Veterans Affairs during the year preceding the submittal 
of the report. 
(b) ELEMENTS.—Each report submitted under sub-
section (a) shall include, for the period covered by the re-
port, the following: 
(1) The number of veterans who received fer-
tility counseling or treatment furnished by the De-
partment of Veterans Affairs, disaggregated by era 
of military service of such veterans. 
(2) The number of spouses and surrogates of 
veterans who received fertility counseling or treat-
ment furnished by the Department. 
(3) The cost to the Department of furnishing 
fertility counseling and treatment, disaggregated by 
cost of services and administration. 
(4) The average cost to the Department per re-
cipient of such counseling and treatment. 
(5) In cases in which the Department furnished 
fertility treatment through the use of assisted repro-
ductive technology, the average number of cycles per 
person furnished. 
(6) A description of how fertility counseling and 
treatment services of the Department are coordi-
nated with similar services of the Department of De-
fense. 
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SEC. 6. REGULATIONS ON FURNISHING OF FERTILITY 
COUNSELING AND TREATMENT AND ADOP-
TION ASSISTANCE BY DEPARTMENT OF VET-
ERANS AFFAIRS. 
(a) IN GENERAL.—Not later than 540 days after the 
date of the enactment of this Act, the Secretary of Vet-
erans Affairs shall prescribe regulations— 
(1) on the furnishing of fertility treatment to 
veterans using assisted reproductive technology; 
(2) to carry out section 1788 of title 38, United 
States Code, as added by section 3; and 
(3) to carry out section 1789 of such title, as 
added by section 4. 
(b) LIMITATION.—Notwithstanding any other provi-
sion of law, during the period beginning on the date of 
the enactment of this Act and ending on the date on which 
the Secretary prescribes regulations under subsection (a), 
the Secretary may not furnish— 
(1) to a veteran any fertility treatment that 
uses an assisted reproductive technology that the 
Secretary has not used in the provision of a fertility 
treatment to a veteran before the date of the enact-
ment of this Act; 
(2) any fertility counseling or treatment under 
section 1788 of title 38, United States Code, as 
added by section 3; or 
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(3) any assistance under section 1789 of such 
title, as added by section 4. 
(c) ASSISTED REPRODUCTIVE TECHNOLOGY DE-
FINED.—In this section, the term ‘‘assisted reproductive 
technology’’ has the meaning given the term in section 
1788 of such title, as added by section 3. 
SEC. 7. COORDINATION BETWEEN DEPARTMENT OF VET-
ERANS AFFAIRS AND DEPARTMENT OF DE-
FENSE ON FURNISHING OF FERTILITY COUN-
SELING AND TREATMENT. 
The Secretary of Veterans Affairs and the Secretary 
of Defense shall share best practices and facilitate refer-
rals, as they consider appropriate, on the furnishing of fer-
tility counseling and treatment. 
SEC. 8. FACILITATION OF REPRODUCTION AND INFER-
TILITY RESEARCH. 
(a) IN GENERAL.—Subchapter II of chapter 73 of 
title 38, United States Code, is amended by adding at the 
end the following new section: 
‘‘§ 7330B. Facilitation of reproduction and infertility 
research 
‘‘(a) FACILITATION OF RESEARCH REQUIRED.—The 
Secretary shall facilitate research conducted collabo-
ratively by the Secretary of Defense and the Secretary of 
Health and Human Services to improve the ability of the 
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Department of Veterans Affairs to meet the long-term re-
productive health care needs of veterans who have a geni-
tourinary service-connected disability or a condition that 
was incurred or aggravated in line of duty in the active 
military, naval, or air service, such as spinal cord injury, 
that affects the veterans’ ability to reproduce. 
‘‘(b) DISSEMINATION OF INFORMATION.—The Sec-
retary shall ensure that information produced by the re-
search facilitated under this section that may be useful 
for other activities of the Veterans Health Administration 
is disseminated throughout the Veterans Health Adminis-
tration.’’. 
