,i  #aafth ,,congress  #ast ,session    
,h4 ,r4 #ejjh  ,,in ,,the ,,house ,,of  
,,representatives  ,november #h1        
#bjai,mr4 ,gallego introduced the       
following bill2 which was referred to   
the ,committee on ,veterans' ,affairs   
,a ,,bill  ,to direct the ,inspector    
,general of the ,department of ,veterans
 ,affairs to perform certain duties     
regarding underperforming medical       
centers of the ,department4  #a4 ,short 
title ,this ,act may be cited as the    
,,va ,improvement ,act4  #b4 ,duties of 
the ,inspector ,general of the          
,department of ,veterans ,affairs       
regarding underperforming medical       
centers of the ,department  7a7 ,list of
 recommendations ,not later than #ij    
days after the issuance of the          
end-of-year relative performance star   
ratings 7in this section referred to as 
,star ,ratings7 for each fiscal year1   
the ,inspector ,general of the          
,department of ,veterans ,affairs shall 
identify and transmit a list of specific

 improvement recommendations for each   
medical center of the ,department that  
received fewer than two stars in the    
,star ,ratings regarding quality of care
 for the most recent fiscal year4 ,the  
,inspector ,general shall transmit each 
such list to--  7#a7 the ,director of   
the medical center named in the list2   
7#b7 the ,secretary of ,veterans        
,affairs2  7#c7 the ,committees on      
,veterans' ,affairs of the ,senate and  
the ,house of ,representatives2  7#d7   
the ,senators for the ,state in which   
the medical center is located2 and  7#e7
 the ,representative in whose           
congressional district the medical      
center is located4  7b7 ,progress       
reports ,not later than #ahj days after 
the ,inspector ,general transmits a list
 under subsection 7a71 the ,inspector   
,general shall publish on the website of
 the ,department and submit to the      
recipients of that list a report that   
identifies--  7#a7 the extent to which  
the ,director of the medical center     

implemented the improvement             
recommendations2  7#b7 any change in the
 performance of the medical center4