,,ii  #aag? ,,congress  #a/ ,session    
,s4 #abhj  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,april #ba1 #bjba,mrs4 
,murray 7= h]self1 ,ms4 ,duckwor?1 ,mr4 
,durb91 ,ms4 ,w>r51 ,mr4 ,m>key1 ,mr4   
,s&]s1 ,mr4 ,blum5?al1 ,mr4 ,b5net1 ,mr4
 ,coons1 ,mr4 ,wyd51 ,mr4 ,br[n1 ,mrs4  
,%ahe51 ,mr4 ,w>nock1 ,ms4 ,hassan1 &   
,ms4 ,klobu*>7 introduc$ ! foll[+ bill2 
:i* 0 read twice & ref]r$ to !          
,committee on ,vet]ans' ,affairs  ,a    
,,bill  ,to improve ! reproductive      
assi/ance provid$ by ! ,dep>tm5t (      
,def5se & ! ,dep>tm5t ( ,vet]ans        
,affairs to c]ta9 memb]s ( ! ,arm$      
,=ces1 vet]ans1 & _! sp\ses or p>tn]s1 &
 = o!r purposes4  #a4 ,%ort title2 table
 ( cont5ts  7a7 ,%ort title ,?is ,act   
may be cit$ z ! ,vet]an ,families ,heal?
 ,s]vices ,act ( #bjba4  7b7 ,table (   
cont5ts ,! table ( cont5ts = ?is ,act is
 z foll[s3 ,sec4 #a4 ,%ort title2 table 
( cont5ts4,,title ,i--,reproductive &   
f]tility pres]vation assi/ance = memb]s 
( ! ,arm$ ,forces,sec4 #aja4            

,def9itions4,sec4 #ajb4 ,provision (    
f]tility treatm5t & c\nsel+ to c]ta9    
memb]s ( ! ,arm$ ,=ces & sp\ses1 p>tn]s1
 & ge/ational surrogates ( su*          
memb]s4,sec4 #ajc4 ,e/abli%m5t (        
f]tility pres]vation proc$ures aft] an  
injury or illness4,sec4 #ajd4           
,cryopres]vation & /orage ( gametes (   
memb]s ( ! ,arm$ ,=ces on active        
duty4,sec4 #aje4 ,assi/ance ) &         
cont9uity ( c>e reg>d+ reproductive &   
f]tility pres]vation s]vices4,sec4 #ajf4
 ,coord9ation betwe5 ,dep>tm5t ( ,def5se
 & ,dep>tm5t ( ,vet]ans ,affairs on     
furni%+ ( f]tility treatm5t &           
c\nsel+4,,title ,,ii--,reproductive &   
adoption assi/ance = veterans,sec4 #bja4
 ,inclusion ( f]tility treatm5t &       
c\nsel+ "u ! def9ition ( m$ical s]vices 
9 title #ch4,sec4 #bjb4 ,f]tility       
treatm5t & c\nsel+ = c]ta9 vet]ans &    
sp\ses1 p>tn]s1 & ge/ational surrogates 
( su* vet]ans4,sec4 #bjc4 ,adoption     
assi/ance = c]ta9 vet]ans4,sec4 #bjd4   
,assi/ance ) & cont9uity ( c>e reg>d+   

reproductive & f]tility pres]vation     
s]vices4,sec4 #bje4 ,facilitation (     
reproduction & inf]tility rese>*4,sec4  
#bjf4 ,annual report on f]tility        
treatm5t & c\nsel+ furni%$ by ,dep>tm5t 
( ,vet]ans ,affairs4,sec4 #bjg4 ,report 
on timel9ess & adequacy ( access by     
vet]ans to f]tility treatm5t & c\nsel+  
s]vices furni%$ by ,dep>tm5t ( ,vet]ans 
,affairs4,sec4 #bjh4 ,regulations on    
furni%+ ( f]tility treatm5t & c\nsel+ & 
adoption assi/ance by ,dep>tm5t (       
,vet]ans ,affairs4  ,i ,reproductive &  
f]tility pres]vation assi/ance = memb]s 
( ! ,arm$ ,=ces  #aja4 ,def9itions ,9   
?is title3 7#a7 ,active duty ,! t]m     
active duty has ! mean+ giv5 t t]m 9    
section #aja7;d77#a7 ( title #aj1 ,unit$
 ,/ates ,code4  7#b7 ,arm$ ,=ces ,! t]m 
,arm$ ,=ces has ! mean+ giv5 ! t]m arm$ 
=ces 9 section #aja7;a77#d7 ( su* title4
  #ajb4 ,provision ( f]tility treatm5t &
 c\nsel+ to c]ta9 memb]s ( ! ,arm$ ,=ces
 & sp\ses1 p>tn]s1 & ge/ational         
surrogates ( su* memb]s  7a7 ,f]tility  

