II 

118TH CONGRESS 

2D SESSION S. 4423 

To amend title 38, United States Code, to improve the provision of direct 

housing loans and medical care from the Department of Veterans Affairs 

for Native Hawaiians. 

IN THE SENATE OF THE UNITED STATES 

MAY 23, 2024 

Ms. HIRONO (for herself and Mr. SCHATZ) introduced the following bill; which 

was read twice and referred to the Committee on Veterans’ Affairs 

A BILL 

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

provision of direct housing loans and medical care from 

the Department of Veterans Affairs for Native Hawaiians. 

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. 

4 This Act may be cited as the ‘‘Parity for Native Ha5 waiian Veterans Act of 2024’’. 


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1 SEC. 2. MODIFICATION TO PROGRAM FOR DIRECT HOUS2 ING LOANS MADE TO NATIVE AMERICAN VET3 ERANS BY THE SECRETARY OF VETERANS AF4 FAIRS. 

5 Section 3765(3)(B) of title 38, United States Code, 

6 is amended by striking ‘‘as that term’’ and all that follows 

7 through ‘‘42 Stat. 108)’’ and inserting ‘‘as defined in sec8 tion 801 of the Native American Housing Assistance and 

9 Self-Determination Act of 1996 (25 U.S.C. 4221)’’. 

10 SEC. 3. IMPROVEMENT OF PROVISION OF MEDICAL CARE 

11 FROM DEPARTMENT OF VETERANS AFFAIRS 

12 FOR NATIVE HAWAIIANS. 

13 (a) REIMBURSEMENT OF COSTS OF CERTAIN CARE

14 PROVIDED THROUGH NATIVE HAWAIIAN HEALTH CARE

15 SYSTEM.— 

16 (1) IN GENERAL.—Subchapter I of chapter 17 

17 of title 38, United States Code, is amended by in18 serting after section 1703F the following new sec19 tion: 

20 ‘‘§ 1703G. Reimbursement of costs of certain care pro21 vided through Native Hawaiian health 

22 care system 

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

24 Native Hawaiian health care system for the costs of care 

25 or services provided through such system to veterans eligi26 ble for such care or services under the laws administered 


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1 by the Secretary, regardless of whether such care or serv2 ices are provided directly through such system, through 

3 purchased or referred care, or through a contract for trav4 el. 

5 ‘‘(b) NATIVE HAWAIIAN HEALTH CARE SYSTEM DE6 FINED.—The term ‘Native Hawaiian health care system’ 

7 has the meaning given that term in section 12 of the Na8 tive Hawaiian Health Care Improvement Act (42 U.S.C. 

9 11711).’’. 

10 (2) CLERICAL AMENDMENT.—The table of sec11 tions at the beginning of such chapter is amended 

12 by inserting after the item relating to section 1703F 

13 the following new item: 

‘‘1703G. Reimbursement of costs of certain care provided through Native Hawaiian health care system.’’. 

14 (b) EXEMPTION FROM COST SHARING.—Section 

15 1730A(b) of such title is amended— 

16 (1) in paragraph (1), by striking ‘‘; or’’ and in17 serting a semicolon; 

18 (2) in paragraph (2), by striking the period at 

19 the end and inserting ‘‘; or’’; and 

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

21 paragraph: 


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1 ‘‘(3) is a Native Hawaiian (as defined in section 

2 12 of the Native Hawaiian Health Care Improve3 ment Act (42 U.S.C. 11711)).’’. 

Æ 


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