(b) CLERICAL AMENDMENT.—The table of sections 
at the beginning of chapter 73 of such title is amended 
by inserting after the item relating to section 7330A the 
following new item: 
‘‘7330B. Facilitation of reproduction and infertility research.’’. 
(c) REPORT.—Not later than three years after the 
date of the enactment of this Act, the Secretary of Vet-
erans Affairs shall submit to Congress a report on the re-
search activities conducted by the Secretary under section 
7330B of title 38, United States Code, as added by sub-
section (a). 
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SEC. 9. REQUIREMENT TO IMPROVE DEPARTMENT OF VET-
ERANS AFFAIRS WOMEN VETERANS CONTACT 
CENTER. 
The Secretary of Veterans Affairs shall enhance the 
capabilities of the Department of Veterans Affairs women 
veterans contact center— 
(1) to respond to requests by women veterans 
for assistance with accessing health care and bene-
fits furnished under laws administered by the Sec-
retary; and 
(2) for referral of such veterans to community 
resources to obtain assistance with services not fur-
nished by the Department. 
SEC. 10. MODIFICATION OF PILOT PROGRAM ON COUN-
SELING IN RETREAT SETTINGS FOR WOMEN 
VETERANS NEWLY SEPARATED FROM SERV-
ICE IN THE ARMED FORCES. 
(a) INCREASE IN NUMBER OF LOCATIONS.—Sub-
section (c) of section 203 of the Caregivers and Veterans 
Omnibus Health Services Act of 2010 (Public Law 111– 
163; 38 U.S.C. 1712A note) is amended by striking ‘‘three 
locations’’ and inserting ‘‘14 locations’’. 
(b) EXTENSION OF DURATION.—Subsection (d) of 
such section is amended by striking ‘‘2-year’’ and insert-
ing ‘‘four-year’’. 
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(c) AUTHORIZATION
OF
APPROPRIATIONS.—Sub-
section (f) of such section is amended— 
(1) by striking ‘‘Secretary of Veterans Affairs 
for each’’ and inserting the following: ‘‘Secretary of 
Veterans Affairs— 
‘‘(1) for each’’; 
(2) in paragraph (1), as designated by para-
graph (1), by striking the period at the end and in-
serting ‘‘; and’’; and 
(3) by adding at the end the following new 
paragraph: 
‘‘(2) for each of fiscal years 2013 and 2014, 
$400,000 to carry out the pilot program.’’. 
SEC. 11. PROGRAM ON ASSISTANCE FOR CHILD CARE FOR 
CERTAIN VETERANS. 
(a) ASSISTANCE
FOR CHILD CARE
FOR CERTAIN 
VETERANS RECEIVING HEALTH CARE.— 
(1) IN GENERAL.—Subchapter I of chapter 17 
of title 38, United States Code, is amended by add-
ing at the end the following new section: 
‘‘§ 1709B. Assistance for child care for certain vet-
erans receiving health care 
‘‘(a) PROGRAM REQUIRED.—The Secretary shall 
carry out a program to provide, subject to subsection (b), 
assistance to qualified veterans described in subsection (c) 
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to obtain child care so that such veterans can receive 
health care services described in subsection (c). 
‘‘(b) LIMITATION ON PERIOD OF PAYMENTS.—As-
sistance may only be provided to a qualified veteran under 
this section for receipt of child care during the period that 
the qualified veteran— 
‘‘(1) receives the types of health care services 
described in subsection (c) at a facility of the De-
partment; and 
‘‘(2) requires travel to and return from such fa-
cility for the receipt of such health care services. 
‘‘(c) QUALIFIED VETERANS.—For purposes of this 
section, a qualified veteran is a veteran who is— 
‘‘(1) the primary caretaker of a child or chil-
dren; and 
‘‘(2)(A) receiving from the Department— 
‘‘(i) regular mental health care services; 
‘‘(ii) intensive mental health care services; 
or 
‘‘(iii) such other intensive health care serv-
ices that the Secretary determines that provi-
sion of assistance to the veteran to obtain child 
care would improve access to such health care 
services by the veteran; or 
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‘‘(B) in need of regular or intensive mental 
health care services from the Department, and but 
for lack of child care services, would receive such 
health care services from the Department. 
