,i  #aah? ,,congress  #a/ ,session  ,h4 
,r4 #cebj  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,may #ah1 #bjbc,mrs4  
,mill]-,meeks 7= h]self1 ,mr4 ,bo/1 ,mr4
 ,b]gman1 ,mrs4 ,radewag51 ,mrs4        
,kiggans ( ,virg9ia1 ,ms4 ,mace1 ,mr4   
,murphy1 & ,mr4 ,van ,ord57 introduc$ ! 
foll[+ bill2 :i* 0 ref]r$ to !          
,committee on ,vet]ans' ,affairs  ,a    
,,bill  ,to improve ! provision ( c>e & 
s]vices "u ! ,vet]ans ,community ,c>e   
,program ( ! ,dep>tm5t ( ,vet]ans       
,affairs1 & = o!r purposes4  #a4 ,%ort  
title ,?is ,act may be cit$ z ! ,vet]an 
,c>e ,improvem5t ,act ( #bjbc4  #b4     
,codification ( access /&>ds = community
 c>e furni%$ by ! ,dep>tm5t ( ,vet]ans  
,affairs  7a7 ,access /&>ds ,section    
#agjc;,b ( title #ch1 ,unit$ ,/ates     
,code1 is am5d$-- 7#a7 by /rik+         
subsections 7a7 ?r\gh 7e7 & ins]t+ !    
foll[+3  7a7 ,access /&>ds = community  
c>e  7#a7 ,a cov]$ vet]an may receive   
hospital c>e1 m$ical s]vices1 or ext5d$ 
c>e s]vices "u section                  

#agjc7;d77#a77;,d7 ( ?is title if !     
,secret>y det]m9es ! foll[+3 7,a7 ,)    
respect to prim>y c>e1 m5tal heal? c>e1 
or ext5d$ c>e s]vices1 ! ,secret>y _c   
s*$ule an 9-p]son appo9tm5t = ! cov]$   
vet]an ) a heal? c>e provid] ( !        
,dep>tm5t = su* c>e or s]vices-- 7i7 at 
a facility ( ! ,dep>tm5t t is locat$    
less ?an a #cj-m9ute drive f ! resid5ce 
( ! cov]$ vet]an2 or  7ii7 dur+ !       
#bj-;day p]iod aft] ! date on :i* !     
cov]$ vet]an reque/s su* appo9tm5t4     
7,b7 ,) respect to specialty c>e1 !     
,secret>y _c s*$ule an 9-p]son appo9tm5t
 = ! cov]$ vet]an ) a heal? c>e provid] 
( ! ,dep>tm5t :o c provide su* c>e-- 7i7
 at a facility ( ! ,dep>tm5t t is locat$
 less ?an a #fj-m9ute drive f ! resid5ce
 ( ! cov]$ vet]an2 or  7ii7 dur+ !      
#bh-;day p]iod aft] ! date on :i* !     
cov]$ vet]an reque/s su* appo9tm5t4     
7,c7 ,) respect to resid5tial treatm5t &
 rehabilitative s]vices = alcohol or    
drug dep5d5ce1 ! ,secret>y _c provide ! 
cov]$ vet]an su* s]vices at a facility (

 ! ,dep>tm5t-- 7i7 t is locat$ less ?an 
a #cj-m9ute drive f ! resid5ce ( ! cov]$
 vet]an2 or  7ii7 dur+ ! #aj-;day p]iod 
aft] ! date on :i* ! cov]$ vet]an       
reque/s su* s]vices4  7#b7 7,a7 ,!      
,secret>y may prescribe regulations t   
e/abli% a %ort] drive or "t p]iod ?an ^?
 e/abli%$ by p>agraph 7#a74  7,b7 ,a    
cov]$ vet]an may cons5t to a long] drive
 or "t p]iod ?an e/abli%$ by p>agraph   
7#a7 7or pursuant to regulations        
prescrib$ "u p>agraph 7#b774 ,if a cov]$
 vet]an s cons5ts1 ! ,secret>y %all     
docum5t su* cons5t 9 ! electronic heal? 
record ( ! cov]$ vet]an & provide !     
cov]$ vet]an ) a copy ( su* docum5tation
 9 writ+ or ?r\gh electronic means4     
7#c7 ,9 mak+ any det]m9ation "u p>agraph
 7#a71 ! ,secret>y may n consid]-- 7,a7 
a teleheal? appo9tm5t2 or  7,b7 !       
cancellation ( an appo9tm5t unless su*  
cancellation 0 at ! reque/ ( ! cov]$    
vet]an4  7b7 ,applicability ,! ,secret>y
 %all ensure t ! access /&>ds e/abli%$  
"u subsection 7a7 apply-- 7#a7 to all   

