,,ii  #aai? ,,congress  #a/ ,session    
,s4 #ccjc  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,decemb] #b1 #bjbe,mr4 
,sullivan 7= himself & ,ms4 ,hassan7    
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,vet]ans' ,affairs  ,a ,,bill  ,to      
require ! ,secret>y ( ,vet]ans ,affairs 
to c>ry out a pilot program to e/abli%  
or enhance a community integration      
plat=m = s]vices = vet]ans1 to require !
 collection f vet]ans ( in=mation relat$
 to social det]m9ants ( heal?1 & = o!r  
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,lev]ag+ ,integrat$        
,networks 9 ,communities = ,vet]ans ,act
 or ! ,,l9c ,,va ,act4  #b4 ,pilot      
program on e/abli%m5t or enhancem5t (   
community integration plat=m = vet]ans  
7a7 ,9 g5]al ,beg9n+ n lat] ?an "o ye>  
aft] ! date ( ! enactm5t ( ?is ,act1 !  
,secret>y ( ,vet]ans ,affairs1 act+     
?r\gh ! ,c5t] = ,innovation = ,c>e &    
,paym5t ( ! ,dep>tm5t ( ,vet]ans        
,affairs1 %all c>ry out a pilot program 

"u :i* ! ,secret>y %all e/abli% a new1  
or enhance an exi/+1 int]op]able        
community integration plat=m to         
coord9ate local support s]vices =       
vet]ans ?r\gh o!r gov]nm5tal &          
nongov]nm5tal organizations 79 ?is      
section ref]r$ to z ! pilot program74   
7b7 ,community integration plat=m ,!    
community integration plat=m e/abli%$ or
 enhanc$ pursuant to ! pilot program    
%all be accessible to vet]ans1 employees
 ( ! ,dep>tm5t ( ,vet]ans ,affairs1 &   
o!rs p>ticipat+ 9 ! pilot program z     
det]m9$ appropriate by ! ,secret>y &    
%all-- 7#a7 enable ! coord9ation (      
s]vices su* z-- 7,a7 nutritional        
assi/ance2  7,b7 h\s+2  7,c7 heal? c>e1 
includ+ prev5tive heal? int]v5tion1     
*ronic disease managem5t1 & behavioral  
heal? c>e2  7,d7 transportation2  7,e7  
job tra9+2  7,f7 *ild developm5t or c>e2
  7,g7 c>egiv+ & respite c>e2  7,h7     
disability assi/ance2  7,i7 suicide     
prev5tion2  7,j7 sexual assault s]vices2
  7,k7 legal aid2  7,l7 transition      

programs ( ! ,dep>tm5t ( ,def5se2 &     
7,m7 o!r s]vices1 z det]m9$ by !        
,secret>y2  7#b7 prioritize connectivity
 ) appropriate exi/+ te*nology networks 
develop$ by public or private           
organizations t comply )1 z applicable1 
/&>ds adopt$ by ! ,secret>y ( ,heal? &  
,human ,s]vices "u section #cjjd ( !    
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #cjj;jj-#ad71 = ! purposes    
describ$ 9 p>agraph 7#a72  7#c7 ensure  
t-- 7,a7 reasonable measures are tak5 to
 promote connectivity & int]op]able     
ex*ange among cov]$ entities2 &  7,b7   
appropriate privacy & security          
protections are 9 place1 9 accordance ) 
applicable ,f$]al & ,/ate privacy laws2 
7#d7 connect cov]$ entities = purposes (
 communication1 s]vice coord9ation &    
consum] assi/ance1 ref]ral & capacity   
managem5t1 outcome track+ & report+1 &  
relat$ s]vices2  7#e7 provide te*nical  
assi/ance & support cov]$ entities 9    
connect+ & p>ticipat+ 9 ! community     
integration plat=m2  7#f7 collect       