treatm5t & c\nsel+  7#a7 ,9 g5]al ,!    
,secret>y ( ,def5se %all furni% f]tility
 treatm5t & c\nsel+1 includ+ ?r\gh ! use
 ( assi/$ reproductive te*nology1 to a  
cov]$ memb] ( ! ,arm$ ,=ces or a sp\se1 
p>tn]1 or ge/ational surrogate ( su* a  
memb]4  7#b7 ,eligibility = treatm5t &  
c\nsel+ ,f]tility treatm5t & c\nsel+    
%all be furni%$ "u p>agraph 7#a7 )\t    
reg>d to ! sex1 g5d] id5tity1 sexual    
ori5tation1 or m>ital /atus ( ! cov]$   
memb] ( ! ,arm$ ,=ces4  7#c7 ,9 vitro   
f]tilization ,9 ! case ( 9 vitro        
f]tilization treatm5t furni%$ "u        
p>agraph 7#a71 ! ,secret>y may furni% n 
m ?an ?ree complet$ cycles or six       
attempt$ cycles ( 9 vitro f]tilization1 
:i*ev] occurs fir/1 to an individual "u 
su* p>agraph4  7b7 ,procurem5t ( gametes
 ,if a cov]$ memb] ( ! ,arm$ ,=ces is   
unable to provide _! gametes = purposes 
( f]tility treatm5t "u subsection 7a71 !
 ,secret>y %all1 at ! election ( su*    
memb]1 all[ su* memb] to receive su*    
treatm5t ) donat$ gametes & pay or      

reimburse su* memb] ! reasonable co/s ( 
procur+ gametes f a donor4  7c7 ,rule ( 
con/ruction ,no?+ 9 ?is section %all be 
con/ru$ to require ! ,secret>y-- 7#a7 to
 f9d or c]tify a ge/ational surrogate = 
a cov]$ memb] ( ! ,arm$ ,=ces or to     
connect a ge/ational surrogate ) su* a  
memb]2 or  7#b7 to f9d or c]tify gametes
 f a donor = a cov]$ memb] ( ! ,arm$    
,=ces or to connect su* a memb] )       
gametes f a donor4  7d7 ,def9itions ,9  
?is section3 7#a7 ,assi/$ reproductive  
te*nology ,! t]m assi/$ reproductive    
te*nology includes 9 vitro f]tilization 
& o!r f]tility treatm5ts 9 :i* bo? eggs 
& sp]m are h&l$ :5 cl9ically            
appropriate4  7#b7 ,cov]$ memb] ( !     
,arm$ ,=ces ,! t]m cov]$ memb] ( ! ,arm$
 ,=ces means a memb] ( ! ,arm$ ,=ces :o 
has an inf]tility condition1 unless !   
,secret>y c %[ t ! memb] 0 completely   
inf]tile be=e s]vice on active duty 9 ! 
,arm$ ,=ces4  7#c7 ,f]tility treatm5t ,!
 t]m f]tility treatm5t includes !       
foll[+3 7,a7 ,proc$ures t use assi/$    

reproductive te*nology4  7,b7 ,sp]m     
retrieval4  7,c7 ,egg retrieval4  7,d7  
,artificial insem9ation4  7,e7 ,embryo  
transf]4  7,f7 ,su* o!r treatm5ts z !   
,secret>y ( ,def5se consid]s            
appropriate4  7#d7 ,inf]tility condition
 ,! t]m inf]tility condition includes-- 
7,a7 a diagnosis ( inf]tility2 or  7,b7 
! inability to conceive or safely c>ry a
 pregnancy to t]m1 includ+ z a result ( 
treatm5t = ano!r condition4  7#e7 ,p>tn]
 ,! t]m p>tn]1 ) respect to a memb] ( ! 
,arm$ ,=ces1 means an individual select$
 by ! memb] :o agrees to %>e ) ! memb] !
 p>5tal responsibilities ) respect to   
any *ild born z a result ( ! use ( any  
f]tility treatm5t "u ?is section4  #ajc4
 ,e/abli%m5t ( f]tility pres]vation     
proc$ures aft] an injury or illness  7a7
 ,9 g5]al ,! ,secret>y ( ,def5se1 act+  
?r\gh ! ,assi/ant ,secret>y ( ,def5se = 
,heal? ,affairs1 %all e/abli% proc$ures 
= ! retrieval ( gametes1 z soon z       
m$ically appropriate1 f a memb] ( !     
,arm$ ,=ces 9 cases 9 :i* ! f]tility (  

