An Act to amend title 38 of the United States Code to provide improved and expanded medical and nursing home care to veterans; to provide hospital and medical care to certain dependents and survivors of veterans; to provide for improved structural safety of Veterans' Administration facilities; to improve recruitment and retention of career personnel in the Department of Medicine and Surgery; and for other purposes.
PL 93-82 (S.59), enacted 08/02/1973

87 STAT. ] 
PUBLIC LAW 93-82-AUG. 2, 1973 
179 
SEC. 2. Section 4(a) (2) of the Land and Water Conservation Fund 
Act of 1965, as amended (78 Stat. 879: 16 U.S.C. 4601-5), is amended 
fe stat. 459 
, 
„ ' , 
^ 
' 
' ' 
16 u s e 460i-6a. 
to read as lollows: 
"Reasonable admission fees for a single visit at any designated area 
shall be established by the administering Secretary for persons who 
choose not to purchase the annual permit or who enter such an area 
by means other than by private, noncommercial vehicle. A 'single "single visit." 
visit' means that length of time a visitor remains within the exterior 
boundary of a designated fee area beginning from the day he first 
enters the area until he leaves, except that on the same day such admis-
sion fee is paid, the visitor may leave and reenter without the pay-
ment of an additional admission fee to the same area." 
Approved August 1, 1973. 
Public Law 93-82 
AN ACT 
August 2.1973 
To amend title 38 of the United States Code to provide improved and expanded 
I^^. 59] 
medical and nursing home care to veterans; to provide hospital and medical 
care to certain dependents and survivors of veterans; to provide for improved 
structural safety of Veterans' Administration facilities; to improve recruit-
ment and retention of career personnel in tlie Department of Medicine and 
Surgery ; and for other purposes. 
Veterans Health 
Be it enacted hy 'the Senate and House of Reiyresentatives of the 
Viitted States of America in Congress assembled^ That this Act may ca^rrE^xpan"k>n^ 
be cited as the "Veterans Health Care Expansion Act of 1973''. 
Act o
f 1973. 
TITLE I—HOSPITAL, DOMICILIARY, AND MEDICAL 
CARE BENEFITS 
SEC. 101. (a) Subparagraph (C) of section 601 (4) of title 38, United 
States Code, is amended to read as follows: 
82^starV202'*^' 
"(C) private facilities for which the Administrator contracts 
Definitions! 
in order to provide (i) hospital care or medical services for 
persons suffering from service-connected disabilities or from 
disabilities for which such persons were discharged or released 
from the active military, naval, or air service; (ii) hospital care 
for M^omen veterans; or (iii) hospital care for veterans in a State, 
territory. Commonwealth, or possession of the United States not 
contiguous to the forty-eight contiguous States, except that the 
annually determined average hospital patient load per thousand 
veteran population hospitalized at Veterans' Administration 
expense in Government and private facilities in each such non-
contiguous State may not exceed the average patient load per 
thousand veteran population hospitalized by the Veterans' Admin-
istration within the forty-eight contiguous States; but authority 
under this clause (iii) shall expire on December 31, 1978. 
(b) Section 601(5) of such title is amended to read as follows: 
^^ usc'eoi*^" 
"(5) The term 'hospital care' includes— 
" (A) (i) medical services rendered in the course of the hospital-
ization of any veteran, and (ii) transportation and incidental 
expenses for any veteran who is in need of treatment for a service-
connected disability or is unable to defray the expense of 
transportation; 
"(B) such mental health services, consultation, professional 
counseling, and training (including (i) necessary expenses for 
180 
PUBLIC LAW 93-82-AUG. 2, 1973 
[87 
STAT. 
Post, 
p. 181. 
72 Stat. 1113; 
80 Stat. 208. 
38 u s e 111. 
Post, p. 181. 
72 Stat. 1141; 
74 Stat. 472. 
38 u s e 601. 
Hospital care 
and medical 
services. 
76 Stat. 381; 
80 Stat. 27, 1377. 
Post, 
p. 182. 
Outpatient care. 
74 Stat, 472; 
83 Stat. 168. 
transportation if unable to defray such expenses; or (ii) neces-
sary expenses of transportation and subsistence in the case of a 
veteran who is receiving care for a service-connected disability, or 
in the case of a dependent or survivor of a veteran receiving care 
under the last sentence of section 613(b) of this title, under the 
terms and conditions set forth in section 111 of this title) of the 
members of the immediate family (including legal guardians) of 
a veteran or such a dependent or survivor of a veteran, or, in the 
case of a veteran or such dependent or survivor of a veteran who 
has no immediate family members (or legal guardian), the per-
son in whose household such veteran, or such a dependent or 
survivor certifies his intention to live, as may be necessary or 
appropriate to the effective treatment and rehabilitation of a 
veteran or such a dependent or a survivor of a veteran; and 
"(C) (i) medical services rendered in the course of the hos-
pitalization of a dependent or survivor of a veteran receiving 
care under the last sentence of section 613(b) of this title, and 
(ii) transportation and incidental expenses for such dependent or 
survivor of a veteran who is in need of treatment for any injury, 
disease, or disability and is unable to defray the expense of 
transportation.", 
(c) Section 601(6) of such title is amended by inserting immedi-
ately after "treatment," the following: "such home health services as 
the Administrator determines to be necessary or appropriate for the 
effective and economical treatment of a disability of a veteran or a 
dependent or survivor of a veteran receiving care under the last 
sentence of section 613 (b) of this title". 
SEC. 102. Section 610 of title 38, LTnited States Code, is amended 
^y— 
.
.
. 
(1) inserting in subsection 
(a) "or nursing home care" 
immediately after "hospital care" where it first appears; 
(2) striking out clause (1) (B) of subsection (a) and inserting 
in lieu thereof the following: 
"(B) any veteran for a non-service-connected disability if he 
is unable to defray the expenses of necessary hospital care;"; 
(3) amending subsection (c) to read as follows: 
"(c) While any veteran is receiving hospital care or nursing home 
care in any Veterans' Administration facility, the Administrator may, 
within the limits of Veterans' Administration facilities, furnish medi-
cal services to correct or treat any non-service-connected disability of 
such veteran, in addition to treatment incident to the disability for 
which he is hospitalized, if the veteran is willing, and the Adminis-
trator finds such services to be reasonably necessary to protect the 
health of such veteran."; and 
(4) adding at the end thereof the following new subsection: 
"(d) In no case may nursing home care be furnished in a hospital 
not under the direct and exclusive jurisdiction of the Administrator 
except as provided in section 620 of this title.". 
