[Congressional Bills 106th Congress]
[From the U.S. Government Publishing Office]
[H.R. 2116 Enrolled Bill (ENR)]

        H.R.2116

                       One Hundred Sixth Congress

                                 of the

                        United States of America


                          AT THE FIRST SESSION

         Begun and held at the City of Washington on Wednesday,
   the sixth day of January, one thousand nine hundred and ninety-nine


                                 An Act


 
    To amend title 38, United States Code, to establish a program of 
   extended care services for veterans, to make other improvements in 
 health care programs of the Department of Veterans Affairs, to enhance 
 compensation, memorial affairs, and housing programs of the Department 
  of Veterans Affairs, to improve retirement authorities applicable to 
 judges of the United States Court of Appeals for Veterans Claims, 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 
Millennium Health Care and Benefits Act''.
    (b) Table of Contents.--The table of contents of this Act is as 
follows:

Sec.1.Short title; table of contents.
Sec.2.References to title 38, United States Code.
Sec.3.Secretary and Department defined.

                         TITLE I--ACCESS TO CARE

                       Subtitle A--Long-Term Care

Sec.101.Requirement to provide extended care services.
Sec.102.Pilot programs relating to long-term care.
Sec.103.Pilot program relating to assisted living.

                Subtitle B--Other Access to Care Matters

Sec.111.Reimbursement for emergency treatment in non-Department of 
          Veterans Affairs facilities.
Sec.112.Eligibility for care of combat-injured veterans.
Sec.113.Access to care for TRICARE-eligible military retirees.
Sec.114.Treatment and services for drug or alcohol dependency.
Sec.115.Counseling and treatment for veterans who have experienced 
          sexual 
          trauma.
Sec.116.Specialized mental health services.

                TITLE II--MEDICAL PROGRAM ADMINISTRATION

Sec.201.Medical care collections.
Sec.202.Health Services Improvement Fund.
Sec.203.Allocation to health care facilities of amounts made available 
          from 
          Medical Care Collections Fund.
Sec.204.Authority to accept funds for education and training.
Sec.205.Extension of certain authorities.
Sec.206.Reestablishment of Committee on Post-Traumatic Stress Disorder.
Sec.207.State home grant program.
Sec.208.Expansion of enhanced-use lease authority.
Sec.209.Ineligibility for employment by Veterans Health Administration 
          of health care professionals who have lost license to practice 
          in one jurisdiction while still licensed in another 
          jurisdiction.
Sec.210.Report on coordination of procurement of pharmaceuticals and 
          medical supplies by the Department of Veterans Affairs and the 
          Department of Defense.
Sec.211.Reimbursement of medical expenses of veterans located in Alaska.

               TITLE III--MISCELLANEOUS MEDICAL PROVISIONS

Sec.301.Review of proposed changes to operation of medical facilities.
Sec.302.Patient services at Department facilities.
Sec.303.Chiropractic treatment.
Sec.304.Designation of hospital bed replacement building at Ioannis A. 
          Lougaris Department of Veterans Affairs Medical Center, Reno, 
          Nevada.

              TITLE IV--CONSTRUCTION AND FACILITIES MATTERS

Sec.401.Authorization of major medical facility projects.
Sec.402.Authorization of major medical facility leases.
Sec.403.Authorization of appropriations.

                TITLE V--BENEFITS AND EMPLOYMENT MATTERS

                    Subtitle A--Compensation and DIC

Sec.501.Dependency and indemnity compensation for surviving spouses of 
          former prisoners of war.
Sec.502.Reinstatement of certain benefits for remarried surviving 
          spouses of 
          veterans upon termination of their remarriage.
Sec.503.Presumption that bronchiolo-alveolar carcinoma is service-
          connected.

                         Subtitle B--Employment

Sec.511.Clarification of veterans' civil service employment 
          opportunities.

                   TITLE VI--MEMORIAL AFFAIRS MATTERS

            Subtitle A--American Battle Monuments Commission

Sec.601.Codification and expansion of authority for World War II 
          memorial.
Sec.602.General authority to solicit and receive contributions.
Sec.603.Intellectual property and related items.
Sec.604.Technical amendments.

                     Subtitle B--National Cemeteries

Sec.611.Establishment of additional national cemeteries.
Sec.612.Use of flat grave markers at Santa Fe National Cemetery, New 
          Mexico.
Sec.613.Independent study on improvements to veterans' cemeteries.

                       Subtitle C--Burial Benefits

Sec.621.Independent study on improvements to veterans' burial benefits.

                TITLE VII--EDUCATION AND HOUSING MATTERS

                      Subtitle A--Education Matters

Sec.701.Availability of Montgomery GI Bill benefits for preparatory 
          courses for 
          college and graduate school entrance exams.
Sec.702.Determination of eligibility period for members of the Armed 
          Forces 
          commissioned following completion of officer training school.
Sec.703.Report on veterans' education and vocational training benefits 
          provided by the States.
Sec.704.Technical amendments.

                       Subtitle B--Housing Matters

Sec.711.Extension of authority for housing loans for members of the 
          Selected 
          Reserve.
Sec.712.Technical amendment relating to transitional housing loan 
          guarantee 
          program.

    TITLE VIII--DEPARTMENT OF VETERANS AFFAIRS ADMINISTRATIVE MATTERS

Sec.801.Enhanced quality assurance program within the Veterans Benefits 
          Administration.
Sec.802.Extension of authority to maintain a regional office in the 
          Republic of the Philippines.
Sec.803.Extension of Advisory Committee on Minority Veterans.
Sec.804.Technical amendment to automobile assistance program.

                  TITLE IX--HOMELESS VETERANS PROGRAMS

Sec.901.Homeless veterans' reintegration programs.
Sec.902.Extension of program of housing assistance for homeless 
          veterans.
Sec.903.Homeless veterans programs.
Sec.904.Plan for evaluation of performance of programs to assist 
          homeless 
          veterans.

       TITLE X--UNITED STATES COURT OF APPEALS FOR VETERANS CLAIMS

Sec.1001.Short title.
Sec.1002.Definition.

     Subtitle A--Transitional Provisions To Stagger Terms of Judges

Sec.1011.Early retirement authority for current judges.
Sec.1012.Modified terms for next two judges appointed to the Court.

          Subtitle B--Other Matters Relating to Retired Judges

Sec.1021.Recall of retired judges.
Sec.1022.Judges' retired pay.
Sec.1023.Survivor annuities.
Sec.1024.Limitation on activities of retired judges.

  Subtitle C--Rotation of Service of Judges as Chief Judge of the Court

Sec.1031.Repeal of separate appointment of chief judge.
Sec.1032.Designation and term of chief judge of Court.
Sec.1033.Salary.
Sec.1034.Precedence of judges.
Sec.1035.Conforming amendments.
Sec.1036.Applicability of amendments.

            TITLE XI--VOLUNTARY SEPARATION INCENTIVE PROGRAM

Sec.1101.Short title.
Sec.1102.Plan for payment of voluntary separation incentive payments.
Sec.1103.Voluntary separation incentive payments.
Sec.1104.Effect of subsequent employment with the Government.
Sec.1105.Additional agency contributions to Civil Service Retirement and 

          Disability Fund.
Sec.1106.Continued health insurance coverage.
Sec.1107.Prohibition of reduction of full-time equivalent employment 
          level.
Sec.1108.Regulations.
Sec.1109.Limitation; savings clause.
Sec.1110.Eligible employees.

SEC. 2. REFERENCES TO TITLE 38, UNITED STATES CODE.

    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.

SEC. 3. SECRETARY AND DEPARTMENT DEFINED.

    For purposes of this Act--
        (1) the term ``Secretary'' means the Secretary of Veterans 
    Affairs; and
        (2) the term ``Department'' means the Department of 
    Veterans Affairs.

                        TITLE I--ACCESS TO CARE
                       Subtitle A--Long-Term Care

SEC. 101. REQUIREMENT TO PROVIDE EXTENDED CARE SERVICES.

    (a) Required Nursing Home Care.--(1) Chapter 17 is amended by 
inserting after section 1710 the following new section:

``Sec. 1710A. Required nursing home care

    ``(a) The Secretary shall provide nursing home care which the 
Secretary determines is needed (1) to any veteran in need of such care 
for a service-connected disability, and (2) to any veteran who is in 
need of such care and who has a service-connected disability rated at 
70 percent or more.
    ``(b)(1) The Secretary shall ensure that a veteran described in 
subsection (a) who continues to need nursing home care is not, after 
placement in a Department nursing home, transferred from the facility 
without the consent of the veteran, or, in the event the veteran cannot 
provide informed consent, the representative of the veteran.
    ``(2) Nothing in subsection (a) may be construed as authorizing or 
requiring that a veteran who is receiving nursing home care in a 
Department nursing home on the date of the enactment of this section be 
displaced, transferred, or discharged from the facility.
    ``(c) The provisions of subsection (a) shall terminate on December 
31, 2003.''.
    (2) The table of sections at the beginning of such chapter is 
amended by inserting after the item relating to section 1710 the 
following new item:

``1710A. Required nursing home care.''.

    (b) Required Noninstitutional Extended Care Services.--Section 1701 
is amended by adding at the end the following new paragraph:
    ``(10)(A) During the period beginning on the date of the enactment 
of the Veterans Millennium Health Care and Benefits Act and ending on 
December 31, 2003, the term `medical services' includes 
noninstitutional extended care services.
    ``(B) For the purposes of subparagraph (A), the term 
`noninstitutional extended care services' means such alternatives to 
institutional extended care which the Secretary may furnish (i) 
directly, (ii) by contract, or (iii) (through provision of case 
management) by another provider or payor.''.
    (c) Program of Extended Care Services.--(1) Chapter 17 is amended 
by inserting after section 1710A, as added by subsection (a), the 
following new section:

``Sec. 1710B. Extended care services

    ``(a) The Secretary (subject to section 1710(a)(4) of this title 
and subsection (c) of this section) shall operate and maintain a 
program to provide extended care services to eligible veterans in 
accordance with this section. Such services shall include the 
following:
        ``(1) Geriatric evaluation.
        ``(2) Nursing home care (A) in facilities operated by the 
    Secretary, and (B) in community-based facilities through contracts 
    under section 1720 of this title.
        ``(3) Domiciliary services under section 1710(b) of this title.
        ``(4) Adult day health care under section 1720(f) of this 
    title.
        ``(5) Such other noninstitutional alternatives to nursing home 
    care as the Secretary may furnish as medical services under section 
    1701(10) of this title.
        ``(6) Respite care under section 1720B of this title.
    ``(b) The Secretary shall ensure that the staffing and level of 
extended care services provided by the Secretary nationally in 
facilities of the Department during any fiscal year is not less than 
the staffing and level of such services provided nationally in 
facilities of the Department during fiscal year 1998.
    ``(c)(1) Except as provided in paragraph (2), the Secretary may not 
furnish extended care services for a non-service-connected disability 
other than in the case of a veteran who has a compensable service-
connected disability unless the veteran agrees to pay to the United 
States a copayment (determined in accordance with subsection (d)) for 
any period of such services in a year after the first 21 days of such 
services provided that veteran in that year.
    ``(2) Paragraph (1) shall not apply--
        ``(A) to a veteran whose annual income (determined under 
    section 1503 of this title) is less than the amount in effect under 
    section 1521(b) of this title; or
        ``(B) with respect to an episode of extended care services that 
    a veteran is being furnished by the Department on the date of the 
    enactment of the Veterans Millennium Health Care and Benefits Act.
    ``(d)(1) A veteran who is furnished extended care services under 
this chapter and who is required under subsection (c) to pay an amount 
to the United States in order to be furnished such services shall be 
liable to the United States for that amount.
    ``(2) In implementing subsection (c), the Secretary shall develop a 
methodology for establishing the amount of the copayment for which a 
veteran described in subsection (c) is liable. That methodology shall 
provide for--
        ``(A) establishing a maximum monthly copayment (based on all 
    income and assets of the veteran and the spouse of such veteran);
        ``(B) protecting the spouse of a veteran from financial 
    hardship by not counting all of the income and assets of the 
    veteran and spouse (in the case of a spouse who resides in the 
    community) as available for determining the copayment obligation; 
    and
        ``(C) allowing the veteran to retain a monthly personal 
    allowance.
    ``(e)(1) There is established in the Treasury of the United States 
a revolving fund known as the Department of Veterans Affairs Extended 
Care Fund (hereafter in this section referred to as the `fund'). 
Amounts in the fund shall be available, without fiscal year limitation 
and without further appropriation, exclusively for the purpose of 
providing extended care services under subsection (a).
    ``(2) All amounts received by the Department under this section 
shall be deposited in or credited to the fund.''.
    (2) The table of sections at the beginning of such chapter is 
amended by inserting after the item relating to section 1710A, as added 
by subsection (a)(2), the following new item:

``1710B. Extended care services.''.

    (d) Adult Day Health Care.--Section 1720(f)(1)(A) is amended to 
read as follows:
    ``(f)(1)(A) The Secretary may furnish adult day health care 
services to a veteran enrolled under section 1705(a) of this title who 
would otherwise require nursing home care.''.
    (e) Respite Care Program.--Section 1720B is amended--
        (1) in subsection (a), by striking ``eligible'' and inserting 
    ``enrolled'';
        (2) in subsection (b)--
            (A) by striking ``the term `respite care' means hospital or 
        nursing home care'' and inserting ``the term `respite care 
        services' means care and services'';
            (B) by striking ``is'' at the beginning of each of 
        paragraphs (1), (2), and (3) and inserting ``are''; and
            (C) by striking ``in a Department facility'' in paragraph 
        (2); and
        (3) by adding at the end the following new subsection:
    ``(c) In furnishing respite care services, the Secretary may enter 
into contract arrangements.''.
    (f) Conforming Amendments.--Section 1710(a) is amended--
        (1) in paragraph (1), by striking ``, and may furnish nursing 
    home care,'';
        (2) in paragraph (2)(A), by inserting ``or, with respect to 
    nursing home care during any period during which the provisions of 
    section 1710A(a) of this title are in effect, a compensable 
    service-connected disability rated less than 70 percent'' after 
    ``50 percent'';
        (3) in paragraph (4), by inserting ``, and the requirement in 
    section 1710B of this title that the Secretary provide a program of 
    extended care services,'' after ``medical services''; and
        (4) by adding at the end the following new paragraph:
    ``(5) During any period during which the provisions of section 
1710A(a) of this title are not in effect, the Secretary may furnish 
nursing home care which the Secretary determines is needed to any 
veteran described in paragraph (1), with the priority for such care on 
the same basis as if provided under that paragraph.''.
    (g) State Homes.--Section 1741(a)(2) is amended by striking ``adult 
day health care in a State home'' and inserting ``extended care 
services described in any of paragraphs (4) through (6) of section 
1710B(a) of this title under a program administered by a State home''.
    (h) Effective Date.--(1) Except as provided in paragraph (2), the 
amendments made by this section shall take effect on the date of the 
enactment of this Act.
    (2) Subsection (c) of section 1710B of title 38, United States Code 
(as added by subsection (b)), shall take effect on the effective date 
of regulations prescribed by the Secretary of Veterans Affairs under 
subsections (c) and (d) of such section. The Secretary shall publish 
the effective date of such regulations in the Federal Register.
    (3) The provisions of section 1710(f) of title 38, United States 
Code, shall not apply to any day of nursing home care on or after the 
effective date of regulations under paragraph (2).
    (i) Report.--Not later than January 1, 2003, the Secretary shall 
submit to the Committees on Veterans' Affairs of the Senate and House 
of Representatives a report on the operation of this section (including 
the amendments made by this section). The Secretary shall include in 
the report--
        (1) the Secretary's assessment of the experience of the 
    Department under the provisions of this section;
        (2) the costs incurred by the Department under the provisions 
    of this section and a comparison of those costs with the 
    Secretary's estimate of the costs that would have been incurred by 
    the Secretary for extended care services if this section had not 
    been enacted; and
        (3) the Secretary's recommendations, with respect to the 
    provisions of section 1710A(a) of title 38, United States Code, as 
    added by subsection (a), and with respect to the provisions of 
    section 1701(10) of such title, as added by subsection (b), as to--
            (A) whether those provisions should be extended or made 
        permanent; and
            (B) what modifications, if any, should be made to those 
        provisions.

SEC. 102. PILOT PROGRAMS RELATING TO LONG-TERM CARE.

