,i  #aag? ,,congress  #b;d ,session  ,h4
 ,r4 #ijjb  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,septemb] #bh1        
#bjbb,ms4 ,g>cia ( ,texas introduc$ !   
foll[+ bill2 :i* 0 ref]r$ to !          
,committee on ,vet]ans' ,affairs  ,a    
,,bill  ,to direct ! ,secret>y (        
,vet]ans ,affairs to e/abli% a pilot    
program = gynecologic canc] c>e         
coord9ation at ! ,dep>tm5t ( ,vet]ans   
,affairs1 & = o!r purposes4  #a4 ,%ort  
title ,?is ,act may be cit$ z !         
,vet]ans' ,canc] ,c>e ,coord9ator ,act (
 #bjbb4  #b4 ,pilot program on          
gynecologic canc] c>e coord9ation  7a7  
,e/abli%m5t ,n lat] ?an "o ye> aft] !   
date ( ! enactm5t ( ?is ,act1 !         
,secret>y ( ,vet]ans ,affairs %all      
e/abli% a pilot program 79 ?is section  
ref]r$ to z ! ,program7 = gynecologic   
canc] c>e coord9ation at ! ,dep>tm5t (  
,vet]ans ,affairs1 includ+ ?r\gh !      
designation ( a gynecologic canc] c>e   
coord9ator ( ! ,dep>tm5t4  7b7 ,eligible
 p>ticipants ,a vet]an is eligible to   

p>ticipate 9 ! program if ! vet]an--    
7#a7 has be5 diagnos$ ) a gynecologic   
canc]2 &  7#b7 is eligible = heal? c>e  
furni%$ ?r\gh ! ,vet]ans ,community ,c>e
 ,program "u section #agjc ( title #ch1 
,unit$ ,/ates ,code1 at a non-,dep>tm5t 
facility4  7c7 ,locations ,! ,secret>y  
%all select n few] ?an five m$ical c5t]s
 ( ! ,dep>tm5t ( ,vet]ans ,affairs at   
:i* to c>ry out ! ,program1 includ+ "o  
m$ical c5t] t prim>ily s]ves rural      
vet]ans1 z det]m9$ by ! ,secret>y4  7d7 
,duties ( gynecologic canc] c>e         
coord9ator ,"u ! ,program1 ! designat$  
gynecologic canc] c>e coord9ator %all be
 responsible = c>ry+ out ! foll[+       
duties3 7#a7 ,ensur+ ! coord9ation ( c>e
 betwe5-- 7,a7 cl9icians ( ! ,dep>tm5t &
 community gynecologic canc] c>e        
provid]s2  7,b7 cl9icians ( ! ,dep>tm5t1
 ,wom5's ,vet]an ,program ,manag]s1 &   
,wom5's ,heal? ,m$ical ,directors2 &    
7,c7 any o!r relevant cl9icians ( !     
,dep>tm5t & community c>e provid]s :o   
provide c>e to p>ticipat+ vet]ans4  7#b7

 ,work+ ) ! ,(fice ( ,community ,c>e ( !
 relevant m$ical facility ( ! ,dep>tm5t 
reg>d+ au?orizations ( c>e 9 !          
community1 includ+ = p>ticipat+ vet]ans 
^: m5tal heal? scre5+ results indicate !
 pres5ce ( milit>y sexual trauma1       
depression1 dome/ic or intimate p>tn]   
viol5ce1 or po/-traumatic /ress disord]4
  7#c7 ,mak+ regul> contact ) ea*       
p>ticipat+ vet]an :5 ! vet]an receives  
c>e f a community c>e provid] to        
evaluate ! ne$s ( ! vet]an1 includ+     
?r\gh an assessm5t ( ! m5tal heal? ( !  
vet]an 7includ+ z su* m5tal heal? &     
trauma hi/ory relat$ to ! canc]         
diagnosis ( ! vet]an74  7#d7 ,monitor+--
 7,a7 ! s]vices furni%$ "u ! ,program to
 p>ticipat+ vet]ans2  7,b7 ! outcomes   
relat+ to ! heal? ( su* p>ticipat+      
vet]ans1 includ+ remission1 meta/asis1 &
 dea?2 &  7,c7 ! data relat+ to         
gynecologic canc] c>e collect$ at a     
m$ical facility ( ! ,dep>tm5t 7us+      
relevant databases ( ! ,vet]ans ,heal?  
,adm9i/ration or o!r ,dep>tm5t          

databases71 includ+-- 7i7 ! demographics
 ( p>ticipat+ vet]ans :o h gynecologic  
canc]2 &  7ii7 ! numb] ( p>ticipat+     
vet]ans be+ treat$ = gynecologic canc]4 
7#e7 ,provid+ p>ticul> in=mation to     
p>ticipat+ vet]ans1 includ+-- 7,a7 h[ to
 seek em]g5cy c>e at ! em]g5cy dep>tm5t 
close/ to ! vet]an1 includ+ ! requirem5t
 = ! vet]an or ! community c>e provid]  
to notify ! ,dep>tm5t :5 ! vet]an       
receives em]g5cy treatm5t relat+ to !   
canc] ( ! vet]an = ! ,dep>tm5t to       
au?orize paym5t = su* em]g5cy treatm5t2 
&  7,b7 in=mation ab\t m5tal heal?      
res\rces1 includ+ ) respect to in=mation
 enc\rag+ foll[-up c>e = depression4    
7#f7 ,docum5t+ c]ta9 in=mation 9 !      
electronic heal? records ( p>ticipat+   
vet]ans1 includ+-- 7,a7 ! docum5tation (
 ! contact describ$ 9 p>agraph 7#c72    
7,b7 ! contact in=mation ( ! community  
gynecologic canc] c>e provid]s ( su*    
p>ticipat+ vet]ans2 &  7,c7 ! canc]     
diagnosis ( su* p>ticipat+ vet]ans4     
7#g7 ,c>ry+ out su* o!r duties z may be 

