,,ii #aad? ,,congress #b;d ,session ,s4 #bfdf ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,m>* #g1 #bjaf ,mr4 ,burr 7= himself1 ,mr4 ,hoev51 ,mr4 ,tillis1 ,ms4 ,ayotte1 ,mr4 ,da9es1 ,mr4 ,boozman1 & ,mr4 ,moran7 introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,vet]ans' ,affairs ,a ,,bill ,to am5d title #ch1 ,unit$ ,/ates ,code1 to e/abli% ! ,vet]ans ,*oice ,program ( ! ,dep>tm5t ( ,vet]ans ,affairs to improve heal? c>e provid$ to vet]ans by ! ,dep>tm5t1 & = o!r purposes4 #a4 ,%ort title2 table ( cont5ts 7a7 ,%ort title ,?is ,act may be cit$ z ! ,vet]ans ,*oice ,improvem5t ,act ( #bjaf4 7b7 ,table ( cont5ts ,! table ( cont5ts = ?is ,act is z foll[s3 ,sec4 #a4 ,%ort title2 table ( cont5ts4 ,,title ,i--,vet]ans ,*oice ,program ,sec4 #aja4 ,e/abli%m5t ( ,vet]ans ,*oice ,program4 ,sec4 #ajb4 ,fund+ = ,vet]ans ,*oice ,program4 ,sec4 #ajc4 ,paym5t ( heal? c>e provid]s "u ,vet]ans ,*oice ,program4 ,sec4 #ajd4 ,t]m9ation ( c]ta9 provisions au?oriz+ c>e to vet]ans ?r\gh non-,dep>tm5t ( ,vet]ans ,affairs provid]s4 ,,title ,,ii--,heal? c>e adm9i/rative matt]s ,sec4 #bja4 ,au?orization ( agreem5ts betwe5 ! ,dep>tm5t ( ,vet]ans ,affairs & non-,dep>tm5t provid]s4 ,sec4 #bjb4 ,reimbursem5t ( c]ta9 entities = em]g5cy m$ical transportation4 ,sec4 #bjc4 ,requirem5t t ,dep>tm5t ( ,vet]ans ,affairs collect heal?-plan contract in=mation f vet]ans4 ,sec4 #bjd4 ,requirem5t = advance appropriations = ! ,vet]ans ,*oice ,program acc\nt ( ! ,dep>tm5t ( ,vet]ans ,affairs4 ,sec4 #bje4 ,reau?orization ( pilot program ( enhanc$ contract c>e au?ority = heal? c>e ne$s ( vet]ans4 ,,title ,,iii--,o!r vet]ans matt]s ,sec4 #cja4 ,timeframe = paym5t ( disability comp5sation = victims ( contam9at$ wat] at ,camp ,lejeune1 ,nor? ,c>ol9a1 :5 ! ,secret>y ( ,vet]ans ,affairs e/abli%es a presumption ( s]vice connection4 ,i ,vet]ans ,*oice ,program #aja4 ,e/abli%m5t ( ,vet]ans ,*oice ,program 7a7 ,e/abli%m5t ( program 7#a7 ,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 ,*oice ,program 7a7 ,program 7#a7 ,furni%+ ( c>e 7,a7 ,9 g5]al ,hospital c>e & m$ical s]vices "u ?is *apt] %all be furni%$ to an eligible vet]an describ$ 9 subsection 7b71 at ! election ( su* vet]an1 ?r\gh contracts au?oriz$ "u subsection 7d71 or any o!r law adm9i/]$ by ! ,secret>y1 ) entities specifi$ 9 subp>agraph 7,b7 = ! furni%+ ( su* c>e & s]vices to vet]ans4 ,! furni%+ ( hospital c>e & m$ical s]vices "u ?is section may be ref]r$ to z ! ,vet]ans ,*oice ,program4 7,b7 ,entities specifi$ ,! entities specifi$ 9 ?is subp>agraph are ! foll[+3 7i7 ,any heal? c>e provid] t is p>ticipat+ 9 ! ,m$ic>e program "u title ,,xviii ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie et seq471 includ+ any physician furni%+ s]vices "u su* program4 7ii7 ,any ,f$]ally-qualifi$ heal? c5t] 7z def9$ 9 section #aije7l77#b77;,b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7l77#b77;,b7774 7iii7 ,! ,dep>tm5t ( ,def5se4 7iv7 ,! ,indian ,heal? ,s]vice4 7v7 ,any heal? c>e provid] n o!rwise cov]$ "u any ( clauses 7i7 ?r\gh 7iv7 t meets crit]ia e/abli%$ by ! ,secret>y = purposes ( ?is section4 7#b7 ,*oice ( provid] ,an eligible vet]an :o makes an election "u subsection 7c7 to receive hospital c>e or m$ical s]vices "u ?is section may select a provid] ( su* c>e or s]vices f among ! entities specifi$ 9 p>agraph 7#a77;,b7 t are accessible to ! vet]an4 7#c7 ,coord9ation ( c>e & s]vices ,! ,secret>y %all coord9ate1 ?r\gh ! ,non-,,va ,c>e ,coord9ation ,program ( ! ,dep>tm5t1 ! furni%+ ( c>e & s]vices "u ?is section to eligible vet]ans1 includ+ by ensur+ t an eligible vet]an receives an appo9tm5t = su* c>e & s]vices )9 ! wait-"t goals ( ! ,vet]ans ,heal? ,adm9i/ration = ! furni%+ ( hospital c>e & m$ical s]vices4 7b7 ,eligible vet]ans ,a vet]an is an eligible vet]an = purposes ( ?is section if-- 7#a7 ! vet]an is enroll$ 9 ! pati5t enrollm5t sy/em ( ! ,dep>tm5t e/abli%$ & op]at$ "u section #agje ( ?is title2 & 7#b7 7,a7 ! vet]an is unable to s*$ule an appo9tm5t = ! receipt ( hospital c>e or m$ical s]vices f a heal? c>e provid] ( ! ,dep>tm5t )9 ! less] (-- 7i7 ! wait-"t goals ( ! ,vet]ans ,heal? ,adm9i/ration = su* c>e or s]vices2 or 7ii7 a p]iod det]m9$ by a heal? c>e provid] ( ! ,dep>tm5t to be cl9ically necess>y = ! receipt ( su* c>e or s]vices2 7,b7 ! vet]an does n reside )9 #dj miles driv+ di/ance f a m$ical facility ( ! ,dep>tm5t1 includ+ a community-bas$ outpati5t cl9ic1 ) a full-"t prim>y c>e physician2 7,c7 ! vet]an-- 7i7 resides 9 a ,/ate )\t a m$ical facility ( ! ,dep>tm5t t provides-- 7,i7 hospital c>e2 7,,ii7 em]g5cy m$ical s]vices2 & 7,,iii7 surgical c>e rat$ by ! ,secret>y z hav+ a surgical complexity ( /&>d2 & 7ii7 does n reside )9 #bj miles driv+ di/ance f a m$ical facility ( ! ,dep>tm5t describ$ 9 clause 7i72 7,d7 ! vet]an faces an unusual or excessive burd5 9 access+ hospital c>e or m$ical s]vices f a m$ical facility ( ! ,dep>tm5t t is )9 #dj miles driv+ di/ance f ! resid5ce ( ! vet]an due to-- 7i7 geographical *all5ges2 7ii7 environm5tal factors1 su* z roads t are n accessible to ! g5]al public1 traffic1 or haz>d\s wea!r2 7iii7 a m$ical condition ( ! vet]an t affects ! ability to travel2 or 7iv7 su* o!r factors z det]m9$ by ! ,secret>y2 7,e7 ! vet]an resides 9 a location1 o!r ?an a location 9 ,guam1 ,am]ican ,samoa1 or ! ,republic ( ! ,philipp9es1 t requires ! vet]an to travel by air1 boat1 or f]ry to rea* a m$ical facility ( ! ,dep>tm5t1 includ+ a community-bas$ outpati5t cl9ic2 7,f7 ! vet]an is enroll$ 9 ! pilot program "u section #djc ( ! ,vet]ans' ,m5tal ,heal? & ,o!r ,c>e ,improvem5ts ,act ( #bjjh 7,public ,law #aaj-chg2 #ch ,u4,s4,c4 #agjc note7 z ( ! date ( ! enactm5t ( ! ,vet]ans ,*oice ,improvem5t ,act ( #bjaf2 or 7,g7 !re is a compell+ reason1 z det]m9$ by ! ,secret>y1 t ! vet]an ne$s to receive hospital c>e or m$ical s]vices f a m$ical facility o!r ?an a m$ical facility ( ! ,dep>tm5t4 7c7 ,election & au?orization 7#a7 ,9 g5]al ,9 ! case ( an eligible vet]an describ$ 9 subsection 7b77#b77;,a71 ! ,secret>y %all1 at ! election ( ! vet]an-- 7,a7 provide ! vet]an an appo9tm5t t exce$s ! wait-"t goals describ$ 9 su* subsection or place su* vet]an on an electronic wait+ li/ describ$ 9 p>agraph 7#b7 = an appo9tm5t = hospital c>e or m$ical s]vices ! vet]an has elect$ to receive "u ?is section2 or 7,b7 7i7 au?orize t su* c>e or s]vices be furni%$ to ! eligible vet]an "u ?is section2 & 7ii7 notify ! eligible vet]an by ! mo/ effective means available1 includ+ electronic communication or notification 9 writ+1 describ+ ! c>e or s]vices ! eligible vet]an is eligible to receive "u ?is section4 7#b7 ,electronic wait+ li/ ,! electronic wait+ li/ describ$ 9 ?is p>agraph %all be ma9ta9$ by ! ,dep>tm5t & all[ access by ea* eligible vet]an via www4myheal?4va4gov or any successor website 7or o!r digital *annel7 = ! foll[+ purposes3 7,a7 ,to det]m9e ! place ( su* eligible vet]an on ! wait+ li/4 7,b7 ,to det]m9e ! av]age l5g? ( "t an individual sp5ds on ! wait+ li/1 disaggregat$ by m$ical facility ( ! ,dep>tm5t & type ( c>e or s]vice ne$$1 = purposes ( all[+ su* eligible vet]an to make an in=m$ election "u p>agraph 7#a74 7d7 ,c>e & s]vices ?r\gh contracts 7#a7 ,contracts 7,a7 ,9 g5]al ,except z provid$ 9 subp>agraph 7,b71 ! ,secret>y %all ent] into contracts = furni%+ c>e & s]vices to eligible vet]ans "u ?is section ) entities specifi$ 9 subsection 7a77#a77;,b74 7,b7 ,o!r processes ,be=e ent]+ into a contract "u ?is p>agraph1 ! ,secret>y %all1 to ! maximum ext5t practicable & consi/5t ) ! requirem5ts ( ?is section1 furni% su* c>e & s]vices to su* vet]ans "u ?is section ) su* entities pursuant to %>+ agreem5ts1 exi/+ contracts ent]$ into by ! ,secret>y1 or o!r processes available at m$ical facilities ( ! ,dep>tm5t4 7,c7 ,treatm5t ( contracts ,a contract ent]$ into "u ?is p>agraph may n be treat$ z a ,f$]al contract = ! acquisition ( goods or s]vices & is n subject to any provision ( law gov]n+ ,f$]al contracts = ! acquisition ( goods or s]vices4 7,d7 ,contract def9$ ,9 ?is p>agraph1 ! t]m contract has ! mean+ giv5 t t]m 9 subp>t #b4aja ( ! ,f$]al ,acquisition ,regulation4 7#b7 ,rates & reimbursem5t 7,a7 ,9 g5]al ,9 ent]+ into a contract "u p>agraph 7#a7 ) an entity specifi$ 9 subsection 7a77#a77;,b71 ! ,secret>y %all-- 7i7 negotiate rates = ! furni%+ ( c>e & s]vices "u ?is section2 & 7ii7 reimburse ! entity = su* c>e & s]vices at ! rates negotiat$ "u clause 7i7 z provid$ 9 su* contract4 7,b7 ,limit on rates 7i7 ,9 g5]al ,except z provid$ 9 clause 7ii71 rates negotiat$ "u subp>agraph 7,a77i7 %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$ic>e program "u title ,,xviii ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie et seq47 = ! same c>e or s]vices4 7ii7 ,exceptions 7,i7 ,9 g5]al ,! ,secret>y may negotiate a rate t is m ?an ! rate paid by ! ,unit$ ,/ates z describ$ 9 clause 7i7 ) respect to ! furni%+ ( c>e or s]vices "u ?is section to an eligible vet]an :o resides 9 a highly rural area4 7,,ii7 ,o!r exceptions 7aa7 ,alaska ,) respect to furni%+ c>e or s]vices "u ?is section 9 ,alaska1 ! ,alaska ,fee ,s*$ule ( ! ,dep>tm5t ( ,vet]ans ,affairs w be foll[$1 except = :5 ano!r paym5t agreem5t1 includ+ a contract or provid] agreem5t1 is 9 place4 7bb7 ,o!r ,/ates ,) respect to c>e or s]vices furni%$ "u ?is section 9 a ,/ate ) an ,all-,pay] ,model ,agreem5t 9 effect "u section #ahad ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie;f71 ! ,m$ic>e paym5t rates "u clause 7i7 %all be calculat$ bas$ on ! paym5t rates "u su* agreem5t4 7,,iii7 ,highly rural area def9$ ,9 ?is clause1 ! t]m highly rural area means an area locat$ 9 a c\nty t has few] ?an sev5 individuals resid+ 9 t c\nty p] squ>e mile4 7,c7 ,limit on collection ,= ! furni%+ ( c>e or s]vices pursuant to a contract "u p>agraph 7#a71 an entity specifi$ 9 subsection 7a77#a77;,b7 may n collect any am\nt t is great] ?an ! rate negotiat$ pursuant to subp>agraph 7,a77i74 7e7 ,vet]ans *oice c>d 7#a7 ,9 g5]al ,= purposes ( receiv+ c>e & s]vices "u ?is section1 ! ,secret>y %all issue to ea* vet]an describ$ 9 subsection 7b77#a7 a c>d t may be pres5t$ to a heal? c>e provid] to facilitate ! receipt ( c>e or s]vices "u ?is section4 7#b7 ,"n ( c>d ,ea* c>d issu$ "u p>agraph 7#a7 %all be kn[n z a ,vet]ans ,*oice ,c>d4 7#c7 ,details ( c>d ,ea* ,vet]ans ,*oice ,c>d issu$ to a vet]an "u p>agraph 7#a7 %all include ! foll[+3 7,a7 ,! "n ( ! vet]an4 7,b7 ,an id5tification numb] = ! vet]an t is n ! social security numb] ( ! vet]an4 7,c7 ,! contact in=mation ( an appropriate (fice ( ! ,dep>tm5t = heal? c>e provid]s to confirm t c>e or s]vices "u ?is section are au?oriz$ = ! vet]an4 7,d7 ,contact in=mation & o!r relevant in=mation = ! submittal ( claims or bills = ! furni%+ ( c>e or s]vices "u ?is section4 7,e7 ,! foll[+ /atem5t3 ,?is c>d is = qualify+ m$ical c>e outside ! ,dep>tm5t ( ,vet]ans ,affairs4 ,please call ! ,dep>tm5t ( ,vet]ans ,affairs phone numb] specifi$ on ?is c>d to ensure t treatm5t has be5 au?oriz$44 7#d7 ,in=mation on use ( c>d ,^u issu+ a ,vet]ans ,*oice ,c>d to a vet]an1 ! ,secret>y %all provide ! vet]an ) in=mation cle>ly /at+ ! circum/ances "u :i* ! vet]an may be eligible = c>e or s]vices "u ?is section4 7f7 ,in=mation on availability ( c>e ,! ,secret>y %all provide in=mation to a vet]an ab\t ! availability ( c>e & s]vices "u ?is section 9 ! foll[+ circum/ances3 7#a7 ,:5 ! vet]an enrolls 9 ! pati5t enrollm5t sy/em ( ! ,dep>tm5t e/abli%$ & op]at$ "u section #agje ( ?is title4 7#b7 ,:5 ! vet]an attempts to s*$ule an appo9tm5t = ! receipt ( hospital c>e or m$ical s]vices f ! ,dep>tm5t b is unable to s*$ule an appo9tm5t )9 ! wait-"t goals ( ! ,vet]ans ,heal? ,adm9i/ration = ! furni%+ ( su* c>e or s]vices4 7#c7 ,:5 ! vet]an becomes eligible = hospital c>e or m$ical s]vices "u ?is section "u subp>agraph 7,b71 7,c71 7,d71 7,e71 7,f71 or 7,g7 ( subsection 7b77#b74 7g7 ,foll[-,up c>e ,! ,secret>y %all ensure t1 at ! election ( an eligible vet]an :o receives hospital c>e or m$ical s]vices f a heal? c>e provid] 9 an episode ( c>e "u ?is section1 ! vet]an receives su* c>e or s]vices f t heal? c>e provid] or ano!r heal? c>e provid] select$ by ! vet]an1 includ+ a heal? c>e provid] ( ! ,dep>tm5t1 ?r\gh ! completion ( ! episode ( c>e1 includ+ all specialty & ancill>y s]vices deem$ necess>y z "p ( ! treatm5t recomm5d$ 9 ! c\rse ( su* c>e or s]vices4 7h7 ,provid]s ,to be eligible to furni% c>e or s]vices "u ?is section1 a heal? c>e provid] mu/-- 7#a7 ma9ta9 at lea/ ! same or simil> cr$5tials & lic5ses z ^? cr$5tials & lic5ses t are requir$ ( heal? c>e provid]s ( ! ,dep>tm5t1 z det]m9$ by ! ,secret>y = purposes ( ?is section2 & 7#b7 submit1 n less frequ5tly ?an annually1 v]ification ( su* lic5ses & cr$5tials ma9ta9$ by su* heal? c>e provid]4 7i7 ,co/-,%>+ 7#a7 ,9 g5]al ,! ,secret>y %all require an