Restoring Veterans Trust Act of 2014 - Revises veterans' benefit programs to address:
[Congressional Bills 113th Congress]
[From the U.S. Government Publishing Office]
[S. 2413 Introduced in Senate (IS)]
113th CONGRESS
2d Session
S. 2413
To improve the provision of medical services and benefits to veterans,
and for other purposes.
_______________________________________________________________________
IN THE SENATE OF THE UNITED STATES
June 2, 2014
Mr. Sanders (for himself, Ms. Hirono, Mr. Wyden, Mr. Begich, Mr.
Heinrich, Mr. Reed, Ms. Mikulski, Mr. Brown, Mr. Blumenthal, Mr.
Schatz, Mr. Kaine, Mr. Walsh, Mr. Tester, and Ms. Stabenow) introduced
the following bill; which was read twice and referred to the Committee
on Veterans' Affairs
_______________________________________________________________________
A BILL
To improve the provision of medical services and benefits to veterans,
and for other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE; TABLE OF CONTENTS.
(a) Short Title.--This Act may be cited as the ``Restoring Veterans
Trust Act of 2014''.
(b) Table of Contents.--The table of contents for this Act is as
follows:
Sec. 1. Short title; table of contents.
Sec. 2. References to title 38, United States Code.
TITLE I--HEALTH CARE MATTERS
Subtitle A--Improvement of Access to Care by Strengthening Management,
Technology, and Metrics
Sec. 101. Implementation of upgraded Department of Veterans Affairs
electronic scheduling system for
appointments for receipt of health care
from the Department.
Sec. 102. Independent assessment of the scheduling process for medical
appointments for care from Department of
Veterans Affairs.
Sec. 103. Modification of liability for breach of period of obligated
service under Health Professionals
Educational Assistance Program for primary
care physicians.
Sec. 104. Program of education at Uniformed Services University of the
Health Sciences with specialization in
primary care.
Sec. 105. Treatment of staffing shortage and biannual report on
staffing of medical facilities of the
Department of Veterans Affairs.
Sec. 106. Clinic management training program of the Department of
Veterans Affairs.
Sec. 107. Inclusion of Department of Veterans Affairs facilities in
National Health Service Corps Scholarship
and loan repayment programs.
Sec. 108. Improvement of access by veterans to health care from non-
Department of Veterans Affairs providers.
Sec. 109. Extension of and report on joint incentives program of
Department of Veterans Affairs and
Department of Defense.
Sec. 110. Transfer of authority for payments for hospital care, medical
services, and other health care from non-
Department providers to the Chief Business
Office of the Veterans Health
Administration of the Department.
Sec. 110A. Contracting for hospital care, medical services, and other
health care.
Sec. 110B. Enhancement of collaboration between Department of Veterans
Affairs and Indian Health Service.
Sec. 110C. Enhancement of collaboration between Department of Veterans
Affairs and Native Hawaiian health care
systems.
Sec. 110D. Improvement of access of veterans to mobile vet centers of
the Department of Veterans Affairs.
Sec. 110E. Commission on Access to Care.
Sec. 110F. Removal of Senior Executive Service employees of the
Department of Veterans Affairs for
performance.
Sec. 110G. Authorization of emergency appropriations.
Subtitle B--Expansion and Improvements of Benefits Generally
Sec. 111. Further extension of period of eligibility for health care
for veterans of combat service during
certain periods of hostilities and war.
Sec. 112. Expansion of assistance and support services for caregivers
of veterans.
Sec. 113. Improved access to appropriate immunizations for veterans.
Sec. 114. Expansion of provision of chiropractic care and services to
veterans.
Sec. 115. Modification of commencement date of period of service at
Camp Lejeune, North Carolina, for
eligibility for hospital care and medical
services in connection with exposure to
contaminated water.
Sec. 116. Expansion of emergency treatment reimbursement for certain
veterans.
Sec. 117. Extension of sunset date regarding transportation of
individuals to and from facilities of
Department of Veterans Affairs and
requirement of report.
Sec. 118. Extension and modification of pilot program on assisted
living services for veterans with traumatic
brain injury.
Sec. 119. Reauthorization and modification of pilot program of enhanced
contract care authority for health care
needs of veterans.
Subtitle C--Health Care Administration
Sec. 121. Extension of Department of Veterans Affairs Health
Professional Scholarship Program.
Sec. 122. Expansion of availability of prosthetic and orthotic care for
veterans.
Sec. 123. Limitation on expansion of dialysis pilot program.
Sec. 124. Requirement for Department of Veterans Affairs policy on
reporting cases of infectious diseases at
facilities of the Department.
Sec. 125. Independent assessment of the Veterans Integrated Service
Networks and medical centers of Department
of Veterans Affairs.
Sec. 126. Requirements in connection with next update of current
strategic plan for Office of Rural Health
of the Department of Veterans Affairs.
Sec. 127. Report on provision of telemedicine services.
Sec. 128. Designation of Corporal Michael J. Crescenz Department of
Veterans Affairs Medical Center.
Subtitle D--Complementary and Alternative Medicine
Sec. 131. Expansion of research and education on and delivery of
complementary and alternative medicine to
veterans.
Sec. 132. Program on integration of complementary and alternative
medicine within Department of Veterans
Affairs medical centers.
Sec. 133. Studies of barriers encountered by veterans in receiving, and
administrators and clinicians in providing,
complementary and alternative medicine
services furnished by the Department of
Veterans Affairs.
Sec. 134. Program on use of wellness programs as complementary approach
to mental health care for veterans and
family members of veterans.
Subtitle E--Mental Health Care
Sec. 141. Inclusion of mental health professionals in the education and
training program for health personnel of
the Department of Veterans Affairs.
Sec. 142. Report on provision of mental health services for families of
certain veterans at facilities of the
Department.
Sec. 143. Annual report on community mental health partnership pilot
program.
Subtitle F--Dental Care Eligibility Expansion and Enhancement
Sec. 151. Restorative dental services for veterans.
Sec. 152. Pilot program on expansion of furnishing of dental care to
all enrolled veterans.
Sec. 153. Program on education to promote dental health in veterans.
Sec. 154. Authorization of appropriations.
Subtitle G--Health Care Related to Sexual Trauma
Sec. 161. Expansion of eligibility for sexual trauma counseling and
treatment to veterans on inactive duty
training.
Sec. 162. Provision of counseling and treatment for sexual trauma by
the Department of Veterans Affairs to
members of the Armed Forces.
Sec. 163. Department of Veterans Affairs screening mechanism to detect
incidents of domestic abuse.
Sec. 164. Reports on military sexual trauma and domestic abuse.
Subtitle H--Reproductive Treatment and Services
Sec. 171. Clarification that fertility counseling and treatment are
medical services which the Secretary may
furnish to veterans like other medical
services.
Sec. 172. Reproductive treatment and care for spouses and surrogates of
veterans.
Sec. 173. Adoption assistance for severely wounded veterans.
Sec. 174. Regulations on furnishing of fertility counseling and
treatment and adoption assistance by
Department of Veterans Affairs.
Sec. 175. Coordination between Department of Veterans Affairs and
Department of Defense on furnishing of
fertility counseling and treatment.
Sec. 176. Facilitation of reproduction and infertility research.
Sec. 177. Annual report on provision of fertility counseling and
treatment furnished by Department of
Veterans Affairs.
Sec. 178. Program on assistance for child care for certain veterans.
Sec. 179. Counseling in retreat settings for women veterans newly
separated from service in the Armed Forces.
Subtitle I--Major Medical Facility Leases
Sec. 181. Authorization of major medical facility leases.
Sec. 182. Budgetary treatment of Department of Veterans Affairs major
medical facilities leases.
TITLE II--SURVIVOR AND DEPENDENT MATTERS
Sec. 201. Extension of initial period for increased dependency and
indemnity compensation for surviving
spouses with children.
Sec. 202. Eligibility for dependency and indemnity compensation,
educational assistance, and housing loans
for surviving spouses who remarry after age
55.
Sec. 203. Extension of marriage delimiting date for surviving spouses
of Persian Gulf War veterans to qualify for
death pension.
Sec. 204. Making effective date provision consistent with provision for
benefits eligibility of a veteran's child
based upon termination of remarriage by
annulment.
Sec. 205. Expansion of Marine Gunnery Sergeant John David Fry
Scholarship.
Sec. 206. Expansion of Yellow Ribbon G.I. Education Enhancement
Program.
Sec. 207. Benefits for children of certain Thailand service veterans
born with spina bifida.
Sec. 208. Program on assisted living for children of Vietnam veterans
and certain Korea service veterans born
with spina bifida.
Sec. 209. Program on grief counseling in retreat settings for surviving
spouses of members of the Armed Forces who
die while serving on active duty in the
Armed Forces.
Sec. 210. Program evaluation on survivors' and dependents' educational
assistance authorities.
TITLE III--EDUCATION MATTERS
Sec. 301. Approval of courses of education provided by public
institutions of higher learning for
purposes of All-Volunteer Force Educational
Assistance Program and Post-9/11
Educational Assistance conditional on in-
State tuition rate for veterans.
Sec. 302. Extension and expansion of authority for certain qualifying
work-study activities for purposes of the
educational assistance programs of the
Department of Veterans Affairs.
Sec. 303. Prohibitions relating to references to GI Bill and Post-9/11
GI Bill.
Sec. 304. Review of utilization of educational assistance to pursue
programs of training on the job and
participating employers.
Sec. 305. Report on debt management and collection.
Sec. 306. Restoration of prior reporting fee multipliers.
TITLE IV--EMPLOYMENT AND RELATED MATTERS
Subtitle A--Training and Other Services for Veterans Seeking Employment
Sec. 401. Extension of authority of Secretary of Veterans Affairs to
provide rehabilitation and vocational
benefits to members of Armed Forces with
severe injuries or illnesses.
Subtitle B--Employment of Veterans and Recognition of Veteran Status
With Respect to Employment Related Matters
Sec. 411. Employment of veterans with the Federal Government.
Sec. 412. State recognition of military experience of veterans in
issuing licenses and credentials to
veterans.
Sec. 413. Report on discrimination against members of reserve
components of Armed Forces and veterans in
civilian labor market.
Subtitle C--Improving Employment and Reemployment Rights of Members of
the Uniformed Services
Sec. 421. Suspension, termination, or debarment of contractors for
repeated violations of employment or
reemployment rights of members of uniformed
services.
Subtitle D--Small Business Matters
Sec. 431. Expansion of contracting goals and preferences of Department
of Veterans Affairs to include
conditionally owned small business concerns
100 percent owned by veterans.
Sec. 432. Modification of treatment under contracting goals and
preferences of Department of Veterans
Affairs for small businesses owned by
veterans of small businesses after death of
disabled veteran owners.
Sec. 433. Treatment of businesses after deaths of servicemember-owners
for purposes of Department of Veterans
Affairs contracting goals and preferences.
Sec. 434. Special rule for treatment under contracting goals and
preferences of Department of Veterans
Affairs of small business concerns licensed
in community property States.
Sec. 435. Report on assistance for veterans in obtaining training on
purchasing and operating a franchise.
TITLE V--ACCOUNTABILITY AND ADMINISTRATIVE IMPROVEMENTS
Sec. 501. Administration of Veterans Integrated Service Networks.
Sec. 502. Regional support centers for Veterans Integrated Service
Networks.
Sec. 503. Commission on Capital Planning for Department of Veterans
Affairs Medical Facilities.
Sec. 504. Advance appropriations for certain accounts of the Department
of Veterans Affairs.
Sec. 505. Public access to Department of Veterans Affairs research and
data sharing between Departments.
Sec. 506. Assessment by Comptroller General of the United States of
information made available by Veterans
Benefits Administration.
Sec. 507. Comptroller general report on advisory committees of the
Department of Veterans Affairs.
TITLE VI--IMPROVEMENT OF PROCESSING OF CLAIMS FOR COMPENSATION
Subtitle A--Claims Based on Military Sexual Trauma
Sec. 601. Medical examination and opinion for disability compensation
claims based on military sexual trauma.
Sec. 602. Case representative officers for military sexual trauma
support.
Sec. 603. Report on standard of proof for service-connection of mental
health conditions related to military
sexual trauma.
Sec. 604. Reports on claims for disabilities incurred or aggravated by
military sexual trauma.
Subtitle B--Claims for Dependency and Indemnity Compensation
Sec. 611. Program on treatment of certain applications for dependency
and indemnity compensation as fully
developed claims.
Sec. 612. Report by Secretary of Veterans Affairs on improving
timeliness and accuracy of administration
of claims for dependency and indemnity
compensation and pension for surviving
spouses and children.
Subtitle C--Agency of Original Jurisdiction
Sec. 621. Working group to improve employee work credit and work
management systems of Veterans Benefits
Administration in an electronic
environment.
Sec. 622. Task force on retention and training of Department of
Veterans Affairs claims processors and
adjudicators.
Sec. 623. Reports on requests by the Department of Veterans Affairs for
records of other Federal agencies.
Sec. 624. Recognition of representatives of Indian tribes in the
preparation, presentation, and prosecution
of claims under laws administered by the
Secretary of Veterans Affairs.
Sec. 625. Program on participation of local and tribal governments in
improving quality of claims for disability
compensation submitted to Department of
Veterans Affairs.
Sec. 626. Department of Veterans Affairs notice of average times for
processing compensation claims.
Sec. 627. Quarterly reports on progress of Department of Veterans
Affairs in eliminating backlog of claims
for compensation that have not been
adjudicated.
Sec. 628. Reports on use of existing authorities to expedite benefits
decisions.
Sec. 629. Reports on Department disability medical examinations and
prevention of unnecessary medical
examinations.
Subtitle D--Board of Veterans' Appeals and Court of Appeals for
Veterans Claims
Sec. 631. Determination of manner of appearance for hearings before
Board of Veterans' Appeals.
TITLE VII--OUTREACH MATTERS
Sec. 701. Program to increase coordination of outreach efforts between
the Department of Veterans Affairs and
Federal, State, and local agencies and
nonprofit organizations.
Sec. 702. Cooperative agreements between Secretary of Veterans Affairs
and States on outreach activities.
Sec. 703. Advisory committee on outreach activities of Department of
Veterans Affairs.
Sec. 704. Advisory boards on outreach activities of Department of
Veterans Affairs relating to health care.
Sec. 705. Modification of requirement for periodic reports to Congress
on outreach activities of Department of
Veterans Affairs.
Sec. 706. Budget transparency for outreach activities of Department of
Veterans Affairs.
TITLE VIII--ENHANCEMENT OF RIGHTS UNDER SERVICEMEMBERS CIVIL RELIEF ACT
Sec. 801. Modification of period determining which actions are covered
under stay of proceedings and adjustment of
obligation protections concerning mortgages
and trust deeds of members of uniformed
services.
Sec. 802. Protections for members of uniformed services regarding
professional licenses.
Sec. 803. Prohibition on denial of credit because of eligibility for
protection.
Sec. 804. Interest rate limitation on debt entered into during military
service to consolidate or refinance student
loans incurred before military service.
Sec. 805. Termination of residential leases after assignment or
relocation to quarters of United States or
housing facility under jurisdiction of
uniformed service.
Sec. 806. Protection of surviving spouse with respect to mortgage
foreclosure.
Sec. 807. Improved protection of members of uniformed services against
default judgments.
Sec. 808. Clarification regarding application of enforcement authority
of Attorney General and private right of
action under Servicemembers Civil Relief
Act.
Sec. 809. Clerical amendments.
TITLE IX--OTHER MATTERS
Sec. 901. Repeal of certain reductions made by Bipartisan Budget Act of
2013.
Sec. 902. Consideration by Secretary of Veterans Affairs of resources
disposed of for less than fair market value
by individuals applying for pension.
Sec. 903. Extension of reduced pension for certain veterans covered by
medicaid plans for services furnished by
nursing facilities.
Sec. 904. Conditions on award of per diem payments by Secretary of
Veterans Affairs for provision of housing
or services to homeless veterans.
Sec. 905. Exception to certain recapture requirements and treatment of
contracts and grants with State homes with
respect to care for homeless veterans.
Sec. 906. Extended period for scheduling of medical exams for veterans
receiving temporary disability ratings for
severe mental disorders.
Sec. 907. Authority to issue Veterans ID Cards.
Sec. 908. Honoring as veterans certain persons who performed service in
the reserve components of the Armed Forces.
Sec. 909. Extension of authority for Secretary of Veterans Affairs to
obtain information from Secretary of the
Treasury and Commissioner of Social
Security for income verification purposes.
Sec. 910. Extension of authority for Secretary of Veterans Affairs to
issue and guarantee certain loans.
Sec. 911. Eligibility for interment in national cemeteries for certain
naturalized individuals.
Sec. 912. Canadian Forces Base Gagetown independent study and registry.
Sec. 913. Review of determination of certain service in Philippines
during World War II.
Sec. 914. Review of determination of certain service of merchant
mariners during World War II.
Sec. 915. Report on practices of the Department of Veterans Affairs to
adequately provide services to veterans
with hearing loss.
Sec. 916. Report on joint programs of Department of Veterans Affairs
and Department of Defense with respect to
hearing loss of members of the Armed Forces
and veterans.
Sec. 917. Designation of American World War II Cities.
SEC. 2. REFERENCES TO TITLE 38, UNITED STATES CODE.
Except as otherwise expressly provided, whenever in this Act an
amendment or repeal is expressed in terms of an amendment to, or repeal
of, a section or other provision, the reference shall be considered to
be made to a section or other provision of title 38, United States
Code.
TITLE I--HEALTH CARE MATTERS
Subtitle A--Improvement of Access to Care by Strengthening Management,
Technology, and Metrics
SEC. 101. IMPLEMENTATION OF UPGRADED DEPARTMENT OF VETERANS AFFAIRS
ELECTRONIC SCHEDULING SYSTEM FOR APPOINTMENTS FOR RECEIPT
OF HEALTH CARE FROM THE DEPARTMENT.
(a) Implementation.--
(1) In general.--Not later than March 31, 2016, the
Secretary of Veterans Affairs shall fully implement an upgraded
and centralized electronic scheduling system described in
subsection (b) for appointments by eligible individuals for
health care from the Department of Veterans Affairs.
(2) Agile software development methodologies.--In
implementing the upgraded electronic scheduling system required
by paragraph (1), the Secretary shall use agile software
development methodologies to fully implement portions of such
system every 180 days beginning on the date on which the
Secretary begins the implementation of such system, or enters
into a contract for the implementation of such system, and
ending on the date on which such system is fully implemented.
(b) Electronic Scheduling System.--The upgraded electronic
scheduling system described in this subsection shall include mechanisms
to achieve the following:
(1) An efficient and effective graphical user interface
with a calendar view for use by employees of the Department in
scheduling appointments that enables error-free scheduling of
the health care resources of the Department.
(2) A capability to assist employees of the Department to
easily and consistently implement policies of the Department
with respect to scheduling of appointments, including with
respect to priority for appointments for certain eligible
individuals.
(3) A capability for employees of the Department to sort
and view through a unified interface the availability for each
health care provider of the Department or other health care
resource of the Department.
(4) A capability for employees of the Department to sort
and view appointments for and appointment requests made by a
particular eligible individual.
(5) A capability for seamless coordination of appointments
for primary care, specialty care, consultations, or any other
health care matter among facilities of the Department.
(6) A capability for eligible individuals to access the
system remotely and schedule appointments directly through the
system.
(7) An electronic timestamp of each activity made by an
eligible individual or on behalf of such individual with
respect to an appointment or the scheduling of an appointment
that shall be kept in the medical record of such individual.
(8) A seamless connection to the Computerized Patient
Record System of the Department so that employees of the
Department, when scheduling an appointment for an eligible
individual, have access to recommendations from the health care
provider of such individual with respect to when such
individual should receive an appointment.
(9) A capability to provide automated reminders to eligible
individuals on upcoming appointments through various electronic
and voice media.
(10) A capability to provide automated reminders to
employees of the Department when an eligible individual who is
on the wait-list for an appointment becomes eligible to
schedule an appointment.
(11) A dashboard capability to support efforts to track the
following metrics in aggregate and by medical facility with
respect to health care provided to eligible individuals under
the laws administered by the Secretary:
(A) The number of days into the future that the
schedules of health care providers are available to
schedule an appointment.
(B) The number of providers available to see
patients each day.
(C) The number of support personnel working each
day.
(D) The types of appointments available.
(E) The rate at which patients fail to appear for
appointments.
(F) The number of appointments canceled by a
patient on a daily basis.
(G) The number of appointments canceled by a health
care provider on a daily basis.
(H) The number of patients on the wait list at any
given time.
(I) The number of appointments scheduled on a daily
basis.
(J) The number of appointments available to be
scheduled on a daily basis.
(K) The number of patients seen on a daily, weekly,
and monthly basis.
(L) Wait-times for an appointment with a health
care provider of the Department.
(M) Wait-times for an appointment with a non-
Department health care provider.
(N) Wait-times for a referral to a specialist or
consult.
(12) A capability to provide data on the capacity of
medical facilities of the Department for purposes of
determining the resources needed by the Department to provide
health care to eligible individuals.
(13) Any other capabilities as specified by the Secretary
for purposes of this section.
(c) Plan.--
(1) In general.--Not later than 90 days after the date of
the enactment of this Act, the Secretary shall submit to the
Committee on Veterans' Affairs of the Senate and the Committee
on Veterans' Affairs of the House of Representatives a plan for
implementing the upgraded electronic scheduling system required
by subsection (a).
(2) Elements.--The plan required by paragraph (1) shall
include the following:
(A) A description of the priorities of the
Secretary for implementing the requirements of the
system under subsection (b).
(B) A detailed description of the manner in which
the Secretary will fully implement such system,
including deadlines for completing each such
requirement.
(3) Update.--Not later than 90 days after the submittal of
the plan required by paragraph (1), and not less frequently
than every 90 days thereafter until such system is fully
implemented, the Secretary shall submit to the Committee on
Veterans' Affairs of the Senate and the Committee on Veterans'
Affairs of the House of Representatives an update on the status
of the implementation of such plan.
(d) Use of Amounts.--The Secretary may use amounts available to the
Department of Veterans Affairs for the appropriations account under the
heading ``medical services'' in implementing and carrying out the
upgraded electronic scheduling system required by subsection (a).
(e) Eligible Individual Defined.--In this section, the term
``eligible individual'' means an individual eligible for hospital,
nursing home, domiciliary, medical care, or other health care under the
laws administered by the Secretary of Veterans Affairs.
SEC. 102. INDEPENDENT ASSESSMENT OF THE SCHEDULING PROCESS FOR MEDICAL
APPOINTMENTS FOR CARE FROM DEPARTMENT OF VETERANS
AFFAIRS.
(a) Independent Assessment.--
(1) Contract.--Not later than 30 days after the date of the
enactment of this Act, the Secretary of Veterans Affairs shall
enter into a contract with an independent third party to assess
the process at each medical facility of the Department of
Veterans Affairs for scheduling appointments for veterans to
receive hospital care, medical services, or other health care
from the Department.
(2) Elements.--In carrying out the assessment required by
paragraph (1), the independent third party shall do the
following:
(A) Review all training materials pertaining to
scheduling of appointments at each medical facility of
the Department.
(B) Assess whether all employees of the Department
conducting tasks related to scheduling are properly
trained for conducting such tasks.
(C) Assess whether changes in the technology or
system used in scheduling appointments are necessary to
limit access to the system to only those employees that
have been properly trained in conducting such tasks.
(D) Assess whether health care providers of the
Department are making changes to their schedules that
hinder the ability of employees conducting such tasks
to perform such tasks.
(E) Assess whether the establishment of a
centralized call center throughout the Department for
scheduling appointments at medical facilities of the
Department would improve the process of scheduling such
appointments.
(F) Assess whether booking templates for each
medical facility or clinic of the Department would
improve the process of scheduling such appointments.
(G) Recommend any actions to be taken by the
Department to improve the process for scheduling such
appointments, including the following:
(i) Changes in training materials provided
to employees of the Department with respect to
conducting tasks related to scheduling such
appointments.
(ii) Changes in monitoring and assessment
conducted by the Department of wait-times of
veterans for such appointments.
(iii) Changes in the system used to
schedule such appointments, including changes
to improve how the Department--
(I) measures wait-times of veterans
for such appointments;
(II) monitors the availability of
health care providers of the
Department; and
(III) provides veterans the ability
to schedule such appointments.
(iv) Such other actions as the independent
third party considers appropriate.
(3) Timing.--The independent third party carrying out the
assessment required by paragraph (1) shall complete such
assessment not later than 180 days after entering into the
contract described in such paragraph.
(b) Report.--Not later than 90 days after the date on which the
independent third party completes the assessment under this section,
the Secretary shall submit to the Committee on Veterans' Affairs of the
Senate and the Committee on Veterans' Affairs of the House of
Representatives a report on the results of such assessment.
SEC. 103. MODIFICATION OF LIABILITY FOR BREACH OF PERIOD OF OBLIGATED
SERVICE UNDER HEALTH PROFESSIONALS EDUCATIONAL ASSISTANCE
PROGRAM FOR PRIMARY CARE PHYSICIANS.
Section 7617 is amended--
(1) in subsection (c)(1), by striking ``If a participant''
and inserting ``Except as provided in subsection (d), if a
participant''; and
(2) by adding at the end the following new subsection:
``(d) Liability shall not arise under subsection (c) in the case of
a participant otherwise covered by that subsection who has pursued a
course of education or training in primary care if--
``(1) the participant--
``(A) does not obtain, or fails to maintain,
employment as a Department employee due to staffing
changes approved by the Under Secretary for Health; or
``(B) does not obtain, or fails to maintain,
employment in a position of primary care physician in
the Veterans Health Administration due, as determined
by the Secretary, to a number of primary care
physicians in the Administration that is excess to the
needs of the Administration; and
``(2) the participant agrees to accept and maintain
employment as a primary care physician with another department
or agency of the Federal Government (with such employment to be
under such terms and conditions as are jointly agreed upon by
the participant, the Secretary, and the head of such department
or agency, including terms and conditions relating to a period
of obligated service as a primary care physician with such
department or agency) if such employment is offered to the
participant by the Secretary and the head of such department or
agency.''.
SEC. 104. PROGRAM OF EDUCATION AT UNIFORMED SERVICES UNIVERSITY OF THE
HEALTH SCIENCES WITH SPECIALIZATION IN PRIMARY CARE.
(a) Program Required Under Health Professionals Educational
Assistance Program.--
(1) In general.--Chapter 76 is amended by adding after
subchapter VII the following new subchapter:
``SUBCHAPTER VIII--PROGRAM OF EDUCATION AT UNIFORMED SERVICES
UNIVERSITY OF THE HEALTH SCIENCES WITH SPECIALIZATION IN PRIMARY CARE
``Sec. 7691. Authority for program
``As part of the Educational Assistance Program, the Secretary
shall, in collaboration with the Secretary of Defense, carry out a
program to permit individuals to enroll in the Uniformed Services
University of the Health Sciences under chapter 104 of title 10 to
pursue a medical education with a specialization in primary care. The
program shall be known as the Department of Veterans Affairs Primary
Care Educational Assistance Program (in this chapter referred to as the
`Primary Care Educational Assistance Program').
``Sec. 7692. Selection; agreement; ineligibility for certain other
educational assistance
``(a) Selection.--(1) Medical students at the Uniformed Services
University of the Health Sciences pursuant to the Primary Care
Educational Assistance Program shall be selected by the Secretary, in
consultation with the Secretary of Defense, in accordance with
procedures established by the Secretaries for purposes of the Program.
``(2) The procedures referred to in paragraph (1) shall emphasize
the basic requirement that students demonstrate a motivation and
dedication to a medical career in primary care.
``(3) The number of medical students selected each year for first-
year enrollment in the University pursuant to this subsection shall be
jointly determined by the Secretary and the Secretary of Defense.
``(b) Agreement.--An agreement between the Secretary and a
participant in the Primary Care Educational Assistance Program shall
(in addition to the requirements set forth in section 7604 of this
title) include the following:
``(1) The Secretary's agreement to cover the costs of the
participant's education and training at the Uniformed Services
University of the Health Sciences under chapter 104 of title 10
as if the participant were a medical student enrolled in the
University pursuant to section 2114 of title 10.
``(2) The participant's agreement to serve as a full-time
employee in the Veterans Health Administration in a position as
a primary care physician for a period of time (in this
subchapter referred to as the `period of obligated service') of
one calendar year for each school year or part thereof for
which the participant was a medical student at the Uniformed
Services University of the Health Sciences pursuant to the
Primary Care Educational Assistance Program, but for not less
than one year.
``(c) Ineligibility for Other Educational Assistance.--An
individual who receives education and training under the Primary Care
Educational Assistance Program shall not be eligible for other
assistance under this chapter in connection with such education and
training.
``Sec. 7693. Obligated service
``(a) In General.--Each participant in the Primary Care Educational
Assistance Program shall provide service as a full-time employee of the
Department in the Veterans Health Administration in a primary care
position for the period of obligated service provided in the agreement
of the participant entered into for purposes of this subchapter. Such
service shall be provided in a full-time primary care clinical practice
in an assignment or location determined by the Secretary.
``(b) Service Commencement Date.--(1) Not later than 60 days before
a participant's service commencement date, the Secretary shall notify
the participant of that service commencement date. That date is the
date for the beginning of the participant's period of obligated
service.
``(2) As soon as possible after a participant's service
commencement date, the Secretary shall--
``(A) in the case of a participant who is not a full-time
employee in the Veterans Health Administration, appoint the
participant as such an employee; and
``(B) in the case of a participant who is an employee in
the Veterans Health Administration but is not serving in a
position for which the participant's course of education or
training prepared the participant, assign the participant to
such a position.
``(3) A participant's service commencement for purposes of this
subsection date is the date upon which the participant becomes licensed
to practice medicine in a State.
``(c) Commencement of Obligated Service.--A participant in the
Primary Care Educational Assistance Program shall be considered to have
begun serving the participant's period of obligated service--
``(1) on the date on which the participant is appointed as
a full-time employee in the Veterans Health Administration
pursuant to subsection (b)(2)(A); or
``(2) if the participant is a full-time employee in the
Veterans Health Administration and assigned to a position
pursuant to subsection (b)(2)(B), on the date on which the
participant is so assigned to such position.
``Sec. 7694. Breach of agreement: liability
``(a) Liability During Course of Education or Training.--(1) A
participant in the Primary Care Educational Assistance Program shall be
liable to the United States for the amount which has been paid on
behalf of the participant under the agreement entered into for purposes
of this subchapter if any of the following occurs:
``(A) The participant fails to maintain an acceptable level
of academic standing in the Uniformed Services University of
the Health Sciences.
``(B) The participant is dismissed from the Uniformed
Services University of the Health Sciences for disciplinary
reasons.
``(C) The participant voluntarily terminates the course of
medical education and training in the Uniformed Services
University of the Health Sciences before the completion of such
course of education and training.
``(D) The participant fails to become licensed to practice
medicine in a State during a period of time determined under
regulations prescribed by the Secretary.
``(2) Liability under this subsection is in lieu of any service
obligation arising under a participant's agreement for purposes of this
subchapter.
``(b) Liability During Period of Obligated Service.--(1) Except as
provided in subsection (c) and subject to paragraph (2), if a
participant in the Primary Care Educational Assistance Program breaches
the agreement entered into for purposes of this subchapter by failing
for any reason to complete the participant's period of obligated
service, the United States shall be entitled to recover from the
participant an amount equal to--
``(A) the total amount paid under this subchapter on behalf
of the participant; multiplied by
``(B) a fraction--
``(i) the numerator of which is--
``(I) the total number of months in the
participant's period of obligated service;
minus
``(II) the number of months served by the
participant pursuant to the agreement; and
``(ii) the denominator of which is the total number
of months in the participant's period of obligated
service.
``(2) Any period of internship or residency training of a
participant shall not be treated as satisfying the participant's period
of obligated service for purposes of this subsection.
``(c) Exceptions.--Liability shall not arise under subsection (b)
in the case of a participant otherwise covered by that subsection if--
``(1) the participant--
``(A) does not obtain, or fails to maintain,
employment as a Department employee due to staffing
changes approved by the Under Secretary for Health; or
``(B) does not obtain, or fails to maintain,
employment in a position of primary care physician in
the Veterans Health Administration due, as determined
by the Secretary, to a number of primary care
physicians in the Administration that is excess to the
needs of the Administration; and
``(2) the participant agrees to accept and maintain
employment as a primary care physician with another department
or agency of the Federal Government (with such employment to be
under such terms and conditions as are jointly agreed upon by
the participant, the Secretary, and the head of such department
or agency, including terms and conditions relating to a period
of obligated service as a primary care physician with such
department or agency) if such employment is offered to the
participant by the Secretary and the head of such department or
agency.
``Sec. 7695. Funding
``(a) In General.--Amounts for the Primary Care Educational
Assistance Program shall be derived from amounts available to the
Secretary for the Veterans Health Administration.
``(b) Transfer.--(1) The Secretary shall transfer to the Secretary
of Defense amounts required by the Secretary of Defense to carry out
the Primary Care Educational Assistance Program.
``(2) Amounts transferred to the Secretary of Defense pursuant to
paragraph (1) shall be credited to the appropriation or account
providing funding for the Uniformed Services University of the Health
Sciences. Amounts so credited shall be merged with amounts in the
appropriation or account to which credited and shall be available,
subject to the terms and conditions applicable to such appropriation or
account, for the Uniformed Services University of the Health
Sciences.''.
(2) Clerical amendment.--The table of sections at the
beginning of chapter 76 is amended by adding after the item
relating to section 7684 the following:
``subchapter viii--program of education at uniformed services
university of the health sciences with specialization in primary care
``7691. Authority for program.
``7692. Selection; agreement; ineligibility for certain other
educational assistance.
``7693. Obligated service.
``7694. Breach of agreement: liability.
``7695. Funding.''.
(b) Inclusion of Program in Health Professionals Educational
Assistance Program.--Section 7601(a) is amended--
(1) in paragraph (4), by striking ``; and'' and inserting a
semicolon;
(2) in paragraph (5), by striking the period at the end and
inserting ``; and''; and
(3) by adding at the end the following new paragraph:
``(6) the enrollment of individuals in the Uniformed
Services University of the Health Sciences for specialization
in primary care provided for in subchapter VIII of this
chapter.''.
(c) Application Requirements.--
(1) In general.--Subsection (a)(1) of section 7603 is
amended in the matter preceding subparagraph (A) by striking
``, or VI'' and inserting ``, VI, or VIII''.
(2) No priority for applications.--Subsection (d) of such
section is amended--
(A) by striking ``In selecting'' and inserting
``(1) Except as provided in paragraph (2), in
selecting''; and
(B) by adding at the end the following new
paragraph:
``(2) Paragraph (1) shall not apply with respect to applicants for
participation in the Program of Education at Uniformed Services
University of the Health Sciences With Specialization in Primary Care
pursuant to subchapter VIII of this chapter.''.
(d) Agreement Requirements.--Section 7604 is amended by striking
``, or VI'' each place it appears and inserting ``, VI, or VIII''.
SEC. 105. TREATMENT OF STAFFING SHORTAGE AND BIANNUAL REPORT ON
STAFFING OF MEDICAL FACILITIES OF THE DEPARTMENT OF
VETERANS AFFAIRS.
(a) Staffing Shortage.--
(1) In general.--Not later than 180 days after the date of
the enactment of this Act, and not later than September 30 each
year thereafter, the Secretary of Veterans Affairs shall
determine, and publish in the Federal Register, the five
occupations of health care providers of the Department of
Veterans Affairs for which there is the largest staffing
shortage throughout the Department.
(2) Recruitment and appointment.--Notwithstanding sections
3304 and 3309 through 3318 of title 5, United States Code, the
Secretary may, upon a determination by the Secretary under
paragraph (1) or a modification to such determination under
paragraph (2), that there is a staffing shortage throughout the
Department with respect to a particular occupation of health
care provider, recruit and directly appoint highly qualified
health care providers to a position to serve as a health care
provider in that particular occupation for the Department.
(3) Priority in health professionals educational assistance
program to certain providers.--Section 7612(b)(5) is amended--
(A) in subparagraph (A), by striking ``and'' at the
end;
(B) by redesignating subparagraph (B) as
subparagraph (C); and
(C) by inserting after subparagraph (A) the
following new subparagraph (B):
``(B) shall give priority to applicants pursuing a course
of education or training towards a career in an occupation for
which the Secretary has, in the most current determination
published in the Federal Register pursuant to section 105(a)(1)
of the Restoring Veterans Trust Act of 2014, determined that
there is one of the largest staffing shortage throughout the
Department with respect to such occupation; and''.
(b) Reports.--
(1) In general.--Not later than 180 days after the date of
the enactment of this Act, and not later than December 31 of
each even numbered year thereafter until 2024, the Secretary of
Veterans Affairs shall submit to the Committee on Veterans'
Affairs of the Senate and the Committee on Veterans' Affairs of
the House of Representatives a report assessing the staffing of
each medical facility of the Department of Veterans Affairs.
(2) Elements.--Each report submitted under paragraph (1)
shall include the following:
(A) The results of a system-wide assessment of all
medical facilities of the Department to ensure the
following:
(i) Appropriate staffing levels for health
care providers to meet the goals of the
Secretary for timely access to care for
veterans.
(ii) Appropriate staffing levels for
support personnel, including clerks.
(iii) Appropriate sizes for clinical
panels.
(iv) Appropriate numbers of full-time
staff, or full-time equivalent, dedicated to
direct care of patients.
(v) Appropriate physical plant space to
meet the capacity needs of the Department in
that area.
(vi) Such other factors as the Secretary
considers necessary.
(B) A plan for addressing any issues identified in
the assessment described in subparagraph (A), including
a timeline for addressing such issues.
(C) A list of the current wait times and workload
levels for the following clinics in each medical
facility:
(i) Mental health.
(ii) Primary care.
(iii) Gastroenterology.
(iv) Women's health.
(v) Such other clinics as the Secretary
considers appropriate.
(D) A description of the results of the
determination of the Secretary under paragraph (1) of
subsection (a) and a plan to use direct appointment
authority under paragraph (2) of such subsection to
fill staffing shortages, including recommendations for
improving the speed at which the credentialing and
privileging process can be conducted.
(E) The current staffing models of the Department
for the following clinics, including recommendations
for changes to such models:
(i) Mental health.
(ii) Primary care.
(iii) Gastroenterology.
(iv) Women's health.
(v) Such other clinics as the Secretary
considers appropriate.
(F) A detailed analysis of succession planning at
medical facilities of the Department, including the
following:
(i) The number of positions in medical
facilities throughout the Department that are
not filled by a permanent employee.
(ii) The length of time each such position
described in clause (i) remained vacant or
filled by a temporary or acting employee.
(iii) A description of any barriers to
filling the positions described in clause (i).
(iv) A plan for filling any positions that
are vacant or filled by a temporary or acting
employee for more than 180 days.
(v) A plan for handling emergency
circumstances, such administrative leave or
sudden medical leave for senior officials.
(G) The number of health care providers who have
been removed from their position or have retired, by
provider type, during the two-year period preceding the
submittal of the report.
(H) Of the health care providers specified in
subparagraph (G) that have been removed from their
position, the following:
(i) The number of such health care
providers who were reassigned to another
position in the Department.
(ii) The number of such health care
providers who left the Department.
SEC. 106. CLINIC MANAGEMENT TRAINING PROGRAM OF THE DEPARTMENT OF
VETERANS AFFAIRS.
(a) In General.--Not later than 180 days after the date of the
enactment of this Act, the Secretary of Veterans Affairs shall
implement a clinic management training program to provide in-person,
standardized education on health care management to all managers of,
and health care providers at, medical facilities of the Department of
Veterans Affairs.
(b) Elements.--The clinic management training program required by
subsection (a) shall include the following:
(1) Training on how to manage the schedules of health care
providers of the Department, including the following:
(A) Maintaining such schedules in a manner that
allows appointments to be booked at least eight weeks
in advance.
(B) Proper planning procedures for vacation, leave,
and graduate medical education training schedules.
(2) Training on the appropriate number of appointments that
a health care provider should conduct on a daily basis, based
on specialty.
(3) Training on how to determine whether there are enough
available appointment slots to manage demand for different
appointment types and mechanisms for alerting management of
insufficient slots.
(4) Training on how to properly use the data produced by
the scheduling dashboard required by section 101(b)(11) of this
Act to meet demand for health care, including the following:
(A) Training on determining the next available
appointment for each health care provider at the
medical facility.
(B) Training on determining the number of health
care providers needed to meet demand for health care at
the medical facility.
(C) Training on determining the number of exam
rooms needed to meet demand for such health care in an
efficient manner.
(5) Training on how to properly use the appointment
scheduling system of the Department, including any new
scheduling system implemented by the Department.
(6) Training on how to optimize the use of technology,
including the following:
(A) Telemedicine.
(B) Electronic mail.
(C) Text messaging.
(D) Such other technologies as specified by the
Secretary.
(7) Training on how to properly use physical plant space at
medical facilities of the Department to ensure efficient flow
and privacy for patients and staff.
SEC. 107. INCLUSION OF DEPARTMENT OF VETERANS AFFAIRS FACILITIES IN
NATIONAL HEALTH SERVICE CORPS SCHOLARSHIP AND LOAN
REPAYMENT PROGRAMS.
(a) In General.--The Secretary of Health and Human Services shall
use the funds transferred under subsection (e) to award scholarship and
loan repayment contracts under sections 338A and 338B of the Public
Health Service Act (42 U.S.C. 254l, 254l-1) to eligible individuals who
agree to a period of obligated service under section 338A(f)(1) or
338B(f)(1) of such Act, as applicable, at a health facility of the
Department of Veterans Affairs.
(b) Health Professional Shortage Areas.--For purposes of selecting
individuals eligible for the scholarships and loan repayment contracts
under subsection (a), all health facilities of the Department of
Veterans Affairs shall be deemed health professional shortage areas, as
defined in section 332 of the Public Health Service Act (42 U.S.C.
254e).
(c) Requirement.--The Secretary of Health and Human Services shall
ensure that a minimum of 5 scholarships or loan repayment contracts are
awarded to individuals who agree to a period of obligated service at
Veterans Affairs facilities in each State.
(d) Applicability of NHSC Program Requirements.--Except as
otherwise provided in this section, the terms of the National Health
Service Corps Scholarship Program and the National Health Service Corps
Loan Repayment Program shall apply to participants awarded a grant or
loan repayment contract under subsection (a) in the same manner that
such terms apply to participants awarded a grant or loan repayment
contract under section 338A or 338B of the Public Health Service Act.