c>e & s]vices 7except nurs+ home c>e7 )9
 ! m$ical b5efits package ( ! ,dep>tm5t 
to :i* a cov]$ vet]an is eligible "u    
section #agjc ( ?is title2 &  7#b7 to   
all cov]$ vet]ans4  7c7 ,p]iodic review 
( access /&>ds ,n lat] ?an ?ree ye>s    
aft] ! date ( ! enactm5t ( ! ,vet]an    
,c>e ,improvem5t ,act ( #bjbc1 & n less 
frequ5tly ?an once e ?ree ye>s !reaft]1 
! ,secret>y %all-- 7#a7 conduct a review
 ( ! access /&>ds "u subsection 7a7 9   
consultation )-- 7,a7 ,f$]al entities   
7includ+ ! ,dep>tm5t ( ,def5se1 !       
,dep>tm5t ( ,heal? & ,human ,s]vices1 & 
! ,c5t]s = ,m$ic>e  ,m$icaid ,s]vices7 t
 ! ,secret>y det]m9es appropriate2  7,b7
 entities & individuals 9 ! private     
sector1 includ+-- 7i7 vet]ans :o receive
 hospital c>e1 m$ical s]vices1 & ext5d$ 
c>e s]vices furni%$ by ! ,secret>y2     
7ii7 vet]ans s]vice organizations2 &    
7iii7 heal? c>e provid]s p>ticipat+ 9 ! 
,vet]ans ,community ,c>e ,program "u    
section #agjc ( ?is title2 &  7,c7 o!r  
entities t are n "p ( ! ,f$]al          

,gov]nm5t2 &  7#b7 submit to !          
appropriate committees ( ,congress a    
report on-- 7,a7 ! f9d+s ( ! ,secret>y  
"u su* review2 &  7,b7 recomm5dations ( 
! ,secret>y reg>d+ su* access /&>ds4  2 
7#b7 by /rik+ subsection 7g72  7#c7 by  
r$esignat+ subsections 7f71 7h71 & 7i7 z
 subsections 7d71 7e71 & 7f71           
respectively2  7#d7 9 subsection 7d71 z 
r$esignat$ by p>agraph 7#c7-- 7,a7 by   
/rik+ e/abli%$ ea* place x appe>s2 &    
7,b7 9 p>agraph 7#a71 by /rik+ 7#a7     
,subject to & ins]t+ ,compliance by     
community c>e provid]s ) access         
/&>ds4--7#a7 ,subject to2  7#e7 9       
subsection 7e71 z s r$esignat$-- 7,a7 9 
p>agraph 7#a7-- 7i7 by /rik+ 7#a7       
,consi/5t ) & ins]t+ ,det]m9ation reg>d+
 eligibility4--7#a7 ,consi/5t )2 &  7ii7
 by /rik+ designat$ access /&>ds        
e/abli%$ "u ?is section & ins]t+ access 
/&>ds "u subsection 7a72 &  7,b7 9      
p>agraph 7#b77;,b71 by /rik+ designat$  
access /&>ds e/abli%$ "u ?is section &  
ins]t+ access /&>ds "u subsection 7a72 &

