#aah? ,,congress #b;d ,session ,s4 #ada ,,an ,,act ,to am5d title #ch1 ,unit$ ,/ates ,code1 to improve c]ta9 programs ( ! ,dep>tm5t ( ,vet]ans ,affairs = home & community bas$ s]vices = vet]ans1 & = o!r purposes4 #a4 ,%ort title2 table ( cont5ts 7a7 ,%ort title ,?is ,act may be cit$ z ! ,s5ator ,elizabe? ,dole #ba/ ,c5tury ,vet]ans ,heal?c>e & ,b5efits ,improvem5t ,act4 7b7 ,table ( cont5ts ,! table ( cont5ts = ?is ,act is z foll[s3 ,sec4 #a4 ,%ort title2 table ( cont5ts4,,title ,i--,heal? ,c>e ,matters,subtitle ,a--,vet]ans ,community ,c>e ,program ,matters,sec4 #aja4 ,implem5tation ( provision ( c>e "u ,vet]ans ,community ,c>e ,program ^u det]m9ation ( eligibility by vet]an & vet]an's ref]r+ cl9ician4,sec4 #ajb4 ,outrea* reg>d+ c>e & s]vices "u ,vet]ans ,community ,c>e ,program4,sec4 #ajc4 ,annual review & report on waiv]s ( c]ta9 paym5t rates "u ,vet]ans ,community ,c>e ,program4,sec4 #ajd4 ,modification ( requirem5ts = /&>ds = quality ( c>e f ,dep>tm5t ( ,vet]ans ,affairs4,sec4 #aje4 ,pilot program to improve adm9i/ration ( c>e "u ,vet]ans ,community ,c>e ,program4,sec4 #ajf4 ,pilot program on consolidat+ approval process ( ,dep>tm5t ( ,vet]ans ,affairs = cov]$ d5tal c>e4,sec4 #ajg4 ,/rategic plan on value-bas$ heal? c>e sy/em = ,vet]ans ,heal? ,adm9i/ration2 pilot program4,sec4 #ajh4 ,plan on adoption ( c]ta9 heal? in=mation /&>ds = ,dep>tm5t ( ,vet]ans ,affairs & c]ta9 heal? c>e provid]s4,sec4 #aji4 ,report on use ( value-bas$ reimbursem5t models "u ,vet]ans ,community ,c>e ,program4,sec4 #aaj4 ,inspector ,g5]al assessm5t ( implem5tation ( ,vet]ans ,community ,c>e ,program4,sec4 #aaa4 ,comptroll] ,g5]al report on d5ti/ry "u ,vet]ans ,community ,c>e ,program4,subtitle ,b--,matt]s ,relat+ to ,nurs+ ,home & ,o!r ,long ,t]m ,c>e & ,family ,caregivers,sec4 #abj4 ,increase ( exp5diture cap = non9/itutional c>e alt]natives to nurs+ home c>e4,sec4 #aba4 ,coord9ation ) ,program ( ,all-,inclusive ,c>e = ! ,eld]ly4,sec4 #abb4 ,au?ority = ,secret>y ( ,vet]ans ,affairs to aw>d grants or contracts to entities to improve provision ( m5tal heal? support to family c>egiv]s ( vet]ans4,sec4 #abc4 ,home- & community-bas$ s]vices3 programs4,sec4 #abd4 ,coord9ation ) assi/ance & support s]vices = c>egiv]s4,sec4 #abe4 ,improvem5ts to program ( compreh5sive assi/ance = family c>egiv]s4,sec4 #abf4 ,improvem5ts relat+ to ,homemak] & ,home ,heal? ,aide program4,sec4 #abg4 ,pilot program to furni% assi/$ liv+ s]vices to c]ta9 vet]ans4,sec4 #abh4 ,provision ( m$ic9e1 equipm5t1 & supplies available to ,dep>tm5t ( ,vet]ans ,affairs to ,/ate homes4,sec4 #abi4 ,recognition ( organizations & individuals to assi/ vet]ans1 family memb]s1 & c>egiv]s navigat+ programs & s]vices ( ,vet]ans ,heal? ,adm9i/ration4,sec4 #acj4 ,reviews & o!r improvem5ts relat+ to home- & community-bas$ s]vices4,sec4 #aca4 ,,gao report on m5tal heal? support = c>egiv]s4,sec4 #acb4 ,developm5t ( c5traliz$ website = program in=mation4,sec4 #acc4 ,def9itions4,subtitle ,c--,m$ical ,treatm5t & ,o!r ,matters,sec4 #adj4 ,qu>t]ly report on ref]rals = non-,dep>tm5t ( ,vet]ans ,affairs heal? c>e4,sec4 #ada4 ,elim9ation ( c]ta9 requirem5ts = c]ta9 ,dep>tm5t ( ,vet]ans ,affairs ,assi/ant ,"u ,secret>ies4,sec4 #adb4 ,modification ( pay limitation = physicians1 podiatri/s1 optometri/s1 & d5ti/s ( ,dep>tm5t ( ,vet]ans ,affairs4,sec4 #adc4 ,reimbursem5t ( ambulance co/ = c>e = c]ta9 rural vet]ans4,sec4 #add4 ,pilot program to furni% d5tal c>e f ! ,dep>tm5t ( ,vet]ans ,affairs to c]ta9 vet]ans diagnos$ ) is*emic he>t disease4,sec4 #ade4 ,docum5tation ( pref]5ces ( vet]ans = s*$ul+ ( appo9tm5ts = heal? c>e "u laws adm9i/]$ by ,secret>y ( ,vet]ans ,affairs4,sec4 #adf4 ,/aff+ model & p]=mance metrics = c]ta9 employees ( ! ,dep>tm5t ( ,vet]ans ,affairs4,sec4 #adg4 ,onl9e heal? education portal = vet]ans enroll$ 9 pati5t enrollm5t sy/em ( ,dep>tm5t ( ,vet]ans ,affairs4,sec4 #adh4 ,limitation on detail ( directors ( m$ical c5t]s ( ,dep>tm5t ( ,vet]ans ,affairs to diff]5t positions4,sec4 #adi4 ,national ,vet]an ,suicide ,prev5tion ,annual ,report4,sec4 #aej4 ,report on physical infra/ructure requir$ by m$ical facilities ( ,dep>tm5t ( ,vet]ans ,affairs to provide d5tal c>e s]vices4,sec4 #aea4 ,comptroll] ,g5]al report on c]ta9 oral heal? c>e programs "u laws adm9i/]$ by ,secret>y ( ,vet]ans ,affairs4,sec4 #aeb4 ,review ( workfl[s associat$ ) process+ ref]rals betwe5 facilities ( ! ,vet]ans ,heal? ,adm9i/ration4,sec4 #aec4 ,plan = timely s*$ul+ ( appo9tm5ts at m$ical facilities ( ,dep>tm5t ( ,vet]ans ,affairs4,sec4 #aed4 ,au?orization ( appropriations to support initiatives = mobile mammography s]vices = vet]ans4,,title ,,ii--,economic ,opportunity ,matters,subtitle ,a--,educational ,assistance,sec4 #bja4 ,tempor>y expansion ( eligibility = ,m>9e ,gunn]y ,s]geant ,john ,david ,fry ,s*ol>%ip4,sec4 #bjb4 ,removal ( expiration on entitlem5t to ,m>9e ,gunn]y ,s]geant ,john ,david ,fry ,s*ol>%ip = surviv+ sp\ses4,sec4 #bjc4 ,sole liability = transf]r$ educational assi/ance by an individual :o fails to complete a s]vice agreem5t4,sec4 #bjd4 ,notice to educational in/itutions ( risk-bas$ surveys4,sec4 #bje4 ,relation%ip ( p>ticipation by an educational in/itution 9 c]ta9 ,f$]al /ud5t f9ancial aid programs to approval ( su* in/itution = purposes ( ,dep>tm5t ( ,vet]ans ,affairs educational assi/ance programs4,sec4 #bjf4 ,expansion ( ,dep>tm5t ( ,vet]ans ,affairs ov]sight ( c]ta9 educational in/itutions4,sec4 #bjg4 ,requirem5t t educational in/itutions approv$ = purposes ( ,dep>tm5t ( ,vet]ans ,affairs educational assi/ance programs provide digital (ficial transcripts4,sec4 #bjh4 ,paym5t ( full mon?ly h\s+ /ip5d = vet]ans enroll$ 9 f9al seme/] us+ educational assi/ance "u ,po/-#i_/aa ,educational ,assi/ance ,program4,sec4 #bji4 ,modification ( rules = approval ( comm]cial driv] education programs = purposes ( educational assi/ance programs ( ! ,dep>tm5t ( ,vet]ans ,affairs4,sec4 #baj4 ,provision ( c]tificates ( eligibility & aw>d lett]s us+ electronic means4,sec4 #baa4 ,retroactive effective date ( law reg>d+ *>ge to entitlem5t to educational assi/ance = individuals :o d n transf] cr$its f c]ta9 clos$ or disapprov$ programs ( education4,sec4 #bab4 ,dep>tm5t ( ,vet]ans ,affairs high te*nology program4,sec4 #bac4 ,notice ( *anges to ,dep>tm5t ( ,vet]ans ,affairs policies & guidance affect+ ! educational assi/ance programs ( ! ,dep>tm5t4,sec4 #bad4 ,paym5t ( ,,va educational assi/ance via electronic fund transf] to a =eign in/itution ( high] education4,sec4 #bae4 ,improv+ transp>5cy & acc\ntability ( educational in/itutions = purposes ( vet]ans educational assi/ance4,subtitle ,b--,employm5t & ,training,sec4 #bba4 ,improvem5ts to reemploym5t rights ( memb]s ( ! ,arm$ ,=ces4,sec4 #bbb4 ,review ( inve/igations manual ( ,vet]ans' ,employm5t & ,tra9+ ,s]vice4,sec4 #bbc4 ,w>rior ,tra9+ ,advancem5t ,c\rse4,subtitle ,c--,home ,loans,sec4 #bca4 ,improvem5ts to program = direct h\s+ loans made to ,native ,am]ican vet]ans by ! ,secret>y ( ,vet]ans ,affairs4,sec4 #bcb4 ,native community developm5t f9ancial in/itution rel5d+ program4,,title ,,iii--,disability & ,memorial ,affairs ,matters,sec4 #cja4 ,burial all[ance = c]ta9 vet]ans :o die at home :ile 9 receipt ( hospice c>e furni%$ by ,dep>tm5t ( ,vet]ans ,affairs4,sec4 #cjb4 ,au?ority = ,secret>y ( ,vet]ans ,affairs to aw>d grants to ,/ates & ,indian ,tribes to improve outrea* to vet]ans4,sec4 #cjc4 ,def9ition ( surviv+ sp\se4,sec4 #cjd4 ,ensur+ only lic5s$ heal? c>e pr(essionals p]=m m$ical disability exam9ations "u c]ta9 ,dep>tm5t ( ,vet]ans ,affairs pilot program4,sec4 #cje4 ,provision ( in=mation reg>d+ an ag5t or attorney to a lic5s$ heal? c>e pr(essional :o p]=ms a m$ical disability exam9ation "u c]ta9 ,dep>tm5t ( ,vet]ans ,affairs pilot program4,sec4 #cjf4 ,mod]nization ( ,dep>tm5t ( ,vet]ans ,affairs disability b5efit que/ionnaires4,sec4 #cjg4 ,dep>tm5t ( ,vet]ans ,affairs automatic process+ ( c]ta9 claims = tempor>y disability rat+s4,,title ,,iv--,homelessness ,matters,sec4 #dja4 ,%ort title4,sec4 #djb4 ,p] diem paym5ts provid$ by ! ,secret>y ( ,vet]ans ,affairs = s]vices furni%$ to homeless vet]ans4,sec4 #djc4 ,au?orization = ,secret>y ( ,vet]ans ,affairs to use c]ta9 funds = improv$ flexibility 9 assi/ance to homeless vet]ans4,sec4 #djd4 ,access to ,dep>tm5t ( ,vet]ans ,affairs teleheal? s]vices4,,title ,v--,ov]sight & ,inve/igations ,matters,sec4 #eja4 ,dep>tm5t ( ,vet]ans ,affairs employee tra9+ reg>d+ ,(fice ( ,inspector ,g5]al4,sec4 #ejb4 ,annual review ( security at cov]$ facilities ( ! ,dep>tm5t ( ,vet]ans ,affairs4,sec4 #ejc4 ,modification ( c]ta9 h\s+ loan fees4 ,i ,heal? ,c>e ,matt]s ,a ,vet]ans ,community ,c>e ,program ,matt]s #aja4 ,implem5tation ( provision ( c>e "u ,vet]ans ,community ,c>e ,program ^u det]m9ation ( eligibility by vet]an & vet]an's ref]r+ cl9ician 7a7 ,9 g5]al ,dur+ ! p]iod specifi$ 9 subsection 7c71 ! ,secret>y ( ,vet]ans ,affairs %all implem5t section #agjc7;d77#a77;,e7 ( title #ch1 ,unit$ ,/ates ,code1 9 compliance ) ! implem5t+ regulations = su* section "u section #ag4djaj7;a77#e7 ( title #ch1 ,code ( ,f$]al ,regulations1 su* t ! det]m9ation ( eligibility = c>e is f9al & %all be made by ! vet]an & ! vet]an's ref]r+ cl9ician4 7b7 ,correction ( errors ,a cov]$ vet]an & ! ref]r+ cl9ician ( su* vet]an may correct any errors made ) respect to a det]m9ation describ$ 9 subsection 7a74 7c7 ,p]iod specifi$ ,! p]iod specifi$ 9 ?is subsection is ! two-ye> p]iod beg9n+ on ! date t is #ij days aft] ! date ( ! enactm5t ( ?is ,act4 7d7 ,report ,n lat] ?an "o ye> & n lat] ?an two ye>s aft] ! comm5cem5t ( ! p]iod specifi$ by subsection 7c71 ! ,secret>y ( ,vet]ans ,affairs %all submit to ,congress a report on ! c>e provid$ "u section #agjc7;d77#a77;,e7 ( title #ch1 ,unit$ ,/ates ,code1 dur+ ! "o-ye> p]iod prec$+ ! date ( ! report1 includ+-- 7#a7 ! numb] ( in/ances ( c>e provid$2 7#b7 ! type ( c>e provid$2 & 7#c7 ! co/ ( su* c>e4 7e7 ,rule ( con/ruction ,no?+ 9 ?is section %all be con/ru$ to limit ! ,secret>y's au?ority to prescribe1 am5d1 or resc9d regulations "u section #agjc ( title #ch1 ,unit$ ,/ates ,code4 7f7 ,cov]$ vet]an def9$ ,9 ?is section1 ! t]m cov]$ vet]an has ! mean+ giv5 t t]m 9 section #agjc7;b7 ( title #ch1 ,unit$ ,/ates ,code4 #ajb4 ,outrea* reg>d+ c>e & s]vices "u ,vet]ans ,community ,c>e ,program 7a7 ,requirem5t ,section #agjc ( title #ch1 ,unit$ ,/ates ,code1 is am5d$-- 7#a7 by r$esignat+ subsection 7o7 z subsection 7p72 & 7#b7 by ins]t+ aft] subsection 7n7 ! foll[+ new subsection 7o73 7o7 ,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 7c7 ,comptroll] ,g5]al report on outrea* ,n lat] ?an two ye>s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all submit to ,congress a report on ! ef=ts ( ! ,secret>y ( ,vet]ans ,affairs to ensure t vet]ans are in=m$ ( ! conditions = eligibility = c>e & s]vices "u section #agjc ( title #ch1 ,unit$ ,/ates ,code1 includ+ su* ef=ts to conduct outrea* pursuant to subsection 7o7 ( su* section 7z add$ by subsection 7a774 #ajc4 ,annual review & report on waiv]s ( c]ta9 paym5t rates "u ,vet]ans ,community ,c>e ,program 7a7 ,9 g5]al ,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 ,annual review & report on waiv]s ( paym5t rates 7#a7 ,on an annual basis1 ! ,secret>y %all-- 7,a7 conduct a review ( waiv]s ( paym5t rates "u subsection 7i7 = ,?ird ,p>ty ,adm9i/rators to id5tify :e!r su* waiv]s help to alleviate community-specific *all5ges1 includ+ sc>city ( m$ical s]vices associat$ ) access to heal? c>e2 & 7,b7 submit to ,congress a report on ! results ( su* review4 7#b7 ,ea* report "u p>agraph 7#a77;,b7 %all include1 ) respect to ! p]iod cov]$ by ! report-- 7,a7 a /atem5t1 disaggregat$ by region1 ( ! total numb] ( waiv]s describ$ 9 subp>agraph 7,a7 ( su* p>agraph reque/$ by ,?ird ,p>ty ,adm9i/rators2 7,b7 a /atem5t ( ! total numb] ( su* waiv]s t 7-- 7i7 grant$ by ! ,secret>y2 7ii7 d5i$ by ! ,secret>y2 or 7iii7 )drawn by a ,?ird ,p>ty ,adm9i/rator2 7,c7 a description ( ! process = ! review requir$ "u p>agraph 7#a72 7,d7 a /atem5t1 disaggregat$ by region1 ( ! av]age "t to process su* waiv]s2 7,e7 an assessm5t1 disaggregat$ by region1 ( ! ext5t to :i* su* waiv]s t 7 grant$ by ! ,secret>y improv$ access to heal? c>e = cov]$ vet]ans2 & 7,f7 a description ( tr5ds1 if any1 id5tifi$ by ! ,secret>y ) respect to su* waiv]s4 7#c7 ,9 ?is subsection1 ! t]m ,?ird ,p>ty ,adm9i/rator has ! mean+ giv5 su* t]m 9 section #agjc;,b ( ?is title4 4 7b7 ,deadl9e ,! ,secret>y %all submit ! fir/ report requir$ "u subsection 7p7 ( section #agjc ( su* title 7z add$ by subsection 7a77 n lat] ?an #ahj days aft] ! date ( ! enactm5t ( ?is ,act4 #ajd4 ,modification ( requirem5ts = /&>ds = quality ( c>e f ,dep>tm5t ( ,vet]ans ,affairs 7a7 ,9 g5]al ,section #agjc;,c ( title #ch1 ,unit$ ,/ates ,code1 is am5d$-- 7#a7 9 subsection 7a7-- 7,a7 9 p>agraph 7#b7-- 7i7 by /rik+ ,9 e/abli%+ & ins]t+ 7,a7 ,9 e/abli%+2 & 7ii7 by add+ at ! end ! foll[+ new subp>agraph3 7,b7 ,! ,secret>y %all ensure t ! /&>ds = quality e/abli%$ "u p>agraph 7#a7 are comp>able to indu/ry /&>ds to ensure !re is adequate data transf]5ce betwe5 c>e furni%$ by ! ,dep>tm5t & c>e furni%$ by a non-,dep>tm5t provid]4 2 7,b7 9 p>agraph 7#c77;,b71 by add+ at ! end ! foll[+ new clause3 7v7 ,outcomes relat+ to pati5t quality ( life4 2 7,c7 9 p>agraph 7#d7-- 7i7 by /rik+ & ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices & ins]t+ ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices1 & ! ,indian ,heal? ,s]vice2 & 7ii7 by /rik+ & o!r nongov]nm5tal entities & ins]t+ & o!r non-gov]nm5tal entities includ+ ,?ird ,p>ty ,adm9i/rators2 & 7,d7 by /rik+ p>agraph 7#e7 & ins]t+ ! foll[+ new p>agraphs3 7#e7 ,:5 collect+1 consid]+1 & apply+ data relat$ to pati5t c>e = purposes ( e/abli%+ /&>ds = quality "u p>agraph 7#a71 ! ,secret>y %all ensure no metric is be+ ov] or "u analyz$4 7#f7 ,9 e/abli%+ /&>ds = quality "u p>agraph 7#a71 ! ,secret>y %all-- 7,a7 utilize ! mo/ up-to-date practices = extract+ & analyz+ relevant data2 7,b7 utilize all relevant data available to ! ,secret>y2 7,c7 ensure ! mo/ effici5t use ( "t & res\rces relat$ to ! use ( data sci5ti/s employ$ by ! ,dep>tm5t2 & 7,d7 collaborate1 z appropriate1 ) entities specifi$ 9 p>agraph 7#d74 7#g7 7,a7 ,n less frequ5tly ?an once e five ye>s1 ! ,secret>y %all update ! /&>ds = quality e/abli%$ "u p>agraph 7#a7 pursuant to ! requirem5ts = ! e/abli%m5t ( su* /&>ds "u ?is subsection4 7,b7 ,n lat] ?an #cj days aft] any date on :i* ! ,secret>y updates1 pursuant to subp>agraph 7,a71 ! /&>ds = quality "u p>agraph 7#a71 ! ,secret>y %all submit to ! appropriate committees ( ,congress a report on su* updat$ /&>ds = quality4 2 & 7#b7 9 subsection 7b7-- 7,a7 9 p>agraph 7#a7-- 7i7 by /rik+ ,n lat] ?an #a ye> aft] ! date on :i* ! ,secret>y e/abli%es /&>ds = quality "u subsection 7a7 & ins]t+ ,n less frequ5tly ?an once e ?ree ye>s2 & 7ii7 by ins]t+ pursuant to /&>ds = quality "u subsection 7a7 aft] m$ical facilities ( ! ,dep>tm5t2 & 7,b7 9 p>agraph 7#b71 by ins]t+ or updates aft] e/abli%es4 7b7 ,deadl9e = update ,! ,secret>y1 pursuant to p>agraph 7#g7 ( section #agjc;,c7a7 ( title #ch1 ,unit$ ,/ates ,code 7z add$ by subsection 7a771 %all make ! fir/ update to ! /&>ds = quality e/abli%$ "u p>agraph 7#a7 ( su* section n lat] ?an ! date t is five ye>s aft] ! date on :i* ! ,secret>y submits ! report "u p>agraph 7#b7 ( subsection 7d74 7c7 ,report ,n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,vet]ans ,affairs %all submit to ! appropriate committees ( ,congress a report on h[ ! ,secret>y-- 7#a7 has consult$ ) entities specifi$ 9 p>agraph 7#d7 ( section #agjc;,c7a7 ( title #ch1 ,unit$ ,/ates ,code1 be=e ! date ( ! enactm5t ( ?is ,act 9 e/abli%+ /&>ds = quality "u su* section2 7#b7 has cont9u$ to consult ) ^? entities on & aft] su* date ( enactm5t2 & 7#c7 int5ds to lev]age data sci5ces to improve /&>ds = quality c>e furni%$ by ! ,dep>tm5t ( ,vet]ans ,affairs4 7d7 ,updates to quality c>e metrics 7#a7 ,initial report ,n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,vet]ans ,affairs %all submit to ! appropriate committees ( ,congress a report on h[ ! ,secret>y plans to implem5t ! am5dm5ts made by subsections 7a74 7#b7 ,deadl9e2 summ>y report ,n lat] ?an two ye>s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y %all-- 7,a7 implem5t ! am5dm5ts made by subsection 7a71 includ+ by updat+ ! /&>ds = quality e/abli%$ "u section #agjc;,c ( title #ch1 ,unit$ ,/ates ,code2 & 7,b7 submit to ! appropriate committees ( ,congress a report detail+ ! /&>ds = quality updat$ pursuant to su* am5dm5ts4 7e7 ,audit ( quality c>e metrics 7#a7 ,9 g5]al ,n lat] ?an #ahj days aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,vet]ans ,affairs %all ent] into "o or m contracts ) a non-,dep>tm5t entity describ$ 9 p>agraph 7#b7 to conduct an audit on ! quality ( c>e f ! ,dep>tm5t ( ,vet]ans ,affairs1 includ+ ?r\gh non-,dep>tm5t heal? c>e provid]s pursuant to section #agjc ( title #ch ,unit$ ,/ates ,code4 7#b7 ,non-,dep>tm5t entity describ$ ,a non-,dep>tm5t entity describ$ 9 ?is p>agraph is an entity t-- 7,a7 specializes 9 analyz+ l>ge-scale organizational data collection & analysis ef=ts1 especially ) respect to ! heal? c>e sector2 & 7,b7 has exp]i5ce & prov5 outcomes 9 optimiz+ ! accuracy & compreh5siv5ess ( data collection & analysis relat$ to ! quality ( heal? c>e s]vices4 7#c7 ,elem5ts ,! audit requir$ "u p>agraph 7#a7 %all include ! foll[+3 7,a7 ,an assessm5t ( ! me?odology us$ by ! ,dep>tm5t to collect & assess data on ! quality ( c>e furni%$ by ! ,dep>tm5t1 includ+ any vuln]abilities 9 su* me?odology4 7,b7 ,an assessm5t ( ! accuracy & reliability ( ! data s\rces us$ by ! ,dep>tm5t to compile data on ! quality ( c>e furni%$ by ! ,dep>tm5t4 7,c7 ,! ext5t to :i* ! /&>ds ! ,dep>tm5t uses to assess ! quality ( c>e furni%$ by ! ,dep>tm5t are-- 7i7 comp>able ) indu/ry /&>ds2 7ii7 easily accessible to1 & und]/ood by-- 7,i7 vet]ans2 7,,ii7 employees ( ! ,dep>tm5t2 & 7,,iii7 o!r individuals1 z ! private sector entity consid]s appropriate4 7,d7 ,any recomm5dations ( su* private sector entity ) respect to improvem5ts t ! ,secret>y c\ld adm9i/] to m accurately capture ! quality ( c>e furni%$ by ! ,dep>tm5t4 7#d7 ,reports on audit 7,a7 ,report on f9d+s & recomm5dations ,n lat] ?an #fj days aft] any date on :i* a private sector entity describ$ 9 p>agraph 7#b7 completes an audit "u p>agraph 7#a71 su* private sector entity %all submit to ! ,secret>y1 ! ,committee on ,vet]ans' ,affairs ( ! ,s5ate1 & ! ,committee on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives a report t includes-- 7i7 ! f9d+s ( su* audit2 & 7ii7 recomm5dations ( su* private sector entity ) respect to su* audit4 7,b7 ,report on plann$ improvem5ts ,n lat] ?an #fj days aft] any date on :i* ! ,secret>y receives a report "u subp>agraph 7,a71 ! ,secret>y %all submit to ! ,committee on ,vet]ans' ,affairs ( ! ,s5ate & ! ,committee on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives a report on h[ ! ,secret>y plans to improve ! /&>ds = quality ( c>e ( ! ,dep>tm5t4 7f7 ,appropriate committees ( ,congress def9$ ,9 ?is section1 ! t]m appropriate committees ( ,congress has ! mean+ giv5 su* t]m 9 section #agjc;,c ( title #ch1 ,unit$ ,/ates ,code4 #aje4 ,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 e/abli%$ "u su* section1 %all c>ry out a pilot program to seek to develop & implem5t a plan-- 7#a7 to provide monet>y & non-monet>y inc5tives to a cov]$ heal? c>e provid]-- 7,a7 to all[ ! ,secret>y 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*$ul+2 7,b7 to complete cont9u+ pr(essional educational tra9+ available ?r\gh ! ,,vha ,,tra9 program 7or any successor program or initiative7 reg>d+ vet]an cultural compet5cy1 ! opioid safety initiative 7or any successor program or initiative71 & o!r subjects det]m9$ appropriate by ! ,secret>y2 7,c7 to improve me?ods ( acc\nt+ = non-,dep>tm5t tra9+ t is equival5t or sub/antially simil> to ! cont9u+ pr(essional educational tra9+ describ$ 9 subp>agraph 7,b72 7,d7 to improve ! rate ( ! timely return to ! ,secret>y ( m$ical record docum5tation = c>e or s]vices provid$ "u ! ,vet]ans ,community ,c>e ,program2 7,e7 to improve ! timel9ess & quality ( ! deliv]y ( c>e & s]vices to vet]ans "u su* program2 & 7,f7 to a*ieve o!r objectives det]m9$ appropriate by ! ,secret>y2 & 7#b7 to decrease ! rate ( no-%[ appo9tm5ts "u su* program4 7b7 ,report ,n lat] ?an "o ye> aft] ! date ( ! e/abli%m5t ( ! pilot program "u ?is section1 & annually !reaft] dur+ ! t]m ( ! pilot program1 ! ,secret>y ( ,vet]ans ,affairs %all submit to ! ,committees on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives & ! ,s5ate a report on ! pilot program t includes1 ) respect to ! p]iod cov]$ by ! report-- 7#a7 an assessm5t ( ! ext5t to :i*-- 7,a7 ! sy/em ( ! ,dep>tm5t ( ,vet]ans ,affairs = s*$ul+ appo9tm5ts = vet]ans "u ! ,vet]ans ,community ,c>e ,program has improv$2 7,b7 ! rate ( timely return to ! ,secret>y ( m$ical record docum5tation describ$ 9 subp>agraph 7,d7 ( subsection 7a77#a7 has improv$2 7,c7 ! timel9ess & quality ( ! deliv]y ( c>e & s]vices describ$ 9 subp>agraph 7,e7 ( su* subsection has improv$2 & 7,d7 ! frequ5cy ( no-%[ appo9tm5ts describ$ 9 p>agraph 7#b7 ( su* subsection decreas$2 7#b7 a li/ ( ! cont9u+ pr(essional educational tra9+ c\rses "u subp>agraph 7,b7 ( su* subsection available to cov]$ heal? c>e provid]s2 7#c7 ! rate ( p>ticipation 9 su* cont9u+ pr(essional education tra9+ c\rses2 & 7#d7 any o!r matt] ! ,secret>y det]m9es appropriate4 7c7 ,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 ( title #ch1 ,unit$ ,/ates ,code1 t furni%es c>e or s]vices "u ! ,vet]ans ,community ,c>e ,program pursuant to a contract or agreem5t ) a ,?ird ,p>ty ,adm9i/rator2 or 7,b7 t o!rwise furni%es c>e or s]vices outside ( ,dep>tm5t facilities pursuant to a contract or agreem5t ) ! ,secret>y ( ,vet]ans ,affairs4 7#b7 ,! t]m opioid safety initiative means ! programs1 processes1 & guidel9es ( ! ,vet]ans ,heal? ,adm9i/ration ( ! ,dep>tm5t ( ,vet]ans ,affairs relat+ to ! managem5t ( opioid !rapy & *ronic pa94 7#c7 ,! 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 7#d7 ,! t]m ,,vha ,,tra9 program means ! free program ( ! ,vet]ans ,heal? ,adm9i/ration t (f]s vet]an-specific cont9u+ m$ical education c\rses4 #ajf4 ,pilot program on consolidat+ approval process ( ,dep>tm5t ( ,vet]ans ,affairs = cov]$ d5tal c>e 7a7 ,9 g5]al ,n lat] ?an #ahj days aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,vet]ans ,affairs1 act+ ?r\gh ! ,c5t] = ,innovation = ,c>e & ,paym5t e/abli%$ "u section #agjc;,e ( title #ch1 ,unit$ ,/ates ,code1 %all c>ry out a pilot program "u :i* ! ,secret>y %all hire-- 7#a7 g5]al d5ti/s at m$ical facilities ( ! ,dep>tm5t ( ,vet]ans ,affairs to manage approval by ! ,dep>tm5t ( treatm5t plans reque/$ by d5tal provid]s 9 provid+ cov]$ d5tal c>e2 & 7#b7 d5tal speciali/s at ,vet]ans ,integrat$ ,s]vice ,networks ( ! ,dep>tm5t to manage approval by ! ,dep>tm5t ( treatm5t plans = specialty d5tal c>e reque/$ by d5tal provid]s 9 provid+ cov]$ d5tal c>e4 7b7 ,locations ,! ,secret>y %all c>ry out ! pilot program 9 n few] ?an two ,vet]ans ,integrat$ ,s]vice ,networks ( ! ,dep>tm5t4 7c7 ,reports 7#a7 ,initial report ,n lat] ?an "o ye> aft] ! date ( ! comm5cem5t ( su* pilot program1 ! ,secret>y %all submit to ! ,committees on ,vet]ans' ,affairs ( ! ,s5ate & ! ,h\se ( ,repres5tatives a report on ! pilot program1 t includes-- 7,a7 an id5tification ( ! ,vet]ans ,integrat$ ,s]vice ,networks p>ticipat+ 9 su* pilot program2 7,b7 a description ( ! implem5tation ( su* pilot program2 7,c7 an id5tification ( any b>ri]s or *all5ges to implem5t+ su* pilot program2 7,d7 an assessm5t ( ! efficacy ( hir+ g5]al d5ti/s & d5tal speciali/s pursuant to su* pilot program2 7,e7 aggregat$ fe$back ) respect to su* pilot program f d5ti/s ( ! ,dep>tm5t 9 ,vet]ans ,integrat$ ,s]vice ,networks p>ticipat+ 9 su* pilot program2 & 7,f7 aggregat$ fe$back f d5tal provid]s provid+ cov]$ d5tal c>e )9 su* ,vet]ans ,integrat$ ,s]vice ,networks reg>d+ any *anges 9 ! timel9ess ( treatm5t plan approvals by ! ,dep>tm5t4 7#b7 ,f9al report ,n lat] ?an #ij days be=e ! date ( ! completion ( su* pilot program1 ! ,secret>y %all submit to ! ,committees on ,vet]ans' ,affairs ( ! ,s5ate & ! ,h\se ( ,repres5tatives a report on ! pilot program t-- 7,a7 includes1 ) respect to ! p]iod cov]$ by ! report1 ea* elem5t ( ! report requir$ "u p>agraph 7#a7 describ$ 9 subp>agraphs 7,a7 ?r\gh 7,f7 ( su* p>agraph2 7,b7 includes recomm5dations ( ! ,secret>y on :e!r ! pilot program %\ld be-- 7i7 ext5d$2 7ii7 exp&$2 or 7iii7 adopt$ ?r\gh\t ! ,dep>tm5t2 & 7,c7 indicates :e!r ! ,secret>y reque/s action by ,congress to make ! pilot program p]man5t4 7d7 ,sunset ,! au?ority to c>ry out ! pilot program "u ?is section %all t]m9ate on ! date t is two ye>s aft] ! date ( ! enactm5t ( ?is ,act4 7e7 ,cov]$ d5tal c>e def9$ ,9 ?is section1 ! t]m cov]$ d5tal c>e means d5tal c>e provid$-- 7#a7 "u section #agjc ( title #ch1 ,unit$ ,/ates ,code2 or 7#b7 pursuant to a ,vet]ans ,c>e ,agreem5t "u section #agjc;,a ( su* title4 #ajg4 ,/rategic plan on value-bas$ heal? c>e sy/em = ,vet]ans ,heal? ,adm9i/ration2 pilot program 7a7 ,e/abli%m5t ( work+ gr\p 7#a7 ,9 g5]al ,n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,vet]ans ,affairs %all-- 7,a7 e/abli% a work+ gr\p on value-bas$ c>e2 & 7,b7 submit to ! ,committees on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives & ! ,s5ate ! /rategic plan develop$ by ! work+ gr\p pursuant to subsection 7b74 7#b7 ,memb]%ip 7,a7 ,requir$ memb]s ,! work+ gr\p %all include1 at a m9imum1 ! foll[+ memb]s3 7i7 ,! ,"u ,secret>y = ,heal? ( ! ,dep>tm5t ( ,vet]ans ,affairs4 7ii7 ,! ,director ( ! ,(fice ( ,m5tal ,heal? & ,suicide ,prev5tion ( ! ,dep>tm5t ( ,vet]ans ,affairs 7or any successor (fice74 7iii7 ,! ,director ( ! ,(fice ( ,integrat$ ,vet]an ,c>e ( ! ,dep>tm5t 7or any successor (fice74 7iv7 ,! ,director ( ! ,(fice ( ,rural ,heal? ( ! ,dep>tm5t 7or any successor (fice74 7v7 ,! ,director ( ! ,(fice ( ,connect$ ,c>e ( ! ,dep>tm5t 7or any successor (fice74 7vi7 ,! ,assi/ant ,secret>y = ! ,(fice ( ,in=mation ,te*nology 7or any successor (fice74 7vii7 ,! ,*ief ,(fic] ( ! ,(fice ( ,heal?c>e ,innovation & ,le>n+ ( ! ,(fice ( ,discov]y1 ,education1 & ,affiliate ,networks ( ! ,vet]ans ,heal? ,adm9i/ration 7or any successor (fice74 7viii7 ,an individual designat$ by ! ,secret>y f ! ,c5t] = ,innovation = ,c>e & ,paym5t ( ! ,dep>tm5t "u section #agjc;,e ( title #ch1 ,unit$ ,/ates ,code4 7ix7 ,an individual designat$ by ! ,adm9i/rator ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices f ! ,c5t] = ,m$ic>e & ,m$icaid ,innovation4 7x7 ,an individual designat$ by ! ,secret>y ( ,heal? & ,human ,s]vices f ! ,f$]al ,(fice ( ,rural ,heal? ,policy ( ! ,heal? ,res\rces & ,s]vices ,adm9i/ration4 7xi7 ,! ,*ief ( ,human ,capital ,managem5t = ! ,vet]ans ,heal? ,adm9i/ration4 7xii7 ,an individual designat$ by ! ,secret>y ( ,def5se t is a repres5tative ( ! ,def5se ,heal? ,ag5cy4 7xiii7 ,an individual select$ by ! ,secret>y ( ,vet]ans ,affairs f ! special m$ical advisory gr\p e/abli%$ "u section #gcab ( title #ch1 ,unit$ ,/ates ,code4 7,b7 ,optional memb]s ,! ,secret>y ( ,vet]ans ,affairs may appo9t any ( ! foll[+ individuals z memb]s ( ! work+ gr\p3 7i7 ,an individual repres5t+ ! ,heal? & ,m$ic9e ,division ( ! ,national ,academies ( ,sci5ces1 ,eng9e]+1 & ,m$ic9e4 7ii7 ,?ree individuals repres5t+ a private heal? c>e sy/em t has made ! transition to value-bas$ c>e4 7iii7 ,?ree individuals repres5t+ an organization recogniz$ by ! ,secret>y ( ,vet]ans ,affairs "u section #eijb ( title #ch1 ,unit$ ,/ates ,code4 7#c7 ,public availability ,all meet+s delib]ations1 & products ( ! work+ gr\p %all be made publicly available ?r\gh\t ! duration ( ! work+ gr\p1 includ+ to individuals repres5t+ organizations recogniz$ by ! ,secret>y ( ,vet]ans ,affairs "u section #eijb ( title #ch1 ,unit$ ,/ates ,code4 7#d7 ,exemption f ,,faca ,*apt] #aj ( title #e1 ,unit$ ,/ates ,code1 %all n apply to ! work+ gr\p e/abli%$ "u p>agraph 7#a74 7b7 ,developm5t ( /rategic plan ,! work+ gr\p %all develop a /rategic plan to implem5t value-bas$ c>e into ! ,vet]ans ,heal? ,adm9i/ration t includes ! foll[+3 7#a7 ,an id5tification ( ! /ate ( ! ,vet]ans ,heal? ,adm9i/ration z ( ! date ( ! enactm5t ( ?is ,act1 includ+ an assessm5t ( ! curr5t model ( heal? c>e deliv]y us$ by ! ,vet]ans ,heal? ,adm9i/ration 9 m$ical facilities ( ! ,dep>tm5t ( ,vet]ans ,affairs4 7#b7 ,an assessm5t ( ! capacity ne$s ( ! ,vet]ans ,heal? ,adm9i/ration dur+ ! five-ye> p]iod beg9n+ on ! date ( ! enactm5t ( ?is ,act4 7#c7 ,an analysis ( ! lead]%ip ( ! ,vet]ans ,heal? ,adm9i/ration1 includ+ an assessm5t ( lead]%ip acum5 & ability to implem5t a cle>1 %>$ vision & effective *ange managem5t & c>e coord9ation4 7#d7 ,an id5tification ( goals = ! future ( ! ,vet]ans ,heal? ,adm9i/ration4 7#e7 ,an id5tification & classification ( ! curr5t capabilities1 capacity1 & gaps 9 access & quality ( ! heal? c>e sy/em ( ! ,dep>tm5t ( ,vet]ans ,affairs4 7#f7 ,an analysis ( value-bas$ c>e models1 includ+-- 7,a7 a selection ( pot5tial models t w\ld be/ "w = ! ,vet]ans ,heal? ,adm9i/ration2 7,b7 ! capacity & capabilities ( ea* su* model2 & 7,c7 a ?or\gh ju/ification ( ! selection ( ea* select$ model1 includ+ a summ>y ( ! ability ( su* model to improve ! metrics describ$ "u p>agraph 7#i74 7#g7 ,a def9ition ( :at quality means ) respect to-- 7,a7 access to heal? c>e "u ! laws adm9i/]$ by ! ,secret>y ( ,vet]ans ,affairs2 & 7,b7 deliv]y ( su* heal? c>e4 7#h7 ,a def9ition ( :at value means ) respect to c>e furni%$ by ! ,vet]ans ,heal? ,adm9i/ration1 7#i7 ,a sy/em = measur+ value )9 ! ,vet]ans ,heal? ,adm9i/ration t includes metrics =-- 7,a7 outcomes2 7,b7 safety2 7,c7 s]vice2 7,d7 access2 7,e7 productivity2 7,f7 capacity2 & 7,g7 total co/ ( pati5t c>e4 7#aj7 ,) respect to ! sy/em describ$ 9 subp>agraph 7,h71 an analysis ( v>iable value ) respect to pati5t outcomes across diff]5t heal? c>e types & specialties4 7#aa7 ,an assessm5t (-- 7,a7 previ\s or ongo+ assessm5ts ( ! curr5t in=mation te*nology infra/ructure ( ! ,vet]ans ,heal? ,adm9i/ration1 includ+-- 7i7 su* assessm5ts conduct$ pursuant to ! ,electronic ,heal? ,record ,mod]nization program ( ! ,dep>tm5t ( ,vet]ans ,affairs2 & 7ii7 any o!r ongo+ in=mation te*nology mod]nization programs ( su* ,dep>tm5t & any unimplem5t$ relevant recomm5dations f su* assessm5ts2 7,b7 ! in=mation te*nology infra/ructure ( ! ,vet]ans ,heal? ,adm9i/ration 9 effect z ( ! date ( ! enactm5t ( ?is ,act2 7,c7 ! value-driv5 framework ( ! ,dep>tm5t1 9 effect z ( ! date ( ! enactm5t ( ?is ,act1 = evaluat+ heal? c>e innovations1 & h[ improvem5ts 9 su* framework c\ld be us$ to enc\rage innovation2 & 7,d7 work=ce *all5ges & ne$s ( ! ,vet]ans ,heal? ,adm9i/ration bas$ on-- 7i7 reviews ( work=ce assessm5t data available z ( ! date ( ! enactm5t ( ?is ,act2 & 7ii7 ! f9d+s (-- 7,i7 ! report requir$ by section #cja7;d7 ( ! ,vet]ans ,access1 ,*oice1 & ,acc\ntability ,act ( #bjad 7,public ,law #aac-adf72 7,,ii7 ! reports requir$ by section #eje ( ! ,john ,s4 ,mc,cain ,,iii1 ,daniel ,k4 ,akaka & ,samuel ,r4 ,johnson ,,va ,ma9ta9+ ,int]nal ,sy/ems & ,/r5g!n+ ,integrat$ ,outside ,networks ,act ( #bjah 7,public ,law #aae-ahb72 7,,iii7 ! report requir$ by section #cja ( ! ,,va ,*oice & ,quality ,employm5t ,act ( #bjag 7,public ,law #aae-df72 & 7,,iv7 any compreh5sive heal? c>e inspection conduct$ by ! ,inspector ,g5]al ( ! ,dep>tm5t ( ,vet]ans ,affairs z ( ! date ( ! enactm5t ( ?is ,act4 7#ab7 ,any recomm5dations ( ! work+ gr\p ) respect to improv+ ! in=mation te*nology infra/ructure describ$ 9 clause 7i7 ( subp>agraph 7,j74 7#ac7 ,an analysis ( h[ ! value-driv5 framework describ$ 9 clause 7iii7 ( su* subp>agraph c\ld be us$ to improve ! model ( c>e deliv]y by ! ,dep>tm5t4 7#ad7 ,a description ( h[ a value-bas$ c>e sy/em w\ld apply to prim>y c>e1 inpati5t & outpati5t m5tal heal? c>e1 & inpati5t & outpati5t sub/ance use treatm5t1 sp9al cord injury disord] c>e1 & polytrauma c>e furni%$ by ! ,vet]ans ,heal? ,adm9i/ration4 7#ae7 ,) respect to legislative or adm9i/rative action necess>y to incorporate value-bas$ c>e models into ! ,vet]ans ,heal? ,adm9i/ration1 a description ( ! e/imat$ timel9es1 effect on work=ce1 & co/s4 7c7 ,pilot program 7#a7 ,9 g5]al ,n lat] ?an #ahj days aft] ! submission ( ! /rategic plan pursuant to subsection 7b71 ! ,secret>y ( ,vet]ans ,affairs1 act+ ?r\gh ! ,c5t] = ,innovation = ,c>e & ,paym5t e/abli%$ "u section #agjc;,e ( title #ch1 ,unit$ ,/ates ,code1 %all comm5ce a ?ree-ye> pilot program "u :i* ! ,secret>y %all implem5t ! elem5ts ( su* /rategic plan relat+ to ! deliv]y1 by ! ,vet]ans ,heal? ,adm9i/ration1 ( prim>y c>e1 inpati5t & outpati5t m5tal heal? treatm5t1 inpati5t & outpati5t sub/ance abuse treatm5t1 sp9al cord injury disord] c>e1 & polytrauma c>e4 7#b7 ,locations ,! ,secret>y %all c>ry out su* pilot program 9 f\r ,vet]ans ,integrat$ ,s]vice ,networks t are geographically disp]s$ & %all include ! foll[+3 7,a7 ,a ,vet]ans ,integrat$ ,s]vice ,network t pr$om9ately s]ves vet]ans 9 rural & highly rural areas4 7,b7 ,a ,vet]ans ,integrat$ ,s]vice ,network t pr$om9ately s]ves vet]ans 9 urban areas4 7,c7 ,a ,vet]ans ,integrat$ ,s]vice ,network t has a high rate ( suicide among vet]ans4 7,d7 ,a ,vet]ans ,integrat$ ,s]vice ,network t has a high rate ( sub/ance use disord] among vet]ans4 7,e7 ,a ,vet]ans ,integrat$ ,s]vice ,network t has access or productivity *all5ges4 7#c7 ,reports to congress 7,a7 ,annual report ,n lat] ?an "o ye> aft] ! comm5cem5t ( ! pilot program1 & annually !reaft] dur+ ! duration ( ! pilot program1 ! ,secret>y %all submit to ,congress a report on ! pilot program4 7,b7 ,f9al report ,n lat] ?an #ij days be=e ! conclusion ( ! pilot program1 ! ,secret>y %all submit to ,congress a f9al report on ! pilot program t includes-- 7i7 lessons le>n$ dur+ ! adm9i/ration ( su* pilot program2 & 7ii7 specific heal? outcomes 9 vet]an pati5t c>e comp>$ to ! ,vet]ans ,heal? ,adm9i/ration sy/em ( c>e 9 effect z ( ! date ( ! enactm5t ( ?is ,act4 #ajh4 ,plan on adoption ( c]ta9 heal? in=mation /&>ds = ,dep>tm5t ( ,vet]ans ,affairs & c]ta9 heal? c>e provid]s 7a7 ,plan = c]ta9 heal? in=mation /&>ds 7#a7 ,9 g5]al ,! ,secret>y ( ,vet]ans ,affairs1 9 consultation ) ! ,secret>y ( ,heal? & ,human ,s]vices1 ! ,adm9i/rator ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices1 & ! ,national ,coord9ator = ,heal? ,in=mation ,te*nology ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 %all create & implem5t a plan to adopt1 z rapidly & to ! mo/ compreh5sive ext5t feasible1 national heal? in=mation int]op]ability /&>ds = ! ,dep>tm5t ( ,vet]ans ,affairs & community c>e provid]s ) respect to-- 7,a7 coord9ation (-- 7i7 c>e2 & 7ii7 b5efits2 7,b7 pati5t id5tity mat*+2 7,c7 measurem5t & report+ ( quality2 7,d7 population heal?2 & 7,e7 public heal?4 7#b7 ,consid]ation ,9 develop+ ! plan "u p>agraph 7#a71 ! ,secret>y ( ,vet]ans ,affairs %all consid] *all5ges fac$ by-- 7,a7 small community c>e provid]s2 & 7,b7 community c>e provid]s locat$ 9 rural areas4 7b7 ,plan on electronic heal? record ex*ange 7#a7 ,9 g5]al ,n lat] ?an "o ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y %all submit to ! ,committees on ,vet]ans' ,affairs ( ! ,s5ate & ! ,h\se ( ,repres5tatives a plan to provide1 at no co/1 to community c>e provid]s ( ! ,dep>tm5t1 ?r\gh ,?ird ,p>ty ,adm9i/rators1 a capability to facilitate ! electronic direct ex*ange1 betwe5 su* provid]s & ! ,dep>tm5t1 (-- 7,a7 ! heal? records ( vet]ans2 & 7,b7 docum5ts relat+ to heal? c>e ( vet]ans1 cl9ical notes1 & any o!r in=mation ! ,secret>y det]m9es necess>y4 7#b7 ,prioritization ,9 develop+ ! plan requir$ "u p>agraph 7#a71 ! ,secret>y %all prioritize provid+ ! capability describ$ 9 su* p>agraph to community c>e provid]s t-- 7,a7 provide c>e "u ! laws adm9i/]$ by ! ,secret>y to-- 7i7 a l[] volume ( vet]ans2 & 7ii7 vet]ans :o are locat$ 9 rural areas2 & 7,b7 are unable or unwill+ to ex*ange ! records & docum5ts describ$ 9 subp>agraphs 7,a7 & 7,b7 ( su* p>agraph ) ! ,dep>tm5t ?r\gh /&>ds-bas$ or direct ex*ange me*anisms 9 effect z ( ! date ( ! enactm5t ( ?is ,act4 7c7 ,reports on plan = int]op]ability /&>ds 7#a7 ,initial report ,n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,vet]ans ,affairs %all submit to ! ,committees on ,vet]ans' ,affairs ( ! ,s5ate & ! ,h\se ( ,repres5tatives-- 7,a7 ! plan requir$ by subsection 7a72 & 7,b7 a report t includes-- 7i7 an analysis ( gaps1 if any1 betwe5 ! use1 by ! ,dep>tm5t & o!r ag5cies1 heal? in=mation ex*anges1 & te*nology companies1 ( national heal? in=mation int]op]ability /&>ds & ! pot5tial1 or optimal1 use ( su* national heal? in=mation int]op]ability /&>ds2 7ii7 an analysis & description ( ! p>ticipation by ! ,dep>tm5t1 community c>e provid]s1 & o!r relevant entities 9 ! ,tru/$ ,ex*ange ,framework & ,common ,agreem5t program ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices z ( ! date ( ! enactm5t ( ?is ,act2 7iii7 recomm5dations ( ! ,secret>y ) respect to developm5t ( heal? in=mation int]op]ability /&>ds2 7iv7 timel9es or s*$ules to implem5t ! plan requir$ by subsection 7a72 & 7v7 an id5tification ( any legislative au?orities or res\rces ! ,secret>y requires to implem5t su* plan4 7#b7 ,recurr+ report requirem5t 7,a7 ,9 g5]al ,n lat] ?an #ah mon?s aft] ! date ( ! enactm5t ( ?is ,act1 & e #ahj days !reaft] = f\r ye>s1 ! ,secret>y ( ,vet]ans ,affairs %all submit to ,committees on ,vet]ans' ,affairs ( ! ,s5ate & ! ,h\se ( ,repres5tatives a report on ! /atus ( implem5tation ( ! plan requir$ "u subsection 7a74 7,b7 ,elem5ts ( subsequ5t reports ,ea* report "u subp>agraph 7,a7 submitt$ aft] ! date on :i* ! fir/ report requir$ by su* subp>agraph is submitt$ %all include a description ( any revisions to-- 7i7 ! plan requir$ by subsection 7a7 made dur+ ! p]iod cov]$ by ! report2 & 7ii7 ! analysis1 recomm5dations1 timel9es1 & legislative au?orities report$ pursuant to p>agraph 7#a74 7d7 ,def9itions ,9 ?is section3 7#a7 ,! t]m community c>e provid] means a non-,dep>tm5t heal? c>e provid] provid+ c>e 7includ+ d5tal c>e7-- 7,a7 "u section #agjc ( title #ch1 ,unit$ ,/ates ,code2 7,b7 pursuant to a ,vet]ans ,c>e ,agreem5t "u section #agjc;,a ( su* title2 or 7,c7 "u any o!r law adm9i/]$ by ! ,secret>y ( ,vet]ans ,affairs4 7#b7 ,! 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 #aji4 ,report on use ( value-bas$ reimbursem5t models "u ,vet]ans ,community ,c>e ,program 7a7 ,report on value-bas$ reimbursem5t models ,n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,vet]ans ,affairs1 9 consultation ) ! ,c5t] = ,innovation = ,c>e & ,paym5t ( ! ,dep>tm5t ( ,vet]ans ,affairs "u section #agjc;,e ( title #ch ,unit$ ,/ates ,code1 ! ,(fice ( ,integrat$ ,vet]an ,c>e ( ! ,dep>tm5t1 or successor (fice1 & ,?ird ,p>ty ,adm9i/rators1 %all submit to ! ,committees on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives & ! ,s5ate a report conta9+-- 7#a7 an assessm5t ( ! ef=ts ( ! ,dep>tm5t pursuant to section #agjc7;i77#e7 ( su* title1 to incorporate value-bas$ reimbursem5t models "u ! ,vet]ans ,community ,c>e ,program 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 reg>d+ ! use ( value-bas$ reimbursem5t models ?r\gh\t ! ,vet]ans ,community ,c>e ,program "u section #agjc ( su* title4 7b7 ,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 7c7 ,?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 #aaj4 ,inspector ,g5]al assessm5t ( implem5tation ( ,vet]ans ,community ,c>e ,program 7a7 ,9 g5]al ,n lat] ?an #ah mon?s aft] ! date ( ! enactm5t ( ?is ,act1 & p]iodically !reaft]1 ! ,inspector ,g5]al %all assess ! p]=mance ( ! ,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]vices2 & 7#c7 deliv]+ su* c>e & s]vices 9 a timely mann]4 7b7 ,brief+ on assessm5ts ,^u ! submission ( ! assessm5t requir$ by subsection 7a71 ! ,inspector ,g5]al ( ! ,dep>tm5t ( ,vet]ans ,affairs %all provide to ! ,committees on ,vet]ans ,affairs ( ! ,h\se ( ,repres5tatives & ! ,s5ate a brief+ on ! results ( su* assessm5t4 #aaa4 ,comptroll] ,g5]al report on d5ti/ry "u ,vet]ans ,community ,c>e ,program 7a7 ,9 g5]al ,n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all submit to ! ,committees on ,vet]ans' ,affairs ( ! ,s5ate & ! ,h\se ( ,repres5tatives a report on d5tal c>e furni%$ by ! ,secret>y ( ,vet]ans ,affairs "u ! ,vet]ans ,community ,c>e ,program "u section #agjc ( title #ch1 ,unit$ ,/ates ,code1 t includes a review (-- 7#a7 ! impact curr5t reimbursem5t rates provid$ by ! ,dep>tm5t ( ,vet]ans ,affairs to d5tal provid]s "u su* program h on-- 7,a7 ! availability ( d5tal c>e = vet]ans2 & 7,b7 ! ability ( ,?ird ,p>ty ,adm9i/rators to meet _! contractual obligations = network adequacy2 7#b7 ! satisfaction ( d5tal provid]s provid+ d5tal c>e "u su* program ) ! processes ( ! ,dep>tm5t = approv+ d5tal c>e "u su* program2 & 7#c7 ! curr5t processes ( ! ,dep>tm5t = approv+ em]g5t d5tal c>e "u su* program4 7b7 ,?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 ,b ,matt]s ,relat+ to ,nurs+ ,home & ,o!r ,long ,t]m ,c>e & ,family ,c>egiv]s #abj4 ,increase ( exp5diture cap = non9/itutional c>e alt]natives to nurs+ home c>e 7a7 ,increase ( exp5diture cap ,section #agbj;,c7d7 ( title #ch1 ,unit$ ,/ates ,code1 is am5d$-- 7#a7 by /rik+ ,! total co/ & ins]t+ 7#a7 ,except z provid$ 9 p>agraph 7#b71 ! total co/2 7#b7 by /rik+ #fe p]c5t & ins]t+ #ajj p]c5t2 & 7#c7 by add+ at ! end ! foll[+ new p>agraph3 7#b7 7,a7 ,! total co/ ( provid+ s]vices or 9-k9d assi/ance 9 ! case ( any vet]an describ$ 9 subp>agraph 7,b7 = any fiscal ye> "u ! program may exce$ #ajj p]c5t ( ! co/ t w\ld o!rwise h be5 incurr$ z specifi$ 9 p>agraph 7#a7 if ! ,secret>y det]m9es1 bas$ on a consid]ation ( cl9ical ne$1 geographic m>ket factors1 & su* o!r matt]s z ! ,secret>y may prescribe ?r\gh regulation1 t su* high] total co/ is 9 ! be/ int]e/ ( ! vet]an4 7,b7 ,a vet]an describ$ 9 ?is subp>agraph is a vet]an ) amyotrophic lat]al scl]osis1 a sp9al cord injury1 or a condition ! ,secret>y det]m9es to be simil> to su* conditions4 4 7b7 ,applicability ,! am5dm5ts made by subsection 7a7 %all apply ) respect to fiscal ye>s beg9n+ on or aft] ! date ( ! enactm5t ( ?is ,act4 #aba4 ,coord9ation ) ,program ( ,all-,inclusive ,c>e = ! ,eld]ly ,section #agbj;,c ( title #ch1 ,unit$ ,/ates ,code1 z am5d$ by section #abj1 is fur!r am5d$ by add+ at ! end ! foll[+ new subsection3 7f7 ,9 furni%+ s]vices to a vet]an "u ! program conduct$ pursuant to subsection 7a71 if a m$ical c5t] ( ! ,dep>tm5t ?r\gh :i* su* program is adm9i/]$ is locat$ 9 a geographic area 9 :i* s]vices are available to ! vet]an "u a ,,pace program 7z su* t]m is def9$ 9 sections #ahid7;a77#b7 & #aicd7;a77#b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie;eee7a77#b72 #acifu-#d7;a77#b7771 ! ,secret>y %all seek to ent] into an agreem5t ) ! ,,pace program op]at+ 9 t area = ! furni%+ ( su* s]vices4 4 #abb4 ,au?ority = ,secret>y ( ,vet]ans ,affairs to aw>d grants or contracts to entities to improve provision ( m5tal heal? support to family c>egiv]s ( vet]ans ,sub*apt] ,,ii ( *apt] #ag ( title #ch1 ,unit$ ,/ates ,code1 is am5d$ by add+ at ! end ! foll[+ new section 7& con=m+ ! table ( sections at ! beg9n+ ( su* *apt] accord+ly73 #agbj,k4 ,grants or contracts to provide m5tal heal? support to family c>egiv]s ( vet]ans 7a7 ,au?ority ,! ,secret>y may aw>d grants or contracts to c>ry out1 coord9ate1 improve1 or o!rwise enhance m5tal heal? c\nsel+1 treatm5t1 or support to ! family c>egiv]s ( vet]ans p>ticipat+ 9 ! family c>egiv] program4 7b7 ,application 7#a7 ,to be eligible = a grant or contract "u ?is section1 an entity %all submit to ! ,secret>y an application !re= at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may require4 7#b7 ,ea* application submitt$ "u p>agraph 7#a7 %all include ! foll[+3 7,a7 ,a detail$ plan = ! use ( ! grant or contract4 7,b7 ,a description ( ! programs or ef=ts ?r\gh :i* ! entity w meet ! outcome measures develop$ by ! ,secret>y "u subsection 7f74 7,c7 ,a description ( h[ ! entity w di/ribute grant or contract am\nts equitably among areas ) v>y+ levels ( urbanization4 7,d7 ,a plan = h[ ! grant or contract w be us$ to meet ! unique ne$s ( vet]ans resid+ 9 rural areas1 ,native ,am]ican1 ,native ,hawaiian1 or ,alaska ,native vet]ans1 eld]ly vet]ans1 wom5 vet]ans1 & vet]ans f o!r und]s]v$ communities4 7c7 ,di/ribution ,! ,secret>y %all seek to ensure t grants & contracts aw>d$ "u ?is section are equitably di/ribut$ among entities locat$ 9 ,/ates ) v>y+ levels ( urbanization4 7d7 ,priority ,! ,secret>y %all prioritize aw>d+ grants or contracts "u ?is section t w s]ve ! foll[+ areas3 7#a7 ,areas ) high rates ( vet]ans enroll$ 9 ! family c>egiv] program4 7#b7 ,areas ) high rates (-- 7,a7 suicide among vet]ans2 or 7,b7 ref]rals to ! ,vet]ans ,crisis ,l9e4 7e7 ,requir$ activities ,any grant or contract aw>d$ "u ?is section %all be us$-- 7#a7 to exp& exi/+ programs1 activities1 & s]vices2 7#b7 to e/abli% new or additional programs1 activities1 & s]vices2 or 7#c7 = travel & transportation to facilitate c>ry+ out p>agraph 7#a7 or 7#b74 7f7 ,outcome measures 7#a7 ,! ,secret>y %all develop & provide to ea* entity t receives a grant or contract "u ?is section writt5 guidance on ! foll[+3 7,a7 ,outcome measures4 7,b7 ,policies ( ! ,dep>tm5t4 7#b7 ,9 develop+ outcome measures "u p>agraph 7#a71 ! ,secret>y %all consid] ! foll[+ goals3 7,a7 ,increas+ ! utilization ( m5tal heal? s]vices among family c>egiv]s ( vet]ans p>ticipat+ 9 ! family c>egiv] program4 7,b7 ,r$uc+ b>ri]s to m5tal heal? s]vices among family c>egiv]s ( vet]ans p>ticipat+ 9 su* program4 7g7 ,track+ requirem5ts 7#a7 ,! ,secret>y %all e/abli% appropriate track+ requirem5ts ) respect to ! entities receiv+ a grant or contract "u ?is section4 7#b7 ,n less frequ5tly ?an annually1 ! ,secret>y %all submit to ,congress a report on su* track+ requirem5ts4 7h7 ,p]=mance review ,! ,secret>y %all-- 7#a7 review ! p]=mance ( ea* entity t receives a grant or contract "u ?is section2 & 7#b7 make in=mation reg>d+ su* p]=mance publicly available4 7i7 ,rem$iation plan 7#a7 ,9 ! case ( an entity t receives a grant or contract "u ?is section & does n meet ! outcome measures develop$ by ! ,secret>y "u subsection 7f71 ! ,secret>y %all require ! entity to submit to ! ,secret>y a rem$iation plan "u :i* ! entity %all describe h[ & :5 x plans to meet su* outcome measures4 7#b7 ,! ,secret>y may n aw>d a subsequ5t grant or contract "u ?is section to an entity describ$ 9 p>agraph 7#a7 unless ! ,secret>y approves ! rem$iation plan submitt$ by ! entity "u su* p>agraph4 7j7 ,maximum am\nt ,! am\nt ( a grant or contract aw>d$ "u ?is section may n exce$ #aj p]c5t ( am\nts made available = grants or contracts "u ?is section = ! fiscal ye> 9 :i* ! grant or contract is aw>d$4 7k7 ,supplem5t1 n supplant ,any grant or contract aw>d$ "u ?is section %all be us$ to supplem5t & n supplant fund+ t is o!rwise available ?r\gh ! ,dep>tm5t to provide m5tal heal? support among family c>egiv]s ( vet]ans p>ticipat+ 9 ! family c>egiv] program4 7l7 ,outrea* to family c>egiv]s ,! ,secret>y %all include1 9 ! outrea* mat]ials regul>ly provid$ to a family c>egiv] :o p>ticipates 9 ! family c>egiv] program1 notice ( m5tal heal? support provid$ by recipi5ts ( grants or contracts "u ?is section t are locat$ 9 ! relevant ,vet]ans ,integrat$ ,s]vice ,network4 7m7 ,fund+ 7#a7 ,am\nts = ! activities ( ! ,dep>tm5t "u ?is section %all be budget$ & appropriat$ ?r\gh a sep>ate appropriation acc\nt4 7#b7 ,9 ! budget ju/ification mat]ials submitt$ to ,congress 9 support ( ! budget ( ! ,dep>tm5t = any fiscal ye> 7z submitt$ ) ! budget ( ! ,presid5t "u section #aaje7;a7 ( title #ca71 ! ,secret>y %all include a sep>ate /atem5t ( ! am\nt reque/$ to be appropriat$ = t fiscal ye> = ! acc\nt specifi$ 9 p>agraph 7#a74 7n7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to ! ,secret>y1 = ea* ( fiscal ye>s #bjbe & #bjbf1 #aj1jjj1jjj to c>ry out ?is section4 7o7 ,def9itions ,9 ?is section3 7#a7 ,! t]ms c>egiv] & family c>egiv] h ! mean+s giv5 ^? t]ms 9 section #agbj;,g ( ?is title4 7#b7 ,! t]m family c>egiv] program means ! program ( compreh5sive assi/ance = family c>egiv]s "u section #agbj;,g ( ?is title4 7#c7 ,! t]m ,vet]ans ,crisis ,l9e means ! toll-free hotl9e = vet]ans e/abli%$ "u section #agbj;,f ( ?is title4 4 #abc4 ,home- & community-bas$ s]vices3 programs 7a7 ,programs ,su* sub*apt] is fur!r am5d$ by ins]t+ aft] section #agbj,k 7z add$ by section #abb7 ! foll[+ new section 7& con=m+ ! table ( sections at ! beg9n+ ( su* *apt] accord+ly73 #agbj,l4 ,home- & community-bas$ s]vices3 programs 7a7 ,9 g5]al ,9 furni%+ non9/itutional alt]natives to nurs+ home c>e pursuant to ! au?ority ( section #agbj;,c ( ?is title 7or any o!r au?ority "u ?is *apt] or o!r provision ( law adm9i/]$ by ! ,secret>y ( ,vet]ans ,affairs71 ! ,secret>y %all c>ry out ea* ( ! programs specifi$ 9 ?is section 9 accordance ) su* relevant au?orities except z o!rwise provid$ 9 ?is section4 7b7 ,vet]an-,direct$ ,c>e program 7#a7 ,! ,secret>y ( ,vet]ans ,affairs1 9 collaboration ) ! ,secret>y ( ,heal? & ,human ,s]vices1 %all c>ry out a program to be kn[n z ! ,vet]an-,direct$ ,c>e program4 ,"u su* program1 ! ,secret>y ( ,vet]ans ,affairs may ent] into agreem5ts ) ! provid]s describ$ 9 p>agraph 7#b7 to provide to eligible vet]ans funds1 to ! ext5t practicable1 to obta9 su* 9-home c>e s]vices & relat$ items t support cl9ical ne$ & improve quality ( life1 z may be det]m9$ appropriate by ! ,secret>y ( ,vet]ans ,affairs & select$ by ! vet]an1 includ+ ?r\gh ! vet]an hir+ individuals to provide su* s]vices & items or directly pur*as+ su* s]vices & items4 7#b7 ,! provid]s describ$ 9 ?is p>agraph are ! foll[+3 7,a7 ,an ,ag+ & ,disability ,res\rce ,c5t]1 an area ag5cy on ag+1 or a ,/ate ag5cy4 7,b7 ,a c5t] = indep5d5t liv+4 7,c7 ,an ,indian tribe or tribal organization receiv+ assi/ance "u title ,,vi ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjeg et seq474 7,d7 ,any o!r entity t ! ,secret>y1 9 consultation ) ! ,secret>y ( ,heal? & ,human ,s]vices1 det]m9es appropriate4 7#c7 ,9 c>ry+ out ! ,vet]an-,direct$ ,c>e program1 ! ,secret>y ( ,vet]ans ,affairs %all-- 7,a7 adm9i/] su* program ?r\gh ea* m$ical c5t] ( ! ,dep>tm5t ( ,vet]ans ,affairs2 7,b7 seek to ensure ! availability ( su* program 9 ,am]ican ,samoa1 ,guam1 ! ,commonweal? ( ! ,nor!rn ,m>iana ,isl&s1 ! ,commonweal? ( ,pu]to ,rico1 ! ,virg9 ,isl&s ( ! ,unit$ ,/ates1 & any o!r t]ritory or possession ( ! ,unit$ ,/ates1 to ! ext5t practicable2 & 7,c7 seek to ensure ! availability ( su* program = eligible vet]ans :o are ,native ,am]ican vet]ans receiv+ c>e & s]vices furni%$ by ! ,indian ,heal? ,s]vice1 a tribal heal? program1 an ,urban ,indian organization1 or 79 ! case ( a ,native ,hawaiian vet]an7 a ,native ,hawaiian heal? c>e sy/em1 to ! ext5t practicable4 7#d7 ,if a vet]an p>ticipat+ 9 ! ,vet]an-,direct$ ,c>e program is hospitaliz$1 ! vet]an may cont9ue to use funds "u ! program dur+ a p]iod ( hospitalization 9 ! same mann] t ! vet]an w\ld be au?oriz$ to use su* funds "u ! program if ! vet]an 7 n hospitaliz$4 7c7 ,homemak] & ,home ,heal? ,aide program 7#a7 ,! ,secret>y %all c>ry out a program to be kn[n z ! ,homemak] & ,home ,heal? ,aide program "u :i* ! ,secret>y may ent] into agreem5ts ) home heal? ag5cies to provide to eligible vet]ans su* home heal? aide s]vices z may be det]m9$ appropriate by ! ,secret>y4 7#b7 ,9 c>ry+ out ! ,homemak] & ,home ,heal? ,aide program1 ! ,secret>y %all-- 7,a7 adm9i/] su* program 9 ! locations specifi$ 9 subp>agraph 7,a7 ( subsection 7b77#c72 7,b7 seek to ensure ! availability ( su* program 9 ! locations specifi$ 9 subp>agraph 7,b7 ( subsection 7b77#c72 & 7,c7 seek to ensure ! availability ( su* program = ! vet]an populations specifi$ 9 subp>agraph 7,c7 ( subsection 7b77#c74 7d7 ,home-,bas$ ,prim>y ,c>e program ,! ,secret>y %all c>ry out a program to be kn[n z ! ,home-,bas$ ,prim>y ,c>e program "u :i* ! ,secret>y may furni% to eligible vet]ans 9-home heal? c>e1 ! provision ( :i* is ov]se5 by a provid] ( ! ,dep>tm5t4 7e7 ,pur*as$ ,skill$ ,home ,c>e program ,! ,secret>y %all c>ry out a program to be kn[n z ! ,pur*as$ ,skill$ ,home ,c>e program "u :i* ! ,secret>y may furni% to eligible vet]ans su* 9-home c>e s]vices z may be det]m9$ appropriate & select$ by ! ,secret>y = ! vet]an4 7f7 ,c>egiv] support 7#a7 ,) respect to a resid5t eligible c>egiv] ( a vet]an p>ticipat+ 9 a program "u ?is section1 ! ,secret>y %all-- 7,a7 if ! vet]an meets ! requirem5ts ( a cov]$ vet]an "u section #agbj;,g7b7 ( ?is title1 provide to su* c>egiv] ! option ( enroll+ 9 ! program ( g5]al c>egiv] support s]vices "u su* section2 7,b7 provide to su* c>egiv] cov]$ respite c>e ( n less ?an #cj days annually2 & 7,c7 conduct on an annual basis 7&1 to ! ext5t practicable1 9 connection ) 9-p]son s]vices provid$ "u ! program 9 :i* ! vet]an is p>ticipat+71 a wellness contact ( su* c>egiv]4 7#b7 ,cov]$ respite c>e provid$ to a resid5t eligible c>egiv] ( a vet]an "u p>agraph 7#a7 may exce$ #cj days annually if su* ext5sion is reque/$ by ! resid5t eligible c>egiv] or vet]an & det]m9$ m$ically appropriate by ! ,secret>y4 7g7 ,rule ( con/ruction ,no?