,i  #aai? ,,congress  #a/ ,session  ,h4 
,r4 #ffh  ,,9 ,,! ,,h\se ,,(            
,,repres5tatives  ,janu>y #bc1 #bjbe,mr4
 ,ciscomani 7= himself1 ,mr4 ,davis (   
,nor? ,c>ol9a1 & ,mr4 ,turn] ( ,ohio7   
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,vet]ans' ,affairs  ,a 
,,bill  ,to require ! ,secret>y (       
,vet]ans ,affairs to c>ry out a pilot   
program to coord9ate1 navigate1 & manage
 c>e & b5efits = vet]ans enroll$ 9 bo? !
 ,m$ic>e program & ! sy/em ( annual     
pati5t enrollm5t ( ! ,dep>tm5t (        
,vet]ans ,affairs4  #a4 ,%ort title ,?is
 ,act may be cit$ z ! ,coord9at+ ,c>e = 
,s5ior ,vet]ans & ,w\nd$ ,w>riors ,act4 
#b4 ,pilot program on coord9ation ( c>e 
betwe5 ,dep>tm5t ( ,vet]ans ,affairs &  
,m$ic>e program  7a7 ,9 g5]al ,!        
,secret>y1 9 consultation ) ! ,secret>y 
( ,heal? & ,human ,s]vices1 %all c>ry   
out a pilot program 79 ?is section      
ref]r$ to z ! pilot program7 to         
coord9ate1 navigate1 & manage c>e &     
b5efits = cov]$ vet]ans4  7b7 ,purposes 

,! purposes ( ! pilot program are z     
foll[s3 7#a7 ,to improve access to heal?
 c>e s]vices = cov]$ vet]ans at m$ical  
facilities ( ! ,dep>tm5t ( ,vet]ans     
,affairs1 f heal? c>e provid]s "u !     
,vet]ans ,community ,c>e ,program "u    
section #agjc ( title #ch1 ,unit$ ,/ates
 ,code1 f heal? c>e provid]s ) :i* !    
,dep>tm5t has e/abli%$ a ,vet]ans ,c>e  
,agreem5t "u section #agjc;,a ( su*     
title1 & f heal? c>e provid]s p>ticipat+
 9 ! ,m$ic>e program "u title ,,xviii ( 
! ,social ,security ,act 7#db ,u4,s4,c4 
#acie et seq474  7#b7 ,to improve       
outcomes ( c>e receiv$ by cov]$ vet]ans4
  7#c7 ,to improve quality ( c>e receiv$
 by cov]$ vet]ans4  7#d7 ,to l[] co/s ( 
c>e receiv$ by cov]$ vet]ans4  7#e7 ,to 
elim9ate gaps 9 c>e & duplication (     
s]vices & exp5ses = cov]$ vet]ans4  7#f7
 ,to improve c>e coord9ation = cov]$    
vet]ans1 includ+ coord9ation ( pati5t   
in=mation & m$ical records betwe5       
provid]s4  7c7 ,adm9i/ration  7#a7 ,9   
g5]al ,! ,secret>y %all c>ry out ! pilot

 program ?r\gh ! ,c5t] = ,innovation =  
,c>e & ,paym5t ( ! ,dep>tm5t ( ,vet]ans 
,affairs4  7#b7 ,locations ,! ,secret>y 
%all c>ry out ! pilot program 9 n less  
?an ?ree b n m ?an five ,vet]ans        
,integrat$ ,s]vice ,networks ) a l>ge   
numb] ( cov]$ vet]ans & v>y+ degrees (  
urbanization1 includ+-- 7,a7 locations t
 are 9 rural or highly rural areas1 z   
det]m9$ ?r\gh ! use ( ! ,rural-,urban   
,commut+ ,areas cod+ sy/em ( ! ,dep>tm5t
 ( ,agriculture2 &  7,b7 locations t are
 m$ically und]s]v$4  7d7 ,case manag]   
7#a7 ,assignm5t ( case manag] ,9 c>ry+  
out ! pilot program1 ! ,secret>y %all   
assign ea* cov]$ vet]an p>ticipat+ 9 !  
pilot program a case manag] responsible 
= develop+ an individualiz$ ne$s        
assessm5t = su* vet]an &1 bas$ on su*   
assessm5t1 a c>e coord9ation plan )     
def9$ treatm5t goals4  7#b7 ,access+    
s]vices ,a case manag] assign$ to a     
cov]$ vet]an "u p>agraph 7#a7 is        
responsible = assi/+ su* vet]an 9       
access+ s]vices ne$$ by su* vet]an &    

