,i  #aafth ,,congress  #b;d ,session    
,h4 ,r4 #hjcd  ,,in ,,the ,,house ,,of  
,,representatives  ,august #ad1         
#bjbj,ms4 ,brownley of ,california      
introduced the following bill2 which was
 referred to the ,committee on          
,veterans' ,affairs  ,a ,,bill  ,to     
amend title #ch1 ,united ,states ,code1 
to direct the ,secretary of ,veterans   
,affairs to provide coverage for        
infertility treatment and standard      
fertility preservation services1 and for
 other purposes4  #a4 ,short title ,this
 ,act may be cited as the ,veterans     
,infertility ,treatment ,act of #bjbj4  
#b4 ,infertility treatments for veterans
  7a7 ,in general ,subchapter ,,ii of   
chapter #ag of title #ch1 ,united       
,states ,code1 is amended by adding at  
the end the following new section3      
#agbj;,j4 ,infertility treatment and    
standard fertility preservation services
  7a7 ,treatment and services  7#a7 ,in 
furnishing medical services under this  
chapter1 the ,secretary shall furnish   

infertility treatments 7including       
through the use of assisted reproductive
 technology71 standard fertility        
preservation services1 or both1 to a    
covered veteran or a spouse1 partner1 or
 gestational surrogate of a covered     
veteran1 if the veteran and the spouse1 
partner1 or gestational surrogate of the
 veteran1 as applicable1 apply jointly  
for such treatments or services1 or     
both1 through a process prescribed by   
the ,secretary4  7#b7 ,in the case of in
 vitro fertilization treatment furnished
 under paragraph 7#a71 the ,secretary   
may furnish not more than three         
completed cycles that result in live    
birth or six attempted cycles of in     
vitro fertilization1 whichever occurs   
first1 to an individual under such      
paragraph4  7b7 ,rule of construction   
,nothing in this section shall be       
construed to require the ,secretary--   
7#a7 to find or certify a gestational   
surrogate for a covered veteran or to   
connect a gestational surrogate with a  

covered veteran2 or  7#b7 to furnish    
maternity care to a covered veteran or  
spouse1 partner1 or gestational         
surrogate of a covered veteran1 in      
addition to what is otherwise required  
by section #aghf of this title or other 
provisions of law4  7c7 ,definitions ,in
 this section3 7#a7 ,the term assisted  
reproductive technology includes in     
vitro fertilization and other fertility 
treatments in which both eggs and sperm 
are handled when clinically appropriate4
  7#b7 ,the term covered veteran means a
 veteran who-- 7,a7 has infertility2 and
  7,b7 is enrolled in the system of     
annual patient enrollment established   
under section #agje7;a7 of this title4  
7#c7 ,the term infertility-- 7,a7 means 
a disease or condition characterized    
by-- 7i7 the failure to conceive a      
pregnancy or to carry a pregnancy to    
live birth after one year of regular1   
unprotected sexual intercourse2 or  7ii7
 the inability of a person to reproduce 
either as an individual or with the     

partner of the individual2 and  7,b7    
includes instances in which a person is 
at risk of being described in clauses   
7i7 or 7ii7 of subparagraph 7,a71 as    
determined by a licensed physician based
 on-- 7i7 the medical1 sexual1 and      
reproductive history1 age1 physical     
findings1 or diagnostic testing1 or a   
combination thereof1 of the person2 or  
7ii7 any planned medication therapy1    
surgery1 radiation1 chemotherapy1 or    
other medical treatment4  7#d7 ,the term
 partner1 with respect to a veteran1    
means an individual selected by the     
veteran who agrees to share with the    
veteran the parental responsibilities   
with respect to any child born as a     
result of the use of any infertility    
treatment under this section4  4  7b7   
,clerical amendment ,the table of       
sections at the beginning of chapter #ag
 of such title is amended by inserting  
after the item relating to section      
#agbj;,i the following new item3        
#agbj;,j4 ,infertility treatment and    

standard fertility preservation         
services4  4  #c4 ,adoption assistance  
for severely wounded veterans  7a7 ,in  
general ,subchapter ,,viii of chapter   
#ag of title #ch1 ,united ,states ,code1
 is amended by adding at the end the    
following new section3  #aghi4 ,adoption
 assistance  7a7 ,in general ,the       
,secretary may pay an amount1 not to    
exceed the limitation amount1 to assist 
a covered veteran in the adoption of one
 or more children4  7b7 ,limitation     
amount ,for purposes of this section1   
the limitation amount is the amount     
equal to the cost the ,department would 
incur by paying the expenses of three   
adoptions by covered veterans1 as       
determined by the ,secretary4  7c7      
,covered veteran defined ,in this       
section1 the term covered veteran has   
the meaning given that term in section  
#agbj;,j of this title4  4  7b7         
,clerical amendment ,the table of       
sections at the beginning of chapter #ag
 of such title is amended by inserting  

