,,ii  #aah? ,,congress  #a/ ,session    
,s4 #bgeg  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,septemb] #aa1         
#bjbc,mr4 ,te/] 7= himself1 ,mr4 ,moran1
 ,mrs4 ,murray1 & ,mr4 ,boozman7        
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,vet]ans' ,affairs  ,a ,,bill  ,to limit
 ! ,secret>y ( ,vet]ans ,affairs f      
modify+ ! rate ( paym5t or reimbursem5t 
= transportation ( vet]ans or o!r       
individuals via special modes (         
transportation "u ! laws adm9i/]$ by !  
,secret>y1 & = o!r purposes4  #a4 ,%ort 
title ,?is ,act may be cit$ z ! ,,va    
,em]g5cy ,transportation ,access ,act4  
#b4 ,limitation on modification ( rate (
 paym5t or reimbursem5t = transportation
 ( vet]ans or o!r individuals via       
special modes ( transportation  7a7 ,9  
g5]al ,except z provid$ 9 subsection    
7b7-- 7#a7 ! rate ( paym5t or           
reimbursem5t = transportation ( a vet]an
 or o!r individual via a special mode ( 
transportation "u ! laws adm9i/]$ by !  

,secret>y ( ,vet]ans ,affairs on or aft]
 ,janu>y #a1 #bjbc1 %all be ! rate 9    
effect z ( su* date2 &  7#b7 ! ,secret>y
 may n modify any su* rate on or aft] ! 
date ( ! enactm5t ( ?is ,act4  7b7      
,exceptions  7#a7 ,increase ( rate ,!   
,secret>y may modify ! rate ( paym5t or 
reimbursem5t = transportation ( a vet]an
 or o!r individual via a special mode ( 
transportation "u ! laws adm9i/]$ by !  
,secret>y if su* a *ange w\ld increase  
su* rate ( paym5t or reimbursem5t4  7#b7
 ,decrease ( rate  7,a7 ,review &       
developm5t ( process ,! ,secret>y may   
decrease ! rate ( paym5t or reimbursem5t
 = transportation ( a vet]an or o!r     
individual via a special mode (         
transportation "u ! laws adm9i/]$ by !  
,secret>y if ! foll[+ requirem5ts are   
met be=e ! effective date ( su*         
decrease3 7i7 ,! ,secret>y conducts a   
?or\gh review & analysis ( su* decrease 
) respect to ! foll[+3 7,i7 ,! economic 
impact ( su* decrease on ! ,dep>tm5t4   
7,,ii7 ,! economic impact ( su* decrease

 on ! appropriate indu/ry associat$ ) ! 
special mode ( transportation or special
 modes ( transportation 9 "q4  7,,iii7  
,! impact ( su* decrease on access to   
c>e = vet]ans4  7ii7 ,! ,secret>y       
develops a =mal process = updat+ su*    
rate ( paym5t or reimbursem5t t w\ld    
protect or exp& ! curr5t level ( access 
review$ & analyz$ "u clause 7i77,,iii74 
7iii7 ,! ,secret>y conducts ! review &  
analysis "u clause 7i7 & develops !     
process "u clause 7ii7 9 consultation ) 
a committee compris$ ( repres5tation f !
 foll[+3 7,i7 ,relevant indu/ry exp]ts4 
7,,ii7 ,! ,c5t]s = ,m$ic>e  ,m$icaid    
,s]vices4  7,,iii7 ,appropriate subject 
matt] exp]ts ( ! ,dep>tm5t ( ,vet]ans   
,affairs 9 ! areas ( transportation1    
access to c>e1 integrat$ vet]an c>e1    
rural vet]ans1 native vet]ans1 & any o!r
 areas z det]m9$ appropriate by !       
,secret>y4  7,,iv7 ,vet]ans s]vice      
organizations4  7iv7 ,! ,secret>y       
confirms t ! new rate reflects1 at a    
m9imum1 ! actual co/s ( transportation4 

7,b7 ,additional requirem5ts be=e rate  
decrease ,if a decrease p]mitt$ "u      
subp>agraph 7,a7 to ! rate ( paym5t or  
reimbursem5t = transportation ( a vet]an
 or o!r individual via a special mode ( 
transportation "u ! laws adm9i/]$ by !  
,secret>y w\ld all[ = ! e/abli%m5t ( a  
contract$ rate diff]5t f ! e/abli%$ rate
 ( ! ,dep>tm5t1 n lat] ?an two ye>s be=e
 ! effective date ( su* *ange1 !        
,secret>y %all-- 7i7 e/abli% a template 
& /&>diz$ process = su* contracts &     
submit su* template & /&>diz$ process to
 ,congress = fe$back2 &  7ii7 issue     
guidance reg>d+ su* template & /&>diz$  
process across appropriate entities )9 !
 ,dep>tm5t & across ! indu/ry associat$ 
) ! special mode ( transportation or    
special modes ( transportation cov]$ by 
su* contract4  7c7 ,def9itions ,9 ?is   
section3 7#a7 ,special mode (           
transportation ,! t]m special mode (    
transportation has ! mean+ giv5 t t]m 9 
section #gj4b ( title #ch1 ,code (      
,f$]al ,regulations1 or successor       

regulations4  7#b7 ,vet]ans s]vice      
organization ,! t]m vet]ans s]vice      
organization means any organization     
recogniz$ by ! ,secret>y ( ,vet]ans     
,affairs = ! repres5tation ( vet]ans "u 
section #eijb ( title #ch1 ,unit$ ,/ates
 ,code4