,,ib  ,union ,calendar ,no4 #bia  #aaeth
 ,,congress  #ast ,session  ,h4 ,r4     
#bfja  ,report ,no4 #aae-cie  ,,in ,,the
 ,,house ,,of ,,representatives  ,may   
#bc1 #bjag ,mr4 ,dunn 7for himself1 ,mr4
 ,correa1 ,mr4 ,kelly of ,pennsylvania1 
,mr4 ,banks of ,indiana1 ,miss          
,gonzlez-,coln of ,puerto ,rico1 ,mr4   
,rutherford1 ,mrs4 ,radewagen1 ,mr4     
,poliquin1 ,mr4 ,gosar1 ,mr4 ,bost1 ,mr4
 ,bacon1 ,mr4 ,royce of ,california1    
,mr4 ,gallagher1 ,mr4 ,ross1 ,mr4       
,bilirakis1 ,mr4 ,costello of           
,pennsylvania1 ,mr4 ,sablan1 ,mr4       
,bergman1 ,mr4 ,hudson1 and ,mr4        
,arrington7 introduced the following    
bill2 which was referred to the         
,committee on ,veterans' ,affairs       
,november #g1 #bjag ,additional         
sponsors3 ,mr4 ,young of ,iowa1 ,mr4    
,jody ,b4 ,hice of ,georgia1 ,mr4       
,jones1 ,mr4 ,king of ,new ,york1 ,mr4  
,higgins of ,louisiana1 ,mr4 ,bishop of 
,georgia1 ,mrs4 ,love1 ,mr4 ,thomas ,j4 
,rooney of ,florida1 ,mr4 ,webster of   

,florida1 ,mr4 ,yoho1 ,mr4 ,francis     
,rooney of ,florida1 ,mr4 ,gaetz1 and   
,mr4 ,messer  ,november #g1 #bjag       
,reported with an amendment1 committed  
to the ,committee of the ,whole ,house  
on the ,state of the ,union1 and ordered
 to be printed ,strike out all after the
 enacting clause and insert the part    
printed in italic ,for text of          
introduced bill1 see copy of bill as    
introduced on ,may #bc1 #bjag  ,a ,,bill
  ,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  ,november #g1  
#bjag ,reported with an amendment1      
committed to the ,committee of the      
,whole ,house on the ,state of the      
,union1 and ordered to be printed