,,ii  #aac? ,,congress  #a/ ,session    
,s4 #heb  ,,9 ,,! ,,s5ate ,,( ,,!       
,,unit$ ,,/ates  ,april #be1 #bjac ,mr4 
,s&]s introduc$ ! foll[+ bill2 :i* 0    
read twice & ref]r$ to ! ,committee on  
,vet]ans' ,affairs  ,a ,,bill  ,to      
improve heal? c>e furni%$ by ! ,dep>tm5t
 ( ,vet]ans ,affairs by increas+ access 
to complem5t>y & alt]native m$ic9e & o!r
 approa*es to wellness & prev5tive c>e1 
& = o!r purposes4  #a4 ,%ort title ,?is 
,act may be cit$ z ! ,vet]ans' ,heal?   
,promotion ,act ( #bjac4  #b4           
,designation & op]ation ( c5t]s (       
,innovation = complem5t>y & alt]native  
m$ic9e 9 heal? c>e rese>*1 education1 & 
cl9ical activities  7a7 ,designation &  
op]ation ( c5t]s ( innovation ,sub*apt] 
,,ii ( *apt] #gc ( title #ch1 ,unit$    
,/ates ,code1 is am5d$ by add+ at ! end 
! foll[+ new section3  #gccj;,b4 ,c5t]s 
( innovation = complem5t>y & alt]native 
m$ic9e 9 heal? c>e rese>*1 education1 & 
cl9ical activities  7a7 ,designation &  
op]ation ,! ,secret>y1 act+ ?r\gh !     

,director ( ! ,(fice ( ,pati5t ,c5t]$   
,c>e = ,cultural ,trans=mation1 %all    
designate & op]ate at lea/ "o c5t] (    
innovation = complem5t>y & alt]native   
m$ic9e 9 heal? rese>*1 education1 &     
cl9ical activities 9 ea* ,vet]ans       
,integrat$ ,s]vice ,networks4  7b7      
,functions ,! functions ( ! c5t]s (     
innovation designat$ & op]at$ "u        
subsection 7a7 are z foll[s3  7#a7 ,to  
conduct rese>* on ! furni%+ (           
complem5t>y & alt]native m$ic9e 9 heal? 
c>e4  7#b7 ,to develop specific models  
to be us$ by ! ,dep>tm5t 9 furni%+      
s]vices to vet]ans consi/+ ( complem5t>y
 & alt]native m$ic9e4  7#c7 ,to provide 
education & tra9+ = heal? c>e           
pr(essionals ( ! ,dep>tm5t on--  7,a7 ! 
furni%+ ( s]vices consi/+ ( complem5t>y 
& alt]native m$ic9e to vet]ans2 or  7,b7
 provid+ ref]rals to vet]ans = ! receipt
 ( su* s]vices4  7#d7 ,to develop &     
implem5t innovative cl9ical activities &
 sy/ems ( c>e = ! ,dep>tm5t = ! furni%+ 
( s]vices consi/+ ( complem5t>y &       

alt]native m$ic9e to vet]ans4  7c7      
,geographic disp]sion ,! ,secret>y %all 
ensure t ! c5t]s designat$ & op]at$ "u  
?is section are locat$ at heal? c>e     
facilities t are geographically disp]s$ 
?r\gh\t ! ,unit$ ,/ates4  7d7 ,fund+    
7#a7 ,!re is au?oriz$ to be appropriat$ 
to ! ,secret>y su* sums z may be        
necess>y = ! support ( ! rese>* &       
education activities ( ! c5t]s op]at$ "u
 ?is section4  7#b7 ,activities (       
cl9ical & sci5tific inve/igation at ea* 
c5t] op]at$ "u ?is section--  7,a7 %all 
be eligible to compete = ! aw>d ( fund+ 
f funds appropriat$ = ! ,m$ical &       
,pro/hetics ,rese>* ,acc\nt2 &  7,b7    
%all receive priority 9 ! aw>d ( fund+ f
 su* acc\nt to ! ext5t t funds are aw>d$
 to projects = rese>* on ! c>e ( rural  
vet]ans4  7e7 ,complim5t>y & alt]native 
m$ic9e def9$ ,9 ?is section1 ! t]m      
complim5t>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  4  7b7 ,cl]ical am5dm5t ,!  
table ( sections at ! beg9n+ ( *apt] #gc
 ( su* title is am5d$ by ins]t+ aft] !  
item relat+ to section #gccj;,a ! foll[+
 new item3  #gccj;,b4 ,c5t]s (          
,innovation = complem5t>y & alt]native  
m$ic9e 9 heal? c>e rese>*1 education1 & 
cl9ical activities4  4  #c4 ,pilot      
program on e/abli%m5t ( complem5t>y &   
alt]native m$ic9e c5t]s )9 ,dep>tm5t (  
,vet]ans ,affairs m$ical c5t]s  7a7     
,pilot program requir$ ,comm5c+ n lat]  
?an #ahj days aft] ! date ( ! enactm5t (
 ?is ,act1 ! ,secret>y ( ,vet]ans       
,affairs %all c>ry out1 ?r\gh ! ,(fice (
 ,pati5t ,c5t]$ ,c>e & ,cultural        
,trans=mation ( ! ,dep>tm5t ( ,vet]ans  
,affairs1 a pilot program to assess !   
feasibility & advisability ( e/abli%+   
complem5t>y & alt]native m$ic9e c5t]s )9
 ,dep>tm5t m$ical c5t]s to promote ! use
 & integration ( complem5t>y &          
alt]native m$ic9e s]vices = m5tal heal? 