eligible vet]an to pay a copaym5t = ! receipt ( c>e or s]vices "u ?is section only if su* eligible vet]an w\ld be requir$ to pay a copaym5t = ! receipt ( su* c>e or s]vices at a m$ical facility ( ! ,dep>tm5t or f a heal? c>e provid] ( ! ,dep>tm5t "u ?is *apt]4 7#b7 ,limitation ,! am\nt ( a copaym5t *>g$ "u p>agraph 7#a7 may n exce$ ! am\nt ( ! copaym5t t w\ld be payable by su* eligible vet]an = ! receipt ( su* c>e or s]vices at a m$ical facility ( ! ,dep>tm5t or f a heal? c>e provid] ( ! ,dep>tm5t "u ?is *apt]4 7j7 ,claims process+ sy/em 7#a7 ,9 g5]al ,! ,secret>y %all provide = an effici5t nationwide sy/em = prompt process+ & pay+ ( bills or claims = au?oriz$ c>e & s]vices furni%$ to eligible vet]ans "u ?is section4 7#b7 ,ov]sight ,! ,*ief ,bus9ess ,(fice ( ! ,vet]ans ,heal? ,adm9i/ration %all ov]see ! implem5tation & ma9t5ance ( su* sy/em4 7#c7 ,accuracy ( paym5t 7,a7 ,9 g5]al ,! ,secret>y %all ensure t su* sy/em meets su* goals = accuracy ( paym5t z ! ,secret>y %all specify = purposes ( ?is section4 7,b7 ,qu>t]ly report 7i7 ,9 g5]al ,! ,secret>y %all submit to ! ,committee on ,vet]ans' ,affairs ( ! ,s5ate & ! ,committee on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives a qu>t]ly report on ! accuracy ( su* sy/em4 7ii7 ,elem5ts ,ea* report requir$ by clause 7i7 %all include ! foll[+3 7,i7 ,a description ( ! goals = accuracy = su* sy/em specifi$ by ! ,secret>y "u subp>agraph 7,a74 7,,ii7 ,an assessm5t ( ! success ( ! ,dep>tm5t 9 meet+ su* goals dur+ ! qu>t] cov]$ by ! report4 7iii7 ,deadl9e ,! ,secret>y %all submit ea* report requir$ by clause 7i7 n lat] ?an #bj days aft] ! end ( ! qu>t] cov]$ by ! report4 7k7 ,m$ical records 7#a7 ,9 g5]al ,! ,secret>y %all ensure t any heal? c>e provid] t furni%es c>e or s]vices "u ?is section to an eligible vet]an submits to ! ,dep>tm5t a copy ( any m$ical record relat$ to ! c>e or s]vices provid$ to su* vet]an by su* heal? c>e provid] = inclusion 9 ! electronic m$ical record ( su* vet]an ma9ta9$ by ! ,dep>tm5t ^u ! completion ( ! provision ( su* c>e or s]vices to su* vet]an4 7#b7 ,electronic =mat ,any m$ical record submitt$ to ! ,dep>tm5t "u p>agraph 7#a7 %all1 to ! ext5t possible1 be 9 an electronic =mat4 7l7 ,records n requir$ = reimbursem5t ,) respect to c>e or s]vices furni%$ to an eligible vet]an by a heal? c>e provid] "u ?is section1 ! receipt by ! ,dep>tm5t ( a m$ical record "u subsection 7k7 detail+ su* c>e or s]vices is n requir$ be=e reimburs+ ! heal? c>e provid] = su* c>e or s]vices4 7m7 ,track+ ( miss$ appo9tm5ts ,! ,secret>y %all implem5t a me*anism to track any miss$ appo9tm5ts = c>e or s]vices "u ?is section by eligible vet]ans to ensure t ! ,dep>tm5t does n pay = su* c>e or s]vices t 7 n furni%$ to an eligible vet]an4 7n7 ,rules ( con/ruction 7#a7 ,prescription m$ications ,no?+ 9 ?is section %all be con/ru$ to alt] ! process ( ! ,dep>tm5t = fill+ & pay+ = prescription m$ications4 7#b7 ,ti]$ network ,no?+ 9 ?is section %all be con/ru$ to au?orize ! creation ( a ti]$ network 9 :i* an eligible vet]an w\ld be requir$ to receive c>e or s]vices f an entity 9 a high] ti] ?an any o!r entity or provid] network4 7o7 ,wait-,"t goals ( ! ,vet]ans ,heal? ,adm9i/ration 7#a7 ,9 g5]al ,except z provid$ 9 p>agraph 7#b71 9 ?is section1 ! t]m wait-"t goals ( ! ,vet]ans ,heal? ,adm9i/ration means n m ?an #cj days f ! date on :i* a vet]an reque/s an appo9tm5t = hospital c>e or m$ical s]vices f ! ,dep>tm5t4 7#b7 ,alt]nate goals ,if ! ,secret>y submits to ,congress1 n lat] ?an #ahj days aft] ! date ( ! enactm5t ( ! ,vet]ans ,*oice ,improvem5t ,act ( #bjaf1 a report /at+ t ! actual wait-"t goals ( ! ,vet]ans ,heal? ,adm9i/ration are diff]5t f ! wait-"t goals specifi$ 9 p>agraph 7#a7-- 7,a7 = purposes ( ?is section1 ! wait-"t goals ( ! ,vet]ans ,heal? ,adm9i/ration %all be ! wait-"t goals submitt$ by ! ,secret>y "u ?is p>agraph2 & 7,b7 ! ,secret>y %all publi% su* wait-"t goals 9 ! ,f$]al ,regi/] & on an ,int]net website ( ! ,dep>tm5t available to ! public4 7p7 ,waiv] ( c]ta9 pr9t+ requirem5ts ,section #eja ( title #dd %all n apply 9 c>ry+ out ?is section4 4 7#b7 ,cl]ical am5dm5t ,! table ( sections at ! beg9n+ ( *apt] #ag ( su* title is am5d$ by ins]t+ aft] ! item relat+ to section #agjc ! foll[+ new item3 #agjc;,a4 ,vet]ans ,*oice ,program4 4 7#c7 ,con=m+ repeal 7,a7 ,9 g5]al ,section #aja ( ! ,vet]ans ,access1 ,*oice1 & ,acc\ntability ,act ( #bjad 7,public ,law #aac-adf2 #ch ,u4,s4,c4 #agja note7 is repeal$4 7,b7 ,con=m+ am5dm5t ,section #bjh7a7 ( su* ,act is am5d$ by /rik+ section #aja & ins]t+ section #agjc;,a ( title #ch1 ,unit$ ,/ates ,code4 7#d7 ,report ,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 ! furni%+ ( c>e & s]vices "u section #agjc;,a ( title #ch1 ,unit$ ,/ates ,code1 z add$ by p>agraph 7#a71 t includes ! foll[+3 7,a7 ,! total numb] ( vet]ans :o h receiv$ c>e or s]vices "u ?is section1 disaggregat$ by-- 7i7 eligible vet]ans describ$ 9 subsection 7b77#b77;,a7 ( su* section2 7ii7 eligible vet]ans describ$ 9 subsection 7b77#b77;,b7 ( su* section2 7iii7 eligible vet]ans describ$ 9 subsection 7b77#b77;,c7 ( su* section2 7iv7 eligible vet]ans describ$ 9 subsection 7b77#b77;,d7 ( su* section2 7v7 eligible vet]ans describ$ 9 subsection 7b77#b77;,e7 ( su* section2 7vi7 eligible vet]ans describ$ 9 subsection 7b77#b77;,f7 ( su* section2 & 7vii7 eligible vet]ans describ$ 9 subsection 7b77#b77;,g7 ( su* section4 7,b7 ,a description ( ! types ( c>e & s]vices furni%$ to vet]ans "u su* section4 7,c7 ,an acc\nt+ ( ! total co/ ( furni%+ c>e & s]vices to vet]ans "u su* section4 7,d7 ,! results ( a survey ( vet]ans :o h receiv$ c>e or s]vices "u su* section on ! satisfaction ( su* vet]ans ) ! c>e or s]vices receiv$ by su* vet]ans "u su* section4 7,e7 ,an assessm5t ( ! effect ( furni%+ c>e & s]vices "u su* section on wait times = appo9tm5ts = ! receipt ( hospital c>e & m$ical s]vices f ! ,dep>tm5t ( ,vet]ans ,affairs4 7b7 ,consolidation ( s]vices 7#a7 ,9 g5]al ,n lat] ?an ,decemb] #ca1 #bjag1 ! ,secret>y ( ,vet]ans ,affairs %all consolidate ! foll[+ programs1 contracts1 & agreem5ts ( ! ,dep>tm5t ( ,vet]ans ,affairs3 7,a7 ,! ,pati5t-,c5t]$ ,community ,c>e program 7commonly ref]r$ to z ,,pc#c74 7,b7 ,contracts to provide kidney dialysis s]vices4 7,c7 ,contracts ?r\gh ! retail ph>macy network ( ! ,dep>tm5t4 7,d7 ,vet]ans ,c>e ,agreem5ts "u section #agjc;,c ( title #ch1 ,unit$ ,/ates ,code1 z add$ by section #bja7;a74 7,e7 ,heal? c>e agreem5ts ) ,f$]al entities or entities fund$ by ! ,f$]al ,gov]nm5t1 includ+ ! ,dep>tm5t ( ,def5se1 ! ,indian ,heal? ,s]vice1 tribal heal? programs1 ,f$]ally-qualifi$ heal? c5t]s 7z def9$ 9 section #aije7l77#b77;,b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7l77#b77;,b7771 & academic tea*+ affiliates4 7#b7 ,classification ( s]vices ,s]vices provid$ "u ! programs1 contracts1 & agreem5ts consolidat$ "u p>agraph 7#a7 %all be consid]$ s]vices provid$ "u ! ,vet]ans ,*oice ,program e/abli%$ "u section #agjc;,a ( title #ch1 ,unit$ ,/ates ,code1 z add$ by subsection 7a77#a74 7#c7 ,rule ( con/ruction ,no?