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Dependable Employment (Cong. Rec., Dec. 16, 2020)

Summary

Page H7169 of the House section of the Congressional Record for December 16, 2020, in interleaved columns, under the heading Dependable Employment. A Clerk's message reports that the Senate passed H.R. 6100, H.R. 7259 and H.R. 8354 without amendment. A speaker remembers the 26 families of Sandy Hook and says over 38,000 people die each year from gun violence, which is that speaker's view. Veterans legislation text on Post-9/11 educational assistance is printed, and Mr. Takano and Mr. David P. Roe each control 20 minutes, with thanks to Chairman Takano and Senator Tester for including a measure in a veterans bill.

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Cite this document

“Dependable Employment (Cong. Rec., Dec. 16, 2020).” Original at www.govinfo.gov. Archived at Pandemic Darlings, https://pandemicdarlings.com/source-documents/crec-crec-2020-12-16-crec-2020-12-16-pt1-pgh7169-4-e5fc5a0ad2/, SHA-256 a378c0f8db0bf25c78c1a71fe467c3709cce343e63c9453b5eb6da7d5c3503a8.

Full text

                                                December 16, 2020                                 CONGRESSIONAL RECORD — HOUSE                                                                        H7169
                                                community and honor the precious                         That the Senate passed without amend-                 Sec. 1009. Clarification of educational assist-
                                                memory of their children and edu-                       ment H.R. 6100.                                                      ance for individuals who pursue
                                                                                                         That the Senate passed without amend-                               an approved program of edu-
                                                cators.                                                 ment H.R. 7259.                                                      cation leading to a degree while
                                                  Mr. Speaker, much needs to be done                     That the Senate passed without amend-                               on active duty.
                                                to ensure that our schools and commu-                   ment H.R. 8354.                                        Sec. 1010. Verification of enrollment for pur-
                                                nities are safe places. We owe it to the                 With best wishes, I am,                                             poses of receipt of Post-9/11 Edu-
                                                26 families from Sandy Hook to work                          Sincerely,                                                      cational Assistance benefits.
                                                together to make this happen. We owe                                        ROBERT F. REEVES,                  Sec. 1011. Clarification regarding the depend-
                                                                                                                                    Deputy Clerk.                            ents to whom entitlement to edu-
                                                it to the over 38,000 people who will die
                                                each year from gun violence to do bet-                                 f                                                     cational assistance may be trans-
                                                ter. We owe it to the 50 million people                                                                                      ferred under the Post 9/11 Edu-
                                                                                                        ANNOUNCEMENT BY THE SPEAKER
                                                                                                                                                                             cational Assistance Program.
                                                who are affected by mental health                                  PRO TEMPORE                                 Sec. 1012. Expansion of reasons for which a
                                                challenges each year. We owe it to our-                   The SPEAKER pro tempore. Pursu-                                    course of education may be dis-
                                                selves, because we are capable of cre-                  ant to clause 8 of rule XX, the Chair                                approved.
                                                ating change.                                           will postpone further proceedings                      Sec. 1013. Oversight of educational institutions
                                                  Mr. Speaker, today, we honor, re-                     today on motions to suspend the rules                                with approved programs: risk-
                                                member, and reflect, and then we get                    on which the yeas and nays are or-                                   based surveys.
                                                back to work.                                                                                                  Sec. 1014. Oversight of educational institutions
                                                                                                        dered.                                                               subject to Government action for
                                                                 f                                        The House will resume proceedings                                  purposes of the educational as-
                                                                                                        on postponed questions at a later time.                              sistance programs of the Depart-
                                                 IN RECOGNITION OF DAWN BAKER
                                                                                                                          f                                                  ment of Veterans Affairs.
                                                  (Mr. CARTER of Georgia asked and                                                                             Sec. 1015. Additional requirement for approval
                                                                                                        DEPENDABLE EMPLOYMENT AND
                                                was given permission to address the                                                                                          of educational institutions for
                                                                                                          LIVING      IMPROVEMENTS           FOR                             purposes of the educational as-
                                                House for 1 minute and to revise and
                                                                                                          VETERANS ECONOMIC RECOVERY                                         sistance programs of the Depart-
                                                extend his remarks.)
                                                                                                          ACT                                                                ment of Veterans Affairs.
                                                  Mr. CARTER of Georgia. Mr. Speak-
                                                                                                          Mr. TAKANO. Mr. Speaker, I move to                   Sec. 1016. Clarification of accreditation for law
                                                er, I rise today to recognize Savannah,                                                                                      schools for purposes of the edu-
                                                Georgia, WTOC news anchor Dawn                          suspend the rules and concur in the
                                                                                                                                                                             cational assistance programs of
                                                Baker for appearing in this year’s                      Senate amendment to the bill (H.R.
                                                                                                                                                                             the Department of Veterans Af-
                                                ‘‘CNN Heroes’’ special. In the special,                 7105) to provide flexibility for the Sec-                            fairs.
                                                she was recognized as the first person                  retary of Veterans Affairs in caring for               Sec. 1017. Clarification of grounds for dis-
                                                to participate in phase 3 of the COVID–                 homeless veterans during a covered                                   approval of a course for purposes
                                                19 vaccine trial in the U.S.                            public health emergency, to direct the                               of the educational assistance pro-
                                                  Local news anchors have thousands                     Secretary of Veterans Affairs to carry                               grams of the Department of Vet-
                                                                                                        out a retraining assistance program for                              erans Affairs.
                                                of viewers, so they have a great respon-                                                                       Sec. 1018. Requirements for educational institu-
                                                                                                        unemployed veterans, and for other
                                                sibility to serve as positive leaders in                                                                                     tions participating in the edu-
                                                                                                        purposes, as amended.
                                                their community. By demonstrating                         The Clerk read the title of the bill.                              cational assistance programs of
                                                the importance and safety of the                          The text of the Senate amendment is                                the Department of Veterans Af-
                                                coronavirus vaccine, which is now                                                                                            fairs.
                                                                                                        as follows:
                                                being distributed across the country,                                                                          Sec. 1019. Overpayments to eligible persons or
                                                                                                          Senate amendment:
                                                Dawn has exemplified the qualities of a                                                                                      veterans.
                                                                                                          Strike all after the enacting clause and in-         Sec. 1020. Improvements to limitation on certain
                                                true leader.                                            sert the following:                                                  advertising, sales, and enrollment
                                                  However, this is not the first time                   SECTION 1. SHORT TITLE; TABLE OF CONTENTS.                           practices.
                                                Dawn has been a hero. Throughout her                      (a) SHORT TITLE.—This Act may be cited as            Sec. 1021. Charge to entitlement to educational
                                                career in journalism, she has blessed                   the ‘‘Johnny Isakson and David P. Roe, M.D.                          assistance for individuals who do
                                                countless lives through her dedication                  Veterans Health Care and Benefits Improvement                        not transfer credits from certain
                                                                                                        Act of 2020’’.                                                       closed or disapproved programs of
                                                to improving her community and the                        (b) TABLE OF CONTENTS.—The table of con-
                                                State of Georgia.                                                                                                            education.
                                                                                                        tents for this Act is as follows:                      Sec. 1022. Department of Veterans Affairs treat-
                                                  Mr. Speaker, I take this time to                      Sec. 1. Short title; table of contents.                              ment of for-profit educational in-
                                                thank all heroes like Dawn Baker for                    Sec. 2. Determination of budgetary effects.                          stitutions converted to nonprofit
                                                stepping up to the plate during an un-                               TITLE I—EDUCATION                                       educational institutions.
                                                precedented time and demonstrating                               Subtitle A—Education Generally                Sec. 1023. Authority of State approving agen-
                                                commitment to a better, healthier                       Sec. 1001. Improvements to Edith Nourse Rogers                       cies to conduct outreach activi-
                                                America.                                                               STEM Scholarship program of De-                       ties.
                                                                                                                       partment of Veterans Affairs.           Sec. 1024. Limitation on colocation and admin-
                                                                 f
                                                                                                        Sec. 1002. Expansion of eligibility for Fry Schol-                   istration of State approving agen-
                                                    COMMUNICATION FROM THE                                             arship to children and spouses of                     cies.
                                                        CLERK OF THE HOUSE                                             certain deceased members of the         Sec. 1025. Elimination of period of eligibility for
                                                                                                                       Armed Forces.                                         training and rehabilitation for
                                                  The SPEAKER pro tempore (Mr.                          Sec. 1003. Period for election to receive benefits                   certain veterans with service-con-
                                                CUELLAR) laid before the House the fol-                                under All-Volunteer Educational                       nected disabilities.
                                                lowing communication from the Clerk                                    Assistance Program of Depart-                   Subtitle B—Pandemic Assistance
                                                of the House of Representatives:                                       ment of Veterans Affairs.
                                                                                                        Sec. 1004. Phase out of All-Volunteer Edu-             Sec. 1101. Definitions.
                                                               OFFICE OF THE CLERK,                                    cational Assistance Program.            Sec. 1102. Continuation of Department of Vet-
                                                            HOUSE OF REPRESENTATIVES,                   Sec. 1005. Requirements for in-State tuition.                        erans Affairs educational assist-
                                                          Washington, DC, December 16, 2020.            Sec. 1006. Expansion of authority for certain                        ance benefits during COVID–19
                                                Hon. NANCY PELOSI,                                                     qualifying work-study activities                      emergency.
                                                The Speaker, House of Representatives,                                 for purposes of the educational         Sec. 1103. Effects of closure of educational in-
                                                Washington, DC.                                                        assistance programs of the De-                        stitution and modification of
                                                  DEAR MADAM SPEAKER: Pursuant to the                                  partment of Veterans Affairs to                       courses by reason of COVID–19
                                                permission granted in Clause 2(h) of Rule II                           include outreach services provided                    emergency.
                                                of the Rules of the U.S. House of Representa-                          through congressional offices.          Sec. 1104. Payment of educational assistance in




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                                                tives, the Clerk received the following mes-            Sec. 1007. Restoration of entitlement to rehabili-                   cases of withdrawal.
                                                sage from the Secretary of the Senate on De-                           tation programs for veterans af-        Sec. 1105. Modification of time limitations on
                                                cember 16, 2020, at 11:30 a.m.:                                        fected by school closure or dis-                      use of entitlement.
                                                  That the Senate passed S. 2032.                                      approval.                               Sec. 1106. Apprenticeship or on-job training re-
                                                  That the Senate passed S. 2054.                       Sec. 1008. Technical correction to clarify eligi-                    quirements.
                                                  That the Senate passed S. 3152.                                      bility for participation in Yellow      Sec. 1107. Inclusion of training establishments
                                                  That the Senate passed without amend-                                Ribbon Program of Department of                       in certain provisions related to
                                                ment H.R. 4356.                                                        Veterans Affairs.                                     COVID–19 emergency.




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                                                H7170                                             CONGRESSIONAL RECORD — HOUSE                                                       December 16, 2020
                                                Sec. 1108. Treatment of payment of allowances                       TITLE III—HEALTH CARE                       Sec. 4205. Repeal of sunset on authority to
                                                               under        Student       Veteran                 Subtitle A—Health Care Generally                             carry out program of referral and
                                                               Coronavirus Response Act.                                                                                       counseling services for veterans at
                                                                                                        Sec. 3001. Expansion of modifications to Vet-                          risk for homelessness who are
                                                             TITLE II—BENEFITS
                                                                                                                      eran Directed Care program.                              transitioning from certain institu-
                                                         Subtitle A—Benefits Generally                  Sec. 3002. Prohibition on collection of a health                       tions.
                                                Sec. 2001. Revision of definition of Vietnam era                      care copayment by the Secretary           Sec. 4206. Coordination of case management
                                                               for purposes of the laws adminis-                      of Veterans Affairs from a veteran                       services for veterans receiving
                                                               tered by the Secretary of Veterans                     who is a member of an Indian                             housing vouchers under Tribal
                                                               Affairs.                                               tribe.                                                   Housing and Urban Development-
                                                Sec. 2002. Matters relating to Department of            Sec. 3003. Oversight for State homes regarding                         Veterans Affairs Supportive Hous-
                                                               Veterans Affairs medical dis-                          COVID–19 infections, response ca-                        ing program.
                                                               ability examinations.                                  pacity, and staffing levels.              Sec. 4207. Contracts relating to case managers
                                                Sec. 2003. Medal of Honor special pension for                                                                                  for homeless veterans in sup-
                                                                                                        Sec. 3004. Grants for State homes located on
                                                               surviving spouses.                                                                                              ported housing program.
                                                                                                                      tribal lands.
                                                Sec. 2004. Modernization of service-disabled vet-                                                               Sec. 4208. Report on staffing of Department of
                                                               erans insurance.                         Sec. 3005. Continuation of Women’s Health
                                                                                                                                                                               Housing and Urban Development-
                                                Sec. 2005. Denial of claims for traumatic injury                      Transition Training program of
                                                                                                                                                                               Department of Veterans Affairs
                                                               protection under Servicemembers’                       Department of Veterans Affairs.
                                                                                                                                                                               supported housing program.
                                                               Group Life Insurance.                    Sec. 3006. Authority for Secretary of Veterans
                                                                                                                                                                 Subtitle C—Retraining Assistance for Veterans
                                                Sec. 2006. Publication and acceptance of dis-                         Affairs to furnish medically nec-
                                                                                                                      essary transportation for newborn         Sec. 4301. Access for the Secretaries of Labor
                                                               ability benefit questionnaire forms
                                                                                                                      children of certain women vet-                           and Veterans Affairs to the Fed-
                                                               of Department of Veterans Af-
                                                                                                                      erans.                                                   eral directory of new hires.
                                                               fairs.                                                                                           Sec. 4302. Expansion of eligible class of pro-
                                                Sec. 2007. Threshold for reporting debts to con-        Sec. 3007. Waiver of requirements of Depart-
                                                                                                                                                                               viders of high technology pro-
                                                               sumer reporting agencies.                              ment of Veterans Affairs for re-
                                                                                                                                                                               grams of education for veterans.
                                                Sec. 2008. Removal of dependents from award of                        ceipt of per diem payments for            Sec. 4303. Pilot program for off-base transition
                                                               compensation or pension.                               domiciliary care at State homes                          training for veterans and spouses.
                                                Sec. 2009. Eligibility for dependency and indem-                      and modification of eligibility for       Sec. 4304. Grants for provision of transition as-
                                                               nity compensation for surviving                        such payments.                                           sistance to members of the Armed
                                                               spouses who remarry after age 55.        Sec. 3008. Expansion of quarterly update of in-                        Forces after separation, retire-
                                                Sec. 2010. Study on exposure by members of the                        formation on staffing and vacan-                         ment, or discharge.
                                                               Armed Forces to toxicants at                           cies at facilities of the Department      Sec. 4305. One-year independent assessment of
                                                               Karshi-Khanabad Air Base in Uz-                        of Veterans Affairs to include in-                       the effectiveness of Transition As-
                                                               bekistan.                                              formation on duration of hiring                          sistance Program.
                                                Sec. 2011. Comptroller General briefing and re-                       process.                                  Sec. 4306. Longitudinal study on changes to
                                                               port on repealing manifestation          Sec. 3009. Requirement for certain Department                          Transition Assistance Program.
                                                               period for presumptions of service                     of Veterans Affairs medical facili-               TITLE V—DEBORAH SAMPSON
                                                               connection for certain diseases as-                    ties to have physical location for        Sec. 5001. Short title.
                                                               sociated with exposure to certain                      the disposal of controlled sub-               Subtitle A—Improving Access for Women
                                                               herbicide agents.                                      stances medications.                       Veterans to the Department of Veterans Affairs
                                                Sec. 2012. Extension of authority of Secretary of       Sec. 3010. Department of Veterans Affairs pilot
                                                               Veterans Affairs to use income in-                                                               Sec. 5101. Office of Women’s Health in Depart-
                                                                                                                      program for clinical observation                         ment of Veterans Affairs.
                                                               formation from other agencies.                         by undergraduate students.
                                                Sec. 2013. Extension on certain limits on pay-                                                                  Sec. 5102. Women veterans retrofit initiative.
                                                                                                                 Subtitle B—Scheduling and Consult              Sec. 5103. Establishment of environment of care
                                                               ments of pension.
                                                                                                                            Management                                         standards and inspections at De-
                                                               Subtitle B—Housing                                                                                              partment of Veterans Affairs med-
                                                Sec. 2101. Eligibility of certain members of the        Sec. 3101. Process and requirements for sched-                         ical centers.
                                                               reserve components of the Armed                        uling appointments for health             Sec. 5104. Provision of reintegration and read-
                                                               Forces for home loans from the                         care from Department of Veterans                         justment services to veterans and
                                                               Secretary of Veterans Affairs.                         Affairs    and    non-Department                         family members in group retreat
                                                Sec. 2102. Reducing loan fees for certain vet-                        health care.                                             settings.
                                                               erans affected by major disasters.       Sec. 3102. Audits regarding scheduling of ap-           Sec. 5105. Provision of legal services for women
                                                Sec. 2103. Extension of certain housing loan                          pointments and management of                             veterans.
                                                               fees.                                                  consultations for health care from        Sec. 5106. Comptroller General surveys and re-
                                                Sec. 2104. Collection of overpayments of spe-                         Department of Veterans Affairs                           port on supportive services pro-
                                                               cially adapted housing assistance.                     and non-Department health care.                          vided for very low-income women
                                                                                                        Sec. 3103. Administration of non-Department of                         veterans.
                                                           Subtitle C—Burial Matters                                                                            Sec. 5107. Programs on assistance for child care
                                                                                                                      Veterans Affairs health care.
                                                Sec. 2201. Transportation of deceased veterans                                                                                 for certain veterans.
                                                                                                        Sec. 3104. Examination of health care consulta-
                                                               to veterans’ cemeteries.                                                                         Sec. 5108. Availability of prosthetics for women
                                                                                                                      tion and scheduling positions of
                                                Sec. 2202. Increase in certain funeral benefits                                                                                veterans from Department of Vet-
                                                                                                                      Department of Veterans Affairs.
                                                               under laws administered by the                                                                                  erans Affairs.
                                                               Secretary of Veterans Affairs.                 TITLE IV—NAVY SEAL BILL MULDER                    Sec. 5109. Requirement to improve Department
                                                Sec. 2203. Outer burial receptacles for each new        Sec. 4001. Short title.                                                of Veterans Affairs women vet-
                                                               grave in cemeteries that are the                                                                                erans call center.
                                                               subjects of certain grants made by        Subtitle A—Service-connection and COVID–19             Sec. 5110. Study on infertility services furnished
                                                               the Secretary of Veterans Affairs.       Sec. 4101. Presumptions of service-connection                          at Department of Veterans Af-
                                                Sec. 2204. Provision of inscriptions for spouses                      for members of Armed Forces who                          fairs.
                                                               and      children     on    certain                    contract Coronavirus Disease 2019         Sec. 5111. Sense of Congress on access to facili-
                                                               headstones and markers furnished                       under certain circumstances.                             ties of Department of Veterans Af-
                                                               by the Secretary of Veterans Af-                                                                                fairs by reservists for counseling
                                                                                                             Subtitle B—Assistance for Homeless Veterans
                                                               fairs.                                                                                                          and treatment relating to military
                                                Sec. 2205. Aid to counties for establishment, ex-       Sec. 4201. Flexibility for the Secretary of Vet-                       sexual trauma.
                                                               pansion, and improvement of vet-                       erans Affairs in caring for home-               Subtitle B—Increasing Staff Cultural
                                                               erans’ cemeteries.                                     less veterans during a covered                                Competency
                                                Sec. 2206. Increase in maximum amount of                              public health emergency.
                                                                                                                                                                Sec. 5201. Staffing of women’s health primary
                                                               grants to States, counties, and          Sec. 4202. Legal services for homeless veterans                        care providers at medical facilities
                                                               tribal organizations for operating                     and veterans at risk for homeless-                       of Department of Veterans Af-
                                                               and maintaining veterans’ ceme-                        ness.                                                    fairs.




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                                                               teries.                                  Sec. 4203. Gap analysis of Department of Vet-           Sec. 5202. Additional funding for primary care
                                                Sec. 2207. Provision of urns and commemorative                        erans Affairs programs that pro-                         and emergency care clinicians in
                                                               plaques for remains of certain vet-                    vide assistance to women veterans                        Women Veterans Health Care
                                                               erans whose cremated remains are                       who are homeless.                                        Mini-Residency Program.
                                                               not interred in certain cemeteries.      Sec. 4204. Improvements to grants awarded by            Sec. 5203. Establishment of women veteran
                                                Sec. 2208. Training of State and tribal veterans’                     the Secretary of Veterans Affairs                        training module for non-Depart-
                                                               cemetery personnel by National                         to entities that provide services to                     ment of Veterans Affairs health
                                                               Cemetery Administration.                               homeless veterans.                                       care providers.




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                                                December 16, 2020                                 CONGRESSIONAL RECORD — HOUSE                                                                         H7171
                                                Sec. 5204. Study on staffing of women veteran                   TITLE VII—OTHER MATTERS                           (C) by redesignating subclauses (X) and (XI)
                                                               program manager program at                Subtitle A—Administrative and Other Matters           as subclauses (IX) and (X), respectively;
                                                               medical centers of Department of                                                                   (2) in subparagraph (B)—
                                                                                                        Sec. 7001. Medical examination protocol for vol-          (A) by inserting ‘‘covered clinical training
                                                               Veterans Affairs and training of                        unteer drivers participating in
                                                               staff.                                                                                          program for health care professionals or a’’ be-
                                                                                                                       program of transportation services      fore ‘‘program of education’’; and
                                                Sec. 5205. Study on Women Veteran Coordi-
                                                                                                                       for veterans.                              (B) by striking the period at the end and in-
                                                               nator program.                           Sec. 7002. Department of Veterans Affairs Advi-
                                                Sec. 5206. Staffing improvement plan for peer                                                                  serting ‘‘; or’’; and
                                                                                                                       sory Committee on Tribal and In-           (3) by adding at the end the following new
                                                               specialists of Department of Vet-
                                                                                                                       dian Affairs.                           subparagraph:
                                                               erans Affairs who are women.             Sec. 7003. Preference for offerors employing vet-         ‘‘(C) is an individual who has earned a grad-
                                                    Subtitle C—Eliminating Harassment and                              erans.                                  uate degree in a field referred to in subpara-
                                                                      Assault                           Sec. 7004. Extension of certain employment and         graph (A)(i) and is enrolled in a covered clinical
                                                Sec. 5301. Expansion of coverage by Department                         reemployment rights to members          training program for health care profes-
                                                               of Veterans Affairs of counseling                       of the National Guard who per-          sionals.’’.
                                                               and treatment for sexual trauma.                        form State active duty.                    (b) PRIORITY.—Subsection (c) of such section
                                                Sec. 5302. Assessment of effects of intimate part-      Sec. 7005. Repayment of misused benefits.              is amended to read as follows:
                                                               ner violence on women veterans           Sec. 7006. Exemption of certain transfers.                ‘‘(c) PRIORITY.—(1) If the Secretary deter-
                                                               by Advisory Committee on Women           Sec. 7007. Report and planned actions of the           mines that there are insufficient funds available
                                                               Veterans.                                               Secretary of Veterans Affairs to        in a fiscal year to provide additional benefits
                                                Sec. 5303. Anti-harassment and anti-sexual as-                         address certain high-risk areas of      under this section to all eligible individuals, the
                                                               sault policy of Department of Vet-                      the Department of Veterans Af-          Secretary may give priority to the following eli-
                                                               erans Affairs.                                          fairs.                                  gible individuals:
                                                Sec. 5304. Pilot program on assisting veterans          Sec. 7008. Annual report by Secretary of Vet-             ‘‘(A) Individuals who require the most credit
                                                               who experience intimate partner                         erans Affairs on implementation         hours described in subsection (b)(4).
                                                               violence or sexual assault.                             of priority recommendations of             ‘‘(B) Individuals who are entitled to edu-
                                                Sec. 5305. Study and task force on veterans ex-                        Comptroller General of the United       cational assistance under this chapter by reason
                                                               periencing intimate partner vio-                        States pertaining to Department         of paragraph (1), (2), (8), or (9) of section 3311(b)
                                                               lence or sexual assault.                                of Veterans Affairs.                    of this title.
                                                   Subtitle D—Data Collection and Reporting             Sec. 7009. Clarification of methods used to mon-          ‘‘(2) The Secretary shall give priority to indi-
                                                                                                                       itor compliance with certain limi-      viduals under paragraph (1) in the following
                                                Sec. 5401. Requirement for collection and anal-
                                                                                                                       tations on subcontracting.              order:
                                                               ysis of data on Department of
                                                                                                        Sec. 7010. Department of Veterans Affairs re-             ‘‘(A) Individuals who are enrolled in a pro-
                                                               Veterans Affairs benefits and
                                                                                                                       quirement to provide certain no-        gram of education leading to an undergraduate
                                                               services and disaggregation of
                                                                                                                       tice to persons filing claims for       degree in a field referred to in subsection
                                                               such data by gender, race, and
                                                                                                                       damage, injury, or death on             (b)(4)(A)(i).
                                                               ethnicity.
                                                                                                                       Standard Form 95.                          ‘‘(B) Individuals who are enrolled in a pro-
                                                Sec. 5402. Study on barriers for women veterans
                                                               to receipt of health care from De-       Subtitle B—Matters Relating to the Chief Fi-           gram of education leading to a teaching certifi-
                                                               partment of Veterans Affairs.              nancial Officer of Department of Veterans Af-        cate.
                                                Sec. 5403. Study on feasibility and advisability          fairs                                                   ‘‘(C) Individuals who are enrolled in a dual-
                                                               of offering Parenting STAIR pro-         Sec. 7101. Definitions.                                degree program leading to both an under-
                                                               gram at all medical centers of De-       Sec. 7102. Plans for addressing material weak-         graduate and graduate degree in a field referred
                                                               partment of Veterans Affairs.                           nesses and providing sufficient         to in subsection (b)(4)(A)(i).
                                                                                                                       authority to Chief Financial Offi-         ‘‘(D) Individuals who have earned an under-
                                                          Subtitle E—Benefits Matters                                                                          graduate degree and are enrolled in a covered
                                                                                                                       cer of Department of Veterans Af-
                                                Sec. 5501. Evaluation of service-connection of                                                                 clinical training program for health care profes-
                                                                                                                       fairs.
                                                               mental health conditions relating                                                               sionals.
                                                                                                        Sec. 7103. Chief Financial Officer attestation.
                                                               to military sexual trauma.               Sec. 7104. Chief Financial Officer responsibility         ‘‘(E) Individuals who have earned a graduate
                                                Sec. 5502. Choice of sex of Department of Vet-                                                                 degree and are enrolled in a covered clinical
                                                                                                                       for subordinate chief financial of-
                                                               erans Affairs medical examiner for                                                              training program for health care profes-
                                                                                                                       ficers.
                                                               assessment of claims for com-                                                                   sionals.’’.
                                                               pensation relating to disability re-          Subtitle C—Servicemembers Civil Relief               (c) AMOUNTS NOT SUBJECT TO CERTAIN LIMI-
                                                               sulting from physical assault of a       Sec. 7201. Clarification of delivery of notice of      TATION.—Subsection (d) of such section is
                                                               sexual nature, battery of a sexual                      termination of leases of premises       amended by adding at the end the following
                                                               nature, or sexual harassment.                           and motor vehicles for purposes of      new paragraph:
                                                Sec. 5503. Secretary of Veterans Affairs report                        relief under Servicemembers Civil          ‘‘(4) Notwithstanding any other provision of
                                                               on implementing recommendations                         Relief Act.                             this chapter or chapter 36 of this title, any addi-
                                                               of Inspector General of Depart-          Sec. 7202. Technical correction regarding exten-       tional benefits under this section may not be
                                                               ment of Veterans Affairs in cer-                        sion of lease protections for           counted toward the aggregate period for which
                                                               tain      report      on     denied                     servicemembers under stop move-         section 3695 of this title limits an individual’s re-
                                                               posttraumatic      stress   disorder                    ment orders in response to local,       ceipt of allowance or assistance.’’.
                                                               claims related to military sexual                       national, or global emergency.             (d) COVERED CLINICAL TRAINING PROGRAM
                                                               trauma.                                  SEC. 2. DETERMINATION OF BUDGETARY EF-                 DEFINED.—Such section is further amended by
                                                     TITLE VI—REPRESENTATION AND                                  FECTS.                                       adding at the end the following new subsection:
                                                   FINANCIAL EXPLOITATION MATTERS                         The budgetary effects of this Act, for the pur-         ‘‘(h) COVERED CLINICAL TRAINING PROGRAM
                                                                                                        pose of complying with the Statutory Pay-As-           DEFINED.—In this section, the term ‘covered
                                                Sec. 6001. Short title.                                                                                        clinical training program’ means any clinical
                                                                                                        You-Go Act of 2010, shall be determined by ref-
                                                Sec. 6002. Plan to address the financial exploi-                                                               training required by a health care professional
                                                                                                        erence to the latest statement titled ‘‘Budgetary
                                                               tation of veterans receiving pen-                                                               to be licensed to practice in a State or locality.’’.
                                                                                                        Effects of PAYGO Legislation’’ for this Act, sub-
                                                               sion from the Department of Vet-                                                                SEC. 1002. EXPANSION OF ELIGIBILITY FOR FRY
                                                                                                        mitted for printing in the Congressional Record
                                                               erans Affairs.                                                                                              SCHOLARSHIP TO CHILDREN AND
                                                Sec. 6003. Overpayments of pension to veterans          by the Chairman of the House Budget Com-
                                                                                                        mittee, provided that such statement has been                      SPOUSES OF CERTAIN DECEASED
                                                               receiving pension from the De-                                                                              MEMBERS OF THE ARMED FORCES.
                                                               partment of Veterans Affairs.            submitted prior to the vote on passage.
                                                                                                                                                                 (a) IN GENERAL.—Subsection (b) of section
                                                Sec. 6004. Evaluation of additional actions for                     TITLE I—EDUCATION                          3311 of title 38, United States Code, as amended
                                                               verifying direct deposit informa-                Subtitle A—Education Generally                 by section 105 of the Harry W. Colmery Veterans
                                                               tion provided by veterans on ap-         SEC. 1001. IMPROVEMENTS TO EDITH NOURSE                Educational Assistance Act of 2017 (Public Law
                                                               plications for veterans pension.                     ROGERS STEM SCHOLARSHIP PRO-               115–48), is further amended—
                                                Sec. 6005. Annual report on efforts of Depart-                      GRAM OF DEPARTMENT OF VET-                   (1) by redesignating paragraph (9) as para-
                                                               ment of Veterans Affairs to ad-                      ERANS AFFAIRS.                             graph (11); and
                                                               dress the financial exploitation of        (a) CLARIFICATION AND EXPANSION OF ELIGI-              (2) by inserting after paragraph (8) the fol-




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                                                               veterans receiving pension.              BILITY.—Subsection (b)(4) of section 3320 of title     lowing new paragraphs (9) and (10):
                                                Sec. 6006. Notice regarding fees charged in con-        38, United States Code, is amended—                      ‘‘(9) An individual who is the child or spouse
                                                               nection with filing an application         (1) in subparagraph (A)(i)—                          of a person who, on or after September 11, 2001,
                                                               for veterans pension.                      (A) in the matter preceding subclause (I), by        dies in line of duty while serving on duty other
                                                Sec. 6007. Outreach plan for educating vulner-          inserting ‘‘, or a dual degree program that in-        than active duty as a member of the Armed
                                                               able veterans about potential fi-        cludes such an undergraduate college degree,’’         Forces.
                                                               nancial exploitation relating to         after ‘‘undergraduate college degree’’;                  ‘‘(10) An individual who is the child or spouse
                                                               the receipt of pension.                    (B) by striking subclause (IX); and                  of a member of the Selected Reserve who dies on




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                                                H7172                                             CONGRESSIONAL RECORD — HOUSE                                                      December 16, 2020
                                                or after September 11, 2001, while a member of          to or less than the rate the institution charges         (2) in paragraph (1), by inserting ‘‘for a pe-
                                                the Selected Reserve from a service-connected           for tuition and fees for residents of the State in     riod of more than 30 days’’ after ‘‘active duty’’;
                                                disability.’’.                                          which the institution is located. The Secretary        and
                                                   (b) CONFORMING AMENDMENTS.—Title 38,                 shall disapprove a course of education provided          (3) in paragraph (2), in the matter preceding
                                                United States Code, is amended as follows:              by such an institution that does not provide the       subparagraph (A), by inserting ‘‘for a period of
                                                   (1) In section 3311(f), by striking ‘‘paragraph      Secretary—                                             more than 30 days’’ after ‘‘active duty’’.
                                                (8)’’ each place it appears and inserting ‘‘para-         ‘‘(i) an initial explanation of such require-          (b) EFFECTIVE DATE.—The amendments made
                                                graphs (8), (9), and (10)’’.                            ments; and                                             by subsection (a) shall take effect on August 1,
                                                   (2) In section 3313(c)(1), by striking ‘‘(8), or       ‘‘(ii) not later than 90 days after the date on      2022.
                                                (9)’’ and inserting ‘‘(8), (9), (10), or (11)’’.        which any such requirements change, the up-            SEC. 1010. VERIFICATION OF ENROLLMENT FOR
                                                   (3) In section 3317(a), in the second sentence,      dated requirements.’’.                                             PURPOSES OF RECEIPT OF POST-9/11
                                                by striking ‘‘paragraphs (1), (2), (8), and (9)’’         (b) APPLICATION.—The amendments made by                          EDUCATIONAL ASSISTANCE BENE-
                                                and inserting ‘‘paragraphs (1), (2), (8), (9), (10),    this section shall apply with respect to a quar-                   FITS.
                                                and (11)’’.                                             ter, semester, or term, as applicable, commencing        (a) IN GENERAL.—Section 3313 of title 38,
                                                   (4) In section 3320, as amended by section 1001      on or after August 1, 2021.                            United States Code, is amended by adding at the
                                                of this title, in subsection (c)(1)(B), by striking     SEC. 1006. EXPANSION OF AUTHORITY FOR CER-             end the following new subsection:
                                                ‘‘(8), or (9)’’ and inserting ‘‘(8), (9), (10), or                  TAIN QUALIFYING WORK-STUDY AC-               ‘‘(l) VERIFICATION OF ENROLLMENT.—(1) The
                                                                                                                    TIVITIES FOR PURPOSES OF THE
                                                (11)’’.                                                             EDUCATIONAL    ASSISTANCE       PRO-       Secretary shall require—
                                                   (5) In section 3322—                                             GRAMS OF THE DEPARTMENT OF                   ‘‘(A) each educational institution to submit to
                                                   (A) in subsection (e), by striking both ‘‘sec-                   VETERANS AFFAIRS TO INCLUDE                the Secretary verification of each individual
                                                tions 3311(b)(8) and 3319’’ and inserting ‘‘section                 OUTREACH    SERVICES     PROVIDED          who is enrolled in a course or program of edu-
                                                3319 and paragraph (8), (9), or (10) of section                     THROUGH    CONGRESSIONAL         OF-       cation at the educational institution and is re-
                                                3311 of this title’’;                                               FICES.                                     ceiving educational assistance under this chap-
                                                   (B) in subsection (f), by striking ‘‘section           (a) IN GENERAL.—Section 3485(a)(4) of title 38,      ter—
                                                3311(b)(8)’’ and inserting ‘‘paragraph (8), (9), or     United States Code, is amended by adding at the          ‘‘(i) not later than such time as the Secretary
                                                (10) of section 3311 of this title’’; and               end the following new subparagraph:                    determines reasonable after the date on which
                                                   (C) in subsection (h)(2), by striking ‘‘either         ‘‘(K) The following activities carried out at        the individual is enrolled; and
                                                section 3311(b)(8) or chapter 35’’ and inserting        the offices of Members of Congress for such              ‘‘(ii) not later than such time as the Secretary
                                                ‘‘either chapter 35 or paragraph (8), (9), or (10)      Members:                                               determines reasonable after the last date on
                                                of section 3311’’.                                        ‘‘(i) The distribution of information to mem-        which a student is able to withdraw from the
                                                   (c) APPLICABILITY DATE.—The amendments               bers of the Armed Forces, veterans, and their          course or program of education without penalty;
                                                made by this section shall take effect imme-            dependents about the benefits and services             and
                                                diately after the amendments made by section            under laws administered by the Secretary and             ‘‘(B) each individual who is enrolled in a
                                                105 of the Harry W. Colmery Veterans Edu-               other appropriate governmental and nongovern-          course or program of education and is receiving
                                                cational Assistance Act of 2017 (Public Law 115–        mental programs.                                       educational assistance under this chapter to
                                                48) take effect and shall apply with respect to a         ‘‘(ii) The preparation and processing of papers
                                                                                                                                                               submit to the Secretary verification of such en-
                                                quarter, semester, or term, as applicable, com-         and other documents, including documents to
                                                                                                                                                               rollment for each month during which the indi-
                                                mencing on or after August 1, 2021.                     assist in the preparation and presentation of
                                                                                                                                                               vidual is so enrolled and receiving such edu-
                                                                                                        claims for benefits under laws administered by
                                                SEC. 1003. PERIOD FOR ELECTION TO RECEIVE                                                                      cational assistance.
                                                            BENEFITS UNDER ALL-VOLUNTEER                the Secretary.’’.
                                                                                                          (b) EFFECTIVE DATE.—The amendment made                 ‘‘(2) Verification under this subsection shall
                                                            EDUCATIONAL    ASSISTANCE  PRO-                                                                    be in an electronic form prescribed by the Sec-
                                                            GRAM OF DEPARTMENT OF VET-                  by subsection (a) shall take effect on August 1,
                                                                                                        2021.                                                  retary.
                                                            ERANS AFFAIRS.
                                                                                                        SEC. 1007. RESTORATION OF ENTITLEMENT TO
                                                                                                                                                                 ‘‘(3) If an individual fails to submit the
                                                  (a) IN GENERAL.—Section 3011 of title 38,
                                                                                                                    REHABILITATION PROGRAMS FOR                verification required under paragraph (1)(B) for
                                                United States Code, is amended—
                                                                                                                    VETERANS AFFECTED BY SCHOOL                two consecutive months, the Secretary may not
                                                   (1) in subsection (c)(1), by striking ‘‘Any such
                                                                                                                    CLOSURE OR DISAPPROVAL.                    make a monthly stipend payment to the indi-
                                                election shall be made at the time the individual
                                                                                                          (a) ENTITLEMENT.—Section 3699 of title 38,           vidual under this section until the individual
                                                initially enters on active duty as a member of
                                                                                                        United States Code, is amended by striking             submits such verification.’’.
                                                the Armed Forces’’ and inserting ‘‘Any such
                                                                                                        ‘‘chapter 30,’’ each time it appears and inserting       (b) EFFECTIVE DATE.—The amendment made
                                                election shall be made during the 90-day period
                                                                                                        ‘‘chapter 30, 31,’’.                                   by subsection (a) shall take effect on August 1,
                                                beginning on the day that is 180 days after the
                                                                                                           (b) PAYMENT OF SUBSISTENCE ALLOWANCES.—             2021.
                                                date on which the individual initially enters ini-
                                                                                                        Section 3680(a)(2)(B) of title 38, United States       SEC. 1011. CLARIFICATION REGARDING THE DE-
                                                tial training’’; and
                                                                                                        Code, is amended—                                                  PENDENTS TO WHOM ENTITLEMENT
                                                   (2) in subsection (b)(1), by striking ‘‘that such       (1) by inserting ‘‘or a subsistence allowance                   TO EDUCATIONAL ASSISTANCE MAY
                                                individual is entitled to such pay’’ and inserting      described in section 3108’’ before ‘‘, during’’;                   BE TRANSFERRED UNDER THE POST
                                                ‘‘that begin after the date that is 270 days after      and                                                                9/11 EDUCATIONAL ASSISTANCE PRO-
                                                the date on which the individual initially enters          (2) by inserting ‘‘or allowance’’ after ‘‘such a                GRAM.
                                                initial training’’.                                     stipend’’.                                               (a) IN GENERAL.—Section 3319(c) of title 38,
                                                   (b) EFFECTIVE DATE.—The amendments made                 (c) CONFORMING AMENDMENT.—Section 7 of              United States Code, is amended to read as fol-
                                                by subsection (a) shall take effect on the date         the Student Veteran Coronavirus Response Act           lows:
                                                that is two years after the date of the enactment       of 2020 (134 Stat. 634; Public Law 116–140) is            ‘‘(c) ELIGIBLE DEPENDENTS.—
                                                of this Act.                                            hereby repealed.                                          ‘‘(1) TRANSFER.—An individual approved to
                                                SEC. 1004. PHASE OUT OF ALL-VOLUNTEER EDU-                 (d) EFFECTIVE DATE.—The amendments made             transfer an entitlement to educational assist-
                                                            CATIONAL ASSISTANCE PROGRAM.                by this section shall apply as if included in the      ance under this section may transfer the indi-
                                                   Subsection (a)(1)(A) of section 3011 of title 38,    enactment of section 109 of the Harry W.               vidual’s entitlement to an eligible dependent or
                                                United States Code, is amended by striking              Colmery Veterans Educational Assistance Act of         a combination of eligible dependents.
                                                ‘‘after June 30, 1985’’ and inserting ‘‘during the      2017 (Public Law 115–48; 131 Stat. 978).                  ‘‘(2) DEFINITION OF ELIGIBLE DEPENDENT.—For
                                                period beginning July 1, 1985, and ending Sep-          SEC. 1008. TECHNICAL CORRECTION TO CLARIFY             purposes of this subsection, the term ‘eligible de-
                                                tember 30, 2030’’.                                                  ELIGIBILITY FOR PARTICIPATION IN           pendent’ has the meaning given the term ‘de-
                                                SEC. 1005. REQUIREMENTS FOR IN-STATE TUI-                           YELLOW RIBBON PROGRAM OF DE-               pendent’ under subparagraphs (A), (I), and (D)
                                                           TION.                                                    PARTMENT OF VETERANS AFFAIRS.              of section 1072(2) of title 10.’’.
                                                  (a) IN GENERAL.—Section 3679(c) of title 38,             Section 3317(a) of title 38, United States Code,       (b) APPLICABILITY.—The amendment made by
                                                United States Code, is amended—                         is amended—                                            subsection (a) shall apply with respect to edu-
                                                                                                           (1) by striking ‘‘the full cost of established      cational assistance payable under chapter 33 of
                                                  (1) in paragraph (2)(A), by striking ‘‘less than
                                                                                                        charges (as specified in section 3313)’’ and in-       title 38, United States Code, before, on, or after
                                                three years before the date of enrollment in the
                                                                                                        serting ‘‘the full cost of tuition and fees for a      the date that is 90 days after the date of the en-
                                                course concerned’’; and
                                                  (2) in paragraph (4)—                                 program of education’’; and                            actment of this Act.
                                                                                                           (2) by striking ‘‘those established charges’’
                                                  (A) by striking ‘‘It shall’’ and inserting ‘‘(A)                                                             SEC. 1012. EXPANSION OF REASONS FOR WHICH A
                                                                                                        and inserting ‘‘such tuition and fees’’.
                                                It shall’’; and                                                                                                             COURSE OF EDUCATION MAY BE DIS-
                                                                                                        SEC. 1009. CLARIFICATION OF EDUCATIONAL AS-                         APPROVED.
                                                  (B) by adding at the end the following new




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                                                                                                                    SISTANCE FOR INDIVIDUALS WHO
                                                subparagraph:                                                       PURSUE AN APPROVED PROGRAM OF                (a) IN GENERAL.—Section 3672(b)(2) of title 38,
                                                  ‘‘(B) To the extent feasible, the Secretary                       EDUCATION LEADING TO A DEGREE              United States Code, is amended—
                                                shall make publicly available on the internet                       WHILE ON ACTIVE DUTY.                        (1) in subparagraph (A)(i), by inserting or ‘‘or
                                                website of the Department a database explain-             (a) IN GENERAL.—Section 3313(e) of title 38,         (D)’’ after ‘‘subparagraph (C)’’; and
                                                ing any requirements described in subparagraph          United States Code, is amended—                          (2) by adding at the end the following new
                                                (A) that are established by a public institution          (1) in the heading, by inserting ‘‘FOR A PE-         subparagraph:
                                                of higher learning for an individual to be              RIOD OF MORE THAN 30 DAYS’’ after ‘‘ACTIVE               ‘‘(D) A program that is described in subpara-
                                                charged tuition and fees at a rate that is equal        DUTY’’;                                                graph (A)(i) of this paragraph and offered by an




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                                                December 16, 2020                                 CONGRESSIONAL RECORD — HOUSE                                                                         H7173
                                                educational institution that is at risk of losing          ‘‘(e) NOTICE OF GOVERNMENT ACTION.—(1)(A)           (1) with respect to an educational institution,
                                                accreditation shall not be deemed to be approved        If the Secretary receives notice described in          the Secretary shall ensure the careful review
                                                for purposes of this chapter. For purposes of           paragraph (2), or otherwise becomes aware of an        of—
                                                this subparagraph, an educational institution is        action or event described in paragraph (3), with         ‘‘(A) to the extent possible, the action that
                                                at risk of losing accreditation if that edu-            respect to an educational institution, the Sec-        gave rise to such notice; and
                                                cational institution has received from the rel-         retary shall transmit such notice or provide no-         ‘‘(B) any other action against the educational
                                                evant accrediting agency or association a notice        tice of such action or event to the State approv-      institution by any Federal or State government
                                                described in section 3673(e)(2)(D) of this title.’’.    ing agency for the State where the educational         entity or by the educational institution’s
                                                  (b) EFFECTIVE DATE.—The amendments made               institution is located by not later than 30 days       accreditor.
                                                by subsection (a) shall take effect on August 1,        after the date on which the Secretary receives           ‘‘(7) In this subsection, the term ‘risk-based
                                                2021.                                                   such notice or becomes aware of such action or         survey’ means the risk-based survey developed
                                                SEC. 1013. OVERSIGHT OF EDUCATIONAL INSTI-              event.
                                                            TUTIONS WITH APPROVED PRO-
                                                                                                                                                               under section 3673A of this title.’’.
                                                                                                           ‘‘(B) If a State approving agency receives no-        (b) EFFECTIVE DATE.—The amendment made
                                                            GRAMS: RISK-BASED SURVEYS.
                                                                                                        tice as described in paragraph (2), or otherwise       by subsection (a) shall take effect on August 1,
                                                  (a) RISK-BASED SURVEYS.—                              becomes aware of an action or event described
                                                  (1) IN GENERAL.—Subchapter I of chapter 36,                                                                  2021.
                                                                                                        in paragraph (3), with respect to an educational
                                                United States Code, is amended by inserting                                                                    SEC. 1015. ADDITIONAL REQUIREMENT FOR AP-
                                                                                                        institution, other than from the Secretary pur-
                                                after section 3673 the following new section:                                                                              PROVAL OF EDUCATIONAL INSTITU-
                                                                                                        suant to subparagraph (A) of this paragraph,                       TIONS FOR PURPOSES OF THE EDU-
                                                ‘‘§ 3673A. Risk-based surveys                           the State approving agency shall immediately                       CATIONAL ASSISTANCE PROGRAMS
                                                   ‘‘(a) DEVELOPMENT REQUIRED.—The Sec-                 notify the Secretary.                                              OF THE DEPARTMENT OF VETERANS
                                                retary, in partnership with State approving                ‘‘(C) Not later than 60 days after the date on                  AFFAIRS.
                                                agencies, shall develop a searchable risk-based         which a State approving agency receives notice           (a) IN GENERAL.—Section 3675 of title 38,
                                                survey for oversight of educational institutions        under subparagraph (A), receives notice as de-         United States Code, is amended—
                                                with courses and programs of education ap-              scribed in subparagraph (B), or becomes aware            (1) in subsection (b), by adding at the end the
                                                proved under this chapter.                              as described in such subparagraph, as the case
                                                   ‘‘(b) SCOPE.—(1) The scope of the risk-based                                                                following new paragraph:
                                                                                                        may be, regarding an educational institution,            ‘‘(4) The educational institution is approved
                                                survey developed under subsection (a) shall be          such State approving agency shall—
                                                determined by the Secretary, in partnership                                                                    and participates in a program under title IV of
                                                                                                           ‘‘(i) complete a risk-based survey of such edu-     the Higher Education Act of 1965 (20 U.S.C. 1070
                                                with the State approving agency.                        cational institution; and
                                                   ‘‘(2) At a minimum the scope determined                                                                     et seq.) or the Secretary has waived the require-
                                                                                                           ‘‘(ii) provide the Secretary with—
                                                under paragraph (1) shall include the following:                                                               ment under this paragraph with respect to an
                                                                                                           ‘‘(I) a complete report on the findings of the
                                                   ‘‘(A) Rapid increase in veteran enrollment.                                                                 educational institution and submits to the Com-
                                                   ‘‘(B) Rapid increase in tuition and fees.            State approving agency with respect to the risk-
                                                                                                                                                               mittee on Veterans’ Affairs of the Senate and
                                                   ‘‘(C) Complaints tracked and published with          based survey completed under clause (i) and
                                                                                                                                                               the Committee on Veterans’ Affairs of the House
                                                the mechanism required by section 3698(b)(2)            any actions taken as a result of such findings;
                                                                                                                                                               of Representatives notice of such waiver.’’.
                                                from students pursuing programs of education            and
                                                                                                           ‘‘(II) any supporting documentation and per-          (2) by adding at the end the following new
                                                with educational assistance furnished under                                                                    subsection:
                                                laws administered by the Secretary, based on se-        tinent records.
                                                                                                           ‘‘(2) Notice described in this paragraph is any       ‘‘(d)(1) The Secretary shall submit to Congress
                                                verity or volume of the complaints.                                                                            an annual report on any waivers issued pursu-
                                                   ‘‘(D) Compliance with section 3680A(d)(1) of         of the following:
                                                                                                           ‘‘(A) Notice from the Secretary of Education        ant      to   subsection      (b)(4)  or     section
                                                this title.
                                                   ‘‘(E) Veteran completion rates.                      of an event under paragraph (3)(A).                    3672(b)(2)(A)(i) of this title.
                                                   ‘‘(F) Indicators of financial stability.                ‘‘(B) Notice of an event under paragraph              ‘‘(2) Each report submitted under paragraph
                                                   ‘‘(G) Review of the advertising and recruiting       (3)(B).                                                (1) shall include, for the year covered by the re-
                                                practices of the educational institution, includ-          ‘‘(C) Notice from a State of an action taken by     port, the following:
                                                ing those by third-party contractors of the edu-        that State under paragraph (3)(C).                       ‘‘(A) The name of each educational institution
                                                cational institution.                                      ‘‘(D) Notice provided by an accrediting agency      for which a waiver was issued.
                                                   ‘‘(H) Matters for which the Federal Govern-          or association of an action described in para-           ‘‘(B) The justification for each such waiver.
                                                ment or a State Government brings an action in          graph (3)(D) taken by that agency or associa-            ‘‘(C) The total number of waivers issued.’’.
                                                a court of competent jurisdiction against an            tion.                                                    (b) REQUIREMENT FOR APPROVAL OF STAND-
                                                educational institution, including matters in              ‘‘(E) Notice that the Secretary of Education        ARD COLLEGE DEGREE PROGRAMS.—Clause (i) of
                                                cases in which the Federal Government or the            has placed the educational institution on provi-       section 3672(b)(2)(A) of such title is amended to
                                                State comes to a settled agreement on such mat-         sional certification status.                           read as follows:
                                                ters outside of the court.                                 ‘‘(3) An action or event under this paragraph         ‘‘(i) Except as provided in subparagraph (C)
                                                   ‘‘(c) DATABASE.—The Secretary, in partner-           is any of the following:
                                                ship with the State approving agencies under                                                                   or (D), an accredited standard college degree
                                                                                                           ‘‘(A) The receipt by an educational institution     program offered at a public or not-for-profit
                                                this chapter, shall establish a database or use         of payments under the heightened cash moni-
                                                an existing system, as the Secretary considers                                                                 proprietary educational institution that—
                                                                                                        toring level 2 payment method pursuant to sec-
                                                appropriate, to serve as a central repository for                                                                ‘‘(I) is accredited by an agency or association
                                                                                                        tion 487(c)(1)(B) of the Higher Education Act of
                                                information required for or collected during site                                                              recognized for that purpose by the Secretary of
                                                                                                        1965 (20 U.S.C. 1094).
                                                visits for the risk-based survey developed under                                                               Education; and
                                                                                                           ‘‘(B) Punitive action taken by the Attorney
                                                subsection (a), so as to improve future oversight       General, the Federal Trade Commission, or any            ‘‘(II) is approved and participates in a pro-
                                                of educational institutions with programs of            other Federal department or agency for mis-            gram under title IV of the Higher Education Act
                                                education approved under this chapter.’’.               conduct or misleading marketing practices that         of 1965 (20 U.S.C. 1070 et seq.), unless the Sec-
                                                   (2) CLERICAL AMENDMENT.—The table of sec-            would violate the standards defined by the Sec-        retary has waived the requirement to participate
                                                tions at the beginning of chapter 36 of such title      retary of Veterans Affairs.                            in a program under title IV of the Higher Edu-
                                                is amended by inserting after the item relating            ‘‘(C) Punitive action taken by a State against      cation Act of 1965 (20 U.S.C. 1070 et seq.).’’.
                                                to section 3673 the following new item:                 an educational institution.                              (c) EFFECTIVE DATE.—The amendments made
                                                ‘‘3673A. Risk-based surveys.’’.                            ‘‘(D) The loss, or risk of loss, by an edu-         by subsections (a) and (b) shall take effect on
                                                   (b) USE OF STATE APPROVING AGENCIES FOR              cational institution of an accreditation from an       August 1, 2021.
                                                OVERSIGHT ACTIVITIES.—                                  accrediting agency or association, including no-       SEC. 1016. CLARIFICATION OF ACCREDITATION
                                                   (1) IN GENERAL.—Section 3673(d) of title 38,         tice of probation, suspension, an order to show                    FOR LAW SCHOOLS FOR PURPOSES
                                                United States Code, is amended—                         cause relating to the educational institution’s                    OF THE EDUCATIONAL ASSISTANCE
                                                   (A) by striking ‘‘may’’ and inserting ‘‘shall’’;                                                                        PROGRAMS OF THE DEPARTMENT OF
                                                                                                        academic policies and practices or to its finan-
                                                and                                                                                                                        VETERANS AFFAIRS.
                                                                                                        cial stability, or revocation of accreditation.
                                                   (B) by striking ‘‘compliance and risk-based             ‘‘(E) The placement of an educational institu-        (a) IN GENERAL.—Paragraphs (14)(B) and
                                                surveys’’ and inserting ‘‘a risk-based survey de-       tion on provisional certification status by the        (15)(B) of section 3676(c) of title 38, United
                                                veloped under section 3673A of this title’’.            Secretary of Education.                                States Code, are each amended—
                                                   (2) EFFECTIVE DATE.—The amendment made                                                                        (1) by striking ‘‘an accrediting agency’’ both
                                                                                                           ‘‘(4) If a State approving agency disapproves
                                                by paragraph (1) shall take effect on October 1,                                                               places it appears and inserting ‘‘a specialized
                                                                                                        or suspends an educational institution, the
                                                2022.                                                                                                          accrediting agency for programs of legal edu-
                                                                                                        State approving agency shall provide notice of




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                                                SEC. 1014. OVERSIGHT OF EDUCATIONAL INSTI-                                                                     cation’’; and
                                                            TUTIONS SUBJECT TO GOVERNMENT
                                                                                                        such disapproval or suspension to the Secretary
                                                            ACTION FOR PURPOSES OF THE EDU-             and to all other State approving agencies.               (2) by inserting before the period the fol-
                                                            CATIONAL ASSISTANCE PROGRAMS                   ‘‘(5) This subsection shall be carried out using    lowing: ‘‘, from which recipients of law degrees
                                                            OF THE DEPARTMENT OF VETERANS               amounts made available pursuant to section             from such accredited programs are eligible to sit
                                                            AFFAIRS.                                    3674(a)(4) of this title as long as such amounts       for a bar examination in any State’’.
                                                  (a) IN GENERAL.—Section 3673 of title 38,             remain available.                                        (b) EFFECTIVE DATE.—The amendments made
                                                United States Code, is amended by adding at the            ‘‘(6) For each notice transmitted or provided       by subsection (a) shall take effect on August 1,
                                                end the following new subsection:                       to a State approving agency under paragraph            2021.