su* memb] is pot5tially jeop>diz$ z a   
result ( an injury or illness incurr$ or
 aggravat$ :ile s]v+ on active duty 9 ! 
,arm$ ,=ces 9 ord] to pres]ve ! m$ical  
options ( su* memb]4  7b7 ,cons5t =     
retrieval ( gametes ,gametes may be     
retriev$ f a memb] ( ! ,arm$ ,=ces "u   
subsection 7a7 only-- 7#a7 ) ! specific 
cons5t ( ! memb]2 or  7#b7 if ! memb] is
 unable to cons5t1 if a m$ical          
pr(essional det]m9es t-- 7,a7 ! future  
f]tility ( ! memb] is pot5tially        
jeop>diz$ z a result ( an injury or     
illness describ$ 9 subsection 7a7 or w  
be pot5tially jeop>diz$ z a result (    
treat+ su* injury or illness2  7,b7 !   
memb] lacks ! capacity to cons5t to !   
retrieval ( gametes & is likely to rega9
 su* capacity2 &  7,c7 ! retrieval (    
gametes "u ?is section is 9 ! m$ical    
int]e/ ( ! memb]4  7c7 ,cons5t = use (  
retriev$ gametes ,gametes retriev$ f a  
memb] ( ! ,arm$ ,=ces "u subsection 7a7 
may be us$ only-- 7#a7 ) ! specific     
cons5t ( ! memb]2 or  7#b7 if ! memb]   

has lo/ ! ability to cons5t p]man5tly1 z
 det]m9$ by a m$ical pr(essional1 z     
specifi$ 9 an advance directive or      
te/am5t>y in/rum5t execut$ by ! memb]4  
7d7 ,disposal ( gametes ,9 accordance ) 
regulations prescrib$ by ! ,secret>y =  
purpose ( ?is subsection1 ! ,secret>y   
%all dispose ( gametes retriev$ f a     
memb] ( ! ,arm$ ,=ces "u subsection     
7a7-- 7#a7 ) ! specific cons5t ( !      
memb]2 or  7#b7 if ! memb]-- 7,a7 has   
lo/ ! ability to cons5t p]man5tly1 z    
det]m9$ by a m$ical pr(essional2 &  7,b7
 has n specifi$ ! use ( _! gametes 9 an 
advance directive or te/am5t>y in/rum5t 
execut$ by ! memb]4  #ajd4              
,cryopres]vation & /orage ( gametes (   
memb]s ( ! ,arm$ ,=ces on active duty   
7a7 ,9 g5]al ,! ,secret>y ( ,def5se %all
 provide memb]s ( ! ,arm$ ,=ces on      
active duty 9 ! ,arm$ ,=ces ) !         
opportunity to cryopres]ve & /ore _!    
gametes prior to-- 7#a7 deploym5t to a  
combat zone2 or  7#b7 a duty assignm5t t
 includes a haz>d\s assignm5t1 z det]m9$

 by ! ,secret>y4  7b7 ,p]iod ( "t  7#a7 
,9 g5]al ,! ,secret>y %all provide = !  
cryopres]vation & /orage ( gametes ( any
 memb] ( ! ,arm$ ,=ces "u subsection 7a7
 9 a facility ( ! ,dep>tm5t ( ,def5se or
 ( a private entity & ! transportation (
 su* gametes1 at no co/ to ! memb]1     
until ! date t is "o ye> aft] !         
retirem5t1 sep>ation1 or release ( !    
memb] f ! ,arm$ ,=ces4  7#b7 ,cont9u$   
cryopres]vation & /orage ,at ! end ( !  
"o-ye> p]iod specifi$ 9 p>agraph 7#a71 !
 ,secret>y %all p]mit an individual ^:  
gametes 7 cryopres]v$ & /or$ 9 a        
facility ( ! ,dep>tm5t z describ$ 9 t   
p>agraph to select1 includ+ pursuant to 
an advance m$ical directive or milit>y  
te/am5t>y in/rum5t complet$ "u          
subsection 7c71 "o ( ! foll[+ options3  
7,a7 ,to cont9ue su* cryopres]vation &  
/orage 9 su* facility ) ! co/ ( su*     
cryopres]vation & /orage borne by !     
individual4  7,b7 ,to transf] ! gametes 
to a private cryopres]vation & /orage   
facility select$ by ! individual4  7,c7 

