,,ii  #aai? ,,congress  #b;d ,session   
,s4 #cihh  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,m>* #d1 #bjbf,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      
direct ! ,secret>y ( ,vet]ans ,affairs  
to (f] annual prev5tative heal?         
evaluations to vet]ans ) a sp9al cord   
injury or disord] & increase access to  
assi/ive te*nologies1 & = o!r purposes4 
#a4 ,%ort title ,?is ,act may be cit$ z 
! ,vet]ans ,sp9al ,trauma ,access to    
,new ,devices ,act or ! ,vet]ans ,,/&   
,act4  #b4 ,provision ( prev5tative     
heal? evaluations = vet]ans ) a sp9al   
cord injury or disord] ,section #agjf ( 
title #ch1 ,unit$ ,/ates ,code1 is am5d$
 by add+ at ! end ! foll[+ new          
subsection3  7d7 7#a7 ,9 manag+ !       
provision ( hospital c>e & m$ical       
s]vices "u section #agaj7;a7 ( ?is      
title1 ! ,secret>y %all furni% 7?r\gh   
direct provision ( s]vice1 ref]ral1 or a

 teleheal? program op]at$ by !          
,dep>tm5t7 a prev5tative heal?          
evaluation annually to any vet]an ) a   
sp9al cord injury or disord] :o elects  
to und]go ! evaluation4  7#b7 ,!        
evaluation describ$ 9 p>agraph 7#a7 %all
 include ! foll[+3 7,a7 ,an assessm5t ( 
any circum/ance or condition ! vet]an is
 exp]i5c+ t indicates a risk = any heal?
 complication relat$ to ! sp9al cord    
injury or disord]1 includ+ a risk (     
comorbidities4  7,b7 ,an assessm5t      
reg>d+ *ronic pa9 &1 if applicable1 !   
managem5t ( *ronic pa94  7,c7 ,an       
assessm5t reg>d+ diet>y managem5t &     
weight managem5t4  7,d7 ,an assessm5t   
reg>d+ pro/hetic equipm5t1 includ+ :i*  
pro/hetic equipm5t ! vet]an ne$s1 h[    
well any exi/+ pro/hetic equipm5t is    
function+ consid]+ ! ne$s ( ! vet]an1 & 
any safety conc]ns reg>d+ ! pro/hetic   
equipm5t 9 use by or recomm5d$ to !     
vet]an4  7,e7 ,an assessm5t ) respect to
 ! provision ( assi/ive te*nology1      
includ+ sp9al cord neuromodulation      

te*nology 7su* z non-invasive           
transcutane\s sp9al /imulation71 t c\ld 
help maximize ! volunt>y motor or       
autonomic function1 indep5d5ce1 or      
mobility ( ! vet]an1 includ+ suitability
 ( su* te*nology = home use & ne$ =     
tra9+1 programm+1 & remote foll[-up4    
7#c7 7,a7 ,9 ma9ta9+1 prescrib+1 or     
am5d+ any guidance1 rules1 or           
regulations issu$ by ! ,dep>tm5t reg>d+ 
! requirem5ts set out 9 ?is subsection1 
! ,secret>y %all consult )-- 7i7 ! sp9al
 cord injury & disord] program manag]s (
 ! ,dep>tm5t2  7ii7 cl9icians employ$ by
 ! ,dep>tm5t z speciali/s 9 sp9al cord  
injuries & disord]s2  7iii7 cl9icians & 
te*nologi/s ) demon/rat$ exp]tise 9     
sp9al cord neuromodulation !rapies1     
includ+ non-invasive transcutane\s      
approa*es2 &  7iv7 repres5tatives (     
organizations recogniz$ "u section #eijb
 ( ?is title4  7,b7 ,be=e issu+ any     
guidance1 rules1 or regulations reg>d+ !
 requirem5ts set out 9 ?is subsection1 !
 ,secret>y %all consult ) manufactur]s (

