Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled,
SECTION 1. SHORT TITLE; TABLE OF CONTENTS.
(a) SHORT TITLE.—This Act may be cited as the
‘‘Disabled Veterans Service Dog and Health Care Im-
provement Act of 2001’’.
(b) TABLE OF CONTENTS.—The table of contents of
this Act is as follows:
Sec. 1. Short title; table of contents.
TITLE I—VETERANS HEALTH CARE IMPROVEMENT
Sec. 101. Authorization for Secretary of Veterans Affairs to provide service
dogs for disabled veterans.
Sec. 102. Maintenance of capacity for specialized treatment and rehabilitative
needs of disabled veterans.
Sec. 103. Threshold for veterans health care eligibility means test to reflect lo-
cality cost-of-living variations.
Sec. 104. Assessment and report on special telephone services for veterans.
Sec. 105. Recodification of bereavement counseling authority and certain other
health-related authorities.
Sec. 106. Extension of expiring collections authorities.
Sec. 107. Personal emergency response system for veterans with service-con-
nected disabilities.
TITLE II—CHIROPRACTIC SERVICES PROGRAM
Sec. 201. Chiropractic Service established in the Veterans Health Administra-
tion.
Sec. 202. Availability of chiropractic care to veterans.
Sec. 203. Chiropractic providers.
Sec. 204. Scope of services; enrollment.
Sec. 205. Training and information.
Sec. 206. Advisory committee.
Sec. 207. Implementation report.
TITLE III—NATIONAL COMMISSION ON VA NURSING
Sec. 301. Establishment of Commission.
Sec. 302. Duties of Commission.
Sec. 303. Reports.
Sec. 304. Powers.
Sec. 305. Personnel matters.
Sec. 306. Termination of the Commission.
TITLE I—VETERANS HEALTH
CARE IMPROVEMENT
SEC. 101. AUTHORIZATION FOR SECRETARY OF VETERANS
AFFAIRS TO PROVIDE SERVICE DOGS FOR
DISABLED VETERANS.
(a) AUTHORITY.—Section 1714 of title 38, United
States Code, is amended—
(1) in subsection (b)—
(A) by striking ‘‘seeing-eye or’’ the first
place it appears;
(B) by striking ‘‘who are entitled to dis-
ability compensation’’ and inserting ‘‘who are
enrolled under section 1705 of this title’’;
(C) by striking ‘‘, and may pay’’ and all
that follows through ‘‘such seeing-eye or guide
dogs’’; and
(D) by striking ‘‘handicap’’ and inserting
‘‘disability’’; and
(2) by adding at the end the following new sub-
sections:
‘‘(c) The Secretary may, in accordance with the pri-
ority specified in section 1705 of this title, provide—
‘‘(1) service dogs trained for the aid of the
hearing impaired to veterans who are hearing im-
paired and are enrolled under section 1705 of this
title; and
‘‘(2) service dogs trained for the aid of persons
with spinal cord injury or dysfunction or other
chronic impairment that substantially limits mobility
to veterans with such injury, dysfunction, or impair-
ment who are enrolled under section 1705 of this
title.
‘‘(d) In the case of a veteran provided a dog under
subsection (b) or (c), the Secretary may pay travel and
incidental expenses for that veteran under the terms and
conditions set forth in section 111 of this title to and from
the veteran’s home for expenses incurred in becoming ad-
justed to the dog.’’.
(b) CLERICAL AMENDMENTS.—
(1) The heading for such section is amended to
read as follows:
‘‘§ 1714. Fitting and training in use of prosthetic ap-
pliances; guide dogs; service dogs’’.
(2) The item relating to such section in the
table of sections at the beginning of chapter 17 of
such title is amended to read as follows:
‘‘1714. Fitting and training in use of prosthetic appliances; guide dogs; service
dogs.’’.
SEC. 102. MAINTENANCE OF CAPACITY FOR SPECIALIZED
TREATMENT AND REHABILITATIVE NEEDS OF
DISABLED VETERANS.
