#aag? ,,congress  #b;d ,session  ,s4    
#becc  ,,an ,,act  ,to improve          
mammography s]vices furni%$ by !        
,dep>tm5t ( ,vet]ans ,affairs1 & = o!r  
purposes4  #a4 ,%ort title2 table (     
cont5ts  7a7 ,%ort title ,?is ,act may  
be cit$ z ! ,mak+ ,advances 9           
,mammography & ,m$ical ,options =       
,vet]ans ,act4  7b7 ,table ( cont5ts ,! 
table ( cont5ts = ?is ,act is z foll[s3 
,sec4 #a4 ,%ort title2 table (          
cont5ts4,,title ,i--,scre5+ & e>ly      
detection,sec4 #aja4 ,/rategic plan =   
brea/ imag+ s]vices = vet]ans4,sec4     
#ajb4 ,telescre5+ mammography pilot     
program ( ,dep>tm5t ( ,vet]ans          
,affairs4,sec4 #ajc4 ,upgrade ( brea/   
imag+ at facilities ( ,dep>tm5t (       
,vet]ans ,affairs to ?ree-dim5sional    
digital mammography4,sec4 #ajd4 ,/udy on
 availability ( te/+ = brea/ canc] g5e  
among vet]ans & expansion ( availability
 ( su* te/+4,sec4 #aje4 ,mammography    
accessibility = p>alyz$ & disabl$       
vet]ans4,sec4 #ajf4 ,report on access to

 & quality ( mammography scre5+s furni%$
 by ,dep>tm5t ( ,vet]ans                
,affairs4,,title ,,ii--,p>tn]%ips =     
rese>* & access to care,sec4 #bja4      
,p>tn]%ips ) ,national ,canc] ,in/itute 
to exp& access ( vet]ans to canc]       
c>e4,sec4 #bjb4 ,report by ,dep>tm5t (  
,vet]ans ,affairs & ,dep>tm5t ( ,def5se 
on int]ag5cy collaboration on treat+ &  
rese>*+ brea/ canc]4  ,i ,scre5+ & e>ly 
detection  #aja4 ,/rategic plan = brea/ 
imag+ s]vices = vet]ans  7a7 ,9 g5]al ,n
 lat] ?an "o ye> aft] ! date ( !        
enactm5t ( ?is ,act1 ! ,secret>y (      
,vet]ans ,affairs %all submit to !      
,committee on ,vet]ans' ,affairs ( !    
,s5ate & ! ,committee on ,vet]ans'      
,affairs ( ! ,h\se ( ,repres5tatives a  
/rategic plan = improv+ brea/ imag+     
s]vices = vet]ans4  7b7 ,elem5ts ,!     
/rategic plan requir$ by subsection 7a7 
%all-- 7#a7 cov] ! evolv+ ne$s ( wom5   
vet]ans2  7#b7 address geographic       
disp>ities ( brea/ imag+ furni%$ at a   
facility ( ! ,dep>tm5t ( ,vet]ans       

,affairs & ! use ( brea/ imag+ ?r\gh    
non-,dep>tm5t provid]s 9 ! community2   
7#c7 address ! use ( digital brea/      
tomosyn!sis 7,,dbt-#c;,d brea/ imag+72  
7#d7 address ! ne$s ( male vet]ans :o   
require brea/ canc] scre5+ s]vices2 &   
7#e7 provide recomm5dations on-- 7,a7   
pot5tial expansion ( brea/ imag+ s]vices
 furni%$ at facilities ( ! ,dep>tm5t1   
includ+ infra/ructure & /aff+ ne$s2     
7,b7 ! use ( digital brea/ tomosyn!sis2 
7,c7 ! use ( mobile mammography2 &  7,d7
 o!r access & equity improvem5ts = brea/
 imag+4  #ajb4 ,telescre5+ mammography  
pilot program ( ,dep>tm5t ( ,vet]ans    
,affairs  7a7 ,9 g5]al ,comm5c+ n lat]  
?an #ah mon?s aft] ! date ( ! enactm5t (
 ?is ,act1 ! ,secret>y ( ,vet]ans       
,affairs %all c>ry out a pilot program  
to provide telescre5+ mammography       
s]vices = vet]ans :o live 9-- 7#a7      
,/ates :]e ! ,dep>tm5t ( ,vet]ans       
,affairs does n (f] brea/ imag+ s]vices 
at a facility ( ! ,dep>tm5t2 or  7#b7   
locations :]e access to brea/ imag+     