SEC. 103. (a) Subsection (f) of section 612 of title 38, United States 
Code, is amended to read as follows: 
"(f) The Administrator may also furnish medical services for any 
disability on an outpatient or ambulatory basis— 
72 Stat. 1143. 
38 u s e 613, 
87 STAT. ] 
PUBLIC LAW 93-82-AUG. 2, 1973 
181 
"(1) to any veteran eligible for hospital care under section 610 
of this title (A) where such services are reasonably necessary in 
^"'^' P- ^^"• 
preparation for, or to obviate the need of, hospital admission, or 
(B) where such a veteran has been granted hospital care and 
such medical services are reasonably necessary to complete treat-
ment incident to such hospital care; and 
"(2) to any veteran who has a service-connected disability 
rated at 80 per centum or more.", 
(b) Strike out sections 613 and 614 in their entirety and insert in 
lieu thereof: 
614 
"§613. Medical care for survivors and dependents of certain 
veterans 
"(a) The Administrator is authorized to provide medical care, in 
accordance with the provisions of subsection (b) of this section, for— 
"(1) the wife or child of a veteran who has a total disability, 
permanent in nature, resulting from a service-connected disability, 
and 
"(2) the widow or child of a veteran who died as a result of a 
service-connected disability 
who are not otherwise eligible for medical caie under chapter 55 of 
title 10 ( C H A M P U S ) . 
, 
72 stat. 1445 
"(b) In order to accomplish the purposes of subsection (a) of this ^'^lo'usc'ioVi 
section, the Administrator shall provide for medical care in the same 
or similar manner and subject to the same or similar limitations as 
medical care is furnished to certain dependents and survivors of active 
duty and retired members of the Ai-med Forces undei- chapter 55 
of title 10 (CHAMPUS), by— 
"(1) entering into an agreement with the Secretary of Defense 
under which the Secretary shall include coverage for such medi-
cal care under the contract, or contracts, he enters into to carry 
out such chapter 55, and under Avliich the Administrator shall 
fully T-eimburse the Secretary for all costs and expenditures made 
for the purposes of affording the medical care authorized pur-
suant (o this section; or 
'' (2) contracting in accordance with such regulations as he shall 
prescribe for such insurance, medical service, or health plans as 
he deems appropriate. 
In cases in which Veterans' Administration medical facilities are par-
ticularly equipped to provide the most effective care and treatment, 
the Administrator is also authorized to carry out such purposes 
through the use of such facilities not being utilized for the care of 
eligible veterans. 
"§614. Fitting and training in use of prosthetic appliances; 
seeing-eye dogs 
•'(a) Any veteran who is entitled to a prosthetic appliance shall be 
furnished such fitting and training, including institutional training, 
in the use of such appliance as may be necessary, whether in a Veter-
ans' Administration facility or other training institution, or by out-
patient treatment, including such service under contract, and including 
care 
182 
PUBLIC LAW 93-82-AUG. 2, 1973 
[87 STAT. 
necessary travel expenses to and from his home to snch hospital or 
tr-aining institution. 
''(b) The Administrator may provide seeing-eye or guide dogs 
trained for the aid of the blind to veterans who are entitled to disability 
compensation, and he may pay all necessary travel expenses to and 
from their homes and incurred in becoming adjusted to such seeing-eye 
or guide dogs. The Administrator may also provide such veterans with 
mechanical or electronic equipment for aiding them in overcoming the 
handicap of blindness.". 
(c) The table of sections at the beginning of (*]ia])tei- 17 of such 
title is amended by striking out 
"613. Fitting and training in nse of prostlietic appliances. 
"614. Seeing-eye dogs." 
and inserting 
'•613. Medical care for survivorvS and dependents of certain veterans. 
"614. Fitting and training in use of prosthetic appliances; seeing-eye dogs.'". 
Nursing home 
^j^,^._ J^Q^^ (^,^^ yj^^ ^^.g^ seutence of subsection (a) of section 020 of 
78*stat. 500; 
title 38, United States Code, is amended by redesignating clauses (1) 
83 Stat. 167. 
.,j^(j ^2) as clauscs (i) and (ii), respectively; and by amending that 
portion preceding such clauses to read as follows: 
"(a) Subject to subsection (b) of this section, the Administrator 
may transfer— 
"(1) any veteran Avho has been furnished care by the Adminis-
trator in a hospital undei- the direct and exclusive jurisdiction of 
the Administrator, and 
"(2) any person (A) who has been furnished care in any hos-
pital of any of the Armed Forces, (B) who the appropriate Sec-
retary concerned has determined has received maximum hospital 
benefits but requires a protracted period of nursing home care, 
and (C) who upon discharge therefrom will become a veteran 
to any public or private institution not under the jurisdiction of the 
Administrator which furnishes nursing home care, for care at the 
expense of the United States, only if the Administrator determines 
that—". 
(b) The second sentence of section 620(a) of such title is amended 
by striking out the designations (A) and (B) and inserting in lieu 
thereof (I) and (II). 
(c) Section 620(b) of such title is amended (1) by adding "or 
admitted" after "transferred" and (2) by adding at the end thereof 
the following: "The standards prescribed and any report of inspection 
of institutions furnishing care to veterans under this section made 
by or for the Administrator shall, to the extent possible, be made 
available to all Federal, State, and local agencies charged with the 
responsibility of licensing or otherwise regulating or inspecting such 
institutions.". 
(d) Section 620 of such title is further amended by adding at the end 
thereof the following new subsection (d) : 
"(d) Subject to subsection (b) of this section, the Administrator 
may authorize for any veteran requiring nursing home care for a serv-
ice-connected disability direct admission for such care at the expense 
87 STAT. ] 
PUBLIC LAW 93-82-AUG. 2, 1973 
183 
of the United States to any public or private institution not under the 
jurisdiction of the Administrator which furnishes nursing home 
care. Such admission may be authorized upon determination of need 
therefor by a physician employed by the Veterans' Administration or, 
in areas where no such physician is available, carrying out such func-
tion under contract or fee arrangement based on an examination by 
such physician. The amount which may be paid for such care and the 
length of care available under this subsection shall be the same as 
authorized under subsection (a) of this section.". 
SEC. 105. (a) Section 626 of title 38, United States Code, is amended 
'2 stat. 114 4. 
by striking out "fire" and inserting in lieu thereof "fire, earthquake, or 
other natural disaster". 
(b) The catchline at the beginning of section 626 of such title is 
amended to read as follows: 
"§626. Reimbursement for loss of personal effects by natural 
disaster". 
SEC. 106. (a) Subchapter I I I of chapter 17 of title 38, United States 
Code, is amended by adding at the end thereof the following new 
72 stat. 1143. 
.• 
38lJSC621.. 
section: 
"§ 628. Reimbursement of certain medical expenses 
"(a) The Administrator may, under such regulations as he shall 
prescribe, reimburse veterans entitled to hospital care or medical serv-
ices under this chapter for the reasonable value of such care or services 
(including necessary travel), for which such veterans have made pay-
ment, from sources other than the Veterans' Administration, where— 
" (1) such care or services were rendered in a medical emergency 
of such nature that they would have been hazardous to life or 
health; 
"(2) such care or services were rendered to a veteran in need 
thereof (A) for an adjudicated service-connected disability, (B) 
for a non-service-connected disability associated with and held 
to be aggravating a service-connected disability, (C) for any 
disability of a veteran who has a total disability permanent in 
nature from a service-connected disability, or (D) for any illness, 
"' " « ' 
injury, or dental condition in the case of a veteran who is found 
to be (i) in need of vocational rehabilitation under chapter 31 of 
this title and for whom an objective had been selected or (ii) „P ^'^*- ^^^'^ 
• 
a 
' 
.
