#aagth ,,congress  #b;d ,session  ,h4   
,r4 #fjfd  ,,an ,,act  ,to direct the   
,secretary of ,veterans ,affairs to seek
 to enter into an agreement with the    
,national ,academies of ,sciences1      
,engineering1 and ,medicine for a review
 of examinations1 furnished by the      
,secretary1 to individuals who submit   
claims to the ,secretary for            
compensation under chapter #aa of title 
#ch1 ,united ,states ,code1 for mental  
and physical conditions linked to       
military sexual trauma4  #a4            
,independent review of assessments by   
the ,secretary of ,veterans ,affairs of 
mental and physical conditions linked to
 military sexual trauma for purposes of 
awarding disability compensation  7a7   
,agreement ,not later than #ij days     
after the date of the enactment of this 
,act1 the ,secretary of ,veterans       
,affairs shall seek to enter into an    
agreement with the ,national ,academies 
of ,sciences1 ,engineering1 and         
,medicine 7in this ,act referred to as  

the ,national ,academies7 to perform the
 services covered by this section4  7b7 
,comprehensive review ,under an         
agreement between the ,secretary and the
 ,national ,academies under this        
section1 the ,national ,academies shall 
conduct a comprehensive review of       
examinations1 furnished by the          
,secretary to individuals who submit    
claims to the ,secretary for            
compensation under chapter #aa of title 
#ch1 ,united ,states ,code1 for mental  
and physical conditions linked to       
military sexual trauma 7in this ,act    
referred to as ,,mst71 for the purpose  
of assessing the impairments of such    
individuals arising from ,,mst4 ,the    
review carried out pursuant to paragraph
 7#a7 shall include the following       
elements3  7#a7 ,a determination of the 
adequacy of tools and protocols used by 
the ,secretary to provide examinations  
described in this subsection1           
including-- 7,a7 the ,disability        
,benefits ,questionnaires2  7,b7 the    

,department's schedule of rating        
disabilities2  7,c7 consideration of    
whether certain conditions linked to    
,,mst should require referral for both a
 mental health examination and a        
physical health examination2 and  7,d7  
the necessity of internal pelvic        
examinations to diagnose certain        
conditions linked to ,,mst1 and whether 
alternatives to such examinations could 
be considered if a veteran objects to or
 cannot complete such examination4  7#b7
 ,a determination of what credentials   
and training are necessary for a health 
care specialist or provider to perform  
such examinations related to physical   
conditions linked to ,,mst1 for men and 
for women1 including--  7,a7 sexual     
dysfunction2  7,b7 pelvic pain2  7,c7   
pelvic dysfunction2  7,d7               
musculoskeletal disabilities2 and  7,e7 
cardiovascular conditions 7including    
stroke74  7#c7 ,a determination of what 
credentials and training are necessary  
for a health care specialist or provider

 to perform such examinations related to
 mental health conditions linked to     
,,mst1 for men and for women4  7#d7 ,an 
assessment of the quality of ,,mst      
training for individuals who perform    
such examinations1 including            
recommendations for improvements to such
 training4  7c7 ,reports  7#a7 ,report  
of the ,national ,academies ,not later  
than #edj days after the date on which  
the ,secretary enters into an agreement 
under subsection 7a71 the ,national     
,academies shall submit to the          
,committees on ,veterans' ,affairs of   
the ,senate and ,house of               
,representatives a report on the        
comprehensive review conducted under    
subsection 7b74 ,such report shall      
include the following elements3  7,a7   
,the findings of the ,national          
,academies under subsection 7b74  7,b7  
,recommendations of the ,national       
,academies regarding legislative or     
administrative action to improve of the 
adjudication of claims described in     

subsection 7b74  7#b7 ,report of the    
,secretary ,not later than #ij days     
after submission of the report under    
paragraph 7#a71 the ,secretary shall    
submit to the ,committees on ,veterans' 
,affairs of the ,house of               
,representatives and the ,senate a      
report on the plans of the ,secretary to
 carry out any action based on the      
findings and recommendations of the     
,national ,academies4  ,passed the      
,house of ,representatives ,may #ah1    
#bjbb4;,clerk4