,,ii  #aaf? ,,congress  #b;d ,session   
,s4 #cfac  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,may #e1 #bjbj,mr4     
,braun 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      
/r5g!n exi/+ b5efits = c]ta9 desc5dants 
( vet]ans expos$ to h]bicide ag5ts1 & = 
o!r purposes4  #a4 ,b5efits = eligible  
desc5dants ( vet]ans expos$ to h]bicide 
ag5ts  7a7 ,9 g5]al ,*apt] #ah ( title  
#ch1 ,unit$ ,/ates ,code1 is am5d$ to   
read z foll[s3  #ah ,b5efits = eligible 
desc5dants ( vet]ans expos$ to h]bicide 
ag5ts  ,*apt] #ah--;,b5efits = eligible 
desc5dants ( vet]ans expos$ to h]bicide 
ag5ts ,sec4 #ahja4 ,def9itions4         
,,sub*apt] ,i--,eligible desc5dants (   
vet]ans expos$ to h]bicide ag5ts born ) 
sp9a bifida ,sec4 #ahaa4 ,eligibility4  
,sec4 #ahab4 ,heal? c>e4 ,sec4 #ahac4   
,vocational tra9+4 ,sec4 #ahad4 ,monet>y
 all[ance4 ,,sub*apt] ,,ii--,eligible   
desc5dants ( wom5 vet]ans expos$ to     

h]bicide ag5ts born ) c]ta9 bir? defects
 ,sec4 #ahba4 ,eligibility2 def9ition4  
,sec4 #ahbb4 ,cov]$ bir? defects4 ,sec4 
#ahbc4 ,heal? c>e4 ,sec4 #ahbd4         
,vocational tra9+4 ,sec4 #ahbe4 ,monet>y
 all[ance4 ,sec4 #ahbf4 ,regulations4   
,,sub*apt] ,,iii--,adm9i/ration ,sec4   
#ahca4 ,det]m9ation ( eligibility4 ,sec4
 #ahcb4 ,c>e coord9ators = eligible     
desc5dants4 ,sec4 #ahcc4 ,duration (    
heal? c>e & b5efits provid$4 ,sec4      
#ahcd4 ,applicability ( c]ta9           
adm9i/rative provisions4 ,sec4 #ahce4   
,treatm5t ( receipt ( monet>y all[ance &
 o!r b5efits4 ,sec4 #ahcf4              
,nonduplication ( b5efits4  #ahja4      
,def9itions ,9 ?is *apt]3 7#a7 ,cov]$   
bir? defect ,! t]m cov]$ bir? defect    
means a bir? defect id5tifi$ by !       
,secret>y "u section #ahbb ( ?is title4 
7#b7 ,cov]$ vet]an ,! t]m cov]$ vet]an  
means an individual :o-- 7,a7 s]v$ 9 !  
active milit>y1 naval1 or air s]vice1   
)\t reg>d to ! *>act]ization ( t        
individual's s]vice2 &  7,b7 is det]m9$ 

by ! ,secret>y1 9 consultation ) !      
,secret>y ( ,def5se1 to h be5 expos$ to 
a h]bicide ag5t dur+ su* s]vice4  7#c7  
,eligible desc5dant ,! t]m eligible     
desc5dant means-- 7,a7 = purposes (     
eligibility = heal? c>e & b5efits "u    
sub*apt] ,i1 an individual describ$ 9   
section #ahaa ( ?is title2 &  7,b7 =    
purposes ( eligibility = heal? c>e &    
b5efits "u sub*apt] ,,ii1 an individual 
describ$ 9 section #ahba7;a7 ( ?is      
title4  7#d7 ,facility ( ! ,dep>tm5t ,! 
t]m facility ( ! ,dep>tm5t has ! mean+  
giv5 ! t]m facilities ( ! ,dep>tm5t 9   
section #agja ( ?is title4  7#e7        
,h]bicide ag5t ,! t]m h]bicide ag5t     
means a *emical 9 a h]bicide us$ 9      
support ( ,unit$ ,/ates & alli$ milit>y 
op]ations1 z det]m9$ by ! ,secret>y 9   
consultation ) ! ,secret>y ( ,def5se4   
,i ,eligible desc5dants ( vet]ans expos$
 to h]bicide ag5ts born ) sp9a bifida   
#ahaa4 ,eligibility ,= purposes ( ?is   
sub*apt]1 an eligible desc5dant is an   
individual1 reg>dless ( age or m>ital   