    (a) Pilot Programs.--The Secretary shall carry out three pilot 
programs for the purpose of determining the effectiveness of different 
models of all-inclusive care-delivery in reducing the use of hospital 
and nursing home care by frail, elderly veterans.
    (b) Locations of Pilot Programs.--In selecting locations in which 
the pilot programs will be carried out, the Secretary may not select 
more than one location in any given health care region of the Veterans 
Health Administration.
    (c) Scope of Services Under Pilot Programs.--Each of the pilot 
programs under this section shall be designed to provide participating 
veterans with integrated, comprehensive services which include the 
following:
        (1) Adult-day health care services on an eight-hour per day, 
    five-day per week basis.
        (2) Medical services (including primary care, preventive 
    services, and nursing home care, as needed).
        (3) Coordination of needed services.
        (4) Transportation services.
        (5) Home care services.
        (6) Respite care.
    (d) Program Requirements.--In carrying out the pilot programs under 
this section, the Secretary shall--
        (1) employ the use of interdisciplinary care-management teams 
    to provide the required array of services;
        (2) determine the appropriate number of patients to be enrolled 
    in each program and the criteria for enrollment; and
        (3) ensure that funding for each program is based on the 
    complex care category under the resource allocation system (known 
    as the Veterans Equitable Resource Allocation system) established 
    pursuant to section 429 of Public Law 104-204 (110 Stat. 2929).
    (e) Design of Pilot Programs.--To the maximum extent feasible, the 
Secretary shall use the following three models in designing the three 
pilot programs under this section:
        (1) Under one of the pilot programs, the Secretary shall 
    provide services directly through facilities and personnel of the 
    Department.
        (2) Under one of the pilot programs, the Secretary shall 
    provide services through a combination of--
            (A) services provided under contract with appropriate 
        public and private entities; and
            (B) services provided through facilities and personnel of 
        the Department.
        (3) Under one of the pilot programs, the Secretary shall 
    arrange for the provision of services through a combination of--
            (A) services provided through cooperative arrangements with 
        appropriate public and private entities; and
            (B) services provided through facilities and personnel of 
        the Department.
    (f) In-Kind Assistance.--In providing for the furnishing of 
services under a contract in carrying out the pilot program described 
in subsection (e)(2), the Secretary may, subject to reimbursement, 
provide in-kind assistance (through the services of Department 
employees and the sharing of other Department resources) to a facility 
furnishing care to veterans. Such reimbursement may be made by 
reduction in the charges to the Secretary under such contract.
    (g) Limitation.--In providing for the furnishing of services in 
carrying out a pilot program described in subsection (e)(2) or (e)(3), 
the Secretary shall make payment for services only to the extent that 
payment for such services is not otherwise covered (notwithstanding any 
provision of title XVIII or XIX of the Social Security Act) by another 
government or nongovernment entity or program.
    (h) Duration of Programs.--The authority of the Secretary to 
provide services under a pilot program under this section shall cease 
on the date that is three years after the date of the commencement of 
that pilot program.
    (i) Report.--(1) Not later than nine months after the completion of 
all of the pilot programs under this section, the Secretary shall 
submit to the Committees on Veterans' Affairs of the Senate and the 
House of Representatives a report on those programs.
    (2) The report shall include the following:
        (A) A description of the implementation and operation of each 
    such program.
        (B) An analysis comparing use of institutional care and use of 
    other services among enrollees in each of the pilot programs with 
    the experience of comparable patients who are not enrolled in one 
    of the pilot programs.
        (C) An assessment of the satisfaction of participating veterans 
    with each of those programs.
        (D) An assessment of the health status of participating 
    veterans in each of those programs and of the ability of those 
    veterans to function independently.
        (E) An analysis of the costs and benefits under each of those 
    programs.

SEC. 103. PILOT PROGRAM RELATING TO ASSISTED LIVING.

    (a) Program Authority.--The Secretary may carry out a pilot program 
for the purpose of determining the feasibility and practicability of 
enabling eligible veterans to secure needed assisted living services as 
an alternative to nursing home care.
    (b) Location of Pilot Program.--The pilot program shall be carried 
out in a designated health care region of the Department selected by 
the Secretary for purposes of this section.
    (c) Scope of Program.--In carrying out the pilot program, the 
Secretary may enter into contracts with appropriate facilities for the 
provision for a period of up to six months of assisted living services 
on behalf of eligible veterans in the region where the program is 
carried out.
    (d) Eligible Veterans.--A veteran is an eligible veteran for 
purposes of this section if the veteran--
        (1) is eligible for placement assistance by the Secretary under 
    section 1730(a) of title 38, United States Code;
        (2) is unable to manage routine activities of daily living 
    without supervision and assistance; and
        (3) could reasonably be expected to receive ongoing services 
    after the end of the contract period under another government 
    program or through other means.
    (e) Report.--(1) Not later than 90 days before the end of the pilot 
program under this section, the Secretary shall submit to the 
Committees on Veterans' Affairs of the Senate and the House of 
Representatives a report on the program.
    (2) The report under paragraph (1) shall include the following:
        (A) A description of the implementation and operation of the 
    program.
        (B) An analysis comparing use of institutional care among 
    participants in the program with the experience of comparable 
    patients who are not enrolled in the program.
        (C) A comparison of assisted living services provided by the 
    Department through the pilot program with domiciliary care provided 
    by the Department.
        (D) The Secretary's recommendations, if any, regarding an 
    extension of the program.
    (f) Duration.--The authority of the Secretary to provide services 
under the pilot program shall cease on the date that is three years 
after the date of the commencement of the pilot program.
    (g) Definition.--For purposes of this section, the term ``assisted 
living services'' means services in a facility that provides room and 
board and personal care for and supervision of residents as necessary 
for the health, safety, and welfare of residents.
    (h) Standards.--The Secretary may not enter into a contract with a 
facility under this section unless the facility meets the standards 
established in regulations prescribed under section 1730 of title 38, 
United States Code.

                Subtitle B--Other Access to Care Matters

SEC. 111. REIMBURSEMENT FOR EMERGENCY TREATMENT IN NON-DEPARTMENT OF 
              VETERANS AFFAIRS FACILITIES.

    (a) Authority To Provide Reimbursement.--Chapter 17 is amended by 
inserting after section 1724 the following new section:

``Sec. 1725. Reimbursement for emergency treatment

    ``(a) General Authority.--(1) Subject to subsections (c) and (d), 
the Secretary may reimburse a veteran described in subsection (b) for 
the reasonable value of emergency treatment furnished the veteran in a 
non-Department facility.
    ``(2) In any case in which reimbursement is authorized under 
subsection (a)(1), the Secretary, in the Secretary's discretion, may, 
in lieu of reimbursing the veteran, make payment of the reasonable 
value of the furnished emergency treatment directly--
        ``(A) to a hospital or other health care provider that 
    furnished the treatment; or
        ``(B) to the person or organization that paid for such 
    treatment on behalf of the veteran.
    ``(b) Eligibility.--(1) A veteran referred to in subsection (a)(1) 
is an individual who is an active Department health-care participant 
who is personally liable for emergency treatment furnished the veteran 
in a non-Department facility.
    ``(2) A veteran is an active Department health-care participant 
if--
        ``(A) the veteran is enrolled in the health care system 
    established under section 1705(a) of this title; and
        ``(B) the veteran received care under this chapter within the 
    24-month period preceding the furnishing of such emergency 
    treatment.
    ``(3) A veteran is personally liable for emergency treatment 
furnished the veteran in a non-Department facility if the veteran--
        ``(A) is financially liable to the provider of emergency 
    treatment for that treatment;
        ``(B) has no entitlement to care or services under a health-
    plan contract (determined, in the case of a health-plan contract as 
    defined in subsection (f)(2)(B) or (f)(2)(C), without regard to any 
    requirement or limitation relating to eligibility for care or 
    services from any department or agency of the United States);
        ``(C) has no other contractual or legal recourse against a 
    third party that would, in whole or in part, extinguish such 
    liability to the provider; and
        ``(D) is not eligible for reimbursement for medical care or 
    services under section 1728 of this title.
    ``(c) Limitations on Reimbursement.--(1) The Secretary, in 
accordance with regulations prescribed by the Secretary, shall--
        ``(A) establish the maximum amount payable under subsection 
    (a);
        ``(B) delineate the circumstances under which such payments may 
    be made, to include such requirements on requesting reimbursement 
    as the Secretary shall establish; and
        ``(C) provide that in no event may a payment under that 
    subsection include any amount for which the veteran is not 
    personally liable.
    ``(2) Subject to paragraph (1), the Secretary may provide 
reimbursement under this section only after the veteran or the provider 
of emergency treatment has exhausted without success all claims and 
remedies reasonably available to the veteran or provider against a 
third party for payment of such treatment.
    ``(3) Payment by the Secretary under this section on behalf of a 
veteran to a provider of emergency treatment shall, unless rejected and 
refunded by the provider within 30 days of receipt, extinguish any 
liability on the part of the veteran for that treatment. Neither the 
absence of a contract or agreement between the Secretary and the 
provider nor any provision of a contract, agreement, or assignment to 
the contrary shall operate to modify, limit, or negate the requirement 
in the preceding sentence.
    ``(d) Independent Right of Recovery.--(1) In accordance with 
regulations prescribed by the Secretary, the United States shall have 
the independent right to recover any amount paid under this section 
when, and to the extent that, a third party subsequently makes a 
payment for the same emergency treatment.
    ``(2) Any amount paid by the United States to the veteran (or the 
veteran's personal representative, successor, dependents, or survivors) 
or to any other person or organization paying for such treatment shall 
constitute a lien in favor of the United States against any recovery 
the payee subsequently receives from a third party for the same 
treatment.
    ``(3) Any amount paid by the United States to the provider that 
furnished the veteran's emergency treatment shall constitute a lien 
against any subsequent amount the provider receives from a third party 
for the same emergency treatment for which the United States made 
payment.
    ``(4) The veteran (or the veteran's personal representative, 
successor, dependents, or survivors) shall ensure that the Secretary is 
promptly notified of any payment received from any third party for 
emergency treatment furnished to the veteran. The veteran (or the 
veteran's personal representative, successor, dependents, or survivors) 
shall immediately forward all documents relating to such payment, 
cooperate with the Secretary in the investigation of such payment, and 
assist the Secretary in enforcing the United States right to recover 
any payment made under subsection (c)(3).
    ``(e) Waiver.--The Secretary, in the Secretary's discretion, may 
waive recovery of a payment made to a veteran under this section that 
is otherwise required by subsection (d)(1) when the Secretary 
determines that such waiver would be in the best interest of the United 
States, as defined by regulations prescribed by the Secretary.
    ``(f) Definitions.--For purposes of this section:
        ``(1) The term `emergency treatment' means medical care or 
    services furnished, in the judgment of the Secretary--
            ``(A) when Department or other Federal facilities are not 
        feasibly available and an attempt to use them beforehand would 
        not be reasonable;
            ``(B) when such care or services are rendered in a medical 
        emergency of such nature that a prudent layperson reasonably 
        expects that delay in seeking immediate medical attention would 
        be hazardous to life or health; and
            ``(C) until such time as the veteran can be transferred 
        safely to a Department facility or other Federal facility.
        ``(2) The term `health-plan contract' includes any of the 
    following:
            ``(A) An insurance policy or contract, medical or hospital 
        service agreement, membership or subscription contract, or 
        similar arrangement under which health services for individuals 
        are provided or the expenses of such services are paid.
            ``(B) An insurance program described in section 1811 of the 
        Social Security Act (42 U.S.C. 1395c) or established by section 
        1831 of that Act (42 U.S.C. 1395j).
            ``(C) A State plan for medical assistance approved under 
        title XIX of such Act (42 U.S.C. 1396 et seq.).
            ``(D) A workers' compensation law or plan described in 
        section 1729(a)(2)(A) of this title.
            ``(E) A law of a State or political subdivision described 
        in section 1729(a)(2)(B) of this title.
        ``(3) The term `third party' means any of the following:
            ``(A) A Federal entity.
            ``(B) A State or political subdivision of a State.
            ``(C) An employer or an employer's insurance carrier.
            ``(D) An automobile accident reparations insurance carrier.
            ``(E) A person or entity obligated to provide, or to pay 
        the expenses of, health services under a health-plan 
        contract.''.
    (b) Conforming Amendments.--(1) Section 1729A(b) is amended--
        (A) by redesignating paragraphs (5) and (6) as paragraphs (6) 
    and (7), respectively; and
        (B) by inserting after paragraph (4) the following new 
    paragraph:
        ``(5) Section 1725 of this title.''.
    (2) The table of sections at the beginning of such chapter is 
amended by inserting after the item relating to section 1724 the 
following new item:

``1725. Reimbursement for emergency treatment.''.

    (c) Effective Date.--The amendments made by this section shall take 
effect 180 days after the date of the enactment of this Act.
    (d) Implementation Reports.--The Secretary shall include with the 
budget justification materials submitted to Congress in support of the 
Department of Veterans Affairs budget for fiscal year 2002 and for 
fiscal year 2003 a report on the implementation of section 1725 of 
title 38, United States Code, as added by subsection (a). Each such 
report shall include information on the experience of the Department 
under that section and the costs incurred, and expected to be incurred, 
under that section.

SEC. 112. ELIGIBILITY FOR CARE OF COMBAT-INJURED VETERANS.

    Chapter 17 is amended--
        (1) in section 1710(a)(2)(D), by inserting ``or who was awarded 
    the Purple Heart'' after ``former prisoner of war''; and
        (2) in section 1705(a)(3), by inserting ``or who were awarded 
    the Purple Heart'' after ``former prisoners of war''.

SEC. 113. ACCESS TO CARE FOR TRICARE-ELIGIBLE MILITARY RETIREES.

    (a) Interagency Agreement.--(1) The Secretary of Defense shall 
enter into an agreement (characterized as a memorandum of understanding 
or otherwise) with the Secretary of Veterans Affairs with respect to 
the provision of medical care by the Secretary of Veterans Affairs to 
eligible military retirees in accordance with the provisions of 
subsection (c). That agreement shall include provisions for 
reimbursement of the Secretary of Veterans Affairs by the Secretary of 
Defense for medical care provided by the Secretary of Veterans Affairs 
to an eligible military retiree and may include such other provisions 
with respect to the terms and conditions of such care as may be agreed 
upon by the two Secretaries.
    (2) Reimbursement under the agreement under paragraph (1) shall be 
in accordance with rates agreed upon by the Secretary of Defense and 
the Secretary of Veterans Affairs. Such reimbursement may be made by 
the Secretary of Defense or by the appropriate TRICARE Managed Care 
Support contractor, as determined in accordance with that agreement.
    (3) In entering into the agreement under paragraph (1), 
particularly with respect to determination of the rates of 
reimbursement under paragraph (2), the Secretary of Defense shall 
consult with TRICARE Managed Care Support contractors.
    (4) The Secretary of Veterans Affairs may not enter into an 
agreement under paragraph (1) for the provision of care in accordance 
with the provisions of subsection (c) with respect to any geographic 
service area, or a part of any such area, of the Veterans Health 
Administration unless--
        (A) in the judgment of that Secretary, the Department of 
    Veterans Affairs will recover the costs of providing such care to 
    eligible military retirees; and
        (B) that Secretary has certified and documented, with respect 
    to any geographic service area in which the Secretary proposes to 
    provide care in accordance with the provisions of subsection (c), 
    that such geographic service area, or designated part of any such 
    area, has adequate capacity (consistent with the requirements in 
    section 1705(b)(1) of title 38, United States Code, that care to 
    enrollees shall be timely and acceptable in quality) to provide 
    such care.
    (5) The agreement under paragraph (1) shall be entered into by the 
Secretaries not later than nine months after the date of the enactment 
of this Act. If the Secretaries are unable to reach agreement, they 
shall jointly report, by that date or within 30 days thereafter, to the 
Committees on Armed Services and the Committees on Veterans' Affairs of 
the Senate and House of Representatives on the reasons for their 
inability to reach an agreement and their mutually agreed plan for 
removing any impediments to final agreement.
    (b) Depositing of Reimbursements.--Amounts received by the 
Secretary of Veterans Affairs under the agreement under subsection (a) 
shall be deposited in the Department of Veterans Affairs Health 
Services Improvement Fund established under section 1729B of title 38, 
United States Code, as added by section 202.
    (c) Copayment Requirement.--The provisions of subsections (f)(1) 
and (g)(1) of section 1710 of title 38, United States Code, shall not 
apply in the case of an eligible military retiree who is covered by the 
agreement under subsection (a).
    (d) Phased Implementation.--(1) The Secretary of Defense shall 
include in each TRICARE contract entered into after the date of the 
enactment of this Act provisions to implement the agreement under 
subsection (a).
    (2) The provisions of the agreement under subsection (a)(2) and the 
provisions of subsection (c) shall apply to the furnishing of medical 
care by the Secretary of Veterans Affairs in any area of the United 
States only if that area is covered by a TRICARE contract that was 
entered into after the date of the enactment of this Act.
    (e) Eligible Military Retirees.--For purposes of this section, an 
eligible military retiree is a member of the Army, Navy, Air Force, or 
Marine Corps who--
        (1) has retired from active military, naval, or air service;
        (2) is eligible for care under the TRICARE program established 
    by the Secretary of Defense;
        (3) has enrolled for care under section 1705 of title 38, 
    United States Code; and
        (4) is not described in paragraph (1) or (2) of section 1710(a) 
    of such title.

SEC. 114. TREATMENT AND SERVICES FOR DRUG OR ALCOHOL DEPENDENCY.

    (a) Authority To Provide Treatment and Services for Members on 
Active Duty.--Section 1720A(c) is amended in the first sentence of 
paragraph (1)--
        (1) by striking ``may not be transferred'' and inserting ``may 
    be transferred''; and
        (2) by striking ``unless such transfer is during the last 
    thirty days of such member's enlistment or tour of duty''.
    (b) Conforming Amendment.--The first sentence of paragraph (2) of 
that section is amended by striking ``during the last thirty days of 
such person's enlistment period or tour of duty''.

SEC. 115. COUNSELING AND TREATMENT FOR VETERANS WHO HAVE EXPERIENCED 
              SEXUAL TRAUMA.