  7#f7 9 subsection 7f71 z r$esignat$ by
 p>agraph 7#b7-- 7,a7 9 ! matt] prec$+  
p>agraph 7#a71 by /rik+ ,9 ?is section &
 ins]t+ ,def9itions4--,9 ?is section2 & 
7,b7 9 p>agraph 7#b7-- 7i7 by /rik+     
cov]$ vet]ans & ins]t+ cov]$ vet]an2 &  
7ii7 by /rik+ vet]ans describ$ & ins]t+ 
a vet]an describ$4  7b7 ,con=m+ am5dm5ts
 ,subsection 7d7 ( section #agjc ( su*  
title is am5d$-- 7#a7 9 p>agraph        
7#a77;,d71 by /rik+ designat$ access    
/&>ds develop$ by ! ,secret>y "u section
 #agjc;,b ( ?is title & ins]t+ access   
/&>ds "u section #agjc;,b7a7 ( ?is      
title2 &  7#b7 9 p>agraph 7#c71 by /rik+
 designat$ access /&>ds develop$ by !   
,secret>y "u section #agjc;,b ( ?is     
title & ins]t+ access /&>ds "u section  
#agjc;,b7a7 ( ?is title4  #c4           
,requirem5t t ,secret>y notify vet]ans (
 eligibility = c>e "u ,vet]ans          
,community ,c>e ,program ,section #agjc 
( title #ch1 ,unit$ ,/ates ,code1 is    
fur!r am5d$1 9 subsection 7a71 by add+  
at ! end ! foll[+ new p>agraph3  7#e7   

7,a7 ,! ,secret>y %all notify a cov]$   
vet]an 9 writ+ ( ! eligibility ( su*    
vet]an = c>e or s]vices "u ?is section n
 lat] ?an two bus9ess days aft] ! date  
on :i*-- 7i7 ! vet]an seeks c>e or      
s]vices "u ?is *apt]2 &  7ii7 !         
,secret>y det]m9es t ! vet]an is a cov]$
 vet]an4  7,b7 ,! ,secret>y may provide 
a cov]$ vet]an ) a p]iodic notification 
( ! eligibility ( su* cov]$ vet]an = c>e
 "u subsection 7d74  7,c7 ,any          
notification "u ?is p>agraph may be     
provid$ ?r\gh electronic means4  4  #d4 
,consid]ation "u ,vet]ans ,community    
,c>e ,program ( vet]an pref]5ce = c>e & 
ne$ = c>egiv] or att5dant ,section #agjc
 ( title #ch1 ,unit$ ,/ates ,code1 is   
fur!r am5d$1 9 subsection 7d77#b71 by   
add+ at ! end ! foll[+ new subp>agraphs3
  7,f7 ,! pref]5ce ( ! cov]$ vet]an     
reg>d+ :]e1 :51 & h[ to seek hospital   
c>e1 m$ical s]vices1 or ext5d$ c>e      
s]vices4  7,g7 ,:e!r ! cov]$ vet]an     
reque/s or requires ! assi/ance ( a     
c>egiv] or att5dant :5 seek+ hospital   

c>e1 m$ical s]vices1 or ext5d$ c>e      
s]vices4  4  #e4 ,notification ( d5ial (
 reque/ = c>e "u ,vet]ans ,community    
,c>e ,program ,section #agjc ( title    
#ch1 ,unit$ ,/ates ,code1 is fur!r      
am5d$-- 7#a7 by r$esignat+ subsection   
7o7 z subsection 7p72 &  7#b7 by ins]t+ 
aft] subsection 7n7 ! foll[+ new        
subsection 7o73  7o7 ,notification (    
d5ial ( reque/ = c>e & h[ ,to appeal    
7#a7 ,if a reque/ by a vet]an = c>e or  
s]vices "u ?is section is d5i$1 !       
,secret>y %all notify ! vet]an 9 writ+ z
 soon z possible1 b n lat] ?an two      
bus9ess days1 aft] ! d5ial is made--    
7,a7 ( ! reason = ! d5ial2 &  7,b7 )    
in/ructions on h[ to appeal su* d5ial   
us+ ! cl9ical appeals process ( !       
,vet]ans ,heal? ,adm9i/ration4  7#b7 ,if
 a d5ial "u p>agraph 7#a7 is because !  
,secret>y det]m9es t access /&>ds "u    
section #agjc;,b7a7 ( ?is title are n   
met1 notice "u su* p>agraph %all include
 an explanation ( su* det]m9ation4  7#c7
 ,any notification "u ?is subsection may

