,,ii  #aae? ,,congress  #a/ ,session    
,s4 #aafc  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,may #ag1 #bjag,mr4    
,cornyn 7= himself1 ,mr4 ,nelson1 ,mr4  
,hat*1 ,mr4 ,cruz1 & ,mr4 ,cotton7      
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 ensure compliance ( m$ical facilities
 ( ! ,dep>tm5t ( ,vet]ans ,affairs )    
requirem5ts relat+ to ! s*$ul+ (        
appo9tm5ts1 to require appo9tm5t by !   
,presid5t & confirmation by ! ,s5ate (  
c]ta9 heal? c>e (ficials ( ! ,dep>tm5t1 
& = o!r purposes4  #a4 ,%ort title ,?is 
,act may be cit$ z ! ,vet]ans' ,heal?   
,c>e ,integrity ,act ( #bjag4  #b4      
,compliance ( m$ical facilities )       
requirem5ts relat+ to s*$ul+ (          
appo9tm5ts = hospital c>e & m$ical      
s]vices  7a7 ,annual c]tification  7#a7 
,9 g5]al ,! ,secret>y ( ,vet]ans        
,affairs %all ensure t ! director ( ea* 
m$ical facility ( ! ,dep>tm5t ( ,vet]ans

 ,affairs annually c]tifies to !        
,secret>y t--  7,a7 ! m$ical facility is
 9 full compliance ) all regulations &  
o!r provisions ( law relat+ to s*$ul+   
appo9tm5ts = vet]ans to receive hospital
 c>e or m$ical s]vices1 includ+ ,vet]ans
 ,heal? ,adm9i/ration ,directive #abcj  
or any successor directive2 &  7,b7 any 
(ficial data on wait times = appo9tm5ts 
to receive hospital c>e or m$ical       
s]vices submitt$ by ! director to !     
,secret>y dur+ ! ye> prec$+ ! submittal 
( ! c]tification is true & accurate to !
 be/ ( ! director's k4  7#b7            
,prohibition on waiv] ,! ,secret>y may n
 waive any regulation or o!r provision (
 law describ$ 9 p>agraph 7#a7 = a m$ical
 facility ( ! ,dep>tm5t if su*          
regulation or o!r provision ( law       
o!rwise applies to ! m$ical facility4   
7b7 ,explanation ( noncompliance ,if a  
director ( a m$ical facility ( !        
,dep>tm5t does n make a c]tification "u 
subsection 7a77#a7 = any ye>1 ! director
 %all submit to ! ,secret>y a report    

conta9+--  7#a7 an explanation ( :y !   
director is unable to make su*          
c]tification2 &  7#b7 a description ( ! 
actions ! director is tak+ to ensure    
full compliance ) ! regulations & o!r   
provisions ( law describ$ 9 su*         
subsection4  7c7 ,prohibition on bonuses
 bas$ on noncompliance  7#a7 ,9 g5]al   
,if a director ( a m$ical facility ( !  
,dep>tm5t does n make a c]tification "u 
subsection 7a77#a7 = any ye>1 no cov]$  
(ficial describ$ 9 p>agraph 7#b7 may    
receive an aw>d or bonus "u *apt] #de or
 #ec ( title #e1 ,unit$ ,/ates ,code1 or
 any o!r aw>d or bonus au?oriz$ "u su*  
title or title #ch1 ,unit$ ,/ates ,code1
 dur+ ! ye> foll[+ ! ye> 9 :i* !        
c]tification 0 n made4  7#b7 ,cov]$     
(ficial describ$ ,a cov]$ (ficial       
describ$ 9 ?is p>agraph is ea* (ficial  
:o s]ves 9 ! foll[+ positions at a      
m$ical facility ( ! ,dep>tm5t dur+ a    
ye>1 or portion !re(1 = :i* ! director  
does n make a c]tification "u subsection
 7a77#a73  7,a7 ,! director4  7,b7 ,!   

