,,ii  #aaf? ,,congress  #b;d ,session   
,s4 #ejhc  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,decemb] #ba1 #bjbj    
,mr4 ,"y introduc$ ! foll[+ bill2 :i* 0 
read twice & ref]r$ to ! ,committee on  
,vet]ans' ,affairs  ,a ,,bill  ,to      
e/abli% )9 ! ,dep>tm5t ( ,vet]ans       
,affairs a pay = results pilot program  
to assi/ vet]ans1 memb]s ( ! ,arm$ ,=ces
 on active duty1 & _! family memb]s at  
risk ( social isolation & lonel9ess1 & =
 o!r purposes4  #a4 ,%ort title ,?is    
,act may be cit$ z ! ,volunte]s ,improv+
 ,social ,isolation & lonel9ess ,toge!r 
,act ( #bjbj or ! ,,visit ,act ( #bjbj4 
#b4 ,def9itions ,9 ?is ,act3  7#a7      
,active duty ,! t]m active duty has !   
mean+ giv5 t t]m 9 section #aja ( title 
#ch1 ,unit$ ,/ates ,code4  7#b7 ,arm$   
,=ces ,! t]m ,arm$ ,=ces has ! mean+    
giv5 t t]m 9 section #aja ( title #ch1  
,unit$ ,/ates ,code4  7#c7 ,eligible    
entity ,! t]m eligible entity means an  
entity qualifi$ to provide s]vices "u   
?is ,act1 z det]m9$ by ! ,secret>y4     

7#d7 ,eligible individual ,! t]m        
eligible individual means--  7,a7 a     
vet]an2  7,b7 a memb] ( ! ,arm$ ,=ces on
 active duty2  7,c7 a memb] ( !         
,national ,gu>d2 or  7,d7 a family memb]
 ( an individual describ$ 9 subp>agraph 
7,a71 7,b71 or 7,c74  7#e7 ,int]v5tion  
,! t]m int]v5tion means a specific      
s]vice deliv]$ to a*ieve an impact ?r\gh
 a ,,visit pay = results project "u !   
pilot program4  7#f7 ,p>ticipant ,! t]m 
p>ticipant means a /aff memb] or        
volunte] ( an eligible entity t receives
 assi/ance "u ! pilot program to c>ry   
out a ,,visit pay = results project :o  
provides a s]vice to eligible           
individuals "u ! project4  7#g7 ,pilot  
program ,! t]m pilot program means !    
pilot program "u section #d4  7#h7      
,secret>y ,! t]m ,secret>y means !      
,secret>y ( ,vet]ans ,affairs4  7#i7    
,vet]an ,! t]m vet]an has ! mean+ giv5 t
 t]m 9 section #aja ( title #ch1 ,unit$ 
,/ates ,code4  7#aj7 ,,visit pay =      
results project ,! t]m ,,visit pay =    

results project means a project "u !    
pilot program t uses a ,volunte]s       
,improv+ ,social ,isolation & ,lonel9ess
 ,toge!r 7,,visit7 pay = results model4 
7#aa7 ,volunte]s ,improv+ ,social       
isolation & ,lonel9ess ,toge!r 7,,visit7
 pay = results model ,! t]m ,volunte]s  
,improv+ ,social isolation & ,lonel9ess 
,toge!r 7,,visit7 pay = results model   
means a me?od ( f9anc+ national s]vice  
programs 9 :i*-- 7,a7 except z provid$ 9
 section #e1 ,f$]al funds are aw>d$ to  
an eligible entity only if ! eligible   
entity a*ieves c]ta9 outcomes agre$ to  
by ! entity & ! ,secret>y1 9            
consultation ) ! ,f$]al ,int]ag5cy      
,c\ncil on ,social ,impact ,p>tn]%ips & 
! ,secret>y ( ,def5se2  7,b7 ! eligible 
entity coord9ates ) ! ,secret>y & !     
,f$]al ,int]ag5cy ,c\ncil on ,social    
,impact ,p>tn]%ips & ! ,secret>y (      
,def5se to id5tify an int]v5tion expect$
 to produce ! outcome or outcomes2 &    
7,c7 ! eligible entity deliv]s !        
int]v5tion to ! t>get population ( !    

int]v5tion4  #c4 ,purposes ,! purposes (
 ?is ,act are z foll[s3 7#a7 ,to        
mitigate ! damage f ! curr5t social     
recession ^u vet]ans1 memb]s ( ! ,arm$  
,=ces1 & _! family memb]s :o are        
vuln]able to isolation & lonel9ess t has
 be5 f\nd to impair physical & m5tal    
well-be+1 includ+ caus+ premature dea?4 
7#b7 ,to r5ew ! _s ( community to aid   
vet]ans1 memb]s ( ! ,arm$ ,=ces1 & _!   
family memb]s at risk ( social isolation
 & lonel9ess1 p>ticul>ly ^? )\t robu/   
social connections4  7#c7 ,to facilitate
 ! ef=ts ( public-private p>tn]%ips to  
assi/ vet]ans1 memb]s ( ! ,arm$ ,=ces1 &
 _! family memb]s at risk ( social      
isolation & lonel9ess4  #d4 ,pilot      
program to assi/ vet]ans1 memb]s ( !    
,arm$ ,=ces1 & _! family memb]s :o are  
at risk ( social isolation & lonel9ess  
7a7 ,9 g5]al ,! ,secret>y %all c>ry out1
 9 consultation ) ! ,f$]al ,int]ag5cy   
,c\ncil on ,social ,impact ,p>tn]%ips & 
! ,secret>y ( ,def5se1 a pilot program  
to assess ! feasibility & advisability (

