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monitoring of individual treatment plans and followup for veterans receiving such care and treatment.”.

(b) Not late than March 1, 1985, and March 1 of each subsequent year, the Administrator of Veterans' Affairs shall submit to the Committees on Veterans' Affairs of the House of Representatives and the Senate a report containing a comprehensive survey of the activities during the preceding fiscal year of all Veterans Administration-operated programs providing treatment and rehabilitation for alcohol or drug dependence or abuse disabilities, identifying, by facility, the number of beds involved. the number of patients and episodes of care (whether inpatient acute, inpatient-rehabilitation, inpatient-extended, or outpatient), the specific treatment methodologies employed, average lengths of participation, rates of successful rehabilitation, and staffing levels and standards, together with a na tional summary of such information. The third such report shall also contain informa tion on the effectiveness of such treatment and rehabilitation in light of the regula tions prescribed under subsection (h) of sec tion 620A (as added by the amendment made by subsection (aX4) of this section), including information on diagnostic methodologies employed, use of case-management approaches and discharge planning. lengths of participation, treatment results. methods used for approving, evaluating, and monitoring the use of non-Veterans' Administration facilities under section 620A, and referral and followup activities for veterans discharged from such programs and such facilities.

(c) The section heading of section 620A
and the item relating to such section in the
table of sections at the beginning of chapter
17 are each amended by striking out the
semicolon and "pilot program".

MEDICAL AND REHABILITATIVE DEVICES
SEC. 4. Section 617 is amended→→
(1) by redesignating such section as sub-
section (a); and

(2) by adding at the end the following new
subsection:

"(b) In order to assist in overcoming the
handicap of deafness, the Administrator
may provide assistive devices, including tele-
captioning television decoders, to veterans
who are profoundly deaf and entitled to
compensation on account of hearing impair
ment.".

POST-TRAUMATIC-STRESS DISORDER
SEC. 5. (aX1) In order to enhance the Vet-
erans' Administration's capability to diag
nose and treat post-traumatic-stress disor
der (hereinafter in this section referred to

"PTSD"), the Chief Medical Director of the Veterans' Administration shall establish In the Department of Medicine and Surgery a Special Committee on Post-Traumatic Stress Disorder (hereinafter in this section referred to as the "Special Committee") and shall appoint qualified employees of the Department to serve on the Special Commit tee.

(2) The Special Committee shall assess, and carry out a continuing assessment of. the capacity of the Veterans' Administra tion to provide diagnosis and treatment to eligible veterans with PTSD and shall advise the Chief Medical Director regarding the development of policies, the provision of guidance, and the coordination of services for the diagnosis and treatment of veterans with PTSD in inpatient PTSD units, other inpatient psychiatric programs, outpatient mental health clinics, and readjustment counseling programs of the Veterans' Administration. The Special Committee shall also make recommendations to the Chief Medical Director for guidance regarding ap propriate diagnostic and treatment methods and referral for and coordination of followup care and with respect to the evaluation of PTSD treatment programs, the conduct of research concerning such diagnosis and treatment (taking into account the provislons of subsection (b) of this section), spe cial programs of education and training on

PTSD for employees of the Department of Medicine and Surgery and the Department of Veterans Benefits (also taking into ac count such provisions), the appropriate allo cation of resources for all such activities, and any specific steps that should be taken to improve such diagnosis and treatment and to correct any deficiencies in the operations of inpatient PTSD units.

(b) The Chief Medical Director of the Veterans Administration shall establish and operate a National Center on PTSD (A) to carry out and promote research into, and the training of health-care and related per sonnel in, the diagnosis and treatment of veterans with PTSD, and (B) to serve as a resource center for and to promote and to seek to coordinate the exchange of informa tion regarding all research and training activities carried out by the Veterans' Administration, and by other Pederal and non- Federal entities, with respect to PTSD.

(eX1XA) Not later than 180 days after the date of the enactment of this Act, the Administrator shall submit to the Committees on Veterans' Affairs of the House of Repre sentatives and the Senate a report on the implementation of subsections (a) and (b). (B) The report required by subparagraph (A) shall contain

(1) a list of the members of the Special Committee,

(1) the assessment of the Chief Medical Director of the Veterans' Administration, after consultation with the Special Commit tee, regarding the capability of the Veterans' Administration to meet the needs of Vietnam veterans, former prisoners of war, and other eligible veterans for inpatient and outpatient PTSD diagnosis and treatment (both through PTSD inpatient treatment units and otherwise) as well as a description of the results of any evaluations that have been made of PTSD inpatient treatment units in existence on the date of the enact ment of this Act,

(iii) the plans of the Special Commitee for further assessments of the capability of the Veterans Administration to diagnose and treat veterans with PTSD.

