TITLE IV—OTHER MATTERS 
SEC. 401. MEDAL OF HONOR SPECIAL PENSION FOR SUR-
VIVING SPOUSES. 
(a) CODIFICATION OF CURRENT RATE OF SPECIAL 
PENSION.—Subsection (a) of section 1562 of title 38, 
United States Code, is amended by striking ‘‘$1,000’’ and 
inserting ‘‘$1,388.68’’. 
(b) SPECIAL PENSION FOR SURVIVING SPOUSES.— 
(1) SURVIVING SPOUSE BENEFIT.—Such sub-
section is further amended— 
(A) by inserting ‘‘(1)’’ after ‘‘(a)’’; and 
(B) by adding at the end the following new 
paragraph: 
‘‘(2)(A) Except as provided in subparagraphs (B) 
and (C), the Secretary shall pay special pension under this 
section to the surviving spouse of a person whose name 
has been entered on the Army, Navy, Air Force, and Coast 
Guard Medal of Honor Roll and a copy of whose certificate 
has been delivered to the Secretary under section 1134a(d) 
of title 10. 
‘‘(B) No special pension shall be paid to a surviving 
spouse of a person under this section unless such surviving 
spouse was married to such person— 
‘‘(i) for one year or more prior to the veteran’s 
death; or 
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‘‘(ii) for any period of time if a child was born 
of the marriage, or was born to them before the 
marriage. 
‘‘(C) No special pension shall be paid to a surviving 
spouse of a person under this section if such surviving 
spouse is eligible for or receiving benefits under section 
1311 or 1318 of this title.’’. 
(2) CONFORMING AMENDMENTS.— 
(A) IN GENERAL.—Such section is amend-
ed— 
(i) in subsection (d), by inserting ‘‘or 
married to more than one person who has 
been awarded a medal of honor,’’ after 
‘‘honor,’’; and 
(ii) in subsection (f)(1), by striking 
‘‘this section’’ and inserting ‘‘paragraph 
(1) of subsection (a), or under paragraph 
(2) of such subsection in the case of a 
posthumous entry on the Army, Navy, Air 
Force, and Coast Guard Medal of Honor 
Roll,’’. 
(B) SPECIAL
PROVISIONS
RELATING
TO 
MARRIAGES.—Section 103(d)(5) of such title is 
amended by adding at the end the following 
new subparagraph: 
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‘‘(E) Section 1562(a)(2), relating to Medal of 
Honor special pension.’’. 
(3) EFFECTIVE DATE.—The amendments made 
by this subsection shall apply with respect to pay-
ment of pension under section 1562 of title 38, 
United States Code, for months beginning after the 
date of the enactment of this Act. 
SEC. 402. MODERNIZATION OF SERVICE-DISABLED VET-
ERANS INSURANCE. 
(a) ESTABLISHMENT OF MODERNIZED PROGRAM.— 
(1) IN
GENERAL.—Chapter 19 of title 38, 
United States Code, is amended by inserting after 
section 1922A the following new section: 
‘‘§ 1922B. Service-disabled veterans insurance 
‘‘(a) INSURANCE.—(1) Beginning January 1, 2023, 
the Secretary of Veterans Affairs shall carry out a service- 
disabled veterans insurance program under which a vet-
eran is granted insurance by the United States against 
the death of such individual occurring while such insur-
ance is in force. 
‘‘(2) The Secretary may only issue whole-life policies 
under the insurance program under paragraph (1). 
‘‘(3) The Secretary may not grant insurance to a vet-
eran under paragraph (1) unless— 
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‘‘(A) the veteran submits the application for 
such insurance before the veteran attains 81 years 
of age; or 
‘‘(B) with respect to a veteran who has attained 
81 years of age— 
‘‘(i) the veteran filed a claim for compensa-
tion under chapter 11 of this title before attain-
ing such age; 
‘‘(ii) based on such claim, and after the 
veteran attained such age, the Secretary first 
determines that the veteran has a service-con-
nected disability; and 
‘‘(iii) the veteran submits the application 
for such insurance during the two-year period 
following the date of such determination. 
