,,ib  ,union ,cal5d> ,no4 #afg  #aac?   
,,congress  #a/ ,session  ,h4 ,r4 #ahjd 
,report ,no4 #aac-bbg  ,,9 ,,! ,,h\se   
,,( ,,repres5tatives  ,april #bf1 #bjac 
,mr4 ,huelskamp introduc$ ! foll[+ bill2
 :i* 0 ref]r$ to ! ,committee on        
,vet]ans' ,affairs  ,septemb] #be1 #bjac
 ,report$ ) am5dm5ts1 committ$ to !     
,committee ( ! ,:ole ,h\se on ! ,/ate ( 
! ,union1 & ord]$ to be pr9t$ ,/rike out
 all aft] ! enact+ clause & ins]t ! "p  
pr9t$ 9 italic ,= text ( introduc$ bill1
 see copy ( bill z introduc$ on ,april  
#bf1 #bjac  ,a ,,bill  ,to am5d title   
#ch1 ,unit$ ,/ates ,code1 to direct !   
,secret>y ( ,vet]ans ,affairs to submit 
to ,congress semiannual reports on ! co/
 ( =eign travel made by employees ( !   
,dep>tm5t ( ,vet]ans ,affairs4  #a4     
,%ort title ,?is ,act may be cit$ z !   
,vet]ans ,acc\ntability ,act ( #bjac4   
#b4 ,semiannual reports to ,congress on 
co/ ( c]ta9 travel  7a7 ,9 g5]al        
,sub*apt] ,i ( *apt] #e ( title #ch1    
,unit$ ,/ates ,code1 is am5d$ by add+ at

 ! end ! foll[+ new section3  #eah4     
,semiannual reports to ,congress on co/ 
( c]ta9 travel  7a7 ,semiannual reports 
,n lat] ?an ,june #cj1 #bjad1 & n lat]  
?an #fj days aft] ea* #ahj-;day p]iod   
!reaft]1 ! ,secret>y %all submit to !   
,committee on ,vet]ans' ,affairs ( !    
,h\se ( ,repres5tatives & ! ,committee  
on ,vet]ans' ,affairs ( ! ,s5ate a      
semiannual report on cov]$ travel made  
dur+ ! #ahj-;day p]iod cov]$ by !       
report4  7b7 ,matt]s includ$ ,ea* report
 "u subsection 7a7 %all include !       
foll[+3  7#a7 ,) respect to ea* in/ance 
( cov]$ travel made dur+ ! p]iod cov]$  
by ! report--  7,a7 ! purpose ( su*     
travel2  7,b7 ! de/9ation2  7,c7 ! "n & 
title ( ea* employee includ$ on su*     
travel2  7,d7 ! duration ( su* travel2  
7,e7 ! total co/ to ! ,dep>tm5t ( su*   
travel2 &  7,f7 ) respect to cov]$      
travel describ$ 9 subsection 7d77#b71 ! 
id5tity ( ! p]son or entity t paid or   
reimburs$ = su* travel4  7#b7 ,! f9al   
co/s to ! ,dep>tm5t ) respect to all    

cov]$ travel made dur+ ! p]iod cov]$ by 
! report1 includ+ co/s relat+ to--  7,a7
 transportation1 includ+ f>es = travel  
by air1 rail1 bus1 f]ry1 cruise %ip1    
taxi1 mass transit1 or o!r mode (       
transportation2  7,b7 exp5ses or        
reimbursem5ts relat+ to op]at+ & ma9ta9+
 a c>1 includ+ ! co/s ( fuel & mileage2 
7,c7 passport & visa fees2  7,d7 lodg+2 
7,e7 p] diem paym5ts2  7,f7 baggage     
*>ges2  7,g7 comput] r5tal fees2  7,h7  
r5tal ( halls1 auditoriums1 or o!r      
spaces2  7,i7 ent]ta9m5t2  7,j7         
contractors2  7,k7 regi/ration fees2 &  
7,l7 promotional items4  7c7            
,duplicative in=mation ,ea* report "u   
subsection 7a7 %all include ! in=mation 
describ$ 9 subsection 7b7 reg>dless (   
:e!r su* in=mation is also includ$ 9 a  
report "u section #eag ( ?is title4  7d7
 ,cov]$ travel def9$ ,9 ?is section1 !  
t]m cov]$ travel means travel made by an
 employee ( ! ,dep>tm5t ( ,vet]ans      
,affairs1 includ+ an employee :o is     
/ation$ 9 a =eign c\ntry1 on (ficial    