‘‘(d) LOCATIONS.—The Secretary shall carry out the 
program in no fewer than three Veterans Integrated Serv-
ice Networks selected by the Secretary for purposes of the 
program. 
‘‘(e) FORMS
OF CHILD CARE ASSISTANCE.—(1) 
Child care assistance under this section may include the 
following: 
‘‘(A) Stipends for the payment of child care of-
fered by licensed child care centers (either directly 
or through a voucher program) which shall be, to 
the extent practicable, modeled after the Depart-
ment of Veterans Affairs Child Care Subsidy Pro-
gram established pursuant to section 630 of the 
Treasury and General Government Appropriations 
Act, 2002 (Public Law 107–67; 115 Stat. 552). 
‘‘(B) Direct provision of child care at an on-site 
facility of the Department of Veterans Affairs. 
‘‘(C) Payments to private child care agencies. 
‘‘(D) Collaboration with facilities or programs 
of other Federal departments or agencies. 
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‘‘(E) Such other forms of assistance as the Sec-
retary considers appropriate. 
‘‘(2) In the case that child care assistance under this 
section is provided as a stipend under paragraph (1)(A), 
such stipend shall cover the full cost of such child care.’’. 
(2) 
CONFORMING
AMENDMENT.—Section 
205(e) of the Caregivers and Veterans Omnibus 
Health Services Act of 2010 (Public Law 111–163; 
38 U.S.C. 1710 note) is amended by inserting ‘‘but 
not after the date of the enactment of the Women 
Veterans and Other Health Care Improvements Act 
of 2013’’ before the period at the end. 
(3) CLERICAL AMENDMENT.—The table of sec-
tions at the beginning of such chapter is amended 
by inserting after the item relating to section 1709A 
the following new item: 
‘‘1709B. Assistance for child care for certain veterans receiving health care.’’. 
(b) ASSISTANCE
FOR CHILD CARE
FOR CERTAIN 
VETERANS
RECEIVING
READJUSTMENT
COUNSELING 
AND RELATED MENTAL HEALTH SERVICES.— 
(1) IN GENERAL.—Subchapter I of chapter 17 
of such title, as amended by subsection (a)(1), is 
further amended by adding at the end the following 
new section: 
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‘‘§ 1709C. Assistance for child care for certain vet-
erans receiving readjustment counseling 
and related mental health services 
‘‘(a) PROGRAM REQUIRED.—The Secretary shall 
carry out a program to provide, subject to subsection (b), 
assistance to qualified veterans described in subsection (c) 
to obtain child care so that such veterans can receive read-
justment counseling and related mental health services. 
‘‘(b) LIMITATION ON PERIOD OF PAYMENTS.—As-
sistance may only be provided to a qualified veteran under 
this section for receipt of child care during the period that 
the qualified veteran receives readjustment counseling and 
related health care services at a Vet Center. 
‘‘(c) QUALIFIED VETERANS.—For purposes of this 
section, a qualified veteran is a veteran who is— 
‘‘(1) the primary caretaker of a child; and 
‘‘(2)(A) receiving from the Department regular 
readjustment counseling and related mental health 
services; or 
‘‘(B) in need of readjustment counseling and 
related mental health services from the Department, 
and but for lack of child care services, would receive 
such counseling and services from the Department. 
‘‘(d) LOCATIONS.—The Secretary shall carry out the 
program under this section in no fewer than three Read-
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justment Counseling Service Regions selected by the Sec-
retary for purposes of the program. 
‘‘(e) FORMS
OF CHILD CARE ASSISTANCE.—(1) 
Child care assistance under this section may include the 
following: 
‘‘(A) Stipends for the payment of child care of-
fered by licensed child care centers (either directly 
or through a voucher program) which shall be, to 
the extent practicable, modeled after the Depart-
ment of Veterans Affairs Child Care Subsidy Pro-
gram established pursuant to section 630 of the 
Treasury and General Government Appropriations 
Act, 2002 (Public Law 107–67; 115 Stat. 552). 
‘‘(B) Payments to private child care agencies. 
