,i  #aad? ,,congress  #b;d ,session  ,h4
 ,r4 #ebhf  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,may #ai1 #bjaf ,mr4  
,mill] ( ,florida introduc$ ! foll[+    
bill2 :i* 0 ref]r$ to ! ,committee on   
,vet]ans' ,affairs1 & 9 addition to !   
,committee on ,arm$ ,s]vices1 = a p]iod 
to be subsequ5tly det]m9$ by ! ,speak]1 
9 ea* case = consid]ation ( su*         
provisions z fall )9 ! jurisdiction ( ! 
committee conc]n$  ,a ,,bill  ,to make  
c]ta9 improvem5ts 9 ! laws adm9i/]$ by !
 ,secret>y ( ,vet]ans ,affairs1 & = o!r 
purposes4  #a4 ,%ort title2 table (     
cont5ts  7a7 ,%ort title ,?is ,act may  
be cit$ z ! ,,va ,con/ruction & ,lease  
,au?orization1 ,heal?1 & ,b5efits       
,enhancem5t ,act4  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--,non-,dep>tm5t c>e ,sec4 #aja4      
,vet]ans ,c>e ,agreem5ts4 ,sec4 #ajb4   

,paym5t ( heal? c>e provid]s4 ,subtitle 
,b--,pati5t advocacy ,sec4 #aaa4        
,community meet+s on improv+ c>e furni%$
 by ,dep>tm5t ( ,vet]ans ,affairs4 ,sec4
 #aab4 ,improvem5t ( aw>5ess ( ,pati5t  
,advocacy ,program & pati5t bill (      
rights ( ,dep>tm5t ( ,vet]ans ,affairs4 
,sec4 #aac4 ,comptroll] ,g5]al report on
 ,pati5t ,advocacy ,program ( ,dep>tm5t 
( ,vet]ans ,affairs4 ,subtitle          
,c--,complem5t>y & integrative heal?    
,sec4 #aba4 ,pilot program on           
integration ( complem5t>y alt]native    
m$ic9es & relat$ issues = vet]ans &     
family memb]s ( vet]ans4 ,subtitle      
,d--,fitness ( heal? c>e provid]s ,sec4 
#aca4 ,additional requirem5ts = hir+ (  
heal? c>e provid]s by ,dep>tm5t (       
,vet]ans ,affairs4 ,sec4 #acb4          
,provision ( in=mation on heal? c>e     
provid]s ( ,dep>tm5t ( ,vet]ans ,affairs
 to ,/ate ,m$ical ,bo>ds4 ,sec4 #acc4   
,report on compliance by ,dep>tm5t (    
,vet]ans ,affairs ) reviews ( heal? c>e 
provid]s leav+ ! ,dep>tm5t or transf]r+ 

to o!r facilities4 ,subtitle ,e--,o!r   
matt]s ,sec4 #ada4 ,audit ( ,vet]ans    
,heal? ,adm9i/ration programs (         
,dep>tm5t ( ,vet]ans ,affairs4 ,title   
,,ii--,con/ruction & facilities matt]s  
,sec4 #bja4 ,au?orization ( c]ta9 major 
m$ical facility projects ( ! ,dep>tm5t (
 ,vet]ans ,affairs4 ,sec4 #bjb4         
,submission ( in=mation4 ,sec4 #bjc4    
,au?orization ( major m$ical facility   
leases4 ,sec4 #bjd4 ,au?orization ( sale
 ( ,p]%+ ,hall4 ,sec4 #bje4 ,au?ority to
 ent] into c]ta9 leases at ! ,dep>tm5t (
 ,vet]ans ,affairs ,we/ ,los ,angeles   
,campus4 ,title ,,iii--,matt]s relat+ to
 toxic exposure ,sec4 #cja4 ,def9itions4
 ,sec4 #cjb4 ,national c5t] = rese>* on 
! diagnosis & treatm5t ( heal?          
conditions ( ! desc5dants ( individuals 
expos$ to toxic sub/ances dur+ s]vice 9 
! ,arm$ ,=ces t are relat$ to su*       
s]vice4 ,sec4 #cjc4 ,advisory ,bo>d4    
,sec4 #cjd4 ,declassification review by 
,dep>tm5t ( ,def5se ( c]ta9 incid5ts (  
exposure ( memb]s ( ! ,arm$ ,=ces to    

toxic sub/ances4 ,sec4 #cje4 ,national  
outrea* campaign on pot5tial long-t]m   
heal? effects ( exposure to toxic       
sub/ances by memb]s ( ! ,arm$ ,=ces & _!
 desc5dants4 ,title ,,iv--,o!r matt]s   
,sec4 #dja4 ,special comp5sation = loss 
or loss ( use ( creative organs4 ,sec4  
#djb4 ,in=mation te*nology sy/em to     
assess & improve ! family c>egiv]       
program2 au?ority to exp& program4 ,sec4
 #djc4 ,ext5sion ( co/-(-liv+ adju/m5ts 
= disability comp5sation4  #b4 ,ref]5ces
 to title #ch1 ,unit$ ,/ates ,code      
,except z o!rwise specifically 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 ,non-,dep>tm5t c>e  #aja4    
,vet]ans ,c>e ,agreem5ts  7a7 ,9 g5]al  
,sub*apt] ,i ( *apt] #ag is am5d$ by    
ins]t+ aft] section #agjc ! foll[+ new  
section3  #agjc;,a4 ,vet]ans ,c>e       

,agreem5ts ) c]ta9 heal? c>e provid]s   
7a7 ,vet]ans ,c>e ,agreem5ts  7#a7 ,9   
addition to furni%+ hospital c>e1 m$ical
 s]vices1 or ext5d$ c>e "u ?is *apt] at 
facilities ( ! ,dep>tm5t or "u contracts
 or %>+ agreem5ts ent]$ into pursuant to
 provisions ( law o!r ?an ?is section1 !
 ,secret>y may furni% su* c>e & s]vices 
to eligible vet]ans ?r\gh ! use (       
agreem5ts ent]$ into "u ?is section by !
 ,secret>y ) eligible provid]s4  7#b7 ,!
 ,secret>y may ent] into ,vet]ans ,c>e  
,agreem5ts "u ?is section ) eligible    
provid]s to furni% hospital c>e1 m$ical 
s]vices1 & ext5d$ c>e to vet]ans :om !  
,secret>y det]m9es t furni%+ su* c>e &  
s]vices at facilities ( ! ,dep>tm5t or  
"u contracts or %>+ agreem5ts "u        
provisions ( law o!r ?an ?is section is 
impracticable or inadvisable because ( !
 m$ical condition ( ! vet]an1 ! travel  
involv$1 or ! nature ( ! c>e or s]vices 
requir$1 or a comb9ation ( su* factors4 
7#c7 ,! ,secret>y may ent] into ,vet]ans
 ,c>e ,agreem5ts "u ?is section )       

eligible provid]s if ! ,secret>y        
det]m9es t ! hospital c>e or m$ical     
s]vices to be furni%$ "u ! agreem5t is n
 available to be furni%$ by a           
non-,dep>tm5t heal? c>e provid] "u a    
contract or %>+ agreem5t ent]$ into     
pursuant to provisions ( law o!r ?an ?is
 section4  7b7 ,vet]an eligibility      
,eligibility ( a vet]an = c>e & s]vices 
"u ?is section %all be det]m9$ z if su* 
c>e or s]vices 7 furni%$ 9 a facility ( 
! ,dep>tm5t1 & provisions ( ?is title   
applicable to vet]ans receiv+ su* c>e & 
s]vices 9 a facility ( ! ,dep>tm5t %all 
apply to vet]ans receiv+ c>e & s]vices  
"u ?is section4  7c7 ,provid]           
eligibility ,subject to ! c]tification  
process pursuant to subsection 7d77#a71 
a provid] ( hospital c>e1 m$ical        
s]vices1 or ext5d$ c>e is eligible to   
ent] into a ,vet]ans ,c>e ,agreem5t "u  
?is section if ! ,secret>y det]m9es t ! 
provid] meets ea* ( ! foll[+ crit]ia3   
7#a7 ,! gross annual rev5ue ( ! provid] 
9 ! ye> prec$+ ! ye> 9 :i* ! provid]    

ent]s into ! ,vet]ans ,c>e ,agreem5t    
does n exce$ #aa1jjj1jjj 7z adju/$ 9 a  
mann] simil> to am\nts adju/$ pursuant  
to section #ecab ( ?is title7 or1 )     
respect to a provid] t is a nurs+ c>e   
facility 7skill$ nurs+ facility71       
#bg1ejj1jjj 7z s adju/$74  7#b7 ,!      
provid] does n o!rwise provide su* c>e  
or s]vices to pati5ts pursuant to a     
contract ent]$ into ) a dep>tm5t or     
ag5cy ( ! ,f$]al ,gov]nm5t4  7#c7 ,!    
provid] is-- 7,a7 a provid] ( s]vices t 
has enroll$ & ent]$ into a provid]      
agreem5t "u section #ahff7;a7 ( !       
,social ,security ,act 7#db ,u4,s4,c4   
#acie;cc7a772  7,b7 a physician or      
suppli] t has enroll$ & ent]$ into a    
p>ticipation agreem5t "u section        
#ahdb7;h7 ( su* ,act 7#db ,u4,s4,c4     
#acieu7h772  7,c7 a provid] ( items &   
s]vices receiv+ paym5t "u a ,/ate plan  
"u title ,,xix ( su* ,act 7#db ,u4,s4,c4
 #acif et seq47 or a waiv] ( su* a plan2
  7,d7 an ,ag+ & ,disability ,res\rce   
,c5t]1 an area ag5cy on ag+1 or a ,/ate 

ag5cy 7z def9$ 9 section #ajb ( ! ,old] 
,am]icans ,act ( #aife 7#db ,u4,s4,c4   
#cjjb772 or  7,e7 a c5t] = indep5d5t    
liv+ 7z def9$ 9 section #gjb ( !        
,rehabilitation ,act ( #aigc 7#bi       
,u4,s4,c4 #gif;a774  7#d7 ,any          
additional crit]ia det]m9$ appropriate  
by ! ,secret>y4  7d7 ,provid]           
c]tification  7#a7 ,! ,secret>y %all    
e/abli% a process = ! c]tification (    
eligible provid]s to ent] into ,vet]ans 
,c>e ,agreem5ts "u ?is section t %all1  
at a m9imum1 set =? ! foll[+3  7,a7     
,proc$ures = ! submission ( applications
 = c]tification & deadl9es = actions    
tak5 by ! ,secret>y ) respect to su*    
applications4  7,b7 ,/&>ds & proc$ures =
 ! approval & d5ial ( c]tifications & ! 
revocation ( c]tifications4  7,c7       
,proc$ures = assess+ eligible provid]s  
bas$ on ! risk ( fraud1 wa/e1 & abuse ( 
su* provid]s simil> to ! level ( scre5+ 
"u section #ahff7;j77#b77;,b7 ( !       
,social ,security ,act 7#db ,u4,s4,c4   
#acie7;j77#b77;,b77 & ! /&>ds set =? "u 

section #i4ajd ( title #dh1 ,code (     
,f$]al ,regulations1 or any successor   
regulation4  7,d7 ,requirem5t = d5ial or
 revocation ( c]tification if !         
,secret>y det]m9es t ! o!rwise eligible 
provid] is--  7i7 exclud$ f p>ticipation
 9 a ,f$]al heal? c>e program 7z def9$ 9
 section #aabh;,b7f7 ( ! ,social        
,security ,act 7#db ,u4,s4,c4           
#acbj;a-#g;b7f777 "u section #aabh or   
#aabh;,a ( ! ,social ,security ,act 7#db
 ,u4,s4,c4 #acbj;a-#g & #acbj;a-#g;a72  
or  7ii7 id5tifi$ z an exclud$ s\rce on 
! li/ ma9ta9$ 9 ! ,sy/em = ,aw>d        
,managem5t1 or any successor sy/em4     
7,e7 ,proc$ures by :i* a provid] ^:     
c]tification is d5i$ or revok$ "u !     
proc$ures e/abli%$ "u ?is subsection w  
be id5tifi$ z an exclud$ s\rce on ! li/ 
ma9ta9$ 9 ! ,sy/em = ,aw>d ,managem5t1  
or successor sy/em1 if ! ,secret>y      
det]m9es t su* exclusion is appropriate4
  7#b7 ,to ! ext5t practicable1 !       
,secret>y %all e/abli% ! proc$ures "u   
p>agraph 7#a7 9 a mann] t takes into    

acc\nt any c]tification process adm9i/]$
 by ano!r dep>tm5t or ag5cy ( ! ,f$]al  
,gov]nm5t t an eligible provid] has     
complet$ by reason ( be+ a provid]      
describ$ 9 any ( subp>agraphs 7,a7 ?r\gh
 7,e7 ( subsection 7c77#c74  7e7 ,t]ms (
 ,agreem5ts  7#a7 ,! ,secret>y %all     
ensure t ea* ,vet]ans ,c>e ,agreem5t    
include provisions requir+ ! eligible   
provid] to d ! foll[+3  7,a7 ,to accept 
paym5t = c>e & s]vices furni%$ "u ?is   
section 9 accordance ) p>agraph 7#b74   
7,b7 ,to accept paym5t "u subp>agraph   
7,a7 z paym5t 9 full = c>e & s]vices    
furni%$ "u ?is section & to n seek any  
paym5t = su* c>e & s]vices f ! recipi5t 
( su* c>e4  7,c7 ,to furni% "u ?is      
section only ! c>e & s]vices au?oriz$ by
 ! ,dep>tm5t "u ?is section unless !    
eligible provid] receives prior writt5  
cons5t f ! ,dep>tm5t to furni% c>e &    
s]vices outside ! scope ( su*           
au?orization4  7,d7 ,to bill ! ,dep>tm5t
 = c>e & s]vices furni%$ "u ?is section 
9 accordance ) a me?odology e/abli%$ by 

