II 

116TH CONGRESS 

1ST SESSION S. 514 

To amend title 38, United States Code, to improve the benefits and services 

provided by the Department of Veterans Affairs to women veterans, 

and for other purposes. 

IN THE SENATE OF THE UNITED STATES 

FEBRUARY 14, 2019 

Mr. TESTER (for himself, Mr. BOOZMAN, Mrs. CAPITO, Mrs. BLACKBURN, Ms. 

STABENOW, Mr. SCHATZ, Ms. SINEMA, Ms. WARREN, Mr. MENENDEZ, 

Ms. HASSAN, Mr. REED, Mr. WHITEHOUSE, Ms. BALDWIN, Ms. 

DUCKWORTH, Mr. BLUMENTHAL, Mrs. SHAHEEN, Mrs. MURRAY, Ms. 

CORTEZ MASTO, Mr. VAN HOLLEN, Ms. HARRIS, Mrs. GILLIBRAND, Mr. 

MERKLEY, Mr. BOOKER, Mr. CASEY, Mr. BROWN, Mr. PETERS, and Mrs. 

FEINSTEIN) introduced the following bill; which was read twice and referred to the Committee on Veterans’ Affairs 

A BILL 

To amend title 38, United States Code, to improve the 

benefits and services provided by the Department of Veterans Affairs to women veterans, and for other purposes. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE; TABLE OF CONTENTS. 

4 (a) SHORT TITLE.—This Act may be cited as the 

5 ‘‘Deborah Sampson Act’’. 


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1 (b) TABLE OF CONTENTS.—The table of contents for 

2 this Act is as follows: 

Sec. 1. Short title; table of contents. 

TITLE I—READJUSTMENT AND RELATED ASSISTANCE 

Sec. 101. Provision of reintegration and readjustment services to veterans and 

family members in group retreat settings. 

Sec. 102. Expansion of capabilities of Women Veterans Call Center to include 

text messaging. 

TITLE II—LEGAL AND SUPPORTIVE SERVICES 

Sec. 201. Department of Veterans Affairs public-private partnership on legal 

services for women veterans. 

Sec. 202. Additional amount for Supportive Services for Veteran Families grant 

program to support organizations that have a focus on providing assistance to women veterans and their families. 

Sec. 203. Gap analysis of Department of Veterans Affairs programs that provide assistance to women veterans who are homeless. 

TITLE III—NEWBORN CARE 

Sec. 301. Extension of period of eligibility for care for newborn children from 

the Department of Veterans Affairs. 

TITLE IV—ELIMINATING BARRIERS TO ACCESS 

Sec. 401. Women Veterans Retrofit Initiative. 

Sec. 402. Staffing of women’s health primary care providers at medical facilities of the Department of Veterans Affairs. 

Sec. 403. Additional funding for primary care and emergency care clinicians in 

Women Veterans Health Care Mini-Residency Program. 

Sec. 404. Establishment of women veteran training module for non-Department 

of Veterans Affairs health care providers. 

Sec. 405. Study on staffing of Women Veteran Program Manager program at 

medical centers of the Department of Veterans Affairs and 

training of staff. 

TITLE V—DATA COLLECTION AND REPORTING 

Sec. 501. Requirement for collection and analysis of data on Department of 

Veterans Affairs benefits and services and disaggregation of 

such data by sex and minority status. 

Sec. 502. Report on availability of prosthetics for women veterans from the Department of Veterans Affairs. 

Sec. 503. Requirement for Department of Veterans Affairs internet website to 

provide information on services available to women veterans. 

Sec. 504. Report on locations where women veterans are using health care from 

Department of Veterans Affairs. 

Sec. 505. Report on models of medical facilities of Department of Veterans Affairs for the treatment of women. 

Sec. 506. Report on staffing of Department of Veterans relating to the treatment of women. 