+ 9 ?is subsection %all be con/ru$ to au?orize ! creation ( a ti]$ network 9 :i* an entity or entities w\ld be plac$ 9 a high] ti] ?an any o!r entity or provid] network4 #ajb4 ,fund+ = ,vet]ans ,*oice ,program 7a7 ,9 g5]al ,all am\nts requir$ to c>ry out ! ,vet]ans ,*oice ,program %all be d]iv$ f ! appropriations acc\nt e/abli%$ 9 section #djjc ( ! ,surface ,transportation & ,vet]ans ,heal? ,c>e ,*oice ,improvem5t ,act ( #bjae 7,public ,law #aad-da2 #ch ,u4,s4,c4 #agja note74 7b7 ,transf] ( am\nts 7#a7 ,9 g5]al ,all am\nts 9 ! ,vet]ans ,*oice ,fund "u section #hjb ( ! ,vet]ans ,access1 ,*oice1 & ,acc\ntability ,act ( #bjad 7,public ,law #aac-adf2 #ch ,u4,s4,c4 #agja note7 %all be transf]r$ to ! appropriations acc\nt e/abli%$ 9 section #djjc ( ! ,surface ,transportation & ,vet]ans ,heal? ,c>e ,*oice ,improvem5t ,act ( #bjae 7,public ,law #aad-da2 #ch ,u4,s4,c4 #agja note74 7#b7 ,con=m+ repeal 7,a7 ,9 g5]al ,section #hjb ( ! ,vet]ans ,access1 ,*oice1 & ,acc\ntability ,act ( #bjad 7,public ,law #aac-adf2 #ch ,u4,s4,c4 #agja note7 is repeal$4 7,b7 ,con=m+ am5dm5t ,section #djjc ( ! ,surface ,transportation & ,vet]ans ,heal? ,c>e ,*oice ,improvem5t ,act ( #bjae 7,public ,law #aad-da2 #ch ,u4,s4,c4 #agja note7 is am5d$ by /rik+ to be compris$ ( & all t foll[s & ins]t+ to be compris$ ( discretion>y m$ical s]vices fund+ t is designat$ = hospital c>e & m$ical s]vices furni%$ at non-,dep>tm5t facilities4 7c7 ,obligation ( funds ,)\t reg>d to ! requirem5ts ( sections #aeja & #acda7;a77#a7 ( title #ca1 ,unit$ ,/ates ,code1 ! ,secret>y may record obligations "u ! ,vet]an ,*oice ,program if ! am\nt ( ! obligation is c]ta9 9 ord] = ! ,dep>tm5t to avoid l>ge deobligation am\nts aft] ! funds h expir$4 7d7 ,/reaml9$ fund+ 7#a7 ,provision ( funds ,! ,*ief ,bus9ess ,(fice ( ! ,vet]ans ,heal? ,adm9i/ration may provide funds = a fiscal ye> to m$ical c5t]s ( ! ,dep>tm5t1 if reque/$ by ! m$ical c5t]1 = co/s relat+ to furni%+ non-,dep>tm5t c>e "u ! ,vet]ans ,*oice ,program1 includ+ adm9i/rative co/s associat$ ) ! managem5t & acc\nt+ ( su* funds1 & may adju/ su* fund+ if appropriate4 7#b7 ,submittal ( fund+ reque/s by m$ical c5t]s ,m$ical c5t]s ( ! ,dep>tm5t may submit fund+ reque/s to ! ,*ief ,bus9ess ,(fice = co/s describ$ 9 subp>agraph 7,a74 7#c7 ,use ( funds ,funds provid$ "u subp>agraph 7,a7 may be us$ only = ! co/s specifi$ 9 su* subp>agraph & are n eligible to be reprogramm$ = any o!r purpose4 7e7 ,report 7#a7 ,9 g5]al ,n lat] ?an #ij days aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,vet]ans ,affairs %all submit to ! appropriate committees ( ,congress a report t includes ! foll[+3 7,a7 ,! am\nt ( funds requir$ to c>ry out ! ,vet]ans ,*oice ,program = fiscal ye> #bjag4 7,b7 ,! numb] ( vet]ans1 disaggregat$ by fiscal ye>1 :o receiv$ heal? c>e s]vices "u ! programs1 contracts1 & agreem5ts t make up ! ,vet]ans ,*oice ,program dur+ ! p]iod beg9n+ on ,octob] #a1 #bjaa1 & end+ on ,septemb] #cj1 #bjae4 7,c7 ,an evaluation ( :e!r ! acc\nt+ processes ( ! ,dep>tm5t are suffici5t to prop]ly acc\nt = exp5ditures f a consolidat$ appropriations acc\nt "u p>agraph 7#a71 includ+ an id5tification ( ea* kn[n defici5cy & pot5tial defici5cy ( su* processes4 7,d7 ,= ea* defici5cy id5tifi$ "u clause 7iii71 a detail$ plan to rem$y ! defici5cy & an assessm5t ( :e!r ! ,dep>tm5t has adequate res\rces to rem$y ! defici5cy4 7,e7 ,= ea* defici5cy id5tifi$ "u clause 7iii7 t requires new or improv$ in=mation te*nology to rem$y1 an evaluation ( :e!r !re is comm]cially available te*nology t may be suitable to rem$y ! defici5cy4 7,f7 ,a co/ e/imate = rem$y+ ea* defici5cy id5tifi$ "u clause 7iii74 7#b7 ,appropriate committees ( ,congress def9$ ,9 ?is p>agraph1 ! t]m appropriate committees ( ,congress means-- 7,a7 ! ,committee on ,vet]ans' ,affairs & ! ,committee on ,appropriations ( ! ,s5ate2 & 7,b7 ! ,committee on ,vet]ans' ,affairs & ! ,committee on ,appropriations ( ! ,h\se ( ,repres5tatives4 7f7 ,vet]ans ,*oice ,program def9$ ,9 ?is subsection1 ! t]m ,vet]ans ,*oice ,program means-- 7#a7 ! program "u section #agjc;,a ( title #ch1 ,unit$ ,/ates ,code1 z add$ by section #aja7;a77#a72 & 7#b7 ! programs1 contracts1 & agreem5ts ( ! ,dep>tm5t consolidat$ "u section #aja7;b74 #ajc4 ,paym5t ( heal? c>e provid]s "u ,vet]ans ,*oice ,program 7a7 ,paym5t ( provid]s 7#a7 ,9 g5]al ,sub*apt] ,i ( *apt] #ag ( title #ch1 ,unit$ ,/ates ,code1 z am5d$ by section #aja7;a77#a71 is fur!r am5d$ by ins]t+ aft] section #agjc;,a ! foll[+ new section3 #agjc;,b4 ,vet]ans ,*oice ,program3 paym5t ( heal? c>e provid]s 7a7 ,prompt paym5t compliance ,! ,secret>y %all ensure t paym5ts made to heal? c>e provid]s "u ! ,vet]ans ,*oice ,program comply ) *apt] #ci ( title #ca 7commonly ref]r$ to z ! ,prompt ,paym5t ,act7 & ! requirem5ts ( ?is section4 ,if !re is a conflict betwe5 ! requirem5ts ( ! ,prompt ,paym5t ,act & ! requirem5ts ( ?is section1 ! ,secret>y %all comply ) ! requirem5ts ( ?is section4 7b7 ,paym5t s*$ule 7#a7 ,! ,secret>y %all reimburse a heal? c>e provid] = c>e or s]vices furni%$ "u ! ,vet]ans ,*oice ,program-- 7,a7 9 ! case ( a clean claim submitt$ to ! ,secret>y electronically1 n lat] ?an #cj days aft] receiv+ ! claim2 or 7,b7 9 ! case ( a clean claim submitt$ to ! ,secret>y 9 a mann] o!r ?an electronically1 n lat] ?an #de days aft] receiv+ ! claim4 7#b7 7,a7 ,if ! ,secret>y det]m9es t a claim receiv$ f a heal? c>e provid] = c>e or s]vices furni%$ "u ! ,vet]ans ,*oice ,program is a non-clean claim1 ! ,secret>y %all submit to ! provid]1 n lat] ?an #aj days aft] receiv+ ! claim-- 7i7 a notification t ! claim is a non-clean claim2 7ii7 an explanation ( :y ! claim has be5 det]m9$ to be a non-clean claim2 & 7iii7 an id5tification ( ! in=mation or docum5tation t is requir$ to make ! claim a clean claim4 7,b7 ,if ! ,secret>y does n comply ) ! requirem5ts ( subp>agraph 7,a7 ) respect to a claim1 ! claim %all be deem$ a clean claim = purposes ( p>agraph 7#a74 7#c7 ,^u receipt by ! ,secret>y ( in=mation or docum5tation describ$ 9 subp>agraph 7,a77iii7 ) respect to a claim1 ! ,secret>y %all reimburse a heal? c>e provid] = c>e or s]vices furni%$ "u ! ,vet]ans ,*oice ,program-- 7,a7 9 ! case ( a claim submitt$ to ! ,secret>y electronically1 n lat] ?an #cj days aft] receiv+ su* in=mation or docum5tation2 or 7,b7 9 ! case ( claim submitt$ to ! ,secret>y 9 a mann] o!r ?an electronically1 n lat] ?an #de days aft] receiv+ su* in=mation or docum5tation4 7#d7 ,if ! ,secret>y fails to comply ) ! deadl9es = paym5t set =? 