! ,secret>y = purposes ( ?is section4   
7,e7 ,n to seek to recov] or collect f a
 heal?-plan contract or ?ird p>ty 7z ^? 
t]ms are def9$ 9 section #agbi ( ?is    
title7 = any c>e or s]vices = :i* paym5t
 is made by ! ,dep>tm5t "u ?is section4 
7,f7 ,to provide m$ical records =       
vet]ans furni%$ c>e & s]vices "u ?is    
section to ! ,dep>tm5t 9 a timeframe &  
=mat specifi$ by ! ,secret>y = purposes 
( ?is section1 except ! ,secret>y may n 
require t any paym5t by ! ,secret>y to !
 eligible provid] be cont+5t on su*     
provision ( m$ical records4  7,g7 ,to   
meet o!r su* t]ms & conditions1 includ+ 
quality ( c>e assurance /&>ds1 z !      
,secret>y may specify = purposes ( ?is  
section4  7#b7  7,a7 ,except z provid$ 9
 subp>agraphs 7,b7 ?r\gh 7,g71 rates    
negotiat$ = c>e & s]vices furni%$ "u a  
,vet]ans ,c>e ,agreem5t %all n be m ?an 
! rates paid by ! ,unit$ ,/ates to a    
provid] ( s]vices 7z def9$ 9 section    
#ahfa7u7 ( ! ,social ,security ,act 7#db
 ,u4,s4,c4 #aciex7u777 or a suppli] 7z  

def9$ 9 section #ahfa7;d7 ( su* ,act    
7#db ,u4,s4,c4 #aciex7d777 "u ! ,m$ic>e 
program "u title ,,xviii ( ! ,social    
,security ,act 7#db ,u4,s4,c4 #acie et  
seq47 = ! same c>e or s]vices4  7,b7 ,) 
respect to ! furni%+ ( c>e or s]vices "u
 ?is section to an eligible vet]an :o   
resides 9 a highly rural area 7z def9$  
"u ! rural-urban commut+ area codes     
develop$ by ! ,secret>y ( ,agriculture &
 ! ,secret>y ( ,heal? & ,human          
,s]vices71 ! ,secret>y ( ,vet]ans       
,affairs may negotiate a rate t is m ?an
 ! rate paid by ! ,unit$ ,/ates z       
describ$ 9 subp>agraph 7,b74  7,c7 ,)   
respect to furni%+ c>e or s]vices "u a  
,vet]ans ,c>e ,agreem5t 9 ,alaska1 !    
,alaska ,fee ,s*$ule ( ! ,dep>tm5t (    
,vet]ans ,affairs w be foll[$1 except = 
:5 ano!r paym5t agreem5t1 includ+ a     
contract or provid] agreem5t1 is 9      
place4  7,d7 ,) respect to furni%+ c>e  
or s]vices "u a ,vet]ans ,c>e ,agreem5t 
9 a ,/ate ) an ,all-,pay] ,model        
,agreem5t "u ! ,social ,security ,act t 

became effective on or aft] ,janu>y #a1 
#bjad1 ! ,m$ic>e paym5t rates "u clause 
7i7 %all be calculat$ bas$ on ! paym5t  
rates "u su* agreem5t1 or any su*       
successor agreem5t4  7,e7 ,) respect to 
furni%+ c>e or s]vices "u a ,vet]ans    
,c>e ,agreem5t 9 a region 9 :i* !       
,secret>y det]m9es t adju/+ ! rate paid 
by ! ,unit$ ,/ates z describ$ 9         
subp>agraph 7,a7 is appropriate1 !      
,secret>y may negotiate su* an adju/$   
rate4  7,f7 ,) respect to furni%+ c>e or
 s]vices "u a ,vet]ans ,c>e ,agreem5t 9 
a location or 9 a situation 9 :i* an    
exception to ! rates paid by ! ,unit$   
,/ates "u ! ,m$ic>e program "u title    
,,xviii ( ! ,social ,security ,act 7#db 
,u4,s4,c4 #acie et seq47 = ! same c>e or
 s]vices applies1 ! ,secret>y %all foll[
 su* exception4  7,g7 ,) respect to     
furni%+ c>e or s]vices "u a ,vet]ans    
,c>e ,agreem5t = c>e or s]vices n cov]$ 
"u ! ,m$ic>e program "u title ,,xviii ( 
! ,social ,security ,act 7#db ,u4,s4,c4 
#acie et seq471 ! ,secret>y %all e/abli%

 a s*$ule ( fees = su* c>e or s]vices4  
7f7 ,exclusion ( c]ta9 ,f$]al contract+ 
provisions  7#a7 ,not)/&+ any o!r       
provision ( law1 ! ,secret>y may ent]   
into a ,vet]ans ,c>e ,agreem5t us+      
proc$ures o!r ?an competitive proc$ures4
  7#b7  7,a7 ,except z provid$ 9        
subp>agraph 7,b7 & unless o!rwise       
provid$ 9 ?is section1 an eligible      
provid] t ent]s into a ,vet]ans ,c>e    
,agreem5t "u ?is section is n subject   
to1 9 ! c>ry+ out ( ! agreem5t1 any     
provision ( law t provid]s ( s]vices &  
suppli]s "u ! orig9al ,m$ic>e           
fee-=-s]vice program "u p>ts ,a & ,b (  
title ,,xviii ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #acie et seq47 or !     
,m$icaid program "u title ,,xix ( su*   
,act 7#db ,u4,s4,c4 #acif et seq47 are n
 subject to4  7,b7 ,9 addition to !     
provisions ( laws cov]$ by subp>agraph  
7,a71 an eligible provid] %all be       
subject to ! foll[+ provisions ( law3   
7i7 ,any applicable law reg>d+          
integrity1 e?ics1 or fraud1 or t subject

 a p]son to civil or crim9al p5alties4  
7ii7 ,section #dca ( title #ah4  7iii7  
,section #aceb ( title #ca1 except = !  
fil+ requirem5ts "u subsection 7b7 ( su*
 section4  7iv7 ,section #dgje or #dgab 
( title #da1 & any o!r applicable law   
reg>d+ ! protection ( :i/lebl[]s4  7v7  
,section #dgjf7;d7 ( title #da4  7vi7   
,title ,,vii ( ! ,civil ,rights ,act (  
#aifd 7#db ,u4,s4,c4 #bjjj;e et seq47 to
 ! same ext5t z su* title applies )     
respect to ! eligible provid] 9 provid+ 
c>e or s]vices ?r\gh an agreem5t or     
arrangem5t o!r ?an "u a ,vet]ans ,c>e   
,agreem5t4  7,c7 ,an eligible provid] t 
receives a paym5t f ! ,f$]al ,gov]nm5t  
pursuant to a ,vet]ans ,c>e ,agreem5t   
%all n be treat$ z a ,f$]al contractor  
or subcontractor by ! ,(fice ( ,f$]al   
,contract ,compliance ,programs ( !     
,dep>tm5t ( ,labor bas$ on ! "w p]=m$ or
 actions tak5 by su* eligible provid] t 
result$ 9 ! receipt ( su* paym5ts4  7g7 
,t]m9ation ( a ,vet]ans ,c>e agreem5t   
7#a7 ,an eligible provid] may t]m9ate a 

,vet]ans ,c>e ,agreem5t ) ! ,secret>y "u
 ?is section at su* "t & ^u su* notice  
to ! ,secret>y z ! ,secret>y may specify
 = purposes ( ?is section4  7#b7 ,!     
,secret>y may t]m9ate a ,vet]ans ,c>e   
,agreem5t ) an eligible provid] "u ?is  
section at su* "t & ^u su* notice to !  
eligible provid] z ! ,secret>y may      
specify = ! purposes ( ?is section1 if !
 ,secret>y--  7,a7 det]m9es t ! eligible
 provid] fail$ to comply ) ! provisions 
( ! agreem5t or ?is section or o!r      
applicable provision ( law2  7,b7 makes 
a revocation pursuant to subsection     
7d77#a77d72  7,c7 asc]ta9s t ! eligible 
provid] has be5 convict$ ( a felony or  
o!r s]i\s (f5se "u ,f$]al or ,/ate law &
 det]m9es t ! cont9u$ p>ticipation ( !  
eligible provid] w\ld be detrim5tal to !
 be/ int]e/s ( vet]ans ( ! ,dep>tm5t2 or
  7,d7 det]m9es t x is reasonable to    
t]m9ate ! agreem5t bas$ on ! heal? c>e  
ne$s ( vet]ans4  7h7 ,disputes  7#a7 ,! 
,secret>y %all e/abli% adm9i/rative     
proc$ures = eligible provid]s ) :i* !   

,secret>y has ent]$ into a ,vet]ans ,c>e
 ,agreem5t to pres5t any dispute aris+  
"u or relat$ to ! agreem5t4  7#b7 ,be=e 
us+ any dispute resolution me*anism "u  
*apt] #ga ( title #da ) respect to a    
dispute aris+ "u a ,vet]ans ,c>e        
,agreem5t "u ?is section1 an eligible   
provid] mu/ fir/ exhau/ ! adm9i/rative  
proc$ures e/abli%$ by ! ,secret>y "u    
p>agraph 7#a74  7i7 ,annual reports ,n  
lat] ?an ,octob] #a ( ! ye> foll[+ !    
fiscal ye> 9 :i* ! ,secret>y fir/ ent]s 
into a ,vet]ans ,c>e ,agreem5t1 & ea*   
ye> !reaft]1 ! ,secret>y %all submit to 
! appropriate congressional committees  
an annual report t includes--  7#a7 a   
li/ ( all ,vet]ans ,c>e ,agreem5ts ent]$
 into z ( ! date ( ! report2 &  7#b7    
summ>ies ( ea* det]m9ation made by !    
,secret>y "u subsection 7h77#b7 dur+ !  
fiscal ye> cov]$ by ! report4  7j7      
,quality ( c>e ,9 c>ry+ out ?is section1
 ! ,secret>y %all use ! quality ( c>e   
/&>ds set =? or us$ by ! ,c5t]s =       
,m$ic>e  ,m$icaid ,s]vices4  7k7        

,delegation ,! ,secret>y may delegate ! 
au?ority to ent] into or t]m9ate a      
,vet]ans ,c>e ,agreem5t1 or to make a   
det]m9ation describ$ 9 subsection       
7h77#b71 at a level n bel[ ! ,assi/ant  
,deputy ,"u ,secret>y = ,heal? =        
,community ,c>e4  7l7 ,sunset ,!        
,secret>y may n ent] into or r5ew a     
,vet]ans ,c>e ,agreem5t "u ?is section  
aft] ,septemb] #cj1 #bjag4  7m7         
,def9itions ,9 ?is section3 7#a7 ,! t]m 
appropriate congressional committees    
means--  7,a7 ! ,committees on ,vet]ans'
 ,affairs ( ! ,h\se ( ,repres5tatives & 
! ,s5ate2 &  7,b7 ! ,committees on      
,appropriations ( ! ,h\se (             
,repres5tatives & ! ,s5ate4  7#b7 ,! t]m
 eligible provid] means a provid] (     
hospital c>e1 m$ical s]vices1 or ext5d$ 
c>e t ! ,secret>y det]m9es is eligible  
to ent] into ,vet]ans ,c>e ,agreem5ts "u
 subsection 7c74  7#c7 ,! t]m ,vet]ans  
,c>e ,agreem5t means an agreem5t ent]$  
into by ! ,secret>y ) an eligible       
provid] "u subsection 7a77#a74  4  7b7  

