,,ii ,cal5d> ,no4 #bgi #aai? ,,congress 
#a/ ,session  ,s4 #ghg ,report ,no4     
#aai-ih ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ 
,,/ates  ,febru>y #bg1 #bjbe,mr4        
,cassidy 7= himself1 ,ms4 ,hirono1 &    
,mr4 ,moran7 introduc$ ! foll[+ bill2   
:i* 0 read twice & ref]r$ to !          
,committee on ,vet]ans' ,affairs        
,decemb] #b1 #bjbe,report$ by ,mr4      
,moran1 ) an amendment,strike out all   
aft] ! enact+ clause & ins]t ! "p pr9t$ 
9 italic  ,a ,,bill  ,to am5d title #ch1
 ,unit$ ,/ates ,code1 to e/abli% a      
commission to review op]ations at !     
,vet]ans ,heal? ,adm9i/ration & submit  
to ,congress reports ) respect to t     
review1 & = o!r purposes4  #a4 ,%ort    
title ,?is ,act may be cit$ z !         
,vet,p,a,c ,act ( #bjbe4  #b4           
,e/abli%m5t ( ,vet]ans ,heal?           
,adm9i/ration ,policy ,advisory         
,commission  7a7 ,9 g5]al ,sub*apt] ,i (
 *apt] #gc ( title #ch1 ,unit$ ,/ates   
,code1 is am5d$ by add+ at ! end !      
foll[+ new section3  #gcaj;,b4 ,vet]ans 

,heal? ,adm9i/ration ,policy ,advisory  
,commission  7a7 ,e/abli%m5t ,!re is    
e/abli%$ ! ,vet]ans ,heal? ,adm9i/ration
 ,policy ,advisory ,commission 79 ?is   
section ref]r$ to z ! ,commission74  7b7
 ,memb]%ip  7#a7 ,composition ,!        
,commission %all be compos$ ( #ag memb]s
 appo9t$ by ! ,comptroll] ,g5]al ( !    
,unit$ ,/ates1 ( :i* n few] ?an #b %all 
be vet]ans4  7#b7 ,qualifications  7,a7 
,9 g5]al ,an individual is eligible =   
appo9tm5t to ! ,commission "u p>agraph  
7#a7 if ! individual has significant    
exp]tise 9 op]at+ or advis+ l>ge m$ical 
sy/ems1 includ+ exp]tise 9 quality (    
c>e1 /aff+ issues1 in=mation te*nology1 
artificial intellig5ce 9 heal? c>e1     
m$ical supply *a9s1 procurem5t ( m$ical 
supplies1 m$ical facility con/ruction or
 leas+1 m$ical facility ar*itecture or  
eng9e]+1 m$ical rese>*1 & manag$ c>e    
plans & networks4  7,b7 ,exp]i5ce (     
memb]s ,9 appo9t+ memb]s "u p>agraph    
7#a71 ! ,comptroll] ,g5]al %all select  
individuals f backgr\nds t reflect !    

broad div]sity ( heal? c>e receiv$ by   
vet]ans1 includ+ nonpr(it heal? sy/ems1 
public & private heal? sy/ems1 c>e      
furni%$ by ! ,vet]ans ,heal?            
,adm9i/ration1 & c>e furni%$ by !       
,dep>tm5t ( ,def5se4  7#c7 ,e?ical      
disclosure ,a memb] ( ! ,commission %all
 be consid]$ an employee ( ,congress ^: 
comp5sation is disburs$ by ! ,secret>y (
 ! ,s5ate = purposes ( apply+ sub*apt]  
,i ( *apt] #aca ( title #e1 ,unit$      
,/ates ,code1 except t a memb] ( !      
,commission is requir$ to file public   
f9ancial disclosure reports )\t reg>d to
 _! numb] ( days ( s]vice or rate ( pay4
  7c7 ,p]iod ( appo9tm5t2 vacancies     
7#a7 ,t]ms ,a memb] ( ! ,commission %all
 be appo9t$ "u subsection 7b77#a7 = a   
t]m ( #e ye>s1 except t ! ,comptroll]   
,g5]al %all designate /agg]$ t]ms = !   
memb]s fir/ appo9t$4  7#b7 ,vacancies   
7,a7 ,9 g5]al ,a vacancy on !           
,commission %all be fill$ 9 ! mann] 9   
:i* ! orig9al appo9tm5t 0 made & %all be
 subject to any conditions t appli$ )   

