,,ib ,union ,calendar ,no4 #adc #aadth ,,congress #ast ,session ,h4 ,r4 #bbef ,report ,no4 #aad-aia ,,in ,,the ,,house ,,of ,,representatives ,may #ab1 #bjae ,mr4 ,benishek introduced the following bill2 which was referred to the ,committee on ,veterans' ,affairs ,july #g1 #bjae ,reported with amendments1 committed to the ,committee of the ,whole ,house on the ,state of the ,union1 and ordered to be printed ,strike out all after the enacting clause and insert the part printed in italic ,for text of introduced bill1 see copy of bill as introduced on ,may #ab1 #bjae ,a ,,bill ,to amend title #ch1 ,united ,states ,code1 to direct the ,secretary of ,veterans ,affairs to submit an annual report on the ,veterans ,health ,administration and the furnishing of hospital care1 medical services1 and nursing home care by the ,department of ,veterans ,affairs4 #a4 ,short title ,this ,act may be cited a the ,veterans ,information ,modernization ,act4 #b4 ,annual report on ,veterans ,health ,administration and furnishing of hospital care1 medical services1 and nursing home care 7a7 ,in general ,subchapter ,,ii of chapter #gc of title #ch1 ,united ,states ,code1 is amended by adding at the end the following new section3 #gccj;,b4 ,annual report on ,veterans ,health ,administration and furnishing of hospital care1 medical services1 and nursing home care 7a7 ,report required ,not later than ,march #a of each year1 the ,secretary shall submit to the ,committees on ,veterans' ,affairs of the ,senate and ,house of ,representatives a report on the furnishing of hospital care1 medical services1 and nursing home care under the laws administered by the ,secretary and on the administration of the provision of such care and services by the ,veterans ,health ,administration during the calendar year preceding the calendar year during which the report is submitted4 7b7 ,contents of report ,each report required by subsection 7a7 shall include each of the following for the year covered by the report3 7#a7 ,an evaluation of the effectiveness of the ,veterans ,health ,administration program in increasing the access of veterans eligible for hospital care1 medical services1 and nursing home care furnished by the ,secretary to such care4 7#b7 ,an evaluation of the effectiveness of the ,veterans ,health ,administration in improving the quality of health care provided to such veterans1 without increasing the costs incurred by the ,government or such veterans1 which includes the relevant information for each medical center and ,veterans ,integrated ,service ,network of the ,department set forth separately4 7#c7 ,an assessment of-- 7,a7 the workload of physicians and other employees of the ,veterans ,health ,administration2 7,b7 patient demographics and utilization rates2 7,c7 physician compensation2 7,d7 the productivity of physicians and other employees of the ,veterans ,health ,administration2 7,e7 the percentage of hospital care1 medical services1 and nursing home care provided to such veterans in ,department facilities and in non-,department facilities and any changes in such percentages compared to the year preceding the year covered by the report2 7,f7 pharmaceutical prices2 and 7,g7 third party health billings owed to the ,department1 including the total amount of such billings and the total amounts collected1 set forth separately for claims greater than #ajjj and for claims equal to or less than #ajjj4 7c7 ,definitions ,in this section1 the terms hospital care1 medical services1 nursing home care1 and non-,department facilities have the meanings given such terms in section #agja of this title4 4 7b7 ,clerical amendment ,the table of sections at the beginning of such chapter is amended by inserting after the item relating to section #gccj;,a the following new item3 #gccj;,b4 ,annual report on ,veterans ,health ,administration and furnishing of hospital care1 medical services1 and nursing home care4 4 #c4 ,expansion of definition of homeless veteran for purposes of benefits under the laws administered by the ,secretary of ,veterans ,affairs ,section #bjjb7a7 of title #ch1 ,united ,states ,code1 is amended by inserting or 7b7 after section #ajc7;a74 #d4 ,identification and tracking of biological implants used in ,department of ,veterans ,affairs medical facilities 7a7 ,in general ,subchapter ,,ii of chapter #gc of title #ch1 ,united ,states ,code1 as amended by section #b1 is further amended by adding at the end the following new section3 #gccj;,c4 ,identification and tracking of biological implants 7a7 ,standard identification system for biological implants 7#a7 ,the ,secretary shall adopt the unique device identification system developed for medical devices by the ,food and ,drug ,administration pursuant to section #eai7;f7 of the ,federal ,food1 ,drug1 and ,cosmetic ,act 7#ba ,u4,s4,c4 #cfj;i7f771 or implement a comparable standard identification system1 for use in identifying biological implants intended for use in medical procedures conducted in medical facilities of the ,department4 7#b7 ,in adopting or