‘‘(4)(A) A veteran enrolled in the insurance program 
under paragraph (1) may elect to be insured in any of 
the following amounts: 
‘‘(i) $10,000. 
‘‘(ii) $20,000. 
‘‘(iii) $30,000. 
‘‘(iv) $40,000. 
‘‘(v) In accordance with subparagraph (B), 
a maximum amount greater than $40,000. 
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‘‘(B) The Secretary may establish a maximum 
amount to be insured under paragraph (1) that is greater 
than $40,000 if the Secretary— 
‘‘(i) determines that such maximum amount 
and the premiums for such amount— 
‘‘(I) are administratively and actuarially 
sound for the insurance program under para-
graph (1); and 
‘‘(II) will not result in such program oper-
ating at a loss; and 
‘‘(ii) publishes in the Federal Register, and sub-
mits to the Committees on Veterans’ Affairs of the 
House of Representatives and the Senate, such max-
imum amount and determination. 
‘‘(5)(A) Insurance granted under this section shall be 
on a nonparticipating basis and all premiums and other 
collections therefor shall be credited directly to a revolving 
fund in the Treasury of the United States, and any pay-
ments on such insurance shall be made directly from such 
fund. 
‘‘(B) The Secretary of the Treasury may invest in 
and sell and retire special interest-bearing obligations of 
the United States for the account of the revolving fund 
under subparagraph (A). Such obligations issued for this 
purpose shall have maturities fixed with due regard for 
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the needs of the fund and shall bear interest at a rate 
equal to the average market yield (computed by the Sec-
retary of the Treasury on the basis of market quotations 
as of the end of the calendar month preceding the date 
of issue) on all marketable interest-bearing obligations of 
the United States then forming a part of the public debt 
which are not due or callable until after the expiration of 
four years from the end of such calendar month; except 
that where such average market yield is not a multiple 
of one-eighth of 1 per centum, the rate of interest of such 
obligation shall be the multiple of one-eighth of 1 per cen-
tum nearest such market yield. 
‘‘(6) Administrative support financed by the appro-
priations for ‘General Operating Expenses, Department of 
Veterans Affairs’ and ‘Information Technology Systems, 
Department of Veterans Affairs’ for the insurance pro-
gram under paragraph (1) shall be paid from premiums 
credited to the fund under paragraph (5). Such payment 
for administrative support shall be reimbursed for that fis-
cal year from funds that are available on such insurance 
after claims have been paid. 
‘‘(b) ELIGIBILITY.—A veteran is eligible to enroll in 
the insurance program under subsection (a)(1) if the vet-
eran has a service-connected disability, without regard 
to— 
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‘‘(1) whether such disability is compensable 
under chapter 11 of this title; or 
‘‘(2) whether the veteran meets standards of 
good health required for other life insurance policies. 
‘‘(c) ENROLLMENT AND WAITING PERIOD.—(1) An 
eligible veteran may enroll in the insurance program under 
subsection (a)(1) at any time. 
‘‘(2) The life insurance policy of a veteran who enrolls 
in the insurance program under subsection (a)(1) does not 
go into force unless— 
‘‘(A) a period of two years elapses following the 
date of such enrollment; and 
‘‘(B) the veteran pays the premiums required 
during such two-year period. 
‘‘(3)(A) If a veteran dies during the two-year period 
described in paragraph (2), the Secretary shall pay to the 
beneficiary of the veteran the amount of premiums paid 
by the veteran under this section, plus interest. 
‘‘(B) For the initial year in which the Secretary car-
ries out the insurance program under subsection (a)(1), 
the Secretary shall set the interest rate under subpara-
graph (A) at one percent, except that the Secretary may 
adjust such rate based on actual program experience if 
such adjusted rate is not less than zero percent. 
