,i  #aai? ,,congress  #b;d ,session  ,h4
 ,r4 #ihfb  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,july #bb1 #bjbf,mr4  
,murphy introduc$ ! foll[+ bill2 :i* 0  
ref]r$ to ! ,committee on ,vet]ans'     
,affairs  ,a ,,bill  ,to direct !       
,secret>y ( ,vet]ans ,affairs to seek to
 ent] into an agreem5t ) a f$]ally fund$
 rese>* & developm5t c5t] = ! conduct ( 
an indep5d5t evaluation ( artificial    
intellig5ce sy/ems 9 use by ! ,vet]ans  
,heal? ,adm9i/ration1 & = o!r purposes4 
#a4 ,%ort title ,?is ,act may be cit$ z 
! ,responsible ,artificial ,intellig5ce 
= ,vet]ans ,act ( #bjbf4  #b4 ,indep5d5t
 evaluation ( artificial intellig5ce    
sy/ems us$ by ,vet]ans ,heal?           
,adm9i/ration  7a7 ,indep5d5t evaluation
 ,n lat] ?an #ij days aft] ! date ( !   
enactm5t ( ?is ,act1 ! ,secret>y (      
,vet]ans ,affairs %all seek to ent] into
 an agreem5t ) a f$]ally fund$ rese>* & 
developm5t c5t] = ! conduct ( an        
indep5d5t evaluation ( artificial       
intellig5ce sy/ems deploy$1 9 pilot1 or 

9 active developm5t1 = cl9ical use )9 ! 
,vet]ans ,heal? ,adm9i/ration4 ,an      
evaluation conduct$ pursuant to su* an  
agreem5t %all prioritize n few] ?an five
 artificial intellig5ce sy/ems t are    
deploy$ at scale or t pres5t an elevat$ 
cl9ical1 op]ational1 or pati5t safety   
risk4  7b7 ,matt]s = evaluation ,an     
indep5d5t evaluation c>ri$ out "u       
subsection 7a7 %all address ea* ( !     
foll[+ ) respect to ! artificial        
intellig5ce sy/ems evaluat$3 7#a7 ,!    
integration & op]ational read9ess ( !   
sy/ems1 includ+--  7,a7 ! adequacy (    
te*nological infra/ructure support+     
deploym5t & scalability2  7,b7 !        
int]op]ability ( ! sy/ems ) electronic  
heal? records1 m$ical devices1 ph>macy  
sy/ems1 & o!r relevant plat=ms2 &  7,c7 
! effect ( ! sy/em on cl9ical workfl[s1 
/aff+ models1 & op]ational processes4   
7#b7 ,! gov]nance1 monitor+1 &          
acc\ntability ( ! sy/ems1 includ+--     
7,a7 ! cl>ity ( responsibility = sy/em  
outputs1 errors1 & adv]se outcomes2     

7,b7 policies gov]n+ cons5t1 data use1  
second>y use1 & vet]an data protections2
  7,c7 lifecycle managem5t processes1   
includ+ model updates1 retra9+1 & v]sion
 control2  7,d7 ov]sight me*anisms1     
int]nal controls1 & audit /ructures2 &  
7,e7 compliance ) applicable ,f$]al     
privacy1 cyb]security1 & heal? in=mation
 laws4  7#c7 ,! p]=mance & model        
integrity ( ! sy/ems1 includ+--  7,a7   
quantitative p]=mance metrics1 includ+  
accuracy1 s5sitivity1 & specificity1 z  
applicable2  7,b7 ! pres5ce ( disp>ate  
p]=mance across demographic gr\ps & !   
mitigation ( bias2  7,c7 reliability1   
repeatability1 & reproducibility across 
facilities & vet]an populations2  7,d7  
robu/ness to data v>iability &          
g5]alizability beyond tra9+ environm5ts2
 &  7,e7 transp>5cy1 expla9ability1 &   
int]pretability ( model outputs         
suffici5t to p]mit cl9ical ov]sight4    
7#d7 ,! safety & human ov]sight ( !     
sy/ems1 includ+--  7,a7 ! risk ( pati5t 
h>m1 includ+ failure modes & escalation 

