S. 13Senate109th Congress (2005-2007)In Committee

Fulfilling Our Duty to America's Veterans Act of 2005

Introduced January 24, 2005

Legislative Activity

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2 earlier actions
SenateIntro Referral Latest Action

Read twice and referred to the Committee on Veterans' Affairs. (text of measure as introduced: CR S169-174)

January 24, 2005

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SenateIntro Referral

Introduced in Senate

January 24, 2005

SenateIntro Referral

Sponsor introductory remarks on measure. (CR S168-169)

January 24, 2005

SenateIntro Referral

Read twice and referred to the Committee on Veterans' Affairs. (text of measure as introduced: CR S169-174)

January 24, 2005

Floor Debate

24 members

What members said about S. 13 on the floor

9 Republicans15 Democrats
Dianne Feinstein
Sen. Dianne FeinsteinD-CA · Jan 24, 2005

Mr. President, on behalf of Senator Hutchison and myself, I rise today to introduce legislation to reauthorize the tremendously successful Breast Cancer Research Stamp for 2 additional years. Without…

Daniel K. Inouye
Sen. Daniel K. InouyeD-HI · Jan 24, 2005

Mr. President, today I introduce the United States Military Cancer Institute Research Collaborative Act. This legislation would formally establish the United States Military Cancer Institute (USMCI),…

Edward M. Kennedy
Sen. Edward M. KennedyD-MA · Jan 24, 2005

Mr. President, it's an honor to join our Democratic Leader and so many of our colleagues in introducing the Affordable Health Care Act. This legislation states our strong commitment as Democrats to…

Maria Cantwell
Sen. Maria CantwellD-WA · Jan 24, 2005

Mr. President, today I am joining my good friend the Senator from Texas, (Mrs. Hutchison), and the Senator from Tennessee, the Majority Leader, Mr. Frist, in legislation to permanently extend the…

Carl Levin
Sen. Carl LevinD-MI · Jan 24, 2005

Mr. President, I am honored to introduce the Standing with Our Troops Act of 2005. This bill addresses the needs of the Soldiers, Sailors, Airmen, and Marines who have responded so bravely to the…

Show 8 more
Russell D. Feingold
Sen. Russell D. FeingoldD-WI · Jan 24, 2005

Mr. President, I am pleased to reintroduce legislation that would put an end to automatic cost-of-living adjustments for congressional pay. As I have noted when I raised this issue in past years, it…

John F. Kerry
Sen. John F. KerryD-MA · Jan 24, 2005

Mr. President, as Ranking Member of the Small Business and Entrepreneurship Committee, today I am introducing a package of bills that will help small business owners with access to loans, business…

Paul S. Sarbanes
Sen. Paul S. SarbanesD-MD · Jan 24, 2005

Mr. President, today I am introducing the International Remittance Consumer Protection Act of 2005. This legislation extends basic consumer protection rights to those who send remittances, and it…

James M. Inhofe
Sen. James M. InhofeR-OK · Jan 24, 2005

Mr. President, I rise today, as an experienced pilot over age 60, along with my colleagues, Senator Stevens and Senator Burns, to introduce a bill that will help end age discrimination among airline…

Harry Reid
Sen. Harry ReidD-NV · Jan 24, 2005

Mr. President, in the beginning of each session of Congress, the majority and minority introduce their bills. The first 10 bills are those of the majority. That is the tradition of the Senate. The…

Patty Murray
Sen. Patty MurrayD-WA · Jan 26, 2005

Mr. President, this morning I rise to speak about one of the issues that is facing our country, an issue we need to understand and live up to, a promise that we made to the young men and women who…

Michael B. Enzi
Sen. Michael B. EnziR-WY · Jan 24, 2005

Mr. President, as reports continue to appear in the media, there can be little doubt that a critical area of homeland security, and one on which I will be focusing as Chairman of the Health,…

Kay Bailey Hutchison
Sen. Kay Bailey HutchisonR-TX · Jan 24, 2005

Mr. President, over the past decade, Congress has approved over $46 billion in disaster relief and emergency spending. This is an average of $4.6 billion a year. The majority of this funding--$34…

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Larry E. Craig
Sen. Larry E. CraigR-ID · Jan 24, 2005

Mr. President, I rise to address an issue that has begun to emerge and gain our attention in rural America. This issue is an important one because it has the potential to devastate, economically,…

George Allen
Sen. George AllenR-VA · Jan 24, 2005

Mr. President, I rise to bring to my colleagues' attention a bill I introduced today called the Honoring the Fallen Soldiers and Families Act of 2005, sharing the same views of Senator Sessions of…

Richard G. Lugar
Sen. Richard G. LugarR-IN · Jan 24, 2005

Mr. President, I rise today in support of a bill that I have introduced with Senator Carl Levin authorizing the extension of permanent normal trade relations treatment. Ukraine is still subject to…

Daniel K. Akaka
Sen. Daniel K. AkakaD-HI · Jan 24, 2005

Mr. President, I rise today to introduce a bill that would make sweeping changes to the way the Department of Veterans Affairs (VA) delivers health care and benefits to our nation's veterans. S. 13…

Frank R. Lautenberg
Sen. Frank R. LautenbergD-NJ · Jan 24, 2005

Mr. President, I rise today to speak about a bill that Senator Corzine and I are introducing, the New Jersey Coastal Heritage Trail Route bill. Our bill would reauthorize a law based on a bill that…

Herb Kohl
Sen. Herb KohlD-WI · Jan 24, 2005

Mr. President, today I am introducing the Weekend Voting Act. This legislation will change the day for Congressional and Presidential elections from the first Tuesday in November to the first weekend…

Max Baucus
Sen. Max BaucusD-MT · Jan 24, 2005

Mr. President, I also rise--in fact, it is the primary reason I am here--to recognize and thank a remarkable individual, a member of my team who has served our State of Montana in the Senate for more…

Mike DeWine
Sen. Mike DeWineR-OH · Jan 24, 2005

Mr. President, I rise today to honor the many families of our Nation's servicemen and women. We owe them a tremendous debt of gratitude for the services they have performed in supporting their family…

