,,ii  #aae? ,,congress  #a/ ,session    
,s4 #aac  ,,9 ,,! ,,s5ate ,,( ,,!       
,,unit$ ,,/ates  ,janu>y #ab1 #bjag,mr4 
,hell] 7= himself & ,mr4 ,te/]7         
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,vet]ans' ,affairs  ,a ,,bill  ,to      
require ! ,secret>y ( ,vet]ans ,affairs 
to c>ry out a pilot program to increase 
! use ( m$ical scribes to maximize !    
effici5cy ( physicians at m$ical        
facilities ( ! ,dep>tm5t ( ,vet]ans     
,affairs4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,maximiz+ ,effici5cy &     
,improv+ ,access to ,provid]s at !      
,dep>tm5t ( ,vet]ans ,affairs ,act4  #b4
 ,pilot program on increas+ ! use (     
m$ical scribes to maximize ! effici5cy (
 physicians at m$ical facilities ( !    
,dep>tm5t ( ,vet]ans ,affairs  7a7 ,9   
g5]al ,comm5c+ n lat] ?an #abj days aft]
 ! date ( ! enactm5t ( ! ,act1 !        
,secret>y ( ,vet]ans ,affairs %all c>ry 
out a pilot program to increase ! use ( 
m$ical scribes to maximize ! effici5cy (

 physicians at m$ical facilities ( !    
,dep>tm5t ( ,vet]ans ,affairs4  7b7     
,duration ,! ,secret>y %all c>ry out !  
pilot program dur+ ! #ah-mon? p]iod     
beg9n+ on ! date ( ! comm5cem5t ( !     
pilot program4  7c7 ,locations ,!       
,secret>y %all c>ry out ! pilot program 
at n few] ?an five m$ical facilities ( !
 ,dep>tm5t--  7#a7 at :i* ! ,secret>y   
has det]m9$ !re is a high volume (      
pati5ts2 or  7#b7 t are locat$ 9 rural  
areas & at :i* ! ,secret>y has det]m9$  
!re is a %ortage ( physicians & ea*     
physician has a high caseload4  7d7     
,contracts  7#a7 ,9 g5]al ,9 c>ry+ out !
 pilot program1 ! ,secret>y %all ent]   
into a contract ) "o or m appropriate   
nongov]nm5tal entities describ$ 9       
p>agraph 7#b74  7#b7 ,appropriate       
nongov]nm5tal entities describ$ ,an     
appropriate nongov]nm5tal entity        
describ$ 9 ?is p>agraph is an entity t  
tra9s & employs pr(essional m$ical      
scribes :o specialize 9 ! collection (  
m$ical data & data entry into electronic

 heal? records4  7e7 ,collection ( data 
7#a7 ,9 g5]al ,! ,secret>y %all collect 
data on ! pilot program to det]m9e !    
effectiv5ess ( ! pilot program 9        
increas+ ! effici5cy ( physicians at    
m$ical facilities ( ! ,dep>tm5t4  7#b7  
,elem5ts ,! data collect$ "u p>agraph   
7#a7 %all include ! foll[+ ) respect to 
ea* m$ical facility p>ticipat+ 9 ! pilot
 program3  7,a7 ,! av]age wait "t = a   
vet]an to receive c>e f a physician at  
su* m$ical facility be=e implem5tation (
 ! pilot program4  7,b7 ,! av]age wait  
"t = a vet]an to receive c>e f su* a    
physician aft] implem5tation ( ! pilot  
program4  7,c7 ,! av]age numb] ( pati5ts
 t su* a physician is able to see on a  
daily basis be=e implem5tation ( ! pilot
 program4  7,d7 ,! av]age numb] (       
pati5ts t su* a physician is able to see
 on a daily basis aft] implem5tation ( !
 pilot program4  7,e7 ,! av]age am\nt ( 
"t su* a physician sp5ds on docum5tation
 on a daily basis be=e implem5tation ( !
 pilot program4  7,f7 ,! av]age am\nt ( 

"t su* a physician sp5ds on docum5tation
 on a daily basis aft] implem5tation ( !
 pilot program4  7,g7 ,! satisfaction & 
ret5tion scores ( ea* su* physician be=e
 implem5tation ( ! pilot program4  7,h7 
,! satisfaction & ret5tion scores ( ea* 
su* physician aft] implem5tation ( !    
pilot program4  7,i7 ,! pati5t          
satisfaction scores = ea* su* physician 
be=e implem5tation ( ! pilot program4   
7,j7 ,! pati5t satisfaction scores = ea*
 su* physician aft] implem5tation ( !   
pilot program4  7,k7 ,! pati5t          
satisfaction scores = _! heal? c>e      
exp]i5ce be=e implem5tation ( ! pilot   
program4  7,l7 ,! pati5t satisfaction   
scores = _! heal? c>e exp]i5ce aft]     
implem5tation ( ! pilot program4  7f7   
,report  7#a7 ,9 g5]al ,n lat] ?an #ahj 
days aft] ! comm5cem5t ( ! pilot        
program1 & n less frequ5tly ?an once e  
#ahj days !reaft] = ! duration ( ! pilot
 program1 ! ,secret>y %all submit to    
,congress a report on ! pilot program4  
7#b7 ,elem5ts ,ea* report requir$ by    

p>agraph 7#a7 %all include ! foll[+3    
7,a7 ,! numb] ( m$ical facilities ( !   
,dep>tm5t t are p>ticipat+ 9 ! pilot    
program4  7,b7 ,) respect to ea* su*    
m$ical facility1 an assessm5t ( !       
effects t p>ticipation 9 ! pilot program
 has _h on ! foll[+3  7i7 ,maximiz+ !   
effici5cy ( physicians at su* m$ical    
facility4  7ii7 ,r$uc+ av]age wait times
 = appo9tm5ts4  7iii7 ,improv+ access ( 
pati5ts to electronic m$ical records4   
7iv7 ,mitigat+ physician %ortages by    
increas+ ! productivity ( physicians4   
7,c7 ,all data collect$ "u subsection   
7e74  7,d7 ,su* recomm5dations z !      
,secret>y may h ) respect to ! ext5sion 
or expansion ( ! pilot program4  7g7    
,m$ical scribe def9$ ,9 ?is section1 !  
t]m m$ical scribe means a memb] ( !     
m$ical team hir$ & tra9$ specifically & 
exclusively to p]=m docum5tation 9 an   
electronic heal? record to maximize !   
productivity ( a physician4