,i  #aai? ,,congress  #b;d ,session  ,h4
 ,r4 #heec  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,april #bh1 #bjbf,mr4 
,murphy 7= himself & ,mr4 ,conaway7     
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,vet]ans' ,affairs  ,a 
,,bill  ,to direct ! ,secret>y (        
,vet]ans ,affairs to e/abli% a precision
 oncology program = canc] ( ! pro/ate1 &
 = o!r purposes4  #a4 ,%ort title  ,?is 
,act may be cit$ z ! ,precision         
,oncology ,program = ,canc] ( ! ,pro/ate
 ,au?orization ,act ( #bjbf or !        
,p,o,p,ca,p ,au?orization ,act ( #bjbf4 
#b4 ,e/abli%m5t ( precision oncology    
program = canc] ( ! pro/ate  7a7 ,9     
g5]al ,sub*apt] ,,ii ( *apt] #gc ( title
 #ch1 ,unit$ ,/ates ,code1 is am5d$ by  
add+ at ! end ! foll[+ new section3     
#gccj;,e ,precision oncology program =  
canc] ( ! pro/ate  7a7 ,e/abli%m5t ,!   
,secret>y %all e/abli% a precision      
oncology program = canc] ( ! pro/ate 79 
?is section1 ref]r$ to z ! ,program7 at 
! ,dep>tm5t 9 accordance ) ?is section4 

,9 c>ry+ out ! ,program1 ! ,secret>y    
%all--  7#a7 %all designate ,c5t]s (    
,excell5ce 9 accordance ) subsection    
7d72 &  7#b7 ma9ta9 ! ,program ,lead]%ip
 team "u subsection 7g74  7b7           
,eligibility ,a vet]an is eligible to   
enroll 9 additional m$ical s]vices ?r\gh
 ! ,program if su* vet]an is enroll$ 9 !
 pati5t enrollm5t sy/em "u section #agje
 ( ?is title & has a diagnosis ( pro/ate
 canc] or non-pro/ate g5it\r9>y canc]4  
7c7  ,requirem5ts ( ,c5t]s ( ,excell5ce 
7#a7 ,ea* ,c5t] ( ,excell5ce designat$  
"u ?is section %all c>ry out ! foll[+   
activities3  7,a7 ,e/abli%+ a program ( 
g5etic sequ5c+ = vet]ans ) advanc$      
pro/ate canc]4  7,b7 ,implem5t+ ! uni=m 
g5etic sequ5c+ plat=m develop$ by !     
,program ,lead]%ip "u subsection        
7g77#c77;,h7 to all[ = coord9ation among
 ,c5t]s4  7,c7 ,p>ticipat+ 9 !          
,telem$ic9e ,tumor ,bo>d ( ! ,program4  
7,d7 ,p>ticipat+ 9 ! pro/ate canc]      
regi/ry ma9ta9$ by ! ,program ,lead]%ip 
"u subsection 7g77#c77;,e7 to track     

relevant g5etic mutations4  7,e7        
,provid+ travel support to eligible     
vet]ans ) su* mutations to facilitate   
access to /udies4  7,f7 ,develop+       
biom>k]-specific cl9ical trials4  7,g7  
,p>ticipat+ 9 indu/ry-sponsor$ precision
 oncology /udies4  7,h7 ,p>ticipat+ 9   
mon?ly calls & n less ?an ?ree 9-p]son  
meet+s p] ye> ) ! ,program ,lead]%ip to 
assess progress4  7,i7 ,provid+ ongo+   
report+ to ! ,program ,lead]%ip reg>d+  
trial accrual & rese>* conduct$ by !    
,c5t]4  7,j7 ,e/abli%+ meta/asis biopsy 
capability4  7,k7 ,ext5d+ res\rces to   
affiliat$ m$ical c5t]s 9 ! ,vet]ans     
,integrat$ ,s]vice ,network 9 :i* !     
,c5t] is locat$4  7#b7 ,! ,secret>y %all
 ensure t ea* ,c5t] designat$ "u !      
,program employs1 at a m9imum--  7,a7 a 
m$ical oncologi/2  7,b7 an int]v5tional 
radiologi/2  7,c7 a urologi/2  7,d7 a   
radiation oncologi/2  7,e7 a pa?ologi/2 
&  7,f7 two full-"t equival5t rese>*    
/aff memb]s4  7d7 ,designation ( ,c5t]s 
( ,excell5ce  7#a7 ,! ,secret>y may     

