I 
114TH CONGRESS 
1ST SESSION H. R. 3365 
To improve the reproductive assistance provided by the Department of De-
fense and the Department of Veterans Affairs to severely wounded, 
ill, or injured members of the Armed Forces, veterans, and their spouses 
or partners, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
JULY 29, 2015 
Mr. LARSEN of Washington (for himself, Ms. DUCKWORTH, Ms. TITUS, Ms. 
JACKSON LEE, Mr. RUSH, Mr. SEAN PATRICK MALONEY of New York, 
and Ms. DELBENE) introduced the following bill; which was referred to 
the Committee on Veterans’ Affairs, and in addition to the Committee 
on Armed Services, for a period to be subsequently determined by the 
Speaker, in each case for consideration of such provisions as fall within 
the jurisdiction of the committee concerned 
A BILL 
To improve the reproductive assistance provided by the De-
partment of Defense and the Department of Veterans 
Affairs to severely wounded, ill, or injured members of 
the Armed Forces, veterans, and their spouses or part-
ners, and for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
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SECTION 1. SHORT TITLE; TABLE OF CONTENTS. 
(a) SHORT TITLE.—This Act may be cited as the 
‘‘Women Veterans and Families Health Services Act of 
2015’’. 
(b) TABLE OF CONTENTS.—The table of contents for 
this Act is as follows: 
Sec. 1. Short title; table of contents. 
TITLE I—REPRODUCTIVE AND FERTILITY PRESERVATION 
ASSISTANCE FOR MEMBERS OF THE ARMED FORCES 
Sec. 101. Provision of fertility treatment and counseling to spouses, partners, 
and gestational surrogates of certain members of the Armed 
Forces. 
Sec. 102. Establishment of fertility preservation procedures after an injury or 
illness. 
Sec. 103. Cryopreservation and storage of gametes of members of the Armed 
Forces on active duty. 
Sec. 104. Coordination between Department of Defense and Department of 
Veterans Affairs on furnishing of fertility treatment and coun-
seling. 
TITLE II—REPRODUCTIVE, ADOPTION, AND CHILD CARE 
ASSISTANCE FOR VETERANS 
Sec. 201. Inclusion of fertility treatment and counseling under the definition of 
medical services in title 38. 
Sec. 202. Fertility treatment and counseling for spouses, partners, and gesta-
tional surrogates of veterans. 
Sec. 203. Adoption assistance for severely wounded veterans. 
Sec. 204. Annual report on fertility treatment and counseling furnished by De-
partment of Veterans Affairs. 
Sec. 205. Regulations on furnishing of fertility treatment and counseling and 
adoption assistance by Department of Veterans Affairs. 
Sec. 206. Facilitation of reproduction and infertility research. 
Sec. 207. Requirement to improve Department of Veterans Affairs women vet-
erans contact center. 
Sec. 208. Modification of pilot program on counseling in retreat settings for 
women veterans newly separated from service in the Armed 
Forces. 
Sec. 209. Program on assistance for child care for certain veterans. 
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TITLE 
I—REPRODUCTIVE 
AND 
FERTILITY 
PRESERVATION 
ASSISTANCE FOR MEMBERS 
OF THE ARMED FORCES 
SEC. 101. PROVISION OF FERTILITY TREATMENT AND 
COUNSELING TO SPOUSES, PARTNERS, AND 
GESTATIONAL 
SURROGATES 
OF 
CERTAIN 
MEMBERS OF THE ARMED FORCES. 
(a) FERTILITY TREATMENT AND COUNSELING.— 
(1) IN
GENERAL.—The Secretary of Defense 
shall furnish fertility treatment and counseling, in-
cluding through the use of assisted reproductive 
technology, to a spouse, partner, or gestational sur-
rogate of a severely wounded, ill, or injured member 
of the Armed Forces who has an infertility condition 
incurred or aggravated while serving on active duty 
in the Armed Forces. 
(2) ELIGIBILITY FOR TREATMENT AND COUN-
SELING.—Fertility treatment and counseling shall be 
furnished under paragraph (1) to a spouse, partner, 
or gestational surrogate of a member of the Armed 
Forces described in such paragraph without regard 
to the sex or marital status of such member. 
(3) IN VITRO FERTILIZATION.—In the case of 
in vitro fertilization treatment furnished under para-
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graph (1), the Secretary may furnish not more than 
three completed cycles or six attempted cycles of in 
vitro fertilization, whichever occurs first, to a 
spouse, partner, or gestational surrogate described 
in such paragraph. 