 assi/+ eligible individuals at risk (  
social isolation & lonel9ess ?r\gh !    
fund+ ( ,,visit pay = results projects4 
7b7 ,ti]s ,! ,secret>y %all c>ry out !  
pilot program 9 two ti]s 79 ?is ,act    
ref]r$ to z ,ti] #a & ,ti] #b74  7c7    
,p>ticipation ( vet]ans s]vice          
organizations  7#a7 ,9 g5]al ,!         
,secret>y %all enc\rage ! p>ticipation (
 vet]ans s]vice organizations 9 ! pilot 
program1 includ+ p>ticipation t involves
 p>tn]%ips betwe5 vet]ans s]vice        
organizations & o!r organizations4  7#b7
 ,vet]ans s]vice organization def9$ ,9  
?is p>agraph1 ! t]m vet]ans s]vice      
organization means an organization      
recogniz$ by ! ,secret>y = !            
repres5tation ( vet]ans "u section #eijb
 ( title #ch1 ,unit$ ,/ates ,code4  7d7 
,fund+ p>tn]%ips ,an eligible entity t  
seeks to p>ticipate 9 ! pilot program   
may p>tn] ) inve/ors or philan?ropic    
entities = purposes ( fund+ a ,,visit   
pay = results project4  #e4 ,ti] #a (   
pilot program  7a7 ,notice ,n lat] ?an  

#bgj days aft] ! date ( ! enactm5t ( ?is
 ,act1 ! ,secret>y %all publi% 9 !      
,f$]al ,regi/] a reque/ = proposals f   
eligible entities to conduct ,,visit pay
 = results projects "u ,ti] #a ( ! pilot
 program4  7b7 ,qualification ( ,,visit 
pay = results project ,to qualify z a   
,,visit pay = results project "u ,ti] #a
 ( ! pilot program1 a project mu/       
effectively use p>ticipants to meet     
unmet social isolation or lonel9ess ne$s
 ( eligible individuals ?r\gh           
int]v5tions describ$ 9 ! application &  
agre$ ^u by ! ,secret>y1 9 consultation 
) ! ,f$]al ,int]ag5cy ,c\ncil on ,social
 ,impact ,p>tn]%ips & ! ,secret>y (     
,def5se1 to improve "o or m measurable  
p]=mance indicators1 includ+ bett] m5tal
 or physical heal? outcomes t l[] risk (
 mortality = ! t>get population ( !     
project4  7c7 ,application requir$ ,!   
notice publi%$ "u subsection 7a7 %all   
require an eligible entity seek+ to     
p>ticipate 9 ,ti] #a ( ! pilot program  
to submit to ! ,secret>y1 n lat] ?an    

#ahj days aft] ! date ( su* publication1
 an application = a ,,visit pay =       
results project t addresses ea* ( !     
foll[+3  7#a7 ,a description ( ea*      
propos$ int]v5tion "u ! project &       
anticipat$ outcomes ( ! int]v5tion1     
includ+ expect$ b5efits to ! t>get      
population ( ! int]v5tion1 ! p>ticipants
 work+ on ! project1 & o!r individuals  
:o may be affect$ by ! inv5tion4  7#b7  
,a summ>y ( ! unmet ne$ 9 ! area :]e !  
int]v5tion w be deliv]$ or among ! t>get
 population ( ! int]v5tion4  7#c7 ,!    
crit]ia us$ to det]m9e ! eligibility (  
an individual to be s]v$ by ! project1  
includ+ h[ select$ populations w be     
id5tifi$ & ref]r$ to & enroll$ 9 !      
project4  7#d7 ,! anticipat$ numb] (    
p>ticipants ne$$ to implem5t ! project4 
7#e7 ,! crit]ia us$ to det]m9e !        
eligibility ( a p>ticipant = ! project1 
includ+ h[ ! pot5tial p>ticipants w be  
id5tifi$1 recruit$ = ! project1 & tra9$ 
= _! roles 9 ! project4  7#f7 ,a plan = 
implem5t+ ea* int]v5tion ?r\gh ! use (  

