#aae? ,,congress  #b;d ,session  ,h4 ,r4
 #dbde  ,,an ,,act  ,to direct !        
,secret>y ( ,vet]ans ,affairs to submit 
to ,congress c]ta9 docum5ts relat+ to ! 
,electronic ,heal? ,record ,mod]nization
 ,program ( ! ,dep>tm5t ( ,vet]ans      
,affairs4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,vet]ans' ,electronic      
,heal? ,record ,mod]nization ,ov]sight  
,act ( #bjag4  #b4 ,ov]sight (          
,electronic ,heal? ,record ,mod]nization
 ,program  7a7 ,program docum5ts ,n lat]
 ?an #cj days aft] ! date ( ! enactm5t (
 ?is ,act1 ! ,secret>y ( ,vet]ans       
,affairs %all submit to ! appropriate   
congressional committees ! foll[+       
docum5ts conc]n+ ! ,electronic ,heal?   
,record ,mod]nization ,program3  7#a7   
,integrat$ ,ma/] ,plan4  7#b7 ,integrat$
 ,ma/] ,s*$ule4  7#c7 ,program          
,managem5t ,plan4  7#d7 ,annual &       
lifecycle co/ e/imates1 includ+1 at a   
m9imum1 co/ elem5ts relat+ to--  7,a7   
,f$]al ,gov]nm5t labor2  7,b7 contractor
 labor2  7,c7 h>dw>e2  7,d7 s(tw>e2 &   

7,e7 te/+ & evaluation4  7#e7 ,co/      
basel9e4  7#f7 ,risk ,managem5t ,plan4  
7#g7 ,heal? ,,x ,/rategic ,ar*itecture  
,plan4  7#h7 ,transition ,plan =        
implem5t+ updat$ ar*itecture4  7#i7     
,data ,migration ,plan4  7#aj7 ,sy/em & 
,data ,security ,plan4  7#aa7           
,application ,implem5tation ,plan4      
7#ab7 ,sy/em ,design ,docum5ts4  7#ac7  
,legacy ,vet]ans ,in=mation ,sy/ems &   
,te*nology ,ar*itecture ,/&>dization1   
,security ,enhancem5t1 & ,consolidation 
,project ,plan4  7#ad7 ,heal? ,data     
,int]op]ability ,managem5t ,plan4  7#ae7
 ,community ,c>e ,vision &              
,implem5tation ,plan1 includ+ mile/ones 
& a detail$ description ( h[ complete   
int]op]ability ) non-,dep>tm5t heal? c>e
 provid]s w be a*iev$4  7b7 ,qu>t]ly    
updates ,n lat] ?an #cj days aft] ! end 
( ea* fiscal qu>t] dur+ ! p]iod beg9n+ )
 ! fiscal qu>t] 9 :i* ?is ,act is enact$
 & end+ on ! date on :i* ! ,electronic  
,heal? ,record ,mod]nization ,program is
 complet$1 ! ,secret>y %all submit to ! 

appropriate congressional committees !  
mo/ rec5t updat$ v]sions1 if any exi/1 (
 ! foll[+ docum5ts3 7#a7 ,integrat$     
,ma/] ,s*$ule4  7#b7 ,program ,managem5t
 ,plan1 includ+ any writt5 ,program     
,managem5t ,review mat]ial develop$ = ! 
,program ,managem5t ,plan dur+ ! fiscal 
qu>t] cov]$ by ! submission4  7#c7 ,ea* 
docum5t describ$ 9 subsection 7a77#d74  
7#d7 ,p]=mance ,basel9e ,report = !     
fiscal qu>t] cov]$ by ! submission or = 
! fiscal qu>t] end+ ! fiscal ye> prior  
to ! submission4  7#e7 ,budget          
,reconciliation ,report4  7#f7 ,risk    
,managem5t ,plan & ,risk ,regi/]4  7c7  
,contracts ,n lat] ?an #e days aft]     
aw>d+ a contract1 ord]1 or agreem5t1    
includ+ any modifications !reto1 "u !   
,electronic ,heal? ,record ,mod]nization
 ,program1 ! ,secret>y %all submit to ! 
appropriate congressional committees a  
copy ( ! entire su* contract1 ord]1     
agreem5t1 or modification4  7d7         
,notification  7#a7 ,requirem5t ,n lat] 
?an #aj days aft] an ev5t describ$ 9    

p>agraph 7#b7 occurs1 ! ,secret>y %all  
notify ! appropriate congressional      
committees ( su* occurr5ce1 includ+ a   
description ( ! ev5t & an explanation = 
:y su* ev5t occurr$4  7#b7 ,ev5t        
describ$ ,an ev5t describ$ 9 ?is        
p>agraph is any ( ! foll[+ ev5ts reg>d+ 
! ,electronic ,heal? ,record            
,mod]nization ,program3  7,a7 ,! delay (
 any mile/one or deliv]able by #cj or m 
days4  7,b7 ,a reque/ = equitable       
adju/m5t1 equitable adju/m5t1 or *ange  
ord] exce$+ #a1jjj1jjj 7z su* t]ms are  
def9$ 9 ! ,f$]al ,acquisition           
,regulation74  7,c7 ,! submission ( any 
prote/1 claim1 or dispute1 & !          
resolution ( any prote/1 claim1 or      
dispute 7z su* t]ms are def9$ 9 ! ,f$]al
 ,acquisition ,regulation74  7,d7 ,a    
loss ( cl9ical or o!r data4  7,e7 ,a    
brea* ( pati5t privacy1 includ+ any--   
7i7 disclosure ( protect$ heal?         
in=mation t is n p]mitt$ "u regulations 
promulgat$ "u section #bfd7;c7 ( !      
,heal? ,insurance ,portability &        

,acc\ntability ,act ( #aiif 7,public    
,law #ajd-aia2 #db ,u4,s4,c4 #acbj;d-#b 
note72 &  7ii7 brea* ( s5sitive p]sonal 
in=mation 7z def9$ 9 section #egbg (    
title #ch1 ,unit$ ,/ates ,code74  7e7   
,def9itions ,9 ?is section3  7#a7 ,! t]m
 appropriate congressional committees   
means-- 7,a7 ! ,committees on ,vet]ans' 
,affairs ( ! ,h\se ( ,repres5tatives & !
 ,s5ate2 &  7,b7 ! ,committees on       
,appropriations ( ! ,h\se (             
,repres5tatives & ! ,s5ate4  7#b7 ,! t]m
 ,electronic ,heal? ,record             
,mod]nization ,program means--  7,a7 any
 activities by ! ,dep>tm5t ( ,vet]ans   
,affairs to procure or implem5t an      
electronic heal? or m$ical record sy/em 
to replace any or all ( ! ,vet]ans      
,in=mation ,sy/ems & ,te*nology         
,ar*itecture1 ! ,comput]iz$ ,pati5t     
,record ,sy/em1 ! ,jo9t ,legacy ,view]1 
or ! ,ent]prise ,heal? ,managem5t       
,plat=m2 &  7,b7 any contracts or       
agreem5ts ent]$ into by ! ,secret>y (   
,vet]ans ,affairs to c>ry out1 support1 

or analyze ! activities "u subp>agraph  
7,a74  ,pass$ ! ,h\se ( ,repres5tatives 
,may #ba1 #bjah4;,cl]k4