9 ?is subsection ) respect to a claim1 int]e/ %all accrue on ! am\nt ow$ "u su* claim 9 accordance ) section #cijb ( title #ca1 ,unit$ ,/ates ,code4 7c7 ,in=mation & docum5tation requir$ 7#a7 ,! ,secret>y %all provide to all heal? c>e provid]s p>ticipat+ 9 ! ,vet]ans ,*oice ,program a li/ ( in=mation & docum5tation t is requir$ to e/abli% a clean claim "u ?is section4 7#b7 ,! ,secret>y %all consult ) entities 9 ! heal? c>e indu/ry1 9 ! public & private sector1 to det]m9e ! in=mation & docum5tation to include 9 ! li/ "u p>agraph 7#a74 7#c7 ,if ! ,secret>y modifies ! in=mation & docum5tation includ$ 9 ! li/ "u p>agraph 7#a71 ! ,secret>y %all notify all heal? c>e provid]s p>ticipat+ 9 ! ,vet]ans ,*oice ,program n lat] ?an #cj days be=e su* modifications take effect4 7d7 ,electronic claim submittal ,on & aft] ,janu>y #a1 #bjai1 ! ,secret>y %all n accept any claim "u ?is section t is submitt$ to ! ,secret>y 9 a mann] o!r ?an electronically4 7e7 ,def9itions ,9 ?is section3 7#a7 ,! t]m clean claim means a claim = reimbursem5t = c>e or s]vices furni%$ "u ! ,vet]ans ,*oice ,program1 on a nationally recogniz$ /&>d =mat1 t includes ! in=mation & docum5tation necess>y to adjudicate ! claim4 7#b7 ,! t]m non-clean claim means a claim = reimbursem5t = c>e or s]vices furni%$ "u ! ,vet]ans ,*oice ,program1 on a nationally recogniz$ /&>d =mat1 t does n include ! in=mation & docum5tation necess>y to adjudicate ! claim4 7#c7 ,! t]m ,vet]ans ,*oice ,program means-- 7,a7 ! program "u section #agjc;,a ( ?is title2 & 7,b7 ! programs1 contracts1 & agreem5ts ( ! ,dep>tm5t consolidat$ "u section #aja7;b7 ( ! ,vet]ans ,*oice ,improvem5t ,act ( #bjaf4 4 7#b7 ,cl]ical am5dm5t ,! table ( sections at ! beg9n+ ( *apt] #ag ( su* title1 z am5d$ by section #aja7;a77#b71 is fur!r am5d$ by ins]t+ aft] ! item relat$ to section #agjc;,a ! foll[+ new item3 #agjc;,b4 ,vet]ans ,*oice ,program3 paym5t ( heal? c>e provid]s4 4 7b7 ,electronic submittal ( claims = reimbursem5t 7#a7 ,prohibition on acceptance ( non-electronic claims 7,a7 ,9 g5]al ,except z provid$ 9 subp>agraph 7,b71 on & aft] ,janu>y #a1 #bjai1 ! ,secret>y ( ,vet]ans ,affairs %all n accept any claim = reimbursem5t "u section #agjc;,b ( title #ch1 ,unit$ ,/ates ,code1 z add$ by subsection 7a71 t is submitt$ to ! ,secret>y 9 a mann] o!r ?an electronically1 includ+ m$ical records 9 connection ) su* a claim4 7,b7 ,exception ,if ! ,secret>y det]m9es t accept+ claims & m$ical records 9 a mann] o!r ?an electronically is necess>y = ! timely process+ ( claims = reimbursem5t "u su* section #agjc;,b due to a failure or malfunction ( ! electronic int]face e/abli%$ "u p>agraph 7#b71 ! ,secret>y-- 7i7 may accept claims & m$ical records 9 a mann] o!r ?an electronically = a p]iod n to exce$ #ij days2 & 7ii7 %all submit to ! ,committee on ,vet]ans' ,affairs ( ! ,s5ate & ! ,committee on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives a report sett+ =?-- 7,i7 ! reason = accept+ claims & m$ical records 9 a mann] o!r ?an electronically2 7,,ii7 ! duration ( "t t ! ,dep>tm5t ( ,vet]ans ,affairs w accept claims & m$ical records 9 a mann] o!r ?an electronically2 & 7,,iii7 ! /eps t ! ,dep>tm5t is tak+ to resolve su* failure or malfunction4 7#b7 ,electronic int]face 7,a7 ,9 g5]al ,n lat] ?an ,janu>y #a1 #bjai1 ! ,*ief ,in=mation ,(fic] ( ! ,dep>tm5t ( ,vet]ans ,affairs %all e/abli% an electronic int]face = heal? c>e provid]s to submit claims = reimbursem5t "u su* section #agjc;,b4 7,b7 ,functions ,! electronic int]face e/abli%$ "u subp>agraph 7,a7 %all include ! foll[+ functions3 7i7 ,a function ?r\gh :i* a heal? c>e provid] may input all relevant data requir$ = claims submittal & reimbursem5t4 7ii7 ,a function ?r\gh :i* a heal? c>e provid] may upload m$ical records to accompany a claim = reimbursem5t4 7iii7 ,a function ?r\gh :i* a heal? c>e provid] may asc]ta9 ! /atus ( a p5d+ claim = reimbursem5t t-- 7,i7 indicates :e!r ! claim is a clean claim or a non-clean claim2 & 7,,ii7 9 ! ev5t t a submitt$ claim is indicat$ z a non-clean claim1 provides-- 7aa7 an explanation ( :y ! claim has be5 det]m9$ to be a non-clean claim2 & 7bb7 an id5tification ( ! in=mation or docum5tation t is requir$ to make ! claim a clean claim4 7iv7 ,a function ?r\gh :i* a heal? c>e provid] is notifi$ :5 a claim = reimbursem5t is accept$ or reject$4 7v7 ,su* o!r features z ! ,secret>y consid]s necess>y4 7,c7 ,protection ( in=mation 7i7 ,9 g5]al ,! electronic int]face e/abli%$ "u subp>agraph 7,a7 %all be develop$ & implem5t$ bas$ on indu/ry-accept$ in=mation security & privacy eng9e]+ pr9ciples & be/ practices & %all provide = ! foll[+3 7,i7 ,! elicitation1 analysis1 & prioritization ( functional & nonfunctional in=mation security & privacy requirem5ts = su* int]face1 includ+ specific security & privacy s]vices & ar*itectural requirem5ts relat+ to security & privacy bas$ on a ?or\gh analysis ( all reasonably anticipat$ cyb] & noncyb] ?reats to ! security & privacy ( electronic protect$ heal? in=mation made available ?r\gh su* int]face4 7,,ii7 ,! elicitation1 analysis1 & prioritization ( secure developm5t requirem5ts relat+ to su* int]face4 7,,iii7 ,! assurance t ! prioritiz$ in=mation security & privacy requirem5ts ( su* int]face-- 7aa7 are correctly implem5t$ 9 ! design & implem5tation ( su* int]face ?r\gh\t ! sy/em developm5t lifecycle2 & 7bb7 satisfy ! in=mation objectives ( su* int]face relat+ to security & privacy ?r\gh\t ! sy/em developm5t lifecycle4 7ii7 ,def9itions ,9 ?is subp>agraph3 7,i7 ,electronic protect$ heal? in=mation ,! t]m electronic protect$ heal? in=mation has ! mean+ giv5 t t]m 9 section #afj4ajc ( title #de1 ,code ( ,f$]al ,regulations1 z 9 effect on ! date ( ! enactm5t ( ?is ,act4 7,,ii7 ,secure developm5t requirem5ts ,! t]m secure developm5t requirem5ts means1 ) respect to ! electronic int]face e/abli%$ "u subp>agraph 7,a71 activities t are requir$ to be complet$ dur+ ! sy/em developm5t lifecycle ( su* int]face1 su* z secure cod+ pr9ciples & te/ me?odologies4 7#c7 ,analysis ( available te*nology = electronic int]face 7,a7 ,9 g5]al ,n lat] ?an ,janu>y #a1 #bjag1 or be=e ent]+ into a contract to procure or design & build ! electronic int]face describ$ 9 p>agraph 7#b7 or mak+ a decision to int]nally design & build su* electronic int]face1 :i*ev] occurs fir/1 ! ,secret>y %all-- 7i7 conduct an analysis ( comm]cially available te*nology t may satisfy ! requirem5ts ( su* electronic int]face set =? 