An act to amend title 38, United States Code, to authorize the Secretary of Veterans Affairs to provide certain burial benefits for spouses and children of veterans who are buried in tribal cemeteries, and for other purposes
PL 115-407 (S.2248), enacted 12/31/2018

132 STAT. 5368 
PUBLIC LAW 115–407—DEC. 31, 2018 
Public Law 115–407 
115th Congress 
An Act 
To amend title 38, United States Code, to authorize the Secretary of Veterans 
Affairs to provide certain burial benefits for spouses and children of veterans 
who are buried in tribal cemeteries, and for other purposes. 
Be it enacted by the Senate and House of Representatives of 
the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE; TABLE OF CONTENTS. 
(a) SHORT TITLE.—This Act may be cited as the ‘‘Veterans 
Benefits and Transition Act of 2018’’. 
(b) TABLE OF CONTENTS.—The table of contents for this Act 
is as follows: 
Sec. 1. Short title; table of contents. 
TITLE I—EDUCATION 
Sec. 101. Inclusion of certain additional periods of active duty service for purposes 
of suspension of charges to entitlement during periods of suspended par-
ticipation in Department of Veterans Affairs vocational rehabilitation 
programs. 
Sec. 102. Provision of monthly housing stipend information under Post-9/11 Edu-
cational Assistance Program. 
Sec. 103. Disapproval for purposes of educational assistance programs of Depart-
ment of Veterans Affairs of certain courses of education that do not per-
mit individuals to attend or participate in courses pending payment. 
Sec. 104. Provision of information on required additional actions to allow individ-
uals to stay enrolled in courses of education pending receipt of edu-
cational assistance from department of veterans affairs. 
Sec. 105. Calculation of monthly housing stipend under high technology pilot pro-
gram based on location of campus where veteran attends classes. 
Sec. 106. Clarification regarding applicability of authority to use educational assist-
ance to pursue independent study programs at certain educational insti-
tutions that are not institutions of higher learning. 
TITLE II—MEMORIAL AFFAIRS 
Sec. 201. Eligibility of spouses and children of veterans buried in tribal cemeteries 
for certain Department of Veterans Affairs burial benefits. 
Sec. 202. Department of Veterans Affairs provision of headstones and markers for, 
and interment in national cemeteries of, spouses and dependent chil-
dren of members of the Armed Forces serving on active duty. 
TITLE III—CIVIL RELIEF 
Sec. 301. Termination of leases of premises of deceased servicemembers who die 
while in military service. 
Sec. 302. Residence of spouses of servicemembers for tax purposes. 
Sec. 303. Residence of spouses of servicemembers for voting. 
Sec. 304. Termination of multichannel video programming and internet access serv-
ice contracts. 
TITLE IV—TRANSITION ASSISTANCE 
Sec. 401. Study of community-based transition assistance programs for members of 
the Armed Forces after separation, retirement, or discharge. 
Veterans 
Benefits and 
Transition 
Act of 2018. 
38 USC 101 note. 
Dec. 31, 2018 
[S. 2248] 
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132 STAT. 5369 
PUBLIC LAW 115–407—DEC. 31, 2018 
TITLE V—DEPARTMENTAL ADMINISTRATION 
Sec. 501. Misuse of Department of Veterans Affairs purchase cards by Department 
employees. 
Sec. 502. Updating dependent information. 
Sec. 503. Oversight of Electronic Health Record Modernization Program. 
Sec. 504. Department of Veterans Affairs notice relating to debt collection activi-
ties. 
TITLE VI—MEDICAL FACILITIES 
Sec. 601. Authorization of major medical facility projects for fiscal year 2019. 
Sec. 602. Plans to improve medical facilities of the Department of Veterans Affairs. 
TITLE VII—OTHER MATTERS 
Sec. 701. Homeless veterans reintegration programs. 
Sec. 702. Technical corrections. 
Sec. 703. Medical Surgical Prime Vendor program. 
Sec. 704. Report on expanding access to dental care for veterans eligible for health 
care from the Department of Veterans Affairs. 
TITLE I—EDUCATION 
SEC. 101. INCLUSION OF CERTAIN ADDITIONAL PERIODS OF ACTIVE 
DUTY SERVICE FOR PURPOSES OF SUSPENSION OF 
CHARGES TO ENTITLEMENT DURING PERIODS OF SUS-
PENDED PARTICIPATION IN DEPARTMENT OF VETERANS 
AFFAIRS VOCATIONAL REHABILITATION PROGRAMS. 
Section 3105(e)(2) of title 38, United States Code, is amended 
by striking ‘‘or 12304’’ and inserting ‘‘12304, 12304a, or 12304b’’. 
SEC. 102. PROVISION OF MONTHLY HOUSING STIPEND INFORMATION 
UNDER POST-9/11 EDUCATIONAL ASSISTANCE PROGRAM. 
Section 3313 of title 38, United States Code, is amended by 
adding at the end the following new subsection: 
‘‘(k) PROVISION OF HOUSING STIPEND PAYMENT INFORMATION.— 
‘‘(1) IN GENERAL.—The Secretary shall furnish to individ-
uals receiving educational assistance under this chapter docu-
mentation that verifies the amount of the monthly housing 
stipend the individual receives under this section. 
‘‘(2) MANNER.—The Secretary shall make such documenta-
tion available to the individual using an internet website in 
the same manner the Secretary provides documentation 
verifying compensation and other benefits furnished by the 
Secretary to individuals.’’. 
SEC. 103. DISAPPROVAL FOR PURPOSES OF EDUCATIONAL ASSIST-
ANCE PROGRAMS OF DEPARTMENT OF VETERANS AFFAIRS 
OF CERTAIN COURSES OF EDUCATION THAT DO NOT 
PERMIT INDIVIDUALS TO ATTEND OR PARTICIPATE IN 
COURSES PENDING PAYMENT. 