diagnoses & pa9 managem5t4  7b7         
,duration ( 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 by e/abli%+ n few] ?an #ae     
complem5t>y & alt]native m$ic9e c5t]s 9 
#ae sep>ate ,dep>tm5t m$ical c5t]s z    
foll[s3  7,a7 ,five ,dep>tm5t m$ical    
c5t]s designat$ by ! ,secret>y z        
polytrauma c5t]s4  7,b7 ,t5 ,dep>tm5t   
m$ical c5t]s n designat$ by ,secret>y z 
polytrauma c5t]s4  7#b7 ,consid]ations  
,9 select+ locations = ! pilot program1 
! ,secret>y %all consid] ! feasibility &
 advisability ( select+ locations 9--   
7,a7 rural areas2  7,b7 areas t are n 9 
close proximity to an active duty       
milit>y in/allation2 &  7,c7 areas      
repres5t+ diff]5t geographic locations1 
su* z c5sus tracts e/abli%$ by ! ,bureau
 ( ! ,c5sus4  7d7 ,provision ( s]vices  
,"u ! pilot program1 ! ,secret>y %all   
provide cov]$ s]vices to cov]$ vet]ans  

?r\gh ! complem5t>y & alt]native m$ic9e 
c5t]s e/abli%$ "u subsection 7c77#a74   
7e7 ,cov]$ vet]ans ,= purposes ( ! pilot
 program1 a cov]$ vet]an is any vet]an  
:o has--  7#a7 a m5tal heal? condition  
diagnos$ by a cl9ician ( ! ,dep>tm5t2 or
  7#b7 a pa9 condition = :i* ! vet]an   
has receiv$ a pa9 managem5t plan f a    
cl9ician ( ! ,dep>tm5t4  7f7 ,cov]$     
s]vices  7#a7 ,9 g5]al ,= purposes ( !  
pilot program1 cov]$ s]vices are s]vices
 consi/+ ( complem5t>y or alt]native    
m$ic9e4  7#b7 ,adm9i/ration ( s]vices   
,cov]$ s]vices %all be adm9i/]$ "u !    
pilot program z foll[s3  7,a7 ,cov]$    
s]vices %all be adm9i/]$ by cl9icians :o
 exclusively provide s]vices consi/+ (  
complem5t>y or alt]native m$ic9e4  7,b7 
,cov]$ s]vices %all be includ$ z "p ( ! 
,pati5t ,align$ ,c>e ,teams initiative (
 ! ,(fice ( ,pati5t ,c>e ,s]vices1      
,prim>y ,c>e ,program ,(fice4  7,c7     
,cov]$ s]vices %all be made available to
 bo?--  7i7 cov]$ vet]ans ) m5tal heal? 
conditions or pa9 conditions describ$ 9 

