,,ii  #aah? ,,congress  #b;d ,session   
,s4 #ddbc  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,may #bc1 #bjbd,ms4    
,hirono 7= h]self & ,mr4 ,s*atz7        
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      
improve ! provision ( direct h\s+ loans 
& m$ical c>e f ! ,dep>tm5t ( ,vet]ans   
,affairs = ,native ,hawaiians4  #a4     
,%ort title ,?is ,act may be cit$ z !   
,p>ity = ,native ,hawaiian ,vet]ans ,act
 ( #bjbd4  #b4 ,modification to program 
= direct h\s+ loans made to ,native     
,am]ican vet]ans by ! ,secret>y (       
,vet]ans ,affairs ,section #cgfe7c77;,b7
 ( title #ch1 ,unit$ ,/ates ,code1 is   
am5d$ by /rik+ z t t]m & all t foll[s   
?r\gh #db ,/at4 #ajh7 & ins]t+ z def9$ 9
 section #hja ( ! ,native ,am]ican ,h\s+
 ,assi/ance & ,self-,det]m9ation ,act ( 
#aiif 7#be ,u4,s4,c4 #dbba74  #c4       
,improvem5t ( provision ( m$ical c>e f  
,dep>tm5t ( ,vet]ans ,affairs = ,native 

,hawaiians  7a7 ,reimbursem5t ( co/s (  
c]ta9 c>e provid$ ?r\gh ,native         
,hawaiian heal? c>e sy/em  7#a7 ,9 g5]al
 ,sub*apt] ,i ( *apt] #ag ( title #ch1  
,unit$ ,/ates ,code1 is am5d$ by ins]t+ 
aft] section #agjc;,f ! foll[+ new      
section3  #agjc;,g4 ,reimbursem5t ( co/s
 ( c]ta9 c>e provid$ ?r\gh ,native      
,hawaiian heal? c>e sy/em  7a7 ,9 g5]al 
,! ,secret>y %all reimburse a ,native   
,hawaiian heal? c>e sy/em = ! co/s ( c>e
 or s]vices provid$ ?r\gh su* sy/em to  
vet]ans eligible = su* c>e or s]vices "u
 ! laws adm9i/]$ by ! ,secret>y1        
reg>dless ( :e!r su* c>e or s]vices are 
provid$ directly ?r\gh su* sy/em1 ?r\gh 
pur*as$ or ref]r$ c>e1 or ?r\gh a       
contract = travel4  7b7 ,native         
,hawaiian heal? c>e sy/em def9$ ,! t]m  
,native ,hawaiian heal? c>e sy/em has ! 
mean+ giv5 t t]m 9 section #ab ( !      
,native ,hawaiian ,heal? ,c>e           
,improvem5t ,act 7#db ,u4,s4,c4 #aagaa74
  4  7#b7 ,cl]ical am5dm5t ,! table (   
sections at ! beg9n+ ( su* *apt] is     

am5d$ by ins]t+ aft] ! item relat+ to   
section #agjc;,f ! foll[+ new item3     
#agjc;,g4 ,reimbursem5t ( co/s ( c]ta9  
c>e provid$ ?r\gh ,native ,hawaiian     
heal? c>e sy/em4  4  7b7 ,exemption f   
co/ %>+ ,section #agcj;,a7b7 ( su* title
 is am5d$-- 7#a7 9 p>agraph 7#a71 by    
/rik+ 2 or & ins]t+ a semicolon2  7#b7 9
 p>agraph 7#b71 by /rik+ ! p]iod at !   
end & ins]t+ 2 or2 &  7#c7 by add+ at ! 
end ! foll[+ new p>agraph3  7#c7 is a   
,native ,hawaiian 7z def9$ 9 section #ab
 ( ! ,native ,hawaiian ,heal? ,c>e      
,improvem5t ,act 7#db ,u4,s4,c4         
#aagaa774  4