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                                                H7174                                             CONGRESSIONAL RECORD — HOUSE                                                       December 16, 2020
                                                SEC. 1017. CLARIFICATION OF GROUNDS FOR DIS-              ‘‘(ii) alert such individual of the potential eli-   cy or the Secretary, when acting in the role of
                                                             APPROVAL OF A COURSE FOR PUR-              gibility of the individual for such financial aid      the State approving agency, determines that an
                                                             POSES OF THE EDUCATIONAL AS-
                                                                                                        before packaging or arranging student loans or         educational institution is the subject of a nega-
                                                             SISTANCE PROGRAMS OF THE DE-
                                                             PARTMENT OF VETERANS AFFAIRS.              alternative financing programs for the indi-           tive action made by the accrediting agency that
                                                                                                        vidual.                                                accredits the institution, including any of the
                                                  (a) IN GENERAL.—Section 3679 of title 38,
                                                                                                          ‘‘(D) Maintain policies to—                          following:
                                                United States Code, is amended—
                                                                                                          ‘‘(i) prohibit the automatic renewal of a cov-          ‘‘(A) Accreditor sanctions.
                                                  (1) by inserting ‘‘(including failure to comply
                                                                                                        ered individual in courses and programs of edu-           ‘‘(B) Accreditation probation.
                                                with a risk-based survey under this chapter or
                                                                                                        cation; and                                               ‘‘(C) The loss of accreditation or candidacy
                                                secure an affirmation of approval by the appro-
                                                                                                          ‘‘(ii) ensure that each covered individual ap-       for accreditation.
                                                priate State approving agency following the sur-
                                                                                                        proves of the enrollment of the individual in a           ‘‘(4)(A) An action described in this subpara-
                                                vey)’’ after ‘‘requirements of this chapter’’; and
                                                                                                        course.                                                graph is any of the following:
                                                  (2) by adding at the end the following new
                                                                                                          ‘‘(E) Provide to a covered individual enrolled          ‘‘(i) Submitting to the Secretary a rec-
                                                subsection:
                                                                                                        in a course of education at the educational in-        ommendation that the Secretary publish a
                                                  ‘‘(f) In this section, the term ‘risk-based sur-
                                                                                                        stitution with information regarding the re-           warning on the internet website of the Depart-
                                                vey’ means a risk-based survey developed under
                                                                                                        quirements to graduate from such course, in-           ment described in section 3698(c)(2) of this title,
                                                section 3673A(a) of this title.’’.
                                                                                                        cluding information regarding when required            or such other similar internet website of the De-
                                                  (b) EFFECTIVE DATE.—The amendment made
                                                                                                        classes will be offered and a timeline to grad-        partment, that describes how an educational in-
                                                by subsection (a) shall take effect on August 1,
                                                                                                        uate.                                                  stitution is failing to meet a requirement under
                                                2021.
                                                                                                          ‘‘(F) With respect to an accredited edu-             paragraph (1), (2), or (3).
                                                SEC. 1018. REQUIREMENTS FOR EDUCATIONAL IN-
                                                                                                        cational institution, obtain the approval of the          ‘‘(ii) Disapproving a course for purposes of
                                                             STITUTIONS PARTICIPATING IN THE
                                                             EDUCATIONAL   ASSISTANCE   PRO-            accrediting agency for each new course or pro-         this chapter.
                                                             GRAMS OF THE DEPARTMENT OF                 gram of the institution before enrolling covered          ‘‘(B)(i) The Secretary shall establish guide-
                                                             VETERANS AFFAIRS.                          individuals in such courses or programs if the         lines to ensure that the actions described in sub-
                                                  (a) IN GENERAL.—Section 3679 of title 38,             accrediting agency determines that such ap-            paragraph (A) are applied in a proportional and
                                                United States Code, as amended by section 1017          proval is appropriate under the substantive            uniform manner by State approving agencies, or
                                                of this title, is further amended by adding at the      change requirements of the accrediting agency          the Secretary when acting in the role of the
                                                end the following new subsection:                       regarding the quality, objectives, scope, or con-      State approving agency.
                                                  ‘‘(f)(1) Except as provided by paragraph (5), a       trol of the institution.                                  ‘‘(ii) Each State approving agency and the
                                                State approving agency, or the Secretary when             ‘‘(G) Maintain a policy that—                        Secretary, when acting in the role of the State
                                                acting in the role of the State approving agency,         ‘‘(i) ensures that members of the Armed              approving agency, shall adhere to the guidelines
                                                shall take an action described in paragraph             Forces, including the reserve components and           established under clause (i).
                                                (4)(A) if the State approving agency or the Sec-        the National Guard, who enroll in a course of             ‘‘(C) The State approving agency, in consulta-
                                                retary, when acting in the role of the State ap-        education at the educational institution may be        tion with the Secretary, or the Secretary when
                                                proving agency, determines that an educational          readmitted at such institution if such members         acting in the role of the State approving agency,
                                                institution does not perform any of the fol-            are temporarily unavailable or have to suspend         may limit an action described in subparagraph
                                                lowing:                                                 such enrollment by reason of serving in the            (A)(ii) to individuals not enrolled at the edu-
                                                  ‘‘(A) Prior to the enrollment of a covered indi-      Armed Forces; and                                      cational institution before the period described
                                                vidual in a course of education at the edu-               ‘‘(ii) otherwise accommodates such members           in such subparagraph.
                                                cational institution, provide the individual with       during short absences by reason of such service.          ‘‘(5)(A) The Secretary may waive the require-
                                                a form that contains information personalized to          ‘‘(H) Designate an employee of the edu-              ments of paragraph (1) or waive the require-
                                                the individual that describes—                          cational institution to serve as a point of con-       ments of paragraph (2) with respect to an edu-
                                                  ‘‘(i) the estimated total cost of the course, in-     tact for covered individuals and the family of         cational institution for a 1-academic-year period
                                                cluding tuition, fees, books, supplies, and any         such individuals needing assistance with respect       beginning in August of the year in which the
                                                other additional costs;                                 to academic counseling, financial counseling,          waiver is made. A single educational institution
                                                  ‘‘(ii) an estimate of the cost for living expenses    disability counseling, and other information re-       may not receive waivers under this paragraph
                                                for students enrolled in the course;                    garding completing a course of education at            for more than 2 consecutive academic years.
                                                  ‘‘(iii) the amount of the costs under clauses (i)     such institution, including by referring such in-         ‘‘(B) To be considered for a waiver under this
                                                and (ii) that are covered by the educational as-        dividuals and family to the appropriate persons        paragraph, an educational institution shall sub-
                                                sistance provided to the individual under chap-         for such counseling and information.                   mit to the Secretary an application prior to the
                                                ter 30, 31, 32, 33, or 35 of this title, or chapter       ‘‘(2) Except as provided by paragraph (5), a         first day of the academic year for which the
                                                1606 or 1607 of title 10, as the case may be;           State approving agency, or the Secretary when          waiver is sought.
                                                  ‘‘(iv) the type and amount of Federal finan-          acting in the role of the State approving agency,         ‘‘(6) Not later than October 1 of each year, the
                                                cial aid not administered by the Secretary and          shall take an action described in paragraph            Secretary shall submit to the Committee on Vet-
                                                financial aid offered by the institution that the       (4)(A) if the State approving agency, the Sec-         erans’ Affairs of the Senate and the Committee
                                                individual may qualify to receive;                      retary, or any Federal agency, determines that         on Veterans’ Affairs of the House of Representa-
                                                  ‘‘(v) an estimate of the amount of student            an educational institution does any of the fol-        tives the following reports:
                                                loan debt the individual would have upon grad-          lowing:                                                   ‘‘(A) A report, which shall be made publicly
                                                uation;                                                   ‘‘(A) Carries out deceptive or persistent re-        available, that includes the following:
                                                  ‘‘(vi) information regarding graduation rates;        cruiting techniques, including on military in-            ‘‘(i) A summary of each action described in
                                                  ‘‘(vii) job-placement rates for graduates of the      stallations, that may include—                         paragraph (4)(A) made during the year covered
                                                course, if available;                                     ‘‘(i) misrepresentation (as defined in section       by the report, including—
                                                  ‘‘(viii) information regarding the acceptance         3696(e)(2)(B) of this title) or payment of incen-         ‘‘(I) the name of the educational institution;
                                                by the institution of transfer of credits, includ-      tive compensation;                                        ‘‘(II) the type of action taken;
                                                ing military credits;                                     ‘‘(ii) during any 1-month period making three           ‘‘(III) the rationale for the action, including
                                                  ‘‘(ix) any conditions or additional require-          or more unsolicited contacts to a covered indi-        how the educational institution was not in com-
                                                ments, including training, experience, or exami-        vidual, including contacts by phone, email, or         pliance with this subsection;
                                                nations, required to obtain the license, certifi-       in-person; or                                             ‘‘(IV) the length of time that the educational
                                                cation, or approval for which the course of edu-          ‘‘(iii) engaging in same-day recruitment and         institution was not in such compliance; and
                                                cation is designed to provide preparation; and          registration.                                             ‘‘(V) whether the educational institution was
                                                  ‘‘(x) other information to facilitate comparison        ‘‘(B) Pays inducements, including any gra-           also not in compliance with this subsection dur-
                                                by the individual of aid packages offered by dif-       tuity, favor, discount, entertainment, hospi-          ing any of the 2 years prior to the year covered
                                                ferent educational institutions.                        tality, loan, transportation, lodging, meals, or       by the report.
                                                  ‘‘(B) Not later than 15 days after the date on        other item having a monetary value of more                ‘‘(ii) A summary and justifications for the
                                                which the institution (or the governing body of         than a de minimis amount, to any individual or         waivers made under paragraph (5) during the
                                                the institution) determines tuition rates and fees      entity, or its agents including third party lead       year covered by the report, including the total
                                                for an academic year that is different than the         generators or marketing firms other than sala-         number of waivers each educational institution
                                                amount being charged by the institution, pro-           ries paid to employees or fees paid to contractors     has received.
                                                vide a covered individual enrolled in a course of       in conformity with all applicable laws for the            ‘‘(B) A report containing the recommendations
                                                education at the educational institution with           purpose of securing enrollments of covered indi-       of the Secretary with respect to any legislative




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                                                the form under subparagraph (A) that contains           viduals or obtaining access to educational as-         actions the Secretary determines appropriate to
                                                updated information.                                    sistance under this title, with the exception of       ensure that this subsection is carried out in a
                                                  ‘‘(C) Maintain policies to—                           scholarships, grants, and tuition reductions pro-      manner that is consistent with the requirements
                                                  ‘‘(i) inform each covered individual enrolled in      vided by the educational institution.                  that educational institutions must meet for pur-
                                                a course of education at the educational institu-         ‘‘(3) A State approving agency, or the Sec-          poses of other departments or agencies of the
                                                tion of the availability of Federal financial aid       retary when acting in the role of the State ap-        Federal Government.
                                                not administered by the Secretary and financial         proving agency, shall take an action described            ‘‘(7) In this subsection, the term ‘covered indi-
                                                aid offered by the institution; and                     in paragraph (4)(A) if the State approving agen-       vidual’ means an individual who is pursuing a




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                                                December 16, 2020                                 CONGRESSIONAL RECORD — HOUSE                                                                         H7175
                                                course of education at an educational institu-             ‘‘(II) to receive, to apply to take, or to take an     ‘‘(i) the relationship of the institution with
                                                tion under chapter 30, 31, 32, 33, or 35 of this        examination required to receive a local, State, or      any organization, employment agency, or other
                                                title, or chapter 1606 or 1607 of title 10.’’.          Federal license, or a nongovernmental certifi-          agency providing authorized training leading
                                                   (b) APPLICATION DATE.—The amendment                  cation required as a precondition for employ-           directly to employment;
                                                made by this section shall take effect on June          ment, or to perform certain functions in the              ‘‘(ii) the plans of the institution to maintain a
                                                15, 2021, and shall apply to an educational insti-      States in which the educational program is of-          placement service for graduates or otherwise as-
                                                tution beginning on August 1, 2021, except that         fered, or to meet additional conditions that the        sist graduates to obtain employment;
                                                an educational institution may submit an appli-         institution knows or reasonably should know               ‘‘(iii) the knowledge of the institution about
                                                cation for a waiver under subsection (f)(5) of          are generally needed to secure employment in a          the current or likely future conditions, com-
                                                section 3679 of title 38, United States Code, as        recognized occupation for which the program is          pensation, or employment opportunities in the
                                                added by subsection (a), beginning on June 15,          represented to prepare students;                        industry or occupation for which the students
                                                2021.                                                      ‘‘(v) the requirements for successfully com-         are being prepared;
                                                SEC. 1019. OVERPAYMENTS TO ELIGIBLE PER-                pleting the course of study or program and the            ‘‘(iv) job market statistics maintained by the
                                                           SONS OR VETERANS.                            circumstances that would constitute grounds for         Federal Government in relation to the potential
                                                  (a) IN GENERAL.—Subsection (b) of section             terminating the student’s enrollment;                   placement of the graduates of the institution;
                                                3685 of title 38, United States Code, is amended           ‘‘(vi) whether the courses of education at the       and
                                                to read as follows:                                     institution are recommended or have been the              ‘‘(v) other requirements that are generally
                                                   ‘‘(b) Any overpayment to a veteran or eligible       subject of unsolicited testimonials or endorse-         needed to be employed in the fields for which
                                                person with respect to pursuit by the veteran or        ments by—                                               the training is provided, such as requirements
                                                eligible person of a program of education at an            ‘‘(I) vocational counselors, high schools, col-      related to commercial driving licenses or permits
                                                educational institution shall constitute a liabil-      leges, educational organizations, employment            to carry firearms, and failing to disclose factors
                                                ity of the educational institution to the United        agencies, members of a particular industry, stu-        that would prevent an applicant from quali-
                                                States if—                                              dents, former students, or others; or                   fying for such requirements, such as prior crimi-
                                                   ‘‘(1) the Secretary finds that the overpayment          ‘‘(II) officials of a local or State government      nal records or preexisting medical conditions.
                                                has been made as the result of—                         or the Federal Government;                                ‘‘(2) In this subsection:
                                                   ‘‘(A) the willful or negligent failure of an edu-       ‘‘(vii) the size, location, facilities, or equip-      ‘‘(A) The term ‘misleading statement’ includes
                                                cational institution to report, as required under       ment of the institution;                                any communication, action, omission, or intima-
                                                this chapter or chapter 34 or 35 of this title, to         ‘‘(viii) the availability, frequency, and appro-     tion made in writing, visually, orally, or
                                                the Department of Veterans Affairs excessive ab-        priateness of the courses of education and pro-         through other means, that has the likelihood or
                                                sences from a course, or discontinuance or inter-       grams to the employment objectives that the in-         tendency to mislead the intended recipient of
                                                ruption of a course by the veteran or eligible          stitution states the courses and programs are de-       the communication under the circumstances in
                                                person; or                                              signed to meet;                                         which the communication is made. Such term
                                                   ‘‘(B) the willful or negligent false certification      ‘‘(ix) the nature, age, and availability of the      includes the use of student endorsements or
                                                by an educational institution; or                       training devices or equipment of the institution        testimonials for an educational institution that
                                                   ‘‘(2) the benefit payment sent to an edu-            and the appropriateness to the employment ob-           a student gives to the institution either under
                                                cational institution on behalf of an eligible vet-      jectives that the institution states the courses        duress or because the institution required the
                                                eran or person is made pursuant to—                     and programs are designed to meet;                      student to make such an endorsement or testi-
                                                   ‘‘(A) section 3313(h) of this title;                    ‘‘(x) the number, availability, and qualifica-       monial to participate in a program of education.
                                                   ‘‘(B) section 3317 of this title; or                 tions, including the training and experience, of          ‘‘(B) The term ‘misrepresentation’ means any
                                                   ‘‘(C) section 3680(d) of this title; or              the faculty and other personnel of the institu-         false, erroneous, or misleading statement, ac-
                                                   ‘‘(D) section 3320(d) of this title.’’.              tion;                                                   tion, omission, or intimation made directly or in-
                                                   (b) CLARIFYING AMENDMENT.—Subsection (a)                ‘‘(xi) the availability of part-time employment      directly to a student, a prospective student, the
                                                of such section is further amended by inserting         or other forms of financial assistance;                 public, an accrediting agency, a State agency,
                                                ‘‘relating to educational assistance under a law           ‘‘(xii) the nature and availability of any tuto-
                                                                                                                                                                or to the Secretary by an eligible institution, one
                                                administered by the Secretary’’ after ‘‘made to a       rial or specialized instruction, guidance and
                                                                                                                                                                of its representatives, or any person with whom
                                                veteran or eligible person’’.                           counseling, or other supplementary assistance
                                                                                                                                                                the institution has an agreement to provide edu-
                                                SEC. 1020. IMPROVEMENTS TO LIMITATION ON                the institution will provide students before, dur-
                                                                                                                                                                cational programs, marketing, advertising, re-
                                                            CERTAIN ADVERTISING, SALES, AND             ing, or after the completion of a course of edu-
                                                                                                                                                                cruiting or admissions services.
                                                            ENROLLMENT PRACTICES.                       cation;                                                   ‘‘(C) The term ‘substantial misrepresentation’
                                                  (a) PROHIBITION ON SUBSTANTIAL MISREPRE-                 ‘‘(xiii) the nature or extent of any pre-
                                                                                                                                                                means misrepresentation in which the person to
                                                SENTATION.—                                             requisites established for enrollment in any
                                                                                                                                                                whom it was made could reasonably be expected
                                                  (1) IN GENERAL.—Section 3696 of title 38,             course of education;
                                                                                                                                                                to rely, or has reasonably relied, to that per-
                                                United States Code, is amended to read as fol-             ‘‘(xiv) the subject matter, content of the
                                                                                                                                                                son’s detriment.
                                                lows:                                                   course of education, or any other fact related to
                                                                                                                                                                  ‘‘(c) LIMITATION ON CERTAIN COMMISSIONS,
                                                                                                        the degree, diploma, certificate of completion, or
                                                ‘‘§ 3696. Prohibition on certain advertising,                                                                   BONUSES, AND OTHER INCENTIVE PAYMENTS.—
                                                                                                        any similar document that the student is to be,
                                                   sales, and enrollment practices                                                                              An educational institution with a course or pro-
                                                                                                        or is, awarded upon completion of the course of
                                                   ‘‘(a) PROHIBITION ON ENGAGING IN SUBSTAN-                                                                    gram of education approved under this chapter,
                                                                                                        education; and
                                                TIAL MISREPRESENTATION.—An educational in-                 ‘‘(xv) whether the degree that the institution       and an entity that owns such an educational
                                                stitution with a course or program of education         will confer upon completion of the course of            institution, shall not provide any commission,
                                                approved under this chapter, and an entity that         education has been authorized by the appro-             bonus, or other incentive payment based directly
                                                owns such an educational institution, shall not         priate State educational agency, including with         or indirectly on success in securing enrollments
                                                engage in substantial misrepresentation de-             respect to cases where the institution fails to         or financial aid to any persons or entities en-
                                                scribed in subsection (b).                              disclose facts regarding the lack of such author-       gaged in any student recruiting or admission ac-
                                                   ‘‘(b) SUBSTANTIAL MISREPRESENTATION DE-              ization in any advertising or promotional mate-         tivities or in making decisions regarding the
                                                SCRIBED.—(1) Substantial misrepresentation de-          rials that reference such degree.                       award of student financial assistance.
                                                scribed in this paragraph is substantial mis-              ‘‘(B) The financial charges of the institution,        ‘‘(d) REQUIREMENT TO MAINTAIN RECORDS.—
                                                representation by an educational institution, a         including misrepresentation regarding—                  (1) To ensure compliance with this section, any
                                                representative of the institution, or any person           ‘‘(i) offers of scholarships to pay all or part of   educational institution offering courses ap-
                                                with whom the institution has an agreement to           a course charge;                                        proved for the enrollment of eligible persons or
                                                provide educational programs, marketing, ad-               ‘‘(ii) whether a particular charge is the cus-       veterans shall maintain a complete record of all
                                                vertising, recruiting or admissions services, con-      tomary charge at the institution for a course;          advertising, sales, or enrollment materials (and
                                                cerning any of the following:                              ‘‘(iii) the cost of the program and the refund       copies thereof) utilized by or on behalf of the in-
                                                   ‘‘(A) The nature of the educational program          policy of the institution if the student does not       stitution during the preceding two-year period.
                                                of the institution, including misrepresentation         complete the program;                                   Such record shall be available for inspection by
                                                regarding—                                                 ‘‘(iv) the availability or nature of any finan-      the State approving agency or the Secretary.
                                                   ‘‘(i) the particular type, specific source, or na-   cial assistance offered to students, including a          ‘‘(2) Such materials shall include but are not
                                                ture and extent, of the accreditation of the insti-     student’s responsibility to repay any loans, re-        limited to any direct mail pieces, brochures,
                                                tution or a course of education at the institu-         gardless of whether the student is successful in        printed literature used by sales persons, films,
                                                tion;                                                   completing the program and obtaining employ-            video tapes, and audio tapes disseminated
                                                   ‘‘(ii) whether a student may transfer course         ment; and                                               through broadcast media, material disseminated




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                                                credits to another institution;                            ‘‘(v) the student’s right to reject any par-         through print, digital, or electronic media, tear
                                                   ‘‘(iii) conditions under which the institution       ticular type of financial aid or other assistance,      sheets, leaflets, handbills, fliers, and any sales
                                                will accept transfer credits earned at another          or whether the student must apply for a par-            or recruitment manuals used to instruct sales
                                                institution;                                            ticular type of financial aid, such as financing        personnel, agents, or representatives of such in-
                                                   ‘‘(iv) whether successful completion of a            offered by the institution.                             stitution.
                                                course of instruction qualifies a student—                 ‘‘(C) The employability of the graduates of the        ‘‘(e) AGREEMENT WITH FEDERAL TRADE COM-
                                                   ‘‘(I) for acceptance to a labor union or similar     institution, including misrepresentation regard-        MISSION.—(1) The Secretary shall, pursuant to
                                                organization; or                                        ing—                                                    section 3694 of this title, enter into an agreement




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                                                H7176                                             CONGRESSIONAL RECORD — HOUSE                                                       December 16, 2020
                                                with the Federal Trade Commission to utilize,              ‘‘(C) The process established under subpara-        this paragraph until reinstatement under sub-
                                                where appropriate, its services and facilities,         graph (A) shall not prohibit a State approving         section (j).
                                                consistent with its available resources, in car-        agency from—                                              ‘‘(D) Subject to subsection (i), any third viola-
                                                rying out investigations and making the Under              ‘‘(i) independently investigating a potential       tion within three years of the second violation
                                                Secretary of Benefit’s preliminary findings             violation of subsection (a), (c), or (d); or           of this section shall result in revocation of ap-
                                                under subsection (g)(1).                                   ‘‘(ii) taking action if the State approving         proval under this chapter as described in sub-
                                                   ‘‘(2) Such agreement shall provide that cases        agency finds a violation of subsection (a), (c), or    paragraph (A)(iii) of this paragraph until rein-
                                                arising under subsection (a) of this section or         (d).                                                   statement under subsection (j).
                                                any similar matters with respect to any of the             ‘‘(3) Upon a preliminary finding under this            ‘‘(E) Any action taken under subparagraph
                                                requirements of this chapter or chapters 34 and         subsection of a violation of subsection (a), (c),      (A) of this paragraph regarding a violation of
                                                35 of this title may be referred to the Federal         or (d) by an educational institution, or the           subsection (a), (c), or (d) by an educational in-
                                                Trade Commission which in its discretion will           owner of an educational institution, the Under         stitution or the owner of an educational institu-
                                                conduct an investigation and make preliminary           Secretary shall require the educational institu-       tion shall be taken on or before the date that is
                                                findings.                                               tion or owner to submit to the Under Secretary         180 days after the date on which the Under Sec-
                                                   ‘‘(3) The findings and results of any investiga-     a report prepared by an approved third-party           retary provided notice to the educational insti-
                                                tion under paragraph (2) shall be referred to the       auditor of the advertising and enrollment prac-        tution or owner regarding the violation in ac-
                                                Under Secretary for Benefits, who shall take ap-        tices of the educational institution or owner.         cordance with the process established under
                                                propriate action under subsection (g) in such              ‘‘(4)(A) Before making a final determination        subsection (g)(2)(B)(iii).
                                                                                                        under this subsection regarding a violation of            ‘‘(2) The factors set forth in this paragraph
                                                cases not later than 60 days after the date of
                                                                                                        subsection (a), (c), or (d) by an educational in-      are the following:
                                                such referral.                                                                                                    ‘‘(A) That the Secretary’s action brings suffi-
                                                   ‘‘(f) FINAL JUDGMENTS FROM OTHER FEDERAL             stitution or owner of an educational institution,
                                                                                                                                                               cient deterrence for future fraud against stu-
                                                AGENCIES.—Whenever the Secretary becomes                the Under Secretary shall—
                                                                                                           ‘‘(i) review the practices of the educational in-   dents and the programs of education carried out
                                                aware of a final judgment by a Federal agency                                                                  under this title. Fraud against veterans must be
                                                against an educational institution or owner of          stitution or owner that pertain to activities and
                                                                                                                                                               met with a repercussion strong enough to send
                                                an educational institution pertaining to sub-           practices covered by subsections (a), (c), and
                                                                                                                                                               a deterrent message to this and other edu-
                                                stantial misrepresentation described in sub-            (d);
                                                                                                                                                               cational institutions and owners.
                                                section (b) or of other credible evidence relating         ‘‘(ii) consider the results of a risk-based sur-
                                                                                                                                                                  ‘‘(B) That the educational institution has se-
                                                to a violation of subsection (a), the Secretary, in     vey conducted by a State approving agency, if
                                                                                                                                                               cured an approved third-party auditor to verify
                                                partnership with the applicable State approving         available; and                                         the educational institution’s, or owner’s, adver-
                                                agency, shall—                                             ‘‘(iii) review—
                                                                                                                                                               tising and enrollment practices for at least three
                                                   ‘‘(1) within 30 days, alert the educational in-         ‘‘(I) the findings and information received
                                                                                                                                                               years going forward.
                                                stitution or owner that it is at risk of losing ap-     pursuant to the processes established under               ‘‘(C) That the educational institution or
                                                proval under this chapter of its courses or pro-        paragraph (2)(B)(iii);                                 owner has repudiated the deceptive practices
                                                grams of education;                                        ‘‘(II) in a case in which a report was sub-         and has communicated to all employees that de-
                                                                                                        mitted under subsection (f)(3), such report;           ceptive practices will not be tolerated, and has
                                                   ‘‘(2) provide the educational institution or
                                                                                                           ‘‘(III) the report submitted under paragraph        instituted strong governance procedures to pre-
                                                owner 60 days to provide any information it
                                                                                                        (3)(B) of this subsection;                             vent recurrence.
                                                wishes to the Secretary;
                                                                                                           ‘‘(IV) any findings and results submitted              ‘‘(D) That the educational institution has
                                                   ‘‘(3) require the educational institution or
                                                                                                        under subsection (e)(3);                               taken steps to remove any pressure on its enroll-
                                                owner to submit to the Secretary a report pre-             ‘‘(V) the marketing and outreach material of
                                                pared by an approved third-party auditor of the                                                                ment recruiters, including by removing enroll-
                                                                                                        the educational institution and the contractors        ment quotas and incentives for enrollment.
                                                advertising and enrollment practices of the edu-        of the educational institution.
                                                cational institution or owner; and                                                                                ‘‘(E) That the State approving agency or the
                                                                                                           ‘‘(B) The Under Secretary may not make a            Secretary acting in the role of the State approv-
                                                   ‘‘(4) refer the matter to the Under Secretary of     final determination under this subsection solely
                                                Benefits, who may thereafter make a prelimi-                                                                   ing agency, has completed a risk-based survey
                                                                                                        based on preliminary findings.                         and determined the educational institution is
                                                nary finding under subsection (g).                         ‘‘(5) The Under Secretary may not delegate
                                                   ‘‘(g) PRELIMINARY FINDINGS, FINAL DETER-                                                                    worthy of serving eligible veterans and eligible
                                                                                                        authority to make a final determination under          persons.
                                                MINATIONS, AND PROCESSES.—(1) The Under Sec-            this subsection, including to any employee of             ‘‘(3) Enforcement action under this section
                                                retary for Benefits shall make preliminary find-        the Department or to the Federal Trade Commis-         shall not preclude enforcement action under sec-
                                                ings and final determinations on violations of          sion.                                                  tion 3690 of this title.
                                                subsections (a), (c), and (d).                             ‘‘(h) ENFORCEMENT.—(1)(A) Upon a final de-             ‘‘(4) No action may be carried out under this
                                                   ‘‘(2)(A) The Under Secretary shall establish a       termination by the Under Secretary for Benefits        subsection with respect to a final determination
                                                process for making preliminary findings and             under subsection (g) that an educational insti-        by the Under Secretary under subsection (g)
                                                final determinations under paragraph (1).               tution or the owner of an educational institu-         while such final determination is pending re-
                                                   ‘‘(B) The process established under subpara-         tion violated subsection (a), (c), or (d), the         view under subsection (i).
                                                graph (A) shall—                                        Under Secretary shall, but subject to subpara-            ‘‘(i) APPEALS.—(1) The Secretary shall estab-
                                                   ‘‘(i) clearly define what triggers an oversight      graphs (B), (C), and (D) of this paragraph, take       lish a process by which an educational institu-
                                                visit by the Under Secretary for purposes of en-        one of the following actions independent of any        tion or the owner of an educational institution
                                                forcing subsections (a), (c), and (d);                  actions taken under section 3690 of this title:        that is the subject of more than one final deter-
                                                   ‘‘(ii) set forth factors an educational institu-        ‘‘(i) Publish a caution flag on the GI Bill         mination by the Under Secretary under sub-
                                                tion, or the owner of the educational institu-          Comparison Tool, or successor tool, about that         section (g)(1) that the educational institution or
                                                tion, must meet in order to retain approval sta-        educational institution and alert its currently        owner violated subsection (a), may request a re-
                                                tus under this section, including with respect to       enrolled eligible veterans and eligible persons.       view of the most recent final determination.
                                                the factors set forth under subsection (h)(2);             ‘‘(ii) Suspend the approval of the courses and         ‘‘(2)(A) The Secretary shall—
                                                   ‘‘(iii) include a process for the provision of no-   programs of education offered by the edu-                 ‘‘(i) review each final determination for which
                                                tice to an educational institution, or the owner        cational institution by disapproving new enroll-       a review is requested under paragraph (1); and
                                                of the educational institution, that the Under                                                                    ‘‘(ii) pursuant to such review, issue a final de-
                                                                                                        ments of eligible veterans and eligible persons in
                                                Secretary has made a preliminary finding under                                                                 cision sustaining, modifying, or overturning the
                                                                                                        each course or program of education offered by
                                                paragraph (1) that the education institution or                                                                final determination.
                                                                                                        that educational institution.                             ‘‘(B) The Secretary may not delegate any de-
                                                owner has violated subsection (a), (c), or (d),            ‘‘(iii) Revoke the approval of the courses and
                                                which the Under Secretary shall provide to the                                                                 cision under subparagraph (A).
                                                                                                        programs of education offered by the edu-                 ‘‘(C)(i) Review under subparagraph (A)(i) of
                                                educational institution or owner within such            cational institution by disapproving all enroll-       this paragraph shall be the exclusive avenue for
                                                period after making the preliminary finding as          ments of eligible veterans and eligible persons in     review of a final determination under subsection
                                                the Under Secretary shall establish for purposes        each course or program of education offered by         (g)(1).
                                                of this clause, except that, in every case, such        that educational institution.                             ‘‘(ii) A decision issued pursuant to a review
                                                period shall end before the date on which the              ‘‘(B) In deciding upon a course of action           under subparagraph (A)(i) may not be appealed
                                                Under Secretary makes a final determination             under subparagraph (A), for the first violation        to the Secretary for review under section 7104(a)
                                                under such paragraph; and                               of this section, the Secretary shall consider the      of this title.
                                                   ‘‘(iv) include—                                      factors set forth in paragraph (2).                       ‘‘(3)(A) Not later than 30 days after the date
                                                   ‘‘(I) a process for receipt of findings from a          ‘‘(C) Subject to subsection (i), any repeat vio-    on which the Secretary issues a final decision




rfrederick on DSKBCBPHB2PROD with HOUSE
                                                third-party pertinent to this section; and              lation and final finding within five years of the      under paragraph (2)(A)(ii), the Secretary shall
                                                   ‘‘(II) a process for an educational institution      first violation of this section shall result in—       submit to Congress a report on such final deci-
                                                or an owner to provide such information as the             ‘‘(i) a suspension of approval of new enroll-       sion.
                                                educational institution or owner determines ap-         ments as described in subparagraph (A)(ii) of             ‘‘(B) A report submitted under subparagraph
                                                propriate to the Secretary, including informa-          this paragraph until reinstatement under sub-          (A) shall include the following:
                                                tion about corrective actions the educational in-       section (j); or                                           ‘‘(i) An outline of the decisionmaking process
                                                stitution or owner may have taken in response              ‘‘(ii) a revocation of approval under this          of the Secretary that led to the final decision de-
                                                to preliminary findings under paragraph (1).            chapter as described in subparagraph (A)(iii) of       scribed in subparagraph (A).




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                                                December 16, 2020                                 CONGRESSIONAL RECORD — HOUSE                                                                        H7177
                                                   ‘‘(ii) Any relevant material used to make the           (c) APPLICATION DATE.—The amendments                SEC. 1023. AUTHORITY OF STATE APPROVING
                                                final decision under paragraph (2)(A)(ii), in-          made by this section shall take effect on August                  AGENCIES TO CONDUCT OUTREACH
                                                                                                        1, 2021.                                                          ACTIVITIES.
                                                cluding risk-based surveys and documentation
                                                from the educational institution or the owners          SEC. 1021. CHARGE TO ENTITLEMENT TO EDU-                 Section 3673 of title 38, United States Code, as
                                                of the educational institution.                                     CATIONAL ASSISTANCE FOR INDI-              amended by section 1014 of this title, is further
                                                   ‘‘(iii) Materials that were submitted to the                     VIDUALS WHO DO NOT TRANSFER                amended by adding at the end the following
                                                Secretary after the date of the final determina-                    CREDITS FROM CERTAIN CLOSED OR             new subsection:
                                                                                                                    DISAPPROVED PROGRAMS OF EDU-                 ‘‘(f) OUTREACH ACTIVITIES.—(1) A State ap-
                                                tion under subsection (g) that was the subject of                   CATION.
                                                the final decision under paragraph (2)(A)(ii) of                                                               proving agency may conduct outreach activities
                                                                                                          (a) IN GENERAL.—Subsection (c) of section            if—
                                                this subsection and before the date on which the        3699 of title 38, United States Code, is amended         ‘‘(A) the State approving agency has properly
                                                Secretary issued such final decision.                   to read as follows:
                                                   ‘‘(j) REINSTATEMENT OF APPROVAL.—(1) If an                                                                  conducted its enforcement and approval of
                                                                                                           ‘‘(c) PERIOD NOT CHARGED.—(1) The period            courses and programs of education under this
                                                educational institution or the owner of an edu-         for which, by reason of this subsection, edu-
                                                cational institution has had the approval of the                                                               chapter; and
                                                                                                        cational assistance is not charged against enti-         ‘‘(B) funds are still available to do so.
                                                courses or programs of education of the edu-            tlement or counted toward the applicable aggre-          ‘‘(2) For purposes of paragraph (1)(A), a State
                                                cational institution suspended as described in          gate period under section 3695 of this title shall     approving agency shall be considered to have
                                                clause (ii) of subsection (h)(1)(A) or revoked as       not exceed the aggregate of—                           properly conducted its enforcement and ap-
                                                described in clause (iii) of such subsection for a         ‘‘(A) the portion of the period of enrollment in    proval of courses and programs of education
                                                violation of subsection (a), (c), or (d) pursuant       the course from which the individual did not re-       under this chapter if the State approving agen-
                                                to subparagraph (C) or (D) of subsection (h)(1),        ceive credit or with respect to which the indi-        cy has—
                                                the educational institution or owner may submit         vidual lost training time, as determined under           ‘‘(A) met fulfilled its requirements pursuant to
                                                to the applicable State approving agency or the         subsection (b)(2); and                                 the applicable cooperative agreements between
                                                Secretary when acting as a State approving                 ‘‘(B) the period by which a monthly stipend is      the State approving agency and the Department
                                                agency an application for reinstatement of ap-          extended under section 3680(a)(2)(B) of this title.    relating to the oversight and approval of courses
                                                proval under this subsection.                              ‘‘(2)(A) An individual described in subpara-        and programs of education under this chapter;
                                                   ‘‘(2) Approval under this chapter may not be         graph (B) who transfers fewer than 12 credits          and
                                                reinstated under this subsection until—                 from a program of education that is closed or            ‘‘(B) completed a risk-based survey of any
                                                   ‘‘(A) the educational institution or owner sub-      disapproved as described in subsection (b)(1)          course or program of education determined to be
                                                mits to the applicable State approving agency or        shall be deemed to be an individual who did not        of questionable quality or at risk by any Federal
                                                the Secretary when acting as a State approving          receive such credits, as described in subsection       or State agency or any accrediting agency.
                                                agency an application for reinstatement of ap-          (b)(2), except that the period for which such in-        ‘‘(3) Outreach activities conducted under
                                                proval under paragraph (1);                             dividual’s entitlement is not charged shall be         paragraph (1) shall be carried out using
                                                   ‘‘(B) the date that is 540 days after the date       the entire period of the individual’s enrollment       amounts derived from amounts not specifically
                                                of the most recent suspension or revocation de-         in the program of education. In carrying out           appropriated to carry out this subsection.’’.
                                                scribed in paragraph (1) of the educational in-         this subparagraph, the Secretary, in consulta-         SEC. 1024. LIMITATION ON COLOCATION AND AD-
                                                stitution or owner;                                     tion with the Secretary of Education, shall es-                     MINISTRATION OF STATE APPROV-
                                                   ‘‘(C) the educational institution submits a re-      tablish procedures to determine whether the in-                     ING AGENCIES.
                                                port by an approved third-party auditor on the          dividual transferred credits to a comparable             (a) IN GENERAL.—Section 3671 of title 38,
                                                advertising and enrollment practices of the edu-        course or program of education.                        United States Code, is amended by adding at the
                                                cational institution, including those of its third-        ‘‘(B) An individual described in this subpara-      end the following new subsection:
                                                party contractors;                                      graph is an individual who is enrolled in a              ‘‘(c) A State department or agency may not be
                                                   ‘‘(D) procedures are in place to prevent any         course or program of education closed or discon-       recognized as a State approving agency des-
                                                future violation of subsection (a), (c), or (d);        tinued as described in subsection (b)(1) during        ignated under this section if such State depart-
                                                   ‘‘(E) that the educational institution has met       the period beginning on the date that is 120           ment or agency is administered at or colocated
                                                all factors set forth in subsection (h)(2); and         days before the date of such closure or dis-           with a university or university system whose
                                                   ‘‘(F) the Secretary agrees to such reinstate-        continuance and ending on the date of such clo-        courses or programs of education would be sub-
                                                ment.                                                   sure or discontinuance, as the case may be.            ject to approval under this chapter by the State
                                                   ‘‘(k) RULE OF CONSTRUCTION REGARDING                    ‘‘(C) This paragraph shall apply with respect       approving agency in that State.’’.
                                                STATE APPROVING AGENCIES AND RISK-BASED                 to a course or program of education closed or            (b) EFFECTIVE DATE.—The amendment made
                                                SURVEYS.—Nothing in this section shall be con-          discontinued before September 30, 2023.’’.             by subsection (a) shall take effect on the date
                                                strued to prohibit a State approving agency                (b) EFFECTIVE DATE.—The amendment made              that is 180 days after the date of the enactment
                                                from conducting any risk-based survey the State         by subsection (a) shall take effect on August 1,       of this Act.
                                                approving agency considers appropriate at any           2021.                                                  SEC. 1025. ELIMINATION OF PERIOD OF ELIGI-
                                                educational institution that it considers appro-        SEC. 1022. DEPARTMENT OF VETERANS AFFAIRS                          BILITY FOR TRAINING AND REHA-
                                                priate for oversight purposes.                                      TREATMENT OF FOR-PROFIT EDU-                           BILITATION FOR CERTAIN VET-
                                                   ‘‘(l) DEFINITIONS.—In this section:                              CATIONAL    INSTITUTIONS    CON-                       ERANS WITH SERVICE-CONNECTED
                                                   ‘‘(1) The term ‘approved third-party auditor’                    VERTED    TO   NONPROFIT    EDU-                       DISABILITIES.
                                                means an independent third-party auditor that                       CATIONAL INSTITUTIONS.                       (a) IN GENERAL.—Section 3103 of title 38,
                                                is approved by the Secretary for purposes of              (a) IN GENERAL.—Subchapter II of chapter 36          United States Code, is amended—
                                                third-party audits under this section.                  of title 38, United States Code, is amended by           (1) in subsection (a), by striking ‘‘or (e)’’ and
                                                   ‘‘(2) The term ‘risk-based survey’ means the         adding at the end the following new section:           inserting ‘‘(e), or (g)’’; and
                                                risk-based survey developed under section 3673A         ‘‘§ 3699B. Treatment of certain for-profit edu-          (2) by adding at the end the following new
                                                of this title.’’.                                          cational institutions                               subsection:
                                                   (2) CLERICAL AMENDMENT.—The table of sec-               ‘‘(a) IN GENERAL.—In the case of any for-prof-        ‘‘(g) Subsection (a) shall not apply to a vet-
                                                tions at the beginning of chapter 36 of such title      it educational institution that is converted to a      eran who was discharged or released from active
                                                is amended by striking the item relating to sec-        nonprofit educational institution, the State ap-       military, naval, or air service on or after Janu-
                                                tion 3696 and inserting the following new item:         proving agency or the Secretary when acting as         ary 1, 2013.’’.
                                                                                                        a State approving agency shall conduct annual            (b) CONFORMING AMENDMENT.—Section 6(c) of
                                                ‘‘3696. Prohibition on certain advertising, sales,
                                                                                                        risk-based surveys of the institution during the       the Student Veteran Coronavirus Response Act
                                                                  and enrollment practices.’’.
                                                                                                        three-year period beginning on the date on             of 2020 (134 Stat. 633; Public Law 116–140) is
                                                   (b) REQUIREMENTS FOR NONACCREDITED
                                                                                                        which the educational institution is so con-           amended by striking paragraph (1).
                                                COURSES.—Paragraph (10) of section 3676(c) of
                                                such title is amended to read as follows:               verted.                                                        Subtitle B—Pandemic Assistance
                                                   ‘‘(10) The institution, and any entity that             ‘‘(b) RISK-BASED SURVEY DEFINED.—In this            SEC. 1101. DEFINITIONS.
                                                owns the institution, does not engage in sub-           section, the term ‘risk-based survey’ means the          In this subtitle:
                                                stantial misrepresentation described in section         risk-based survey developed under section 3673A          (1) COVERED PROGRAM OF EDUCATION.—The
                                                3696(e) of this title. The institution shall not be     of this title.’’.                                      term ‘‘covered program of education’’ means a
                                                deemed to have met this requirement until the              (b) CLERICAL AMENDMENT.—The table of sec-           program of education (as defined in section 3002
                                                State approving agency—                                 tions at the beginning of such chapter is amend-       of title 38, United States Code) approved by a
                                                   ‘‘(A) has ascertained that no Federal depart-        ed by inserting after the item relating to section     State approving agency, or the Secretary of Vet-
                                                ment or agency has taken a punitive action, not         3699A the following new item:                          erans Affairs when acting in the role of a State




rfrederick on DSKBCBPHB2PROD with HOUSE
                                                including a settlement agreement, against the           ‘‘3699B. Treatment of certain for-profit edu-          approving agency.
                                                school for misleading or deceptive practices;                             cational institutions.’’.              (2)    COVID–19      EMERGENCY.—The       term
                                                   ‘‘(B) has, if such an order has been issued,            (c) APPLICABILITY.—Section 3699B of title 38,       ‘‘COVID–19 emergency’’ means the public
                                                given due weight to that fact; and                      United States Code, as added by subsection (a),        health emergency declared pursuant to section
                                                   ‘‘(C) has reviewed the complete record of ad-        shall apply with respect to the conversion of a        319 of the Public Health Service Act on January
                                                vertising, sales, or enrollment materials (and          for-profit educational institution to a nonprofit      31, 2020, entitled ‘‘Determination that a Public
                                                copies thereof) used by or on behalf of the insti-      educational institution that occurs on or after        Health Emergency Exists Nationwide as the Re-
                                                tution during the preceding 12-month period.’’.         the date of the enactment of this Act.                 sult of the 2019 Novel Coronavirus’’.




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                                                H7178                                             CONGRESSIONAL RECORD — HOUSE                                                       December 16, 2020
                                                   (3) EDUCATIONAL INSTITUTION.—The term                gram of education in which the individual is en-           (2) INDIVIDUAL DESCRIBED.—An individual de-
                                                ‘‘educational institution’’ has the meaning             rolled during the period for which the indi-            scribed in this paragraph is an individual who
                                                given that term in section 3452(c) of title 38,         vidual received such assistance, any assistance         is pursuing a course of education at an edu-
                                                United States Code, and includes an institution         provided pursuant to this section shall not be          cational institution under chapter 30, 31, 32, 33,
                                                of higher learning (as defined in such section).        counted for purposes of determining the total           or 35 of title 38, United States Code, or chapter
                                                   (4) STATE APPROVING AGENCY.—The term                 amount of an individual’s entitlement to edu-           1606 of title 10, United States Code, as of the
                                                ‘‘State approving agency’’ has the meaning              cational assistance, housing stipends, or pay-          date on which the course is disapproved as de-
                                                given that term in section 3671 of title 38, United     ments or subsistence allowances under chapters          scribed in subsection (b)(1)(B).
                                                States Code.                                            30, 31, 32, and 35 of such title and chapter 1606          (f) STATUS AS FULL-TIME STUDENT FOR PUR-
                                                   (5) TRAINING ESTABLISHMENT.—The term                 of title 10, United States Code.                        POSES OF HOUSING STIPEND CALCULATION.—In
                                                ‘‘training establishment’’ has the meaning given          (e) APPLICABILITY PERIOD.—This section shall          the case of an individual who, as of the first
                                                that term in section 3452(e) of title 38, United        apply during the period beginning on March 1,           day of the COVID–19 emergency was enrolled on
                                                States Code.                                            2020, and ending on December 21, 2021.                  a full-time basis in a program of education and
                                                   (6) TRAINING.—The term ‘‘training’’ includes         SEC.    1103. EFFECTS OF CLOSURE OF EDU-                was receiving educational assistance under
                                                on-job training and apprenticeship programs                           CATIONAL INSTITUTION AND MODI-            chapter 33 of title 38, United States Code, or
                                                and vocational rehabilitation programs.                               FICATION OF COURSES BY REASON             subsistence allowance under chapter 31 of such
                                                SEC. 1102. CONTINUATION OF DEPARTMENT OF                              OF COVID–19 EMERGENCY.                    title, and for whom the Secretary makes a deter-
                                                            VETERANS AFFAIRS EDUCATIONAL                     (a) CLOSURE OR DISAPPROVAL.—Any payment            mination under subsection (b), the individual
                                                            ASSISTANCE   BENEFITS     DURING            of educational assistance described in subsection       shall be treated as an individual enrolled in a
                                                            COVID–19 EMERGENCY.                         (b) shall not—                                          program of education on a full-time basis for the
                                                  (a) AUTHORITY.—If the Secretary of Veterans             (1) be charged against any entitlement to edu-        purpose of calculating monthly housing stipends
                                                Affairs determines under subsection (c) that an         cational assistance of the individual concerned;        payable under chapter 33 of title 38, United
                                                individual is negatively affected by the COVID–         or                                                      States Code, or subsistence allowance payable
                                                19 emergency, the Secretary may provide edu-              (2) be counted against the aggregate period for
                                                                                                                                                                under chapter 31 of such title, for any month
                                                cational assistance to that individual under the        which section 3695 of title 38, United States
                                                                                                                                                                the individual is enrolled in the program of edu-
                                                laws administered by the Secretary as if such           Code, limits the receipt of educational assistance
                                                                                                                                                                cation on a part-time basis to complete any
                                                negative effects did not occur. The authority           by such individual.
                                                                                                          (b) EDUCATIONAL ASSISTANCE DESCRIBED.—                course of education that was partially or fully
                                                under this section is in addition to the authority                                                              canceled by reason of the COVID–19 emergency.
                                                provided under section 1 of Public Law 116–128          Subject to subsection (d), the payment of edu-
                                                                                                                                                                   (g) NOTICE OF CLOSURES.—Not later than 5
                                                (38 U.S.C. 3001 note prec.), but in no case may         cational assistance described in this subsection
                                                                                                                                                                business days after the date on which the Sec-
                                                the Secretary provide more than a total of four         is the payment of such assistance to an indi-
                                                                                                                                                                retary receives notice that an educational insti-
                                                weeks of additional educational assistance by           vidual for pursuit of a course or program of edu-
                                                                                                                                                                tution will close or is closed by reason of the
                                                reason of section 4 of the Student Veteran              cation at an educational institution under
                                                                                                                                                                COVID–19 emergency, the Secretary shall pro-
                                                Coronavirus Response Act of 2020 (Public Law            chapter 30, 31, 32, 33, or 35 of title 38, United
                                                                                                                                                                vide to each individual who is enrolled in a
                                                116–140; 38 U.S.C. 3680 note) and this section.         States Code, or chapter 1606 of title 10, United
                                                                                                                                                                course or program of education at such edu-
                                                  (b) HOUSING AND ALLOWANCES.—In providing              States Code, if the Secretary determines that the
                                                                                                                                                                cational institution using entitlement to edu-
                                                educational assistance to an individual pursu-          individual—
                                                                                                          (1) was unable to complete such course or pro-        cational assistance under chapter 30, 31, 32, 33,
                                                ant to subsection (a), the Secretary may—                                                                       or 35 of title 38, United States Code, or chapter
                                                  (1) continue to pay a monthly housing stipend         gram as a result of—
                                                                                                          (A) the closure of the educational institution,       1606 of title 10, United States Code, notice of—
                                                under chapter 33 of title 38, United States Code,                                                                  (1) such closure and the date of such closure;
                                                during a month the individual would have been           or the full or partial cancellation of a course or
                                                                                                        program of education, by reason of the COVID–           and
                                                enrolled in a program of education or training                                                                     (2) the effect of such closure on the individ-
                                                but for the COVID–19 emergency at the same              19 emergency; or
                                                                                                          (B) the disapproval of the course or a course         ual’s entitlement to educational assistance pur-
                                                rate such stipend would have been payable if                                                                    suant to this section.
                                                the individual had not been negatively affected         that is a necessary part of that program under
                                                                                                        chapter 36 of title 38, United States Code, be-            (h) APPLICABILITY.—This section shall apply
                                                by the COVID–19 emergency, except that the                                                                      with respect to the closure of an educational in-
                                                total number of weeks for which stipends may            cause the course was modified by reason of such
                                                                                                        emergency; and                                          stitution, or the cancellation or modification of
                                                continue to be so payable may not exceed four                                                                   a course or program of education, that occurs
                                                                                                          (2) did not receive credit or lost training time,
                                                weeks; and                                                                                                      during the period beginning on March 1, 2020,
                                                                                                        toward completion of the program of education
                                                  (2) continue to pay payments or subsistence                                                                   and ending on December 21, 2021.
                                                                                                        being so pursued.
                                                allowances under chapters 30, 31, 32, 33, and 35                                                                SEC. 1104. PAYMENT OF EDUCATIONAL ASSIST-
                                                                                                          (c) HOUSING ASSISTANCE.—In this section,
                                                of such title and chapter 1606 of title 10, United                                                                          ANCE IN CASES OF WITHDRAWAL.
                                                                                                        educational assistance includes, as applicable—
                                                States Code, during a month for a period of time          (1) monthly housing stipends payable under              (a) IN GENERAL.—In the case of any indi-
                                                that the individual would have been enrolled in         chapter 33 of title 38, United States Code, for         vidual who withdraws from a program of edu-
                                                a program of education or training but for the          any month the individual would have been en-            cation or training, other than a program by cor-
                                                COVID–19 emergency, except that the total               rolled in a course or program of education; and         respondence, in an educational institution
                                                number of weeks for which payments or allow-              (2) payments or subsistence allowances under          under chapter 31, 34, or 35 of title 38, United
                                                ances may continue to be so payable may not             chapters 30, 31, 32, and 35 of such title and           States Code, for a covered reason during the pe-
                                                exceed four weeks.                                      chapter 1606 of title 10, United States Code, dur-      riod beginning on March 1, 2020, and ending on
                                                  (c) DETERMINATION OF NEGATIVE EFFECTS.—               ing a month the individual would have been en-          December 21, 2021, the Secretary of Veterans Af-
                                                The Secretary shall determine that an indi-             rolled in a course or program of education.             fairs shall find mitigating circumstances for
                                                vidual was negatively affected by the COVID–19            (d) PERIOD NOT CHARGED.—The period for                purposes of section 3680(a)(1)(C)(ii) of title 38,
                                                emergency if—                                           which, by reason of this subsection, educational        United States Code.
                                                  (1) the individual is enrolled in a covered pro-      assistance is not charged against entitlement or          (b) COVERED REASON.—In this section, the
                                                gram of education of an educational institution         counted toward the applicable aggregate period          term ‘‘covered reason’’ means any reason re-
                                                or enrolled in training at a training establish-        under section 3695 of title 38, United States           lated to the COVID–19 emergency, including—
                                                ment and is pursuing such program or training           Code, shall not exceed the aggregate of—                  (1) illness, quarantine, or social distancing re-
                                                using educational assistance under the laws ad-           (1) the portion of the period of enrollment in        quirements;
                                                ministered by the Secretary;                            the course from which the individual did not re-          (2) issues associated with COVID–19 testing
                                                  (2) the educational institution or training es-       ceive credit or with respect to which the indi-         accessibility;
                                                tablishment certifies to the Secretary that such        vidual lost training time, as determined under            (3) access or availability of childcare;
                                                program or training is truncated, delayed, relo-        subsection (b)(2); and                                    (4) providing care for a family member or co-
                                                cated, canceled, partially canceled, converted            (2) the period by which a monthly stipend is          habitants;
                                                from being on-site to being offered by distance         extended under section 3680(a)(2)(B) of title 38,         (5) change of location or residence due to
                                                learning, or otherwise modified or made un-             United States Code.                                     COVID–19 or associated school closures;
                                                available by reason of the COVID–19 emergency;            (e) CONTINUING PURSUIT OF DISAPPROVED                   (6) employment changes or financial hardship;
                                                and                                                     COURSES.—                                               and
                                                  (3) the Secretary determines that the modifica-         (1) IN GENERAL.—The Secretary may treat a               (7) issues associated with changes in format or
                                                tion to such program or training specified under        course of education that is disapproved under           medium of instruction.
                                                paragraph (2) would reduce the amount of edu-           chapter 36 of title 38, United States Code, as          SEC. 1105. MODIFICATION OF TIME LIMITATIONS




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                                                cational assistance (including with respect to          being approved under such chapter with respect                      ON USE OF ENTITLEMENT.
                                                monthly housing stipends, payments, or subsist-         to an individual described in paragraph (2) if            (a) MONTGOMERY GI BILL.—The subsection (i)
                                                ence allowances) that would be payable to the           the Secretary determines, on a programmatic             temporarily added to section 3031 of title 38,
                                                individual but for the COVID–19 emergency.              basis, that—                                            United States Code, by subsection (a) of section
                                                  (d) EFFECT ON ENTITLEMENT PERIOD.—If the                (A) such disapproval is the result of an action       6 of the Student Veteran Coronavirus Response
                                                Secretary determines that an individual who re-         described in subsection (b)(1)(B); and                  Act of 2020 (Public Law 116–140) is amended—
                                                ceived assistance under this section did not              (B) continuing pursuing such course is in the           (1) in paragraph (1), by striking ‘‘the period
                                                make progress toward the completion of the pro-         best interest of the individual.                        the individual is so prevented from pursuing




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                                                December 16, 2020                                 CONGRESSIONAL RECORD — HOUSE                                                                       H7179
                                                such program’’ and inserting ‘‘the period begin-          (b) APPLICABILITY PERIOD.—The period de-             FESSIONALS TO PERFORM MEDICAL DISABILITY
                                                ning on March 1, 2020, and ending on December           scribed in this section is the period beginning on     EXAMINATIONS FOR THE DEPARTMENT OF VET-
                                                21, 2021’’; and                                         March 1, 2020, and ending on December 21, 2021.        ERANS AFFAIRS UNDER PILOT PROGRAM FOR USE
                                                  (2) in paragraph (2), by striking ‘‘the first day     SEC. 1107. INCLUSION OF TRAINING ESTABLISH-            OF CONTRACT PHYSICIANS FOR DISABILITY EX-
                                                after the individual is able to resume pursuit of                    MENTS IN CERTAIN PROVISIONS RE-           AMINATIONS.—
                                                a program of education with educational assist-                      LATED TO COVID–19 EMERGENCY.                (1) IN GENERAL.—Subsection (c) of section 504
                                                ance under this chapter’’ and inserting ‘‘Decem-          (a) CONTINUATION OF BENEFITS.—Section 1 of           of the Veterans’ Benefits Improvements Act of
                                                ber 22, 2021’’.                                         Public Law 116–128 is amended—                         1996 (Public Law 104–275; 38 U.S.C. 5101 note) is
                                                  (b) VOCATIONAL REHABILITATION AND TRAIN-                 (1) in subsection (a), by inserting ‘‘or a train-   amended to read as follows:
                                                ING.—The subsection (g) temporarily added to            ing establishment’’ after ‘‘an educational insti-         ‘‘(c) LICENSURE OF CONTRACT HEALTH CARE
                                                section 3103 of title 38, United States Code, by        tution’’; and                                          PROFESSIONALS.—
                                                subsection (c) of such section 6 is amended—               (2) in subsection (c), by adding at the end the        ‘‘(1) IN GENERAL.—Notwithstanding any law
                                                                                                        following new paragraph:                               regarding the licensure of health care profes-
                                                  (1) in paragraph (1), by striking ‘‘the period
                                                                                                           ‘‘(4) TRAINING ESTABLISHMENT.—The term              sionals, a health care professional described in
                                                the individual is so prevented from participating
                                                                                                        ‘training establishment’ has the meaning given         paragraph (2) may conduct an examination pur-
                                                such program’’ and inserting ‘‘the period begin-
                                                                                                        such term in section 3452(e) of title 38, United       suant to a contract entered into under sub-
                                                ning on March 1, 2020, and ending on December
                                                                                                        States Code.’’.                                        section (a) at any location in any State, the Dis-
                                                21, 2021’’; and
                                                                                                           (b) PAYMENT OF ALLOWANCES.—Section 4(a)(1)          trict of Columbia, or a Commonwealth, territory,
                                                  (2) in paragraph (2), by striking ‘‘the first day     of the Student Veteran Coronavirus Response            or possession of the United States, so long as the
                                                after the individual is able to resume participa-       Act of 2020 (Public Law 116–140; 38 U.S.C. 3680        examination is within the scope of the author-
                                                tion in such program’’ and inserting ‘‘December         note) is amended by inserting ‘‘or a training es-      ized duties under such contract.
                                                22, 2021’’.                                             tablishment’’ after ‘‘educational institution’’.          ‘‘(2) HEALTH CARE PROFESSIONAL DESCRIBED.—
                                                SEC. 1106. APPRENTICESHIP OR ON-JOB TRAIN-                 (c) PROHIBITION OF CHARGE TO ENTITLE-               A health care professional described in this
                                                            ING REQUIREMENTS.                           MENT.—The        subparagraph (C) temporarily          paragraph is a physician, physician assistant,
                                                   (a) IN GENERAL.—During the period described          added to section 3699(b)(1) of title 38, United        nurse practitioner, audiologist, or psychologist,
                                                in subsection (b), subsection (e) of section 3687       States Code, by section 5 of the Student Veteran       who—
                                                of title 38, United States Code, shall be applied       Coronavirus Response Act of 2020 (Public Law              ‘‘(A) has a current unrestricted license to
                                                by substituting the following for paragraph (2):        116–140; 38 U.S.C. 3699 note) is amended by in-        practice the health care profession of the physi-
                                                   ‘‘(2)(A) Subject to subparagraphs (B) and (C),       serting ‘‘or training establishment’’ after ‘‘edu-     cian, physician assistant, nurse practitioner,
                                                for any month in which an individual fails to           cational institution’’.                                audiologist, or psychologist, as the case may be;
                                                complete 120 hours of training, the entitlement            (d) EXTENSION OF TIME LIMITATIONS.—                    ‘‘(B) is not barred from practicing such health
                                                otherwise chargeable under paragraph (1) shall             (1) MGIB.—The subsection (i) temporarily            care profession in any State, the District of Co-
                                                be reduced in the same proportion as the month-         added to section 3031 of title 38, United States       lumbia, or a Commonwealth, territory, or pos-
                                                ly training assistance allowance payable is re-         Code, by subsection (a) of section 6 of the Stu-       session of the United States; and
                                                duced under subsection (b)(3).                          dent Veteran Coronavirus Response Act of 2020             ‘‘(C) is performing authorized duties for the
                                                   ‘‘(B) In the case of an individual who is un-        (Public Law 116–140), as amended by section            Department of Veterans Affairs pursuant to a
                                                employed during any month, the 120-hour re-             1105 of this title, is further amended by inserting    contract entered into under subsection (a).’’.
                                                quirement under subparagraph (A) for that               ‘‘or training establishment’’ after ‘‘educational         (2) PURPOSE.—The purpose of the amendment
                                                month shall be reduced proportionately to re-           institution’’.                                         made by paragraph (1) is to expand the license
                                                flect the individual’s period of unemployment,             (2) TRANSFER PERIOD.—The subparagraph (C)           portability for physicians assistants, nurse prac-
                                                except that the amount of monthly training as-          temporarily added to section 3319(h)(5) of such        titioners, audiologists, and psychologists to sup-
                                                sistance otherwise payable to the individual            title by section 6 of the Student Veteran              plement the capacity of employees of the De-
                                                under subsection (b)(3) shall not be reduced.           Coronavirus Response Act of 2020 (Public Law           partment to provide medical examinations de-
                                                   ‘‘(C) Any period during which an individual          116–140) is amended by inserting ‘‘or training es-     scribed in subsection (b).
                                                is unemployed shall not—                                tablishment’’ after ‘‘educational institution’’.          (3) RULE OF CONSTRUCTION.—The amendment
                                                   ‘‘(i) be charged against any entitlement to          SEC. 1108. TREATMENT OF PAYMENT OF ALLOW-              made by paragraph (1) shall not be construed to
                                                educational assistance of the individual; or                        ANCES UNDER STUDENT VETERAN                affect the license portability for physicians in
                                                   ‘‘(ii) be counted against the aggregate period                   CORONAVIRUS RESPONSE ACT.                  effect under section 504(c) of such Act as in ef-
                                                for which section 3695 of this title limits the re-        Section 4 of the Student Veteran Coronavirus        fect on the day before the date of the enactment
                                                ceipt of educational assistance by such indi-           Response Act of 2020 (Public Law 116–140) is           of this Act.
                                                vidual.                                                 amended—                                                  (4) SUNSET.—On the date that is three years
                                                   ‘‘(D) Any amount by which the entitlement of            (1) in subsection (b)—                              after the date of the enactment of this Act, sub-
                                                                                                           (A) by striking ‘‘may not exceed four weeks.’’      section (c) of such section shall read as it read
                                                an individual is reduced under subparagraph
                                                                                                        and inserting ‘‘may not exceed the shorter of the      on the day before the date of the enactment of
                                                (A) shall not—
                                                                                                        following:’’; and                                      this Act.
                                                   ‘‘(i) be charged against any entitlement to             (B) by adding at the end the following new             (b) TEMPORARY HALT ON ELIMINATION OF
                                                educational assistance of the individual; or            paragraphs:                                            MEDICAL EXAMINER POSITIONS IN DEPARTMENT
                                                   ‘‘(ii) be counted against the aggregate period          ‘‘(1) The period of time that the eligible vet-     OF VETERANS AFFAIRS.—The Secretary of Vet-
                                                for which section 3695 of this title limits the re-     eran or eligible person would have been enrolled       erans Affairs shall temporarily suspend the ef-
                                                ceipt of educational assistance by such indi-           in a program of education or training but for          forts of the Secretary in effect on the day before
                                                vidual.                                                 the emergency situation.                               the date of the enactment of this Act to elimi-
                                                   ‘‘(E) In the case of an individual who fails to         ‘‘(2) Four weeks.’’; and                            nate medical examiner positions in the Depart-
                                                complete 120 hours of training during a month,             (2) by adding at the end the following new          ment of Veterans Affairs until the number of in-
                                                but who completed more than 120 hours of train-         subsection:                                            dividuals awaiting a medical examination with
                                                ing during the preceding month, the individual             ‘‘(e) ENTITLEMENT NOT CHARGED.—Any pay-             respect to medical disability of the individuals
                                                may apply the number of hours in excess of 120          ment of allowances under this section shall            for benefits under laws administered by the Sec-
                                                that the individual completed for that month to         not—                                                   retary that are carried out through the Under
                                                the month for which the individual failed to               ‘‘(1) be charged against any entitlement to
                                                                                                                                                               Secretary for Benefits is equal to or less than
                                                complete 120 hours. If the addition of such ex-         educational assistance of the eligible veteran or
                                                                                                                                                               the number of such individuals who were await-
                                                cess hours results in a total of 120 hours or           eligible person concerned; or
                                                                                                                                                               ing such a medical examination with respect to
                                                more, the individual shall be treated as an indi-          ‘‘(2) be counted against the aggregate period
                                                                                                                                                               such purposes on March 1, 2020.
                                                vidual who has completed 120 hours of training          for which section 3695 of this title 38, United
                                                                                                                                                                  (c) REPORT ON PROVISION OF MEDICAL EXAMI-
                                                for that month. Any excess hours applied to a           States Code, limits the receipt of educational as-
                                                                                                                                                               NATIONS.—
                                                different month under this subparagraph may             sistance by such eligible veteran or eligible per-        (1) IN GENERAL.—Not later than 180 days after
                                                only be applied to one such month.                      son.’’.                                                the date of the enactment of this Act, the Sec-
                                                   ‘‘(F) This paragraph applies to amounts de-                         TITLE II—BENEFITS                       retary shall submit to the appropriate commit-
                                                scribed in section 3313(g)(3)(B)(iv) and section                  Subtitle A—Benefits Generally                tees of Congress a report on the provision of
                                                3032(c)(2) of this title and section 16131(d)(2) of                                                            medical examinations described in subsection (b)
                                                                                                        SEC. 2001. REVISION OF DEFINITION OF VIETNAM
                                                title 10.                                                            ERA FOR PURPOSES OF THE LAWS              by the Department.
                                                   ‘‘(G) In this paragraph:                                          ADMINISTERED BY THE SECRETARY                (2) CONTENTS.—The report submitted under
                                                   ‘‘(i) The term ‘unemployed’ includes being fur-                   OF VETERANS AFFAIRS.                      paragraph (1) shall cover the following:




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                                                loughed or being scheduled to work zero hours.            Section 101(29)(A) of title 38, United States           (A) How the Secretary will increase the capac-
                                                   ‘‘(ii) The term ‘fails to complete 120 hours of      Code, is amended by striking ‘‘February 28,            ity, efficiency, and timeliness of physician as-
                                                training’ means, with respect to an individual,         1961’’ and inserting ‘‘November 1, 1955’’.             sistants, nurse practitioners, audiologists, and
                                                that during any month, the individual com-              SEC. 2002. MATTERS RELATING TO DEPARTMENT              psychologists of the Veterans Health Adminis-
                                                pletes at least one hour, but fewer than 120                        OF VETERANS AFFAIRS MEDICAL                tration with respect to completing medical ex-
                                                hours, of training, including in a case in which                    DISABILITY EXAMINATIONS.                   aminations described in subsection (b).
                                                the individual is unemployed for part of, but not         (a) TEMPORARY CLARIFICATION OF LICENSURE                (B) The total number of full-time equivalent
                                                the whole, month.’’.                                    REQUIREMENTS FOR CONTRACTOR MEDICAL PRO-               employees among all physician assistants, nurse




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                                                H7180                                             CONGRESSIONAL RECORD — HOUSE                                                      December 16, 2020
                                                practitioners, audiologists, and psychologists          of a person whose name has been entered on the           ‘‘(I) are administratively and actuarially
                                                needed for the increases described in subpara-          Army, Navy, Air Force, and Coast Guard Medal           sound for the insurance program under para-
                                                graph (A).                                              of Honor Roll and a copy of whose certificate          graph (1); and
                                                   (C) An assessment regarding the importance of        has been delivered to the Secretary under sec-           ‘‘(II) will not result in such program operating
                                                retaining a critical knowledge base within the          tion 1134a(d) of title 10.                             at a loss; and
                                                Department for performing medical examina-                ‘‘(B) No special pension shall be paid to a sur-       ‘‘(ii) publishes in the Federal Register, and
                                                tions for veterans filing claims for compensation       viving spouse of a person under this section un-       submits to the Committee on Veterans’ Affairs of
                                                under chapters 11 and 13 of title 38, United            less such surviving spouse was married to such         the Senate and the Committee on Veterans’ Af-
                                                States Code, including with respect to military         person—                                                fairs of the House of Representatives, such max-
                                                sexual trauma, post-traumatic stress disorder,            ‘‘(i) for one year or more prior to the veteran’s    imum amount and determination.
                                                traumatic brain injury, and toxic exposure.             death; or                                                ‘‘(5)(A)(i) Insurance granted under this sec-
                                                   (3) COLLABORATION.—The Secretary shall col-            ‘‘(ii) for any period of time if a child was born    tion shall be on a nonparticipating basis and all
                                                laborate with the veterans community and                of the marriage, or was born to them before the        premiums and other collections therefor shall be
                                                stakeholders in the preparation of the report re-       marriage.                                              credited directly to a revolving fund in the
                                                quired by paragraph (1).                                  ‘‘(C) No special pension shall be paid to a sur-     Treasury of the United States.
                                                   (4) APPROPRIATE COMMITTEES OF CONGRESS               viving spouse of a person under this section if          ‘‘(ii) Any payments on such insurance shall be
                                                DEFINED.—In this subsection, the term ‘‘appro-          such surviving spouse is receiving benefits under      made directly from such fund.
                                                                                                                                                                 ‘‘(B)(i) The Secretary of the Treasury may in-
                                                priate committees of Congress’’ means—                  section 1311 or 1318 of this title.’’.
                                                                                                          (2) CONFORMING AMENDMENTS.—                          vest in and sell and retire special interest-bear-
                                                   (A) the Committee on Veterans’ Affairs and
                                                                                                          (A) IN GENERAL.—Such section is amended—             ing obligations of the United States for the ac-
                                                the Committee on Appropriations of the Senate;
                                                                                                          (i) in subsection (d), by inserting ‘‘or married     count of the revolving fund under subparagraph
                                                and
                                                                                                        to more than one person who has been awarded           (A).
                                                   (B) the Committee on Veterans’ Affairs and
                                                                                                                                                                 ‘‘(ii) Such obligations issued for that purpose
                                                the Committee on Appropriations of the House            a medal of honor,’’ after ‘‘honor,’’; and
                                                                                                          (ii) in subsection (f)(1), by striking ‘‘this sec-   shall—
                                                of Representatives.                                                                                              ‘‘(I) have maturities fixed with due regard for
                                                   (d) COMPTROLLER GENERAL OF THE UNITED                tion’’ and inserting ‘‘paragraph (1) of sub-
                                                                                                                                                               the needs of the fund; and
                                                STATES REVIEW.—                                         section (a), or under paragraph (2) of such sub-         ‘‘(II) bear interest at a rate equal to the aver-
                                                   (1) REVIEW REQUIRED.—Not later than 360              section in the case of a posthumous entry on the       age market yield (computed by the Secretary of
                                                days after the date of the enactment of this Act,       Army, Navy, Air Force, and Coast Guard Medal           the Treasury on the basis of market quotations
                                                the Comptroller General of the United States            of Honor Roll,’’.                                      as of the end of the calendar month preceding
                                                shall commence a review of the implementation             (B) SPECIAL PROVISIONS RELATING TO MAR-              the date of issue) on all marketable interest-
                                                of the pilot program authorized under sub-              RIAGES.—Section 103(d)(5) of such title is amend-      bearing obligations of the United States then
                                                section (a) of section 504 of the Veterans’ Bene-       ed by adding at the end the following new sub-         forming a part of the public debt which are not
                                                fits Improvements Act of 1996 (Public Law 104–          paragraph:                                             due or callable until after the expiration of four
                                                275; 38 U.S.C. 5101 note).                                ‘‘(E) Section 1562(a)(2), relating to Medal of       years from the end of such calendar month; ex-
                                                   (2) ELEMENTS.—The review conducted under             Honor special pension.’’.                              cept that where such average market yield is not
                                                paragraph (1) shall include the following:                (3) EFFECTIVE DATE.—The amendments made              a multiple of one-eighth of one per centum, the
                                                   (A) An assessment of the use of subsection (c)       by this subsection shall apply with respect to         rate of interest of such obligation shall be the
                                                of section 504 of such Act, as amended by sub-          payment of pension under section 1562 of title         multiple of one-eighth of one per centum nearest
                                                section (a)(1) of this section.                         38, United States Code, for months beginning           such market yield.
                                                   (B) Efforts to retain and recruit medical exam-      after the date of the enactment of this Act.             ‘‘(6)(A) Administrative support financed by
                                                iners as employees of the Department.                   SEC.   2004.   MODERNIZATION OF SERVICE-DIS-           the appropriations for ‘General Operating Ex-
                                                   (C) Use of telehealth for medical examinations                      ABLED VETERANS INSURANCE.               penses, Department of Veterans Affairs’ and
                                                described in subsection (b) that are administered          (a) ESTABLISHMENT OF MODERNIZED PRO-                ‘Information Technology Systems, Department
                                                by the Department.                                      GRAM.—                                                 of Veterans Affairs’ for the insurance program
                                                   (e) BRIEFING ON RECOMMENDATIONS OF COMP-                (1) IN GENERAL.—Chapter 19 of title 38, United      under paragraph (1) shall be paid from pre-
                                                TROLLER GENERAL OF THE UNITED STATES.—Not               States Code, is amended by inserting after sec-        miums credited to the fund under paragraph (5).
                                                later than 60 days after the date of the enact-         tion 1922A the following new section:                    ‘‘(B) Such payment for administrative support
                                                ment of this Act, the Secretary shall provide to        ‘‘§ 1922B. Service-disabled veterans insurance         shall be reimbursed for that fiscal year from
                                                the Committee on Veterans’ Affairs of the Sen-             ‘‘(a) INSURANCE.—(1) Beginning January 1,           funds that are available on such insurance after
                                                ate and the Committee on Veterans’ Affairs of           2023, the Secretary shall carry out a service-dis-     claims have been paid.
                                                the House of Representatives a briefing on how          abled veterans insurance program under which             ‘‘(b) ELIGIBILITY.—A veteran is eligible to en-
                                                the Secretary will implement the recommenda-            a veteran is granted insurance by the United           roll in the insurance program under subsection
                                                tions of the Comptroller General of the United          States against the death of such individual oc-        (a)(1) if the veteran has a service-connected dis-
                                                States regarding—                                       curring while such insurance is in force.              ability, without regard to—
                                                   (1) the monitoring of the training of providers         ‘‘(2) The Secretary may only issue whole-life         ‘‘(1) whether such disability is compensable
                                                of examinations pursuant to contracts under             policies under the insurance program under             under chapter 11 of this title; or
                                                section 504 of the Veterans’ Benefits Improve-                                                                   ‘‘(2) whether the veteran meets standards of
                                                                                                        paragraph (1).
                                                ments Act of 1996 (Public Law 104–275; 38 U.S.C.                                                               good health required for other life insurance
                                                                                                           ‘‘(3) The Secretary may not grant insurance to
                                                5101 note); and                                                                                                policies.
                                                                                                        a veteran under paragraph (1) unless—                    ‘‘(c) ENROLLMENT AND WAITING PERIOD.—(1)
                                                   (2) ensuring such providers receive such train-         ‘‘(A) the veteran submits the application for
                                                ing.                                                                                                           An eligible veteran may enroll in the insurance
                                                                                                        such insurance before the veteran attains 81
                                                   (f) HOLDING UNDERPERFORMING CONTRACT                                                                        program under subsection (a)(1) at any time.
                                                                                                        years of age; or                                         ‘‘(2) The life insurance policy of a veteran
                                                MEDICAL EXAMINERS ACCOUNTABLE.—The Sec-                    ‘‘(B) with respect to a veteran who has at-
                                                retary shall take such actions as may be nec-                                                                  who enrolls in the insurance program under
                                                                                                        tained 81 years of age—                                subsection (a)(1) does not go into force unless—
                                                essary to hold accountable the providers of med-           ‘‘(i) the veteran filed a claim for compensation
                                                ical examinations pursuant to contracts under                                                                    ‘‘(A) a period of two years elapses following
                                                                                                        under chapter 11 of this title before attaining        the date of such enrollment; and
                                                section 504 of the Veterans’ Benefits Improve-          such age;                                                ‘‘(B) the veteran pays the premiums required
                                                ments Act of 1996 (Public Law 104–275; 38 U.S.C.           ‘‘(ii) based on such claim, and after the vet-      during such two-year period.
                                                5101 note) who are underperforming in the meet-         eran attained such age, the Secretary first de-          ‘‘(3)(A) If a veteran dies during the two-year
                                                ing of the needs of veterans through the per-           termines that the veteran has a service-con-           period described in paragraph (2), the Secretary
                                                formance of medical examinations pursuant to            nected disability; and                                 shall pay to the beneficiary of the veteran the
                                                such contracts.                                            ‘‘(iii) the veteran submits the application for     amount of premiums paid by the veteran under
                                                SEC. 2003. MEDAL OF HONOR SPECIAL PENSION               such insurance during the two-year period fol-         this section, plus interest.
                                                            FOR SURVIVING SPOUSES.                      lowing the date of such determination.                   ‘‘(B) The Secretary—
                                                  (a) CODIFICATION OF CURRENT RATE OF SPE-                 ‘‘(4)(A) A veteran enrolled in the insurance          ‘‘(i) for the initial year of the insurance pro-
                                                CIAL PENSION.—Subsection (a) of section 1562 of         program under paragraph (1) may elect to be in-        gram under subsection (a)(1)—
                                                title 38, United States Code, is amended by strik-      sured in any of the following amounts:                   ‘‘(I) shall set such interest at a rate of one
                                                ing ‘‘$1,000’’ and inserting ‘‘$1,388.68’’.                ‘‘(i) $10,000.                                      percent; and
                                                   (b)    SPECIAL     PENSION       FOR     SURVIVING      ‘‘(ii) $20,000.                                       ‘‘(II) may adjust such rate during such year
                                                SPOUSES.—                                                  ‘‘(iii) $30,000.                                    based on program experience, except that the in-




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                                                   (1) SURVIVING SPOUSE BENEFIT.—Such sub-                 ‘‘(iv) $40,000.                                     terest rate may not be less than zero percent;
                                                section is further amended—                                ‘‘(v) In accordance with subparagraph (B), a          ‘‘(ii) for the second and each subsequent year
                                                   (A) by inserting ‘‘(1)’’ after ‘‘(a)’’; and          maximum amount greater than $40,000.                   of the program, shall calculate such interest at
                                                   (B) by adding at the end the following new              ‘‘(B) The Secretary may establish a maximum         an annual rate equal to the rate of return on
                                                paragraph:                                              amount to be insured under paragraph (1) that          the revolving fund under subsection (a)(5) for
                                                   ‘‘(2)(A) Except as provided in subparagraphs         is greater than $40,000 if the Secretary—              the calendar year preceding the year of the vet-
                                                (B) and (C), the Secretary shall pay special pen-          ‘‘(i) determines that such maximum amount           eran’s death, except that the interest rate may
                                                sion under this section to the surviving spouse         and the premiums for such amount—                      not be less than zero percent; and




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                                                December 16, 2020                                 CONGRESSIONAL RECORD — HOUSE                                                                          H7181
                                                   ‘‘(iii) on an annual basis, shall publish on the     the end of the period described in such para-            ‘‘(A) Each reason for that denial, including a
                                                internet website of the Department the average          graph, if the Secretary receives a complete and        description of all the information upon which
                                                interest rate calculated under clause (ii) for the      valid claim for payment.                               the denial is based and a description of the ap-
                                                preceding calendar year.                                   ‘‘(2) In a case where the Secretary has not         plicable laws, regulations, or policies, with ap-
                                                   ‘‘(d) PREMIUMS.—(1) The Secretary shall es-          made an insurance payment under this section           propriate citations, and an explanation of how
                                                tablish a schedule of basic premium rates by age        during the applicable period specified in para-        such laws, regulations, or policies affected the
                                                per $10,000 of insurance under subsection (a)(1)        graph (1) by reason of a beneficiary not yet hav-      denial.
                                                consistent with basic premium rates generally           ing filed a claim, or the Secretary not yet mak-         ‘‘(B) Each finding that is favorable to the
                                                charged for guaranteed acceptance life insur-           ing a determination under subsection (f)(3), the       member.
                                                ance policies by private life insurance compa-          Secretary may make the payment after such ap-            ‘‘(2) Any finding favorable to the member as
                                                nies.                                                   plicable period.                                       described in paragraph (1)(B) shall be binding
                                                   ‘‘(2) The Secretary may adjust such schedule            ‘‘(3) Notwithstanding section 1917 of this title,   on all subsequent reviews or appeals of the de-
                                                after the first policy year in a manner consistent      the Secretary shall make an insurance payment          nial of the claim, unless clear and convincing
                                                with the general practice of guaranteed accept-         under this section in a lump sum.                      evidence is shown to the contrary to rebut such
                                                ance life insurance policies issued by private life        ‘‘(4) The Secretary may not make an insur-          favorable finding.’’.
                                                insurance companies.                                    ance payment under this section if such pay-           SEC. 2006. PUBLICATION AND ACCEPTANCE OF
                                                   ‘‘(3) Section 1912 of this title shall not apply     ment will escheat to a State.                                      DISABILITY BENEFIT  QUESTION-
                                                to life insurance policies under subsection (a)(1),        ‘‘(5) Any payment under this subsection shall                   NAIRE FORMS OF DEPARTMENT OF
                                                and the Secretary may not otherwise waive pre-                                                                             VETERANS AFFAIRS.
                                                                                                        be a bar to recovery by any other person.’’.
                                                miums for such insurance policies.                         (2) CLERICAL AMENDMENT.—The table of sec-             (a) IN GENERAL.—Section 5101 of title 38,
                                                   ‘‘(e) BENEFICIARIES.—(1) A veteran who en-           tions at the beginning of such chapter is amend-       United States Code, is amended—
                                                rolls in the insurance program under subsection         ed by inserting after the item relating to section        (1) by redesignating subsection (d) as sub-
                                                (a)(1) may designate a beneficiary of the life in-      1922A the following new item:                          section (e); and
                                                surance policy.                                                                                                   (2) by inserting after subsection (c) the fol-
                                                                                                        ‘‘1922B. Service-disabled veterans insurance.’’.       lowing new subsection (d):
                                                   ‘‘(2) If a veteran enrolled in the insurance            (b) SUNSET OF PREVIOUS PROGRAM AND TRAN-
                                                program under subsection (a)(1) does not des-                                                                     ‘‘(d)(1) The Secretary shall publish in a cen-
                                                                                                        SITION.—                                               tral location on the internet website of the De-
                                                ignate a beneficiary under paragraph (1) before            (1) S–DVI.—Section 1922 of such title is
                                                the veteran dies, or if a designated beneficiary                                                               partment—
                                                                                                        amended by adding at the end the following                ‘‘(A) the disability benefit questionnaire forms
                                                predeceases the veteran, the Secretary shall de-        new subsection:                                        of the Department for the submittal of evidence
                                                termine the beneficiary in the following order:            ‘‘(d)(1) The Secretary may not accept any ap-       from non-Department medical providers regard-
                                                   ‘‘(A) The surviving spouse of the veteran.           plication by a veteran to be insured under this
                                                   ‘‘(B) The children of the veteran and descend-                                                              ing a disability of a claimant, including any
                                                                                                        section after December 31, 2022.                       form or process that replaces any such disability
                                                ants of deceased children by representation.               ‘‘(2)(A) During the period beginning January
                                                   ‘‘(C) The parents of the veteran or the sur-                                                                benefit questionnaire form; and
                                                                                                        1, 2023, and ending December 31, 2025, a veteran          ‘‘(B) details about the process used by the De-
                                                vivors of the parents.
                                                                                                        who is insured under this section may elect to         partment for submittal of evidence described in
                                                   ‘‘(D) The duly appointed executor or adminis-
                                                                                                        instead be insured under section 1922B of this         subparagraph (A).
                                                trator of the estate of the veteran.
                                                                                                        title based on the age of the veteran at the time         ‘‘(2) Subject to section 6103 of this title, if the
                                                   ‘‘(E) Other next of kin of the veteran entitled
                                                                                                        of such election.                                      Secretary updates a form described in para-
                                                under the laws of domicile of the veteran at the
                                                                                                           ‘‘(B)(i) A veteran who elects under subpara-        graph (1)(A), the Secretary shall—
                                                time of the death of the veteran.
                                                                                                        graph (A) to be insured under section 1922B of            ‘‘(A) accept the previous version of the form
                                                   ‘‘(f) CLAIMS.—(1) If the deceased veteran des-
                                                                                                        this title shall be subject to the two-year waiting    filed by a claimant if—
                                                ignated a beneficiary under subsection (e)(1)—                                                                    ‘‘(i) the claimant provided to the non-Depart-
                                                   ‘‘(A) the designated beneficiary is the only         period specified in subsection (c) of such section.
                                                                                                           ‘‘(ii) If the veteran dies during such period,      ment medical provider the previous version of
                                                person who may file a claim for payment under
                                                                                                        the Secretary shall pay the beneficiary under          the form before the date on which the updated
                                                subsection (g) during the one-year period begin-
                                                                                                        this section, and, if applicable, under section        version of the form was made available; and
                                                ning on the date of the death of the veteran;                                                                     ‘‘(ii) the claimant files the previous version of
                                                and                                                     1922A, plus the amount of premiums paid by the
                                                                                                        veteran under such section 1922B, plus interest.       the form during the one-year period following
                                                   ‘‘(B) if the designated beneficiary does not file                                                           the date the form was completed by the non-De-
                                                a claim for the payment during the period de-              ‘‘(3) Except as provided by paragraph (2)(B),
                                                                                                        a veteran may not be insured under this section        partment medical provider;
                                                scribed in paragraph (1), or if payment to the                                                                    ‘‘(B) request from the claimant (or from a
                                                designated beneficiary within that period is pro-       and section 1922B simultaneously.’’.
                                                                                                           (2) SUPPLEMENTAL S–DVI.—Section 1922A(b) of         non-Department medical provider if the claim-
                                                hibited by Federal statute or regulation, a bene-                                                              ant has authorized the provider to share health
                                                ficiary described in subsection (e)(2) may file a       such title is amended by adding after the period
                                                                                                        at the end the following: ‘‘The Secretary may          information with the Secretary) any other infor-
                                                claim for such payment during the one-year pe-                                                                 mation that the updated version of the form re-
                                                riod following the period described in subpara-         not accept any such application after December
                                                                                                        31, 2022. Except as provided by section                quires; and
                                                graph (A) as if the designated beneficiary had                                                                    ‘‘(C) apply the laws and regulations required
                                                predeceased the veteran.                                1922(d)(2)(B), a veteran may not have supple-
                                                                                                        mental insurance under this section and be in-         to adjudicate the claim as if the claimant filed
                                                   ‘‘(2) If the deceased veteran did not designate                                                             the updated version of the form.
                                                a beneficiary under subsection (e)(1), or if the        sured under section 1922B simultaneously.’’.
                                                                                                                                                                  ‘‘(3) The Secretary may waive any inter-
                                                designated beneficiary predeceased the veteran,            (c) CONFORMING AMENDMENTS.—Chapter 19 of
                                                                                                                                                               agency approval process required to approve a
                                                a beneficiary described in subsection (e)(2) may        such title is amended—
                                                                                                                                                               modification to a disability benefit questionnaire
                                                file a claim for payment under subsection (g)              (1) in the section heading of section 1922, by
                                                                                                                                                               form if such requirement only applies by reason
                                                during the two-year period beginning on the             striking ‘‘Service’’ and inserting ‘‘Legacy serv-
                                                                                                                                                               of the forms being made public.’’.
                                                date of the death of the veteran.                       ice’’;
                                                                                                                                                                  (b) REPORTS BY INSPECTOR GENERAL OF THE
                                                   ‘‘(3) If, on the date that is two years after the       (2) in the section heading of section 1922A, by
                                                                                                                                                               DEPARTMENT OF VETERANS AFFAIRS.—Not less
                                                date of the death of the veteran, no claim for          striking ‘‘Supplemental’’ and inserting ‘‘Leg-
                                                                                                                                                               frequently than once each year through 2023,
                                                payment has been filed by any beneficiary pur-          acy supplemental’’; and
                                                                                                                                                               the Inspector General of the Department of Vet-
                                                suant to paragraph (1) or (2), and the Secretary           (3) in the table of sections at the beginning of
                                                                                                                                                               erans Affairs shall submit to Congress a report
                                                has not received notice that any such claim will        such chapter by striking the items relating to
                                                                                                                                                               on the findings of the Inspector General with re-
                                                be so filed during the subsequent one-year pe-          sections 1922 and 1922A and inserting the fol-
                                                                                                                                                               spect to the use of the forms published under
                                                riod, the Secretary may make the payment to a           lowing new items:
                                                                                                                                                               section 5101(d)(1) of such title, as added by sub-
                                                claimant whom the Secretary determines to be            ‘‘1922. Legacy service disabled veterans’ insur-       section (a).
                                                equitably entitled to such payment.                                      ance.                                    (c) INITIAL FORM.—The Secretary of Veterans
                                                   ‘‘(g) PAYMENTS.—(1) In a case described in           ‘‘1922A. Legacy supplemental service disabled          Affairs shall begin carrying out section
                                                subsection (f)—                                                          veterans’ insurance for totally       5101(d)(1) of such title, as added by subsection
                                                   ‘‘(A) in paragraph (1)(A), the Secretary shall                        disabled veterans.’’.                 (a), by publishing, as described in such section,
                                                pay the designated beneficiary not later than 90        SEC. 2005. DENIAL OF CLAIMS FOR TRAUMATIC              the form described in such section that was in
                                                days after the designated beneficiary files a                       INJURY    PROTECTION   UNDER               effect on January 1, 2020.
                                                complete and valid claim for payment;                               SERVICEMEMBERS’ GROUP LIFE IN-                (d) ALTERNATE PROCESS.—
                                                   ‘‘(B) in paragraph (1)(B) or (2), the Secretary                  SURANCE.                                      (1) ASSESSMENT AND REPORT.—




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                                                shall make any payment not later than one year            Section 1980A of title 38, United States Code,          (A) IN GENERAL.—Subject to paragraph (2),
                                                after the end of the period described in the ap-        is amended by adding at the end the following          not later than 180 days after the date of the en-
                                                plicable such paragraph, if the Secretary re-           new subsection:                                        actment of this act, the Secretary shall—
                                                ceives a complete and valid claim for payment in          ‘‘(l)(1) If a claim for benefits under this sec-        (i) assess the feasibility and advisability of re-
                                                accordance with the applicable such paragraph;          tion is denied, the Secretary concerned shall          placing disability benefit questionnaire forms
                                                or                                                      provide to the member at the same time as the          that are used by non-Department medical pro-
                                                   ‘‘(C) in paragraph (3), the Secretary shall          member is informed of such denial a description        viders to submit to the Secretary evidence re-
                                                make any payment not later than one year after          of the following:                                      garding a disability of a claimant for benefits




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                                                H7182                                             CONGRESSIONAL RECORD — HOUSE                                                      December 16, 2020
                                                under laws administered by the Secretary, with          ‘‘§ 5320. Threshold for reporting debts to con-        ing by gathering such information as the Ad-
                                                another consistent process that considers evi-             sumer reporting agencies                            ministrator may consider useful in carrying out
                                                dence equally, whether provided by a Depart-               ‘‘The Secretary shall prescribe regulations         the study.
                                                ment or a non-Department medical provider;              that establish the minimum amount of a claim or           (2) OBTAINING INFORMATION CONCERNING EX-
                                                and                                                     debt, arising from a benefit administered by the       POSURE.—Assistance under paragraph (1) pro-
                                                   (ii) submit to Congress—                             Under Secretary for Benefits or Under Secretary        vided by the Secretary of Veterans Affairs shall
                                                   (I) a report on the findings of the Secretary        for Health, that the Secretary will report to a        include compiling information on exposure de-
                                                with respect to the assessment conducted under          consumer reporting agency under section 3711 of        scribed in subsection (a)(2) and the Secretary of
                                                clause (i); and                                         title 31.’’.                                           Defense shall provide to the Secretary of Vet-
                                                   (II) if the report submitted under subclause (I)        (b) CLERICAL AMENDMENT.—The table of sec-           erans Affairs such information concerning such
                                                of this clause includes a finding that replacing        tions at the beginning of such chapter is amend-       exposure as the Secretary of Veterans Affairs
                                                the disability benefit questionnaire forms de-          ed by adding after the item relating to section        considers appropriate for purposes of the study
                                                scribed in clause (i) as described in such clause       5319 the following new item:                           required by subsection (a), including environ-
                                                is feasible and advisable, a plan to replace such       ‘‘5320.Threshold for reporting debts to consumer       mental sampling data relative to any location
                                                forms as described in such clause.                                     reporting agencies.’’.                  covered by the study.
                                                   (B) COLLABORATION REQUIRED.—If, in car-                 (c) DEADLINE.—The Secretary of Veterans Af-            (e) BIENNIAL UPDATES.—No later than the
                                                rying out the assessment required by clause (i)         fairs shall prescribe regulations under section        date that is two years after the date of the en-
                                                of subparagraph (A), the Secretary determines           5320 of such title, as added by subsection (a),        actment of this Act and not less frequently than
                                                that replacing the disability benefit question-         not later than 180 days after the date of the en-      once every two years thereafter until the date
                                                naire forms described in such clause as described       actment of this Act.                                   on which the study required by subsection (a) is
                                                in such clause is feasible and advisable, the Sec-                                                             completed, the Administrator shall submit to the
                                                                                                        SEC. 2008. REMOVAL OF DEPENDENTS FROM
                                                retary shall collaborate with, partner with, and                   AWARD OF COMPENSATION OR PEN-               appropriate committees of Congress updates on
                                                consider the advice of veterans service organiza-                  SION.                                       the status of the matters covered by such study,
                                                tions, and such other stakeholders as the Sec-            Beginning not later than 90 days after the           including any preliminary findings of the Ad-
                                                retary considers appropriate, on the replacement        date of the enactment of this Act, the Secretary       ministrator.
                                                forms and process for submitting such forms.            of Veterans Affairs shall ensure that—                    (f) FINAL REPORT.—Not later than 60 days
                                                   (2) REQUIREMENTS.—The Secretary may only               (1) the recipient of an award of compensation        after the date on which the study required by
                                                determine under paragraph (1)(A) that replac-           or pension may remove any dependent from an            subsection (a) is completed, the Administrator
                                                ing the forms described in such paragraph is            award of compensation or pension to the indi-          shall submit to the appropriate committees of
                                                feasible and advisable if the Secretary certifies       vidual using the eBenefits system of the Depart-       Congress a report on the findings of the Admin-
                                                that—                                                   ment of Veterans Affairs, or a successor system;       istrator with respect to such study.
                                                   (A) it is in the best interest of veterans to do     and
                                                so;                                                                                                               (g) INCLUSION OF UZBEKISTAN IN CERTAIN
                                                                                                          (2) such removal takes effect not later than 60      REGISTRIES AND PROGRAMS.—Section 201(c)(2) of
                                                   (B) the replacement process would include all        days after the date on which the recipient elects
                                                the medical information needed to adjudicate a                                                                 the Dignified Burial and Other Veterans’ Bene-
                                                                                                        such removal.                                          fits Improvement Act of 2012 (Public Law 112–
                                                claim for benefits under laws administered by
                                                                                                        SEC. 2009. ELIGIBILITY FOR DEPENDENCY AND              260; 38 U.S.C. 527 note) is amended, in the mat-
                                                the Secretary; and                                                  INDEMNITY COMPENSATION FOR
                                                   (C) the new process will ensure that all med-                                                               ter preceding subparagraph (A), by striking
                                                                                                                    SURVIVING SPOUSES WHO REMARRY
                                                ical information provided will be considered                        AFTER AGE 55.
                                                                                                                                                               ‘‘Afghanistan or Iraq’’ and inserting ‘‘Afghani-
                                                equally, whether it is provided by a Department                                                                stan, Iraq, or Uzbekistan’’.
                                                                                                          Section 103(d)(2)(B) of title 38, United States
                                                medical provider or a non-Department medical            Code, is amended in the second sentence by in-            (h) DEPLETED URANIUM FOLLOW-UP PRO-
                                                provider.                                               serting ‘‘chapter 13 or’’ after ‘‘benefits under’’.    GRAMS.—The Secretary of Veterans Affairs shall
                                                   (3) IMPLEMENTATION.—                                 SEC. 2010. STUDY ON EXPOSURE BY MEMBERS OF
                                                                                                                                                               ensure that any individual who deployed as a
                                                   (A) IN GENERAL.—Subject to subparagraph                           THE ARMED FORCES TO TOXICANTS             member of the Armed Forces to the covered loca-
                                                (B), if the Secretary determines under para-                         AT KARSHI-KHANABAD AIR BASE IN            tion set forth in subsection (b) during the cor-
                                                graph (1)(A) that replacing the forms as de-                         UZBEKISTAN.                               responding period set forth in such subsection is
                                                scribed in such paragraph is feasible and advis-          (a) AGREEMENT AND STUDY.—Not later than 60           covered by the Depleted Uranium Follow-up
                                                able, the Secretary shall, not later than two           days after the date of the enactment of this Act,      Programs of the Department of Veterans Affairs.
                                                years after the date on which the Secretary sub-        the Secretary of Veterans Affairs shall enter             (i) APPROPRIATE COMMITTEES OF CONGRESS
                                                mits the report under paragraph (1)(B)(i)—              into an agreement with the Administrator of the        DEFINED.—In this section, the term ‘‘appro-
                                                   (i) replace the forms as described in paragraph      Agency for Toxic Substances and Disease Reg-           priate committees of Congress’’ means—
                                                (1)(A);                                                 istry for the Administrator to complete, not later        (1) the Committee on Veterans’ Affairs and
                                                   (ii) publish such replacement pursuant to sub-       than 10 years after the date of the enactment of       the Committee on Armed Services of the Senate;
                                                paragraph (A) of section 5101(d)(1), as added by        this Act, a study to identify—                         and
                                                subsection (a)(2); and                                     (1) incidents of cancer and other diseases or
                                                                                                                                                                  (2) the Committee on Veterans’ Affairs and
                                                   (iii) update the details under subparagraph          illnesses experienced by individuals who served
                                                                                                                                                               the Committee on Armed Services of the House
                                                (B) of such section.                                    in the active military, naval, or air service (as
                                                                                                                                                               of Representatives.
                                                   (B) REPORTS BY INSPECTOR GENERAL OF THE              defined in section 101 of title 38, United States
                                                DEPARTMENT OF VETERANS AFFAIRS.—If the Sec-             Code) in the covered location set forth under          SEC. 2011. COMPTROLLER GENERAL BRIEFING
                                                retary replaces the forms under subparagraph            subsection (b) during the corresponding period                    AND REPORT ON REPEALING MANI-
                                                                                                                                                                          FESTATION PERIOD FOR PRESUMP-
                                                (A), the Inspector General of the Department of         set forth under such subsection; and                              TIONS OF SERVICE CONNECTION
                                                Veterans Affairs shall, not later than one year            (2) a list of toxic substances, chemicals, ion-                FOR CERTAIN DISEASES ASSOCI-
                                                after the date that the Secretary replaces such         izing radiation, and airborne hazards such indi-                  ATED WITH EXPOSURE TO CERTAIN
                                                forms and not less frequently than once each            viduals may have been exposed to during such                      HERBICIDE AGENTS.
                                                year thereafter until the date that is three years      service.                                                 (a) IN GENERAL.—Not later than one year
                                                after the date on which the Secretary replaces             (b) COVERED LOCATION AND CORRESPONDING              after the date of the enactment of this Act, the
                                                such forms, submit to Congress a report on the          PERIOD.—The covered location and cor-                  Comptroller General of the United States shall
                                                process that replaced such forms that ascertains        responding period set forth under this sub-            provide to the Committee on Veterans’ Affairs of
                                                whether the process properly protects veterans.         section are Karshi-Khanabad (K2) Air Base in           the Senate and the Committee on Veterans’ Af-
                                                   (4) LIMITATION.—The Secretary may not dis-           Uzbekistan and the period beginning on October         fairs of the House of Representatives a briefing
                                                continue the use of the disability benefit ques-        1, 2001, and ending on September 30, 2005.             on preliminary observations of the Comptroller
                                                tionnaire forms described in paragraph (1)(A)              (c) ELEMENTS.—The study conducted under             General, and not later than 240 days after the
                                                until a replacement form or process is imple-           subsection (a) shall include the following:            date of such briefing, provide such committees a
                                                mented.                                                    (1) An assessment regarding the conditions of       briefing and submit to such committees a final
                                                   (e) RULE OF CONSTRUCTION.—Nothing in this            the covered location set forth under subsection        report, on the efforts of the Secretary of Vet-
                                                section or section 5101(d) of such title, as added      (b), including an identification of toxic sub-         erans Affairs to provide benefits, including com-
                                                by subsection (a), may be construed to require          stances, chemicals, ionizing radiation, and air-       pensation and health care, to veterans—
                                                the Secretary to develop any new information            borne hazards contaminating such covered loca-
                                                technology system or otherwise require the Sec-         tion during such corresponding period.                   (1) who during active military, naval, or air




rfrederick on DSKBCBPHB2PROD with HOUSE
                                                retary to make any significant changes to the              (2) An epidemiological study of the health          service, served in the Republic of Vietnam dur-
                                                internet website of the Department.                     consequences of the service described in sub-          ing the period beginning on January 9, 1962,
                                                                                                        section (a) to the individuals described in such       and ending on May 7, 1975; and
                                                SEC. 2007. THRESHOLD FOR REPORTING DEBTS
                                                            TO CONSUMER REPORTING AGEN-                 subsection.                                              (2) in whom chloracne, porphyria cutanea
                                                            CIES.                                          (d) SUPPORT FOR STUDY.—                             tarda, or acute or subacute peripheral neurop-
                                                  (a) IN GENERAL.—Chapter 53 of title 38,                  (1) IN GENERAL.—The Secretary shall provide         athy have manifested.
                                                United States Code, is amended by adding after          the Administrator with assistance in carrying            (b) ELEMENTS.—The report required by sub-
                                                section 5319 the following new section:                 out the study required by subsection (a), includ-      section (a) shall include the following:




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                                                December 16, 2020                                 CONGRESSIONAL RECORD — HOUSE                                                                        H7183
                                                   (1) A description of how the Secretary estab-        spect to full-time National Guard duty (as de-            ‘‘(4)(A) The recovery of any overpayment re-
                                                lishes a service connection for a diseases de-          fined in section 101 of title 10, United States        ferred to in this subsection may be waived by
                                                scribed in paragraph (2) of subsection (a) mani-        Code) performed before, on, or after the date of       the Secretary.
                                                festing in veterans, including the number of vet-       the enactment of this Act.                                ‘‘(B) Waiver of any such overpayment as to a
                                                erans described in paragraph (1) of such sub-           SEC. 2102. REDUCING LOAN FEES FOR CERTAIN              person described in paragraph (2) shall in no
                                                section who have filed a claim for a benefit as-                    VETERANS AFFECTED BY MAJOR                 way release any other person described in such
                                                sociated with a disease described in paragraph                      DISASTERS.                                 paragraph from liability.
                                                (2) of such subsection.                                   Section 3729(b)(4) of title 38, United States           ‘‘(5) The Secretary shall waive recovery under
                                                   (2) A description of how claims adjudicators of      Code, is amended—                                      this subsection of any overpayment to a person
                                                the Department of Veterans Affairs determine              (1) by amending subparagraph (D) to read as          described in paragraph (2)(A), or a dependent or
                                                service connection for a disease described in           follows:                                               survivor of such person, that arises from admin-
                                                subparagraph (C) or (E) of section 1116(a)(2) of          ‘‘(D)(i) The term ‘initial loan’ means a loan to     istrative error described in paragraph (7)(A).
                                                title 38, United States Code, when documenta-           a veteran guaranteed under section 3710 or                ‘‘(6) Nothing in this subsection shall be con-
                                                tion proving the presence of the disease during         made under section 3711 of this title if the vet-      strued as precluding the imposition of any civil
                                                the manifestation period set forth in such sub-         eran has never obtained a loan guaranteed              or criminal liability under this title or any other
                                                paragraphs for the disease is not available.            under section 3710 or made under section 3711 of       law.
                                                   (3) A description of the expected effect of re-      this title.                                               ‘‘(7) The Secretary shall prescribe in regula-
                                                pealing the manifestation period from such sub-           ‘‘(ii) If a veteran has obtained a loan guaran-      tions what constitutes an overpayment for the
                                                paragraphs, including the expected effect on the        teed under section 3710 or made under section          purposes of this subsection, which, at a min-
                                                number of claims for benefits the Department            3711 of this title and the dwelling securing such      imum, shall include—
                                                will receive, an estimate of the cost to the De-        loan was substantially damaged or destroyed by            ‘‘(A) administrative error that results in an
                                                partment of such repeal, and a review of the sci-       a major disaster declared by the President under       individual receiving assistance to which that in-
                                                entific evidence regarding such repeal.                 section 401 of the Robert T. Stafford Disaster         dividual is not entitled;
                                                   (4) A review of all claims submitted to the Sec-     Relief and Emergency Assistance Act (42 U.S.C.            ‘‘(B) the failure of any person described in
                                                retary for compensation under chapter 11 of             5170), the Secretary shall treat as an initial         paragraph (2) to—
                                                such title that are associated with a disease de-       loan, as defined in clause (i), the next loan the         ‘‘(i) perform or allow to be performed any act
                                                scribed in subsection (a)(2), including the type        Secretary guarantees or makes to such veteran          relating to assistance under this chapter; or
                                                of proof presented to establish a service connec-       under section 3710 or 3711, respectively, if—             ‘‘(ii) compensate any party performing serv-
                                                tion for the manifestation of the disease based           ‘‘(I) such loan is guaranteed or made before         ices or supplying goods relating to assistance
                                                on exposure to a herbicide agent.                       the date that is three years after the date on         under this chapter; and
                                                   (5) Recommendations on how the Department            which the dwelling was substantially damaged              ‘‘(C) any disbursement of funds relating to as-
                                                can better adjudicate claims for benefits, includ-      or destroyed; and                                      sistance under this chapter, that, in the sole dis-
                                                ing compensation, submitted to the Department             ‘‘(II) such loan is only for repairs or construc-    cretion of the Secretary, constitutes a misuse of
                                                that are associated with a disease described in         tion of the dwelling, as determined by the Sec-        such assistance.
                                                paragraph (2) of subsection (a) for veterans de-        retary.’’; and                                            ‘‘(8) Prior to collecting an overpayment under
                                                scribed in paragraph (1) of such subsection.              (2) in subparagraph (E), by striking ‘‘if the        this subsection, the Secretary shall provide to
                                                   (6) An assessment of such other areas as the         veteran has previously obtained a loan guaran-         the person whom the Secretary has determined
                                                Comptroller General considers appropriate to            teed under section 3710 or made under section          liable for such overpayment—
                                                study.                                                  3711 of this title’’ and inserting ‘‘that is not an       ‘‘(A) notice of the finding by the Secretary of
                                                   (c) ADMINISTRATIVE ACTION.—Not later than            initial loan’’.                                        such overpayment;
                                                120 days after the date on which the Comp-              SEC. 2103. EXTENSION OF CERTAIN HOUSING                   ‘‘(B) a reasonable opportunity for such person
                                                troller General of the United States submits the                   LOAN FEES.                                  to remedy the circumstances that effectuated the
                                                report required under subsection (a), the Sec-            Section 3729(b)(2) of title 38, United States        overpayment; and
                                                retary shall commence carrying out the rec-             Code, is amended by striking ‘‘October 1, 2029’’          ‘‘(C) a reasonable opportunity for such person
                                                ommendations submitted under subsection (b)(5)          each place it appears and inserting ‘‘October 1,       to present evidence to the Secretary that an
                                                to the degree that the Secretary is authorized to       2030’’.                                                overpayment was not made.
                                                carry out the recommendations by a statute that         SEC. 2104. COLLECTION OF OVERPAYMENTS OF                  ‘‘(9) For the purposes of section 511 of this
                                                was in effect on the day before the date of the                     SPECIALLY ADAPTED HOUSING AS-              title, a decision to collect an overpayment from
                                                enactment of this Act.                                              SISTANCE.                                  a person other than a person described in para-
                                                   (d) HERBICIDE AGENT DEFINED.—In this sec-               Section 2102 of title 38, United States Code, is    graph (2)(A), or a dependent or survivor of such
                                                tion, the term ‘‘herbicide agent’’ has the mean-        amended by adding at the end the following             person, may not be treated as a decision that af-
                                                ing given such term in section 1116(a)(3) of title      new subsection:                                        fects the provision of benefits.’’.
                                                38, United States Code.                                    ‘‘(g)(1) Whenever the Secretary finds that an
                                                SEC. 2012. EXTENSION OF AUTHORITY OF SEC-
                                                                                                                                                                            Subtitle C—Burial Matters
                                                                                                        overpayment has been made to, or on behalf of,
                                                            RETARY OF VETERANS AFFAIRS TO                                                                      SEC. 2201. TRANSPORTATION OF DECEASED VET-
                                                            USE INCOME INFORMATION FROM
                                                                                                        a person described in paragraph (2), the Sec-                      ERANS TO VETERANS’ CEMETERIES.
                                                            OTHER AGENCIES.                             retary shall determine—
                                                                                                                                                                 (a) IN GENERAL.—Subsection (a) of section
                                                   Section 5317(g) of title 38, United States Code,        ‘‘(A) the amounts to recover, if any; and
                                                                                                           ‘‘(B) who is liable to the United States for        2308 of title 38, United States Code, is amended
                                                is amended by striking ‘‘September 30, 2027’’ and                                                              by striking ‘‘in a national cemetery’’ and insert-
                                                inserting ‘‘September 30, 2030’’.                       such overpayment.
                                                                                                           ‘‘(2) A person described in this paragraph is       ing ‘‘in a national cemetery or a covered vet-
                                                SEC. 2013. EXTENSION ON CERTAIN LIMITS ON                                                                      erans’ cemetery’’.
                                                            PAYMENTS OF PENSION.                        any of the following:
                                                                                                           ‘‘(A) An individual who applied for assist-            (b) COVERED VETERANS’ CEMETERY DE-
                                                  Section 5503(d)(7) of title 38, United States                                                                FINED.—Section 2308 of such title is amended by
                                                Code, is amended by striking ‘‘September 30,            ance—
                                                                                                           ‘‘(i) under this chapter; or                        adding at the end the following new subsection:
                                                2028’’ and inserting ‘‘October 30, 2028’’.                                                                        ‘‘(c) COVERED VETERANS’ CEMETERY DE-
                                                                                                           ‘‘(ii) under chapter 31 of this title who is pur-
                                                              Subtitle B—Housing                        suing a rehabilitation program under such              FINED.—In this section, the term ‘covered vet-
                                                SEC. 2101. ELIGIBILITY OF CERTAIN MEMBERS OF            chapter in acquiring adaptations to a residence.       erans’ cemetery’ means a veterans’ cemetery—
                                                             THE RESERVE COMPONENTS OF THE                 ‘‘(B) An owner or seller of real estate used, or       ‘‘(1) in which a deceased veteran described in
                                                             ARMED FORCES FOR HOME LOANS                                                                       subsection (b) is eligible to be buried;
                                                                                                        intended to be used, in connection with assist-
                                                             FROM THE SECRETARY OF VET-                                                                           ‘‘(2) that—
                                                             ERANS AFFAIRS.                             ance under this chapter.
                                                                                                           ‘‘(C)    A    builder,   contractor,    supplier,      ‘‘(A) is owned by a State; or
                                                  (a) EXPANSION OF DEFINITION OF VETERAN                                                                          ‘‘(B) is on trust land owned by, or held in
                                                FOR PURPOSES OF HOME LOANS.—Section 3701(b)
                                                                                                        tradesperson, corporation, trust, partnership, or
                                                                                                        other person, who provided services or goods re-       trust for, a tribal organization; and
                                                of title 38, United States Code, is amended by                                                                    ‘‘(3) for which the Secretary has made a grant
                                                adding at the end the following new paragraph:          lating to assistance under this chapter.
                                                                                                           ‘‘(D) An attorney, escrow agent, or financial       under section 2408 of this title.’’.
                                                  ‘‘(7) The term ‘veteran’ also includes, for pur-                                                                (c) CONFORMING AMENDMENT.—Section 2308 of
                                                poses of home loans, an individual who per-             institution, that receives, or holds in escrow,
                                                                                                        funds relating to assistance under this chapter.       such title is amended in the section heading by
                                                formed full-time National Guard duty (as that                                                                  adding at the end the following: ‘‘or a covered
                                                term is defined in section 101 of title 10) for a pe-      ‘‘(E) A surviving spouse, heir, assignee, or
                                                                                                        successor in interest of or to, any person de-         veterans’ cemetery’’.
                                                riod—                                                                                                             (d) CLERICAL AMENDMENT.—The table of sec-
                                                                                                        scribed in this paragraph.




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                                                  ‘‘(A) of not less than 90 cumulative days; and                                                               tions at the beginning of chapter 23 of such title
                                                  ‘‘(B) that includes 30 consecutive days.’’.              ‘‘(3)(A) Any overpayment referred to in this
                                                  (b) EXPANSION OF ELIGIBILITY.—Section                 subsection may be recovered in the same manner         is amended by striking the item relating to sec-
                                                3702(a)(2) of such title is amended by adding at        as any other debt due the United States.               tion 2308 and inserting the following new item:
                                                the end the following new subparagraph:                    ‘‘(B) In recovering the overpayment, the Sec-       ‘‘2308. Transportation of deceased veteran to a
                                                  ‘‘(G) Each individual described in section            retary may charge administrative costs, fees,                          national cemetery or a covered
                                                3701(b)(7) of this title.’’.                            and interest, as appropriate, in a manner simi-                        veterans’ cemetery.’’.
                                                  (c) RETROACTIVE APPLICABILITY.—The amend-             lar to the authority under section 5315 of this           (e) EFFECTIVE DATE.—The amendments made
                                                ments made by this section shall apply with re-         title.                                                 by this section shall take effect on the date that




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                                                H7184                                             CONGRESSIONAL RECORD — HOUSE                                                       December 16, 2020
                                                is two years after the date of the enactment of            (ii) in subsection (b)(3)—                           predeceases the individual, the Secretary may, if
                                                this Act.                                                  (I) by striking ‘‘section 2302’’ and inserting       feasible and upon request, include an inscrip-
                                                SEC. 2202. INCREASE IN CERTAIN FUNERAL BENE-            ‘‘section 2303’’; and                                   tion for the spouse or dependent child on the
                                                             FITS UNDER LAWS ADMINISTERED                  (II) by striking ‘‘subsection (a)(2)(A)’’ and in-    headstone or marker furnished for the indi-
                                                             BY THE SECRETARY OF VETERANS               serting ‘‘subsection (a)(2)(C)’’.                       vidual under subsection (a) or (d).’’.
                                                             AFFAIRS.                                      (D) In section 113(c)(1), by striking ‘‘2302,’’.       (b) APPLICATION.—Subsection (i) of section
                                                  (a) FUNERAL EXPENSES FOR NON-SERVICE-CON-                (E) In section 5101(a)(1)(B)(i), by striking         2306 of title 38, United States Code, as added by
                                                NECTED DISABILITIES.—Chapter 23 of title 38,            ‘‘2302’’ and inserting ‘‘2303’’.                        subsection (a), shall apply with respect to an in-
                                                United States Code, is amended as follows:                 (2) EMERGENCY MEDICAL CARE.—Section 11 of            dividual who dies on or after October 1, 2019.
                                                   (1) By transferring subsection (b) of section        the Military Selective Service Act (50 U.S.C.           SEC. 2205. AID TO COUNTIES FOR ESTABLISH-
                                                2302 to the end of section 2303 and redesignating       3810) is amended by striking ‘‘section 2302(a) of                   MENT, EXPANSION, AND IMPROVE-
                                                such subsection as subsection (d).                      title 38’’ and inserting ‘‘section 2303 of title 38,                MENT OF VETERANS’ CEMETERIES.
                                                   (2) By striking section 2302.                        United States Code, regarding veterans de-                (a) IN GENERAL.—Section 2408 of title 38,
                                                   (3) In section 2303—                                 scribed in subparagraph (B) or (C) of subsection        United States Code, is amended—
                                                   (A) in the section heading, by striking ‘‘Death      (a)(2) of such section’’.                                  (1) by inserting ‘‘or county’’ after ‘‘State’’
                                                in Department facility’’ and inserting ‘‘Death             (c) CLERICAL AMENDMENT.—The table of sec-            each place it appears;
                                                from non-service-connected disability’’; and            tions at the beginning of chapter 23 of such title
                                                   (B) in subsection (a)—                                                                                          (2) in subsection (a)(1), in the matter pre-
                                                                                                        is amended by striking the items relating to sec-       ceding subparagraph (A), by striking ‘‘sub-
                                                   (i) in paragraph (1), by striking ‘‘a veteran        tions 2302 and 2303 and inserting the following
                                                dies in a facility described in paragraph (2)’’                                                                 section (b)’’ and inserting ‘‘subsections (b), (c),
                                                                                                        new item:                                               (d), and (g)’’;
                                                and inserting ‘‘a veteran described in paragraph
                                                                                                        ‘‘2303. Death from non-service-connected dis-              (3) by adding at the end the following new
                                                (2) dies’’;
                                                                                                                         ability; plot allowance.’’.            subsection:
                                                   (ii) by striking paragraph (2) and inserting
                                                                                                           (d) EFFECTIVE DATE.—The amendments made                 ‘‘(g)(1) The Secretary may make a grant to a
                                                the following new paragraph (2):                        by this section shall apply to deaths that occur
                                                   ‘‘(2) A veteran described in this paragraph is                                                               county under this section only if—
                                                                                                        on or after the date that is two years after the           ‘‘(A)(i) the State in which the county is lo-
                                                a deceased veteran who is not covered by section
                                                                                                        date of the enactment of this Act.                      cated does not have a veterans’ cemetery owned
                                                2307 of this title and who meets any of the fol-
                                                                                                        SEC. 2203. OUTER BURIAL RECEPTACLES FOR                 by the State;
                                                lowing criteria:                                                   EACH NEW GRAVE IN CEMETERIES
                                                   ‘‘(A) The deceased veteran dies in—                                                                             ‘‘(ii) the State is not in receipt of a grant
                                                                                                                   THAT ARE THE SUBJECTS OF CER-
                                                   ‘‘(i) a facility of the Department (as defined in               TAIN GRANTS MADE BY THE SEC-
                                                                                                                                                                under this section for the construction of a new
                                                section 1701(3) of this title) to which the de-                    RETARY OF VETERANS AFFAIRS.                  veterans’ cemetery to be owned by the State;
                                                ceased veteran was properly admitted for hos-             (a) IN GENERAL.—Section 2306(e) of title 38,             ‘‘(iii) the State did not apply for a grant
                                                pital, nursing home, or domiciliary care under          United States Code, is amended—                         under this section during the previous year;
                                                section 1710 or 1711(a) of this title; or                  (1) in paragraph (1)—                                   ‘‘(iv) no tribal organization from the State in
                                                   ‘‘(ii) an institution at which the deceased vet-        (A) in subparagraph (A)—                             which the county is located has a veterans’ cem-
                                                eran was, at the time of death, receiving—                 (i) by striking ‘‘shall’’ and inserting ‘‘may’’;     etery on trust land owned by, or held in trust
                                                   ‘‘(I) hospital care in accordance with sections      and                                                     for, the tribal organization;
                                                1703A, 8111, and 8153 of this title;                       (ii) by inserting ‘‘, or in a cemetery that is the      ‘‘(v) no such tribal organization is in receipt
                                                   ‘‘(II) nursing home care under section 1720 of       subject of a grant to a State or a tribal organi-       of a grant under this section for the construc-
                                                this title; or                                          zation under section 2408 of this title,’’ after        tion of a new veterans’ cemetery to be located
                                                   ‘‘(III) nursing home care for which payments         ‘‘National Cemetery Administration’’; and               on such land; and
                                                are made under section 1741 of this title.                 (B) in subparagraph (C), by striking ‘‘shall’’          ‘‘(vi) no such tribal organization applied for a
                                                   ‘‘(B) At the time of death, the deceased vet-        and inserting ‘‘may’’; and                              grant under this section during the previous
                                                eran (including a person who died during a pe-             (2) by striking paragraph (2) and inserting the      year; and
                                                riod deemed to be active military, naval, or air        following new paragraph (2):                               ‘‘(B) the county demonstrates in the applica-
                                                service under section 106(c) of this title) is in re-      ‘‘(2)(A) The use of outer burial receptacles in      tion under subsection (a)(2), to the satisfaction
                                                ceipt of compensation under chapter 11 of this          a cemetery under the control of the National            of the Secretary, that the county has the re-
                                                title (or but for the receipt of retirement pay         Cemetery Administration or in a cemetery that           sources necessary to operate and maintain the
                                                would have been entitled to such compensation)          is the subject of a grant to a State or a tribal or-    veterans’ cemetery owned by the county.
                                                or was in receipt of pension under chapter 15 of        ganization under section 2408 of this title shall          ‘‘(2)(A) If a county and the State in which the
                                                this title.                                             be in accordance with regulations or procedures         county is located both apply for a grant under
                                                   ‘‘(C) The Secretary determines—                      approved by the Secretary of Veterans Affairs.          this section for the same year, the Secretary
                                                   ‘‘(i) the deceased veteran (including a person          ‘‘(B) The use of outer burial receptacles in Ar-     shall give priority to the State.
                                                who died during a period deemed to be active            lington National Cemetery shall be in accord-              ‘‘(B) If a county and a tribal organization
                                                military, naval, or air service under section           ance with regulations or procedures approved            from the State in which the county is located
                                                106(c) of this title) has no next of kin or other       by the Secretary of the Army.                           both apply for a grant under this section for the
                                                person claiming the body of the deceased vet-              ‘‘(C) The use of outer burial receptacles in a       same year, the Secretary shall give priority to
                                                eran; and                                               national cemetery administered by the National          the tribal organization.
                                                   ‘‘(ii) that there are not available sufficient re-   Park Service shall be in accordance with regula-           ‘‘(3) The Secretary shall prescribe regulations
                                                sources to cover burial and funeral expenses.’’;        tions or procedures approved by the Secretary of        to carry out this subsection.’’; and
                                                   (iii) in subsection (b)—                             the Interior.’’.                                           (4) in subsection (f)—
                                                   (I) in the matter preceding paragraph (1), by           (b) EFFECTIVE DATE.—The amendments made                 (A) by redesignating paragraph (3) as sub-
                                                striking ‘‘section 2302 of this title and’’; and        by this section shall take effect on the date that      section (h);
                                                   (II) in paragraph (2), by striking ‘‘under sec-      is two years after the date of the enactment of            (B) by moving such subsection, as so redesig-
                                                tion 2302 of this title or’’; and                       this Act.                                               nated, to the location after subsection (g), as
                                                   (iv) in subsection (d), as added by paragraph        SEC. 2204. PROVISION OF INSCRIPTIONS FOR                added by paragraph (3);
                                                (1) of this subsection, by striking ‘‘Except as’’                  SPOUSES AND CHILDREN ON CER-                    (C) in subsection (h), as so redesignated and
                                                and inserting ‘‘With respect to a deceased vet-                    TAIN HEADSTONES AND MARKERS
                                                                                                                                                                moved, by redesignating subparagraphs (A) and
                                                eran described in subparagraph (B) or (C) of                       FURNISHED BY THE SECRETARY OF
                                                                                                                   VETERANS AFFAIRS.                            (B) as paragraphs (1) and (2), respectively; and
                                                subsection (a)(2), except as’’.
                                                                                                                                                                   (D) in the matter preceding paragraph (1), as
                                                   (b) CONFORMING AMENDMENTS.—                            (a) IN GENERAL.—Section 2306 of title 38,
                                                                                                                                                                so redesignated, by striking ‘‘this subsection’’
                                                   (1) TITLE 38.—Such title is amended as follows:      United States Code, is amended—
                                                   (A) In section 2304, by striking ‘‘Applications        (1) by redesignating subsection (i) as sub-           and inserting ‘‘this section’’.
                                                for payments under section 2302 of this title’’         section (j); and                                           (b) CLERICAL AMENDMENTS.—
                                                and inserting ‘‘Applications for payments under           (2) by inserting after subsection (h) the fol-           (1) SECTION HEADING.—The heading of such
                                                section 2303 of this title regarding veterans de-       lowing new subsection (i):                              section is amended by inserting ‘‘, counties, and
                                                scribed in subparagraph (B) or (C) of subsection          ‘‘(i)(1) In addition to any other authority           tribal organizations’’ after ‘‘States’’.
                                                (a)(2) of such section’’.                               under this section, in the case of an individual           (2) TABLE OF SECTIONS.—The table of sections
                                                   (B) In section 2307, by striking ‘‘sections 2302     whose grave is not in a covered cemetery (as            at the beginning of chapter 24 of such title is
                                                and 2303(a)(1) and (b)(2) of this title’’ and in-       that term is defined in subsection (f)(2)) and for      amended by striking the item relating to section
                                                serting ‘‘subsections (a)(1) and (b)(2) of section      whom the Secretary has furnished a headstone            2408 and inserting the following new item:




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                                                2303 of this title’’.                                   or marker under subsection (a) or (d), the Sec-         ‘‘2408. Aid to States, counties, and tribal organi-
                                                   (C) In section 2308—                                 retary, if feasible and upon request, may replace                        zations for establishment, expan-
                                                   (i) in subsection (a), by striking ‘‘pursuant to     the headstone or marker to add an inscription                            sion, and improvement of vet-
                                                section 2302 or 2307 of this title,’’ and inserting     for the surviving spouse or eligible dependent                           erans’ cemeteries.’’.
                                                ‘‘pursuant to section 2303 of this title regarding      child of such individual following the death of            (c) EFFECTIVE DATE.—The amendments made
                                                veterans described in subparagraph (B) or (C) of        the surviving spouse or eligible dependent child.       by this section shall take on effect on the date
                                                subsection (a)(2) of such section, or pursuant to         ‘‘(2) If the spouse or eligible dependent child       that is two years after the date of the enactment
                                                section 2307 of this title,’’; and                      of an individual referred to in paragraph (1)           of this Act.