bus9ess to any ( ! foll[+ locations3    
7#a7 ,if ! ,dep>tm5t or o!r elem5t ( !  
,f$]al ,gov]nm5t pays = su* travel1 a   
location outside (--  7,a7 ! sev]al     
,/ates2  7,b7 ! ,di/rict ( ,columbia2   
7,c7 a t]ritory1 commonweal?1 or        
possession ( ! ,unit$ ,/ates2  7,d7     
,indian l&s 7z def9$ 9 section #d7d7 ( !
 ,indian ,gam+ ,regulatory ,act 7#be    
,u4,s4,c4 #bgjc7d7772 or  7,e7 !        
t]ritorial wat]s ( ! ,unit$ ,/ates4     
7#b7 ,if any p]son or entity o!r ?an !  
,f$]al ,gov]nm5t pays 7or reimburses7 = 
su* travel1 any location1 reg>dless (   
:e!r ! location is inside or outside ( !
 ,unit$ ,/ates4  4  7b7 ,cl]ical am5dm5t
 ,! table ( sections at ! beg9n+ ( su*  
*apt] is am5d$ by add+ aft] ! item      
relat+ to section #eag ! foll[+ new     
item3  #eah4 ,semiannual reports to     
,congress on co/ ( c]ta9 travel4  4  #c4
 ,report ( infecti\s disease at m$ical  
facilities ( ,dep>tm5t ( ,vet]ans       
,affairs  7a7 ,9 g5]al ,section #gcaa ( 
title #ch1 ,unit$ ,/ates ,code1 is am5d$

 by add+ at ! end ! foll[+ new          
subsection3  7f7  7#a7 ,! ,secret>y %all
 report to ! appropriate entity ea* case
 ( a notifiable infecti\s disease or    
condition t is diagnos$ at a m$ical     
facility ( ! ,dep>tm5t ( ,vet]ans       
,affairs 9 accordance ) ! laws ( ! ,/ate
 9 :i* ! facility is locat$4  7#b7 ,9   
addition to report+ ea* case ( a        
notifiable infecti\s disease or         
condition at a m$ical facility ( !      
,dep>tm5t pursuant to p>agraph 7#a71 !  
,secret>y %all report ea* su* case t is 
classifi$ z a heal?-c>e-associat$       
infection s5t9el ev5t to ! accr$it+     
organization ( su* facility4  7#c7  7,a7
 ,if ! ,secret>y fails to report a case 
( a notifiable infecti\s disease or     
condition at a m$ical facility ( !      
,dep>tm5t 9 accordance ) ,/ate law      
pursuant to p>agraph 7#a71 ! ,secret>y  
%all--  7i7 take any rem$ial action     
requir$ "u ! laws ( ! ,/ate to correct  
su* failure2 &  7ii7 if ! ,secret>y does
 n correct su* failure pursuant to      

clause 7i71 pay to ! ,/ate an am\nt     
equal to ! am\nt t a m$ical facility n  
own$ by ! ,f$]al ,gov]nm5t t is locat$ 9
 ! same ,/ate w\ld pay z a p5alty to su*
 ,/ate = su* failure4  7,b7 ,! ,/ate may
 file a civil action aga9/ ! ,secret>y 9
 ! ,unit$ ,/ates di/rict c\rt = !       
di/rict 9 :i* ! m$ical facility is      
locat$ to recov] f ! ,unit$ ,/ates !    
am\nt describ$ 9 subp>agraph 7,a77ii74  
7,c7 ,a civil action "u subp>agraph 7,b7
 may n be comm5c$ lat] ?an two ye>s aft]
 ! cause ( action accrues4  7#d7  7,a7  
,9 any case 9 :i* ! ,inspector ,g5]al ( 
! ,dep>tm5t suspects t a director ( a   
,vet]ans ,integrat$ ,s]vice ,network has
 fail$ to comply ) an applicable        
provision ( ?is subsection1 ! ,inspector
 ,g5]al %all conduct an inve/igation to 
det]m9e :e!r su* director fail$ to      
comply ) an applicable provision ( ?is  
section4  7,b7 ,if ! ,inspector ,g5]al  
det]m9es "u subp>agraph 7,a7 t a        
director has fail$ to comply ) a        
provision ( ?is subsection1 ! ,secret>y 

