,i  #aai? ,,congress  #a/ ,session  ,h4 
,r4 #fedi  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,decemb] #aj1         
#bjbe,mr4 ,b]gman introduc$ ! foll[+    
bill2 :i* 0 ref]r$ to ! ,committee on   
,vet]ans' ,affairs1 & 9 addition to !   
,committee on ,rules1 = a p]iod to be   
subsequ5tly det]m9$ by ! ,speak]1 9 ea* 
case = consid]ation ( su* provisions z  
fall )9 ! jurisdiction ( ! committee    
conc]n$  ,a ,,bill  ,to am5d title #ch1 
,unit$ ,/ates ,code1 to limit !         
obligation or exp5diture ( funds by !   
,secret>y ( ,vet]ans ,affairs = c]ta9   
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,,va ,contract+ &          
,procurem5t ,act4  #b4 ,limitation on   
obligation or exp5diture ( funds by !   
,secret>y ( ,vet]ans ,affairs = c]ta9   
purposes  7a7 ,contracts & p]sonal      
s]vices ,section #eac ( title #ch1      
,unit$ ,/ates ,code1 is am5d$-- 7#a7 by 
ins]t+ 7a7 ,9 g5]al4-- be=e ,!          
,secret>y2 &  7#b7 by add+ at ! end !   
foll[+ new subsection3  7b7 ,limitation 

on obligation or exp5diture ( funds     
7#a7 ,subject to p>agraph 7#b71 !       
,secret>y may n obligate or exp5d m ?an 
#ej1jjj1jjj = any contract or agreem5t  
"u ?is section unless funds = su*       
agreem5t h be5 specifically au?oriz$ by 
law4  7#b7 ,! limitation "u p>agraph    
7#a7 %all n apply dur+-- 7,a7 a w>      
decl>$ by ,congress2  7,b7 a case       
describ$ 9 section #d7;a77#a7 ( ! ,w>   
,p[]s ,resolution 7,public ,law #ic-adh2
 #ej ,u4,s4,c4 #aedc7;a77#a772  7,c7 a  
national em]g5cy decl>$ by ! ,presid5t  
"u ! ,national ,em]g5cies ,act 7,public 
,law #id-dab2 #ej ,u4,s4,c4 #afja et    
seq472  7,d7 a major disa/] decl>$ by ! 
,presid5t "u section #dja ( ! ,rob]t ,t4
 ,/af=d ,disa/] ,relief & ,em]g5cy      
,assi/ance ,act 7#db ,u4,s4,c4 #eagj7   
if-- 7i7 su* agreem5t is to be c>ri$ out
 9 a ,/ate affect$ by su* major disa/]2 
&  7ii7 a m$ical facility ( ! ,dep>tm5t 
is affect$ by su* major disa/]2 or  7,e7
 a public heal? em]g5cy decl>$ by !     
,secret>y ( ,heal? & ,human ,s]vices "u 

section #cai ( ! ,public ,heal? ,s]vice 
,act 7#db ,u4,s4,c4 #bdg;d74  4  7b7    
,vet]ans ,community ,c>e ,program       
,section #agjc ( title #ch1 ,unit$      
,/ates ,code1 is am5d$-- 7#a7 by        
r$esignat+ subsection 7q7 z subsection  
7r72 &  7#b7 by ins]t+ aft] subsection  
7p7 ! foll[+ new subsection 7q73  7q7   
,limitation on obligation or exp5diture 
( funds  7#a7 ,subject to p>agraph 7#b71
 ! ,secret>y may n obligate or exp5d m  
?an #ej1jjj1jjj = any agreem5t "u ?is   
section unless funds = su* agreem5t h   
be5 specifically au?oriz$ by law4  7#b7 
,! limitation "u p>agraph 7#a7 %all n   
apply dur+-- 7,a7 a w> decl>$ by        
,congress2  7,b7 a case describ$ 9      
section #d7;a77#a7 ( ! ,w> ,p[]s        
,resolution 7,public ,law #ic-adh2 #ej  
,u4,s4,c4 #aedc7;a77#a772  7,c7 a       
national em]g5cy decl>$ by ! ,presid5t  
"u ! ,national ,em]g5cies ,act 7,public 
,law #id-dab2 #ej ,u4,s4,c4 #afja et    
seq472  7,d7 a major disa/] decl>$ by ! 
,presid5t "u section #dja ( ! ,rob]t ,t4

