,,ii  #aag? ,,congress  #a/ ,session    
,s4 #cbee  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,novemb] #ah1 #bjba,mr4
 ,book] introduc$ ! foll[+ bill2 :i* 0  
read twice & ref]r$ to ! ,committee on  
,vet]ans' ,affairs  ,a ,,bill  ,to      
direct ! ,secret>y ( ,vet]ans ,affairs  
to increase ! numb] ( ,vet ,c5t]s 9     
c]ta9 ,/ates bas$ on population metrics1
 & = o!r purposes4  #a4 ,%ort title ,?is
 ,act may be cit$ z ! ,vet]ans          
,c5sus-,enabl$ ,national ,treatm5t      
,equitable ,res\rce ,supplem5t = ,m5tal 
,heal? ,act ( #bjba or ! ,vet ,,c5t]s = 
,m5tal ,heal? ,act ( #bjba4  #b4        
,increase 9 numb] ( ,vet ,c5t]s 9 c]ta9 
/ates bas$ on population metrics  7a7   
,increase 9 numb] ,if ! ,secret>y (     
,vet]ans ,affairs det]m9es t a ,/ate    
meets ea* requirem5t describ$ 9         
subsection 7c71 7d71 or 7e71 ! ,secret>y
 %all ensure t ! numb] ( cov]$ ,vet     
,c5t]s locat$ 9 ! ,/ate is increas$ f ! 
numb] ( cov]$ ,vet ,c5t]s t 7 locat$ 9 !
 ,/ate on ,decemb] #ca1 #bjbj1 ?r\gh !  

e/abli%m5t ( n less ?an "o additional   
cov]$ ,vet ,c5t] )9 ! ,/ate1 z          
applicable4  7b7 ,exi/+ facilities ,9   
e/abli%+ an additional cov]$ ,vet ,c5t] 
pursuant to a det]m9ation "u subsection 
7a71 ! ,secret>y may e/abli% ! cov]$    
,vet ,c5t] at a facility made available 
to ! ,secret>y by ! head ( a ,/ate1     
local gov]nm5t1 or f$]ally recogniz$    
,indian tribe to c>ry out ?is section1  
reg>dless ( :e!r su* facility is made   
available at a co/ to ! ,secret>y4  7c7 
,requirem5ts ,! requirem5ts describ$ 9  
?is subsection are1 ) respect to ! #bjbj
 cal5d> ye>1 z foll[s3 7#a7 ,! total    
population ( ! ,/ate exce$$ #f1jjj1jjj1 
z det]m9$ by ! ,bureau ( ! ,c5sus4  7#b7
 ,! av]age population d5sity ( ! ,/ate  
exce$$ #bjj individuals p] squ>e mile1 z
 det]m9$ by ! ,bureau ( ! ,c5sus4  7#c7 
,! total vet]an population 9 ! ,/ate 0  
great] ?an #bej1jjj vet]ans1 z det]m9$  
by ! ,secret>y4  7#d7 ,! ratio ( vet]an 
population 9 ! ,/ate to cov]$ ,vet      
,c5t]s locat$ 9 ! ,/ate exce$$ #ej1jjj  