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1 TITLE I—READJUSTMENT AND 

2 RELATED ASSISTANCE 

3 SEC. 101. PROVISION OF REINTEGRATION AND READJUST4 MENT SERVICES TO VETERANS AND FAMILY 

5 MEMBERS IN GROUP RETREAT SETTINGS. 

6 (a) IN GENERAL.—Section 1712A of title 38, United 

7 States Code, is amended— 

8 (1) in subsection (a)(1)(B)— 

9 (A) in clause (ii), by redesignating sub10 clauses (I) and (II) as items (aa) and (bb); 

11 (B) by redesignating clauses (i) and (ii) as 

12 subclauses (I) and (II); 

13 (C) in the matter preceding subclause (I), 

14 as redesignated by subparagraph (B), by strik15 ing ‘‘Counseling’’ and inserting ‘‘(i) Coun16 seling’’; and 

17 (D) by adding at the end the following new 

18 clause: 

19 ‘‘(ii)(I) Except as provided in subclause (IV), coun20 seling furnished to an individual under subparagraph (A) 

21 may include reintegration and readjustment services de22 scribed in subclause (II) furnished in group retreat set23 tings. 

24 ‘‘(II) Reintegration and readjustment services de25 scribed in this subclause are the following: 


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1 ‘‘(aa) Information on reintegration of the indi2 vidual into family, employment, and community. 

3 ‘‘(bb) Financial counseling. 

4 ‘‘(cc) Occupational counseling. 

5 ‘‘(dd) Information and counseling on stress re6 duction. 

7 ‘‘(ee) Information and counseling on conflict 

8 resolution. 

9 ‘‘(ff) Such other information and counseling as 

10 the Secretary considers appropriate to assist the in11 dividual in reintegration into family, employment, 

12 and community. 

13 ‘‘(III) In furnishing reintegration and readjustment 

14 services under subclause (I), the Secretary shall offer 

15 women the opportunity to receive such services in group 

16 retreat settings in which the only participants are women. 

17 ‘‘(IV) An individual referred to in subparagraph 

18 (C)(v) may receive reintegration and readjustment services 

19 under subclause (I) only if the individual receives such 

20 services with a family member described in subclause (I) 

21 or (II) of such subparagraph.’’. 

22 (b) REQUEST FOR SERVICES.—Subsection (a)(2) of 

23 such section is amended— 

24 (1) by striking ‘‘Upon’’ and inserting ‘‘(A) 

25 Upon’’; 


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1 (2) by striking ‘‘paragraph (1)(B)’’ and insert2 ing ‘‘paragraph (1)(B)(i)’’; and 

3 (3) by adding at the end the following new sub4 paragraph: 

5 ‘‘(B) Upon the request of an individual described in 

6 paragraph (1)(C), the Secretary shall furnish the indi7 vidual reintegration and readjustment services in group 

8 retreat settings under paragraph (1)(B)(ii).’’. 

9 SEC. 102. EXPANSION OF CAPABILITIES OF WOMEN VET10 ERANS CALL CENTER TO INCLUDE TEXT MES11 SAGING. 

12 The Secretary of Veterans Affairs shall expand the 

13 capabilities of the Women Veterans Call Center of the De14 partment of Veterans Affairs to include a text messaging 

15 capability. 

16 TITLE II—LEGAL AND 

17 SUPPORTIVE SERVICES 

18 SEC. 201. DEPARTMENT OF VETERANS AFFAIRS PUBLIC19 PRIVATE PARTNERSHIP ON LEGAL SERVICES 

20 FOR WOMEN VETERANS. 

21 (a) PARTNERSHIP REQUIRED.—The Secretary of 

22 Veterans Affairs shall establish a partnership with at least 

23 one nongovernmental organization to provide legal services 

24 to women veterans. 


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1 (b) FOCUS.—The focus of the partnership established 

2 under subsection (a) shall be on the 10 highest unmet 

3 needs of women veterans as set forth in the most recently 

4 completed Community Homelessness Assessment, Local 

5 Education and Networking Groups for Veterans 

6 (CHALENG for Veterans) survey. 