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                                                December 16, 2020                                 CONGRESSIONAL RECORD — HOUSE                                                                         H7185
                                                SEC. 2206. INCREASE IN MAXIMUM AMOUNT OF                  (3) by inserting after subsection (b) the fol-       date on which a public health emergency was
                                                            GRANTS TO STATES, COUNTIES, AND             lowing new subsection (c):                             first declared and ending on the date that is 60
                                                            TRIBAL ORGANIZATIONS FOR OPER-                ‘‘(c)(1) A grant under this section for a pur-       days after the date on which a public health
                                                            ATING   AND  MAINTAINING    VET-
                                                            ERANS’ CEMETERIES.
                                                                                                        pose described in subparagraph (A) or (B) of           emergency is no longer in effect.
                                                                                                        subsection (a)(1) may be used, solely or in part,         ‘‘(g) COVERED PROVIDER DEFINED.—In this
                                                  Section 2408(e)(2) of title 38, United States
                                                                                                        for training costs, including travel expenses and      section, the term ‘covered provider’ means a pro-
                                                Code, is amended by striking ‘‘$5,000,000’’ and
                                                                                                        up to four weeks of lodging expenses, associated       vider participating in the Program, including—
                                                inserting ‘‘$10,000,000’’.                                                                                        ‘‘(1) an Aging and Disability Resource Center,
                                                                                                        with attendance by employees of a veterans’
                                                SEC. 2207. PROVISION OF URNS AND COMMEMO-                                                                      an area agency on aging, or a State agency (as
                                                            RATIVE PLAQUES FOR REMAINS OF               cemetery owned by a State or on trust land
                                                            CERTAIN VETERANS WHOSE CRE-                 owned by, or held in trust for, a tribal organiza-     those terms are defined in section 102 of the
                                                            MATED REMAINS ARE NOT IN-                   tion at training provided by the National Ceme-        Older Americans Act of 1965 (42 U.S.C. 3002)); or
                                                            TERRED IN CERTAIN CEMETERIES.               tery Administration.                                      ‘‘(2) a center for independent living (as de-
                                                  (a) IN GENERAL.—Section 2306 of title 38,               ‘‘(2) Any employee described in paragraph (1)        fined in section 702 of the Rehabilitation Act of
                                                United States Code, as amended by section 2204          who participates in training described in such         1973 (29 U.S.C. 796a)).’’.
                                                of this title, is further amended—                      paragraph shall fulfill a service requirement as       SEC. 3002. PROHIBITION ON COLLECTION OF A
                                                   (1) by redesignating subsections (h), (i), and       determined by the Secretary.                                       HEALTH CARE COPAYMENT BY THE
                                                                                                                                                                           SECRETARY OF VETERANS AFFAIRS
                                                (j) as subsections (i), (j), and (k), respectively;       ‘‘(3) The Secretary may by regulation pre-
                                                                                                                                                                           FROM A VETERAN WHO IS A MEMBER
                                                and                                                     scribe such additional terms and conditions for                    OF AN INDIAN TRIBE.
                                                   (2) by inserting after subsection (g) the fol-       grants used for training costs under this sub-           (a) IN GENERAL.—Section 1730A of title 38,
                                                lowing new subsection (h):                              section as the Secretary considers appropriate.’’.     United States Code, is amended—
                                                   ‘‘(h)(1) In lieu of furnishing a headstone or          (b) REPORTS.—                                           (1) in the heading, by striking ‘‘catastroph-
                                                marker under this section for a deceased indi-            (1) IN GENERAL.—Not later than each of two           ically disabled’’ and inserting ‘‘certain’’;
                                                vidual described in paragraph (3), the Secretary        years and five years after the date of the enact-         (2) by inserting ‘‘(a) PROHIBITION.—’’ before
                                                shall furnish, upon request and at the expense          ment of this Act, the Secretary of Veterans Af-        ‘‘Notwithstanding’’;
                                                of the United States—                                   fairs shall submit to the Committee on Veterans’          (3) by striking ‘‘a veteran who is catastroph-
                                                   ‘‘(A) an urn made of any material to signify         Affairs of the Senate and the Committee on Vet-        ically disabled, as defined by the Secretary,’’
                                                the individual’s status as a veteran, in which          erans’ Affairs of the House of Representatives a       and inserting ‘‘a covered veteran’’; and
                                                the remains of such individual may be placed at         report on training provided by the National               (4) by adding at the end the following new
                                                private expense; or                                     Cemetery Administration under subsection (c) of        subsection:
                                                   ‘‘(B) a commemorative plaque signifying the          section 2408 of title 38, United States Code, as          ‘‘(b) COVERED VETERAN DEFINED.—In this sec-
                                                individual’s status as a veteran.                       added by subsection (a).                               tion, the term ‘covered veteran’ means a veteran
                                                   ‘‘(2) If the Secretary furnishes an urn or com-        (2) ELEMENTS.—The report required by para-           who—
                                                memorative plaque for an individual under               graph (1) shall include the following:                    ‘‘(1) is catastrophically disabled, as defined by
                                                paragraph (1), the Secretary may not provide              (A) The attrition rate with respect to individ-      the Secretary; or
                                                for such individual—                                    uals who participate in the training described in         ‘‘(2) is an Indian or urban Indian (as those
                                                   ‘‘(A) a headstone or marker under this sec-          paragraph (1).                                         terms are defined in section 4 of the Indian
                                                tion; or                                                  (B) A description of how State and tribal vet-       Health Care Improvement Act (25 U.S.C.
                                                   ‘‘(B) any burial benefit under section 2402 of       erans’ cemeteries that used grants awarded             1603)).’’.
                                                this title.                                             under section 2408 of title 38, United States             (b) TECHNICAL AMENDMENT.—The table of sec-
                                                   ‘‘(3) A deceased individual described in this        Code, for training costs under subsection (c) of       tions at the beginning of chapter 17 of such title
                                                paragraph is an individual—                             such section, as added by subsection (a), have         is amended by striking the item relating to sec-
                                                   ‘‘(A) who served in the Armed Forces on or                                                                  tion 1730A and inserting the following:
                                                                                                        improved as a result of the training, according
                                                after April 6, 1917;                                                                                           ‘‘1730A. Prohibition on collection of copayments
                                                                                                        to the administrators of such cemeteries.
                                                   ‘‘(B) who is eligible for a headstone or marker
                                                                                                          (C) An identification of how many State and                           from certain veterans.’’.
                                                furnished under subsection (d) (or would be so                                                                    (c) EFFECTIVE DATE.—The amendments made
                                                                                                        tribal veterans’ cemeteries used the authority
                                                eligible but for the date of the death of the indi-                                                            by this section shall take effect on the day that
                                                                                                        provided by subsection (c) of section 2408 of title
                                                vidual); and                                                                                                   is one year after the date of the enactment of
                                                                                                        38, United States Code, as added by subsection
                                                   ‘‘(C) whose remains were cremated and not in-                                                               this Act.
                                                                                                        (a), in order to train individuals.
                                                terred in a national cemetery, a State veterans’
                                                                                                          (D) The amount obligated or expended as a re-        SEC. 3003. OVERSIGHT FOR STATE HOMES RE-
                                                cemetery, a tribal cemetery, a county cemetery,                                                                            GARDING COVID–19 INFECTIONS, RE-
                                                                                                        sult of the authority described in subparagraph
                                                or a private cemetery.                                                                                                     SPONSE CAPACITY, AND STAFFING
                                                   ‘‘(4)(A) Any urn or commemorative plaque             (C).
                                                                                                                                                                           LEVELS.
                                                furnished under this subsection shall be the per-                  TITLE III—HEALTH CARE                         (a) REPORTING.—
                                                sonal property of the next of kin or such other                Subtitle A—Health Care Generally                  (1) IN GENERAL.—During a covered public
                                                individual as the Secretary considers appro-            SEC. 3001. EXPANSION OF MODIFICATIONS TO               health emergency, each State home shall submit
                                                priate.                                                            VETERAN DIRECTED CARE PRO-                  weekly to the Secretary of Veterans Affairs and
                                                   ‘‘(B) The Federal Government shall not be lia-                  GRAM.                                       the National Healthcare Safety Network of the
                                                ble for any damage to an urn or commemorative              Section 20006 of the Coronavirus Aid, Relief,       Centers for Disease Control and Prevention,
                                                plaque furnished under this subsection that oc-         and Economic Security Act (Public Law 116–136)         through an electronic medium and in a stand-
                                                curs after the date on which the urn or com-            is amended—                                            ardized format specified by the Secretary, a re-
                                                memorative plaque is so furnished.                         (1) by striking ‘‘During a public health emer-      port on the emergency.
                                                   ‘‘(5) The Secretary shall prescribe regulations      gency’’ each place it appears and inserting               (2) ELEMENTS.—Each report required by para-
                                                to carry out this subsection.’’.                        ‘‘During the period specified in subsection (f)’’;     graph (1) for a State home shall include the fol-
                                                   (b) EFFECTIVE DATE.—The amendments made                 (2) in subsection (a)—                              lowing:
                                                by this section shall take on effect on the date           (A) in the matter preceding paragraph (1), by          (A) The number of suspected and confirmed
                                                that is two years after the date of the enactment       striking ‘‘during a public health emergency’’          COVID–19 infections among residents and staff,
                                                of this Act.                                            and inserting ‘‘during the period specified in         including residents previously treated for
                                                SEC. 2208. TRAINING OF STATE AND TRIBAL VET-            subsection (f)’’; and                                  COVID–19, disaggregated by—
                                                            ERANS’ CEMETERY PERSONNEL BY                                                                          (i) veteran, spouse of a veteran, staff, and
                                                                                                           (B) in paragraph (1), by striking ‘‘an area
                                                            NATIONAL CEMETERY ADMINISTRA-                                                                      other;
                                                            TION.                                       agency on aging’’ and inserting ‘‘a covered pro-
                                                                                                        vider’’; and                                              (ii) race and ethnicity;
                                                  (a) IN GENERAL.—Section 2408 of title 38,                                                                       (iii) gender; and
                                                                                                           (3) by striking subsection (e) and inserting the
                                                United States Code, as amended by sections 2205                                                                   (iv) age.
                                                                                                        following new subsections:
                                                and 2206 of this title, is further amended—                                                                       (B) The number of total deaths and COVID–
                                                  (1) in subsection (b)(1)—                                ‘‘(e) TRANSFER OF CERTAIN VETERANS TO THE
                                                                                                                                                               19     deaths    among     residents and   staff,
                                                  (A) in subparagraph (A)—                              PROGRAM.—During the period specified in sub-
                                                                                                                                                               disaggregated by—
                                                  (i) by striking ‘‘and (ii) the cost’’ and insert-     section (f), the Secretary shall allow a veteran          (i) veteran, spouse of a veteran, staff, and
                                                ing ‘‘(ii) the cost’’; and                              residing in an area covered by the Program to be       other;
                                                  (ii) by inserting ‘‘; and (iii) training costs de-    transferred to the Program for the duration of            (ii) race and ethnicity;
                                                scribed in subsection (c)(1)’’ before the semi-         such period if—                                           (iii) gender; and
                                                colon; and                                                 ‘‘(1) the veteran had been receiving extended          (iv) age.




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                                                  (B) in subparagraph (B)—                              care services paid for by the Department, such            (C) An assessment of the supply of personal
                                                  (i) by striking ‘‘and (ii) the cost’’ and insert-     as adult day services or homemaker or home             protective equipment and hand hygiene sup-
                                                ing ‘‘(ii) the cost’’; and                              health aide services, immediately preceding such       plies.
                                                  (ii) by inserting ‘‘; and (iii) training costs de-    period; and                                               (D) An assessment of ventilator capacity and
                                                scribed in subsection (c)(1)’’ before the period;          ‘‘(2) those services are no longer available due    supplies.
                                                  (2) by redesignating subsections (c) through          to a public health emergency.                             (E) The number of resident beds and the occu-
                                                (h) as subsections (d) through (i), respectively;          ‘‘(f) PERIOD SPECIFIED.—The period specified        pancy rate, disaggregated by veteran, spouse of
                                                and                                                     in this subsection is the period beginning on the      a veteran, and other.




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                                                H7186                                             CONGRESSIONAL RECORD — HOUSE                                                       December 16, 2020
                                                   (F) An assessment of the access of residents to         (1) APPROPRIATE COMMITTEES OF CONGRESS.—             (2) the Committee on Armed Services and the
                                                testing for COVID–19.                                   The term ‘‘appropriate committees of Congress’’        Committee on Veterans’ Affairs of the House of
                                                   (G) An assessment of staffing shortages, if          means—                                                 Representatives.
                                                any.                                                       (A) the Committee on Veterans’ Affairs and          SEC. 3006. AUTHORITY FOR SECRETARY OF VET-
                                                   (H) Such other information as the Secretary          the Committee on Indian Affairs of the Senate;                     ERANS AFFAIRS TO FURNISH MEDI-
                                                may specify.                                            and                                                                CALLY   NECESSARY    TRANSPOR-
                                                   (b) PUBLICATION OF TOTAL INFECTIONS AND                 (B) the Committee on Veterans’ Affairs and                      TATION FOR NEWBORN CHILDREN
                                                                                                        the Subcommittee for Indigenous Peoples of the                     OF CERTAIN WOMEN VETERANS.
                                                DEATHS.—
                                                   (1) IN GENERAL.—Not later than 30 days after         United States of the Committee on Natural Re-            (a) IN GENERAL.—Section 1786 of title 38,
                                                the date of the enactment of this Act, and not          sources of the House of Representatives.               United States Code, as amended by section 9102
                                                less frequently than weekly thereafter, the Sec-           (2) INDIAN TRIBE.—The term ‘‘Indian tribe’’         of the William M. (Mac) Thornberry National
                                                retary shall post on a publicly available website       has the meaning given that term in section 4 of        Defense Authorization Act for Fiscal Year 2021,
                                                of the Department of Veterans Affairs—                  the Indian Self-Determination and Education            is further amended—
                                                                                                        Assistance Act (25 U.S.C. 5304).                          (1) in subsection (a)—
                                                   (A) the total number of residents and staff of                                                                 (A) in the matter before paragraph (1), by in-
                                                State homes who are infected with COVID–19;                (3) STATE HOME.—The term ‘‘State home’’ has
                                                                                                        the meaning given that term in section 101(19) of      serting ‘‘and transportation necessary to receive
                                                and                                                                                                            such services’’ after ‘‘described in subsection
                                                   (B) the total number of such residents and           title 38, United States Code.
                                                                                                           (4) STATE HOME PROGRAM.—The term ‘‘State            (b)’’;
                                                staff who have died from COVID–19.                                                                                (B) in paragraph (1), by striking ‘‘or’’;
                                                   (2) INFORMATION ON RESIDENTS AND STAFF.—             home program’’ means the program of the De-
                                                                                                        partment of Veterans Affairs for which pay-               (C) in paragraph (2), by striking the period at
                                                The Secretary shall disaggregate information on                                                                the end and inserting ‘‘; or’’; and
                                                residents and staff published under paragraph           ments are made under subchapter V of chapter
                                                                                                        17 of title 38, United States Code, and assistance        (D) by adding at the end the following new
                                                (1) by veteran, staff, and other.                                                                              paragraph:
                                                   (c) DEFINITIONS.—In this section:                    is provided under subchapter III of chapter 81 of
                                                                                                                                                                  ‘‘(3) another location, including a health care
                                                   (1) COVERED PUBLIC HEALTH EMERGENCY.—                such title.
                                                                                                                                                               facility, if the veteran delivers the child before
                                                The term ‘‘covered public health emergency’’            SEC. 3005. CONTINUATION OF WOMEN’S HEALTH
                                                                                                                    TRANSITION TRAINING PROGRAM OF
                                                                                                                                                               arriving at a facility described in paragraph (1)
                                                means an emergency with respect to COVID–19                         DEPARTMENT OF VETERANS AF-                 or (2).’’;
                                                declared by a Federal, State, or local authority.                   FAIRS.                                        (2) in subsection (b), by inserting before the
                                                   (2) STATE HOME.—The term ‘‘State home’’ has            (a) DURATION.—The Secretary of Veterans Af-          period at the end the following: ‘‘, including
                                                the meaning given that term in section 101(19) of       fairs shall carry out the Women’s Health Tran-         necessary health care services provided by a fa-
                                                title 38, United States Code.                           sition Training program of the Department of           cility other than the facility where the newborn
                                                SEC. 3004. GRANTS FOR STATE HOMES LOCATED               Veterans Affairs (in this section referred to as       child was delivered (including a specialty pedi-
                                                            ON TRIBAL LANDS.
                                                                                                        the ‘‘Program’’) until at least one year after the     atric hospital) that accepts transfer of the new-
                                                  (a) STATE HOME DEFINED.—Section 101(19) of            date of the enactment of this Act.                     born child and responsibility for treatment of
                                                title 38, United States Code, is amended by in-            (b) REPORT.—Not later than one year and ten         the newborn child’’; and
                                                serting ‘‘or Indian tribe (as defined in section 4      days after the date of the enactment of this Act,         (3) by adding at the end the following new
                                                of the Indian Self-Determination and Education          the Secretary of Defense and the Secretary of          subsections:
                                                Assistance Act (25 U.S.C. 5304))’’ after ‘‘(other                                                                 ‘‘(d) TRANSPORTATION.—(1) Transportation
                                                                                                        Veterans Affairs shall jointly submit to the ap-
                                                than a possession)’’.                                                                                          furnished under subsection (a) to, from, or be-
                                                                                                        propriate congressional committees a report on
                                                   (b) PAYMENTS TO STATE HOMES.—Section 1741                                                                   tween care settings to meet the needs of a new-
                                                                                                        the Program that includes the following:               born child includes costs for either or both the
                                                of title 38, United States Code, is amended by             (1) The number of women members of the
                                                adding at the end the following new subsection:                                                                newborn child and parents.
                                                                                                        Armed Forces, disaggregated by military depart-           ‘‘(2) Transportation furnished under sub-
                                                   ‘‘(g) In this subchapter, the term ‘State’           ment (with respect to the Department of the
                                                means each of the several States and each In-                                                                  section (a) includes transportation by ambu-
                                                                                                        Navy, disaggregated by the Navy and Marine             lance, including air ambulance, or other appro-
                                                dian tribe (as defined in section 4 of the Indian       Corps), who participated in the Program.               priate medically staffed modes of transpor-
                                                Self-Determination and Education Assistance                (2) The number of courses held under the Pro-
                                                                                                                                                               tation—
                                                Act (25 U.S.C. 5304)).’’.                               gram.                                                     ‘‘(A) to another health care facility (including
                                                   (c) STATE HOME CONSTRUCTION.—                           (3) The locations at which such courses were
                                                                                                                                                               a specialty pediatric hospital) that accepts
                                                   (1) IN GENERAL.—Section 8131(2) of title 38,         held, the number of seats available for such
                                                                                                                                                               transfer of the newborn child or otherwise pro-
                                                United States Code, is amended by inserting             courses, and the number of participants at each        vides post-delivery care services when the treat-
                                                ‘‘includes each Indian tribe (as defined in sec-        such location.                                         ing facility is not capable of furnishing the care
                                                tion 4 of the Indian Self-Determination and                (4) With respect to the number of members of
                                                                                                                                                               or services required; or
                                                Education Assistance Act (25 U.S.C. 5304)) but’’        the Armed Forces who participated in the Pro-             ‘‘(B) to a health care facility in a medical
                                                before ‘‘does not’’.                                    gram as specified under paragraph (1)—                 emergency of such nature that a prudent
                                                   (2) CONFORMING AMENDMENT.—Section 8132 of               (A) the number who enrolled in the health
                                                                                                                                                               layperson reasonably expects that delay in seek-
                                                such title is amended by striking ‘‘several’’.          care system of the Department of Veterans Af-
                                                                                                                                                               ing immediate medical attention would be haz-
                                                   (d) ADDITIONAL LEGISLATIVE OR ADMINISTRA-            fairs under section 1705(a) of title 38, United
                                                                                                                                                               ardous to life or health.
                                                TIVE ACTION.—                                           States Code; and                                          ‘‘(3) Amounts paid by the Department for
                                                   (1) CONSULTATION WITH INDIAN TRIBES.—Not                (B) the number who attended at least one
                                                                                                                                                               transportation under this section shall be de-
                                                later than 180 days after the date of the enact-        health care appointment at a medical facility of       rived from the Medical Services appropriations
                                                ment of this Act, the Secretary of Veterans Af-         the Department of Veterans Affairs.                    account of the Department.
                                                fairs shall consult with Indian tribes to deter-           (5) Data relating to—                                  ‘‘(e) REIMBURSEMENT OR PAYMENT FOR
                                                mine if any legislative or administrative action           (A) satisfaction with courses held under the
                                                                                                                                                               HEALTH CARE SERVICES OR TRANSPORTATION.—
                                                is necessary to modify the State home program           Program;
                                                                                                           (B) improved awareness of health care serv-         (1) Pursuant to regulations the Secretary shall
                                                to function efficiently in support of State homes                                                              prescribe to establish rates of reimbursement and
                                                                                                        ices administered by the Secretary of Veterans
                                                operated by Indian tribes pursuant to the                                                                      any limitations thereto under this section, the
                                                                                                        Affairs; and
                                                amendments made by this section.                                                                               Secretary shall directly reimburse a covered en-
                                                                                                           (C) any other available statistics regarding
                                                   (2) REPORT TO CONGRESS.—Not later than 90                                                                   tity for health care services or transportation
                                                                                                        the Program.
                                                days after completing consultations under para-            (6) A discussion of regulatory, legal, or re-       services provided under this section, unless the
                                                graph (1), the Secretary shall submit to the ap-        source barriers to—                                    cost of the services or transportation is covered
                                                propriate committees of Congress a report recom-           (A) making the Program permanent to enable          by an established agreement or contract. If such
                                                mending legislative action that the Secretary           access to services provided under the Program          an agreement or contract exists, its negotiated
                                                considers appropriate to modify the State home          by a greater number of women members of the            payment terms shall apply.
                                                program described in such paragraph in light of         Armed Forces at locations throughout the                  ‘‘(2)(A) Reimbursement or payment by the Sec-
                                                those consultations.                                    United States;                                         retary under this section on behalf of an indi-
                                                   (3) MODIFICATIONS.—Not later than 180 days              (B) offering the Program online for women           vidual to a covered entity shall, unless rejected
                                                after completing consultations under paragraph          members of the Armed Forces who are unable to          and refunded by the covered entity within 30
                                                (1), the Secretary shall make any modifications         attend courses held under the Program in per-          days of receipt, extinguish any liability on the
                                                to regulations implementing the State home pro-         son; and                                               part of the individual for the health care serv-
                                                gram, for which legislative action is not nec-             (C) the feasability of automatically enrolling      ices or transportation covered by such payment.
                                                essary, as the Secretary considers appropriate in       Program participants in the health care system            ‘‘(B) Neither the absence of a contract or




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                                                light of those consultations.                           of the Department of Veterans Affairs under            agreement between the Secretary and a covered
                                                   (e) TECHNICAL SUPPORT AND ASSISTANCE.—               section 1705(a) of title 38, United States Code.       entity nor any provision of a contract, agree-
                                                The Secretary of Veterans Affairs shall provide            (c) APPROPRIATE CONGRESSIONAL COMMITTEES            ment, or assignment to the contrary shall oper-
                                                technical support and assistance to Indian              DEFINED.—In this section, the term ‘‘appro-            ate to modify, limit, or negate the requirements
                                                tribes in carrying out the State home program at        priate congressional committees’’ means—               of subparagraph (A).
                                                State homes operated by Indian tribes pursuant             (1) the Committee on Armed Services and the            ‘‘(3) In this subsection, the term ‘covered enti-
                                                to the amendments made by this section.                 Committee on Veterans’ Affairs of the Senate;          ty’ means any individual, transportation car-
                                                   (f) DEFINITIONS.—In this section:                    and                                                    rier, organization, or other entity that furnished




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                                                December 16, 2020                                 CONGRESSIONAL RECORD — HOUSE                                                                        H7187
                                                or paid for health care services or transpor-              ‘‘(iii) The average number of days potential           (A) nationals of the United States;
                                                tation under this section.’’.                           hires or new hires appointed under paragraphs             (B) enrolled in an accredited program of study
                                                   (b) TREATMENT OF CERTAIN EXPENSES AL-                (1) and (3) of section 7401 of such title spent in     at an institution of higher education; and
                                                READY INCURRED.—                                        each phase of the Time to Hire Model, or suc-             (C) referred by their institution of higher edu-
                                                   (1) IN GENERAL.—Pursuant to such regulations         cessor model.’’.                                       cation following an internal application process.
                                                as the Secretary of Veterans Affairs shall pre-            (b) ANNUAL REPORT.—Subsection (b) of such              (2) PRIORITY.—In making such selection, the
                                                scribe, with respect to transportation furnished        section is amended, in the first sentence, by add-     Secretary shall give priority to each of the fol-
                                                in order for a newborn child of a veteran to re-        ing before the period at the end the following:        lowing five categories of students:
                                                ceive health care services under section 1786 of        ‘‘and to improve the onboard timeline for facili-         (A) Students who, at the time of the comple-
                                                title 38, United States Code, during the period         ties for which the duration of the onboarding          tion of their secondary education, resided in a
                                                specified in paragraph (2), the Secretary may—          process exceeds the metrics laid out in the Time       health professional shortage area (as defined in
                                                   (A) waive a debt owed by the veteran to the          to Hire Model of the Veterans Health Adminis-          section 332 of the Public Health Service Act (42
                                                Department of Veterans Affairs or reimburse ex-         tration, or successor model’’.                         U.S.C. 254e)).
                                                penses already paid by the veteran to the De-           SEC. 3009. REQUIREMENT FOR CERTAIN DEPART-                (B) First generation college students (as de-
                                                partment for such transportation;                                   MENT OF VETERANS AFFAIRS MED-              fined in section 402A(h)(3) of the Higher Edu-
                                                   (B) reimburse the veteran for expenses already                   ICAL FACILITIES TO HAVE PHYSICAL           cation Act of 1965 (20 U.S.C. 1067q(a))).
                                                paid by the veteran to a covered entity for such                    LOCATION FOR THE DISPOSAL OF                  (C) Students who have been referred by mi-
                                                transportation; or                                                  CONTROLLED SUBSTANCES MEDICA-              nority-serving institutions (as defined in section
                                                   (C) reimburse a covered entity for the costs of                  TIONS.                                     371(a) of the Higher Education Act of 1965 (20
                                                such transportation.                                      (a) IN GENERAL.—The Secretary of Veterans            U.S.C. 1067q(a))).
                                                   (2) PERIOD SPECIFIED.—The period specified in        Affairs shall ensure that each covered Depart-            (D) Veterans (as defined in section 101 of title
                                                this paragraph is the period beginning on May           ment medical facility has a physical location          38, United States Code).
                                                5, 2010, and ending on the date of the enactment        where patients may dispose of controlled sub-             (E) Students who indicate an intention to spe-
                                                of this Act.                                            stances medications.                                   cialize in a health professional occupation iden-
                                                   (3) COVERED ENTITY DEFINED.—In this sub-               (b) COVERED DEPARTMENT MEDICAL FACIL-                tified by the Inspector General of the Depart-
                                                section, the term ‘‘covered entity’’ has the            ITY.—In this section, the term ‘‘covered Depart-       ment under section 7412 of title 38, United States
                                                meaning given that term in section 1786(e)(3) of        ment medical facility’’ means a medical facility       Code, as having a staffing shortage.
                                                title 38, United States Code, as added by sub-          of the Department of Veterans Affairs with an             (3) ASSIGNMENT TO MEDICAL CENTERS.—The
                                                section (a).                                            onsite pharmacy or a physical location dedi-           Secretary shall assign students selected under
                                                SEC. 3007. WAIVER OF REQUIREMENTS OF DE-                cated for law enforcement purposes.                    paragraph (1) to medical centers selected under
                                                           PARTMENT OF VETERANS AFFAIRS                   (c) EFFECTIVE DATE.—This section shall take          subsection (b) without regard for whether such
                                                           FOR RECEIPT OF PER DIEM PAY-                 effect on January 1, 2022.                             medical centers have staffing shortages in any
                                                           MENTS FOR DOMICILIARY CARE AT                SEC. 3010. DEPARTMENT OF VETERANS AFFAIRS              health professional occupation pursuant to sec-
                                                           STATE HOMES AND MODIFICATION                             PILOT PROGRAM FOR CLINICAL OB-
                                                           OF ELIGIBILITY FOR SUCH PAY-
                                                                                                                                                               tion 7412 of title 38, United States Code.
                                                                                                                    SERVATION BY UNDERGRADUATE                    (e) OTHER MATTERS.—In carrying out the
                                                           MENTS.                                                   STUDENTS.
                                                  (a) WAIVER OF REQUIREMENTS.—Notwith-                                                                         pilot program under this section, the Secretary
                                                                                                          (a) ESTABLISHMENT.—The Secretary of Vet-             shall—
                                                standing section 1741 of title 38, United States        erans Affairs shall carry out a pilot program for         (1) establish a formal status to facilitate the
                                                Code (as amended by subsection (b)), the Sec-           a one-year period, beginning not later than Au-        access to medical centers of the Department by
                                                retary of Veterans Affairs shall modify section         gust 15, 2021, to provide certain students de-         student observers participating in the pilot pro-
                                                51.51(b) of title 38, Code of Federal Regulations       scribed in subsection (d) a clinical observation       gram;
                                                (or successor regulations), to provide the Sec-         experience at medical centers of the Department           (2) establish standardized legal, privacy, and
                                                retary the authority to waive the requirements          of Veterans Affairs.                                   ethical requirements for the student observers,
                                                under such section 51.51(b) for a veteran to be           (b) MEDICAL CENTER SELECTION.—The Sec-               including with respect to—
                                                eligible for per diem payments for domiciliary          retary shall carry out the pilot program under            (A) ensuring that no student observer provides
                                                care at a State home if—                                this section at not fewer than five medical cen-       any care to patients while participating as an
                                                   (1) the veteran has met not fewer than four of       ters of the Department. In selecting such med-         observer; and
                                                the requirements set forth in such section; or          ical centers, the Secretary shall ensure regional         (B) ensuring the suitability of a student to
                                                   (2) such waiver would be in the best interest
                                                                                                        diversity among such selected medical centers.         participate in the pilot program to ensure that
                                                of the veteran.                                           (c) CLINICAL OBSERVATION SESSIONS.—
                                                   (b) MODIFICATION OF ELIGIBILITY.—Section                                                                    the student poses no risk to patients;
                                                                                                          (1) FREQUENCY AND DURATION.—In carrying                 (3) develop and implement a partnership strat-
                                                1741(a)(1) of title 38, United States Code, is
                                                                                                        out the pilot program, the Secretary shall—            egy with minority-serving institutions to encour-
                                                amended, in the flush text following subpara-
                                                                                                          (A) provide at least one and not more than           age referrals;
                                                graph (B), by striking ‘‘in a Department facil-
                                                                                                        three clinical observation sessions at each med-          (4) create standardized procedures for student
                                                ity’’ and inserting ‘‘under the laws administered
                                                                                                        ical center selected during each calendar year;        observers;
                                                by the Secretary’’.
                                                                                                          (B) ensure that each clinical observation ses-          (5) create an online information page about
                                                   (c) STATE HOME DEFINED.—In this section, the
                                                                                                        sion—                                                  the pilot program on the internet website of the
                                                term ‘‘State home’’ has the meaning given that
                                                                                                          (i) lasts between four and six months; and           Department;
                                                term in section 101(19) of title 38, United States
                                                                                                          (ii) to the extent practicable, begins and ends         (6) publish on the online information page
                                                Code.
                                                                                                        concurrently with one or more academic terms of        created under paragraph (5) the locations of
                                                SEC. 3008. EXPANSION OF QUARTERLY UPDATE
                                                                                                        an institution of higher education (as defined in      such centers, and other information on the pilot
                                                            OF INFORMATION ON STAFFING AND
                                                            VACANCIES AT FACILITIES OF THE              section 101 of the Higher Education Act of 1965        program, not later than 180 days before the date
                                                            DEPARTMENT OF VETERANS AF-                  (20 U.S.C. 1001)); and                                 on which applications are required to be sub-
                                                            FAIRS TO INCLUDE INFORMATION                  (C) ensure that the clinical observation ses-        mitted by potential student observers;
                                                            ON DURATION OF HIRING PROCESS.              sions provided at a medical center have minimal           (7) identify medical centers and specific health
                                                  (a) QUARTERLY UPDATE.—Subsection (a)(1) of            overlap.                                               professionals participating in the pilot program;
                                                section 505 of the VA MISSION Act of 2018                 (2) SESSIONS.—The Secretary shall ensure that        and
                                                (Public Law 115–182; 38 U.S.C. 301 note) is             the pilot program consists of clinical observation        (8) notify the Committees on Veterans’ Affairs
                                                amended by adding at the end the following              sessions as follows:                                   of the House of Representatives and the Senate
                                                new subparagraph:                                         (A) Each session shall allow for not fewer           of the medical centers selected under subsection
                                                  ‘‘(E) Beginning with any update under para-           than five students nor greater than 15 students        (c) within 30 days of selection, to facilitate pro-
                                                graph (3) on or after the date of the enactment         to participate in the session.                         gram awareness.
                                                of the Johnny Isakson and David P. Roe, M.D.              (B) Each session shall consist of not fewer             (f) REPORT.—Not later than 180 days after the
                                                Veterans Health Care and Benefits Improvement           than 20 observational hours nor greater than 40        completion of the pilot program under sub-
                                                Act of 2020, the following:                             observational hours.                                   section (a), the Secretary shall submit to the
                                                  ‘‘(i) For employees appointed under para-               (C) A majority of the observational hours            Committees on Veterans’ Affairs of the House of
                                                graphs (1) and (3) of section 7401 of title 38,         shall be spent observing a health professional.        Representatives and the Senate a report on the
                                                United States Code, the number of employees for         The other observational hours shall be spent in        results of the pilot program, including—
                                                which the duration of the process from valida-          a manner that ensures a robust, well rounded              (1) the number and demographics of all appli-
                                                tion of vacancy to receipt of official offer and        experience that exposes the students to a variety      cants, those accepted to participate in the pilot




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                                                notification of actual start date exceeds the           of aspects of medical care and health care ad-         program, and those who completed the pilot pro-
                                                metrics laid out in the Time to Hire Model of the       ministration.                                          gram; and
                                                Veterans Health Administration, or successor              (D) Each session shall provide a diverse clin-          (2) if participating institutions of higher edu-
                                                model.                                                  ical observation experience.                           cation choose to administer satisfaction surveys
                                                  ‘‘(ii) The percentage of employees who are de-          (d) STUDENTS.—                                       that assess the experience of those who com-
                                                scribed in clause (i) compared to all employees           (1) SELECTION.—The Secretary shall select to         pleted the pilot program, the results of any such
                                                appointed under paragraphs (1) and (3) of sec-          participate in the pilot program under sub-            satisfaction surveys, provided at the discretion
                                                tion 7401 of such title during the same period.         section (a) students who are—                          of the institution of higher education.




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                                                H7188                                             CONGRESSIONAL RECORD — HOUSE                                                       December 16, 2020
                                                  (g) SENSE OF CONGRESS REGARDING DEPART-               who is to be involved in the scheduling of ap-            (ii) Duplicate consultation requests.
                                                MENT OF VETERANS AFFAIRS PILOT PROGRAM                  pointments for health care from the Department            (iii) Consultations that were discontinued.
                                                FOR CLINICAL OBSERVATION BY UNDERGRADUATE               or health care described in subsection                    (iv) Delays in consultations.
                                                STUDENTS.—It is the sense of Congress that the          (a)(1)(A)(ii)—                                            (v) Consultations that were not properly
                                                pilot program described in subsection (a) should          (A) to undergo training on the process and re-       closed or discontinued, including a description
                                                be designed to—                                         quirements established under subsection (a) as         of remediation attempts.
                                                  (1) increase the awareness, knowledge, and            part of training for the position for which the           (F) A review for accuracy with respect to con-
                                                empathy of future health professionals toward           employee has been hired; and                           sultation management as follows:
                                                the health conditions common to veterans;                 (B) to make the certification to the Secretary          (i) A review of the accuracy of the type of
                                                  (2) increase the diversity of the recruitment         required under paragraph (1).                          service, either administrative or clinical, that is
                                                pool of future physicians of the Department;              (c) METHOD TO MONITOR COMPLIANCE.—                   inputted in the electronic health record.
                                                and                                                       (1) IN GENERAL.—Not later than 180 days after           (ii) A review of the accuracy of the type of
                                                  (3) expand clinical observation opportunities         the date of the enactment of this Act, the Sec-        consultation setting, either impatient or out-
                                                for all students by encouraging students of all         retary shall establish or maintain a method or         patient, that is inputted in the electronic health
                                                backgrounds to consider a career in the health          tool—                                                  record.
                                                professions.                                              (A) to enable monitoring of the compliance of           (iii) A review of the appropriateness of the
                                                  (h) NO ADDITIONAL FUNDS AUTHORIZED.—No                the Department with the process and require-           level of urgency of the consultation that is
                                                additional funds are authorized to be appro-            ments established under subsection (a), includ-        inputted in the electronic health record.
                                                priated to carry out the requirements of this sec-      ing compliance with policies of the Department            (iv) A review of any delayed or unresolved
                                                tion. Such requirements shall be carried out            relating to the maximum number of days al-             consultations.
                                                                                                        lowed to complete each step of such process; and          (2) An identification of such recommendations
                                                using amounts otherwise authorized to be ap-
                                                                                                          (B) to ensure that each medical facility of the      for corrective action as the Secretary considers
                                                propriated.
                                                                                                        Department complies with such process and re-          necessary, including additional training, in-
                                                      Subtitle B—Scheduling and Consult                                                                        creased personnel, and other resources.
                                                                  Management                            quirements.
                                                                                                          (2) USE THROUGHOUT DEPARTMENT.—                         (3) A certification that the director of each
                                                SEC. 3101. PROCESS AND REQUIREMENTS FOR                   (A) IN GENERAL.—The Secretary shall require          medical center of the Department covered by the
                                                            SCHEDULING APPOINTMENTS FOR                                                                        audit is in compliance with the process and re-
                                                                                                        each medical facility of the Department to use
                                                            HEALTH CARE FROM DEPARTMENT                                                                        quirements established under section 3101(a)
                                                            OF VETERANS AFFAIRS AND NON-DE-             the method or tool described in paragraph (1).
                                                                                                          (B) REPORT.—Not later than one year after            and such other requirements relating to the
                                                            PARTMENT HEALTH CARE.
                                                                                                        the date of the enactment of this Act, the Sec-        scheduling of appointments and management of
                                                  (a) PROCESS AND REQUIREMENTS.—
                                                                                                        retary shall submit to the Committee on Vet-           consultations as the Secretary considers appro-
                                                  (1) IN GENERAL.—Not later than 60 days after
                                                                                                        erans’ Affairs of the Senate and the Committee         priate.
                                                the date of the enactment of this Act, the Sec-
                                                                                                        on Veterans’ Affairs of the House of Representa-          (4) With respect to referrals for health care be-
                                                retary of Veterans Affairs shall—
                                                                                                        tives a report indicating whether each medical         tween health care providers or facilities of the
                                                  (A) establish a process and requirements for
                                                                                                        facility of the Department is using the method         Department, a measurement of, for each medical
                                                scheduling appointments for—
                                                                                                        or tool described in paragraph (1).                    facility of the Department covered by the
                                                  (i) health care from the Department of Vet-
                                                                                                          (d) COMPTROLLER GENERAL REPORT.—Not                  audit—
                                                erans Affairs; and
                                                                                                        later than two years after the date of the enact-         (A) the period of time between—
                                                  (ii) health care furnished through the Vet-
                                                                                                        ment of this Act, the Comptroller General of the          (i) the date that a clinician of the Department
                                                erans Community Care Program under section
                                                                                                        United States shall submit to the Committee on         determines that a veteran requires care from an-
                                                1703 of title 38, United States Code, by a non-
                                                                                                        Veterans’ Affairs of the Senate and the Com-           other health care provider or facility and the
                                                Department health care provider; and
                                                                                                        mittee on Veterans’ Affairs of the House of Rep-       date that the referral for care is sent to the
                                                  (B) submit to the Committee on Veterans’ Af-
                                                                                                        resentatives a report on the compliance of the         other health care provider or facility;
                                                fairs of the Senate and the Committee on Vet-                                                                     (ii) the date that the referral for care is sent
                                                erans’ Affairs of the House of Representatives a        Secretary with the requirements of this section.
                                                                                                        SEC. 3102. AUDITS REGARDING SCHEDULING OF
                                                                                                                                                               to the other health care provider or facility and
                                                description of such process and requirements.                                                                  the date that the other health care provider or
                                                  (2) ELEMENTS OF DESCRIPTION.—The descrip-                         APPOINTMENTS AND MANAGEMENT
                                                                                                                    OF CONSULTATIONS FOR HEALTH                facility accepts the referral;
                                                tion of the process and requirements for sched-                                                                   (iii) the date that the other health care pro-
                                                                                                                    CARE FROM DEPARTMENT OF VET-
                                                uling appointments for health care required to                      ERANS AFFAIRS AND NON-DEPART-              vider or facility accepts the referral and the
                                                be submitted under paragraph (1)(B) shall in-                       MENT HEALTH CARE.                          date that the appointment with the other health
                                                clude—                                                    (a) IN GENERAL.—Not later than each of one           care provider or at the other facility is made;
                                                  (A) information on how such process and re-           year and two years after the date of the enact-        and
                                                quirements take into account the access stand-          ment of this Act, the Secretary of Veterans Af-           (iv) the date that the appointment with the
                                                ards established under section 1703B of title 38,       fairs shall provide for the conduct of a facility-     other health care provider or at the other facil-
                                                United States Code; and                                 level audit of the scheduling of appointments          ity is made and the date of the appointment
                                                  (B) the maximum number of days allowed to             and the management of consultations for health         with the other health care provider or at the
                                                complete each step of such process.                     care under the laws administered by the Sec-           other facility; and
                                                  (3) PERIODIC REVISION.—                               retary.                                                   (B) any other period of time that the Sec-
                                                  (A) IN GENERAL.—The Secretary may revise                (b) APPLICATION.—                                    retary determines necessary to measure.
                                                the process and requirements required under               (1) FIRST AUDIT.—The first audit required               (5) With respect to referrals for non-Depart-
                                                paragraph (1) as the Secretary considers nec-           under subsection (a) shall apply to each medical       ment health care originating from medical facili-
                                                essary.                                                 facility of the Department of Veterans Affairs.        ties of the Department, a measurement of, for
                                                  (B) SUBMITTAL TO CONGRESS.—Not later than               (2) SECOND AUDIT.—The second audit required          each such facility covered by the audit—
                                                30 days before revising the process and require-        under subsection (a) shall apply to only those            (A) the period of time between—
                                                ments under subparagraph (A), the Secretary             medical facilities of the Department that are in          (i) the date that a clinician of the Department
                                                shall submit to the Committee on Veterans’ Af-          need of corrective action based on the first           determines that a veteran requires care, or a
                                                fairs of the Senate and the Committee on Vet-           audit, as determined by the Secretary.                 veteran presents to the Department requesting
                                                erans’ Affairs of the House of Representatives a          (c) ELEMENTS.—Each audit conducted under             care, and the date that the referral for care is
                                                description of such revised process and require-        subsection (a) shall include the following:            sent to a non-Department health care provider;
                                                ments, including a description of any modifica-           (1) With respect to each medical center of the          (ii) the date that the referral for care is sent
                                                tions to the certification and training under           Department covered by the audit, an assessment         to a non-Department health care provider and
                                                subsection (b).                                         of any scheduling or consultation management           the date that a non-Department health care
                                                  (b) CERTIFICATION AND TRAINING ON PROCESS             issues at that medical center, including the fol-      provider accepts the referral;
                                                AND REQUIREMENTS.—                                      lowing:                                                   (iii) the date that a non-Department health
                                                  (1) CERTIFICATION.—Not later than one year              (A) An assessment of noncompliance with              care provider accepts the referral and the date
                                                after the date of the enactment of this Act, the        policies of the Veterans Health Administration         that the referral to a non-Department health
                                                Secretary shall require each individual involved        relating to scheduling appointments and man-           care provider is completed;
                                                in the scheduling of appointments for health            aging consultations.                                      (iv) the date that the referral to a non-Depart-
                                                care from the Department or health care de-               (B) An assessment of the extent to which ap-         ment health care provider is completed and the
                                                scribed in subsection (a)(1)(A)(ii), including          pointments or consultations are not timely proc-       date that an appointment with a non-Depart-
                                                schedulers, clinical coordinators, and super-           essed.                                                 ment health care provider is made; and




rfrederick on DSKBCBPHB2PROD with HOUSE
                                                visors, to certify to the Secretary that the indi-        (C) A description of any backlogs in appoint-           (v) the date that an appointment with a non-
                                                vidual understands the process and require-             ments or consultations that are awaiting action.       Department health care provider is made and
                                                ments established under subsection (a), includ-           (D) An assessment of whether consultations           the date that an appointment with a non-De-
                                                ing the maximum number of days allowed to               are appropriately processed.                           partment health care provider occurs; and
                                                complete each step of such process.                       (E) Data with respect to consultations as fol-          (B) any other period of time that the Sec-
                                                  (2) NEW EMPLOYEES.—The Secretary shall re-            lows:                                                  retary determines necessary to measure.
                                                quire each employee hired by the Department on            (i) Consultations that were scheduled within            (d) CONDUCT OF AUDIT BY THIRD PARTY.—
                                                or after the date of the enactment of this Act          the request window.                                    Each audit conducted under subsection (a) with




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                                                December 16, 2020                                 CONGRESSIONAL RECORD — HOUSE                                                                        H7189
                                                respect to a medical facility of the Department           (ii) the date that the referral for care is sent     Subtitle A—Service-connection and COVID–19
                                                shall be conducted by an individual or entity           to a non-Department health care provider and           SEC. 4101. PRESUMPTIONS OF SERVICE-CONNEC-
                                                that is not affiliated with the facility.               the date that a non-Department health care                         TION FOR MEMBERS OF ARMED
                                                  (e) TRANSMITTAL TO VHA.—Each audit con-               provider accepts the referral;                                     FORCES      WHO        CONTRACT
                                                ducted under subsection (a) shall be transmitted          (iii) the date that a non-Department health                      CORONAVIRUS DISEASE 2019 UNDER
                                                to the Under Secretary for Health of the Depart-        care provider accepts the referral and the date                    CERTAIN CIRCUMSTANCES.
                                                ment so that the Under Secretary can—                   that the referral to a non-Department health             (a) IN GENERAL.—Subchapter VI of chapter 11
                                                  (1) strengthen oversight of the scheduling of         care provider is completed;                            of title 38, United States Code, is amended by
                                                appointments and management of consultations              (iv) the date that the referral to a non-Depart-     adding at the end the following new section:
                                                throughout the Department;                              ment health care provider is completed and the         ‘‘§ 1164. Presumptions of service-connection
                                                  (2) monitor national policy on such sched-            date that an appointment with a non-Depart-               for Coronavirus Disease 2019
                                                uling and management; and                               ment health care provider is made; and                    ‘‘(a) PRESUMPTIONS GENERALLY.—(1) For pur-
                                                  (3) develop a remediation plan to address               (v) the date that an appointment with a non-         poses of laws administered by the Secretary and
                                                issues uncovered by those audits.                       Department health care provider is made and            subject to section 1113 of this title, if symptoms
                                                  (f) ANNUAL REPORT.—                                   the date that an appointment with a non-De-            of Coronavirus Disease 2019 (in this section re-
                                                  (1) IN GENERAL.—Not later than December 31            partment health care provider occurs; and              ferred to as ‘COVID–19’) described in subsection
                                                of each year in which an audit is conducted               (B) any other period of time that the Sec-           (d) manifest within one of the manifestation pe-
                                                under subsection (a), the Secretary shall submit        retary determines necessary to measure.                riods described in paragraph (2) in an indi-
                                                to the Committee on Veterans’ Affairs of the              (2) SUBMISSIONS TO CONGRESS.—
                                                                                                          (A) IN GENERAL.—Not later than one year              vidual who served in a qualifying period of duty
                                                Senate and the Committee on Veterans’ Affairs                                                                  described in subsection (b)—
                                                of the House of Representatives a report on the         after the date of the enactment of this Act, the
                                                                                                                                                                  ‘‘(A) infection with severe acute respiratory
                                                audit conducted during that year.                       Secretary shall submit to the Committee on Vet-
                                                                                                                                                               syndrome coronavirus 2 (in this section referred
                                                  (2) ELEMENTS.—The Secretary shall include in          erans’ Affairs of the Senate and the Committee
                                                                                                                                                               to as ‘SARS–CoV–2’) shall be presumed to have
                                                each report required by paragraph (1)—                  on Veterans’ Affairs of the House of Representa-
                                                                                                                                                               occurred during the qualifying period of duty;
                                                  (A) the nationwide results of the audit con-          tives the data measured under paragraph (1),              ‘‘(B) COVID–19 shall be presumed to have
                                                ducted under subsection (a);                            disaggregated by medical facility.                     been incurred during the qualifying period of
                                                  (B) the results of such audit with respect to           (B) UPDATE.—Not less frequently than bi-
                                                                                                                                                               duty; and
                                                each medical facility of the Department covered         weekly, the Secretary shall update the data sub-          ‘‘(C) if the individual becomes disabled or dies
                                                by such audit;                                          mitted under subparagraph (A).                         as a result of COVID–19, it shall be presumed
                                                  (C) an assessment of how the Department                 (c) COMPTROLLER GENERAL REPORT.—
                                                                                                          (1) REVIEW.—Beginning not later than one             that the individual became disabled or died dur-
                                                strengthened oversight of the scheduling of ap-                                                                ing the qualifying period of duty for purposes of
                                                pointments and management of consultations at           year after the date of the enactment of this Act,
                                                                                                        the Comptroller General of the United States           establishing that the individual served in the
                                                each such facility as a result of the audit;                                                                   active military, naval, or air service.
                                                  (D) an assessment of how the audit informed           shall review compliance by the Secretary with
                                                                                                                                                                  ‘‘(2)(A) The manifestation periods described in
                                                the national policy of the Department with re-          the requirements of this section, including a re-
                                                                                                                                                               this paragraph are the following:
                                                spect to the scheduling of appointments and             view of the validity and reliability of data sub-         ‘‘(i) During a qualifying period of duty de-
                                                management of consultations; and                        mitted by the Secretary under subsection (b)(2).       scribed in subsection (b), if that period of duty
                                                  (E) a description of any remediation plans to           (2) REPORT.—Not later than three years after
                                                                                                                                                               was more than 48 continuous hours in duration.
                                                address issues raised by the audit that was com-        the date of the enactment of this Act, the Comp-          ‘‘(ii) Within 14 days after the individual’s
                                                pleted.                                                 troller General shall submit to the Committee on       completion of a qualifying period of duty de-
                                                SEC. 3103. ADMINISTRATION OF NON-DEPART-                Veterans’ Affairs of the Senate and the Com-           scribed in subsection (b).
                                                            MENT   OF    VETERANS  AFFAIRS              mittee on Veterans’ Affairs of the House of Rep-          ‘‘(iii) An additional period prescribed under
                                                            HEALTH CARE.                                resentatives the results of the review conducted       subparagraph (B).
                                                  (a) CERTIFICATION OF PROPER ADMINISTRA-               under paragraph (1).                                      ‘‘(B)(i) If the Secretary determines that a
                                                TION OF NON-DEPARTMENT CARE.—                           SEC. 3104. EXAMINATION OF HEALTH CARE CON-             manifestation period of more than 14 days after
                                                  (1) REVIEW.—                                                      SULTATION AND SCHEDULING POSI-             completion of a qualifying period of service is
                                                  (A) IN GENERAL.—The Secretary of Veterans                         TIONS OF DEPARTMENT OF VET-
                                                                                                                    ERANS AFFAIRS.
                                                                                                                                                               appropriate for the presumptions under para-
                                                Affairs shall conduct a review of the staffing,                                                                graph (1), the Secretary may prescribe that ad-
                                                training, and other requirements necessary to             (a) PROPER GRADING OF CONSULTATION AND
                                                                                                                                                               ditional period by regulation.
                                                administer section 1703 of title 38, United States      SCHEDULING POSITIONS.—
                                                                                                                                                                  ‘‘(ii) A determination under clause (i) shall be
                                                Code.                                                     (1) IN GENERAL.—The Secretary of Veterans
                                                                                                                                                               made in consultation with the Director of the
                                                  (B) ELEMENTS.—The review conducted under              Affairs shall conduct an examination of health
                                                                                                                                                               Centers for Disease Control and Prevention.
                                                subparagraph (A) shall include, with respect to         care positions of the Department of Veterans Af-
                                                                                                                                                                  ‘‘(b) QUALIFYING PERIOD OF DUTY DE-
                                                each medical facility of the Department of Vet-         fairs to determine whether health care positions
                                                                                                                                                               SCRIBED.—A qualifying period of duty described
                                                erans Affairs—                                          involved in the consultation and scheduling
                                                                                                                                                               in this subsection is—
                                                  (i) an assessment of the type of positions re-        processes are appropriately graded.                       ‘‘(1) a period of active duty performed—
                                                quired to be staffed at the medical facility;             (2) CONSULTATION.—In conducting the exam-               ‘‘(A) during the national emergency declared
                                                  (ii) the number of such positions authorized;         ination under paragraph (1), the Secretary shall       by the President under the National Emer-
                                                  (iii) the number of such positions funded;            consult with health care staffing experts in the       gencies Act (50 U.S.C. 1601 et seq.); and
                                                  (iv) the number of such positions filled; and         Federal Government and the private sector.                ‘‘(B) before the date that is three years after
                                                  (v) the number of additional such positions re-         (3) SUBMITTAL TO CONGRESS.—Not later than            the date of the enactment of the Johnny Isakson
                                                quired to be authorized.                                120 days after the date of the enactment of this       and David P. Roe, M.D. Veterans Health Care
                                                  (2) SUBMITTAL TO CONGRESS.—Not later than             Act, the Secretary shall submit to the appro-          and Benefits Improvement Act of 2020; or
                                                180 days after the date of the enactment of this        priate committees of Congress the results of the          ‘‘(2) training duty under title 10 or full-time
                                                Act, and every 180 days thereafter, the Sec-            examination conducted under paragraph (1).             National Guard duty (as defined in section 101
                                                retary shall submit to the Committee on Vet-              (b) REVIEW OF ONBOARDING PROCESS.—Not                of title 10), performed under orders issued on or
                                                erans’ Affairs of the Senate and the Committee          later than 180 days after the date of the enact-       after March 13, 2020—
                                                on Veterans’ Affairs of the House of Representa-        ment of this Act, the Secretary shall submit to           ‘‘(A) during the national emergency declared
                                                tives—                                                  the appropriate committees of Congress—                by the President under the National Emer-
                                                  (A) the results of the review conducted under           (1) a review of the onboarding process of indi-      gencies Act (50 U.S.C. 1601 et seq.); and
                                                paragraph (1); and                                      viduals in health care positions described in             ‘‘(B) before the date that is three years after
                                                  (B) a certification that the Secretary has es-        subsection (a), including how long it takes to         the date of the enactment of the Johnny Isakson
                                                tablished all staffing, training, and other re-         hire those individuals; and                            and David P. Roe, M.D. Veterans Health Care
                                                quirements required to be reviewed under such             (2) a description of any changes that the Sec-       and Benefits Improvement Act of 2020.
                                                paragraph.                                              retary has made or plans to make to improve               ‘‘(c) APPLICATION OF PRESUMPTIONS FOR
                                                  (b) SCHEDULING OF APPOINTMENTS.—                      that process.                                          TRAINING DUTY.—When, pursuant to subsection
                                                  (1) MEASUREMENT OF TIMELINESS FOR EACH                  (c) APPROPRIATE COMMITTEES OF CONGRESS               (a), COVID–19 is presumed to have been in-
                                                FACILITY.—Not later than 120 days after the             DEFINED.—In this section, the term ‘‘appro-            curred during a qualifying period of duty de-
                                                date of the enactment of this Act, the Secretary        priate committees of Congress’’ means—                 scribed in subsection (b)(2)—
                                                shall measure, with respect to referrals for non-         (1) the Committee on Veterans’ Affairs and              ‘‘(1) COVID–19 shall be deemed to have been
                                                Department health care originating from med-            the Committee on Appropriations of the Senate;         incurred in the line of duty during a period of




rfrederick on DSKBCBPHB2PROD with HOUSE
                                                ical facilities of the Department, for each such        and                                                    active military, naval, or air service; and
                                                                                                          (2) the Committee on Veterans’ Affairs and              ‘‘(2) where entitlement to benefits under this
                                                facility—
                                                  (A) the period of time between—                       the Committee on Appropriations of the House           title is predicated on the individual who was
                                                  (i) the date that a clinician of the Department       of Representatives.                                    disabled or died being a veteran, benefits for dis-
                                                determines that a veteran requires care, or a               TITLE IV—NAVY SEAL BILL MULDER                     ability or death resulting from COVID–19 as de-
                                                veteran presents to the Department requesting           SEC. 4001. SHORT TITLE.                                scribed in subsection (a) shall be paid or fur-
                                                care, and the date that the referral for care is          This title may be cited as the ‘‘Navy SEAL           nished as if the individual was a veteran, with-
                                                sent to a non-Department health care provider;          Bill Mulder Act of 2020’’.                             out regard to whether the period of duty would




