,,ii  #aae? ,,congress  #a/ ,session    
,s4 #hjd  ,,9 ,,! ,,s5ate ,,( ,,!       
,,unit$ ,,/ates  ,april #c1 #bjag,mr4   
,hell] 7= himself & ,mrs4 ,murray7      
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,vet]ans' ,affairs  ,a ,,bill  ,to      
improve ! provision ( heal? c>e = wom5  
vet]ans by ! ,dep>tm5t ( ,vet]ans       
,affairs1 & = o!r purposes4  #a4 ,%ort  
title ,?is ,act may be cit$ z ! ,wom5   
,vet]ans ,access to ,quality ,c>e ,act (
 #bjag4  #b4 ,e/abli%m5t ( /ructural    
/&>ds to meet g5d]-specific heal? c>e   
ne$s 9 m$ical facilities ( ,dep>tm5t (  
,vet]ans ,affairs  7a7 ,e/abli%m5t  7#a7
 ,9 g5]al ,! ,secret>y ( ,vet]ans       
,affairs %all e/abli% /&>ds to ensure t 
all m$ical facilities ( ! ,dep>tm5t (   
,vet]ans ,affairs h ! /ructural         
*>act]i/ics necess>y to adequately meet 
! g5d]-specific heal? c>e ne$s ( vet]ans
 at su* facilities1 includ+ privacy1    
safety1 & dignity4  7#b7 ,regulations ,n
 lat] ?an #ahj days aft] ! date ( !     

enactm5t ( ?is ,act1 ! ,secret>y %all   
prescribe regulations to c>ry out       
p>agraph 7#a74  7b7 ,integration into   
prioritization me?odology ,n lat] ?an   
#bgj days aft] ! date ( ! enactm5t ( ?is
 ,act1 ! ,secret>y %all integrate !     
/&>ds e/abli%$ "u subsection 7a77#a7    
into ! prioritization me?odology us$ by 
! ,dep>tm5t "u p>agraph 7#e7 ( section  
#hajd7;b7 ( title #ch1 ,unit$ ,/ates    
,code1 ) respect to reque/s = ! fund+ ( 
major m$ical facility projects & major  
m$ical facility leases "u su* section4  
7c7 ,report ,n lat] ?an #ae mon?s aft] !
 date ( ! enactm5t ( ?is ,act1 !        
,secret>y %all submit to ! ,committee on
 ,vet]ans' ,affairs ( ! ,s5ate & !      
,committee on ,vet]ans' ,affairs ( !    
,h\se ( ,repres5tatives a report on !   
/&>ds e/abli%$ "u subsection 7a77#a7 t  
includes ! foll[+3  7#a7 ,a li/ ( !     
m$ical facilities ( ! ,dep>tm5t t fail  
to meet su* /&>ds4  7#b7 ,! m9imum total
 co/ ( ! projects or leases t w\ld be   
requir$ to ensure t all m$ical          

facilities ( ! ,dep>tm5t meet su* /&>ds4
  7#c7 ,! numb] ( su* projects or leases
 t qualify z a major m$ical facility    
project or major m$ical facility lease  
"u section #hajd7;a77#c74  7#d7 ,:]e ea*
 su* project or lease is locat$ 9 !     
curr5t project prioritization ( !       
,dep>tm5t4  #c4 ,e/abli%m5t ( policies =
 environm5t ( c>e inspections at m$ical 
c5t]s ( ,dep>tm5t ( ,vet]ans ,affairs ,n
 lat] ?an #fj days aft] ! date ( !      
enactm5t ( ?is ,act1 ! ,secret>y (      
,vet]ans ,affairs %all--  7#a7 e/abli%  
policies = environm5t ( c>e inspections 
at m$ical c5t]s ( ! ,dep>tm5t ( ,vet]ans
 ,affairs t include--  7,a7 an alignm5t 
( ! requirem5ts = su* inspections ) !   
wom5's heal? h&book ( ! ,vet]ans ,heal? 
,adm9i/ration2  7,b7 a requirem5t = !   
frequ5cy ( su* inspections2 &  7,c7 a   
del9eation ( ! roles & responsibilities 
( /aff at ! m$ical c5t] :o are          
responsible = compliance2 &  7#b7 c]tify
 to ! ,committee on ,vet]ans' ,affairs (
 ! ,s5ate & ! ,committee on ,vet]ans'   

