SEC. 103. REQUIREMENT FOR DEPARTMENT OF VETERANS 
AFFAIRS INTERNET WEBSITE TO PROVIDE IN-
FORMATION ON SERVICES AVAILABLE TO 
WOMEN VETERANS. 
(a) IN GENERAL.—The Secretary of Veterans Affairs 
shall survey the internet websites and information resources 
of the Department of Veterans Affairs in effect on the day 
before the date of the enactment of this Act and publish an 
internet website that serves as a centralized source for the 
provision to women veterans of information about the bene-
fits and services available to them under laws administered 
by the Secretary. 
(b) ELEMENTS.—The internet website published under 
subsection (a) shall provide to women veterans information 
regarding all of the services available in the district in 
which the veteran is seeking such services, including, with 
respect to each medical center and community-based out-
patient clinic in the applicable Veterans Integrated Service 
Network— 
(1) the name and contact information of each 
women veterans program manager; 
(2) a list of appropriate staff for other benefits 
available from the Veterans Benefits Administration, 
the National Cemetery Administration, and such 
other entities as the Secretary considers appropriate; 
and 
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(3) such other information as the Secretary con-
siders appropriate. 
(c) UPDATED INFORMATION.—The Secretary shall en-
sure that the information described in subsection (b) that 
is published on the internet website required by subsection 
(a) is updated not less frequently than once every 90 days. 
(d) OUTREACH.—In carrying out this section, the Sec-
retary shall ensure that the outreach conducted under sec-
tion 1720F(i) of title 38, United States Code, includes infor-
mation regarding the internet website required by sub-
section (a). 
(e) DERIVATION OF FUNDS.—Amounts used by the 
Secretary to carry out this section shall be derived from 
amounts made available to the Secretary to publish internet 
websites of the Department. 
SEC. 104. REPORT ON WOMEN VETERANS RETROFIT INITIA-
TIVE. 
(a) REPORT.—Not later than 180 days after the date 
of the enactment of this Act, the Secretary of Veterans Af-
fairs shall submit to the Committees on Veterans’ Affairs 
and the Committees on Appropriations of the Senate and 
the House of Representatives a report on requirements to 
retrofit existing medical facilities of the Department of Vet-
erans Affairs with fixtures, materials, and other outfitting 
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measures to support the provision of care to women veterans 
at such facilities. 
(b) ELEMENTS.—The report under subsection (a) shall 
include the following: 
(1) An assessment of how the Secretary 
prioritizes retrofitting existing medical facilities to 
support provision of care to women veterans in com-
parison to other requirements. 
(2) A five-year plan for retrofitting medical fa-
cilities of the Department to support the provision of 
care to women veterans. 
SEC. 105. ESTABLISHMENT OF ENVIRONMENT OF CARE 
STANDARDS AND INSPECTIONS AT DEPART-
MENT OF VETERANS AFFAIRS MEDICAL CEN-
TERS. 
(a) IN GENERAL.—The Secretary of Veterans Affairs 
shall establish a policy under which the environment of care 
standards and inspections at medical centers of the Depart-
ment of Veterans Affairs include— 
(1) an alignment of the requirements for such 
standards and inspections with the women’s health 
handbook of the Veterans Health Administration; 
(2) a requirement for the frequency of such in-
spections; 
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(3) delineation of the roles and responsibilities of 
staff at the medical center who are responsible for 
compliance; 
(4) the requirement that each medical center sub-
mit to the Secretary and make publicly available a 
report on the compliance of the medical center with 
the standards; and 
(5) a remediation plan. 
(b) REPORT.—Not later than 180 days after the date 
of the enactment of this Act, the Secretary shall submit to 
the Committees on Veterans’ Affairs of the Senate and 
House of Representatives certification in writing that the 
policy required by subsection (a) has been finalized and dis-
seminated to Department all medical centers. 
SEC. 106. ADDITIONAL FUNDING FOR PRIMARY CARE AND 
EMERGENCY CARE CLINICIANS IN WOMEN 
VETERANS HEALTH CARE MINI-RESIDENCY 
PROGRAM. 