Wayne Allard
Sen. Wayne AllardR-CO · Jan 24, 2005

Mr. President, I would like to first express my gratitude to the leadership for making the Marriage Protection Amendment a priority in this Congress. The Marriage Protection Amendment is a…

Barbara Boxer
Sen. Barbara BoxerD-CA · Jan 24, 2005

Mr. President, I am introducing legislation today to name the courthouse in Sacramento, California, as the ``Robert T. Matsui United States Courthouse.'' I am pleased to be joined in this effort by…

George V. Voinovich
Sen. George V. VoinovichR-OH · Jan 24, 2005

Mr. President, I am pleased to join my friend and colleague from California, Senator Dianne Feinstein, in introducing very important legislation that I believe will encourage young teachers to go…

Bill Text

Latest available legislative text

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Latest
Introduced in SenateIssued January 24, 2005
        [Congressional Bills 109th Congress]
[From the U.S. Government Publishing Office]
[S. 13 Introduced in Senate (IS)]

109th CONGRESS
1st Session
S. 13

To amend titles 10 and 38, United States Code, to expand and enhance
health care, mental health, transition, and disability benefits for
veterans, and for other purposes.

_______________________________________________________________________

IN THE SENATE OF THE UNITED STATES

January 24, 2005

Mr. Akaka (for himself, Mr. Reid, Ms. Mikulski, Ms. Stabenow, Mr.
Inouye, Mr. Dorgan, Mr. Lautenberg, Mr. Leahy, Mr. Salazar, Mr.
Rockefeller, Mrs. Murray, Mr. Bingaman, Mrs. Feinstein, Mr.
Durbin, Mr. Kennedy, Mr. Corzine, Mr. Pryor, Mr. Schumer, Mr.
Sarbanes, and Mr. Dayton) introduced the following bill; which
was read twice and referred to the Committee on Veterans
AffairsYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYY

_______________________________________________________________________

A BILL

To amend titles 10 and 38, United States Code, to expand and enhance
health care, mental health, transition, and disability benefits for
veterans, 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.

This Act may be cited as the ``Fulfilling Our Duty to America's
Veterans Act of 2005''.

TITLE I--HEALTH CARE MATTERS

SEC. 100. FINDINGS.

Congress makes the following findings:
(1) The three largest veterans advocacy groups, the
Disabled American Veterans, the American Legion, and the
Veterans of Foreign Wars, have called upon Congress to change
veterans funding to a mandatory process, stating, ``We believe
it is time to guarantee health care funding for all veterans.
We believe health care rationing must end. We believe it is
time the promise is kept.''.
(2) The May 2003 report of The President's Task Force To
Improve Health Care Delivery for Our Nation's Veterans found
that ``there is a significant mismatch in VA between demand and
available funding--an imbalance that . . . if unresolved, will
delay veterans' access to care and could threaten the quality
of VA health care.''.
(3) Under the current funding process, the VA has
experienced billion-dollar shortfalls every year for the past
several years, resulting in waiting lists several months long
for appointments with physicians, a substantial disability
claims backlog, and policies designed to prevent veterans from
obtaining the health care they were promised.

Subtitle A--Funding Matters

SEC. 101. FUNDING TO ADDRESS CHANGES IN POPULATION AND INFLATION.

(a) In General.--Chapter 17 of title 38, United States Code, is
amended by inserting after section 1706 the following new section:
``Sec. 1706A. Management of health care: funding to address changes in
population and inflation
``(a) By the enactment of this section, Congress and the President
intend to ensure access to health care for all veterans. Upon the
enactment of this section, funding for the programs, functions, and
activities of the Veterans Health Administration specified in
subsection (d) to accomplish this objective shall be provided through a
combination of discretionary and mandatory funds. The discretionary
amount should be equal to the fiscal year 2005 discretionary funding
for such programs, functions, and activities, and should remain
unchanged each fiscal year thereafter. The annual level of mandatory
amount shall be adjusted according to the formula specified in
subsection (c). While this section does not purport to control the
outcome of the annual appropriations process, it anticipates
cooperation from Congress and the President in sustaining discretionary
funding for such programs, functions, and activities in future fiscal
years at the level of discretionary funding for such programs,
functions, and activities for fiscal year 2005. The success of that
arrangement, as well as of the funding formula, are to be reviewed
after two years.
``(b) On the first day of each fiscal year, the Secretary of the
Treasury shall make available to the Secretary of Veterans Affairs the
amount determined under subsection (c) with respect to that fiscal
year. Each such amount is available, without fiscal year limitation,
for the programs, functions, and activities of the Veterans Health
Administration specified in subsection (d). There is hereby
appropriated, out of any sums in the Treasury not otherwise
appropriated, amounts necessary to implement this section.
``(c)(1) The amount applicable to fiscal year 2006 under this
subsection is the amount equal to--
``(A) 130 percent of the amount obligated by the Department
during fiscal year 2004 for the purposes specified in
subsection (d); minus
``(B) the amount appropriated for those purposes for fiscal
year 2005.
``(2) The amount applicable to any fiscal year after fiscal year
2006 under this subsection is the amount equal to the product of the
following, minus the amount appropriated for the purposes specified for
subsection (d) for fiscal year 2005:
``(A) The sum of--
``(i) the number of veterans enrolled in the
Department health care system under section 1705 of
this title as of July 1 preceding the beginning of such
fiscal year; and
``(ii) the number of persons eligible for health
care under chapter 17 of this title who are not covered
by clause (i) and who were provided hospital care or
medical services under such chapter at any time during
the fiscal year preceding such fiscal year.
``(B) The per capita baseline amount, as increased from
time to time pursuant to paragraph (3)(B).
``(3)(A) For purposes of paragraph (2)(B), the term `per capita
baseline amount' means the amount equal to--
``(i) the amount obligated by the Department during fiscal
year 2005 for the purposes specified in subsection (d); divided
by
``(ii) the number of veterans enrolled in the Department
health care system under section 1705 of this title as of
September 30, 2004.
``(B) With respect to any fiscal year, the Secretary shall provide
a percentage increase (rounded to the nearest dollar) in the per capita
baseline amount equal to the percentage by which--
``(i) the Consumer Price Index (all Urban Consumers, United
States City Average, Hospital and related services, Seasonally
Adjusted), published by the Bureau of Labor Statistics of the
Department of Labor for the 12-month period ending on the June
30 preceding the beginning of the fiscal year for which the
increase is made; exceeds
``(ii) such Consumer Price Index for the 12-month period
preceding the 12-month period described in clause (i).
``(d)(1) Except as provided in paragraph (2), the purposes for
which amounts are made available pursuant to subsection (b) shall be
all programs, functions, and activities of the Veterans Health
Administration.
``(2) Amounts made available pursuant to subsection (b) are not
available for--
``(A) construction, acquisition, or alteration of medical
facilities as provided in subchapter I of chapter 81 of this
title (other than for such repairs as were provided for before
the date of the enactment of this section through the Medical
Care appropriation for the Department); or
``(B) grants under subchapter III of chapter 81 of this
title.
``(e) Nothing in this section shall be construed to prevent or
limit the authority of Congress to reauthorize provisions relating to
veterans health care.''.
(b) Clerical Amendment.--The table of sections at the beginning of
such chapter is amended by adding at the end the following new item:

``1706A. Management of health care: funding to address changes in
population and inflation.''.

SEC. 102. COMPTROLLER GENERAL REPORT.

(a) Requirement for Report.--Not later than January 31, 2008, the
Comptroller General of the United States shall submit to Congress a
report on the extent to which section 1706A of title 38, United States
Code (as added by section 101 of this Act), has achieved the objective
set forth in subsection (a) of such section 1706A during fiscal years
2006 and 2007.
(b) Content.--The report under subsection (a) shall set forth the
following:
(1) The amount appropriated for fiscal year 2005 for the
programs, functions, and activities of the Veterans Health
Administration specified in subsection (d) of section 1706A of
title 38, United States Code (as so added).
(2) The amount appropriated by annual appropriations Acts
for each of fiscal years 2006 and 2007 for such programs,
functions, and activities.
(3) The amount provided by section 1706A of title 38,
United States Code (as so added), for each of fiscal years 2006
and 2007 for such programs, functions, and activities.
(4) An assessment whether the amount described in paragraph
(3) for each of fiscal years 2006 and 2007 was appropriate to
address the changes in costs to the Veterans Health
Administration for such programs, functions, and activities
that were attributable to changes in population and in
inflation over the course of such fiscal years.
(5) An assessment whether the amount provided by section
1706A of title 38, United States Code (as so added), in each of
fiscal years 2006 and 2007, when combined with amounts
appropriated by annual appropriations Acts for each of such
fiscal years for such programs, functions, and activities,
provided adequate funding of such programs, functions, and
activities in each such fiscal year.
(6) Such recommendations as the Comptroller General
considers appropriate regarding modifications of the formula
under subsection (c) of section 1706A of title 38, United
States Code (as so added), or any other modifications of law,
to better ensure adequate funding of such programs, functions,
and activities.

SEC. 103. CONGRESSIONAL CONSIDERATION OF COMPTROLLER GENERAL
RECOMMENDATIONS.

(a) Applicable Procedure.--The procedure provided under this
section shall apply to consideration of a joint resolution described in
subsection (b) in the Senate and the House of Representatives.
(b) Joint Resolution Defined.--For purposes of this section, the
term ``joint resolution'' means only a joint resolution that is
introduced in the House of Representatives by the Speaker of the House
of Representatives (or the Speaker's designee) or the Minority Leader
(or the Minority Leader's designee), or in the Senate by the Majority
Leader (or the Majority Leader's designee) or the Minority Leader (or
the Minority Leader's designee), within the 10-day period beginning on
the date on which Congress receives the report of the Comptroller
General of the United States under section 102, and--
(1) that does not have a preamble;
(2) the matter after the resolving clause of which consists
of amendments of title 38, United States Code, or other
amendments or modifications of laws administered by the
Secretary of Veterans Affairs to implement the recommendations
of the Comptroller General in the report under section
102(b)(6); and
(3) the title of which is as follows: ``Joint resolution to
ensure adequate funding of health care for veterans.''.
(c) Referral.--A joint resolution described in subsection (b) that
is introduced in the House of Representatives shall be referred to the
Committee on Veterans' Affairs of the House of Representatives. A joint
resolution described in subsection (b) introduced in the Senate shall
be referred to the Committee on Veterans' Affairs of the Senate.
(d) Discharge.--If the committee to which a joint resolution
described in subsection (b) is referred has not reported such
resolution (or an identical resolution) by the end of the 20-day period
beginning on the date on which the Comptroller General submits to
Congress the report under section 102, such committee shall be, at the
end of such period, discharged from further consideration of such
resolution, and such resolution shall be placed on the appropriate
calendar of the House involved.
(e) Consideration.--
(1) Motion to proceed to consideration.--On or after the
third day after the date on which the committee to which such a
joint resolution is referred has reported, or has been
discharged (under subsection (d)) from further consideration
of, such a resolution, it is in order (even though a previous
motion to the same effect has been disagreed to) for any Member
of the respective House to move to proceed to the consideration
of the resolution (but only on the day after the calendar day
on which such Member announces to the House concerned the
Member's intention to do so). The motion is highly privileged
in the House of Representatives and is privileged in the Senate
and is not debatable. The motion is not subject to amendment,
or to a motion to postpone, or to a motion to proceed to the
consideration of other business. A motion to reconsider the
vote by which the motion is agreed to or disagreed to shall not
be in order. If a motion to proceed to the consideration of the
resolution is agreed to, the respective House shall immediately
proceed to consideration of the joint resolution without
intervening motion, order, or other business, and the
resolution shall remain the unfinished business of the
respective House until disposed of.
(2) Debate.--Debate on the resolution, and on all debatable
motions and appeals in connection therewith, shall be limited
to not more than 2 hours, which shall be divided equally
between those favoring and those opposing the resolution. An
amendment to the resolution is not in order. A motion further
to limit debate is in order and not debatable. A motion to
postpone, or a motion to proceed to the consideration of other
business, or a motion to recommit the resolution is not in
order. A motion to reconsider the vote by which the resolution
is agreed to or disagreed to is not in order.
(3) Vote on final passage.--Immediately following the
conclusion of the debate on a joint resolution described in
subsection (b) and a single quorum call at the conclusion of
the debate if requested in accordance with the rules of the
appropriate House, the vote on final passage of the resolution
shall occur.
(4) Appeals from decisions of the chair.--Appeals from the
decisions of the Chair relating to the application of the rules
of the Senate or the House of Representatives, as the case may
be, to the procedure relating to a joint resolution described
in subsection (b) shall be decided without debate.
(f) Consideration by Other House.--
(1) Procedure.--If, before the passage by one House of a
joint resolution of that House described in subsection (b),
that House receives from the other House a joint resolution
described in subsection (b), then the following procedures
shall apply:
(A) The resolution of the other House shall not be
referred to a committee and may not be considered in
the House receiving it except in the case of final
passage as provided in subparagraph (B)(ii).
(B) With respect to a joint resolution described in
subsection (b) of the House receiving the resolution--
(i) the procedure in that House shall be
the same as if no resolution had been received
from the other House; but
(ii) the vote on final passage shall be on
the resolution of the other House.
(2) Disposition.--Upon disposition of the resolution
received from the other House, it shall no longer be in order
to consider the resolution that originated in the receiving
House.
(g) Rules of Senate and House.--This section is enacted by
Congress--
(1) as an exercise of the rulemaking power of the Senate
and House of Representatives, respectively, and as such it is
deemed a part of the rules of each House, respectively, but
applicable only with respect to the procedure to be followed in
that House in the case of a joint resolution described in
subsection (b), and it supersedes other rules only to the
extent that it is inconsistent with such rules; and
(2) with full recognition of the constitutional right of
either House to change the rules (so far as relating to the
procedure of that House) at any time, in the same manner, and
to the same extent as in the case of any other rule of that
House.