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                                                H7190                                             CONGRESSIONAL RECORD — HOUSE                                                      December 16, 2020
                                                constitute active military, naval, or air service          (C) by adding at the end the following:                (B) to facilitate social distancing or isolation
                                                under section 101 of this title.                           ‘‘(2) If the Secretary waives any limit on grant    needs; or
                                                   ‘‘(d) SYMPTOMS OF COVID–19.—For purposes             amounts or rates for per diem payments under              (C) to facilitate the operation of housing
                                                of subsection (a), symptoms of COVID–19 are             paragraph         (1),   notwithstanding     section   under such section.
                                                those symptoms that competent medical evidence          2012(a)(2)(B) of such title, the maximum rate for         (2) LIMITATION.—The Secretary may waive a
                                                demonstrates are experienced by an individual           per diem payments described in paragraph               requirement pursuant to the authority provided
                                                affected and directly related to COVID–19.              (1)(B) shall be three times the rate authorized        by paragraph (1) with respect to a residence or
                                                   ‘‘(e) MEDICAL EXAMINATIONS AND OPINIONS.—            for State homes for domiciliary care under sec-        facility referred to in such section 2032 only if
                                                If there is a question of whether the symptoms          tion 1741 of such title.’’.                            the residence or facility, as the case may be,
                                                experienced by an individual described in para-            (2) MODIFICATION OF FUNDING LIMITS FOR              meets applicable local safety requirements, in-
                                                graph (1) of subsection (a) during a manifesta-         GRANTS.—Subsection (c)(2) of section 2011 of title     cluding fire safety requirements.
                                                tion period described in paragraph (2) of such          38, United States Code, shall not apply to any            (d) ACCESS TO DEPARTMENT OF VETERANS AF-
                                                subsection are attributable to COVID–19 result-         grant awarded during a covered public health           FAIRS TELEHEALTH SERVICES.—To the extent
                                                ing from infection with SARS–CoV–2 during the           emergency under such section for a project de-         practicable, during a covered public health
                                                qualifying period of duty, in determining               scribed in subsection (b)(1) of such section.          emergency, the Secretary shall ensure that vet-
                                                whether a medical examination or medical opin-             (3) USE OF PER DIEM PAYMENTS.—During a              erans participating in or receiving services from
                                                ion is necessary to make a decision on the claim        covered public health emergency, a recipient of        a program under chapter 20 of title 38, United
                                                within the meaning of section 5103A(d) of this          a grant or an eligible entity under the grant and      States Code, have access to telehealth services to
                                                title, a qualifying period of duty described in         per diem program of the Department (in this            which such veterans are eligible under the laws
                                                subsection (b) of this section shall be treated as      subsection referred to as the ‘‘program’’) may         administered by the Secretary, including by en-
                                                if it were active military, naval, or air service       use per diem payments under sections 2012 and          suring that telehealth capabilities are available
                                                for purposes of section 5103A(d)(2)(B) of this          2061 of title 38, United States Code, to provide       to—
                                                title.’’.                                               assistance required for safety and survival (such         (1) such veterans;
                                                   (b) CLERICAL AMENDMENT.—The table of sec-            as food, shelter, clothing, blankets, and hygiene         (2) case managers of the Department of pro-
                                                tions at the beginning of such subchapter is            items) for—                                            grams for homeless veterans authorized under
                                                amended by adding at the end the following                 (A) homeless veterans; and                          such chapter; and
                                                new item:                                                  (B) formerly homeless veterans residing in a           (3) community-based service providers for
                                                ‘‘1164. Presumptions of service-connection for          facility operated wholly or in part by such a re-      homeless veterans receiving funds from the De-
                                                               Coronavirus Disease 2019.’’.             cipient or eligible entity receiving per diem pay-     partment through grants or contracts.
                                                                                                        ments under section 2012 of such title.                   (e) DEFINITIONS.—In this section:
                                                 Subtitle B—Assistance for Homeless Veterans               (4) ADDITIONAL TRANSITIONAL HOUSING.—                  (1) COVERED PUBLIC HEALTH EMERGENCY.—
                                                SEC. 4201. FLEXIBILITY FOR THE SECRETARY OF                (A) IN GENERAL.—During a covered public
                                                            VETERANS AFFAIRS IN CARING FOR                                                                     The term ‘‘covered public health emergency’’
                                                                                                        health emergency, under the program, the Sec-
                                                            HOMELESS VETERANS DURING A                                                                         means an emergency with respect to COVID–19
                                                                                                        retary may provide amounts for additional tran-
                                                            COVERED PUBLIC HEALTH EMER-                                                                        declared by a Federal, State, or local authority.
                                                                                                        sitional housing beds to facilitate access to
                                                            GENCY.                                                                                                (2) HOMELESS VETERAN; VETERAN.—The terms
                                                                                                        housing and services provided to homeless vet-
                                                  (a) GENERAL SUPPORT.—                                                                                        ‘‘homeless veteran’’ and ‘‘veteran’’ have the
                                                                                                        erans.
                                                  (1) USE OF FUNDS.—During a covered public                (B) NOTICE; COMPETITION; PERIOD OF PER-             meanings given those terms in section 2002 of
                                                health emergency, the Secretary of Veterans Af-         FORMANCE.—The           Secretary     may    provide   title 38, United States Code.
                                                fairs may use amounts appropriated or other-            amounts under subparagraph (A)—                           (3) TELEHEALTH.—
                                                wise made available to the Department of Vet-              (i) without notice or competition; and                 (A) IN GENERAL.—The term ‘‘telehealth’’
                                                erans Affairs to carry out sections 2011, 2012,            (ii) for a period of performance determined by      means the use of electronic information and
                                                2031, and 2061 of title 38, United States Code, to      the Secretary.                                         telecommunications technologies to support and
                                                provide to homeless veterans and veterans par-             (5) INSPECTIONS AND LIFE SAFETY CODE RE-            promote long-distance clinical health care, pa-
                                                ticipating in the program carried out under sec-        QUIREMENTS.—                                           tient and professional health-related education,
                                                tion 8(o)(19) of the United States Housing Act of          (A) IN GENERAL.—During a covered public             public health, and health administration.
                                                1937 (42 U.S.C. 1437f(o)(19)) (commonly referred        health emergency, the Secretary may waive any             (B) TECHNOLOGIES.—For purposes of subpara-
                                                to as ‘‘HUD-VASH’’), as the Secretary deter-            requirement under subsection (b) or (c) of sec-        graph (A), ‘‘telecommunications technologies’’
                                                mines is needed, the following:                         tion 2012 of title 38, United States Code, in order    include video conferencing, the internet, stream-
                                                   (A) Assistance required for safety and survival      to allow the recipient of a grant or an eligible       ing media, and terrestrial and wireless commu-
                                                (such as food, shelter, clothing, blankets, and         entity under the program—                              nications.
                                                hygiene items).                                            (i) to quickly identify temporary alternate         SEC. 4202. LEGAL SERVICES FOR HOMELESS VET-
                                                   (B) Transportation required to support sta-          sites of care for homeless veterans that are suit-                  ERANS AND VETERANS AT RISK FOR
                                                bility and health (such as for appointments with        able for habitation;                                                HOMELESSNESS.
                                                service providers, conducting housing searches,            (ii) to facilitate social distancing or isolation     (a) IN GENERAL.—Subchapter III of chapter 20
                                                and obtaining food and supplies).                       needs; or                                              of title 38, United States Code, is amended by in-
                                                   (C) Communications equipment and services               (iii) to facilitate activation or continuation of   serting after section 2022 the following new sec-
                                                (such as tablets, smartphones, disposable               a program for which a grant has been awarded.          tion:
                                                phones, and related service plans) required to             (B) LIMITATION.—The Secretary may waive a
                                                                                                                                                               ‘‘§ 2022A. Legal services for homeless veterans
                                                support stability and health (such as maintain-         requirement pursuant to the authority provided
                                                                                                                                                                  and veterans at risk for homelessness
                                                ing contact with service providers, prospective         by subparagraph (A) with respect to a facility of
                                                landlords, and family).                                 a recipient of a grant or an eligible entity under        ‘‘(a) GRANTS.—Subject to the availability of
                                                   (D) Such other assistance as the Secretary de-       the program only if the facility meets applicable      appropriations provided for such purpose, the
                                                termines is needed.                                     local safety requirements, including fire safety       Secretary shall award grants to eligible entities
                                                   (2) HOMELESS VETERANS ON LAND OF THE DE-             requirements.                                          that provide legal services to homeless veterans
                                                PARTMENT.—                                                 (6) DISPOSITION OF PROPERTY RELATING TO             and veterans at risk for homelessness.
                                                   (A) COLLABORATION.—During a covered public           GRANTS.—During a covered public health emer-              ‘‘(b) CRITERIA.—(1) The Secretary shall—
                                                health emergency, to the extent possible, the           gency, if the recipient of a grant awarded before         ‘‘(A) establish criteria and requirements for
                                                Secretary may collaborate with one or more or-          or during such emergency under section 2011 of         grants under this section, including criteria for
                                                ganizations to manage use of land of the De-            title 38, United States Code, for a project de-        entities eligible to receive such grants; and
                                                partment for homeless veterans for living and           scribed in subsection (b)(1) of such section is no        ‘‘(B) publish such criteria and requirements in
                                                sleeping.                                               longer providing services in accordance with the       the Federal Register.
                                                   (B) ELEMENTS.—Collaboration under subpara-           terms of the grant, the recipient shall not be            ‘‘(2) In establishing criteria and requirements
                                                graph (A) may include the provision by either           subject during such emergency to any property          under paragraph (1), the Secretary shall—
                                                the Secretary or the organization of food serv-         disposition requirements relating to the grant            ‘‘(A) take into consideration any criteria and
                                                ices and security for property, buildings, and          under subsection (c) or (f) of section 61.67 of        requirements needed with respect to carrying
                                                other facilities owned or controlled by the De-         title 38, Code of Federal Regulations, section         out this section in rural communities, on trust
                                                partment.                                               200.311(c) of title 2, Code of Federal Regulations,    lands, and in the territories and possessions of
                                                   (b) GRANT AND PER DIEM PROGRAM.—                     or successor regulations.                              the United States; and
                                                   (1) LIMITS ON RATES FOR PER DIEM PAY-                   (c) INSPECTION AND LIFE SAFETY CODE RE-                ‘‘(B) consult with organizations that have ex-
                                                MENTS.—Section 20013(b) of the Coronavirus              QUIREMENTS FOR THERAPEUTIC HOUSING.—                   perience in providing services to homeless vet-




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                                                Aid, Relief, and Economic Security Act (38                 (1) IN GENERAL.—During a covered public             erans, including—
                                                U.S.C. 2011 note; Public Law 116–136) is amend-         health emergency, the Secretary may waive any             ‘‘(i) veterans service organizations;
                                                ed—                                                     inspection or life safety code requirement under          ‘‘(ii) the Equal Justice Works AmeriCorps Vet-
                                                   (A) by redesignating paragraphs (1) and (2) as       subsection (c) of section 2032 of title 38, United     erans Legal Corps; and
                                                subparagraphs (A) and (B), respectively;                States Code—                                              ‘‘(iii) such other organizations as the Sec-
                                                   (B) in the matter preceding subparagraph (A),           (A) to allow quick identification of temporary      retary determines appropriate.
                                                as so redesignated, by inserting ‘‘(1)’’ before ‘‘In    alternate sites of care for homeless veterans that        ‘‘(c) ELIGIBLE ENTITIES.—The Secretary may
                                                the case’’; and                                         are suitable for habitation;                           award a grant under this section to an entity




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                                                December 16, 2020                                 CONGRESSIONAL RECORD — HOUSE                                                                          H7191
                                                applying for such a grant only if the applicant           (c) CRITERIA.—Not later than 180 days after              ‘‘(ii) In the case of services furnished to a
                                                for the grant—                                          the date of the enactment of this Act, the Sec-         homeless veteran who is placed in housing that
                                                   ‘‘(1) is a public or nonprofit private entity        retary of Veterans Affairs shall establish and          will become permanent housing for the veteran
                                                with the capacity (as determined by the Sec-            publish in the Federal Register the criteria and        upon termination of the furnishing of such serv-
                                                retary) to effectively administer a grant under         requirements pursuant to subsection (b)(1) of           ices to such veteran, the maximum rate of per
                                                this section;                                           section 2022A of title 38, United States Code, as       diem authorized under this section is 150 percent
                                                   ‘‘(2) demonstrates that adequate financial           added by subsection (a).                                of the rate authorized for State homes for domi-
                                                support will be available to carry out the serv-        SEC. 4203. GAP ANALYSIS OF DEPARTMENT OF                ciliary care under subsection (a)(1)(A) of section
                                                ices for which the grant is sought consistent                       VETERANS   AFFAIRS   PROGRAMS               1741 of this title, as the Secretary may increase
                                                with the application;                                               THAT PROVIDE ASSISTANCE TO                  from time to time under subsection (c) of that
                                                   ‘‘(3) agrees to meet the applicable criteria and                 WOMEN VETERANS WHO ARE HOME-                section.’’.
                                                requirements established under subsection (b)(1);                   LESS.                                          (b) REIMBURSEMENT OF CERTAIN FEES.—Such
                                                and                                                       (a) IN GENERAL.—The Secretary of Veterans             section is further amended by adding at the end
                                                   ‘‘(4) has, as determined by the Secretary, dem-      Affairs shall complete an analysis of programs          the following new subsection:
                                                onstrated the capacity to meet such criteria and        of the Department of Veterans Affairs that pro-            ‘‘(e) REIMBURSEMENT OF ENTITIES FOR CER-
                                                requirements.                                           vide assistance to women veterans who are               TAIN FEES.—The Secretary may reimburse a re-
                                                   ‘‘(d) USE OF FUNDS.—Grants under this sec-           homeless or precariously housed to identify the         cipient of a grant under section 2011, 2013, or
                                                tion shall be used to provide homeless veterans         areas in which such programs are failing to             2061 of this title or a recipient of per diem pay-
                                                and veterans at risk for homelessness the fol-          meet the needs of such women.                           ments under this section for fees charged to that
                                                lowing legal services:                                    (b) REPORT.—Not later than 270 days after the         grant or per diem payment recipient for the use
                                                   ‘‘(1) Legal services relating to housing, includ-    date of the enactment of this Act, the Secretary        of the homeless management information system
                                                ing eviction defense, representation in landlord-       shall submit to the Committee on Veterans’ Af-          described in section 402(f) of the McKinney-
                                                tenant cases, and representation in foreclosure         fairs of the Senate and the Committee on Vet-           Vento Homeless Assistance Act (42 U.S.C.
                                                cases.                                                  erans’ Affairs of the House of Representatives a        11360a(f))—
                                                   ‘‘(2) Legal services relating to family law, in-     report on the analysis completed under sub-                ‘‘(1) in amounts the Secretary determines to be
                                                cluding assistance in court proceedings for child       section (a).                                            reasonable; and
                                                support, divorce, estate planning, and family           SEC. 4204. IMPROVEMENTS TO GRANTS AWARDED                  ‘‘(2) if the Secretary determines that the grant
                                                reconciliation.                                                      BY THE SECRETARY OF VETERANS               or per diem payment recipient is unable to ob-
                                                   ‘‘(3) Legal services relating to income support,                  AFFAIRS TO ENTITIES THAT PRO-              tain information contained in such system
                                                                                                                     VIDE SERVICES TO HOMELESS VET-
                                                including assistance in obtaining public bene-                       ERANS.
                                                                                                                                                                through other means and at no cost to the grant
                                                fits.                                                                                                           or per diem payment recipient.’’.
                                                                                                          (a) INCREASE IN PER DIEM PAYMENTS.—Para-
                                                   ‘‘(4) Legal services relating to criminal de-                                                                SEC. 4205. REPEAL OF SUNSET ON AUTHORITY TO
                                                                                                        graph (2) of subsection (a) of section 2012 of title                 CARRY OUT PROGRAM OF REFERRAL
                                                fense, including defense in matters symptomatic
                                                                                                        38, United States Code, is amended to read as                        AND COUNSELING SERVICES FOR
                                                of homelessness, such as outstanding warrants,
                                                                                                        follows:                                                             VETERANS AT RISK FOR HOMELESS-
                                                fines, and driver’s license revocation, to reduce          ‘‘(2)(A)(i) Except as otherwise provided in sub-                  NESS WHO ARE TRANSITIONING
                                                recidivism and facilitate the overcoming of re-         paragraph (B), the rate for such per diem pay-                       FROM CERTAIN INSTITUTIONS.
                                                entry obstacles in employment or housing.               ments shall be the daily cost of care estimated           (a) IN GENERAL.—Section 2023 of title 38,
                                                   ‘‘(5) Legal services relating to requests to up-
                                                                                                        by the grant recipient or eligible entity adjusted      United States Code, is amended—
                                                grade the characterization of a discharge or dis-                                                                  (1) by striking subsection (d); and
                                                                                                        by the Secretary under clause (ii).
                                                missal of a former member of the Armed Forces              ‘‘(ii)(I) The Secretary shall adjust the rate es-       (2) by redesignating subsection (e) as sub-
                                                under section 1553 of title 10.                         timated by the grant recipient or eligible entity       section (d).
                                                   ‘‘(6) Such other legal services as the Secretary     under clause (i) to exclude other sources of in-           (b)     CONFORMING        AMENDMENT.—Section
                                                determines appropriate.                                 come described in subclause (III) that the grant        2021(a)(4) of such title is amended by striking
                                                   ‘‘(e) FUNDS FOR WOMEN VETERANS.—For any                                                                      ‘‘section 2023(e)’’ and inserting ‘‘section
                                                                                                        recipient or eligible entity certifies to be correct.
                                                fiscal year, not less than 10 percent of the               ‘‘(II) Each grant recipient or eligible entity       2023(d)’’.
                                                amount authorized to be appropriated for grants         shall provide to the Secretary such information         SEC. 4206. COORDINATION OF CASE MANAGE-
                                                under this section shall be used to provide legal       with respect to other sources of income as the                     MENT SERVICES FOR VETERANS RE-
                                                services described in subsection (d) to women           Secretary may require to make the adjustment                       CEIVING    HOUSING   VOUCHERS
                                                veterans.                                                                                                                  UNDER   TRIBAL   HOUSING   AND
                                                                                                        under subclause (I).                                               URBAN    DEVELOPMENT-VETERANS
                                                   ‘‘(f) LOCATIONS.—To the extent practicable,             ‘‘(III) The other sources of income referred to
                                                the Secretary shall award grants under this sec-                                                                           AFFAIRS   SUPPORTIVE   HOUSING
                                                                                                        in subclauses (I) and (II) are payments to the                     PROGRAM.
                                                tion to eligible entities in a manner that is equi-     grant recipient or eligible entity for furnishing
                                                tably distributed across the geographic regions                                                                   Section 2003 of title 38, United States Code, is
                                                                                                        services to homeless veterans under programs            amended by adding at the end the following
                                                of the United States, including with respect to—        other than under this subchapter, including
                                                   ‘‘(1) rural communities;                                                                                     new subsection:
                                                                                                        payments and grants from other departments                ‘‘(c) MEMORANDUM OF UNDERSTANDING ON AS-
                                                   ‘‘(2) trust lands (as defined in section 3765 of     and agencies of the United States, from depart-         SISTANCE FROM INDIAN HEALTH SERVICE.—The
                                                this title);                                            ments or agencies of State or local government,
                                                   ‘‘(3) Native Americans; and                                                                                  Secretary may enter into a memorandum of un-
                                                                                                        and from private entities or organizations.             derstanding with the Secretary of Health and
                                                   ‘‘(4) tribal organizations (as defined in section       ‘‘(iii) For purposes of calculating the rate for
                                                4 of the Indian Self-Determination and Edu-                                                                     Human Services under which case managers of
                                                                                                        per diem payments under clause (i), in the case         the Indian Health Service may provide case
                                                cation Assistance Act (25 U.S.C. 5304)).                of a homeless veteran who has care of a minor
                                                   ‘‘(g) BIENNIAL REPORTS.—(1) Not less fre-                                                                    management assistance to veterans who receive
                                                                                                        dependent while receiving services from the             housing vouchers under the Tribal Housing and
                                                quently than once every two years, the Sec-
                                                                                                        grant recipient or eligible entity, the daily cost      Urban Development-Veterans Affairs Supportive
                                                retary shall submit to the Committee on Vet-
                                                                                                        of care of the homeless veteran shall be the sum        Housing (Tribal HUD-VASH) program of the
                                                erans’ Affairs of the Senate and the Committee
                                                                                                        of the daily cost of care of the homeless veteran       Department of Housing and Urban Develop-
                                                on Veterans’ Affairs of the House of Representa-
                                                                                                        determined under clause (i) plus, for each such         ment.’’.
                                                tives a report on grants awarded under this sec-
                                                                                                        minor dependent, an amount that equals 50 per-          SEC. 4207. CONTRACTS RELATING TO CASE MAN-
                                                tion.
                                                                                                        cent of such daily cost of care.                                    AGERS FOR HOMELESS VETERANS IN
                                                   ‘‘(2) To the extent feasible, each report re-           ‘‘(B)(i)(I) Except as provided in clause (ii),                   SUPPORTED HOUSING PROGRAM.
                                                quired by paragraph (1) shall include the fol-          and subject to the availability of appropriations,        (a) IN GENERAL.—Section 304 of the Honoring
                                                lowing with respect to the period covered by the        the Secretary may adjust the rate for per diem          America’s Veterans and Caring for Camp
                                                report:                                                 payments under this paragraph, as the Sec-
                                                   ‘‘(A) The number of homeless veterans and                                                                    Lejeune Families Act of 2012 (Public Law 112–
                                                                                                        retary considers appropriate.                           154; 38 U.S.C. 2041 note) is amended—
                                                veterans at risk for homelessness assisted.                ‘‘(II) Any adjustment made under this                  (1) in subsection (a)—
                                                   ‘‘(B) A description of the legal services pro-       clause—                                                   (A) by inserting ‘‘(1)’’ before ‘‘The Secretary’’;
                                                vided.                                                     ‘‘(aa) may not result in a rate that—                  (B) by adding at the end the following new
                                                   ‘‘(C) A description of the legal matters ad-            ‘‘(AA) is lower than the rate in effect under        paragraphs:
                                                dressed.                                                this paragraph as in effect immediately pre-              ‘‘(2)(A) The director of each covered medical
                                                   ‘‘(D) An analysis by the Secretary with re-          ceding the date of the enactment of the Navy            center shall seek to enter into one or more con-
                                                spect to the operational effectiveness and cost-        SEAL Bill Mulder Act of 2020; or                        tracts or agreements described in paragraph (1).




rfrederick on DSKBCBPHB2PROD with HOUSE
                                                effectiveness of the services provided.’’.                 ‘‘(BB) exceeds the rate that is 115 percent of         ‘‘(B) Any contract or agreement under sub-
                                                   (b) CLERICAL AMENDMENT.—The table of sec-            the rate authorized for State homes for domi-           paragraph (A) may require that each case man-
                                                tions at the beginning of chapter 20 of such title      ciliary care under subsection (a)(1)(A) of section      ager employed by an eligible entity who per-
                                                is amended by inserting after the item relating         1741 of this title, as the Secretary may increase       forms services under the contract or agreement
                                                to section 2022 the following new item:                 from time to time under subsection (c) of that          has credentials equivalent to the credentials re-
                                                ‘‘2022A. Legal services for homeless veterans and       section; and                                            quired for a case manager of the Department.
                                                                 veterans at risk for homeless-            ‘‘(bb) may be determined on the basis of local-        ‘‘(C)(i) The Secretary may waive the require-
                                                                 ness.’’.                               ity.                                                    ment under subparagraph (A) with respect to a




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                                                H7192                                             CONGRESSIONAL RECORD — HOUSE                                                       December 16, 2020
                                                covered medical center if the Secretary deter-          and Urban Development have worked with non-             and Other Veterans’ Benefits Improvement Act
                                                mines that fulfilling such requirement is infeasi-      Federal partners (such as local governments,            of 2012 (Public Law 112–260; 10 U.S.C. 1144 note)
                                                ble.                                                    nongovernmental organizations, veterans service         is amended—
                                                  ‘‘(ii) If the Secretary grants a waiver under         organizations, and employee unions) to meet the            (1) by striking ‘‘During the two-year period
                                                clause (i), the Secretary shall, not later than 90      staffing needs of the HUD-VASH program.                 beginning on the date of the enactment of this
                                                days after granting such waiver, submit to the            (5) Examples of how medical centers of the            Act’’ and inserting ‘‘During the five-year period
                                                Committee on Veterans’ Affairs of the Senate            Department of Veterans Affairs with high reten-         beginning on the date of the enactment of the
                                                and the Committee on Veterans’ Affairs of the           tion rates for case managers of the HUD-VASH            Navy SEAL Bill Mulder Act of 2020’’; and
                                                House of Representatives a report containing—           program have been able to maintain staffing lev-           (2) by striking ‘‘to assess the feasibility and
                                                  ‘‘(I) an explanation of the determination made        els.                                                    advisability of providing such program to eligi-
                                                under clause (i);                                            Subtitle C—Retraining Assistance for               ble individuals at locations other than military
                                                  ‘‘(II) a plan to increase the number of case                              Veterans                            installations’’.
                                                managers of the Department; and                                                                                    (b) LOCATIONS.—Subsection (c) of such section
                                                                                                        SEC. 4301. ACCESS FOR THE SECRETARIES OF
                                                  ‘‘(III) a plan for the covered medical center to                  LABOR AND VETERANS AFFAIRS TO               is amended—
                                                increase use of housing vouchers allocated to                       THE FEDERAL DIRECTORY OF NEW                   (1) in paragraph (1)—
                                                that medical center under the program described                     HIRES.                                         (A) in the paragraph heading, by striking
                                                in paragraph (1).                                         Section 453A(h) of the Social Security Act (42        ‘‘STATES’’ and inserting ‘‘LOCATIONS’’; and
                                                  ‘‘(D) In this paragraph, the term ‘covered            U.S.C. 653a(h)) is amended by adding at the end            (B) by striking ‘‘not less than three and not
                                                medical center’ means a medical center of the           the following new paragraph:                            more than five States’’ and inserting ‘‘not fewer
                                                Department with respect to which the Secretary            ‘‘(4) VETERAN EMPLOYMENT.—The Secretaries             than 50 locations in States (as defined in section
                                                determines that—                                        of Labor and of Veterans Affairs shall have ac-         101 of title 38, United States Code)’’;
                                                  ‘‘(i) more than 15 percent of all housing             cess to information reported by employers pursu-           (2) in paragraph (2), by striking ‘‘at least
                                                vouchers allocated to that medical center under         ant to subsection (b) of this section for purposes      two’’ and inserting ‘‘at least 20’’; and
                                                the program described in paragraph (1) during           of tracking employment of veterans.’’.                     (3) by adding at the end the following new
                                                the fiscal year preceding the fiscal year in            SEC. 4302. EXPANSION OF ELIGIBLE CLASS OF               paragraphs:
                                                which such determination was made were un-                          PROVIDERS OF HIGH TECHNOLOGY                   ‘‘(5) PREFERENCES.—In selecting States for
                                                used due to a lack of case management services                      PROGRAMS OF EDUCATION FOR VET-              participation in the pilot program, the Secretary
                                                provided by the Secretary; and                                      ERANS.                                      shall provide a preference for any State with—
                                                  ‘‘(ii) one or more case manager positions have           Section 116 of the Harry W. Colmery Veterans            ‘‘(A) a high rate of usage of unemployment
                                                been vacant for at least nine consecutive months        Educational Assistance Act of 2017 (Public Law          benefits for recently separated members of the
                                                immediately preceding the date of such deter-           115–48; 38 U.S.C. 3001 note) is amended—                Armed Forces; or
                                                mination.’’; and                                           (1) in subsection (b), by adding at the end the         ‘‘(B) a labor force or economy that has been
                                                  (2) in subsection (b)(2)—                             following: ‘‘The Secretary shall treat an indi-         significantly impacted by a covered public
                                                  (A) in the matter before subparagraph (A), by         vidual as an eligible veteran if the Secretary de-      health emergency.
                                                striking ‘‘, including because—’’ and inserting a       termines that the individual shall become an eli-          ‘‘(6) COVERED PUBLIC HEALTH EMERGENCY DE-
                                                period; and                                             gible veteran fewer than 180 days after the date        FINED.—In this subsection, the term ‘covered
                                                  (B) by striking subparagraphs (A), (B), and           of such determination. If an individual treated         public health emergency’ means—
                                                (C).                                                    as an eligible veteran by reason of the preceding          ‘‘(A) the public health emergency declared by
                                                  (b) EFFECTIVE DATE.—The amendments made               sentence does anything to make the veteran in-          the Secretary of Health and Human Services
                                                by this section shall take effect on the first day      eligible during the 180-day period referred to in       under section 319 of the Public Health Service
                                                of the first fiscal year that begins after the date     such sentence, the Secretary may require the            Act (42 U.S.C. 247d) on January 31, 2020, with
                                                of the enactment of this Act.                           veteran to repay any benefits received by such          respect to Coronavirus Disease 2019 (COVID–19);
                                                SEC. 4208. REPORT ON STAFFING OF DEPART-                veteran by reason of such sentence.’’;                  or
                                                            MENT OF HOUSING AND URBAN DE-                  (2) in subsection (c)—
                                                            VELOPMENT-DEPARTMENT OF VET-                                                                           ‘‘(B) a domestic emergency declared, based on
                                                                                                           (A) in paragraph (3)(A), by striking ‘‘has been      an outbreak of Coronavirus Disease 2019
                                                            ERANS AFFAIRS SUPPORTED HOUS-
                                                                                                        operational for at least 2 years’’ and inserting        (COVID–19), by the President, the Secretary of
                                                            ING PROGRAM.
                                                                                                        ‘‘employs instructors whom the Secretary deter-         Homeland Security, or a State or local author-
                                                  Not later than 180 days after the date of the
                                                                                                        mines are experts in their respective fields in ac-     ity.’’.
                                                enactment of this Act, and every three years
                                                                                                        cordance with paragraph (6)’’; and                         (c) ANNUAL REPORT.—Subsection (e) of such
                                                thereafter, the Secretary of Veterans Affairs              (B) by adding at the end the following new
                                                shall submit to the Committee on Veterans’ Af-                                                                  section is amended by adding at the end the fol-
                                                                                                        paragraph:                                              lowing new sentence: ‘‘Each such report shall
                                                fairs of the Senate and the Committee on Vet-              ‘‘(6) EXPERTS.—The Secretary shall determine
                                                erans’ Affairs of the House of Representatives a                                                                include information about the employment out-
                                                                                                        whether instructors are experts under para-
                                                report that includes the following:                                                                             comes of the eligible individuals who received
                                                                                                        graph (3)(A) based on evidence furnished to the
                                                  (1) An assessment of the hiring needs of the                                                                  such training during the year covered by the re-
                                                                                                        Secretary by the provider regarding the ability
                                                program carried out under section 8(o)(19) of the                                                               port.’’.
                                                                                                        of the instructors to—                                     (d) CONFORMING REPEAL.—Subsection (f) of
                                                United States Housing Act of 1937 (42 U.S.C.               ‘‘(A) identify professions in need of new em-
                                                1437f(o)(19)) (in this section referred to as the                                                               such section is repealed.
                                                                                                        ployees to hire, tailor the programs to meet mar-
                                                ‘‘HUD-VASH program’’), including—                                                                               SEC. 4304. GRANTS FOR PROVISION OF TRANSI-
                                                                                                        ket needs, and identify the employers likely to
                                                  (A) an identification of the number of case                                                                               TION ASSISTANCE TO MEMBERS OF
                                                                                                        hire graduates;                                                     THE ARMED FORCES AFTER SEPARA-
                                                managers of the HUD-VASH program as of the                 ‘‘(B) effectively teach the skills offered to eli-               TION, RETIREMENT, OR DISCHARGE.
                                                date of the report including—                           gible veterans;
                                                  (i) the total number of vacancies; and                                                                          (a) IN GENERAL.—The Secretary of Veterans
                                                                                                           ‘‘(C) provide relevant industry experience in
                                                  (ii) the vacancies at each medical center of the                                                              Affairs shall make grants to eligible organiza-
                                                                                                        the fields of programs offered to incoming eligi-
                                                Department of Veterans Affairs;                                                                                 tions for the provision of transition assistance to
                                                                                                        ble veterans; and
                                                  (B) the number of case managers of the HUD-                                                                   members of the Armed Forces who are sepa-
                                                                                                           ‘‘(D) demonstrate relevant industry experience
                                                VASH program that the Secretary of Veterans                                                                     rated, retired, or discharged from the Armed
                                                                                                        in such fields of programs.’’;
                                                Affairs and the Secretary of Housing and Urban             (3) in subsection (d), in the matter preceding       Forces, and spouses of such members.
                                                Development jointly determine necessary to meet         paragraph (1)—                                            (b) USE OF FUNDS.—The recipient of a grant
                                                the needs of the Department and the program;               (A) by inserting ‘‘(not including an individual      under this section shall use the grant to provide
                                                and                                                     described in the second sentence of subsection          to members of the Armed Forces and spouses de-
                                                  (C) the amount of turnover among case man-            (b))’’ after ‘‘each eligible veteran’’; and             scribed in subsection (a) resume assistance,
                                                agers of the HUD-VASH program and whether                  (B) by inserting ‘‘or part-time’’ after ‘‘full-      interview training, job recruitment training, and
                                                the turnover was planned or unexpected.                 time’’;                                                 related services leading directly to successful
                                                  (2) An assessment of how compensation, in-               (4) in subsection (g), by striking ‘‘$15,000,000’’   transition, as determined by the Secretary.
                                                cluding recruitment and retention incentives,           and inserting ‘‘$45,000,000’’; and                        (c) ELIGIBLE ORGANIZATIONS.—To be eligible
                                                for case managers of the HUD-VASH program                  (5) by adding at the end the following new           for a grant under this section, an organization
                                                affects turnover, and what percentage of reten-         subsection (i):                                         shall submit to the Secretary an application
                                                tion compensation is provided to such case man-            ‘‘(i) PROHIBITION ON CERTAIN ACCOUNTING OF           containing such information and assurances as
                                                agers at each medical center of the Department          ASSISTANCE.—The Secretary may not consider              the Secretary, in consultation with the Sec-
                                                of Veterans Affairs (compared to other posi-            enrollment in a high technology program of edu-         retary of Labor, may require.




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                                                tions).                                                 cation under this section to be assistance under          (d) PRIORITY.—In making grants under this
                                                  (3) A comparison of compensation described in         a provision of law referred to in section 3695 of       section, the Secretary shall give priority to an
                                                paragraph (2) with the compensation provided            title 38, United States Code.’’.                        organization that—
                                                to State, local, and nongovernmental housing            SEC. 4303. PILOT PROGRAM FOR OFF-BASE TRAN-               (1) provides multiple forms of services de-
                                                employees at comparable training and experi-                         SITION TRAINING FOR VETERANS               scribed in subsection (b); or
                                                ence levels.                                                         AND SPOUSES.                                 (2) is located in a State with—
                                                  (4) Examples of how the Department of Vet-              (a) EXTENSION OF PILOT PROGRAM.—Sub-                    (A) a high rate of unemployment among vet-
                                                erans Affairs and the Department of Housing             section (a) of section 301 of the Dignified Burial      erans;




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                                                December 16, 2020                                 CONGRESSIONAL RECORD — HOUSE                                                                        H7193
                                                  (B) a high rate of usage of unemployment                (A) the Committee on Veterans’ Affairs and             (J) The percentage of each cohort that
                                                benefits for recently separated members of the          the Committee on Armed Services of the Senate;         achieves a successful outcome for the Transition
                                                Armed Forces; or                                        and                                                    Assistance Program, as determined under sec-
                                                  (C) a labor force or economy that has been              (B) the Committee on Veterans’ Affairs and           tion 136(a)(7).
                                                significantly impacted by a covered public              the Committee on Armed Services of the House             (K) Other criteria the Secretaries and the Ad-
                                                health emergency (as such term is defined in            of Representatives.                                    ministrator of the Small Business Administra-
                                                section 131(n)).                                          (2) COVERED OFFICIALS.—The term ‘‘covered            tion determine appropriate.
                                                  (e) AMOUNT OF GRANT.—A grant under this               officials’’ means—                                       (d) APPROPRIATE COMMITTEES OF CONGRESS
                                                section shall be in an amount that does not ex-           (A) the Secretary of Defense;                        DEFINED.—In this section, the term ‘‘appro-
                                                ceed 50 percent of the amount required by the             (B) the Secretary of Labor;                          priate committees of Congress’’ means—
                                                organization to provide the services described in         (C) the Administrator of the Small Business            (1) the Committee on Veterans’ Affairs and
                                                subsection (b).                                         Administration; and                                    the Committee on Armed Services of the Senate;
                                                  (f) DEADLINE.—The Secretary shall carry out             (D) the Secretaries of the military depart-          and
                                                this section not later than 180 days after the          ments.                                                   (2) the Committee on Veterans’ Affairs and
                                                date of the enactment of this Act.                        (3) MILITARY DEPARTMENT.—The term ‘‘mili-            the Committee on Armed Services of the House
                                                  (g) TERMINATION.—The authority to provide a           tary department’’ has the meaning given that           of Representatives.
                                                grant under this section shall terminate on the         term in section 101 of title 10, United States
                                                                                                                                                                       TITLE V—DEBORAH SAMPSON
                                                date that is five years after the date on which         Code.
                                                                                                        SEC. 4306. LONGITUDINAL STUDY ON CHANGES               SEC. 5001. SHORT TITLE.
                                                the Secretary implements the grant program
                                                under this section.                                                 TO TRANSITION ASSISTANCE PRO-                This title may be cited as the ‘‘Deborah Samp-
                                                SEC. 4305. ONE-YEAR INDEPENDENT ASSESSMENT
                                                                                                                    GRAM.                                      son Act of 2020’’.
                                                            OF THE EFFECTIVENESS OF TRANSI-               (a) STUDY.—Not later than 90 days after the          Subtitle A—Improving Access for Women Vet-
                                                            TION ASSISTANCE PROGRAM.                    date of the enactment of this Act, the Secretary        erans to the Department of Veterans Affairs
                                                  (a) INDEPENDENT ASSESSMENT.—Not later than            of Veterans Affairs, in consultation with the          SEC. 5101. OFFICE OF WOMEN’S HEALTH IN DE-
                                                90 days after the date of the enactment of this         Secretary of Defense, the Secretary of Labor,                      PARTMENT OF VETERANS AFFAIRS.
                                                Act, the Secretary of Veterans Affairs, in con-         and the Administrator of the Small Business Ad-          (a) CHIEF OFFICER OF WOMEN’S HEALTH.—
                                                sultation with the covered officials, shall enter       ministration, shall conduct a five-year longitu-       Subsection (a) of section 7306 of title 38, United
                                                into an agreement with an appropriate entity            dinal study regarding the Transition Assistance        States Code, is amended—
                                                with experience in adult education to carry out         Program under sections 1142 and 1144 of title 10,         (1) by redesignating paragraph (10) as para-
                                                a one-year independent assessment of the Tran-          United States Code (TAP), on three separate co-        graph (11); and
                                                sition Assistance Program under sections 1142           horts of members of the Armed Forces who have             (2) by inserting after paragraph (9) the fol-
                                                and 1144 of title 10, United States Code (TAP),         separated from the Armed Forces, including—            lowing new paragraph (10):
                                                including—                                                 (1) a cohort that has attended counseling              ‘‘(10) The Chief Officer of Women’s Health.’’.
                                                   (1) the effectiveness of the Transition Assist-      under the Transition Assistance Program as im-            (b) ORGANIZATION OF OFFICE AND ANNUAL RE-
                                                ance Program for members of each military de-           plemented on the date of the enactment of this         PORTS.—
                                                partment during the entire military life cycle;         Act;                                                      (1) IN GENERAL.—Subchapter I of chapter 73 of
                                                   (2) the appropriateness of the career readiness         (2) a cohort that attends counseling under the      title 38, United States Code, is amended by add-
                                                standards of the Transition Assistance Program;         Transition Assistance Program after the Sec-           ing at the end of the following new sections:
                                                   (3) a review of information that is provided to      retary of Defense and the Secretary of Labor im-       ‘‘§ 7310. Office of Women’s Health
                                                the Department of Veterans Affairs under the            plement changes recommended in the report
                                                                                                        under section 136(b); and                                 ‘‘(a) ESTABLISHMENT.—(1) The Under Sec-
                                                Transition Assistance Program, including men-
                                                                                                           (3) a cohort that has not attended counseling       retary for Health shall establish and operate in
                                                tal health data;
                                                   (4) whether the Transition Assistance Pro-           under the Transition Assistance Program.               the Veterans Health Administration the Office
                                                gram effectively addresses the challenges vet-             (b) PROGRESS REPORTS.—Not later than 90             of Women’s Health (in this section referred to as
                                                erans face entering the civilian workforce and          days after the date that is one year after the         the ‘Office’).
                                                in translating experience and skills from mili-         date of the initiation of the study under sub-            ‘‘(2) The Office shall be located at the Central
                                                tary service to the job market;                         section (a), and annually thereafter for the           Office of the Department of Veterans Affairs.
                                                   (5) whether the Transition Assistance Pro-           three subsequent years, the Secretary of Vet-             ‘‘(3)(A) The head of the Office is the Chief Of-
                                                gram effectively addresses the challenges faced         erans Affairs, the Secretary of Defense, the Sec-      ficer of Women’s Health (in this section referred
                                                by the families of veterans making the transition       retary of Labor, and the Administrator of the          to as the ‘Chief Officer’).
                                                                                                        Small Business Administration shall jointly sub-          ‘‘(B) The Chief Officer shall report to the
                                                to civilian life;
                                                   (6) appropriate metrics regarding outcomes of        mit to the appropriate committees of Congress a        Under Secretary for Health.
                                                the Transition Assistance Program for members                                                                     ‘‘(4) The Under Secretary for Health shall
                                                                                                        progress report of activities under the study dur-
                                                of the Armed Forces one year after separation,                                                                 provide the Office with such staff and other
                                                                                                        ing the immediately preceding year.
                                                retirement, or discharge from the Armed Forces;            (c) FINAL REPORT.—                                  support as may be necessary for the Office to
                                                   (7) what the Secretary, in consultation with            (1) IN GENERAL.—Not later than 180 days after       carry out effectively the functions of the Office
                                                the covered officials and veterans service orga-        the completion of the study under subsection           under this section.
                                                nizations, determine to be successful outcomes          (a), the Secretary of Veterans Affairs, the Sec-          ‘‘(5) The Under Secretary for Health may re-
                                                for the Transition Assistance Program;                  retary of Defense, the Secretary of Labor, and         organize existing offices within the Veterans
                                                   (8) whether members of the Armed Forces              the Administrator of the Small Business Admin-         Health Administration as of the date of the en-
                                                achieve successful outcomes for the Transition          istration shall jointly submit to the appropriate      actment of this section in order to avoid dupli-
                                                Assistance Program, as determined under para-           committees of Congress a report of final findings      cation with the functions of the Office.
                                                graph (7);                                              and recommendations based on the study.                   ‘‘(b) FUNCTIONS.—The functions of the Office
                                                   (9) how the Secretary and the covered officials         (2) ELEMENTS.—The final report under para-          include the following:
                                                provide feedback to each other regarding such           graph (1) shall include information regarding             ‘‘(1) To provide a central office for monitoring
                                                outcomes;                                               the following:                                         and encouraging the activities of the Veterans
                                                   (10) recommendations for the Secretaries of             (A) The percentage of each cohort that re-          Health Administration with respect to the provi-
                                                the military departments regarding how to im-           ceived unemployment benefits during the study          sion, evaluation, and improvement of health
                                                prove outcomes for members of the Armed Forces          under subsection (a).                                  care services provided to women veterans by the
                                                after separation, retirement, and discharge; and           (B) The numbers of months members of each           Department.
                                                   (11) other topics the Secretary and the covered      cohort were employed during the study.                    ‘‘(2) To develop and implement standards of
                                                officials determine would aid members of the               (C) Annual starting and ending salaries of          care for the provision of health care for women
                                                Armed Forces as they transition to civilian life.       members of each cohort who were employed dur-          veterans by the Department.
                                                   (b) REPORT.—Not later than 90 days after the         ing the study.                                            ‘‘(3) To monitor and identify deficiencies in
                                                completion of the independent assessment under             (D) How many members of each cohort en-             standards of care for the provision of health
                                                subsection (a), the Secretary and the covered of-       rolled in an institution of higher learning, as        care for women veterans by the Department, to
                                                ficials shall jointly submit to the appropriate         that term is defined in section 3452(f) of title 38,   provide technical assistance to medical facilities
                                                committees of Congress—                                 United States Code.                                    of the Department to address and remedy defi-
                                                   (1) the findings and recommendations (includ-           (E) The academic credit hours, degrees, and         ciencies, and to perform oversight of implemen-
                                                ing recommended legislation) of the independent         certificates obtained by members of each cohort        tation of such standards of care.
                                                assessment prepared by the entity described in          during the study.                                         ‘‘(4) To monitor and identify deficiencies in




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                                                subsection (a); and                                        (F) The annual income of members of each co-        standards of care for the provision of health
                                                   (2) responses of the Secretary and the covered       hort.                                                  care for women veterans provided through the
                                                officials to the findings and recommendations              (G) The total household income of members of        community pursuant to this title and to provide
                                                described in paragraph (1).                             each cohort.                                           recommendations to the appropriate office to
                                                   (c) DEFINITIONS.—In this section:                       (H) How many members of each cohort own             address and remedy any deficiencies.
                                                   (1) APPROPRIATE COMMITTEES OF CONGRESS.—             their principal residences.                               ‘‘(5) To oversee distribution of resources and
                                                The term ‘‘appropriate committees of Congress’’            (I) How many dependents members of each co-         information related to health programming for
                                                means—                                                  hort have.                                             women veterans under this title.




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                                                H7194                                             CONGRESSIONAL RECORD — HOUSE                                                      December 16, 2020
                                                   ‘‘(6) To promote the expansion and improve-          ‘‘§ 7310A. Annual reports on women’s health            women, including the following, disaggregated
                                                ment of clinical, research, and educational ac-            ‘‘(a) ANNUAL REPORTS.—Not later than De-            by Veterans Integrated Service Network and
                                                tivities of the Veterans Health Administration          cember 1 of each year, the Chief Officer of Wom-       State (except with respect to paragraph (4)):
                                                with respect to the health care of women vet-           en’s Health shall submit to the appropriate con-          ‘‘(1) The number of women’s health centers.
                                                erans.                                                  gressional committees a report containing the             ‘‘(2) The number of patient aligned care teams
                                                   ‘‘(7) To provide, as part of the annual budg-        matters under subsections (b) through (g).             of the Department relating to women’s health.
                                                eting process, recommendations with respect to             ‘‘(b) OFFICE OF WOMEN’S HEALTH.—Each re-               ‘‘(3) The number of full- and part-time gyne-
                                                the amounts to be requested for furnishing hos-         port under subsection (a) shall include a de-          cologists of the Department.
                                                pital care and medical services to women vet-           scription of—                                             ‘‘(4) The number of designated women’s
                                                erans pursuant to chapter 17 of this title, in-            ‘‘(1) actions taken by the Office of Women’s        health care providers of the Department,
                                                cluding, at a minimum, recommendations that             Health established under section 7310 of this          disaggregated by facility of the Department.
                                                ensure that such amounts either reflect or ex-          title in the preceding fiscal year to improve the         ‘‘(5) The number of health care providers of
                                                ceed the proportion of veterans enrolled in the         provision of health care by the Department to          the Department who have completed a mini-resi-
                                                system of patient enrollment of the Department          women veterans;                                        dency for women’s health care through the
                                                established and operated under section 1705(a)             ‘‘(2) any identified deficiencies related to the    Women Veterans Health Care Mini-Residency
                                                of this title who are women.                            provision of health care by the Department to          Program of the Department during the one-year
                                                   ‘‘(8) To provide recommendations to the Under                                                               period preceding the submittal of the report and
                                                                                                        women veterans and the standards of care es-
                                                Secretary for Health with respect to modifying                                                                 the number of mini-residency training slots for
                                                                                                        tablished in such section and the plan of the
                                                the Veterans Equitable Resource Allocation sys-                                                                such program that are available during the one-
                                                                                                        Department to address such deficiencies;
                                                tem, or successor system, to ensure that resource                                                              year period following such date.
                                                                                                           ‘‘(3) the funding and personnel provided to
                                                allocations under such system, or successor sys-                                                                  ‘‘(6) The number of designated women’s
                                                                                                        the Office and whether additional funding or
                                                tem, reflect the health care needs of women vet-                                                               health care providers of the Department who
                                                                                                        personnel are needed to meet the requirements
                                                erans.                                                                                                         have sufficient women patient loads or case
                                                                                                        of such section; and
                                                   ‘‘(9) To carry out such other duties as the                                                                 complexities to retain their competencies and
                                                                                                           ‘‘(4) other information that would be of inter-
                                                Under Secretary for Health may require.                                                                        proficiencies.
                                                   ‘‘(c) RECOMMENDATIONS.—(1) If the Under              est to the appropriate congressional committees
                                                                                                        with respect to oversight of the provision of             ‘‘(f) ACCESSIBILITY AND TREATMENT OP-
                                                Secretary for Health determines not to imple-                                                                  TIONS.—Each report under subsection (a) shall
                                                ment any recommendation made by the Chief               health care by the Department to women vet-
                                                                                                        erans.                                                 include an analysis of the accessibility and
                                                Officer with respect to the allocation of re-                                                                  treatment options for women veterans, including
                                                sources to address the health care needs of                ‘‘(c) ACCESS TO GENDER-SPECIFIC SERVICES.—
                                                                                                        (1) Each report under subsection (a) shall in-         the following:
                                                women veterans, the Secretary shall notify the                                                                    ‘‘(1) An assessment of wheelchair accessibility
                                                appropriate congressional committees of such            clude an analysis of the access of women vet-
                                                                                                        erans to gender-specific services under con-           of women’s health centers of the Department,
                                                determination by not later than 30 days after                                                                  including, with respect to each such center, an
                                                the date on which the Under Secretary for               tracts, agreements, or other arrangements with
                                                                                                        non-Department medical providers entered into          assessment of accessibility for each kind of
                                                Health receives the recommendation.                                                                            treatment provided at the center, including with
                                                   ‘‘(2) Each notification under paragraph (1) re-      by the Secretary for the provision of hospital
                                                                                                        care or medical services to veterans.                  respect to radiology and mammography, that
                                                lating to a determination with respect to a rec-                                                               addresses all relevant factors, including door
                                                ommendation shall include the following:                   ‘‘(2) The analysis under paragraph (1) shall
                                                                                                        include data and performance measures for the          sizes, hoists, and equipment.
                                                   ‘‘(A) The reasoning of the Under Secretary for
                                                                                                        availability of gender-specific services described        ‘‘(2) The options for women veterans to access
                                                Health in making the determination.
                                                   ‘‘(B) An alternative, if one is selected, to the     in such paragraph, including—                          mental health providers and primary care pro-
                                                recommendation that the Under Secretary for                ‘‘(A) the average wait time between the pre-        viders who are women.
                                                Health will carry out to fulfill the health care        ferred appointment date of the veteran and the            ‘‘(3) The options for women veterans at med-
                                                needs of women veterans.                                date on which the appointment is completed;            ical facilities of the Department with respect to
                                                   ‘‘(d) STANDARDS OF CARE.—For purposes of                ‘‘(B) the average driving time required for vet-    clothing sizes, including for gowns, drawstring
                                                carrying out the functions of the Office under          erans to attend appointments; and                      pants, and pajamas.
                                                this section, the standards of care for the provi-         ‘‘(C) reasons why appointments could not be            ‘‘(g) DEFINITIONS.—In this section:
                                                sion of health care for women veterans from the         scheduled with non-Department medical pro-                ‘‘(1) The term ‘appropriate congressional com-
                                                Department shall include, at a minimum, the             viders.                                                mittees’ means—
                                                following:                                                 ‘‘(d) MODELS OF CARE.—(1) Each report under            ‘‘(A) the Committee on Appropriations and the
                                                   ‘‘(1) A requirement for—                             subsection (a) shall include an analysis of the        Committee on Veterans’ Affairs of the Senate;
                                                   ‘‘(A) at least one designated women’s health         use by the Department of general primary care          and
                                                primary care provider at each medical center of         clinics, separate but shared spaces, and women’s          ‘‘(B) the Committee on Appropriations and the
                                                the Department whose duties include, to the ex-         health centers as delivery of care models for          Committee on Veterans’ Affairs of the House of
                                                tent practicable, providing training to other           women veterans.                                        Representatives.
                                                health care providers of the Department with re-           ‘‘(2) The analysis under paragraph (1) shall           ‘‘(2) The term ‘gender-specific services’ means
                                                spect to the needs of women veterans; and               include the following:                                 mammography, obstetric care, gynecological
                                                   ‘‘(B) at least one designated women’s health            ‘‘(A) The number of facilities of the Depart-       care, and such other services as the Secretary
                                                primary care provider at each community-based           ment that fall into each delivery of care model        determines appropriate.’’.
                                                outpatient clinic of the Department who may             described in such paragraph, disaggregated by             (2) REFERENCES TO HEALTH CARE AND SERV-
                                                serve women patients as a percentage of the                                                                    ICES.—The references to health care and the ref-
                                                                                                        Veterans Integrated Service Network and State.
                                                total duties of the provider.                              ‘‘(B) A description of the criteria used by the     erences to services in sections 7310 and 7310A of
                                                   ‘‘(2) Other requirements as determined by the        Department to determine which such model is            title 38, United States Code, as added by para-
                                                Under Secretary for Health.                             most appropriate for each facility of the Depart-      graph (1), are references to the health care and
                                                   ‘‘(e) OUTREACH.—The Chief Officer shall en-                                                                 services included in the medical benefits pack-
                                                                                                        ment.
                                                sure that—                                                                                                     age provided by the Department as in effect on
                                                   ‘‘(1) not less frequently than biannually, each         ‘‘(C) An assessment of how the Department
                                                                                                        decides to make investments to modify facilities       the day before the date of the enactment of this
                                                medical facility of the Department holds a pub-                                                                Act.
                                                lic forum for women veterans that occurs out-           to a different model.
                                                                                                           ‘‘(D) A description of what, if any, plans the         (3) CLERICAL AMENDMENT.—The table of sec-
                                                side of regular business hours; and                                                                            tions for such chapter is amended by inserting
                                                   ‘‘(2) not less frequently than quarterly, each       Department has to modify facilities from general
                                                                                                        primary care clinics to another model.                 after the item relating to section 7309A the fol-
                                                medical facility of the Department convenes a                                                                  lowing new items:
                                                focus group of women veterans that includes a              ‘‘(E) An assessment of whether any facilities
                                                                                                        could be modified to a separate but shared space       ‘‘7310. Office of Women’s Health.
                                                discussion of harassment occurring at such fa-
                                                                                                        for a women’s health center within planned in-         ‘‘7310A. Annual reports on women’s health.’’.
                                                cility.
                                                   ‘‘(f) DEFINITIONS.—In this section:                  vestments under the strategic capital investment          (c) INITIAL REPORT.—The Chief Officer of
                                                   ‘‘(1) The term ‘appropriate congressional com-       planning process of the Department.                    Women’s Health of the Department of Veterans
                                                mittees’ has the meaning given that term in sec-           ‘‘(F) An assessment of whether any facilities       Affairs shall submit the initial report under sec-
                                                tion 7310A(h) of this title.                            could be modified to a separate or shared space        tion 7310A of title 38, United States Code, as
                                                   ‘‘(2) The term ‘facility of the Department’ has      or a women’s health center with minor modifica-        added by subsection (b), by not later than one
                                                the meaning given the term ‘facilities of the De-       tions to existing plans under the strategic cap-       year after the date of the enactment of this Act.




