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II
Calendar No. 536
116TH CONGRESS
2D SESSION
S. 514
To amend title 38, United States Code, to improve the benefits and services
provided by the Department of Veterans Affairs to women veterans,
and for other purposes.
IN THE SENATE OF THE UNITED STATES
FEBRUARY 14, 2019
Mr. TESTER (for himself, Mr. BOOZMAN, Mrs. CAPITO, Mrs. BLACKBURN, Ms.
STABENOW, Mr. SCHATZ, Ms. SINEMA, Ms. WARREN, Mr. MENENDEZ,
Ms. HASSAN, Mr. REED, Mr. WHITEHOUSE, Ms. BALDWIN, Ms.
DUCKWORTH, Mr. BLUMENTHAL, Mrs. SHAHEEN, Mrs. MURRAY, Ms.
CORTEZ MASTO, Mr. VAN HOLLEN, Ms. HARRIS, Mrs. GILLIBRAND, Mr.
MERKLEY, Mr. BOOKER, Mr. CASEY, Mr. BROWN, Mr. PETERS, Mrs.
FEINSTEIN, Mr. SANDERS, Ms. MCSALLY, Mr. MARKEY, Mr. SULLIVAN,
Mr. KING, Ms. SMITH, Mr. KAINE, Ms. HIRONO, Mr. MORAN, Mr.
CRAMER, Mr. COONS, Ms. KLOBUCHAR, Mr. CORNYN, Mr. DURBIN, Mr.
WARNER, Mr. JONES, Ms. ROSEN, Ms. COLLINS, Mr. WYDEN, Ms. MUR-
KOWSKI, Mr. GARDNER, Mr. MANCHIN, and Mr. BENNET) introduced the
following bill; which was read twice and referred to the Committee on
Veterans’ Affairs
SEPTEMBER 15, 2020
Reported by Mr. MORAN, with an amendment
[Strike out all after the enacting clause and insert the part printed in italic]
A BILL
To amend title 38, United States Code, to improve the
benefits and services provided by the Department of Vet-
erans Affairs to women veterans, and for other purposes.
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Be it enacted by the Senate and House of Representa-
1
tives of the United States of America in Congress assembled,
2
SECTION 1. SHORT TITLE; TABLE OF CONTENTS.
3
(a) SHORT TITLE.—This Act may be cited as the
4
‘‘Deborah Sampson Act’’.
5
(b) TABLE OF CONTENTS.—The table of contents for
6
this Act is as follows:
7
Sec. 1. Short title; table of contents.
TITLE I—READJUSTMENT AND RELATED ASSISTANCE
Sec. 101. Provision of reintegration and readjustment services to veterans and
family members in group retreat settings.
Sec. 102. Expansion of capabilities of Women Veterans Call Center to include
text messaging.
TITLE II—LEGAL AND SUPPORTIVE SERVICES
Sec. 201. Department of Veterans Affairs public-private partnership on legal
services for women veterans.
Sec. 202. Additional amount for Supportive Services for Veteran Families grant
program to support organizations that have a focus on pro-
viding assistance to women veterans and their families.
Sec. 203. Gap analysis of Department of Veterans Affairs programs that pro-
vide assistance to women veterans who are homeless.
TITLE III—NEWBORN CARE
Sec. 301. Extension of period of eligibility for care for newborn children from
the Department of Veterans Affairs.
TITLE IV—ELIMINATING BARRIERS TO ACCESS
Sec. 401. Women Veterans Retrofit Initiative.
Sec. 402. Staffing of women’s health primary care providers at medical facili-
ties of the Department of Veterans Affairs.
Sec. 403. Additional funding for primary care and emergency care clinicians in
Women Veterans Health Care Mini-Residency Program.
Sec. 404. Establishment of women veteran training module for non-Department
of Veterans Affairs health care providers.
Sec. 405. Study on staffing of Women Veteran Program Manager program at
medical centers of the Department of Veterans Affairs and
training of staff.
TITLE V—DATA COLLECTION AND REPORTING
Sec. 501. Requirement for collection and analysis of data on Department of
Veterans Affairs benefits and services and disaggregation of
such data by sex and minority status.
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Sec. 502. Report on availability of prosthetics for women veterans from the De-
partment of Veterans Affairs.
Sec. 503. Requirement for Department of Veterans Affairs internet website to
provide information on services available to women veterans.
Sec. 504. Report on locations where women veterans are using health care from
Department of Veterans Affairs.
Sec. 505. Report on models of medical facilities of Department of Veterans Af-
fairs for the treatment of women.
Sec. 506. Report on staffing of Department of Veterans relating to the treat-
ment of women.
TITLE I—READJUSTMENT AND
1
RELATED ASSISTANCE
2
SEC. 101. PROVISION OF REINTEGRATION AND READJUST-
3
MENT SERVICES TO VETERANS AND FAMILY
4
MEMBERS IN GROUP RETREAT SETTINGS.