p>ticipants4  7#g7 ,rigor\s evid5ce     
demon/rat+ t ! int]v5tion c be expect$  
to produce ! desir$ outcome or outcomes 
or1 if ! eligible entity lacks su*      
rigor\s evid5ce b demon/rates promis+   
evid5ce t ! int]v5tion c be expect$ to  
produce ! desir$ outcome or outcomes1 a 
plan describ$ 9 subsection 7d77#d77;,b74
  7#h7 ,! t>get population t w be s]v$  
by ! project4  7#i7 ,! project$ co/ to !
 eligible entity to c>ry out ! project1 
& any co/s to ! ,f$]al1 ,/ate1 or local 
gov]nm5t associat$ ) ! project4  7#aj7  
,project$ co/s avoid$ by ! ,f$]al       
,gov]nm5t & ,/ate & local gov]nm5ts if !
 project is implem5t$ & ! outcomes are  
a*iev$ z a result ( ! int]v5tion4  7#aa7
 ,a description ( ! exp]tise ( !        
eligible entity1 includ+ a summ>y ( !   
exp]i5ce ( ! eligible entity 9 deliv]+ !
 propos$ int]v5tion or a simil>         
int]v5tion1 or demon/rat+ ! capacity ( !
 eligible entity to deliv] ! int]v5tion 
to ! numb] ( eligible individuals !     
eligible entity proposes to s]ve "u !   

project4  7#ab7 ,! propos$ paym5t t]ms1 
! me?odology us$ to calculate outcome   
paym5ts1 ! paym5t s*$ule1 & p]=mance    
?re%olds4  7#ac7 ,! budget = ! project4 
7#ad7 ,subject to subsection 7g71 !     
timel9e = ! project4  7#ae7 ,! design = 
! evaluation requir$ by subsection 7i71 
includ+ ! metrics t w be us$ 9 !        
evaluation to det]m9e :e!r ! outcomes h 
be5 a*iev$ z a result ( ! int]v5tion &  
h[ ! metrics w be measur$4  7#af7 ,an   
explanation ( h[ ! metrics describ$ 9   
p>agraph 7#ae7 are indep5d5t1 objective 
indicators ( impact & are n subject to  
manipulation by ! eligible entity or any
 inve/or4  7#ag7 ,an explanation ( !    
indep5d5ce ( ! evaluator :o w conduct ! 
evaluation requir$ by subsection 7i7 f !
 o!r entities involv$ 9 ! project & !   
exp]i5ce ( ! evaluator 9 conduct+       
rigor\s evaluations ( program           
effectiv5ess includ+1 :]e available1    
well-implem5t$ r&omiz$ controll$ trials 
on ! int]v5tion or simil> int]v5tions4  
7#ah7 ,an explanation ( h[ any pot5tial 

paym5t disputes relat$ to ! outcomes ( !
 evaluation w be manag$4  7d7 ,agreem5ts
 on p>ticipation 9 pilot program  7#a7  
,9 g5]al ,n lat] ?an #ij days aft] !    
deadl9e = applications "u subsection 7c7
 has expir$1 ! ,secret>y1 9 consultation
 ) ! ,f$]al ,int]ag5cy ,c\ncil on       
,social ,impact ,p>tn]%ips & ! ,secret>y
 ( ,def5se1 %all ent] into an agreem5t )
 n few] ?an eight eligible entities to  
p>ticipate 9 ,ti] #a ( ! pilot program4 
7#b7 ,few] applicants  7,a7 ,9 g5]al    
,not)/&+ p>agraph 7#a71 if ! ,secret>y  
det]m9es t few] ?an eight eligible      
entities meet ! requirem5ts =           
p>ticipation 9 ,ti] #a ( ! pilot        
program1 ! ,secret>y1 9 consultation ) !
 ,f$]al ,int]ag5cy ,c\ncil on ,social   
,impact ,p>tn]%ips & ! ,secret>y (      
,def5se1 may ent] into an agreem5t )    
few] ?an eight eligible entities to     
p>ticipate 9 ,ti] #a ( ! pilot program4 
7,b7 ,insuffici5t numb] ( applicants    
,not)/&+ p>agraph 7#a71 if ! ,secret>y  
det]m9es t an insuffici5t numb] (       

eligible entities meet ! requirem5ts =  
p>ticipation 9 ,ti] #a ( ! pilot        
program1 ! ,secret>y may-- 7i7 7,i7     
publi% 9 ! ,f$]al ,regi/] a second      
reque/ = proposals f eligible entities  
to conduct ,,visit pay = results        
projects "u ,ti] #a ( ! pilot program2 &
  7,,ii7 include 9 su* reque/           
application requirem5ts t are broad] ?an
 ! requirem5ts "u subsection 7c72 or    
7ii7 c>ry out ,ti] #b ( ! pilot program1
 9 accordance ) section #f4  7#c7       
,consid]ations ,9 det]m9+ :e!r to ent]  
into an agreem5t ) an eligible entity "u
 p>agraph 7#a71 ! ,secret>y %all-- 7,a7 
seek to ensure geographic div]sity among
 select$ entities1 includ+ by select+ n 
few] ?an "o eligible entity t plans to  
s]ve a rural community & n few] ?an "o  
eligible entity t plans to s]ve an urban
 community2 &  7,b7 consid]-- 7i7 !     
anticipat$ use ( p>ticipants1 & :e!r !  
eligible entity plans to use p>ticipants
 :o come f a high-risk backgr\nd2  7ii7 
! value to ! ,f$]al ,gov]nm5t ( !       