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‘‘(C)(i) For the second and each subsequent year in 
which the Secretary carries out the insurance program 
under subsection (a)(1), the Secretary shall calculate the 
interest rate under subparagraph (A) at an annual rate 
equal to the rate of return on the revolving fund under 
subsection (a)(5) for the calendar year preceding the year 
of the death of the veteran, except that the interest rate 
may not be less than zero percent. 
‘‘(ii) On an annual basis, the Secretary shall publish 
on the internet website of the Department the average in-
terest rate calculated under clause (i) for that year. 
‘‘(d) PREMIUMS.—(1) The Secretary shall establish 
a schedule of basic premium rates by age per $10,000 of 
insurance under subsection (a)(1) consistent with basic 
premium rates generally charged for guaranteed accept-
ance life insurance policies by private life insurance com-
panies. The Secretary may adjust such schedule after the 
first policy year in a manner consistent with the general 
practice of guaranteed acceptance life insurance policies 
issued by private life insurance companies. 
‘‘(2) Section 1912 of this title shall not apply to life 
insurance policies under subsection (a)(1), and the Sec-
retary may not otherwise waive premiums for such insur-
ance policies. 
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‘‘(e) BENEFICIARIES.—(1) A veteran who enrolls in 
the insurance program under subsection (a)(1) may des-
ignate a beneficiary of the life insurance policy. 
‘‘(2) If a veteran enrolled in the insurance program 
under subsection (a)(1) does not designate a beneficiary 
under paragraph (1) before the veteran dies, or if a des-
ignated beneficiary predeceases the veteran, the Secretary 
shall determine the beneficiary in the following order: 
‘‘(A) The surviving spouse of the veteran. 
‘‘(B) The children of the veteran and descend-
ants of deceased children by representation. 
‘‘(C) The parents of the veteran or the sur-
vivors of the parents. 
‘‘(D) The duly appointed executor or adminis-
trator of the estate of the veteran. 
‘‘(E) Other next of kin of the veteran entitled 
under the laws of domicile of the veteran at the time 
of the death of the veteran. 
‘‘(f) CLAIMS.—(1) If the deceased veteran designated 
a beneficiary under subsection (e)(1)— 
‘‘(A) the designated beneficiary is the only per-
son who may file a claim for payment under sub-
section (g) during the one-year period beginning on 
the date of the death of the veteran; and 
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‘‘(B) if the designated beneficiary does not file 
a claim for the payment during the period described 
in paragraph (1), or if payment to the designated 
beneficiary within that period is prohibited by Fed-
eral statute or regulation, a beneficiary described in 
subsection (e)(2) may file a claim for such payment 
during the one-year period following the period de-
scribed in subparagraph (A) as if the designated 
beneficiary had predeceased the veteran. 
‘‘(2) If the deceased veteran did not designate a bene-
ficiary under subsection (e)(1), or if the designated bene-
ficiary predeceased the veteran, a beneficiary described in 
subsection (e)(2) may file a claim for payment under sub-
section (g) during the two-year period beginning on the 
date of the death of the veteran. 
‘‘(3) If, on the date that is two years after the date 
of the death of the veteran, no claim for payment has been 
filed by any beneficiary pursuant to paragraph (1) or (2), 
and the Secretary has not received notice that any such 
claim will be so filed during the subsequent one-year pe-
riod, the Secretary may make the payment to a claimant 
whom the Secretary determines to be equitably entitled to 
such payment. 
‘‘(g) PAYMENTS.—(1) In a case described in sub-
section (f)— 
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‘‘(A) in paragraph (1)(A), the Secretary shall 
pay the designated beneficiary not later than 90 
days after the designated beneficiary files a claim for 
payment; or 
‘‘(B) in paragraph (1)(B), (2), or (3), with re-
spect to a complete and valid claim under such para-
graphs, the Secretary shall make any payment not 
later than one year after the end of the period de-
scribed in the applicable such paragraph. 
