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WOMEN VETERANS HEALTH PROGRAMS

Public Law 102-585, §§ 106-108, Nov. 4, 1992, 106 Stat. 49474948, provides:

SEC. 106 [38 U.S.C. 1710 note]. HEALTH CARE SERVICES FOR WOMEN. | (a) GENERAL AUTHORITY.—In furnishing hospital care and medical services under chapter 17 of title 38, United States Code, the Secretary of Veterans Affairs may provide to women the following health care services:

(1) Papanicolaou tests (pap smears).

(2) Breast examinations and mammography.

(3) General reproductive health care, including the management of menopause, but not including under this section infertility services, abortions, or pregnancy care (including prenatal and delivery care), except for such care relating to a pregnancy that is complicated or in which the risks of complication are increased by a service-connected condition.

(b) RESPONSIBILITIES OF DIRECTORS OF FACILITIES.-The Secretary shall ensure that directors of medical facilities of the Department identify and assess opportunities under the authority provided in title II of this Act [38 U.S.C. 8111 note] to (1) expand the availability of, and access to, health care services for women veterans under sections 1710 and 1712 of title 38, United States Code, and (2) provide counseling, care, and services authorized by this title.

SEC. 107 [38 U.S.C. 1710 note]. REPORT ON HEALTH CARE AND RESEARCH.

(a) IN GENERAL.-Not later than January 1, 1993, January 1, 1994, and January 1, 1995, the Secretary of Veterans Affairs shall submit to the Committees on Veterans' Affairs of the Senate and House of Representatives a report on the provision of health care services and the conduct of research carried out by, or under the jurisdiction of, the Secretary relating to women veterans.

(b) CONTENTS.-The report under subsection (a) shall include the following information with respect to the most recent fiscal year before the date of the report:

(1) The number of women veterans who have received services described in section 106 of this Act in facilities under the jurisdiction of the Secretary (or the Secretary of Defense), shown by reference to the Department facility which provided (or, in the case of Department of Defense facilities, arranged) those services;

(2) A description of (A) the services provided at each such facility, and (B) the extent to which each such facility relies on contractual arrangement under section 1703 or 8163 of title 38, United States Code, to furnish care to women veterans in facilities which are not under the jurisdiction of the secretary

where the provision of such care is not furnished in a medical emergency.

(3) The steps taken by each such facility to expand the provision of services at such facility (or under arrangements with a Department of Defense facility) to women veterans.

(4) A description (as of October 1 of the year preceding the year in which the report is submitted) of the status of any research relating to women veterans being carried out by or under the jurisdiction of the Secretary, including research under section 109 of this Act.

SEC. 108 [38 U.S.C. 1710 note]. COORDINATION OF SERVICES.

The Secretary of Veterans Affairs shall ensure that an official in each regional office of the Veterans Health Administration shall serve as a coordinator of women's services. The responsibilities of such official shall include the following:

(1) Conducting periodic assessments of the needs for services of women veterans within such region.

(2) Planning to meet such needs.

(3) Assisting in carrying out the purposes of section 106(b) of this title [set out above].

(4) Coordinating the training of women veterans coordinators who are assigned to Department facilities in the region under the jurisdiction of such regional coordinator.

(5) Providing appropriate technical support and guidance to Department facilities in that region with respect to outreach activities to women veterans.

SEC. 110 [38 U.S.C. 1710 note]. POPULATION STUDY OF WOMEN VETERANS.

Public Law 102-585, § 110, Nov. 4, 1992, 106 Stat. 4948

(as amended by Public Law 103-452, §102(c), Nov. 2, 1994, 108 Stat. 4786) provides:

(a) STUDY. (1) The Secretary, subject to subsection (d), shall conduct a study to determine the needs of veterans who are women for health-care services. The study shall be based on an appropriate sample of veterans who are women.

(2) Before carrying out the study, the Secretary shall request the advice of the Advisory Committee on Women Veterans on the conduct of the study.

