,i  #aah? ,,congress  #a/ ,session  ,h4 
,r4 #daej  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,june #ae1 #bjbc,ms4  
,br[nley introduc$ ! foll[+ bill2 :i* 0 
ref]r$ to ! ,committee on ,vet]ans'     
,affairs  ,a ,,bill  ,to improve !      
provision ( heal? c>e furni%$ by !      
,dep>tm5t ( ,vet]ans ,affairs = vet]ans 
diagnos$ ) diabetes & he>t disease1 & = 
o!r purposes4  #a4 ,%ort title ,?is ,act
 may be cit$ z ! ,improv+ ,:ole ,heal? =
 ,vet]ans ) ,*ronic ,conditions ,act4   
#b4 ,s5se ( ,congress ,x is ! s5se (    
,congress t-- 7#a7 ! ,dep>tm5t (        
,vet]ans ,affairs has pione]$ a :ole    
heal? approa* to heal? c>e t provides   
access to alt]native m$ic9es1 deliv]s a 
holi/ic approa* to heal? & well-be+1 &  
repeat$ly demon/rates bett] heal?       
outcomes ?an ! private sector at a l[   
co/ to taxpay]s 9 ! ,unit$ ,/ates2  7#b7
 ! effects ( poor d5tal c>e are %[n to  
wors5 ! symptoms ( diabetes & he>t      
disease2  7#c7 diabetes & he>t disease  
are %[n to increase risk ( p]iodontal   

disease2  7#d7 ! comb9ation ( diabetes1 
he>t disease1 & p]iodontal disease c be 
fatal2 &  7#e7 to be/ a*ieve a :ole     
heal? model = ! provision ( heal? c>e to
 vet]ans ) diabetes & he>t disease &    
r$uce long-t]m co/s1 ! ,dep>tm5t mu/    
furni% prev5tative & compreh5sive d5tal 
c>e to vet]ans diagnos$ ) diabetes &    
he>t disease4  #c4 ,def9itions ,9 ?is   
,act3 7#a7 ,cov]$ c>e ,! t]m cov]$ c>e  
means d5tal c>e t is compreh5sive 9     
nature & consi/5t ) ! d5tal s]vices &   
treatm5t furni%$ by ! ,secret>y (       
,vet]ans ,affairs to vet]ans pursuant to
 section #agab7;a77#a77;,g7 ( title #ch1
 ,unit$ ,/ates ,code4  7#b7 ,cov]$      
vet]an ,! t]m cov]$ vet]an means a      
vet]an :o-- 7,a7 is enroll$ 9 ! sy/em ( 
annual pati5t enrollm5t ( ! ,dep>tm5t ( 
,vet]ans ,affairs e/abli%$ & op]at$ "u  
subsection 7a7 ( section #agje ( title  
#ch1 ,unit$ ,/ates ,code1 pursuant to   
p>agraph 7#a7 or 7#b7 ( su* subsection  
or is n enroll$ 9 su* sy/em b is o!rwise
 entitl$ to hospital c>e & m$ical       

s]vices "u subsection 7c77#b7 ( su*     
section2  7,b7 is n eligible = d5tal    
s]vices & treatm5t & relat$ d5tal       
appliances "u ! laws adm9i/]$ by !      
,secret>y ( ,vet]ans ,affairs z ( ! date
 ( ! enactm5t ( ?is ,act2 &  7,c7 has a 
diagnosis (-- 7i7 type #a or type #b    
diabetes2 or  7ii7 is*emic he>t disease4
  #d4 ,pilot program to furni% d5tal c>e
 f ! ,dep>tm5t ( ,vet]ans ,affairs to   
c]ta9 vet]ans diagnos$ ) diabetes or    
is*emic he>t disease  7a7 ,9 g5]al      
,comm5c+ n lat] ?an "o ye> aft] ! date (
 ! enactm5t ( ?is ,act1 ! ,secret>y (   
,vet]ans ,affairs %all c>ry out a pilot 
program 79 ?is section ref]r$ to z !    
pilot program7 "u :i* ! ,secret>y %all  
furni% cov]$ c>e to cov]$ vet]ans = !   
duration ( ! pilot program4  7b7        
,duration ,! pilot program %all be c>ri$
 out dur+ ! f\r-ye> p]iod beg9n+ on !   
date ( ! comm5cem5t ( ! pilot program4  
7c7 ,locations  7#a7 ,9 g5]al ,!        
,secret>y %all c>ry out ! pilot program 
at ! foll[+ locations3 7,a7 ,ea* m$ical 

