[Congressional Bills 103th Congress]
[From the U.S. Government Printing Office]
[H.R. 3313 Enrolled Bill (ENR)]
H.R.3313
One Hundred Third Congress
of the
United States of America
AT THE SECOND SESSION
Begun and held at the City of Washington on Tuesday,
the twenty-fifth day of January, one thousand nine hundred and ninety-
four
An Act
To amend title 38, United States Code, to extend certain expiring
veterans' health care programs, and for other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,

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(a) Short Title.--This Act may be cited as the ``Veterans Health
Programs Extension Act of 1994''.
(b) Table of Contents.--The table of contents of this Act is as
follows:

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TITLE II

-CONSTRUCTION AUTHORIZATION

Except as otherwise expressly provided, whenever in this Act an
amendment or repeal is expressed in terms of an amendment to, or repeal
of, a section or other provision, the reference shall be considered to
be made to a section or other provision of title 38, United States
Code.

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(a) Authority To Provide Treatment Services for Sexual Trauma;
Repeal of Limitation on Time To Seek Services.--Subsection (a) of
section 1720D is amended--
(1) by striking out paragraph (2); and
(2) by inserting after paragraph (1) the following new
paragraph (2):
``(2) During the period referred to in paragraph (1), the Secretary
may provide appropriate care and services to a veteran for an injury,
illness, or other psychological condition that the Secretary determines
to be the result of a physical assault, battery, or harassment referred
to in that paragraph.''.
(b) Extension of Period of Authority To Provide Sexual Trauma
Services.--Such subsection is further amended--
(1) in paragraph (1), by striking out ``December 31, 1995,''
and inserting in lieu thereof ``December 31, 1998,''; and
(2) in paragraph (3), by striking out ``December 31, 1994,''
and inserting in lieu thereof ``December 31, 1998,''.
(c) Repeal of Limitation on Period of Receipt of Services.--Such
section is further amended--
(1) by striking out subsection (b); and
(2) by redesignating subsections (c), (d), and (e) as
subsections (b), (c), and (d), respectively.
(d) Coordination of Care.--Paragraph (1) of subsection (b) of such
section, as redesignated by subsection (c)(2), is amended to read as
follows:
``(1) The Secretary shall give priority to the establishment and
operation of the program to provide counseling and care and services
under subsection (a). In the case of a veteran eligible for counseling
and care and services under subsection (a), the Secretary shall ensure
that the veteran is furnished counseling and care and services under
this section in a way that is coordinated with the furnishing of such
care and services under this chapter.''.
(e) Increased Priority of Care.--Section 1712(i) is amended--
(1) in paragraph (1)--
(A) by inserting ``(A)'' after ``To a veteran''; and
(B) by inserting ``, or (B) who is eligible for counseling
and care and services under section 1720D of this title, for
the purposes of such counseling and care and services'' before
the period at the end; and
(2) in paragraph (2)--
(A) by striking out ``, (B)'' and inserting in lieu thereof
``or (B)''; and
(B) by striking out ``, or (C)'' and all that follows
through ``such counseling''.
(f) Program Revision.--(1) Section 1720D is further amended--
(A) by striking out ``woman'' in subsection (a)(1);
(B) by striking out ``women'' in subsection (b)(2)(C) and in
the first sentence of subsection (c), as redesignated by subsection
(c); and
(C) by striking out ``women'' in subsection (c)(2), as so
redesignated, and inserting in lieu thereof ``individuals''.
(2)(A) The heading of such section is amended to read as follows:
``Sec. 1720D. Counseling and treatment for sexual trauma''.
(B) The item relating to such section in the table of sections at
the beginning of chapter 17 is amended to read as follows:
``1720D. Counseling and treatment for sexual trauma.''.
(g) Information by Telephone.--(1) Paragraph (1) of section
1720D(c), as redesignated by subsection (c) of this section, is amended
to read as follows:
``(1) shall include availability of a toll-free telephone
number (commonly referred to as an 800 number); and''.
(2) In providing information on counseling available to veterans as
required under section 1720D(c)(1) of title 38, United States Code (as
amended by paragraph (1)), the Secretary of Veterans Affairs shall
ensure that the Department of Veterans Affairs personnel who provide
assistance under such section are trained in the provision to persons
who have experienced sexual trauma of information about the care and
services relating to sexual trauma that are available to veterans in
the communities in which such veterans reside, including care and
services available under programs of the Department (including the care
and services available under section 1720D of such title) and from non-
Department agencies or organizations.
(3) The telephone assistance service shall be operated in a manner
that protects the confidentiality of persons who place calls to the
system.
(4) The Secretary shall ensure that information about the
availability of the telephone assistance service is visibly posted in
Department medical facilities and is advertised through public service
announcements, pamphlets, and other means.
(5) Not later than 18 months after the date of the enactment of
this Act, the Secretary shall submit to Congress a report on the
operation of the telephone assistance service required under section
1720D(c)(1) of title 38, United States Code (as amended by paragraph
(1)). The report shall set forth the following:
(A) The number of persons who sought information during the
period covered by the report through a toll-free telephone number
regarding services available to veterans relating to sexual trauma,
with a separate display of the number of such persons arrayed by
State (as such term is defined in section 101(20) of title 38,
United States Code).
(B) A description of the training provided to the personnel who
provide such assistance.
(C) The recommendations and plans of the Secretary for the
improvement of the service.
(h) Conforming Repeal.--Section 102(b) of the Veterans Health Care
Act of 1992 (Public Law 102-585; 106 Stat. 4946; 38 U.S.C. 1720D note)
is repealed.