(e) Inclusion of Geriatricians.--For purposes of awarding
scholarships and loan repayments contracts to eligible individuals who
agree to a period of obligated service at a health facility of the
Department of Veterans Affairs pursuant to this section, in sections
338A and 338B of the Public Health Service Act (42 U.S.C. 254l, 254l-
1), the term ``primary health services'' shall include geriatrics.
(f) Funding.--The Secretary of Veterans Affairs shall transfer
$20,000,000 from accounts of the Veterans Health Administration to the
Secretary of Health and Human Services to award scholarships and loan
repayment contracts, as described in subsection (a). All funds so
transferred shall be used exclusively for the purposes described in
such subsection.
SEC. 108. IMPROVEMENT OF ACCESS BY VETERANS TO HEALTH CARE FROM NON-
DEPARTMENT OF VETERANS AFFAIRS PROVIDERS.
(a) Improvement of Access.--
(1) In general.--The Secretary of Veterans Affairs shall
ensure timely access of all veterans to the hospital care,
medical services, and other health care for which such veterans
are eligible under the laws administered by the Secretary
through the enhanced use of authorities specified in paragraph
(2) on the provision of such care and services through non-
Department of Veterans Affairs providers (commonly referred to
as ``non-Department of Veterans Affairs medical care'').
(2) Authorities on provision of care through non-department
providers.--The authorities specified in this paragraph are the
following:
(A) Section 1703 of title 38, United States Code,
relating to contracts for the provision of hospital
care and medical services through non-Department
facilities.
(B) Section 1725 of such title, relating to
reimbursement of certain veterans for the reasonable
value of emergency treatment at non-Department
facilities.
(C) Section 1728 of such title, relating to
reimbursement of certain veterans for customary and
usual charges of emergency treatment from sources other
than the Department.
(D) Section 1786 of such title, relating to health
care services furnished to newborn children of women
veterans who are receiving maternity care furnished by
the Department at a non-Department facility.
(E) Any other authority under the laws administered
by the Secretary to provide hospital care, medical
services, or other health care from a non-Department
provider, including the following:
(i) A Federally-qualified health center (as
defined in section 1905(l)(2)(B) of the Social
Security Act (42 U.S.C. 1396d(l)(2)(B))).
(ii) The Department of Defense.
(iii) The Indian Health Service.
(3) Requirements.--In ensuring timely access of all
veterans to the care and services described in paragraph (1)
through the enhanced use of authorities specified in paragraph
(2), the Secretary shall require the following:
(A) That each veteran who has not received hospital
care, medical services, or other health care from the
Department and is seeking an appointment for primary
care under the laws administered by the Secretary
receive an appointment for primary care at a time
consistent with timeliness measures established by the
Secretary for purposes of providing primary care to all
veterans.
(B) That the determination whether to refer a
veteran for specialty care through a non-Department
provider shall take into account the urgency and acuity
of such veteran's need for such care, including--
(i) the severity of the condition of such
veteran requiring specialty care; and
(ii) the wait-time for an appointment with
a specialist with respect to such condition at
the nearest medical facility of the Department
with the capacity to provide such care.
(C) That the determination whether a veteran shall
receive hospital care, medical services, or other
health care from the Department through facilities of
the Department or through non-Department providers
pursuant to the authorities specified in paragraph (2)
shall take into account, in the manner specified by the
Secretary, the following:
(i) The distance the veteran would be
required to travel to receive care or services
through a non-Department provider compared to
the distance the veteran would be required to
travel to receive care or services from a
medical facility of the Department.
(ii) Any factors that might limit the
ability of the veteran to travel, including
age, access to transportation, and infirmity.
(iii) The wait-time for the provision of
care or services through a non-Department
provider compared to the wait-time for the
provision of care or services from a medical
facility of the Department.
(D) That the Department maximize the use of
hospital care, medical services, and other health care
available to the Department through non-Department
providers, including providers available to provide
such care and services as follows:
(i) Pursuant to contracts under the
Patient-Centered Community Care Program of the
Department.
(ii) Pursuant to contracts between a
facility or facilities of the Department and a
local facility or provider.
(iii) Pursuant to contracts with Federally-
qualified health centers (as defined in section
1905(l)(2)(B) of the Social Security Act (42
U.S.C. 1396d(l)(2)(B))), the Department of
Defense, or the Indian Health Service.
(iv) On a fee-for-service basis.
(b) Medical Records.--In providing hospital care, medical services,
and other health care to veterans through non-Department providers
pursuant to the authorities specified in paragraph (2), the Secretary
shall ensure that any such provider submits to the Department any
medical record related to the care and services provided to a veteran
by that provider for inclusion in the electronic medical record of such
veteran maintained by the Department upon the completion of the
provision of such care and services to such veteran.
(c) Reports.--
(1) Initial report.--Not later than 45 days after the date
of the enactment of this Act, the Secretary shall submit to the
Committee on Veterans' Affairs of the Senate and the Committee
on Veterans' Affairs of the House of Representatives a report
on the implementation of the requirements under subsections (a)
and (b), including a plan to enforce the proper implementation
of such requirements systematically throughout the Department.
(2) Periodic reports.--Not later than 90 days after the
submittal of the report required by paragraph (1), and every 90
days thereafter for one year, the Secretary shall submit to the
Committee on Veterans' Affairs of the Senate and the Committee
on Veterans' Affairs of the House of Representatives a report
that includes the following:
(A) The progress of the Secretary in carrying out
the plan under paragraph (1) to enforce the proper
implementation of the requirements under subsections
(a) and (b) systematically throughout the Department.
(B) The impact of the implementation of such
requirements on wait-times for veterans to receive
hospital care, medical services, and other health care,
disaggregated by--
(i) new patients;
(ii) existing patients;
(iii) primary care; and
(iv) specialty care.
(C) Any recommendations for changes or improvements
to such requirements.
(D) Any requests for additional funding necessary
to carry out such requirements.
SEC. 109. EXTENSION OF AND REPORT ON JOINT INCENTIVES PROGRAM OF
DEPARTMENT OF VETERANS AFFAIRS AND DEPARTMENT OF DEFENSE.
(a) Extension.--Section 8111(d)(3) is amended by striking
``September 30, 2015'' and inserting ``September 30, 2020''.
(b) Reports.--
(1) Report on implementation of recommendations.--Not later
than 60 days after the date of the enactment of this Act, the
Secretary of Veterans Affairs and the Secretary of Defense
shall jointly submit to Congress a report on the implementation
by the Department of Veterans Affairs and the Department of
Defense of the findings and recommendations of the Comptroller
General of the United States in the September 2012 report
entitled ``VA and DoD Health Care: Department-Level Actions
Needed to Assess Collaboration Performance, Address Barriers,
and Identify Opportunities'' (GAO-12-992).
(2) Comptroller general report.--
(A) In general.--Not later than one year after the
date of the enactment of this Act, the Comptroller
General of the United States shall submit to Congress a
report assessing and providing recommendations for
improvement to the program to identify, provide
incentives to, implement, fund, and evaluate creative
coordination and sharing initiatives between the
Department of Veterans Affairs and the Department of
Defense required under section 8111(d) of such title.
(B) Elements.--The report required by subparagraph
(A) shall include the following:
(i) An assessment of the extent to which
the program described in subparagraph (A) has
accomplished the goal of such program to
improve the access to, and quality and cost
effectiveness of, the health care provided by
the Veterans Health Administration and the
Military Health System to the beneficiaries of
both the Department of Veterans Affairs and the
Department of Defense.
(ii) An assessment of whether
administration of such program through the
Health Executive Committee of the Department of
Veterans Affairs-Department of Defense Joint
Executive Committee established under section
320 of such title provides sufficient
leadership attention and oversight to ensure
maximum benefits to the Department of Veterans
Affairs and the Department of Defense through
collaborative efforts.
(iii) An assessment of whether additional
authorities to jointly construct, lease, or
acquire facilities would facilitate additional
collaborative efforts under such program.
(iv) An assessment of whether the funding
for such program is sufficient to ensure
consistent identification of potential
opportunities for collaboration and oversight
of existing collaborations to ensure a
meaningful partnership between the Department
of Veterans Affairs and the Department of
Defense and remove any barriers to integration
or collaboration.
(v) An assessment of whether existing
processes for identifying opportunities for
collaboration are sufficient to ensure maximum
collaboration between the Veterans Health
Administration and the Military Health System.
(vi) Such legislative or administrative
recommendations for improvement to such program
as the Comptroller General considers
appropriate to enhance the use of such program
to increase access to health care.
SEC. 110. TRANSFER OF AUTHORITY FOR PAYMENTS FOR HOSPITAL CARE, MEDICAL
SERVICES, AND OTHER HEALTH CARE FROM NON-DEPARTMENT
PROVIDERS TO THE CHIEF BUSINESS OFFICE OF THE VETERANS
HEALTH ADMINISTRATION OF THE DEPARTMENT.
(a) Transfer of Authority.--
(1) In general.--Effective on October 1, 2014, the
Secretary of Veterans Affairs shall transfer the authority to
pay for hospital care, medical services, and other health care
through non-Department providers to the Chief Business Office
of the Veterans Health Administration of the Department of
Veterans Affairs from the Veterans Integrated Service Networks
and medical centers of the Department of Veterans Affairs.
(2) Manner of care.--The Chief Business Office shall work
in consultation with the Office of Clinical Operations and
Management of the Department of Veterans Affairs to ensure that
care and services described in paragraph (1) is provided in a
manner that is clinically appropriate and effective.
(3) No delay in payment.--The transfer of authority under
paragraph (1) shall be carried out in a manner that does not
delay or impede any payment by the Department for hospital
care, medical services, or other health care provided through a
non-Department provider under the laws administered by the
Secretary.
(b) Budgetary Effect.--The Secretary shall, for each fiscal year
that begins after the date of the enactment of this Act--
(1) include in the budget for the Chief Business Office of
the Veterans Health Administration amounts to pay for hospital
care, medical services, and other health care provided through
non-Department providers, including any amounts necessary to
carry out the transfer of authority to pay for such care and
services under subsection (a), including any increase in staff;
and
(2) not include in the budget of each Veterans Integrated
Service Network and medical center of the Department amounts to
pay for such care and services.
(c) Removal From Performance Goals.--For each fiscal year that
begins after the date of the enactment of this Act, the Secretary shall
not include in the performance goals of any employee of a Veterans
Integrated Service Network or medical center of the Department any
performance goal that might disincentivize the payment of Department
amounts to provide hospital care, medical services, or other health
care through a non-Department provider.
SEC. 110A. CONTRACTING FOR HOSPITAL CARE, MEDICAL SERVICES, AND OTHER
HEALTH CARE.
(a) Use of Contracts With Certain Entities.--
(1) In general.--In providing hospital care, medical
services, and other health care under the laws administered by
the Secretary of Veterans Affairs through the use of contracts,
the Secretary shall prioritize the use of contracts or
agreements with Federally Qualified Health Centers (FQHCs),
medical facilities receiving funding from the Indian Health
Service, and the Department of Defense.
(2) Plan on increased use of contracts.--The Secretary of
Veterans Affairs shall, in consultation with the Secretary of
Defense, the Secretary of Health and Human Services, and the
Director of the Indian Health Service, develop a plan to
increase the use of contracts described in paragraph (1) to
improve the ability of the Department of Veterans Affairs to
provide hospital care, medical services, and other health care
to veterans.
(3) Report.--Not later than 180 days after the date of the
enactment of this Act, the Secretary of Veterans Affairs shall
submit to Congress a report on the plan required by paragraph
(2).
(b) Best Practices.--The Secretary shall modify the guidance of the
Department of Veterans Affairs on contracts for hospital care, medical
services, and other health care in order to provide for the
incorporation into such contracts of standardized requirements for best
practices under such contracts, including the following:
(1) Requirements that contracts provide the Department on a
regular basis information on scheduling and appearance for
appointments for hospital care, medical services, and other
health care on per-patient basis.
(2) Such other best practices requirements as the Secretary
considers appropriate.
(c) Federally Qualified Health Center Defined.--In this section the
term ``Federally Qualified Health Center'' means a Federally-qualified
health center as defined in section 1905(l)(2)(B) of the Social
Security Act (42 U.S.C. 1396d(l)(2)(B)).
SEC. 110B. ENHANCEMENT OF COLLABORATION BETWEEN DEPARTMENT OF VETERANS
AFFAIRS AND INDIAN HEALTH SERVICE.
(a) Outreach to Tribal-Run Medical Facilities.--The Secretary of
Veterans Affairs shall, in consultation with the Director of the Indian
Health Service, conduct outreach to each medical facility operated by
an Indian tribe or tribal organization through a contract or compact
with the Indian Health Service under the Indian Self-Determination and
Education Assistance Act (25 U.S.C. 450 et seq.) to raise awareness of
the ability of such facilities, Indian tribes, and tribal organizations
to enter into agreements with the Department of Veterans Affairs under
which the Secretary reimburses such facilities, Indian tribes, or
tribal organizations, as the case may be, for health care provided to
veterans eligible for health care at such facilities.
(b) Metrics for Memorandum of Understanding Performance.--The
Secretary of Veterans Affairs shall implement performance metrics for
assessing the performance by the Department of Veterans Affairs and the
Indian Health Service under the memorandum of understanding entitled
``Memorandum of Understanding between the Department of Veterans
Affairs (VA) and the Indian Health Service (IHS)'' in increasing access
to health care, improving quality and coordination of health care,
promoting effective patient-centered collaboration and partnerships
between the Department and the Service, and ensuring health-promotion
and disease-prevention services are appropriately funded and available
for beneficiaries under both health care systems.
(c) Report.--Not later than 180 days after the date of the
enactment of this Act, the Secretary of Veterans Affairs and the
Director of the Indian Health Service shall jointly submit to Congress
a report on the feasibility and advisability of the following:
(1) Entering into agreements for the reimbursement by the
Secretary of the costs of direct care services provided through
organizations receiving amounts pursuant to grants made or
contracts entered into under section 503 of the Indian Health
Care Improvement Act (25 U.S.C. 1653) to veterans who are
otherwise eligible to receive health care from such
organizations.
(2) Including the reimbursement of the costs of direct care
services provided to veterans who are not Indians in agreements
between the Department and the following:
(A) The Indian Health Service.
(B) An Indian tribe or tribal organization
operating a medical facility through a contract or
compact with the Indian Health Service under the Indian
Self-Determination and Education Assistance Act (25
U.S.C. 450 et seq.).
(C) A medical facility of the Indian Health
Service.
(d) Definitions.--In this section:
(1) Indian.--The terms ``Indian'' and ``Indian tribe'' have
the meanings given those terms in section 4 of the Indian
Health Care Improvement Act (25 U.S.C. 1603).
(2) Medical facility of the indian health service.--The
term ``medical facility of the Indian Health Service'' includes
a facility operated by an Indian tribe or tribal organization
through a contract or compact with the Indian Health Service
under the Indian Self-Determination and Education Assistance
Act (25 U.S.C. 450 et seq.).
(3) Tribal organization.--The term ``tribal organization''
has the meaning given the term in section 4 of the Indian Self-
Determination and Education Assistance Act (25 U.S.C. 450b).
SEC. 110C. ENHANCEMENT OF COLLABORATION BETWEEN DEPARTMENT OF VETERANS
AFFAIRS AND NATIVE HAWAIIAN HEALTH CARE SYSTEMS.
(a) In General.--The Secretary of Veterans Affairs shall, in
consultation with Papa Ola Lokahi and such other organizations involved
in the delivery of health care to Native Hawaiians as the Secretary
considers appropriate, enter into contracts or agreements with Native
Hawaiian health care systems that are in receipt of funds from the
Secretary of Health and Human Services pursuant to grants awarded or
contracts entered into under section 6(a) of the Native Hawaiian Health
Care Improvement Act (42 U.S.C. 11705(a)) for the reimbursement of
direct care services provided to eligible veterans as specified in such
contracts or agreements.
(b) Definitions.--In this section, the terms ``Native Hawaiian'',
``Native Hawaiian health care system'', and ``Papa Ola Lokahi'' have
the meanings given those terms in section 12 of the Native Hawaiian
Health Care Improvement Act (42 U.S.C. 11711).
SEC. 110D. IMPROVEMENT OF ACCESS OF VETERANS TO MOBILE VET CENTERS OF
THE DEPARTMENT OF VETERANS AFFAIRS.
(a) Improvement of Access.--
(1) In general.--The Secretary of Veterans Affairs shall
improve the access of veterans to telemedicine and other health
care through the use of mobile vet centers of the Department of
Veterans Affairs by providing standardized requirements for the
operation of such centers.
(2) Requirements.--The standardized requirements required
by paragraph (1) shall include the following:
(A) The number of days each mobile vet center of
the Department is expected to travel per year.
(B) The number of locations each center is expected
to visit per year.
(C) The number of appointments each center is
expected to conduct per year.
(D) The method and timing of notifications given by
each center to individuals in the area to which such
center is traveling, including notifications informing
veterans of the availability to schedule appointments
at the center.
(3) Use of telemedicine.--The Secretary shall ensure that
each mobile vet center of the Department has the capability to
provide telemedicine services.
(b) Reports.--Not later than one year after the date of the
enactment of this Act, and not later than September 30 each year
thereafter, the Secretary of Veterans Affairs shall submit to the
Committee on Veterans' Affairs of the Senate and the Committee on
Veterans' Affairs of the House of Representatives a report on the
following:
(1) The use of mobile vet centers to provide telemedicine
services to veterans during the year preceding the submittal of
the report, including the following:
(A) The number of days each mobile vet center was
open to provide such services.
(B) The number of days each mobile vet center
traveled to a location other than the headquarters of
the mobile vet center to provide such services.
(C) The number of appointments each center
conducted to provide such services on average per month
and in total during such year.
(2) An analysis of the effectiveness of using mobile vet
centers to provide health care services to veterans through the
use of telemedicine.
(3) Any recommendations for an increase in the number of
mobile vet centers of the Department.
(4) Any recommendations for an increase in the telemedicine
capabilities of each mobile vet center.
(5) The feasibility and advisability of using temporary
health care providers, including locum tenens, to provide
direct health care services to veterans at mobile vet centers.
(6) Such other recommendations on improvement of the use of
mobile vet centers by the Department as the Secretary considers
appropriate.
SEC. 110E. COMMISSION ON ACCESS TO CARE.
(a) Establishment of Commission.--
(1) In general.--There is established the Commission on
Access to Care (in this section referred to as the
``Commission'') to examine the access of veterans to health
care from the Department of Veterans Affairs and strategically
examine how best to organize the Veterans Health
Administration, locate health care resources, and deliver
health care to veterans during the next 10 to 20 years.
(2) Membership.--
(A) Voting members.--The Commission shall be
composed of 10 voting members who are appointed by the
President as follows:
(i) At least two members who represent an
organization recognized by the Secretary of
Veterans Affairs for the representation of
veterans under section 5902 of title 38, United
States Code.
(ii) At least one member from among persons
who are experts concerning a public or private
hospital system.
(iii) At least one member from among
persons who are familiar with government health
care systems, including those systems of the
Department of Defense, the Indian Health
Service, and Federally-qualified health centers
(as defined in section 1905(l)(2)(B) of the
Social Security Act (42 U.S.C.
1396d(l)(2)(B))).
(iv) At least two members from among
persons who are familiar with the Veterans
Health Administration.
(B) Nonvoting members.--In addition to members
appointed under subparagraph (A), the Commission shall
be composed of 10 nonvoting members who are appointed
by the President as follows:
(i) At least two members who represent an
organization recognized by the Secretary of
Veterans Affairs for the representation of
veterans under section 5902 of title 38, United
States Code.
(ii) At least one member from among persons
who are experts in a public or private hospital
system.
(iii) At least one member from among
persons who are familiar with government health
care systems, including those systems of the
Department of Defense, the Indian Health
Service, and Federally-qualified health centers
(as defined in section 1905(l)(2)(B) of the
Social Security Act (42 U.S.C.
1396d(l)(2)(B))).
(iv) At least two members from among
persons who are familiar with the Veterans
Health Administration.
(C) Date.--The appointments of members of the
Commission shall be made not later than 60 days after
the date of the enactment of this Act.
(3) Period of appointment; vacancies.--Members shall be
appointed for the life of the Commission. Any vacancy in the
Commission shall not affect its powers, but shall be filled in
the same manner as the original appointment.
(4) Initial meeting.--Not later than 15 days after the date
on which seven voting members of the Commission have been
appointed, the Commission shall hold its first meeting.
(5) Meetings.--The Commission shall meet at the call of the
Chairperson.
(6) Quorum.--A majority of the members of the Commission
shall constitute a quorum, but a lesser number of members may
hold hearings.
(7) Chairperson and vice chairperson.--The Commission shall
select a Chairperson and Vice Chairperson from among its
members.
(b) Duties of Commission.--
(1) Evaluation and assessment.--The Commission shall
undertake a comprehensive evaluation and assessment of access
to health care at the Department of Veterans Affairs.
(2) Matters evaluated and assessed.--The matters evaluated
and assessed by the Commission shall include the following:
(A) The appropriateness of current standards of the
Department of Veterans Affairs concerning access to
health care.
(B) The measurement of such standards.
(C) The appropriateness of performance standards
and incentives in relation to standards described in
subparagraph (A).
(D) Staffing levels throughout the Veterans Health
Administration and whether they are sufficient to meet
current demand for health care from the Administration.
(3) Reports.--The Commission shall submit to the President,
through the Secretary of Veterans Affairs, reports as follows:
(A) Not later than 90 days after the date of the
initial meeting of the Commission, an interim report
on--
(i) the findings of the Commission with
respect to the evaluation and assessment
required by this subsection; and
(ii) such recommendations as the Commission
may have for legislative or administrative
action to improve access to health care through
the Veterans Health Administration.
(B) Not later than 180 days after the date of the
initial meeting of the Commission, a final report on--
(i) the findings of the Commission with
respect to the evaluation and assessment
required by this subsection; and
(ii) such recommendations as the Commission
may have for legislative or administrative
action to improve access to health care through
the Veterans Health Administration.
(c) Powers of the Commission.--
(1) Hearings.--The Commission may hold such hearings, sit
and act at such times and places, take such testimony, and
receive such evidence as the Commission considers advisable to
carry out this section.
(2) Information from federal agencies.--The Commission may
secure directly from any Federal department or agency such
information as the Commission considers necessary to carry out
this section. Upon request of the Chairperson of the
Commission, the head of such department or agency shall furnish
such information to the Commission.
(d) Commission Personnel Matters.--
(1) Compensation of members.--Each member of the Commission
who is not an officer or employee of the Federal Government
shall be compensated at a rate equal to the daily equivalent of
the annual rate of basic pay prescribed for level IV of the
Executive Schedule under section 5315 of title 5, United States
Code, for each day (including travel time) during which such
member is engaged in the performance of the duties of the
Commission. All members of the Commission who are officers or
employees of the United States shall serve without compensation
in addition to that received for their services as officers or
employees of the United States.
(2) Travel expenses.--The members of the Commission shall
be allowed travel expenses, including per diem in lieu of
subsistence, at rates authorized for employees of agencies
under subchapter I of chapter 57 of title 5, United States
Code, while away from their homes or regular places of business
in the performance of services for the Commission.
(3) Staff.--
(A) In general.--The Chairperson of the Commission
may, without regard to the civil service laws and
regulations, appoint and terminate an executive
director and such other additional personnel as may be
necessary to enable the Commission to perform its
duties. The employment of an executive director shall
be subject to confirmation by the Commission.
(B) Compensation.--The Chairperson of the
Commission may fix the compensation of the executive
director and other personnel without regard to chapter
51 and subchapter III of chapter 53 of title 5, United
States Code, relating to classification of positions
and General Schedule pay rates, except that the rate of
pay for the executive director and other personnel may
not exceed the rate payable for level V of the
Executive Schedule under section 5316 of such title.
(4) Detail of government employees.--Any Federal Government
employee may be detailed to the Commission without
reimbursement, and such detail shall be without interruption or
loss of civil service status or privilege.
(5) Procurement of temporary and intermittent services.--
The Chairperson of the Commission may procure temporary and
intermittent services under section 3109(b) of title 5, United
States Code, at rates for individuals which do not exceed the
daily equivalent of the annual rate of basic pay prescribed for
level V of the Executive Schedule under section 5316 of such
title.
(e) Termination of the Commission.--The Commission shall terminate
30 days after the date on which the Commission submits its report under
subsection (b)(3)(B).
(f) Funding.--The Secretary of Veterans Affairs shall make
available to the Commission from amounts appropriated or otherwise made
available to the Secretary such amounts as the Secretary and the
Chairperson of the Commission jointly consider appropriate for the
Commission to perform its duties under this section.
(g) Executive Action.--
(1) Action on recommendations.--The President shall require
the Secretary of Veterans Affairs and such other heads of
relevant Federal departments and agencies to implement each
recommendation set forth in a report submitted under subsection
(b)(3) that the President--
(A) considers feasible and advisable; and
(B) determines can be implemented without further
legislative action.
(2) Reports.--Not later than 60 days after the date on
which the President receives a report under subsection (b)(3),
the President shall submit to the Committee on Veterans'
Affairs of the Senate and the Committee on Veterans' Affairs of
the House of Representatives and such other committees of
Congress as the President considers appropriate a report
setting forth the following:
(A) An assessment of the feasibility and
advisability of each recommendation contained in the
report received by the President.
(B) For each recommendation assessed as feasible
and advisable under subparagraph (A) the following:
(i) Whether such recommendation requires
legislative action.
(ii) If such recommendation requires
legislative action, a recommendation concerning
such legislative action.
(iii) A description of any administrative
action already taken to carry out such
recommendation.
(iv) A description of any administrative
action the President intends to be taken to
carry out such recommendation and by whom.
SEC. 110F. REMOVAL OF SENIOR EXECUTIVE SERVICE EMPLOYEES OF THE
DEPARTMENT OF VETERANS AFFAIRS FOR PERFORMANCE.
(a) Removal or Transfer.--
(1) In general.--Chapter 7 is amended by adding at the end
the following new section:
``Sec. 713. Senior Executive Service: removal based on performance
``(a) In General.--The Secretary may remove any individual from the
Senior Executive Service if the Secretary determines the performance of
the individual warrants such removal. If the Secretary so removes such
an individual, the Secretary may--
``(1) remove the individual from the civil service (as
defined in section 2101 of title 5); or
``(2) transfer the individual to a General Schedule
position at any grade of the General Schedule for which the
individual is qualified and that the Secretary determines is
appropriate.
``(b) Notice to Congress.--Not later than 30 days after removing or
transferring an individual from the Senior Executive Service under
paragraph (1), the Secretary shall submit to the Committees on
Veterans' Affairs of the Senate and House of Representatives notice in
writing of such removal or transfer and the reason for such removal or
transfer.
``(c) Appeal of Removal or Transfer.--Any removal or transfer under
subsection (a) may be appealed to the Merit Systems Protection Board
under section 7701 of title 5 not later than 7 days after such removal
or transfer.
``(d) Expedited Review by Merit Systems Protection Board.--(1) The
Merit Systems Protection Board shall expedite any appeal under section
7701 of title 5 of a removal or transfer under subsection (a) and, in
any such case, shall issue a decision not later than 21 days after the
date of the appeal.
``(2) In any case in which the Merit Systems Protection Board
determines that it cannot issue a decision in accordance with the 21-
day requirement under paragraph (1), the Merit Systems Protection Board
shall submit to Congress a report that explains the reason why the
Merit Systems Protection Board is unable to issue a decision in
accordance with such requirement in such case.
``(3) There is authorized to be appropriated such sums as may be
necessary for the Merit Systems Protection Board to expedite appeals
under paragraph (1).
``(4) The Merit Systems Protection Board may not stay any personnel
action taken under this section.''.
(2) Clerical amendment.--The table of sections at the
beginning of such chapter is amended by adding at the end the
following new item:
``713. Senior Executive Service: removal based on performance.''.
(b) Establishment of Expedited Review Process.--
(1) In general.--Not later than 30 days after the date of
the enactment of this Act, the Merit Systems Protection Board
shall establish and put into effect a process to conduct
expedited reviews in accordance with section 713(d) of title
38, United States Code.
(2) Inapplicability of certain regulations.--Section
1201.22 of title 5, Code of Federal Regulations, as in effect
on the day before the date of the enactment of this Act, shall
not apply to expedited reviews carried out under section 713(d)
of title 38, United States Code.
(3) Report by merit systems protection board.--Not later
than 30 days after the date of the enactment of this Act, the
Merit Systems Protection Board shall submit to Congress a
report on the actions the Board plans to take to conduct
expedited reviews under section 713(d) of title 38, United
States Code, as added by subsection (a). Such report shall
include a description of the resources the Board determines
will be necessary to conduct such reviews and a description of
whether any resources will be necessary to conduct such reviews
that were not available to the Board on the day before the date
of the enactment of this Act.
(c) Temporary Exemption From Certain Limitation on Initiation of
Removal From Senior Executive Service.--During the 120-day period
beginning on the date of the enactment of this Act, an action to remove
an individual from the Senior Executive Service at the Department of
Veterans Affairs pursuant to section 713 of title 38, United States
Code, as added by subsection (a), or section 7543 of title 5, United
States Code, may be initiated, notwithstanding section 3592(b) of title
5, United States Code, or any other provision of law.
(d) Construction.--Nothing in this section or section 713 of title
38, United States Code, as added by subsection (a), shall be construed
to apply to an appeal of a removal, transfer, or other personnel action
that was pending before the date of the enactment of this Act.
SEC. 110G. AUTHORIZATION OF EMERGENCY APPROPRIATIONS.
There is authorized to be appropriated for the Department of
Veterans Affairs such sums as may be necessary to carry out sections
103 through 110C of this Act.
Subtitle B--Expansion and Improvements of Benefits Generally
SEC. 111. FURTHER EXTENSION OF PERIOD OF ELIGIBILITY FOR HEALTH CARE
FOR VETERANS OF COMBAT SERVICE DURING CERTAIN PERIODS OF
HOSTILITIES AND WAR.
Section 1710(e)(3) is amended--
(1) in subparagraph (A), by striking ``the date that is
five years before the date of the enactment of the National
Defense Authorization Act for Fiscal Year 2008, after a period
of five years'' and inserting ``January 27, 2003, after a
period of 10 years''; and
(2) in subparagraph (B), by striking ``more than five
years'' and all that follows and inserting ``before January 28,
2003, and who did not enroll in the patient enrollment system
under section 1705 of this title before January 28, 2008, after
January 27, 2018.''.
SEC. 112. EXPANSION OF ASSISTANCE AND SUPPORT SERVICES FOR CAREGIVERS
OF VETERANS.
(a) Expansion of Eligible Veterans.--Subsection (a)(2)(B) of
section 1720G is amended--
(1) by striking ``service on or after September 11, 2001;
and'' and inserting ``service--
``(i) on or after September 11, 2001; or
``(ii) that--
``(I) is rated as 50 percent or more
disabling on the schedule of rating for
disabilities of the Department; and
``(II) requires the maximum amount and
degree of personal care services allowed under
that schedule.''.
(b) Support Services Provided Under Program of General Caregiver
Support Services.--Subsection (b)(3)(A) of such section is amended--
(1) in clause (i)--
(A) by redesignating subclauses (II) and (III) as
subclauses (III) and (IV), respectively; and
(B) by inserting after subclause (I) the following
new subclause (II):
``(II) for caregivers undergoing
educational sessions pursuant to subclause (I),
payment of necessary travel, lodging, and per
diem expenses incurred by such caregivers in
undergoing such educational sessions in such
amounts as the Secretary shall prescribe for
purposes of this subclause;'';
(2) by striking clause (iii) and inserting the following
new clause:
``(iii) Respite care of not less than 30 days
annually that is medically and age-appropriate,
including in-home care and 24-hour per day care of the
veteran commensurate with the care provided by the
caregiver to permit extended respite.'';
(3) by redesignating clause (iv) as clause (v); and
(4) by inserting after clause (iii) the following new
clause (iv):
``(iv) Such mental health services as the Secretary
considers appropriate.''.
(c) Effective Date.--The amendments made by this section shall take
effect on October 1, 2015.
SEC. 113. IMPROVED ACCESS TO APPROPRIATE IMMUNIZATIONS FOR VETERANS.
(a) Inclusion of Recommended Adult Immunizations as Medical
Services.--
(1) Covered benefit.--Subparagraph (F) of section 1701(9)
is amended to read as follows:
``(F) immunizations against infectious diseases,
including each immunization on the recommended adult
immunization schedule at the time such immunization is
indicated on that schedule;''.
(2) Recommended adult immunization schedule defined.--
Section 1701 is amended by adding after paragraph (9) the
following new paragraph:
``(10) The term `recommended adult immunization schedule'
means the schedule established (and periodically reviewed and,
as appropriate, revised) by the Advisory Committee on
Immunization Practices established by the Secretary of Health
and Human Services and delegated to the Centers for Disease
Control and Prevention.''.
(b) Inclusion of Recommended Adult Immunizations in Annual
Report.--Section 1704(1)(A) is amended--
(1) in clause (i), by striking ``and'' at the end;
(2) in clause (ii), by striking the period at the end and
inserting ``; and''; and
(3) by inserting after clause (ii) the following new
clause:
``(iii) to provide veterans each
immunization on the recommended adult
immunization schedule at the time such
immunization is indicated on that schedule.''.
(c) Report to Congress.--
(1) In general.--Not later than two years after the date of
the enactment of this Act, the Secretary of Veterans Affairs
shall submit to the Committee on Veterans' Affairs of the
Senate and the Committee on Veterans' Affairs of the House of
Representatives a report on the development and implementation
by the Department of Veterans Affairs of quality measures and
metrics, including targets for compliance, to ensure that
veterans receiving medical services under chapter 17 of title
38, United States Code, receive each immunization on the
recommended adult immunization schedule at the time such
immunization is indicated on that schedule.
(2) Recommended adult immunization schedule defined.--In
this subsection, the term ``recommended adult immunization
schedule'' has the meaning given that term in section 1701(10)
of title 38, United States Code, as added by subsection (a)(2).
(3) Effective date.--This subsection shall take effect on
the date that is one year after the date of the enactment of
this Act.
SEC. 114. EXPANSION OF PROVISION OF CHIROPRACTIC CARE AND SERVICES TO
VETERANS.
(a) Program for Provision of Chiropractic Care and Services to
Veterans.--Section 204(c) of the Department of Veterans Affairs Health
Care Programs Enhancement Act of 2001 (Public Law 107-135; 115 Stat.
2459; 38 U.S.C. 1710 note) is amended--
(1) by inserting ``(1)'' before ``The program''; and
(2) by adding at the end the following new paragraph:
``(2) The program shall be carried out at not fewer than two
medical centers or clinics in each Veterans Integrated Service Network
by not later than one year after the effective date specified in
section 114(c) of the Restoring Veterans Trust Act of 2014, and at not
fewer than 50 percent of all medical centers in each Veterans
Integrated Service Network by not later than two years after such
effective date.''.
(b) Expanded Chiropractor Services Available to Veterans.--
(1) Medical services.--Paragraph (6) of section 1701 is
amended by adding at the end the following new subparagraph:
``(H) Chiropractic services.''.
(2) Rehabilitative services.--Paragraph (8) of such section
is amended by inserting ``chiropractic,'' after
``counseling,''.
(3) Preventive health services.--Paragraph (9) of such
section is amended--
(A) by redesignating subparagraphs (F) through (K)
as subparagraphs (G) through (L), respectively; and
(B) by inserting after subparagraph (E) the
following new subparagraph (F):
``(F) periodic and preventive chiropractic
examinations and services;''.
(c) Effective Date.--This section and the amendments made by this
section shall take effect on the date that is one year after the date
of the enactment of this Act.
SEC. 115. MODIFICATION OF COMMENCEMENT DATE OF PERIOD OF SERVICE AT
CAMP LEJEUNE, NORTH CAROLINA, FOR ELIGIBILITY FOR
HOSPITAL CARE AND MEDICAL SERVICES IN CONNECTION WITH
EXPOSURE TO CONTAMINATED WATER.
(a) Modification.--Section 1710(e)(1)(F) is amended by striking
``January 1, 1957,'' and inserting ``August 1, 1953 (or such earlier
date for the commencement of exposure to contaminated water at Camp
Lejeune as the Secretary, in consultation with the Agency for Toxic
Substances and Disease Registry, shall specify),''.
(b) Publication.--The Secretary of Veterans Affairs shall publish
in the Federal Register a notice of any earlier date for the
commencement of exposure to contaminated water at Camp Lejeune, North
Carolina, for purposes of section 1710(e)(1)(F) of title 38, United
States Code, as amended by subsection (a).
SEC. 116. EXPANSION OF EMERGENCY TREATMENT REIMBURSEMENT FOR CERTAIN
VETERANS.
(a) In General.--Section 1725(b)(2)(B) is amended--
(1) by inserting ``(i)'' after ``(B)'';
(2) by striking the period at the end and inserting ``;
or''; and
(3) by adding at the end the following:
``(ii) the veteran was unable to receive care under this
chapter within such 24-month period because of a waiting period
imposed by the Department with respect to a new patient
examination of such veteran.''.
(b) Effective Date.--The amendments made by subsection (a) shall
take effect on the date that is one year after the date of the
enactment of this Act.
SEC. 117. EXTENSION OF SUNSET DATE REGARDING TRANSPORTATION OF
INDIVIDUALS TO AND FROM FACILITIES OF DEPARTMENT OF
VETERANS AFFAIRS AND REQUIREMENT OF REPORT.
(a) Extension of Sunset Date.--Subsection (a)(2) of section 111A is
amended by striking ``December 31, 2014'' and inserting ``September 30,
2016''.
(b) Funding Available.--Such section is further amended by adding
at the end the following new subsection:
``(c) Funding.--There is hereby authorized to be appropriated to
the Department to carry out this section the following:
``(1) For fiscal year 2014, $2,000,000.
``(2) For each of fiscal years 2015 and 2016,
$4,000,000.''.
(c) Report.--Not later than one year after the date of the
enactment of this Act, the Secretary shall submit to the Committee on
Veterans' Affairs of the Senate and the Committee on Veterans' Affairs
of the House of Representatives a report on--
(1) the efforts of the Secretary to carry out the
transportation services required by section 111A(a) of title
38, United States Code;
(2) the utilization of those services by covered veterans;
and
(3) the feasibility and advisability of the continuation of
the provision of such services after September 30, 2015.
SEC. 118. EXTENSION AND MODIFICATION OF PILOT PROGRAM ON ASSISTED
LIVING SERVICES FOR VETERANS WITH TRAUMATIC BRAIN INJURY.
(a) Extension of Program.--Subsection (a) of section 1705 of the
National Defense Authorization Act for Fiscal Year 2008 (Public Law
110-181; 38 U.S.C. 1710C note) is amended by striking ``a five-year''
and inserting ``an eight-year''.
(b) Modification of Locations.--Subsection (b) of such section is
amended--
(1) by redesignating paragraph (2) as paragraph (3); and
(2) by striking paragraph (1) and inserting the following
new paragraphs:
``(1) In general.--The pilot program shall be carried out
at locations selected by the Secretary for purposes of the
pilot program.
``(2) Located in same region as polytrauma centers.--Of the
locations selected under paragraph (1), at least one location
shall be in each health care region of the Veterans Health
Administration of the Department of Veterans Affairs that
contains a polytrauma center of the Department of Veterans
Affairs.''.
(c) Modification of Report Requirements.--Subsection (e) of such
section is amended to read as follows:
``(e) Reports.--
``(1) Annual report.--
``(A) In general.--Not later than two years after
the date of the enactment of the Restoring Veterans
Trust Act of 2014, and not later than September 30 each
year thereafter until 2018, the Secretary shall submit
to the Committee on Veterans' Affairs of the Senate and
the Committee on Veterans' Affairs of the House of
Representatives a report on the pilot program.
``(B) Elements.--Each report submitted under
subparagraph (A) shall include the following:
``(i) The number of individuals that
participated in the pilot program during the
year preceding the submission of the report.
``(ii) The number of individuals that
successfully completed the pilot program during
the year preceding the submission of the
report.
``(iii) The degree to which pilot program
participants and family members of pilot
program participants were satisfied with the
pilot program.
``(iv) The interim findings and conclusions
of the Secretary with respect to the success of
the pilot program and recommendations for
improvement.
``(2) Final report.--
``(A) In general.--Not later than 60 days after the
completion of the pilot program, the Secretary shall
submit to the Committee on Veterans' Affairs of the
Senate and the Committee on Veterans' Affairs of the
House of Representatives a final report on the pilot
program.
``(B) Elements.--The final report required by
subparagraph (A) shall include the following:
``(i) A description of the pilot program.
``(ii) An assessment of the utility of the
activities under the pilot program in enhancing
the rehabilitation, quality of life, and
community reintegration of veterans with
traumatic brain injury, including complex mild
traumatic brain injury.
``(iii) Such recommendations as the
Secretary considers appropriate regarding
improving the pilot program.''.
(d) Modification of Definitions.--
(1) Community-based brain injury residential rehabilitative
care services.--Such section is further amended--
(A) in the section heading, by striking ``assisted
living'' and inserting ``community-based brain injury
residential rehabilitative care'';
(B) in subsection (c), in the subsection heading,
by striking ``Assisted Living'' and inserting
``Community-Based Brain Injury Residential
Rehabilitative Care'';
(C) by striking ``assisted living'' each place it
appears, and inserting ``community-based brain injury
rehabilitative care''; and
(D) in subsection (f)(1), by striking ``and
personal care'' and inserting ``rehabilitation, and
personal care''.
(2) Eligible veteran.--Subsection (f)(3) of such section is
amended--
(A) in subparagraph (C), by striking ``; and'' and
inserting a semicolon;
(B) in subparagraph (D), by striking the period at
the end and inserting ``; and''; and
(C) by adding at the end the following new
subparagraph:
``(E) has a traumatic brain injury that is
classified as complex-mild to severe.''.
(e) Authorization of Appropriations.--There is authorized to be
appropriated for the Department of Veterans Affairs for fiscal year
2015 $46,000,000 to carry out the pilot program under section 1705 of
the National Defense Authorization Act for Fiscal Year 2008 (Public Law
110-181; 38 U.S.C. 1710C note), as amended by this section. The amount
so authorized to be appropriated shall be available for obligation for
the three-year period beginning on the date that is one year after the
date of the enactment of this Act.
