#aag? ,,congress  #b;d ,session  ,h4 ,r4
 #fjfd  ,,an ,,act  ,to direct !        
,secret>y ( ,vet]ans ,affairs to seek to
 ent] into an agreem5t ) ! ,national    
,academies ( ,sci5ces1 ,eng9e]+1 &      
,m$ic9e = a review ( exam9ations1       
furni%$ by ! ,secret>y1 to individuals  
:o submit claims to ! ,secret>y =       
comp5sation "u *apt] #aa ( title #ch1   
,unit$ ,/ates ,code1 = m5tal & physical 
conditions l9k$ to milit>y sexual       
trauma4  #a4 ,indep5d5t review (        
assessm5ts by ! ,secret>y ( ,vet]ans    
,affairs ( m5tal & physical conditions  
l9k$ to milit>y sexual trauma = purposes
 ( aw>d+ disability comp5sation  7a7    
,agreem5t ,n lat] ?an #ij days aft] !   
date ( ! enactm5t ( ?is ,act1 !         
,secret>y ( ,vet]ans ,affairs %all seek 
to ent] into an agreem5t ) ! ,national  
,academies ( ,sci5ces1 ,eng9e]+1 &      
,m$ic9e 79 ?is ,act ref]r$ to z !       
,national ,academies7 to p]=m ! s]vices 
cov]$ by ?is section4  7b7 ,compreh5sive
 review ,"u an agreem5t betwe5 !        

,secret>y & ! ,national ,academies "u   
?is section1 ! ,national ,academies %all
 conduct a compreh5sive review (        
exam9ations1 furni%$ by ! ,secret>y to  
individuals :o submit claims to !       
,secret>y = comp5sation "u *apt] #aa (  
title #ch1 ,unit$ ,/ates ,code1 = m5tal 
& physical conditions l9k$ to milit>y   
sexual trauma 79 ?is ,act ref]r$ to z   
,,m/71 = ! purpose ( assess+ !          
impairm5ts ( su* individuals aris+ f    
,,m/4 ,! review c>ri$ out pursuant to   
p>agraph 7#a7 %all include ! foll[+     
elem5ts3  7#a7 ,a det]m9ation ( !       
adequacy ( tools & protocols us$ by !   
,secret>y to provide exam9ations        
describ$ 9 ?is subsection1 includ+--    
7,a7 ! ,disability ,b5efits             
,que/ionnaires2  7,b7 ! ,dep>tm5t's     
s*$ule ( rat+ disabilities2  7,c7       
consid]ation ( :e!r c]ta9 conditions    
l9k$ to ,,m/ %\ld require ref]ral = bo? 
a m5tal heal? exam9ation & a physical   
heal? exam9ation2 &  7,d7 ! necessity ( 
int]nal pelvic exam9ations to diagnose  

c]ta9 conditions l9k$ to ,,m/1 & :e!r   
alt]natives to su* exam9ations c\ld be  
consid]$ if a vet]an objects to or _c   
complete su* exam9ation4  7#b7 ,a       
det]m9ation ( :at cr$5tials & tra9+ are 
necess>y = a heal? c>e speciali/ or     
provid] to p]=m su* exam9ations relat$  
to physical conditions l9k$ to ,,m/1 =  
m5 & = wom51 includ+--  7,a7 sexual     
dysfunction2  7,b7 pelvic pa92  7,c7    
pelvic dysfunction2  7,d7               
musculoskeletal disabilities2 &  7,e7   
c>diovascul> conditions 7includ+ /roke74
  7#c7 ,a det]m9ation ( :at cr$5tials & 
tra9+ are necess>y = a heal? c>e        
speciali/ or provid] to p]=m su*        
exam9ations relat$ to m5tal heal?       
conditions l9k$ to ,,m/1 = m5 & = wom54 
7#d7 ,an assessm5t ( ! quality ( ,,m/   
tra9+ = individuals :o p]=m su*         
exam9ations1 includ+ recomm5dations =   
improvem5ts to su* tra9+4  7c7 ,reports 
7#a7 ,report ( ! ,national ,academies ,n
 lat] ?an #edj days aft] ! date on :i* !
 ,secret>y ent]s into an agreem5t "u    

subsection 7a71 ! ,national ,academies  
%all submit to ! ,committees on         
,vet]ans' ,affairs ( ! ,s5ate & ,h\se ( 
,repres5tatives a report on !           
compreh5sive review conduct$ "u         
subsection 7b74 ,su* report %all include
 ! foll[+ elem5ts3  7,a7 ,! f9d+s ( !   
,national ,academies "u subsection 7b74 
7,b7 ,recomm5dations ( ! ,national      
,academies reg>d+ legislative or        
adm9i/rative action to improve ( !      
adjudication ( claims describ$ 9        
subsection 7b74  7#b7 ,report ( !       
,secret>y ,n lat] ?an #ij days aft]     
submission ( ! report "u p>agraph 7#a71 
! ,secret>y %all submit to ! ,committees
 on ,vet]ans' ,affairs ( ! ,h\se (      
,repres5tatives & ! ,s5ate a report on !
 plans ( ! ,secret>y to c>ry out any    
action bas$ on ! f9d+s & recomm5dations 
( ! ,national ,academies4  ,pass$ !     
,h\se ( ,repres5tatives ,may #ah1       
#bjbb4;,cl]k4