(iv) the recommendations made by the Special Committee to the Chief Medical Di rector,

(v) a description of the steps taken, plans made (and a timetable for their execution), and resources to be applied to implement subsections (a) lkand (b), and

(vi) the assessment of the Administrator of the capacity of the Veterans' Administra tion to meet in all geographic areas of the United States the needs described in clause (ii) and any plans and timetable for increasing that capacity (including the costs of such action).

(2) Not later than February 1, 1986, and February 1 of each subsequent year, the Ad. ministrator shall submit to the Committees on Veterans' Affairs of the House of Repre sentatives and the Senate a report containing information updating the report or reports submitted under this subsection prior to the submission of such report.

REPORT ON VETERANS' ADMINISTRATION PROGRAMS FOR TERMINALLY ILL VETERANS Sec. 6. (a) Not later than September 30, 1985, the Administrator of Veterans' Affairs shall submit to the Committees on Veterans Affairs of the House of Representatives and the Senate a report on programs of the Veterans' Administration to furnish palliative care, supportive counseling, and other medical services to terminally ill veterans and, pursuant to section 601(6XB) of title 38, United States Code, supportive counsel ing to members of such veterans' families. (b) The report required by subsection (a) shall include

(1) a review of Veterans' Administration policies and guidelines on the provision of care, counseling, and services described in subsection (a),

(2) a review of the care, counseling, and services furnished, including the treatment

modalities used and services furnished by the Veterans' Administration;

(3) an analysis and a comparison of the care, counseling, and services furnished with respect to terminally ill veterans in hospice and other Veterans Administration programs, including a comparison of the routine and ancillary services, of the duration of inpatient and outpatient treatment and hospital-based home care, and of the cost of care furnished in such programs;

(4) an explanation of how the care, counseling, and services described in subsection (a) is or will be included in the overall plans of the Veterans Administration for provid ing health care to older veterans in the future and the extent to which plans to fur nish hospice care are included in such plans;

(5) a review of any steps taken to arrange for the exchange of information between Veterans' Administration facilities providing the care, counseling, and services described in subsection (a) and non Veterans' Administration facilities providing similar care, counseling, and services; and

(6) proposals for such administrative or legislative action as the Administrator may consider appropriate in light of the informa tion provided in the report

AUTOMOBILE ADAPTIVE EQUIPMENT

8 c. 7. (a) Subsection (c) of section 1903 is amended to read as follows.

"(cX1) An eligible person shall not be entitled to adaptive equipment under this chapter for more than two automobiles or other conveyances (A) at any one time, or (B) except as provided in paragraph (2) of this subsection, in any four year period.

(2) If, in a case in which the limitation set forth in paragraph (1XB) of this subsection precludes an eligible person from being entitled to adaptive equipment, the Administrator determines that, due to circumstances beyond the control of the eligible person, one of the automobiles or other conveyances for which adaptive equipment was provided in the applicable four-year period is no longer available for the use of such person, the Administrator may, as a matter of discretion and pursuant to regulations which the Administrator shall prescribe. provide adaptive equipment for such person for an additional automobile or other conveyance during such period.".

(bx1) Except as provided in paragraph (2), the amendment made by subsection (a) shall take effect on October 1, 1984.

(2) In the case of a person who was provid ed adaptive equipment under chapter 39 of title 38. United States Code, for an automobile or other conveyance after September 30, 1980, but prior to October 1, 1984, and who has available for use such automobile or other conveyance on the date of the enactment of this Act. the first four-year period applicable to such person under subsection (c) of section 1903 of such title (as amended by subsection (a)) shall begin on the most recent date prior to October 1, 1984, on which such individual was provided such equipment.

READJUSTMENT COUNSELING SEC. 8. (a) Section 612A(g)2XB) is amend.

ed

(1) by striking out "and" at the end of clause (1),

(2) by striking out the period at the end of clause (11) and inserting in lieu thereof x semicolon and "and", and

(3) by adding after clause (1) the following:

"(1) assessments of whether or not individuals who

"(1) are veterans who served on active duty (aa) during World War II or the Korean conflict (with particular emphasis on those who engaged in combat with the enemy), (bb) during any period and who were prisoners of war, or (cc) after May 7. 1975 (with particular emphasis on those who served in areas during periods in which members of the Armed Forces in such areas were subjected to danger from armed con

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flict comparable to the danger to which members of the Armed Forces have been subjected in combat with the enemy during a period of war), and

(II) members of the Armed Forces serving on active duty who (aa) served on active duty during World War II or the Korean conflict (with particular emphasis on those who engaged in combat with the enemy) or after May 7, 1975 (with particular emphasis on those who served in areas during periods described in division (cc) of this clause), or (bb) were prisoners of war,

need readjustment counseling and, if so, the
the
Administrator's recommendations on
most desirable means by which such needs
should be met, taking into account the re-
sources that would be required to meet such
needs and specifically whether such persons
should be made eligible for readjustment
counseling under this section and, if so,
what effect that eligibility would have on
the availability of such services for Viet-
nam-era veterans.

