,i  #aai? ,,congress  #b;d ,session  ,h4
 ,r4 #ijcc  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,may #bf1 #bjbf,mrs4  
,mill]-,meeks introduc$ ! foll[+ bill2  
:i* 0 ref]r$ to ! ,committee on         
,vet]ans' ,affairs  ,a ,,bill  ,to am5d 
title #ch1 ,unit$ ,/ates ,code1 to      
enhance ! %>+ ( heal?-c>e res\rces      
betwe5 ! ,dep>tm5t ( ,vet]ans ,affairs &
 ,/ate ,vet]ans ,homes1 & = o!r         
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,timely ,agreem5ts ,act4   
#b4 ,requirem5ts = c]ta9 agreem5ts      
betwe5 ! ,dep>tm5t ( ,vet]ans ,affairs &
 ,/ate vet]ans homes = ! %>+ ( heal?-c>e
 res\rces  7a7 ,timely decisions on     
c]ta9 proposals  7#a7 ,9 g5]al ,*apt]   
#ha ( title #ch1 ,unit$ ,/ates ,code1 is
 am5d$ by ins]t+ aft] section #haec !   
foll[+ new section3  #haec;a4 ,%>+ (    
heal?-c>e res\rces ) ,/ate homes2 timely
 decisions on c]ta9 proposals  7a7 ,9 a 
case 9 :i* a ,/ate home submits to !    
,secret>y a proposal = an agreem5t "u   
section #haec involv+ ! pur*ase by !    

,/ate home ( ph>maceuticals or durable  
m$ical equipm5t1 or bo?1 ! ,secret>y    
%all ei!r approve or reject ! proposal  
by ! date 79 ?is section ref]r$ to z !  
decision date7 t is #fj cal5d> days aft]
 ! date on :i* ! proposal 0 receiv$4    
7b7 ,if su* a proposal is n approv$ or  
reject$ by ! decision date1 ! proposal  
%all be deem$ approv$ & giv5 effect4    
7c7 ,! rejection ( su* a proposal %all n
 preclude ! ,/ate home f submitt+1 or ! 
,secret>y f negotiat+ or approv+1       
subsequ5t proposals4  7d7 ,! ,secret>y  
%all enable ,/ate homes to submit su*   
proposals by h& deliv]y1 mail1          
facsimile1 electronic mail1 & any o!r   
me*anism ! ,secret>y consid]s           
appropriate4  7e7 ,! ,secret>y %all     
e/abli% & make available a /&>d template
 = su* proposals4  4  7#b7 ,cl]ical     
am5dm5t ,! table ( sections at ! beg9n+ 
( su* *apt] is am5d$ by ins]t+ aft] !   
item relat+ to section #haec ! foll[+   
new item3  #haec;a4 ,%>+ ( heal?-c>e    
res\rces ) ,/ate homes2 requirem5ts =   

c]ta9 agreem5ts4  4  7#c7 ,implem5tation
 date ,! /&>d template requir$ by       
section #haec;a ( title #ch1 ,unit$     
,/ates ,code1 z add$ by ?is section1    
%all be e/abli%$ & made available n lat]
 ?an #ahj days aft] ! date ( ! enactm5t 
( ?is ,act4  7b7 ,provision ( c>e )\t an
 agreem5t n a defici5cy ,section #afb ( 
! ,joseph ,maxwell ,clel& & ,rob]t      
,joseph ,dole ,memorial ,vet]ans        
,b5efits & ,heal? ,c>e ,improvem5t ,act 
( #bjbb 7division ,u ( ,public ,law     
#aag-cbh2 #acf ,/at4 #edcj2 #ch         
,u4,s4,c4 #agda note7 is am5d$--  7#a7  
by r$esignat+ subsection 7d7 z          
subsection 7e72 &  7#b7 by ins]t+ aft]  
subsection 7c7 ! foll[+ new subsection3 
7d7 ,provision ( c>e )\t an agreem5t n a
 defici5cy ,not)/&+ section #agdb (     
title #ch1 ,unit$ ,/ates ,code1 !       
,secret>y %all ensure t1 if a ,/ate home
 provides c>e to an eligible vet]an :5  
!re is no applicable agreem5t 9 place ) 
! ,dep>tm5t "u section #haec ( su*      
title1 ! fact t no applicable agreem5t  

is 9 place %all n1 9 & ( itself1 be     
treat$ z an inspection violation or     
defici5cy4  4