,,ii  #aac? ,,congress  #a/ ,session    
,s4 #hcb  ,,9 ,,! ,,s5ate ,,( ,,!       
,,unit$ ,,/ates  ,april #be1 #bjac ,mr4 
,donnelly introduc$ ! foll[+ bill2 :i* 0
 read twice & ref]r$ to ! ,committee on 
,vet]ans' ,affairs  ,a ,,bill  ,to      
require ! ,secret>y ( ,vet]ans ,affairs 
to c>ry out pilot programs on furni%+   
case managem5t s]vices & assi/$ liv+ to 
*ildr5 ( ,vietnam vet]ans & c]ta9 ,korea
 s]vice vet]ans born ) sp9a bifida &    
*ildr5 ( wom5 ,vietnam vet]ans born )   
c]ta9 bir? defects1 & = o!r purposes4   
#a4 ,%ort title ,?is ,act may be cit$ z 
! ,improv+ ! ,lives ( ,*ildr5 ) ,sp9a   
,bifida ,act ( #bjac4  #b4 ,pilot       
program on furni%+ case managem5t       
s]vices to *ildr5 ( ,vietnam vet]ans &  
c]ta9 ,korea s]vice vet]ans born ) sp9a 
bifida & *ildr5 ( wom5 ,vietnam vet]ans 
born ) c]ta9 bir? defects  7a7 ,pilot   
program ,comm5c+ n lat] ?an #ahj days   
aft] ! date ( ! enactm5t ( ?is ,act1 !  
,secret>y ( ,vet]ans ,affairs %all c>ry 
out a pilot program to assess !         

feasibility & advisability ( furni%+ to 
cov]$ individuals case managem5t s]vices
 "u a national contract ) a ?ird p>ty   
entity4  7b7 ,cov]$ individuals ,=      
purposes ( ?is section1 a cov]$         
individual is any individual :o--  7#a7 
is entitl$ to heal? c>e or o!r b5efits  
"u *apt] #ah ( title #ch1 ,unit$ ,/ates 
,code2 &  7#b7 lives 9 a rural area &   
does n h access to case managem5t       
s]vices at ! ,dep>tm5t ( ,vet]ans       
,affairs or o!rwise4  7c7 ,duration     
7#a7 ,9 g5]al ,except z o!rwise provid$ 
9 ?is subsection1 ! pilot program %all  
be c>ri$ out dur+ ! ?ree-ye> p]iod      
beg9n+ on ! date ( ! comm5cem5t ( !     
pilot program4  7#b7 ,cont9uation       
,subject to p>agraph 7#c71 ! ,secret>y  
may cont9ue ! pilot program = an        
additional two-ye> p]iod z ! ,secret>y  
consid]s appropriate4  7#c7 ,t]m9ation  
,! pilot program may n op]ate aft] !    
date t is five ye>s aft] ! date ( !     
comm5cem5t ( ! pilot program4  7d7      
,locations ,! ,secret>y %all select     

locations 9 :i* to c>ry out ! pilot     
program f among locations t ! ,secret>y 
consid]s rural & :]e individuals :o     
reside 9 su* locations lack access to   
compreh5sive case managem5t s]vices     
?r\gh ! ,dep>tm5t or o!rwise4  7e7      
,scope ( s]vices ,"u ! pilot program1 ! 
,secret>y %all provide cov]$ individuals
 ) integrat$1 compreh5sive s]vices1     
includ+ ! foll[+3  7#a7 ,coord9ation &  
managem5t ( ne$$ heal? c>e1 monet>y1 &  
g5]al c>e s]vices au?oriz$ "u *apt] #ah 
( title #ch1 ,unit$ ,/ates ,code4  7#b7 
,transportation s]vices4  7#c7 ,su* o!r 
s]vices z ! ,secret>y consid]s          
appropriate = ! c>e ( cov]$ individuals 
"u ! pilot program4  7f7 ,program       
requirem5ts ,9 c>ry+ out ! pilot        
program1 ! ,secret>y %all--  7#a7 in=m  
all cov]$ individuals ( ! s]vices       
available "u ! pilot program2  7#b7 ent]
 into contracts ) appropriate ?ird p>ty 
entities = ! provision ( case managem5t 
s]vices "u ! pilot program2 &  7#c7     
det]m9e ! appropriate numb] ( cov]$     