The Administrator may submit the assess-
ments and recommendations described in
subclause (ii) at any time prior to April 1,
1987.".

(b)1) Not later than 180 days after the date of the enactment of this Act, the Administrator of Veterans' Affairs and the Secretary of Defense shall submit to the ap propriate committees of the Congress a Joint report setting forth

(A) their recommendations, taking into ac count the extent of the availability of Veterans' Administration resources to provide readjustment counseling to Vietnam-era veterana, on the appropriateness and desirabil ity of extending eligibility for, readjustment counseling under section 612A of title 38, United States Code, to individuals who are serving on active duty in the Armed Forces of the United States and (1) who also served on such active duty during the Vietnam era (as defined in section 101(29) of such title (as amended by section 8 of this Act)), or (ii) who also served on active duty after May 7, 1975, in an area during a period in which hostilities (as defined in paragraph (2) of this subsection) occurred in such area:

(B) their determinations as to (D) whether, if eligibility for such readjustment counsel. ing were so extended, the Veterans' Admintstration and the Department of Defense would enter into an agreement or agreements pursuant to which the Department of Defense would reimburse the Veterans' Administration for such counseling provided to such individuals while serving on active duty, (II) if so, whether or not such reimbursement would be made without the necessity of the Veterans Administration providing the Department of Defense with the names of the individuals so counseled and, if not, whether or not a requirement that such names be provided would discourage activeduty personnel from requesting such services, and (III) the manner and extent to which the Veterans' Administration and the Department of Defense would undertake to carry out outreach activities to inform such individuals about the availability of such counseling, and

(C) any other information, determina tions, or recommendations pertinent to the subject matter of the report that the Administrator and Secretary consider appropriate.

"(C) policies with respect to the exercise by Veterans' Administration security service officers of the enforcement and arrest authorizes granted in subsection (b) of this section.

"(D) the scope and duration of training that is required for Veterans' Administration security service officers, with particular emphasis on dealing with situations involv ing patients, and

(E) rules limiting the carrying and use of weapons by Veterans' Administration security service officers.

The rules prescribed under clause (A) of this paragraph, together with the penalties

for violations thereof, shall be posted con-
spicuously on such property.

"(2) Whoever violates any rule prescribed
under paragraph (1XA) of this subsection
shall be fined not more than $500 or impris
oned not more than six months (or such
lesser amount or period of time as the Ad-
ministrator prescribes in the regulations
prescribed under paragraph (1) of this sub-
section), or both.

"(b) The Administrator may designate employees of the Veterans' Administration as Veterans' Administration security service officers. Such officers shall enforce Federal laws, and the rules prescribed under subsection (AXIXA) of this section, on Veterans' Administration property. Any Veterans' Administration security service officers, subJect to any restrictions under the regula Lions prescribed under subsection (a) of this section, may make an arrest, with or with'out a warrant, for any offense on Veterans' Administration property if (1) such offense occurs in such officer's presence, or (2) such officer has reasonable grounds to believe (A) that the offense constitutes a violation of any law of the United States or of any rule prescribed under subsection (aX1XA) of this section, and (B) that the person to be arrested has committed that offense.

"(e) With the agreement of the head of the agency concerned, the Administrator may use the facilities and services of Federal, State, and local law enforcement agencies when it is economical and in the public interest to do so.

"(dx1) Notwithstanding subchapter I of chapter 59 of title 5, the Administrator, pursuant to regulations which the Administrator shall prescribe consistent with paragraph (2) of this subsection, may pay allow. ances for the purchase of uniforms to any Veterans' Administration 'security service officer who is required to wear a prescribed uniform in the performance of official duties.

"(2) Allowances that the Administrator may pay under paragraph (1) of this subsection shall nut exceed

"(A) at the time the individual is first employed as a Veterans' Administration security service officer. $400; and

"(B) at the beginning of the first fiscal year that begins after the Individual has completed 12 months of service as a Veterans' Administration security service officer and at the beginning of each subsequent fiscal year, $200.".

(bx1) The provisions of section 218 of title 38, United States Code, other than clause (2) of subsection (a) of such section, as in effect on the day before the date of the enactment of this Act shall remain in effect until the date on which the Administrator of Veterans Affairs prescribes the regula tions required to be prescribed by subsection (a) of such section as amended by subsection (a) of this section.

(2) The authority of the Administrator to designate officers and employees of the Veterans Administration to act as special policemen under section 218(x2) of such title as in effect on the day before the date of the enactment of this Act shall remain in effect until the date on which the Adminis trator first exercises the authority under subsection (b) of section 218 of such title as amended by subsection (a) of this section.