 ,/af=d ,disa/] ,relief & ,em]g5cy      
,assi/ance ,act 7#db ,u4,s4,c4 #eagj7   
if-- 7i7 su* agreem5t is to be c>ri$ out
 9 a ,/ate affect$ by su* major disa/]2 
&  7ii7 a m$ical facility ( ! ,dep>tm5t 
is affect$ by su* major disa/]2 or  7,e7
 a public heal? em]g5cy decl>$ by !     
,secret>y ( ,heal? & ,human ,s]vices "u 
section #cai ( ! ,public ,heal? ,s]vice 
,act 7#db ,u4,s4,c4 #bdg;d74  4  7c7    
,agreem5ts ,to adm9i/] ! furni%+ ( heal?
 c>e 9 ,dep>tm5t facilities ,section    
#agba ( title #ch1 ,unit$ ,/ates ,code1 
is am5d$--  7#a7 9 ! section head+1 by  
add+ & to ent] into agreem5ts aft]      
regulations 7& con=m+ ! table ( sections
 at ! beg9n+ ( su* *apt] accord+ly72    
7#b7 by ins]t+ 7a7 ,rules &             
regulations4-- be=e ,rules &            
regulations2 &  7#c7 by add+ at ! end ! 
foll[+ new subsection3  7b7 ,agreem5ts  
7#a7 ,! ,secret>y may ent] into an      
agreem5t 7includ+ an agreem5t reg>d+    
in=mation te*nology7 to adm9i/] !       
furni%+ ( c>e describ$ 9 subsection 7a74

  7#b7 ,subject to p>agraph 7#b71 !     
,secret>y may n obligate or exp5d m ?an 
#ej1jjj1jjj = any agreem5t "u ?is       
section unless funds = su* agreem5t h   
be5 specifically au?oriz$ by law4  7#c7 
,! limitation "u p>agraph 7#b7 %all n   
apply dur+--  7,a7 a w> decl>$ by       
,congress2  7,b7 a case describ$ 9      
section #d7;a77#a7 ( ! ,w> ,p[]s        
,resolution 7,public ,law #ic-adh2 #ej  
,u4,s4,c4 #aedc7;a77#a772  7,c7 a       
national em]g5cy decl>$ by ! ,presid5t  
"u ! ,national ,em]g5cies ,act 7,public 
,law #id-dab2 #ej ,u4,s4,c4 #afja et    
seq472  7,d7 a major disa/] decl>$ by ! 
,presid5t "u section #dja ( ! ,rob]t ,t4
 ,/af=d ,disa/] ,relief & ,em]g5cy      
,assi/ance ,act 7#db ,u4,s4,c4 #eagj7   
if--  7i7 su* agreem5t is to be c>ri$   
out 9 a ,/ate affect$ by su* major      
disa/]2 &  7ii7 a m$ical facility ( !   
,dep>tm5t is affect$ by su* major       
disa/]2 or  7,e7 a public heal? em]g5cy 
decl>$ by ! ,secret>y ( ,heal? & ,human 
,s]vices "u section #cai ( ! ,public    

,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#bdg;d74  4  7d7 ,adm9i/ration (        
educational b5efits ,sub*apt] ,,iii (   
*apt] #cf ( title #ch1 ,unit$ ,/ates    
,code1 is am5d$ by ins]t+ aft] section  
#cfih;,a ! foll[+ new section 7& con=m+ 
! table ( sections at ! beg9n+ ( su*    
*apt] accord+ly73  #cfih;,b4 ,limitation
 on obligation or exp5diture ( funds    
7a7 ,limitation ,! ,secret>y may n      
obligate or exp5d m ?an #ej1jjj1jjj =   
any agreem5t "u ?is *apt] unless-- 7#a7 
funds = su* agreem5t h be5 specifically 
au?oriz$ by law2 or  7#b7 7,a7 !        
,secret>y has submitt$ a notification   
describ$ 9 subsection 7b7 reg>d+ su*    
agreem5t2  7,b7 #cj legislative days h  
elaps$ aft] ! date ( su* submission2 &  
7,c7 ,congress has n enact$ a jo9t      
resolution describ$ 9 subsection 7c7    
reg>d+ su* agreem5t4  7b7 ,notification 
7#a7 ,a notification describ$ 9 ?is     
subsection is a notification-- 7,a7     
submitt$ by ! ,secret>y to ! ,committees
 on ,vet]ans' ,affairs ( ! ,s5ate & !   

