I 

114TH CONGRESS 

1ST SESSION H. R. 3849 

To amend title 10, United States Code, to ensure access to qualified 

acupuncturist services for military members and military dependents, 

to amend title 38, United States Code, to ensure access to acupuncturist 

services through the Department of Veterans Affairs, to amend title 

XVIII of the Social Security Act to provide for coverage of qualified 

acupuncturist services under the Medicare program; to amend the Public 

Health Service Act to authorize the appointment of qualified 

acupuncturists as officers in the commissioned Regular Corps and the 

Ready Reserve Corps of the Public Health Service, and for other purposes. 

IN THE HOUSE OF REPRESENTATIVES 

OCTOBER 28, 2015 

Ms. JUDY CHU of California introduced the following bill; which was referred 

to the Committee on Energy and Commerce, and in addition to the Committees on Armed Services, Veterans’ Affairs, and Ways and Means, for 

a period to be subsequently determined by the Speaker, in each case for 

consideration of such provisions as fall within the jurisdiction of the committee concerned 

A BILL 

To amend title 10, United States Code, to ensure access 

to qualified acupuncturist services for military members 

and military dependents, to amend title 38, United 

States Code, to ensure access to acupuncturist services 

through the Department of Veterans Affairs, to amend 

title XVIII of the Social Security Act to provide for 

coverage of qualified acupuncturist services under the 

Medicare program; to amend the Public Health Service 

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Act to authorize the appointment of qualified 

acupuncturists as officers in the commissioned Regular 

Corps and the Ready Reserve Corps of the Public Health 

Service, 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 ‘‘Acupuncture for Heroes and Seniors Act of 2015’’. 

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

7 this Act is as follows: 

Sec. 1. Short title; table of contents. 

Sec. 2. Definitions. 

Sec. 3. Inclusion of acupuncture services through military health care system 

and TRICARE program. 

Sec. 4. Acupuncture health services for TRICARE program beneficiaries. 

Sec. 5. Appointment of acupuncturists as commissioned officers. 

Sec. 6. Inclusion of acupuncturist services at veterans health facilities. 

Sec. 7. Coverage for acupuncturist services under the Medicare program. 

Sec. 8. Acupuncturists in the Regular Corps and the Ready Reserve Corps of 

the Public Health Service. 

8 SEC. 2. DEFINITIONS. 

9 In this Act, except as otherwise provided: 

10 (1) The term ‘‘qualified acupuncturist services’’ 

11 means— 

12 (A) acupuncturist services— 

13 (i) that are furnished by a qualified 

14 acupuncturist; and 

15 (ii) which the qualified acupuncturist 

16 is legally authorized to perform under 

17 State law; and 

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1 (B) services and supplies that are fur2 nished by a qualified acupuncturist incident to 

3 the services described in subparagraph (A). 

4 (2) The term ‘‘qualified acupuncturist’’ means 

5 an individual who is licensed or certified as an 

6 acupuncturist by a State or, in the case of an indi7 vidual in a State that does not provide for such li8 censure or certification, meets such criteria (such as 

9 accreditation through an appropriate nationally rec10 ognized certification authority for acupuncturists) as 

11 the Secretary of Health and Human Services may 

12 specify. In specifying such requirements, the Sec13 retary may use the same requirements as those es14 tablished by such a certification authority. 

15 (3) The term ‘‘State’’ means the 50 States, the 

16 District of Columbia, Puerto Rico, the United States 

17 Virgin Islands, Guam, American Samoa, and the 

18 Northern Mariana Islands. 

19 SEC. 3. INCLUSION OF ACUPUNCTURE SERVICES THROUGH 

20 MILITARY HEALTH CARE SYSTEM AND 

21 TRICARE PROGRAM. 

22 (a) MEMBERS OF THE UNIFORMED SERVICES.— 

23 (1) IN GENERAL.—Chapter 55 of title 10, 

24 United States Code, is amended by inserting after 

25 section 1074m the following new section: 

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1 ‘‘§ 1074n. Provision of acupuncturist services 

2 ‘‘In accordance with section 1074(c) of this title, and 

3 under regulations prescribed by the Secretary, members 

4 of the uniformed services entitled to medical care under 

5 section 1074 shall be entitled to qualified acupuncturist 

6 services (without the requirement of a referral) provided 

7 in a military medical treatment facility or a private facility 

8 by an acupuncturist who is licensed or certified in the 

9 State in which the facility is located, or, in the case of 

10 a facility in a State that does not provide for such licen11 sure or certification, meets such criteria (such as accredi12 tation through an appropriate nationally recognized cer13 tification authority for acupuncturists) as the Secretary 

14 may specify. In specifying such requirements, the Sec15 retary may use the same requirements as those established 

16 by such a certification authority.’’. 

