[House Report 118-938]
[From the U.S. Government Publishing Office]


118th Congress    }                                 {    Rept. 118-938
                        HOUSE OF REPRESENTATIVES
 2d Session       }                                 {           Part 1

======================================================================



 
TO ENSURE THAT CERTAIN MEMBERS OF THE ARMED FORCES WHO SERVED IN FEMALE 
     CULTURAL SUPPORT TEAMS RECEIVE PROPER CREDIT FOR SUCH SERVICE

                                _______
                                

               December 19, 2024.--Ordered to be printed

                                _______
                                

   Mr. Bost, from the Committee on Veterans' Affairs, submitted the 
                               following

                              R E P O R T

                        [To accompany H.R. 1753]

      [Including cost estimate of the Congressional Budget Office]

    The Committee on Veterans' Affairs, to whom was referred 
the bill (H.R. 1753) to ensure that certain members of the 
Armed Forces who served in female cultural support teams 
receive proper credit for such service, having considered the 
same, reports favorably thereon with an amendment and 
recommends that the bill as amended do pass.

                                CONTENTS

                                                                   Page
Amendment........................................................     2
Purpose and Summary..............................................     3
Background and Need for Legislation..............................     3
Hearings.........................................................     5
Subcommittee Consideration.......................................     6
Committee Consideration..........................................     6
Committee Votes..................................................     7
Committee Oversight Findings.....................................     9
Statement of General Performance Goals and Objectives............     9
Earmarks and Tax and Tariff Benefits.............................     9
Committee Cost Estimate..........................................     9
Budget Authority and Congressional Budget Office Estimate........     9
Federal Mandates Statement.......................................    14
Advisory Committee Statement.....................................    14
Applicability to Legislative Branch..............................    14
Statement on Duplication of Federal Programs.....................    14
Section-by-Section Analysis of the Legislation...................    14
Changes in Existing Law Made by the Bill as Reported.............    15

    The amendment is as follows:
    Strike all after the enacting clause and insert the 
following:

SECTION 1. CREDIT FOR CERTAIN MEMBERS OF THE ARMED FORCES WHO SERVED IN 
                    FEMALE CULTURAL SUPPORT TEAMS.

  (a) Military Service: Records; Calculation of Retired Pay.--Not later 
than one year after the date of the enactment of this Act, the 
Secretary concerned shall ensure that the performance of covered 
service is included in--
          (1) the military service record of each individual who 
        performed covered service; and
          (2) the computation of retired pay for each individual who 
        performed covered service.
  (b) Claims for Veterans Benefits Arising From Covered Service.--
          (1) Determination of service connection.--Upon the filing of 
        a claim by an individual for service-connected disability or 
        death incurred or aggravated in the course of covered service, 
        the Secretary of Veterans Affairs shall determine whether such 
        disability or death was service-connected.
          (2) Treatment of covered service.--In the consideration of a 
        claim under this subsection, the Secretary shall treat covered 
        service as engagement in combat with the enemy in the course of 
        active military, naval, air, or space service.
          (3) Effective date of award.--Except as provided by 
        subparagraph (B), the effective date of an award under this 
        subsection shall be determined in accordance with section 5110 
        of title 38, United States Code.
          (4) Processing of claims.--The Secretary of Veterans Affairs, 
        in consultation with the Secretary of Defense, shall improve 
        training and guidance for employees who may process a claim 
        under this subsection.
          (5) Outreach.--The Secretary shall conduct outreach to inform 
        individuals who performed covered service (and survivors of 
        such individuals) that they may submit supplemental claims for 
        service-connected disability or death incurred or aggravated in 
        the course of covered service. Such outreach shall include the 
        following:
                  (A) The Secretary shall publish on the internet 
                website of the Department a notice that such 
                individuals may elect to file a supplemental claim.
                  (B) The Secretary shall notify, in writing or by 
                electronic means, veterans service organizations of the 
                ability of such individuals to file a supplemental 
                claim.
  (c) Study and Report on Certain Members of the Armed Forces.--
          (1) Study.--The Secretary of Defense, in collaboration with 
        the Secretary of Veterans Affairs, shall conduct a study to 
        identify the size and number of groups of individuals who--
                  (A) performed service as a member of the Armed Forces 
                that the Secretary of Defense and Secretary of Veterans 
                Affairs determine is substantially similar to covered 
                service; and
                  (B) have a military service record that does not 
                include such service as a member of the Armed Forces.
          (2) Report.--Not later than one year after the date of the 
        enactment of this Act, the Secretary of Defense and the 
        Secretary of Veterans Affairs shall submit to Congress a report 
        that includes the findings of the study under paragraph (1).
  (d) Definitions.--In this section:
          (1) The term ``covered service'' means service--
                  (A) as a member of the Armed Forces;
                  (B) in a female cultural support team;
                  (C) with the personnel development skill identifier 
                of R2J or 5DK; and
                  (D) during the period beginning on January 1, 2010, 
                and ending on August 31, 2021.
          (2) The terms ``active military, naval, air, or space 
        service'' and ``service-connected'' have the meanings given 
        such terms in section 101 of title 38, United States Code.
          (3) The term ``Secretary concerned'' has the meaning given 
        such term in section 101 of title 10, United States Code.

SEC. 2. REPORT ON CERTAIN CLAIMS FOR SERVICE-CONNECTED DISABILITY.

