I 
116TH CONGRESS 
1ST SESSION H. R. 4154 
To direct the Under Secretary of Health of the Department of Veterans 
Affairs to contact certain veterans to encourage such veterans to receive 
medical examinations furnished or paid for by the Secretary of Veterans 
Affairs. 
IN THE HOUSE OF REPRESENTATIVES 
AUGUST 2, 2019 
Mrs. LEE of Nevada (for herself and Mr. WATKINS) introduced the following 
bill; which was referred to the Committee on Veterans’ Affairs 
A BILL 
To direct the Under Secretary of Health of the Department 
of Veterans Affairs to contact certain veterans to encour-
age such veterans to receive medical examinations fur-
nished or paid for by the Secretary of Veterans Affairs. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Leave no Veteran Be-
hind Act’’. 
SEC. 2. MEDICAL EXAMINATIONS FOR CERTAIN VETERANS. 
(a) NOTICE.—Not later than 90 days after the date 
of the enactment of this Act, the Under Secretary of 
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Health of the Department of Veterans Affairs shall seek 
to contact each covered veteran by mail, telephone, or 
email to encourage each covered veteran to receive medical 
examinations including the following: 
(1) A comprehensive physical examination. 
(2) A comprehensive mental health examina-
tion. 
(3) A comprehensive eye examination if the cov-
ered veteran has not received such an examination 
in the year immediately preceding the date of such 
examination. 
(4) A comprehensive audiological examination if 
the covered veteran has not received such an exam-
ination in the year immediately preceding the date 
of such examination. 
(b) EXAMINATIONS.— 
(1) VA HEALTH CARE FACILITIES.—If a cov-
ered veteran elects to receive more than one exam-
ination described in subsection (a) at a health care 
facility of the Department of Veterans Affairs, the 
Under Secretary of Health shall seek to furnish all 
such scheduled examinations on the same day. 
(2) COMMUNITY CARE.—Pursuant to subsection 
(d) or (e) of section 1703 of title 38, United States 
Code, a covered veteran may receive an examination 
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described in subsection (a) from a health care pro-
vider described in subsection (c) of that section. 
(c) TRANSPORTATION.— 
(1) BENEFICIARY
TRAVEL
PROGRAM.—Pursu-
ant to section 111 of title 38, United States Code, 
the Secretary of Veterans Affairs may pay for a 
rural covered veteran to travel to a health care facil-
ity to receive an examination described in subsection 
(a). 
(2) SHUTTLE SERVICE.—The Under Secretary 
of Health shall seek to enter into agreements with 
non-profit organizations to provide shuttle service to 
rural covered veterans for examinations described in 
subsection (a). 
(d) REPORT REQUIRED.—Not later than 18 months 
after the date of the enactment of this Act, the Secretary 
of Veterans Affairs shall submit to Congress a report re-
garding how many covered veterans scheduled examina-
tions described in subsection (a) after receiving a letter, 
telephone call, or email under that subsection. 
(e) DEFINITIONS.—In this section: 
(1) The term ‘‘covered veteran’’ means a vet-
eran who— 
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(A) is enrolled in the system of annual pa-
tient enrollment under section 1705 of title 38, 
United States Code; and 
(B) has not received health care furnished 
or paid for by the Secretary of Veterans Affairs 
during the two years immediately preceding the 
date in subsection (a)(1). 
(2) The term ‘‘rural covered veteran’’ means a 
covered veteran— 
(A) who lives in an area served by the Of-
fice of Rural Health of the Department of Vet-
erans Affairs; and 
(B) whom the Under Secretary of Health 
determines requires assistance to travel to a 
health care facility to receive an examination 
described in subsection (a). 
(3) The term ‘‘veteran’’ has the meaning given 
that term in section 101 of title 38, United States 
Code. 
Æ 
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