,i #aaf? ,,congress #a/ ,session ,h4 ,r4 #aahb ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,febru>y #ac1 #bjai ,ms4 ,judy ,*u ( ,cali=nia introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,vet]ans' ,affairs ,a ,,bill ,to am5d title #ch1 ,unit$ ,/ates ,code1 to ensure access to acupuncturi/ s]vices ?r\gh ! ,dep>tm5t ( ,vet]ans ,affairs4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,acupuncture = ,our ,h]oes ,act4 #b4 ,inclusion ( acupuncturi/ s]vices at vet]ans heal? facilities 7a7 ,acupuncturi/ s]vices 7#a7 ,9 g5]al ,sub*apt] ,,ii ( *apt] #ag ( title #ch1 ,unit$ ,/ates ,code1 is am5d$ by add+ at ! end ! foll[+ new section3 #agbj;,j4 ,provision ( acupuncturi/ s]vices 7a7 ,9 g5]al ,! ,secret>y %all c>ry out a program to provide acupuncturi/ s]vices to vet]ans enroll$ 9 ! heal? c>e sy/em e/abli%$ "u section #agje7;a7 ( ?is title 7)\t ! requirem5t ( a ref]ral74 7b7 ,locations ,! program "u subsection 7a7 %all be c>ri$ out at 9 at lea/ "o facility ( ! ,dep>tm5t 9 ea* ,vet]ans ,integrat$ ,s]vice ,network4 ,9 select+ su* facilities1 ! ,secret>y %all ensure t ! program is c>ri$ out 9 bo? urban & rural areas4 7c7 ,s]vices available ,! ,secret>y %all ensure t ! acupuncturi/ s]vices available "u ! program are able to address1 at a m9imum1 ! foll[+3 7#a7 ,*ronic & acute pa94 7#b7 ,canc] pa94 7#c7 ,po/op]ative nausea & vomit+4 7#d7 ,po/surgical ga/rop>esis syndrome4 7#e7 ,opioid-induc$ con/ipation4 7#f7 ,opioid-induc$ pruritus4 7#g7 ,*emo!rapy-induc$ neuropa?y4 7#h7 ,aromatase inhibitor-associat$ jo9t pa94 7#i7 ,neck dissection-relat$ pa9 & dysfunction4 7#aj7 ,/ress managem5t4 7#aa7 ,m5tal heal? conditions4 7#ab7 ,sub/ance abuse4 7#ac7 ,symptoms relat+ to traumatic bra9 injury & po/-traumatic /ress4 7d7 ,adm9i/ration 7#a7 ,! ,secret>y %all c>ry out ! program ?r\gh-- 7,a7 qualifi$ acupuncturi/s appo9t$ z employees ( ! ,dep>tm5t locat$ at m$ical c5t]s & cl9ics ( ! ,dep>tm5t2 & 7,b7 ?r\gh contract qualifi$ acupuncturi/s if-- 7i7 ! ,secret>y is unable to make appo9tm5ts describ$ 9 subp>agraph 7,a72 7ii7 a pati5t requires specialty c>e t an employee "u su* subp>agraph is n able to provide to ! pati5t2 or 7iii7 !re is an em]g5cy t requires ! use ( su* a contract acupuncturi/4 7#b7 ,! ,secret>y %all provide tra9+ & mat]ials to heal? c>e provid]s ( ! ,dep>tm5t :o provide prim>y c>e to vet]ans to expla9 ! b5efits ( acupuncturi/ s]vices4 7#c7 ,9 ?is section1 ! t]m qualifi$ acupuncturi/ means1 ) respect to ! furni%+ ( s]vices 9 a ,/ate1 an individual :o lic5s$ or c]tifi$ 9 ! ,/ate 9 :i* ! s]vices are furni%$1 or1 9 ! case ( s]vices furni%$ 9 a ,/ate t does n provide = su* lic5sure or c]tification1 meets su* crit]ia 7su* z accr$itation ?r\gh an appropriate nationally recogniz$ c]tification au?ority = acupuncturi/s7 z ! ,secret>y may specify4 ,9 specify+ su* requirem5ts1 ! ,secret>y may use ! same requirem5ts z ^? e/abli%$ by su* a c]tification au?ority4 7e7 ,regulations ,! ,secret>y %all prescribe regulations to c>ry out ?is section4 4 7#b7 ,cl]ical am5dm5t ,! table ( sections at ! beg9n+ ( su* *apt] is am5d$ by ins]t+ aft] ! item relat+ to section #agbj;,i ! foll[+ new section3 #agbj;,j4 ,provision ( acupuncturi/ s]vices4 4 7#c7 ,con=m+ am5dm5t ,section #agja7f7 ( su* title is am5d$ by add+ at ! end ! foll[+ new subp>agraph3 7,h7 ,acupuncturi/ s]vices 9 accordance ) section #agbj;,j ( ?is title4 4 7b7 ,advisory committee 7#a7 ,9 