Subtitle B--Mental Health Matters

SEC. 111. FINDINGS.

Congress makes the following findings:
(1) A study published in the New England Journal of
Medicine reported that about one in six soldiers of the Iraq
war displays symptoms of post-traumatic stress disorder.
(2) Clinical experts are anticipating an increase in the
number of post-traumatic stress disorder cases in light of the
increasing duration of military deployment.
(3) 86 of 163 Department of Veterans Affairs Medical
Centers have post-traumatic stress disorder treatment programs.
(4) Section 1706 of title 38, United States Code, requires
that the Secretary of Veterans Affairs ensure, in accordance
with that section, that the Department of Veterans Affairs
maintains its capacity to provide for the specialized treatment
and rehabilitative needs of disabled veterans within distinct
programs or facilities of the Department.

SEC. 112. POST-TRAUMATIC STRESS DISORDER TREATMENT FOR VETERANS OF
SERVICE IN AFGHANISTAN AND IRAQ AND THE WAR ON TERROR.

(a) Enhanced Capacity for Department of Veterans Affairs.--Using
funds available to the Secretary of Veterans Affairs for fiscal year
2006 for ``Medical Care'', the Secretary shall employ at least one
psychiatrist and a complementary clinical team at each medical center
of the Department of Veterans Affairs in order to conduct a specialized
program for the diagnosis and treatment of post-traumatic stress
disorder and to employ additional mental health services specialists at
the medical center.
(b) Outreach at the Community Level.--
(1) Program.--The Secretary of Veterans Affairs shall,
within the authorities of the Secretary under title 38, United
States Code, carry out a program to provide outreach at the
community level to veterans who participated in Operation Iraqi
Freedom or Operation Enduring Freedom who are or may be
suffering from post-traumatic stress disorder.
(2) Program sites.--The program shall be carried out on a
nation-wide basis through facilities of the Department of
Veterans Affairs.
(3) Program content.--The program shall provide for
individualized case management to be conducted on a one-on-one
basis, counseling, education, and group therapy to help
participants cope with post-traumatic stress disorder. The
program--
(A) shall emphasize early identification of
veterans who may be experiencing symptoms of post-
traumatic stress disorder; and
(B) shall include group-oriented, peer-to-peer
settings for treatment.

SEC. 113. ARMED FORCES REVIEW OF MENTAL HEALTH PROGRAMS.

(a) Review of Mental Health Programs.--The Secretary of each
military department shall conduct a comprehensive review of the mental
health care programs of the Armed Forces under the jurisdiction of that
Secretary in order to determine ways to improve the efficacy of such
care, including a review of joint Department of Defense and Department
of Veterans Affairs clinical guidelines to ensure a seamless delivery
of care during transitions from active duty or reserve status to
civilian life.
(b) Report to Congress.--The Secretary of Defense shall submit to
Congress a report setting forth the results of such review not later
than 90 days after the date of the enactment of this Act.

Subtitle C--Other Matters

SEC. 121. AUTHORITY OF DEPARTMENT OF VETERANS AFFAIRS PHARMACIES TO
DISPENSE MEDICATIONS TO VETERANS ON PRESCRIPTIONS WRITTEN
BY PRIVATE PRACTITIONERS.