17 (2) CLERICAL AMENDMENT.—The table of sec18 tions at the beginning of such chapter is amended 

19 by inserting after the item relating to section 1074m 

20 the following new item: 

‘‘1074n. Provision of acupuncturist services.’’. 

21 (b) TRICARE PROGRAM.—Section 1079(a) of title 

22 10, United States Code, is amended— 

23 (1) in paragraph (13), by inserting ‘‘or para24 graph (18)’’ after ‘‘except as authorized in para25 graph (4)’’; and 

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

2 paragraph: 

3 ‘‘(18) Acupuncturist services may be provided 

4 without the requirement of a referral if performed 

5 by an acupuncturist who is licensed or certified in 

6 the State in which the services are furnished, or, in 

7 the case of services furnished in a State that does 

8 not provide for such licensure or certification, meets 

9 such criteria (such as accreditation through an ap10 propriate nationally recognized certification author11 ity for acupuncturists) as the Secretary may specify. 

12 In specifying such requirements, the Secretary may 

13 use the same requirements as those established by 

14 such a certification authority.’’. 

15 (c) EFFECTIVE DATE.—The amendments made by 

16 this section shall take effect on the date that is 180 days 

17 after the date of the enactment of this Act. 

18 SEC. 4. ACUPUNCTURE HEALTH SERVICES FOR TRICARE 

19 PROGRAM BENEFICIARIES. 

20 (a) PLAN REQUIRED.—Not later than 90 days after 

21 the date of the enactment of this Act, the Secretary of 

22 Defense shall develop a plan to provide qualified 

23 acupuncturist services, as a permanent part of the 

24 TRICARE program pursuant to the amendments made by 

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1 section 3, for covered beneficiaries (as defined in section 

2 1072 of title 10, United States Code). 

3 (b) CONTENTS OF PLAN.—The plan shall require 

4 that a contract entered into under section 1097 of title 

5 10, United States Code, for the delivery of health care 

6 services shall— 

7 (1) include the delivery of qualified 

8 acupuncturist services; 

9 (2) require that qualified acupuncturist services 

10 may be provided only by a qualified acupuncturist; 

11 and 

12 (3) provide clarity on the process that a covered 

13 beneficiary must use to select and have direct access 

14 to a qualified acupuncturist (without the require15 ment of a referral). 

16 (c) IMPLEMENTATION OF PLAN.—The plan developed 

17 under subsection (a) shall provide for implementation of 

18 the plan to begin not later than 270 days after the date 

19 of enactment of this Act. 

20 (d) SUBMISSION.—The Secretary shall submit to 

21 Congress the plan developed under subsection (a). 

22 SEC. 5. APPOINTMENT OF ACUPUNCTURISTS AS COMMIS23 SIONED OFFICERS IN THE ARMED FORCES. 

24 (a) ARMY.—Section 3068 of title 10, United States 

25 Code, is amended— 

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1 (1) by inserting ‘‘(a) MEDICAL SERVICE

2 CORPS.—’’ before ‘‘There is’’; 

3 (2) in paragraph (5)— 

4 (A) in subparagraph (D), by striking 

5 ‘‘and’’; 

6 (B) by redesignating subparagraph (E) as 

7 subparagraph (F); and 

8 (C) by inserting after subparagraph (D) 

9 the following new subparagraph: 

10 ‘‘(E) the Acupuncture Section; and’’; and 

11 (3) by adding at the end the following new sub12 section: 

13 ‘‘(b) APPOINTMENT OF ACUPUNCTURISTS.— 

14 Acupuncturists who are qualified under regulations pre15 scribed by the Secretary of the Army may be appointed 

16 as commissioned officers in the Acupuncture Section of 

17 the Medical Service Corps of the Army. Such regulations 

18 shall require such acupuncturists to be licensed or certified 

19 in the State in which the services are furnished, or, in 

20 the case of services furnished in a State that does not pro21 vide for such licensure or certification, meets such criteria 

22 (such as accreditation through an appropriate nationally 

23 recognized certification authority for acupuncturists) as 

24 the Secretary of the Army may specify. In specifying such 

25 requirements, the Secretary may use the same requiremstockstill on DSK4VPTVN1PROD with BILLS

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1 ments as those established by such a certification author2 ity.’’. 

