,,ii  #aag? ,,congress  #a/ ,session    
,s4 #cjdg  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,octob] #ba1 #bjba,mr4 
,portman 7= himself & ,ms4 ,s9ema7      
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,vet]ans' ,affairs  ,a ,,bill  ,to      
e/abli% a pilot program to support      
m$ical resid5cy & fell[%ip programs t   
assi/ vet]ans1 & = o!r purposes4  #a4   
,%ort title ,?is ,act may be cit$ z !   
,vet]ans ,pro ,bono ,corps ,act ( #bjba4
  #b4 ,pilot program to support m$ical  
resid5cy & fell[%ip programs t assi/    
vet]ans  7a7 ,pilot program requir$ ,n  
lat] ?an #ahj days aft] ! date ( !      
enactm5t ( ?is ,act1 ! ,secret>y (      
,vet]ans ,affairs %all comm5ce a pilot  
program to assess ! feasibility &       
advisability ( provid+ assi/ance to     
eligible recipi5ts to e/abli% or ma9ta9 
programs t assi/ vet]ans apply+ =       
comp5sation "u *apt] #aa ( title #ch1   
,unit$ ,/ates ,code1 9 sub/antiat+ _!   
claims ) indep5d5t m$ical exam9ations & 

op9ions4  7b7 ,eligible recipi5ts ,=    
purposes ( ! pilot program requir$ by   
subsection 7a71 an eligible recipi5t is 
an entity t-- 7#a7 is adm9i/]+ a m$ical 
resid5cy or m$ical fell[%ip program 9 ! 
,unit$ ,/ates or a t]ritory ( ! ,unit$  
,/ates2 &  7#b7 is accr$it$ by a        
nationally recogniz$ accr$it+ ag5cy4    
7c7 ,duration ,! ,secret>y %all c>ry out
 ! pilot program requir$ by subsection  
7a7 dur+ ! five-ye> p]iod beg9n+ on !   
date ( ! comm5cem5t ( ! pilot program4  
7d7 ,grants ,! ,secret>y %all c>ry out !
 pilot program requir$ by subsection 7a7
 ?r\gh ! aw>d ( grants to eligible      
recipi5ts to e/abli% or ma9ta9 programs 
z describ$ 9 su* subsection4  7e7       
,competitive process ,! ,secret>y %all  
e/abli% a competitive process = ! aw>d (
 ! grants "u ! pilot program requir$ by 
subsection 7a74  7f7 ,selection ( grant 
recipi5ts ,9 aw>d+ grants "u ! pilot    
program requir$ by subsection 7a71 !    
,secret>y may give pref]5ce to an       
eligible recipi5t locat$ 9 a rural area 

or an und]s]v$ area4  7g7 ,use ( grant  
funds  7#a7 ,9 g5]al ,ea* eligible      
recipi5t receiv+ a grant "u ! pilot     
program requir$ by subsection 7a7 %all  
use ! grant to e/abli% or ma9ta9 a      
program z describ$ 9 su* subsection 9   
:i* m$ical resid5ts or fell[s provide   
pro bono m$ical exam9ations & op9ions = 
! purposes describ$ 9 su* subsection4   
7#b7 ,requirem5ts ,= ea* program        
e/abli%$ or ma9ta9$ ) am\nts f a grant  
"u ! pilot program-- 7,a7 m$ical        
resid5ts & fell[s %all practice "u !    
sup]vision ( att5d+ physicians 9        
accordance ) su* sup]visory requirem5ts 
z ! ,secret>y %all prescribe 9          
regulations2  7,b7 ea* att5d+ physician 
provid+ su* sup]vision %all be 9 good   
/&+ ) ! m$ical lic5s+ bo>d ( ea* ,/ate 9
 :i* ! att5d+ physician is lic5s$2  7,c7
 ea* m$ical resid5t & fell[ %all be 9   
good /&+ )-- 7i7 ! program e/abli%$ or  
ma9ta9$ ) am\nts f ! grant2 &  7ii7 !   
m$ical lic5s+ bo>d ( ea* ,/ate 9 :i* !  
resid5t or fell[ is lic5s$2  7,d7 ea*   

