,,ii #aaf? ,,congress #b;d ,session ,s4 #ejgb ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,decemb] #ai1 #bjbj,mr4 ,re$ 7= himself & ,mr4 ,te/]7 introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,vet]ans' ,affairs ,a ,,bill ,to improve ,vet ,c5t]s ( ! ,dep>tm5t ( ,vet]ans ,affairs1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,vet ,c5t] ,improvem5t ,act ( #bjbj4 #b4 ,def9itions ,9 ?is ,act3 7#a7 ,vet ,c5t] ,! t]m ,vet ,c5t] has ! mean+ giv5 t t]m 9 section #agab;,a7h7 ( title #ch1 ,unit$ ,/ates ,code4 7#b7 ,vet]ans s]vice organization ,! t]m vet]ans s]vice organization means any organization recogniz$ by ! ,secret>y ( ,vet]ans ,affairs = ! repres5tation ( vet]ans "u section #eijb ( title #ch1 ,unit$ ,/ates ,code4 #c4 ,productivity expectations = readju/m5t c\nselors ( ,vet ,c5t]s 7a7 ,evaluation ( productivity expectations ,n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,vet]ans ,affairs %all evaluate productivity expectations = readju/m5t c\nselors ( ,vet ,c5t]s1 includ+ by obta9+ sy/ematic fe$back f c\nselors on su* expectations1 includ+ ) respect to foll[+3 7#a7 ,any pot5tial effects ( productivity expectations1 :e!r positive or negative1 on cli5t c>e4 7#b7 ,di/ances readju/m5t c\nselors may travel to appo9tm5ts1 especially ) respect to s]v+ rural vet]ans4 7#c7 ,! possibility t "s vet]ans may n want to use nor b5efit f teleheal? or gr\p c\nsel+4 7#d7 ,availability & access ( vet]an populations to broadb& & teleheal?4 7#e7 ,any effect on readju/m5t c\nselors1 includ+ ) respect to recruitm5t1 ret5tion1 & welf>e4 7#f7 ,:e!r productivity expectations provide inc5tives or pressure to inaccurately report cli5t visits4 7#g7 ,:e!r directors & readju/m5t c\nselors ( ,vet ,c5t]s ne$ additional tra9+ or guidance on h[ productivity expectations are calculat$4 7#h7 ,su* o!r crit]ia z ! ,secret>y consid]s appropriate4 7b7 ,sy/ematic fe$back 7#a7 ,9 g5]al ,! ,secret>y %all-- 7,a7 make e ef=t to ensure t all readju/m5t c\nselors ( ,vet ,c5t]s are giv5 ! opportunity to provide fe$back on ! items "u subsection 7a72 7,b7 collect & safely /ore ! fe$back obta9$ "u subsection 7a7-- 7i7 9 an anonymiz$ mann]1 9 ord] to protect ! privacy ( ea* respond5t2 & 7ii7 9 a mann] t all[s = evaluation by ?ird p>ties ( ! fe$back1 su* z audit ( ! fe$back by ! ,gov]nm5t ,acc\ntability ,(fice2 & 7,c7 provide ! fe$back obta9$ "u subsection 7a7 9 an anonymiz$ mann] to ! work+ gr\p e/abli%$ "u section #e4 7#b7 ,gov]nm5t ,acc\ntability ,(fice audit ,n less frequ5tly ?an once ea* ye> dur+ ! five-ye> p]iod beg9n+ on ! date ( ! enactm5t ( ?is ,act1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all audit ! fe$back obta9$ f readju/m5t c\nselors ( ,vet ,c5t]s "u subsection 7a74 7c7 ,implem5tation ( *anges ,n lat] ?an #ij days aft] ! date ( ! completion ( ! evaluation requir$ by subsection 7a71 ! ,secret>y %all implem5t any ne$$ *anges to ! productivity expectations describ$ 9 su* subsection 9 ord] to ensure-- 7#a7 quality ( c>e & access to c>e = vet]ans2 & 7#b7 ! welf>e ( readju/m5t c\nselors4 7d7 ,report to ,congress ,n lat] ?an #ahj days aft] ! date ( ! completion ( ! evaluation requir$ by subsection 7a71 ! ,secret>y %all submit to ,congress a report on-- 7#a7 ! f9d+s ( ! evaluation2 & 7#b7 any plann$ or implem5t$ *anges describ$ 9 subsection 