outcomes expect$ to be a*iev$ by !      
eligible entity "u ! pilot program1 :i* 
! ,secret>y %all def9e to include-- 7,i7
 measurable co/s avoid$2 &  7,,ii7 o!r  
outcomes ( intr9sic value su* z ! heal?1
 well-be+1 & prosp]ity ( eligible       
individuals2  7iii7 ! likelihood1 bas$  
on evid5ce provid$ 9 ! application & o!r
 evid5ce1 t ! eligible entity w a*ieve  
^? outcomes1 balanc$ ) ! ne$ to develop 
m rigor\s evid5ce if ! ,secret>y decides
 su* evid5ce is necess>y2  7iv7 ! value 
to ,/ate & local gov]nm5ts if ^?        
outcomes are a*iev$2 &  7v7 ! expect$   
quality ( ! evaluation t w\ld be        
conduct$ ) respect to ! ,,visit pay =   
results project "u subsection 7i74  7#d7
 ,requirem5ts = ent]+ into agreem5ts    
7,a7 ,9 g5]al ,! ,secret>y may ent] into
 an agreem5t ) an eligible entity "u    
p>agraph 7#a7 if ! ,secret>y det]m9es t 
ea* ( ! foll[+ requirem5ts are met3 7i7 
,except z provid$ 9 subsection 7f71 !   
eligible entity agrees to a*ieve "o or m
 outcomes z a result ( ! project1 z     

specifi$ 9 ! agreem5t & validat$ by     
indep5d5t evaluation1 9 ord] to receive 
paym5t4 ,su* outcomes %all be           
significant metrics closely correlat$ ) 
int]v5tion "u ! project4  7ii7 ,except z
 provid$ 9 subsection 7f71 paym5t f !   
,f$]al ,gov]nm5t to ! eligible entity = 
ea* specifi$ outcome a*iev$ z a result (
 ! project w be less ?an or equal to !  
value ( ! outcome to ! ,f$]al ,gov]nm5t 
ov] a p]iod n to exce$ t5 ye>s1 z       
det]m9$ by ! ,secret>y1 9 consultation )
 ! eligible entity4  7iii7 ,! eligible  
entity meets ! requirem5t "u subp>agraph
 7,b74  7iv7 ,! project w beg9 n lat]   
?an "o ye> aft] ! eligible entity has   
ent]$ into ! agreem5t ) ! ,secret>y4    
7v7 ,! duration ( ! project w n exce$   
five ye>s4  7vi7 ,! eligible entity has 
%[n t x has exp]i5ce deliv]+ !          
int]v5tion us$ 9 ! project1 a simil>    
int]v5tion1 or has o!rwise demon/rat$ ! 
capability necess>y to deliv] !         
int]v5tion4  7vii7 ,! project w use     
p>ticipants to implem5t ! project4      

7viii7 ,! eligible entity has made su*  
o!r assurances z ! ,secret>y may        
require4  7,b7 ,plan = evaluation ,!    
requirem5t describ$ 9 ?is subp>agraph is
 t ! eligible entity has demon/rat$1    
?r\gh ! application submitt$ "u         
subsection 7c71 t !re is--  7i7 a cle> &
 feasible plan to evaluate ! ,,visit pay
 = results project ) a rigor\s          
exp]im5tal or quasi-exp]im5tal /udy or  
o!r rigor\s me?odology t c e/abli% a    
cle> causal connection betwe5 !         
int]v5tion & p]=mance indicators2 &     
7ii7 a /rong circum/antial case1 bas$ on
 exi/+ measurable outcomes associat$ ) !
 project1 t ! /udy or me?odology is     
likely to e/abli% su* a connection4  7e7
 ,rais+ funds  7#a7 ,9 g5]al ,to ! ext5t
 t ! eligible entity does n h exp]i5ce  
rais+ private or philan?ropic capital to
 fund social s]vice inve/m5ts or is     
unable to secure su* capital prior to   
submittal ( ! application "u subsection 
7c71 ! ,secret>y may assi/ ! entity 9   
atta9+ su* fund+4  7#b7 ,ensur+ div]sity

 ( eligible entities ,! ,secret>y--     
7,a7 %all take all practicable /eps to  
ensure a pool ( eligible entities       
enroll$ 9 ! pilot program t reflects !  
div]sity ( ! population ( eligible      
individuals2 &  7,b7 %all n p]mit       
hi/orical lack ( access to private or   
philan?ropic capital by any eligible    
entity to limit inclusion ( ! eligible  
entity 9 ! pilot program4  7f7 ,ability 
,to f9ance project  7#a7 ,9 g5]al ,n    
lat] ?an #ahj days aft] ! date on :i* an
 eligible entity ent]s into an agreem5t 
) ! ,secret>y "u subsection 7d7 = a     
,,visit pay = results project "u ,ti] #a
 ( ! pilot program1 ! entity %all       
provide to ! ,secret>y a plan demon/rat+
 t ! entity-- 7,a7 has ! capability to  
fund at lea/ #ej p]c5t ( ! up-front co/s
 ( ! project1 ) or )\t funds f p>tn]    
inve/ors or philan?ropic entities2 &    
7,b7 w h ! funds describ$ 9 subp>agraph 
7,a7 available & res]v$ = ! project n   
lat] ?an "o ye> aft] ! date ( su*       
agreem5t4  7#b7 ,t]m9ation ( agreem5t ,!