    (a) Extension of Period of Program.--Subsection (a) of section 
1720D is amended--
        (1) in paragraph (1), by striking ``December 31, 2001'' and 
    inserting ``December 31, 2004''; and
        (2) in paragraph (3), by striking ``December 31, 2001'' and 
    inserting ``December 31, 2004''.
    (b) Mandatory Nature of Program.--(1) Subsection (a)(1) of such 
section is further amended by striking ``may provide counseling to a 
veteran who the Secretary determines requires such counseling'' and 
inserting ``shall operate a program under which the Secretary provides 
counseling and appropriate care and services to veterans who the 
Secretary determines require such counseling and care and services''.
    (2) Subsection (a) of such section is further amended--
        (A) by striking paragraph (2); and
        (B) by redesignating paragraph (3) (as amended by subsection 
    (a)(2)) as paragraph (2).
    (c) Outreach Efforts.--Subsection (c) of such section is amended--
        (1) by inserting ``and treatment'' in the first sentence and in 
    paragraph (2) after ``counseling'';
        (2) by striking ``and'' at the end of paragraph (1);
        (3) by redesignating paragraph (2) as paragraph (3); and
        (4) by inserting after paragraph (1) the following new 
    paragraph (2):
        ``(2) shall ensure that information about the counseling and 
    treatment available to veterans under this section--
            ``(A) is revised and updated as appropriate;
            ``(B) is made available and visibly posted at appropriate 
        facilities of the Department; and
            ``(C) is made available through appropriate public 
        information services; and''.
    (d) Report on Implementation of Outreach Activities.--Not later 
than six months after the date of the enactment of this Act, the 
Secretary of Veterans Affairs shall submit to the Committees on 
Veterans' Affairs of the Senate and House of Representatives a report 
on the Secretary's implementation of paragraph (2) of section 1720D(c) 
of title 38, United States Code, as added by subsection (c). Such 
report shall include examples of the documents and other means of 
communication developed for compliance with that paragraph.
    (e) Study of Expanding Eligibility for Counseling and Treatment.--
(1) The Secretary of Veterans Affairs, in consultation with the 
Secretary of Defense, shall conduct a study to determine--
        (A) the extent to which former members of the reserve 
    components of the Armed Forces experienced physical assault of a 
    sexual nature or battery of a sexual nature while serving on active 
    duty for training;
        (B) the extent to which such former members have sought 
    counseling from the Department of Veterans Affairs relating to 
    those incidents; and
        (C) the additional resources that, in the judgment of the 
    Secretary, would be required to meet the projected need of those 
    former members for such counseling.
    (2) Not later than 16 months after the date of the enactment of 
this Act, the Secretary of Veterans Affairs shall submit to the 
Committees on Veterans' Affairs of the Senate and House of 
Representatives a report on the results of the study conducted under 
paragraph (1).
    (f) Oversight of Outreach Activities.--Not later than 14 months 
after the date of the enactment of this Act, the Secretary of Veterans 
Affairs and the Secretary of Defense shall submit to the appropriate 
congressional committees a joint report describing in detail the 
collaborative efforts of the Department of Veterans Affairs and the 
Department of Defense to ensure that members of the Armed Forces, upon 
separation from active military, naval, or air service, are provided 
appropriate and current information about programs of the Department of 
Veterans Affairs to provide counseling and treatment for sexual trauma 
that may have been experienced by those members while in the active 
military, naval, or air service, including information about 
eligibility requirements for, and procedures for applying for, such 
counseling and treatment. The report shall include proposed 
recommendations from both the Secretary of Veterans Affairs and the 
Secretary of Defense for the improvement of their collaborative efforts 
to provide such information.
    (g) Report on Implementation of Sexual Trauma Treatment Program.--
Not later than 14 months after the date of the enactment of this Act, 
the Secretary shall submit to the Committees on Veterans' Affairs of 
the Senate and House of Representatives a report on the use made of the 
authority provided under section 1720D of title 38, United States Code, 
as amended by this section. The report shall include the following with 
respect to activities under that section since the enactment of this 
Act:
        (1) The number of veterans who have received counseling under 
    that section.
        (2) The number of veterans who have been referred to non-
    Department mental health facilities and providers in connection 
    with sexual trauma counseling and treatment.

SEC. 116. SPECIALIZED MENTAL HEALTH SERVICES.

    (a) Improvement to Specialized Mental Health Services.--The 
Secretary, in furtherance of the responsibilities of the Secretary 
under section 1706(b) of title 38, United States Code, shall carry out 
a program to expand and improve the provision of specialized mental 
health services to veterans. The Secretary shall establish the program 
in consultation with the Committee on Care of Severely Chronically 
Mentally Ill Veterans established pursuant to section 7321 of title 38, 
United States Code.
    (b) Covered Programs.--For purposes of this section, the term 
``specialized mental health services'' includes programs relating to--
        (1) the treatment of post-traumatic stress disorder; and
        (2) substance use disorders.
    (c) Funding.--(1) In carrying out the program described in 
subsection (a), the Secretary shall identify, from funds available to 
the Department for medical care, an amount of not less than $15,000,000 
to be available to carry out the program and to be allocated to 
facilities of the Department pursuant to subsection (d).
    (2) In identifying available amounts pursuant to paragraph (1), the 
Secretary shall ensure that, after the allocation of those funds under 
subsection (d), the total expenditure for programs relating to (A) the 
treatment of post-traumatic stress disorder, and (B) substance use 
disorders is not less than $15,000,000 in excess of the baseline 
amount.
    (3) For purposes of paragraph (2), the baseline amount is the 
amount of the total expenditures on such programs for the most recent 
fiscal year for which final expenditure amounts are known, adjusted to 
reflect any subsequent increase in applicable costs to deliver such 
services in the Veterans Health Administration, as determined by the 
Committee on Care of Severely Chronically Mentally Ill Veterans.
    (d) Allocation of Funds to Department Facilities.--The Secretary 
shall allocate funds identified pursuant to subsection (c)(1) to 
individual medical facilities of the Department as the Secretary 
determines appropriate based upon proposals submitted by those 
facilities for the use of those funds for improvements to specialized 
mental health services.
    (e) Report.--Not later than 12 months after the date of the 
enactment of this Act, the Secretary shall submit to the Committees on 
Veterans' Affairs of the Senate and House of Representatives a report 
describing the implementation of this section. The Secretary shall 
include in the report information on the allocation of funds to 
facilities of the Department under the program and a description of the 
improvements made with those funds to specialized mental health 
services for veterans.

                TITLE II--MEDICAL PROGRAM ADMINISTRATION

SEC. 201. MEDICAL CARE COLLECTIONS.

    (a) Limited Authority To Set Copayments.--Section 1722A is 
amended--
        (1) by redesignating subsections (b) and (c) as subsections (c) 
    and (d), respectively;
        (2) by inserting after subsection (a) the following new 
    subsection (b):
    ``(b) The Secretary, pursuant to regulations which the Secretary 
shall prescribe, may--
        ``(1) increase the copayment amount in effect under subsection 
    (a); and
        ``(2) establish a maximum monthly and a maximum annual 
    pharmaceutical copayment amount under subsection (a) for veterans 
    who have multiple outpatient prescriptions.''; and
        (3) in subsection (c), as redesignated by paragraph (1)--
            (A) by striking ``this section'' and inserting ``subsection 
        (a)''; and
            (B) by adding at the end the following new sentence: 
        ``Amounts collected through use of the authority under 
        subsection (b) shall be deposited in the Department of Veterans 
        Affairs Health Services Improvement Fund.''.
    (b) Outpatient Treatment.--Section 1710(g) is amended--
        (1) in paragraph (1), by striking ``the amount determined under 
    paragraph (2) of this subsection'' and inserting ``in the case of 
    each outpatient visit the applicable amount or amounts established 
    by the Secretary by regulation''; and
        (2) in paragraph (2), by striking all after ``for an amount'' 
    and inserting ``which the Secretary shall establish by 
    regulation.''.

SEC. 202. HEALTH SERVICES IMPROVEMENT FUND.

    (a) Establishment of Fund.--Chapter 17 is amended by inserting 
after section 1729A the following new section:

``Sec. 1729B. Health Services Improvement Fund

    ``(a) There is established in the Treasury of the United States a 
fund to be known as the Department of Veterans Affairs Health Services 
Improvement Fund.
    ``(b) Amounts received or collected after the date of the enactment 
of this section under any of the following provisions of law shall be 
deposited in the fund:
        ``(1) Section 1713A of this title.
        ``(2) Section 1722A(b) of this title.
        ``(3) Section 8165(a) of this title.
        ``(4) Section 113 of the Veterans Millennium Health Care and 
    Benefits Act.
    ``(c) Amounts in the fund are hereby available, without fiscal year 
limitation, to the Secretary for the purposes stated in subparagraphs 
(A) and (B) of section 1729A(c)(1) of this title.
    ``(d) The Secretary shall allocate amounts in the fund in the same 
manner as applies under subsection (d) of section 1729A of this title 
with respect to amounts made available from the fund under that 
section.''.
    (b) Clerical Amendment.--The table of sections at the beginning of 
such chapter is amended by inserting after the item relating to section 
1729A the following new item:

``1729B. Health Services Improvement Fund.''.

SEC. 203. ALLOCATION TO HEALTH CARE FACILITIES OF AMOUNTS MADE 
              AVAILABLE FROM MEDICAL CARE COLLECTIONS FUND.

    Section 1729A(d) is amended--
        (1) by striking ``(1)'';
        (2) by striking ``each designated health care region'' and 
    inserting ``each Department health care facility'';
        (3) by striking ``each region'' and inserting ``each 
    facility'';
        (4) by striking ``such region'' both places it appears and 
    inserting ``such facility''; and
        (5) by striking paragraph (2).

SEC. 204. AUTHORITY TO ACCEPT FUNDS FOR EDUCATION AND TRAINING.

    (a) Establishment of Nonprofit Corporations at Medical Centers.--
Section 7361(a) is amended--
        (1) by inserting ``and education'' after ``research''; and
        (2) by adding at the end the following: ``Such a corporation 
    may be established to facilitate either research or education or 
    both research and education.''.
    (b) Purpose of Corporations.--Section 7362 is amended--
        (1) in the first sentence--
            (A) by inserting ``(a)'' before ``Any corporation''; and
            (B) by inserting ``and education and training as described 
        in sections 7302, 7471, 8154, and 1701(6)(B) of this title'' 
        after ``of this title'';
        (2) in the second sentence--
            (A) by inserting ``or education'' after ``research''; and
            (B) by striking ``that purpose'' and inserting ``these 
        purposes''; and
        (3) by adding at the end the following new subsection:
    ``(b) For purposes of this section, the term `education and 
training' means the following:
        ``(1) In the case of employees of the Veterans Health 
    Administration, such term means work-related instruction or other 
    learning experiences to--
            ``(A) improve performance of current duties;
            ``(B) assist employees in maintaining or gaining 
        specialized proficiencies; and
            ``(C) expand understanding of advances and changes in 
        patient care, technology, and health care administration.
    Such term includes (in the case of such employees) education and 
    training conducted as part of a residency or other program designed 
    to prepare an individual for an occupation or profession.
        ``(2) In the case of veterans under the care of the Veterans 
    Health Administration, such term means instruction or other 
    learning experiences related to improving and maintaining the 
    health of veterans to patients and to the families and guardians of 
    patients.''.
    (c) Board of Directors.--Section 7363(a) is amended--
        (1) in subsection (a)(1), by striking all after ``medical 
    center, and'' and inserting ``as appropriate, the assistant chief 
    of staff for research for the medical center and the assistant 
    chief of staff for education for the medical center, or, in the 
    case of a facility at which such positions do not exist, those 
    officials who are responsible for carrying out the responsibilities 
    of the medical center director, chief of staff, and, as 
    appropriate, the assistant chief of staff for research and the 
    assistant chief of staff for education; and'';
        (2) in subsection (a)(2), by inserting ``or education, as 
    appropriate'' after ``research''; and
        (3) in subsection (c), by inserting ``or education'' after 
    ``research''.
    (d) Approval of Expenditures.--Section 7364 is amended by adding at 
the end the following new subsection:
    ``(c)(1) A corporation established under this subchapter may not 
spend funds for an education activity unless the activity is approved 
in accordance with procedures prescribed by the Under Secretary for 
Health.
    ``(2) The Under Secretary for Health shall prescribe policies and 
procedures to guide the expenditure of funds by corporations under 
paragraph (1) consistent with the purpose of such corporations as 
flexible funding mechanisms.''.
    (e) Accountability and Oversight.--Section 7366(d) is amended--
        (1) in paragraph (2)(B), by inserting ``for research and the 
    amount received from governmental entities for education'' after 
    ``entities'';
        (2) in paragraph (2)(C), by inserting ``for research and the 
    amount received from all other sources for education'' after 
    ``sources'';
        (3) in paragraph (2)(D), by striking ``the'' and inserting 
    ``a'';
        (4) in paragraph (3)(A), by striking ``and'' and inserting ``, 
    the amount expended for salary for education staff, and the amount 
    expended'';
        (5) in paragraph (3)(B), by inserting ``and the amount expended 
    for direct support of education'' after ``research''; and
        (6) by adding at the end the following new paragraph:
        ``(4) The amount expended by each corporation during the year 
    for travel conducted in conjunction with research and the amount 
    expended for travel in conjunction with education.''.

SEC. 205. EXTENSION OF CERTAIN AUTHORITIES.

    (a) Readjustment Counseling.--Section 1712A(a)(1)(B)(ii) is amended 
by striking ``January 1, 2000'' and inserting ``January 1, 2004''.
    (b) Newsletter on Medical Care for Persian Gulf Veterans.--Section 
105(b)(2) of the Persian Gulf War Veterans' Benefits Act (title I of 
Public Law 103-446; 108 Stat. 4659; 38 U.S.C. 1117 note) is amended by 
striking ``December 31, 1999'' and inserting ``December 31, 2003''.
    (c) Evaluation of Health of Spouses and Children of Persian Gulf 
Veterans.--Section 107(b) of that Act is amended by striking ``December 
31, 1999'' and inserting ``December 31, 2003''.

SEC. 206. REESTABLISHMENT OF COMMITTEE ON POST-TRAUMATIC STRESS 
              DISORDER.

    Section 110 of the Veterans' Health Care Act of 1984 (38 U.S.C. 
1712A note) is amended--
        (1) by striking ``Chief Medical Director'' each place it 
    appears and inserting ``Under Secretary for Health'';
        (2) by striking ``Veterans' Administration'' each place it 
    appears (other than in subsection (a)(1)) and inserting 
    ``Department'';
        (3) by striking ``Veterans' Administration'' in subsection 
    (a)(1) and inserting ``Department of Veterans Affairs'';
        (4) by striking ``Department of Medicine and Surgery'' each 
    place it appears and inserting ``Veterans Health Administration'';
        (5) by striking ``section 612A'' in subsection (a)(2) and 
    inserting ``section 1712A'';
        (6) by striking ``Department'' in the second sentence of 
    subsection (b)(1) and inserting ``Veterans Health Administration'';
        (7) by striking ``Department of Veterans' Benefits'' in 
    subsection (b)(4)(E) and inserting ``Veterans Benefits 
    Administration'';
        (8) in subsection (e)(1), by striking ``Not later than March 1, 
    1985, the Administrator'' and inserting ``Not later than March 1, 
    2000, the Secretary''; and
        (9) in subsection (e)(2)--
            (A) by striking ``Not later than February 1, 1986'' and 
        inserting ``Not later than February 1, 2001'';
            (B) by striking ``Administrator'' and inserting 
        ``Secretary''; and
            (C) by striking ``before the submission of such report'' 
        and inserting ``since the enactment of the Veterans Millennium 
        Health Care and Benefits Act''.

SEC. 207. STATE HOME GRANT PROGRAM.