in=mation f vet]ans s]v$ "u ! pilot     
program reg>d+ social det]m9ants ( heal?
 us+ a /&>diz$ risk assessm5t or scre5+ 
tool1 :i* %all include /&>diz$          
def9itions = id5tify+ social det]m9ants 
( heal? ne$s id5tifi$ 9 ! ,,icd-#aj     
diagno/ic codes ,z#ee ?r\gh ,z#fc &     
,z#ge 7z 9 effect on ! date ( ! enactm5t
 ( ?is ,act7 t incorporate measures =   
quantify+ ! relative sev]ity ( any su*  
social det]m9ant ( heal? ne$ id5tifi$ 9 
a vet]an2  7#g7 incorporate scre5+s us$ 
to collect in=mation "u p>agraph 7#f7   
into r\t9e c>e provid$ to vet]ans "u !  
laws adm9i/]$ by ! ,secret>y2 &  7#h7 be
 accessible via a web-bas$ plat=m = all 
vet]ans & via a non-web-bas$ alt]native 
plat=m or process = vet]ans :o are      
unable to easily & reliably access !    
web-bas$ plat=m4  7c7 ,locations  7#a7  
,9 g5]al ,! ,secret>y ( ,vet]ans        
,affairs %all c>ry out ! pilot program  
at n few] ?an five m$ical facilities ( !
 ,dep>tm5t ( ,vet]ans ,affairs4  7#b7   
,v>iety ( facilities ,9 select+         

facilities "u p>agraph 7#a71 ! ,secret>y
 %all ensure ! selection ( a v>iety (   
diff]5t types ( facilities1 includ+--   
7,a7 fronti] facilities2  7,b7          
"u-res\rc$ facilities2 &  7,c7          
facilities at :i* !re are exi/+ ef=ts to
 coord9ate ) community res\rces4  7d7   
,coord9ation & integration ( programs   
7#a7 ,coord9ation ) exi/+ networks ,9   
c>ry+ out ! pilot program1 ! ,secret>y (
 ,vet]ans ,affairs %all coord9ate )     
exi/+ community networks4  7#b7         
,coord9ation & integration ) ,/ate      
m$icaid programs ,! ,secret>y ( ,heal? &
 ,human ,s]vices1 9 consultation ) !    
,secret>y ( ,vet]ans ,affairs1 %all     
issue guidance to ,/ates t includes     
options = ,/ate ,m$icaid programs to    
coord9ate & integrate m$ical assi/ance  
provid$ "u a ,/ate plan or waiv] "u     
title ,,xix ( ! ,social ,security ,act  
7#db ,u4,s4,c4 #acif et seq47 ) s]vices 
= vet]ans provid$ "u ! pilot program1 z 
well z a template = ,/ates to use to    
reque/ or modify ,m$icaid waiv] au?ority

 "u section #aaae ( ! ,social ,security 
,act 7#db ,u4,s4,c4 #acae7 = su*        
purpose4  7e7 ,track+ ( ref]rals  7#a7  
,9 g5]al ,! ,secret>y ( ,vet]ans        
,affairs %all track-- 7,a7 ! accuracy ( 
ref]rals ( vet]ans to community networks
 "u ! pilot program2  7,b7 ! response "t
 ( provid]s to :i* su* vet]ans are      
ref]r$2 &  7,c7 ! outcome ( ! initial   
meet+ by a vet]an & ! provid] to :i* !  
vet]an is ref]r$4  7#b7 ,=m ,! ,secret>y
 may track ! in=mation requir$ "u       
p>agraph 7#a7 9 any m$ium det]m9$       
appropriate by ! ,secret>y4  7f7 ,report
 ,n lat] ?an ?ree ye>s aft] am\nts are  
fir/ appropriat$ to c>ry out ! pilot    
program1 ! ,secret>y ( ,vet]ans ,affairs
 %all submit to ,congress a report      
indicat+ ! social s]vice ne$s ( vet]ans 
reflect$ by ! use ( s]vices "u !        
community integration plat=m e/abli%$ or
 enhanc$ "u ! pilot program1 includ+ an 
assessm5t (-- 7#a7 ! ne$ = s]vices t is 
be+ met ?r\gh su* plat=m2 &  7#b7 ! ne$ 
= s]vices t is n be+ met ?r\gh su*      