‘‘(2) In a case where the Secretary has not made an 
insurance payment under this section during the applica-
ble period specified in paragraph (1) by reason of a bene-
ficiary not yet having filed a claim, or the Secretary not 
yet making a determination under subsection (f)(3), the 
Secretary may make the payment after such applicable pe-
riod. 
‘‘(3) Notwithstanding section 1917 of this title, the 
Secretary shall make an insurance payment under this 
section in a lump sum. 
‘‘(4) The Secretary may not make an insurance pay-
ment under this section if such payment will escheat to 
a State. 
‘‘(5) Any payment under this subsection shall be a 
bar to recovery by any other person.’’. 
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(2) CLERICAL AMENDMENT.—The table of sec-
tions at the beginning of such chapter is amended 
by inserting after the item relating to section 1922A 
the following new item: 
‘‘1922B. Service-disabled veterans insurance.’’. 
(b) SUNSET OF PREVIOUS PROGRAM AND TRANSI-
TION.— 
(1) S–DVI.—Section 1922 of such title is 
amended by adding at the end the following new 
subsection: 
‘‘(d)(1) The Secretary may not accept any application 
by a veteran to be insured under this section after Decem-
ber 31, 2022. 
‘‘(2)(A) During the period beginning January 1, 
2023, and ending December 31, 2025, a veteran who is 
insured under this section may elect to instead be insured 
under section 1922B of this title based on the age of the 
veteran at the time of such election. 
‘‘(B) A veteran who elects under subparagraph (A) 
to be insured under section 1922B of this title shall be 
subject to the two-year waiting period specified in sub-
section (c) of such section. If the veteran dies during such 
period, the Secretary shall pay the beneficiary under this 
section, and, if applicable, under section 1922A, plus the 
amount of premiums paid by the veteran under such sec-
tion 1922B, plus interest. 
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‘‘(3) Except as provided by paragraph (2)(B), a vet-
eran may not be insured under this section and section 
1922B simultaneously.’’. 
(2) SUPPLEMENTAL S–DVI.—Section 1922A(b) 
of such title is amended by adding after the period 
the following: ‘‘The Secretary may not accept any 
such application after December 31, 2022. Except 
as provided by section 1922(d)(2)(B), a veteran may 
not have supplemental insurance under this section 
and be insured under section 1922B simulta-
neously.’’. 
(c) CONFORMING AMENDMENTS.—Chapter 19 of 
such title is amended— 
(1) in the section heading of section 1922, by 
striking ‘‘Service’’ and inserting ‘‘Legacy serv-
ice’’; 
(2) in the section heading of section 1922A, by 
striking ‘‘Supplemental’’ and inserting ‘‘Leg-
acy supplemental’’; and 
(3) in the table of sections at the beginning of 
such chapter by striking the items relating to sec-
tions 1922 and 1922A and inserting the following 
new items: 
‘‘1922. Legacy service disabled veterans’ insurance. 
‘‘1922A. Legacy supplemental service disabled veterans’ insurance for totally 
disabled veterans.’’. 
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SEC. 403. ELIGIBILITY OF CERTAIN MEMBERS OF THE RE-
SERVE 
COMPONENTS 
OF 
THE 
ARMED 
FORCES FOR HOME LOANS FROM THE SEC-
RETARY OF VETERANS AFFAIRS. 
(a) EXTENSION OF ELIGIBILITY.—Section 3701(b) 
of title 38, United States Code, is amended by adding at 
the end the end the following new paragraph: 
‘‘(7) The term ‘veteran’ also includes, for pur-
poses of home loans, an individual who performed 
active service (as that term is defined in section 101 
of title 10) for a period— 
‘‘(A) of not less than 90 cumulative days; 
and 
‘‘(B) that includes 30 consecutive days.’’. 