(c) The item relating to such section in
the table of sections at the beginning of
chapter 3 of such title is amended to read as
follows:

"218. Security and law enforcement on
property under the jurisdiction
of the Veterans' Administra
tion.".

(d) Section 4107(g) is amended--
(1) in paragraph (1)~

(A) by striking out "or" in clause (A);
(B) by striking out the comma and insert-
ing in leu thereof a semicolon and "or" in
subclause (Iv) of clause (B); and

(C) by inserting after clause (B) the fol-
lowing new clause:

"(C) of employées providing security serv ices, pursuant to section 218 of this title, in buildings under the jurisdiction of the Administrator (and not under the control of the Administrator of General Services) that are used for the purpose of providing health care,

(2) by striking out "health-care" each place it appears in paragraphs (2XA) and (4); and

(3) by inserting "or (C)" after "(8)" in
paragraph (4).

COMPTROLLER GENERAL REPORT ON MEDICAL
PERSONNEL STAFFING LEVELS
Sec. 10. Section 6010(aX4XC) is amended
to read as follows:

"(C) Not later than fifteen days after the
expiration of the period for the submission
of a certification by the Director of the
Office of Management and Budget under
subparagraph (B) of this paragraph, the
Comptroller General shall submit to the ap
propriate committees of the Congress a
report stating the Comptroller General's
opinion as to whether the Director has com
plied with the requirements of such sub-
paragraph in providing such certification
and in providing to the Veterans' Adminis
tration such funded personnel ceiling.".
REPORT ON FEDERAL GOVERNMENT RESPONSIBIL
ITY TO INDIVIDUALS WHO SERVED WITH FOL
UNTARY CIVILIAN ORGANIZATIONS IN VIET
KAM

SEC. 11. (aX1) The purpose of this section is to provide a basis for the executive branch and the Congress to evaluate the question of United States Government responsibility, and alternative approaches, for providing individuals who served for a period of at least thirty days in the Republic of Vietnam during the Vietnam era as employees of voluntary organizations, deter mined by the Administrator of Veterans' Al fairs, in consultation with the Secretary of Defense, to be organizations which provided significant assistance to the United States Armed Forces in the Republic of Vietnam during the Vietnam era, with Federal and other benefits and services (including, but not limited to, health care and monetary compensation for disabilities which may be related to exposure to dioxin or be the result of traumatic events), either through the Veterans' Administration or otherwise. and for assisting such individuals in connec tion with disabilities they may have in curred as a result of such service.

(2) In order to carry out the purpose stated in paragraph (1), the Administrator, the Secretary of Defense, and the Secretary of Health and Human Services not inter than 180 days after the date of the enactment of this Act, shall submit to the appropriate committees of the Congress a joint report on the question of United States Government responsibility and setting forth various alternative approaches (together with comments on the appropriateness and the advantages and disadvantages of each) and any recommendations by such officials for legislative and administrative action with respect thereto, for establishing a program for providing such benefits, services, and assistance to such individuals.

(b) For the purpose of this section, the terma "Armed Porces" and "Vietnam ers" have the meanings given such terms in section 101 (10) and (29), respectively, of title 38, United States Code.

CONTRACT CARE IN PUERTO RICO AND THE
VIRGIN ISLANDS

SEC. 12. Section 601(4XCXV) is amended by striking out "September 30, 1984," and Inserting in lieu thereof "September 30, 1985.".

HEALTH CARE IN REMOTE AREAS SEC. 13. (a) The Congress finds that(1) many veterans with service-connected disabilities and other veterans eligible for certain health-care services from the Veter ans Administration, within the limits of Veterans' Administration facilities, reside in

areas of the United States that are geographically remote from health-care facilities over which the Administrator of Veter ans' Affairs has direct jurisdiction:

(2) for many such veterans such healthcare facilities are geographically inaccessi ble and for many other such veterans the inconvenience of travel to such facilities discourages them from seeking health-care services from the Veterans' Administration; and

(3) a study conducted by the Administrator of eligible veterans residing in remote areas and these veterans' utilization of Veterans' Administration health-care services would provide useful information on the feasibility and appropriateness of alternaLive approaches to furnishing health-care services to such veterans.

(bx1) The Administrator shall carry out a study to develop information about veterans who reside in remote areas and are eligible for health care services from the Veterans' Administration and to develop alternative approaches that could be adopted to furnish such veterans with such services. In carry. ing out the study, the Administrator shall(A) develop, to the maximum feasible extent, statistics on the number of eligible veterans who, during fiscal year 1985

(1) reside less than 50 miles from the nearest Veterans' Administration medical facility.

(i) reside between 50 miles and 100 miles from the nearest Veterans' Administration medical facility.

(iii) reside between 100 miles and 200 miles from the nearest Veterans' medical facility, or

(tv) reside more than 200 miles from the nearest Veterans' Administration medical facility.