subsection 7e7 :o h receiv$ traditional 
treatm5ts f ! ,dep>tm5t = su*           
conditions2 &  7ii7 cov]$ vet]ans )     
m5tal heal? conditions or pa9 conditions
 describ$ 9 subsection 7e7 :o h n       
receiv$ traditional treatm5ts f !       
,dep>tm5t = su* conditions4  7g7        
,volunt>y p>ticipation ,! p>ticipation (
 a vet]an 9 ! pilot 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 ( ! pilot program & n less   
frequ5tly ?an once e #ij days !reaft] = 
! duration ( ! pilot 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 ! pilot 
program1 includ+ a description ( !      
outrea* conduct$ by ! ,secret>y to      
vet]ans & community organizations to    
in=m su* organizations ab\t ! pilot     

program4  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$ "u subp>agraph 7,a7 %all       
include ! foll[+3  7i7 ,! f9d+s &       
conclusions ( ! ,secret>y ) respect to !
 pilot program1 includ+ ) respect to !  
utilization & efficacy ( ! complem5t>y &
 alt]native m$ic9e c5t]s e/abli%$ "u !  
pilot program4  7ii7 ,su* recomm5dations
 = ! cont9uation or expansion ( ! pilot 
program z ! ,secret>y consid]s          
appropriate4  #d4 ,pilot program on use 
( wellness programs z complem5t>y       
approa* to m5tal heal? c>e = vet]ans &  
family memb]s ( vet]ans  7a7 ,pilot     
program requir$  7#a7 ,9 g5]al ,!       
,secret>y ( ,vet]ans ,affairs %all c>ry 
out a pilot 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$ ,! pilot program 
%all be c>ri$ out s z to assess !       
foll[+3  7,a7 ,means ( improv+          
coord9ation betwe5 ,f$]al1 ,/ate1 local1
 & community provid]s ( heal? c>e 9 !   
provision ( m5tal heal? c>e to vet]ans &
 family memb]s describ$ 9 p>agraph 7#a74
  7,b7 ,means ( enhanc+ outrea*1 &      
coord9ation ( outrea*1 by & among       
provid]s ( heal? c>e ref]r$ to 9        
subp>agraph 7,a7 on ! m5tal heal? c>e   
s]vices available to vet]ans & family   
memb]s describ$ 9 p>agraph 7#a74  7,c7  
,means ( us+ wellness programs (        
provid]s ( heal? c>e ref]r$ to 9        
subp>agraph 7,a7 z complem5ts to !      
provision by ! ,dep>tm5t ( ,vet]ans     
,affairs ( m5tal heal? c>e to vet]ans & 
family memb]s describ$ 9 p>agraph 7#a74 

7,d7 ,:e!r wellness programs describ$ 9 
subp>agraph 7,c7 are effective 9 enhanc+
 ! quality ( life & well-be+ ( vet]ans &
 family memb]s describ$ 9 p>agraph 7#a74
  7,e7 ,:e!r wellness programs describ$ 
9 subp>agraph 7,c7 are effective 9      
increas+ ! adh]5ce ( vet]ans describ$ 9 
p>agraph 7#a7 to ! prim>y m5tal heal?   
s]vices provid$ su* vet]ans by !        
,dep>tm5t4  7,f7 ,:e!r wellness programs
 describ$ 9 subp>agraph 7,c7 h an impact
 on ! s5se ( wellbe+ ( vet]ans describ$ 
9 p>agraph 7#a7 :o receive prim>y m5tal 
heal? s]vices f ! ,dep>tm5t4  7,g7 ,:e!r
 wellness programs describ$ 9           
subp>agraph 7,c7 are effective 9        
enc\rag+ vet]ans receiv+ heal? c>e f !  
,dep>tm5t to adopt a m heal?y life/yle4 
7b7 ,duration ,! ,secret>y %all c>ry out
 ! pilot program = a p]iod ( ?ree ye>s  
beg9n+ on ! date t is #ij days aft] !   
date ( ! enactm5t ( ?is ,act4  7c7      
,locations ,! ,secret>y %all c>ry out ! 
pilot 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 ! pilot 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 
! pilot 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 ( !      
enactm5t ( ?is ,act1 & e #ahj days      
!reaft]1 ! ,secret>y %all submit to     
,congress a report on ! pilot 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 ! pilot program  
dur+ ! #ahj-;day p]iod prec$+ ! report4 
7ii7 ,an assessm5t ( ! b5efits ( ! pilot
 program to vet]ans & _! family memb]s  
dur+ ! #ahj-;day p]iod prec$+ ! report4 
7#b7 ,f9al report ,n lat] ?an #ahj days 
aft] ! end ( ! pilot program1 !         
,secret>y %all submit to ,congress a    
report detail+ ! recomm5dations ( !     
,secret>y z to ! advisability ( cont9u+ 
or exp&+ ! pilot program4  7g7 ,wellness
 def9$ ,9 ?is section1 ! t]m wellness   
%all h ! mean+ giv5 t t]m 9 regulations 
prescrib$ by ! ,secret>y4  #e4 ,pilot   
program on heal? promotion = ov]weight &
 obese vet]ans ?r\gh support ( fitness  
c5t] memb]%ip  7a7 ,pilot program       
requir$ ,comm5c+ n lat] ?an #ahj days   
aft] ! date ( ! enactm5t ( ?is ,act1 !  
,secret>y ( ,vet]ans ,affairs %all1     
?r\gh ! ,national ,c5t] = ,prev5tive    
,heal?1 c>ry out a pilot program to     
assess ! feasibility & advisability (   
promot+ heal? 9 cov]$ vet]ans1 includ+  
a*iev+ a heal?y weight & r$uc+ risks (  

