,,ib  ,union ,cal5d> ,no4 #gif  #aah?   
,,congress  #b;d ,session  ,h4 ,r4 #ajhi
  ,report ,no4 #aah-idg  ,,9 ,,! ,,h\se 
,,( ,,repres5tatives  ,febru>y #ag1     
#bjbc ,mrs4 ,lesko 7= h]self & ,ms4 ,lee
 ( ,nevada7 introduc$ ! foll[+ bill2 :i*
 0 ref]r$ to ! ,committee on ,vet]ans'  
,affairs  ,decemb] #bd1 #bjbd           
,additional sponsors3 ,mr4 ,ku/(f1 ,mr4 
,murphy1 ,mr4 ,fleis*mann1 ,mr4 ,ezell1 
& ,ms4 ,spanb]g]  ,decemb] #bd1 #bjbd   
,report$ ) an am5dm5t1 committ$ to !    
,committee ( ! ,:ole ,h\se on ! ,/ate ( 
! ,union1 & ord]$ to be pr9t$ ,/rike out
 all aft] ! enact+ clause & ins]t ! "p  
pr9t$ 9 italic ,= text ( introduc$ bill1
 see copy ( bill z introduc$ on ,febru>y
 #ag1 #bjbc  ,a ,,bill  ,to require     
directors ( m$ical c5t]s ( ! ,dep>tm5t (
 ,vet]ans ,affairs to submit annual fact
 %eets to ! ,secret>y ( ,vet]ans        
,affairs on ! /atus ( su* facilities1 & 
= o!r purposes4  #a4 ,%ort title ,?is   
,act may be cit$ z ! ,,va ,m$ical ,c5t] 
,facility ,transp>5cy ,act4  #b4        

,in=mation on m$ical facilities ( !     
,dep>tm5t ( ,vet]ans ,affairs  7a7 ,fact
 %eets ,! ,secret>y ( ,vet]ans ,affairs 
%all ensure t ea* director ( a m$ical   
c5t] ( ! ,dep>tm5t ( ,vet]ans ,affairs  
submits to ! ,secret>y1 ! ,committees on
 ,vet]ans' ,affairs ( ! ,h\se (         
,repres5tatives & ! ,s5ate1 & !         
appropriate ,memb]s ( ,congress !       
foll[+3  7#a7 ,an annual concise1       
easy-to-read fact %eet conta9+1 )       
respect to ! ye> cov]$ by ! fact %eet   
ea* ( ! foll[+3 7,a7 ,/ati/ics reg>d+-- 
7i7 ! numb] ( vet]ans :o 7 treat$ at a  
m$ical facility ( ! ,dep>tm5t "u !      
jurisdiction ( ! director2  7ii7 ! numb]
 ( appo9tm5ts conduct$ by ea* su*       
facility2  7iii7 ! mo/ common illnesses 
or conditions = :i* treatm5t 0 furni%$2 
7iv7 ! satisfaction ( vet]ans :o 7      
treat$ at ea* su* facility2  7v7 h[ ea* 
su* facility comp>es ) o!r facilities ) 
respect to ! satisfaction ( vet]ans :o 7
 treat$ at ! facilities2 &  7vi7 o!r    
matt]s ! director det]m9es appropriate4 

7,b7 ,a description ( any successes or  
a*ievem5ts exp]i5c$ by su* facilities1  
includ+-- 7i7 actions tak5 to improve   
su* facilities2  7ii7 actions tak5 to   
improve ! access to & quality ( ! c>e   
provid$ at su* facilities2 &  7iii7 any 
o!r accompli%m5ts det]m9$ appropriate by
 ! director4  7,c7 ,a description (     
special areas ( emphasis or             
specialization by su* facilities1 su* z 
ef=ts aim$ at meet+ ! ne$s ( wom5       
vet]ans1 suicide prev5tion & o!r m5tal  
heal? initiatives1 opioid abuse         
prev5tion & pa9 managem5t1 or special   
ef=ts on vet]an homelessness1 or o!r    
matt]s z ! director det]m9es            
appropriate4  7,d7 ,a description (     
matt]s conc]n+ su* facilities t h       
previ\sly be5 id5tifi$ z defici5t & ne$+
 rem$iation t are /ill 9 ne$ ( su*      
rem$iation4  7#b7 ,a qu>t]ly fact %eet  
conta9+1 ) respect to ! qu>t] cov]$ by !
 fact %eet1 ! av]age wait "t = vet]ans  
to receive treatm5t at ! m$ical facility
 ( ! ,dep>tm5t "u ! jurisdiction ( !    