5
(a) IN GENERAL.—Section 1712A of title 38, United
6
States Code, is amended—
7
(1) in subsection (a)(1)(B)—
8
(A) in clause (ii), by redesignating sub-
9
clauses (I) and (II) as items (aa) and (bb);
10
(B) by redesignating clauses (i) and (ii) as
11
subclauses (I) and (II);
12
(C) in the matter preceding subclause (I),
13
as redesignated by subparagraph (B), by strik-
14
ing
‘‘Counseling’’
and
inserting
‘‘(i)
Coun-
15
seling’’; and
16
(D) by adding at the end the following new
17
clause:
18
‘‘(ii)(I) Except as provided in subclause (IV), coun-
19
seling furnished to an individual under subparagraph (A)
20
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may include reintegration and readjustment services de-
1
scribed in subclause (II) furnished in group retreat set-
2
tings.
3
‘‘(II) Reintegration and readjustment services de-
4
scribed in this subclause are the following:
5
‘‘(aa) Information on reintegration of the indi-
6
vidual into family, employment, and community.
7
‘‘(bb) Financial counseling.
8
‘‘(cc) Occupational counseling.
9
‘‘(dd) Information and counseling on stress re-
10
duction.
11
‘‘(ee) Information and counseling on conflict
12
resolution.
13
‘‘(ff) Such other information and counseling as
14
the Secretary considers appropriate to assist the in-
15
dividual in reintegration into family, employment,
16
and community.
17
‘‘(III) In furnishing reintegration and readjustment
18
services under subclause (I), the Secretary shall offer
19
women the opportunity to receive such services in group
20
retreat settings in which the only participants are women.
21
‘‘(IV) An individual referred to in subparagraph
22
(C)(v) may receive reintegration and readjustment services
23
under subclause (I) only if the individual receives such
24
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services with a family member described in subclause (I)
1
or (II) of such subparagraph.’’.
2
(b) REQUEST FOR SERVICES.—Subsection (a)(2) of
3
such section is amended—
4
(1) by striking ‘‘Upon’’ and inserting ‘‘(A)
5
Upon’’;
6
(2) by striking ‘‘paragraph (1)(B)’’ and insert-
7
ing ‘‘paragraph (1)(B)(i)’’; and
8
(3) by adding at the end the following new sub-
9
paragraph:
10
‘‘(B) Upon the request of an individual described in
11
paragraph (1)(C), the Secretary shall furnish the indi-
12
vidual reintegration and readjustment services in group
13
retreat settings under paragraph (1)(B)(ii).’’.
14
SEC. 102. EXPANSION OF CAPABILITIES OF WOMEN VET-
15
ERANS CALL CENTER TO INCLUDE TEXT MES-
16
SAGING.
17
The Secretary of Veterans Affairs shall expand the
18
capabilities of the Women Veterans Call Center of the De-
19
partment of Veterans Affairs to include a text messaging
20
capability.
21
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TITLE II—LEGAL AND
1
SUPPORTIVE SERVICES
2
SEC. 201. DEPARTMENT OF VETERANS AFFAIRS PUBLIC-
3
PRIVATE PARTNERSHIP ON LEGAL SERVICES
4
FOR WOMEN VETERANS.
5
(a) PARTNERSHIP REQUIRED.—The Secretary of
6
Veterans Affairs shall establish a partnership with at least
7
one nongovernmental organization to provide legal services
8
to women veterans.
9
(b) FOCUS.—The focus of the partnership established
10
under subsection (a) shall be on the 10 highest unmet
11
needs of women veterans as set forth in the most recently
12
completed Community Homelessness Assessment, Local
13
Education
and
Networking
Groups
for
Veterans
14
(CHALENG for Veterans) survey.
15
SEC. 202. ADDITIONAL AMOUNT FOR SUPPORTIVE SERV-
16
ICES FOR VETERAN FAMILIES GRANT PRO-
17
GRAM TO SUPPORT ORGANIZATIONS THAT
18
HAVE A FOCUS ON PROVIDING ASSISTANCE
19
TO WOMEN VETERANS AND THEIR FAMILIES.
20
Section 2044(e) of title 38, United States Code, is
21
amended—
22
(1) in paragraph (1), by adding at the end the
23
following new subparagraph:
24
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‘‘(F) $400,000,000 for each of fiscal years
1
2020 through 2022.’’; and
2
(2) by adding at the end the following new
3
paragraph:
4
‘‘(4) Not less than $20,000,000 shall be available
5
under paragraph (1)(H) for the provision of financial as-
6
sistance under subsection (a) to organizations that have
7
a focus on providing assistance to women veterans and
8
their families.’’.
9
SEC. 203. GAP ANALYSIS OF DEPARTMENT OF VETERANS
10
AFFAIRS PROGRAMS THAT PROVIDE ASSIST-
11
ANCE TO WOMEN VETERANS WHO ARE HOME-
12
LESS.
13
(a) IN GENERAL.—The Secretary of Veterans Affairs
14
shall complete an analysis of programs of the Department
15
of Veterans Affairs that provide assistance to women vet-
16
erans who are homeless or precariously housed to identify
17
the areas in which such programs are failing to meet the
18
needs of such women.