(f) Effective Date.--The amendments made by this section shall take
effect on October 1, 2014.
SEC. 119. REAUTHORIZATION AND MODIFICATION OF PILOT PROGRAM OF ENHANCED
CONTRACT CARE AUTHORITY FOR HEALTH CARE NEEDS OF
VETERANS.
Section 403 of the Veterans' Mental Health and Other Care
Improvements Act of 2008 (Public Law 110-387; 38 U.S.C. 1703 note) is
amended--
(1) in subsection (a)--
(A) in paragraph (2), by striking ``120 days after
the date of the enactment of this Act'' and inserting
``90 days after the date of the enactment of the
Restoring Veterans Trust Act of 2014''; and
(B) by amending paragraph (4) to read as follows:
``(4) Program locations.--The Secretary shall carry out the
pilot program at locations in the following Veterans Integrated
Service Networks (and such other locations as the Secretary
considers appropriate):
``(A) Veterans Integrated Service Network 1.
``(B) Veterans Integrated Service Network 6.
``(C) Veterans Integrated Service Network 15.
``(D) Veterans Integrated Service Network 18.
``(E) Veterans Integrated Service Network 19.'';
(2) by amending subsection (b) to read as follows:
``(b) Covered Veterans.--For purposes of the pilot program under
this section, a covered veteran is any rural or highly rural veteran
who--
``(1) is--
``(A) enrolled in the system of patient enrollment
established under section 1705(a) of title 38, United
States Code;
``(B) eligible for health care under the laws
administered by the Secretary and enrolls in such
system of patient enrollment not later than 30 days
after the veteran begins receiving covered health
services under the pilot program; or
``(C) eligible for health care under section
1710(e)(3) of such title; and
``(2) resides in a location that is--
``(A) more than 60 minutes driving distance from
the nearest Department health care facility providing
primary care services, if the veteran is seeking such
services;
``(B) more than 120 minutes driving distance from
the nearest Department health care facility providing
acute hospital care, if the veteran is seeking such
care; or
``(C) more than 240 minutes driving distance from
the nearest Department health care facility providing
tertiary care, if the veteran is seeking such care.'';
(3) by redesignating subsection (h) as subsection (j);
(4) by inserting after subsection (g) the following new
subsections:
``(h) Appointments.--In carrying out the pilot program under this
section, the Secretary shall ensure that medical appointments for
veterans occur during the 30-day period beginning on the date that is
15 days after the date on which the appointment is requested.
``(i) Outreach.--The Secretary shall ensure that a veteran eligible
for the pilot program under this section is informed of such
program.''; and
(5) in paragraph (2)(B) of subsection (j), as redesignated
by paragraph (3) of this section, by striking the semicolon at
the end and inserting ``; and''.
Subtitle C--Health Care Administration
SEC. 121. EXTENSION OF DEPARTMENT OF VETERANS AFFAIRS HEALTH
PROFESSIONAL SCHOLARSHIP PROGRAM.
Section 7619 is amended by striking ``December 31, 2014'' and
inserting ``December 31, 2019''.
SEC. 122. EXPANSION OF AVAILABILITY OF PROSTHETIC AND ORTHOTIC CARE FOR
VETERANS.
(a) Establishment or Expansion of Advanced Degree Programs To
Expand Availability of Provision of Care.--The Secretary of Veterans
Affairs shall work with institutions of higher education to develop
partnerships for the establishment or expansion of programs of advanced
degrees in prosthetics and orthotics in order to improve and enhance
the availability of high quality prosthetic and orthotic care for
veterans.
(b) Report.--Not later than one year after the date of the
enactment of this Act, the Secretary shall submit to the Committee on
Veterans' Affairs of the Senate and the Committee on Veterans' Affairs
of the House of Representatives a report setting forth a plan for
carrying out subsection (a). The Secretary shall develop the plan in
consultation with veterans service organizations, institutions of
higher education with accredited degree programs in prosthetics and
orthotics, and representatives of the prosthetics and orthotics field.
(c) Funding.--
(1) Authorization of appropriations.--There is hereby
authorized to be appropriated for fiscal year 2015 for the
Department of Veterans Affairs, $10,000,000 to carry out this
section.
(2) Availability.--The amount authorized to be appropriated
by paragraph (1) shall remain available for expenditure until
September 30, 2017.
SEC. 123. LIMITATION ON EXPANSION OF DIALYSIS PILOT PROGRAM.
(a) Limitation.--The Secretary of Veterans Affairs shall not expand
the dialysis pilot program to, or expand the capacity to provide
additional dialysis care at, any facility owned or leased by the
Department that is not an initial facility until after the date that--
(1) the Secretary has implemented the dialysis pilot
program at each initial facility for a period of not less than
two years;
(2) an independent analysis of the dialysis pilot program
has been conducted at each initial facility, including a
consideration and comparison of factors including--
(A) the ability of veterans to access care under
the dialysis pilot program;
(B) the quality of care provided under the dialysis
pilot program; and
(C) the satisfaction of veterans who have received
treatment under the dialysis pilot program; and
(3) the report required by subsection (b) has been
submitted.
(b) Report.--Not later than 60 days after the date of the
completion of the independent analysis required by subsection (a)(2),
the Secretary shall submit to Congress a report that--
(1) includes the results of that independent analysis; and
(2) addresses any recommendations with respect to the
dialysis pilot program provided in a report prepared by the
Government Accountability Office.
(c) Utilization of Existing Dialysis Resources.--In order to
increase the access of veterans to dialysis care and decrease the
travel time of such veterans to receive such care, the Secretary shall
fully utilize existing dialysis resources of the Department, including
any community dialysis provider with which the Department has entered
into a contract or agreement for the provision of such care.
(d) Definitions.--In this section:
(1) Dialysis pilot program.--The term ``dialysis pilot
program'' means the pilot demonstration program established by
the Secretary in 2009 to provide dialysis care to patients at
certain outpatient facilities operated by the Department of
Veterans Affairs.
(2) Initial facility.--The term ``initial facility'' means
one of the four outpatient facilities identified by the
Secretary to participate in the dialysis pilot program prior to
the date of the enactment of this Act.
(e) Effective Date.--This section shall take effect on the date
that is one year after the date of the enactment of this Act.
SEC. 124. REQUIREMENT FOR DEPARTMENT OF VETERANS AFFAIRS POLICY ON
REPORTING CASES OF INFECTIOUS DISEASES AT FACILITIES OF
THE DEPARTMENT.
(a) In General.--Subchapter II of chapter 73 is amended by adding
at the end the following new section:
``Sec. 7330B. Reporting of infectious diseases
``(a) Reporting.--The Secretary shall ensure that the Department
has in effect an up-to-date policy on reporting a notifiable infectious
disease diagnosed at a facility under the jurisdiction of the Secretary
in accordance with the provisions of State and local law in effect
where such facility is located.
``(b) Notifiable Infectious Disease.--For purposes of this section,
a notifiable infectious disease is any infectious disease that is--
``(1) on the list of nationally notifiable diseases
published by the Council of State and Territorial
Epidemiologists and the Centers for Disease Control and
Prevention; or
``(2) covered by a provision of law of a State that
requires the reporting of infectious diseases.
``(c) Performance Measures.--The Secretary shall develop
performance measures to assess whether and to what degree the directors
of Veterans Integrated Service Networks and Department medical centers
are complying with the policy required by subsection (a).''.
(b) Clerical Amendment.--The table of sections at the beginning of
chapter 73 is amended by inserting after the item relating to section
7330A the following new item:
``7330B. Reporting of infectious diseases.''.
(c) Effective Date.--The amendments made by this section shall take
effect on the date that is one year after the date of the enactment of
this Act.
SEC. 125. INDEPENDENT ASSESSMENT OF THE VETERANS INTEGRATED SERVICE
NETWORKS AND MEDICAL CENTERS OF DEPARTMENT OF VETERANS
AFFAIRS.
(a) Contract.--
(1) In general.--The Secretary of Veterans Affairs shall
seek to enter into a contract with an independent third party
to perform the services covered by this section.
(2) Timing.--The Secretary shall seek to enter into the
contract described in paragraph (1) not later than 540 days
after the date of the enactment of this Act.
(b) Independent Study.--
(1) In general.--Under a contract between the Secretary and
an independent third party under this section, the third party
shall carry out a study--
(A) to assess the organizational structures of
medical centers of the Department of Veterans Affairs;
and
(B) to improve succession planning among key
leadership roles at Veterans Integrated Service
Networks and medical centers of the Department.
(2) Matters studied and proposed.--In carrying out the
study, the third party shall--
(A) assess whether the organizational structure of
the medical centers of the Department is effective for
the furnishing of medical services, addressing issues
that arise regarding the furnishing of medical
services, and addressing standard business operations;
(B) propose one organizational chart for Department
medical centers with a common set of base position
descriptions;
(C) propose a base set of medical positions that
should be filled to ensure that the health care
provided to veterans by the Department is of good
quality; and
(D) identify which key leadership positions at
Veterans Integrated Service Networks and Department
medical centers should have succession plans and
propose how to implement such plans.
(3) Timing.--The third party shall complete the study under
this section not later than 270 days after entering into the
contract described in subsection (a).
(c) Report.--Not later than 90 days after the date on which the
third party completes the study under this section, the Secretary shall
submit to the Committee on Veterans' Affairs of the Senate and the
Committee on Veterans' Affairs of the House of Representatives a report
on the results of such study.
(d) Effective Date.--This section shall take effect on the date
that is one year after the date of the enactment of this Act.
SEC. 126. REQUIREMENTS IN CONNECTION WITH NEXT UPDATE OF CURRENT
STRATEGIC PLAN FOR OFFICE OF RURAL HEALTH OF THE
DEPARTMENT OF VETERANS AFFAIRS.
(a) Requirements.--
(1) In general.--The first update of the Strategic Plan
Refresh for Fiscal Years 2012 through 2014 of the Office of
Rural Health of the Department of Veterans Affairs after the
date of the enactment of this Act, whether an update or refresh
of such Strategic Plan Refresh or a strategic plan to supersede
such Strategic Plan Refresh, shall be prepared in accordance
with this section.
(2) Consultation.--The Director of the Office of Rural
Health shall prepare the update in consultation with the
following:
(A) The Director of the Health Care Retention and
Recruitment Office of the Department.
(B) The Director of the Office of Quality and
Performance of the Department.
(C) The Director of the Office of Care Coordination
Services of the Department.
(b) Elements.--The update described in subsection (a) shall
include, for the period covered by the update, the following:
(1) Goals and objectives for the recruitment and retention
by the Veterans Health Administration of health care personnel
in rural areas.
(2) Goals and objectives for ensuring timeliness and
improving quality in the delivery of health care services by
the Veterans Health Administration in rural areas through
contract and fee-basis providers.
(3) Goals and objectives for the implementation, expansion,
and enhanced use of telemedicine services by the Veterans
Health Administration in rural areas, including through
coordination with other appropriate offices of the Department.
(4) Goals and objectives for ensuring the full and
effective use of mobile outpatient clinics by the Veterans
Health Administration for the provision of health care services
in rural areas, including goals and objectives for the use of
such clinics on a fully mobile basis and for encouraging health
care providers who provide services through such clinics to do
so in rural areas.
(5) Procedures for soliciting from each Veterans Health
Administration facility that serves a rural area the following:
(A) A statement of the clinical capacity of such
facility.
(B) The procedures of such facility in the event of
a medical, surgical, or mental health emergency outside
the scope of the clinical capacity of such facility.
(C) The procedures and mechanisms of such facility
for the provision and coordination of health care for
women veterans, including procedures and mechanisms for
coordination with local hospitals and health care
facilities, oversight of primary care and fee-basis
care, and management of specialty care.
(6) Goals and objectives for the modification of the
funding allocation mechanisms of the Office of Rural Health in
order to ensure that the Office distributes funds to components
of the Department to best achieve the goals and objectives of
the Office and in a timely manner.
(7) Goals and objectives for the coordination of, and
sharing of resources with respect to, the provision of health
care services to veterans in rural areas between the Department
of Veterans Affairs, the Department of Defense, the Indian
Health Service of the Department of Health and Human Services,
and other Federal agencies, as appropriate and prudent.
(8) Specific milestones for the achievement of the goals
and objectives developed for the update.
(9) Procedures for ensuring the effective implementation of
the update.
(c) Transmittal to Congress.--Not later than 90 days after the date
of the issuance of the update described in subsection (a), the
Secretary of Veterans Affairs shall transmit the update to Congress,
together with such comments and recommendations in connection with the
update as the Secretary considers appropriate.
SEC. 127. REPORT ON PROVISION OF TELEMEDICINE SERVICES.
(a) In General.--Not later than two years after the date of the
enactment of this Act, the Secretary of Veterans Affairs shall submit
to the Committee on Veterans' Affairs of the Senate and the Committee
on Veterans' Affairs of the House of Representatives a report on the
following:
(1) Issues that may be impeding the provision by the
Department of Veterans Affairs of telemedicine services for
veterans, including the following:
(A) Statutory or regulatory restrictions.
(B) Licensure or credentialing issues for any
provider practicing telemedicine with veterans who live
in a different State than the provider.
(C) Limited broadband access in rural areas.
(D) Limited information technology resources or
capabilities.
(E) Long distances veterans must travel to access a
facility or clinic with telemedicine capabilities.
(F) Insufficient liability protection for
providers.
(G) Reimbursement issues faced by providers.
(H) Travel limitations for providers that are
unaffiliated with the Department and are participating
or seeking to participate in a telemedicine program of
the Department.
(2) Actions taken to address the issues identified in
paragraph (1).
(3) An update on efforts by the Department to carry out the
initiative of teleconsultation for the provision of remote
mental health and traumatic brain injury assessments required
by section 1709A of title 38, United States Code.
(4) An update on efforts by the Department to offer
training opportunities in telemedicine to medical residents, as
required by section 108(b) of the Janey Ensminger Act (Public
Law 112-154; 38 U.S.C. 7406 note).
(5) An update on efforts by the Department to, in
partnership with primary care providers, install video cameras
and instruments to monitor weight, blood pressure, and other
vital statistics in the homes of patients.
(b) Telemedicine Defined.--In this section, the term
``telemedicine'' means the use by a health care provider of
telecommunications to assist in the diagnosis or treatment of a
patient's medical condition.
(c) Effective Date.--This section shall take effect on the date
that is one year after the date of the enactment of this Act.
SEC. 128. DESIGNATION OF CORPORAL MICHAEL J. CRESCENZ DEPARTMENT OF
VETERANS AFFAIRS MEDICAL CENTER.
(a) Designation.--The medical center of the Department of Veterans
Affairs located at 3900 Woodland Avenue in Philadelphia, Pennsylvania,
shall after the date of the enactment of this Act be known and
designated as the ``Corporal Michael J. Crescenz Department of Veterans
Affairs Medical Center''.
(b) References.--Any reference in any law, regulation, map,
document, paper, or other record of the United States to the medical
center referred to in subsection (a) shall be considered to be a
reference to the Corporal Michael J. Crescenz Department of Veterans
Affairs Medical Center.
Subtitle D--Complementary and Alternative Medicine
SEC. 131. EXPANSION OF RESEARCH AND EDUCATION ON AND DELIVERY OF
COMPLEMENTARY AND ALTERNATIVE MEDICINE TO VETERANS.
(a) Development of Plan To Expand Research, Education, and
Delivery.--Not later than six months after the effective date specified
in subsection (f), the Secretary of Veterans Affairs shall develop a
plan to expand materially and substantially the scope of research and
education on, and delivery and integration of, complementary and
alternative medicine services into the health care services provided to
veterans.
(b) Elements.--The plan required by subsection (a) shall provide
for the following:
(1) Research on the following:
(A) The comparative effectiveness of various
complementary and alternative medicine therapies.
(B) Approaches to integrating complementary and
alternative medicine services into other health care
services provided by the Department.
(2) Education and training for health care professionals of
the Department on the following:
(A) Complementary and alternative medicine services
selected by the Secretary for purposes of the plan.
(B) Appropriate uses of such services.
(C) Integration of such services into the delivery
of health care to veterans.
(3) Research, education, and clinical activities on
complementary and alternative medicine at centers of innovation
at Department medical centers.
(4) Identification or development of metrics and outcome
measures to evaluate the provision and integration of
complementary and alternative medicine services into the
delivery of health care to veterans.
(5) Integration and delivery of complementary and
alternative medicine services with other health care services
provided by the Department.
(c) Consultation.--
(1) In general.--In carrying out subsection (a), the
Secretary shall consult with the following:
(A) The Director of the National Center on
Complementary and Alternative Medicine of the National
Institutes of Health.
(B) The Commissioner of Food and Drugs.
(C) Institutions of higher education, private
research institutes, and individual researchers with
extensive experience in complementary and alternative
medicine and the integration of complementary and
alternative medicine practices into the delivery of
health care.
(D) Nationally recognized providers of
complementary and alternative medicine.
(E) Such other officials, entities, and individuals
with expertise on complementary and alternative
medicine as the Secretary considers appropriate.
(2) Scope of consultation.--The Secretary shall undertake
consultation under paragraph (1) in carrying out subsection (a)
with respect to the following:
(A) To develop the plan.
(B) To identify specific complementary and
alternative medicine practices that, on the basis of
research findings or promising clinical interventions,
are appropriate to include as services to veterans.
(C) To identify barriers to the effective provision
and integration of complementary and alternative
medicine services into the delivery of health care to
veterans, and to identify mechanisms for overcoming
such barriers.
(d) Funding.--There is authorized to be appropriated to the
Secretary such sums as may be necessary to carry out this section.
(e) Complementary and Alternative Medicine Defined.--In this
section, the term ``complementary and alternative medicine'' shall have
the meaning given that term in regulations the Secretary shall
prescribe for purposes of this section, which shall, to the degree
practicable, be consistent with the meaning given such term by the
Secretary of Health and Human Services.
(f) Effective Date.--This section shall take effect on the date
that is one year after the date of the enactment of this Act.
SEC. 132. PROGRAM ON INTEGRATION OF COMPLEMENTARY AND ALTERNATIVE
MEDICINE WITHIN DEPARTMENT OF VETERANS AFFAIRS MEDICAL
CENTERS.
(a) Program Required.--The Secretary of Veterans Affairs shall--
(1) carry out, through the Office of Patient Centered Care
and Cultural Transformation of the Department of Veterans
Affairs, a program to assess the feasibility and advisability
of integrating the delivery of complementary and alternative
medicine services selected by the Secretary with other health
care services provided by the Department for veterans with
mental health conditions, chronic pain conditions, other
chronic conditions, and such other conditions as the Secretary
determines appropriate; and
(2) in developing the program, identify and resolve
barriers to the provision of complementary and alternative
medicine services selected by the Secretary and the integration
of those services with other health care services provided by
the Department.
(b) Duration of Program.--The program shall be carried out during
the three-year period beginning on the effective date specified in
subsection (j).
(c) Locations.--
(1) In general.--The Secretary shall carry out the program
at not fewer than 15 separate Department medical centers.
(2) Polytrauma centers.--Not less than two of the medical
centers designated under paragraph (1) shall be located at
polytrauma rehabilitation centers of the Department.
(3) Selection of locations.--In carrying out the program,
the Secretary shall select locations that include the following
areas:
(A) Rural areas.
(B) Areas that are not in close proximity to an
active duty military installation.
(C) Areas representing different geographic
locations, such as census tracts established by the
Bureau of the Census.
(d) Provision of Services.--Under the program, the Secretary shall
provide covered services to covered veterans by integrating
complementary and alternative medicine services with other services
provided by the Department at the medical centers designated under
subsection (c)(1).
(e) Covered Veterans.--For purposes of the program, a covered
veteran is any veteran who--
(1) has a mental health condition diagnosed by a clinician
of the Department;
(2) experiences chronic pain; or
(3) has a chronic condition being treated by a clinician of
the Department.
(f) Covered Services.--
(1) In general.--For purposes of the program, covered
services are services consisting of complementary and
alternative medicine as selected by the Secretary.
(2) Administration of services.--Covered services shall be
administered under the program as follows:
(A) Covered services shall be administered by
clinicians employed by the Secretary for purposes of
this section who, to the extent practicable, shall
provide services consisting of complementary and
alternative medicine, including those clinicians who
solely provide such services.
(B) Covered services shall be included as part of
the Patient Aligned Care Teams initiative of the Office
of Patient Care Services, Primary Care Program Office,
in coordination with the Office of Patient Centered
Care and Cultural Transformation.
(C) Covered services shall be made available to
both--
(i) covered veterans with mental health
conditions, pain conditions, or chronic
conditions described in subsection (e) who have
received conventional treatments from the
Department for such conditions; and
(ii) covered veterans with mental health
conditions, pain conditions, or chronic
conditions described in subsection (e) who have
not received conventional treatments from the
Department for such conditions.
(g) Voluntary Participation.--The participation of a veteran in the
program shall be at the election of the veteran and in consultation
with a clinician of the Department.
(h) Reports to Congress.--
(1) Quarterly reports.--Not later than 90 days after the
date of the commencement of the program and not less frequently
than once every 90 days thereafter for the duration of the
program, the Secretary shall submit to the Committee on
Veterans' Affairs of the Senate and the Committee on Veterans'
Affairs of the House of Representatives a report on the efforts
of the Secretary to carry out the program, including a
description of the outreach conducted by the Secretary to
veterans and community organizations to inform such
organizations about the program.
(2) Final report.--
(A) In general.--Not later than 180 days after the
completion of the program, the Secretary shall submit
to the Committee on Veterans' Affairs of the Senate and
the Committee on Veterans' Affairs of the House of
Representatives a report on the program.
(B) Contents.--The report submitted under
subparagraph (A) shall include the following:
(i) The findings and conclusions of the
Secretary with respect to the program,
including with respect to--
(I) the utilization and efficacy of
the complementary and alternative
medicine services established under the
program;
(II) an assessment of the benefit
of the program to covered veterans in
mental health diagnoses, pain
management, and treatment of chronic
illness; and
(III) the comparative effectiveness
of various complementary and
alternative medicine therapies.
(ii) Barriers identified under subsection
(a)(2) that were not resolved.
(iii) Such recommendations for the
continuation or expansion of the program as the
Secretary considers appropriate.
(i) Complementary and Alternative Medicine Defined.--In this
section, the term ``complementary and alternative medicine'' shall have
the meaning given that term in section 131(e) of this Act.
(j) Effective Date.--This section shall take effect on the date
that is one year after the date of the enactment of this Act.
SEC. 133. STUDIES OF BARRIERS ENCOUNTERED BY VETERANS IN RECEIVING, AND
ADMINISTRATORS AND CLINICIANS IN PROVIDING, COMPLEMENTARY
AND ALTERNATIVE MEDICINE SERVICES FURNISHED BY THE
DEPARTMENT OF VETERANS AFFAIRS.
(a) Studies Required.--
(1) In general.--The Secretary of Veterans Affairs shall
conduct comprehensive studies of the barriers encountered by
veterans in receiving, and administrators and clinicians in
providing, complementary and alternative medicine services
furnished by the Department of Veterans Affairs.
(2) Studies conducted.--
(A) Veterans.--In conducting the study of veterans,
the Secretary shall--
(i) survey veterans who seek or receive
hospital care or medical services furnished by
the Department, as well as veterans who do not
seek or receive such care or services;
(ii) administer the survey to a
representative sample of veterans from each
Veterans Integrated Service Network; and
(iii) ensure that the sample of veterans
surveyed is of sufficient size for the study
results to be statistically significant.
(B) Administrators and clinicians.--In conducting
the study of clinicians and administrators, the
Secretary shall--
(i) survey administrators of the Department
who are involved in the provision of health
care services;
(ii) survey clinicians that have provided
complementary and alternative medicine services
through the program established under section
132 of this Act, after those clinicians have
provided those services through such program
for at least 90 days; and
(iii) administer the survey to
administrators under clause (i)--
(I) before the introduction of
complementary and alternative medicine
services through such program; and
(II) not earlier than 90 days after
the introduction of complementary and
alternative medicine services through
such program.
(b) Elements of Studies.--
(1) Veterans.--In conducting the study of veterans required
by subsection (a), the Secretary shall study the following:
(A) The perceived barriers associated with
obtaining complementary and alternative medicine
services from the Department.
(B) The satisfaction of veterans with complementary
and alternative medicine services in primary care.
(C) The degree to which veterans are aware of
eligibility requirements for, and the scope of services
available under, complementary and alternative medicine
services furnished by the Department.
(D) The effectiveness of outreach to veterans on
the availability of complementary and alternative
medicine for veterans.
(E) Such other barriers as the Secretary considers
appropriate.
(2) Administrators and clinicians.--In conducting the study
of administrators and clinicians required by subsection (a),
the Secretary shall study the following:
(A) The extent of the integration of complementary
and alternative medicine services within the services
provided by the Department.
(B) The perception by administrators and clinicians
of the structural and attitudinal barriers to the
delivery of high quality complementary and alternative
medicine services by the Department.
(C) Strategies that have been used to reduce or
eliminate such barriers and the results of such
strategies.
(D) The satisfaction of administrators and
clinicians regarding the integration of complementary
and alternative medicine services within the services
provided by the Department.
(E) The perception by administrators and clinicians
of the value of specific complementary and alternative
medicine services for inpatient and outpatient veteran
populations.
(c) Discharge by Contract.--The Secretary shall enter into a
contract with a qualified independent entity or organization to carry
out the studies required by this section.
(d) Mandatory Review of Data by the National Research Advisory
Council.--
(1) In general.--The Secretary shall ensure that the head
of the National Research Advisory Council reviews the results
of the studies conducted under this section.
(2) Submittal of findings.--The head of the National
Research Advisory Council shall submit findings with respect to
the studies to the Under Secretary for Health and to other
pertinent program offices within the Department with
responsibilities relating to health care services for veterans.
(e) Reports.--
(1) Report on implementation.--Not later than one year
after the date of the enactment of this Act, the Secretary
shall submit to Congress a report on the status of the
implementation of this section.
(2) Report on study.--
(A) In general.--Not later than 45 days after the
date of the completion of the study, the Secretary
shall submit to Congress a report on the study required
by subsection (a).
(B) Contents.--The report required by subparagraph
(A) shall include the following:
(i) Recommendations for such administrative
and legislative proposals and actions as the
Secretary considers appropriate.
(ii) The findings of the head of the
National Research Advisory Council and of the
Under Secretary for Health.
(f) Authorization of Appropriations.--There is authorized to be
appropriated for fiscal year 2015 for the Department of Veterans
Affairs, $2,000,000 to carry out this section.
(g) Complementary and Alternative Medicine Defined.--In this
section, the term ``complementary and alternative medicine'' shall have
the meaning given that term in section 131(e) of this Act.
SEC. 134. PROGRAM ON USE OF WELLNESS PROGRAMS AS COMPLEMENTARY APPROACH
TO MENTAL HEALTH CARE FOR VETERANS AND FAMILY MEMBERS OF
VETERANS.
(a) Program Required.--
(1) In general.--The Secretary of Veterans Affairs shall
carry out a program through the award of grants to public or
private nonprofit entities to assess the feasibility and
advisability of using wellness programs to complement the
provision of mental health care to veterans and family members
eligible for counseling under section 1712A(a)(1)(C) of title
38, United States Code.
(2) Matters to be addressed.--The program shall be carried
out so as to assess the following:
(A) Means of improving coordination between
Federal, State, local, and community providers of
health care in the provision of mental health care to
veterans and family members described in paragraph (1).
(B) Means of enhancing outreach, and coordination
of outreach, by and among providers of health care
referred to in subparagraph (A) on the mental health
care services available to veterans and family members
described in paragraph (1).
(C) Means of using wellness programs of providers
of health care referred to in subparagraph (A) as
complements to the provision by the Department of
Veterans Affairs of mental health care to veterans and
family members described in paragraph (1).
(D) Whether wellness programs described in
subparagraph (C) are effective in enhancing the quality
of life and well-being of veterans and family members
described in paragraph (1).
(E) Whether wellness programs described in
subparagraph (C) are effective in increasing the
adherence of veterans described in paragraph (1) to the
primary mental health services provided such veterans
by the Department.
(F) Whether wellness programs described in
subparagraph (C) have an impact on the sense of well-
being of veterans described in paragraph (1) who
receive primary mental health services from the
Department.
(G) Whether wellness programs described in
subparagraph (C) are effective in encouraging veterans
receiving health care from the Department to adopt a
more healthy lifestyle.
(b) Duration.--The Secretary shall carry out the program for a
period of three years beginning on the date that is one year after the
date of the enactment of this Act.
(c) Locations.--The Secretary shall carry out the program at
facilities of the Department providing mental health care services to
veterans and family members described in subsection (a)(1).
(d) Grant Proposals.--
(1) In general.--A public or private nonprofit entity
seeking the award of a grant under this section shall submit an
application therefor to the Secretary in such form and in such
manner as the Secretary may require.
(2) Application contents.--Each application submitted under
paragraph (1) shall include the following:
(A) A plan to coordinate activities under the
program, to the extent possible, with the Federal,
State, and local providers of services for veterans to
enhance the following:
(i) Awareness by veterans of benefits and
health care services provided by the
Department.
(ii) Outreach efforts to increase the use
by veterans of services provided by the
Department.
(iii) Educational efforts to inform
veterans of the benefits of a healthy and
active lifestyle.
(B) A statement of understanding from the entity
submitting the application that, if selected, such
entity will be required to report to the Secretary
periodically on standardized data and other performance
data necessary to evaluate individual outcomes and to
facilitate evaluations among entities participating in
the program.
(C) Other requirements that the Secretary may
prescribe.
(e) Grant Uses.--
(1) In general.--A public or private nonprofit entity
awarded a grant under this section shall use the award for
purposes prescribed by the Secretary.
(2) Eligible veterans and family.--In carrying out the
purposes prescribed by the Secretary in paragraph (1), a public
or private nonprofit entity awarded a grant under this section
shall use the award to furnish services only to individuals
specified in section 1712A(a)(1)(C) of title 38, United States
Code.
(f) Reports.--
(1) Periodic reports.--
(A) In general.--Not later than 180 days after the
date of the commencement of the program, and every 180
days thereafter, the Secretary shall submit to Congress
a report on the program.
(B) Report elements.--Each report required by
subparagraph (A) shall include the following:
(i) The findings and conclusions of the
Secretary with respect to the program during
the 180-day period preceding the report.
(ii) An assessment of the benefits of the
program to veterans and their family members
during the 180-day period preceding the report.
(2) Final report.--Not later than 180 days after the end of
the program, the Secretary shall submit to Congress a report
detailing the recommendations of the Secretary as to the
advisability of continuing or expanding the program.
(g) Wellness Defined.--In this section, the term ``wellness'' has
the meaning given that term in regulations prescribed by the Secretary.
Subtitle E--Mental Health Care
SEC. 141. INCLUSION OF MENTAL HEALTH PROFESSIONALS IN THE EDUCATION AND
TRAINING PROGRAM FOR HEALTH PERSONNEL OF THE DEPARTMENT
OF VETERANS AFFAIRS.
(a) In General.--In carrying out the education and training program
required under section 7302(a)(1) of title 38, United States Code, the
Secretary of Veterans Affairs shall include education and training of
marriage and family therapists and licensed professional mental health
counselors.
(b) Funding.--The Secretary shall apportion funding for the
education and training program equally among the professions included
in the program.
(c) Effective Date.--This section shall take effect on the date
that is one year after the date of the enactment of this Act.
SEC. 142. REPORT ON PROVISION OF MENTAL HEALTH SERVICES FOR FAMILIES OF
CERTAIN VETERANS AT FACILITIES OF THE DEPARTMENT.
Not later than one year after the date of the enactment of this
Act, the Secretary of Veterans Affairs shall submit to the Committee on
Veterans' Affairs of the Senate and the Committee on Veterans' Affairs
of the House of Representatives a report on the feasibility and
advisability of providing services under the program established by
section 304(a) of the Caregivers and Veterans Omnibus Health Services
Act of 2010 (Public Law 111-163; 38 U.S.C. 1712A note) at medical
facilities of the Department of Veterans Affairs.
SEC. 143. ANNUAL REPORT ON COMMUNITY MENTAL HEALTH PARTNERSHIP PILOT
PROGRAM.
(a) In General.--Not later than one year after the date of the
enactment of this Act and not later than September 30 each year
thereafter until the completion of the pilot program described in
subsection (b), the Secretary of Veterans Affairs shall submit to the
Committee on Veterans' Affairs of the Senate and the Committee on
Veterans' Affairs of the House of Representatives a report on that
pilot program.
(b) Pilot Program Described.--The pilot program described in this
subsection is the pilot program conducted by the Veterans Health
Administration to connect medical centers of the Department of Veterans
Affairs with community-based mental health care providers and substance
abuse treatment providers for the purpose of assisting in the treatment
of veterans with mental health disorders, commonly known as the
``Community Mental Health Partnership Pilot''.
(c) Elements.--Each report submitted under subsection (a) shall
include the following:
(1) The number of sites participating in the pilot program.
(2) The number of individuals participating in the pilot
program at each site.
(3) A detailed assessment of the effectiveness of, the
participation of veterans in, and the satisfaction of veterans
with the pilot program.
(4) An analysis of barriers to the effectiveness of, the
participation of veterans in, and the satisfaction of veterans
with the pilot program.
(5) A description of the plans of the Secretary to conduct
outreach and provide information to veterans and community
mental health providers with respect to the pilot program.
(6) A description of any plans to expand the pilot program,
including plans that focus on the unique needs of veterans
located in rural areas.
(7) An explanation of how the care provided under the pilot
program is consistent with the minimum clinical mental health
guidelines promulgated by the Veterans Health Administration,
including clinical guidelines contained in the Uniform Mental
Health Services Handbook of such Administration.
Subtitle F--Dental Care Eligibility Expansion and Enhancement
SEC. 151. RESTORATIVE DENTAL SERVICES FOR VETERANS.
(a) In General.--Section 1710(c) is amended--
(1) in the second sentence--
(A) by redesignating subparagraphs (A) and (B) as
clauses (i) and (ii), respectively; and
(B) by redesignating paragraphs (1) and (2) as
subparagraphs (A) and (B), respectively;
(2) by inserting ``(1)'' after ``(c)'';
(3) by striking ``The Secretary'' and inserting the
following:
``(2) The Secretary''; and
(4) by adding at the end the following new paragraph:
``(3) In addition to the dental services, treatment, and appliances
authorized to be furnished by paragraph (2), the Secretary may furnish
dental services and treatment, and dental appliances, needed to restore
functioning in a veteran that is lost as a result of any services or
treatment furnished under this subsection.''.
(b) Effective Date.--The amendments made by subsection (a) shall
take effect on the date that is one year after the date of the
enactment of this Act.
SEC. 152. PILOT PROGRAM ON EXPANSION OF FURNISHING OF DENTAL CARE TO
ALL ENROLLED VETERANS.
(a) Pilot Program Required.--Commencing not later than 540 days
after the date of the enactment of this Act, the Secretary of Veterans
Affairs shall carry out a pilot program to assess the feasibility and
advisability of furnishing dental care to veterans enrolled in the
system of patient enrollment under section 1705 of title 38, United
States Code, who are not eligible for dental services and treatment,
and related dental appliances, under current authorities.
(b) Duration of Pilot Program.--The pilot program shall be carried
out during the three-year period beginning on the date of the
commencement of the pilot program.
(c) Locations.--
(1) In general.--The Secretary shall carry out the pilot
program at not fewer than 16 locations as follows:
(A) Four Department of Veterans Affairs medical
centers with an established dental clinic with capacity
available for the furnishing of services and treatment
under the pilot program.
(B) Four Department medical centers with a current
contract for the furnishing of dental care.
(C) Four Community-Based Outpatient Clinics (CBOCs)
with capacity available for the furnishing of services
and treatment under the pilot program.
(D) Four facilities selected from among Federally
Qualified Health Centers (FQHCs) and Indian Health
Service facilities with established dental clinics, of
which--
(i) at least one facility shall be such an
Indian Health Service facility; and
(ii) any Indian Health Service facility so
selected shall be selected in consultation with
the Secretary of Health and Human Services.
(2) Considerations.--In selecting locations for the pilot
program, the Secretary shall consider the feasibility and
advisability of selecting locations in each of the following:
(A) Rural areas.
(B) Areas that are not in close proximity to an
active duty military installation.
(C) Areas representing different geographic
locations, such as census tracts established by the
Bureau of Census.
(d) Limitation on Number of Participating Veterans.--
(1) In general.--The total number of eligible veterans who
may participate in the pilot program may not exceed 30,000.
(2) Distribution of limitation.--In applying the limitation
in paragraph (1) to the pilot program, the Secretary shall
distribute the limitation across and among locations selected
for the pilot program in a manner that takes appropriate
account of the size and need of veterans for dental services at
each such location.
(e) Scope of Services.--The dental services and treatment furnished
to veterans under the pilot program shall be consistent with the dental
services and treatment furnished by the Secretary to veterans with
service-connected disabilities rated 100 percent disabling under the
laws administered by the Secretary.
(f) Voluntary Participation.--The participation of a veteran in the
pilot program shall be at the election of the veteran.
(g) Limitation on Amount of Services.--
(1) In general.--The total amount the Secretary may expend
furnishing dental services and treatment to a veteran
participating in the pilot program during any one-year period
may not exceed such amount as the Secretary determines
appropriate. The amount so determined may not be less than
$1,000.
(2) Consultation.--The Secretary shall make the
determination under paragraph (1)--
(A) in consultation with the Director of the Indian
Health Service; and
(B) in consultation with the Director of the Health
Resources and Services Administration of the Department
of Health and Human Services if one or more Federally
Qualified Health Center is selected as a location for
the pilot program under subsection (c)(1)(D).
(h) Copayments.--The Secretary may collect copayments for dental
services and treatment furnished under the pilot program in accordance
with authorities on the collection of copayments for medical care of
veterans under chapter 17 of title 38, United States Code.
(i) Program Administration.--
(1) Notice to eligible veterans on pilot program.--In
carrying out the pilot program, the Secretary shall inform all
veterans eligible to participate in the pilot program of the
services and treatment available under the pilot program.
(2) Contracts.--In carrying out the pilot program, the
Secretary may enter into contracts with appropriate entities
for the provision of dental services and treatment under the
pilot program. Each such contract shall specify performance
standards and metrics and processes for ensuring compliance of
the contractor concerned with such performance standards.
(j) Reports.--
(1) Preliminary reports.--
(A) In general.--Not later than each of 540 days
and three years after the date of the commencement of
the pilot program, the Secretary shall submit to the
Committee on Veterans' Affairs of the Senate and the
Committee on Veterans' Affairs of the House of
Representatives a report on the pilot program.
(B) Contents.--Each report under subparagraph (A)
shall include the following:
(i) A description of the implementation and
operation of the pilot program.
(ii) The number of veterans receiving
services and treatment under the pilot program,
and a description of the dental services and
treatment furnished to such veterans.
(iii) An analysis of the costs and benefits
of the pilot program, including a comparison of
costs and benefits by location type.
(iv) An assessment of the impact of the
pilot program on medical care, wellness,
employability, and perceived quality of life of
veterans.
(v) The current findings and conclusions of
the Secretary with respect to the pilot
program.
(vi) Such recommendations for the
continuation or expansion of the pilot program
as the Secretary considers appropriate.
(2) Final report.--
(A) In general.--Not later than 180 days after the
completion of the pilot program, the Secretary shall
submit to the Committee on Veterans' Affairs of the
Senate and the Committee on Veterans' Affairs of the
House of Representatives a report on the pilot program.
(B) Contents.--The report under subparagraph (A)
shall include the following:
(i) The findings and conclusions of the
Secretary with respect to the pilot program.
(ii) Such recommendations for the
continuation or expansion of the pilot program
as the Secretary considers appropriate.
(k) Federally Qualified Health Center Defined.--In this section the
term ``Federally Qualified Health Center'' means a Federally-qualified
health center as defined in section 1905(l)(2)(B) of the Social
Security Act (42 U.S.C. 1396d(l)(2)(B)).
(l) Effective Date.--This section shall take effect on the date
that is one year after the date of the enactment of this Act.
SEC. 153. PROGRAM ON EDUCATION TO PROMOTE DENTAL HEALTH IN VETERANS.
(a) Program Required.--
(1) In general.--The Secretary of Veterans Affairs shall
carry out a program of education to promote dental health for
veterans who are enrolled in the system of patient enrollment
of the Department of Veterans Affairs under section 1705 of
title 38, United States Code.
(2) Construction.--Nothing in the program shall be deemed
to alter or revise the eligibility of any veteran for dental
care under the laws administered by the Secretary.
(b) Elements.--The program required by subsection (a) shall provide
education for veterans on the following:
(1) The association between dental health and overall
health and well-being.
(2) Proper techniques for dental care.
(3) Signs and symptoms of commonly occurring dental
conditions.
(4) Treatment options for commonly occurring dental issues.
(5) Options for obtaining access to dental care, including
information on eligibility for dental care through the
Department and on purchasing private dental insurance.
(6) Available and accessible options for obtaining low or
no-cost dental care, including through dental schools and
Federally Qualified Health Centers (FQHCs).
(7) Such other matters relating to dental health as the
Secretary considers appropriate.
(c) Delivery of Educational Materials.--
(1) In general.--The Secretary shall provide educational
materials to veterans under the program required by subsection
(a) through a variety of mechanisms, including the following:
(A) The availability and distribution of print
materials at Department facilities (including at
medical centers, clinics, Vet Centers, and readjustment
counseling centers) and to providers (including members
of Patient Aligned Care Teams).
(B) The availability and distribution of materials
over the Internet, including through webinars and My
HealtheVet.
(C) Presentations of information, including both
small group and large group presentations.
(2) Selection of mechanisms.--In selecting mechanisms for
purposes of this subsection, the Secretary shall select
mechanisms designed to maximize the number of veterans who
receive education under the program.
(d) Federally Qualified Health Center Defined.--In this section the
term ``Federally Qualified Health Center'' means a Federally-qualified
health center as defined in section 1905(l)(2)(B) of the Social
Security Act (42 U.S.C. 1396d(l)(2)(B)).
(e) Effective Date.--This section shall take effect on the date
that is one year after the date of the enactment of this Act.
SEC. 154. AUTHORIZATION OF APPROPRIATIONS.