pa?ways2  7,b7 safegu>ds ensur+ t !     
artificial intellig5ce sy/em functions z
 a cl9ical decision-support tool & does 
n supplant cl9ical judgm5t2 &  7,c7 :e!r
 cl9icians reta9 ! au?ority & te*nical  
ability to ov]ride or conte/ sy/em      
outputs4  7#e7 ,! vet]an-c5tric design &
 adoption ( ! sy/ems1 includ+--  7,a7   
alignm5t ( ! sy/em ) ! ne$s1            
accessibility requirem5ts1 & pref]5ces (
 vet]ans2  7,b7 usability )9 cl9ical    
workfl[s2  7,c7 ! availability ( tra9+  
res\rces & implem5tation support =      
cl9ical /aff2 &  7,d7 ! degree (        
cl9ician & vet]an tru/ 9 sy/em outputs4 
7#f7 ,! co/ & res\rce /ew>d%ip ( !      
sy/ems1 includ+-- 7,a7 acquisition1     
deploym5t1 su/a9m5t1 & cl\d or compute  
co/s2  7,b7 evid5ce ( co/-effectiv5ess  
or co/-utility relative to cl9ical      
outcomes2 &  7,c7 res\rce implications =
 /aff+1 adm9i/rative burd51 & sy/em     
ma9t5ance4  7#g7 ,! transp>5cy &        
docum5tation ( ! sy/ems1 includ+-- 7,a7 
:e!r sy/em logic1 data s\rces1 tra9+    

inputs1 & decision pa?ways are          
suffici5tly docum5t$ & auditable2 &     
7,b7 :e!r su* docum5tation is available 
= ov]sight review4  7#h7 ,! scalability 
& effect ( ! sy/ems1 includ+--  7,a7 !  
cl9ical effectiv5ess ( ea* sy/em 9      
real-_w practice1 includ+ its p]=mance  
across div]se vet]an populations & c>e  
sett+s2  7,b7 :e!r ea* sy/em improves   
cl9ical effici5cy1 includ+ r$uctions 9  
adm9i/rative burd51 wait times1 or      
duplicative s]vices2  7,c7 ! cl9ical    
utility ( ea* sy/em 9 support+ m$ical   
decision mak+ & improv+ vet]an c>e      
outcomes2 &  7,d7 :]e applicable1 !     
environm5tal effect ( deploym5t at      
scale1 includ+ en]gy consumption &      
su/a9ability implications4  7c7         
,risk-,bas$ selection crit]ia ,9 select+
 sy/ems = evaluation pursuant to an     
agreem5t ent]$ into "u subsection 7a71 !
 f$]ally fund$ rese>* & developm5t c5t] 
%all prioritize artificial intellig5ce  
sy/ems t--  7#a7 influ5ce diagnosis1    
treatm5t decisions1 triage1 eligibility 

det]m9ations1 or b5efits adjudication2  
7#b7 are deploy$ across multiple m$ical 
c5t]s or impact a significant vet]an    
population2  7#c7 are deploy$ at scale  
across facilities1 programs1 or         
b5efici>y populations su* t errors1     
bias1 or sy/em failure c\ld reasonably  
affect a significant numb] ( vet]ans2   
7#d7 use pr$ictive analytics1 l>ge      
language models1 imag+ analysis1 or     
automat$ cl9ical decision-support tools2
 or  7#e7 pres5t mat]ial cyb]security1  
privacy1 or pati5t-safety risks4  7d7   
,access to in=mation ,! ,secret>y %all  
ensure t a f$]ally fund$ rese>* &       
developm5t c5t] t ent]s into an agreem5t
 "u subsection 7a7 is provid$ ) access  
to relevant ,dep>tm5t ( ,vet]ans        
,affairs in=mation )\t delay & 9 a mann]
 suffici5t to p]mit completion ( !      
evaluation )9 ! timeframe requir$ "u    
subsection 7e74 ,su* in=mation %all     
include1 ) respect to artificial        
intellig5ce sy/ems us$ by ! ,vet]ans    
,heal? ,adm9i/ration--  7#a7 relevant   

