,i  #aae? ,,congress  #a/ ,session  ,h4 
,r4 #cgeb  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,septemb] #ab1        
#bjag,mr4 ,norcross 7= himself & ,mr4   
,co/ello ( ,p5nsylvania7 introduc$ !    
foll[+ bill2 :i* 0 ref]r$ to !          
,committee on ,vet]ans' ,affairs  ,a    
,,bill  ,to direct ! ,secret>y (        
,vet]ans ,affairs to develop & implem5t 
plans to improve ! safety ( m$ical      
facilities ( ! ,dep>tm5t ( ,vet]ans     
,affairs1 & = o!r purposes4  #a4 ,%ort  
title ,?is ,act may be cit$ z !         
,policies to ,address ,tragic ,injuries 
,enabl$ by ,nev] ev5ts ,?or\ghly ,act or
 ! ,,pati5t ,act4  #b4 ,f9d+s ,congress 
f9ds ! foll[+3  7#a7 ,nev] ev5ts cont9ue
 to occur 9 ! heal? c>e sy/em ( !       
,dep>tm5t ( ,vet]ans ,affairs & rema9 a 
gr[+ s\rce ( pati5t morbidity4  7#b7    
,despite _! importance1 nev] ev5ts seem 
to p]si/ z an unsettl$ issue across !   
,nation4  7#c7 ,9 #bjaf1 a national     
survey ann\nc$ t ,"o 9 ,five ,u4,s4     
,hospitals ,fail to ,adopt ,crucial     

,nev] ,ev5ts ,policies44  7#d7 ,!       
,dep>tm5t lacks a m&at$ report+ sy/em = 
nev] ev5ts t w\ld help quantify ?is     
problem4  7#e7 ,nev] ev5ts1 su* z op]at+
 room fires1 includ+ ^? caus$ by unsafe 
las] fib] practices1 pose s]i\s risks1  
su* z injuries or burns t c be sev]e &  
p]man5t1 to bo? pati5ts & heal? c>e     
pr(essionals4  7#f7 ,! ,dep>tm5t does n 
curr5tly h a compreh5sive op]at+ room   
fire safety policy 9 place to improve   
op]at+ room safety4  #c4 ,improvem5t (  
safety at m$ical facilities ( !         
,dep>tm5t ( ,vet]ans ,affairs  7a7      
,plans ,! ,secret>y ( ,vet]ans ,affairs1
 act+ ?r\gh ! ,vet]ans ,heal?           
,adm9i/ration1 ! ,national ,surg]y      
,(fice1 & ! ,national ,c5t] = ,pati5t   
,safety1 %all develop & implem5t !      
foll[+3  7#a7 ,a compreh5sive1          
sy/em-wide plan to decrease nev] ev5ts t
 incorporates te*nological tools4  7#b7 
,a compreh5sive op]at+ room fire safety 
plan t requires--  7,a7 ! report+ (     
op]at+ room fires2  7,b7 ! inclusion ( !

 directives outl9$ 9 ! #bjaa fire safety
 al]t ( ! ,food & ,drug ,adm9i/ration to
 mitigate risks relat+ to fires2 &  7,c7
 ! c>ry+ out ( a pilot project t te/s & 
validates new op]at+ room fire safety   
te*nology at multiple m$ical facilities 
( ! ,vet]ans ,heal? ,adm9i/ration4  7b7 
,report ,n lat] ?an #ij days aft] ! date
 ( ! enactm5t ( ?is ,act1 ! ,secret>y ( 
,vet]ans ,affairs %all submit to        
,congress a report conta9+ ! plans      
develop$ "u subsection 7a74  #d4 ,nev]  
ev5t def9$ ,9 ?is ,act1 ! t]m nev] ev5t 
means an ev5t involv+ ! deliv]y ( 7or   
failure to deliv]7 hospital c>e or      
m$ical s]vices furni%$ at a m$ical      
facility ( ! ,dep>tm5t ( ,vet]ans       
,affairs 9 :i* !re is an error 9 ! c>e  
or s]vices t is cle>ly id5tifiable1     
usually prev5table1 & s]i\s 9           
consequ5ces to pati5ts1 & t indicates a 
defici5cy 9 ! safety & process controls 
( ! c>e or s]vices furni%$ ) respect to 
! physician or m$ical facility involv$4 
,su* t]m includes op]at+ room fires4