 ,secret>y may t]m9ate an agreem5t ent]$
 into "u subsection 7d7 ) an eligible   
entity = a ,,visit pay = results project
 "u ,ti] #a ( ! pilot program if--  7,a7
 ! ,secret>y det]m9es t ! eligible      
entity is n likely to h ! capability to 
fund at lea/ #ej p]c5t ( ! up-front co/s
 ( ! project2 or  7,b7 ! eligible entity
 does n h ! funds available & res]v$ to 
fund at lea/ #ej p]c5t ( ! up-front co/s
 ( ! project4  7g7 ,duration ,ea*       
,,visit pay = results project conduct$  
"u ,ti] #a ( ! pilot program %all be    
limit$ to a duration ( n m ?an five     
ye>s4  7h7 ,paym5t  7#a7 ,am\nt ( paym5t
 ,! ,secret>y %all h discretion 9       
det]m9+ ! am\nt ( funds aw>d$ = ea*     
,,visit pay = results project "u ,ti] #a
 ( ! pilot program1 except t su* am\nt  
%all be specifi$ z "p ( ! agreem5t ) ea*
 eligible entity "u subsection 7d74     
7#b7 ,up-front co/s ,an eligible entity 
) :i* ! ,secret>y ent]s into an agreem5t
 "u subsection 7d7 = a ,,visit pay =    
results project "u ,ti] #a ( ! pilot    

program %all pay = at lea/ #ej p]c5t ( !
 entire up-front co/s ( ! project4  7#c7
 ,outcome paym5t  7,a7 ,9 g5]al ,aft]   
completion ( a ,,visit pay = results    
project "u ! pilot program1 ! ,secret>y 
%all pay ! rema9+ obligation ( !        
,secret>y "u ! agreem5t ent]$ into      
betwe5 ! ,secret>y & ! eligible entity  
only if ! indep5d5t evaluator describ$ 9
 subsection 7i7 det]m9es t ! project    
has--  7i7 met ! requirem5ts specifi$ 9 
! agreem5t ) respect to su* project2 &  
7ii7 has a*iev$ an outcome z a result ( 
! int]v5tion us$ 9 su* project1 z       
specifi$ 9 ! agreem5t & validat$ by !   
indep5d5t evaluator4  7,b7 ,exception   
,not)/&+ subp>agraph 7,a71 ! ,secret>y  
may pay up to #ej p]c5t ( co/s ( a      
,,visit pay = results project "u ,ti] #a
 ( ! pilot program-- 7i7 be=e completion
 ( ! evaluation conduct$ by ! indep5d5t 
evaluator "u subsection 7i72 &  7ii7    
be=e ! measurem5ts ( value describ$ 9   
subsection 7d77#d77;,a77ii7 are made4   
7i7 ,evaluations  7#a7 ,agreem5ts  7,a7 

,9 g5]al ,! ,secret>y %all ent] into an 
agreem5t ) ea* eligible entity c>ry+ out
 a ,,visit pay = results project "u !   
pilot program to pay = all or "p ( an   
indep5d5t evaluation to det]m9e :e!r !  
project has a*iev$ a specific outcome 9 
ord] = ! entity to receive outcome      
paym5ts "u subsection 7h77#c74  7,b7    
,waiv] au?ority ,! ,secret>y may waive !
 requirem5t "u subp>agraph 7,a7 = up to 
#bj p]c5t ( all ,,visit pay = results   
projects "u ,ti] #a ( ! pilot program if
 ! ,secret>y det]m9es t su* a waiv] is  
necess>y = ensur+ robu/ div]sity (      
project geography & focus4  7#b7        
,evaluator qualifications ,! ,secret>y  
may n ent] into an agreem5t ) an        
eligible entity "u p>agraph 7#a7 unless 
! ,secret>y det]m9es t--  7,a7 !        
evaluator is indep5d5t ( ! o!r p>ties to
 ! agreem5t2 &  7,b7 ! evaluator has    
demon/rat$ sub/antial exp]i5ce 9        
conduct+ rigor\s evaluations ( program  
effectiv5ess1 includ+1 z available &    
appropriate1 well-implem5t$ r&omiz$     

controll$ trials on ! int]v5tion us$ 9 !
 ,,visit pay = results project cov]$ by 
! agreem5t or a simil> int]v5tion4  7#c7
 ,me?odologies to be us$  7,a7 ,9 g5]al 
,subject to subp>agraph 7,b71 !         
evaluation us$ to det]m9e :e!r an       
eligible entity w receive outcome       
paym5ts "u subsection 7h77#c7 %all use  
exp]im5tal designs us+ r&om assignm5t1  
or o!r reliable1 evid5ce-bas$ rese>*    
me?odologies t all[ = ! /ronge/ possible
 causal inf]5ces :5 r&om assignm5t is n 
feasible4  7,b7 ,waiv] ,! ,secret>y may 
waive ! requirem5t "u subp>agraph 7,a7  
if--  7i7 multiple evaluations or "o    
l>ge1 multi-site evaluation h be5       
conduct$ ) respect to an int]v5tion us$ 
9 a ,,visit pay = results project2 &    
7ii7 su* evaluations or evaluation      
e/abli%$ sub/antial & /ati/ically       
significant effects ( ! int]v5tion4     
7#d7 ,progress reports  7,a7 ,submittal 
( reports ,an eligible entity %all      
ensure t ! indep5d5t evaluator conduct+ 
! evaluation "u ?is subsection ) respect

