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<bill bill-stage="Referred-in-Senate" bill-type="olc" dms-id="H26BAB08A841E4CFB8AD7304679063692" key="G" public-private="public" stage-count="1">
	<metadata xmlns:dc="http://purl.org/dc/elements/1.1/">
<dublinCore>
<dc:title>116 HR 840 : Veterans’ Access to Child Care Act</dc:title>
<dc:publisher>U.S. House of Representatives</dc:publisher>
<dc:date></dc:date>
<dc:format>text/xml</dc:format>
<dc:language>EN</dc:language>
<dc:rights>Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.</dc:rights>
</dublinCore>
</metadata>
<form>
		<distribution-code display="yes">IIB</distribution-code>
		<congress>116th CONGRESS</congress>
		<session>1st Session</session>
		<legis-num>H. R. 840</legis-num>
		<current-chamber>IN THE SENATE OF THE UNITED STATES</current-chamber>
		<action><action-date>February 11, 2019</action-date><action-desc>Received; read twice and referred to the <committee-name committee-id="SSVA00">Committee on Veterans' Affairs</committee-name></action-desc></action><legis-type>AN ACT</legis-type>
		<official-title display="yes">To amend title 38, United States Code, to direct the Secretary of Veterans Affairs to provide child
			 care assistance to veterans receiving certain medical services provided by
			 the Department of Veterans Affairs.</official-title>
	</form>
	<legis-body id="H89FA40825AFD4A6DAFA495161ED06423" style="OLC">
 <section id="HBE3A0F04F8454142B814A2E9811BE269" section-type="section-one"><enum>1.</enum><header>Short title</header><text display-inline="no-display-inline">This Act may be cited as the <quote><short-title>Veterans’ Access to Child Care Act</short-title></quote>.</text> </section><section id="H39D90F3DC0194306B101BF93F7572759"><enum>2.</enum><header>Child care assistance for veterans receiving mental health care and other intensive health care services provided by the Department of Veterans Affairs</header> <subsection id="H5E859087815042E38BC76CA2497C2B9E"><enum>(a)</enum><header>In general</header><text>Subchapter III of <external-xref legal-doc="usc-chapter" parsable-cite="usc-chapter/38/17">chapter 17</external-xref> of title 38, United States Code, is amended by adding at the end the following new section:</text>
				<quoted-block display-inline="no-display-inline" id="H4CDFAB022F9548E9B4C98301D93C5050" style="USC">
					<section id="H25B4188BFE634616844353678C645751"><enum>1730D.</enum><header>Child care assistance for veterans receiving mental health care and other intensive health care
			 services</header>
 <subsection id="HBF13F48C7CAE4B0BABBBE512734BA068"><enum>(a)</enum><header>In general</header><text display-inline="yes-display-inline">Subject to subsection (c), the Secretary shall provide child care assistance to an eligible veteran for any period that the veteran—</text>
 <paragraph id="H1E081B922B69460E8AFDCE37057DAB59"><enum>(1)</enum><text display-inline="yes-display-inline">receives covered health care services at a facility of the Department, such as a community-based outpatient clinic; and</text>
 </paragraph><paragraph id="H0867F600D33B4ADABBE3BF5CB514D882"><enum>(2)</enum><text>is required to travel to and return from such facility for the receipt of such health care services.</text>
							</paragraph></subsection><subsection id="H8201582A4ED24765BCD64140D2EF7309"><enum>(b)</enum><header>Child Care Assistance</header>
 <paragraph commented="no" display-inline="yes-display-inline" id="HA2BB6D9ED1824AEC810C574912834D92"><enum>(1)</enum><text display-inline="yes-display-inline">Subject to subsection (c), child care assistance provided under this section may include any of the following:</text>
 <subparagraph id="H070FA9A2FF6A4316A7DF4E629AC9D38A" indent="up1"><enum>(A)</enum><text display-inline="yes-display-inline">A stipend for the payment of child care offered by a licensed child care center or extended day program (either directly or through a voucher program) which shall be, to the extent practicable, modeled after the Department of Veterans Affairs Child Care Subsidy Program established pursuant to section 590 of title 40.</text>
 </subparagraph><subparagraph id="H68C1CB6EE5884EFD85E675A930BCB9B1" indent="up1"><enum>(B)</enum><text>Direct provision of child care at an on-site facility of the Department.</text> </subparagraph><subparagraph id="HE530A493359F4DEBA4FA6615106DBD1E" indent="up1"><enum>(C)</enum><text>A payment made directly to a private child care agency.</text>