3 (b) NAVY.— 

4 (1) IN GENERAL.—Chapter 513 of such title is 

5 amended by inserting after section 5139 the fol6 lowing new section: 

7 ‘‘§ 5140. Appointment of acupuncturists in the Med8 ical Service Corps 

9 ‘‘Acupuncturists who are qualified under regulations 

10 prescribed by the Secretary of the Navy may be appointed 

11 as commissioned officers in the Medical Service Corps of 

12 the Navy. Such regulations shall require such 

13 acupuncturists to be licensed or certified in the State in 

14 which the services are furnished, or, in the case of services 

15 furnished in a State that does not provide for such licen16 sure or certification, meets such criteria (such as accredi17 tation through an appropriate nationally recognized cer18 tification authority for acupuncturists) as the Secretary 

19 of the Navy may specify. In specifying such requirements, 

20 the Secretary may use the same requirements as those es21 tablished by such a certification authority.’’. 

22 (2) CLERICAL AMENDMENT.—The table of sec23 tions at the beginning of such chapter is amended 

24 by inserting after the item relating to section 5139 

25 the following new item: 

‘‘5140. Appointment of acupuncturists in the Medical Service Corps.’’. 

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1 (c) AIR FORCE.—Section 8067(f) of such title is 

2 amended— 

3 (1) by striking ‘‘physician assistant functions 

4 and chiropractic functions’’ and inserting ‘‘physician 

5 assistant functions, chiropractic functions, and 

6 acupuncturist functions’’; and 

7 (2) by adding at the end the following new sen8 tence: ‘‘Biomedical service officers may be referred 

9 to as the specific career designation, including chiro10 practic services officer and acupuncturist services of11 ficer.’’. 

12 (d) REGULATIONS.—The regulations required to be 

13 prescribed by the amendments made by this section shall 

14 be prescribed not later than 120 days after the date of 

15 the enactment of this Act. 

16 SEC. 6. INCLUSION OF ACUPUNCTURIST SERVICES AT VET17 ERANS HEALTH FACILITIES. 

18 (a) ACUPUNCTURIST SERVICES.— 

19 (1) IN GENERAL.—Subchapter II of chapter 17 

20 of title 38, United States Code, is amended by add21 ing at the end the following new section: 

22 ‘‘§ 1720H. Provision of acupuncturist services 

23 ‘‘(a) IN GENERAL.—The Secretary shall carry out a 

24 program to provide acupuncturist services to veterans en25 rolled in the health care system established under section 

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1 1705(a) of this title (without the requirement of a refer2 ral). 

3 ‘‘(b) LOCATIONS.—The program under subsection (a) 

4 shall be carried out at in at least one facility of the De5 partment in each Veterans Integrated Service Network. In 

6 selecting such facilities, the Secretary shall ensure that the 

7 program is carried out in both urban and rural areas. 

8 ‘‘(c) SERVICES AVAILABLE.—The Secretary shall en9 sure that the acupuncturist services available under the 

10 program are able to address, at a minimum, the following: 

11 ‘‘(1) Chronic and acute pain. 

12 ‘‘(2) Cancer pain. 

13 ‘‘(3) Postoperative nausea and vomiting. 

14 ‘‘(4) Postsurgical gastroparesis syndrome. 

15 ‘‘(5) Opioid-induced constipation. 

16 ‘‘(6) Opioid-induced pruritus. 

17 ‘‘(7) Chemotherapy-induced neuropathy. 

18 ‘‘(8) Aromatase inhibitor-associated joint pain. 

19 ‘‘(9) Neck dissection-related pain and dysfunc20 tion. 

21 ‘‘(10) Stress management. 

22 ‘‘(11) Mental health conditions. 

23 ‘‘(12) Substance abuse. 

24 ‘‘(13) Symptoms relating to traumatic brain in25 jury and post-traumatic stress. 