*ronic disease1 ?r\gh support = fitness 
c5t] memb]%ip4  7b7 ,cov]$ vet]ans ,=   
purposes ( ?is section1 a cov]$ vet]an  
is any vet]an :o--  7#a7 is det]m9$ by a
 cl9ician ( ! ,dep>tm5t ( ,vet]ans      
,affairs to be ov]weight or obese z ( ! 
date ( ! comm5cem5t ( ! pilot program2 &
  7#b7 resides 9 a location t is m ?an  
#ae m9utes driv+ di/ance f a fitness    
c5t] at a facility ( ! ,dep>tm5t t w\ld 
o!rwise be available to ! vet]an = at   
lea/ eight h\rs p] day dur+ five or m   
days p] week4  7c7 ,duration ( pilot    
program ,! pilot program %all be c>ri$  
out dur+ ! two-ye> p]iod beg9n+ on !    
date ( ! comm5cem5t ( ! pilot program4  
7d7 ,locations  7#a7 ,9 g5]al ,9 c>ry+  
out ! pilot program1 ! ,secret>y %all   
select--  7,a7 n less ?an five m$ical   
c5t]s ( ! ,dep>tm5t at :i* ! ,secret>y  
%all cov] ! full reasonable co/ ( a     
fitness c5t] memb]%ip = cov]$ vet]ans )9
 ! cat*m5t area ( su* c5t]s2 &  7,b7 n  
less ?an five m$ical c5t]s ( ! ,dep>tm5t
 at :i* ! ,secret>y %all cov] half !    

reasonable co/ ( a fitness c5t] memb]%ip
 = cov]$ vet]ans )9 ! cat*m5t area ( su*
 c5t]s4  7#b7 ,consid]ations ,9 select+ 
locations = ! pilot program1 ! ,secret>y
 %all consid] ! feasibility &           
advisability ( select+ locations 9 !    
foll[+ areas3  7,a7 ,rural areas4  7,b7 
,areas t are n 9 close proximity to an  
active duty milit>y in/allation4  7,c7  
,areas 9 diff]5t geographic locations4  
7e7 ,p>ticipation  7#a7 ,maximum numb] (
 p>ticipants ,! numb] ( cov]$ vet]ans :o
 may p>ticipate 9 ! pilot program at a  
location select$ "u subsection 7d7 may n
 exce$ #ajj4  7#b7 ,volunt>y            
p>ticipation ,! p>ticipation ( a cov]$  
vet]an 9 ! pilot program %all be at !   
election ( ! cov]$ vet]an 9 consultation
 ) a cl9ician ( ! ,dep>tm5t4  7f7       
,memb]%ip paym5t  7#a7 ,9 g5]al ,except 
z provid$ 9 p>agraph 7#b71 9 c>ry+ out !
 pilot program1 ! ,secret>y %all pay !  
foll[+3  7,a7 ,! full reasonable co/ ( a
 fitness c5t] memb]%ip = cov]$ vet]ans  
)9 ! cat*m5t area ( c5t]s select$ "u    

