,i  #aai? ,,congress  #b;d ,session  ,h4
 ,r4 #iddf  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,june #bd1 #bjbf,mr4  
,takano introduc$ ! foll[+ bill2 :i* 0  
ref]r$ to ! ,committee on ,vet]ans'     
,affairs  ,a ,,bill  ,to direct !       
,secret>y ( ,vet]ans ,affairs to report 
bi5nially on /aff+ ( m$ical facilities (
 ! ,dep>tm5t ( ,vet]ans ,affairs4  #a4  
,%ort title ,?is ,act may be cit$ z !   
,,va ,heal? ,c>e ,capacity ,assessm5t   
,act4  #b4 ,bi5nial report on /aff+ (   
m$ical facilities ( ! ,dep>tm5t (       
,vet]ans ,affairs  7a7 ,report requir$  
,n lat] ?an #ahj days aft] ! date ( !   
enactm5t ( ?is ,act1 & n lat] ?an       
,decemb] #ca ( ea* ev5-numb]$ ye>       
!reaft]1 ! ,secret>y ( ,vet]ans ,affairs
 %all submit to ! ,committees on        
,vet]ans' ,affairs ( ! ,s5ate & ,h\se ( 
,repres5tatives a report assess+ ! /aff+
 ( ea* m$ical facility ( ! ,dep>tm5t4   
7b7 ,elem5ts ,ea* report submitt$ "u    
subsection 7a7 %all include ! foll[+    
elem5ts3 7#a7 ,! results ( a sy/em-wide 

assessm5t ( all m$ical facilities ( !   
,dep>tm5t to ensure ! foll[+3 7,a7      
,appropriate /aff+ levels = heal? c>e   
pr(essionals to meet ! goals ( !        
,secret>y = timely access to c>e =      
vet]ans4  7,b7 ,appropriate /aff+ levels
 = support p]sonnel1 includ+ cl]ks4     
7,c7 ,appropriate sizes = cl9ical       
panels4  7,d7 ,appropriate numb]s (     
full-"t /aff1 or full-"t equival5ts1    
d$icat$ to direct c>e ( pati5ts4  7,e7  
,appropriate physical plant space to    
meet ! capacity ne$s ( ! ,dep>tm5t 9 !  
area4  7,f7 ,su* o!r factors t !        
,secret>y det]m9es necess>y4  7#b7 ,a   
plan = address+ any issues id5tifi$ 9 ! 
assessm5t "u p>agraph 7#a71 includ+ a   
timel9e = address+ su* issues4  7#c7 ,a 
li/ ( ! curr5t wait times & workload    
levels = ! foll[+ cl9ics 9 ea* m$ical   
facility3 7,a7 ,m5tal heal?4  7,b7      
,prim>y c>e4  7,c7 ,ga/ro5t]ology4  7,d7
 ,wom5's heal?4  7,e7 ,su* o!r cl9ics t 
! ,secret>y det]m9es appropriate4  7#d7 
,a description (-- 7,a7 ! results ( !   

mo/ curr5t det]m9ation ( ! ,inspector   
,g5]al "u subsection 7a7 ( section #gdab
 ( title #ch1 ,unit$ ,/ates ,code2 &    
7,b7 a plan to use direct appo9tm5t     
au?ority "u subsection 7b7 ( su* section
 to fill /aff+ %ortages1 includ+        
recomm5dations = improv+ ! spe$ at :i* !
 cr$5tial+ & privileg+ process c be     
conduct$4  7#e7 ,! curr5t /aff+ models (
 ! ,dep>tm5t = ! foll[+ cl9ics1 includ+ 
recomm5dations = *anges to su* models3  
7,a7 ,m5tal heal?4  7,b7 ,prim>y c>e4   
7,c7 ,ga/ro5t]ology4  7,d7 ,wom5's      
heal?4  7,e7 ,su* o!r cl9ics t !        
,secret>y det]m9es appropriate4  7#f7 ,a
 detail$ analysis ( succession plann+ at
 m$ical facilities ( ! ,dep>tm5t1       
includ+ ! foll[+3 7,a7 ,! numb] (       
positions 9 m$ical facilities ?r\gh\t ! 
,dep>tm5t t are n fill$ by a p]man5t    
employee4  7,b7 ,! l5g? ( "t ea*        
position describ$ 9 subp>agraph 7,a7    
rema9$ vacant or fill$ by a tempor>y or 
act+ employee4  7,c7 ,a description (   
any b>ri]s to fill+ ! positions describ$

 9 subp>agraph 7,a74  7,d7 ,a plan =    
fill+ any positions t are vacant or     
fill$ by a tempor>y or act+ employee = m
 ?an #ahj days4  7,e7 ,a plan = h&l+    
em]g5cy circum/ances1 su* z adm9i/rative
 leave or sudd5 m$ical leave = s5ior    
(ficials4  7#g7 ,! numb] ( heal? c>e    
provid]s ( ! ,dep>tm5t :o h be5 remov$ f
 _! positions1 h retir$1 or h left _!   
positions = ano!r reason1 disaggregat$  
by provid] type1 dur+ ! two-ye> p]iod   
prec$+ ! submission ( ! report4  7#h7 ,(
 ! heal? c>e provid]s specifi$ 9        
p>agraph 7#g7 :o h be5 remov$ f _!      
positions1 ! foll[+3 7,a7 ,! numb] ( su*
 heal? c>e provid]s :o 7 reassign$ to   
o!r positions 9 ! ,dep>tm5t4  7,b7 ,!   
numb] ( su* heal? c>e provid]s :o left !
 ,dep>tm5t4  7,c7 ,! numb] ( su* heal?  
c>e provid]s :o left ! ,dep>tm5t & :om !
 ,secret>y subsequ5tly rehir$4