(B) develop, by each group of residences described in clause (A), statistics on the numbers of eligible veterans who, during such year

(1) utilize Veterans' Administration medical facilities,

(li) receive inpatient care in such facilities Uncluding the typical lengths of stay of such veterans in such facilities),

(iii) receive outpatient care from such facilities, or

(iv) receive followup health-care services from such facilities;

(C) develop such further statistics and gather such additional information as the Administrator considers appropriate to carry out the study; and

(D) develop breakdowns of the statistics described in clauses (A) and (B) with respect to age, service connection.. and financial need regarding the applicable veteran populations.

(2) Not later than January 1, 1986, the Administrator shall submit to the Committees on Veterans' Affairs of the House of Repre sentatives and the Senate a full report on such study. Such report shall include-

(A) the statistics and breakdown devel oped and information gathered pursuant to paragraph (1)

(B) the Administrator's findings on the extent of the need for the Veterans' Administration to increase health-care services in remote areas, and

(C) the Administrator's findings and recommendations regarding the advantages and disadvantages of the Veterans' Adminis tration contracting for and making other arrangements for the furnishing of healthcare services to eligible veterans in remote

areas

(3) Not later than July 1, 1986, the Administrator shall submit to such committees a report describing an experimental program that could feasibly be carried out through projects in five remote areas, selected on the basis of the statistics, breakdowns, informstion, and findings included in the report submitted under paragraph (2), to demonstrate alternative approaches for the Veterans Administration to furnish health-care services to eligible veterans in remote areas.

The report shall also include a description of the health-care services, and a detailed breakdown of the costs for them, that could be furnished under such an experimental program to such veterans in each such ares, along with the recommendations (and the reasons therefor) of the Administrator regarding whether any such projects should be carried out and such recommendations for legislative or administrative action as the Administrator considers appropriate in light of the information contained in the report.

USE OF CERTAIN LANDS BY THE UNIVERSITY OF CALIFORNIA

Szc. 14. (a) Notwithstanding the Act de scribed in subsection (b), the Administrator of Veterans' affairs shall execute such legal documents as are necessary to permit the of the real property described in subsection (b) (or any portion of such property) for educa tional or cultural purposes in addition to the use of such property as a research and medical center and for allied purposes. The Administrator may carry out the preceding sentence subject to such terms and condi tions as the Administrator determines are necessary in order to protect the interests of the United States.

(b) The real property referred to in subsection (a) is the property transferred to the State of California for the use of the University of California by a quitclaim deed dated December 10, 1948, executed by the Administrator of Veterans' Affairs under the Act entitled "An Act to authorize the Administrator of Veterans' Affairs to transfer a portion of the Veterans' Administration center at Los Angeles, California, to the State of California for the use of the University of California", approved June 19, 1948 (62 Stat. 559), and recorded in the land records of the County of Los Angeles, Callfornia, at page 307 of book 29032.

(c) Any document executed to carry out subsection (a) shall provide that the proper. ty involved shall revert to the United States if it ceases to be used as a research and medical center or for educational or cultural purposes.

ACQUISITION OF BUILDINGS FOR STATE HOME FACILITIES

8zc. 15. Subchapter III of chapter 81 is amended as follows:

(1) Section 5031(c) is amended(A) by striking out "term 'construction' means" and inserting "terms 'constructed' and 'construction' refer to"; and

(B) by inserting "the acquisition of existing buildings for use as domiciliary or nursing home care facilities," after "home buildinga.";

(2) Section 5032 is amended by inserting "to acquire existing buildings for use as State home facilities for furnishing such care to veterans," after "nursing home care to veterans."; and

(3) Section 5035(a) is amended

(A) by striking out "and" at the end of clause (7); and

(B) in clause (8),

(I) by striking out "sections 276a through 276a-5 of title 40" and inserting in lieu thereof "the Act of March 3, 1931 (40 U.B.C. 276a-276a-5)"; and

(II) by striking out the period at the end and inserting in Heu thereof a comma and "and"; and

(C) by inserting at the end the following new clause:

"(9) in the case of a project of acquisition of a facility, reasonable assurance that the estimated total costs of acquisition of the facility and of any expansion, remodeling. and alteration of the acquired facility necesAdministration sary to meet Veterans' standards shall not be greater than the esti mated cost of constructing an equivalent new facility.".

SENSE OF THE CONGRESS REGARDING CERTAIN GRACE COMMISSION RECOMMENDATIONS

SEC. 16. (a) The Congress makes the following findings:

(1) The Department of Medicine and Sur

gery of the Veterans' Administration, estab lished by an Act of the Congress, represents a national commitment by the Government to meet the medical needs of eligible veterans, especially those who have been disabled as a result of their military service.

(2XA) Section 409(a) of Public Law 97-306 states that it is the polley of the United States that the Veterans' Administration "shall maintain a comprehensive, nationwide health-care system for the direct provision of quality health-care services to eligible veterans".