s]vices at a facility ( ! ,dep>tm5t is  
difficult or n feasible1 z det]m9$ by ! 
,secret>y4  7b7 ,duration ,! ,secret>y  
%all c>ry out ! pilot program "u        
subsection 7a7 = a ?ree-ye> p]iod beg9n+
 on ! comm5cem5t ( ! pilot program4  7c7
 ,locations ,9 c>ry+ out ! pilot program
 "u subsection 7a71 ! ,secret>y may use 
community-bas$ outpati5t cl9ics1 mobile 
mammography1 ,f$]ally qualifi$ heal?    
c5t]s 7z def9$ 9 section #ahfa7;aa77#d7 
( ! ,social ,security ,act 7#db         
,u4,s4,c4 #aciex7aa77#d7771 rural heal? 
cl9ics1 critical access hospitals1      
cl9ics ( ! ,indian ,heal? ,s]vice1 & su*
 o!r sites z ! ,secret>y det]m9es       
feasible to provide mammograms "u !     
pilot program4  7d7 ,%>+ ( images &     
results ,"u ! pilot program "u          
subsection 7a7-- 7#a7 mammography images
 g5]at$ %all be s5t to a telescre5+     
mammography c5t] ( ! ,dep>tm5t =        
int]pretation by qualifi$ radiologi/s2 &
  7#b7 results %all be %>$ ) ! vet]an & 
_! prim>y c>e provid] 9 accordance )    

policies e/abli%$ by ! ,secret>y4  7e7  
,report  7#a7 ,9 g5]al ,n lat] ?an "o   
ye> aft] ! conclusion ( ! pilot program 
"u subsection 7a71 ! ,secret>y %all     
submit to ! ,committee on ,vet]ans'     
,affairs ( ! ,s5ate & ! ,committee on   
,vet]ans' ,affairs ( ! ,h\se (          
,repres5tatives a report evaluat+ !     
pilot program4  7#b7 ,elem5ts ,! report 
requir$ by p>agraph 7#a7 %all include ! 
foll[+3 7,a7 ,an assessm5t ( ! quality (
 ! mammography provid$ "u ! pilot       
program "u subsection 7a74  7,b7        
,fe$back f vet]ans & provid]s p>ticipat+
 9 ! pilot program4  7,c7 ,a            
recomm5dation ( ! ,secret>y on !        
cont9uation or discont9uation ( ! pilot 
program4  #ajc4 ,upgrade ( brea/ imag+  
at facilities ( ,dep>tm5t ( ,vet]ans    
,affairs to ?ree-dim5sional digital     
mammography ,n lat] ?an two ye>s aft] ! 
date ( ! enactm5t ( ?is ,act1 !         
,secret>y ( ,vet]ans ,affairs %all--    
7#a7 upgrade all mammography s]vices at 
facilities ( ! ,dep>tm5t ( ,vet]ans     

,affairs t provide su* s]vices to use   
digital brea/ tomosyn!sis te*nology1    
also kn[n z ?ree-dim5sional brea/ imag+2
 &  7#b7 submit to ! ,committee on      
,vet]ans' ,affairs ( ! ,s5ate & !       
,committee on ,vet]ans' ,affairs ( !    
,h\se ( ,repres5tatives a report-- 7,a7 
indicat+ t ! upgrade "u p>agraph 7#a7   
has be5 complet$2 &  7,b7 li/+ !        
facilities or o!r locations ( !         
,dep>tm5t at :i* digital brea/          
tomosyn!sis te*nology is us$4  #ajd4    
,/udy on availability ( te/+ = brea/    
canc] g5e among vet]ans & expansion (   
availability ( su* te/+  7a7 ,/udy  7#a7
 ,9 g5]al ,! ,secret>y ( ,vet]ans       
,affairs %all conduct a /udy on !       
availability ( access to te/+ = ! brea/ 
canc] g5e = vet]ans diagnos$ ) brea/    
canc]1 z recomm5d$ by ! guidel9es set =?
 by ! ,national ,compreh5sive ,canc]    
,network4  7#b7 ,elem5ts ,9 conduct+ !  
/udy "u p>agraph 7#a71 ! ,secret>y %all 
exam9e-- 7,a7 ! feasibility ( exp&+ !   
,jo9t ,m$ic9e ,s]vice ( ! ,dep>tm5t (   