 be provid$ electronically4  4  #f4     
,provision ( in=mation reg>d+ option =  
teleheal? "u ,vet]ans ,community ,c>e   
,program ,section #agjc ( title #ch1    
,unit$ ,/ates ,code1 is fur!r am5d$--   
7#a7 by r$esignat+ subsection 7p7 z     
subsection 7q72 &  7#b7 by ins]t+ aft]  
subsection 7o7 ! foll[+ new subsection  
7p73  7p7 ,provision ( in=mation reg>d+ 
option = teleheal? ,) reg>ds to options 
= c>e or s]vices = a cov]$ vet]an "u ?is
 section1 ! ,secret>y %all ensure t !   
vet]an is in=m$ t ! vet]an may elect to 
seek c>e or s]vices via teleheal?1 ei!r 
?r\gh a m$ical facility ( ! ,dep>tm5t or
 "u ?is section1 if-- 7#a7 a heal? c>e  
provid] describ$ 9 subsection 7c7       
provides su* c>e or s]vices via         
teleheal?2 &  7#b7 ! ,secret>y det]m9es 
teleheal? is appropriate = ! type ( c>e 
or s]vices ! vet]an seeks2 &  4  #g4    
,f9ality ( decision by vet]an & vet]an's
 ref]r+ provid]  7a7 ,9 g5]al ,section  
#agjc ( title #ch1 ,unit$ ,/ates ,code1 
is fur!r am5d$-- 7#a7 by r$esignat+     

subsection 7q7 z subsection 7r72 &  7#b7
 by ins]t+ aft] subsection 7p7 ! foll[+ 
new subsection 7q73  7q7 ,f9ality (     
agreem5t betwe5 cov]$ vet]an & ref]r+   
provid] ,! ,secret>y may n ov]ride an   
agreem5t "u subsection 7d77#a77;,e7     
unless ! ,secret>y notifies ! cov]$     
vet]an & ref]r+ provid] 9 writ+ t !     
,secret>y may n provide ! c>e or s]vices
 describ$ 9 su* agreem5t4  4  7b7       
,con=m+ am5dm5t ,subsection 7d77#a77;,e7
 su* section is am5d$ by /rik+ ref]r+   
cl9ician & ins]t+ ref]r+ provid]4  #h4  
,outrea* reg>d+ c>e & s]vices "u        
,vet]ans ,community ,c>e ,program  7a7  
,requirem5t ,section #agjc ( title #ch1 
,unit$ ,/ates ,code1 is fur!r am5d$--   
7#a7 by r$esignat+ subsection 7r7 z     
subsection 7s72 &  7#b7 by ins]t+ aft]  
subsection 7q7 ! foll[+ new subsection  
7r73  7r7 ,outrea* reg>d+ availability (
 c>e & s]vices  7#a7 ,! ,secret>y %all  
conduct outrea* to in=m vet]ans ( !     
foll[+3 7,a7 ,! conditions = c>e or     
s]vices "u subsections 7d7 & 7e74  7,b7 

