,,ii  #aai? ,,congress  #b;d ,session   
,s4 #dbag  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,m>* #bf1 #bjbf,ms4    
,duckwor? 7= h]self & ,ms4 ,coll9s7     
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      
elim9ate copaym5ts by ! ,dep>tm5t (     
,vet]ans ,affairs = prev5tive heal?     
s]vices & m$ic9es relat+ to prev5tive   
heal? s]vices1 & = o!r purposes4  #a4   
,%ort title ,?is ,act may be cit$ z !   
,copay ,fairness = ,vet]ans ,act (      
#bjbf4  #b4 ,improvem5t to prev5tive    
heal? s]vices furni%$ by ,dep>tm5t (    
,vet]ans ,affairs  7a7 ,elim9ation (    
copaym5ts  7#a7 ,m$ication ,section     
#agbb;,a7a77#d7 ( title #ch1 ,unit$     
,/ates ,code1 is am5d$-- 7,a7 by /rik+  
to opioid antagoni/s & ins]t+ 8to--     
7,a7 opioid antagoni/s  2  7,b7 by /rik+
 ! p]iod at ! end & ins]t+ 2 or2 &  7,c7
 by add+ at ! end ! foll[+ new          
subp>agraph3  7,b7 m$ication1 includ+   

ov]-!-c\nt] m$ication1 t is or is "p (  
prev5tive heal? s]vices4  4  7#b7       
,hospital c>e & m$ical s]vices ,section 
#agaj ( su* title is am5d$-- 7,a7 9     
subsection 7f7-- 7i7 by r$esignat+      
p>agraph 7#e7 z p>agraph 7#f72 &  7ii7  
by ins]t+ aft] p>agraph 7#d7 ! foll[+   
new p>agraph 7#e73  7#e7 ,a vet]an %all 
n be liable to ! ,unit$ ,/ates "u ?is   
subsection = any am\nts = prev5tive     
heal? s]vices ! vet]an receives dur+ !  
c\rse ( hospital c>e or nurs+ home c>e  
provid$ to ! vet]an4  2 &  7,b7 9       
subsection 7g77#c71 by add+ at ! end !  
foll[+ new subp>agraph3  7,c7 ,prev5tive
 heal? s]vices4  4  7#c7 ,walk-9 c>e    
,section #agbe;,a7f77#a7 ( su* title is 
am5d$ by add+ at ! end ! foll[+ new     
subp>agraph3  7,d7 ,an eligible vet]an  
%all n be requir$ to pay ! ,unit$ ,/ates
 a copaym5t = prev5tive heal? s]vices   
furni%$ "u ?is section4  4  7#d7 ,c>e = 
survivors & dep5d5ts ,section #agha (   
su* title is am5d$ by add+ at ! end !   
foll[+ new subsection3  7f7 ,no         

individual cov]$ "u subsection 7a7 %all 
be requir$ to pay ! ,unit$ ,/ates a     
copaym5t = prev5tive heal? s]vices      
furni%$ "u ?is section4  4  7b7         
,def9itions ,section #agja7i7 ( su*     
title is am5d$-- 7#a7 by am5d+          
subp>agraph 7,g7 to read z foll[s3  7,g7
 immunizations aga9/ infecti\s diseases1
 includ+ ea* immunization-- 7i7 on !    
recomm5d$ adult immunization s*$ule at !
 "t su* immunization is indicat$ on t   
s*$ule2  7ii7 t has 9 effect a          
recomm5dation f ! ,advisory ,committee  
on ,immunization ,practices ( ! ,c5t]s =
 ,disease ,control & ,prev5tion )       
respect to ! individual receiv+ !       
immunization2 or  7iii7 t is recomm5d$  
by ! l>ge/ s+le-discipl9e pr(essional   
organization = ! relevant field or a    
major labor or pr(essional organization 
t exclusively repres5ts ! relevant      
cl9ical pr(essional1 specialty1 or      
disord]2  4  7#b7 9 subp>agraph 7,k71 by
 /rik+ 2 & & ins]t+ a semicolon2  7#c7  
by r$esignat+ subp>agraph 7,l7 z        

