,,ii #aah? ,,congress #a/ ,session ,s4 #bhja ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,septemb] #ad1 #bjbc,mrs4 ,murray 7= h]self1 ,ms4 ,duckwor?1 ,mr4 ,hick5loop]1 ,mr4 ,coons1 ,ms4 ,w>r51 ,mr4 ,s&]s1 ,ms4 ,klobu*>1 ,mr4 ,blum5?al1 ,mr4 ,w>nock1 ,mr4 ,:iteh\se1 ,mr4 ,wyd51 ,mrs4 ,%ahe51 ,mr4 ,murphy1 ,mrs4 ,fe9/e91 ,mr4 ,br[n1 ,mr4 ,ka9e1 ,mr4 ,padilla1 ,mr4 ,durb91 & ,mr4 ,he9ri*7 introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,vet]ans' ,affairs ,a ,,bill ,to improve ! reproductive assi/ance provid$ by ! ,dep>tm5t ( ,def5se & ! ,dep>tm5t ( ,vet]ans ,affairs to c]ta9 memb]s ( ! ,arm$ ,=ces1 vet]ans1 & _! sp\ses or p>tn]s1 & = o!r purposes4 #a4 ,%ort title2 table ( cont5ts 7a7 ,%ort title ,?is ,act may be cit$ z ! ,vet]an ,families ,heal? ,s]vices ,act ( #bjbc4 7b7 ,table ( cont5ts ,! table ( cont5ts = ?is ,act is z foll[s3 ,sec4 #a4 ,%ort title2 table ( cont5ts4,,title ,i--,reproductive & f]tility pres]vation assi/ance = memb]s ( ! ,arm$ ,forces,sec4 #aja4 ,def9itions4,sec4 #ajb4 ,provision ( f]tility treatm5t & c\nsel+ to c]ta9 memb]s ( ! ,arm$ ,=ces & sp\ses1 p>tn]s1 & ge/ational surrogates ( su* memb]s4,sec4 #ajc4 ,e/abli%m5t ( f]tility pres]vation proc$ures aft] an injury or illness4,sec4 #ajd4 ,cryopres]vation & /orage ( reproductive g5etic mat]ial ( memb]s ( ! ,arm$ ,=ces on active duty4,sec4 #aje4 ,assi/ance ) & cont9uity ( c>e reg>d+ reproductive & f]tility pres]vation s]vices4,sec4 #ajf4 ,coord9ation betwe5 ,dep>tm5t ( ,def5se & ,dep>tm5t ( ,vet]ans ,affairs on furni%+ ( f]tility treatm5t & c\nsel+4,,title ,,ii--,reproductive & adoption assi/ance = veterans,sec4 #bja4 ,inclusion ( f]tility treatm5t & c\nsel+ "u ! def9ition ( m$ical s]vices 9 title #ch4,sec4 #bjb4 ,f]tility treatm5t & c\nsel+ = c]ta9 vet]ans & sp\ses1 p>tn]s1 & ge/ational surrogates ( su* vet]ans4,sec4 #bjc4 ,adoption assi/ance = c]ta9 vet]ans4,sec4 #bjd4 ,assi/ance ) & cont9uity ( c>e reg>d+ reproductive & f]tility pres]vation s]vices4,sec4 #bje4 ,facilitation ( reproduction & inf]tility rese>*4,sec4 #bjf4 ,regulations on furni%+ ( f]tility treatm5t & c\nsel+ & adoption assi/ance by ,dep>tm5t ( ,vet]ans ,affairs4 ,i ,reproductive & f]tility pres]vation assi/ance = memb]s ( ! ,arm$ ,=ces #aja4 ,def9itions ,9 ?is title3 7#a7 ,active duty ,! t]m active duty has ! mean+ giv5 t t]m 9 section #aja7;d77#a7 ( title #aj1 ,unit$ ,/ates ,code4 7#b7 ,arm$ ,=ces ,! t]m ,arm$ ,=ces has ! mean+ giv5 ! t]m arm$ =ces 9 section #aja7;a77#d7 ( su* title4 #ajb4 ,provision ( f]tility treatm5t & c\nsel+ to c]ta9 memb]s ( ! ,arm$ ,=ces & sp\ses1 p>tn]s1 & ge/ational surrogates ( su* memb]s 7a7 ,f]tility treatm5t & c\nsel+ 7#a7 ,9 g5]al ,! ,secret>y ( ,def5se %all furni% f]tility treatm5t & c\nsel+1 includ+ ?r\gh ! use ( assi/$ reproductive te*nology1 to a cov]$ memb] ( ! ,arm$ ,=ces or a sp\se1 p>tn]1 or