,h[ to reque/ su* c>e or s]vices4  7,c7 
,h[ to appeal a d5ial ( a reque/ = su*  
c>e or s]vices us+ ! cl9ical appeals    
process ( ! ,vet]ans ,heal?             
,adm9i/ration4  7#b7 ,^u enrollm5t ( a  
vet]an 9 ! sy/em ( annual pati5t        
enrollm5t e/abli%$ & op]at$ "u section  
#agje ( ?is title1 & n less frequ5tly   
?an e two ye>s !reaft]1 ! ,secret>y %all
 in=m ! vet]an ( in=mation describ$ 9   
p>agraph 7#a74  7#c7 ,! ,secret>y %all  
ensure t in=mation describ$ 9 p>agraph  
7#a7 is-- 7,a7 publicly display$ 9 ea*  
m$ical facility ( ! ,dep>tm5t2  7,b7    
prom95tly display$ on a website ( !     
,dep>tm5t2 &  7,c7 includ$ 9 o!r outrea*
 campaigns & activities conduct$ by !   
,secret>y4  4  7b7 ,solid ,/>t program  
,section #fcbj7;a77#b77;,a7 ( title #ch1
 ,unit$ ,/ates ,code1 is am5d$ by ins]t+
 1 includ+ h[ to enroll 9 ! sy/em (     
annual pati5t enrollm5t e/abli%$ &      
op]at$ "u section #agje ( ?is title & ! 
ability to seek c>e & s]vices "u        
sections #agjc & #agaj ( ?is title be=e 

! semicolon4  #i4 ,use ( value-bas$     
reimbursem5t models "u ,vet]ans         
,community ,c>e ,program  7a7 ,m&atory  
use ,section #agjc ( title #ch1 ,unit$  
,/ates ,code1 is fur!r am5d$1 9 p>agraph
 7#e7 ( subsection 7i71 by /rik+ may &  
ins]t+%all4  7b7 ,negotiation ( t]ms ,! 
,secret>y ( ,vet]ans ,affairs %all      
negotiate ) ?ird p>ty adm9i/rators to   
e/abli% ! use ( value-bas$ reimbursem5t 
models "u ! ,vet]ans ,community ,c>e    
,program "u su* p>agraph1 z am5d$ by ?is
 section4  7c7 ,report on value-,bas$   
reimbursem5t models ,n lat] ?an "o ye>  
aft] negotiat+ "u subsection 7b7 t]ms to
 e/abli% ! use ( value-bas$ reimbursem5t
 models "u ! ,vet]ans ,community ,c>e   
,program "u su* section1 ! ,secret>y1 9 
consultation ) ! ,c5t] = ,innovation =  
,c>e & ,paym5t ( ! ,dep>tm5t ( ,vet]ans 
,affairs "u section #agjc;,e ( title    
#ch1 ,unit$ ,/ates ,code1 & ! ,(fice (  
,integrat$ ,vet]an ,c>e ( ! ,dep>tm5t1  
or successor (fice1 %all submit to !    
,committee on ,vet]ans' ,affairs ( !    

,s5ate & ! ,committee on ,vet]ans'      
,affairs ( ! ,h\se ( ,repres5tatives a  
report conta9+-- 7#a7 an assessm5t ( !  
ef=ts ( ! ,dep>tm5t pursuant to section 
#agjc7;i77#e7 ( su* title1 z am5d$ by   
subsection 7a71 to incorporate          
value-bas$ reimbursem5t models to       
promote ! provision ( high-quality c>e  
to vet]ans2 &  7#b7 su* recomm5dations =
 legislative or adm9i/rative action z ! 
,secret>y consid]s appropriate to       
increase ! use ( value-bas$ reimbursem5t
 models ?r\gh\t ! ,vet]ans ,community   
,c>e ,program "u section #agjc ( su*    
title4  7d7 ,rule ( con/ruction ,?is    
section %all n be con/ru$ to be a pilot 
program subject to ! requirem5ts (      
section #agjc;,e ( title #ch1 ,unit$    
,/ates ,code4  7e7 ,?ird ,p>ty          
,adm9i/rator def9$ ,9 ?is section1 ! t]m
 ?ird p>ty adm9i/rator means an entity t
 manages a provid] network & p]=ms      
adm9i/rative s]vices relat$ to su*      
network "u section #agjc ( title #ch1   
,unit$ ,/ates ,code4  #aj4 ,ext5sion (  