There is authorized to be appropriated for the Department of
Veterans Affairs for fiscal year 2015 $305,000,000 to carry out this
subtitle and the amendments made by this subtitle. The amount so
authorized to be appropriated shall be available for obligation for the
five-year period beginning on the date that is one year after the date
of the enactment of this Act.
Subtitle G--Health Care Related to Sexual Trauma
SEC. 161. EXPANSION OF ELIGIBILITY FOR SEXUAL TRAUMA COUNSELING AND
TREATMENT TO VETERANS ON INACTIVE DUTY TRAINING.
Section 1720D(a)(1) is amended by striking ``or active duty for
training'' and inserting ``, active duty for training, or inactive duty
training''.
SEC. 162. PROVISION OF COUNSELING AND TREATMENT FOR SEXUAL TRAUMA BY
THE DEPARTMENT OF VETERANS AFFAIRS TO MEMBERS OF THE
ARMED FORCES.
(a) Expansion of Coverage to Members of the Armed Forces.--
Subsection (a) of section 1720D is amended--
(1) by redesignating paragraph (2) as paragraph (3);
(2) by inserting after paragraph (1) the following new
paragraph (2):
``(2)(A) In operating the program required by paragraph (1), the
Secretary may, in consultation with the Secretary of Defense, provide
counseling and care and services to members of the Armed Forces
(including members of the National Guard and Reserves) on active duty
to overcome psychological trauma described in that paragraph.
``(B) A member described in subparagraph (A) shall not be required
to obtain a referral before receiving counseling and care and services
under this paragraph.''; and
(3) in paragraph (3), as redesignated by paragraph (1)--
(A) by striking ``a veteran'' and inserting ``an
individual''; and
(B) by striking ``that veteran'' each place it
appears and inserting ``that individual''.
(b) Information to Members on Availability of Counseling and
Services.--Subsection (c) of such section is amended--
(1) by striking ``to veterans'' each place it appears; and
(2) in paragraph (3), by inserting ``members of the Armed
Forces and'' before ``individuals''.
(c) Inclusion of Members in Reports on Counseling and Services.--
Subsection (e) of such section is amended--
(1) in the matter preceding paragraph (1), by striking ``to
veterans'';
(2) in paragraph (2)--
(A) by striking ``women veterans'' and inserting
``individuals''; and
(B) by striking ``training under subsection (d).''
and inserting ``training under subsection (d),
disaggregated by--
``(A) veterans;
``(B) members of the Armed Forces (including
members of the National Guard and Reserves) on active
duty; and
``(C) for each of subparagraphs (A) and (B)--
``(i) men; and
``(ii) women.'';
(3) in paragraph (4), by striking ``veterans'' and
inserting ``individuals''; and
(4) in paragraph (5)--
(A) by striking ``women veterans'' and inserting
``individuals''; and
(B) by inserting ``, including specific
recommendations for individuals specified in
subparagraphs (A), (B), and (C) of paragraph (2)''
before the period at the end.
(d) Effective Date.--The amendments made by this section shall take
effect on the date that is one year after the date of the enactment of
this Act.
SEC. 163. DEPARTMENT OF VETERANS AFFAIRS SCREENING MECHANISM TO DETECT
INCIDENTS OF DOMESTIC ABUSE.
(a) In General.--Not later than two years after the date of the
enactment of this Act, the Secretary of Veterans Affairs shall develop
and implement a screening mechanism to be used when a veteran seeks
healthcare services from the Department of Veterans Affairs to detect
if the veteran has been a victim of domestic abuse for purposes of
improving the treatment of the veteran and assessing the prevalence of
domestic abuse in the veteran population.
(b) Readily Available Screening Tools.--In developing and
implementing a screening mechanism under subsection (a), the Secretary
may incorporate into the screening mechanism such readily available
screening tools as the Secretary considers appropriate for the
screening mechanism.
(c) Domestic Abuse Defined.--In this section, the term ``domestic
abuse'' means behavior with respect to an individual that--
(1) constitutes--
(A) a pattern of behavior resulting in physical or
emotional abuse, economic control, or interference with
the personal liberty of that individual;
(B) a violation of Federal or State law involving
the use, attempted use, or threatened use of force or
violence against that individual; or
(C) a violation of a lawful order issued for the
protection of that individual; and
(2) is committed by a person who--
(A) is a current or former spouse or domestic
partner of that individual;
(B) shares a child in common with that individual;
(C) is a current or former intimate partner of that
individual that shares or has shared a common domicile
with that individual;
(D) is a caregiver or family caregiver of that
individual (as such terms are defined in section
1720G(d) of title 38, United States Code); or
(E) is in any other type of relationship with that
individual that the Secretary may specify for purposes
of this section.
SEC. 164. REPORTS ON MILITARY SEXUAL TRAUMA AND DOMESTIC ABUSE.
(a) Report on Services Available for Military Sexual Trauma in the
Department of Veterans Affairs.--Not later than 630 days after the date
of the enactment of this Act, the Secretary of Veterans Affairs shall
submit to the Committee on Veterans' Affairs of the Senate and the
Committee on Veterans' Affairs of the House of Representatives a report
on the treatment and services available from the Department of Veterans
Affairs for male veterans who experience military sexual trauma
compared to such treatment and services available to female veterans
who experience military sexual trauma.
(b) Report on Domestic Abuse Among Veterans.--Not later than two
years after the implementation of the screening mechanism required by
section 163(a) of this Act, the Secretary of Veterans Affairs and the
Secretary of Health and Human Services, acting through the Director of
the Centers for Disease Control and Prevention, shall jointly submit to
the Committee on Veterans' Affairs of the Senate and the Committee on
Veterans' Affairs of the House of Representatives a report on domestic
abuse among veterans that includes the following:
(1) A summary of the types, outcomes, and circumstances of
incidents of domestic abuse that have been reported by veterans
during the two-year period preceding the submission of the
report.
(2) A summary of the treatments available from the
Department of Veterans Affairs for veterans who experience
domestic abuse and an assessment of the effectiveness of those
treatments.
(3) Data and analysis on any correlation between an
incident of military sexual trauma or sexual trauma experienced
after the age of 18 and domestic abuse.
(4) Any other issues that the Secretary of Veterans Affairs
or the Director of the Centers for Disease Control and
Prevention determines appropriate.
(c) Reports on Transition of Military Sexual Trauma and Domestic
Abuse Treatment From Department of Defense to Department of Veterans
Affairs.--Not later than 630 days after the date of the enactment of
this Act, and annually thereafter for five years, the Department of
Veterans Affairs-Department of Defense Joint Executive Committee
established by section 320(a) of title 38, United States Code, shall
submit to the appropriate committees of Congress a report on military
sexual trauma and domestic abuse that includes the following:
(1) The processes and procedures utilized by the Department
of Veterans Affairs and the Department of Defense to facilitate
transition of treatment of individuals who have experienced
military sexual trauma or domestic abuse from treatment
provided by the Department of Defense to treatment provided by
the Department of Veterans Affairs.
(2) A description and assessment of the collaboration
between the Department of Veterans Affairs and the Department
of Defense in assisting veterans in filing claims for
disabilities related to military sexual trauma or domestic
abuse, including permitting veterans access to information and
evidence necessary to develop or support such claims.
(d) Definitions.--In this section:
(1) Appropriate committees of congress.--The term
``appropriate committees of Congress'' means--
(A) the Committee on Veterans' Affairs and the
Committee on Armed Services of the Senate; and
(B) the Committee on Veterans' Affairs and the
Committee on Armed Services of the House of
Representatives.
(2) Domestic abuse.--The term ``domestic abuse'' has the
meaning given that term in section 163(c) of this Act.
(3) Military sexual trauma.--The term ``military sexual
trauma'' means psychological trauma, which in the judgment of a
mental health professional employed by the Department, resulted
from a physical assault of a sexual nature, battery of a sexual
nature, or sexual harassment which occurred while the veteran
was serving on active duty or active duty for training.
(4) Sexual harassment.--The term ``sexual harassment''
means repeated, unsolicited verbal or physical contact of a
sexual nature which is threatening in character.
(5) Sexual trauma.--The term ``sexual trauma'' shall have
the meaning given that term by the Secretary of Veterans
Affairs for purposes of this section.
(e) Effective Date.--This section shall take effect on the date
that is 270 days after the date of the enactment of this Act.
Subtitle H--Reproductive Treatment and Services
SEC. 171. CLARIFICATION THAT FERTILITY COUNSELING AND TREATMENT ARE
MEDICAL SERVICES WHICH THE SECRETARY MAY FURNISH TO
VETERANS LIKE OTHER MEDICAL SERVICES.
Section 1701(6), as amended by section 114(b)(1) of this Act, is
further amended by adding at the end the following new subparagraph:
``(I) Fertility counseling and treatment, including
treatment using assisted reproductive technology.''.
SEC. 172. REPRODUCTIVE TREATMENT AND CARE FOR SPOUSES AND SURROGATES OF
VETERANS.
(a) In General.--Subchapter VIII of chapter 17 is amended by adding
at the end the following new section:
``Sec. 1788. Reproductive treatment and care for spouses and surrogates
of veterans
``(a) In General.--The Secretary shall furnish fertility counseling
and treatment, including through the use of assisted reproductive
technology, to a spouse or surrogate of a severely wounded, ill, or
injured veteran who has an infertility condition incurred or aggravated
in line of duty in the active military, naval, or air service and who
is enrolled in the system of annual patient enrollment established
under section 1705(a) of this title if the spouse or surrogate and the
veteran apply jointly for such counseling and treatment through a
process prescribed by the Secretary.
``(b) Coordination of Care for Other Spouses and Surrogates.--In
the case of a spouse or surrogate of a veteran not described in
subsection (a) who is seeking fertility counseling and treatment, the
Secretary may coordinate fertility counseling and treatment for such
spouse or surrogate.
``(c) Construction.--Nothing in this section shall be construed to
require the Secretary--
``(1) to find or certify a surrogate for a veteran or to
connect a surrogate with a veteran; or
``(2) to furnish maternity care to a spouse or surrogate of
a veteran.
``(d) Assisted Reproductive Technology Defined.--In this section,
the term `assisted reproductive technology' includes in vitro
fertilization and other fertility treatments in which both eggs and
sperm are handled when clinically appropriate.''.
(b) Clerical Amendment.--The table of sections at the beginning of
chapter 17 is amended by inserting after the item relating to section
1787 the following new item:
``1788. Reproductive treatment and care for spouses and surrogates of
veterans.''.
SEC. 173. ADOPTION ASSISTANCE FOR SEVERELY WOUNDED VETERANS.
(a) In General.--Subchapter VIII of chapter 17, as amended by
section 172(a) of this Act, is further amended by adding at the end the
following new section:
``Sec. 1789. Adoption assistance
``(a) In General.--The Secretary may pay an amount, not to exceed
the limitation amount, to assist a covered veteran in the adoption of
one or more children.
``(b) Covered Veteran.--For purposes of this section, a covered
veteran is any severely wounded, ill, or injured veteran who--
``(1) has an infertility condition incurred or aggravated
in line of duty in the active military, naval, or air service;
and
``(2) is enrolled in the system of annual patient
enrollment established under section 1705(a) of this title.
``(c) Limitation Amount.--For purposes of this section, the
limitation amount is the amount equal to the lesser of--
``(1) the cost the Department would incur if the Secretary
were to provide a covered veteran with one cycle of fertility
treatment through the use of assisted reproductive technology
under section 1788 of this title, as determined by the
Secretary; or
``(2) the cost the Department would incur by paying the
expenses of three adoptions by covered veterans, as determined
by the Secretary.
``(d) Assisted Reproductive Technology Defined.--In this section,
the term `assisted reproductive technology' has the meaning given that
term in section 1788 of this title.''.
(b) Clerical Amendment.--The table of sections at the beginning of
chapter 17, as amended by section 172(b) of this Act, is further
amended by inserting after the item relating to section 1788 the
following new item:
``1789. Adoption assistance.''.
SEC. 174. REGULATIONS ON FURNISHING OF FERTILITY COUNSELING AND
TREATMENT AND ADOPTION ASSISTANCE BY DEPARTMENT OF
VETERANS AFFAIRS.
(a) In General.--Not later than 540 days after the date of the
enactment of this Act, the Secretary of Veterans Affairs shall
prescribe regulations--
(1) on the furnishing of fertility treatment to veterans
using assisted reproductive technology;
(2) to carry out section 1788 of title 38, United States
Code, as added by section 172 of this Act; and
(3) to carry out section 1789 of such title, as added by
section 173 of this Act.
(b) Limitation.--Notwithstanding any other provision of law, during
the period beginning on the date of the enactment of this Act and
ending on the date on which the Secretary prescribes regulations under
subsection (a), the Secretary may not furnish--
(1) to a veteran any fertility treatment that uses an
assisted reproductive technology that the Secretary has not
used in the provision of a fertility treatment to a veteran
before the date of the enactment of this Act;
(2) any fertility counseling or treatment under section
1788 of such title, as added by section 172 of this Act; or
(3) any assistance under section 1789 of such title, as
added by section 173 of this Act.
(c) Assisted Reproductive Technology Defined.--In this section, the
term ``assisted reproductive technology'' has the meaning given the
term in section 1788 of such title, as added by section 172 of this
Act.
SEC. 175. COORDINATION BETWEEN DEPARTMENT OF VETERANS AFFAIRS AND
DEPARTMENT OF DEFENSE ON FURNISHING OF FERTILITY
COUNSELING AND TREATMENT.
The Secretary of Veterans Affairs and the Secretary of Defense
shall share best practices and facilitate referrals, as they consider
appropriate, on the furnishing of fertility counseling and treatment.
SEC. 176. FACILITATION OF REPRODUCTION AND INFERTILITY RESEARCH.
(a) In General.--Subchapter II of chapter 73, as amended by section
124(a) of this Act, is further amended by adding at the end the
following new section:
``Sec. 7330C. Facilitation of reproduction and infertility research
``(a) Facilitation of Research Required.--The Secretary shall
facilitate research conducted collaboratively by the Secretary of
Defense and the Secretary of Health and Human Services to improve the
ability of the Department of Veterans Affairs to meet the long-term
reproductive health care needs of veterans who have a genitourinary
service-connected disability or a condition that was incurred or
aggravated in line of duty in the active military, naval, or air
service, such as a spinal cord injury, that affects the veterans'
ability to reproduce.
``(b) Dissemination of Information.--The Secretary shall ensure
that information produced by the research facilitated under this
section that may be useful for other activities of the Veterans Health
Administration is disseminated throughout the Veterans Health
Administration.''.
(b) Clerical Amendment.--The table of sections at the beginning of
chapter 73, as amended by section 124(b) of this Act, is further
amended by inserting after the item relating to section 7330B the
following new item:
``7330C. Facilitation of reproduction and infertility research.''.
(c) Report.--Not later than three years after the date of the
enactment of this Act, the Secretary of Veterans Affairs shall submit
to Congress a report on the research activities conducted by the
Secretary under section 7330C of title 38, United States Code, as added
by subsection (a).
SEC. 177. ANNUAL REPORT ON PROVISION OF FERTILITY COUNSELING AND
TREATMENT FURNISHED BY DEPARTMENT OF VETERANS AFFAIRS.
(a) In General.--Not later than one year after the date of the
enactment of this Act and not less frequently than annually thereafter,
the Secretary of Veterans Affairs shall submit to the Committee on
Veterans' Affairs of the Senate and the Committee on Veterans' Affairs
of the House of Representatives a report on the fertility counseling
and treatment furnished by the Department of Veterans Affairs during
the year preceding the submittal of the report.
(b) Elements.--Each report submitted under subsection (a) shall
include, for the period covered by the report, the following:
(1) The number of veterans who received fertility
counseling or treatment furnished by the Department of Veterans
Affairs, disaggregated by era of military service of such
veterans.
(2) The number of spouses and surrogates of veterans who
received fertility counseling or treatment furnished by the
Department.
(3) The cost to the Department of furnishing fertility
counseling and treatment, disaggregated by cost of services and
administration.
(4) The average cost to the Department per recipient of
such counseling and treatment.
(5) In cases in which the Department furnished fertility
treatment through the use of assisted reproductive technology,
the average number of cycles per person furnished.
(6) A description of how fertility counseling and treatment
services of the Department are coordinated with similar
services of the Department of Defense.
SEC. 178. PROGRAM ON ASSISTANCE FOR CHILD CARE FOR CERTAIN VETERANS.
(a) Assistance for Child Care for Certain Veterans Receiving Health
Care.--
(1) In general.--Subchapter I of chapter 17 is amended by
adding at the end the following new section:
``Sec. 1709B. Assistance for child care for certain veterans receiving
health care
``(a) Program Required.--The Secretary shall carry out a program to
provide, subject to subsection (b), assistance to qualified veterans
described in subsection (c) to obtain child care so that such veterans
can receive health care services described in subsection (c).
``(b) Limitation on Period of Payments.--Assistance may only be
provided to a qualified veteran under this section for receipt of child
care during the period that the qualified veteran--
``(1) receives health care services described in subsection
(c) at a facility of the Department; and
``(2) requires travel to and from such facility for the
receipt of such health care services.
``(c) Qualified Veterans.--For purposes of this section, a
qualified veteran is a veteran who is--
``(1) the primary caretaker of a child or children; and
``(2)(A) receiving from the Department--
``(i) regular mental health care services;
``(ii) intensive mental health care services; or
``(iii) such other intensive health care services
that the Secretary determines that provision of
assistance to the veteran to obtain child care would
improve access to such health care services by the
veteran; or
``(B) in need of regular or intensive mental health care
services from the Department, and but for lack of child care
services, would receive such health care services from the
Department.
``(d) Locations.--The Secretary shall carry out the program in no
fewer than three Veterans Integrated Service Networks selected by the
Secretary for purposes of the program.
``(e) Forms of Child Care Assistance.--(1) Child care assistance
under this section may include the following:
``(A) Stipends for the payment of child care offered by
licensed child care centers (either directly or through a
voucher program) which shall be, to the extent practicable,
modeled after the Department of Veterans Affairs Child Care
Subsidy Program established pursuant to section 630 of the
Treasury and General Government Appropriations Act, 2002
(Public Law 107-67; 115 Stat. 552).
``(B) Direct provision of child care at an on-site facility
of the Department.
``(C) Payments to private child care agencies.
``(D) Collaboration with facilities or programs of other
Federal departments or agencies.
``(E) Such other forms of assistance as the Secretary
considers appropriate.
``(2) In the case that child care assistance under this section is
provided as a stipend under paragraph (1)(A), such stipend shall cover
the full cost of such child care.''.
(2) Clerical amendment.--The table of sections at the
beginning of chapter 17 is amended by inserting after the item
relating to section 1709A the following new item:
``1709B. Assistance for child care for certain veterans receiving
health care.''.
(3) Conforming amendment.--Section 205(e) of the Caregivers
and Veterans Omnibus Health Services Act of 2010 (Public Law
111-163; 38 U.S.C. 1710 note) is amended by inserting ``but not
after the date of the enactment of the Restoring Veterans Trust
Act of 2014'' before the period at the end.
(b) Assistance for Child Care for Individuals Receiving
Readjustment Counseling and Related Mental Health Services.--
(1) In general.--Subchapter I of chapter 17, as amended by
subsection (a)(1) of this section, is further amended by adding
at the end the following new section:
``Sec. 1709C. Assistance for child care for individuals receiving
readjustment counseling and related mental health
services
``(a) Program Required.--The Secretary shall carry out a program to
provide, subject to subsection (b), assistance to qualified individuals
described in subsection (c) to obtain child care so that such
individuals can receive readjustment counseling and related mental
health services.
``(b) Limitation on Period of Payments.--Assistance may only be
provided to a qualified individual under this section for receipt of
child care during the period that the qualified individual receives
readjustment counseling and related health care services at a Vet
Center.
``(c) Qualified Individuals.--For purposes of this section, a
qualified individual is an individual who is--
``(1) the primary caretaker of a child or children; and
``(2)(A) receiving from the Department regular readjustment
counseling and related mental health services; or
``(B) in need of readjustment counseling and related mental
health services from the Department, and but for lack of child
care services, would receive such counseling and services from
the Department.
``(d) Locations.--The Secretary shall carry out the program under
this section in no fewer than three Readjustment Counseling Service
Regions selected by the Secretary for purposes of the program.
``(e) Forms of Child Care Assistance.--(1) Child care assistance
under this section may include the following:
``(A) Stipends for the payment of child care offered by
licensed child care centers (either directly or through a
voucher program) which shall be, to the extent practicable,
modeled after the Department of Veterans Affairs Child Care
Subsidy Program established pursuant to section 630 of the
Treasury and General Government Appropriations Act, 2002
(Public Law 107-67; 115 Stat. 552).
``(B) Payments to private child care agencies.
``(C) Collaboration with facilities or programs of other
Federal departments or agencies.
``(D) Such other forms of assistance as the Secretary
considers appropriate.
``(2) In the case that child care assistance under this subsection
is provided as a stipend under paragraph (1)(A), such stipend shall
cover the full cost of such child care.
``(f) Vet Center Defined.--In this section, the term `Vet Center'
means a center for readjustment counseling and related mental health
services for individuals under section 1712A of this title.''.
(2) Clerical amendment.--The table of sections at the
beginning of chapter 17, as amended by subsection (a)(2) of
this section, is further amended by inserting after the item
relating to section 1709B the following new item:
``1709C. Assistance for child care for individuals receiving
readjustment counseling and related mental
health services.''.
SEC. 179. COUNSELING IN RETREAT SETTINGS FOR WOMEN VETERANS NEWLY
SEPARATED FROM SERVICE IN THE ARMED FORCES.
(a) Counseling in Retreat Settings.--
(1) In general.--Subchapter II of chapter 17 is amended by
adding at the end the following new section:
``Sec. 1720H. Counseling in retreat settings for women veterans newly
separated from service in the Armed Forces
``(a) In General.--The Secretary shall provide, through the
Readjustment Counseling Service of the Veterans Health Administration,
reintegration and readjustment services described in subsection (c) in
group retreat settings to women veterans who are recently separated
from service in the Armed Forces after a prolonged deployment.
``(b) Election of Veteran.--The receipt of services under this
section by a woman veteran shall be at the election of the veteran.
``(c) Covered Services.--The services provided to a woman veteran
under this section shall include the following:
``(1) Information on reintegration into the veteran's
family, employment, and community.
``(2) Financial counseling.
``(3) Occupational counseling.
``(4) Information and counseling on stress reduction.
``(5) Information and counseling on conflict resolution.
``(6) Such other information and counseling as the
Secretary considers appropriate to assist the veteran in
reintegration into the veteran's family, employment, and
community.''.
(2) Clerical amendment.--The table of sections at the
beginning of chapter 17 is amended by inserting after the item
relating to section 1720G the following new item:
``1720H. Counseling in retreat settings for women veterans newly
separated from service in the Armed
Forces.''.
(b) Repeal of Superseded Pilot Program Authority.--Section 203 of
the Caregivers and Veterans Omnibus Health Services Act of 2010 (Public
Law 111-163; 38 U.S.C. 1712A note) is hereby repealed.
Subtitle I--Major Medical Facility Leases
SEC. 181. AUTHORIZATION OF MAJOR MEDICAL FACILITY LEASES.
The Secretary of Veterans Affairs may carry out the following major
medical facility leases at the locations specified, and in an amount
for each lease not to exceed the amount shown for such location (not
including any estimated cancellation costs):
(1) For a clinical research and pharmacy coordinating
center, Albuquerque, New Mexico, an amount not to exceed
$9,560,000.
(2) For a community-based outpatient clinic, Brick, New
Jersey, an amount not to exceed $7,280,000.
(3) For a new primary care and dental clinic annex,
Charleston, South Carolina, an amount not to exceed $7,070,250.
(4) For the Cobb County community-based Outpatient Clinic,
Cobb County, Georgia, an amount not to exceed $6,409,000.
(5) For the Leeward Outpatient Healthcare Access Center,
Honolulu, Hawaii, including a co-located clinic with the
Department of Defense and the co-location of the Honolulu
Regional Office of the Veterans Benefits Administration and the
Kapolei Vet Center of the Department of Veterans Affairs, an
amount not to exceed $15,887,370.
(6) For a community-based outpatient clinic, Johnson
County, Kansas, an amount not to exceed $2,263,000.
(7) For a replacement community-based outpatient clinic,
Lafayette, Louisiana, an amount not to exceed $2,996,000.
(8) For a community-based outpatient clinic, Lake Charles,
Louisiana, an amount not to exceed $2,626,000.
(9) For outpatient clinic consolidation, New Port Richey,
Florida, an amount not to exceed $11,927,000.
(10) For an outpatient clinic, Ponce, Puerto Rico, an
amount not to exceed $11,535,000.
(11) For lease consolidation, San Antonio, Texas, an amount
not to exceed $19,426,000.
(12) For a community-based outpatient clinic, San Diego,
California, an amount not to exceed $11,946,100.
(13) For an outpatient clinic, Tyler, Texas, an amount not
to exceed $4,327,000.
(14) For the Errera Community Care Center, West Haven,
Connecticut, an amount not to exceed $4,883,000.
(15) For the Worcester community-based Outpatient Clinic,
Worcester, Massachusetts, an amount not to exceed $4,855,000.
(16) For the expansion of a community-based outpatient
clinic, Cape Girardeau, Missouri, an amount not to exceed
$4,232,060.
(17) For a multispecialty clinic, Chattanooga, Tennessee,
an amount not to exceed $7,069,000.
(18) For the expansion of a community-based outpatient
clinic, Chico, California, an amount not to exceed $4,534,000.
(19) For a community-based outpatient clinic, Chula Vista,
California, an amount not to exceed $3,714,000.
(20) For a new research lease, Hines, Illinois, an amount
not to exceed $22,032,000.
(21) For a replacement research lease, Houston, Texas, an
amount not to exceed $6,142,000.
(22) For a community-based outpatient clinic, Lincoln,
Nebraska, an amount not to exceed $7,178,400.
(23) For a community-based outpatient clinic, Lubbock,
Texas, an amount not to exceed $8,554,000.
(24) For a community-based outpatient clinic consolidation,
Myrtle Beach, South Carolina, an amount not to exceed
$8,022,000.
(25) For a community-based outpatient clinic, Phoenix,
Arizona, an amount not to exceed $20,757,000.
(26) For the expansion of a community-based outpatient
clinic, Redding, California, an amount not to exceed
$8,154,000.
(27) For the expansion of a community-based outpatient
clinic, Tulsa, Oklahoma, an amount not to exceed $13,269,200.
SEC. 182. BUDGETARY TREATMENT OF DEPARTMENT OF VETERANS AFFAIRS MAJOR
MEDICAL FACILITIES LEASES.
(a) Findings.--Congress finds the following:
(1) Title 31, United States Code, requires the Department
of Veterans Affairs to record the full cost of its contractual
obligation against funds available at the time a contract is
executed.
(2) Office of Management and Budget Circular A-11 provides
guidance to agencies in meeting the statutory requirements
under title 31, United States Code, with respect to leases.
(3) For operating leases, Office of Management and Budget
Circular A-11 requires the Department of Veterans Affairs to
record up-front budget authority in an ``amount equal to total
payments under the full term of the lease or [an] amount
sufficient to cover first year lease payments plus cancellation
costs''.
(b) Requirement for Obligation of Full Cost.--
(1) In general.--Subject to the availability of
appropriations provided in advance, in exercising the authority
of the Secretary of Veterans Affairs to enter into leases
provided in this Act, the Secretary shall record, pursuant to
section 1501 of title 31, United States Code, as the full cost
of the contractual obligation at the time a contract is
executed either--
(A) an amount equal to total payments under the
full term of the lease; or
(B) if the lease specifies payments to be made in
the event the lease is terminated before its full term,
an amount sufficient to cover the first year lease
payments plus the specified cancellation costs.
(2) Self-insuring authority.--The requirements of paragraph
(1) may be satisfied through the use of a self-insuring
authority consistent with Office of Management and Budget
Circular A-11.
(c) Transparency.--
(1) Compliance.--Subsection (b) of section 8104 is amended
by adding at the end the following new paragraph:
``(7) In the case of a prospectus proposing funding for a
major medical facility lease, a detailed analysis of how the
lease is expected to comply with Office of Management and
Budget Circular A-11 and section 1341 of title 31 (commonly
referred to as the `Anti-Deficiency Act'). Any such analysis
shall include--
``(A) an analysis of the classification of the
lease as a `lease-purchase', `capital lease', or
`operating lease' as those terms are defined in Office
of Management and Budget Circular A-11;
``(B) an analysis of the obligation of budgetary
resources associated with the lease; and
``(C) an analysis of the methodology used in
determining the asset cost, fair market value, and
cancellation costs of the lease.''.
(2) Submittal to congress.--Such section 8104 is further
amended by adding at the end the following new subsection:
``(h)(1) Not less than 30 days before entering into a major medical
facility lease, the Secretary shall submit to the Committees on
Veterans' Affairs of the Senate and the House of Representatives--
``(A) notice of the Secretary's intention to enter into the
lease;
``(B) a detailed summary of the proposed lease;
``(C) a description and analysis of any differences between
the prospectus submitted pursuant to subsection (b) and the
proposed lease; and
``(D) a scoring analysis demonstrating that the proposed
lease fully complies with Office of Management and Budget
Circular A-11.
``(2) Each committee described in paragraph (1) shall ensure that
any information submitted to the committee under such paragraph is
treated by the committee with the same level of confidentiality as is
required by law of the Secretary and subject to the same statutory
penalties for unauthorized disclosure or use as the Secretary.
``(3) Not more than 30 days after entering into a major medical
facility lease, the Secretary shall submit to each committee described
in paragraph (1) a report on any material differences between the lease
that was entered into and the proposed lease described under such
paragraph, including how the lease that was entered into changes the
previously submitted scoring analysis described in subparagraph (D) of
such paragraph.''.
(d) Rule of Construction.--Nothing in this section, or the
amendments made by this section, shall be construed to in any way
relieve the Department of Veterans Affairs from any statutory or
regulatory obligations or requirements existing prior to the enactment
of this section and such amendments.
TITLE II--SURVIVOR AND DEPENDENT MATTERS
SEC. 201. EXTENSION OF INITIAL PERIOD FOR INCREASED DEPENDENCY AND
INDEMNITY COMPENSATION FOR SURVIVING SPOUSES WITH
CHILDREN.
(a) In General.--Section 1311(f)(2) is amended by striking ``two-
year'' and inserting ``three-year''.
(b) Effective Date.--The amendment made by subsection (a) shall
take effect as of September 30, 2014, and shall apply to any surviving
spouse who was eligible for or in receipt of benefits under section
1311(f) of title 38, United States Code, on or after the date of the
enactment of this Act.
SEC. 202. ELIGIBILITY FOR DEPENDENCY AND INDEMNITY COMPENSATION,
EDUCATIONAL ASSISTANCE, AND HOUSING LOANS FOR SURVIVING
SPOUSES WHO REMARRY AFTER AGE 55.
(a) In General.--Paragraph (2)(B) of section 103(d) is amended to
read as follows:
``(B) The remarriage after age 55 of the surviving spouse of a
veteran shall not bar the furnishing of benefits specified in paragraph
(5) to such person as the surviving spouse of the veteran.''.
(b) Conforming Amendment.--Paragraph (5) of such section is amended
by striking ``Paragraphs (2)(A)'' and inserting ``Paragraphs (2)''.
(c) Effective Date.--The amendments made by this section shall take
effect on the date that is one year after the date of the enactment of
this Act.
SEC. 203. EXTENSION OF MARRIAGE DELIMITING DATE FOR SURVIVING SPOUSES
OF PERSIAN GULF WAR VETERANS TO QUALIFY FOR DEATH
PENSION.
Section 1541(f)(1)(E) is amended by striking ``January 1, 2001''
and inserting ``the date that is 10 years and one day after the date on
which the Persian Gulf War was terminated, as prescribed by
Presidential proclamation or by law''.
SEC. 204. MAKING EFFECTIVE DATE PROVISION CONSISTENT WITH PROVISION FOR
BENEFITS ELIGIBILITY OF A VETERAN'S CHILD BASED UPON
TERMINATION OF REMARRIAGE BY ANNULMENT.
Section 5110(l) is amended by striking ``, or of an award or
increase of benefits based on recognition of a child upon termination
of the child's marriage by death or divorce,''.
SEC. 205. EXPANSION OF MARINE GUNNERY SERGEANT JOHN DAVID FRY
SCHOLARSHIP.
(a) Expansion of Entitlement.--Subsection (b)(9) of section 3311 is
amended by inserting ``or spouse'' after ``child''.
(b) Limitation and Election on Certain Benefits.--Subsection (f) of
such section is amended--
(1) by redesignating paragraph (2) as paragraph (4); and
(2) by inserting after paragraph (1) the following new
paragraphs:
``(2) Limitation.--The entitlement of an individual to
assistance under subsection (a) pursuant to paragraph (9) of
subsection (b) because the individual was a spouse of a person
described in such paragraph shall expire on the earlier of--
``(A) the date that is 15 years after the date on
which the person died; and
``(B) the date on which the individual remarries.
``(3) Election on receipt of certain benefits.--A surviving
spouse entitled to assistance under subsection (a) pursuant to
paragraph (9) of subsection (b) who is also entitled to
educational assistance under chapter 35 of this title may not
receive assistance under both this section and such chapter,
but shall make an irrevocable election (in such form and manner
as the Secretary may prescribe) under which section or chapter
to receive educational assistance.''.
(c) Conforming Amendment.--Section 3321(b)(4) is amended--
(1) by striking ``an individual'' and inserting ``a
child''; and
(2) by striking ``such individual's'' each time it appears
and inserting ``such child's''.
(d) Effective Date.--The amendments made by this section shall take
effect on the date that is two years after the date of the enactment of
this Act.
SEC. 206. EXPANSION OF YELLOW RIBBON G.I. EDUCATION ENHANCEMENT
PROGRAM.
(a) In General.--Section 3317(a) is amended by striking ``in
paragraphs (1) and (2)'' and inserting ``in paragraphs (1), (2), and
(9)''.
(b) Effective Date.--The amendment made by subsection (a) shall
apply with respect to academic terms beginning after July 1, 2015.
SEC. 207. BENEFITS FOR CHILDREN OF CERTAIN THAILAND SERVICE VETERANS
BORN WITH SPINA BIFIDA.
(a) In General.--Subchapter III of chapter 18 is amended by adding
at the end the following new section:
``Sec. 1822. Benefits for children of certain Thailand service veterans
born with spina bifida
``(a) Benefits Authorized.--The Secretary may provide to any child
of a veteran of covered service in Thailand who is suffering from spina
bifida the health care, vocational training and rehabilitation, and
monetary allowance required to be paid to a child of a Vietnam veteran
who is suffering from spina bifida under subchapter I of this chapter
as if such child of a veteran of covered service in Thailand were a
child of a Vietnam veteran who is suffering from spina bifida under
such subchapter.
``(b) Spina Bifida Conditions Covered.--This section applies with
respect to all forms and manifestations of spina bifida, except spina
bifida occulta.
``(c) Veteran of Covered Service in Thailand.--For purposes of this
section, a veteran of covered service in Thailand is any individual,
without regard to the characterization of that individual's service,
who--
``(1) served in the active military, naval, or air service
in Thailand, as determined by the Secretary in consultation
with the Secretary of Defense, during the period beginning on
January 9, 1962, and ending on May 7, 1975; and
``(2) is determined by the Secretary, in consultation with
the Secretary of Defense, to have been exposed to a herbicide
agent during such service in Thailand.
``(d) Herbicide Agent.--For purposes of this section, the term
`herbicide agent' means a chemical in a herbicide used in support of
United States and allied military operations in Thailand, as determined
by the Secretary in consultation with the Secretary of Defense, during
the period beginning on January 9, 1962, and ending on May 7, 1975.''.
(b) Conforming Amendment to Definition of ``Child''.--Section
1831(1) is amended--
(1) in subparagraph (B)--
(A) by striking ``subchapter III of this chapter''
and inserting ``section 1821 of this title''; and
(B) in clause (i), by striking ``section 1821 of
this title'' and inserting ``that section''; and
(2) by adding at the end the following new subparagraph:
``(C) For purposes of section 1822 of this title, an
individual, regardless of age or marital status, who--
``(i) is the natural child of a veteran of covered
service in Thailand (as determined for purposes of that
section); and
``(ii) was conceived after the date on which that
veteran first entered service described in subsection
(c) of that section.''.
(c) Clerical Amendments.--
(1) Subchapter heading.--The heading for subchapter III of
chapter 18 is amended by inserting ``AND THAILAND'' after
``KOREA''.
(2) Table of sections.--The table of sections at the
beginning of chapter 18 is amended--
(A) by striking the item relating to subchapter III
and inserting the following new item:
``subchapter iii--children of certain korea and thailand service
veterans born with spina bifida'';
and
(B) by inserting after the item relating to section
1821 the following new item:
``1822. Benefits for children of certain Thailand service veterans born
with spina bifida.''.
(d) Effective Date.--The amendments made by this section shall take
effect on the date that is one year after the date of the enactment of
this Act.
SEC. 208. PROGRAM ON ASSISTED LIVING FOR CHILDREN OF VIETNAM VETERANS
AND CERTAIN KOREA SERVICE VETERANS BORN WITH SPINA
BIFIDA.
(a) Program.--Commencing not later than 180 days after the date on
which this section takes effect, the Secretary of Veterans Affairs
shall carry out a program to assess the feasibility and advisability of
providing assisted living, group home care, or similar services in lieu
of nursing home care to covered individuals.
(b) Covered Individuals.--For purposes of this section, a covered
individual is any individual who is entitled to health care under
subchapter I or III of chapter 18 of title 38, United States Code.
(c) Duration.--
(1) In general.--Except as otherwise provided in this
subsection, the program shall be carried out during the three-
year period beginning on the date of the commencement of the
program.
(2) Continuation.--Subject to paragraph (3), the Secretary
may continue the program for an additional two-year period as
the Secretary considers appropriate.
(3) Termination.--The program may not operate after the
date that is five years after the date of the commencement of
the program.
(d) Scope of Services and Program.--Under the program, the
Secretary shall provide covered individuals with integrated,
comprehensive services, including the following:
(1) Assisted living, group home care, or such other similar
services as the Secretary considers appropriate.
(2) Transportation services.
(3) Such other services as the Secretary considers
appropriate for the care of covered individuals under the
program.
(e) Program Requirements.--In carrying out the program, the
Secretary shall--
(1) inform all covered individuals of the services
available under the program;
(2) enter into agreements with appropriate providers of
assisted living, group home care, or other similar services for
provision of services under the program; and
(3) determine the appropriate number of covered individuals
to be enrolled in the program and criteria for such enrollment.
(f) Reports.--
(1) Preliminary reports.--
(A) In general.--Not later than one year after the
date of the commencement of the program and, if the
program is continued under subsection (c)(2), not later
than three years after the date of the commencement of
the program, the Secretary shall submit to the
Committee on Veterans' Affairs of the Senate and the
Committee on Veterans' Affairs of the House of
Representatives a report on the program.
(B) Contents.--Each report submitted under
subparagraph (A) shall include the following:
(i) A description of the implementation and
operation of the program.
(ii) The number of covered individuals
receiving benefits under the program.
(iii) An analysis that compares the costs
of furnishing assisted living, group home care,
or similar services with the costs of
furnishing nursing home care.
(iv) An analysis of the costs and benefits
under the program.
(v) The findings and conclusions of the
Secretary with respect to the program.
(vi) Such recommendations for the
continuation or expansion of the program as the
Secretary may have.
(2) Final report.--
(A) In general.--Not later than 180 days after the
completion of the program, the Secretary shall submit
to the Committee on Veterans' Affairs of the Senate and
the Committee on Veterans' Affairs of the House of
Representatives a report on the program.
(B) Contents.--The report submitted under
subparagraph (A) shall include the following:
(i) The findings and conclusions of the
Secretary with respect to the program.
(ii) Such recommendations for the
continuation or expansion of the program as the
Secretary may have.
(g) Funding.--Amounts to carry out the program shall be derived
from amounts appropriated or otherwise made available for the
furnishing of nursing home care under chapter 18 of title 38, United
States Code.
(h) Effective Date.--This section shall take effect on the date
that is one year after the date of the enactment of this Act.
SEC. 209. PROGRAM ON GRIEF COUNSELING IN RETREAT SETTINGS FOR SURVIVING
SPOUSES OF MEMBERS OF THE ARMED FORCES WHO DIE WHILE
SERVING ON ACTIVE DUTY IN THE ARMED FORCES.
(a) Program Required.--
(1) In general.--Commencing not later than 180 days after
the date on which this section takes effect, the Secretary of
Veterans Affairs shall carry out, through the Readjustment
Counseling Service of the Veterans Health Administration, a
program to assess the feasibility and advisability of providing
grief counseling services described in subsection (b) in group
retreat settings to surviving spouses of members of the Armed
Forces who die while serving on active duty in the Armed Forces
who would, as determined by the Readjustment Counseling
Service, benefit from the services provided under the program.
(2) Participation at election of surviving spouse.--The
participation of a surviving spouse in the program under this
section shall be at the election of the surviving spouse.
(b) Covered Services.--The services provided to a surviving spouse
under the program shall include the following:
(1) Information and counseling on coping with grief.
(2) Information about benefits and services available to
surviving spouses under laws administered by the Secretary.
(3) Such other information and counseling as the Secretary
considers appropriate to assist a surviving spouse under the
program with adjusting to the death of a spouse.
(c) Events.--The Secretary shall carry out the program at not fewer
than six events as follows:
(1) Three events at which surviving spouses with dependent
children are encouraged to bring their children.
(2) Three events at which surviving spouses with dependent
children are not encouraged to bring their children.
(d) Duration.--The program shall be carried out during the two-year
period beginning on the date of the commencement of the program.
(e) Reports.--
(1) In general.--Not later than 180 days after the
completion of the first year of the program and not later than
180 days after the completion of the program, the Secretary
shall submit to Congress a report on the program.
(2) Contents.--Each report submitted under paragraph (1)
shall contain the findings and conclusions of the Secretary as
a result of the program, and shall include such recommendations
for the continuation or expansion of the program as the
Secretary considers appropriate.
(f) Definitions.--In this section, the terms ``active duty'',
``Armed Forces'', and ``surviving spouse'' have the meanings given such
terms in section 101 of title 38, United States Code.
(g) Effective Date.--This section shall take effect on the date
that is one year after the date of the enactment of this Act.
