,,ii  #aah? ,,congress  #a/ ,session    
,s4 #ajcg  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,m>* #bi1 #bjbc,mr4    
,moran 7= himself1 ,mr4 ,boozman1 ,mr4  
,cassidy1 ,mr4 ,r\nds1 ,mr4 ,tillis1    
,mrs4 ,blackburn1 ,mr4 ,cram]1 ,mr4     
,tub]ville1 ,mr4 ,ris*1 ,mr4 ,crapo1    
,mr4 ,da9es1 ,mr4 ,braun1 & ,mr4        
,sullivan7 introduc$ ! foll[+ bill2 :i* 
0 read twice & ref]r$ to ! ,committee on
 ,vet]ans' ,affairs  ,a ,,bill  ,to     
prohibit ! ,secret>y ( ,vet]ans ,affairs
 f c>ry+ out c]ta9 activities "u !      
,electronic ,heal? ,record ,mod]nization
 ,program until c]tification ( sy/em    
/ability improvem5ts4  #a4 ,%ort title  
,?is ,act may be cit$ z ! ,dep>tm5t (   
,vet]ans ,affairs ,,ehrm ,/&>dization & 
,acc\ntability ,act4  #b4 ,prohibition  
on c]ta9 activities by ,secret>y (      
,vet]ans ,affairs "u ,electronic ,heal? 
,record ,mod]nization ,program until    
c]tification ( sy/em /ability           
improvem5ts  7a7 ,c]tification (        
improvem5t  7#a7 ,prohibition ,!        

,secret>y ( ,vet]ans ,affairs may n     
comm5ce a program activity at a facility
 ( ! ,vet]ans ,heal? ,adm9i/ration :]e  
no program activity has comm5c$ z ( !   
date ( ! enactm5t ( ?is ,act until !    
date on :i* ! ,secret>y submits to !    
,committee on ,vet]ans' ,affairs ( !    
,s5ate & ! ,committee on ,vet]ans'      
,affairs ( ! ,h\se ( ,repres5tatives a  
writt5 c]tification t ! electronic heal?
 record sy/em has met ! improvem5t      
objective describ$ 9 p>agraph 7#b74     
7#b7 ,improvem5t objective ,! improvem5t
 objective describ$ 9 ?is p>agraph is-- 
7,a7 ! a*ievem5t ( a m9imum uptime &    
sy/em-wide /ability /&>d = ! electronic 
heal? record sy/em1 z def9$ by !        
,secret>y 9 consultation ) ! ,"u        
,secret>y = ,heal?1 ! ,assi/ant         
,secret>y = ,in=mation & ,te*nology1 & !
 ,*ief ,in=mation ,(fic] ( ! ,dep>tm5t (
 ,vet]ans ,affairs2 &  7,b7 ! submittal 
by ! ,secret>y to ! ,committee on       
,vet]ans' ,affairs ( ! ,s5ate & !       
,committee on ,vet]ans' ,affairs ( !    

,h\se ( ,repres5tatives ( a report      
detail+ ! completion /atus ( corrections
 to ! cu/omization & configuration (    
workfl[ designs relat$ to ! electronic  
heal? record sy/em4  7b7 ,c]tification (
 read9ess  7#a7 ,9 g5]al ,! ,secret>y   
may n implem5t ! electronic heal? record
 sy/em at a facility ( ! ,vet]ans ,heal?
 ,adm9i/ration :]e su* sy/em has n be5  
implem5t$ z ( ! date ( ! enactm5t ( ?is 
,act until ! date on :i* ! ,"u ,secret>y
 = ,heal?1 9 consultation ) ! director (
 su* facility1 submits to ! ,secret>y1 &
 ! ,secret>y transmits to ! ,committee  
on ,vet]ans' ,affairs ( ! ,s5ate & !    
,committee on ,vet]ans' ,affairs ( !    
,h\se ( ,repres5tatives1 writt5         
c]tification t ! /aff & infra/ructure ( 
su* facility are adequately prep>$ to   
receive su* sy/em4  7#b7 ,sunset ,?is   
subsection %all t]m9ate on ! date on :i*
 ! ,secret>y has made ! c]tification "u 
p>agraph 7#a7 at n less ?an "o facility 
( ! ,vet]ans ,heal? ,adm9i/ration = ea* 
( ! complexity levels ( #a1 #b1 & #c4   

7c7 ,exclusion ,?is section does n apply
 to any facility t is jo9tly op]at$ by !
 ,dep>tm5t ( ,vet]ans ,affairs & !      
,dep>tm5t ( ,def5se4  7d7 ,report  7#a7 
,initial report ,n lat] ?an #cj 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 t      
conta9s ! foll[+3 7,a7 ,a compreh5sive  
review ( ! sy/ems & networks ( !        
,dep>tm5t ( ,def5se )9 ! ,f$]al         
electronic heal? record environm5t1     
includ+ ! ,def5se ,enrollm5t            
,eligibility ,report+ ,sy/em1 & !       
pot5tial impacts ( su* sy/ems & networks
 on ! electronic heal? record sy/em4    
7,b7 ,) respect to c]tifications ( !    
read9ess ( a facility to receive !      
electronic heal? record sy/em "u        
subsection 7b7-- 7i7 ! s+le1 /&>d       
pre-deploym5t site read9ess task li/    
?r\gh :i* ! ,secret>y w det]m9e su*     
read9ess2  7ii7 a det]m9ation by !      

,secret>y (-- 7,i7 h[ ! ,secret>y w     
align /aff ( ! facility to ! electronic 
heal? record sy/em functionality2 &     
7,,ii7 ! m9imum p]c5tage requirem5t (   
/aff at ! facility :o w complete tra9+  
on su* functionality or :o w h _! prim>y
 role to be work+ ) su* sy/em to a*ieve 
su* read9ess4  7,c7 ,! national /&>d =  
workfl[s1 sy/em int]faces1 m$ical       
devices1 cl9ical cont5t1 ord] sets1 &   
us] roles z del9eat$ by ! cl9ical       
complexity index ( ! ,dep>tm5t (        
,vet]ans ,affairs =-- 7i7 facilities at 
complexity levels ( #b or #c2 &  7ii7   
facilities at complexity levels ( #a4   
7#b7 ,qu>t]ly report ,n less frequ5tly  
?an qu>t]ly foll[+ ! initial report     
requir$ "u p>agraph 7#a71 ! ,secret>y   
%all submit to ! ,committee on ,vet]ans'
 ,affairs ( ! ,s5ate & ! ,committee on  
,vet]ans' ,affairs ( ! ,h\se (          
,repres5tatives a detail$ report on--   
7,a7 any site level deviations f !      
national /&>d specifi$ "u p>agraph      
7#a77;,c7 & co/s associat$ ) su*        

deviations2 &  7,b7 any *anges to /&>d  
read9ess task li/ specifi$ "u p>agraph  
7#a77;,b77i74  7e7 ,def9itions ,9 ?is   
section3 7#a7 ,electronic heal? record  
sy/em ,! t]m electronic heal? record    
sy/em means ! electronic heal? record   
sy/em implem5t$ pursuant to !           
,electronic ,heal? ,record ,mod]nization
 ,program4  7#b7 ,program activity ,!   
t]m program activity means an activity  
"u ! ,electronic ,heal? ,record         
,mod]nization ,program at a facility ( !
 ,vet]ans ,heal? ,adm9i/ration1 includ+ 
any site assessm5t 7includ+ ,/ate       
reviews71 local or national work%op1    
tra9+1 te/+1 or any o!r activity        
conduct$ be=e ! activation ( !          
electronic heal? record sy/em4