navigat+ ! sy/ems ( c>e "u ! laws       
adm9i/]$ by ! ,secret>y & "u ! ,m$ic>e  
program "u title ,,xviii ( ! ,social    
,security ,act 7#db ,u4,s4,c4 #acie et  
seq474  7e7 ,use ( exi/+ models ,9      
design+ ! pilot program1 ! ,secret>y    
%all1 to ! ext5t practicable1 use exi/+ 
models1 includ+ value-bas$ c>e models1  
us$ by comm]cial heal? c>e programs to  
improve access1 heal? outcomes1 quality1
 & cu/om] exp]i5ce & l[] p] capita co/s4
  7f7 ,contract+ ) private sector       
entities  7#a7 ,9 g5]al ,! ,secret>y    
%all1 to ! greate/ ext5t practicable1   
contract ) private sector entities c>ry+
 out comm]cial heal? c>e programs =     
assi/ance 9 design+1 implem5t+1 & manag+
 c>e & b5efits "u ! pilot program1 to   
include provid+ c>e coord9ation4  7#b7  
,notification ,if ! ,secret>y det]m9es t
 contract+ ) private sector entities "u 
p>agraph 7#a7 is n practicable1 !       
,secret>y %all submit to ! ,committee on
 ,vet]ans' ,affairs ( ! ,s5ate & !      
,committee on ,vet]ans' ,affairs ( !    

,h\se ( ,repres5tatives--  7,a7 a       
notification ( t det]m9ation2  7,b7 a   
description ( ! /eps ! ,secret>y has    
tak5 to contract ) a private sector     
entity2  7,c7 a ju/ification = :y !     
,secret>y has det]m9$ t contract+ ) a   
private sector entity is n practicable2 
&  7,d7 a plan = h[ ! ,secret>y w c>ry  
out ! pilot program )\t contract+ ) a   
private sector entity1 includ+ ?r\gh !  
use ( employees ( ! ,dep>tm5t ( ,vet]ans
 ,affairs or o!r gov]nm5t ag5cies1      
nonpr(it organizations1 or o!r entities4
  7g7 ,metrics  7#a7 ,9 g5]al ,!        
,secret>y %all track metrics "u ! pilot 
program1 includ+ ! foll[+3 7,a7 ,! numb]
 ( vet]ans p>ticipat+ 9 ! pilot program1
 disaggregat$ by ,vet]ans ,integrat$    
,s]vice ,network4  7,b7 ,reliance on    
heal? c>e s]vices adm9i/]$ by !         
,secret>y4  7,c7 ,reliance on heal? c>e 
s]vices adm9i/]$ "u ! ,m$ic>e program "u
 title ,,xviii ( ! ,social ,security    
,act 7#db ,u4,s4,c4 #acie et seq474     
7,d7 ,quality ( c>e1 includ+ pati5t     

