,i  #aaf? ,,congress  #b;d ,session  ,h4
 ,r4 #hjcd  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,augu/ #ad1 #bjbj,ms4 
,br[nley ( ,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      
direct ! ,secret>y ( ,vet]ans ,affairs  
to provide cov]age = inf]tility treatm5t
 & /&>d f]tility pres]vation s]vices1 & 
= o!r purposes4  #a4 ,%ort title ,?is   
,act may be cit$ z ! ,vet]ans           
,inf]tility ,treatm5t ,act ( #bjbj4  #b4
 ,inf]tility treatm5ts = vet]ans  7a7 ,9
 g5]al ,sub*apt] ,,ii ( *apt] #ag (     
title #ch1 ,unit$ ,/ates ,code1 is am5d$
 by add+ at ! end ! foll[+ new section3 
#agbj;,j4 ,inf]tility treatm5t & /&>d   
f]tility pres]vation s]vices  7a7       
,treatm5t & s]vices  7#a7 ,9 furni%+    
m$ical s]vices "u ?is *apt]1 ! ,secret>y
 %all furni% inf]tility treatm5ts       
7includ+ ?r\gh ! use ( assi/$           
reproductive te*nology71 /&>d f]tility  
pres]vation s]vices1 or bo?1 to a cov]$ 

vet]an or a sp\se1 p>tn]1 or ge/ational 
surrogate ( a cov]$ vet]an1 if ! vet]an 
& ! sp\se1 p>tn]1 or ge/ational         
surrogate ( ! vet]an1 z applicable1     
apply jo9tly = su* treatm5ts or s]vices1
 or bo?1 ?r\gh a process prescrib$ by ! 
,secret>y4  7#b7 ,9 ! case ( 9 vitro    
f]tilization treatm5t furni%$ "u        
p>agraph 7#a71 ! ,secret>y may furni% n 
m ?an ?ree complet$ cycles t result 9   
live bir? or six attempt$ cycles ( 9    
vitro f]tilization1 :i*ev] occurs fir/1 
to an individual "u su* p>agraph4  7b7  
,rule ( con/ruction ,no?+ 9 ?is section 
%all be con/ru$ to require ! ,secret>y--
 7#a7 to f9d or c]tify a ge/ational     
surrogate = a cov]$ vet]an or to connect
 a ge/ational surrogate ) a cov]$       
vet]an2 or  7#b7 to furni% mat]nity c>e 
to a cov]$ vet]an or sp\se1 p>tn]1 or   
ge/ational surrogate ( a cov]$ vet]an1 9
 addition to :at is o!rwise requir$ by  
section #aghf ( ?is title or o!r        
provisions ( law4  7c7 ,def9itions ,9   
?is section3 7#a7 ,! t]m assi/$         

reproductive te*nology includes 9 vitro 
f]tilization & o!r f]tility treatm5ts 9 
:i* bo? eggs & sp]m are h&l$ :5         
cl9ically appropriate4  7#b7 ,! t]m     
cov]$ vet]an means a vet]an :o-- 7,a7   
has inf]tility2 &  7,b7 is enroll$ 9 !  
sy/em ( annual pati5t enrollm5t e/abli%$
 "u section #agje7;a7 ( ?is title4  7#c7
 ,! t]m inf]tility-- 7,a7 means a       
disease or condition *>act]iz$ by-- 7i7 
! failure to conceive a pregnancy or to 
c>ry a pregnancy to live bir? aft] "o   
ye> ( regul>1 unprotect$ sexual         
int]c\rse2 or  7ii7 ! inability ( a     
p]son to reproduce ei!r z an individual 
or ) ! p>tn] ( ! individual2 &  7,b7    
includes in/ances 9 :i* a p]son is at   
risk ( be+ describ$ 9 clauses 7i7 or    
7ii7 ( subp>agraph 7,a71 z det]m9$ by a 
lic5s$ physician bas$ on-- 7i7 ! m$ical1
 sexual1 & reproductive hi/ory1 age1    
physical f9d+s1 or diagno/ic te/+1 or a 
comb9ation !re(1 ( ! p]son2 or  7ii7 any
 plann$ m$ication !rapy1 surg]y1        
radiation1 *emo!rapy1 or o!r m$ical     

