,i  #aaf? ,,congress  #a/ ,session  ,h4 
,r4 #biaf  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,may #bb1 #bjai,ms4   
,gabb>d 7= h]self1 ,mrs4 ,radewag51 ,mr4
 ,case1 ,mr4 ,san ,nicolas1 & ,mr4 ,"y7 
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,vet]ans' ,affairs  ,a 
,,bill  ,to require ! ,secret>y (       
,vet]ans ,affairs to c>ry out a pilot   
program to provide hospital c>e & m$ical
 s]vices to vet]ans 9 ! ,freely         
,associat$ ,/ates ( ! ,republic (       
,palau1 ! ,republic ( ! ,m>%all ,isl&s1 
& ! ,f$]at$ ,/ates ( ,micronesia1 & to  
conduct a /udy on ! feasibility &       
advisability ( e/abli%+ regional (fices1
 sub(fices1 contact units1 or o!r       
subord9ate (fices ( ! ,dep>tm5t (       
,vet]ans ,affairs 9 ! ,freely ,associat$
 ,/ates to provide su* c>e & s]vices1 & 
= o!r purposes4  #a4 ,%ort title ,?is   
,act may be cit$ z ! ,compact ( ,free   
,association ,vet]ans ,review ,act (    
#bjai or ! ,,c(a ,vet]ans ,review ,act (
 #bjai4  #b4 ,def9itions ,9 ?is ,act3   

7#a7 ,appropriate committees ( ,congress
 ,! t]m appropriate committees (        
,congress means-- 7,a7 ! ,committee on  
,vet]ans' ,affairs & ! ,committee on    
,appropriations ( ! ,s5ate2 &  7,b7 !   
,committee on ,vet]ans' ,affairs & !    
,committee on ,appropriations ( ! ,h\se 
( ,repres5tatives4  7#b7 ,dep>tm5t ,!   
t]m ,dep>tm5t means ! ,dep>tm5t (       
,vet]ans ,affairs4  7#c7 ,freely        
,associat$ ,/ates ,! t]m ,freely        
,associat$ ,/ates means ! ,republic (   
,palau1 ! ,republic ( ! ,m>%all ,isl&s1 
& ! ,f$]at$ ,/ates ( ,micronesia1 :i* h 
ea* ent]$ into a ,compact ( ,free       
,association ) ! ,unit$ ,/ates4  7#d7   
,hospital c>e2 m$ical s]vices ,! t]ms   
hospital c>e & m$ical s]vices h ! mean+s
 giv5 ^? t]ms 9 section #agja ( title   
#ch1 ,unit$ ,/ates ,code4  7#e7 ,pati5t 
align$ c>e team ,! t]m pati5t align$ c>e
 team means a team ( heal? c>e          
pr(essionals ( ! ,dep>tm5t t provides   
compreh5sive prim>y c>e 9 p>tn]%ip ) !  
pati5t & manages & coord9ates           

compreh5sive heal? c>e s]vices consi/5t 
) agre$-^u goals ( c>e4  7#f7 ,project  
,,e*o education & tra9+ ,! t]m ,project 
,,e*o education & tra9+ means education 
& tra9+ provid$ "u ! ,project ,ext5sion 
= ,community ,heal? ,outcomes4  7#g7    
,secret>y ,! t]m ,secret>y means !      
,secret>y ( ,vet]ans ,affairs4  7#h7    
,s]vice-connect$2 non-s]vice-connect$ ,!
 t]ms s]vice-connect$ &                 
non-s]vice-connect$ h ! mean+s giv5 ^?  
t]ms 9 section #aja ( title #ch1 ,unit$ 
,/ates ,code4  7#i7 ,vet]ans s]vice     
organization ,! t]m vet]ans s]vice      
organization means any organization     
recogniz$ by ! ,secret>y = !            
repres5tation ( vet]ans "u section #eijb
 ( title #ch1 ,unit$ ,/ates ,code4  #c4 
,pilot program on provid+ hospital c>e &
 m$ical s]vices to vet]ans resid+ 9 !   
,freely ,associat$ ,/ates  7a7 ,pilot   
program requir$ ,comm5c+ n lat] ?an     
,janu>y #a1 #bjbj1 ! ,secret>y %all c>ry
 out a pilot program to provide hospital
 c>e1 m$ical s]vices1 & o!r relat$      

