,,ii  #aai? ,,congress  #a/ ,session    
,s4 #ehe  ,,9 ,,! ,,s5ate ,,( ,,!       
,,unit$ ,,/ates  ,febru>y #ac1 #bjbe,mr4
 ,k+ 7= himself1 ,mr4 ,r\nds1 ,mr4      
,cram]1 & ,ms4 ,duckwor?7 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 e/abli% a              
pre-transition heal? c>e regi/ration    
process to facilitate enrollm5t 9 !     
pati5t enrollm5t sy/em ( ! ,dep>tm5t (  
,vet]ans ,affairs by memb]s ( ! ,arm$   
,=ces :o are sep>at+ f ! ,arm$ ,=ces1 & 
= o!r purposes4  #a4 ,%ort title ,?is   
,act may be cit$ z ! ,s]vicememb] to    
,vet]an ,heal? ,c>e ,connection ,act (  
#bjbe4  #b4 ,pre-transition heal? c>e   
regi/ration ( memb]s ( ! ,arm$ ,=ces to 
/reaml9e receipt ( heal? c>e f ,dep>tm5t
 ( ,vet]ans ,affairs  7a7 ,heal? c>e    
pre-,regi/ration  7#a7 ,9 g5]al         
,sub*apt] ,i ( *apt] #ag ( title #ch1   
,unit$ ,/ates ,code1 is am5d$ by ins]t+ 
aft] section #agje;,a ! foll[+ new      

section3  #agje;,b4 ,managem5t ( heal?  
c>e3 regi/ration 9 pre-transition sy/em 
& facilitation ( enrollm5t  7a7         
,pre-,transition sy/em  7#a7 ,9 g5]al ,n
 lat] ?an #ahj days be=e ! anticipat$   
sep>ation f ! ,arm$ ,=ces ( a memb] ( ! 
,arm$ ,=ces1 ! ,secret>y %all           
automatically regi/] su* memb] 9 !      
pre-transition heal? c>e regi/ration    
sy/em4  7#b7 ,regi/ration ,regi/ration (
 a memb] ( ! ,arm$ ,=ces 9 !            
pre-transition heal? c>e regi/ration    
sy/em "u p>agraph 7#a7 %all consi/ ( !  
entry ( relevant in=mation ( su* memb]  
into su* sy/em s z to facilitate &      
p]mit1 at a future date1 a f9al         
det]m9ation ) respect to ! enrollm5t (  
su* memb] 9 ! pati5t enrollm5t sy/em if 
su* memb] elects to enroll 9 ! pati5t   
enrollm5t sy/em & is eligible to enroll 
9 ! pati5t enrollm5t sy/em4  7b7        
,facilitation ( enrollm5t 9 pati5t      
enrollm5t sy/em  7#a7 ,9 g5]al ,n lat]  
?an #cj days aft] sep>ation ( a cov]$   
individual f ! ,arm$ ,=ces1 or z soon z 

feasibly possible foll[+ su* sep>ation1 
! ,secret>y %all engage ) su*           
individual-- 7,a7 to assi/ & facilitate 
! completion ( ! process = enrollm5t (  
su* individual 9 ! pati5t enrollm5t     
sy/em1 to include ! appropriate         
electronic or pap] =ms2 &  7,b7 to      
s*$ule an initial prim>y c>e or o!r     
heal? appo9tm5t = su* individual "u !   
laws adm9i/]$ by ! ,secret>y if !       
individual is int]e/$ 9 su* an          
appo9tm5t4  7#b7 ,communication ef=ts   
,communication to a cov]$ individual "u 
p>agraph 7#a7 %all be conduct$ ?r\gh a  
comb9ation ( effective me*anisms to     
include by electronic means ?r\gh email 
& text message1 pap] mail1 & by phone4  
7#c7 ,cov]$ individual def9$ ,9 ?is     
subsection1 ! t]m cov]$ individual means
 an individual :o-- 7,a7 is eligible =  
or expect$ to be eligible = enrollm5t 9 
! pati5t enrollm5t sy/em2 &  7,b7 is n  
yet enroll$ 9 su* sy/em4  7c7 ,outrea*  
7#a7 ,pre-transition  7,a7 ,9 g5]al ,to 
! greate/ ext5t feasible1 ! ,secret>y   

