,,ii  #aagth ,,congress  #ast ,session  
,s4 #abhj  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,april #ba1    
#bjba,mrs4 ,murray 7for herself1 ,ms4   
,duckworth1 ,mr4 ,durbin1 ,ms4 ,warren1 
,mr4 ,markey1 ,mr4 ,sanders1 ,mr4       
,blumenthal1 ,mr4 ,bennet1 ,mr4 ,coons1 
,mr4 ,wyden1 ,mr4 ,brown1 ,mrs4         
,shaheen1 ,mr4 ,warnock1 ,ms4 ,hassan1  
and ,ms4 ,klobuchar7 introduced the     
following bill2 which was read twice and
 referred to the ,committee on          
,veterans' ,affairs  ,a ,,bill  ,to     
improve the reproductive assistance     
provided by the ,department of ,defense 
and the ,department of ,veterans        
,affairs to certain members of the      
,armed ,forces1 veterans1 and their     
spouses or partners1 and for other      
purposes4  #a4 ,short title2 table of   
contents  7a7 ,short title ,this ,act   
may be cited as the ,veteran ,families  
,health ,services ,act of #bjba4  7b7   
,table of contents ,the table of        
contents for this ,act is as follows3   

,sec4 #a4 ,short title2 table of        
contents4,,title ,i--,reproductive and  
fertility preservation assistance for   
members of the ,armed ,forces,sec4 #aja4
 ,definitions4,sec4 #ajb4 ,provision of 
fertility treatment and counseling to   
certain members of the ,armed ,forces   
and spouses1 partners1 and gestational  
surrogates of such members4,sec4 #ajc4  
,establishment of fertility preservation
 procedures after an injury or          
illness4,sec4 #ajd4 ,cryopreservation   
and storage of gametes of members of the
 ,armed ,forces on active duty4,sec4    
#aje4 ,assistance with and continuity of
 care regarding reproductive and        
fertility preservation services4,sec4   
#ajf4 ,coordination between ,department 
of ,defense and ,department of ,veterans
 ,affairs on furnishing of fertility    
treatment and counseling4,,title        
,,ii--,reproductive and adoption        
assistance for veterans,sec4 #bja4      
,inclusion of fertility treatment and   
counseling under the definition of      

medical services in title #ch4,sec4     
#bjb4 ,fertility treatment and          
counseling for certain veterans and     
spouses1 partners1 and gestational      
surrogates of such veterans4,sec4 #bjc4 
,adoption assistance for certain        
veterans4,sec4 #bjd4 ,assistance with   
and continuity of care regarding        
reproductive and fertility preservation 
services4,sec4 #bje4 ,facilitation of   
reproduction and infertility            
research4,sec4 #bjf4 ,annual report on  
fertility treatment and counseling      
furnished by ,department of ,veterans   
,affairs4,sec4 #bjg4 ,report on         
timeliness and adequacy of access by    
veterans to fertility treatment and     
counseling services furnished by        
,department of ,veterans ,affairs4,sec4 
#bjh4 ,regulations on furnishing of     
fertility treatment and counseling and  
adoption assistance by ,department of   
,veterans ,affairs4  ,i ,reproductive   
and fertility preservation assistance   
for members of the ,armed ,forces  #aja4

 ,definitions ,in this title3 7#a7      
,active duty ,the term active duty has  
the meaning given that term in section  
#aja7;d77#a7 of title #aj1 ,united      
,states ,code4  7#b7 ,armed ,forces ,the
 term ,armed ,forces has the meaning    
given the term armed forces in section  
#aja7;a77#d7 of such title4  #ajb4      
,provision of fertility treatment and   
counseling to certain members of the    
,armed ,forces and spouses1 partners1   
and gestational surrogates of such      
members  7a7 ,fertility treatment and   
counseling  7#a7 ,in general ,the       
,secretary of ,defense shall furnish    
fertility treatment and counseling1     
including through the use of assisted   
reproductive technology1 to a covered   
member of the ,armed ,forces or a       
spouse1 partner1 or gestational         
surrogate of such a member4  7#b7       
,eligibility for treatment and          
counseling ,fertility treatment and     
counseling shall be furnished under     
paragraph 7#a7 without regard to the    