7 SEC. 202. ADDITIONAL AMOUNT FOR SUPPORTIVE SERV8 ICES FOR VETERAN FAMILIES GRANT PRO9 GRAM TO SUPPORT ORGANIZATIONS THAT 

10 HAVE A FOCUS ON PROVIDING ASSISTANCE 

11 TO WOMEN VETERANS AND THEIR FAMILIES. 

12 Section 2044(e) of title 38, United States Code, is 

13 amended— 

14 (1) in paragraph (1), by adding at the end the 

15 following new subparagraph: 

16 ‘‘(F) $400,000,000 for each of fiscal years 

17 2020 through 2022.’’; and 

18 (2) by adding at the end the following new 

19 paragraph: 

20 ‘‘(4) Not less than $20,000,000 shall be available 

21 under paragraph (1)(H) for the provision of financial as22 sistance under subsection (a) to organizations that have 

23 a focus on providing assistance to women veterans and 

24 their families.’’. 


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1 SEC. 203. GAP ANALYSIS OF DEPARTMENT OF VETERANS 

2 AFFAIRS PROGRAMS THAT PROVIDE ASSIST3 ANCE TO WOMEN VETERANS WHO ARE HOME4 LESS. 

5 (a) IN GENERAL.—The Secretary of Veterans Affairs 

6 shall complete an analysis of programs of the Department 

7 of Veterans Affairs that provide assistance to women vet8 erans who are homeless or precariously housed to identify 

9 the areas in which such programs are failing to meet the 

10 needs of such women. 

11 (b) REPORT.—Not later than 270 days after the date 

12 of the enactment of this Act, the Secretary shall submit 

13 to the Committee on Veterans’ Affairs of the Senate and 

14 the Committee on Veterans’ Affairs of the House of Rep15 resentatives a report on the analysis completed under sub16 section (a). 

17 TITLE III—NEWBORN CARE 

18 SEC. 301. EXTENSION OF PERIOD OF ELIGIBILITY FOR 

19 CARE FOR NEWBORN CHILDREN FROM THE 

20 DEPARTMENT OF VETERANS AFFAIRS. 

21 Section 1786(a) of title 38, United States Code, is 

22 amended, in the matter preceding paragraph (1), by strik23 ing ‘‘seven days’’ and inserting ‘‘14 days’’. 


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1 TITLE IV—ELIMINATING 

2 BARRIERS TO ACCESS 

3 SEC. 401. WOMEN VETERANS RETROFIT INITIATIVE. 

4 (a) IN GENERAL.—The Secretary of Veterans Affairs 

5 shall retrofit existing medical facilities of the Department 

6 of Veterans Affairs with fixtures, materials, and other out7 fitting measures to support the provision of care to women 

8 veterans at such facilities. 

9 (b) PLAN.—Not later than 180 days after the date 

10 of the enactment of this Act, the Secretary shall submit 

11 to the Committee on Veterans’ Affairs of the Senate and 

12 the Committee on Veterans’ Affairs of the House of Rep13 resentatives a plan to address deficiencies in environment 

14 of care for women veterans at medical facilities of the De15 partment. 

16 (c) AUTHORIZATION OF APPROPRIATIONS.—There is 

17 authorized to be appropriated to the Secretary 

18 $20,000,000 to carry out subsection (a) in addition to 

19 amounts otherwise made available to the Secretary for the 

20 purposes set forth in such subsection. 

21 SEC. 402. STAFFING OF WOMEN’S HEALTH PRIMARY CARE 

22 PROVIDERS AT MEDICAL FACILITIES OF THE 

23 DEPARTMENT OF VETERANS AFFAIRS. 

24 The Secretary of Veterans Affairs shall ensure that 

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1 fairs has not fewer than one full-time or part-time wom2 en’s health primary care provider whose duties include, to 

3 the extent possible, providing training to other health care 

4 providers of the Department on the needs of women vet5 erans. 

