,i  #aaeth ,,congress  #ast ,session    
,h4 ,r4 #cahe  ,,in ,,the ,,house ,,of  
,,representatives  ,july #aa1 #bjag,mr4 
,joyce of ,ohio introduced the following
 bill2 which was referred to the        
,committee on ,veterans' ,affairs  ,a   
,,bill  ,to direct the ,secretary of    
,veterans ,affairs to evaluate the      
organizational structure of the         
,veterans ,health ,administration1 and  
for other purposes4  #a4 ,short title   
,this ,act may be cited as the ,reforms 
to ,encourage ,,va ,meaningful ,progress
 ,act of #bjag or the ,,revamp ,act4    
#b4 ,evaluations of organizational      
structure of ,veterans ,health          
,administration and realignment of      
,veterans ,integrated ,service ,network 
7a7 ,organizational ,structure  7#a7    
,process ,the ,secretary of ,veterans   
,affairs1 acting through the ,under     
,secretary for ,health1 shall implement 
a process to consistently evaluate      
reviews described in paragraph 7#c74    
7#b7 ,matters included ,the process     

under paragraph 7#a7 shall include the  
following3 7,a7 ,identification of the  
officials and the offices of the        
,department of ,veterans ,affairs       
responsible for evaluating and          
approving1 and ensuring the             
implementation of1 recommendations made 
by reviews described in paragraph 7#c71 
including--  7i7 the roles of each such 
official and office2 and  7ii7 a        
description of how decisions are made   
and documented to approve such          
implementation4  7,b7 ,a description of 
how recommendations made by reviews     
described in paragraph 7#c7 should be   
evaluated4  7,c7 ,a description of how  
timelines should be established to      
ensure recommendations are evaluated and
 implemented in a timely manner and     
metrics to assess the progress made with
 respect to such implementation4  7#c7  
,reviews described ,the reviews         
described in this paragraph are reviews 
of the organizational structure of the  
,veterans ,health ,administration       

conducted by the ,secretary1 the        
,inspector ,general of the ,department  
of ,veterans ,affairs1 the ,comptroller 
,general of the ,united ,states1 the    
,commission on ,care established by     
section #bjb of the ,veterans ,access1  
,choice1 and ,accountability ,act of    
#bjad 7,public ,law #aac-adf2 #abh      
,stat4 #aggc71 or by an independent     
entity1 as determined appropriate by the
 ,secretary4  7#d7 ,first use ,the      
,under ,secretary shall use the process 
under paragraph 7#a7 to evaluate the    
results of the evaluation conducted     
under subsection 7b77#a74 ,the ,under   
,secretary shall make any required      
improvements to such process based on   
the lessons learned by the ,under       
,secretary resulting from such use4  7b7
 ,veterans ,integrated ,service ,network
  7#a7 ,evaluation ,consistent with the 
report of the ,comptroller ,general of  
the ,united ,states titled ,,va ,health 
,care3 ,processes to ,evaluate1         
,implement1 and ,monitor ,organizational

 ,structure ,changes ,needed            
7,,gao-#af-hjc71 the ,secretary1 acting 
through the ,under ,secretary for       
,health1 shall conduct an evaluation of 
the ,veterans ,integrated ,service      
,network1 including with respect to--   
7,a7 the implementation by the          
,secretary of realignments to such      
,network2 and  7,b7 identifying         
deficiencies to such ,network that      
require corrective action4  7#b7        
,assessment and implementation ,in      
accordance with subsection 7a77#d71 the 
,under ,secretary shall use the process 
implemented under subsection 7a7 to     
assess the results of the evaluation    
conducted under paragraph 7#a7 and to   
implement changes and other actions to  
improve the ,veterans ,integrated       
,service ,network4  7c7 ,report ,not    
later than #ij days after the date of   
the enactment of this ,act1 the ,under  
,secretary shall submit to ,congress a  
report that includes a description of-- 
7#a7 the process implemented under      

subsection 7a77#a72  7#b7 the           
deficiencies identified under paragraph 
7#a7 of subsection 7b72 and  7#c7 how   
the ,under ,secretary will carry out    
paragraph 7#b7 of such subsection4  7d7 
,prohibition on new appropriations ,no  
additional funds are authorized to be   
appropriated to carry out this ,act1 and
 this ,act shall be carried out using   
amounts otherwise made available for    
such purposes4