sex1 gender identity1 sexual            
orientation1 or marital status of the   
covered member of the ,armed ,forces4   
7#c7 ,in vitro fertilization ,in the    
case of in vitro fertilization treatment
 furnished under paragraph 7#a71 the    
,secretary may furnish not more than    
three completed cycles or six attempted 
cycles of in vitro fertilization1       
whichever occurs first1 to an individual
 under such paragraph4  7b7 ,procurement
 of gametes ,if a covered member of the 
,armed ,forces is unable to provide     
their gametes for purposes of fertility 
treatment under subsection 7a71 the     
,secretary shall1 at the election of    
such member1 allow such member to       
receive such treatment with donated     
gametes and pay or reimburse such member
 the reasonable costs of procuring      
gametes from a donor4  7c7 ,rule of     
construction ,nothing in this section   
shall be construed to require the       
,secretary-- 7#a7 to find or certify a  
gestational surrogate for a covered     

member of the ,armed ,forces or to      
connect a gestational surrogate with    
such a member2 or  7#b7 to find or      
certify gametes from a donor for a      
covered member of the ,armed ,forces or 
to connect such a member with gametes   
from a donor4  7d7 ,definitions ,in this
 section3 7#a7 ,assisted reproductive   
technology ,the term assisted           
reproductive technology includes in     
vitro fertilization and other fertility 
treatments in which both eggs and sperm 
are handled when clinically appropriate4
  7#b7 ,covered member of the ,armed    
,forces ,the term covered member of the 
,armed ,forces means a member of the    
,armed ,forces who has an infertility   
condition1 unless the ,secretary can    
show that the member was completely     
infertile before service on active duty 
in the ,armed ,forces4  7#c7 ,fertility 
treatment ,the term fertility treatment 
includes the following3 7,a7 ,procedures
 that use assisted reproductive         
technology4  7,b7 ,sperm retrieval4     

7,c7 ,egg retrieval4  7,d7 ,artificial  
insemination4  7,e7 ,embryo transfer4   
7,f7 ,such other treatments as the      
,secretary of ,defense considers        
appropriate4  7#d7 ,infertility         
condition ,the term infertility         
condition includes-- 7,a7 a diagnosis of
 infertility2 or  7,b7 the inability to 
conceive or safely carry a pregnancy to 
term1 including as a result of treatment
 for another condition4  7#e7 ,partner  
,the term partner1 with respect to a    
member of the ,armed ,forces1 means an  
individual selected by the member who   
agrees to share with the member the     
parental responsibilities with respect  
to any child born as a result of the use
 of any fertility treatment under this  
section4  #ajc4 ,establishment of       
fertility preservation procedures after 
an injury or illness  7a7 ,in general   
,the ,secretary of ,defense1 acting     
through the ,assistant ,secretary of    
,defense for ,health ,affairs1 shall    
establish procedures for the retrieval  

of gametes1 as soon as medically        
appropriate1 from a member of the ,armed
 ,forces in cases in which the fertility
 of such member is potentially          
jeopardized as a result of an injury or 
illness incurred or aggravated while    
serving on active duty in the ,armed    
,forces in order to preserve the medical
 options of such member4  7b7 ,consent  
for retrieval of gametes ,gametes may be
 retrieved from a member of the ,armed  
,forces under subsection 7a7 only-- 7#a7
 with the specific consent of the       
member2 or  7#b7 if the member is unable
 to consent1 if a medical professional  
determines that-- 7,a7 the future       
fertility of the member is potentially  
jeopardized as a result of an injury or 
illness described in subsection 7a7 or  
will be potentially jeopardized as a    
result of treating such injury or       
illness2  7,b7 the member lacks the     
capacity to consent to the retrieval of 
gametes and is likely to regain such    
capacity2 and  7,c7 the retrieval of    