9 su* p>agraph2 & 7ii7 submit to ! ,committee on ,vet]ans' ,affairs ( ! ,s5ate & ! ,committee on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives a report sett+ =? su* analysis4 7,b7 ,elem5ts ,! report requir$ "u subp>agraph 7,a77ii7 %all include ! foll[+3 7i7 ,an evaluation ( comm]cially available sy/ems t may satisfy ! requirem5ts ( p>agraph 7#b74 7ii7 ,! e/imat$ co/ ( procur+ a comm]cially available sy/em if a suitable comm]cially available sy/em exi/s4 7iii7 ,if no suitable comm]cially available sy/em exi/s1 an assessm5t ( ! feasibility ( modify+ a comm]cially available sy/em to meet ! requirem5ts ( p>agraph 7#b71 includ+ ! e/imat$ co/ associat$ ) su* modifications4 7iv7 ,if no suitable comm]cially available sy/em exi/s & modify+ a comm]cially available sy/em is n feasible1 an assessm5t ( ! e/imat$ co/ & "t t w\ld be requir$ to contract ) a comm]cial entity to design & build an electronic int]face t meets ! requirem5ts ( p>agraph 7#b74 7v7 ,if ! ,secret>y det]m9es t ! ,dep>tm5t has ! capabilities requir$ to design & build an electronic int]face t meets ! requirem5ts ( p>agraph 7#b71 an assessm5t ( ! e/imat$ co/ & "t t w\ld be requir$ to design & build su* electronic int]face4 7vi7 ,a description ( ! decision ( ! ,secret>y reg>d+ h[ ! ,dep>tm5t plans to e/abli% ! electronic int]face requir$ "u p>agraph 7#b7 & ! ju/ification ( ! ,secret>y = su* decision4 7#d7 ,limitation on use ( am\nts ,! ,secret>y may n sp5d any am\nts to procure or design & build ! electronic int]face describ$ 9 p>agraph 7#b7 until ! date t is #fj days aft] ! date on :i* ! ,secret>y submits ! report requir$ "u p>agraph 7#c77;,a77iii74 #ajd4 ,t]m9ation ( c]ta9 provisions au?oriz+ c>e to vet]ans ?r\gh non-,dep>tm5t ( ,vet]ans ,affairs provid]s 7a7 ,t]m9ation ( au?ority ,to contract = c>e 9 non-,dep>tm5t facilities 7#a7 ,9 g5]al ,section #agjc ( title #ch1 ,unit$ ,/ates ,code1 is am5d$ by add+ at ! end ! foll[+ new subsection3 7e7 ,! au?ority ( ! ,secret>y "u ?is section t]m9ates on ,decemb] #ca1 #bjag4 4 7#b7 ,con=m+ am5dm5ts 7,a7 ,9 g5]al 7i7 ,d5tal c>e ,section #agab7;a7 ( su* title is am5d$-- 7,i7 9 p>agraph 7#c71 by /rik+ "u clause 7#a71 7#b71 or 7#e7 ( section #agjc7;a7 ( ?is title & ins]t+ "u ! ,vet]ans ,*oice ,program 7z def9$ 9 section #agjc;,b7e7 ( ?is title72 & 7,,ii7 9 p>agraph 7#d77;,a71 9 ! fir/ s5t5ce-- 7aa7 by /rik+ & section #agjc ( ?is title & ins]t+ & ! ,vet]ans ,*oice ,program 7z def9$ 9 section #agjc;,b7e7 ( ?is title72 & 7bb7 by /rik+ 9 section #agjc ( ?is title & ins]t+ "u ! ,vet]ans ,*oice ,program4 7ii7 ,readju/m5t c\nsel+ ,section #agab;,a7e77#a7 ( su* title is am5d$ by /rik+ 7"u sections #agjc7;a77#b7 & #agaj7;a77#a77;,b7 ( ?is title7 & ins]t+ 7"u ! ,vet]ans ,*oice ,program 7z def9$ 9 section #agjc;,b7e7 ( ?is title7 & section #agaj7;a77#a77;,b7 ( ?is title74 7iii7 ,dea? 9 ,dep>tm5t facility ,section #bcjc7;a77#b77;,b77i7 ( su* title is am5d$ by /rik+ 9 accordance ) section #agjc & ins]t+ "u ! ,vet]ans ,*oice ,program 7z def9$ 9 section #agjc;,b7e7 ( ?is title74 7iv7 ,m$ic>e provid] agreem5ts ,section #ahff7;a77#a77,l7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie;cc7a77#a77,l77 is am5d$-- 7,i7 by /rik+ "u section #agjc ( title #ch & ins]t+ "u ! ,vet]ans ,*oice ,program 7z def9$ 9 section #agjc;,b7e7 ( title #ch1 ,unit$ ,/ates ,code72 & 7,,ii7 by /rik+ su* section & ins]t+ su* program4 7,b7 ,effective date ,! am5dm5ts made by subp>agraph 7,a7 %all take effect on ,janu>y #a1 #bjah4 7b7 ,repeal ( au?ority ,to contract = sc>ce m$ical speciali/s 7#a7 ,9 g5]al ,section #gdji ( su* title is repeal$4 7#b7 ,cl]ical am5dm5t ,! table ( sections at ! beg9n+ ( *apt] #gd ( su* title is am5d$ by /rik+ ! item relat+ to section #gdji4 ,,ii ,heal? c>e adm9i/rative matt]s #bja4 ,au?orization ( agreem5ts betwe5 ! ,dep>tm5t ( ,vet]ans ,affairs & non-,dep>tm5t provid]s 7a7 ,9 g5]al ,sub*apt] ,i ( *apt] #ag ( title #ch1 ,unit$ ,/ates ,code1 z am5d$ by section #ajc7;a77#a71 is fur!r am5d$ by ins]t+ aft] section #agjc;,b ! foll[+ new section3 #agjc;,c4 ,vet]ans ,c>e ,agreem5ts 7a7 ,agreem5ts ,to furni% c>e 7#a7 ,9 addition to ! au?ority ( ! ,secret>y "u ?is *apt] to furni% hospital c>e1 m$ical s]vices1 & ext5d$ c>e at facilities ( ! ,dep>tm5t & "u contracts or %>+ agreem5ts ent]$ into "u au?orities o!r ?an ?is section1 ! ,secret>y may furni% hospital c>e1 m$ical s]vices1 & ext5d$ c>e ?r\gh ! use ( agreem5ts ent]$ into "u ?is section4 ,an agreem5t ent]$ into "u ?is section may be ref]r$ to z a ,vet]ans ,c>e ,agreem5t4 7#b7 7,a7 ,! ,secret>y may ent] into agreem5ts "u ?is section ) eligible provid]s t are c]tifi$ "u subsection 7d7 if ! ,secret>y is n feasibly able to furni% c>e or s]vices describ$ 9 p>agraph 7#a7 at facilities ( ! ,dep>tm5t4 7,b7 ,! ,secret>y is n feasibly able to furni% c>e or s]vices describ$ 9 p>agraph 7#a7 at facilities ( ! ,dep>tm5t if ! ,secret>y det]m9es t ! m$ical condition ( ! vet]an1 ! travel involv$1 ! nature ( ! c>e or s]vices requir$1 or a comb9ation ( ^? factors make ! use ( facilities ( ! ,dep>tm5t impracticable or inadvisable4 7#c7 ,an eligible provid]1 at its discretion1 may opt to ent] into an agreem5t "u ?is section in/ead ( a contract or %>+ agreem5t "u au?orities o!r ?an ?is section4 7b7 ,receipt ( c>e 7#a7 ,eligibility ( a vet]an "u ?is section = c>e or s]vices describ$ 9 p>agraph 7#a7 %all be det]m9$ z if su* c>e or s]vices 7 furni%$ 9 a facility ( ! ,dep>tm5t & provisions ( ?is title applicable to vet]ans receiv+ su* c>e or s]vices 9 a facility ( ! ,dep>tm5t %all apply to vet]ans receiv+ su* c>e or s]vices "u ?is section4 7#b7 ,9 c>ry+ out ?is section1 ! ,secret>y-- 7,a7 may n direct vet]ans seek+ c>e or s]vices describ$ 9 p>agraph 7#a7 to heal? c>e provid]s t h ent]$ into contracts or %>+ agreem5ts "u au?orities o!r ?an ?is section2 & 7,b7 %all ensure t vet]ans h ! option to det]m9e :e!r to receive su* c>e or s]vices f a heal? c>e provid] describ$ 9 subp>agraph 7,a7 or an eligible provid] t has ent]$ into an agreem5t "u ?is section4 7c7 ,eligible provid]s ,= purposes ( ?is section1 an eligible provid] is "o ( ! foll[+3 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;cc7a774 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 #acieu7h774 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 plan4 7#d7 ,a heal? c>e provid] t is-- 7,a7 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,b7 a c5t] = indep5d5t liv+ 7z def9$ 9 section #gjb ( ! ,rehabilitation ,act ( #aigc 7#bi ,u4,s4,c4 #gif;a774 7#e7 ,a provid] t is locat$ 9-- 7,a7 an area t is designat$ z a heal? pr(essional %ortage area 7z def9$ 9 section #ccb ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bed;e772 or 7,b7 a c\nty t is n 9 a metropolitan /ati/ical area4 7#f7 ,su* o!r heal? c>e provid]s z ! ,secret>y consid]s appropriate = purposes ( ?is section4 7d7 ,c]tification ( eligible provid]s 7#a7 ,! ,secret>y %all e/abli% a process = ! c]tification ( eligible provid]s "u ?is section t %all1 at a m9imum1 set =? ! foll[+3 7,a7 ,proc$ures = ! submittal ( applications = c]tification & deadl9es = actions tak5 by ! ,secret>y ) respect to su* applications4 7,b7 ,/&>ds & proc$ures = approval & d5ial ( c]tification1 duration ( c]tification1 revocation ( c]tification1 & rec]tification4 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 #acie;cc7j77#b77;,b77 & ! /&>ds set =? "u section #i4ajd ( title #dh1 ,code ( ,f$]al ,regulations1 or any successor regulation4 7#b7 ,! ,secret>y %all d5y or revoke c]tification to an eligible provid] "u ?is subsection if ! ,secret>y det]m9es t ! eligible provid] is curr5tly-- 7,a7 exclud$ 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 7,b7 id5tifi$ z an exclud$ s\rce on ! li/ ma9ta9$ 9 ! ,sy/em = ,aw>d ,managem5t1 or any successor sy/em4 7e7 ,t]ms ( agreem5ts ,ea* agreem5t ent]$ into ) an eligible provid] "u ?is section %all include provisions requir+ ! eligible provid] to d ! foll[+3 7#a7 ,to accept paym5t = c>e or s]vices furni%$ "u ?is section at rates e/abli%$ by ! ,secret>y = purposes ( ?is section1 :i* %all be1 to ! ext5t practicable1 ! rates paid by ! ,unit$ ,/ates = su* c>e or s]vices to provid]s ( s]vices & suppli]s "u ! ,m$ic>e program "u title ,,xviii ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie et seq474 7#b7 ,to accept paym5t "u p>agraph 7#a7 z paym5t 9 full = c>e or s]vices furni%$ "u ?is section & to n seek any paym5t = su* c>e or s]vices f ! recipi5t ( su* c>e or s]vices4 7#c7 ,to furni% "u ?is section only ! c>e or s]vices au?oriz$ by ! ,dep>tm5t "u ?is section unless ! eligible provid] receives prior writt5 cons5t f ! ,dep>tm5t to furni% c>e or s]vices outside ! scope ( su* au?orization4 7#d7 ,to bill ! ,dep>tm5t = c>e or 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>ty1 z ^? t]ms are def9$ 9 section #agbi ( ?is title1 = 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 or s]vices "u ?is section to ! ,dep>tm5t 9 a timeframe & =mat specifi$ by ! ,secret>y = purposes ( ?is section4 7#g7 ,to meet su* o!r t]ms & conditions1 includ+ quality ( c>e assurance /&>ds1 z ! ,secret>y may specify = purposes ( ?is section4 7f7 ,t]m9ation ( agreem5ts 7#a7 ,an eligible provid] may t]m9ate an 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 an 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 sub/antially ) ! provisions ( ! agreem5t or ) ! provisions ( ?is section & ! regulations prescrib$ !reund]2 7,b7 det]m9es t ! 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/em2 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 or ! ,dep>tm5t2 or 7,d7 det]m9es t x is reasonable to t]m9ate ! agreem5t bas$ on ! heal? c>e ne$s ( a vet]an or vet]ans4 7g7 ,p]iodic review ( c]ta9 agreem5ts 7#a7 ,n less frequ5tly ?an once e two ye>s1 ! ,secret>y %all review ea* ,vet]ans ,c>e ,agreem5t ( mat]ial size ent]$ into dur+ ! two-ye> p]iod prec$+ ! review to det]m9e :e!r x is feasible & advisable to furni% ! hospital c>e1 m$ical s]vices1 or ext5d$ c>e furni%$ "u su* agreem5t at facilities ( ! ,dep>tm5t or ?r\gh contracts or %>+ agreem5ts ent]$ into "u au?orities o!r ?an ?is section4 7#b7 7,a7 ,subject to subp>agraph 7,b71 a ,vet]ans ,c>e ,agreem5t is ( mat]ial size z det]m9$ by ! ,secret>y = purposes ( ?is section4 7,b7 ,a ,vet]ans ,c>e ,agreem5t ent]$ into aft] ,septemb] #cj1 #bjaf1 = ! pur*ase ( ext5d$ c>e s]vices is ( mat]ial size if ! pur*ase ( su* s]vices "u ! agreem5t exce$s #a1jjj1jjj annually4 ,! ,secret>y may adju/ su* am\nt to acc\nt = *anges 9 ! co/ ( heal? c>e bas$ ^u recogniz$ heal? c>e m>ket surveys & o!r available data & %all publi% any su* adju/m5ts 9 ! ,f$]al ,regi/]4 7h7 ,treatm5t ( c]ta9 laws 7#a7 ,an agreem5t "u ?is section may be ent]$ into )\t reg>d to any law t w\ld require ! ,secret>y to use competitive proc$ures 9 select+ ! p>ty ) :i* to ent] into ! agreem5t4 7#b7 ,an eligible provid] t ent]s into an agreem5t "u ?is section may n be treat$ z a ,f$]al contractor or subcontractor by ! ,(fice ( ,f$]al ,contract ,compliance ,programs ( ! ,dep>tm5t ( ,labor by virtue ( furni%+ hospital c>e1 m$ical s]vices1 or ext5d$ c>e "u t agreem5t4 7#c7 7,a7 ,except z provid$ 9 subp>agraph 7,b7 & unless o!rwise provid$ 9 ?is section or regulations prescrib$ pursuant to ?is section1 an eligible provid] t ent]s into an agreem5t "u ?is section is n subject to1 9 ! c>ry+ out ( ! agreem5t1 any law t an eligible provid] describ$ 9 subsection 7b77#a71 7b77#b71 or 7b77#c7 is n subject to "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 seq474 7,b7 ,! exclusion "u subp>agraph 7,a7 does n apply to laws reg>d+ integrity1 e?ics1 fraud1 or t subject a p]son to civil or crim9al p5alties4 7#d7 ,title ,,vii ( ! ,civil ,rights ,act ( #aifd 7#db ,u4,s4,c4 #bjjj;e et seq47 %all apply ) respect to an eligible provid] t ent]s into an agreem5t "u ?is section 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 ?is section4 7i7 ,monitor+ ( quality ( c>e ,! ,secret>y %all e/abli% a sy/em or sy/ems1 consi/5t ) survey & c]tification