,to transf] ! gametes to a facility ( ! 
,dep>tm5t ( ,vet]ans ,affairs if        
cryopres]vation & /orage is available to
 ! individual at su* facility4  7#c7    
,disposal ( gametes ,if an individual   
describ$ 9 p>agraph 7#b7 does n make a  
selection "u subp>agraph 7,a71 7,b71 or 
7,c7 ( su* p>agraph1 ! ,secret>y may    
dispose ( ! gametes ( ! individual n    
e>li] ?an ! date t is #ij days aft] !   
end ( ! "o-ye> p]iod specifi$ 9 p>agraph
 7#a7 ) respect to ! individual4  7c7   
,advance m$ical directive & milit>y     
te/am5t>y in/rum5t ,a memb] ( ! ,arm$   
,=ces :o elects to cryopres]ve & /ore _!
 gametes "u ?is section mu/ complete an 
advance m$ical directive1 z def9$ 9     
section #ajdd;c7b7 ( title #aj1 ,unit$  
,/ates ,code1 & a milit>y te/am5t>y     
in/rum5t1 z def9$ 9 section #ajdd;d7b7 (
 su* title1 t explicitly specifies ! use
 ( _! cryopres]v$ & /or$ gametes if su* 
memb] dies or o!rwise loses ! capacity  
to cons5t to ! use ( _! cryopres]v$ &   
/or$ gametes4  7d7 ,agreem5ts ,to c>ry  

out ?is section1 ! ,secret>y may ent]   
into agreem5ts ) private entities t     
provide cryopres]vation1 transportation1
 & /orage s]vices = gametes4  #aje4     
,assi/ance ) & cont9uity ( c>e reg>d+   
reproductive & f]tility pres]vation     
s]vices ,! ,secret>y ( ,def5se %all     
ensure t employees ( ! ,dep>tm5t (      
,def5se assi/ memb]s ( ! ,arm$ ,=ces--  
7#a7 9 navigat+ ! s]vices provid$ "u ?is
 title2  7#b7 9 f9d+ a provid] t meets !
 ne$s ( su* memb]s ) respect to su*     
s]vices2 &  7#c7 9 cont9u+ ! receipt (  
su* s]vices )\t int]ruption dur+ a      
p]man5t *ange ( /ation = su* memb]s4    
#ajf4 ,coord9ation betwe5 ,dep>tm5t (   
,def5se & ,dep>tm5t ( ,vet]ans ,affairs 
on furni%+ ( f]tility treatm5t & c\nsel+
  7a7 ,9 g5]al ,! ,secret>y ( ,def5se & 
! ,secret>y ( ,vet]ans ,affairs %all %>e
 be/ practices & facilitate ref]rals1 z 
!y consid] appropriate1 on ! furni%+ (  
f]tility treatm5t & c\nsel+ to          
individuals eligible = ! receipt ( su*  
c\nsel+ & treatm5t f ! ,secret>ies4  7b7

 ,memor&um ( und]/&+ ,! ,secret>y (     
,def5se & ! ,secret>y ( ,vet]ans        
,affairs %all ent] into a memor&um (    
und]/&+-- 7#a7 provid+ t ! ,secret>y (  
,def5se w ensure access by ! ,secret>y (
 ,vet]ans ,affairs to gametes ( vet]ans 
/or$ by ! ,dep>tm5t ( ,def5se = purposes
 ( furni%+ f]tility treatm5t "u section 
#agbj,k ( title #ch1 ,unit$ ,/ates      
,code1 z add$ by section #bjb7;a72 &    
7#b7 au?oriz+ ! ,dep>tm5t ( ,vet]ans    
,affairs to comp5sate ! ,dep>tm5t (     
,def5se = ! cryopres]vation1            
transportation1 & /orage ( gametes (    
vet]ans "u section #ajd4  ,,ii          
,reproductive & adoption assi/ance =    
vet]ans  #bja4 ,inclusion ( f]tility    
treatm5t & c\nsel+ "u ! def9ition (     
m$ical s]vices 9 title #ch ,section     
#agja7f7 ( title #ch1 ,unit$ ,/ates     
,code1 is am5d$ by add+ at ! end !      
foll[+ new subp>agraph3  7,i7 ,f]tility 
treatm5t & c\nsel+1 includ+ treatm5t us+
 assi/$ reproductive te*nology4  4      
#bjb4 ,f]tility treatm5t & c\nsel+ =    

