,i  #aai? ,,congress  #a/ ,session  ,h4 
,r4 #bbcd  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,m>* #ah1 #bjbe,ms4   
,und]wood 7= h]self & ,mrs4 ,kiggans (  
,virg9ia7 introduc$ ! foll[+ bill2 :i* 0
 ref]r$ to ! ,committee on ,vet]ans'    
,affairs  ,a ,,bill  ,to direct !       
,secret>y ( ,vet]ans ,affairs to update 
c]ta9 /&>ds reg>d+ ane/hesia & pa9      
managem5t s]vices 9 ! ,vet]ans ,heal?   
,adm9i/ration4  #a4 ,%ort title ,?is    
,act may be cit$ z ! ,ensur+ ,vet]ans   
,timely ,access to ,ane/hesia ,c>e ,act 
( #bjbe4  #b4 ,alignm5t ( /&>ds reg>d+  
c]tifi$ regi/]$ nurse ane/heti/s 9 !    
,vet]ans ,heal? ,adm9i/ration ) /&>ds ( 
! ,def5se ,heal? ,ag5cy ,! ,secret>y (  
,vet]ans ,affairs %all update ,,vha     
,directive #aabc titl$ ,national        
,ane/hesia ,program1 ,dep>tm5t (        
,vet]ans ,affairs ,c]tifi$ ,regi/]$     
,nurse ,ane/heti/s ,practice ,guidel9es 
7or any successor directive7 to         
recognize1 9 ! ,vet]ans ,heal?          
,adm9i/ration1 c]tifi$ regi/]$ nurses   

ane/heti/s z lic5s$ indep5d5t           
practition]s 9 a mann] consi/5t ) !     
practice /&>ds describ$ by section      
#c7;f77#b7 ( ,enclosure ( ,def5se ,heal?
 ,ag5cy ,adm9i/rative ,in/ruction       
#fjbe4jg1 dat$ ,novemb] #h1 #bjbc1 z    
am5d$4  #c4 ,requirem5ts ( ane/hesia    
provid]s 9 ! ,vet]ans ,heal?            
,adm9i/ration  7a7 ,c]tification ,!     
,secret>y ( ,vet]ans ,affairs %all      
require an ane/hesia pr(essional employ$
 by ! ,secret>y z-- 7#a7 a physician    
ane/hesiologi/ to be c]tifi$ by !       
,am]ican ,bo>d ( ,ane/hesiology or a    
simil> body det]m9$ by ! ,secret>y2 &   
7#b7 a c]tifi$ regi/]$ nurse ane/heti/  
to be c]tifi$ by ! ,c\ncil on           
,c]tification ( ,nurse ,ane/heti/s or ! 
,c\ncil on ,rec]tification ( ,nurse     
,ane/heti/s or a simil> body det]m9$ by 
! ,secret>y4  7b7 ,direct c>e ,!        
,secret>y %all require an ane/hesia     
pr(essional describ$ 9 subsection 7a7 to
 h complet$ at lea/ #be h\rs ( direct   
pati5t ane/hesia c>e 7n includ+         

sup]vision ( o!r ane/hesia              
pr(essionals74  7c7 ,en=cem5t ,!        
,secret>y %all susp5d f employm5t 9 !   
,dep>tm5t ( ,vet]ans ,affairs an        
ane/hesia pr(essional describ$ 9        
subsection 7a7 :o has n compli$ ) !     
requirem5ts ( ?is section4  #d4 ,,gao   
report on ane/hesia deliv]y 9 ! ,vet]ans
 ,heal? ,adm9i/ration ,n lat] ?an "o ye>
 aft] ! date ( ! enactm5t ( ?is ,act1 & 
annually !reaft]1 ! ,comptroll] ,g5]al (
 ! ,unit$ ,/ates %all submit to !       
,committees on ,vet]ans' ,affairs ( !   
,h\se ( ,repres5tatives & ! ,s5ate a    
report t conta9s ! foll[+1 & :i* %all be
 made publicly available3 7#a7 ,data    
reg>d+ outcomes reg>d+ ! foll[+         
ane/hesia models us$ 9 ! ,vet]ans ,heal?
 ,adm9i/ration3 7,a7 ,deliv]y by an     
ane/hesiologi/4  7,b7 ,deliv]y by a     
c]tifi$ regi/]$ nurse ane/heti/ "u !    
sup]vision ( a physician4  7,c7 ,deliv]y
 by a c]tifi$ regi/]$ nurse ane/heti/   
)\t sup]vision4  7#b7 ,a comp>ison ( !  
co/ effectiv5ess ( ! models describ$ 9  

p>agraph 7#a71 includ+-- 7,a7 ! e/imat$ 
co/ to m$ical facilities ( ! ,dep>tm5t (
 ,vet]ans ,affairs & taxpay]s = ea* su* 
model2 &  7,b7 a breakd[n ( co/s & sav+s
 to taxpay]s & to vet]ans' h\seholds    
associat$ ) ea* su* model4