subsection 7b77#a77;,a7 :o are          
p>ticipat+ 9 ! pilot program4  7,b7     
,half ! reasonable co/ ( a fitness c5t] 
memb]%ip = cov]$ vet]ans )9 ! cat*m5t   
area ( c5t]s select$ "u subsection      
7b77#a77;,b7 :o are p>ticipat+ 9 ! pilot
 program4  7#b7 ,limitation ,paym5t = a 
fitness c5t] memb]%ip ( a cov]$ vet]an  
may n exce$ #ej p] mon? ( memb]%ip4  7g7
 ,reports  7#a7 ,p]iodic reports ,n lat]
 ?an #ij days aft] ! date ( ! comm5cem5t
 ( ! pilot program & n less frequ5tly   
?an once e #ij days !reaft]1 ! ,secret>y
 %all submit to ! ,committee on         
,vet]ans' ,affairs ( ! ,s5ate & !       
,committee on ,vet]ans' ,affairs ( !    
,h\se ( ,repres5tatives a report on     
activities c>ri$ out to implem5t ! pilot
 program1 includ+ outrea* activities to 
vet]ans & community organizations4  7#b7
 ,f9al report ,n lat] ?an #ahj days aft]
 ! date ( ! 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 program detail+--     
7,a7 ! f9d+s & conclusions ( ! ,secret>y
 z a result ( ! pilot program2 &  7,b7  
recomm5dations = ! cont9uation or       
expansion ( ! pilot program4  #f4 ,pilot
 program on heal? promotion = vet]ans   
?r\gh e/abli%m5t ( ,dep>tm5t ( ,vet]ans 
,affairs fitness facilities  7a7 ,pilot 
program requir$ ,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 ( promot+  
heal? 9 cov]$ vet]ans1 includ+ a*iev+ a 
heal?y weight1 ?r\gh e/abli%m5t (       
,dep>tm5t ( ,vet]ans ,affairs fitness   
facilities4  7b7 ,cov]$ vet]ans ,=      
purposes ( ?is section1 a cov]$ vet]an  
is any vet]an :o is enroll$ 9 ! sy/em ( 
annual pati5t enrollm5t e/abli%$ &      
op]at$ by ! ,secret>y "u section #agje (
 title #ch1 ,unit$ ,/ates ,code4  7c7   
,duration ( pilot program ,! pilot      
program %all be c>ri$ out dur+ !        

?ree-ye> p]iod beg9n+ on ! date ( !     
comm5cem5t ( ! pilot program4  7d7      
,locations  7#a7 ,9 g5]al ,! ,secret>y  
%all c>ry out ! pilot program by        
e/abli%+ fitness facilities 9 ,dep>tm5t 
facilities z foll[s3  7,a7 ,9 n few] ?an
 five ,dep>tm5t ( ,vet]ans ,affairs     
m$ical c5t]s select$ by ! ,secret>y =   
purposes ( ! pilot program4  7,b7 ,9 n  
few] ?an five outpati5t cl9ics ( !      
,dep>tm5t select$ by ! ,secret>y =      
purposes ( ! pilot program4  7#b7       
,consid]ations ,9 select+ locations = ! 
pilot program1 ! ,secret>y %all consid] 
! feasibility & advisability ( select+  
locations 9 ! foll[+ areas3  7,a7 ,rural
 areas4  7,b7 ,areas t are n 9 close    
proximity to an active duty milit>y     
in/allation4  7,c7 ,areas 9 diff]5t     
geographic locations4  7e7 ,limitation  
on exp5ses ,9 e/abli%+ & support+ a     
fitness facility 9 a facility ( !       
,dep>tm5t "u ! pilot program1 !         
,secret>y may exp5d am\nts z foll[s3    
7#a7 ,= e/abli%m5t & support ( a fitness