(a) Findings.--Congress makes the following findings:
(1) Under longstanding regulations of the Department of
Veterans Affairs, most veterans who receive prescriptions for
medication from private doctors are forced to complete
physicals conducted by Department of Veterans Affairs
physicians before the veterans can have their prescriptions
filled by a pharmacy. This bureaucratic red tape can prevent
veterans from quickly receiving the medical treatment they
need.
(2) In December 2000, the Inspector General of the
Department of Veterans Affairs reported that eliminating this
unnecessary red tape would save the underfunded Department of
Veterans Affairs over $1,000,000,000 per year. The report
concluded that ``a decision to continue the current policies
results in inefficiency and waste that we estimate annually
costs the Department over $1,000,000,000 in resources that
could be better used in the delivery of healthcare services to
veterans.''.
(3) In 2004, the Department of Justice, in a reversal of an
earlier legal opinion, stating that the Secretary of Veterans
Affairs has the authority to eliminate this rule without
further legislative action. The Secretary has failed to take
such a step, thus necessitating action by Congress.
(b) Authority.--Section 1712 of title 38, United States Code, is
amended--
(1) by redesignating subsection (e) as subsection (f); and
(2) by inserting after subsection (d) the following new
subsection (e):
``(e)(1) The Secretary shall furnish to any medicare-eligible
veteran on an out-patient basis such drugs and medicines as may be
ordered on prescription of a duly licensed physician as specific
therapy in the treatment of any illness or injury suffered by such
veteran.
``(2) In this subsection, the term `medicare-eligible veteran'
means any veteran who--
``(A) is entitled to or enrolled in hospital insurance
benefits under part A of title XVIII of the Social Security Act
(42 U.S.C. 1395 et seq.); or
``(B) is enrolled in the supplementary medical insurance
program under part B of such title (42 U.S.C. 1395j et seq.).
``(3) The furnishing of drugs and medicines under this subsection
shall be subject to the provisions of section 1722A(b) of this
title.''.
(c) Copayment Requirements.--
(1) In general.--Section 1722A of such title is amended--
(A) in subsection (a)(1), by inserting ``(other
than a veteran covered by subsection (b))'' after
``require a veteran'';
(B) by redesignating subsections (b) and (c) as
subsections (c) and (d), respectively;
(C) by inserting after subsection (a) the following
new subsection (b):
``(b)(1) In the case of a veteran who is furnished medications on
an out-patient basis under section 1712(e) of this title, the Secretary
shall require the veteran to pay, at the election of the Secretary, one
or more of the following:
``(A) An annual enrollment fee in an amount determined
appropriate by the Secretary.
``(B) A copayment for each 30-day supply of such
medications in an amount determined appropriate by the
Secretary.
``(C) An amount equal to the cost to the Secretary of such
medications, as determined by the Secretary.
``(2)(A) In determining the amounts to be paid by a veteran under
paragraph (1), and the basis of payment under one or more subparagraphs
of that paragraph, the Secretary shall ensure that the total amount
paid by veterans for medications under that paragraph in a year is not
less than the costs of the Department in furnishing medications to
veterans under section 1712(e) of this title during that year,
including the cost of purchasing and furnishing medications, and other
costs of administering that section.
``(B) The Secretary shall take appropriate actions to ensure, to
the maximum extent practicable, that amounts paid by veterans under
paragraph (1) in a year are equal to the costs of the Department
referred to in subparagraph (A) in that year.
``(3) In determining amounts under paragraph (1), the Secretary may
take into account the following:
``(A) Whether or not the medications furnished are generic
medications or brand name medications.
``(B) Whether or not the medications are furnished by mail.
``(C) Whether or not the medications furnished are listed
on the National Prescription Drug Formulary of the Department.
``(D) Any other matters the Secretary considers
appropriate.
``(4) The Secretary may from time to time adjust any amount
determined by the Secretary under paragraph (1), as previously adjusted
under this paragraph, in order to meet the purpose specified in
paragraph (2).''; and
(D) in subsection (d), as so redesignated--
(i) by striking ``subsection (a)'' and
inserting ``subsections (a) and (b)''; and
(ii) by striking ``subsection (b)'' and
inserting ``subsection (c)''.
(2) Deposit of collections in medical care collections
fund.--Paragraph (4) of section 1729A(b) of such title is
amended to read as follows:
``(4) Subsection (a) or (b) of section 1722A of this
title.''.
(d) Clerical Amendments.--(1) The heading for section 1712 of such
title is amended by striking ``for certain disabled veterans''.
(2) The table of sections at the beginning of chapter 17 of such
title is amended in the item relating to section 1712 by striking ``for
certain disabled veterans''.

TITLE II--CONCURRENT RECEIPT OF RETIRED PAY AND SERVICE-CONNECTED
DISABILITY COMPENSATION

SEC. 201. SHORT TITLE.

This title may be cited as the ``Retired Pay Restoration Act of
2005''.

SEC. 202. FINDINGS.

Congress makes the following findings:
(1) The United States Government has an essential
obligation to provide support and care for men and women who
have completed honorable military service in defense of the
Nation. In no instance is this obligation more critical than
for veterans who were injured or disabled during their military
service.
(2) Disability compensation and military retired pay are
benefits earned for two distinct reasons. Disability
compensation is provided to veterans for disabilities resulting
from their military service to the Nation as an expression of
the Nation's gratitude and as recompense for their sacrifice.
Military retired pay is earned by members of the Armed Forces
for the devotion of 20 or more years of their lives to the
military service of the Nation.
(3) Until 2002, Federal law prohibited disabled veterans
from concurrently receiving both disability compensation and
retirement pay. The prohibition against concurrent receipt was
a gross violation of the Government's commitment to veterans.
(4) Despite recent legislative advances, over 1,500,000
disabled veterans continue to be prohibited from receiving both
military retirement and disability payments concurrently.

SEC. 203. FULL PAYMENT OF BOTH RETIRED PAY AND COMPENSATION TO DISABLED
MILITARY RETIREES.