 </subparagraph><subparagraph id="H49C16C21EE784EE1AA8E1F74B9B5D93B" indent="up1"><enum>(D)</enum><text>A collaboration with a facility or program of another Federal department or agency.</text> </subparagraph><subparagraph id="HC7EE3B21339F4346959B7A4BB3D567F1" indent="up1"><enum>(E)</enum><text>Such other form of assistance as the Secretary considers appropriate.</text>
 </subparagraph></paragraph><paragraph display-inline="no-display-inline" id="H932114F68F664C10BC7DEE29638E5121" indent="up1"><enum>(2)</enum><text>In the case that child care assistance under this section is provided as a stipend under paragraph (1)(A), such stipend shall cover the full cost of such child care.</text>
 </paragraph><paragraph id="H4F3224FCE833426AA4B246B7CF519665" indent="up1"><enum>(3)</enum><text display-inline="yes-display-inline">The Secretary shall establish criteria for providing child care assistance under paragraph (1) designed to ensure reasonable access to such assistance for veterans who experience any unusual or excessive burden to accessing child care services, including excessive driving distances, geographic challenges, and other environmental factors that impede such access.</text>
							</paragraph></subsection><subsection id="H618B377BF3C44C158E5B85F0ABF2CAA2"><enum>(c)</enum><header>Condition on receipt of assistance</header>
 <paragraph commented="no" display-inline="yes-display-inline" id="H6B7A3941F53949DDA0269D0524049345"><enum>(1)</enum><text>The Secretary may not provide any child care assistance under this section to an eligible veteran who is receiving covered health care services from the Department unless that eligible veteran actively participates in such services.</text>
 </paragraph><paragraph id="HC94BEAF5BAB4405A860BE7CFB1858299" indent="up1"><enum>(2)</enum><text>For purposes of this subsection, the term <quote>actively participates</quote> means, with respect to covered health care services—</text> <subparagraph id="HDA89E33E4BE447A585761AD21BD1DD74"><enum>(A)</enum><text display-inline="yes-display-inline">engaging in transit to and from appointments for such services;</text>
 </subparagraph><subparagraph id="HE27B48DC38814A7D904594CEB2A0B759"><enum>(B)</enum><text>attending appointments for such services; and</text> </subparagraph><subparagraph id="HE04B9D49E3544DDA8FE1FAA29EFE7646"><enum>(C)</enum><text>such other activities as the Secretary determines appropriate.</text>
								</subparagraph></paragraph></subsection><subsection id="H096AAB5BF0FF47A0A7BADF8186EBAA75"><enum>(d)</enum><header>Annual report</header>
 <paragraph id="HB310DB4BC20246C980B07FADEDA75220"><enum>(1)</enum><header>In general</header><text>The Secretary shall submit to Congress an annual report on the provision of child care assistance under this section. Each such report shall include, for the year covered by the report, each of the following for each of the categories of child care assistance specified in paragraph (2):</text>
 <subparagraph id="H1BC8A23F4E444656860659EAAA5DB226"><enum>(A)</enum><text display-inline="yes-display-inline">The average amount of time required by the Department to provide a payment for child care assistance.</text>
 </subparagraph><subparagraph id="H92BB6E85F36C49BFBCBC30B5FCD40FE0"><enum>(B)</enum><text>The average cost of child care assistance.</text> </subparagraph><subparagraph id="H0C236386DA8D46BC822B5E92626F40F5"><enum>(C)</enum><text>The extent to which the Department has a backlog of unprocessed claims for child care assistance.</text>
 </subparagraph><subparagraph id="H017C98A2BE244749B68FDC568C74BF6D"><enum>(D)</enum><text>The number of Department employees who worked on the processing of claims for child care assistance.</text>
 </subparagraph><subparagraph id="H3594896B7C7649D3A7E8955FF4862020"><enum>(E)</enum><text>The average amount of time required by such an employee to process such a claim.</text> </subparagraph><subparagraph id="H2D68B9920144413696DD1C8AA53F5EE1"><enum>(F)</enum><text>The number of improper or duplicative payments of child care assistance made.</text>