(a) IN GENERAL.—Section 3679 of title 38, United States Code, 
is amended by adding at the end the following new subsection: 
‘‘(e)(1) Notwithstanding any other provision of this chapter, 
beginning on August 1, 2019, a State approving agency, or the 
Secretary when acting in the role of the State approving agency, 
shall disapprove a course of education provided by an educational 
institution that has in effect a policy that is inconsistent with 
any of the following: 
‘‘(A) A policy that permits any covered individual to attend 
or participate in the course of education during the period 
beginning on the date on which the individual provides to 
Termination 
dates. 
Effective date. 
Web posting. 
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132 STAT. 5370 
PUBLIC LAW 115–407—DEC. 31, 2018 
the educational institution a certificate of eligibility for entitle-
ment to educational assistance under chapter 31 or 33 of this 
title and ending on the earlier of the following dates: 
‘‘(i) The date on which the Secretary provides payment 
for such course of education to such institution. 
‘‘(ii) The date that is 90 days after the date on which 
the educational institution certifies for tuition and fees 
following receipt from the student such certificate of eligi-
bility. 
‘‘(B) A policy that ensures that the educational institution 
will not impose any penalty, including the assessment of late 
fees, the denial of access to classes, libraries, or other institu-
tional facilities, or the requirement that a covered individual 
borrow additional funds, on any covered individual because 
of the individual’s inability to meet his or her financial obliga-
tions to the institution due to the delayed disbursement of 
a payment to be provided by the Secretary under chapter 
31 or 33 of this title. 
‘‘(2) For purposes of this subsection, a covered individual is 
any individual who is entitled to educational assistance under 
chapter 31 or 33 of this title. 
‘‘(3) The Secretary may waive such requirements of paragraph 
(1) as the Secretary considers appropriate. 
‘‘(4) It shall not be inconsistent with a policy described in 
paragraph (1) for an educational institution to require a covered 
individual to take the following additional actions: 
‘‘(A) Submit a certificate of eligibility for entitlement to 
educational assistance not later than the first day of a course 
of education for which the individual has indicated the indi-
vidual wishes to use the individual’s entitlement to educational 
assistance. 
‘‘(B) Submit a written request to use such entitlement. 
‘‘(C) Provide additional information necessary to the proper 
certification of enrollment by the educational institution.’’. 
(b) PROMPT PAYMENTS.— 
(1) IN GENERAL.—The Secretary of Veterans Affairs shall 
take such actions as may be necessary to ensure that the 
Secretary makes a payment to an educational institution on 
behalf of an individual, who is entitled to educational assistance 
under chapter 31 or 33 of title 38, United States Code, and 
who is using such assistance to pursue a program of education 
at the educational institution, not later than 60 days after 
the date on which the educational institution certifies to the 
Secretary the applicable tuition and fees for the individual. 
(2) SEMIANNUAL
REPORTS.—Not later than May 1 and 
October 1 of each year, the Secretary shall submit to the 
Committee on Veterans’ Affairs of the Senate and the Com-
mittee on Veterans’ Affairs of the House of Representatives 
a semiannual report summarizing any cases in which the Sec-
retary failed to make a payment described in paragraph (1) 
within the period set forth in such paragraph and an expla-
nation for each delayed disbursement of payment. 
(c) RULE OF CONSTRUCTION.—In a case in which an individual 
is unable to meet a financial obligation to an educational institution 
due to the delayed disbursement of a payment to be provided 
by the Secretary under chapter 31 or 33 of such title and the 
amount of such disbursement is less than anticipated, nothing 
38 USC 3679 
note. 
Deadline. 
38 USC 3680 
note. 
Deadline. 
Waiver authority. 
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132 STAT. 5371 
PUBLIC LAW 115–407—DEC. 31, 2018 
in section 3679(e) of such title, as added by subsection (a), shall 
be construed to prohibit an educational institution from requiring 
additional payment or imposing a fee for the amount that is the 
difference between the amount of the financial obligation and the 
amount of the disbursement. 
SEC. 104. PROVISION OF INFORMATION ON REQUIRED ADDITIONAL 
ACTIONS TO ALLOW INDIVIDUALS TO STAY ENROLLED IN 
COURSES OF EDUCATION PENDING RECEIPT OF EDU-
CATIONAL ASSISTANCE FROM DEPARTMENT OF VETERANS 
AFFAIRS. 
Section 3698(c)(1)(C) of title 38, United States Code, is 
amended— 
(1) in clause (x), by striking ‘‘; and’’ and inserting a semi-
colon; 
(2) in clause (xi), by striking the period at the end and 
inserting ‘‘; and’’; and 
(3) by adding at the end the following new clause: 
‘‘(xii) information on whether the institution requires 
a covered individual to take additional action pursuant 
to section 3679(e)(4) of this title to stay enrolled in a 
course pending receipt of educational assistance under a 
law administered by the Secretary.’’. 
SEC. 105. CALCULATION OF MONTHLY HOUSING STIPEND UNDER HIGH 
TECHNOLOGY PILOT PROGRAM BASED ON LOCATION OF 
CAMPUS WHERE VETERAN ATTENDS CLASSES. 
Section 116(d)(1) of the Harry W. Colmery Veterans Educational 
Assistance Act of 2017 (Public Law 115–48, 38 U.S.C. 3001 (note)), 
is amended— 
(1) in subparagraph (A), by striking ‘‘the institution at 
which the individual is enrolled’’ and inserting ‘‘the campus 
of the institution where the individual physically participates 
in a majority of classes’’; and 
(2) in subparagraph (B), by striking ‘‘the amount payable’’ 
and all that follows through ‘‘subparagraph (A)’’ and inserting 
‘‘the national average of the monthly amount of the basic allow-
ance for housing payable under section 403 of title 37, United 
States Code, for a member with dependents in pay grade E– 
5’’. 
