‘‘(A) A veteran— 
‘‘(i) who is enrolled in the system of an-
nual patient enrollment established and oper-
ated under section 1705 of this title; and 
‘‘(ii) who, in the judgment of a health care 
professional of the Department— 
‘‘(I) has a service-connected disability 
or condition causing or aggravating infer-
tility; or 
‘‘(II) is infertile as a result of having 
received medically necessary treatment 
pursuant to this chapter. 
‘‘(B) The spouse of a veteran described in sub-
paragraph (A), or the partner of a veteran described 
in subparagraph (A) whom the veteran designates 
for purposes of this subsection. 
‘‘(2)(A) The Secretary may contract with a provider 
of in vitro fertilization services to obtain donor gametes 
or embryos from third-party donors. 
‘‘(B) The Secretary may only obtain third-party do-
nation of gametes or embryos through a contract. 
‘‘(C) The Secretary may not provide assisted repro-
ductive technology services or medical services to third- 
party donors. 
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‘‘(3)(A) The Secretary may contract with a facility 
to furnish the cryopreservation, storage, and transpor-
tation of gametes and embryos. 
‘‘(B) The Secretary may not impose any limitation 
on the period in which an embryo or gamete is 
cryopreserved and stored pursuant to this subsection. 
‘‘(4) The legal status, custody, future use, donation, 
disposition, or destruction, of gametes or embryos relating 
to infertility or treatment furnished under this subsection 
shall be determined in accordance with the law of the 
State in which the gametes or embryos are located. 
‘‘(5)(A) In prescribing regulations to carry out this 
subsection, the Secretary shall ensure that any in vitro 
fertilization (including with respect to the number of re-
trieval attempts and completed embryo transfer cycles) 
will be— 
‘‘(i) determined using the best medical evidence 
available; and 
‘‘(ii) provided in accordance with applicable 
standards of care. 
‘‘(B) In furnishing in vitro fertilization to a covered 
individual pursuant to this subsection, the Secretary is re-
sponsible only for payment of the costs of the in vitro fer-
tilization services. 
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‘‘(C) The Secretary may not furnish an in vitro fer-
tilization cycle to a covered individual under this sub-
section unless the Secretary receives consent for such cycle 
from each of the following: 
‘‘(i) The covered individual. 
‘‘(ii) If the covered individual is a spouse or 
partner of a veteran as described in subparagraph 
(1)(B), the veteran. 
‘‘(iii) If applicable, the third-party donor. 
‘‘(6) In this subsection: 
‘‘(A) The term ‘covered individual’ means a vet-
eran, spouse, or partner who receives infertility 
counseling and treatment under paragraph (1). 
‘‘(B) The term ‘gamete’ means a mature sperm 
or an oocyte or egg germ cell, as applicable. 
‘‘(C) The term ‘infertility’ means the inability 
to procreate without the use of infertility treatment. 
‘‘(D) The term ‘in vitro fertilization’ means the 
procedure in which an oocyte is removed from a ma-
ture ovarian follicle and fertilized by a sperm cell 
outside the human body and, at the appropriate 
time, transferred into the uterus. 
‘‘(E) The term ‘third-party donor’ means an in-
dividual who consents to donate the gametes or em-
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bryo of the individual for use in treatment furnished 
pursuant to this subsection. 
‘‘(b) ADOPTION REIMBURSEMENT.—(1) Pursuant to 
regulations the Secretary shall prescribe to carry out this 
subsection, the Secretary may reimburse an eligible vet-
eran for qualifying adoption expenses incurred by the vet-
eran in the adoption of a child. 
‘‘(2) For purposes of this subsection, an eligible vet-
eran is a veteran who meets the following criteria: 
‘‘(A) The veteran is enrolled in the system of 
annual patient enrollment established and operated 
under section 1705 of this title. 
‘‘(B) The veteran, in the judgment of the health 
care professional of the Department— 
‘‘(i) has a service-connected disability or 
condition causing or aggravating infertility; or 
‘‘(ii) is infertile as a result of having re-
ceived medically necessary treatment pursuant 
to this chapter. 
