100 
(5) meet the minimum admissions criteria for 
the covered medical school to which the veteran ap-
plies; and 
(6) enter into an agreement described in sub-
section (e). 
(c) AWARD OF FUNDING.— 
(1) IN GENERAL.—Each covered medical school 
that opts to participate in the program under this 
section shall reserve two seats in the entering class of 
2019 for eligible veterans who receive funding under 
such program. Such funding shall be awarded to the 
two eligible veterans with the highest admissions 
rankings for such class at such school. 
(2) AMOUNT OF FUNDING.—Each eligible veteran 
who receives funding under this section shall receive 
an amount equal to the actual cost of— 
(A) tuition at the covered medical school at 
which the veteran enrolls for four years; 
(B) books, fees, and technical equipment; 
(C) fees associated with the National Resi-
dency Match Program; 
(D) two away rotations performed during 
the fourth year at a Department of Veterans Af-
fairs medical facility; and 
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101 
(E) a monthly stipend for the four-year pe-
riod during which the veteran is enrolled in 
medical school in an amount to be determined by 
the Secretary. 
(3) DISTRIBUTION OF FUNDING.—In the event 
that two or more eligible veterans do not apply for 
admission at one of the covered medical schools for the 
entering class of 2019, the Secretary shall distribute 
the available funding to eligible veterans who applied 
for admission at other covered medical schools. 
(d) AGREEMENT.— 
(1) TERMS OF AGREEMENT.—Each eligible vet-
eran who accepts funding for medical education 
under this section shall enter into an agreement with 
the Secretary that provides that the veteran agrees— 
(A) to maintain enrollment and attendance 
in the medical school; 
(B) while enrolled in such medical school, to 
maintain an acceptable level of academic stand-
ing (as determined by the medical school under 
regulations prescribed by the Secretary); 
(C) to complete post-graduate training lead-
ing to eligibility for board certification in a spe-
ciality applicable to the Department of Veterans 
Affairs, as determined by the Secretary; 
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102 
(D) after completion of medical school, to 
obtain a license to practice medicine in a State; 
and 
(E) after completion of medical school and 
post-graduate training, to serve as a full-time 
clinical practice employee in the Veterans Health 
Administration for a period of four years. 
(2) BREACH OF AGREEMENT.—If an eligible vet-
eran who accepts funding under this section breaches 
the terms of the agreement described in paragraph 
(1), the United States shall be entitled to recover 
damages in an amount equal to the total amount of 
such funding received by the veteran. 
(e) RULE OF CONSTRUCTION.—Nothing in this section 
shall be construed to prevent any covered medical school 
from accepting more than two eligible veterans for the enter-
ing class of 2019. 
(f) REPORT TO CONGRESS.—Not later than December 
31, 2020, and annually thereafter for the subsequent three 
years, the Secretary shall submit to Congress a report on 
the pilot program under this section. Such report shall in-
clude the evaluation of the Secretary of the success of the 
pilot program, including the number of veterans who re-
ceived funding under the program who matriculated and 
an evaluation of the academic progress of such veterans. 
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(g) COVERED MEDICAL SCHOOLS.—In this section, the 
term ‘‘covered medical school’’ means any of the following. 
(1) The Teague-Cranston medical schools, con-
sisting of— 
(A) Texas A&M College of Medicine; 
(B) Quillen College of Medicine at East 
Tennessee State University; 
(C) Boonshoft School of Medicine at Wright 
State University; 
(D) Joan C. Edwards School of Medicine at 
Marshall University; and 
(E) University of South Carolina School of 
Medicine. 
(2) Charles R Drew University of Medicine and 
Science. 
(3) Howard University College of Medicine. 
(4) Meharry Medical College. 
(5) Morehouse School of Medicine. 
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Union Calendar No. 444 
115TH CONGRESS 
2D SESSION 
H. R. 4242 
[Report No. 115–585] 
A BILL 
To amend title 38, United States Code, to establish 
a permanent VA Care in the Community Pro-
gram, and for other purposes. 
MARCH 5, 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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