designate additional m$ical facilities z
 ,c5t]s ( ,excell5ce4  7#b7 ,! ,secret>y
 %all ensure t n few] ?an #ba m$ical    
facilities are designat$ z ,c5t]s (     
,excell5ce "u ?is section at all times4 
7#c7 ,! ,secret>y %all ensure t at lea/ 
"o m$ical facility 9 ea* ,vet]ans       
,integrat$ ,s]vice ,network is designat$
 z a ,c5t] ( ,excell5ce "u ?is section4 
7#d7 ,! ,secret>y %all ensure t n few]  
?an sev5 ( ! ,c5t]s ( ,excell5ce        
designat$ "u ?is section h a g5it\r9>y  
program4  7#e7 ,effective on ! date ( ! 
enactm5t ( ?is section1 ! foll[+ m$ical 
facilities %all be designat$ z ,c5t]s ( 
,excell5ce = ! ,program3  7,a7 ,!       
,seattle ,,va ,m$ical ,c5t] 9 ,seattle1 
,wa%+ton4  7,b7 ,! ,james ,j4 ,pet]s    
,,va ,m$ical ,c5t] 9 ! ,bronx1 ,new     
,york4  7,c7 ,! ,lieut5ant ,colonel     
,*>les ,s4 ,kettles ,,va ,m$ical ,c5t] 9
 ,ann ,arbor1 ,mi*igan4  7,d7 ,! ,m>g>et
 ,co*ran ,corb9 ,manhattan ,,va ,m$ical 
,c5t] 9 ,manhattan1 ,new ,york4  7,e7 ,!
 ,jesse ,br[n ,dep>tm5t ( ,vet]ans      

,affairs ,m$ical ,c5t] 9 ,*icago1       
,ill9ois4  7,f7 ,! ,we/ ,los ,angeles   
,,va ,m$ical ,c5t] 9 ,los ,angeles1     
,cali=nia4  7,g7 ,! ,corporal ,mi*ael   
,j4 ,cresc5z ,,va ,m$ical ,c5t] 9       
,philadelphia1 ,p5nsylvania4  7,h7 ,!   
,durham ,,va ,m$ical ,c5t] 9 ,durham1   
,nor? ,c>ol9a4  7,i7 ,! ,wa%+ton ,,dc   
,,va ,m$ical ,c5t] 9 ,wa%+ton1 ,di/rict 
( ,columbia4  7,j7 ,! ,james ,a4 ,haley 
,vet]ans ,hospital 9 ,tampa1 ,florida4  
7,k7 ,! ,portl& ,,va ,m$ical ,c5t] 9    
,portl&1 ,oregon4  7,l7 ,! ,jamaica     
,pla9 ,,va ,m$ical ,c5t] 9 ,bo/on1      
,massa*usetts4  7,m7 ,! ,san ,francisco 
,,va ,m$ical ,c5t] 9 ,san ,francisco1   
,cali=nia4  7,n7 ,! ,mi*ael ,e4         
,de,bakey ,dep>tm5t ( ,vet]ans ,affairs 
,m$ical ,c5t] 9 ,h\/on1 ,texas4  7,o7 ,!
 ,rocky ,m\nta9 ,regional ,,va ,m$ical  
,c5t] 9 ,aurora1 ,colorado4  7,p7 ,!    
,john ,j4 ,co*ran ,vet]ans ,hospital 9  
,/4 ,l\is1 ,miss\ri4  7,q7 ,! ,kansas   
,city ,,va ,m$ical ,c5t] 9 ,kansas      
,city1 ,miss\ri4  7,r7 ,! ,joseph       

