tm5t provid]4 #aaj;,a4 ,contract+ = hospital c>e1 m$ical s]vices1 & o!r heal? c>e 7a7 ,use ( contracts ) c]ta9 entities 7#a7 ,9 g5]al ,9 provid+ hospital c>e1 m$ical s]vices1 & o!r heal? c>e "u ! laws adm9i/]$ by ! ,secret>y ( ,vet]ans ,affairs ?r\gh ! use ( contracts1 ! ,secret>y %all prioritize ! use ( contracts or agreem5ts ) ,f$]ally ,qualifi$ ,heal? ,c5t]s 7,f,q,h,cs71 m$ical facilities receiv+ fund+ f ! ,indian ,heal? ,s]vice1 & ! ,dep>tm5t ( ,def5se4 7#b7 ,plan on increas$ use ( contracts ,! ,secret>y ( ,vet]ans ,affairs %all1 9 consultation ) ! ,secret>y ( ,def5se1 ! ,secret>y ( ,heal? & ,human ,s]vices1 & ! ,director ( ! ,indian ,heal? ,s]vice1 develop a plan to increase ! use ( contracts describ$ 9 p>agraph 7#a7 to improve ! ability ( ! ,dep>tm5t ( ,vet]ans ,affairs to provide hospital c>e1 m$ical s]vices1 & o!r heal? c>e to vet]ans4 7#c7 ,report ,n lat] ?an #ahj days aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,vet]ans ,affairs %all submit to ,congress a report on ! plan requir$ by p>agraph 7#b74 7b7 ,be/ practices ,! ,secret>y %all modify ! guidance ( ! ,dep>tm5t ( ,vet]ans ,affairs on contracts = hospital c>e1 m$ical s]vices1 & o!r heal? c>e 9 ord] to provide = ! incorporation into su* contracts ( /&>diz$ requirem5ts = be/ practices "u su* contracts1 includ+ ! foll[+3 7#a7 ,requirem5ts t contracts provide ! ,dep>tm5t on a regul> basis in=mation on s*$ul+ & appe>ance = appo9tm5ts = hospital c>e1 m$ical s]vices1 & o!r heal? c>e on p]-pati5t basis4 7#b7 ,su* o!r be/ practices requirem5ts z ! ,secret>y consid]s appropriate4 7c7 ,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 #aaj;,b4 ,enhancem5t ( collaboration betwe5 ,dep>tm5t ( ,vet]ans ,affairs & ,indian ,heal? ,s]vice 7a7 ,outrea* to tribal-,run m$ical facilities ,! ,secret>y ( ,vet]ans ,affairs %all1 9 consultation ) ! ,director ( ! ,indian ,heal? ,s]vice1 conduct outrea* to ea* m$ical facility op]at$ by an ,indian tribe or tribal organization ?r\gh a contract or compact ) ! ,indian ,heal? ,s]vice "u ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act 7#be ,u4,s4,c4 #dej et seq47 to raise aw>5ess ( ! ability ( su* facilities1 ,indian tribes1 & tribal organizations to ent] into agreem5ts ) ! ,dep>tm5t ( ,vet]ans ,affairs "u :i* ! ,secret>y reimburses su* facilities1 ,indian tribes1 or tribal organizations1 z ! case may be1 = heal? c>e provid$ to vet]ans eligible = heal? c>e at su* facilities4 7b7 ,metrics = memor&um ( und]/&+ p]=mance ,! ,secret>y ( ,vet]ans ,affairs %all implem5t p]=mance metrics = assess+ ! p]=mance by ! ,dep>tm5t ( ,vet]ans ,affairs & ! ,indian ,heal? ,s]vice "u ! memor&um ( und]/&+ entitl$ ,memor&um ( ,und]/&+ betwe5 ! ,dep>tm5t ( ,vet]ans ,affairs 7,,va7 & ! ,indian ,heal? ,s]vice 7,,ihs7 9 increas+ access to heal? c>e1 improv+ quality & coord9ation ( heal? c>e1 promot+ effective pati5t-c5t]$ collaboration & p>tn]%ips betwe5 ! ,dep>tm5t & ! ,s]vice1 & ensur+ heal?-promotion & disease-prev5tion s]vices are appropriately fund$ & available = b5efici>ies "u bo? heal? c>e sy/ems4 7c7 ,report ,n lat] ?an #ahj days aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,vet]ans ,affairs & ! ,director ( ! ,indian ,heal? ,s]vice %all jo9tly submit to ,congress a report on ! feasibility & advisability ( ! foll[+3 7#a7 ,ent]+ into agreem5ts = ! reimbursem5t by ! ,secret>y ( ! co/s ( direct c>e s]vices provid$ ?r\gh organizations receiv+ am\nts pursuant to grants made or contracts ent]$ into "u section #ejc ( ! ,indian ,heal? ,c>e ,improvem5t ,act 7#be ,u4,s4,c4 #afec7 to vet]ans :o are o!rwise eligible to receive heal? c>e f su* organizations4 7#b7 ,includ+ ! reimbursem5t ( ! co/s ( direct c>e s]vices provid$ to vet]ans :o are n ,indians 9 agreem5ts betwe5 ! ,dep>tm5t & ! foll[+3 7,a7 ,! ,indian ,heal? ,s]vice4 7,b7 ,an ,indian tribe or tribal organization op]at+ a m$ical facility ?r\gh a contract or compact ) ! ,indian ,heal? ,s]vice "u ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act 7#be ,u4,s4,c4 #dej et seq474 7,c7 ,a m$ical facility ( ! ,indian ,heal? ,s]vice4 7d7 ,def9itions ,9 ?is section3 7#a7 ,indian ,! t]ms ,indian & ,indian tribe h ! mean+s giv5 ^? t]ms 9 section #d ( ! ,indian ,heal? ,c>e ,improvem5t ,act 7#be ,u4,s4,c4 #afjc74 7#b7 ,m$ical facility ( ! ,indian ,heal? ,s]vice ,! t]m m$ical facility ( ! ,indian ,heal? ,s]vice includes a facility op]at$ by an ,indian tribe or tribal organization ?r\gh a contract or compact ) ! ,indian ,heal? ,s]vice "u ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act 7#be ,u4,s4,c4 #dej et seq474 7#c7 ,tribal organization ,! t]m tribal organization has ! mean+ giv5 ! t]m 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act 7#be ,u4,s4,c4 #dej;b74 #aaj;,c4 ,enhancem5t ( collaboration betwe5 ,dep>tm5t ( ,vet]ans ,affairs & ,native ,hawaiian heal? c>e sy/ems 7a7 ,9 g5]al ,! ,secret>y ( ,vet]ans ,affairs %all1 9 consultation ) ,papa ,ola ,lokahi & su* o!r organizations involv$ 9 ! deliv]y ( heal? c>e to ,native ,hawaiians z ! ,secret>y consid]s appropriate1 ent] into contracts or agreem5ts ) ,native ,hawaiian heal? c>e sy/ems t are 9 receipt ( funds f ! ,secret>y ( ,heal? & ,human ,s]vices pursuant to grants aw>d$ or contracts ent]$ into "u section #f7;a7 ( ! ,native ,hawaiian ,heal? ,c>e ,improvem5t ,act 7#db ,u4,s4,c4 #aagje7;a77 = ! reimbursem5t ( direct c>e s]vices provid$ to eligible vet]ans z specifi$ 9 su* contracts or agreem5ts4 7b7 ,def9itions ,9 ?is section1 ! t]ms ,native ,hawaiian1 ,native ,hawaiian heal? c>e sy/em1 & ,papa ,ola ,lokahi h ! mean+s giv5 ^? t]ms 9 section #ab ( ! ,native ,hawaiian ,heal? ,c>e ,improvem5t ,act 7#db ,u4,s4,c4 #aagaa74 #aaj;,d4 ,improvem5t ( access ( vet]ans to mobile vet c5t]s ( ! ,dep>tm5t ( ,vet]ans ,affairs 7a7 ,improvem5t ( access 7#a7 ,9 g5]al ,! ,secret>y ( ,vet]ans ,affairs %all improve ! access ( vet]ans to telem$ic9e & o!r heal? c>e ?r\gh ! use ( mobile vet c5t]s ( ! ,dep>tm5t ( ,vet]ans ,affairs by provid+ /&>diz$ requirem5ts = ! op]ation ( su* c5t]s4 7#b7 ,requirem5ts ,! /&>diz$ requirem5ts requir$ by p>agraph 7#a7 %all include ! foll[+3 7,a7 ,! numb] ( days ea* mobile vet c5t] ( ! ,dep>tm5t is expect$ to travel p] ye>4 7,b7 ,! numb] ( locations ea* c5t] is expect$ to visit p] ye>4 7,c7 ,! numb] ( appo9tm5ts ea* c5t] is expect$ to conduct p] ye>4 7,d7 ,! me?od & tim+ ( notifications giv5 by ea* c5t] to individuals 9 ! area to :i* su* c5t] is travel+1 includ+ notifications in=m+ vet]ans ( ! availability to s*$ule appo9tm5ts at ! c5t]4 7#c7 ,use ( telem$ic9e ,! ,secret>y %all ensure t ea* mobile vet c5t] ( ! ,dep>tm5t has ! capability to provide telem$ic9e s]vices4 7b7 ,reports ,n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is ,act1 & n lat] ?an ,septemb] #cj ea* ye> !reaft]1 ! ,secret>y ( ,vet]ans ,affairs %all submit to ! ,committee on ,vet]ans' ,affairs ( ! ,s5ate & ! ,committee on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives a report on ! foll[+3 7#a7 ,! use ( mobile vet c5t]s to provide telem$ic9e s]vices to vet]ans dur+ ! ye> prec$+ ! submittal ( ! report1 includ+ ! foll[+3 7,a7 ,! numb] ( days ea* mobile vet c5t] 0 op5 to provide su* s]vices4 7,b7 ,! numb] ( days ea* mobile vet c5t] travel$ to a location o!r ?an ! headqu>t]s ( ! mobile vet c5t] to provide su* s]vices4 7,c7 ,! numb] ( appo9tm5ts ea* c5t] conduct$ to provide su* s]vices on av]age p] mon? & 9 total dur+ su* ye>4 7#b7 ,an analysis ( ! effectiv5ess ( us+ mobile vet c5t]s to provide heal? c>e s]vices to vet]ans ?r\gh ! use ( telem$ic9e4 7#c7 ,any recomm5dations = an increase 9 ! numb] ( mobile vet c5t]s ( ! ,dep>tm5t4 7#d7 ,any recomm5dations = an increase 9 ! telem$ic9e capabilities ( ea* mobile vet c5t]4 7#e7 ,! feasibility & advisability ( us+ tempor>y heal? c>e provid]s1 includ+ locum t55s1 to provide direct heal? c>e s]vices to vet]ans at mobile vet c5t]s4 7#f7 ,su* o!r recomm5dations on improvem5t ( ! use ( mobile vet c5t]s by ! ,dep>tm5t z ! ,secret>y consid]s appropriate4 #aaj;,e4 ,commission on ,access to ,c>e 7a7 ,e/abli%m5t ( commission 7#a7 ,9 g5]al ,!re is e/abli%$ ! ,commission on ,access to ,c>e 79 ?is section ref]r$ to z ! ,commission7 to exam9e ! access ( vet]ans to heal? c>e f ! ,dep>tm5t ( ,vet]ans ,affairs & /rategically exam9e h[ be/ to organize ! ,vet]ans ,heal? ,adm9i/ration1 locate heal? c>e res\rces1 & deliv] heal? c>e to vet]ans dur+ ! next #aj to #bj ye>s4 7#b7 ,memb]%ip 7,a7 ,vot+ memb]s ,! ,commission %all be compos$ ( #aj vot+ memb]s :o are appo9t$ by ! ,presid5t z foll[s3 7i7 ,at lea/ two memb]s :o repres5t an organization recogniz$ by ! ,secret>y ( ,vet]ans ,affairs = ! repres5tation ( vet]ans "u section #eijb ( title #ch1 ,unit$ ,/ates ,code4 7ii7 ,at lea/ "o memb] f among p]sons :o are exp]ts conc]n+ a public or private hospital sy/em4 7iii7 ,at lea/ "o memb] f among p]sons :o are famili> ) gov]nm5t heal? c>e sy/ems1 includ+ ^? sy/ems ( ! ,dep>tm5t ( ,def5se1 ! ,indian ,heal? ,s]vice1 & ,f$]ally-qualifi$ heal? c5t]s 7z def9$ 9 section #aije7l77#b77;,b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7l77#b77;,b7774 7iv7 ,at lea/ two memb]s f among p]sons :o are famili> ) ! ,vet]ans ,heal? ,adm9i/ration4 7,b7 ,nonvot+ memb]s ,9 addition to memb]s appo9t$ "u subp>agraph 7,a71 ! ,commission %all be compos$ ( #aj nonvot+ memb]s :o are appo9t$ by ! ,presid5t z foll[s3 7i7 ,at lea/ two memb]s :o repres5t an organization recogniz$ by ! ,secret>y ( ,vet]ans ,affairs = ! repres5tation ( vet]ans "u section #eijb ( title #ch1 ,unit$ ,/ates ,code4 7ii7 ,at lea/ "o memb] f among p]sons :o are exp]ts 9 a public or private hospital sy/em4 7iii7 ,at lea/ "o memb] f among p]sons :o are famili> ) gov]nm5t heal? c>e sy/ems1 includ+ ^? sy/ems ( ! ,dep>tm5t ( ,def5se1 ! ,indian ,heal? ,s]vice1 & ,f$]ally-qualifi$ heal? c5t]s 7z def9$ 9 section #aije7l77#b77;,b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7l77#b77;,b7774 7iv7 ,at lea/ two memb]s f among p]sons :o are famili> ) ! ,vet]ans ,heal? ,adm9i/ration4 7,c7 ,date ,! appo9tm5ts ( memb]s ( ! ,commission %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* sev5 vot+ memb]s ( ! ,commission h be5 appo9t$1 ! ,commission %all hold its fir/ meet+4 7#e7 ,meet+s ,! ,commission %all meet at ! call ( ! ,*airp]son4 7#f7 ,quorum ,a majority ( ! memb]s ( ! ,commission %all con/itute a quorum1 b a less] numb] ( memb]s may hold he>+s4 7#g7 ,*airp]son & ,vice ,*airp]son ,! ,commission %all select a ,*airp]son & ,vice ,*airp]son f among its memb]s4 7b7 ,duties ( commission 7#a7 ,evaluation & assessm5t ,! ,commission %all und]take a compreh5sive evaluation & assessm5t ( access to heal? c>e at ! ,dep>tm5t ( ,vet]ans ,affairs4 7#b7 ,matt]s evaluat$ & assess$ ,! matt]s evaluat$ & assess$ by ! ,commission %all include ! foll[+3 7,a7 ,! appropriat5ess ( curr5t /&>ds ( ! ,dep>tm5t ( ,vet]ans ,affairs conc]n+ access to heal? c>e4 7,b7 ,! measurem5t ( su* /&>ds4 7,c7 ,! appropriat5ess ( p]=mance /&>ds & inc5tives 9 relation to /&>ds describ$ 9 subp>agraph 7,a74 7,d7 ,/aff+ levels ?r\gh\t ! ,vet]ans ,heal? ,adm9i/ration & :e!r !y are suffici5t to meet curr5t dem& = heal? c>e f ! ,adm9i/ration4 7#c7 ,reports ,! ,commission %all submit to ! ,presid5t1 ?r\gh ! ,secret>y ( ,vet]ans ,affairs1 reports z foll[s3 7,a7 ,n lat] ?an #ij days aft] ! date ( ! initial meet+ ( ! ,commission1 an int]im report on-- 7i7 ! f9d+s ( ! ,commission ) respect to ! evaluation & assessm5t requir$ by ?is subsection2 & 7ii7 su* recomm5dations z ! ,commission may h = legislative or adm9i/rative action to improve access to heal? c>e ?r\gh ! ,vet]ans ,heal? ,adm9i/ration4 7,b7 ,n lat] ?an #ahj days aft] ! date ( ! initial meet+ ( ! ,commission1 a f9al report on-- 7i7 ! f9d+s ( ! ,commission ) respect to ! evaluation & assessm5t requir$ by ?is subsection2 & 7ii7 su* recomm5dations z ! ,commission may h = legislative or adm9i/rative action to improve access to heal? c>e ?r\gh ! ,vet]ans ,heal? ,adm9i/ration4 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/ ( ! ,*airp]son ( ! ,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 ,! ,*airp]son ( ! ,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 ,! ,*airp]son ( ! ,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 ,! ,*airp]son ( ! ,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*$ule "u section #ecaf ( su* title4 7e7 ,t]m9ation ( ! commission ,! ,commission %all t]m9ate #cj days aft] ! date on :i* ! ,commission submits its report "u subsection 7b77#c77;,b74 7f7 ,fund+ ,! ,secret>y ( ,vet]ans ,affairs %all make available to ! ,commission f am\nts appropriat$ or o!rwise made available to ! ,secret>y su* am\nts z ! ,secret>y & ! ,*airp]son ( ! ,commission jo9tly consid] appropriate = ! ,commission to p]=m its duties "u ?is section4 7g7 ,executive action 7#a7 ,action on recomm5dations ,! ,presid5t %all require ! ,secret>y ( ,vet]ans ,affairs & su* o!r heads ( relevant ,f$]al dep>tm5ts & ag5cies to implem5t ea* recomm5dation set =? 9 a report submitt$ "u subsection 7b77#c7 t ! ,presid5t-- 7,a7 consid]s feasible & advisable2 & 7,b7 det]m9es c be implem5t$ )\t fur!r legislative action4 7#b7 ,reports ,n lat] ?an #fj days aft] ! date on :i* ! ,presid5t receives a report "u subsection 7b77#c71 ! ,presid5t %all submit to ! ,committee on ,vet]ans' ,affairs ( ! ,s5ate & ! ,committee on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives & su* o!r committees ( ,congress z ! ,presid5t consid]s appropriate a report sett+ =? ! foll[+3 7,a7 ,an assessm5t ( ! feasibility & advisability ( ea* recomm5dation conta9$ 9 ! report receiv$ by ! ,presid5t4 7,b7 ,= ea* recomm5dation assess$ z feasible & advisable "u subp>agraph 7,a7 ! foll[+3 7i7 ,:e!r su* recomm5dation requires legislative action4 7ii7 ,if su* recomm5dation requires legislative action1 a recomm5dation conc]n+ su* legislative action4 7iii7 ,a description ( any adm9i/rative action already tak5 to c>ry out su* recomm5dation4 7iv7 ,a description ( any adm9i/rative action ! ,presid5t int5ds to be tak5 to c>ry out su* recomm5dation & by :om4 #aaj;,f4 ,removal ( ,s5ior ,executive ,s]vice employees ( ! ,dep>tm5t ( ,vet]ans ,affairs = p]=mance 7a7 ,removal or transf] 7#a7 ,9 g5]al ,*apt] #g is am5d$ by add+ at ! end ! foll[+ new section3 #gac4 ,s5ior ,executive ,s]vice3 removal bas$ on p]=mance 7a7 ,9 g5]al ,! ,secret>y may remove any individual f ! ,s5ior ,executive ,s]vice if ! ,secret>y det]m9es ! p]=mance ( ! individual w>rants su* removal4 ,if ! ,secret>y s removes su* an individual1 ! ,secret>y may-- 7#a7 remove ! individual f ! civil s]vice 7z def9$ 9 section #baja ( title #e72 or 7#b7 transf] ! individual to a ,g5]al ,s*$ule position at any grade ( ! ,g5]al ,s*$ule = :i* ! individual is qualifi$ & t ! ,secret>y det]m9es is appropriate4 7b7 ,notice to ,congress ,n lat] ?an #cj days aft] remov+ or transf]r+ an individual f ! ,s5ior ,executive ,s]vice "u p>agraph 7#a71 ! ,secret>y %all submit to ! ,committees on ,vet]ans' ,affairs ( ! ,s5ate & ,h\se ( ,repres5tatives notice 9 writ+ ( su* removal or transf] & ! reason = su* removal or transf]4 7c7 ,appeal ( removal or transf] ,any removal or transf] "u subsection 7a7 may be appeal$ to ! ,m]it ,sy/ems ,protection ,bo>d "u section #ggja ( title #e n lat] ?an #g days aft] su* removal or transf]4 7d7 ,exp$it$ review by ,m]it ,sy/ems ,protection ,bo>d 7#a7 ,! ,m]it ,sy/ems ,protection ,bo>d %all exp$ite any appeal "u section #ggja ( title #e ( a removal or transf] "u subsection 7a7 &1 9 any su* case1 %all issue a decision n lat] ?an #ba days aft] ! date ( ! appeal4 7#b7 ,9 any case 9 :i* ! ,m]it ,sy/ems ,protection ,bo>d det]m9es t x _c issue a decision 9 accordance ) ! #ba-;day requirem5t "u p>agraph 7#a71 ! ,m]it ,sy/ems ,protection ,bo>d %all submit to ,congress a report t expla9s ! reason :y ! ,m]it ,sy/ems ,protection ,bo>d is unable to issue a decision 9 accordance ) su* requirem5t 9 su* case4 7#c7 ,!re is au?oriz$ to be appropriat$ su* sums z may be necess>y = ! ,m]it ,sy/ems ,protection ,bo>d to exp$ite appeals "u p>agraph 7#a74 7#d7 ,! ,m]it ,sy/ems ,protection ,bo>d may n /ay any p]sonnel action tak5 "u ?is section4 4 7#b7 ,cl]ical am5dm5t ,! table ( sections at ! beg9n+ ( su* *apt] is am5d$ by add+ at ! end ! foll[+ new item3 #gac4 ,s5ior ,executive ,s]vice3 removal bas$ on p]=mance4 4 7b7 ,e/abli%m5t ( exp$it$ review process 7#a7 ,9 g5]al ,n lat] ?an #cj days aft] ! date ( ! enactm5t ( ?is ,act1 ! ,m]it ,sy/ems ,protection ,bo>d %all e/abli% & put into effect a process to conduct exp$it$ reviews 9 accordance ) section #gac7;d7 ( title #ch1 ,unit$ ,/ates ,code4 7#b7 ,inapplicability ( c]ta9 regulations ,section #abja4bb ( title #e1 ,code ( ,f$]al ,regulations1 z 9 effect on ! day be=e ! date ( ! enactm5t ( ?is ,act1 %all n apply to exp$it$ reviews c>ri$ out "u section #gac7;d7 ( title #ch1 ,unit$ ,/ates ,code4 7#c7 ,report by ,m]it ,sy/ems ,protection ,bo>d ,n lat] ?an #cj days aft] ! date ( ! enactm5t ( ?is ,act1 ! ,m]it ,sy/ems ,protection ,bo>d %all submit to ,congress a report on ! actions ! ,bo>d plans