gametes under this section is in the    
medical interest of the member4  7c7    
,consent for use of retrieved gametes   
,gametes retrieved from a member of the 
,armed ,forces under subsection 7a7 may 
be used only-- 7#a7 with the specific   
consent of the member2 or  7#b7 if the  
member has lost the ability to consent  
permanently1 as determined by a medical 
professional1 as specified in an advance
 directive or testamentary instrument   
executed by the member4  7d7 ,disposal  
of gametes ,in accordance with          
regulations prescribed by the ,secretary
 for purpose of this subsection1 the    
,secretary shall dispose of gametes     
retrieved from a member of the ,armed   
,forces under subsection 7a7-- 7#a7 with
 the specific consent of the member2 or 
7#b7 if the member-- 7,a7 has lost the  
ability to consent permanently1 as      
determined by a medical professional2   
and  7,b7 has not specified the use of  
their gametes in an advance directive or
 testamentary instrument executed by the

 member4  #ajd4 ,cryopreservation and   
storage of gametes of members of the    
,armed ,forces on active duty  7a7 ,in  
general ,the ,secretary of ,defense     
shall provide members of the ,armed     
,forces on active duty in the ,armed    
,forces with the opportunity to         
cryopreserve and store their gametes    
prior to-- 7#a7 deployment to a combat  
zone2 or  7#b7 a duty assignment that   
includes a hazardous assignment1 as     
determined by the ,secretary4  7b7      
,period of time  7#a7 ,in general ,the  
,secretary shall provide for the        
cryopreservation and storage of gametes 
of any member of the ,armed ,forces     
under subsection 7a7 in a facility of   
the ,department of ,defense or of a     
private entity and the transportation of
 such gametes1 at no cost to the member1
 until the date that is one year after  
the retirement1 separation1 or release  
of the member from the ,armed ,forces4  
7#b7 ,continued cryopreservation and    
storage ,at the end of the one-year     

period specified in paragraph 7#a71 the 
,secretary shall permit an individual   
whose gametes were cryopreserved and    
stored in a facility of the ,department 
as described in that paragraph to       
select1 including pursuant to an advance
 medical directive or military          
testamentary instrument completed under 
subsection 7c71 one of the following    
options3 7,a7 ,to continue such         
cryopreservation and storage in such    
facility with the cost of such          
cryopreservation and storage borne by   
the individual4  7,b7 ,to transfer the  
gametes to a private cryopreservation   
and storage facility selected by the    
individual4  7,c7 ,to transfer the      
gametes to a facility of the ,department
 of ,veterans ,affairs if               
cryopreservation and storage is         
available to the individual at such     
facility4  7#c7 ,disposal of gametes ,if
 an individual described in paragraph   
7#b7 does not make a selection under    
subparagraph 7,a71 7,b71 or 7,c7 of such

 paragraph1 the ,secretary may dispose  
of the gametes of the individual not    
earlier than the date that is #ij days  
after the end of the one-year period    
specified in paragraph 7#a7 with respect
 to the individual4  7c7 ,advance       
medical directive and military          
testamentary instrument ,a member of the
 ,armed ,forces who elects to           
cryopreserve and store their gametes    
under this section must complete an     
advance medical directive1 as defined in
 section #ajdd;c7b7 of title #aj1       
,united ,states ,code1 and a military   
testamentary instrument1 as defined in  
section #ajdd;d7b7 of such title1 that  
explicitly specifies the use of their   
cryopreserved and stored gametes if such
 member dies or otherwise loses the     
capacity to consent to the use of their 
cryopreserved and stored gametes4  7d7  
,agreements ,to carry out this section1 
the ,secretary may enter into agreements
 with private entities that provide     
cryopreservation1 transportation1 and   