 to a ,,visit pay = results project     
conduct$ by ! entity "u ! pilot         
program-- 7i7 n lat] ?an two ye>s aft] !
 project has be5 approv$ by ! ,secret>y1
 & annually !reaft] until ! project is  
conclud$1 submits to ! ,secret>y & !    
,f$]al ,int]ag5cy ,c\ncil on ,social    
,impact ,p>tn]%ips a writt5 report      
summ>iz+ ! progress t has be5 made 9    
a*iev+ ea* outcome specifi$ 9 ! agreem5t
 "u subsection 7d72 &  7ii7 be=e !      
s*$ul$ "t ( ea* paym5t "u subsection    
7h77#c7 to be made to ! eligible entity 
) respect to su* project1 submits to !  
,secret>y & ! ,f$]al ,int]ag5cy ,c\ncil 
on ,social ,impact ,p>tn]%ips a writt5  
report t includes-- 7,i7 ! results ( !  
evaluation conduct$ to det]m9e :e!r a   
paym5t %\ld be made2 &  7,,ii7 in=mation
 on-- 7aa7 ! unique factors t contribut$
 to a*iev+ or fail+ to a*ieve ! outcome2
  7bb7 ! *all5ges fac$ 9 attempt+ to    
a*ieve ! outcome2 &  7cc7 ! improv$     
future deliv]y ( ! int]v5tion us$ 9 !   
project or a simil> int]v5tion4  7,b7   

,transmittal to ,congress ,n lat] ?an   
#cj days aft] receipt ( ! writt5 report 
"u subp>agraph 7,a77ii71 ! ,secret>y    
%all transmit ! report to ,congress4    
7#e7 ,f9al report  7,a7 ,submittal (    
report ,an eligible entity %all ensure t
 ! indep5d5t evaluator conduct+ !       
evaluation "u ?is subsection ) respect  
to a ,,visit pay = results project      
conduct$ by ! entity "u ! pilot program1
 n lat] ?an #ahj days aft] ! ,,visit pay
 = results project is complet$--  7i7   
evaluates ! effects ( ! activities      
und]tak5 pursuant to ! agreem5t "u      
subsection 7d7 ) reg>d to ea* outcome   
specifi$ 9 ! agreem5t2 &  7ii7 submits  
to ! ,presid5t a writt5 report t        
includes--  7,i7 ! results ( !          
evaluation & ! conclusion ( ! evaluator 
z to :e!r ! eligible entity has fulfill$
 ea* obligation ( ! agreem5t2 &  7,,ii7 
in=mation on--  7aa7 ! unique factors t 
contribut$ to ! success or failure ( !  
project2  7bb7 ! *all5ges fac$ 9        
attempt+ to a*ieve ! outcome2 &  7cc7 ! 

improv$ future deliv]y ( ! int]v5tion   
us$ 9 ! project or a simil> int]v5tion4 
7,b7 ,transmittal to ,congress ,n lat]  
?an #cj days aft] receipt ( ! writt5    
report "u subp>agraph 7,a77ii71 !       
,secret>y %all transmit ! report to     
,congress4  #f4 ,ti] #b ( pilot program 
7a7 ,notice  7#a7 ,9 g5]al ,! ,secret>y 
may c>ry out ,ti] #b ( ! pilot program1 
includ+ by publi%+ 9 ! ,f$]al ,regi/] a 
reque/ = proposals f eligible entities  
to conduct ,,visit pay = results        
projects "u ,ti] #b ( ! pilot program1  
if ! ,secret>y c]tifies t a reasonable  
numb] ( eligible entities c\ld provide  
rigor\s evid5ce demon/rat+ t !          
int]v5tions ( su* projects c be expect$ 
to produce desir$ outcomes4  7#b7       
,consid]ations = c]tification ,9 mak+ a 
c]tification "u p>agraph 7#a71 !        
,secret>y %all consid]--  7,a7 an       
analysis ( ! numb] ( eligible entities t
 c\ld provide rigor\s evid5ce describ$  
su* p>agraph2 &  7,b7 :e!r an analysis (
 ! f9al results ( ,,visit pay = results 