.
. 
• . 
^ ,' 79 Stat 577 
pursuing a course of vocational rehabilitation training and is 
33 use is'oi. 
medically determined to have been in need of care or treatment 
to make possible his entrance into a course of training, or prevent 
interruption of a course of training, or hasten the return to a 
course of training which was interrupted because of such illness, 
injury, or dental condition; and 
"(3) Veterans'Administration or other Federal facilities were 
not feasibly available, and an attempt to use them beforehand 
would not have been reasonable, sound, wise, or practical. 
"(b) In any case where reimbursement would be in order under 
subsection (a) of this section, the Administrator may, in lieu of reim-
bursing such veteran, make payment of the reasonable value of care 
• '''''•"^^ 
or services directly— 
" (1) to the hospital or other health facility furnishing the care 
or services; or 
184 
PUBLIC LAW 93-82-AUG. 2, 1973 
[87 STAT. 
"(2) to the person or organization making* such expenditure 
on behalf of such veteran.", 
(b) The table of sections at the beginning of such chapter is 
amended by deleting 
"626. Reimbursement for loss of personal effects by fire. 
"627. Persons eligible under prior law." 
and inserting in lieu thereof 
"626. Reimbursement for loss of personal effects by natural disaster. 
"627. Persons eligible under prior law. 
"628. Reimbursement of certain medical expenses.". 
SEC. 107. (a) Chapter 17 of title 38, United States Code, is amended 
so^star^ssV"*^' 
^y striking out sections 631 and 632 in their entirety and inserting in 
38 use 63*1, 
lieu thereof the following: 
"§ 631. Assistance to the Republic of the Philippines 
"The President is authorized to assist the Republic of the Philip-
pines in providing medical care and treatment for Commonwealth 
Army veterans and new Philippine Scouts in need of such care and 
treatment for service-connected disabilities and non-service-connected 
disabilities under certain conditions. 
**§632. Contracts and grants to provide hospital care, medical 
services and nursing home care 
"(a) The President, with the concurrence of the Republic of the 
Philippines, may authorize the Administrator to enter into a contract 
with the Veterans Memorial Hospital, with the approval of the appro-
priate department of the Government of the Republic of the Philip-
pines, covering the period beginning on July 1, 1973, and ending on 
June 30,1978, under which the United States— 
"(1) will pay for hospital care in the Republic of the Philip-
pines, or for medical services which shall be provided either in 
the Veterans Memorial Hospital, or by contract, or otherwise 
by the Administrator in accordance with the conditions and limi-
tations applicable generally to beneficiaries under section 612 of 
Ante. p. 180. 
tliis title, for Commonwealth Army veterans and new Philippine 
Scouts determined by the Administrator to be in need of such 
hospital care or medical services for service-connected disabilities; 
"(2) will pay for hospital care at the Veterans Memorial Hos-
pital for Commonwealth Army veterans, and for new Philippine 
Scouts if they enlisted before July 4, 1946, determined by the 
Administrator to need such care for non-service-connected dis-
abilities if they are unable to defray the expenses of necessary 
hospital care; 
"(3) may provide for the payment of travel expenses pursuant 
72 Stat. 1113; 
to sectiou 111 of this title for Commonwealth Army veterans and 
'°38*usc °n*i. 
^6w Philippine Scouts in connection with hospital care or medical 
services furnished them; 
"(4) may provide for payments for nursing home care, on the 
same terms and conditions as set forth in section 620(a) of this 
Ante, p. 182. 
^^^j^^ ^^^ ^^^ Commonwealth Army veteran or new Philippine 
Scout determined to need such care at a per diem rate not to 
exceed 50 per centum of the hospital per diem rate established 
pursuant to clause (6) of this subsection; 
87 STAT. ] 
PUBLIC LAW 93-82-AUG. 2, 1973 
185 
"(5) may provide that payments for hospital care and for 
medical services provided to Commonwealth Army veterans and 
new Philippine Scouts or to United States veterans may consist 
in whole or in part of available medicines, medical supplies, and 
equipment furnished by the Administrator to the Veterans Memo-
rial Hospital at valuations therefor as determined by the Admin-
istrator, who may furnish through the revolving supply fund, 
pursuant to section 5011 of this title, such medicines, medical 75^8131^6*75^'^' 
supplies, and equipment as necessary for this purpose and to use 
38 use son. 
therefore, as applicable, appropriations available for such pay-
ments ; 
"(6) will provide for payments for such hospital care at a per 
diem rate to be jointly determined for each fiscal year by the two 
Governments to be fair and reasonable; and 
"(7) may stop payments under any such contract upon reason-
able notice as stipulated by the contract if the Republic of the 
Philippines and the Veterans Memorial Hospital fail to maintain 
such hospital in a well-equipped and effective operating condition, 
as determined by the Administrator. 
"(b) The total of the payments authorized by subsection (a) of this n^^auon!^' 
section shall not exceed $2,000,000 for any one fiscal year ending before 
July 1, 1978, which shall include an amount not to exceed $250,000 for 
any one such fiscal year for the purposes of clause (4) of such 
subsection. 
"(c) The contract authorized by subsection (a) of this section may 
provide for the use by the Republic of the Philippines of beds, equip-
ment, and other facilities of the Veterans Memorial Hospital at 
Manila, not required for hospital care of Commonwealth Army vet-
erans or new Philippine Scouts for service-connected disabilities, for 
hospital care of other persons in the discretion of the Republic of the 
Philippines except that (1) priority of admission and retention in such 
hospital shall be accorded Commonwealth Army veterans and new 
Philippine Scouts needing hospital care for service-connected dis-
abilities, and (2) such use shall not preclude the use of available facili-
ties in such hospital on a contract basis for hospital care or medical 
services for persons eligible therefor from the Veterans' Administra-
tion. 
"(d) To further assure the effective care and treatment of patients 
Appropriation. 
in the Veterans Memorial Hospital, there is authorized to be appro-
priated for each fiscal year during the five years beginning July 1, 
1973, and ending June 30,1978— 
" (1) the sum of $50,000 to be used by the Administrator for mak- 
Grants, 
ing grants to the Veterans Memorial Hospital for the purpose of 
education and training of health service personnel who are 
assigned to such hospital; and 
"(2) the sum of $50,000 to be used by the Administrator for 
making grants to the Veterans Memorial Hospital for the pur-
pose of assisting the Republic of the Philippines in the replace-
ment and upgrading of equipment and in rehabilitating the 
physical plant and facilities of such hospital. 
186 
PUBLIC LAW 93-82-AUG. 2, 1973 
[87 
STAT. 
Terms and 
conditions. 
80 Stat. 859. 
38 u s e 622, 
632, 634. 
Ante, 
p. 184. 
Nursing home 
care abroad. 
72 Stat. 1144. 
Ante, 
p. 182. 
Ante, 
p. 184. 
72 Stat. 1141, 
38 u s e 601. 