(B) Section 5010aX1) of title 38, United States Code, requires the Veterans' Administration to operate and maintain a total of not less than 90,000 hospital and nursing home beds and such additional beds as may be necessary for the Veterans' Administration to meet its contingency obligations to assist the Department of Defense in times of war or national emergency in caring for the casualties of such war or national emergency.

(3) The President's Private Sector Survey on Cost Control (commonly known as and hereinafter referred to as the "Grace Commission") has recommended that Veterans' Administration hospitals reduce the average length of stay of their inpatients to a level comparable to that found in the private sector, however, many Veterans' Adminis tration hospital patients have severe and multiple disabilities requiring extensive treatment.

(4) The Grace Commission has recommended that funds for construction of Veterans' Administration hospitals not already under contract be deleted from the Veterans' Administration budget, that bids be invited from private hospital management companies to lease hospital facilities to the Veterans' Administration under long-term contracts, and that such facilities be managed by private companies under short-term performance contracts.

(5) The Grace Commission has recommended that nursing home construction by the Veterans' Administration be entirely discontinued and that the Veterans' AdminIstration contract for the operation of nursing home care facilities by the private sector.

(6) The Grace Commission has recommended that the Veterans' Administration eliminate such number of Veterans' Administration acute care hospital beds as is nec essary to achieve an 80 percent occupany rate for such beds.

(7) The Grace Commission has recommended that the Veterans' Administration consider converting some underutilized acute health-care facilities to extended health-care facilities and phasing out old hospital facilities which may be in need of replacement or significant reconstruction; however, demographic information compiled by the Veterans Administration shows a forthcoming major increased demand on the Veterans' Administration from the aging veterans of World War II for acute as well as long-term health care.

(8) A joint study of the Grace Commisslon's recommendations conducted by the Congressional Budget Office and the General Accounting Office and submitted to Congress in February, 1984, concluded that the potential deficit reductions that might result in 1985 through 1987 from implementation of the Grace Commission's recommendations would be much smaller than the three-year savings projected by the Commission.

(9) The Congress destres to reassure veterans that the Congress remains firmly committed to an independent and comprehensive, nationwide health-care system within the Veterans' Administration, capable of providing quality care to eligible veterans.

(b) In light of the findings made in subsection (a), it is the sense of the Congress (1) that the aforementioned recommendations of the President's Private Sector Survey on Cost Control relating to the Veterans' Administration health-care system must be evaluated in light of the national policies

described in subsection (aX2) and in light of the aforementioned factor, and (2) that no action to implement such recommendations should be taken without their policy impli cations having first been given full and careful consideration, after appropriate hear Ings, by the Committees on Veterans' Af fairs of the House of Representatives and the Senate.

AUTHORITY TO ADJUST RATES OF PAT POR
CERTAIN PSYCHOLOGISTS

SEC. 17. Section 4104 is amended(1) by inserting "(other than those described in paragraph (3))" after "paycholo gists" in paragraph (2), and

(2) by striking out "Certified" in para graph (3) and inserting in lieu thereof "Clinical or counseling paychologists who hold diplomas sa diplomates in psychology from an accrediting authority approved by the Administrator, certified".

PROGRAM GUIDE ON ALZHEIMER'S DISEASE Sec. 18. Not later than 180 days after the date of the enactment of this Act, the Ad ministrator shalt disseminate to appropriate Veterans' Administration medical facilities and submit to the Committees on Veterans' Affairs of the House of Representatives and the Senate a program guide to clarify Veter ans' Administration policy regarding the authortation and provision of treatment, including diagnosis, information, outpatient services, hospital care, and nursing home care, of veterans who are eligible for serv loes under title 38, United States Code, and who are suffering from Alzheimer's disease and related neurological diseases.

NAMING OF VETERANS' ADMINISTRATION
MEDICAL CENTERS

Bec. 19. (a) The Veterans' Administration Medical Center in Murfreesboro, Tennessee. shall after the date of the enactment of this

Act be known and designated as the "Sergeant Alvin C. York Veterans' Administra tion Medical Center". Any reference to such medical center in any law, regulation, map, document, record, or other paper of the United States shall after such date be deemed to be a reference to the Sergeant Alvin C. York Veterans' Administration Medical Center.

(b) The Veterans Administration Medical Center in Milwaukee, Wisconsin, shall after the date of the enactment of this Act be known and designated as the "Clement J. Zablocki Veterans' Administration Medical Center". Any reference to such medical center in any law, regulation, map, document, record, or other paper of the United States shall after such date be deemed to be a reference to the Clement J. Zablocki Veterans' Administration Medical Center.

Amend the title so as to read: "An Act to amend title 38, United States Code, to require the Veterans' Administration to develop guidance for the provision of care to veterans suffering from alcohol or drug dependence, to require the Administrator to establish a Special Committee and a National Center for Post-Traumatic Stress Disorder, and to improve the Veterans' Administration's ability to protect persons and property on its premises; and for other purposes.".