,cl]ical am5dm5t ,! table ( sections at 
! beg9n+ ( *apt] #ag is am5d$ by ins]t+ 
aft] ! item relat+ to section #agjc !   
foll[+ new item3  #agjc;,a4 ,vet]ans    
,c>e ,agreem5ts ) c]ta9 heal? c>e       
provid]s4  4  #ajb4 ,paym5t ( heal? c>e 
provid]s  7a7 ,9 g5]al ,*apt] #ag is    
am5d$ by ins]t+ aft] section #agjc;,a1 z
 add$ by section #aja1 ! foll[+ new     
section3  #agjc;,b4 ,paym5t ( heal? c>e 
provid]s  7a7 ,prompt paym5t ,if1 9 mak+
 paym5ts to non-,dep>tm5t heal? c>e     
provid]s "u contracts or %>+ agreem5ts  
ent]$ into pursuant to ?is *apt] or any 
o!r provision ( law1 ! ,secret>y is     
requir$ to pay any fees or p5alties by  
reason ( n fully comply+ ) *apt] #ci (  
title #ca 7commonly ref]r$ to z !       
,prompt ,paym5t ,act71 su* fees or      
p5alties %all be d]iv$ f ! ,m$ical      
,s]vices acc\nt ( ! ,dep>tm5t4  7b7     
,qu>t]ly reports ,on a qu>t]ly basis    
dur+ fiscal ye>s #bjah ?r\gh #bjbb1 !   
,secret>y %all submit to ! ,committees  
on ,vet]ans ,affairs ( ! ,h\se (        

,repres5tatives & ! ,s5ate a report1 )  
respect to ! qu>t] cov]$ by ! report1   
id5tify+ ea* fee or p5alty paid by !    
,secret>y = n fully comply+ ) *apt] #ci 
( title #ca z describ$ 9 subsection 7a7 
& includ+ an explanation ( ! reason !   
,secret>y did n fully comply ) su* *apt]
 #ci4  4  7b7 ,cl]ical am5dm5t ,! table 
( sections at ! beg9n+ ( *apt] #ag is   
am5d$ by ins]t+ aft] ! item relat+ to   
section #agjc;,a1 z add$ by section     
#aja1 ! foll[+ new item3  #agjc;,b4     
,paym5t ( heal? c>e provid]s4  4  ,b    
,pati5t advocacy  #aaa4 ,community      
meet+s on improv+ c>e furni%$ by        
,dep>tm5t ( ,vet]ans ,affairs  7a7      
,community meet+s  7#a7 ,m$ical c5t]s ,n
 lat] ?an #ij days aft] ! date ( !      
enactm5t ( ?is ,act1 & n less frequ5tly 
?an once e #ij days !reaft]1 ! ,secret>y
 %all ensure t ea* m$ical facility ( !  
,dep>tm5t ( ,vet]ans ,affairs ho/s a    
community meet+ op5 to ! public on      
improv+ heal? c>e furni%$ by !          
,secret>y4  7#b7 ,community bas$        

outpati5t cl9ics ,n lat] ?an "o ye> aft]
 ! date ( ! enactm5t ( ?is ,act1 & n    
less frequ5tly ?an annually !reaft]1 !  
,secret>y %all ensure t ea* community   
bas$ outpati5t cl9ic ( ! ,dep>tm5t ho/s 
a community meet+ op5 to ! public on    
improv+ heal? c>e furni%$ by !          
,secret>y4  7b7 ,att5dance by ,director 
( vet]ans integrat$ s]vice network or   
designee  7#a7 ,9 g5]al ,ea* community  
meet+ ho/$ by a m$ical facility or      
community bas$ outpati5t cl9ic "u       
subsection 7a7 %all be att5d$ by !      
,director ( ! ,vet]ans ,integrat$       
,s]vice ,network 9 :i* ! m$ical facility
 or community bas$ outpati5t cl9ic1 z ! 
case may be1 is locat$4 ,subject to     
p>agraph 7#b71 ! ,director may delegate 
su* att5dance only to an employee :o    
works 9 ! ,(fice ( ! ,director4  7#b7   
,att5dance by director ,ea* ,director ( 
a ,vet]ans ,integrat$ ,s]vice ,network  
%all p]sonally att5d n less ?an "o      
community meet+ "u subsection 7a7 ho/$  
by ea* m$ical facility locat$ 9 !       

,vet]ans ,integrat$ ,s]vice ,network ea*
 ye>4  7c7 ,notice ,! ,secret>y %all    
notify ! ,committee on ,vet]ans'        
,affairs ( ! ,s5ate1 ! ,committee on    
,vet]ans' ,affairs ( ! ,h\se (          
,repres5tatives1 & ea* ,memb] (         
,congress 7z def9$ 9 section #ajd7 :o   
repres5ts ! area 9 :i* ! m$ical facility
 is locat$ ( a community meet+ "u       
subsection 7a7 by n lat] ?an #aj days   
be=e su* community meet+ occurs4  #aab4 
,improvem5t ( aw>5ess ( ,pati5t         
,advocacy ,program & pati5t bill (      
rights ( ,dep>tm5t ( ,vet]ans ,affairs  
,n lat] ?an #ij days aft] ! date ( !    
enactm5t ( ?is ,act1 ! ,secret>y (      
,vet]ans ,affairs %all1 9 z _m prom95t  
locations z ! ,secret>y det]m9es        
appropriate to be se5 by ! l>ge/        
p]c5tage ( pati5ts & family memb]s (    
pati5ts at ea* m$ical facility ( !      
,dep>tm5t ( ,vet]ans ,affairs--  7#a7   
display ! purposes ( ! ,pati5t ,advocacy
 ,program ( ! ,dep>tm5t & ! contact     
in=mation = ! pati5t advocate at su*    

m$ical facility2 &  7#b7 display !      
rights & responsibilities (-- 7,a7      
pati5ts & family memb]s & pati5ts at su*
 m$ical facility2 &  7,b7 ) respect to  
community liv+ c5t]s & o!r resid5tial   
facilities ( ! ,dep>tm5t1 resid5ts &    
family memb]s ( resid5ts at su* m$ical  
facility4  #aac4 ,comptroll] ,g5]al     
report on ,pati5t ,advocacy ,program (  
,dep>tm5t ( ,vet]ans ,affairs  7a7 ,9   
g5]al ,n lat] ?an two ye>s aft] ! date (
 ! enactm5t ( ?is ,act1 ! ,comptroll]   
,g5]al ( ! ,unit$ ,/ates %all submit to 
! ,committee on ,vet]ans' ,affairs ( !  
,s5ate & ! ,committee on ,vet]ans'      
,affairs ( ! ,h\se ( ,repres5tatives a  
report on ! ,pati5t ,advocacy ,program (
 ! ,dep>tm5t ( ,vet]ans ,affairs 79 ?is 
section ref]r$ to z ! ,program74  7b7   
,elem5ts ,! report requir$ by subsection
 7a7 %all include ! foll[+3 7#a7 ,a     
description ( ! ,program1 includ+--     
7,a7 ! purpose ( ! ,program2  7,b7 !    
activities c>ri$ out "u ! ,program2 &   
7,c7 ! suffici5cy ( ! ,program 9 a*iev+ 

! purpose ( ! ,program4  7#b7 ,an       
assessm5t ( ! suffici5cy ( /aff+ (      
employees ( ! ,dep>tm5t responsible =   
c>ry+ out ! ,program4  7#c7 ,an         
assessm5t ( ! suffici5cy ( ! tra9+ ( su*
 employees4  7#d7 ,an assessm5t (--     
7,a7 ! aw>5ess ( ! ,program among       
vet]ans & family memb]s ( vet]ans2 &    
7,b7 ! use ( ! ,program by vet]ans &    
family memb]s ( vet]ans4  7#e7 ,su*     
recomm5dations & proposals = improv+ or 
modify+ ! ,program z ! ,comptroll]      
,g5]al consid]s appropriate4  7#f7 ,su* 
o!r in=mation ) respect to ! ,program z 
! ,comptroll] ,g5]al consid]s           
appropriate4  ,c ,complem5t>y &         
integrative heal?  #aba4 ,pilot program 
on integration ( complem5t>y alt]native 
m$ic9es & relat$ issues = vet]ans &     
family memb]s ( vet]ans  7a7 ,pilot     
program  7#a7 ,9 g5]al ,n lat] ?an two  
ye>s aft] ! date ( ! enactm5t ( ?is     
,act1 ! ,secret>y ( ,vet]ans ,affairs   
%all comm5ce a pilot program to assess !
 feasibility & advisability ( us+       

wellness-bas$ programs 7z def9$ by !    
,secret>y7 to complem5t ! provision (   
pa9 managem5t & relat$ heal? c>e        
s]vices1 includ+ m5tal heal? c>e        
s]vices1 to vet]ans4  7#b7 ,matt]s      
address$ ,9 c>ry+ out ! pilot program1 !
 ,secret>y %all assess ! foll[+3 7,a7   
,means ( improv+ coord9ation betwe5     
,f$]al1 ,/ate1 local1 & community       
provid]s ( heal? c>e 9 ! provision ( pa9
 managem5t & relat$ heal? c>e s]vices to
 vet]ans4  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 ! pa9 managem5t &   
relat$ heal? c>e s]vices available to   
vet]ans4  7,c7 ,means ( us+             
wellness-bas$ programs ( provid]s (     
heal? c>e ref]r$ to 9 subp>agraph 7,a7 z
 complem5ts to ! provision by !         
,dep>tm5t ( pa9 managem5t & relat$ heal?
 c>e s]vices to vet]ans4  7,d7 ,:e!r    
wellness-bas$ programs describ$ 9       
subp>agraph 7,c7-- 7i7 are effective 9  
enhanc+ ! quality ( life & well-be+ (   

vet]ans2  7ii7 are effective 9 increas+ 
! adh]5ce ( vet]ans to ! prim>y pa9     
managem5t & relat$ heal? c>e s]vices    
provid$ su* vet]ans by ! ,dep>tm5t2     
7iii7 h an effect on ! s5se ( well-be+ (
 vet]ans :o receive prim>y pa9 managem5t
 & relat$ heal? c>e s]vices f !         
,dep>tm5t2 &  7iv7 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 "u subsection 7a77#a7 =
 a p]iod ( ?ree ye>s4  7c7 ,locations   
7#a7 ,facilities ,! ,secret>y %all c>ry 
out ! pilot program "u subsection       
7a77#a7 at facilities ( ! ,dep>tm5t     
provid+ pa9 managem5t & relat$ heal? c>e
 s]vices1 includ+ m5tal heal? c>e       
s]vices1 to vet]ans4 ,9 select+ su*     
facilities to c>ry out ! pilot program1 
! ,secret>y %all select n few] ?an #ae  
m$ical c5t]s ( ! ,dep>tm5t1 ( :i* n few]
 ?an two %all be polytrauma             
rehabilitation c5t]s ( ! ,dep>tm5t4     
7#b7 ,m$ical c5t]s ) prescription rates 

( opioids t conflict ) c>e /&>ds ,9     
select+ ! m$ical c5t]s "u p>agraph 7#a71
 ! ,secret>y %all give priority to      
m$ical c5t]s ( ! ,dep>tm5t at :i* !re is
 a prescription rate ( opioids t        
conflicts ) or is o!rwise inconsi/5t ) !
 /&>ds ( appropriate & safe c>e4  7d7   
,provision ( s]vices ,"u ! pilot program
 "u subsection 7a77#a71 ! ,secret>y %all
 provide cov]$ s]vices to cov]$ vet]ans 
by integrat+ complem5t>y & alt]native   
m$ic9es & integrative heal? s]vices )   
o!r s]vices provid$ by ! ,dep>tm5t at ! 
m$ical c5t]s select$ "u subsection 7c74 
7e7 ,cov]$ vet]ans ,= purposes ( ! pilot
 program "u subsection 7a77#a71 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  7#c7 has a *ronic condition
 be+ treat$ by a cl9ician ( ! ,dep>tm5t2
 or  7#d7 is n describ$ 9 p>agraph 7#a71
 7#b71 or 7#c7 & reque/s to p>ticipate 9
 ! pilot program or is ref]r$ by a      
cl9ician ( ! ,dep>tm5t :o is treat+ !   

vet]an4  7f7 ,cov]$ s]vices  7#a7 ,9    
g5]al ,= purposes ( ! pilot program1    
cov]$ s]vices are s]vices consi/+ (     
complem5t>y & integrative heal? s]vices 
z select$ by ! ,secret>y4  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 pr(essionals or o!r         
in/ructors ) appropriate tra9+ &        
exp]tise 9 complem5t>y & integrative    
heal? s]vices :o are employees ( !      
,dep>tm5t or ) :om ! ,dep>tm5t ent]s    
into an agreem5t to 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-- 7i7 cov]$ vet]ans :o h   
receiv$ conv5tional treatm5ts f !       
,dep>tm5t = ! conditions = :i* ! cov]$  
vet]an seeks complem5t>y & integrative  

heal? s]vices "u ! pilot program2 &     
7ii7 cov]$ vet]ans :o h n receiv$       
conv5tional treatm5ts f ! ,dep>tm5t =   
su* conditions4  7g7 ,reports  7#a7 ,9  
g5]al ,n lat] ?an #cj mon?s aft] ! date 
on :i* ! ,secret>y comm5ces ! pilot     
program "u subsection 7a77#a71 !        
,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 ,! report 
"u p>agraph 7#a7 %all include ! foll[+3 
7,a7 ,! f9d+s & conclusions ( !         
,secret>y ) respect to ! pilot program  
"u subsection 7a77#a71 includ+ ) respect
 to--  7i7 ! use & efficacy ( !         
complem5t>y & integrative heal? s]vices 
e/abli%$ "u ! pilot program2  7ii7 !    
outrea* conduct$ by ! ,secret>y to in=m 
vet]ans & community organizations ab\t !
 pilot program2 &  7iii7 an assessm5t ( 
! b5efit ( ! pilot program to cov]$     
vet]ans 9 m5tal heal? diagnoses1 pa9    
managem5t1 & treatm5t ( *ronic illness4 

