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Pub. L.
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John S. McCain III, Daniel K. Akaka, and Samuel R. Johnson VA Maintaining Internal Systems and Strengthening Integrated Outside Networks Act of 2018

115th Congress · Approved Jun 6, 2018 · 132 Stat. 1393

An Act

To establish a permanent community care program for veterans, to establish a commission for the purpose of making recommendations regarding the modernization or realignment of facilities of the Veterans Health Administration, to improve construction of the Department of Veterans Affairs, to make certain improvements in the laws administered by the Secretary of Veterans Affairs relating to the home loan program of the Department of Veterans Affairs, and for other purposes.

Be it enacted by the Senate and House of Representa­tives of the United States of America in Congress assembled,

SECTION 1. Short Title; Table of Contents.

(a)
Short Title.— This Act may be cited as the “John S. McCain III, Daniel K. Akaka, and Samuel R. Johnson VA Maintaining Internal Systems and Strengthening Integrated Outside Networks Act of 2018” or the “VA MISSION Act of 2018”.
(b)
Table of Contents.— The table of contents for this Act is as follows:

Sec. 1. Short title; table of contents.

TITLE I— CARING FOR OUR VETERANS

Sec. 100. Short title; references to title 38, United States Code.

Subtitle A— Developing an Integrated High-Performing Network

Chapter 1— Establishing Community Care Programs

Sec. 101. Establishment of Veterans Community Care Program.

Sec. 102. Authorization of agreements between Department of Veterans Affairs and non-Department providers.

Sec. 103. Conforming amendments for State veterans homes.

Sec. 104. Access standards and standards for quality.

Sec. 105. Access to walk-in care.

Sec. 106. Strategy regarding the Department of Veterans Affairs High-Performing Integrated Health Care Network.

Sec. 107. Applicability of Directive of Office of Federal Contract Compliance Programs.

Sec. 108. Prevention of certain health care providers from providing non-Department health care services to veterans.

Sec. 109. Remediation of medical service lines.

Chapter 2— Paying Providers and Improving Collections

Sec. 111. Prompt payment to providers.

Sec. 112. Authority to pay for authorized care not subject to an agreement.

Sec. 113. Improvement of authority to recover the cost of services furnished for non-service-connected disabilities.

Sec. 114. Processing of claims for reimbursement through electronic interface.

Chapter 3— Education and Training Programs

Sec. 121. Education program on health care options.

Sec. 122. Training program for administration of non-Department of Veterans Affairs health care.

Sec. 123. Continuing medical education for non-Department medical professionals.

Chapter 4— Other Matters Relating to Non-Department of Veterans Affairs Providers

Sec. 131. Establishment of processes to ensure safe opioid prescribing practices by non-Department of Veterans Affairs health care providers.

Sec. 132. Improving information sharing with community providers.

Sec. 133. Competency standards for non-Department of Veterans Affairs health care providers.

Sec. 134. Department of Veterans Affairs participation in national network of State-based prescription drug monitoring programs.

Chapter 5— Other Non-Department Health Care Matters

Sec. 141. Plans for Use of Supplemental Appropriations Required.

Sec. 142. Veterans Choice Fund flexibility.

Sec. 143. Sunset of Veterans Choice Program.

Sec. 144. Conforming amendments.

Subtitle B— Improving Department of Veterans Affairs Health Care Delivery

Sec. 151. Licensure of health care professionals of the Department of Veterans Affairs providing treatment via telemedicine.

Sec. 152. Authority for Department of Veterans Affairs Center for Innovation for Care and Payment.

Sec. 153. Authorization to provide for operations on live donors for purposes of conducting transplant procedures for veterans.

Subtitle C— Family Caregivers

Sec. 161. Expansion of family caregiver program of Department of Veterans Affairs.

Sec. 162. Implementation of information technology system of Department of Veterans Affairs to assess and improve the family caregiver program.

Sec. 163. Modifications to annual evaluation report on caregiver program of Department of Veterans Affairs.

TITLE II— VA ASSET AND INFRASTRUCTURE REVIEW

Subtitle A— Asset and Infrastructure Review

Sec. 201. Short title.

Sec. 202. The Commission.

Sec. 203. Procedure for making recommendations.

Sec. 204. Actions regarding infrastructure and facilities of the Veterans Health Administration.

Sec. 205. Implementation.

Sec. 206. Department of Veterans Affairs Asset and Infrastructure Review Account.

Sec. 207. Congressional consideration of Commission report.

Sec. 208. Other matters.

Sec. 209. Definitions.

Subtitle B— Other Infrastructure Matters

Sec. 211. Improvement to training of construction personnel.

Sec. 212. Review of enhanced use leases.

Sec. 213. Assessment of health care furnished by the Department to veterans who live in the Pacific territories.

TITLE III— IMPROVEMENTS TO RECRUITMENT OF HEALTH CARE PROFESSIONALS

Sec. 301. Designated scholarships for physicians and dentists under Department of Veterans Affairs Health Professional Scholarship Program.

Sec. 302. Increase in maximum amount of debt that may be reduced under Education Debt Reduction Program of Department of Veterans Affairs.

Sec. 303. Establishing the Department of Veterans Affairs Specialty Education Loan Repayment Program.

Sec. 304. Veterans healing veterans medical access and scholarship program.

Sec. 305. Bonuses for recruitment, relocation, and retention.

Sec. 306. Inclusion of Vet Center employees in Education Debt Reduction Program of Department of Veterans Affairs.

TITLE IV— HEALTH CARE IN UNDERSERVED AREAS

Sec. 401. Development of criteria for designation of certain medical facilities of the Department of Veterans Affairs as underserved facilities and plan to address problem of underserved facilities.

Sec. 402. Pilot program to furnish mobile deployment teams to underserved facilities.

Sec. 403. Pilot program on graduate medical education and residency.

TITLE V— OTHER MATTERS

Sec. 501. Annual report on performance awards and bonuses awarded to certain high-level employees of the department.

Sec. 502. Role of podiatrists in Department of Veterans Affairs.

Sec. 503. Definition of major medical facility project.

Sec. 504. Authorization of certain major medical facility projects of the Department of Veterans Affairs.

Sec. 505. Department of Veterans Affairs personnel transparency.

Sec. 506. Program on establishment of peer specialists in patient aligned care team settings within medical centers of Department of Veterans Affairs.

Sec. 507. Department of Veterans Affairs medical scribe pilot program.

Sec. 508. Extension of requirement to collect fees for housing loans guaranteed by Secretary of Veterans Affairs.

Sec. 509. Extension of reduction in amount of pension furnished by Department of Veterans Affairs for certain veterans covered by Medicaid plans for services furnished by nursing facilities.

Sec. 510. Appropriation of amounts.

Sec. 511. Technical correction.

Sec. 512. Budgetary effects.