#aaeth ,,congress  #ast ,session  ,h4   
,r4 #bfja  ,,an ,,act  ,to amend the    
,veterans ,access1 ,choice1 and         
,accountability ,act of #bjad to improve
 the access of veterans to organ        
transplants1 and for other purposes4    
#a4 ,short title ,this ,act may be cited
 as the ,veterans ,increased ,choice for
 ,transplanted ,organs and ,recovery    
,act of #bjag or the ,,victor ,act of   
#bjag4  #b4 ,organ transplants under the
 ,veterans ,choice ,program ,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--  7#a7
 in subparagraph 7,c77ii71 by striking  
or2  7#b7 in subparagraph               
7,d77ii77,,ii77dd71 by striking the     
period and inserting 2 or2 and  7#c7 by 
adding at the end the following new     
subparagraph3  7,e7 7i7 requires an     
organ or bone marrow transplant2 and    
7ii7  7,i7 has1 in the opinion of the   
primary health care provider of the     

veteran1 a medically compelling reason  
to travel outside the region of the     
,organ ,procurement and ,transplantation
 ,network1 established under section    
#cgb of the ,national ,organ            
,transplantation ,act 7,public ,law     
#ih-ejg2 #db ,u4,s4,c4 #bgd71 in which  
the veteran resides to receive such     
transplant at a medical facility of the 
,department2 or  7,,ii7 faces an unusual
 or excessive burden in receiving such  
transplant at a medical facility of the 
,department1 including--  7aa7          
geographical challenges2  7bb7          
environmental factors1 including roads  
that are not accessible to the general  
public1 traffic1 or hazardous weather2  
7cc7 a medical condition of the veteran 
that affects the ability to travel2 or  
7dd7 other factors the ,secretary       
determines appropriate1 including the   
preference of the veteran to receive    
such transplant at a non-,department    
facility4  4  #c4 ,effective date ,the  
amendments made by this ,act shall take 

effect on the later of-- 7#a7 ,october  
#a1 #bjah2 and  7#b7 the date of the    
enactment of this ,act4  ,passed the    
,house of ,representatives ,november #g1
 #bjag4;,clerk4