,i  #aad? ,,congress  #b;d ,session  ,h4
 ,r4 #eicf  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,septemb] #f1         
#bjaf,mr4 ,mill] ( ,florida 7= himself &
 ,mr4 ,t$ ,lieu ( ,cali=nia7 introduc$ !
 foll[+ bill2 :i* 0 ref]r$ to !         
,committee on ,vet]ans' ,affairs  ,a    
,,bill  ,to am5d title #ch1 ,unit$      
,/ates ,code1 to au?orize ! ,secret>y ( 
,vet]ans ,affairs to ent] into agreem5ts
 ) c]ta9 heal? c>e provid]s to furni%   
heal? c>e to vet]ans1 to au?orize !     
,secret>y to ent] into c]ta9 leases at !
 ,dep>tm5t ( ,vet]ans ,affairs ,we/ ,los
 ,angeles ,campus 9 ,los ,angeles1      
,cali=nia1 to make c]ta9 improvem5ts to 
! enhanc$-use lease au?ority ( !        
,dep>tm5t1 & = o!r purposes4  #a4 ,%ort 
title ,?is ,act may be cit$ z ! ,vet]ans
 ,c>e ,agreem5t & ,we/ ,los ,angeles    
,leas+ ,act ( #bjaf4  #b4 ,vet]ans ,c>e 
,agreem5ts  7a7 ,9 g5]al ,sub*apt] ,i ( 
*apt] #ag ( title #ch1 ,unit$ ,/ates    
,code1 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+ ( su* *apt] 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  #c4 ,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$om9ant focus 
( ! activities ( ,! ,reg5ts at ! ,campus
 dur+ ! t]m ( ! lease2  7,c7 ,! ,reg5ts 
expressly agrees to provide1 dur+ ! t]m 
( ! lease & to an ext5t & 9 a mann] t ! 
,secret>y consid]s appropriate1         
additional s]vices & support 7= :i* ,!  
,reg5ts is ei!r n comp5sat$ by !        
,secret>y or is comp5sat$ ?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$]al laws relat+ to environm5tal &    
hi/oric pres]vation4  7i7 ,community    
vet]ans engagem5t bo>d  7#a7 ,9 g5]al ,n
 lat] ?an #ahj days aft] ! date ( !     
enactm5t ( ?is ,act1 ! ,secret>y %all   
e/abli% a ,community ,vet]ans ,engagem5t
 ,bo>d 79 ?is subsection ref]r$ to z !  
,bo>d7 = ! ,campus to coord9ate locally 
) ! ,dep>tm5t ( ,vet]ans ,affairs to--  

7,a7 id5tify ! goals ( ! community2 &   
7,b7 provide advice & recomm5dations to 
! ,secret>y to improve s]vices &        
outcomes = vet]ans1 memb]s ( ! ,arm$    
,=ces1 & ! families ( su* vet]ans &     
memb]s4  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 or /akehold]s4  7#c7          
,community input ,9 c>ry+ out           
subp>agraphs 7,a7 & 7,b7 ( 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 !        
,campus4  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 di/9ct f ! 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 
! ,los ,angeles ,homeless ,vet]ans      
,leas+ ,act ( #bjaf1 ! ,secret>y (      
,vet]ans ,affairs4  7#b7 ,enhanc$-use   
leases ,section #hafb7;c7 ( title #ch1  
,unit$ ,/ates ,code1 is am5d$ by ins]t+ 
1 o!r ?an an enhanc$-use lease "u ! ,los
 ,angeles ,homeless ,vet]ans ,leas+ ,act
 ( #bjaf1 be=e %all be consid]$4  #d4   
,improvem5ts to enhanc$-use lease       
au?ority ( ,dep>tm5t ( ,vet]ans ,affairs
  7a7 ,prohibition on waiv] ( obligation
 ( lessee ,p>agraph 7#c7 ( section      
#hafb7;b7 ( title #ch1 ,unit$ ,/ates    
,code1 is am5d$ by add+ at ! foll[+ new 
subp>agraph3  7,d7 ,! ,secret>y may n   
waive or po/pone ! obligation ( a lessee
 to pay any consid]ation "u an          
enhanc$-use lease1 includ+ mon?ly r5t4  
4  7b7 ,cl>ification ( liability (      
,f$]al ,gov]nm5t to ?ird p>ties ,section
 #hafb ( su* title is am5d$ by add+ at !