‘‘(3) An adoption for which expenses may be reim-
bursed under this subsection includes an adoption by a 
single person, an infant adoption, an intercountry adop-
tion, or an adoption of a child with special needs (as de-
fined in section 473(c) of the Social Security Act (42 
U.S.C. 673(c))). 
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‘‘(4) The Secretary may reimburse an eligible veteran 
for qualifying adoption expenses under this subsection 
only after the adoption is final. 
‘‘(5) The Secretary may not reimburse an eligible vet-
eran for qualifying adoption expenses under this sub-
section for any expense paid to or for the veteran under 
any other adoption benefits program administered by the 
Federal Government or under any such program adminis-
tered by a State or local government. 
‘‘(6)(A)(i) The Secretary may not reimburse an eligi-
ble veteran, or two eligible veterans who are partners, for 
qualifying adoption expenses under this subsection for 
more than one adoption. 
‘‘(ii) The Secretary may not reimburse more than one 
eligible veteran for the qualifying adoption expenses under 
this subsection for the adoption of the same child. 
‘‘(B) In prescribing regulations to carry out this sub-
section, the Secretary shall establish minimum and max-
imum amounts for the reimbursement of qualifying adop-
tion expenses. 
‘‘(7) In this subsection: 
‘‘(A) Notwithstanding section 101 of this title, 
the term ‘child’ means an individual who is under 
the age of eighteen years. 
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‘‘(B) The term ‘qualified adoption agency’ 
means— 
‘‘(i) a State or local government agency 
that has responsibility under State or local law 
for child placement through adoption; 
‘‘(ii) a nonprofit, voluntary adoption agen-
cy that is authorized by State or local law to 
place children for adoption; 
‘‘(iii) any other source authorized by a 
State to provide adoption placement if the 
adoption is supervised by a court under State 
or local law; or 
‘‘(iv) a foreign government or an agency 
authorized by a foreign government to place 
children for adoption, in any case in which— 
‘‘(I) the adopted child is entitled to 
automatic citizenship under section 320 of 
the Immigration and Nationality Act (8 
U.S.C. 1431); or 
‘‘(II) a certificate of citizenship has 
been issued for such child under section 
322 of that Act (8 U.S.C. 1433). 
‘‘(C) The term ‘qualifying adoption expenses’ 
means reasonable and necessary expenses that are 
directly related to the legal adoption of a child, but 
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only if such adoption is arranged by a qualified 
adoption agency. Such term does not include any ex-
pense incurred— 
‘‘(i) by an adopting parent for travel; or 
‘‘(ii) in connection with an adoption ar-
ranged in violation of Federal, State, or local 
law. 
‘‘(D) The term ‘reasonable and necessary ex-
penses’ includes— 
‘‘(i) public and private agency fees, includ-
ing adoption fees charged by an agency in a 
foreign country; 
‘‘(ii) placement fees, including fees charged 
adoptive parents for counseling; 
‘‘(iii) legal fees (including court costs) or 
notary expenses; and 
‘‘(iv) medical expenses, including hospital 
expenses of the biological mother of the child to 
be adopted and of a newborn infant to be 
adopted.’’. 
SEC. 234. None of the funds appropriated or other-
wise made available by this Act or any other Act for the 
Department of Veterans Affairs may be used in a manner 
that is inconsistent with: (1) section 842 of the Transpor-
tation, Treasury, Housing and Urban Development, the 
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Judiciary, the District of Columbia, and Independent 
Agencies Appropriations Act, 2006 (Public Law 109–115; 
119 Stat. 2506); or (2) section 8110(a)(5) of title 38, 
United States Code. 
SEC. 235. Section 842 of Public Law 109–115 shall 
not apply to conversion of an activity or function of the 
Veterans Health Administration, Veterans Benefits Ad-
ministration, or National Cemetery Administration to con-
tractor performance by a business concern that is at least 
51 percent owned by one or more Indian tribes as defined 
in section 5304(e) of title 25, United States Code, or one 
or more Native Hawaiian Organizations as defined in sec-
tion 637(a)(15) of title 15, United States Code. 
