,,ii  #aah? ,,congress  #b;d ,session   
,s4 #djji  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,m>* #ba1 #bjbd,mr4    
,moran 7= himself & ,mr4 ,te/]7         
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,vet]ans' ,affairs  ,a ,,bill  ,to am5d 
title #ch1 ,unit$ ,/ates ,code1 to      
direct ! ,secret>y ( ,vet]ans ,affairs  
to (f] annual prev5tative heal?         
evaluations to vet]ans ) a sp9al cord   
injury or disord] & increase access to  
assi/ive te*nologies1 & = o!r purposes4 
#a4 ,%ort title ,?is ,act may be cit$ z 
! ,vet]ans ,sp9al ,trauma ,access to    
,new ,devices ,act or ! ,vet]ans ,,/&   
,act4  #b4 ,provision ( prev5tative     
heal? evaluations = vet]ans ) a sp9al   
cord injury or disord]  7a7 ,9 g5]al    
,sub*apt] ,,ii ( *apt] #ag ( title #ch1 
,unit$ ,/ates ,code1 is am5d$ by ins]t+ 
aft] section #agab;,c ! foll[+ new      
section3  #agac4 ,prev5tative heal?     
evaluations = vet]ans ) a sp9al cord    
injury or disord]  7a7 ,heal?           

evaluations ,! ,secret>y %all furni%    
7?r\gh direct provision ( s]vice1       
ref]ral1 or a teleheal? program op]at$  
by ! ,dep>tm5t7 a prev5tative heal?     
evaluation annually to any vet]an ) a   
sp9al cord injury or disord] :o elects  
to und]go ! evaluation4  7b7 ,assessm5ts
 ,! evaluation describ$ 9 subsection 7a7
 %all include ! foll[+3 7#a7 ,an        
assessm5t ( any circum/ance or condition
 ! vet]an is exp]i5c+ t indicates a risk
 = any heal? complication relat$ to a   
sp9al cord injury or disord]1 includ+ a 
risk ( comorbidities4  7#b7 ,an         
assessm5t reg>d+ *ronic pa9 &1 if       
applicable1 ! managem5t ( *ronic pa94   
7#c7 ,an assessm5t reg>d+ diet>y        
managem5t & weight managem5t4  7#d7 ,an 
assessm5t reg>d+ pro/hetic equipm5t1    
includ+ :i* pro/hetic equipm5t ! vet]an 
ne$s1 h[ well any exi/+ pro/hetic       
equipm5t is function+ consid]+ ! ne$s ( 
! vet]an1 & any safety conc]ns reg>d+ ! 
pro/hetic equipm5t 9 use by or recomm5d$
 to ! vet]an4  7#e7 ,an assessm5t = !   

provision ( any assi/ive te*nology t    
c\ld help maximize ! indep5d5ce &       
mobility ( ! vet]an4  7c7 ,consultation 
7#a7 ,sp9al cord injury & disord]       
program manag]s ,9 ma9ta9+1 prescrib+1  
or am5d+ any guidance1 rules1 or        
regulations issu$ by ! ,dep>tm5t reg>d+ 
! requirem5ts set out 9 ?is section1 !  
,secret>y %all consult ) ! sp9al cord   
injury & disord] program manag]s ( !    
,dep>tm5t1 cl9icians employ$ by !       
,dep>tm5t z speciali/s 9 sp9al cord     
injuries & disord]s1 & ! organizations  
nam$ 9 or approv$ "u section #eijb ( ?is
 title4  7#b7 ,manufactur]s & o!r       
entities ,9 issu+ any guidance1 rules1  
or regulations reg>d+ ! requirem5ts set 
out 9 ?is section1 ! ,secret>y may      
consult ) manufactur]s ( assi/ive       
te*nologies & o!r entities relevant to !
 provision ( assi/ive te*nologies if !  
guidance1 rules1 or regulations w\ld    
directly affect su* manufactur]s or     
entities4  7d7 ,in=mation on evaluation 
,! ,secret>y %all ensure1 to ! ext5t    

possible1 t any vet]an kn[n by !        
,secret>y to h a sp9al cord injury or   
disord] receives in=mation annually ab\t
 ! evaluation available "u ?is section &
 ! b5efits to ! vet]an ( *oos+ to und]go
 ! evaluation4  7e7 ,use ( evaluation 9 
p]=mance reviews ,9 review+ ! p]=mance  
metrics ( a ,vet]ans ,integrat$ ,s]vice 
,network = any ye> beg9n+ aft] ! date t 
is "o ye> aft] ! date ( ! enactm5t ( !  
,vet]ans ,sp9al ,trauma ,access to ,new 
,devices ,act1 ! ,secret>y %all consid] 
! provision ( evaluations "u ?is        
section4  7f7 ,report ,n lat] ?an "o ye>
 aft] ! date ( ! enactm5t ( ! ,vet]ans  
,sp9al ,trauma ,access to ,new ,devices 
,act1 & e two ye>s !reaft]1 ! ,secret>y 
%all submit to ! ,committee on ,vet]ans'
 ,affairs ( ! ,s5ate & ! ,committee on  
,vet]ans' ,affairs ( ! ,h\se (          
,repres5tatives a report t includes !   
foll[+3 7#a7 ,= ! p]iod cov]$ by !      
report-- 7,a7 ! numb] ( vet]ans :o      
receiv$ hospital c>e or m$ical s]vices f
 ! ,dep>tm5t & us$ an assi/ive          

te*nology2  7,b7 ! numb] ( vet]ans :o   
receiv$ hospital c>e or m$ical s]vices f
 ! ,dep>tm5t & 7 assess$ = ! provision (
 an assi/ive te*nology2 &  7,c7 ! numb] 
( vet]ans :o receiv$ hospital c>e or    
m$ical s]vices f ! ,dep>tm5t & 7        
prescrib$ an assi/ive te*nology4  7#b7  
,= ! two-ye> p]iod imm$iately prior to  
ye> ! report is submitt$1 ! ye>-to-ye>  
*ange 9 ! p]c5tage ( vet]ans ) a sp9al  
cord injury or disord] :o receiv$ an    
evaluation "u ?is section4  7g7         
,assi/ive te*nology def9$ ,9 ?is        
section1 ! t]m assi/ive te*nology means 
a p[]$ m$ical device or electronic tool 
us$ to treat or alleviate symptoms or   
conditions caus$ by a sp9al cord injury 
or disord]1 includ+ ! foll[+3 7#a7 ,a   
p]sonal mobility device1 includ+ a p[]$ 
exoskeleton device4  7#b7 ,a spee*      
g5]at+ device4  4  7b7 ,cl]ical am5dm5t 
,! table ( sections at ! beg9n+ ( *apt] 
#ag ( su* title is am5d$ by ins]t+ aft] 
! item relat+ to section #agab;,c !     
foll[+ new item3  #agac4 ,prev5tative   

heal? evaluations = vet]ans ) a sp9al   
cord injury or disord]4  4