Mr. STEVENS. Mr. President, I move to reconsider the vote by which the bill was passed.

Mr. BYRD. I move to lay that motion on the table,

The motion to lay on the table was agreed to.

Mr. STEVENS. Mr. President, on behalf of the chairman of the committee, Mr. SIMPSON, I send to the desk an amendment to the title and ask for its Immediate consideration.

The PRESIDING OFFICER. The amendment will be stated.

The assistant legislative clerk read as follows:

Amend the title so as to read: "A bill to amend title 38, United States Code, to require the Veterans' Administration to develop guidance for the provision of care to vet erans suffering from alcohol or drug de pendence, to require the Administrator to establish & Special Committee and a Nation al Center for Post-Traumatic Stress Disor der, and to improve the Veterans' Adminis tration's ability to protect persons and property on its premises; and for other pur poses.".

The amendment was agreed to.

Mr. STEVENS. Mr. President, I move to reconsider the vote by which the amendment was agreed to.

Mr. BYRD. I move to lay that motion on the table.

The motion to lay on the table was agreed to.

Mr. STEVENS. Mr. President, I move that the Senate indefinitely postpone calendar No. 929, which is 8. 1514.

The PRESIDING OFFICER. With out objection, it is so ordered.

APPENDIX D

[From the Congressional Record, Vol. 130, No. 129--Part II, pp. S12892-S12906--Senate,

VETERANS HEALTH CARE ACT Mr. BAKER. Mr. President, I ask that the Chair lay before the Senate a message from the House of Representatives on H.R. 5618.

The PRESIDING OFFICER laid before the Senate the following message from the House of Representatives:

Resolved, That the House agree to the amendments of the Senate to the bill (H.R. 5618) entitled "An Act to amend title 38, United States Code, to revise and improve Veterans Administration health programs, and for other purposes", with the following amendments:

In lieu of the matter inserted by said amendment to the text of the bill, insert: SHORT TITLE, REFERENCES TO TITLE 38, UNITED STATES CODE

SECTION 1. (a) This Act may be cited as the "Veterans' Health Care Act of 1984".

(b) Except as otherwise expressly provid. ed, whenever in this Act an amendment or repeal is expressed in terms of an amend ment to, or repeal of, a section or other provision, the reference shall be considered to be made to a section or other provision of title 38, United States Code.

TITLE I-HEALTH PROGRAMS SECURITY AND LAW ENFORCEMENT AT VETERANS'. ADMINISTRATION FACILITIES

Sec. 101. (aX1) Section 218 la amended to read as follows:

"218. Security and law enforcement on property under the jurisdiction of the Veterans' Administration

"(a)(1) The Administrator shall prescribe regulations to provide for the maintenance of law and order and the protection of persons and property on land and in buildings under the jurisdiction of the Veterans' Administration and not under the control of the Administrator of General Services (hereinafter in this section referred to as 'Veterans' Administration property').

"(2) Such regulations shall include"(A) rules for conduct on Veterans' Administration property; and

"(B) the penalties, within the limits specifled in paragraph (3) of this subsection, for violations of such rules.

"(3) Whoever violates any rule prescribed under paragraph (2XA) of this subsection shall be fined not more than $500 or impris oned not more than six months (or such lesser amount or period of time as the Administrator prescribes in the regulations prescribed under this subsection), or both.

"(4) The rules prescribed under clause (A) of paragraph (2) of this subsection, together with the penalties for violations of such rules, shall be posted conspicuously on property to which they apply.

"(5) The Administrator shall consult with the Attorney General before prescribing re-. gualations under this subsection.

"(bx1) Veterans' Administration employees who are Veterans' Administration police officers shall enforce Federal laws and the rules prescribed under subsection (aX2XA) of this section on Veterans' Administration property. Subject to regulations prescribed under paragraph (2) of this subsection a Veterans' Administration police officer may make arresta on Veterans; Administration property for a violation of any Federal law or of any such rule.

"(2) The Administrator shall prescribe regulations with respect to Veterans' Administration police officers. Such regulation shall include

"(A) policies with respect to the exercise by Veterans' Administration police officers of the enforcement and arrest authorities

October 3, 1984]

provided by paragraph (1) of this subsection;

"(B) the scope and duration of training that is required for Veterans Administra tion police officers, with particular emphasis on dealing with situations involving patients; and

"(C) rules limiting the carrying and use of weapons by Veterans' Administration police officers.

"(3) The Administrator shall consult with the Attorney General before prescribing regulations under clause (A) of paragraph (2) of this subsection.

"(4) Rates of basic pay for Veterans' Administration police officers may be increased by the Administrator under section 4107(g) of this title.