+ 9 ?is section %all be con/ru$ to limit ! au?ority ( ! ,secret>y to c>ry out programs provid+ home- & community-bas$ s]vices "u any o!r provision ( law4 7h7 ,def9itions ,9 ?is section3 7#a7 ,! t]ms ,ag+ & ,disability ,res\rce ,c5t]1 area ag5cy on ag+1 & ,/ate ag5cy h ! mean+s giv5 ^? t]ms 9 section #ajb ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjjb74 7#b7 ,! t]ms c>egiv] & family c>egiv]1 ) respect to a vet]an1 h ! mean+s giv5 ^? t]ms1 respectively1 "u subsection 7e7 ( section #agbj;,g ( ?is title ) respect to an eligible vet]an "u subsection 7a7 ( su* section or a cov]$ vet]an "u subsection 7b7 ( su* section1 z ! case may be4 7#c7 ,! t]m c5t] = indep5d5t liv+ has ! mean+ giv5 t t]m 9 section #gjb ( ! ,rehabilitation ,act ( #aigc 7#bi ,u4,s4,c4 #gif;a74 7#d7 ,! t]m cov]$ respite c>e has ! mean+ giv5 su* t]m 9 section #agbj;,g7d7 ( ?is title4 7#e7 ,! t]m eligible vet]an means any vet]an-- 7,a7 = :om ! ,secret>y det]m9es p>ticipation 9 a specific program "u ?is section is m$ically necess>y to promote1 pres]ve1 or re/ore ! heal? ( ! vet]an2 & 7,b7 :o abs5t su* p>ticipation w\ld be at increas$ risk = hospitalization1 placem5t 9 a nurs+ home1 or em]g5cy room c>e4 7#f7 ,! t]m home heal? aide means an individual employ$ by a home heal? ag5cy to provide 9-home c>e s]vices4 7#g7 ,! t]m 9-home c>e s]vice means any s]vice1 includ+ a p]sonal c>e s]vice1 provid$ to enable ! recipi5t ( su* s]vice to live at home4 7#h7 ,! t]ms ,indian tribe & tribal organization h ! mean+s giv5 ^? t]ms 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act 7#be ,u4,s4,c4 #ecjd74 7#i7 ,! t]ms ,native ,am]ican & ,native ,am]ican vet]an h ! mean+s giv5 ^? t]ms 9 section #cgfe ( ?is title4 7#aj7 ,! t]ms ,native ,hawaiian & ,native ,hawaiian heal? c>e sy/em h ! mean+s giv5 ^? t]ms 9 section #ab ( ! ,native ,hawaiian ,heal? ,c>e ,improvem5t ,act 7#db ,u4,s4,c4 #aagaa74 7#aa7 ,! t]ms tribal heal? programs & ,urban ,indian organizations h ! mean+s giv5 ^? t]ms 9 section #d ( ! ,indian ,heal? ,c>e ,improvem5t ,act 7#be ,u4,s4,c4 #afjc74 7#ab7 ,! t]m resid5t eligible c>egiv] means an individual :o-- 7,a7 is a c>egiv]1 or a family c>egiv]1 ( a vet]an & resides ) t vet]an2 & 7,b7 has n ent]$ into a contract1 agreem5t1 or o!r arrangem5t = su* individual to act z a c>egiv] = t vet]an unless su* individual is a family memb] ( ! vet]an or is furni%+ c>egiv] s]vices ?r\gh a m$ical fo/] home4 4 7b7 ,deadl9e = improv$ adm9i/ration ,! ,secret>y ( ,vet]ans ,affairs %all ensure t ! ,vet]an-,direct$ ,c>e program & ! ,homemak] & ,home ,heal? ,aide program are adm9i/]$ ?r\gh ea* m$ical c5t] ( ! ,dep>tm5t ( ,vet]ans ,affairs 9 accordance ) section #agbj,l ( title #ch1 ,unit$ ,/ates ,code 7z add$ by subsection 7a771 by n lat] ?an two ye>s aft] ! date ( ! enactm5t ( ?is ,act4 7c7 ,adm9i/ration ( ,vet]an-,direct$ ,c>e program 7#a7 ,proc$ures 7,a7 ,! ,secret>y %all e/abli% proc$ures to-- 7i7 id5tify ! /aff+ ne$s = ! ,vet]an-,direct$ ,c>e program ( ! ,dep>tm5t ( ,vet]ans ,affairs "u su* section 7z add$ by subsection 7a772 & 7ii7 def9e ! roles & responsibilities = p]sonnel ( ! ,dep>tm5t responsible = ! adm9i/ration ( su* program1 includ+ su* p]sonnel employ$ at ! national1 ,vet]ans ,integrat$ ,s]vice ,network1 or m$ical facility level4 7,b7 ,! responsibilities describ$ 9 clause 7ii7 ( subp>agraph 7,a7 %all include responsibilities = engagem5t )-- 7i7 vet]ans p>ticipat+ 9 su* program2 7ii7 vet]ans int]e/$ 9 p>ticipat+ 9 su* program2 & 7iii7 provid]s describ$ 9 section #agbj,l7b77#b7 7z add$ by subsection 7a774 7#b7 ,/aff+ model2 report ,n lat] ?an two ye>s aft] enactm5t ( ?is ,act1 ! ,secret>y ( ,vet]ans ,affairs %all-- 7,a7 e/abli% a /aff+ model = ! adm9i/ration ( su* program at ea* m$ical facility ( ! ,dep>tm5t ( ,vet]ans ,affairs2 & 7,b7 submit to ! ,committees on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives & ! ,s5ate a report conta9+ ! foll[+3 7i7 ,a description (-- 7,i7 ! /aff+ model describ$ 9 subp>agraph 7,a72 & 7,,ii7 ! rationale = su* /aff+ model4 7ii7 ,an id5tification ( ! ratio ( /aff requir$ to adm9i/] su* program to ! numb] ( vet]ans s]v$ by su* program1 disaggregat$ by ea* m$ical facility ( ! ,dep>tm5t ( ,vet]ans ,affairs4 7iii7 ,a description ( budget>y res\rces or o!r support1 if any1 requir$ to accommodate an increase 9 /aff+ at m$ical facilities ( ! ,dep>tm5t ( ,vet]ans ,affairs pursuant to ! requirem5ts ( ! /aff+ model describ$ 9 subp>agraph 7,a74 7iv7 ,su* o!r matt]s z ! ,secret>y ( ,vet]ans ,affairs det]m9es appropriate4 #abd4 ,coord9ation ) assi/ance & support s]vices = c>egiv]s 7a7 ,coord9ation ) ,program ( ,compreh5sive ,assi/ance = ,family ,c>egiv]s 7#a7 ,coord9ation ,section #agbj;,g7a7 ( title #ch1 ,unit$ ,/ates ,code1 is am5d$ by add+ at ! end ! foll[+ new p>agraph3 7#ad7 7,a7 ,9 ! case ( a vet]an or c>egiv] :o seeks s]vices "u ?is subsection & is d5i$ su* s]vices1 or a vet]an or ! family c>egiv] ( a vet]an :o is dis*>g$ f ! program "u ?is subsection1 ! ,secret>y %all-- 7i7 if ! vet]an meets ! requirem5ts ( a cov]$ vet]an "u subsection 7b71 provide to su* c>egiv] ! option ( enroll+ 9 ! program ( g5]al c>egiv] support s]vices "u su* subsection2 7ii7 assess ! vet]an or c>egiv] = p>ticipation 9 any o!r available program ( ! ,dep>tm5t = home- & community-bas$ s]vices 7includ+ ! programs specifi$ 9 section #agbj,l ( ?is title7 = :i* ! vet]an or c>egiv] may be eligible &1 ) respect to ! vet]an1 /ore 7& make accessible to ! vet]an7 ! results ( su* assessm5t 9 ! electronic m$ical record ( ! vet]an2 & 7iii7 provide to ! vet]an or c>egiv] writt5 in=mation on any su* program id5tifi$ pursuant to ! assessm5t "u clause 7ii71 includ+ in=mation ab\t facilities1 eligibility requirem5ts1 & relevant contact in=mation = ea* su* program4 7,b7 ,! ,secret>y %all1 to ! ext5t practicable1 provide to a vet]an or family c>egiv] ! option ( obta9+ cl9ically appropriate s]vices "u any o!r available program ( ! ,dep>tm5t = home- & community-bas$ s]vices 7includ+ ! programs specifi$ 9 section #agbj,l ( ?is title7 = :i* ! vet]an or family c>egiv] may be eligible prior to dis*>g+ ! vet]an or family c>egiv] f ! program "u ?is subsection4 7,c7 ,= ea* vet]an or family c>egiv] :o is dis*>g$ f ! program "u ?is subsection1 a c>egiv] support coord9ator %all provide = a smoo? & p]sonaliz$ transition f su* program to an appropriate program ( ! ,dep>tm5t = home- & community-bas$ s]vices 7includ+ ! programs specifi$ 9 section #agbj,l ( ?is title71 includ+ by integrat+ c>egiv] support across programs4 4 7#b7 ,applicability ,! am5dm5ts made by p>agraph 7#a7 %all apply ) respect to d5ials & dis*>ges occurr+ on or aft] ! date t is #ahj days aft] ! date ( ! enactm5t ( ?is ,act4 7#c7 ,te*nical & con=m+ am5dm5ts ,section #agbj;,g7d7 ( su* title is am5d$-- 7,a7 by /rik+ or a cov]$ vet]an ea* place x appe>s & ins]t+ 1 a vet]an d5i$ or dis*>g$ z specifi$ 9 p>agraph 7#ad7 ( su* subsection1 or a cov]$ vet]an2 & 7,b7 by /rik+ "u subsection 7a71 means ea* place x appe>s & ins]t+ "u subsection 7a7 or a vet]an d5i$ or dis*>g$ z specifi$ 9 p>agraph 7#ad7 ( su* subsection1 means4 7b7 ,con=mity ( respite c>e across programs ,section #agbj;,g ( title #ch1 ,unit$ ,/ates ,code1 z am5d$ by subsection 7a77#c71 is fur!r am5d$-- 7#a7 9 subsection 7a77#c7-- 7,a7 by am5d+ subp>agraph 7,a77ii77,,iii7 to read z foll[s3 7,,iii7 cov]$ respite c>e ( n less ?an #cj days annually2 2 & 7,b7 by /rik+ subp>agraph 7,b7 & r$esignat+ subp>agraphs 7,c7 & 7,d7 z subp>agraphs 7,b7 ?r\gh 7,c71 respectively2 & 7#b7 by am5d+ subsection 7b77#c77;,a77iii7 to read z foll[s3 7iii7 ,cov]$ respite c>e ( n less ?an #cj days annually4 2 & 7#c7 9 subsection 7d7-- 7,a7 by r$esignat+ p>agraphs 7#b7 ?r\gh 7#d7 z p>agraphs 7#c7 ?r\gh 7#e71 respectively2 & 7,b7 by ins]t+ aft] p>agraph 7#a7 ! foll[+ new p>agraph3 7#b7 ,! t]m cov]$ respite c>e means1 ) respect to a c>egiv] ( a vet]an1 respite c>e "u section #agbj;,b ( ?is title t-- 7,a7 is m$ically & age appropriate = ! vet]an 7includ+ #bd-;h\r p] day c>e ( ! vet]an comm5surate ) ! c>e provid$ by ! c>egiv]72 & 7,b7 includes 9-home c>e4 4 7c7 ,review relat+ to c>egiv] contact ,! ,secret>y %all conduct a review ( ! capacity ( ! ,dep>tm5t to e/abli% a /reaml9$ sy/em = contact+ all c>egiv]s enroll$ 9 ! program ( g5]al c>egiv] support s]vices "u section #agbj;,g7b7 ( title #ch1 ,unit$ ,/ates ,code1 to provide to su* c>egiv]s program updates & al]ts relat+ to em]g+ s]vices = :i* su* c>egiv]s or ! vet]ans = :i* !y provide c>e may be eligible4 #abe4 ,improvem5ts to program ( compreh5sive assi/ance = family c>egiv]s ,section #agbj;,g7a7 ( title #ch1 ,unit$ ,/ates ,code1 z am5d$ by section #abd1 is fur!r am5d$-- 7#a7 9 p>agraph 7#ab7-- 7,a7 9 subp>agraph 7,a71 by ins]t+ 1 :i* %all include all crit]ia us$ to det]m9e eligibility = su* assi/ance &1 9 ! case ( a complet$ evaluation1 h[ su* crit]ia 7 us$ to evaluate in=mation provid$ 9 assessm5ts to det]m9e su* eligibility be=e ! p]iod at ! end2 & 7,b7 9 subp>agraph 7,c77i71 by /rik+ :o submits & all t foll[s ?r\gh ! end ( ! clause & ins]t+ ! foll[+3 :o-- 7,i7 submits an application = ! program e/abli%$ "u p>agraph 7#a72 or 7,,ii7 is be+ reassess$ = eligibility to cont9ue 9 su* program4 2 & 7#b7 by add+ at ! end ! foll[+ new p>agraph3 7#ae7 7,a7 ,n less frequ5tly ?an annually1 ! ,secret>y %all submit to ! ,committees on ,vet]ans' ,affairs ( ! ,s5ate & ! ,h\se ( ,repres5tatives a compreh5sive report on ! program requir$ by p>agraph 7#a7 t includes1 ) respect to ! "o-ye> p]iod prec$+ ! date ( ! submission ( su* report1 ! foll[+3 7i7 ,! numb] ( applications receiv$ = su* program4 7ii7 ,! numb]1 disaggregat$ by race1 sex1 & era & bran* ( s]vice 9 ! ,arm$ ,=ces ( ! applicant1 (-- 7,i7 approvals ( su* applications2 & 7,,ii7 d5ials ( su* applications4 7iii7 ,! numb] ( reassessm5ts conduct$ = su* program4 7iv7 ,an id5tification ( ea* decision made ) respect to a reassessm5t conduct$ = su* program1 disaggregat$ by decisions result+ 9-- 7,i7 dis5rollm5t1 includ+ removal1 dis*>ge1 or volunt>y )drawal2 7,,ii7 ti] r$uction2 & 7,,iii7 ti] cont9uation4 7v7 ,! numb] ( appeals ( decisions made ) respect to su* program1 disaggregat$ by type ( appeal4 7vi7 ,) respect to ea* appeal describ$ 9 clause 7v71 ! decision r5d]$1 if any4 7vii7 ,a description ( all tools us$ 9 assessm5ts conduct$ = su* program1 includ+ an explanation ( h[ & by :om su* tools are adm9i/]$4 7viii7 ,a description ( proc$ures us$ "u su* program = review+ & integrat+ cl9ical records f heal? c>e provid]s t includes an explanation ( h[ su* records are us$ 9 det]m9ations ( eligibility = su* program4 7ix7 ,a description ( proc$ures available "u su* program = heal? c>e provid]s to communicate m$ical op9ions to ! teams conduct+ assessm5ts to det]m9e eligibility = su* program1 includ+ heal? c>e provid]s 9 ! private sector & heal? c>e provid]s specifi$ 9 subsection 7c7 ( section #agjc ( ?is title4 7x7 ,a description ( in=mation te*nology sy/ems & processes us$ "u su* program to upload & integrate all cl9ical records f all non-,dep>tm5t provid]s1 includ+ provid]s 9 ! private sector & provid]s "u ! ,vet]ans ,community ,c>e ,program e/abli%$ "u su* section4 7,b7 ,! ,secret>y %all ensure t all data includ$ 9 a report "u subp>agraph 7,a7-- 7i7 relat+ to a decision made "u ! program requir$ by p>agraph 7#a71 are disaggregat$ by ! specific reason = ! decision2 7ii7 relat+ to a vet]an1 include compreh5sive demographic in=mation ( ! vet]an1 includ+ ! "t p]iod ( ! injuries1 if any1 ( ! vet]an & ! ,vet]ans ,integrat$ ,s]vice ,network 9 :i* ! vet]an is locat$2 & 7iii7 ) respect to eligibility det]m9ations relat+ to a s]i\s injury ( a vet]an1 specify-- 7,i7 h[ _m su* det]m9ations relate to ! ability ( ! vet]an to p]=m activities ( daily liv+2 & 7,,ii7 h[ _m su* det]m9ations relate to ! ne$ ( a vet]an = sup]vision & protection4 7,c7 ,! ,secret>y %all provide ! data "u p>agraph 7,b7 pursuant to ,f$]al laws & 9 a mann] t is :olly consi/5t ) applicable ,f$]al privacy & confid5tiality laws1 includ+ ! ,privacy ,act 7#e ,u4,s4,c4 #eeb;a71 ! ,heal? ,insurance ,portability & ,acc\ntability ,act 7,public ,law #ajd-aia2 #db ,u4,s4,c4 #bja note7 & regulations 7title #de1 ,code ( ,f$]al ,regulations1 p>ts #afj & #afd1 or successor regulations71 & sections #egja1 #egje1 & #gccb ( ?is title to ensure t ! provid$ data1 or "s portion ( ! data1 w n und]m9e ! anonymity ( a vet]an4 4 #abf4 ,improvem5ts relat+ to ,homemak] & ,home ,heal? ,aide program 7a7 ,pilot program = communities ) %ortage ( home heal? aides 7#a7 ,program ,beg9n+ n lat] ?an #ah mon?s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y %all c>ry out a ?ree-ye> pilot program "u :i* ! ,secret>y %all provide homemak] & home heal? aide s]vices to vet]ans :o reside 9 communities ) a %ortage ( home heal? aides4 7#b7 ,locations ,! ,secret>y %all select n few] ?an five geographic locations 9 :i* ! ,secret>y det]m9es !re is a %ortage ( home heal? aides at :i* to c>ry out ! pilot program "u p>agraph 7#a74 7#c7 ,nurs+ assi/ants 7,a7 ,9 g5]al ,9 c>ry+ out ! pilot program "u p>agraph 7#a71 ! ,secret>y may hire nurs+ assi/ants z new employees ( ! ,dep>tm5t ( ,vet]ans ,affairs1 or reassign nurs+ assi/ants :o are exi/+ employees ( ! ,dep>tm5t1 to provide to vet]ans 9-home c>e s]vices 7includ+ basic tasks au?oriz$ by ! ,/ate c]tification ( ! nurs+ assi/ant7 "u ! pilot program1 9 lieu ( or 9 addition to ! provision ( su* s]vices ?r\gh non-,dep>tm5t home heal? aides4 7,b7 ,relation%ip to ,home-,bas$ ,prim>y ,c>e program ,nurs+ assi/ants hir$ or reassign$ "u subp>agraph 7,a7 may provide s]vices to a vet]an "u ! pilot program "u p>agraph 7#a7 :ile s]v+ z "p ( a heal? c>e team = ! vet]an "u ! ,home-,bas$ ,prim>y ,c>e program4 7#d7 ,report to ,congress ,n lat] ?an "o ye> be=e ! date ( ! t]m9ation ( ! pilot program "u p>agraph 7#a71 ! ,secret>y %all submit to ! ,committees on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives & ! ,s5ate a report t includes-- 7,a7 a /atem5t ( ! results ( su* pilot program2 & 7,b7 an assessm5t ( ! feasibility & advisability (-- 7i7 ext5d+ su* pilot program2 or 7ii7 mak+ su* pilot program a p]man5t program ( ! ,dep>tm5t ( ,vet]ans ,affairs4 7b7 ,report on use ( funds ,n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,vet]ans ,affairs %all submit to ! ,committees on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives & ! ,s5ate a report conta9+1 ) respect to ! p]iod beg9n+ 9 fiscal ye> #bjab & end+ 9 fiscal ye> #bjbd1 ! foll[+3 7#a7 ,an id5tification ( ! am\nt ( funds t 7 includ$ 9 a budget ( ! ,dep>tm5t ( ,vet]ans ,affairs dur+ su* p]iod = ! provision ( 9-home c>e to vet]ans "u ! ,homemak] & ,home ,heal? ,aide program b 7 n exp5d$ = su* provision1 disaggregat$ by m$ical c5t] ( ! ,dep>tm5t = :i* su* unexp5d$ funds 7 budget$ 7if su* disaggregation is possible74 7#b7 ,to ! ext5t practicable1 an id5tification ( ! numb] ( vet]ans = :om1 dur+ su* p]iod1 ! h\rs dur+ :i* a home heal? aide 0 au?oriz$ to provide s]vices to ! vet]an "u ! ,homemak] & ,home ,heal? ,aide program 7 r$uc$ = a reason o!r ?an a *ange 9 ! heal? c>e ne$s ( ! vet]an1 & a detail$ description ( ! reasons :y any su* r$uctions may h occurr$4 7c7 ,updat$ guidance on program ,n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y %all issue updat$ guidance = ! ,homemak] & ,home ,heal? ,aide program4 ,su* updat$ guidance %all include ! foll[+3 7#a7 ,a process = ! transition ( vet]ans f ! ,homemak] & ,home ,heal? ,aide program to o!r cov]$ programs4 7#b7 ,a requirem5t = ! directors ( ! m$ical facilities ( ! ,dep>tm5t to complete su* process :5ev] a vet]an ) c>e ne$s has be5 d5i$ s]vices f home heal? ag5cies "u ! ,homemak] & ,home ,heal? ,aide program z a result ( ! cl9ical ne$s or behavioral issues ( ! vet]an4 #abg4 ,pilot program to furni% assi/$ liv+ s]vices to c]ta9 vet]ans 7a7 ,e/abli%m5t ,beg9n+ n lat] ?an two ye>s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,vet]ans ,affairs %all c>ry out a pilot program to assess-- 7#a7 ! effectiv5ess ( provid+ assi/$ liv+ s]vices to eligible vet]ans1 at ! election ( su* vet]ans2 & 7#b7 ! satisfaction ) ! pilot program ( vet]ans p>ticipat+ 9 su* pilot program4 7b7 ,program locations 7#a7 ,vet]ans ,integrat$ ,s]vice ,networks ,! ,secret>y %all select two ,vet]ans ,integrat$ ,s]vice ,networks ( ! ,dep>tm5t ( ,vet]ans ,affairs at :i* to c>ry out ! pilot program "u subsection 7a74 7#b7 ,facilities 7,a7 ,9 g5]al ,)9 ! ,vet]ans ,integrat$ ,s]vice ,networks select$ "u p>agraph 7#a71 ! ,secret>y %all select facilities at :i* to c>ry out ! pilot program "u subsection 7a77#a74 7,b7 ,selection crit]ia ,9 select+ facilities "u subp>agraph 7,a7 at :i* to c>ry out ! pilot program "u subsection 7a77#a71 ! ,secret>y %all ensure t-- 7i7 ! locations ( su* facilities are 9 geographically div]se areas2 7ii7 n few] ?an "o su* facility s]ves vet]ans 9 rural or highly rural areas 7z det]m9$ ?r\gh ! use ( ! ,rural-,urban ,commut+ ,areas cod+ sy/em ( ! ,dep>tm5t ( ,agriculture72 7iii7 n few] ?an "o su* facility is locat$ 9 ea* ,vet]ans ,integrat$ ,s]vice ,network select$ "u p>agraph 7#a72 & 7iv7 n few] ?an "o su* facility is a ,/ate home4 7c7 ,program p>ticipants ,n m ?an #fj eligible vet]ans may p>ticipate 9 ! pilot program "u subsection 7a77#a7 9 ea* ,vet]ans ,integrat$ ,s]vice ,network select$ "u subsection 7b77#a74 7d7 ,provision ( assi/$ liv+ s]vices 7#a7 ,agreem5ts ,9 c>ry+ out ! pilot program "u subsection 7a77#a71 ! ,secret>y may ent] into agreem5ts = ! provision ( assi/$ liv+ s]vices on behalf ( eligible vet]ans )-- 7,a7 a provid] p>ticipat+ "u a ,/ate plan or waiv] "u title ,,xix ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq472 or 7,b7 a ,/ate home recogniz$ & c]tifi$ "u subp>t ,b ( "p #ea ( title #ch1 ,code ( ,f$]al ,regulations1 or successor regulations4 7#b7 ,/&>ds ,! ,secret>y may n place1 transf]1 or admit a vet]an to any facility = assi/$ liv+ s]vices "u ! pilot program "u subsection 7a77#a7 unless ! ,secret>y det]m9es t-- 7,a7 ! facility meets ! /&>ds = community resid5tial c>e e/abli%$ "u sections #ag4fa ?r\gh #ag4gb ( title #ch1 ,code ( ,f$]al ,regulations1 or successor regulations1 & any additional /&>ds ( c>e z ! ,secret>y may specify2 or 7,b7 9 ! case ( a facility t is a ,/ate home1 ! ,/ate home meets su* /&>ds ( c>e z ! ,secret>y may specify4 7#c7 ,inspection ,! ,secret>y %all inspect facilities at :i* vet]ans are plac$ "u ! pilot program "u subsection 7a77#a7-- 7,a7 ) respect to a facility t is a ,/ate home1 n less frequ5tly ?an annually & 9 ! same mann] z ! ,secret>y conducts inspection ( ,/ate homes "u section #agdb ( title #ch1 ,unit$ ,/ates ,code2 & 7,b7 ) respect to any o!r facility1 n less frequ5tly ?an annually & 9 ! same mann] z ! ,secret>y conducts inspection ( facilities "u section #agcj ( su* title4 7#d7 ,paym5t to c]ta9 facilities 7,a7 ,/ate homes ,9 ! case ( a facility p>ticipat+ 9 ! pilot program "u subsection 7a77#a7 t is a ,/ate home1 ! ,secret>y %all pay to ! ,/ate home a p] diem = ea* vet]an p>ticipat+ 9 ! pilot program at a rate agre$ to by ! ,secret>y & ! ,/ate home4 7,b7 ,community assi/$ liv+ facilities ,9 ! case ( a facility p>ticipat+ 9 ! pilot program "u subsection 7a77#a7 t is a community assi/$ liv+ facility1 ! ,secret>y %all-- 7i7 pay to ! facility an am\nt t is less ?an ! av]age rate paid by ! ,dep>tm5t = placem5t 9 a community nurs+ home 9 ! same ,vet]ans ,integrat$ ,s]vice ,network2 & 7ii7 re-evaluate paym5t rates annually to acc\nt = curr5t economic conditions & curr5t co/s ( assi/$ liv+ s]vices4 7e7 ,cont9uity ( c>e ,^u ! t]m9ation ( ! pilot program "u subsection 7a77#a71 ! ,secret>y %all-- 7#a7 provide to all vet]ans p>ticipat+ 9 ! pilot program at ! "t ( su* t]m9ation ! option to cont9ue to receive assi/$ liv+ s]vices at ! site !y 7 assign$ to "u ! pilot program1 at ! exp5se ( ! ,dep>tm5t2 & 7#b7 = su* vet]ans :o d n opt to cont9ue to receive su* s]vices-- 7,a7 ensure su* vet]ans d n exp]i5ce lapses 9 c>e2 & 7,b7 provide su* vet]ans ) in=mation on1 & furni% su* vet]ans )1 o!r ext5d$ c>e s]vices bas$ on _! pref]5ces & be/ m$ical int]e/4 7f7 ,det]m9ation ( quality ,! ,secret>y %all det]m9e a me?od = assessm5t ( quality ( c>e provid$ to vet]ans p>ticipat+ 9 ! pilot program "u subsection 7a77#a7 & %all communicate t me?od to provid]s ( s]vices "u ! pilot program4 7g7 ,annual report ,n lat] ?an "o ye> aft] ! initiation ( ! pilot program "u subsection 7a77#a71 & annually !reaft] = ! duration ( su* pilot program1 ! ,secret>y %all submit to ! ,committees on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives & ! ,s5ate a report on ! pilot program t includes-- 7#a7 an id5tification ( ,vet]ans ,integrat$ ,s]vices ,networks & facilities ( ! ,dep>tm5t p>ticipat+ 9 ! pilot program & assi/$ liv+ facilities & ,/ate homes at :i* vet]ans are plac$ "u ! pilot program2 7#b7 ! numb] ( p>ticipants 9 ! pilot program1 disaggregat$ by facility2 7#c7 g5]al demographic in=mation ( p>ticipants 9 ! pilot program1 includ+ av]age age1 sex1 & race or e?nicity2 7#d7 disability /atus ( p>ticipants 9 ! pilot program2 7#e7 an id5tification ( any b>ri]s or *all5ges to furni%+ c>e to vet]ans "u ! pilot program1 conduct+ ov]sight ( ! pilot program1 or any o!r b>ri]s or *all5ges2 7#f7 ! co/ ( c>e at ea* assi/$ liv+ facility & ,/ate home p>ticipat+ 9 ! pilot program1 includ+ an analysis ( any co/ sav+s by ! ,dep>tm5t :5 comp>+ t co/ to ! co/ ( nurs+ home c>e2 7#g7 aggregat$ fe$back f p>ticipants 9 ! pilot program1 includ+ f vet]an resid5t surveys & int]views2 & 7#h7 su* o!r matt]s ! ,secret>y consid]s appropriate4 7h7 ,f9al report ,n lat] ?an "o ye> aft] ! pilot program t]m9ates "u subsection 7j71 ! ,secret>y %all submit to ! ,committees on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives & ! ,s5ate a report on ! pilot program t-- 7#a7 includes ! matt]s requir$ "u p>agraphs 7#a7 ?r\gh 7#h7 ( subsection 7g72 7#b7 includes recomm5dations on :e!r ! model /udi$ 9 ! pilot program %\ld be cont9u$ or adopt$ ?r\gh\t ! ,dep>tm5t2 & 7#c7 indicates :e!r ! ,secret>y reque/s action by ,congress to make ! pilot program p]man5t4 7i7 ,inspector ,g5]al report 7#a7 ,9 g5]al ,n lat] ?an ?ree ye>s aft] ! initiation ( ! pilot program "u subsection 7a77#a71 ! ,inspector ,g5]al ( ! ,dep>tm5t ( ,vet]ans ,affairs %all submit to ! ,secret>y ( ,vet]ans ,affairs & ! ,committees on ,vet]ans' ,affairs ( ,h\se ( ,repres5tatives & ! ,s5ate a report on ! pilot program4 7#b7 ,elem5ts ,! report requir$ by p>agraph 7#a7 %all include an assessm5t (-- 7,a7 ! quality ( c>e provid$ to vet]ans at facilities p>ticipat+ 9 ! pilot program1 measur$ pursuant to ! me?od det]m9$ "u subsection 7f72 7,b7 ! ov]sight ( su* facilities1 z conduct$ by ! ,dep>tm5t1 ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices1 ,/ate ag5cies1 & o!r relevant entities2 & 7,c7 su* o!r matt]s z ! ,inspector ,g5]al consid]s appropriate4 7#c7 ,plan requir$ ,n lat] ?an #ij days aft] ! submission ( ! report "u p>agraph 7#a71 ! ,secret>y %all submit to ! ,committees on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives & ! ,s5ate a plan to address ! defici5cies id5tifi$ 9 ! report1 if any4 7j7 ,t]m9ation 7#a7 ,9 g5]al ,subject to p>agraph 7#b71 ! pilot program "u subsection 7a77#a7 %all t]m9ate on ,septemb] #cj1 #bjbh4 7#b7 ,ext5sion ,! ,secret>y may ext5d ! duration ( ! pilot program = an additional two-ye> p]iod if ! ,secret>y1 bas$ on ! results ( ! reports submitt$ "u subsection 7g71 det]m9es su* an ext5sion is appropriate4 7k7 ,def9itions ,9 ?is section3 7#a7 ,! t]m assi/$ liv+ s]vices means s]vices ( a facility 9 provid+ room1 bo>d1 & p]sonal c>e = & sup]vision ( resid5ts = _! heal?1 safety1 & welf>e4 7#b7 ,! t]m eligible vet]an means a vet]an :o is-- 7,a7 receiv+ nurs+ home c>e paid = by ! ,dep>tm5t ( ,vet]ans ,affairs1 eligible to receive su* c>e pursuant to section #agaj;,a ( title #ch1 ,unit$ ,/ates ,code1 or requires a high] level ( c>e ?an ! domicili>y c>e provid$ by ! ,dep>tm5t ( ,vet]ans ,affairs1 b does n meet ! requirem5ts = nurs+ home level c>e provid$ by ! ,dep>tm5t pursuant to su* section2 & 7,b7 eligible = assi/$ liv+ s]vices1 z det]m9$ by ! ,secret>y or meets su* additional crit]ia = eligibility = ! pilot program "u subsection 7a77#a7 z ! ,secret>y may e/abli%4 7#c7 ,! t]m ,/ate home has ! mean+ giv5 t t]m 9 section #aja ( title #ch1 ,unit$ ,/ates ,code4 #abh4 ,provision ( m$ic9e1 equipm5t1 & supplies available to ,dep>tm5t ( ,vet]ans ,affairs to ,/ate homes 7a7 ,provision au?oriz$ ,! ,secret>y ( ,vet]ans ,affairs may provide to ,/ate homes m$ic9e1 p]sonal protective equipm5t1 m$ical supplies1 & any o!r equipm5t1 supplies1 & assi/ance available to ! ,dep>tm5t ( ,vet]ans ,affairs4 7b7 ,def9ition ,9 ?is section3 7#a7 ,! t]m p]sonal protective equipm5t means any protective equipm5t requir$ to prev5t ! we>] f contract+ an infecti\s disease1 includ+ gloves1 ,n-#ie respirator masks1 g[ns1 goggles1 face %ields1 or o!r equipm5t requir$ = safety4 7#b7 ,! t]m ,/ate home has ! mean+ giv5 su* t]m 9 section #aja ( title #ch1 ,unit$ ,/ates ,code4 #abi4 ,recognition ( organizations & individuals to assi/ vet]ans1 family memb]s1 & c>egiv]s navigat+ programs & s]vices ( ,vet]ans ,heal? ,adm9i/ration 7a7 ,9 g5]al ,n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,vet]ans ,affairs %all e/abli% a process ?r\gh :i* ! ,dep>tm5t ( ,vet]ans ,affairs may recognize organizations & individuals to assi/ a vet]an1 a family memb] ( a vet]an1 or a c>egiv] ( a vet]an 7z def9$ 9 section #agbj;,g7d7 ( title #ch1 ,unit$ ,/ates ,code7 9 navigat+ ! programs & s]vices ( ! ,vet]ans ,heal? ,adm9i/ration4 7b7 ,solicitation ( fe$back ,! ,secret>y %all solicit fe$back & recomm5dations 9 ! creation ( ! process "u subsection 7a7 f su* organizations z ! ,secret>y may consid] relevant4 7c7 ,limitation ,! ,secret>y may n recognize an organization or individual pursuant to ! process e/abli%$ "u subsection 7a7 unless ! organization or individual has c]tifi$ to ! ,secret>y t no fee or comp5sation ( any nature w be *>g$ to any individual = s]vices r5d]$ 9 provid+ assi/ance pursuant to su* subsection4 #acj4 ,reviews & o!r improvem5ts relat+ to home- & community-bas$ s]vices 7a7 ,(fice ( ,g]iatric & ,ext5d$ ,c>e 7#a7 ,review ( programs ,! ,"u ,secret>y = ,heal? ( ! ,dep>tm5t ( ,vet]ans ,affairs %all conduct a review ( ea* program adm9i/]$ ?r\gh ! ,(fice ( ,g]iatric & ,ext5d$ ,c>e ( ! ,dep>tm5t & ! ,c>egiv] ,support ,program ,(fice ( ! ,dep>tm5t1 or any successor (fices1 to-- 7,a7 elim9ate s]vice gaps at ! m$ical c5t] level2 & 7,b7 ensure-- 7i7 ! cl9ical ne$s ( vet]ans are met2 7ii7 consi/5cy 9 program managem5t2 7iii7 ! availability (1 & ! access by vet]ans to1 home- & community-bas$ s]vices1 includ+ = vet]ans liv+ 9 rural areas2 & 7iv7 prop] coord9ation betwe5 cov]$ programs4 7#b7 ,assessm5t ( /aff+ ne$s ,! ,secret>y ( ,vet]ans ,affairs %all conduct an assessm5t ( ! /aff+ ne$s ( ! ,(fice ( ,g]iatric & ,ext5d$ ,c>e ( ! ,dep>tm5t & ! ,c>egiv] ,support ,program ,(fice ( ! ,dep>tm5t1 or any successor (fices4 7#c7 ,goals = geographic alignm5t ( c>e 7,a7 ,e/abli%m5t ( goals ,! ,director ( ! ,(fice ( ,g]iatric & ,ext5d$ ,c>e1 or successor (fice1 %all e/abli% quantitative goals to enable ag+ or disabl$ vet]ans :o are n locat$ ne> m$ical c5t]s ( ! ,dep>tm5t to access ext5d$ c>e s]vices 7includ+ by improv+ access to home- & community-bas$ s]vices = su* vet]ans74 7,b7 ,implem5tation timel9e ,ea* goal e/abli%$ "u subp>agraph 7,a7 %all include a timel9e = ! implem5tation ( ! goal at ea* m$ical c5t] ( ! ,dep>tm5t4 7#d7 ,goals = 9-home specialty c>e ,! ,director ( ! ,(fice ( ,g]iatric & ,ext5d$ ,c>e1 or successor (fice1 %all e/abli% quantitative goals to address ! specialty c>e ne$s ( vet]ans ?r\gh 9-home c>e1 includ+ by ensur+ ! education ( home heal? aides & c>egiv]s ( vet]ans 9 ! foll[+ areas3 7,a7 ,dem5tia c>e4 7,b7 ,c>e = sp9al cord injuries & diseases4 7,c7 ,v5tilator c>e4 7,d7 ,o!r speciality c>e areas z det]m9$ by ! ,secret>y4 7#e7 ,input on goals ,to ! ext5t practicable1 ! head ( ! ,c>egiv] ,support ,program ,(fice1 or successor (fice1 %all provide to ! ,director ( ! ,(fice ( ,g]iatric & ,ext5d$ ,c>e1 or successor (fice1 input ) respect to ! e/abli%m5t ( ! goals "u p>agraphs 7#c7 & 7#d74 7#f7 ,report to ,congress ,n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y %all submit to ! ,committees on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives & ! ,s5ate a report conta9+ ! f9d+s ( ! review "u p>agraph 7#a71 ! results ( ! assessm5t "u p>agraph 7#b71 & ! goals e/abli%$ "u p>agraphs 7#c7 & 7#d74 7b7 ,review ( inc5tives & ef=ts relat+ to home- & community-bas$ s]vices 7#a7 ,review ,! ,secret>y ( ,vet]ans ,affairs %all conduct a review ( ! foll[+3 7,a7 ,! f9ancial & organizational inc5tives or dis9c5tives = ! directors ( m$ical c5t]s ( ! ,dep>tm5t to e/abli% or exp& cov]$ programs at su* m$ical c5t]s4 7,b7 ,any inc5tives or dis9c5tives = su* directors to provide to vet]ans home- & community-bas$ s]vices 9 lieu ( in/itutional c>e4 7,c7 ,! ef=ts tak5 by ! ,secret>y to enhance sp5d+ ( ! ,dep>tm5t = ext5d$ c>e by balanc+ sp5d+ betwe5 in/itutional c>e & home- & community-bas$ s]vices consi/5t ) ! dem& = su* s]vices4 7,d7 ,! plan ( ! ,"u ,secret>y = ,heal? ( ! ,dep>tm5t to accel]ate ef=ts to enhance sp5d+ z specifi$ 9 subp>agraph 7,c71 to mat* ! progress ( simil> ef=ts tak5 by ! ,adm9i/rator ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices ) respect to sp5d+ ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices = ext5d$ c>e4 7#b7 ,report to ,congress ,n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y %all submit to ! ,committees on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives & ! ,s5ate a report on ! f9d+s ( ! review "u p>agraph 7#a74 7c7 ,review ( respite c>e s]vices ,n lat] ?an two ye>s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,vet]ans ,affairs %all conduct a review ( ! use1 availability1 co/1 & effectiv5ess1 ( ! respite c>e s]vices furni%$ by ! ,secret>y "u *apt] #ag ( title #ch1 ,unit$ ,/ates ,code1 includ+-- 7#a7 ! frequ5cy at :i* ! ,dep>tm5t ( ,vet]ans ,affairs is unable to meet dem& = su* s]vices2 7#b7 a detail$ description (-- 7,a7 ! reasons ! ,dep>tm5t ( ,vet]ans ,affairs is unable to meet ! dem& = su* s]vices2 & 7,b7 any actions1 or plann$ actions1 ( ! ,secret>y ( ,vet]ans ,affairs to ensure su* dem& is met4 7d7 ,collaboration to improve home- & community-bas$ s]vices 7#a7 ,recomm5dations 7,a7 ,developm5t ,! ,secret>y ( ,vet]ans ,affairs %all develop recomm5dations z foll[s3 7i7 ,) respect to home- & community-bas$ s]vices = vet]ans1 ! ,secret>y ( ,vet]ans ,affairs %all develop recomm5dations reg>d+ new s]vices 79 addition to ^? furni%$ z ( ! date ( enactm5t ( ?is ,act7 9 collaboration ) ! ,secret>y ( ,heal? & ,human ,s]vices4 7ii7 ,) respect to ! national %ortage ( home heal? aides1 ! ,secret>y ( ,vet]ans ,affairs %all develop recomm5dations reg>d+ me?ods to address su* %ortage 9 collaboration ) ! ,secret>y ( ,heal? & ,human ,s]vices & ! ,secret>y ( ,labor4 7,b7 ,submission to ,congress ,! ,secret>y ( ,vet]ans ,affairs %all submit to ! ,committees on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives & ! ,s5ate a report conta9+ ! recomm5dations develop$ "u subp>agraph 7,a7 & an id5tification ( any *anges 9 exi/+ law or new /atutory au?ority necess>y to implem5t ! recomm5dations1 z det]m9$ by ! ,secret>y4 7,c7 ,consultation ) ,secret>y ( ,labor ,9 c>ry+ out ?is p>agraph1 ! ,secret>y ( ,vet]ans ,affairs %all consult ) ! ,secret>y ( ,labor4 7#b7 ,fe$back & recomm5dations on c>egiv] support 7,a7 ,fe$back & recomm5dations ,! ,secret>y ( ,vet]ans ,affairs %all solicit f ! entities describ$ 9 subp>agraph 7,b7 fe$back & recomm5dations reg>d+ opportunities = ! ,secret>y to enhance home- & community-bas$ s]vices = vet]ans & ! c>egiv]s ( vet]ans1 includ+ ?r\gh ! pot5tial provision by ! entity ( c>e & respite s]vices to vet]ans & c>egiv]s :o may n be eligible = any program "u section #agbj;,g ( title #ch1 ,unit$ ,/ates ,code1 or section #agbj,l ( su* title 7z add$ by section #abc71 b h a ne$ = assi/ance4 7,b7 ,cov]$ entities ,! entities describ$ 9 ?is subp>agraph are vet]ans s]vice organizations & nonpr(it organizations ) a focus on c>egiv] support or long t]m c>e 7z det]m9$ by ! ,secret>y74 7#c7 ,collaboration = c]ta9 vet]ans ,! ,secret>y ( ,vet]ans ,affairs %all collaborate ) ! ,director ( ! ,indian ,heal? ,s]vice & repres5tatives f tribal heal? programs & ,urban ,indian organizations to ensure ! availability ( home- & community-bas$ s]vices =-- 7,a7 ,native ,am]ican vet]ans1 includ+ ,native ,am]ican vet]ans receiv+ heal? c>e & m$ical s]vices "u multiple heal? c>e sy/ems2 & 7,b7 ,native ,hawaiian vet]ans1 includ+ ,native ,hawaiian vet]ans receiv+ heal? c>e & m$ical s]vices "u ! ,native ,hawaiian heal? c>e sy/em4 #aca4 ,,gao report on m5tal heal? support = c>egiv]s 7a7 ,report requir$ ,n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all submit to ! ,committee on ,vet]ans' ,affairs ( ! ,s5ate & ! ,committee on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives a report on ! provision ( m5tal heal? support to c>egiv]s ( vet]ans4 7b7 ,cont5ts ,! report submitt$ "u subsection 7a7 %all include ! foll[+3 7#a7 ,an assessm5t ( ! ne$ = m5tal heal? support among c>egiv]s p>ticipat+ 9 ! c>egiv] programs4 7#b7 ,an assessm5t ( options = m5tal heal? support 9 facilities ( ! ,dep>tm5t ( ,vet]ans ,affairs & 9 ! community = c>egiv]s p>ticipat+ 9 ! c>egiv] programs4 7#c7 ,an assessm5t ( ! availability & accessibility ( m5tal heal? support 9 facilities ( ! ,dep>tm5t & 9 ! community = c>egiv]s p>ticipat+ 9 ! c>egiv] programs4 7#d7 ,an assessm5t ( ! aw>5ess among c>egiv]s ( ! availability ( m5tal heal? support 9 facilities ( ! ,dep>tm5t & 9 ! community = c>egiv]s p>ticipat+ 9 ! c>egiv] programs4 7#e7 ,an assessm5t ( b>ri]s to m5tal heal? support 9 facilities ( ! ,dep>tm5t & 9 ! community = c>egiv]s p>ticipat+ 9 ! c>egiv] programs4 7c7 ,def9itions ,9 ?is section3 7#a7 ,! t]m c>egiv] has ! mean+ giv5 t t]m 9 section #agbj;,g ( title #ch1 ,unit$ ,/ates ,code4 7#b7 ,! t]m c>egiv] programs means-- 7,a7 ! program ( compreh5sive assi/ance = family c>egiv]s "u subsection 7a7 ( section #agbj;,g ( title #ch1 ,unit$ ,/ates ,code2 & 7,b7 ! program ( support s]vices = c>egiv]s "u subsection 7b7 ( su* section4 #acb4 ,developm5t ( c5traliz$ website = program in=mation 7a7 ,c5traliz$ website ,! ,secret>y %all develop & ma9ta9 a c5traliz$ & publically accessible int]net website ( ! ,dep>tm5t z a cle>+h\se = in=mation & res\rces relat+ to cov]$ programs4 7b7 ,cont5ts ,! website "u subsection 7a7 %all conta9 ! foll[+3 7#a7 ,a description ( ea* cov]$ program4 7#b7 ,an in=mational assessm5t tool t-- 7,a7 expla9s ! adm9i/rative eligibility1 if applicable1 ( a vet]an1 or a c>egiv] ( a vet]an1 = any cov]$ program2 & 7,b7 provides in=mation1 z a result ( su* explanation1 on any cov]$ program = :i* ! vet]an or c>egiv] 7z ! case may be7 may be eligible4 7#c7 ,a li/ ( requir$ proc$ures = ! directors ( ! m$ical facilities ( ! ,dep>tm5t to foll[ 9 det]m9+ ! eligibility & suitability ( vet]ans = p>ticipation 9 a cov]$ program1 includ+ proc$ures applicable to in/ances 9 :i* ! res\rce con/ra9ts ( a facility 7or ( a community 9 :i* a facility is locat$7 may result 9 ! inability to address ! heal? ne$s ( a vet]an "u a cov]$ program 9 a timely mann]4 7c7 ,updates ,! ,secret>y %all ensure ! website "u subsection 7a7 is updat$ on a p]iodic basis4 #acc4 ,def9itions ,9 ?is subtitle3 7#a7 ,! t]ms c>egiv] & family c>egiv] h ! mean+s giv5 ^? t]ms "u section #agbj,l7h7 ( title #ch1 ,unit$ ,/ates ,code 7z add$ by section #abc74 7#b7 ,! t]m cov]$ program-- 7,a7 means any program ( ! ,dep>tm5t ( ,vet]ans ,affairs = home- & community-bas$ s]vices2 & 7,b7 includes ! programs specifi$ 9 section #agbj,l ( title #ch1 ,unit$ ,/ates ,code 7z add$ by section #abc74 7#c7 ,! t]m home- & community-bas$ s]vices-- 7,a7 means ! s]vices ref]r$ to 9 section #agja7f77;,e7 ( title #ch1 ,unit$ ,/ates ,code2 & 7,b7 includes s]vices furni%$ "u a program specifi$ 9 section #agbj,l ( su* title 7z add$ by section #abc74 7#d7 ,! t]ms ,home-,bas$ ,prim>y ,c>e program1 ,homemak] & ,home ,heal? ,aide program1 & ,vet]an-,direct$ ,c>e program mean ! programs ( ! ,dep>tm5t ( ,vet]ans ,affairs specifi$ 9 subsection 7d71 7c71 & 7b7 ( su* section #agbj,l1 respectively4 7#e7 ,! t]ms home heal? aide1 ,native ,am]ican1 ,native ,am]ican vet]an1 tribal heal? programs1 & ,urban ,indian organizations h ! mean+s giv5 ^? t]ms 9 subsection 7h7 ( su* section #agbj,l4 7#f7 ,! t]m vet]ans s]vice organization means any organization recogniz$ by ! ,secret>y "u section #eijb ( su* title4 ,c ,m$ical ,treatm5t & ,o!r ,matt]s #adj4 ,qu>t]ly report on ref]rals = non-,dep>tm5t ( ,vet]ans ,affairs heal? c>e 7a7 ,9 g5]al ,sub*apt] ,i ( *apt] #ag ( title #ch1 ,unit$ ,/ates ,code1 is am5d$ by ins]t+ aft] section #agjc;,f ! foll[+ new section 7& am5d+ ! table ( sections at ! beg9n+ ( su* *apt] accord+ly73 #agjc;,g4 ,qu>t]ly report on ref]rals = non-,dep>tm5t heal? c>e ,! ,secret>y %all submit to ! ,committees on ,vet]ans' ,affairs ( ! ,s5ate & ! ,h\se ( ,repres5tatives a qu>t]ly report conta9+1 ) respect to ref]rals = non-,dep>tm5t heal? c>e orig9at+ f a m$ical facility ( ! ,dep>tm5t dur+ ! qu>t] prec$+ ! date ( ! submission ( ! report1 a measurem5t (1 = ea* su* m$ical facility-- 7#a7 ! p]iod ( "t betwe5-- 7,a7 ! date on :i* a cl9ician employ$ by ! ,dep>tm5t det]m9es t a vet]an requires c>e1 or a vet]an pres5ts to ! ,dep>tm5t reque/+ c>e1 & ! date on :i* ! ref]ral = c>e is s5t to a non-,dep>tm5t heal? c>e provid]2 7,b7 ! date on :i* su* ref]ral is s5t to a non-,dep>tm5t heal? c>e provid] & ! date on :i* su* non-,dep>tm5t heal? c>e provid] accepts su* ref]ral2 7,c7 ! date on :i* su* non-,dep>tm5t heal? c>e provid] accepts su* ref]ral & ! date on :i* su* ref]ral is complet$2 7,d7 ! date on :i* su* ref]ral is complet$ & ! date on :i* an appo9tm5t ) a non-,dep>tm5t heal? c>e provid] is made2 & 7,e7 ! date on :i* su* an appo9tm5t is made & ! date on :i* su* appo9tm5t occurs2 & 7#b7 any o!r p]iod ( "t t ! ,secret>y det]m9es necess>y4 4 7b7 ,effective date ,! fir/ report "u section #agjc;,g1 z add$ by ?is section1 %all be due n lat] ?an #ahj days aft] ! date ( ! enactm5t ( ?is section4 #ada4 ,elim9ation ( c]ta9 requirem5ts = c]ta9 ,dep>tm5t ( ,vet]ans ,affairs ,assi/ant ,"u ,secret>ies ,section #gcjf ( title #ch1 ,unit$ ,/ates ,code1 is am5d$-- 7#a7 by /rik+ subsection 7b72 7#b7 by r$esignat+ subsections 7c7 ?r\gh 7g7 z subsections 7b7 ?r\gh 7f71 respectively2 & 7#c7 9 subsection 7c7 7z s r$esignat$71 by /rik+ subsection 7e7 & ins]t+ subsection 7d74 #adb4 ,modification ( pay limitation = physicians1 podiatri/s1 optometri/s1 & d5ti/s ( ,dep>tm5t ( ,vet]ans ,affairs 7a7 ,pay 7#a7 ,9 g5]al ,section #gdca ( title #ch1 ,unit$ ,/ates ,code1 is am5d$-- 7,a7 by ins]t+ optometri/s1 aft] podiatri/s1 ea* place x appe>s2 7,b7 by ins]t+ optometri/ aft] podiatri/1 ea* place x appe>s2 7,c7 9 subsection 7c7-- 7i7 9 p>agraph 7#e71 by add+ at ! end ! foll[+ new s5t5ce3 ,su* a notice %all include a /atem5t ( :e!r ! m>ket pay w increase1 decrease1 or rema9 un*ang$ foll[+ su* evaluation42 & 7ii7 by add+ at ! end ! foll[+ new p>agraphs3 7#g7 ,! ,secret>y %all ensure t ea* physician1 podiatri/1 optometri/1 & d5ti/ 9 ! ,vet]ans ,heal? ,adm9i/ration is-- 7,a7 advis$1 on an annual basis1 ( ! crit]ia describ$ 9 subp>agraph 7,f7 ( p>agraph 7#d72 7,b7 evaluat$ 9 accordance ) su* crit]ia2 & 7,c7 comp5sat$ 9 accordance )-- 7i7 applicable assignm5t & pay levels1 subject to relevant pay limitations2 & 7ii7 ! ext5t to :i* su* crit]ia are met4 7#h7 ,n lat] ?an #abj days aft] ! end ( ea* fiscal ye>1 ! ,secret>y %all submit to ! ,committees on ,vet]ans' ,affairs ( ! ,s5ate & ! ,h\se ( ,repres5tatives a report t includes ! foll[+3 7,a7 ,a li/ ( ea* facility & specialty t conduct$ an evaluation ( pay dur+ ! p]iod cov]$ by ! report4 7,b7 ,= ea* evaluation describ$ 9 subp>agraph 7,a7-- 7i7 a li/ ( occupations = :i* pay 0 evaluat$1 disaggregat$ by m$ical specialty1 numb] ( au?oriz$ full-"t employees1 & onsite full-"t employees z ( ! date ( ! evaluation2 7ii7 ! date su* evaluation 0 complet$2 7iii7 :e!r a m>ket pay adju/m5t 0 made foll[+ ! evaluation p] ea* occupation & specialty evaluat$2 7iv7 :e!r applicable employees 7 notifi$ ( su* evaluation2 7v7 :e!r local labor p>tn]s 7 notifi$ ( su* evaluation2 & 7vi7 9 ! case ( an evaluation t result$ 9 an adju/m5t ( pay-- 7,i7 ! date su* adju/m5t-- 7aa7 0 implem5t$2 & 7bb7 became effective2 & 7,,ii7 ! p]c5tage ( employees ( ea* occupation & specialty = :i* pay 0 adju/$ pursuant to su* evaluation4 7,c7 ,a li/ ( facilities ( ! ,dep>tm5t t h n conduct$ an evaluation ( m>ket pay1 pursuant to p>agraph 7#e71 dur+ ! #ah-mon?-p]iod t prec$es ! date ( ! submission ( su* report4 2 & 7,d7 9 subsection 7e71 by add+ at ! end ! foll[+ new p>agraphs3 7#e7 ,not)/&+ any comp5sation or pay limitations "u ?is title or title #e1 ! ,secret>y may au?orize ! ,"u ,secret>y = ,heal? to pay physicians1 podiatri/s1 optometri/s1 & d5ti/s-- 7,a7 aw>ds au?oriz$ "u ?is title2 7,b7 advance paym5ts1 recruitm5t or relocation bonuses1 & ret5tion all[ances au?oriz$ "u section #gdaj7;a7 ( ?is title or z o!rwise provid$ by law2 7,c7 inc5tives or bonuses "u section #gjf ( ?is title or z o!rwise provid$ by law2 & 7,d7 e>n+s f fee-basis appo9tm5ts "u section #gdje7;a77#b7 ( ?is title4 7#f7 7,a7 ,! ,secret>y may waive any pay limitation describ$ 9 ?is section 7includ+ ti] limitations7 t ! ,secret>y det]m9es necess>y = ! recruitm5t or ret5tion ( critical heal? c>e p]sonnel :om ! ,secret>y det]m9es w\ld provide direct pati5t c>e4 7,b7 ,priority = su* waiv]s %all be giv5 = positions1 locations1 & c>e provid$ ?r\gh agreem5ts t are co/ly to ! ,dep>tm5t4 7,c7 ,! ,*ief ,human ,capital ,(fic] ( ! ,dep>tm5t1 ! ,*ief ,f9ancial ,(fic] ( ! ,dep>tm5t1 & ! ,(fice ( ! ,g5]al ,c\nsel ( ! ,dep>tm5t %all review any waiv] issu$ "u subp>agraph 7,a74 7,d7 ,dur+ ! p]iod ! au?ority "u subp>agraph 7,a7 is effective1 ! ,secret>y may n issue m ?an #cjj waiv]s "u su* subp>agraph4 7,e7 ,! ,secret>y may prescribe requirem5ts1 limitations1 & o!r consid]ations = waiv]s "u su* subp>agraph4 7,f7 ,n lat] ?an #ahj days aft] ! date ( ! enactm5t ( ! ,s5ator ,elizabe? ,dole #ba/ ,c5tury ,vet]ans ,heal?c>e & ,b5efits ,improvem5t ,act1 & annually !reaft]1 ! ,secret>y %all submit to ! ,committees on ,vet]ans' ,affairs ( ! ,s5ate & ! ,h\se ( ,repres5tatives a report t includes-- 7i7 any updates to ! requirem5ts1 limitations1 & consid]ations prescrib$ "u subp>agraph 7,b7 dur+ ! p]iod cov]$ by ! report2 7ii7 a description ( ! f9d+s ( ea* review1 if any1 conduct$ pursuant to subp>agraph 7,c72 7iii7 a description ( ea* waiv] "u subp>agraph 7,a7 9 effect z ( ! date ( ! submission ( ! report1 includ+ !-- 7,i7 duty location1 position1 specialty1 m>ket & p]=mance consid]ations = ! waiv]2 & 7,,ii7 impact1 if any1 ( ! waiv] on c>e furni%$ by ! ,dep>tm5t pursuant to an agreem5t reg>d+ ! geographic area2 & 7iv7 a li/ ( any sep>ation actions dur+ ! p]iod cov]$ by ! report ) respect to a position = :i* a waiv] "u subp>agraph 7,a7 is 9 effect4 7,g7 ,! au?ority ( ! ,secret>y "u subp>agraph 7,a7 %all t]m9ate on ! la/ day ( ! ?ird full fiscal ye> foll[+ ! date ( ! enactm5t ( ! ,s5ator ,elizabe? ,dole #ba/ ,c5tury ,vet]ans ,heal?c>e & ,b5efits ,improvem5t ,act4 4 7#b7 ,report on waiv] au?ority ,n lat] ?an #ahj days aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,vet]ans ,affairs %all submit to ! ,committees on ,vet]ans' ,affairs ( ! ,s5ate & ! ,h\se ( ,repres5tatives a report t includes a description ( ! requirem5ts1 limitations1 & o!r consid]ations prescrib$ "u section #gdca7;b77#f77;,d7 ( title #ch1 ,unit$ ,/ates ,code1 z add$ by p>agraph 7#a74 7#c7 ,con=m+ am5dm5ts 7,a7 ,pay ( ,"u ,secret>y = ,heal? ,section #gdcb7;b77#a7 ( su* title is am5d$ by ins]t+ 1 podiatri/1 optometri/1 aft] physician4 7,b7 ,adm9i/rative matt]s ,section #gdcc ( su* title is am5d$ by ins]t+ optometri/s1 aft] physicians1 ea* place x appe>s4 7,c7 ,competitive pay ,section #gdea7;a77#b77;,c7 ( su* title is am5d$ by ins]t+ optometri/1 aft] physician14 7#d7 ,cl]ical am5dm5ts 7,a7 ,sub*apt] head+ ,sub*apt] ,,iii ( *apt] #gd ( su* title is am5d$ 9 ! head+ by ins]t+ ,optometri/s1 aft] ,podiatri/s14 7,b7 ,table ( sections ,! table ( sections = su* *apt] is am5d$ by /rik+ ! item relat+ to sub*apt] ,,iii & ins]t+ ! foll[+3 ,sub*apt] ,,iii--,pay = ,physicians & ,o!r ,heal?-,c>e ,p]sonnel 4 7#e7 ,applicability dates ,! am5dm5ts made by ?is subsection %all apply to any pay p]iod ( ! ,dep>tm5t ( ,vet]ans ,affairs beg9n+ on or aft] ! date t is #ahj days aft] ! date ( ! enactm5t ( ?is ,act4 7b7 ,modification & cl>ification ( pay grade = optometri/s ,section #gdjd ( title #ch1 ,unit$ ,/ates ,code1 is am5d$-- 7#a7 9 subsection 7a77#b77;,a71 by /rik+ podiatri/s1 & d5ti/s & ins]t+ podiatri/s1 optometri/s1 & d5ti/s2 & 7#b7 9 subsection 7b7-- 7,a7 by /rik+ podiatri/ 7dpm71 & d5ti/ & ins]t+ podiatri/ 7dpm71 optometri/ 7od71 & d5ti/2 7,b7 by /rik+ cl9ical *iropractor & optometri/ s*$ule1 & ins]t+ cl9ical *iropractor s*$ule2 & 7,c7 by ins]t+ optometri/ grade aft] ,podiatri/ grade4 7c7 ,retroactive au?ority = comp5sation 7#a7 ,9 g5]al ,! ,secret>y ( ,vet]ans ,affairs may pay retroactive comp5sation to a cov]$ employee 9 an am\nt t equals ! am\nt ( comp5sation t 0 au?oriz$ to be paid to su* cov]$ employee dur+ ! p]iod specifi$ 9 p>agraph 7#b71 b 0 def]r$ & paid to su* employee 9 ! cal5d> ye> foll[+ ! cal5d] ye> 9 :i* su* comp5sation 0 au?oriz$ because ! paym5t su* comp5sation w\ld h exce$$ an applicable cap on annual comp5sation4 7#b7 ,p]iod specifi$ ,! p]iod specifi$ 9 ?is p>agraph is ! p]iod beg9n+ on ,janu>y #h1 #bjjf1 & end+ on ,decemb] #ca1 #bjag4 7#c7 ,exclusion ,comp5sation au?oriz$ "u ?is subsection %all n be includ$ 9 ! calculation ( any aggregate limit on comp5sation = a cov]$ employee = ! ye> 9 :i* x is paid4 7#d7 ,*>g+ ( comp5sation ,comp5sation au?oriz$ "u ?is subsection %all be *>g$ to ! appropriate m$ical c>e appropriation acc\nt ( ! ,dep>tm5t ( ,vet]ans ,affairs = ! fiscal ye> 9 :i* ! "w 0 p]=m$ except z foll[s3 7,a7 ,9 ! case ( an acc\nt t has clos$ pursuant to section #aeeb ( title #ca1 ,unit$ ,/ates ,code1 ! comp5sation %all be *>g$ to a curr5t appropriation acc\nt 9 accordance ) section #aeec ( su* title4 7,b7 ,9 ! case ( an expir$ acc\nt t has n clos$1 if *>g+ ! comp5sation to ! expir$ acc\nt w\ld cause su* acc\nt to h a negative unliquidat$ or unexp5d$ balance1 ! comp5sation may be *>g$ to a curr5t appropriation acc\nt available = ! same purpose4 7#e7 ,def9itions ,9 ?is subsection3 7,a7 ,! t]m comp5sation means any pay1 includ+ sal>y1 aw>ds1 & inc5tives4 7,b7 ,! t]m cov]$ employee means a physician1 podiatri/1 or d5ti/ subject to m>ket pay "u section #gdca ( title #ch1 ,unit$ ,/ates ,code4 #adc4 ,reimbursem5t ( ambulance co/ = c>e = c]ta9 rural vet]ans 7a7 ,9 g5]al ,! ,secret>y ( ,vet]ans ,affairs %all pay1 or reimburse a cov]$ vet]an =1 ! co/ ( transport+ ! vet]an by ambulance1 includ+ air ambulance1 f a cov]$ location to a provid] ( ! ,dep>tm5t ( ,vet]ans ,affairs1 a non-,dep>tm5t provid]1 or ! ne>e/ hospital t c meet ! ne$s ( ! vet]an 7includ+ a hospital t compacts ) ! ,indian ,heal? ,s]vice7 = cov]$ c>e4 7b7 ,am\nt cov]$ ,! maximum cumulative am\nt cov]$ "u ?is section = a cov]$ vet]an is #df1jjj4 7c7 ,sunset ,?is section %all cease to be effective on ,septemb] #cj1 #bjbf4 7d7 ,def9itions ,9 ?is section3 7#a7 ,! t]m cov]$ c>e means c>e = a vet]an eligible = c>e provid$ by ! ,dep>tm5t ( ,vet]ans ,affairs "u title #ch1 ,unit$ ,/ates ,code1 or any o!r law adm9i/]$ by ! ,secret>y ( ,vet]ans ,affairs1 ev5 if ! c>e associat$ ) ! transport describ$ 9 subsection 7a7 is n au?oriz$ by ! ,dep>tm5t4 7#b7 ,! t]m cov]$ location means a location t is-- 7,a7 9 a ,/ate t is #ajj miles or m f ! ne>e/ m$ical c5t] ( ! ,dep>tm5t ( ,vet]ans ,affairs2 & 7,b7 9 an area rat$ z a #aj or high] "u ! rural-urban commut+ areas cod+ sy/em ( ! ,dep>tm5t ( ,agriculture4 7#c7 ,! t]m cov]$ vet]an means a vet]an :o-- 7,a7 has a s]vice-connect$ disability rat$ by ! ,secret>y z betwe5 #j & #cj p]c5t disabl+2 7,b7 is n eligible = paym5ts or reimbursem5ts = b5efici>y travel or o!r transportation "u ! laws adm9i/]$ by ! ,secret>y ( ,vet]ans ,affairs1 o!r ?an "u ?is section2 & 7,c7 is n entitl$ to c>e or s]vices "u a non-,dep>tm5t ( ,vet]ans ,affairs heal?-plan contract4 7#d7 ,! t]m heal?-plan contract has ! mean+ giv5 t t]m 9 section #agbe ( title #ch1 ,unit$ ,/ates ,code4 7#e7 ,! t]m s]vice-connect$ has ! mean+ giv5 t t]m 9 section #aja ( su* title4 #add4 ,pilot program to furni% d5tal c>e f ! ,dep>tm5t ( ,vet]ans ,affairs to c]ta9 vet]ans diagnos$ ) is*emic he>t disease 7a7 ,9 g5]al ,beg9n+ n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,vet]ans ,affairs %all c>ry out a two-ye> pilot program 79 ?is section ref]r$ to z ! pilot program7 "u :i* ! ,secret>y %all furni% cov]$ c>e to cov]$ vet]ans ?r\gh means t include ! use ( community c>e4 7b7 ,locations 7#a7 ,9 g5]al ,! ,secret>y %all select n m ?an f\r ,/ates 9 :i* to c>ry out ! pilot program4 7#b7 ,selection crit]ia ,9 select+ ,/ates "u p>agraph 7#a71 ! ,secret>y %all prioritize ,/ates 9 :i*-- 7,a7 ! ,dep>tm5t ( ,vet]ans ,affairs s]ves a high proportion1 z det]m9$ by ! ,secret>y1 ( vet]ans resid+ 9 rural or highly rural areas 7z det]m9$ ?r\gh ! use ( ! ,rural-,urban ,commut+ ,areas cod+ sy/em ( ! ,dep>tm5t ( ,agriculture72 7,b7 d5tal cl9ics op]at$ by ! ,dep>tm5t ( ,vet]ans ,affairs curr5tly utilize tel$5ti/ry2 7,c7 ! ,dep>tm5t ( ,vet]ans ,affairs does n curr5tly op]ate a d5tal cl9ic2 or 7,d7 ! ,secret>y det]m9es a l>ge p]c5tage ( vet]ans enroll$ 9 ! sy/em ( annual pati5t enrollm5t ( ! ,dep>tm5t ( ,vet]ans ,affairs e/abli%$ & op]at$ "u p>agraphs 7#a7 or 7#b7 ( section #agje7;a7 ( title #ch1 ,unit$ ,/ates ,code1 visit em]g5cy rooms = d5tal em]g5cies at high rates4 7c7 ,p>ticipation limitation ,p>ticipation 9 a pilot program e/abli%$ pursuant to ?is section %all be limit$ to a cov]$ vet]an :o receives heal? c>e 9 a facility ( ! ,dep>tm5t locat$ 9 a ,/ate select$ "u subsection 7b74 7d7 ,use ( c]ta9 me?ods to provide c>e 7#a7 ,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#b7 ,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]ans 9 _! homes1 z ! ,secret>y consid]s m$ically appropriate4 7e7 ,adm9i/ration 7#a7 ,community c>e network review 7,a7 ,9 g5]al ,be=e comm5c+ ! pilot program1 ! ,secret>y %all "w ) ?ird p>ty adm9i/rators to conduct a review ( d5tal provid]s :o are "p ( ! community c>e network ( ! ,dep>tm5t 9 ea* ,/ate select$ "u subsection 7b77#a7 to ensure-- 7i7 d5tal provid]s :o are no long] accept+ pati5ts f ! ,dep>tm5t-- 7,i7 are n /ill li/$ z provid]s accept+ ref]rals f ! ,dep>tm5t2 & 7,,ii7 are n s5t ref]rals f ! ,dep>tm5t2 & 7ii7 d5tal provid]s p>ticipat+ 9 ea* su* network are capable ( receiv+ an influx ( pati5ts f ! ,dep>tm5t "u ! pilot program4 7,b7 ,expansion ( network ,if1 pursuant to a review "u subp>agraph 7,a71 ! ,secret>y det]m9es ! community c>e network 9 a ,/ate select$ "u subsection 7b77#a7 is n capable ( receiv+ an influx ( pati5ts "u ! pilot program1 ! ,secret>y %all coord9ate ) ! ,?ird ,p>ty ,adm9i/rator = su* ,/ate to ensure ! d5tal provid] network ( su* community c>e network is suffici5tly exp&$ be=e ! initiation ( ! pilot program4 7#b7 ,notice to cov]$ vet]ans ,9 c>ry+ out ! pilot program1 ! ,secret>y %all in=m all cov]$ vet]ans 9 ,/ates select$ "u subsection 7b77#a7 ( ! cov]$ c>e available "u ! pilot program4 7#c7 ,loss ( eligibility ,any vet]an p>ticipat+ 9 ! pilot program :o ceases to be a cov]$ vet]an %all be remov$ f ! pilot program on ! date t is #ij days aft] ! ,secret>y det]m9es ! p>ticipant is no long] a cov]$ vet]an4 7#d7 ,cont9uity ( c>e 7,a7 ,9 g5]al ,^u ! t]m9ation ( ! pilot program1 ! ,secret>y %all provide to all vet]ans p>ticipat+ 9 ! pilot program at ! "t ( su* t]m9ation-- 7i7 in=mation on h[ to enroll 9 ! d5tal insurance plan ( ! ,dep>tm5t ( ,vet]ans ,affairs "u section #agab;,c ( title #ch1 ,unit$ ,/ates ,code2 7ii7 if appropriate1 in=mation on ! ,v,e,t,smile program ( ! ,dep>tm5t ( ,vet]ans ,affairs1 or any successor program2 & 7iii7 contact in=mation = d5tal provid]s 9 ! surr\nd+ community :o provide l[- or no-co/ d5tal c>e & :om ! ,secret>y has confirm$ are available to take on new pati5ts4 7,b7 ,cont9uation ( treatm5t plan ,any vet]an p>ticipat+ 9 ! pilot program may cont9ue to receive s]vices "u ! pilot program aft] ! t]m9ation ( ! pilot program to complete a treatm5t plan comm5c$ "u ! pilot program1 z det]m9$ necess>y by ! ,secret>y4 7f7 ,reports 7#a7 ,annual report ,n lat] ?an "o ye> aft] ! comm5cem5t ( ! pilot program1 & annually !reaft] = ! duration ( ! pilot program1 ! ,secret>y ( ,vet]ans ,affairs %all submit to ! ,committees on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives & ! ,s5ate a report on ! pilot program t includes-- 7,a7 an id5tification ( ! ,/ates p>ticipat+ 9 ! pilot program2 7,b7 a description ( ! implem5tation & op]ation ( ! pilot program2 7,c7 ! numb] ( p>ticipants 9 ! pilot program1 disaggregat$ by-- 7i7 ,/ate2 & 7ii7 disability rat+2 7,d7 an id5tification ( any b>ri]s or *all5ges to implem5t+ ! pilot program2 7,e7 aggregat$ fe$back f p>ticipants 9 ! pilot program1 includ+ f int]views & surveys2 7,f7 ! av]age annual co/ ( provid+ cov]$ c>e to a p>ticipant 9 ! pilot program1 disaggregat$ by-- 7i7 ,/ate2 7ii7 disability rat+2 & 7iii7 :e!r ! c>e 0 provid$ ?r\gh ! community c>e network or ?r\gh a provid] ( ! ,dep>tm5t2 7,g7 an analysis ( ! communication & collaboration ( ! ,dep>tm5t ) ,?ird ,p>ty ,adm9i/rators & community c>e d5tal provid]s1 disaggregat$ by ,/ate2 7,h7 an analysis ( any co/ sav+s by ! ,dep>tm5t ) respect to ! treatm5t ( is*emic he>t disease2 7,i7 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 ( is*emic he>t disease2 7,j7 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 program2 7,k7 an analysis & assessm5t ( ! usage ( tel$5ti/ry to s]vice ! ne$s ( cov]$ vet]ans "u ! pilot program1 to include a co/ b5efit analysis ( su* s]vices2 & 7,l7 su* o!r matt]s z ! ,secret>y consid]s appropriate4 7#b7 ,f9al report ,n lat] ?an #ij days be=e ! completion ( ! pilot program1 ! ,secret>y %all submit to ! ,committees on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives & ! ,s5ate a report on ! pilot program t-- 7,a7 includes ! matt]s requir$ "u p>agraph 7#a72 7,b7 includes recomm5dations on :e!r ! pilot program %\ld be cont9u$1 exp&$1 or adopt$ ?r\gh\t ! ,dep>tm5t2 & 7,c7 indicates :e!r ! ,secret>y reque/s action by ,congress to make ! pilot program p]man5t4 7g7 ,impact on community c>e ,p>ticipants 9 ! pilot program %all be able to access cov]$ c>e 9 ! community "u section #agjc ( title #ch1 ,unit$ ,/ates ,code4 7h7 ,def9itions ,9 ?is section3 7#a7 ,! t]m cov]$ c>e means d5tal c>e t is 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 ,! t]m cov]$ vet]an means a vet]an :o-- 7,a7 is enroll$ 9 ! sy/em ( annual pati5t enrollm5t ( ! ,dep>tm5t e/abli%$ & op]at$ "u p>agraphs 7#a7 or 7#b7 ( section #agje7;a7 ( title #ch1 ,unit$ ,/ates ,code2 7,b7 is n eligible = d5tal s]vices & treatm5t & relat$ d5tal appliances "u ! laws adm9i/]$ by ! ,secret>y z ( ! date ( ! enactm5t ( ?is ,act2 & 7,c7 has a diagnosis ( is*emic he>t disease4 7#c7 ,! t]m ,?ird ,p>ty ,adm9i/rator has ! mean+ giv5 su* t]m 9 section #agjc;,f ( su* title4 #ade4 ,docum5tation ( pref]5ces ( vet]ans = s*$ul+ ( appo9tm5ts = heal? c>e "u laws adm9i/]$ by ,secret>y ( ,vet]ans ,affairs 7a7 ,9 g5]al ,n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,vet]ans ,affairs %all develop a me*anism to solicit in=mation reg>d+ ! pref]5ce ( vet]ans enroll$ 9 ! sy/em ( annual pati5t enrollm5t ( ! ,dep>tm5t ( ,vet]ans ,affairs e/abli%$ & op]at$ "u section #agje7;a7 ( title #ch1 ,unit$ ,/ates ,code1 = s*$ul+ ( appo9tm5ts = heal? c>e & relat$ s]vices "u ! laws adm9i/]$ by ! ,secret>y1 includ+ ?r\gh non-,dep>tm5t provid]s4 7b7 ,docum5tation ( pref]5ce ,pref]5ces provid$ volunt>ily by a vet]an pursuant to subsection 7a7 %all be docum5t$ on ,my ,healthe,vet or ano!r sy/em designat$ by ! ,secret>y t all[s ! vet]an to view & *ange su* pref]5ces at any "t4 7c7 ,inclusion 9 pref]5ce ,pref]5ces solicit$ "u subsection 7a7 %all include ! foll[+3 7#a7 ,h[ & :5 ! vet]an pref]s to be contact$ ab\t an appo9tm5t = heal? c>e4 7#b7 ,:e!r ! vet]an pref]s to s*$ule appo9tm5ts )\t ! assi/ance ( ! ,dep>tm5t1 if able4 7#c7 ,:e!r ! vet]an pref]s to select a provid] )\t ! assi/ance ( ! ,dep>tm5t1 if able4 7#d7 ,:e!r ! vet]an pref]s appo9tm5ts to be s*$ul$ dur+ c]ta9 days or times4 7d7 ,use ( pref]5ce ,! ,secret>y %all make ! pref]5ces provid$ "u subsection 7a7 easily accessible to m$ical support assi/ants & o!r /aff ( ! ,dep>tm5t1 or non-,dep>tm5t /aff1 z ! ,secret>y det]m9es appropriate1 :o assi/ 9 ! appo9tm5t s*$ul+ process4 7e7 ,deploym5t ( me*anism 7#a7 ,9 g5]al ,beg9n+ aft] ! date on :i* ! ,secret>y develops ! me*anism requir$ "u subsection 7a71 ! ,secret>y %all-- 7,a7 te/ ! me*anism 9 n few] ?an ?ree geographically div]se ,vet]ans ,integrat$ ,s]vice ,networks2 & 7,b7 ga!r fe$back ab\t ! effectiv5ess ( su* me*anism f vet]ans1 m$ical support assi/ants1 /aff & o!r /akehold]s z ! ,secret>y det]m9es appropriate4 7#b7 ,limitation ,! ,secret>y may n implem5t su* me*anism across ! ,vet]ans ,heal? ,adm9i/ration ( ! ,dep>tm5t be=e ! ,secret>y addresses ! fe$back describ$ 9 p>agraph 7#a77;,b74 #adf4 ,/aff+ model & p]=mance metrics = c]ta9 employees ( ! ,dep>tm5t ( ,vet]ans ,affairs 7a7 ,/aff+ model 7#a7 ,9 g5]al ,n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,vet]ans ,affairs %all-- 7,a7 develop1 validate1 & implem5t a /aff+ model = ! ,(fice ( ,integrat$ ,vet]an ,c>e ( ! ,dep>tm5t ( ,vet]ans ,affairs1 or successor (fice1 ,vet]ans ,integrat$ ,s]vices ,networks1 & m$ical c5t]s ( ! ,dep>tm5t t includes appropriate t>get /aff+ levels nationally1 regionally1 & locally to ensure timely access to c>e & effectively ov]see ! provision ( c>e by ! ,dep>tm5t1 :e!r at a facility ( ! ,dep>tm5t or ?r\gh a non-,dep>tm5t provid]2 & 7,b7 provide to ,congress a brief+ on su* /aff+ model1 :i* %all include-- 7i7 ! metrics & measures us$ by ! ,secret>y 9 develop+ su* /aff+ model2 7ii7 an analysis ( h[ su* /aff+ model comp>es to ! /aff+ models ( o!r relevant ,gov]nm5t-own$ & private sector heal? c>e sy/ems2 & 7iii7 an e/imate ( ! portion ( ! roles 9 su* /aff+ model t w be fill$ by contract$ /aff at any giv5 "t4 7#b7 ,report on implem5tation ( /aff+ model ,n lat] ?an "o ye> aft] ! date on :i* ! ,secret>y implem5ts ! /aff+ model requir$ "u p>agraph 7#a71 ! ,secret>y %all submit to ,congress & ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates a report conta9+-- 7,a7 an update on su* implem5tation2 & 7,b7 in=mation on ! outcomes yield$ by su* /aff+ model 9 t]ms ( improv$ access to c>e = vet]ans & improv$ compliance ) relevant laws1 regulations1 policy directives1 & guidance gov]n+ access to c>e4 7b7 ,p]=mance metrics 7#a7 ,9 g5]al ,n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y %all develop & implem5t a plan1 ) an appropriate track+ sy/em1 to incorporate appropriate /&>diz$ p]=mance metrics & ov]sight measures )9 ! p]=mance appraisal sy/ems = employees ( ! ,dep>tm5t specifi$ 9 p>agraph 7#b74 7#b7 ,employees ( ! ,dep>tm5t specifi$ ,employees ( ! ,dep>tm5t specifi$ 9 ?is p>agraph are employees :o are responsible = ensur+ timely access to c>e f ! ,dep>tm5t1 compliance ) relevant /atutes & regulations relat+ to ! provision ( c>e1 includ+ section #agjc ( title #ch1 ,unit$ ,/ates ,code1 & ov]see+ ! provision ( c>e1 :e!r at a facility ( ! ,dep>tm5t or ?r\gh a non-,dep>tm5t provid]1 includ+ employees )9 ! ,(fice ( ,integrat$ ,vet]an ,c>e ( ! ,dep>tm5t1 or successor (fice1 employees ( a ,vet]ans ,integrat$ ,s]vice ,network1 & employees ( a m$ical c5t] ( ! ,dep>tm5t4 7#c7 ,report on implem5tation ( p]=mance metrics ,n lat] ?an "o ye> aft] implem5t+ ! p]=mance metrics requir$ "u p>agraph 7#a71 ! ,secret>y %all submit to ,congress & ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates a report conta9+-- 7,a7 an update on su* implem5tation2 & 7,b7 in=mation on ! outcomes yield$ by su* p]=mance metrics 9 t]ms ( improv$ access to c>e = vet]ans & improv$ compliance ) relevant laws1 policy directives1 & guidance gov]n+ access to c>e4 7c7 ,,gao report ,n lat] ?an two ye>s aft] ! lat] ( ! date on :i* ! ,comptroll] ,g5]al receives ! report "u subsection 7a77#b7 or ! report "u subsection 7b77#c71 ! ,comptroll] ,g5]al %all submit to ,congress a report t includes-- 7#a7 an assessm5t ( ! p]=mance ( ! ,(fice ( ,integrat$ ,vet]an ,c>e ( ! ,dep>tm5t1 or successor (fice1 9 improv+ access to c>e = vet]ans 9 facilities ( ! ,dep>tm5t & pursuant to section #agjc ( title #ch1 ,unit$ ,/ates ,code2 & 7#b7 su* recomm5dations z ! ,comptroll] ,g5]al consid]s appropriate ) respect to improv+ access to ! c>e describ$ 9 p>agraph 7#a7 = vet]ans4 #adg4 ,onl9e heal? education portal = vet]ans enroll$ 9 pati5t enrollm5t sy/em ( ,dep>tm5t ( ,vet]ans ,affairs ,n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,vet]ans ,affairs %all e/abli%1 on an ,int]net website ( ! ,dep>tm5t1 a heal? education portal t includes int]active educational modules to ensure vet]ans enroll$ 9 ! pati5t enrollm5t sy/em ( ! ,dep>tm5t ( ,vet]ans ,affairs e/abli%$ & op]at$ "u section #agje7;a7 ( title #ch1 ,unit$ ,/ates ,code1 und]/& ! basic heal? c>e eligibilities & entitlem5ts ( vet]ans "u ! laws adm9i/]$ by ! ,secret>y1 includ+ "u ! ,vet]ans ,community ,c>e ,program "u section #agjc ( su* title4 #adh4 ,limitation on detail ( directors ( m$ical c5t]s ( ,dep>tm5t ( ,vet]ans ,affairs to diff]5t positions 7a7 ,notification 7#a7 ,9 g5]al ,n lat] ?an #ij days aft] detail+ a director ( a m$ical c5t] ( ! ,dep>tm5t ( ,vet]ans ,affairs to a diff]5t position )9 ! ,dep>tm5t1 ! ,secret>y ( ,vet]ans ,affairs %all notify ! ,committee on ,vet]ans' ,affairs ( ! ,s5ate & ! ,committee on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives ( su* detail4 7#b7 ,matt]s to be includ$ ,! notification requir$ by p>agraph 7#a7 %all include1 ) respect to a director ( a m$ical c5t] :o is detail$ to a diff]5t position )9 ! ,dep>tm5t1 ! foll[+ in=mation3 7,a7 ,! location at :i* ! director is detail$4 7,b7 ,! position title ( ! detail4 7,c7 ,! e/imat$ "t ! director is expect$ to be abs5t f _! duties at ! m$ical c5t]4 7,d7 ,su* o!r in=mation z ! ,secret>y may det]m9e appropriate4 7b7 ,appo9tm5t ( act+ director ,n lat] ?an #abj days aft] detail+ a director ( a m$ical c5t] ( ! ,dep>tm5t to a diff]5t position )9 ! ,dep>tm5t1 ! ,secret>y %all appo9t an individual z act+ director ( su* m$ical c5t] ) all ( ! au?ority & responsibilities ( ! detail$ director4 7c7 ,update on detail ,n lat] ?an #abj days aft] detail+ a director ( a m$ical c5t] ( ! ,dep>tm5t to a diff]5t position )9 ! ,dep>tm5t1 & n less frequ5tly ?an e #cj days !reaft] :ile ! detail is 9 effect or :ile ! director position at ! m$ical c5t] is vacant1 ! ,secret>y %all submit to ! ,committee on ,vet]ans' ,affairs ( ! ,s5ate & ! ,committee on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives an update reg>d+ ! /atus ( ! detail4 7d7 ,return to position or reassignm5t 7#a7 ,9 g5]al ,except z provid$ 9 p>agraph 7#b71 n lat] ?an #ahj days aft] detail+ a director ( a m$ical c5t] ( ! ,dep>tm5t to a diff]5t position )9 ! ,dep>tm5t1 = a reason o!r ?an an ongo+ inve/igation or adm9i/rative action ) respect to ! director1 ! ,secret>y %all-- 7,a7 return ! individual to ! position z director ( ! m$ical c5t]2 or 7,b7 reassign ! individual f ! position z director ( ! m$ical c5t] & beg9 ! process ( hir+ a new director = su* position4 7#b7 ,waiv] 7,a7 ,9 g5]al ,! ,secret>y may waive ! requirem5t "u p>agraph 7#a7 ) respect to an individual = successive #ij-;day increm5ts = a total p]iod ( n m ?an #edj days f ! orig9al date ! individual 0 detail$ away f _! position z director ( a m$ical c5t]4 7,b7 ,notification ,n lat] ?an #cj days aft] ex]cis+ a waiv] "u subp>agraph 7,a71 ! ,secret>y %all notify ,congress ( ! waiv] & provide to ,congress in=mation z to :y ! waiv] is necess>y4 #adi4 ,national ,vet]an ,suicide ,prev5tion ,annual ,report 7a7 ,national ,vet]an ,suicide ,prev5tion ,annual ,report 7#a7 ,9 g5]al ,n lat] ?an #ah mon?s aft] ! date ( ! enactm5t ( ?is ,act1 & n lat] ?an ,septemb] #cj ( ea* ye> !reaft]1 ! ,secret>y ( ,vet]ans ,affairs %all submit to ! appropriate congressional committees & publi% on a publicly available website ( ! ,dep>tm5t ( ,vet]ans ,affairs a report to be kn[n z ! ,national ,vet]an ,suicide ,prev5tion ,annual ,report4 7#b7 ,ext5sion 7,a7 ,9 g5]al ,if ! ,secret>y requires an ext5sion ( ! deadl9e = a report "u subsection 7a71 ! ,secret>y %all submit to ! appropriate congressional committees a writt5 reque/ = su* an ext5sion4 7,b7 ,elem5ts ,ea* writt5 reque/ "u p>agraph 7#a7 = an ext5sion = a report %all include ! foll[+3 7i7 ,! rationale = ! delay 9 ! submission ( ! report4 7ii7 ,an explanation ( ! ne$ = an ext5sion4 7iii7 ,a propos$ am5d$ date = ! submission & publication ( ! report4 7#c7 ,brief+ ,) respect to ea* report requir$ "u p>agraph 7#a71 ! ,secret>y %all1 be=e ! date on :i* ! ,secret>y submits su* report1 provide to ! appropriate congressional committees a brief+ on su* report4 7#d7 ,elem5ts 7,a7 ,9 g5]al ,ea* report requir$ "u p>agraph 7#a7 %all include-- 7i7 ! f9d+s ( ! national analysis ( vet]an suicide rates = ! late/ ye> = :i* data is available2 7ii7 an id5tification ( tr5ds1 if any1 demon/rat$ by su* data2 & 7iii7 a comp>ison ( su* data to data on vet]an suicide rates dur+ prec$+ ye>s4 7,b7 ,additional elem5ts ,ea* report "u p>agraph 7#a7 %all include1 = ! ye> cov]$ by ! report1 ! foll[+3 7i7 ,suicide rates ( vet]ans disaggregat$ by age1 g5d]1 & race or e?nicity4 7ii7 ,tr5ds 9 suicide rates ( vet]ans comp>$ to engagem5t ( ^? vet]ans ) heal? c>e f ! ,vet]ans ,heal? ,adm9i/ration1 includ+ an exam9ation ( tr5ds 9 suicide rates or dea?s among-- 7,i7 vet]ans :o h rec5tly receiv$ heal? c>e f ! ,vet]ans ,heal? ,adm9i/ration z comp>$ to vet]ans :o h nev] receiv$ heal? c>e f ! ,vet]ans ,heal? ,adm9i/ration2 7,,ii7 vet]ans :o are enroll$ 9 ! pati5t enrollm5t sy/em ( ! ,dep>tm5t ( ,vet]ans ,affairs "u section #agje7;a7 ( title #ch1 ,unit$ ,/ates ,code1 z comp>$ to vet]ans :o h nev] enroll$ 9 su* sy/em2 7,,iii7 vet]ans :o h rec5tly us$ s]vices f a ,vet ,c5t] z comp>$ to vet]ans :o h nev] us$ su* s]vices2 7,,iv7 to ! ext5t practicable1 vet]ans :o h a diagnosis ( sub/ance use disord]2 & 7,v7 o!r gr\ps ( vet]ans relat+ to engagem5t ) heal? c>e f ! ,vet]ans ,heal? ,adm9i/ration1 z ! ,secret>y consid]s practicable4 7iii7 ,to ! ext5t practicable1 tr5ds 9 suicide rates ( vet]ans comp>$ to engagem5t ( ^? vet]ans ) b5efits f ! ,vet]ans ,b5efits ,adm9i/ration1 includ+ an exam9ation ( tr5ds 9 suicide rates or dea?s among-- 7,i7 vet]ans :o are curr5tly us+1 h previ\sly us$1 or h nev] us$ educational assi/ance "u ! laws adm9i/]$ by ! ,secret>y2 7,,ii7 vet]ans :o are curr5tly receiv+1 h previ\sly receiv$1 or h nev] receiv$ s]vices or assi/ance "u *apt] #ca ( title #ch1 ,unit$ ,/ates ,code2 7,,iii7 ) respect to comp5sation "u *apt] #aa ( su* title-- 7aa7 vet]ans :o 7 recipi5ts ( su* comp5sation z comp>$ to vet]ans :o nev] appli$ = su* comp5sation prior to dea?2 7bb7 vet]ans :o _h a claim d5i$ = su* comp5sation prior to dea?2 7cc7 vet]ans :o _h a p5d+ claim = su* comp5sation at "t ( dea?2 & 7dd7 vet]ans :o _h an entitlem5t = su* comp5sation r$uc$ prior to dea?2 7,,iv7 vet]ans :o are curr5tly receiv+ or h nev] receiv$ p5sion "u *apt] #ae ( title #ch1 ,unit$ ,/ates ,code2 7,v7 vet]ans :o are curr5tly us+1 h rec5tly us$1 or h nev] us$ programs or s]vices provid$ by ! ,homeless ,programs ,(fice ( ! ,dep>tm5t1 includ+ an exam9ation ( tr5ds 9 suicide rates or dea?s among vet]ans :o made contact ) su* (fice b 7 d5i$ or deem$ ineligible = any su* program or s]vice2 7,,vi7 ) respect to h\s+ loans gu>ante$ by ! ,secret>y "u *apt] #cg ( title #ch1 ,unit$ ,/ates ,code1 vet]ans :o are curr5t recipi5ts (1 7 rec5t recipi5ts (1 or h nev] receiv$ su* a loan2 7,,vii7 vet]ans ow+ debts to ! ,dep>tm5t2 7,,viii7 vet]ans :o 7 involv$ 9 a vet]ans treatm5t c\rt program1 :e!r !y graduat$ successfully or n2 & 7,,ix7 vet]ans :o 7 successfully contact$1 unsuccessfully contact$1 or nev] contact$ by ! ,dep>tm5t ?r\gh ! ,solid ,/>t program "u section #fcbj ( title #ch1 ,unit$ ,/ates ,code4 7,c7 ,/rategy & recomm5dations 7i7 ,initial report ,! initial report "u p>agraph 7#a7 %all include a /rategy & recomm5dations develop$ by ! ,secret>y ( ,vet]ans ,affairs1 9 collaboration ) ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 =-- 7,i7 improv+ data collection at ! ,/ate & local levels to accurately capture suicide dea?s ( vet]ans2 7,,ii7 improv+ ! timel9ess1 efficacy1 & /&>dization ( data report+ on suicide dea?s ( vet]ans at ! ,f$]al level1 includ+ by ! ,c5t]s = ,disease ,control & ,prev5tion & ! ,dep>tm5t ( ,vet]ans ,affairs2 7,,iii7 improv+ ! timel9ess ( id5tification & analysis ( suicide dea?s ( vet]ans by ,f$]al ag5cies1 includ+ ! ,c5t]s = ,disease ,control & ,prev5tion1 & ! ,dep>tm5t ( ,vet]ans ,affairs2 & 7,,iv7 any o!r necess>y process improvem5ts = improv+ ! timel9ess1 efficacy1 & /&>dization ( report+ ( data relat+ to suicide dea?s ( vet]ans1 p>ticul>ly ) respect to ! annual report "u ?is section4 7ii7 ,subsequ5t reports ,ea* report aft] ! initial report "u p>agraph 7#a7 %all include updates on actions tak5 to meet ! /rategy & recomm5dations develop$ "u subp>agraph 7,a74 7#e7 ,def9itions ,9 ?is subsection3 7,a7 ,! t]m appropriate congressional committees means ! ,committees on ,vet]ans' ,affairs ( ! ,s5ate & ! ,h\se ( ,repres5tatives4 7,b7 ,! t]m ,vet ,c5t] means a c5t] = readju/m5t c\nsel+ & relat$ m5tal heal? s]vices = vet]ans "u section #agab;,a ( title #ch1 ,unit$ ,/ates ,code4 7b7 ,indep5d5t assessm5t ( ,national ,vet]an ,suicide ,prev5tion ,annual ,report 7#a7 ,9 g5]al ,n lat] ?an #ij days aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,vet]ans ,affairs %all ent] into "o or m contracts ) a private sector entity describ$ 9 p>agraph 7#e7 to conduct an indep5d5t assessm5t ( ! ,national ,vet]an ,suicide ,prev5tion ,annual ,report requir$ "u subsection 7a74 7#b7 ,frequ5cy ,! private sector entity or entities c>ry+ out ! assessm5t requir$ "u p>agraph 7#a7 %all complete su* assessm5t n lat] ?an #bdj days aft] ent]+ into ! contract describ$ 9 su* subsection & n less frequ5tly ?an e five ye>s !reaft]4 7#c7 ,elem5ts ,ea* assessm5t requir$ "u p>agraph 7#a7 %all analyze ! foll[+3 7,a7 ,! me?odology us$ by ! ,dep>tm5t to track1 analyze1 categorize1 & report suicide dea?s & suicide rates among vet]ans4 7,b7 ,:e!r data s\rces us$ by ! ,dep>tm5t to compile data on suicide dea?s & suicide rates among vet]ans are accurately reflect+ su* data4 7,c7 ,vuln]abilities 9 ! me?odology us$ by ! ,dep>tm5t t c\ld lead to inaccurate c\nt+ ( suicide dea?s & suicide rates among vet]ans4 7,d7 ,! ability ( ! ,dep>tm5t to cross ref]5ce suicide dea?s & suicide rates among vet]ans ) tr5ds 9 usage ( programs ( ! ,vet]ans ,heal? ,adm9i/ration or ! ,vet]ans ,b5efits ,adm9i/ration or o!r programs t c\ld s]ve z widespread protective factors aga9/ suicide4 7,e7 ,improvem5ts t c\ld be made to ensure ! ,national ,vet]an ,suicide ,prev5tion ,annual ,report requir$ "u subsection 7a7 is accurate & compreh5sive & provides insights = mak+ improvem5ts to ! suicide prev5tion ef=ts ( ! ,dep>tm5t4 7#d7 ,report on assessm5t 7,a7 ,report on f9d+s & recomm5dations ,n lat] ?an #fj days aft] complet+ an assessm5t requir$ by p>agraph 7#a71 ! private sector entity or entities c>ry+ out ! assessm5t %all submit to ! ,secret>y ( ,vet]ans ,affairs & ! ,committees on ,vet]ans' ,affairs ( ! ,s5ate & ! ,h\se ( ,repres5tatives a report on ! f9d+s & recomm5dations ( ! private sector entity or entities ) respect to su* assessm5t4 7,b7 ,report on plann$ improvem5ts ,n lat] ?an #fj days aft] receiv+ a report "u p>agraph 7#a7 ) respect to an assessm5t requir$ by p>agraph 7#a71 ! ,secret>y %all submit to ! ,committees on ,vet]ans' ,affairs ( ! ,s5ate & ! ,h\se ( ,repres5tatives a report on h[ ! ,dep>tm5t plans to improve ! ,national ,vet]an ,suicide ,prev5tion ,annual ,report requir$ "u subsection 7a7 bas$ on su* assessm5t4 7#e7 ,private sector entity describ$ ,a private sector entity describ$ 9 ?is p>agraph is a private entity t-- 7,a7 specializes 9 analyz+ l>ge-scale organizational data collection & analysis ef=ts1 especially ) respect to ! heal? c>e sector2 & 7,b7 has exp]i5ce & prov5 outcomes 9 optimiz+ ! accuracy & compreh5siv5ess ( data collection & analysis relat$ to suicide4 7c7 ,report on additional b5efits & s]vices f ,dep>tm5t ( ,vet]ans ,affairs to prev5t vet]an suicide 7#a7 ,9 g5]al ,n lat] ?an ?ree ye>s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,vet]ans ,affairs %all submit to ! ,committees on ,vet]ans' ,affairs ( ! ,s5ate & ! ,h\se ( ,repres5tatives & publi% on a publicly available website ( ! ,dep>tm5t ( ,vet]ans ,affairs a report t analyzes :i* b5efits & s]vices "u ! laws adm9i/]$ by su* ,secret>y1 includ+ su* b5efits & s]vices furni%$ by ! ,vet]ans ,b5efits ,adm9i/ration1 h ! greate/ impact on ! prev5tion ( suicide among vet]ans1 includ+ recomm5dations = pot5tial expansion ( s]vices & b5efits to r$uce ! numb] ( vet]an suicides4 7#b7 ,assessm5t ( ,solid ,/>t program ,! report requir$ by p>agraph 7#a7 %all include an analysis ( ! effectiv5ess ( ! ,solid ,/>t program "u section #fcbj ( title #ch1 ,unit$ ,/ates ,code1 on prev5tion ( suicide among vet]ans4 7d7 ,toolkit = ,/ate & local coron]s & m$ical exam9]s on be/ practices = id5tify+ & report+ on suicide dea?s ( vet]ans 7#a7 ,9 g5]al ,! ,secret>y ( ,vet]ans ,affairs1 9 collaboration ) ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 %all develop a toolkit = ,/ate & local coron]s & m$ical exam9]s t conta9s be/ practices =-- 7,a7 accurately id5tify+ & report+ suicide dea?s ( vet]ans1 includ+ h[ to id5tify vet]an /atus2 & 7,b7 report+ su* dea?s to ! ,c5t]s = ,disease ,control & ,prev5tion & o!r applicable entities4 7#b7 ,availability ,n lat] ?an two ye>s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y %all make ! toolkit develop$ "u p>agraph 7#a7 available on a publicly available website ( ! ,dep>tm5t ( ,vet]ans ,affairs4 7#c7 ,outrea* ,! ,secret>y1 9 collaboration ) ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 %all conduct outrea* to appropriate ,/ate & local ag5cies to promote ! availability & use ( ! toolkit develop$ "u p>agraph 7#a74 #aej4 ,report on physical infra/ructure requir$ by m$ical facilities ( ,dep>tm5t ( ,vet]ans ,affairs to provide d5tal c>e s]vices ,n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,vet]ans ,affairs %all submit to ! ,committees on ,vet]ans' ,affairs ( ! ,s5ate & ! ,h\se ( ,repres5tatives a report1 = ea* m$ical c5t] or o!r relevant heal? c>e facility ( ! ,dep>tm5t ( ,vet]ans ,affairs1 t includes-- 7#a7 an id5tification ( ! physical infra/ructure1 includ+ new facilities1 r5ovations1 remodels1 leases1 or o!r infra/ructure1 su* m$ical c5t] or heal? c>e facility requires to provide d5tal c>e s]vices to vet]ans eligible = su* s]vices "u ! laws adm9i/]$ by ! ,secret>y2 & 7#b7 an analysis ( ! physical infra/ructure su* m$ical c5t] or heal? c>e facility w\ld require if a great] numb] ( vet]ans became eligible = su* d5tal c>e s]vices pursuant to a modification ( ! laws adm9i/]$ by ! ,secret>y4 #aea4 ,comptroll] ,g5]al report on c]ta9 oral heal? c>e programs "u laws adm9i/]$ by ,secret>y ( ,vet]ans ,affairs 7a7 ,9 g5]al ,n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all submit to ! ,committees on ,vet]ans' ,affairs ( ! ,s5ate & ! ,h\se ( ,repres5tatives a report on ! /atus ( ! oral heal? c>e programs ( ! ,dep>tm5t ( ,vet]ans ,affairs1 t includes an assessm5t (-- 7#a7 any issues ) in=mation te*nology programs1 includ+ ,d5tal ,record ,manag] ,plus1 t affect d5tal c>e /aff ( ! ,dep>tm5t2 7#b7 ! implem5tation ( ! d5tal insurance plan ( ! ,dep>tm5t "u section #agab;,c ( title #ch1 ,unit$ ,/ates ,code2 7#c7 ! implem5tation & expansion ( ! ,v,e,t,smile program ( ! ,dep>tm5t2 7#d7 b>ri]s prev5t+ ! ,dep>tm5t f exp&+ d5tal c>e eligibility to all vet]ans ) is*emic he>t disease1 includ+ su* b>ri]s relat+ to physical infra/ructure1 work=ce1 & co/ ( su* d5tal c>e2 7#e7 b>ri]s prev5t+ d5tal cl9ics ( ! ,dep>tm5t1 if any1 f adopt+ tel$5ti/ry2 7#f7 ! demographic makeup ( vet]ans eligible = d5tal c>e paid = by ! ,dep>tm5t z ( ! comm5cem5t ( ! pilot program "u section #add ( ?is ,act1 includ+ in=mation on-- 7,a7 age2 7,b7 g5d]2 7,c7 race or e?nicity1 disaggregat$ by-- 7i7 memb]%ip 9 an ,indian ,tribe2 & 7ii7 ! major race gr\ps us$ 9 ! dec5nial c5sus2 7,d7 employm5t /atus2 & 7,e7 location ( resid5ce1 disaggregat$ by rural1 highly rural1 & urban locations2 & 7#g7 *anges to su* demographic makeup if any1 t w\ld result f an expansion ( eligibility = d5tal c>e "u ! laws adm9i/]$ by ! ,secret>y to all vet]ans ) is*emic he>t disease includ+ *anges to demographics specifi$ 9 p>agraph 7#f74 7b7 ,?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 #aeb4 ,review ( workfl[s associat$ ) process+ ref]rals betwe5 facilities ( ! ,vet]ans ,heal? ,adm9i/ration 7a7 ,9 g5]al ,! ,secret>y ( ,vet]ans ,affairs %all conduct a review ( ! workfl[s directly associat$ ) process+ ref]rals ( pati5ts betwe5 facilities ( ! ,vet]ans ,heal? ,adm9i/ration ( ! ,dep>tm5t ( ,vet]ans ,affairs to id5tify specific delays or bottl5ecks 9 su* ref]rals4 7b7 ,elem5ts ( review ,! review requir$ "u subsection 7a7 %all include a review (-- 7#a7 ! int]facility consult managem5t guidance ( ! ,vet]ans ,heal? ,adm9i/ration t assi/s facilities describ$ 9 subsection 7a7 9 con/ruct+ a workfl[ = consults betwe5 su* facilities2 & 7#b7 ! roles & responsibilities ( ! individuals involv$ 9 ! consult managem5t process 9 manag+ su* consults1 includ+ ! role ( ! ref]ral coord9ation team4 7c7 ,report ,n lat] ?an #ahj days aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y %all submit to ,congress a report on ! results ( ! review requir$ "u subsection 7a74 #aec4 ,plan = timely s*$ul+ ( appo9tm5ts at m$ical facilities ( ,dep>tm5t ( ,vet]ans ,affairs 7a7 ,plan requir$ ,to improve responsiv5ess 9 ! provision ( hospital c>e & m$ical s]vices at m$ical facilities ( ! ,dep>tm5t ( ,vet]ans ,affairs1 ! ,secret>y ( ,vet]ans ,affairs %all develop a plan to-- 7#a7 ensure t :5ev] a cov]$ vet]an contacts ! ,dep>tm5t by telephone to reque/ ! s*$ul+ ( an appo9tm5t = c>e or s]vices = ! cov]$ vet]an at su* a facility1 ! s*$ul+ = ! appo9tm5t occurs dur+ t telephone call 7reg>dless ( ! prospective date ( ! appo9tm5t be+ s*$ul$72 & 7#b7 provide timely &1 :]e applicable1 same-day s*$ul+ = an appo9tm5t describ$ 9 p>agraph 7#a74 7b7 ,report ,n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y %all submit to ! ,committees on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives & ! ,s5ate a report on ! plan "u subsection 7a74 7c7 ,cov]$ vet]an def9$ ,9 ?is section1 ! t]m cov]$ vet]an means a vet]an :o is enroll$ 9 ! sy/em ( pati5t enrollm5t ( ! ,dep>tm5t "u section #agje7;a7 ( title #ch1 ,unit$ ,/ates ,code4 #aed4 ,au?orization ( appropriations to support initiatives = mobile mammography s]vices = vet]ans ,!re is au?oriz$ to be appropriat$ to ! ,secret>y ( ,vet]ans ,affairs #e1jjj1jjj = fiscal ye> #bjbe = ! ,(fice ( ,wom5's ,heal? ( ! ,dep>tm5t ( ,vet]ans ,affairs "u section #gcaj ( title #ch1 ,unit$ ,/ates ,code1 to be us$ by ! ,secret>y to exp& access ( wom5 vet]ans to-- 7#a7 mobile mammography initiatives2 7#b7 advanc$ mammography equipm5t2 & 7#c7 outrea* activities to publicize ^? initiatives & equipm5t4 ,,ii ,economic ,opportunity ,matt]s ,a ,educational ,assi/ance #bja4 ,tempor>y expansion ( eligibility = ,m>9e ,gunn]y ,s]geant ,john ,david ,fry ,s*ol>%ip 7a7 ,9 g5]al ,! ,secret>y ( ,vet]ans ,affairs %all treat an individual describ$ 9 subsection 7b7 z a cov]$ individual describ$ 9 section #ccaa7;b7 ( title #ch1 ,unit$ ,/ates ,code4 7b7 ,cov]$ individual describ$ ,an individual describ$ 9 ?is subsection is an individual :o is ! *ild or sp\se ( a p]son-- 7#a7 :o dies f a s]vice-connect$ disability dur+ ! #abj-;day p]iod imm$iately foll[+ ! day on :i* ! p]son 0 dis*>g$ or releas$ f duty z a memb] ( ! ,arm$ ,=ces 7)\t reg>d to :e!r su* duty 0 active duty72 & 7#b7 7,a7 :o receiv$ an honorable dis*>ge2 or 7,b7 ^: s]vice 9 ! ,arm$ ,=ces is *>act]iz$ by ! ,secret>y conc]n$ z honorable s]vice4 7c7 ,applicability ,?is section %all apply ) respect to-- 7#a7 dea?s t occur be=e1 on1 or aft] ! date ( ! enactm5t ( ?is ,act2 & 7#b7 a qu>t]1 seme/]1 or t]m1 z applicable1 comm5c+-- 7,a7 on or aft] ,augu/ #a1 #bjbe2 & 7,b7 be=e ,octob] #a1 #bjbg4 #bjb4 ,removal ( expiration on entitlem5t to ,m>9e ,gunn]y ,s]geant ,john ,david ,fry ,s*ol>%ip = surviv+ sp\ses ,section #ccaa7;f7 ( title #ch1 ,unit$ ,/ates ,code1 is am5d$-- 7#a7 by /rik+ p>agraph 7#b72 7#b7 by r$esignat+ p>agraphs 7#c7 ?r\gh 7#e7 z p>agraphs 7#b7 ?r\gh 7#d71 respectively2 7#c7 9 p>agraph 7#b71 z r$esignat$ by p>agraph 7#b7 ( ?is section1 by /rik+ 9 p>agraph 7#d7 & ins]t+ 9 p>agraph 7#c72 & 7#d7 9 p>agraph 7#c77;,a71 z r$esignat$ by p>agraph 7#b7 ( ?is section1 by /rik+ "u p>agraph 7#c7 & ins]t+ "u p>agraph 7#b74 #bjc4 ,sole liability = transf]r$ educational assi/ance by an individual :o fails to complete a s]vice agreem5t ,subsection 7i7 ( section #ccai ( title #ch1 ,unit$ ,/ates ,code1 is am5d$-- 7#a7 9 p>agraph 7#a7-- 7,a7 by /rik+ ,9 ! ev5t & ins]t+ ,subject to p>agraph 7#b71 9 ! ev5t2 & 7,b7 by ins]t+ ( ?is title aft] section #cfhe2 7#b7 9 subp>agraph 7,a7 ( p>agraph 7#b7-- 7,a7 9 ! head+1 by /rik+ ,9 g5]al & ins]t+ ,sole liability2 & 7,b7 by /rik+ "u p>agraph 7#a7 & ins]t+ = :i* ! individual %all be solely liable to ! ,unit$ ,/ates = ! am\nt ( ! ov]paym5t = purposes ( section #cfhe ( ?is title2 & 7#c7 9 subp>agraph 7,b7 ( p>agraph 7#b7-- 7,a7 9 ! matt] prec$+ clause 7i71 by /rik+ ,subp>agraph 7,a7 %all n apply & ins]t+ ,nei!r ! individual nor ! dep5d5t %all be liable to ! ,unit$ ,/ates = ! am\nt ( ! ov]paym5t = purposes ( section #cfhe ( ?is title2 & 7,b7 9 clause 7ii71 by ins]t+ ( ?is title aft] section #ccaa7;c77#d74 #bjd4 ,notice to educational in/itutions ( risk-bas$ surveys ,section #cfgc;,a7d7 ( title #ch1 ,unit$ ,/ates ,code1 is am5d$ by /rik+ "o bus9ess day & ins]t+ two bus9ess days4 #bje4 ,relation%ip ( p>ticipation by an educational in/itution 9 c]ta9 ,f$]al /ud5t f9ancial aid programs to approval ( su* in/itution = purposes ( ,dep>tm5t ( ,vet]ans ,affairs educational assi/ance programs ,p>agraph 7#d7 ( section #cfge7;b7 ( title #ch1 ,unit$ ,/ates ,code1 is am5d$ to read z foll[s3 7#d7 ,! educational in/itution-- 7,a7 is approv$ & p>ticipates 9 a program "u title ,,iv ( ! ,high] ,education ,act ( #aife 7#bj ,u4,s4,c4 #ajgj et seq472 or 7,b7 does n p>ticipate 9 su* a program & ! ,secret>y has waiv$ ! requirem5t "u ?is p>agraph ) respect to ! educational in/itution1 & submits to ! ,committee on ,vet]ans' ,affairs ( ! ,s5ate & ! ,committee on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives notice ( su* waiv]1 because ! ,secret>y det]m9es t ! educational in/itution-- 7i7 elects n to p>ticipate 9 su* a program2 7ii7 _c p>ticipate 9 su* a program2 or 7iii7 is 9 ! process ( mak+ a good-fai? ef=t to submit an initial application = approval to p>ticipate 9 su* a program1 except t a waiv] "u ?is clause may n be provid$ = a p]iod ( long] ?an #cf mon?s4 4 #bjf4 ,expansion ( ,dep>tm5t ( ,vet]ans ,affairs ov]sight ( c]ta9 educational in/itutions 7a7 ,additional requirem5t = approval ,section #cfge7;b7 ( title #ch1 ,unit$ ,/ates ,code1 z am5d$ by section #bje1 is fur!r am5d$ by add+ at ! end ! foll[+ new p>agraph3 7#e7 ,! educational in/itution agrees to1 n lat] ?an #cj days aft] any date on :i* su* educational in/itution becomes subject to an action or ev5t describ$ 9 section #cfgc7;e77#c7 ( ?is title1 submit to ! ,/ate approv+ ag5cy1 or ! ,secret>y :5 act+ 9 ! role ( a ,/ate approv+ ag5cy1 a notification ( su* action or ev5t 9 su* =m & conta9+ su* in=mation z ! ,secret>y det]m9es appropriate4 4 7b7 ,additional requirem5t = approval ( nonaccr$it$ c\rses 7#a7 ,9 g5]al ,section #cfgf7;c7 ( su* title is am5d$-- 7,a7 by r$esignat+ p>agraphs 7#ad7 ?r\gh 7#af7 z p>agraphs 7#ae7 ?r\gh 7#ag71 respectively2 & 7,b7 by ins]t+ aft] p>agraph 7#ac7 ! foll[+ new p>agraph3 7#ad7 ,! in/itution agrees to1 n lat] ?an #cj days aft] any date on :i* su* in/itution becomes subject to an action or ev5t describ$ 9 section #cfgc7;e77#c7 ( ?is title1 submit to ! ,/ate approv+ ag5cy1 or ! ,secret>y :5 act+ 9 ! role ( a ,/ate approv+ ag5cy1 a notification ( su* action or ev5t 9 su* =m & conta9+ su* in=mation z ! ,secret>y det]m9es appropriate4 4 7#b7 ,con=m+ am5dm5ts ,su* title is fur!r am5d$-- 7,a7 9 section #cfgb7;b77#b77;,c71 by /rik+ p>agraph 7#ad7 or 7#ae7 & ins]t+ p>agraph 7#ae7 or 7#af72 7,b7 9 section #cfge7;b77#c71 by /rik+ 7#ad71 7#ae71 & 7#af7 & ins]t+ 7#ae71 7#af71 & 7#ag72 7,c7 9 section #cfgi7;d71 by /rik+ describ$ 9 p>agraph 7#ad7 or 7#ae7 & ins]t+ describ$ 9 p>agraph 7#ae7 or 7#af72 & 7,d7 9 section #cfhj;,a7a77#d77;,c77iii71 by /rik+ section #cfgf7;c77#ad7 & 7#ae7 & ins]t+ section #cfgf7;c77#ae7 & 7#af74 7c7 ,additional gr\nds = susp5sion ( approval ,section #cfgi7;f77#a7 ( su* title is am5d$ by add+ at ! end ! foll[+ new subp>agraph3 7,i7 ,comply ) ! notification requirem5ts "u sections #cfge7;b77#e7 & #cfgf7;c77#ad7 ( ?is title1 :5 applicable4 4 7d7 ,deadl9e = risk-bas$ surveys database ,! ,secret>y ( ,vet]ans ,affairs %all e/abli% ! database requir$ "u section #cfgc;,a7c7 ( title #ch1 ,unit$ ,/ates ,code1 by n lat] ?an #ahj days aft] ! date ( ! enactm5t ( ?is ,act4 #bjg4 ,requirem5t t educational in/itutions approv$ = purposes ( ,dep>tm5t ( ,vet]ans ,affairs educational assi/ance programs provide digital (ficial transcripts 7a7 ,requirem5t ,section #cfge7;b7 ( title #ch1 ,unit$ ,/ates ,code1 z am5d$ by sections #bje & #bjf1 is fur!r am5d$ by add+ at ! end ! foll[+ new p>agraph3 7#f7 ,! educational in/itution makes available to ea* eligible p]son or vet]an a copy ( ! p]son or vet]an's (ficial transcript 9 a digital =mat4 4 7b7 ,con=m+ am5dm5ts 7#a7 ,approval ( c\rses ,section #cfgb7;b77#b77;,a7 ( su* title is am5d$ by /rik+ 7b77#a7 & 7b77#b7 & ins]t+ p>agraphs 7#a71 7#b71 & 7#f7 ( section #cfge7;b74 7#b7 ,approval ( nonaccr$it$ c\rses ,section #cfgf7;c7 ( su* title is am5d$-- 7,a7 by r$esignat+ p>agraph 7#ag7 z p>agraph 7#ah72 & 7,b7 by ins]t+ aft] p>agraph 7#af7 ! foll[+ new p>agraph 7#ag73 7#ag7 ,9 ! case ( a c\rse t leads to a /&>d college degree1 ! educational in/itution satisfies ! requirem5ts ( section #cfge7;b77#f7 ( ?is title4 4 7#c7 ,con=m+ am5dm5ts ,section #cfge7;b77#c7 ( su* title is am5d$ by /rik+ 7#ae71 7#af71 & 7#ag7 & ins]t+ 7#ae71 7#af71 & 7#ah74 7c7 ,effective date ,! am5dm5ts made by ?is section %all take effect on ,augu/ #a1 #bjbe1 & apply ) respect to a qu>t]1 seme/]1 or t]m1 z applicable1 comm5c+ on or aft] su* date4 #bjh4 ,paym5t ( full mon?ly h\s+ /ip5d = vet]ans enroll$ 9 f9al seme/] us+ educational assi/ance "u ,po/-#i_/aa ,educational ,assi/ance ,program 7a7 ,h\s+ all[ance ,section #cfhj7;a77#c7 ( title #ch1 ,unit$ ,/ates ,code1 is am5d$-- 7#a7 by r$esignat+ subp>agraphs 7,a7 & 7,b7 z clauses 7i7 & 7ii71 respectively 7& by r$esignat+ ea* subord9ate provision & ! m>g9s !re( accord+ly72 7#b7 by /rik+ ,not)/&+ p>agraph 7#a7 & ins]t+ 7,a7 ,not)/&+ p>agraph 7#a72 7#c7 by /rik+ 1 includ+ a mon?ly h\s+ /ip5d describ$ 9 section #ccac7;c7 ( ?is title12 & 7#d7 by add+ at ! end ! foll[+ new subp>agraph 7,b73 7,b7 ,= purposes ( provid+ a mon?ly h\s+ /ip5d describ$ 9 section #ccac7;c7 to an eligible vet]an or eligible p]son = :om ! ,secret>y is provid+ educational assi/ance "u *apt] #cc ( ?is title dur+ a p]iod t is ! la/ seme/]1 t]m1 or academic p]iod pursuant to subp>agraph 7,a71 ! ,secret>y %all treat ! vet]an or p]son z pursu+ a program ( education on a full-"t basis4 4 7b7 ,application ,! am5dm5ts made by subsection 7a7 %all take effect on ! date ( ! enactm5t ( ?is ,act & apply ) respect to a qu>t]1 seme/]1 or t]m1 z applicable1 comm5c+ on or aft] ,janu>y #a1 #bjbe4 #bji4 ,modification ( rules = approval ( comm]cial driv] education programs = purposes ( educational assi/ance