SEC. 210. PROGRAM EVALUATION ON SURVIVORS' AND DEPENDENTS' EDUCATIONAL
ASSISTANCE AUTHORITIES.
(a) In General.--The Secretary of Veterans Affairs shall enter into
a contract with an appropriate private sector entity to conduct a
program evaluation of the authorities for survivors' and dependents'
educational assistance under chapter 35 of title 38, United States
Code.
(b) Report.--Not later than six months after the entry into the
contract required by subsection (a), the Secretary shall submit to the
Committee on Veterans' Affairs of the Senate and the Committee on
Veterans' Affairs of the House of Representatives a report setting
forth the results of the program evaluation conducted pursuant to the
contract, together with such comments on the results of the program
evaluation as the Secretary considers appropriate.
(c) Effective Date.--This section shall take effect one year after
the date of the enactment of this Act.
TITLE III--EDUCATION MATTERS
SEC. 301. APPROVAL OF COURSES OF EDUCATION PROVIDED BY PUBLIC
INSTITUTIONS OF HIGHER LEARNING FOR PURPOSES OF ALL-
VOLUNTEER FORCE EDUCATIONAL ASSISTANCE PROGRAM AND POST-
9/11 EDUCATIONAL ASSISTANCE CONDITIONAL ON IN-STATE
TUITION RATE FOR VETERANS.
(a) In General.--Section 3679 is amended by adding at the end the
following new subsection:
``(c)(1) Notwithstanding any other provision of this chapter and
subject to paragraphs (3) through (6), the Secretary shall disapprove a
course of education provided by a public institution of higher learning
to a covered individual pursuing a course of education with educational
assistance under chapter 30 or 33 of this title while living in the
State in which the public institution of higher learning is located if
the institution charges tuition and fees for that course for the
covered individual at a rate that is higher than the rate the
institution charges for tuition and fees for that course for residents
of the State in which the institution is located, regardless of the
covered individual's State of residence.
``(2) For purposes of this subsection, a covered individual is any
individual as follows:
``(A) A veteran who was discharged or released from a
period of not fewer than 90 days of service in the active
military, naval, or air service less than three years before
the date of enrollment in the course concerned.
``(B) An individual who is entitled to assistance under
section 3311(b)(9) or 3319 of this title by virtue of such
individual's relationship to a veteran described in
subparagraph (A).
``(3) If after enrollment in a course of education that is subject
to disapproval under paragraph (1) by reason of paragraph (2)(A) or
(2)(B) a covered individual pursues one or more courses of education at
the same public institution of higher learning while remaining
continuously enrolled (other than during regularly scheduled breaks
between courses, semesters or terms) at that institution of higher
learning, any course so pursued by the covered individual at that
institution of higher learning while so continuously enrolled shall
also be subject to disapproval under paragraph (1).
``(4) It shall not be grounds to disapprove a course of education
under paragraph (1) if a public institution of higher learning requires
a covered individual pursuing a course of education at the institution
to demonstrate an intent, by means other than satisfying a physical
presence requirement, to establish residency in the State in which the
institution is located, or to satisfy other requirements not relating
to the establishment of residency, in order to be charged tuition and
fees for that course at a rate that is equal to or less than the rate
the institution charges for tuition and fees for that course for
residents of the State.
``(5) The Secretary may waive such requirements of paragraph (1) as
the Secretary considers appropriate.
``(6) Disapproval under paragraph (1) shall apply only with respect
to educational assistance under chapters 30 and 33 of this title.''.
(b) Effective Date.--Subsection (c) of section 3679 of title 38,
United States Code (as added by subsection (a) of this section), shall
apply with respect to educational assistance provided for pursuit of
programs of education during academic terms that begin after July 1,
2015, through courses of education that commence on or after that date.
SEC. 302. EXTENSION AND EXPANSION OF AUTHORITY FOR CERTAIN QUALIFYING
WORK-STUDY ACTIVITIES FOR PURPOSES OF THE EDUCATIONAL
ASSISTANCE PROGRAMS OF THE DEPARTMENT OF VETERANS
AFFAIRS.
(a) Extension of Expiring Current Authority.--Section 3485(a)(4) is
amended by striking ``June 30, 2013'' each place it appears and
inserting ``June 30, 2015''.
(b) Expansion to Outreach Services Provided Through Congressional
Offices.--Such section is further amended by adding at the end the
following new subparagraph:
``(K) During the period beginning on June 30, 2013, and
ending on June 30, 2015, the following activities carried out
at the offices of Members of Congress for such Members:
``(i) The distribution of information to members of
the Armed Forces, veterans, and their dependents about
the benefits and services under laws administered by
the Secretary and other appropriate governmental and
nongovernmental programs.
``(ii) The preparation and processing of papers and
other documents, including documents to assist in the
preparation and presentation of claims for benefits
under laws administered by the Secretary.''.
(c) Annual Reports.--
(1) In general.--Not later than June 30 of 2014 and 2015,
the Secretary of Veterans Affairs shall submit to Congress a
report on the work-study allowances paid under paragraph (1) of
section 3485(a) of title 38, United States Code, during the
most recent one-year period for qualifying work-study
activities described in paragraph (4) of such section, as
amended by subsections (a) and (b) of this section.
(2) Contents.--Each report submitted under paragraph (1)
shall include, for the year covered by such report, the
following:
(A) A description of the recipients of such work-
study allowances.
(B) A list of the locations where qualifying work-
study activities were carried out.
(C) A description of the outreach conducted by the
Secretary to increase awareness of the eligibility of
such work-study activities for such work-study
allowances.
SEC. 303. PROHIBITIONS RELATING TO REFERENCES TO GI BILL AND POST-9/11
GI BILL.
(a) In General.--Subchapter II of chapter 36 is amended by adding
at the end the following new section:
``Sec. 3697B. Prohibition relating to references to GI Bill and Post-9/
11 GI Bill
``(a) Prohibition.--(1) No person may, except with the written
permission of the Secretary, use the words and phrases covered by this
subsection in connection with any promotion, goods, services, or
commercial activity in a manner that reasonably and falsely suggests
that such use is approved, endorsed, or authorized by the Department or
any component thereof.
``(2) For purposes of this subsection, the words and phrases
covered by this subsection are as follows:
``(A) `GI Bill'.
``(B) `Post-9/11 GI Bill'.
``(3) A determination that a use of one or more words and phrases
covered by this subsection in connection with a promotion, goods,
services, or commercial activity is not a violation of this subsection
may not be made solely on the ground that such promotion, goods,
services, or commercial activity includes a disclaimer of affiliation
with the Department or any component thereof.
``(b) Enforcement by Attorney General.--(1) When any person is
engaged or is about to engage in an act or practice which constitutes
or will constitute conduct prohibited by subsection (a), the Attorney
General may initiate a civil proceeding in a district court of the
United States to enjoin such act or practice.
``(2) Such court may, at any time before final determination, enter
such restraining orders or prohibitions, or take such other action as
is warranted, to prevent injury to the United States or to any person
or class of persons for whose protection the action is brought.''.
(b) Clerical Amendment.--The table of sections at the beginning of
chapter 36 is amended by inserting after the item relating to section
3697A the following new item:
``3697B. Prohibition relating to references to GI Bill and Post-9/11 GI
Bill.''.
SEC. 304. REVIEW OF UTILIZATION OF EDUCATIONAL ASSISTANCE TO PURSUE
PROGRAMS OF TRAINING ON THE JOB AND PARTICIPATING
EMPLOYERS.
(a) In General.--Not later than two years after the date of the
enactment of this Act, the Secretary of Veterans Affairs shall commence
a review of--
(1) the utilization of educational assistance under laws
administered by the Secretary of Veterans Affairs to pursue
programs of training on the job (other than programs of
apprenticeship); and
(2) the availability of such programs to individuals
seeking to pursue such programs with such educational
assistance.
(b) Report.--
(1) In general.--Not later than two years after the date on
which the Secretary commences the review required by subsection
(a), the Secretary shall submit to Congress a report on such
review.
(2) Contents.--The report required by paragraph (1) shall
include the following:
(A) The extent of utilization as described in
paragraph (1) of subsection (a).
(B) An assessment of the availability of programs
as described in paragraph (2) of such subsection.
(C) A description of any barriers the Secretary has
identified to greater utilization of educational
assistance for pursuit of a program of training on the
job or availability of such programs.
(D) Such recommendations for legislative or
administrative action as the Secretary may have to
increase or decrease such utilization or availability.
(E) Such other matters as the Secretary considers
appropriate.
SEC. 305. REPORT ON DEBT MANAGEMENT AND COLLECTION.
(a) Report.--Not later than one year after the effective date
specified in subsection (c), the Comptroller General of the United
States shall submit to the Committee on Veterans' Affairs of the Senate
and the Committee on Veterans' Affairs of the House of Representatives
a report on processes used by the Department of Veterans Affairs to
identify and resolve cases of incorrect payments associated with
educational assistance under chapters 30 and 33 of title 38, United
States Code.
(b) Issues Addressed.--The report required by subsection (a) shall,
to the extent possible, address the following:
(1) The effectiveness of the processes referred to in
subsection (a) in identifying and resolving incorrect payments
associated with educational assistance under chapters 30 and 33
of title 38, United States Code.
(2) The accuracy of overpayment information provided to
veterans by the Education Service and Debt Management Center of
the Department.
(3) How well the Debt Management Center of the Department
communicates and works with veterans to resolve disputed debt
amounts.
(4) How the payment and debt collection processes of the
Department compare to comparable programs in other Federal
agencies.
(5) Any recommendations to improve the payment and debt
collection processes of the Department that the Comptroller
General considers appropriate.
(c) Effective Date.--This section shall take effect on the date
that is one year after the date of the enactment of this Act.
SEC. 306. RESTORATION OF PRIOR REPORTING FEE MULTIPLIERS.
Section 3684(c) is amended--
(1) by striking ``$12'' and inserting ``$7''; and
(2) by striking ``$15'' and inserting ``$11''.
TITLE IV--EMPLOYMENT AND RELATED MATTERS
Subtitle A--Training and Other Services for Veterans Seeking Employment
SEC. 401. EXTENSION OF AUTHORITY OF SECRETARY OF VETERANS AFFAIRS TO
PROVIDE REHABILITATION AND VOCATIONAL BENEFITS TO MEMBERS
OF ARMED FORCES WITH SEVERE INJURIES OR ILLNESSES.
(a) In General.--Section 1631(b)(2) of the Wounded Warrior Act
(title XVI of Public Law 110-181; 10 U.S.C. 1071 note) is amended by
striking ``December 31, 2014'' and inserting ``December 31, 2016''.
(b) Report.--
(1) In general.--Not later than 180 days after the date of
the enactment of this Act, the Secretary of Veterans Affairs
shall submit to the appropriate committees of Congress a report
on the benefits provided by the Secretary under section 1631(b)
of such Act.
(2) Appropriate committees of congress.--In this
subsection, the term ``appropriate committees of Congress''
means--
(A) the Committee on Armed Services and the
Committee on Veterans' Affairs of the Senate; and
(B) the Committee on Armed Services and the
Committee on Veterans' Affairs of the House of
Representatives.
Subtitle B--Employment of Veterans and Recognition of Veteran Status
With Respect to Employment Related Matters
SEC. 411. EMPLOYMENT OF VETERANS WITH THE FEDERAL GOVERNMENT.
(a) In General.--Section 4214 is amended--
(1) in subsection (b), by adding at the end the following:
``(4)(A) The requirement under this paragraph is in addition to the
appointment of qualified covered veterans under the authority specified
in subparagraph (C) by the Department of Veterans Affairs and the
Department of Defense.
``(B) The head of each agency, in consultation with the Director of
the Office of Personnel Management, shall develop a plan for exercising
the authority specified in subparagraph (C) during the five-year period
beginning on the date of the enactment of the Restoring Veterans Trust
Act of 2014.
``(C) The authority specified in this subparagraph is the authority
as follows:
``(i) The authority under paragraph (1).
``(ii) The authority available to the agency concerned
under the Veterans Employment Opportunities Act of 1998 (Public
Law 105-339) and the amendments made by that Act.
``(D) The Director of the Office of Personnel Management shall
ensure that under the plans developed under subparagraph (B) agencies
shall appoint to existing vacancies not fewer than 15,000 qualified
covered veterans during the five-year period beginning on the date of
the enactment of the Restoring Veterans Trust Act of 2014. For purposes
of complying with this subparagraph, an appointment pursuant to the
authority referred to in subparagraph (C)(ii) shall not count toward
the number required by this subparagraph unless the appointment is to a
vacancy in a full-time, permanent position.'';
(2) in subsection (d), in the third sentence, by inserting
``(including, during the 5-year period beginning on the date of
the enactment of the Restoring Veterans Trust Act of 2014, the
development and implementation by each agency of the plan
required under subsection (b)(4), which shall include
information regarding the grade or pay level of appointments by
the agency under the plan and whether the appointments are, or
are converted to, career or career-conditional appointments)''
after ``subsection (b) of this section''; and
(3) in subsection (e)--
(A) in paragraph (1)--
(i) in the matter before subparagraph (A),
by striking ``to the Congress'' and inserting
``to the appropriate committees of Congress'';
and
(ii) in subparagraph (A), by inserting
``(including, during the 5-year period
beginning on the date of the enactment of the
Restoring Veterans Trust Act of 2014, the
development and implementation by the agency of
the plan required under subsection (b)(4),
which shall include information regarding the
grade or pay level of appointments by the
agency under the plan and whether the
appointments are, or are converted to,
permanent appointments)'' before the period;
and
(B) by adding at the end the following new
paragraph:
``(3) In this subsection, the term `appropriate committees of
Congress' means--
``(A) the Committee on Veterans' Affairs and the Committee
on Homeland Security and Governmental Affairs of the Senate;
and
``(B) the Committee on Veterans' Affairs and the Committee
on Oversight and Government Reform of the House of
Representatives.''.
(b) Report.--Not later than 180 days after the date of enactment of
this Act, the Director of the Office of Personnel Management shall
submit to the appropriate committees of Congress (as defined under
section 4214(e)(3) of title 38, United States Code, as amended by
subsection (a)) regarding the development of a plan to carry out the
amendments made by subsection (a).
SEC. 412. STATE RECOGNITION OF MILITARY EXPERIENCE OF VETERANS IN
ISSUING LICENSES AND CREDENTIALS TO VETERANS.
(a) In General.--Section 4102A(c) is amended by striking paragraph
(9) and inserting the following new paragraph (9):
``(9)(A) As a condition of a grant or contract under which funds
are made available to a State under subsection (b)(5) in order to carry
out section 4103A or 4104 of this title, the State shall--
``(i) establish a program under which the State administers
an examination to each veteran seeking a license or credential
issued by the State and issues such license or credential to
such veteran without requiring such veteran to undergo any
training or apprenticeship if the veteran--
``(I) receives a satisfactory score on completion
of such examination, as determined by the State;
``(II) has been awarded a military occupational
specialty that is substantially equivalent to or
exceeds the requirements of the State for the issuance
of such license or credential;
``(III) has engaged in the active practice of the
occupation for which the veteran is seeking such
license or credential for at least two of the five
years preceding the date of application; and
``(IV) pays any customary or usual fees required by
the State for such license or credential; and
``(ii) submit each year to the Secretary a report on the
examinations administered under clause (i) during the most
recently completed 12-month period that includes, for the
period covered by the report the number of veterans who
completed an examination administered by the State under clause
(i) and a description of the results of such examinations,
disaggregated by occupational field.
``(B) The Secretary may waive the requirement under subparagraph
(A) that a State establish a program described in that subparagraph as
a condition of a grant or contract if the State certifies to the
Secretary that the State--
``(i) takes into account previous military training for the
purposes of issuing licenses or credentials; and
``(ii) for any credential or license for which a veteran is
unable to completely satisfy a training or testing requirement
through examination, the State substantially reduces training
time required to satisfy such requirement based on the military
training received by the veteran or establishes procedures for
granting credit for prior learning related to prior military
service or training.
``(C) Not less frequently than once each year, the Secretary shall
submit to Congress and the Secretary of Defense a report summarizing
the information received by the Secretary under subparagraph
(A)(ii).''.
(b) Technical Assistance.--
(1) In general.--The Secretary of Labor, in consultation
with the Secretary of Defense and such other heads of Federal
agencies as the Secretary of Labor considers appropriate, may
provide technical assistance to a State to assist the State in
meeting the requirements of section 4102A(c)(9) of title 38,
United States Code, as amended by subsection (a).
(2) Authorization of appropriations.--There is authorized
to be appropriated to the Secretary of Labor to carry out
paragraph (1) $1,000,000 for fiscal year 2015.
(c) Effective Date.--
(1) Examinations.--Subparagraph (A) of section 4102A(c)(9)
of title 38, United States Code, as added by subsection (a),
shall take effect on the date that is one year after the date
of the enactment of this Act and shall apply with respect to
grants and contracts described in such subparagraph awarded
after such date.
(2) Reports.--Subparagraph (B) of such section 4102A(c)(9),
as so added, shall take effect on the date that is one year
after the date of the enactment of this Act and the Secretary
of Labor shall submit the first report under such subparagraph
not later than 900 days after the date of the enactment of this
Act.
SEC. 413. REPORT ON DISCRIMINATION AGAINST MEMBERS OF RESERVE
COMPONENTS OF ARMED FORCES AND VETERANS IN CIVILIAN LABOR
MARKET.
(a) In General.--Not later than 570 days after the date of the
enactment of this act, the Secretary of Labor, in coordination with the
heads of such agencies as the Secretary considers appropriate, shall
submit to the appropriate committees of Congress a report on barriers
and potential discrimination facing veterans in the labor market.
(b) Contents.--The report required by subsection (a) shall include
the following:
(1) An evaluation of the following:
(A) The extent to which members of the reserve
components of the Armed Forces and veterans face
barriers to entry into the civilian labor market,
including whether such members and veterans face
obstacles in obtaining employment, maintaining
employment, or receiving promotions while employed.
(B) The extent to which a member of a reserve
component of the Armed Forces or a veteran faces
discrimination in the civilian labor market based on
the member's or veteran's status as a member of a
reserve component of the Armed Forces or as a veteran,
as the case may be.
(C) The adequacy and effectiveness of Federal laws
in effect on the day before the date of the enactment
of this Act in preventing or ameliorating acts of
discrimination against members of the reserve
components of the Armed Forces and veterans seeking or
retaining employment in the civilian labor market.
(D) The adequacy and effectiveness of programs of
the Department of Labor in effect on the day before the
date of the enactment of this Act in educating private
sector employers on matters relevant to hiring and
employing veterans and the military experience of
veterans.
(2) Such recommendations as the Secretary may have for
legislative or administrative action--
(A) to address barriers or discrimination that
members of the reserve components of the Armed Forces
and veterans may face in the civilian labor market;
(B) to improve education and outreach for employers
in the civilian labor market on issues regarding hiring
and employing such members and veterans; and
(C) to assist employers in the civilian labor
market in matching the military experience of such
members and veterans with the needs of such employers.
(3) Such other matters as the Secretary considers
appropriate.
(c) Appropriate Committees of Congress.--In this section, the term
``appropriate committees of Congress'' means--
(1) the Committee on Veterans' Affairs and the Committee on
Health, Education, Labor, and Pensions of the Senate; and
(2) the Committee on Veterans' Affairs and the Committee on
Education and the Workforce of the House of Representatives.
(d) Effective Date.--This section shall take effect on the date
that is one year after the date of the enactment of this Act.
Subtitle C--Improving Employment and Reemployment Rights of Members of
the Uniformed Services
SEC. 421. SUSPENSION, TERMINATION, OR DEBARMENT OF CONTRACTORS FOR
REPEATED VIOLATIONS OF EMPLOYMENT OR REEMPLOYMENT RIGHTS
OF MEMBERS OF UNIFORMED SERVICES.
(a) In General.--Subchapter III of chapter 43 is amended by adding
at the end the following new section:
``Sec. 4328. Suspension, termination, or debarment of contractors
``(a) Grounds for Suspension, Termination, or Debarment.--Payment
under a contract awarded by a Federal executive agency may be suspended
and the contract may be terminated, and the contractor who made the
contract with the agency may be suspended or debarred in accordance
with the requirements of this section, if the head of the agency
determines that the contractor as an employer has repeatedly been
convicted of failing or refusing to comply with one or more provisions
of this chapter.
``(b) Effect of Debarment.--A contractor debarred by a final
decision under this section is ineligible for award of a contract by a
Federal executive agency, and for participation in a future procurement
by a Federal executive agency, for a period specified in the decision,
not to exceed 5 years.''.
(b) Clerical Amendment.--The table of sections at the beginning of
chapter 43 is amended by inserting after the item relating to section
4327 the following new item:
``4328. Suspension, termination, or debarment of contractor.''.
(c) Regulations.--Not later than 180 days after the date of the
enactment of this Act, the Federal Acquisition Regulatory Council shall
amend the Federal Acquisition Regulation to carry out section 4328 of
title 38, United States Code, as added by subsection (a).
(d) Effective Date.--Section 4328 of title 38, United States Code,
as added by subsection (a), shall apply with respect to failures and
refusals to comply with provisions of chapter 43 of title 38, United
States Code, occurring on or after the date of the enactment of this
Act.
(e) Annual Report.--Section 4332(a) is amended--
(1) by redesignating paragraph (10) as paragraph (11); and
(2) by inserting after paragraph (9) the following new
paragraph (10):
``(10) The number of suspensions, terminations, and
debarments under section 4328 of this title, disaggregated by
the agency or department imposing the suspension or
debarment.''.
Subtitle D--Small Business Matters
SEC. 431. EXPANSION OF CONTRACTING GOALS AND PREFERENCES OF DEPARTMENT
OF VETERANS AFFAIRS TO INCLUDE CONDITIONALLY OWNED SMALL
BUSINESS CONCERNS 100 PERCENT OWNED BY VETERANS.
Section 8127(l) is amended--
(1) in paragraph (2), by inserting ``unconditionally''
before ``owned by'' each place it appears; and
(2) by adding at the end the following new paragraph:
``(3) The term `unconditionally owned' includes, with
respect to ownership of a small business concern, conditional
ownership of such small business concern if such business
concern is 100 percent owned by one or more veterans.''.
SEC. 432. MODIFICATION OF TREATMENT UNDER CONTRACTING GOALS AND
PREFERENCES OF DEPARTMENT OF VETERANS AFFAIRS FOR SMALL
BUSINESSES OWNED BY VETERANS OF SMALL BUSINESSES AFTER
DEATH OF DISABLED VETERAN OWNERS.
(a) In General.--Section 8127(h) is amended--
(1) in paragraph (3), by striking ``rated as'' and all that
follows through ``disability.'' and inserting a period; and
(2) in paragraph (2), by amending subparagraph (C) to read
as follows:
``(C) The date that--
``(i) in the case of a surviving spouse of a
veteran with a service-connected disability rated as
100 percent disabling or who dies as a result of a
service-connected disability, is 10 years after the
date of the veteran's death; or
``(ii) in the case of a surviving spouse of a
veteran with a service-connected disability rated as
less than 100 percent disabling who does not die as a
result of a service-connected disability, is three
years after the date of the veteran's death.''.
(b) Effective Date.--The amendments made by subsection (a) shall
take effect on the date that is 180 days after the date of the
enactment of this Act and shall apply with respect to applications
received pursuant to section 8127(f)(2) of title 38, United States
Code, that are verified on or after such date.
SEC. 433. TREATMENT OF BUSINESSES AFTER DEATHS OF SERVICEMEMBER-OWNERS
FOR PURPOSES OF DEPARTMENT OF VETERANS AFFAIRS
CONTRACTING GOALS AND PREFERENCES.
(a) In General.--Section 8127 is amended--
(1) by redesignating subsections (i) through (l) as
subsections (j) through (m), respectively; and
(2) by inserting after subsection (h) the following new
subsection (i):
``(i) Treatment of Businesses After Death of Servicemember-Owner.--
(1) If a member of the Armed Forces owns at least 51 percent of a small
business concern and such member is killed in line of duty in the
active military, naval, or air service, the surviving spouse or
dependent child of such member who acquires such ownership rights in
such small business concern shall, for the period described in
paragraph (2), be treated as if the surviving spouse or dependent child
were a veteran with a service-connected disability for purposes of
determining the status of the small business concern as a small
business concern owned and controlled by veterans for purposes of
contracting goals and preferences under this section.
``(2) The period referred to in paragraph (1) is the period
beginning on the date on which the member of the Armed Forces dies and
ending on the date as follows:
``(A) In the case of a surviving spouse, the earliest of
the following dates:
``(i) The date on which the surviving spouse
remarries.
``(ii) The date on which the surviving spouse
relinquishes an ownership interest in the small
business concern and no longer owns at least 51 percent
of such small business concern.
``(iii) The date that is ten years after the date
of the member's death.
``(B) In the case of a dependent child, the earliest of the
following dates:
``(i) The date on which the surviving dependent
child relinquishes an ownership interest in the small
business concern and no longer owns at least 51 percent
of such small business concern.
``(ii) The date that is ten years after the date of
the member's death.''.
(b) Effective Date.--Subsection (i) of section 8127 of title 38,
United States Code, as added by subsection (a), shall take effect on
the date of the enactment of this Act and shall apply with respect to
the deaths of members of the Armed Forces occurring on or after such
date.
SEC. 434. SPECIAL RULE FOR TREATMENT UNDER CONTRACTING GOALS AND
PREFERENCES OF DEPARTMENT OF VETERANS AFFAIRS OF SMALL
BUSINESS CONCERNS LICENSED IN COMMUNITY PROPERTY STATES.
Section 8127, as amended by section 433 of this Act, is further
amended by adding at the end the following new subsection:
``(n) Special Rule for Community Property States.--Whenever the
Secretary assesses, for purposes of this section, the degree of
ownership by an individual of a small business concern licensed in a
community property State, the Secretary shall also assess what that
degree of ownership would be if such small business concern had been
licensed in a State other than a community property State. If the
Secretary determines that such individual would have had a greater
degree of ownership of the small business concern had such small
business concern been licensed in a State other than a community
property State, the Secretary shall treat, for purposes of this
section, such small business concern as if it had been licensed in a
State other than a community property State.''.
SEC. 435. REPORT ON ASSISTANCE FOR VETERANS IN OBTAINING TRAINING ON
PURCHASING AND OPERATING A FRANCHISE.
(a) Report Required.--Not later than one year after the effective
date specified in subsection (c), the Secretary of Labor shall, in
consultation with the Secretary of Veterans Affairs, the Administrator
of the Small Business Administration, and other appropriate entities,
submit to Congress a report on the assistance available to veterans to
obtain training necessary to purchase and operate a franchise.
(b) Elements.--The report required by subsection (a) shall include
the following:
(1) A description of the assistance available for veterans
through the Department of Labor, the Department of Veterans
Affairs, the Small Business Administration, or any other agency
of the Federal Government in order to obtain training necessary
to purchase or operate a franchise.
(2) Information on the number of veterans who have sought
and obtained the training described in paragraph (1) during the
five calendar years preceding the report.
(3) A description of any barriers encountered by veterans
in obtaining the training described in paragraph (1).
(c) Effective Date.--This section shall take effect on the date
that is one year after the date of the enactment of this Act.
TITLE V--ACCOUNTABILITY AND ADMINISTRATIVE IMPROVEMENTS
SEC. 501. ADMINISTRATION OF VETERANS INTEGRATED SERVICE NETWORKS.
(a) Veterans Integrated Service Networks.--
(1) In general.--Subchapter I of chapter 73 is amended by
adding at the end the following new section:
``Sec. 7310. Veterans Integrated Service Networks
``(a) Organization.--(1) The Secretary shall organize the Veterans
Health Administration in geographically defined Veterans Integrated
Service Networks.
``(2) Each Veterans Integrated Service Network shall be organized
in consideration of the following:
``(A) The size of the veteran population of the region of
the network.
``(B) The complexity of the medical needs of the veterans
in such region.
``(C) Patient referral patterns.
``(D) The availability of a full continuum of health care
services.
``(E) The ability of the Department to furnish health care
efficiently.
``(F) Partnerships with non-Department health care
entities.
``(b) Staffing Model.--(1) The Secretary shall establish a staffing
model for each Veterans Integrated Service Network that--
``(A) is appropriate for the mission and responsibilities
of the Veterans Integrated Service Network; and
``(B) accounts for the specific health care needs of
differing populations in the Veterans Integrated Service
Network.
``(2) The Secretary shall ensure that each Veterans Integrated
Service Network complies with the staffing model established by the
Secretary under paragraph (1) for such Veterans Integrated Service
Network.
``(c) Integrated Health Care System.--The Secretary shall ensure
that each Veterans Integrated Service Network maintains a regional
integrated healthcare system by--
``(1) implementing alliances with such other governmental,
public, and private health care organizations and practitioners
as the Secretary considers appropriate to meet the needs of
veterans in the Network;
``(2) providing oversight and management of, and taking
responsibility for, a regional budget for the activities of the
Veterans Health Administration in the geographic area of the
Network that is--
``(A) aligned with the budget guidelines of the
Department and the Veterans Health Administration;
``(B) balanced at the end of each fiscal year; and
``(C) sufficient to provide high-quality health
care to veterans within the region and to meet any
unique needs of the veterans of the region;
``(3) using national metrics to develop systems to provide
effective, efficient, and safe delivery of health care; and
``(4) ensuring high-quality clinical programs and services
are rendered in and through--
``(A) the medical centers and outpatient clinics of
the Department that are located in the Network; and
``(B) other non-Department clinical or health care
delivery settings located in the Network.
``(d) Reduction in Duplicate Functions.--The Secretary shall ensure
that the Veterans Integrated Service Networks identify and reduce,
whenever practicable, the duplication of functions in clinical,
administrative, and operational processes and practices of the Veterans
Health Administration.
``(e) Collaboration and Cooperation.--The Secretary shall ensure
that each Veterans Integrated Service Network--
``(1) works to achieve maximum effectiveness in patient
care and safety, graduate medical education, and research; and
``(2) assesses the consolidation or realignment of
institutional functions, including capital asset, safety, and
operational support functions, in collaboration and cooperation
with other Veterans Integrated Service Networks and the
following offices or entities within the geographical area of
the Network:
``(A) The offices of the Veterans Benefits
Administration and the National Cemetery
Administration.
``(B) The offices, installations, and facilities of
the Department of Defense, including the offices,
installations, and facilities of each branch of the
Armed Forces and the reserve components of the Armed
Forces.
``(C) The offices, installations, and facilities of
the Coast Guard.
``(D) Offices of State and local agencies that have
a mission to provide assistance to veterans.
``(E) Medical schools and other affiliates.
``(F) Offices of Congress, offices of State and
local elected officials, and other government offices.
``(G) Federal, State, and local emergency
preparedness organizations.
``(H) Community and nonprofit organizations.
``(I) Such other entities of the Federal Government
as the Secretary considers appropriate.
``(f) Headquarters.--(1) The Secretary shall ensure that each
Veterans Integrated Service Network has only one headquarters office.
``(2) The location of a headquarters office for a Veterans
Integrated Service Network shall be determined by the Secretary and co-
located with a Department of Veterans Affairs medical center.
``(3)(A) The Secretary may employ or contract for the services of
such full time equivalent employees and contractors at the headquarters
of each Veterans Integrated Service Network as the Secretary considers
appropriate in accordance with the staffing models established under
subsection (b).
``(B) Not later than December 31 each year, the Secretary shall
submit to the Committee on Veterans' Affairs of the Senate and the
Committee on Veterans' Affairs of the House of Representatives a report
on employment at the headquarters of Veterans Integrated Service
Networks during the most recently completed fiscal year.
``(C) Each report submitted under subparagraph (B) shall include
the following for the year covered by the report:
``(i) The number of individuals employed at each
headquarters of a Veterans Integrated Service Network.
``(ii) The number of individuals employed by the Veterans
Health Administration in each Veterans Integrated Service
Network who are not employed at the same location as the
headquarters of the Network.
``(iii) The title for each position of employment at a
headquarters of a Veterans Integrated Service Network.
``(iv) The title for each position of employment with the
Veterans Health Administration in each Veterans Integrated
Service Network that is not at the same location as the
headquarters of the Network.
``(v) An assessment of the impact on the budget of the
Department by the employment of individuals at the headquarters
of the Veterans Integrated Service Networks.
``(g) Triennial Structure Review, Reassessment, and Report.--(1)
Beginning three years after the date of the enactment of this section
and not less frequently than once every three years thereafter, the
Secretary shall conduct a review and assessment of the structure and
operations of the Veterans Integrated Service Networks in order to
identify recommendations--
``(A) for streamlining and reducing costs associated with
the operation of each headquarters of a Veterans Integrated
Service Network; and
``(B) for reducing costs of health care within the Veterans
Health Administration.
``(2) Not later than 180 days after conducting a review and
assessment under paragraph (1), the Secretary shall submit to the
Committee on Veterans' Affairs of the Senate and the Committee on
Veterans' Affairs of the House of Representatives a report on such
review and assessment, which shall include such recommendations for
legislative or administrative action as the Secretary considers
appropriate to improve the Veterans Integrated Service Networks.''.
(2) Clerical amendment.--The table of sections at the
beginning of chapter 73 is amended by inserting after the item
relating to section 7309 the following new item:
``7310. Veterans Integrated Service Networks.''.
(b) Relocation of Headquarters.--
(1) In general.--In the case of a headquarters office of a
Veterans Integrated Service Network that on the day before the
date of the enactment of this Act was in a location that was
not co-located with a Department of Veterans Affairs medical
center and the Secretary is engaged in a lease for such
location, the Secretary may--
(A) relocate such headquarters upon the expiration
of such lease so that such headquarters is co-located
as required by section 7310(f)(2) of title 38, United
States Code (as added by subsection (a)(1)); or
(B) notwithstanding such section 7310(f)(2) (as so
added), renew such lease or enter into a new lease to
keep such headquarters in such location.
(2) Report.--If the Secretary renews a lease or engages in
a new lease under paragraph (1)(B), the Secretary shall submit
to the Committee on Veterans' Affairs of the Senate and the
Committee on Veterans' Affairs of the House of Representatives,
before renewing such lease or engaging in such lease, a report
describing the reasons for such renewal or engagement. Such
report shall include the following:
(A) A list of Department of Veterans Affairs
medical centers in the Veterans Integrated Service
Network of the headquarters with underutilized
buildings, the number of such buildings, and the total
underutilized square footage for each such medical
center.
(B) The cost of the current lease (the annual
amount of rent, the total cost over the life of the
lease, and the total cost per square foot) and the
current square footage being leased.
(C) The cost of the new lease (the annual amount of
rent, the total cost over the life of the lease, and
the total cost per square foot) and the square footage
to be leased.
(c) Construction.--Nothing in this section shall be construed to
require any change in the location or type of medical care or service
provided by a Department of Veterans Affairs medical center, a
Department community based outpatient clinic, a center for readjustment
counseling and related mental health services for veterans under
section 1712A of title 38, United States Code (known as a ``vet
center''), or other facility that provides direct care or services
under a law administered by the Secretary of Veterans Affairs.
(d) Effective Date.--This section, and the amendments made by this
section, shall take effect on the date that is one year after the date
of the enactment of this Act.
SEC. 502. REGIONAL SUPPORT CENTERS FOR VETERANS INTEGRATED SERVICE
NETWORKS.
(a) In General.--Subchapter I of chapter 73, as amended by section
501(a)(1) of this Act, is further amended by adding at the end the
following new section:
``Sec. 7310A. Regional support centers for Veterans Integrated Service
Networks
``(a) Establishment.--The Secretary shall establish not more than
four regional support centers within the Veterans Health Administration
to assess the effectiveness and efficiency of the Veterans Integrated
Service Networks. The head of each regional support center shall report
to the Under Secretary of Health.
``(b) Functions.--The functions of the regional support centers
established under subsection (a) are as follows:
``(1) To assess the quality of work performed within
finance operations and other compliance related activities of
the Veterans Integrated Service Networks.
``(2) To assess how effectively and efficiently each
Veterans Integrated Service Network conducts outreach to
veterans who served in Operation Enduring Freedom, Operation
Iraqi Freedom, Operation New Dawn, or any other contingency
operation (as that term is defined in section 101 of title 10).
``(3) To assess how effectively and efficiently each
Veterans Integrated Service Network conducts programs for the
benefit of women veterans.
``(4) To assess how effectively and efficiently each
Veterans Integrated Service Network conducts programs that
address homelessness among veterans.
``(5) To assess how effectively and efficiently each
Veterans Integrated Service Network consumes energy.
``(6) To assess such other matters concerning the
operations and activities of the Veterans Integrated Service
Networks as the Secretary considers appropriate.
``(c) Staff.--The Secretary may hire such employees and contractors
as the Secretary considers appropriate to carry out the functions of
the regional support centers.
``(d) Location of Regional Support Centers.--(1) Except as provided
in paragraph (2), the location of each regional support center
established under subsection (a) shall be determined by the Secretary
and co-located with a medical center of the Department.
``(2) The Secretary may choose a location for a regional support
center established under subsection (a) that is not co-located with a
medical center of the Department if the Secretary submits to the
Committee on Veterans' Affairs of the Senate and the Committee on
Veterans' Affairs of the House of Representatives, before entering into
a contract for a location that is not co-located with a medical center,
a report describing the reasons for choosing a location for the
regional support center that is not co-located with a medical center of
the Department. Such report shall include the following:
``(A) A list of medical centers of the Department in the
Veterans Integrated Service Network of the regional support
center with underutilized buildings, the number of all Veterans
Health Administration buildings in such Network, and the total
underutilized square footage for each medical center of the
Department in such Network.
``(B) The estimated cost of such lease (the annual amount
of rent, the total cost over the life of the lease, and the
total cost per square foot) and the square footage to be
leased.''.
(b) Initial Staffing.--In providing for the initial staff of each
regional support center established under section 7310A(a) of title 38,
United States Code, as added by subsection (a), the Secretary of
Veterans Affairs shall, to the degree practicable, transfer employees
from headquarters of Veterans Integrated Service Networks to regional
support centers who were employed in positions at such headquarters
that covered functions similar to those described in section 7310A(b)
of such title, as so added.
(c) Clerical Amendment.--The table of sections at the beginning of
chapter 73, as amended by section 501(a)(2) of this Act, is further
amended by inserting after the item relating to section 7310 the
following new item:
``7310A. Regional support centers for Veterans Integrated Service
Networks.''.
(d) Construction.--Nothing in this section shall be construed to
require any change in the location or type of medical care or service
provided by a Department of Veterans Affairs medical center, a
Department community based outpatient clinic, a center for readjustment
counseling and related mental health services for veterans under
section 1712A of title 38, United States Code (known as a ``vet
center''), or other facility that provides direct care or services
under a law administered by the Secretary of Veterans Affairs.
(e) Effective Date.--This section, and the amendments made by this
section, shall take effect on the date that is one year after the date
of the enactment of this Act.
SEC. 503. COMMISSION ON CAPITAL PLANNING FOR DEPARTMENT OF VETERANS
AFFAIRS MEDICAL FACILITIES.
(a) Establishment of Commission.--
(1) Establishment.--There is established the Commission on
Capital Planning for Department of Veterans Affairs Medical
Facilities (in this section referred to as the ``Commission'').
(2) Membership.--
(A) Voting members.--The Commission shall, subject
to subparagraph (B), be composed of 10 voting members
as follows:
(i) 1 shall be appointed by the President.
(ii) 1 shall be appointed by the
Administrator of General Services.
(iii) 3 shall be appointed by the Secretary
of Veterans Affairs, of whom--
(I) 1 shall be an employee of the
Veterans Health Administration;
(II) 1 shall be an employee of the
Office of Asset Enterprise Management
of the Department of Veterans Affairs;
and
(III) 1 shall be an employee of the
Office of Construction and Facilities
Management of the Department of
Veterans Affairs.
(iv) 1 shall be appointed by the Secretary
of Defense from among employees of the Army
Corps of Engineers.
(v) 1 shall be appointed by the majority
leader of the Senate.
(vi) 1 shall be appointed by the minority
leader of the Senate.
(vii) 1 shall be appointed by the Speaker
of the House of Representatives.
(viii) 1 shall be appointed by the minority
leader of the House of Representatives.
(B) Requirement relating to certain appointments of
voting members.--Of the members appointed pursuant to
clauses (i), (ii), and (iv) through (viii) of
subparagraph (A), all shall have expertise in capital
leasing, construction, or health facility management
planning.
(C) Non-voting members.--The Commission shall be
assisted by 10 non-voting members, appointed by the
vote of a majority of members of the Commission under
subparagraph (A), of whom--
(i) 6 shall be representatives of veterans
service organizations recognized by the
Secretary of Veterans Affairs; and
(ii) 4 shall be individuals from outside
the Department of Veterans Affairs with
experience and expertise in matters relating to
management, construction, and leasing of
capital assets.
(D) Date of appointment of voting members.--The
appointments of the members of the Commission under
subparagraph (A) shall be made not later than 60 days
after the date of the enactment of this Act.
(3) Period of appointment; vacancies.--Members shall be
appointed for the life of the Commission. Any vacancy in the
Commission shall not affect its powers, but shall be filled in
the same manner as the original appointment.
(4) Initial meeting.--Not later than 15 days after the date
on which 7 members of the Commission have been appointed, the
Commission shall hold its first meeting.
(5) Meetings.--The Commission shall meet at the call of the
Chair.
(6) Quorum.--A majority of the members of the Commission
shall constitute a quorum, but a lesser number of members may
hold hearings.
(7) Chair and vice chair.--The Commission shall select a
Chair and Vice Chair from among its members.
(b) Duties of Commission.--
(1) In general.--The Commission shall undertake a
comprehensive evaluation and assessment of various options for
capital planning for Department of Veterans Affairs medical
facilities, including an evaluation and assessment of the
mechanisms by which the Department currently selects means for
the delivery of health care, whether by major construction,
major medical facility leases, sharing agreements with the
Department of Defense, the Indian Health Service, and Federally
Qualified Health Clinics under section 330 of the Public Health
Service Act (42 U.S.C. 254b), contract care, multisite care,
telemedicine, extended hours for care, or other means.