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TITLE I

-GENERAL MEDICAL AUTHORITIES

(a) Inclusion of Women and Minorities in Clinical Research
Projects.--Section 7303 is amended--
(1) by transferring the text of subsection (c) to the end of
subsection (a)(1); and
(2) by striking out ``(c)'' and inserting in lieu thereof the
following:
``(c)(1) In conducting or supporting clinical research, the
Secretary shall ensure that, whenever possible and appropriate--
``(A) women who are veterans are included as subjects in each
project of such research; and
``(B) members of minority groups who are veterans are included
as subjects of such research.
``(2) In the case of a project of clinical research in which women
or members of minority groups will under paragraph (1) be included as
subjects of the research, the Secretary shall ensure that the project
is designed and carried out so as to provide for a valid analysis of
whether the variables being tested in the research affect women or
members of minority groups, as the case may be, differently than other
persons who are subjects of the research.''.
(b) Health Research.--(1) Such section is further amended by adding
after subsection (c), as added by subsection (a), the following new
subsection:
``(d)(1) The Secretary, in carrying out the Secretary's
responsibilities under this section, shall foster and encourage the
initiation and expansion of research relating to the health of veterans
who are women.
``(2) In carrying out this subsection, the Secretary shall consult
with the following to assist the Secretary in setting research
priorities:
``(A) Officials of the Department assigned responsibility for
women's health programs and sexual trauma services.
``(B) The members of the Advisory Committee on Women Veterans.
``(C) Members of appropriate task forces and working groups
within the Department (including the Women Veterans Working Group
and the Task Force on Treatment of Women Who Suffer Sexual
Abuse).''.
(2) Section 109 of the Veterans Health Care Act of 1992 (Public Law
102-585; 38 U.S.C. 7303 note) is repealed.
(c) Population Study.--Section 110(a) of the Veterans Health Care
Act of 1992 (Public Law 102-585; 106 Stat. 4948) is amended by adding
at the end of paragraph (3) the following: ``If it is feasible to do so
within the amounts available for the conduct of the study, the
Secretary shall ensure that the sample referred to in paragraph (1)
constitutes a representative sampling (as determined by the Secretary)
of the ages, the ethnic, social and economic backgrounds, the enlisted
and officer grades, and the branches of service of all veterans who are
women.''.

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(a) Authority To Provide Priority Health Care for Veterans Exposed
to Toxic Substances.--Chapter 17 is amended--
(1) in section 1710(e)(3)--
(A) by striking out ``June 30, 1994'' and inserting in lieu
thereof ``June 30, 1995''; and
(B) by striking out ``December 31, 1994'' and inserting in
lieu thereof ``December 31, 1995''; and
(2) in section 1712(a)(1)(D), by striking out ``December 31,
1994'' and inserting in lieu thereof ``December 31, 1995''.
(b) Drug and Alcohol Abuse and Dependence.--Section 1720A(e) is
amended by striking out ``December 31, 1994'' and inserting in lieu
thereof ``December 31, 1995''.
(c) Pilot Program for Noninstitutional Alternatives to Nursing Home
Care.--(1) Effective as of October 1, 1994, subsection (a) of section
1720C is amended by striking out ``During the four-year period
beginning on October 1, 1990,'' and inserting in lieu thereof ``During
the period through September 30, 1995,''.
(2) Such subsection is further amended by striking out ``care and
who--'' and inserting in lieu thereof ``care. The Secretary shall give
priority for participation in such program to veterans Pwho--''.
(d) Enhanced-Use Leases of Real Property.--Section 8169 is amended
by striking out ``December 31, 1994'' and inserting in lieu thereof
``December 31, 1995''.
(e) Authority for Community-based Residential Care for Homeless
Chronically Mentally Ill Veterans and Other Veterans.--Section 115(d)
of the Veterans' Benefits and Services Act of 1988 (38 U.S.C. 1712
note) is amended by striking out ``September 30, 1994'' and inserting
in lieu thereof ``September 30, 1995''.
(f) Demonstration Program of Compensated Work Therapy.--Section
7(a) of Public Law 102-54 (105 Stat. 269; 38 U.S.C. 1718 note) is
amended by striking out ``1994'' and inserting in lieu thereof
``1995''.
(g) Report Deadlines.--Section 201(b) of the Department of Veterans
Affairs Nurse Pay Act of 1990 (Public Law 101-366; 38 U.S.C. 1720C
note) is amended by striking out ``February 1, 1994,'' and inserting in
lieu thereof ``February 1, 1995,''.

