,,ii  #aaf? ,,congress  #a/ ,session    
,s4 #biad  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,novemb] #bj1          
#bjai,mrs4 ,%ahe5 introduc$ ! foll[+    
bill2 :i* 0 read twice & ref]r$ to !    
,committee on ,vet]ans' ,affairs  ,a    
,,bill  ,to am5d title #ch1 ,unit$      
,/ates ,code1 to ensure access to       
acupuncturi/ s]vices ?r\gh ! ,dep>tm5t (
 ,vet]ans ,affairs1 & = o!r purposes4   
#a4 ,%ort title ,?is ,act may be cit$ z 
! ,acupuncture = ,our ,h]oes ,act (     
#bjai4  #b4 ,inclusion ( acupuncturi/   
s]vices at vet]ans heal? facilities  7a7
 ,acupuncturi/ s]vices  7#a7 ,9 g5]al   
,sub*apt] ,,ii ( *apt] #ag ( title #ch1 
,unit$ ,/ates ,code1 is am5d$ by add+ at
 ! end ! foll[+ new section3  #agbj;,j4 
,provision ( acupuncturi/ s]vices  7a7  
,9 g5]al ,! ,secret>y %all c>ry out a   
program to provide acupuncturi/ s]vices 
to vet]ans enroll$ 9 ! pati5t enrollm5t 
sy/em ( ! ,dep>tm5t "u section #agje7;a7
 ( ?is title 7)\t ! requirem5t ( a      
ref]ral74  7b7 ,locations  7#a7 ,!      

program "u subsection 7a7 %all be c>ri$ 
out 9 at lea/ "o facility ( ! ,dep>tm5t 
9 ea* ,vet]ans ,integrat$ ,s]vice       
,network4  7#b7 ,9 select+ facilities "u
 p>agraph 7#a71 ! ,secret>y %all ensure 
t ! program is c>ri$ out 9 bo? urban &  
rural areas4  7#c7 ,if a ,vet]ans       
,integrat$ ,s]vice ,network includes a  
,/ate )\t a full-s]vice m$ical c5t]1 !  
,secret>y %all c>ry out ! program at a  
facility )9 t ,/ate4  7c7 ,s]vices      
available ,! ,secret>y %all ensure t !  
acupuncturi/ s]vices available "u !     
program "u subsection 7a7 are able to   
address1 at a m9imum1 ! foll[+3  7#a7   
,*ronic & acute pa94  7#b7 ,canc] pa94  
7#c7 ,po/op]ative nausea & vomit+4  7#d7
 ,po/surgical ga/rop>esis syndrome4     
7#e7 ,opioid-induc$ con/ipation4  7#f7  
,opioid-induc$ pruritus4  7#g7          
,*emo!rapy-induc$ neuropa?y4  7#h7      
,aromatase inhibitor-associat$ jo9t pa94
  7#i7 ,neck dissection-relat$ pa9 &    
dysfunction4  7#aj7 ,/ress managem5t4   
7#aa7 ,m5tal heal? conditions4  7#ab7   

,sub/ance abuse4  7#ac7 ,symptoms relat+
 to traumatic bra9 injury &             
po/-traumatic /ress4  7d7 ,adm9i/ration 
7#a7 ,! ,secret>y %all c>ry out !       
program "u subsection 7a7 ?r\gh--  7,a7 
qualifi$ acupuncturi/s appo9t$ z        
employees ( ! ,dep>tm5t locat$ at m$ical
 c5t]s & cl9ics ( ! ,dep>tm5t2 &  7,b7  
qualifi$ acupuncturi/s "u contracts if--
 7i7 ! ,secret>y is unable to make      
appo9tm5ts describ$ 9 subp>agraph 7,a72 
7ii7 a pati5t requires specialty c>e t  
an employee "u su* subp>agraph is n able
 to provide to ! pati5t2 or  7iii7 !re  
is an em]g5cy t requires ! use ( su* a  
contract acupuncturi/4  7#b7 ,!         
,secret>y %all provide tra9+ & mat]ials 
to heal? c>e provid]s ( ! ,dep>tm5t :o  
provide prim>y c>e to vet]ans to expla9 
! b5efits ( acupuncturi/ s]vices4  7#c7 
,9 ?is subsection1 ! t]m qualifi$       
acupuncturi/ means1 ) respect to !      
furni%+ ( s]vices 9 a ,/ate1 an         
individual :o is lic5s$ or c]tifi$ 9 !  
,/ate 9 :i* ! s]vices are furni%$1 or1 9

 ! case ( s]vices furni%$ 9 a ,/ate t   
does n provide = su* lic5sure or        
c]tification1 meets su* crit]ia 7su* z  
accr$itation ?r\gh an appropriate       
nationally recogniz$ c]tification       
au?ority = acupuncturi/s7 z ! ,secret>y 
may specify4 ,9 specify+ su*            
requirem5ts1 ! ,secret>y may use ! same 
requirem5ts z ^? e/abli%$ by su* a      
c]tification au?ority4  7e7 ,regulations
 ,! ,secret>y %all prescribe regulations
 to c>ry out ?is section4  4  7#b7      
,cl]ical am5dm5t ,! table ( sections at 
! beg9n+ ( su* sub*apt] is am5d$ by     
ins]t+ aft] ! item relat+ to section    
#agbj;,i ! foll[+ new item3  #agbj;,j4  
,provision ( acupuncturi/ s]vices4  4   
7#c7 ,con=m+ am5dm5t ,section #agja7f7 (
 su* title is am5d$ by add+ at ! end !  
foll[+ new subp>agraph3  7,i7           
,acupuncturi/ s]vices 9 accordance )    
section #agbj;,j ( ?is title4  4  7b7   
,advisory committee  7#a7 ,9 g5]al      
,sub*apt] ,,iii ( *apt] #e ( su* title  
is am5d$ by add+ at ! end ! foll[+ new  

