,,ii  #aadth ,,congress  #ast ,session  
,s4 #adfc  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,may #bb1 #bjae
 ,mr4 ,moran 7for himself1 ,mr4         
,blumenthal1 ,mr4 ,wyden1 ,mr4 ,brown1  
,mr4 ,king1 ,ms4 ,collins1 and ,mr4     
,hoeven7 introduced the following bill2 
which was read twice1 considered1 read  
the third time1 and passed  ,a ,,bill   
,to amend the ,veterans ,access1        
,choice1 and ,accountability ,act of    
#bjad to modify the distance requirement
 for expanded availability of hospital  
care and medical services for veterans  
through the use of agreements with      
non-,department of ,veterans ,affairs   
entities4  #a4 ,short title  ,this ,act 
may be cited as the ,access to          
,community ,care for ,veterans ,act of  
#bjae4  #b4 ,modification of distance   
requirement for expanded availability of
 hospital care and medical services for 
veterans through the use of agreements  
with non-,department of ,veterans       
,affairs entities  7a7 ,in general      

,subparagraph 7,b7 of section           
#aja7;b77#b7 of the ,veterans ,access1  
,choice1 and ,accountability ,act of    
#bjad 7,public ,law #aac-adf2 #ch       
,u4,s4,c4 #agja note7 is amended to read
 as follows3  7,b7 resides more than #dj
 miles 7calculated based on distance    
traveled7 from a medical facility of the
 ,department1 including a               
community-based outpatient clinic1 that 
is the closest such medical facility to 
the residence of the veteran that is    
able to provide to the veteran the      
hospital care or medical services that  
the veteran needs2  4  7b7 ,effective   
date ,the amendment made by subsection  
7a7 shall take effect on the date that  
is #fj days after the date of the       
enactment of this ,act and shall apply  
with respect to care and services       
provided under section #aja of the      
,veterans ,access1 ,choice1 and         
,accountability ,act of #bjad 7,public  
,law #aac-adf2 #ch ,u4,s4,c4 #agja note7
 on and after such effective date4  7c7 

,emergency designations  7#a7 ,in       
general ,the amendment made by          
subsection 7a7 is designated as an      
emergency requirement pursuant to       
section #d7;g7 of the ,statutory        
,pay-,as-,you-,go ,act of #bjaj 7#b     
,u4,s4,c4 #icc7;g774  7#b7 ,designation 
in ,senate ,in the ,senate1 the         
amendment made by subsection 7a7 is     
designated as an emergency requirement  
pursuant to section #djc7;a7 of ,s4     
,con4 ,res4 #ac 7#aaath ,congress71 the 
concurrent resolution on the budget for 
fiscal year #bjaj4