S.Amdt. 5058

SA 5058. Mr. SANDERS submitted an amendment intended to be proposed
to amendment SA 5051 submitted by Mr. Tester (for himself and Mr.
Moran) and intended to be proposed to the bill H.R. 3967, to improve
health care and benefits for veterans exposed to toxic substances, and
for other purposes; which was ordered to lie on the table; as follows:

At the end of title I, add the following:

Subtitle C--Other Health Care Matters

SEC. 121. EXPANSION OF HEALTH CARE FROM DEPARTMENT OF
VETERANS AFFAIRS TO INCLUDE MEMBERS OF THE
RESERVE COMPONENTS OF THE ARMED FORCES WHO ARE
NOT ON ACTIVE ORDERS.

(a) Expansion of Care.--
(1) In general.--Section 1789 of title 38, United States
Code, is amended to read as follows:

``Sec. 1789. Health care for members of the reserve
components of the Armed Forces

``(a) In General.--The Secretary (subject to subsection
(c)) shall furnish hospital care and medical services to any
member of the reserve components of the Armed Forces during
any period in which the member is not entitled to health care
furnished by the Secretary of Defense.
``(b) Mental Health Care.--The Secretary may furnish mental
health services to members of the reserve components of the
Armed Forces.
``(c) Limitation.--The requirement in subsection (a) shall
be effective in any fiscal year only to the extent and in the
amount provided in advance in appropriations Acts for such
purpose.
``(d) Consultation With Secretary of Defense.--The
Secretary shall carry out this section in consultation with
the Secretary of Defense.''.
(2) Clerical amendment.--The table of sections at the
beginning of subchapter VIII of chapter 17 of such title is
amended by striking the item relating to section 1789 and
inserting the following new item:

``1789. Health care for members of the reserve components of the Armed
Forces.''.
(b) Enrollment in Patient Enrollment System.--
(1) Priority for enrollment.--Section 1705(a) of title 38,
United States Code, is amended--
(A) in the matter preceding paragraph (1), by striking
``enrollment of veterans'' and inserting ``enrollment of
individuals under such system''; and
(B) in paragraph (7)--
(i) by striking ``Veterans'' and inserting ``(A)
Veterans''; and
(ii) by adding at the end the following new subparagraph:
``(B) Members of the reserve components of the Armed Forces
for purposes of furnishing hospital care and medical services
under section 1789(a) of this title.''.
(2) Initial enrollment.--The Secretary of Veterans Affairs
shall enroll all members of the reserve components of the
Armed Forces in the patient enrollment system by not later
than December 31, 2022.
(3) Ongoing enrollment.--After December 31, 2022, the
Secretary shall automatically enroll in the patient
enrollment system all new members of the reserve components
of the Armed Forces upon those members joining the reserve
components.
(4) Consultation with secretary of defense.--The Secretary
shall carry out this subsection and the amendments made by
this subsection in consultation with the Secretary of
Defense.
(5) Patient enrollment system defined.--In this subsection,
the term ``patient enrollment system'' means the system of
annual patient enrollment of the Department of Veterans
Affairs established and operated under section 1705(a) of
title 38, United States Code.
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