  (a) Report Required.--Not later than one year 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 regarding covered claims. Such report shall 
include the numbers of covered claims, disaggregated by gender of the 
claimant and whether the military service record of the claimant 
includes a combat identifier, that, respectively--
          (1) were submitted;
          (2) were granted;
          (3) were denied;
          (4) were unresolved; or
          (5) were appealed.
  (b) Definitions.--In this section:
          (1) The term ``covered claim'' means a claim--
                  (A) for service-connected disability;
                  (B) on the basis of post-traumatic stress disorder or 
                traumatic brain injury; and
                  (C) submitted to the Secretary of Veterans Affairs on 
                or after January 1, 1990.
          (2) The term ``service-connected'' has the meaning given such 
        term in section 101 of title 38, United States Code.

SEC. 3. MODIFICATION OF CERTAIN HOUSING LOAN FEES.

  The loan fee table in section 3729(b)(2) of title 38, United States 
Code, is amended by striking ``November 15, 2031'' each place it 
appears and inserting ``December 3, 2031''.

                          Purpose and Summary

    Page H.R. 1753, ``To ensure that certain members of the 
Armed Forces who served in female cultural support teams 
receive proper credit for such service,'' was introduced by 
Rep. Darrell E. Issa of California on March 23, 2023.
    This bill, as amended, would require the Department of 
Defense (DoD) to update military service records and 
computation of retired pay to reflect the performance of female 
veterans who served on a cultural support team (CST). This 
bill, as amended, would also require the Department of Veterans 
Affairs (VA) to treat CST service as service in combat in 
claims for disability compensation filed by such female 
veterans. This bill would also require VA, in consultation with 
DoD, to improve training and guidance for VA employees 
processing such claims and require VA to conduct outreach to 
such CST veterans about the opportunity to submit supplemental 
claims for disability compensation. The bill, as amended, would 
also require DoD and VA to conduct a study, and report the 
results of such study to Congress, on veterans with service 
similar to CST service. It would also require VA to report to 
Congress information on claims for service-connected disability 
compensation based on posttraumatic stress disorder (PTSD) or 
traumatic brain injury (TBI) submitted on or after January 1, 
1990, including the disposition of such claims. Finally, the 
bill, as amended, would provide an offset for the cost of these 
program changes by extending current rates for VA home loan 
funding fees.

                  Background and Need for Legislation


Section 1: Credit for Certain Members of the Armed Forces Who Served in 
        Female Cultural Support Teams

    CSTs were comprised of female soldiers serving during the 
Global War on Terror who deployed with special operations 
forces from 2010 to 2021. These women engaged and communicated 
with the female population in combat zones because it was 
culturally inappropriate for the male soldiers to engage with 
the Afghani and Iraqi women. These women therefore served in 
combat zones alongside male special operations teams before 
2013, when DoD lifted the ban on women serving in combat.\1\ 
After separation from military service, these women sought 
treatment for conditions such as PTSD and TBI. However, because 
of DoD's prior ban on women serving in combat and because these 
veterans' service records did not reflect combat service, VA 
does not recognize female servicemembers who served on CSTs as 
having served in combat for purposes of their claims for VA 
disability compensation. As a result, these female veterans are 
not entitled to the relaxed standard of proof in claims for 
disability compensation based on combat service under 38 U.S.C. 
Sec. 1154(b) and 38 C.F.R. Sec. 3.304(f), thereby making it 
more difficult for them to receive an award of service-
connected disability compensation. The Committee also 
understands that there may be other groups of female 
servicemembers who served in combat conditions who, like CST 
members, have not been recognized by DoD and VA as having 
served in combat.\2\
---------------------------------------------------------------------------
    \1\Statement for the Record for November 8, 2024 Subcommittee on 
Disability Assistance and Memorial Affairs Legislative Hearing, Special 
Operations Association of America (October 20, 2023), https://
docs.house.gov/meetings/VR/VR09/20231108/116450/HHRG-118-VR09-20231108-
SD007.pdf.
    \2\Statement for the Record for November 8, 2024 Subcommittee on 
Disability Assistance and Memorial Affairs Legislative Hearing, Service 
Women's Action Network (October 24, 2023), https://docs.house.gov/
meetings/VR/VR09/20231108/116450/HHRG-118-VR09-20231108-SD008.pdf.
---------------------------------------------------------------------------
    To address these issues, this section would ensure that 
female CST members' military service records and retired pay 
computation reflect their performance of service in a CST. This 
section would also require VA to treat CST service as service 
as engagement in combat when making decisions on claims for 
service-connected disability compensation. As a result, VA 
would be required to afford female CST members the relaxed 
standard of proof in claims based on combat service. This 
section would also ensure that female CST members whose claims 
were previously denied are notified of the opportunity to 
resubmit claims for disability compensation. This section would 
also require DoD, in collaboration with VA, to study and report 
to Congress what other female servicemember groups engaged in 
service substantially similar to CST service and whose military 
service records do not reflect such service.
    The Committee believes that this section is important 
because it would acknowledge the contributions and sacrifices 
of female servicemembers who served on CSTs in a combat zone, 
and it would improve their access to VA benefits for 
disabilities that they developed as a result of their combat-
related military service. This section would also ensure that 
there is available data for Congress to consider before 
enacting any future recognition of combat service on the part 
of other female military units who served under conditions 
similar to CST members.

Section 2: Report on Certain Claims for Service-Connected Disability

    The Committee understands that it may be more difficult for 
female veterans with TBI and PTSD to receive awards of VA 
disability compensation compared to male veterans, including 
male veterans with confirmed combat service. This section would 
VA to submit a report to Congress on claims for service 
connection for PTSD or TBI that were submitted to VA on or 
after January 1, 1990, disaggregated by gender of claimant, 
whether the claimant's military service record included a 
combat identifier, and the disposition of such claims. The 
Committee believes that this data is important for Congress to 
assess whether there is a need for further action to ensure 
that female veterans have access to the disability compensation 
benefits they have earned in exchange for their service.

