#aag? ,,congress  #a/ ,session  ,h4 ,r4 
#deia  ,,an ,,act  ,to direct !         
,secret>y ( ,vet]ans ,affairs to submit 
to ,congress p]iodic reports on ! co/s1 
p]=mance metrics1 & outcomes ( !        
,dep>tm5t ( ,vet]ans ,affairs           
,electronic ,heal? ,record ,mod]nization
 program4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,,va ,electronic ,heal?    
,record ,transp>5cy ,act ( #bjba4  #b4  
,reports on co/s1 p]=mance metrics1 &   
outcomes ( ,dep>tm5t ( ,vet]ans ,affairs
 ,electronic ,heal? ,record             
,mod]nization program  7a7 ,9 g5]al     
,section #ejc ( ! ,vet]ans ,b5efits &   
,transition ,act ( #bjah 7,public ,law  
#aae-djg2 #ch ,u4,s4,c4 #egja note      
prec47 is am5d$--  7#a7 by r$esignat+   
subsection 7e7 z subsection 7f72  7#b7  
by ins]t+ aft] subsection 7d7 ! foll[+  
new subsection 7e73  7e7 ,qu>t]ly       
reports  7#a7 ,reports on co/s ( ,,ehrm 
program ,n lat] ?an #ij days aft] ! date
 ( ! enactm5t ( ! ,,va ,electronic      
,heal? ,record ,transp>5cy ,act ( #bjba1

 & e #cj days aft] ! la/ day ( ea*      
fiscal qu>t] !reaft] until ! t]m9ation  
date specifi$ 9 p>agraph 7#c71 !        
,secret>y ( ,vet]ans ,affairs %all      
submit to ! ,committees on ,vet]ans'    
,affairs ( ! ,s5ate & ,h\se (           
,repres5tatives a report on ! co/s ( !  
,electronic ,heal? ,record ,mod]nization
 program ( ! ,dep>tm5t ( ,vet]ans       
,affairs4 ,ea* su* report %all include1 
= ! p]iod cov]$ by ! report & = ! total 
p]iod beg9n+ on ! date ( ! enactm5t ( ! 
,,va ,electronic ,heal? ,record         
,transp>5cy ,act ( #bjba & end+ on !    
date ( ! submittal ( ! report1 a        
description ( all actual exp5ses (1 &   
driv5 by1 su* program1 includ+ any su*  
exp5ses paid us+-- 7,a7 any funds       
appropriat$ = ! ,dep>tm5t ( ,vet]ans    
,affairs1 = any s\rce or acc\nt1 exp5d$ 
by any organizational elem5t ( !        
,dep>tm5t or by ! ,f$]al ,electronic    
,heal? ,record ,mod]nization ,(fice = ! 
,electronic ,heal? ,record ,mod]nization
 ,program2  7,b7 any funds1 f any s\rce 

or acc\nt1 exp5d$ by any organizational 
elem5t ( ! ,dep>tm5t = physical or      
te*nology infra/ructure modifications1  
enhancem5ts1 improvem5ts1 or expansions 
at a facility ( ! ,dep>tm5t necessitat$ 
by1 or relat$ or p]ta9+ to1 !           
,electronic ,heal? ,record ,mod]nization
 ,program2 &  7,c7 any funds1 f any     
s\rce or acc\nt1 exp5d$ by any          
organizational elem5t ( ! ,dep>tm5t or  
by ! ,f$]al ,electronic ,heal? ,record  
,mod]nization ,(fice = consultants1     
support contractors1 or exp]ts relat$ or
 p]ta9+ to ! ,electronic ,heal? ,record 
,mod]nization ,program4  7#b7 ,reports  
on p]=mance metrics & outcomes ,n lat]  
?an #ij days aft] ! date ( ! enactm5t ( 
! ,,va ,electronic ,heal? ,record       
,transp>5cy ,act ( #bjba1 & e #cj days  
aft] ! la/ day ( ea* fiscal qu>t]       
!reaft] until ! t]m9ation date specifi$ 
9 p>agraph 7#c71 ! ,secret>y ( ,vet]ans 
,affairs %all submit to ! ,committees on
 ,vet]ans' ,affairs ( ! ,s5ate & ,h\se (
 ,repres5tatives a report on ! p]=mance 

metrics & outcomes ( ! ,electronic      
,heal? ,record ,mod]nization ,program4  
,ea* su* report %all include1 = ! p]iod 
cov]$ by ! report-- 7,a7 a li/ ( !      
quality1 p]=mance1 safety1 or value     
metrics1 key p]=mance indicators1 & o!r 
diagno/ic or evaluation crit]ia 9 use to
 assess ! ,electronic ,heal? ,record    
,mod]nization ,program & ! electronic   
heal? record sy/em1 9 g5]al & at        
individual facilities1 ) respect to     
vet]ans1 employees ( ! ,dep>tm5t1 &     
,dep>tm5tal op]ations2  7,b7 an         
explanation ( any *ange to any ( su*    
metrics1 indicators1 & crit]ia comp>$ to
 ! metrics1 indicators1 & crit]ia       
includ$ 9 any previ\s report submitt$ "u
 ?is p>agraph2  7,c7 ! data support+ or 
demon/rat+ ea* su* metric1 indicator1 & 
crit]ia comp>$ to ! data support+ or    
demon/rat+ su* metric1 indicator1 or    
crit]ia z includ$ 9 ! previ\s report    
submitt$ "u ?is p>agraph2 &  7,d7 a li/ 
( pati5t safety reports1 incid5ts1      
al]ts1 or disclosures at ea* facility ( 

! ,dep>tm5t :]e ! electronic heal?      
record sy/em has be5 implem5t$4  7#c7   
,t]m9ation date ,! requirem5t to submit 
a report "u p>agraph 7#a7 %all t]m9ate  
on ! date t is #ij days aft] ! date on  
:i* ! ,secret>y submits to ! ,committees
 on ,vet]ans' ,affairs ( ! ,s5ate &     
,h\se ( ,repres5tatives c]tification t !
 ,electronic ,heal? ,record             
,mod]nization program has be5 fully     
implem5t$4  2 &  7#c7 9 subsection 7f71 
z r$esignat$ by p>agraph 7#a71 by add+  
at ! end ! foll[+ new p>agraphs3  7#c7  
,! t]m electronic heal? record sy/em    
means ! electronic heal? record sy/em   
implem5t$ pursuant to ! ,electronic     
,heal? ,record ,mod]nization ,program4  
7#d7 ,! t]m ,f$]al ,electronic ,heal?   
,record ,managem5t ,(fice means ! (fice 
e/abli%$ "u section #afce7;b7 ( ! ,w\nd$
 ,w>rior ,act 7title ,,xvi ( ,public    
,law #aaj-aha2 #aj ,u4,s4,c4 #ajga      
note74  7#e7 ,! t]m facility ( !        
,dep>tm5t includes a jo9t facility ( !  
,dep>tm5t ( ,vet]ans ,affairs & !       

,dep>tm5t ( ,def5se4  4  ,pass$ ! ,h\se 
( ,repres5tatives ,novemb] #af1         
#bjba4;,cl]k4