(1) to purchase primary care services furnished 
through a non-Department direct primary care serv-
ice arrangement; and 
(2) for associated costs, including— 
(A) periodic fees paid to a physician for a 
defined set of medical services or for the right 
to receive medical services on an as-needed 
basis; 
(B) amounts paid or prepaid for medical 
services designed to screen for, diagnose, cure, 
mitigate, treat, or prevent disease and promote 
wellness; and 
(C) prescription or non-prescription medi-
cines or drugs. 
(d) 
ELIGIBILITY
FOR
DEPARTMENT
MEDICAL 
CARE.—A veteran who chooses to receive a veteran health 
savings account described under subsection (c) may not 
receive medical care furnished by the Department of Vet-
erans Affairs that is included in the direct primary care 
service arrangement described in such subsection during 
the period the veteran participates in the pilot program. 
(e) PREVENTION OF FRAUDULENT ACTIVITY.—The 
Secretary shall establish a mechanism to prevent fraudu-
lent activity in connection with payments made under this 
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section and to ensure participating veterans use health 
savings accounts only as authorized under this section. 
(f) AMOUNTS DEPOSITED IN ACCOUNTS.—The Sec-
retary of Veterans Affairs shall— 
(1) determine the annual amount to be depos-
ited in a veteran health savings account described in 
subsection (c) using calculations conducted by the 
Secretary and in consultation with an actuarial serv-
ice; and 
(2) ensure that each participating eligible vet-
eran receives such amount on an annual basis dur-
ing the period the veteran participates in the pilot 
program. 
(g) DIRECT PRIMARY CARE SERVICE ARRANGE-
MENT.—In this section, the term ‘‘direct primary care 
service arrangement’’ means an agreement under which 
a defined set of medical services are provided to a patient 
by a physician for fixed periodic fees. 
(h) REPORTS.— 
(1) IMPLEMENTATION REPORTS.—For each cal-
endar quarter during the two-year period beginning 
on the date of the enactment of this Act, the Sec-
retary shall submit to the Committees on Veterans’ 
Affairs of the Senate and House of Representatives 
a report on the implementation of this section. One 
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such report shall include a description of the final 
design of the pilot program. 
(2) ANNUAL
REPORTS.—Not later than one 
year after the date on which the final implementa-
tion report required by paragraph (1) is submitted, 
and annually thereafter, the Secretary shall submit 
to the Committees on Veterans’ Affairs of the Sen-
ate and House of Representatives a report on the re-
sults of the pilot program under this section. 
(i) NO ADDITIONAL APPROPRIATIONS.—Amounts re-
quired to carry out this section shall be made available 
from amounts otherwise authorized to be appropriated for 
the Veterans Health Administration. 
(j) TERMINATION.—The authority of the Secretary to 
deposit funds in a veteran health savings account under 
this section shall terminate on the date that is five years 
after the date of the enactment of this Act. 
Æ 
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