treatm5t4  7#d7 ,! t]m p>tn]1 ) respect 
to a vet]an1 means an individual select$
 by ! vet]an :o agrees to %>e ) ! vet]an
 ! p>5tal responsibilities ) respect to 
any *ild born z a result ( ! use ( any  
inf]tility treatm5t "u ?is section4  4  
7b7 ,cl]ical am5dm5t ,! table ( sections
 at ! beg9n+ ( *apt] #ag ( su* title is 
am5d$ by ins]t+ aft] ! item relat+ to   
section #agbj;,i ! foll[+ new item3     
#agbj;,j4 ,inf]tility treatm5t & /&>d   
f]tility pres]vation s]vices4  4  #c4   
,adoption assi/ance = sev]ely w\nd$     
vet]ans  7a7 ,9 g5]al ,sub*apt] ,,viii (
 *apt] #ag ( title #ch1 ,unit$ ,/ates   
,code1 is am5d$ by add+ at ! end !      
foll[+ new section3  #aghi4 ,adoption   
assi/ance  7a7 ,9 g5]al ,! ,secret>y may
 pay an am\nt1 n to exce$ ! limitation  
am\nt1 to assi/ a cov]$ vet]an 9 !      
adoption ( "o or m *ildr54  7b7         
,limitation am\nt ,= purposes ( ?is     
section1 ! limitation am\nt is ! am\nt  
equal to ! co/ ! ,dep>tm5t w\ld incur by
 pay+ ! exp5ses ( ?ree adoptions by     

cov]$ vet]ans1 z det]m9$ by ! ,secret>y4
  7c7 ,cov]$ vet]an def9$ ,9 ?is        
section1 ! t]m cov]$ vet]an has ! mean+ 
giv5 t t]m 9 section #agbj;,j ( ?is     
title4  4  7b7 ,cl]ical am5dm5t ,! table
 ( sections at ! beg9n+ ( *apt] #ag (   
su* title is am5d$ by ins]t+ aft] ! item
 relat+ to section #aghh ! foll[+ new   
item3  #aghi4 ,adoption assi/ance4  4   
#d4 ,annual report on inf]tility        
treatm5t furni%$ by ,dep>tm5t ( ,vet]ans
 ,affairs  7a7 ,report ,! ,secret>y (   
,vet]ans ,affairs %all submit to !      
,committee on ,vet]ans' ,affairs ( !    
,s5ate & ! ,committee on ,vet]ans'      
,affairs ( ! ,h\se ( ,repres5tatives    
reports on ! inf]tility treatm5t furni%$
 by ! ,dep>tm5t ( ,vet]ans ,affairs dur+
 ! ye> prec$+ ! submission ( ! report4  
,! ,secret>y %all submit su* reports z  
foll[s3 7#a7 ,an initial report by n    
lat] ?an "o ye> aft] ! date ( ! enactm5t
 ( ?is ,act4  7#b7 ,a second report by n
 lat] ?an ,novemb] #aa1 #bjbb4  7#c7    
,annual reports beg9n+ 9 #bjbc4  7b7    

,elem5ts ,ea* report submitt$ "u        
subsection 7a7 %all include1 = ! p]iod  
cov]$ by ! report1 ! foll[+3 7#a7 ,!    
numb] ( vet]ans :o receiv$ inf]tility   
treatm5t furni%$ by ! ,dep>tm5t (       
,vet]ans ,affairs1 disaggregat$ by era (
 milit>y s]vice ( su* vet]ans4  7#b7 ,! 
numb] ( sp\ses1 p>tn]s1 & ge/ational    
surrogates ( vet]ans :o receiv$         
inf]tility treatm5t furni%$ by !        
,dep>tm5t4  7#c7 ,! co/ to ! ,dep>tm5t (
 furni%+ inf]tility treatm5t1           
disaggregat$ by co/ ( s]vices &         
adm9i/ration4  7#d7 ,! av]age co/ to !  
,dep>tm5t p] recipi5t ( inf]tility      
treatm5t4  7#e7 ,9 cases 9 :i* !        
,dep>tm5t furni%$ inf]tility treatm5t   
?r\gh ! use ( assi/$ reproductive       
te*nology1 ! av]age numb] ( cycles p]   
p]son furni%$1 disaggregat$ by type (   
treatm5t4  7#f7 ,a description ( h[     
inf]tility treatm5t s]vices ( !         
,dep>tm5t are coord9at$ ) simil> s]vices
 ( ! ,dep>tm5t ( ,def5se & ! ,indian    
,heal? ,s]vice1 respectively4  7c7      

