,i  #aae? ,,congress  #a/ ,session  ,h4 
,r4 #bghg  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,june #f1 #bjag,ms4   
,kaptur 7= h]self1 ,mr4 ,jones1 & ,mr4  
,ryan ( ,ohio7 introduc$ ! foll[+ bill2 
:i* 0 ref]r$ to ! ,committee on         
,vet]ans' ,affairs  ,a ,,bill  ,to      
e/abli% 9 ! ,dep>tm5t ( ,vet]ans        
,affairs a pilot program in/itut+ a     
cl9ical obs]vation program = pre-m$     
/ud5ts prep>+ to att5d m$ical s*ool4    
#a4 ,%ort title ,?is ,act may be cit$ z 
! ,vet]ans-,specific ,education =       
,tomorr['s ,m$ical ,doctors ,act or !   
,,vet ,,md ,act4  #b4 ,pilot program =  
cl9ical obs]vation by pre-m$ /ud5ts  7a7
 ,e/abli%m5t ,! ,secret>y ( ,vet]ans    
,affairs %all c>ry out a pilot program  
to provide und]graduate /ud5ts a cl9ical
 obs]vation exp]i5ce at m$ical c5t]s ( !
 ,dep>tm5t ( ,vet]ans ,affairs4  7b7    
,duration ,! ,secret>y %all c>ry out !  
pilot program "u subsection 7a7 = a     
?ree-ye> p]iod beg9n+ n lat] ?an ,augu/ 
#ae1 #bjbj4  7c7 ,goals ,! ,secret>y    

%all ensure t ! pilot program "u        
subsection 7a7 meets ! foll[+ goals3    
7#a7 ,increases ! aw>5ess1 k1 & empa?y (
 future m$ical pr(essionals t[>d !      
m$ical conditions common to vet]ans4    
7#b7 ,increases ! div]sity ( !          
recruitm5t pool ( future physicians ( ! 
,dep>tm5t4  7#c7 ,provides a div]se     
cl9ical obs]vation exp]i5ce comm5surate 
) ! /&>d expectations = m$ical s*ool    
applications4  7#d7 ,exp&s cl9ical      
obs]vation opportunities = all /ud5ts by
 enc\rag+ /ud5ts ( all backgr\nds to    
consid] a c>e] 9 m$ic9e4  7d7 ,m$ical   
c5t] selection ,! ,secret>y %all select 
n few] ?an five m$ical c5t]s ( !        
,dep>tm5t to c>ry out ! pilot program "u
 subsection 7a74 ,9 select+ su* m$ical  
c5t]s1 ! ,secret>y %all ensure regional 
div]sity among su* select$ m$ical c5t]s4
  7e7 ,cl9ical obs]vation sessions  7#a7
 ,sessions ,! ,secret>y %all ensure t   
ea* m$ical c5t] ( ! ,dep>tm5t select$ "u
 subsection 7d7 provides cl9ical        
obs]vation sessions z foll[s3  7,a7 ,ea*

 session %all all[ =1 to ! ext5t        
practicable1 n few] ?an #bj /ud5ts to   
p>ticipate 9 ! session1 :i* %all consi/ 
( n few] ?an #fj obs]vational h\rs4     
7,b7 ,ea* c5t] %all c>ry out ?ree       
sessions p] cal5d> ye>1 f f\r to six    
mon?s 9 duration ) m9imal ov]lap4  7,c7 
,a majority ( ! obs]vational h\rs %all  
be sp5t obs]v+ a practic+ physician4 ,! 
o!r obs]vational h\rs %all be sp5t 9 a  
mann] t ensures a robu/1 well r\nd$     
exp]i5ce t exposes ! /ud5ts to a v>iety 
( aspects ( m$ical c>e & heal? c>e      
adm9i/ration4  7#b7 ,consid]ation (     
areas ) /aff+ %ortages ,9 c>ry+ out     
p>agraph 7#a77;,c71 ! ,secret>y may     
consid] provid+ cl9ical obs]vation      
sessions ) physicians employ$ 9         
occupations ) l>ge /aff+ %ortages1 su* z
 occupations relat+ to wom5's heal? &   
psy*iatric c>e & occupations id5tifi$ "u
 section #gdab ( title #ch1 ,unit$      
,/ates ,code4  7f7 ,/ud5ts  7#a7        
,selection ,! ,secret>y %all select to  
p>ticipate 9 ! pilot program "u         

subsection 7a7 und]graduate /ud5ts :o   
are--  7,a7 citiz5s ( ! ,unit$ ,/ates2 &
  7,b7 enroll$ 9 an accr$it$ sci5ce or  
m$ical program ( /udy4  7#b7 ,priority  
,9 mak+ su* selection1 ! ,secret>y %all 
give priority to-- 7,a7 /ud5ts :o1 at ! 
"t ( ! completion ( _! second>y         
education1 resid$ 9 a heal? pr(essional 
%ortage area 7z def9$ 9 section #ccb ( !
 ,public ,heal? ,s]vice ,act 7#db       
,u4,s4,c4 #bed;e772 &  7,b7 /ud5ts :o   
are ! fir/ 9 _! imm$iate family to att5d
 an und]graduate in/itution4  7g7 ,o!r  
matt]s ,! ,secret>y %all--  7#a7 e/abli%
 a =mal /atus to facilitate ! access to 
m$ical c5t]s ( ! ,dep>tm5t by /ud5t     
obs]v]s p>ticipat+ 9 ! pilot program2   
7#b7 e/abli% /&>diz$ legal1 privacy1 &  
e?ical requirem5ts = ! /ud5t obs]v]s1   
includ+ ) respect to--  7,a7 ensur+ t no
 /ud5t obs]v] provides any c>e to       
pati5ts2 &  7,b7 ensur+ ! suitability ( 
a /ud5t to p>ticipate 9 ! pilot program 
to ensure t ! /ud5t poses no risk to    
pati5ts2  7#c7 create a /&>diz$         

application1 assessm5t1 selection &     
process+ requirem5ts1 & proc$ures =     
/ud5t obs]v]s2  7#d7 create an onl9e    
in=mation page & application portal on !
 ,int]net website ( ! ,dep>tm5t2  7#e7  
id5tify p>ticipat+ m$ical c5t]s &       
cl9icians2  7#f7 notify ! ,committees on
 ,vet]ans' ,affairs ( ! ,h\se (         
,repres5tatives & ! ,s5ate ( ! m$ical   
c5t]s select$ "u subsection 7d7 9 a     
timely mann] to facilitate program      
aw>5ess2  7#g7 publi% ! locations ( su* 
c5t]s1 & o!r in=mation on ! pilot       
program1 n lat] ?an #ahj days be=e !    
date on :i* applications are requir$ to 
be submitt$ by pot5tial /ud5t obs]v]s2 &
  7#h7 e/abli% proc$ures to foll[ up )  
ea* /ud5t obs]v] to asc]ta9 if ! /ud5t 0
 accept$ into m$ical s*ool4  7h7 ,report
 ,n lat] ?an #fj days be=e ! completion 
( ! pilot program "u subsection 7a71 !  
,secret>y %all submit to ! ,committees  
on ,vet]ans' ,affairs ( ! ,h\se (       
,repres5tatives & ! ,s5ate a report on !
 results ( ! pilot program1 includ+--   

7#a7 ! numb] & demographics ( all       
applicants1 ^? accept$ to p>ticipate 9 !
 pilot program1 & ^? :o complet$ ! pilot
 program2 &  7#b7 ! results ( a         
reflection survey design$ by ! ,secret>y
 to assess ! exp]i5ce ( ! /ud5t obs]v]s4