,i  #aah? ,,congress  #a/ ,session  ,h4 
,r4 #fcgc  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,novemb] #ac1         
#bjbc,mr4 ,b]gman 7= himself1 ,mrs4     
,d+ell1 ,mr4 ,bo/1 & ,ms4 ,br[nley7     
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,vet]ans' ,affairs  ,a 
,,bill  ,to am5d title #ch1 ,unit$      
,/ates ,code1 to direct ! ,secret>y (   
,vet]ans ,affairs to (f] annual         
prev5tative heal? evaluations to vet]ans
 ) a sp9al cord injury or disord] &     
increase access to assi/ive te*nologies1
 & = o!r purposes4  #a4 ,%ort title ,?is
 ,act may be cit$ z ! ,vet]ans ,sp9al   
,trauma ,access to ,new ,devices ,act or
 ! ,vet]ans ,,/& ,act4  #b4 ,provision (
 prev5tative heal? evaluations = vet]ans
 ) a sp9al cord injury or disord]       
,section #agjf ( title #ch1 ,unit$      
,/ates ,code1 is am5d$ by add+ at ! end 
! foll[+ new subsection3  7d7 7#a7 ,9   
manag+ ! provision ( hospital c>e &     
m$ical s]vices "u section #agaj7;a7 (   
?is title1 ! ,secret>y %all furni%      

7?r\gh direct provision ( s]vice1       
ref]ral1 or a teleheal? program op]at$  
by ! ,dep>tm5t7 a prev5tative heal?     
evaluation annually to any vet]an ) a   
sp9al cord injury or disord] :o elects  
to und]go ! evaluation4  7#b7 ,!        
evaluation describ$ 9 p>agraph 7#a7 %all
 include ! foll[+3 7,a7 ,an assessm5t ( 
any circum/ance or condition ! vet]an is
 exp]i5c+ t indicates a risk = any heal?
 complication relat$ to ! sp9al cord    
injury or disord]1 includ+ a risk (     
comorbidities4  7,b7 ,an assessm5t      
reg>d+ *ronic pa9 &1 if applicable1 !   
managem5t ( *ronic pa94  7,c7 ,an       
assessm5t reg>d+ diet>y managem5t &     
weight managem5t4  7,d7 ,an assessm5t   
reg>d+ pro/hetic equipm5t1 includ+ :i*  
pro/hetic equipm5t ! vet]an ne$s1 h[    
well any exi/+ pro/hetic equipm5t is    
function+ consid]+ ! ne$s ( ! vet]an1 & 
any safety conc]ns reg>d+ ! pro/hetic   
equipm5t 9 use by or recomm5d$ to !     
vet]an4  7,e7 ,an assessm5t = !         
provision ( any assi/ive te*nology t    

c\ld help maximize ! indep5d5ce &       
mobility ( ! vet]an4  7#c7 7,a7 ,9      
ma9ta9+1 prescrib+1 or am5d+ any        
guidance1 rules1 or regulations issu$ by
 ! ,dep>tm5t reg>d+ ! requirem5ts set   
out 9 ?is subsection1 ! ,secret>y %all  
consult ) ! sp9al cord injury & disord] 
program manag]s ( ! ,dep>tm5t1 cl9icians
 employ$ by ! ,dep>tm5t z speciali/s 9  
sp9al cord injuries & disord]s1 & !     
organizations nam$ 9 or approv$ "u      
section #eijb ( ?is title4  7,b7 ,be=e  
issu+ any guidance1 rules1 or           
regulations reg>d+ ! requirem5ts set out
 9 ?is subsection1 ! ,secret>y %all     
consult ) manufactur]s ( assi/ive       
te*nologies & o!r entities relevant to !
 provision ( assi/ive te*nologies if !  
guidance1 rules1 or regulations w\ld    
directly affect su* manufactur]s or     
entities4  7,c7 ,! ,secret>y %all       
ensure1 to ! ext5t possible1 t any      
vet]an kn[n by ! ,secret>y to h a sp9al 
cord injury or disord] receives         
in=mation annually ab\t ! evaluation    

available "u ?is subsection & ! b5efits 
to ! vet]an ( *oos+ to und]go !         
evaluation4  7#d7 ,n lat] ?an "o ye>    
aft] ! date ( ! enactm5t ( ! ,vet]ans   
,sp9al ,trauma ,access to ,new ,devices 
,act1 & e two ye>s !reaft]1 ! ,secret>y 
%all submit to ! ,committees on         
,vet]ans' ,affairs ( ! ,s5ate & ! ,h\se 
( ,repres5tatives a report t includes ! 
foll[+3 7,a7 ,= ! p]iod cov]$ by !      
report1 ! numb] ( vet]ans :o-- 7i7      
receiv$ m$ical c>e or hospital s]vices f
 ! ,dep>tm5t & us$ an assi/ive          
te*nology2  7ii7 receiv$ m$ical c>e or  
hospital s]vices f ! ,dep>tm5t & 7      
assess$ = ! provision ( an assi/ive     
te*nology2 &  7iii7 receiv$ m$ical c>e  
or hospital s]vices f ! ,dep>tm5t & 7   
prescrib$ an assi/ive te*nology4  7,b7  
,! ye>-to-ye> *ange 7= ! p]iod cov]$ by 
! report1 includ+ ! two ye>s imm$iately 
prior to ye> ! report is submitt$7 9 !  
p]c5t ( vet]ans ) a sp9al cord injury or
 disord] :o receiv$ an evaluation "u ?is
 subsection4  7#e7 ,9 review+ ! p]=mance

 metrics ( a ,vet]ans ,integrat$ ,s]vice
 ,network = any ye> beg9n+ aft] ! date t
 is "o ye> aft] ! date ( ! enactm5t ( ! 
,vet]ans ,sp9al ,trauma ,access to ,new 
,devices ,act1 ! ,secret>y %all consid] 
! provision ( evaluations "u p>agraph   
7#a74  7#f7 ,9 ?is subsection1 ! t]m    
assi/ive te*nology means a p[]$ m$ical  
device or electronic tool us$ to treat  
or alleviate symptoms or conditions     
caus$ by a sp9al cord injury or disord]1
 includ+ ! foll[+3 7,a7 ,a p]sonal      
mobility device1 includ+ a p[]$         
exoskeleton device4  7,b7 ,a spee*      
g5]at+ device4  4