S. 112 

One Hundred Eighteenth Congress 

of the 

United States of America 

AT THE FIRST SESSION 

Begun and held at the City of Washington on Tuesday, 

the third day of January, two thousand and twenty three 

An Act 

To amend title 38, United States Code, to strengthen benefits for children of Vietnam 

veterans born with spina bifida, and for other purposes. 

Be it enacted by the Senate and House of Representatives of 

the United States of America in Congress assembled, 

SECTION 1. BENEFITS FOR CERTAIN CHILDREN OF VIETNAM VETERANS AND CERTAIN OTHER VETERANS. 

(a) DEFINITIONS.—Section 1831 of title 38, United States Code, 

is amended— 

(1) by redesignating paragraphs (2) and (3) as paragraphs 

(4) and (5), respectively; and 

(2) by inserting after paragraph (1) the following new paragraphs: 

‘‘(2) The term ‘covered child’ means a child who is eligible 

for health care and benefits under this chapter. 

‘‘(3) The term ‘covered veteran’ means an individual whose 

children are eligible for health care and benefits under this 

chapter.’’. 

(b) IN GENERAL.—Subchapter IV of chapter 18 of title 38, 

United States Code, is amended by adding at the end the following 

new sections: 

‘‘§ 1835. Advisory council 

‘‘(a) IN GENERAL.—The Secretary shall establish an advisory 

council on health care and benefits for covered children. 

‘‘(b) MEMBERSHIP.—The advisory council established under subsection (a) shall be composed of Federal employees. 

‘‘(c) DUTIES.—The advisory council established under subsection 

(a) shall solicit feedback from covered children and covered veterans 

on the health care and benefits provided under this chapter and 

communicate such feedback to the Secretary. 

‘‘§ 1836. Care and coordination teams 

‘‘(a) IN GENERAL.—The Secretary shall establish care and 

coordination teams for covered children. 

‘‘(b) OUTREACH.—A care and coordination team established 

under subsection (a) shall attempt to contact each covered child— 

‘‘(1) not less frequently than once every 180 days, to ensure 

the continued care of the child and assist with any changes 

in care needed due to a changed situation of the child; and 

‘‘(2) as soon as practicable after the identification of a 

condition listed in the report required by subsection (c). 
S. 112—2 

‘‘(c) REPORT.—Not later than 180 days after the date of the 

enactment of this section, the Secretary shall submit to the Committee on Veterans’ Affairs of the Senate and the Committee on 

Veterans’ Affairs of the House of Representatives a report setting 

forth a list of conditions that will trigger outreach to covered children under subsection (b)(2). 

‘‘§ 1837. Duration of health care and benefits provided 

‘‘The Secretary shall provide a covered child with health care 

and benefits under this chapter— 

‘‘(1) for the duration of the life of the child; and 

‘‘(2) notwithstanding any death of a parent of the child 

that precedes the death of the child. 

‘‘§ 1838. Biennial report 

‘‘Not less frequently than once every two years, the Secretary 

shall submit to Congress a report setting forth the following: 

‘‘(1) The number of covered children receiving health care 

or benefits under this chapter as of the date on which the 

report is submitted. 

‘‘(2) The number of covered children for which the Department is paying for or providing a social worker as of such 

date. 

‘‘(3) Metrics on outreach conducted under section 1836(b) 

of this title.’’. 

(c) MEMORANDUM OF UNDERSTANDING.—Not later than 90 days 

after the date of the enactment of this Act, the Under Secretary 

for Benefits of the Department of Veterans Affairs and the Under 

Secretary for Health of the Department shall enter into a memorandum of understanding— 

(1) to better assist covered children (as defined in section 

1831 of title 38, United States Code, as amended by subsection 

(a)); and 

(2) to establish conditions to be included in the report 

required by section 1836(c) of title 38, United States Code, 

as added by subsection (b). 

(d) IMPLEMENTATION.— (1) ADVISORY COUNCIL.—Not later than 270 days after the 

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

Affairs shall establish the advisory council required under section 1835 of title 38, United States Code, as added by subsection 

(b). 

(2) CARE AND COORDINATION TEAMS.—Not later than one 

year after the date of the enactment of this Act, the Secretary 

of Veterans Affairs shall establish the care and coordination 

teams required under section 1836 of such title, as added 

by subsection (b). 
S. 112—3 

(e) CLERICAL AMENDMENT.—The table of sections at the beginning of chapter 18 of title 38, United States Code, is amended 

by adding at the end the following new items: 

‘‘1835. Advisory council. 

‘‘1836. Care and coordination teams. 

‘‘1837. Duration of health care and benefits provided. 

‘‘1838. Biennial report.’’. 

Speaker of the House of Representatives. 

Vice President of the United States and

President of the Senate.