,i  #aaf? ,,congress  #b;d ,session  ,h4
 ,r4 #fbei  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,m>* #ab1 #bjbj,mr4   
,roy introduc$ ! foll[+ bill2 :i* 0     
ref]r$ to ! ,committee on ,vet]ans'     
,affairs  ,a ,,bill  ,to direct !       
,secret>y ( ,vet]ans ,affairs to e/abli%
 a pilot program to provide vet]an heal?
 sav+s acc\nts to all[ vet]ans to       
receive prim>y c>e furni%$ "u           
non-,dep>tm5t direct prim>y c>e s]vice  
arrangem5ts1 & = o!r purposes4  #a4     
,%ort title ,?is ,act may be cit$ z !   
,vet]an ,access to ,direct ,prim>y ,c>e 
,act4  #b4 ,pilot program on e/abli%m5t 
( vet]an heal? sav+s acc\nts to all[    
vet]ans to access direct prim>y c>e     
s]vice arrangem5ts  7a7 ,e/abli%m5t     
,beg9n+ "o ye> aft] ! date ( ! enactm5t 
( ?is ,act1 ! ,secret>y ( ,vet]ans      
,affairs %all c>ry out a five-ye> pilot 
program "u :i* ! ,secret>y %all provide 
eligible vet]ans ) ! option to *oose to 
receive prim>y c>e s]vices furni%$ by a 
non-,dep>tm5t ( ,vet]ans ,affairs heal? 

c>e provid] "u a direct prim>y c>e      
s]vice arrangem5t ?r\gh ! use ( a vet]an
 heal? sav+s acc\nt describ$ 9          
subsection 7c74 ,! pilot program %all be
 conduct$ "u ! ,c5t] = ,innovation =    
,c>e & ,paym5t "u section #agjc;,e (    
title #ch1 ,unit$ ,/ates ,code4  7b7    
,eligible vet]an ,= purposes ( ! pilot  
program "u ?is section1 an eligible     
vet]an is a vet]an :o is enroll$ 9 !    
pati5t enrollm5t sy/em ( ! ,dep>tm5t (  
,vet]ans ,affairs "u section #agje (    
title #ch1 ,unit$ ,/ates ,code4  7c7    
,vet]an heal? sav+s acc\nts ,! ,secret>y
 %all provide to an eligible vet]an :o  
p>ticipates 9 ! pilot program a vet]ans 
heal? sav+s acc\nt t may be us$-- 7#a7  
to pur*ase prim>y c>e s]vices furni%$   
?r\gh a non-,dep>tm5t direct prim>y c>e 
s]vice arrangem5t2 &  7#b7 = associat$  
co/s1 includ+-- 7,a7 p]iodic fees paid  
to a physician = a def9$ set ( m$ical   
s]vices or = ! "r to receive m$ical     
s]vices on an z-ne$$ basis2  7,b7 am\nts
 paid or prepaid = m$ical s]vices       

design$ to scre5 =1 diagnose1 cure1     
mitigate1 treat1 or prev5t disease &    
promote wellness2 &  7,c7 prescription  
or non-prescription m$ic9es or drugs4   
7d7 ,eligibility = ,dep>tm5t m$ical c>e 
,a vet]an :o *ooses to receive a vet]an 
heal? sav+s acc\nt describ$ "u          
subsection 7c7 may n receive m$ical c>e 
furni%$ by ! ,dep>tm5t ( ,vet]ans       
,affairs t is includ$ 9 ! direct prim>y 
c>e s]vice arrangem5t describ$ 9 su*    
subsection dur+ ! p]iod ! vet]an        
p>ticipates 9 ! pilot program4  7e7     
,prev5tion ( fraudul5t activity ,!      
,secret>y %all e/abli% a me*anism to    
prev5t fraudul5t activity 9 connection )
 paym5ts made "u ?is section & to ensure
 p>ticipat+ vet]ans use heal? sav+s     
acc\nts only z au?oriz$ "u ?is section4 
7f7 ,am\nts deposit$ 9 acc\nts ,!       
,secret>y ( ,vet]ans ,affairs %all--    
7#a7 det]m9e ! annual am\nt to be       
deposit$ 9 a vet]an heal? sav+s acc\nt  
describ$ 9 subsection 7c7 us+           
calculations conduct$ by ! ,secret>y & 9

 consultation ) an actu>ial s]vice2 &   
7#b7 ensure t ea* p>ticipat+ eligible   
vet]an receives su* am\nt on an annual  
basis dur+ ! p]iod ! vet]an p>ticipates 
9 ! pilot program4  7g7 ,direct prim>y  
c>e s]vice arrangem5t ,9 ?is section1 ! 
t]m direct prim>y c>e s]vice arrangem5t 
means an agreem5t "u :i* a def9$ set (  
m$ical s]vices are provid$ to a pati5t  
by a physician = fix$ p]iodic fees4  7h7
 ,reports  7#a7 ,implem5tation reports  
,= ea* cal5d> qu>t] dur+ ! two-ye> p]iod
 beg9n+ on ! date ( ! enactm5t ( ?is    
,act1 ! ,secret>y %all submit to !      
,committees on ,vet]ans' ,affairs ( !   
,s5ate & ,h\se ( ,repres5tatives a      
report on ! implem5tation ( ?is section4
 ,"o su* report %all include a          
description ( ! f9al design ( ! pilot   
program4  7#b7 ,annual reports ,n lat]  
?an "o ye> aft] ! date on :i* ! f9al    
implem5tation report requir$ by p>agraph
 7#a7 is submitt$1 & annually !reaft]1 !
 ,secret>y %all submit to ! ,committees 
on ,vet]ans' ,affairs ( ! ,s5ate & ,h\se

 ( ,repres5tatives a report on ! results
 ( ! pilot program "u ?is section4  7i7 
,no additional appropriations ,am\nts   
requir$ to c>ry out ?is section %all be 
made available f am\nts o!rwise au?oriz$
 to be appropriat$ = ! ,vet]ans ,heal?  
,adm9i/ration4  7j7 ,t]m9ation ,!       
au?ority ( ! ,secret>y to deposit funds 
9 a vet]an heal? sav+s acc\nt "u ?is    
section %all t]m9ate on ! date t is five
 ye>s aft] ! date ( ! enactm5t ( ?is    
,act4