,i  #aac? ,,congress  #b;d ,session  ,h4
 ,r4 #chca  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,janu>y #i1 #bjad,mr4 
,roe ( ,t5nessee introduc$ ! foll[+     
bill2 :i* 0 ref]r$ to ! ,committee on   
,vet]ans' ,affairs  ,a ,,bill  ,to      
require ! ,secret>y ( ,vet]ans ,affairs 
to review ! dialysis pilot program      
implem5t$ by ! ,dep>tm5t ( ,vet]ans     
,affairs & submit a report to ,congress 
be=e exp&+ t program1 & = o!r purposes4 
#a4 ,%ort title ,?is ,act may be cit$ z 
! ,vet]ans ,dialysis ,pilot ,program    
,review ,act ( #bjad4  #b4 ,limitation  
on expansion ( dialysis pilot program   
7a7 ,limitation ,! ,secret>y ( ,vet]ans 
,affairs %all n exp& ! dialysis pilot   
program or create any new dialysis      
capability provid$ by ! ,dep>tm5t (     
,vet]ans ,affairs 9 any facility t is n 
an initial facility until aft] ! date   
t-- 7#a7 ! ,secret>y has implem5t$ !    
dialysis pilot program at ea* initial   
facility = a p]iod ( n less ?an two     
ye>s2  7#b7 an indep5d5t analysis ( !   

dialysis pilot program has be5 conduct$ 
at ea* initial facility2 &  7#c7 !      
report requir$ by subsection 7b7 has be5
 submitt$4  7b7 ,report ,n lat] ?an #fj 
days aft] ! date ( ! completion ( !     
indep5d5t analysis requir$ by subsection
 7a77#b71 ! ,secret>y %all submit to    
,congress a report t-- 7#a7 includes !  
results ( t indep5d5t analysis1 includ+ 
a comp>ison ( n only co/ b non-co/      
factors su* z access to c>e1 quality (  
c>e1 & ,vet]an satisfaction2 &  7#b7    
addresses any recomm5dations ) respect  
to ! dialysis pilot program provid$ 9 a 
report prep>$ by ! ,gov]nm5t            
,acc\ntability ,(fice4  7c7 ,use ( exi/+
 dialysis res\rces ,9 ord] to increase !
 access ( vet]ans to dialysis c>e &     
decrease ! am\nt ( "t su* vet]ans are   
requir$ to travel to receive su* c>e1 ! 
,secret>y %all fully use ! dialysis     
res\rces ( ! ,dep>tm5t t exi/ z ( ! date
 ( ! enactm5t ( ?is ,act1 includ+ any   
community dialysis provid] ) :i* !      
,secret>y has ent]$ into a contract or  

agreem5t = ! provision ( su* c>e4  7d7  
,def9itions ,9 ?is section3 7#a7 ,! t]m 
dialysis pilot program means ! pilot    
demon/ration program e/abli%$ by !      
,secret>y 9 #bjji to provide dialysis   
c>e to pati5ts at c]ta9 outpati5t       
facilities op]at$ by ! ,dep>tm5t (      
,vet]ans ,affairs4  7#b7 ,! t]m initial 
facility means "o ( ! f\r outpati5t     
facilities id5tifi$ by ! ,secret>y to   
p>ticipate 9 ! dialysis pilot program   
prior to ! date ( ! enactm5t ( ?is ,act4