IB 
Union Calendar No. 526 
115TH CONGRESS 
2D SESSION 
H. R. 3642 
[Report No. 115–683] 
To direct the Secretary of Veterans Affairs to carry out a pilot program 
to improve the access to private health care for veterans who are sur-
vivors of military sexual trauma. 
IN THE HOUSE OF REPRESENTATIVES 
AUGUST 4, 2017 
Mr. BARR introduced the following bill; which was referred to the Committee 
on Veterans’ Affairs 
MAY 18, 2018 
Additional sponsors: Mr. CURBELO of Florida, Mr. GUTHRIE, Ms. JACKSON 
LEE, Ms. JENKINS of Kansas, Mr. JONES, Mr. LANCE, Mr. MEEHAN, 
Mrs. RADEWAGEN, Mr. RUSH, Ms. SINEMA, Mr. RYAN of Ohio, Ms. 
SPEIER, Mrs. WALORSKI, Mrs. WATSON COLEMAN, Ms. GABBARD, Mr. 
FORTENBERRY, Ms. STEFANIK, Mr. BYRNE, Mr. CHABOT, Mr. LIPINSKI, 
Mr. ROGERS of Kentucky, Mr. MOOLENAAR, Mr. YOHO, Mr. DELANEY, 
Mr. PEARCE, Mr. YARMUTH, Mr. KHANNA, Mrs. BROOKS of Indiana, Mr. 
WEBSTER of Florida, Mr. UPTON, Mrs. BEATTY, Mr. ROSS, Ms. ADAMS, 
Mr. JOYCE of Ohio, Mrs. LAWRENCE, Mrs. WAGNER, Mr. VARGAS, Ms. 
CLARKE of New York, Mrs. LOVE, Mr. ISSA, Mr. MACARTHUR, Mr. KIL-
MER, Mr. BISHOP of Michigan, Mr. KNIGHT, Mr. COOPER, Mrs. COM-
STOCK, Mr. DEFAZIO, Mr. MESSER, Mr. DONOVAN, Mr. YODER, Mr. 
RATCLIFFE, Ms. ROYBAL-ALLARD, Mr. RICE of South Carolina, Mr. 
CAPUANO, Mr. VALADAO, Mr. POSEY, Mr. PAULSEN, Mr. JORDAN, Mr. 
HIMES, Mr. MOONEY of West Virginia, Mr. BUCK, Mr. ROTHFUS, Ms. 
MOORE, Mr. BUCSHON, Mr. HUIZENGA, Mr. POLIQUIN, Mr. PALAZZO, 
Mr. COLLINS of New York, Mr. RUPPERSBERGER, Ms. MATSUI, Mr. 
MCKINLEY, Mr. JODY B. HICE of Georgia, Mr. CUELLAR, and Mr. FASO 
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MAY 18, 2018 
Reported with an amendment, committed to the Committee of the Whole 
House on the State of the Union, and ordered to be printed 
[Strike out all after the enacting clause and insert the part printed in italic] 
[For text of introduced bill, see copy of bill as introduced on August 4, 2017] 
A BILL 
To direct the Secretary of Veterans Affairs to carry out 
a pilot program to improve the access to private health 
care for veterans who are survivors of military sexual 
trauma. 
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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 ‘‘Military Sexual Assault 
Victims Empowerment Act’’ or the ‘‘Military SAVE Act’’. 
SEC. 2. PILOT PROGRAM FOR PRIVATE HEALTH CARE FOR 
VETERANS WHO ARE SURVIVORS OF MILI-
TARY SEXUAL TRAUMA. 
(a) ESTABLISHMENT.—The Secretary of Veterans Af-
fairs shall carry out a pilot program to furnish hospital 
care and medical services to eligible veterans through non- 
Department health care providers to treat injuries or ill-
nesses which, in the judgment of a professional employed 
by the Department, resulted from a physical assault of a 
sexual nature, battery of a sexual nature, or sexual harass-
ment which occurred while the veteran was serving on ac-
tive duty, active duty for training, or inactive duty train-
ing. 
(b) DURATION.—The Secretary shall carry out the 
pilot program under subsection (a) for a three-year period. 
If at the completion of the pilot program an eligible veteran 
is receiving hospital care and medical services from a non- 
Department health care provider under the pilot program, 
the Secretary may approve, on a case-by-case basis, the con-
tinuation of such hospital care and medical services from 
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that non-Department health care provider until the comple-
tion of the episode of care. 
(c) ELIGIBLE VETERANS.—A veteran is eligible to par-
ticipate in the pilot program under subsection (a) if the 
veteran— 
(1) is eligible to receive counseling and appro-
priate care and services under section 1720D of title 
38, United States Code; and 
(2) resides in a site selected under subsection (d). 
(d) SITES.— 
(1) SELECTION.—The Secretary shall select not 
more than five sites in which to carry out the pilot 
program under subsection (a). Each site shall meet 
each of the following criteria: 
(A) Except as provided by paragraph (2), 
the site consists of a city with a population be-
tween 200,000 and 500,000, as determined by the 
Bureau of the Census as of the first day of the 
pilot program. 
(B) The site is in a State in which the Na-
tional Violence Against Women Prevention Re-
search Center or the Centers for Disease Control 
and Prevention, or both, has determined the rate 
of sexual assault to be a substantial problem. 
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(C) The site is in a State that, as of the 
first day of the pilot program, has a weighted 
percentage of reported rape of not less than 20 
percent but not more than 30 percent of sexual 
assault cases, in accordance with the finding of 
the Centers for Disease Control and Prevention 
contained in the ‘‘ ‘Lifetime Prevalence of Sexual 
Violence by any Perpetrator’’ (NISVS 2010). 