(2) Context of evaluation and assessment.--In undertaking
the evaluation and assessment, the Commission shall consider--
(A) the importance of access to health care through
the Department, including associated guidelines of the
Department on access to, and drive time for, health
care;
(B) limitations and requirements applicable to the
construction and leasing of medical facilities for the
Department, including applicable laws, regulations, and
costs as determined by both the Congressional Budget
Office and the Office of Management and Budget;
(C) the nature of capital planning for Department
medical facilities in an era of fiscal uncertainty;
(D) projected future fluctuations in the population
of veterans; and
(E) the extent to which the Department was able to
meet the mandates of the Capital Asset Realignment for
Enhanced Services Commission.
(3) Particular considerations.--In undertaking the
evaluation and assessment, the Commission shall address, in
particular, the following:
(A) The Major Medical Facility Lease Program of the
Department, including an identification of potential
improvements to the lease authorization processes under
that Program.
(B) The management processes of the Department for
its Major Medical Facility Construction Program,
including processes relating to contract award and
management, project management, and processing of
change orders.
(C) The overall capital planning program of the
Department for medical facilities, including an
evaluation and assessment of--
(i) the manner in which the Department
determines whether to use capital or non-
capital means to expand access to health care;
(ii) the manner in which the Department
determines the disposition of under-utilized
and un-utilized buildings on campuses of
Department medical centers, and any barriers to
disposition;
(iii) the effectiveness of the facility
master planning initiative of the Department;
and
(iv) the extent to which sustainable
attributes are planned for to decrease
operating costs for Department medical
facilities.
(D) The current backlog of construction projects
for Department medical facilities, including an
identification of the most effective means to quickly
secure the most critical repairs required, including
repairs relating to facility condition deficiencies,
structural safety, and compliance with the Americans
With Disabilities Act of 1990.
(4) Reports.--Subject to paragraph (5), the Commission
shall submit to the Secretary of Veterans Affairs, and to the
Committee Veterans' Affairs of the Senate and the Committee on
Veterans' Affairs of the House of Representatives, reports as
follows:
(A) Not later than six months after its initial
meeting under subsection (a)(4), a report on the Major
Medical Facility Lease Program and the Congressional
lease authorization process.
(B) Not later than one year after its initial
meeting, a report--
(i) on the management processes of the
Department for the construction of Department
medical facilities; and
(ii) setting forth an update of any matters
covered in the report under subparagraph (A).
(C) Not later than 18 months after its initial
meeting, a report--
(i) on the overall capital planning program
of the Department for medical facilities; and
(ii) setting forth an update of any matters
covered in earlier reports under this
paragraph.
(D) Not later than two years after its initial
meeting, a report--
(i) on the current backlog of construction
projects for Department medical facilities;
(ii) setting forth an update of any matters
covered in earlier reports under this
paragraph; and
(iii) including such other matters relating
to the duties of the Commission that the
Commission considers appropriate.
(E) Not later than 27 months after its initial
meeting, a report on the implementation by the
Secretary of Veterans Affairs pursuant to subsection
(g) of the recommendations included pursuant to
paragraph (5) in the reports under this paragraph.
(5) Recommendations.--Each report under paragraph (4) shall
include, for the aspect of the capital asset planning process
of the Department covered by such report, such recommendations
as the Commission considers appropriate for the improvement and
enhancement of such aspect of the capital asset planning
process.
(c) Powers of Commission.--
(1) Hearings.--The Commission may hold such hearings, sit
and act at such times and places, take such testimony, and
receive such evidence as the Commission considers advisable to
carry out this section.
(2) Information from federal agencies.--The Commission may
secure directly from any Federal department or agency such
information as the Commission considers necessary to carry out
this section. Upon request of the Chair of the Commission, the
head of such department or agency shall furnish such
information to the Commission.
(d) Commission Personnel Matters.--
(1) Compensation of members.--Each member of the Commission
who is not an officer or employee of the Federal Government
shall be compensated at a rate equal to the daily equivalent of
the annual rate of basic pay prescribed for level IV of the
Executive Schedule under section 5315 of title 5, United States
Code, for each day (including travel time) during which such
member is engaged in the performance of the duties of the
Commission. All members of the Commission who are officers or
employees of the United States shall serve without compensation
in addition to that received for their services as officers or
employees of the United States.
(2) Travel expenses.--The members of the Commission shall
be allowed travel expenses, including per diem in lieu of
subsistence, at rates authorized for employees of agencies
under subchapter I of chapter 57 of title 5, United States
Code, while away from their homes or regular places of business
in the performance of services for the Commission.
(3) Staff.--
(A) In general.--The Chair of the Commission may,
without regard to the civil service laws and
regulations, appoint and terminate an executive
director and such other additional personnel as may be
necessary to enable the Commission to perform its
duties. The employment of an executive director shall
be subject to confirmation by the Commission.
(B) Compensation.--The Chair of the Commission may
fix the compensation of the executive director and
other personnel without regard to chapter 51 and
subchapter III of chapter 53 of title 5, United States
Code, relating to classification of positions and
General Schedule pay rates, except that the rate of pay
for the executive director and other personnel may not
exceed the rate payable for level V of the Executive
Schedule under section 5316 of such title.
(4) Detail of government employees.--Any Federal Government
employee may be detailed to the Commission without
reimbursement, and such detail shall be without interruption or
loss of civil service status or privilege.
(5) Procurement of temporary and intermittent services.--
The Chair of the Commission may procure temporary and
intermittent services under section 3109(b) of title 5, United
States Code, at rates for individuals which do not exceed the
daily equivalent of the annual rate of basic pay prescribed for
level V of the Executive Schedule under section 5316 of such
title.
(e) Termination of Commission.--The Commission shall terminate 60
days after the date on which the Commission submits its report under
subsection (b)(4)(E).
(f) Funding.--The Secretary of Veterans Affairs shall make
available to the Commission such amounts as the Secretary and the Chair
of the Commission jointly consider appropriate for the Commission to
perform its duties under this section.
(g) Action on Recommendations.--
(1) In general.--The Secretary of Veterans Affairs shall
implement each recommendation included in a report under
subsection (b)(4) that the Secretary considers feasible and
advisable and can be implemented without further legislative
action.
(2) Reports.--Not later than 120 days after receipt of a
report under subparagraphs (A) through (D) of subsection
(b)(4), the Secretary shall submit to the Committee Veterans'
Affairs of the Senate and the Committee on Veterans' Affairs of
the House of Representatives a report setting forth the
following:
(A) An assessment of the feasibility and
advisability of each recommendation contained in such
report.
(B) For each recommendation assessed as feasible
and advisable--
(i) if such recommendation does not require
further legislative action for implementation,
a description of the actions taken, and to be
taken, by the Secretary to implement such
recommendation; and
(ii) if such recommendation requires
further legislative action for implementation,
recommendations for such legislative action.
SEC. 504. ADVANCE APPROPRIATIONS FOR CERTAIN ACCOUNTS OF THE DEPARTMENT
OF VETERANS AFFAIRS.
(a) In General.--Section 117 is amended--
(1) by striking ``medical care accounts of the Department''
each place it appears and inserting ``covered accounts of the
Department'';
(2) in subsection (c)--
(A) by striking ``medical care accounts of the
Veterans Health Administration, Department of Veterans
Affairs account'' and inserting ``accounts of the
Department of Veterans Affairs account'';
(B) in paragraph (1), by inserting ``Veterans
Health Administration,'' after ``(1)'';
(C) in paragraph (2), by inserting ``Veterans
Health Administration,'' after ``(2)'';
(D) in paragraph (3), by inserting ``Veterans
Health Administration,'' after ``(3)'';
(E) by redesignating paragraphs (1) through (3) as
paragraphs (7) through (9), respectively;
(F) by inserting before paragraph (7), as
redesignated by subparagraph (E), the following new
paragraphs:
``(1) Veterans Benefits Administration, Compensation and
Pensions.
``(2) Veterans Benefits Administration, Readjustment
Benefits.
``(3) Veterans Benefits Administration, Veterans Insurance
and Indemnities.
``(4) Veterans Benefits Administration, Veterans Housing
Benefit Program Fund.
``(5) Veterans Benefits Administration, Vocational
Rehabilitation Loans Program Account.
``(6) Veterans Benefits Administration, Native American
Veteran Housing Loan Program Account.''; and
(G) in the subsection heading, by striking
``Medical Care Accounts'' and inserting ``Covered
Accounts''; and
(3) in the section heading, by striking ``certain medical
care accounts'' and inserting ``certain accounts''.
(b) Effective Date.--The amendments made by subsection (a) shall
apply with respect to fiscal year 2016 and each subsequent fiscal year.
(c) Conforming Amendment.--Section 1105 of title 31, United States
Code, is amended by striking the first paragraph (37) and inserting the
following:
``(37) information on estimates of appropriations for the
fiscal year following the fiscal year for which the budget is
submitted for the following accounts of the Department of
Veterans Affairs:
``(A) Veterans Benefits Administration,
Compensation and Pensions.
``(B) Veterans Benefits Administration,
Readjustment Benefits.
``(C) Veterans Benefits Administration, Veterans
Insurance and Indemnities.
``(D) Veterans Benefits Administration, Veterans
Housing Benefit Program Fund.
``(E) Veterans Benefits Administration, Vocational
Rehabilitation Loans Program Account.
``(F) Veterans Benefits Administration, Native
American Veteran Housing Loan Program Account.
``(G) Veterans Health Administration, Medical
Services.
``(H) Veterans Health Administration, Medical
Support and Compliance.
``(I) Veterans Health Administration, Medical
Facilities.''.
(d) Technical Correction.--Such section is further amended by
redesignating the second paragraph (37), as added by section 11(a)(2)
of the GPRA Modernization Act of 2010 (Public Law 111-352; 124 Stat.
3881), as paragraph (39).
SEC. 505. PUBLIC ACCESS TO DEPARTMENT OF VETERANS AFFAIRS RESEARCH AND
DATA SHARING BETWEEN DEPARTMENTS.
(a) Establishment of Internet Website.--The Secretary of Veterans
Affairs shall make available on an Internet website of the Department
of Veterans Affairs available to the public the following:
(1) Data files that contain information on research of the
Department.
(2) A data dictionary on each data file.
(3) Instructions for how to obtain access to each data file
for use in research.
(b) Public Access to Manuscripts on Department Funded Research.--
(1) In general.--Beginning not later than 540 days after
the effective date specified in subsection (e), the Secretary
shall require, as a condition on the use of any data gathered
or formulated from research funded by the Department, that any
final, peer-reviewed manuscript prepared for publication that
uses such data be submitted to the Secretary for deposit in the
digital archive under paragraph (2) and publication under
paragraph (3).
(2) Digital archive.--Not later than 540 days after the
effective date specified in subsection (e), the Secretary
shall--
(A) establish a digital archive consisting of
manuscripts described in paragraph (1); or
(B) partner with another executive agency to
compile such manuscripts in a digital archive.
(3) Public availability.--
(A) Availability of archive.--The Secretary shall
ensure that the digital archive under paragraph (2) and
the contents of such archive are available to the
public via a publicly accessible Internet website at no
cost to the public.
(B) Availability of manuscripts.--The Secretary
shall ensure that each manuscript submitted to the
Secretary under paragraph (1) is available to the
public under subparagraph (A) not later than one year
after the official date on which the manuscript is
otherwise published.
(4) Consistent with copyright law.--The Secretary shall
carry out this subsection in a manner consistent with
applicable copyright law.
(5) Annual report.--
(A) In general.--Not later than one year after the
date the Secretary begins making manuscripts available
to the public under this subsection and not less
frequently than once each year thereafter, the
Secretary shall submit to the Committee on Veterans'
Affairs of the Senate and the Committee on Veterans'
Affairs of the House of Representatives a report on the
implementation of this subsection during the most
recent one-year period.
(B) Contents.--Each report submitted under
subparagraph (A) shall include for the period of the
report:
(i) The number of manuscripts submitted
under paragraph (1).
(ii) The titles of such manuscripts.
(iii) The authors of such manuscripts.
(iv) For each such manuscript, the name and
issue number or volume number, as the case may
be, of the journal or other publication in
which such manuscript was published.
(c) Recommendations for Data Sharing Between Department of Veterans
Affairs and Department of Defense.--Not later than one year after the
effective date specified in subsection (e), the Department of Veterans
Affairs-Department of Defense Joint Executive Committee established by
section 320(a) of title 38, United States Code, shall submit to the
Secretary of Veterans Affairs and the Secretary of Defense options and
recommendations for the establishment of a program for long-term
cooperation and data sharing between and within the Department of
Veterans Affairs and the Department of Defense to facilitate research
on outcomes of military service, readjustment after combat deployment,
and other topics of importance to the following:
(1) Veterans.
(2) Members of the Armed Forces.
(3) Family members of veterans.
(4) Family members of members of the Armed Forces.
(5) Members of communities that have a significant
population of veterans or members of the Armed Forces.
(d) Executive Agency Defined.--In this section, the term
``executive agency'' has the meaning given that term in section 133 of
title 41, United States Code.
(e) Effective Date.--This section shall take effect on the date
that is one year after the date of the enactment of this Act.
SEC. 506. ASSESSMENT BY COMPTROLLER GENERAL OF THE UNITED STATES OF
INFORMATION MADE AVAILABLE BY VETERANS BENEFITS
ADMINISTRATION.
(a) Assessment of Information Currently Available.--Not later than
two years after the date of the enactment of this Act, the Comptroller
General of the United States shall--
(1) conduct an assessment of the process by which the
Veterans Benefits Administration informs veterans, veterans
service organizations, and such other persons as the
Comptroller General considers appropriate regarding the
furnishing of benefits under laws administered by the Secretary
of Veterans Affairs to determine the extent to which the
process results in disseminated information that--
(A) adequately supports and improves the timeliness
and accuracy of decisions made by the Administration
with respect to claims for disability compensation and
such other benefits furnished under laws administered
by the Secretary of Veterans Affairs as the Comptroller
General considers appropriate; and
(B) encourages the filing of fully developed claims
for benefits under laws administered by the Secretary;
and
(2) assess how the Veterans Benefits Administration
notifies each claimant during, and as part of, any electronic
filing process established by the Secretary for the filing of
applications for disability compensation and such other
benefits under laws administered by the Secretary as the
Comptroller General considers appropriate that services may be
available to the claimant from a veterans service organization.
(b) Report.--Not later than two years after the date of the
enactment of this Act, the Comptroller General shall submit to the
Committee on Veterans' Affairs of the Senate and the Committee on
Veterans' Affairs of the House of Representatives a report on the
findings of the Comptroller General under subsection (a). Such report
shall include such recommendations as the Comptroller General may have
for legislative or administrative action to improve the availability of
information made available to the public by the Veterans Benefits
Administration regarding the furnishing of benefits under laws
administered by the Secretary of Veterans Affairs.
(c) Veterans Service Organization Defined.--In this section, the
term ``veterans service organization'' means an organization recognized
by the Secretary of Veterans Affairs for the representation of veterans
under section 5902 of title 38, United States Code.
(d) Effective Date.--This section shall take effect on the date
that is one year after the date of the enactment of this Act.
SEC. 507. COMPTROLLER GENERAL REPORT ON ADVISORY COMMITTEES OF THE
DEPARTMENT OF VETERANS AFFAIRS.
(a) In General.--Not later than one year after the effective date
specified in subsection (c), the Comptroller General shall submit to
the Committee on Veterans' Affairs of the Senate and the Committee on
Veterans' Affairs of the House of Representatives a report on the
advisory committees of the Department of Veterans Affairs.
(b) Contents.--The report required by subsection (a)--
(1) shall include--
(A) recommendations or proposals for continuing,
modifying, or terminating certain advisory committees,
including noting areas of overlap and duplication among
the advisory committees; and
(B) such other information as the Comptroller
General considers appropriate; and
(2) may include--
(A) a description of each advisory committee,
including with respect to each committee--
(i) the purpose of the committee;
(ii) the commencement date of the
committee; and
(iii) the anticipated termination date of
the committee;
(B) a summary of the anticipated expenses and the
actual expenses incurred for each advisory committee
during the most recent three fiscal years ending before
the date of the enactment of this Act; and
(C) with respect to meetings held by each advisory
committee--
(i) the frequency with which each committee
has met during the shorter of--
(I) the most recent three fiscal
years ending before the date of the
enactment of this Act; and
(II) the life of the committee;
(ii) the date of the most recent meeting
held by the committee before such date of
enactment; and
(iii) the date of the most recent report or
other written product developed by the
committee before such date of enactment.
(c) Effective Date.--This section shall take effect on the date
that is one year after the date of the enactment of this Act.
TITLE VI--IMPROVEMENT OF PROCESSING OF CLAIMS FOR COMPENSATION
Subtitle A--Claims Based on Military Sexual Trauma
SEC. 601. MEDICAL EXAMINATION AND OPINION FOR DISABILITY COMPENSATION
CLAIMS BASED ON MILITARY SEXUAL TRAUMA.
(a) In General.--Section 5103A(d) is amended by adding at the end
the following new paragraph:
``(3)(A) In the case of a claim for disability compensation based
on a mental health condition related to military sexual trauma, the
Secretary shall treat an examination or opinion as being necessary to
make a decision on a claim for purposes of paragraph (1) if the
evidence of record before the Secretary, taking into consideration all
information and lay or medical evidence (including statements of the
claimant)--
``(i)(I) contains competent evidence that the claimant has
a current disability, or persistent or recurrent symptoms of
disability; and
``(II) indicates that the disability or symptoms may be
associated with the claimant's active military, naval, or air
service; but
``(ii) does not contain a diagnosis or opinion by a mental
health professional that may assist in corroborating the
occurrence of a military sexual trauma stressor related to a
diagnosable mental health condition.
``(B) In this paragraph, the term `military sexual trauma' shall
have the meaning specified by the Secretary for purposes of this
paragraph, and shall include `sexual harassment' (as so specified).''.
(b) Report.--Not later than 18 months after the date of the
enactment of this Act, the Secretary of Veterans Affairs shall submit
to the Committee on Veterans' Affairs of the Senate and the Committee
on Veterans' Affairs of the House of Representatives a report on the
number of examinations and opinions conducted by the Secretary pursuant
to paragraph (3) of section 5103A(d) of title 38, United States Code
(as added by subsection (a)), including the following:
(1) The number of examinations conducted using a
standardized disability assessment.
(2) The number of examinations conducted using a non-
standardized clinical interview.
SEC. 602. CASE REPRESENTATIVE OFFICERS FOR MILITARY SEXUAL TRAUMA
SUPPORT.
(a) In General.--The Secretary of Veterans Affairs shall assign to
each individual seeking compensation under the laws administered by the
Secretary based on military sexual trauma a case representative officer
who shall provide advice and general information to such individual on
the claims process for such compensation. Each case representative
officer so assigned shall be assigned from among current personnel of
the Department of Veterans Affairs.
(b) Liaison.--A case representative officer assigned to an
individual under subsection (a) shall be responsible for serving as a
liaison between the individual, an authorized agent or attorney of the
individual under section 5904 of title 38, United States Code, or an
otherwise accredited representative of the individual, and the
Department of Veterans Affairs on matters relating to the claim of the
individual for compensation under the laws administered by the
Secretary.
(c) Case Representative Officer Requirements.--
(1) Competence and knowledge.--Each case representative
officer assigned under subsection (a) shall be competent and
knowledgeable about the following:
(A) The claims adjudication process and applicable
laws, regulations, and other authority applicable to
the adjudication of disability claims based on military
sexual trauma.
(B) Such other services to victims of sexual trauma
as the Secretary considers appropriate.
(2) Limitation on number of individuals to which
assigned.--A case representative officer may not be assigned to
more individuals described in subsection (a) than, as
determined by the Secretary, is appropriate for the provision
of individual case management assistance by such officer.
(d) Information on Benefits and Programs Relating to Military
Sexual Trauma.--
(1) In general.--The Secretary shall make available to the
public information on the availability of case representative
officers under subsection (a) to assist in the application for
benefits based on military sexual trauma. The Secretary shall
revise and update the information so made available in order to
ensure that the information is as current as possible.
(2) Individuals separating from military service.--The
Secretary shall, in consultation with the Secretary of Defense,
ensure that individuals who are being separated from the active
military, naval, or air service are provided appropriate
information about programs, requirements, and procedures for
applying for benefits based on military sexual trauma and the
availability of case representative officers under subsection
(a).
(e) Information on Training for Agents and Representatives of
Individuals Assigned Case Representative Officer.--The Secretary shall
make available to the authorized agent or attorney of an individual
assigned a case representative under subsection (a), or to the
otherwise accredited representative of the individual, any relevant
materials used to train such case representative officer for the duties
of such position.
(f) Advisory Committee on Women Veterans Consideration of
Mechanisms To Enhance Coordination Between VBA and VHA on Benefits for
Military Sexual Trauma.--The Advisory Committee on Women Veterans
established under section 542 of title 38, United States Code, shall
undertake actions to identify mechanisms to enhance coordination
between the Veterans Benefits Administration and the Veterans Health
Administration in the provision of benefits based on military sexual
trauma, including the identification of barriers to the appropriate
provision of benefits for military sexual trauma by such
Administrations and of means of eliminating or reducing such barriers.
(g) Annual Reports.--Not less frequently than annually, the
Secretary of Veterans Affairs shall submit to the Committee on
Veterans' Affairs of the Senate and the Committee on Veterans' Affairs
of the House of Representatives a report setting forth the following:
(1) A certification whether or not the case representative
officers assigned under subsection (a) during the preceding
year met the requirements specified in subsection (c).
(2) A description of the current training the Secretary
provides to employees of the Veterans Benefits Administration
on claims for benefits based on military sexual trauma,
including the frequency, length, and content of such training.
(3) A description of current policies and procedures on the
training the Secretary provides to case representative
officers, including the current position descriptions for case
representative officers.
(4) A description of current efforts to coordinate
activities and assistance provided to individuals who seek care
or benefits for military sexual trauma between the Veterans
Health Administration and Veterans Benefits Administration,
including the efforts of the Advisory Committee on Women
Veterans under subsection (f).
(h) Sunset.--
(1) In general.--No case representative officer may be
assigned under subsection (a) after December 31, 2018.
(2) Continuation of duties after sunset date.--Paragraph
(1) shall not be construed to prohibit any case representative
officer assigned to an individual before the date specified in
that paragraph from performing duties pursuant to this section
after that date with respect to a claim for which that case
representative officer was assigned to such individual before
that date.
(i) Definitions.--In this section:
(1) Active military, naval, or air service.--The term
``active military, naval, or air service'' has the meaning
given that term in section 101 of title 38, United States Code.
(2) Military sexual trauma.--The term ``military sexual
trauma'' shall have the meaning specified by the Secretary for
purposes of this section, and shall include ``sexual
harassment'' (as so specified).
SEC. 603. REPORT ON STANDARD OF PROOF FOR SERVICE-CONNECTION OF MENTAL
HEALTH CONDITIONS RELATED TO MILITARY SEXUAL TRAUMA.
(a) In General.--Not later than 90 days after the date of the
enactment of this Act, the Secretary of Veterans Affairs shall submit
to the Committee on Veterans' Affairs of the Senate and the Committee
on Veterans' Affairs of the House of Representatives a report on the
current standard of proof for service-connection under chapter 11 of
title 38, United States Code, for covered mental health conditions
based on military sexual trauma.
(b) Recommendations.--The Secretary shall include in the report
under subsection (a) any recommendations the Secretary considers
appropriate to improve the adjudication of claims for compensation
based on military sexual trauma, including--
(1) recommendations for an appropriate standard of proof
for such claims if the Secretary considers such recommendations
advisable; and
(2) recommendations for legislative action, if necessary,
to carry out such improvement.
(c) Definitions.--In this section:
(1) Active military, naval, or air service.--The term
``active military, naval, or air service'' has the meaning
given that term in section 101 of title 38, United States Code.
(2) Covered mental health condition.--The term ``covered
mental health condition'' means post-traumatic stress disorder,
anxiety, depression, or other mental health diagnosis that the
Secretary determines to be related to military sexual trauma.
(3) Military sexual trauma.--The term ``military sexual
trauma'' shall have the meaning specified by the Secretary for
purposes of this section, and shall include ``sexual
harassment'' (as so specified).
SEC. 604. REPORTS ON CLAIMS FOR DISABILITIES INCURRED OR AGGRAVATED BY
MILITARY SEXUAL TRAUMA.
(a) Reports.--Not later than December 1, 2014, and each year
thereafter through 2018, the Secretary of Veterans Affairs shall submit
to Congress a report on the covered claims submitted to the Secretary
during the previous fiscal year.
(b) Elements.--Each report under subsection (a) shall include the
following:
(1) The number of covered claims submitted to or considered
by the Secretary during the fiscal year covered by the report.
(2) Of the covered claims under paragraph (1), the number
and percentage of such claims--
(A) submitted by each gender;
(B) that were approved, including the number and
percentage of such approved claims submitted by each
gender; and
(C) that were denied, including the number and
percentage of such denied claims submitted by each
gender.
(3) Of the covered claims under paragraph (1) that were
approved, the number and percentage, listed by each gender, of
claims assigned to each rating percentage of disability.
(4) Of the covered claims under paragraph (1) that were
denied--
(A) the three most common reasons given by the
Secretary under section 5104(b)(1) of title 38, United
States Code, for such denials; and
(B) the number of denials that were based on the
failure of a veteran to report for a medical
examination.
(5) Of the covered claims under paragraph (1) that were
resubmitted to the Secretary after denial in a previous
adjudication--
(A) the number of such claims submitted to or
considered by the Secretary during the fiscal year
covered by the report;
(B) the number and percentage of such claims--
(i) submitted by each gender;
(ii) that were approved, including the
number and percentage of such approved claims
submitted by each gender; and
(iii) that were denied, including the
number and percentage of such denied claims
submitted by each gender;
(C) the number and percentage, listed by each
gender, of claims assigned to each rating percentage of
disability; and
(D) of such claims that were again denied--
(i) the three most common reasons given by
the Secretary under section 5104(b)(1) of such
title for such denials; and
(ii) the number of denials that were based
on the failure of a veteran to report for a
medical examination.
(6) The number of covered claims that, as of the end of the
fiscal year covered by the report, are pending and, separately,
the number of such claims on appeal.
(7) For the fiscal year covered by the report, the average
number of days that covered claims take to complete beginning
on the date on which the claim is submitted.
(c) Definitions.--In this section:
(1) Active military, naval, or air service.--The term
``active military, naval, or air service'' has the meaning
given that term in section 101 of title 38, United States Code.
(2) Covered claims.--The term ``covered claims'' means
claims for disability compensation submitted to the Secretary
based on post traumatic stress disorder alleged to have been
incurred or aggravated by military sexual trauma.
(3) Military sexual trauma.--The term ``military sexual
trauma'' shall have the meaning specified by the Secretary for
purposes of this section, and shall include ``sexual
harassment'' (as so specified).
Subtitle B--Claims for Dependency and Indemnity Compensation
SEC. 611. PROGRAM ON TREATMENT OF CERTAIN APPLICATIONS FOR DEPENDENCY
AND INDEMNITY COMPENSATION AS FULLY DEVELOPED CLAIMS.
(a) In General.--The Secretary of Veterans Affairs shall carry out
a program to assess the feasibility and advisability of expediting the
treatment of a covered dependency and indemnity compensation claim.
(b) Covered Dependency and Indemnity Compensation Claims.--For
purposes of this section, a covered dependency and indemnity
compensation claim is a claim submitted to the Secretary for
compensation under chapter 13 of title 38, United States Code, for
which the claimant--
(1) applies for such compensation within one-year of the
death of the veteran upon whose service the claim is based;
(2) was the dependent on the claim of a veteran who was
receiving benefits for one or more service-connected conditions
as of the date of death;
(3) submits a death certificate or other evidence with the
claim indicating that the veteran's death was due to a service-
connected or compensable disability; and
(4) in the case that the claimant is the spouse of the
deceased veteran, certifies that he or she has not remarried
since the date of the veteran's death.
(c) Duration.--The program shall be carried out during the one-year
period beginning on the date that is 90 days after the date of the
enactment of this Act.
(d) Locations.--The program shall be carried out at the Pension
Management Center of the Department of Veterans Affairs or such centers
selected by the Secretary for purposes of the program.
(e) Report.--
(1) In general.--Not later than 270 days after the date on
which the program is completed, the Secretary shall submit to
the Committee on Veterans' Affairs of the Senate and the
Committee on Veterans' Affairs of the House of Representatives
a report on the program.
(2) Contents.--The report required by paragraph (1) shall
include the following:
(A) The number of covered dependency and indemnity
compensation claims that were adjudicated under the
program, disaggregated by the following:
(i) Claims in which the claimant claimed
entitlement to compensation on the basis of the
claimant's status as the spouse of a deceased
veteran.
(ii) Claims in which the claimant claimed
entitlement to compensation on the basis of the
claimant's status as the child of a deceased
veteran.
(iii) Claims in which the claimant claimed
entitlement to compensation on the basis of the
claimant's status as the parent of a deceased
veteran.
(B) The number of covered dependency and indemnity
compensation claims that were adjudicated under the
program and for which compensation was not awarded,
disaggregated by clauses (i) through (iii) of
subparagraph (A).
(C) A comparison of the accuracy and timeliness of
claims adjudicated under the program with claims
submitted to the Secretary for compensation under
chapter 13 of title 38, United States Code, that were
not provided expeditious treatment under the program.
(D) The findings of the Secretary with respect to
the program.
(E) Such recommendations as the Secretary may have
for legislative or administrative action to improve the
adjudication of claims submitted to the Secretary for
compensation under chapter 13 of title 38, United
States Code.
SEC. 612. REPORT BY SECRETARY OF VETERANS AFFAIRS ON IMPROVING
TIMELINESS AND ACCURACY OF ADMINISTRATION OF CLAIMS FOR
DEPENDENCY AND INDEMNITY COMPENSATION AND PENSION FOR
SURVIVING SPOUSES AND CHILDREN.
(a) In General.--Not later than 455 days after the date of the
enactment of this Act, the Secretary of Veterans Affairs shall submit
to the Committee on Veterans' Affairs of the Senate and the Committee
on Veterans' Affairs of the House of Representatives a report with
recommendations for legislative or administrative actions to improve
the timeliness and accuracy with which the Secretary processes and
adjudicates claims for compensation under chapter 13 of title 38,
United States Code, and pension under sections 1541 and 1542 of such
title.
(b) Effective Date.--This section shall take effect on the date
that is one year after the date of the enactment of this Act.
Subtitle C--Agency of Original Jurisdiction
SEC. 621. WORKING GROUP TO IMPROVE EMPLOYEE WORK CREDIT AND WORK
MANAGEMENT SYSTEMS OF VETERANS BENEFITS ADMINISTRATION IN
AN ELECTRONIC ENVIRONMENT.
(a) Establishment.--Not later than 90 days after the date of the
enactment of this Act, the Secretary of Veterans Affairs shall
establish a working group to assess and develop recommendations for the
improvement of the employee work credit and work management systems of
the Veterans Benefits Administration in an electronic environment.
(b) Composition.--The working group shall be composed of the
following:
(1) The Secretary or the Secretary's designee.
(2) Individuals selected by the Secretary from among
employees of the Department of Veterans Affairs who handle
claims for compensation and pension benefits and are
recommended to the Secretary by a labor organization for
purposes of this section, including at least one of each of the
following individuals:
(A) A veterans service representative.
(B) A rating veterans service representative.
(C) A decision review officer.
(3) Not fewer than three individuals selected by the
Secretary to represent different organizations recognized by
the Secretary for the representation of veterans under section
5902 of title 38, United States Code.
(4) Individuals selected by the Secretary--
(A) that are not employees of the Department; and
(B) that are experts in work credit and work
management systems.
(c) Duties.--The duties of the working group are to assess and
develop recommendations for the following:
(1) The improvement of the employee work credit and work
management systems of the Veterans Benefits Administration in
an electronic environment.
(2) A scientific, data based methodology to be used in
revising the employee work credit system of the Department to
improve the quality and quantity of work produced by employees
of the Department.
(3) The improvement of the resource allocation model of the
Veterans Benefits Administration, with a focus on the
processing of claims in an electronic environment.
(4) A schedule by which the revisions referred to in
paragraph (2) will be implemented by the Department.
(d) Review and Incorporation of Findings From Prior Study.--In
carrying out its duties under subsection (c), the working group shall
review the findings and conclusions of previous studies of the employee
work credit and work management systems of the Veterans Benefits
Administration.
(e) Role of the Secretary.--The Secretary shall consider the
recommendations of the working group and implement such recommendations
as the Secretary determines appropriate.
(f) Reports.--
(1) Interim report.--Not later than 180 days after the date
of the establishment of the working group, the working group
shall submit to Congress a report on the progress of the
working group.
(2) Final report.--Not later than one year after the date
of the establishment of the working group, the Secretary shall
submit to Congress the methodology described in subsection
(c)(2) and the schedule described in subsection (c)(4) that the
Secretary has decided to implement pursuant to subsection (e).
(g) Implementation of Methodology and Schedule.--After submitting
the report under subsection (f), the Secretary shall take such actions
as may be necessary to apply the methodology described in subsection
(c)(2) and the schedule described in subsection (c)(4) that the
Secretary has decided to implement pursuant to subsection (e).
SEC. 622. TASK FORCE ON RETENTION AND TRAINING OF DEPARTMENT OF
VETERANS AFFAIRS CLAIMS PROCESSORS AND ADJUDICATORS.
(a) Establishment.--The Secretary of Veterans Affairs shall
establish a task force to assess retention and training of claims
processors and adjudicators that are employed by the Department of
Veterans Affairs and other departments and agencies of the Federal
Government.
(b) Composition.--The task force shall be composed of the
following:
(1) The Secretary of Veterans Affairs or designee.
(2) The Director of the Office of Personnel Management or
designee.
(3) The Commissioner of Social Security or designee.
(4) An individual selected by the Secretary of Veterans
Affairs who represents an organization recognized by the
Secretary for the representation of veterans under section 5902
of title 38, United States Code.
(5) Such other individuals selected by the Secretary who
represent such other organizations and institutions as the
Secretary considers appropriate.
(c) Duration.--The task force established under subsection (a)
shall terminate not later than two years after the date on which the
task force is established under such subsection.
(d) Duties.--The duties of the task force are as follows:
(1) To identify key skills required by claims processors
and adjudicators to perform the duties of claims processors and
adjudicators in the various claims processing and adjudication
positions throughout the Federal Government.
(2) To identify reasons for employee attrition from claims
processing positions.
(3) To coordinate with educational institutions to develop
training and programs of education for members of the Armed
Forces to prepare such members for employment in claims
processing and adjudication positions in the Federal
Government.
(4) To identify and coordinate offices of the Department of
Defense and the Department of Veterans Affairs located
throughout the United States to provide information about, and
promotion of, available claims processing positions to members
of the Armed Forces transitioning to civilian life and to
veterans with disabilities.
(5) To establish performance measures to evaluate the
effectiveness of the task force.
(6) Not later than one year after the date of the
establishment of the task force, to develop a Government-wide
strategic and operational plan for promoting employment of
veterans in claims processing positions in the Federal
Government.
(7) To establish performance measures to assess the plan
developed under paragraph (6), to assess the implementation of
such plan, and to revise such plan as the task force considers
appropriate.
(e) Reports.--
(1) Submittal of plan.--Not later than one year after the
date of the establishment of the task force, the Secretary of
Veterans Affairs shall submit to Congress a report on the plan
developed by the task force under subsection (d)(6).
(2) Assessment of implementation.--Not later than 120 days
after the termination of the task force, the Secretary shall
submit to Congress a report that assesses the implementation of
the plan developed by the task force under subsection (d)(6).
SEC. 623. REPORTS ON REQUESTS BY THE DEPARTMENT OF VETERANS AFFAIRS FOR
RECORDS OF OTHER FEDERAL AGENCIES.
(a) Reports Required.--Not later than 180 days after the date of
the enactment of this Act, and every 180 days thereafter through the
date that is 910 days after the date of the enactment of this Act, the
Secretary of Veterans Affairs shall submit to the Committee on
Veterans' Affairs of the Senate and the Committee on Veterans' Affairs
of the House of Representatives a report on the attempts of the
Department of Veterans Affairs to obtain records necessary to
adjudicate claims for benefits from another department or agency of the
Federal Government during the 180-day period ending on the date of such
report.
(b) Elements.--
(1) In general.--Each report shall set forth the following:
(A) For the period covered by such report, the
following:
(i) The total number of requests made by
the Department.
(ii) The types of records requested.
(iii) The number of requests made before
the receipt of each record.
(iv) The amount of time between the initial
request for each record and the receipt of each
record.
(v) The number of occurrences of the
receipt of a record after the adjudication of
the claim for which the record was sought.
(vi) A description of the efforts of the
Secretary to expedite the delivery of records
to the Department from other departments and
agencies of the Federal Government.
(B) Such recommendations for legislative or
administrative action as the Secretary considers
appropriate in light of such report.
(2) Presentation.--The information in a report under
clauses (i) through (v) of paragraph (1)(A) shall be set forth
separately for each department and agency of the Federal
Government covered by such report.
SEC. 624. RECOGNITION OF REPRESENTATIVES OF INDIAN TRIBES IN THE
PREPARATION, PRESENTATION, AND PROSECUTION OF CLAIMS
UNDER LAWS ADMINISTERED BY THE SECRETARY OF VETERANS
AFFAIRS.
Section 5902(a)(1) is amended by inserting ``, including Indian
tribes (as defined in section 4 of the Indian Self-Determination and
Education Assistance Act (25 U.S.C. 450b))'' after ``as the Secretary
may approve''.
SEC. 625. PROGRAM ON PARTICIPATION OF LOCAL AND TRIBAL GOVERNMENTS IN
IMPROVING QUALITY OF CLAIMS FOR DISABILITY COMPENSATION
SUBMITTED TO DEPARTMENT OF VETERANS AFFAIRS.
(a) Program Required.--The Secretary of Veterans Affairs shall
carry out a program to assess the feasibility and advisability of
entering into memoranda of understanding with local governments and
tribal organizations--
(1) to improve the quality of claims submitted to the
Secretary for compensation under chapter 11 of title 38, United
States Code, and pension under chapter 15 of such title; and
(2) to provide assistance to veterans who may be eligible
for such compensation or pension in submitting such claims.
(b) Minimum Number of Participating Tribal Organizations.--In
carrying out the program required by subsection (a), the Secretary
shall enter into, or maintain existing, memoranda of understanding with
at least--
(1) two tribal organizations; and
(2) 10 State or local governments.
(c) Duration.--The program shall be carried out during the two-year
period beginning on the date of the commencement of the program.
(d) Report.--
(1) Initial report.--Not later than one year after the date
of the commencement of the program, the Secretary shall submit
to the Committee on Veterans' Affairs of the Senate and the
Committee on Veterans' Affairs of the House of Representatives
a report that includes the following:
(A) A description of the implementation and
operation of the program, including a description of
outreach conducted by the Secretary to tribal
organizations and State and local governments.
(B) An evaluation of the program, including the
total number of memoranda of understanding entered into
or maintained by the Secretary.
(2) Final report.--Not later than 180 days after the
termination of the program, the Secretary shall submit to the
Committee on Veterans' Affairs of the Senate and the Committee
on Veterans' Affairs of the House of Representatives a report
that includes the following:
(A) A description of the implementation and
operation of the program, including a description of
outreach conducted by the Secretary to tribal
organizations and State and local governments.
(B) An evaluation of the program, including the
total number of memoranda of understanding entered into
or maintained by the Secretary.
(C) The findings and conclusions of the Secretary
with respect to the program.
(D) Such recommendations for continuation or
expansion of the program as the Secretary considers
appropriate.
(e) Tribal Organization Defined.--In this section, the term
``tribal organization'' has the meaning given that term in section 3765
of title 38, United States Code.
SEC. 626. DEPARTMENT OF VETERANS AFFAIRS NOTICE OF AVERAGE TIMES FOR
PROCESSING COMPENSATION CLAIMS.
(a) Public Notice.--The Secretary of Veterans Affairs shall, to the
extent practicable, post the information described in subsection (b)--
(1) in physical locations, such as Regional Offices or
other claims in-take facilities, that the Secretary considers
appropriate;
(2) on the Internet website of the Department; and
(3) through other mediums or using such other methods,
including collaboration with veterans service organizations, as
the Secretary considers appropriate.
(b) Information Described.--
(1) In general.--The information described in this
subsection is the average processing time of the claims
described in paragraph (2).
(2) Claims described.--The claims described in this
paragraph are each of the following types of claims for
benefits under the laws administered by the Secretary of
Veterans Affairs:
(A) A fully developed claim.
(B) A claim that is not fully developed.
(3) Update of information.--The information described in
this subsection shall be updated not less frequently than once
each fiscal quarter.
(c) Expiration of Requirements.--The requirements of subsection (a)
shall expire on December 31, 2015.
(d) Veterans Service Organization Defined.--In this section, the
term ``veterans service organization'' means an organization recognized
by the Secretary of Veterans Affairs for the representation of veterans
under section 5902 of title 38, United States Code.
SEC. 627. QUARTERLY REPORTS ON PROGRESS OF DEPARTMENT OF VETERANS
AFFAIRS IN ELIMINATING BACKLOG OF CLAIMS FOR COMPENSATION
THAT HAVE NOT BEEN ADJUDICATED.
(a) In General.--Not later than 90 days after the date of the
enactment of this Act and not less frequently than quarterly thereafter
through calendar year 2015, the Secretary of Veterans Affairs shall
submit to the Committee on Veterans' Affairs of the Senate and the
Committee on Veterans' Affairs of the House of Representatives a report
on the backlog of claims filed with the Department of Veterans Affairs
for compensation that have not been adjudicated by the Department.
(b) Contents.--Each report submitted under subsection (a) shall
include the following:
(1) For each month through calendar year 2015, a projection
of the following:
(A) The number of claims completed.
(B) The number of claims received.
(C) The number of claims on backlog at the end of
the month.
(D) The number of claims pending at the end of the
month.
(E) The number of appeals pending at the end of the
month.
(F) A description of the status of the
implementation of initiatives carried out by the
Secretary to address the backlog, including the
expected impact of those initiatives on accuracy and
timeliness of adjudication of claims.
(2) For each quarter through calendar year 2015, a
projection of the average accuracy of disability determinations
for compensation claims that require a disability rating (or
disability decision).
(3) For each month during the most recently completed
quarter, the following:
(A) The number of claims completed.
(B) The number of claims received.
(C) The number of claims on backlog at the end of
the month.
(D) The number of claims pending at the end of the
month.
(E) The number of appeals pending at the end of the
month.