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                                                partment’ in section 1701(3) of this title.             ital investment planning process of the Depart-        SEC. 5102. WOMEN VETERANS RETROFIT INITIA-
                                                   ‘‘(3) The term ‘Veterans Equitable Resource          ment.                                                              TIVE.
                                                Allocation system’ means the resource allocation           ‘‘(G) An assessment of whether the Depart-            (a) IN GENERAL.—The Secretary of Veterans
                                                system established pursuant to section 429 of the       ment has a goal for how many facilities should         Affairs shall prioritize the retrofitting of exist-
                                                Departments of Veterans Affairs and Housing             fall into each such model.                             ing medical facilities of the Department of Vet-
                                                and Urban Development, and Independent                     ‘‘(e) STAFFING.—Each report under subsection        erans Affairs with fixtures, materials, and other
                                                Agencies Appropriations Act, 1997 (Public Law           (a) shall include an analysis of the staffing of       outfitting measures to support the provision of
                                                104–204; 110 Stat. 2929).                               the Department relating to the treatment of            care to women veterans at such facilities.




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                                                December 16, 2020                                 CONGRESSIONAL RECORD — HOUSE                                                                         H7195
                                                  (b) PLAN.—                                              ‘‘(bb) Financial counseling.                         Comptroller General of the United States shall
                                                  (1) IN GENERAL.—Not later than one year after           ‘‘(cc) Occupational counseling.                      submit to the Committee on Veterans’ Affairs of
                                                the date of the enactment of this Act, the Sec-           ‘‘(dd) Information and counseling on stress re-      the Senate and the Committee on Veterans’ Af-
                                                retary shall submit to Congress, the Committee          duction.                                               fairs of the House of Representatives a report on
                                                on Veterans’ Affairs of the Senate, and the               ‘‘(ee) Information and counseling on conflict        the efforts of the Department of Veterans Af-
                                                Committee on Veterans’ Affairs of the House of          resolution.                                            fairs to provide supportive services to women
                                                Representatives a plan to address deficiencies in         ‘‘(ff) Such other information and counseling         veterans under section 2044 of title 38, United
                                                environment of care for women veterans at med-          as the Secretary considers appropriate to assist       States.
                                                ical facilities of the Department.                      the individual in reintegration into family, em-          (2) ELEMENTS.—The report required by para-
                                                  (2) ELEMENTS.—The plan required by para-              ployment, and community.                               graph (1) shall include the following:
                                                graph (1) shall include the following:                    ‘‘(III) In furnishing reintegration and read-           (A) A review of how the Department deter-
                                                  (A) An explanation of the specific environ-           justment services under subclause (I), the Sec-        mines which categories of supportive services
                                                ment of care deficiencies that need correcting.         retary shall offer women the opportunity to re-        would be beneficial to women veterans who re-
                                                  (B) An assessment of how the Secretary                ceive such services in group retreat settings in       ceive services under such section.
                                                prioritizes retrofitting existing medical facilities    which the only participants are women.                    (B) A description of the challenges women vet-
                                                to support provision of care to women veterans            ‘‘(IV) An individual described in subpara-           erans who have children face in accessing sup-
                                                in comparison to other requirements.                    graph (C)(v) may receive reintegration and re-         portive services under such section, including
                                                  (C) A five-year strategic plan and cost projec-       adjustment services under subclause (I) of this        with respect to accessing—
                                                tion for retrofitting medical facilities of the De-     clause only if the individual receives such serv-         (i) homeless shelters with their children;
                                                partment to support the provision of care to            ices with a family member described in subclause          (ii) homeless shelters that have restrictions on
                                                women veterans as required under subsection             (I) or (II) of such subparagraph.                      male children; and
                                                (a).                                                      ‘‘(V) In each of fiscal years 2021 through 2025,        (iii) affordable child care.
                                                  (c) AUTHORIZATION OF APPROPRIATIONS.—                 the maximum number of individuals to whom in-             (C) A description of how the Department iden-
                                                Subject to appropriations and the plan under            tegration and readjustment services may be fur-        tifies eligible entities under such section that
                                                (b), there is authorized to be appropriated to the      nished in group retreat settings under this sub-       can provide supportive services to meet the
                                                Secretary $20,000,000 to carry out subsection (a)       clause (I) shall not exceed 1,200 individuals.’’.      needs of women veterans, including eligible enti-
                                                in addition to amounts otherwise made available           (b) REQUEST FOR SERVICES.—Subsection (a)(2)          ties with experience in—
                                                to the Secretary for the purposes set forth in          of such section is amended—                               (i) intimate partner violence;
                                                such subsection.                                          (1) by striking ‘‘Upon’’ and inserting ‘‘(A)            (ii) legal matters pertaining especially to
                                                SEC. 5103. ESTABLISHMENT OF ENVIRONMENT OF              Upon’’;                                                women veterans, including temporary restrain-
                                                             CARE STANDARDS AND INSPEC-                   (2) by striking ‘‘paragraph (1)(B)’’ and insert-     ing orders and child care orders;
                                                             TIONS AT DEPARTMENT OF VET-                ing ‘‘paragraph (1)(B)(i)’’; and                          (iii) supportive services for children; and
                                                             ERANS AFFAIRS MEDICAL CENTERS.               (3) by adding at the end the following new              (iv) the evaluation of which categories of serv-
                                                  (a) IN GENERAL.—The Secretary of Veterans             subparagraph:                                          ices would be beneficial to women veterans who
                                                Affairs shall establish a policy under which the          ‘‘(B) Upon the request of an individual de-          receive such services under such section.
                                                environment of care standards and inspections           scribed in paragraph (1)(C), the Secretary shall          (D) A description of how much the Depart-
                                                at medical centers of the Department of Vet-            furnish the individual reintegration and read-         ment spends, from funds appropriated to carry
                                                erans Affairs include—                                  justment services in group retreat settings under      out such section and funds provided under the
                                                   (1) an alignment of the requirements for such        paragraph (1)(B)(ii) if the Secretary determines       Coronavirus Aid, Relief, and Economic Security
                                                standards and inspections with the women’s              the experience will be therapeutically appro-          Act (Public Law 116–136), on supportive services
                                                health handbook of the Veterans Health Admin-           priate.’’.                                             specifically for women veterans, and in par-
                                                istration;                                              SEC. 5105. PROVISION OF LEGAL SERVICES FOR             ticular, on the services described in subpara-
                                                   (2) a requirement for the frequency of such in-                  WOMEN VETERANS.                            graph (A).
                                                spections;                                                (a) AGREEMENT REQUIRED.—The Secretary of                (E) The results of the surveys conducted
                                                   (3) delineation of the roles and responsibilities    Veterans Affairs shall enter into one or more          under subsection (a).
                                                of staff at each medical center who are respon-         agreements with public or private entities to             (F) A review of the resources and program-
                                                sible for compliance;                                   provide legal services to women veterans.              ming offered to woman veterans under such sec-
                                                   (4) the requirement that each medical center           (b) FOCUS.—The focus of an agreement en-             tion.
                                                submit to the Secretary and make publicly avail-        tered into under subsection (a) shall be to ad-           (G) An assessment of such other areas as the
                                                able a report on the compliance of the medical          dress the following unmet needs of women vet-          Comptroller General considers appropriate.
                                                center with the standards; and                          erans as set forth in the most recently completed      SEC.   5107.PROGRAMS ON ASSISTANCE FOR
                                                   (5) a remediation plan.                              Community Homelessness Assessment, Local                          CHILD CARE FOR CERTAIN VET-
                                                   (b) REPORT.—Not later than 180 days after the        Education and Networking Groups for Veterans                      ERANS.
                                                date of the enactment of this Act, the Secretary        (CHALENG for Veterans) survey:                          (a) ASSISTANCE FOR CHILD CARE FOR CERTAIN
                                                shall submit to the Committee on Veterans’ Af-            (1) Child support.                                   VETERANS RECEIVING HEALTH CARE.—
                                                fairs of the Senate and the Committee on Vet-             (2) Prevention of eviction and foreclosure.           (1) IN GENERAL.—Subchapter I of chapter 17 of
                                                erans’ Affairs of the House of Representatives a          (3) Discharge upgrades.                              title 38, United States Code, is amended by add-
                                                report certifying in writing that the policy re-          (4) Financial guardianship.                          ing at the end the following new section:
                                                quired by subsection (a) has been finalized and           (5) Credit counseling.                               ‘‘§ 1709C. Assistance for child care for certain
                                                disseminated to all medical centers of the De-            (6) Family reconciliation assistance.                   veterans receiving health care
                                                partment.                                               SEC. 5106. COMPTROLLER GENERAL SURVEYS
                                                SEC. 5104. PROVISION OF REINTEGRATION AND                          AND REPORT ON SUPPORTIVE SERV-                 ‘‘(a) PROGRAM REQUIRED.—The Secretary
                                                            READJUSTMENT SERVICES TO VET-                          ICES PROVIDED FOR VERY LOW-IN-              shall carry out a program to provide, subject to
                                                            ERANS AND FAMILY MEMBERS IN                            COME WOMEN VETERANS.                        subsection (b), assistance to qualified veterans
                                                            GROUP RETREAT SETTINGS.                       (a) SURVEYS.—                                        described in subsection (c) to obtain child care
                                                  (a) IN GENERAL.—Section 1712A of title 38,              (1) SURVEY OF WOMEN VETERANS.—The Comp-              so that such veterans can receive health care
                                                United States Code, is amended—                         troller General of the United States shall survey      services described in subsection (c)(2).
                                                  (1) in subsection (a)(1)(B)—                          women veterans who have received or are receiv-           ‘‘(b) LIMITATION ON PERIOD OF PAYMENTS.—
                                                  (A) in clause (ii), by redesignating subclauses       ing supportive services provided under section         Assistance may be provided to a qualified vet-
                                                (I) and (II) as items (aa) and (bb);                    2044 of title 38, United States Code, to determine     eran under this section for receipt of child care
                                                  (B) by redesignating clauses (i) and (ii) as          satisfaction with the ability of such services to      only during the period that the qualified vet-
                                                subclauses (I) and (II);                                meet the specific needs of such veterans.              eran—
                                                  (C) in the matter preceding subclause (I), as           (2) SURVEY OF ELIGIBLE ENTITIES.—The Comp-              ‘‘(1) receives the types of health care services
                                                redesignated by subparagraph (B), by striking           troller General shall survey eligible entities re-     described in subsection (c)(2) at a facility of the
                                                ‘‘Counseling’’ and inserting ‘‘(i) Counseling’’;        ceiving financial assistance under such section        Department; and
                                                and                                                     and other partners of the Department of Vet-              ‘‘(2) requires travel to and return from such
                                                  (D) by adding at the end the following new            erans Affairs, including veterans service organi-      facility for the receipt of such health care serv-
                                                clause:                                                 zations and the National Coalition of Homeless         ices.
                                                  ‘‘(ii)(I) Except as provided in subclauses (IV)       Veterans, on the view of such entities and part-          ‘‘(c) QUALIFIED VETERANS.—For purposes of
                                                and (V), counseling furnished to an individual          ners regarding—                                        this section, a qualified veteran is a veteran




rfrederick on DSKBCBPHB2PROD with HOUSE
                                                under subparagraph (A) may include reintegra-             (A) whether the Department is meeting the            who—
                                                tion and readjustment services described in sub-        needs of women veterans through the provision             ‘‘(1) is the primary caretaker of a child or
                                                clause (II) furnished in group retreat settings.        of supportive services under such section; and         children; and
                                                  ‘‘(II) Reintegration and readjustment services          (B) any additional supportive services that             ‘‘(2)(A) receives from the Department—
                                                described in this subclause are the following:          may be required to meet such needs.                       ‘‘(i) regular mental health care services;
                                                  ‘‘(aa) Information on reintegration of the in-          (b) REPORT.—                                            ‘‘(ii) intensive mental health care services; or
                                                dividual into family, employment, and commu-              (1) IN GENERAL.—Not later than 18 months                ‘‘(iii) such other intensive health care services
                                                nity.                                                   after the date of the enactment of this Act, the       that the Secretary determines that provision of




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                                                H7196                                             CONGRESSIONAL RECORD — HOUSE                                                       December 16, 2020
                                                assistance to the veteran to obtain child care          justment Counseling Service Regions selected by        Service Network and medical center of the De-
                                                would improve access to such health care serv-          the Secretary for purposes of the pilot program.       partment;
                                                ices by the veteran; or                                   (5) FORMS OF CHILD CARE ASSISTANCE.—                    (D) the total number of women veterans uti-
                                                   ‘‘(B) is in need of regular or intensive mental        (A) IN GENERAL.—Child care assistance under          lizing the Department for prosthetic services,
                                                health care services from the Department, and           the pilot program may include the following:           disaggregated by facility of the Department;
                                                but for lack of child care services, would receive        (i) Stipends for the payment of child care of-          (E) an assessment of efforts by the Depart-
                                                such health care services from the Department.          fered by a licensed child care center (either di-      ment on research, development, and employment
                                                   ‘‘(d) LOCATIONS.—Not later than five years           rectly or through a voucher program) that shall        of additive manufacture technology (commonly
                                                after the date of the enactment of the Deborah          be, to the extent practicable, modeled after the       referred to as 3D printing) to provide prosthetic
                                                Sampson Act of 2020, the Secretary shall carry          Department of Veterans Affairs Child Care Sub-         items for women veterans;
                                                out the program at each medical center of the           sidy Program established pursuant to section 630          (F) the results of a survey with a representa-
                                                Department.                                             of the Treasury and General Government Ap-             tive sample of not fewer than 50,000 veterans (of
                                                   ‘‘(e) FORMS OF CHILD CARE ASSISTANCE.—(1)            propriations Act, 2002 (Public Law 107–67; 115         which women shall be overrepresented) in an
                                                Child care assistance under this section may in-        Stat. 552).                                            amputee care program on satisfaction with pros-
                                                clude the following:                                      (ii) Payments to private child care agencies.        thetics furnished or procured by the Department
                                                   ‘‘(A) Stipends for the payment of child care           (iii) Collaboration with facilities or programs      that replace appendages or their function; and
                                                offered by a licensed child care center (either di-     of other Federal agencies.                                (G) such other information as the Secretary
                                                rectly or through a voucher program) that shall           (iv) Such other forms of assistance as the Sec-      considers appropriate.
                                                be, to the extent practicable, modeled after the        retary considers appropriate.                          SEC. 5109. REQUIREMENT TO IMPROVE DEPART-
                                                Department of Veterans Affairs Child Care Sub-            (B) LOCAL AREA.—In providing child care as-                      MENT   OF  VETERANS    AFFAIRS
                                                sidy Program established pursuant to section 630        sistance under the pilot program, the child care                   WOMEN VETERANS CALL CENTER.
                                                of the Treasury and General Government Ap-              needs of the local area shall be considered and          The Secretary of Veterans Affairs shall en-
                                                propriations Act, 2002 (Public Law 107–67; 115          the head of each Vet Center may select the type        hance the capabilities of the women veterans
                                                Stat. 552).                                             of care that is most appropriate or feasible for       call center of the Department of Veterans Af-
                                                   ‘‘(B) Direct provision of child care at an on-       such Vet Center.                                       fairs to respond to requests by women veterans
                                                site facility of the Department.                          (C) USE OF STIPEND.—In the case that child           for assistance with accessing health care and
                                                   ‘‘(C) Payments to private child care agencies.       care assistance under the pilot program is pro-        benefits furnished under the laws administered
                                                   ‘‘(D) Collaboration with facilities or programs      vided as a stipend under subparagraph (A)(i),          by the Secretary.
                                                of other Federal agencies.                              such stipend shall cover the full cost of such         SEC. 5110. STUDY ON INFERTILITY SERVICES
                                                   ‘‘(E) Such other forms of assistance as the          child care.                                                       FURNISHED AT DEPARTMENT OF
                                                Secretary considers appropriate.                          (6) DURATION.—The pilot program shall be                        VETERANS AFFAIRS.
                                                   ‘‘(2) In providing child care assistance under       carried out during the two-year period begin-            (a) STUDY REQUIRED.—The Secretary of Vet-
                                                this section, the child care needs of the local         ning on the date of the commencement of the            erans Affairs shall conduct a study on the infer-
                                                area shall be considered and the head of each           pilot program.                                         tility services offerings at the Department of
                                                medical center may select the type of care that           (7) REPORT.—                                         Veterans Affairs.
                                                is most appropriate or feasible for such medical          (A) IN GENERAL.—Not later than 180 days                 (b) ELEMENTS.—The study conducted under
                                                center.                                                 after the completion of the pilot program, the         subsection (a) shall include the following:
                                                   ‘‘(3) In the case that child care assistance         Secretary shall submit to Congress a report on            (1) An assessment of the following:
                                                under this section is provided as a stipend under       the pilot program.                                        (A) The availability of infertility services at
                                                paragraph (1)(A), such stipend shall cover the            (B) ELEMENTS.—The report required by sub-            facilities of the Department and through laws
                                                full cost of such child care.’’.                        paragraph (A) shall include the findings and           administered by the Secretary for the provision
                                                   (2) CONFORMING AMENDMENT.—Section 205(e)             conclusions of the Secretary regarding the pilot       of non-Department care.
                                                of the Caregivers and Veterans Omnibus Health           program, and shall include such recommenda-               (B) The demand for such services from eligible
                                                Services Act of 2010 (Public Law 111–163; 38            tions for the continuation or expansion of the         individuals.
                                                U.S.C. 1710 note) is amended by striking ‘‘Sep-         pilot program as the Secretary considers appro-           (2) Identification of potential challenges in
                                                tember 30, 2020’’ and inserting ‘‘the date of the       priate.                                                accessing infertility services for eligible individ-
                                                enactment of the Deborah Sampson Act of                   (8) VET CENTER DEFINED.—In this subsection,          uals.
                                                2020’’.                                                                                                           (3) An analysis of Department resources for
                                                                                                        the term ‘‘Vet Center’’ has the meaning given
                                                   (3) CLERICAL AMENDMENT.—The table of sec-                                                                   the furnishing of infertility services, including
                                                                                                        that term in section 1712A(h) of title 38, United
                                                tions at the beginning of chapter 17 of such title                                                             analysis of Department workforce and non-De-
                                                                                                        States Code.
                                                is amended by inserting after the item relating                                                                partment providers.
                                                                                                        SEC. 5108. AVAILABILITY OF PROSTHETICS FOR
                                                to section 1709B the following new item:                                                                          (4) Development of recommendations for the
                                                                                                                    WOMEN VETERANS FROM DEPART-
                                                                                                                    MENT OF VETERANS AFFAIRS.                  improvement of infertility services under laws
                                                ‘‘1709C. Assistance for child care for certain                                                                 administered by the Secretary to improve eligible
                                                                 veterans     receiving     health        (a) ACCESS AT EACH MEDICAL FACILITY.—Sec-
                                                                                                                                                               individuals’ access, delivery of services, and
                                                                 care,’’.                               tion 1714(a) of title 38, United States Code, is
                                                                                                                                                               health outcomes.
                                                   (b) PILOT PROGRAM ON ASSISTANCE FOR CHILD            amended—
                                                                                                                                                                  (c) REPORT.—Not later than one year after the
                                                CARE FOR CERTAIN VETERANS RECEIVING READ-                 (1) by striking ‘‘(a) Any veteran’’ and insert-
                                                                                                                                                               date of the enactment of this Act, the Secretary
                                                JUSTMENT COUNSELING AND RELATED MENTAL                  ing ‘‘(a)(1) Any veteran’’; and
                                                                                                                                                               shall submit to the Committee on Veterans’ Af-
                                                HEALTH SERVICES.—                                         (2) by adding at the end the following new
                                                                                                                                                               fairs of the Senate and the Committee on Vet-
                                                   (1) IN GENERAL.—The Secretary of Veterans            paragraph:
                                                                                                                                                               erans’ Affairs of the House of Representatives a
                                                Affairs shall carry out a pilot program to assess         ‘‘(2) In furnishing prosthetic appliances under
                                                                                                                                                               report on the study conducted under subsection
                                                the feasibility and advisability of providing,          paragraph (1), the Secretary shall ensure
                                                                                                                                                               (a).
                                                subject to paragraph (2), assistance to qualified       women veterans are able to access clinically ap-
                                                                                                                                                                  (d) ELIGIBLE INDIVIDUAL DEFINED.—In this
                                                veterans described in paragraph (3) to obtain           propriate prosthetic appliances through each
                                                                                                                                                               section, the term ‘‘eligible individual’’ means an
                                                child care so that such veterans can receive re-        medical facility of the Department.’’.
                                                                                                                                                               individual who is a veteran who is eligible for
                                                adjustment counseling and related mental                  (b) REPORT.—
                                                                                                                                                               and enrolled in the health care system of the
                                                health services.                                          (1) IN GENERAL.—Not later than one year after
                                                                                                                                                               Department under section 1705(a) of title 38,
                                                   (2) LIMITATION ON PERIOD OF PAYMENTS.—As-            the date of the enactment of this Act, the Sec-
                                                                                                                                                               United States Code.
                                                sistance may be provided to a qualified veteran         retary of Veterans Affairs shall submit to the
                                                                                                                                                               SEC. 5111. SENSE OF CONGRESS ON ACCESS TO
                                                under the pilot program for receipt of child care       Committee on Veterans’ Affairs of the Senate
                                                                                                                                                                           FACILITIES OF DEPARTMENT OF
                                                only during the period that the qualified vet-          and the Committee on Veterans’ Affairs of the                      VETERANS AFFAIRS BY RESERVISTS
                                                eran receives readjustment counseling and re-           House of Representatives a report on the avail-                    FOR COUNSELING AND TREATMENT
                                                lated health care services at a Vet Center.             ability from the Department of Veterans Affairs                    RELATING TO MILITARY SEXUAL
                                                   (3) QUALIFIED VETERANS.—For purposes of              of prosthetics made for women veterans, includ-                    TRAUMA.
                                                this subsection, a qualified veteran is a veteran       ing an assessment of the availability of such            (a) IN GENERAL.—It is the sense of Congress
                                                who—                                                    prosthetics at medical facilities of the Depart-       that members of the reserve components of the
                                                   (A) is the primary caretaker of a child or chil-     ment.                                                  Armed Forces, including members of the Na-
                                                dren; and                                                 (2) ELEMENTS.—The report required by para-           tional Guard, should be able to access all health
                                                   (B)(i) receives from the Department regular re-      graph (1) shall include—                               care facilities of the Department of Veterans Af-
                                                adjustment counseling and related mental                  (A) a list of all devices classified by the De-      fairs, not just Vet Centers, to receive counseling




rfrederick on DSKBCBPHB2PROD with HOUSE
                                                health services; or                                     partment as prosthetic devices, including a            and treatment relating to military sexual trau-
                                                   (ii) is in need of regular readjustment coun-        breakdown of whether a device is considered            ma.
                                                seling and related mental health services from          gender-neutral or gender-specific;                       (b) DEFINITIONS.—In this section:
                                                the Department, and but for lack of child care            (B) for gender-neutral devices, a breakdown            (1) MILITARY SEXUAL TRAUMA.—The term
                                                services, would receive such counseling and             of sizing;                                             ‘‘military sexual trauma’’ has the meaning
                                                services from the Department.                             (C) the average time it takes for a woman vet-       given such term in section 1164(c) of title 38,
                                                   (4) LOCATIONS.—The Secretary shall carry out         eran to receive a prosthetic device after it is pre-   United States Code, as added by section 5501(a)
                                                the pilot program in not fewer than three Read-         scribed, disaggregated by Veterans Integrated          of this title.




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                                                December 16, 2020                                 CONGRESSIONAL RECORD — HOUSE                                                                         H7197
                                                  (2) VET CENTER.—The term ‘‘Vet Center’’ has             (1) if the program is appropriately staffed at       Secretary, in consultation with the Inspector
                                                the meaning given that term in section 1712A(h)         each medical center of the Department;                 General, shall submit to the Committee on Vet-
                                                of such title.                                            (2) whether each medical center of the Depart-       erans’ Affairs of the Senate and the Committee
                                                     Subtitle B—Increasing Staff Cultural               ment is staffed with a Women Veteran Program           on Veterans’ Affairs of the House of Representa-
                                                                 Competency                             Manager; and                                           tives a plan, based on the results of the assess-
                                                                                                          (3) whether it would be feasible and advisable       ment required by subsection (a), to hire addi-
                                                SEC. 5201. STAFFING OF WOMEN’S HEALTH PRI-
                                                            MARY CARE PROVIDERS AT MEDICAL
                                                                                                        to have a Women Veteran Program Ombudsman              tional qualified peer specialists who are women,
                                                            FACILITIES OF DEPARTMENT OF                 at each medical center of the Department.              with special consideration for areas that lack
                                                            VETERANS AFFAIRS.                             (b) REPORT.—Not later than 270 days after the        peer specialists who are women.
                                                  The Secretary of Veterans Affairs shall ensure        date of the enactment of this Act, the Secretary         (2) ELEMENTS.—The peer specialist positions
                                                that each medical facility of the Department of         shall submit to the Committee on Veterans’ Af-         included in the plan required by paragraph
                                                Veterans Affairs has not fewer than one full-           fairs of the Senate and the Committee on Vet-          (1)—
                                                time or part-time women’s health primary care           erans’ Affairs of the House of Representatives a         (A) shall be non-volunteer, paid positions;
                                                provider whose duties include, to the extent pos-       report on the study conducted under subsection         and
                                                                                                        (a).                                                     (B) may be part-time positions.
                                                sible, providing training to other health care
                                                providers of the Department on the needs of               (c) TRAINING.—The Secretary shall ensure                Subtitle C—Eliminating Harassment and
                                                women veterans.                                         that all Women Veteran Program Managers and                                 Assault
                                                SEC. 5202. ADDITIONAL FUNDING FOR PRIMARY
                                                                                                        Women Veteran Program Ombudsmen receive                SEC. 5301. EXPANSION OF COVERAGE BY DEPART-
                                                            CARE AND EMERGENCY CARE CLINI-              the proper training to carry out their duties.                      MENT OF VETERANS AFFAIRS OF
                                                            CIANS   IN  WOMEN     VETERANS              SEC. 5205. STUDY ON WOMEN VETERAN COORDI-                           COUNSELING AND TREATMENT FOR
                                                            HEALTH CARE MINI-RESIDENCY PRO-                         NATOR PROGRAM.                                          SEXUAL TRAUMA.
                                                            GRAM.                                         (a) STUDY AND REPORT REQUIRED.—Not later               (a) EXPANSION OF ELIGIBILITY FOR COUN-
                                                  (a) IN GENERAL.—There is authorized to be             than 180 days after the date of the enactment of       SELING AND TREATMENT.—Section 1720D of title
                                                appropriated to the Secretary of Veterans Af-           this Act, the Secretary of Veterans Affairs            38, United States Code, is amended—
                                                fairs $1,000,000 for each fiscal years 2021             shall—                                                    (1) in subsection (a)—
                                                through 2025 to provide opportunities for par-             (1) complete a study on the Women Veteran              (A) in paragraph (1), by striking ‘‘active duty,
                                                ticipation in the Women Veterans Health Care            Coordinator program of the Veterans Benefits           active duty for training, or inactive duty train-
                                                Mini-Residency Program of the Department of             Administration of the Department of Veterans           ing’’ and inserting ‘‘duty, regardless of duty
                                                Veterans Affairs for primary care and emer-             Affairs; and                                           status or line of duty determination (as that
                                                gency care clinicians.                                     (2) submit to the Committee on Veterans’ Af-        term is used in section 12323 of title 10)’’; and
                                                   (b) TREATMENT OF AMOUNTS.—The amounts                fairs of the Senate and the Committee on Vet-             (B) in paragraph (2)(A), by striking ‘‘active
                                                authorized to be appropriated under subsection          erans’ Affairs of the House of Representatives a       duty, active duty for training, or inactive duty
                                                (a) shall be in addition to amounts otherwise           report on the findings of the Secretary with re-       training’’ and inserting ‘‘duty, regardless of
                                                made available to the Secretary for the purposes        spect to the study completed under paragraph           duty status or line of duty determination (as
                                                set forth in such subsection.                           (1).                                                   that term is used in section 12323 of title 10)’’;
                                                                                                           (b) ELEMENTS.—The study required by sub-               (2) by striking ‘‘veteran’’ each place it ap-
                                                SEC. 5203. ESTABLISHMENT OF WOMEN VETERAN
                                                                                                        section (a)(1) shall identify the following:           pears and inserting ‘‘former member of the
                                                             TRAINING MODULE FOR NON-DE-
                                                             PARTMENT OF VETERANS AFFAIRS                  (1) If the program described in such subsection     Armed Forces’’;
                                                             HEALTH CARE PROVIDERS.                                                                               (3) by striking ‘‘veterans’’ each place it ap-
                                                                                                        is appropriately staffed at each regional benefits
                                                  (a) IN GENERAL.—Not later than one year                                                                      pears and inserting ‘‘former members of the
                                                                                                        office of the Department.
                                                after the date of the enactment of this Act, the           (2) Whether each regional benefits office of        Armed Forces’’; and
                                                                                                                                                                  (4) by adding at the end the following new
                                                Secretary of Veterans Affairs shall establish and       the Department is staffed with a Women Vet-
                                                                                                                                                               subsection:
                                                make available to community providers a train-          eran Coordinator.                                         ‘‘(g) In this section, the term ‘former member
                                                ing module that is specific to women veterans.             (3) The position description of the Women Vet-      of the Armed Forces’ includes the following:
                                                   (b) TRAINING MATERIALS PROVIDED.—Under               eran Coordinator.                                         ‘‘(1) A veteran.
                                                the training module established and made avail-            (4) Whether an individual serving in the               ‘‘(2) An individual described in section
                                                able to community providers under subsection            Women Veteran Coordinator position concur-             1720I(b) of this title.’’.
                                                (a), the Secretary shall provide to community           rently serves in any other position, and if so,           (b) INCLUSION OF TREATMENT FOR PHYSICAL
                                                providers the same training materials relating to       the allocation of time the individual spends in        HEALTH CONDITIONS.—Such section is further
                                                treatment of women veterans that is provided to         each such position.                                    amended—
                                                health care providers of the Department of Vet-            (5) A description of the metrics the Secretary         (1) in subsection (a)—
                                                erans Affairs to ensure that all health care pro-       uses to determine the job performance and effec-          (A) in paragraph (1)—
                                                viders treating women veterans have access to           tiveness of the Women Veteran Coordinator.                (i) by inserting ‘‘, to include care for physical
                                                the same materials to support competency                SEC. 5206. STAFFING IMPROVEMENT PLAN FOR               health conditions, as appropriate,’’ after ‘‘coun-
                                                throughout the community.                                           PEER SPECIALISTS OF DEPARTMENT             seling and appropriate care and services’’;
                                                   (c) ADMINISTRATION OF TRAINING MODULE.—                          OF VETERANS AFFAIRS WHO ARE                   (ii) by striking ‘‘overcome psychological trau-
                                                The Secretary shall administer the training                         WOMEN.                                     ma’’ and inserting ‘‘treat a condition’’; and
                                                module established under subsection (a) to com-           (a) ASSESSMENT OF CAPACITY.—                            (iii) by striking ‘‘mental health professional’’
                                                munity providers through an internet website of           (1) IN GENERAL.—Not later than 90 days after         and inserting ‘‘health care professional’’; and
                                                the Department.                                         the date of the enactment of this Act, the Sec-           (B) in paragraph (2)(A), by striking ‘‘over-
                                                   (d) ANNUAL REPORT.—Not later than one year           retary of Veterans Affairs, in consultation with       come psychological trauma’’ and inserting
                                                after the establishment of the training module          the Inspector General of the Department of Vet-        ‘‘treat a condition’’; and
                                                under subsection (a), and annually thereafter,          erans Affairs, shall commence an assessment of            (2) in subsection (d)—
                                                                                                        the capacity of peer specialists of the Depart-           (A) in paragraph (1), by inserting ‘‘and other
                                                the Secretary shall submit to Congress a report
                                                                                                        ment of Veterans Affairs who are women.                health care professionals’’ after ‘‘mental health
                                                on—
                                                   (1) the utilization by community providers of          (2) ELEMENTS.—The assessment required by             professionals’’; and
                                                                                                        paragraph (1) shall include an assessment of the          (B) in paragraph (2)(A), by inserting ‘‘and
                                                the training module; and
                                                                                                        following:                                             other health care professionals’’ after ‘‘mental
                                                   (2) the effectiveness of the training module.
                                                                                                          (A) The geographical distribution of peer spe-       health professionals’’.
                                                   (e) DEFINITIONS.—In this section:
                                                                                                        cialists of the Department who are women.              SEC. 5302. ASSESSMENT OF EFFECTS OF INTI-
                                                   (1) COMMUNITY PROVIDER.—The term ‘‘com-                                                                                 MATE  PARTNER   VIOLENCE  ON
                                                munity provider’’ means a non-Department of               (B) The geographical distribution of women
                                                                                                                                                                           WOMEN VETERANS BY ADVISORY
                                                Veterans Affairs health care provider who pro-          veterans.                                                          COMMITTEE ON WOMEN VETERANS.
                                                vides preauthorized health care to veterans               (C) The number and proportion of women peer            Section 542(c)(1) of title 38, United States
                                                under the laws administered by the Secretary of         specialists who specialize in peer counseling on       Code, is amended—
                                                Veterans Affairs.                                       mental health or suicide prevention.                     (1) in subparagraph (B), by striking ‘‘and’’ at
                                                   (2) PREAUTHORIZED HEALTH CARE.—The term                (D) The number and proportion of women               the end;
                                                ‘‘preauthorized health care’’ means health care         peer specialists who specialize in peer coun-            (2) by redesignating subparagraph (C) as sub-
                                                provided to a veteran that is authorized by the         seling on non-mental health related matters.           paragraph (D); and
                                                Secretary before being provided.                          (b) REPORT.—Not later than one year after              (3) by inserting after subparagraph (B) the
                                                                                                        the assessment required by subsection (a) has          following new subparagraph (C):




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                                                SEC. 5204. STUDY ON STAFFING OF WOMEN VET-
                                                            ERAN PROGRAM MANAGER PRO-                   commenced, the Secretary shall submit to the             ‘‘(C) an assessment of the effects of intimate
                                                            GRAM AT MEDICAL CENTERS OF DE-              Committee on Veterans’ Affairs of the Senate           partner violence on women veterans; and’’.
                                                            PARTMENT OF VETERANS AFFAIRS                and the Committee on Veterans’ Affairs of the          SEC. 5303. ANTI-HARASSMENT AND ANTI-SEXUAL
                                                            AND TRAINING OF STAFF.                      House of Representatives a report detailing the                    ASSAULT POLICY OF DEPARTMENT
                                                  (a) STUDY.—The Secretary of Veterans Affairs          findings of the assessment.                                        OF VETERANS AFFAIRS.
                                                shall conduct a study on the use of the Women             (c) STAFFING IMPROVEMENT PLAN.—                        (a) IN GENERAL.—Subchapter II of chapter 5
                                                Veteran Program Manager program of the De-                (1) IN GENERAL.—Not later than 180 days after        of title 38, United States Code, is amended by
                                                partment of Veterans Affairs to determine—              submitting the report under subsection (b), the        adding at the end the following new section:




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                                                H7198                                             CONGRESSIONAL RECORD — HOUSE                                                      December 16, 2020
                                                ‘‘§ 533. Anti-harassment and anti-sexual as-            (including Vet Centers under section 1712A of          of the report to stop harassment and sexual as-
                                                   sault policy                                         this title), with regard to that facility;             sault at facilities of the Department.
                                                   ‘‘(a) ESTABLISHMENT.—(1) The Secretary, act-            ‘‘(2) at least one individual employed in each         ‘‘(E) An assessment of the implementation of
                                                ing through the Office of Assault and Preven-           Veterans Integrated Service Network, with re-          the training required in subsection (a)(2)(H).
                                                tion of the Veterans Health Administration,             gard to facilities in that Veterans Integrated            ‘‘(F) A list of resources the Secretary deter-
                                                shall establish a comprehensive policy to end           Service Network;                                       mines necessary to prevent harassment and sex-
                                                harassment and sexual assault, including sexual            ‘‘(3) at least one individual employed in each      ual assault at facilities of the Department.
                                                harassment and gender-based harassment,                 regional benefits office;                                 ‘‘(g) DEFINITIONS.—In this section:
                                                throughout the Department.                                 ‘‘(4) at least one individual employed at each         ‘‘(1) The term ‘non-Department individual’
                                                   ‘‘(2) The policy required by paragraph (1)           location of the National Cemetery Administra-          means any individual present at a facility of the
                                                shall include the following:                            tion; and                                              Department who is not an employee or con-
                                                   ‘‘(A) A process for employees and contractors           ‘‘(5) at least one individual employed at the       tractor of the Department.
                                                of the Department to respond to reported inci-          Central Office of the Department to track re-             ‘‘(2) The term ‘sexual harassment’ means un-
                                                dents of harassment and sexual assault com-             ports of such harassment and sexual assault            solicited verbal or physical contact of a sexual
                                                mitted by any non-Department individual with-           across the Department, disaggregated by facil-         nature which is threatening in character.’’.
                                                in a facility of the Department, including with         ity.                                                      (b) CLERICAL AMENDMENT.—The table of sec-
                                                respect to accountability or disciplinary meas-            ‘‘(c) ACCOUNTABILITY.—(1) The Secretary             tions at the beginning of such chapter is amend-
                                                ures.                                                   shall establish a policy to ensure that each fa-       ed by adding after the item relating to section
                                                   ‘‘(B) A process for employees and contractors        cility of the Department and each director of a        532 the following new item:
                                                of the Department to respond to reported inci-          Veterans Integrated Service Network is respon-         ‘‘533. Anti-harassment and anti-sexual as-
                                                dents of harassment and sexual assault of any           sible for addressing harassment and sexual as-                         sault policy.’’.
                                                non-Department individual within a facility of          sault at the facility and the Network.                    (c) DEFINITION OF SEXUAL HARASSMENT.—Sec-
                                                the Department.                                            ‘‘(2) The policy required by paragraph (1)          tion 1720D(f) of such title is amended by striking
                                                   ‘‘(C) A process for any non-Department indi-         shall include—                                         ‘‘repeated,’’.
                                                vidual to report harassment and sexual assault             ‘‘(A) a remediation plan for facilities that ex-       (d) DEADLINE.—The Secretary shall commence
                                                described in subparagraph (A), including an op-         perience five or more incidents of sexual harass-      carrying out section 533 of such title, as added
                                                tion for confidential reporting, and for the Sec-       ment, sexual assault, or combination thereof,          by subsection (a), not later than 180 days after
                                                retary to respond to and address such reports.          during any single fiscal year; and                     the date of enactment of this Act.
                                                   ‘‘(D) Clear mechanisms for non-Department               ‘‘(B) taking appropriate actions under chapter      SEC. 5304. PILOT PROGRAM ON ASSISTING VET-
                                                individuals to readily identify to whom and how         7 or subchapter V of chapter 74 of this title.                     ERANS WHO EXPERIENCE INTIMATE
                                                to report incidents of harassment and sexual as-           ‘‘(d) DATA.—The Secretary shall ensure that                     PARTNER VIOLENCE OR SEXUAL AS-
                                                sault committed by another non-Department in-           the in-take process for veterans at medical fa-                    SAULT.
                                                dividual.                                               cilities of the Department includes a survey to          (a) PILOT PROGRAM REQUIRED.—The Sec-
                                                   ‘‘(E) Clear mechanisms for employees and con-        collect the following information:                     retary of Veterans Affairs shall carry out a pilot
                                                tractors of the Department to readily identify to          ‘‘(1) Whether the veteran feels safe at the fa-     program to assess the feasibility and advisability
                                                whom and how to report incidents of harass-             cility and whether any events occurred at the          of assisting former members of the Armed Forces
                                                ment and sexual assault and how to refer non-           facility that affect such feeling.                     who have experienced or are experiencing inti-
                                                Department individuals with respect to report-             ‘‘(2) Whether the veteran wants to be con-          mate partner violence or sexual assault in ac-
                                                ing an incident of harassment or sexual assault.        tacted later by the Department with respect to         cessing benefits from the Department of Vet-
                                                   ‘‘(F) A process for, and mandatory reporting         such safety issues.                                    erans Affairs, including coordinating access to
                                                requirement applicable to, any employee or con-            ‘‘(e) WORKING GROUP.—(1) The Secretary              medical treatment centers, housing assistance,
                                                tractor of the Department who witnesses harass-         shall establish a working group to assist the          and other benefits from the Department.
                                                ment or sexual assault described in subpara-            Secretary in implementing policies to carry out           (b) DURATION.—The Secretary shall carry out
                                                graph (A) or (B) within a facility of the Depart-       this section.                                          the pilot program under subsection (a) during
                                                ment, regardless of whether the individual af-             ‘‘(2) The working group established under           the two-year period beginning on the date of the
                                                fected by such harassment or sexual assault             paragraph (1) shall consist of representatives         commencement of the pilot program.
                                                wants to report such harassment or sexual as-           from—                                                     (c) COLLABORATION.—The Secretary shall
                                                sault.                                                     ‘‘(A) veterans service organizations;               carry out the pilot program under subsection (a)
                                                   ‘‘(G) The actions possible, including discipli-         ‘‘(B) State, local, and Tribal veterans agen-       in collaboration with—
                                                nary actions, for employees or contractors of the       cies; and                                                 (1) intimate partner violence shelters and pro-
                                                Department who fail to report incidents of har-            ‘‘(C) other persons the Secretary determines        grams;
                                                assment and sexual assault described in sub-            appropriate.                                              (2) rape crisis centers;
                                                paragraph (A) or (B) that the employees or con-            ‘‘(3) The working group established under              (3) State intimate partner violence and sexual
                                                tractors witness.                                       paragraph (1) shall develop, and the Secretary         assault coalitions; and
                                                   ‘‘(H) On an annual or more frequent basis,           shall carry out—                                          (4) such other health care or other service pro-
                                                mandatory training for employees and contrac-              ‘‘(A) an action plan for addressing changes at      viders that serve intimate partner violence or
                                                tors of the Department regarding how to report          the local level to reduce instances of harassment      sexual assault victims as determined by the Sec-
                                                and address harassment and sexual assault de-           and sexual assault;                                    retary, particularly those providing emergency
                                                scribed in subparagraphs (A) and (B), including            ‘‘(B) standardized media for veterans service       services or housing assistance.
                                                bystander intervention training.                        organizations and other persons to use in print           (d) AUTHORIZED ACTIVITIES.—In carrying out
                                                   ‘‘(I) On an annual or more frequent basis, the       and on the internet with respect to reducing           the pilot program under subsection (a), the Sec-
                                                distribution of the policy under this subsection        harassment and sexual assault; and                     retary may conduct the following activities:
                                                and anti-harassment and anti-sexual assault                ‘‘(C) bystander intervention training for vet-         (1) Training for community-based intimate
                                                educational materials by mail or email to each          erans.                                                 partner violence or sexual assault service pro-
                                                individual receiving a benefit under a law ad-             ‘‘(4) The working group established under           viders on—
                                                ministered by the Secretary.                            paragraph (1) shall not be subject to the require-        (A) identifying former members of the Armed
                                                   ‘‘(J) The prominent display of anti-harass-          ments of the Federal Advisory Committee Act (5         Forces who have been victims of, or are cur-
                                                ment and anti-sexual assault messages in each           U.S.C. App.).                                          rently experiencing, intimate partner violence or
                                                facility of the Department, including how non-             ‘‘(f) ANNUAL REPORTS.—(1) The Secretary             sexual assault;
                                                Department individuals may report harassment            shall submit to the Committee on Veterans’ Af-            (B) coordinating with local service providers
                                                and sexual assault described in subparagraphs           fairs of the Senate and the Committee on Vet-          of the Department; and
                                                (A) and (B) at such facility and the points of          erans’ Affairs of the House of Representatives            (C) connecting former members of the Armed
                                                contact under subsection (b).                           an annual report on harassment and sexual as-          Forces with appropriate housing, mental health,
                                                   ‘‘(K) The posting on internet websites of the        sault described in subparagraphs (A) and (B) of        medical, and other financial assistance or bene-
                                                Department, including the main internet website         subsection (a)(2) in facilities of the Department.     fits from the Department.
                                                regarding benefits of the Department and the               ‘‘(2) Each report submitted under paragraph            (2) Assistance to service providers to ensure
                                                main internet website regarding health care of          (1) shall include the following:                       access of veterans to intimate partner violence
                                                the Department, of anti-harassment and anti-               ‘‘(A) Results of harassment and sexual assault      and sexual assault emergency services, particu-
                                                sexual assault banners specifically addressing          programming, including the End Harassment              larly in underserved areas, including services
                                                harassment and sexual assault described in sub-         program.                                               for Native American veterans (as defined in sec-




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                                                paragraphs (A) and (B).                                    ‘‘(B) Results of studies from the Women’s           tion 3765 of title 38, United States Code).
                                                   ‘‘(b) POINTS OF CONTACT.—The Secretary               Health Practice-Based Research Network of the             (3) Such other outreach and assistance as the
                                                shall designate, as a point of contact to receive       Department relating to harassment and sexual           Secretary determines necessary for the provision
                                                reports of harassment and sexual assault de-            assault.                                               of assistance under subsection (a).
                                                scribed in subparagraphs (A) and (B) of sub-               ‘‘(C) Data collected on incidents of sexual            (e) INTIMATE PARTNER VIOLENCE AND SEXUAL
                                                section (a)(2)—                                         harassment and sexual assault.                         ASSAULT OUTREACH COORDINATORS.—
                                                   ‘‘(1) at least one individual, in addition to law       ‘‘(D) A description of any actions taken by            (1) IN GENERAL.—In order to effectively assist
                                                enforcement, at each facility of the Department         the Secretary during the year preceding the date       veterans who have experienced intimate partner




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                                                December 16, 2020                                 CONGRESSIONAL RECORD — HOUSE                                                                         H7199
                                                violence or sexual assault, the Secretary may es-          (iii) urban and rural veterans;                     through peer network support, and to provide
                                                tablish local coordinators to provide outreach             (iv) veterans who are enrolled in a program         recommendations for the enhancement of such
                                                under the pilot program required by subsection          under section 1720G of title 38, United States         services, to address—
                                                (a).                                                    Code;                                                    (A) the perpetration of intimate partner vio-
                                                   (2) LOCAL COORDINATOR KNOWLEDGE.—The                    (v) veterans who are in intimate relationships      lence and sexual assault; and
                                                Secretary shall ensure that each coordinator es-        with other veterans; and                                 (B) the recovery of veterans, particularly
                                                tablished under paragraph (1) is knowledgeable             (vi) veterans who are described in more than        women veterans, from intimate partner violence
                                                about—                                                  one clause of this subparagraph;                       and sexual assault.
                                                   (A) the dynamics of intimate partner violence           (C) examine the prevalence of the perpetration        (7) To review and make recommendations to
                                                and sexual assault, including safety concerns,          of intimate partner violence by veterans; and          expand services available for veterans at risk of
                                                legal protections, and the need for the provision          (D) include recommendations to address the          perpetrating intimate partner violence.
                                                of confidential services;                               findings of the study.                                   (e) REPORT.—Not later than one year after the
                                                   (B) the eligibility of veterans for services and        (3) REPORT.—Not later than 30 days after the        date of the enactment of this Act, and not less
                                                benefits from the Department that are relevant          date on which the Secretary completes the study        frequently than annually thereafter by October
                                                to recovery from intimate partner violence and          under paragraph (1), the Secretary shall submit        1 of each year, the Task Force shall submit to
                                                sexual assault, particularly emergency housing          to the Committee on Veterans’ Affairs of the           the Secretary of Veterans Affairs and Congress
                                                assistance, mental health care, other health            Senate and the Committee on Veterans’ Affairs          a report on the activities of the Task Force, in-
                                                care, and disability benefits; and                      of the House of Representatives a report on such       cluding any recommendations for legislative or
                                                   (C) local community resources addressing inti-       study.                                                 administrative action.
                                                mate partner violence and sexual assault.                  (b) TASK FORCE.—
                                                                                                                                                                 (f) NONAPPLICABILITY OF FACA.—The Task
                                                   (3) LOCAL COORDINATOR ASSISTANCE.—Each                  (1) IN GENERAL.—Not later than 90 days after
                                                                                                                                                               Force shall not be subject to the requirements of
                                                coordinator established under paragraph (1)             the date on which the Secretary completes the
                                                                                                                                                               the Federal Advisory Committee Act (5 U.S.C.
                                                shall assist intimate partner violence shelters         study under subsection (a), the Secretary, in
                                                                                                                                                               App.).
                                                and rape crisis centers in providing services to        consultation with the Attorney General and the
                                                                                                                                                                 (g) DEFINITIONS.—In this section:
                                                veterans.                                               Secretary of Health and Human Services, shall
                                                                                                                                                                 (1) NATIVE AMERICAN VETERAN.—The term
                                                   (f) REPORT.—                                         establish a national task force (in this section
                                                                                                                                                               ‘‘Native American veteran’’ has the meaning
                                                   (1) IN GENERAL.—Not later than 180 days after        referred to as the ‘‘Task Force’’) to develop a
                                                                                                                                                               given that term in section 3765 of title 38, United
                                                the completion of the pilot program under sub-          comprehensive national program, including by
                                                                                                                                                               States Code.
                                                section (a), the Secretary shall submit to Con-         integrating facilities, services, and benefits of
                                                                                                                                                                 (2) STATE.—The term ‘‘State’’ has the meaning
                                                gress a report on the pilot program.                    the Department of Veterans Affairs into existing
                                                                                                                                                               given that term in section 101 of title 38, United
                                                   (2) CONTENTS.—The report required by para-           networks of community-based intimate partner
                                                                                                                                                               States Code.
                                                graph (1) shall include the following:                  violence and sexual assault services, to address
                                                   (A) The findings and conclusions of the Sec-         intimate partner violence and sexual assault             Subtitle D—Data Collection and Reporting
                                                retary with respect to the pilot program.               among veterans.                                        SEC. 5401. REQUIREMENT FOR COLLECTION AND
                                                   (B) Such recommendations for continuing or              (2) LEADERSHIP.—The Secretary of Veterans                       ANALYSIS OF DATA ON DEPARTMENT
                                                                                                        Affairs shall lead the Task Force in collabora-                    OF VETERANS AFFAIRS BENEFITS
                                                expanding the pilot program as the Secretary
                                                                                                        tion with the Attorney General and the Sec-                        AND         SERVICES         AND
                                                considers appropriate.                                                                                                     DISAGGREGATION OF SUCH DATA BY
                                                   (g) DEFINITIONS.—In this section:                    retary of Health and Human Services.                               GENDER, RACE, AND ETHNICITY.
                                                   (1) INTIMATE PARTNER.—                                  (c) CONSULTATION WITH STAKEHOLDERS.—In
                                                                                                        carrying out this section, the Task Force shall           The Secretary of Veterans Affairs shall—
                                                   (A) IN GENERAL.—The term ‘‘intimate part-
                                                                                                                                                                  (1) collect and analyze data on each program
                                                ner’’ means a person with whom one has a close          consult with—
                                                                                                           (1) representatives from veteran service orga-      of the Department of Veterans Affairs that pro-
                                                personal relationship that may be characterized
                                                                                                        nizations and military service organizations;          vides a service or benefit to a veteran, including
                                                by the partners’ emotional connectedness, reg-
                                                                                                           (2) representatives from not fewer than three       the program carried out under section 1144 of
                                                ular contact, ongoing physical contact and sex-
                                                                                                        national organizations or State coalitions with        title 10, United States Code;
                                                ual behavior, identity as a couple, and famili-
                                                                                                        demonstrated expertise in intimate partner vio-           (2) disaggregate such data by gender, race,
                                                arity and knowledge about each other’s lives.
                                                                                                        lence prevention, response, or advocacy; and           and ethnicity, when the data lends itself to such
                                                   (B) CLOSE PERSONAL RELATIONSHIPS.—In this
                                                                                                           (3) representatives from not fewer than three       disaggregation; and
                                                paragraph, the term ‘‘close personal relation-
                                                                                                        national organizations or State coalitions, par-          (3) publish the data collected and analyzed
                                                ships’’ includes the following:
                                                                                                        ticularly those representing underserved and           under paragraph (1), except for such cases in
                                                   (i) A relationship between married spouses.
                                                   (ii) A relationship between common-law               ethnic minority communities, with demonstrated         which the Secretary determines that some por-
                                                spouses.                                                expertise in sexual assault prevention, response,      tions of the data would undermine the anonym-
                                                   (iii) A relationship between civil union             or advocacy.                                           ity of a veteran.
                                                spouses.                                                   (d) DUTIES.—The duties of the Task Force            SEC. 5402. STUDY ON BARRIERS FOR WOMEN VET-
                                                   (iv) A relationship between domestic partners.       shall include the following:                                        ERANS TO RECEIPT OF HEALTH
                                                                                                           (1) To review existing services and policies of                  CARE FROM DEPARTMENT OF VET-
                                                   (v) A relationship between dating partners.
                                                                                                        the Department and develop a comprehensive                          ERANS AFFAIRS.
                                                   (vi) A relationship between ongoing sexual
                                                partners.                                               national program to be carried out by the Sec-           (a) STUDY REQUIRED.—The Secretary of Vet-
                                                   (2) INTIMATE PARTNER VIOLENCE.—The term              retary of Veterans Affairs, in collaboration with      erans Affairs shall conduct a comprehensive
                                                ‘‘intimate partner violence’’ includes physical         the heads of relevant Federal agencies, to ad-         study of the barriers to the provision of health
                                                violence, sexual violence, stalking, and psycho-        dress intimate partner violence and sexual as-         care by the Department of Veterans Affairs en-
                                                logical aggression, including coercive tactics by       sault prevention, response, and treatment.             countered by women who are veterans.
                                                a current or former intimate partner.                      (2) To review the feasibility and advisability        (b) SURVEY.—In conducting the study re-
                                                SEC. 5305. STUDY AND TASK FORCE ON VET-                 of establishing an expedited process to secure         quired by subsection (a), the Secretary shall—
                                                            ERANS EXPERIENCING INTIMATE                 emergency, temporary benefits, including hous-           (1) survey women veterans who seek or receive
                                                            PARTNER VIOLENCE OR SEXUAL AS-              ing or other benefits, for veterans who are expe-      hospital care or medical services provided by the
                                                            SAULT.                                      riencing intimate partner violence or sexual as-       Department as well as women veterans who do
                                                  (a) NATIONAL BASELINE STUDY.—                         sault.                                                 not seek or receive such care or services;
                                                  (1) IN GENERAL.—Not later than one year after            (3) To review and make recommendations re-            (2) administer the survey to a representative
                                                the date of the enactment of this Act, the Sec-         garding the feasibility and advisability of estab-     sample of women veterans from each Veterans
                                                retary of Veterans Affairs, in consultation with        lishing dedicated, temporary housing assistance        Integrated Service Network; and
                                                the Attorney General, shall conduct a national          for veterans experiencing intimate partner vio-          (3) ensure that the sample of women veterans
                                                baseline study to examine the scope of the prob-        lence or sexual assault.                               surveyed is of sufficient size for the study re-
                                                lem of intimate partner violence and sexual as-            (4) To identify any requirements regarding in-      sults to be statistically significant and is a larg-
                                                sault among veterans and spouses and intimate           timate partner violence assistance or sexual as-       er sample than that of the study specified in
                                                partners of veterans.                                   sault response and services that are not being         subsection (c)(1).
                                                  (2) MATTERS INCLUDED.—The study under                 met by the Department and make recommenda-               (c) USE OF PREVIOUS STUDIES.—In conducting
                                                paragraph (1) shall—                                    tions on how the Department can meet such re-          the study required by subsection (a), the Sec-
                                                  (A) include a literature review of all relevant       quirements.                                            retary shall build on the work of the studies of
                                                research on intimate partner violence and sex-             (5) To review and make recommendations re-          the Department titled—
                                                ual assault among veterans and spouses and in-          garding the feasibility and advisability of pro-         (1) ‘‘National Survey of Women Veterans in




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                                                timate partners of veterans;                            viding direct services or contracting for commu-       Fiscal Year 2007–2008’’; and
                                                  (B) examine the prevalence of the experience          nity-based services for veterans in response to a        (2) ‘‘Study of Barriers for Women Veterans to
                                                of intimate partner violence among—                     sexual assault, including through the use of sex-      VA Health Care 2015’’.
                                                  (i) women veterans;                                   ual assault nurse examiners, particularly in un-         (d) ELEMENTS OF STUDY.—In conducting the
                                                  (ii) veterans who are minority group members          derserved or remote areas, including services for      study required by subsection (a), the Secretary
                                                (as defined in section 544 of title 38, United          Native American veterans.                              shall conduct research on the effects of the fol-
                                                States Code, and including other minority popu-            (6) To review the availability of counseling        lowing on the women veterans surveyed in the
                                                lations as the Secretary determines appropriate);       services provided by the Department and                study:




