,,ii #aaith ,,congress #b;d ,session ,s4 #dbag ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,march #bf1 #bjbf,ms4 ,duckworth 7for herself and ,ms4 ,collins7 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 eliminate copayments by the ,department of ,veterans ,affairs for preventive health services and medicines relating to preventive health services1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,copay ,fairness for ,veterans ,act of #bjbf4 #b4 ,improvement to preventive health services furnished by ,department of ,veterans ,affairs 7a7 ,elimination of copayments 7#a7 ,medication ,section #agbb;,a7a77#d7 of title #ch1 ,united ,states ,code1 is amended-- 7,a7 by striking to opioid antagonists and inserting 8to-- 7,a7 opioid antagonists 2 7,b7 by striking the period at the end and inserting 2 or2 and 7,c7 by adding at the end the following new subparagraph3 7,b7 medication1 including over-the-counter medication1 that is or is part of preventive health services4 4 7#b7 ,hospital care and medical services ,section #agaj of such title is amended-- 7,a7 in subsection 7f7-- 7i7 by redesignating paragraph 7#e7 as paragraph 7#f72 and 7ii7 by inserting after paragraph 7#d7 the following new paragraph 7#e73 7#e7 ,a veteran shall not be liable to the ,united ,states under this subsection for any amounts for preventive health services the veteran receives during the course of hospital care or nursing home care provided to the veteran4 2 and 7,b7 in subsection 7g77#c71 by adding at the end the following new subparagraph3 7,c7 ,preventive health services4 4 7#c7 ,walk-in care ,section #agbe;,a7f77#a7 of such title is amended by adding at the end the following new subparagraph3 7,d7 ,an eligible veteran shall not be required to pay the ,united ,states a copayment for preventive health services furnished under this section4 4 7#d7 ,care for survivors and dependents ,section #agha of such title is amended by adding at the end the following new subsection3 7f7 ,no individual covered under subsection 7a7 shall be required to pay the ,united ,states a copayment for preventive health services furnished under this section4 4 7b7 ,definitions ,section #agja7i7 of such title is amended-- 7#a7 by amending subparagraph 7,g7 to read as follows3 7,g7 immunizations against infectious diseases1 including each immunization-- 7i7 on the recommended adult immunization schedule at the time such immunization is indicated on that schedule2 7ii7 that has in effect a recommendation from the ,advisory ,committee on ,immunization ,practices of the ,centers for ,disease ,control and ,prevention with respect to the individual receiving the immunization2 or 7iii7 that is recommended by the largest single-discipline professional organization for the relevant field or a major labor or professional organization that exclusively represents the relevant clinical professional1 specialty1 or disorder2 4 7#b7 in subparagraph 7,k71 by striking 2 and and inserting a semicolon2 7#c7 by redesignating subparagraph 7,l7 as subparagraph 7,n72 and 7#d7 by inserting after subparagraph 7,k7 the following new subparagraphs3 7,l7 evidence-based items or services that-- 7i7 have in effect a rating of ,a or ,b in the current recommendations of the ,united ,states ,preventive ,services ,task ,force2 or 7ii7 are recommended by the largest single-discipline professional organization for the relevant field or a major labor or professional organization that exclusively represents the relevant clinical professional1 specialty1 or disorder2 7,m7 with respect to preventive care1 screenings1 and contraceptive services1 such services shall include1 at minimum-- 7i7 screening for anxiety1 breast cancer1 cervical cancer1 human immunodeficiency virus infection1 intimate partner and domestic violence1 diabetes in and after pregnancy1 and urinary incontinence2 7ii7 counseling for intimate partner and domestic violence1 and sexually transmitted infections2 7iii7 breastfeeding services and supplies2 7iv7 contraception1 including-- 7,i7 any drug1 device1 or biological product intended for use in the prevention of pregnancy1 whether specifically intended to prevent pregnancy or for other health needs1 that is approved1 cleared1 authorized1 or licensed under section #eje1 #eaj7k71 #eac7;f77#b71 #eae1 or #efd of the ,federal ,food1 ,drug1 and ,cosmetic ,act 7#ba ,u4,s4,c4 #cee1 #cfj7k71 #cfj;c7f77#b71 #cfj;e1 #cfj;bbb-#c7 or section #cea of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bfb72 7,,ii7 any services related to providing the safe and effective use of such drug1 device1 or product2 and 7,,iii7 any related services approved1 granted1 or cleared by the ,food and ,drug ,administration2 7v7 obesity prevention in midlife women2 and 7vi7 well-woman preventative visits2 and 4 7c7 ,rule of construction ,nothing in this section or the amendments made by this section shall be construed to-- 7#a7 remove preventive health services1 including medications1 from such services and medications for which a veteran would be exempt from paying the ,united ,states a copayment2 or 7#b7 prevent coverage under the laws administered by the ,secretary of ,veterans ,affairs of preventive health services1 screenings1 and contraceptive services1 if such preventive health services1 screenings1 and contraceptive services are provided in accordance with evidence-based medical standards of care1 which may include those recommendations provided for in the ,preventive ,services ,guidelines of the ,health ,resources and ,services ,administration4 7d7 ,effective date ,this section and the amendments made by this section shall take effect on the date that is #ahj days after the date of the enactment of this ,act4