19
(b) REPORT.—Not later than 270 days after the date
20
of the enactment of this Act, the Secretary shall submit
21
to the Committee on Veterans’ Affairs of the Senate and
22
the Committee on Veterans’ Affairs of the House of Rep-
23
resentatives a report on the analysis completed under sub-
24
section (a).
25
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TITLE III—NEWBORN CARE
1
SEC. 301. EXTENSION OF PERIOD OF ELIGIBILITY FOR
2
CARE FOR NEWBORN CHILDREN FROM THE
3
DEPARTMENT OF VETERANS AFFAIRS.
4
Section 1786(a) of title 38, United States Code, is
5
amended, in the matter preceding paragraph (1), by strik-
6
ing ‘‘seven days’’ and inserting ‘‘14 days’’.
7
TITLE IV—ELIMINATING
8
BARRIERS TO ACCESS
9
SEC. 401. WOMEN VETERANS RETROFIT INITIATIVE.
10
(a) IN GENERAL.—The Secretary of Veterans Affairs
11
shall retrofit existing medical facilities of the Department
12
of Veterans Affairs with fixtures, materials, and other out-
13
fitting measures to support the provision of care to women
14
veterans at such facilities.
15
(b) PLAN.—Not later than 180 days after the date
16
of the enactment of this Act, the Secretary shall submit
17
to the Committee on Veterans’ Affairs of the Senate and
18
the Committee on Veterans’ Affairs of the House of Rep-
19
resentatives a plan to address deficiencies in environment
20
of care for women veterans at medical facilities of the De-
21
partment.
22
(c) AUTHORIZATION OF APPROPRIATIONS.—There is
23
authorized
to
be
appropriated
to
the
Secretary
24
$20,000,000 to carry out subsection (a) in addition to
25
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amounts otherwise made available to the Secretary for the
1
purposes set forth in such subsection.
2
SEC. 402. STAFFING OF WOMEN’S HEALTH PRIMARY CARE
3
PROVIDERS AT MEDICAL FACILITIES OF THE
4
DEPARTMENT OF VETERANS AFFAIRS.
5
The Secretary of Veterans Affairs shall ensure that
6
each medical facility of the Department of Veterans Af-
7
fairs has not fewer than one full-time or part-time wom-
8
en’s health primary care provider whose duties include, to
9
the extent possible, providing training to other health care
10
providers of the Department on the needs of women vet-
11
erans.
12
SEC. 403. ADDITIONAL FUNDING FOR PRIMARY CARE AND
13
EMERGENCY
CARE
CLINICIANS
IN
WOMEN
14
VETERANS
HEALTH
CARE
MINI-RESIDENCY
15
PROGRAM.
16
(a) IN GENERAL.—There is authorized to be appro-
17
priated to the Secretary of Veterans Affairs $1,000,000
18
for each fiscal year for the Women Veterans Health Care
19
Mini-Residency Program of the Department of Veterans
20
Affairs to provide opportunities for participation in such
21
program for primary care and emergency care clinicians.
22
(b) TREATMENT OF AMOUNTS.—The amounts au-
23
thorized to be appropriated under subsection (a) shall be
24
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in addition to amounts otherwise made available to the
1
Secretary for the purposes set forth in such subsection.
2
SEC. 404. ESTABLISHMENT OF WOMEN VETERAN TRAINING
3
MODULE
FOR
NON-DEPARTMENT
OF
VET-
4
ERANS AFFAIRS HEALTH CARE PROVIDERS.
5
(a) IN GENERAL.—Not later than one year after the
6
date of the enactment of this Act, the Secretary of Vet-
7
erans Affairs shall establish and make available to commu-
8
nity providers a training module that is specific to women
9
veterans.
10
(b) COMMUNITY PROVIDER DEFINED.—In this sec-
11
tion, the term ‘‘community provider’’ means a non-Depart-
12
ment of Veterans Affairs health care provider who pro-
13
vides health care to veterans under the laws administered
14
by the Secretary of Veterans Affairs.
15
SEC. 405. STUDY ON STAFFING OF WOMEN VETERAN PRO-
16
GRAM
MANAGER
PROGRAM
AT
MEDICAL
17
CENTERS
OF
THE
DEPARTMENT
OF
VET-
18
ERANS AFFAIRS AND TRAINING OF STAFF.
19
(a) STUDY.—The Secretary of Veterans Affairs shall
20
conduct a study on the use of the Women Veteran Pro-
21
gram Manager program of the Department of Veterans
22
Affairs to determine—
23
(1) if the program is appropriately staffed at
24
each medical center of the Department;
25
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(2) whether each medical center of the Depart-
1
ment is staffed with a Women Veteran Program
2
Manager; and
3
(3) whether it would be feasible and advisable
4
to have a Women Veteran Program Ombudsman at
5
each medical center of the Department.
6
(b) REPORT.—Not later than 270 days after the date
7
of the enactment of this Act, the Secretary shall submit
8
to the Committee on Veterans’ Affairs of the Senate and
9
the Committee on Veterans’ Affairs of the House of Rep-
10
resentatives a report on the study conducted under sub-
11
section (a).
12
(c) TRAINING.—The Secretary shall ensure that all
13
Women Veteran Program Managers and
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