 </subparagraph><subparagraph id="H909F6A9B0CB54F99958BF9FD78A74D00"><enum>(G)</enum><text>The recommendations of the Secretary for improving the processing of claims for child care assistance.</text>
 </subparagraph></paragraph><paragraph id="H0447E3CDCCEA45C1B557DAC66565CCFE"><enum>(2)</enum><header>Categories of child care assistance</header><text>The categories of child care assistance specified in this paragraph are each of the following:</text> <subparagraph id="H3BA01D347C054991890996AB068C0D9D"><enum>(A)</enum><text display-inline="yes-display-inline">Direct stipends.</text>
 </subparagraph><subparagraph id="H5E12FA474A0E466582E496ABE2F03DCB"><enum>(B)</enum><text>Payments made directly to a child care agencies.</text> </subparagraph><subparagraph id="HFD6AFFE5C9184169B6322A0C18BBDDD0"><enum>(C)</enum><text>Stipends provided through a voucher program.</text>
 </subparagraph></paragraph></subsection><subsection id="H312245E94CDE468F9EA248E599F06BE5"><enum>(e)</enum><header>Outreach</header><text display-inline="yes-display-inline">The Secretary shall perform outreach to inform eligible veterans of the child care assistance available under this section.</text>
						</subsection><subsection id="HE84D751D9BC5465D9BCB744046467D4F"><enum>(f)</enum><header>Requirements; rule of construction</header>
 <paragraph commented="no" display-inline="yes-display-inline" id="H76359A91708241C681AF9DB38AE5383A"><enum>(1)</enum><text>In accordance with paragraph (2), a child care center, child care agency, or any other child care provider described in subsection (b) may not provide child care under this section if the center, agency, or provider employs an individual who has been convicted of a sex crime, an offense involving a child victim, a violent crime, a drug felony, or other offense the Secretary determines appropriate.</text>
 </paragraph><paragraph id="H5E0F2C83391249C29D4DE8979B0832E4" indent="up1"><enum>(2)</enum><text display-inline="yes-display-inline">Nothing in paragraph (1) shall supersede, nullify, or diminish any Federal or State law (including any local law or ordinance), contract, agreement, policy, plan, practice, or other matter that establishes standards and requirements for employees of child care centers, child care agencies, or other child care providers described in subsection (b) that are more restrictive than the requirements specified in paragraph (1).</text>
 </paragraph></subsection><subsection id="H6D954B777A2C40A68AAAA66F6C1062C5"><enum>(g)</enum><header>Definitions</header><text>In this section:</text> <paragraph id="HE49C10315E364C309CDB12C3B02973F2"><enum>(1)</enum><text>The term <term>eligible veteran</term> means a veteran who—</text>
 <subparagraph id="HFD5F118AD4DC4886B4C77885B0B2F8CE"><enum>(A)</enum><text>is a primary caretaker of a child or children; and</text> </subparagraph><subparagraph id="H077E43AC41644D42A0C2E87CE999F06D"><enum>(B)</enum><text>is—</text>
 <clause id="H8FB32F2225C049829F8BE2579A51668D"><enum>(i)</enum><text>receiving covered health care services from the Department; or</text> </clause><clause id="HFE2823486C704546839D0FCEDB13B25E"><enum>(ii)</enum><text>in need of covered health care services, and but for lack of child care services, would receive such covered health care services from the Department.</text>
 </clause></subparagraph></paragraph><paragraph id="HE060C031947A4FCE940735597174F02D"><enum>(2)</enum><text>The term <term>covered health care services</term> means—</text> <subparagraph id="H53C7653050D54D3FB22A641262E52D25"><enum>(A)</enum><text display-inline="yes-display-inline">regular mental health care services, including telemental health services furnished by the Department, including health care services provided as part of readjustment counseling;</text>
 </subparagraph><subparagraph id="H4850026BA96E4580BD75A92AC9B3132C"><enum>(B)</enum><text display-inline="yes-display-inline">intensive mental health care services, including telemental health services furnished by the Department, including counseling and care and services under section 1720D of this title;</text>
 </subparagraph><subparagraph id="HE6C06899A5C341118803682B0DB9E681"><enum>(C)</enum><text>health care services related to substance or drug abuse counseling;</text> </subparagraph><subparagraph id="H38E242A03F2B41EA9B2994A483A90594"><enum>(D)</enum><text display-inline="yes-display-inline">intensive health care services related to physical therapy for a service-connected disability;</text>