%all conduct timely outrea* to memb]s ( 
! ,arm$ ,=ces regi/]$ 9 ! pre-transition
 heal? c>e regi/ration sy/em1 9 advance 
( _! sep>ation f ! ,arm$ ,=ces1 to      
expla9-- 7i7 :at su* regi/ration means 9
 practical t]ms2  7ii7 :at /eps ea* su* 
memb] w ne$ to take aft] sep>ation f !  
,arm$ ,=ces to fully enroll1 if         
eligible1 9 ! pati5t enrollm5t sy/em2   
7iii7 heal? c>e s]vices t may be        
available to su* memb] ^u enrollm5t 9   
su* sy/em1 includ+ ! g5]al rules (      
eligibility = su* s]vices2  7iv7 heal?  
c>e s]vices t may be available to su*   
memb] reg>dless ( enrollm5t 9 su* sy/em1
 includ+ c\nsel+ = milit>y sexual trauma
 & s]vices f ,vet ,c5t]s 7z def9$ 9     
section #agab;,a ( ?is title71 includ+ !
 g5]al rules ( eligibility = su*        
s]vices2 &  7v7 ! /eps requir$ to access
 s]vices describ$ 9 clauses 7iii7 &     
7iv74  7,b7 ,outrea* ef=ts ,outrea* to a
 memb] ( ! ,arm$ ,=ces requir$ "u       
subp>agraph 7,a7 %all be conduct$ ?r\gh 
a comb9ation ( effective me*anisms1     

includ+ by electronic means ?r\gh email 
& text message1 pap] mail1 & by phone4  
7#b7 ,aft] enrollm5t  7,a7 ,9 g5]al ,n  
less frequ5tly ?an once dur+ ! #ahj-;day
 p]iod foll[+ ! enrollm5t ( an          
individual 9 ! pati5t enrollm5t sy/em1 !
 ,secret>y %all contact any su*         
individual :o has n s*$ul$ a prim>y c>e 
appo9tm5t or o!r heal? appo9tm5t "u !   
laws adm9i/]$ by ! ,secret>y & (f] to   
s*$ule su* appo9tm5t %\ld su* individual
 be int]e/$ 9 do+ s4  7,b7 ,conduct (   
outrea* ,! ,secret>y may conduct outrea*
 "u subp>agraph 7,a7 z "p ( ! ,solid    
,/>t program "u section #fcbj ( ?is     
title1 o!r exi/+ processes ( !          
,dep>tm5t1 or any new process z !       
,secret>y det]m9es appropriate4  7d7    
,def9itions ,9 ?is section3 7#a7 ,pati5t
 enrollm5t sy/em ,! t]m pati5t enrollm5t
 sy/em means ! sy/em ( annual pati5t    
enrollm5t ( ! ,dep>tm5t e/abli%$ &      
op]at$ "u section #agje7;a7 ( ?is title4
  7#b7 ,pre-transition heal? c>e        
regi/ration sy/em ,! t]m pre-transition 

heal? c>e regi/ration sy/em means an    
in=mation te*nology or o!r sy/em or     
sy/ems ( ! ,dep>tm5t 9 :i* ! ,dep>tm5t  
ent]s or /ores ! relevant in=mation ( a 
transition+ memb] ( ! ,arm$ ,=ces s z to
 facilitate & p]mit1 at a future date1 a
 f9al enrollm5t det]m9ation ) respect to
 ! enrollm5t ( su* memb] 9 ! pati5t     
enrollm5t sy/em4  4  7#b7 ,cl]ical      
am5dm5t ,! table ( sections at ! beg9n+ 
( su* *apt] is am5d$ by ins]t+ aft] !   
item relat+ to section #agje;,a ! foll[+
 new item3  #agje;,b4 ,managem5t ( heal?
 c>e3 regi/ration 9 pre-transition sy/em
 & facilitation ( enrollm5t4  4  7#c7   
,effective date ,?is subsection & !     
am5dm5ts made by ?is subsection %all    
take effect on ! date ( ! enactm5t ( ?is
 ,act & apply to any memb] ( ! ,arm$    
,=ces :o is anticipat$ to sep>ate f !   
,arm$ ,=ces on & aft] ! date t is "o ye>
 aft] ! date ( ! enactm5t ( ?is ,act4   
7b7 ,e/abli%m5t ( sy/em  7#a7 ,9 g5]al  
,n lat] ?an "o ye> aft] ! date ( !      
enactm5t ( ?is ,act1 ! ,secret>y (      