ge/ational surrogate ( su* a memb]4 7#b7 ,eligibility = treatm5t & c\nsel+ ,f]tility treatm5t & c\nsel+ %all be furni%$ "u p>agraph 7#a7 )\t reg>d to ! sex1 g5d] id5tity1 sexual ori5tation1 or m>ital /atus ( ! cov]$ memb] ( ! ,arm$ ,=ces4 7#c7 ,9 vitro f]tilization ,9 ! case ( 9 vitro f]tilization treatm5t furni%$ "u p>agraph 7#a71 ! ,secret>y may furni% to an individual "u su* p>agraph-- 7,a7 n m ?an ?ree complet$ oocyte retrievals2 & 7,b7 unlimit$ embryo transf]s 9 accordance ) ! guidel9es ( ! ,am]ican ,society = ,reproductive ,m$ic9e4 7b7 ,procurem5t ( reproductive g5etic mat]ial ,if a cov]$ memb] ( ! ,arm$ ,=ces is unable to provide _! reproductive g5etic mat]ial = purposes ( f]tility treatm5t "u subsection 7a71 ! ,secret>y %all1 at ! election ( su* memb]1 all[ su* memb] to receive su* treatm5t ) donat$ reproductive g5etic mat]ial & pay or reimburse su* memb] ! reasonable co/s ( procur+ su* mat]ial f a donor4 7c7 ,rule ( con/ruction ,no?+ 9 ?is section %all be con/ru$ to require ! ,secret>y-- 7#a7 to f9d or c]tify a ge/ational surrogate = a cov]$ memb] ( ! ,arm$ ,=ces or to connect a ge/ational surrogate ) su* a memb]2 or 7#b7 to f9d or c]tify reproductive g5etic mat]ial f a donor = a cov]$ memb] ( ! ,arm$ ,=ces or to connect su* a memb] ) reproductive g5etic mat]ial f a donor4 7d7 ,def9itions ,9 ?is section3 7#a7 ,assi/$ reproductive te*nology ,! t]m assi/$ reproductive te*nology includes 9 vitro f]tilization & o!r f]tility treatm5ts 9 :i* bo? eggs & sp]m are h&l$ :5 cl9ically appropriate4 7#b7 ,cov]$ memb] ( ! ,arm$ ,=ces ,! t]m cov]$ memb] ( ! ,arm$ ,=ces means a memb] ( ! ,arm$ ,=ces :o has an inf]tility condition1 unless ! ,secret>y c %[ t ! memb] 0 completely inf]tile be=e s]vice on active duty 9 ! ,arm$ ,=ces4 7#c7 ,f]tility treatm5t ,! t]m f]tility treatm5t includes ! foll[+3 7,a7 ,proc$ures t use assi/$ reproductive te*nology4 7,b7 ,sp]m retrieval4 7,c7 ,egg retrieval4 7,d7 ,artificial insem9ation4 7,e7 ,transf] ( reproductive g5etic mat]ial4 7,f7 ,m$ications z prescrib$ or necess>y = f]tility4 7,g7 ,su* o!r treatm5ts z ! ,secret>y ( ,def5se consid]s appropriate4 7#d7 ,inf]tility condition ,! t]m inf]tility condition includes-- 7,a7 a diagnosis ( inf]tility2 or 7,b7 ! inability to reproduce or safely c>ry a pregnancy to t]m1 includ+ z a result ( treatm5t = ano!r condition4 7#e7 ,p>tn] ,! t]m p>tn]1 ) respect to a memb] ( ! ,arm$ ,=ces1 means an individual select$ by ! memb] :o agrees to %>e ) ! memb] ! p>5tal responsibilities ) respect to any *ild born z a result ( ! use ( any f]tility treatm5t "u ?is section4 #ajc4 ,e/abli%m5t ( f]tility pres]vation proc$ures aft] an injury or illness 7a7 ,9 g5]al ,! ,secret>y ( ,def5se1 act+ ?r\gh ! ,assi/ant ,secret>y ( ,def5se = ,heal? ,affairs1 %all e/abli% proc$ures = ! retrieval ( reproductive g5etic mat]ial1 z soon z m$ically