Amendments to SA 5051 to H.R. 3967, Page S2835 — Congressional Record, Senate, June 7, 2022
Summary
Congressional Record, Senate, page S2835, dated June 7, 2022. The page prints amendments intended to be proposed to the bill H.R. 3967, to improve health care and benefits for veterans exposed to toxic substances, and for other purposes, each ordered to lie on the table. SA 5055, submitted by Johnson to amendment SA 5051 submitted by Tester (for himself and Moran), adds a section offsetting costs by rescinding $270,000,000,000 of unobligated balances under the American Rescue Plan Act of 2021. SA 5056 and SA 5057, submitted by Sanders to the same amendment, add dental care provisions for veterans, including a requirement of a Department of Veterans Affairs dental clinic in each State by September 30, 2024, and a pilot program to furnish dental care in the same manner as any other medical service.
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“Amendments to SA 5051 to H.R. 3967, Page S2835 — Congressional Record, Senate, June 7, 2022.”
Original at www.govinfo.gov. Archived at Pandemic Darlings, https://pandemicdarlings.com/source-documents/crec-crec-2022-06-07-crec-2022-06-07-pt1-pgs2835-db13748a63/
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June 7, 2022 CONGRESSIONAL RECORD — SENATE S2835
him to the bill H.R. 3967, to improve (b) MEDICAL SERVICES DEFINED.—In this program shall be at the election of the vet-
health care and benefits for veterans section, the term ‘‘medical services’’ has the eran.
exposed to toxic substances, and for meaning given that term in section 1701(6) of (f) ADMINISTRATION.—
title 38, United States Code (1) NOTICE TO COVERED VETERANS.—In car-
other purposes; which was ordered to SEC. 122. PILOT PROGRAM ON EXPANSION OF rying out the pilot program, the Secretary
lie on the table; as follows: FURNISHING BY DEPARTMENT OF shall inform all covered veterans of the serv-
At the appropriate place, insert the fol- VETERANS AFFAIRS OF DENTAL
ices and treatment available under the pilot
lowing: CARE TO CERTAIN ENROLLED VET-
ERANS. program.
(a) SHORT TITLE.—This section may be (2) COPAYMENTS.—The Secretary may col-
cited as the ‘‘Fair Care for Vietnam Veterans (a) IN GENERAL.—Commencing not later
than one year after the date of the enact- lect copayments for dental care furnished
Act’’. under the pilot program in accordance with
ment of this Act, the Secretary of Veterans
Affairs shall carry out a pilot program under authorities on the collection of copayments
SA 5055. Mr. JOHNSON submitted an
which the Secretary shall furnish dental care for medical care of veterans under chapter 17
amendment intended to be proposed to of title 38, United States Code.
to all covered veterans who are not eligible
amendment SA 5051 submitted by Mr. for dental services and treatment and related (3) CONTRACTS.—
TESTER (for himself and Mr. MORAN) dental appliances under the laws adminis- (A) IN GENERAL.—Subject to subparagraph
and intended to be proposed to the bill tered by the Secretary as of the date of the (C), in carrying out the pilot program, the
H.R. 3967, to improve health care and enactment of this Act. Secretary may enter into contracts with ap-
benefits for veterans exposed to toxic (b) DURATION.—The pilot program shall be propriate entities for the provision of dental
substances, and for other purposes; carried out during the two-year period begin- care under the pilot program.
ning on the date of the commencement of (B) PERFORMANCE STANDARDS AND
which was ordered to lie on the table; the pilot program. METRICS.—Each contract entered into under
as follows: (c) LOCATIONS.— subparagraph (A) shall specify performance
At the end, add the following: (1) IN GENERAL.—The Secretary shall carry standards and metrics and processes for en-
TITLE XI—OTHER MATTERS out the pilot program at the following loca- suring compliance of the contractor con-
SEC. 1101. OFFSET OF COSTS USING UNOBLI- tions: cerned with such performance standards.
GATED FUNDS FROM THE AMERICAN (A) Each medical center of the Department (C) LIMITATION.—The Secretary may only
RESCUE PLAN ACT OF 2021. with an established dental clinic. enter into contracts under subparagraph (A)
Effective on the date of the enactment of (B) Not fewer than four military medical if the Secretary determines that the Depart-
this Act, of the unobligated balances made treatment facilities of the Department of ment does not employ, and cannot recruit
available under the American Rescue Plan Defense with the capacity to furnish dental and retain, qualified dentists, dental hygien-
Act of 2021 (Public Law 117–2; 135 Stat. 4), or care, which shall be selected in consultation ists, and oral surgeons in the applicable loca-
an amendment made by such Act, there is re- with the Secretary of Defense. tion.
scinded, on a pro rata basis, $270,000,000,000. (C) Not fewer than four community-based (g) REPORTS.—
outpatient clinics with space available for (1) IN GENERAL.—Not later than 90 days be-
SA 5056. Mr. SANDERS submitted an the furnishing of dental care under the pilot fore the completion of the pilot program, and
amendment intended to be proposed to program. not later than 180 days after the completion
amendment SA 5051 submitted by Mr. (D) Not fewer than four Federally Qualified of the pilot program, the Secretary shall
Health Centers.