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1 ‘‘(d) ADMINISTRATION.—(1) The Secretary shall 

2 carry out the program through— 

3 ‘‘(A) qualified acupuncturists appointed as em4 ployees of the Department located at medical centers 

5 and clinics of the Department; and 

6 ‘‘(B) through contract qualified acupuncturists 

7 if— 

8 ‘‘(i) the Secretary is unable to make ap9 pointments described in subparagraph (A); 

10 ‘‘(ii) a patient requires specialty care that 

11 an employee under such subparagraph is not 

12 able to provide to the patient; or 

13 ‘‘(iii) there is an emergency that requires 

14 the use of such a contract acupuncturist. 

15 ‘‘(2) The Secretary shall provide training and mate16 rials to health care providers of the Department who pro17 vide primary care to veterans to explain the benefits of 

18 acupuncturist services. 

19 ‘‘(3) In this section, the term ‘qualified 

20 acupuncturist’ means, with respect to the furnishing of 

21 services in a State, an individual who licensed or certified 

22 in the State in which the services are furnished, or, in 

23 the case of services furnished in a State that does not pro24 vide for such licensure or certification, meets such criteria 

25 (such as accreditation through an appropriate nationally 

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1 recognized certification authority for acupuncturists) as 

2 the Secretary may specify. In specifying such require3 ments, the Secretary may use the same requirements as 

4 those established by such a certification authority. 

5 ‘‘(e) REGULATIONS.—The Secretary shall prescribe 

6 regulations to carry out this section.’’. 

7 (2) CLERICAL AMENDMENT.—The table of sec8 tions at the beginning of such chapter is amended 

9 by inserting after the item relating to section 1720G 

10 the following new section: 

‘‘1720H. Provision of acupuncturist services.’’. 

11 (3) CONFORMING AMENDMENT.—Section 

12 1701(6) of such title is amended by adding at the 

13 end the following new subparagraph: 

14 ‘‘(H) Acupuncturist services in accordance 

15 with section 1720H of this title.’’. 

16 (b) ADVISORY COMMITTEE.— 

17 (1) IN GENERAL.—Subchapter III of chapter 5 

18 of such title is amended by adding at the end the 

19 following new section: 

20 ‘‘§ 547. Advisory committee on acupuncturist services 

21 ‘‘(a) ACUPUNCTURE ADVISORY COMMITTEE.—(1) 

22 The Secretary shall establish an advisory committee to be 

23 known as the ‘Advisory Committee on Acupuncturist Serv24 ices’ (in this section referred to as the ‘Committee’) to 

25 provide the Secretary with assistance and advice in the 

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1 development and implementation of the program estab2 lished by section 1720H of this title. 

3 ‘‘(2) The Committee shall consist of members ap4 pointed by the Secretary from the general public, includ5 ing— 

6 ‘‘(A) not fewer than five practicing 

7 acupuncturists, of which at least four shall be State 

8 licensed acupuncturists; 

9 ‘‘(B) one veteran from each of the Armed 

10 Forces; 

11 ‘‘(C) not fewer than two representatives from 

12 veterans service organizations; and 

13 ‘‘(D) a representative of the Department of De14 fense. 

15 ‘‘(b) DUTIES.—The Committee shall— 

16 ‘‘(1) review and evaluate the ability of a veteran 

17 to access an acupuncturist at facilities of the De18 partment; 

19 ‘‘(2) advise the Secretary with respect to— 

20 ‘‘(A) protocols governing direct access to 

21 acupuncture care; 

22 ‘‘(B) protocols governing the scope of prac23 tice of acupuncture practitioners; 

24 ‘‘(C) the definitions of services to be pro25 vided by acupuncturists; and 

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1 ‘‘(D) such other matters the Secretary de2 termines appropriate; and 

3 ‘‘(3) upon the determination of the Secretary 

4 that the program of acupuncturist services under 

5 section 1720H of this title has been fully imple6 mented, submit to the Secretary a report containing 

7 the evaluation of the Committee of the implementa8 tion of such program. 

9 ‘‘(c) CHAIRMAN.—The Secretary shall designate one 

10 member of the Committee to serve as the chairman of the 

11 Committee. 

12 ‘‘(d) MEETINGS.—The Committee shall meet at the 

13 call of the Chairman, but not fewer than three times dur14 ing each fiscal year, beginning in the fiscal year following 

15 the fiscal year in which this section is enacted. 