(b) PROCUREMENT OF GAMETES.—If a member of 
the Armed Forces described in subsection (a) is unable 
to provide their gametes for purposes of fertility treatment 
under subsection (a), the Secretary shall, at the election 
of such member, allow such member to receive such treat-
ment with donated gametes and pay or reimburse such 
member the reasonable costs of procuring gametes from 
a donor. 
(c) CONSTRUCTION.—Nothing in this section shall be 
construed to require the Secretary— 
(1) to find or certify a gestational surrogate for 
a member of the Armed Forces or to connect a ges-
tational surrogate with a member of the Armed 
Forces; or 
(2) to find or certify gametes from a donor for 
a member of the Armed Forces or to connect a 
member of the Armed Forces with gametes from a 
donor. 
(d) DEFINITIONS.—In this section: 
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(1) FERTILITY TREATMENT.—The term ‘‘fer-
tility treatment’’ includes the following: 
(A) Procedures that use assisted reproduc-
tive technology. 
(B) Sperm retrieval. 
(C) Egg retrieval. 
(D) Artificial insemination. 
(E) Embryo transfer. 
(F) Such other treatments as the Sec-
retary of Defense considers appropriate. 
(2) ASSISTED REPRODUCTIVE TECHNOLOGY.— 
The term ‘‘assisted reproductive technology’’ in-
cludes in vitro fertilization and other fertility treat-
ments in which both eggs and sperm are handled 
when clinically appropriate. 
(3) PARTNER.—The term ‘‘partner’’, with re-
spect to a member of the Armed Forces, means an 
individual selected by the member who agrees to 
share with the member the parental responsibilities 
with respect to any child born as a result of the use 
of any fertility treatment under this section. 
SEC. 102. ESTABLISHMENT OF FERTILITY PRESERVATION 
PROCEDURES AFTER AN INJURY OR ILLNESS. 
(a) IN GENERAL.—The Secretary of Defense, acting 
through the Assistant Secretary of Defense for Health Af-
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fairs, shall establish procedures for the retrieval of 
gametes, as soon as medically appropriate, from a member 
of the Armed Forces in cases in which the fertility of such 
member is potentially jeopardized as a result of an injury 
or illness incurred or aggravated while serving on active 
duty in the Armed Forces in order to preserve the medical 
options of such member. 
(b) CONSENT
FOR
RETRIEVAL
OF
GAMETES.— 
Gametes may be retrieved from a member of the Armed 
Forces under subsection (a) only— 
(1) with the specific consent of the member; or 
(2) if the member is unable to consent, if a 
medical professional determines that— 
(A) the future fertility of the member is 
potentially jeopardized as a result of an injury 
or illness described in subsection (a) or will be 
potentially jeopardized as a result of treating 
such injury or illness; 
(B) the member lacks the capacity to con-
sent to the retrieval of gametes and is likely to 
regain such capacity; and 
(C) the retrieval of gametes under this sec-
tion is in the medical interest of the member. 
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(c) CONSENT FOR USE OF RETRIEVED GAMETES.— 
Gametes retrieved from a member of the Armed Forces 
under subsection (a) may be used only— 
(1) with the specific consent of the member; or 
(2) if the member has lost the ability to consent 
permanently, as determined by a medical profes-
sional, as specified in an advance directive or testa-
mentary instrument executed by the member. 
(d) DISPOSAL
OF GAMETES.—In accordance with 
regulations prescribed by the Secretary for purpose of this 
subsection, the Secretary shall dispose of gametes re-
trieved from a member of the Armed Forces under sub-
section (a)— 
(1) with the specific consent of the member; or 
(2) if the member— 
(A) has lost the ability to consent perma-
nently, as determined by a medical professional; 
and 
(B) has not specified the use of their 
gametes in an advance directive or testa-
mentary instrument executed by the member. 
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SEC. 103. CRYOPRESERVATION AND STORAGE OF GAMETES 
OF MEMBERS OF THE ARMED FORCES ON AC-
TIVE DUTY. 
(a) IN GENERAL.—The Secretary of Defense shall 
provide members of the Armed Forces on active duty in 
the Armed Forces with the opportunity to cryopreserve 
and store their gametes prior to deployment to a combat 
zone. 
(b) PERIOD OF TIME.— 
(1) IN GENERAL.—The Secretary shall provide 
for the cryopreservation and storage of gametes of 
any member of the Armed Forces under subsection 
(a), at no cost to the member, in a facility of the 
Department of Defense or of a private entity pursu-
ant to a contract under subsection (d) until the date 
that is one year after the retirement, separation, or 
release of the member from the Armed Forces. 
