,,ii  #aai? ,,congress  #b;d ,session   
,s4 #edfd  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,septemb] #bc1         
#bjbf,mr4 ,boozman 7= himself & ,ms4    
,duckwor?7 introduc$ ! foll[+ bill2 :i* 
0 read twice & ref]r$ to ! ,committee on
 ,vet]ans' ,affairs  ,a ,,bill  ,to am5d
 title #ch1 ,unit$ ,/ates ,code1 to     
modify ! report on ! heal? ( wom5       
vet]ans1 & = o!r purposes4  #a4 ,%ort   
title ,?is ,act may be cit$ z !         
,vet]ans' ,outcomes1 ,inclusion1 ,c>e1 &
 ,exp]i5ce = ,wom5 ,vet]ans ,act or !   
,,voice = ,wom5 ,vet]ans ,act4  #b4     
,modification ( report on heal? ( wom5  
vet]ans ,section #gcaj;,a ( title #ch1  
,unit$ ,/ates ,code1 is am5d$-- 7#a7 9  
subsection 7a7-- 7,a7 by /rik+ ,*ief    
,(fic] ( ,wom5's ,heal? & ins]t+        
,secret>y2 &  7,b7 by /rik+ ?r\gh 7g7 & 
ins]t+ ?r\gh 7l72  7#b7 by /rik+        
subsection 7c72  7#c7 by r$esignat+     
subsections 7d7 ?r\gh 7g7 z subsections 
7e71 7g71 7h71 & 7m71 respectively2     
7#d7 by ins]t+ aft] subsection 7b7 !    

foll[+3  7c7 ,utilization ( s]vices ,ea*
 report "u subsection 7a7 %all include !
 foll[+3 7#a7 ,! numb] ( wom5 vet]ans :o
 reside 9 ea* ,/ate1 t]ritory1 or       
possession ( ! ,unit$ ,/ates4  7#b7 ,!  
numb] ( wom5 vet]ans enroll$ 9 ! sy/em (
 annual pati5t enrollm5t ( ! ,dep>tm5t  
e/abli%$ & op]at$ "u section #agje7;a7 (
 ?is title1 disaggregat$ by-- 7,a7      
,/ate1 t]ritory1 or possession ( !      
,unit$ ,/ates2 &  7,b7 m$ical facility (
 ! ,dep>tm5t at :i* ! vet]an is regi/]$4
  7#c7 ,! numb] ( wom5 vet]ans newly    
enroll$ 9 su* sy/em s9ce ! submittal ( !
 previ\s report "u subsection 7a71      
disaggregat$ by ,/ate1 t]ritory1 or     
possession ( ! ,unit$ ,/ates4  7#d7 ,( !
 wom5 vet]ans enroll$ 9 su* sy/em1 !    
numb] :o receiv$ heal? c>e "u ! laws    
adm9i/]$ by ! ,secret>y at lea/ once    
dur+ ! "o-ye> p]iod prec$+ ! submittal (
 ! report4  7#e7 ,! numb] ( unique wom5 
vet]ans :o receiv$ heal? c>e at ea*     
m$ical facility ( ! ,dep>tm5t dur+ su*  
"o-ye> p]iod1 disaggregat$ by facility4 

7#f7 ,! numb] ( appo9tm5ts complet$ by  
wom5 vet]ans at m$ical facilities ( !   
,dep>tm5t dur+ su* "o-ye> p]iod1        
disaggregat$ by-- 7,a7 m$ical facility2 
7,b7 type ( c>e1 includ+-- 7i7 prim>y   
c>e2  7ii7 specialty c>e2 &  7iii7 m5tal
 heal? c>e2 &  7,c7 modality ( c>e1     
includ+-- 7i7 9-p]son c>e2 &  7ii7 c>e  
furni%$ ?r\gh ! use ( teleheal?4  7#g7  
,a summ>y ( ! geographic di/ribution (  
heal? c>e furni%$ by ! ,dep>tm5t to wom5
 vet]ans1 includ+ any significant       
geographic tr5ds 9 enrollm5t or         
utilization4  7#h7 ,an assessm5t (      
utilization ( heal? c>e furni%$ by !    
,dep>tm5t to wom5 vet]ans1 disaggregat$1
 to ! ext5t practicable1 by-- 7,a7 age2 
7,b7 era ( s]vice2 &  7,c7 milit>y      
occupational specialty or o!r comp>able 
c>e] specialty 9 ! ,arm$ ,=ces4  7#i7 ,a
 summ>y (-- 7,a7 enrollm5t ( wom5       
vet]ans 91 & utilization by wom5 vet]ans
 (1 ,c5t]s ( ,excell5ce ( ! ,dep>tm5t2 &
  7,b7 p>ticipation by wom5 vet]ans 9   
cl9ical1 disease1 & exposure-bas$       

