practical, in the form of an electronic copy delivered by 
electronic mail. 
‘‘(3) The information described in this paragraph is 
the appropriate information concerning eligibility for en-
rollment in the patient enrollment system under this sec-
tion, as provided by the Defense Manpower Data Center 
of the Department of Defense, or such successor entity 
of the Department.’’. 
(b) APPLICABILITY.—Subsection (d) of section 1705 
of title 38, United States Code, as added by subsection 
(a), shall apply to a veteran who is discharged or sepa-
rated from the Armed Forces on or after the date that 
is 90 days before the date of the enactment of this Act 
and with respect to whom the Secretary receives the infor-
mation described in paragraph (3) of such subsection on 
or after the date of the enactment of this Act. 
(c) ELECTRONIC CERTIFICATES OF ELIGIBILITY FOR 
DEPARTMENT OF VETERANS AFFAIRS PATIENT ENROLL-
MENT SYSTEM.—Not later than August 1, 2024, the Sec-
retary of Veterans Affairs shall ensure that any veteran 
who is eligible for automatic enrollment in the patient en-
rollment system under subsection (d) of section 1705 of 
title 38, United States Code, as added by subsection (a), 
is able to access— 
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(1) an electronic version of the certificate of eli-
gibility showing the veteran’s eligibility for such en-
rollment; and 
(2) an electronic mechanism by which the vet-
eran may opt out of such enrollment. 
(d) PROVISION OF NOTICE AND INFORMATION.—The 
notice and instructions required to be provided under sub-
section (d)(2) of section 1705 of title 38, United States 
Code, as added by subsection (a), shall be provided in ac-
cordance with the established procedures of the Depart-
ment of Veterans Affairs with respect to the provision of 
similar types of notices and instructions. 
(e) REPORT ON AUTOMATIC ENROLLMENT.— 
(1) IN GENERAL.—Not later than 1 year after 
the first veteran is enrolled in the patient enrollment 
system of the Department of Veterans Affairs under 
subsection (d) of section 1705 of title 38, United 
States Code, as added by subsection (a), the Sec-
retary shall submit to Congress a report on the en-
rollment process under such subsection. Such report 
shall include each of the following: 
(A) A discussion of any anticipated chal-
lenges that occurred in implementing such sub-
section, the strategies used to address such 
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challenges, and the effectiveness of such strate-
gies. 
(B) A discussion of any unanticipated chal-
lenges that occurred in implementing such sub-
section, the strategies used to address such 
challenges, and the effectiveness of such strate-
gies. 
(C) Any additional information the Sec-
retary determines appropriate, including infor-
mation that may be useful to other Federal de-
partments and agencies considering the imple-
mentation of similar automatic enrollment pro-
grams. 
(2) FORM
OF
REPORT.—The report required 
under paragraph (1) shall be submitted in unclassi-
fied form, but may include a classified annex. 
SEC. 3. GAO REPORT ON NOTICE OF AUTOMATIC ENROLL-
MENT IN PATIENT ENROLLMENT SYSTEM OF 
DEPARTMENT OF VETERANS AFFAIRS. 
Not later than 180 days after the date of the enact-
ment of this Act, the Comptroller General of the United 
States shall submit to Congress a report containing the 
results of a study to determine the best methods for the 
Secretary of Veterans Affairs to provide notice under 
paragraph (2) of subsection (d) of section 1705 of title 
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38, United States Code, as added by section 2. In making 
such determination, the Comptroller General shall con-
sider needs of veterans based on— 
(1) age; 
(2) residence in urban areas; and 
(3) residence in rural areas. 
Æ 
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