,,ib  ,union ,cal5d> ,no4 #ebf  #aae?   
,,congress  #b;d ,session  ,h4 ,r4 #cfdb
  ,report ,no4 #aae-fhc  ,,9 ,,! ,,h\se 
,,( ,,repres5tatives  ,augu/ #d1 #bjag  
,mr4 ,b>r introduc$ ! foll[+ bill2 :i* 0
 ref]r$ to ! ,committee on ,vet]ans'    
,affairs  ,may #ah1 #bjah;,additional   
sponsors3 ,mr4 ,curbelo ( ,florida1 ,mr4
 ,gu?rie1 ,ms4 ,jackson ,lee1 ,ms4      
,j5k9s ( ,kansas1 ,mr4 ,jones1 ,mr4     
,lance1 ,mr4 ,meehan1 ,mrs4 ,radewag51  
,mr4 ,ru%1 ,ms4 ,s9ema1 ,mr4 ,ryan (    
,ohio1 ,ms4 ,spei]1 ,mrs4 ,walorski1    
,mrs4 ,watson ,coleman1 ,ms4 ,gabb>d1   
,mr4 ,=t5b]ry1 ,ms4 ,/efanik1 ,mr4      
,byrne1 ,mr4 ,*abot1 ,mr4 ,lip9ski1 ,mr4
 ,rog]s ( ,k5tucky1 ,mr4 ,mool5a>1 ,mr4 
,yoho1 ,mr4 ,delaney1 ,mr4 ,pe>ce1 ,mr4 
,y>mu?1 ,mr4 ,khanna1 ,mrs4 ,brooks (   
,indiana1 ,mr4 ,web/] ( ,florida1 ,mr4  
,upton1 ,mrs4 ,beatty1 ,mr4 ,ross1 ,ms4 
,adams1 ,mr4 ,joyce ( ,ohio1 ,mrs4      
,lawr5ce1 ,mrs4 ,wagn]1 ,mr4 ,v>gas1    
,ms4 ,cl>ke ( ,new ,york1 ,mrs4 ,love1  
,mr4 ,issa1 ,mr4 ,mac,arthur1 ,mr4      

,kilm]1 ,mr4 ,bi%op ( ,mi*igan1 ,mr4    
,knight1 ,mr4 ,coop]1 ,mrs4 ,com/ock1   
,mr4 ,de,fazio1 ,mr4 ,mess]1 ,mr4       
,donovan1 ,mr4 ,yod]1 ,mr4 ,ratcliffe1  
,ms4 ,roybal-,all>d1 ,mr4 ,rice ( ,s\?  
,c>ol9a1 ,mr4 ,capuano1 ,mr4 ,valadao1  
,mr4 ,posey1 ,mr4 ,pauls51 ,mr4 ,jordan1
 ,mr4 ,himes1 ,mr4 ,mooney ( ,we/       
,virg9ia1 ,mr4 ,buck1 ,mr4 ,ro?fus1 ,ms4
 ,moore1 ,mr4 ,buc%on1 ,mr4 ,huiz5ga1   
,mr4 ,poliqu91 ,mr4 ,palazzo1 ,mr4      
,coll9s ( ,new ,york1 ,mr4 ,rupp]sb]g]1 
,ms4 ,matsui1 ,mr4 ,mc,kinley1 ,mr4     
,jody ,b4 ,hice ( ,georgia1 ,mr4        
,cuell>1 & ,mr4 ,faso  ,may #ah1 #bjah  
,report$ ) an am5dm5t1 committ$ to !    
,committee ( ! ,:ole ,h\se on ! ,/ate ( 
! ,union1 & ord]$ to be pr9t$ ,/rike out
 all aft] ! enact+ clause & ins]t ! "p  
pr9t$ 9 italic ,= text ( introduc$ bill1
 see copy ( bill z introduc$ on ,augu/  
#d1 #bjag  ,a ,,bill  ,to direct !      
,secret>y ( ,vet]ans ,affairs to c>ry   
out a pilot program to improve ! access 
to private heal? c>e = vet]ans :o are   

survivors ( milit>y sexual trauma4  #a4 
,%ort title ,?is ,act may be cit$ z !   
,milit>y ,sexual ,assault ,victims      
,emp[]m5t ,act or ! ,milit>y ,,save     
,act4  #b4 ,pilot program = private     
heal? c>e = vet]ans :o are survivors (  
milit>y sexual trauma  7a7 ,e/abli%m5t  
,! ,secret>y ( ,vet]ans ,affairs %all   
c>ry out a pilot program to furni%      
hospital c>e & m$ical s]vices to        
eligible vet]ans ?r\gh non-,dep>tm5t    
heal? c>e provid]s to treat injuries or 
illnesses :i*1 9 ! judgm5t ( a          
pr(essional employ$ by ! ,dep>tm5t1     
result$ f a physical assault ( a sexual 
nature1 batt]y ( a sexual nature1 or    
sexual h>assm5t :i* occurr$ :ile !      
vet]an 0 s]v+ on active duty1 active    
duty = tra9+1 or inactive duty tra9+4   
7b7 ,duration ,! ,secret>y %all c>ry out
 ! pilot program "u subsection 7a7 = a  
?ree-ye> p]iod4 ,if at ! completion ( ! 
pilot program an eligible vet]an is     
receiv+ hospital c>e & m$ical s]vices f 
a non-,dep>tm5t heal? c>e provid] "u !  