s]vices to vet]ans resid+ 9 ! ,freely   
,associat$ ,/ates4  7b7 ,duration ,!    
,secret>y %all c>ry out ! pilot program 
requir$ by subsection 7a7 dur+ !        
?ree-ye> p]iod beg9n+ on ! date ( !     
comm5cem5t ( ! pilot program4  7c7      
,s]vices provid$ ,9 c>ry+ out ! pilot   
program requir$ by subsection 7a71 !    
,secret>y %all ensure t ! pilot         
program--  7#a7 emphasizes ! use (      
teleheal?2  7#b7 provides ,project ,,e*o
 education & tra9+ to employees ( !     
,dep>tm5t responsible = c>ry+ out !     
pilot program2  7#c7 includes ! use (   
prim>y & specialty c>e provid$ by pati5t
 align$ c>e teams & specialty c>e       
provid]s2 &  7#d7 includes ! provision (
 comp5sation & p5sion m$ical            
exam9ations4  7d7 ,outrea* program ,z "p
 ( ! pilot program requir$ by subsection
 7a71 ! ,secret>y %all conduct a program
 ( outrea* to in=m vet]ans 9 ! ,freely  
,associat$ ,/ates ab\t ! pilot program &
 ! s]vices available "u ! pilot program4
  7e7 ,au?orization ( appropriations    

,!re are au?oriz$ to be appropriat$ to !
 ,secret>y su* funds z may be necess>y  
to c>ry out ! pilot program4  #d4 ,/udy 
on provid+ hospital c>e & m$ical s]vices
 to vet]ans resid+ 9 ! ,freely          
,associat$ ,/ates  7a7 ,/udy requir$    
7#a7 ,9 g5]al ,! ,secret>y %all conduct 
a /udy on ! feasibility & advisability (
 e/abli%+ "o or m regional (fices1      
sub(fices1 contact units1 or o!r        
subord9ate (fices ( ! ,dep>tm5t 9 !     
remote ,pacific isl&s1 includ+ ! ,freely
 ,associat$ ,/ates1 to provide hospital 
c>e & m$ical s]vices to vet]ans resid+ 9
 ! remote ,pacific isl&s1 includ+ !     
,freely ,associat$ ,/ates4  7#b7        
,consid]ations & analysis ,9 conduct+ ! 
/udy requir$ by p>agraph 7#a71 !        
,secret>y %all consid] & analyze !      
foll[+3  7,a7 ,! results ( ! pilot      
program requir$ by section #c7;a74  7,b7
 ,! ability ( ! ,dep>tm5t to provide    
hospital c>e & m$ical s]vices to vet]ans
 resid+ or travel+ outside ! ,unit$     
,/ates1 includ+ vet]ans resid+ 9 !      

,freely ,associat$ ,/ates4  7,c7 ,!     
feasibility1 efficacy1 & advisability ( 
build+ cl9ics or leas+ space on embassy 
comp\nds or 9 consulate facilities ( !  
,unit$ ,/ates 9 ! ,freely ,associat$    
,/ates or insul> areas = ! purposes (   
provid+ hospital c>e & m$ical s]vices to
 vet]ans resid+ or travel+ outside !    
,unit$ ,/ates1 includ+ vet]ans resid+ 9 
! ,freely ,associat$ ,/ates4  7,d7 ,!   
feasibility & advisability ( provid+    
s]vices1 su* z teleheal?1 ,project ,,e*o
 education & tra9+1 prim>y & specialty  
c>e provid$ by pati5t align$ c>e teams &
 specialty c>e provid]s1 & comp5sation &
 p5sion m$ical exam9ations1 to vet]ans  
resid+ 9 ! ,freely ,associat$ ,/ates4   
7,e7 ,updates to c5sus data ( !         
,dep>tm5t on ! numb] ( vet]ans resid+ 9 
! ,freely ,associat$ ,/ates to det]m9e  
:e!r su* data supports ! e/abli%m5t ( a 
p]man5t pati5t align$ c>e team ( !      
,dep>tm5t bas$ 9 ! ,freely ,associat$   
,/ates4  7,f7 ,) respect to ! ,unit$    
,/ates & ! ,freely ,associat$ ,/ates1 ! 