7,b7 ,id5tification ( any unresolv$     
b>ri]s t imp$e ! ability ( ! ,secret>y  
to incorporate complem5t>y & integrative
 heal? s]vices ) o!r heal? c>e s]vices  
provid$ by ! ,dep>tm5t4  7,c7 ,su*      
recomm5dations = ! cont9uation or       
expansion ( ! pilot program z !         
,secret>y consid]s appropriate4  7h7    
,complem5t>y & integrative heal? def9$  
,9 ?is section1 ! t]m complem5t>y &     
integrative heal? %all h ! mean+ giv5 t 
t]m by ! ,national ,in/itutes ( ,heal?4 
,d ,fitness ( heal? c>e provid]s  #aca4 
,additional requirem5ts = hir+ ( heal?  
c>e provid]s by ,dep>tm5t ( ,vet]ans    
,affairs ,z "p ( ! hir+ process = ea*   
heal? c>e provid] consid]$ = a position 
at ! ,dep>tm5t ( ,vet]ans ,affairs aft] 
! date ( ! enactm5t ( ! ,act1 !         
,secret>y ( ,vet]ans ,affairs %all      
require f ! m$ical bo>d ( ea* ,/ate 9   
:i* ! heal? c>e provid] has a m$ical    
lic5se--  7#a7 in=mation on any         
violation ( ! requirem5ts ( ! m$ical    
lic5se ( ! heal? c>e provid] dur+ !     

#bj-ye> p]iod prec$+ ! consid]ation ( ! 
heal? c>e provid] by ! ,dep>tm5t2 &     
7#b7 in=mation on :e!r ! heal? c>e      
provid] has ent]$ into any settlem5t    
agreem5t = ! discipl9>y *>ge relat+ to !
 practice ( m$ic9e by ! heal? c>e       
provid]4  #acb4 ,provision ( in=mation  
on heal? c>e provid]s ( ,dep>tm5t (     
,vet]ans ,affairs to ,/ate ,m$ical      
,bo>ds ,not)/&+ section #eeb;a ( title  
#e1 ,unit$ ,/ates ,code1 ) respect to   
ea* heal? c>e provid] ( ! ,dep>tm5t (   
,vet]ans ,affairs :o has violat$ a      
requirem5t ( ! m$ical lic5se ( ! heal?  
c>e provid]1 ! ,secret>y ( ,vet]ans     
,affairs %all provide to ! m$ical bo>d (
 ea* ,/ate 9 :i* ! heal? c>e provid] is 
lic5s$ detail$ in=mation ) respect to   
su* violation1 reg>dless ( :e!r su* bo>d
 has =mally reque/$ su* in=mation4      
#acc4 ,report on compliance by ,dep>tm5t
 ( ,vet]ans ,affairs ) reviews ( heal?  
c>e provid]s leav+ ! ,dep>tm5t or       
transf]r+ to o!r facilities ,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 ! compliance
 by ! ,dep>tm5t ( ,vet]ans ,affairs ) ! 
policy ( ! ,dep>tm5t--  7#a7 to conduct 
a review ( ea* heal? c>e provid] ( !    
,dep>tm5t :o transf]s to ano!r m$ical   
facility ( ! ,dep>tm5t1 retires1 or is  
t]m9at$ to det]m9e :e!r !re are any     
conc]ns1 compla9ts1 or allegations (    
violations relat+ to ! m$ical practice (
 ! heal? c>e provid]2 &  7#b7 to take   
appropriate action ) respect to any su* 
conc]n1 compla9t1 or allegation4  ,e    
,o!r matt]s  #ada4 ,audit ( ,vet]ans    
,heal? ,adm9i/ration programs (         
,dep>tm5t ( ,vet]ans ,affairs  7a7      
,audit ,! ,secret>y ( ,vet]ans ,affairs 
%all seek to ent] into a contract ) a   
nongov]nm5tal entity "u :i* ! entity    
%all conduct audits ( ! programs ( !    
,vet]ans ,heal? ,adm9i/ration ( !       
,dep>tm5t ( ,vet]ans ,affairs to id5tify

 ways to improve ! furni%+ ( b5efits &  
heal? c>e adm9i/]$ by ! ,vet]ans ,heal? 
,adm9i/ration to vet]ans & families (   
vet]ans4  7b7 ,audit requirem5ts ,9     
c>ry+ out ea* audit "u subsection 7a71 !
 entity %all p]=m ! foll[+3 7#a7        
,five-ye> risk assessm5ts to id5tify !  
functions1 /aff organizations1 & /aff   
(fices ( ! ,vet]ans ,heal? ,adm9i/ration
 t w\ld lead t[>ds ! greate/ improvem5t 
9 furni%+ ( b5efits & heal? c>e to      
vet]ans & families ( vet]ans4  7#b7     
,developm5t ( plans t are in=m$ by !    
risk assessm5t "u p>agraph 7#a7 to      
conduct audits ( ! functions1 /aff      
organizations1 & /aff (fices id5tifi$ "u
 p>agraph 7#a74  7#c7 ,conduct audits 9 
accordance ) ! plans develop$ pursuant  
to p>agraph 7#b74  7c7 ,reports ,n lat] 
?an #ij days aft] ! date on :i* ea*     
audit is complet$ "u subsection 7a71 !  
,secret>y %all submit to ! ,committees  
on ,vet]ans' ,affairs ( ! ,h\se (       
,repres5tatives & ! ,s5ate a report t   
includes--  7#a7 a summ>y ( ! audit2    

7#b7 ! f9d+s ( ! entity t conduct$ !    
audit ) respect to ! audit2 &  7#c7 su* 
recomm5dations z ! ,secret>y det]m9es   
appropriate = legislative or            
adm9i/rative action to improve ! furni%+
 ( b5efits & heal? c>e to vet]ans &     
families ( vet]ans4  ,,ii ,con/ruction &
 facilities matt]s  #bja4 ,au?orization 
( c]ta9 major m$ical facility projects (
 ! ,dep>tm5t ( ,vet]ans ,affairs  7a7   
,au?orization ,! ,secret>y ( ,vet]ans   
,affairs may c>ry out ! foll[+ major    
m$ical facility projects1 ) ea* project 
to be c>ri$ out 9 an am\nt n to exce$ ! 
am\nt specifi$ = t project3  7#a7       
,seismic corrections to build+s1 includ+
 retr(itt+ & replacem5t ( high-risk     
build+s1 9 ,san ,francisco1 ,cali=nia1 9
 an am\nt n to exce$ #age1hhj1jjj4  7#b7
 ,seismic corrections to facilities1    
includ+ facilities to support homeless  
vet]ans1 at ! m$ical c5t] 9 ,we/ ,los   
,angeles1 ,cali=nia1 9 an am\nt n to    
exce$ #ajj1bej1jjj4  7#c7 ,seismic      
corrections to ! m5tal heal? & community

 liv+ c5t] 9 ,long ,bea*1 ,cali=nia1 9  
an am\nt n to exce$ #bhb1ajj1jjj4  7#d7 
,con/ruction ( an outpati5t cl9ic1      
adm9i/rative space1 cemet]y1 &          
columb>ium 9 ,alam$a1 ,cali=nia1 9 an   
am\nt n to exce$ #hc1ghb1jjj4  7#e7     
,realignm5t ( m$ical facilities 9       
,liv]more1 ,cali=nia1 9 an am\nt n to   
exce$ #ahh1fej1jjj4  7#f7 ,con/ruction (
 a replacem5t community liv+ c5t] 9     
,p]ry ,po9t1 ,m>yl&1 9 an am\nt n to    
exce$ #ib1gjj1jjj4  7#g7 ,seismic       
corrections & o!r r5ovations to sev]al  
build+s & con/ruction ( a specialty c>e 
build+ 9 ,am]ican ,lake1 ,wa%+ton1 9 an 
am\nt n to exce$ #ac1hcj1jjj4  7b7      
,au?orization ( appropriations =        
con/ruction ,!re is au?oriz$ to be      
appropriat$ to ! ,secret>y ( ,vet]ans   
,affairs = fiscal ye> #bjaf or ! ye> 9  
:i* funds are appropriat$ = !           
,con/ruction1 ,major ,projects1 acc\nt1 
#icg1aib1jjj = ! projects au?oriz$ 9    
subsection 7a74  7c7 ,limitation ,!     
projects au?oriz$ 9 subsection 7a7 may  

only be c>ri$ out us+-- 7#a7 funds      
appropriat$ = fiscal ye> #bjaf pursuant 
to ! au?orization ( appropriations 9    
subsection 7b72  7#b7 funds available = 
,con/ruction1 ,major ,projects1 = a     
fiscal ye> be=e fiscal ye> #bjaf t rema9
 available = obligation2  7#c7 funds    
available = ,con/ruction1 ,major        
,projects1 = a fiscal ye> aft] fiscal   
ye> #bjaf t rema9 available =           
obligation2  7#d7 funds appropriat$ =   
,con/ruction1 ,major ,projects1 = fiscal
 ye> #bjaf = a category ( activity n    
specific to a project2  7#e7 funds      
appropriat$ = ,con/ruction1 ,major      
,projects1 = a fiscal ye> be=e fiscal   
ye> #bjaf = a category ( activity n     
specific to a project2 &  7#f7 funds    
appropriat$ = ,con/ruction1 ,major      
,projects1 = a fiscal ye> aft] fiscal   
ye> #bjaf = a category ( activity n     
specific to a project4  #bjb4           
,submission ( in=mation ,n lat] ?an #ij 
days aft] ! date ( ! enactm5t ( ?is     
,act1 = ea* project au?oriz$ 9 section  

#b7;a71 ! ,secret>y ( ,vet]ans ,affairs 
%all submit to ! ,committees on         
,vet]ans' ,affairs ( ! ,h\se (          
,repres5tatives & ! ,s5ate ! foll[+     
in=mation3  7#a7 ,a l9e item acc\nt+ (  
exp5ditures relat+ to con/ruction       
managem5t c>ri$ out by ! ,dep>tm5t (    
,vet]ans ,affairs = su* project4  7#b7  
,! future am\nts t are budget$ to be    
obligat$ = con/ruction managem5t c>ri$  
out by ! ,dep>tm5t = su* project4  7#c7 
,a ju/ification = ! exp5ditures describ$
 9 p>agraph 7#a7 & ! future am\nts      
describ$ 9 p>agraph 7#b74  7#d7 ,any    
agreem5t ent]$ into by ! ,secret>y      
reg>d+ ! ,army ,corps ( ,eng9e]s provid+
 s]vices relat+ to su* project1 includ+ 
reimbursem5t agreem5ts & ! co/s to !    
,dep>tm5t ( ,vet]ans ,affairs = su*     
s]vices4  #bjc4 ,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 ,= an         
outpati5t cl9ic1 ,ann ,arbor1 ,mi*igan1 
an am\nt n to exce$ #ag1jic1jjj4  7#b7  
,= an outpati5t m5tal heal? cl9ic1      
,birm+ham1 ,alabama1 an am\nt n to exce$
 #f1iga1jjj4  7#c7 ,= an outpati5t      
specialty cl9ic1 ,birm+ham1 ,alabama1 an
 am\nt n to exce$ #aj1dgi1jjj4  7#d7 ,= 
rese>* space1 ,bo/on1 ,massa*usetts1 an 
am\nt n to exce$ #e1dig1jjj4  7#e7 ,=   
rese>* space1 ,*>le/on1 ,s\? ,c>ol9a1 an
 am\nt n to exce$ #f1eha1jjj4  7#f7 ,=  
an outpati5t cl9ic1 ,daytona ,bea*1     
,florida1 an am\nt n to exce$           
#ab1ffd1jjj4  7#g7 ,= ,*ief ,bus9ess    
,(fice ,pur*as$ ,c>e (fice space1 ,d5v]1
 ,colorado1 an am\nt n to exce$         
#ag1bae1jjj4  7#h7 ,= an outpati5t      
cl9ic1 ,ga9esville1 ,florida1 an am\nt n
 to exce$ #d1fhf1jjj4  7#i7 ,= an       
outpati5t cl9ic1 ,hampton ,roads1       
,virg9ia1 an am\nt n to exce$           
#ah1abd1jjj4  7#aj7 ,= rese>* space     
,mission ,bay1 ,cali=nia1 an am\nt n to 

exce$ #bc1ded1jjj4  7#aa7 ,= an         
outpati5t cl9ic1 ,miss\la1 ,montana1 an 
am\nt n to exce$ #g1acj1jjj4  7#ab7 ,=  
an outpati5t cl9ic1 ,nor!rn ,colorado1  
,colorado1 an am\nt n to exce$          
#h1ggf1jjj4  7#ac7 ,= an outpati5t      
cl9ic1 ,ocala1 ,florida1 an am\nt n to  
exce$ #e1bgi1jjj4  7#ad7 ,= an outpati5t
 cl9ic1 ,oxn>d1 ,cali=nia1 an am\nt n to
 exce$ #f1big1jjj4  7#ae7 ,= an         
outpati5t cl9ic1 ,pike ,c\nty1 ,georgia1
 an am\nt n to exce$ #e1geg1jjj4  7#af7 
,= an outpati5t cl9ic1 ,portl&1 ,ma9e1  
an am\nt n to exce$ #f1hdf1jjj4  7#ag7  
,= an outpati5t cl9ic1 ,raleigh1 ,nor?  
,c>ol9a1 an am\nt n to exce$            
#ba1fjg1jjj4  7#ah7 ,= an outpati5t     
cl9ic1 ,santa ,rosa1 ,cali=nia1 an am\nt
 n to exce$ #f1dih1jjj4  #bjd4          
,au?orization ( sale ( ,p]%+ ,hall      
,section #djc ( ! ,vet]ans' ,b5efits    
,programs ,improvem5t ,act ( #aiia      
7,public ,law #ajb-hf2 #ch ,u4,s4,c4    
#bdjj note7 is am5d$ by add+ at ! end ! 
foll[+ new subsection3  7f7             

