,,ii  #aah? ,,congress  #a/ ,session    
,s4 #bbei  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,july #ab1 #bjbc,mr4   
,sullivan 7= himself & ,ms4 ,hassan7    
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,vet]ans' ,affairs  ,a ,,bill  ,to      
require ! ,secret>y ( ,vet]ans ,affairs 
to c>ry out a pilot program to e/abli%  
community integration network           
infra/ructure = s]vices = vet]ans1 to   
require ! collection f vet]ans (        
in=mation relat$ to social det]m9ants ( 
heal?1 & = o!r purposes4  #a4 ,%ort     
title ,?is ,act may be cit$ z ! ,lev]ag+
 ,integrat$ ,networks 9 ,communities =  
,vet]ans ,act or ! ,,l9c ,,va ,act4  #b4
 ,pilot program on e/abli%m5t (         
community integration network           
infra/ructure = vet]ans  7a7 ,9 g5]al   
,beg9n+ n lat] ?an "o ye> aft] ! date on
 :i* ! report requir$ "u section        
#bja7k77#a7 ( ! ,comm&] ,john ,scott    
,hannon ,vet]ans ,m5tal ,heal? ,c>e     
,improvem5t ,act ( #bjai 7,public ,law  

#aaf-aga2 #ch ,u4,s4,c4 #agbj;,f note7  
is deliv]$ to ,congress1 ! ,secret>y (  
,vet]ans ,affairs1 act+ ?r\gh ! ,c5t] = 
,innovation = ,c>e & ,paym5t ( !        
,dep>tm5t ( ,vet]ans ,affairs1 %all c>ry
 out a pilot program "u :i* ! ,secret>y 
%all e/abli% community integration      
network infra/ructure to provide s]vices
 = vet]ans4  7b7 ,elem5ts ( program ,9  
c>ry+ out ! pilot program "u subsection 
7a71 ! ,secret>y %all-- 7#a7 e/abli% a  
new or enhance an exi/+ int]op]able     
te*nology network t-- 7,a7 enables !    
coord9ation ( public & private provid]s 
& payors ( s]vices = vet]ans1 includ+   
s]vices su* z-- 7i7 nutritional         
assi/ance2  7ii7 h\s+2  7iii7 heal? c>e1
 includ+ prev5tive heal? int]v5tion1    
*ronic disease managem5t1 & behavioral  
heal? c>e2  7iv7 transportation2  7v7   
job tra9+2  7vi7 *ild developm5t or c>e2
  7vii7 c>egiv+ & respite c>e2  7viii7  
disability assi/ance2 &  7ix7 o!r       
s]vices1 z det]m9$ by ! ,secret>y2  7,b7
 prioritizes connectivity ) appropriate 

exi/+ te*nology networks develop$ by    
public or private organizations t comply
 )1 z applicable1 /&>ds adopt$ by !     
,secret>y ( ,heal? & ,human ,s]vices "u 
section #cjjd ( ! ,public ,heal? ,s]vice
 ,act 7#db ,u4,s4,c4 #cjj;jj-#ad71 = !  
purposes describ$ 9 subp>agraph 7,a72 & 
7,c7 ensures t-- 7i7 reasonable measures
 are tak5 to promote connectivity &     
int]op]able ex*ange among cov]$         
entities2 &  7ii7 appropriate privacy & 
security protections are 9 place1 9     
accordance ) applicable ,f$]al & ,/ate  
privacy laws2  7#b7 connect cov]$       
entities = purposes ( communication1    
s]vice coord9ation & consum] assi/ance1 
ref]ral & capacity managem5t1 outcome   
track+ & report+1 & relat$ s]vices2     
7#c7 provide te*nical assi/ance &       
support cov]$ entities 9 connect+ &     
p>ticipat+ 9 ! community integration    
network infra/ructure2  7#d7 collect    
in=mation f vet]ans s]v$ "u ! pilot     
program reg>d+ social det]m9ants ( heal?
 us+ a /&>diz$ risk assessm5t or scre5+ 