(a) MAINTENANCE OF CAPACITY ON A SERVICE-NET-
WORK BASIS.—Section 1706(b) of title 38, United States
Code, is amended—
(2) in paragraph (1)—
(A) in the first sentence, by inserting
‘‘(and each geographic service area of the Vet-
erans Health Administration)’’ after ‘‘ensure
that the Department’’; and
(B) in clause (B), by inserting ‘‘(and each
geographic service area of the Veterans Health
Administration)’’ after ‘‘overall capacity of the
Department’’; and
(2) by redesignating paragraphs (2) and (3) as
paragraphs (4) and (5), respectively;
(3) by inserting after paragraph (1) the fol-
lowing new paragraphs (2) and (3):
‘‘(2) For purposes of paragraph (1), the capacity of
the Department (and each geographic service area of the
Veterans Health Administration) to provide for the spe-
cialized treatment and rehabilitative needs of disabled vet-
erans (including veterans with spinal cord dysfunction,
traumatic brain injury, blindness, prosthetics and sensory
aids, and mental illness) within distinct programs or facili-
ties shall be measured for seriously mentally ill veterans
as follows (with all such data to be provided by geographic
service area and totaled nationally):
‘‘(A) For mental health intensive community-
based care, the number of discrete intensive care
teams constituted to provide such intensive services
to seriously mentally ill veterans and the number of
veterans provided such care.
‘‘(B) For opioid substitution programs and for
traumatic brain injury, the number of patients treat-
ed annually and the amounts expended.
‘‘(C) For dual-diagnosis patients, the number
treated annually and the amounts expended.
‘‘(D) For substance abuse programs—
‘‘(i) the number of substance-use disorder
beds (whether hospital, nursing home, or other
designated beds) employed and the average bed
occupancy of such beds;
‘‘(ii) the percentage of unique patients ad-
mitted directly to substance abuse outpatient
care during the fiscal year who had two or more
additional visits to specialized substance abuse
outpatient care within 30 days of their first
visit, with a comparison from 1996 until the
date of the report;
‘‘(iii) the percentage of unique inpatients
with substance abuse diagnoses treated during
the fiscal year who had one or more specialized
substance abuse clinic visits within three days
of their index discharge, with a comparison
from 1996 until the date of the report; and
‘‘(iv) the percentage of unique outpatients
seen in a facility or service network during the
fiscal year who had one or more specialized sub-
stance abuse clinic visits, with a comparison
from 1996 until the date of the report.
‘‘(E) For mental health programs, the number
and type of staff that are available at each facility
to provide specialized mental health treatment, in-
cluding satellite clinics, outpatient programs, and
community-based outpatient clinics, with a trend line
comparison from 1996 to the date of the report.
‘‘(F) The number of such clinics providing men-
tal health care, the number and type of mental
health staff at each such clinic, and the type of men-
tal health programs at each such clinic.
‘‘(3) For purposes of paragraph (1), the capacity of
the Department (and each geographic service area of the
Veterans Health Administration) to provide for the spe-
cialized treatment and rehabilitative needs of disabled vet-
erans within distinct programs or facilities shall be meas-
ured for veterans with spinal cord dysfunction, traumatic
brain injury, blindness, or prosthetics and sensory aids as
follows (with all such data to be provided by geographic
service area and totaled nationally):
‘‘(A) For spinal cord injury/dysfunction special-
ized centers and for blind rehabilitation specialized
centers, the number of staffed beds and the number
of full-time equivalent employees assigned to provide
care at such centers.
‘‘(B) For prosthetics and sensory aids, the an-
nual amount expended.’’.
(b) EXTENSION
OF ANNUAL REPORT REQUIRE-
MENT.—Paragraph (3) of such section, as so redesignated,
is amended—
(1) by striking ‘‘April 1, 1999, April 1, 2000,
and April 1, 2001’’ and inserting ‘‘April 1 of each
year through 2004’’; and
(2) by adding at the end the following new sen-
tence: ‘‘The accuracy of each such report shall be
certified by, or otherwise commented upon by, the
Inspector General of the Department.’’.
SEC. 103. THRESHOLD FOR VETERANS HEALTH CARE ELI-
GIBILITY MEANS TEST TO REFLECT LOCAL-
ITY COST-OF-LIVING VARIATIONS.
(a) REVISED THRESHOLD.—Subsection (b) of section
1722 of title 38, United States Code, is amended to read
as follows:
‘‘(b)(1) For purposes of subsection (a)(3), the income
threshold applicable to a veteran is the amount determined
under paragraph (2).