condition regi/ries ( ! ,dep>tm5t4      
7#aj7 ,an id5tification (-- 7,a7 !      
m$ical facility ( ! ,dep>tm5t 9 ea*     
,vet]ans ,integrat$ ,s]vice ,network ) !
 greate/ rate ( increase 9 ! population 
( wom5 vet]an pati5ts1 z measur$ by !   
*ange 9 unique wom5 vet]an pati5t       
utilization s9ce ! previ\s report+      
p]iod2 &  7,b7 ! m$ical facility ( !    
,dep>tm5t 9 ea* ,vet]ans ,integrat$     
,s]vice ,network ) ! greate/ rate (     
decrease 9 ! population ( wom5 vet]an   
pati5ts1 z measur$ by ! *ange 9 unique  
wom5 vet]an pati5t utilization s9ce !   
previ\s report+ p]iod4  7#aa7 ,a        
comp>ison ( ! in=mation requir$ "u      
p>agraphs 7#a7 ?r\gh 7#aj7 ) !          
correspond+ in=mation f previ\s report+ 
p]iods1 to ! ext5t su* in=mation is     
available4  7d7 ,access to              
g5d]-,specific s]vices  7#a7 ,ea* report
 "u subsection 7a7 %all include an      
analysis ( ! access ( wom5 vet]ans to & 
! use by wom5 vet]ans ( g5d]-specific   
s]vices-- 7,a7 furni%$ by ! ,dep>tm5t at

 ,dep>tm5t facilities2 &  7,b7 furni%$  
by ! ,dep>tm5t "u contracts1 agreem5ts1 
or o!r arrangem5ts ) non-,dep>tm5t      
m$ical provid]s ent]$ into by !         
,secret>y = ! provision ( hospital c>e  
or m$ical s]vices to vet]ans4  7#b7 ,!  
analysis "u p>agraph 7#a7 %all include  
data & p]=mance measures = !            
availability ( g5d]-specific s]vices1   
disaggregat$ by s]vices describ$ 9      
subp>agraphs 7,a7 & 7,b71 includ+-- 7,a7
 ! av]age wait "t betwe5 ! pref]r$      
appo9tm5t date ( ! vet]an & ! date on   
:i* ! appo9tm5t is complet$2  7,b7 !    
av]age driv+ "t requir$ = vet]ans to    
att5d appo9tm5ts2  7,c7 reasons :y      
appo9tm5ts c\ld n be s*$ul$ )           
non-,dep>tm5t m$ical provid]s2 &  7,d7 !
 numb] ( wom5 vet]ans utiliz+           
non-,dep>tm5t c>e4  2  7#e7 by ins]t+   
aft] subsection 7e71 z r$esignat$ by    
p>agraph 7#c71 ! foll[+3  7f7 ,o!r c>e  
items ,ea* report "u subsection 7a7 %all
 include a description ( ! foll[+3 7#a7 
,! ref]ral process1 timel9ess1 &        