 facility 9 a ,dep>tm5t ( ,vet]ans      
,affairs m$ical c5t]1 n m ?an #fj1jjj4  
7#b7 ,= e/abli%m5t & support ( a fitness
 facility 9 an outpati5t cl9ic ( !      
,dep>tm5t1 n m ?an #dj1jjj4  7f7        
,r5ovations & pur*ases ,subject to      
subsection 7e71 ! ,secret>y may1 9 c>ry+
 out ! pilot program1 make su*          
r5ovations to physical facilities ( !   
,dep>tm5t & pur*ase su* fitness equipm5t
 & supplies z ! ,secret>y consid]s      
appropriate = purposes ( ! pilot        
program4  7g7 ,prohibition on assessm5t 
( us] fees ,! ,secret>y may n assess a  
fee ^u a cov]$ vet]an = use ( a fitness 
facility e/abli%$ "u ! pilot program4   
7h7 ,volunt>y p>ticipation ,!           
p>ticipation ( a cov]$ vet]an 9 ! pilot 
program %all be at ! election ( ! cov]$ 
vet]an4  7i7 ,reports  7#a7 ,p]iodic    
reports ,n lat] ?an #ij days aft] ! date
 ( ! comm5cem5t ( ! pilot program & n   
less frequ5tly ?an once e #ij days      
!reaft]1 ! ,secret>y %all submit to !   
,committee on ,vet]ans' ,affairs ( !    

,s5ate & ! ,committee on ,vet]ans'      
,affairs ( ! ,h\se ( ,repres5tatives a  
report on activities c>ri$ out to       
implem5t ! pilot program1 includ+       
outrea* activities to vet]ans &         
community organizations4  7#b7 ,f9al    
report ,n lat] ?an #ahj days aft] ! date
 ( ! 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 program detail+--  7,a7 ! f9d+s & 
conclusions ( ! ,secret>y z a result ( !
 pilot program2 &  7,b7 recomm5dations =
 ! cont9uation or expansion ( ! pilot   
program4  #g4 ,/udy ( b>ri]s enc\nt]$ by
 vet]ans 9 receiv+ complem5t>y &        
alt]native m$ic9e f ,dep>tm5t ( ,vet]ans
 ,affairs  7a7 ,/udy requir$ ,!         
,secret>y ( ,vet]ans ,affairs %all      
conduct a compreh5sive /udy ( ! b>ri]s  
enc\nt]$ by vet]ans 9 receiv+           
complem5t>y & alt]native m$ic9e f !     
,dep>tm5t ( ,vet]ans ,affairs4 ,9       

conduct+ ! /udy1 ! ,secret>y %all--     
7#a7 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     
7#b7 adm9i/] ! survey to a repres5tative
 sample ( vet]ans f ea* ,vet]ans        
,integrat$ ,s]vice ,network2 &  7#c7    
ensure t ! sample ( vet]ans survey$ is (
 suffici5t size = ! /udy results to be  
/ati/ically significant4  7b7 ,elem5ts (
 /udy ,9 conduct+ ! /udy 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 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$ic9e furni%$ 
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  7c7    
,dis*>ge by contract ,! ,secret>y %all  
ent] into a contract ) a qualifi$       
indep5d5t entity or organization to c>ry
 out ! /udy requir$ by ?is section4  7d7
 ,m&atory review ( data by c]ta9        
,dep>tm5t divisions  7#a7 ,9 g5]al ,!   
,secret>y %all ensure t ! head ( ea*    
division ( ! ,dep>tm5t specifi$ 9       
p>agraph 7#b7 reviews ! results ( ! /udy
 conduct$ "u ?is section4 ,! head ( ea* 
su* division %all submit f9d+s ) respect
 to ! /udy 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  7#b7      
,specifi$ divisions ,! divisions ( !    
,dep>tm5t specifi$ 9 ?is p>agraph are ! 
foll[+3  7,a7 ,! c5t]s = innovation     
e/abli%$ "u section #gccj;,b ( title    
#ch1 ,unit$ ,/ates ,code1 z add$ by     
section #b4  7,b7 ,! ,heal? ,s]vices    
,rese>* & ,developm5t ,s]vice ,sci5tific
 ,m]it ,review ,bo>d4  7e7 ,reports     

7#a7 ,report on implem5tation ,n lat]   
?an #ahj days 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 ( ea* division ( ! ,dep>tm5t      
specifi$ "u subsection 7d77#b7 & ( ! ,"u
 ,secret>y = ,heal?4  7f7 ,au?orization 
( appropriations ,!re is au?oriz$ to be 
appropriat$ to ! ,secret>y #b1jjj1jjj to
 c>ry out ?is section4  #h4 ,complim5t>y
 & alt]native m$ic9e def9$ ,9 ?is ,act1 
! t]m complim5t>y & alt]native m$ic9e   
%all h ! mean+ giv5 su* t]m "u section  
#gccj;,b ( title #ch1 ,unit$ ,/ates     

,code1 z add$ by section #b4