to take to conduct exp$it$ reviews "u section #gac7;d7 ( title #ch1 ,unit$ ,/ates ,code1 z add$ by subsection 7a74 ,su* report %all include a description ( ! res\rces ! ,bo>d det]m9es w be necess>y to conduct su* reviews & a description ( :e!r any res\rces w be necess>y to conduct su* reviews t 7 n available to ! ,bo>d on ! day be=e ! date ( ! enactm5t ( ?is ,act4 7c7 ,tempor>y exemption f c]ta9 limitation on initiation ( removal f ,s5ior ,executive ,s]vice ,dur+ ! #abj-;day p]iod beg9n+ on ! date ( ! enactm5t ( ?is ,act1 an action to remove an individual f ! ,s5ior ,executive ,s]vice at ! ,dep>tm5t ( ,vet]ans ,affairs pursuant to section #gac ( title #ch1 ,unit$ ,/ates ,code1 z add$ by subsection 7a71 or section #gedc ( title #e1 ,unit$ ,/ates ,code1 may be initiat$1 not)/&+ section #ceib7;b7 ( title #e1 ,unit$ ,/ates ,code1 or any o!r provision ( law4 7d7 ,con/ruction ,no?+ 9 ?is section or section #gac ( title #ch1 ,unit$ ,/ates ,code1 z add$ by subsection 7a71 %all be con/ru$ to apply to an appeal ( a removal1 transf]1 or o!r p]sonnel action t 0 p5d+ be=e ! date ( ! enactm5t ( ?is ,act4 #aaj;,g4 ,au?orization ( em]g5cy appropriations ,!re is au?oriz$ to be appropriat$ = ! ,dep>tm5t ( ,vet]ans ,affairs su* sums z may be necess>y to c>ry out sections #ajc ?r\gh #aaj;,c ( ?is ,act4 ,b ,expansion & ,improvem5ts ( ,b5efits ,g5]ally #aaa4 ,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$-- 7#a7 9 subp>agraph 7,a71 by /rik+ ! date t is five ye>s be=e ! date ( ! enactm5t ( ! ,national ,def5se ,au?orization ,act = ,fiscal ,ye> #bjjh1 aft] a p]iod ( five ye>s & ins]t+ ,janu>y #bg1 #bjjc1 aft] a p]iod ( #aj ye>s2 & 7#b7 9 subp>agraph 7,b71 by /rik+ m ?an five ye>s & all t foll[s & ins]t+ be=e ,janu>y #bh1 #bjjc1 & :o did n enroll 9 ! pati5t enrollm5t sy/em "u section #agje ( ?is title be=e ,janu>y #bh1 #bjjh1 aft] ,janu>y #bg1 #bjah44 #aab4 ,expansion ( assi/ance & support s]vices = c>egiv]s ( vet]ans 7a7 ,expansion ( eligible vet]ans ,subsection 7a77#b77;,b7 ( section #agbj;,g is am5d$-- 7#a7 by /rik+ s]vice on or aft] ,septemb] #aa1 #bjja2 & & ins]t+ 8s]vice-- 7i7 on or aft] ,septemb] #aa1 #bjja2 or 7ii7 t-- 7,i7 is rat$ z #ej p]c5t or m disabl+ on ! s*$ule ( rat+ = disabilities ( ! ,dep>tm5t2 & 7,,ii7 requires ! maximum am\nt & degree ( p]sonal c>e s]vices all[$ "u t s*$ule4 4 7b7 ,support s]vices provid$ "u program ( g5]al c>egiv] support s]vices ,subsection 7b77#c77;,a7 ( su* section is am5d$-- 7#a7 9 clause 7i7-- 7,a7 by r$esignat+ subclauses 7,,ii7 & 7,,iii7 z subclauses 7,,iii7 & 7,,iv71 respectively2 & 7,b7 by ins]t+ aft] subclause 7,i7 ! foll[+ new subclause 7,,ii73 7,,ii7 = c>egiv]s und]go+ educational sessions pursuant to subclause 7,i71 paym5t ( necess>y travel1 lodg+1 & p] diem exp5ses incurr$ by su* c>egiv]s 9 und]go+ su* educational sessions 9 su* am\nts z ! ,secret>y %all prescribe = purposes ( ?is subclause2 2 7#b7 by /rik+ clause 7iii7 & ins]t+ ! foll[+ new clause3 7iii7 ,respite c>e ( n less ?an #cj days annually t is m$ically & age-appropriate1 includ+ 9-home c>e & #bd-;h\r p] day c>e ( ! vet]an comm5surate ) ! c>e provid$ by ! c>egiv] to p]mit ext5d$ respite4 2 7#c7 by r$esignat+ clause 7iv7 z clause 7v72 & 7#d7 by ins]t+ aft] clause 7iii7 ! foll[+ new clause 7iv73 7iv7 ,su* m5tal heal? s]vices z ! ,secret>y consid]s appropriate4 4 7c7 ,effective date ,! am5dm5ts made by ?is section %all take effect on ,octob] #a1 #bjae4 #aac4 ,improv$ 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 #aad4 ,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 #aad7;c7 ( ! ,re/or+ ,vet]ans ,tru/ ,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 #aae4 ,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 #aaf4 ,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 #aag4 ,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 #bjaf4 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$ to ! ,dep>tm5t to c>ry out ?is section ! foll[+3 7#a7 ,= fiscal ye> #bjad1 #b1jjj1jjj4 7#b7 ,= ea* ( fiscal ye>s #bjae & #bjaf1 #d1jjj1jjj4 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 #aah4 ,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 ( ! ,re/or+ ,vet]ans ,tru/ ,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 #aai4 ,reau?orization & modification ( pilot program ( enhanc$ contract c>e au?ority = heal? c>e ne$s ( vet]ans ,section #djc ( ! ,vet]ans' ,m5tal ,heal? & ,o!r ,c>e ,improvem5ts ,act ( #bjjh 7,public ,law #aaj-chg2 #ch ,u4,s4,c4 #agjc note7 is am5d$-- 7#a7 9 subsection 7a7-- 7,a7 9 p>agraph 7#b71 by /rik+ #abj days aft] ! date ( ! enactm5t ( ?is ,act & ins]t+ #ij days aft] ! date ( ! enactm5t ( ! ,re/or+ ,vet]ans ,tru/ ,act ( #bjad2 & 7,b7 by am5d+ p>agraph 7#d7 to read z foll[s3 7#d7 ,program locations ,! ,secret>y %all c>ry out ! pilot program at locations 9 ! foll[+ ,vet]ans ,integrat$ ,s]vice ,networks 7& su* o!r locations z ! ,secret>y consid]s appropriate73 7,a7 ,vet]ans ,integrat$ ,s]vice ,network #a4 7,b7 ,vet]ans ,integrat$ ,s]vice ,network #f4 7,c7 ,vet]ans ,integrat$ ,s]vice ,network #ae4 7,d7 ,vet]ans ,integrat$ ,s]vice ,network #ah4 7,e7 ,vet]ans ,integrat$ ,s]vice ,network #ai4 2 7#b7 by am5d+ subsection 7b7 to read z foll[s3 7b7 ,cov]$ vet]ans ,= purposes ( ! pilot program "u ?is section1 a cov]$ vet]an is any rural or highly rural vet]an :o-- 7#a7 is-- 7,a7 enroll$ 9 ! sy/em ( pati5t enrollm5t e/abli%$ "u section #agje7;a7 ( title #ch1 ,unit$ ,/ates ,code2 7,b7 eligible = heal? c>e "u ! laws adm9i/]$ by ! ,secret>y & enrolls 9 su* sy/em ( pati5t enrollm5t n lat] ?an #cj days aft] ! vet]an beg9s receiv+ cov]$ heal? s]vices "u ! pilot program2 or 7,c7 eligible = heal? c>e "u section #agaj7;e77#c7 ( su* title2 & 7#b7 resides 9 a location t is-- 7,a7 m ?an #fj m9utes driv+ di/ance f ! ne>e/ ,dep>tm5t heal? c>e facility provid+ prim>y c>e s]vices1 if ! vet]an is seek+ su* s]vices2 7,b7 m ?an #abj m9utes driv+ di/ance f ! ne>e/ ,dep>tm5t heal? c>e facility provid+ acute hospital c>e1 if ! vet]an is seek+ su* c>e2 or 7,c7 m ?an #bdj m9utes driv+ di/ance f ! ne>e/ ,dep>tm5t heal? c>e facility provid+ t]ti>y c>e1 if ! vet]an is seek+ su* c>e4 2 7#c7 by r$esignat+ subsection 7h7 z subsection 7j72 7#d7 by ins]t+ aft] subsection 7g7 ! foll[+ new subsections3 7h7 ,appo9tm5ts ,9 c>ry+ out ! pilot program "u ?is section1 ! ,secret>y %all ensure t m$ical appo9tm5ts = vet]ans occur dur+ ! #cj-;day p]iod beg9n+ on ! date t is #ae days aft] ! date on :i* ! appo9tm5t is reque/$4 7i7 ,outrea* ,! ,secret>y %all ensure t a vet]an eligible = ! pilot program "u ?is section is in=m$ ( su* program4 2 & 7#e7 9 p>agraph 7#b77;,b7 ( subsection 7j71 z r$esignat$ by p>agraph 7#c7 ( ?is section1 by /rik+ ! semicolon at ! end & ins]t+ 2 &4 ,c ,heal? ,c>e ,adm9i/ration #aba4 ,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 #abb4 ,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 #abc4 ,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 #abd4 ,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 #abe4 ,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 #abf4 ,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 #abg4 ,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 #abh4 ,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$ical ,c5t]4 ,d ,complem5t>y & ,alt]native ,m$ic9e #aca4 ,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$ic9e %all h ! mean+ giv5 t t]m 9 regulations ! ,secret>y %all prescribe = purposes ( ?is section1 :i* %all1 to ! degree practicable1 be consi/5t ) ! mean+ giv5 su* t]m by ! ,secret>y ( ,heal? & ,human ,s]vices4 7f7 ,effective date ,?is section %all take effect on ! date t is "o ye> aft] ! date ( ! enactm5t ( ?is ,act4 #acb4 ,program on integration ( complem5t>y & alt]native m$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$ic9e %all h ! mean+ giv5 t t]m 9 section #aca7;e7 ( ?is ,act4 7j7 ,effective date ,?is section %all take effect on ! date t is "o ye> aft] ! date ( ! enactm5t ( ?is ,act4 #acc4 ,/udies ( b>ri]s enc\nt]$ 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 #acb ( ?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$ic9e %all h ! mean+ giv5 t t]m 9 section #aca7;e7 ( ?is ,act4 #acd4 ,program on use ( wellness programs z complem5t>y approa* to m5tal heal? c>e = vet]ans & family memb]s ( vet]ans 7a7 ,program requir$ 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 ( well-be+ ( 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 ,e ,m5tal ,heal? ,c>e #ada4 ,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 #adb4 ,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$ical facilities ( ! ,dep>tm5t ( ,vet]ans ,affairs4 #adc4 ,annual report on community m5tal heal? p>tn]%ip pilot program 7a7 ,9 g5]al ,n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is ,act & n lat] ?an ,septemb] #cj ea* ye> !reaft] until ! completion ( ! pilot program describ$ 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 ,f ,d5tal ,c>e ,eligibility ,expansion & ,enhancem5t #aea4 ,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 #aeb4 ,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 cl9ic ) capacity available = ! furni%+ ( s]vices & treatm5t "u ! pilot program4 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 ) capacity 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 #aec4 ,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 #aed4 ,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 ,g ,heal? ,c>e ,relat$ to ,sexual ,trauma #afa4 ,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 #afb4 ,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+ individuals2 & 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 #afc4 ,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 #afd4 ,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 #afc7;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 #afc7;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 ,h ,reproductive treatm5t & s]vices #aga4 ,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 #aad7;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 #agb4 ,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 #agc4 ,adoption assi/ance = sev]ely w\nd$ vet]ans 7a7 ,9 g5]al ,sub*apt] ,,viii ( *apt] #ag1 z am5d$ by section #agb7;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 #agb7;b7 ( ?is ,act1 is fur!r am5d$ by ins]t+ aft] ! item relat+ to section #aghh ! foll[+ new item3 #aghi4 ,adoption assi/ance4 4 #agd4 ,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 #agb ( ?is ,act2 & 7#c7 to c>ry out section #aghi ( su* title1 z add$ by section #agc ( ?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 #agb ( ?is ,act2 or 7#c7 any assi/ance "u section #aghi ( su* title1 z add$ by section #agc ( ?