(a) IN GENERAL.—There is authorized to be appro-
priated to the Secretary of Veterans Affairs $1,000,000 for 
each fiscal year for the Women Veterans Health Care Mini- 
Residency Program of the Department of Veterans Affairs 
to provide opportunities for participation in such program 
for primary care and emergency care clinicians. 
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(b) TREATMENT OF AMOUNTS.—The amounts author-
ized to be appropriated under subsection (a) shall be in ad-
dition to amounts otherwise made available to the Secretary 
for the purposes set forth in such subsection. 
SEC. 107. ESTABLISHMENT OF WOMEN VETERAN TRAINING 
MODULE FOR NON-DEPARTMENT OF VET-
ERANS AFFAIRS HEALTH CARE PROVIDERS. 
(a) IN GENERAL.—Not later than one year after the 
date of the enactment of this Act, the Secretary of Veterans 
Affairs shall establish and make available to community 
providers a training module that is specific to women vet-
erans. 
(b) COMMUNITY PROVIDER DEFINED.—In this section, 
the term ‘‘community provider’’ means a non-Department 
of Veterans Affairs health care provider who provides health 
care to veterans under the laws administered by the Sec-
retary of Veterans Affairs. 
TITLE II—MEDICAL CARE 
SEC. 201. IMPROVED ACCESS TO DEPARTMENT OF VET-
ERANS AFFAIRS MEDICAL CARE FOR WOMEN 
VETERANS. 
(a) IN GENERAL.—Subchapter II of chapter 17 of title 
38, United States Code, is amended by adding at the end 
the following new section: 
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‘‘§ 1720J. Medical services for women veterans 
‘‘(a) ACCESS TO CARE.—The Secretary shall ensure 
that women’s health primary care services are available 
during regular business hours at every medical center and 
community based outpatient clinic of the Department. 
‘‘(b) STUDY ON EXTENDED HOURS OF CARE.—The 
Secretary shall conduct a study to assess— 
‘‘(1) the use of extended hours as a means of re-
ducing barriers to care; 
‘‘(2) the need for extended hours based on inter-
views with women veterans and employees; and 
‘‘(3) the best practices and resources required to 
implement use of extended hours. 
‘‘(c) ANNUAL REPORT TO CONGRESS.—Not later than 
September 30 of each year, the Secretary shall submit to 
the Committee on Veterans’ Affairs of the Senate and the 
Committee on Veterans’ Affairs of the House of Representa-
tives a report on compliance with subsection (a).’’. 
(b) CLERICAL AMENDMENT.—The table of sections at 
the beginning of such chapter is amended by inserting after 
the item relating to section 1720I the following new item: 
‘‘1720J. Medical services for women veterans.’’. 
SEC. 202. COUNSELING AND TREATMENT FOR SEXUAL 
TRAUMA. 
Section 1720D of title 38, United States Code, is 
amended— 
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(1) in subsection (a)— 
(A) in paragraph (1), by striking ‘‘active 
duty, active duty for training, or inactive duty 
training’’ and inserting ‘‘duty, regardless of duty 
status or line of duty determination (as that 
term is used in section 12323 of title 10)’’; and 
(B) in paragraph (2)(A), by striking ‘‘ac-
tive duty, active duty for training, or inactive 
duty training’’ and inserting ‘‘duty, regardless of 
duty status or line of duty determination (as 
that term is used in section 12323 of title 10)’’; 
(2) by striking ‘‘veteran’’ each place it appears 
and inserting ‘‘former member of the Armed Forces’’; 
(3) by striking ‘‘veterans’’ each place it appears 
and inserting ‘‘former members of the Armed Forces’’; 
and 
(4) by adding at the end the following new sub-
section: 
‘‘(g) In this section, the term ‘former member of the 
Armed Forces’ includes the following: 
‘‘(1) A veteran described in section 101(2) of this 
title. 