,affairs ( ! ,h\se ( ,repres5tatives t !
 policies e/abli%$ "u p>agraph 7#a7 h   
be5 f9aliz$ & dissem9at$ to m$ical c5t]s
 ( ! ,dep>tm5t4  #d4 ,use ( heal?       
outcomes = wom5 vet]ans 9 evaluat+ !    
p]=mance ( directors ( m$ical c5t]s (   
,dep>tm5t & disclosure ( heal? outcomes 
7a7 ,evaluation ( directors ,! ,secret>y
 ( ,vet]ans ,affairs %all use heal?     
outcomes = wom5 vet]ans furni%$ hospital
 c>e1 m$ical s]vices1 & o!r heal? c>e by
 ! ,dep>tm5t ( ,vet]ans ,affairs 9      
evaluat+ ! p]=mance ( directors ( m$ical
 c5t]s ( ! ,dep>tm5t4  7b7 ,public      
availability  7#a7 ,9 g5]al ,! ,secret>y
 %all publi% on a publicly available    
,int]net website ( ! ,dep>tm5t in=mation
 on ! p]=mance ( directors ( m$ical     
c5t]s ( ! ,dep>tm5t ) respect to heal?  
outcomes = wom5 vet]ans4  7#b7 ,data on 
heal? outcomes ,! ,secret>y %all publi% 
on a publicly available ,int]net website
 ( ea* m$ical facility ( ! ,dep>tm5t !  
foll[+3  7,a7 ,data on heal? outcomes   
pursuant to key heal? outcome metrics at

 su* facility = vet]ans :o are wom54    
7,b7 ,a comp>ison ( h[ su* data comp>es 
to data on heal? outcomes pursuant to   
key heal? outcome metrics at su*        
facility = vet]ans :o are m54  7,c7     
,explanatory or cl>ify+ in=mation       
necess>y = memb]s ( ! public to und]/& !
 data "u subp>agraphs 7,a7 & 7,b74  #e4 
,increase 9 numb] (                     
ob/etrician-gynecologi/s ( ,dep>tm5t (  
,vet]ans ,affairs  7a7 ,requirem5t ,n   
lat] ?an #ah mon?s aft] ! date ( !      
enactm5t ( ?is ,act1 ! ,secret>y (      
,vet]ans ,affairs %all ensure t e m$ical
 c5t] ( ! ,dep>tm5t ( ,vet]ans ,affairs 
has a full-"t ob/etrician-gynecologi/4  
7b7 ,pilot program on increase (        
resid5cy & m$ical education positions ,n
 lat] ?an two ye>s aft] ! date ( !      
enactm5t ( ?is ,act1 ! ,secret>y (      
,vet]ans ,affairs %all c>ry out a pilot 
program to increase ! numb] ( resid5cy  
program positions & graduate m$ical     
education positions =                   
ob/etrician-gynecologi/s at m$ical      

facilities ( ! ,dep>tm5t ( ,vet]ans     
,affairs 9 n few] ?an ?ree ,vet]ans     
,integrat$ ,s]vice ,networks ( !        
,dep>tm5t4  #f4 ,proc$ures = provision (
 c]ta9 in=mation to ,/ate vet]ans       
ag5cies to facilitate ! furni%+ (       
assi/ance & b5efits to vet]ans  7a7     
,proc$ures requir$ ,! ,secret>y (       
,vet]ans ,affairs %all develop proc$ures
 to %>e ! in=mation describ$ 9          
subsection 7b7 reg>d+ vet]ans ) ,/ate   
vet]ans ag5cies 9 electronic data =mat z
 a means ( facilitat+ ! furni%+ (       
assi/ance & b5efits to vet]ans4  7b7    
,cov]$ in=mation ,! in=mation %>$ )     
,/ate vet]ans ag5cies "u subsection 7a7 
reg>d+ a vet]an %all include ! foll[+3  
7#a7 ,milit>y s]vice & sep>ation data4  
7#b7 ,a p]sonal email address4  7#c7 ,a 
p]sonal telephone numb]4  7#d7 ,a mail+ 
address4  7c7 ,opt-,out election ,a     
vet]an may elect to prev5t _! in=mation 
f be+ %>$ ) ,/ate vet]ans ag5cies "u    
subsection 7a7 pursuant to a process t !
 ,secret>y %all e/abli% = purposes ( ?is