appropriate1 f a memb] ( ! ,arm$ ,=ces 9 cases 9 :i* ! f]tility ( su* memb] is pot5tially jeop>diz$ z a result ( an injury or illness incurr$ or aggravat$ :ile s]v+ on active duty 9 ! ,arm$ ,=ces 9 ord] to pres]ve ! m$ical options ( su* memb]4 7b7 ,cons5t = retrieval ( reproductive g5etic mat]ial ,reproductive g5etic mat]ial may be retriev$ f a memb] ( ! ,arm$ ,=ces "u subsection 7a7 only-- 7#a7 ) ! specific cons5t ( ! memb]2 or 7#b7 if ! memb] is unable to cons5t1 if a m$ical pr(essional det]m9es t-- 7,a7 ! future f]tility ( ! memb] is pot5tially jeop>diz$ z a result ( an injury or illness describ$ 9 subsection 7a7 or w be pot5tially jeop>diz$ z a result ( treat+ su* injury or illness2 7,b7 ! memb] lacks ! capacity to cons5t to ! retrieval ( reproductive g5etic mat]ial & is likely to rega9 su* capacity2 & 7,c7 ! retrieval ( reproductive g5etic mat]ial "u ?is section is 9 ! m$ical int]e/ ( ! memb]4 7c7 ,cons5t = use ( retriev$ reproductive g5etic mat]ial ,reproductive g5etic mat]ial retriev$ f a memb] ( ! ,arm$ ,=ces "u subsection 7a7 may be us$ only-- 7#a7 ) ! specific cons5t ( ! memb]2 or 7#b7 if ! memb] has lo/ ! ability to cons5t p]man5tly1 z det]m9$ by a m$ical pr(essional1 z specifi$ 9 an advance directive or te/am5t>y in/rum5t execut$ by ! memb]4 7d7 ,disposal ( reproductive g5etic mat]ial ,9 accordance ) regulations prescrib$ by ! ,secret>y = purpose ( ?is subsection1 ! ,secret>y %all dispose ( reproductive g5etic mat]ial retriev$ f a memb] ( ! ,arm$ ,=ces "u subsection 7a7-- 7#a7 ) ! specific cons5t ( ! memb]2 or 7#b7 if ! memb]-- 7,a7 has lo/ ! ability to cons5t p]man5tly1 z det]m9$ by a m$ical pr(essional2 & 7,b7 has n specifi$ ! use ( _! reproductive g5etic mat]ial 9 an advance directive or te/am5t>y in/rum5t execut$ by ! memb]4 #ajd4 ,cryopres]vation & /orage ( reproductive g5etic mat]ial ( memb]s ( ! ,arm$ ,=ces on active duty 7a7 ,9 g5]al ,! ,secret>y ( ,def5se %all provide memb]s ( ! ,arm$ ,=ces on active duty 9 ! ,arm$ ,=ces ) ! opportunity to cryopres]ve & /ore _! reproductive g5etic mat]ial prior to-- 7#a7 deploym5t to a combat zone2 or 7#b7 a duty assignm5t t includes a haz>d\s assignm5t1 includ+-- 7,a7 assignm5ts result+ 9 exposure to p]fluoroalkyl or polyfluoroalkyl sub/ances2 & 7,b7 su* o!r assignm5ts z det]m9$ by ! ,secret>y4 7b7 ,p]iod ( "t 7#a7 ,9 g5]al ,! ,secret>y %all provide = ! cryopres]vation & /orage ( reproductive g5etic mat]ial ( any memb] ( ! ,arm$ ,=ces "u subsection 7a7 9 a facility ( ! ,dep>tm5t ( ,def5se or ( a private entity & ! transportation ( su* mat]ial1 at no co/ to ! memb]1 until ! date t is "o ye> aft] ! retirem5t1 sep>ation1 or release ( ! memb] f ! ,arm$ ,=ces4 7#b7 ,cont9u$ cryopres]vation & /orage ,at ! end ( ! "o-ye> p]iod specifi$ 9 p>agraph 7#a71 ! ,secret>y %all p]mit an individual ^: reproductive g5etic mat]ial 0 cryopres]v$ & /or$ 