SEC. 106. CLARIFICATION REGARDING APPLICABILITY OF AUTHORITY 
TO USE EDUCATIONAL ASSISTANCE TO PURSUE INDE-
PENDENT STUDY PROGRAMS AT CERTAIN EDUCATIONAL 
INSTITUTIONS THAT ARE NOT INSTITUTIONS OF HIGHER 
LEARNING. 
The section heading for section 302 of the Harry W. Colmery 
Veterans Educational Assistance Act of 2017 (Public Law 115– 
48; 131 Stat. 990) is amended to read as follows (and the table 
of contents for such Act is conformed accordingly): 
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132 STAT. 5372 
PUBLIC LAW 115–407—DEC. 31, 2018 
‘‘SEC. 302. AUTHORIZATION FOR USE OF EDUCATIONAL ASSISTANCE 
UNDER ANY OF THE EDUCATIONAL ASSISTANCE PRO-
GRAMS OF THE DEPARTMENT OF VETERANS AFFAIRS TO 
PURSUE INDEPENDENT STUDY PROGRAMS AT CERTAIN 
EDUCATIONAL INSTITUTIONS THAT ARE NOT INSTITU-
TIONS OF HIGHER LEARNING.’’. 
TITLE II—MEMORIAL AFFAIRS 
SEC. 201. ELIGIBILITY OF SPOUSES AND CHILDREN OF VETERANS 
BURIED IN TRIBAL CEMETERIES FOR CERTAIN DEPART-
MENT OF VETERANS AFFAIRS BURIAL BENEFITS. 
Section 2306 of title 38, United States Code, is amended— 
(1) in subsection (a)(4), by inserting ‘‘or a veterans’ cemetery 
owned by a tribal organization or on land owned by or held 
in trust for a tribal organization’’ after ‘‘State’’; 
(2) in subsection (b)(1), by inserting ‘‘, a veterans’ cemetery 
of a tribal organization or on land owned by or held in trust 
for a tribal organization’’ after ‘‘owned by a State’’; 
(3) in subsection (f)— 
(A) by redesignating paragraphs (1) and (2) as subpara-
graphs (A) and (B), respectively; 
(B) by striking ‘‘The Secretary’’ and inserting ‘‘(1) The 
Secretary’’; 
(C) by striking ‘‘a national cemetery or in a veterans 
cemetery of a State or tribal organization for which the 
Department has provided a grant under section 2408 of 
this title’’ and inserting ‘‘a covered cemetery’’; and 
(D) by adding at the end the following: 
‘‘(2) The term ‘covered cemetery’ means any of the following: 
‘‘(A) A national cemetery. 
‘‘(B) A veterans’ cemetery of a State for which the Depart-
ment has provided a grant under section 2408 of this title. 
‘‘(C) A veterans’ cemetery of a tribal organization or on 
land owned by or held in trust for a tribal organization for 
which the Department has provided a grant under subsection 
(f) of such section.’’; and 
(4) by adding at the end the following new subsection: 
‘‘(i) In this section, the term ‘tribal organization’ has the 
meaning given such term in section 3765 of this title.’’. 
SEC. 202. DEPARTMENT OF VETERANS AFFAIRS PROVISION OF 
HEADSTONES AND MARKERS FOR, AND INTERMENT IN 
NATIONAL CEMETERIES OF, SPOUSES AND DEPENDENT 
CHILDREN OF MEMBERS OF THE ARMED FORCES SERVING 
ON ACTIVE DUTY. 
(a) HEADSTONES AND MARKERS.—Section 2306(b)(2) of title 38, 
United States Code, is amended— 
(1) in subparagraph (B), by inserting ‘‘, or the spouse of 
a member of the Armed Forces serving on active duty under 
conditions other than dishonorable, as shown by a statement 
from a general court-martial convening authority, at the time 
of the spouse’s death if such death occurs before October 1, 
2024’’ after ‘‘veteran’’; and 
(2) in subparagraph (C), by inserting ‘‘, or the eligible 
dependent child of a member of the Armed Forces serving 
on active duty under conditions other than dishonorable, as 
Effective dates. 
Definition. 
Definition. 
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132 STAT. 5373 
PUBLIC LAW 115–407—DEC. 31, 2018 
shown by a statement from a general court-martial convening 
authority, at the time of the child’s death if such death occurs 
before October 1, 2024’’ after ‘‘veteran’’. 
(b) INTERMENT IN NATIONAL CEMETERIES.—Section 2402(a)(5) 
of such title is amended by inserting ‘‘, and the spouse, minor 
child, and, in the discretion of the Secretary, unmarried adult 
child of a member of the Armed Forces serving on active duty 
under conditions other than dishonorable, as shown by a statement 
from a general court-martial convening authority, at the time of 
the spouse’s or child’s death if such death occurs before October 
1, 2024’’ after ‘‘paragraph (7)’’. 
TITLE III—CIVIL RELIEF 
SEC. 301. TERMINATION OF LEASES OF PREMISES OF DECEASED 
SERVICEMEMBERS WHO DIE WHILE IN MILITARY SERVICE. 
Section 305(a) of the Servicemembers Civil Relief Act (50 U.S.C. 
3955) is amended— 
(1) in the subsection heading, by striking ‘‘BY LESSEE’’; 
(2) in the heading for paragraph (1), by striking ‘‘IN GEN-
ERAL’’ and inserting ‘‘TERMINATION BY LESSEE’’; and 
(3) by adding at the end the following new paragraph: 
‘‘(3) DEATH
OF
LESSEE.—The spouse of the lessee on a 
lease described in subsection (b)(1) may terminate the lease 
during the one-year period beginning on the date of the death 
of the lessee, if the lessee dies while in military service or 
while performing full-time National Guard duty, active Guard 
and Reserve duty, or inactive-duty training (as such terms 
are defined in section 101(d) of title 10, United States Code).’’. 
