,i  #aacth ,,congress  #b;d ,session    
,h4 ,r4 #chca  ,,in ,,the ,,house ,,of  
,,representatives  ,january #i1         
#bjad,mr4 ,roe of ,tennessee introduced 
the following bill2 which was referred  
to the ,committee on ,veterans' ,affairs
  ,a ,,bill  ,to require the ,secretary 
of ,veterans ,affairs to review the     
dialysis pilot program implemented by   
the ,department of ,veterans ,affairs   
and submit a report to ,congress before 
expanding that program1 and for other   
purposes4  #a4 ,short title ,this ,act  
may be cited as the ,veterans ,dialysis 
,pilot ,program ,review ,act of #bjad4  
#b4 ,limitation on expansion of dialysis
 pilot program  7a7 ,limitation ,the    
,secretary of ,veterans ,affairs shall  
not expand the dialysis pilot program or
 create any new dialysis capability     
provided by the ,department of ,veterans
 ,affairs in any facility that is not an
 initial facility until after the date  
that-- 7#a7 the ,secretary has          
implemented the dialysis pilot program  

at each initial facility for a period of
 not less than two years2  7#b7 an      
independent analysis of the dialysis    
pilot program has been conducted at each
 initial facility2 and  7#c7 the report 
required by subsection 7b7 has been     
submitted4  7b7 ,report ,not later than 
#fj days after the date of the          
completion of the independent analysis  
required by subsection 7a77#b71 the     
,secretary shall submit to ,congress a  
report that-- 7#a7 includes the results 
of that independent analysis1 including 
a comparison of not only cost but       
non-cost factors such as access to care1
 quality of care1 and ,veteran          
satisfaction2 and  7#b7 addresses any   
recommendations with respect to the     
dialysis pilot program provided in a    
report prepared by the ,government      
,accountability ,office4  7c7 ,use of   
existing dialysis resources ,in order to
 increase the access of veterans to     
dialysis care and decrease the amount of
 time such veterans are required to     

travel to receive such care1 the        
,secretary shall fully use the dialysis 
resources of the ,department that exist 
as of the date of the enactment of this 
,act1 including any community dialysis  
provider with which the ,secretary has  
entered into a contract or agreement for
 the provision of such care4  7d7       
,definitions ,in this section3 7#a7 ,the
 term dialysis pilot program means the  
pilot demonstration program established 
by the ,secretary in #bjji to provide   
dialysis care to patients at certain    
outpatient facilities operated by the   
,department of ,veterans ,affairs4  7#b7
 ,the term initial facility means one of
 the four outpatient facilities         
identified by the ,secretary to         
participate in the dialysis pilot       
program prior to the date of the        
enactment of this ,act4