‘‘(2) An individual not described in paragraph 
(1) who was discharged or released from the Armed 
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Forces under a condition that is not honorable but 
not— 
‘‘(A) a dishonorable discharge; or 
‘‘(B) a discharge by court-martial.’’. 
SEC. 203. COUNSELING IN RETREAT SETTINGS FOR WOMEN 
VETERANS AND OTHER INDIVIDUALS. 
(a) IN GENERAL.—Chapter 17 of title 38, United 
States Code, is amended by inserting after section 1712C 
the following new section: 
‘‘§ 1712D. Counseling in retreat settings for women 
veterans and other individuals 
‘‘(a) PROGRAM.—(1) Commencing not later than Jan-
uary 1, 2021, the Secretary shall carry out, through the 
Readjustment Counseling Service of the Veterans Health 
Administration, a program to provide reintegration and re-
adjustment services described in subsection (b) in group re-
treat settings to covered individuals, including cohorts of 
women veterans who are eligible for readjustment coun-
seling services under section 1712A of this title. 
‘‘(2) The participation of a covered individual in the 
program under paragraph (1) shall be at the election of the 
individual. 
‘‘(b) COVERED SERVICES.—The services provided to a 
covered individual under the program under subsection 
(a)(1) shall include the following: 
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‘‘(1) Information on reintegration into the fam-
ily, employment, and community of the individual. 
‘‘(2) Financial counseling. 
‘‘(3) Occupational counseling. 
‘‘(4) Information and counseling on stress reduc-
tion. 
‘‘(5) Information and counseling on conflict reso-
lution. 
‘‘(6) Such other information and counseling as 
the Secretary considers appropriate to assist the indi-
vidual in reintegration into the family, employment, 
and community of the veteran. 
‘‘(c) BIENNIAL REPORTS.—Not later than December 
31, 2022, and each even-numbered year thereafter, the Sec-
retary shall submit to the Committees on Veterans’ Affairs 
of the House of Representatives and the Senate a report on 
the program under subsection (a)(1). 
‘‘(d) COVERED INDIVIDUAL DEFINED.—In this section, 
the term ‘covered individual’ means— 
‘‘(1) Any veteran who is enrolled in the system 
of annual patient enrollment under section 1705 of 
this title. 
‘‘(2) Any survivor or dependent of a veteran who 
is eligible for medical care under section 1781 of this 
title.’’. 
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(b) CLERICAL AMENDMENT.—The table of sections at 
the beginning of such chapter is amended by inserting after 
the item relating to section 1712C the following new item: 
‘‘1712D. Counseling in retreat settings for women veterans and other individ-
uals.’’. 
SEC. 204. IMPROVEMENT OF HEALTH CARE SERVICES PRO-
VIDED TO NEWBORN CHILDREN BY DEPART-
MENT OF VETERANS AFFAIRS. 
(a) EXPANSION.—Section 1786 of title 38, United 
States Code, is amended— 
(1) in subsection (a), in the matter preceding 
paragraph (1), by striking ‘‘seven days’’ and insert-
ing ‘‘14 days’’; and 
(2) by adding at the end the following new sub-
section: 
‘‘(f) ANNUAL REPORT.—Not later than 60 days after 
the end of each fiscal year, the Secretary shall submit to 
the Committee on Veterans’ Affairs of the Senate and the 
Committee on Veterans’ Affairs of the House of Representa-
tives a report on the health care services provided under 
subsection (a) during such fiscal year, including the number 
of newborn children who received such services during such 
fiscal year.’’. 