SEC. 302. RESIDENCE OF SPOUSES OF SERVICEMEMBERS FOR TAX 
PURPOSES. 
(a) RESIDENCE FOR TAX PURPOSES.—Section 511(a)(2) of the 
Servicemembers Civil Relief Act (50 U.S.C. 4001(a)(2)) is amended— 
(1) by striking ‘‘A spouse’’ and inserting the following: 
‘‘(A) IN GENERAL.—A spouse’’; and 
(2) by adding at the end the following new subparagraph: 
‘‘(B) ELECTION.—For any taxable year of the marriage, 
the spouse of a servicemember may elect to use the same 
residence for purposes of taxation as the servicemember 
regardless of the date on which the marriage of the spouse 
and the servicemember occurred.’’. 
(b) APPLICABILITY.—The amendments made by subsection (a) 
shall apply with respect to any return of State or local income 
tax filed for any taxable year beginning with the taxable year 
that includes the date of the enactment of this Act. 
SEC. 303. RESIDENCE OF SPOUSES OF SERVICEMEMBERS FOR VOTING. 
(a) IN GENERAL.—Section 705(b) of the Servicemembers Civil 
Relief Act (50 U.S.C. 4025(b)) is amended— 
(1) by striking ‘‘State or local office’’ and all that follows 
through the period at the end of paragraph (3) and inserting 
‘‘State or local office—’’; and 
(2) by adding at the end the following new paragraphs: 
‘‘(1) a person who is absent from a State because the 
person is accompanying the person’s spouse who is absent 
50 USC 4001 
note. 
Time period. 
Effective date. 
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132 STAT. 5374 
PUBLIC LAW 115–407—DEC. 31, 2018 
from that same State in compliance with military or naval 
orders shall not, solely by reason of that absence— 
‘‘(A) be deemed to have lost a residence or domicile 
in that State, without regard to whether or not the person 
intends to return to that State; 
‘‘(B) be deemed to have acquired a residence or domicile 
in any other State; or 
‘‘(C) be deemed to have become a resident in or a 
resident of any other State; and 
‘‘(2) the spouse of a servicemember may elect to use the 
same residence as the servicemember regardless of the date 
on which the marriage of the spouse and the servicemember 
occurred.’’. 
(b) EFFECTIVE DATE.—The amendments made by subsection 
(a) shall take effect on the date that is 90 days after the date 
of the enactment of this Act. 
SEC. 304. TERMINATION OF MULTICHANNEL VIDEO PROGRAMMING 
AND INTERNET ACCESS SERVICE CONTRACTS. 
(a) IN GENERAL.—Section 305A of the Servicemembers Civil 
Relief Act (50 U.S.C. 3956) is amended— 
(1) in the section heading, by inserting ‘‘, MULTICHANNEL 
VIDEO PROGRAMMING, AND INTERNET ACCESS’’ after ‘‘TELE-
PHONE’’; 
(2) in subsection (b), by striking ‘‘cellular telephone service 
or telephone exchange service’’ and inserting ‘‘commercial 
mobile service, telephone exchange service, internet access 
service, or multichannel video programming service’’; 
(3) in subsection (c), by inserting ‘‘for commercial mobile 
service or telephone exchange service’’ before ‘‘terminated’’; 
(4) in subsection (d), in the matter preceding paragraph 
(1), by striking ‘‘cellular telephone service’’ and inserting 
‘‘commercial mobile service’’; 
(5) in subsection (e)— 
(A) by striking ‘‘For any’’ and inserting the following: 
‘‘(1) IN GENERAL.—For any’’; 
(B) by striking ‘‘If the’’ and inserting the following: 
‘‘(2) REINSTATEMENT OF SERVICE.—If the’’; and 
(C) by adding at the end the following: 
‘‘(3) RETURN OF PROVIDER-OWNED EQUIPMENT.—If a service-
member terminates a contract under subsection (a), the service-
member shall return any provider-owned consumer premises 
equipment to the service provider not later than 10 days after 
the date on which service is disconnected.’’; and 
(6) in subsection (g)— 
(A) by redesignating paragraph (2) as paragraph (4); 
and 
(B) by striking paragraph (1) and inserting the fol-
lowing: 
‘‘(1) The term ‘commercial mobile service’ has the meaning 
given that term in section 332(d) of the Communications Act 
of 1934 (47 U.S.C. 332(d)). 
‘‘(2) The term ‘multichannel video programming service’ 
means a subscription video service offered by a multichannel 
video programming distributor, as that term is defined in sec-
tion 602 of the Communications Act of 1934 (47 U.S.C. 522), 
over a system the distributor owns or controls. 
Definitions. 
Deadline. 
50 USC 4025 
note. 
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132 STAT. 5375 
PUBLIC LAW 115–407—DEC. 31, 2018 
‘‘(3) The term ‘provider-owned consumer premises equip-
ment’ means any equipment that a provider of internet access 
service or multichannel video programming service rents or 
loans to a customer during the provision of that service, 
including gateways, routers, cable modems, voice-capable 
modems, CableCARDs, converters, digital adapters, remote con-
trols, and any other equipment provided.’’. 
(b) CLERICAL AMENDMENTS.— 
(1) TITLE
HEADING.—The heading for title III of the 
Servicemembers Civil Relief Act is amended by striking ‘‘TELE-
PHONE’’ and inserting ‘‘COMMUNICATIONS’’. 
(2) TABLE OF CONTENTS.—The table of contents in section 
1(b) of the Servicemembers Civil Relief Act is amended— 
(A) by striking the item relating to title III and 
inserting the following new item: 
‘‘TITLE III—RENT, INSTALLMENT CONTRACTS, MORTGAGES, LIENS, 
ASSIGNMENT, LEASES, COMMUNICATIONS SERVICE CONTRACTS’’; 
and 
(B) by striking the item relating to section 305A and 
inserting the following new item: 
‘‘Sec. 305A. Termination of telephone, multichannel video programming, and inter-
net access service contracts.’’. 