,h\se ( ,repres5tatives2 &  7,b7 t      
describes a propos$ agreem5t subject to 
! limitation "u subsection 7a74  7#b7 ,a
 notification "u ?is subsection %all    
include ! foll[+ ) respect to su*       
propos$ agreem5t3 7,a7 ,! purpose4  7,b7
 ,! scope4  7,c7 ,! e/imat$ total co/4  
7,d7 ,! anticipat$ p]iod ( p]=mance4    
7c7 ,jo9t resolution ,a jo9t resolution 
( disapproval describ$ 9 ?is subsection 
is a jo9t resolution-- 7#a7 introduc$ n 
lat] ?an #aj legislative days aft]      
receipt ( a notification "u subsection  
7b72  7#b7 ! matt] aft] ! resolv+ clause
 ( :i* is z foll[s3 ,t ,congress        
disapproves ! propos$ agreem5t describ$ 
by ! ,secret>y ( ,vet]ans ,affairs 9 !  
notification submitt$ "u section        
#cfih;,b ( title #ch1 ,unit$ ,/ates     
,code1 on 41 ! blank space be+ fill$ ) !
 appropriate date2 &  7#c7 consid]$     
pursuant to ! exp$it$ proc$ures 9       
subsections 7d71 7f71 & 7g7 ( section   
#hjb ( title #e4  4  7e7 ,adm9i/ration (
 b5efits ,*apt] #ec ( title #ch1 ,unit$ 

,/ates ,code1 is am5d$ by add+ at ! end 
! foll[+ new section 7& con=m+ ! table (
 sections at ! beg9n+ ( su* *apt]       
accord+ly73  #ecbb4 ,limitation on      
obligation or exp5diture ( funds  7a7   
,limitation ,subject to subsection 7b71 
! ,secret>y may n obligate or exp5d m   
?an #ej1jjj1jjj = any agreem5t "u ?is   
*apt] unless funds = su* agreem5t h be5 
specifically au?oriz$ by law4  7b7      
,applicability ,! limitation "u         
subsection 7a7 %all n apply dur+-- 7#a7 
a w> decl>$ by ,congress2  7#b7 a case  
describ$ 9 section #d7;a77#a7 ( ! ,w>   
,p[]s ,resolution 7,public ,law #ic-adh2
 #ej ,u4,s4,c4 #aedc7;a77#a772  7#c7 a  
national em]g5cy decl>$ by ! ,presid5t  
"u ! ,national ,em]g5cies ,act 7,public 
,law #id-dab2 #ej ,u4,s4,c4 #afja et    
seq472  7#d7 a major disa/] decl>$ by ! 
,presid5t "u section #dja ( ! ,rob]t ,t4
 ,/af=d ,disa/] ,relief & ,em]g5cy      
,assi/ance ,act 7#db ,u4,s4,c4 #eagj7   
if-- 7,a7 su* agreem5t is to be c>ri$   
out 9 a ,/ate affect$ by su* major      

disa/]2 &  7,b7 a m$ical facility ( !   
,dep>tm5t is affect$ by su* major       
disa/]2 or  7#e7 a public heal? em]g5cy 
decl>$ by ! ,secret>y ( ,heal? & ,human 
,s]vices "u section #cai ( ! ,public    
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#bdg;d74  4  7f7 ,procurem5t (          
heal?-,c>e items ,section #habg ( title 
#ch1 ,unit$ ,/ates ,code1 is am5d$--    
7#a7 9 subsection 7c71 by /rik+         
subsection 7a7 or 7b7 & ins]t+          
subsection 7a71 7b71 or 7c72  7#b7 9    
subsection 7d71 by add+ at ! end !      
foll[+ new p>agraph3  7#d7 ,! t]m       
dome/ic pref]5ce /atute has ! mean+ giv5
 su* t]m 9 section #gjibc7;f7 ( !       
,infra/ructure ,inve/m5t & ,jobs ,act   
7,public ,law #aag-eh2 #da ,u4,s4,c4    
#hcja note74  2  7#c7 by r$esignat+     
subsections 7c7 & 7d71 z am5d$1 z       
subsections 7d7 & 7e71 respectively2 &  
7#d7 by ins]t+ aft] subsection 7b7 !    
foll[+ new subsection 7c73  7c7  7#a7 ,!
 ,secret>y %all procure a heal?-c>e item
 = an ,all-,haz>ds ,em]g5cy ,ca*e ( !   