,vet]ans ,affairs to provide g5etic te/+
 & c\nsel+ = vet]ans ) brea/ canc]      
across ! c\ntry2 &  7,b7 access to su*  
te/+ & c\nsel+ = vet]ans liv+ 9 rural or
 highly rural areas1 & any gaps t may   
exi/ ) respect to su* access4  7b7      
,expansion ( availability ( te/+  7#a7  
,9 g5]al ,! ,secret>y %all update       
guidel9es or in/itute new guidel9es to  
increase ! use ( molecul> te/+ & g5etic 
c\nsel+ = vet]ans diagnos$ ) brea/      
canc]1 includ+ vet]ans liv+ 9 rural or  
highly rural areas4  7#b7 ,decision     
support tools ,9 updat+ or in/itut+     
guidel9es "u p>agraph 7#a71 ! ,secret>y 
may develop cl9ical decision support    
tools1 su* z cl9ical pa?ways1 to        
facilitate deliv]y ( brea/ canc] c>e t  
is 9 l9e ) national canc] guidel9es4    
7c7 ,report ,n lat] ?an two ye>s aft] ! 
date ( ! enactm5t ( ?is ,act1 !         
,secret>y %all submit to ! ,committee on
 ,vet]ans' ,affairs ( ! ,s5ate & !      
,committee on ,vet]ans' ,affairs ( !    
,h\se ( ,repres5tatives a report on--   

7#a7 ! results ( ! /udy "u subsection   
7a72  7#b7 any updates to guidel9es or  
new guidel9es in/itut$ "u subsection    
7b72  7#c7 brea/ canc] cl9ical pa?ways  
implem5t$ by ! ,dep>tm5t ( ,vet]ans     
,affairs & ! utilization ( ^? pa?ways   
across ! ,dep>tm5t2 &  7#d7 any progress
 ( ! ,dep>tm5t 9 improv+ access to &    
usage ( molecul> & g5etic te/+ among    
vet]ans diagnos$ ) brea/ canc]1 includ+ 
= vet]ans liv+ 9 rural or highly rural  
areas4  7d7 ,def9itions ,9 ?is section1 
! t]ms rural & highly rural h ! mean+s  
giv5 ^? t]ms 9 ! ,rural-,urban ,commut+ 
,areas cod+ sy/em ( ! ,dep>tm5t (       
,agriculture4  #aje4 ,mammography       
accessibility = p>alyz$ & disabl$       
vet]ans  7a7 ,/udy  7#a7 ,9 g5]al ,!    
,secret>y ( ,vet]ans ,affairs %all      
conduct a /udy on ! accessibility (     
brea/ imag+ s]vices at facilities ( !   
,dep>tm5t ( ,vet]ans ,affairs = vet]ans 
) p>alysis1 sp9al cord injury or disord]
 7,,sci_/,d71 or ano!r disability4  7#b7
 ,accessibility ,! /udy requir$ by      

p>agraph 7#a7 %all include an assessm5t 
( ! accessibility ( ! physical          
infra/ructure at brea/ imag+ facilities 
( ! ,dep>tm5t1 includ+ ! imag+ equipm5t1
 transf] assi/ance1 & ! room 9 :i*      
s]vices w be provid$ z well z adh]5ce to
 be/ practices = scre5+ & treat+ vet]ans
 ) a sp9al cord injury or disord]4  7#c7
 ,scre5+ rates  7,a7 ,measurem5t ,! /udy
 requir$ by p>agraph 7#a7 %all include a
 measurem5t ( brea/ canc] scre5+ rates =
 vet]ans ) a sp9al cord injury or       
disord] dur+ ! two-ye> p]iod prec$+ !   
comm5cem5t ( ! /udy1 includ+ a break\t (
 ! scre5+ rates = su* vet]ans liv+ 9    
rural or highly rural areas4  7,b7      
,developm5t ( me?od ,if ! ,secret>y is  
unable to provide ! measurem5t requir$  
"u subp>agraph 7,a71 ! ,secret>y %all   
develop a me?od to track brea/ canc]    
scre5+ rates = vet]ans ) a sp9al cord   
injury or disord]4  7#d7 ,report ,n lat]
 ?an two ye>s aft] ! date ( ! enactm5t (
 ?is ,act1 ! ,secret>y %all submit to ! 
,committee on ,vet]ans' ,affairs ( !    