TITLE IV—TRANSITION ASSISTANCE 
SEC. 401. STUDY OF COMMUNITY-BASED TRANSITION ASSISTANCE 
PROGRAMS FOR MEMBERS OF THE ARMED FORCES AFTER 
SEPARATION, RETIREMENT, OR DISCHARGE. 
(a) STUDY.—The Secretary of Veterans Affairs, in consultation 
with State entities that serve members of the Armed Forces who 
are retired, separated, or discharged from the Armed Forces, shall 
enter into an agreement with an appropriate non-Federal entity 
to carry out a study to identify community-based programs— 
(1) that provide transition assistance to such members; 
and 
(2) operated by nonprofit entities. 
(b) TRANSMISSION TO MEMBERS.—The Secretary of Veterans 
Affairs shall transmit the list of programs identified under this 
section to the Secretary of Defense so the Secretaries of the military 
departments may provide information in the list to members of 
the Armed Forces who participate in the Transition Assistance 
Program under sections 1142 and 1144 of title 10, United States 
Code. 
(c) ONLINE PUBLICATION.—The Secretary of Veterans Affairs 
shall publish the most recent version of the list of programs identi-
fied under this section on a public website of the Department 
of Veterans Affairs. 
Lists. 
Consultation. 
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132 STAT. 5376 
PUBLIC LAW 115–407—DEC. 31, 2018 
TITLE V—DEPARTMENTAL 
ADMINISTRATION 
SEC. 501. MISUSE OF DEPARTMENT OF VETERANS AFFAIRS PURCHASE 
CARDS BY DEPARTMENT EMPLOYEES. 
(a) IN GENERAL.—Subchapter I of chapter 7 of title 38, United 
States Code, is further amended by adding at the end the following 
new section: 
‘‘§ 728. Misuse of Department purchase cards 
‘‘(a) IN
GENERAL.—(1) The Secretary shall prohibit any 
employee of the Department who the Secretary or the Inspector 
General of the Department determines has knowingly misused a 
purchase card from serving as a purchase card holder or approving 
official. 
‘‘(2) Such a prohibition shall be in addition to any other 
applicable penalty. 
‘‘(b) MISUSE.—For purposes of this section, the term ‘misuse’ 
means— 
‘‘(1) splitting purchases; 
‘‘(2) exceeding applicable purchase card limits or purchase 
thresholds; 
‘‘(3) purchasing any unauthorized item; 
‘‘(4) using a purchase card without being an authorized 
purchase card holder; or 
‘‘(5) violating ethics standards.’’. 
(b) CLERICAL AMENDMENT.—The table of sections at the begin-
ning of such chapter is amended by inserting after the item relating 
to section 728 the following new item: 
‘‘728. Misuse of Department purchase cards.’’. 
SEC. 502. UPDATING DEPENDENT INFORMATION. 
The Secretary of Veterans Affairs shall make such changes 
to such information technology systems of the Department of Vet-
erans Affairs, including the eBenefits system or successor system, 
as may be necessary so that whenever the Secretary records in 
such systems information about a dependent of a person, the person 
is able to review and revise such information. 
SEC. 503. OVERSIGHT OF ELECTRONIC HEALTH RECORD MODERNIZA-
TION PROGRAM. 
(a) PROGRAM DOCUMENTS.—Not later than 30 days after the 
date of the enactment of this Act, the Secretary of Veterans Affairs 
shall submit to the appropriate congressional committees the fol-
lowing documents concerning the Electronic Health Record Mod-
ernization Program: 
(1) Integrated Master Plan. 
(2) Integrated Master Schedule. 
(3) Program Management Plan. 
(4) Annual and lifecycle cost estimates, including, at a 
minimum, cost elements relating to— 
(A) Federal Government labor; 
(B) contractor labor; 
(C) hardware; 
(D) software; and 
(E) testing and evaluation. 
Deadline. 
Plans. 
Cost estimates. 
38 USC note 
prec. 5701. 
38 USC note 
prec. 5701. 
38 USC 
prec. 701. 
Definition. 
Determination. 
38 USC 728. 
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132 STAT. 5377 
PUBLIC LAW 115–407—DEC. 31, 2018 
(5) Cost baseline. 
(6) Risk Management Plan. 
(7) Health IT Strategic Architecture Plan. 
(8) Transition Plan for implementing updated architecture. 
(9) Data Migration Plan. 
(10) System and Data Security Plan. 
(11) Application Implementation Plan. 
(12) System Design Documents. 
(13) Legacy Veterans Information Systems and Technology 
Architecture Standardization, Security Enhancement, and 
Consolidation Project Plan. 
(14) Health Data Interoperability Management Plan. 
(15) Community Care Vision and Implementation Plan, 
including milestones and a detailed description of how complete 
interoperability with non-Department health care providers will 
be achieved. 
(b) QUARTERLY UPDATES.—Not later than 30 days after the 
end of each fiscal quarter during the period beginning with the 
fiscal quarter in which this Act is enacted and ending on the 
date on which the Electronic Health Record Modernization Program 
is completed, the Secretary shall submit to the appropriate congres-
sional committees the most recent updated versions, if any exist, 
of the following documents: 
(1) Integrated Master Schedule. 
(2) Program Management Plan, including any written Pro-
gram Management Review material developed for the Program 
Management Plan during the fiscal quarter covered by the 
submission. 
(3) Each document described in subsection (a)(4). 
(4) Performance Baseline Report for the fiscal quarter cov-
ered by the submission or for the fiscal quarter ending the 
fiscal year prior to the submission. 
(5) Budget Reconciliation Report. 
(6) Risk Management Plan and Risk Register. 
