,i  #aai? ,,congress  #b;d ,session  ,h4
 ,r4 #iejb  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,june #bi1 #bjbf,mr4  
,bresnahan introduc$ ! foll[+ bill2 :i* 
0 ref]r$ to ! ,committee on ,vet]ans'   
,affairs1 & 9 addition to ! ,committees 
on ,ways & ,means1 & ,en]gy & ,comm]ce1 
= 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   
direct ! ,secret>y ( ,vet]ans ,affairs  
to seek to ent] into a memor&um (       
und]/&+ ) ! ,secret>y ( ,heal? & ,human 
,s]vices to avoid duplicative1 improp]1 
or errone\s bill+s or paym5ts = hospital
 c>e & m$ical s]vices furni%$ "u ! laws 
adm9i/]$ by ! ,secret>y ( ,vet]ans      
,affairs4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,protect ,s5iors & ,vet]ans
 f ,heal? ,c>e ,fraud ,act ( #bjbf4  #b4
 ,memor&um ( und]/&+ = reciprocal access
 to c]ta9 heal? c>e data betwe5 !       
,secret>y ( ,vet]ans ,affairs & !       
,secret>y ( ,heal? & ,human ,s]vices    

7a7 ,9 g5]al ,n lat] ?an "o ye> aft] !  
date ( ! enactm5t ( ?is ,act1 !         
,secret>y ( ,vet]ans ,affairs %all1 =   
purposes ( avoid+ duplicative1 improp]1 
or errone\s bill+s or paym5ts = hospital
 c>e & m$ical s]vices furni%$ "u ! laws 
adm9i/]$ by ! ,secret>y ( ,vet]ans      
,affairs1 seek to ent] into a memor&um (
 und]/&+ ) ! ,secret>y ( ,heal? & ,human
 ,s]vices ) respect to reciprocal access
 betwe5 ! ,vet]ans ,heal? ,adm9i/ration 
& ! ,c5t]s = ,m$ic>e & ,m$icaid ,s]vices
 to data & in=mation on vet]ans :o are  
concurr5tly enroll$ 9 ! pati5t enrollm5t
 sy/em "u section #agje7;a7 ( title #ch1
 ,unit$ ,/ates ,code1 &-- 7#a7 ! ,m$ic>e
 program2  7#b7 ! ,m$icaid program2 or  
7#c7 a ,m$ic>e ,advantage plan4  7b7    
,agreem5t ,! memor&um ( und]/&+ requir$ 
"u subsection 7a7 %all include an       
agreem5t ?r\gh :i*-- 7#a7 ! ,secret>y ( 
,vet]ans ,affairs transmits to !        
,secret>y ( ,heal? & ,human ,s]vices--  
7,a7 in=mation relat+ to vet]ans :o     
are-- 7i7 enroll$ 9 su* sy/em = pati5t  

enrollm5t2 &  7ii7 9 receipt ( hospital 
c>e or m$ical s]vices "u laws adm9i/]$  
by ! ,secret>y ( ,vet]ans ,affairs2 &   
7,b7 su* o!r in=mation z ! ,secret>y (  
,vet]ans ,affairs det]m9es appropriate1 
includ+ bill+ codes & diagno/ic codes = 
su* hospital c>e or m$ical s]vices2 &   
7#b7 ! ,secret>y ( ,heal? & ,human      
,s]vices-- 7,a7 uses in=mation          
transmitt$ pursuant to p>agraph 7#a7 to 
id5tify vet]ans :o are concurr5tly      
enroll$ 9 su* sy/em = pati5t enrollm5t  
&-- 7i7 ! ,m$ic>e program2  7ii7 !      
,m$icaid program2 or  7iii7 a ,m$ic>e   
,advantage plan2 &  7,b7 transmits to ! 
,secret>y ( ,vet]ans ,affairs-- 7i7 a   
li/ ( ! vet]ans id5tifi$ pursuant to    
subp>agraph 7,a72 &  7ii7 su* o!r       
in=mation z ! ,secret>y ( ,heal? &      
,human ,s]vices det]m9es appropriate4   
7c7 ,t]m ,! memor&um ( und]/&+ requir$  
"u subsection 7a7 %all be effective = a 
two-ye> p]iod beg9n+ on ! date on :i* ! 
,secret>y ( ,vet]ans ,affairs ent]s into
 su* memor&um4  7d7 ,report ,n lat] ?an 

"o ye> aft] ! date on :i* ! ,secret>y ( 
,vet]ans ,affairs ent]s into ! memor&um 
( und]/&+ requir$ "u subsection 7a71 &  
on a bi5nial basis !reaft] dur+ ! p]iod 
su* memor&um is effective1 ! ,secret>y  
%all submit to ! ,committees on         
,vet]ans' ,affairs ( ! ,h\se (          
,repres5tatives & ! ,s5ate a report t   
includes-- 7#a7 a summ>y ( ! activities 
( ! ,secret>y c>ri$ out pursuant to su* 
memor&um2 &  7#b7 an assessm5t ( !      
,secret>y ) respect to ! effectiv5ess ( 
su* memor&um 9 avoid+ duplicative1      
improp]1 or errone\s bill+s or paym5ts =
 hospital c>e & m$ical s]vices furni%$  
"u ! laws adm9i/]$ by ! ,secret>y4  7e7 
,def9itions ,9 ?is section3 7#a7 ,! t]m 
,m$icaid program means ! program (      
m$ical assi/ance e/abli%$ "u title ,,xix
 ( ! ,social ,security ,act 7#db        
,u4,s4,c4 #acif et seq474  7#b7 ,! t]m  
,m$ic>e ,advantage plan means a ,m$ic>e 
,advantage plan "u ! program e/abli%$ "u
 "p ,c ( title ,,xviii ( ! ,social      
,security ,act 7#db ,u4,s4,c4 #aciew-#ba

 et seq474  7#c7 ,! t]m ,m$ic>e program 
means ! ,m$ic>e program "u su* title4