 end ! foll[+ new subsection3  7d7 7#a7 
,no?+ 9 ?is sub*apt] au?orizes !        
,secret>y to ent] into an enhanc$-use   
lease t provides =1 is cont+5t ^u1 or   
o!rwise au?orizes ! ,f$]al ,gov]nm5t to 
gu>antee a loan made by a ?ird p>ty to a
 lessee = purposes ( ! enhanc$-use      
lease4  7#b7 ,no?+ 9 ?is sub*apt] %all  
be con/ru$ to abrogate or con/itute a   
waiv] ( ! sov]eign immunity ( ! ,unit$  
,/ates ) respect to any loan1 f9anc+1 or
 o!r f9ancial agreem5t ent]$ into by !  
lessee & a ?ird p>ty relat+ to an       
enhanc$-use lease4  4  7c7 ,transp>5cy  
7#a7 ,notice ,section #hafc7;c77#a7 (   
su* title is am5d$-- 7,a7 by ins]t+ & ! 
,committees on ! ,budget ( ! ,h\se (    
,repres5tatives & ! ,s5ate aft]         
congressional vet]ans' affairs          
committees2  7,b7 by /rik+ & %all publi%
 & ins]t+ 1 %all publi%2  7,c7 by ins]t+
 be=e ! p]iod at ! end ! foll[+3 1 &    
%all submit to ! congressional vet]ans' 
affairs committees a copy ( ! propos$   
lease2 &  7,d7 by add+ at ! end ! foll[+

 new s5t5ce3 ,) respect to a major      
enhanc$-use lease1 ^u ! reque/ ( !      
congressional vet]ans' affairs          
committees1 n lat] ?an #cj days aft] !  
date ( su* notice1 ! ,secret>y %all     
te/ify be=e ! committees on ! major     
enhanc$-use lease1 includ+ ) respect to 
! /atus ( ! lease1 ! co/1 & ! plans to  
c>ry out ! activities "u ! lease4 ,!    
,secret>y may n delegate su* te/ify+    
bel[ ! level ( ! head ( ! ,(fice (      
,asset ,ent]prise ,managem5t ( !        
,dep>tm5t or any successor to su*       
(fice44  7#b7 ,annual reports ,section  
#hafh ( su* title is am5d$-- 7,a7 by    
/rik+ to ,congress ea* place x appe>s & 
ins]t+ to ! congressional vet]ans'      
affairs committees & ! ,committees on ! 
,budget ( ! ,h\se ( ,repres5tatives & ! 
,s5ate2  7,b7 9 subsection 7a7-- 7i7 by 
/rik+ ,n lat] & ins]t+ 7#a7 ,n lat]2    
7ii7 by /rik+ a report & all t foll[s   
?r\gh ! p]iod at ! end & ins]t+ a report
 on enhanc$-use leases42 &  7iii7 by    
add+ at ! end ! foll[+ new p>agraph3    

7#b7 ,ea* report "u p>agraph 7#a7 %all  
include ! foll[+3 7,a7 ,id5tification ( 
! actions tak5 by ! ,secret>y to        
implem5t & adm9i/] enhanc$-use leases4  
7,b7 ,= ! mo/ rec5t fiscal ye> cov]$ by 
! report1 ! am\nts deposit$ into !      
,m$ical ,c>e ,collection ,fund acc\nt t 
7 d]iv$ f enhanc$-use leases4  7,c7     
,id5tification ( ! actions tak5 by !    
,secret>y us+ ! am\nts describ$ 9       
subp>agraph 7,b74  7,d7 ,docum5ts ( !   
,dep>tm5t support+ ! cont5ts ( ! report 
describ$ 9 subp>agraphs 7,a7 ?r\gh 7,c74
  2 &  7,c7 9 subsection 7b7-- 7i7 by   
/rik+ ,ea* ye> & ins]t+ 7#a7 ,ea* ye>2  
7ii7 by /rik+ ?is sub*apt]1 & all t     
foll[s ?r\gh ! p]iod at ! end & ins]t+  
?is sub*apt]42 &  7iii7 by add+ at ! end
 ! foll[+ new p>agraph3  7#b7 ,ea*      
report "u p>agraph 7#a7 %all include !  
foll[+ ) respect to ea* enhanc$-use     
lease cov]$ by ! report3  7,a7 ,an      
ov]view ( h[ ! ,secret>y is us+         
consid]ation receiv$ by ! ,secret>y "u !
 lease to support vet]ans4  7,b7 ,!     