(c) CONTRACTS.—Not later than 5 days after awarding a con-
tract, order, or agreement, including any modifications thereto, 
under the Electronic Health Record Modernization Program, the 
Secretary shall submit to the appropriate congressional committees 
a copy of the entire such contract, order, agreement, or modification. 
(d) NOTIFICATION.— 
(1) REQUIREMENT.—Not later than 10 days after an event 
described in paragraph (2) occurs, the Secretary shall notify 
the appropriate congressional committees of such occurrence, 
including a description of the event and an explanation for 
why such event occurred. 
(2) EVENT DESCRIBED.—An event described in this para-
graph is any of the following events regarding the Electronic 
Health Record Modernization Program: 
(A) The delay of any milestone or deliverable by 30 
or more days. 
(B) A request for equitable adjustment, equitable 
adjustment, or change order exceeding $1,000,000 (as such 
terms are defined in the Federal Acquisition Regulation). 
(C) The submission of any protest, claim, or dispute, 
and the resolution of any protest, claim, or dispute (as 
such terms are defined in the Federal Acquisition Regula-
tion). 
Deadline. 
Deadline. 
Deadline. 
Time periods. 
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132 STAT. 5378 
PUBLIC LAW 115–407—DEC. 31, 2018 
(D) A loss of clinical or other data. 
(E) A breach of patient privacy, including any— 
(i) disclosure of protected health information that 
is not permitted under regulations promulgated under 
section 264(c) of the Health Insurance Portability and 
Accountability Act of 1996 (Public Law 104–191; 42 
U.S.C. 1320d–2 note); and 
(ii) breach of sensitive personal information (as 
defined in section 5727 of title 38, United States Code). 
(e) DEFINITIONS.—In this section: 
(1) The term ‘‘appropriate congressional committees’’ 
means— 
(A) the Committees on Veterans’ Affairs of the House 
of Representatives and the Senate; and 
(B) the Committees on Appropriations of the House 
of Representatives and the Senate. 
(2) The term ‘‘Electronic Health Record Modernization Pro-
gram’’ means— 
(A) any activities by the Department of Veterans 
Affairs to procure or implement an electronic health or 
medical record system to replace any or all of the Veterans 
Information Systems and Technology Architecture, the 
Computerized Patient Record System, the Joint Legacy 
Viewer, or the Enterprise Health Management Platform; 
and 
(B) any contracts or agreements entered into by the 
Secretary of Veterans Affairs to carry out, support, or ana-
lyze the activities under subparagraph (A). 
SEC. 504. DEPARTMENT OF VETERANS AFFAIRS NOTICE RELATING 
TO DEBT COLLECTION ACTIVITIES. 
(a) DEBT NOTIFICATION LETTER FORMATS.—The Secretary of 
Veterans Affairs shall collaborate with veterans service organiza-
tions to develop a standard format for any letter provided to an 
individual who the Secretary determines is indebted to the United 
States by virtue of such individual’s participation in a benefits 
program administered by the Secretary. Such letter shall be written 
in plain language and shall include a notice of the debt and a 
clear explanation of— 
(1) why the individual is indebted to the United States 
by virtue of such person’s participation in a benefits program 
administered by the Secretary; and 
(2) the options available to the individual. 
(b) DELIVERY OF DEBT NOTICES BY STANDARD MAIL AND ELEC-
TRONIC MEANS.—The Secretary shall develop a method by which 
individuals may elect to receive notice of debt by electronic means 
and shall ensure, to the extent practicable, that the letter developed 
under subsection (a) is delivered— 
(1) by both standard mail and by electronic means to 
intended recipients who have made such an election; and 
(2) only by standard mail to intended recipients who have 
not made such an election. 
(c) NOTICE TO CONGRESS.— 
(1) NOTICES
OF
COMPLETION.—Upon completion of the 
development of the standard letter format required under sub-
section (a) and upon completion of development of the method 
by which individuals may elect to receive notice of debt by 
38 USC note 
prec. 5301. 
38 USC note 
prec. 5301. 
Determination. 
38 USC note 
prec. 5301. 
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PUBLIC LAW 115–407—DEC. 31, 2018 
electronic means under subsection (b), the Secretary shall 
submit to Congress notice of the completion of the respective 
development. 
(2) PROGRESS REPORTS.—If the Secretary has not submitted 
each notice required by paragraph (1) by the date that is 
90 days after the date of the enactment of this Act, the Sec-
retary shall— 
(A) submit to Congress a report describing the progress 
of the Secretary toward implementing subsections (a) and 
(b) and an explanation for why the respective development 
has not been completed; and 
(B) every 30 days thereafter until all of the notices 
required by paragraph (1) have been submitted, submit 
to Congress an update to the report under subparagraph 
(A) that includes an additional explanation for the failure 
to complete the respective development. 
(d) STUDY AND REPORT.— 
(1) STUDY.—The Secretary of Veterans Affairs, in coordina-
tion with the Secretary of the Treasury, shall conduct a study 
on the process by which individuals who are indebted to the 
United States by virtue of their participation in a benefits 
program administered by the Secretary of Veterans Affairs 
are notified of debt collection efforts relating to such indebted-
ness. 
(2) ELEMENTS.—The study required by paragraph (1) shall 
include the following: 
(A) An analysis of the scope of the problem of individ-
uals who are indebted to the United States by virtue of 
their participation in a benefits program administered by 
the Secretary of Veterans Affairs not receiving debt collec-
tion notices relating to such indebtedness. 
(B) Identification of administrative actions the Sec-
retary of Veterans Affairs and the Secretary of the Treasury 
can carry out to reduce the number of incorrect or unknown 
addresses of such individuals in the databases of the 
Department Veterans Affairs and the Department of the 
Treasury and a timeline for carrying out such actions. 
(C) An estimate of the costs associated with sending 
debt collection notices to such individuals by certified mail. 
