,,ii  #aag? ,,congress  #a/ ,session    
,s4 #cjbj  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,octob] #bj1 #bjba,mr4 
,s&]s introduc$ ! foll[+ bill2 :i* 0    
read twice & ref]r$ to ! ,committee on  
,vet]ans' ,affairs  ,a ,,bill  ,to      
require ! ,secret>y ( ,vet]ans ,affairs 
to modify ! eligibility ( vet]ans =     
treatm5t z a l[-income family = purposes
 ( enrollm5t 9 ! pati5t enrollm5t sy/em 
( ! ,dep>tm5t ( ,vet]ans ,affairs & to  
gu>antee heal? c>e b5efits = vet]ans    
enroll$ 9 su* sy/em1 & = o!r purposes4  
#a4 ,%ort title ,?is ,act may be cit$ z 
! ,vet]ans ,/ate ,eligibility           
,/&>dization ,act4  #b4 ,modification ( 
det]m9ation ( eligibility ( vet]ans =   
treatm5t z a l[-income family = purposes
 ( enrollm5t 9 ! pati5t enrollm5t sy/em 
( ! ,dep>tm5t ( ,vet]ans ,affairs  7a7  
,areas ( resid5ce ,! ,secret>y (        
,vet]ans ,affairs %all modify ! areas 9 
:i* vet]ans reside z specifi$ = purposes
 ( det]m9+ :e!r vet]ans qualify =       
treatm5t z l[-income families =         

enrollm5t 9 ! pati5t enrollm5t sy/em ( !
 ,dep>tm5t ( ,vet]ans ,affairs "u       
section #agje7;a77#g7 ( title #ch1      
,unit$ ,/ates ,code1 to meet !          
requirem5ts z foll[s3 7#a7 ,any area s  
specifi$ %all be )9 only "o ,/ate4  7#b7
 ,any area s specifi$ %all be coext5sive
 ) "o or m c\nties 7or simil> political 
subdivisions7 9 ! ,/ate conc]n$4  7b7   
,v>iable income ?re%olds ,! ,secret>y   
%all modify ! ?re%olds = income z       
specifi$ = purposes ( det]m9+ :e!r      
vet]ans qualify = treatm5t z l[-income  
families = enrollm5t 9 ! pati5t         
enrollm5t sy/em ref]r$ to 9 subsection  
7a7 to meet ! requirem5ts z foll[s3 7#a7
 ,!re %all be "o income ?re%old = ea*   
,/ate1 equal to #ajj p]c5t ( ! highe/   
income ?re%old among-- 7,a7 ! c\nties or
 metropolitan /ati/ical areas )9 su*    
,/ate2 &  7,b7 any metropolitan         
/ati/ical area t encompasses t]ritory ( 
su* ,/ate & "o or m o!r ,/ates4  7#b7 ,!
 calculation ( ! highe/ income ?re%old (
 a c\nty or metropolitan /ati/ical area 

%all be consi/5t ) ! calculation us$ =  
purposes ( section #c7;b7 ( ! ,unit$    
,/ates ,h\s+ ,act ( #aicg 7#db ,u4,s4,c4
 #adcg;a7b774  7#c7 ,! tim+ & me?odology
 = implem5t+ any modifications 9        
geographic income ?re%olds pursuant to  
p>agraph 7#a7 %all be det]m9$ by !      
,secret>y 9 su* a mann] z to p]mit !    
,dep>tm5t to build capacity = enroll+   
su* additional vet]ans 9 ! pati5t       
enrollm5t sy/em ( ! ,dep>tm5t z become  
eligible = enrollm5t z a result ( su*   
modifications1 except t all requir$     
modifications %all be complet$ n lat]   
?an five ye>s aft] date ( ! enactm5t (  
?is ,act4  7c7 ,metropolitan /ati/ical  
area ,9 ?is section1 ! t]m metropolitan 
/ati/ical area has ! mean+ giv5 t t]m by
 ! ,(fice ( ,managem5t & ,budget4  #c4  
,gu>antee ( heal? c>e b5efits = enroll$ 
vet]ans ,! ,secret>y ( ,vet]ans ,affairs
 %all ensure t all vet]ans1 once enroll$
 9 ! pati5t enrollm5t sy/em ( !         
,dep>tm5t ( ,vet]ans ,affairs "u section
 #agje7;a7 ( title #ch1 ,unit$ ,/ates   

,code1 rema9 enroll$ 9 su* sy/em & may  
cont9ue receiv+ heal? c>e furni%$ by !  
,dep>tm5t if !y *oose1 subject to su*   
co/-%>+ requirem5ts z may apply to !    
vet]an "u exi/+ provisions ( law4