/atus1 :o-- 7#a7 7,a7 7i7 is ! natural  
*ild ( a cov]$ vet]an2 &  7ii7 0        
conceiv$ aft] ! date on :i* t vet]an    
fir/ 0 expos$ to a h]bicide ag5t dur+   
s]vice 9 ! active milit>y1 naval1 or air
 s]vice2 or  7,b7 is ! natural *ild ( an
 individual describ$ 9 subp>agraph 7,a72
 &  7#b7 0 born ) any =m or manife/ation
 ( sp9a bifida1 except sp9a bifida      
occulta4  #ahab4 ,heal? c>e  7a7 ,9     
g5]al ,9 accordance ) regulations       
prescrib$ by ! ,secret>y1 ! ,secret>y   
%all provide an eligible desc5dant )    
heal? c>e "u ?is section4  7b7          
,provision ( c>e ,! ,secret>y %all      
provide heal? c>e "u ?is section-- 7#a7 
?r\gh facilities ( ! ,dep>tm5t2 or  7#b7
 by contract or o!r arrangem5t ) any    
heal? c>e provid]1 z coord9at$ by ! c>e 
coord9ator assign$ "u section #ahcb (   
?is title = ! eligible desc5dant4  7c7  
,def9itions ,9 ?is section3 7#a7 ,heal? 
c>e ,! t]m heal? c>e-- 7,a7 means home  
c>e1 hospital c>e1 nurs+ home c>e1      
outpati5t c>e1 prev5tive c>e1           

habilitative & rehabilitative c>e1 case 
managem5t1 & respite c>e2 &  7,b7       
includes-- 7i7 ! tra9+ ( appropriate    
memb]s ( an eligible desc5dant's family 
or h\sehold 9 ! c>e ( ! desc5dant2 &    
7ii7 ! provision ( su* ph>maceuticals1  
supplies1 equipm5t1 devices1 appliances1
 assi/ive te*nology1 direct             
transportation co/s to & f approv$      
s\rces ( heal? c>e1 & o!r mat]ials z !  
,secret>y det]m9es necess>y4  7#b7      
,habilitative & rehabilitative c>e ,!   
t]m habilitative & rehabilitative c>e   
means su* pr(essional1 c\nsel+1 &       
guidance s]vices & treatm5t programs    
7o!r ?an vocational tra9+ "u section    
#ahac ( ?is title7 z are necess>y to    
develop1 ma9ta91 or re/ore1 to ! maximum
 ext5t practicable1 ! function+ ( a     
disabl$ p]son4  7#c7 ,heal? c>e provid] 
,! t]m heal? c>e provid] includes       
specializ$ sp9a bifida cl9ics1 heal? c>e
 plans1 insur]s1 organizations1         
in/itutions1 & any o!r entity or        
individual furni%+ heal? c>e s]vices t !

 ,secret>y det]m9es are au?oriz$ "u ?is 
section4  7#d7 ,home c>e ,! t]m home c>e
 means outpati5t c>e1 habilitative &    
rehabilitative c>e1 prev5tive heal?     
s]vices1 & heal?-relat$ s]vices furni%$ 
to an individual 9 ! individual's home  
or o!r place ( resid5ce1 includ+        
assi/ance ) activities ( daily liv+ &   
in/rum5tal activities ( daily liv+4     
7#e7 ,hospital c>e ,! t]m hospital c>e  
means c>e & treatm5t = a disability     
furni%$ to an individual :o has be5     
admitt$ to a hospital z a pati5t4  7#f7 
,nurs+ home c>e ,! t]m nurs+ home c>e   
means c>e & treatm5t = a disability     
furni%$ to an individual :o has be5     
admitt$ to a nurs+ home z a resid5t4    
7#g7 ,outpati5t c>e ,! t]m outpati5t c>e
 means c>e & treatm5t ( a disability1 & 
prev5tive heal? s]vices1 furni%$ to an  
individual o!r ?an hospital c>e or nurs+
 home c>e4  7#h7 ,prev5tive c>e ,! t]m  
prev5tive c>e means c>e & treatm5t      
furni%$ to prev5t disability or illness1
 includ+ p]iodic exam9ations1           

