I 116th CONGRESS 1st Session H. R. 4524 IN THE HOUSE OF REPRESENTATIVES September 26, 2019 Mr. Larsen of Washington (for himself, Ms. Jackson Lee , and Mr. Thornberry ) introduced the following bill; which was referred to the Committee on Veterans' Affairs A BILL To amend title 38, United States Code, to make permanent the authority of the Secretary of Veterans Affairs to transport individuals to and from facilities of the Department of Veterans Affairs in connection with rehabilitation, counseling, examination, treatment, and care, and for other purposes.

1. Short title This Act may be cited as the Rural Veterans Travel Enhancement Act of 2019 . 2. Treatment of Vet Centers as Department of Veterans Affairs facilities for purposes of payments or allowances for beneficiary travel (a) In general Section 111 of title 38, United States Code, is amended by adding at the end the following new subsection: (h) (1) Vet Centers shall be treated as Department facilities for purposes of providing payment of actual expenses of travel or allowance for travel to or from a Department facility under this section. (2) In this subsection, the term Vet Center means a center for readjustment counseling and related mental health services for veterans under section 1712A of this title. . (b) Applicability Section 111(h) of such title, as added by subsection (a), shall apply with respect to travel occurring on or after the date of the enactment of this Act. 3. Making permanent authority for Secretary of Veterans Affairs to transport individuals to and from facilities of Department of Veterans Affairs Section 111A(a) of title 38, United States Code, is amended— (1) by striking paragraph (2); and (2) in paragraph (1), by striking (1) . 4. Reauthorization of grants for veterans service organizations for transportation of highly rural veterans Section 307(d) of the Caregivers and Veterans Omnibus 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 . 5. Medical examination protocol for volunteer drivers participating in program of transportation services for veterans 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 national protocol for the administration of medical examinations for volunteer drivers to participate in the program described in paragraph (1). (B) In developing the protocol required by subparagraph (A), the Secretary shall consult with such persons as the Secretary determines have an interest in the program described in paragraph (1). (C) (i) The Secretary shall implement the protocol by first conducting a one-year pilot program using the protocol. (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 considers 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. . 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 Comptroller 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 Representatives a report on the program the establishment of which was facilitated under section 111A(b) of title 38, United States Code. (b) Contents The report submitted under subsection (a) shall include the following: (1) A description of the program described in subsection (a), including descriptions of the following: (A) The purpose of the program. (B) The activities carried out under the program. (2) An assessment of the sufficiency of the program 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.