9 a facility ( ! ,dep>tm5t z describ$ 9 t p>agraph to select1 includ+ pursuant to an advance m$ical directive or milit>y te/am5t>y in/rum5t complet$ "u subsection 7c71 "o ( ! foll[+ options3 7,a7 ,to cont9ue su* cryopres]vation & /orage 9 su* facility ) ! co/ ( su* cryopres]vation & /orage borne by ! individual4 7,b7 ,to transf] ! mat]ial to a private cryopres]vation & /orage facility select$ by ! individual4 7,c7 ,to transf] ! mat]ial to a facility ( ! ,dep>tm5t ( ,vet]ans ,affairs if cryopres]vation & /orage is available to ! individual at su* facility4 7#c7 ,disposal ( reproductive g5etic mat]ial ,if an individual describ$ 9 p>agraph 7#b7 does n make a selection "u subp>agraph 7,a71 7,b71 or 7,c7 ( su* p>agraph1 ! ,secret>y may dispose ( ! reproductive g5etic mat]ial ( ! individual n e>li] ?an ! date t is #ij days aft] ! end ( ! "o-ye> p]iod specifi$ 9 p>agraph 7#a7 ) respect to ! individual4 7c7 ,advance m$ical directive & milit>y te/am5t>y in/rum5t ,a memb] ( ! ,arm$ ,=ces :o elects to cryopres]ve & /ore _! reproductive g5etic mat]ial "u ?is section mu/ complete an advance m$ical directive1 z def9$ 9 section #ajdd;c7b7 ( title #aj1 ,unit$ ,/ates ,code1 & a milit>y te/am5t>y in/rum5t1 z def9$ 9 section #ajdd;d7b7 ( su* title1 t explicitly specifies ! use ( _! cryopres]v$ & /or$ reproductive g5etic mat]ial if su* memb] dies or o!rwise loses ! capacity to cons5t to ! use ( _! cryopres]v$ & /or$ reproductive g5etic mat]ial4 7d7 ,agreem5ts ,to c>ry out ?is section1 ! ,secret>y may ent] into agreem5ts ) private entities t provide cryopres]vation1 transportation1 & /orage s]vices = reproductive g5etic mat]ial4 #aje4 ,assi/ance ) & cont9uity ( c>e reg>d+ reproductive & f]tility pres]vation s]vices ,! ,secret>y ( ,def5se %all ensure t employees ( ! ,dep>tm5t ( ,def5se assi/ memb]s ( ! ,arm$ ,=ces-- 7#a7 9 navigat+ ! s]vices provid$ "u ?is title2 7#b7 9 f9d+ a provid] t meets ! ne$s ( su* memb]s ) respect to su* s]vices2 & 7#c7 9 cont9u+ ! receipt ( su* s]vices )\t int]ruption dur+ a p]man5t *ange ( /ation = su* memb]s4 #ajf4 ,coord9ation betwe5 ,dep>tm5t ( ,def5se & ,dep>tm5t ( ,vet]ans ,affairs on furni%+ ( f]tility treatm5t & c\nsel+ 7a7 ,9 g5]al ,! ,secret>y ( ,def5se & ! ,secret>y ( ,vet]ans ,affairs %all %>e be/ practices & facilitate ref]rals1 z !y consid] appropriate1 on ! furni%+ ( f]tility treatm5t & c\nsel+ to individuals eligible = ! receipt ( su* c\nsel+ & treatm5t f ! ,secret>ies4 7b7 ,memor&um ( und]/&+ ,! ,secret>y ( ,def5se & ! ,secret>y ( ,vet]ans ,affairs %all ent] into a memor&um ( und]/&+-- 7#a7 provid+ t ! ,secret>y ( ,def5se w ensure access by ! ,secret>y ( ,vet]ans ,affairs to reproductive g5etic mat]ial ( vet]ans /or$ by ! ,dep>tm5t ( ,def5se = purposes ( furni%+ f]tility treatm5t "u section #agbj,k ( title #ch1 ,unit$ ,/ates ,code1 z add$ by section #bjb7;a72 & 