immunizations1 pati5t heal? education1 &
 su* o!r s]vices z ! ,secret>y det]m9es 
necess>y to provide effective &         
economical prev5tive heal? c>e4  7#i7   
,respite c>e ,! t]m respite c>e means   
c>e furni%$ on an int]mitt5t basis = a  
limit$ p]iod to an individual :o resides
 prim>ily 9 a private resid5ce :5 su*   
c>e w help ! individual to cont9ue      
resid+ 9 su* private resid5ce4  #ahac4  
,vocational tra9+  7a7 ,au?ority        
,pursuant to regulations prescrib$ by ! 
,secret>y1 ! ,secret>y may provide      
vocational tra9+ "u ?is section to an   
eligible desc5dant if ! ,secret>y       
det]m9es t ! a*ievem5t ( a vocational   
goal by su* desc5dant is reasonably     
feasible4  7b7 ,program design ,any     
program ( vocational tra9+ = an eligible
 desc5dant "u ?is section %all-- 7#a7 be
 design$ 9 consultation ) ! desc5dant 9 
ord] to meet ! desc5dant's individual   
ne$s2  7#b7 be set =? 9 an individualiz$
 writt5 plan ( vocational               
rehabilitation2 &  7#c7 be design$ &    

develop$ be=e ! date specifi$ 9         
subsection 7d77#c7 s z to p]mit ! beg9n+
 ( ! program z ( su* date4  7c7 ,program
 elem5ts  7#a7 ,9 g5]al ,a vocational   
tra9+ program = an eligible desc5dant "u
 ?is section-- 7,a7 %all consi/ ( su*   
vocationally ori5t$ s]vices & assi/ance1
 includ+ su* placem5t & po/-placem5t    
s]vices & p]sonal & "w adju/m5t tra9+1 z
 ! ,secret>y det]m9es are necess>y to   
enable ! desc5dant to prep>e = &        
p>ticipate 9 vocational tra9+ or        
employm5t2 &  7,b7 may include a program
 ( education at an in/itution ( high]   
le>n+ if ! ,secret>y det]m9es t !       
program ( education is pr$om9antly      
vocational 9 cont5t4  7#b7 ,exclusions  
,a vocational tra9+ program "u ?is      
section may n include ! provision ( any 
loan or subsi/5ce all[ance or any       
automobile adaptive equipm5t4  7d7      
,program duration  7#a7 ,9 g5]al ,except
 z provid$ 9 p>agraph 7#b7 & subject to 
subsection 7e77#b71 a vocational tra9+  
program "u ?is section may n exce$ #bd  

mon?s4  7#b7 ,ext5sions ,! ,secret>y may
 grant an ext5sion ( a vocational tra9+ 
program = an eligible desc5dant "u ?is  
section = up to #bd additional mon?s if 
! ,secret>y det]m9es t ! ext5sion is    
necess>y 9 ord] = ! desc5dant to a*ieve 
a vocational goal id5tifi$ 7be=e ! end (
 ! fir/ #bd mon?s ( su* program7 9 !    
writt5 plan ( vocational rehabilitation 
=mulat$ = ! desc5dant pursuant to       
subsection 7b74  7#c7 ,comm5cem5t ,a    
vocational tra9+ program "u ?is section 
may beg9 on ! eligible desc5dant's #ah? 
bir?day1 or on ! successful completion (
 ! desc5dant's second>y s*ool+1 :i*ev]  
fir/ occurs1 except t1 if ! desc5dant is
 above ! age ( compulsory s*ool         
att5dance "u applicable ,/ate law & !   
,secret>y det]m9es t ! desc5dant's be/  
int]e/s w be s]v$ !reby1 ! vocational   
tra9+ program may beg9 be=e !           
desc5dant's #ah? bir?day4  7e7          
,relation%ip to o!r programs  7#a7 ,9   
g5]al ,an eligible desc5dant :o is      
pursu+ a program ( vocational tra9+ "u  

