,i  #aad? ,,congress  #b;d ,session  ,h4
 ,r4 #digg  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,april #ah1 #bjaf     
,mrs4 ,walorski introduc$ ! foll[+ bill2
 :i* 0 ref]r$ to ! ,committee on        
,vet]ans' ,affairs  ,a ,,bill  ,to      
direct ! ,secret>y ( ,vet]ans ,affairs  
to ensure t ea* m$ical facility ( !     
,dep>tm5t ( ,vet]ans ,affairs complies )
 requirem5ts relat+ to s*$ul+ vet]ans = 
heal? c>e appo9tm5ts1 to improve ! uni=m
 application ( directives ( ! ,dep>tm5t1
 & = o!r purposes4  #a4 ,%ort title ,?is
 ,act may be cit$ z ! ,,va ,s*$ul+      
,acc\ntability ,act4  #b4 ,compliance ) 
s*$ul+ requirem5ts  7a7 ,annual         
c]tification  7#a7 ,9 g5]al ,! ,secret>y
 ( ,vet]ans ,affairs %all ensure t !    
director ( ea* m$ical facility ( !      
,dep>tm5t ( ,vet]ans ,affairs annually  
c]tifies to ! ,secret>y t ! m$ical      
facility is 9 full compliance ) all     
provisions ( law & regulations relat+ to
 s*$ul+ appo9tm5ts = vet]ans to receive 
hospital c>e & m$ical s]vices1 includ+  

pursuant to ,vet]ans ,heal?             
,adm9i/ration ,directive #bjaj-jbg1 or  
any successor directive4  7#b7          
,prohibition on waiv] ,! ,secret>y may n
 waive any provision ( ! laws or        
regulations describ$ 9 p>agraph 7#a7 = a
 m$ical facility ( ! ,dep>tm5t if su*   
provision o!rwise applies to ! m$ical   
facility4  7b7 ,explanation (           
noncompliance ,if a director ( a m$ical 
facility ( ! ,dep>tm5t does n make a    
c]tification "u subsection 7a77#a7 = any
 ye>1 ! director %all submit to !       
,secret>y a report conta9+--  7#a7 an   
explanation ( :y ! director is unable to
 make su* c]tification2 &  7#b7 a       
description ( ! actions ! director is   
tak+ to ensure full compliance ) ! laws 
& regulations describ$ 9 su* subsection4
  7c7 ,annual report ,! ,secret>y %all  
annually submit to ! ,committees on     
,vet]ans' ,affairs ( ! ,h\se (          
,repres5tatives & ! ,s5ate a report     
conta9+1 ) respect to ! ye> cov]$ by !  
report--  7#a7 a li/ ( ea* m$ical       

facility ( ! ,dep>tm5t = :i* a          
c]tification 0 made "u subsection       
7a77#a72 &  7#b7 a li/ ( ea* m$ical     
facility ( ! ,dep>tm5t = :i* su* a      
c]tification 0 n made1 includ+ a copy ( 
ea* report submitt$ to ! ,secret>y "u   
subsection 7b74  #c4 ,uni=m application 
( directives & policies ( ,dep>tm5t (   
,vet]ans ,affairs  7a7 ,9 g5]al ,!      
,secret>y ( ,vet]ans ,affairs %all      
ensure t ! directives & policies ( !    
,dep>tm5t ( ,vet]ans ,affairs apply to  
ea* (fice or facility ( ! ,dep>tm5t 9 a 
uni=m mann]4  7b7 ,notification ,if !   
,secret>y does n uni=mly apply !        
directives & policies ( ! ,dep>tm5t     
pursuant to subsection 7a71 includ+ by  
waiv+ su* a directive or policy )       
respect to an (fice1 facility1 or elem5t
 ( ! ,dep>tm5t1 ! ,secret>y %all notify 
! ,committees on ,vet]ans' ,affairs ( ! 
,h\se ( ,repres5tatives & ! ,s5ate ( su*
 nonuni=m application1 includ+ an       
explanation = ! nonuni=m application4