Such grants shall be made on such terms and conditions as pre-
scribed by the Administrator, including ajjproval by him of all educa-
tion and training programs conducted by the hospital under such 
grants. Any appropriation made for carrying out the purposes of 
clause (2) of this subsection shall remain available until expended.". 
(b) The table of sections at the beginning of such chapter 17 is 
amended by striking out 
"631. Grants to the Republic of the Philippines. 
"632. Modification of agreement with the Republic of the Philippines effectuating 
the Act of July 1, 1948." 
and inserting in lieu thereof 
, 
. ^ 
" " 
"631. Assistance to the Republic of the Philippines. 
"632. Contracts and grants to provide hospital care, medical services and nurs-
ing home care.". 
(c) Nothing in subsection (a) of this section shall be deemed to 
affect in any manner any right, cause, obligation, contract (specifically 
including that contract executed April 25, 1967, between the Govern-
ment of the Republic of the Philippines and the Government of the 
United States resulting from Public Law 89-612, which shall remain 
in force and effect until modified or superseded by an agreement exe-
cuted under authority of this Act), authorization of appropriation, 
grant, function, power, or duty vested by law or otherwise under the 
provisions of section 632 of title 38, United States Code, in effect on the 
day before the date of enactment of this section. 
SEC. 108. (a) Section 624 of title 38, United States Code, is amended 
by adding at the end thereof the following new subsection: 
"(d) The Administrator may furnish nursing home care, on the 
same terms and conditions set forth in section 620(a) of this title and 
at the same rate as specified in section 632(a) (4) of this title, to any 
veteran who has been furnished hospital care in the Philippines pur-
suant to this section, but who requires a protracted period of nursing 
home care.". 
(b) The catchline at the beginning of section 624 of such title is 
amended to read as follows: 
"§ 624. Hospital care, medical services and nursing home care 
abroad". 
SEC. 109. (a) Chapter 17 of title 38, United States Code, is further 
amended by adding at the end thereof the following new subchapter: 
"Subchapter VI—Sickle Cell Anemia 
"§ 651. Screening, counseling, and medical treatment 
"The Administrator is authorized to carry out a comprehensive 
program of providing sickle cell anemia screening, counseling, treat-
ment, and information under the provisions of this chapter. 
"§652. Research 
"The Administrator is authorized to carry out research and research 
training in the diagnosis, treatment, and control of sickle cell anemia 
Rules and 
regulations. 
87 STAT. ] 
PUBLIC LAW 93-82-AUG. 2, 1973 
187 
based upon the screening examinations and treatment provided under 
this subchapter. 
*'§ 653. Voluntary participation; confidentiality 
"(a) The participation by any person in any program or portion 
thereof under this subchapter shall be wholly voluntary and shall not 
be a prerequisite to eligibility for or receipt of any other service or 
assistance from, or to participation in, any other program under this 
title. 
"(b) The Administrator shall promulgate rules and regulations to 
insure that all information and patient records prepared or obt«ined 
under this subchapter shall be held confidential except for (1) such 
information as the patient (or his guardian) requests in writing to 
be released or (2) statistical data compiled without reference to 
patient names or other identifying characteristics. 
"§ 654. Reports 
"The Administrator shall include in the annual report to the Con- c^^resV° 
gress required by section 214 of this title a comprehensive report on 
72 stat.'ius. 
the administration of this subchapter, including such recommenda- 
^^ use 214. 
tions for additional legislation as the Administrator deems necessary.". 
(b) The analysis at the beginning of such chapter is amended by 
adding at the end thereof: 
"SUBCHAPTER VI 
SICKLE CELL ANEMIA 
"651. Screening, counseling, and medical treatment. 
"652. Research. 
"653. Voluntary participation; confidentiality. 
"654. Reports.". 
TITLE II—AMENDMENTS TO CHAPTER 73 OF TITLE 38, 
UNITED STATES CODE, RELATING TO THE DEPART-
MENT OF MEDICINE AND SURGERY 
SEC. 201. Section 4101 of title 38, United States Code, is amended goltauVaes!^' 
by amending subsection (b) to read as follows: 
"(b) In order to carry out more effectively the primary function pe^ronn'li^^Jdul 
of the Department of Medicine and Surgery to provide a complete cation program. 
medical and hospital service for the medical care and treatment of 
veterans and in order to assist in providing an adequate supply of 
health manpower to the Nation, the Administrator shall, to the extent 
feasible without interfering with the medical care and treatment of 
veterans, develop and carry out a program of education and training 
of such health manpower (including the developing and evaluating 
of new health careers, interdisciplinary approaches and career 
advancement opportunities), and shall carry out a major program 
for the recruitment, training, and employment of veterans with medi-
cal military occupation specialties as physicians' assistants, dentists' 
assistants, and other medical technicians (including advising all such 
qualified veterans and servicemen about to be discharged or released 
from active duty of such employment opportunities), acting in cooper-
ation with such schools of medicine, osteopathy, dentistry, nursing, 
pharmacy, optometry, podiatry, public health, "or allied health pro-
fessions ; other institutions of higher learning; medical centers; aca-
demic health centers; hospitals; and such other public or nonprofit 
agencies, institutions, or organizations as the Administrator deems 
appropriate. 
"(c) (1) Within ninety days after enactment of this subsection, the 
Administrator, in consultation with the Chief Medical Director, is 
Review agree-
ment. 
188 
PUBLIC LAW 93-82-AUG. 2, 1973 
[87 
STAT. 
Reports to Ad-
ministrator and 
Congress. 
Report to con-
gressional com-
mittees. 
National Acad-
emy of Sciences, 
cooperation. 
78 Stat. 409; 
50 Stat. 1368. 
81 Stat. 631; 
84 Stat. 1092. 
Supra. 
directed to conclude negotiations for an agreement with the National 
Academy of Sciences under which such Academy (utilizing its full 
resources and expertise) will conduct an extensive review and 
appraisal of personnel and other resource requirements in Veterans' 
Administration hospitals, clinics, and other medical facilities to deter-
mine a basis for the optimum numbers and categories of such per-
sonnel and other resources needed to insure the provision to eligible 
veterans of high quality care in all hospital, medical, domiciliary, and 
nursing home facilities. Such agreement shall provide that (A) at the 
earliest feasible date interim reports and the final report will be sub-
mitted by the National Academy of Sciences to the Administrator, 
the President of the Senate, and the Speaker of the House of Kepre-
sentatives, and (B) the final report will be submitted no later than 
twenty-four months after the date of the agreement except that the 
Administrator, in consultation with the Chief Medical Director and 
after consultation with the Houss and Senate Committees on Veterans' 
Affairs, may permit an extension up to twelve additional months. 
"(2) Within ninety days after the submission of the final report 
described in subsection (a) of this section, the Administrator shall 
submit to the Senate and House Committees on Veterans' Affairs a 
detailed report of his views on the National Academy of Sciences' 
findings and recommendations submitted in such report, including 
(A) the steps and timetable therefor (to be carried out in not less than 
three years) he proposes to take to implement such findings and rec-
ommendations and (B) any disagreements, and the reasons therefor, 
with respect to such findings and recommendations. 
