,i  #aai? ,,congress  #b;d ,session  ,h4
 ,r4 #iebd  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,june #bi1 #bjbf,mr4  
,murphy 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 provide = coord9ation     
betwe5 ! ,secret>ies 9 ! adm9i/ration ( 
! ,vet]ans ,community ,c>e ,program &   
c]ta9 heal? plans "u ! ,m$ic>e program1 
& = o!r purposes4  #a4 ,%ort title ,?is 
,act may be cit$ z ! ,vet]ans ,c>e &    
,co/ ,coord9ation ,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 ( coord9at+ ! co/s1 c>e1 &     
managem5t ( 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$ic>e        
program2 or  7#b7 a ,m$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$ic>e program2 or  7ii7 a ,m$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 ,c>e coord9ation "u ,vet]ans        
,community ,c>e ,program = concurr5tly  
enroll$ vet]ans ,! ,secret>y %all use   
in=mation transmitt$ to ! ,secret>y by !
 ,secret>y ( ,heal? & ,human ,s]vices "u
 ! agreem5t requir$ "u subsection 7b7 to

 in=m utilization managem5t "u !        
,community ,c>e ,next ,g5]ation         
,procurem5t ,contract1 or o!r successor 
contract aw>d$ "u ! ,vet]ans ,community 
,c>e ,program "u section #agjc ( title  
#ch1 ,unit$ ,/ates ,code1 to-- 7#a7     
avoid duplicative heal? c>e to su*      
vet]ans2  7#b7 avoid errone\s or        
duplicative paym5ts = heal? c>e furni%$ 
to su* vet]ans2 &  7#c7 in=m vet]ans (  
b5eficial or foll[-up to s]vices furni%$
 pursuant to ! ,m$ic>e program or a     
,m$ic>e ,advantage4  7d7 ,calculation ( 
b5*m>k paym5ts ,section                 
#ahec7;c77#a77;,d77iii7 ( ! ,social     
,security ,act 7#db ,u4,s4,c4           
#aciew-#bc7;c77#a77;,d77iii77 is am5d$  
by add+ at ! end ! foll[+ new s5t5ce3 ,9
 develop+ ! e/imate describ$ 9 ! prec$+ 
s5t5ce1 ! ,secret>y %all use ! in=mation
 transmitt$ to ! ,secret>y by !         
,secret>y ( ,vet]ans ,affairs pursuant  
to ! memor&um ( und]/&+ requir$ "u !    
,vet]ans ,c>e & ,co/ ,coord9ation ,act (
 #bjbf44  7e7 ,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 an 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  7f7 
,m$ic>e ,advantage plan def9$ ,9 ?is    
section1 ! 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