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 #agb ( ?is ,act4 #age4 ,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 #agf4 ,facilitation ( reproduction & inf]tility rese>* 7a7 ,9 g5]al ,sub*apt] ,,ii ( *apt] #gc1 z am5d$ by section #abd7;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 #abd7;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 #agg4 ,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 #agh4 ,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 ( ! ,re/or+ ,vet]ans ,tru/ ,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 #agi4 ,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$4 ,i ,major ,m$ical ,facility ,leases #aha4 ,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 #ahb4 ,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/ 7#a7 ,9 g5]al ,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 7#b7 ,self-insur+ au?ority ,! requirem5ts ( p>agraph 7#a7 may be satisfi$ ?r\gh ! use ( a self-insur+ au?ority consi/5t ) ,(fice ( ,managem5t & ,budget ,circul> ,a-#aa4 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$ical facility lease1 ! ,secret>y %all submit to ! ,committees on ,vet]ans' ,affairs ( ! ,s5ate & ! ,h\se ( ,repres5tatives-- 7,a7 notice ( ! ,secret>y's int5tion to ent] into ! lease2 7,b7 a detail$ summ>y ( ! 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 ,,ii ,survivor & ,dep5d5t ,matt]s #bja4 ,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 #bjb4 ,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 #bjc4 ,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 #bjd4 ,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 #bje4 ,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$-- 7#a7 by /rik+ an individual & ins]t+ a *ild2 & 7#b7 by /rik+ su* individual's ea* "t x appe>s & ins]t+ su* *ild's4 7d7 ,effective date ,! am5dm5ts made by ?is section %all take effect on ! date t is two ye>s aft] ! date ( ! enactm5t ( ?is ,act4 #bjf4 ,expansion ( ,yell[ ,ribbon ,g4,i4 ,education ,enhancem5t ,program 7a7 ,9 g5]al ,section #ccag7;a7 is am5d$ 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 #bjg4 ,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$-- 7,a7 by /rik+ ! item relat+ to sub*apt] ,,iii & ins]t+ ! foll[+ new item3 ,sub*apt] ,,iii--,*ildr5 ( c]ta9 ,korea & ,?ail& s]vice vet]ans born ) sp9a bifida 2 & 7,b7 by ins]t+ aft] ! item relat+ to section #ahba ! foll[+ new item3 #ahbb4 ,b5efits = *ildr5 ( c]ta9 ,?ail& s]vice vet]ans born ) sp9a bifida4 4 7d7 ,effective date ,! am5dm5ts made by ?is section %all take effect on ! date t is "o ye> aft] ! date ( ! enactm5t ( ?is ,act4 #bjh4 ,program on assi/$ 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 #bji4 ,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 #baj4 ,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 ,,iii ,education ,matt]s #cja4 ,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 #cjb4 ,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 #cjc4 ,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 #cjd4 ,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 #cje4 ,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$]al ag5cies4 7#e7 ,any recomm5dations to improve ! paym5t & debt collection processes ( ! ,dep>tm5t t ! ,comptroll] ,g5]al consid]s appropriate4 7c7 ,effective date ,?is section %all take effect on ! date t is "o ye> aft] ! date ( ! enactm5t ( ?is ,act4 #cjf4 ,re/oration ( prior report+ fee multipli]s ,section #cfhd7;c7 is am5d$-- 7#a7 by /rik+ #ab & ins]t+ #g2 & 7#b7 by /rik+ #ae & ins]t+ #aa4 ,,iv ,employm5t & ,relat$ ,matt]s ,a ,tra9+ & o!r s]vices = vet]ans seek+ employm5t #dja4 ,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 ,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 specifi$ 9 subp>agraph 7,c7 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 ( ! ,re/or+ ,vet]ans ,tru/ ,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 ( ! ,re/or+ ,vet]ans ,tru/ ,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 ( ! ,re/or+ ,vet]ans ,tru/ ,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 ( ! ,re/or+ ,vet]ans ,tru/ ,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$5tial2 & 7ii7 submit ea* ye> to ! ,secret>y a report on ! exam9ations adm9i/]$ "u clause 7i7 dur+ ! mo/ rec5tly complet$ #ab-mon? p]iod t includes1 = ! p]iod cov]$ by ! report ! numb] ( vet]ans :o complet$ an exam9ation adm9i/]$ by ! ,/ate "u clause 7i7 & a description ( ! results ( su* exam9ations1 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 = any cr$5tial or lic5se = :i* a vet]an is unable to completely satisfy a tra9+ or te/+ requirem5t ?r\gh exam9ation1 ! ,/ate sub/antially r$uces tra9+ "t requir$ to satisfy su* requirem5t bas$ on ! milit>y tra9+ receiv$ by ! vet]an or e/abli%es proc$ures = grant+ cr$it = prior le>n+ relat$ to prior milit>y s]vice or tra9+4 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 ,te*nical assi/ance 7#a7 ,9 g5]al ,! ,secret>y ( ,labor1 9 consultation ) ! ,secret>y ( ,def5se & su* o!r heads ( ,f$]al ag5cies z ! ,secret>y ( ,labor consid]s appropriate1 may provide te*nical assi/ance to a ,/ate to assi/ ! ,/ate 9 meet+ ! requirem5ts ( section #dajb;,a7c77#i7 ( title #ch1 ,unit$ ,/ates ,code1 z am5d$ by subsection 7a74 7#b7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to ! ,secret>y ( ,labor to c>ry out p>agraph 7#a7 #a1jjj1jjj = fiscal ye> #bjae4 7c7 ,effective date 7#a7 ,exam9ations ,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$1 %all take effect on ! date t is "o ye> aft] ! date ( ! enactm5t ( ?is ,act & ! ,secret>y ( ,labor %all submit ! fir/ report "u su* subp>agraph n lat] ?an #ijj days aft] ! date ( ! enactm5t ( ?is ,act4 #dac4 ,report on discrim9ation aga9/ memb]s ( res]ve compon5ts ( ,arm$ ,=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$s ( su* employ]s4 7#c7 ,su* o!r matt]s z ! ,secret>y consid]s appropriate4 7c7 ,appropriate committees ( congress ,9 ?is section1 ! t]m appropriate committees ( ,congress means-- 7#a7 ! ,committee on ,vet]ans' ,affairs & ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate2 & 7#b7 ! ,committee on ,vet]ans' ,affairs & ! ,committee on ,education & ! ,work=ce ( ! ,h\se ( ,repres5tatives4 7d7 ,effective date ,?is section %all take effect on ! date t is "o ye> aft] ! date ( ! enactm5t ( ?is ,act4 ,c ,improv+ employm5t & reemploym5t rights ( memb]s ( ! uni=m$ s]vices #dba4 ,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 ,d ,small ,bus9ess ,matt]s #dca4 ,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 #dcb4 ,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 #dcc4 ,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 #dcd4 ,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 #dcc ( ?