individuals to be enroll$ 9 ! pilot     
program & crit]ia = su* enrollm5t4  7g7 
,reports  7#a7 ,prelim9>y reports  7,a7 
,9 g5]al ,n lat] ?an "o ye> aft] ! date 
( ! comm5cem5t ( ! pilot program &1 if !
 pilot program is cont9u$ "u subsection 
7c77#b71 n lat] ?an ?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 submitt$ "u subp>agraph 7,a7 %all
 include ! foll[+3  7i7 ,a description (
 ! implem5tation & op]ation ( ! pilot   
program4  7ii7 ,! numb] ( cov]$         
individuals receiv+ b5efits "u ! pilot  
program4  7iii7 ,an analysis ( ! co/s & 
b5efits "u ! pilot program4  7iv7 ,an   
assessm5t ( ! utilization ( case        
managem5t "u ! pilot program4  7v7 ,!   
f9d+s & conclusions ( ! ,secret>y )     
respect to ! pilot program4  7vi7 ,su*  
recomm5dations = ! cont9uation or       

expansion ( ! pilot program z !         
,secret>y may h4  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 
submitt$ 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 may h4  7h7 ,fund+
 ,am\nts to c>ry out ! pilot program    
%all be d]iv$ f am\nts appropriat$ or   
o!rwise made available be=e ! date ( !  
enactm5t ( ?is ,act = ! furni%+ ( c>e & 
case managem5t "u *apt] #ah ( title #ch1
 ,unit$ ,/ates ,code4  #c4 ,pilot       
program on furni%+ assi/$ liv+ to *ildr5
 ( ,vietnam vet]ans & c]ta9 ,korea      
s]vice vet]ans born ) sp9a bifida &     
*ildr5 ( wom5 ,vietnam vet]ans born )   

c]ta9 bir? defects  7a7 ,pilot program  
,comm5c+ n lat] ?an #ahj days aft] !    
date ( ! enactm5t ( ?is ,act1 !         
,secret>y ( ,vet]ans ,affairs %all c>ry 
out a pilot 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 or o!r b5efits "u  
*apt] #ah ( title #ch1 ,unit$ ,/ates    
,code4  7c7 ,duration  7#a7 ,9 g5]al    
,except z o!rwise provid$ 9 ?is         
subsection1 ! pilot program %all be     
c>ri$ out dur+ ! ?ree-ye> p]iod beg9n+  
on ! date ( ! comm5cem5t ( ! pilot      
program4  7#b7 ,cont9uation ,subject to 
p>agraph 7#c71 ! ,secret>y may cont9ue !
 pilot program = an additional two-ye>  
p]iod z ! ,secret>y consid]s            
appropriate4  7#c7 ,t]m9ation ,! pilot  
program may n op]ate aft] ! date t is   
five ye>s aft] ! date ( ! comm5cem5t ( !

 pilot program4  7d7 ,scope ( s]vices & 
pilot program ,"u ! pilot 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 ! pilot program4  7e7 ,program       
requirem5ts ,9 c>ry+ out ! pilot        
program1 ! ,secret>y %all--  7#a7 in=m  
all cov]$ individuals ( ! s]vices       
available "u ! pilot program2  7#b7     
consid] ent]+ into an agreem5t )        
appropriate provid]s ( assi/$ liv+1 gr\p
 home c>e1 or o!r simil> s]vices =      
provision ( s]vices "u ! pilot program2 
&  7#c7 det]m9e ! appropriate numb] (   
cov]$ individuals to be enroll$ 9 !     
pilot 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 ( ! pilot program &1

 if ! pilot program is cont9u$ "u       
subsection 7c77#b71 n lat] ?an ?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 submitt$ "u        
subp>agraph 7,a7 %all include ! foll[+3 
7i7 ,a description ( ! implem5tation &  
op]ation ( ! pilot program4  7ii7 ,!    
numb] ( cov]$ individuals receiv+       
b5efits "u ! pilot program4  7iii7 ,an  
analysis t comp>es ! co/s ( furni%+     
assi/$ liv+1 gr\p home c>e1 or simil>   
s]vice ) ! co/s ( furni%+ nurs+ home    
c>e4  7iv7 ,an analysis ( ! co/s &      
b5efits "u ! pilot program4  7v7 ,!     
f9d+s & conclusions ( ! ,secret>y )     
respect to ! pilot program4  7vi7 ,su*  
recomm5dations = ! cont9uation or       
expansion ( ! pilot program z !         
,secret>y may h4  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 
submitt$ 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 may h4  7g7 ,fund+
 ,am\nts to c>ry out ! pilot program    
%all be d]iv$ f am\nts appropriat$ or   
o!rwise made available be=e ! date ( !  
enactm5t ( ?is ,act = ! furni%+ ( nurs+ 
home c>e "u *apt] #ah ( title #ch1      
,unit$ ,/ates ,code4