programs ( ! ,dep>tm5t ( ,vet]ans ,affairs 7a7 ,9 g5]al ,subsection 7a77#d7 ( section #b ( ! ,vet]an ,improvem5t ,comm]cial ,driv] ,lic5se ,act ( #bjbc 7,public ,law #aah-ie7 is am5d$1 9 ! matt] to be ins]t$ z ! new p>agraph 7#b7 ( section #cfhj;,a7e7 ( title #ch1 ,unit$ ,/ates ,code-- 7#a7 9 subp>agraph 7,a7-- 7,a7 9 ! matt] prec$+ clause 7i71 by /rik+ ! comm]cial driv] education program (f]$ at ! bran* by ! educational in/itution-- & ins]t+ & em da%2 & 7,b7 by /rik+ clauses 7i7 & 7ii7 & ins]t+ ! foll[+3 7i7 ! comm]cial driv] education program (f]$ at ! bran* by ! educational in/itution is approv$ = purposes ( ?is *apt] by a ,/ate approv+ ag5cy 7or ! ,secret>y :5 act+ 9 ! role ( a ,/ate approv+ ag5cy72 & 7ii7 7,i7 su* bran* is locat$ 9 a ,/ate 9 :i* su* educational in/itution (f]s su* comm]cial driv] education program at ano!r bran* ( su* educational in/itution2 or 7,,ii7 su* bran*-- 7aa7 has be5 op]at+ = at lea/ "o ye>2 & 7bb7 (f]s su* comm]cial driv] education program1 us+ ! same curriculum z ano!r bran* ( su* educational in/itution4 2 & 7#b7 by add+ at ! end ! foll[+ new subp>agraph3 7,d7 ,! ,secret>y %all submit to ! ,committees on ,vet]ans' ,affairs ( ! ,s5ate & ,h\se ( ,repres5tatives a notification n lat] ?an #cj days aft] ! ,secret>y grants an exemption "u subp>agraph 7,a74 ,su* notification %all id5tify ! educational in/itution1 & ! bran* !re(1 grant$ su* exemption4 4 7b7 ,implem5tation ,section #b7;b7 ( su* ,act is am5d$-- 7#a7 9 p>agraph 7#b71 by /rik+ #ahj days & ins]t+ #cfe days2 & 7#b7 by add+ at ! end ! foll[+ new p>agraphs3 7#c7 ,regulations ,9 prescrib+ any regulation to c>ry out ! am5dm5ts made by subsection 7a71 ! ,secret>y ( ,vet]ans ,affairs %all consult ) ,/ate approv+ ag5cies designat$ "u section #cfga ( su* title4 7#d7 ,,gao /udy ,n lat] ?an #cfe days aft] ! applicability date "u p>agraph 7#b71 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all-- 7,a7 conduct a /udy to-- 7i7 det]m9e ! effects ( ! am5dm5ts made by subsection 7a72 & 7ii7 ! feasibility & advisability ( simil>ly am5d+ ! rules = approval ( programs ( education = o!r vocational programs ( education2 & 7,b7 submit to ! ,committees on ,vet]ans' ,affairs ( ! ,s5ate & ,h\se ( ,repres5tatives a report on ! f9d+s ( ! ,comptroll] ,g5]al ) respect to su* /udy4 4 7c7 ,effective date ,! am5dm5ts made by ?is section %all take effect z if includ$ 9 su* ,act on ! date ( ! enactm5t ( su* ,act4 #baj4 ,provision ( c]tificates ( eligibility & aw>d lett]s us+ electronic means 7a7 ,9 g5]al ,*apt] #cf ( title #ch1 ,unit$ ,/ates ,code1 is am5d$ by ins]t+ aft] section #cfih ! foll[+ new section 7& con=m+ ! table ( sections at ! beg9n+ ( su* *apt] accord+ly73 #cfih;,a4 ,provision ( c]tificates ( eligibility & aw>d lett]s us+ electronic means 7a7 ,requirem5t ,except z provid$ by subsection 7b71 ! ,secret>y %all provide to an individual ! foll[+ docum5ts us+ electronic means3 7#a7 ,a c]tificate ( eligibility = ! entitlem5t ( ! individual to cov]$ educational assi/ance4 7#b7 ,an aw>d lett] reg>d+ ! au?orization ( ! individual to receive cov]$ educational assi/ance4 7b7 ,election to opt out ,an individual may elect to receive ! docum5ts specifi$ 9 subsection 7a7 by mail r ?an ?r\gh electronic means "u subsection 7a74 ,an individual may revoke su* an election at any "t1 by means prescrib$ by ! ,secret>y4 7c7 ,cov]$ educational assi/ance ,9 ?is section1 ! t]m cov]$ educational assi/ance means educational assi/ance "u *apt] #cj1 #cc1 or #ce ( ?is title1 or section #cfii;,c ( ?is title4 4 7b7 ,cl]ical am5dm5t ,! table ( sections at ! beg9n+ ( su* *apt] is am5d$ by ins]t+ aft] ! item relat+ to section #cfih ! foll[+ new item3 #cfih;,a4 ,provision ( c]tificates ( eligibility & aw>d lett]s us+ electronic means4 4 #baa4 ,retroactive effective date ( law reg>d+ *>ge to entitlem5t to educational assi/ance = individuals :o d n transf] cr$its f c]ta9 clos$ or disapprov$ programs ( education ,section #cfii7;c77#b7 ( title #ch1 ,unit$ ,/ates ,code1 is am5d$ by /rik+ subp>agraph 7,c7 & ins]t+ ! foll[+ new subp>agraph 7,c73 7,c7 ,?is p>agraph1 includ+ clauses 7ii7 & 7iii7 ( subp>agraph 7,a71 %all apply ) respect to ! closure or discont9uation ( a c\rse or program ( education1 z describ$ 9 subsection 7b77#a71 t occurs dur+ ! p]iod beg9n+ on ,augu/ #a1 #bjba1 & end+ on ,septemb] #cj1 #bjbe4 4 #bab4 ,dep>tm5t ( ,vet]ans ,affairs high te*nology program 7a7 ,high te*nology program 7#a7 ,9 g5]al ,*apt] #cf ( title #ch1 ,unit$ ,/ates ,code1 z am5d$ by section #baj1 is am5d$ by add+ at ! end ! foll[+ new section3 #cfii;,c4 ,high te*nology program 7a7 ,e/abli%m5t 7#a7 ,! ,secret>y %all c>ry out a program "u :i* ! ,secret>y provides cov]$ individuals ) ! opportunity to enroll 9 high te*nology programs ( education t ! ,secret>y det]m9es provide tra9+ or skills s\ght by employ]s 9 a relevant field or indu/ry4 7#b7 ,n m ?an #d1jjj cov]$ individuals may p>ticipate 9 ! program "u ?is section 9 any fiscal ye>4 7b7 ,am\nt ( assi/ance 7#a7 ,! ,secret>y %all provide1 to ea* cov]$ individual :o pursues a high te*nology program ( education "u ?is section1 educational assi/ance 9 am\nts equal to ! am\nts provid$ "u section #ccac7;c77#a7 ( ?is title1 includ+1 except z provid$ 9 p>agraph 7#c71 ) respect to ! h\s+ /ip5d describ$ 9 t section & 9 accordance ) ! treatm5t ( programs t are di/ance le>n+ & programs t are less ?an half-"t4 7#b7 ,"u p>agraph 7#a71 ! ,secret>y %all provide su* am\nts ( educational assi/ance to a cov]$ individual = ea* ( ! foll[+3 7,a7 ,a high te*nology program ( education4 7,b7 ,a second su* program if-- 7i7 ! second su* program beg9s at lea/ #ah mon?s aft] ! cov]$ individual graduates f ! fir/ su* program2 & 7ii7 ! cov]$ individual uses educational assi/ance "u *apt] #cc ( ?is title to pursue ! second su* program4 7#c7 ,no cov]$ individual may receive a h\s+ /ip5d "u ?is subsection = any mon? if su* individual is 9 receipt ( a h\s+ /ip5d "u *apt] #cc ( ?is title = t mon?4 7c7 ,contracts 7#a7 ,= purposes ( c>ry+ out subsection 7a71 ! ,secret>y %all seek to ent] into contracts ) any numb] ( qualifi$ provid]s ( high te*nology programs ( education = ! provision ( su* programs to cov]$ individuals4 ,ea* su* contract %all provide = ! conditions "u :i* ! ,secret>y may t]m9ate ! contract ) ! provid] & ! proc$ures = provid+ = ! graduation ( /ud5ts :o 7 enroll$ 9 a program provid$ by su* provid] 9 ! case ( su* a t]m9ation4 7#b7 ,a contract "u ?is subsection %all provide t ! ,secret>y %all pay to a provid]-- 7,a7 ^u ! enrollm5t ( a cov]$ individual 9 ! program1 #be p]c5t ( ! co/ ( ! tuition & o!r fees = ! program ( education = ! individual2 7,b7 ^u graduation ( ! individual f ! program1 #be p]c5t ( su* co/2 & 7,c7 #ej p]c5t ( su* co/ ^u-- 7i7 ! successful employm5t ( ! cov]$ individual = a p]iod-- 7,i7 ( #ahj days 9 ! field ( /udy ( ! program2 & 7,,ii7 t beg9s n lat] ?an #ahj days foll[+ graduation ( ! cov]$ individual f ! program2 7ii7 ! employm5t ( ! individual by ! provid] = a p]iod ( "o ye>2 or 7iii7 ! enrollm5t ( ! individual 9 a program ( education to cont9ue education 9 su* field ( /udy4 7#c7 ,= purposes ( ?is section1 a provid] ( a high te*nology program ( education is qualifi$ if-- 7,a7 ! provid] employs in/ructors :om ! ,secret>y det]m9es are exp]ts 9 _! respective fields 9 accordance ) p>agraph 7#e72 7,b7 ! provid] has successfully provid$ ! high te*nology program = at lea/ "o ye>2 7,c7 ! provid] does n *>ge tuition & fees to a cov]$ individual :o receives assi/ance "u ?is section to pursue su* program t are high] ?an ! tuition & fees *>g$ by su* provid] to ano!r individual2 & 7,d7 ! provid] meets ! approval crit]ia develop$ by ! ,secret>y "u p>agraph 7#d74 7#d7 7,a7 ,! ,secret>y %all prescribe crit]ia = approv+ provid]s ( a high te*nology program ( education "u ?is section4 7,b7 ,9 develop+ su* crit]ia1 ! ,secret>y may consult ) ,/ate approv+ ag5cies4 7,c7 ,su* crit]ia are n requir$ to meet ! requirem5ts ( section #cfgb ( ?is title4 7,d7 ,su* crit]ia %all include ! job placem5t rate1 9 ! field ( /udy ( a program ( education1 ( cov]$ individuals :o complete su* program ( education4 7#e7 ,! ,secret>y %all det]m9e :e!r in/ructors are exp]ts "u p>agraph 7#c77;,a7 bas$ on evid5ce furni%$ to ! ,secret>y by ! provid] reg>d+ ! ability ( ! in/ructors to-- 7,a7 id5tify pr(essions 9 ne$ ( new employees to hire1 tailor ! programs to meet m>ket ne$s1 & id5tify ! employ]s likely to hire graduates2 7,b7 effectively tea* ! skills (f]$ to cov]$ individuals2 7,c7 provide relevant indu/ry exp]i5ce 9 ! fields ( programs (f]$ to incom+ cov]$ individuals2 & 7,d7 demon/rate relevant indu/ry exp]i5ce 9 su* fields ( programs4 7#f7 ,9 ent]+ into contracts "u ?is subsection1 ! ,secret>y %all give pref]5ce to a provid] ( a high te*nology program ( education-- 7,a7 f :i* at lea/ #gj p]c5t ( graduates f9d full-"t employm5t 9 ! field ( /udy ( ! program dur+ ! #ahj-;day p]iod beg9n+ on ! date ! /ud5t graduates f ! program2 or 7,b7 t (f]s tuition reimbursem5t = any /ud5t :o graduates f su* a program & does n f9d employm5t describ$ 9 subp>agraph 7,a74 7d7 ,effect on o!r entitlem5t 7#a7 ,if a cov]$ individual enroll$ 9 a high te*nology program ( education "u ?is section has rema9+ entitlem5t to educational assi/ance "u *apt] #cj1 #cb1 #cc1 #cd1 or #ce ( ?is title1 su* entitlem5t %all be *>g$ at ! rate ( "o mon? ( su* entitlem5t = ea* mon? ( educational assi/ance provid$ "u ?is section4 7#b7 ,if a cov]$ individual enroll$ 9 a high te*nology program ( education "u ?is section does n h rema9+ entitlem5t to educational assi/ance "u *apt] #cj1 #cb1 #cc1 #cd1 or #ce ( ?is title1 any educational assi/ance provid$ to su* individual "u ?is section %all be provid$ 9 addition to ! entitlem5t t ! individual has us$4 7#c7 ,! ,secret>y may n consid] enrollm5t 9 a high te*nology program ( education "u ?is section to be assi/ance "u a provision ( law ref]r$ to 9 section #cfie ( ?is title4 7#d7 7,a7 ,an application = enrollm5t 9 a high te*nology program ( education "u ?is section %all include notice ( ! requirem5ts relat+ to use ( entitlem5t "u p>agraphs 7#a7 & 7#b71 includ+-- 7i7 9 ! case ( ! enrollm5t ( an individual ref]r$ to "u p>agraph 7#a71 ! am\nt ( entitlem5t t is typically *>g$ = su* enrollm5t2 7ii7 an id5tification ( any me?ods t may be available = m9imiz+ ! am\nt ( entitlem5t requir$ = su* enrollm5t2 & 7iii7 an elem5t requir+ applicants to ackn[l$ge receipt ( ! notice "u ?is subp>agraph4 7,b7 ,if ! ,secret>y approves ! enrollm5t ( a cov]$ individual 9 a high te*nology program ( education "u ?is section1 ! ,secret>y %all deliv] electronically to ! individual an aw>d lett] t provides notice ( su* approval & includes specific in=mation describ+ h[ p>agraphs 7#a7 & 7#b7 w be appli$ to ! individual if ! individual *ooses to enroll 9 ! program4 7e7 ,requirem5ts = educational in/itutions 7#a7 ,! ,secret>y %all n approve ! enrollm5t ( any cov]$ individual1 n already enroll$1 9 any high te*nology programs ( education "u ?is section = any p]iod dur+ :i* ! ,secret>y f9ds t m ?an #he p]c5t ( ! /ud5ts enroll$ 9 ! program are hav+ all or "p ( _! tuition1 fees1 or o!r *>ges paid to or = !m by ! educational in/itution or by ! ,dep>tm5t ( ,vet]ans ,affairs "u ?is title or "u *apt] #afjf or #afjg ( title #aj1 except ) respect to tuition1 fees1 or o!r *>ges t are paid "u a paym5t plan at an educational in/itution t ! ,secret>y det]m9es has a hi/ory ( (f]+ paym5t plans t are complet$ n lat] ?an #ahj days aft] ! end ( ! applicable t]m1 qu>t]1 or seme/]4 7#b7 ,! ,secret>y may waive a requirem5t ( p>agraph 7#a7 if ! ,secret>y det]m9es1 pursuant to regulations :i* ! ,secret>y %all prescribe1 su* waiv] to be 9 ! int]e/ ( ! cov]$ individual & ! ,f$]al ,gov]nm5t4 ,n lat] ?an #cj days aft] ! ,secret>y waives su* a requirem5t1 ! ,secret>y %all submit to ! ,committees on ,vet]ans' ,affairs ( ! ,s5ate & ,h\se ( ,repres5tatives a report reg>d+ su* waiv]4 7#c7 7,a7 7i7 ,! ,secret>y %all e/abli% & ma9ta9 a process by :i* an educational in/itution may reque/ a review ( a det]m9ation t ! educational in/itution does n meet ! requirem5ts ( p>agraph 7#a74 7ii7 ,! ,secret>y may consult ) a ,/ate approv+ ag5cy reg>d+ su* process or su* a review4 7iii7 ,n lat] ?an #ahj days aft] ! ,secret>y e/abli%es or revises a process "u ?is subp>agraph1 ! ,secret>y %all submit to ! ,committees on ,vet]ans' ,affairs ( ! ,s5ate & ,h\se ( ,repres5tatives a report reg>d+ su* process4 7,b7 ,an educational in/itution t reque/s a review "u subp>agraph 7,a7-- 7i7 %all reque/ ! review n lat] ?an #cj days aft] ! />t ( ! t]m1 qu>t]1 or seme/] = :i* ! det]m9ation describ$ 9 subp>agraph 7,a7 applies2 & 7ii7 may include any in=mation t ! educational in/itution believes ! ,dep>tm5t %\ld h tak5 into acc\nt :5 mak+ ! det]m9ation1 includ+ ) respect to any mitigat+ circum/ances4 7f7 ,annual reports ,n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is section1 & annually !reaft] until ! t]m9ation date specifi$ 9 subsection 7i71 ! ,secret>y %all submit to ! ,committees on ,vet]ans' ,affairs ( ! ,s5ate & ,h\se ( ,repres5tatives a report on ! op]ation ( program "u ?is section dur+ ! ye> cov]$ by ! report4 ,ea* su* report %all include ea* ( ! foll[+3 7#a7 ,! numb] ( cov]$ individuals enroll$ 9 ! program1 disaggregat$ by type ( educational in/itution1 dur+ ! ye> cov]$ by ! report4 7#b7 ,! numb] ( cov]$ individuals :o complet$ a high te*nology program ( education "u ! program dur+ ! ye> cov]$ by ! report4 7#c7 ,! av]age employm5t rate ( cov]$ individuals :o complet$ su* a program ( education dur+ su* ye>1 z ( #ahj days aft] ! date ( completion4 7#d7 ,! av]age l5g? ( "t betwe5 ! completion ( su* a program ( education & employm5t4 7#e7 ,! total numb] ( cov]$ individuals :o complet$ a program ( education "u ! program & :o1 z ( ! date ( ! submission ( ! report1 are employ$ 9 a position relat$ to te*nology4 7#f7 ,! av]age sal>y ( a cov]$ individual :o complet$ a program ( education "u ! program & :o is employ$ 9 a position relat$ to te*nology1 9 v>i\s geographic areas det]m9$ by ! ,secret>y4 7#g7 ,! av]age sal>y ( all individuals employ$ 9 positions relat$ to te*nology 9 ! geographic areas det]m9$ "u subp>agraph 7,f71 & ! diff]5ce1 if any1 betwe5 su* av]age sal>y & ! av]age sal>y ( a cov]$ individual :o complet$ a program ( education "u ! program & :o is employ$ 9 a position relat$ to te*nology4 7#h7 ,! numb] ( cov]$ individuals :o complet$ a program ( education "u ! program & :o subsequ5tly enroll$ 9 a second program ( education "u ! program4 7g7 ,collection ( in=mation2 consultation 7#a7 ,! ,secret>y %all develop practices to use to collect in=mation ab\t cov]$ individuals & provid]s ( high te*nology programs ( education4 7#b7 ,= ! purpose ( c>ry+ out program "u ?is section1 ! ,secret>y may consult ) provid]s ( high te*nology programs ( education & may e/abli% an advisory gr\p made up ( repres5tatives ( su* provid]s1 private employ]s 9 ! te*nology field1 & o!r relevant gr\ps or entities1 z ! ,secret>y det]m9es necess>y4 7h7 ,def9itions ,9 ?is section3 7#a7 ,! t]m cov]$ individual means any ( ! foll[+3 7,a7 ,a vet]an :om ! ,secret>y det]m9es-- 7i7 s]v$ an aggregate ( at lea/ #cf mon?s on active duty 9 ! ,arm$ ,=ces 7includ+ s]vice on active duty 9 entry level & skill tra9+7 & 0 dis*>g$ or releas$ !refrom "u conditions o!r ?an di%onorable2 & 7ii7 has n atta9$ ! age ( #fb4 7,b7 ,a memb] ( ! ,arm$ ,=ces t ! ,secret>y det]m9es w become a vet]an describ$ 9 subp>agraph 7,a7 few] ?an #ahj days aft] ! date ( su* det]m9ation4 7#b7 ,! t]m high te*nology program ( education means a program ( education-- 7,a7 (f]$ by a public or private educational in/itution2 7,b7 if (f]$ by an in/itution ( high] le>n+1 t is provid$ directly by su* in/itution r ?an by an entity o!r ?an su* in/itution "u a contract or o!r agreem5t2 7,c7 t does n lead to a degree2 7,d7 t has a t]m ( n less ?an six & n m ?an #bh weeks2 & 7,e7 t provides in/ruction 9 comput] programm+1 comput] s(tw>e1 m$ia application1 data process+1 or in=mation sci5ces4 7i7 ,t]m9ation ,! ,secret>y may n provide educational assi/ance "u ?is section = a high te*nology program ( education t beg9s aft] ,septemb] #cj1 #bjbg4 4 7#b7 ,cl]ical am5dm5t ,! table ( sections at ! beg9n+ ( su* *apt] is am5d$ by ins]t+ aft] ! item relat+ to section #cfii;,b ! foll[+ new item3 #cfii;,c4 ,high te*nology program4 4 7b7 ,effect on high te*nology pilot program ,section #aaf ( ! ,h>ry ,w4 ,colm]y ,vet]ans ,educational ,assi/ance ,act ( #bjag 7,public ,law #aae-dh2 #ch ,u4,s4,c4 #cjja note7 is am5d$-- 7#a7 by am5d+ subsection 7d7 to read z foll[s3 7d7 ,h\s+ /ip5d 7#a7 ,9 g5]al ,except z provid$ "u p>agraph 7#b71 ! ,secret>y %all pay to ea* eligible vet]an 7n includ+ an individual describ$ 9 ! second s5t5ce ( subsection 7b77 :o is enroll$ 9 a high te*nology program ( education "u ! pilot program on a full-"t or "p-"t basis a mon?ly h\s+ /ip5d equal to ! product-- 7,a7 (-- 7i7 9 ! case ( a vet]an pursu+ resid5t tra9+1 ! mon?ly am\nt ( ! basic all[ance = h\s+ payable "u section #djc ( title #cg1 ,unit$ ,/ates ,code1 = a memb] ) dep5d5ts 9 pay grade ,e-#e resid+ 9 ! milit>y h\s+ area t encompasses all or ! majority portion ( ! ,,zip code area 9 :i* is locat$ ! campus ( ! in/itution :]e ! individual physically p>ticipates 9 a majority ( classes2 or 7ii7 9 ! case ( a vet]an pursu+ a program ( education ?r\gh di/ance le>n+1 a mon?ly am\nt equal to #ej p]c5t ( ! national av]age ( ! mon?ly am\nt ( ! basic all[ance = h\s+ payable "u section #djc ( title #cg1 ,unit$ ,/ates ,code1 = a memb] ) dep5d5ts 9 pay grade ,e-#e1 multipli$ by 7,b7 ! less] (-- 7i7 #a4j2 or 7ii7 ! numb] ( c\rse h\rs borne by ! individual 9 pursuit ( ! program ( education involv$1 divid$ by ! m9imum numb] ( c\rse h\rs requir$ = full-"t pursuit ( su* program ( education1 r\nd$ to ! ne>e/ multiple ( #aj4 7#b7 ,b> to dual eligibility ,no cov]$ individual may receive a h\s+ /ip5d "u ?is subsection = any mon? if su* individual is 9 receipt ( a h\s+ /ip5d "u *apt] #cc ( title #ch1 ,unit$ ,/ates ,code1 = t mon?4 2 7#b7 9 subsection 7g71 by /rik+ p>agraph 7#f72 & 7#c7 by /rik+ subsection 7h7 & ins]t+ ! foll[+ new subsection 7h73 7h7 ,t]m9ation ,! ,secret>y may n1 "u ?is section1 pay a provid] = a high te*nology program ( education t beg9s aft] ,septemb] #cj1 #bjbd4 4 7c7 ,approval ( c]ta9 high te*nology programs ,section #cfhj;,a ( title #ch1 ,unit$ ,/ates ,code1 is am5d$-- 7#a7 9 subsection 7a71 by /rik+ p>agraph 7#d7 & ins]t+ ! foll[+3 7#d7 ,any indep5d5t /udy program except-- 7,a7 an indep5d5t /udy program 7includ+ su* a program tak5 ov] op5 circuit television7 t-- 7i7 is accr$it$ by an accr$it+ ag5cy or association recogniz$ by ! ,secret>y ( ,education "u subp>t #b ( "p ,h ( title ,,iv ( ! ,high] ,education ,act ( #aife 7#bj ,u4,s4,c4 #ajii;b72 7ii7 leads to-- 7,i7 a /&>d college degree2 7,,ii7 a c]tificate t reflects educational atta9m5t (f]$ by an in/itution ( high] le>n+2 or 7,,iii7 a c]tificate t reflects graduation f a c\rse ( /udy (f]$ by-- 7aa7 an area c>e] & te*nical education s*ool 7z def9$ 9 subp>agraphs 7,c7 & 7,d7 ( section #c7c7 ( ! ,c>l ,d4 ,p]k9s ,c>e] & ,te*nical ,education ,act ( #bjjf 7#bj ,u4,s4,c4 #bcjb7c777 t provides education at ! po/second>y level2 or 7bb7 a po/second>y vocational in/itution 7z def9$ 9 section #ajb7;c7 ( ! ,high] ,education ,act ( #aife 7#bj ,u4,s4,c4 #ajjb7;c777 t provides education at ! po/second>y level2 & 7iii7 9 ! case ( a program describ$ 9 clause 7ii77,,iii7-- 7,i7 provides tra9+ align$ ) ! requirem5ts ( employ]s 9 ! ,/ate or local area :]e ! program is locat$1 :i* may include 9-dem& indu/ry sectors or occupations2 7,,ii7 provides a /ud5t1 ^u graduation f ! program1 ) a recogniz$ po/second>y cr$5tial t is recogniz$ by employ]s 9 ! relevant indu/ry1 :i* may include a cr$5tial recogniz$ by indu/ry or sector p>tn]%ips 9 ! ,/ate or local area :]e ! indu/ry is locat$2 & 7,,iii7 meets su* cont5t & in/ructional /&>ds z may be requir$ to comply ) ! crit]ia "u section #cfgf7;c77#ad7 & 7#ae7 ( ?is title2 or 7,b7 an onl9e high te*nology program ( education 7z def9$ 9 subsection 7h77#b7 ( section #cfii;,c ( ?is title7-- 7i7 ! provid] ( :i* has ent]$ into a contract ) ! ,secret>y "u subsection 7c7 ( su* section2 7ii7 t has be5 provid$ to cov]$ individuals 7z def9$ 9 subsection 7h77#a7 ( su* section7 "u su* contract = a p]iod ( at lea/ five ye>s2 7iii7 reg>d+ :i* ! ,secret>y has det]m9$ t ! av]age employm5t rate ( cov]$ individuals :o graduat$ f su* program ( education is #fe p]c5t or high] = ! ye> prec$+ su* det]m9ation2 & 7iv7 t satisfies ! requirem5ts ( subsection 7e7 ( su* section4 2 & 7#b7 9 subsection 7d71 by add+ at ! end ! foll[+3 7#h7 ,p>agraph 7#a7 %all n apply to ! enrollm5t ( a vet]an 9 an onl9e high te*nology program describ$ 9 subsection 7a77#d77;,b74 4 #bac4 ,notice ( *anges to ,dep>tm5t ( ,vet]ans ,affairs policies & guidance affect+ ! educational assi/ance programs ( ! ,dep>tm5t 7a7 ,9 g5]al ,sub*apt] ,,iii ( *apt] #cf ( title #ch1 ,unit$ ,/ates ,code1 z am5d$ by sections #baj & #bab1 is fur!r am5d$ by add+ at ! end ! foll[+ new section3 #cfii;,d4 ,notice ( *anges to policies & guidance relat+ to educational assi/ance programs ,9 ! case ( any *ange to any policy or guidance provid$ by ! ,secret>y t relates to any educational assi/ance program ( ! ,dep>tm5t1 ! ,secret>y may n implem5t ! *ange be=e ! date t is #ij days aft] ! date on :i* ! ,secret>y makes available to /ud5ts1 educational in/itutions1 & ! ,committees on ,vet]ans' ,affairs ( ! ,s5ate & ,h\se ( ,repres5tatives notice (1 & ju/ification =1 ! *ange4 4 7b7 ,cl]ical am5dm5t ,! table ( sections at ! beg9n+ ( su* *apt] is am5d$ by ins]t+ aft] ! item relat+ to section #cfii;,b ! foll[+ new item3 #cfii;,d4 ,notice ( *anges to policies & guidance relat+ to educational assi/ance programs4 4 #bad4 ,paym5t ( ,,va educational assi/ance via electronic fund transf] to a =eign in/itution ( high] education ,n lat] ?an #ij days aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,vet]ans ,affairs %all update ! paym5t sy/em ( ! ,dep>tm5t ( ,vet]ans ,affairs to all[ = electronic fund transf] ( educational assi/ance1 adm9i/]$ by ! ,secret>y1 to a =eign in/itution ( high] education t-- 7#a7 provides an approv$ c\rse ( education to an eligible recipi5t ( su* assi/ance2 & 7#b7 does n h-- 7,a7 an employ] id5tification numb]2 or 7,b7 an acc\nt ) a dome/ic bank4 #bae4 ,improv+ transp>5cy & acc\ntability ( educational in/itutions = purposes ( vet]ans educational assi/ance 7a7 ,requirem5t relat+ to ,g4,i4 ,bill comp>ison tool 7#a7 ,requirem5t to ma9ta9 tool ,! ,secret>y ( ,vet]ans ,affairs %all ma9ta9 ! ,g4,i4 ,bill ,comp>ison ,tool t 0 e/abli%$ pursuant to ,executive ,ord] #acfjg 7#gg ,f$4 ,reg4 #behfa2 relat+ to e/abli%+ pr9ciples ( excell5ce = educational in/itutions s]v+ s]vice memb]s1 vet]ans1 sp\ses1 & o!r family memb]s7 & 9 effect on ! day be=e ! date ( enactm5t ( ?is ,act1 or a successor tool1 to provide relevant & timely in=mation ab\t programs ( education approv$ "u *apt] #cf ( title #ch1 ,unit$ ,/ates ,code1 & ! educational in/itutions t (f] su* programs4 7#b7 ,data ret5tion ,! ,secret>y %all ensure t hi/orical data t is report$ via ! tool ma9ta9$ "u p>agraph 7#a7 rema9s easily & prom95tly accessible on ! b5efits4va4gov website1 or a successor website1 = a p]iod ( n less ?an six ye>s f ! date ( initial publication4 7b7 ,provid+ timely & relevant education in=mation to vet]ans1 memb]s ( ! ,arm$ ,=ces1 & o!r individuals 7#a7 ,9 g5]al ,n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,vet]ans ,affairs1 9 consultation ) ! ,secret>y ( ,education1 ! ,secret>y ( ! ,treasury1 & ! heads ( o!r relevant ,f$]al ag5cies1 %all make su* *anges to ! tool ma9ta9$ "u subsection 7a7 z ! ,secret>y ( ,vet]ans ,affairs det]m9es appropriate to ensure t su* tool is an effective & effici5t me?od = provid+ in=mation pursuant to section #cfih7;b77#e7 ( title #ch1 ,unit$ ,/ates ,code4 7#b7 ,memor&um ( und]/&+ requir$ ,n lat] ?an two ye>s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,vet]ans ,affairs %all seek to ent] into a memor&um ( und]/&+ ) ! ,secret>y ( ,education & ! heads o!r relevant ,f$]al ag5cies1 z ! ,secret>y ( ,vet]ans ,affairs det]m9es appropriate1 to obta9 in=mation on outcomes ) respect to individuals :o are entitl$ to educational assi/ance "u ! laws adm9i/]$ by ! ,secret>y ( ,vet]ans ,affairs & :o are att5d+ educational in/itutions4 ,su* memor&um ( und]/&+ may include data %>+ or comput] mat*+ agreem5ts4 7#c7 ,modification ( scope ( compreh5sive policy on provid+ education in=mation ,section #cfih ( title #ch1 ,unit$ ,/ates ,code1 is am5d$-- 7,a7 9 subsection 7a71 by /rik+ vet]ans & memb]s ( ! ,arm$ ,=ces & ins]t+ individuals entitl$ to educational assi/ance "u laws adm9i/]$ by ! ,secret>y ( ,vet]ans ,affairs2 & 7,b7 9 subsection 7b77#e7-- 7i7 by /rik+ vet]ans & memb]s ( ! ,arm$ ,=ces & ins]t+ individuals describ$ 9 subsection 7a72 & 7ii7 by /rik+ ! vet]an or memb] & ins]t+ ! individual4 7#d7 ,g4,i4 ,bill comp>ison tool requir$ disclosures ,p>agraph 7#a7 ( subsection 7c7 ( su* section is am5d$-- 7,a7 by /rik+ subp>agraph 7,b7 & ins]t+ ! foll[+3 7,b7 = ea* individual describ$ 9 subsection 7a7 seek+ in=mation provid$ "u subsection 7b77#e71 ! "n ( ea* ,f$]al /ud5t aid program1 & a description ( ea* su* program1 f :i* ! individual may receive educational assi/ance2 & 2 7,b7 9 subp>agraph 7,c7-- 7i7 9 clause 7i71 by ins]t+ & a def9ition ( ea* type ( in/itution be=e ! semicolon2 7ii7 9 clause 7iv71 by ins]t+ & if s1 :i* programs be=e ! semicolon2 7iii7 by /rik+ clause 7v7 & ins]t+ ! foll[+3 7v7 ! av]age annual co/ & ! total co/ to e>n an associate's degree & a ba*elor's degree1 ) available co/ in=mation on any o!r degree or cr$5tial ! in/itution aw>ds2 2 7iv7 9 clause 7vi71 by ins]t+ be=e ! semicolon ! foll[+3 disaggregat$ by-- 7,i7 ! type ( b5efici>y ( educational assi/ance2 7,,ii7 individuals :o receiv$ a cr$5tial & individuals :o did n2 & 7,,iii7 individuals us+ educational assi/ance "u laws adm9i/]$ by ! ,secret>y & individuals :o are n2 2 7v7 9 clause 7xiv71 by /rik+ & at ! end2 7vi7 9 clause 7xv71 by /rik+ ! p]iod at ! end & ins]t+ a semicolon2 & 7vii7 by add+ at ! end ! foll[+ new clauses3 7xvi7 ! numb] ( vet]ans or memb]s :o complet$ cov]$ education at ! in/itution lead+ to-- 7,i7 a degree1 disaggregat$ by type ( program1 includ+-- 7aa7 an associate degree2 7bb7 a ba*elor's degree2 & 7cc7 a po/baccalaureate degree2 & 7,,ii7 a c]tificate or pr(essional lic5se1 disaggregat$ by type ( c]tificate or pr(essional lic5se2 7xvii7 programs available & ! av]age "t = completion ( ea* program2 7xviii7 employm5t rate & m$ian income ( graduates ( ! in/itution 9 g5]al two & five ye>s aft] graduation1 disaggregat$ by-- 7,i7 specific program2 & 7,,ii7 individuals us+ educational assi/ance "u laws adm9i/]$ by ! ,secret>y & individuals :o are n2 & 7xix7 ! numb] ( individuals us+ educational assi/ance "u laws adm9i/]$ by ! ,secret>y :o are enroll$ 9 ! bo? ! in/itution & specific program p] ye>4 4 7#e7 ,cl>ity & anonymity ( in=mation provid$ ,p>agraph 7#b7 ( su* subsection is am5d$-- 7,a7 by ins]t+ 7,a7 be=e ,to ! ext5t2 & 7,b7 by add+ at ! end ! foll[+ new subp>agraph3 7,b7 ,! ,secret>y %all ensure t in=mation provid$ pursuant to subsection 7b77#e7 is provid$ 9 a mann] t is easy =1 & accessible to1 individuals describ$ 9 subsection 7a74 7,c7 ,9 provid+ in=mation pursuant to subsection 7b77#e71 ! ,secret>y %all ma9ta9 ! anonymity ( individuals describ$ 9 subsection 7a7 &1 to ! ext5t t a portion ( any data w\ld und]m9e su* anonymity1 ensure t su* data is n made available pursuant to su* subsection4 4 7c7 ,improvem5ts = /ud5t fe$back 7#a7 ,9 g5]al ,subsection 7b77#b7 ( su* section is am5d$-- 7,a7 by am5d+ subp>agraph 7,a7 to read z foll[s3 7,a7 provides in/itutions ( high] le>n+-- 7i7 up to #cj days to review & respond to fe$back f individuals describ$ 9 subsection 7a7 & address issues reg>d+ ! fe$back be=e ! fe$back is publi%$2 & 7ii7 if an in/itution ( high] le>n+ conte/s ! accuracy ( ! fe$back1 ! opportunity to *all5ge ! inclusion ( su* data ) an (ficial appo9t$ by ! ,secret>y2 2 7,b7 9 subp>agraph 7,b71 by /rik+ & at ! end2 7,c7 9 subp>agraph 7,c71 by /rik+ t con=ms ) crit]ia = relevancy t ! ,secret>y %all det]m9e4 & ins]t+ 1 & responses f in/itutions ( high] le>n+ to su* fe$back1 t con=m ) crit]ia = relevancy t ! ,secret>y %all det]m9e22 & 7,d7 by add+ at ! end ! foll[+ new subp>agraphs3 7,d7 = ea* in/itution ( high] le>n+ t is approv$ "u ?is *apt]1 reta9s1 ma9ta9s1 & publi%es all ( su* fe$back = n less ?an six ye>s2 & 7,e7 is easily accessible to individuals describ$ 9 subsection 7a7 & to ! g5]al public4 4 7#b7 ,accessibility f ,g4,i4 ,bill comp>ison tool ,! ,secret>y %all ensure t-- 7,a7 ! fe$back track$ & publi%$ "u subsection 7b77#b7 ( su* section1 z am5d$ by p>agraph 7#a71 is prom95tly display$ 9 ! tool ma9ta9$ "u subsection 7a7 ( ?is section2 & 7,b7 :5 su* tool displays in=mation = an in/itution ( high] le>n+1 ! applicable fe$back is also display$ = su* in/itution ( high] le>n+4 7d7 ,tra9+ = provision ( education c\nsel+ s]vices 7#a7 ,9 g5]al ,n less ?an "o ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y %all ensure t p]sonnel employ$ by ! ,dep>tm5t ( ,vet]an ,affairs1 or a contractor ( ! ,dep>tm5t1 to provide education b5efits c\nsel+1 vocational or transition assi/ance1 or simil> functions1 includ+ employees or contractors ( ! ,dep>tm5t :o provide su* c\nsel+ or assi/ance z "p ( ! ,transition ,assi/ance ,program1 are tra9$ on h[-- 7,a7 to use prop]ly ! tool ma9ta9$ "u subsection 7a72 & 7,b7 to provide appropriate educational c\nsel+ s]vices to individuals describ$ 9 section #cfih7;a7 ( su* title1 z am5d$ by subsection 7b77#c77;,a74 7#b7 ,transition assi/ance program def9$ ,9 ?is subsection1 ! t]m ,transition ,assi/ance ,program means ! program ( c\nsel+1 in=mation1 & s]vices "u section #aadb ( title #aj1 ,unit$ ,/ates ,code4 ,b ,employm5t & ,tra9+ #bba4 ,improvem5ts to reemploym5t rights ( memb]s ( ! ,arm$ ,=ces 7a7 ,,us]ra purposes ,section #dcja7;a77#a7 ( title #ch1 ,unit$ ,/ates ,code1 is am5d$ by /rik+ enc\rage nonc>e] s]vice 9 ! uni=m$ s]vices & ins]t+ enc\rage s]vice 9 ! uni=m$ s]vices4 7b7 ,prohibition ( retaliation ,subsection 7b7 ( section #dcaa ( title #ch1 ,unit$ ,/ates ,code1 is am5d$ by ins]t+ or o!r retaliatory action aft] employm5t action4 7c7 ,expansion ( injunctive relief ,subsection 7e7 ( section #dcbc ( su* title is am5d$-- 7#a7 by /rik+ ,! c\rt %all use & ins]t+ 7#a7 ,! c\rt %all use2 & 7#b7 by add+ at ! end ! foll[+ new p>agraphs3 7#b7 ,a p]son br++ an action to en=ce a provision ( ?is *apt] pursuant to subsection 7a7 %all be entitl$ to an injunction "u p>agraph 7#a7 if su* p]son demon/rates-- 7,a7 a violation-- 7i7 ( ! provisions ( ?is *apt]2 or 7ii7 ( ! provisions ( ?is *apt] is ?reat5$ or is imm95t2 7,b7 ! h>m to ! p]son outweighs ! injury to ! employ]2 7,c7 a likelihood ( success on ! m]its ( su* action2 & 7,d7 aw>d+ su* relief is 9 ! public int]e/4 7#c7 ,! c\rt may n d5y a motion = injunctive relief on ! basis t a p>ty br++ an action to en=ce a provision ( ?is *apt] may be aw>d$ wages une>n$ due to an unlawful t]m9ation or d5ial ( employm5t at ! conclusion ( su* action4 4 7d7 ,damages aga9/ a ,/ate or private employ] ,section #dcbc ( su* title is fur!r am5d$1 9 p>agraph 7#a7 ( subsection 7d71 by /rik+ subp>agraph 7,c7 & ins]t+ ! foll[+ new subp>agraphs3 7,c7 ,! c\rt may require ! employ] to pay ! p]son ! am\nt ref]r$ to 9 subp>agraph 7,b7 & int]e/ on su* am\nt1 calculat$ at a rate ( #c p]c5t p] ye>4 7,d7 ,! c\rt may require ! employ] to pay ! p]son ! great] ( #ej1jjj or ! am\nt equal to ! am\nts ref]r$ to 9 subp>agraphs 7,b7 & 7,c7 z liquidat$ damages1 if ! c\rt det]m9es t ! employ] kn[+ly fail$ to comply ) ! provisions ( ?is *apt]4 4 7e7 ,m&atory attorney fees aw>d 9 successful actions = reemploym5t 7#a7 ,,mspb actions ,p>agraph 7#d7 ( subsection 7c7 ( section #dcbd ( su* title is am5d$-- 7,a7 by /rik+ may1 9 its discretion1 & ins]t+ %all2 & 7,b7 by add+ at ! end ! foll[+ new s5t5ce3 ,! ,bo>d may1 9 its discretion1 aw>d reasonable attorney fees 9 a case settl$ be=e ! issuance ( an ord] if ! p]son c demon/rate t significant attorney fees 7 incurr$ & t ju/ice requires su* an aw>d44 7#b7 ,f$]al ,circuit actions ,subsection 7d7 ( su* section is am5d$ by add+ at ! end ! foll[+ new p>agraph3 7#c7 ,9 su* ,f$]al ,circuit proce$+1 ! c\rt %all aw>d su* p]son reasonable attorney fees1 exp]t witness fees1 & o!r litigation exp5ses if su* p]son-- 7,a7 prevails 9 su* ,f$]al ,circuit proce$+2 & 7,b7 is n repres5t$ by ! ,special ,c\nsel 9 su* ,f$]al ,circuit proce$+4 4 7#c7 ,actions aga9/ a ,/ate or private employ] ,p>agraph 7#b7 ( section #dcbc7;h7 ( su* title is am5d$-- 7,a7 by /rik+ subsection 7a77#b7 & ins]t+ subsection 7a77#c72 & 7,b7 by /rik+ ! c\rt may aw>d any su* p]son :o prevails 9 su* action or proce$+ reasonable attorney fees & ins]t+ ! c\rt %all aw>d any su* p]son :o prevails 9 su* action or proce$+ reasonable attorney fees4 7f7 ,,gao review & report on ,,us]ra 7#a7 ,review ,! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all review ! me?ods ?r\gh :i* ! ,secret>y ( ,labor1 act+ ?r\gh ! ,vet]ans' ,employm5t & ,tra9+ ,s]vice1 processes actions = relief "u *apt] #dc ( title #ch1 ,unit$ ,/ates ,code4 7#b7 ,elem5ts ,n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,comptroll] ,g5]al %all submit to ! ,committees on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives & ! ,s5ate a report t includes-- 7,a7 ! f9d+s ( ! review requir$ "u p>agraph 7#a72 7,b7 an id5tification ( ! numb] ( actions = relief "u *apt] #dc ( title #ch1 ,unit$ ,/ates ,code1 initiat$ dur+ ! p]iod cov]$ by ! report1 disaggregat$ by size ( employ] & geographic region2 7,c7 an id5tification ( ! numb] ( su* actions = relief t 7 errone\sly dismiss$1 z det]m9$ by ! ,comptroll] ,g5]al2 7,d7 an id5tification ( ! numb] ( su* actions = relief t 7 ref]r$ to ! ,dep>tm5t ( ,ju/ice2 & 7,e7 an assessm5t ( tr5ds1 if any1 9 su* actions = relief initiat$ dur+ su* p]iod4 7g7 ,,gao review ( protections = memb]s ( ! uni=m$ s]vices by ,f$]al intellig5ce ag5cies 7#a7 ,9 g5]al ,n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all submit to ! appropriate congressional committees a report on ! processes & proc$ures adopt$ & us$ by ! intellig5ce community to provide ! protections = memb]s ( ! uni=m$ s]vices o!rwise e/abli%$ "u *apt] #dc ( title #ch1 ,unit$ ,/ates ,code4 7#b7 ,def9itions ,9 ?is subsection3 7,a7 ,! t]m appropriate congressional committees means ! ,committees on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives & ,s5ate1 ! ,p]man5t ,select ,committee on ,intellig5ce ( ! ,h\se ( ,repres5tatives1 & ! ,select ,committee on ,intellig5ce ( ! ,s5ate4 7,b7 ,! t]m intellig5ce community has ! mean+ giv5 su* t]m 9 section #c7d7 ( ! ,national ,security ,act ( #aidg 7#ej ,u4,s4,c4 #cjjc7d774 #bbb4 ,review ( inve/igations manual ( ,vet]ans' ,employm5t & ,tra9+ ,s]vice 7a7 ,9 g5]al ,n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is ,act1 & once e two ye>s !reaft] = ! p]iod ( five ye>s beg9n+ on su* date1 ! ,secret>y ( ,labor1 %all review ! manual ( ! ,dep>tm5t ( ,labor titl$ ,vet]ans' ,employm5t & ,tra9+ ,s]vice ,inve/igations ,manual3 ,,us]ra1 ,,veoa1 & ,,vp 7or a successor manual7 & make su* revisions to su* manual z ! ,secret>y det]m9es appropriate4 7b7 ,report ,n lat] ?an #ij days aft] any date on :i* ! ,secret>y completes a review requir$ "u subsection 7a71 ! ,secret>y %all submit to ! ,committees on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives & ! ,s5ate-- 7#a7 a report t includes a description ( any revision to su* manual made pursuant to su* review2 & 7#b7 a copy ( ! entire su* manual :i*-- 7,a7 %all be provid$ to ! ,*airman & ,rank+ ,memb] ( ea* su* committee2 & 7,b7 may conta9 a sep>ate add5dum = portions ( ! manual t conta9 law en=cem5t s5sitive mat]ials4 #bbc4 ,w>rior ,tra9+ ,advancem5t ,c\rse 7a7 ,reports requir$ 7#a7 ,initial report ,n lat] ?an six mon?s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,vet]ans ,affairs %all submit to ! ,committees on ,vet]ans' ,affairs ( ! ,s5ate & ,h\se ( ,repres5tatives a report on ,,w>tac4 7#b7 ,annual report ,"o ye> aft] ! submission ( ! report requir$ "u p>agraph 7#a7 & annually !reaft]1 ! ,secret>y %all submit to su* ,committees a report t conta9s ! elem5ts "u p>agraphs 7#a7 & 7#c7 ( subsection 7b7 ) reg>ds to ! prec$+ ye>4 7#c7 ,elem5ts ,except z provid$ 9 subsection 7a77#b71 ! reports "u ?is subsection %all include ! foll[+ elem5ts3 7,a7 ,be/ practices ,) reg>ds to be/ practices ( ,,w>tac-- 7i7 h[ _m cov]$ memb]s h appli$ to p>ticipate 9 ,,w>tac2 7ii7 h[ _m cov]$ memb]s h p>ticipat$ 9 ,,w>tac2 7iii7 h[ ! ,secret>y provides tra9+ to cov]$ memb]s dur+ ,,tap2 7iv7 h[ _m cov]$ memb]s h complet$ ,,w>tac2 & 7v7 any o!r in=mation ! ,secret>y det]m9es appropriate4 7,b7 ,co/ sav+s ,) reg>ds to co/ sav+s ( ,,w>tac-- 7i7 h[ mu* money ! ,secret>y det]m9es ,,w>tac saves ! ,unit$ ,/ates ea* fiscal ye>2 7ii7 h[ mu* money ! ,secret>y det]m9es ,,w>tac has sav$ ! ,unit$ ,/ates s9ce its e/abli%m5t2 & 7iii7 ! det]m9ation ( ! ,secret>y :e!r o!r ,f$]al ag5cies may save money by e/abli%+ a program simil> to ,,w>tac4 7,c7 ,hir+ ,) reg>ds to hir+ cov]$ memb]s :o complete ,,w>tac-- 7i7 h[ ! ,secret>y id5tifies positions 9 ! ,dep>tm5t ( ,vet]ans ,affairs = :i* su* cov]$ memb]s may qualify2 7ii7 ! grades ( su* positions on ! ,g5]al ,s*$ule "u section #eccb ( title #e1 ,unit$ ,/ates ,code2 & 7iii7 h[ _m su* cov]$ memb]s ! ,secret>y has hir$ to su* positions4 7#d7 ,di/ribution ,n lat] ?an #cj days aft] submitt+ ! report "u p>agraph 7#a71 ! ,secret>y ( ,vet]ans ,affairs %all transmit a copy ( su* report to ! head ( ea* ,f$]al ag5cy4 7#e7 ,def9itions ,9 ?is subsection3 7,a7 ,! t]m cov]$ memb] means memb]s ( ! ,arm$ ,=ces p>ticipat+ 9 ,,tap4 7,b7 ,! t]m ,,tap means ! ,transition ,assi/ance ,program "u sections #aadb & #aadd ( title #aj1 ,unit$ ,/ates ,code4 7,c7 ,! t]m ,,w>tac means ! ,w>rior ,tra9+ ,advancem5t ,c\rse ( ! ,vet]ans ,b5efit ,adm9i/ration1 9 :i* ! ,secret>y provides tra9+ to cov]$ memb]s s su* cov]$ memb]s may qualify = c]ta9 employm5t 9 ! ,vet]ans ,b5efit ,adm9i/ration4 7b7 ,be/ practices = o!r dep>tm5ts ,! ,assi/ant ,secret>y ( ,labor = ,vet]ans' ,employm5t & ,tra9+ %all1 9 consultation ) ! ,secret>y ( ,vet]ans ,affairs1 e/abli% guidel9es conta9+ be/ practices = dep>tm5ts & ag5cies ( ! ,f$]al ,gov]nm5t t c>ry out programs to employ vet]ans :o are transition+ f s]vice 9 ! ,arm$ ,=ces4 ,su* guidel9es %all include ! f9d+s ( ! initial report requir$ "u subsection 7a77#a74 7c7 ,pilot program 7#a7 ,e/abli%m5t ,! ,secret>y ( ! ,int]ior %all1 9 consultation ) ! ,secret>y ( ,labor & ! ,secret>y ( ,vet]ans ,affairs1 e/abli% a pilot program to proactively in=m vet]ans ( available employm5t positions t relate to ! cons]vation & res\rce managem5t activities ( ! ,dep>tm5t ( ! ,int]ior4 7#b7 ,positions ,! ,secret>y ( ! ,int]ior %all-- 7,a7 id5tify vacant positions 9 ! ,dep>tm5t ( ! ,int]ior t are appropriate to fill us+ ! pilot program2 & 7,b7 to ! maximum ext5t practicable1 provide assi/ance to vet]ans 9 select+ "o or m vacant positions to apply to1 = :i* t vet]an may be be/ qualifi$4 7#c7 ,reports 7,a7 ,implem5tation report ,n lat] ?an "o ye> aft] ! date on :i* ! pilot program "u p>agraph 7#a7 comm5ces1 ! ,secret>y ( ! ,int]ior1 ! ,secret>y ( ,vet]ans ,affairs1 & ! ,secret>y ( ,labor %all jo9tly provide to ! appropriate congressional committees a report on ! implem5tation ( ! pilot program4 7,b7 ,f9al report ,n lat] ?an #cj days aft] ! date on :i* ! pilot program "u p>agraph 7#a7 t]m9ates "u p>agraph 7#d71 ! ,secret>y ( ! ,int]ior1 ! ,secret>y ( ,vet]ans ,affairs1 & ! ,secret>y ( ,labor %all jo9tly submit to ! appropriate congressional committees a report on ! pilot program t includes ! foll[+3 7i7 ,! numb] ( vet]ans :o appli$ to p>ticipate 9 ! pilot program4 7ii7 ,! numb] ( su* vet]ans employ$ "u ! pilot program4 7iii7 ,! numb] ( vet]ans id5tifi$ 9 clause 7ii7 :o transition$ to full-"t positions ) ! ,f$]al ,gov]nm5t aft] p>ticipat+ 9 ! pilot program4 7iv7 ,any o!r in=mation ! ,secret>y ( ! ,int]ior1 ! ,secret>y ( ,vet]ans ,affairs1 & ! ,secret>y ( ,labor det]m9e appropriate ) respect to measur+ ! effectiv5ess ( ! pilot program4 7#d7 ,t]m9ation ,! au?ority to c>ry out ! pilot program "u ?is subsection %all t]m9ate on ! date t is two ye>s aft] ! date on :i* ! pilot program comm5ces4 7#e7 ,appropriate congressional committees def9$ ,9 ?is subsection1 ! t]m appropriate congressional committees means-- 7,a7 ! ,committee on ,vet]ans' ,affairs & ! ,committee on ,en]gy & ,natural ,res\rces ( ! ,s5ate2 & 7,b7 ! ,committee on ,vet]ans' ,affairs & ! ,committee on ,natural ,res\rces ( ! ,h\se ( ,repres5tatives4 7d7 ,outdoor recreation program att5dance ,! ,secret>y ( ! ,int]ior & ! ,secret>y ( ,agriculture are enc\rag$ to "w ) ! ,secret>y ( ,def5se & ! ,secret>y ( ,vet]ans ,affairs to ensure memb]s ( ! ,arm$ ,=ces & vet]ans h access to outdoor recreation & outdoor-relat$ volunte] & wellness programs z "p ( ! basic s]vices provid$ to su* memb]s & vet]ans4 ,c ,home ,loans #bca4 ,improvem5ts to program = direct h\s+ loans made to ,native ,am]ican vet]ans by ! ,secret>y ( ,vet]ans ,affairs 7a7 ,g5]al au?orities & requirem5ts 7#a7 ,direct h\s+ loans to ,native ,am]ican vet]ans ,section #cgfb7;a7 ( title #ch1 ,unit$ ,/ates ,code1 is am5d$ to read z foll[s3 7a7 ,! ,secret>y may make a direct h\s+ loan to a ,native ,am]ican vet]an "u ?is sub*apt] if ! ,secret>y ensures ! foll[+3 7#a7 ,t ea* ,native ,am]ican vet]an to :om ! ,secret>y makes a direct h\s+ loan "u ?is sub*apt]-- 7,a7 holds1 possesses1 or pur*ases us+ ! proce$s ( ! loan a mean+ful int]e/ 9 a lot or dwell+ 7or bo?7 t is locat$ on tru/ l&2 & 7,b7 w pur*ase1 con/ruct1 or improve 7z ! case may be7 a dwell+ on ! lot us+ ! proce$s ( ! loan4 7#b7 ,t ea* su* ,native ,am]ican vet]an w convey to ! ,secret>y by an appropriate in/rum5t ! int]e/ ref]r$ to 9 p>agraph 7#a77;,a7 z security = a direct h\s+ loan "u ?is sub*apt]4 7#c7 ,t ! ,secret>y1 includ+ ! ,secret>y's employees or ag5ts1 may ent] ^u ! tru/ l& = ! purposes ( c>ry+ out su* actions z ! ,secret>y det]m9es are necess>y1 includ+-- 7,a7 to evaluate ! advisability ( ! loan2 7,b7 to monitor any pur*ase1 con/ruction1 or improvem5ts c>ri$ out us+ ! proce$s ( ! loan2 & 7,c7 to manage any s]vic+ or po/-=eclosure activities1 includ+ acquisition1 prop]ty inspections1 & prop]ty managem5t4 7#d7 ,t !re are e/abli%$ /&>ds & proc$ures t apply to ! =eclosure ( ! int]e/ convey$ by a ,native ,am]ican vet]an pursuant to p>agraph 7#b71 includ+-- 7,a7 proc$ures = =eclos+ ! int]e/2 & 7,b7 proc$ures = ! resale ( ! lot or dwell+ 7or bo?7 pur*as$1 con/ruct$1 or improv$ us+ ! proce$s ( ! loan4 7#e7 ,t ! loan is made 9 a responsible & prud5t mann]1 subject to /&>ds & proc$ures z are necess>y = ! reasonable protection ( ! f9ancial int]e/s ( ! ,unit$ ,/ates4 4 7#b7 ,memor&ums ( und]/&+1 agreem5ts1 & det]m9ations ,section #cgfb7;b7 ( su* title is am5d$ to read z foll[s3 7b7 7#a7 ,to c>ry out ! purpose ( subsection 7a71 ! ,secret>y may-- 7,a7 ent] into a memor&um ( und]/&+ ) a tribal organization1 o!r entity1 or individual2 7,b7 rely on agreem5ts or det]m9ations ( o!r ,f$]al ag5cies to gu>antee1 insure1 or make loans on tru/ l&2 & 7,c7 ent] into o!r agreem5ts or take su* o!r actions z ! ,secret>y det]m9es necess>y4 7#b7 ,if ! ,secret>y det]m9es t ! requirem5ts "u subsection 7a7 are n be+ en=c$ by a tribal organization1 o!r entity1 or individual t is a p>ty to any memor&um ( und]/&+1 agreem5t1 or det]m9ation describ$ 9 p>agraph 7#a71 ! ,secret>y may cease mak+ new direct h\s+ loans to ,native ,am]ican vet]ans "u ?is sub*apt] )9 ! area ( ! au?ority ( ! tribal organization1 o!r entity1 or individual 7z ! case may be74 4 7b7 ,direct loans to ,native ,am]ican vet]ans ,to ref9ance exi/+ mortgage loans ,section #cgfb7;h7 ( su* title is am5d$ to read z foll[s3 7h7 ,! ,secret>y may make direct loans to ,native ,am]ican vet]ans 9 ord] to enable su* vet]ans to ref9ance exi/+ mortgage loans = any ( ! foll[+ purposes3 7#a7 ,to ref9ance an exi/+ loan made "u ?is section1 if ! loan-- 7,a7 meets ! requirem5ts set =? 9 subp>agraphs 7,b71 7,c71 & 7,e7 ( p>agraph 7#a7 ( section #cgaj7;e7 ( ?is title2 7,b7 w be> an int]e/ rate at lea/ "o p]c5tage po9t less ?an ! int]e/ rate borne by ! loan be+ ref9anc$2 & 7,c7 complies ) p>agraphs 7#b7 & 7#c7 ( section #cgaj7;e7 ( ?is title1 except t = ! purposes ( ?is subsection ! ref]5ce to subsection 7a77#h7 ( section #cgaj ( ?is title 9 su* p>agraphs 7#b7 & 7#c7 %all be deem$ to be a ref]5ce to ?is subsection4 7#b7 ,to ref9ance an exi/+ mortgage loan n made "u ?is section on a dwell+ own$ & occupi$ by ! vet]an z ! vet]an's home1 if all ( ! foll[+ requirem5ts are met3 7,a7 ,! loan w be secur$ by ! same dwell+ z 0 ! loan be+ ref9anc$4 7,b7 ,! loan w provide ! vet]an ) a net tangible b5efit4 7,c7 ,! nature & condition ( ! prop]ty is su* z to be suitable = dwell+ purposes4 7,d7 ,! am\nt ( ! loan does n exce$ ei!r ( ! foll[+3 7i7 #ajj p]c5t ( ! reasonable value ( ! dwell+1 ) su* reasonable value det]m9$ "u ! proc$ures e/abli%$ by ! ,secret>y "u subsection 7d77#b74 7ii7 ,an am\nt equal to ! sum ( ! balance ( ! loan be+ ref9anc$ & su* clos+ co/s 7includ+ any disc\nt po9ts7 z may be au?oriz$ by ! ,secret>y to be includ$ 9 ! loan4 7,e7 ,not)/&+ subp>agraph 7,d71 if a loan is made = bo? ! purpose ( ?is p>agraph & to make en]gy effici5cy improvem5ts1 ! loan mu/ n exce$ ei!r ( ! foll[+3 7i7 #ajj p]c5t ( ! reasonable value ( ! dwell+ z improv$ = en]gy effici5cy1 ) su* reasonable value det]m9$ "u ! proc$ures e/abli%$ by ! ,secret>y "u subsection 7d77#b74 7ii7 ,! am\nt ref]r$ to "u subp>agraph 7,d77ii71 plus ! applicable am\nt specifi$ "u section #cgaj7;d77#b7 ( ?is title4 7,f7 ,! loan meets all o!r requirem5ts ! ,secret>y may e/abli% "u ?is sub*apt]4 7,g7 ,! exi/+ mortgage be+ ref9anc$ is a fir/ li5 on ! prop]ty & secur$ ( record4 7#c7 ,to ref9ance an exi/+ mortgage loan to repair1 alt]1 or improve a dwell+ own$ by ! vet]an & occupi$ by ! vet]an z ! vet]an's home1 if all ( ! foll[+ requirem5ts are met3 7,a7 ,! loan w be secur$ by ! same dwell+ z 0 ! loan be+ ref9anc$4 7,b7 ,! nature & condition ( ! prop]ty is su* z to be suitable = dwell+ purposes1 & ! repair1 alt]ation1 or improvem5t sub/antially protects or improves ! basic livability or utility ( su* prop]ty4 7,c7 ,! am\nt ( ! loan1 includ+ ! co/s ( repairs1 alt]ations1 & improvem5ts1 does n exce$ ei!r ( ! foll[+3 7i7 #ajj p]c5t ( ! reasonable value ( ! dwell+ z repair$1 alt]$1 or improv$1 ) su* reasonable value det]m9$ "u ! proc$ures e/abli%$ by ! ,secret>y "u subsection 7d77#b74 7ii7 ,an am\nt equal to ! sum (-- 7,i7 ! balance ( ! loan be+ ref9anc$2 7,,ii7 ! actual co/ ( repairs1 alt]ations1 or improvem5ts2 & 7,,iii7 su* clos+ co/s 7includ+ any disc\nt po9ts7 z may be au?oriz$ by ! ,secret>y to be includ$ 9 ! loan4 7,d7 ,! loan meets all o!r requirem5ts ! ,secret>y may e/abli% "u ?is sub*apt]4 7,e7 ,! exi/+ mortgage loan be+ ref9anc$ is a fir/ li5 on ! prop]ty & secur$ ( record4 4 7c7 ,expansion ( outrea* program on availability ( direct h\s+ loans = ,native ,am]ican vet]ans ,section #cgfb7;i77#b7 ( su* title is am5d$ by add+ at ! end ! foll[+ new subp>agraph3 7,g7 ,pursuant to subsection 7g77#d71 assi/+ ,native ,am]ican vet]ans 9 qualify+ = mortgage f9anc+ by-- 7i7 p>tn]+ ) local s]vice provid]s1 su* z tribal organizations1 tribally designat$ h\s+ entities1 ,native community developm5t f9ancial in/itutions1 & nonpr(it organizations1 = conduct+ outrea*1 homebuy] education1 h\s+ c\nsel+1 & po/-pur*ase education2 & 7ii7 provid+ o!r te*nical assi/ance z ne$$4 7,h7 ,att5d+ conf]5ces & conv5tions conduct$ by ! network ( ,native community developm5t f9ancial in/itutions & o!r ,native ,am]ican home[n]%ip organizations to provide in=mation & tra9+ to ,native community developm5t f9ancial in/itutions ab\t ! availability ( ! rel5d+ program "u section #cgfb;,a ( ?is title4 4 7d7 ,adequate p]sonnel ,section #cgfb ( su* title is am5d$ by add+ at ! end ! foll[+ new subsection3 7k7 ,! ,secret>y %all assign a suffici5t numb] ( p]sonnel ( ! ,dep>tm5t d$icat$ to c>ry+ out ! au?ority ( ! ,secret>y "u ?is sub*apt]1 includ+ con/ruction & valuation speciali/s to assi/ ) issues unique to new con/ruction & r5ovations on tru/ l&4 4 7e7 ,def9itions ,section #cgfe ( su* title is am5d$-- 7#a7 9 p>agraph 7#a7-- 7,a7 by am5d+ subp>agraph 7,c7 to read z foll[s3 7,c7 is locat$ 9 ! ,/ate ( ,alaska )9 a region e/abli%$ "u section #g7;a7 ( ! ,alaska ,native ,claims ,settlem5t ,act 7#dc ,u4,s4,c4 #afjf7;a772 2 7,b7 9 subp>agraph 7,d71 by /rik+ ! p]iod at ! end & ins]t+ a semicolon2 & 7,c7 by add+ at ! end ! foll[+ new subp>agraphs3 7,e7 is def9$ by ! ,secret>y ( ! ,int]ior & recogniz$ by ! ,unit$ ,/ates z l& ov] :i* an ,indian ,tribe has gov]nm5tal dom9ion2 or 7,f7 is on any l& t ! ,secret>y det]m9es is provid$ to ,native ,am]ican vet]ans because ( _! /atus z ,native ,am]icans4 2 & 7#b7 by add+ at ! end ! foll[+ new p>agraphs3 7#f7 ,! t]m community developm5t f9ancial in/itution has ! mean+ giv5 t t]m 9 section #ajc ( ! ,community ,developm5t ,bank+ & ,f9ancial ,in/itutions ,act ( #aiid 7#ab ,u4,s4,c4 #dgjb74 7#g7 ,! t]m ,indian ,tribe means any ,indian tribe1 b&1 nation1 or o!r organiz$ gr\p or community1 includ+ any ,alaska ,native village or regional or village corporation z def9$ 9 or e/abli%$ pursuant to ! ,alaska ,native ,claims ,settlem5t ,act 7#dc ,u4,s4,c4 #afja et seq471 :i* is recogniz$ z eligible = ! special programs & s]vices provid$ by ! ,unit$ ,/ates to ,indians because ( _! /atus z ,indians4 7#h7 ,! t]m ,native community developm5t f9ancial in/itution means any entity-- 7,a7 t has be5 c]tifi$ z a community developm5t f9ancial in/itution by ! ,secret>y ( ! ,treasury2 7,b7 t is n less ?an #ea p]c5t own$ or controll$ by ,native ,am]icans2 & 7,c7 = :i* n less ?an #ea p]c5t ( ! activities ( ! entity s]ve ,native ,am]icans4 7#i7 ,! t]m net tangible b5efit %all h su* mean+ z ! ,secret>y det]m9es appropriate1 b %all include ! ref9ance ( an int]im con/ruction loan4 7#aj7 ,! t]m o!r te*nical assi/ance means s]vices to assi/ a ,native ,am]ican vet]an to navigate ! /eps necess>y = secur+ a mortgage loan on tru/ l&1 includ+ pre-developm5t activities relat$ to utilities1 id5tify+ appropriate resid5tial con/ruction s]vices1 & obta9+ lease cle>ances & title /atus reports f ! applicable tribal organization or ! ,bureau ( ,indian ,affairs4 7#aa7 ,! t]m tribally designat$ h\s+ entity has ! mean+ giv5 t t]m 9 section #d ( ! ,native ,am]ican ,h\s+ ,assi/ance & ,self-,det]m9ation ,act ( #aiif 7#be ,u4,s4,c4 #dajc74 4 7f7 ,int]e/ rate r$uction f9anc+ loan ,section #cgbi7;b77#d77;,f7 ( su* title is am5d$ by /rik+ #cgfb7;h7 & ins]t+ #cgfb7;h77#a74 7g7 ,regulations ,section #cgfa ( su* title is am5d$ by add+ at ! end ! foll[+ new subsection3 7c7 ,! ,secret>y %all prescribe su* regulations z may be necess>y to c>ry out ?is sub*apt]4 4 #bcb4 ,native community developm5t f9ancial in/itution rel5d+ program 7a7 ,9 g5]al ,sub*apt] ,v ( *apt] #cg ( title #ch1 ,unit$ ,/ates ,code1 is am5d$ by ins]t+ aft] section #cgfb ! foll[+ new section3 #cgfb;,a4 ,native community developm5t f9ancial in/itution rel5d+ program 7a7 ,purpose ,! ,secret>y may make a loan to a ,native community developm5t f9ancial in/itution = ! purpose ( all[+ ! in/itution to rel5d loan am\nts to qualifi$ ,native ,am]ican vet]ans1 subject to ! requirem5ts ( ?is section4 7b7 ,/&>ds 7#a7 ,! ,secret>y %all e/abli% /&>ds to be us$ 9 evaluat+ :e!r to make a loan to a ,native community developm5t f9ancial in/itution "u ?is section4 7#b7 ,9 e/abli%+ /&>ds "u p>agraph 7#a71 ! ,secret>y %all ensure t a ,native community developm5t f9ancial in/itution-- 7,a7 is able to orig9ate & s]vice loans = s+le-family homes2 7,b7 is able to op]ate ! rel5d+ program 9 a mann] consi/5t ) ! mission ( ! ,dep>tm5t to s]ve vet]ans2 & 7,c7 uses loan am\nts receiv$ "u ?is section only = ! purpose ( rel5d+1 z describ$ 9 subsection 7c71 to ,native ,am]ican vet]ans4 7c7 ,rel5d+ requirem5ts 7#a7 ,a ,native community developm5t f9ancial in/itution t receives a loan "u ?is section %all use ! loan am\nts to make loans to ,native ,am]ican vet]ans resid+ on tru/ l&4 7#b7 ,a loan to a ,native ,am]ican vet]an made by a ,native community developm5t f9ancial in/itution "u p>agraph 7#a7 %all-- 7,a7 be limit$ ei!r to ! purpose ( pur*ase1 con/ruction1 or improvem5t ( a dwell+ locat$ on tru/ l& or to ! ref9ance ( an exi/+ mortgage loan = a dwell+ on tru/ l&1 consi/5t ) ! requirem5ts ( section #cgfb7;h7 ( ?is title2 & 7,b7 comply ) su* t]ms & conditions z ! ,secret>y det]m9es are necess>y to protect aga9/ pr$atory l5d+1 includ+ ! int]e/ rate *>g$ on a loan to a ,native ,am]ican vet]an4 7d7 ,repaym5t ,a loan made to a ,native community developm5t f9ancial in/itution "u ?is section %all-- 7#a7 be payable to ! ,secret>y ^u su* t]ms & conditions z are prescrib$ 9 regulations pursuant to ?is sub*apt]2 & 7#b7 be> int]e/ at a rate ( "o p]c5t4 7e7 ,ov]sight ,subject to notice & opportunity = a he>+1 :5ev] ! ,secret>y f9ds ) respect to loans made "u subsection 7a7 or 7c7 t any ,native community developm5t f9ancial in/itution has fail$ to ma9ta9 adequate loan acc\nt+ records1 to demon/rate prop] ability to s]vice loans adequately1 or to ex]cise prop] cr$it judgm5t1 or t su* ,native community developm5t f9ancial in/itution has willfully or neglig5tly engag$ 9 practices o!rwise detrim5tal to ! int]e/ ( vet]ans or ( ! ,gov]nm5t1 ! ,secret>y may take su* actions z ! ,secret>y det]m9es necess>y to protect vet]ans or ! ,gov]nm5t1 su* z requir+ imm$iate repaym5t ( any loans made "u subsection 7a7 & ! assignm5t to ! ,secret>y ( loans made "u subsection 7c74 7f7 ,sunset ,! ,secret>y may n make a loan "u ?is section aft] ,septemb] #cj1 #bjbg4 4 7b7 ,cl]ical am5dm5t ,! table ( sections at ! beg9n+ ( *apt] #cg ( su* title is am5d$ by ins]t+ aft] ! item relat+ to section #cgfb ! foll[+ new item3 #cgfb;,a4 ,native community developm5t f9ancial in/itution rel5d+ program44 7c7 ,native ,am]ican vet]an h\s+ loan program acc\nt ,section #cgfc ( su* title is am5d$ by add+ at ! end ! foll[+ new subsection3 7c7 ,( am\nts available 9 ! ,acc\nt1 ! ,secret>y may use = loans made "u section #cgfb;,a ( ?is title-- 7#a7 9 fiscal ye> #bjbe1 n m ?an #e1jjj1jjj2 & 7#b7 9 any fiscal ye> aft] fiscal ye> #bjbe1 an am\nt det]m9$ necess>y by ! ,secret>y to meet ! dem& = su* loans4 4 ,,iii ,disability & ,memorial ,affairs ,matt]s #cja4 ,burial all[ance = c]ta9 vet]ans :o die at home :ile 9 receipt ( hospice c>e furni%$ by ,dep>tm5t ( ,vet]ans ,affairs 7a7 ,9 g5]al ,! ,secret>y ( ,vet]ans ,affairs %all treat a vet]an describ$ 9 subsection 7b7 z a vet]an describ$ 9 subp>agraph 7,a7 ( section #bcjc7;a77#b7 ( title #ch1 ,unit$ ,/ates ,code4 7b7 ,vet]an describ$ ,a vet]an describ$ 9 ?is subsection is a vet]an :o dies 9 a home or o!r sett+ at :i* ! deceas$ vet]an 01 at ! "t ( dea?1 receiv+ hospice c>e pursuant to section #agag7;a7 ( su* title if su* c>e 0 directly prec$$ by ! ,secret>y furni%+ to ! vet]an hospital c>e or nurs+ home c>e describ$ 9 clause 7ii7 ( su* subp>agraph4 7c7 ,effective date2 applicability ,?is section %all apply ) respect to dea?s t occur-- 7#a7 on or aft] ! date t is #ahj days aft] ! date ( ! enactm5t ( ?is ,act2 & 7#b7 be=e ,octob] #a1 #bjbf4 #cjb4 ,au?ority = ,secret>y ( ,vet]ans ,affairs to aw>d grants to ,/ates & ,indian ,tribes to improve outrea* to vet]ans 7a7 ,9 g5]al ,*apt] #fc ( title #ch1 ,unit$ ,/ates ,code1 is am5d$-- 7#a7 by r$esignat+ sections #fcjg & #fcjh z sections #fcjh & #fcji1 respectively2 & 7#b7 by ins]t+ aft] section #fcjf ! foll[+ new section #fcjg3 #fcjg4 ,grants to ,/ates & ,indian ,tribes to improve outrea* to vet]ans 7a7 ,purpose ,x is ! purpose ( ?is section to provide = assi/ance by ! ,secret>y to ,/ates & ,indian ,tribes to c>ry out programs t improve cov]$ outrea* & assi/ance to vet]ans & ! sp\ses1 *ildr51 & p>5ts ( vet]ans1 to ensure t su* individuals are fully in=m$ ab\t1 & assi/$ 9 apply+ =1 any vet]ans & vet]ans-relat$ b5efits & programs 7includ+ vet]ans programs ( a ,/ate or ,indian ,tribe7 = :i* !y may be eligible & facilitate opportunities = su* individuals to receive compet5t1 qualifi$ s]vices 9 ! prep>ation1 pres5tation & prosecution ( vet]ans b5efits claims4 7b7 ,au?ority ,! ,secret>y may aw>d grants to ,/ates & ,indian ,tribes-- 7#a7 to c>ry out1 coord9ate1 improve1 or o!rwise enhance-- 7,a7 cov]$ outrea* activities2 or 7,b7 activities to assi/ 9 ! developm5t & submittal ( claims = vet]ans & vet]ans-relat$ b5efits2 or 7#b7 to increase ! numb] ( c\nty or ,tribal vet]ans s]vice (fic]s s]v+ 9 ! ,/ate by hir+ new1 additional su* (fic]s4 7c7 ,application 7#a7 ,to be eligible = a grant "u ?is section1 a ,/ate or ,indian ,tribe %all submit to ! ,secret>y an application !re= at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may require4 7#b7 ,ea* application submitt$ "u p>agraph 7#a7 %all include ! foll[+3 7,a7 ,a detail$ plan = ! use ( ! grant4 7,b7 ,a description ( ! programs ?r\gh :i* ! ,/ate or ,indian ,tribe w meet ! outcome measures develop$ by ! ,secret>y "u subsection 7j74 7,c7 ,a description ( h[ ! ,/ate or ,indian ,tribe w di/ribute grant am\nts equitably among c\nties or ,tribal l&s ) v>y+ levels ( urbanization4 7,d7 ,a plan = h[ ! grant w be us$ to meet ! unique ne$s ( ,am]ican ,indian vet]ans1 ,alaska ,native vet]ans1 or ,native ,hawaiian vet]ans1 eld]ly vet]ans1 & vet]ans f o!r und]s]v$ communities4 7d7 ,di/ribution ,! ,secret>y %all seek to ensure t grants aw>d$ "u ?is section are equitably di/ribut$ among ,/ates & ,indian ,tribes ) v>y+ levels ( urbanization4 7e7 ,set-aside ,( ! am\nts au?oriz$ to be appropriat$ or o!rwise made available = grants "u ?is section = any fiscal ye>1 ! ,secret>y %all ensure t n less ?an five p]c5t is us$ to make grants to ,indian ,tribes4 7f7 ,priority ,! ,secret>y %all prioritize aw>d+ grants "u ?is section t w s]ve ! foll[+ areas3 7#a7 ,areas ) a critical %ortage ( c\nty or ,tribal vet]ans s]vice (fic]s4 7#b7 ,areas ) high rates (-- 7,a7 suicide among vet]ans2 or 7,b7 ref]rals to ! ,vet]ans ,crisis ,l9e4 7g7 ,use ( c\nty or ,tribal vet]ans s]vice (fic]s ,a ,/ate or ,indian ,tribe t receives a grant "u ?is section to c>ry out an activity describ$ 9 subsection 7b77#a7 %all c>ry out ! activity ?r\gh-- 7#a7 a c\nty or ,tribal vet]ans s]vice (fic] ( ! ,/ate2 or 7#b7 if ! ,/ate or ,indian ,tribe does n h a c\nty or ,tribal vet]ans s]vice (fic]1 or if ! c\nty or ,tribal vet]ans s]vice (fic]s ( ! ,/ate or ,indian ,tribe cov] only a portion ( t ,/ate or ,indian ,tribe1 an appropriate entity ( a ,/ate1 local1 or ,tribal gov]nm5t1 z det]m9$ by ! ,secret>y4 7h7 ,requir$ activities ,any grant aw>d$ "u ?is section %all be us$-- 7#a7 to exp& exi/+ programs1 activities1 & s]vices2 7#b7 to hire new1 additional c\nty or ,tribal vet]ans s]vice (fic]s2 or 7#c7 = travel & transportation to facilitate c>ry+ out p>agraph 7#a7 or 7#b74 7i7 ,au?oriz$ activities ,a grant "u ?is section may be us$ to provide education & tra9+1 includ+ on-!