outcomes4  7,e7 ,co/ ( c>e4  7,f7       
,access to c>e1 includ+ "u ! designat$  
access /&>ds develop$ by ! ,secret>y "u 
section #agjc;,b ( title #ch1 ,unit$    
,/ates ,code4  7,g7 ,pati5t             
satisfaction4  7,h7 ,provid]            
satisfaction4  7,i7 ,c>e coord9ation1   
includ+ timely in=mation %>+ & m$ical   
docum5tation return4  7#b7 ,elem5ts ,9  
track+ metrics "u p>agraph 7#a71 !      
,secret>y %all track in=mation relat+   
to-- 7,a7 :e!r c>e receiv$ by a cov]$   
vet]an is relat$ to a s]vice-connect$   
disability 7z def9$ 9 section #aja (    
title #ch1 ,unit$ ,/ates ,code72  7,b7 !
 priority gr\p "u section #agje7;a7 (   
title #ch1 ,unit$ ,/ates ,code1 ?r\gh   
:i* ea* cov]$ vet]an 0 enroll$ 9 ! sy/em
 ( annual pati5t enrollm5t ( ! ,dep>tm5t
 ( ,vet]ans ,affairs "u su* section2    
7,c7 ! type ( c>e & s]vices provid$ to  
cov]$ vet]ans2 &  7,d7 ! demographics ( 
cov]$ vet]ans p>ticipat+ 9 ! pilot      
program1 includ+ age4  7h7 ,duration ,! 
,secret>y %all c>ry out ! pilot program 

= a ?ree-ye> p]iod beg9n+ on !          
comm5cem5t ( ! pilot program4  7i7      
,reports  7#a7 ,developm5t1             
implem5tation1 results1 & design ( pilot
 program  7,a7 ,9 g5]al ,n less         
frequ5tly ?an qu>t]ly dur+ ! two-ye>    
p]iod beg9n+ on ! date ( ! enactm5t (   
?is ,act1 ! ,secret>y %all submit to !  
,committee on ,vet]ans' ,affairs ( !    
,s5ate & ! ,committee on ,vet]ans'      
,affairs ( ! ,h\se ( ,repres5tatives a  
report on ! developm5t1 implem5tation1  
results1 & design ( ! pilot program1    
includ+ in=mation on ! metrics track$ "u
 subsection 7g74  7,b7 ,f9al design ,"o 
( ! reports requir$ "u subp>agraph 7,a7 
%all conta9 a description ( ! f9al      
design ( ! pilot program4  7#b7 ,results
 ( pilot program ,n lat] ?an "o ye> aft]
 ! submission ( ! f9al report "u        
p>agraph 7#a71 & n less frequ5tly ?an   
annually !reaft] dur+ ! duration ( !    
pilot program1 ! ,secret>y %all submit  
to ! ,committee on ,vet]ans' ,affairs ( 
! ,s5ate & ! ,committee on ,vet]ans'    

,affairs ( ! ,h\se ( ,repres5tatives a  
report on ! results ( ! pilot program4  
7#c7 ,f9al report ,n lat] ?an #ahj days 
be=e ! t]m9ation ( ! pilot program1 !   
,secret>y %all submit to ! ,committee on
 ,vet]ans' ,affairs ( ! ,s5ate & !      
,committee on ,vet]ans' ,affairs ( !    
,h\se ( ,repres5tatives a f9al report on
 ! pilot program1 :i* %all include !    
recomm5dation ( ! ,secret>y = :e!r !    
pilot program %\ld be ext5d$ or made    
p]man5t4  7j7 ,def9itions ,9 ?is        
section3 7#a7 ,cov]$ vet]an ,! t]m cov]$
 vet]an means a vet]an :o is enroll$ 9  
bo? ! ,m$ic>e program "u title ,,xviii (
 ! ,social ,security ,act 7#db ,u4,s4,c4
 #acie et seq47 & ! sy/em ( annual      
pati5t enrollm5t ( ! ,dep>tm5t (        
,vet]ans ,affairs "u section #agje7;a7 (
 title #ch1 ,unit$ ,/ates ,code4  7#b7  
,secret>y ,! t]m ,secret>y means !      
,secret>y ( ,vet]ans ,affairs4