respect to ! orig9al appo9tm5t4  7,b7   
,fill+ unexpir$ t]m ,an individual *os5 
to fill a vacancy %all be appo9t$ = !   
unexpir$ t]m ( ! memb] replac$4  7#c7   
,expiration ( t]ms ,! t]m ( any memb]   
%all n expire be=e ! date on :i* !      
memb]'s successor takes (fice4  7d7     
,meet+s  7#a7 ,frequ5cy ,! ,commission  
%all meet at ! call ( ! ,*airman1 b n   
less frequ5tly ?an once p] ye>4  7#b7   
,quorum ,a majority ( ! memb]s ( !      
,commission %all con/itute a quorum1 b a
 less] numb] ( memb]s may hold meet+s4  
7e7 ,*airman & ,vice ,*airman ,!        
,comptroll] ,g5]al %all designate "o    
memb] ( ! ,commission z ,*airman & "o   
memb] ( ! ,commission z ,vice ,*airman1 
at ! "t ( appo9tm5t ( su* memb] & = !   
t]m ( appo9tm5t ( su* memb]1 except t 9 
! case ( vacancy ( ! ,*airman%ip or     
,vice ,*airman%ip1 ! ,comptroll] ,g5]al 
may designate ano!r memb] = ! rema9d] ( 
t memb]'s t]m4  7f7 ,duties ( !         
,commission  7#a7 ,review ,! ,commission
 %all-- 7,a7 review op]ations at !      

,vet]ans ,heal? ,adm9i/ration2 &  7,b7  
prep>e reports = ,congress bas$ on su*  
review1 includ+ recomm5dations to       
,congress4  7#b7 ,topics to be review$  
,9 conduct+ a review "u p>agraph        
7#a77;,a71 ! ,commission %all include   
p]iodic reviews ( ! foll[+1 tak+ into   
consid]ation o!r indep5d5t assessm5ts 9 
select+ topics to limit duplicative     
ef=ts3 7,a7 ,in=mation te*nology        
infra/ructure at m$ical facilities ( !  
,dep>tm5t1 includ+ ) respect to         
electronic heal? record sy/ems4  7,b7   
,ref]rals to c>e at facilities ( !      
,dep>tm5t & "u ! ,vet]ans ,community    
,c>e ,program "u section #agjc ( ?is    
title1 & factors impact+ ^? ref]rals4   
7,c7 ,access & wait times at m$ical     
facilities ( ! ,dep>tm5t & "u ! ,vet]ans
 ,community ,c>e ,program1 includ+ bo?  
prim>y & specialty c>e1 & factors       
impact+ ^? wait times4  7,d7 ,! quality 
( heal? c>e furni%$ by ! ,dep>tm5t &    
?r\gh ! ,vet]ans ,community ,c>e        
,program4  7,e7 ,work=ce issues1 includ+

 work=ce p]=mance1 recruitm5t1 &        
ret5tion factors4  7,f7 ,pati5t         
satisfaction & cu/om] s]vice at m$ical  
facilities ( ! ,dep>tm5t & ?r\gh !      
,vet]ans ,community ,c>e ,program4  7,g7
 ,! tra9+ ( heal? c>e provid]s & ! /&>ds
 ( c>e at facilities ( ! ,dep>tm5t & 9 !
 ,vet]ans ,community ,c>e ,program4     
7,h7 ,! long-t]m budget>y outlook ( !   
,vet]ans ,heal? ,adm9i/ration1 z well z 
key compon5ts driv+ budget>y *anges ov] 
"t4  7,i7 ,procurem5t ( supplies at     
m$ical facilities ( ! ,dep>tm5t4  7,j7  
,! rese>* program ( ! ,dep>tm5t1 includ+
 bo? int]nal & ext]nal rese>*4  7,k7    
,hospital con/ruction1 leas+1 & capital 
requirem5ts4  7,l7 ,! int]action ( c>e  
"u ! ,m$ic>e program "u title ,,xviii ( 
! ,social ,security ,act 7#db ,u4,s4,c4 
#acie et seq471 ! ,m$icaid program "u   
title ,,xix ( su* ,act 7#db ,u4,s4,c4   
#acif et seq471 ! ,,tric>e program "u   
*apt] #ee ( title #aj1 & comm]cial heal?
 c>e plans ) c>e furni%$ by ! ,vet]ans  
,heal? ,adm9i/ration4  7#c7 ,issues     