7c74 7e7 ,plan = reassessm5t & implem5tation 7#a7 ,plan ,n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y %all develop & implem5t a plan =-- 7,a7 reassess+ productivity expectations = readju/m5t c\nselors ( ,vet ,c5t]s1 9 consultation ) su* c\nselors2 & 7,b7 implem5t+ any ne$$ *anges to su* expectations1 z ! ,secret>y det]m9es appropriate4 7#b7 ,reassessm5ts ,"u ! plan requir$ by p>agraph 7#a71 ! ,secret>y %all conduct a reassessm5t describ$ 9 su* p>agraph n less frequ5tly ?an once ea* ye>4 #d4 ,/aff+ models = ,vet ,c5t]s 7a7 ,9 g5]al ,n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,vet]ans ,affairs %all develop & implem5t a /aff+ model = ,vet ,c5t]s t incorporates key practices 9 ! design ( /aff+ models4 7b7 ,elem5ts ,9 develop+ ! /aff+ model "u subsection 7a71 ! ,secret>y %all-- 7#a7 involve key /akehold]s1 includ+ readju/m5t c\nselors1 outrea* speciali/s1 & directors ( ,vet ,c5t]s2 7#b7 incorporate key "w activities & ! frequ5cy & "t requir$ to conduct su* activities2 7#c7 ensure ! quality ( data us$ 9 ! model to provide assurance t /aff+ e/imates are reliable2 & 7#d7 incorporate-- 7,a7 risk factors1 includ+ case complexity1 geography1 & availability1 advisability1 & will+ness ( vet]ans to use teleheal? or gr\p c\nsel+2 & 7,b7 su* o!r factors z ! ,secret>y consid]s appropriate4 7c7 ,plan = assessm5ts & updates ,n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y %all develop a plan =-- 7#a7 assess+ & updat+ ! /aff+ model develop$ & implem5t$ "u subsection 7a7 n less frequ5tly ?an once e f\r ye>s2 & 7#b7 implem5t+ any ne$$ *anges to su* model1 z ! ,secret>y det]m9es appropriate4 #e4 ,work+ gr\p ( readju/m5t c\nselors1 outrea* speciali/s1 & directors ( ,vet ,c5t]s 7a7 ,9 g5]al ,9 conduct+ ! evaluation ( productivity expectations describ$ 9 section #c & develop+ ! /aff+ model describ$ 9 section #d1 ! ,secret>y ( ,vet]ans ,affairs %all e/abli% a work+ gr\p to assess-- 7#a7 ! efficacy1 impact1 & composition ( p]=mance metrics = su* expectations ) respect to-- 7,a7 quality ( c>e & access to c>e = vet]ans2 & 7,b7 ! welf>e ( readju/m5t c\nselors & o!r employees ( ,vet ,c5t]s2 & 7#b7 key consid]ations = ! developm5t ( a /aff+ model = ,vet ,c5t]s1 includ+-- 7,a7 quality ( c>e & access to c>e = vet]ans & o!r individuals eligible = c>e ?r\gh ,vet ,c5t]s2 & 7,b7 recruitm5t1 ret5tion1 & welf>e ( employees ( ,vet ,c5t]s4 7b7 ,memb]%ip ,! work+ gr\p e/abli%$ "u subsection 7a7 %all be compos$ ( readju/m5t c\nselors1 outrea* speciali/s1 & directors ( ,vet ,c5t]s4 7c7 ,fe$back2 recomm5dations ,! work+ gr\p e/abli%$ "u subsection 7a7 %all provide to ! ,secret>y-- 7#a7 fe$back f readju/m5t c\nselors1 outrea* speciali/s1 & directors ( ,vet ,c5t]s2 & 7#b7 recomm5dations on h[ to improve-- 7,a7 quality ( c>e & access to c>e = vet]ans2 & 7,b7 ! welf>e ( readju/m5t c\nselors & o!r employees ( ,vet ,c5t]s4 #f4 ,improvem5ts ( hir+ practices at ,vet ,c5t]s 7a7 ,/&>dization ( position descriptions 7#a7 ,9 g5]al ,n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,vet]ans ,affairs %all /&>dize descriptions ( position responsibilities at ,vet ,c5t]s4 7#b7 ,report+ requirem5t ,9 ea* ( ! fir/ two annual reports submitt$ "u section #gcji7;e7 ( title #ch1 ,unit$ ,/ates ,code1 aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y %all include