projects "u ,ti] #a ( ! pilot program is
 necess>y to in=m su* c]tification4  7b7
 ,qualification = ,,visit pay = results 
project ,section #e7;b7 %all apply )    
respect to ,ti] #b ( ! pilot program4   
7c7 ,application requir$ ,! notice      
publi%$ "u subsection 7a7 %all require  
an eligible entity seek+ to p>ticipate 9
 ,ti] #b ( ! pilot program to submit to 
! ,secret>y1 n lat] ?an #ahj days aft] !
 date ( su* publication1 an application 
= a ,,visit pay = results project "u    
,ti] #b ( ! pilot program t addresses   
ea* elem5t "u section #e7;c71 except t1 
) respect to p>agraph 7#g7 ( su*        
section1 an application %all include    
rigor\s evid5ce demon/rat+ t !          
int]v5tion ( ! project c be expect$ to  
produce ! desir$ outcome or outcomes4   
7d7 ,agreem5ts on p>ticipation 9 pilot  
program  7#a7 ,9 g5]al ,n lat] ?an #ij  
days aft] ! deadl9e = applications "u   
subsection 7c7 has expir$1 ! ,secret>y1 
9 consultation ) ! ,f$]al ,int]ag5cy    
,c\ncil on ,social ,impact ,p>tn]%ips & 

! ,secret>y ( ,def5se1 %all ent] into an
 agreem5t ) "o or m eligible entities to
 p>ticipate 9 ,ti] #b ( ! pilot program4
  7#b7 ,numb] ,! ,secret>y is enc\rag$  
to ent] into agreem5ts "u p>agraph 7#a7 
) a numb] ( eligible entities t is at   
lea/ half ( ! numb] ( eligible entities 
t p>ticipat$ "u ,ti] #a ( ! pilot       
program4  7#c7 ,consid]ations ,9 det]m9+
 :e!r to ent] into an agreem5t ) an     
eligible entity "u p>agraph 7#a71 !     
,secret>y %all-- 7,a7 seek to ensure    
geographic div]sity among select$       
entities z describ$ 9 subp>agraph 7,a7 (
 section #e7;d77#c72 &  7,b7 consid] !  
elem5ts "u subp>agraph 7,b7 ( su*       
section4  7#d7 ,requirem5ts = ent]+ into
 agreem5ts  7,a7 ,9 g5]al ,! ,secret>y  
may ent] into an agreem5t ) an eligible 
entity "u p>agraph 7#a7 if ! ,secret>y  
det]m9es t ea* ( ! foll[+ requirem5ts   
are met3  7i7 ,! eligible entity agrees 
to a*ieve "o or m outcomes z a result ( 
! project1 z specifi$ 9 ! agreem5t &    
validat$ by indep5d5t evaluation1 9 ord]

 to receive paym5t4 ,su* outcomes %all  
be significant metrics closely correlat$
 ) int]v5tion "u ! project4  7ii7       
,paym5t f ! ,f$]al ,gov]nm5t to !       
eligible entity = ea* specifi$ outcome  
a*iev$ z a result ( ! project w be less 
?an or equal to ! value ( ! outcome to !
 ,f$]al ,gov]nm5t ov] a p]iod n to exce$
 t5 ye>s1 z det]m9$ by ! ,secret>y1 9   
consultation ) ! eligible entity4  7iii7
 ,bas$ on prior rigor\s exp]im5tal      
evaluations or rigor\s quasi-exp]im5tal 
/udies1 ! project c be expect$ to a*ieve
 ea* outcome specifi$ 9 ! agreem5t4     
7iv7 ,! project w beg9 n lat] ?an "o ye>
 aft] ! eligible entity has ent]$ into !
 agreem5t ) ! ,secret>y4  7v7 ,!        
duration ( ! project w n exce$ sev5     
ye>s4  7vi7 ,! eligible entity has %[n t
 x has exp]i5ce deliv]+ ! int]v5tion us$
 9 ! project1 a simil> int]v5tion1 or   
has o!rwise demon/rat$ ! capability     
necess>y to deliv] ! int]v5tion4  7vii7 
,! project w use p>ticipants to implem5t
 ! project4  7viii7 ,! eligible entity  

has made su* o!r assurances z !         
,secret>y may require4  7e7 ,rais+ funds
 ,section #e7;e7 %all apply ) respect to
 ,ti] #b ( ! pilot program4  7f7        
,ability ,to f9ance project  7#a7 ,9    
g5]al ,n lat] ?an #ahj days aft] ! date 
on :i* an eligible entity ent]s into an 
agreem5t ) ! ,secret>y "u subsection 7a7
 = a ,,visit pay = results project "u   
,ti] #b ( ! pilot program1 ! entity %all
 provide to ! ,secret>y a plan          
demon/rat+ t ! entity--  7,a7 has !     
capability to fully fund ! up-front co/s
 ( ! project1 ) or )\t funds f p>tn]    
inve/ors or philan?ropic entities2 &    
7,b7 w h ! funds describ$ 9 subp>agraph 
7,a7 available & res]v$ = ! project n   
lat] ?an "o ye> aft] ! date ( su*       
agreem5t4  7#b7 ,t]m9ation ( agreem5t ,!
 ,secret>y may t]m9ate an agreem5t ent]$
 into "u subsection 7a7 ) an eligible   
entity = a ,,visit pay = results project
 "u ,ti] #b ( ! pilot program if-- 7,a7 
! ,secret>y det]m9es t ! eligible entity
 is n likely to h ! capability to fully 