g5]al ,sub*apt] ,,iii ( *apt] #e ( su* title is am5d$ by add+ at ! end ! foll[+ new section3 #edg4 ,advisory committee on acupuncturi/ s]vices 7a7 ,acupuncture advisory committee 7#a7 ,! ,secret>y %all e/abli% an advisory committee to be kn[n z ! ,advisory ,committee on ,acupuncturi/ ,s]vices 79 ?is section ref]r$ to z ! ,committee7 to provide ! ,secret>y ) assi/ance & advice 9 ! developm5t & implem5tation ( ! program e/abli%$ by section #agbj;,j ( ?is title4 7#b7 ,! ,committee %all consi/ ( memb]s appo9t$ by ! ,secret>y f ! g5]al public1 includ+-- 7,a7 n few] ?an five practic+ acupuncturi/s1 ( :i* at lea/ f\r %all be ,/ate lic5s$ acupuncturi/s2 7,b7 "o vet]an f ea* ( ! ,arm$ ,=ces2 & 7,c7 n few] ?an two repres5tatives f vet]ans s]vice organizations4 7b7 ,duties ,! ,committee %all-- 7#a7 review & evaluate ! ability ( a vet]an to access an acupuncturi/ at facilities ( ! ,dep>tm5t2 7#b7 advise ! ,secret>y ) respect to-- 7,a7 protocols gov]n+ direct access to acupuncture c>e2 7,b7 protocols gov]n+ ! scope ( practice ( acupuncture practition]s2 7,c7 ! def9itions ( s]vices to be provid$ by acupuncturi/s2 & 7,d7 su* o!r matt]s ! ,secret>y det]m9es appropriate2 & 7#c7 ^u ! det]m9ation ( ! ,secret>y t ! program ( acupuncturi/ s]vices "u section #agbj;,j ( ?is title has be5 fully implem5t$1 submit to ! ,secret>y a report conta9+ ! evaluation ( ! ,committee ( ! implem5tation ( su* program4 7c7 ,*airman ,! ,secret>y %all designate "o memb] ( ! ,committee to s]ve z ! *airman ( ! ,committee4 7d7 ,meet+s ,! ,committee %all meet at ! call ( ! ,*airman1 b n few] ?an ?ree times dur+ ea* fiscal ye>1 beg9n+ 9 ! fiscal ye> foll[+ ! fiscal ye> 9 :i* ?is section is enact$4 7e7 ,report ,foll[+ ! date on :i* ! ,committee submits to ! ,secret>y ! report "u subsection 7b77#d71 ! ,secret>y %all submit to ! ,committees on ,vet]ans' ,affairs ( ! ,s5ate & ! ,h\se ( ,repres5tatives a report conta9+ ! foll[+3 7#a7 ,a copy ( ! ,committee report1 toge!r ) ! comm5ts ( ! ,secret>y on ! report4 7#b7 ,an explanation ( ! crit]ia & rationale t ! ,secret>y us$ to det]m9e t ! program ( acupuncturi/ s]vices "u section #agbj;,j ( ?is title 0 fully implem5t$1 z describ$ 9 su* subsection 7b77#d74 7#c7 ,! views ( ! ,secret>y reg>d+ ! future implem5tation ( su* program4 4 7#b7 ,cl]ical am5dm5t ,! table ( sections at ! beg9n+ ( su* *apt] is am5d$ by ins]t+ aft] ! item relat+ to section #edf ! foll[+ new item3 #edg4 ,advisory committee on acupuncturi/ s]vices4 4 7c7 ,con=m+ am5dm5ts 7#a7 ,au?ority = appo9tm5ts ,section #gdja7a7 ( title #ch1 ,unit$ ,/ates ,code1 is am5d$ by ins]t+ acupuncturi/s1 aft] *iropractors14 7#b7 ,p]iod ( appo9tm5ts ,section #gdjc ( su* title is am5d$ by add+ at ! end ! foll[+ new subp>agraph3 7,i7 ,acupuncturi/s4 4 7#c7 ,pay ,section #gdjd ( su* title is am5d$ by add+ at ! end ! foll[+ new subsection3 7f7 ,! position ( acupuncturi/ specifi$ 9 section #gdja7a7 ( ?is title %all be ! grade ( ,,gs-#ab or high] "u ! ,g5]al ,s*$ule "u section #eccb ( title #e4 4 7#d7 ,malpractice & neglig5ce suits ,section #gcaf7;a77#b7 ( su* title is am5d$ by ins]t+ acupuncturi/1 aft] *iropractor14 7#e7 ,h\rs & conditions ,section #gdba7;b7 ( su* title is am5d$ by add+ at ! end ! foll[+ new p>agraph3 7#i7 ,acupuncturi/s4 4 7#f7 ,effective date ,! am5dm5t made by p>agraph 7#d7 apply ) respect to s]vices provid$ on or aft] ! date t is #bgj days aft] ! date ( enactm5t ( ?is ,act4