effectiv5ess ( ref]rals to prim>y or    
specialty c>e = ! provision (           
g5d]-specific s]vices by provid]s ( !   
,dep>tm5t4  7#b7 ,! ref]ral process1    
timel9ess1 & effectiv5ess ( ref]rals to 
prim>y or specialty c>e = ! provision ( 
g5d]-specific s]vices by non-,dep>tm5t  
provid]s4  7#c7 ,! utilization &        
effectiv5ess ( ! self-ref]ral gynecology
 appo9tm5t process ( ! ,dep>tm5t1 or any
 successor simil> process4  7#d7        
,me*anisms ( ! ,dep>tm5t to provide     
ov]sight ( c>e quality & timel9ess      
reg>d+ g5d]-specific s]vices4  7#e7     
,utilization by wom5 vet]ans ( ,c5t]s ( 
,excell5ce ( ! ,dep>tm5t1 includ+       
regi/ration & actual appo9tm5ts s]v$4   
7#f7 ,heal? c>e s\ght by wom5 vet]ans   
relat+ to exposure to toxic sub/ances1  
includ+ an id5tification ( ! presumptive
 location1 type ( exposure1 & type (    
disease treat$4  2  7#f7 9 subsection   
7g71 z s r$esignat$-- 7,a7 9 ! matt]    
prec$+ p>agraph 7#a71 by /rik+ p>agraph 
7#d7 & ins]t+ p>agraph 7#e72  7,b7 by   

r$esignat+ p>agraphs 7#d7 ?r\gh 7#f7 z  
p>agraphs 7#e7 ?r\gh 7#g72  7,c7 by     
ins]t+ aft] p>agraph 7#c7 ! foll[+3     
7#d7 ,! numb] ( full- & "p-"t specializ$
 provid]s ( ! ,dep>tm5t :o provide      
g5d]-specific s]vices1 disaggregat$ by  
g5d]-specific s]vice4  2 &  7,d7 by add+
 at ! end ! foll[+3  7#h7 ,vacant       
positions = designat$ wom5's heal? c>e  
provid]s1 disaggregat$ by m$ical c5t] ( 
! ,dep>tm5t1 includ+ an assessm5t (     
b>ri]s exp]i5c$ by ! ,dep>tm5t :5 hir+  
su* provid]s & an assessm5t ( active    
ef=ts by ! ,dep>tm5t to address su*     
vacancies4  7#i7 ,any positions relat+  
to wom5's heal? t h be5 realign$1       
remov$1 or are o!rwise no long] d$icat$ 
to provid+ g5d]-specific s]vices s9ce ! 
submittal ( ! previ\s report1 includ+ an
 id5tification ( ! facilities at :i* ^? 
positions 7 locat$4  7#aj7 ,provid]     
tra9+ /&>ds = ! provision (             
g5d]-specific s]vices4  7#aa7 ,tra9+    
(f]$ by ! ,dep>tm5t = community c>e     
provid]s1 includ+ ! numb] ( community   

c>e provid]s :o provide g5d]-specific   
s]vices :o h receiv$ c]tifi$ tra9+ =    
cultural compet5cy1 suicide prev5tion1  
le?al means safety tra9+1 milit>y sexual
 trauma tra9+1 & any o!r tra9+ !        
,dep>tm5t (f]s or requires ( provid]s ( 
g5d]-specific s]vices4  2  7#g7 by      
ins]t+ aft] subsection 7h71 z s         
r$esignat$1 ! foll[+3  7i7 ,ov]sight ( !
 ,deborah ,sampson ,act ,ea* report "u  
subsection 7a7 %all include a           
description ( ! ef=ts ( ! ,dep>tm5t 9   
implem5t+ sections #eajd1 #eajg1 #eajh1 
#ecjb1 & #ecje ( ! ,deborah ,sampson    
,act ( #bjbj 7title ,v ( ,public ,law   
#aaf-cae2 #acd ,/at4 #ejba71 includ+ !  
am5dm5ts made by ^? sections4  7j7      
,unique diseases ,ea* report "u         
subsection 7a7 %all include a           
description (-- 7#a7 em]g+ diseases &   
o!r m$ical conditions affect+ wom5      
vet]ans & ! ability ( ! ,dep>tm5t to    
provide treatm5t = su* diseases & o!r   
m$ical conditions2 &  7#b7 exi/+        
diseases & o!r m$ical conditions unique 