c5t] ( ! ,dep>tm5t ) an e/abli%$ d5tal  
cl9ic4  7,b7 ,ea* community-bas$        
outpati5t cl9ic ) an e/abli%$ d5tal     
cl9ic4  7#b7 ,mobile d5tal cl9ics ,9    
c>ry+ out ! pilot program1 ! ,secret>y  
%all te/ ! efficacy ( mobile d5tal      
cl9ics to s]vice rural areas t d n h a  
population base to w>rant a full-"t     
cl9ic b :]e !re are cov]$ vet]ans 9 ne$ 
( d5tal c>e4  7#c7 ,home-bas$ d5tal c>e 
,9 c>ry+ out ! pilot program1 !         
,secret>y %all te/ ! efficacy ( portable
 d5tal c>e units to s]vice rural vet]an 
9 _! homes1 z ! ,secret>y consid]s      
m$ically appropriate4  7d7 ,d5tal       
!rapi/s & tele-,d5ti/ry  7#a7 ,9 g5]al  
,9 c>ry+ out ! pilot program1 ,!        
,secret>y %all te/ ! efficacy ( ! use ( 
d5tal !rapi/s & tele-d5ti/ry to s]vice !
 d5tal c>e ne$s ( cov]$ vet]ans4  7#b7  
,use ( tele-d5ti/ry ,:5 provid+         
tele-d5ti/ry "u p>agraph 7#a71 !        
,secret>y %all use ,f$]al employees to !
 maximum ext5t possible4  7e7           
,adm9i/ration  7#a7 ,notice to cov]$    

vet]ans ,9 c>ry+ out ! pilot program1 ! 
,secret>y %all in=m all cov]$ vet]ans ( 
! cov]$ c>e available "u ! pilot        
program4  7#b7 ,copaym5ts ,! ,secret>y  
may collect copaym5ts = cov]$ c>e       
furni%$ "u ! pilot program 9 accordance 
) au?orities on ! collection ( copaym5ts
 = m$ical c>e ( vet]ans "u *apt] #ag (  
title #ch1 ,unit$ ,/ates ,code4  7f7    
,reports  7#a7 ,9 g5]al ,n lat] ?an #ij 
days be=e ! completion ( ! pilot        
program1 & n lat] ?an #ahj days aft] !  
completion ( ! pilot program1 !         
,secret>y %all submit to ! ,committee on
 ,vet]ans' ,affairs & ! ,committee on   
,arm$ ,s]vices ( ! ,s5ate & ! ,committee
 on ,vet]ans' ,affairs & ! ,committee on
 ,arm$ ,s]vices ( ! ,h\se (             
,repres5tatives a report on ! pilot     
program4  7#b7 ,cont5ts ,ea* report "u  
p>agraph 7#a7 %all include ! foll[+3    
7,a7 ,a description ( ! implem5tation & 
op]ation ( ! provision ( cov]$ c>e "u ! 
pilot program4  7,b7 ,! numb] ( cov]$   
vet]ans receiv+ cov]$ c>e "u ! pilot    

program & a description ( ! cov]$ c>e   
furni%$ to su* vet]ans4  7,c7 ,an       
analysis ( ! co/s & b5efits ( cov]$ c>e 
provid$ "u ! pilot program1 includ+ a   
comp>ison ( co/s & b5efits by location  
type4  7,d7 ,an assessm5t ( ! impact ( !
 pilot program on appo9tm5ts = c>e1     
prescriptions1 hospitalizations1 em]g5cy
 room visits1 wellness1 employability1  
satisfaction1 & p]ceiv$ quality ( life (
 cov]$ vet]ans relat$ to _! diagnosis ( 
diabetes or is*emic he>t disease4  7,e7 
,an analysis & assessm5t ( ! efficacy ( 
mobile cl9ics & portable d5tal c>e      
units1 to ! ext5t su* modalities are    
us$1 to s]vice ! ne$s ( cov]$ vet]ans "u
 ! pilot program4  7,f7 ,an analysis &  
assessm5t ( ! efficacy ( d5tal !rapi/s &
 tele-d5ti/ry to s]vice ! ne$s ( cov]$  
vet]ans "u ! pilot program1 to include a
 co/ b5efit analysis ( su* s]vices4     
7,g7 ,! f9d+s & conclusions ( !         
,secret>y ) respect to ! pilot program4 
7,h7 ,su* recomm5dations z ! ,secret>y  
consid]s appropriate = ! expansion (    