"(3) The Administrator shall cooperate fully with the National 
Academy of Sciences, and make available to the Academy all such 
staff, information, records, and other assistance, and shall set aside 
for such purposes such sums, as are necessary to insure the success of 
the study.". 
SEC. 202. Section 4103(a) of title 38, United States Code, is 
amended—• 
(1) by amending paragraph (4) to read as follows: 
"(4) Not to exceed eight Assistant Chief Medical Directors, 
who shall be appointed by the Administrator upon the recom-
mendations of the Chief Medical Director. Not more than two 
Assistant Chief Medical Directors may be individuals qualified 
in the administration of health services who are not doctors of 
medicine, dental surgery, or dental medicine. One Assistant Chief 
Medical Director shall be a qualified doctor of dental surgery or 
dental medicine who shall be directly responsible to the Chief 
Medical Director for the operation of the Dental Service."; and 
(2) by amending paragraph (7) to read as follows: 
"(7) A Director of Pharmacy Service, a Director of Dietetic 
Service, and a Director of Optometry, appointed by the Adminis-
trator.". 
SEC. 203. Section 4107 of title 38, United States Code, is amended 
by— 
(1) amending subsections (a) and (b) to read as follows: 
"(a) The per annum full-pay scale or ranges for positions provided 
in section 4103 of this title, other than Chief Medical Director and 
Deputy Chief Medical Director, shall be as follows: 
"Section 4103 Schedule 
83 Stat. 864. 
"Associate Deputy Chief Medical Director, at the annual rate pro-
vided in section 5316 of title 5 for positions in level V of the Executive 
Schedule. 
87 STAT. ] 
PUBLIC LAW 93-82-AUG. 2, 1973 
189 
"Assistant Chief Medical Director, $41,734. 
"Medical Director, $36,103 minimum to $40,915 maximum. 
"Director of Nursing Service, $36,103 minimum to $40,915 maximum. 
"Director of Chaplain Service, $31,203 minimum to $39,523 
maximum. 
"Director of Pharmacy Service, $31,203 minimum to $39,523 
maximum. 
"Director of Dietetic Service, $31,203 minimum to $39,523 maximum. 
"Director of Optometry, $31,203 minimum to $39,523 maximum. 
"(b) (1) The grades and per annum full-pay ranges for positions 
provided for in paragraph (1) of section 4104 of this title shall be as 
^2 stat. 1244. 
n It 
38USC4104. 
follows: 
"Physician and Dentist Schedule 
"Director grade, $31,203 minimum to $39,523 maximum. 
"Executive grade, $28,996 minimum to $37,699 maximum. 
"Chief grade, $26,898 minimum to $34,971 maximum. 
"Senior grade, $23,088 minimum to $30,018 maximum. 
"Intermediate grade, $19,700 minimum to $25,613 maximum. 
"Full ^rade, $16,682 minimum to $21,686 maximum. 
"Associate grade, $13,996 minimum to $18,190 maximum. 
"Nurse Schedule 
"Director grade, $26,898 minimum to $34,971 maximum. 
"Assistant Director grade, $23,088 minimum to $30,018 maximum. 
"Chief grade, $19,700 minimum to $25,613 maximum. 
"Senior grade, $16,682 minimum to $21,686 maximum. 
"Intermediate grade, $13,996 minimum to $18,190 maximum. 
"Full grade, $11,614 minimum to $15,097 maximum. 
"Associate grade, $10,012 minimum to $13,018 maximum. 
"Junior grade, $8,572 minimum to $11,146 maximum. 
"(2) No person may hold the director grade in the 'Physician and 
Dentist Schedule' unless he is serving as a director of a hospital, domi-
ciliary, center, or outpatient clinic (independent). No person may hold 
the executive grade unless he holds the position of chief of staff at a 
hospital, center, or outpatient clinic (independent), or comparable 
position."; and 
(2) adding at the end thereof the following new subsections: 
"(d) The limitations in section 5308 of title 5 shall apply to pay 
P«y limitation. 
under this section. 
"(e) (1) In addition to the basic compensation provided for nurses 
Additional com-
in subsection (b) (1) of this section, a nurse shall receive additional ^^"^^ '°"-
compensation as provided by paragraphs (2) through (8) of this 
subsection. 
"(2) A nurse performing service on a tour of duty, any part of 
which is within the period commencing at 6 postmeridian and ending 
at 6 antemeridian, shall receive additional compensation for each 
hour of service on such tour at a rate equal to 10 per centum of the 
employee's basic hourly rate, if at least four hours of such tour fall 
between 6 postmeridian and 6 antemeridian. When less than four hours 
of such tour fall between 6 postmeridian and 6 antemeridian, the nurse 
shall be paid the differential for each hour of work performed between 
those hours. 
"(3) A nurse performing service on a tour of duty, any part of 
which is within the period commencing at midnight Saturday and 
ending at midnight Sunday, shall receive additional compensation for 
190 
PUBLIC LAW 93-82-AUG. 2, 1973 
[87 STAT. 
each hour of service on such tour at a rate equal to 25 per centum of 
such nurse's basic hourly rate. 
"(4) A nurse performing service on a holiday designated by Fed-
eral statute or Executive order shall receive such nurse's regular rate 
of basic pay, plus additional pay at a rate equal to such regular rate 
of basic pay, for that holiday work, including overtime work. Any 
service required to be performed by a nurse on such a designated holi-
day shall be deemed to be a minimum of two hours in duration. 
"(5) A nurse performing officially ordered or approved hours of 
service in excess of forty hours in an administrative workweek, or in 
excess of eight hours in a day, shall receive overtime pay for each hour 
of such additional service; the overtime rates shall be one and one-half 
times such iiurse's basic hourly rate, not to exceed one and one-half 
times the basic hourly rate for the minimum rate of Intermediate 
grade of the Nurse Schedule. For the j)urposes of this paragraph, 
overtime must be of at least fifteen minutes duration in a day to be 
creditable for overtime pay. Compensatory time off in lieu of pay for 
service performed under the provisions of this paragraph shall not 
be permitted. Any excess service performed under this paragraph on 
a day when sei'vice was not scheduled for such nurse, or for which such 
nurse is required to return to her place of employment, shall be deemed 
to be a minimum of two hours in duration. 
Computation of 
^^(^) For the purpose of computing the additional compensation 
p y. 
provided by paragraph (2), (3), (4), or (5) of this subsection, a 
nurse's basic hourly rate shall be derived by dividing such nurse's 
annual rate of basic compensation by two thousand and eighty. 
"(7) When a nurse is entitled to two or more forms of additional 
pay under paragraph (2), (3), (4), or (5) for the same period of 
duty, the amounts of such additional pay shall be computed separately 
on the basis of such nurse's basic hourly rate of pay, except that no 
overtime pay as provided in paragraph (5) shall be payable for over-
time service performed on a holiday designated by. Federal statute or 
Executive order in addition to pay received under paragraph (4) for 
such service. 