-job tra9+1 = ,/ate1 c\nty1 local1 & ,tribal gov]nm5t employees :o provide 7or :5 tra9$ w provide7 cov]$ outrea* s]vices 9 ord] = ^? employees to obta9 accr$itation 9 accordance ) proc$ures approv$ by ! ,secret>y4 7j7 ,outcome measures 7#a7 ,! ,secret>y %all develop & provide to ea* ,/ate or ,indian ,tribe t receives a grant "u ?is section writt5 guidance on ! foll[+3 7,a7 ,outcome measures4 7,b7 ,policies ( ! ,dep>tm5t4 7#b7 ,9 develop+ outcome measures "u p>agraph 7#a71 ! ,secret>y %all consid] ! foll[+ goals3 7,a7 ,increas+ ! use ( vet]ans & vet]ans-relat$ b5efits1 p>ticul>ly among vuln]able populations4 7,b7 ,increas+ ! numb] ( c\nty & ,tribal vet]ans s]vice (fic]s recogniz$ by ! ,secret>y = ! repres5tation ( vet]ans "u *apt] #ei ( ?is title4 7k7 ,track+ requirem5ts 7#a7 ,) respect to ea* grant aw>d$ "u ?is section1 ! ,secret>y %all track ! use ( vet]ans & vet]ans-relat$ b5efits among ! population s]v$ by ! grant1 includ+ ! av]age p]iod ( "t betwe5 ! date on :i* a vet]an applies = su* a b5efit & ! date on :i* ! vet]an receives ! b5efit1 disaggregat$ by type ( b5efit4 7#b7 ,n less frequ5tly ?an annually dur+ ! life ( ! grant program e/abli%$ "u ?is section1 ! ,secret>y %all submit to ,congress a report on-- 7,a7 ! in=mation track$ "u p>agraph 7#a72 7,b7 h[ ! grants aw>d$ "u ?is section s]ve ! unique ne$s ( ,am]ican ,indian vet]ans1 ,alaska ,native vet]ans1 or ,native ,hawaiian vet]ans1 eld]ly vet]ans1 & vet]ans f o!r und]s]v$ communities2 & 7,c7 o!r in=mation provid$ by ,/ates & ,indian ,tribes pursuant to ! grant report+ requirem5ts4 7l7 ,p]=mance review ,! ,secret>y %all-- 7#a7 review ! p]=mance ( ea* ,/ate or ,indian ,tribe t receives a grant "u ?is section2 & 7#b7 make in=mation reg>d+ su* p]=mance publicly available4 7m7 ,rem$iation plan 7#a7 ,9 ! case ( a ,/ate or ,indian ,tribe t receives a grant "u ?is section & does n meet ! outcome measures develop$ by ! ,secret>y "u subsection 7j71 ! ,secret>y %all require ! ,/ate or ,indian ,tribe to submit a rem$iation plan "u :i* ! ,/ate %all describe h[ & :5 x plans to meet su* outcome measures4 7#b7 ,! ,secret>y may n aw>d a subsequ5t grant "u ?is section to a ,/ate or ,indian ,tribe describ$ 9 p>agraph 7#a7 unless ! ,secret>y approves ! rem$iation plan submitt$ by ! ,/ate or ,indian ,tribe4 7n7 ,def9itions ,9 ?is section3 7#a7 ,! t]m c\nty or ,tribal vet]ans s]vice (fic] includes a local equival5t vet]ans s]vice (fic]4 7#b7 ,! t]m cov]$ outrea* means outrea* ) respect to-- 7,a7 b5efits adm9i/]$ by ! ,"u ,secret>y = ,b5efits2 or 7,b7 simil> b5efits adm9i/]$ by a ,/ate or ,indian ,tribe4 7#c7 ,! t]m ,indian ,tribe has ! mean+ giv5 su* t]m 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act 7#be ,u4,s4,c4 #ecjd74 7#d7 ,! t]m ,/ate includes ! ,di/rict ( ,columbia1 ! ,commonweal? ( ,pu]to ,rico1 ! ,commonweal? ( ! ,nor!rn ,m>iana ,isl&s1 & any t]ritory or possession ( ! ,unit$ ,/ates4 7#e7 ,! t]m ,vet]ans ,crisis ,l9e means ! toll-free hotl9e = vet]ans e/abli%$ "u section #agbj;,f7h7 ( ?is title4 4 7b7 ,cl]ical am5dm5t ,! table ( sections at ! beg9n+ ( *apt] #fc ( su* title is am5d$ by /rik+ ! items relat+ to sections #fcjg & #fcjh & ins]t+ ! foll[+ new items3 #fcjg4 ,grants to ,/ates & ,indian ,tribes to improve outrea* to vet]ans4#fcjh4 ,outrea* = eligible dep5d5ts4#fcji4 ,bi5nial report to ,congress4 4 7c7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to ! ,secret>y ( ,vet]ans ,affairs = ea* ( fiscal ye>s #bjbf & #bjbg1 #aj1jjj1jjj to c>ry out section #fcjg ( title #ch1 ,unit$ ,/ates ,code1 z add$ by subsection 7a74 #cjc4 ,def9ition ( surviv+ sp\se ,p>agraph 7#c7 ( section #aja ( title #ch1 ,unit$ ,/ates ,code1 is am5d$ to read z foll[s3 7#c7 ,! t]m surviv+ sp\se means 7except = purposes ( *apt] #ai ( ?is title7 a p]son :o 0 ! sp\se ( a vet]an at ! "t ( ! vet]an's dea?1 & :o liv$ ) ! vet]an cont9u\sly f ! date ( m>riage to ! date ( ! vet]an's dea? 7except :]e !re 0 a sep>ation :i* 0 due to ! misconduct (1 or procur$ by1 ! vet]an )\t ! fault ( ! sp\se7 & :o has n rem>ri$4 4 #cjd4 ,ensur+ only lic5s$ heal? c>e pr(essionals p]=m m$ical disability exam9ations "u c]ta9 ,dep>tm5t ( ,vet]ans ,affairs pilot program 7a7 ,prohibition on use ( c]ta9 heal? c>e pr(essionals ,section #ejd7;c77#a7 ( ! ,vet]ans' ,b5efits ,improvem5ts ,act ( #aiif 7,public ,law #ajd-bge2 #ch ,u4,s4,c4 #eaja note7 is am5d$ by ins]t+ only be=e a heal? c>e pr(essional4 7b7 ,rem$ies ,! ,secret>y ( ,vet]ans ,affairs %all take su* actions z ! ,secret>y consid]s appropriate to ensure compliance ) section #ejd7;c7 ( ! ,vet]ans' ,b5efits ,improvem5ts ,act ( #aiif 7,public ,law #ajd-bge2 #ch ,u4,s4,c4 #eaja note71 z am5d$ by subsection 7a74 7c7 ,annual report ,n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is ,act & n less frequ5tly ?an once ea* ye> !reaft]1 ! ,secret>y %all submit to ! ,committee on ,vet]ans' ,affairs ( ! ,s5ate & ! ,committee on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives a report on-- 7#a7 ! conduct ( ! pilot program e/abli%$ "u section #ejd ( ! ,vet]ans' ,b5efits ,improvem5ts ,act ( #aiif 7,public ,law #ajd-bge2 #ch ,u4,s4,c4 #eaja note72 & 7#b7 ! actions ( ! ,secret>y "u subsection 7b74 7d7 ,te*nical corrections ,section #ejd ( ! ,vet]ans' ,b5efits ,improvem5ts ,act ( #aiif 7,public ,law #ajd-bge2 #ch ,u4,s4,c4 #eaja note7 is am5d$1 9 ! section head+1 by /rik+ physicians & ins]t+ heal? c>e pr(essionals4 #cje4 ,provision ( in=mation reg>d+ an ag5t or attorney to a lic5s$ heal? c>e pr(essional :o p]=ms a m$ical disability exam9ation "u c]ta9 ,dep>tm5t ( ,vet]ans ,affairs pilot program 7a7 ,9 g5]al ,section #ejd ( ! ,vet]ans' ,b5efits ,improvem5ts ,act ( #aiif 7,public ,law #ajd-bge2 #ch ,u4,s4,c4 #eaja note71 z am5d$ by section #cjd1 is fur!r am5d$ by add+ at ! end ! foll[+ new subsection3 7f7 ,c]ta9 in=mation provid$ to heal? c>e pr(essional ,! ,secret>y %all provide to a heal? c>e pr(essional :o p]=ms an exam9ation "u subsection 7a71 or a contractor p]=m+ a contract "u su* subsection1 ! contact in=mation ( any ag5t or attorney recogniz$ by ! ,secret>y "u *apt] #ei ( title #ch1 ,unit$ ,/ates ,code1 ) reg>ds to a claim = b5efits t gives rise to su* exam9ation4 4 7b7 ,applicability ,! am5dm5t made by ?is section %all apply to an exam9ation describ$ 9 subsection 7a7 ( su* section t is p]=m$ on or aft] ! date ( ! enactm5t ( ?is ,act4 #cjf4 ,mod]nization ( ,dep>tm5t ( ,vet]ans ,affairs disability b5efit que/ionnaires 7a7 ,requirem5t = transmission ( c]ta9 in=mation 9 ma*9e-readable =mat 7#a7 ,requirem5t ,n lat] ?an #ahj days aft] enactm5t ( ?is ,act1 ! ,secret>y ( ,vet]ans ,affairs %all require all disability b5efit que/ionnaire data collect$ 9 ! c\rse ( m$ical disability exam9ations made by cov]$ non-,dep>tm5t provid]s to be transmitt$ to ! ,dep>tm5t 9 a ma*9e-readable =mat4 7#b7 ,issuance ( /&>ds ,n lat] ?an #ij days aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y %all issue /&>ds = ! transmission ( disability b5efit que/ionnaire data 9 a ma*9e-readable =mat z requir$ "u p>agraph 7#a74 7#c7 ,updates ,9 mak+ updates to disability b5efit que/ionnaires aft] ! date specifi$ 9 p>agraph 7#a71 ! ,secret>y %all-- 7,a7 ensure t ! updates are made 9 a mann] t all[s = ! data collect$ "u ! que/ionnaires to be 9 a ma*9e-readable =mat z ( ! date on :i* ! update goes into effect2 & 7,b7 n lat] ?an #cj days be=e an update goes into effect1 notify ! cov]$ non-,dep>tm5t provid]s 7or ! contractor p]=m+ a contract "u section #ejd ( ! ,vet]ans ,b5efits ,improvem5t ,act ( #aiif 7,public ,law #ajd-bge2 #ch ,u4,s4,c4 #eaja note77 describ$ 9 su* p>agraph ( su* updates4 7b7 ,plan = in=mation te*nology sy/em modification ,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 plan to modify ! in=mation te*nology sy/ems & processes ( ! ,dep>tm5t to enable a non-,dep>tm5t heal? c>e pr(essional1 assign$ to or select$ by a claimant1 to transmit to ! ,dep>tm5t1 9 a ma*9e-readable =mat1 disability b5efit que/ionnaire data1 includ+ complete disability b5efit que/ionnaires r ?an p>tial que/ionnaires or elem5ts ( m$ical evid5ce4 7c7 ,public availability ( in=mation ,! ,secret>y %all make publicly available on ! int]net website ( ! ,dep>tm5t ref]r$ to 9 section #eaja7;d7 ( title #ch1 ,unit$ ,/ates ,code-- 7#a7 a description ( ! /&>ds issu$ "u subsection 7a77#b72 & 7#b7 ! plan requir$ "u subsection 7b74 7d7 ,def9itions ,9 ?is section3 7#a7 ,! t]m claimant has ! mean+ giv5 su* t]m 9 section #eajj ( title #ch1 ,unit$ ,/ates ,code4 7#b7 ,! t]m cov]$ non-,dep>tm5t provid] means a heal? c>e provid] :o-- 7,a7 is n an employee ( ! ,dep>tm5t ( ,vet]ans ,affairs2 & 7,b7 pursuant to a contract "u section #ejd ( ! ,vet]ans ,b5efits ,improvem5t ,act ( #aiif 7,public ,law #ajd-bge2 #ch ,u4,s4,c4 #eaja note71 z am5d$ by sections #cjd & #cje1 exam9es a claimant = a m$ical disability4 #cjg4 ,dep>tm5t ( ,vet]ans ,affairs automatic process+ ( c]ta9 claims = tempor>y disability rat+s 7a7 ,9 g5]al ,n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,vet]ans ,affairs %all modify ! in=mation te*nology sy/ems ( ! ,dep>tm5t ( ,vet]ans ,affairs to use automation te*nology = claims = tempor>y disability rat+s = vet]ans describ$ 9 section #aaef7;a77#a77;,c7 ( title #ch1 ,unit$ ,/ates ,code4 7b7 ,additional requirem5ts ,9 c>ry+ out subsection 7a71 ! ,secret>y %all ensure t-- 7#a7 m$ical evid5ce is obta9$ f ! corporate data w>eh\se ( ! ,dep>tm5t or o!r s\rces ( data1 ! ,secret>y det]m9es appropriate2 7#b7 employees ( ! ,dep>tm5t cont9ue to det]m9e :e!r a vet]an is entitl$ to a tempor>y disability rat+ "u section #aaef7;a77#a77;,c7 ( title #ch1 ,unit$ ,/ates ,code2 & 7#c7 claims may be process$ manually if ! evid5ce ( record is n suffici5t to decide ! claim or if ! m$ical evid5ce is provid$ 9 a =mat t is n compatible ) ! sy/em develop$ "u subsection 7a74 ,,iv ,homelessness ,matt]s #dja4 ,%ort title ,?is title may be cit$ z ! ,h\s+ our ,milit>y ,vet]ans ,effectively ,act ( #bjbd or ! ,,home ,act ( #bjbd4 #djb4 ,p] diem paym5ts provid$ by ! ,secret>y ( ,vet]ans ,affairs = s]vices furni%$ to homeless vet]ans 7a7 ,9 g5]al ,section #bjab ( title #ch1 ,unit$ ,/ates ,code1 is am5d$-- 7#a7 9 subsection 7a7-- 7,a7 9 p>agraph 7#b77;,b7-- 7i7 9 clause 7i77,,ii77aa77,,bb71 by /rik+ #aae p]c5t & ins]t+ #aae p]c5t 7or1 dur+ ! p]iod beg9n+ on ! date ( ! enactm5t ( ! ,h\s+ our ,milit>y ,vet]ans ,effectively ,act ( #bjbd & end+ on ,septemb] #cj1 #bjbg1 #acc p]c5t72 & 7ii7 by add+ at ! end ! foll[+3 7iii7 ,= ea* ( fiscal ye>s #bjbe ?r\gh #bjbg1 ! ,secret>y may waive ! maximum rate = p] diem paym5ts "u clause 7i77,,ii77aa77,,bb7 or 7ii7 &1 subject to ! availability ( appropriations1 provide su* paym5ts at a rate t does n exce$ #bjj p]c5t ( ! rate au?oriz$ = ,/ate homes = domicili>y c>e "u subsection 7a77#a77;,a7 ( section #agda ( ?is title1 z ! ,secret>y may increase f "t to "t "u subsection 7c7 ( t section1 if ! ,secret>y notifies ,congress ( su* waiv]4 7iv7 ,! ,secret>y may n1 pursuant to clause 7iii71 waive ! maximum rate describ$ 9 su* clause = m ?an #ej p]c5t ( all grant recipi5ts & eligible entities = a fiscal ye>4 2 & 7,b7 by add+ at ! end ! foll[+ new p>agraph3 7#d7 ,! ,secret>y may n provide m ?an #ab1jjj p] diem paym5ts "u ?is section = a fiscal ye>4 2 & 7#b7 by add+ at ! end ! foll[+ new subsection3 7f7 ,reports requir$ ,n lat] ?an #ij days aft] ! date ( ! enactm5t ( ! ,,home ,act ( #bjbd1 & n less frequ5tly ?an twice ea* ye> !reaft]1 ! ,secret>y %all submit to ! ,committee on ,vet]ans' ,affairs ( ! ,s5ate & ! ,committee on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives a report on ! rate = p] diem paym5ts "u ?is section t includes1 = ea* ,vet]ans ,integrat$ ,s]vice ,network ( ! ,dep>tm5t1 ! foll[+ data3 7#a7 ,! av]age rate = su* a paym5t4 7#b7 ,a li/ ( locations :]e ! rate = su* a paym5t is )9 #aj p]c5t ( ! maximum rate = su* a paym5t au?oriz$ "u ?is section4 7#c7 ,! av]age l5g? ( /ay by a vet]an p>ticipat+ 9 a program describ$ 9 section #bjab7;a7 ( ?is title4 4 7b7 ,regulatory au?ority ,! ,secret>y ( ,vet]ans ,affairs may c>ry out ! am5dm5ts made by subsection 7a7 ?r\gh int]im guidance 9 advance ( ! issuance ( regulations = su* purpose4 7c7 ,/rategic plan 7#a7 ,9 g5]al ,n lat] ?an ,septemb] #cj1 #bjbe1 ! ,secret>y ( ,vet]ans ,affairs %all submit to ! ,committee on ,vet]ans' ,affairs ( ! ,s5ate & ! ,committee on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives a /rategic plan = ! provision ( grants & p] diem paym5ts = s]vices furni%$ to homeless vet]ans "u sections #bjaa & #bjab ( title #ch1 ,unit$ ,/ates ,code4 7#b7 ,elem5ts ,! plan requir$ by p>agraph 7#a7 %all include ! foll[+3 7,a7 ,a me?od = adm9i/]+ grant fund+ equitably )\t us+ ! rate au?oriz$ = ,/ate homes = domicili>y c>e "u subsection 7a77#a77;,a7 ( section #agda ( title #ch1 ,unit$ ,/ates ,code1 z ! ,secret>y may increase f "t to "t "u subsection 7c7 ( t section1 t takes into acc\nt-- 7i7 ! wide v>iety ( s]vices furni%$ by grant recipi5ts & eligible entities "u sections #bjaa & #bjab ( title #ch1 ,unit$ ,/ates ,code2 7ii7 v>y+ co/s ( liv+ across diff]5t geographic locations2 7iii7 v>y+ availability ( af=dable h\s+ 9 diff]5t geographic locations2 7iv7 circum/ances ( h\s+ insecurity 9 rural & ,tribal communities2 7v7 vet]ans ) significant m$ical c>e ne$s2 & 7vi7 ! *ang+ dynamic ( ! vet]an population nationwide4 7,b7 ,a plan & timel9e = implem5tation ( ! me?od includ$ "u subp>agraph 7,a74 7,c7 ,an e/imate ( increas$ co/s or sav+s p] ye> "u ! plan4 7,d7 ,an ov]view ( ! diff]5t grants t w be available once ! plan is implem5t$4 #djc4 ,au?orization = ,secret>y ( ,vet]ans ,affairs to use c]ta9 funds = improv$ flexibility 9 assi/ance to homeless vet]ans 7a7 ,use ( funds ,dur+ ! p]iod beg9n+ on ! date ( ! enactm5t ( ?is ,act & end+ on ! t]m9ation date specifi$ 9 subsection 7d71 ! ,secret>y ( ,vet]ans ,affairs may provide to a cov]$ vet]an1 z ! ,secret>y det]m9es necess>y-- 7#a7 food1 %elt]1 clo?+1 blankets1 & hygi5e items requir$ = ! safety & survival ( ! vet]an2 7#b7 transportation requir$ to support ! /ability & heal? ( ! vet]an = appo9tm5ts ) s]vice provid]s1 ! conduct ( h\s+ & employm5t se>*es1 & ! obta9m5t ( food & supplies2 & 7#c7 tablets1 sm>tphones1 disposable phones & o!r te*nology1 & relat$ s]vice plans requir$ to support ! /ability & heal? ( ! vet]an ?r\gh ! ma9t5ance ( contact ) s]vice provid]s1 prospective l&lords1 & family memb]s4 7b7 ,homeless vet]ans on ,dep>tm5t ( ,vet]ans ,affairs l& 7#a7 ,9 g5]al ,! ,secret>y may collaborate1 to ! ext5t practicable1 ) "o or m organizations to manage ! use ( l& ( ! ,dep>tm5t ( ,vet]ans ,affairs = homeless vet]ans = liv+ & sleep+4 7#b7 ,=ms ( collaboration ,collaboration "u p>agraph 7#a7 may include ! provision by ei!r ! ,secret>y or ! head ( ! organization conc]n$ ( food s]vices & security = prop]ty1 build+s1 & o!r facilities own$ or controll$ by ! ,dep>tm5t ( ,vet]ans ,affairs4 7c7 ,report requir$ ,n lat] ?an six mon?s aft] ! date ( ! enactm5t ( ?is ,act1 & annually !reaft] until ! date specifi$ 9 subsection 7d71 ! ,secret>y %all submit to ,congress a report t includes1 ) respect to ! p]iod cov]$ by su* report-- 7#a7 a /atem5t1 disaggregat$ by ea* m$ical c5t] ( ! ,dep>tm5t ( ,vet]ans ,affairs1 ( ! am\nt ( funds "u ?is section-- 7,a7 ea* su* m$ical c5t] reque/$ f ! ,secret>y2 & 7,b7 to :i* ! ,secret>y provid$ ea* su* m$ical c5t]2 7#b7 data1 disaggregat$ by ea* su* m$ical c5t]1 relat+ to h[ ea* su* m$ical c5t] us$ am\nts provid$ by ! ,secret>y "u ?is section2 7#c7 ! numb] ( cov]$ vet]ans to :i* ! ,secret>y provid$ assi/ance "u ?is section2 7#d7 ! total am\nt ( assi/ance ! ,secret>y provid$ to cov]$ vet]ans pursuant to subsection 7a77#c7 = communications equipm5t1 brok5 d[n by ! type ( equipm5t provid$2 7#e7 ! total am\nt ( assi/ance ! ,secret>y provid$ cov]$ vet]ans pursuant to subsection 7a77#b7 = ride%>+2 7#f7 ! numb] ( cov]$ vet]ans :o receiv$ su* assi/ance2 & 7#g7 a description1 = ea* ride%>e us$ by a cov]$ vet]an ) su* assi/ance1 ( ! reasons su* cov]$ vet]an us$ su* ride%>e4 7#h7 ! numb] ( cov]$ vet]ans :o liv$ or slept on ,dep>tm5t l&2 7#i7 ! am\nt ( funds us$ to make available ,dep>tm5t l& = cov]$ vet]ans to live & sleep2 7#aj7 ! numb] ( ,dep>tm5t employees ^: prim>y responsibilities involv$ provid+ s]vices = cov]$ vet]ans liv+ or sleep+ on ,dep>tm5t l&2 7#aa7 ! av]age l5g? ( "t a cov]$ vet]an liv$ or slept on ,dep>tm5t l&1 & 7#ab7 ! p]iod ( "t ! ,secret>y expects ,dep>tm5t l& w be made available = cov]$ vet]ans to live & sleep4 7d7 ,t]m9ation date ,! t]m9ation date specifi$ 9 ?is subsection is ,septemb] #cj1 #bjbg4 7e7 ,def9itions ,9 ?is section1 ! t]m cov]$ vet]an means-- 7#a7 a homeless vet]an1 z su* t]m is def9$ 9 section #bjjb ( title #ch1 ,unit$ ,/ates ,code2 & 7#b7 a vet]an p>ticipat+ 9 ! program c>ri$ out "u section #h7o77#ai7 ( ! ,unit$ ,/ates ,h\s+ ,act ( #aicg 7#db ,u4,s4,c4 #adcg;f7o77#ai774 #djd4 ,access to ,dep>tm5t ( ,vet]ans ,affairs teleheal? s]vices 7a7 ,9 g5]al ,subtitle ,,vii ( *apt] #bj ( title #ch1 ,unit$ ,/ates ,code is am5d$ by add+ at ! end ! foll[+ new section3 #bjfi4 ,access to teleheal? s]vices ,to ! ext5t practicable1 ! ,secret>y %all ensure t vet]ans p>ticipat+ 9 or receiv+ s]vices f a program "u ?is *apt] h access to teleheal? s]vices to :i* su* vet]ans are eligible "u ! laws adm9i/]$ by ! ,secret>y1 includ+ by ensur+ t teleheal? capabilities are available to-- 7#a7 su* vet]ans2 7#b7 case manag]s ( ! ,dep>tm5t ( programs = homeless vet]ans au?oriz$ "u ?is *apt]2 & 7#c7 community-bas$ s]vice provid]s = homeless vet]ans receiv+ funds f ! ,dep>tm5t ?r\gh grants or contracts4 4 7b7 ,cl]ical am5dm5t ,! table ( sections at ! beg9n+ ( *apt] #bj ( title #ch1 ,unit$ ,/ates ,code1 is am5d$ by add+ at ! end ! foll[+ new item3 #bjfi4 ,access to teleheal? s]vices4 4 ,v ,ov]sight & ,inve/igations ,matt]s #eja4 ,dep>tm5t ( ,vet]ans ,affairs employee tra9+ reg>d+ ,(fice ( ,inspector ,g5]al 7a7 ,tra9+ ,! ,secret>y ( ,vet]ans ,affairs %all require ea* employee ( ! ,dep>tm5t ( ,vet]ans ,affairs :o beg9s employm5t ) ! ,dep>tm5t on or aft] ! date ( ! enactm5t ( ?is ,act to receive tra9+ t ! ,inspector ,g5]al ( ! ,dep>tm5t %all develop on ! report+ ( wrongdo+ to1 respond+ to reque/s f1 & ! duty ( coop]at+ ) ! ,(fice ( ,inspector ,g5]al ( ! ,dep>tm5t4 7b7 ,tim+ ( tra9+ ,9 c>ry+ out subsection 7a71 ! ,secret>y %all require ea* employee ( ! ,dep>tm5t cov]$ "u su* subsection to und]go ! tra9+ requir$ by su* subsection n lat] ?an "o ye> aft] ! date on :i* ! employee beg9s employm5t ) ! ,dep>tm5t4 7c7 ,elem5ts ,tra9+ develop$ & requir$ "u subsection 7a7 %all include ! foll[+3 7#a7 ,def9ition ( ! role1 responsibilities1 & legal au?ority ( ! ,inspector ,g5]al ( ! ,dep>tm5t & ! duties ( employees ( ! ,dep>tm5t = engag+ ) ! ,(fice ( ,inspector ,g5]al4 7#b7 ,id5tification ( ,f$]al :i/lebl[] protection rights1 includ+ ! "r to report fraud1 wa/e1 abuse1 & o!r wrongdo+ to ,congress4 7#c7 ,id5tification ( ! circum/ances & me*anisms = report+ fraud1 wa/e1 abuse1 & o!r wrongdo+ to ! ,inspector ,g5]al1 includ+ mak+ confid5tial compla9ts to ! ,inspector ,g5]al4 7#d7 ,id5tification ( ! prohibitions & rem$ies t help to protect employees ( ! ,dep>tm5t f retaliation :5 report+ wrongdo+ to ! ,inspector ,g5]al4 7#e7 ,recognition ( opportunities to engage ) /aff ( ! ,(fice ( ,inspector ,g5]al to improve programs1 op]ations1 & s]vices ( ! ,dep>tm5t4 7#f7 ,notification ( ! au?ority ( ! ,inspector ,g5]al to subpo5a ! att5dance & te/imony ( witnesses1 includ+ =m] employees ( ! ,dep>tm5t1 z necess>y to c>ry out ! duties ( ! ,(fice ( ,inspector ,g5]al "u section #cab ( title #ch1 ,unit$ ,/ates ,code4 7d7 ,design & update ,! ,inspector ,g5]al ( ! ,dep>tm5t %all design1 & update z ! ,inspector ,g5]al consid]s appropriate1 ! tra9+ develop$ & requir$ by subsection 7a74 7e7 ,sy/em ,! ,secret>y %all provide1 via ! tal5t managem5t sy/em ( ! ,dep>tm5t1 or successor sy/em1 ! tra9+ develop$ & requir$ "u subsection 7a74 7f7 ,relation to c]ta9 tra9+ ,! ,secret>y %all ensure t tra9+ develop$ & requir$ "u subsection 7a7 is sep>ate & di/9ct f tra9+ provid$ "u section #gcc ( title #ch1 ,unit$ ,/ates ,code4 7g7 ,notice to employees ,! ,secret>y %all ensure t ! ,inspector ,g5]al is af=d$ ! opportunity1 n less frequ5tly ?an twice ea* ye> & m frequ5tly if ! ,inspector ,g5]al consid]s appropriate "u extraord9>y circum/ances1 to use ! electronic mail sy/em ( ! ,dep>tm5t to notify all au?oriz$ us]s ( su* sy/em ( ! foll[+3 7#a7 ,! roles & responsibilities ( ! employees ( ! ,dep>tm5t :5 engag+ ) ! ,(fice ( ,inspector ,g5]al4 7#b7 ,! availability ( tra9+ provid$ "u subsection 7a74 7#c7 ,h[ to access tra9+ provid$ "u subsection 7a74 7#d7 ,in=mation ab\t h[ to contact ! ,(fice ( ,inspector ,g5]al1 includ+ a l9k to any website-bas$ report+ =m ( ! ,(fice4 #ejb4 ,annual review ( security at cov]$ facilities ( ! ,dep>tm5t ( ,vet]ans ,affairs 7a7 ,annual survey ,n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is ,act1 & annually !reaft] = ea* ( ! foll[+ five fiscal ye>s1 ! ,secret>y ( ,vet]ans ,affairs1 9 coord9ation ) ! ,director ( ! ,(fice ( ,security & ,law ,en=cem5t ( ! ,dep>tm5t ( ,vet]ans ,affairs1 %all conduct a survey ( ! cov]$ employees at ea* cov]$ facility to collect in=mation reg>d+ security4 ,ea* annual survey %all include que/ions ab\t-- 7#a7 ! type & frequ5cy ( crim9al activity exp]i5c$ at ! cov]$ facility dur+ ! fiscal ye> :i* mo/ rec5tly conclud$ includ+ :e!r or n ! crim9al activity 0 relat$ to resid5ts at ! facility or campus su* z ^? 9 a resid5tial rehabilitation treatm5t program or enhanc$-use lease facility2 7#b7 ! numb] ( vacancies & numb] ( days vacant = ,dep>tm5t police (fic]s at ! cov]$ facility at ! "t ( ! survey del9eat$ by recruitm5t /atus & /age2 7#c7 ! availability & adequacy ( cov]$ equipm5t2 7#d7 ! availability & adequacy ( res\rces1 classes1 or o!r "t set aside = tra9+ ,dep>tm5t police (fic]s :o "w at ea* cov]$ facility ab\t any skill or tactic relat$ to law en=cem5t1 includ+ ! prop] use ( =ce1 fire>ms qualifications & tra9+1 proc$ures = respond+ to an active ?reat1 & any o!r tra9+ requir$ = ,dep>tm5t police (fic]s2 7#e7 any security weakness at cov]$ facilities2 7#f7 ! relation%ip betwe5 ! cov]$ facility 7includ+ ! ,dep>tm5t police (fic]s :o "w at ! cov]$ facility7 & local1 /ate1 & f$]al law en=cem5t ag5cies includ+ :at agreem5ts or memor&ums ( und]/&+ exi/ betwe5 ea* cov]$ facility & ext]nal law en=cem5t ag5cies2 7#g7 ef=ts by ! p]sonnel ( ! cov]$ facility to address & r$uce crim9al activity at1 or 9 close proximity to1 ! cov]$ facility2 & 7#h7 recomm5dations = ! ,secret>y to bett] address & r$uce crim9al activity at1 or 9 close proximity to1 cov]$ facilities s z to improve ! safety ( vet]ans1 employees1 visitors1 o!r au?oriz$ p]sonnel1 & ! surr\nd+ community4 7b7 ,report ,n lat] ?an #cj days aft] ! end ( ! next full ,fiscal ,ye> aft] ! enactm5t ( ?is ,act & = ea* ( ! foll[+ five fiscal ye>s1 ! ,secret>y %all submit to ea* ( ! ,committees on ,vet]ans' ,affairs ( ! ,s5ate & ! ,h\se ( ,repres5tatives a report reg>d+ ! results ( ! surveys conduct$ "u subsection 7a7 dur+ ! previ\s fiscal ye>4 ,! report %all include-- 7#a7 ! results ( ! annual survey describ$ "u subsection 7a7 = ! ye> cov]$ by ! report2 7#b7 an analysis1 made 9 coord9ation ) ! ,director ( ! ,(fice ( ,security & ,law ,en=cem5t ( su* ,dep>tm5t1 ea* director & police *ief ( a ,vet]ans ,integrat$ ,s]vice ,network1 & ! directors & police *iefs ( ! m$ical c5t]s )9 ! ,vet]ans ,integrat$ ,s]vice ,network ( ! results ( ! triannual security inspections conduct$ 9 prior fiscal ye>1 to include a plan ( action t describes h[ ! ,secret>y plans to address any security weakness id5tifi$ 9 ! results ( ! triannual security inspections & includes cle>ly-/at$ goals ) measurable b5*m>ks = ea* goal & deadl9es = ea* b5*m>k2 & 7#c7 a li/ ( all vacant positions = police *ief or deputy police *ief at ea* cov]$ facility dur+ ! prior fiscal ye>1 ! numb] ( individuals :o fill$ ^? positions ov] ! two ye>s prior to ! date ( ! survey1 ! numb] ( days ! positions 7 vacant )\t someone s]v+ 9 an act+ capacity1 & ! numb] ( days ! positions 7 fill$ by individuals s]v+ 9 an act+ capacity4 7c7 ,def9itions ,9 ?is section3 7#a7 ,! t]m cov]$ equipm5t means any item issu$ by ! ,secret>y ( ,vet]ans ,affairs to a ,dep>tm5t police (fic] 7includ+ fire>ms1 weapons detect+ te*nology1 balli/ic ve/s1 body-worn cam]as1 & radios7 = use 9 ! provision ( s]vices "u section #ijb ( title #ch1 ,unit$ ,/ates ,code4 7#b7 ,! t]m cov]$ employee means an employee ( ! ,dep>tm5t ( ,vet]ans ,affairs :o is employ$ & responsible = security op]ations at a cov]$ facility includ+ a cov]$ facility's police *ief1 facility em]g5cy managem5t lead]1 facility director1 or p]son c>ry+ out ! responsibilities ( "o ( ^! positions 9 an act+ capacity4 7#c7 ,! t]m cov]$ facility means any facility ( ! ,dep>tm5t ( ,vet]ans ,affairs :]e ,dep>tm5t police (fic]s h jurisdiction4 7#d7 ,! t]m ,dep>tm5t police (fic] is us$ z su* t]m z us$ 9 section #ijb ( title #ch1 ,unit$ ,/ates ,code4 7#e7 ,! t]m security weakness means a defici5cy 9 ! facilities1 /aff+1 or cov]$ equipm5t at a cov]$ facility t a cov]$ employee ( ! cov]$ facility det]m9es pres5ts a risk to ! safety ( visitors or /aff1 includ+ an unsecur$ door1 inop]able security cam]a1 unsecur$ police op]ations room1 a lack ( security pres5ce at an entrance to ! cov]$ facility1 & a lack ( security pres5ce 9 an area ( ! cov]$ facility or ! gr\nds ( ! cov]$ facility t ! director ( ! cov]$ facility det]m9es requires an increas$ security pres5ce4 #ejc4 ,modification ( c]ta9 h\s+ loan fees ,! loan fee table 9 section #cgbi7;b77#b7 ( title #ch1 ,unit$ ,/ates ,code1 is am5d$ by /rik+ ,novemb] #bi1 #bjca ea* place x appe>s & ins]t+ ,june #i1 #bjcd4 ,pass$ ! ,s5ate ,decemb] #ab1 #bjbd4,secret>y