Section 3: Modification of Certain Housing Loan Fees

    Under current law, veterans who take advantage of the VA 
Home Loan Program pay a small fee that can be rolled into their 
monthly mortgage payments. This section would cover the costs 
of the other section of this bill by extending the current 
rates for VA home loan funding fees by roughly two weeks to 
December 3, 2031. Extending the funding fee increases a 
veteran's monthly cost by about $5 on top of the monthly 
mortgage. Disabled veterans do not pay the funding fee and 
would not be affected by this extension of the home loan fees. 
The Committee believes this short-term extension of current 
funding fee rates is a reasonable way to cover the costs 
associated with the other sections of this bill.

                                Hearings

    On November 8, 2023, the Subcommittee on Disability 
Assistance and Memorial Affairs held a legislative hearing on 
H.R. 1753 and other bills that were pending before the 
subcommittee.
          The following witnesses testified:
          The Honorable Morgan Luttrell, U.S. House of 
        Representatives; The Honorable Mike Bost, U.S. House of 
        Representatives; The Honorable Elissa Slotkin, U.S. 
        House of Representatives; The Honorable Juan Ciscomani, 
        U.S. House of Representatives; The Honorable Abigail 
        Davis Spanberger, U.S. House of Representatives; The 
        Honorable Keith Self, U.S. House of Representatives; 
        The Honorable David J. Trone, U.S. House of 
        Representatives; The Honorable Darrell Issa, U.S. House 
        of Representatives; Ms. Beth Murphy, Executive 
        Director, Compensation Service, Veterans Benefits 
        Administration, U.S. Department of Veterans Affairs; 
        Mr. Kevin Friel, Deputy Director, Pension & Fiduciary 
        Service, Veterans Benefits Administration, U.S. 
        Department of Veterans Affairs; Mr. Kenneth Arnold, 
        Vice Chairman, Board of Veterans' Appeals, U.S. 
        Department of Veterans Affairs; Mr. Shane Liermann, 
        Deputy National Legislative Director, Disabled American 
        Veterans (DAV); Ms. Quandrea N. Patterson, Associate 
        Director, Veterans of Foreign Wars of the United States 
        (VFW); and Mr. Zachary M. Stolz, Partner, Chisholm, 
        Chisholm, & Kilpatrick LTD.
          The following individuals and organizations submitted 
        statements for the record:
          The Honorable Gerald E. Connolly, U.S. House of 
        Representatives; The ALS Association; American Veterans 
        (AMVETS); National Organization of Veterans' Advocates 
        (NOVA); Paralyzed Veterans of America (PVA); Quality. 
        Timeliness. Customer Service (QTC); Special Operations 
        Association of America; Service Women's Action Network, 
        and Military Veterans Advocacy.

                       Subcommittee Consideration

    On November 29, 2023, the Subcommittee on Disability 
Assistance and Memorial Affairs held a markup on proposed 
legislation, including H.R. 1753. During the consideration of 
the bill, the following amendments were considered:
          An amendment in the nature of a substitute to H.R. 
        1753 was offered by Representative Ciscomani to strike 
        the bill's findings and the exceptions to the current 
        statutory rules under 38 U.S.C. Sec. 5110 for the 
        assignment of effective dates of awards. The amendment 
        in the nature of a substitute would also require DoD 
        and VA to conduct a study, and report the findings of 
        such study to Congress, on the size and number of 
        groups of individuals who fall into substantially 
        similar categories of female soldiers covered under the 
        bill. The amendment was agreed to by voice vote.
          An amendment to the amendment in the nature of a 
        substitute to H.R. 1753 was offered by Ranking Member 
        Pappas to expand the population covered by the bill to 
        any female soldier who served on a lioness team, served 
        on a female engagement team, or performed functions 
        similar to the functions authorized by the personnel 
        development skill identifier of R2J or 5DK, during the 
        period from January 1, 2003 to August 31, 2021. The 
        amendment was not agreed to by a voice vote.
          An amendment to the amendment in the nature of a 
        substitute to H.R. 1753 was offered by Rep. Ramirez to 
        require VA to submit a report to Congress on claims for 
        service connection for PTSD or TBI that were submitted 
        to VA on or after January 1, 1990, disaggregated by 
        gender of claimant, whether the claimant's military 
        service record included a combat identifier, and the 
        disposition of such claims. The amendment was agreed to 
        by a voice vote.
    A motion made by Ranking Member Pappas to favorably forward 
H.R. 1753, as amended, to the Full Committee was agreed to by 
voice vote.

                        Committee Consideration

    On December 5, 2023, the Full Committee met in open markup 
session, a quorum being present, and ordered H.R. 1753, as 
amended, be reported favorably to the House of Representatives 
by voice vote. During consideration of the bill, the following 
amendments were considered:
          An amendment in the nature of a substitute offered by 
        Chairman Bost extended the current rates for VA home 
        loan funding fees to pay for mandatory and 
        discretionary costs. The amendment was agreed to by a 
        voice vote.
          An amendment to the amendment in the nature of a 
        substitute to H.R. 1753, was offered by Ranking Member 
        Takano to expand the population covered by the bill to 
        any female soldier who served in combat, served under 
        the threat of enemy fire, or performed functions 
        similar to the functions authorized by the personnel 
        development skill identifier of R2J or 5DK, during the 
        period from January 1, 1990 to August 31, 2021. The 
        amendment was not agreed to by a recorded vote of 11 
        yeas and 13 nays.
    A motion by Ranking Member Takano to report H.R. 1753, as 
amended, favorably to the House of Representatives was agreed 
to by voice vote.