‘‘(2) The amount determined under this paragraph
for a veteran is the greater of the following:
‘‘(A) For any calendar year after 2000—
‘‘(i) in the case of a veteran with no de-
pendents, $23,688, as adjusted under sub-
section (c); or
‘‘(ii) in the case of a veteran with one or
more dependents, $28,429, as so adjusted, plus
$1,586, as so adjusted, for each dependent in
excess of one.
‘‘(B) The amount in effect under the HUD Low
Income Index that is applicable in the area in which
the veteran resides.
‘‘(3) For purposes of paragraph (2)(B), the term
‘HUD Low Income Index’ means the family income ceiling
amounts determined by the Secretary of Housing and
Urban Development under section 3(b)(2) of the United
States Housing Act of 1937 (42 U.S.C. 1437a(b)(2)) for
purposes of the determination of ‘low-income families’
under that section.’’.
(c) CONFORMING
AMENDMENT.—(1) Subsection
(a)(3) of such section is amended by striking ‘‘amount set
forth in’’ and inserting ‘‘income threshold determined
under’’.
(2) Subsection (c) of such section is amended by
striking ‘‘subsection (b)’’ and inserting ‘‘subsection
(b)(2)(A)’’.
(d) LIMITATION ON RESOURCE REALLOCATIONS.—
Within the amount appropriated to the Department of
Veterans Affairs for medical care for each of fiscal years
2002 through 2006. the amount that would otherwise be
allocated by the Secretary to any geographic service region
of the Veterans Health Administration in accordance with
the established resource allocation procedures of the De-
partment may not be increased or decreased by more than
5 percent by reason of the implementation of this section.
(e) EFFECTIVE DATE.—The amendments made by
this section shall take effect on April 1, 2002.
SEC. 104. ASSESSMENT AND REPORT ON SPECIAL TELE-
PHONE SERVICES FOR VETERANS.
(a) ASSESSMENT OF CURRENT SERVICES.—The Sec-
retary of Veterans Affairs shall carry out an assessment
of all special telephone services for veterans (such as
helplines and hotlines) provided by the Department of Vet-
erans Affairs. The assessment shall include the geo-
graphical coverage, availability, utilization, effectiveness,
management, coordination, staffing, and cost of those
services. As part of such assessment, the Secretary shall
conduct a survey of veterans to measure their satisfaction
with current special telephone services and the demand for
additional services.
(b) REPORT.—Not later than one year after the date
of the enactment of this Act, the Secretary shall submit
to Congress a report on the assessment carried out under
subsection (a). The Secretary shall include in the report
recommendations regarding any needed improvement to
such services and recommendations regarding contracting
for the performance of such services.
SEC. 105. RECODIFICATION OF BEREAVEMENT COUN-
SELING AUTHORITY AND CERTAIN OTHER
HEALTH-RELATED AUTHORITIES.
(a) STATUTORY REORGANIZATION.—Subchapter I of
chapter 17 of title 38, United States Code, is amended—
(1) in section 1701(6)—
(A) by striking subparagraph (B) and the
sentence following that subparagraph;
(B) by striking ‘‘services—’’ in the matter
preceding subparagraph (A) and inserting
‘‘services, the following:’’; and
(C) by striking subparagraph (A) and in-
serting the following:
‘‘(A) Surgical services.
‘‘(B) Dental services and appliances as de-
scribed in sections 1710 and 1712 of this title.
‘‘(C) Optometric and podiatric services.
‘‘(D) Preventive health services.
‘‘(E) In the case of a person otherwise receiving
care or services under this chapter—
‘‘(i) wheelchairs, artificial limbs, trusses,
and similar appliances;
‘‘(ii) special clothing made necessary by
the wearing of prosthetic appliances; and
‘‘(iii) such other supplies or services as the
Secretary determines to be reasonable and nec-
essary.
‘‘(F) Travel and incidental expenses pursuant
to section 111 of this title.’’; and
(2) in section 1707—
(A) by inserting ‘‘(a)’’ at the beginning of
the text of the section; and
(B) by adding at the end the following:
‘‘(b) The Secretary may furnish sensori-neural aids
only in accordance with guidelines prescribed by the Sec-
retary.’’.