deadl9e = submission ( claims by heal?  
c>e entities & provid]s "u prompt paym5t
 /&>d ,subsection 7b7 ( section #agjc;,d
 ( title #ch1 ,unit$ ,/ates ,code1 is   
am5d$-- 7#a7 by /rik+ #ahj days & ins]t+
 "o ye>2 &  7#b7 9 ! head+1 by /rik+    
submittal & ins]t+ submission4  #aa4    
,treatm5t & rehabilitative s]vices =    
vet]ans ) drug or alcohol dep5d5cy      
,section #agbj;,a ( title #ch1 ,unit$   
,/ates ,code1 is am5d$ by add+ at ! end 
! foll[+ new subsection3  7e7 ,!        
,secret>y %all det]m9e :e!r a vet]an :o 
reque/s resid5tial treatm5t &           
rehabilitative s]vices = alcohol or drug
 dep5d5ce "u ?is section requires su*   
s]vices n lat] ?an #gb h\rs aft] receipt
 ( su* reque/4  4  #ab4 ,pilot program  
to improve adm9i/ration ( c>e "u        
,vet]ans ,community ,c>e ,program  7a7  
,e/abli%m5t ,pursuant to section        
#agjc;,e ( title #ch1 ,unit$ ,/ates     
,code1 ! ,secret>y ( ,vet]ans ,affairs1 
act+ ?r\gh ! ,c5t] = ,innovation = ,c>e 
& ,paym5t ( ! ,dep>tm5t ( ,vet]ans      

,affairs1 %all seek to develop &        
implem5t a plan ) a ?ird p>ty           
adm9i/rator-- 7#a7 to provide inc5tives 
to a cov]$ heal? c>e provid]1 pursuant  
to an agreem5t ) su* ?ird p>ty          
adm9i/rator-- 7,a7 to all[ ! ,secret>y &
 ! ?ird p>ty adm9i/rator to see ! s*$ul+
 sy/em ( ! provid]1 to assess !         
availability (1 & to assi/ 9 s*$ul+     
appo9tm5ts =1 vet]ans "u ! ,vet]ans     
,community ,c>e ,program "u section     
#agjc ( su* title1 includ+ ?r\gh        
syn*ron\s1 asyn*ron\s1 & asyn*ron\s     
assi/$ digital s*$ul+2  7,b7 to complete
 cont9u+ pr(essional educational tra9+  
reg>d+ vet]an cultural compet5cy & o!r  
subjects det]m9$ appropriate by !       
,secret>y2  7,c7 to improve ! rate ( !  
timely return to ! ,secret>y ( m$ical   
record docum5tation = c>e or s]vices    
provid$ "u su* program2  7,d7 to improve
 ! timel9ess & quality ( ! deliv]y ( c>e
 & s]vices to vet]ans "u su* program2 & 
7,e7 to a*ieve o!r objectives det]m9$   
appropriate by ! ,secret>y 9            

consultation ) ?ird p>ty adm9i/rators2  
7#b7 to decrease ! rate ( no-%[         
appo9tm5ts "u su* program & consid] !   
feasibility & advisability (            
appropriately comp5sat+ su* heal? c>e   
provid]s = no-%[ appo9tm5ts "u su*      
program2 &  7#c7 )9 ea* region 9 :i* su*
 program is c>ri$ out1 to assess ne$$   
specialties & to provide inc5tives to   
community provid]s 9 su* specialties to 
p>ticipate 9 su* program4  7b7          
,value-,bas$ reimbursem5t models ,9     
develop+ a plan "u subsection 7a71 !    
,secret>y & ?ird p>ty adm9i/rators %all 
consid] value-bas$ reimbursem5t models  
"u section #agjc7;i77#e7 ( su* title1 z 
am5d$ by section #i1 to a*ieve ! goals  
"u su* subsection4  7c7 ,report+  7#a7  
,progress report ,n lat] ?an #ahj days  
aft] ! date ( ! enactm5t ( ?is ,act1 !  
,secret>y %all submit to ! ,committees  
on ,vet]ans' ,affairs ( ! ,s5ate & ,h\se
 ( ,repres5tatives a report on progress 
9 develop+ ! plan "u subsection 7a74    
7#b7 ,submission ,n lat] ?an #ij days   

