,,ii  #aadth ,,congress  #ast ,session  
,s4 #gci  ,,in ,,the ,,senate ,,of ,,the
 ,,united ,,states  ,march #af1         
#bjae,mr4 ,hoeven 7for himself and ,mr4 
,manchin7 introduced the following bill2
 which was read twice and referred to   
the ,committee on ,veterans' ,affairs   
,a ,,bill  ,to modify the treatment of  
agreements entered into by the          
,secretary of ,veterans ,affairs to     
furnish nursing home care1 adult day    
health care1 or other extended care     
services1 and for other purposes4  #a4  
,short title ,this ,act may be cited as 
the ,veterans ,access to ,extended ,care
 ,act of #bjae4  #b4 ,treatment of      
agreements for nursing home care1 adult 
day health care1 or other extended care 
services from ,department of ,veterans  
,affairs  7a7 ,in general ,subparagraph 
7,b7 of section #agbj7;c77#a7 of title  
#ch1 ,united ,states ,code1 is amended  
by adding after the period at the end   
the following3 ,any such agreement shall
 not be treated as a ,federal contract  

for the acquisition of goods or services
 and is not subject to any provision of 
law governing ,federal contracts for the
 acquisition of goods or services4      
,title #da shall not apply to any such  
agreement44  7b7 ,requirements ,such    
section is amended by adding at the end 
the following new subparagraphs3  7,c7  
,any agreement entered into under       
subparagraph 7,a7 with a provider       
described in that subparagraph shall    
include provisions that are necessary to
 ensure the safety and quality of care  
furnished to veterans pursuant to such  
agreement1 including the following3  7i7
 ,requirements as to the licensing and  
credentialing of medical professionals  
of the provider1 as applicable4  7ii7   
,review by the ,department of medical   
records of the provider4  7iii7 ,visits 
by employees of the ,department to      
assess facilities and practices of the  
provider on an unannounced basis4  7iv7 
,review by the ,department of staffing  
levels for medical professionals and    

support personnel of the provider4  7v7 
,such other provisions as the ,secretary
 considers necessary to ensure the      
safety and quality of care furnished to 
veterans4  7,d7 ,the failure of a       
provider with which the ,secretary has  
entered into an agreement under         
subparagraph 7,a7 to comply with a      
provision of such agreement described in
 subparagraph 7,c7 may result in the    
termination of such agreement by the    
,department4  4  #c4 ,exemption of      
agreements entered into by ,secretary of
 ,veterans ,affairs for nursing home    
care1 adult day health care1 or other   
extended care services from the         
application of certain labor laws       
,section #fgjb7;b7 of title #da1 ,united
 ,states ,code1 is amended-- 7#a7 in    
paragraph 7#f71 by striking 2 and and   
inserting a semicolon2  7#b7 in         
paragraph 7#g71 by striking the period  
at the end and inserting 2 and2 and     
7#c7 by adding at the end the following3
  7#h7 an agreement to furnish nursing  

home care1 adult day health care1 or    
other extended care services under      
section #agbj of title #ch4  4