; (II) soundproofing of an existing room; (III) new electrical or internet outlets in an existing room; or (IV) aesthetic or other enhancements to establish a more suitable therapeutic environment. (v) Upgrading existing infrastructure to comply with the Americans with Disabilities Act of 1990 ( 42 U.S.C. 12101 et seq.). (vi) Upgrading infrastructure or internet services. (B) Exclusion Grants may not be used for the purchase of new property or for major construction projects, as determined by the Secretary. (d) Agreement on telehealth access points (1) In general An entity described in subsection (a) that seeks to establish a telehealth access point for veterans but does not require grant funding under this section to do so may enter into an agreement with the Department for the establishment of such an access point. (2) Inspection to determine adequacy of facilities The Secretary shall inspect any such access point to determine whether the access point is private, secure, and accessible to veterans. (e) Assessment of barriers to access (1) In general Not later than 18 months after the date of the enactment of this Act, the Secretary shall complete an assessment of barriers faced by veterans in accessing telehealth services. (2) Elements The assessment required by paragraph (1) shall include the following: (A) An assessment of current and potential future barriers, including— (i) cost; (ii) access to broadband internet infrastructure and technology; (iii) digital competency