proc$ures us$ by ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices & ,/ate survey ag5cies to ! ext5t practicable-- 7#a7 to monitor ! quality ( c>e & s]vices furni%$ to vet]ans "u ?is section2 & 7#b7 to assess ! quality ( c>e & s]vices furni%$ by an eligible provid] "u ?is section = purposes ( det]m9+ :e!r to r5ew an agreem5t "u ?is section ) ! eligible provid]4 7j7 ,dispute resolution ,! ,secret>y %all e/abli% adm9i/rative proc$ures = eligible provid]s ) :i* ! ,secret>y has ent]$ into an agreem5t "u ?is section to pres5t any dispute aris+ "u or relat$ to ! agreem5t4 4 7b7 ,regulations ,! ,secret>y ( ,vet]ans ,affairs %all prescribe an int]im f9al rule to c>ry out section #agjc;,c ( su* title1 z add$ by subsection 7a71 n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is ,act4 7c7 ,cl]ical am5dm5t ,! table ( sections at ! beg9n+ ( *apt] #ag ( su* title1 z am5d$ by section #ajc7;a77#b71 is fur!r am5d$ by ins]t+ aft] ! item relat$ to section #agjc;,b ! foll[+ new item3 #agjc;,c4 ,vet]ans ,c>e ,agreem5ts4 4 #bjb4 ,reimbursem5t ( c]ta9 entities = em]g5cy m$ical transportation 7a7 ,9 g5]al ,sub*apt] ,,iii ( *apt] #ag ( title #ch1 ,unit$ ,/ates ,code1 is am5d$ by ins]t+ aft] section #agbe ! foll[+ new section3 #agbe;,a4 ,reimbursem5t ( c]ta9 entities = em]g5cy m$ical transportation 7a7 ,9 g5]al ,not)/&+ any o!r provision ( law1 ! ,secret>y %all reimburse an ambulance provid] or any o!r entity t provides transportation to a vet]an describ$ 9 section #agbe7;b7 ( ?is title = ! purpose ( receiv+ em]g5cy treatm5t at a non-,dep>tm5t facility ! co/ ( su* transportation4 7b7 ,s]vice connection 7#a7 ,! ,secret>y %all reimburse an ambulance provid] or any o!r entity "u subsection 7a7 reg>dless ( :e!r ! und]ly+ m$ical condition = :i* ! vet]an is seek+ em]g5cy treatm5t is 9 connection ) a s]vice-connect$ disability4 7#b7 ,if ! ,secret>y det]m9es t ! und]ly+ m$ical condition = :i* ! vet]an receives em]g5cy treatm5t is n 9 connection ) a s]vice-connect$ disability1 ! ,secret>y %all rec\p ! co/ ( transportation paid "u subsection 7a7 9 connection ) su* em]g5cy treatm5t f any heal?-plan contract "u :i* ! vet]an is cov]$4 7c7 ,tim+ ,reimbursem5t "u subsection 7a7 %all be made n lat] ?an #cj days aft] receiv+ a reque/ = reimbursem5t "u su* subsection4 7d7 ,def9itions ,9 ?is section1 ! t]ms em]g5cy treatm5t & heal?-plan contract h ! mean+s giv5 ^? t]ms 9 section #agbe7;f7 ( ?is title4 4 7b7 ,cl]ical am5dm5t ,! table ( sections at ! beg9n+ ( *apt] #ag ( su* title is am5d$ by ins]t+ aft] ! item relat$ to section #agbe ! foll[+ new item3 #agbe;,a4 ,reimbursem5t = em]g5cy m$ical transportation4 4 #bjc4 ,requirem5t t ,dep>tm5t ( ,vet]ans ,affairs collect heal?-plan contract in=mation f vet]ans 7a7 ,9 g5]al ,sub*apt] ,i ( *apt] #ag is am5d$ by ins]t+ aft] section #agje ! foll[+ new section3 #agje;,a4 ,managem5t ( heal? c>e3 in=mation reg>d+ heal?-plan contracts 7a7 ,9 g5]al 7#a7 ,any individual :o seeks hospital c>e or m$ical s]vices "u ?is *apt] %all provide to ! ,secret>y su* curr5t in=mation z ! ,secret>y may require to id5tify any heal?-plan contract "u :i* su* individual is cov]$4 7#b7 ,! in=mation requir$ to be provid$ to ! ,secret>y "u p>agraph 7#a7 ) respect to a heal?-plan contract %all include1 z applicable1 ! foll[+3 7,a7 ,! "n ( ! entity provid+ cov]age "u ! heal?-plan contract4 7,b7 ,if cov]age "u ! heal?-plan contract is 9 ! "n ( an individual o!r ?an ! individual requir$ to provide in=mation "u ?is section1 ! "n ( ! policy hold] ( ! heal?-plan contract4 7,c7 ,! id5tification numb] = ! heal?-plan contract4 7,d7 ,! gr\p code = ! heal?-plan contract4 7b7 ,action ,to collect in=mation ,! ,secret>y may take su* action z ! ,secret>y consid]s appropriate to collect ! in=mation requir$ "u subsection 7a74 7c7 ,effect on s]vices f ,dep>tm5t ,! ,secret>y may n d5y any s]vices "u ?is *apt] to an individual solely due to ! fact t ! individual fails to provide in=mation requir$ "u subsection 7a74 7d7 ,heal?-,plan contract def9$ ,9 ?is section1 ! t]m heal?-plan contract has ! mean+ giv5 t t]m 9 section #agbe7;f7 ( ?is title4 4 7b7 ,cl]ical am5dm5t ,! table ( sections at ! beg9n+ ( *apt] #ag ( su* title is am5d$ by ins]t+ aft] ! item relat+ to section #agje ! foll[+ new item3 #agje;,a4 ,managem5t ( heal? c>e3 in=mation reg>d+ heal?-plan contracts4 4 #bjd4 ,requirem5t = advance appropriations = ! ,vet]ans ,*oice ,program acc\nt ( ! ,dep>tm5t ( ,vet]ans ,affairs 7a7 ,9 g5]al ,section #aag7;c7 ( title #ch1 ,unit$ ,/ates ,code1 is am5d$ by add+ at ! end ! foll[+ new p>agraph3 7#g7 ,vet]ans ,heal? ,adm9i/ration1 ,vet]ans ,*oice ,program4 4 7b7 ,con=m+ am5dm5t ,section #aaje7;a77#cg7 ( title #ca1 ,unit$ ,/ates ,code1 is am5d$ by add+ at ! end ! foll[+ new subp>agraph3 7,g7 ,vet]ans ,heal? ,adm9i/ration1 ,vet]ans ,*oice ,program4 4 7c7 ,applicability ,! am5dm5ts made by ?is section %all apply to fiscal ye>s beg9n+ on & aft] ,octob] #a1 #bjaf4 #bje4 ,reau?orization ( pilot program ( enhanc$ contract c>e au?ority = heal? c>e ne$s ( vet]ans ,p>agraph 7#c7 ( section #djc7;a7 ( ! ,vet]ans' ,m5tal ,heal? & ,o!r ,c>e ,improvem5ts ,act ( #bjjh 7,public ,law #aaj-chg2 #ch ,u4,s4,c4 #agjc note7 is am5d$ to read z foll[s3 7#c7 ,t]m9ation ,! ,secret>y may n provide cov]$ heal? s]vices "u ! pilot program aft] ,augu/ #g1 #bjai4 4 ,,iii ,o!r vet]ans matt]s #cja4 ,timeframe = paym5t ( disability comp5sation = victims ( contam9at$ wat] at ,camp ,lejeune1 ,nor? ,c>ol9a1 :5 ! ,secret>y ( ,vet]ans ,affairs e/abli%es a presumption ( s]vice connection 7a7 ,9 g5]al ,except z provid$ 9 subsection 7b71 9 any case 9 :i* ! ,secret>y ( ,vet]ans ,affairs e/abli%es a presumption ( s]vice connection = purposes ( comp5sation "u *apt] #aa ( title #ch1 ,unit$ ,/ates ,code1 = an illness or condition incurr$ by an individual describ$ 9 section #agaj7;e77#a77;,f7 ( su* title1 ! ,secret>y %all comm5ce1 n lat] ?an #ij days aft] ! date on :i* ! ,secret>y e/abli%$ su* presumption1 paym5t ( comp5sation "u su* *apt] to ! individuals :o are entitl$ to su* comp5sation "u su* *apt] by virtue ( su* presumption4 7b7 ,presumptions e/abli%$ be=e date ( enactm5t ,9 a case 9 :i* ! ,secret>y e/abli%$ a presumption z describ$ 9 subsection 7a7 be=e ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y %all comm5ce paym5t z describ$ 9 su* subsection n lat] ?an ! date t is #ij days aft] ! date ( ! enactm5t ( ?is ,act4