TESTER (for himself and Mr. MORAN) submit to the Committee on Veterans’ Af-
(E) Not fewer than four facilities of the In-
and intended to be proposed to the bill fairs and the Committee on Armed Services
dian Health Service with established dental
H.R. 3967, to improve health care and of the Senate and the Committee on Vet-
clinics, which shall be selected in consulta-
benefits for veterans exposed to toxic erans’ Affairs and the Committee on Armed
tion with the Secretary of Health and
Services of the House of Representatives a
substances, and for other purposes; Human Services.
report on the pilot program.
which was ordered to lie on the table; (2) CONSIDERATIONS.—In selecting locations
(2) CONTENTS.—Each report under para-
as follows: for the pilot program, the Secretary shall
graph (1) shall include the following:
consider the feasibility and advisability of
At the end of title I, add the following: (A) A description of the implementation
selecting locations in each of the following:
Subtitle C—Other Health Care Matters (A) Rural areas. and operation of the pilot program.
SEC. 121. REQUIREMENT OF DENTAL CLINIC OF (B) Areas that are not in close proximity (B) The number of covered veterans receiv-
DEPARTMENT OF VETERANS AF- to an active duty military installation. ing dental care under the pilot program and
FAIRS IN EACH STATE.
(C) Areas representing different geographic a description of the dental care furnished to
The Secretary of Veterans Affairs shall en- locations, such as census tracts established such veterans.
sure that each State has a dental clinic of by the Bureau of the Census. (C) An analysis of the costs and benefits of
the Department of Veterans Affairs to serv- (3) MOBILE DENTAL CLINICS.—In carrying the pilot program, including a comparison of
ice the needs of the veterans within that out the pilot program, the Secretary shall costs and benefits by location type.
State by not later than September 30, 2024. test the efficacy of mobile dental clinics to (D) An assessment of the impact of the
service rural areas that do not have a popu- pilot program on appointments for care, pre-
SA 5057. Mr. SANDERS submitted an lation base to warrant a full-time clinic but scriptions, hospitalizations, emergency room
amendment intended to be proposed to where there are covered veterans in need of visits, wellness, employability, and satisfac-
amendment SA 5051 submitted by Mr. dental care. tion of patients, and perceived quality of life
TESTER (for himself and Mr. MORAN) (4) HOME BASED DENTAL CARE.—In carrying of covered veterans.
and intended to be proposed to the bill out the pilot program, the Secretary shall (E) An analysis and assessment of the effi-
test the efficacy of portable dental care units cacy of mobile clinics and home based dental
H.R. 3967, to improve health care and care to service the dental needs of covered
benefits for veterans exposed to toxic to service rural veteran in their homes, as
the Secretary considers medically appro- veterans under the pilot program.
substances, and for other purposes; (F) An analysis and assessment of the effi-
priate.
which was ordered to lie on the table; (d) SERVICES.— cacy of dental therapists and tele-dentistry
as follows: (1) SCOPE.—The dental care furnished to to service the dental needs of covered vet-
At the end of title I, add the following: covered veterans under the pilot program erans under the pilot program, to include a
Subtitle C—Expansion of Dental Care for shall be consistent with the dental services cost benefit analysis of such services.
Veterans and treatment furnished by the Secretary to (G) The findings and conclusions of the
veterans with service-connected disabilities Secretary with respect to the pilot program.
SEC. 121. PILOT PROGRAM TO FURNISH DENTAL
CARE FROM THE DEPARTMENT OF rated 100 percent disabling under the laws (H) A comparison of the costs for private
VETERANS AFFAIRS IN THE SAME administered by the Secretary. sector dental care with cost of furnishing
MANNER AS ANY OTHER MEDICAL (2) DENTAL THERAPISTS AND TELE-DEN- dental care from the Department, broken
SERVICE. TISTRY.— down by each locality included in the pilot
(a) IN GENERAL.—Commencing not later (A) IN GENERAL.—In carrying out the pilot program.
than one year after the date of the enact- program, The Secretary shall test the effi- (I) Such recommendations as the Secretary
ment of this Act, the Secretary of Veterans considers appropriate for the expansion of
SSpencer on DSK126QN23PROD with SENATE
cacy of the use of dental therapists and tele-
Affairs shall carry out a pilot program to as- dentistry to service the dental care needs of dental care to all veterans eligible for health
sess the feasibility and advisability of fur- covered veterans. care from the Department.
nishing dental care in the same manner as (B) USE OF TELE-DENTISTRY.—When pro- (h) DEFINITIONS.—In this section:
medical services furnished by the Depart- viding tele-dentistry under subparagraph (1) COVERED VETERAN.—The term ‘‘covered
ment, notwithstanding the limitations on (A), the Secretary shall use Federal employ- veteran’’ means a veteran enrolled in the
the provision of dental care under sections ees to the maximum extent possible. system of annual patient enrollment of the
1710(c) and 1712 of title 38, United States (e) VOLUNTARY PARTICIPATION.—The par- Department of Veterans Affairs established
Code. ticipation of a covered veteran in the pilot and operated under section 1705(a) of title 38,
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