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                                                H7200                                             CONGRESSIONAL RECORD — HOUSE                                                      December 16, 2020
                                                   (1) The barriers associated with seeking men-        trauma for affected members and former mem-            section (a) are trained to identify markers indi-
                                                tal health care services, including with respect        bers of the Armed Forces.                              cating military sexual trauma.
                                                to provider availability, telehealth access, and          (b) ELEMENTS.—In conducting the study                   ‘‘(c) DEFINITIONS.—In this section:
                                                family, work, and school obligations.                   under subsection (a), the Secretary shall as-             ‘‘(1) The term ‘covered mental health condi-
                                                   (2) The effect of driving distance or avail-         sess—                                                  tion’ means post-traumatic stress disorder, anx-
                                                ability of other forms of transportation to the           (1) staffing needed to offer the Parenting           iety, depression, or other mental health diag-
                                                nearest medical facility on access to care.             STAIR program at all medical centers of the De-        nosis described in the current version of the Di-
                                                   (3) The effect of access to care from non-De-        partment;                                              agnostic and Statistical Manual of Mental Dis-
                                                partment providers.                                       (2) any additional infrastructure or resources       orders published by the American Psychiatric
                                                   (4) The availability of child care.                  (such as child care during the program) needed         Association that the Secretary determines to be
                                                   (5) The satisfaction of such veterans with the       for the expansion of the program; and                  related to military sexual trauma.
                                                provision by the Department of integrated pri-            (3) such other factors relevant to the expan-           ‘‘(2) The term ‘military sexual trauma’ means,
                                                mary care, women’s health clinics, or both, in-         sion of the program as the Secretary considers         with respect to a veteran, a physical assault of
                                                cluding perceptions of quality of care, safety,         appropriate.                                           a sexual nature, battery of a sexual nature, or
                                                and comfort.                                              (c) REPORTS TO CONGRESS.—                            sexual harassment during active military, naval,
                                                   (6) The understanding and perceived accessi-           (1) INTERIM REPORT.—Not later than one year          or air service.’’.
                                                bility among such veterans of eligibility require-      after the date of the enactment of this Act, the          (2) CLERICAL AMENDMENT.—The table of sec-
                                                                                                        Secretary shall submit to the Committee on Vet-        tions at the beginning of such chapter is amend-
                                                ments for, and the scope of services available
                                                                                                        erans’ Affairs of the Senate and the Committee         ed by adding at the end the following new item:
                                                under, hospital care and medical services.
                                                   (7) The perception of such veterans of per-          on Veterans’ Affairs of the House of Representa-       ‘‘1164. Specialized teams to evaluate claims
                                                sonal safety and comfort in inpatient, out-             tives a report detailing—                                              involving military sexual trau-
                                                patient, and behavioral health facilities.                (A) the current number and locations of all                          ma.’’.
                                                   (8) The gender sensitivity of health care pro-       facilities of the Department offering the Par-            (b) ANNUAL REPORTS ON CLAIMS FOR DISABIL-
                                                viders and staff to issues that particularly affect     enting STAIR program; and                              ITIES INCURRED OR AGGRAVATED BY MILITARY
                                                women.                                                    (B) the number of veterans served by such            SEXUAL TRAUMA.—
                                                                                                        program in the most recent fiscal year or cal-            (1) REPORTS REQUIRED.—Not later than March
                                                   (9) The effectiveness of outreach for health
                                                                                                        endar year for which data is available.                1, 2021, and not less frequently than once each
                                                care services available to women veterans.
                                                                                                          (2) FINAL REPORT.—Not later than three years         year thereafter through 2027, the Secretary of
                                                   (10) The location and operating hours of
                                                                                                        after the date of the enactment of this Act, the       Veterans Affairs shall submit to Congress a re-
                                                health care facilities that provide services to
                                                                                                        Secretary shall submit to the Committee on Vet-        port on covered claims submitted during the pre-
                                                women veterans.
                                                                                                        erans’ Affairs of the Senate and the Committee         vious fiscal year to identify and track the con-
                                                   (11) The perception of such veterans of the
                                                                                                        on Veterans’ Affairs of the House of Representa-       sistency of decisions across regional offices of
                                                motto of the Department.
                                                                                                        tives a report detailing—                              the Department of Veterans Affairs.
                                                   (12) Such other significant barriers as the Sec-                                                               (2) ELEMENTS.—Each report under paragraph
                                                retary considers appropriate.                             (A) the results of the study conducted under
                                                                                                        subsection (a);                                        (1) shall include the following:
                                                   (e) DISCHARGE BY CONTRACT.—The Secretary                                                                       (A) The number of covered claims submitted to
                                                                                                          (B) an update on how many veterans have
                                                shall enter into a contract with a qualified inde-                                                             or considered by the Secretary during the fiscal
                                                                                                        used the Parenting STAIR program since its de-
                                                pendent entity or organization to carry out the                                                                year covered by the report.
                                                                                                        velopment in fiscal year 2017, disaggregated by
                                                study and research required under this section.                                                                   (B) Of the covered claims listed under sub-
                                                   (f) MANDATORY REVIEW OF DATA BY CERTAIN              year, including the locations in which veterans
                                                                                                        have used such program; and                            paragraph (A), the number and percentage of
                                                DEPARTMENT DIVISIONS.—                                                                                         such claims—
                                                                                                          (C) a determination on the feasibility and ad-
                                                   (1) REVIEW.—                                                                                                   (i) submitted by each sex;
                                                                                                        visability of expanding the Parenting STAIR
                                                   (A) IN GENERAL.—The Secretary shall ensure                                                                     (ii) that were approved, including the number
                                                                                                        program to all medical facilities of the Depart-
                                                that the head of each division of the Depart-                                                                  and percentage of such approved claims sub-
                                                                                                        ment offering care for military sexual trauma.
                                                ment of Veterans Affairs specified in paragraph                                                                mitted by each sex;
                                                                                                          (d) DEFINITIONS.—In this section:
                                                (2) reviews the results of the study conducted                                                                    (iii) that were denied, including the number
                                                                                                          (1) AFFECTED MEMBERS AND FORMER MEMBERS
                                                under this section.                                                                                            and percentage of such denied claims submitted
                                                                                                        OF THE ARMED FORCES.—The term ‘‘affected
                                                   (B) SUBMITTAL OF FINDINGS.—The head of                                                                      by each sex; and
                                                                                                        members and former members of the Armed                   (iv) that were developed and reviewed by a
                                                each division specified in paragraph (2) shall          Forces’’ means members and former members of
                                                submit findings with respect to the study under                                                                specialized team established under section
                                                                                                        the Armed Forces who are parents and have ex-          1164(a) of title 38, United States Code, as added
                                                this section to the Under Secretary of the De-          perienced military sexual trauma.
                                                partment with responsibilities relating to health                                                              by subsection (a).
                                                                                                          (2) MILITARY SEXUAL TRAUMA.—The term                    (C) Of the covered claims listed under sub-
                                                care services for women veterans.                       ‘‘military sexual trauma’’ has the meaning
                                                   (2) SPECIFIED DIVISIONS.—The divisions of the                                                               paragraph (A) that were approved, the number
                                                                                                        given such term in section 1164(c) of title 38,        and percentage, disaggregated by sex, of claims
                                                Department of Veterans Affairs specified in this        United States Code, as added by section 5501(a)
                                                paragraph are the following:                                                                                   assigned to each rating percentage.
                                                                                                        of this title.                                            (D) Of the covered claims listed under sub-
                                                   (A) The Office of the Under Secretary for              (3) PARENTING STAIR PROGRAM.—The term                paragraph (A) that were denied—
                                                Health.                                                 ‘‘Parenting STAIR program’’ means the pro-                (i) the three most common reasons given by
                                                   (B) The Office of Women’s Health established         gram of the Department of Veterans Affairs that        the Secretary under section 5104(b)(1) of title 38,
                                                under section 7310 of title 38, United States           consists of a five-session, parenting-specific         United States Code, for such denials; and
                                                Code.                                                   treatment protocol based on skills training in af-        (ii) the number of denials that were based on
                                                   (C) The Center for Women Veterans under              fective and interpersonal regulation (commonly         the failure of a veteran to report for a medical
                                                section 318 of such title.                              referred to as ‘‘STAIR’’), which is a cognitive        examination.
                                                   (D) The Advisory Committee on Women Vet-             behavioral therapy that has been identified as a          (E) The number of covered claims that, as of
                                                erans established under section 542 of such title.      promising practice for treating post-traumatic         the end of the fiscal year covered by the report,
                                                   (g) REPORT.—                                         stress disorder, including chronic and com-            are pending and, separately, the number of such
                                                   (1) IN GENERAL.—Not later than 30 months             plicated forms, among individuals with co-oc-          claims on appeal.
                                                after the date of the enactment of this Act, the        curring disorders.                                        (F) For the fiscal year covered by the report,
                                                Secretary shall submit to Congress a report on                                                                 the average number of days that covered claims
                                                the study required under this section.                             Subtitle E—Benefits Matters
                                                                                                                                                               take to complete, beginning on the date on
                                                   (2) ELEMENTS.—The report under paragraph             SEC. 5501. EVALUATION OF SERVICE-CONNEC-               which the claim is submitted.
                                                (1) shall include—                                                  TION OF MENTAL HEALTH CONDI-                  (G) A description of the training that the Sec-
                                                                                                                    TIONS RELATING TO MILITARY SEX-
                                                   (A) the findings of the head of each division                    UAL TRAUMA.
                                                                                                                                                               retary provides to employees of the Veterans
                                                of the Department specified under subsection                                                                   Benefits Administration, or such contractors or
                                                                                                          (a) SPECIALIZED TEAMS TO EVALUATE CLAIMS
                                                (f)(2); and                                                                                                    other individuals as the Secretary considers ap-
                                                                                                        INVOLVING MILITARY SEXUAL TRAUMA.—
                                                   (B) recommendations for such administrative            (1) IN GENERAL.—subchapter VI of chapter 11          propriate, specifically with respect to covered
                                                and legislative action as the Secretary considers       of such title is amended by adding at the end          claims, including the frequency, length, and
                                                appropriate.                                            the following new section:                             content of such training.
                                                SEC. 5403. STUDY ON FEASIBILITY AND ADVIS-                                                                        (H) Whether all covered claims are subject to
                                                            ABILITY OF OFFERING PARENTING
                                                                                                        ‘‘§ 1164. Specialized teams to evaluate claims         second level review until the individual rater of
                                                            STAIR PROGRAM AT ALL MEDICAL                   involving military sexual trauma                    the Veterans Benefits Administration adjudi-




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                                                            CENTERS OF DEPARTMENT OF VET-                  ‘‘(a) IN GENERAL.—The Secretary shall estab-        cating such covered claims achieves an accuracy
                                                            ERANS AFFAIRS.                              lish specialized teams to process claims for com-      rate of 90 percent on decisions of such covered
                                                  (a) IN GENERAL.—The Secretary of Veterans             pensation for a covered mental health condition        claims.
                                                Affairs shall conduct a study on the feasibility        based on military sexual trauma experienced by            (3) DEFINITIONS.—In this subsection:
                                                and advisability of expanding the Parenting             a veteran during active military, naval, or air           (A) COVERED CLAIMS.—The term ‘‘covered
                                                STAIR program to all medical centers of the De-         service.                                               claims’’ means claims for disability compensa-
                                                partment of Veterans Affairs and including                 ‘‘(b) TRAINING.—The Secretary shall ensure          tion submitted to the Secretary based on a cov-
                                                such program as part of care for military sexual        that members of teams established under sub-           ered mental health condition alleged to have




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                                                December 16, 2020                                 CONGRESSIONAL RECORD — HOUSE                                                                       H7201
                                                been incurred or aggravated by military sexual          soliciting and collecting information on com-            (1) conduct an evaluation of the feasibility
                                                trauma.                                                 plaints received, referrals made, and actions          and advisability of requiring the processors of
                                                  (B) COVERED MENTAL HEALTH CONDITION.—                 taken by the pension management centers of the         claims for pension under chapter 15 of title 38,
                                                The term ‘‘covered mental health condition’’ has        Department of Veterans Affairs and any other           United States Code, to take additional actions to
                                                the meaning given such term in section 1164(c)          relevant components of the Department, in cases        verify that the direct deposit information pro-
                                                of title 38, United States Code.                        of potential financial exploitation of individuals     vided by an individual on an application for
                                                  (C) MILITARY SEXUAL TRAUMA.—The term                  receiving pension under chapter 15 of title 38,        pension is for the appropriate recipient; and
                                                ‘‘military sexual trauma’’ has the meaning              United States Code.                                      (2) identify such legislative or administrative
                                                given such term in such section.                           (b) PLAN TO ASSESS AND ADDRESS FINANCIAL            actions as the Under Secretary considers appro-
                                                SEC. 5502. CHOICE OF SEX OF DEPARTMENT OF               EXPLOITATION OF VETERANS.—                             priate to ensure that payments of pension are
                                                            VETERANS AFFAIRS MEDICAL EXAM-                 (1) IN GENERAL.—The Secretary shall develop
                                                                                                                                                               provided to the correct recipients.
                                                            INER FOR ASSESSMENT OF CLAIMS               and periodically update a plan—
                                                            FOR COMPENSATION RELATING TO                   (A) to regularly assess the information solic-        (b) SUBMISSION TO CONGRESS.—
                                                            DISABILITY RESULTING FROM PHYS-             ited and collected under subsection (a) to iden-         (1) IN GENERAL.—Not later than 240 days after
                                                            ICAL ASSAULT OF A SEXUAL NA-                tify trends of potential financial exploitation of     the date of the enactment of this Act, the Under
                                                            TURE, BATTERY OF A SEXUAL NA-               the individuals described in subsection (a)            Secretary shall submit to Congress a report on
                                                            TURE, OR SEXUAL HARASSMENT.
                                                                                                        across the Department; and                             the evaluation and identification under sub-
                                                  (a) IN GENERAL.—Subchapter VI of chapter 11              (B) to outline actions that the Department          section (a).
                                                of title 38, United States Code, as amended by          can take to improve education and training to
                                                section 5501 of this title, is further amended by                                                                (2) CONTENTS.—The report required by para-
                                                                                                        address those trends.                                  graph (1) shall include the following:
                                                inserting after section 1164, as added by section          (2) SUBMISSION OF PLAN.—Not later than one
                                                5501, the following new section:                        year after the date of the enactment of this Act         (A) The findings of the Under Secretary with
                                                                                                        and not less frequently than once every two            respect to the evaluation conducted under sub-
                                                ‘‘§ 1165. Choice of sex of medical examiner for
                                                                                                        years thereafter until the date that is six years      section (a)(1).
                                                   certain disabilities
                                                                                                        after the date of the enactment of this Act, the         (B) The actions identified under subsection
                                                   ‘‘(a) IN GENERAL.—The Secretary shall ensure
                                                                                                        Secretary shall submit the plan most recently          (a)(2).
                                                that a veteran who requires a medical examina-
                                                tion from a covered medical provider in support         developed or updated under paragraph (1) to—             (C) A plan for implementing any administra-
                                                of a claim for compensation under this chapter             (A) the Comptroller General of the United           tive actions identified under subsection (a)(2).
                                                                                                        States; and                                              (D) A rationale for not implementing any ac-
                                                for a mental or physical health condition that
                                                                                                           (B) the Committee on Veterans’ Affairs and
                                                resulted from a physical assault of a sexual na-                                                               tions evaluated under paragraph (1) of sub-
                                                                                                        the Special Committee on Aging of the Senate
                                                ture, battery of a sexual nature, or sexual har-                                                               section (a) but not identified under paragraph
                                                                                                        and the Committee on Veterans’ Affairs of the
                                                assment may designate the sex of the medical                                                                   (2) of such subsection.
                                                                                                        House of Representatives.
                                                provider who provides such medical examina-             SEC. 6003. OVERPAYMENTS OF PENSION TO VET-             SEC. 6005. ANNUAL REPORT ON EFFORTS OF DE-
                                                tion.                                                               ERANS RECEIVING PENSION FROM                           PARTMENT OF VETERANS AFFAIRS
                                                   ‘‘(b) COVERED MEDICAL PROVIDERS.—For pur-                        THE DEPARTMENT OF VETERANS AF-                         TO ADDRESS THE FINANCIAL EX-
                                                poses of this section, a covered medical provider                   FAIRS.                                                 PLOITATION OF VETERANS RECEIV-
                                                is any medical provider who is employed by the            (a) GUIDANCE AND TRAINING FOR CLAIMS                             ING PENSION.
                                                Department or is under any contract with the            PROCESSORS.—As the Secretary of Veterans Af-             (a) IN GENERAL.—Not later than one year
                                                Department to provide a medical examination or          fairs considers necessary, but not less frequently     after the date of the enactment of this Act and
                                                a medical opinion when such an examination or           than once every three years until the date that        not less frequently than once each year there-
                                                opinion is necessary to make a decision on a            is 10 years after the date of the enactment of         after until the date that is four years after the
                                                claim.                                                  this Act, the Under Secretary for Benefits of the      date of the enactment of this Act, the Secretary
                                                   ‘‘(c) NOTICE.—Before providing any medical           Department of Veterans Affairs shall update            of Veterans Affairs shall submit to the Com-
                                                examination for a veteran in support for a claim        guidance and training curriculum for the proc-         mittee on Veterans’ Affairs of the Senate and
                                                described in subsection (a), the Secretary shall        essors of claims for pension under chapter 15 of       the Committee on Veterans’ Affairs of the House
                                                notify the veteran of the veteran’s rights under        title 38, United States Code, regarding the eval-      of Representatives a report on efforts to address
                                                subsection (a).’’.                                      uation of questionable medical expenses on ap-         the financial exploitation of individuals receiv-
                                                   (b) CLERICAL AMENDMENT.—The table of sec-            plications for pension, including by updating          ing pension under chapter 15 of title 38, United
                                                tions at the beginning of chapter 11 of such            such guidance with respect to what constitutes         States Code.
                                                title, as amended by section 5501 of this title, is     a questionable medical expense and by including          (b) CONTENTS.—Each report required by sub-
                                                further amended by inserting after the item re-         examples of such expenses.                             section (a) shall include, for the period covered
                                                lating to section 1164 the following new item:             (b) IDENTIFICATION AND TRACKING.—The                by the report, the following:
                                                ‘‘1165. Choice of sex of medical examiner for           Under Secretary shall develop a method for
                                                                                                                                                                 (1) The number of individuals who received
                                                                certain disabilities.’’.                identifying and tracking the number of individ-
                                                                                                                                                               pension under chapter 15 of title 38, United
                                                SEC. 5503. SECRETARY OF VETERANS AFFAIRS RE-            uals who have received overpayments of pension
                                                                                                                                                               States Code, who have been referred by any
                                                             PORT   ON   IMPLEMENTING    REC-           under chapter 15 of title 38, United States Code.
                                                                                                           (c) ANNUAL REPORT.—Not later than one year          component of the Department of Veterans Af-
                                                             OMMENDATIONS     OF   INSPECTOR
                                                             GENERAL OF DEPARTMENT OF VET-              after the date of the enactment of this Act and        fairs to the Office of Inspector General of the
                                                             ERANS AFFAIRS IN CERTAIN REPORT            not later than October 31 of each fiscal year be-      Department as likely or proven victims of finan-
                                                             ON     DENIED    POSTTRAUMATIC             ginning thereafter until the date that is four         cial exploitation.
                                                             STRESS DISORDER CLAIMS RELATED                                                                      (2) The number of referrals and reports relat-
                                                                                                        years after the date of the enactment of this
                                                             TO MILITARY SEXUAL TRAUMA.                                                                        ing to the financial exploitation of such individ-
                                                                                                        Act, the Under Secretary shall submit to Con-
                                                  Not later than 90 days after the date of the                                                                 uals made by the Department of Veterans Af-
                                                                                                        gress a report that includes, for the period cov-
                                                enactment of this Act, the Secretary of Veterans                                                               fairs to—
                                                                                                        ered by the report, the following:
                                                Affairs shall submit to the Committee on Vet-              (1) The number of individuals who received            (A) the Consumer Sentinel Network of the
                                                erans’ Affairs of the Senate and the Committee          overpayments of pension under chapter 15 of            Federal Trade Commission; and
                                                on Veterans’ Affairs of the House a report on           title 38, United States Code.
                                                the progress of the Secretary in implementing                                                                    (B) the Department of Justice.
                                                                                                           (2) The five most common reasons for overpay-
                                                the recommendations from the report of the In-                                                                   (3) A description of the actions taken as a re-
                                                                                                        ments described in paragraph (1).
                                                spector General of the Department of Veterans              (3) The number of veterans who had to repay         sult of such referrals and reports against—
                                                Affairs entitled ‘‘Denied Posttraumatic Stress          overpayments described in paragraph (1).                 (A) individuals recognized by the Secretary as
                                                Disorder Claims Related to Military Sexual                 (4) The number of veterans for whom the Sec-        agents or attorneys under section 5904 of title
                                                Trauma’’ (17–05248–241).                                retary waived a requirement to repay an over-          38, United States Code; and
                                                     TITLE VI—REPRESENTATION AND                        payment described in paragraph (1).                      (B) individuals not so recognized.
                                                   FINANCIAL EXPLOITATION MATTERS                          (5) The total dollar amount of overpayments         SEC. 6006. NOTICE REGARDING FEES CHARGED IN
                                                                                                        described in paragraph (1).                                        CONNECTION WITH FILING AN AP-
                                                SEC. 6001. SHORT TITLE.
                                                                                                           (6) The total dollar amount of repayments of                    PLICATION FOR VETERANS PEN-
                                                  This title may be cited as the ‘‘Financial Ref-       veterans for overpayments described in para-                       SION.
                                                uge for Every Elderly Veteran Act of 2020’’ or          graph (1).
                                                the ‘‘FREE Veteran Act of 2020’’.                                                                                 The Under Secretary for Benefits of the De-
                                                                                                           (7) The average dollar amount of repayments
                                                                                                                                                               partment of Veterans Affairs shall ensure that




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                                                SEC. 6002. PLAN TO ADDRESS THE FINANCIAL EX-            described in paragraph (6).
                                                             PLOITATION OF VETERANS RECEIV-                                                                    every paper or electronic document relating to
                                                                                                        SEC. 6004. EVALUATION OF ADDITIONAL ACTIONS
                                                             ING PENSION FROM THE DEPART-                            FOR VERIFYING DIRECT DEPOSIT IN-          the receipt of pension under chapter 15 of title
                                                             MENT OF VETERANS AFFAIRS.                               FORMATION PROVIDED BY VET-                38, United States Code, that is available to indi-
                                                  (a) DEVELOPMENT OF METHOD FOR SOLICITA-                            ERANS ON APPLICATIONS FOR VET-            viduals who apply for such pension, including
                                                TION AND COLLECTION OF INFORMATION.—Not                              ERANS PENSION.                            educational forms about or applications for such
                                                later than one year after the date of the enact-          (a) IN GENERAL.—The Under Secretary for              pension, includes a notice that the Department
                                                ment of this Act, the Secretary of Veterans Af-         Benefits of the Department of Veterans Affairs         does not charge any fee in connection with the
                                                fairs shall develop a method for systematically         shall—                                                 filing of an application for such pension.




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                                                H7202                                             CONGRESSIONAL RECORD — HOUSE                                                      December 16, 2020
                                                SEC. 6007. OUTREACH PLAN FOR EDUCATING                     ‘‘(b) MEMBERSHIP.—(1) The Committee shall           and urban Indian organizations conferring on
                                                           VULNERABLE VETERANS ABOUT PO-                be comprised of 15 voting members selected by          issues at the tribal, regional, or national levels.
                                                           TENTIAL FINANCIAL EXPLOITATION                                                                         ‘‘(6) To ensure that pertinent issues are
                                                                                                        the Secretary from among individuals nomi-
                                                           RELATING TO THE RECEIPT OF PEN-
                                                           SION.                                        nated as specified under this subsection.              brought to the attention of Indian tribes, tribal
                                                  (a) DEVELOPMENT OF PLAN.—The Under Sec-                  ‘‘(2) In selecting members under paragraph          organizations, urban Indian organizations, and
                                                retary for Benefits of the Department of Vet-           (1), the Secretary shall ensure that—                  Native Hawaiian organizations in a timely man-
                                                                                                           ‘‘(A) at least one member of each of the 12         ner, so that feedback can be obtained.
                                                erans Affairs shall develop, in collaboration
                                                                                                        service areas of the Indian Health Service is rep-        ‘‘(7) To encourage the Secretary to work with
                                                with veterans service organizations, an outreach
                                                                                                        resented in the membership of the Committee            other Federal agencies and Congress so that Na-
                                                plan for educating vulnerable individuals about
                                                                                                        nominated by Indian tribes or tribal organiza-         tive American veterans are not denied the full
                                                potential financial exploitation relating to the
                                                                                                        tions;                                                 benefit of their status as both Native Americans
                                                receipt of pension under chapter 15 of title 38,           ‘‘(B) at least one member of the Committee          and veterans.
                                                United States Code.                                     represents the Native Hawaiian veteran commu-             ‘‘(8) To highlight contributions of Native
                                                  (b) SUBMISSION TO CONGRESS.—Not later than
                                                                                                        nity nominated by a Native Hawaiian Organiza-          American veterans in the Armed Forces.
                                                180 days after the date of the enactment of this
                                                                                                        tion;                                                     ‘‘(9) To make recommendations on the con-
                                                Act, the Under Secretary shall submit to the               ‘‘(C) at least one member of the Committee          sultation policy of the Department on tribal
                                                Committee on Veterans’ Affairs and the Special          represents urban Indian organizations nomi-            matters.
                                                Committee on Aging of the Senate and the Com-           nated by a national urban Indian organization;            ‘‘(10) To support a process to develop an
                                                mittee on Veterans’ Affairs of the House of Rep-        and                                                    urban Indian organization confer policy to en-
                                                resentatives the plan developed under sub-                 ‘‘(D) not fewer than half of the members are        sure the Secretary confers, to the maximum ex-
                                                section (a).                                            veterans, unless the Secretary determines that         tent practicable, with urban Indian organiza-
                                                  (c) VETERANS SERVICE ORGANIZATION DE-
                                                                                                        an insufficient number of qualified veterans           tions.
                                                FINED.—In this section, the term ‘‘veterans serv-
                                                                                                        were nominated under paragraph (1).                       ‘‘(11) To conduct other duties as recommended
                                                ice organization’’ means an organization recog-            ‘‘(3) No member of the Committee may be an          by the Committee.
                                                nized by the Secretary of Veterans Affairs for          employee of the Federal Government.                       ‘‘(g) REPORTS.—(1) Not less frequently than
                                                the representation of veterans under section               ‘‘(c) TERMS; VACANCIES.—(1) A member of the         once each year, the Committee shall submit to
                                                5902 of title 38, United States Code.                   Committee shall be appointed for a term of two         the Secretary and the appropriate committees of
                                                         TITLE VII—OTHER MATTERS                        years.                                                 Congress such recommendations as the Com-
                                                Subtitle A—Administrative and Other Matters                ‘‘(2) The Secretary shall fill a vacancy in the     mittee may have for legislative or administrative
                                                SEC. 7001. MEDICAL EXAMINATION PROTOCOL                 Committee in the same manner as the original           action for the upcoming year.
                                                           FOR VOLUNTEER DRIVERS PARTICI-               appointment within 180 days.                              ‘‘(2) Not later than 90 days after the date on
                                                           PATING IN PROGRAM OF TRANSPOR-                  ‘‘(d) MEETINGS.—(1)(A) Except as provided in        which the Secretary receives a recommendation
                                                           TATION SERVICES FOR VETERANS.                subparagraph (B), the Committee shall meet in-         under paragraph (1), the Secretary shall submit
                                                   Section 111A(b) of title 38, United States Code,     person with the Secretary, or the Secretary’s          to the appropriate committees of Congress a
                                                is amended—                                             designee, not less frequently than twice each          written response to the recommendation.
                                                   (1) by inserting ‘‘(1)’’ before ‘‘The Secretary’’;   year and hold monthly conference calls as nec-            ‘‘(3) Not less frequently than once every two
                                                and                                                     essary.                                                years, the Committee shall submit to the Sec-
                                                   (2) by adding at the end the following new              ‘‘(B) During a public health emergency (as de-      retary and the appropriate committees of Con-
                                                paragraph:                                              fined in section 20003 of the Coronavirus Aid,         gress a report describing the activities of the
                                                   ‘‘(2)(A) Not later than 90 days after the date       Relief, and Economic Security Act (Public Law          Committee during the previous two years.
                                                of the enactment of the Johnny Isakson and              116–136)), meetings under subparagraph (A) may            ‘‘(4) The Secretary shall make publicly avail-
                                                David P. Roe, M.D. Veterans Health Care and             be conducted virtually.                                able on an Internet website of the Department—
                                                Benefits Improvement Act of 2020, the Secretary            ‘‘(2)(A) Representatives of relevant Federal           ‘‘(A) each recommendation the Secretary re-
                                                shall develop and establish a national protocol         agencies may attend meetings of the Committee          ceives under paragraph (1);
                                                for the administration of medical examinations          and provide information to the Committee.                 ‘‘(B) each response the Secretary submits
                                                for volunteer drivers to participate in the pro-           ‘‘(B) One representative of the Office of Tribal    under paragraph (2); and
                                                gram described in paragraph (1).                        Government Relations of the Department shall              ‘‘(C) each report the Secretary receives under
                                                   ‘‘(B) In developing the protocol required by         attend at each meeting of the Committee.               paragraph (3).
                                                subparagraph (A), the Secretary shall consult              ‘‘(C) Representatives attending meetings               ‘‘(h) COMMITTEE PERSONNEL MATTERS.—A
                                                with such persons as the Secretary determines           under this paragraph shall not be considered           member of the Committee shall be allowed travel
                                                have an interest in the program described in            voting members of the Committee.                       expenses, including per diem in lieu of subsist-
                                                paragraph (1).                                             ‘‘(D) A representative attending a meeting or       ence, at rates authorized for an employee of an
                                                   ‘‘(C)(i) The Secretary shall implement the pro-      providing information under this paragraph             agency under subchapter I of chapter 57 of title
                                                tocol by first conducting a one-year pilot pro-         may not receive additional compensation for            5 while away from the home or regular place of
                                                gram using the protocol.                                services performed with respect to the Com-            business of the member in the performance of
                                                   ‘‘(ii) After conducting the pilot program re-        mittee.                                                the duties of the Committee.
                                                quired by clause (i), the Secretary shall assess           ‘‘(e) SUBCOMMITTEES.—(1) The Committee may             ‘‘(i) FEDERAL ADVISORY COMMITTEE ACT EX-
                                                the pilot program and make such changes to the          establish subcommittees.                               EMPTION.—Section 14 of the Federal Advisory
                                                protocol as the Secretary considers appropriate.           ‘‘(2) The Secretary may, in consultation with       Committee Act (5 U.S.C. App.) shall not apply to
                                                   ‘‘(iii) After making changes to the protocol         the Committee, appoint a member to a sub-              the Committee.
                                                under clause (ii), the Secretary shall implement        committee established under paragraph (1) who             ‘‘(j) DEFINITIONS.—In this section:
                                                the protocol in phases during the course of one         is not a member of the Committee.                         ‘‘(1) The term ‘appropriate committees of Con-
                                                year.’’.                                                   ‘‘(3) Such subcommittees may enhance the            gress’ means—
                                                SEC. 7002. DEPARTMENT OF VETERANS AFFAIRS               function of the Committee, but may not super-             ‘‘(A) the Committee on Veterans’ Affairs and
                                                            ADVISORY COMMITTEE ON TRIBAL                sede the authority of the Committee or provide         the Committee on Indian Affairs of the Senate;
                                                            AND INDIAN AFFAIRS.
                                                                                                        direct advice or work products to the Depart-          and
                                                  (a) ESTABLISHMENT OF ADVISORY COM-                    ment.                                                     ‘‘(B) the Committee on Veterans’ Affairs and
                                                MITTEE.—                                                   ‘‘(f) DUTIES.—The duties of the Committee are       the Committee on Natural Resources of the
                                                  (1) IN GENERAL.—Subchapter III of chapter 5           as follows:                                            House of Representatives.
                                                of title 38, United States Code, is amended by             ‘‘(1) To advise the Secretary on ways the De-          ‘‘(2) The term ‘Indian tribe’ has the meaning
                                                adding at the end the following new section:            partment can improve the programs and services         given such term in section 4 of the Indian Self-
                                                ‘‘§ 547. Advisory Committee on Tribal and In-           of the Department to better serve Native Amer-         Determination and Education Assistance Act (25
                                                   dian Affairs                                         ican veterans.                                         U.S.C. 5304).
                                                   ‘‘(a) ESTABLISHMENT.—(1) The Secretary shall            ‘‘(2) To identify for the Department evolving          ‘‘(3) The term ‘Native Hawaiian organization’
                                                establish an advisory committee to provide ad-          issues of relevance to Indian tribes, tribal orga-     means any organization that—
                                                vice and guidance to the Secretary on matters           nizations, and Native American veterans relat-            ‘‘(A) serves the interests of Native Hawaiians;
                                                relating to Indian tribes, tribal organizations,        ing to programs and services of the Department.           ‘‘(B) has Native Hawaiians in substantive and
                                                and Native American veterans.                              ‘‘(3) To propose clarifications, recommenda-        policymaking positions within the organization;
                                                   ‘‘(2) The advisory committee established under       tions, and solutions to address issues raised at          ‘‘(C) has demonstrated experience working
                                                paragraph (1) shall be known as the ‘Advisory           tribal, regional, and national levels, especially      with Native Hawaiian veterans; and
                                                Committee on Tribal and Indian Affairs’ (in this        regarding any tribal consultation reports.                ‘‘(D) shall include the Office of Hawaiian Af-




rfrederick on DSKBCBPHB2PROD with HOUSE
                                                section referred to as the ‘Committee’).                   ‘‘(4) To provide a forum for Indian tribes, trib-   fairs.
                                                   ‘‘(3) The Committee shall facilitate, but not        al organizations, urban Indian organizations,             ‘‘(4) The term ‘Native American veteran’ has
                                                supplant, government-to-government consulta-            Native Hawaiian organizations, and the Depart-         the meaning given such term in section 3765 of
                                                tion between the Department and Indian tribes           ment to discuss issues and proposals for changes       this title.
                                                or tribal organizations.                                to Department regulations, policies, and proce-           ‘‘(5) The term ‘Office of Hawaiian Affairs’
                                                   ‘‘(4) The Secretary shall consult with Indian        dures.                                                 means the Office of Hawaiian Affairs estab-
                                                tribes or tribal organizations in developing a             ‘‘(5) To identify priorities and provide advice     lished by the constitution of the State of Ha-
                                                charter for the Committee.                              on appropriate strategies for tribal consultation      waii.’’.




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                                                December 16, 2020                                 CONGRESSIONAL RECORD — HOUSE                                                                       H7203
                                                   ‘‘(6) The term ‘tribal organization’ has the            ‘‘(3) The debarment of an offeror under para-         (2) Corrective actions and specific steps to ad-
                                                meaning given such term in section 3765 of this         graph (1) includes the debarment of all prin-          dress each root cause, including—
                                                title.                                                  cipals in the offeror for a period of not less than      (A) the progress of the Secretary in imple-
                                                   ‘‘(7) The term ‘urban Indian organization’ has       five years.’’.                                         menting those actions and steps; and
                                                the meaning given such term in section 4 of the            (b) CLERICAL AMENDMENT.—The table of sec-             (B) timelines and milestones the Secretary de-
                                                Indian Health Care Improvement Act (25 U.S.C.           tions at the beginning of chapter 81 of such title     termines feasible to complete each corrective ac-
                                                1603).’’.                                               is amended by inserting after the item relating        tion.
                                                   (2) CLERICAL AMENDMENT.—The table of sec-            to section 8128 the following new item:                  (3) Resources the Secretary determines are
                                                tions at the beginning of chapter 5 of such title                                                              necessary to implement corrective actions, in-
                                                                                                        ‘‘8129. Preference for offerors employing vet-
                                                is amended by inserting after the item relating                                                                cluding—
                                                                                                                       erans.’’.                                 (A) funding;
                                                to section 546 the following new item:
                                                                                                        SEC. 7004. EXTENSION OF CERTAIN EMPLOYMENT               (B) stakeholders;
                                                ‘‘547. Advisory Committee on Tribal and Indian                       AND REEMPLOYMENT RIGHTS TO                  (C) technology; and
                                                                Affairs.’’.                                          MEMBERS OF THE NATIONAL GUARD               (D) senior officials responsible for imple-
                                                   (b) DEADLINE FOR ESTABLISHMENT.—The Sec-                          WHO PERFORM STATE ACTIVE DUTY.
                                                retary of Veterans Affairs shall establish the ad-                                                             menting the corrective actions and reporting re-
                                                                                                           Section 4303 of title 38, United States Code, is    sults.
                                                visory committee required by section 547 of title       amended—                                                 (4) Metrics for assessing progress in address-
                                                38, United States Code, as added by subsection             (1) in paragraph (13), by inserting ‘‘State ac-     ing the areas of concern described in para-
                                                (a)(1), not later than 180 days after the date of       tive duty for a period of 14 days or more, State       graphs (1) and (2) of subsection (a).
                                                the enactment of this Act.                              active duty in response to a national emergency          (5) Key outcomes that demonstrate progress in
                                                   (c) DEADLINE FOR INITIAL APPOINTMENTS.—
                                                                                                        declared by the President under the National           addressing the areas of concern described in
                                                Not later than 90 days after the date on which
                                                                                                        Emergencies Act (50 U.S.C. 1601 et seq.), State        paragraphs (1) and (2) of subsection (a).
                                                the Secretary establishes the advisory committee
                                                                                                        active duty in response to a major disaster de-          (6) Obstacles to implementation of the plan
                                                required by such section, the Secretary shall ap-
                                                                                                        clared by the President under section 401 of the       that the Secretary identifies.
                                                point members under subsection (b)(1) of such                                                                    (7) Recommendations of the Secretary regard-
                                                                                                        Robert T. Stafford Disaster Relief and Emer-
                                                section.                                                                                                       ing legislation or funding the Secretary deter-
                                                   (d) INITIAL MEETING.—Not later than 90 days          gency Assistance Act (42 U.S.C. 5170),’’ after
                                                                                                        ‘‘full-time National Guard duty,’’;                    mines necessary to implement the plan.
                                                after the date on which the Secretary estab-                                                                     (8) Any other information the Secretary deter-
                                                lishes the advisory committee required by such             (2) by redesignating paragraph (15) as para-
                                                                                                        graph (16); and                                        mines is relevant to understanding the progress
                                                section, such advisory committee shall hold its                                                                of the Department toward the removal of the
                                                first meeting.                                             (3) by inserting after paragraph (14) the fol-
                                                                                                        lowing new paragraph (15):                             areas of concern from the High Risk List.
                                                   (e) REPORT ON RELATION TO OFFICE OF TRIB-
                                                                                                           ‘‘(15) The term ‘State active duty’ means             (c) ANNUAL UPDATES.—
                                                AL AND GOVERNMENT RELATIONS.—                                                                                    (1) UPDATE REQUIRED.—Not less than once
                                                   (1) IN GENERAL.—Not later than two years             training or other duty, other than inactive duty,
                                                                                                        performed by a member of the National Guard of         each year during the implementation period
                                                after the date of the first meeting held by the
                                                                                                        a State—                                               under paragraph (2), the Secretary shall submit
                                                advisory committee required by such section, the
                                                                                                           ‘‘(A) not under section 502 of title 32 or under    to Congress an update regarding implementation
                                                Secretary shall submit to Congress a report on
                                                                                                        title 10;                                              of each element of the plan under subsection
                                                whether and to what extent the activities of the
                                                                                                           ‘‘(B) in service to the Governor of a State; and    (b).
                                                advisory committee improve the function of the
                                                                                                                                                                 (2) IMPLEMENTATION PERIOD.—The implemen-
                                                Office of Tribal and Government Relations of               ‘‘(C) for which the member is not entitled to
                                                                                                                                                               tation period described in this paragraph begins
                                                the Department of Veterans Affairs, aid the de-         pay from the Federal Government.’’.
                                                                                                                                                               on the date on which the Secretary submits the
                                                cisions of the Secretary, and whether and to            SEC. 7005. REPAYMENT OF MISUSED BENEFITS.
                                                                                                                                                               report required under subsection (a) and ends
                                                what extent the activities of the advisory com-           (a) IN GENERAL.—Section 6107(b) of title 38,         on the earlier of the following dates:
                                                mittee duplicate function of the Department per-        United States Code, is amended—                          (A) The date on which the Comptroller Gen-
                                                formed before the enactment of this Act.                  (1) in paragraph (1), by striking ‘‘In any case      eral removes the last area of concern for the De-
                                                   (2) REVIEW BY ADVISORY COMMITTEE.—The                in which a fiduciary described in paragraph            partment from the most recent High-Risk List of
                                                Secretary shall—                                        (2)’’ and inserting ‘‘In any case not covered by
                                                   (A) give the advisory committee an oppor-                                                                   the Government Accountability Office.
                                                                                                        subsection (a) in which a fiduciary’’;                   (B) The date that is 8 years after the date on
                                                tunity to review the report required by para-
                                                                                                          (2) by striking paragraph (2); and                   which the Secretary submits the plan required
                                                graph (1) before submitting the report under
                                                                                                          (3) by redesignating paragraph (3) as para-          under subsection (a).
                                                such paragraph; and
                                                   (B) include in the report submitted under such       graph (2).                                             SEC. 7008. ANNUAL REPORT BY SECRETARY OF
                                                paragraph such comments as the advisory com-              (b) APPLICATION.—The amendments made by                          VETERANS AFFAIRS ON IMPLEMEN-
                                                                                                        subsection (a) shall apply with respect to any                     TATION OF PRIORITY RECOMMENDA-
                                                mittee considers appropriate regarding the views                                                                           TIONS OF COMPTROLLER GENERAL
                                                of the advisory committee with respect to the re-       determination by the Secretary of Veterans Af-
                                                                                                        fairs made on or after the date of the enactment                   OF THE UNITED STATES PER-
                                                port.                                                                                                                      TAINING TO DEPARTMENT OF VET-
                                                SEC. 7003. PREFERENCE FOR OFFERORS EMPLOY-
                                                                                                        of this Act regarding the misuse of benefits by a                  ERANS AFFAIRS.
                                                             ING VETERANS.                              fiduciary.                                               (a) ANNUAL REPORT REQUIRED.—Not later
                                                  (a) IN GENERAL.—Subchapter II of chapter 81           SEC. 7006. EXEMPTION OF CERTAIN TRANSFERS.             than 270 days after the date of the enactment of
                                                of title 38, United States Code, is amended by            Section 7364(b)(1) of title 38, United States        this Act, and not less than once during each of
                                                adding after section 8128 the following new sec-        Code, is amended by adding at the end the fol-         the subsequent 3 years, the Secretary of Vet-
                                                tion:                                                   lowing new sentence: ‘‘Any amounts so trans-           erans Affairs shall submit to the Committees on
                                                ‘‘§ 8129. Preference for offerors employing vet-        ferred after September 30, 2016, shall be avail-       Veterans’ Affairs of the Senate and House of
                                                   erans                                                able without regard to fiscal year limitations,        Representatives and to the Comptroller General
                                                   ‘‘(a) PREFERENCE.—(1) In awarding a contract         notwithstanding section 1535(d) of title 31.’’.        of the United States a report on the implementa-
                                                for the procurement of goods or services, the           SEC. 7007. REPORT AND PLANNED ACTIONS OF               tion of priority recommendations of the Comp-
                                                Secretary may give a preference to offerors that                    THE SECRETARY OF VETERANS AF-              troller General that pertain to the Department
                                                                                                                    FAIRS TO ADDRESS CERTAIN HIGH-             of Veterans Affairs.
                                                employ veterans on a full-time basis.
                                                                                                                    RISK AREAS OF THE DEPARTMENT                 (b) CONTENTS.—Each report submitted under
                                                   ‘‘(2) The Secretary shall determine such pref-
                                                                                                                    OF VETERANS AFFAIRS.
                                                erence based on the percentage of the full-time                                                                subsection (a) shall include, for the period cov-
                                                employees of the offeror who are veterans.                (a) REPORT REQUIRED.—Not later than 180              ered by the report, the following:
                                                   ‘‘(b) ENFORCEMENT PENALTIES FOR MISREPRE-            days after the date of the enactment of this Act,        (1) The progress of the Secretary in imple-
                                                SENTATION.—(1) Any offeror that is determined           the Secretary of Veterans Affairs, in consulta-        menting all open priority recommendations of
                                                by the Secretary to have willfully and inten-           tion with the Comptroller General of the United        the Comptroller General for the Department of
                                                tionally misrepresented the veteran status of the       States, shall submit to the Committees on Vet-         Veterans Affairs.
                                                employees of the offeror for purposes of sub-           erans’ Affairs of the Senate and House of Rep-           (2) An explanation for each instance where
                                                section (a) may be debarred from contracting            resentatives a report outlining the plan the Sec-      the Secretary has decided not to implement, or
                                                with the Department for a period of not less            retary has developed and the actions the Sec-          has not fully implemented, an open priority rec-
                                                than five years.                                        retary has taken to address the areas of concern       ommendation of the Comptroller General for the
                                                   ‘‘(2) If the Secretary carries out a debarment       identified by the Comptroller General for the          Department.
                                                under paragraph (1), the Secretary shall—               Department of Veterans Affairs in the 2019               (3) A summary of the corrective actions taken
                                                   ‘‘(A) commence debarment action against the          High-Risk List of the Government Account-              and remaining steps the Secretary plans to take




rfrederick on DSKBCBPHB2PROD with HOUSE
                                                offeror by not later than 30 days after deter-          ability Office (GAO–19–157SP) regarding—               to implement open priority recommendations of
                                                mining that the offeror willfully and inten-              (1) acquisition management; and                      the Comptroller General.
                                                tionally misrepresented the veteran status of the         (2) managing risks and improving health care.          (c) SUPPLEMENT NOT SUPPLANT CERTAIN RE-
                                                employees of the offeror as described in para-            (b) ELEMENTS.—The report under subsection            QUIRED REPORTS OR WRITTEN STATEMENTS.—
                                                graph (1); and                                          (a) shall include each of the following:               The report under this section shall not be con-
                                                   ‘‘(B) complete debarment actions against such          (1) Root causes of the areas of concern de-          strued to supplant any report or written state-
                                                offeror by not later than 90 days after such de-        scribed in paragraphs (1) and (2) of subsection        ment required under section 720 of title 31,
                                                termination.                                            (a).                                                   United States Code.




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                                                H7204                                             CONGRESSIONAL RECORD — HOUSE                                                      December 16, 2020
                                                SEC. 7009. CLARIFICATION OF METHODS USED TO             SEC. 7103. CHIEF FINANCIAL OFFICER ATTESTA-              (2) in paragraph (2)(C)(ii), by striking ‘‘Sec-
                                                             MONITOR COMPLIANCE WITH CER-                           TION.                                      retary of Defense’’ and inserting ‘‘Secretary
                                                             TAIN LIMITATIONS ON SUBCON-                   Concurrent with the submittal to Congress of        concerned’’.
                                                             TRACTING.                                  the President’s budget request under section             (b) RETROACTIVE APPLICATION.—The amend-
                                                  Section 8127(k)(3)(A) of title 38, United States      1105 of title 31, United States Code, for fiscal       ments made by this section shall apply to stop
                                                Code, is amended by striking ‘‘and any other’’          year 2022 and each of the next three subsequent        movement orders issued on or after March 1,
                                                and inserting ‘‘or any other’’.                         fiscal years, the Chief Financial Officer of the       2020.
                                                SEC. 7010. DEPARTMENT OF VETERANS AFFAIRS               Department of Veterans affairs shall submit to
                                                            REQUIREMENT TO PROVIDE CER-
                                                                                                                                                                 The SPEAKER pro tempore. Pursu-
                                                                                                        the appropriate congressional committees each
                                                            TAIN NOTICE TO PERSONS FILING                                                                      ant to the rule, the gentleman from
                                                                                                        of the following:
                                                            CLAIMS FOR DAMAGE, INJURY, OR
                                                                                                           (1) A certification of the responsibility of the    California (Mr. TAKANO) and the gen-
                                                            DEATH ON STANDARD FORM 95.                                                                         tleman from Tennessee (Mr. DAVID P.
                                                                                                        Chief Financial Officer for internal financial
                                                   Not later than 90 days after the date on which                                                              ROE) each will control 20 minutes.
                                                                                                        controls of the Department.
                                                a person submits to the Secretary of Veterans              (2) An attestation that the Chief Financial           The Chair recognizes the gentleman
                                                Affairs a claim for damage, injury, or death on         Officer has collaborated sufficiently with the
                                                Standard Form 95, or any successor form, the
                                                                                                                                                               from California.
                                                                                                        subordinate chief financial officers of the De-                          GENERAL LEAVE
                                                Secretary shall provide to such person notice of        partment to be confident in the financial projec-
                                                each of the following:                                                                                           Mr. TAKANO. Mr. Speaker, I ask
                                                                                                        tions included the budget request and sup-
                                                   (1) The benefit of obtaining legal advice con-       porting materials.                                     unanimous consent that all Members
                                                cerning such claim.                                                                                            may have 5 legislative days in which to
                                                                                                        SEC. 7104. CHIEF FINANCIAL OFFICER RESPONSI-
                                                   (2) The employment status of any individual                      BILITY FOR SUBORDINATE CHIEF FI-           revise and extend their remarks and to
                                                listed on the form.                                                 NANCIAL OFFICERS.                          insert extraneous material on H.R.
                                                   (3) If the claim involves a contractor that en-        (a) IN GENERAL.—In accordance with the re-
                                                tered into an agreement with the Secretary, the                                                                7105, as amended.
                                                                                                        sponsibilities of the Chief Financial Officer of         The SPEAKER pro tempore. Is there
                                                importance of obtaining legal advice as to the          the Department of Veterans Affairs for the re-
                                                statute of limitations regarding the claim in the                                                              objection to the request of the gen-
                                                                                                        cruitment, selection, and training of personnel
                                                State in which the claim arose.                         to carry out agency financial management func-
                                                                                                                                                               tleman from California?
                                                Subtitle B—Matters Relating to the Chief Fi-            tions pursuant to section 902(a)(5)(C) of title 31,
                                                                                                                                                                 There was no objection.
                                                   nancial Officer of Department of Veterans            United States Code, the Chief Financial Officer          Mr. TAKANO. Mr. Speaker, I yield
                                                   Affairs                                              or the designee of the Chief Financial Officer         myself such time as I may consume.
                                                SEC. 7101. DEFINITIONS.                                 within the Office of Management of the Depart-           Mr. Speaker, I rise in support of H.R.
                                                  In this subtitle:                                     ment shall—                                            7105, as amended, the Johnny Isakson
                                                  (1) APPROPRIATE CONGRESSIONAL COMMIT-                   (1) participate in the interview and selection       and David P. Roe, M.D. Veterans
                                                TEES.—The term ‘‘appropriate congressional              panels of all subordinate chief financial officers;    Health Care and Benefits Improvement
                                                committees’’ means the Committees on Veterans’          and                                                    Act of 2020.
                                                Affairs of the Senate and the House of Rep-               (2) give input into the performance plans and          H.R. 7105, as amended, was intro-
                                                resentatives and the Committees on Appropria-           performance evaluations of all subordinate chief
                                                                                                        financial officers.
                                                                                                                                                               duced by Representative MIKE LEVIN,
                                                tions of the Senate and the House of Represent-                                                                chairman of the Subcommittee on Eco-
                                                atives.                                                   (b) TERMINATION.—The requirements under
                                                                                                        subsection (a) shall terminate on the date that        nomic Opportunity, and the bill before
                                                  (2) SUBORDINATE CHIEF FINANCIAL OFFICER.—
                                                The term ‘‘subordinate chief financial officer’’—       is five years after the date of the enactment of       us today contains several crucial im-
                                                  (A) includes—                                         this Act.                                              provements that will better the lives of
                                                  (i) the chief financial officer of the Veterans           Subtitle C—Servicemembers Civil Relief             veterans during the COVID–19 pan-
                                                Health Administration, the chief financial offi-        SEC. 7201. CLARIFICATION OF DELIVERY OF NO-            demic and beyond.
                                                cer of the Office of Community Care within the                      TICE OF TERMINATION OF LEASES                Mr. Speaker, the first title of this
                                                Veterans Health Administration, and all chief                       OF PREMISES AND MOTOR VEHICLES
                                                                                                                    FOR PURPOSES OF RELIEF UNDER
                                                                                                                                                               bill contains legislation from Rep-
                                                financial officers of Veterans Integrated Service                                                              resentatives      LEVIN,    UNDERWOOD,
                                                                                                                    SERVICEMEMBERS    CIVIL  RELIEF
                                                Networks within the Veterans Health Adminis-
                                                                                                                    ACT.                                       SABLAN, BROWNLEY, WEXTON, and LEE
                                                tration;
                                                  (ii) the chief financial officer of the Veterans
                                                                                                          (a) IN GENERAL.—Section 305(c)(2) of the             to improve the Forever GI Bill. These
                                                                                                        Servicemembers Civil Relief Act (50 U.S.C.             provisions will ensure that institutions
                                                Benefits Administration and all chief financial
                                                                                                        3955(c)(2)) is amended—                                of higher learning are more account-
                                                officers of organizational subdivisions rep-
                                                                                                           (1) in subparagraph (B), by striking ‘‘or’’ at
                                                resenting business lines within the Veterans
                                                                                                        the end;
                                                                                                                                                               able to student veterans.
                                                Benefits Administration;                                   (2) in subparagraph (C), by striking the period       These provisions will improve over-
                                                  (iii) the chief financial officer of the National                                                            sight of colleges and universities, pro-
                                                                                                        and inserting ‘‘; or’’; and
                                                Cemetery Administration; and                               (3) by adding at the end the following new          vide more flexibility for veterans to
                                                  (iv) the chief financial officer of the Office of     subparagraph:                                          use their benefits, and improve infor-
                                                Information and Technology; and                            ‘‘(D) by electronic means, including—
                                                  (B) does not include the Inspector General.                                                                  mation sharing with students so that
                                                                                                           ‘‘(i) the direct delivery of material to an elec-   they can make a more informed deci-
                                                SEC. 7102. PLANS FOR ADDRESSING MATERIAL                tronic address designated by the lessor (or the
                                                            WEAKNESSES AND PROVIDING SUF-                                                                      sion on where to continue their edu-
                                                                                                        lessor’s grantee) or the lessor’s agent (or the
                                                            FICIENT AUTHORITY TO CHIEF FI-
                                                                                                        agent’s grantee);                                      cation.
                                                            NANCIAL OFFICER OF DEPARTMENT                                                                        Further, building off my Student
                                                            OF VETERANS AFFAIRS.                           ‘‘(ii) the posting of material to a website or
                                                                                                        other internet or electronic-based information         Veterans Coronavirus Response Act
                                                  Not later than 180 days after the date of the
                                                enactment of this Act, and annually thereafter          repository to which access has been granted to         from earlier in the year, this legisla-
                                                for each of the three subsequent years, the Sec-        the lessee, the lessor (or the lessor’s grantee), or   tion includes immediate COVID–19-re-
                                                retary of Veterans Affairs, acting through the          the lessor’s agent (or the agent’s grantee); and       lated    relief,  from    Representative
                                                                                                           ‘‘(iii) other electronic means reasonably cal-      CUNNINGHAM, to student veterans. His
                                                Chief Financial Officer of the Department of
                                                                                                        culated to ensure actual receipt of the material
                                                Veterans Affairs, shall submit to the appropriate
                                                                                                        by the lessor (or the lessor’s grantee) or the les-
                                                                                                                                                               legislation will extend housing benefits
                                                congressional committees—                                                                                      to student veterans, provide more flexi-
                                                  (1) an action plan, including steps, related          sor’s agent (or the agent’s grantee).’’.
                                                                                                           (b) EFFECTIVE DATE.—The amendments made             bility when using their education bene-
                                                timelines, costs, progress, status of implementa-
                                                                                                        by subsection (a) shall apply to delivery of no-       fits during the pandemic, and mod-
                                                tion, and any updates for fully addressing the
                                                material weaknesses of the Department dis-
                                                                                                        tice of lease terminations on or after the date        ernize apprenticeship programs to
                                                                                                        the enactment of this Act.                             allow them to continue effectively dur-
                                                cussed in the Management’s Discussion and
                                                                                                        SEC. 7202. TECHNICAL CORRECTION REGARDING              ing COVID–19.
                                                Analysis section of the financial statements of
                                                                                                                    EXTENSION OF LEASE PROTECTIONS
                                                the Department submitted to Congress under                          FOR SERVICEMEMBERS UNDER STOP
                                                                                                                                                                 Mr. Speaker, to better serve those
                                                section 3515 of title 31, United States Code for                    MOVEMENT ORDERS IN RESPONSE                veterans who are experiencing home-
                                                the year preceding the year during which the                        TO LOCAL, NATIONAL, OR GLOBAL              lessness, this legislation includes con-




rfrederick on DSKBCBPHB2PROD with HOUSE
                                                report is submitted; and                                            EMERGENCY.                                 tributions from Representatives PA-
                                                  (2) a plan outlining the steps the Secretary            (a) IN GENERAL.—Section 305(b) of the                NETTA, PETERS, WILD, BEATTY, and
                                                plans to take to address the recommendations of         Servicemembers Civil Relief Act (50 U.S.C.
                                                                                                                                                               BROWNLEY to provide more veterans
                                                auditors related to entity-level internal controls      3955(b)), as amended by Public Law 116–158, is
                                                and to provide sufficient authority to the Chief        further amended—                                       with access to the HUD-VASH pro-
                                                Financial Officer of the Department to carry              (1) in paragraph (1)(C)(ii), by striking ‘‘Sec-      gram, including veterans with children
                                                out the requirements of section 902 of title 31,        retary of Defense’’ and inserting ‘‘Secretary          and women veterans, and to provide
                                                United States Code.                                     concerned’’; and                                       legal services to homeless veterans.



