(2) in paragraph (1), by striking ‘‘(1)’’. 
SEC. 4. REAUTHORIZATION OF GRANTS FOR VETERANS 
SERVICE ORGANIZATIONS FOR TRANSPOR-
TATION OF HIGHLY RURAL VETERANS. 
Section 307(d) of the Caregivers and Veterans Omni-
bus Health Services Act of 2010 (Public Law 111–163; 
38 U.S.C. 1710 note) is amended by striking ‘‘through 
2020’’ and inserting ‘‘through 2022’’. 
SEC. 5. MEDICAL EXAMINATION PROTOCOL FOR VOLUN-
TEER DRIVERS PARTICIPATING IN PROGRAM 
OF TRANSPORTATION SERVICES FOR VET-
ERANS. 
Section 111A(b) of title 38, United States Code, is 
amended— 
(1) by inserting ‘‘(1)’’ before ‘‘The Secretary’’; 
and 
(2) by adding at the end the following new 
paragraph: 
‘‘(2)(A) Not later than 90 days after the date of the 
enactment of the Rural Veterans Travel Enhancement Act 
of 2019, the Secretary shall develop and establish a na-
tional protocol for the administration of medical examina-
tions for volunteer drivers to participate in the program 
described in paragraph (1). 
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‘‘(B) In developing the protocol required by subpara-
graph (A), the Secretary shall consult with such persons 
as the Secretary determines have an interest in the pro-
gram described in paragraph (1). 
‘‘(C)(i) The Secretary shall implement the protocol 
by first conducting a one-year pilot program using the pro-
tocol. 
‘‘(ii) After conducting the pilot program required by 
clause (i), the Secretary shall assess the pilot program and 
make such changes to the protocol as the Secretary con-
siders appropriate. 
‘‘(iii) After making changes to the protocol under 
clause (ii), the Secretary shall implement the protocol in 
phases during the course of one year.’’. 
SEC. 6. COMPTROLLER GENERAL OF THE UNITED STATES 
REPORT 
ON 
TRANSPORTATION 
SERVICES 
FOR VETERANS. 
(a) REPORT REQUIRED.—Not later than one year 
after the date of the enactment of this Act, the Comp-
troller General of the United States 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 program the establishment of 
which was facilitated under section 111A(b) of title 38, 
United States Code. 
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(b) CONTENTS.—The report submitted under sub-
section (a) shall include the following: 
(1) A description of the program described in 
subsection (a), including descriptions of the fol-
lowing: 
(A) The purpose of the program. 
(B) The activities carried out under the 
program. 
(2) An assessment of the sufficiency of the pro-
gram with respect to the purpose of the program. 
(3) An assessment of the cost effectiveness of 
the program in relation to alternatives. 
(4) An assessment of the health benefits for 
veterans who have participated in the program. 
(5) An assessment of the sufficiency of staffing 
of employees of the department who are responsible 
for facilitating the maintenance of the program. 
(6) An assessment, with respect to the purpose 
of the program, of the number of vehicles owned by 
and operating in conjunction with the program. 
(7) An assessment of the awareness and usage 
of the program by veterans and their families. 
Æ 
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