(3) In carrying out the study, the Secretary shall include in the sample veterans who are women and members of the Armed Forces serving on active duty who are women. If it is feasible to do so within the amounts available for the conduct of the study, the Secretary shall ensure that the sample referred to in paragraph_(1) constitutes a representative sampling (as determined by the Secretary) of the ages, the ethnic, social and economic backgrounds, the enlisted and officer grades, and the branches of service of all veterans who are women.

(b) REPORTS.-The Secretary shall submit to the Committees on Veterans Affairs of the Senate and House of Representatives reports relating to the study as follows:

(1) Not later than 9 months after the date of the enactment of this Act [Nov. 4, 1992], an interim report describing (A) the information and advice obtained by the Secretary from the Ad

visory Committee on Women Veterans, and (B) the status of the study.

(2) Not later than December 31, 1995, a final report describing the results of the study.

AUTHORIZATION OF APPROPRIATIONS.-There is authorized to ppropriated to the general operating expenses account of the artment of Veterans Affairs $2,000,000 to carry out the purs of this section. Amounts appropriated pursuant to this auzation of appropriations shall be available for obligation until nded without fiscal year limitation.

LIMITATION.-No funds may be used to conduct the study deed in subsection (a) unless expressly provided for in an approion Act.

REPORTS ON FURNISHING OF HEALTH CARE AND
IMPLEMENTATION OF CHANGES IN ELIGIBILITY

Section 19011(e) of Public Law 99-272

(as amended by Public Law 100-527, § 10(1), (2), Oct. 25, 1988, 102 Stat. 2640, 2641; Public Law 101–237, § 201(d), Dec. 18, 1989, 103 Stat. 2066; Public Law 102-40, § 302, May 7, 1991, 105 Stat. 208; Public Law 102-83, §5(c)(2), Aug. 6, 1991, 105 Stat. 406; Public Law 102-291, § 4, May 20, 1992, 106 Stat. 179) provides:

SEC. 19011 [38 U.S.C. 1710 note] (e) REPORTS ON FURNISHING OF HEALTH CARE AND IMPLEMENTATION OF CHANGES IN ELIGIBILITY. (1) The Secretary of Veterans Affairs shall submit to the Committees on Veterans' Affairs of the Senate and the House of Representatives a report for each fiscal year through fiscal year 1992 concerning the implementation of the amendments made by this section [amending sections 525, 601, 610, 612, 612A, 620, 622, and 663 [now 1525, 1701, 1710, 1712, 1712A, 1720, 1722, and 1763] of this title and enacting provisions set out as notes under sections 1710 and 1722 of this title].

(2) Each report under paragraph (1) shall provide detailed information with respect to the fiscal year for which it is submitted regarding—

(A) the number of veterans who received health care from the Department of Veterans Affairs during the fiscal year concerned (shown in total and separately for hospital care, nursing home care, outpatient care, and domiciliary care);

(B) with respect to veterans who applied for health care from the Department of Veterans Affairs during such fiscal year but did not receive such care

(i) the number of such veterans (shown in total and separately for hospital care, nursing home care, outpatient care, and domiciliary care); and

(ii) the primary reasons why such care was not furnished;

(C) the guidelines and processes for

(i) implementation of the income-threshold criteria for Department of Veterans Affairs health-care eligibility established by paragraph (1)(I) and subparagraphs (A) and (B) of paragraph (2) of section 1710(a) [formerly 610(a)] of title 38, United States Code (as added by subsection (a)), paragraph (4) of section 1712(f) [formerly 612(f)] of such title (as added by subsection (b)), and section 1722 [formerly 622] of such title (as amended by subsection (c)); and

(ii) the collection of payments required by section 1710(f) [formerly 610(f)] of such title (as added by subsection (a)(2)) and by section 1712(f)(4) [formerly 612(f)(4)] of such title (as added by subsection (b)(2));

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