,au?orization ( sale  7#a7 ,! ,secret>y 
may sell = fair m>ket value ,p]%+ ,hall 
& transf] & convey to ! pur*as] all "r1 
title1 & int]e/ ( ! ,unit$ ,/ates 9 or  
to su* prop]ty4 ,! ,secret>y %all       
det]m9e fair m>ket value bas$ on an     
indep5d5t assessm5t conduct$ by ano!r   
dep>tm5t or ag5cy ( ! ,f$]al ,gov]nm5t  
or a nongov]nm5tal entity4 ,! ,secret>y 
may only accept money z consid]ation =  
su* sale4  7#b7 ,if ! ,secret>y sells   
,p]%+ ,hall pursuant to p>agraph 7#a71 !
 ,secret>y %all return to ! entity f :i*
 ! ,unit$ ,/ates acquir$ ,p]%+ ,hall    
pursuant to ! ,act ( ,june #bh1 #aice   
7,*apt] #cbc2 #di ,/at4 #dbf71 any      
p]sonal prop]ty 7includ+ memorabilia    
reg>d+ ,g5]al ,p]%+ & ! ,am]ican        
,exp$ition>y ,=ces 9 ,france dur+ ,_w   
,w> ,i7 9 ! possession ( ! ,dep>tm5t (  
,vet]ans ,affairs z ( ! date ( !        
enactm5t ( ?is subsection t 0 locat$ 9  
,p]%+ ,hall 7or o!rwise associat$ )     
,p]%+ ,hall7 on ! date ( su*            
acquisition4  7#c7 ,! funds receiv$ by !

 ,secret>y pursuant to ! sale ( ,p]%+   
,hall "u p>agraph 7#a7 %all be deposit$ 
9 ! ,con/ruction1 ,major ,projects      
acc\nt ( ! ,dep>tm5t & be made          
available1 )\t fiscal ye> limitation1 = 
! purposes ( su* acc\nt4  7#d7  7,a7    
,effective on ! day aft] ! date ( ! sale
 ( ,p]%+ ,hall au?oriz$ "u p>agraph     
7#a71 ! au?ority ( ! ,secret>y to c>ry  
out subsections 7a71 7b71 7c71 & 7e7    
%all t]m9ate except = purposes ( c>ry+  
out p>agraph 7#b7 ( ?is subsection4     
7,b7 ,effective on ! date t is "o ye>   
aft] ! date ( ! sale ( ,p]%+ ,hall      
au?oriz$ "u p>agraph 7#a71 ! ,p]%+ ,hall
 ,revolv+ ,fund %all be aboli%$ & !     
corpus ( ! fund1 includ+ accru$ int]e/1 
%all be deposit$ 9 ! ,con/ruction1      
,major ,projects acc\nt ( ! ,dep>tm5t & 
be made available1 )\t fiscal ye>       
limitation1 = ! purposes ( su* acc\nt4  
4  #bje4 ,au?ority to ent] into c]ta9   
leases at ! ,dep>tm5t ( ,vet]ans        
,affairs ,we/ ,los ,angeles ,campus  7a7
 ,9 g5]al ,! ,secret>y ( ,vet]ans       

,affairs may c>ry out leases describ$ 9 
subsection 7b7 at ! ,dep>tm5t ( ,vet]ans
 ,affairs ,we/ ,los ,angeles ,campus 9  
,los ,angeles1 ,cali=nia 7h]e9aft] 9 ?is
 section ref]r$ to z ! ,campus74  7b7   
,leases describ$ ,leases describ$ 9 ?is 
subsection are ! foll[+3 7#a7 ,any      
enhanc$-use lease ( real prop]ty "u     
sub*apt] ,v ( *apt] #ha ( title #ch1    
,unit$ ,/ates ,code1 = purposes (       
provid+ supportive h\s+1 z t t]m is     
def9$ 9 section #hafa7c7 ( su* title1 t 
pr9cipally b5efit vet]ans & _! families4
  7#b7 ,any lease ( real prop]ty = a t]m
 n to exce$ #ej ye>s to a ?ird p>ty to  
provide s]vices t pr9cipally b5efit     
vet]ans & _! families & t are limit$ to 
"o or m ( ! foll[+ purposes3  7,a7 ,!   
promotion ( heal? & wellness1 includ+   
nutrition & spiritual wellness4  7,b7   
,education4  7,c7 ,vocational tra9+1    
skills build+1 or o!r tra9+ relat$ to   
employm5t4  7,d7 ,pe] activities1       
socialization1 or physical recreation4  
7,e7 ,assi/ance ) legal issues & ,f$]al 

b5efits4  7,f7 ,volunte]ism4  7,g7      
,family support s]vices1 includ+ *ild   
c>e4  7,h7 ,transportation4  7,i7       
,s]vices 9 support ( "o or m ( !        
purposes specifi$ 9 subp>agraphs 7,a7   
?r\gh 7,h74  7#c7 ,a lease ( real       
prop]ty = a t]m n to exce$ #aj ye>s to  
,! ,reg5ts ( ! ,univ]sity ( ,cali=nia1 a
 corporation organiz$ "u ! laws ( !     
,/ate ( ,cali=nia1 on behalf ( its      
,univ]sity ( ,cali=nia1 ,los ,angeles   
7,,ucla7 campus 7h]e9aft] 9 ?is section 
ref]r$ to z ,! ,reg5ts71 if--  7,a7 !   
lease is consi/5t ) ! ma/] plan describ$
 9 subsection 7g72  7,b7 ! provision (  
s]vices to vet]ans is ! pr$om9ant focus 
( ! activities ( ,! ,reg5ts at ! ,campus
 dur+ ! t]m ( ! lease2  7,c7 ,! ,reg5ts 
expressly agrees to provide1 dur+ ! t]m 
( ! lease & to an ext5t & 9 a mann] t ! 
,secret>y consid]s appropriate1         
additional s]vices & support 7= :i* ,!  
,reg5ts is n comp5sat$ by ! ,secret>y or
 ?r\gh an exi/+ m$ical affiliation      
agreem5t7 t--  7i7 pr9cipally b5efit    

vet]ans & _! families1 includ+ vet]ans t
 are sev]ely disabl$1 wom51 ag+1 or     
homeless2 &  7ii7 may consi/ (          
activities relat+ to ! m$ical1 cl9ical1 
!rapeutic1 diet>y1 rehabilitative1      
legal1 m5tal1 spiritual1 physical1      
recreational1 rese>*1 & c\nsel+ ne$s (  
vet]ans & _! families or any ( !        
purposes specifi$ 9 any ( subp>agraphs  
7,a7 ?r\gh 7,i7 ( p>agraph 7#a72 &  7,d7
 ,! ,reg5ts ma9ta9s records docum5t+ !  
value ( ! additional s]vices & support t
 ,! ,reg5ts provides pursuant to        
subp>agraph 7,c7 = ! duration ( ! lease 
& makes su* records available to !      
,secret>y4  7c7 ,limitation on ,l&-,%>+ 
,agreem5ts ,! ,secret>y may n c>ry out  
any l&-%>+ agreem5t pursuant to section 
#haec ( title #ch1 ,unit$ ,/ates ,code1 
at ! ,campus unless su* agreem5t--  7#a7
 provides additional heal? c>e res\rces 
to ! ,campus2 &  7#b7 b5efits vet]ans & 
_! families o!r ?an f ! g5]ation (      
rev5ue = ! ,dep>tm5t ( ,vet]ans         
,affairs4  7d7 ,rev5ues f leases at !   

,campus ,any funds receiv$ by !         
,secret>y "u a lease describ$ 9         
subsection 7b7 %all be cr$it$ to !      
applicable ,dep>tm5t m$ical facilities  
acc\nt & %all be available1 )\t fiscal  
ye> limitation & )\t fur!r              
appropriation1 exclusively = ! r5ovation
 & ma9t5ance ( ! l& & facilities at !   
,campus4  7e7 ,easem5ts  7#a7 ,9 g5]al  
,not)/&+ any o!r provision ( law 7o!r   
?an ,f$]al laws relat+ to environm5tal &
 hi/oric pres]vation71 pursuant to      
section #habd ( title #ch1 ,unit$ ,/ates
 ,code1 ! ,secret>y may grant easem5ts  
or rights-(-way on1 above1 or "u l&s at 
! ,campus to--  7,a7 any local or       
regional public transportation au?ority 
to access1 con/ruct1 use1 op]ate1       
ma9ta91 repair1 or recon/ruct public    
mass transit facilities1 includ+1 fix$  
guideway facilities & transportation    
c5t]s2 &  7,b7 ! ,/ate ( ,cali=nia1     
,c\nty ( ,los ,angeles1 ,city ( ,los    
,angeles1 or any ag5cy or political     
subdivision !re(1 or any public utility 

company 7includ+ any company provid+    
electricity1 gas1 wat]1 sewage1 or      
telecommunication s]vices to ! public7 =
 ! purpose ( provid+ su* public         
utilities4  7#b7 ,improvem5ts ,any      
improvem5ts propos$ pursuant to an      
easem5t or "r-(-way au?oriz$ "u p>agraph
 7#a7 %all be subject to su* t]ms &     
conditions z ! ,secret>y consid]s       
appropriate4  7#c7 ,t]m9ation ,any      
easem5t or "r-(-way au?oriz$ "u p>agraph
 7#a7 %all be t]m9at$ ^u ! ab&onm5t or  
nonuse ( ! easem5t or "r-(-way & all "r1
 title1 & int]e/ 9 ! l& cov]$ by !      
easem5t or "r-(-way %all rev]t to !     
,unit$ ,/ates4  7f7 ,prohibition on sale
 ( prop]ty ,not)/&+ section #hafd (     
title #ch1 ,unit$ ,/ates ,code1 !       
,secret>y may n sell or o!rwise convey  
to a ?ird p>ty fee simple title to any  
real prop]ty or improvem5ts to real     
prop]ty made at ! ,campus4  7g7         
,consi/5cy ) ma/] plan ,! ,secret>y %all
 ensure t ea* lease c>ri$ out "u ?is    
section is consi/5t ) ! draft ma/] plan 

approv$ by ! ,secret>y on ,janu>y #bh1  
#bjaf1 or successor ma/] plans4  7h7    
,compliance ) c]ta9 laws  7#a7 ,laws    
relat+ to leases & l& use ,if !         
,inspector ,g5]al ( ! ,dep>tm5t (       
,vet]ans ,affairs det]m9es1 z "p ( an   
audit report or evaluation conduct$ by !
 ,inspector ,g5]al1 t ! ,dep>tm5t is n 9
 compliance ) all ,f$]al laws relat+ to 
leases & l& use at ! ,campus1 or t      
significant mismanagem5t has occurr$ )  
respect to leases or l& use at !        
,campus1 ! ,secret>y may n ent] into any
 lease or l&-%>+ agreem5t at ! ,campus1 
or r5ew any su* lease or l&-%>+ agreem5t
 t is n 9 compliance ) su* laws1 until !
 ,secret>y c]tifies to ! ,committee on  
,vet]ans' ,affairs ( ! ,s5ate1 !        
,committee on ,vet]ans' ,affairs ( !    
,h\se ( ,repres5tatives1 & ea* ,memb] ( 
! ,s5ate & ! ,h\se ( ,repres5tatives :o 
repres5ts ! area 9 :i* ! ,campus is     
locat$ t all recomm5dations includ$ 9 ! 
audit report or evaluation h be5        
implem5t$4  7#b7 ,compliance ( p>ticul> 