vet]ans p] "o cov]$ ,vet ,c5t]1 z       
det]m9$ by ! ,secret>y 7reg>dless ( !   
numb] ( vet]ans :o receiv$ s]vices at   
cov]$ ,vet ,c5t]s locat$ 9 ! ,/ate dur+ 
su* ye>74  7d7 ,alt]native requirem5ts  
,! requirem5ts describ$ 9 ?is subsection
 are z foll[s3 7#a7 ,! ,/ate does n %>e 
a l& bord] ) ano!r ,/ate4  7#b7 ,! ,/ate
 is locat$ n less ?an #b1jjj miles f !  
contigu\s ,unit$ ,/ates4  7#c7 ,!re is  
no cov]$ ,vet ,c5t] locat$ 9 ! ,/ate4   
7e7 ,additional alt]native requirem5ts  
,! requirem5ts describ$ 9 ?is subsection
 are z foll[s3 7#a7 ,!re are few] ?an   
five cov]$ ,vet ,c5t]s locat$ 9 ! ,/ate4
  7#b7 ,! l& area ( ! ,/ate exce$s      
#ge1jjj squ>e miles4  7#c7 ,dur+ ! #bjbj
 cal5d> ye>1 ! total population ( !     
,/ate exce$$ #e1jjj1jjj individuals1 z  
det]m9$ by ! ,bureau ( ! ,c5sus4  7#d7  
,dur+ ! #bjbj cal5d> ye>1 ! ratio (     
vet]an population 9 ! ,/ate to cov]$    
,vet ,c5t]s locat$ 9 ! ,/ate exce$$     
#ge1jjj vet]ans p] "o cov]$ ,vet ,c5t]1 
z det]m9$ by ! ,secret>y 7reg>dless ( ! 

numb] ( vet]ans :o receiv$ s]vices at   
cov]$ ,vet ,c5t]s locat$ 9 ! ,/ate dur+ 
su* ye>74  7f7 ,community-,bas$         
outpati5t cl9ics ,! ,secret>y %all      
e/abli% a cov]$ community-bas$ outpati5t
 cl9ic 9 ea* ,/ate t ! ,secret>y        
det]m9es meets ! foll[+ requirem5ts3    
7#a7 ,! ,/ate does n %>e a l& bord] )   
ano!r ,/ate4  7#b7 ,! ,/ate is locat$ n 
less ?an #b1jjj miles f ! contigu\s     
,unit$ ,/ates4  7#c7 ,!re is no cov]$   
community-bas$ outpati5t cl9ic locat$ 9 
! ,/ate4  7g7 ,deadl9e ,! ,secret>y %all
 e/abli% su* additional cov]$ ,vet      
,c5t]s z may be requir$ pursuant to a   
det]m9ation "u subsection 7a71 & su*    
cov]$ community-bas$ outpati5t cl9ics z 
may be requir$ pursuant to a det]m9ation
 "u subsection 7f71 by n lat] ?an two   
ye>s aft] ! date ( ! enactm5t ( ?is     
,act4  7h7 ,def9itions ,9 ?is section3  
7#a7 ,cov]$ community-bas$ outpati5t    
cl9ic ,! t]m cov]$ community-bas$       
outpati5t cl9ic means a community-bas$  
outpati5t cl9ic ( ! ,dep>tm5t ( ,vet]ans

 ,affairs t is s*$ul$ to be op5 = !     
provision ( community-bas$ outpati5t    
s]vices = a m9imum ( eight h\rs p] day  
dur+ five days ( ! week1 except t !     
community-bas$ outpati5t cl9ic may be   
op5 = less ?an su* m9imum p]iod on a    
tempor>y basis z a result ( a ,f$]al    
holiday1 wea!r conc]n1 safety conc]n1   
p&emic1 or = su* o!r reasons z may be   
det]m9$ appropriate by ! ,secret>y4     
7#b7 ,cov]$ ,vet ,c5t] ,! t]m cov]$ ,vet
 ,c5t]-- 7,a7 means a ,vet ,c5t]1 z su* 
t]m is def9$ 9 section #agab;,a ( title 
#ch1 ,unit$ ,/ates ,code1 t is s*$ul$ to
 be op5 = ! provision ( s]vices "u su*  
section = a m9imum ( eight h\rs p] day  
dur+ five days ( ! week1 except t ! ,vet
 ,c5t] may be op5 = less ?an su* m9imum 
p]iod on a tempor>y basis z a result ( a
 ,f$]al holiday1 wea!r conc]n1 safety   
conc]n1 p&emic1 or = su* o!r reasons z  
may be det]m9$ appropriate by !         
,secret>y2 &  7,b7 does n include a ,vet
 ,c5t] out/ation4  7#c7 ,/ate ,! t]m    
,/ate has ! mean+ giv5 su* t]m 9 section

 #aja ( title #ch1 ,unit$ ,/ates ,code4