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 #dce4 ,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$uc+ co/s ( heal? c>e )9 ! ,vet]ans ,heal? ,adm9i/ration4 7#b7 ,n lat] ?an #ahj days aft] conduct+ a review & assessm5t "u p>agraph 7#a71 ! ,secret>y %all submit to ! ,committee on ,vet]ans' ,affairs ( ! ,s5ate & ! ,committee on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives a report on su* review & assessm5t1 :i* %all include su* recomm5dations = legislative or adm9i/rative action z ! ,secret>y consid]s appropriate to improve ! ,vet]ans ,integrat$ ,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 clauses 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$]al ,gov]nm5t4 7,b7 ,su* recomm5dations = legislative or adm9i/rative action z ! ,secret>y consid]s appropriate 9 light ( su* report4 7#b7 ,pres5tation ,! in=mation 9 a report "u clauses 7i7 ?r\gh 7v7 ( p>agraph 7#a77;,a7 %all be set =? sep>ately = ea* dep>tm5t & ag5cy ( ! ,f$]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$ible1 probative1 & o!rwise adequate = purposes ( mak+ a decision on t claim4 ,d ,bo>d ( ,vet]ans' ,appeals & ,c\rt ( ,appeals = ,vet]ans ,claims #fca4 ,det]m9ation ( mann] ( appe>ance = he>+s be=e ,bo>d ( ,vet]ans' ,appeals 7a7 ,9 g5]al ,section #gajg is am5d$-- 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 & c]ta9 eligible entities 7a7 ,program requir$ 7#a7 ,9 g5]al ,! ,secret>y ( ,vet]ans ,affairs %all c>ry out a program to assess ! feasibility & advisability ( us+ eligible entities specifi$ 9 p>agraph 7#b7-- 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$]al1 ,/ate1 & local gov]nm5t & nonpr(it provid]s ( heal? c>e & b5efit s]vices = vet]ans4 7#b7 ,eligible entities specifi$ ,! eligible entities specifi$ 9 ?is p>agraph are ! foll[+3 7,a7 ,/ate & local gov]nm5t ag5cies4 7,b7 ,nonpr(it organizations4 7,c7 ,! ,appala*ian ,regional ,commission1 e/abli%$ "u section #adcja7;a7 ( title #dj1 ,unit$ ,/ates ,code4 7,d7 ,! ,delta ,regional ,au?ority1 e/abli%$ "u section #chb;,b7a7 ( ! ,consolidat$ ,f>m & ,rural ,developm5t ,act 7#g ,u4,s4,c4 #bjji;aa-#a7;a774 7,e7 ,! ,d5ali ,commission1 e/abli%$ "u section #cjc ( ! ,d5ali ,commission ,act ( #aiih 7#db ,u4,s4,c4 #caba note2 ,public ,law #aje-bgg74 7,f7 ,! ,nor!rn ,great ,pla9s ,regional ,au?ority1 e/abli%$ "u section #chc;,b7a7 ( ! ,consolidat$ ,f>m & ,rural ,developm5t ,act 7#g ,u4,s4,c4 #bjji;bb-#a7;a774 7,g7 ,! ,s\!a/ ,cresc5t ,regional ,commission1 ! ,s\?we/ ,bord] ,regional ,commission1 & ! ,nor!rn ,bord] ,regional ,commission e/abli%$ "u section #aecja7;a7 ( title #dj1 ,unit$ ,/ates ,code4 7,h7 ,entities describ$ 9 subp>agraph 7,i7 t s]ve ,native ,am]icans1 ,alaska ,natives1 or native ,hawaiians 7z su* t]ms are def9$ 9 section #cgfe ( title #ch1 ,unit$ ,/ates ,code71 reg>dless ( :e!r su* entities are tribal organizations 7z def9$ 9 su* section74 7,i7 ,commissions & developm5t bo>ds t are-- 7i7 n *>t]$ by ! ,f$]al ,gov]nm5t2 7ii7 select$ by ! ,secret>y = purposes ( ! program2 & 7iii7 locat$ 9 areas t pres5t extraord9>y *all5ges to vet]ans1 z det]m9$ by ! ,secret>y1 includ+ ! foll[+3 7,i7 ,areas 9 sev]e economic di/ress4 7,,ii7 ,areas ) und]develop$ infra/ructure4 7,,iii7 ,areas ) unusual geographic *>act]i/ics1 su* z sep>ation f ! ma9l&4 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 eligible entities-- 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$]al1 ,/ate1 & local gov]nm5t & nonpr(it provid]s ( heal? c>e & b5efit s]vices = vet]ans4 7#b7 ,application 7,a7 ,9 g5]al ,an eligible entity seek+ a grant "u ! program %all submit to ! ,secret>y an application !re= 9 su* =m & 9 su* mann] z ! ,secret>y consid]s appropriate4 7,b7 ,elem5ts ,ea* application submitt$ "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$ures = effective coord9ation & collaboration 7#a7 ,n lat] ?an #ahj days aft] ! date ( ! enactm5t ( ! ,re/or+ ,vet]ans ,tru/ ,act ( #bjad1 ! ,secret>y %all e/abli% & ma9ta9 proc$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$4 4 ,,ix ,o!r ,matt]s #ija4 ,repeal ( c]ta9 r$uctions made by ,bip>tisan ,budget ,act ( #bjac 7a7 ,adju/m5t ( retirem5t pay ,section #djc ( ! ,bip>tisan ,budget ,act ( #bjac 7,public ,law #aac-fg7 is repeal$ z ( ! date ( ! enactm5t ( su* ,act4 7b7 ,con=m+ am5dm5ts 7#a7 ,applicability to disability & survivor b5efits ,title ,x ( ! ,dep>tm5t ( ,def5se ,appropriations ,act1 #bjad 7division ,c ( ,public ,law #aac-gf7 is repeal$4 7#b7 ,applicability to memb]s ( ! ,arm$ ,=ces :o jo9$ aft] ,janu>y #a1 #bjad ,section #b ( ,public ,law #aac-hb is repeal$4 #ijb4 ,consid]ation by ,secret>y ( ,vet]ans ,affairs ( res\rces dispos$ ( = 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 & ! ,special ,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$-- 7#a7 9 subp>agraph 7,a7-- 7,a7 9 clause 7iii71 by /rik+ ,octob] #a1 #bjag & ins]t+ ,septemb] #cj1 #bjbc2 & 7,b7 9 clause 7iv71 by /rik+ ,octob] #a1 #bjag & ins]t+ ,septemb] #cj1 #bjbc2 7#b7 9 subp>agraph 7,b7-- 7,a7 9 clause 7i71 by /rik+ ,octob] #a1 #bjag & ins]t+ ,septemb] #cj1 #bjbc2 & 7,b7 9 clause 7ii71 by /rik+ ,octob] #a1 #bjag & ins]t+ ,septemb] #cj1 #bjbc2 7#c7 9 subp>agraph 7,c7-- 7,a7 9 clause 7i71 by /rik+ ,octob] #a1 #bjag & ins]t+ ,septemb] #cj1 #bjbc2 & 7,b7 9 clause 7ii71 by /rik+ ,octob] #a1 #bjag & ins]t+ ,septemb] #cj1 #bjbc2 & 7#d7 9 subp>agraph 7,d7-- 7,a7 9 clause 7i71 by /rik+ ,octob] #a1 #bjag & ins]t+ ,septemb] #cj1 #bjbc2 & 7,b7 9 clause 7ii71 by /rik+ ,octob] #a1 #bjag & ins]t+ ,septemb] #cj1 #bjbc4 #iaa4 ,eligibility = int]m5t 9 national cemet]ies = c]ta9 naturaliz$ individuals 7a7 ,9 g5]al ,section #bdjb7;a7 is am5d$ by add+ at ! end ! foll[+ new p>agraph3 7#aj7 ,any individual-- 7,a7 :o-- 7i7 0 naturaliz$ pursuant to section #b7a7 ( ! ,hmong ,vet]ans' ,naturalization ,act ( #bjjj 7,public ,law #ajf-bjg2 #h ,u4,s4,c4 #adbc note72 & 7ii7 at ! "t ( ! individual's dea? resid$ 9 ! ,unit$ ,/ates2 or 7,b7 :o-- 7i7 ! ,secret>y det]m9es s]v$ ) a special gu]rilla unit or irregul> =ces op]at+ f a base 9 ,laos 9 support ( ! ,arm$ ,=ces ( ! ,unit$ ,/ates at any "t dur+ ! p]iod beg9n+ ,febru>y #bh1 #aifa1 & end+ ,may #g1 #aige2 & 7ii7 at ! "t ( ! individual's dea?-- 7,i7 0 a citiz5 ( ! ,unit$ ,/ates or an ali5 lawfully admitt$ = p]man5t resid5ce 9 ! ,unit$ ,/ates2 & 7,,ii7 resid$ 9 ! ,unit$ ,/ates4 4 7b7 ,effective date ,! am5dm5t made by subsection 7a7 %all apply ) respect to an individual dy+ on or aft] ! date ( ! enactm5t ( ?is ,act4 #iab4 ,canadian ,=ces ,base ,gaget[n indep5d5t /udy & regi/ry 7a7 ,indep5d5t /udy 7#a7 ,9 g5]al ,! ,secret>y ( ,vet]ans ,affairs %all provide = a /udy on ! pot5tial exposure ( individuals to toxic sub/ances or environm5tal haz>ds relat$ to s]vice at ,canadian ,=ces ,base ,gaget[n1 ,new ,brunswick1 ,canada1 at any "t dur+ ! p]iod beg9n+ on ,janu>y #a1 #aief1 & end+ on ,decemb] #ca1 #bjjf4 7#b7 ,elem5ts ,! /udy requir$ by p>agraph 7#a7 %all-- 7,a7 assess ! heal? risks associat$ ) ! exposure ( individuals to toxic sub/ances or environm5tal haz>ds describ$ 9 p>agraph 7#a72 & 7,b7 det]m9e if a regi/ry ( individuals :o 7 expos$ to toxic sub/ances or environm5tal haz>ds dur+ s]vice at ,canadian ,=ces ,base ,gaget[n w\ld be advisable z an effective tool to assess su* heal? risks4 7#c7 ,indep5d5t entity ,! /udy requir$ by p>agraph 7#a7 %all be c>ri$ out by an entity t-- 7,a7 has exp]i5ce conduct+ /udies ) respect to ! exposure ( individuals to toxic sub/ances or environm5tal haz>ds2 & 7,b7 is n affiliat$ ) ! ,dep>tm5t4 7#d7 ,deadl9e = completion ,! /udy requir$ by p>agraph 7#a7 %all be complet$ n lat] ?an #edj days aft] ! date ( ! enactm5t ( ?is ,act4 7b7 ,regi/ry 7#a7 ,9 g5]al ,if ! entity t c>ries out ! indep5d5t /udy provid$ = "u p>agraph 7#a7 ( subsection 7a7 det]m9es pursuant to p>agraph 7#b77;,b7 ( su* subsection t a regi/ry describ$ 9 su* p>agraph 7#b77;,b7 w\ld be an effective tool z describ$ 9 su* p>agraph 7#b77;,b71 ! ,secret>y may e/abli% & ma9ta9 a regi/ry to be kn[n z ! ,canadian ,=ces ,base ,gaget[n ,heal? ,regi/ry 79 ?is subsection ref]r$ to z ! ,regi/ry74 7#b7 ,cont5ts ,! ,regi/ry %all include ! foll[+ in=mation3 7,a7 ,a li/ conta9+ ! "n ( ea* individual :o-- 7i7 :ile s]v+ z a memb] ( ! ,arm$ ,=ces1 0 /ation$ at or und]w5t tra9+ at ,canadian ,=ces ,base ,gaget[n at any "t dur+ ! p]iod beg9n+ on ,janu>y #a1 #aief1 & end+ on ,decemb] #ca1 #bjjf2 & 7ii7 7,i7 applies = c>e or s]vices f ! ,dep>tm5t ( ,vet]ans ,affairs "u *apt] #ag ( title #ch1 ,unit$ ,/ates ,code2 7,,ii7 files a claim = comp5sation "u *apt] #aa ( su* title on ! basis ( any disability t may be associat$ ) su* s]vice2 or 7,,iii7 dies & is surviv$ by a sp\se1 *ild1 or p>5t :o files a claim = dep5d5cy & indemnity comp5sation "u *apt] #ac ( su* title on ! basis ( su* s]vice4 7,b7 ,relevant m$ical data relat+ to ! heal? /atus (1 & o!r in=mation t ! ,secret>y consid]s relevant & appropriate ) respect to1 ea* individual describ$ 9 subp>agraph 7,a7 :o-- 7i7 grants to ! ,secret>y p]mission to include su* in=mation 9 ! ,regi/ry2 or 7ii7 at ! "t ! "n ( ! individual is add$ to ! ,regi/ry1 is deceas$4 7#c7 ,consultation ) o!r ag5cies ,! ,secret>y ( ,vet]ans ,affairs %all consult ) ! ,secret>y ( ,def5se & ! heads ( o!r ag5cies z ! ,secret>y ( ,vet]ans ,affairs consid]s necess>y to e/abli% & ma9ta9 ! ,regi/ry4 #iac4 ,review ( det]m9ation ( c]ta9 s]vice 9 ,philipp9es dur+ ,_w ,w> ,,ii 7a7 ,9 g5]al ,! ,secret>y ( ,vet]ans ,affairs1 9 consultation ) ! ,secret>y ( ,def5se & su* milit>y hi/orians z ! ,secret>y ( ,def5se recomm5ds1 %all review ! process us$ 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 #iad4 ,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]vice4 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 #iae4 ,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 #iaf4 ,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 #iag4 ,designation ( ,am]ican ,_w ,w> ,,ii ,cities 7a7 ,9 g5]al ,! ,secret>y ( ,vet]ans ,affairs %all designate at lea/ "o city 9 ! ,unit$ ,/ates ea* ye> z an ,am]ican ,_w ,w> ,,ii ,city4 7b7 ,crit]ia = designation ,aft] ! designation made "u subsection 7c71 ! ,secret>y1 9 consultation ) ! ,secret>y ( ,def5se1 %all make ea* designation "u subsection 7a7 bas$ on ! foll[+ crit]ia3 7#a7 ,contributions by a city to ! w> ef=t dur+ ,_w ,w> ,,ii1 includ+ ^? relat$ to def5se manufactur+1 bond drives1 s]vice 9 ! ,arm$ ,=ces1 & ! pres5ce ( milit>y facilities )9 ! city4 7#b7 ,ef=ts by a city to pres]ve ! hi/ory ( ! city's contributions dur+ ,_w ,w> ,,ii1 includ+ ?r\gh ! e/abli%m5t ( pres]vation organizations or museums1 re/oration ( ,_w ,w> ,,ii facilities1 & recognition ( ,_w ,w> ,,ii vet]ans4 7c7 ,fir/ ,am]ican ,_w ,w> ,,ii ,city ,! city ( ,wilm+ton1 ,nor? ,c>ol9a1 is designat$ z an ,am]ican ,_w ,w> ,,ii ,city4 7d7 ,expiration ( au?ority ,! requirem5ts ( subsections 7a7 & 7b7 %all t]m9ate on ! date t is five ye>s aft] ! date ( ! enactm5t ( ?is ,act4