,,ii  #aai? ,,congress  #a/ ,session    
,s4 #bccc  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,july #ag1 #bjbe ,mr4  
,wel* introduc$ ! foll[+ bill2 :i* 0    
read twice & ref]r$ to ! ,committee on  
,vet]ans' ,affairs  ,a ,,bill  ,to      
require ! ,secret>y ( ,def5se & !       
,secret>y ( ,vet]ans ,affairs to p]mit  
supplem5tation ( heal? records ( deceas$
 vet]ans1 & = o!r purposes4  #a4  ,%ort 
title  ,?is ,act may be cit$ z ! ,heal? 
,records ,enhancem5t ,act4  #b4         
,supplem5tation ( heal? records (       
deceas$ vet]ans  7a7  ,9 g5]al  ,n lat] 
?an "o ye> aft] ! date ( ! enactm5t (   
?is ,act1 ! ,secret>y ( ,def5se & !     
,secret>y ( ,vet]ans ,affairs %all      
jo9tly take actions necess>y to ensure t
 ! heal? records ( ! ,dep>tm5t ( ,def5se
 & ! ,dep>tm5t ( ,vet]ans ,affairs may  
be updat$ ) obs]v$ heal? conditions &   
o!r relevant heal? in=mation ( a deceas$
 enrollee by--  7#a7 an individual      
designat$ by su* deceas$ enrollee2 or   
7#b7 if no su* individual is designat$1 

an imm$iate family memb] ( su* deceas$  
enrollee4  7b7  ,designation  ,!        
,secret>y ( ,def5se & ! ,secret>y (     
,vet]ans ,affairs %all jo9tly provide = 
a process by :i* an individual may make 
a designation = purposes ( subsection   
7a77#a74  7c7  ,no modification ( heal? 
in=mation  ,any update "u subsection 7a7
 %all supplem5t in=mation conta9$ 9 !   
heal? records ( a deceas$ enrollee &    
%all n modify in=mation conta9$ 9 su*   
records4  7d7  ,def9itions  ,9 ?is      
section3 7#a7 ,imm$iate family memb] ,! 
t]m imm$iate family memb]1 ) respect to 
a deceas$ enrollee1 means--  7,a7 !     
sp\se1 p>5t1 bro!r1 si/]1 or adult *ild 
( ! individual2 or  7,b7 an adult p]son 
to :om ! individual /&s 9 loco p>5tis4  
7#b7 ,deceas$ enrollee ,! t]m deceas$   
enrollee means any individual :o1 at !  
"t ( 8 or h] dea?--  7,a7 0 enroll$ 9 ! 
pati5t enrollm5t sy/em ( ! ,dep>tm5t (  
,vet]ans ,affairs e/abli%$ & op]at$ "u  
section #agje7;a7 ( title #ch1 ,unit$   
,/ates ,code2 or  7,b7 0 entitl$ to c>e 

"u ! ,,tric>e program1 z def9$ 9 section
 #ajgb ( title #aj1 ,unit$ ,/ates ,code4