data /&>ds =-- 7i7 pati5t m$ical record 
in=mation2 &  7ii7 ! electronic         
int]*ange ( su* in=mation4  7,g7 ,!     
feasibility & advisability ( provid+    
hospital c>e & m$ical s]vices to vet]ans
 resid+ 9 ! ,freely ,associat$ ,/ates = 
non-s]vice-connect$ disabilities4  7,h7 
,! feasibility & advisability ( provid+ 
cont9uity ( c>e to vet]ans =            
s]vice-connect$ disabilities t _c be    
treat$ by ! ,dep>tm5t )9 a regional     
(fice1 sub(fice1 contact unit1 or o!r   
subord9ate (fice ( ! ,dep>tm5t 9 !      
remote ,pacific isl&s1 includ+ ! ,freely
 ,associat$ ,/ates4  7,i7 ,su* o!r      
matt]s z ! ,secret>y consid]s           
appropriate4  7#c7 ,coop]ation &        
consultation ,! ,secret>y %all conduct !
 /udy requir$ by p>agraph 7#a7--  7,a7 9
 coop]ation )-- 7i7 ! ,secret>y (       
,def5se2  7ii7 ! ,secret>y ( ,heal? &   
,human ,s]vices2  7iii7 ! ,secret>y ( ! 
,int]ior2  7iv7 ! ,secret>y ( ,/ate2 &  
7v7 su* o!r heads ( ,f$]al ag5cies z may
 be int]e/$ 9 ! /udy2 &  7,b7 9         

consultation )-- 7i7 su* repres5tatives 
( ,/ate & local gov]nm5ts z ! ,secret>y 
det]m9es may be int]e/$ 9 ! /udy2  7ii7 
ea* gov]nm5t ( ! ,freely ,associat$     
,/ates2  7iii7 vet]ans s]vice           
organizations2  7iv7 su* nongov]nm5tal  
organizations z ! ,secret>y consid]s    
appropriate2 &  7v7 ! public4  7b7      
,report requir$  7#a7 ,9 g5]al ,n lat]  
?an #bgj days aft] ! date on :i* ! pilot
 program requir$ by section #c7;a7      
t]m9ates1 ! ,secret>y %all submit to !  
appropriate committees ( ,congress a    
report on ! f9d+s ( ! ,secret>y )       
respect to ! /udy requir$ by subsection 
7a77#a74  7#b7 ,cont5ts ,! report       
submitt$ "u p>agraph 7#a7 %all include !
 foll[+3 7,a7 ,a description ( !        
processes requir$ = ! ,secret>y to      
e/abli% "o or m regional (fices1        
sub(fices1 contact units1 or o!r        
subord9ate (fices 9 ! ,freely ,associat$
 ,/ates4  7,b7 ,! numb] ( vet]ans       
expect$ to receive hospital c>e & m$ical
 s]vices provid$ "u laws adm9i/]$ by !  

,secret>y 9 ! ,freely ,associat$ ,/ates4
  7,c7 ,a res\rce managem5t plan = !    
,dep>tm5t to provide hospital c>e &     
m$ical s]vices 9 ! ,freely ,associat$   
,/ates1 includ+ an assessm5t ( ! effect 
t su* provision w\ld h on ! ,dep>tm5t ( 
,vet]ans ,affairs ,pacific ,isl&s ,heal?
 ,c>e ,sy/em4  7,d7 ,an explanation ( ! 
guidel9es t ! ,dep>tm5t w use to provide
 hospital c>e & m$ical s]vices "u laws  
adm9i/]$ by ! ,secret>y 9 ! ,freely     
,associat$ ,/ates1 includ+ an           
explanation ( b5efits = s]vice-connect$ 
& non-s]vice-connect$ disabilities4     
7,e7 ,an explanation ( h[ ! ,dep>tm5t   
expects to provide cont9uity ( c>e to   
vet]ans = s]vice-connect$ disabilities t
 _c be treat$ )9 a regional (fice1      
sub(fice1 contact unit1 or o!r          
subord9ate (fice 9 ! ,freely ,associat$ 
,/ates1 includ+ h[ ! ,dep>tm5t plans to 
communicate ) su* vet]ans reg>d+ _!     
cont9uity ( c>e4  7,f7 ,an assessm5t ( !
 budget>y res\rces requir$ to e/abli% & 
provide hospital c>e & m$ical s]vices to

 vet]ans 9 ! ,freely ,associat$ ,/ates  
dur+ ! #aj-ye> p]iod beg9n+ on ! date ( 
! submittal ( ! report4