,i  #aai? ,,congress  #a/ ,session  ,h4 
,r4 #bbj  ,,9 ,,! ,,h\se ,,(            
,,repres5tatives  ,janu>y #g1 #bjbe,ms4 
,br[nley 7= h]self1 ,mrs4 ,watson       
,coleman1 ,ms4 ,moore ( ,wiscons91 ,ms4 
,tlaib1 ,mrs4 ,*]filus-,mc,cormick1 ,mr4
 ,l&sman1 ,mr4 ,?ompson ( ,mississippi1 
,ms4 ,g>cia ( ,texas1 ,mrs4 ,d+ell1 ,ms4
 ,norton1 ,mr4 ,magaz9]1 ,mrs4 ,trahan1 
,mrs4 ,f\%ee1 ,ms4 ,p+ree1 ,mrs4        
,ramirez1 ,ms4 ,leg] ,f]n&ez1 ,ms4      
,tokuda1 ,ms4 ,/rickl&1 ,mr4 ,tonko1    
,ms4 ,scanlon1 ,mr4 ,l>son (            
,connecticut1 ,mr4 ,lev91 ,ms4 ,ross1 & 
,mr4 ,cas>7 introduc$ ! foll[+ bill2 :i*
 0 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 provide
 cov]age = inf]tility treatm5t & /&>d   
f]tility pres]vation s]vices1 & = o!r   
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,vet]ans ,inf]tility       
,treatm5t ,act ( #bjbe4  #b4 ,inf]tility
 treatm5ts = vet]ans  7a7 ,au?ority     

,*apt] #ag ( title #ch1 ,unit$ ,/ates   
,code1 is am5d$ by ins]t+ aft] section  
#agbj;,j ! foll[+ new section 7& con=m+ 
! table ( sections at ! beg9n+ ( su*    
*apt] accord+ly73  #agbj,k4 ,inf]tility 
treatm5t & /&>d f]tility pres]vation    
s]vices  7a7 ,treatm5t & s]vices  7#a7  
,9 furni%+ m$ical s]vices "u ?is *apt]1 
at ! election ( a cov]$ individual &    
subject to p>agraph 7#d71 ! ,secret>y   
%all furni% to ! cov]$ individual       
inf]tility treatm5ts 7includ+ ?r\gh !   
use ( assi/$ reproductive te*nology71   
/&>d f]tility pres]vation s]vices1 or   
bo?4  7#b7 ,9 ! case ( 9 vitro          
f]tilization treatm5t furni%$ "u        
p>agraph 7#a71 ! ,secret>y may furni% to
 a cov]$ individual "u su* p>agraph n m 
?an ?ree complet$ 9 vitro f]tilization  
cycles t result 9 live bir? or #aj      
attempt$ 9 vitro f]tilization cycles1   
:i*ev] occurs fir/4  7#c7 ,! ,secret>y  
may furni% 9 vitro f]tilization treatm5t
 "u p>agraph 7#a7 us+ donat$ gametes or 
embryos4  7#d7 ,! ,secret>y may n furni%

 to a cov]$ individual an 9 vitro       
f]tilization cycle or o!r treatm5t or   
s]vice "u p>agraph 7#a7 unless !        
,secret>y receives cons5t = su* cycle1  
treatm5t1 or s]vice f ea* ( ! foll[+3   
7,a7 ,! cov]$ individual4  7,b7 ,if !   
cov]$ individual is a p>tn] ( a cov]$   
vet]an1 ! cov]$ vet]an4  7,c7 ,if       
applicable1 ! ?ird-p>ty donor4  7b7     
,rule ( con/ruction ,no?+ 9 ?is section 
%all be con/ru$ to require ! ,secret>y  
to furni% mat]nity c>e to a cov]$       
individual1 9 addition to :at is o!rwise
 requir$ by section #aghf ( ?is title or
 o!r provisions ( law4  7c7 ,relation%ip
 to ,/ate law ,! legal /atus1 cu/ody1   
future use1 donation1 disposition1 or   
de/ruction1 ( gametes or embryos relat+ 
to treatm5t or s]vices furni%$ "u ?is   
section %all be det]m9$ 9 accordance ) !
 law ( ! ,/ate 9 :i* ! gametes or       
embryos are locat$4  7d7 ,paym5ts =     
b5efici>y travel = p>tn]s ,= purposes ( 
pay+ travel exp5ses "u section #aaa (   
?is title = treatm5t or s]vices furni%$ 