(b) AUTHORITY TO FURNISH MEDICALLY NECESSARY 
TRANSPORTATION FOR NEWBORN CHILDREN OF CERTAIN 
WOMEN VETERANS.—Such section is further amended— 
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(1) in subsection (a)— 
(A) in the matter before paragraph (1)— 
(i) by inserting ‘‘and transportation 
necessary to receive such services’’ after ‘‘de-
scribed in subsection (b)’’; and 
(ii) by inserting ‘‘, except as provided 
in subsection (e),’’ after ‘‘14 days’’; 
(B) in paragraph (1), by striking ‘‘or’’; 
(C) in paragraph (2), by striking the period 
at the end and inserting ‘‘; or’’; and 
(D) by adding at the end the following new 
paragraph: 
‘‘(3) another location, including a health care fa-
cility, if the veteran delivers the child before arriving 
at a facility described in paragraph (1) or (2).’’; 
(2) in subsection (b), by inserting before the pe-
riod at the end the following: ‘‘, including necessary 
health care services provided by a facility other than 
the facility where the newborn child was delivered 
(including a specialty pediatric hospital) that accepts 
transfer of the newborn child and responsibility for 
treatment of the newborn child’’; and 
(3) by inserting before subsection (f), as added by 
subsection (a), the following new subsections: 
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‘‘(c) TRANSPORTATION.—(1) Transportation furnished 
under subsection (a) to, from, or between care settings to 
meet the needs of a newborn child includes costs for either 
or both the newborn child and parents. 
‘‘(2) Transportation furnished under subsection (a) is 
transportation by ambulance, including air ambulance, or 
other appropriate medically staffed modes of transpor-
tation— 
‘‘(A) to another health care facility (including a 
specialty pediatric hospital) that accepts transfer of 
the newborn child or otherwise provides post-delivery 
care services when the treating facility is not capable 
of furnishing the care or services required; or 
‘‘(B) to a health care facility in a medical emer-
gency of such nature that a prudent layperson reason-
ably expects that delay in seeking immediate medical 
attention would be hazardous to life or health. 
‘‘(3) Amounts paid by the Department for transpor-
tation under this section shall be derived from the Medical 
Services appropriations account of the Department. 
‘‘(d) REIMBURSEMENT
OR PAYMENT
FOR HEALTH 
CARE SERVICES OR TRANSPORTATION.—(1) Pursuant to 
regulations the Secretary shall prescribe to establish rates 
of reimbursement and any limitations thereto under this 
section, the Secretary shall directly reimburse a covered en-
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tity for health care services or transportation services pro-
vided under this section, unless the cost of the services or 
transportation is covered by an established agreement or 
contract. If such an agreement or contract exists, its nego-
tiated payment terms shall apply. 
‘‘(2)(A) Reimbursement or payment by the Secretary 
under this section on behalf of an individual to a covered 
entity shall, unless rejected and refunded by the covered en-
tity within 30 days of receipt, extinguish any liability on 
the part of the individual for the health care services or 
transportation covered by such payment. 
‘‘(B) Neither the absence of a contract or agreement 
between the Secretary and a covered entity nor any provi-
sion of a contract, agreement, or assignment to the contrary 
shall operate to modify, limit, or negate the requirements 
of subparagraph (A). 
‘‘(3) In this subsection, the term ‘covered entity’ means 
any individual, transportation carrier, organization, or 
other entity that furnished or paid for health care services 
or transportation under this section. 
‘‘(e) EXCEPTION.—Pursuant to such regulations as the 
Secretary shall prescribe to carry out this section, the Sec-
retary may furnish more than 14 days of health care serv-
ices described in subsection (b), and transportation nec-
essary to receive such services, to a newborn child based on 
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medical necessity if the child is in need of additional care, 
including a case in which the newborn child has been dis-
charged or released from a hospital and requires readmit-
tance to ensure the health and welfare of the newborn 
child.’’. 
(c) TREATMENT OF CERTAIN EXPENSES ALREADY IN-
CURRED.—Pursuant to such regulations as the Secretary 
of Veterans Affairs shall prescribe, the Secretary may pro-
vide reimbursement under section 1786 of title 38, United 
States Code, as amended by subsection (a), health care serv-
ices or transportation services furnished to a newborn child 
during the period beginning on May 5, 2010, and ending 
on the date of the enactment of this Act, if the Secretary 
determines that, under the circumstances applicable with 
respect to the newborn, such reimbursement appropriate. 