storage services for gametes4  #aje4    
,assistance with and continuity of care 
regarding reproductive and fertility    
preservation services ,the ,secretary of
 ,defense shall ensure that employees of
 the ,department of ,defense assist     
members of the ,armed ,forces-- 7#a7 in 
navigating the services provided under  
this title2  7#b7 in finding a provider 
that meets the needs of such members    
with respect to such services2 and  7#c7
 in continuing the receipt of such      
services without interruption during a  
permanent change of station for such    
members4  #ajf4 ,coordination between   
,department of ,defense and ,department 
of ,veterans ,affairs on furnishing of  
fertility treatment and counseling  7a7 
,in general ,the ,secretary of ,defense 
and the ,secretary of ,veterans ,affairs
 shall share best practices and         
facilitate referrals1 as they consider  
appropriate1 on the furnishing of       
fertility treatment and counseling to   
individuals eligible for the receipt of 

such counseling and treatment from the  
,secretaries4  7b7 ,memorandum of       
understanding ,the ,secretary of        
,defense and the ,secretary of ,veterans
 ,affairs shall enter into a memorandum 
of understanding-- 7#a7 providing that  
the ,secretary of ,defense will ensure  
access by the ,secretary of ,veterans   
,affairs to gametes of veterans stored  
by the ,department of ,defense for      
purposes of furnishing fertility        
treatment under section #agbj,k of title
 #ch1 ,united ,states ,code1 as added by
 section #bjb7;a72 and  7#b7 authorizing
 the ,department of ,veterans ,affairs  
to compensate the ,department of        
,defense for the cryopreservation1      
transportation1 and storage of gametes  
of veterans under section #ajd4  ,,ii   
,reproductive and adoption assistance   
for veterans  #bja4 ,inclusion of       
fertility treatment and counseling under
 the definition of medical services in  
title #ch ,section #agja7f7 of title    
#ch1 ,united ,states ,code1 is amended  

by adding at the end the following new  
subparagraph3  7,i7 ,fertility treatment
 and counseling1 including treatment    
using assisted reproductive technology4 
4  #bjb4 ,fertility treatment and       
counseling for certain veterans and     
spouses1 partners1 and gestational      
surrogates of such veterans  7a7 ,in    
general ,subchapter ,,ii of chapter #ag 
of title #ch1 ,united ,states ,code1 is 
amended by adding at the end the        
following new section3  #agbj,k4        
,fertility treatment and counseling for 
certain veterans and spouses1 partners1 
and gestational surrogates of such      
veterans  7a7 ,in general  7#a7 ,the    
,secretary shall furnish fertility      
treatment and counseling1 including     
through the use of assisted reproductive
 technology1 to a covered veteran or a  
spouse1 partner1 or gestational         
surrogate of a covered veteran if the   
veteran1 and the spouse1 partner1 or    
gestational surrogate of the veteran1 as
 applicable1 apply jointly for such     

treatment and counseling through a      
process prescribed by the ,secretary4   
7#b7 ,fertility treatment and counseling
 shall be furnished under paragraph 7#a7
 without regard to the sex1 gender      
identity1 sexual orientation1 or marital
 status of the covered veteran4  7#c7   
,in the case of in vitro fertilization  
treatment furnished under paragraph     
7#a71 the ,secretary may furnish not    
more than three completed cycles or six 
attempted cycles of in vitro            
fertilization1 whichever occurs first1  
to an individual under such paragraph4  
7b7 ,procurement of gametes ,if a       
covered veteran is unable to provide    
their gametes for purposes of fertility 
treatment under subsection 7a71 the     
,secretary shall1 at the election of    
such member1 allow such veteran to      
receive such treatment with donated     
gametes and pay or reimburse such       
veteran the reasonable costs of         
procuring gametes from a donor4  7c7    
,coordination of care for other         