‘‘(C) Collaboration with facilities or programs 
of other Federal departments or agencies. 
‘‘(D) Such other forms of assistance as the Sec-
retary considers appropriate. 
‘‘(2) In the case that child care assistance under this 
subsection is provided as a stipend under paragraph 
(1)(A), such stipend shall cover the full cost of such child 
care. 
‘‘(f) VET CENTER DEFINED.—In this section, the 
term ‘Vet Center’ means a center for readjustment coun-
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seling and related mental health services for veterans 
under section 1712A of this title.’’. 
(2) CLERICAL AMENDMENT.—The table of sec-
tions at the beginning of such chapter, as amended 
by subsection (a)(3), is further amended by inserting 
after the item relating to section 1709B the fol-
lowing new item: 
‘‘1709C. Assistance for child care for certain veterans receiving readjustment 
counseling and related mental health services.’’. 
SEC. 12. CONTRACTOR USER FEES. 
(a) IN GENERAL.—Chapter 3 of title 38, United 
States Code, is amended by adding at the end the fol-
lowing new section: 
‘‘§ 323. Contractor user fees 
‘‘(a) FEE REQUIREMENT.—Except as provided in 
subsection (c) and subject to subsection (d), the Secretary 
shall impose a fee upon each person with whom the Sec-
retary engages in a contract for a good or service as a 
condition of the contract. 
‘‘(b) FEE AMOUNT.—(1) The amount of a fee im-
posed upon a person under subsection (a) with respect to 
a contract shall be equal to the lesser of— 
‘‘(A) the amount which is equal to seven per-
cent of the total value of the contract; and 
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ductive technology, to individuals under laws admin-
istered by the Secretary in the next fiscal year; and 
‘‘(B) making payments under section 1789 of 
this title in the next fiscal year. 
‘‘(c) WAIVER.—The Secretary may waive the fee re-
quired by subsection (a) for a person as the Secretary con-
siders appropriate if the person is an individual or a small 
business concern. 
‘‘(d) LIMITATION ON COLLECTION.—No fee may be 
collected under subsection (a) except to the extent that 
the expenditure of the fee to pay the costs of activities 
and services for which the fee is imposed is provided for 
in advance in an appropriations Act. 
‘‘(e) DEPARTMENT
OF VETERANS AFFAIRS FER-
TILITY COUNSELING AND TREATMENT FUND.—(1) There 
is in the Treasury a fund to be known as the Department 
of Veterans Affairs Fertility Counseling and Treatment 
Fund. 
‘‘(2) All amounts received by the Secretary under 
subsection (a) shall be deposited in the fund. 
‘‘(3)(A) Subject to the provisions of appropriations 
Acts, amounts in the fund shall be available, without fiscal 
year limitation, to the Secretary for the following pur-
poses: 
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‘‘(i) To furnish fertility counseling and treat-
ment, including through the use of assisted repro-
ductive technology, to individuals under laws admin-
istered by the Secretary. 
‘‘(ii) To make payments under section 1789 of 
this title. 
‘‘(B) Amounts available under subparagraph (A) may 
not be used for any purposes other than a purpose set 
forth in clause (i) or (ii) of that subparagraph. 
‘‘(4) Amounts received by the Secretary under sub-
section (a) shall be treated for the purposes of sections 
251 and 252 of the Balanced Budget and Emergency Def-
icit Control Act of 1985 (2 U.S.C. 901, 902) as offsets 
to discretionary appropriations (rather than as offsets to 
direct spending) to the extent that such amounts are made 
available for expenditure in appropriations Acts for the 
purposes specified in paragraph (3) of this subsection. 
‘‘(f) SMALL BUSINESS CONCERN DEFINED.—In this 
section, the term ‘small business concern’ has the meaning 
given such term under section 3 of the Small Business 
Act (15 U.S.C. 632).’’. 
(b) CLERICAL AMENDMENT.—The table of sections 
at the beginning of chapter 3 of such title is amended by 
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adding after the item relating to section 322 the following 
new item: 
‘‘323. Contractor user fees.’’. 
Æ 
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