(a) Restoration of Full Retired Pay Benefits.--Section 1414 of
title 10, United States Code, is amended to read as follows:
``Sec. 1414. Members eligible for retired pay who are also eligible for
veterans' disability compensation: payment of retired pay
and veterans' disability compensation
``(a) Payment of Both Retired Pay and Compensation.--Except as
provided in subsection (b), a member or former member of the uniformed
services who is entitled to retired pay (other than as specified in
subsection (c)) and who is also entitled to veterans' disability
compensation is entitled to be paid both without regard to sections
5304 and 5305 of title 38.
``(b) Special Rule for Chapter 61 Career Retirees.--The retired pay
of a member retired under chapter 61 of this title with 20 years or
more of service otherwise creditable under section 1405 of this title
at the time of the member's retirement is subject to reduction under
sections 5304 and 5305 of title 38, but only to the extent that the
amount of the member's retired pay under chapter 61 of this title
exceeds the amount of retired pay to which the member would have been
entitled under any other provision of law based upon the member's
service in the uniformed services if the member had not been retired
under chapter 61 of this title.
``(c) Exception.--Subsection (a) does not apply to a member retired
under chapter 61 of this title with less than 20 years of service
otherwise creditable under section 1405 of this title at the time of
the member's retirement.
``(d) Definitions.--In this section:
``(1) The term `retired pay' includes retainer pay,
emergency officers' retirement pay, and naval pension.
``(2) The term `veterans' disability compensation' has the
meaning given the term `compensation' in section 101(13) of
title 38.''.
(b) Repeal of Combat-Related Special Compensation Program.--Section
1413a of such title is repealed.
(c) Clerical Amendment.--The table of sections at the beginning of
chapter 71 of such title is amended by striking the items relating to
sections 1413a and 1414 and inserting the following:

``1414. Members eligible for retired pay who are also eligible for
veterans' disability compensation: payment
of retired pay and veterans' disability
compensation.''.

SEC. 204. EFFECTIVE DATE; PROHIBITION ON RETROACTIVE BENEFITS.

(a) In General.--The amendments made by section 202 shall take
effect on--
(1) the first day of the first month that begins after the
date of the enactment of this Act; or
(2) the first day of the fiscal year that begins in the
calendar year in which this Act is enacted, if later than the
date specified in paragraph (1).
(b) Retroactive Benefits.--No benefits may be paid to any person by
reason of section 1414 of title 10, United States Code, as amended by
section 202(a), for any period before the effective date applicable
under subsection (a).

TITLE III--SEAMLESS TRANSITION FROM MILITARY SERVICE TO VETERANS STATUS

SEC. 301. FINDINGS.

Congress makes the following findings:
(1) In its final report, the President's Task Force To
Improve Health Care Delivery For Our Nation's Veterans found
that ``. . . increased collaboration between the Departments
[of Defense and Veterans Affairs] for the transfer of personnel
and health information is needed. Within VA, broader sharing of
the information received from the DOD and individual veterans
is required so that veterans are not met at every turn with the
question, `Who are you and what do you want?' A `seamless transition'
from military service to veteran status is especially critical in the
context of health care, where readily available, accurate, and current
medical information must be accessible to health care providers''.
(2) The Task Force put forward a series of seven
recommendations designed to create a seamless transition from
military service to veteran status. Nearly two years after the
submittal of its final report, few of the recommendations have
been adopted.
(3) Leading nonpartisan veterans' advocates, including the
American Legion, Veterans of Foreign Wars, Disabled American
Veterans, and the Military Officers Association of America,
support the adoption of the recommendations made by the Task
Force to create a seamless transition from military service to
veteran status.

SEC. 302. REPORT ON DEVELOPMENT OF INTEROPERABLE ELECTRONIC MEDICAL
RECORDS.

Not later than 60 days after the date of the enactment of this Act,
the Secretary of Defense and the Secretary of Veterans Affairs shall
jointly submit to Congress a report on the status of the development of
interoperable electronic medical records for members of the Armed
Forces and veterans that are utilizable by both the Department of
Defense and the Department of Veterans Affairs.

SEC. 303. EXCHANGE OF MEDICAL RECORDS FOR SEAMLESS TRANSITION IN THE
PROVISION OF HEALTHCARE SERVICES.

The Secretary of Health and Human Services shall modify section
164.512(k)(1) of title 45, Code of Federal Regulations, to provide that
the Department of Defense and the Department of Veterans Affairs may
exchange protected health information of members of the Armed Forces
and veterans in a manner that, as determined jointly by the Secretary
of Health and Human Services, the Secretary of Defense, and the
Secretary of Veterans Affairs, facilitates a seamless transition
between the provision of health care services by the Department of
Defense to members of the Armed Forces and the provision of health care
services by the Department of Veterans Affairs to veterans who require
such services after their separation or retirement from the Armed
Forces.

SEC. 304. ENHANCEMENT OF PRESEPARATION PHYSICAL EXAMINATION
REQUIREMENTS.

Section 1145 of title 10, United States Code, is amended--
(1) in subsection (a), by striking paragraph (4);
(2) by redesignating subsections (d) and (e) as subsections
(e) and (f), respectively; and
(3) by inserting after subsection (c) the following new
subsection (d):
``(d) Preseparation Physical.--(1) The Secretary concerned shall
require a member of the Armed Forces to be separated from active duty
to undergo a physical examination before that separation.
``(2) The physical examination of a member under this subsection
shall be conducted before the member receives preseparation counseling
under section 1142 of this title.
``(3)(A) The physical examinations conducted under this subsection
shall be comprehensive and, to the maximum extent practicable, uniform
throughout the armed forces.
``(B) The purpose of a physical examination conducted for a member
under this subsection shall be--
``(i) to determine the immediate health care needs, if any,
of the member as of separation and the ongoing health care
needs, if any, of the member after separation; and
``(ii) to identify any illness, injury, or other medical
conditions that may make the member eligible for benefits as a
veteran under the laws administered by the Secretary of
Veterans Affairs.
``(C) The Secretary of Defense shall prescribe in regulations the
requirements for physical examinations conducted under this subsection.
``(4) The results of the physical examination of a member under
this subsection shall be included on the Form DD214 of the member (or
any successor form).
``(5) The Secretary concerned shall transmit in electronic form to
the Secretary of Veterans Affairs the results of each physical
examination conducted by such Secretary under this subsection.''.

SEC. 305. ENHANCEMENT OF PRESEPARATION COUNSELING REQUIREMENTS.