(F) A description of the status of the
implementation of initiatives carried out by the
Secretary to address the backlog, including the impact
of those initiatives on accuracy and timeliness of
adjudication of claims.
(G) An assessment of the accuracy of disability
determinations for compensation claims that require a
disability rating (or disability decision).
(4) For the most recently completed quarter--
(A) the number of cases physically received at the
Board of Veterans' Appeals and docketed;
(B) the number of cases pending at the Board of
Veterans' Appeals at the end of the quarter;
(C) the number of cases physically at the Board of
Veterans' Appeals at the end of the quarter;
(D) the number of notices of disagreement and
appeals filed to the agency of original jurisdiction
referred to in section 7105(b)(1) of title 38, United
States Code; and
(E) the number of decisions made by the Board of
Veterans' Appeals and the percentage of such decisions
that were allowed, remanded, denied, or otherwise
disposed of.
(c) Availability to Public.--The Secretary shall make each report
submitted under subsection (a) available to the public.
(d) On Backlog and Pending Defined.--In this section, the terms
``on backlog'' and ``pending'', with respect to a claim for
compensation received by the Secretary, shall have the meaning
specified by the Secretary for purposes of this section.
SEC. 628. REPORTS ON USE OF EXISTING AUTHORITIES TO EXPEDITE BENEFITS
DECISIONS.
(a) Report on Current Use of Temporary, Intermediate, and
Provisional Rating Decisions.--
(1) Report required.--Not later than 180 days after the
date of the enactment of this Act, the Secretary of Veterans
Affairs shall submit to the Committee on Veterans' Affairs of
the Senate and the Committee on Veterans' Affairs of the House
of Representatives a report on the use of temporary,
intermediate, and provisional rating decisions to expedite the
benefits decisions of the Department of Veterans Affairs.
(2) Report elements.--The report required by paragraph (1)
shall include the following:
(A) With respect to temporary and intermediate
rating decisions, the following:
(i) The number of temporary and
intermediate rating decisions issued by the
Department during each of fiscal years 2011,
2012, and 2013.
(ii) A description of any reasons or
obstacles that prevent use of existing
authorities to issue temporary or intermediate
rating decisions.
(iii) A description of the Quick Pay
Disability initiative, including the rationale
for not expanding the initiative beyond pilot
program status.
(B) With respect to provisional rating decisions,
the following:
(i) The number of provisional rating
decisions issued by the Department during the
oldest claims first initiative.
(ii) Of the provisional rating decisions
issued during the oldest claims first
initiative--
(I) the number of such decisions
that involved a claim granted;
(II) the number of such decisions
that involved a claim denied; and
(III) the number of such decisions
that involved a claim granted in part
or a claim denied in part.
(iii) A statement of the most common
reasons claims were not granted earlier under
the oldest claims first initiative when there
was sufficient evidence to render an award of
benefits in the provisional rating decision.
(iv) The average number of days to issue a
provisional rating decision under the oldest
claims first initiative.
(v) Of the total number of decisions that
were completed under the oldest claims first
initiative--
(I) the number that were Category 1
claims and received a final rating
decision; and
(II) the number that were Category
2 claims and received a provisional
rating decision.
(vi) The number of rating decisions issued
during the oldest claims first imitative that
involved a brokered claim, set forth by number
of such claims by Regional Office of the
Department, including--
(I) the number of brokered claims
received by each Regional Office; and
(II) the number of brokered claims
issued by each Regional Office.
(vii) The number of provisional rating
decisions issued during the oldest claims first
initiative with respect to which the veteran
requested that the provisional decision become
final in order to appeal.
(viii) The number of provisional rating
decisions issued during the oldest claims first
initiative with respect to which the veteran
requested an appeal after the expiration of the
1-year period beginning on the date of
notification of the provisional rating
decision.
(ix) An assessment of the accuracy of
provisional rating decisions issued during the
oldest claims first initiative, set forth by
Category 1 claims and Category 2 claims.
(C) Such other matters as the Secretary considers
appropriate for purposes of the report.
(3) Supplemental information.--If the Secretary continues
to obtain information on rating decisions under clauses (vii)
and (viii) of paragraph (2)(B) after the date of the submittal
of the report required by paragraph (1), the Secretary shall
submit to the committees of Congress referred to in paragraph
(1) a report on such information that supplements the
information on such clauses in the report under paragraph (1)
when the Secretary completes accumulation of such information.
(b) Plan for Increase in Use of Temporary or Intermediate Rating
Decisions.--
(1) Report on plan required.--Not later than 180 days after
the date of the enactment of this Act, the Secretary shall
submit to the Committee on Veterans' Affairs of the Senate and
the Committee on Veterans' Affairs of the House of
Representatives a report setting forth a plan to increase the
use of temporary or intermediate rating decisions to expedite
benefit decisions of the Department when the record contains
sufficient evidence to grant any claim at issue, including
service connection.
(2) Plan elements.--The plan required under paragraph (1)
shall include the following:
(A) Mechanisms to overcome obstacles to the use of
temporary or intermediate rating decisions, including
mechanisms (such as upgrades) to assure the ability of
the Veterans Benefits Management System to facilitate
the issuance of temporary or intermediate rating
decisions.
(B) Mechanisms to ensure that appropriate claimant
populations, such as claimants who file complex or
multi-issue disability compensation claims, benefit
from the availability of temporary or intermediate
rating decisions.
(C) Mechanisms to provide for the use of temporary
or intermediate rating decisions, including mechanisms
to resolve whether a request by a claimant or claimant
representative should trigger use of a temporary or
intermediate rating decision depending on the
circumstances of the claimant.
(D) Mechanisms to prevent the use of temporary or
intermediate rating decisions in lieu of a final rating
decision when a final rating decision could be made
with little or no additional claim development.
(E) Such recommendations for legislative or
administrative action as the Secretary considers
appropriate to increase the use of temporary or
intermediate rating decisions to expedite benefit
decisions of the Department.
SEC. 629. REPORTS ON DEPARTMENT DISABILITY MEDICAL EXAMINATIONS AND
PREVENTION OF UNNECESSARY MEDICAL EXAMINATIONS.
(a) Report on Disability Medical Examinations Furnished by
Department of Veterans Affairs.--
(1) In general.--Not later than 180 days after the date of
the enactment of this Act, the Secretary of Veterans Affairs
shall submit to the Committee on Veterans' Affairs of the
Senate and the Committee on Veterans' Affairs of the House of
Representatives a report on the furnishing of general medical
and specialty medical examinations by the Department of
Veterans Affairs for purposes of adjudicating claims for
benefits under laws administered by the Secretary.
(2) Contents.--The report submitted under paragraph (1)
shall include the following:
(A) The number of general medical examinations
furnished by the Department during the period of fiscal
years 2009 through 2012 for purposes of adjudicating
claims for benefits under laws administered by the
Secretary.
(B) The number of general medical examinations
furnished by the Department during the period of fiscal
years 2009 through 2012 for purposes of adjudicating a
claim in which a comprehensive joint examination was
conducted, but for which no disability relating to a
joint, bone, or muscle had been asserted as an issue in
the claim.
(C) The number of specialty medical examinations
furnished by the Department during the period of fiscal
years 2009 through 2012 for purposes of adjudicating a
claim.
(D) The number of specialty medical examinations
furnished by the Department during the period of fiscal
years 2009 through 2012 for purposes of adjudicating a
claim in which one or more joint examinations were
conducted.
(E) A summary with citations to any medical and
scientific studies that provide a basis for determining
that three repetitions is adequate to determine the
effect of repetitive use on functional impairments.
(F) The names of all examination reports, including
general medical examinations and Disability Benefits
Questionnaires, used for evaluation of compensation and
pension disability claims which require measurement of
repeated ranges of motion testing and the number of
examinations requiring such measurements which were
conducted in fiscal year 2012.
(G) The average amount of time taken by an
individual conducting a medical examination to perform
the three repetitions of movement of each joint.
(H) A discussion of whether there are more
efficient and effective scientifically reliable methods
of testing for functional loss on repetitive use of an
extremity other than the three time repetition
currently used by the Department.
(I) Recommendations as to the continuation of the
practice of measuring functional impairment by using
three repetitions of movement of each joint during the
examination as a criteria for evaluating the effect of
repetitive motion on functional impairment with
supporting rationale.
(b) Report and Plan To Prevent the Ordering of Unnecessary Medical
Examinations.--
(1) In general.--Not later than 180 days after the date of
the enactment of this Act, the Secretary shall submit to the
Committee on Veterans' Affairs of the Senate and the Committee
on Veterans' Affairs of the House of Representatives a report
on the efforts of the Secretary in reducing the necessity for
in-person disability examinations and other efforts to comply
with the provisions of section 5125 of title 38, United States
Code.
(2) Contents.--The report required by paragraph (1) shall
include the following:
(A) Criteria used by the Secretary to determine if
a claim is eligible for the Acceptable Clinical
Evidence initiative.
(B) The number of claims determined to be eligible
for the Acceptable Clinical Evidence initiative during
the period beginning on the date of the initiation of
the initiative and ending on the date of the enactment
of this Act, disaggregated--
(i) by fiscal year; and
(ii) by claims determined eligible based in
whole or in part on medical evidence provided
by a private health care provider.
(C) The total number of claims determined to be
eligible for the Acceptable Clinical Evidence
initiative that required an employee of the Department
to supplement the evidence with information obtained
during a telephone interview with a claimant or health
care provider.
(D) Information on any other initiatives or
efforts, including disability benefits questionnaires,
of the Department to further encourage the use of
medical evidence provided by a private health care
provider and reliance upon reports of a medical
examination administered by a private physician if the
report is sufficiently complete to be adequate for the
purposes of adjudicating a claim.
(E) A plan--
(i) to measure, track, and prevent the
ordering of unnecessary medical examinations
when the provision by a claimant of a medical
examination administered by a private physician
in support of a claim for benefits under
chapter 11 or 15 of title 38, United States
Code, is adequate for the purpose of making a
decision on that claim; and
(ii) that includes the actions the
Secretary will take to eliminate any request by
the Department for a medical examination in the
case of a claim for benefits under chapter 11
or 15 of such title in support of which a
claimant submits medical evidence or a medical
opinion provided by a private health care
provider that is competent, credible,
probative, and otherwise adequate for purposes
of making a decision on that claim.
Subtitle D--Board of Veterans' Appeals and Court of Appeals for
Veterans Claims
SEC. 631. DETERMINATION OF MANNER OF APPEARANCE FOR HEARINGS BEFORE
BOARD OF VETERANS' APPEALS.
(a) In General.--Section 7107 is amended--
(1) in subsection (a)(1), by striking ``in subsection (f)''
and inserting ``in subsection (g)'';
(2) by redesignating subsection (f) as subsection (g); and
(3) by striking subsections (d) and (e) and inserting the
following new subsections:
``(d)(1) Except as provided in paragraph (2), a hearing before the
Board shall be conducted through picture and voice transmission, by
electronic or other means, in such a manner that the appellant is not
present in the same location as the members of the Board during the
hearing.
``(2)(A) A hearing before the Board shall be conducted in person
upon the request of an appellant.
``(B) In the absence of a request under subparagraph (A), a hearing
before the Board may also be conducted in person as the Board considers
appropriate.
``(e)(1) In a case in which a hearing before the Board is to be
held as described in subsection (d)(1), the Secretary shall provide
suitable facilities and equipment to the Board or other components of
the Department to enable an appellant located at an appropriate
facility within the area served by a regional office to participate as
so described.
``(2) Any hearing conducted as described in subsection (d)(1) shall
be conducted in the same manner as, and shall be considered the
equivalent of, a personal hearing.
``(f)(1) In a case in which a hearing before the Board is to be
held as described in subsection (d)(2), the appellant may request that
the hearing be held at the principal location of the Board or at a
facility of the Department located within the area served by a regional
office of the Department.
``(2) A hearing to be held within an area served by a regional
office of the Department shall (except as provided in paragraph (3)) be
scheduled to be held in accordance with the place of the case on the
docket under subsection (a) relative to other cases on the docket for
which hearings are scheduled to be held within that area.
``(3) A hearing to be held within an area served by a regional
office of the Department may, for cause shown, be advanced on motion
for an earlier hearing. Any such motion shall set forth succinctly the
grounds upon which the motion is based. Such a motion may be granted
only--
``(A) if the case involves interpretation of law of general
application affecting other claims;
``(B) if the appellant is seriously ill or is under severe
financial hardship; or
``(C) for other sufficient cause shown.''.
(b) Effective Date.--The amendments made by subsection (a) shall
apply with respect to cases received by the Board of Veterans' Appeals
pursuant to notices of disagreement submitted on or after the date of
the enactment of this Act.
TITLE VII--OUTREACH MATTERS
SEC. 701. PROGRAM TO INCREASE COORDINATION OF OUTREACH EFFORTS BETWEEN
THE DEPARTMENT OF VETERANS AFFAIRS AND CERTAIN ELIGIBLE
ENTITIES.
(a) Program Required.--
(1) In general.--The Secretary of Veterans Affairs shall
carry out a program to assess the feasibility and advisability
of using eligible entities specified in paragraph (2)--
(A) to increase awareness of veterans regarding
benefits and services for veterans; and
(B) to improve coordination of outreach activities
regarding such benefits and services between the
Secretary and Federal, State, and local government and
nonprofit providers of health care and benefit services
for veterans.
(2) Eligible entities specified.--The eligible entities
specified in this paragraph are the following:
(A) State and local government agencies.
(B) Nonprofit organizations.
(C) The Appalachian Regional Commission,
established under section 14301(a) of title 40, United
States Code.
(D) The Delta Regional Authority, established under
section 382B(a) of the Consolidated Farm and Rural
Development Act (7 U.S.C. 2009aa-1(a)).
(E) The Denali Commission, established under
section 303 of the Denali Commission Act of 1998 (42
U.S.C. 3121 note; Public Law 105-277).
(F) The Northern Great Plains Regional Authority,
established under section 383B(a) of the Consolidated
Farm and Rural Development Act (7 U.S.C. 2009bb-1(a)).
(G) The Southeast Crescent Regional Commission, the
Southwest Border Regional Commission, and the Northern
Border Regional Commission established under section
15301(a) of title 40, United States Code.
(H) Entities described in subparagraph (I) that
serve Native Americans, Alaska Natives, or native
Hawaiians (as such terms are defined in section 3765 of
title 38, United States Code), regardless of whether
such entities are tribal organizations (as defined in
such section).
(I) Commissions and development boards that are--
(i) not chartered by the Federal
Government;
(ii) selected by the Secretary for purposes
of the program; and
(iii) located in areas that present
extraordinary challenges to veterans, as
determined by the Secretary, including the
following:
(I) Areas in severe economic
distress.
(II) Areas with underdeveloped
infrastructure.
(III) Areas with unusual geographic
characteristics, such as separation
from the mainland.
(b) Duration.--The Secretary shall carry out the program for a two-
year period.
(c) Grants.--
(1) In general.--The Secretary shall carry out the program
through the competitive award of grants to eligible entities--
(A) to increase the awareness of veterans regarding
benefits and services for veterans; and
(B) to improve coordination of outreach activities
regarding such benefits and services between the
Secretary and Federal, State, and local government and
nonprofit providers of health care and benefit services
for veterans.
(2) Application.--
(A) In general.--An eligible entity seeking a grant
under the program shall submit to the Secretary an
application therefor in such form and in such manner as
the Secretary considers appropriate.
(B) Elements.--Each application submitted under
subparagraph (A) shall include the following:
(i) A description of the consultations, if
any, with the Department of Veterans Affairs in
the development of any proposal under the
application.
(ii) A description of the project for which
the applicant is seeking a grant under the
program, including a plan to coordinate under
the program, to the greatest extent possible,
the outreach activities of Federal, State, and
local government agencies that provide health
care, benefits, and services for veterans and
nonprofit organizations that provide such care,
benefits, and services to enhance the awareness
and availability of such care, benefits, and
services.
(iii) An agreement to report to the
Secretary standardized data and other
performance measures necessary for the
Secretary to evaluate the program and to
facilitate evaluation of projects for which
grants are awarded under the program.
(iv) Such other information as the
Secretary may require.
(3) Considerations.--
(A) In general.--In awarding grants under the
program to carry out projects, the Secretary shall
consider--
(i) where the projects will be carried out
and which populations are targeted; and
(ii) the likelihood that each potential
grantee will successfully carry out the grant
proposal.
(B) Considerations regarding location and target
population.--In taking the matters specified in
subparagraph (A)(ii) into consideration, the Secretary
shall consider in particular the advisability of
awarding grants for projects--
(i) carried out in areas with populations
that have a high proportion of veteran
representation;
(ii) carried out in a variety of geographic
areas, including urban, rural, and highly rural
areas; and
(iii) that target a variety of veteran
populations, including racial and ethnic
minorities, low-income populations, and older
populations.
(4) Use of funds.--The Secretary shall establish
appropriate uses of grant amounts received under the program.
(5) Oversight of use of funds.--The Secretary shall
establish appropriate mechanisms for oversight of the use of
grant amounts received under the program, including the
evidence grantees must submit to demonstrate use of grant
amounts and procedures for the recovery of grant amounts that
were improperly used.
(6) Limitation.--In a fiscal year, not more than 20 percent
of all grant amounts awarded in that fiscal year may be awarded
to a single State entity.
(d) State Matching Requirement.--The Secretary may not make a grant
to a State under subsection (c) unless that State agrees that, with
respect to the costs to be incurred by the State in carrying out the
program or projects for which the grant was awarded, the State will
make available (directly or through donations from public or private
entities) non-Federal contributions in an amount equal to 50 percent of
Federal funds provided under the grant.
(e) Authorization of Appropriations.--There is hereby authorized to
be appropriated to carry out this section the following:
(1) $2,500,000 for fiscal year 2015.
(2) $2,500,000 for fiscal year 2016.
(f) Annual Report.--
(1) In general.--Not later than 120 days after the
completion of the first calendar year beginning after the date
of the commencement of the program, and not less frequently
than once every year thereafter for the duration of the
program, the Secretary shall submit to Congress a report
evaluating the program and the projects supported by grants
awarded under the program.
(2) Elements.--The report required by paragraph (1) shall
include the following:
(A) The findings and conclusions of the Secretary
with respect to the program.
(B) An assessment of the benefit to veterans of the
program.
(C) The performance measures used by the Secretary
for purposes of the program and data showing the
performance of grantees under the program under such
measures.
(D) The recommendations of the Secretary as to the
feasibility and advisability of continuing or expanding
or modifying the program.
(g) Effective Date.--This section shall take effect on the date
that is one year after the date of the enactment of this Act.
SEC. 702. COOPERATIVE AGREEMENTS BETWEEN SECRETARY OF VETERANS AFFAIRS
AND STATES ON OUTREACH ACTIVITIES.
(a) In General.--Chapter 63 is amended by inserting after section
6306 the following new section:
``Sec. 6306A. Cooperative agreements with States
``(a) In General.--The Secretary may enter into cooperative
agreements and arrangements with various State agencies and State
departments to carry out this chapter and to otherwise carry out,
coordinate, improve, or enhance outreach activities of the Department
and the States.
``(b) Report.--The Secretary shall include in each report submitted
under section 6308 of this title a description of the agreements and
arrangements entered into by the Secretary under subsection (a).''.
(b) Clerical Amendment.--The table of sections at the beginning of
chapter 63 is amended by inserting after the item relating to section
6306 the following new item:
``6306A. Cooperative agreements with States.''.
SEC. 703. ADVISORY COMMITTEE ON OUTREACH ACTIVITIES OF DEPARTMENT OF
VETERANS AFFAIRS.
(a) Establishment.--Not later than 180 days after the date of the
enactment of this Act, the Secretary of Veterans Affairs shall
establish an advisory committee on outreach activities of the
Department of Veterans Affairs.
(b) Membership.--The advisory committee shall be composed of
individuals selected by the Secretary from among the following:
(1) To the maximum extent practicable, individuals who are
eminent in their respective fields of public relations.
(2) Representatives of organizations with offices that
focus on communications and distribute messages through major
media news outlets and social media.
(3) To the maximum extent practicable, individuals with
experience communicating financial results and business
strategy for purposes of shaping a confident brand image.
(4) To the maximum extent practicable, individuals with
experience with consumer and lifestyle imaging and creating
publicity for a particular product or service.
(5) To the maximum extent practicable, veterans who have
experience in press and public relations.
(c) Duties.--The advisory committee shall advise the Assistant
Secretary for Public and Intergovernmental Affairs--
(1) to ensure that the Department of Veterans Affairs is
strategically and effectively--
(A) engaging the public and Department stakeholders
to increase awareness nationally regarding all benefits
and services furnished by the Department;
(B) explaining new or changing policies of the
Department;
(C) improving the image and reputation of the
Department; and
(D) coordinating and collaborating with national
community-based organizations, nonprofits, and State
and local government agencies;
(2) to assist the Secretary in conducting such other press
or public relations activities relating to outreach activities
of the Department as the Secretary and the Assistant Secretary
for Public and Intergovernmental Affairs consider appropriate;
and
(3) to ensure coordination and collaboration on efforts
within the Department for the development, implementation, and
review of local outreach with respect to benefits that include
the following:
(A) Compensation and pension benefits.
(B) Insurance benefits.
(C) Burial and memorial benefits.
(D) Education benefits.
(E) Vocational rehabilitation and employment
benefits.
(F) Readjustment counseling benefits.
(G) Loan guarantee benefits.
(H) Such other benefits as the Secretary considers
appropriate.
(d) Location of Meetings.--Each meeting of the advisory committee
shall take place at a location that is property of the Department and
shall, to the maximum extent practicable, use teleconference
technology.
(e) Consultation.--The Secretary shall consult with and seek the
advice of the advisory committee not less frequently than quarterly on
matters relating to the duties of the advisory committee under
subsection (c).
(f) Reports.--
(1) In general.--Not less frequently than once every 90
days for the first year and semiannually thereafter, the
advisory committee shall submit to Congress and to the
Secretary a report on outreach activities of the Department.
(2) Recommendations.--Each report submitted under paragraph
(1) shall include such recommendations for legislative and
administrative action as the advisory committee considers
appropriate to improve the press and public relations of the
Department relating to outreach.
(g) Termination.--The advisory committee shall terminate on October
1, 2015, and the requirements and authorities under this section shall
terminate on such date.
(h) Outreach Defined.--In this section, the term ``outreach'' has
the meaning given the term in section 6301 of title 38, United States
Code.
SEC. 704. ADVISORY BOARDS ON OUTREACH ACTIVITIES OF DEPARTMENT OF
VETERANS AFFAIRS RELATING TO HEALTH CARE.
(a) Establishment.--
(1) In general.--For each entity described in paragraph
(2), the Secretary of Veterans Affairs shall, acting through
the director of that entity, establish not later than 180 days
after the effective date specified in subsection (h) an
advisory board at that entity on matters relating to outreach
activities of the Department of Veterans Affairs at that
entity.
(2) Entity described.--An entity described in this
paragraph is--
(A) a healthcare system of the Department; or
(B) a Veterans Integrated System Network, if such
Veterans Integrated System Network does not contain a
healthcare system.
(b) Membership.--
(1) In general.--Each advisory board established under
subsection (a)(1) shall be, to the maximum extent practicable,
composed of individuals selected by the Secretary from among
the following:
(A) Individuals who are eminent in their respective
fields of public relations.
(B) Representatives of organizations with offices
that focus on communications and distribute messages
through major media news outlets and social media.
(C) Individuals with experience communicating
financial results and business strategy for purposes of
shaping a confident brand image.
(D) Individuals with experience with consumer and
lifestyle imaging and creating publicity for a
particular product or service.
(E) Employees of the Department who are involved in
press and public relations strategy for an entity
described in subsection (a)(2).
(F) To the maximum extent practicable, veterans who
have experience in press and public relations.
(2) Voluntary participation.--The participation of an
individual selected under paragraph (1) shall be at the
election of the individual.
(c) Duties.--Each advisory board established under subsection
(a)(1) at an entity described in subsection (a)(2) shall advise the
Assistant Secretary for Public and Intergovernmental Affairs--
(1) to ensure that the Department of Veterans Affairs is
strategically and effectively--
(A) engaging the public and Department stakeholders
to increase awareness nationally regarding benefits and
services furnished by the Department;
(B) explaining new or changing policies of the
Department;
(C) improving the image and reputation of the
Department;
(D) coordinating and collaborating with national
community-based organizations, nonprofits, and State
and local government agencies; and
(E) coordinating and collaborating on efforts
within the Department for the development,
implementation, and review of local outreach with
respect to benefits that include--
(i) compensation and pension benefits;
(ii) insurance benefits;
(iii) burial and memorial benefits;
(iv) education benefits;
(v) vocational rehabilitation and
employment benefits;
(vi) readjustment counseling benefits;
(vii) loan guarantee benefits; and
(viii) such other benefits as the Secretary
considers appropriate; and
(2) to assist the director of that entity in conducting
such other press or public relations activities relating to
outreach activities of the Department as that advisory board
considers appropriate.
(d) Meeting Location.--
(1) In general.--If teleconference technology is not used,
meetings of each advisory board established under subsection
(a)(1) shall be held at a location that is property of the
Department.
(2) Teleconference technology.--Each advisory board shall
use, to the maximum extent practicable, teleconference
technology.
(e) Consultation.--Each director of an entity described in
subsection (a)(2) shall consult with and seek the advice of the
advisory board established at such entity not less frequently than once
every two months on matters relating to the duties of the advisory
board under subsection (c).
(f) Annual Reports.--Not less frequently than each year, each
advisory board established under subsection (a)(1) shall submit to the
Secretary a report with such information as may be beneficial to the
Secretary in preparing the reports required by section 6308 of title
38, United States Code.
(g) Termination.--Each advisory board established under subsection
(a)(1) and the authorities and requirements of this section shall
terminate three years after the effective date specified in subsection
(h).
(h) Effective Date.--This section shall take effect on the date
that is one year after the date of the enactment of this Act.
SEC. 705. MODIFICATION OF REQUIREMENT FOR PERIODIC REPORTS TO CONGRESS
ON OUTREACH ACTIVITIES OF DEPARTMENT OF VETERANS AFFAIRS.
(a) In General.--Section 6308 is amended--
(1) in subsection (a), by striking ``even-numbered''; and
(2) in subsection (b)--
(A) in paragraph (1), by striking ``biennial'';
(B) in paragraph (2), by inserting ``for
legislative and administrative action'' after
``Recommendations''; and
(C) by adding at the end the following new
paragraph:
``(3) Recommendations that such administrative actions as
may be taken--
``(A) to maximize resources for outreach activities
of the Department; and
``(B) to focus outreach efforts on activities that
are proven to be more effective.''.
(b) Clerical Amendments.--
(1) Section heading.--The heading for section 6308 is
amended by striking ``Biennial'' and inserting ``Annual''.
(2) Table of sections.--The table of sections at the
beginning of chapter 63 is amended by striking the item
relating to section 6308 and inserting the following new item:
``6308. Annual report to Congress.''.
SEC. 706. BUDGET TRANSPARENCY FOR OUTREACH ACTIVITIES OF DEPARTMENT OF
VETERANS AFFAIRS.
(a) In General.--Chapter 63 is amended by inserting after section
6308 the following new section:
``Sec. 6309. Budget transparency
``(a) Budget Requirements.--In the budget justification materials
submitted to Congress in support of the Department budget for a fiscal
year (as submitted with the budget of the President under section
1105(a) of title 31), the Secretary shall include a separate statement
of the amount requested for such fiscal year for activities of the
Office of Public and Intergovernmental Affairs as follows:
``(1) For outreach activities of the Department in
aggregate.
``(2) For outreach activities of each element of the
Department specified in subsection (b)(1).
``(b) Procedures for Effective Coordination and Collaboration.--(1)
Not later than 180 days after the date of the enactment of the
Restoring Veterans Trust Act of 2014, the Secretary shall establish and
maintain procedures for the Office of Public and Intergovernmental
Affairs to ensure the effective coordination and collaboration of
outreach activities of the Department between and among the following:
``(A) Office of the Secretary.
``(B) Veterans Health Administration.
``(C) Veterans Benefits Administration.
``(D) National Cemetery Administration.
``(2) The Secretary shall--
``(A) beginning after the date on which the Secretary
establishes procedures under paragraph (1), not less frequently
than once every two years conduct a review of the procedures
established and maintained under paragraph (1) to ensure that
such procedures meet the requirements of such paragraph;
``(B) make such modifications to such procedures as the
Secretary considers appropriate based upon reviews conducted
under subparagraph (A) in order to better meet such
requirements; and
``(C) not later than 45 days after completing a review
under subparagraph (A), submit to Congress a report on the
findings of such review.''.
(b) Clerical Amendment.--The table of sections at the beginning of
chapter 63 is amended by inserting after the item relating to section
6308 the following new item:
``6309. Budget transparency.''.
TITLE VIII--ENHANCEMENT OF RIGHTS UNDER SERVICEMEMBERS CIVIL RELIEF ACT
SEC. 801. MODIFICATION OF PERIOD DETERMINING WHICH ACTIONS ARE COVERED
UNDER STAY OF PROCEEDINGS AND ADJUSTMENT OF OBLIGATION
PROTECTIONS CONCERNING MORTGAGES AND TRUST DEEDS OF
MEMBERS OF UNIFORMED SERVICES.
(a) In General.--Section 303(b) of the Servicemembers Civil Relief
Act (50 U.S.C. App. 533(b)) is amended by striking ``filed'' and
inserting ``pending''.
(b) Conforming Amendments.--Section 710(d) of the Honoring
America's Veterans and Caring for Camp Lejeune Families Act of 2012
(Public Law 112-154; 126 Stat. 1208) is amended--
(1) by striking paragraph (1) and inserting the following
new paragraph (1):
``(1) Sunset and revival.--
``(A) In general.--Subsections (b) and (c) of
section 303 of the Servicemembers Civil Relief Act (50
U.S.C. App. 533), as amended by subsections (a) and (b)
of this section, are amended by striking `within one
year' each place it appears and inserting `within 90
days'.
``(B) Effective date.--The amendments made by
subparagraph (A) shall take effect on January 1,
2015.''; and
(2) by striking paragraph (3).
SEC. 802. PROTECTIONS FOR MEMBERS OF UNIFORMED SERVICES REGARDING
PROFESSIONAL LICENSES.
(a) In General.--Title VII of the Servicemembers Civil Relief Act
(50 U.S.C. App. 701 et seq.) is amended by adding at the end the
following new section:
``SEC. 707. PROFESSIONAL LICENSES.
``(a) Expiration During Period in Which Servicemembers Are Eligible
for Hostile Fire or Imminent Danger Special Pay.--If a license issued
by a State or local licensing authority to a servicemember would
otherwise expire during a period in which such servicemember is
eligible for hostile fire or imminent danger special pay under section
310 of title 37, United States Code, such State or local licensing
authority shall delay the expiration of such license until not earlier
than the date that is 180 days after the date on which such period of
eligibility ends.
``(b) Continuing Education Requirements During Period in Which
Servicemembers Are Eligible for Hostile Fire or Imminent Danger Special
Pay.--If a State or local licensing authority otherwise requires a
servicemember to meet any continuing education requirements to maintain
a license for a trade or profession during a period in which such
servicemember is eligible for hostile fire or imminent danger special
pay under section 310 of title 37, United States Code, such State or
local licensing authority shall delay such continuing education
requirement until not earlier than the date that is 180 days after the
date on which such period of eligibility ends.''.
(b) Clerical Amendment.--The table of contents in section 1(b) of
such Act (50 U.S.C. App. 501(b)) is amended by inserting after the item
relating to section 706 the following new item:
``Sec. 707. Professional licenses and certifications.''.
SEC. 803. PROHIBITION ON DENIAL OF CREDIT BECAUSE OF ELIGIBILITY FOR
PROTECTION.
Section 108 of the Servicemembers Civil Relief Act (50 U.S.C. App.
518) is amended--
(1) by striking ``Application by'' and inserting the
following:
``(a) Application or Receipt.--Application by'';
and
(2) by adding at the end the following new subsection:
``(b) Eligibility.--
``(1) In general.--In addition to the protections under
subsection (a), an individual who is entitled to any right or
protection provided under this Act may not be denied or refused
credit or be subject to any other action described under
paragraphs (1) through (6) of subsection (a) solely by reason
of such entitlement.
``(2) Construction.--Nothing in this subsection shall be
construed to prohibit a lender from considering all relevant
factors, other than the entitlement of an individual to a right
or protection provided under this Act, in making a
determination as to whether it is appropriate to extend
credit.''.
SEC. 804. INTEREST RATE LIMITATION ON DEBT ENTERED INTO DURING MILITARY
SERVICE TO CONSOLIDATE OR REFINANCE STUDENT LOANS
INCURRED BEFORE MILITARY SERVICE.
(a) In General.--Subsection (a) of section 207 of the
Servicemembers Civil Relief Act (50 U.S.C. App. 527) is amended--
(1) in paragraph (1), by inserting ``on debt incurred
before service'' after ``Limitation to 6 percent'';
(2) by redesignating paragraphs (2) and (3) as paragraphs
(3) and (4), respectively;
(3) by inserting after paragraph (1) the following new
paragraph (2):
``(2) Limitation to 6 percent on debt incurred during
service to consolidate or refinance student loans incurred
before service.--An obligation or liability bearing interest at
a rate in excess of 6 percent per year that is incurred by a
servicemember, or the servicemember and the servicemember's
spouse jointly, during military service to consolidate or
refinance one or more student loans incurred by the
servicemember before such military service shall not bear an
interest at a rate in excess of 6 percent during the period of
military service.'';
(4) in paragraph (3), as redesignated by paragraph (2) of
this subsection, by inserting ``or (2)'' after ``paragraph
(1)''; and
(5) in paragraph (4), as so redesignated, by striking
``paragraph (2)'' and inserting ``paragraph (3)''.
(b) Implementation of Limitation.--Subsection (b) of such section
is amended--
(1) in paragraph (1), by striking ``the interest rate
limitation in subsection (a)'' and inserting ``an interest rate
limitation in paragraph (1) or (2) of subsection (a)''; and
(2) in paragraph (2)--
(A) in the paragraph heading, by striking ``as of
date of order to active duty''; and
(B) by inserting before the period at the end the
following: ``in the case of an obligation or liability
covered by subsection (a)(1), or as of the date the
servicemember (or servicemember and spouse jointly)
incurs the obligation or liability concerned under
subsection (a)(2)''.
(c) Student Loan Defined.--Subsection (d) of such section is
amended by adding at the end the following new paragraph:
``(3) Student loan.--The term `student loan' means the
following:
``(A) A Federal student loan made, insured, or
guaranteed under title IV of the Higher Education Act
of 1965 (20 U.S.C. 1070 et seq.).
``(B) A private student loan as that term is
defined in section 140(a) of the Truth in Lending Act
(15 U.S.C. 1650(a)).''.
SEC. 805. TERMINATION OF RESIDENTIAL LEASES AFTER ASSIGNMENT OR
RELOCATION TO QUARTERS OF UNITED STATES OR HOUSING
FACILITY UNDER JURISDICTION OF UNIFORMED SERVICE.
(a) Termination of Residential Leases.--
(1) In general.--Section 305 of the Servicemembers Civil
Relief Act (50 U.S.C. App. 535) is amended--
(A) in subsection (a)(1)--
(i) in subparagraph (A), by striking ``or''
at the end;
(ii) in subparagraph (B), by striking the
period at the end and inserting ``; or''; and
(iii) by adding at the end the following
new subparagraph:
``(C) in the case of a lease described in
subsection (b)(1) and subparagraph (C) of such
subsection, the date the lessee is assigned to or
otherwise relocates to quarters or a housing facility
as described in such subparagraph.''; and
(B) in subsection (b)(1)--
(i) in subparagraph (A), by striking ``or''
at the end;
(ii) in subparagraph (B), by striking the
period at the end and inserting ``; or''; and
(iii) by adding at the end the following
new subparagraph:
``(C) the lease is executed by or on behalf of a
person who thereafter and during the term of the lease
is assigned to or otherwise relocates to quarters of
the United States or a housing facility under the
jurisdiction of a uniformed service (as defined in
section 101 of title 37, United States Code), including
housing provided under the Military Housing
Privatization Initiative.''.
(2) Manner of termination.--Subsection (c)(1) of such
section is amended--
(A) in subparagraph (A)--
(i) by inserting ``in the case of a lease
described in subsection (b)(1) and subparagraph
(A) or (B) of such subsection,'' before ``by
delivery''; and
(ii) by striking ``and'' at the end;
(B) by redesignating subparagraph (B) as
subparagraph (C); and
(C) by inserting after subparagraph (A) the
following new subparagraph (B):
``(B) in the case of a lease described in
subsection (b)(1) and subparagraph (C) of such
subsection, by delivery by the lessee of written notice
of such termination, and a letter from the
servicemember's commanding officer indicating that the
servicemember has been assigned to or is otherwise
relocating to quarters of the United States or a
housing facility under the jurisdiction of a uniformed
service (as defined in section 101 of title 37, United
States Code), to the lessor (or the lessor's grantee),
or to the lessor's agent (or the agent's grantee);
and''.
(b) Definition of Military Orders and Continental United States for
Purposes of Act.--
(1) Transfer of definitions.--Such Act is further amended
by transferring paragraphs (1) and (2) of section 305(i) (50
U.S.C. App. 535(i)) to the end of section 101 (50 U.S.C. App.
511) and redesignating such paragraphs, as so transferred, as
paragraphs (10) and (11).
(2) Conforming amendments.--Such Act is further amended--
(A) in section 305 (50 U.S.C. App. 535), as amended
by paragraph (1), by striking subsection (i); and
(B) in section 705 (50 U.S.C. App. 595), by
striking ``or naval'' both places it appears.
SEC. 806. PROTECTION OF SURVIVING SPOUSE WITH RESPECT TO MORTGAGE
FORECLOSURE.
(a) In General.--Title III of the Servicemembers Civil Relief Act
(50 U.S.C. App. 531 et seq.) is amended by inserting after section 303
(50 U.S.C. App. 533) the following new section:
``SEC. 303A. PROTECTION OF SURVIVING SPOUSE WITH RESPECT TO MORTGAGE
FORECLOSURE.
``(a) In General.--Subject to subsection (b), with respect to a
servicemember who dies while in military service and who has a
surviving spouse who is the servicemember's successor in interest to
property covered under section 303(a), section 303 shall apply to the
surviving spouse with respect to that property during the one-year
period beginning on the date of such death in the same manner as if the
servicemember had not died.
``(b) Notice Required.--
``(1) In general.--To be covered under this section with
respect to property, a surviving spouse shall submit written
notice that such surviving spouse is so covered to the
mortgagee, trustee, or other creditor of the mortgage, trust
deed, or other security in the nature of a mortgage with which
the property is secured.
``(2) Time.--Notice provided under paragraph (1) shall be
provided with respect to a surviving spouse anytime during the
one-year period beginning on the date of death of the
servicemember with respect to whom the surviving spouse is to
receive coverage under this section.
``(3) Address.--Notice provided under paragraph (1) with
respect to property shall be provided via e-mail, facsimile,
standard post, or express mail to facsimile numbers and
addresses, as the case may be, designated by the servicer of
the mortgage, trust deed, or other security in the nature of a
mortgage with which the property is secured.
``(4) Manner.--Notice provided under paragraph (1) shall be
provided in writing by using a form designed under paragraph
(5) or submitting a copy of a Department of Defense or
Department of Veterans Affairs document evidencing the military
service-related death of a spouse while in military service.
``(5) Official forms.--The Secretary of Defense shall
design and distribute an official Department of Defense form
that can be used by an individual to give notice under
paragraph (1).''.
(b) Effective Date.--Section 303A of such Act, as added by
subsection (a), shall apply with respect to deaths that occur on or
after the date of the enactment of this Act.
(c) Clerical Amendment.--The table of contents in section 1(b) of
such Act (50 U.S.C. App. 501) is amended by inserting after the item
relating to section 303 the following new item:
``Sec. 303A. Protection of surviving spouse with respect to mortgage
foreclosure.''.
SEC. 807. IMPROVED PROTECTION OF MEMBERS OF UNIFORMED SERVICES AGAINST
DEFAULT JUDGMENTS.
(a) Modification of Plaintiff Affidavit Filing Requirement.--
Paragraph (1) of section 201(b) of the Servicemembers Civil Relief Act
(50 U.S.C. App. 521(b)) is amended--
(1) by redesignating subparagraphs (A) and (B) as clauses
(i) and (ii), respectively, and indenting such clauses two ems
to the right;
(2) in the matter before clause (i), as redesignated by
paragraph (1), by striking ``In any'' and inserting the
following:
``(A) In general.--In any''; and
(3) by adding at the end the following new subparagraph
(B):
``(B) Due diligence.--Before filing the affidavit,
the plaintiff shall conduct a diligent and reasonable
investigation to determine whether or not the defendant
is in military service, including a search of available
records of the Department of Defense and any other
information reasonably available to the plaintiff. The
affidavit shall set forth all steps taken to determine
the defendant's military status and shall have attached
copies of the records on which the plaintiff relied in
drafting the affidavit.''.
(b) Appointment of Attorney To Represent Defendant in Military
Service.--Paragraph (2) of such section (50 U.S.C. App. 521(b)) is
amended--
(1) by striking ``If in an action'' and inserting the
following:
``(A) In general.--If in an action'';
(2) in subparagraph (A), as designated by paragraph (1), by
striking ``If an attorney'' and inserting the following:
``(C) Limitations on appointed attorney.--If an
attorney'';
(3) by inserting after subparagraph (A), as designated by
paragraph (1), the following new subparagraph:
``(B) Due diligence.--If the court appoints an
attorney to represent the defendant--
``(i) the attorney shall conduct a diligent
and reasonable investigation to determine
whether or not the defendant is in military
service, including a search of available
records of the Department of Defense and any
other information reasonably available to the
attorney; and
``(ii) the plaintiff shall submit to the
attorney such information as the plaintiff may
have concerning the whereabouts or identity of
the defendant.''; and
(4) by adding at the end the following new subparagraph:
``(D) Treatment of attorneys fees.--The reasonable
fees of an attorney appointed to represent a
servicemember shall be treated as costs of court for
court cost purposes, unless the creditor seeks relief
from such charges from the court.''.
SEC. 808. CLARIFICATION REGARDING APPLICATION OF ENFORCEMENT AUTHORITY
OF ATTORNEY GENERAL AND PRIVATE RIGHT OF ACTION UNDER
SERVICEMEMBERS CIVIL RELIEF ACT.