                            Committee Votes

    Clause 3(b) of rule XIII of the Rules of the House of 
Representatives requires the Committee to list the recorded 
votes on the motion to report the legislation and amendments 
thereto.
    An amendment to the amendment in the nature of a substitute 
to H.R. 1753 offered by Ranking Member Takano was not agreed to 
by a recorded vote of 11 yeas and 13 nays. The names of Members 
voting for and against follow:

    [GRAPHIC(S) NOT AVAILABLE IN TIFF FORMAT]

                      Committee Oversight Findings

    In compliance with clause 3(c)(1) of rule XIII and clause 
(2)(b)(1) of rule X of the Rules of the House of 
Representatives, the Committee's oversight findings and 
recommendations are reflected in the descriptive portions of 
this report.

         Statement of General Performance Goals and Objectives

    In accordance with clause 3(c)(4) of rule XIII of the Rules 
of the House of Representatives, the Committee's performance 
goals and objectives of H.R. 1753, as amended, are to ensure 
that female veterans who served under combat conditions have 
the benefit of the same eligibility criteria for disability 
compensation as male veterans who served in combat.

                  Earmarks and Tax and Tariff Benefits

    H.R. 1753, as amended, does not contain any Congressional 
earmarks, limited tax benefits, or limited tariff benefits as 
defined in clause 9 of rule XXI of the Rules of the House of 
Representatives.

                        Committee Cost Estimate

    The Committee adopts as its own the Congressional Budget 
Office cost estimate on this measure.

     Budget Authority and Congressional Budget Office Cost Estimate

    [GRAPHIC(S) NOT AVAILABLE IN TIFF FORMAT]


    The bill would:
           Increase disability payments from the 
        Department of Veterans Affairs (VA) by making it easier 
        for certain veterans to establish that their conditions 
        were caused by service in combat
           Provide additional health care for veterans 
        whose disabilities were determined to be caused by 
        service in combat
           Extend the higher rates for fees that VA 
        charges borrowers for home loan guarantees
           Require reports to the Congress
    Estimated budgetary effects would mainly stem from:
           Increasing disability compensation payments 
        to certain veterans with service in combat
           Increasing health care usage by veterans 
        with service in combat
           Extending the higher rates for fees charged 
        by VA for home loan guarantees
    Areas of significant uncertainty include:
           Estimating the number of veterans that would 
        apply for and receive additional benefits
    Bill summary: H.R. 1753 would increase disability 
compensation benefits from the Department of Veterans Affairs 
(VA) for veterans who served in cultural support teams from 
January 1, 2010, through August 31, 2021, and increase VA 
health care benefits for some of those veterans. The bill would 
increase the fees that borrowers pay for VA's home loan 
guarantees in 2032. The bill also would require VA and the 
Department of Defense (DoD) to report to the Congress.
    Estimated Federal cost: The estimated budgetary effects of 
H.R. 1753 are shown in Table 1. The costs of the legislation 
fall within budget function 700 (veterans benefits and 
services).

                                                   TABLE 1.--ESTIMATED BUDGETARY EFFECTS OF H.R. 1753
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                By fiscal year, millions of dollars--
                                           -------------------------------------------------------------------------------------------------------------
                                             2024    2025    2026    2027    2028    2029    2030    2031    2032    2033    2034   2024-2029  2024-2034
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                      INCREASES OR DECREASES (-) IN DIRECT SPENDING
 
Estimated Budget Authority................       0       1       2       2       2       2       3       2     -26       2       2         9         -8
Estimated Outlays.........................       0       1       2       2       2       2       3       2     -26       2       2         9         -8
 
                                                     INCREASES IN SPENDING SUBJECT TO APPROPRIATION
 
Estimated Authorization...................       0       *       *       1       1       *       *       *       1       1       1         2          5
Estimated Outlays.........................       0       *       *       1       1       *       *       *       1       1       1         2          5
--------------------------------------------------------------------------------------------------------------------------------------------------------
* = between zero and $500,000.

    Basis of estimate: For this estimate, CBO assumes that H.R. 
1753 will be enacted in fiscal year 2024 and that increases in 
disability compensation will begin in 2025. CBO estimates that 
outlays will follow historical spending patterns for affected 
provisions.
    Direct spending: H.R. 1753 would increase disability 
compensation benefits for certain veterans. Some of those 
veterans also would receive more health care from VA, a portion 
of which would be paid from the Toxic Exposures Fund (TEF), a 
mandatory appropriation. The bill also would modify the fees 
that VA charges borrowers for its home loan guarantees. CBO 
estimates that H.R. 1753 would, on net, reduce direct spending 
by $8 million over the 2024-2034 period (see Table 2).

                                             TABLE 2.--ESTIMATED CHANGES IN DIRECT SPENDING UNDER H.R. 1753
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                    By fiscal year, millions of dollars--
                                                    ----------------------------------------------------------------------------------------------------
                                                      2024   2025   2026   2027   2028   2029   2030   2031    2032    2033   2034  2024-2029  2024-2034
--------------------------------------------------------------------------------------------------------------------------------------------------------
Disability Compensation:
    Budget Authority...............................      0      1      2      2      2      2      2      2        2      2      2         9         19
    Estimated Outlays..............................      0      1      2      2      2      2      2      2        2      2      2         9         19
Health Care:
    Estimated Budget Authority.....................      0      *      *      *      *      *      1      *        *      *      *         *          1
    Estimated Outlays..............................      0      *      *      *      *      *      1      *        *      *      *         *          1
Home Loan Fees:
    Budget Authority...............................      0      0      0      0      0      0      0      0      -28      0      0         0        -28
Estimated Outlays                                        0      0      0      0      0      0      0      0      -28      0      0         0        -28
    Total Changes:
        Budget Authority...........................      0      1      2      2      2      2      3      2      -26      2      2         9         -8
        Estimated Outlays..........................      0      1      2      2      2      2      3      2      -26      2      2         9         -8
--------------------------------------------------------------------------------------------------------------------------------------------------------
* = between zero and $500,000.