individuals ,in the case of a veteran or
 a spouse1 partner1 or gestational      
surrogate of a veteran not described in 
subsection 7a7 who is seeking fertility 
treatment and counseling1 the ,secretary
 may coordinate fertility treatment and 
counseling for such veteran1 spouse1    
partner1 or gestational surrogate4  7d7 
,outreach and training ,the ,secretary  
shall carry out an outreach and training
 program to ensure veterans and health  
care providers of the ,department are   
aware of-- 7#a7 the availability of and 
eligibility requirements for fertility  
treatment and counseling under this     
section2 and  7#b7 any changes to       
fertility treatment and counseling      
covered under this section4  7e7 ,rule  
of construction ,nothing in this section
 shall be construed to require the      
,secretary-- 7#a7 to find or certify a  
gestational surrogate for a covered     
veteran or to connect a gestational     
surrogate with a covered veteran2 or    
7#b7 to furnish maternity care to a     

covered veteran or spouse1 partner1 or  
gestational surrogate of a covered      
veteran in addition to what is otherwise
 required by law4  7f7 ,definitions ,in 
this section3 7#a7 ,the term assisted   
reproductive technology includes in     
vitro fertilization and other fertility 
treatments in which both eggs and sperm 
are handled when clinically appropriate4
  7#b7 ,the term covered veteran means a
 veteran who-- 7,a7 has an infertility  
condition1 unless the ,secretary can    
show that the veteran was completely    
infertile before service in the active  
military1 naval1 or air service2 and    
7,b7 is enrolled in the system of annual
 patient enrollment established under   
section #agje7;a7 of this title4  7#c7  
,the term fertility treatment includes  
the following3 7,a7 ,procedures that use
 assisted reproductive technology4  7,b7
 ,sperm retrieval4  7,c7 ,egg retrieval4
  7,d7 ,artificial insemination4  7,e7  
,embryo transfer4  7,f7 ,such other     
treatments as the ,secretary considers  

appropriate4  7#d7 ,the term infertility
 condition includes-- 7,a7 a diagnosis  
of infertility2 or  7,b7 the inability  
to conceive or safely carry a pregnancy 
to term1 including as a result of       
treatment for another condition4  7#e7  
,the term partner1 with respect to a    
veteran1 means an individual selected by
 the veteran who agrees to share with   
the veteran the parental                
responsibilities with respect to any    
child born as a result of the use of any
 fertility treatment under this section4
  4  7b7 ,clerical amendment ,the table 
of sections at the beginning of         
subchapter ,,ii of chapter #ag of such  
title is amended by inserting after the 
item relating to section #agbj;,j the   
following new item3  #agbj,k4 ,fertility
 treatment and counseling for certain   
veterans and spouses1 partners1 and     
gestational surrogates of such veterans4
  4  #bjc4 ,adoption assistance for     
certain veterans  7a7 ,in general       
,subchapter ,,viii of chapter #ag of    

title #ch1 ,united ,states ,code1 is    
amended by adding at the end the        
following new section3  #aghi4 ,adoption
 assistance  7a7 ,in general ,the       
,secretary may pay an amount1 not to    
exceed the limitation amount1 to assist 
a covered veteran in the adoption of one
 or more children1 without regard to the
 sex1 gender identity1 sexual           
orientation1 or marital status of the   
covered veteran4  7b7 ,limitation amount
 ,for purposes of this section1 the     
limitation amount is the amount equal to
 the cost the ,department would incur by
 paying the expenses of three adoptions 
by covered veterans1 as determined by   
the ,secretary4  7c7 ,covered veteran   
defined ,in this section1 the term      
covered veteran has the meaning given   
that term in section #agbj,k7f7 of this 
title4  4  7b7 ,clerical amendment ,the 
table of sections at the beginning of   
subchapter ,,viii of chapter #ag of such
 title is amended by inserting after the
 item relating to section #aghh the     