7#b7 au?oriz+ ! ,dep>tm5t ( ,vet]ans ,affairs to comp5sate ! ,dep>tm5t ( ,def5se = ! cryopres]vation1 transportation1 & /orage ( reproductive g5etic mat]ial ( vet]ans "u section #ajd4 ,,ii ,reproductive & adoption assi/ance = vet]ans #bja4 ,inclusion ( f]tility treatm5t & c\nsel+ "u ! def9ition ( m$ical s]vices 9 title #ch ,section #agja7f7 ( title #ch1 ,unit$ ,/ates ,code1 is am5d$ by add+ at ! end ! foll[+ new subp>agraph3 7,j7 ,f]tility treatm5t & c\nsel+1 includ+ treatm5t us+ assi/$ reproductive te*nology4 4 #bjb4 ,f]tility treatm5t & c\nsel+ = c]ta9 vet]ans & sp\ses1 p>tn]s1 & ge/ational surrogates ( su* vet]ans 7a7 ,9 g5]al ,sub*apt] ,,ii ( *apt] #ag ( title #ch1 ,unit$ ,/ates ,code1 is am5d$ by add+ at ! end ! foll[+ new section3 #agbj,k4 ,f]tility treatm5t & c\nsel+ = c]ta9 vet]ans & sp\ses1 p>tn]s1 & ge/ational surrogates ( su* vet]ans 7a7 ,requirem5t 7#a7 ,9 g5]al ,not)/&+ any o!r provision ( law1 ! ,secret>y %all furni% f]tility treatm5t & c\nsel+1 includ+ ?r\gh ! use ( assi/$ reproductive te*nology1 to a cov]$ vet]an & ! sp\se1 p>tn]1 or ge/ational surrogate ( ! vet]an if ! vet]an1 & ! sp\se1 p>tn]1 or ge/ational surrogate ( ! vet]an1 z applicable1 ea* provide in=m$ cons5t = su* treatm5t & c\nsel+1 includ+ = ea* cycle ( treatm5t au?oriz$ "u ?is section1 ?r\gh a process prescrib$ by ! ,secret>y4 7#b7 ,provision ( treatm5t & c\nsel+ ,f]tility treatm5t & c\nsel+ %all be furni%$ "u p>agraph 7#a7 )\t reg>d to ! sex1 g5d] id5tity1 sexual ori5tation1 or m>ital /atus ( ! cov]$ vet]an4 7#c7 ,9 vitro f]tilization ,9 ! case ( 9 vitro f]tilization treatm5t furni%$ "u p>agraph 7#a71 ! ,secret>y may furni% to an individual "u su* p>agraph-- 7,a7 n m ?an ?ree complet$ oocyte retrievals2 & 7,b7 unlimit$ embryo transf]s 9 accordance ) ! guidel9es ( ! ,am]ican ,society = ,reproductive ,m$ic9e4 7b7 ,procurem5t ( reproductive g5etic mat]ial ,if a cov]$ vet]an is unable to provide _! reproductive g5etic mat]ial = purposes ( f]tility treatm5t "u subsection 7a71 ! ,secret>y %all1 at ! election ( su* memb]1 all[ su* vet]an to receive su* treatm5t ) donat$ reproductive g5etic mat]ial & pay or reimburse su* vet]an ! reasonable co/s ( procur+ su* mat]ial f a donor4 7c7 ,outrea* & tra9+ ,! ,secret>y %all c>ry out an outrea* & tra9+ program to ensure vet]ans & heal? c>e provid]s ( ! ,dep>tm5t are aw>e (-- 7#a7 ! availability ( & eligibility requirem5ts = f]tility treatm5t & c\nsel+ "u ?is section2 & 7#b7 any *anges to f]tility treatm5t & c\nsel+ cov]$ "u ?is section4 7d7 ,own]%ip1 use1 disposition1 or de/ruction ( reproductive g5etic mat]ial 7#a7 ,9 g5]al ,issues or disputes reg>d+ own]%ip ( reproductive g5etic mat]ial1 future use ( su* mat]ial1 disposition ( su* mat]ial1 or de/ruction ( su* mat]ial %all be ! sole responsibility ( ! cov]$ vet]an1 ! sp\se1 p>tn]1 or ge/ational surrogate ( ! vet]an1 & ! private facility /or+ su* mat]ial4 7#b7 ,role ( ,dep>tm5t ,! role ( ! ,dep>tm5t "u ?is section is limit$ to furni%+ ! treatm5t & c\nsel+ requir$ "u ?is section :5 reque/$ by a cov]$ vet]an4 7#c7 ,own]%ip & cu/ody ( reproductive g5etic mat]ial ,! ,dep>tm5t w n h own]%ip or cu/ody ( any reproductive g5etic mat]ial obta9$ pursuant to treatm5t "u ?is section & w n be involv$ 9 ! ultimate disposition ( su* mat]ial or disputes betwe5 or among any p>ties ) respect to su* mat]ial4 7e7 ,rule ( con/ruction ,no?+ 9 ?is section %all be con/ru$ to require ! ,secret>y-- 7#a7 to f9d or c]tify a ge/ational surrogate = a cov]$ vet]an or to connect a ge/ational surrogate ) a cov]$ vet]an2 or 7#b7 to furni% mat]nity c>e to a cov]$ vet]an or sp\se1 p>tn]1 or ge/ational surrogate ( a cov]$ vet]an 9 addition to :at is o!rwise requir$ by law4 7f7 ,def9itions ,9 ?is section3 7#a7 ,! t]m assi/$ reproductive te*nology includes 9 vitro f]tilization & o!r f]tility treatm5ts 9 :i* bo? eggs & sp]m are h&l$ :5 cl9ically appropriate4 7#b7 ,! t]m cov]$ vet]an means a vet]an :o-- 7,a7 has an inf]tility condition1 unless ! ,secret>y c %[ t ! vet]an 0 completely inf]tile be=e s]vice 9 ! active milit>y1 naval1 or air s]vice2 & 7,b7 is enroll$ 9 ! sy/em ( annual pati5t enrollm5t e/abli%$ "u section #agje7;a7 ( ?is title4 7#c7 ,! t]m f]tility treatm5t includes ! foll[+3 7,a7 ,proc$ures t use assi/$ reproductive te*nology4 7,b7 ,sp]m retrieval4 7,c7 ,egg retrieval4 7,d7 ,artificial insem9ation4 7,e7 ,transf] ( reproductive g5etic mat]ial4 7,f7 ,m$ications z prescrib$ or necess>y = f]tility4 7,g7 ,su* o!r treatm5ts z ! ,secret>y consid]s appropriate4 7#d7 ,! t]m ge/ational surrogate means an individual :o c>ries a fetus ?r\gh pregnancy & gives bir? to a baby = ano!r individual or c\ple4 7#e7 ,! t]m inf]tility condition includes-- 7,a7 a diagnosis ( inf]tility2 or 7,b7 ! inability to reproduce or safely c>ry a pregnancy to t]m1 includ+ z a result ( treatm5t = ano!r condition4 7#f7 ,! t]m p>tn]1 ) respect to a cov]$ vet]an1 means an individual-- 7,a7 select$ by ! vet]an :o agrees to %>e ) ! vet]an ! p>5tal responsibilities ) respect to any *ild born z a result ( ! use ( any f]tility treatm5t "u ?is section2 & 7,b7 :om ! vet]an c]tifies to ! ,dep>tm5t is ! p>tn] ( ! vet]an & !re=e1 bas$ on t c]tification1 is eligible = treatm5t & c\nsel+ "u ?is section4 4 7b7 ,cl]ical am5dm5t ,! table ( sections at ! beg9n+ ( sub*apt] ,,ii ( *apt] #ag ( su* title is am5d$ by ins]t+ aft] ! item relat+ to section #agbj;,j ! foll[+ new item3 #agbj,k4 ,f]tility treatm5t & c\nsel+ = c]ta9 vet]ans & sp\ses1 p>tn]s1 & ge/ational surrogates ( su* vet]ans4 4 #bjc4 ,adoption assi/ance = c]ta9 vet]ans 7a7 ,9 g5]al ,sub*apt] ,,viii ( *apt] #ag ( title #ch1 ,unit$ ,/ates ,code1 is am5d$ by add+ at ! end ! foll[+ new section3 #agij4 ,adoption assi/ance 