"(cx1) The Administrator may pay an allowance under this subsection for the purchase of uniforms to any Veteran's Adminis tration police officer who is required to wear a perscribed uniform in the performance of offical duties.

"(2) The amount of the allowance that the Administrator may pay under this subsection

"(A) may be based on estimated average costs or actual costs;

"(B) may vary by geographic regions; and "(C) except as provided in paragraph (3) of this paragraph, may not exceed $200 in a fiscal year for any police officer.

"(3XA) The amount of an allowance under this subsection may be increased to an amount up to $400 for not more than one fiscal year in the case of any Veterans' Administration police officer. In the case of a person who is appointed as a Veterans' Administration police officer on or after the date on which the Administrator initially exercises the authority granted by this paragraph, an allowance in an amount established under this paragraph shall be paid at the beginning of such person's employment as such an officer. In the case of any other Veterans' Administration police officer, an allowance in an amount established under this paragraph shall be paid upon the request of the officer.

"(B) A police officer who resigns as a police officer less than one year after receiv ing an allowance in an amount established under this paragraph shall repay to the Veterans' Administration a pro rata share of the amount paid, based on the number of months the officer was actually employed as such an officer during the 12-month period following the date on which such officer began such employment or the date on which the officer submitted a request for such allowance, as the case may be.

"(4) An allowance may not be paid to a Veterans' Administration police officer under this subsection and under section 5901 of title 5 for the same fiscal year.

"(d) The Administrator shall furnish Veterans' Administration police officers with such weapons and related equipment as the Administrator determines to be necessary and appropriate.

"(e) With the permission of the head of the agency concerned, the Administrator may use the facilities and services of Federal, State, and local law enforcement agencles when it is economically and in the public interest to do so.".

(2) The provisions of section 218 of title 38, United States Code, other than clause (2) of subsection (a) of such section, as in effect on the day before the date of the enactment of this Act shall remain in effect until the date on which the Administrator of Veterans' Affairs prescribes the regula tions required to be prescribed by subsections (a) and (b) of such section as amended by subsection (a) of this section.

(3) The item relating to such section in

the table of sections at the beginning of chapter 3 of such title is amended to read as follows:

"218. Security and law enforcement on property under the jurisdiction of the Veterans' Administra. tion.".

(b) Section 4107(g) is amended(1) in paragraph (1)

(A) by striking out "or" at the end of clause (A),

(B) by striking out the comma and inserting in lieu thereof a semicolon and "or" at the end of subclause (Iv) of clause (B); and (C) by inserting after clause (B) the following new clause:

"(C) of employees who are Veterans' Administration police officers providing serv ices under section 218 of this title,"

(2) by striking out "health-care" each place it appears in paragraphs (2XA) and (4); and

(3) by inserting "or (C)" after "(B)" in paragraph (4).

(c) Not later than 180 days after the date of the enactment of this Act, the Adminis tration of Veterans' Affairs shall submit to the Committees on Veterans' Affairs of the Senate and House of Representatives a report on the implementation of the amendments made by this section. The report shall include (1) the regulations prescribed under section 218 of title 38, United States Code, as amended by subsection (a), and (2) a description of the methodology to be used to determine how the authority provided in the amendments made by subsection (b) is to be exercised.

COMPTROLLER GENERAL REPORT ON MEDICAL PERSONNEL STAFFING LEVELS SEC. 102. Section 5010(aX4XC) is amended to read as follows

"(C) Whenever the Director of the Office of Management and Budget is required to submit a certification under subparagraph (B) of this paragraph, the Comptroller General shall submit to the appropriate committees of the Congress & report stating the Comptroller General's opinion as to whether the Director has complied with the requirements of that subparagraph. The Comptroller General shall submit the report not later than 15 days after the end of the period specified in such subparsgraph for the Director to submit the certifi cation.".

CONTRACT HEALTH CARE IN PUERTO RICO AND THE VIRGIN ISLANDS

SEC. 103. (a) Section 601(4XCXV) is amended by striking out "September 30, 1984" and Inserting in lieu thereof "September 30, 1985"

(b) Any action by the Administrator of Veterans Affairs in entering into a contract applicable to the period beginning on October 1, 1984, and ending on the date of the enactment of this Act for the provision of care described in subclause (v) of section 601(4XC) of title 38, United States Code, and any waiver described in that subclause made by the Administrator that is applica ble to that period, is hereby ratified with respect to that period.

EXTENSION OF AUTHORIZATION OF APPROPRIATIONS FOR GERIATRIC RESEARCH, EDUCATION, AND CLINCIAL ACTIVITIES

SEC. 104, Section 41010(3) is amended by striking out the first sentence and inserting in lieu thereof the following: "There are authorized to be appropriated such sums as may be necessary for the support of the research and education activities of the centers established pursuant to paragraph (1) of this subse tion.".

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