(D) An analysis of whether, or to what extent, sending 
debt collection notices to such individuals by certified mail 
would address the problem analyzed under subparagraph 
(A). 
(E) An analysis of the requirements and resources 
that would be necessary for the Secretary of Veterans 
Affairs to establish a method for the Secretary to display 
in one consolidated document the details regarding all of 
the debts of an individual to the United States by virtue 
of such individual’s participation in a benefits program 
administered by the Secretary. 
(F) An analysis of the extent to which such individuals 
are so indebted by reason of actions by the Secretary or 
by actions of the individual, including any trends relating 
to whether the actions of the individual may be by reason 
of error, misrepresentation, or fraud. 
(3) REPORT.—Not later than one year after the date of 
the enactment of this Act, the Secretary of Veterans Affairs, 
Coordination. 
Cost estimate. 
Timeline. 
Analyses. 
Coordination. 
Effective date. 
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132 STAT. 5380 
PUBLIC LAW 115–407—DEC. 31, 2018 
in coordination with the Secretary of the Treasury, shall submit 
to Congress a report on the findings of the Secretaries with 
respect to the study conducted under paragraph (1). 
TITLE VI—MEDICAL FACILITIES 
SEC. 601. AUTHORIZATION OF MAJOR MEDICAL FACILITY PROJECTS 
FOR FISCAL YEAR 2019. 
(a) IN GENERAL.—The Secretary of Veterans Affairs may carry 
out the following major medical facility projects in fiscal year 2019 
at the locations specified and in an amount for each project not 
to exceed the amount specified for such location: 
(1) Construction of a community living center and renova-
tion of domiciliary and outpatient facilities in Canandaigua, 
New York, in an amount not to exceed $351,980,000 (an 
increase of $193,000,000 as compared to the previous authoriza-
tion for such project). 
(2) Renovation of space for a simulation training education 
center in North Chicago, Illinois, in an amount not to exceed 
$15,980,000. 
(3) Construction of a surgical intensive care unit and ren-
ovation to expand the operating room suite in Oklahoma City, 
Oklahoma, in an amount not to exceed $29,461,000. 
(4) Construction of a new medical facility in Louisville, 
Kentucky, in an amount not to exceed $450,000,000 (an increase 
of $300,000,000 as compared to the previous authorization for 
such project). 
(b) AUTHORIZATION OF APPROPRIATIONS.—There is authorized 
to be appropriated to the Secretary of Veterans Affairs for fiscal 
year 2019 or the year in which funds are appropriated for the 
Construction, Major Projects account, $847,421,000 for the projects 
authorized in subsection (a). 
SEC. 602. PLANS TO IMPROVE MEDICAL FACILITIES OF THE DEPART-
MENT OF VETERANS AFFAIRS. 
(a) PLANS REQUIRED.— 
(1) PLANS OF DIRECTORS OF MEDICAL FACILITIES.—Not later 
than 90 days after the date of the enactment of this Act, 
the Secretary of Veterans Affairs shall require each director 
of a medical facility of the Department of Veterans Affairs 
to submit to the director of the Veterans Integrated Service 
Network that covers the facility a plan to improve such facility. 
(2) PLANS OF DIRECTORS OF VETERANS INTEGRATED SERVICE 
NETWORKS.—The Secretary shall require each director of a Vet-
erans Integrated Service Network to submit to the Secretary, 
not later than 60 days after receiving all of the plans under 
paragraph (1), a plan, based on the plans received under para-
graph (1), to improve the facilities within that Veterans 
Integrated Service Network in such a fashion that would 
improve the ability of all facilities within that network to 
provide the best and most efficient care to patients. 
(b) REGULAR REPORTS.—The Secretary shall ensure that each 
director of a Veterans Integrated Service Network submits to the 
Secretary, not later than two years after the date of the enactment 
of this Act and not less frequently than once every two years 
thereafter, a report on the actions taken by the director to improve 
Deadlines. 
38 USC 1701 
note. 
Kentucky. 
Oklahoma. 
Illinois. 
New York. 
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PUBLIC LAW 115–407—DEC. 31, 2018 
the facilities within that Veterans Integrated Service Network and 
what further such actions might be necessary. 
(c) SENSE OF CONGRESS ON USE OF AUTHORITIES TO INVES-
TIGATE MEDICAL CENTERS
OF
THE DEPARTMENT
OF VETERANS 
AFFAIRS.—It is the sense of Congress that the Secretary of Veterans 
Affairs should make full use of the authorities provided by section 
2 of the Enhancing Veteran Care Act (Public Law 115–95; 38 
U.S.C. 1701 note). 
TITLE VII—OTHER MATTERS 
SEC. 701. HOMELESS VETERANS REINTEGRATION PROGRAMS. 
Section 2021(a) of title 38, United States Code, is amended— 
(1) by striking ‘‘reintegration of homeless veterans into 
the labor force.’’ and inserting the following: ‘‘reintegration 
into the labor force of—’’; and 
(2) by adding at the end the following new paragraphs: 
‘‘(1) homeless veterans (including veterans who were home-
less but found housing during the 60-day period preceding 
the date on which the veteran begins to participate in a program 
under this section); 
‘‘(2) veterans participating in the Department of Veterans 
Affairs supported housing program for which rental assistance 
is provided pursuant to section 8(o)(19) of the United States 
Housing Act of 1937 (42 U.S.C. 1437f(o)(19)) or the Tribal 
HUD–VA Supportive Housing (Tribal HUD–VASH) program; 
‘‘(3) Indians who are veterans and receiving assistance 
under the Native American Housing Assistance and Self Deter-
mination Act of 1996 (25 U.S.C. 4101 et seq.); 
‘‘(4) veterans described in section 2023(e) of this title or 
any other veterans who are transitioning from being incarcer-
ated; and 
‘‘(5) veterans participating in the Department of Veterans 
Affairs rapid rehousing and prevention program authorized 
in section 2044 of this title.’’. 