16 ‘‘(e) REPORT.—Following the date on which the 

17 Committee submits to the Secretary the report under sub18 section (b)(4), the Secretary shall submit to the Commit19 tees on Veterans’ Affairs of the Senate and the House of 

20 Representatives a report containing the following: 

21 ‘‘(1) A copy of the Committee report, together 

22 with the comments of the Secretary on the report. 

23 ‘‘(2) An explanation of the criteria and ration24 ale that the Secretary used to determine that the 

25 program of acupuncturist services under section 

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1 1720H of this title was fully implemented, as de2 scribed in such subsection (b)(4). 

3 ‘‘(3) The views of the Secretary regarding the 

4 future implementation of such program.’’. 

5 (2) CLERICAL AMENDMENT.—The table of sec6 tions at the beginning of such chapter is amended 

7 by inserting after the item relating to section 546 

8 the following new item: 

‘‘547. Advisory committee on acupuncturist services.’’. 

9 (c) CONFORMING AMENDMENTS.— 

10 (1) AUTHORITY FOR APPOINTMENTS.—Section 

11 7401(1) of title 38, United States Code, is amended 

12 by inserting ‘‘acupuncturists,’’ after ‘‘chiroprac13 tors,’’. 

14 (2) PERIOD OF APPOINTMENTS.—Section 7403 

15 of such title is amended by adding at the end the 

16 following new subparagraph: 

17 ‘‘(I) Acupuncturists.’’. 

18 (3) PAY.— 

19 (A) SCALE.—Section 7404 of such title is 

20 amended— 

21 (i) in subsection (a)(2), by inserting 

22 ‘‘, acupuncturists,’’ after ‘‘physicians’’; and 

23 (ii) in the list in subsection (b), by in24 serting ‘‘, ACUPUNCTURIST,’’ after 

25 ‘‘PHYSICIAN’’. 

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1 (B) TREATMENT.—Section 7431 of title 

2 38, United States Code, is amended by adding 

3 at the end the following new subsection: 

4 ‘‘(i) TREATMENT OF ACUPUNCTURISTS.—For pur5 poses of this subchapter, an acupuncturist is deemed to 

6 be a physician.’’. 

7 (4) MALPRACTICE AND NEGLIGENCE SUITS.— 

8 Section 7316(a)(2) of such title is amended by in9 serting ‘‘acupuncturist,’’ after ‘‘chiropractor,’’. 

10 (5) HOURS AND CONDITIONS.—Section 7421(b) 

11 of such title is amended by adding at the end the 

12 following new paragraph: 

13 ‘‘(9) Acupuncturists.’’. 

14 (6) EFFECTIVE DATE.—The amendments made 

15 by paragraph (4) apply with respect to services pro16 vided on or after the date that is 270 days after the 

17 date of enactment of this Act. 

18 SEC. 7. COVERAGE FOR ACUPUNCTURIST SERVICES UNDER 

19 THE MEDICARE PROGRAM. 

20 (a) IN GENERAL.—Section 1861 of the Social Secu21 rity Act (42 U.S.C. 1395x) is amended— 

22 (1) in subsection (s)(2)— 

23 (A) by striking ‘‘and’’ at the end of sub24 paragraph (EE); 

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1 (B) by adding ‘‘and’’ at the end of sub2 paragraph (FF); and 

3 (C) by adding at the end the following new 

4 subparagraph: 

5 ‘‘(GG) qualified acupuncturist services (as de6 fined in subsection (iii)(1));’’; and 

7 (2) by adding at the end the following new sub8 section: 

9 ‘‘Qualified Acupuncturist Services 

10 ‘‘(iii)(1) The term ‘qualified acupuncturist services’ 

11 means such services furnished by a qualified acupuncturist 

12 (as defined in paragraph (2)), and such services and sup13 plies furnished as an incident to services furnished by the 

14 qualified acupuncturist, as the qualified acupuncturist is 

15 legally authorized to perform under State law. 

16 ‘‘(2) The term ‘qualified acupuncturist’ has the 

17 meaning given such term in section 2 of the Acupuncture 

18 for Heroes and Seniors Act of 2015.’’. 