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                                                December 16, 2020                                 CONGRESSIONAL RECORD — HOUSE                                                                H7205
                                                  Recognition of service and sacrifice                  Representative JULIA BROWNLEY, the                                       b 1430
                                                is a priority of mine, and I thank Rep-                 chairwoman of the Veterans’ Affairs                      Mr. DAVID P. ROE of Tennessee. Mr.
                                                resentative COX for his bill that awards                Health Subcommittee. Title V is                        Speaker, I yield myself such time as I
                                                benefits to military advisers who                       named after Deborah Sampson, a Revo-                   may consume.
                                                served in Vietnam immediately prior                     lutionary War veteran from Massachu-                     Mr. Speaker, I rise today in support
                                                to the Vietnam war. This group of ad-                   setts who served in the Continental                    of H.R. 7105, the Johnny Isakson and
                                                visers faced hostilities in the years pre-              Army for 17 months and was wounded                     David P. Roe, M.D. Veterans Health
                                                ceding the formal declaration of war in                 in battle more than once.                              Care and Benefits Improvement Act of
                                                Vietnam, and some lost their lives. The                   Mr. Speaker, Deborah Sampson was                     2020.
                                                Military Assistance Advisory Group                      neither the first nor the only woman to                  This legislation is a culmination of 2
                                                will now have greater access to certain                 serve in the Continental Army, nor was                 years of bipartisan work by the House
                                                wartime benefits.                                       she the first woman to be granted a                    and Senate Veterans’ Affairs Commit-
                                                  Mr. Speaker, similarly, this legisla-                 pension by Congress, but she was the                   tees. It contains provisions that will
                                                tion expands benefits for certain vet-                  most persistent. Over 38 years, Con-                   provide veterans and their families
                                                erans, including Medal of Honor recipi-                 gress granted her a pension, backpay;                  with improved access to care, com-
                                                ents. Thanks to Representative LAMB’s                   and, ultimately, her husband was                       pensation, education, housing, and bur-
                                                legislation, those veterans and their                   granted a survivor’s pension after her                 ial benefits that they have earned and
                                                survivors will now receive a greater                    death. It is because of similar persist-               will result in a Department of Veterans
                                                amount of special pension.                              ence by women warriors who followed                    Affairs that is better able to meet their
                                                  My priority next Congress is to bring                 in Deborah Sampson’s footsteps that                    needs.
                                                more veterans with toxic exposures                      we are considering this legislation                      I am proud that one of my last votes
                                                into VA and create an easier process to                 today.                                                 in Congress will be in support of this
                                                get these veterans benefits. One group                                                                         bill. I am also humbled that it bears
                                                                                                          Among the numerous provisions in-
                                                I have heard a lot about is K–2 vet-                                                                           my name and that of my friend, former
                                                                                                        cluded in this legislation—perhaps the
                                                erans, who served at Karshi-Khanabad                                                                           Senator Johnny Isakson from Georgia.
                                                                                                        most important—relate to eliminating
                                                Air Base in Uzbekistan. These service-                                                                         It was a pleasure to work with Senator
                                                                                                        sexual harassment and assault.
                                                members slept in tents above soil that                                                                         Isakson as the chairman of the Senate
                                                                                                          Today, nearly one in four new re-                    Veterans’ Affairs Committee before his
                                                glowed and oozed, and, unsurprisingly,                  cruits joining the military is a woman;
                                                many later fell ill.                                                                                           retirement last year.
                                                                                                        and, as a result, women veterans are                     Our shared passion for serving our
                                                  Mr. Speaker, I fully support inclusion                the fastest growing demographic in the
                                                of legislation that partners with the                                                                          fellow veterans led to the creation and
                                                                                                        veterans community, and VA must be                     passage of landmark veterans’ legisla-
                                                Centers for Disease Control to study                    prepared to welcome them.
                                                these exposures and resulting health                                                                           tion, including the MISSION Act, the
                                                                                                          Unacceptably, at least one in four                   Forever GI Bill, the Accountability and
                                                effects.                                                women veterans experience sexual and
                                                  For veterans who have passed away,                                                                           Whistleblower Protection Act, and the
                                                                                                        gender harassment at VA facilities.                    Veterans Appeals Improvement and
                                                burial benefits ease the burden on                      This must end.                                         Modernization Act.
                                                grieving families. This legislative
                                                                                                          Mr. Speaker, last week, both the VA                    I am honored to share this recogni-
                                                package expands these benefits, cre-
                                                                                                        OIG and the Fort Hood Independent                      tion with him, and I thank our col-
                                                ating greater access. Representative
                                                                                                        Review Committee issued reports that                   leagues for recognizing our work in
                                                DELGADO’s legislation makes counties
                                                                                                        emphasized the need to do more to ad-                  this way. It would take more time than
                                                eligible for VA grants to build and op-
                                                                                                        dress the toxic culture that exists at                 I have to list every worthy proposal in
                                                erate veteran cemeteries, bringing a                                                                           this bill and thank every lawmaker,
                                                                                                        the Department of Defense and at VA.
                                                veteran’s final resting place closer to                                                                        Republican and Democrat alike, who
                                                                                                        No veteran, caregiver, employee, con-
                                                home for rural communities.                                                                                    sponsored them.
                                                                                                        tractor, or other public visitor should
                                                  Representative SABLAN’s legislation                                                                            The many provisions included in this
                                                                                                        experience sexual harassment or as-
                                                works to expand those grants, which                                                                            omnibus bill will support veterans and
                                                                                                        sault at VA.
                                                are also available to States, territories,                                                                     families from the time they transition
                                                and Tribal governments, to cover in-                      H.R. 7105, as amended, requires VA to
                                                                                                        develop a comprehensive policy that                    out of the military to the time they
                                                creasing costs of cemetery operations.                                                                         are interred in a VA, State, Tribal, or
                                                  This legislative package includes sev-                includes bystander intervention, man-
                                                                                                        datory reporting mechanisms for em-                    private cemetery and at multiple crit-
                                                eral     provisions    from     numerous                                                                       ical touchpoints in between.
                                                healthcare-related bills, and I will just               ployees, confidential reporting mecha-
                                                                                                        nisms for veterans, and holds leader-                    For transitioning veterans, it will
                                                take a minute to highlight a few.                                                                              authorize a review of the Transition
                                                  I am really delighted we are able to                  ship accountable for addressing sexual
                                                                                                        harassment and assault at VA facili-                   Assistance Program, or TAP; allow
                                                include Representative GALLEGO’s Na-                                                                           TAP to be provided at off-base loca-
                                                tive American PACT Act, which pro-                      ties.
                                                                                                                                                               tions; and support community organi-
                                                hibits VA from collecting copays from                     This bill also includes provisions put
                                                                                                                                                               zations that are supporting service-
                                                a veteran who is a member of an Indian                  forward by Representative PAPPAS that
                                                                                                                                                               members as they transition.
                                                Tribe.                                                  require new rules for how VA collects                    For student veterans, it will expand
                                                  Mr. Speaker, H.R. 7105, as amended,                   debts owed by beneficiaries to avoid                   the Edith Nourse Rogers STEM Schol-
                                                also includes innovative ideas like Rep-                unnecessary harm to veteran credit                     arship program to student veterans
                                                resentative KAPTUR’s the Vet HP Act,                    ratings, as well as to prevent many                    working on their medical degrees; re-
                                                which seeks to expose undergraduate                     overpayments from happening due to                     quire schools to provide all student
                                                students considering careers in medi-                   eligibility changes.                                   veterans with in-state tuition, regard-
                                                cine to directly experience VA’s                          Mr. Speaker, finally, the bill before                less of when they left Active Duty;
                                                healthcare environment.                                 us improves the protections offered by                 make improvements and increase fund-
                                                  In addition, this package includes                    the Servicemembers Civil Relief Act                    ing for the VET TEC pilot program to
                                                language requiring State veterans                       for veterans and their families. The in-               connect veterans with careers in the
                                                homes to provide VA with reoccurring                    cluded legislation from Representa-                    technology industry; strengthen over-
                                                reports on COVID–19 cases and related                   tives BUSTOS and ROSE provides addi-                   sight of schools that use the GI Bill;
                                                issues in the facility. This is one more                tional protections to ensure that vet-                 expand the restoration of benefits to




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                                                way that VA and Congress can ensure                     erans aren’t disadvantaged by their                    students whose schools close in the
                                                veterans in State veterans homes have                   service to our Nation and that they are                middle of a term; and ensure that more
                                                the resources they need during this                     allowed more flexibility and protec-                   servicemembers and veterans can take
                                                public health emergency.                                tions for their employment and leases.                 advantage of the improved benefits
                                                  Mr. Speaker, I am especially pleased                    Mr. Speaker, I urge all Members to                   available through the Post-9/11 GI Bill.
                                                this end-of-year package includes the                   support H.R. 7105, as amended, and I re-                 For veterans with service-connected
                                                Deborah Sampson Act, introduced by                      serve the balance of my time.                          disabilities, it will ensure that claims



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                                                H7206                                             CONGRESSIONAL RECORD — HOUSE                                                   December 16, 2020
                                                for disability compensation include                     while in the Reserves, and it will ad-                 ny Isakson and David P. Roe, M.D. Vet-
                                                pertinent information from veterans’                    dress an inequity in Federal benefits                  erans Health Care and Benefits Im-
                                                private providers by requiring the VA                   for surviving spouses by allowing them                 provement Act.
                                                to reinstate public-facing Disability                   to retain their eligibility for VA De-                   In addition to including the Deborah
                                                Benefits Questionnaires, or DBQs, and                   pendency and Indemnity Compensation                    Sampson Act, a key piece of legislation
                                                issue a report detailing whether an al-                 if they remarry after the age of 55.                   that will improve healthcare and ac-
                                                ternative disability exam process                          I can go on and on; but, suffice to                 cess to VA services and benefits for
                                                would better serve veterans and, if so,                 say, there is something in this bill for               women veterans, this legislation also
                                                implement it.                                           just about every one of our Nation’s                   includes the Boosting Rates of Amer-
                                                  For women veterans, it will ensure                    veterans and their loved ones.                         ican Veteran Employment Act, which I
                                                that the VA healthcare system is more                      I am very grateful to every Senator                 introduced, along with Congressman
                                                prepared for and responsive to their                    and Member of Congress who has intro-                  PAUL COOK from California, to expand
                                                needs and help it instill a culture that                duced one of the various pieces of legis-              employment opportunities for our vet-
                                                is more welcoming, inclusive, and safe.                 lation in this package, including Re-                  erans.
                                                  For veterans who have experienced                     publican Leader KEVIN MCCARTHY of                        The BRAVE Act is commonsense, bi-
                                                military sexual trauma, it will stream-                 California; my good friend and incom-                  partisan legislation that will authorize
                                                line benefits and make it easier to get                 ing Ranking Member MIKE BOST from                      the VA Secretary to give preference to
                                                the care and compensation they de-                      Illinois; Congressman GUS BILIRAKIS                    contractors with high concentrations
                                                serve.                                                  from Florida; General JACK BERGMAN                     of full-time veteran employees when
                                                  For veterans struggling with home-                    from Michigan; Congressman JIM                         awarding Federal contracts.
                                                lessness or housing insecurity, it will                 BANKS from Indiana; Congressman                          First, this will reward companies
                                                increase funding for transitional hous-                 ANDY BARR from Kentucky, Congress-                     that actively hire and invest in vet-
                                                ing providers; improve case manage-                     man ADAM KINZINGER from Illinois;                      erans. Second, it will create an incen-
                                                ment services in the HUD-VASH                           Congressman DOUG LAMALFA from                          tive for other companies to do the
                                                voucher program; provide additional                     California; and Congressman JODEY                      same, which, in, turn will help bring
                                                funding and flexibility to allow service                ARRINGTON from Texas.                                  more veterans into their workforce
                                                providers to care for those with chil-                     This bill would not have been pos-                  with good paying jobs, the types of op-
                                                dren and meet rising demands associ-                    sible without the hard work, dedica-                   portunities that give veterans and
                                                ated with COVID–19; authorize grant                     tion, and support of numerous individ-                 their families the stability they need
                                                funding for legal services; and support                 uals and organizations, including VA;                  as they transition to civilian life.
                                                those leaving the criminal justice sys-                 our partners in the veteran service or-                  Most importantly, as more and more
                                                tem.                                                    ganization community; the Women                        companies hire more and more vet-
                                                  For veterans worried about their fi-                  Veterans Task Force; committee mem-                    erans, they will ultimately see that in-
                                                nances, it will address a major root                    bers from both sides of the aisle, par-                vesting in veterans is just good for
                                                cause of veteran debt by allowing vet-                  ticularly the chairs and ranking mem-                  business. That is what the real incen-
                                                erans to remove dependents from the                     bers of our Subcommittees on Dis-                      tive should be.
                                                eBenefits system.                                       ability Assistance and Memorial Af-                      Mr. Speaker, I thank Chairman
                                                  For veterans concerned about the                      fairs, on Economic Opportunity, on                     TAKANO and Ranking Member ROE for
                                                general management and operation of                     Health, and on Oversight and Inves-                    including the BRAVE Act in this bipar-
                                                the Department of Veterans Affairs, it                  tigations; our colleagues on the Senate                tisan bill package, and I urge my col-
                                                will improve VA’s work with Congress                    Veterans’ Affairs Committee; and last,                 leagues to support H.R. 7105 today.
                                                and the Government Accountability                       but certainly not least, my good                         Mr. DAVID P. ROE of Tennessee. Mr.
                                                Office to address high-risk service lines               friends and fellow Veterans’ Affairs                   Speaker, I yield 4 minutes to the gen-
                                                and improve VA’s overall efficiency                     Committee leaders: Chairman TAKANO,                    tleman from Illinois (Mr. BOST), my
                                                and effectiveness; and strengthen fi-                   Chairman MORAN, and Ranking Mem-                       good friend and new ranking member
                                                nancial management across the De-                       ber TESTER.                                            on the Veterans’ Affairs Committee. I
                                                                                                           Serving in the United States Army,
                                                partment, which is more important                                                                              have been in Mr. BOST’s district many
                                                                                                        Second Infantry Division, as I did, was
                                                now than ever before as VA’s budget                                                                            times. I know his passion. He is a
                                                                                                        a defining moment in my life. Helping
                                                approaches $250 billion a year and total                                                                       former marine. I guess once a marine,
                                                                                                        to serve my fellow veterans in Congress
                                                liabilities surpass $4 trillion.                                                                               always a marine, Mr. Speaker.
                                                                                                        these past 12 years along such an es-
                                                  For veterans who are providing crit-                                                                           Mr. BOST. Mr. Speaker, I stand in
                                                                                                        teemed group of lawmakers who I am
                                                ical care and support during the                                                                               full support of H.R. 7105, and I am
                                                                                                        proud to call friends has been a honor
                                                COVID–19 pandemic, it will provide a                                                                           proud to be the sponsor of several pro-
                                                                                                        of a lifetime.
                                                time-limited presumption of exposure                       The 116th Congress has been one for                 visions included in today’s veterans’
                                                to help streamline benefits for those                   the history books in more than one                     omnibus bill.
                                                who develop long-term disabilities as-                  way. I hope that it will end on a high                   The first is a provision that would
                                                sociated with exposure to COVID–19 as                   note today by passing this important                   modernize the Service-Disabled Vet-
                                                a result of their service during this un-               bill and providing that, despite all of                erans Insurance program by increasing
                                                forgettable moment in history.                          the challenges before us at this par-                  the maximum coverage from $10,000 to
                                                  For veterans at the end of their lives,               ticular moment in time, Congress can                   $40,000; ensuring that veterans cannot
                                                it will create a single burial benefit for              still come together on a bipartisan                    be denied coverage for any preexisting
                                                non-service-connected veterans by rais-                 basis to enact meaningful legislation                  condition; removing the requirement
                                                ing the cost of the non-service-con-                    on behalf of some of our most deserving                that veterans apply for coverage within
                                                nected burial allowance to match the                    constituents, the men and women who                    2 years of receiving an award of service
                                                allowance for veterans who pass away                    have so bravely defended our freedoms                  connection; and requiring premiums to
                                                in a VA facility; allow VA to pay for                   and the families and caregivers who                    cover the long-term cost of the pro-
                                                certain burial transportation costs for                 support them.                                          gram, like the VA has with other life
                                                families who choose to lay their loved                     Mr. Speaker, I urge every one of my                 insurance programs.
                                                ones to rest in a State or Tribal vet-                  colleagues to join me in supporting                      Once the modernization program
                                                erans cemetery; and permit VA to re-                    this bill today, and I reserve the bal-                goes into effect, the outdated program
                                                place a veteran’s VA-furnished head-                                                                           would be sunset for new applicants.




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                                                                                                        ance of my time.
                                                stone in a private cemetery to add me-                     Mr. TAKANO. Mr. Speaker, I yield 1                    Another provision of mine will au-
                                                morial inscriptions for eligible family                 minute to the gentlewoman from New                     thorize a pilot program to extend li-
                                                members.                                                York (Miss RICE), my good friend and                   cense portability to certain nonphysi-
                                                  Finally, for veterans’ survivors, it                  member of the House Veterans’ Affairs                  cian providers who perform disability
                                                will extend GI Bill survivor benefits to                Committee.                                             exams under contract with the VA. As
                                                the families of servicemembers who                         Miss RICE of New York. Mr. Speaker,                 a result, contract vendors will be able
                                                died of a service-connected injury                      I rise in support of H.R. 7105, the John-              to schedule a veteran’s exam sooner.



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                                                December 16, 2020                                 CONGRESSIONAL RECORD — HOUSE                                                                H7207
                                                This is critical, as the VBA focuses its                Transition Improvement Act to ease                     would require the VA to furnish an urn
                                                efforts on reducing the backlogs of dis-                the transition to civilian life and help               or a plaque if a deceased eligible vet-
                                                ability exams that has been caused by                   veterans build meaningful careers.                     eran was not interred in a traditional
                                                the pandemic.                                             It includes the Protect the GI Bill                  cemetery. All veterans deserve to be
                                                  Additionally, this bill will address a                Act and the Pandemic Assistance for                    honored for their service, regardless of
                                                problem that occurred when a veteran                    Student Veterans Act to help veterans                  how their families choose to lay them
                                                has a change in their dependency sta-                   make the most of their GI Bill benefits.               to rest.
                                                tus, but the VA does not take imme-                       It includes the Brian Tally VA Em-                     It is named in honor of Chuck Osier,
                                                diate action to reduce the veteran’s                    ployment Transparency Act to protect                   an Air Force veteran from Sherrill,
                                                benefits payments. As a result, the vet-                veterans’ legal rights.                                New York, who passed away in 2015. Be-
                                                eran may incur an overpayment that                        This legislation will make a real dif-               cause Chuck was not interred in a tra-
                                                the veteran must pay back. My provi-                    ference for veterans across the coun-                  ditional cemetery, his family could not
                                                sion would allow a veteran to remove                    try, and I am proud of the bipartisan                  honor him with a VA-furnished mark-
                                                their dependent from their award                        progress we are making today.                          er.
                                                through eBenefits within 60 days of the                   Mr. DAVID P. ROE of Tennessee. Mr.                     His widow, Donna, has been working
                                                veteran’s input and without VA ap-                      Speaker, I yield 2 minutes to the gen-                 with Members of Congress from central
                                                proval.                                                 tleman from Michigan (Mr. BERGMAN),                    New York for years to get this fixed. I
                                                  This package also includes another                    my good friend who represents the                      am proud to stand here for Chuck and
                                                one of my bills, H.R. 7445, which would                 Upper Peninsula of Michigan. I think                   Donna and finally get this bill passed.
                                                expand eligibility for VA home loans                    General BERGMAN is the highest rank-                     Mr. Speaker, I urge my colleagues to
                                                programs to certain members of the                      ing officer who has served in the U.S.                 support this important legislation for
                                                National Guard and Reserve.                             Congress, a marine.                                    our Nation’s veterans and their fami-
                                                  Mr. Speaker, it is only right and log-                                                                       lies.
                                                ical that members of the National                                         b 1445                                 Mr. DAVID P. ROE of Tennessee. Mr.
                                                Guard and Reserve who perform Fed-                        Mr. BERGMAN. Mr. Speaker, I rise                     Speaker, I yield 2 minutes to the gen-
                                                eral Active Duty be given the same                      today in support of H.R. 7105, the John-               tleman from Kentucky (Mr. BARR), my
                                                benefits as their full-time Active Duty                 ny Isakson and David P. Roe, M.D. Vet-                 good friend, my neighbor just north of
                                                counterparts.                                           erans Health Care and Benefits Im-                     me in Kentucky, and a very, very
                                                  Before I close, I would like to thank                 provement Act of 2020.                                 prominent member of the Veterans’ Af-
                                                Ranking Member ROE for his leader-                        I consider the word ‘‘optimism’’ to                  fairs Committee.
                                                ship on the committee these past 4                      mean hope that actually includes a                       Mr. BARR. Mr. Speaker, I rise today
                                                years, both as ranking member and as                    plan, and I have sincere optimism that                 in strong support of H.R. 7105, the
                                                chairman. He has done a great job of                    the bipartisan legislative package be-                 Johnny Isakson and David P. Roe, M.D.
                                                representing the veterans of this Na-                   fore us today will serve as a blueprint                Veterans Health Care and Benefits Im-
                                                tion and making sure that his focus                     for the great work we can achieve in                   provement Act of 2020.
                                                and the committee’s focus is kept on                                                                             Let me start by thanking my good
                                                                                                        the next Congress by working together.
                                                what is best for them.                                                                                         friend, the ranking member of the Vet-
                                                                                                        More importantly, I have confidence
                                                  I want to thank him for how he                                                                               erans’ Affairs Committee, a former
                                                                                                        that it will make a positive difference
                                                treats and works with each member of                                                                           chairman of this committee, for his
                                                                                                        in veterans’ lives.
                                                the staff, as well as each Member, to                                                                          service to this country, not just as a
                                                                                                          For example, H.R. 7105 includes my
                                                guide us through. Remember, under his                                                                          veteran himself, but also leading this
                                                                                                        legislation, the GI Bill Planning Act of
                                                guidance, we have enacted several                                                                              committee and being a tireless cham-
                                                                                                        2019, which will give military enlistees               pion of the men and women who have
                                                pieces of legislative accomplishments,
                                                                                                        greater ability to consider which GI                   served our country in uniform, through
                                                including appeals reform, the MISSION
                                                                                                        Bill benefits are right for them.                      all of his accomplishments on this
                                                Act, and the Forever GI Bill.
                                                  Now, as the full committee ranking                      Just think, in the heat of the first 2               committee.
                                                member, I hope to follow in his foot-                   weeks of their boot camp, 70 percent of                  I am so grateful for what you have
                                                steps, and I hope I can do him proud                    enlistees decide to pay $1,200 upfront to              done for our veterans and, on a per-
                                                and continue our work to improve ben-                   opt into their Montgomery GI Bill ben-                 sonal note, as a mentor to me and so
                                                efits and services for our veterans and                 efit, but 97 percent actually end up                   many others, leading the way, showing
                                                their families.                                         using the more robust post-9/11 GI Bill.               your patriotism. You are going to be
                                                  Mr. TAKANO. Mr. Speaker, I yield 1                    By delaying this Montgomery GI Bill                    missed here, but we appreciate your
                                                minute to the gentleman from Cali-                      opt-in decision 6 months and respon-                   friendship.
                                                fornia (Mr. LEVIN), my good friend, who                 sibly ending new enrollment in 10                        I am grateful, Mr. Speaker, that the
                                                is also a member of the House Vet-                      years, we will actually save recruits                  two bipartisan bills I introduced this
                                                erans’ Affairs Committee and is the                     money and ensure they are more in-                     Congress are included in this com-
                                                Chairman of the Economic Opportunity                    formed on their future education bene-                 prehensive    veterans    package:     an
                                                Subcommittee.                                           fits.                                                  amended version of my bill, H.R. 7795,
                                                  Mr. LEVIN of California. Mr. Speak-                     Mr. Speaker, I thank the chairman                    the Veterans Benefits Fairness and
                                                er, we simply cannot allow our vet-                     and the ranking member for including                   Transparency Act of 2020, which I in-
                                                erans to fall into homelessness, end up                 not only my bill but several other                     troduced with my Democratic col-
                                                jobless, or go without the basic serv-                  major measures that I have co-led to                   league, Representative ELAINE LURIA
                                                ices that they deserve. These chal-                     improve VA transparency in benefits                    from Virginia; and H.R. 5772, the Vet-
                                                lenges have only been exacerbated by                    decisions, as well as increase account-                eran STEM Scholarship Enhancement
                                                the COVID–19 pandemic.                                  ability in the Department’s efforts to                 Act, which I introduced and later
                                                  I am proud to lead the Johnny Isak-                   address programs that are at a high                    worked on with Representative LAUREN
                                                son and David P. Roe, M.D. Veterans                     risk of waste, fraud, and abuse.                       UNDERWOOD from Illinois.
                                                Health Care and Benefits Improvement                      Mr. Speaker, I urge my colleagues to                   My bill, the Veterans Benefits Fair-
                                                Act so that we can do right by our vet-                 support H.R. 7105, and I wish Dr. ROE                  ness and Transparency Act of 2020 will
                                                erans during this pandemic and be-                      fair winds and following seas.                         make it easier for veterans to file their
                                                yond.                                                     Mr. TAKANO. Mr. Speaker, I yield 1                   disability claims by requiring the VA
                                                  This legislation includes several of                  minute to the gentleman from New                       to restore the availability of disability




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                                                my bipartisan bills. It includes the Re-                York (Mr. BRINDISI), my good friend,                   benefits questionnaires, or DBQs, to
                                                ducing Veteran Homelessness Act and                     who is also a member of the House Vet-                 their publicly available website so that
                                                the Homeless Veteran Coronavirus Re-                    erans’ Affairs Committee.                              a veteran can use their own personal
                                                sponse Act to lift veterans out of                        Mr. BRINDISI. Mr. Speaker, I rise in                 healthcare provider when filing for
                                                homelessness.                                           support of H.R. 7105.                                  benefits. This bill also cuts red tape
                                                  It includes the Navy SEAL Chief                         I am proud that this bill includes the               and bureaucracy by preventing a vet-
                                                Petty Officer William ‘‘Bill’’ Mulder                   Chuck Osier Burial Benefits Act, which                 eran’s claim from being rejected just



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                                                H7208                                             CONGRESSIONAL RECORD — HOUSE                                                   December 16, 2020
                                                because the VA changed a line on a                        A second provisions honors the sac-                  oring Bill Mulder and his family and,
                                                form.                                                   rifices of our female veterans by ensur-               in doing so, passing this legislation
                                                  Mr. Speaker, I would like to thank                    ing they have access to properly fitted                that will engage our Active Duty mili-
                                                my constituent, retired Master Gun-                     prosthetic items, just as their male                   tary earlier in the process, before they
                                                nery Sergeant Kenneth Gilliam, a 30-                    counterparts do.                                       venture out as civilians, to equip them
                                                year Marine Corps veteran, and Ken-                       The third focuses on punitive debt                   and empower them with education and
                                                tucky Sixth District Veterans Coali-                    collection practices by VA against our                 opportunities for employment and to
                                                tion member retired Chief Warrant Of-                   veterans, many of whom have done ev-                   connect them with their brothers and
                                                ficer Denny Hart, who were the inspira-                 erything right. This provision sets lim-               sisters, fellow veterans in the commu-
                                                tion for this legislation.                              its on when VA may initiate collection                 nity.
                                                  My other bill, the Veteran STEM                       proceedings and even gives our vet-                      All the component parts of this, I
                                                Scholarship Enhancement Act allows                      erans the ability to update crucial ben-               think, will end up with lives saved, less
                                                the VA to more quickly process vet-                     efit information online.                               Bill Mulders, in terms of his final chap-
                                                eran scholarship applications for the                     Mr. Speaker, I thank the House and                   ter, and less pain for wives of military
                                                Edith Nourse Rogers STEM Scholar-                       Senate committees for getting this bi-                 personnel, like Sydney Mulder.
                                                ship by lifting the requirement for pri-                partisan bill to the floor, and I urge my                To Sydney, let me say thank you for
                                                ority groups among eligible veterans                    colleagues to pass this legislation                    your sacrifice.
                                                applying for the scholarship unless the                 today.                                                   To Bill’s children, Nina, Jake, and
                                                VA determines that it is nearing the                      Mr. DAVID P. ROE of Tennessee. Mr.                   Sam, thank you for what you guys rep-
                                                scholarship’s yearly funding limit.                     Speaker, I yield 3 minutes to the gen-                 resent in military families. Your dad is
                                                  This bill also prevents the Rogers                    tleman from Texas (Mr. ARRINGTON),                     a true American hero. His legacy will
                                                STEM scholarship from counting to-                      who served on the Veterans’ Affairs                    not stop here. It will live on in you,
                                                ward the 48-month limit a veteran                       Committee and the Ways and Means                       and it will live on in the lives that it
                                                can—                                                    Committee. He has been a tireless ad-                  changes because of this piece of legisla-
                                                  The SPEAKER pro tempore. The                          vocate for veterans during that time.                  tion.
                                                time of the gentleman has expired.                        Mr. Speaker, with all due respect,                     The SPEAKER pro tempore. The
                                                  Mr. DAVID P. ROE of Tennessee. Mr.                    there would not be a Texas if it were                  time of the gentleman has expired.
                                                Speaker, I yield an additional 1 minute                 not for Tennessee.                                       Mr. DAVID P. ROE of Tennessee. Mr.
                                                to the gentleman from Kentucky.                           Mr. ARRINGTON. Mr. Speaker, how                      Speaker, I yield an additional 1 minute
                                                  Mr. BARR. Mr. Speaker, this bill also                 can a Texan respond to that in the 3                   to the gentleman from Texas.
                                                prevents the Rogers STEM scholarship                    minutes that has been allotted to me?                    Mr. ARRINGTON. Mr. Speaker,
                                                from counting toward the 48-month                         Mr. Speaker, I will say, with all sin-               thank you for indulging me.
                                                limit a veteran can receive GI benefits.                cerity, what an incredible man, what a                   God bless the Mulder family. God
                                                  I have seen veterans in my district in                great statesman and a leader for this                  bless those who serve our great coun-
                                                central and eastern Kentucky, espe-                     country. For all things good about our                 try.
                                                cially at Eastern Kentucky University,                  veterans and the promises that we have                   I pray to God that this will help
                                                take advantage of this important                        made and the services that we render                   make an impact on the real lives of our
                                                scholarship.                                            to them, Dr. PHIL ROE, what a hero and                 veterans as they transition and maxi-
                                                  Mr. Speaker, I am proud of my vote                    what a great mentor to many of us.                     mize their greatest God-given potential
                                                for this package that delivers for our                    I join the many who have benefited                   as civilians once again. That is the way
                                                Nation’s veterans. I thank, again, my                   from your friendship and leadership.                   this ought to work, and I know that is
                                                colleagues for working in a bipartisan                    Mr. Speaker, I appreciate Chairman                   our desire.
                                                way to shepherd this very important                     TAKANO’s friendship, and I thank him                     Mr. TAKANO. Mr. Speaker, I thank
                                                package of veteran advocacy legisla-                    for his leadership and his love for our                the gentleman from Texas and his de-
                                                tion to fruition.                                       veterans. Our country’s character, I                   votion to Bill Mulder and his memory.
                                                  Once again, I thank my good friend                    think we would say, could be measured                    Mr. Speaker, I yield 1 minute to the
                                                for his distinguished service in this                   in a few ways. One of them is how we                   gentlewoman from Ohio (Ms. KAPTUR),
                                                body, Dr. PHIL ROE. Thank you, sir. It                  treat those who we send off to battle.                 my good friend, a longtime friend to
                                                has been an honor serving with you on                     In addition to being the right thing                 the Veterans’ Affairs Committee, and a
                                                this subcommittee especially.                           to do—that is, deliver on the promises                 senior member of the Appropriations
                                                  Mr. TAKANO. Mr. Speaker, I yield 1                    we make to our veterans—it is also                     Committee.
                                                minute to the gentleman from New                        good national security policy. It is                     Ms. KAPTUR. Mr. Speaker, I thank
                                                Hampshire (Mr. PAPPAS), my good                         more than just recruiting the right                    Chairman TAKANO for his dedication
                                                friend who is also a member of the                      people and providing the best training.                and leadership to move these import
                                                House Veterans’ Affairs Committee and                   If we are going to maintain the great-                 veterans provisions through Congress.
                                                chairman of the Subcommittee on                         est fighting force in all the world, we                  Included in this package is my bill,
                                                Oversight and Investigations.                           need to make sure we do right by our                   the Veterans-Specific Education for
                                                  Mr. PAPPAS. Mr. Speaker, I thank                      Active Duty military men and women                     Tomorrow’s Health Professionals Act.
                                                Chairman TAKANO for getting this im-                    as they transition to civilian life and                The VET HP Act will create a 1-year
                                                portant legislation to the floor.                       being veterans.                                        pilot program to allow pre-med stu-
                                                  Mr. Speaker, I rise today in support                    Mr. Speaker, I want to focus on title                dents to gain clinical observation expe-
                                                of H.R. 7105, a crucial piece of veterans               IV of this piece of legislation. It is the             rience at VA medical centers. I thank
                                                legislation that aptly bears the name                   Transition Assistance Improvement                      the chairman for his leadership in help-
                                                of our distinguished ranking member,                    Act that I have worked on for a few                    ing include this.
                                                Dr. ROE.                                                years now. It is named after my dear                     This legislation will not only in-
                                                  The bill now includes three pieces of                 friend from high school, Bill Mulder,                  crease opportunities for students from
                                                legislation that I introduced to ensure                 Chief Petty Officer Navy SEAL Bill                     diverse backgrounds to gain the clin-
                                                VA is able to fulfill its mission of sup-               Mulder. I love saying his name.                        ical observation time they need for
                                                porting all those who have borne the                      He is a warrior’s warrior. He, too,                  medical school, but it will also allow
                                                battle. These three provisions will help                gave his life for this country. He suf-                them the opportunity to gain a deeper
                                                improve the quality of care and address                 fered and struggled with the wounds of                 understanding of veterans’ specific




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                                                deficiencies that frustrate and even                    battle that you can’t easily see. Let’s                health needs and experiences, which we
                                                harm our veterans.                                      put it that way.                                       just heard about, while connecting
                                                  The first requires VA to address bu-                    I am so grateful to Chairman TAKANO                  them with the VA medical system.
                                                reaucratic waste, fraud, abuse, and                     and Chairman ROE, and my colleagues                      In identifying and training future
                                                mismanagement identified by the Gov-                    on the other side of the aisle, espe-                  physicians interested in serving vet-
                                                ernment Accountability Office’s High                    cially Representative MIKE LEVIN, for                  erans, this legislation will, hopefully,
                                                Risk List.                                              helping shepherd this along and hon-                   help fill some of the estimated 30,000



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                                                December 16, 2020                                 CONGRESSIONAL RECORD — HOUSE                                                                H7209
                                                medical vacancies at the Department                     who has been a champion for the finan-                 ing reporting from State veterans’
                                                of Veterans Affairs by creating a viable                cial security of our veterans on every-                homes in light of COVID outbreaks.
                                                pipeline of future physicians.                          thing     from    the    GI    Bill    to                This bill is focused on justice, equal-
                                                  Mr. Speaker, one of our highest re-                   antihomelessness initiatives.                          ity, and opportunity, and we are par-
                                                sponsibilities as a Congress is to ensure                 And to you, Mr. Ranking Member                       ticularly proud of the steps taken to
                                                our veterans receive the timely, high-                  ROE, thank you for your leadership and                 help servicemembers transition to the
                                                est quality care they deserve from                      your friendship and prioritizing our                   civilian workforce and to improve serv-
                                                trained professionals. I am pleased that                veterans. I am so proud that this bill is              ices and VA access for Native Amer-
                                                this bill, the VET HP Act, with the                     named for you. Congratulations to you,                 ican veterans, including eliminating
                                                leadership of Chairman TAKANO and                       and thank you.                                         their copays.
                                                with my sponsorship as well, will di-                     I also recognize former Senator John-                  House Members can take pride in the
                                                rectly support these priorities.                        ny Isakson. What a great person he is.                 inclusion        of      Congresswoman
                                                                  b 1500                                What a great Member of the Senate he                   BROWNLEY’s Deborah Sampson Act, a
                                                                                                        has been. I enjoyed being with him                     crown jewel in this package and the
                                                  Mr. DAVID P. ROE of Tennessee. Mr.                    when we were saluting our veterans at                  most comprehensive women veterans
                                                Speaker, I reserve the balance of my                    Normandy, when he made that visit                      bill in over a decade.
                                                time.                                                   there and made us all so proud.                          This bill improves the health, bene-
                                                  Mr. TAKANO. Mr. Speaker, I yield 1                      Johnny was always bipartisan, reach-                 fits, education, and VA support system
                                                minute to the gentlewoman from Cali-                    ing across the aisle for our veterans,                 for women veterans, including by re-
                                                fornia (Ms. PELOSI), a champion and a                   and it was a joy to serve in this House                quiring      VA     to     create     the
                                                staunch advocate, who is unparalleled                   as he served as a Senator. But I want                  antiharassment and antiassault policy,
                                                in her support for our Nation’s 22 mil-                 him to know that he is very missed                     improving      women-specific    primary
                                                lion veterans.                                          and, again, recognized for his leader-                 healthcare,     expanding    access    to
                                                  Under the Speaker’s leadership, the                   ship.                                                  childcare, and strengthening mental
                                                House has passed the largest increases                    Mr. Speaker, last year, many Mem-                    health initiatives.
                                                in veterans funding in history, includ-                 bers were blessed to be able to travel to                This bill could not be more timely.
                                                ing investments in mental health serv-                  Europe to mark 75 years of the Nor-                    Last week, the VA inspector general’s
                                                ices,     Agent    Orange     disability,               mandy landing and the Battle of the                    report revealed the appalling coverup
                                                healthcare benefits, economic and edu-                  Bulge on another visit.                                and discrediting of a woman veteran
                                                cational opportunities, as well as job                    At the commemoration of the Battle                   who works on the task force that cre-
                                                training.                                               of the Bulge, almost 1 year ago this                   ated this legislation at the hands of
                                                  She understands we must build up,                     day, I met a veteran in his nineties                   Secretary Wilkie and top VA officials.
                                                not tear down, the Department of Vet-                   who urged us to pray for peace. He                       It is a profound injustice for any pa-
                                                erans Affairs. She has upheld the sa-                   spoke for the veterans who were gath-                  triot with the courage to serve to have
                                                cred pledge that, just as the military                  ered there in a program with the King                  to experience having his or her voice
                                                leaves no one behind on the battlefield,                of Belgium and the President of Ger-                   silenced and integrity questioned. Con-
                                                we must leave no veteran behind here                    many. It was very interesting. The Sec-                gress will not relent until every serv-
                                                at home.                                                retary of Defense spoke, but the vet-                  icemember,      every   veteran,    every
                                                  This Congress, with her support, we                   eran spoke for the veterans, and he                    woman can live free from the fear of
                                                have continued to preserve the sacred                   talked about the camaraderie and the                   assault or abuse.
                                                trust of our men and women in uniform                   band of brothers and all that, but at                    This package was drafted—this is
                                                and the 200,000 servicemembers who be-                  the end, he said: Pray for peace.                      what I am so proud of, because, on a
                                                come veterans each year.                                  In that same spirit of peace, hope,                  regular basis, we meet with the veteran
                                                  Mr. Speaker, I am, of course, refer-                  and respect, this Congress has honored                 service organizations, and it is their
                                                ring to the Speaker of this great House                 our veterans and their families and                    opportunity to tell us what their prior-
                                                from the great State of California, the                 caregivers with transformative action:                 ities are. There are so many issues that
                                                Honorable NANCY D’ALESANDRO PELOSI.                     from the Blue Water Navy Vietnam                       needed to be addressed. Some of them I
                                                  Ms. PELOSI. Mr. Speaker, I thank                      Veterans Act to expand protections for                 have already mentioned here that have
                                                the gentleman for yielding and for his                  those devastated by exposure to Agent                  been addressed over time and right
                                                great leadership. He makes us so proud                  Orange, to ending the cruelly unfair                   now. But their wisdom and their expe-
                                                as the chair of the Veterans’ Affairs                   widows tax and kiddie tax—remember                     rience and their patriotism really helps
                                                Committee.                                              that?—to passing the COMPACT Act to                    shape our agenda.
                                                  I proudly rise in support of H.R. 7105,               combat veteran suicide, to investing                     Thank you, Mr. TAKANO, for listening
                                                a strong bipartisan package of legisla-                 nearly $20 billion in VA readiness in                  and for acting upon the knowledge and
                                                tion that strives to meet our respon-                   pandemic research.                                     values they give us.
                                                sibilities to honor the service and sac-                  Now the House is building on this bi-                  This package was drafted in con-
                                                rifice of those who don the uniform.                    partisan momentum with this omni-                      sultation with leading veterans groups,
                                                  The strength of this package and its                  bus, which includes provisions from                    and we are proud to have the support of
                                                support across the aisle is a testament                 nearly 60 House-passed bills.                          the Veterans of Foreign Wars, the
                                                to the outstanding leadership of Chair-                   This bill strengthens veterans’ edu-                 American Legion, the Military Officers
                                                man MARK TAKANO. We are very proud                      cation, investing nearly $350 million in               Association of America, Student Vet-
                                                of him as a Californian and as a Mem-                   improving GI benefits for surviving                    erans of America, Disabled American
                                                ber of this House.                                      family members, increasing work study                  Veterans, the National Military Fam-
                                                  The bill has been an all-hands-on-                    options and fellowship opportunities                   ily Association, Iraq and Afghan Vet-
                                                deck effort, and I salute the many                      for veterans, securing benefits for                    erans of America, the Association of
                                                Members whose provisions and perspec-                   those who cannot complete courses due                  the U.S. Navy, Paralyzed Veterans of
                                                tives have strengthened it:                             to the pandemic, and more.                             America, and Veterans Education Suc-
                                                  Congresswoman JULIA BROWNLEY, the                       It safeguards veterans’ benefits, in-                cess, just to name a few. The list goes
                                                chair of the Health Subcommittee and                    cluding by modernizing the benefit sys-                on.
                                                the Women’s Veterans Task Force, who                    tem with commonsense reforms, in-                        As we send this package to the Presi-
                                                has worked tirelessly to achieve gender                 vesting in benefits for surviving                      dent’s desk, House Democrats are




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                                                equity at VA, including, now, through                   spouses, and improving eligibility for                 ready to take further action to honor
                                                the landmark Deborah Sampson Act                        housing and home loan assistance for                   our veterans in the next Congress,
                                                included in this omnibus;                               National Guard and Reserve members.                    working alongside the Biden-Harris ad-
                                                  Congressman MIKE LEVIN, the pride                       This bill protects veterans’ health,                 ministration.
                                                of our freshman class, who introduced                   improving care for those exposed to the                  Just as the military pledges to leave
                                                this omnibus as chair of the Sub-                       coronavirus and burn pits, improving                   no one behind on the battlefield, we
                                                committee on Economic Opportunity,                      VA’s scheduling process, and increas-                  solemnly promise to leave no veteran



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                                                H7210                                             CONGRESSIONAL RECORD — HOUSE                                                   December 16, 2020
                                                behind. That is particularly personal to                  Mr. TAKANO. Mr. Speaker, I yield 1                                    b 1515
                                                me, having four brothers who served in                  minute to the gentleman from Michi-                      Despite this, the VA has long charged
                                                the armed services, an uncle who died                   gan (Mr. KILDEE), my good friend.                      Native veterans unconstitutional co-
                                                in World War II, but also a daughter                      Mr. KILDEE. Mr. Speaker, I thank                     payments for their care. That should
                                                who is so committed to our veterans                     Chairman TAKANO and Ranking Mem-                       end today.
                                                that practically every day she will say                 ber ROE and my Michigan colleague,                       Now more than ever, in the midst of
                                                to me: What did you do for our vet-                     JACK BERGMAN, with whom I worked on                    a health crisis that has been dispropor-
                                                erans today? And not just on Veterans                   this legislation, for bringing this bill to            tionately affecting Native people, we
                                                Day.                                                    the floor, which includes my legisla-                  need to make sure that Native veterans
                                                  As we send this package, recognize                    tion, the Transparency For Wounded                     have access to the healthcare they are
                                                that our work on behalf of veterans,                    Warriors Act.                                          due, both as veterans and as members
                                                their families, and their caregivers                      This legislation will improve the                    of Tribal nations.
                                                must be bipartisan and of the highest                   Traumatic      Servicemembers’      Group                That is why, Mr. Speaker, I urge my
                                                priority. I urge the passage of this bill.              Life Insurance program, known as                       colleagues to support this important
                                                  And as I say to those VSOs when                       TSGLI, which provides financial sup-                   provision to uphold our trust responsi-
                                                they come in: Understand this; for you                  port to help servicemembers recover                    bility and to vote ‘‘yes’’ on the under-
                                                and to honor you, we pledge to always                   from severe injuries.                                  lying package.
                                                work as much as possible in a bipar-                      This issue came to me 7 years ago as                   Mr. DAVID P. ROE of Tennessee. Mr.
                                                tisan way.                                              a result of an injury suffered by Ser-                 Speaker, I reserve the balance of my
                                                  That is the way they would want us                    geant First Class Cameron Corder from                  time.
                                                to do so. That is why I am particularly                 Clio, Michigan, my neighbor just a few                   Mr. TAKANO. Mr. Speaker, I yield 1
                                                proud, Congressman ROE, to recognize                    miles away from where I live, who sus-                 minute to the gentleman from New
                                                your leadership, and I am so happy                      tained a severe back injury while on                   York (Mr. DELGADO), my good friend.
                                                that this bill is named for you and for                 Active Duty serving as a flight medic                    Mr. DELGADO. Mr. Speaker, I thank
                                                Johnny Isakson, as well.                                in Afghanistan.                                        the chairman, Mr. TAKANO, for yield-
                                                  Mr. Speaker, I once again voice my                      Despite his traumatic injury, the                    ing.
                                                appreciation for Mr. TAKANO for his                     Army repeatedly denied his TSGLI                         Mr. Speaker, I rise today in support
                                                great leadership. I thank him.                          claims, and for years my staff and I                   of H.R. 7105. This legislation incor-
                                                  Mr. DAVID P. ROE of Tennessee. Mr.                    fought all the way to the top rungs of                 porates two bills I was proud to intro-
                                                Speaker, I reserve the balance of my                    the military to try to get Cameron his                 duce.
                                                                                                                                                                 The first bill is my bipartisan Fair-
                                                time.                                                   benefits. Finally, in November of 2017,
                                                  Mr. TAKANO. Mr. Speaker, I am sure                                                                           ness for Local Veteran Cemeteries Act,
                                                                                                        after years of denials, Cameron re-
                                                                                                                                                               an easy bipartisan fix to allow local-
                                                Christine Pelosi is going to be tweeting                ceived those benefits.
                                                                                                                                                               ities to honor our Nation’s veterans.
                                                in just a few moments.                                    His experience, though, was a clear                    As the law is currently written, only
                                                  Mr. Speaker, I yield 1 minute to the                  case of bureaucratic harm suffered by a                State-run veteran cemeteries are eligi-
                                                gentleman from Connecticut (Mr.                         Wounded Warrior. His treatment was                     ble for the National Cemetery Admin-
                                                COURTNEY), my good friend and mem-                      unacceptable. This legislation will,                   istration’s Veterans Cemetery Grants.
                                                ber of the Armed Services Committee                     hopefully, ensure that it won’t happen                 This cripples counties and States that
                                                and senior member of the Education                      to other servicemembers.                               don’t have State-operated veteran
                                                and Labor Committee.                                      I am pleased that the House has in-                  cemeteries, including New York, Flor-
                                                  Mr. COURTNEY. Mr. Speaker, I rise                     cluded this bill in this bipartisan pack-              ida, Alaska, and Oregon, where veteran
                                                in support of this bill and salute Mr.                  age. When it comes to my constituents                  cemeteries are operated by counties or
                                                TAKANO and Mr. ROE for their fine                       and veterans, I don’t give up until I                  county-equivalents.
                                                work.                                                   win.                                                     Our bill will ensure counties and lo-
                                                  In particular, I want to foot stomp                     I thank my friend Chairman TAKANO,                   calities can use Federal funds to help
                                                section 2011, which instructs GAO to                    and I especially thank Dr. ROE. I very                 run veteran cemeteries.
                                                conduct an independent analysis of the                  much enjoyed serving with you and                        H.R. 7105 also incorporates my Im-
                                                VA’s 1-year manifestation rule, which                   look forward to staying connected to                   proving Benefits for Underserved Vet-
                                                has unfairly blocked benefits for three                 you in some fashion.                                   erans Act, which would require the VA
                                                debilitating conditions caused by                         Mr. DAVID P. ROE of Tennessee. Mr.                   to publish a report on veterans’ bene-
                                                Agent Orange dioxin used in the Viet-                   Speaker, I reserve the balance of my                   fits, disaggregating by sex or minority
                                                nam war.                                                time.                                                  group member status. This is an impor-
                                                  In a nutshell, veterans are required                    Mr. TAKANO. Mr. Speaker, I yield 1                   tant step in leveling the playing field
                                                to show these illnesses manifested                      minute the gentleman from Arizona                      for women and minority veterans.
                                                themselves within 1 year of exposure in                 (Mr. GALLEGO).                                           The men and women of the armed
                                                order to get VA help. Only one prob-                      Mr. GALLEGO. Mr. Speaker, I rise in                  services dedicate their lives to defend-
                                                lem: 50 years ago, when servicemem-                     support of H.R. 7105. This important                   ing our Nation and its values. I am
                                                bers were handling this poison, the                     package includes a bill I authored, H.R.               proud to support this legislation that
                                                U.S. Government never disclosed how                     4908, the Native American Veteran                      helps our Nation provide better care
                                                dangerous it was. When its toxicity                     PACT Act.                                              for our veterans and protect their final
                                                was finally recognized decades later,                     Native people have fought in every                   resting place.
                                                the 1-year clock to prove manifestation                 American war since the American Rev-                     Mr. DAVID P. ROE of Tennessee. Mr.
                                                had long expired. It is the ultimate                    olution, more than a century before                    Speaker, I reserve the balance of my
                                                catch-22.                                               they were even granted citizenship.                    time.
                                                  Section 2011 would not exist but for                    When I served in Iraq, I fought along-                 Mr. TAKANO. Mr. Speaker, I yield 1
                                                the tireless work of Vietnam veteran                    side Navajo marines, some of the best                  minute to the gentlewoman from New
                                                Gerry Wright from Andover, Con-                         marines you will ever meet. I have wit-                Mexico (Ms. HAALAND), my good friend.
                                                necticut, who has crisscrossed America                  nessed, firsthand, Native communities’                   The SPEAKER pro tempore. Mem-
                                                rounding up support for abolishing this                 tradition of service to America, which                 bers are reminded to put on their
                                                rule—no lobbyists, no super-PACs, just                  is why I introduced the PACT Act, to                   masks.
                                                old-fashioned citizen activism.                         make sure America keeps its promises                     Ms. HAALAND. Mr. Speaker, as one




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                                                  Mr. Speaker, I congratulate Gerry.                    to these heroes.                                       of the first Native American women
                                                He is a true patriot.                                     The PACT Act would prohibit the VA                   elected to Congress and the daughter of
                                                  Mr. Speaker, I urge support of this                   from charging copays to Native Amer-                   two veterans, I am proud that my bill
                                                bill.                                                   ican veterans. The United States Gov-                  with Representative MIKE GALLAGHER,
                                                  Mr. DAVID P. ROE of Tennessee. Mr.                    ernment has a treaty obligation to pro-                the Department of Veterans Affairs
                                                Speaker, I reserve the balance of my                    vide healthcare to Native Americans                    Tribal Advisory Committee Act, will
                                                time.                                                   free of charge.                                        be included in this package.



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                                                December 16, 2020                                 CONGRESSIONAL RECORD — HOUSE                                                                      H7211
                                                   All veterans deserve the best care                     I ask my colleagues to support H.R. 7105.            PROGRAM.—Section 1720G(a) of title 38,
                                                that our country can give, but there                      The SPEAKER pro tempore. The                         United States Code, is amended by adding at
                                                are gaps in services for Native Amer-                   question is on the motion offered by                   the end the following new paragraphs:
                                                                                                        the gentleman from California (Mr.                       ‘‘(12)(A) The Secretary shall notify the in-
                                                ican veterans.
                                                                                                                                                               dividuals described in subparagraph (C) re-
                                                   The advisory committee established                   TAKANO) that the House suspend the
                                                                                                                                                               garding decisions affecting the furnishing of
                                                by this bill will ensure that we look at                rules and concur in the Senate amend-                  assistance under this subsection using stand-
                                                and remedy the specific barriers Native                 ment to the bill, H.R. 7105.                           ardized letters, as the Secretary determines
                                                American veterans face so they will                       The question was taken; and (two-                    such notifications and letters to be appro-
                                                have access to the same care that other                 thirds being in the affirmative) the                   priate.
                                                veterans have.                                          rules were suspended and the Senate                      ‘‘(B) A notification provided under sub-
                                                   For these reasons and many more, I                   amendment was concurred in.                            paragraph (A) shall include the elements re-
                                                am thankful for the inclusion of my                       A motion to reconsider was laid on                   quired for notices of decisions under section
                                                bill today and look forward to seeing                   the table.                                             5104(b) of this title to the extent that those
                                                                                                                                                               elements apply to such notification, unless,
                                                its implementation by President-elect                                     f
                                                                                                                                                               not later than 60 days after the date of the
                                                Biden.                                                  TRANSPARENCY AND EFFECTIVE                             enactment of the Transparency and Effective
                                                   The SPEAKER pro tempore. The                                                                                Accountability Measures for Veteran Care-
                                                                                                          ACCOUNTABILITY              MEASURES
                                                time of the gentleman from California                                                                          givers Act, the Secretary determines that it
                                                                                                          FOR VETERAN CAREGIVERS ACT
                                                (Mr. TAKANO) has expired.                                                                                      would not be feasible to include such ele-
                                                   Mr. DAVID P. ROE of Tennessee. Mr.                     Mr. TAKANO. Mr. Speaker, I move to                   ments in such notifications and submits to
                                                Speaker, I have no further speakers,                    suspend the rules and pass the bill (S.                the Committee on Veterans’ Affairs of the
                                                and I am prepared to close.                             2216) to require the Secretary of Vet-                 Senate and the Committee on Veterans’ Af-
                                                   Mr. Speaker, it is obvious today,                    erans Affairs to formally recognize                    fairs of the House of Representatives a re-
                                                with the minority leader, the Speaker,                  caregivers of veterans, notify veterans                port setting forth the reasons for such deter-
                                                and numerous, numerous distinguished                    and caregivers of clinical determina-                  mination.
                                                                                                                                                                 ‘‘(C) The individuals described in this sub-
                                                Members coming to speak, the impor-                     tions relating to eligibility for the
                                                                                                                                                               paragraph shall include—
                                                tance of this.                                          family caregiver program, and tempo-                     ‘‘(i) an individual who submits an applica-
                                                   Mr. Speaker, I thank Chairman                        rarily extend benefits for veterans who                tion for the program established under para-
                                                TAKANO for his work on this. I thank                    are determined ineligible for the fam-                 graph (1);
                                                all the Members who, in a bipartisan                    ily caregiver program, and for other                     ‘‘(ii) an individual determined by the Sec-
                                                way, brought this extremely important                   purposes.                                              retary to be an eligible veteran pursuant to
                                                bill to fruition.                                         The Clerk read the title of the bill.                such an application; and
                                                   I certainly appreciate the honor of                    The text of the bill is as follows:                    ‘‘(iii) a family caregiver of an eligible vet-
                                                having this bill named after Senator                                         S. 2216                           eran who is—
                                                                                                                                                                 ‘‘(I) approved as a provider of personal care
                                                ISAKSON and myself, and I encourage                       Be it enacted by the Senate and House of Rep-
                                                                                                        resentatives of the United States of America in        services under paragraph (6)(B); or
                                                my colleagues to support this bill.                                                                              ‘‘(II) designated as a primary provider of
                                                   Mr. Speaker, I yield back the balance                Congress assembled,
                                                                                                                                                               personal care services under paragraph
                                                of my time.                                             SECTION 1. SHORT TITLE.
                                                                                                                                                               (7)(A).
                                                   Mr. SABLAN. Mr. Speaker, H.R. 7105, the                This Act may be cited as the ‘‘Trans-
                                                                                                                                                                 ‘‘(13)(A) If the Secretary determines that a
                                                Veterans Health Care and Benefits Improve-              parency and Effective Accountability Meas-
                                                                                                                                                               veteran receiving services under the program
                                                                                                        ures for Veteran Caregivers Act’’ or the
                                                ment Act, includes my bill helping get more             ‘‘TEAM Veteran Caregivers Act’’.
                                                                                                                                                               established under paragraph (1) is no longer
                                                funding for operations and maintenance to lo-                                                                  eligible for such program solely because of
                                                                                                        SEC. 2. MODIFICATION OF ADMINISTRATION OF
                                                cally-run, veterans cemeteries nationwide.                         CAREGIVER PROGRAMS OF DEPART-               improvement in the condition of the vet-
                                                   My legislation, H.R. 5487, increases the                        MENT OF VETERANS AFFAIRS.                   eran—
                                                amount the VA can grant for this purpose                  (a) FORMAL RECOGNITION OF CAREGIVERS.—                 ‘‘(i) the effective date of discharge of the
                                                                                                          (1) REPORT.—                                         veteran from the program shall be not ear-
                                                each year from $5 million to $10 million. As                                                                   lier than the date that is 60 days after the
                                                more veterans choose to be buried close to                (A) IN GENERAL.—Not later than 60 days
                                                                                                        after the date of the enactment of this Act,           date on which the Secretary provides notice
                                                their home, more states, territories, and tribal                                                               of such lack of eligibility under paragraph
                                                                                                        the Secretary shall submit to the Committee
                                                governments are applying for funding from the           on Veterans’ Affairs of the Senate and the             (12)(A) to the relevant individuals described
                                                VA to help cover the costs of operating and             Committee on Veterans’ Affairs of the House            in paragraph (12)(C); and
                                                maintaining local veterans cemeteries.                  of Representatives a report regarding the                ‘‘(ii) the Secretary shall extend benefits
                                                   And, while the list of applications grows, the       feasibility and advisability of formally rec-          under the program established under para-
                                                amount the Department can award has not.                ognizing all caregivers of veterans by identi-         graph (1) for a family caregiver of the vet-
                                                Under current law, no more than $5 million              fying any caregiver of a veteran in the elec-          eran described in paragraph (12)(C)(iii), in-
                                                                                                        tronic health record of the veteran.                   cluding       stipends     under       paragraph
                                                can be awarded per year to meet the needs                                                                      (3)(A)(ii)(V), if such an extension is deter-
                                                of over 100 cemeteries.                                   (B) CAREGIVERS RECOGNIZED.—The recogni-
                                                                                                        tion of caregivers described in subparagraph           mined appropriate by the Secretary, for a 90-
                                                   H.R. 5487, the Veterans Cemetery Grants                                                                     day period following discharge of the veteran
                                                                                                        (A) shall include recognition of —
                                                Improvement Act updates that authorization by             (i) any family caregiver who is approved as          from the program.
                                                a modest $5 million. The Act will help veteran          a provider of personal care services for an el-          ‘‘(B) This paragraph shall not be construed
                                                cemeteries in every state, territory, and tribal        igible veteran under the program of com-               to limit the authority of the Secretary—
                                                nation, remain the dignified and well-main-             prehensive assistance for family caregivers              ‘‘(i) to prescribe regulations addressing
                                                tained resting places our veterans deserve.             under subsection (a) of section 1720G of title         other bases for—
                                                   I know in my own district, the Northern Mar-         38, United States Code; and                              ‘‘(I) the discharge of a veteran from the
                                                                                                          (ii) any caregiver of a covered veteran par-         program established under paragraph (1); or
                                                iana Islands, the veterans cemetery, built with
                                                                                                        ticipating in the program of general care-               ‘‘(II) the revocation of the designation of a
                                                federal funds, faces challenges in this respect.                                                               family caregiver of a veteran as a primary
                                                                                                        giver support services under subsection (b) of
                                                Veterans’ families have come to me for help                                                                    provider of personal care services under
                                                                                                        such section.
                                                and this bill responds.                                   (C) TIMELINE.—If the Secretary determines            paragraph (7)(A); or
                                                   I know my co-sponsor, Representative                 that formally recognizing all caregivers of              ‘‘(ii) to provide advance notice and ex-
                                                STEIL, shares this concern for the Southern             veterans as described in subparagraph (A) is           tended benefits under the program, as appro-
                                                Wisconsin Veterans Memorial Cemetery in his             feasible and advisable, the report required by         priate, if another basis for discharge of a vet-
                                                district, as do other Members for the ceme-             such subparagraph shall include a timeline             eran described in subclause (I) of clause (i) or
                                                teries that serve their constituents.                   for implementing such recognition.                     revocation of a designation described in sub-
                                                   And I know the members of this House are               (2) IMPLEMENTATION.—If the Secretary de-             clause (II) of such clause applies.’’.




rfrederick on DSKBCBPHB2PROD with HOUSE
                                                committed to honoring our nation’s veterans             termines that formally recognizing all care-             The SPEAKER pro tempore. Pursu-
                                                and their families, who have sacrificed so              givers of veterans as described in paragraph           ant to the rule, the gentleman from
                                                                                                        (1)(A) is feasible and advisable, the Secretary        California (Mr. TAKANO) and the gen-
                                                much to ensure our country remains safe and
                                                                                                        shall implement such recognition in accord-
                                                free.                                                   ance with the timeline included in the report
                                                                                                                                                               tleman from Tennessee (Mr. DAVID P.
                                                   I thank Chairman TAKANO and Senator                  required by such paragraph.                            ROE) each will control 20 minutes.
                                                TESTER for all their support to include into H.R.         (b) NOTIFICATIONS, EXTENSION OF BENEFITS,              The Chair recognizes the gentleman
                                                7105 this important measure.                            AND DISCHARGE FROM FAMILY CAREGIVER                    from California.



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