7a7 ,9 g5]al ,! ,secret>y may pay an am\nt1 n to exce$ ! limitation am\nt1 to assi/ a cov]$ vet]an 9 ! adoption ( "o or m *ildr51 )\t reg>d to ! sex1 g5d] id5tity1 sexual ori5tation1 or m>ital /atus ( ! cov]$ vet]an4 7b7 ,limitation am\nt ,= purposes ( ?is section1 ! limitation am\nt is ! am\nt equal to ! co/ ! ,dep>tm5t w\ld incur by pay+ ! exp5ses ( ?ree adoptions by cov]$ vet]ans1 z det]m9$ by ! ,secret>y4 7c7 ,cov]$ vet]an def9$ ,9 ?is section1 ! t]m cov]$ vet]an has ! mean+ giv5 t t]m 9 section #agbj,k7f7 ( ?is title4 4 7b7 ,cl]ical am5dm5t ,! table ( sections at ! beg9n+ ( sub*apt] ,,viii ( *apt] #ag ( su* title is am5d$ by ins]t+ aft] ! item relat+ to section #aghi ! foll[+ new item3 #agij4 ,adoption assi/ance4 4 #bjd4 ,assi/ance ) & cont9uity ( c>e reg>d+ reproductive & f]tility pres]vation s]vices ,! ,secret>y ( ,vet]ans ,affairs %all ensure t employees ( ! ,dep>tm5t ( ,vet]ans ,affairs assi/ vet]ans-- 7#a7 9 navigat+ ! s]vices provid$ "u ?is title & ! am5dm5ts made by ?is title2 7#b7 9 f9d+ a provid] t meets ! ne$s ( su* vet]ans ) respect to su* s]vices2 & 7#c7 9 cont9u+ ! receipt ( su* s]vices )\t int]ruption if su* vet]ans move to a diff]5t geographic location4 #bje4 ,facilitation ( reproduction & inf]tility rese>* 7a7 ,9 g5]al ,sub*apt] ,,ii ( *apt] #gc ( title #ch1 ,unit$ ,/ates ,code1 is am5d$ by add+ at ! end ! foll[+ new section3 #gccj;,e4 ,facilitation ( reproduction & inf]tility rese>* 7a7 ,facilitation ( rese>* requir$ ,! ,secret>y %all facilitate rese>* conduct$ collaboratively by ! ,secret>y ( ,def5se & ! ,secret>y ( ,heal? & ,human ,s]vices to improve ! ability ( ! ,dep>tm5t ( ,vet]ans ,affairs to meet ! long-t]m reproductive heal? c>e ne$s ( vet]ans :o h a g5it\r9>y s]vice-connect$ disability or a condition t 0 incurr$ or aggravat$ 9 l9e ( duty 9 ! active milit>y1 naval1 or air s]vice1 su* z a sp9al cord injury1 milit>y sexual trauma1 or a m5tal heal? condition1 t affects ! ability ( ! vet]an to reproduce4 7b7 ,dissem9ation ( in=mation ,! ,secret>y %all ensure t in=mation produc$ by ! rese>* facilitat$ "u ?is section t may be useful = o!r activities ( ! ,vet]ans ,heal? ,adm9i/ration is dissem9at$ ?r\gh\t ! ,vet]ans ,heal? ,adm9i/ration4 4 7b7 ,cl]ical am5dm5t ,! table ( sections at ! beg9n+ ( sub*apt] ,,ii ( *apt] #gc ( su* title is am5d$ by ins]t+ aft] ! item relat+ to section #gccj;,d ! foll[+ new item3 #gccj;,e4 ,facilitation ( reproduction & inf]tility rese>*4 4 #bjf4 ,regulations on furni%+ ( f]tility treatm5t & c\nsel+ & adoption assi/ance by ,dep>tm5t ( ,vet]ans ,affairs ,n lat] ?an two ye>s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,vet]ans ,affairs %all prescribe regulations-- 7#a7 to c>ry out section #agbj,k ( title #ch1 ,unit$ ,/ates ,code1 z add$ by section #bjb7;a72 & 7#b7 to c>ry out section #agij ( su* title1 z add$ by section #bjc7;a74