?is section & is also eligible =        
assi/ance "u a program "u *apt] #ce (   
?is title may n receive assi/ance "u bo?
 su* programs concurr5tly4 ,! desc5dant 
%all elect 79 su* =m & mann] z !        
,secret>y may prescribe7 ! program "u   
:i* ! desc5dant is to receive assi/ance4
  7#b7 ,aggregate p]iod ,! aggregate    
p]iod = :i* an eligible desc5dant may   
receive assi/ance "u ?is section & *apt]
 #ce ( ?is title may n exce$ #dh mon?s  
7or ! "p-"t equival5t !re(74  #ahad4    
,monet>y all[ance  7a7 ,monet>y all[ance
 ,! ,secret>y %all pay a mon?ly all[ance
 "u ?is section to an eligible desc5dant
 = any disability result+ f sp9a bifida 
suff]$ by su* desc5dant4  7b7 ,s*$ule = 
rat+ ( disabilities  7#a7 ,9 g5]al ,!   
am\nt ( ! all[ance paid to an eligible  
desc5dant "u ?is section %all be bas$ on
 ! degree ( disability suff]$ by !      
desc5dant1 z det]m9$ 9 accordance ) su* 
s*$ule = rat+ disabilities result+ f    
sp9a bifida z ! ,secret>y may prescribe4
  7#b7 ,levels ( disability ,! ,secret>y

 %all1 9 prescrib+ ! rat+ s*$ule =      
purposes ( ?is section1 e/abli% ?ree    
levels ( disability ^u :i* ! am\nt ( !  
all[ance provid$ by ?is section %all be 
bas$4  7c7 ,am\nt ( mon?ly all[ance     
7#a7 ,9 g5]al ,! am\nts ( ! all[ance    
%all be #bjj p] mon? = ! l[e/ level (   
disability prescrib$1 #gjj p] mon? = !  
int]m$iate level ( disability prescrib$1
 & #a1bjj p] mon? = ! highe/ level (    
disability prescrib$4  7#b7 ,adju/m5t   
,am\nts "u p>agraph 7#a7 are subject to 
adju/m5t "u section #ecab ( ?is title4  
,,ii ,eligible desc5dants ( wom5 vet]ans
 expos$ to h]bicide ag5ts born ) c]ta9  
bir? defects  #ahba4 ,eligibility2      
def9ition  7a7 ,eligibility ,= purposes 
( ?is sub*apt]1 an eligible desc5dant is
 an individual1 reg>dless ( age or      
m>ital /atus1 :o-- 7#a7 7,a7 7i7 is !   
natural *ild ( a cov]$ woman vet]an2 &  
7ii7 0 conceiv$ aft] ! date on :i* t    
vet]an fir/ 0 expos$ to a h]bicide ag5t 
dur+ s]vice 9 ! active milit>y1 naval1  
or air s]vice2 or  7,b7 is ! natural    

*ild ( an individual describ$ 9         
subp>agraph 7,a72 &  7#b7 0 born ) "o or
 m cov]$ bir? defects4  7b7 ,cov]$ woman
 vet]an def9$ ,9 ?is sub*apt]1 ! t]m    
cov]$ woman vet]an means a cov]$ vet]an 
:o is a woman4  #ahbb4 ,cov]$ bir?      
defects  7a7 ,id5tification ,! ,secret>y
 %all id5tify ! bir? defects ( eligible 
desc5dants t-- 7#a7 are associat$ ) !   
s]vice ( cov]$ woman vet]ans2 &  7#b7   
result 9 p]man5t physical or m5tal      
disability4  7b7 ,exclusions ,! bir?    
defects id5tifi$ "u subsection 7a7 may n
 include bir? defects result+ f !       
foll[+3 7#a7 ,a familial disord]4  7#b7 
,a bir?-relat$ injury4  7#c7 ,a fetal or
 neonatal infirmity ) well-e/abli%$     
causes4  7c7 ,o!r cause ,9 any case :]e 
affirmative evid5ce e/abli%es t a cov]$ 
bir? defect ( an eligible desc5dant     
results f a cause o!r ?an ! active      
milit>y1 naval1 or air s]vice ( a cov]$ 
woman vet]an1 no b5efits or assi/ance   
may be provid$ ! desc5dant "u ?is       
sub*apt]4  #ahbc4 ,heal? c>e  7a7 ,ne$$ 