(b) CONFORMING AMENDMENT.—Section 3702(a)(2) 
of such title is amended by adding at the end the following 
new subparagraph: 
‘‘(G) Each individual described in section 
3701(b)(7) of this title.’’. 
SEC. 404. ADJUSTMENT OF HOUSING LOAN FEES. 
Subsection (b)(2) of section 3729 of title 38, United 
States Code, is amended by striking ‘‘October 1, 2029’’ 
each place it appears and inserting ‘‘October 1, 2030’’. 
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SEC. 405. CLARIFICATION OF LICENSURE REQUIREMENTS 
FOR 
CONTRACTOR 
MEDICAL 
PROFES-
SIONALS TO PERFORM MEDICAL DISABILITY 
EXAMINATIONS FOR THE DEPARTMENT OF 
VETERANS AFFAIRS. 
Subsection (c) of section 504 of the Veterans’ Bene-
fits Improvements Act of 1996 (Public Law 104–275; 38 
U.S.C. 5101 note) is amended to read as follows: 
‘‘(c) LICENSURE OF CONTRACT HEALTH CARE PRO-
FESSIONALS.— 
‘‘(1) IN GENERAL.—Notwithstanding any law 
regarding the licensure of health care professionals, 
a health care professional described in paragraph (2) 
may conduct an examination pursuant to a contract 
entered into under subsection (a) at any location in 
any State, the District of Columbia, or a Common-
wealth, territory, or possession of the United States, 
so long as the examination is within the scope of the 
authorized duties under such contract. 
‘‘(2) 
HEALTH
CARE
PROFESSIONAL
DE-
SCRIBED.—A health care professional described in 
this paragraph is a physician, physician assistant, 
nurse practitioner, audiologist, or psychologist, 
who— 
‘‘(A) has a current unrestricted license to 
practice the health care profession of the physi-
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cian, physician assistant, nurse practitioner, au-
diologist, or psychologist, as the case may be; 
‘‘(B) is not barred from practicing such 
health care profession in any State, the District 
of Columbia, or a Commonwealth, territory, or 
possession of the United States; and 
‘‘(C) is performing authorized duties for 
the Department of Veterans Affairs pursuant to 
a contract entered into under subsection (a).’’. 
SEC. 406. PUBLICATION AND ACCEPTANCE OF DISABILITY 
BENEFIT QUESTIONNAIRE FORMS OF DE-
PARTMENT OF VETERANS AFFAIRS. 
(a) IN GENERAL.—Section 5101 of title 38, United 
States Code, is amended— 
(1) by redesignating subsection (d) as sub-
section (e); and 
(2) by inserting after subsection (c) the fol-
lowing new subsection (d): 
‘‘(d)(1) The Secretary shall publish in a central loca-
tion on the internet website of the Department disability 
benefit questionnaire forms of the Department for the 
submittal of evidence from non-Department medical pro-
viders regarding a disability of a claimant. 
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‘‘(2) Subject to section 6103 of this title, if the Sec-
retary updates a form described in paragraph (1), the Sec-
retary shall— 
‘‘(A) accept the previous version of the form 
filed by a claimant if— 
‘‘(i) the claimant provided to the non-De-
partment medical provider the previous version 
of the form before the date on which the up-
dated version of the form was made available; 
and 
‘‘(ii) the claimant files the previous version 
of the form during the one-year period following 
the date the form was completed by the non- 
Department medical provider; 
‘‘(B) request from the claimant (or from the 
non-Department medical provider if the claimant has 
authorized the provider to share health information 
with the Secretary) any other information that the 
updated version of the form requires; and 
‘‘(C) apply the laws and regulations required to 
adjudicate the claim as if the claimant filed the up-
dated version of the form. 
‘‘(3) The Secretary may waive any interagency ap-
proval process required to approve a modification to a dis-
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ability benefit questionnaire form if such requirement only 
applies by reason of the forms being made public.’’. 