d5tal c>e to all vet]ans eligible =     
heal? c>e f ! ,dep>tm5t4  7g7 ,impact on
 community c>e ,no?+ 9 ?is section      
limits a cov]$ vet]an f access+ c>e or  
s]vices pursuant to section #agjc (     
title #ch1 ,unit$ ,/ates ,code4  #e4    
,/ud5t loan repaym5t program to         
inc5tivize d5tal tra9+ & ensure ! d5tal 
work=ce ( ! ,dep>tm5t ( ,vet]ans        
,affairs  7a7 ,program requir$ ,!       
,secret>y ( ,vet]ans ,affairs1 to ensure
 t ! ,dep>tm5t ( ,vet]ans ,affairs has  
suffici5t /aff to provide cov]$ c>e to  
cov]$ vet]ans1 %all implem5t a loan     
reimbursem5t program = qualifi$ d5ti/s1 
d5tal hygi5i/s1 & oral surgeons :o      
agree-- 7#a7 to be appo9t$ by !         
,secret>y z a d5ti/1 d5tal hygi5i/1 or  
oral surgeon1 z ! case may be1 "u       
section #gdja ( title #ch1 ,unit$ ,/ates
 ,code2 &  7#b7 to s]ve z a d5ti/1 d5tal
 hygi5i/1 or oral surgeon1 z ! case may 
be1 ( ! ,dep>tm5t pursuant to su*       
appo9tm5t at a d5tal cl9ic ( ! ,dep>tm5t
 select$ "u subsection 7c7 = a p]iod t  

is n less ?an ! duration ( ! pilot      
program "u section #d4  7b7 ,maximum    
am\nt  7#a7 ,9 g5]al ,except z provid$ 9
 p>agraph 7#b71 ! ,secret>y may         
reimburse n m ?an-- 7,a7 #ajj1jjj = ea* 
d5ti/ p>ticipat+ 9 ! program "u         
subsection 7a72  7,b7 #be1jjj = ea*     
d5tal hygi5i/ p>ticipat+ 9 su* program2 
&  7,c7 #dj1jjj = ea* cr$5tial$ doctor (
 m$ic9e 9 d5ti/ry s]v+ z an oral surgeon
 & p>ticipat+ 9 su* program4  7#b7 ,dual
 eligibility ,! ,secret>y may reimburse 
an individual s]v+ 9 multiple positions 
describ$ 9 subp>agraphs 7,a7 ?r\gh 7,c7 
( p>agraph 7#a7 n m ?an #adj1jjj4  7c7  
,selection ( locations ,! ,secret>y %all
 monitor dem& among cov]$ vet]ans =     
cov]$ c>e & require p>ticipants 9 !     
program "u subsection 7a7 to *oose f    
d5tal cl9ics ( ! ,dep>tm5t ) ! greate/  
ne$ = d5ti/s1 d5tal hygi5i/s1 or oral   
surgeons1 z ! case may be1 accord+ to   
facility enrollm5t & pati5t dem&4  #f4  
,au?orization ( appropriations  7a7 ,9  
g5]al ,!re is au?oriz$ to be appropriat$

 = ! ,dep>tm5t ( ,vet]ans ,affairs =    
fiscal ye> #bjbd su* sums z may be      
necess>y to c>ry out ?is ,act4  7b7     
,availability ,! am\nt au?oriz$ to be   
appropriat$ "u subsection 7a7 %all be   
available = obligation = ! eight-ye>    
p]iod beg9n+ on ! date t is "o ye> aft] 
! date ( ! enactm5t ( ?is ,act4