    (a) General Regulations.--Section 8134 is amended--
        (1) by redesignating subsection (b) as subsection (c);
        (2) by striking the matter in subsection (a) preceding 
    paragraph (2) and inserting the following:
    ``(a)(1) The Secretary shall prescribe regulations for the purposes 
of this subchapter.
    ``(2) In those regulations, the Secretary shall prescribe for each 
State the number of nursing home and domiciliary beds for which 
assistance under this subchapter may be furnished. Such regulations 
shall be based on projected demand for such care 10 years after the 
date of the enactment of the Veterans Millennium Health Care and 
Benefits Act by veterans who at such time are 65 years of age or older 
and who reside in that State. In determining such projected demand, the 
Secretary shall take into account travel distances for veterans and 
their families.
    ``(3)(A) In those regulations, the Secretary shall establish 
criteria under which the Secretary shall determine, with respect to an 
application for assistance under this subchapter for a project 
described in subparagraph (B) which is from a State that has a need for 
additional beds as determined under subsections (a)(2) and (d)(1), 
whether the need for such beds is most aptly characterized as great, 
significant, or limited. Such criteria shall take into account the 
availability of beds already operated by the Secretary and other 
providers which appropriately serve the needs which the State proposes 
to meet with its application.
    ``(B) This paragraph applies to a project for the construction or 
acquisition of a new State home facility, a project to increase the 
number of beds available at a State home facility, and a project to 
replace beds at a State home facility.
    ``(4) The Secretary shall review and, as necessary, revise 
regulations prescribed under paragraphs (2) and (3) not less often than 
every four years.
    ``(b) The Secretary shall prescribe the following by regulation:'';
        (3) by redesignating paragraphs (2) and (3) of subsection (b), 
    as designated by paragraph (2), as paragraphs (1) and (2);
        (4) in subsection (c), as redesignated by paragraph (1), by 
    striking ``subsection (a)(3)'' and inserting ``subsection (b)(2)''; 
    and
        (5) by adding at the end the following new subsection:
    ``(d)(1) In prescribing regulations to carry out this subchapter, 
the Secretary shall provide that in the case of a State that seeks 
assistance under this subchapter for a project described in subsection 
(a)(3)(B), the determination of the unmet need for beds for State homes 
in that State shall be reduced by the number of beds in all previous 
applications submitted by that State under this subchapter, including 
beds which have not been recognized by the Secretary under section 1741 
of this title.
    ``(2)(A) Financial assistance under this subchapter for a 
renovation project may only be provided for a project for which the 
total cost of construction is in excess of $400,000 (as adjusted from 
time-to-time in such regulations to reflect changes in costs of 
construction).
    ``(B) For purposes of this paragraph, a renovation project is a 
project to remodel or alter existing buildings for which financial 
assistance under this subchapter may be provided and does not include 
maintenance and repair work which is the responsibility of the 
State.''.
    (b) Applications With Respect to Projects.--Section 8135 is 
amended--
        (1) in subsection (a)--
            (A) by striking ``set forth--'' in the matter preceding 
        paragraph (1) and inserting ``set forth the following:'';
            (B) by capitalizing the first letter of the first word in 
        each of paragraphs (1) through (9);
            (C) by striking the comma at the end of each of paragraphs 
        (1) through (7) and inserting a period; and
            (D) by striking ``, and'' at the end of paragraph (8) and 
        inserting a period;
        (2) by redesignating subsections (b), (c), (d), and (e) as 
    subsections (c), (d), (e), and (f), respectively;
        (3) by inserting after subsection (a) the following new 
    subsection (b):
    ``(b)(1) Any State seeking to receive assistance under this 
subchapter for a project that would involve construction or acquisition 
of either nursing home or domiciliary facilities shall include with its 
application under subsection (a) the following:
        ``(A) Documentation (i) that the site for the project is in 
    reasonable proximity to a sufficient concentration and population 
    of veterans who are 65 years of age and older, and (ii) that there 
    is a reasonable basis to conclude that the facilities when complete 
    will be fully occupied.
        ``(B) A financial plan for the first three years of operation 
    of such facilities.
        ``(C) A five-year capital plan for the State home program for 
    that State.
    ``(2) Failure to provide adequate documentation under paragraph 
(1)(A) or to provide an adequate financial plan under paragraph (1)(B) 
shall be a basis for disapproving the application.''; and
        (4) in subsection (c), as redesignated by paragraph (2)--
            (A) in paragraph (1), by striking ``for a grant under 
        subsection (a) of this section'' in the matter preceding 
        subparagraph (A) and inserting ``under subsection (a) for 
        financial assistance under this subchapter'';
            (B) in paragraph (2)--
                (i) by striking ``the construction or acquisition of'' 
            in subparagraph (A); and
                (ii) by striking subparagraphs (B), (C), and (D) and 
            inserting the following:
        ``(B) An application from a State for a project at an existing 
    facility to remedy a condition or conditions that have been cited 
    by an accrediting institution, by the Secretary, or by a local 
    licensing or approving body of the State as being threatening to 
    the lives or safety of the patients in the facility.
        ``(C) An application from a State that has not previously 
    applied for award of a grant under this subchapter for construction 
    or acquisition of a State nursing home.
        ``(D) An application for construction or acquisition of a 
    nursing home or domiciliary from a State that the Secretary 
    determines, in accordance with regulations under this subchapter, 
    has a great need for the beds to be established at such home or 
    facility.
        ``(E) An application from a State for renovations to a State 
    home facility other than renovations described in subparagraph (B).
        ``(F) An application for construction or acquisition of a 
    nursing home or domiciliary from a State that the Secretary 
    determines, in accordance with regulations under this subchapter, 
    has a significant need for the beds to be established at such home 
    or facility.
        ``(G) An application that meets other criteria as the Secretary 
    determines appropriate and has established in regulations.
        ``(H) An application for construction or acquisition of a 
    nursing home or domiciliary from a State that the Secretary 
    determines, in accordance with regulations under this subchapter, 
    has a limited need for the beds to be established at such home or 
    facility.''; and
            (C) in paragraph (3), by striking subparagraph (A) and 
        inserting the following:
        ``(A) may not accord any priority to a project for the 
    construction or acquisition of a hospital; and''.
    (c) Transition.--(1) The provisions of sections 8134 and 8135 of 
title 38, United States Code, as in effect on November 10, 1999, shall 
continue in effect after that date with respect to applications 
described in section 8135(b)(2)(A) of such title, as in effect on that 
date, that are identified in paragraph (2) (and to projects and grants 
pursuant to those applications). The Secretary shall accord priority 
among those applications in the order listed in paragraph (2).
    (2) Applications covered by paragraph (1) are the following:
        (A) Any application for a fiscal year 1999 priority one 
    project.
        (B) Any application for a fiscal year 2000 priority one project 
    that was submitted by a State that (i) did not receive grant funds 
    from amounts appropriated for fiscal year 1999 under the State home 
    grant program, and (ii) does not have any fiscal year 1999 priority 
    one projects.
    (3) For purposes of this subsection--
        (A) the term ``fiscal year 1999 priority one project'' means a 
    project on the list of approved projects established by the 
    Secretary on October 29, 1998, under section 8135(b)(4) of title 
    38, United States Code, as in effect on that date that (pursuant to 
    section 8135(b)(2)(A) of that title) is in the grouping of projects 
    on that list designated as Priority Group 1;
        (B) the term ``fiscal year 2000 priority one project'' means a 
    project on the list of approved projects established by the 
    Secretary on November 3, 1999, under section 8135(b)(4) of title 
    38, United States Code, as in effect on that date that (pursuant to 
    section 8135(b)(2)(A) of that title) is in the grouping of projects 
    on that list designated as Priority Group 1; and
        (C) the term ``State home grant program'' means the grant 
    program under subchapter III of chapter 81 of title 38, United 
    States Code.
    (d) Effective Date for Initial Regulations.--The Secretary shall 
prescribe the initial regulations under subsection (a) of section 8134 
of title 38, United States Code, as added by subsection (a), not later 
than April 30, 2000.

SEC. 208. EXPANSION OF ENHANCED-USE LEASE AUTHORITY.

    (a) Authority.--Section 8162(a)(2) is amended--
        (1) by striking ``only if the Secretary'' and inserting ``only 
    if--
        ``(A) the Secretary'';
        (2) by redesignating subparagraphs (A), (B), and (C) as clauses 
    (i), (ii), and (iii), respectively, and realigning those clauses so 
    as to be four ems from the left margin;
        (3) by striking the period at the end of clause (iii), as so 
    redesignated, and inserting ``; or''; and
        (4) by adding at the end the following:
        ``(B) the Secretary determines that the implementation of a 
    business plan proposed by the Under Secretary for Health for 
    applying the consideration under such a lease to the provision of 
    medical care and services would result in a demonstrable 
    improvement of services to eligible veterans in the geographic 
    service-delivery area within which the property is located.''.
    (b) Term of Enhanced-Use Lease.--Section 8162(b) is amended--
        (1) in paragraph (2), by striking ``may not exceed--'' and all 
    that follows and inserting ``may not exceed 75 years.''; and
        (2) by striking paragraph (4) and inserting the following:
    ``(4) The terms of an enhanced-use lease may provide for the 
Secretary to--
        ``(A) obtain facilities, space, or services on the leased 
    property; and
        ``(B) use minor construction funds for capital contribution 
    payments.''.
    (c) Designation of Property Proposed To Be Leased.--(1) Subsection 
(b) of section 8163 is amended--
        (A) by striking ``include--'' and inserting ``include the 
    following:'';
        (B) by capitalizing the first letter of the first word of each 
    of paragraphs (1), (2), (3), (4), and (5);
        (C) by striking the semicolon at the end of paragraphs (1), 
    (2), and (3) and inserting a period; and
        (D) by striking subparagraphs (A), (B), and (C) of paragraph 
    (4) and inserting the following:
            ``(A) would--
                ``(i) contribute in a cost-effective manner to the 
            mission of the Department;
                ``(ii) not be inconsistent with the mission of the 
            Department;
                ``(iii) not adversely affect the mission of the 
            Department; and
                ``(iv) affect services to veterans; or
            ``(B) would result in a demonstrable improvement of 
        services to eligible veterans in the geographic service-
        delivery area within which the property is located.''.
    (2) Subparagraph (E) of subsection (c)(1) of that section is 
amended by striking clauses (i), (ii), and (iii) and inserting the 
following:
            ``(i) would--
                ``(I) contribute in a cost-effective manner to the 
            mission of the Department;
                ``(II) not be inconsistent with the mission of the 
            Department;
                ``(III) not adversely affect the mission of the 
            Department; and
                ``(IV) affect services to veterans; or
            ``(ii) would result in a demonstrable improvement of 
        services to eligible veterans in the geographic service-
        delivery area within which the property is located.''.
    (d) Use of Proceeds.--Section 8165(a) is amended by striking 
paragraph (1) and inserting the following:
    ``(a)(1) Funds received by the Department under an enhanced-use 
lease and remaining after any deduction from those funds under 
subsection (b) shall be deposited in the Department of Veterans Affairs 
Health Services Improvement Fund established under section 1729B of 
this title.''.
    (e) Extension of Authority.--Section 8169 is amended by striking 
``December 31, 2001'' and inserting ``December 31, 2011''.
    (f) Training and Outreach Regarding Authority.--The Secretary shall 
take appropriate actions to provide training and outreach to personnel 
at Department medical centers regarding the enhanced-use lease 
authority under subchapter V of chapter 81 of title 38, United States 
Code. The training and outreach shall address methods of approaching 
potential lessees in the medical or commercial sectors regarding the 
possibility of entering into leases under that authority and other 
appropriate matters.
    (g) Independent Analysis of Opportunities for Use of Authority.--
(1) The Secretary shall take appropriate actions to secure from an 
appropriate entity (or entities) independent of the Department an 
analysis (or analyses) of opportunities for the use of the enhanced-use 
lease authority under subchapter V of chapter 81 of title 38, United 
States Code.
    (2) An analysis under paragraph (1) shall include--
        (A) a survey of facilities of the Department for purposes of 
    identifying Department property that presents an opportunity for 
    lease under the enhanced-use lease authority;
        (B) an assessment of the feasibility of entering into enhanced-
    use leases under that authority in the case of any property 
    identified under subparagraph (A) as presenting an opportunity for 
    such lease; and
        (C) an assessment of the resources required at the Department 
    facilities concerned, and at the Department Central Office, in 
    order to facilitate the entering into of enhanced-used leases in 
    the case of property so identified.
    (3) If as a result of a survey under paragraph (2)(A) an entity 
carrying out an analysis under this subsection determines that a 
particular Department property presents no opportunities for lease 
under the enhanced-use lease authority, the analysis shall include the 
entity's explanation of that determination.
    (4) If as a result of such a survey an entity carrying out an 
analysis under this subsection determines that certain Department 
property presents an opportunity for lease under the enhanced-use lease 
authority, the analysis shall include a single integrated business 
plan, developed by the entity, that addresses the strategy and 
resources necessary to implement the plan for all property determined 
to present an opportunity for such lease.

SEC. 209. INELIGIBILITY FOR EMPLOYMENT BY VETERANS HEALTH 
              ADMINISTRATION OF HEALTH CARE PROFESSIONALS WHO HAVE LOST 
              LICENSE TO PRACTICE IN ONE JURISDICTION WHILE STILL 
              LICENSED IN ANOTHER JURISDICTION.

    Section 7402 is amended by adding at the end the following new 
subsection:
    ``(f) A person may not be employed in a position under subsection 
(b) (other than under paragraph (4) of that subsection) if--
        ``(1) the person is or has been licensed, registered, or 
    certified (as applicable to such position) in more than one State; 
    and
        ``(2) either--
            ``(A) any of those States has terminated such license, 
        registration, or certification for cause; or
            ``(B) the person has voluntarily relinquished such license, 
        registration, or certification in any of those States after 
        being notified in writing by that State of potential 
        termination for cause.''.

SEC. 210. REPORT ON COORDINATION OF PROCUREMENT OF PHARMACEUTICALS AND 
              MEDICAL SUPPLIES BY THE DEPARTMENT OF VETERANS AFFAIRS 
              AND THE DEPARTMENT OF DEFENSE.

    (a) Requirement.--Not later than July 31, 2000, the Secretary of 
Veterans Affairs and the Secretary of Defense shall jointly submit to 
the Committees on Veterans' Affairs and Armed Services of the Senate 
and the Committees on Veterans' Affairs and Armed Services of the House 
of Representatives a report on the cooperation between the Department 
of Veterans Affairs and the Department of Defense in the procurement of 
pharmaceuticals and medical supplies.
    (b) Report Elements.--The report under subsection (a) shall include 
the following:
        (1) A description of the current cooperation between the 
    Department of Veterans Affairs and the Department of Defense in the 
    procurement of pharmaceuticals and medical supplies.
        (2) An assessment of the means by which cooperation between the 
    departments in such procurement could be enhanced or improved.
        (3) A description of any existing memoranda of agreement 
    between the Department of Veterans Affairs and the Department of 
    Defense that provide for the cooperation referred to in subsection 
    (a).
        (4) A description of the effects, if any, such agreements will 
    have on current staffing levels at the Defense Supply Center in 
    Philadelphia, Pennsylvania, and the Department of Veterans Affairs 
    National Acquisition Center in Hines, Illinois.
        (5) A description of the effects, if any, of such cooperation 
    on military readiness.
        (6) A comprehensive assessment of cost savings realized and 
    projected over the five fiscal year period beginning in fiscal year 
    1999 for the Department of Veterans Affairs and the Department of 
    Defense as a result of such cooperation, and the overall savings to 
    the Treasury of the United States as a result of such cooperation.
        (7) A list of the types of medical supplies and pharmaceuticals 
    for which cooperative agreements would not be appropriate and the 
    reason or reasons therefor.
        (8) An assessment of the extent to which cooperative agreements 
    could be expanded to include medical equipment, major systems, and 
    durable goods used in the delivery of health care by the Department 
    of Veterans Affairs and the Department of Defense.
        (9) A description of the effects such agreements might have on 
    distribution of items purchased cooperatively by the Department of 
    Veterans Affairs and the Department of Defense, particularly 
    outside the continental United States.
        (10) An assessment of the potential to establish common 
    pharmaceutical formularies between the Department of Veterans 
    Affairs and the Department of Defense.
        (11) An explanation of the current Uniform Product Number (UPN) 
    requirements of each Department and of any planned standardization 
    of such requirements between the Departments for medical equipment 
    and durable goods manufacturers.

SEC. 211. REIMBURSEMENT OF MEDICAL EXPENSES OF VETERANS LOCATED IN 
              ALASKA.

    (a) Preservation of Current Reimbursement Rates.--Notwithstanding 
any other provision of law, the Secretary shall, for purposes of 
reimbursing veterans in Alaska for medical expenses under section 1728 
of title 38, United States Code, during the one-year period beginning 
on the date of the enactment of this Act, use the fee-for-service 
payment schedule in effect for such purposes on July 31, 1999, rather 
than the Participating Physician Fee Schedule under the Medicare 
program.
    (b) Report.--(1) Not later than 180 days after the date of the 
enactment of this Act, the Secretary of Veterans Affairs and the 
Secretary of Health and Human Services shall jointly submit to the 
Committees on Veterans' Affairs of the Senate and the House of 
Representatives a report and recommendation on the use of the 
Participating Physician Fee Schedule under the Medicare program as a 
means of calculating reimbursement rates for medical expenses of 
veterans located in Alaska under section 1728 of title 38, United 
States Code.
    (2) The report shall--
        (A) assess the differences between health care costs in Alaska 
    and health care costs in the continental United States;
        (B) describe any differences between the costs of providing 
    health care in Alaska and the reimbursement rates for the provision 
    of health care under the Participating Physician Fee Schedule; and
        (C) assess the effects on health care for veterans in Alaska of 
    implementing the Participating Physician Fee Schedule as a means of 
    calculating reimbursement rates for medical expenses of veterans 
    located in Alaska under section 1728 of title 38, United States 
    Code.

              TITLE III--MISCELLANEOUS MEDICAL PROVISIONS

SEC. 301. REVIEW OF PROPOSED CHANGES TO OPERATION OF MEDICAL 
              FACILITIES.

    Section 8110 is amended by adding at the end the following new 
subsections:
    ``(d) The Secretary may not in any fiscal year close more than 50 
percent of the beds within a bed section (of 20 or more beds) of a 
Department medical center unless the Secretary first submits to the 
Committees on Veterans' Affairs of the Senate and the House of 
Representatives a report providing a justification for the closure. No 
action to carry out such closure may be taken after the submission of 
such report until the end of the 21-day period beginning on the date of 
the submission of the report.
    ``(e) The Secretary shall submit to the Committees on Veterans' 
Affairs of the Senate and the House of Representatives, not later than 
January 20 of each year, a report documenting by network for the 
preceding fiscal year the following:
        ``(1) The number of medical service and surgical service beds, 
    respectively, that were closed during that fiscal year and, for 
    each such closure, a description of the changes in delivery of 
    services that allowed such closure to occur.
        ``(2) The number of nursing home beds that were the subject of 
    a mission change during that fiscal year and the nature of each 
    such mission change.
    ``(f) For purposes of this section:
        ``(1) The term `closure', with respect to beds in a medical 
    center, means ceasing to provide staffing for, and to operate, 
    those beds. Such term includes converting the provision of such bed 
    care from care in a Department facility to care under contract 
    arrangements.
        ``(2) The term `bed section', with respect to a medical center, 
    means psychiatric beds (including beds for treatment of substance 
    abuse and post-traumatic stress disorder), intermediate, neurology, 
    and rehabilitation medicine beds, extended care (other than nursing 
    home) beds, and domiciliary beds.
        ``(3) The term `justification', with respect to closure of 
    beds, means a written report that includes the following:
            ``(A) An explanation of the reasons for the determination 
        that the closure is appropriate and advisable.
            ``(B) A description of the changes in the functions to be 
        carried out and the means by which such care and services would 
        continue to be provided to eligible veterans.
            ``(C) A description of the anticipated effects of the 
        closure on veterans and on their access to care.''.

SEC. 302. PATIENT SERVICES AT DEPARTMENT FACILITIES.