c]ta9 vet]ans & sp\ses1 p>tn]s1 &       
ge/ational surrogates ( su* vet]ans  7a7
 ,9 g5]al ,sub*apt] ,,ii ( *apt] #ag (  
title #ch1 ,unit$ ,/ates ,code1 is am5d$
 by add+ at ! end ! foll[+ new section3 
#agbj,k4 ,f]tility treatm5t & c\nsel+ = 
c]ta9 vet]ans & sp\ses1 p>tn]s1 &       
ge/ational surrogates ( su* vet]ans  7a7
 ,9 g5]al  7#a7 ,! ,secret>y %all furni%
 f]tility treatm5t & c\nsel+1 includ+   
?r\gh ! use ( assi/$ reproductive       
te*nology1 to a cov]$ vet]an or a sp\se1
 p>tn]1 or ge/ational surrogate ( a     
cov]$ vet]an if ! vet]an1 & ! sp\se1    
p>tn]1 or ge/ational surrogate ( !      
vet]an1 z applicable1 apply jo9tly = su*
 treatm5t & c\nsel+ ?r\gh a process     
prescrib$ by ! ,secret>y4  7#b7         
,f]tility treatm5t & c\nsel+ %all be    
furni%$ "u p>agraph 7#a7 )\t reg>d to ! 
sex1 g5d] id5tity1 sexual ori5tation1 or
 m>ital /atus ( ! cov]$ vet]an4  7#c7 ,9
 ! case ( 9 vitro f]tilization treatm5t 
furni%$ "u p>agraph 7#a71 ! ,secret>y   
may furni% n m ?an ?ree complet$ cycles 

or six attempt$ cycles ( 9 vitro        
f]tilization1 :i*ev] occurs fir/1 to an 
individual "u su* p>agraph4  7b7        
,procurem5t ( gametes ,if a cov]$ vet]an
 is unable to provide _! gametes =      
purposes ( f]tility treatm5t "u         
subsection 7a71 ! ,secret>y %all1 at !  
election ( su* memb]1 all[ su* vet]an to
 receive su* treatm5t ) donat$ gametes &
 pay or reimburse su* vet]an !          
reasonable co/s ( procur+ gametes f a   
donor4  7c7 ,coord9ation ( c>e = o!r    
individuals ,9 ! case ( a vet]an or a   
sp\se1 p>tn]1 or ge/ational surrogate ( 
a vet]an n describ$ 9 subsection 7a7 :o 
is seek+ f]tility treatm5t & c\nsel+1 ! 
,secret>y may coord9ate f]tility        
treatm5t & c\nsel+ = su* vet]an1 sp\se1 
p>tn]1 or ge/ational surrogate4  7d7    
,outrea* & tra9+ ,! ,secret>y %all c>ry 
out an outrea* & tra9+ program to ensure
 vet]ans & heal? c>e provid]s ( !       
,dep>tm5t are aw>e (-- 7#a7 !           
availability ( & eligibility requirem5ts
 = f]tility treatm5t & c\nsel+ "u ?is   

section2 &  7#b7 any *anges to f]tility 
treatm5t & c\nsel+ cov]$ "u ?is section4
  7e7 ,rule ( con/ruction ,no?+ 9 ?is   
section %all be con/ru$ to require !    
,secret>y-- 7#a7 to f9d or c]tify a     
ge/ational surrogate = a cov]$ vet]an or
 to connect a ge/ational surrogate ) a  
cov]$ vet]an2 or  7#b7 to furni%        
mat]nity c>e to a cov]$ vet]an or sp\se1
 p>tn]1 or ge/ational surrogate ( a     
cov]$ vet]an 9 addition to :at is       
o!rwise requir$ by law4  7f7 ,def9itions
 ,9 ?is section3 7#a7 ,! t]m assi/$     
reproductive te*nology includes 9 vitro 
f]tilization & o!r f]tility treatm5ts 9 
:i* bo? eggs & sp]m are h&l$ :5         
cl9ically appropriate4  7#b7 ,! t]m     
cov]$ vet]an means a vet]an :o-- 7,a7   
has an inf]tility condition1 unless !   
,secret>y c %[ t ! vet]an 0 completely  
inf]tile be=e s]vice 9 ! active milit>y1
 naval1 or air s]vice2 &  7,b7 is       
enroll$ 9 ! sy/em ( annual pati5t       
enrollm5t e/abli%$ "u section #agje7;a7 
( ?is title4  7#c7 ,! t]m f]tility      