Sections 801 and 802 of the Servicemembers Civil Relief Act (50
U.S.C. App. 597 and 597a) shall apply as if such sections were included
in the enactment of the Soldiers' and Sailors' Civil Relief Act of 1940
(54 Stat. 1178, chapter 888) and included in the restatement of such
Act in Public Law 108-189.
SEC. 809. CLERICAL AMENDMENTS.
(a) In General.--The heading for section 305 of the Servicemembers
Civil Relief Act (50 U.S.C. App. 535) is amended by striking
``residential or motor vehicle leases'' and inserting ``leases of
premises occupied and motor vehicles used''.
(b) Table of Contents.--The table of contents in section 1(b) of
such Act (50 U.S.C. App. 501(b)) is amended by striking the item
relating to section 305 and inserting the following new item:
``Sec. 305. Termination of leases of premises occupied and motor
vehicles used.''.
TITLE IX--OTHER MATTERS
SEC. 901. REPEAL OF CERTAIN REDUCTIONS MADE BY BIPARTISAN BUDGET ACT OF
2013.
(a) Adjustment of Retirement Pay.--Section 403 of the Bipartisan
Budget Act of 2013 (Public Law 113-67) is repealed as of the date of
the enactment of such Act.
(b) Conforming Amendments.--
(1) Applicability to disability and survivor benefits.--
Title X of the Department of Defense Appropriations Act, 2014
(division C of Public Law 113-76) is repealed.
(2) Applicability to members of the armed forces who joined
after january 1, 2014.--Section 2 of Public Law 113-82 is
repealed.
SEC. 902. CONSIDERATION BY SECRETARY OF VETERANS AFFAIRS OF RESOURCES
DISPOSED OF FOR LESS THAN FAIR MARKET VALUE BY
INDIVIDUALS APPLYING FOR PENSION.
(a) Veterans.--Section 1522 is amended--
(1) in subsection (a)--
(A) by inserting ``(1)'' before ``The Secretary'';
and
(B) by adding at the end the following new
paragraph:
``(2)(A) If a veteran otherwise eligible for payment of pension
under section 1513 or 1521 of this title or the spouse of such veteran
disposes of covered resources for less than fair market value on or
after the look-back date described in subparagraph (C)(i), the
Secretary shall deny or discontinue the payment of pension to such
veteran under section 1513 or 1521 of this title, as the case may be,
for months during the period beginning on the date described in
subparagraph (D) and equal to the number of months calculated as
provided in subparagraph (E).
``(B)(i) For purposes of this paragraph, a covered resource is any
resource that was a part of the corpus of the estate of the veteran or,
if the veteran has a spouse, the corpus of the estates of the veteran
and of the veteran's spouse, that the Secretary considers that under
all the circumstances, if the veteran or spouse had not disposed of
such resource, it would be reasonable that the resource (or some
portion of the resource) be consumed for the veteran's maintenance.
``(ii) For purposes of this paragraph, the Secretary may consider,
in accordance with regulations the Secretary shall prescribe, a
transfer of an asset (including a transfer of an asset to an annuity,
trust, or other financial instrument or investment) a disposal of a
covered resource for less than fair market value if such transfer
reduces the amount in the corpus of the estate of the veteran or, if
the veteran has a spouse, the corpus of the estates of the veteran and
of the veteran's spouse, that the Secretary considers, under all the
circumstances, would be reasonable to be consumed for the veteran's
maintenance.
``(C)(i) The look-back date described in this clause is a date that
is 36 months before the date described in clause (ii).
``(ii) The date described in this clause is the date on which the
veteran applies for pension under section 1513 or 1521 of this title
or, if later, the date on which the veteran (or the spouse of the
veteran) disposes of covered resources for less than fair market value.
``(D) The date described in this subparagraph is the first day of
the first month in or after which covered resources were disposed of
for less than fair market value and which does not occur in any other
period of ineligibility under this paragraph.
``(E) The number of months calculated under this subparagraph shall
be equal to--
``(i) the total, cumulative uncompensated value of the
portion of covered resources so disposed of by the veteran (or
the spouse of the veteran) on or after the look-back date
described in subparagraph (C)(i) that the Secretary determines
would reasonably have been consumed for the veteran's
maintenance; divided by
``(ii) the maximum amount of monthly pension that is
payable to a veteran under section 1513 or 1521 of this title,
including the maximum amount of increased pension payable under
such sections on account of family members, but not including
any amount of pension payable under such sections because a
veteran is in need of regular aid and attendance or is
permanently housebound,
rounded down, in the case of any fraction, to the nearest whole number,
but shall not in any case exceed 36 months.'';
(2) in subsection (b)--
(A) by inserting ``(1)'' before ``The Secretary'';
and
(B) by adding at the end the following new
paragraph:
``(2)(A) If a veteran otherwise eligible for payment of increased
pension under subsection (c), (d), (e), or (f) of section 1521 of this
title on account of a child, the spouse of the veteran, or the child
disposes of covered resources for less than fair market value on or
after the look-back date described in subparagraph (C)(i), the
Secretary shall deny or discontinue payment of such increased pension
for months during the period beginning on the date described in
subparagraph (D) and equal to the number of months calculated as
provided in subparagraph (E).
``(B)(i) For purposes of this paragraph, a covered resource is any
resource that was a part of the corpus of the estate of the child that
the Secretary considers that under all the circumstances, if the
veteran, the spouse of the veteran, or the child had not disposed of
such resource, it would be reasonable that the resource (or some
portion of the resource) be consumed for the child's maintenance.
``(ii) For purposes of this paragraph, the Secretary may consider,
in accordance with regulations the Secretary shall prescribe, a
transfer of an asset (including a transfer of an asset to an annuity,
trust, or other financial instrument or investment) a disposal of a
covered resource for less than fair market value if such transfer
reduces the amount in the corpus of the estate of the child that the
Secretary considers, under all the circumstances, would be reasonable
to be consumed for the child's maintenance.
``(C)(i) The look-back date described in this clause is a date that
is 36 months before the date described in clause (ii).
``(ii) The date described in this clause is the date on which the
veteran applies for payment of increased pension under subsection (c),
(d), (e), or (f) of section 1521 of this title on account of a child
or, if later, the date on which the veteran, the spouse of the veteran,
or the child disposes of covered resources for less than fair market
value.
``(D) The date described in this subparagraph is the first day of
the first month in or after which covered resources were disposed of
for less than fair market value and which does not occur in any other
period of ineligibility under this paragraph.
``(E) The number of months calculated under this subparagraph shall
be equal to--
``(i) the total, cumulative uncompensated value of the
portion of the covered resources so disposed of by the veteran,
the spouse of the veteran, or the child on or after the look-
back date described in subparagraph (C)(i) that the Secretary
determines would reasonably have been consumed for the child's
maintenance; divided by
``(ii) the maximum amount of increased monthly pension that
is payable to a veteran under subsection (c), (d), (e), or (f)
of section 1521 of this title on account of a child,
rounded down, in the case of any fraction, to the nearest whole number,
but shall not in any case exceed 36 months.''; and
(3) by adding at the end the following new subsection:
``(c)(1)(A) The Secretary shall not deny or discontinue payment of
pension under section 1513 or 1521 of this title or payment of
increased pension under subsection (c), (d), (e), or (f) of section
1521 of this title on account of a child by reason of the application
of subsection (a)(2) or (b)(2) of this section to the disposal of
resources by an individual--
``(i) if--
``(I) a satisfactory showing is made to the
Secretary (in accordance with regulations promulgated
by the Secretary) that all resources disposed of for
less than fair market value have been returned to the
individual who disposed of the resources; or
``(II) the Secretary determines, under procedures
established by the Secretary in accordance with
subparagraph (B), that the denial or discontinuance of
payment would work an undue hardship; or
``(ii) to the extent that any portion of the resources
disposed of for less than fair market value have been returned
to the individual who disposed of the resources.
``(B) Undue hardship would be worked by the denial or
discontinuance of payment for purposes of subparagraph (A)(i)(II) if
the denial or discontinuance of payment would deprive the individual
during the period of denial or discontinuance--
``(i) of medical care such that the individual's life or
health would be endangered;
``(ii) of necessary food or clothing, or other necessities
of life; or
``(iii) on such other basis as the Secretary shall specify
in the procedures required by subparagraph (A)(i)(II).
``(C) If payment of pension or increased pension that would
otherwise be denied or discontinued by reason of the application of
subsection (a)(2) or (b)(2) is denied or discontinued only in part by
reason of the return of resources as described in subparagraph (A)(ii),
the period of the denial or discontinuance as determined pursuant to
subparagraph (E) of subsection (a)(2) or (b)(2), as applicable, shall
be recalculated to take into account such return of resources.
``(2) At the time a veteran applies for pension under section 1513
or 1521 of this title or increased pension under subsection (c), (d),
(e), or (f) of section 1521 of this title on account of a child, and at
such other times as the Secretary considers appropriate, the Secretary
shall--
``(A) inform such veteran of the provisions of subsections
(a)(2) and (b)(2) providing for a period of ineligibility for
payment of pension under such sections for individuals who make
certain dispositions of resources for less than fair market
value, including the exception for hardship from such period of
ineligibility;
``(B) obtain from such veteran information which may be
used in determining whether or not a period of ineligibility
for such payments would be required by reason of such
subsections; and
``(C) provide such veteran a timely process for determining
whether or not the exception for hardship shall apply to such
veteran.''.
(b) Surviving Spouses and Children.--Section 1543 is amended--
(1) in subsection (a)--
(A) by redesignating paragraph (2) as paragraph
(3);
(B) by inserting after paragraph (1) the following
new paragraph (2):
``(2)(A) If a surviving spouse otherwise eligible for payment of
pension under section 1541 of this title disposes of covered resources
for less than fair market value on or after the look-back date
described in subparagraph (C)(i), the Secretary shall deny or
discontinue the payment of pension to such surviving spouse under
section 1541 of this title for months during the period beginning on
the date described in subparagraph (D) and equal to the number of
months calculated as provided in subparagraph (E).
``(B)(i) For purposes of this paragraph, a covered resource is any
resource that was a part of the corpus of the estate of the surviving
spouse that the Secretary considers that under all the circumstances,
if the surviving spouse had not disposed of such resource, it would be
reasonable that the resource (or some portion of the resource) be
consumed for the surviving spouse's maintenance.
``(ii) For purposes of this paragraph, the Secretary may consider,
in accordance with regulations the Secretary shall prescribe, a
transfer of an asset (including a transfer of an asset to an annuity,
trust, or other financial instrument or investment) a disposal of a
covered resource for less than fair market value if such transfer
reduces the amount in the corpus of the estate of the surviving spouse
that the Secretary considers, under all the circumstances, would be
reasonable to be consumed for the surviving spouse's maintenance.
``(C)(i) The look-back date described in this clause is a date that
is 36 months before the date described in clause (ii).
``(ii) The date described in this clause is the date on which the
surviving spouse applies for pension under section 1541 of this title
or, if later, the date on which the surviving spouse disposes of
covered resources for less than fair market value.
``(D) The date described in this subparagraph is the first day of
the first month in or after which covered resources were disposed of
for less than fair market value and which does not occur in any other
period of ineligibility under this paragraph.
``(E) The number of months calculated under this subparagraph shall
be equal to--
``(i) the total, cumulative uncompensated value of the
portion of the covered resources so disposed of by the
surviving spouse on or after the look-back date described in
subparagraph (C)(i) that the Secretary determines would
reasonably have been consumed for the surviving spouse's
maintenance; divided by
``(ii) the maximum amount of monthly pension that is
payable to a surviving spouse under section 1541 of this title,
including the maximum amount of increased pension payable under
such section on account of a child, but not including any
amount of pension payable under such section because a
surviving spouse is in need of regular aid and attendance or is
permanently housebound,
rounded down, in the case of any fraction, to the nearest whole number,
but shall not in any case exceed 36 months.''; and
(C) by adding at the end the following new
paragraph:
``(4)(A) If a surviving spouse otherwise eligible for payment of
increased pension under subsection (c), (d), or (e) of section 1541 of
this title on account of a child or the child disposes of covered
resources for less than fair market value on or after the look-back
date described in subparagraph (C)(i), the Secretary shall deny or
discontinue payment of such increased pension for months during the
period beginning on the date described in subparagraph (D) and equal to
the number of months calculated as provided in subparagraph (E).
``(B)(i) For purposes of this paragraph, a covered resource is any
resource that was a part of the corpus of the estate of the child that
the Secretary considers that under all the circumstances, if the
surviving spouse or the child had not disposed of such resource, it
would be reasonable that the resource (or some portion of the resource)
be consumed for the child's maintenance.
``(ii) For purposes of this paragraph, the Secretary may consider,
in accordance with regulations the Secretary shall prescribe, a
transfer of an asset (including a transfer of an asset to an annuity,
trust, or other financial instrument or investment) a disposal of a
covered resource for less than fair market value if such transfer
reduces the amount in the corpus of the estate of the child that the
Secretary considers, under all the circumstances, would be reasonable
to be consumed for the child's maintenance.
``(C)(i) The look-back date described in this clause is a date that
is 36 months before the date described in clause (ii).
``(ii) The date described in this clause is the date on which the
surviving spouse applies for payment of increased pension under
subsection (c), (d), or (e) of section 1541 of this title on account of
a child or, if later, the date on which the surviving spouse (or the
child) disposes of covered resources for less than fair market value.
``(D) The date described in this subparagraph is the first day of
the first month in or after which covered resources were disposed of
for less than fair market value and which does not occur in any other
period of ineligibility under this paragraph.
``(E) The number of months calculated under this clause shall be
equal to--
``(i) the total, cumulative uncompensated value of the
portion of the covered resources so disposed of by the
surviving spouse (or the child) on or after the look-back date
described in subparagraph (C)(i) that the Secretary determines
would reasonably have been consumed for the child's
maintenance; divided by
``(ii) the maximum amount of increased monthly pension that
is payable to a surviving spouse under subsection (c), (d), or
(e) of section 1541 of this title on account of a child,
rounded down, in the case of any fraction, to the nearest whole number,
but shall not in any case exceed 36 months.'';
(2) in subsection (b)--
(A) by inserting ``(1)'' before ``The Secretary'';
and
(B) by adding at the end the following new
paragraph:
``(2)(A) If a child otherwise eligible for payment of pension under
section 1542 of this title or any person with whom such child is
residing who is legally responsible for such child's support disposes
of covered resources for less than fair market value on or after the
look-back date described in subparagraph (C)(i), the Secretary shall
deny or discontinue the payment of pension to such child under section
1542 of this title for months during the period beginning on the date
described in subparagraph (D) and equal to the number of months
calculated as provided in subparagraph (E).
``(B)(i) For purposes of this paragraph, a covered resource is any
resource that was a part of the corpus of the estate of the child or
the corpus of the estate of any person with whom such child is residing
who is legally responsible for such child's support that the Secretary
considers that under all the circumstances, if the child or person had
not disposed of such resource, it would be reasonable that the resource
(or some portion of the resource) be consumed for the child's
maintenance.
``(ii) For purposes of this paragraph, the Secretary may consider,
in accordance with regulations the Secretary shall prescribe, a
transfer of an asset (including a transfer of an asset to an annuity,
trust, or other financial instrument or investment) a disposal of a
covered resource for less than fair market value if such transfer
reduces the amount in the corpus of the estate described in clause (i)
that the Secretary considers, under all the circumstances, would be
reasonable to be consumed for the child's maintenance.
``(C)(i) The look-back date described in this clause is a date that
is 36 months before the date described in clause (ii).
``(ii) The date described in this clause is the date on which the
child applies for pension under section 1542 of this title or, if
later, the date on which the child (or person described in subparagraph
(B)) disposes of covered resources for less than fair market value.
``(D) The date described in this clause is the first day of the
first month in or after which covered resources were disposed of for
less than fair market value and which does not occur in any other
period of ineligibility under this paragraph.
``(E) The number of months calculated under this clause shall be
equal to--
``(i) the total, cumulative uncompensated value of the
portion of the covered resources so disposed of by the child
(or person described in subparagraph (B)) on or after the look-
back date described in subparagraph (C)(i) that the Secretary
determines would reasonably have been consumed for the child's
maintenance; divided by
``(ii) the maximum amount of monthly pension that is
payable to a child under section 1542 of this title,
rounded down, in the case of any fraction, to the nearest whole number,
but shall not in any case exceed 36 months.''; and
(3) by adding at the end the following new subsection:
``(c)(1)(A) The Secretary shall not deny or discontinue payment of
pension under section 1541 or 1542 of this title or payment of
increased pension under subsection (c), (d), or (e) of section 1541 of
this title on account of a child by reason of the application of
subsection (a)(2), (a)(4), or (b)(2) of this section to the disposal of
resources by an individual--
``(i) if--
``(I) a satisfactory showing is made to the
Secretary (in accordance with regulations promulgated
by the Secretary) that all resources disposed of for
less than fair market value have been returned to the
individual who disposed of the resources; or
``(II) the Secretary determines, under procedures
established by the Secretary in accordance with
subparagraph (B), that the denial or discontinuance of
payment would work an undue hardship; or
``(ii) to the extent that any portion of the resources
disposed of for less than fair market value have been returned
to the individual who disposed of the resources.
``(B) Undue hardship would be worked by the denial or
discontinuance of payment for purposes of subparagraph (A)(i)(II) if
the denial or discontinuance of payment would deprive the individual
during the period of denial or discontinuance--
``(i) of medical care such that the individual's life or
health would be endangered;
``(ii) of necessary food or clothing, or other necessities
of life; or
``(iii) on such other basis as the Secretary shall specify
in the procedures required by subparagraph (A)(i)(II).
``(C) If payment of pension or increased pension that would
otherwise be denied or discontinued by reason of the application of
subsection (a)(2), (a)(4), or (b)(2) is denied or discontinued only in
part by reason of the return of resources as described in subparagraph
(A)(ii), the period of the denial or discontinuance as determined
pursuant to subparagraph (E) of subsection (a)(2), (a)(4), or (b)(2),
as applicable, shall be recalculated to take into account such return
of resources.
``(2) At the time a surviving spouse or child applies for pension
under section 1541 or 1542 of this title or increased pension under
subsection (c), (d), or (e) of section 1541 of this title on account of
a child, and at such other times as the Secretary considers
appropriate, the Secretary shall--
``(A) inform such surviving spouse or child of the
provisions of subsections (a)(2), (a)(4), and (b)(2), as
applicable, providing for a period of ineligibility for payment
of pension or increased pension under such sections for
individuals who make certain dispositions of resources for less
than fair market value, including the exception for hardship
from such period of ineligibility;
``(B) obtain from such surviving spouse or child
information which may be used in determining whether or not a
period of ineligibility for such payments would be required by
reason of such subsections; and
``(C) provide such surviving spouse or child a timely
process for determining whether or not the exception for
hardship shall apply to such surviving spouse or child.''.
(c) Effective Date.--Subsections (a)(2), (b)(2), and (c) of section
1522 of title 38, United States Code, as added by subsection (a), and
subsections (a)(2), (a)(4), (b)(2), and (c) of section 1543 of such
title, as added by subsection (b), shall take effect on the date that
is one year after the date of the enactment of this Act and shall apply
with respect to payments of pension and increased pension applied for
after such date and to payments of pension and increased pension for
which eligibility is redetermined after such date, except that no
reduction in pension shall be made under such subsections because of
any disposal of covered resources made before such date.
(d) Annual Reports.--
(1) In general.--Not later than 30 months after the date of
the enactment of this Act and not less frequently than once
each year thereafter through 2018, the Secretary of Veterans
Affairs shall submit to the appropriate committees of Congress
a report on the administration of subsections (a)(2), (b)(2),
and (c) of section 1522 of title 38, United States Code, as
added by subsection (a), and subsections (a)(2), (a)(4),
(b)(2), and (c) of section 1543 of such title, as added by
subsection (b), during the most recent 12-month period.
(2) Elements.--Each report submitted under paragraph (1)
shall include the following, for the period covered by the
report:
(A) The number of individuals who applied for
pension under chapter 15 of such title.
(B) The number of individuals who received pension
under such chapter.
(C) The number of individuals with respect to whom
the Secretary denied or discontinued payment of pension
under the subsections referred to in paragraph (1).
(D) A description of any trends identified by the
Secretary regarding pension payments that have occurred
as a result of the amendments made by this section.
(E) Such other information as the Secretary
considers appropriate.
(3) Appropriate committees of congress defined.--In this
subsection, the term ``appropriate committees of Congress''
means--
(A) the Committee on Veterans' Affairs and the
Special Committee on Aging of the Senate; and
(B) the Committee on Veterans' Affairs of the House
of Representatives.
SEC. 903. EXTENSION OF REDUCED PENSION FOR CERTAIN VETERANS COVERED BY
MEDICAID PLANS FOR SERVICES FURNISHED BY NURSING
FACILITIES.
(a) In General.--Subsection (d)(7) of section 5503 is amended by
striking ``November 30, 2016'' and inserting ``September 30, 2023''.
(b) Clerical Amendments.--
(1) Section heading.--The section heading of such section
is amended to read as follows: ``Reduced pension for certain
hospitalized veterans and certain veterans receiving
domiciliary, nursing home, or nursing facility care''.
(2) Table of sections.--The table of sections at the
beginning of chapter 55 is amended by striking the item
relating to section 5503 and inserting the following new item:
``5503. Reduced pension for certain hospitalized veterans and certain
veterans receiving domiciliary, nursing
home, or nursing facility care.''.
SEC. 904. CONDITIONS ON AWARD OF PER DIEM PAYMENTS BY SECRETARY OF
VETERANS AFFAIRS FOR PROVISION OF HOUSING OR SERVICES TO
HOMELESS VETERANS.
(a) Condition.--
(1) In general.--Section 2012(c)(1) is amended by striking
``unless the facilities'' and all that follows through ``may
specify.'' and inserting the following: ``unless the Secretary
certifies the following:
``(A) That the building where the grant recipient or
eligible entity provides housing or services for which the
grant recipient or eligible entity would receive such payment
is in compliance with the codes relevant to the operations and
level of care provided, including applicable provisions of the
most recently published version of the Life Safety Code of the
National Fire Protection Association or such other comparable
fire and safety requirements as the Secretary may specify.
``(B) That such building and such housing or services are
in compliance with licensing requirements, fire and safety
requirements, and any other requirements in the jurisdiction in
which the building is located regarding the condition of the
building and the provision of such housing or services.''.
(2) Effective date.--The amendment made by paragraph (1)
shall apply with respect to an application for a per diem
payment under section 2012 of title 38, United States Code,
submitted on or after the date of the enactment of this Act.
(b) Annual Inspections Required.--Section 2012 is amended by
striking subsection (b) and inserting the following new subsection (b):
``(b)(1) Not less frequently than once each fiscal year, the
Secretary shall inspect each facility of each grant recipient or entity
eligible for payments under subsection (a) at which the recipients and
entities provide services under section 2011 of this title or this
section.
``(2) Except as provided in paragraph (1), inspections made under
such paragraph shall be made at such times as the Secretary considers
necessary.
``(3) An inspection of a facility of a recipient or entity
described in paragraph (1) made under such paragraph may be made with
or without prior notice to the recipient or entity, as the Secretary
considers appropriate.
``(4) No per diem payment may be provided to a grant recipient or
eligible entity under this section unless the facilities of the grant
recipient or eligible entity meet such standards as the Secretary shall
prescribe.''.
(c) Revocation of Certification Authorized.--Subsection (c) of such
section is amended--
(1) by redesignating paragraphs (2) and (3) as paragraphs
(4) and (5), respectively;
(2) in paragraph (1), as amended by subsection (a)(1), by
striking ``in paragraph (2)'' and inserting ``in paragraph
(4)''; and
(3) by inserting after paragraph (1) the following new
paragraph (2):
``(2) The Secretary may revoke any certification made under
paragraph (1) if the Secretary determines that such certification is no
longer accurate.''.
(d) Congressional Notification of Termination of Per Diem
Required.--Such subsection is further amended by inserting after
paragraph (2) the following new paragraph (3):
``(3) Not later than 30 days after the date on which the Secretary
terminates provision of per diem payment under this section to a grant
recipient or an eligible entity, the Secretary shall submit to the
Committee on Veterans' Affairs of the Senate and the Committee on
Veterans' Affairs of the House of Representatives notice of such
termination if such termination were made because a facility of the
grant recipient or eligible entity did not comply with--
``(A) an applicable provision of the most recently
published version of the Life Safety Code of the National Fire
Protection Association or such other comparable fire and safety
requirement as the Secretary has specified; or
``(B) a licensing requirement, fire or safety requirement,
or another requirement in the jurisdiction in which the
facility is located regarding the condition of the facility.''.
(e) Treatment of Current Recipients of Per Diem Payments.--
(1) Assessment.--In the case of the recipient of a per diem
payment under section 2012 of title 38, United States Code,
that receives such a payment during the year in which this Act
is enacted for the provision of housing or services, the
Secretary of Veterans Affairs shall assess whether the building
where such housing or services are provided is and whether the
housing and services are in compliance as required by section
2012(c)(1) of such title, as amended by subsection (a)(1).
(2) Failure to comply.--In the case described in paragraph
(1), if the Secretary does not certify the compliance of the
building and the housing or services under such section before
the date that is two years after the date of the enactment of
this Act, the Secretary may not make any additional per diem
payments to the recipient for the provision of such housing or
services under section 2012 of such title until the Secretary
certifies that such building is and such housing or services
are in compliance.
(f) Conforming Condition on Award of Grants by Secretary of
Veterans Affairs for Comprehensive Service Programs.--Section
2011(b)(5)(A) is amended by inserting ``, including housing and
building codes,''.
SEC. 905. EXCEPTION TO CERTAIN RECAPTURE REQUIREMENTS AND TREATMENT OF
CONTRACTS AND GRANTS WITH STATE HOMES WITH RESPECT TO
CARE FOR HOMELESS VETERANS.
(a) Exception to Certain Recapture Requirements.--Section 8136(b)
is amended by inserting ``, or the provision of services or conduct of
a program pursuant to a contract or grant issued or awarded by the
Secretary under subchapter II of chapter 20 or section 2031(a)(2) of
this title,'' after ``outpatient clinic''.
(b) Construction.--The amendment made by subsection (a) may not be
construed to authorize the Secretary of Veterans Affairs to enter into
a contract with a State home or award a grant to a State home for the
furnishing of residential care for a veteran without--
(1) identifying a substantial need for such care; and
(2) determining that the State home is the most appropriate
provider of such care.
SEC. 906. EXTENDED PERIOD FOR SCHEDULING OF MEDICAL EXAMS FOR VETERANS
RECEIVING TEMPORARY DISABILITY RATINGS FOR SEVERE MENTAL
DISORDERS.
Section 1156(a)(3) is amended by striking ``six months'' and
inserting ``18 months''.
SEC. 907. AUTHORITY TO ISSUE VETERANS ID CARDS.
(a) Authority.--
(1) In general.--The Secretary of Veterans Affairs may
issue a card to a veteran that identifies the veteran as a
veteran and includes a photo of the veteran and the name of the
veteran.
(2) No requirement for enrollment or receipt of benefits.--
The Secretary may issue a card under paragraph (1) to a
veteran, whether or not such veteran is--
(A) enrolled in the system of annual patient
enrollment established under section 1705(a) of title
38, United States Code; or
(B) in receipt of educational assistance,
compensation, or pension under laws administered by the
Secretary.
(3) Designation.--A card issued under paragraph (1) may be
known as a ``Veterans ID Card''.
(b) Recognition of Veterans ID Cards for Reduced Pricing of
Pharmaceuticals, Consumer Products, and Services.--The Secretary may
work with national retail chains that offer reduced prices on
pharmaceuticals, consumer products, and services to veterans to ensure
that such retail chains recognize cards issued under subsection (a)(1)
for purposes of offering reduced prices on pharmaceuticals, consumer
products, and services.
(c) Veteran Defined.--In this section, the term ``veteran'' has the
meaning given the term in section 101 of title 38, United States Code.
(d) Effective Date.--This section shall take effect on the date
that is one year after the date of the enactment of this Act.
SEC. 908. HONORING AS VETERANS CERTAIN PERSONS WHO PERFORMED SERVICE IN
THE RESERVE COMPONENTS OF THE ARMED FORCES.
Any person who is entitled under chapter 1223 of title 10, United
States Code, to retired pay for nonregular service or, but for age,
would be entitled under such chapter to retired pay for nonregular
service shall be honored as a veteran but shall not be entitled to any
benefit by reason of this honor.
SEC. 909. EXTENSION OF AUTHORITY FOR SECRETARY OF VETERANS AFFAIRS TO
OBTAIN INFORMATION FROM SECRETARY OF THE TREASURY AND
COMMISSIONER OF SOCIAL SECURITY FOR INCOME VERIFICATION
PURPOSES.
Section 5317(g) is amended by striking ``September 30, 2016'' and
inserting ``September 30, 2018''.
SEC. 910. EXTENSION OF AUTHORITY FOR SECRETARY OF VETERANS AFFAIRS TO
ISSUE AND GUARANTEE CERTAIN LOANS.
Section 3729(b)(2) is amended--
(1) in subparagraph (A)--
(A) in clause (iii), by striking ``October 1,
2017'' and inserting ``September 30, 2023''; and
(B) in clause (iv), by striking ``October 1, 2017''
and inserting ``September 30, 2023'';
(2) in subparagraph (B)--
(A) in clause (i), by striking ``October 1, 2017''
and inserting ``September 30, 2023''; and
(B) in clause (ii), by striking ``October 1, 2017''
and inserting ``September 30, 2023'';
(3) in subparagraph (C)--
(A) in clause (i), by striking ``October 1, 2017''
and inserting ``September 30, 2023''; and
(B) in clause (ii), by striking ``October 1, 2017''
and inserting ``September 30, 2023''; and
(4) in subparagraph (D)--
(A) in clause (i), by striking ``October 1, 2017''
and inserting ``September 30, 2023''; and
(B) in clause (ii), by striking ``October 1, 2017''
and inserting ``September 30, 2023''.
SEC. 911. ELIGIBILITY FOR INTERMENT IN NATIONAL CEMETERIES FOR CERTAIN
NATURALIZED INDIVIDUALS.
(a) In General.--Section 2402(a) is amended by adding at the end
the following new paragraph:
``(10) Any individual--
``(A) who--
``(i) was naturalized pursuant to section
2(1) of the Hmong Veterans' Naturalization Act
of 2000 (Public Law 106-207; 8 U.S.C. 1423
note); and
``(ii) at the time of the individual's
death resided in the United States; or
``(B) who--
``(i) the Secretary determines served with
a special guerrilla unit or irregular forces
operating from a base in Laos in support of the
Armed Forces of the United States at any time
during the period beginning February 28, 1961,
and ending May 7, 1975; and
``(ii) at the time of the individual's
death--
``(I) was a citizen of the United
States or an alien lawfully admitted
for permanent residence in the United
States; and
``(II) resided in the United
States.''.
(b) Effective Date.--The amendment made by subsection (a) shall
apply with respect to an individual dying on or after the date of the
enactment of this Act.
SEC. 912. CANADIAN FORCES BASE GAGETOWN INDEPENDENT STUDY AND REGISTRY.
(a) Independent Study.--
(1) In general.--The Secretary of Veterans Affairs shall
provide for a study on the potential exposure of individuals to
toxic substances or environmental hazards related to service at
Canadian Forces Base Gagetown, New Brunswick, Canada, at any
time during the period beginning on January 1, 1956, and ending
on December 31, 2006.
(2) Elements.--The study required by paragraph (1) shall--
(A) assess the health risks associated with the
exposure of individuals to toxic substances or
environmental hazards described in paragraph (1); and
(B) determine if a registry of individuals who were
exposed to toxic substances or environmental hazards
during service at Canadian Forces Base Gagetown would
be advisable as an effective tool to assess such health
risks.
(3) Independent entity.--The study required by paragraph
(1) shall be carried out by an entity that--
(A) has experience conducting studies with respect
to the exposure of individuals to toxic substances or
environmental hazards; and
(B) is not affiliated with the Department.
(4) Deadline for completion.--The study required by
paragraph (1) shall be completed not later than 540 days after
the date of the enactment of this Act.
(b) Registry.--
(1) In general.--If the entity that carries out the
independent study provided for under paragraph (1) of
subsection (a) determines pursuant to paragraph (2)(B) of such
subsection that a registry described in such paragraph (2)(B)
would be an effective tool as described in such paragraph
(2)(B), the Secretary may establish and maintain a registry to
be known as the ``Canadian Forces Base Gagetown Health
Registry'' (in this subsection referred to as the
``Registry'').
(2) Contents.--The Registry shall include the following
information:
(A) A list containing the name of each individual
who--
(i) while serving as a member of the Armed
Forces, was stationed at or underwent training
at Canadian Forces Base Gagetown at any time
during the period beginning on January 1, 1956,
and ending on December 31, 2006; and
(ii)(I) applies for care or services from
the Department of Veterans Affairs under
chapter 17 of title 38, United States Code;
(II) files a claim for compensation under
chapter 11 of such title on the basis of any
disability that may be associated with such
service; or
(III) dies and is survived by a spouse,
child, or parent who files a claim for
dependency and indemnity compensation under
chapter 13 of such title on the basis of such
service.
(B) Relevant medical data relating to the health
status of, and other information that the Secretary
considers relevant and appropriate with respect to,
each individual described in subparagraph (A) who--
(i) grants to the Secretary permission to
include such information in the Registry; or
(ii) at the time the name of the individual
is added to the Registry, is deceased.
(3) Consultation with other agencies.--The Secretary of
Veterans Affairs shall consult with the Secretary of Defense
and the heads of other agencies as the Secretary of Veterans
Affairs considers necessary to establish and maintain the
Registry.
SEC. 913. REVIEW OF DETERMINATION OF CERTAIN SERVICE IN PHILIPPINES
DURING WORLD WAR II.
(a) In General.--The Secretary of Veterans Affairs, in consultation
with the Secretary of Defense and such military historians as the
Secretary of Defense recommends, shall review the process used to
determine whether a covered individual served in support of the Armed
Forces of the United States during World War II in accordance with
section 1002(d) of title X of Division A of the American Recovery and
Reinvestment Act of 2009 (Public Law 111-5; 38 U.S.C. 107 note) for
purposes of determining whether such covered individual is eligible for
payments described in such section.
(b) Covered Individuals.--In this section, a covered individual is
any individual who timely submitted a claim for benefits under
subsection (c) of section 1002 of title X of Division A of the American
Recovery and Reinvestment Act of 2009 (Public Law 111-5; 38 U.S.C. 107
note) based on service as described in subsection (d) of that section.
(c) Report.--Not later than 90 days after the date of the enactment
of this Act, the Secretary of Veterans Affairs shall submit to the
Committee on Veterans' Affairs of the Senate and the Committee on
Veterans' Affairs of the House of Representatives a report detailing
any findings, actions taken, or recommendations for legislative action
with respect to the review conducted under subsection (a).
(d) Prohibition on Benefits for Disqualifying Conduct Under New
Process Pursuant to Review.--If pursuant to the review conducted under
subsection (a) the Secretary of Veterans Affairs determines to
establish a new process for the making of payments as described in that
subsection, the process shall include mechanisms to ensure that
individuals are not treated as covered individuals for purposes of such
payments if such individuals engaged in any disqualifying conduct
during service described in that subsection, including collaboration
with the enemy or criminal conduct.
SEC. 914. REVIEW OF DETERMINATION OF CERTAIN SERVICE OF MERCHANT
MARINERS DURING WORLD WAR II.
(a) In General.--The Secretary of Veterans Affairs, in consultation
with the Secretary of Defense, the Secretary of Homeland Security and
such military historians as the Secretary of Defense recommends, shall
review the process used to determine whether an individual performed
service under honorable conditions that satisfies the requirements of a
coastwise merchant seaman who is recognized pursuant to section 401 of
the GI Bill Improvement Act of 1977 (Public Law 95-202; 38 U.S.C. 106
note) as having performed active duty service.
(b) Report.--Not later than 90 days after the date of the enactment
of this Act, the Secretary of Veterans Affairs shall submit to the
Committee on Veterans' Affairs of the Senate and the Committee on
Veterans' Affairs of the House of Representatives a report detailing
any findings, actions taken, or recommendations for legislative action
with respect to the review conducted under subsection (a).
SEC. 915. REPORT ON PRACTICES OF THE DEPARTMENT OF VETERANS AFFAIRS TO
ADEQUATELY PROVIDE SERVICES TO VETERANS WITH HEARING
LOSS.
(a) In General.--Not later than two years after the date of the
enactment of this Act, the Secretary of Veterans Affairs shall submit
to the Committee on Veterans' Affairs of the Senate and the Committee
on Veterans' Affairs of the House of Representatives a report on the
actions taken by the Secretary to implement the findings and
recommendations included in the 2006 report by the Institute of
Medicine of the National Academies entitled ``Noise and Military
Service: Implications for Hearing Loss and Tinnitus'' that was prepared
pursuant to section 104 of the Veterans Benefits Act of 2002 (Public
Law 107-330; 116 Stat. 2822).
(b) Effect of Duty Military Occupational Specialty Noise Exposure
Listing on Receipt of Benefits by Veterans.--
(1) In general.--The Secretary shall include in the report
required by subsection (a) an evaluation of the extent to which
veterans who had a military occupational specialty during
service as a member of the Armed Forces that is not included on
the Duty Military Occupational Specialty Noise Exposure Listing
(in this subsection referred to as the ``MOS List'') are
precluded from receiving benefits related to hearing loss from
the Department of Veterans Affairs.
(2) Data.--The Secretary shall include in the evaluation
required by paragraph (1) the following:
(A) With respect to veterans who had a military
occupational specialty included on the MOS List--
(i) the number of claims for benefits
related to hearing loss from the Department of
Veterans Affairs that were granted; and
(ii) the number of claims for benefits
related to hearing loss from the Department
that were denied.
(B) With respect to veterans who had a military
occupational specialty not included on the MOS List--
(i) the number of claims for benefits
related to hearing loss from the Department
that were granted;
(ii) the number of claims for benefits
related to hearing loss from the Department
that were denied;
(iii) of the number of denied claims under
clause (ii), the number of those claims that
were appealed; and
(iv) of the number of appealed claims under
clause (iii), the number of those appealed
claims that were successfully appealed.
(c) Additional Matters.--The Secretary shall include in the report
required by subsection (a) the following:
(1) In the case of a veteran with unilateral hearing loss,
an explanation of the scientific basis for the practice of the
Department of determining a disability rating level with
respect to hearing based on an examination of that veteran's
healthy ear instead of the injured ear.
(2) An analysis of the reduction in earning capacity for
veterans as a result of unilateral hearing loss, with a focus
on the ability of those veterans--
(A) to detect the direction of sound; and
(B) to understand speech.
(3) An explanation of the rationale for the practice of the
Department of not issuing a compensable rating for hearing loss
at certain levels that are severe enough to require the use of
hearing aids.
(4) A survey of the audiologists that conduct compensation
and pension examinations for the Department to assess the
implementation of the most recent edition of the best practices
manual for hearing loss and tinnitus examinations that includes
the following:
(A) A description of the training received by those
audiologists compared to the methods described in the
most recent edition of the best practices manual for
hearing loss and tinnitus examinations.
(B) An assessment of how those audiologists have
complied with that training.
(C) Whether those audiologists are using a range of
tones up to 8000 hertz to test the hearing of veterans.
(d) Construction.--Nothing in this section shall be construed to
authorize or require the Secretary to defer, delay, or replace the
ongoing efforts of the Secretary to update the schedule of ratings
required by section 1155 of title 38, United States Code.
(e) Effective Date.--This section shall take effect on the date
that is one year after the date of the enactment of this Act.
SEC. 916. REPORT ON JOINT PROGRAMS OF DEPARTMENT OF VETERANS AFFAIRS
AND DEPARTMENT OF DEFENSE WITH RESPECT TO HEARING LOSS OF
MEMBERS OF THE ARMED FORCES AND VETERANS.
(a) In General.--Not later than two years after the date of the
enactment of this Act, the Secretary of Veterans Affairs shall, in
consultation with the Secretary of Defense, submit to Congress a report
that identifies the following:
(1) Goals for the Department of Veterans Affairs and the
Department of Defense for the prevention, early detection, and
treatment of hearing loss by the National Center for
Rehabilitative Auditory Research of the Department of Veterans
Affairs and the Hearing Center of Excellence of the Department
of Defense.
(2) Resources of the Department of Veterans Affairs that
could be made available to assist the Department of Defense in
conducting audiometric tests and tinnitus screenings for
members of the Armed Forces.
(3) Barriers to information being added to the Hearing Loss
and Auditory System Injury Registry required under section
721(c)(1) of the Duncan Hunter National Defense Authorization
Act for Fiscal Year 2009 (Public Law 110-417; 122 Stat. 4506).
(4) Recommendations for any legislative or administrative
actions necessary with respect to the Hearing Loss and Auditory
System Injury Registry--
(A) to assist in achieving the goals specified in
paragraph (1);
(B) to improve the adjudication of claims for
benefits with respect to hearing loss; and
(C) to further the research objectives of the
National Center for Rehabilitative Auditory Research of
the Department of Veterans Affairs and the Hearing
Center of Excellence of the Department of Defense.
(b) Effective Date.--This section shall take effect on the date
that is one year after the date of the enactment of this Act.
SEC. 917. DESIGNATION OF AMERICAN WORLD WAR II CITIES.
(a) In General.--The Secretary of Veterans Affairs shall designate
at least one city in the United States each year as an ``American World
War II City''.
(b) Criteria for Designation.--After the designation made under
subsection (c), the Secretary, in consultation with the Secretary of
Defense, shall make each designation under subsection (a) based on the
following criteria:
(1) Contributions by a city to the war effort during World
War II, including those related to defense manufacturing, bond
drives, service in the Armed Forces, and the presence of
military facilities within the city.
(2) Efforts by a city to preserve the history of the city's
contributions during World War II, including through the
establishment of preservation organizations or museums,
restoration of World War II facilities, and recognition of
World War II veterans.
(c) First American World War II City.--The city of Wilmington,
North Carolina, is designated as an ``American World War II City''.
(d) Expiration of Authority.--The requirements of subsections (a)
and (b) shall terminate on the date that is five years after the date
of the enactment of this Act.
<all>
Introduced in Senate
Read twice and referred to the Committee on Veterans' Affairs.
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