 subsection4  7d7 ,use ( in=mation ,!   
,secret>y %all ensure t ! in=mation %>$ 
) ,/ate vet]ans ag5cies 9 accordance ) !
 proc$ures develop$ "u subsection 7a7 is
 only %>$ by su* ag5cies ) c\nty        
gov]nm5t vet]ans s]vice (fices = su*    
purposes z ! ,secret>y %all specify = ! 
adm9i/ration & deliv]y ( assi/ance &    
b5efits4  #g4 ,exam9ation ( ability (   
m$ical c5t]s ( ,dep>tm5t ( ,vet]ans     
,affairs to meet heal? c>e ne$s ( wom5  
vet]ans  7a7 ,9 g5]al ,! ,secret>y (    
,vet]ans ,affairs %all c>ry out an      
exam9ation ( :e!r ! m$ical c5t]s ( !    
,dep>tm5t ( ,vet]ans ,affairs are able  
to meet ! heal? c>e ne$s ( wom5 vet]ans4
  7b7 ,elem5ts ,! exam9ation "u         
subsection 7a7 %all address1 ) respect  
to ea* m$ical c5t] ( ! ,dep>tm5t1 at a  
m9imum1 ! foll[+3  7#a7 ,! wait times = 
wom5 vet]ans = appo9tm5ts = ! receipt ( 
hospital c>e1 m$ical s]vices1 or o!r    
heal? c>e4  7#b7 ,:e!r ! m$ical c5t] has
 a cl9ic t specializes 9 ! treatm5t (   
wom54  7#c7 ,! numb] ( full-"t          

ob/etrician-gynecologi/s4  7#d7 ,! numb]
 ( heal? pr(essionals tra9$ 9 wom5's    
heal?4  7#e7 ,! ext5t to :i* ! m$ical   
c5t] conducts regul>--  7,a7 tra9+ on   
issues specific to wom5's heal?2 &  7,b7
 s5sitivity tra9+4  7#f7 ,! diff]5ces 9 
heal? outcomes betwe5 m5 & wom54  7#g7  
,! security & privacy measures us$ 9    
regi/ration1 cl9ical1 & diagno/ic areas4
  7#h7 ,! availability ( g5d]-specific  
equipm5t or proc$ures4  7#i7 ,! ext5t to
 :i* ! ,c5t] = ,wom5 ,vet]ans ( !       
,dep>tm5t advises & engages ) ! m$ical  
c5t] ) respect to provid+ heal? c>e to  
wom5 vet]ans4  7#aj7 ,! ext5t to :i* !  
m$ical c5t] implem5ts directives f !    
,c5t] = ,wom5 ,vet]ans4  7#aa7 ,!       
outrea* conduct$ by ! ,dep>tm5t to wom5 
vet]ans 9 ! community s]v$ by ! m$ical  
c5t]4  7#ab7 ,! collaboration betwe5 !  
m$ical c5t] & non-,dep>tm5t entities1   
includ+ vet]ans s]vice organizations1 to
 meet ! heal? c>e ne$s ( wom5 vet]ans4  
7#ac7 ,! effectiv5ess ( ,pati5t ,align$ 
,c>e ,teams 9 meet+ ! heal? c>e ne$s (  

wom5 vet]ans4  7c7 ,report ,n lat] ?an  
#bgj days aft] ! date ( ! enactm5t ( ?is
 ,act1 ! ,secret>y ( ,vet]ans ,affairs  
%all submit to ! ,committee on ,vet]ans'
 ,affairs ( ! ,s5ate & ! ,committee on  
,vet]ans' ,affairs ( ! ,h\se (          
,repres5tatives a report on ! exam9ation
 c>ri$ out "u subsection 7a74  7d7      
,vet]ans s]vice organization def9$ ,9   
?is section1 ! t]m vet]ans s]vice       
organization means an organization      
recogniz$ by ! ,secret>y = !            
repres5tation ( vet]ans "u section #eijb
 ( title #ch1 ,unit$ ,/ates ,code4