    Section 7803 is amended--
        (1) in subsection (a)--
            (A) by striking ``(a)'' before ``The canteens''; and
            (B) by striking ``in this subsection;'' and all that 
        follows through ``the premises'' and inserting ``in this 
        section''; and
        (2) by striking subsection (b).

SEC. 303. CHIROPRACTIC TREATMENT.

    (a) Establishment of Program.--Not later than 120 days after the 
date of the enactment of this Act, the Under Secretary for Health of 
the Department of Veterans Affairs, after consultation with 
chiropractors, shall establish a policy for the Veterans Health 
Administration regarding the role of chiropractic treatment in the care 
of veterans under chapter 17 of title 38, United States Code.
    (b) Definitions.--For purposes of this section:
        (1) The term ``chiropractic treatment'' means the manual 
    manipulation of the spine performed by a chiropractor for the 
    treatment of such musculo-skeletal conditions as the Secretary 
    considers appropriate.
        (2) The term ``chiropractor'' means an individual who--
            (A) is licensed to practice chiropractic in the State in 
        which the individual performs chiropractic services; and
            (B) holds the degree of doctor of chiropractic from a 
        chiropractic college accredited by the Council on Chiropractic 
        Education.

SEC. 304. DESIGNATION OF HOSPITAL BED REPLACEMENT BUILDING AT IOANNIS 
              A. LOUGARIS DEPARTMENT OF VETERANS AFFAIRS MEDICAL 
              CENTER, RENO, NEVADA.

    The hospital bed replacement building under construction at the 
Ioannis A. Lougaris Department of Veterans Affairs Medical Center in 
Reno, Nevada, is hereby designated as the ``Jack Streeter Building''. 
Any reference to that building in any law, regulation, map, document, 
record, or other paper of the United States shall be considered to be a 
reference to the Jack Streeter Building.

             TITLE IV--CONSTRUCTION AND FACILITIES MATTERS

SEC. 401. AUTHORIZATION OF MAJOR MEDICAL FACILITY PROJECTS.

    The Secretary of Veterans Affairs may carry out the following major 
medical facility projects, with each project to be carried out in the 
amount specified for that project:
        (1) Construction of a long-term care facility at the Department 
    of Veterans Affairs Medical Center, Lebanon, Pennsylvania, in an 
    amount not to exceed $14,500,000.
        (2) Renovations and environmental improvements at the 
    Department of Veterans Affairs Medical Center, Fargo, North Dakota, 
    in an amount not to exceed $12,000,000.
        (3) Construction of a surgical suite and post-anesthesia care 
    unit at the Department of Veterans Affairs Medical Center, Kansas 
    City, Missouri, in an amount not to exceed $13,000,000.
        (4) Renovations and environmental improvements at the 
    Department of Veterans Affairs Medical Center, Atlanta, Georgia, in 
    an amount not to exceed $12,400,000.
        (5) Demolition of buildings at the Dwight D. Eisenhower 
    Department of Veterans Affairs Medical Center, Leavenworth, Kansas, 
    in an amount not to exceed $5,600,000.
        (6) Renovation to provide a domiciliary at Orlando, Florida, in 
    a total amount not to exceed $2,400,000, to be derived only from 
    funds appropriated for Construction, Major Projects, for a fiscal 
    year before fiscal year 2000 that remain available for obligation.

SEC. 402. AUTHORIZATION OF MAJOR MEDICAL FACILITY LEASES.

    The Secretary of Veterans Affairs may enter into leases for medical 
facilities as follows:
        (1) Lease of an outpatient clinic, Lubbock, Texas, in an amount 
    not to exceed $1,112,000.
        (2) Lease of a research building, San Diego, California, in an 
    amount not to exceed $1,066,500.

SEC. 403. AUTHORIZATION OF APPROPRIATIONS.

    (a) In General.--There are authorized to be appropriated to the 
Secretary of Veterans Affairs for fiscal year 2000 and for fiscal year 
2001--
        (1) for the Construction, Major Projects, account $57,500,000 
    for the projects authorized in paragraphs (1) through (5) of 
    section 401; and
        (2) for the Medical Care account, $2,178,500 for the leases 
    authorized in section 402.
    (b) Limitation.--The projects authorized in paragraphs (1) through 
(5) of section 401 may only be carried out using--
        (1) funds appropriated for fiscal year 2000 or fiscal year 2001 
    pursuant to the authorization of appropriations in subsection (a);
        (2) funds appropriated for Construction, Major Projects, for a 
    fiscal year before fiscal year 2000 that remain available for 
    obligation; and
        (3) funds appropriated for Construction, Major Projects, for 
    fiscal year 2000 for a category of activity not specific to a 
    project.

                TITLE V--BENEFITS AND EMPLOYMENT MATTERS
                    Subtitle A--Compensation and DIC

SEC. 501. DEPENDENCY AND INDEMNITY COMPENSATION FOR SURVIVING SPOUSES 
              OF FORMER PRISONERS OF WAR.

    (a) Short Title.--This section may be cited as the ``John William 
Rolen Act''.
    (b) Eligibility.--Section 1318(b) is amended--
        (1) by striking ``that either--'' in the matter preceding 
    paragraph (1) and inserting ``rated totally disabling if--'';
        (2) in paragraph (1)--
            (A) by inserting ``the disability'' after ``(1)''; and
            (B) by striking ``or'' after ``death;'';
        (3) in paragraph (2)--
            (A) by striking ``if so rated for a lesser period, was so 
        rated continuously'' and inserting ``the disability was 
        continuously rated totally disabling''; and
            (B) by striking the period at the end and inserting ``; 
        or''; and
        (4) by adding at the end the following new paragraph:
        ``(3) the veteran was a former prisoner of war who died after 
    September 30, 1999, and the disability was continuously rated 
    totally disabling for a period of not later than one year 
    immediately preceding death.''.

SEC. 502. REINSTATEMENT OF CERTAIN BENEFITS FOR REMARRIED SURVIVING 
              SPOUSES OF VETERANS UPON TERMINATION OF THEIR REMARRIAGE.

    (a) Restoration of Prior Eligibility.--Section 103(d) is amended--
        (1) by inserting ``(1)'' after ``(d)''; and
        (2) by adding at the end the following:
    ``(2) The remarriage of the surviving spouse of a veteran shall not 
bar the furnishing of benefits specified in paragraph (5) to such 
person as the surviving spouse of the veteran if the remarriage has 
been terminated by death or divorce unless the Secretary determines 
that the divorce was secured through fraud or collusion.
    ``(3) If the surviving spouse of a veteran ceases living with 
another person and holding himself or herself out openly to the public 
as that person's spouse, the bar to granting that person benefits as 
the surviving spouse of the veteran shall not apply in the case of the 
benefits specified in paragraph (5).
    ``(4) The first month of eligibility for benefits for a surviving 
spouse by reason of this subsection shall be the month after--
        ``(A) the month of the termination of such remarriage, in the 
    case of a surviving spouse described in paragraph (2); or
        ``(B) the month of the cessation described in paragraph (3), in 
    the case of a surviving spouse described in that paragraph.
    ``(5) Paragraphs (2) and (3) apply with respect to benefits under 
the following provisions of this title:
        ``(A) Section 1311, relating to dependency and indemnity 
    compensation.
        ``(B) Section 1713, relating to medical care for survivors and 
    dependents of certain veterans.
        ``(C) Chapter 35, relating to educational assistance.
        ``(D) Chapter 37, relating to housing loans.''.
    (b) Conforming Amendment.--Section 1311 is amended by striking 
subsection (e).
    (c) Effective Date.--The amendments made by subsections (a) and (b) 
shall take effect on the first day of the first month beginning after 
the month in which this Act is enacted.
    (d) Limitation.--No payment may be made to a person by reason of 
paragraphs (2) and (3) of section 103(d) of title 38, United States 
Code, as added by subsection (a), for any period before the effective 
date specified in subsection (c).

SEC. 503. PRESUMPTION THAT BRONCHIOLO-ALVEOLAR CARCINOMA IS SERVICE-
              CONNECTED.

    Section 1112(c)(2) is amended by adding at the end the following 
new subparagraph:
        ``(P) Bronchiolo-alveolar carcinoma.''.

                         Subtitle B--Employment

SEC. 511. CLARIFICATION OF VETERANS' CIVIL SERVICE EMPLOYMENT 
              OPPORTUNITIES.

    (a) Coordination of Amendments.--If the Federal Reserve Board 
Retirement Portability Act is enacted before this Act, the amendments 
made by subsection (b) shall be made and the amendments made by 
subsection (c) shall not be made. Otherwise, the amendments made by 
subsection (c) shall be made and the amendments made by subsection (b) 
and the amendments made by section 204 of the Federal Reserve Board 
Retirement Portability Act shall not be made.
    (b) Clarification of Civil Service Employment Opportunities.--
Subject to subsection (a), section 3304(f) of title 5, United States 
Code, as amended by section 204 of the Federal Reserve Board Retirement 
Portability Act, is amended--
        (1) in paragraph (2), as added by such section, by striking 
    ``shall acquire competitive status and''; and
        (2) by adding at the end the following new paragraph:
    ``(5) The Office of Personnel Management shall prescribe 
regulations necessary for the administration of this subsection. The 
regulations shall ensure that an individual who has completed an 
initial tour of active duty is not excluded from the application of 
this subsection because of having been released from such tour of duty 
shortly before completing 3 years of active service, having been 
honorably released from such duty.''.
    (c) Clarification of Civil Service Employment Opportunities.--
Subject to subsection (a), section 3304(f) of title 5, United States 
Code, is amended--
        (1) by striking paragraph (4);
        (2) by redesignating paragraphs (2) and (3) as paragraphs (3) 
    and (4), respectively;
        (3) by inserting after paragraph (1) the following new 
    paragraph (2):
    ``(2) If selected, a preference eligible or veteran described in 
paragraph (1) shall receive a career or career-conditional appointment, 
as appropriate.''; and
        (4) by adding at the end the following new paragraph:
    ``(5) The Office of Personnel Management shall prescribe 
regulations necessary for the administration of this subsection. The 
regulations shall ensure that an individual who has completed an 
initial tour of active duty is not excluded from the application of 
this subsection because of having been released from such tour of duty 
shortly before completing 3 years of active service, having been 
honorably released from such duty.''.
    (d) Effective Date.--(1) If pursuant to subsection (a) the 
amendments specified in subsection (b) are made, those amendments shall 
apply as if included in section 204 of the Federal Reserve Board 
Retirement Portability Act.
    (2) If pursuant to subsection (a) the amendments specified in 
subsection (c) are made, those amendments shall take effect as of 
October 31, 1998, as if included in subsection (f) of section 3304 of 
title 5, United States Code, as enacted by section 2 of the Veterans 
Employment Opportunities Act of 1998 (Public Law 105-339; 112 Stat. 
3182).

                   TITLE VI--MEMORIAL AFFAIRS MATTERS
            Subtitle A--American Battle Monuments Commission

SEC. 601. CODIFICATION AND EXPANSION OF AUTHORITY FOR WORLD WAR II 
              MEMORIAL.

    (a) Codification of Existing Authority; Expansion of Authority.--
(1) Chapter 21 of title 36, United States Code, is amended by adding at 
the end the following new section:

``Sec. 2113. World War II memorial in the District of Columbia

    ``(a) Solicitation and Acceptance of Contributions.--(1) Consistent 
with its authority under section 2103(e) of this title, the American 
Battle Monuments Commission shall solicit and accept contributions for 
the World War II memorial.
    ``(2) In this section, the term `World War II memorial' means the 
memorial authorized by Public Law 103-32 (40 U.S.C. 1003 note) to be 
established by the Commission on Federal land in the District of 
Columbia or its environs to honor members of the Armed Forces who 
served in World War II and to commemorate the participation of the 
United States in that war.
    ``(b) Creation of Memorial Fund.--(1) There is hereby created in 
the Treasury a fund for the World War II memorial, which shall consist 
of the following:
        ``(A) Amounts deposited, and interest and proceeds credited, 
    under paragraph (2).
        ``(B) Obligations obtained under paragraph (3).
        ``(C) The amount of surcharges paid to the Commission for the 
    World War II memorial under the World War II 50th Anniversary 
    Commemorative Coins Act (31 U.S.C. 5112 note).
        ``(D) Amounts borrowed using the authority provided under 
    subsection (d).
        ``(E) Any funds received by the Commission under section 2114 
    of this title in exchange for use of, or the right to use, any 
    mark, copyright or patent.
    ``(2) The Chairman of the Commission shall deposit in the fund the 
amounts accepted as contributions under subsection (a). The Secretary 
of the Treasury shall credit to the fund the interest on, and the 
proceeds from sale or redemption of, obligations held in the fund.
    ``(3) The Secretary of the Treasury shall invest any portion of the 
fund that, as determined by the Chairman, is not required to meet 
current expenses. Each investment shall be made in an interest-bearing 
obligation of the United States or an obligation guaranteed as to 
principal and interest by the United States that, as determined by the 
Chairman, has a maturity suitable for the fund.
    ``(c) Use of Fund.--The fund shall be available to the Commission--
        ``(1) for the expenses of establishing the World War II 
    memorial, including the maintenance and preservation amount 
    provided for in section 8(b) of the Commemorative Works Act (40 
    U.S.C. 1008(b));
        ``(2) for such other expenses, other than routine maintenance, 
    with respect to the World War II memorial as the Commission 
    considers warranted; and
        ``(3) to secure, obtain, register, enforce, protect, and 
    license any mark, copyright, or patent that is owned by, assigned 
    to, or licensed to the Commission under section 2114 of this title 
    to aid or facilitate the construction of the World War II memorial.
    ``(d) Special Borrowing Authority.--(1) To assure that 
groundbreaking, construction, and dedication of the World War II 
memorial are carried out on a timely basis, the Commission may borrow 
money from the Treasury of the United States in such amounts as the 
Commission considers necessary, but not to exceed a total of 
$65,000,000. Borrowed amounts shall bear interest at a rate determined 
by the Secretary of the Treasury, taking into consideration the average 
market yield on outstanding marketable obligations of the United States 
of comparable maturities during the month preceding the month in which 
the obligations of the Commission are issued. The interest payments on 
such obligations may be deferred with the approval of the Secretary, 
but any interest payment so deferred shall also bear interest.
    ``(2) The borrowing of money by the Commission under paragraph (1) 
shall be subject to such maturities, terms, and conditions as may be 
agreed upon by the Commission and the Secretary, except that the 
maturities may not exceed 20 years and such borrowings may be 
redeemable at the option of the Commission before maturity.
    ``(3) The obligations of the Commission shall be issued in amounts 
and at prices approved by the Secretary. The authority of the 
Commission to issue obligations under this subsection shall remain 
available without fiscal year limitation. The Secretary of the Treasury 
shall purchase any obligations of the Commission to be issued under 
this subsection, and for such purpose the Secretary of the Treasury may 
use as a public debt transaction of the United States the proceeds from 
the sale of any securities issued under chapter 31 of title 31. The 
purposes for which securities may be issued under such chapter are 
extended to include any purchase of the Commission's obligations under 
this subsection.
    ``(4) Repayment of the interest and principal on any funds borrowed 
by the Commission under paragraph (1) shall be made from amounts in the 
fund. The Commission may not use for such purpose any funds 
appropriated for any other activities of the Commission.
    ``(e) Treatment of Borrowing Authority.--In determining whether the 
Commission has sufficient funds to complete construction of the World 
War II memorial, as required by section 8 of the Commemorative Works 
Act (40 U.S.C. 1008), the Secretary of the Interior shall consider the 
funds that the Commission may borrow from the Treasury under subsection 
(d) as funds available to complete construction of the memorial, 
whether or not the Commission has actually exercised the authority to 
borrow such funds.
    ``(f) Voluntary Services.--(1) Notwithstanding section 1342 of 
title 31, the Commission may accept from any person voluntary services 
to be provided in furtherance of the fund-raising activities of the 
Commission relating to the World War II memorial.
    ``(2) A person providing voluntary services under this subsection 
shall be considered to be a Federal employee for purposes of chapter 81 
of title 5, relating to compensation for work-related injuries, and 
chapter 171 of title 28, relating to tort claims. A volunteer who is 
not otherwise employed by the United States shall not be considered to 
be a Federal employee for any other purpose by reason of the provision 
of such voluntary service, except that any volunteer given 
responsibility for the handling of funds or the carrying out of a 
Federal function is subject to the conflict of interest laws contained 
in chapter 11 of title 18 and the administrative standards of conduct 
contained in part 2635 of title 5 of the Code of Federal Regulations.
    ``(3) The Commission may provide for reimbursement of incidental 
expenses that are incurred by a person providing voluntary services 
under this subsection. The Commission shall determine those expenses 
that are eligible for reimbursement under this paragraph.
    ``(4) Nothing in this subsection shall be construed to require any 
Federal employee to work without compensation or to allow the use of 
volunteer services to displace or replace any Federal employee.
    ``(g) Treatment of Certain Contracts.--A contract entered into by 
the Commission for the design or construction of the World War II 
memorial is not a funding agreement as that term is defined in section 
201 of title 35.
    ``(h) Extension of Authority To Establish Memorial.--
Notwithstanding section 10 of the Commemorative Works Act (40 U.S.C. 
1010), the authority for the construction of the World War II memorial 
provided by Public Law 103-32 (40 U.S.C. 1003 note) expires on December 
31, 2005.''.
    (2) The table of sections at the beginning of such chapter is 
amended by adding at the end the following new item:

``2113. World War II memorial in the District of Columbia.''.

    (b) Conforming Amendments.--Public Law 103-32 (40 U.S.C. 1003 note) 
is amended by striking sections 3, 4, and 5.
    (c) Effect of Repeal of Current Memorial Fund.--Upon the enactment 
of this Act, the Secretary of the Treasury shall transfer amounts in 
the fund created by section 4(a) of Public Law 103-32 (40 U.S.C. 1003 
note) to the fund created by section 2113(b) of title 36, United States 
Code, as added by subsection (a).

