,i  #aae? ,,congress  #a/ ,session  ,h4 
,r4 #dfdb  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,decemb] #ad1         
#bjag,mr4 ,tipton introduc$ ! foll[+    
bill2 :i* 0 ref]r$ to ! ,committee on   
,vet]ans' ,affairs  ,a ,,bill  ,to am5d 
! ,vet]ans ,access1 ,*oice1 &           
,acc\ntability ,act ( #bjad to include 9
 ! ,vet]ans ,*oice ,program all vet]ans 
enroll$ 9 ! pati5t enrollm5t sy/em ( !  
,dep>tm5t ( ,vet]ans ,affairs1 & = o!r  
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,vet]ans ,improv$ ,access &
 ,c>e ,act ( #bjag4  #b4 ,expansion (   
,vet]ans ,*oice ,program to include all 
enroll$ vet]ans ,section #aja ( !       
,vet]ans ,access1 ,*oice1 &             
,acc\ntability ,act ( #bjad 7,public    
,law #aac-adf2 #ch ,u4,s4,c4 #agja note7
 is am5d$--  7#a7 9 subsection 7b71 by  
am5d+ p>agraph 7#b7 to read z foll[s3   
7#b7 ! vet]an elects to receive hospital
 c>e or m$ical s]vices "u ?is section4  
2  7#b7 9 subsection 7c77#a7-- 7,a7 9 ! 
matt] prec$+ subp>agraph 7,a71 by /rik+ 

,9 ! case ( an eligible vet]an describ$ 
9 subsection 7b77#b77;,a71 ! ,secret>y  
%all1 at ! election ( ! eligible vet]an 
& ins]t+ ,! ,secret>y %all1 at !        
election ( an eligible vet]an2 &  7,b7 9
 subp>agraph 7,a7-- 7i7 by /rik+ provide
 ! vet]an & ins]t+ provide ! eligible   
vet]an2 &  7ii7 by /rik+ describ$ 9 su* 
subsection & ins]t+ ( ! ,vet]ans ,heal? 
,adm9i/ration2  7#c7 9 subsection 7g71  
by /rik+ p>agraph 7#c72 &  7#d7 9       
subsection 7q77#b77;,a71 by /rik+ 1     
disaggregat$ by & all t foll[s ?r\gh    
subsection 7b77#b77;,d74  #c4 ,pilot    
program on exp$it+ ! ,dep>tm5t (        
,vet]ans ,affairs process = onbo>d+ new 
m$ical provid]s  7a7 ,pilot program     
au?oriz$ ,! ,secret>y ( ,vet]ans        
,affairs %all c>ry out a pilot program  
to assess ! feasibility & advisability (
 exp$it+ ! process ( ! ,vet]ans ,heal?  
,adm9i/ration = onbo>d+ new m$ical      
provid]s4 ,"u ! pilot program1 !        
,secret>y %all seek to r$uce ! l5g? ( "t
 x takes to onbo>d m$ical provid]s to no

 m ?an #fj days4  7b7 ,locations ,!     
,secret>y %all select m$ical facilities 
at :i* to c>ry out ! pilot program4 ,9  
select+ su* facilities1 ! ,secret>y %all
 give priority to m$ical facilities fac+
 hir+ %ortages ( lic5s$ indep5d5t m$ical
 provid]s4  7c7 ,onbo>d+ process def9$  
,9 ?is section1 ! t]m onbo>d+ process   
means ! process ( br++ on a m$ical      
provid] applicant aft] ! m$ical provid] 
is (f]$ a t5tative position1 includ+    
c]tification ( cr$5tial+1 backgr\nd     
inve/igation1 assessm5t ( heal? /atus1 &
 su* o!r actions are necess>y = />t+    
employm5t4  #d4 ,/rategy to r$uce       
duration ( hir+ process ( ,dep>tm5t (   
,vet]ans ,affairs = lic5s$ pr(essional  
m$ical provid]s ,n lat] ?an #ahj days   
aft] ! date ( ! enactm5t ( ?is ,act1 !  
,secret>y ( ,vet]ans ,affairs %all      
submit to ,congress a /rategy to r$uce !
 duration ( ! hir+ process ( ! ,dep>tm5t
 ( ,vet]ans ,affairs = lic5s$           
pr(essional m$ical provid]s by half4    
,su* /rategy %all describe h[ ! ov]all  

c]tification ( cr$5tials process =      
lic5s$ pr(essional m$ical provid]s c be 
exp$it$4  #e4 ,improv+ acc\ntability )9 
,vet]ans ,heal? ,adm9i/ration by requir+
 report+ ( major adv]se actions tak5 to 
national practition] data bank & ,/ate  
lic5s+ bo>ds ,section #gdfa ( title #ch1
 ,unit$ ,/ates ,code1 is am5d$ by add+  
at ! end ! foll[+ new subsection3  7f7  
,:5ev] ! ,"u ,secret>y = ,heal? 7or an  
(ficial designat$ by ! ,"u ,secret>y7   
br+s *>ges bas$ on conduct or p]=mance  
aga9/ a section #gdja7a7 employee & z a 
result ( ^? *>ges a major adv]se action 
is tak5 aga9/ ! employee1 ! ,"u         
,secret>y %all1 n lat] ?an #cj days aft]
 ! date on :i* su* major adv]se action  
is c>ri$ out1 transmit to ! ,national   
,practition] ,data ,bank & ! applicable 
,/ate lic5s+ bo>d ! "n ( ! employee1 a  
description ( ! major adv]se action1 & a
 description ( ! reason = ! major adv]se
 action4  4