,s5ate & ! ,committee on ,vet]ans'      
,affairs ( ! ,h\se ( ,repres5tatives a  
report on ! f9d+s ( ! /udy requir$ by   
p>agraph 7#a71 includ+-- 7,a7 ! rates ( 
scre5+ among vet]ans ) a sp9al cord     
injury or disord]1 includ+ vet]ans liv+ 
9 rural or highly rural areas1 z requir$
 "u p>agraph 7#c77;,a72 or  7,b7 if su* 
rates are n available1 a description ( !
 me?od develop$ to measure su* rates z  
requir$ "u p>agraph 7#c77;,b74  7b7 ,c>e
 f non-,dep>tm5t provid]s ,! ,secret>y  
%all update ! policies & directives ( ! 
,dep>tm5t to ensure t1 9 ref]r+ a vet]an
 ) a sp9al cord injury or disord] = c>e 
f a non-,dep>tm5t provid]1 ! ,secret>y  
%all-- 7#a7 confirm ) ! provid] !       
accessibility ( ! brea/ imag+ site1     
includ+ ! imag+ equipm5t1 transf]       
assi/ance1 & ! room 9 :i* s]vices w be  
provid$2 &  7#b7 provide additional     
in=mation to ! provid] on be/ practices 
= scre5+ & treat+ vet]ans ) a sp9al cord
 injury or disord]4  7c7 ,def9itions ,9 
?is section1 ! t]ms rural & highly rural

 h ! mean+s giv5 ^? t]ms 9 !            
,rural-,urban ,commut+ ,areas cod+ sy/em
 ( ! ,dep>tm5t ( ,agriculture4  #ajf4   
,report on access to & quality (        
mammography scre5+s furni%$ by ,dep>tm5t
 ( ,vet]ans ,affairs  7a7 ,9 g5]al ,n   
lat] ?an two ye>s aft] ! date ( !       
enactm5t ( ?is ,act1 ! ,inspector ,g5]al
 ( ! ,dep>tm5t ( ,vet]ans ,affairs %all 
submit to ! ,secret>y ( ,vet]ans        
,affairs1 ! ,committee on ,vet]ans'     
,affairs ( ! ,s5ate1 & ! ,committee on  
,vet]ans' ,affairs ( ! ,h\se (          
,repres5tatives a report on mammography 
s]vices furni%$ by ! ,dep>tm5t (        
,vet]ans ,affairs4  7b7 ,elem5ts ,!     
report requir$ by subsection 7a7 %all   
include an assessm5t (-- 7#a7 ! access (
 vet]ans to mammography scre5+s1 :e!r at
 a facility ( ! ,dep>tm5t or ?r\gh a    
non-,dep>tm5t provid]1 includ+ any /aff+
 conc]ns ( ! ,dep>tm5t 9 provid+ su*    
scre5+s2  7#b7 ! quality ( su* scre5+s &
 read+ ( ! images f su* scre5+s1 includ+
 :e!r su* scre5+s use ?ree-dim5sional   

mammography2  7#c7 ! communication ( !  
results ( su* scre5+s1 includ+ :e!r     
results are %>$ 9 a timely mann]1 :e!r  
results are %>$ via ! ,jo9t ,heal?      
,in=mation ,ex*ange or ano!r electronic 
me*anism1 & :e!r results are incorporat$
 into ! electronic heal? record ( !     
vet]an2  7#d7 ! p]=mance ( ! ,wom5's    
,brea/ ,oncology ,sy/em ( ,excell5ce ( !
 ,dep>tm5t2 &  7#e7 ! access ( vet]ans  
diagnos$ ) brea/ canc] to a compreh5sive
 brea/ canc] c>e team ( ! ,dep>tm5t4    
7c7 ,foll[-,up ,n lat] ?an #ahj days    
aft] ! submittal ( ! report "u          
subsection 7a71 ! ,secret>y %all submit 
to ! ,committee on ,vet]ans' ,affairs ( 
! ,s5ate & ! ,committee on ,vet]ans'    
,affairs ( ! ,h\se ( ,repres5tatives a  
plan to address ! defici5cies id5tifi$ 9
 ! report "u subsection 7a71 if any4    
,,ii ,p>tn]%ips = rese>* & access to c>e
  #bja4 ,p>tn]%ips ) ,national ,canc]   
,in/itute to exp& access ( vet]ans to   
canc] c>e  7a7 ,access to c>e 9 ea*     
,,visn  7#a7 ,9 g5]al ,! ,secret>y (    