director4  7b7 ,availability ,ea* fact  
%eet "u subsection 7a7 %all be made     
publicly available--  7#a7 9 a physical 
=m at ! relevant m$ical facility ( !    
,dep>tm5t 9 a conspicu\s location2 &    
7#b7 9 an electronic =m on ! int]net    
website ( ! facility4  7c7 ,tim+ ( fact 
%eets ,! fact %eets "u subsection 7a7   
%all be submitt$ dur+ ! fir/ fiscal ye> 
beg9n+ aft] ! date t is #ahj days aft] !
 date ( ! enactm5t ( ?is ,act & n less  
frequ5tly ?an-- 7#a7 once ea* fiscal ye>
 !reaft] ) respect to ! annual fact %eet
 "u p>agraph 7#a7 ( su* subsection2 &   
7#b7 once ea* fiscal qu>t] !reaft] )    
respect to ! qu>t]ly fact %eet "u       
p>agraph 7#b7 ( su* subsection4  7d7    
,/&>diz$ =mat ,! ,secret>y %all e/abli% 
a /&>d =mat = ! fact %eets "u subsection
 7a7 to ensure t ea* director ( a m$ical
 c5t] ( ! ,dep>tm5t c>ries out su*      
subsection 9 a consi/5t mann]4  7e7     
,def9itions ,9 ?is section3 7#a7 ,! t]m 
appropriate ,memb]s ( ,congress means1 )
 respect to a m$ical facility ( !       

,dep>tm5t ( ,vet]ans ,affairs ab\t :i* a
 fact %eet is submitt$ "u subsection    
7a71 ! ,s5ators repres5t+ ! ,/ate1 & !  
,memb]1 ,delegate1 or ,resid5t          
,commission] ( ! ,h\se ( ,repres5tatives
 repres5t+ ! di/rict1 t includes !      
facility4  7#b7 ,! t]m ,/ate means ea* (
 ! sev]al ,/ates1 ! ,di/rict (          
,columbia1 ! ,commonweal? ( ,pu]to      
,rico1 & any t]ritory or possession ( ! 
,unit$ ,/ates4  #c4 ,requirem5t = timely
 s*$ul+ ( appo9tm5ts at m$ical          
facilities ( ,dep>tm5t ( ,vet]ans       
,affairs  7a7 ,requirem5t ,*apt] #ag (  
title #ch1 ,unit$ ,/ates ,code1 is      
am5d$--  7#a7 by r$esignat+ section     
#agjf;,a z section #agjf;,b2 &  7#b7 by 
ins]t+ aft] section #agjf ! foll[+ new  
section3  #agjf;,a4 ,managem5t ( heal?  
c>e3 timely s*$ul+ ( appo9tm5ts at      
,dep>tm5t facilities  7a7 ,requirem5t = 
s*$ul+ ,9 manag+ ! provision ( hospital 
c>e & m$ical s]vices at m$ical          
facilities ( ! ,dep>tm5t ( ,vet]ans     
,affairs "u ?is *apt]1 ! ,secret>y %all 

ensure t :5ev] a cov]$ vet]an contacts !
 ,dep>tm5t by telephone to reque/ !     
s*$ul+ ( an appo9tm5t = c>e or s]vices =
 ! cov]$ vet]an at su* a facility1 !    
s*$ul+ = ! appo9tm5t occurs dur+ t      
telephone call 7reg>dless ( !           
prospective date ( ! appo9tm5t be+      
s*$ul$74  7b7 ,cov]$ vet]an def9$ ,9 ?is
 section1 ! t]m cov]$ vet]an means a    
vet]an :o is enroll$ 9 ! sy/em ( pati5t 
enrollm5t ( ! ,dep>tm5t "u section      
#agje7;a7 ( ?is title4  4  7b7 ,cl]ical 
am5dm5t ,! table ( sections at ! beg9n+ 
( su* *apt] is am5d$ by /rik+ ! item    
relat+ to section #agjf;,a & ins]t+ !   
foll[+ new items3  #agjf;,a4 ,managem5t 
( heal? c>e3 timely s*$ul+ ( appo9tm5ts 
at ,dep>tm5t facilities4 #agjf;,b4      
,rem$iation ( m$ical s]vice l9es4  4    
7c7 ,applicability ,! am5dm5ts made by  
subsection 7a7 %all apply ) respect to  
reque/s = appo9tm5t s*$ul+ occurr+ on or
 aft] ! date t is #ahj days aft] ! date 
( ! enactm5t ( ?is ,act4  #d4           
,limitation on detail ( directors (     

