,,ii  #aac? ,,congress  #a/ ,session    
,s4 #di  ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$
 ,,/ates  ,janu>y #bb 7legislative day1 
,janu>y #c71 #bjac ,mrs4 ,%ahe5 7=      
h]self & ,ms4 ,ayotte7 introduc$ !      
foll[+ bill2 :i* 0 read twice & ref]r$  
to ! ,committee on ,vet]ans' ,affairs   
,a ,,bill  ,to am5d title #ch1 ,unit$   
,/ates ,code1 to ensure t vet]ans 9 ea* 
( ! #dh contigu\s ,/ates are able to    
receive s]vices 9 at lea/ "o full-s]vice
 ,dep>tm5t ( ,vet]ans ,affairs m$ical   
c5t] 9 ! ,/ate or receive comp>able     
s]vices provid$ by contract 9 ! ,/ate1 &
 = o!r purposes4  #a4 ,%ort title ,?is  
,act may be cit$ z ! ,vet]ans ,heal?    
,equity ,act ( #bjac4  #b4 ,availability
 ( full-s]vice ,dep>tm5t ( ,vet]ans     
,affairs m$ical c5t]s 9 c]ta9 ,/ates or 
provision ( comp>able s]vices ?r\gh     
contract ) o!r heal? c>e provid]s 9 !   
,/ate  7a7 ,9 g5]al ,*apt] #ag ( title  
#ch1 ,unit$ ,/ates ,code1 is am5d$ by   
ins]t+ aft] section #agjf ! foll[+ new  
section3  #agjf;,a4 ,managem5t ( heal?  

c>e3 access to full-s]vice ,dep>tm5t    
m$ical c5t]s 9 c]ta9 ,/ates or comp>able
 s]vices ?r\gh contract  7a7 ,requirem5t
 ,) respect to ea* ( ! #dh contigu\s    
,/ates1 ! ,secret>y %all ensure t       
vet]ans 9 a ,/ate :o are eligible =     
hospital c>e & m$ical s]vices "u section
 #agaj ( ?is title h access--  7#a7 to  
at lea/ "o full-s]vice ,dep>tm5t m$ical 
c5t] 9 ! ,/ate2 or  7#b7 to hospital c>e
 & m$ical s]vices comp>able to ! s]vices
 typically provid$ by full-s]vice       
,dep>tm5t m$ical c5t]s ?r\gh contract ) 
o!r heal? c>e provid]s 9 ! ,/ate4  7b7  
,rule ( con/ruction ,no?+ 9 subsection  
7a7 %all be con/ru$ to limit ! ability (
 ! ,secret>y to provide enhanc$ c>e to  
an eligible vet]an :o resides 9 "o ,/ate
 9 a ,dep>tm5t m$ical c5t] 9 ano!r      
,/ate4  7c7 ,limitation on requirem5t   
,subsection 7a7 %all be effective 9 any 
fiscal ye> only to ! ext5t & 9 ! am\nt  
provid$ 9 advance 9 appropriations      
,acts4  7d7 ,full-,s]vice ,dep>tm5t     
m$ical c5t] def9$ ,9 ?is section1 ! t]m 

full-s]vice ,dep>tm5t m$ical c5t] means 
a facility ( ! ,dep>tm5t t provides     
m$ical s]vices1 includ+ hospital c>e1   
em]g5cy m$ical s]vices1 & surgical c>e  
rat$ by ! ,secret>y z hav+ a surgical   
complexity level ( /&>d4  4  7b7        
,cl]ical am5dm5t ,! table ( sections at 
! beg9n+ ( su* *apt] is am5d$ by ins]t+ 
aft] ! item relat+ to section #agjf !   
foll[+ new item3  #agjf;,a4 ,managem5t (
 heal? c>e3 access to full-s]vice       
,dep>tm5t m$ical c5t]s 9 c]ta9 ,/ates or
 comp>able s]vices ?r\gh contract4  4   
7c7 ,report on implem5tation ,n lat] ?an
 "o ye> aft] ! date ( ! enactm5t ( ?is  
,act1 ! ,secret>y ( ,vet]ans ,affairs   
%all submit to ,congress a report       
describ+ ! ext5t to :i* ! ,secret>y has 
compli$ ) ! requirem5t impos$ by section
 #agjf;,a ( title #ch1 ,unit$ ,/ates    
,code1 z add$ by subsection 7a71 includ+
 ! effect ( su* requirem5t on improv+ ! 
quality & /&>ds ( c>e provid$ to        
vet]ans4