SEC. 236. (a) Except as provided in subsection (b), 
the Secretary of Veterans Affairs, in consultation with the 
Secretary of Defense and the Secretary of Labor, shall dis-
continue using Social Security account numbers to identify 
individuals in all information systems of the Department 
of Veterans Affairs as follows: 
(1) For all veterans submitting to the Secretary 
of Veterans Affairs new claims for benefits under 
laws administered by the Secretary, not later than 
March 23, 2023. 
(2) For all individuals not described in para-
graph (1), not later than March 23, 2026. 
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(b) The Secretary of Veterans Affairs may use a So-
cial Security account number to identify an individual in 
an information system of the Department of Veterans Af-
fairs if and only if the use of such number is required 
to obtain information the Secretary requires from an in-
formation system that is not under the jurisdiction of the 
Secretary. 
(c) The matter in subsections (a) and (b) shall super-
sede section 238 of division F of Public Law 116–94. 
SEC. 237. For funds provided to the Department of 
Veterans Affairs for each of fiscal year 2023 and 2024 
for ‘‘Medical Services’’, section 239 of division A of Public 
Law 114–223 shall apply. 
SEC. 238. None of the funds appropriated in this or 
prior appropriations Acts or otherwise made available to 
the Department of Veterans Affairs may be used to trans-
fer any amounts from the Filipino Veterans Equity Com-
pensation Fund to any other account within the Depart-
ment of Veterans Affairs. 
SEC. 239. Of the funds provided to the Department 
of Veterans Affairs for each of fiscal year 2023 and fiscal 
year 2024 for ‘‘Medical Services’’, funds may be used in 
each year to carry out and expand the child care program 
authorized by section 205 of Public Law 111–163, not-
withstanding subsection (e) of such section. 
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SEC. 240. None of the funds appropriated or other-
wise made available in this title may be used by the Sec-
retary of Veterans Affairs to enter into an agreement re-
lated to resolving a dispute or claim with an individual 
that would restrict in any way the individual from speak-
ing to members of Congress or their staff on any topic 
not otherwise prohibited from disclosure by Federal law 
or required by Executive order to be kept secret in the 
interest of national defense or the conduct of foreign af-
fairs. 
SEC. 241. For funds provided to the Department of 
Veterans Affairs for each of fiscal year 2023 and 2024, 
section 258 of division A of Public Law 114–223 shall 
apply. 
SEC. 242. (a) None of the funds appropriated or oth-
erwise made available by this Act may be used to deny 
an Inspector General funded under this Act timely access 
to any records, documents, or other materials available to 
the department or agency over which that Inspector Gen-
eral has responsibilities under the Inspector General Act 
of 1978 (5 U.S.C. App.), or to prevent or impede the ac-
cess of the Inspector General to such records, documents, 
or other materials, under any provision of law, except a 
provision of law that expressly refers to such Inspector 
General and expressly limits the right of access. 
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(b) A department or agency covered by this section 
shall provide its Inspector General access to all records, 
documents, and other materials in a timely manner. 
(c) Each Inspector General shall ensure compliance 
with statutory limitations on disclosure relevant to the in-
formation provided by the establishment over which that 
Inspector General has responsibilities under the Inspector 
General Act of 1978 (5 U.S.C. App.). 
(d) Each Inspector General covered by this section 
shall report to the Committee on Appropriations of the 
Senate and the Committee on Appropriations of the House 
of Representatives within 5 calendar days of any failure 
by any department or agency covered by this section to 
comply with this requirement. 
SEC. 243. None of the funds made available in this 
Act may be used in a manner that would increase wait 
times for veterans who seek care at medical facilities of 
the Department of Veterans Affairs. 
SEC. 244. None of the funds appropriated or other-
wise made available by this Act to the Veterans Health 
Administration may be used in fiscal year 2023 to convert 
any program which received specific purpose funds in fis-
cal year 2022 to a general purpose funded program unless 
the Secretary of Veterans Affairs submits written notifica-
tion of any such proposal to the Committees on Appropria-
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