m$ical c5t]s ( ,dep>tm5t ( ,vet]ans     
,affairs to diff]5t positions  7a7      
,notification  7#a7 ,9 g5]al ,n lat] ?an
 #ij days aft] detail+ a director ( a   
m$ical c5t] ( ! ,dep>tm5t ( ,vet]ans    
,affairs to a diff]5t position )9 !     
,dep>tm5t1 ! ,secret>y ( ,vet]ans       
,affairs %all notify ! ,committee on    
,vet]ans' ,affairs ( ! ,s5ate & !       
,committee on ,vet]ans' ,affairs ( !    
,h\se ( ,repres5tatives ( su* detail4   
7#b7 ,matt]s ,to be includ$ ,!          
notification requir$ by p>agraph 7#a7   
%all include1 ) respect to a director ( 
a m$ical c5t] :o is detail$ to a diff]5t
 position )9 ! ,dep>tm5t1 ! foll[+      
in=mation3  7,a7 ,! location at :i* !   
director is detail$4  7,b7 ,! position  
title ( ! detail4  7,c7 ,! e/imat$ "t ! 
director is expect$ to be abs5t f _!    
duties at ! m$ical c5t]4  7,d7 ,su* o!r 
in=mation z ! ,secret>y may det]m9e     
appropriate4  7b7 ,appo9tm5t ( act+     
director ,n lat] ?an #abj days aft]     
detail+ a director ( a m$ical c5t] ( !  

,dep>tm5t to a diff]5t position )9 !    
,dep>tm5t1 ! ,secret>y %all appo9t an   
individual z act+ director ( su* m$ical 
c5t] ) all ( ! au?ority &               
responsibilities ( ! detail$ director4  
7c7 ,update on detail ,n lat] ?an #abj  
days aft] detail+ a director ( a m$ical 
c5t] ( ! ,dep>tm5t to a diff]5t position
 )9 ! ,dep>tm5t1 & n less frequ5tly ?an 
e #cj days !reaft] :ile ! detail is 9   
effect or :ile ! director position at ! 
m$ical c5t] is vacant1 ! ,secret>y %all 
submit to ! ,committee on ,vet]ans'     
,affairs ( ! ,s5ate & ! ,committee on   
,vet]ans' ,affairs ( ! ,h\se (          
,repres5tatives an update reg>d+ ! /atus
 ( ! detail4  7d7 ,return to position or
 reassignm5t  7#a7 ,9 g5]al ,except z   
provid$ 9 p>agraph 7#b71 n lat] ?an #ahj
 days aft] detail+ a director ( a m$ical
 c5t] ( ! ,dep>tm5t to a diff]5t        
position )9 ! ,dep>tm5t1 = a reason o!r 
?an an ongo+ inve/igation or            
adm9i/rative action ) respect to !      
director1 ! ,secret>y %all-- 7,a7 return

 ! individual to ! position z director (
 ! m$ical c5t]2 or  7,b7 reassign !     
individual f ! position z director ( !  
m$ical c5t] & beg9 ! process ( hir+ a   
new director = su* position4  7#b7      
,waiv]  7,a7 ,9 g5]al ,! ,secret>y may  
waive ! requirem5t "u p>agraph 7#a7 )   
respect to an individual = successive   
#ij-;day increm5ts = a total p]iod ( n m
 ?an #edj days f ! orig9al date !       
individual 0 detail$ away f _! position 
z director ( a m$ical c5t]4  7,b7       
,notification ,n lat] ?an #cj days aft] 
ex]cis+ a waiv] "u subp>agraph 7,a71 !  
,secret>y %all notify ,congress ( !     
waiv] & provide to ,congress in=mation z
 to :y ! waiv] is necess>y4  ,decemb]   
#bd1 #bjbd ,report$ ) an am5dm5t1       
committ$ to ! ,committee ( ! ,:ole ,h\se
 on ! ,/ate ( ! ,union1 & ord]$ to be   
pr9t$