,,ii  #aaf? ,,congress  #a/ ,session    
,s4 #abc  ,,9 ,,! ,,s5ate ,,( ,,!       
,,unit$ ,,/ates  ,janu>y #ae1 #bjai ,ms4
 ,ern/ 7= h]self1 ,mr4 ,coons1 ,mr4     
,grassley1 & ,mr4 ,boozman7 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 ent] into a        
contract or o!r agreem5t ) a ?ird p>ty  
to review appo9tees 9 ! ,vet]ans ,heal? 
,adm9i/ration :o _h a lic5se t]m9at$ =  
cause by a ,/ate lic5s+ bo>d = c>e or   
s]vices r5d]$ at a non-,vet]ans ,heal?  
,adm9i/ration facility & to provide     
individuals treat$ by su* an appo9tee ) 
notice if x is det]m9$ t an episode (   
c>e or s]vices to :i* !y receiv$ 0 bel[ 
! /&>d ( c>e1 & = o!r purposes4  #a4    
,%ort title ,?is ,act may be cit$ z !   
,ensur+ ,quality ,c>e = ,our ,vet]ans   
,act4  #b4 ,?ird p>ty review ( appo9tees
 9 ,vet]ans ,heal? ,adm9i/ration :o _h a
 lic5se t]m9at$ = cause & notice to     
individuals treat$ by ^? appo9tees if   

det]m9$ t an episode ( c>e or s]vices to
 :i* !y receiv$ 0 bel[ ! /&>d ( c>e  7a7
 ,?ird p>ty review  7#a7 ,9 g5]al ,n    
lat] ?an #ahj days aft] ! date ( !      
enactm5t ( ?is ,act1 ! ,secret>y (      
,vet]ans ,affairs %all ent] into a      
contract or o!r agreem5t ) an           
organization t is n "p ( ! ,f$]al       
,gov]nm5t to conduct a cl9ical review = 
quality managem5t ( hospital c>e or     
m$ical s]vices furni%$ by cov]$         
provid]s4  7#b7 ,qualifications ,!      
,secret>y %all ensure t ea* review ( a  
cov]$ provid] "u ?is subsection is p]=m$
 by an individual :o is lic5s$ 9 ! same 
specialty z ! cov]$ provid]4  7b7       
,notice to pati5ts treat$ by cov]$      
provid]s ,) respect to hospital c>e or  
m$ical s]vices furni%$ by a cov]$       
provid] "u ! laws adm9i/]$ by !         
,secret>y1 if a cl9ical review = quality
 managem5t "u subsection 7a7 det]m9es t 
! /&>d ( c>e 0 n met dur+ an episode (  
c>e1 ! ,secret>y %all notify !          
individual :o receiv$ su* c>e or s]vices

 f ! cov]$ provid] z describ$ 9         
applicable policy ( ! ,vet]ans ,hea?    
,adm9i/ration4  7c7 ,def9itions ,9 ?is  
section3 7#a7 ,cov]$ provid] ,! t]m     
cov]$ provid] means an individual :o--  
7,a7 0 appo9t$ to ! ,vet]ans ,heal?     
,adm9i/ration "u section #gdja ( title  
#ch1 ,unit$ ,/ates ,code2 &  7,b7 _h a  
lic5se t]m9at$ = cause by a ,/ate lic5s+
 bo>d = hospital c>e or m$ical s]vices  
provid$ 9 a facility t is n a facility (
 ! ,vet]ans ,heal? ,adm9i/ration4  7#b7 
,hospital c>e or m$ical s]vices ,! t]ms 
hospital c>e & m$ical s]vices h ! mean+s
 giv5 ^? t]ms 9 section #agja ( title   
#ch1 ,unit$ ,/ates ,code4