(2) 
CONTINUED
CRYOPRESERVATION
AND 
STORAGE.—At the end of the one-year period speci-
fied in paragraph (1), the Secretary shall permit an 
individual whose gametes were cryopreserved and 
stored in a facility of the Department as described 
in that paragraph to select, including pursuant to an 
advance medical directive or military testamentary 
instrument completed under subsection (c), one of 
the following options: 
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(A) To continue such cryopreservation and 
storage in such facility with the cost of such 
cryopreservation and storage borne by the indi-
vidual. 
(B) To transfer the gametes to a private 
cryopreservation and storage facility selected by 
the individual. 
(C) To transfer the gametes to a facility of 
the 
Department 
of 
Veterans 
Affairs 
if 
cryopreservation and storage is available to the 
individual at such facility. 
(3) DISPOSAL OF GAMETES.—If an individual 
described in paragraph (2) does not make a selection 
under subparagraph (A), (B), or (C) of such para-
graph, the Secretary may dispose of the gametes of 
the individual not earlier than the date that is 90 
days after the end of the one-year period specified 
in paragraph (1) with respect to the individual. 
(c) ADVANCE MEDICAL DIRECTIVE AND MILITARY 
TESTAMENTARY INSTRUMENT.—A member of the Armed 
Forces who elects to cryopreserve and store their gametes 
under this section must complete an advance medical di-
rective, as defined in section 1044c(b) of title 10, United 
States Code, and a military testamentary instrument, as 
defined in section 1044d(b) of such title, that explicitly 
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specifies the use of their cryopreserved and stored gametes 
if such member dies or otherwise loses the capacity to con-
sent to the use of their cryopreserved and stored gametes. 
(d) AGREEMENTS.—To carry out this section, the 
Secretary may enter into agreements with private entities 
that provide cryopreservation and storage services for 
gametes. 
SEC. 104. COORDINATION BETWEEN DEPARTMENT OF DE-
FENSE AND DEPARTMENT OF VETERANS AF-
FAIRS ON FURNISHING OF FERTILITY TREAT-
MENT AND COUNSELING. 
(a) IN GENERAL.—The Secretary of Defense and the 
Secretary of Veterans Affairs shall share best practices 
and facilitate referrals, as they consider appropriate, on 
the furnishing of fertility treatment and counseling to in-
dividuals eligible for the receipt of such counseling and 
treatment from the Secretaries. 
(b) MEMORADUM OF UNDERSTANDING.—The Sec-
retary of Defense and the Secretary of Veterans Affairs 
shall enter into a memorandum of understanding— 
(1) providing that the Secretary of Defense will 
ensure access by the Secretary of Veterans Affairs 
to gametes of veterans stored by the Department of 
Defense for purposes of furnishing fertility treat-
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ment under section 1788 of title 38, United States 
Code, as added by section 202; and 
(2) authorizing the Department of Veterans Af-
fairs to compensate the Department of Defense for 
the cryopreservation and storage of gametes of vet-
erans under section 103. 
TITLE 
II—REPRODUCTIVE, 
ADOPTION, AND CHILD CARE 
ASSISTANCE FOR VETERANS 
SEC. 201. INCLUSION OF FERTILITY TREATMENT AND 
COUNSELING UNDER THE DEFINITION OF 
MEDICAL SERVICES IN TITLE 38. 
Section 1701(6) of title 38, United States Code, is 
amended by adding at the end the following new subpara-
graph: 
‘‘(H) Fertility treatment and counseling, 
including treatment using assisted reproductive 
technology.’’. 
SEC. 202. FERTILITY TREATMENT AND COUNSELING FOR 
SPOUSES, 
PARTNERS, 
AND 
GESTATIONAL 
SURROGATES OF VETERANS. 
(a) IN GENERAL.—Subchapter VIII of chapter 17 of 
title 38, United States Code, is amended by adding at the 
end the following new section: 
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‘‘§ 1788. 
Fertility 
treatment 
and 
counseling 
for 
spouses, partners, and gestational surro-
gates of veterans 
‘‘(a) IN GENERAL.—(1) The Secretary shall furnish 
fertility treatment and counseling, including through the 
use of assisted reproductive technology, to a spouse, part-
ner, or gestational surrogate of a severely wounded, ill, 
or injured veteran who has an infertility condition in-
curred or aggravated in line of duty in the active military, 
naval, or air service and who is enrolled in the system of 
annual patient enrollment established under section 
1705(a) of this title if the spouse, partner, or gestational 
surrogate and the veteran apply jointly for such counseling 
and treatment through a process prescribed by the Sec-
retary. 
