‘‘(1) transfer personnel and assets of the De-
partment of Veterans Affairs to the Corporation 
pursuant to subsection (b) of section 2 of the Vet-
erans Empowerment Act; 
‘‘(2) establish priorities, milestones, and time-
lines, in consultation with the Secretary of Veterans 
Affairs, for the termination of functions of the Vet-
erans Health Administration directly related to the 
furnishing of hospital care, medical services, and 
other health care (excluding nursing home care and 
domiciliary care) pursuant to subsection (c) of such 
section 2; 
‘‘(3) with respect to centers of excellence relat-
ing to service-connected injuries and other medical 
issues— 
‘‘(A) continue to administer such centers 
previously established by the Secretary; and 
‘‘(B) establish and administer additional 
such centers as the Board of Directors deter-
mines appropriate. 
‘‘(4) in consultation with the Secretary, carry 
out such other actions necessary to carry out this 
section. 
‘‘(e) POWERS.—The Corporation shall— 
‘‘(1) appoint employees; and 
VerDate Sep 11 2014 
01:07 Nov 25, 2017
Jkt 079200
PO 00000
Frm 00005
Fmt 6652
Sfmt 6201
E:\BILLS\H4457.IH
H4457
SSpencer on DSKBBV9HB2PROD with BILLS
‘‘(2) adopt a Constitution and bylaws consistent 
with the purpose set forth under subsection (b). 
‘‘(f) DUTY TO MAINTAIN CORPORATE AND TAX-EX-
EMPT STATUS.—(1) The Corporation shall maintain its 
status as a corporation incorporated under the laws of the 
District of Columbia or another nearby State, as deter-
mined by the Board of Directors. 
‘‘(2) The Corporation shall maintain its status as an 
organization exempt from the Internal Revenue Code of 
1986. 
‘‘(g) VETERANS ACCOUNTABLE CARE ORGANIZATION 
FUND.—(1) There is in the Treasury a fund to be known 
as the Veterans Accountable Care Organization Fund (in 
this subsection referred to as the ‘Fund’). 
‘‘(2) Amounts recovered or collected under chapter 26 
of this title shall be deposited in the Fund. 
‘‘(3) Amounts in the Fund shall be available, without 
further appropriation and without fiscal year limitation, 
to establish and administer centers of excellence described 
in subsection (d)(3) and for health care or medical services 
furnished to a veteran at a facility operated by the Cor-
poration.’’. 
(2) CLERICAL AMENDMENT.—The table of sec-
tions at the beginning of chapter 3 of such title is 
VerDate Sep 11 2014 
01:07 Nov 25, 2017
Jkt 079200
PO 00000
Frm 00006
Fmt 6652
Sfmt 6201
E:\BILLS\H4457.IH
H4457
SSpencer on DSKBBV9HB2PROD with BILLS
amended by inserting after the item relating to sec-
tion 322 the following new item: 
‘‘323. Veterans Accountable Care Organization.’’. 
(b) TRANSFER OF PERSONNEL AND ASSETS.— 
(1) TRANSFER.—All of the personnel, property, 
records, and unexpended balances of appropriations, 
allocations, and other funds employed, used, held, 
available, or to be made available in connection with 
the direct furnishing of hospital care, medical serv-
ices, and other health care (excluding nursing home 
care and domiciliary care) to individuals eligible for 
such care and services under laws administered by 
the Secretary of Veterans Affairs are transferred to 
the Veterans Accountable Care Organization estab-
lished under section 323 of title 38, United States 
Code, as added by subsection (a). 
(2) REDUCTION IN FORCE.—The Secretary may 
implement a reduction in force in carrying out para-
graph (1). 
(c) TERMINATION OF FUNCTIONS.— 
(1) IN GENERAL.—Except as provided by para-
graph (2), all of the functions of the Veterans 
Health Administration directly relating to the fur-
nishing of hospital care, medical services, and other 
health care (excluding nursing home care and domi-
ciliary care) to individuals eligible for such care and 
VerDate Sep 11 2014 
01:07 Nov 25, 2017
Jkt 079200
PO 00000
Frm 00007
Fmt 6652
Sfmt 6201
E:\BILLS\H4457.IH
H4457
SSpencer on DSKBBV9HB2PROD with BILLS
services under laws administered by the Secretary 
shall terminate one year after the date of the enact-
ment of this Act. 
(2) EXTENSIONS.—The Secretary of Veterans 
Affairs may make not more than two 90-day exten-
sions to the termination date specified in paragraph 
(1) if the Secretary notifies Congress of such exten-
sions. 
(3) CERTIFICATION OF TERMINATION DATE.— 
The Secretary shall certify to Congress the date on 
which paragraph (1) is carried out. 
(d) RECOMMENDATIONS FOR STATUTORY AMEND-
MENTS.—Not later than 180 days after the date of the 
enactment of this Act, the Secretary shall submit to Con-
gress a report that contains recommendations for tech-
nical and conforming amendments to Federal statutes to 
carry out this Act. 
SEC. 3. ESTABLISHMENT OF VETERANS HEALTH INSUR-
ANCE PROGRAM. 
(a) ESTABLISHMENT.—Chapter 73 of title 38, 
United States Code, is amended by adding at the end the 
following new section: 
‘‘§ 7309A. Veterans Health Insurance Program 
‘‘(a) ESTABLISHMENT.—There is established in the 
Veterans Health Administration the Veterans Health In-
VerDate Sep 11 2014 
01:07 Nov 25, 2017
Jkt 079200
PO 00000
Frm 00008
Fmt 6652
Sfmt 6201
E:\BILLS\H4457.IH
H4457
SSpencer on DSKBBV9HB2PROD with BILLS
surance Program (in this section referred to as the ‘Pro-
gram’). 
‘‘(b) DUTIES.—Under the Program, the Secretary 
shall administer the provision of health insurance support 
to veterans under chapter 26 of this title.’’. 
(b) CLERICAL AMENDMENT.—The table of sections 
at the beginning of chapter 73 of such title is amended 
by inserting after the item relating to section 7309 the 
following new item: 
‘‘7309A. Veterans Health Insurance Program.’’. 
SEC. 4. DESIGNATION OF EXISTING AUTHORITIES FOR HOS-
PITAL 
CARE, 
MEDICAL 
SERVICES, 
AND 
OTHER HEALTH CARE. 
(a) DESIGNATION.—Subchapter I of chapter 17 of 
title 38, United States Code, is amended by inserting after 
section 1701 the following new section: 
‘‘§ 1701A. VetsCare Federal program: designation of 
authorities for hospital care, medical 
services, and other health care as pro-
gram 
‘‘(a) IN GENERAL.—Effective as of the date de-
scribed in section 2(c)(3) of the Veterans Empowerment 
Act, the authorities for the provision of hospital care, med-
ical services, and other health care (other than nursing 
home care and domiciliary care) in subchapter II of this 
chapter and under any other law administered by the Sec-
VerDate Sep 11 2014 
01:07 Nov 25, 2017
Jkt 079200
PO 00000
Frm 00009
Fmt 6652
Sfmt 6201
E:\BILLS\H4457.IH
H4457
SSpencer on DSKBBV9HB2PROD with BILLS