,i  #aafth ,,congress  #b;d ,session    
,h4 ,r4 #fbei  ,,in ,,the ,,house ,,of  
,,representatives  ,march #ab1 #bjbj,mr4
 ,roy introduced the following bill2    
which was referred to the ,committee on 
,veterans' ,affairs  ,a ,,bill  ,to     
direct the ,secretary of ,veterans      
,affairs to establish a pilot program to
 provide veteran health savings accounts
 to allow veterans to receive primary   
care furnished under non-,department    
direct primary care service             
arrangements1 and for other purposes4   
#a4 ,short title ,this ,act may be cited
 as the ,veteran ,access to ,direct     
,primary ,care ,act4  #b4 ,pilot program
 on establishment of veteran health     
savings accounts to allow veterans to   
access direct primary care service      
arrangements  7a7 ,establishment        
,beginning one year after the date of   
the enactment of this ,act1 the         
,secretary of ,veterans ,affairs shall  
carry out a five-year pilot program     
under which the ,secretary shall provide

 eligible veterans with the option to   
choose to receive primary care services 
furnished by a non-,department of       
,veterans ,affairs health care provider 
under a direct primary care service     
arrangement through the use of a veteran
 health savings account described in    
subsection 7c74 ,the pilot program shall
 be conducted under the ,center for     
,innovation for ,care and ,payment under
 section #agjc;,e of title #ch1 ,united 
,states ,code4  7b7 ,eligible veteran   
,for purposes of the pilot program under
 this section1 an eligible veteran is a 
veteran who is enrolled in the patient  
enrollment system of the ,department of 
,veterans ,affairs under section #agje  
of title #ch1 ,united ,states ,code4    
7c7 ,veteran health savings accounts    
,the ,secretary shall provide to an     
eligible veteran who participates in the
 pilot program a veterans health savings
 account that may be used-- 7#a7 to     
purchase primary care services furnished
 through a non-,department direct       

primary care service arrangement2 and   
7#b7 for associated costs1 including--  
7,a7 periodic fees paid to a physician  
for a defined set of medical services or
 for the right to receive medical       
services on an as-needed basis2  7,b7   
amounts paid or prepaid for medical     
services designed to screen for1        
diagnose1 cure1 mitigate1 treat1 or     
prevent disease and promote wellness2   
and  7,c7 prescription or               
non-prescription medicines or drugs4    
7d7 ,eligibility for ,department medical
 care ,a veteran who chooses to receive 
a veteran health savings account        
described under subsection 7c7 may not  
receive medical care furnished by the   
,department of ,veterans ,affairs that  
is included in the direct primary care  
service arrangement described in such   
subsection during the period the veteran
 participates in the pilot program4  7e7
 ,prevention of fraudulent activity ,the
 ,secretary shall establish a mechanism 
to prevent fraudulent activity in       

connection with payments made under this
 section and to ensure participating    
veterans use health savings accounts    
only as authorized under this section4  
7f7 ,amounts deposited in accounts ,the 
,secretary of ,veterans ,affairs shall--
 7#a7 determine the annual amount to be 
deposited in a veteran health savings   
account described in subsection 7c7     
using calculations conducted by the     
,secretary and in consultation with an  
actuarial service2 and  7#b7 ensure that
 each participating eligible veteran    
receives such amount on an annual basis 
during the period the veteran           
participates in the pilot program4  7g7 
,direct primary care service arrangement
 ,in this section1 the term direct      
primary care service arrangement means  
an agreement under which a defined set  
of medical services are provided to a   
patient by a physician for fixed        
periodic fees4  7h7 ,reports  7#a7      
,implementation reports ,for each       
calendar quarter during the two-year    

period beginning on the date of the     
enactment of this ,act1 the ,secretary  
shall submit to the ,committees on      
,veterans' ,affairs of the ,senate and  
,house of ,representatives a report on  
the implementation of this section4 ,one
 such report shall include a description
 of the final design of the pilot       
program4  7#b7 ,annual reports ,not     
later than one year after the date on   
which the final implementation report   
required by paragraph 7#a7 is submitted1
 and annually thereafter1 the ,secretary
 shall submit to the ,committees on     
,veterans' ,affairs of the ,senate and  
,house of ,representatives a report on  
the results of the pilot program under  
this section4  7i7 ,no additional       
appropriations ,amounts required to     
carry out this section shall be made    
available from amounts otherwise        
authorized to be appropriated for the   
,veterans ,health ,administration4  7j7 
,termination ,the authority of the      
,secretary to deposit funds in a veteran

 health savings account under this      
section shall terminate on the date that
 is five years after the date of the    
enactment of this ,act4