tool1 :i* %all include /&>diz$          
def9itions = id5tify+ social det]m9ants 
( heal? ne$s id5tifi$ 9 ! ,,icd-#aj     
diagno/ic codes ,z#ee ?r\gh ,z#fc1      
,z#fe1 & ,z#ge 7z 9 effect on ! date (  
enactm5t ( ?is ,act7 t incorporate      
measures = quantify+ ! relative sev]ity 
( any su* social det]m9ant ( heal? ne$  
id5tifi$ 9 a vet]an2 &  7#e7 incorporate
 scre5+s us$ to collect in=mation "u    
p>agraph 7#d7 into r\t9e c>e provid$ to 
vet]ans "u ! laws adm9i/]$ by !         
,secret>y4  7c7 ,locations  7#a7 ,9     
g5]al ,! ,secret>y ( ,vet]ans ,affairs  
%all c>ry out ! pilot program "u        
subsection 7a7 at n few] ?an "o facility
 ( ! ,dep>tm5t ( ,vet]ans ,affairs 9 ea*
 ,vet]ans ,integrat$ ,s]vice ,network ( 
! ,dep>tm5t4  7#b7 ,v>iety ( facilities 
,9 select+ facilities "u p>agraph 7#a71 
! ,secret>y %all ensure ! selection ( a 
v>iety ( diff]5t types ( facilities1    
includ+-- 7,a7 fronti] facilities2  7,b7
 "u-res\rc$ facilities2 &  7,c7         
facilities at :i* !re are exi/+ ef=ts to

 coord9ate ) community res\rces4  7d7   
,coord9ation & integration ( programs   
7#a7 ,coord9ation ) exi/+ networks ,9   
c>ry+ out ! pilot program "u subsection 
7a71 ! ,secret>y ( ,vet]ans ,affairs    
%all coord9ate ) exi/+ community        
networks4  7#b7 ,coord9ation &          
integration ) ,/ate m$icaid programs ,! 
,secret>y ( ,heal? & ,human ,s]vices1 9 
consultation ) ! ,secret>y ( ,vet]ans   
,affairs1 %all issue guidance to ,/ates 
t includes options = ,/ate ,m$icaid     
programs to coord9ate & integrate m$ical
 assi/ance provid$ "u a ,/ate plan or   
waiv] "u title ,,xix ( ! ,social        
,security ,act 7#db ,u4,s4,c4 #acif;a et
 seq47 ) s]vices = vet]ans provid$ "u ! 
pilot program "u subsection 7a71 z well 
z a template = ,/ates to use to reque/  
or modify ,m$icaid waiv] au?ority "u    
section #aaae ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #acae7 = su* purpose4   
7e7 ,track+ ( ref]rals  7#a7 ,9 g5]al ,!
 ,secret>y ( ,vet]ans ,affairs %all     
track-- 7,a7 ! accuracy ( ref]rals (    

vet]ans to community networks "u ! pilot
 program "u subsection 7a72  7,b7 !     
response "t ( provid]s to :i* su*       
vet]ans are ref]r$2 &  7,c7 ! outcome ( 
! initial meet+ by a vet]an & ! provid] 
to :i* ! vet]an is ref]r$4  7#b7 ,=m ,! 
,secret>y may track ! in=mation requir$ 
"u p>agraph 7#a7 9 any m$ium det]m9$    
appropriate by ! ,secret>y4  7f7 ,report
 ,n lat] ?an ?ree ye>s aft] am\nts are  
fir/ appropriat$ to c>ry out to c>ry out
 ! pilot program "u subsection 7a71 !   
,secret>y ( ,vet]ans ,affairs %all      
submit to ,congress a report indicat+ ! 
social s]vice ne$s ( vet]ans reflect$ by
 ! use ( s]vices "u ! community         
integration network infra/ructure       
e/abli%$ "u ! pilot program "u          
subsection 7a71 includ+ an assessm5t (--
 7#a7 ! ne$ = s]vices t is be+ met ?r\gh
 su* infra/ructure2 &  7#b7 ! ne$ =     
s]vices t is n be+ met ?r\gh su*        
infra/ructure4  7g7 ,comptroll] ,g5]al  
evaluation1 report1 & recomm5dations    
7#a7 ,evaluation ,! ,comptroll] ,g5]al (

 ! ,unit$ ,/ates %all conduct an        
evaluation t measures ! ov]all impact ( 
! community integration network         
infra/ructure e/abli%$ "u ! pilot       
program "u subsection 7a7 ) respect to--
 7,a7 *anges 9 individual & population  
heal? outcomes among vet]ans2  7,b7     
*anges 9 access to heal? c>e or social  
s]vices among vet]ans2 &  7,c7 su* o!r  
factors z ! ,comptroll] ,g5]al consid]s 
appropriate4  7#b7 ,report &            
recomm5dations  7,a7 ,9 g5]al ,n lat]   
?an f\r ye>s aft] ! date ( ! enactm5t ( 
?is ,act1 ! ,comptroll] ,g5]al %all--   
7i7 submit to ,congress a report on !   
evaluation conduct$ "u p>agraph 7#a72   
7ii7 make su* report publicly available2
 &  7iii7 bas$ on su* evaluation1 make  
recomm5dations to ! ,secret>y ( ,vet]ans
 ,affairs on h[ to improve & su/a9      
community integration network           
infra/ructure e/abli%$ "u ! pilot       
program "u subsection 7a74  7,b7        
,elem5ts ( report ,! report "u          
subp>agraph 7,a77i7 %all include data   