,vet]ans ,affairs1 9 consultation ) !   
,secret>y ( ,def5se1 %all e/abli% &     
implem5t an automat$ process to implem5t
 ! pre-transition heal? c>e regi/ration 
sy/em requir$ "u section #agje;,b7a7 (  
title #ch1 ,unit$ ,/ates ,code1 z add$  
by subsection 7a77#a74  7#b7 ,brief+s on
 initial implem5tation ,n lat] ?an ea* (
 #ahj days1 "o ye>1 & two ye>s aft] !   
date ( ! enactm5t ( ?is ,act1 !         
,dep>tm5t ( ,vet]ans ,affairs-,dep>tm5t 
( ,def5se ,jo9t ,executive ,committee   
e/abli%$ "u section #cbj ( title #ch1   
,unit$ ,/ates ,code1 %all provide to !  
appropriate committees ( ,congress a    
brief+ on ! implem5tation ( ! process   
requir$ "u p>agraph 7#a74  7c7          
,coord9ation ) ,dep>tm5t ( ,def5se  7#a7
 ,9 g5]al ,9 implem5t+ ! requirem5ts (  
?is section & ! am5dm5ts made by ?is    
section1 ! ,secret>y ( ,vet]ans ,affairs
 may integrate & coord9ate su*          
implem5tation ) ! ,solid ,/>t program ( 
! ,dep>tm5t ( ,vet]ans ,affairs "u      
section #fcbj ( title #ch1 ,unit$ ,/ates

 ,code1 o!r exi/+ processes ( !         
,dep>tm5t1 or any new process z !       
,secret>y det]m9es appropriate to ensure
 collaboration & coord9ation ) relevant 
programs ( ! ,dep>tm5t ( ,def5se4  7#b7 
,inclusion 9 ,transition ,assi/ance     
,program ,on & aft] ! date t is "o ye>  
aft] ! date ( ! enactm5t ( ?is ,act1 !  
,secret>y ( ,def5se %all include an     
explanation ( ! pre-transition heal? c>e
 regi/ration sy/em requir$ "u section   
#agje;,b ( title #ch1 ,unit$ ,/ates     
,code1 z add$ by subsection 7a77#a71 z  
"p ( ! ,transition ,assi/ance ,program (
 ! ,dep>tm5t ( ,def5se4  7d7 ,requirem5t
 to create & ma9ta9 simple & /reaml9$   
process = pre-,regi/ration & enrollm5t  
7#a7 ,9 g5]al ,! ,secret>y ( ,vet]ans   
,affairs %all make enrollm5t 9 ! pati5t 
enrollm5t sy/em1 includ+ pre-transition 
heal? c>e regi/ration "u section        
#agje;,b ( title #ch1 ,unit$ ,/ates     
,code1 z add$ by subsection 7a77#a71 a  
simple & /reaml9$ process = all         
transition+ memb]s ( ! ,arm$ ,=ces &    

vet]ans-- 7,a7 to facilitate access to &
 utilization ( s]vices f ! ,dep>tm5t (  
,vet]ans ,affairs to :i* su* individuals
 are entitl$2  7,b7 to ensure su*       
individuals h a heal?y & smoo?          
transition out ( ! ,arm$ ,=ces into     
civilian life z vet]ans2  7,c7 to       
support ! m5tal & physical heal? ( su*  
individuals2 &  7,d7 to r$uce1 to !     
greate/ ext5t possible1 vet]an suicide4 
7#b7 ,improvem5t ( process ,! ,secret>y 
%all cont9u\sly monitor1 improve1 &     
mod]nize ! process describ$ 9 p>agraph  
7#a74  7e7 ,outrea* & engagem5t ,!      
,secret>y ( ,vet]ans ,affairs %all--    
7#a7 proactively conduct outrea* to     
transition+ & rec5tly transition$ memb]s
 ( ! ,arm$ ,=ces to assi/ su* memb]s 9  
enroll+ 9 ! pati5t enrollm5t sy/em2     
7#b7 proactively & regul>ly engage )    
vet]ans already enroll$ 9 ! pati5t      
enrollm5t sy/em to (f] assi/ance 9      
access+ heal? c>e s]vices "u su* sy/em2 
7#c7 proactively & regul>ly engage )    
vet]ans :o may n be eligible = enrollm5t