,vet]ans ,affairs %all ent] into a      
p>tn]%ip ) n few] ?an "o canc] c5t] ( ! 
,national ,canc] ,in/itute ( ! ,national
 ,in/itutes ( ,heal? 9 ea* ,vet]ans     
,integrat$ ,s]vice ,network ( !         
,dep>tm5t ( ,vet]ans ,affairs to exp&   
access to high-quality canc] c>e = wom5 
vet]ans4  7#b7 ,treatm5t ( rural vet]ans
 ,! ,secret>y1 9 c>ry+ out p>tn]%ips    
ent]$ into "u p>agraph 7#a71 %all ensure
 t vet]ans ) brea/ canc] :o reside 9    
rural areas or ,/ates )\t a canc] c5t] t
 has ent]$ into su* a p>tn]%ip ) !      
,secret>y are able to receive c>e ?r\gh 
su* a p>tn]%ip via teleheal?4  7b7      
,report on p>tn]%ip ,to increase access 
to cl9ical trials ,n lat] ?an #ahj days 
aft] ! date ( ! enactm5t ( ?is ,act1 !  
,secret>y %all submit to ! ,committee on
 ,vet]ans' ,affairs ( ! ,s5ate & !      
,committee on ,vet]ans' ,affairs ( !    
,h\se ( ,repres5tatives a report on--   
7#a7 h[ ! ,secret>y w ensure t !        
advancem5ts made ?r\gh ! exi/+ p>tn]%ip 
betwe5 ! ,dep>tm5t ( ,vet]ans ,affairs &

 ! ,national ,canc] ,in/itute to provide
 vet]ans ) access to cl9ical canc]      
rese>* trials 7commonly ref]r$ to z     
,,navigate7 are p]man5tly implem5t$2 &  
7#b7 ! det]m9ation ( ! ,secret>y ( :e!r 
expansion ( su* p>tn]%ip to m ?an !     
orig9al #ab facilities ( ! ,dep>tm5t t 7
 select$ "u su* p>tn]%ip is feasible4   
7c7 ,p]iodic reports ,n lat] ?an ?ree   
ye>s aft] ! date ( ! enactm5t ( ?is     
,act1 & e ?ree ye>s !reaft]1 ! ,secret>y
 %all submit to ! ,committee on         
,vet]ans' ,affairs ( ! ,s5ate & !       
,committee on ,vet]ans' ,affairs ( !    
,h\se ( ,repres5tatives a report-- 7#a7 
assess+ h[ ! p>tn]%ips ent]$ into "u    
subsection 7a77#a7 h impact$ access by  
vet]ans to canc] c5t]s ( ! ,national    
,canc] ,in/itute1 includ+ an assessm5t (
 ! teleheal? options made available &   
us$ pursuant to su* p>tn]%ips2 &  7#b7  
describ+ ! advancem5ts made ) respect to
 access by vet]ans to cl9ical canc]     
rese>* trials ?r\gh ! p>tn]%ip describ$ 
9 subsection 7b77#a71 includ+ h[ _m ( ^?

 vet]ans 7 wom5 vet]ans1 m9ority vet]ans
 7includ+ racial & e?nic m9orities71 &  
rural vet]ans1 & id5tify+ opportunities 
= fur!r innovation4  #bjb4 ,report by   
,dep>tm5t ( ,vet]ans ,affairs &         
,dep>tm5t ( ,def5se on int]ag5cy        
collaboration on treat+ & rese>*+ brea/ 
canc]  7a7 ,9 g5]al ,n lat] ?an #ahj    
days aft] ! date ( ! enactm5t ( ?is     
,act1 ! ,secret>y ( ,vet]ans ,affairs1 9
 collaboration ) ! ,secret>y ( ,def5se1 
%all submit to ,congress a report on all
 curr5t rese>* & heal? c>e              
collaborations betwe5 ! ,dep>tm5t (     
,vet]ans ,affairs & ! ,dep>tm5t (       
,def5se on treat+ vet]ans & memb]s ( !  
,arm$ ,=ces ) brea/ canc]4  7b7 ,elem5ts
 ,! report requir$ by subsection 7a7--  
7#a7 %all include a description (       
pot5tial opportunities = future         
int]ag5cy collaboration betwe5 !        
,dep>tm5t ( ,vet]ans ,affairs & !       
,dep>tm5t ( ,def5se ) respect to treat+ 
& rese>*+ brea/ canc]2 &  7#b7 may      
include a focus on-- 7,a7 ) respect to  

wom5 memb]s ( ! ,arm$ ,=ces ) a         
diagnosis ( or :o are und]go+ scre5+ =  
brea/ canc]1 transition ( su* memb]s f  
receiv+ c>e f ! ,dep>tm5t ( ,def5se to  
receiv+ c>e f ! ,dep>tm5t ( ,vet]ans    
,affairs2  7,b7 collaborative brea/     
canc] rese>* opportunities betwe5 !     
,dep>tm5t ( ,vet]ans ,affairs & !       
,dep>tm5t ( ,def5se2  7,c7 access to    
cl9ical trials2 &  7,d7 su* o!r matt]s z
 ! ,secret>y ( ,vet]ans ,affairs & !    
,secret>y ( ,def5se consid] appropriate4
  ,pass$ ! ,s5ate ,m>* #bc1             
#bjbb4,secret>y