leases ,except z o!rwise expressly      
provid$ by ?is section1 no lease may be 
ent]$ into or r5ew$ "u ?is section      
unless ! lease complies ) *apt] #cc (   
title #da1 ,unit$ ,/ates ,code1 & all   
,f$]al laws relat+ to environm5tal &    
hi/oric pres]vation4  7i7 ,vet]ans &    
community ov]sight & engagem5t bo>d     
7#a7 ,9 g5]al ,n lat] ?an #ahj days aft]
 ! date ( ! enactm5t ( ?is ,act1 !      
,secret>y %all e/abli% a ,vet]ans &     
,community ,ov]sight & ,engagem5t ,bo>d 
79 ?is subsection ref]r$ to z ! ,bo>d7 =
 ! ,campus to coord9ate locally ) !     
,dep>tm5t ( ,vet]ans ,affairs to--  7,a7
 id5tify ! goals ( ! community & vet]an 
p>tn]%ip2  7,b7 provide advice &        
recomm5dations to ! ,secret>y to improve
 s]vices & outcomes = vet]ans1 memb]s ( 
! ,arm$ ,=ces1 & ! families ( su*       
vet]ans & memb]s2 &  7,c7 provide advice
 & recomm5dations on ! implem5tation ( !
 draft ma/] plan approv$ by ! ,secret>y 
on ,janu>y #bh1 #bjaf1 & on ! creation &
 implem5tation ( any successor ma/]     

plans4  7#b7 ,memb]s ,! ,bo>d %all be   
compris$ ( a numb] ( memb]s t !         
,secret>y det]m9es appropriate1 ( :i* n 
less ?an #ej p]c5t %all be vet]ans4 ,!  
nonvet]an memb]s %all be family memb]s (
 vet]ans1 vet]an advocates1 s]vice      
provid]s1 real e/ate pr(essionals       
famili> ) h\s+ developm5t projects1 or  
o!r /akehold]s4  7#c7 ,community input  
,9 c>ry+ out p>agraph 7#a71 ! ,bo>d     
%all-- 7,a7 provide ! community         
opportunities to collaborate &          
communicate ) ! ,bo>d1 includ+ by       
conduct+ public =ums on ! ,campus2 &    
7,b7 focus on local issues reg>d+ !     
,dep>tm5t t are id5tifi$ by ! community1
 includ+ ) respect to heal? c>e1        
b5efits1 & memorial s]vices at ! ,campus
 & implem5tation ( ! draft ma/] plan &  
any subsequ5t plans4  7j7 ,notification 
& reports  7#a7 ,congressional          
notification ,) respect to ea* lease or 
l&-%>+ agreem5t int5d$ to be ent]$ into 
or r5ew$ at ! ,campus1 ! ,secret>y %all 
notify ! ,committee on ,vet]ans'        

,affairs ( ! ,s5ate1 ! ,committee on    
,vet]ans' ,affairs ( ! ,h\se (          
,repres5tatives1 & ea* ,memb] ( ! ,s5ate
 & ! ,h\se ( ,repres5tatives :o         
repres5ts ! area 9 :i* ! ,campus is     
locat$ ( ! int5t ( ! ,secret>y to ent]  
into or r5ew ! lease or l&-%>+ agreem5t 
n lat] ?an #de days be=e ent]+ into or  
r5ew+ ! lease or l&-%>+ agreem5t4  7#b7 
,annual report ,n lat] ?an "o ye> aft] !
 date ( ! enactm5t ( ?is ,act1 & n less 
frequ5tly ?an annually !reaft]1 !       
,secret>y %all submit to ! ,committee on
 ,vet]ans' ,affairs ( ! ,s5ate1 !       
,committee on ,vet]ans' ,affairs ( !    
,h\se ( ,repres5tatives1 & ea* ,memb] ( 
! ,s5ate & ! ,h\se ( ,repres5tatives :o 
repres5ts ! area 9 :i* ! ,campus is     
locat$ an annual report evaluat+ all    
leases & l&-%>+ agreem5ts c>ri$ out at !
 ,campus1 includ+--  7,a7 an evaluation 
( ! managem5t ( ! rev5ue g5]at$ by !    
leases2 &  7,b7 ! records describ$ 9    
subsection 7b77#c77;,d74  7#c7          
,inspector ,g5]al report  7,a7 ,9 g5]al 

,n lat] ?an ea* ( two ye>s & five ye>s  
aft] ! date ( ! enactm5t ( ?is ,act1 & z
 det]m9$ necess>y by ! ,inspector ,g5]al
 ( ! ,dep>tm5t ( ,vet]ans ,affairs      
!reaft]1 ! ,inspector ,g5]al %all submit
 to ! ,committee on ,vet]ans' ,affairs (
 ! ,s5ate1 ! ,committee on ,vet]ans'    
,affairs ( ! ,h\se ( ,repres5tatives1 & 
ea* ,memb] ( ! ,s5ate & ! ,h\se (       
,repres5tatives :o repres5ts ! area 9   
:i* ! ,campus is locat$ a report on all 
leases c>ri$ out at ! ,campus & !       
managem5t by ! ,dep>tm5t ( ! use ( l& at
 ! ,campus1 includ+ an assessm5t ( !    
ef=ts ( ! ,dep>tm5t to implem5t ! ma/]  
plan describ$ 9 subsection 7g7 ) respect
 to ! ,campus4  7,b7 ,consid]ation (    
annual report ,9 prep>+ ea* report      
requir$ by subp>agraph 7,a71 !          
,inspector ,g5]al %all take into acc\nt 
! mo/ rec5t report submitt$ to ,congress
 by ! ,secret>y "u p>agraph 7#b74  7k7  
,rule ( con/ruction ,no?+ 9 ?is section 
%all be con/ru$ z a limitation on !     
au?ority ( ! ,secret>y to ent] into o!r 

agreem5ts reg>d+ ! ,campus t are        
au?oriz$ by law & n inconsi/5t ) ?is    
section4  7l7 ,pr9cipally b5efit vet]ans
 & _! families def9$ ,9 ?is section !   
t]m pr9cipally b5efit vet]ans & _!      
families1 ) respect to s]vices provid$  
by a p]son or entity "u a lease (       
prop]ty or l&-%>+ agreem5t--  7#a7 means
 s]vices-- 7,a7 provid$ exclusively to  
vet]ans & _! families2 or  7,b7 t are   
design$ = ! p>ticul> ne$s ( vet]ans & _!
 families1 z oppos$ to ! g5]al public1 &
 any b5efit ( ^? s]vices to ! g5]al     
public is ancill>y to ! int5d$ b5efit to
 vet]ans & _! families2 &  7#b7 excludes
 s]vices 9 :i* ! only b5efit to vet]ans 
& _! families is ! g5]ation ( rev5ue = !
 ,dep>tm5t ( ,vet]ans ,affairs4  7m7    
,con=m+ am5dm5ts  7#a7 ,prohibition on  
disposal ( prop]ty ,section #bbd7;a7 ( !
 ,milit>y ,con/ruction & ,vet]ans       
,affairs & ,relat$ ,ag5cies             
,appropriations ,act1 #bjjh 7,public    
,law #aaj-afa2 #aba ,/at4 #bbgb7 is     
am5d$ by /rik+ ,! ,secret>y ( ,vet]ans  

,affairs & ins]t+ ,except z au?oriz$ "u 
! ,,va ,con/ruction & ,lease            
,au?orization1 ,heal?1 & ,b5efits       
,enhancem5t ,act1 ! ,secret>y ( ,vet]ans
 ,affairs4  7#b7 ,enhanc$-use leases    
,section #hafb7;c7 is am5d$ by ins]t+ 1 
o!r ?an an enhanc$-use lease "u ! ,,va  
,con/ruction & ,lease ,au?orization1    
,heal?1 & ,b5efits ,enhancem5t ,act1    
be=e %all be consid]$4  ,,iii ,matt]s   
relat+ to toxic exposure  #cja4         
,def9itions ,9 ?is title3  7#a7 ,arm$   
,=ce ,! t]m ,arm$ ,=ce means ! ,unit$   
,/ates ,army1 ,navy1 ,m>9e ,corps1 ,air 
,=ce1 or ,coa/ ,gu>d1 includ+ ! res]ve  
compon5ts !re(4  7#b7 ,desc5dant ,! t]m 
desc5dant means1 ) respect to an        
individual1 ! biological *ild or gr&*ild
 ( t individual4  7#c7 ,expos$ ,! t]m   
expos$ means1 ) respect to a toxic      
sub/ance1 t an individual came into     
contact ) t toxic sub/ance 9 a mann] t  
c\ld be haz>d\s to ! heal? ( t          
individual1 t may include if t toxic    
sub/ance 0 inhal$1 +e/$1 or t\*$ ! sk9  

or eyes4  7#d7 ,exposure ,! t]m exposure
 means1 ) respect to a toxic sub/ance1  
an ev5t dur+ :i* an individual 0 expos$ 
to t toxic sub/ance4  7#e7 ,toxic       
sub/ance ,! t]m toxic sub/ance means any
 sub/ance det]m9$ by ! ,adm9i/rator ( ! 
,environm5tal ,protection ,ag5cy to be  
h>mful to ! environm5t or haz>d\s to !  
heal? ( an individual if inhal$ or +e/$ 
by or absorb$ ?r\gh ! sk9 ( t           
individual4  7#f7 ,vet]an ,! t]m vet]an 
has ! mean+ giv5 t t]m 9 section #aja ( 
title #ch1 ,unit$ ,/ates ,code4  #cjb4  
,national c5t] = rese>* on ! diagnosis &
 treatm5t ( heal? conditions ( !        
desc5dants ( individuals expos$ to toxic
 sub/ances dur+ s]vice 9 ! ,arm$ ,=ces t
 are relat$ to su* s]vice  7a7 ,national
 c5t]  7#a7 ,9 g5]al ,n lat] ?an "o ye> 
aft] ! date ( ! enactm5t ( ?is title1 ! 
,secret>y ( ,vet]ans ,affairs %all1 9   
consultation ) ! ,advisory ,bo>d        
e/abli%$ "u section #cjc1 select a      
m$ical c5t] ( ! ,dep>tm5t ( ,vet]ans    
,affairs to s]ve z ! national c5t] =    

rese>* on ! diagnosis & treatm5t ( heal?
 conditions ( desc5dants ( individuals  
expos$ to toxic sub/ances :ile s]v+ z   
memb]s ( ! ,arm$ ,=ces t are relat$ to  
su* exposure 79 ?is title ref]r$ to z ! 
,national ,c5t]74  7#b7 ,crit]ia =      
selection  7,a7 ,9 g5]al ,! ,national   
,c5t] %all be select$ "u p>agraph 7#a7 f
 among m$ical c5t]s ( ! ,dep>tm5t )     
exp]tise describ$ 9 subp>agraph 7,b71 or
 t are affiliat$ ) rese>* m$ical c5t]s  
or tea*+ hospitals ) su* exp]tise1 t    
seek to be select$ "u ?is section4  7,b7
 ,exp]tise describ$ ,! exp]tise describ$
 9 ?is subp>agraph is-- 7i7 exp]tise 9  
diagnos+ & treat+ functional & /ructural
 bir? defects2 or  7ii7 exp]tise 9 c>+ =
 individuals expos$ to toxic sub/ances &
 diagnos+ & treat+ any heal? conditions 
result+ f su* exposure4  7,c7 ,pref]5ce 
,pref]5ce = selection "u p>agraph 7#a7  
%all be giv5 to m$ical c5t]s ( !        
,dep>tm5t ) exp]tise describ$ 9 clauses 
7i7 & 7ii7 ( subp>agraph 7,b71 or t are 
affiliat$ ) rese>* m$ical c5t]s or tea*+

 hospitals ) su* exp]tise4  7b7 ,rese>* 
7#a7 ,9 g5]al ,! ,national ,c5t] %all   
conduct rese>* on ! diagnosis & treatm5t
 ( heal? conditions ( desc5dants (      
individuals expos$ to toxic sub/ances   
:ile s]v+ z memb]s ( ! ,arm$ ,=ces t are
 relat$ to t exposure4  7#b7 ,/udies ,9 
conduct+ rese>* "u p>agraph 7#a71 !     
,national ,c5t] %all /udy individuals1  
at ! election ( ! individual1 = :om !   
,secret>y has made "o ( ! foll[+        
det]m9ations3  7,a7  7i7 ,! individual  
is a desc5dant ( an individual :o s]v$ z
 a memb] ( ! ,arm$ ,=ces2  7ii7 su*     
memb] 0 expos$ to a toxic sub/ance :ile 
s]v+ z a memb] ( ! ,arm$ ,=ces2 &  7iii7
 su* desc5dant is afflict$ ) a heal?    
condition t is relat$ to ! exposure (   
su* memb] to su* toxic sub/ance4  7,b7  
7i7 ,! individual 0 expos$ to a toxic   
sub/ance :ile s]v+ z a memb] ( ! ,arm$  
,=ces2 &  7ii7 su* individual is        
afflict$ ) a heal? condition t is relat$
 to ! exposure ( su* individual to su*  
toxic sub/ance4  7#c7 ,use ( records    