 assi/ive te*nologies & o!r entities    
relevant to ! provision ( assi/ive      
te*nologies if ! guidance1 rules1 or    
regulations w\ld directly affect su*    
manufactur]s or entities4  7,c7 ,!      
,secret>y %all ensure1 to ! ext5t       
possible1 t any vet]an kn[n by !        
,secret>y to h a sp9al cord injury or   
disord] receives in=mation annually ab\t
 ! evaluation available "u ?is          
subsection & ! b5efits to ! vet]an (    
*oos+ to und]go ! evaluation4  7#d7 ,z !
 ,secret>y det]m9es cl9ically           
appropriate1 ! ,secret>y may provide    
tra9+1 programm+1 remote monitor+1 &    
foll[-up = assi/ive te*nologies ?r\gh   
teleheal?4  7#e7 ,n lat] ?an "o ye> aft]
 ! date ( ! enactm5t ( ! ,vet]ans ,sp9al
 ,trauma ,access to ,new ,devices ,act1 
& e two ye>s !reaft]1 ! ,secret>y %all  
submit to ! ,committee on ,vet]ans'     
,affairs ( ! ,s5ate & ! ,committee on   
,vet]ans' ,affairs ( ! ,h\se (          
,repres5tatives a report t includes !   
foll[+3 7,a7 ,= ! p]iod cov]$ by !      

report-- 7i7 ! numb] ( vet]ans :o-- 7,i7
 receiv$ hospital c>e or m$ical s]vices 
f ! ,dep>tm5t & us$ an assi/ive         
te*nology2  7,,ii7 receiv$ hospital c>e 
or m$ical s]vices f ! ,dep>tm5t & 7     
assess$ = ! provision ( an assi/ive     
te*nology2 &  7,,iii7 receiv$ hospital  
c>e or m$ical s]vices f ! ,dep>tm5t & 7 
prescrib$ an assi/ive te*nology4  7ii7 =
 any assi/ive te*nology prescrib$1 an   
id5tification ( ! category ( su*        
te*nology1 includ+ sp9al cord           
neuromodulation1 & a summ>y ( functional
 outcomes associat$ ) ! prescription (  
su* te*nology1 if available4  7,b7 ,!   
ye>-to-ye> *ange 7= ! p]iod cov]$ by !  
report1 includ+ ! two ye>s imm$iately   
prior to ye> ! report is submitt$7 9 !  
p]c5t ( vet]ans ) a sp9al cord injury or
 disord] :o receiv$ an evaluation "u ?is
 subsection4  7#f7 ,9 review+ ! p]=mance
 metrics ( a ,vet]ans ,integrat$ ,s]vice
 ,network = any ye> beg9n+ aft] ! date t
 is "o ye> aft] ! date ( ! enactm5t ( ! 
,vet]ans ,sp9al ,trauma ,access to ,new 

,devices ,act1 ! ,secret>y %all consid] 
! provision ( evaluations "u p>agraph   
7#a74  7#g7 ,9 ?is subsection1 ! t]m    
assi/ive te*nology means a p[]$ m$ical  
device or electronic tool us$ to treat  
or alleviate symptoms or conditions     
caus$ by a sp9al cord injury or disord]1
 includ+ ! foll[+3 7,a7 ,a p]sonal      
mobility device1 includ+ a p[]$         
exoskeleton device4  7,b7 ,a spee*      
g5]at+ device4  7,c7 ,a sp9al cord      
neuromodulation te*nology1 includ+      
non-invasive transcutane\s sp9al        
/imulation us+ s5sory 7aff]5t7 pa?ways1 
int5d$ to improve volunt>y motor        
function1 autonomic function1           
indep5d5ce1 or quality ( life4  7,d7 ,z 
cl9ically appropriate1 & consi/5t ) !   
pro/hetic & s5sory aids policies ( !    
,dep>tm5t1 an implantable sp9al cord    
/imulation sy/em t is approv$ by ! ,food
 & ,drug ,adm9i/ration4  4