implementing a standard identification system for biological implants under paragraph 7#a71 the ,secretary shall permit a vendor to use any of the accredited entities identified by the ,food and ,drug ,administration as an issuing agency pursuant to section #hcj4ajj of title #ba1 ,code of ,federal ,regulations1 or any successor regulation4 7b7 ,biological implant tracking system 7#a7 ,the ,secretary shall implement a system for tracking the biological implants referred to in subsection 7a7 from human donor or animal source to implantation4 7#b7 ,the tracking system implemented under paragraph 7#a7 shall be compatible with the identification system adopted or implemented under subsection 7a74 7#c7 ,the ,secretary shall implement inventory controls compatible with the tracking system implemented under paragraph 7#a7 so that all patients who have received1 in a medical facility of the ,department1 a biological implant subject to a recall can be notified of the recall1 if based on the evaluation of appropriate medical personnel of the ,department of the risks and benefits1 the ,secretary determines such notification is appropriate4 7c7 ,consistency with ,food and ,drug ,administration regulations ,to the extent that a conflict arises between this section and a provision of the ,federal ,food1 ,drug1 and ,cosmetic ,act 7#ba ,u4,s4,c4 #cja et seq47 or sections #cea or #cfa of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bfb7 7including any regulations issued under such ,acts71 the provision the ,federal ,food1 ,drug1 and ,cosmetic ,act or ,public ,health ,service ,act 7including any regulations issued under such ,acts7 shall apply4 7d7 ,definition of biological implant ,in this section1 the term biological implant means any animal or human cell1 tissue1 or cellular or tissue-based product-- 7#a7 under the meaning given the term human cells1 tissues1 or cellular or tissue-based products in section #abga4c of title #ba1 ,code of ,federal ,regulations1 or any successor regulation2 or 7#b7 that is regulated as a device under section #bja7;h7 of the ,federal ,food1 ,drug1 and ,cosmetic ,act4 4 7b7 ,clerical amendment ,the table of sections at the beginning of such chapter1 as amended by section #b1 is further amended by inserting after the item relating to section #gccj;,b1 as added by section #b1 the following new item3 #gccj;,c4 ,identification and tracking of biological implants4 4 7c7 ,implementation deadlines 7#a7 ,standard identification system 7,a7 ,in general ,with respect to biological implants described in paragraph 7#a7 of subsection 7d7 of section #gccj;,c of title #ch1 ,united ,states ,code1 as added by subsection 7a71 the ,secretary of ,veterans ,affairs shall adopt or implement a standard identification system for biological implants1 as required by subsection 7a7 of such section1 by not later than the date that is #ahj days after the date of the enactment of this ,act4 7,b7 ,implants regulated as devices ,with respect to biological implants described in paragraph 7#b7 of subsection 7d7 of such section1 the ,secretary of ,veterans ,affairs shall adopt or implement such standard identification system in compliance with the compliance dates established by the ,food and ,drug ,administration pursuant to section #eai7;f7 of the ,federal ,food1 ,drug1 and ,cosmetic ,act 7#ba ,u4,s4,c4 #cfj;i7f774 7#b7 ,tracking system ,the ,secretary of ,veterans ,affairs shall implement the biological implant tracking system required by section #gccj;,c7b71 as added by subsection 7a71 by not later than the date that is #ahj days after the date of the enactment of this ,act4 7d7 ,reporting requirement 7#a7 ,in general ,if the biological implant tracking system required by section #gccj;,c7b7 of title #ch1 ,united ,states ,code1 as added by subsection 7a71 is not operational by the date that is #ahj days after the date of the enactment of this ,act1 the ,secretary of ,veterans ,affairs shall submit to the ,committees on ,veterans' ,affairs of the ,senate and ,house of ,representatives a written explanation for why the system is not operational for each month until such time as the system is operational4 7#b7 ,elements ,each explanation submitted under paragraph 7#a7 shall include a description of the following3 7,a7 ,each impediment to the implementation of the system described in such paragraph4 7,b7 ,steps being taken to remediate each such impediment4 7,c7 ,target dates for a solution to each such impediment4 #e4 ,procurement of biological implants used in ,department of ,veterans ,affairs medical facilities 7a7 ,procurement 7#a7 ,in general ,subchapter ,,ii of chapter #ha of such title is amended by adding at the end the following new section3 #habi4 ,procurement of biological implants 7a7 ,in general 7#a7 ,the ,secretary may procure biological implants of human origin only from vendors that meet the following conditions3 7,a7 ,the vendor uses the standard identification system adopted or implemented by the ,secretary under section #gccj;,c7a7 of this title and has safeguards to ensure