,dep>tm5t 9 compliance ) ! dome/ic      
pref]5ce /atutes4  7#b7 ,! limitation "u
 p>agraph 7#a7 %all n apply if1 dur+ an 
em]g5cy1 ! ,secret>y det]m9es t         
procurem5t 9 compliance ) ! dome/ic     
pref]5ce /atutes w\ld ?reat5 ! heal? or 
safety ( vet]ans4  7#c7 ,n lat] ?an #cj 
days aft] procur+ a heal?-c>e item      
pursuant to p>agraph 7#b71 ! ,secret>y  
%all submit to ! ,committees on         
,vet]ans' ,affairs ( ! ,s5ate & ,h\se ( 
,repres5tatives a writt5 notice4 ,su*   
notice %all include--  7,a7 an          
id5tification ( ! em]g5cy2  7,b7 an     
id5tification ( ! heal?-c>e item        
procur$2  7,c7 an e/imate ( ! co/ ( su* 
procurem5t2 &  7,d7 an explanation :y ! 
,secret>y c\ld n procure ! heal?-c>e    
item 9 compliance ) ! dome/ic pref]5ce  
/atutes4  7#d7 ,n lat] ?an ,novemb] #a (
 ea* ye>1 ! ,secret>y %all c]tify to !  
,committees on ,vet]ans' ,affairs ( !   
,s5ate & ,h\se ( ,repres5tatives :e!r ! 
,secret>y compli$ ) ! limitation "u     
p>agraph 7#a7 dur+ ! fiscal ye> t end$  

mo/ rec5tly4  4  7g7 ,small bus9ess     
conc]ns own$ & controll$ by vet]ans3    
contract+ goals & pref]5ces ,section    
#habg ( title #ch1 ,unit$ ,/ates ,code1 
is am5d$-- 7#a7 by r$esignat+ subsection
 7m7 z subsection 7n72 &  7#b7 by ins]t+
 aft] subsection 7l7 ! foll[+ new       
subsection 7m73  7m7 ,limitation on     
obligation or exp5diture ( funds  7#a7  
,subject to p>agraph 7#b71 ! ,secret>y  
may n obligate or exp5d m ?an           
#ej1jjj1jjj = any agreem5t "u ?is       
section unless funds = su* agreem5t h   
be5 specifically au?oriz$ by law4  7#b7 
,! limitation "u p>agraph 7#a7 %all n   
apply dur+-- 7,a7 a w> decl>$ by        
,congress2  7,b7 a case describ$ 9      
section #d7;a77#a7 ( ! ,w> ,p[]s        
,resolution 7,public ,law #ic-adh2 #ej  
,u4,s4,c4 #aedc7;a77#a772  7,c7 a       
national em]g5cy decl>$ by ! ,presid5t  
"u ! ,national ,em]g5cies ,act 7,public 
,law #id-dab2 #ej ,u4,s4,c4 #afja et    
seq472  7,d7 a major disa/] decl>$ by ! 
,presid5t "u section #dja ( ! ,rob]t ,t4

 ,/af=d ,disa/] ,relief & ,em]g5cy      
,assi/ance ,act 7#db ,u4,s4,c4 #eagj7   
if-- 7i7 su* agreem5t is to be c>ri$ out
 9 a ,/ate affect$ by su* major disa/]2 
&  7ii7 a m$ical facility ( ! ,dep>tm5t 
is affect$ by su* major disa/]2 or  7,e7
 a public heal? em]g5cy decl>$ by !     
,secret>y ( ,heal? & ,human ,s]vices "u 
section #cai ( ! ,public ,heal? ,s]vice 
,act 7#db ,u4,s4,c4 #bdg;d74  4  7h7    
,%>+ ( heal?-,c>e res\rces ,section     
#haec ( title #ch1 ,unit$ ,/ates ,code1 
is am5d$ by add+ at ! end ! foll[+ new  
subsection3  7h7  7#a7 ,subject to      
p>agraph 7#b71 ! ,secret>y may n        
obligate or exp5d m ?an #ej1jjj1jjj =   
any agreem5t "u ?is section unless funds
 = su* agreem5t h be5 specifically      
au?oriz$ by law4  7#b7 ,! limitation "u 
p>agraph 7#a7 %all n apply dur+-- 7,a7 a
 w> decl>$ by ,congress2  7,b7 a case   
describ$ 9 section #d7;a77#a7 ( ! ,w>   
,p[]s ,resolution 7,public ,law #ic-adh2
 #ej ,u4,s4,c4 #aedc7;a77#a772  7,c7 a  
national em]g5cy decl>$ by ! ,presid5t  