Section 1142(b) of title 10, United States Code, is amended--
(1) by redesignating paragraphs (3) through (10) as
paragraphs (4) through (11), respectively; and
(2) by striking paragraph (2) and inserting the following
new paragraphs:
``(2) A description (to be developed with the assistance of
the Secretary of Veterans Affairs) of the health care and other
benefits to which the member may be entitled under the laws
administered by the Secretary of Veterans Affairs, including
compensation and vocational rehabilitation benefits in the case
of a member being medically separated or being retired under
chapter 61 of this title, which shall be taken into account the
preseparation physical examination of the member conducted
under section 1145(d) of this title.
``(3) In the case of a member who, as determined pursuant
to the preseparation physical examination conducted under
section 145(d) of this title, may be entitled to compensation
or pensions benefits under the laws administered by the
Secretary of Veterans Affairs, a referral (to be provided with
the assistance of the Secretary of Veterans Affairs) for a
compensation and pension examination by the Secretary of
Veterans Affairs.''.

SEC. 306. EPIDEMIOLOGICAL STUDIES.

(a) In General.--The Secretary of Defense and the Secretary of
Veterans Affairs may, during the five-year period beginning on October
1, 2005, jointly carry out such epidemiological studies relating to
veterans' health conditions that develop as a result of occupational
exposure during military service as such Secretaries consider
appropriate.
(b) Funding.--
(1) Department of defense.--Of the amount authorized to be
appropriated for fiscal year 2006 for the Department of Defense
for the Defense Health Program, $2,500,000 shall be available
for the epidemiological studies authorized by subsection (a).
(2) Department of veterans affairs.--Of the amount
appropriated for fiscal year 2006 for the Department of
Veterans Affairs for Medical Care, $2,500,000 shall be
available for the epidemiological studies authorized by
subsection (a).
(3) Availability.--Amounts available under this subsection
shall be available without fiscal year limitation.

SEC. 307. INFORMATION SHARING.

(a) In General.--The Secretary of Defense and the Secretary of
Veterans Affairs shall jointly develop protocols to facilitate the
sharing of information between the Department of Defense and the
Department of Veterans Affairs on the matters referred to in subsection
(c) with respect to each member of the Armed Forces.
(b) Purpose.--The purpose of the protocols is to facilitate
determinations by the Department of Veterans Affairs of the existence
and extent of a connection any illness or injury experienced by a
former member of the Armed Forces after separation from the Armed
Forces and the exposure of the member to toxic or hazardous substances
in the course of the member's duties or assignments as a member of the
Armed Forces.
(c) Covered Matters.--The matters referred to in this subsection
with respect to a member of the Armed Forces are as follows:
(1) The duties and assignments of the member, including the
location of such duties and assignments.
(2) Any exposures of the member in the course of such
duties and assignments to toxic or hazardous substances.
(3) Any illness or injury of the member incurred or
aggravated in the course of such duties and assignments.
(d) Elements of Protocols.--The protocols on the sharing of
information developed under subsection (a) shall include the following:
(1) Mechanisms to ensure that the Department of Veterans
Affairs receives information to facilitate the timely and
accurate assessment of the illnesses or injuries of a member of
the Armed Forces that may have been incurred or aggravated by
the members's exposure to toxic or hazardous substances during
service in the Armed Forces.
(2) Mechanisms that provide, to the maximum extent
practicable consistent with the national security interests of
the United States, for the declassification of information
necessary to achieve the purpose of the protocols.
(3) Procedures to ensure that information is shared under
the protocols as a matter of routine operations of the
Department of Defense and the Department of Veterans Affairs.
(e) 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 jointly submit to Congress a report on the
protocols developed under subsection (a). The report shall include such
recommendations for legislative or administrative action as the
Secretaries consider appropriate.
(f) Funding.--
(1) Department of defense.--Amounts authorized to be
appropriated for fiscal year 2006 for the Department of Defense
for operation and maintenance, defense-wide, shall be available
for the development of protocols under subsection (a).
(2) Department of veterans affairs.--Amounts authorized to
be appropriated for fiscal year 2006 for the Department of
Veterans Affairs shall be available for the development of
protocols under subsection (a).

SEC. 308. COORDINATION OF LONG-TERM RESEARCH ON HEALTH CARE.

(a) Department of Veterans Affairs Representative on Armed Force
Epidemiological Board.--
(1) In general.--The Secretary of Defense shall appoint to
the Armed Forces Epidemiological Board, as an ex officio
member, an officer of the Department of Veterans Affairs
designated by the Secretary of Veterans Affairs for the purpose
of this subsection.
(2) Purpose.--The purpose of the appointment under this
subsection is to ensure that the Armed Forces Epidemiological
Board considers and takes into account the views and
recommendations of the Department of Veterans Affairs in
providing advice to the Assistant Secretary of Defense for
Health Affairs and the surgeons general of the Armed Forces.
(b) Department of Veterans Affairs Representative on Department of
Defense Safety and Occupational Health Committee.--
(1) In general.--The Secretary of Defense shall appoint to
the Department of Defense Safety and Occupational Health
Committee, as an ex officio member, an officer of the
Department of Veterans Affairs designated by the Secretary of
Veterans Affairs for the purpose of this subsection.
(2) Purpose.--The purpose of the appointment under
paragraph (1) is to ensure that the Department of Defense and
the Department of Veterans Affairs establish and maintain
effective collaboration on matters relating to occupational
safety and health of current and former members of the Armed
Forces.
(c) Annual Report on Force Health Protection.--Not later than March
1 each year, the Secretary of Defense and the Secretary of Veterans
Affairs shall jointly submit to Congress each year a report on the
efforts of the Department of Defense and Department of Veterans
Affairs, respectively, during the preceding calendar year, to
accomplish the following:
(1) The identification of illnesses and injuries incurred
or aggravated by members of the Armed Forces during service in
the Armed Forces through exposure to occupational hazards and
other toxic and hazardous substances.
(2) The treatment of members of the Armed Forces and
veterans for illnesses and injuries described in paragraph (1).
(3) The conduct of epidemiological studies on the health
consequences of the exposure of members of the Armed Forces to
occupational hazards and other toxic and hazardous substances
during service in the Armed Forces.
(4) The development of guidance and other information on
policies and practices intended to prevent, reduce, or mitigate
the exposure of members of the Armed Forces to occupational
hazards and other toxic and hazardous substances during service
in the Armed Forces.