SEC. 602. GENERAL AUTHORITY TO SOLICIT AND RECEIVE CONTRIBUTIONS.

    Subsection (e) of section 2103 of title 36, United States Code, is 
amended to read as follows:
    ``(e) Solicitation and Receipt of Contributions.--(1) The 
Commission may solicit and receive funds and in-kind donations and 
gifts from any State, municipal, or private source to carry out the 
purposes of this chapter. The Commission shall deposit such funds in a 
separate account in the Treasury. Funds from that account shall be 
disbursed upon vouchers approved by the Chairman of the Commission.
    ``(2) The Commission shall establish written guidelines setting 
forth the criteria to be used in determining whether the acceptance of 
funds and in-kind donations and gifts under paragraph (1) would--
        ``(A) reflect unfavorably on the ability of the Commission, or 
    any member or employee of the Commission, to carry out the 
    responsibilities or official duties of the Commission in a fair and 
    objective manner; or
        ``(B) compromise the integrity or the appearance of the 
    integrity of the programs of the Commission or any official 
    involved in those programs.''.

SEC. 603. INTELLECTUAL PROPERTY AND RELATED ITEMS.

    (a) In General.--Chapter 21 of title 36, United States Code, as 
amended by section 601(a)(1), is further amended by adding at the end 
the following new section:

``Sec. 2114. Intellectual property and related items

    ``(a) Authority To Use and Register Intellectual Property.--The 
American Battle Monuments Commission may--
        ``(1) adopt, use, register, and license trademarks, service 
    marks, and other marks;
        ``(2) obtain, use, register, and license the use of copyrights 
    consistent with section 105 of title 17;
        ``(3) obtain, use, and license patents; and
        ``(4) accept gifts of marks, copyrights, patents, and licenses 
    for use by the Commission.
    ``(b) Authority To Grant Licenses.--The Commission may grant 
exclusive and nonexclusive licenses in connection with any mark, 
copyright, patent, or license for the use of such mark, copyright or 
patent, except to the extent the grant of such license by the 
Commission would be contrary to any contract or license by which the 
use of the mark, copyright, or patent was obtained.
    ``(c) Enforcement Authority.--The Commission may enforce any mark, 
copyright, or patent by an action in the district courts under any law 
providing for the protection of such marks, copyrights, or patents.
    ``(d) Legal Representation.--The Attorney General shall furnish the 
Commission with such legal representation as the Commission may require 
under subsection (c). The Secretary of Defense shall provide 
representation for the Commission in administrative proceedings before 
the Patent and Trademark Office and Copyright Office.
    ``(e) Irrevocability of Transfers of Copyrights to Commission.--
Section 203 of title 17 shall not apply to any copyright transferred in 
any manner to the Commission.''.
    (b) Clerical Amendment.--The table of sections at the beginning of 
such chapter, as amended by section 601(a)(2), is further amended by 
adding at the end the following new item:

``2114. Intellectual property and related items.''.

SEC. 604. TECHNICAL AMENDMENTS.

    Chapter 21 of title 36, United States Code, is amended as follows:
        (1) Section 2101(b) is amended--
            (A) by striking ``title 37, United States Code,'' in 
        paragraph (2) and inserting ``title 37''; and
            (B) by striking ``title 5, United States Code,'' in 
        paragraph (3) and inserting ``title 5''.
        (2) Section 2102(a)(1) is amended, by striking ``title 5, 
    United States Code'' and inserting ``title 5''.
        (3) Section 2103 is amended--
            (A) by striking ``title 31, United States Code'' in 
        subsection (h)(2)(A)(i) and inserting ``title 31'';
            (B) by striking ``title 44, United States Code'' in 
        subsection (i) and inserting ``title 44''; and
            (C) by striking ``chairman'' each place it appears and 
        inserting ``Chairman''.

                    Subtitle B--National Cemeteries

SEC. 611. ESTABLISHMENT OF ADDITIONAL NATIONAL CEMETERIES.

    (a) Establishment.--The Secretary shall establish, in accordance 
with chapter 24 of title 38, United States Code, a national cemetery in 
each of the six areas in the United States that the Secretary 
determines to be most in need of such a cemetery to serve the needs of 
veterans and their families.
    (b) Obligation of Funds in Fiscal Year 2000.--The Secretary shall 
obligate, from the advance planning fund in the Construction, Major 
Projects account appropriated to the Department for fiscal year 2000, 
such amounts for costs that the Secretary estimates are required for 
the planning and commencement of the establishment of national 
cemeteries under this section.
    (c) Reports.--(1) Not later than 120 days after the date of the 
enactment of this Act, the Secretary shall submit to Congress a report 
on the establishment of the national cemeteries under subsection (a). 
The report shall set forth the following:
        (A) The six areas of the United States determined by the 
    Secretary to be most in need of the establishment of a new national 
    cemetery.
        (B) A schedule for such establishment.
        (C) An estimate of the costs associated with such 
    establishment.
        (D) The amount obligated from the advance planning fund under 
    subsection (b).
    (2) Not later than one year after the date on which the report 
described in paragraph (1) is submitted, and annually thereafter until 
the establishment of the national cemeteries under subsection (a) is 
complete, the Secretary shall submit to Congress a report that updates 
the information included in the report described in paragraph (1).

SEC. 612. USE OF FLAT GRAVE MARKERS AT SANTA FE NATIONAL CEMETERY, NEW 
              MEXICO.

    Notwithstanding section 2404(c)(2) of title 38, United States Code, 
the Secretary may provide for flat grave markers at the Santa Fe 
National Cemetery, New Mexico.

SEC. 613. INDEPENDENT STUDY ON IMPROVEMENTS TO VETERANS' CEMETERIES.

    (a) Study.--Not later than 180 days after the date of the enactment 
of this Act, the Secretary shall enter into a contract with one or more 
qualified organizations to conduct a study of national cemeteries 
described in subsection (b). For purposes of this section, an entity of 
Federal, State, or local government is not a qualified organization.
    (b) Matters Studied.--(1) The study conducted pursuant to the 
contract entered into under subsection (a) shall include an assessment 
of each of the following:
        (A) The one-time repairs required at each national cemetery 
    under the jurisdiction of the National Cemetery Administration of 
    the Department of Veterans Affairs to ensure a dignified and 
    respectful setting appropriate to such cemetery, taking into 
    account the variety of age, climate, and burial options at 
    individual national cemeteries.
        (B) The feasibility of making standards of appearance of active 
    national cemeteries, and the feasibility of making standards of 
    appearance of closed national cemeteries, commensurate with 
    standards of appearance of the finest cemeteries in the world.
        (C) The number of additional national cemeteries that will be 
    required for the interment and memorialization in such cemeteries 
    of individuals qualified under chapter 24 of title 38, United 
    States Code, who die after 2005.
        (D) The advantages and disadvantages of the use by the National 
    Cemetery Administration of flat grave markers and upright grave 
    markers.
        (E) The current condition of flat grave marker sections at each 
    of the national cemeteries.
    (2) In presenting the assessment of additional national cemeteries 
required under paragraph (1)(C), the report shall identify by five-year 
period, beginning with 2005 and ending with 2020, the following:
        (A) The number of additional national cemeteries required 
    during each such five-year period.
        (B) With respect to each such five-year period, the areas in 
    the United States with the greatest concentration of veterans whose 
    needs are not served by national cemeteries or State veterans' 
    cemeteries.
    (c) Report.--(1) Not later than one year after the date on which a 
qualified organization enters into a contract under subsection (a), the 
organization shall submit to the Secretary a report setting forth the 
results of the study conducted and conclusions of the organization with 
respect to such results.
    (2) Not later than 120 days after the date on which a report is 
submitted under paragraph (1), the Secretary shall transmit to the 
Committees on Veterans' Affairs of the House of Representatives and the 
Senate a copy of the report, together with any comments on the report 
that the Secretary considers appropriate.

                      Subtitle C--Burial Benefits

SEC. 621. INDEPENDENT STUDY ON IMPROVEMENTS TO VETERANS' BURIAL 
              BENEFITS.

    (a) Study.--Not later than 60 days after the date of the enactment 
of this Act, the Secretary shall enter into a contract with one or more 
qualified organizations to conduct a study of burial benefits under 
chapter 23 of title 38, United States Code. For purposes of this 
section, an entity of Federal, State, or local government is not a 
qualified organization.
    (b) Matters Studied.--The study conducted pursuant to the contract 
entered into under subsection (a) shall include consideration of the 
following:
        (1) An assessment of the adequacy and effectiveness of the 
    burial benefits administered by the Secretary under chapter 23 of 
    title 38, United States Code, in meeting the burial needs of 
    veterans and their families.
        (2) Options to better serve the burial needs of veterans and 
    their families, including modifications to burial benefit amounts 
    and eligibility, together with the estimated cost for each such 
    modification.
        (3) Expansion of the authority of the Secretary to provide 
    burial benefits for burials in private-sector cemeteries and to 
    make grants to private-sector cemeteries.
    (c) Report.--(1) Not later than 120 days after the date on which a 
qualified organization enters into a contract under subsection (a), the 
organization shall submit to the Secretary a report setting forth the 
results of the study conducted and conclusions of the organization with 
respect to those results.
    (2) Not later than 60 days after the date on which a report is 
submitted under paragraph (1), the Secretary shall transmit to the 
Committees on Veterans' Affairs of the Senate and House of 
Representatives a copy of the report, together with any comments on the 
report that the Secretary considers appropriate.

                TITLE VII--EDUCATION AND HOUSING MATTERS
                     Subtitle A--Education Matters

SEC. 701. AVAILABILITY OF MONTGOMERY GI BILL BENEFITS FOR PREPARATORY 
              COURSES FOR COLLEGE AND GRADUATE SCHOOL ENTRANCE EXAMS.

    Section 3002(3) is amended--
        (1) by striking ``, and'' at the end of subparagraph (A) and 
    inserting a semicolon;
        (2) by redesignating subparagraph (B) as subparagraph (C); and
        (3) by inserting after subparagraph (A) the following new 
    subparagraph (B):
        ``(B) includes--
            ``(i) a preparatory course for a test that is required or 
        used for admission to an institution of higher education; and
            ``(ii) a preparatory course for a test that is required or 
        used for admission to a graduate school; and''.

SEC. 702. DETERMINATION OF ELIGIBILITY PERIOD FOR MEMBERS OF THE ARMED 
              FORCES COMMISSIONED FOLLOWING COMPLETION OF OFFICER 
              TRAINING SCHOOL.

    (a) Measurement of Period Counted for GI Bill Eligibility.--Section 
3011(f) is amended--
        (1) in paragraph (1), by striking ``paragraph (2)'' and 
    inserting ``paragraph (2) or (3)''; and
        (2) by adding at the end the following new paragraph:
    ``(3) This subsection applies to a member who after a period of 
continuous active duty as an enlisted member or warrant officer, and 
following successful completion of officer training school, is 
discharged in order to accept, without a break in service, a commission 
as an officer in the Armed Forces for a period of active duty.''.
    (b) Conforming Amendments for Time Limitation for Use of 
Eligibility and Entitlement.--Section 3031 is amended--
        (1) by redesignating subsection (g) as subsection (h);
        (2) in subsection (a)--
            (A) by striking ``through (e)'' and inserting ``through 
        (g)''; and
            (B) by striking ``subsection (g)'' and inserting 
        ``subsection (h)''; and
        (3) by inserting after subsection (f) the following new 
    subsection:
    ``(g) In the case of an individual described in section 3011(f)(3) 
of this title, the period during which that individual may use the 
individual's entitlement to educational assistance allowance expires on 
the last day of the 10-year period beginning on the date of the 
enactment of the Veterans Millennium Health Care and Benefits Act if 
that date is later than the date that would otherwise be applicable to 
that individual under this section.''.
    (c) Effective Date.--The amendments made by subsection (a) shall 
take effect on the date of the enactment of this Act and apply with 
respect to an individual first appointed as a commissioned officer on 
or after July 1, 1985.

SEC. 703. REPORT ON VETERANS' EDUCATION AND VOCATIONAL TRAINING 
              BENEFITS PROVIDED BY THE STATES.

    (a) Report.--(1) Not later than six months after the date of the 
enactment of this Act, the Secretary shall submit to the Committees on 
Veterans' Affairs of the Senate and the House of Representatives a 
report on veterans education and vocational training benefits provided 
by the States.
    (2) Benefits to be considered to be veterans education and 
vocational training benefits for the purpose of this section include 
any education or vocational training benefit provided by a State 
(including any political subdivision of a State) for which persons are 
eligible by reason of service in the Armed Forces, including, in the 
case of persons who died in the Armed Forces or as a result of a 
disease or disability incurred in the Armed Forces, benefits provided 
by reason of the service of those persons to their survivors or 
dependents.
    (3) For purposes of this section, the term ``veteran'' includes a 
person serving on active duty or in one of the reserve components and a 
person who died while in the active military, naval, or air service.
    (b) Matters To Be Included.--The report under this section shall 
include the following:
        (1) A description, by State, of the veterans education and 
    vocational training benefits provided, including--
            (A) identification of benefits that are provided 
        specifically for disabled veterans or for which disabled 
        veterans receive benefits in a different amount; and
            (B) identification of benefits for which survivors of 
        persons who died in the Armed Forces (or as a result of a 
        disease or disability incurred in the Armed Forces) or who were 
        disabled in the Armed Forces are eligible.
        (2) For each State that provides a veterans education benefit 
    consisting of full or partial tuition assistance for post-secondary 
    education, a description of that benefit, including whether the 
    benefit is limited to tuition for attendance at an institution of 
    higher education in that State or to tuition for attendance at a 
    public institution of higher education in that State.
        (3) A description of actions and programs of the Department of 
    Veterans Affairs, the Department of Defense, the Department of 
    Education, and the Department of Labor to encourage the States to 
    provide benefits designed to assist veterans in securing post-
    secondary education and vocational training.
    (c) Consultation.--The report under this section shall be prepared 
in consultation with the Secretary of Education, the Secretary of 
Defense, and the Secretary of Labor.
    (d) State Defined.--For purposes of this section, the term 
``State'' has the meaning given that term in section 101(20) of title 
38, United States Code.

SEC. 704. TECHNICAL AMENDMENTS.

    Sections 3011(i) and 3012(g)(1) are amended by striking 
``Federal''.

                      Subtitle B--Housing Matters

SEC. 711. EXTENSION OF AUTHORITY FOR HOUSING LOANS FOR MEMBERS OF THE 
              SELECTED RESERVE.

    Section 3702(a)(2)(E) is amended by striking ``September 30, 
2003,'' and inserting ``September 30, 2007,''.

SEC. 712. TECHNICAL AMENDMENT RELATING TO TRANSITIONAL HOUSING LOAN 
              GUARANTEE PROGRAM.

    Section 3775 is amended--
        (1) by inserting ``(a)'' before ``During each''; and
        (2) by adding at the end the following new subsection:
    ``(b) After the first three years of operation of such a 
multifamily transitional housing project, the Secretary may provide for 
periodic audits of the project.''.

   TITLE VIII--DEPARTMENT OF VETERANS AFFAIRS ADMINISTRATIVE MATTERS

SEC. 801. ENHANCED QUALITY ASSURANCE PROGRAM WITHIN THE VETERANS 
              BENEFITS ADMINISTRATION.

    (a) In General.--(1) Chapter 77 is amended by adding at the end the 
following new subchapter:

                  ``SUBCHAPTER III--QUALITY ASSURANCE

``Sec. 7731. Establishment

    ``(a) The Secretary shall carry out a quality assurance program in 
the Veterans Benefits Administration. The program may be carried out 
through a single quality assurance division in the Administration or 
through separate quality assurance entities for each of the principal 
organizational elements (known as `services') of the Administration.
    ``(b) The Secretary shall ensure that any quality assurance entity 
established and operated under subsection (a) is established and 
operated so as to meet generally applicable governmental standards for 
independence and internal controls for the performance of quality 
reviews of Government performance and results.

``Sec. 7732. Functions

    ``The Under Secretary for Benefits, acting through the quality 
assurance entities established under section 7731(a), shall on an 
ongoing basis perform and oversee quality reviews of the functions of 
each of the principal organizational elements of the Veterans Benefits 
Administration.

``Sec. 7733. Personnel

    ``The Secretary shall ensure that the number of full-time employees 
of the Veterans Benefits Administration assigned to quality assurance 
functions under this subchapter is adequate to perform the quality 
assurance functions for which they have responsibility.

``Sec. 7734. Annual report to Congress

    ``The Secretary shall include in the annual report to the Congress 
required by section 529 of this title a report on the quality assurance 
activities carried out under this subchapter. Each such report shall 
include--
        ``(1) an appraisal of the quality of services provided by the 
    Veterans Benefits Administration, including--
            ``(A) the number of decisions reviewed;
            ``(B) a summary of the findings on the decisions reviewed;
            ``(C) the number of full-time equivalent employees assigned 
        to quality assurance in each division or entity;
            ``(D) specific documentation of compliance with the 
        standards for independence and internal control required by 
        section 7731(b) of this title; and
            ``(E) actions taken to improve the quality of services 
        provided and the results obtained;
        ``(2) information with respect to the accuracy of decisions, 
    including trends in that information; and
        ``(3) such other information as the Secretary considers 
    appropriate.''.
    (2) The table of sections at the beginning of such chapter is 
amended by adding at the end the following new items:

                   ``SUBCHAPTER III--QUALITY ASSURANCE

``7731. Establishment.
``7732. Functions.
``7733. Personnel.
``7734. Annual report to Congress.''.