6 SEC. 403. ADDITIONAL FUNDING FOR PRIMARY CARE AND 

7 EMERGENCY CARE CLINICIANS IN WOMEN 

8 VETERANS HEALTH CARE MINI-RESIDENCY 

9 PROGRAM. 

10 (a) IN GENERAL.—There is authorized to be appro11 priated to the Secretary of Veterans Affairs $1,000,000 

12 for each fiscal year for the Women Veterans Health Care 

13 Mini-Residency Program of the Department of Veterans 

14 Affairs to provide opportunities for participation in such 

15 program for primary care and emergency care clinicians. 

16 (b) TREATMENT OF AMOUNTS.—The amounts au17 thorized to be appropriated under subsection (a) shall be 

18 in addition to amounts otherwise made available to the 

19 Secretary for the purposes set forth in such subsection. 

20 SEC. 404. ESTABLISHMENT OF WOMEN VETERAN TRAINING 

21 MODULE FOR NON-DEPARTMENT OF VET22 ERANS AFFAIRS HEALTH CARE PROVIDERS. 

23 (a) IN GENERAL.—Not later than one year after the 

24 date of the enactment of this Act, the Secretary of Vet25 erans Affairs shall establish and make available to commuVerDate Sep 11 2014 04:01 Feb 23, 2019 Jkt 089200 PO 00000 Frm 00009 Fmt 6652 Sfmt 6201 E:\BILLS\S514.IS S514

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1 nity providers a training module that is specific to women 

2 veterans. 

3 (b) COMMUNITY PROVIDER DEFINED.—In this sec4 tion, the term ‘‘community provider’’ means a non-Depart5 ment of Veterans Affairs health care provider who pro6 vides health care to veterans under the laws administered 

7 by the Secretary of Veterans Affairs. 

8 SEC. 405. STUDY ON STAFFING OF WOMEN VETERAN PRO9 GRAM MANAGER PROGRAM AT MEDICAL 

10 CENTERS OF THE DEPARTMENT OF VET11 ERANS AFFAIRS AND TRAINING OF STAFF. 

12 (a) STUDY.—The Secretary of Veterans Affairs shall 

13 conduct a study on the use of the Women Veteran Pro14 gram Manager program of the Department of Veterans 

15 Affairs to determine— 

16 (1) if the program is appropriately staffed at 

17 each medical center of the Department; 

18 (2) whether each medical center of the Depart19 ment is staffed with a Women Veteran Program 

20 Manager; and 

21 (3) whether it would be feasible and advisable 

22 to have a Women Veteran Program Ombudsman at 

23 each medical center of the Department. 

24 (b) REPORT.—Not later than 270 days after the date 

25 of the enactment of this Act, the Secretary shall submit 


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1 to the Committee on Veterans’ Affairs of the Senate and 

2 the Committee on Veterans’ Affairs of the House of Rep3 resentatives a report on the study conducted under sub4 section (a). 

5 (c) TRAINING.—The Secretary shall ensure that all 

6 Women Veteran Program Managers and Women Veteran 

7 Program Ombudsmen receive the proper training to carry 

8 out their duties. 

9 TITLE V—DATA COLLECTION 

10 AND REPORTING 

11 SEC. 501. REQUIREMENT FOR COLLECTION AND ANALYSIS 

12 OF DATA ON DEPARTMENT OF VETERANS AF13 FAIRS BENEFITS AND SERVICES AND DISAG14 GREGATION OF SUCH DATA BY SEX AND MI15 NORITY STATUS. 

16 The Secretary of Veterans Affairs shall— 

17 (1) collect and analyze data on each program of 

18 the Department of Veterans Affairs that provides a 

19 service or benefit to a veteran, including the pro20 gram carried out under section 1144 of title 10, 

21 United States Code; 

22 (2) disaggregate such data by sex and minority 

23 status, when the data lends itself to such disaggre24 gation; and 


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1 (3) publish the data collected and analyzed 

2 under paragraph (1), except for such cases in which 

3 the Secretary determines that some portions of the 

4 data would undermine the anonymity of a veteran. 