c>e ,! ,secret>y %all provide an        
eligible desc5dant su* heal? c>e z !    
,secret>y det]m9es is ne$$ by !         
desc5dant = t desc5dant's cov]$ bir?    
defects or any disability t is associat$
 ) ^? bir? defects4  7b7 ,provision (   
c>e ,! ,secret>y %all provide heal? c>e 
"u ?is section-- 7#a7 ?r\gh facilities (
 ! ,dep>tm5t2 or  7#b7 by contract or   
o!r arrangem5t ) a heal? c>e provid]1 z 
coord9at$ by ! c>e coord9ator assign$ "u
 section #ahcb ( ?is title = ! eligible 
desc5dant4  7c7 ,def9itions ,= purposes 
( ?is section1 ! def9itions 9 section   
#ahab7;c7 ( ?is title %all apply )      
respect to ! provision ( heal? c>e "u   
?is section1 except t = su* purposes--  
7#a7 ! ref]5ce to vocational tra9+ "u   
section #ahac ( ?is title 9 p>agraph    
7#b7 ( t section %all be treat$ z a     
ref]5ce to vocational tra9+ "u section  
#ahbd ( ?is title2 &  7#b7 ! ref]5ce to 
specializ$ sp9a bifida cl9ic 9 p>agraph 
7#c7 ( t section %all be treat$ z a     
ref]5ce to a specializ$ cl9ic treat+ !  

bir? defect conc]n$ "u ?is section4     
#ahbd4 ,vocational tra9+  7a7 ,au?ority 
,! ,secret>y may provide a program (    
vocational tra9+ to an eligible         
desc5dant if ! ,secret>y det]m9es t !   
a*ievem5t ( a vocational goal by !      
desc5dant is reasonably feasible4  7b7  
,applicable provisions ,subsections 7b7 
?r\gh 7e7 ( section #ahac ( ?is title   
%all apply ) respect to any program (   
vocational tra9+ provid$ "u subsection  
7a74  #ahbe4 ,monet>y all[ance  7a7     
,monet>y all[ance ,! ,secret>y %all pay 
a mon?ly all[ance to any eligible       
desc5dant = any disability result+ f !  
cov]$ bir? defects ( t desc5dant4  7b7  
,s*$ule = rat+ ( disabilities  7#a7 ,9  
g5]al ,! am\nt ( ! mon?ly all[ance paid 
"u ?is section %all be bas$ on ! degree 
( disability suff]$ by ! eligible       
desc5dant conc]n$1 z det]m9$ 9          
accordance ) a s*$ule = rat+            
disabilities result+ f cov]$ bir?       
defects t is prescrib$ by ! ,secret>y4  
7#b7 ,levels ( disability ,9 prescrib+ a

 s*$ule = rat+ disabilities = purposes (
 ?is section1 ! ,secret>y %all e/abli%  
f\r levels ( disability ^u :i* ! am\nt (
 ! all[ance provid$ by ?is section %all 
be bas$4 ,! levels ( disability e/abli%$
 may take into acc\nt functional        
limitations1 includ+ limitations on     
cognition1 communication1 motor         
abilities1 activities ( daily liv+1 &   
employability4  7c7 ,am\nt ( mon?ly     
all[ance ,! am\nt ( ! mon?ly all[ance   
paid "u ?is section %all be z foll[s3   
7#a7 ,9 ! case ( an eligible desc5dant  
suff]+ f ! l[e/ level ( disability      
prescrib$ 9 ! s*$ule = rat+ disabilities
 "u subsection 7b71 #ajj4  7#b7 ,9 !    
case ( an eligible desc5dant suff]+ f ! 
l[] int]m$iate level ( disability       
prescrib$ 9 ! s*$ule = rat+ disabilities
 "u subsection 7b71 ! great] (-- 7,a7   
#bad2 or  7,b7 ! mon?ly am\nt payable "u
 section #ahad7;c7 ( ?is title = ! l[e/ 
level ( disability prescrib$ = purposes 
( t section4  7#c7 ,9 ! case ( an       
eligible desc5dant suff]+ f ! high]     

