,i  #aaf? ,,congress  #a/ ,session  ,h4 
,r4 #djif  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,july #cj1 #bjai ,mr4 
,correa 7= himself1 ,mr4 ,cisn]os1 ,ms4 
,wild1 ,mr4 ,pappas1 ,mr4 ,?ompson (    
,cali=nia1 ,mr4 ,c>son ( ,indiana1 ,mr4 
,espaillat1 ,mr4 ,o',hall]an1 ,ms4      
,titus1 ,mr4 ,pet]son1 ,ms4 ,blunt      
,ro*e/]1 ,ms4 ,moore1 ,mr4 ,m\lton1 ,ms4
 ,escob>1 ,mr4 ,fitzpatrick1 ,miss      
,gonzlez-,coln ( ,pu]to ,rico1 ,mrs4    
,radewag51 & ,mr4 ,crd5as7 introduc$ !  
foll[+ bill2 :i* 0 ref]r$ to !          
,committee on ,vet]ans' ,affairs  ,a    
,,bill  ,to am5d title #ch1 ,unit$      
,/ates ,code1 to require an annual      
report on vet]an access to g5d] specific
 s]vices "u community c>e contracts1 & =
 o!r purposes4  #a4 ,%ort title ,?is    
,act may be cit$ z ! ,improv+ ,ov]sight 
( ,wom5 ,vet]ans' ,c>e ,act ( #bjai4    
#b4 ,annual report on vet]an access to  
g5d] specific s]vices "u ,dep>tm5t (    
,vet]ans ,affairs community c>e         
contracts  7a7 ,9 g5]al ,sub*apt] ,,iii 

( *apt] #ag ( title #ch1 ,unit$ ,/ates  
,code1 is am5d$ by add+ at ! end !      
foll[+ new section3  #agcj;,d4 ,annual  
report on vet]an access to g5d] specific
 s]vices "u community c>e contracts  7a7
 ,9 g5]al ,! ,secret>y %all submit to ! 
,committees on ,vet]ans' ,affairs ( !   
,s5ate & ! ,h\se ( ,repres5tatives an   
annual report on ! access ( wom5 vet]ans
 to g5d] specific s]vices "u contracts1 
agreem5ts1 or o!r arrangem5ts )         
non-,dep>tm5t m$ical provid]s ent]$ into
 by ! ,secret>y = ! provision ( hospital
 c>e or m$ical s]vices to vet]ans4 ,su* 
report %all include data & p]=mance     
measures = ! availability ( g5d]        
specific s]vices1 includ+-- 7#a7 !      
av]age wait "t betwe5 ! vet]an's pref]r$
 appo9tm5t date & ! date on :i* !       
appo9tm5t is complet$2  7#b7 ! av]age   
driv+ "t requir$ = vet]ans to att5d     
appo9tm5ts2 &  7#c7 reasons :y          
appo9tm5ts c\ld n be s*$ul$ )           
non-,dep>tm5t m$ical provid]s4  7b7     
,g5d] specific s]vices ,9 ?is section1 !

 t]m g5d] specific s]vices means        
mammography1 ob/etric c>e1 gynecological
 c>e1 & su* o!r s]vices z ! ,secret>y   
det]m9es appropriate4  4  7b7 ,cl]ical  
am5dm5t ,! table ( sections at ! beg9n+ 
( su* *apt] is am5d$ by ins]t+ aft] !   
item relat+ to section #agcj;,c ! foll[+
 new item3  #agcj;,d4 ,annual report on 
vet]an access to g5d] specific s]vices  
"u community c>e contracts4  4  #c4     
,e/abli%m5t ( environm5t ( c>e /&>ds &  
inspections at ,dep>tm5t ( ,vet]ans     
,affairs m$ical c5t]s  7a7 ,9 g5]al ,!  
,secret>y ( ,vet]ans ,affairs %all      
e/abli% a policy "u :i*-- 7#a7 !        
environm5t ( c>e /&>ds & inspections at 
,dep>tm5t ( ,vet]ans ,affairs m$ical    
c5t]s include--  7,a7 an alignm5t ( !   
requirem5ts = su* /&>ds & inspections ) 
! wom5's heal? h&book ( ! ,vet]ans      
,heal? ,adm9i/ration2  7,b7 a requirem5t
 = ! frequ5cy ( su* inspections2  7,c7  
del9eation ( ! roles & responsibilities 
( /aff at ! m$ical c5t] :o are          
responsible = compliance2 &  7,d7 !     

requirem5t t ea* m$ical c5t] submit to !
 ,secret>y a report on ! compliance ( ! 
m$ical c5t] ) ! /&>ds2 &  7#b7 = !      
purposes ( ! ,end ( ,ye> ,hospital ,/>  
,rat+1 no m$ical c5t] is eligible = a   
five /> rat+ z report$ "u ! ,/rategic   
,analytics = ,improvem5t & ,le>n+ ,value
 ,model unless x meets ! environm5t (   
c>e /&>ds4  7b7 ,report ,n lat] ?an #ahj
 days aft] ! date ( ! enactm5t ( ?is    
,act1 ! ,secret>y %all submit to !      
,committees on ,vet]ans' ,affairs ( !   
,s5ate & ,h\se ( ,repres5tatives        
c]tification 9 writ+ t ! policy requir$ 
by subsection 7a7 has be5 f9aliz$ &     
dissem9at$ to ,dep>tm5t all m$ical      
c5t]s4