 9 ! pati5t enrollm5t sy/em b may be    
eligible to access c]ta9 specific heal? 
s]vices ( ! ,dep>tm5t2  7#d7 proactively
 engage ) vet]ans f traditionally       
"u-repres5t$ gr\ps1 to include wom5     
vet]ans1 m9ority vet]ans1 ,native       
,am]ican vet]ans1 ,native ,hawaiian     
vet]ans1 ,alaska ,native vet]ans1 &     
,,lgbtqia vet]ans2 &  7#e7 engage )     
vet]ans :o are eligible b n enroll$ 9 ! 
pati5t enrollm5t sy/em & (f] in=mation &
 assi/ance reg>d+ ! /eps to facilitate  
enrollm5t 9 su* sy/em4  7f7 ,annual     
report on pre-,transition regi/ration   
,section #haaa7;f77#b7 ( title #ch1     
,unit$ ,/ates ,code1 is am5d$-- 7#a7 by 
r$esignat+ subp>agraphs 7,e7 & 7,f7 z   
subp>agraphs 7,f7 & 7,g71 respectively2 
&  7#b7 by ins]t+ aft] subp>agraph 7,d7 
! foll[+ new subp>agraph 7,e73  7,e7 ,) 
respect to ! regi/ration ( memb]s ( !   
,arm$ ,=ces 9 ! pre-transition heal? c>e
 regi/ration sy/em "u section #agje;,b (
 ?is title dur+ ! prec$+ fiscal ye>1 !  
foll[+3 7i7 ,! numb] ( memb]s ( ! ,arm$ 

,=ces :o 7 regi/]$ 9 su* sy/em4  7ii7 ,!
 numb] ( su* memb]s :o subsequ5tly      
appli$ = enrollm5t 9 ! sy/em ( annual   
pati5t enrollm5t ( ! ,dep>tm5t e/abli%$ 
& op]at$ "u section #agje7;a7 ( ?is     
title4  7iii7 ,! aggregat$ disposition (
 ea* su* application = enrollm5t1 :e!r  
d5i$ or approv$1 & a reason = any d5ial1
 if available4  7iv7 ,aggregat$         
demographic in=mation = memb]s ( ! ,arm$
 ,=ces describ$ 9 clauses 7i7 & 7ii71   
includ+ age1 g5d]1 e?nicity1 l5g? (     
s]vice1 milit>y rank1 & bran* ( s]vice4 
7v7 ,any in=mation on heal? c>e         
utilization rates bas$ on regi/ration 9 
! pre-transition heal? c>e regi/ration  
sy/em "u section #agje;,b ( ?is title t 
! ,secret>y consid]s relevant4  7vi7    
,any additional obs]vations or in=mation
 ! ,secret>y consid]s relevant reg>d+ ! 
impact ( pre-transition heal? c>e       
regi/ration on /reaml9+ & improv+ !     
transition f ! ,arm$ ,=ces to civilian  
life4  4  7g7 ,reports  7#a7 ,report on 
feasibility & advisability ( p]mitt+    