7,a7 ,9 g5]al ,! ,secret>y ( ,def5se or 
! head ( a ,f$]al ag5cy %all make       
available to ! ,secret>y ( ,vet]ans     
,affairs = review records held by !     
,dep>tm5t ( ,def5se1 an ,arm$ ,=ce1 or t
 ,f$]al ag5cy1 z appropriate1 t might   
assi/ ! ,secret>y ( ,vet]ans ,affairs 9 
mak+ ! det]m9ations requir$ by p>agraph 
7#b74  7,b7 ,me*anism ,! ,secret>y (    
,vet]ans ,affairs & ! ,secret>y (       
,def5se or ! head ( ! appropriate ,f$]al
 ag5cy %all jo9tly e/abli% a me*anism = 
! availability & review ( records by !  
,secret>y ( ,vet]ans ,affairs "u        
subp>agraph 7,a74  7c7 ,social work]s ,!
 ,national ,c5t] %all employ n less ?an 
"o lic5s$ cl9ical social work] to       
coord9ate access ( individuals to       
appropriate ,f$]al1 ,/ate1 & local      
social & heal? c>e programs & to h&le   
case managem5t4  7d7 ,reimbursem5t =    
necess>y travel & room & bo>d ,!        
,national ,c5t] %all reimburse any      
individual p>ticipat+ 9 a /udy pursuant 
to subsection 7b71 & any p>5t1 gu>dian1 

sp\se1 or sibl+ :o accompanies su*      
individual1 = ! reasonable co/ (--  7#a7
 travel to ! ,national ,c5t] =          
p>ticipation 9 su* /udy2 &  7#b7 room & 
bo>d dur+ ! p]iod 9 :i* su* individual  
is p>ticipat+ 9 su* /udy at ! ,national 
,c5t]4  7e7 ,reports  7#a7 ,annual      
report  7,a7 ,9 g5]al ,n less frequ5tly 
?an annually1 ! ,national ,c5t] %all    
submit to ,congress & ! ,advisory ,bo>d 
e/abli%$ "u section #d a report on !    
functions ( ! ,national ,c5t] dur+ ! ye>
 prec$+ ! submittal ( ! report t        
includes a summ>y ( ! rese>* ef=ts ( !  
,national ,c5t] t h be5 complet$ dur+   
su* ye> & t are ongo+ z ( ! date ( !    
submittal ( ! report4  7,b7 ,^u reque/  
,^u ! reque/ ( any organization exempt f
 taxation "u section #eja7;c77#ai7 ( !  
,int]nal ,rev5ue ,code ( #aihf1 !       
,national ,c5t] %all submit a copy ( a  
report submitt$ "u subp>agraph 7,a7 to  
su* organization4  7#b7 ,qu>t]ly report 
to ,advisory ,bo>d ,n less frequ5tly ?an
 qu>t]ly1 ! ,national ,c5t] %all submit 

to ! ,advisory ,bo>d a report on !      
functions ( ! ,national ,c5t] dur+ !    
qu>t] prec$+ ! submittal ( ! report t   
includes ! foll[+3  7,a7 ,a summ>y ( !  
rese>* ef=ts ( ! ,national ,c5t] dur+   
su* qu>t]4  7,b7 ,a description ( any   
det]m9ations made by ! ,national ,c5t]  
pursuant to su* rese>* ef=ts reg>d+ :e!r
 heal? conditions ( desc5dants (        
individuals expos$ to toxic sub/ances   
:ile s]v+ z memb]s ( ! ,arm$ ,=ces are  
relat$ to t exposure4  #cjc4 ,advisory  
,bo>d  7a7 ,e/abli%m5t ,n lat] ?an #ahj 
days aft] ! date ( ! enactm5t ( ?is     
title1 ! ,secret>y ( ,vet]ans ,affairs  
%all e/abli% an advisory bo>d 79 ?is    
section ref]r$ to z ! ,advisory ,bo>d7  
to ov]see & assess ! ,national ,c5t]    
e/abli%$ "u section #cjb & to advise !  
,secret>y ( ,vet]ans ,affairs ) respect 
to ! "w ( ! ,national ,c5t]4  7b7       
,memb]%ip  7#a7 ,composition ,n lat] ?an
 #abj days aft] ! date ( ! enactm5t (   
?is title1 ! ,secret>y ( ,vet]ans       
,affairs1 9 consultation ) ! ,secret>y (

 ,heal? & ,human ,s]vices1 ! ,director (
 ! ,national ,in/itute ( ,environm5tal  
,heal? ,sci5ces1 & o!r heads ( ,f$]al   
ag5cies z ! ,secret>y ( ,vet]ans        
,affairs det]m9es appropriate--  7,a7   
%all select n less ?an #ac vot+ memb]s (
 ! ,advisory ,bo>d1 ( :om-- 7i7 n less  
?an ?ree %all be memb]s ( organizations 
exempt f taxation "u section            
#eja7;c77#ai7 ( ! ,int]nal ,rev5ue ,code
 ( #aihf2  7ii7 n less ?an "o %all be-- 
7,i7 a desc5dant ( an individual :o 0   
expos$ to toxic sub/ances :ile s]v+ z a 
memb] ( ! ,arm$ ,=ces & ! desc5dant has 
manife/$ a /ructural or functional bir? 
defect or a heal? condition t is relat$ 
to ! exposure ( su* individual to su*   
toxic sub/ance2 or  7,,ii7 a p>5t or    
*ild ( t desc5dant2  7iii7 n less ?an   
six %all be heal? pr(essionals1         
sci5ti/s1 or academics :o are n         
employees ( ! ,f$]al ,gov]nm5t & h      
exp]tise 9--  7,i7 bir? defects2  7,,ii7
 developm5tal disabilities2  7,,iii7    
epig5etics2  7,,iv7 public heal?2  7,v7 

! sci5ce ( environm5tal exposure or     
environm5tal exposure assessm5t2  7,,vi7
 ! sci5ce ( toxic sub/ances2 or  7,,vii7
 m$ical & rese>* e?ics2 &  7iv7         
additional memb]s may be select$ f among
 social work]s & advocates = vet]ans or 
memb]s ( ! ,arm$ ,=ces :o are n         
employees ( ! ,f$]al ,gov]nm5t2 &  7,b7 
may select nonvot+ memb]s f among       
individuals describ$ 9 clause 7iii7 or  
7iv7 ( subp>agraph 7,a7 :o are employees
 ( ! ,f$]al ,gov]nm5t4  7#b7 ,*airp]son 
,! ,secret>y %all select a ,*airp]son f 
among ! memb]s ( ! ,advisory ,bo>d4     
7#c7 ,t]ms  7,a7 ,9 g5]al ,ea* memb] ( !
 ,advisory ,bo>d %all s]ve a t]m ( two  
or ?ree ye>s z det]m9$ by ! ,secret>y4  
7,b7 ,reappo9tm5t ,at ! end ( ! t]m ( a 
memb] ( ! ,advisory ,bo>d1 ! ,secret>y  
may reselect ! memb] = ano!r t]m1 except
 t no memb] may s]ve m ?an f\r          
consecutive t]ms4  7c7 ,duties ,!       
,advisory ,bo>d %all-- 7#a7 ov]see &    
assess ! "w ( ! ,national ,c5t]2  7#b7 n
 less frequ5tly ?an qu>t]ly1 meet ) !   

director or ano!r repres5tative ( !     
,national ,c5t] on ! "w conduct$ at !   
,national ,c5t]1 includ+ ! rese>* ef=ts 
( ! ,national ,c5t]2  7#c7 review !     
annual report submitt$ by ! ,national   
,c5t] to ,congress & ! ,advisory ,bo>d  
"u section #cjb7;e77#a72 &  7#d7 advise 
! ,secret>y ( ,vet]ans ,affairs on--    
7,a7 issues relat$ to ! rese>* conduct$ 
at ! ,national ,c5t]2  7,b7 heal?       
conditions ( desc5dants ( individuals   
expos$ to toxic sub/ances :ile s]v+ z   
memb]s ( ! ,arm$ ,=ces t are relat$ to !
 exposure ( su* individual to su* toxic 
sub/ance2  7,c7 heal? c>e s]vices t are 
ne$$ by ! desc5dants ( individuals      
expos$ to toxic sub/ances :ile s]v+ z   
memb]s ( ! ,arm$ ,=ces = heal?          
conditions t are relat$ to ! exposure ( 
su* individual to su* toxic sub/ance2 & 
7,d7 any det]m9ations or recomm5dations 
t ! ,advisory ,bo>d may h ) respect to !
 feasibility & advisability ( !         
,dep>tm5t provid+ heal? c>e s]vices     
describ$ 9 subp>agraph 7,c7 to          

desc5dants describ$ 9 su* subp>agraph1  
includ+ a description ( *anges to exi/+ 
policy4  7d7 ,report  7#a7 ,9 g5]al ,n  
lat] ?an "o ye> aft] ! e/abli%m5t ( !   
,advisory ,bo>d "u subsection 7a71 & n  
less frequ5tly ?an once ea* ye> !reaft]1
 ! ,advisory ,bo>d %all submit to !     
,committee on ,vet]ans' ,affairs ( !    
,s5ate1 ! ,committee on ,vet]ans'       
,affairs ( ! ,h\se ( ,repres5tatives1 & 
! ,secret>y ( ,vet]ans ,affairs a report
 on ! recomm5dations ( ! ,advisory      
,bo>d4  7#b7 ,elem5ts ,ea* report       
submitt$ "u p>agraph 7#a7 %all include  
recomm5dations = adm9i/rative or        
legislative action1 includ+             
recomm5dations = fur!r rese>* by !      
,national ,c5t]1 ) respect to ea* heal? 
condition ( a desc5dant ( an individual 
expos$ to a toxic sub/ance :ile s]v+ z a
 memb] ( ! ,arm$ ,=ces = :i* ! ,national
 ,c5t] has made "o ( ! foll[+           
det]m9ations 9 conduct+ rese>* "u       
section #cjb7;b73  7,a7 ,! heal?        
condition is relat$ to ! exposure ( su* 

individual to su* toxic sub/ance4  7,b7 
,x is uncle> :e!r ! heal? condition is  
relat$ to ! exposure ( su* individual to
 su* toxic sub/ance4  7,c7 ,! heal?     
condition is n relat$ to ! exposure (   
su* individual to su* toxic sub/ance4   
7e7 ,meet+s ,! ,advisory ,bo>d %all meet
 at ! call ( ! ,*air1 b n less frequ5tly
 ?an qu>t]ly4  7f7 ,comp5sation ,!      
memb]s ( ! ,advisory ,bo>d %all s]ve )\t
 comp5sation4  7g7 ,exp5ses ,! ,secret>y
 ( ,vet]ans ,affairs %all det]m9e !     
appropriate exp5ses ( ! ,advisory ,bo>d4
  7h7 ,p]sonnel  7#a7 ,9 g5]al ,!       
,*airp]son may1 )\t reg>d to ! civil    
s]vice laws & regulations1 appo9t an    
executive director ( ! ,advisory ,bo>d1 
:o %all be a civilian employee ( !      
,dep>tm5t ( ,vet]ans ,affairs1 & su* o!r
 p]sonnel z may be necess>y to enable ! 
,advisory ,bo>d to p]=m its duties4     
7#b7 ,approval ,! appo9tm5t ( an        
executive director "u p>agraph 7#a7 %all
 be subject to approval by ! ,advisory  
,bo>d4  7#c7 ,comp5sation ,! ,*airp]son 

may fix ! comp5sation ( ! executive     
director & o!r p]sonnel )\t reg>d to !  
provisions ( *apt] #ea & sub*apt] ,,iii 
( *apt] #ec ( title #e1 ,unit$ ,/ates   
,code1 except t ! rate ( pay = !        
executive director & o!r p]sonnel may n 
exce$ ! rate payable = level ,v ( !     
,executive ,s*$ule "u section #ecaf (   
su* title4  #cjd4 ,declassification     
review by ,dep>tm5t ( ,def5se ( c]ta9   
incid5ts ( exposure ( memb]s ( ! ,arm$  
,=ces to toxic sub/ances  7a7 ,review ,!
 ,secret>y ( ,def5se %all conduct a     
declassification review to det]m9e :at  
in=mation may be made publicly available
 relat+ to any kn[n incid5t 9 :i* n less
 ?an #ajj memb]s ( ! ,arm$ ,=ces 7      
expos$ to a toxic sub/ance t result$ 9  
at lea/ "o case ( a disability t a      
speciali/ 9 ! field ( occupational      
m$ic9e has det]m9$ to be cr$ibly        
associat$ ) t toxic sub/ance4  7b7      
,release ( declassifi$ in=mation ,to !  
ext5t practicable1 & subject to         
subsection 7c7 & consi/5t ) national    