    Disability Compensation. H.R. 1753 would reduce the 
standards of evidence required for certain veterans to qualify 
for disability compensation from VA.\1\ Disability compensation 
is paid from mandatory appropriations.
---------------------------------------------------------------------------
    \1\Disability compensation is a monthly cash benefit paid to 
veterans who have disabilities or diseases that VA determines are 
connected to their military service. VA assigns a disability rating to 
veterans depending on the severity of their condition. The ratings 
range from zero to 100 percent and increase in increments of 10 
percent; veterans with higher ratings receive more compensation.
---------------------------------------------------------------------------
    Under the bill, veterans who served in cultural support 
teams from January 1, 2010, through August 31, 2021, and who 
have certain skills certified in their military records would 
benefit from a lower standard of evidence required on certain 
disability claims. Although those teams worked closely with 
combat units to facilitate interactions with women and children 
at locations in the Middle East and North Africa, DoD did not 
designate them as combat units. According to public 
information, 310 female service members were assigned to those 
teams. Under H.R. 1753, their service would be considered 
service in engagement in combat with the enemy.
    To receive disability compensation, veterans generally must 
establish that they have a current disability, that the 
disability was incurred or aggravated during service, and that 
there is a medical link between the current disability and an 
injury or disease that occurred during service. For most 
veterans, evidence such as military service records, medical 
records from their time in service, or other similar sources 
can support a claim that a current disability occurred during 
service.
    Veterans with combat service can use a lower standard of 
evidence to establish that a current disability occurred during 
service. Significantly, lay evidence (for example, statements 
from fellow service members) that the disability was incurred 
during combat service may be sufficient to support a claim for 
disability compensation, even if there is no other record of an 
event. (Lay evidence is generally accepted by VA but is not 
sufficient to establish that a disability is connected to 
military service for veterans who did not serve in combat.) 
H.R. 1753 would allow veterans who served in a cultural support 
team to benefit from the reduced evidentiary standard to 
qualify for disability compensation.
    CBO used information about other veterans of the Gulf War 
era to estimate the bill's effect on benefits for eligible 
veterans. Of the 310 veterans who served on cultural support 
teams, CBO expects that half, or 155 veterans, would apply for 
and receive new or increased disability compensation. CBO 
estimates that beginning in 2025, about 45 percent, or 70 
veterans, would newly receive disability compensation and the 
other 85 would receive an increase in the compensation they get 
under current law.
    CBO estimates that annual compensation for each newly 
eligible veteran would average $16,000 and that the increase 
for veterans who currently receive compensation would average 
$13,000. In total, enacting the provision would increase direct 
spending by $19 million over the 2024-2034 period, CBO 
estimates.
    Health Care. Under the bill, some veterans who served in 
cultural support teams would receive new disability ratings, 
some of whom would receive additional VA health care benefits. 
Under current law, veterans who enroll in VA's health care 
system are assigned to priority groups using criteria that 
include whether they have service-connected disabilities and 
the severity of those disabilities. Veterans without service-
connected disabilities also can receive VA health care 
benefits, depending on their income.
    Assignment to a priority group affects access to health 
care and is used to determine out-of- pocket costs. Veterans 
with service-connected disabilities receive the highest 
priority for medical treatment. VA's costs to provide care are 
higher for veterans in higher priority groups, and those 
veterans pay less out of pocket--or pay nothing at all. Some 
also can receive additional benefits, such as transportation 
subsidies for medical appointments. Veterans in the highest 
priority groups are more likely than those in lower groups to 
enroll in and use VA health benefits and services.
    CBO estimates that about 50 of the 70 veterans with new 
disability ratings would newly enroll and that, on average, the 
annual cost for each veteran's health care would total $9,000. 
The cost for another 20 veterans who already are enrolled would 
increase by $6,000, on average, above the cost under current 
law. CBO estimates that enacting the bill would increase 
spending for VA health care by $6 million over the 2024-2034 
period. (CBO anticipates that the cost of VA health care would 
not change significantly for some veterans who would receive 
higher disability ratings as a result of the bill.)
    Some veterans who would receive additional health care from 
VA have been exposed to environmental hazards. Thus, CBO 
expects that some of the costs of their care would be paid from 
the Toxic Exposures Fund, a mandatory appropriation that VA 
uses to pay for health care, disability claims processing, 
medical research, and information technology modernization that 
benefit veterans who were exposed to environmental hazards. 
Additional spending from the TEF occurs if legislation 
increases the costs of similar activities that benefit veterans 
with such exposure. Enacting the bill thus would increase 
amounts paid from the TEF, which are classified as direct 
spending.
    In CBO's baseline projections, the portion of health care 
costs paid from the TEF averages 20 percent over the 2024-2034 
period. Using that average, CBO estimates that $1 million of 
the $6 million in additional health care spending under the 
bill would be paid from the TEF. The remainder would be paid 
from discretionary appropriations, which are discussed below in 
``Spending Subject to Appropriation.''
    Home Loan Fees. H.R. 1753 would increase the fees that VA 
charges borrowers for its loan guarantees. VA provides loan 
guarantees to lenders that allow eligible borrowers to obtain 
better loan terms--such as lower interest rates or smaller down 
payments--to purchase, construct, improve, or refinance a home. 
VA typically pays lenders up to 25 percent of the outstanding 
mortgage balance if a borrower's home is foreclosed upon. Those 
payments, net of fees paid by borrowers and recoveries by 
lenders, constitute the subsidy cost for the loan 
guarantees.\2\ Those costs are recorded in the budget as direct 
spending.
---------------------------------------------------------------------------
    \2\Under the Federal Credit Reform Act of 1990, the subsidy cost of 
a loan guarantee is the net present value of estimated payments by the 
government to cover defaults and delinquencies, interest subsidies, or 
other expenses offset by any payments to the government, including 
origination or other fees, penalties, and recoveries on defaulted 
loans. Such subsidy costs are calculated by discounting those expected 
cash flows using the rate on Treasury securities of comparable 
maturity. The resulting estimated subsidy costs are recorded in the 
budget when the loans are disbursed or modified. A positive subsidy 
indicates that the loan results in net outlays from the Treasury; a 
negative subsidy indicates that the loan results in net receipts to the 
Treasury.
---------------------------------------------------------------------------
    Under current law, the rates for most of the fees that 
borrowers pay to VA for loans guaranteed after November 15, 
2031, will drop from a weighted average of about 2.3 percent to 
about 1.2 percent of the loan amount. The bill would extend the 
higher rates through December 3, 2031, thereby reducing the 
subsidy cost of loans guaranteed during that period. Using its 
forecast of loan volume based on data provided by VA, CBO 
estimates that extending the higher rates would decrease direct 
spending by $28 million over the 2024-2034 period.
    Spending subject to appropriation: Health care costs and 
reporting requirements associated with H.R. 1753 would increase 
spending subject to appropriation by $5 million over the 2024-
2034 period, CBO estimates (see Table 1). Such spending would 
be subject to the availability of appropriated funds.
    As discussed above in ``Direct Spending,'' some 
beneficiaries who would receive disability compensation because 
of the bill also would receive additional health care from VA. 
Using cost allocations in CBO's baseline projections, about 80 
percent that spending--or $5 million--would be subject to 
appropriation.
    H.R. 1753 would require VA and DoD to report to the 
Congress on the number of people who served in cultural support 
teams. VA also would be required to report on the number of 
those veterans who have applied for and received disability 
compensation. Based on the cost of similar activities, CBO 
estimates that satisfying those requirements would cost less 
than $500,000 over the 2024-2034 period.
    Uncertainty: CBO's estimate of the bill's costs is subject 
to uncertainty about the number of veterans who would apply for 
and receive disability compensation under the lower evidentiary 
standards. If more or fewer veterans become eligible than CBO 
expects, costs could be higher or lower than CBO estimates.
    Pay-As-You-Go considerations: The Statutory Pay-As-You-Go 
Act of 2010 establishes budget-reporting and enforcement 
procedures for legislation affecting direct spending or 
revenues. The net changes in outlays that are subject to those 
pay-as-you-go procedures are shown in Table 1.
    Increase in long-term net direct spending and deficits: CBO 
estimates that enacting H.R. 1753 would not increase net direct 
spending by more than $2.5 billion in any of the four 
consecutive 10-year periods beginning in 2035.
    CBO estimates that enacting H.R. 1753 would not increase 
on-budget deficits by more than $5 billion in any of the four 
consecutive 10-year periods beginning in 2035.
    Mandates: The bill contains no intergovernmental or 
private-sector mandates as defined in the Unfunded Mandates 
Reform Act.
    Estimate prepared by: Federal Costs: Paul B. A. Holland 
(for home loans); Logan Smith (for disability compensation); 
David Newman (for health care). Mandates: Grace Watson.
    Estimate reviewed by: David Newman, Chief, Defense, 
International Affairs, and Veterans' Affairs Cost Estimates 
Unit; Kathleen FitzGerald, Chief, Public and Private Mandates 
Unit; Christina Hawley Anthony, Deputy Director of Budget 
Analysis.
    Estimate approved by: Phillip L. Swagel, Director, 
Congressional Budget Office.