(b) CONSOLIDATION OF PROVISIONS RELATING TO
PERSONS OTHER THAN VETERANS.—Such chapter is fur-
ther amended by adding at the end the following new sub-
chapter:
‘‘SUBCHAPTER VIII—HEALTH CARE OF
PERSONS OTHER THAN VETERANS
‘‘§ 1782. Counseling, training, and mental health serv-
ices for immediate family members
‘‘(a) COUNSELING FOR FAMILY MEMBERS OF VET-
ERANS RECEIVING SERVICE-CONNECTED TREATMENT.—
In the case of a veteran who is receiving treatment for
a service-connected disability pursuant to paragraph (1)
or (2) of section 1710(a) of this title, the Secretary shall
provide to individuals described in subsection (c) such con-
sultation, professional counseling, training, and mental
health services as are necessary in connection with that
treatment.
‘‘(b) COUNSELING FOR FAMILY MEMBERS OF VET-
ERANS RECEIVING NON-SERVICE-CONNECTED TREAT-
MENT.—In the case of a veteran who is eligible to receive
treatment for a non-service-connected disability under the
conditions described in paragraph (1), (2), or (3) of sec-
tion 1710(a) of this title, the Secretary may, in the discre-
tion of the Secretary, provide to individuals described in
subsection (c) such consultation, professional counseling,
training, and mental health services as are necessary in
connection with that treatment if—
‘‘(1) those services were initiated during the
veteran’s hospitalization; and
‘‘(2) the continued provision of those services
on an outpatient basis is essential to permit the dis-
charge of the veteran from the hospital.
‘‘(c) ELIGIBLE INDIVIDUALS.—Individuals who may
be provided services under this subsection are—
‘‘(1) the members of the immediate family or
the legal guardian of a veteran; or
‘‘(2) the individual in whose household such vet-
eran certifies an intention to live.
‘‘(d) TRAVEL
AND
TRANSPORTATION
AUTHOR-
IZED.—Services provided under subsections (a) and (b)
may include, under the terms and conditions set forth in
section 111 of this title, travel and incidental expenses of
individuals described in subsection (c) in the case of—
‘‘(1) a veteran who is receiving care for a serv-
ice-connected disability; and
‘‘(2) a dependent or survivor receiving care
under the last sentence of section 1783(b) of this
title.
‘‘§ 1783. Bereavement counseling
‘‘(a) DEATHS OF VETERANS.—In the case of an indi-
vidual who was a recipient of services under section 1782
of this title at the time of the death of the veteran, the
Secretary may provide bereavement counseling to that in-
dividual in the case of a death—
‘‘(1) that was unexpected; or
‘‘(2) that occurred while the veteran was par-
ticipating in a hospice program (or a similar pro-
gram) conducted by the Secretary.
‘‘(b) DEATHS IN ACTIVE SERVICE.—The Secretary
may provide bereavement counseling to an individual who
is a member of the immediate family of a member of the
Armed Forces who dies in the active military, naval, or
air service in the line of duty and under circumstances
not due to the person’s own misconduct.
‘‘(c) BEREAVEMENT COUNSELING DEFINED.—For
purposes of this section, the term ‘bereavement counseling’
means such counseling services, for a limited period, as
the Secretary determines to be reasonable and necessary
to assist an individual with the emotional and psycho-
logical stress accompanying the death of another indi-
vidual.
‘‘§ 1784. Humanitarian care
‘‘The Secretary may furnish hospital care or medical
services as a humanitarian service in emergency cases, but
the Secretary shall charge for such care and services at
rates prescribed by the Secretary.’’.
(c) TRANSFER
OF CHAMPVA SECTION.—Section
1713 of such title is—
(1) transferred to subchapter VIII of chapter
17 of such title, as added by subsection (b), and in-
serted after the subchapter heading;
(2) redesignated as section 1781; and
(3) amended by adding at the end of subsection
(b) the following new sentence: ‘‘A dependent or sur-
vivor receiving care under the preceding sentence
shall be eligible for the same medical services as a
veteran, including services under sections 1782 and
1783 of this title.’’.
(d) REPEAL OF RECODIFIED AUTHORITY.—Section
1711 of such title is amended by striking subsection (b).
(e) CROSS REFERENCE AMENDMENTS.—Such title is
further amended as follows:
(1) Section 103(d)(5)(B) is amended by strik-
ing ‘‘1713’’ and inserting ‘‘1781’’.
(2) Sections 1701(5) is amended by striking
‘‘1713(b)’’ in subparagraphs (B) and (C)(i) and in-
serting ‘‘1781(b)’’.
