IIB 
117TH CONGRESS 
2D SESSION 
H. R. 6064 
IN THE SENATE OF THE UNITED STATES 
MAY 19 (legislative day, MAY 17), 2022 
Received; read twice and referred to the Committee on Veterans’ Affairs 
AN ACT 
To direct the Secretary of Veterans Affairs to seek to enter 
into an agreement with the National Academies of 
Sciences, Engineering, and Medicine for a review of ex-
aminations, furnished by the Secretary, to individuals 
who submit claims to the Secretary for compensation 
under chapter 11 of title 38, United States Code, for 
mental and physical conditions linked to military sexual 
trauma. 
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Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. INDEPENDENT REVIEW OF ASSESSMENTS BY 
THE SECRETARY OF VETERANS AFFAIRS OF 
MENTAL AND PHYSICAL CONDITIONS LINKED 
TO MILITARY SEXUAL TRAUMA FOR PUR-
POSES 
OF 
AWARDING 
DISABILITY 
COM-
PENSATION. 
(a) AGREEMENT.—Not later than 90 days after the 
date of the enactment of this Act, the Secretary of Vet-
erans Affairs shall seek to enter into an agreement with 
the National Academies of Sciences, Engineering, and 
Medicine (in this Act referred to as the ‘‘National Acad-
emies’’) to perform the services covered by this section. 
(b) COMPREHENSIVE REVIEW.—Under an agreement 
between the Secretary and the National Academies under 
this section, the National Academies shall conduct a com-
prehensive review of examinations, furnished by the Sec-
retary to individuals who submit claims to the Secretary 
for compensation under chapter 11 of title 38, United 
States Code, for mental and physical conditions linked to 
military sexual trauma (in this Act referred to as ‘‘MST’’), 
for the purpose of assessing the impairments of such indi-
viduals arising from MST. The review carried out pursu-
ant to paragraph (1) shall include the following elements: 
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(1) A determination of the adequacy of tools 
and protocols used by the Secretary to provide ex-
aminations described in this subsection, including— 
(A) the Disability Benefits Questionnaires; 
(B) the Department’s schedule of rating 
disabilities; 
(C) consideration of whether certain condi-
tions linked to MST should require referral for 
both a mental health examination and a phys-
ical health examination; and 
(D) the necessity of internal pelvic exami-
nations to diagnose certain conditions linked to 
MST, and whether alternatives to such exami-
nations could be considered if a veteran objects 
to or cannot complete such examination. 
(2) A determination of what credentials and 
training are necessary for a health care specialist or 
provider to perform such examinations related to 
physical conditions linked to MST, for men and for 
women, including— 
(A) sexual dysfunction; 
(B) pelvic pain; 
(C) pelvic dysfunction; 
(D) musculoskeletal disabilities; and 
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(E) cardiovascular conditions (including 
stroke). 
(3) A determination of what credentials and 
training are necessary for a health care specialist or 
provider to perform such examinations related to 
mental health conditions linked to MST, for men 
and for women. 
(4) An assessment of the quality of MST train-
ing for individuals who perform such examinations, 
including recommendations for improvements to 
such training. 
(c) REPORTS.— 
(1) REPORT OF THE NATIONAL ACADEMIES.— 
Not later than 540 days after the date on which the 
Secretary enters into an agreement under subsection 
(a), the National Academies shall submit to the 
Committees on Veterans’ Affairs of the Senate and 
House of Representatives a report on the com-
prehensive review conducted under subsection (b). 
Such report shall include the following elements: 
(A) The findings of the National Acad-
emies under subsection (b). 
(B) Recommendations of the National 
Academies regarding legislative or administra-
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tive action to improve of the adjudication of 
claims described in subsection (b). 
(2) REPORT OF THE SECRETARY.—Not later 
than 90 days after submission of the report under 
paragraph (1), the Secretary shall submit to the 
Committees on Veterans’ Affairs of the House of 
Representatives and the Senate a report on the 
plans of the Secretary to carry out any action based 
on the findings and recommendations of the Na-
tional Academies. 
Passed the House of Representatives May 18, 2022. 
Attest: 
CHERYL L. JOHNSON, 
Clerk. 
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