,i  #aaeth ,,congress  #ast ,session    
,h4 ,r4 #dgbh  ,,in ,,the ,,house ,,of  
,,representatives  ,december #ba1       
#bjag,ms4 ,michelle ,lujan ,grisham of  
,new ,mexico introduced the following   
bill2 which was referred to the         
,committee on ,veterans' ,affairs  ,a   
,,bill  ,to amend title #ch1 ,united    
,states ,code1 to establish the office  
of the ,health ,monitor of the          
,department of ,veterans ,affairs1 and  
for other purposes4  #a4 ,short title   
,this ,act may be cited as the ,fixing  
,,vha ,facilities ,act4  #b4 ,health    
monitor  7a7 ,in general ,chapter #c of 
title #ch1 ,united ,states ,code1 is    
amended by inserting after section      
#cab;,a the following new section3      
#cab;,b4 ,health ,monitor4  7a7 ,in     
general  7#a7 ,there is in the          
,department a ,health ,monitor who shall
 appointed by the ,secretary4  7#b7 ,the
 ,health ,monitor shall report to the   
,inspector ,general in the discharge of 
the duties of the ,health ,monitor under

 subsection 7c74 ,the ,inspector        
,general may not terminate the ,health  
,monitor until #fj days after the date  
the ,inspector ,general notifies        
,congress of such impending termination4
  7#c7 ,in discharging the duties under 
subsection 7c71 the ,health ,monitor    
shall have the powers of an ,inspector  
,general under section #f of the        
,inspector ,general ,act of #aigh 7#e   
,u4,s4,c4 ,app474  7b7 ,qualifications  
,each individual appointed as ,health   
,monitor shall be an individual who has 
substantive professional experience in  
at least one of the following areas3    
7#a7 ,federal oversight4  7#b7 ,health  
care administration4  7#c7 ,health care 
delivery4  7#d7 ,patient advocacy4  7c7 
,duties  7#a7 ,not later than #fj days  
after the issuance of the end-of-year   
relative performance star ratings 7in   
this section referred to as ,star       
,ratings7 for each fiscal year1 the     
,health ,monitor shall identify and     
transmit a list of specific improvement 

recommendations for each medical center 
of the ,department that received fewer  
than three stars in the ,star ,ratings  
for the most recent fiscal year4 ,the   
,health ,monitor shall transmit each    
such list to--  7,a7 the ,director of   
the medical center named in the list2   
7,b7 the ,secretary2  7,c7 the          
,committees on ,veterans' ,affairs of   
the ,senate and the ,house of           
,representatives2  7,d7 the ,senators   
for the ,state in which the medical     
center is located2 and  7,e7 the        
,representative in whose congressional  
district the medical center is located4 
7#b7 ,not later than #ahj days after the
 ,health ,monitor transmits a list under
 paragraph 7#a71 the ,health ,monitor   
shall submit a report to the recipients 
of that list a report that identifies-- 
7,a7 the extent to which the ,director  
of the medical center implemented the   
plan2  7,b7 any change in the           
performance of the medical center4  4   
7b7 ,clerical amendment ,the table of   

sections at the beginning of such       
chapter is amended by inserting after   
the item relating to section #cab;,a the
 following new item3  #cab;,b4 ,health  
,monitor4  4