,,ii  #aaith ,,congress  #ast ,session  
,s4 #biha  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,october #g1   
#bjbe,mr4 ,moran introduced the         
following bill2 which was read twice and
 referred to the ,committee on          
,veterans' ,affairs  ,a ,,bill  ,to     
amend title #ch1 ,united ,states ,code1 
to improve the provision of prosthetic  
and rehabilitative items and services by
 the ,department of ,veterans ,affairs1 
and for other purposes4  #a4 ,short     
title ,this ,act may be cited as the    
,veterans ,prosthetics ,advancement and 
,reform ,act4  #b4 ,improvements to     
,department of ,veterans ,affairs       
prosthetic and rehabilitative items and 
service  7a7 ,in general ,chapter #ag of
 title #ch1 ,united ,states ,code1 is   
amended by inserting after section      
#agji;,c the following new section3     
#agji;,d4 ,prosthetic and rehabilitative
 items and services formulary  7a7 ,in  
general ,the ,secretary shall establish 
a list of prosthetic and rehabilitative 

items and services1 which may be        
referred to as the ,prosthetic and      
,rehabilitative ,items and ,services    
,formulary or the ,formulary1 for       
purposes of furnishing medical services 
under section #agja7f77;,f7 of this     
title pursuant to section #agaj of this 
title4  7b7 ,requirements  7#a7 ,input  
,in developing the ,formulary1 the      
,secretary shall solicit input from     
veterans and the public4  7#b7          
,availability of items ,the ,secretary  
shall ensure that all items and services
 included in the ,formulary are         
available at or through all facilities  
of the ,department4  7#c7 ,items ,to be 
included ,in developing the ,formulary1 
the ,secretary shall rely on the best   
available evidence to identify which    
items and services should be included on
 the ,formulary4  7c7 ,publication and  
communication  7#a7 ,publication and    
update ,the ,secretary shall publish the
 ,formulary on a website of the         
,department and shall update the        

,formulary periodically4  7#b7          
,communication ,the ,secretary shall    
communicate to veterans the contents of 
the ,formulary and information about how
 to appeal decisions regarding the      
provision of items and services on the  
,formulary4  7d7 ,contracts ,the        
,secretary shall enter into such        
contracts as the ,secretary considers   
necessary to support the availability of
 items and services included in the     
,formulary4  7e7 ,training ,the         
,secretary shall ensure the availability
 of training on the ,formulary for      
clinicians and other staff of the       
,department4  7f7 ,exceptions  7#a7 ,in 
general ,the ,secretary shall establish 
a process for clinicians of the         
,department to request1 prescribe1 and  
furnish prosthetic and rehabilitative   
items and services that are not included
 on the ,formulary when medically       
necessary4  7#b7 ,monitoring of         
non-,formulary items and services ,the  
,secretary shall monitor requests1      

prescriptions1 and the furnishing of    
prosthetic and rehabilitative items and 
services under paragraph 7#a7-- 7,a7 to 
ensure that such items and services are 
being consistently and appropriately    
prescribed at all facilities of the     
,department2 and  7,b7 to determine     
whether such items or services should be
 added to the ,formulary4  7g7          
,consideration ,in developing the       
,formulary1 the ,secretary shall        
consider how the approach of the        
,pharmacy ,benefits ,management         
,services of the ,department for        
formulary management and medication     
safety can be adapted to support the    
efficient and effective administration  
of the ,formulary4  4  7b7 ,clerical    
amendment ,the table of sections at the 
beginning of such chapter is amended by 
inserting after the item relating to    
section #agji;,c the following new item3
 #agji;,d4 ,prosthetic and              
rehabilitative items and services       
formulary4