treatm5t includes ! foll[+3 7,a7        
,proc$ures t use assi/$ reproductive    
te*nology4  7,b7 ,sp]m retrieval4  7,c7 
,egg retrieval4  7,d7 ,artificial       
insem9ation4  7,e7 ,embryo transf]4     
7,f7 ,su* o!r treatm5ts z ! ,secret>y   
consid]s appropriate4  7#d7 ,! t]m      
inf]tility condition includes-- 7,a7 a  
diagnosis ( inf]tility2 or  7,b7 !      
inability to conceive or safely c>ry a  
pregnancy to t]m1 includ+ z a result (  
treatm5t = ano!r condition4  7#e7 ,! t]m
 p>tn]1 ) respect to a vet]an1 means an 
individual select$ by ! vet]an :o agrees
 to %>e ) ! vet]an ! p>5tal             
responsibilities ) respect to any *ild  
born z a result ( ! use ( any f]tility  
treatm5t "u ?is section4  4  7b7        
,cl]ical am5dm5t ,! table ( sections at 
! beg9n+ ( sub*apt] ,,ii ( *apt] #ag (  
su* title is am5d$ by ins]t+ aft] ! item
 relat+ to section #agbj;,j ! foll[+ new
 item3  #agbj,k4 ,f]tility treatm5t &   
c\nsel+ = c]ta9 vet]ans & sp\ses1       
p>tn]s1 & ge/ational surrogates ( su*   

vet]ans4  4  #bjc4 ,adoption assi/ance =
 c]ta9 vet]ans  7a7 ,9 g5]al ,sub*apt]  
,,viii ( *apt] #ag ( title #ch1 ,unit$  
,/ates ,code1 is am5d$ by add+ at ! end 
! foll[+ new section3  #aghi4 ,adoption 
assi/ance  7a7 ,9 g5]al ,! ,secret>y may
 pay an am\nt1 n to exce$ ! limitation  
am\nt1 to assi/ a cov]$ vet]an 9 !      
adoption ( "o or m *ildr51 )\t reg>d to 
! sex1 g5d] id5tity1 sexual ori5tation1 
or m>ital /atus ( ! cov]$ vet]an4  7b7  
,limitation am\nt ,= purposes ( ?is     
section1 ! limitation am\nt is ! am\nt  
equal to ! co/ ! ,dep>tm5t w\ld incur by
 pay+ ! exp5ses ( ?ree adoptions by     
cov]$ vet]ans1 z det]m9$ by ! ,secret>y4
  7c7 ,cov]$ vet]an def9$ ,9 ?is        
section1 ! t]m cov]$ vet]an has ! mean+ 
giv5 t t]m 9 section #agbj,k7f7 ( ?is   
title4  4  7b7 ,cl]ical am5dm5t ,! table
 ( sections at ! beg9n+ ( sub*apt]      
,,viii ( *apt] #ag ( su* title is am5d$ 
by ins]t+ aft] ! item relat+ to section 
#aghh ! foll[+ new item3  #aghi4        
,adoption assi/ance4  4  #bjd4          

,assi/ance ) & cont9uity ( c>e reg>d+   
reproductive & f]tility pres]vation     
s]vices ,! ,secret>y ( ,vet]ans ,affairs
 %all ensure t employees ( ! ,dep>tm5t (
 ,vet]ans ,affairs assi/ vet]ans-- 7#a7 
9 navigat+ ! s]vices provid$ "u ?is     
title & ! am5dm5ts made by ?is title2   
7#b7 9 f9d+ a provid] t meets ! ne$s (  
su* vet]ans ) respect to su* s]vices2 & 
7#c7 9 cont9u+ ! receipt ( su* s]vices  
)\t int]ruption if su* vet]ans move to a
 diff]5t geographic location4  #bje4    
,facilitation ( reproduction &          
inf]tility rese>*  7a7 ,9 g5]al         
,sub*apt] ,,ii ( *apt] #gc ( title #ch1 
,unit$ ,/ates ,code1 is am5d$ by add+ at
 ! end ! foll[+ new section3  #gccj;,d4 
,facilitation ( reproduction &          
inf]tility rese>*  7a7 ,facilitation (  
rese>* requir$ ,! ,secret>y %all        
facilitate rese>* conduct$              
collaboratively by ! ,secret>y ( ,def5se
 & ! ,secret>y ( ,heal? & ,human        
,s]vices to improve ! ability ( !       
,dep>tm5t ( ,vet]ans ,affairs to meet ! 

long-t]m reproductive heal? c>e ne$s (  
vet]ans :o h a g5it\r9>y s]vice-connect$
 disability or a condition t 0 incurr$  
or aggravat$ 9 l9e ( duty 9 ! active    
milit>y1 naval1 or air s]vice1 su* z a  
sp9al cord injury1 milit>y sexual       
trauma1 or a m5tal heal? condition1 t   
affects ! ability ( ! vet]an to         
reproduce4  7b7 ,dissem9ation (         
in=mation ,! ,secret>y %all ensure t    
in=mation produc$ by ! rese>* facilitat$
 "u ?is section t may be useful = o!r   
activities ( ! ,vet]ans ,heal?          
,adm9i/ration is dissem9at$ ?r\gh\t !   
,vet]ans ,heal? ,adm9i/ration4  4  7b7  
,cl]ical am5dm5t ,! table ( sections at 
! beg9n+ ( sub*apt] ,,ii ( *apt] #gc (  
su* title is am5d$ by ins]t+ aft] ! item
 relat+ to section #gccj;,c ! foll[+ new
 item3  #gccj;,d4 ,facilitation (       
reproduction & inf]tility rese>*4  4    
7c7 ,report  7#a7 ,9 g5]al ,n lat] ?an  
?ree ye>s aft] ! date ( ! enactm5t ( ?is
 ,act1 ! ,secret>y ( ,vet]ans ,affairs  
%all submit to ,congress a report on !  