security1 ! ,secret>y ( ,def5se %all    
make publicly available in=mation       
declassifi$ foll[+ ! review requir$ by  
subsection 7a74  7c7 ,limitation        
,in=mation made publicly available      
pursuant to subsection 7b7 %all be      
limit$ to in=mation necess>y = an       
individual :o 0 pot5tially expos$ to a  
toxic sub/ance to det]m9e ! foll[+3     
7#a7 ,:e!r t individual 0 expos$ to t   
toxic sub/ance4  7#b7 ,! pot5tial       
sev]ity ( ! exposure ( t individual to t
 toxic sub/ance4  7#c7 ,any pot5tial    
heal? conditions t may h result$ f      
exposure to t toxic sub/ance4  #cje4    
,national outrea* campaign on pot5tial  
long-t]m heal? effects ( exposure to    
toxic sub/ances by memb]s ( ! ,arm$     
,=ces & _! desc5dants  7a7 ,9 g5]al ,!  
,secret>y ( ,vet]ans ,affairs %all1 9   
consultation ) ! ,secret>y ( ,heal? &   
,human ,s]vices & ! ,secret>y ( ,def5se1
 conduct a national outrea* & education 
campaign direct$ t[>d memb]s ( ! ,arm$  
,=ces1 vet]ans1 & _! family memb]s to   

communicate ! foll[+ in=mation3  7#a7   
,in=mation on-- 7,a7 incid5ts ( exposure
 ( memb]s ( ! ,arm$ ,=ces to toxic      
sub/ances2  7,b7 heal? conditions       
result+ f su* exposure2 &  7,c7 !       
pot5tial long-t]m effects ( su* exposure
 on ! individuals expos$ to ^? sub/ances
 & ! desc5dants ( ^? individuals4  7#b7 
,in=mation on ! ,national ,c5t] e/abli%$
 "u section #cjb = individuals eligible 
to p>ticipate 9 /udies conduct$ at !    
,national ,c5t]4  7b7 ,dep>tm5t (       
,vet]ans ,affairs ,9 c>ry+ out ?is      
section1 ! ,secret>y ( ,vet]ans ,affairs
 %all design & implem5t ! national      
outrea* & education campaign conduct$ "u
 subsection 7a71 includ+--  7#a7 by     
di/ribut+ pr9t$ mat]ials conta9+ !      
in=mation describ$ 9 subsection 7a7 to  
vet]ans2  7#b7 by publi%+ su* in=mation 
on an ,int]net website ( ! ,dep>tm5t (  
,vet]ans ,affairs t is available to !   
public2  7#c7 by pres5t+ su* in=mation 9
 p]son at facilities t s]ve a l>ge numb]
 ( vet]ans or memb]s ( ! ,arm$ ,=ces2 & 

7#d7 by educat+ employees ( all m$ical  
facilities ( ! ,dep>tm5t ) respect to   
su* in=mation & provid+ su* employees ) 
pr9t$ mat]ials conta9+ su* in=mation4   
7c7 ,dep>tm5t ( ,def5se ,! ,secret>y (  
,def5se %all assi/ ! ,secret>y (        
,vet]ans ,affairs 9 implem5t+ ! national
 outrea* & education campaign conduct$  
"u subsection 7a7--  7#a7 by mak+ !     
in=mation describ$ 9 subsection 7a7     
available to all memb]s ( ! ,arm$ ,=ces 
& _! families2  7#b7 by notify+ all     
memb]s ( ! ,arm$ ,=ces ( su* in=mation2 
&  7#c7 by publi%+ su* in=mation on an  
,int]net website ( ! ,dep>tm5t ( ,def5se
 t is available to ! public4  7d7       
,dep>tm5t ( ,heal? & ,human ,s]vices ,! 
,secret>y ( ,heal? & ,human ,s]vices    
%all assi/ ! ,secret>y ( ,vet]ans       
,affairs 9 implem5t+ ! national outrea* 
& education campaign conduct$ "u        
subsection 7a7--  7#a7 by mak+ !        
in=mation describ$ 9 subsection 7a7     
available to memb]s ( ! heal? c>e       
pr(ession2  7#b7 by notify+ su* memb]s (

 su* in=mation2 &  7#c7 by publi%+ su*  
in=mation on an ,int]net website ( !    
,dep>tm5t ( ,heal? & ,human ,s]vices t  
is available to ! public4  ,,iv ,o!r    
matt]s  #dja4 ,special comp5sation =    
loss or loss ( use ( creative organs    
7a7 ,9 g5]al ,section #aaad ( title #ch1
 ,unit$ ,/ates ,code1 is am5d$ by add+  
at ! end ! foll[+ new subsection3  7u7  
7#a7 ,subject to p>agraph 7#c71 !       
,secret>y %all pay to a cov]$ vet]an two
 lump-sum special comp5sation paym5ts   
ea* 9 ! am\nt ( #aj1jjj4 ,! second su*  
paym5t may n occur less ?an "o ye> aft] 
! date ( ! fir/ su* paym5t4  7#b7       
,special comp5sation paid to a cov]$    
vet]an "u p>agraph 7#a7 is 9 addition to
 disability comp5sation paid to ! vet]an
 pursuant to subsection 7k71 except t 9 
any mon? 9 :i* ! vet]an receives a      
paym5t ( su* special comp5sation1 !     
vet]an may n also receive su* disability
 comp5sation pursuant to subsection 7k74
  7#c7 ,a cov]$ vet]an %all submit to ! 
,secret>y a sep>ate1 specific           

application = ea* paym5t ( special      
comp5sation paid "u p>agraph 7#a7 9 su* 
=m & 9 su* mann] z ! ,secret>y consid]s 
appropriate4  7#d7 ,9 ?is subsection1 ! 
t]m cov]$ vet]an means a vet]an :o--    
7,a7 is paid disability comp5sation     
pursuant to subsection 7k7 =--  7i7 !   
anatomical loss ( "o or m creative      
organs2 or  7ii7 ! p]man5t or /atic loss
 ( use ( "o or m creative organs2 &     
7,b7 is eligible = paym5ts "u !         
traumatic s]vicememb]s' gr\p life       
insurance program "u section #aihj;,a ( 
?is title1 or w\ld be eligible = su*    
paym5ts b = ! s]vice ( ! vet]an occurr+ 
be=e ! enactm5t ( su* section1 =        
qualify+ losses relat+ to an injury     
describ$ 9 clause 7i7 or 7ii7 (         
subp>agraph 7,a74  4  7b7 ,application  
,subsection 7u7 ( section #aaad ( title 
#ch1 ,unit$ ,/ates ,code1 z add$ by     
subsection 7a71 %all apply ) respect to 
a vet]an :o receives disability         
comp5sation on or aft] ! date ( !       
enactm5t ( ?is ,act4  7c7 ,report ,n    

lat] ?an "o ye> aft] ! date ( ! enactm5t
 ( ?is ,act1 ! ,secret>y ( ,vet]ans     
,affairs %all submit to ! ,committees on
 ,vet]ans' ,affairs ( ! ,h\se (         
,repres5tatives & ! ,s5ate a report on  
special comp5sation paid "u subsection  
7u7 ( section #aaad ( title #ch1 ,unit$ 
,/ates ,code1 z add$ by subsection 7a74 
,su* report %all include ! foll[+3  7#a7
 ,! numb] ( vet]ans :o appli$ = su*     
special comp5sation4  7#b7 ,! numb] (   
vet]ans :om ! ,secret>y has paid su*    
special comp5sation4  7#c7 ,a li/1 by   
frequ5cy1 ( ! s]vice-connect$           
disabilities = :i* su* special          
comp5sation 0 paid4  #djb4 ,in=mation   
te*nology sy/em to assess & improve !   
family c>egiv] program2 au?ority to exp&
 program  7a7 ,implem5tation ( new sy/em
  7#a7 ,9 g5]al ,! ,secret>y ( ,vet]ans 
,affairs %all implem5t an in=mation     
te*nology sy/em t fully supports !      
,program & all[s = data assessm5t &     
compreh5sive monitor+ ( ! ,program4     
7#b7 ,elem5ts ( sy/em ,! in=mation      

te*nology sy/em requir$ to be implem5t$ 
"u p>agraph 7#a7 %all include ! foll[+3 
7,a7 ,! ability to easily retrieve data 
7at ! m$ical c5t] & at aggregate levels7
 t w all[ all aspects ( ! ,program & !  
workload tr5ds = ! ,program to be       
assess$ & compreh5sively monitor$4  7,b7
 ,! ability or capacity to manage data  
to accommodate any degree ( expansion ( 
! ,program4  7,c7 ,! ability to         
integrate ! sy/em ) o!r relevant        
in=mation te*nology sy/ems ( ! ,vet]ans 
,heal? ,adm9i/ration4  7#c7             
,notification ( implem5tation ,n lat]   
?an ! date on :i* ! ,secret>y comm5ces  
implem5tation ( ! sy/em "u p>agraph     
7#a71 ! ,secret>y %all notify !         
,committee on ,vet]ans' ,affairs ( !    
,s5ate & ! ,committee on ,vet]ans'      
,affairs ( ! ,h\se ( ,repres5tatives ( !
 date ( su* implem5tation4  7b7 ,ongo+  
monitor+ ( & modifications to ,program  
7#a7 ,monitor+ ,! ,secret>y %all use !  
sy/em implem5t$ "u subsection 7a7 to    
monitor & assess ! workload ( !         

,program1 includ+ monitor+ & assessm5t (
 data on--  7,a7 ! /atus ( applications1
 appeals1 & home visits 9 connection ) !
 ,program2 &  7,b7 ! use ( support      
s]vices by c>egiv]s p>ticipat+ bo? 9 !  
,program ( ,compreh5sive ,assi/ance =   
,families & ! ,program ( ,g5]al ,c>egiv]
 ,support ,s]vices4  7#b7 ,modifications
  7,a7 ,bas$ on ! monitor+ & assessm5t  
conduct$ "u p>agraph 7#a71 ! ,secret>y  
%all id5tify & implem5t su*             
modifications to ! ,program z !         
,secret>y consid]s necess>y to ensure ! 
,program is function+ z int5d$ & provid+
 vet]ans & c>egiv]s p>ticipat+ 9 !      
,program ) s]vices 9 a timely mann]4    
7,b7 ,subp>agraph 7,a7 may n be con/ru$ 
to au?orize modifications to ! ,program 
t exp& ! eligibility = ! ,program or    
increase ! am\nt ( assi/ance furni%$ "u 
! ,program4  7c7 ,report  7#a7 ,9 g5]al 
,n lat] ?an #ahj days aft] ! date on :i*
 ! ,secret>y makes ! notification "u    
subsection 7a77#c71 ! ,secret>y %all    
submit to ! ,committee on ,vet]ans'     

,affairs ( ! ,s5ate1 ! ,committee on    
,vet]ans' ,affairs ( ! ,h\se (          
,repres5tatives a report on ! ,program1 
includ+ ) respect to exp&+ ! program & !
 implem5tation ( subsections 7a7 & 7b74 
7#b7 ,elem5ts ,! report requir$ by      
p>agraph 7#a7 %all include ! foll[+3    
7,a7 ,a detail$ plan to exp& ! ,program 
to c>egiv]s ( vet]ans :o w\ld be        
eligible = ! ,program b = ! s]i\s injury
 ( ! vet]an hav+ incurr$ 9 ! l9e ( duty 
be=e ,septemb] #aa1 #bjja1 includ+--    
7i7 ) respect to /aff+1 fund+1          
eligibility crit]ia1 & in=mation        
te*nology sy/ems 7includ+ modifications 
to su* sy/ems72  7ii7 a phas$           
implem5tation = su* expansion2 &  7iii7 
e/imates ( ! am\nts requir$ to exp& &   
su/a9 ! program4  7,b7 ,a description ( 
! modifications to ! ,program1 if any1 t
 7 id5tifi$ & implem5t$ "u subsection   
7b77#b74  7,c7 ,a description (-- 7i7 h[
 ! ,secret>y is us+ su* sy/em to monitor
 ! workload ( ! ,program2 &  7ii7 !     
subsequ5t effect on ! p]=mance ( !      

,program1 includ+ ! ne$ = additional    
/aff1 res\rces1 or in=mation te*nology  
sy/ems1 or modifications to in=mation   
te*nology sy/ems4  7d7 ,def9itions ,9   
?is section3 7#a7 ,! 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 ,! t]m ,program     
means ! program ( compreh5sive assi/ance
 = family c>egiv]s "u section           
#agbj;,g7a7 ( title #ch1 ,unit$ ,/ates  
,code4  #djc4 ,ext5sion ( co/-(-liv+    
adju/m5ts = disability comp5sation      
,section #aajd7;a7 ( title #ch1 ,unit$  
,/ates ,code1 is am5d$ by ins]t+ &      
fiscal ye>s #bjag ?r\gh #bjbg aft] ?r\gh
 #bjac4