19 (b) PAYMENT RULES.— 

20 (1) PAYMENT UNDER PHYSICIAN FEE SCHED21 ULE.—Section 1848(j)(3) of the Social Security Act 

22 (42 U.S.C. 1395w–4(j)(3)) is amended by inserting 

23 ‘‘(2)(GG),’’ before ‘‘(3),’’. 

24 (2) SEPARATE PAYMENT FOR SERVICES OF IN25 STITUTIONAL PROVIDERS.—Section 1833(a)(2)(B) 

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1 of the Social Security Act (42 U.S.C. 

2 1395l(a)(2)(B)) is amended— 

3 (A) in clause (i), by inserting ‘‘and in the 

4 case of qualified acupuncturist services,’’ after 

5 ‘‘1999,’’; 

6 (B) in clause (ii), by inserting ‘‘or in the 

7 case of qualified acupuncturist services,’’ after 

8 ‘‘1999,’’; and 

9 (C) in clause (iii), by inserting ‘‘(other 

10 than qualified acupuncturist services)’’ after 

11 ‘‘such services’’. 

12 (3) QUALIFIED ACUPUNCTURIST TREATMENT

13 AS A PRACTITIONER.—Section 1842(b)(18)(C) of the 

14 Social Security Act (42 U.S.C. 1395u(b)(18)(C)) is 

15 amended by adding at the end the following new 

16 clause: 

17 ‘‘(vii) A qualified acupuncturist (as defined in 

18 section 1861(iii)(2)).’’. 

19 (4) SEPARATE BILLING FOR ACUPUNCTURIST

20 SERVICES FURNISHED IN AN INPATIENT HOSPITAL

21 SETTING.—Section 1861(b)(4) of the Social Security 

22 Act (42 U.S.C. 1395x(b)(4)) is amended by insert23 ing ‘‘qualified acupuncturist services,’’ after ‘‘quali24 fied psychologist services,’’. 

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1 (c) EFFECTIVE DATE.—The amendments made by 

2 this section apply with respect to services furnished on or 

3 after the date that is 270 days after the date of enactment 

4 of this Act. 

5 SEC. 8. ACUPUNCTURISTS IN THE REGULAR CORPS AND 

6 THE READY RESERVE CORPS OF THE PUBLIC 

7 HEALTH SERVICE. 

8 (a) AUTHORIZATION OF APPOINTMENT.—Section 

9 207 of the Public Health Service Act (42 U.S.C. 209) is 

10 amended— 

11 (1) in subsection (a)(1), by inserting ‘‘acupunc12 ture,’’ after ‘‘nursing,’’; and 

13 (2) by adding at the end the following: 

14 ‘‘(j) APPOINTMENT OF QUALIFIED

15 ACUPUNCTURISTS.— 

16 ‘‘(1) ELIGIBILITY.—Acupuncturists shall be eli17 gible for appointment as officers in the commis18 sioned Regular Corps and the Ready Reserve Corps 

19 of the Public Health Service. 

20 ‘‘(2) QUALIFICATION; TRAINING, EQUIPMENT, 

21 AND PREPARATION.—The Secretary shall ensure 

22 that acupuncturists in the commissioned Regular 

23 Corps and in the Ready Reserve Corps— 

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1 ‘‘(A) are qualified acupuncturists (as de2 fined in section 2 of the Acupuncture for He3 roes and Seniors Act of 2015); and 

4 ‘‘(B) are trained, equipped, and otherwise 

5 prepared to fulfill applicable public health and 

6 emergency response service responsibilities in 

7 the Commissioned Corps.’’. 

8 (b) REQUIRED PLACEMENT.— 

9 (1) IN GENERAL.—Not later than 90 days after 

10 the date of enactment of this Act, the Secretary of 

11 Health and Human Services shall ensure the ap12 pointment of no fewer than 6 acupuncturists into 

13 the commissioned Regular Corps and the Ready Re14 serve Corps of the Public Health Service. 

15 (2) REPORTS.—Not later than 120 days after 

16 the date of enactment of this Act, and quarterly 

17 thereafter, the Surgeon General of the Public Health 

18 Service shall submit to the Committee on Energy 

19 and Commerce of the House of Representatives and 

20 the Committee on Health, Education, Labor, and 

21 Pensions of the Senate a report on all measures 

22 taken by the President, the Surgeon General, and 

23 the Secretary of Health and Human Services to 

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1 carry out the provisions of this section, including the 

2 amendments made by this section. 

Æ 

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