#aai? ,,congress  #a/ ,session  ,h4 ,r4 
#ahfj  ,,an ,,act  ,to designate        
,regional ,brea/ & ,gynecologic ,canc]  
,c>e ,coord9ators to exp& ! "w ( !      
,brea/ & ,gynecologic ,oncology ,sy/em (
 ,excell5ce at ! ,dep>tm5t ( ,vet]ans   
,affairs1 & = o!r purposes4  #a4 ,%ort  
title ,?is ,act may be cit$ z ! ,wom5   
,vet]ans ,canc] ,c>e ,coord9ation ,act4 
#b4 ,dep>tm5t ( ,vet]ans ,affairs       
,regional ,brea/ ,canc] & ,gynecologic  
,canc] ,c>e ,coord9ators  7a7           
,e/abli%m5t ,n lat] ?an "o ye> aft] !   
date ( ! enactm5t ( ?is ,act1 !         
,secret>y ( ,vet]ans ,affairs %all hire 
or designate a ,regional ,brea/ ,canc] &
 ,gynecologic ,canc] ,c>e ,coord9ator at
 ea* ,vet]an ,integrat$ ,s]vices        
,network 7h]e9aft] 9 ?is section ref]r$ 
to z ,,visn74 ,ea* ,c>e ,coord9ator hir$
 or designat$ "u ?is subsection %all    
report directly to ! ,director ( !      
,brea/ & ,gynecologic ,oncology ,sy/em (
 ,excell5ce 7h]e9aft] 9 ?is section     
ref]r$ to z ! ,b,g,o,so,e74  7b7        

,eligible vet]ans ,a vet]an is eligible 
to receive c>e coord9ation provid$ by a 
,c>e ,coord9ator hir$ or designat$ "u   
subsection 7a7 if ! vet]an-- 7#a7 is    
diagnos$ ) a brea/ or gynecologic canc]1
 or has be5 id5tifi$ z hav+ a precanc]\s
 brea/ or gynecologic condition2 &  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 e/abli%
 regions = purposes ( c>e coord9ation   
provid$ by ,regional ,brea/ ,canc] &    
,gynecologic ,canc] ,c>e ,coord9ators   
hir$ or designat$ "u subsection 7a74 ,9 
e/abli%+ su* regions1 ! ,secret>y %all--
  7#a7 assign all ,dep>tm5t facilities  
to an appropriate region "u ! sup]vision
 ( ! ,b,g,o,so,e ,director & a designat$
 ,regional ,brea/ & ,gynecologic ,canc] 
,c>e ,coord9ator2 &  7#b7 take into     
acc\nt exi/+ ,v,i,s,ns & ! specific ne$s
 ( vet]ans 9 ea* region1 includ+ vet]ans
 liv+ 9 rural communities4  7d7 ,duties 

( regional brea/ & gynecological canc]  
c>e coord9ators ,! ,regional ,brea/     
,canc] & ,gynecologic ,canc] ,c>e       
,coord9ator hir$ or designat$ "u        
subsection 7a7 %all be responsible =    
c>ry+ out ! foll[+ duties3 7#a7 ,ensur+ 
! coord9ation ( c>e betwe5 cl9icians ( !
 ,dep>tm5t & brea/ & gynecologic canc]  
community c>e provid]s4  7#b7 ,work+ ) !
 ,(fice ( ,community ,c>e ( ! relevant  
m$ical facility ( ! ,dep>tm5t reg>d+ c>e
 furni%$ "u su* section4  7#c7 ,mak+    
regul> contact ) ea* vet]an bas$ on !   
vet]an's specific m$ical ne$s :5 !      
vet]an receives c>e f a community c>e   
provid]4  7#d7 ,monitor+-- 7,a7 !       
s]vices furni%$ to vet]ans by !         
,dep>tm5t & community c>e provid]s2     
7,b7 ! heal? outcomes ( vet]ans )       
respect to a canc] diagnosis1 includ+   
remission1 meta/asis1 & dea?2 &  7,c7 ! 
data relat+ to brea/ & gynecologic canc]
 c>e 7us+ relevant databases ( !        
,vet]ans ,heal? ,adm9i/ration or o!r    
,dep>tm5t databases71 includ+--  7i7 !  