SEC. 702. TECHNICAL CORRECTIONS. 
(a) TITLE 38.—Title 38, United States Code, is amended as 
follows: 
(1) In the table of sections at the beginning of chapter 
55, by inserting a period at the end of the item relating to 
section 5501A. 
(2) In section 7463(c)(2)(B), by striking ‘‘to answer to 
answer’’ and inserting ‘‘to answer’’. 
(b) VETERANS’ BENEFITS IMPROVEMENTS ACT OF 1996.—Section 
504 of the Veterans’ Benefits Improvements Act of 1996 (Public 
Law 104–275; 38 U.S.C. 5101 note) is amended by redesignating 
the second subsection (c) as subsection (d). 
SEC. 703. MEDICAL SURGICAL PRIME VENDOR PROGRAM. 
(a) VENDORS.—In procuring certain medical, surgical, and 
dental supplies or laboratory supplies for medical centers of the 
Department of Veterans Affairs, the Secretary of Veterans Affairs 
shall carry out the Medical Surgical Prime Vendor program, or 
successor program, in a manner that— 
38 USC 8125 
note. 
38 USC 
prec. 5501. 
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PUBLIC LAW 115–407—DEC. 31, 2018 
(1) requires the Secretary to award contracts to multiple 
regional prime vendors instead of a single nationwide prime 
vendor; and 
(2) prohibits a prime vendor from solely designing the 
formulary of such supplies. 
(b) CLINICALLY DRIVEN SOURCING.— 
(1) EXPERTISE.—In carrying out the formulary of supplies 
under the Medical Surgical Prime Vendor program, or successor 
program, the Secretary shall ensure that each employee of 
the Department of Veterans Affairs who conducts formulary 
analyses or makes decisions with respect to including items 
on the formulary has medical expertise relevant to the items 
for which the employee conducts such analyses or makes such 
decisions. 
(2) LISTS.—Not later than 30 days after the date of the 
enactment of this Act, and every six months thereafter with 
respect to any updates, the Secretary shall submit to the 
Committees on Veterans’ Affairs of the House of Representa-
tives and the Senate a list of each employee described in 
paragraph (1) and the relevant medical expertise of the 
employee, listed by the categories of items in the formulary 
described in such paragraph. 
SEC. 704. REPORT ON EXPANDING ACCESS TO DENTAL CARE FOR VET-
ERANS ELIGIBLE FOR HEALTH CARE FROM THE DEPART-
MENT OF VETERANS AFFAIRS. 
(a) IN GENERAL.—Not later than 360 days after the date of 
the enactment of this Act, the Secretary of Veterans Affairs 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 feasibility and advisability of expanding access 
to dental care for eligible veterans. 
(b) ELEMENTS.—The report required by subsection (a) shall 
include the following: 
(1) An analysis of access to dental care for eligible veterans 
outside of the Department, including— 
(A) the percentage of eligible veterans currently 
enrolled in dental insurance through a third-party payer, 
including— 
(i) the dental insurance plan for veterans and sur-
vivors and dependents of veterans under section 1712C 
of title 38, United States Code; 
(ii) the Medicaid program under title XIX of the 
Social Security Act (42 U.S.C. 1396 et seq.); and 
(iii) employer-sponsored dental insurance; 
(B) the affordability of dental insurance described in 
subparagraph (A); and 
(C) the comprehensiveness of benefits of dental insur-
ance described in subparagraph (A). 
(2) An analysis of the current oral health needs of eligible 
veterans, including an estimate of the number of eligible vet-
erans who— 
(A) experience untreated cavities or decay; 
(B) require dentures, implants, or other restorative 
dental services; or 
(C) have not received regular dental cleanings within 
the two-year period preceding the report. 
Analyses. 
Deadline. 
Contracts. 
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PUBLIC LAW 115–407—DEC. 31, 2018 
LEGISLATIVE HISTORY—S. 2248 (H.R. 3657): 
HOUSE REPORTS: No. 115–388 (Comm. on Veterans’ Affairs) accompanying 
H.R. 3657. 
CONGRESSIONAL RECORD, Vol. 164 (2018): 
Mar. 1, considered and passed Senate. 
Dec. 10, considered and passed House, amended. 
Dec. 19, Senate concurred in House amendment. 
(3) An analysis of the financial impact to the Department 
of Veterans Affairs of providing dental care to eligible veterans, 
including— 
(A) whether the provision of such services would result 
in a reduction in total health care costs; 
(B) a cost-benefit analysis that indicates potential cost 
savings to the Department over a 5-, 10-, and 20-year 
period; and 
(C) projected cost savings to the Department and across 
the broader health care system. 
(4) An analysis of the number and types of dental providers 
necessary to treat eligible veterans, including— 
(A) dentists; 
(B) hygienists; 
(C) dental technicians; and 
(D) dental therapists. 
(c) CATEGORIES OF ELIGIBLE VETERANS.—The report required 
by subsection (a) shall be disaggregated by each of the following 
categories of eligible veterans: 
(1) Veterans enrolled in the system of annual patient enroll-
ment of the Department pursuant to the priority group under 
subsection (a)(6) of section 1705 of such title. 
(2) Veterans enrolled in such system pursuant to the pri-
ority group under subsection (a)(5) of such section. 
(3) Veterans enrolled in such system pursuant to a priority 
group under any of subsections (a)(1) through (a)(4) of such 
section. 
(4) Veterans enrolled in such system pursuant to a priority 
group under subsection (a)(7) or (a)(8) of such section. 
(d) ELIGIBLE VETERANS DEFINED.—In this section, the term 
‘‘eligible veterans’’ means veterans enrolled in the system of annual 
patient enrollment of the Department of Veterans Affairs estab-
lished and operated under section 1705 of title 38, United States 
Code. 
Approved December 31, 2018. 
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