,i  #aae? ,,congress  #b;d ,session  ,h4
 ,r4 #fjff  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,june #h1 #bjah,mr4   
,w5/rup introduc$ ! foll[+ bill2 :i* 0  
ref]r$ to ! ,committee on ,vet]ans'     
,affairs  ,a ,,bill  ,to am5d title #ch1
 ,unit$ ,/ates ,code1 to improve !      
productivity ( ! managem5t ( ,dep>tm5t (
 ,vet]ans ,affairs heal? c>e1 & = o!r   
purposes4  #a4 ,dep>tm5t ( ,vet]ans     
,affairs heal? c>e productivity         
improvem5t  7a7 ,9 g5]al ,sub*apt] ,i ( 
*apt] #ag ( title #ch1 ,unit$ ,/ates    
,code1 is am5d$ by ins]t+ aft] section  
#agje;,a ! foll[+ new section3          
#agje;,b4 ,managem5t ( heal? c>e3       
productivity  7a7 ,relative value unit  
track+ ,! ,secret>y %all track relative 
value units = all ,dep>tm5t provid]s4   
7b7 ,cl9ical proc$ure cod+ tra9+ ,!     
,secret>y %all require all ,dep>tm5t    
provid]s to att5d tra9+ on cl9ical      
proc$ure cod+4  7c7 ,p]=mance /&>ds     
7#a7 ,! ,secret>y %all e/abli% = ea*    
,dep>tm5t facility-- 7,a7 9 accordance )

 p>agraph 7#b71 /&>diz$ p]=mance /&>ds  
bas$ on nationally recogniz$ relative   
value unit production /&>ds applicable  
to ea* specific pr(ession 9 ord] to     
evaluate cl9ical productivity at !      
provid] & facility level2  7,b7         
rem$iation plans to address l[ cl9ical  
productivity & cl9ical ineffici5cy2 &   
7,c7 an ongo+ process to sy/ematically  
review ! cont5t1 implem5tation1 &       
outcome ( ! plans develop$ "u           
subp>agraph 7,b74  7#b7 ,9 e/abli%+ !   
p]=mance /&>ds "u p>agraph 7#a77;,a71 ! 
,secret>y may-- 7,a7 incorporate        
values-bas$ productivity models2 &  7,b7
 take into acc\nt non-cl9ical duties1   
includ+ ) respect to tra9+ & rese>*4    
7d7 ,def9itions ,9 ?is section3  7#a7 ,!
 t]m ,dep>tm5t provid] means an employee
 ( ! ,dep>tm5t ^: prim>y                
responsibilities include furni%+        
hospital c>e or m$ical s]vices1 includ+ 
a physician1 a d5ti/1 an optometri/1 a  
podiatri/1 a *iropractor1 an advanc$    
practice regi/]$ nurse1 & a physician's 

assi/ant act+ z an indep5d5t provid]4   
7#b7 ,! t]m relative value unit means a 
unit = measur+ workload by det]m9+ ! "t1
 m5tal ef=t & judgm5t1 te*nical skill1  
physical ef=t1 & /ress involv$ 9 deliv]+
 a proc$ure4  4  7b7 ,cl]ical am5dm5t ,!
 table ( sections at ! beg9n+ ( su*     
*apt] is am5d$ by ins]t+ aft] ! item    
relat+ to section #agje;,a ! foll[+ new 
item3  #agje;,b4 ,managem5t ( heal? c>e3
 productivity4  4  7c7 ,report ,n lat]  
?an "o ye> aft] ! date ( ! enactm5t (   
?is ,act1 ! ,secret>y ( ,vet]ans        
,affairs %all submit to ,congress a     
report on ! implem5tation ( section     
#agje;,b ( title #ch1 ,unit$ ,/ates     
,code1 z add$ by subsection 7a74 ,su*   
report %all include1 = ea* pr(essional  
category ( ,dep>tm5t ( ,vet]ans ,affairs
 provid]s1 ! relative value unit ( su*  
category ( provid]s at ! national1      
,vet]ans ,integrat$ ,s]vice ,network1 & 
facility levels4