following new item3  #aghi4 ,adoption   
assistance4  4  #bjd4 ,assistance with  
and continuity of care regarding        
reproductive and fertility preservation 
services ,the ,secretary of ,veterans   
,affairs shall ensure that employees of 
the ,department of ,veterans ,affairs   
assist veterans-- 7#a7 in navigating the
 services provided under this title and 
the amendments made by this title2  7#b7
 in finding a provider that meets the   
needs of such veterans with respect to  
such services2 and  7#c7 in continuing  
the receipt of such services without    
interruption if such veterans move to a 
different geographic location4  #bje4   
,facilitation of reproduction and       
infertility research  7a7 ,in general   
,subchapter ,,ii of chapter #gc of title
 #ch1 ,united ,states ,code1 is amended 
by adding at the end the following new  
section3  #gccj;,d4 ,facilitation of    
reproduction and infertility research   
7a7 ,facilitation of research required  
,the ,secretary shall facilitate        

research conducted collaboratively by   
the ,secretary of ,defense and the      
,secretary of ,health and ,human        
,services to improve the ability of the 
,department of ,veterans ,affairs to    
meet the long-term reproductive health  
care needs of veterans who have a       
genitourinary service-connected         
disability or a condition that was      
incurred or aggravated in line of duty  
in the active military1 naval1 or air   
service1 such as a spinal cord injury1  
military sexual trauma1 or a mental     
health condition1 that affects the      
ability of the veteran to reproduce4    
7b7 ,dissemination of information ,the  
,secretary shall ensure that information
 produced by the research facilitated   
under this section that may be useful   
for other activities of the ,veterans   
,health ,administration is disseminated 
throughout the ,veterans ,health        
,administration4  4  7b7 ,clerical      
amendment ,the table of sections at the 
beginning of subchapter ,,ii of chapter 

#gc of such title is amended by         
inserting after the item relating to    
section #gccj;,c the following new item3
  #gccj;,d4 ,facilitation of            
reproduction and infertility research4  
4  7c7 ,report  7#a7 ,in general ,not   
later than three years after the date of
 the enactment of this ,act1 the        
,secretary of ,veterans ,affairs shall  
submit to ,congress a report on the     
research activities conducted by the    
,secretary under section #gccj;,d of    
title #ch1 ,united ,states ,code1 as    
added by subsection 7a74  7#b7 ,elements
 ,the report submitted under paragraph  
7#a7 shall include demographic data on  
veterans included in the research       
conducted under section #gccj;,d of     
title #ch1 ,united ,states ,code1 as    
added by subsection 7a71 disaggregated  
by age1 race1 ethnicity1 sex1 gender    
identity1 sexual orientation1 marital   
status1 type of disability 7if          
applicable71 and geographic location of 
such veterans4  #bjf4 ,annual report on 

fertility treatment and counseling      
furnished by ,department of ,veterans   
,affairs  7a7 ,in general ,not later    
than one year after the date of the     
enactment of this ,act1 and not less    
frequently than annually thereafter1 the
 ,secretary of ,veterans ,affairs shall 
submit to the ,committee on ,veterans'  
,affairs of the ,senate and the         
,committee on ,veterans' ,affairs of the
 ,house of ,representatives a report on 
the fertility treatment and counseling  
furnished by the ,department of         
,veterans ,affairs1 including through   
non-,department providers1 during the   
year preceding the submittal of the     
report4  7b7 ,elements ,each report     
submitted under subsection 7a7 shall    
include1 for the period covered by the  
report1 the following3 7#a7 ,the number 
of veterans who were diagnosed with     
clinical infertility1 disaggregated by  
age1 race1 ethnicity1 sex1 gender       
identity1 sexual orientation1 marital   
status1 type of disability 7if          

applicable71 geographic location1 era of
 military service1 and1 to the extent   
possible to determine1 the cause of     
infertility of such veterans4  7#b7 ,the
 number of veterans who received        
fertility treatment or counseling       
furnished by the ,department of         
,veterans ,affairs1 including through   
non-,department providers1 disaggregated
 by age1 race1 ethnicity1 sex1 gender   
identity1 sexual orientation1 marital   
status1 type of disability 7if          
applicable71 geographic location1 era of
 military service1 and1 to the extent   
possible to determine1 the cause of     
infertility of such veterans4  7#c7 ,the
 number of veterans who self-reported   
difficulty becoming pregnant or         
successfully carrying a pregnancy to    
term to a health care provider of the   
,department or a non-,department        
provider1 disaggregated by age1 race1   
ethnicity1 sex1 gender identity1 sexual 
orientation1 marital status1 type of    
disability 7if applicable71 and         