    (b) Effective Date.--Subchapter III of chapter 77 of title 38, 
United States Code, as added by subsection (a), shall take effect at 
the end of the 60-day period beginning on the date of the enactment of 
this Act.

SEC. 802. EXTENSION OF AUTHORITY TO MAINTAIN A REGIONAL OFFICE IN THE 
              REPUBLIC OF THE PHILIPPINES.

    Section 315(b) is amended by striking ``December 31, 1999'' and 
inserting ``December 31, 2003''.

SEC. 803. EXTENSION OF ADVISORY COMMITTEE ON MINORITY VETERANS.

    Section 544(e) is amended by striking ``December 31, 1999'' and 
inserting ``December 31, 2003''.

SEC. 804. TECHNICAL AMENDMENT TO AUTOMOBILE ASSISTANCE PROGRAM.

    Section 3903(e)(2) is amended by striking ``(not owned by the 
Government)''.

                  TITLE IX--HOMELESS VETERANS PROGRAMS

SEC. 901. HOMELESS VETERANS' REINTEGRATION PROGRAMS.

    (a) In General.--Chapter 41 is amended by adding at the end the 
following new section:

``Sec. 4111. Homeless veterans' reintegration programs

    ``(a) In General.--The Secretary, acting through the Assistant 
Secretary of Labor for Veterans' Employment and Training, shall 
conduct, directly or through grant or contract, such programs as the 
Secretary determines appropriate to expedite the reintegration of 
homeless veterans into the labor force.
    ``(b) Authority To Monitor Expenditure of Funds.--The Secretary may 
collect such information as the Secretary considers appropriate to 
monitor and evaluate the distribution and expenditure of funds 
appropriated to carry out this section, and such information shall be 
furnished to the Secretary in such form as the Secretary determines 
appropriate.
    ``(c) Definition.--For purposes of this section, the term `homeless 
veteran' has the meaning given that term by section 3771(2) of this 
title.
    ``(d) Authorization of Appropriations.--(1) There are authorized to 
be appropriated to carry out this section amounts as follows:
        ``(A) $10,000,000 for fiscal year 2000.
        ``(B) $15,000,000 for fiscal year 2001.
        ``(C) $20,000,000 for fiscal year 2002.
        ``(D) $20,000,000 for fiscal year 2003.
    ``(2) Funds obligated for any fiscal year to carry out this section 
may be expended in that fiscal year and the succeeding fiscal year.''.
    (b) Clerical Amendment.--The table of sections at the beginning of 
such chapter is amended by adding at the end the following new item:

``4111. Homeless veterans' reintegration programs.''.

SEC. 902. EXTENSION OF PROGRAM OF HOUSING ASSISTANCE FOR HOMELESS 
              VETERANS.

    Section 3735(c) is amended by striking ``December 31, 1999'' and 
inserting ``December 31, 2003''.

SEC. 903. HOMELESS VETERANS PROGRAMS.

    The Homeless Veterans Comprehensive Service Programs Act of 1992 
(38 U.S.C. 7721 note) is amended as follows:
        (1) Section 3(a)(1) is amended by inserting ``, and expanding 
    existing programs for furnishing,'' after ``new programs to 
    furnish''.
        (2) Section 3(a)(2) is amended by striking ``September 30, 
    1999'' and inserting ``September 30, 2003''.
        (3) Section 3(b)(2) is amended by striking ``and no more than 
    20 programs which incorporate the procurement of vans as described 
    in paragraph (1)''.
        (4) Section 12 is amended in the first sentence by inserting 
    ``and $50,000,000 for each of fiscal years 2000 and 2001'' after 
    ``for fiscal years 1993 through 1997''.

SEC. 904. PLAN FOR EVALUATION OF PERFORMANCE OF PROGRAMS TO ASSIST 
              HOMELESS VETERANS.

    (a) Report.--Not later than 90 days after the date of the enactment 
of this Act, the Secretary shall submit to the Committees on Veterans' 
Affairs of the Senate and the House of Representatives a report 
containing a detailed plan for the evaluation by the Department of 
Veterans Affairs of the effectiveness of programs to assist homeless 
veterans. The plan shall be prepared in consultation with the Secretary 
of Housing and Urban Development and the Secretary of Labor.
    (b) Inclusion of Outcome Measures.--The plan shall include outcome 
measures to show whether veterans for whom housing or employment is 
secured through one or more of those programs continue to be housed or 
employed, as the case may be, after six months.

      TITLE X--UNITED STATES COURT OF APPEALS FOR VETERANS CLAIMS

SEC. 1001. SHORT TITLE.

    This title may be cited as the ``Court of Appeals for Veterans 
Claims Amendments of 1999''.

SEC. 1002. DEFINITION.

    In this title, the term ``Court'' means the United States Court of 
Appeals for Veterans Claims.

     Subtitle A--Transitional Provisions To Stagger Terms of Judges

SEC. 1011. EARLY RETIREMENT AUTHORITY FOR CURRENT JUDGES.

    (a) Retirement Authorized.--One eligible judge may retire in 
accordance with this section in 2000 or 2001, and one additional 
eligible judge may retire in accordance with this section in 2001.
    (b) Eligible Judges.--For purposes of this section, an eligible 
judge is a judge of the Court (other than the chief judge) who--
        (1) has at least 10 years of service creditable under section 
    7296 of title 38, United States Code;
        (2) has made an election to receive retired pay under section 
    7296 of such title;
        (3) has at least 20 years of service described in section 
    7297(l) of such title; and
        (4) is at least 55 years of age.
    (c) Multiple Eligible Judges.--If for any year specified in 
subsection (a) more than one eligible judge provides notice in 
accordance with subsection (d), the judge who has the greatest 
seniority as a judge of the Court shall be the judge who is eligible to 
retire in accordance with this section in that year.
    (d) Notice.--An eligible judge who desires to retire in accordance 
with this section with respect to any year covered by subsection (a) 
shall provide to the President and the chief judge of the Court written 
notice to that effect and stating that the judge agrees to the 
temporary service requirements of subsection (j). Such notice shall be 
provided not later than April 1 of that year and shall specify the 
retirement date in accordance with subsection (e). Notice provided 
under this subsection shall be irrevocable.
    (e) Date of Retirement.--A judge who is eligible to retire in 
accordance with this section shall be retired during the calendar year 
as to which notice is provided pursuant to subsection (d), but not 
earlier than 30 days after the date on which that notice is provided 
pursuant to subsection (d).
    (f) Applicable Provisions.--Except as provided in subsections (g) 
and (j), a judge retired in accordance with this section shall be 
considered for all purposes to be retired under section 7296(b)(1) of 
title 38, United States Code.
    (g) Applicability of Recall Status Authority.--The provisions of 
section 7257 of this title shall apply to a judge retired in accordance 
with this section as if the judge is a judge specified in subsection 
(a)(2)(A) of that section.
    (h) Rate of Retired Pay.--The rate of retired pay for a judge 
retiring in accordance with this section is--
        (1) the rate applicable to that judge under section 7296(c)(1) 
    of title 38, United States Code, multiplied by
        (2) the fraction (not in excess of 1) in which--
            (A) the numerator is the number of years of service of the 
        judge as a judge of the Court creditable under section 7296 of 
        such title; and
            (B) the denominator is 15.
    (i) Adjustments in Retired Pay for Judges Available for Recall.--
Subject to section 7296(f)(3)(B) of title 38, United States Code, an 
adjustment provided by law in annuities payable under civil service 
retirement laws shall apply to retired pay under this section in the 
case of a judge who is a recall-eligible retired judge under section 
7257 of such title or who was a recall-eligible retired judge under 
that section and was removed from recall status under subsection (b)(4) 
of that section by reason of disability.
    (j) Duty of Actuary.--Section 7298(e)(2) is amended--
        (1) by redesignating subparagraph (C) as subparagraph (D); and
        (2) by inserting after subparagraph (B) the following new 
    subparagraph:
    ``(C) For purposes of subparagraph (B), the term `present value' 
includes a value determined by an actuary with respect to a payment 
that may be made under subsection (b) from the retirement fund within 
the contemplation of law.''.
    (k) Transitional Service of Judge Retired Under This Section.--(1) 
A judge who retires under this section shall continue to serve on the 
Court during the period beginning on the effective date of the judge's 
retirement under subsection (e) and ending on the earlier of--
        (A) the date on which a person is appointed to the position on 
    the Court vacated by the judge's retirement; and
        (B) the date on which the judge's original appointment to the 
    court would have expired.
    (2) Subsections (f) and (g) of section 7253 of title 38, United 
States Code, shall apply with respect to the service of a judge on the 
Court under this section.
    (3) Notwithstanding any other provision of law, a person whose 
service as a judge of the Court continues under this section shall be 
paid for the period of service under this subsection at the rate that 
is the difference between the current rate of pay for a judge of the 
Court and the rate of the judge's retired pay under subsection (g).
    (4) Amounts paid under paragraph (3)--
        (A) shall not be treated as--
            (i) compensation for employment with the United States for 
        purposes of section 7296(e) of title 38, United States Code, or 
        any provision of title 5, United States Code, relating to the 
        receipt or forfeiture of retired pay or retirement annuities by 
        a person accepting compensation for employment with the United 
        States; or
            (ii) pay for purposes of deductions or contributions for or 
        on behalf of the person to retired pay under subchapter V of 
        chapter 72 of title 38, United States Code, or under chapter 83 
        or 84 of title 5, United States Code, as applicable; but
        (B) may, at the election of the person, be treated as pay for 
    purposes of deductions or contributions for or on behalf of the 
    person to a retirement or other annuity, or both, under subchapter 
    V of chapter 72 of title 38, United States Code, or under chapter 
    83 or 84 of title 5, United States Code, as applicable.
    (5) Amounts paid under paragraph (3) shall be derived from amounts 
available for payment of salaries and benefits of judges of the Court.
    (6) The service as a judge of the Court under this subsection of a 
person who makes an election provided for under paragraph (4)(B) shall 
constitute creditable service toward the judge's years of judicial 
service for purposes of section 7297 of title 38, United States Code, 
with such service creditable at a rate equal to the rate at which such 
service would be creditable for such purposes if served by a judge of 
the Court under chapter 72 of that title. For purposes of subsection 
(k)(3) of that section, the average annual pay for such service shall 
be the sum of the judge's retired pay and the amount paid under 
paragraph (3) of this subsection.
    (7) In the case of such a person who makes an election provided for 
under paragraph (4)(B), upon the termination of the service of that 
person as a judge of the Court under this subsection, the retired pay 
of that person under subsection (g) shall be recomputed to reflect the 
additional period of service served under this subsection.
    (l) Treatment of Political Party Membership.--For purposes of 
determining compliance with the last sentence of section 7253(b) of 
title 38, United States Code, the political party membership of a judge 
serving on the Court under subsection (j) shall not be taken into 
account.

SEC. 1012. MODIFIED TERMS FOR NEXT TWO JUDGES APPOINTED TO THE COURT.

    (a) Modified Terms.--The term of office of the first two judges 
appointed to the Court after the date of the enactment of this Act 
shall be 13 years (rather than the period specified in section 7253(c) 
of title 38, United States Code).
    (b) Eligibility for Retirement.--(1) For purposes of determining 
the eligibility to retire under section 7296 of title 38, United States 
Code, of the two judges of the Court whose term of office is determined 
under subsection (a)--
        (A) the age and service requirements in the table in paragraph 
    (2) shall apply to those judges rather than the otherwise 
    applicable age and service requirements specified in the table in 
    subsection (b)(1) of that section; and
        (B) the minimum years of service applicable to those judges for 
    eligibility to retire under the first sentence of subsection (b)(2) 
    of that section shall be 13 years instead of 15 years.
    (2) The age and service requirements in this paragraph are as 
follows:

The judge has attained age:
And the years of service as a judge are at least
    65..................................................
                                                              13        
    66..................................................
                                                              13        
    67..................................................
                                                              13        
    68..................................................
                                                              12        
    69..................................................
                                                              11        
    70..................................................
                                                              10.       

          Subtitle B--Other Matters Relating to Retired Judges

SEC. 1021. RECALL OF RETIRED JUDGES.

    (a) Authority To Recall Retired Judges.--Chapter 72 is amended by 
inserting after section 7256 the following new section:

``Sec. 7257. Recall of retired judges

    ``(a)(1) A retired judge of the Court may be recalled for further 
service on the Court in accordance with this section. To be eligible to 
be recalled for such service, a retired judge must at the time of the 
judge's retirement provide to the chief judge of the Court (or, in the 
case of the chief judge, to the clerk of the Court) notice in writing 
that the retired judge is available for further service on the Court in 
accordance with this section and is willing to be recalled under this 
section. Such a notice provided by a retired judge is irrevocable.
    ``(2) For the purposes of this section--
        ``(A) a retired judge is a judge of the Court of Appeals for 
    Veterans Claims who retires from the Court under section 7296 of 
    this title or under chapter 83 or 84 of title 5; and
        ``(B) a recall-eligible retired judge is a retired judge who 
    has provided a notice under paragraph (1).
    ``(b)(1) The chief judge may recall for further service on the 
Court a recall-eligible retired judge in accordance with this section. 
Such a recall shall be made upon written certification by the chief 
judge that substantial service is expected to be performed by the 
retired judge for such period, not to exceed 90 days (or the 
equivalent), as determined by the chief judge to be necessary to meet 
the needs of the Court.
    ``(2) A recall-eligible retired judge may not be recalled for more 
than 90 days (or the equivalent) during any calendar year without the 
judge's consent or for more than a total of 180 days (or the 
equivalent) during any calendar year.
    ``(3) If a recall-eligible retired judge is recalled by the chief 
judge in accordance with this section and (other than in the case of a 
judge who has previously during that calendar year served at least 90 
days (or the equivalent) of recalled service on the court) declines 
(other than by reason of disability) to perform the service to which 
recalled, the chief judge shall remove that retired judge from the 
status of a recall-eligible judge.
    ``(4) A recall-eligible retired judge who becomes permanently 
disabled and as a result of that disability is unable to perform 
further service on the Court shall be removed from the status of a 
recall-eligible judge. Determination of such a disability shall be made 
pursuant to section 7253(g) or 7296(g) of this title.
    ``(c) A retired judge who is recalled under this section may 
exercise all of the judicial powers and duties of the office of a judge 
in active service.
    ``(d)(1) The pay of a recall-eligible retired judge who retired 
under section 7296 of this title is specified in subsection (c) of that 
section.
    ``(2) A judge who is recalled under this section who retired under 
chapter 83 or 84 of title 5 shall be paid, during the period for which 
the judge serves in recall status, pay at the rate of pay in effect 
under section 7253(e) of this title for a judge performing active 
service, less the amount of the judge's annuity under the applicable 
provisions of chapter 83 or 84 of title 5.
    ``(e)(1) Except as provided in subsection (d), a judge who is 
recalled under this section who retired under chapter 83 or 84 of title 
5 shall be considered to be a reemployed annuitant under that chapter.
    ``(2) Nothing in this section affects the right of a judge who 
retired under chapter 83 or 84 of title 5 to serve as a reemployed 
annuitant in accordance with the provisions of title 5.''.
    (b) Clerical Amendment.--The table of sections at the beginning of 
such chapter is amended by inserting after the item relating to section 
7256 the following new item:

``7257. Recall of retired judges.''.

SEC. 1022. JUDGES' RETIRED PAY.

    (a) In General.--Subsection (c)(1) of section 7296 is amended by 
striking ``at the rate of pay in effect at the time of retirement.'' 
and inserting the following: ``as follows:
        ``(A) In the case of a judge who is a recall-eligible retired 
    judge under section 7257 of this title or who was a recall-eligible 
    retired judge under that section and was removed from recall status 
    under subsection (b)(4) of that section by reason of disability, 
    the retired pay of the judge shall be the pay of a judge of the 
    court.
        ``(B) In the case of a judge who at the time of retirement did 
    not provide notice under section 7257 of this title of availability 
    for service in a recalled status, the retired pay of the judge 
    shall be the rate of pay applicable to that judge at the time of 
    retirement.
        ``(C) In the case of a judge who was a recall-eligible retired 
    judge under section 7257 of this title and was removed from recall 
    status under subsection (b)(3) of that section, the retired pay of 
    the judge shall be the pay of the judge at the time of the removal 
    from recall status.''.
    (b) Cost-of-Living Adjustments.--Subsection (f) of such section is 
amended by adding at the end the following new paragraph:
    ``(3)(A) A cost-of-living adjustment provided by law in annuities 
payable under civil service retirement laws shall apply to retired pay 
under this section only in the case of retired pay computed under 
paragraph (2) of subsection (c).
    ``(B) If such a cost-of-living adjustment would (but for this 
subparagraph) result in the retired pay of a retired judge being in 
excess of the annual rate of pay in effect for judges of the Court as 
provided in section 7253(e) of this title, such adjustment may be made 
only in such amount as results in the retired pay of the retired judge 
being equal to that annual rate of pay (as in effect on the effective 
date of such adjustment).''.

SEC. 1023. SURVIVOR ANNUITIES.