pilot program1 ! ,secret>y may approve1 
on a case-by-case basis1 ! cont9uation (
 su* hospital c>e & m$ical s]vices f t  
non-,dep>tm5t heal? c>e provid] until ! 
completion ( ! episode ( c>e4  7c7      
,eligible vet]ans ,a vet]an is eligible 
to p>ticipate 9 ! pilot program "u      
subsection 7a7 if ! vet]an-- 7#a7 is    
eligible to receive c\nsel+ &           
appropriate c>e & s]vices "u section    
#agbj;,d ( title #ch1 ,unit$ ,/ates     
,code2 &  7#b7 resides 9 a site select$ 
"u subsection 7d74  7d7 sites  7#a7     
,selection ,! ,secret>y %all select n m 
?an five sites 9 :i* to c>ry out ! pilot
 program "u subsection 7a74 ,ea* site   
%all meet ea* ( ! foll[+ crit]ia3  7,a7 
,except z provid$ by p>agraph 7#b71 !   
site consi/s ( a city ) a population    
betwe5 #bjj1jjj & #ejj1jjj1 z det]m9$ by
 ! ,bureau ( ! ,c5sus z ( ! fir/ day ( !
 pilot program4  7,b7 ,! site is 9 a    
,/ate 9 :i* ! ,national ,viol5ce ,aga9/ 
,wom5 ,prev5tion ,rese>* ,c5t] or !     
,c5t]s = ,disease ,control & ,prev5tion1

 or bo?1 has det]m9$ ! rate ( sexual    
assault to be a sub/antial problem4     
7,c7 ,! site is 9 a ,/ate t1 z ( ! fir/ 
day ( ! pilot program1 has a weight$    
p]c5tage ( report$ rape ( n less ?an #bj
 p]c5t b n m ?an #cj p]c5t ( sexual     
assault cases1 9 accordance ) ! f9d+ ( !
 ,c5t]s = ,disease ,control & ,prev5tion
 conta9$ 9 ! #8,lifetime ,preval5ce (   
,sexual ,viol5ce by any ,p]petrator     
7,,nisvs #bjaj74  7#b7 ,rural site ,n   
few] ?an "o site select$ "u p>agraph    
7#a7 %all be rural1 z det]m9$ by !      
,secret>y4  7e7 ,p>ticipation  7#a7     
,election ,subject to p>agraph 7#b71 an 
eligible vet]an may elect to p>ticipate 
9 ! pilot program "u subsection 7a74    
,su* election %all n affect ! ability ( 
! vet]an to receive heal? c>e furni%$ by
 ,dep>tm5t provid]s4  7#b7 ,numb] ,n m  
?an #ge vet]ans may p>ticipate 9 ! pilot
 program "u subsection 7a7 at ea* site  
select$ "u subsection 7d74  7#c7 ,*oice 
( non-,dep>tm5t heal? c>e provid]s ,an  
eligible vet]an :o p>ticipates 9 ! pilot

 program "u subsection 7a7 may freely   
*oose f :i* non-,dep>tm5t heal? c>e     
provid] ! vet]an receives hospital c>e  
or m$ical s]vices "u ! pilot program1   
except t ! ,secret>y %all--  7,a7 ensure
 t ea* su* non-,dep>tm5t heal? c>e      
provid] ma9ta9s 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 make a reasonable ef=t to ensure t 
su* non-,dep>tm5t heal? c>e provid] is  
famili> ) ! conditions & conc]ns t      
affect memb]s ( ! ,arm$ ,=ces & vet]ans 
& is tra9$ 9 evid5ce-bas$ psy*o!rapy    
7#d7 ,provision ( in=mation ,! ,secret>y
 %all-- 7,a7 notify eligible vet]ans ( !
 ability to make an election "u p>agraph
 7#a72 &  7,b7 provide to su* vet]ans   
educational ref]ral mat]ials1 includ+   
?r\gh pamphlets & int]net websites1 on !
 non-,dep>tm5t provid]s 9 ! sites       
select$ "u subsection 7d74  7f7         
,au?orization & monitor+ ( c>e ,9       

