Sec. 352. Pilot program on expansion of furnishing of dental care to all enrolled veterans
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Commencing not later than 540 days after the date of the enactment of this Act, the Secretary of Veterans Affairs shall carry out a pilot program to assess the feasibility and advisability of furnishing dental care to veterans enrolled in the system of patient enrollment under section 1705 of title 38, United States Code, who are not eligible for dental services and treatment, and related dental appliances, under current authorities. The pilot program shall be carried out during the three-year period beginning on the date of the commencement of the pilot program.
The Secretary shall carry out the pilot program at not fewer than 16 locations as follows: Four Department of Veterans Affairs medical centers with an established dental clinic. Four Department medical centers with a current contract for the furnishing of dental care. Four Community-Based Outpatient Clinics (CBOCs) with space available for the furnishing of services and treatment under the pilot program. Four facilities selected from among Federally Qualified Health Centers (FQHCs) and Indian Health Service facilities with established dental clinics, of which— at least one facility shall be such an Indian Health Service facility; and any Indian Health Service facility so selected shall be selected in consultation with the Secretary of Health and Human Services.
In selecting locations for the pilot program, the Secretary shall consider the feasibility and advisability of selecting locations in each of the following: Rural areas. Areas that are not in close proximity to an active duty military installation. Areas representing different geographic locations, such as census tracts established by the Bureau of Census. The total number of eligible veterans who may participate in the pilot program may not exceed 30,000. In applying the limitation in paragraph
(1)to the pilot program, the Secretary shall distribute the limitation across and among locations selected for the pilot program in a manner that takes appropriate account of the size and need of veterans for dental services at each such location. The dental services and treatment furnished to veterans under the pilot program shall be consistent with the dental services and treatment furnished by the Secretary to veterans with service-connected disabilities rated 100 percent disabling under the laws administered by the Secretary. The participation of a veteran in the pilot program shall be at the election of the veteran. The total amount the Secretary may expend furnishing dental services and treatment to a veteran participating in the pilot program during any one-year period may not exceed such amount as the Secretary determines appropriate. The amount so determined may not be less than $1,000. The Secretary shall make the determination under paragraph (1)— in consultation with the Director of the Indian Health Service; and in consultation with the Director of the Health Resources and Services Administration of the Department of Health and Human Services if one or more Federally Qualified Health Center is selected as a location for the pilot program under subsection (c)(1)(D). The Secretary may collect copayments for dental services and treatment furnished under the pilot program in accordance with authorities on the collection of copayments for medical care of veterans under chapter 17 of title 38, United States Code. In carrying out the pilot program, the Secretary shall inform all veterans eligible to participate in the pilot program of the services and treatment available under the pilot program. In carrying out the pilot program, the Secretary may enter into contracts with appropriate entities for the provision of dental services and treatment under the pilot program. Each such contract shall specify performance standards and metrics and processes for ensuring compliance of the contractor concerned with such performance standards. Not later than each of 540 days and three years after the date of the commencement of the pilot program, the Secretary shall submit to the Committee on Veterans’ Affairs of the Senate and the Committee on Veterans’ Affairs of the House of Representatives a report on the pilot program. Each report under subparagraph
(A)shall include the following: A description of the implementation and operation of the pilot program. The number of veterans receiving services and treatment under the pilot program, and a description of the dental services and treatment furnished to such veterans. An analysis of the costs and benefits of the pilot program, including a comparison of costs and benefits by location type. An assessment of the impact of the pilot program on medical care, wellness, employability, and perceived quality of life of veterans. The current findings and conclusions of the Secretary with respect to the pilot program. Such recommendations for the continuation or expansion of the pilot program as the Secretary considers appropriate. Not later than 180 days after the completion of the pilot program, the Secretary shall submit to the Committee on Veterans’ Affairs of the Senate and the Committee on Veterans’ Affairs of the House of Representatives a report on the pilot program. The report under subparagraph
(A)shall include the following: The findings and conclusions of the Secretary with respect to the pilot program. Such recommendations for the continuation or expansion of the pilot program as the Secretary considers appropriate. In this section the term Federally Qualified Health Center means a Federally-qualified health center as defined in section 1905(l)(2)(B) of the Social Security Act ( 42 U.S.C. 1396d(l)(2)(B) ). This section shall take effect on the date that is one year after the date of the enactment of this Act.
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Sec. 352
Pilot program on expansion of furnishing of dental care to all enrolled veterans
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