5 SEC. 502. REPORT ON AVAILABILITY OF PROSTHETICS FOR 

6 WOMEN VETERANS FROM THE DEPARTMENT 

7 OF VETERANS AFFAIRS. 

8 Not later than one year after the date of the enact9 ment of this Act, the Secretary of Veterans Affairs shall 

10 submit to the Committee on Veterans’ Affairs of the Sen11 ate and the Committee on Veterans’ Affairs of the House 

12 of Representatives a report on the availability from the 

13 Department of Veterans Affairs of prosthetics made for 

14 women veterans, including an assessment of the avail15 ability of such prosthetics at each medical facility of the 

16 Department. 

17 SEC. 503. REQUIREMENT FOR DEPARTMENT OF VETERANS 

18 AFFAIRS INTERNET WEBSITE TO PROVIDE IN19 FORMATION ON SERVICES AVAILABLE TO 

20 WOMEN VETERANS. 

21 (a) IN GENERAL.—The Secretary of Veterans Affairs 

22 shall survey the internet websites and information re23 sources of the Department of Veterans Affairs in effect 

24 on the day before the date of the enactment of this Act 

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1 ized source for the provision to women veterans of infor2 mation about the benefits and services available to them 

3 under laws administered by the Secretary. 

4 (b) ELEMENTS.—The internet website published 

5 under subsection (a) shall provide to women veterans in6 formation regarding all of the services available in the dis7 trict in which that the veteran is seeking such services, 

8 including, with respect to each medical center and commu9 nity-based outpatient clinic in the applicable Veterans In10 tegrated Service Network— 

11 (1) the name and contact information of each 

12 women’s health coordinator; 

13 (2) a list of appropriate staff for other benefits 

14 available from the Veterans Benefits Administration, 

15 the National Cemetery Administration, and such 

16 other entities as the Secretary considers appropriate; 

17 and 

18 (3) such other information as the Secretary 

19 considers appropriate. 

20 (c) UPDATED INFORMATION.—The Secretary shall 

21 ensure that the information described in subsection (b) 

22 that is published on the internet website required by sub23 section (a) is updated not less frequently than once every 

24 90 days. 


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1 (d) OUTREACH.—In carrying out this section, the 

2 Secretary shall ensure that the outreach conducted under 

3 section 1720F(i) of title 38, United States Code, includes 

4 information regarding the internet website required by 

5 subsection (a). 

6 (e) DERIVATION OF FUNDS.—Amounts used by the 

7 Secretary to carry out this section shall be derived from 

8 amounts made available to the Secretary to publish inter9 net websites of the Department. 

10 SEC. 504. REPORT ON LOCATIONS WHERE WOMEN VET11 ERANS ARE USING HEALTH CARE FROM DE12 PARTMENT OF VETERANS AFFAIRS. 

13 (a) IN GENERAL.—Not later than 90 days after the 

14 date of the enactment of this Act, and annually thereafter, 

15 the Secretary of Veterans Affairs shall submit to the Com16 mittee on Veterans’ Affairs of the Senate and the Com17 mittee on Veterans’ Affairs of the House of Representa18 tives a report on the use by women veterans of health care 

19 from the Department of Veterans Affairs. 

20 (b) ELEMENTS.—Each report required by subsection 

21 (a) shall include the following information: 

22 (1) The number of women veterans who reside 

23 in each State. 

24 (2) The number of women veterans in each 

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1 rollment of the Department established and operated 

2 under section 1705(a) of title 38, United States 

3 Code. 

4 (3) Of the women veterans who are so enrolled, 

5 the number who have received health care under the 

6 laws administered by the Secretary at least one time 

7 during the one-year period preceding the submittal 

8 of the report. 

9 (4) The number of women veterans who have 

10 been seen at each medical facility of the Department 

11 during such year. 

