,,ii  #aai? ,,congress  #a/ ,session    
,s4 #biha  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,octob] #g1 #bjbe,mr4  
,moran introduc$ ! foll[+ bill2 :i* 0   
read twice & ref]r$ to ! ,committee on  
,vet]ans' ,affairs  ,a ,,bill  ,to am5d 
title #ch1 ,unit$ ,/ates ,code1 to      
improve ! provision ( pro/hetic &       
rehabilitative items & s]vices by !     
,dep>tm5t ( ,vet]ans ,affairs1 & = o!r  
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,vet]ans ,pro/hetics       
,advancem5t & ,re=m ,act4  #b4          
,improvem5ts to ,dep>tm5t ( ,vet]ans    
,affairs pro/hetic & rehabilitative     
items & s]vice  7a7 ,9 g5]al ,*apt] #ag 
( title #ch1 ,unit$ ,/ates ,code1 is    
am5d$ by ins]t+ aft] section #agji;,c ! 
foll[+ new section3  #agji;,d4          
,pro/hetic & rehabilitative items &     
s]vices =mul>y  7a7 ,9 g5]al ,!         
,secret>y %all e/abli% a li/ ( pro/hetic
 & rehabilitative items & s]vices1 :i*  
may be ref]r$ to z ! ,pro/hetic &       
,rehabilitative ,items & ,s]vices       

,=mul>y or ! ,=mul>y1 = purposes (      
furni%+ m$ical s]vices "u section       
#agja7f77;,f7 ( ?is title pursuant to   
section #agaj ( ?is title4  7b7         
,requirem5ts  7#a7 ,input ,9 develop+ ! 
,=mul>y1 ! ,secret>y %all solicit input 
f vet]ans & ! public4  7#b7             
,availability ( items ,! ,secret>y %all 
ensure t all items & s]vices includ$ 9 !
 ,=mul>y are available at or ?r\gh all  
facilities ( ! ,dep>tm5t4  7#c7 ,items  
,to be includ$ ,9 develop+ ! ,=mul>y1 ! 
,secret>y %all rely on ! be/ available  
evid5ce to id5tify :i* items & s]vices  
%\ld be includ$ on ! ,=mul>y4  7c7      
,publication & communication  7#a7      
,publication & update ,! ,secret>y %all 
publi% ! ,=mul>y on a website ( !       
,dep>tm5t & %all update ! ,=mul>y       
p]iodically4  7#b7 ,communication ,!    
,secret>y %all communicate to vet]ans ! 
cont5ts ( ! ,=mul>y & in=mation ab\t h[ 
to appeal decisions reg>d+ ! provision (
 items & s]vices on ! ,=mul>y4  7d7     
,contracts ,! ,secret>y %all ent] into  

su* contracts z ! ,secret>y consid]s    
necess>y to support ! availability (    
items & s]vices includ$ 9 ! ,=mul>y4    
7e7 ,tra9+ ,! ,secret>y %all ensure !   
availability ( tra9+ on ! ,=mul>y =     
cl9icians & o!r /aff ( ! ,dep>tm5t4  7f7
 ,exceptions  7#a7 ,9 g5]al ,! ,secret>y
 %all e/abli% a process = cl9icians ( ! 
,dep>tm5t to reque/1 prescribe1 & furni%
 pro/hetic & rehabilitative items &     
s]vices t are n includ$ on ! ,=mul>y :5 
m$ically necess>y4  7#b7 ,monitor+ (    
non-,=mul>y items & s]vices ,! ,secret>y
 %all monitor reque/s1 prescriptions1 & 
! furni%+ ( pro/hetic & rehabilitative  
items & s]vices "u p>agraph 7#a7-- 7,a7 
to ensure t su* items & s]vices are be+ 
consi/5tly & appropriately prescrib$ at 
all facilities ( ! ,dep>tm5t2 &  7,b7 to
 det]m9e :e!r su* items or s]vices %\ld 
be add$ to ! ,=mul>y4  7g7 ,consid]ation
 ,9 develop+ ! ,=mul>y1 ! ,secret>y %all
 consid] h[ ! approa* ( ! ,ph>macy      
,b5efits ,managem5t ,s]vices ( !        
,dep>tm5t = =mul>y managem5t & m$ication

 safety c be adapt$ to support !        
effici5t & effective adm9i/ration ( !   
,=mul>y4  4  7b7 ,cl]ical am5dm5t ,!    
table ( sections at ! beg9n+ ( su* *apt]
 is am5d$ by ins]t+ aft] ! item relat+  
to section #agji;,c ! foll[+ new item3  
#agji;,d4 ,pro/hetic & rehabilitative   
items & s]vices =mul>y4