                       Federal Mandates Statement

    Section 423 of the Congressional Budget and Impoundment 
Control Act (as amended by Section 101(a)(2) of the Unfunded 
Mandate Reform Act, P.L. 104-4 is inapplicable to H.R. 1753, as 
amended.

                      Advisory Committee Statement

    No advisory committees within the meaning of section 5(b) 
of the Federal Advisory Committee Act would be created by H.R. 
1753, as amended.

                  Applicability to Legislative Branch

    The Committee finds that H.R. 1753, as amended, does not 
relate to the terms and conditions of employment or access to 
public services or accommodations within the meaning of 
section102(b)(3) of the Congressional Accountability Act.

              Statement on Duplication of Federal Programs

    Pursuant to clause 3(c)(5) of rule XIII of the Rules of the 
House of Representatives, the Committee finds that no provision 
of H.R. 1753, as amended, would establish or reauthorize a 
program of the Federal Government known to be duplicative of 
another Federal program, a program that was included in any 
report from the Government Accountability Office to Congress 
pursuant to section 21 of Public Law 111-139, or a program 
related to a program identified in the most recent Catalog of 
Federal Domestic Assistance.

             Section by Section Analysis of the Legislation


Section 1: Credit for certain members of the armed forces who served in 
        female cultural support teams

    This section would require the DoD to ensure that the 
performance of covered service is included in each veteran's 
military service record and the computation of retired pay for 
each such veteran. This section would define ``covered 
service'' as service as a member of the Armed Forces; in a 
female CST; with the personnel development skill identifier R2J 
or 5DK; and during the period from January 1, 2010, through 
August 31, 2021.
    This section would also require VA to treat covered service 
as service as engagement in combat when making decisions on 
claims for service-connected disability compensation. This 
section would also specific that the effective date of any 
award of any such claim filed by a veteran with covered service 
would be in accordance with current law under 38 U.S.C. Sec.  
5110. This section would also require VA, in consultation with 
DoD, to improve training and guidance for VA employees who may 
process a claim for service connection based on covered 
service.
    This section would also require VA to conduct outreach to 
inform veterans who performed covered service about the 
opportunity to submit supplemental claims for service- 
connected disability compensation, and such outreach would 
include publication on the VA website and notification to 
veterans service organizations. This section would also require 
DoD, in collaboration with VA, to conduct a study, and report 
the results of such study to Congress, on the size and number 
of individuals who performed service substantially similar to 
the service covered by this bill and who have a military 
service record that does not reflect such service.