"(8) A nurse who is officially scheduled to be on call outside such 
nurse's regular hours shall be compensated for each hour of such on-call 
duty, except for such time as such nurse may be called back to work, 
at a rate equal to 10 per centum of the hourly rate for excess service as 
provided in paragraph (5) of this subsection. 
"(9) Any additional compensation paid pursuant to this subsection 
shall not be considered as basic compensation for the purposes of sub-
chapter VI and section 5595 of subchapter I X of chapter 55, chapter 81, 
„qj^^^ ^551' 
83, or 87 of title 5, or other benefits based on basic compensation.". 
8701.' ' 
'' ' ' ° ' ' 
SEC. 204. (a) Section 4108 of title 38, United States Code, is amended 
76 Stat. 860. 
to read as follows: 
"§ 4108. Personnel administration 
"(a) Notwithstanding any law. Executive order, or regulation, the 
Administrator shall prescribe by regulation the hours and conditions 
of employment and leaves of absence of physicians, dentists, and 
nurses appointed to the Department of Medicine and Surgery, except 
that the hours of employment in carrying out responsibilities under 
this title of any physician, dentist (other than an intern or resident 
Post, p. 192. 
appointed pursuant to section 4114 of this title), or nurse appointed on 
a full-time basis who accepts responsibilities for carrying out profes-
sional services for remuneration other than those assigned under this 
title, shall consist of not less than eighty hours in a biweekly pay period 
80 Stat. 475. 
^j^g \^^^ term is used in section 5504 of title 5), and no such person 
may— 
87 STAT. ] 
PUBLIC LAW 93-82-AUG. 2, 1973 
191 
"(1) assume responsibility for the medical care of any patient ^ ^'^g^s^a^'d^'^^' 
other than a patient admitted for treatment at a Veterans' Admin- nurse^s.^pro^ibi-
istration facility, except in those cases where the individual, upon tions. 
request and with the approval of the Chief Medical Director, 
assumes such responsibilities to assist communities or medical 
practice groups to meet medical needs which would not otherwise 
be available for a period not to exceed one hundred and eighty 
calendar days, which may be extended by the Chief Medical 
Director for additional periods not to exceed one hundred and 
eighty calendar days each; 
"(2) teach or provide consultative services at any affiliated 
institution if such teaching or consultation will, because of its 
nature or duration, conflict with his responsibilities under this 
title; 
" (3) accept payment under any insurance or assistance program 
established under subchapter XVIII, or X I X of chapter 7 of title 
42, or under chapter 55 of title 10 for professional services ren- ^2 use 1395, 
dered by him while carrying out his responsibilities under this 
10 use 1071. 
title; 
"(4) accept from any source, with respect to any travel per-
formed by him in the course of carrying out his responsibilities 
under this title, any payment or per diem for such travel, other 
than as provided for in section 4111 of title 5; 
so stat. 437 
"(5) request or permit any individual or organization to pay, 
on his behalf, for insurance insuring him against malpractice 
claims arising in the course of carrying out his responsibilities 
under this title or for his dues or similar fees for membership in 
medical or dental societies or related professional associations, 
except where such payments constitute a part of his remunera-
tion for the performance of professional responsibilities permitted 
under this section, other than those carried out under this title; 
and 
"(6) perform, in the course of carrying out his responsibilities 
^"""^ raising for 
1^ ' , 1 • 
.-,1 
i? 
• 
1 
• 
c 
It 
J 
J. 
affiliated institu-
under this title, proiessional services tor the purpose 01 generat- tions, prohibition. 
ing money for any fund or account which is maintained by an 
affiliated institution for the benefit of such institution, or for his 
personal benefit, or both, and in the case of any such fund or 
account established before the effective date of this subsection— 
"(A) the affiliated institution shall submit semiannually ubiT/diTi'ii'sure 
an accounting to the Administrator and to the Comptroller 
General of the United States with respect to such fund or 
account, and thereafter shall maintain such fund or account 
subject to full public disclosure and audit by the Administra-
tor and the Comptroller General for a period of three years 
or for such longer period as the Administrator shall prescribe, 
and 
"(B) no physician, dentist, or nurse may receive, after the 
effective date of this subsection, any cash from amounts 
deposited in such fund or account derived from services per-
formed prior to the efl'ective date of this subsection. 
"(b) As used in this section, the term 'affiliated institution' means ^HH^H!!!!^'^'^ *"' 
any medical school or other institution of higher learning with which 
the Administrator has a contract or agreement pursuant to section 
4112 (b) of this title for the training or education of health manpower. 
"(c) As used in this section, the term 'remuneration' means the 
receipt of any amount of monetary benefit from any non-Veterans' ^. "Remunera-
Administration source in payment for carrying out any professional 
responsibilities.". 
stitution. 
tion." 
192 
PUBLIC LAW 93-82-AUG. 2, 1973 
[87 STAT. 
(b) The table of sections at the beginning of chapter 73 of such 
title is amended by striking out 
"4108. Administration," 
and inserting in lieu thereof 
"4108. Personnel administration.". 
72 Stat. 1246. 
SEC. 205. (a) SectJou 4109 of title 38, United States Code, is amended 
by striking out "the Civil Service Eetirement Act"' and inserting in 
lieu thereof "chapter 83 of title 5". 
80 Stat. 1370. 
(b) Subsection (b) of section 4112 of such title 38, is amended by 
striking out "service personnel" in the first sentence immediately after 
"health" and by inserting in lieu thereof "manpower". 
7 2 Stat. 1247; 
SEC. 206. Sectiou 4114 of title 38, United States Code, is amended 
76 Stat. 309. 
,. n 
' 
' 
as lollows: 
(1) by striking out the words "ninety days" in the last sentence 
of paragraph (3) (A) of subsection (a) and inserting in lieu 
thereof "one year"; 
(2) by inserting "(1)" immediately after " ( b ) " at the begin-
ning of subsection (b) of such section and by adding at the end 
of such subsection the following new paragraphs: 
"Intern." 
" (£) For the purposcs of this title, the term 'intern' shall include an 
internship or the equivalency thereof, as determined in accordance 
with regulations which the Administrator shall prescribe. 
Internships, 
"^3^ jj^ Order to Carry out more efficiently the provisions of para-
is^t"aaon.^ ^ ™^"' graph (1) of this subsection, the Administrator may contract with one 
or more hospitals, medical schools, or medical installations having 
hospital facilities and participating with the Veterans' Administration 
in the training of interns or residents to provide for the central 
administration of stipend payments, provision of fringe benefits, and 
maintenance of records for such interns and residents by the designa-
tion of one such institution to serve as a central administrative agency 
for this purpose. The Administrator may pay to such designated 
agency, without regard to any other law or regulation governing the 
expenditure of Government moneys either in advance or in arrears, 
an amount to cover the cost for the period such intern or resident serves 
in a Veterans' Administration hospital of (A) stipends fixed by the 
Administrator pursuant to paragraph (1) of this subsection, (B) 
hospitalization, medical care, and life insurance, and any other 
employee benefits as are agreed upon by the participating institutions 
for the period that such intern or resident serves in a Veterans' Admin-
istration hospital, (C) tax on employers pursuant to chapter 21 of 
the Internal Revenue Code of 1954, where applicable, and in addition, 
(D) an amount to cover a pro rata share of the cost of expense of 
such central administrative agency. Any amounts paid by the Admin-
istrator to such central administrative agency to cover the cost of 
hospitalization, medical care, or life insurance or other employee bene-
fits shall be in lieu of any benefits of like nature to which such intern 
s^usc 101 et 
Qj. resident may be entitled under the provisions of title 5, and the 
acceptance of stipends and employee benefits from the designated 
central administrative agency shall constitute a waiver by the recipient 
of any claim he might have to any payment of stipends or employee 
benefits to which he may be entitled under this title or title 5. Notwith-
standing the foregoing, any period of service of any such intern or 
resident in a Veterans' Administration hospital shall be deemed credit-
so Stat. 567. 
