I 
118TH CONGRESS 
2D SESSION 
H. R. 8562 
To amend title 38, United States Code, to improve the provision of direct 
housing loans and medical care from the Department of Veterans Affairs 
for Native Hawaiians. 
IN THE HOUSE OF REPRESENTATIVES 
MAY 23, 2024 
Ms. TOKUDA (for herself and Mr. CASE) introduced the following bill; which 
was referred to the Committee on Veterans’ Affairs 
A BILL 
To amend title 38, United States Code, to improve the 
provision of direct housing loans and medical care from 
the Department of Veterans Affairs for Native Hawai-
ians. 
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 ‘‘Parity for Native Ha-
waiian Veterans Act of 2024’’. 
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SEC. 2. MODIFICATION TO PROGRAM FOR DIRECT HOUS-
ING LOANS MADE TO NATIVE AMERICAN VET-
ERANS BY THE SECRETARY OF VETERANS AF-
FAIRS. 
Section 3765(3)(B) of title 38, United States Code, 
is amended by striking ‘‘as that term’’ and all that follows 
through ‘‘42 Stat. 108)’’ and inserting ‘‘as defined in sec-
tion 801 of the Native American Housing Assistance and 
Self-Determination Act of 1996 (25 U.S.C. 4221)’’. 
SEC. 3. IMPROVEMENT OF PROVISION OF MEDICAL CARE 
FROM DEPARTMENT OF VETERANS AFFAIRS 
FOR NATIVE HAWAIIANS. 
(a) REIMBURSEMENT OF COSTS OF CERTAIN CARE 
PROVIDED THROUGH NATIVE HAWAIIAN HEALTH CARE 
SYSTEM.— 
(1) IN GENERAL.—Subchapter I of chapter 17 
of title 38, United States Code, is amended by in-
serting after section 1703F the following new sec-
tion: 
‘‘§ 1703G. Reimbursement of costs of certain care pro-
vided through Native Hawaiian health 
care system 
‘‘(a) IN GENERAL.—The Secretary shall reimburse a 
Native Hawaiian health care system for the costs of care 
or services provided through such system to veterans eligi-
ble for such care or services under the laws administered 
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by the Secretary, regardless of whether such care or serv-
ices are provided directly through such system, through 
purchased or referred care, or through a contract for trav-
el. 
‘‘(b) NATIVE HAWAIIAN HEALTH CARE SYSTEM DE-
FINED.—The term ‘Native Hawaiian health care system’ 
has the meaning given that term in section 12 of the Na-
tive Hawaiian Health Care Improvement Act (42 U.S.C. 
11711).’’. 
(2) CLERICAL AMENDMENT.—The table of sec-
tions at the beginning of such chapter is amended 
by inserting after the item relating to section 1703F 
the following new item: 
‘‘1703G. Reimbursement of costs of certain care provided through Native Ha-
waiian health care system.’’. 
(b) EXEMPTION FROM COST SHARING.—Section 
1730A(b) of such title is amended— 
(1) in paragraph (1), by striking ‘‘; or’’ and in-
serting a semicolon; 
(2) in paragraph (2), by striking the period at 
the end and inserting ‘‘; or’’; and 
(3) by adding at the end the following new 
paragraph: 
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‘‘(3) is a Native Hawaiian (as defined in section 
12 of the Native Hawaiian Health Care Improve-
ment Act (42 U.S.C. 11711)).’’. 
Æ 
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