‘‘(2) Fertility treatment and counseling shall be fur-
nished under paragraph (1) to a spouse, partner, or gesta-
tional surrogate of a veteran described in such paragraph 
without regard to the sex or marital status of such vet-
eran. 
‘‘(3) In the case of in vitro fertilization treatment fur-
nished under paragraph (1), the Secretary may furnish 
not more than three completed cycles or six attempted cy-
cles of in vitro fertilization, whichever occurs first, to a 
spouse, partner, or gestational surrogate described in such 
paragraph. 
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‘‘(b) COORDINATION OF CARE FOR OTHER SPOUSES, 
PARTNERS, AND GESTATIONAL SURROGATES.—In the 
case of a spouse, partner, or gestational surrogate of a 
veteran not described in subsection (a) who is seeking fer-
tility treatment and counseling, the Secretary may coordi-
nate fertility treatment and counseling for such spouse, 
partner, or gestational surrogate. 
‘‘(c) CONSTRUCTION.—Nothing in this section shall 
be construed to require the Secretary— 
‘‘(1) to find or certify a gestational surrogate 
for a veteran or to connect a gestational surrogate 
with a veteran; or 
‘‘(2) to furnish maternity care to a spouse, 
partner, or gestational surrogate of a veteran in ad-
dition to what is otherwise required by law. 
‘‘(d) DEFINITIONS.—In this section: 
‘‘(1) The term ‘fertility treatment’ includes the 
following: 
‘‘(A) Procedures that use assisted repro-
ductive technology. 
‘‘(B) Sperm retrieval. 
‘‘(C) Egg retrieval. 
‘‘(D) Artificial insemination. 
‘‘(E) Embryo transfer. 
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‘‘(F) Such other treatments as the Sec-
retary of Veterans Affairs considers appro-
priate. 
‘‘(2) The term ‘assisted reproductive tech-
nology’ includes in vitro fertilization and other fer-
tility treatments in which both eggs and sperm are 
handled when clinically appropriate. 
‘‘(3) The term ‘partner’, with respect to a vet-
eran, means an individual selected by the veteran 
who agrees to share with the veteran the parental 
responsibilities with respect to any child born as a 
result of the use of any fertility treatment under this 
section.’’. 
(b) CLERICAL AMENDMENT.—The table of sections 
at the beginning of chapter 17 of such title is amended 
by inserting after the item relating to section 1787 the 
following new item: 
‘‘1788. Fertility treatment and counseling for spouses, partners, and gestational 
surrogates of veterans.’’. 
SEC. 203. ADOPTION ASSISTANCE FOR SEVERELY WOUND-
ED VETERANS. 
(a) IN GENERAL.—Subchapter VIII of chapter 17 of 
title 38, United States Code, as amended by section 202, 
is further amended by adding at the end the following new 
section: 
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‘‘§ 1789. Adoption assistance 
‘‘(a) IN GENERAL.—The Secretary may pay an 
amount, not to exceed the limitation amount, to assist a 
covered veteran in the adoption of one or more children. 
‘‘(b) COVERED VETERAN.—For purposes of this sec-
tion, a covered veteran is any severely wounded, ill, or in-
jured veteran who— 
‘‘(1) has an infertility condition incurred or ag-
gravated in line of duty in the active military, naval, 
or air service; and 
‘‘(2) is enrolled in the system of annual patient 
enrollment established under section 1705(a) of this 
title. 
‘‘(c) LIMITATION AMOUNT.—For purposes of this 
section, the limitation amount is the amount equal to the 
cost the Department would incur by paying the expenses 
of three adoptions by covered veterans, as determined by 
the Secretary.’’. 
(b) CLERICAL AMENDMENT.—The table of sections 
at the beginning of chapter 17 of such title, as amended 
by section 202, is further amended by inserting after the 
item relating to section 1788 the following new item: 
‘‘1789. Adoption assistance.’’. 
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SEC. 204. ANNUAL REPORT ON FERTILITY TREATMENT AND 
COUNSELING FURNISHED BY DEPARTMENT 
OF VETERANS AFFAIRS. 
(a) IN GENERAL.—Not later than one year after the 
date of the enactment of this Act and not less frequently 
than once each year thereafter, 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 Representatives a report on the fertility 
treatment and counseling furnished by the Department of 
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 treatment or counseling furnished by the De-
partment of Veterans Affairs, disaggregated by era 
of military service of such veterans. 