,maxwell ,clel& ,atlanta ,,va ,m$ical   
,c5t] 9 ,decatur1 ,georgia4  7,s7 ,!    
,ralph ,h4 ,johnson ,,va ,m$ical ,c5t] 9
 ,*>le/on1 ,s\? ,c>ol9a4  7,t7 ,! ,orl&o
 ,,va ,m$ical ,c5t] 9 ,orl&o1 ,florida4 
7,u7 ,! ,baltimore ,,va ,m$ical ,c5t] 9 
,baltimore1 ,m>yl&4  7,v7 ,! ,john ,l4  
,mc,clellan ,memorial ,vet]ans'         
,hospital 9 ,little ,rock1 ,arkansas4   
7,w7 ,! ,william ,s4 ,middleton         
,memorial ,vet]ans ,hospital 9 ,madison1
 ,wiscons94  7,x7 ,! ,m9neapolis ,,va   
,m$ical ,c5t] 9 ,m9neapolis1 ,m9nesota4 
7,y7 ,! ,george ,e4 ,wahl5 ,dep>tm5t (  
,vet]ans ,affairs ,m$ical ,c5t] 9 ,salt 
,lake ,city1 ,utah4  7,z7 ,! ,c>l ,t4   
,hayd5 ,vet]ans' ,adm9i/ration ,m$ical  
,c5t] 9 ,pho5ix1 ,arizona4  7,,aa7 ,!   
,dallas ,,va ,m$ical ,c5t] 9 ,dallas1   
,texas4  7,,bb7 ,! ,malcom ,r&all       
,dep>tm5t ( ,vet]ans ,affairs ,m$ical   
,c5t] 9 ,ga9esville1 ,florida4  7#f7 ,= 
purposes ( comply+ ) ! m9imum numb] (   
,c5t]s ( ,excell5ce "u p>agraph 7#b71 ! 
,secret>y %all c\nt any t[>ds ! m9imum  

numb] any m$ical facility designat$ "u  
p>agraph 7#e7 & n t]m9at$ "u subsection 
7e74  7e7  ,t]m9ation ( ,designation    
7#a7 ,ea* ,c5t] ( ,excell5ce designat$  
"u subsection 7d7 %all rema9 s designat$
 = n less ?an five ye>s1 unless !       
,secret>y t]m9ates su* designation 9    
accordance ) ?is subsection4  7#b7 ,n   
e>li] ?an ,janu>y #a1 #bjcj1 ! ,secret>y
 may t]m9ate ! designation ( a m$ical   
facility z a ,c5t] ( ,excell5ce "u ?is  
section if ! ,secret>y det]m9es !       
facility is fail+ to meet ! requirem5ts 
9 subsection 7c74  7#c7 ,be=e t]m9at+ ! 
designation ( a m$ical facility1 !      
,secret>y %all--  7,a7 submit to !      
,committees on ,vet]ans' ,affairs & !   
,committees on ,appropriations ( ! ,h\se
 ( ,repres5tatives & ! ,s5ate a notice (
 ! int5t to t]m9ate su* designation2 &  
7,b7 wait = a p]iod ( #fj days foll[+ ! 
date ( ! submission ( su* notice4  7f7  
,p]=mance review  7#a7 ,9 #bjcj & ea*   
ye> !reaft]1 ! ,secret>y %all review !  
p]=mance ( n m ?an sev5 ,c5t]s (        

,excell5ce4  7#b7 ,! ,secret>y %all     
ensure t ! p]=mance ( ea* ,c5t] (       
,excell5ce is review$ only once 9 a five
 ye> p]iod4  7#c7 ,by ! date ( !        
submission ( ! annual report describ$ 9 
subsection 7f7 9 #bjce & e fif? ye>     
!reaft]1 ! ,secret>y %all ensure !      
p]=mance ( ea* ,c5t] ( ,excell5ce has   
be5 review$4  7#d7 ,ea* p]=mance review 
"u ?is subsection %all assess :e!r !    
p]=mance ( ! ,c5t] ( ,excell5ce 9       
provid+ ! s]vices requir$ "u subsection 
7c7 is adequate to ju/ify ! cont9u$     
designation ( ! facility z a ,c5t] (    
,excell5ce "u ?is section4  7g7         
,program ,lead]%ip team  7#a7 ,!        
,secret>y %all e/abli% a ,program       
,lead]%ip team locat$ at ! ,seattle ,,va
 ,m$ical ,c5t] 9 ,seattle1 ,wa%+ton1 :i*
 %all rema9 designat$ z a ,c5t] (       
,excell5ce until at lea/ #bjcc4  7#b7   
,if ! ,secret>y t]m9ates ! designation (
 ! ,seattle ,,va ,m$ical ,c5t] 9        
,seattle1 ,wa%+ton1 z a ,c5t] (         
,excell5ce "u subsection 7e71 !         