to wom5 vet]ans1 ! rate at :i* !        
,dep>tm5t is diagnos+ & treat+ su*      
diseases & o!r m$ical conditions1 & !   
numb] ( claims = b5efits relat+ to su*  
diseases & o!r m$ical conditions1       
includ+ ! numb] ( su* claims subject to 
appeal & ! outcomes ( su* appeals4  7k7 
,vet]ans ,b5efits ,adm9i/ration data    
7#a7 ,ea* report "u subsection 7a7 %all 
include1 to ! ext5t practicable-- 7,a7  
data collect$ 9 connection ) reports on 
claims = b5efits "u ! laws adm9i/]$ by !
 ,secret>y submitt$ by wom5 vet]ans =   
adjudication relat+ to em]g+ diseases or
 o!r m$ical conditions1 includ+-- 7i7 ! 
numb] ( su* claims2  7ii7 ! ratio (     
favorable & unfavorable adjudications2  
7iii7 ! numb] ( su* claims = :i* a      
high]-level review is reque/$1 a        
supplem5tal claim is fil$1 or an appeal 
to ! ,bo>d ( ,vet]ans' ,appeals is      
initiat$2 &  7iv7 ! outcomes ( ^?       
reviews & appeals2 &  7,b7 in=mation    
reg>d+ ! utilization by wom5 vet]ans (  
b5efits adm9i/]$ by ! ,vet]ans ,b5efits 

,adm9i/ration1 includ+-- 7i7 ! numb] (  
wom5 vet]ans :o are us+ or h us$        
educational assi/ance "u ! laws adm9i/]$
 by ! ,secret>y2  7ii7 ! numb] ( wom5   
vet]ans :o are receiv+ or h receiv$     
s]vices or assi/ance "u *apt] #ca ( ?is 
title2  7iii7 ) respect to comp5sation  
"u *apt] #aa ( ?is title-- 7,i7 ! numb] 
( wom5 vet]ans receiv+ disability       
comp5sation2  7,,ii7 ! numb] ( wom5     
vet]ans ) p5d+ claims = disability      
comp5sation2  7,,iii7 ! numb] ( wom5    
vet]ans ^: claims = disability          
comp5sation 7 d5i$ dur+ ! report+ p]iod2
  7,,iv7 ! av]age disability rat+ = wom5
 vet]ans receiv+ comp5sation2 &  7,v7   
su* o!r in=mation z ! ,secret>y det]m9es
 appropriate reg>d+ ! use by wom5       
vet]ans ( b5efits adm9i/]$ by ! ,vet]ans
 ,b5efits ,adm9i/ration4  7#b7 ,to !    
ext5t practicable1 ! in=mation requir$  
"u ?is subsection %all be disaggregat$  
by age1 era ( s]vice1 & o!r demographic 
*>act]i/ics z ! ,secret>y det]m9es      
appropriate4  7l7 ,consolidation (      

reports  7#a7 ,subject to p>agraph 7#b71
 ! ,secret>y may consolidate into !     
report "u subsection 7a7 o!r reports    
requir$ by law if-- 7,a7 su*            
consolidation w n delay ! deliv]y by !  
,dep>tm5t ( ! report "u subsection 7a7  
or any o!r report by m ?an #cj days2 &  
7,b7 all in=mation requir$ = ! o!r      
report is address$ 9 ! report "u        
subsection 7a74  7#b7 ,! ,secret>y may n
 take any action "u p>agraph 7#a7 to    
consolidate reports until ! date t is   
#de days aft] ! ,secret>y submits to !  
appropriate congressional committees a  
report t describes ! propos$            
consolidation & ! reasons = su* propos$ 
consolidation4  2 &  7#h7 9 subsection  
7m71 z s r$esignat$1 by am5d+ p>agraph  
7#b7 to read z foll[s3  7#b7 ,! t]m     
g5d]-specific s]vices means reproductive
 heal? s]vices1 specializ$ m5tal heal?  
s]vices1 c\nsel+ & treatm5t = milit>y   
sexual trauma1 gynecological c>e1       
mat]nity c>e1 ov>ian canc] c>e1 brea/   
canc] c>e1 c]vical canc] c>e1           

endometrial canc] c>e1 ?yroid canc] c>e1
 mammography1 ob/etric c>e1 ut]9e canc] 
c>e1 fallopian tube canc] c>e1 prim>y   
p]itoneal canc] c>e1 vag9al canc] c>e1  
vulv> canc] c>e1 ge/ational trophobla/ic
 neoplasia c>e1 c>e relat+ to o!r       
preval5t diseases & conditions affect+  
wom5 vet]ans1 & su* o!r s]vices z !     
,secret>y det]m9es appropriate4  4