(3) Section 1712A(b) is amended—
(A) in the last sentence of paragraph (1),
by striking ‘‘section 1711(b)’’ and inserting
‘‘section 1784’’; and
(A) in paragraph (2), by striking ‘‘section
1701(6)(B)’’ and inserting ‘‘sections 1782 and
1783’’.
(4) Section 1729(f) is amended by striking
‘‘section 1711(b)’’ and inserting ‘‘section 1784’’.
(5) Section 1729A(b) is amended—
(A) by redesignating paragraph (7) as
paragraph (8); and
(B) by inserting after paragraph (6) the
following new paragraph (7):
‘‘(7) Section 1784 of this title.’’.
(6) Section 8111(g) is amended—
(A) in paragraph (4), by inserting ‘‘serv-
ices under sections 1782 and 1783 of this title’’
after ‘‘of this title,’’; and
(B) in paragraph (5), by striking ‘‘section
1711(b) or 1713’’ and inserting ‘‘section 1782,
1783, or 1784’’.
(7) Section 8111A(a)(2) is amended by insert-
ing ‘‘, and the term ‘medical services’ includes serv-
ices under sections 1782 and 1783 of this title’’ be-
fore the period at the end.
(8) Section 8152(1) is amended by inserting
‘‘services under sections 1782 and 1783 of this
title,’’ after ‘‘of this title),’’.
(9) Sections 8502(b), 8520(a), and 8521 are
amended by striking ‘‘the last sentence of section
1713(b)’’ and inserting ‘‘the penultimate sentence of
section 1781(b)’’.
(f) CLERICAL AMENDMENTS.—
(1) The table of sections at the beginning of
such chapter is amended—
(A) by striking the item relating to section
1707 and inserting the following:
‘‘1707. Limitations.’’;
(B) by striking the item relating to section
1713; and
(C) by adding at the end the following:
‘‘SUBCHAPTER VIII—HEALTH CARE OF PERSONS OTHER THAN VETERANS
‘‘1781. Medical care for survivors and dependents of certain veterans.
‘‘1782. Counseling, training, and mental health services for immediate family
members.
‘‘1783. Bereavement counseling.
‘‘1784. Humanitarian care.’’.
(2) The heading for section 1707 is amended to
read as follows:
‘‘§ 1707. Limitations’’.
SEC. 106. EXTENSION OF EXPIRING COLLECTIONS AU-
THORITIES.
(a) 
HEALTH
CARE
COPAYMENTS.—Section
1710(f)(2)(B) of title 38, United States Code, is amended
by striking ‘‘September 30, 2002’’ and inserting ‘‘Sep-
tember 30, 2007’’.
(b) MEDICAL
CARE
COST
RECOVERY.—Section
1729(a)(2)(E) of such title is amended by striking ‘‘Octo-
ber 1, 2002’’ and inserting ‘‘October 1, 2007’’.
SEC. 107. PERSONAL EMERGENCY RESPONSE SYSTEM FOR
VETERANS WITH SERVICE-CONNECTED DIS-
ABILITIES.
(a) EVALUATION
AND STUDY.—The Secretary of
Veterans Affairs shall carry out an evaluation and study
of the feasibility and desirability of providing a personal
emergency response system to veterans who have service-
connected disabilities. The evaluation and study shall be
commenced not later than 60 days after the date of the
enactment of this Act.
(b) REPORT.—Not later than 180 days after the date
of the enactment of this Act, the Secretary shall submit
to the Committees on Veterans’ Affairs of the Senate and
House of Representatives a report on the evaluation and
study under subsection (a). The Secretary shall include
in the report the Secretary’s findings resulting from the
(1) that can be activated by an individual who
is experiencing a medical emergency to notify appro-
priate emergency medical personnel that the indi-
vidual is experiencing a medical emergency; and
(2) that provides the individual’s location
through a Global Positioning System indicator.
TITLE II—CHIROPRACTIC
SERVICES
SEC. 201. CHIROPRACTIC SERVICE ESTABLISHED IN THE
VETERANS HEALTH ADMINISTRATION.
(a) NEW SERVICE IN VETERANS HEALTH ADMINIS-
TRATION.—Section 7305 of title 38, United States Code,
is amended—
(1) by redesignating paragraph (7) as para-
graph (8); and
(2) by inserting after paragraph (6) the fol-
lowing new paragraph (7):
‘‘(7) A Chiropractic Service.’’.