rese>* activities conduct$ by !         
,secret>y "u section #gccj;,d ( title   
#ch1 ,unit$ ,/ates ,code1 z add$ by     
subsection 7a74  7#b7 ,elem5ts ,! report
 submitt$ "u p>agraph 7#a7 %all include 
demographic data on vet]ans includ$ 9 ! 
rese>* conduct$ "u section #gccj;,d (   
title #ch1 ,unit$ ,/ates ,code1 z add$  
by subsection 7a71 disaggregat$ by age1 
race1 e?nicity1 sex1 g5d] id5tity1      
sexual ori5tation1 m>ital /atus1 type ( 
disability 7if applicable71 & geographic
 location ( su* vet]ans4  #bjf4 ,annual 
report on f]tility treatm5t & c\nsel+   
furni%$ by ,dep>tm5t ( ,vet]ans ,affairs
  7a7 ,9 g5]al ,n lat] ?an "o ye> aft] !
 date ( ! enactm5t ( ?is ,act1 & n less 
frequ5tly ?an annually !reaft]1 !       
,secret>y ( ,vet]ans ,affairs %all      
submit to ! ,committee on ,vet]ans'     
,affairs ( ! ,s5ate & ! ,committee on   
,vet]ans' ,affairs ( ! ,h\se (          
,repres5tatives a report on ! f]tility  
treatm5t & c\nsel+ furni%$ by !         
,dep>tm5t ( ,vet]ans ,affairs1 includ+  

?r\gh non-,dep>tm5t provid]s1 dur+ ! ye>
 prec$+ ! submittal ( ! report4  7b7    
,elem5ts ,ea* report submitt$ "u        
subsection 7a7 %all include1 = ! p]iod  
cov]$ by ! report1 ! foll[+3 7#a7 ,!    
numb] ( vet]ans :o 7 diagnos$ ) cl9ical 
inf]tility1 disaggregat$ by age1 race1  
e?nicity1 sex1 g5d] id5tity1 sexual     
ori5tation1 m>ital /atus1 type (        
disability 7if applicable71 geographic  
location1 era ( milit>y s]vice1 &1 to ! 
ext5t possible to det]m9e1 ! cause (    
inf]tility ( su* vet]ans4  7#b7 ,! numb]
 ( vet]ans :o receiv$ f]tility treatm5t 
or c\nsel+ furni%$ by ! ,dep>tm5t (     
,vet]ans ,affairs1 includ+ ?r\gh        
non-,dep>tm5t provid]s1 disaggregat$ by 
age1 race1 e?nicity1 sex1 g5d] id5tity1 
sexual ori5tation1 m>ital /atus1 type ( 
disability 7if applicable71 geographic  
location1 era ( milit>y s]vice1 &1 to ! 
ext5t possible to det]m9e1 ! cause (    
inf]tility ( su* vet]ans4  7#c7 ,! numb]
 ( vet]ans :o self-report$ difficulty   
becom+ pregnant or successfully c>ry+ a 

pregnancy to t]m to a heal? c>e provid] 
( ! ,dep>tm5t or a non-,dep>tm5t        
provid]1 disaggregat$ by age1 race1     
e?nicity1 sex1 g5d] id5tity1 sexual     
ori5tation1 m>ital /atus1 type (        
disability 7if applicable71 & geographic
 location ( su* vet]ans4  7#d7 ,! numb] 
( vet]ans :o 7 expos$ to haz>d\s *emical
 or biological ag5ts dur+ s]vice 9 !    
,arm$ ,=ces :o-- 7,a7 receiv$ a cl9ical 
diagnosis ( inf]tility2 or  7,b7        
self-report$ difficulty becom+ pregnant 
or successfully c>ry+ a pregnancy to    
t]m4  7#e7 ,! numb] ( sp\ses1 p>tn]s1 & 
ge/ational surrogates ( vet]ans :o      
receiv$ f]tility treatm5t or c\nsel+    
furni%$ by ! ,dep>tm5t1 includ+ ?r\gh   
non-,dep>tm5t provid]s4  7#f7 ,! co/ to 
! ,dep>tm5t ( furni%+ f]tility treatm5t 
& c\nsel+1 includ+ ?r\gh non-,dep>tm5t  
provid]s1 disaggregat$ by co/ ( s]vices 
& adm9i/ration4  7#g7 ,! av]age co/ to !
 ,dep>tm5t p] recipi5t ( f]tility       
treatm5t & c\nsel+4  7#h7 ,9 cases 9 :i*
 ! ,dep>tm5t furni%$ f]tility treatm5t  