(2) The number of spouses, partners, and ges-
tational surrogates of veterans who received fertility 
treatment or counseling furnished by the Depart-
ment. 
(3) The cost to the Department of furnishing 
fertility treatment and counseling, disaggregated by 
cost of services and administration. 
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(4) The average cost to the Department per re-
cipient of fertility treatment and counseling. 
(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, disaggregated by type of treat-
ment. 
(6) A description of how fertility treatment and 
counseling services of the Department are coordi-
nated with similar services of the Department of De-
fense. 
(c) DEFINITIONS.—In this section, the terms ‘‘as-
sisted reproductive technology’’ and ‘‘partner’’ have the 
meanings given those term in section 1788 of title 38, 
United States Code, as added by section 202. 
SEC. 205. REGULATIONS ON FURNISHING OF FERTILITY 
TREATMENT AND COUNSELING 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; 
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(2) to carry out section 1788 of title 38, United 
States Code, as added by section 202; and 
(3) to carry out section 1789 of such title, as 
added by section 203. 
(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 treatment or counseling under 
section 1788 of title 38, United States Code, as 
added by section 202; or 
(3) any assistance under section 1789 of such 
title, as added by section 203. 
(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 202. 
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SEC. 206. 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 
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 a 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 
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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). 
SEC. 207. REQUIREMENT TO IMPROVE DEPARTMENT OF 
VETERANS AFFAIRS WOMEN VETERANS CON-
TACT CENTER. 
The Secretary of Veterans Affairs shall enhance the 
capabilities of the women veterans contact center of the 
Department of Veterans Affairs— 
(1) to respond to requests by women veterans 
for assistance with accessing health care and bene-
fits furnished under the laws administered by the 
Secretary; and 
(2) to refer such veterans to resources provided 
by the Federal Government and the community to 
obtain assistance with services not furnished by the 
Department. 
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SEC. 208. 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 ‘‘December 31, 2015’’ 
and inserting ‘‘December 31, 2018’’. 
(c) AUTHORIZATION
OF
APPROPRIATIONS.—Sub-
section (f) of such section is amended by striking ‘‘Sec-
retary of Veterans Affairs for each’’ and all that follows 
through the period at the end and inserting ‘‘Secretary 
of Veterans Affairs to carry out the pilot program— 
‘‘(1) for each of fiscal years 2010, 2011, and 
2015, $2,000,000; and 
‘‘(2) for each of fiscal years 2016, 2017, and 
2018, such sums as may be necessary.’’. 
SEC. 209. PROGRAM ON ASSISTANCE FOR CHILD CARE FOR 
CERTAIN VETERANS. 
(a) ASSISTANCE
FOR CHILD CARE
FOR CERTAIN 
VETERANS RECEIVING HEALTH CARE.— 
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(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) 
to obtain child care so that such veterans can receive 
health care services described in subsection (c)(2). 
‘‘(b) LIMITATION ON PERIOD OF PAYMENTS.—As-
sistance may be provided to a qualified veteran under this 
section for receipt of child care only during the period that 
the qualified veteran— 
‘‘(1) receives the types of health care services 
described in subsection (c)(2) 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— 
‘‘(1) is the primary caretaker of a child or chil-
dren; and 
‘‘(2)(A) receives from the Department— 
‘‘(i) regular mental health care services; 
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‘‘(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 
‘‘(B) is 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.—Not later than five years after the 
date of the enactment of the Women Veterans and Fami-
lies Health Services Act of 2015, the Secretary shall carry 
out the program at each medical center of the Depart-
ment. 
‘‘(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) that shall be, to the 
extent practicable, modeled after the Department of 
Veterans Affairs Child Care Subsidy Program estab-
lished pursuant to section 630 of the Treasury and 
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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. 
‘‘(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 striking ‘‘De-
cember 31, 2015’’ and inserting ‘‘the date of the en-
actment of the Women Veterans and Families 
Health Services Act of 2015’’. 
(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.’’. 
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(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: 
‘‘§ 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 be provided to a qualified veteran under this 
section for receipt of child care only 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— 
‘‘(1) is the primary caretaker of a child; and 
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‘‘(2)(A) receives from the Department regular 
readjustment counseling and related mental health 
services; or 
‘‘(B) is 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 not fewer than three Read-
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) that shall be, to the 
extent practicable, modeled after the Department of 
Veterans Affairs Child Care Subsidy Program estab-
lished 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. 
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‘‘(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-
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.’’. 
Æ 
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