int]m$iate level ( disability prescrib$ 
9 ! s*$ule = rat+ disabilities "u       
subsection 7b71 ! great] (-- 7,a7 #gdc2 
or  7,b7 ! mon?ly am\nt payable "u      
section #ahad7;c7 ( ?is title = !       
int]m$iate level ( disability prescrib$ 
= purposes ( t section4  7#d7 ,9 ! case 
( an eligible desc5dant suff]+ f !      
highe/ level ( disability prescrib$ 9 ! 
s*$ule = rat+ disabilities "u subsection
 7b71 ! great] (-- 7,a7 #a1bgb2 or  7,b7
 ! mon?ly am\nt payable "u section      
#ahad7;c7 ( ?is title = ! highe/ level (
 disability prescrib$ = purposes ( t    
section4  7d7 ,index+ to ,social        
,security b5efit increases ,am\nts "u   
p>agraphs 7#a71 7#b77;,a71 7#c77;,a71 & 
7#d77;,a7 ( subsection 7c7 %all be      
subject to adju/m5t f "t to "t "u       
section #ecab ( ?is title4  #ahbf4      
,regulations ,! ,secret>y %all prescribe
 regulations = purposes ( ! adm9i/ration
 ( ?is sub*apt]4  ,,iii ,adm9i/ration   
#ahca4 ,det]m9ation ( eligibility  7a7  
,notification ,ea* director ( a facility

 ( ! ,dep>tm5t %all notify ea* cov]$    
vet]an :o receives c>e at ! facility ( !
 heal? c>e & b5efits available to       
eligible desc5dants "u ?is *apt]4  7b7  
,m$ical evaluation  7#a7 ,9 g5]al ,!    
,secret>y %all ensure t ea* desc5dant ( 
a cov]$ vet]an :o seeks heal? c>e or    
b5efits "u ?is *apt] receives a m$ical  
evaluation conduct$ at a facility ( !   
,dep>tm5t4  7#b7 ,det]m9ation ,ea*      
director ( a facility at :i* a m$ical   
evaluation = a desc5dant is conduct$ "u 
p>agraph 7#a7 %all det]m9e :e!r su*     
desc5dant is eligible = heal? c>e or    
b5efits "u ?is *apt]4  #ahcb4 ,c>e      
coord9ators = eligible desc5dants  7a7  
,assignm5t  7#a7 ,9 g5]al ,if a director
 ( a facility ( ! ,dep>tm5t det]m9es t a
 desc5dant ( a cov]$ vet]an is eligible 
= heal? c>e & b5efits "u ?is *apt] "u   
section #ahca7;b77#b71 except z provid$ 
9 p>agraph 7#b71 ! director %all assign 
to ! eligible desc5dant a social work]  
or regi/]$ nurse employ$ by ! ,dep>tm5t 
at ! facility to s]ve z ! c>e coord9ator

 = ! desc5dant4  7#b7 ,alt]nate location
 ,if ano!r facility ( ! ,dep>tm5t is m  
geographically conv5i5t = an eligible   
desc5dant ?an ! facility at :i* !       
desc5dant receiv$ a m$ical evaluation "u
 section #ahca7;b77#a71 ! director ( su*
 o!r facility %all assign to ! desc5dant
 a social work] or regi/]$ nurse employ$
 by ! ,dep>tm5t at ! facility to s]ve z 
! c>e coord9ator = ! desc5dant4  7b7    
,functions  7#a7 ,9 g5]al ,a c>e        
coord9ator assign$ "u subsection 7a7    
%all ensure t ea* eligible desc5dant to 
:i* ! c>e coord9ator is assign$ receives
 all heal? c>e1 vocational tra9+1 &     
monet>y comp5sation = :i* ! desc5dant is
 eligible4  7#b7 ,home modifications &  
equipm5t ,a c>e coord9ator assign$ "u   
subsection 7a7 %all ensure t1 = ea*     
eligible desc5dant to :i* ! c>e         
coord9ator is assign$-- 7,a7 any home   
modifications t ! c>e coord9ator        
det]m9es are necess>y1 9 consultation ) 
! prim>y c>e provid] & physical !rapi/ (
 ! desc5dant1 are complet$2 &  7,b7 any 