det]m9$ appropriate by ! ,secret>y4  7e7
 ,report  7#a7 ,9 g5]al ,n lat] ?an two 
ye>s aft] ! date on :i* ! ,secret>y     
comm5ces ! ,program1 ! ,secret>y %all   
submit to ! ,committees on ,vet]ans'    
,affairs ( ! ,s5ate & ! ,h\se (         
,repres5tatives a report conta9+ !      
foll[+3 7,a7 ,a comp>ison ( ! outcomes (
 vet]ans :o h p>ticipat$ 9 ! ,program to
 ! outcomes ( non-p>ticipat+ vet]ans    
describ$ 9 p>agraph 7#b71 includ+ )     
respect to ! foll[+3 7i7 ,heal?         
outcomes1 includ+ 7= ! mo/ rec5t two    
ye>s ( available data7-- 7,i7 ! p]c5tage
 ( su* vet]ans :o h exp]i5c$ a          
canc]-relat$ dea?2  7,,ii7 ! p]c5tage ( 
su* vet]ans :o h ent]$ remission =      
gynecologic canc]2 &  7,,iii7 ! p]c5tage
 ( su* vet]ans :o h be5 diagnos$ ) m5tal
 heal? disord]s det]m9$ relevant by !   
,secret>y = purposes ( ! comp>ison      
7includ+ anxiety1 depression1 &         
po/-traumatic /ress disord]74  7ii7     
,timel9ess ( c>e furni%$ "u *apt] #ag ( 
title #ch1 ,unit$ ,/ates ,code1 includ+ 

! av]age "t t elapses betwe5 ! initial  
diagnosis & ea* successive /age (       
treatm5t = gynecologic canc]4  7iii7    
,pati5t safety associat$ ) su* c>e1     
includ+ ! numb] ( errors 9 m$ical c>e t 
rise to ! level ( nev] ev5ts 7su* z a   
=eign body left 9 a vet]an dur+ surg]y74
  7iv7 ,pati5t satisfaction associat$ ) 
su* c>e1 includ+ ! results ( a pati5t   
satisfaction survey adm9i/]$ to su*     
vet]ans on ! receipt ( adequate pa9     
managem5t f heal? c>e provid]s ( !      
,dep>tm5t1 m5tal heal? res\rces f su*   
provid]s1 & ov]all quality ( su* c>e4   
7,b7 ,an evaluation ( :e!r to exp& !    
,program or make su* ,program p]man5t4  
7,c7 ,any o!r matt] ! ,secret>y det]m9es
 appropriate4  7#b7 ,non-p>ticipat+     
vet]ans describ$ ,a non-p>ticipat+      
vet]an describ$ 9 ?is p>agraph is a     
female vet]an :o-- 7,a7 has n p>ticipat$
 9 ! ,program2  7,b7 is enroll$ 9 !     
pati5t enrollm5t sy/em ( ! ,dep>tm5t (  
,vet]ans ,affairs e/abli%$ & op]at$ "u  
section #agje ( title #ch1 ,unit$ ,/ates

 ,code2 &  7,c7 has be5 diagnos$ )      
gynecologic canc]4  7f7 ,def9itions ,9  
?is section3 7#a7 ,! t]m community c>e  
provid] means a heal? c>e provid] locat$
 at a non-,dep>tm5t facility :o provides
 c>e 7o!r ?an c>e relat$ to gynecologic 
canc]7 to vet]ans "u section #agjc (    
title #ch1 ,unit$ ,/ates ,code1 or any  
o!r law adm9i/]$ by ! ,secret>y (       
,vet]ans ,affairs4  7#b7 ,! t]m         
community gynecologic canc] c>e provid] 
means a gynecologic canc] c>e provid]   
locat$ at a non-,dep>tm5t facility :o   
provides c>e relat$ to gynecologic canc]
 to vet]ans "u section #agjc ( title    
#ch1 ,unit$ ,/ates ,code1 or any o!r law
 adm9i/]$ by ! ,secret>y ( ,vet]ans     
,affairs4  7#c7 ,! t]m gynecologic canc]
 means c]vical canc]1 ov>ian canc]1     
ut]9e canc]1 vag9al canc]1 & vulv>      
canc]4  7#d7 ,! t]m non-,dep>tm5t       
facilities has ! mean+ giv5 t t]m 9     
section #agja ( title #ch1 ,unit$ ,/ates
 ,code4  7#e7 ,! t]m p>ticipat+ vet]an  
means a vet]an :o is p>ticipat+ 9 !     

,program4  7#f7 ,! t]m ,wom5's ,heal?   
,m$ical ,director means a ,wom5's ,heal?
 ,m$ical ,director describ$ 9 !         
directive ( ! ,vet]ans ,heal?           
,adm9i/ration titl$ ,heal? ,c>e ,s]vices
 = ,wom5 ,vet]ans 7directive #accj4ja71 
or any successor directive4  7#g7 ,! t]m
 ,wom5's ,vet]an ,program ,manag] means 
a ,wom5's ,vet]ans ,program ,manag]     
describ$ 9 ! directive ( ! ,vet]ans     
,heal? ,adm9i/ration titl$ ,wom5        
,vet]ans ,program ,manag] 7directive    
#accj4jb71 or any successor directive4