,,ii  #aag? ,,congress  #a/ ,session    
,s4 #ccda  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,decemb] #h1 #bjba,mr4 
,moran 7= himself1 ,mr4 ,te/]1 ,mr4     
,boozman1 ,mr4 ,cassidy1 ,mr4 ,r\nds1   
,mr4 ,tillis1 ,mr4 ,sullivan1 ,mrs4     
,blackburn1 ,mr4 ,cram]1 ,mr4 ,braun1   
,ms4 ,s9ema1 ,ms4 ,hassan1 ,mr4 ,br[n1  
,mr4 ,blum5?al1 ,mrs4 ,murray1 ,ms4     
,hirono1 & ,mr4 ,man*97 introduc$ !     
foll[+ bill2 :i* 0 read twice & ref]r$  
to ! ,committee on ,vet]ans' ,affairs   
,a ,,bill  ,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 ( program  7,a7 ,9     
g5]al ,n lat] ?an #ij days aft] ! date (
 ! enactm5t ( ! ,,va ,electronic ,heal? 
,record ,transp>5cy ,act ( #bjba1 & n   
lat] ?an ! date t is #cj days aft] ! la/
 day ( ea* fiscal qu>t] !reaft] until ! 
t]m9ation date specifi$ 9 p>agraph 7#c71
 ! ,secret>y %all submit to !           
appropriate congressional committees a  
report on ! co/s ( ! ,electronic ,heal? 
,record ,mod]nization ,program4  7,b7   
,elem5ts ,ea* report "u subp>agraph 7,a7
 %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 ! ,electronic    
,heal? ,record ,mod]nization ,program1  
includ+ any su* exp5ses paid us+-- 7i7  
any funds appropriat$ = ! ,dep>tm5t (   
,vet]ans ,affairs1 = any s\rce or       
acc\nt1 exp5d$ by any organizational    
elem5t ( ! ,dep>tm5t or by ! ,f$]al     
,electronic ,heal? ,record ,mod]nization
 ,(fice = ! ,electronic ,heal? ,record  
,mod]nization ,program2  7ii7 any funds1
 f any s\rce or acc\nt1 exp5d$ 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 &  7iii7 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  7,a7 ,9 g5]al ,n lat] ?an #ij 
days aft] ! date ( ! enactm5t ( ! ,,va  
,electronic ,heal? ,record ,transp>5cy  
,act ( #bjba1 & n lat] ?an ! date t is  
#cj days aft] ! la/ day ( ea* fiscal    
qu>t] !reaft] until ! t]m9ation date    
specifi$ 9 p>agraph 7#c71 ! ,secret>y   
%all submit to ! appropriate            
congressional committees a report on !  
p]=mance metrics & outcomes ( !         
,electronic ,heal? ,record ,mod]nization
 ,program4  7,b7 ,elem5ts ,ea* report "u
 subp>agraph 7,a7 %all include1 = !     
p]iod cov]$ by ! report-- 7i7 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 &     
op]ations ( ! ,dep>tm5t2  7ii7 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
 subp>agraph 7,a72  7iii7 ! 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 subp>agraph  
7,a72 &  7iv7 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 ,!     
requirem5ts to submit reports "u        
p>agraphs 7#a7 & 7#b7 %all t]m9ate on ! 
date t is #ij days aft] ! date on :i* ! 
,secret>y submits to ! appropriate      
congressional committees a 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 facility ( ! ,dep>tm5t      
includes a jo9t facility ( ! ,dep>tm5t (
 ,vet]ans ,affairs & ! ,dep>tm5t (      
,def5se4  7#e7 ,! t]m ,f$]al ,electronic
 ,heal? ,record ,mod]nization ,(fice    
means ! (fice e/abli%$ "u section       
#afce7;b7 ( ! ,w\nd$ ,w>rior ,act 7title
 ,,xvi ( ,public ,law #aaj-aha2 #aj     
,u4,s4,c4 #ajga note74  4