durable m$ical equipm5t t ! c>e         
coord9ator det]m9es is requir$1 9       
consultation ) ! prim>y c>e provid] &   
physical !rapi/ ( ! desc5dant1 is       
provid$4  7#c7 ,home visits ,a c>e      
coord9ator assign$ "u subsection 7a7    
%all conduct n few] ?an two home visits 
ea* ye> = ea* eligible desc5dant to :i* 
! c>e coord9ator is assign$-- 7,a7 to   
evaluate ! support & c>e be+ provid$2 & 
7,b7 to make improvem5ts z ne$$4  7#d7  
,arrangem5ts ) heal? c>e provid]s  7,a7 
,9 g5]al ,a c>e coord9ator assign$ "u   
subsection 7a7 %all ensure t ea*        
eligible desc5dant to :i* ! c>e         
coord9ator is assign$ is connect$ )     
appropriate heal? c>e-- 7i7 by locat+   
heal? c>e provid]s2  7ii7 by educat+ ^? 
provid]s ab\t ! heal? c>e & b5efits     
provid$ to eligible desc5dants "u ?is   
*apt]2 &  7iii7 by arrang+ heal? c>e = !
 desc5dant f ^? provid]s4  7,b7 ,heal?  
c>e includ$ ,heal? c>e arrang$ "u       
subp>agraph 7,a77iii7 %all include su*  
9-home support z an eligible desc5dant  

may ne$ = assi/ance 9 complet+ all      
activities ( daily liv+4  7#e7          
,adm9i/rative responsibilities  7,a7 ,9 
g5]al ,a c>e coord9ator assign$ "u      
subsection 7a7 %all ensure1 ) respect to
 ea* eligible desc5dant to :i* ! c>e    
coord9ator is assign$1 any necess>y     
preau?orizations1 paym5ts to provid]s1 &
 travel reimbursem5ts are complet$ 9 a  
timely mann]4  7,b7 ,resolution ( issues
 ,! c>e coord9ator %all "w ) ! eligible 
desc5dant & ! (fice ( ! ,dep>tm5t t     
adm9i/]s heal? c>e & b5efits "u ?is     
*apt] to resolve any issues relat+ to ! 
matt]s describ$ 9 subp>agraph 7,a74     
7#f7 ,assignm5t ( fiduci>y ,if ! ,"u    
,secret>y = ,b5efits det]m9es t a       
fiduci>y is requir$ = an eligible       
desc5dant = purposes ( manag+           
comp5sation provid$ "u section #ahad or 
#ahbe ( ?is title1 ! c>e coord9ator     
assign$ to ! desc5dant "u subsection 7a7
 %all ensure t ! desc5dant has su* a    
fiduci>y4  7c7 ,local contract c>e      
coord9ator  7#a7 ,9 g5]al ,9 ! case ( an

 eligible desc5dant :o lives a          
significant driv+ di/ance f a facility (
 ! ,dep>tm5t1 ! c>e coord9ator assign$  
to ! desc5dant "u subsection 7a7 may    
arrange = a local contract c>e          
coord9ator to coord9ate c>e = !         
desc5dant f s\rces o!r ?an a facility ( 
! ,dep>tm5t4  7#b7 ,ov]sight ,ea* c>e   
coord9ator :o arranges = a local        
contract c>e coord9ator "u p>agraph 7#a7
 %all ov]see ! local contract c>e       
coord9ator1 includ+ ?r\gh home visits   
requir$ by subsection 7b77#c74  7d7     
,p]=mance & effectiv5ess ,ea* director (
 a facility ( ! ,dep>tm5t at :i* a c>e  
coord9ator assign$ "u subsection 7a7 is 
locat$ %all be responsible = ! p]=mance 
& effectiv5ess ( ! c>e coord9ator4      
#ahcc4 ,duration ( heal? c>e & b5efits  
provid$ ,! ,secret>y %all provide an    
eligible desc5dant ) heal? c>e & b5efits
 "u ?is *apt]-- 7#a7 = ! duration ( !   
life ( ! desc5dant2 &  7#b7 not)/&+ any 
dea? ( a p>5t ( ! desc5dant t prec$es ! 
dea? ( ! desc5dant4  #ahcd4             

