,i  #aac? ,,congress  #a/ ,session  ,h4 
,r4 #hcd  ,,9 ,,! ,,h\se ,,(            
,,repres5tatives  ,febru>y #bf1 #bjac   
,mr4 ,lo,biondo 7= himself1 ,mr4 ,smi? (
 ,new ,j]sey1 ,mr4 ,runyan1 & ,mr4      
,&rews7 introduc$ ! foll[+ bill2 :i* 0  
ref]r$ to ! ,committee on ,vet]ans'     
,affairs  ,a ,,bill  ,to direct !       
,secret>y ( ,vet]ans ,affairs to conduct
 co/-b5efit analyses = ! provision (    
m$ical c>e by ! ,dep>tm5t ( ,vet]ans    
,affairs 9 c]ta9 geographic areas s]v$  
by multiple ,dep>tm5t ( ,vet]ans        
,affairs m$ical facilities4  #a4 ,%ort  
title ,?is ,act may be cit$ z !         
,vet]ans' ,effici5cies ,?r\gh ,sav+s    
,act ( #bjac or ! ,,vets ,act ( #bjac4  
#b4 ,co/-b5efit analyses requir$ = c]ta9
 geographic areas s]v$ by multiple      
,dep>tm5t ( ,vet]ans ,affairs m$ical    
facilities  7a7 ,co/-,b5efit analysis   
requir$ ,! ,secret>y ( ,vet]ans ,affairs
 %all conduct a co/-b5efit analysis ( ! 
provision ( m$ical c>e by ! ,dep>tm5t ( 
,vet]ans ,affairs = ! foll[+ geographic 

areas3  7#a7 ,any #ge squ>e mile area   
:]e ?ree or m ,dep>tm5t outpati5t cl9ics
 are locat$4  7#b7 ,any #ajj squ>e mile 
area :]e two or m ,dep>tm5t hospitals   
are locat$4  7b7 ,cont5ts ( analysis ,9 
conduct+ a co/-b5efit analysis "u       
subsection 7a7--  7#a7 = any area       
describ$ 9 p>agraph 7#a7 ( su*          
subsection1 ! ,secret>y %all det]m9e    
:e!r ! b5efits ( op]at+ all ?ree cl9ics 
9 ! area outweigh ! b5efits ( replac+   
su* cl9ics ) "o compreh5sive outpati5t  
cl9ic2  7#b7 ! ,secret>y %all consid] ! 
b5efits ( con/ruct+ a new ,dep>tm5t     
hospital to s]ve vet]ans resid+ 9 ! area
 & ! b5efits ( ent]+ into an agreem5t ) 
a non-,dep>tm5t hospital = ! provision (
 d$icat$ space )9 ! hospital to provide 
9-pati5t hospital c>e to vet]ans resid+ 
9 ! area2 &  7#c7 ! ,secret>y %all      
evaluate any agreem5ts ent]$ into )     
non-,dep>tm5t m$ical c>e provid]s to    
provide m$ical c>e to vet]ans resid+ 9  
an area s]v$ by "o or m ( ! outpati5t   
cl9ics or hospitals locat$ 9 ! area =   

:i* ! analysis is conduct$ to det]m9e   
:e!r to ent] into su* an agreem5t ) any 
additional provid]s4  7c7 ,report to    
,congress ,n lat] ?an #f mon?s aft] !   
date ( ! enactm5t ( ?is ,act1 !         
,secret>y %all submit to ,congress a    
report on any co/-b5efit analysis       
conduct$ "u ?is section4