Section 2: Report on certain claims for service-connected disability

    This section would require the VA to submit a report to the 
Committees on Veterans' Affairs of the Senate and the House a 
report regarding covered claims, including the number of 
covered claims, disaggregated by claimant gender and whether 
the military service record of the claimant includes a combat 
identifier, and including whether such claims were granted, 
denied, unresolved, or appealed. This section would define 
covered claims as a claim for service-connected disability 
based on post-traumatic stress disorder or traumatic brain 
injury that was submitted to VA on or after January 1, 1990.

Section 3. Modification of certain housing loan fees

    This section would extend current rates for VA home loan 
funding fees as established in section 3729 of title 38, U.S.C. 
from November 15, 2031 , to December 3, 2031.

         Changes in Existing Law Made by the Bill, as Reported

    In compliance with clause 3(e) of rule XIII of the Rules of 
the House of Representatives, changes in existing law made by 
the bill, as reported, are shown as follows (existing law 
proposed to be omitted is enclosed in black brackets, new 
matter is printed in italics, existing law in which no change 
is proposed is shown in roman):

         Changes in Existing Law Made by the Bill, as Reported

  In compliance with clause 3(e) of rule XIII of the Rules of 
the House of Representatives, changes in existing law made by 
the bill, as reported, are shown as follows (existing law 
proposed to be omitted is enclosed in black brackets, new 
matter is printed in italics, and existing law in which no 
change is proposed is shown in roman):

                      TITLE 38, UNITED STATES CODE



           *       *       *       *       *       *       *
PART III--READJUSTMENT AND RELATED BENEFITS

           *       *       *       *       *       *       *


CHAPTER 37--HOUSING AND SMALL BUSINESS LOANS

           *       *       *       *       *       *       *


SUBCHAPTER III--ADMINISTRATIVE PROVISIONS

           *       *       *       *       *       *       *


Sec. 3729. Loan fee

  (a) Requirement of Fee.--(1) Except as provided in subsection 
(c), a fee shall be collected from each person obtaining a 
housing loan guaranteed, insured, or made under this chapter, 
and each person assuming a loan to which section 3714 of this 
title applies. No such loan may be guaranteed, insured, made, 
or assumed until the fee payable under this section has been 
remitted to the Secretary.
  (2) The fee may be included in the loan and paid from the 
proceeds thereof.
  (b) Determination of Fee.--(1) The amount of the fee shall be 
determined from the loan fee table in paragraph (2). The fee is 
expressed as a percentage of the total amount of the loan 
guaranteed, insured, or made, or, in the case of a loan 
assumption, the unpaid principal balance of the loan on the 
date of the transfer of the property.
  (2) The loan fee table referred to in paragraph (1) is as 
follows:


 
----------------------------------------------------------------------------------------------------------------
             Type of loan                Active duty  veteran          Reservist              Other obligor
----------------------------------------------------------------------------------------------------------------
(A)(i) Initial loan described in       2.15                     2.40                     NA
 section 3710(a) to purchase or
 construct a dwelling with 0-down, or
 any other initial loan described in
 section 3710(a) other than with 5-
 down or 10-down (closed on or after
 October 1, 2004, and before January
 1, 2020).
(A)(ii) Initial loan described in      2.30                     2.30                     NA
 section 3710(a) to purchase or
 construct a dwelling with 0-down, or
 any other initial loan described in
 section 3710(a) other than with 5-
 down or 10-down (closed on or after
 January 1, 2020, and before April 7,
 2023).
(A)(iii) Initial loan described in     2.15                     2.15                     NA
 section 3710(a) to purchase or
 construct a dwelling with 0-down, or
 any other initial loan described in
 section 3710(a) other than with 5-
 down or 10-down (closed on or after
 April 7, 2023, and before [November
 15, 2031] December 3, 2031 ).
(A)(iv) Initial loan described in      1.40                     1.40                     NA
 section 3710(a) to purchase or
 construct a dwelling with 0-down, or
 any other initial loan described in
 section 3710(a) other than with 5-
 down or 10-down (closed on or after
 [November 15, 2031] December 3, 2031
 ).
(B)(i) Subsequent loan described in    3.30                     3.30                     NA
 section 3710(a) to purchase or
 construct a dwelling with 0-down, or
 any other subsequent loan described
 in section 3710(a) (closed on or
 after October 1, 2004, and before
 January 1, 2020).
(B)(ii) Subsequent loan described in   3.60                     3.60                     NA
 section 3710(a) to purchase or
 construct a dwelling with 0-down, or
 any other subsequent loan described
 in section 3710(a) (closed on or
 after January 1, 2020, and before
 April 7, 2023).
(B)(iii) Subsequent loan described in  3.30                     3.30                     NA
 section 3710(a) to purchase or
 construct a dwelling with 0-down, or
 any other subsequent loan described
 in section 3710(a) (closed on or
 after April 7, 2023, and before
 [November 15, 2031] December 3, 2031
 ).
(B)(iv) Subsequent loan described in   1.25                     1.25                     NA
 section 3710(a) to purchase or
 construct a dwelling with 0-down, or
 any other subsequent loan described
 in section 3710(a) (closed on or
 after [November 15, 2031] December
 3, 2031 ).
(C)(i) Loan described in section       1.50                     1.75                     NA
 3710(a) to purchase or construct a
 dwelling with 5-down (closed before
 January 1, 2020).
(C)(ii) Loan described in section      1.65                     1.65                     NA
 3710(a) to purchase or construct a
 dwelling with 5-down (closed on or
 after January 1, 2020, and before
 April 7, 2023).
(C)(iii) Loan described in section     1.50                     1.50                     NA
 3710(a) to purchase or construct a
 dwelling with 5-down (closed on or
 after April 7, 2023, and before
 [November 15, 2031] December 3, 2031
 ).
(C)(iv) Loan described in section      0.75                     0.75                     NA
 3710(a) to purchase or construct a
 dwelling with 5-down (closed on or
 after [November 15, 2031] December
 3, 2031 ).
(D)(i) Loan described in section       1.25                     1.50                     NA
 3710(a) to purchase or construct a
 dwelling with 10-down (closed before
 January 1, 2020).
(D)(ii) Loan described in section      1.40                     1.40                     NA
 3710(a) to purchase or construct a
 dwelling with 10-down (closed on or
 after January 1, 2020, and before
 April 7, 2023).
(D)(iii) Loan described in section     1.25                     1.25                     NA
 3710(a) to purchase or construct a
 dwelling with 10-down (closed on or
 after April 7, 2023, and before
 [November 15, 2031] December 3, 2031
 ).
(D)(iv) Loan described in section      0.50                     0.50                     NA
 3710(a) to purchase or construct a
 dwelling with 10-down (closed on or
 after [November 15, 2031] December
 3, 2031 ).
(E) Interest rate reduction            0.50                     0.50                     NA
 refinancing loan.
(F) Direct loan under section 3711...  1.00                     1.00                     NA
(G) Manufactured home loan under       1.00                     1.00                     NA
 section 3712 (other than an interest
 rate reduction refinancing loan).
(H) Loan to Native American veteran    1.25                     1.25                     NA
 under section 3762 (other than an
 interest rate reduction refinancing
 loan).
(I) Loan assumption under section      0.50                     0.50                     0.50
 3714.
(J) Loan under section 3733(a).......  2.25                     2.25                     2.25.
----------------------------------------------------------------------------------------------------------------