section3  #edg4 ,advisory ,committee on 
,acupuncturi/ ,s]vices  7a7 ,acupuncture
 advisory committee  7#a7 7,a7 ,!       
,secret>y %all e/abli% an advisory      
committee to provide ! ,secret>y )      
assi/ance & advice 9 ! developm5t &     
implem5tation ( ! program "u section    
#agbj;,j ( ?is title4  7,b7 ,! advisory 
committee e/abli%$ "u subp>agraph 7,a7  
%all be kn[n z ! ,advisory ,committee on
 ,acupuncturi/ ,s]vices 79 ?is section  
ref]r$ to z ! ,committee74  7#b7 ,!     
,committee %all consi/ ( memb]s appo9t$ 
by ! ,secret>y f ! g5]al public1        
includ+--  7,a7 n few] ?an five practic+
 acupuncturi/s1 ( :i* n few] ?an f\r    
%all be ,/ate lic5s$ acupuncturi/s2     
7,b7 "o vet]an f ea* ( ! ,arm$ ,=ces2 & 
7,c7 n few] ?an two repres5tatives f    
vet]ans s]vice organizations4  7b7      
,duties ,! ,committee %all-- 7#a7 review
 & evaluate ! ability ( a vet]an to     
access an acupuncturi/ at facilities ( !
 ,dep>tm5t2  7#b7 advise ! ,secret>y )  
respect to-- 7,a7 protocols gov]n+      

direct access to acupuncture c>e2  7,b7 
protocols gov]n+ ! scope ( practice (   
acupuncture practition]s2  7,c7 !       
def9itions ( s]vices to be provid$ by   
acupuncturi/s2 &  7,d7 su* o!r matt]s z 
! ,secret>y det]m9es appropriate2 &     
7#c7 ^u ! det]m9ation ( ! ,secret>y t ! 
program ( acupuncturi/ s]vices "u       
section #agbj;,j ( ?is title has be5    
fully implem5t$1 submit to ! ,secret>y a
 report conta9+ ! evaluation ( !        
,committee on ! implem5tation ( su*     
program4  7c7 ,*airman ,! ,secret>y %all
 designate "o memb] ( ! ,committee to   
s]ve z ! ,*airman ( ! ,committee4  7d7  
,meet+s ,! ,committee %all meet at !    
call ( ! ,*airman1 b n few] ?an ?ree    
times dur+ ea* fiscal ye>1 beg9n+ 9 !   
fiscal ye> foll[+ ! fiscal ye> 9 :i* ?is
 section is enact$4  7e7 ,report ,aft] !
 ,committee submits to ! ,secret>y !    
report "u subsection 7b77#c71 !         
,secret>y %all submit to ! ,committee on
 ,vet]ans' ,affairs ( ! ,s5ate & !      
,committee on ,vet]ans' ,affairs ( !    

,h\se ( ,repres5tatives a report conta9+
 ! foll[+3  7#a7 ,a copy ( ! ,committee 
report1 toge!r ) ! comm5ts ( ! ,secret>y
 on ! report4  7#b7 ,an explanation ( ! 
crit]ia & rationale t ! ,secret>y us$ to
 det]m9e t ! program ( acupuncturi/     
s]vices "u section #agbj;,j ( ?is title 
0 fully implem5t$1 z describ$ 9         
subsection 7b77#c74  7#c7 ,! views ( !  
,secret>y reg>d+ ! future implem5tation 
( su* program4  4  7#b7 ,cl]ical am5dm5t
 ,! table ( sections at ! beg9n+ ( su*  
sub*apt] is am5d$ by ins]t+ aft] ! item 
relat+ to section #edf ! foll[+ new     
item3  #edg4 ,advisory ,committee on    
,acupuncturi/ ,s]vices4  4  7c7 ,con=m+ 
am5dm5ts  7#a7 ,au?ority = appo9tm5ts   
,section #gdja7a7 ( title #ch1 ,unit$   
,/ates ,code1 is am5d$ by ins]t+        
acupuncturi/s1 aft] *iropractors14  7#b7
 ,p]iod ( appo9tm5ts ,section           
#gdjc7;a77#b7 ( su* title is am5d$ by   
add+ at ! end ! foll[+ new subp>agraph3 
7,i7 ,acupuncturi/s4  4  7#c7 ,pay      
,section #gdjd ( su* title is am5d$ by  

add+ at ! end ! foll[+ new subsection3  
7f7 ,! position ( acupuncturi/ specifi$ 
9 section #gdja7a7 ( ?is title %all be  
at ! grade ( ,,gs-#ab or high] "u !     
,g5]al ,s*$ule "u section #eccb ( title 
#e4  4  7#d7 ,malpractice & neglig5ce   
suits  7,a7 ,9 g5]al ,section           
#gcaf7;a77#b7 ( su* title is am5d$ by   
ins]t+ acupuncturi/1 aft] *iropractor14 
7,b7 ,effective date ,! am5dm5t made by 
subp>agraph 7,a7 %all apply ) respect to
 s]vices provid$ on or aft] ! date t is 
#bgj days aft] ! date ( ! enactm5t ( ?is
 ,act4  7#e7 ,h\rs & conditions ,section
 #gdba7;b7 ( su* title is am5d$ by add+ 
at ! end ! foll[+ new p>agraph3  7#i7   
,acupuncturi/s4  4