,i  #aad? ,,congress  #a/ ,session  ,h4 
,r4 #cahc  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,july #bc1 #bjae ,mr4 
,jolly introduc$ ! foll[+ bill2 :i* 0   
ref]r$ to ! ,committee on ,vet]ans'     
,affairs  ,a ,,bill  ,to am5d ! ,vet]ans
 ,access1 ,*oice1 & ,acc\ntability ,act 
( #bjad to exp& & make p]man5t !        
,vet]ans ,*oice ,program1 & = o!r       
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,vet]ans ,heal? ,c>e       
,fre$om ,act4  #b4 ,modification to     
,vet]ans ,*oice ,program  7a7 ,expansion
  7#a7 ,9 g5]al ,subsection 7b7 (       
section #aja ( ! ,vet]ans ,access1      
,*oice1 & ,acc\ntability ,act ( #bjad   
7#ch ,u4,s4,c4 #agja note7 is am5d$ to  
read z foll[s3  7b7 ,eligible vet]ans ,a
 vet]an is an eligible vet]an = purposes
 ( ?is section if ! vet]an is enroll$ 9 
! pati5t enrollm5t sy/em ( ! ,dep>tm5t (
 ,vet]ans ,affairs e/abli%$ & op]at$ "u 
section #agje ( title #ch1 ,unit$ ,/ates
 ,code1 includ+ any su* vet]an :o has n 
receiv$ hospital c>e or m$ical s]vices f

 ! ,dep>tm5t & has contact$ ! ,dep>tm5t 
seek+ an initial appo9tm5t f ! ,dep>tm5t
 = ! receipt ( su* c>e or s]vices4  4   
7#b7 ,*oice ( provid] ,su* section is   
am5d$-- 7,a7 9 subsection 7a7--  7i7 by 
/rik+ p>agraph 7#b72 &  7ii7 by         
r$esignat+ p>agraph 7#c7 z p>agraph     
7#b72 &  7,b7 by /rik+ subsection 7c7 & 
ins]t+ ! foll[+ new subsection 7c73  7c7
 ,*oice ( provid] ,an eligible vet]an :o
 receives hospital c>e or m$ical s]vices
 "u ?is section may select a provid] (  
su* c>e or s]vices f among ! entities   
specifi$ 9 p>agraph 7#a77;,b7 t are     
accessible to ! vet]an4  4  7#c7 ,con=m+
 am5dm5ts ,su* section is fur!r am5d$-- 
7,a7 9 subsection 7f77#a71 by /rik+     
subsection 7b77#a7 & ins]t+ subsection  
7b72  7,b7 9 subsection 7g7-- 7i7 9     
p>agraph 7#a71 by /rik+ subsection      
7b77#a77;,b7 & ins]t+ subsection 7b72 & 
7ii7 9 p>agraph 7#c71 by /rik+ "u       
subp>agraph 7,b71 7,c71 or 7,d7 (       
subsection 7b77#b72 &  7,c7 9 subsection
 7q77#b77;,a7--  7i7 by /rik+ 1         

disaggregat$ by-- & ins]t+ a p]iod2 &   
7ii7 by /rik+ clauses 7i7 ?r\gh 7iv74   
7b7 ,p]man5t program  7#a7 ,removal (   
sunset ,subsection 7p7 ( su* section is 
am5d$ to read z foll[s3  7p7 ,au?ority  
,to ,furni% ,c>e & ,s]vices ,! ,secret>y
 may furni% c>e & s]vices "u ?is section
 subject to ! availability ( funds 9 !  
,vet]ans ,*oice ,fund e/abli%$ by       
section #hjb or o!rwise appropriat$ to  
c>ry out ?is section4  4  7#b7 ,con=m+  
am5dm5ts ,section #aja ( su* ,act is    
fur!r am5d$-- 7,a7 9 subsection 7i77#b71
 by /rik+ is au?oriz$ to c>ry out ?is   
section pursuant to subsection 7p7 &    
ins]t+ c>ries out ?is section2 &  7,b7 9
 subsection 7q77#b71 z am5d$ by         
subsection 7a77#b77;,d7 ( ?is section1  
by /rik+ subp>agraph 7,f74  7c7 ,annual 
reports ,n lat] ?an "o ye> aft] ! date (
 ! enactm5t ( ?is ,act1 & annually      
!reaft]1 ! ,secret>y ( ,vet]ans ,affairs
 %all submit to ,congress a report t    
includes ! foll[+3  7#a7 ,) respect to  
ea* m$ical facility ( ! ,dep>tm5t (     

,vet]ans ,affairs1 any increase or      
decrease 9 ! numb] ( vet]ans seek+      
hospital c>e or m$ical s]vices at su*   
facility dur+ ! "o-ye> p]iod cov]$ by ! 
report4  7#b7 ,9 light ( ! increase or  
decrease ( vet]ans seek+ hospital c>e or
 m$ical s]vices at ea* m$ical facility (
 ! ,dep>tm5t z id5tifi$ "u p>agraph     
7#a71 recomm5dations by ! ,secret>y )   
respect to ! propos$ budget = su*       
facility = ! fiscal ye> foll[+ ! date ( 
! report4  7#c7 ,h[ ! ,secret>y is      
ensur+ compliance ) all requirem5ts (   
*apt] #ci ( title #ca1 ,unit$ ,/ates    
,code 7commonly ref]r$ to z ! ,prompt   
,paym5t ,act71 includ+1 = ! "o-ye> p]iod
 cov]$ by ! report--  7,a7 ! av]age     
am\nt ( "t tak5 by ! ,secret>y to pay a 
non-,dep>tm5t heal? c>e provid] aft]    
receiv+ an invoice2 &  7,b7 a           
description ( ea* in/ance 9 :i* !       
,secret>y paid int]e/ to su* a          
non-,dep>tm5t heal? c>e provid] pursuant
 to su* *apt] #ci4