,,ii  #aae? ,,congress  #a/ ,session    
,s4 #abfa  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,may #be1 #bjag,mr4    
,cassidy introduc$ ! foll[+ bill2 :i* 0 
read twice & ref]r$ to ! ,committee on  
,vet]ans' ,affairs  ,a ,,bill  ,to am5d 
title #ch1 ,unit$ ,/ates ,code1 to      
require ! ,secret>y ( ,vet]ans ,affairs 
to pay ! reasonable co/s ( urg5t c>e    
provid$ to c]ta9 vet]ans1 to e/abli%    
co/-%>+ am\nts = vet]ans receiv+ c>e at 
an em]g5cy room ( ! ,dep>tm5t ( ,vet]ans
 ,affairs1 & = o!r purposes4  #a4 ,%ort 
title ,?is ,act may be cit$ z ! ,vet]ans
 ,em]g5cy ,room ,relief ,act ( #bjag4   
#b4 ,cov]age ( urg5t c>e & em]g5cy room 
treatm5t ( vet]ans by ! ,dep>tm5t (     
,vet]ans ,affairs  7a7 ,paym5t (        
reasonable co/s ( urg5t c>e  7#a7 ,9    
g5]al ,sub*apt] ,,iii ( *apt] #ag (     
title #ch1 ,unit$ ,/ates ,code1 is am5d$
 by ins]t+ aft] section #agbe ! foll[+  
new section3  #agbe;,a4 ,paym5t (       
reasonable co/s ( urg5t c>e  7a7 ,9     
g5]al ,! ,secret>y %all ent] into       

contracts ) urg5t c>e provid]s "u :i* ! 
,secret>y pays ! urg5t c>e provid] !    
reasonable co/s ( urg5t c>e provid$ to  
eligible vet]ans by ! urg5t c>e provid]4
  7b7 ,eligible vet]ans ,a vet]an is an 
eligible vet]an = purposes ( ?is section
 if ! vet]an-- 7#a7 is enroll$ 9 ! sy/em
 ( annual pati5t enrollm5t e/abli%$ &   
op]at$ "u section #agje7;a7 ( ?is title2
 &  7#b7 has receiv$ heal? c>e "u ?is   
*apt] dur+ ! two-ye> p]iod prec$+ ! date
 on :i* ! vet]an receives urg5t c>e "u  
?is section4  7c7 ,co/ %>+  7#a7 ,except
 z provid$ 9 p>agraph 7#b71 ! ,secret>y 
%all e/abli% a co/-%>+ am\nt t eligible 
vet]ans %all pay to ! ,secret>y to      
receive urg5t c>e f an urg5t c>e provid]
 "u ?is section4  7#b7 ,! co/-%>+ am\nt 
e/abli%$ "u p>agraph 7#a7 %all n apply  
to an eligible vet]an-- 7,a7 if !       
eligible vet]an is admitt$ to a hospital
 = treatm5t or obs]vation aft] receiv+  
urg5t c>e "u ?is section2 or  7,b7 if ! 
eligible vet]an is receiv+ urg5t c>e "u 
?is section = ! treatm5t ( a            

s]vice-connect$ disability or condition4
  7d7 ,treatm5t ( ,dep>tm5t ,not)/&+ !  
cov]age ( an eligible vet]an "u a       
heal?-plan contract1 ! ,secret>y %all be
 consid]$ ! prim>y pay] = any urg5t c>e 
provid$ to ! eligible vet]an "u ?is     
section4  7e7 ,types ( provid]s ,!      
,secret>y %all ensure t all types (     
urg5t c>e provid]s1 includ+ local urg5t 
c>e provid]s1 h an opportunity to ent]  
into a contract ) ! ,secret>y "u ?is    
section4  7f7 ,def9itions ,9 ?is        
section3 7#a7 ,! t]m heal?-plan contract
 has ! mean+ giv5 t t]m 9 section       
#agbe7;f7 ( ?is title4  7#b7 ,! t]m     
urg5t c>e has ! mean+ giv5 t t]m by !   
,secret>y4  7#c7 ,! t]m urg5t c>e       
provid] means a heal? c>e provid] t     
provides urg5t c>e at a non-,dep>tm5t   
facility4  4  7#b7 ,cl]ical am5dm5t ,!  
table ( sections at ! beg9n+ ( *apt] #ag
 ( su* title is am5d$ by ins]t+ aft] !  
item relat+ to section #agbe ! foll[+   
new item3  #agbe;,a4 ,paym5t (          
reasonable co/s ( urg5t c>e4  4  7#c7   

,s5se ( ,congress ,x is ! s5se (        
,congress t ! ,secret>y ( ,vet]ans      
,affairs is enc\rag$ to contract ) urg5t
 c>e c5t]s t are accr$it$ by a          
nationally recogniz$ accr$it+ body or   
organization to c>ry out section        
#agbe;,a ( title #ch1 ,unit$ ,/ates     
,code1 z add$ by p>agraph 7#a74  7b7    
,e/abli%m5t ( co/-,%>+ am\nt = vet]ans  
receiv+ em]g5cy room c>e f ,dep>tm5t    
7#a7 ,9 g5]al ,except z provid$ 9       
p>agraph 7#b71 ! ,secret>y ( ,vet]ans   
,affairs %all e/abli% a co/-%>+ am\nt t 
vet]ans %all pay to ! ,secret>y to      
receive c>e at an em]g5cy room ( !      
,dep>tm5t ( ,vet]ans ,affairs4  7#b7    
,exception ,! co/-%>+ am\nt e/abli%$ "u 
p>agraph 7#a7 %all n apply to a vet]an  
if ! vet]an--  7,a7 receives c>e = a    
s]vice-connect$ 7z def9$ 9 section #aja 
( title #ch1 ,unit$ ,/ates ,code7       
disability or condition2  7,b7 meets a  
h>d%ip exception e/abli%$ by ! ,secret>y
 = purposes ( ?is subsection2 or  7,c7  
is admitt$ to a hospital = treatm5t or  

obs]vation aft] receiv+ c>e at an       
em]g5cy room ( ! ,dep>tm5t4  7c7        
,limitation on co/-,%>+ am\nts ,!       
,secret>y ( ,vet]ans ,affairs may n     
require a vet]an to pay multiple co/-%>+
 am\nts if ! vet]an seeks urg5t c>e "u  
section #agbe;,a ( title #ch1 ,unit$    
,/ates ,code1 z add$ by subsection      
7a77#a71 & c>e at an em]g5cy room ( !   
,dep>tm5t ( ,vet]ans ,affairs = ! same  
condition dur+ a p]iod det]m9$ by !     
,secret>y = purposes ( ?is subsection4  
7d7 ,report on use by vet]ans ( urg5t & 
em]g5cy room c>e ,n lat] ?an two ye>s   
aft] ! date ( ! enactm5t ( ?is ,act1 & n
 less frequ5tly ?an once e two ye>s     
!reaft]1 ! ,secret>y ( ,vet]ans ,affairs
 %all submit to ! ,committee on         
,vet]ans' ,affairs ( ! ,s5ate & !       
,committee on ,vet]ans' ,affairs ( !    
,h\se ( ,repres5tatives a report on !   
use by vet]ans eligible = heal? c>e "u !
 laws adm9i/]$ by ! ,secret>y (--  7#a7 
urg5t c>e facilities2 &  7#b7 em]g5cy   
room facilities ( ! ,dep>tm5t ( ,vet]ans

 ,affairs4