memb]s ( ! ,arm$ ,=ces to receive       
pre-sep>ation heal? appo9tm5t )         
,dep>tm5t ( ,vet]ans ,affairs  7,a7 ,9  
g5]al ,n lat] ?an "o ye> aft] ! date ( !
 enactm5t ( ?is ,act1 ! ,secret>y (     
,vet]ans ,affairs1 9 consultation ) !   
,secret>y ( ,def5se1 %all submit to !   
appropriate committees ( ,congress a    
report on ! feasibility & advisability (
 p]mitt+ transition+ memb]s ( ! ,arm$   
,=ces1 includ+ ^? on sep>ation leave1   
:ile /ill on active duty1 to receive at 
lea/ "o no-co/ heal? c>e appo9tm5t at a 
facility ( ! ,dep>tm5t ( ,vet]ans       
,affairs-- 7i7 to famili>ize ! memb] ) !
 heal? s]vices ( ! ,dep>tm5t prior to ! 
memb] leav+ ! ,arm$ ,=ces2 &  7ii7 to   
improve ! transition process & heal? &  
wellness ( ! memb] once !y h transition$
 to civilian life4  7,b7 ,elem5ts ,!    
report requir$ "u subp>agraph 7,a7 %all 
include ! foll[+3 7i7 ,a description ( !
 reasons ! ,secret>y ( ,vet]ans ,affairs
 has det]m9$ ! policy describ$ 9 su*    
subp>agraph is feasible & advisable or  

n4  7ii7 ,an id5tification ( *anges to  
law t w\ld be requir$ or recomm5d$ to   
make su* policy feasible & advisable4   
7iii7 ,if ! ,secret>y det]m9es su*      
policy is feasible & advisable1 a       
propos$ s*$ule & timel9e to implem5t su*
 policy & an e/imate ( co/s to implem5t 
& su/a9 su* policy4  7iv7 ,su* o!r      
in=mation z ! ,secret>y consid]s        
appropriate4  7#b7 ,report on ef=ts to  
improve enrollm5t ,n lat] ?an "o ye>    
aft] ! date ( ! enactm5t ( ?is ,act1 !  
,secret>y ( ,vet]ans ,affairs1 9        
consultation ) ! ,secret>y ( ,def5se1   
%all submit to ! appropriate committees 
( ,congress a report conta9+ ! foll[+3  
7,a7 ,an assessm5t ( ! ef=ts ( !        
,secret>y ( ,vet]ans ,affairs z foll[s3 
7i7 ,to develop & implem5t a sy/em or   
sy/ems1 & processes to implem5t su* a   
sy/em or sy/ems1 to notify vet]ans :o   
receive a positive adjudication = a     
s]vice-connect$ disability & are n      
already enroll$ 9 ! pati5t enrollm5t    
sy/em reg>d+ h[ to enroll 9 ! pati5t    

enrollm5t sy/em1 %\ld !y be incl9$ to   
enroll4  7ii7 ,to pre-populate in=mation
 9 ! pre-transition heal? c>e           
regi/ration sy/em requir$ "u section    
#agje;,b ( title #ch1 ,unit$ ,/ates     
,code1 z add$ by subsection 7a77#a71 us+
 data available )9 ! ,dep>tm5t (        
,vet]ans ,affairs1 o!r ,f$]al ag5cies1  
or ,/ate ag5cies or o!r appropriate     
comm]cial or publicly available         
in=mation s z to assi/ transition+      
memb]s ( ! ,arm$ ,=ces ) complet+ !     
process ( enrollm5t 9 ! pati5t enrollm5t
 sy/em1 & to simplify & /reaml9e        
enrollm5t 9 su* sy/em1 includ+-- 7,i7 a 
description ( any roadblocks to         
pre-populat+ su* in=mation2  7,,ii7 a   
description ( any *all5ges 9 receiv+    
relevant in=mation f any ,f$]al ag5cy or
 ,/ate ag5cy2 &  7,,iii7 an             
id5tification ( any legislative action t
 may be requir$ to improve ! collection 
( data necess>y to c>ry out ?is clause4 
7,b7 ,an assessm5t ( any *all5ges       
exp]i5c$ by ! ,secret>y ( ,vet]ans      