  (3) Any reference to a section in the ``Type of loan'' column 
in the loan fee table in paragraph (2) refers to a section of 
this title.
  (4) For the purposes of paragraph (2):
          (A) The term ``active duty veteran'' means any 
        veteran eligible for the benefits of this chapter other 
        than a Reservist.
          (B) The term ``Reservist'' means a veteran described 
        in section 3701(b)(5)(A) of this title who is eligible 
        under section 3702(a)(2)(E) of this title.
          (C) The term ``other obligor'' means a person who is 
        not a veteran, as defined in section 101 of this title 
        or other provision of this chapter.
          (D)(i) The term ``initial loan'' means a loan to a 
        veteran guaranteed under section 3710 or made under 
        section 3711 of this title if the veteran has never 
        obtained a loan guaranteed under section 3710 or made 
        under section 3711 of this title.
          (ii) If a veteran has obtained a loan guaranteed 
        under section 3710 or made under section 3711 of this 
        title and the dwelling securing such loan was 
        substantially damaged or destroyed by a major disaster 
        declared by the President under section 401 of the 
        Robert T. Stafford Disaster Relief and Emergency 
        Assistance Act (42 U.S.C. 5170), the Secretary shall 
        treat as an initial loan, as defined in clause (i), the 
        next loan the Secretary guarantees or makes to such 
        veteran under section 3710 or 3711, respectively, if--
                  (I) such loan is guaranteed or made before 
                the date that is three years after the date on 
                which the dwelling was substantially damaged or 
                destroyed; and
                  (II) such loan is only for repairs or 
                construction of the dwelling, as determined by 
                the Secretary.
          (E) The term ``subsequent loan'' means a loan to a 
        veteran, other than an interest rate reduction 
        refinancing loan, guaranteed under section 3710 or made 
        under section 3711 of this title that is not an initial 
        loan.
          (F) The term ``interest rate reduction refinancing 
        loan'' means a loan described in section 3710(a)(8), 
        3710(a)(9)(B)(i), 3710(a)(11), 3712(a)(1)(F), or 
        3762(h) of this title.
          (G) The term ``0-down'' means a downpayment, if any, 
        of less than 5 percent of the total purchase price or 
        construction cost of the dwelling.
          (H) The term ``5-down'' means a downpayment of at 
        least 5 percent or more, but less than 10 percent, of 
        the total purchase price or construction cost of the 
        dwelling.
          (I) The term ``10-down'' means a downpayment of 10 
        percent or more of the total purchase price or 
        construction cost of the dwelling.
  (c) Waiver of Fee.--(1) A fee may not be collected under this 
section from a veteran who is receiving compensation (or who, 
but for the receipt of retirement pay or active service pay, 
would be entitled to receive compensation), from a surviving 
spouse of any veteran (including a person who died in the 
active military, naval, air, or space service) who died from a 
service-connected disability, or from a member of the Armed 
Forces who is serving on active duty and who provides, on or 
before the date of loan closing, evidence of having been 
awarded the Purple Heart.
  (2)(A) A veteran described in subparagraph (B) shall be 
treated as receiving compensation for purposes of this 
subsection as of the date of the rating described in such 
subparagraph without regard to whether an effective date of the 
award of compensation is established as of that date.
  (B) A veteran described in this subparagraph is a veteran who 
is rated eligible to receive compensation--
          (i) as the result of a pre-discharge disability 
        examination and rating; or
          (ii) based on a pre-discharge review of existing 
        medical evidence (including service medical and 
        treatment records) that results in the issuance of a 
        memorandum rating.

           *       *       *       *       *       *       *


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