on-- 7i7 :at res\rces "u ! pilot program
 "u subsection 7a7 are be+ utiliz$ !    
mo/2  7ii7 :at reque/s = s]vices "u !   
pilot program _c be met2 &  7iii7 !     
impact ( ! provision ( s]vices "u !     
pilot program on heal? outcomes (       
vet]ans4  7h7 ,def9itions ,9 ?is        
section3 7#a7 ,community integration    
network infra/ructure ,! t]m community  
integration network infra/ructure means 
infra/ructure us$ to enable !           
coord9ation1 alignm5t1 & connection (   
cov]$ entities = purposes (             
communication1 s]vice coord9ation1 &    
ref]ral managem5t ( s]vices1 ) respect  
to s]vices su* z-- 7,a7 nutritional     
assi/ance2  7,b7 h\s+2  7,c7 heal? c>e1 
includ+ prev5tive heal? int]v5tion1     
*ronic disease managem5t1 & behavioral  
heal? c>e2  7,d7 transportation2  7,e7  
job tra9+2  7,f7 *ild developm5t or c>e2
  7,g7 c>egiv+ & respite c>e2  7,h7     
disability assi/ance2 &  7,i7 o!r       
s]vices1 z det]m9$ by ! ,secret>y (     
,vet]ans ,affairs4  7#b7 ,cov]$ entity  

,! t]m cov]$ entity means any-- 7,a7    
community-bas$ organization t accepts   
ref]rals f heal? c>e organizations & t  
provides s]vices su* z-- 7i7 nutritional
 assi/ance2  7ii7 h\s+2  7iii7 heal?    
c>e1 includ+ prev5tive heal? int]v5tion1
 *ronic disease managem5t1 & behavioral 
heal? c>e2  7iv7 transportation2  7v7   
job tra9+2  7vi7 *ild developm5t or c>e2
  7vii7 c>egiv+ & respite c>e2 &  7viii7
 disability assi/ance2  7,b7 public or  
private heal? c>e provid] organization2 
7,c7 public or private fund$ payor (    
heal? c>e s]vices1 includ+ home- or     
community-bas$ s]vices2  7,d7 ,/ate1    
local1 t]ritorial1 or ,tribal heal? &   
social s]vices ag5cy2  7,e7 ,/ate public
 h\s+ au?ority or h\s+ f9ance ag5cy2    
7,f7 public heal? in=mation ex*ange or  
public heal? in=mation network1 z def9$ 
by ! ,secret>y ( ,vet]ans ,affairs2 or  
7,g7 o!r simil> entity1 z det]m9$ by !  
,secret>y4  7#c7 ,/ate ,! t]m ,/ate     
means a ,/ate1 t]ritory1 or ! ,di/rict (
 ,columbia4  #c4 ,collection ( in=mation

 f vet]ans relat$ to social det]m9ants (
 heal?  7a7 ,9 g5]al ,! ,secret>y (     
,vet]ans ,affairs %all collect f 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 z "p ( r\t9e scre5+s ( su*       
vet]ans "u ! laws adm9i/]$ by !         
,secret>y1 in=mation relat$ to social   
det]m9ants t may factor into ! heal? (  
su* vet]ans4  7b7 ,social det]m9ants (  
heal? ,! in=mation collect$ "u          
subsection 7a7 %all include /&>diz$     
def9itions = id5tify+ social det]m9ants 
( heal? ne$s id5tifi$ 9 ! ,,icd-#aj     
diagno/ic codes ,z#ee ?r\gh ,z#fc1      
,z#fe1 & ,z#ge 7z 9 effect on ! date (  
enactm5t ( ?is ,act74 ,su* def9itions   
%all incorporate measures = quantify+ ! 
relative sev]ity ( any su* social       
det]m9ant ( heal? ne$ id5tifi$ 9 an     
individual4  #d4 ,implem5tation ,9      
implem5t+ ?is ,act1 ! ,secret>y (       
,vet]ans ,affairs %all consid] data     

privacy & h[ to prev5t data block+ &    
promote int]op]ability4