TITLE III—REPORTS AND OTHER 
MATTERS 
Subtitle A—Reports 
SEC. 301. ASSESSMENT OF EFFECTS OF INTIMATE PARTNER 
VIOLENCE ON WOMEN VETERANS BY ADVI-
SORY COMMITTEE ON WOMEN VETERANS. 
Section 542(c)(1) of title 38, United States Code, is 
amended— 
(1) in subparagraph (B), by striking ‘‘and’’ at 
the end; 
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(2) by redesignating subparagraph (C) as sub-
paragraph (D); and 
(3) by inserting after subparagraph (B) the fol-
lowing new subparagraph (C): 
‘‘(C) an assessment of the effects of intimate 
partner violence on women veterans; and’’. 
SEC. 302. STUDY ON STAFFING OF WOMEN VETERAN PRO-
GRAM MANAGER PROGRAM AT MEDICAL CEN-
TERS OF THE DEPARTMENT OF VETERANS AF-
FAIRS AND TRAINING OF STAFF. 
(a) STUDY.—The Secretary of Veterans Affairs shall 
conduct a study on the use of the Women Veteran Program 
Manager program of the Department of Veterans Affairs to 
determine— 
(1) if the program is appropriately staffed at 
each medical center of the Department; 
(2) whether each medical center of the Depart-
ment is staffed with a Women Veteran Program Man-
ager; and 
(3) whether it would be feasible and advisable to 
have a Women Veteran Program Ombudsman at each 
medical center of the Department. 
(b) REPORT.—Not later than 270 days after the date 
of the enactment of this Act, the Secretary shall submit to 
the Committee on Veterans’ Affairs of the Senate and the 
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Committee on Veterans’ Affairs of the House of Representa-
tives a report on the study conducted under subsection (a). 
(c) TRAINING.—The Secretary shall ensure that all 
Women Veteran Program Managers and Women Veteran 
Program Ombudsmen receive the proper training to carry 
out their duties. 
SEC. 303. REPORT ON AVAILABILITY OF PROSTHETIC ITEMS 
FOR WOMEN VETERANS FROM THE DEPART-
MENT OF VETERANS AFFAIRS. 
Not later than one year after the date of the enactment 
of this Act, the Secretary of Veterans Affairs shall submit 
to the Committee on Veterans’ Affairs of the Senate and 
the Committee on Veterans’ Affairs of the House of Rep-
resentatives a report on the availability from the Depart-
ment of Veterans Affairs of prosthetic items made for 
women veterans, including an assessment of the availability 
of such prosthetic items at each medical facility of the De-
partment. The report shall— 
(1) address efforts on research, development, and 
employment of additive manufacture technology (com-
monly referred to as ‘‘3D printing’’) to provide pros-
thetic items for women veterans; and 
(2) include a survey with a representative sam-
ple of 50,000 veterans (of which women shall be 
overrrepresented) in amputee care program on satis-
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faction with prosthetics furnished or procured by the 
Department that replace appendages or their func-
tion. 
SEC. 304. STUDY OF BARRIERS FOR WOMEN VETERANS TO 
HEALTH CARE FROM THE DEPARTMENT OF 
VETERANS AFFAIRS. 
(a) STUDY REQUIRED.—The Secretary of Veterans Af-
fairs shall conduct a comprehensive study of the barriers 
to the provision of comprehensive health care by the Depart-
ment of Veterans Affairs encountered by women who are 
veterans. In conducting the study, the Secretary shall— 
(1) survey women veterans who seek or receive 
hospital care or medical services provided by the De-
partment of Veterans Affairs as well as women vet-
erans who do not seek or receive such care or services; 
(2) administer the survey to a representative 
sample of women veterans from each Veterans Inte-
grated Service Network; and 
(3) ensure that the sample of women veterans 
surveyed is of sufficient size for the study results to 
be statistically significant and is a larger sample 
than that of the study referred to in subsection (b)(1). 