,def9itions ,9 ?is section1 ! t]ms      
assi/$ reproductive te*nology1          
inf]tility treatm5t1 & p>tn] h ! mean+s 
giv5 ^? t]ms 9 sections #agja & #agbj;,j
 ( title #ch1 ,unit$ ,/ates ,code1      
respectively1 z am5d$ by ?is ,act4  #e4 
,regulations on furni%+ ( inf]tility    
treatm5t & adoption assi/ance by        
,dep>tm5t ( ,vet]ans ,affairs  7a7      
,regulations ,n lat] ?an #ah mon?s aft] 
! date ( ! enactm5t ( ?is ,act1 !       
,secret>y ( ,vet]ans ,affairs %all      
prescribe regulations-- 7#a7 to c>ry out
 section #agbj;,j ( title #ch1 ,unit$   
,/ates ,code1 z add$ by section #b2 &   
7#b7 to c>ry out section #aghi ( su*    
title1 z add$ by section #c4  7b7       
,int]im policies ,dur+ ! p]iod beg9n+   
#ahj days aft] ! date ( ! enactm5t ( ?is
 ,act & ! date on :i* ! regulations are 
prescrib$ "u subsection 7a71 ! ,secret>y
 %all ensure t f]tility c\nsel+ &       
treatm5t furni%$ pursuant to section    
#bce ( ! ,milit>y ,con/ruction1 ,vet]ans
 ,affairs1 & ,relat$ ,ag5cies           

,appropriations ,act1 #bjbj 7division ,f
 ( ,public ,law #aaf-id7 or o!r         
provisions ( law adm9i/]$ by ! ,secret>y
 include ! foll[+ elem5ts3 7#a7 ,!      
,secret>y may furni% su* c\nsel+ &      
treatm5t to ! p>tn] ( a vet]an cov]$ by 
su* provision )\t reg>d to :e!r ! p>tn] 
& vet]an are m>ri$4  7#b7 ,! ,secret>y  
may furni% su* c\nsel+ & treatm5t us+   
donat$ gametes or embryos4  7c7 ,p>tn]  
def9$ ,9 ?is section1 ! t]m p>tn] has ! 
mean+ giv5 t t]m 9 section #agbj;,j (   
title #ch1 ,unit$ ,/ates ,code1 z add$  
by section #b4  #f4 ,facilitation (     
reproduction & inf]tility rese>*  7a7 ,9
 g5]al ,sub*apt] ,,ii ( *apt] #gc (     
title #ch1 ,unit$ ,/ates ,code1 is am5d$
 by add+ at ! end ! foll[+ new section3 
#gccj;,d4 ,facilitation ( reproduction &
 inf]tility rese>*  7a7 ,facilitation ( 
rese>* requir$ ,! ,secret>y %all        
facilitate rese>* conduct$              
collaboratively by ! ,secret>y ( ,def5se
 & ! ,secret>y ( ,heal? & ,human        
,s]vices to improve ! ability ( !       

,dep>tm5t ( ,vet]ans ,affairs to meet ! 
long-t]m reproductive heal? c>e ne$s (  
vet]ans :o h inf]tility conditions t    
affect ! vet]ans' ability to reproduce4 
7b7 ,dissem9ation ( in=mation ,!        
,secret>y %all ensure t in=mation       
produc$ by ! rese>* facilitat$ "u ?is   
section t may be useful = o!r activities
 ( ! ,vet]ans ,heal? ,adm9i/ration is   
dissem9at$ ?r\gh\t ! ,vet]ans ,heal?    
,adm9i/ration4  4  7b7 ,cl]ical am5dm5t 
,! table ( sections at ! beg9n+ ( *apt] 
#gc ( su* title is am5d$ by ins]t+ aft] 
! item relat+ to section #gccj;,c !     
foll[+ new item3  #gccj;,d4             
,facilitation ( reproduction &          
inf]tility rese>*4  4  7c7 ,report ,n   
lat] ?an ?ree ye>s aft] ! date ( !      
enactm5t ( ?is ,act1 ! ,secret>y (      
,vet]ans ,affairs %all submit to        
,congress a report on ! rese>*          
activities conduct$ by ! ,secret>y "u   
section #gccj;,d ( title #ch1 ,unit$    
,/ates ,code1 z add$ by subsection 7a74