108 
‘‘(B) An insurance program described in 
section 1811 of the Social Security Act (42 
U.S.C. 1395c) or established by section 1831 of 
such Act (42 U.S.C. 1395j). 
‘‘(C) A State plan for medical assistance 
approved under title XIX of such Act (42 
U.S.C. 1396 et seq.). 
‘‘(D) A workers’ compensation law or plan 
described in section 1729(a)(2)(A) of this title. 
‘‘(3) The term ‘third party’ means any of the 
following: 
‘‘(A) A Federal entity. 
‘‘(B) A State or political subdivision of a 
State. 
‘‘(C) An employer or an employer’s insur-
ance carrier. 
‘‘(D) An automobile accident reparations 
insurance carrier. 
‘‘(E) A person or entity obligated to pro-
vide, or to pay the expenses of, health services 
under a health-plan contract. 
‘‘(4) The term ‘urgent care’ shall have the 
meaning given that term by the Secretary in regula-
tions prescribed by the Secretary for purposes of 
this section.’’. 
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(b) REPEAL OF SUPERSEDED AUTHORITY.—Section 
1728 of such title is repealed. 
(c) CLERICAL AMENDMENTS.—The table of sections 
at the beginning of chapter 17 of such title is amended— 
(1) by striking the item relating to section 1725 
and inserting the following new item: 
‘‘1725. Reimbursement for emergency treatment and urgent care.’’; 
and 
(2) by striking the item relating to section 
1728. 
(d) CONFORMING AMENDMENTS.— 
(1) MEDICAL CARE FOR SURVIVORS AND DE-
PENDENTS.—Section 1781(a)(4) of such title is 
amended by striking ‘‘(as defined in section 1725(f) 
of this title)’’ and inserting ‘‘(as defined in section 
1725(h) of this title)’’. 
(2) HEALTH
CARE
OF
FAMILY
MEMBERS
OF 
VETERANS STATIONED AT CAMP LEJEUNE, NORTH 
CAROLINA.—Section 1787(b)(3) of such title is 
amended by striking ‘‘(as defined in section 1725(f) 
of this title)’’ and inserting ‘‘(as defined in section 
1725(h) of this title)’’. 
(e) REGULATIONS.—Not later than 270 days after 
the date of the enactment of this Act, the Secretary shall 
prescribe regulations to carry out the amendments made 
by this section. 
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110 
(f) EFFECTIVE DATE.—The amendments made by 
this section shall take effect one year after the date of 
the enactment of this Act. 
SEC. 222. PROVISION OF REHABILITATIVE EQUIPMENT AND 
HUMAN-POWERED VEHICLES TO CERTAIN 
DISABLED VETERANS. 
Section 1714(a) of title 38, United States Code, is 
amended— 
(1) by striking ‘‘Any veteran’’ and inserting 
‘‘(1) Any veteran’’; and 
(2) by adding at the end the following new 
paragraph: 
‘‘(2)(A) The Secretary may furnish rehabilitative 
equipment to any veteran who is entitled to a prosthetic 
appliance. 
‘‘(B) In carrying out subparagraph (A), the Secretary 
may modify non-rehabilitative equipment owned by a vet-
eran only if the veteran elects for such modification. 
‘‘(C) The Secretary shall annually submit to the 
Committees on Veterans’ Affairs of the House of Rep-
resentatives and the Senate a report on rehabilitative 
equipment furnished to veterans under subparagraph (A). 
Each such report shall include, with respect to the year 
covered by the report— 
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‘‘(i) the number of veterans eligible to receive 
such rehabilitative equipment; 
‘‘(ii) the number of veterans who received such 
rehabilitative equipment; 
‘‘(iii) the number of veterans who elected to re-
ceive modified equipment pursuant to subparagraph 
(B); and 
‘‘(iv) any recommendations of the Secretary to 
improve furnishing veterans with rehabilitative 
equipment. 
‘‘(D) In this paragraph, the term ‘rehabilitative 
equipment’ means— 
‘‘(i) rehabilitative equipment, including rec-
reational sports equipment that provide an adaption 
or accommodation for the veteran, regardless of 
whether such equipment is intentionally designed to 
be adaptive equipment; and 
‘‘(ii) includes hand cycles, recumbent bicycles, 
medically adapted upright bicycles, and upright bicy-
cles.’’. 
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112 
Subtitle C—Health Care Quality 
SEC. 231. ESTABLISHMENT OF OFFICE OF HEALTH CARE 
QUALITY IN VETERANS HEALTH ADMINISTRA-
TION. 
(a) IN GENERAL.—Subchapter I of chapter 73 of title 
38, United States Code, is amended by adding at the end 
the following new section: 
‘‘§ 7310. Office of Health Care Quality 
‘‘(a) ESTABLISHMENT.—There is in the Veterans 
Health Administration an Office of Health Care Quality 
(hereinafter in this section referred to as the ‘Office’). The 
Office shall oversee the implementation and dissemination 
across all medical facilities of the Department of best 
practices, quality improvements, corrective actions, and 
Inspector General recommendations. 
‘‘(b) DIRECTOR.—(1) The head of the Office shall be 
a Director, who shall report directly to the Under Sec-
retary for Health (without delegation). 
‘‘(2) Any person appointed as Director shall be— 
‘‘(A) an established expert in the field of health 
care quality, administration of medical facilities, or 
similar fields; and 
‘‘(B) qualified to carry out the duties of the Of-
fice based on demonstrated experience and expertise. 
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