that a distinct identity code has been in place at each step of distribution of each biological implant from its donor4 7,b7 ,the vendor is registered as required by the ,food and ,drug ,administration under subpart ,b of part #abga of title #ba1 ,code of ,federal ,regulations1 or any successor regulation1 and in the case of a vendor that uses a tissue distribution intermediary or a tissue processor1 the vendor provides assurances that the tissue distribution intermediary or tissue processor is registered as required by the ,food and ,drug ,administration4 7,c7 ,the vendor ensures that donor eligibility determinations and such other records as the ,secretary may require accompany each biological implant at all times1 regardless of the country of origin of the donor of the biological material4 7,d7 ,the vendor agrees to cooperate with all biological implant recalls conducted on the vendor's own initiative1 on the initiative of the original product manufacturer used by the vendor1 by the request of the ,food and ,drug ,administration1 or by a statutory order of the ,food and ,drug ,administration4 7,e7 ,the vendor agrees to notify the ,secretary of any adverse event or reaction report it provides to the ,food and ,drug ,administration1 as required by section #abga4cej of title #ba1 ,code of ,federal ,regulations1 or any successor regulation1 or any successor regulation1 or of any warning letter from the ,food and ,drug ,administration issued to the vendor or a tissue processor or tissue distribution intermediary it uses by not later than #fj days after the vendor receives such report or warning letter4 7,f7 ,the vendor agrees to retain all records associated with the procurement of a biological implant by the ,department for at least #aj years after the date of the procurement of the biological implant4 7,g7 ,the vendor provides assurances that the biological implants provided by the vendor are acquired only from tissue processors that maintain active accreditation with the ,american ,association of ,tissue ,banks or a similar national accreditation specific to biological implants4 7#b7 ,the ,secretary may procure biological implants of non-human origin only from vendors that meet the following conditions3 7,a7 ,the vendor uses the standard identification system adopted or implemented by the ,secretary under section #gccj;,c7a7 of this title4 7,b7 ,the vendor is a registered establishment as required by the ,food and ,drug ,administration under sections #hjg4bj and #hjg4dj of title #ba1 ,code of ,federal ,regulations1 or any successor regulation1 7or is not required to register pursuant to section #hjg4fe7;a7 of such title7 and in the case of a vendor that is not the original product manufacturer of such implants the vendor provides assurances that the original product manufacturer is registered as required by the ,food and ,drug ,administration4 7,c7 ,the vendor agrees to cooperate with all biological implant recalls conducted on the vendor's own initiative1 on the initiative of the original product manufacturer used by the vendor1 by the request of the ,food and ,drug ,administration1 or by a statutory order of the ,food and ,drug ,administration4 7,d7 ,the vendor agrees to notify the ,secretary of any adverse event report it provides to the ,food and ,drug ,administration as required in part #hjc of title #ba1 ,code of ,federal ,regulations1 or any warning letter from the ,food and ,drug ,administration issued to the vendor or the original product manufacturer it uses by not later than #fj days after the vendor receives such report or warning letter4 7,e7 ,the vendor agrees to retain all records associated with the procurement of a biological implant by the ,department for at least #aj years after the date of the procurement of the biological implant4 7#c7 7,a7 ,the ,secretary shall procure biological implants under the ,federal ,supply ,schedules of the ,general ,services ,administration unless such implants are not available under such ,schedules4 7,b7 ,with respect to biological implants listed on the ,federal ,supply ,schedules1 the ,secretary shall accommodate reasonable vendor requests to undertake outreach efforts to educate medical professionals of the ,department about the use and efficacy of such biological implants4 7,c7 ,in the case of biological implants that are unavailable for procurement under the ,federal ,supply ,schedules1 the ,secretary shall procure such implants using competitive procedures in accordance with applicable law and the ,federal ,acquisition ,regulation4 7#d7 ,section #habc of this title shall not apply to the procurement of biological implants4 7b7 ,penalties ,in addition to any applicable penalty under any other provision of law1 any procurement employee of the ,department who is found responsible for a biological implant procurement transaction with intent to avoid or with reckless disregard of the requirements of this section shall be ineligible to hold a certificate of appointment as a contracting officer or to serve as the representative