(2) RURAL SITE.—Not fewer than one site se-
lected under paragraph (1) shall be rural, as deter-
mined by the Secretary. 
(e) PARTICIPATION.— 
(1) ELECTION.—Subject to paragraph (2), an el-
igible veteran may elect to participate in the pilot 
program under subsection (a). Such election shall not 
affect the ability of the veteran to receive health care 
furnished by Department providers. 
(2) NUMBER.—Not more than 75 veterans may 
participate in the pilot program under subsection (a) 
at each site selected under subsection (d). 
(3) CHOICE OF NON-DEPARTMENT HEALTH CARE 
PROVIDERS.—An eligible veteran who participates in 
the pilot program under subsection (a) may freely 
choose from which non-Department health care pro-
vider the veteran receives hospital care or medical 
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services under the pilot program, except that the Sec-
retary shall— 
(A) ensure that each such non-Department 
health care provider maintains at least the same 
or similar credentials and licenses as those cre-
dentials and licenses that are required of health 
care providers of the Department, as determined 
by the Secretary for the purposes of this section; 
and 
(B) make a reasonable effort to ensure that 
such non-Department health care provider is fa-
miliar with the conditions and concerns that af-
fect members of the Armed Forces and veterans 
and is trained in evidence-based psychotherapy 
(4) PROVISION OF INFORMATION.—The Secretary 
shall— 
(A) notify eligible veterans of the ability to 
make an election under paragraph (1); and 
(B) provide to such veterans educational re-
ferral materials, including through pamphlets 
and internet websites, on the non-Department 
providers in the sites selected under subsection 
(d). 
(f) AUTHORIZATION AND MONITORING OF CARE.—In 
accordance with subsection (e), the Secretary shall ensure 
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that the Department of Veterans Affairs authorizes and 
monitors the hospital care and medical services furnished 
under the pilot program for appropriateness and necessity. 
In authorizing and monitoring such care, the Secretary 
shall— 
(1) treat a non-Department health care provider 
that furnishes to such a veteran hospital care or med-
ical services under the pilot program as an authorized 
recipient of records of such veteran for purposes of 
section 7332(b) of title 38, United States Code; and 
(2) ensure that such non-Department health care 
provider transmits to the Department such records as 
the Secretary determines appropriate. 
(g) PAYMENTS.— 
(1) CURRENT PROVIDERS.—If a non-Department 
health care provider has entered into a contract, 
agreement, or other arrangement with the Secretary 
pursuant to another provision of law to furnish hos-
pital care or medical services to veterans, the Sec-
retary shall pay the health care provider for hospital 
care or medical services furnished under this section 
using the same rates and payment schedules as pro-
vided for in such contract, agreement, or other ar-
rangement. 
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(2) NEW
PROVIDERS.—If a non-Department 
health care provider has not entered into a contract, 
agreement, or other arrangement with the Secretary 
pursuant to another provision of law to furnish hos-
pital care or medical services to veterans, the Sec-
retary shall pay the health care provider for hospital 
care or medical services furnished under this section 
using the same rates and payment schedule as if such 
care and services was furnished pursuant to section 
1703 of title 38, United States Code. 
(3) NEW
CONTRACTS
AND
AGREEMENTS.—The 
Secretary shall take reasonable efforts to enter into a 
contract, agreement, or other arrangement with a 
non-Department health care provider described in 
subsection (a) to ensure that future care and services 
authorized by the Secretary and furnished by the pro-
vider are subject to such a contract, agreement, or 
other arrangement 
(h) SURVEYS.—The Secretary shall conduct a survey 
of a sample of eligible veterans to assess the hospital care 
and medical services furnished to such veterans either pur-
suant to this section or section 1720D of title 38, United 
States Code, as the case may be. 
(i) REPORT.—Not later than 60 days before the com-
pletion of the pilot program under subsection (a), the Sec-
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retary shall submit to the Committees on Veterans’ Affairs 
of the House of Representatives and the Senate a report on 
the pilot program. The report shall include the following: 
(1) The results of the pilot program, including, 
to the extent possible, an assessment of the health out-
comes of veterans who participated in the pilot pro-
gram. 
(2) The recommendation of the Secretary with 
respect to extending or making permanent the pilot 
program. 
(j) DEFINITIONS.—In this section: 
(1) The term ‘‘non-Department health care pro-
vider’’ 
means 
an 
entity 
specified 
in 
section 
101(a)(1)(B) of section 101 of the Veterans Access, 
Choice, and Accountability Act of 2015 (Public Law 
113–146; 38 U.S.C. 1701) or any other health care 
provider that has entered into a contract, agreement, 
or other arrangement with the Secretary pursuant to 
another provision of law to furnish hospital care or 
medical services to veterans. 
(2) The term ‘‘sexual harassment’’ has the mean-
ing given that term in section 1720D of title 38, 
United States Code. 
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(3) The term ‘‘State’’ has the meaning given that 
term in section 101(20) of title 38, United States 
Code. 
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Union Calendar No. 526 
115TH CONGRESS 
2D SESSION 
H. R. 3642 
[Report No. 115–683] 
A BILL 
To direct the Secretary of Veterans Affairs to carry 
out a pilot program to improve the access to pri-
vate health care for veterans who are survivors of 
military sexual trauma. 
MAY 18, 2018 
Reported with an amendment, committed to the Com-
mittee of the Whole House on the State of the Union, 
and ordered to be printed 
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