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Notwithstanding section 1724 of title 38, United States Code, the
Secretary of Veterans Affairs may contract with facilities in the
Republic of the Philippines other than the Veterans Memorial Medical
Center to furnish, during the period from February 28, 1994, through
June 1, 1994, hospital care and medical services to veterans for
nonservice-connected disabilities if such veterans are unable to defray
the expenses of necessary hospital care. When the Secretary determines
it to be most feasible, the Secretary may provide medical services
under the preceding sentence to such veterans at the Department of
Veterans Affairs Outpatient Clinic at Manila, Republic of the
Philippines.

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AUTHORITY.
Any action of the Secretary of Veterans Affairs under section
1710(e) of title 38, United States Code, during the period beginning on
July 1, 1994, and ending on the date of the enactment of this Act is
hereby ratified.

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MAJOR MEDICAL FACILITY LEASES.
(a) Projects Authorized.--The Secretary of Veterans Affairs may
carry out the major medical facility projects for the Department of
Veterans Affairs, and may carry out the major medical facility leases
for that Department, for which funds are requested in the budget of the
President for fiscal year 1995. The authorization in the preceding
sentence applies to projects and leases which have not been authorized,
or for which funds have not been appropriated, in any fiscal year
before fiscal year 1995 and to projects and leases which have been
authorized, or for which funds were appropriated, in fiscal years
before fiscal year 1995.
(b) Additional Projects.--(1) In addition to the projects
authorized in subsection (a), the Secretary may carry out the following
major medical facility projects in the amounts specified for such
projects:
(A) The projects that are proposed in the documents submitted
to Congress by the Secretary of Veterans Affairs in conjunction
with the budget of the President for fiscal year 1995 to be
financed with funds from the proposed Health Care Investment Fund.
(B) Construction of a nursing home facility at the Department
of Veterans Affairs Medical Center in Charleston, South Carolina,
in the amount of $7,300,000.
(C) Construction of an outpatient care addition at the
Department of Veterans Affairs medical center in Phoenix, Arizona,
in the amount of $50,000,000.
(D) A lease/purchase of a nursing home facility near Fort
Myers, Florida, in the amount of $12,800,000.
(2) The authorizations in paragraph (1) apply to projects which
have not been authorized, or for which funds have not been
appropriated, in any fiscal year before fiscal year 1995 and to
projects which have been authorized, or for which funds were
appropriated, in fiscal years before fiscal year 1995.
(c) Projects for Which Funds Appropriated.--In addition to the
projects authorized in subsections (a) and (b), the Secretary may carry
out the following major medical facility projects for which funds were
appropriated in chapter 7 of the Emergency Supplemental Appropriations
Act of 1994 (title I of Public Law 103-211; 108 Stat. 10) in the
amounts specified:
(1) Construction of an ambulatory care/support services
facility at the Department of Veterans Affairs Medical Center in
Sepulveda, California, $53,700,000.
(2) Other major medical facility projects required to repair,
restore, or replace earthquake-damaged facilities at the Department
of Veterans Affairs Medical Center in Sepulveda, California,
$50,000,000.

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(a) In General.--There are authorized to be appropriated to the
Secretary of Veterans Affairs for fiscal year 1995--
(1) $379,370,000 for the major medical facility projects
authorized in subsections (a), (b), and (c) of section 201; and
(2) $15,800,000 for the major medical facility leases
authorized in section 201(a).
(b) Limitation.--The projects authorized in subsections (a) and (b)
of section 201 may only be carried out using--
(1) funds appropriated for fiscal year 1995 pursuant to the
authorization of appropriations in subsection (a);
(2) funds appropriated for Construction, Major Projects for a
fiscal year before fiscal year 1995 that remain available for
obligation; and
(3) funds appropriated for Construction, Major Projects for
fiscal year 1995 for a category of activity not specific to a
project.
(c) Limitation on Certain Projects.--The projects authorized in
subsection (c) of section 201 may only be carried out using--
(1) funds appropriated to the Construction, Major Projects
account under chapter 7 of the Emergency Supplemental
Appropriations Act of 1994 (title I of Public Law 103-211; 108
Stat. 10) and funds transferred by the President to the
Construction, Major Projects account pursuant to chapter 8 of that
Act (108 Stat. 14);
(2) funds appropriated to the Medical Care account by chapter 7
of the Emergency Supplemental Appropriations Act of 1994 that are
transferred to the Construction, Major Projects account;
(3) funds appropriated to the Construction, Major Projects
account for a fiscal year before fiscal year 1995 that remain
available for obligation; and
(4) funds appropriated to the Construction, Major Projects
account for fiscal year 1995 for a category of activity not
specific to a project.
Speaker of the House of Representatives.
Vice President of the United States and
President of the Senate.

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Women Veterans Health Improvements Act of 1993 — HR. 3313

Other Sections

TITLE II

TITLE I

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