of an ordering officer1 contracting officer1 or purchase card holder4 7c7 ,definitions ,in this section3 7#a7 ,the term biological implant shall have the meaning given such term in section #gccj;,c7d7 of this title4 7#b7 ,the term distinct identity code means a code that-- 7,a7 relates a biological implant to the human donor of the implant and to all records pertaining to the implant2 7,b7 includes information designed to facilitate effective tracking1 using such code1 from the donor to the recipient and from the recipient to the donor2 and 7,c7 satisfies the requirements of section #abga4bij of title #ba1 ,code of ,federal ,regulations1 or any successor regulation4 7#c7 ,the term tissue distribution intermediary means an agency that acquires and stores human tissue for further distribution and performs no other tissue banking functions4 7#d7 ,the term tissue processor means an entity processing human tissue for use in biological implants including activities performed on tissue other than donor screening1 donor testing1 tissue recovery and collection functions1 storage1 or distribution4 4 7#b7 ,clerical amendment ,the table of sections at the beginning of such chapter is amended by adding at the end of the items relating to such subchapter the following new item3 #habi4 ,procurement of biological implants4 4 7b7 ,effective date ,section #habi of title #ch1 ,united ,states ,code1 as added by subsection 7a71 shall take effect on the date that is #ahj days after the date on which the tracking system required under subsection 7b7 of section #gccj;,c of such title1 as added by section #d7;a7 is implemented4 7c7 ,special rule for cryopreserved products ,during the three-year period beginning on the effective date of section #habi of title #ch1 ,united ,states ,code1 as added by subsection 7a71 biological implants produced and labeled before that date may be procured by the ,department of ,veterans ,affairs without relabeling under the standard identification system adopted or implemented under section #gccj;,c of such title1 as added by section #d7;a74 #f4 ,extension of rounding down of percentage increases of rates of certain educational assistance 7a7 ,montgomery ,,gi bill ,section #cjae7;h77#b7 of title #ch1 ,united ,states ,code1 is amended-- 7#a7 by striking fiscal year #bjad and inserting fiscal year #bjbj2 and 7#b7 by striking fiscal year #bjac and inserting fiscal year #bjai4 7b7 ,survivors and dependents educational assistance ,section #cefd7;b7 of such title is amended-- 7#a7 by striking fiscal year #bjad and inserting fiscal year #bjbj2 and 7#b7 by striking fiscal year #bjac and inserting fiscal year #bjai4 #g4 ,veterans ,expedited ,recovery ,commission 7a7 ,establishment ,there is established the ,veterans ,expedited ,recovery ,commission 7in this section referred to as the ,commission74 7b7 ,duties ,the ,commission shall perform the following duties3 7#a7 ,examine the efficacy of the evidence-based therapy model used by the ,secretary of ,veterans ,affairs for treating mental health illnesses of veterans and identify areas to improve wellness-based outcomes4 7#b7 ,conduct a patient-centered survey within each of the ,veterans ,integrated ,service ,networks to examine-- 7,a7 the experience of veterans with the ,department of ,veterans ,affairs when seeking medical assistance for mental health issues through the health care system of the ,department2 7,b7 the experience of veterans with non-,department medical facilities and health professionals for treating mental health issues2 7,c7 the preferences of veterans regarding available treatments for mental health issues and which methods the veterans believe to be most effective2 7,d7 the experience1 if any1 of veterans with respect to the complementary alternative treatment therapies described in subparagraphs 7,a7 through 7,i7 in paragraph 7#c72 7,e7 the prevalence of prescribing prescription medication among veterans seeking treatment through the health care system of the ,department as remedies for addressing mental health issues2 and 7,f7 the outreach efforts of the ,secretary regarding the availability of benefits and treatments for veterans for addressing mental health issues1 including by identifying ways to reduce barriers to and gaps in such benefits and treatments4 7#c7 ,examine available research on complementary alternative treatment therapies for mental health issues and identify what benefits could be made with the inclusion of such treatments for veterans1 including with respect to-- 7,a7 music therapy2 7,b7 equine therapy2 7,c7 training and caring for service dogs2 7,d7 yoga therapy2 7,e7 acupuncture therapy2 7,f7 meditation therapy2 7,g7 outdoor sports therapy2 7,h7 hyperbaric oxygen therapy2 7,i7 accelerated resolution therapy2 and 7,j7 other therapies the ,commission determines appropriate4 7#d7 ,study the potential increase of claims relating to mental health issues submitted to the ,secretary by veterans who served in ,operation ,enduring ,freedom1 ,operation ,iraqi ,freedom1 or ,operation ,new ,dawn1 including an assessment of the resources available within the ,department to ensure that quality health care demands relating to such claims can be delivered in a timely manner4 7c7 ,membership 7#a7 ,number and appointment 7,a7 ,in general ,the ,commission shall be composed of #aj members1 appointed as follows3 7i7 ,two members appointed by the ,speaker of the ,house of ,representatives1 at least one of whom shall be a veteran4 7ii7 ,two members appointed by the ,minority ,leader of the ,house of ,representatives1 at least one of whom shall be a veteran4 7iii7 ,two members appointed by the ,majority ,leader of the ,senate1 at least one of whom shall be a veteran4 7iv7 ,two members appointed by the ,minority ,leader of the ,senate1 at least one of whom shall be a veteran4 7v7 ,two members appointed by the ,president1 at least one of whom shall be a veteran4 7,b7 ,qualifications ,members of the ,commission shall be-- 7i7 individuals who are of recognized standing and distinction within the medical community with a background in treating mental health2 7ii7 individuals with experience working with the military and veteran population2 and 7iii7 individuals who do not have a financial interest in any of the complementary alternative treatments reviewed by the ,commission4 7#b7 ,chairman ,the ,president shall designate a member of the ,commission to be the chairman4 7#c7 ,period of ,appointment ,members of the ,commission shall be appointed for the life of the ,commission4 7#d7 ,vacancy ,a vacancy in the ,commission shall be filled in the manner in which the original appointment was made4 7#e7 ,appointment ,deadline ,the appointment of members of the ,commission in this section shall be made not later than #ij days after the date of the enactment of this ,act4 7d7 ,powers of ,commission 7#a7 ,meeting 7,a7 ,initial meeting ,the ,commission shall hold its first meeting not later than #cj days after a majority of members are appointed to the ,commission4 7,b7 ,meeting ,the ,commission shall regularly meet at the call of the ,chairman4 ,such meetings may be carried out through the use of telephonic or other appropriate telecommunication technology if the ,commission determines that such technology will allow the members to communicate simultaneously4 7#b7 ,hearing ,the ,commission may hold such hearings1 sit and act at such times and places1 take such testimony1 and receive evidence as the ,commission considers advisable to carry out the responsibilities of the ,commission4 7#c7 ,information from ,federal ,agencies ,the ,commission may secure directly from any department or agency of the ,federal ,government such information as the ,commission considers necessary to carry out the duties of the ,commission4 7#d7 ,information from nongovernmental organizations ,in carrying out subsection 7b71 the ,commission may seek guidance through consultation with foundations1 veterans service organizations1 nonprofit groups1 faith-based organizations1 private and public institutions of higher education1 and other organizations as the ,commission determines appropriate4 7#e7 ,commission ,records ,the ,commission shall keep an accurate and complete record of the actions and meetings of the ,commission4 ,such record shall be made available for public inspection and the ,comptroller ,general of the ,united ,states may audit and examine such record4 7#f7 ,personnel ,matters ,upon request of the chairman of the ,commission1 the head of any department or agency of the ,federal ,government may detail1 on a reimbursable basis1 any personnel of that department or agency to assist the ,commission in carrying out the duties of the ,commission4 7#g7 ,compensation of ,members2 ,travel ,expenses ,each member shall serve without pay1 except that each member shall receive travel expenses to perform the duties of the ,commission under subsection 7b71 including per diem in lieu of subsistence1 at rates authorized under subchapter ,i of chapter #eg of title #e1 ,united ,states ,code4 7#h7 ,staff ,the ,chairman1 in accordance with rules agreed upon by the ,commission1 may appoint and fix the compensation of a staff director and such other personnel as may be necessary to enable the ,commission to carry out its functions1 without regard to the provisions of title #e1 ,united ,states ,code1 governing appointments in the competitive service1 without regard to the provision of chapter #ea and subchapter ,,iii of chapter #ec of such title relating to classification and ,general ,schedule pay rates1 except that no rate of pay fixed under this subsection may exceed the equivalent of that payable for a position at a level ,,iv of the ,executive ,schedule under section #ecaf of title #e1 ,united ,states ,code4 7#i7 ,personnel as ,federal employees 7,a7 ,in general ,the executive director and any personnel of the ,commission are employees under section #baje of title #e1 ,united ,states ,code1 for purpose of chapters #fc1 #ha1 #hc1 #hd1 #he1 #hg1 #hi1 and #ij of such title4 7,b7 ,members of the ,commission ,subparagraph 