%all susp5d su* director = su* p]iod z !
 ,secret>y consid]s appropriate "u      
sub*apt] ,i or sub*apt] ,,ii ( *apt] #ge
 ( title #e1 z ! case may be4 ,9        
addition to su* susp5sion1 ! ,secret>y  
may impose su* o!r adm9i/rative         
discipl9>y action on ! director z !     
,secret>y consid]s appropriate & = :i* !
 ,secret>y is o!rwise au?oriz$4  7#e7 ,!
 ,secret>y %all--  7,a7 ma9ta9 records (
 ea* notifiable infecti\s disease or    
condition report$ pursuant to p>agraph  
7#a72 &  7,b7 submit to ! ,committees on
 ,vet]ans' ,affairs ( ! ,h\se (         
,repres5tatives & ! ,s5ate a            
notification ( ea* su* notifiable       
infecti\s disease or condition4  7#f7 ,9
 ?is subsection1 ! t]m notifiable       
infecti\s disease or condition means any
 infecti\s disease or condition t is--  
7,a7 on ! li/ ( nationally notifiable   
diseases or conditions publi%$ by !     
,c\ncil ( ,/ate & ,t]ritorial           
,epidemiologi/s & ! ,c5t]s = ,disease   
,control & ,prev5tion2 or  7,b7 cov]$ by

 a provision ( law ( a ,/ate t requires 
! report+ ( infecti\s diseases or       
conditions4  4  7b7 ,effective date ,!  
report+ requirem5t "u section #gcaa7;f7 
( title #ch1 ,unit$ ,/ates ,code1 z add$
 by subsection 7a71 %all apply ) respect
 to a case ( a notifiable infecti\s     
disease or condition diagnos$ at a      
m$ical facility ( ! ,dep>tm5t ( ,vet]ans
 ,affairs on or aft] ! date t is #fj    
days aft] ! date ( ! enactm5t ( ?is     
,act4  #d4 ,prohibition ( visual record+
 )\t in=m$ cons5t ,section #gcca ( title
 #ch1 ,unit$ ,/ates ,code1 is am5d$--   
7#a7 by /rik+ ,! ,secret>y1 ^u & ins]t+ 
7a7 ,9 g5]al4--,! ,secret>y1 ^u2 &  7#b7
 by add+ at ! end ! foll[+ new          
subsection3  7b7 ,visual record+  7#a7  
,! ,secret>y %all prescribe regulations 
e/abli%+ proc$ures to ensure t1 except z
 provid$ by p>agraph 7#b71 any visual   
record+ made by ! ,secret>y ( a pati5t  
dur+ ! c\rse ( furni%+ c>e "u ?is title 
is c>ri$ out only ) ! full & in=m$      
cons5t ( ! pati5t or1 9 appropriate     

cases1 a repres5tative !re(4  7#b7 ,!   
,secret>y may waive ! requirem5t = in=m$
 cons5t "u p>agraph 7#a7 ) respect to ! 
visual record+ ( a pati5t if su* record+
 is made--  7,a7 pursuant to a          
det]m9ation by a physician or psy*ologi/
 t su* record+ is m$ically necess>y or  
necess>y = ! safety ( ! pati5t2  7,b7   
pursuant to a w>rant or ord] ( a c\rt ( 
compet5t jurisdiction2 or  7,c7 9 a     
public sett+ :]e a p]son w\ld n h a     
reasonable expectation to privacy1 su* z
 a wait+ room or hallway1 & su* record+ 
is = g5]al security purposes n          
p>ticul>iz$ to ! pati5t4  7#c7 ,9 ?is   
subsection1 ! t]m visual record+ means !
 record+ or transmission ( images or    
video1 b does n include--  7,a7 m$ical  
imag+1 includ+ su* imag+ produc$ by     
radiographic proc$ures1 nucle> m$ic9e1  
endoscopy1 ultras\nd1 or o!r simil>     
proc$ures2 or  7,b7 images1 video1 & o!r
 cl9ical in=mation transmitt$ = !       
purposes ( provid+ treatm5t ?r\gh       
teleheal? & telem$ic9e te*nologies4  4  

,am5d ! title s z to read3 ,a bill to   
am5d title #ch1 ,unit$ ,/ates ,code1 to 
direct ! ,secret>y ( ,vet]ans ,affairs  
to submit to ,congress semiannual       
reports on ! co/ ( c]ta9 travel made by 
employees ( ! ,dep>tm5t ( ,vet]ans      
,affairs1 & = o!r purposes44  ,septemb] 
#be1 #bjac ,report$ ) am5dm5ts1 committ$
 to ! ,committee ( ! ,:ole ,h\se on !   
,/ate ( ! ,union1 & ord]$ to be pr9t$