accordance ) subsection 7e71 ! ,secret>y
 %all ensure t ! ,dep>tm5t ( ,vet]ans   
,affairs au?orizes & monitors ! hospital
 c>e & m$ical s]vices furni%$ "u ! pilot
 program = appropriat5ess & necessity4  
,9 au?oriz+ & monitor+ su* c>e1 !       
,secret>y %all--  7#a7 treat a          
non-,dep>tm5t heal? c>e provid] t       
furni%es to su* a vet]an hospital c>e or
 m$ical s]vices "u ! pilot program z an 
au?oriz$ recipi5t ( records ( su* vet]an
 = purposes ( section #gccb7;b7 ( title 
#ch1 ,unit$ ,/ates ,code2 &  7#b7 ensure
 t su* non-,dep>tm5t heal? c>e provid]  
transmits to ! ,dep>tm5t su* records z !
 ,secret>y det]m9es appropriate4  7g7   
,paym5ts  7#a7 ,curr5t provid]s ,if a   
non-,dep>tm5t heal? c>e provid] has     
ent]$ into a contract1 agreem5t1 or o!r 
arrangem5t ) ! ,secret>y pursuant to    
ano!r provision ( law to furni% hospital
 c>e or m$ical s]vices to vet]ans1 !    
,secret>y %all pay ! heal? c>e provid] =
 hospital c>e or m$ical s]vices furni%$ 
"u ?is section us+ ! same rates & paym5t

 s*$ules z provid$ = 9 su* contract1    
agreem5t1 or o!r arrangem5t4  7#b7 ,new 
provid]s ,if a non-,dep>tm5t heal? c>e  
provid] has n ent]$ into a contract1    
agreem5t1 or o!r arrangem5t ) !         
,secret>y pursuant to ano!r provision ( 
law to furni% hospital c>e or m$ical    
s]vices to vet]ans1 ! ,secret>y %all pay
 ! heal? c>e provid] = hospital c>e or  
m$ical s]vices furni%$ "u ?is section   
us+ ! same rates & paym5t s*$ule z if   
su* c>e & s]vices 0 furni%$ pursuant to 
section #agjc ( title #ch1 ,unit$ ,/ates
 ,code4  7#c7 ,new ,contracts ,&        
,agreem5ts ,! ,secret>y %all take       
reasonable ef=ts to ent] into a         
contract1 agreem5t1 or o!r arrangem5t ) 
a non-,dep>tm5t heal? c>e provid]       
describ$ 9 subsection 7a7 to ensure t   
future c>e & s]vices au?oriz$ by !      
,secret>y & furni%$ by ! provid] are    
subject to su* a contract1 agreem5t1 or 
o!r arrangem5t  7h7 ,surveys ,!         
,secret>y %all conduct a survey ( a     
sample ( eligible vet]ans to assess !   

hospital c>e & m$ical s]vices furni%$ to
 su* vet]ans ei!r pursuant to ?is       
section or section #agbj;,d ( title #ch1
 ,unit$ ,/ates ,code1 z ! case may be4  
7i7 ,report ,n lat] ?an #fj days be=e ! 
completion ( ! pilot program "u         
subsection 7a71 ! ,secret>y %all submit 
to ! ,committees on ,vet]ans' ,affairs (
 ! ,h\se ( ,repres5tatives & ! ,s5ate a 
report on ! pilot program4 ,! report    
%all include ! foll[+3  7#a7 ,! results 
( ! pilot program1 includ+1 to ! ext5t  
possible1 an assessm5t ( ! heal?        
outcomes ( vet]ans :o p>ticipat$ 9 !    
pilot program4  7#b7 ,! recomm5dation ( 
! ,secret>y ) respect to ext5d+ or mak+ 
p]man5t ! pilot program4  7j7           
,def9itions ,9 ?is section3 7#a7 ,! t]m 
non-,dep>tm5t heal? c>e provid] means an
 entity specifi$ 9 section              
#aja7;a77#a77;,b7 ( section #aja ( !    
,vet]ans ,access1 ,*oice1 &             
,acc\ntability ,act ( #bjae 7,public    
,law #aac-adf2 #ch ,u4,s4,c4 #agja7 or  
any o!r heal? c>e provid] t has ent]$   

into a contract1 agreem5t1 or o!r       
arrangem5t ) ! ,secret>y pursuant to    
ano!r provision ( law to furni% hospital
 c>e or m$ical s]vices to vet]ans4  7#b7
 ,! t]m sexual h>assm5t has ! mean+ giv5
 t t]m 9 section #agbj;,d ( title #ch1  
,unit$ ,/ates ,code4  7#c7 ,! t]m ,/ate 
has ! mean+ giv5 t t]m 9 section        
#aja7bj7 ( title #ch1 ,unit$ ,/ates     
,code4  ,may #ah1 #bjah ,report$ ) an   
am5dm5t1 committ$ to ! ,committee ( !   
,:ole ,h\se on ! ,/ate ( ! ,union1 &    
ord]$ to be pr9t$