*ief ( /aff4  7,c7 ,! associate         
director4  7,d7 ,! associate director = 
pati5t c>e4  7,e7 ,! deputy *ief ( /aff4
  7d7 ,annual report ,n less frequ5tly  
?an annually1 ! ,secret>y %all submit to
 ! ,committee on ,vet]ans' ,affairs ( ! 
,s5ate & ! ,committee on ,vet]ans'      
,affairs ( ! ,h\se ( ,repres5tatives a  
report conta9+1 ) respect to ! ye> cov]$
 by ! report--  7#a7 a li/ ( ea* m$ical 
facility ( ! ,dep>tm5t = :i* a          
c]tification 0 made "u subsection       
7a77#a72 &  7#b7 a li/ ( ea* m$ical     
facility ( ! ,dep>tm5t = :i* su* a      
c]tification 0 n made1 includ+ a copy ( 
ea* report submitt$ to ! ,secret>y "u   
subsection 7b74  #c4 ,uni=m application 
( directives & policies ( ,dep>tm5t (   
,vet]ans ,affairs  7a7 ,9 g5]al ,!      
,secret>y ( ,vet]ans ,affairs %all apply
 ! directives & policies ( ! ,dep>tm5t (
 ,vet]ans ,affairs to ea* (fice or      
facility ( ! ,dep>tm5t 9 a uni=m mann]4 
7b7 ,notification ,if ! ,secret>y does n
 uni=mly apply ! directives & policies (

 ! ,dep>tm5t pursuant to subsection 7a71
 includ+ by waiv+ su* a directive or    
policy ) respect to an (fice1 facility1 
or elem5t ( ! ,dep>tm5t1 ! ,secret>y    
%all notify ! ,committee on ,vet]ans'   
,affairs ( ! ,s5ate & ! ,committee on   
,vet]ans' ,affairs ( ! ,h\se (          
,repres5tatives ( su* nonuni=m          
application1 includ+ an explanation = ! 
nonuni=m application4  #d4 ,requirem5t =
 appo9tm5t & confirmation ( c]ta9       
(ficials ( ,dep>tm5t ( ,vet]ans ,affairs
  7a7 ,pr9cipal ,deputy ,"u ,secret>y = 
,heal? ,subsection 7c7 ( section #gcjf (
 title #ch1 ,unit$ ,/ates ,code1 is     
am5d$ to read z foll[s3  7c7 7#a7       
,except z provid$ 9 p>agraph 7#b71      
appo9tm5ts "u subsection 7a7 %all be    
made by ! ,secret>y4  7#b7 ,appo9tm5ts  
"u subsection 7a77#a7 %all be made by ! 
,presid5t1 by & ) ! advice & cons5t ( ! 
,s5ate4  7#c7 ,9 ! case ( appo9tm5ts "u 
p>agraphs 7#a71 7#b71 7#c71 7#d71 & 7#h7
 ( subsection 7a71 su* appo9tm5ts %all  
be made ^u ! recomm5dation ( ! ,"u      

,secret>y = ,heal?4  4  7b7 ,o!r ,deputy
 ,"u ,secret>y positions  7#a7 ,9 g5]al 
,not)/&+ any o!r provision ( law1 !     
,deputy ,"u ,secret>y = ,heal? =        
,op]ations & ,managem5t ( ! ,dep>tm5t ( 
,vet]ans ,affairs1 ! ,deputy ,"u        
,secret>y = ,heal? = ,policy & ,s]vices 
( ! ,dep>tm5t1 ! ,pr9cipal ,deputy ,"u  
,secret>y = ,b5efits ( ! ,dep>tm5t1 !   
,deputy ,"u ,secret>y = ,disability     
,assi/ance ( ! ,dep>tm5t1 & ! ,deputy   
,"u ,secret>y = ,field ,op]ations ( !   
,dep>tm5t %all be appo9t$ by !          
,presid5t1 by & ) ! advice & cons5t ( ! 
,s5ate4  7#b7 ,rule ( con/ruction ,no?+ 
9 ?is subsection %all be con/ru$ to     
au?orize ! e/abli%m5t ( any new position
 )9 ! ,dep>tm5t ( ,vet]ans ,affairs4    
7c7 ,application ,subsection 7b7 & !    
am5dm5t made by subsection 7a7 %all     
apply to appo9tm5ts made on & aft] !    
date ( ! enactm5t ( ?is ,act4