7,a7 shall not be construed to apply to members of the ,commission4 7#aj7 ,contracting ,the ,commission may1 to such extent and in such amounts as are provided in appropriations ,acts1 enter into contracts to enable the ,commission to discharge the duties of the ,commission under this section4 7#aa7 ,expert and ,consultant ,service ,the ,commission may procure the services of experts and consultants in accordance with section #caji of title #e1 ,united ,states ,code1 at rates not to exceed the daily rate paid to a person occupying a position at level ,,iv of the ,executive ,schedule under section #ecae of title #e1 ,united ,states ,code4 7#ab7 ,postal ,service ,the ,commission may use the ,united ,states mails in the same manner and under the same conditions as departments and agencies of the ,united ,states4 7#ac7 ,physical ,facilities and ,equipment ,upon the request of the ,commission1 the ,administrator of ,general ,services shall provide to the ,commission1 on a reimbursable basis1 the administrative support services necessary for the ,commission to carry out its responsibilities under this section4 ,these administrative services may include human resource management1 budget1 leasing1 accounting1 and payroll services4 7e7 ,report 7#a7 ,interim ,reports 7,a7 ,in general ,not later than #fj days after the date on which the ,commission first meets1 and each #cj-;day period thereafter ending on the date on which the ,commission submits the final report under paragraph 7#b71 the ,commission shall submit to the ,committees on ,veterans' ,affairs of the ,house of ,representatives and the ,senate and the ,president a report detailing the level of cooperation the ,secretary of ,veterans ,affairs 7and the heads of other departments or agencies of the ,federal ,government7 has provided to the ,commission4 7,b7 ,other reports ,in carrying out the duties pursuant to subsection 7b71 at times that the ,commission determines appropriate1 the ,commission shall submit to the ,committees on ,veterans' ,affairs of the ,house of ,representatives and the ,senate and any other appropriate entities an interim report with respect to the findings identified by the ,commission4 7#b7 ,final report ,not later than #ah months after the first meeting of the ,commission1 the ,commission shall submit to the ,committees on ,veterans' ,affairs of the ,house of ,representatives and the ,senate1 the ,president1 and the ,secretary of ,veterans ,affairs a final report on the findings of the ,commission4 ,such report shall include the following3 7,a7 ,recommendations to implement in a feasible1 timely1 and cost-effective manner the solutions and remedies identified within the findings of the ,commission pursuant to subsection 7b74 7,b7 ,an analysis of the evidence-based therapy model used by the ,secretary of ,veterans ,affairs for treating veterans with mental health care issues1 and an examination of the prevalence and efficacy of prescription drugs as a means for treatment4 7,c7 ,the findings of the patient-centered survey conducted within each of the ,veterans ,integrated ,service ,networks pursuant to subsection 7b77#b74 7,d7 ,an examination of complementary alternative treatments described in subsection 7b77#c7 and the potential benefits of incorporating such treatments in the therapy model used by the ,secretary for treating veterans with mental health issues4 7#c7 ,plan ,not later than #ij days after the date on which the ,commission submits the final report under subsection 7b71 the ,secretary of ,veterans ,affairs shall submit to the ,committees on ,veterans' ,affairs of the ,house of ,representatives and the ,senate a report on the following3 7,a7 ,an action plan for implementing the recommendations established by the ,commission on such solutions and remedies for improving wellness-based outcomes for veterans with mental health care issues4 7,b7 ,a feasible timeframe on when complementary alternative treatments described in subsection 7b77#c7 can be implemented ,department-wide4 7,c7 ,with respect to each recommendation established by the ,commission1 including regarding any complementary alternative treatment1 that the ,secretary determines is not appropriate or feasible to implement1 a justification for each such determination and an alternative solution to improve the efficacy of the therapy model used by the ,secretary for treating veterans with mental health issues4 7f7 ,termination of ,commission ,the ,commission shall terminate #cj days after the ,commission submits the final report under subsection 7e77#b74 ,amend the title so as to read3 ,a bill to amend title #ch1 ,united ,states ,code1 to direct the ,secretary of ,veterans ,affairs to submit an annual report on the ,veterans ,health ,administration1 to provide for the identification and tracking of biological implants used in ,department of ,veterans ,affairs facilities1 and for other purposes44 ,july #g1 #bjae ,reported with amendments1 committed to the ,committee of the ,whole ,house on the ,state of the ,union1 and ordered to be printed