I 
113TH CONGRESS 
2D SESSION 
H. R. 4759 
To direct the Secretary of Veterans Affairs to carry out a pilot program 
under which eligible veterans may elect to receive hospital care and 
medical services at non-Department of Veterans Affairs facilities, and 
for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
MAY 29, 2014 
Mr. LOBIONDO introduced the following bill; which was referred to the 
Committee on Veterans’ Affairs 
A BILL 
To direct the Secretary of Veterans Affairs to carry out 
a pilot program under which eligible veterans may elect 
to receive hospital care and medical services at non- 
Department of Veterans Affairs facilities, and for other 
purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. PILOT PROGRAM ON DEPARTMENT OF VET-
ERANS AFFAIRS FEE-BASIS HEALTH CARE. 
(a) PILOT PROGRAM.—Beginning not later than one 
year after the date of the enactment of this Act, the Sec-
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retary of Veterans Affairs shall carry out a two-year pilot 
program under which— 
(1) eligible veterans may elect to receive hos-
pital care and medical services at non-Department of 
Veterans Affairs facilities; and 
(2) the Secretary shall reimburse such facilities 
for the cost of such care and services. 
(b) ELIGIBLE VETERAN.—For purposes of the pilot 
program under this section, an eligible veteran is a veteran 
who— 
(1) is enrolled in the patient enrollment system 
of the Department of Veterans Affairs under section 
1705 of title 38, United States Code; and 
(2) resides in a geographic area selected by the 
Secretary under subsection (c). 
(c) SELECTION OF GEOGRAPHIC AREAS.—The Sec-
retary shall select one geographic area within each Vet-
erans Integrated Service Network for participation in the 
pilot program. For Veterans Integrated Service Network 
4, the Secretary shall select NJ–2 as the geographic area 
for participation in the pilot program. 
(d) IDENTIFICATION CARD.—Under the pilot pro-
gram, the Secretary shall issue to each eligible veteran 
who elects to receive hospital care and medical services 
at non-Department facilities a unique identification card. 
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The Secretary shall take such steps as may be necessary 
to ensure that such veterans receive such care and services 
at such non-Department facilities upon presentation of the 
identification card. 
(e) REPORT.—Not later than 180 days after the con-
clusion of the pilot program under this section, the Sec-
retary shall submit to the Committees on Veterans’ Affairs 
of the Senate and House of Representatives a report on 
the pilot program. Such report shall include the Sec-
retary’s analysis of the success of the pilot program and 
any recommendations for extending or expanding the pilot 
program. 
Æ 
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