am\nt ( consid]ation receiv$ by !       
,secret>y "u ! lease4  7,c7 ,! am\nt (  
any rev5ues collect$ by ! ,secret>y     
relat+ to ! lease n cov]$ by subp>agraph
 7,b71 includ+ a description ( any 9-k9d
 assi/ance or s]vices provid$ by !      
lessee to ! ,secret>y or to vet]ans "u  
an agreem5t ent]$ into by ! ,secret>y   
pursuant to any provision ( law4  7,d7  
,! co/s to ! ,secret>y ( c>ry+ out !    
lease4  7,e7 ,docum5ts ( ! ,dep>tm5t    
support+ ! cont5ts ( ! report describ$ 9
 subp>agraphs 7,a7 ?r\gh 7,d74  4  7d7  
,additional def9itions ,section #hafa ( 
su* title is am5d$ by add+ at ! end !   
foll[+ new p>agraphs3  7#d7 ,! t]m      
lessee means ! p>ty ) :om ! ,secret>y   
has ent]$ into an enhanc$-use lease "u  
?is sub*apt]4  7#e7 ,! t]m major        
enhanc$-use lease means an enhanc$-use  
lease t includes consid]ation consi/+ ( 
an av]age annual r5t ( m ?an            
#aj1jjj1jjj4  4  7e7 ,comptroll] ,g5]al 
audit  7#a7 ,report ,n lat] ?an #bgj    
days aft] ! date ( ! enactm5t ( ?is     

,act1 ! ,comptroll] ,g5]al ( ! ,unit$   
,/ates %all submit to ! appropriate     
congressional committees a report       
conta9+ an audit ( ! enhanc$-use lease  
program ( ! ,dep>tm5t ( ,vet]ans        
,affairs "u sub*apt] ,v ( *apt] #ha (   
title #ch1 ,unit$ ,/ates ,code4  7#b7   
,matt]s includ$ ,! report "u p>agraph   
7#a7 %all include ! foll[+3 7,a7 ,!     
f9ancial impact ( ! enhanc$-use lease   
au?ority on ! ,dep>tm5t ( ,vet]ans      
,affairs & :e!r ! rev5ue realiz$ f su*  
au?ority & o!r f9ancial b5efits w\ld h  
be5 realiz$ )\t su* au?ority4  7,b7 ,!  
use by ! ,secret>y ( su* au?ority & :e!r
 ! arrangem5ts made "u su* au?ority w\ld
 h be5 made )\t su* au?ority4  7,c7 ,an 
id5tification ( ! controls t are 9 place
 to ensure acc\ntability & transp>5cy & 
to protect ! ,f$]al ,gov]nm5t4  7,d7 ,an
 ov]all assessm5t ( ! activities ( !    
,secret>y "u su* au?ority to ensure     
procurem5t co/ avoidance1 negotiat$ co/ 
avoidance1 9-contract co/ avoidance1 &  
rate r$uctions4  7#c7 ,appropriate      

congressional committees def9$ ,9 ?is   
subsection1 ! t]m appropriate           
congressional committees means-- 7,a7 ! 
,committees on ,vet]ans' ,affairs ( !   
,h\se ( ,repres5tatives & ! ,s5ate2 &   
7,b7 ! ,committees on ! ,budget ( !     
,h\se ( ,repres5tatives & ! ,s5ate4