fund ! up-front co/s ( ! project2 or    
7,b7 ! eligible entity does n h ! funds 
available & res]v$ to fully fund !      
up-front co/s ( ! project4  7g7         
,duration ,ea* ,,visit pay = results    
project conduct$ "u ,ti] #b ( ! pilot   
program %all be limit$ to a duration ( n
 m ?an sev5 ye>s4  7h7 ,paym5t  7#a7    
,am\nt ( paym5t ,section #e7;h77#a7 %all
 apply ) respect to ,ti] #b ( ! pilot   
program4  7#b7 ,up-front co/s ,an       
eligible entity ) :i* ! ,secret>y ent]s 
into an agreem5t "u subsection 7d7 = a  
,,visit pay = results project "u ,ti] #b
 ( ! pilot program %all pay ! entire    
up-front co/s ( ! project4  7#c7        
,outcome paym5ts ,subp>agraph 7,a7 (    
section #e7;h77#c7 %all apply ) respect 
to ,ti] #b ( ! pilot program1 except t !
 exception "u subp>agraph 7,b7 ( su*    
section %all n apply ) respect ,ti] #b (
 ! pilot program4  7i7 ,evaluation      
,section #e7;i7 %all apply ) respect to 
,ti] #b ( ! pilot program1 except t !   
waiv] au?ority "u p>agraph 7#a77;,b7 (  

su* section %all n apply ) respect to   
,ti] #b ( ! pilot program4  #g4 ,task   
=ce  7a7 ,e/abli%m5t ,! ,secret>y %all  
e/abli% a task =ce to support ! pilot   
program ?r\gh fe$back & engagem5t )     
relevant entities4  7b7 ,memb]%ip  7#a7 
,9 g5]al ,! task =ce e/abli%$ "u        
subsection 7a7 %all be compos$ ( memb]s 
select$ by ! ,secret>y f among exp]ts   
describ$ 9 p>agraph 7#b7 :o h "s        
exp]i5ce--  7,a7 work+ ) vet]ans &      
family memb]s ( vet]ans2 or  7,b7 s]v+ 9
 ! ,arm$ ,=ces4  7#b7 ,exp]ts describ$  
,! exp]ts describ$ 9 ?is p>agraph are   
individuals ) exp]tise 9-- 7,a7 ! social
 impact p>tn]%ip model "u subtitle ,c ( 
title ,,xx ( ! ,social ,security ,act   
7#db ,u4,s4,c4 #acign et seq471 or      
simil> pay = results model2  7,b7       
evaluation me?odologies2  7,c7 relevant 
int]v5tions & support available to      
eligible individuals2 or  7,d7 heal?    
effects associat$ ) social isolation &  
lonel9ess4  7c7 ,duties ,! task =ce     
e/abli%$ "u subsection 7a7 %all--  7#a7 

proactively (f] fe$back1 advice1 &      
te*nical assi/ance to ,/ate & local     
gov]nm5ts & o!r entities seek+ to       
p>ticipate 9 ! pilot program2 &  7#b7 "w
 to proactively engage su* gov]nm5ts &  
entities ) ! goal ( ensur+ t _m /rong   
proposals = su* program are submitt$4   
7d7 ,indep5d5t op]ation ,an employee ( !
 ,dep>tm5t ( ,vet]ans ,affairs may n    
simultane\sly s]ve on ! ,task ,=ce & h  
responsibilities = select+ eligible     
entities = p>ticipation 9 ! pilot       
program4  #h4 ,fund+  7a7 ,au?orization 
( appropriations ,!re is au?oriz$ to be 
appropriat$ to ! ,secret>y to c>ry out  
?is ,act #ej1jjj1jjj1 to rema9 available
 = exp5diture until #ae ye>s aft] ! date
 ( ! enactm5t ( ?is ,act4  7b7          
,prohibition on ,f$]al fund+ = cr$it    
enhancem5ts ,no am\nt appropriat$ to    
c>ry out ?is ,act may be us$ to provide 
any insurance1 gu>antee1 or o!r cr$it   
enhancem5t to an eligible entity "u :i* 
a ,f$]al paym5t w\ld be made to an      
eligible entity z ! result ( su* entity 

fail+ to a*ieve an outcome specifi$ 9 an
 agreem5t "u ! pilot program4  7c7      
,limitation on co/ ( evaluations ,( !   
am\nts appropriat$ to c>ry out ?is ,act 
9 any fiscal ye>1 ! ,secret>y may n     
obligate m ?an #ae p]c5t to evaluate "u 
sections #e7;i7 & #f7;i7 ! implem5tation
 & outcomes ( ,,visit pay = results     
projects "u ! pilot program4  7d7 ,task 
=ce ,9 any fiscal ye>1 ! ,secret>y may  
use n m ?an #e p]c5t ( ! am\nts         
appropriat$ or o!rwise made available to
 c>ry out ?is ,act = ! task =ce "u      
section #g4  7e7 ,adm9i/rative exp5ses  
,9 any fiscal ye>1 ! ,secret>y may use n
 m ?an #e p]c5t ( ! am\nts appropriat$  
or o!rwise made available to c>ry out   
?is ,act = adm9i/rative exp5ses4