(b) REPORTS BY INSPECTOR GENERAL OF THE DE-
PARTMENT OF VETERANS AFFAIRS.—Not less frequently 
than once each year through 2023, the Inspector General 
of the Department of Veterans Affairs shall submit to 
Congress a report on the findings of the Inspector General 
with respect to the use of the forms published under sec-
tion 5101(d)(1) of such title, as added by subsection (a). 
(c) INITIAL FORM.—The Secretary of Veterans Af-
fairs shall begin carrying out section 5101(d)(1) of such 
title, as added by subsection (a), by publishing, as de-
scribed in such section, the form described in such section 
that was in effect on January 1, 2020. 
(d) ALTERNATE FORMS.— 
(1) ASSESSMENT
AND
REPORT.—Subject to 
paragraph (2), not later than one year after the date 
of the enactment of this act, the Secretary shall— 
(A) assess the feasibility and advisability of 
replacing disability benefit questionnaire forms 
that are used by Department providers, pro-
viders and health care professionals under con-
tract with the Department under section 504 of 
the Veterans’ Benefits Improvements Act of 
1996 (Public Law 104–275; 38 U.S.C. 5101 
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note), and non-Department medical providers to 
submit to the Secretary evidence regarding a 
disability of a claimant for benefits under laws 
administered by the Secretary, with another 
consistent form; and 
(B) submit to Congress— 
(i) a report on the findings of the Sec-
retary with respect to the assessment con-
ducted under subparagraph (A); and 
(ii) a plan to replace the disability 
benefit questionnaire forms as described in 
subparagraph (A), including with respect 
to publishing the replacement forms on the 
internet website of the Department of Vet-
erans Affairs. 
(2) REQUIREMENTS.—The Secretary may only 
determine under paragraph (1)(A) that replacing the 
forms described in such paragraph is feasible and 
advisable if the Secretary determines that— 
(A) it is in the best interest of veterans to 
do so; and 
(B) the replacement forms would include 
all the medical information needed to adjudicate 
a claim for benefits under laws administered by 
the Secretary. 
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(3) IMPLEMENTATION.— 
(A) IN
GENERAL.—Subject to subpara-
graph (B), if the Secretary determines under 
paragraph (1)(A) that replacing the forms as 
described in such paragraph is feasible and ad-
visable, the Secretary shall, not earlier than two 
years after the date on which the Secretary 
submits the report under paragraph (1)(B)(i), 
replace the forms as described in paragraph 
(1)(A) and publish the replacement forms on 
the internet website of the Department of Vet-
erans Affairs. 
(B) WAIVER.—The Secretary may waive 
the requirement of subparagraph (A) at any 
time if the Secretary determines that the re-
quirements of paragraph (2) will not be satis-
fied. 
(4) APPLICATION
OF
DBQ
REQUIREMENTS.— 
Section 5101(d) of title 38, United States Code, as 
added by subsection (a), shall apply with respect to 
the disability benefit questionnaire forms of the De-
partment until the date on which the Secretary re-
places the forms as described in paragraph (1)(A) 
pursuant to paragraph (3). 
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(e) RULE OF CONSTRUCTION.—Nothing in this sec-
tion or section 5101(d) of such title, as added by sub-
section (a), may be construed to require the Secretary to 
develop any new information technology system or other-
wise require the Secretary to make any significant changes 
to the internet website of the Department. 
SEC. 407. DETERMINATION OF BUDGETARY EFFECTS. 
The budgetary effects of this Act, for the purpose of 
complying with the Statutory Pay-As-You-Go Act of 2010, 
shall be determined by reference to the latest statement 
titled ‘‘Budgetary Effects of PAYGO Legislation’’ for this 
Act, submitted for printing in the Congressional Record 
by the Chairman of the House Budget Committee, pro-
vided that such statement has been submitted prior to the 
vote on passage. 
Æ 
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Jkt 099200
PO 00000
Frm 00046
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E:\BILLS\H7952.IH
H7952
pamtmann on DSKBC07HB2PROD with BILLS