a description ( ! actions tak5 by ! ,secret>y to c>ry out p>agraph 7#a74 7b7 ,expansion ( report+ requirem5ts on readju/m5t c\nsel+ ,to include actions ,to r$uce /aff+ vacancies & "t ,to hire ,section #gcji7;e7 ( title #ch1 ,unit$ ,/ates ,code1 is am5d$ by add+ at ! end ! foll[+ new subp>agraph3 7,d7 ,a description ( actions tak5 by ! ,secret>y to r$uce-- 7i7 vacancies 9 c\nselor positions 9 ! ,readju/m5t ,c\nsel+ ,s]vice2 & 7ii7 ! "t x takes to hire su* c\nselors4 4 #g4 ,report by ,gov]nm5t ,acc\ntability ,(fice on ,vet ,c5t] infra/ructure & future inve/m5ts 7a7 ,9 g5]al ,n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all submit to ,congress a report on physical infra/ructure & future inve/m5ts ) respect to ,vet ,c5t]s4 7b7 ,elem5ts ,! report requir$ by subsection 7a7 %all include ! foll[+3 7#a7 ,an assessm5t (-- 7,a7 ! condition ( ! physical infra/ructure ( all assets ( ,vet ,c5t]s1 :e!r own$ or leas$ by ! ,dep>tm5t ( ,vet]ans ,affairs2 & 7,b7 ! %ort-1 m$ium-1 & long-t]m plans ( ! ,dep>tm5t to ma9ta9 & upgrade ! physical infra/ructure ( ,vet ,c5t]s to address ! op]ational ne$s ( ,vet ,c5t]s z ( ! date ( ! date ( ! submittal ( ! report & future ne$s4 7#b7 ,an assessm5t ( managem5t & /rategic plann+ = ! physical infra/ructure ( ,vet ,c5t]s1 includ+ :e!r ! ,dep>tm5t %\ld buy or lease exi/+ or additional locations 9 areas ) /able or gr[+ populations ( vet]ans4 7#c7 ,an assessm5t ( :e!r1 z ( ! date ( ! submittal ( ! report1 ,vet ,c5t] build+s1 mobile ,vet ,c5t]s1 community access po9ts1 & simil> infra/ructure are suffici5t to c>e = vet]ans or if su* infra/ructure is negatively affect+ c>e due to limit$ space = vet]ans & ,vet ,c5t] p]sonnel or o!r factors4 7#d7 ,an assessm5t ( ! areas ) ! greate/ ne$ = inve/m5ts 9-- 7,a7 improv$ physical infra/ructure1 includ+ upgrad$ ,vet ,c5t]s2 or 7,b7 additional physical infra/ructure = ,vet ,c5t]s1 includ+ new ,vet ,c5t]s own$ or leas$ by ! ,dep>tm5t4 7#e7 ,a description ( ! au?orities & res\rces t may be requir$ = ! ,secret>y to make su* inve/m5ts4 7#f7 ,a review ( all annual reports submitt$ "u #gcji7;e7 ( title #ch1 ,unit$ ,/ates ,code be=e ! date ( ! submittal ( ! report "u subsection 7a74 #h4 ,pilot program to combat food insecurity among vet]ans & family memb]s ( vet]ans 7a7 ,9 g5]al ,n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,vet]ans ,affairs %all e/abli% a pilot program to aw>d grants to eligible entities to support p>tn]%ips t address food insecurity among vet]ans & family memb]s ( vet]ans :o receive s]vices ?r\gh ,vet ,c5t]s or o!r facilities ( ! ,dep>tm5t ( ,vet]ans ,affairs z det]m9$ by ! ,secret>y4 7b7 ,eligible entities ,= purposes ( ! pilot program1 an eligible entity is-- 7#a7 a nonpr(it organization2 7#b7 a vet]ans s]vice organization2 7#c7 a public ag5cy2 7#d7 a community-bas$ organization2 or 7#e7 an in/itution ( high] education4 7c7 ,locations ,9 c>ry+ out ! pilot program1 ! ,secret>y %all aw>d at lea/ "o grant to at lea/ "o eligible entity 9 ea* ,/ate1 if ! ,secret>y det]m9es t !re is su* an entity 9 a ,/ate t has appli$ =1 & meets requirem5ts = ! aw>d (1 su* a grant4 7d7 ,m9imum program requirem5ts ,any grant aw>d$ "u ?is section %all be us$-- 7#a7 to c>ry out a collaboration betwe5 "o or m public ag5cies & "o or m ,vet ,c5t]s or o!r facilities ( ! ,dep>tm5t = five ye>s2 7#b7 to increase p>ticipation 9 nutrition c\nsel+ programs & provide educational mat]ials & c\nsel+ to vet]ans & family memb]s ( vet]ans to address food insecurity & heal?y diets among ^? individuals2 7#c7 to increase access to & enrollm5t 9 ,f$]al assi/ance programs1 includ+ ! supplem5tal nutrition assi/ance program "u ! ,food & ,nutrition ,act ( #bjjh 7#g ,u4,s4,c4 #bjaa et seq471 ! special supplem5tal nutrition program = wom51 infants1 & *ildr5 e/abli%$ by section #ag ( ! ,*ild ,nutrition ,act ( #aiff 7#db ,u4,s4,c4 #aghf71 & ! l[-income home en]gy assi/ance program e/abli%$ "u ! ,l[-,income ,home ,en]gy ,assi/ance ,act ( #aiha 7#db ,u4,s4,c4 #hfba et seq471 & any o!r assi/ance program t ! ,secret>y deems advisable4 7e7 ,application ,an eligible entity seek+ a grant "u ! pilot program %all submit to ! ,secret>y an application !re= at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may require4 7f7 ,selection ,! ,secret>y %all select eligible entities t submit applications "u subsection 7e7 = ! aw>d ( grants "u ! pilot program us+ a competitive process t takes into acc\nt ! foll[+3 7#a7 ,capacity ( ! applicant entity to s]ve vet]ans & family memb]s ( vet]ans4 7#b7 ,demon/rat$ ne$ ( ! population ! applicant entity w\ld s]ve4 7#c7 ,demon/rat$ ne$ ( ! applicant entity = assi/ance f ! grants4 7#d7 ,su* o!r crit]ia z ! ,secret>y consid]s appropriate4 7g7 ,report ,n lat] ?an #ahj days aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y %all submit to ! appropriate committees ( ,congress a report on ! /atus ( ! implem5tation ( ?is section4 7h7 ,gov]nm5t ,acc\ntability ,(fice report 7#a7 ,9 g5]al ,n lat] ?an "o ye> aft] ! date on :i* ! pilot program t]m9ates1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all submit to ,congress a report evaluat+ ! effectiv5ess ( ! activities c>ri$ out "u ?is section 9 r$uc+ food insecurity among vet]ans & family memb]s ( vet]ans4 7#b7 ,elem5ts ,! report requir$ by p>agraph 7#a7 %all include ! foll[+3 7,a7 ,a summ>y ( ! activities conduct$ "u ?is section4 7,b7 ,an assessm5t ( ! effectiv5ess ( ! grants aw>d$ "u ?is section4 7,c7 ,be/ practices reg>d+ ! use ( p>tn]%ips to improve ! effectiv5ess ( public b5efit programs to address food insecurity among vet]ans & family memb]s ( vet]ans4 7,d7 ,an assessm5t ( ! feasiblity & advisability ( ext5d+ ! t]m ( ! pilot program4 7i7 ,def9itions ,9 ?is section3 7#a7 ,appropriate committees ( ,congress ,! t]m appropriate committees ( ,congress means-- 7,a7 ! ,committee on ,vet]ans' ,affairs & ! ,committee on ,appropriations ( ! ,s5ate2 & 7,b7 ! ,committee on ,vet]ans' ,affairs & ! ,committee on ,appropriations ( ! ,h\se ( ,repres5tatives4 7#b7 ,in/itution ( high] education ,! t]m in/itution ( high] education has ! mean+ giv5 t t]m 9 section #aja ( ! ,high] ,education ,act ( #aife 7#bj ,u4,s4,c4 #ajja74 7#c7 ,public ag5cy ,! t]m public ag5cy means a dep>tm5t1 ag5cy1 o!r unit1 or in/rum5tality ( ,f$]al1 ,/ate1 or local gov]nm5t4 7#d7 ,/ate ,! t]m ,/ate means ea* ,/ate & ,t]ritory ( ! ,unit$ ,/ates & ! ,di/rict ( ,columbia4 7#e7 ,vet]an ,! t]m vet]an means an individual :o s]v$ 9 ! ,arm$ ,=ces1 includ+ an individual :o s]v$ 9 a res]ve compon5t ( ! ,arm$ ,=ces1 & :o 0 dis*>g$ or releas$ !refrom1 reg>dless ( ! conditions ( su* dis*>ge or release4