,affairs 9 receiv+ timely & reliable    
electronic in=mation1 data fe$s1 &      
notifications f ! ,dep>tm5t ( ,def5se1  
o!r ,f$]al ag5cies1 or non-,f$]al       
entities reg>d+ ! sep>ation f ! ,arm$   
,=ces ( memb]s ( ! ,arm$ ,=ces1         
includ+-- 7i7 specific reque/s =        
legislative action to improve data      
transmission f ! ,dep>tm5t ( ,def5se or 
o!r ,f$]al ag5cies to ! ,dep>tm5t (     
,vet]ans ,affairs2 &  7ii7 a description
 ( policy re=ms to require ! milit>y    
dep>tm5ts to report to ! ,secret>y (    
,def5se kn[n or anticipat$ sep>ations 9 
a m timely mann]4  7,c7 ,! id5tification
 ( an individual 9 a ,s5ior ,executive  
,s]vice position 7z def9$ 9 section     
#cacb7;a7 ( title #e1 ,unit$ ,/ates     
,code71 or equival5t1 & (fice )9 !      
,dep>tm5t ( ,vet]ans ,affairs t is      
coord9at+ or w coord9ate all programs ( 
! ,dep>tm5t relat+ to improv+ !         
regi/ration & enrollm5t ( transition+ or
 transition$ memb]s ( ! ,arm$ ,=ces 9   
heal? c>e s]vices ( ! ,dep>tm5t 7includ+

 pursuant to ?is section & ! am5dm5ts   
made by ?is section7 & ! usage by su*   
memb]s ( ^? s]vices1 to include ! foll[+
 programs & (fices3 7i7 ,! ,solid ,/>t  
program ( ! ,dep>tm5t "u section #fcbj (
 title #ch1 ,unit$ ,/ates ,code4  7ii7  
,! ,f$]al ,recov]y ,consultant ,(fice ( 
! ,dep>tm5t4  7iii7 ,! ,po/-#i_/aa      
,milit>y#b,,va ,case ,managem5t ,program
 ( ! ,dep>tm5t4  7iv7 ,! ,liaison       
,program ( ! ,dep>tm5t4  7v7 ,!         
,conci]ge = ,c>e ,program ( ! ,dep>tm5t4
  7vi7 ,! (fice ( ! ,dep>tm5t           
responsible = c>ry+ out ! pre-transition
 heal? c>e regi/ration sy/em "u section 
#agje;,b ( title #ch1 ,unit$ ,/ates     
,code1 z add$ by subsection 7a77#a74    
7vii7 ,o!r simil> or successor programs 
or (fices ( ! ,dep>tm5t4  7,d7 ,a       
description ( h[ ! individual & (fice   
id5tifi$ "u subp>agraph 7,c7 manages or 
w manage v>i\s programs across !        
,dep>tm5t1 to include-- 7i7 programs "u 
! ,vet]ans ,heal? ,adm9i/ration1        
,vet]ans ,b5efits ,adm9i/ration1 & o!r  

entities ( ! ,dep>tm5t t h diff]5t      
report+ *a9s2  7ii7 an id5tification (  
metrics t are us$ or w be us$ to monitor
 program goals2  7iii7 an id5tification 
( /eps t c be tak5 to improve managem5t 
& outcomes ( su* programs1 to include   
collaboration & coord9ation ) relevant  
programs ( ! ,dep>tm5t ( ,def5se2 &     
7iv7 an organizational *>t to %[ h[     
ef=ts describ$ "u ?is subp>agraph are   
manag$ across ! ,dep>tm5t ( ,vet]ans    
,affairs4  7h7 ,rule ( con/ruction ,no?+
 9 ?is section or ! am5dm5ts made by ?is
 section %all be con/ru$ to require any 
memb] ( ! ,arm$ ,=ces1 =m] memb] ( !    
,arm$ ,=ces1 or vet]an to use any s]vice
 ( ! ,dep>tm5t ( ,vet]ans ,affairs or to
 enroll 9 ! pati5t enrollm5t sy/em4  7i7
 ,def9itions ,9 ?is section3 7#a7       
,appropriate committees ( ,congress ,!  
t]m appropriate committees ( ,congress  
means-- 7,a7 ! ,committee on ,arm$      
,s]vices & ! ,committee on ,vet]ans     
,affairs' ( ! ,s5ate2 &  7,b7 !         
,committee on ,arm$ ,s]vices & !        

,committee on ,vet]ans ,affairs' ( !    
,h\se ( ,repres5tatives4  7#b7 ,pati5t  
enrollm5t sy/em ,! t]m pati5t enrollm5t 
sy/em means ! sy/em ( annual pati5t     
enrollm5t ( ! ,dep>tm5t e/abli%$ &      
op]at$ "u section #agje7;a7 ( title #ch1
 ,unit$ ,/ates ,code4