geographic location of such veterans4   
7#d7 ,the number of veterans who were   
exposed to hazardous chemical or        
biological agents during service in the 
,armed ,forces who-- 7,a7 received a    
clinical diagnosis of infertility2 or   
7,b7 self-reported difficulty becoming  
pregnant or successfully carrying a     
pregnancy to term4  7#e7 ,the number of 
spouses1 partners1 and gestational      
surrogates of veterans who received     
fertility treatment or counseling       
furnished by the ,department1 including 
through non-,department providers4  7#f7
 ,the cost to the ,department of        
furnishing fertility treatment and      
counseling1 including through           
non-,department providers1 disaggregated
 by cost of services and administration4
  7#g7 ,the average cost to the         
,department per recipient of fertility  
treatment and counseling4  7#h7 ,in     
cases in which the ,department furnished
 fertility treatment through the use of 
assisted reproductive technology1       

including through non-,department       
providers1 the average number of cycles 
per person furnished1 disaggregated by  
type of treatment4  7#i7 ,a description 
of how fertility treatment and          
counseling services of the ,department1 
including those services provided       
through non-,department providers1 are  
coordinated with similar services of the
 ,department of ,defense1 including the 
average wait time for veterans to       
transfer from the health system of the  
,department of ,defense to the ,veterans
 ,health ,administration4  7c7          
,definitions ,in this section1 the terms
 assisted reproductive technology and   
partner have the meanings given those   
terms in section #agbj,k7f7 of title    
#ch1 ,united ,states ,code1 as added by 
section #bjb7;a74  #bjg4 ,report on     
timeliness and adequacy of access by    
veterans to fertility treatment and     
counseling services furnished by        
,department of ,veterans ,affairs  7a7  
,in general ,not later than #ahj days   

after the date of the enactment of this 
,act1 and not less frequently than every
 #ahj days thereafter1 the ,secretary of
 ,veterans ,affairs shall submit to     
,congress a report containing data on   
the timeliness and adequacy of access by
 veterans to fertility treatment and    
counseling services furnished by the    
,department of ,veterans ,affairs1      
including through non-,department       
providers4  7b7 ,elements ,each report  
submitted under subsection 7a7 shall    
include1 for the period covered by the  
report1 the following3 7#a7 ,the average
 number of days from when a veteran     
first seeks fertility treatment to when 
a referral for such treatment is made   
and the average number of days from when
 such referral is made to when an       
appointment for such treatment occurs1  
disaggregated by facility of the        
,department or non-,department provider4
  7#b7 ,the average number of days from 
when a veteran first seeks fertility    
counseling to when a referral for such  

counseling is made and the average      
number of days from when such referral  
is made to when an appointment for such 
counseling occurs1 disaggregated by     
facility of the ,department or          
non-,department provider4  7#c7 ,the    
number of available providers of the    
,department and non-,department         
providers for fertility treatment and   
counseling in each ,state or territory1 
disaggregated by facility4  7#d7 ,the   
average number of days it takes for the 
,secretary to pay claims for fertility  
treatment and counseling services from  
non-,department providers under section 
#agjc;,d of title #ch1 ,united ,states  
,code4  #bjh4 ,regulations on furnishing
 of fertility treatment and counseling  
and adoption assistance by ,department  
of ,veterans ,affairs ,not later than   
#ah months after the date of the        
enactment of this ,act1 the ,secretary  
of ,veterans ,affairs shall prescribe   
regulations-- 7#a7 to carry out section 
#agbj,k of title #ch1 ,united ,states   

,code1 as added by section #bjb7;a72 and
  7#b7 to carry out section #aghi of    
such title1 as added by section         
#bjc7;a74