?r\gh ! use ( assi/$ reproductive       
te*nology1 includ+ ?r\gh non-,dep>tm5t  
provid]s1 ! av]age numb] ( cycles p]    
p]son furni%$1 disaggregat$ by type (   
treatm5t4  7#i7 ,a description ( h[     
f]tility treatm5t & c\nsel+ s]vices ( ! 
,dep>tm5t1 includ+ ^? s]vices provid$   
?r\gh non-,dep>tm5t provid]s1 are       
coord9at$ ) simil> s]vices ( ! ,dep>tm5t
 ( ,def5se1 includ+ ! av]age wait "t =  
vet]ans to transf] f ! heal? sy/em ( !  
,dep>tm5t ( ,def5se to ! ,vet]ans ,heal?
 ,adm9i/ration4  7c7 ,def9itions ,9 ?is 
section1 ! t]ms assi/$ reproductive     
te*nology & p>tn] h ! mean+s giv5 ^?    
t]ms 9 section #agbj,k7f7 ( title #ch1  
,unit$ ,/ates ,code1 z add$ by section  
#bjb7;a74  #bjg4 ,report on timel9ess & 
adequacy ( access by vet]ans to f]tility
 treatm5t & c\nsel+ s]vices furni%$ by  
,dep>tm5t ( ,vet]ans ,affairs  7a7 ,9   
g5]al ,n lat] ?an #ahj days aft] ! date 
( ! enactm5t ( ?is ,act1 & n less       
frequ5tly ?an e #ahj days !reaft]1 !    
,secret>y ( ,vet]ans ,affairs %all      

submit to ,congress a report conta9+    
data on ! timel9ess & adequacy ( access 
by vet]ans to f]tility treatm5t &       
c\nsel+ s]vices furni%$ by ! ,dep>tm5t (
 ,vet]ans ,affairs1 includ+ ?r\gh       
non-,dep>tm5t provid]s4  7b7 ,elem5ts   
,ea* report submitt$ "u subsection 7a7  
%all include1 = ! p]iod cov]$ by !      
report1 ! foll[+3 7#a7 ,! av]age numb] (
 days f :5 a vet]an fir/ seeks f]tility 
treatm5t to :5 a ref]ral = su* treatm5t 
is made & ! av]age numb] ( days f :5 su*
 ref]ral is made to :5 an appo9tm5t =   
su* treatm5t occurs1 disaggregat$ by    
facility ( ! ,dep>tm5t or non-,dep>tm5t 
provid]4  7#b7 ,! av]age numb] ( days f 
:5 a vet]an fir/ seeks f]tility c\nsel+ 
to :5 a ref]ral = su* c\nsel+ is made & 
! av]age numb] ( days f :5 su* ref]ral  
is made to :5 an appo9tm5t = su* c\nsel+
 occurs1 disaggregat$ by facility ( !   
,dep>tm5t or non-,dep>tm5t provid]4     
7#c7 ,! numb] ( available provid]s ( !  
,dep>tm5t & non-,dep>tm5t provid]s =    
f]tility treatm5t & c\nsel+ 9 ea* ,/ate 

or t]ritory1 disaggregat$ by facility4  
7#d7 ,! av]age numb] ( days x takes = ! 
,secret>y to pay claims = f]tility      
treatm5t & c\nsel+ s]vices f            
non-,dep>tm5t provid]s "u section       
#agjc;,d ( title #ch1 ,unit$ ,/ates     
,code4  #bjh4 ,regulations on furni%+ ( 
f]tility treatm5t & c\nsel+ & adoption  
assi/ance by ,dep>tm5t ( ,vet]ans       
,affairs ,n lat] ?an #ah mon?s aft] !   
date ( ! enactm5t ( ?is ,act1 !         
,secret>y ( ,vet]ans ,affairs %all      
prescribe regulations-- 7#a7 to c>ry out
 section #agbj,k ( title #ch1 ,unit$    
,/ates ,code1 z add$ by section         
#bjb7;a72 &  7#b7 to c>ry out section   
#aghi ( su* title1 z add$ by section    
#bjc7;a74