,applicability ( c]ta9 adm9i/rative     
provisions  7a7 ,applicability ( c]ta9  
provisions relat+ to comp5sation ,!     
provisions ( ?is title specifi$ 9       
subsection 7b7 apply ) respect to       
b5efits & assi/ance "u ?is *apt] 9 !    
same mann] z ^? provisions apply to     
comp5sation paid "u *apt] #aa ( ?is     
title4  7b7 ,specifi$ provisions ,!     
provisions ( ?is title ref]r$ to 9      
subsection 7a7 are ! foll[+3 7#a7       
,section #eaja7;c74  7#b7 ,subsections  
7a71 7b77#c71 7g71 & 7i7 ( section      
#eaaj4  7#c7 ,section #eaaa4  7#d7      
,subsection 7a7 & p>agraphs 7#a71 7#f71 
7#i71 & 7#aj7 ( subsection 7b7 ( section
 #eaab4  #ahce4 ,treatm5t ( receipt (   
monet>y all[ance & o!r b5efits  7a7     
,coord9ation ) o!r b5efits paid to !    
recipi5t ,not)/&+ any o!r provision (   
law1 receipt by an individual ( a       
monet>y all[ance "u ?is *apt] %all n    
impair1 infr+e1 or o!rwise affect ! "r (
 ! individual to receive any o!r b5efit 
to :i* ! individual is o!rwise entitl$  

"u any law adm9i/]$ by ! ,secret>y4  7b7
 ,coord9ation ) b5efits bas$ on         
relation%ip ( recipi5ts ,not)/&+ any o!r
 provision ( law1 receipt by an         
individual ( a monet>y all[ance "u ?is  
*apt] %all n impair1 infr+e1 or o!rwise 
affect ! "r ( any o!r individual to     
receive any b5efit to :i* su* o!r       
individual is entitl$ "u any law        
adm9i/]$ by ! ,secret>y bas$ on !       
relation%ip ( su* o!r individual to !   
individual :o receives su* monet>y      
all[ance4  7c7 ,monet>y all[ance n ,to  
be consid]$ z income or res\rces = c]ta9
 purposes ,not)/&+ any o!r provision (  
law1 a monet>y all[ance paid an         
individual "u ?is *apt] %all n be       
consid]$ z income or res\rces 9 det]m9+ 
eligibility =1 or ! am\nt ( b5efits "u1 
any ,f$]al or f$]ally assi/$ program4   
#ahcf4 ,nonduplication ( b5efits  7a7   
,monet>y all[ance ,9 ! case ( an        
eligible desc5dant "u sub*apt] ,,ii (   
?is *apt] ^: only cov]$ bir? defect is  
sp9a bifida1 a monet>y all[ance %all be 

paid "u sub*apt] ,i ( ?is *apt]4 ,9 !   
case ( an eligible desc5dant "u sub*apt]
 ,,ii ( ?is *apt] :o has sp9a bifida &  
"o or m additional cov]$ bir? defects1 a
 monet>y all[ance %all be paid "u       
sub*apt] ,,ii ( ?is *apt]4  7b7         
,vocational tra9+ ,an individual may    
only be provid$ "o program ( vocational 
tra9+ "u ?is *apt]4  4  7b7 ,con=m+     
am5dm5ts ,su* title is fur!r am5d$--    
7#a7 9 section #ecab1 by /rik+ #ahje bo?
 places x appe>s & ins]t+ #ahad2 &  7#b7
 9 section #aaaf;,b7c71 by /rik+ has !  
mean+ giv5 su* t]m 9 section #ahba7;d7 (
 ?is title & ins]t+ means a *emical 9 a 
h]bicide us$ 9 support ( ,unit$ ,/ates &
 alli$ milit>y op]ations 9 or ne> !     
,korean demilit>iz$ zone1 z det]m9$ by !
 ,secret>y 9 consultation ) ! ,secret>y 
( ,def5se1 dur+ ! p]iod beg9n+ on       
,septemb] #a1 #aifg1 & end+ on ,augu/   
#ca1 #aiga4