demographics ( vet]ans :o h brea/ or    
gynecologic canc]2 &  7ii7 ! numb] (    
vet]ans be+ treat$ = brea/ or           
gynecologic canc]4  7#e7 ,provid+       
p>ticul> in=mation to vet]ans ) brea/ or
 gynecologic canc]1 includ+-- 7,a7 h[ to
 seek em]g5cy c>e at ! em]g5cy dep>tm5t 
close/ to ! resid5ce ( ! vet]an1 includ+
 t x is g5]ally advisable = vet]ans to  
notify ! ,dep>tm5t ( em]g5cy c>e receiv$
 at a non-,dep>tm5t facility )9 #gb h\rs
 ( receiv+ c>e to facilitate !          
au?orization ( paym5ts = 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 on vet]ans receiv+ c>e = brea/
 or gynecologic c>e 9 ! electronic heal?
 records ( ! ,dep>tm5t1 includ+--  7,a7 
! docum5tation ( ! contact describ$ 9   
p>agraph 7#c72  7,b7 ! contact in=mation
 ( ! brea/ or gynecologic canc] c>e     
community c>e provid]s ( su* vet]ans2 & 
7,c7 ! brea/ or gynecologic canc]       

diagnosis ( vet]ans4  7#g7 ,c>ry+ out   
su* o!r duties z may be det]m9$         
appropriate by ! ,secret>y4  7e7 ,report
 ,n lat] ?an ?ree ye>s aft] ! date ( !  
enactm5t ( ?is ,act1 ! ,secret>y %all   
submit to ! ,committees on ,vet]ans'    
,affairs ( ! ,s5ate & ! ,h\se (         
,repres5tatives a report conta9+ !      
foll[+3 7#a7 ,a comp>ison ( ! heal?     
outcomes ( vet]ans :o receiv$ canc] c>e 
at a ,dep>tm5t facility & ^? :o receiv$ 
c>e furni%$ by non-,dep>tm5t m$ical     
provid]s pursuant to section #agjc (    
title #ch1 ,unit$ ,/ates ,code1 include 
) respect to ! foll[+3  7,a7 ,treatm5t &
 types ( heal? outcomes1 includ+ 7= !   
mo/ rec5t ?ree ye>s ( available data7-- 
7i7 ! numb] ( vet]ans :o 7 diagnos$ ) a 
brea/ or gynecologic canc]1 or          
precanc]\s brea/ or gynecologic         
condition2  7ii7 ! p]c5tage ( su*       
vet]ans :o h exp]i5c$ a canc]-relat$    
dea?2 &  7iii7 ! p]c5tage ( su* vet]ans 
:o h ent]$ remission = gynecologic      
canc]4  7,b7 ,timel9ess ( c>e furni%$ "u

 *apt] #ag ( title #ch1 ,unit$ ,/ates   
,code1 includ+ h[ quickly initial       
po/-diagnosis appo9tm5ts & appo9tm5ts to
 develop a treatm5t plan are s*$ul$ &   
provid$4  7,c7 ,pati5t safety associat$ 
) su* c>e at ,dep>tm5t facilities or    
community c>e provid]s1 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  7#b7 ,an        
evaluation ( :at *anges or additional   
res\rces are ne$$ to fur!r improve brea/
 & gynecologic canc] c>e & coord9ation4 
7#c7 ,any o!r matt] ! ,secret>y det]m9es
 appropriate4  7f7 ,def9itions ,9 ?is   
section3 7#a7 ,! t]m community c>e      
provid] means a heal? c>e provid]       
describ$ 9 section #agjc7;c7 ( title    
#ch1 ,unit$ ,/ates ,code1 :o has ent]$  
into a contract or agreem5t to furni%   
hospital c>e1 m$ical s]vices1 or ext5d$ 
c>e s]vices 7o!r ?an c>e relat$ to brea/
 & gynecologic canc]7 to vet]ans "u     
section #agjc ( title #ch1 ,unit$ ,/ates
 ,code4  7#b7 ,! t]m brea/ & gynecologic

 canc] community c>e provid] means a    
brea/ or gynecologic canc] c>e provid]  
describ$ 9 section #agjc7;c7 ( title    
#ch1 ,unit$ ,/ates ,code1 :o has ent]$  
into a contract or agreem5t to furni%   
hospital c>e1 m$ical s]vices1 or ext5d$ 
c>e s]vices to provide c>e relat$ to    
brea/ or gynecologic canc] to vet]ans "u
 section #agjc ( title #ch;,f1 ,unit$   
,/ates ,code4  7#c7 ,! t]m brea/ canc]  
has ! mean+ giv5 su* t]m by ! ,director 
( ! ,brea/ & ,gynecologic ,oncology     
,sy/em ( ,excell5ce4  7#d7 ,! t]m       
gynecologic canc] means c]vical canc]1  
ov>ian canc]1 ut]9e canc]1 vag9al canc]1
 vulv> canc]1 & ge/ational trophobla/ic 
neoplasia4  7#e7 ,! t]m non-,dep>tm5t   
facility has ! mean+ giv5 t t]m 9       
section #agja ( title #ch1 ,unit$ ,/ates
 ,code4  #c4 ,ext5sion ( c]ta9 limits on
 paym5ts ( p5sion ,section #eejc7;d77#g7
 ( title #ch1 ,unit$ ,/ates ,code1 is   
am5d$ by /rik+ ,novemb] #cj1 #bjca &    
ins]t+ ,septemb] #cj1 #bjcb4  ,pass$ !  
,h\se ( ,repres5tatives ,septemb] #ae1  

#bjbe4;,cl]k4