(b) DIRECTOR.—Section 7306(a) of such title—
(1) by redesignating paragraphs (7) through
(10) as paragraphs (8) through (11), respectively;
and
(2) by inserting after paragraph (6) the fol-
lowing new paragraph (7):
‘‘(7) A Director of Chiropractic Service, who
shall be a qualified doctor of chiropractic and who
shall be responsible to the Secretary for the oper-
ation of the Chiropractic Service.’’.
SEC. 202. AVAILABILITY OF CHIROPRACTIC CARE TO VET-
ERANS.
(a) ESTABLISHMENT.—The Secretary of Veterans
Affairs shall establish a program to provide chiropractic
care to veterans through all Department of Veterans Af-
fairs medical centers.
(b) IMPLEMENTATION.—The program under this sec-
tion shall be implemented at Department of Veterans Af-
fairs medical centers as follows:
(1) At not less than 30 medical centers by the
end of fiscal year 2002.
(2) At not less than 60 medical centers by the
end of fiscal year 2003,
(3) At not less than 90 medical centers by the
end of fiscal year 2004.
(4) At not less than 120 medical centers by the
end of fiscal year 2005.
(5) At all of the Department of Veterans Af-
fairs medical centers by the end of fiscal year 2006.
(c) INITIAL PARTICIPATING MEDICAL CENTERS.—
The initial 30 medical centers at which the program is
to be carried out shall be designated by the Secretary not
later than 60 days after the date of the enactment of this
Act. In designating those medical centers, the Secretary
shall select medical centers to reflect geographic diversity,
facilities of various size and capabilities, and the range
of services in the Department health care system.
SEC. 203. CHIROPRACTIC PROVIDERS.
The program under section 202 shall be carried out
through personal service contracts and with appointments
of licensed chiropractors for delivery of chiropractic serv-
ices at Department of Veterans Affairs medical centers.
SEC. 204. SCOPE OF SERVICES; ENROLLMENT.
(a) SCOPE OF SERVICES.—The chiropractic services
provided under section 202 shall include, at a minimum,
care for neuro-musculoskeletal conditions.
(b) ENROLLMENT.—A veteran enrolled under section
1705 of title 38, United States Code, may, as part of such
enrollment, choose a chiropractor as the veteran’s primary
care provider. A veteran with a primary care provider
other than a chiropractor may be referred to chiropractic
services for neuro-musculoskeletal conditions by a medical
provider.
SEC. 205. TRAINING AND INFORMATION.
(a) PRIMARY CARE TEAMS.—The Secretary shall
provide training and materials relating to chiropractic
services to members of Department health care providers
assigned to primary care teams for the purposes of famil-
iarizing those providers with the benefits of appropriate
use of chiropractic services.
(b) FUTURE PROGRAM SITES.—During the period
covered by section 202(b), the Secretary shall provide ma-
terials relating to chiropractic services to medical centers
and other health care facilities of the Department not yet
participating in the program in order to ensure that health
care providers at those facilities are aware of chiropractic
care as a future referral source.
(c) APPROVAL OF MATERIALS.—The Secretary may
approve materials to be furnished under subsections (a)
and (b) only after consulting with, and receiving the views
of, the advisory committee established under section 206.
SEC. 206. ADVISORY COMMITTEE.
(a) ESTABLISHMENT.—The Secretary shall establish
an advisory committee to review implementation of the
program under this title.
(b) MEMBERS.—In appointing the members of the
advisory committee, the Secretary shall include on the ad-
visory committee—
(1) members of the chiropractic profession;
(2) persons who are experts in human resources
appointments in the Federal service;
(3) persons with expertise in academic matters;
(4) persons with knowledge of credentialing and
the granting of professional privileging to health
care practitioners; and
(5) other persons as determined necessary by
the Secretary and the functional needs of the advi-
sory committee in establishing the chiropractic
health program.
(c) FUNCTIONS.—The advisory committee shall pro-
vide advice to the Secretary on—
(1) the granting of professional privileges for
chiropractors at Department medical centers;
(2) the scope of practice of chiropractors at De-
partment medical centers;
(3) training materials; and
(4) such other matters as are determined ap-
propriate by the Secretary.
SEC. 207. IMPLEMENTATION REPORT.
Not later than 18 months after the date of the enact-
ment of this Act, the Secretary shall submit to the Com-
mittees on Veterans Affairs of the Senate and House of
Representatives a report on the implementation of this
title.