TITLE IV--INCREASED GOVERNMENT COMMITMENT TO VETERANS' EDUCATION

SEC. 401. SHORT TITLE.

This title may be cited as the ``Increased Government Commitment to
Veterans' Education Act''.

SEC. 402. FINDINGS.

Congress makes the following findings:
(1) 2004 marked the 60th anniversary of the Servicemen's
Readjustment Act of 1944, better known as the G.I. Bill. Out of
an eligible population of 15,500,000 veterans, nearly 8,000,000
received education or training as a result of this legislation,
one of the most successful Federal Government programs in
United States history.
(2) Since Congress first enacted the G.I. Bill, veterans'
benefits have been updated to keep pace with changing times.
Over 21,000,000 veterans have now received educational
assistance through the G.I. Bill and its successors.
(3) Congress has a duty to ensure that the VA can continue
to offer an education assistance program that robustly supports
veterans' efforts to obtain higher education and make a
successful transition from military to civilian life.

SEC. 403. EXCLUSION OF BASIC PAY CONTRIBUTIONS FOR PARTICIPATION IN
BASIC EDUCATIONAL ASSISTANCE IN CERTAIN COMPUTATIONS ON
STUDENT FINANCIAL AID.

(a) Exclusion.--Subchapter II of chapter 30 of title 38, United
States Code, is amended by adding at the end the following new section:
``Sec. 3020A. Exclusion of basic pay contributions in certain
computations on student financial aid
``(a) In General.--The expected family contribution computed under
section 475, 476, or 477 of the Higher Education Act of 1965 (20 U.S.C.
1087oo, 1087pp, 1087qq) for a covered student shall be decreased by
$1,200 for the applicable year.
``(b) Definitions.--In this section:
``(1) The term `academic year' has the meaning given the
term in section 481(a)(2) of the Higher Education Act of 1965
(20 U.S.C. 1088(a)(2)).
``(2) The term `applicable year' means the first academic
year for which a student uses entitlement to basic educational
assistance under this chapter.
``(3) The term `covered student' means any individual
entitled to basic educational assistance under this chapter
whose basic pay or voluntary separation incentives was or were
subject to reduction under section 3011(b), 3012(c), 3018(c),
3018A(b), or 3018B(b) of this title.''.
(b) Clerical Amendment.--The table of sections at the beginning of
such chapter is amended by inserting after the item relating to section
3020 the following new item:

``3020A. Exclusion of basic pay contributions in certain computations
on student financial aid.''.

SEC. 404. OPPORTUNITY FOR ENROLLMENT IN BASIC EDUCATIONAL ASSISTANCE
PROGRAM OF CERTAIN INDIVIDUALS WHO PARTICIPATED OR WERE
ELIGIBLE TO PARTICIPATE IN POST-VIETNAM ERA VETERANS
EDUCATIONAL ASSISTANCE PROGRAM.

(a) Opportunity for Enrollment.--Section 3018C(e) of title 38,
United States Code, is amended--
(1) in paragraph (1), by inserting ``or (3)'' after
``paragraph (2)'';
(2) by redesignating paragraphs (3), (4), and (5) as
paragraphs (4), (5), and (6), respectively;
(3) by inserting after paragraph (2) the following new
paragraph (3):
``(3) A qualified individual referred to in paragraph (1) is also
an individual who meets each of the following requirements:
``(A) The individual is a participant in the educational
benefits program under chapter 32 of this title as of the date
of the enactment of the Montgomery GI Bill for the 21st Century
Act, or was eligible to participate in such program, but had
not participated in that program or any other educational
benefits program under this title, as of that date.
``(B) The individual meets the requirements of subsection
(a)(3).
``(C) The individual, when discharged or released from
active duty, is discharged or released therefrom with an
honorable discharge.'';
(4) in paragraph (5), as so redesignated, by striking
``paragraph (3)(A)(ii)'' and inserting ``paragraph
(4)(A)(ii)''; and
(5) in paragraph (6), as so redesignated, by inserting ``,
or individuals eligible to participate in that program who have
not participated in that program or any other educational
benefits program under this title,'' after ``chapter 32 of this
title''.
(b) Conforming and Clerical Amendments.--(1) The heading of such
section is amended to read as follows:
``Sec. 3018C. Opportunity to enroll: certain VEAP participants; certain
individuals eligible for participation in VEAP''.
(2) The table of sections at the beginning of chapter 30 of such
title is amended by striking the item relating to section 3018C and
inserting the following new item:

``3018C. Opportunity to enroll: certain VEAP participants; certain
individuals eligible for participation in
VEAP.''.

SEC. 405. COMMENCEMENT OF 10-YEAR DELIMITING PERIOD FOR VETERANS AND
DEPENDENTS WHO ENROLL IN TRAINING PROGRAM.

(a) Veterans.--Section 3031 of title 38, United States Code, is
amended--
(1) in subsection (a), by striking ``through (g), and
subject to subsection (h)'' and inserting ``through (h), and
subject to subsection (i)'';
(2) by redesignating subsection (h) as subsection (i); and
(3) by inserting after subsection (g) the following new
subsection (h):
``(h) In the case of an individual eligible for educational
assistance under this chapter who, during the 10-year period described
in subsection (a) of this section, enrolls in a program of training
under this chapter, the period during which the individual may use the
individual's entitlement to educational assistance under this chapter
expires on the last day of the 10-year period beginning on the first
day of the individual's pursuit of such program of training.''.
(b) Eligible Children.--Subsection (a) of section 3512 of such
title is amended--
(1) in paragraph (6)(B), by striking ``and'' at the end;
(2) in paragraph (7), by striking the period at the end and
inserting ``; and''; and
(3) by adding at the end the following new paragraph:
``(8) if the person enrolls in a program of special
restorative training under subchapter V of this chapter, such
period shall begin on the first day of the person's pursuit of
such program of special restorative training.''.
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