,i  #aad? ,,congress  #b;d ,session  ,h4
 ,r4 #fbjg  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,septemb] #bh1        
#bjaf,mr4 ,valadao 7= himself1 ,mr4     
,d5ham1 ,mr4 ,knight1 ,mr4 ,calv]t1 ,mr4
 ,curbelo ( ,florida1 ,mr4 ,s5s5br5n]1  
,mr4 ,web/] ( ,florida1 ,mr4 ,bi%op (   
,mi*igan1 ,ms4 ,j5k9s ( ,kansas1 ,mr4   
,mc,clintock1 ,mr4 ,joyce1 ,mr4 ,co/a1  
,mr4 ,k+ ( ,i[a1 ,mr4 ,coll9s ( ,new    
,york1 ,mr4 ,nunes1 & ,ms4 ,/efanik7    
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,vet]ans' ,affairs  ,a 
,,bill  ,to direct ! ,secret>y (        
,vet]ans ,affairs to make c]ta9         
improvem5ts 9 s*$ul+ vet]ans = heal? c>e
 appo9tm5ts4  #a4 ,%ort title ,?is ,act 
may be cit$ z ! ,,act to ,improve ,,va  
,tim+ & ,effici5cy or ! ,a,c,tivate     
,act4  #b4 ,use ( private entities to   
s*$ule & manage heal? c>e appo9tm5ts    
7a7 ,f9d+s ,congress f9ds ! foll[+3     
7#a7 ,!re h be5 problems ) s*$ul+       
vet]ans = heal? appo9tm5ts ) ! ,dep>tm5t
 ( ,vet]ans ,affairs4  7#b7 ,!re is no  

def9$ process = s*$ul+ su* appo9tm5ts1  
?us inhibit+ ! quality ( heal? c>e      
provid$ to vet]ans by ! ,dep>tm5t4  7#c7
 ,a report by ! ,inspector ,g5]al ( !   
,dep>tm5t ( ,vet]ans ,affairs %[s t #fd 
p]c5t ( su* appo9tm5ts are s*$ul$       
outside ( ! #cj-;day t>get = timely c>e4
  7#d7 ,a report by ! ,nor!rn ,virg9ia  
,te*nology ,c\ncil f\nd t ! exam-s*$ul+ 
processes ( ! ,dep>tm5t are insuffici5t 
& are a contribut+ factor 9 ! ov]all    
backlog at m$ical facilities ( !        
,dep>tm5t4  7b7 ,aw>d ( contracts ,!    
,secret>y %all seek to aw>d contracts to
 private entities to assi/ ! ,secret>y )
 s*$ul+ & manag+ appo9tm5ts = hospital  
c>e & m$ical s]vices by vet]ans enroll$ 
9 ! pati5t enrollm5t sy/em e/abli%$ by  
section #agje ( title #ch1 ,unit$ ,/ates
 ,code4  7c7 ,scope ,! ,secret>y %all   
ensure t ! assi/ance provid$ pursuant to
 a contract aw>d$ "u subsection 7b7     
augm5ts ! process by :i* ! ,secret>y    
s*$ules & manages appo9tm5ts = hospital 
c>e & m$ical s]vices1 includ+ initial   

appo9tm5ts1 home heal? c>e visits1 &    
foll[-up appo9tm5ts 7includ+ ) respect  
to appo9tm5ts ) or = physicians1        
laboratory "w1 & te/s74