able service for the purposes of section 8332 of title 5. The agreement 
may further provide that the designated central administrative agency 
shall make all appropriate deductions from the stipend of each intern 
and resident for local, State, and Federal taxes, maintain all records 
26 u s e 3101. 
seq 
87 STAT. ] 
PUBLIC LAW 93-82-AUG. 2, 1973 
193 
pertinent thereto and make proper deposits thereof, and shall maintain 
all records pertinent to the leave accrued by such intern and resident 
for the period during which he serves in a participating hospital, 
including a Veterans' Administration hospital. Such leave may be 
pooled, and the intern or resident may be atforded leave by the hospi-
tal in which he is serving at the time the leave is to be used to the extent 
of his total accumulated leave, whether or not earned at the hospital in 
which he is serving at the time the leave is to be afforded."; and 
(3) by adding at the end thereof the following new subsection: 
"(e) The program of training prescribed by the Administrator in 
order to qualify a person for the position of full-time physician's 
assistant or dentist's assistant shall be considered a full-time institu-
tional program for purposes of chapter 34 of this title. The xldmin- 
so stat, 12; 
istrator may consider training for such a position to be on a less than 
33 use les'i. 
full-time basis for purposes of such chapter when the combined class-
room (and other formal instruction) portion of the program and the 
on-the-job training portion of the program total less than 30 hours 
per week.-'. 
SEC. 207. Section 4116 of title 38, United States Code, is amended— nJ^ufenceTuus'^ 
(1) by amending subsection (a) to read as follovv's: 
so stat. 307. 
"(a) The remedy— 
"(1) against the United States provided by sections 1346(b) 
and 2672 of title 28, or 
62 stat. 933. 
"(2) through proceedings for compensation or other benefits 
from the United States as provided by any other law, where the 
availability of such benefits precludes a remedy under section 
1346(b) or 2672 of title 28, 
for damages for personal injury, including death, allegedly arising 
from malpractice or negligence of a physician, dentist, nurse, physi-
cians' assistant, dentists' assistant, pharmacist, or paramedical (for 
example, medical and dental technicians, nursing assistants, and 
therapists) or other supporting personnel in furnishing medical care 
or treatment while in the exercise of his duties in or for the Depart-
ment of Medicine and Surgery shall hereafter be exclusive of any 
other civil action or proceeding by i-eason of the same subject matter 
against such physician, dentist, nurse, physicians' assistant, dentists' 
assistant, pharmacist, or par-amedical or other supporting personnel 
(or his estate) whose act or omission gave rise to such claim.'"; 
(2) by striking out the last sentence in subsection (c) and insert- 
79 stat. use. 
ing in lieu thereof the following: "After removal the United 
States shall have available all defenses to Avhicli it would have 
been entitled if the action had originally been commenced against 
the United States. Should a United States district court deter-
mine on a hearing on a motion to remand held before a trial on 
the merits that the employee whose act or omission gave rise to 
the suit was not acting within the scope of his office or employ-
ment, the case shall be remanded to the State court."; and 
(3) by adding at the end thereof the following new subsection: 
Liabinty insur-
"(e) The Administrator may, to the extent he deems appropriate, 
hold harmless or provide liability insurance for any person to whom 
the immunity provisions of this section apply (as described in sub-
section (a) of this section), for damage for personal injury or death, 
or for property damage, negligently caused by such person while 
furnishing medical care or treatment (including the conduct of clinical 
studies or investigations) in the exercise of his duties in or for the 
Department of Medicine and Surgery, if such person is assigned to a 
foreign country, detailed to State or political division thereof, or is 
ance. 
194 
PUBLIC LAW 93-82-AUG. 2, 1973 
[87 STAT. 
acting under any other cirelunstances which would preclude the reme-
dies of an injured third person against the United States, provided by 
62 Stat. 933. 
sectious 1846(b) and 2672 of title 28, for such damai>e or iniurv.*'. 
Scarce medical 
SEC. 208. Sectiou 4117 of title 88, United States Code, is amended to 
services, con- 
I'ead as follows t 
*'^To*stat. 1372. 
"The Administrator may enter into contracts Avith medical schools, 
clinics, and any other group or individual capable of furnishino; such 
services to provide scarce medical specialist services at Veterans' 
Administration facilities (including, but not limited to, services of 
physicians, dentists, nurses, physicians' assistants, dentists' assistants, 
technicians, and other medical support personnel).'". 
TITLP: in—AMENDMENTS TO CHAPTER 8i OF TITLE as, 
UNITED STATES CODP]—ACQUISITION AND OPERA-
TION OF HOSPITAL AND DOMICILIARY FACILITIES; 
PRO(TTREMENT AND SUPPLY 
SEC. 801. (a) Subsection (a) of section 5001 of title 88, I'nited 
7 2 Stat. 1251; 
Statcs Code, is amended by— 
^ ^*^*' 
• 
(1) striking out the period at the end of paragraph (2) and 
inserting in lieu thereof a comma and the following: "and the 
x^dministrator shall staff and maintain, in such a manner as to 
insure the immediate acceptance and timely and complete care 
of patients, sufficient beds and other treatment capacities to 
accommodate, and provide such care to, eligible veterans applying 
for admission and found to be in need of hospital care or medical 
services. The Administrator shall maintain the bed and treatment 
capacities of all Veterans' Administration medical facilities so 
as to insure the accessibility and availability of such beds and 
treatment capacities to eligible veterans in all States and to mini-
mize delays in admissions and in the provision of such care and 
of services pursuant to section 612 of this title. The Chief ]Medica1 
Director shall periodically analyze agencywide admission policies 
and the records of those eligible veterans who apply for hospital 
care and medical services but are rejected or not immediately 
admitted or provided such care or services, and the Administrator 
shall annually advise the House and Senate Committees on 
Veterans' Affaire of the results of such analysis and the number 
of any additional beds and treatment capacities and the appro-
priate staffing and funds therefor found necessary to meet the 
needs of such veterans for such necessary care and services."; and 
(2) striking out in the first sentence of paragraph (3) "is 
authorized to" and inserting in lieu thereof "shall", and by striking 
out "four thousand beds" and inserting in lieu thereof "eight thou-
sand beds in the fiscal year ending June 80,1974, and in each fiscal 
year thereafter", 
(b) Subsection (b) of section 5001 of such title is amended to read 
as follows: 
"(b) Hospitals, domiciliaries, and other medical facilities provided 
by the Administrator (including nursing home facilities for which the 
Ante, p. 182. 