contracts1 te*nical docum5tation1       
validation /udies1 & model c>ds2  7#b7  
p]=mance data & audit logs2  7#c7       
incid5t reports & corrective action     
plans2 &  7#d7 policies gov]n+          
artificial intellig5ce gov]nance1 data  
use1 & risk managem5t4  7e7 ,report+    
requirem5ts  7#a7 ,report on f9d+s (    
evaluation  7,a7  ,9 g5]al  ,an agreem5t
 ent]$ into "u subsection 7a7 %all      
specify t1 n lat] ?an ! date t is "o ye>
 aft] ! date ( ! agreem5t1 a f$]ally    
fund$ rese>* & developm5t c5t] agrees to
 submit to ! ,secret>y & to !           
,committees on ,vet]ans' ,affairs ( !   
,h\se ( ,repres5tatives & ! ,s5ate a    
report t includes ea* ( ! foll[+3  7i7  
,f9d+s = ea* evaluat$ sy/em4  7ii7      
,id5tification ( mat]ial risks to pati5t
 safety1 data security1 equity1 or      
cl9ical integrity4  7iii7               
,recomm5dations = corrective action1    
gov]nance improvem5ts1 or susp5sion (   
deploym5t :]e w>rant$4  7iv7            
,id5tification ( sy/emic gaps 9 !       

artificial intellig5ce gov]nance        
framework ( ! ,dep>tm5t4  7,b7 ,=m ,!   
report requir$ by subp>agraph 7,a7 %all 
be submitt$ 9 unclassifi$ & unr$act$ =m1
 b may include a classifi$ annex4  7#b7 
,corrective action plan2 ,dep>tm5t      
acc\ntability ,n lat] ?an #abj days aft]
 receipt ( a report "u p>agraph 7#a71 ! 
,secret>y %all submit to ! ,committees  
on ,vet]ans' ,affairs ( ! ,h\se (       
,repres5tatives & ! ,s5ate a report t   
includes--  7,a7 a response ( !         
,secret>y address+ ea* f9d+ &           
recomm5dation conta9$ ! report2 &  7,b7 
a corrective action plan t includes--   
7i7 an id5tification ( specific actions 
! ,dep>tm5t w take to address ea* f9d+2 
7ii7 an assignm5t ( responsibility to   
appropriate ,dep>tm5t (ficials2  7iii7  
measurable mile/ones & deadl9es =       
implem5tation2 &  7iv7 an id5tification 
( any risk t ! ,secret>y det]m9es w     
rema9 unmitigat$ & ! ju/ification = su* 
det]m9ation4  7#c7 ,comptroll] ,g5]al   
review ,n lat] ?an #ahj days aft]       

submission ( ! corrective action plan "u
 p>agraph 7#b71 ! ,comptroll] ,g5]al ( !
 ,unit$ ,/ates %all-- 7,a7 conduct a    
review (--  7i7 ! indep5d5t evaluation  
c>ri$ out pursuant to subsection 7a72 & 
7ii7 ! corrective action plan submitt$  
"u p>agraph 7#b7 & ! initial ef=ts ( !  
,secret>y to c>ry out ! plan2 &  7,b7   
provide to ! ,committees on ,vet]ans'   
,affairs ( ! ,h\se ( ,repres5tatives & !
 ,s5ate a brief+ on ! review t includes 
any recomm5dations ( ! ,comptroll]      
,g5]al = improvem5t4  7#d7 ,committee   
access & transp>5cy ,! ,secret>y %all   
provide to ! ,committees on ,vet]ans'   
,affairs ( ! ,h\se ( ,repres5tatives & !
 ,s5ate--  7,a7 ! full indep5d5t        
evaluation produc$ pursuant to          
subsection 7a71 includ+ all support+    
analyses & te*nical app5dices2 &  7,b7  
any subsequ5t implem5tation updates to !
 corrective action plan submitt$ "u     
p>agraph 7#b71 )\t r$action1 except =   
in=mation t is classifi$ or o!rwise     
protect$ by law4  7f7 ,use ( exi/+ funds

 ,! ,secret>y %all c>ry out ?is section 
us+ am\nts o!rwise au?oriz$ &           
appropriat$ to ! ,dep>tm5t4 ,no         
additional am\nts are au?oriz$ to be    
appropriat$ to c>ry out ?is section4    
7g7 ,artificial intellig5ce def9$ ,9 ?is
 section1 ! t]m artificial intellig5ce  
has ! mean+ giv5 t t]m 9 section        
#ejjb7c7 ( ! ,national ,artificial      
,intellig5ce ,initiative ,act ( #bjbj   
7division ,e ( ,public ,law #aaf-bhc2   
#acd ,/at4 #debc2 #ae ,u4,s4,c4 #idja   
note74