 </subparagraph><subparagraph id="H6DCA6AA61F1349638C40B76495CCA2C1"><enum>(E)</enum><text display-inline="yes-display-inline">emergency mental health care services; or</text> </subparagraph><subparagraph id="H30F2875B4DB74273BAA8D0C8ACB39FFE"><enum>(F)</enum><text>such other intensive health care services that the Secretary determines that provision of assistance to the veteran to obtain child care would improve access to such health care services by the veteran.</text>
 </subparagraph></paragraph><paragraph id="H6673EB1E120946CD966E304D97E96769"><enum>(3)</enum><text display-inline="yes-display-inline">The term <quote>facility of the Department</quote> includes any Vet Center.</text> </paragraph><paragraph id="H1332290FDECC49D2B6AAB7267D09D181"><enum>(4)</enum><text>The term <quote>Vet Center</quote> has the meaning given that term in section 1712A of this title.</text></paragraph></subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
 </subsection><subsection id="H7AEBF954364548C69B0877C1A529B415"><enum>(b)</enum><header>Clerical amendment</header><text>The table of sections at the beginning of such chapter is amended by inserting after the item relating to section 1730C the following new item:</text>
				<quoted-block display-inline="no-display-inline" id="H39D75647EF494833941E3DE20DA3116F" style="USC">
					<toc regeneration="no-regeneration">
						<toc-entry level="section">1730D. Child care assistance for veterans receiving mental health care and other intensive health
			 care services.</toc-entry></toc><after-quoted-block>.</after-quoted-block></quoted-block>
			</subsection><subsection id="H88530D75B12A4AD2B633597F503FECD8"><enum>(c)</enum><header>Feasibility study on child care for veterans receiving care in non-Department facilities</header>
 <paragraph id="H89FF4B0E5BC24D3A9031B44532CC50CD"><enum>(1)</enum><header>Study required</header><text>The Secretary of Veterans Affairs shall conduct a feasibility study to determine how the Department of Veterans Affairs could provide child care assistance for veterans who receive covered health care services (as such term is defined in section 1730D(c)(2) of title 38, United States Code, as added by subsection (a)) from the Department at non-Department facilities.</text>
 </paragraph><paragraph id="H56AD36F998DC43ECA92558FDEF1638E4"><enum>(2)</enum><header>Submission to Congress</header><text>Not later than one year 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 containing the results of the study required to be conducted under paragraph (1).</text>
 </paragraph></subsection><subsection id="H41DAED5D3F6744DA9202F26581F2E4DE"><enum>(d)</enum><header>Public notice</header><text display-inline="yes-display-inline">After the enactment of this Act, the Secretary shall make publicly available on a Department website notice of the child care assistance benefit under section 1730D of title 38, United States Code, as added by subsection (a). Such notice shall be easily accessible and visible and shall include a description of the expanded and cost-free child care assistance for veterans, eligibility requirements, and any additional information the Secretary determines necessary.</text>
 </subsection><subsection id="HF7A96C00323C4EF190AF6E5C68143FC9"><enum>(e)</enum><header>Report to Congress</header><text display-inline="yes-display-inline">Not later than 18 months after the date of the enactment of this Act, the Secretary of Veterans Affairs shall submit to Congress a report on the effectiveness and accessibility of the child care assistance provided under section 1710D of title 38, United States Code, as added by this section, for eligible individuals who reside in rural and highly rural areas.</text>
 </subsection><subsection id="HC213F474A3844E498BEE56677E065D35"><enum>(f)</enum><header>Authority to consult with Secretary of Defense</header><text display-inline="yes-display-inline">In implementing section 1730D of title 38, United States Code, as added by subsection (a), the Secretary of Veterans Affairs may consult with the Secretary of Defense.</text>
			</subsection></section><section id="HF16A0F6C1AE6475EA9E8ACFA85AF7E27"><enum>3.</enum><header>Study on effects of child care assistance</header>