Administrator contracts under section 620 of this title) shall be of fire, 
ear-th(piake, and other natural disaster resistant construction in accord-
ance with standards which the Administrator shall prescribe on a State 
or regional basis after surveying appropriate State and local laws, 
ordinances, and building codes and climatic and seismic conditions pei--
tinent to each such facility. When an existing plant is purchased, it 
shall be remodeled to comply with the re([uirements stated in the first 
79 Stat. 1157. 
38 u s e 5001. 
72 Stat. 1251; 
80 Stat. 1373. 
87 STAT. ] 
PUBLIC LAW 93-82-AUG. 2, 1973 
195 
sentence of this subsection. In order to carry out this subsection, the 
Administrator shall appoint an Advisory Committee on Structural 
Safety of Veterans' Administration Facilities, on which shall serve at 
least one architect and one structural engineer expert in fire, earth-
quake, and other natural disaster resistance who shall not be employees 
of the Federal Government, to advise him on all matters of structural 
safety in the construction and remodeling of Veterans' Administration 
facilities in accordance with the requirement of this subsection, and 
which shall approve regulations prescribed thereunder. The Associate 
Deputy Administrator, the Chief Medical Director, or his designee, 
and the Veterans' Administration official charged with the responsi-
bility for construction shall be ex officio members of such committee.". 
(c) Section 5001 of such title is further amended by adding the 
7 2 stat. 1251 
lollowmg new subsection: 
" (g) The Administrator may make contributions to local authorities 
toward, or for, the construction of traffic controls, road improvements, 
or other devices adjacent to Veterans' Administration medical facili-
ties when deemed necessary for safe ingress or egress.". 
SEC. 302. Chapter 81 of title 38, United States Code, is amended— 
(1) by adding at the end of subchapter I the following new 
section: 
*'§ 5007. Partial relinquishment of legislative jurisdiction 
"The Administrator, on behalf of the United States, may relinquish 
to the State in which any lands or interests therein under his super-
vision or control are situated, such measure of legislative jurisdiction 
over such lands or interests as is necessary to establish concurrent 
jurisdiction between the Federal Government and the State concerned. 
Such partial relinquishment of legislative jurisdiction shall be initi-
ated by filing a notice thereof with the Governor of the State 
concerned, or in such other manner as may be prescribed by the laws 
of such State, and shall take effect upon acceptance by such State."; 
(2) by inserting immediately after the first sentence in subsec-
tion (a) of section 5012 thereof the following: "Any lease made 
pursuant to this subsection to any public or nonprofit organization 
may be made without regard to the provisions of section 3709 of 
the Revised Statutes (41 U.S.C. 5). Notwithstanding section 321 
of the Act entitled 'An Act making appropriations for the legis-
lative branch of the Government for the fiscal year ending June 30, 
1933, and for other purposes,' approved June 30, 1932 (40 U.S.C. 
303b), or any other provision of law, a lease made pursuant to this 
subsection to any public or nonprofit organization may provide 
for the maintenance, protection, or restoration, by the lessee, of 
the property leased, as a part or all of the consideration for the 
lease. Prior to the execution of any such lease, the Administrator 
shall give appropriate public notice of his intention to do so in the 
newspaper of the community in which the lands or buildings to be 
leased are located."; and 
(3) by inserting in the table of sections at the beginning of such 
chapter 
"5007. Partial relinquishment of legislative jurisdiction." 
immediately after 
"5006. Property formerly owned by the National Home for Disabled Volunteer 
Soldiers.". 
SEC. 303. Section 5053 (a) of title 38, United States Code, is amended 
8° stat. 1374. 
by striking out "or medical schools" at the beginning of the material 
contained in parentheses, and by inserting immediately after the close 
parenthesis the words "or medical schools or clinics". 
47 Stat. 412. 
196 
PUBLIC LAW 93-82-AUG. 2, 1973 
[87 STAT. 
TITLE IV—MISCELLANEOUS AMEND^IENTS TO TITLE 
38, UNITED STATES CODE 
PwiTpSie''s!'re*^ 
SEC. 401. Sectioii 230(b) of title 38, United States Code, is amended 
gionai office, time by Striking out "Julj 3, 1974'' and inserting in lieu thereof "June 30, 
extension. 
-i Q7Q55 
84 Stat. 437. 
J-t/i^O . 
Telephone serv- 
SEC. 402. (a) Sectiou 234 of title 38, Ignited States Code, is amended 
^'^72 Stat 1117 
^y inserting immediately after the words "telephones for" the follow-
ing: "nonmedical directors of center's, hospitals, independent clinics, 
domiciliaries, and". 
(b) The table of sections at the beginning of chapter 3 of such title 
is amended by striking out 
"234. Telephone service for medical officers." 
and inserting in lieu thereof 
"234. 
Telephone service for medical officers and facility directors.". 
(c) The catchline at the beginning of section 234 of such title is 
amended by inserting immediately after the word "officers" the words 
^^s^tate home facii- 
gj,^_ ^Q^^ ;j^^ Scctlou 641 of title 38, United States Code, is amended 
83 Stat. 836. 
b y 
(1) striking out in clause (1) "$3.50" and inserting in lieu 
thereof "$4.50"; 
(2) striking out in clause (2) "$5" and inserting in lieu thereof 
"$6"; 
(3) striking out in clause (3) "$7.50" and inserting in lieu 
thereof "$10"; and 
(4) inserting immediately after the words "veteran of any war" 
the following: "or of service after January 31,1955". 
38 use 644. 
^1^^ Section 644(b) of such title is amended by striking out "50 
per centum" and inserting in lieu thereof "65 per centum". 
(c) Section 5033(a) of title 38, United States Code, is amended by 
striking out "nine" and inserting in lieu thereof "fourteen". 
(d) Paragraph (1) of section 5034 of title 38, United States Code, 
is amended by striking out "one and one-half beds" and inserting in 
lieu thereof "two and one-half beds". 
(e) Subsections (a)(1), (b)(2), and (d) of section 5035 of such 
title are amended by striking out "50 per centum" wherever it appears 
therein and inserting in lieu thereof "65 per centum". 
(f) Section 5036 of such title is amended by striking out "50 per 
centum" and inserting in lieu thereof "65 per centum". 
ITTLE V—EFFECTIVE DATES 
SEC. 501. The provisions of this Act shall become elective the iir^x 
day of the first calendar month following the date of enactment, except 
that sections 105 and 106 shall be effective on January 1,1971; section 
A"11' ^' 188' 
^'^^ shall be effective July 1, 1973; and section 203 shall become eff'ec-
" ^'^' 
• 
five beginning the first pay period following thirty days after the date 
of enactment of this Act. 
Approved August 2, 1973. 
'" •''"' ' ' ' ' . • 
82 Stat. 448. 
79 Stat. 1157 
78 Stat. 502. 
38 u s e 5035. 
38 u s e 5036. 
Ante, 
p. 183.