,,ii  #aad? ,,congress  #a/ ,session    
,s4 #gci  ,,9 ,,! ,,s5ate ,,( ,,!       
,,unit$ ,,/ates  ,m>* #af1 #bjae,mr4    
,hoev5 7= himself & ,mr4 ,man*97        
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,vet]ans' ,affairs  ,a ,,bill  ,to      
modify ! treatm5t ( agreem5ts ent]$ into
 by ! ,secret>y ( ,vet]ans ,affairs to  
furni% nurs+ home c>e1 adult day heal?  
c>e1 or o!r ext5d$ c>e s]vices1 & = o!r 
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,vet]ans ,access to ,ext5d$
 ,c>e ,act ( #bjae4  #b4 ,treatm5t (    
agreem5ts = nurs+ home c>e1 adult day   
heal? c>e1 or o!r ext5d$ c>e s]vices f  
,dep>tm5t ( ,vet]ans ,affairs  7a7 ,9   
g5]al ,subp>agraph 7,b7 ( section       
#agbj7;c77#a7 ( title #ch1 ,unit$ ,/ates
 ,code1 is am5d$ by add+ aft] ! p]iod at
 ! end ! foll[+3 ,any su* agreem5t %all 
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 ,title #da %all n apply to 
any su* agreem5t44  7b7 ,requirem5ts    
,su* section is am5d$ by add+ at ! end !
 foll[+ new subp>agraphs3  7,c7 ,any    
agreem5t ent]$ into "u subp>agraph 7,a7 
) a provid] describ$ 9 t subp>agraph    
%all include provisions t are necess>y  
to ensure ! safety & quality ( c>e      
furni%$ to vet]ans pursuant to su*      
agreem5t1 includ+ ! foll[+3  7i7        
,requirem5ts z to ! lic5s+ & cr$5tial+ (
 m$ical pr(essionals ( ! provid]1 z     
applicable4  7ii7 ,review by ! ,dep>tm5t
 ( m$ical records ( ! provid]4  7iii7   
,visits by employees ( ! ,dep>tm5t to   
assess facilities & practices ( !       
provid] on an unann\nc$ basis4  7iv7    
,review by ! ,dep>tm5t ( /aff+ levels = 
m$ical pr(essionals & support p]sonnel (
 ! provid]4  7v7 ,su* o!r provisions z !
 ,secret>y consid]s necess>y to ensure !
 safety & quality ( c>e furni%$ to      
vet]ans4  7,d7 ,! failure ( a provid] ) 
:i* ! ,secret>y has ent]$ into an       
agreem5t "u subp>agraph 7,a7 to comply )

 a provision ( su* agreem5t describ$ 9  
subp>agraph 7,c7 may result 9 !         
t]m9ation ( su* agreem5t by ! ,dep>tm5t4
  4  #c4 ,exemption ( agreem5ts ent]$   
into by ,secret>y ( ,vet]ans ,affairs = 
nurs+ home c>e1 adult day heal? c>e1 or 
o!r ext5d$ c>e s]vices f ! application (
 c]ta9 labor laws ,section #fgjb7;b7 (  
title #da1 ,unit$ ,/ates ,code1 is      
am5d$-- 7#a7 9 p>agraph 7#f71 by /rik+ 2
 & & ins]t+ a semicolon2  7#b7 9        
p>agraph 7#g71 by /rik+ ! p]iod at ! end
 & ins]t+ 2 &2 &  7#c7 by add+ at ! end 
! foll[+3  7#h7 an agreem5t to furni%   
nurs+ home c>e1 adult day heal? c>e1 or 
o!r ext5d$ c>e s]vices "u section #agbj 
( title #ch4  4