"u ?is section to a p>tn] ( a cov]$     
vet]an1 ! ,secret>y %all deem ! p>tn] to
 be a vet]an receiv+ treatm5t or c>e "u 
?is *apt]4  7e7 ,def9itions ,9 ?is      
section3 7#a7 ,! t]m assi/$ reproductive
 te*nology includes 9 vitro f]tilization
 & o!r inf]tility treatm5ts4  7#b7 ,!   
t]m cov]$ individual means a cov]$      
vet]an or a p>tn] ( a cov]$ vet]an4     
7#c7 ,! t]m cov]$ vet]an means a vet]an 
:o is enroll$ 9 ! sy/em ( annual pati5t 
enrollm5t e/abli%$ "u section #agje7;a7 
( ?is title &-- 7,a7 has inf]tility2 or 
7,b7 is at risk ( hav+ inf]tility1 z    
det]m9$ by a lic5s$ physician bas$ on-- 
7i7 ! m$ical1 sexual1 & reproductive    
hi/ory1 age1 physical f9d+s1 or         
diagno/ic te/+1 or a comb9ation !re(1 ( 
! vet]an2 or  7ii7 any plann$ m$ication 
!rapy1 surg]y1 radiation1 *emo!rapy1 or 
o!r m$ical treatm5t4  7#d7 ,! t]m       
inf]tility means a disease1 condition1  
or /atus *>act]iz$ by-- 7,a7 ! inability
 ( a p]son to reproduce ei!r z an       
individual or ) ! p>tn] ( ! individual2 

or  7,b7 ! failure to conceive a        
pregnancy or to c>ry a pregnancy to live
 bir? aft] "o ye> ( regul>1 unprotect$  
sexual int]c\rse4  7#e7 ,! t]m p>tn]1 ) 
respect to a vet]an1 means an individual
 select$ by ! vet]an :o agrees to %>e ) 
! vet]an ! p>5tal responsibilities )    
respect to any *ild born z a result ( ! 
use ( any inf]tility treatm5t "u ?is    
section4  7#f7 ,! t]m /&>d f]tility     
pres]vation s]vice includes !           
procurem5t1 cryopres]vation1 & /orage ( 
gametes & embryos4  4  7b7              
,applicability2 regulations  7#a7       
,applicability ,except z provid$ by     
p>agraph 7#c77;,a71 section #agbj,k (   
title #ch1 ,unit$ ,/ates ,code1 z add$  
by subsection 7a71 %all apply ) respect 
to inf]tility treatm5t & /&>d f]tility  
pres]vation s]vices furni%$ by !        
,secret>y ( ,vet]ans ,affairs beg9n+ on 
! date on :i* ! ,secret>y prescribes    
regulations "u p>agraph 7#b74  7#b7     
,regulations ,n lat] ?an "o ye> aft] !  
date ( ! enactm5t ( ?is ,act1 !         

,secret>y %all prescribe regulations to 
c>ry out section #agbj,k ( title #ch1   
,unit$ ,/ates ,code1 z add$ by          
subsection 7a74  7#c7 ,int]im policies  
7,a7 ,cont9uity ( s]vices ,except z     
provid$ by subp>agraph 7,b71 an         
individual :o on ! day be=e ! date on   
:i* ! ,secret>y prescribes regulations  
"u p>agraph 7#b7 is receiv+ c\nsel+ &   
treatm5t furni%$ by ! ,secret>y pursuant
 to exi/+ inf]tility au?ority may elect 
to-- 7i7 cont9ue receiv+ su* c\nsel+ &  
s]vices pursuant to ! exi/+ inf]tility  
au?ority1 subject to ! limitations ( t  
au?ority2 or  7ii7 beg9 receiv+ su*     
c\nsel+ & s]vices pursuant to section   
#agbj,k ( title #ch1 ,unit$ ,/ates      
,code1 z add$ by subsection 7a71 subject
 to ! limitations ( t section t %all be 
appli$ 9 a mann] t recognizes su*       
c\nsel+ & s]vices previ\sly furni%$ "u !
 exi/+ inf]tility au?ority4  7,b7       
,expansion ( s]vices ,dur+ ! p]iod      
beg9n+ #ahj days aft] ! date ( !        
enactm5t ( ?is ,act & end+ on ! date on 

:i* ! ,secret>y prescribes regulations  
"u p>agraph 7#b71 ! ,secret>y %all      
ensure t c\nsel+ & treatm5t furni%$     
pursuant to exi/+ inf]tility au?ority   
include ! foll[+ elem5ts3 7i7 ,!        
,secret>y may furni% su* c\nsel+ &      
treatm5t to ! p>tn] ( a vet]an cov]$ by 
su* provision )\t reg>d to :e!r ! p>tn] 
& vet]an are m>ri$4  7ii7 ,! ,secret>y  
may furni% su* c\nsel+ & treatm5t us+   
donat$ gametes or embryos4  7#d7        
,def9itions ,9 ?is subsection3 7,a7 ,!  
t]m exi/+ inf]tility au?ority means     
section #bcd7;a77#a7 ( ! ,milit>y       
,con/ruction1 ,vet]ans ,affairs1 &      
,relat$ ,ag5cies ,appropriations ,act1  
#bjbb 7division ,j ( ,public ,law       
#aag-ajc2 #acf ,/at4 #eef71 or o!r      
provisions ( law adm9i/]$ by ! ,secret>y
 ( ,vet]ans ,affairs enact$ be=e ! date 
( ! enactm5t ( ?is ,act t provide       
au?ority to ! ,secret>y to furni%       
f]tility c\nsel+ & treatm5t4  7,b7 ,!   
t]m p>tn] has ! mean+ giv5 t t]m 9      
section #agbj,k ( title #ch1 ,unit$     

,/ates ,code1 z add$ by subsection 7a74