,i  #aac? ,,congress  #a/ ,session  ,h4 
,r4 #baec  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,may #bc1 #bjac ,mr4  
,doyle 7= himself & ,mr4 ,murphy (      
,p5nsylvania7 introduc$ ! foll[+ bill2  
:i* 0 ref]r$ to ! ,committee on         
,vet]ans' ,affairs  ,a ,,bill  ,to am5d 
title #ch1 ,unit$ ,/ates ,code1 to      
require ! report+ ( cases ( infecti\s   
diseases at facilities ( ! ,vet]ans     
,heal? ,adm9i/ration1 & = o!r purposes4 
#a4 ,%ort title ,?is ,act may be cit$ z 
! ,dep>tm5t ( ,vet]ans ,affairs ,disease
 ,report+ & ,ov]sight ,act ( #bjac4  #b4
 ,requirem5t t ,vet]ans ,heal?          
,adm9i/ration report cases ( infecti\s  
diseases at facilities ( ! ,adm9i/ration
  7a7 ,9 g5]al ,sub*apt] ,,ii ( *apt]   
#gc ( title #ch1 ,unit$ ,/ates ,code1 is
 am5d$ by add+ at ! end ! foll[+ new    
section3  #gccj;,b4 ,report+ ( infecti\s
 diseases  7a7 ,report+  7#a7 ,except z 
provid$ 9 p>agraph 7#b71 n lat] ?an #bd 
h\rs aft] ! director ( a ,vet]ans       
,integrat$ ,s]vice ,network confirms !  

pres5ce ( a notifiable infecti\s disease
 at a facility "u ! jurisdiction ( !    
director1 ! director %all submit notice 
( su* pres5ce to ! foll[+3  7,a7 ,!     
,c5tral ,(fice ( ! ,dep>tm5t4  7,b7 ,!  
,director ( ! ,c5t]s = ,disease ,control
 & ,prev5tion4  7,c7 ,! ,/ate 9 :i* !   
facility is locat$ & if ! ,/ate has an  
ag5cy or dep>tm5t t h&les matt]s relat+ 
to su* notifiable infecti\s disease1 !  
head ( su* ag5cy or dep>tm5t4  7,d7 ,!  
c\nty 9 :i* ! facility is locat$ & if ! 
c\nty has an ag5cy or dep>tm5t t h&les  
matt]s relat+ to su* notifiable         
infecti\s disease1 ! head ( su* ag5cy or
 dep>tm5t4  7,e7 ,= ea* individual :o   
has contract$ ! notifiable infecti\s    
disease at ! facility or is at risk (   
contract+ su* notifiable infecti\s      
disease--  7i7 ! individual & !         
individual's next ( k92  7ii7 !         
individual's prim>y heal? c>e provid]2 &
  7iii7 ! c\nty 9 :i* ! individual      
resides & if ! c\nty has an ag5cy or    
dep>tm5t t h&les matt]s relat+ to su*   

notifiable infecti\s disease1 ! head (  
su* ag5cy or dep>tm5t4  7,f7 ,ea*       
employee ( ! ,dep>tm5t :o is employ$ at 
su* facility4  7#b7 ,if ! ,/ate 9 :i* a 
facility describ$ 9 p>agraph 7#a7 is    
locat$ requires t a notifiable infecti\s
 disease confirm$ at su* facility be    
report$ to ! ,/ate m quickly ?an requir$
 "u p>agraph 7#a7 or requires t a       
suspect$ pres5ce ( a notifiable         
infecti\s disease at su* facility be    
report$ be=e wait+ = confirmation ( su* 
pres5ce1 ! director conc]n$ %all comply 
) su* ,/ate requirem5t4  7#c7 ,n lat]   
?an #bd h\rs aft] submitt+ a notice "u  
p>agraph 7#a71 ! director conc]n$ %all  
confirm t su* notice is receiv$4  7b7   
,notifiable infecti\s disease ,=        
purposes ( ?is section1 a notifiable    
infecti\s disease is any infecti\s      
disease t is--  7#a7 on ! li/ (         
nationally notifiable diseases publi%$  
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 diseases4  7c7    
,plan ,to prev5t spread  7#a7 ,n lat]   
?an sev5 days aft] ! director ( a       
,vet]ans ,integrat$ ,s]vice ,network    
confirms ! pres5ce ( a notifiable       
infecti\s disease at a facility "u !    
jurisdiction ( su* director1 ! director 
%all develop & implem5t an action plan  
to manage & control ! pot5tial spread ( 
! notifiable infecti\s disease4  7#b7 ,!
 plan develop$ & implem5t$ "u p>agraph  
7#a7 %all also provide details on ! role
 ( p>tn]+ ,f$]al1 ,/ate1 & local        
gov]nm5t entities 9 ! managem5t &       
control ( ! pot5tial spread ( !         
notifiable infecti\s disease4  7d7      
,record keep+ ,! director ( ea* ,vet]ans
 ,integrat$ ,s]vice ,network %all keep  
records ( ea* notice submitt$ "u        
subsection 7a77#a7 = a p]iod ( n less   
?an #aj ye>s4  7e7 ,annual reports by   
,inspector ,g5]al ,n less frequ5tly ?an 
once ea* ye>1 ! ,inspector ,g5]al ( !   
,dep>tm5t %all submit to ,congress a    

report on ! compliance ( ! directors ( !
 ,vet]ans ,integrat$ ,s]vice ,networks )
 ! requirem5ts ( ?is section4  7f7      
,en=cem5t & discipl9>y action  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 section1 ! ,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 p>agraph 7#a7 t a director  
has fail$ to comply ) a provision ( ?is 
section1 ! ,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  7#c7 ,p>agraph 7#b7 %all
 n be con/ru$ to prev5t ! ,secret>y f   
impos+1 9 addition to susp5sion "u      
p>agraph 7#b71 su* o!r discipl9>y action
 on ! director z ! ,secret>y consid]s   
appropriate & = :i* ! ,secret>y is      

o!rwise au?oriz$4  4  7b7 ,int]nal      
communication ,n lat] ?an #ahj days aft]
 ! date ( ! enactm5t ( ?is ,act1 ! ,"u  
,secret>y = ,heal? ( ! ,vet]ans ,heal?  
,adm9i/ration %all issue a directive to 
! ,pa?ology ,team1 ! ,infection         
,prev5tion ,team1 & ! ,facilities       
,managem5t ,team ( ! ,vet]ans ,heal?    
,adm9i/ration & su* o!r gr\ps )9 !      
,adm9i/ration z ! ,"u ,secret>y consid]s
 appropriate on ! actions t %\ld be tak5
 9 any case 9 :i* a notifiable infecti\s
 disease 7z su* t]m is us$ 9 section    
#gccj;,b ( title #ch1 ,unit$ ,/ates     
,code1 z add$ by subsection 7a77 is     
discov]$ 9 a facility ( ! ,vet]ans      
,heal? ,adm9i/ration4  7c7 ,cl]ical     
am5dm5t ,! table ( sections at ! beg9n+ 
( *apt] #gc ( su* title is am5d$ by     
ins]t+ aft] ! item relat+ to section    
#gccj;,a ! foll[+ new item3  #gccj;,b4  
,report+ ( infecti\s diseases4  4