plat=m4  7g7 ,comptroll] ,g5]al         
evaluation1 report1 & recomm5dations    
7#a7 ,evaluation ,! ,comptroll] ,g5]al (
 ! ,unit$ ,/ates %all conduct an        
evaluation t measures ! ov]all impact ( 
! community integration plat=m e/abli%$ 
or enhanc$ "u ! pilot program ) respect 
to-- 7,a7 *anges 9 individual &         
population heal? outcomes among vet]ans2
  7,b7 *anges 9 access to heal? c>e or  
social s]vices among vet]ans2 &  7,c7   
su* o!r factors z ! ,comptroll] ,g5]al  
consid]s appropriate4  7#b7 ,report &   
recomm5dations  7,a7 ,9 g5]al ,n lat]   
?an f\r ye>s aft] ! date ( ! enactm5t ( 
?is ,act1 ! ,comptroll] ,g5]al %all--   
7i7 submit to ,congress a report on !   
evaluation conduct$ "u p>agraph 7#a72   
7ii7 make su* report publicly available2
 &  7iii7 bas$ on su* evaluation1 make  
recomm5dations to ! ,secret>y ( ,vet]ans
 ,affairs on h[ to improve & su/a9 !    
community integration plat=m e/abli%$ or
 enhanc$ "u ! pilot program4  7,b7      
,elem5ts ( report ,! report "u          

subp>agraph 7,a77i7 %all include data   
on-- 7i7 :at res\rces "u ! pilot program
 are be+ utiliz$ ! mo/2  7ii7 :at       
reque/s = s]vices "u ! pilot program _c 
be met2 &  7iii7 ! impact ( ! provision 
( s]vices "u ! pilot program on heal?   
outcomes ( vet]ans4  7h7 ,def9itions ,9 
?is section3 7#a7 ,community integration
 plat=m ,! t]m community integration    
plat=m means an int]op]able plat=m us$  
to enable ! coord9ation1 alignm5t1 &    
connection ( cov]$ entities at ! local  
level = purposes ( communication1 s]vice
 coord9ation1 & ref]ral managem5t (     
s]vices1 ) respect to s]vices specifi$ 9
 subsection 7b77#a74  7#b7 ,cov]$ entity
 ,! t]m cov]$ entity means any-- 7,a7   
community-bas$ organization t-- 7i7     
accepts ref]rals f heal? c>e            
organizations2 &  7ii7 provides s]vices 
specifi$ 9 subsection 7b77#a74  7,b7    
public or private heal? c>e provid]     
organization2  7,c7 public or private   
fund$ payor ( heal? c>e s]vices1 includ+
 home- or community-bas$ s]vices2  7,d7 

,/ate1 local1 t]ritorial1 or ,tribal    
heal? & social s]vices ag5cy2  7,e7     
,/ate public h\s+ au?ority or h\s+      
f9ance ag5cy2  7,f7 public heal?        
in=mation ex*ange or public heal?       
in=mation network1 z def9$ by !         
,secret>y ( ,vet]ans ,affairs2 or  7,g7 
o!r simil> entity1 z det]m9$ by !       
,secret>y4  7#c7 ,/ate ,! t]m ,/ate     
means a ,/ate1 t]ritory ( ! ,unit$      
,/ates1 or ! ,di/rict ( ,columbia4  #c4 
,collection ( in=mation f vet]ans relat$
 to social det]m9ants ( heal?  7a7 ,9   
g5]al ,! ,secret>y ( ,vet]ans ,affairs  
%all collect f vet]ans enroll$ 9 ! sy/em
 ( annual pati5t enrollm5t ( ! ,dep>tm5t
 ( ,vet]ans ,affairs e/abli%$ & op]at$  
"u section #agje7;a7 ( title #ch1 ,unit$
 ,/ates ,code1 z "p ( r\t9e scre5+s (   
su* vet]ans "u ! laws adm9i/]$ by !     
,secret>y1 in=mation relat$ to social   
det]m9ants t may factor into ! heal? (  
su* vet]ans4  7b7 ,social det]m9ants (  
heal?  7#a7 ,9 g5]al ,! in=mation       
collect$ "u subsection 7a7 %all include 

/&>diz$ def9itions = id5tify+ social    
det]m9ants ( heal? ne$s id5tifi$ 9 !    
,,icd-#aj diagno/ic codes ,z#ee ?r\gh   
,z#fc & ,z#ge 7z 9 effect on ! date (   
enactm5t ( ?is ,act74  7#b7             
,incorporation ( measures ,def9itions   
includ$ "u p>agraph 7#a7 ) respect to   
id5tify+ social det]m9ants ( heal? ne$s 
%all incorporate measures = quantify+ ! 
relative sev]ity ( any su* social       
det]m9ant ( heal? ne$ id5tifi$ 9 an     
individual4