12 (5) The number of appointments that women 

13 veterans have had at each such facility during such 

14 year. 

15 (6) If known, an identification of the medical 

16 facility of the Department in each Veterans Inte17 grated Service Network with the largest rate of in18 crease in patient population of women veterans as 

19 measured by the increase in unique women veteran 

20 patient use. 

21 (7) If known, an identification of the medical 

22 facility of the Department in each Veterans Inte23 grated Service Network with the largest rate of de24 crease in patient population of women veterans as 


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1 measured by the decrease in unique women veterans 

2 patient use. 

3 SEC. 505. REPORT ON MODELS OF MEDICAL FACILITIES OF 

4 DEPARTMENT OF VETERANS AFFAIRS FOR 

5 THE TREATMENT OF WOMEN. 

6 (a) IN GENERAL.—Not later than 90 days after the 

7 date of the enactment of this Act, and annually thereafter, 

8 the Secretary of Veterans Affairs shall submit to the Com9 mittee on Veterans’ Affairs of the Senate and the Com10 mittee on Veterans’ Affairs of the House of Representa11 tives a report on the use by the Department of Veterans 

12 Affairs of general primary care clinics, separate but 

13 shared spaces, and women’s health centers as models of 

14 providing health care to women veterans. 

15 (b) ELEMENTS.—Each report required by subsection 

16 (a) shall include the following: 

17 (1) The number of facilities of the Department 

18 that fall into each model described in subsection (a), 

19 disaggregated by Veterans Integrated Service Net20 work and State. 

21 (2) A description of the criteria used by the De22 partment to determine which such model is most ap23 propriate for each facility of the Department. 


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1 (3) An assessment of how the Department de2 cides to make investments to upgrade facilities to 

3 the next higher-level model. 

4 (4) A description of what, if any, plans the De5 partment has to upgrade facilities from the lowest6 level model, general primary care clinics, to another 

7 model. 

8 (5) An assessment of whether any facilities 

9 could be upgraded to the next higher-level model 

10 within planned investments under the strategic cap11 ital investment planning process of the Department. 

12 (6) An assessment of whether any facilities 

13 could be upgraded to the next higher-level model 

14 with minor modifications to existing plans under the 

15 strategic capital investment planning process of the 

16 Department. 

17 (7) An assessment of whether the Department 

18 has a goal for how many facilities should fall into 

19 each such model. 

20 SEC. 506. REPORT ON STAFFING OF DEPARTMENT OF VET21 ERANS RELATING TO THE TREATMENT OF 

22 WOMEN. 

23 (a) IN GENERAL.—Not later than 90 days after the 

24 date of the enactment of this Act, and annually thereafter, 

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1 mittee on Veterans’ Affairs of the Senate and the Com2 mittee on Veterans’ Affairs of the House of Representa3 tives a report on the staffing of the Department of Vet4 erans Affairs relating to the treatment of women. 

5 (b) ELEMENTS.—Each report required by subsection 

6 (a) shall include the following, disaggregated by Veterans 

7 Integrated Service Network and State (except with respect 

8 to paragraph (4)): 

9 (1) The number of women’s health centers. 

10 (2) The number of patient aligned care teams 

11 of the Department relating to women’s health. 

12 (3) The number of full- and part-time gyne13 cologists of the Department. 

14 (4) The number of designated women’s health 

15 care providers of the Department, disaggregated by 

16 facility of the Department. 

17 (5) The number of health care providers of the 

18 Department who have completed a mini-residency 

19 for women’s health care through Women Veterans 

20 Health Care Mini-Residency Program of the Depart21 ment during the one-year period preceding the sub22 mittal of the report, and the number that plan to 

23 participate in such a mini-residency during the one24 year period following such date. 


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1 (6) The number of designated women’s health 

2 care providers of the Department who have suffi3 cient female patients to retain their competencies 

4 and proficiencies. 

Æ 


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