aft] complet+ developm5t ( a plan "u    
subsection 7a71 ! ,secret>y %all submit 
to ! ,committees on ,vet]ans' ,affairs (
 ! ,s5ate & ,h\se ( ,repres5tatives a   
copy ( su* plan4  7#c7 ,qu>t]ly update  
,n less frequ5tly ?an qu>t]ly dur+ ! t]m
 ( ! pilot program1 ! ,secret>y %all    
submit to ! ,committees on ,vet]ans'    
,affairs ( ! ,s5ate & ,h\se (           
,repres5tatives a report conta9+ any    
updates on ! implem5tation ( su* plan4  
7#d7 ,use ( value-bas$ reimbursem5t     
models ,! ,secret>y %all include ) a    
plan submitt$ "u p>agraph 7#b7 & any    
report submitt$ "u p>agraph 7#c7-- 7,a7 
a complete li/ ( ! value-bas$           
reimbursem5t models consid]$ "u ! plan2 
7,b7 an indication ( :e!r any su* model 
has be5 implem5t$2 &  7,c7 ) respect to 
any su* model t 0 consid]$ b n          
implem5t$1 a description ( ! reasons su*
 model 0 n implem5t$4  7d7 ,no p5alty = 
n meet+ objectives ,no heal? c>e provid]
 or ?ird p>ty adm9i/rator may be p5aliz$
 = n c>ry+ out any "p ( a plan "u       

subsection 7a74  7e7 ,t]m9ation ,! pilot
 program "u ?is section %all t]m9ate    
five ye>s aft] ! date ( ! enactm5t ( ?is
 ,act4  7f7 ,def9itions ,9 ?is section3 
7#a7 ,! t]m cov]$ heal? c>e provid]     
means a heal? c>e provid]-- 7,a7        
describ$ 9 subsection 7c7 ( section     
#agjc ( su* title2  7,b7 t furni%es c>e 
or s]vices "u ! ,vet]ans ,community ,c>e
 ,program "u su* section2 &  7,c7 t is  
s]v$ by ?ird p>ty adm9i/rator4  7#b7 ,! 
t]m ?ird p>ty adm9i/rator means an      
entity t manages a network ( heal? c>e  
provid]s & p]=ms adm9i/rative s]vices   
relat$ to su* network "u section #agjc (
 su* title4  #ac4 ,inspector ,g5]al     
assessm5t ( implem5tation ( ,vet]ans    
,community ,c>e ,program  7a7 ,9 g5]al  
,n lat] ?an ?ree ye>s aft] ! date ( !   
enactm5t ( ?is ,act1 & p]iodically      
!reaft] z ! ,inspector ,g5]al ( !       
,dep>tm5t ( ,vet]ans ,affairs det]m9es  
appropriate1 ! ,inspector ,g5]al %all   
assess ! p]=mance ( ea* m$ical c5t] ( ! 
,dep>tm5t ( ,vet]ans ,affairs 9-- 7#a7  

appropriately id5tify+ vet]ans eligible 
= c>e & s]vices "u section #agjc ( title
 #ch1 ,unit$ ,/ates ,code2  7#b7 in=m+  
vet]ans ( _! eligibility = su* c>e &    
s]vices1 includ+1 if appropriate &      
applicable1 ! availability ( su* c>e &  
s]vices via teleheal?2  7#c7 deliv]+ su*
 c>e & s]vices 9 a timely mann]2 &  7#d7
 appropriately coord9at+ su* c>e &      
s]vices4  7b7 ,comm5cem5t ( assessm5t ,n
 lat] ?an "o ye> aft] ! date ( !        
enactm5t ( ?is ,act1 ! ,inspector ,g5]al
 %all comm5ce ! initial assessm5t       
requir$ by subsection 7a74