,secret>y %all select ano!r ,c5t] to    
s]ve z ! location ( ! ,program ,lead]%ip
 team4  7#c7 ,! ,program ,lead]%ip team 
%all include1 at a m9imum1 an ,executive
 ,director1 a ,cl9ical ,director1 & a   
,rese>* ,director1 :o %all be employees 
( ! m$ical c5t] at :i* ! ,program       
,lead]%ip team is locat$4  7#d7 ,!      
,program ,lead]%ip team %all--  7,a7    
provide /rategic liaison s]vices )      
sponsors & prospective sponsors (       
cl9ical trials to ensure engagem5t by ! 
,dep>tm5t ) /udy design & p>ticipation2 
7,b7 coord9ate p>ticipation by !        
,dep>tm5t 9 pro/ate canc] gr\p /udies   
sponsor$ by ! ,national ,canc]          
,in/itute2  7,c7 facilitate ! developm5t
 ( /udy concepts1 designs1 & />t-up )   
rese>*]s ( ! ,dep>tm5t ) limit$ cl9ical 
trial exp]i5ce2  7,d7 create & execute a
 model = hybrid dec5traliz$ cl9ical     
trials to be us$ by ,c5t]s ( ,excell5ce 
:5 conduct+ trials1 includ+ remote      
rese>* coord9ation1 regulatory />t-up & 
ma9t5ance1 data managem5t1 &            

,in/itutional ,review ,bo>d approval2   
7,e7 create & ma9ta9 a publicly         
available pro/ate canc] regi/ry & data  
repository ( ! ,dep>tm5t2  7,f7 e/abli% 
& ma9ta9 relevant work+ gr\ps ( exp]ts (
 ! ,dep>tm5t2  7,g7 ho/ at lea/ mon?ly  
calls & at lea/ ?ree 9-p]son meet+s p]  
ye> ) a repres5tative ( ea* ,c5t] =     
,excell5ce to assess progress2 &  7,h7  
develop a uni=m g5etic sequ5c+ plat=m to
 be implem5t$ by ea* ,c5t] ( ,excell5ce 
to all[ = coord9ation among su* ,c5t]s4 
7#e7 ,! ,executive ,director %all-- 7,a7
 provide adm9i/rative lead]%ip to !     
,program 9 p>tn]%ip ) ! ,cl9ical        
,director2  7,b7 develop1 execute1 &    
monitor a national /rategic plan = !    
,program2 &  7,c7 s]ve z ! liaison to   
lead]%ip ( ! ,dep>tm5t & ,c5t]s (       
,excell5ce4  7#f7 ,! ,cl9ical ,director 
%all-- 7,a7 ov]see ! ,program to ensure 
eligible vet]ans receive access to c>e  
bas$ on ! late/ rese>*2  7,b7 develop & 
implem5t /rategies = ,program gr[?1     
quality improvem5t1 & pati5t            

satisfaction2  7,c7 s]ve on ! review    
committee ( ! ,program = cl9ical trials 
conduct$ by ,c5t]s ( ,excell5ce to      
ensure /udies are conduct$ e?ically &   
effici5tly2 &  7,d7 s]ve z ! liaison )  
/akehold]s to integrate cl9ical s]vices 
& rese>*4  7#g7 ,! ,rese>* ,director    
%all--  7,a7 provide lead]%ip on        
national rese>* objectives2  7,b7 s]ve  
on committees to review new rese>*      
concepts & projects develop$ by ,c5t]s (
 ,excell5ce2  7,c7 ma9ta9 an und]/&+ (  
curr5t rese>* & em]g+ te*nologies 9     
pro/ate canc]2 &  7,d7 int]act )        
/akehold]s1 includ+ regulatory ag5cies1 
/udy sponsors1 & rese>* in/itutions1 to 
improve pro/ate canc] rese>* conduct$ by
 ! ,dep>tm5t4  7h7  ,annual ,report     
7#a7 ,n lat] ?an ,m>* #a ( ea* ye>1 !   
,secret>y %all submit to ! ,committees  
on ,vet]ans' ,affairs & ! ,committees on
 ,appropriations ( ! ,h\se (            
,repres5tatives & ! ,s5ate a report on !
 ,program4 ,ea* su* report %all include1
 = ! ye> cov]$ by ! report--  7,a7 !    

fund+ levels = ea* ,c5t] ( ,excell5ce2  
7,b7 ! numb] ( vet]ans p>ticipat+ !     
,program2  7,c7 ! numb] ( rese>*]s &    
provid]s p>ticipat+ 9 ! ,program2  7,d7 
! numb] ( publications relat+ to pro/ate
 canc] by rese>*]s & provid]s ( !       
,dep>tm5t2  7,e7 ! numb] ( cl9ical      
rese>* /udies support$ by ! ,program2   
7,f7 ! numb] ( vet]ans enroll$ 9 su*    
cl9ical rese>* /udies2  7,g7 ! five-ye> 
survival rate ( vet]ans enroll$ 9       
cl9ical rese>* /udies ( ! ,program      
comp>$ to o!r vet]ans & civilians )     
pro/ate canc]2  7,h7 ! five-ye> survival
 rate ( vet]ans ) non-pro/ate g5it\r9>y 
canc]s enroll$ 9 cl9ical rese>* /udies (
 ! ,program at g5it\r9>y c5t]s comp>$ to
 t ( o!r vet]ans & civilians )          
non-pro/ate g5it\r9>y canc]s2 &  7,i7 an
 e/imate ( 7,a7 ?r\gh 7,g7 = ! upcom+   
ye>4  7#b7 ,9 #bjbi1 ! report requir$ 9 
?is subsection %all include a           
compreh5sive plan = ! designation &     
op]ation ( ! ,c5t]s ( ,excell5ce "u ?is 
section1 includ+ a timel9e = ! p]=mance 