after the item relating to section #aghh
 the following new item3  #aghi4        
,adoption assistance4  4  #d4 ,annual   
report on infertility treatment         
furnished by ,department of ,veterans   
,affairs  7a7 ,report ,the ,secretary of
 ,veterans ,affairs shall submit to the 
,committee on ,veterans' ,affairs of the
 ,senate and the ,committee on          
,veterans' ,affairs of the ,house of    
,representatives reports on the         
infertility treatment furnished by the  
,department of ,veterans ,affairs during
 the year preceding the submission of   
the report4 ,the ,secretary shall submit
 such reports as follows3 7#a7 ,an      
initial report by not later than one    
year after the date of the enactment of 
this ,act4  7#b7 ,a second report by not
 later than ,november #aa1 #bjbb4  7#c7 
,annual reports beginning in #bjbc4  7b7
 ,elements ,each report submitted under 
subsection 7a7 shall include1 for the   
period covered by the report1 the       
following3 7#a7 ,the number of veterans 

who received infertility treatment      
furnished by the ,department of         
,veterans ,affairs1 disaggregated by era
 of military service of such veterans4  
7#b7 ,the number of spouses1 partners1  
and gestational surrogates of veterans  
who received infertility treatment      
furnished by the ,department4  7#c7 ,the
 cost to the ,department of furnishing  
infertility treatment1 disaggregated by 
cost of services and administration4    
7#d7 ,the average cost to the           
,department per recipient of infertility
 treatment4  7#e7 ,in cases in which the
 ,department furnished infertility      
treatment through the use of assisted   
reproductive technology1 the average    
number of cycles per person furnished1  
disaggregated by type of treatment4     
7#f7 ,a description of how infertility  
treatment services of the ,department   
are coordinated with similar services of
 the ,department of ,defense and the    
,indian ,health ,service1 respectively4 
7c7 ,definitions ,in this section1 the  

terms assisted reproductive technology1 
infertility treatment1 and partner have 
the meanings given those terms in       
sections #agja and #agbj;,j of title    
#ch1 ,united ,states ,code1             
respectively1 as amended by this ,act4  
#e4 ,regulations on furnishing of       
infertility treatment and adoption      
assistance by ,department of ,veterans  
,affairs  7a7 ,regulations ,not later   
than #ah months after the date of the   
enactment of this ,act1 the ,secretary  
of ,veterans ,affairs shall prescribe   
regulations-- 7#a7 to carry out section 
#agbj;,j of title #ch1 ,united ,states  
,code1 as added by section #b2 and  7#b7
 to carry out section #aghi of such     
title1 as added by section #c4  7b7     
,interim policies ,during the period    
beginning #ahj days after the date of   
the enactment of this ,act and the date 
on which the regulations are prescribed 
under subsection 7a71 the ,secretary    
shall ensure that fertility counseling  
and treatment furnished pursuant to     

section #bce of the ,military           
,construction1 ,veterans ,affairs1 and  
,related ,agencies ,appropriations ,act1
 #bjbj 7division ,f of ,public ,law     
#aaf-id7 or other provisions of law     
administered by the ,secretary include  
the following elements3 7#a7 ,the       
,secretary may furnish such counseling  
and treatment to the partner of a       
veteran covered by such provision       
without regard to whether the partner   
and veteran are married4  7#b7 ,the     
,secretary may furnish such counseling  
and treatment using donated gametes or  
embryos4  7c7 ,partner defined ,in this 
section1 the term partner has the       
meaning given that term in section      
#agbj;,j of title #ch1 ,united ,states  
,code1 as added by section #b4  #f4     
,facilitation of reproduction and       
infertility research  7a7 ,in general   
,subchapter ,,ii of chapter #gc of title
 #ch1 ,united ,states ,code1 is amended 
by adding at the end the following new  
section3  #gccj;,d4 ,facilitation of    

reproduction and infertility research   
7a7 ,facilitation of research required  
,the ,secretary shall facilitate        
research conducted collaboratively by   
the ,secretary of ,defense and the      
,secretary of ,health and ,human        
,services to improve the ability of the 
,department of ,veterans ,affairs to    
meet the long-term reproductive health  
care needs of veterans who have         
infertility conditions that affect the  
veterans' ability to reproduce4  7b7    
,dissemination of information ,the      
,secretary shall ensure that information
 produced by the research facilitated   
under this section that may be useful   
for other activities of the ,veterans   
,health ,administration is disseminated 
throughout the ,veterans ,health        
,administration4  4  7b7 ,clerical      
amendment ,the table of sections at the 
beginning of chapter #gc of such title  
is amended by inserting after the item  
relating to section #gccj;,c the        
following new item3  #gccj;,d4          

,facilitation of reproduction and       
infertility research4  4  7c7 ,report   
,not later than three years after the   
date of the enactment of this ,act1 the 
,secretary of ,veterans ,affairs shall  
submit to ,congress a report on the     
research activities conducted by the    
,secretary under section #gccj;,d of    
title #ch1 ,united ,states ,code1 as    
added by subsection 7a74