"u ! ,national ,em]g5cies ,act 7,public 
,law #id-dab2 #ej ,u4,s4,c4 #afja et    
seq472  7,d7 a major disa/] decl>$ by ! 
,presid5t "u section #dja ( ! ,rob]t ,t4
 ,/af=d ,disa/] ,relief & ,em]g5cy      
,assi/ance ,act 7#db ,u4,s4,c4 #eagj7   
if--  7i7 su* agreem5t is to be c>ri$   
out 9 a ,/ate affect$ by su* major      
disa/]2 &  7ii7 a m$ical facility ( !   
,dep>tm5t is affect$ by su* major       
disa/]2 or  7,e7 a public heal? em]g5cy 
decl>$ by ! ,secret>y ( ,heal? & ,human 
,s]vices "u section #cai ( ! ,public    
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#bdg;d74  4  #c4 ,procurem5t ( pro/hetic
 appliances & surgical implants  7a7 ,9 
g5]al ,section #habc ( title #ch1 ,unit$
 ,/ates ,code1 is am5d$ to read z foll[s
 7& ! table ( sections at ! beg9n+ (    
*apt] #ha ( su* title is am5d$          
accord+ly73  #habc4 ,procurem5t (       
pro/hetic appliances & surgical implants
  7a7 ,au?ority ,! ,secret>y may procure
 pro/hetic appliances & surgical        
implants by pur*ase1 manufacture1       

contract1 or 9 su* o!r mann] t !        
,secret>y det]m9es to be prop]4  7b7    
,catalog  7#a7 ,! ,secret>y %all ma9ta9 
a catalog ( pro/hetic appliances &      
surgical implants t ! ,secret>y procures
 by pur*ase or contract4  7#b7 ,!       
,secret>y %all coord9ate ) ! ,secret>y (
 ,def5se to ensure t su* catalog        
requires ! same data reg>d+ a pro/hetic 
appliance or surgical implant t is      
requir$ by ! ,def5se ,heal? ,ag5cy4     
7#c7 ,! ,secret>y %all implem5t a       
process by :i* a manufactur] ( a        
pro/hetic appliance or surgical implant 
may propose to ! ,secret>y a propos$    
revision to su* catalog 7includ+ )      
reg>ds to =m1 size1 g5]ation1 or        
model7-- 7,a7 by /&>diz$ & electronic   
means2  7,b7 t m9imizes ! docum5tation  
requir$ by su* a manufactur]4  7c7      
,pur*ase ord]s = surgical implants ,!   
,secret>y %all procure all surgical     
implants us$ 9 a m$ical proc$ure ?r\gh--
 7#a7 a firm-fix$ price s+le pur*ase    
ord] submitt$ & process$ ?r\gh !        

,pro/hetic & ,s5sory ,aids ,s]vice ( !  
,dep>tm5t2  7#b7 9 accordance ) ! ,f$]al
 ,acquisition ,regulation2 &  7#c7 a    
process t-- 7,a7 elim9ates duplicative  
bill+2 &  7,b7 all[s ! ,secret>y to     
correct errors 9 real "t4  7d7          
,def9itions ,9 ?is section3 7#a7 ,! t]m 
,f$]al ,acquisition ,regulation means ! 
,f$]al ,acquisition ,regulation issu$   
pursuant to section #acjc7;a77#a7 (     
title #da4  7#b7 ,! t]m firm-fix$ price 
has ! mean+ giv5 su* t]m 9 ! ,f$]al     
,acquisition ,regulation4  7#c7 ,! t]m  
pro/hetic appliance includes any s]vice 
or product requir$ 9 ! fitt+1 supply+1  
tra9+1 or use ( a pro/hetic appliance4  
7#d7 ,! t]m surgical implant includes   
any item us$ 9 a surg]y reg>d+ a        
surgical implant1 includ+ an implantable
 device1 a screw1 guidewire1 or surgical
 tool4  4  7b7 ,implem5tation ,!        
,secret>y ( ,vet]ans ,affairs %all      
implem5t-- 7#a7 subsection 7c7 ( su*    
section1 z add$ by ?is section1 n lat]  
?an "o ye> aft] ! date ( ! enactm5t (   

?is ,act2 &  7#b7 subsection 7b7 ( su*  
section1 z add$ by ?is section1 n lat]  
?an ?ree ye>s aft] ! date ( ! enactm5t (
 ?is ,act4 ,until ! ,secret>y implem5ts 
su* subsection1 ! ,secret>y %all accept 
a propos$ revision describ$ 9 su*       
subsection dur+ at lea/ two p]iods1     
prescrib$ by ! ,secret>y1 p] ye>4