 <subsection id="H35E0A22E950749F7B9D0D7EA577991C3"><enum>(a)</enum><header>Study required</header><text display-inline="yes-display-inline">Not later than one year after the date of the enactment of this Act, the Secretary of Veterans Affairs shall conduct a study of the effects of the child care assistance provided under section 2 on access to covered health care services, as that term is defined in that section, and on compliance with treatment protocols.</text>
 </subsection><subsection id="H31DF9025C4DB446F869952FD9113C1DD"><enum>(b)</enum><header>Report</header><text display-inline="yes-display-inline">Not later than 18 months after the date of the enactment of this Act, the Secretary of Veterans Affairs shall submit a report to Congress regarding the study required under subsection (a).</text>
			</subsection></section><section id="HED79045E24BE4D83BC2D0A8E3ADA2810"><enum>4.</enum><header>Report required</header>
 <subsection id="HB19D9BCB0E744DC0A19272F27E468DC7"><enum>(a)</enum><header>Annual report</header><text display-inline="yes-display-inline">Beginning in the first fiscal year following the enactment of this Act, the Secretary of Veterans Affairs shall submit, as part of the annual budget request document for the Department of Veterans Affairs, a report regarding eligible veterans who received child care assistance under section 2 during the immediately preceding fiscal year. Each such report shall include the following:</text>
 <paragraph id="H043C995C9BDC4F62A264779D5B43A2AE"><enum>(1)</enum><text display-inline="yes-display-inline">The number of such eligible veterans in each region of the Veterans Health Administration.</text> </paragraph><paragraph id="HBDBC53F963E348358CDFD409070CB980"><enum>(2)</enum><text display-inline="yes-display-inline">If feasible, the number of such eligible veterans per facility of the Department.</text>
 </paragraph><paragraph id="H2E361C9469EF49589EA69AFB76F58ABD"><enum>(3)</enum><text display-inline="yes-display-inline">The amount of funding for such assistance made available by the Secretary—</text> <subparagraph id="H7C6018B7E91E4FEDB427D227931A13DA"><enum>(A)</enum><text display-inline="yes-display-inline">for each region of the Veterans Health Administration; and</text>
 </subparagraph><subparagraph id="HDD09089D00B1436BAA3F87B330F92BDA"><enum>(B)</enum><text display-inline="yes-display-inline">for each type of assistance specified in subsection (b) of such section.</text> </subparagraph></paragraph><paragraph id="H738157CDDB5244109BEB1C9B0ED4F374"><enum>(4)</enum><text>Findings regarding—</text>
 <subparagraph id="HA72C40255AFE47C5813162E2D9D9F3B5"><enum>(A)</enum><text>challenges in providing such assistance;</text> </subparagraph><subparagraph id="HF6F28A369F174CB89DBBAC274E975176"><enum>(B)</enum><text>child care not covered by such assistance; and</text>
 </subparagraph><subparagraph id="H20006AF8ABA54B08B26C68E79A04B57D"><enum>(C)</enum><text>recommendations to improve such assistance.</text> </subparagraph></paragraph></subsection><subsection id="H5B4D36AF311C41FFA2493C6B03BA4FFC"><enum>(b)</enum><header>Biennial supplement</header><text display-inline="yes-display-inline">Not less than once every two years, the report under subsection (a) shall include a supplement regarding the following:</text>
 <paragraph id="H7E253B502F39472B987A5E0967DE1C17"><enum>(1)</enum><text>Other challenges regarding child care services that prevent veterans from receiving covered health care services under section 2.</text>
 </paragraph><paragraph id="H47F86F6FBA5E49C2893C0CFD0B87CB19"><enum>(2)</enum><text>Plans of the Secretary to address challenges identified under paragraph (1).</text> </paragraph><paragraph id="HFD4E62DCD9FB4B3A94EB17861CE4BA69"><enum>(3)</enum><text>An assessment of the extent to which lack of education by the Department or awareness by veterans of the assistance under section 2 contributes to a lack of use of such assistance.</text>
				</paragraph></subsection></section></legis-body>
	<attestation><attestation-group><attestation-date chamber="House" date="20190208">Passed the House of Representatives February 8, 2019.</attestation-date><attestor display="yes">Karen L. Haas,</attestor><role>Clerk.</role></attestation-group></attestation>
</bill>


