,i  #aacth ,,congress  #ast ,session    
,h4 ,r4 #hcd  ,,in ,,the ,,house ,,of   
,,representatives  ,february #bf1 #bjac 
,mr4 ,lo,biondo 7for himself1 ,mr4      
,smith of ,new ,jersey1 ,mr4 ,runyan1   
and ,mr4 ,andrews7 introduced the       
following bill2 which was referred to   
the ,committee on ,veterans' ,affairs   
,a ,,bill  ,to direct the ,secretary of 
,veterans ,affairs to conduct           
cost-benefit analyses for the provision 
of medical care by the ,department of   
,veterans ,affairs in certain geographic
 areas served by multiple ,department of
 ,veterans ,affairs medical facilities4 
#a4 ,short title ,this ,act may be cited
 as the ,veterans' ,efficiencies        
,through ,savings ,act of #bjac or the  
,,vets ,act of #bjac4  #b4 ,cost-benefit
 analyses required for certain          
geographic areas served by multiple     
,department of ,veterans ,affairs       
medical facilities  7a7 ,cost-,benefit  
analysis required ,the ,secretary of    
,veterans ,affairs shall conduct a      

cost-benefit analysis of the provision  
of medical care by the ,department of   
,veterans ,affairs for the following    
geographic areas3  7#a7 ,any #ge square 
mile area where three or more           
,department outpatient clinics are      
located4  7#b7 ,any #ajj square mile    
area where two or more ,department      
hospitals are located4  7b7 ,contents of
 analysis ,in conducting a cost-benefit 
analysis under subsection 7a7--  7#a7   
for any area described in paragraph 7#a7
 of such subsection1 the ,secretary     
shall determine whether the benefits of 
operating all three clinics in the area 
outweigh the benefits of replacing such 
clinics with one comprehensive          
outpatient clinic2  7#b7 the ,secretary 
shall consider the benefits of          
constructing a new ,department hospital 
to serve veterans residing in the area  
and the benefits of entering into an    
agreement with a non-,department        
hospital for the provision of dedicated 
space within the hospital to provide    

in-patient hospital care to veterans    
residing in the area2 and  7#c7 the     
,secretary shall evaluate any agreements
 entered into with non-,department      
medical care providers to provide       
medical care to veterans residing in an 
area served by one or more of the       
outpatient clinics or hospitals located 
in the area for which the analysis is   
conducted to determine whether to enter 
into such an agreement with any         
additional providers4  7c7 ,report to   
,congress ,not later than #f months     
after the date of the enactment of this 
,act1 the ,secretary shall submit to    
,congress a report on any cost-benefit  
analysis conducted under this section4