,i  #aaith ,,congress  #b;d ,session    
,h4 ,r4 #ijcc  ,,in ,,the ,,house ,,of  
,,representatives  ,may #bf1 #bjbf,mrs4 
,miller-,meeks introduced the following 
bill2 which was referred to the         
,committee on ,veterans' ,affairs  ,a   
,,bill  ,to amend title #ch1 ,united    
,states ,code1 to enhance the sharing of
 health-care resources between the      
,department of ,veterans ,affairs and   
,state ,veterans ,homes1 and for other  
purposes4  #a4 ,short title ,this ,act  
may be cited as the ,timely ,agreements 
,act4  #b4 ,requirements for certain    
agreements between the ,department of   
,veterans ,affairs and ,state veterans  
homes for the sharing of health-care    
resources  7a7 ,timely decisions on     
certain proposals  7#a7 ,in general     
,chapter #ha of title #ch1 ,united      
,states ,code1 is amended by inserting  
after section #haec the following new   
section3  #haec;a4 ,sharing of          
health-care resources with ,state homes2
 timely decisions on certain proposals  

7a7 ,in a case in which a ,state home   
submits to the ,secretary a proposal for
 an agreement under section #haec       
involving the purchase by the ,state    
home of pharmaceuticals or durable      
medical equipment1 or both1 the         
,secretary shall either approve or      
reject the proposal by the date 7in this
 section referred to as the decision    
date7 that is #fj calendar days after   
the date on which the proposal was      
received4  7b7 ,if such a proposal is   
not approved or rejected by the decision
 date1 the proposal shall be deemed     
approved and given effect4  7c7 ,the    
rejection of such a proposal shall not  
preclude the ,state home from           
submitting1 or the ,secretary from      
negotiating or approving1 subsequent    
proposals4  7d7 ,the ,secretary shall   
enable ,state homes to submit such      
proposals by hand delivery1 mail1       
facsimile1 electronic mail1 and any     
other mechanism the ,secretary considers
 appropriate4  7e7 ,the ,secretary shall

 establish and make available a standard
 template for such proposals4  4  7#b7  
,clerical amendment ,the table of       
sections at the beginning of such       
chapter is amended by inserting after   
the item relating to section #haec the  
following new item3  #haec;a4 ,sharing  
of health-care resources with ,state    
homes2 requirements for certain         
agreements4  4  7#c7 ,implementation    
date ,the standard template required by 
section #haec;a of title #ch1 ,united   
,states ,code1 as added by this section1
 shall be established and made available
 not later than #ahj days after the date
 of the enactment of this ,act4  7b7    
,provision of care without an agreement 
not a deficiency ,section #afb of the   
,joseph ,maxwell ,cleland and ,robert   
,joseph ,dole ,memorial ,veterans       
,benefits and ,health ,care ,improvement
 ,act of #bjbb 7division ,u of ,public  
,law #aag-cbh2 #acf ,stat4 #edcj2 #ch   
,u4,s4,c4 #agda note7 is amended--  7#a7
 by redesignating subsection 7d7 as     

subsection 7e72 and  7#b7 by inserting  
after subsection 7c7 the following new  
subsection3  7d7 ,provision of care     
without an agreement not a deficiency   
,notwithstanding section #agdb of title 
#ch1 ,united ,states ,code1 the         
,secretary shall ensure that1 if a      
,state home provides care to an eligible
 veteran when there is no applicable    
agreement in place with the ,department 
under section #haec of such title1 the  
fact that no applicable agreement is in 
place shall not1 in and of itself1 be   
treated as an inspection violation or   
deficiency4  4