subp>agraph 7,n72 &  7#d7 by ins]t+ aft]
 subp>agraph 7,k7 ! foll[+ new          
subp>agraphs3  7,l7 evid5ce-bas$ items  
or s]vices t-- 7i7 h 9 effect a rat+ (  
,a or ,b 9 ! curr5t recomm5dations ( !  
,unit$ ,/ates ,prev5tive ,s]vices ,task 
,=ce2 or  7ii7 are recomm5d$ by ! l>ge/ 
s+le-discipl9e pr(essional organization 
= ! relevant field or a major labor or  
pr(essional organization t exclusively  
repres5ts ! relevant cl9ical            
pr(essional1 specialty1 or disord]2     
7,m7 ) respect to prev5tive c>e1        
scre5+s1 & contraceptive s]vices1 su*   
s]vices %all include1 at m9imum-- 7i7   
scre5+ = anxiety1 brea/ canc]1 c]vical  
canc]1 human immunodefici5cy virus      
infection1 intimate p>tn] & dome/ic     
viol5ce1 diabetes 9 & aft] pregnancy1 & 
ur9>y incont95ce2  7ii7 c\nsel+ =       
intimate p>tn] & dome/ic viol5ce1 &     
sexually transmitt$ infections2  7iii7  
brea/fe$+ s]vices & supplies2  7iv7     
contraception1 includ+-- 7,i7 any drug1 
device1 or biological product int5d$ =  

use 9 ! prev5tion ( pregnancy1 :e!r     
specifically int5d$ to prev5t pregnancy 
or = o!r heal? ne$s1 t is approv$1      
cle>$1 au?oriz$1 or lic5s$ "u section   
#eje1 #eaj7k71 #eac7;f77#b71 #eae1 or   
#efd ( ! ,f$]al ,food1 ,drug1 &         
,cosmetic ,act 7#ba ,u4,s4,c4 #cee1     
#cfj7k71 #cfj;c7f77#b71 #cfj;e1         
#cfj;bbb-#c7 or section #cea ( ! ,public
 ,heal? ,s]vice ,act 7#db ,u4,s4,c4     
#bfb72  7,,ii7 any s]vices relat$ to    
provid+ ! safe & effective use ( su*    
drug1 device1 or product2 &  7,,iii7 any
 relat$ s]vices approv$1 grant$1 or     
cle>$ by ! ,food & ,drug ,adm9i/ration2 
7v7 obesity prev5tion 9 midlife wom52 & 
7vi7 well-woman prev5tative visits2 &  4
  7c7 ,rule ( con/ruction ,no?+ 9 ?is   
section or ! am5dm5ts made by ?is       
section %all be con/ru$ to-- 7#a7 remove
 prev5tive heal? s]vices1 includ+       
m$ications1 f su* s]vices & m$ications =
 :i* a vet]an w\ld be exempt f pay+ !   
,unit$ ,/ates a copaym5t2 or  7#b7      
prev5t cov]age "u ! laws adm9i/]$ by !  

,secret>y ( ,vet]ans ,affairs (         
prev5tive heal? s]vices1 scre5+s1 &     
contraceptive s]vices1 if su* prev5tive 
heal? s]vices1 scre5+s1 & contraceptive 
s]vices are provid$ 9 accordance )      
evid5ce-bas$ m$ical /&>ds ( c>e1 :i* may
 include ^? recomm5dations provid$ = 9 !
 ,prev5tive ,s]vices ,guidel9es ( !     
,heal? ,res\rces & ,s]vices             
,adm9i/ration4  7d7 ,effective date ,?is
 section & ! am5dm5ts made by ?is       
section %all take effect on ! date t is 
#ahj days aft] ! date ( ! enactm5t ( ?is
 ,act4