    (a) Surviving Spouse.--Subsection (a)(5) of section 7297 is amended 
by striking ``two years'' and inserting ``one year''.
    (b) Election To Participate.--Subsection (b) of such section is 
amended in the first sentence by inserting before the period ``or 
within six months after the date on which the judge marries if the 
judge has retired under section 7296 of this title''.
    (c) Reduction in Contributions.--Subsection (c) of such section is 
amended by striking ``3.5 percent of the judge's pay'' and inserting 
``that percentage of the judge's pay that is the same as provided for 
the deduction from the salary or retirement salary of a judge of the 
United States Court of Federal Claims for the purpose of a survivor 
annuity under section 376(b)(1)(B) of title 28''.
    (d) Interest Payments.--Subsection (d) of such section is amended--
        (1) by inserting ``(1)'' after ``(d)''; and
        (2) by adding at the end the following new paragraph:
    ``(2) The interest required under the first sentence of paragraph 
(1) shall not be required for any period--
        ``(A) during which a judge was separated from any service 
    described in section 376(d)(2) of title 28; and
        ``(B) during which the judge was not receiving retired pay 
    based on service as a judge or receiving any retirement salary as 
    described in section 376(d)(1) of title 28.''.
    (e) Service Eligibility.--(1) Subsection (f) of such section is 
amended--
        (A) in paragraph (1), in the matter preceding subparagraph 
    (A)--
            (i) by striking ``at least 5 years'' and inserting ``at 
        least 18 months''; and
            (ii) by striking ``last 5 years'' and inserting ``last 18 
        months''; and
        (B) by adding at the end the following new paragraph:
    ``(5) If a judge dies as a result of an assassination and leaves a 
survivor or survivors who are otherwise entitled to receive annuity 
payments under this section, the 18-month requirement in the matter in 
paragraph (1) preceding subparagraph (A) shall not apply.''.
    (2) Subsection (a) of such section is further amended--
        (A) in paragraph (2), by inserting ``who is in active service 
    or who has retired under section 7296 of this title'' after 
    ``Court'';
        (B) in paragraph (3), by striking ``7296(c)'' and inserting 
    ``7296''; and
        (C) by adding at the end the following new paragraph:
        ``(8) The term `assassination' as applied to a judge shall have 
    the meaning provided that term in section 376(a)(7) of title 28 as 
    applied to a judicial official.''.
    (f) Age Requirement of Surviving Spouse.--Subsection (f) of such 
section is further amended by striking ``or following the surviving 
spouse's attainment of the age of 50 years, whichever is the later'' in 
paragraph (1)(A).

SEC. 1024. LIMITATION ON ACTIVITIES OF RETIRED JUDGES.

    (a) In General.--Chapter 72 is amended by adding at the end the 
following new section:

``Sec. 7299. Limitation on activities of retired judges

    ``(a) A retired judge of the Court who is recall-eligible under 
section 7257 of this title and who in the practice of law represents 
(or supervises or directs the representation of) a client in making any 
claim relating to veterans' benefits against the United States or any 
agency thereof shall, pursuant to such section, be considered to have 
declined recall service and be removed from the status of a recall-
eligible judge. The pay of such a judge, pursuant to section 7296 of 
this title, shall be the pay of the judge at the time of the removal 
from recall status.
    ``(b) A recall-eligible judge shall be considered to be an officer 
or employee of the United States, but only during periods when the 
judge is serving in recall status. Any prohibition, limitation, or 
restriction that would otherwise apply to the activities of a recall-
eligible judge shall apply only during periods when the judge is 
serving in recall status.''.
    (b) Clerical Amendment.--The table of sections at the beginning of 
such chapter is amended by adding at the end the following new item:

``7299. Limitation on activities of retired judges.''.

 Subtitle C--Rotation of Service of Judges as Chief Judge of the Court

SEC. 1031. REPEAL OF SEPARATE APPOINTMENT OF CHIEF JUDGE.

    Subsection (a) of section 7253 is amended to read as follows:
    ``(a) Composition.--The Court of Appeals for Veterans Claims is 
composed of at least three and not more than seven judges, one of whom 
shall serve as chief judge in accordance with subsection (d).''.

SEC. 1032. DESIGNATION AND TERM OF CHIEF JUDGE OF COURT.

    (a) Rotation.--Subsection (d) of section 7253 is amended to read as 
follows:
    ``(d) Chief Judge.--(1) The chief judge of the Court shall be the 
judge of the Court in regular active service who is senior in 
commission among the judges of the Court who--
        ``(A) have served for one or more years as judges of the Court; 
    and
        ``(B) have not previously served as chief judge.
    ``(2) In any case in which there is no judge of the Court in 
regular active service who has served as a judge of the Court for at 
least one year, the judge of the court in regular active service who is 
senior in commission and has not served previously as chief judge shall 
act as the chief judge.
    ``(3) Except as provided in paragraph (4), a judge of the Court 
shall serve as the chief judge under paragraph (1) for a term of five 
years or until the judge becomes age 70, whichever occurs first. If no 
other judge is eligible under paragraph (1) to serve as chief judge 
upon the expiration of that term, that judge shall continue to serve as 
chief judge until another judge becomes eligible under that paragraph 
to serve as chief judge.
    ``(4)(A) The term of a chief judge shall be terminated before the 
end of the term prescribed by paragraph (3) if--
        ``(i) the chief judge leaves regular active service as a judge 
    of the court; or
        ``(ii) the chief judge notifies the other judges of the court 
    in writing that such judge desires to be relieved of the duties of 
    chief judge.
    ``(B) The effective date of a termination of the term under 
subparagraph (A) shall be the date on which the chief judge leaves 
regular active service or the date of the notification under 
subparagraph (A)(ii), as the case may be.
    ``(5) If a chief judge is temporarily unable to perform the duties 
of chief judge, those duties shall be performed by the judge of the 
court in active service who is present, able and qualified to act, and 
is next in precedence.
    ``(6) Judges who have the same seniority in commission shall be 
eligible for service as chief judge in accordance with their relative 
precedence.''.
    (b) Ineligibility of Judges on Temporary Service.--A person serving 
as a judge of the Court under section 1011 may not serve as chief judge 
of the Court.

SEC. 1033. SALARY.

    Subsection (e) of section 7253 is amended to read as follows:
    ``(e) Salary.--Each judge of the Court shall receive a salary at 
the same rate as is received by judges of the United States district 
courts.''.

SEC. 1034. PRECEDENCE OF JUDGES.

    Subsection (d) of section 7254 is amended to read as follows:
    ``(d) Precedence of Judges.--The chief judge of the Court shall 
have precedence and preside at any session that the chief judge 
attends. The other judges shall have precedence and preside according 
to the seniority of their original commissions. Judges whose 
commissions bear the same date shall have precedence according to 
seniority in age.''.

SEC. 1035. CONFORMING AMENDMENTS.

    Chapter 72 is amended as follows:
        (1) Section 7281(g) is amended to read as follows:
    ``(g) The chief judge of the Court may exercise the authority of 
the Court under this section whenever there are not at least two other 
judges of the Court.''.
        (2) Sections 7296(a)(2) and 7297(a)(2) are amended by striking 
    ``the chief judge or an associate judge'' and inserting ``a 
    judge''.

SEC. 1036. APPLICABILITY OF AMENDMENTS.

    (a) Effective Date.--The amendments made by this subtitle shall 
take effect on the date of the enactment of this Act.
    (b) Savings Provision for Incumbent Chief Judge.--The amendments 
made by this subtitle shall not apply while the individual who is chief 
judge of the Court on the date of the enactment of this Act continues 
to serve as chief judge. If that individual, upon termination of 
service as chief judge, provides notice under section 7257 of title 38, 
United States Code, of availability for service in a recalled status, 
the rate of pay applicable to that individual under section 
7296(c)(1)(A) of such title while serving in a recalled status shall be 
at the rate of pay applicable to that individual at the time of 
retirement, if greater than the rate otherwise applicable under that 
section.

            TITLE XI--VOLUNTARY SEPARATION INCENTIVE PROGRAM

SEC. 1101. SHORT TITLE.

    This title may be cited as the ``Department of Veterans Affairs 
Employment Reduction Assistance Act of 1999''.

SEC. 1102. PLAN FOR PAYMENT OF VOLUNTARY SEPARATION INCENTIVE PAYMENTS.

    (a) In General.--The Secretary of Veterans Affairs shall, before 
obligating any funds for the payment of voluntary separation incentive 
payments under this title, submit to the Director of the Office of 
Management and Budget an operational plan outlining the proposed use of 
such incentive payments and a proposed organizational chart for the 
elements of the Department of Veterans Affairs covered by the plan once 
the payment of such incentive payments has been completed.
    (b) Contents.--The plan under subsection (a) shall--
        (1) take into account the limitations on elements, and 
    personnel within elements, of the Department specified in 
    subsection (c);
        (2) specify the positions to be reduced or eliminated and 
    functions to be restructured or reorganized, identified by element 
    of the Department, geographic location, occupational category, and 
    grade level;
        (3) specify the manner in which the plan will improve operating 
    efficiency, or meet actual or anticipated levels of budget or 
    staffing resources, of each element covered by the plan and of the 
    Department generally; and
        (4) include a description of how each element of the Department 
    covered by the plan will operate without the functions or positions 
    affected by the implementation of the plan.
    (c) Limitation on Elements and Personnel.--The plan under 
subsection (a) shall be limited to the elements of the Department, and 
the number of positions within such elements, as follows:
        (1) The Veterans Health Administration, 4,400 positions.
        (2) The Veterans Benefits Administration, 240 positions.
        (3) Department of Veterans Affairs Staff Offices, 45 positions.
        (4) The National Cemetery Administration, 15 positions.
    (d) Approval.--(1) The Director of the Office of Management and 
Budget shall approve or disapprove the plan submitted under subsection 
(a).
    (2) In approving the plan, the Director may make such modifications 
to the plan as the Director considers appropriate with respect to the 
following:
        (A) The number and amounts of voluntary incentive payments that 
    may be paid under the plan.
        (B) Any other matter that the Director considers appropriate.
    (3) In the event of the disapproval of a plan by the Director under 
paragraph (1), the Secretary may modify and resubmit the plan to the 
Director. The provisions of this section shall apply to any plan 
submitted to the Director under this paragraph as if such plan were the 
initial plan submitted to the Director under subsection (a).

SEC. 1103. VOLUNTARY SEPARATION INCENTIVE PAYMENTS.

    (a) Authority To Pay Voluntary Separation Incentive Payments.--(1) 
The Secretary may pay a voluntary separation incentive payment to an 
eligible employee only--
        (A) to the extent necessary to reduce or restructure the 
    positions and functions identified by the plan approved under 
    section 1102; and
        (B) if the Under Secretary concerned, or the head of the staff 
    office concerned, approves the payment of the voluntary separation 
    incentive payment to that employee.
    (2) In order to receive a voluntary separation incentive payment 
under this title, an employee must separate from service with the 
Department voluntarily (whether by retirement or resignation) under the 
provisions of this title.
    (b) Amount and Treatment of Payments.--A voluntary separation 
incentive payment--
        (1) shall be paid in a lump sum after the employee's separation 
    under this title;
        (2) shall be in an amount equal to the lesser of--
            (A) an amount equal to the amount the employee would be 
        entitled to receive under section 5595(c) of title 5, United 
        States Code, if the employee were entitled to payment under 
        that section (without adjustment for any previous payment made 
        under that section); or
            (B) an amount determined by the Secretary, not to exceed 
        $25,000;
        (3) shall not be a basis for payment, and shall not be included 
    in the computation, of any other type of Government benefit; and
        (4) shall not be taken into account in determining the amount 
    of severance pay to which an employee may be entitled under section 
    5595 of title 5, United States Code, based on any other separation.
    (c) Source of Funds.--Voluntary separation incentive payments under 
this title shall be paid from the appropriations or funds available for 
payment of the basic pay of the employees of the Department.

SEC. 1104. EFFECT OF SUBSEQUENT EMPLOYMENT WITH THE GOVERNMENT.

    (a) Repayment Upon Reemployment.--Except as provided in subsection 
(b), an individual who is paid a voluntary separation incentive payment 
under this title and who subsequently accepts employment with the 
Government within five years after the date of the separation on which 
the payment is based shall be required to repay to the Secretary, 
before the individual's first day of such employment, the entire amount 
of the voluntary separation incentive payment paid to the individual 
under this title.
    (b) Waiver Authority for Certain Individuals.--(1) If the 
employment of an individual under subsection (a) is with an Executive 
agency (as defined by section 105 of title 5, United States Code), the 
United States Postal Service, or the Postal Rate Commission, the 
Director of the Office of Personnel Management may, at the request of 
the head of such agency, waive repayment by the individual under that 
subsection if the individual possesses unique abilities and is the only 
qualified applicant available for the position.
    (2) If the employment of an individual under subsection (a) is with 
an entity in the legislative branch, the head of the entity or the 
appointing official may waive repayment by the individual under that 
subsection if the individual involved possesses unique abilities and is 
the only qualified applicant available for the position.
    (3) If the employment of an individual under subsection (a) is with 
the judicial branch, the Director of the Administrative Office of the 
United States Courts may waive repayment by the individual under that 
subsection if the individual involved possesses unique abilities and is 
the only qualified applicant available for the position.
    (c) Employment Defined.--for purposes of this section, the term 
``employment'' includes--
        (1) for purposes of subsections (a) and (b), employment of any 
    length or under any type of appointment, but does not include 
    employment that is without compensation; and
        (2) for purposes of subsection (a), employment with any agency 
    of the Government through a personal services contract.

SEC. 1105. ADDITIONAL AGENCY CONTRIBUTIONS TO CIVIL SERVICE RETIREMENT 
              AND DISABILITY FUND.

    (a) Requirement.--In addition to any other payments which it is 
required to make under subchapter III of chapter 83 or chapter 84 of 
title 5, United States Code, the Secretary shall remit to the Office of 
Personnel Management for deposit in the Treasury of the United States 
to the credit of the Civil Service Retirement and Disability Fund an 
amount equal to 26 percent of the final basic pay of each employee of 
the Department who is covered under subchapter III of chapter 83 or 
chapter 84 of title 5, United States Code, to whom a voluntary 
separation incentive is paid under this title.
    (b) Final Basic Pay Defined.--For purposes of this section, the 
term ``final basic pay'', with respect to an employee, means the total 
amount of basic pay that would be payable for a year of service by the 
employee, computed using the employee's final rate of basic pay, and, 
if last serving on other than a full-time basis, with appropriate 
adjustment therefor.

SEC. 1106. CONTINUED HEALTH INSURANCE COVERAGE.

    Section 8905a(d) of title 5, United States Code, is amended--
        (1) in paragraph (1)(A), by striking ``paragraph (4)'' and 
    inserting ``paragraphs (4) and (5)'';
        (2) in paragraph (2), by striking ``(1) or (4)'' and inserting 
    ``(1), (4), or (5)''; and
        (3) by adding at the end the following new paragraph:
    ``(5)(A) If the basis for continued coverage under this section is 
an involuntary separation from a position in or under the Department of 
Veterans Affairs due to a reduction in force or a title 38 staffing 
readjustment--
        ``(i) the individual shall be liable for not more than the 
    employee contributions referred to in paragraph (1)(A)(i); and
        ``(ii) the agency which last employed the individual shall pay 
    the remaining portion of the amount required under paragraph 
    (1)(A).
    ``(B) This paragraph shall only apply with respect to individuals 
whose continued coverage is based on a separation occurring on or after 
the date of the enactment of this paragraph.''.

SEC. 1107. PROHIBITION OF REDUCTION OF FULL-TIME EQUIVALENT EMPLOYMENT 
              LEVEL.

    (a) Prohibition.--The total full-time equivalent employment in the 
Department may not be reduced by reason of the separation of an 
employee (or any combination of employees) receiving a voluntary 
separation incentive payment under this title.
    (b) Enforcement.--The President, through the Office of Management 
and Budget, shall monitor the Department and take any action necessary 
to ensure that the requirements of this section are met.

SEC. 1108. REGULATIONS.

    The Director of the Office of Personnel Management may prescribe 
any regulations necessary to administer this title.

SEC. 1109. LIMITATION; SAVINGS CLAUSE.

    (a) Limitation.--No voluntary separation incentive payment may be 
paid under this title based on the separation of an employee after 
December 31, 2000.
    (b) Relationship to Other Authority.--This title supplements and 
does not supersede any other authority of the Secretary to pay 
voluntary separation incentive payments to employees of the Department.

SEC. 1110. ELIGIBLE EMPLOYEES.

    For purposes of this title:
        (1) In general.--Except as provided in paragraph (2), the term 
    ``eligible employee'' means an employee (as defined by section 2105 
    of title 5, United States Code) of the Department of Veterans 
    Affairs, who is serving under an appointment without time 
    limitation and has been employed by the Department as of the date 
    of separation under this title for a continuous period of at least 
    three years.
        (2) Exceptions.--Such term does not include the following:
            (A) A reemployed annuitant under subchapter III of chapter 
        83 or chapter 84 of title 5, United States Code, or another 
        retirement system for employees of the Government.
            (B) An employee having a disability on the basis of which 
        such employee is eligible for disability retirement under 
        subchapter III of chapter 83 or chapter 84 of title 5, United 
        States Code, or another retirement system for employees of the 
        Government.
            (C) An employee who is in receipt of a specific notice of 
        involuntary separation for misconduct or unacceptable 
        performance.
            (D) An employee who previously has received any voluntary 
        separation incentive payment by the Government under this title 
        or any other authority.
            (E) An employee covered by statutory reemployment rights 
        who is on transfer to another organization.
            (F) An employee who, during the 24-month period preceding 
        the date of separation, has received a recruitment or 
        relocation bonus under section 5753 of title 5, United States 
        Code, or a recruitment bonus under section 7458 of title 38, 
        United States Code.
            (G) An employee who, during the 12-month period preceding 
        the date of separation, received a retention allowance under 
        section 5754 of title 5, United States Code, or a retention 
        bonus under section 458 of title 38, United States Code.
            (H) An employee who, during the 24-month period preceding 
        the date of separation, was relocated at the expense of the 
        Federal Government.

                               Speaker of the House of Representatives.

                            Vice President of the United States and    
                                               President of the Senate.