m$ical resid5t1 fell[1 & att5d+         
physician %all und]go tra9+ t is        
sub/antially ! same z or equival5t to   
tra9+ requir$ = m$ical exam9]s ( !      
,vet]ans ,heal? ,adm9i/ration or        
contractors ( ! ,dep>tm5t :o conduct    
m$ical exam9ations = purposes ( support+
 claims = comp5sation "u *apt] #aa (    
title #ch1 ,unit$ ,/ates ,code2  7,e7   
m$ical resid5ts %all be 9 _! second ye> 
or lat] ( a m$ical resid5cy2  7,f7 !    
program %all n *>ge vet]ans fees = !    
s]vices provid$2  7,g7 ! program %all   
scre5 individual applicants :o are      
vet]ans us+ su* income eligibility      
crit]ia z ! ,secret>y %all prescribe 9  
regulations2  7,h7 ! recipi5t ( ! grant 
%all1 on an annual basis1 provide !     
,secret>y ) an acc\nt+ ( h[ ! recipi5t  
has us$ & allocat$ grant funds2 &  7,i7 
! program %all meet su* o!r crit]ia z ! 
,secret>y may prescribe 9 regulations4  
7h7 ,=ms ,! ,secret>y %all provide to   
ea* recipi5t ( a grant "u ! pilot       
program requir$ by subsection 7a7 all   

curr5t disability b5efits que/ionnaire  
=ms ( ! ,dep>tm5t ( ,vet]ans ,affairs4  
7i7 ,outrea* ,n lat] ?an #ahj days aft] 
! date ( ! enactm5t ( ?is ,act1 !       
,secret>y %all1 9 p>tn]%ip ) vet]ans    
s]vice organizations1 implem5t an       
in=mative outrea* program = vet]ans     
reg>d+ ! availability ( s]vices f       
programs e/abli%$ or ma9ta9$ "u ! pilot 
program requir$ by subsection 7a74  7j7 
,rule ( con/ruction  7#a7 ,volunt>y     
p>ticipation ,p>ticipation by any vet]an
 9 ! pilot program requir$ by subsection
 7a7 %all be volunt>y4  7#b7 ,"r to     
m$ical exam9ation ,no?+ 9 ?is section   
%all be con/ru$ to invalidate or replace
 ! "r ( a vet]an to a m$ical exam9ation 
provid$ by an employee or contractor ( !
 ,dep>tm5t ( ,vet]ans ,affairs "u       
section #eajc;,a7d7 ( title #ch1 ,unit$ 
,/ates ,code4  7k7 ,annual reports  7#a7
 ,9 g5]al ,n less frequ5tly ?an once ea*
 ye> = ! duration ( ! pilot program     
requir$ by subsection 7a71 ! ,secret>y  
%all submit to ! ,committee on ,vet]ans'

 ,affairs ( ! ,s5ate & ! ,committee on  
,vet]ans' ,affairs ( ! ,h\se (          
,repres5tatives a report on ! pilot     
program4  7#b7 ,cont5ts ,to ! ext5t     
feasible1 ea* report submitt$ "u        
p>agraph 7#a7 %all include ! foll[+3    
7,a7 ,! av]age "t to complete m$ical    
exam9ations & op9ions "u ! pilot program
 dur+ ! p]iod cov]$ by ! report4  7,b7  
,! numb] ( m$ical exam9ations & op9ions 
complet$ "u ! pilot program dur+ su*    
p]iod4  7,c7 ,! numb] ( vet]ans s]v$ "u 
! pilot program dur+ su* p]iod4  7,d7 ,!
 numb] ( cases dur+ su* p]iod 9 :i*     
p]sonnel ( ! ,vet]ans ,b5efits          
,adm9i/ration or ! ,bo>d ( ,vet]ans'    
,appeals f\nd a m$ical exam9ation or    
op9ion "u ! pilot program to be         
inadequate = purposes ( adjudicat+ a    
claim = comp5sation "u *apt] #aa ( title
 #ch1 ,unit$ ,/ates ,code4  7,e7 ,an    
analysis by ! ,secret>y reg>d+ !        
op]ational effectiv5ess &               
co/-effectiv5ess ( ! s]vices provid$ "u 
! pilot program4  7,f7 ,su* sugge/ions z

 ! ,secret>y may h = legislative or     
adm9i/rative action to improve ! pilot  
program4  7l7 ,def9itions ,9 ?is        
section3 7#a7 ,rural area ,! t]m rural  
area means an area classifi$ z rural by 
! ,bureau ( ! ,c5sus4  7#b7 ,und]s]v$   
area ,! t]m und]s]v$ area means an area 
t meets "o or m ( ! foll[+ crit]ia3 7,a7
 ,! area has a high proportion (        
individuals :o h limit$ access to heal? 
c>e4  7,b7 ,! area has a high proportion
 ( individuals :o h limit$ access to    
legal s]vices4  7#c7 ,vet]ans s]vice    
organization ,! t]m vet]ans s]vice      
organization means an organization      
recogniz$ by ! ,secret>y = !            
repres5tation ( vet]ans "u section #eijb
 ( title #ch1 ,unit$ ,/ates ,code4