Veterans Prosthetics Advancement and Reform Act

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[S. 2981 Introduced in Senate (IS)]

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119th CONGRESS
  1st Session
                                S. 2981

  To amend title 38, United States Code, to improve the provision of 
 prosthetic and rehabilitative items and services by the Department of 
               Veterans Affairs, and for other purposes.


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

                            October 7, 2025

   Mr. Moran introduced the following bill; which was read twice and 
             referred to the Committee on Veterans' Affairs

_______________________________________________________________________

                                 A BILL


 
  To amend title 38, United States Code, to improve the provision of 
 prosthetic and rehabilitative items and services by the Department of 
               Veterans Affairs, 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.

    This Act may be cited as the ``Veterans Prosthetics Advancement and 
Reform Act''.

SEC. 2. IMPROVEMENTS TO DEPARTMENT OF VETERANS AFFAIRS PROSTHETIC AND 
              REHABILITATIVE ITEMS AND SERVICE.

    (a) In General.--Chapter 17 of title 38, United States Code, is 
amended by inserting after section 1709C the following new section:
``Sec. 1709D. Prosthetic and rehabilitative items and services 
              formulary
    ``(a) In General.--The Secretary shall establish a list of 
prosthetic and rehabilitative items and services, which may be referred 
to as the `Prosthetic and Rehabilitative Items and Services Formulary' 
or the `Formulary', for purposes of furnishing medical services under 
section 1701(6)(F) of this title pursuant to section 1710 of this 
title.
    ``(b) Requirements.--
            ``(1) Input.--In developing the Formulary, the Secretary 
        shall solicit input from veterans and the public.
            ``(2) Availability of items.--The Secretary shall ensure 
        that all items and services included in the Formulary are 
        available at or through all facilities of the Department.
            ``(3) Items to be included.--In developing the Formulary, 
        the Secretary shall rely on the best available evidence to 
        identify which items and services should be included on the 
        Formulary.
    ``(c) Publication and Communication.--
            ``(1) Publication and update.--The Secretary shall publish 
        the Formulary on a website of the Department and shall update 
        the Formulary periodically.
            ``(2) Communication.--The Secretary shall communicate to 
        veterans the contents of the Formulary and information about 
        how to appeal decisions regarding the provision of items and 
        services on the Formulary.
    ``(d) Contracts.--The Secretary shall enter into such contracts as 
the Secretary considers necessary to support the availability of items 
and services included in the Formulary.
    ``(e) Training.--The Secretary shall ensure the availability of 
training on the Formulary for clinicians and other staff of the 
Department.
    ``(f) Exceptions.--
            ``(1) In general.--The Secretary shall establish a process 
        for clinicians of the Department to request, prescribe, and 
        furnish prosthetic and rehabilitative items and services that 
        are not included on the Formulary when medically necessary.
            ``(2) Monitoring of non-formulary items and services.--The 
        Secretary shall monitor requests, prescriptions, and the 
        furnishing of prosthetic and rehabilitative items and services 
        under paragraph (1)--
                    ``(A) to ensure that such items and services are 
                being consistently and appropriately prescribed at all 
                facilities of the Department; and
                    ``(B) to determine whether such items or services 
                should be added to the Formulary.
    ``(g) Consideration.--In developing the Formulary, the Secretary 
shall consider how the approach of the Pharmacy Benefits Management 
Services of the Department for formulary management and medication 
safety can be adapted to support the efficient and effective 
administration of the Formulary.''.
    (b) Clerical Amendment.--The table of sections at the beginning of 
such chapter is amended by inserting after the item relating to section 
1709C the following new item:

``1709D. Prosthetic and rehabilitative items and services formulary''.
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