evaluations1 p]=mance crit]ia to be us$ 
9 evaluations1 & ! process = select+    
,c5t]s4  7#c7 ,9 #bjca & ea* ye>        
!reaft]1 ! report requir$ 9 ?is         
subsection %all include1 = ! ye> cov]$  
by ! report1 ! results ( ! p]=mance     
reviews conduct$ "u subsection 7f7 & a  
det]m9ation by ! ,secret>y reg>d+ :e!r  
ea* ,c5t] ( ,excell5ce review$ t ye>    
meets ! crit]ia = cont9u$ designation z 
a ,c5t] ( ,excell5ce4  7i7              
,au?orization ( appropriations  ,!re is 
au?oriz$ to be appropriat$ #ae1ejj1jjj =
 ea* ( fiscal ye>s #bjbg ?r\gh #bjbi to 
! ,secret>y to c>ry out ?is section4  4 
7b7 ,cl]ical am5dm5t ,! table ( sections
 at ! beg9n+ ( su* *apt] is am5d$ by    
ins]t+ aft] ! item relat+ to section    
#gccj;,d ! foll[+ new item3  #gccj;,e4  
,precision oncology program = canc] ( ! 
pro/ate4  4  7c7 ,functions & fund+ (   
,c5t]s ( ,excell5ce  7#a7 ,functions ,! 
,secret>y ( ,vet]ans ,affairs may n     
remove f any m$ical facility designat$ z
 a ,c5t] ( ,excell5ce "u section        

#gccj;,d ( title #ch1 ,unit$ ,/ates     
,code1 any /aff1 program1 or function   
relat+ to pro/ate canc] t 0 9 effect on 
,janu>y #a1 #bjbc1 until ,janu>y #a1    
#bjcj4  7#b7  ,fund+  ,! ,secret>y (    
,vet]ans ,affairs may n r$uce fund+     
provid$ to su* ,c5t]s ( ,excell5ce bel[ 
! total am\nt provid$ by public &       
private s\rces 9 effect on ,janu>y #a1  
#bjbc1 until ,janu>y #a1 #bjcj4  7d7    
,deadl9e ,! program requir$ by section  
#gccj;,e ( title #ch1 ,unit$ ,/ates     
,code1 z add$ by subsection 7a71 %all be
 e/abli%$ by n lat] ?an #ahj days aft] !
 date ( ! enactm5t ( ?is ,act4  #c4     
,implem5tation plan ,n lat] ?an #fj days
 aft] ! date ( ! enactm5t ( ?is ,act1 ! 
,secret>y ( ,vet]ans ,affairs %all      
submit to ! ,committees on ,vet]ans'    
,affairs ( ! ,s5ate & ! ,h\se (         
,repres5tatives a plan = ! implem5tation
 ( section #gccj;,e ( title #ch1 ,unit$ 
,/ates ,code1 z add$ by section #b4 ,su*
 plan %all include--  7#a7 a description
 ( /aff+ requirem5ts at ea* ,c5t] (     

,excell5ce designat$ "u su* section2    
7#b7 a description ( any contract+      
requirem5ts necess>y to fulfill !       
requirem5ts ( su* section2  7#c7 a plan 
= ! developm5t ( ! uni=m sequ5c+ plat=m 
requir$ "u subsection 7g77#c77;,h7 ( su*
 section2  7#d7 a description ( !       
developm5t ( ! pro/ate canc] regi/ry &  
data repository "u subsection           
7g77#c77;,e7 ( su* section2  7#e7 a plan
 = coord9ation ) ! ,c5tral ,in/itutional
 ,review ,bo>d2 &  7#f7 a description ( 
anticipat$ fund+ levels = ! t5-ye> p]iod
 beg9n+ on ! date ( ! submission ( !    
plan4