(b) USE OF PREVIOUS STUDIES.—In conducting the 
study required by subsection (a), the Secretary shall build 
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on the work of the studies of the Department of Veterans 
Affairs titled— 
(1) ‘‘National Survey of Women Veterans in Fis-
cal Year 2007–2008’’; and 
(2) ‘‘Study of Barriers for Women Veterans to 
VA Health Care 2015’’. 
(c) ELEMENTS OF STUDY.—In conducting the study 
required by subsection (a), the Secretary shall conduct re-
search on the effects of the following on the women veterans 
surveyed in the study: 
(1) The barriers associated with seeking mental 
health care services, including with respect to pro-
vider availability, telehealth access, and family, work, 
and school obligations. 
(2) The effect of driving distance or availability 
of other forms of transportation to the nearest medical 
facility on access to care. 
(3) The effect of access to care in the community. 
(4) The availability of child care. 
(5) The acceptability of integrated primary care, 
women’s health clinics, or both. 
(6) The comprehension of eligibility requirements 
for, and the scope of services available under, hospital 
care and medical services. 
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(7) The perception of personal safety and com-
fort in inpatient, outpatient, and behavioral health 
facilities. 
(8) The gender sensitivity of health care pro-
viders and staff to issues that particularly affect 
women. 
(9) The effectiveness of outreach for health care 
services available to women veterans. 
(10) The location and operating hours of health 
care facilities that provide services to women veterans. 
(11) The perception of women veterans regarding 
the motto of the Department of Veterans Affairs. 
(12) Such other significant barriers as the Sec-
retary considers appropriate. 
(d) DISCHARGE BY CONTRACT.—The Secretary shall 
enter into a contract with a qualified independent entity 
or organization to carry out the study and research re-
quired under this section. 
(e) MANDATORY REVIEW OF DATA BY CERTAIN DE-
PARTMENT DIVISIONS.— 
(1) IN
GENERAL.—The Secretary shall ensure 
that the head of each division of the Department of 
Veterans Affairs specified in paragraph (2) reviews 
the results of the study conducted under this section. 
The head of each such division shall submit findings 
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with respect to the study to the Under Secretary for 
responsibilities relating to health care services for 
women veterans. 
(2) SPECIFIED DIVISIONS.—The divisions of the 
Department of Veterans Affairs specified in this para-
graph are the following: 
(A) The Under Secretary for Health. 
(B) The Office of Women’s Health. 
(C) The Center for Women Veterans estab-
lished under section 318 of title 38, United 
States Code. 
(D) The Advisory Committee on Women 
Veterans established under section 542 of such 
title. 
(f) REPORT.—Not later than 30 months after the date 
of the enactment of this Act, the Secretary shall submit to 
Congress a report on the study required under this section. 
The report shall include recommendations for such adminis-
trative and legislative action as the Secretary considers ap-
propriate. The report shall also include the findings of the 
head of each division of the Department specified under sub-
section (e)(2) and of the Under Secretary for Health. 
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SEC. 305. REPORT REGARDING VETERANS WHO RECEIVE 
BENEFITS UNDER LAWS ADMINISTERED BY 
THE SECRETARY OF VETERANS AFFAIRS. 
(a) REPORT.—Not later than 180 days after the date 
of the enactment of this Act, the Secretary of Veterans Af-
fairs shall publish a report regarding veterans who receive 
benefits under laws administered by the Secretary, includ-
ing the Transition Assistance Program under sections 1142 
and 1144 of title 10, United States Code. 
(b) DATA.—The data regarding veterans published in 
the report under subsection (a)— 
(1) shall be disaggregated by— 
(A) sex; 
(B) minority group member status; and 
(C) minority group member status listed by 
sex. 
(2) may not include any personally identifiable 
information. 
(c) MATTERS INCLUDED.—The report under subsection 
(a) shall include— 
(1) identification of any disparities in the use of 
benefits under laws administered by the Secretary; 
and 
(2) an analysis of the cause of such disparities 
and recommendations to address such disparities. 
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00:37 Nov 13, 2019
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Sspencer on DSKBBXCHB2PROD with BILLS