reg>d+ vet]an heal? c>e deliv]y g5]ally 
,9 c>ry+ out ! requirem5ts ( ?is        
subsection1 ! ,commission %all review ! 
effect ( policies "u ?is title on !     
deliv]y ( heal? c>e s]vices to vet]ans &
 assess ! implications ( *anges 9 heal? 
c>e deliv]y = vet]ans 9 ! ,unit$ ,/ates4
  7#d7 ,transmittal ( c]ta9 reports ,if 
! ,secret>y or ! ,inspector ,g5]al ( !  
,dep>tm5t ( ,vet]ans ,affairs submits to
 ,congress 7or a committee ( ,congress7 
a report t is requir$ by law & t relates
 to policies = heal? c>e furni%$ "u !   
laws adm9i/]$ by ! ,secret>y1 !         
,secret>y %all transmit a copy ( t      
report to ! ,commission4  7#e7          
,consultation & additional reviews &    
/udies  7,a7 ,consultation ,9 c>ry+ out 
! requirem5ts ( ?is subsection1 !       
,commission %all consult p]iodically ) !
 *airm5 & rank+ memb]s ( ! ,committee on
 ,vet]ans' ,affairs ( ! ,s5ate & !      
,committee on ,vet]ans' ,affairs ( !    
,h\se ( ,repres5tatives reg>d+ ! ag5da (
 ! ,commission & progress t[>ds a*iev+ t

 ag5da4  7,b7 ,additional reviews &     
reports ,! ,commission may conduct      
additional reviews1 & may submit        
additional reports to ! ,committee on   
,vet]ans' ,affairs ( ! ,s5ate & !       
,committee on ,vet]ans' ,affairs ( !    
,h\se ( ,repres5tatives1 f "t to "t on  
su* topics relat+ to ! activities ( !   
,commission z may be reque/$ by !       
,*airman & memb]s & z ! ,commission     
det]m9es appropriate4  7,c7 ,special    
/udies ,! ,commission may conduct       
special /udies reque/$ by ! *airman or  
rank+ memb] ( ! ,committee on ,vet]ans' 
,affairs ( ! ,s5ate or ! ,committee on  
,vet]ans' ,affairs ( ! ,h\se (          
,repres5tatives & z ! ,commission       
det]m9es appropriate4  7#f7 ,budget>y   
consid]ations ,be=e mak+ any            
recomm5dations to ,congress1 !          
,commission %all exam9e ! budget        
consequ5ces ( su* recomm5dations1       
directly or ?r\gh consultation )        
appropriate exp]t entities4  7#g7       
,report  7,a7 ,9 g5]al ,by n lat] ?an   

,m>* #ae ( ea* ye>1 ! ,commission %all  
submit to ,congress a report conta9+ !  
results & recomm5dations f ! review     
conduct$ "u p>agraph 7#a74  7,b7        
,inclusion ( recomm5dations ,a          
recomm5dation may be includ$ 9 a report 
"u subp>agraph 7,a7 if a simple majority
 ( ! memb]s ( ! ,commission vote to     
include ! recomm5dation 9 ! report4  7g7
 ,p[]s ( ,commission  7#a7 ,9 g5]al ,!  
,commission may-- 7,a7 employ & fix !   
comp5sation ( an ,executive ,director   
7at a rate ( pay n great] ?an t provid$ 
= level ,,iii ( ! ,executive ,s*$ule "u 
section #ecad ( title #e7 & su* o!r     
p]sonnel z may be necess>y to c>ry out !
 duties ( ! ,commission1 )\t reg>d to ! 
provisions ( title #e gov]n+ appo9tm5ts 
9 ! competitive s]vice2  7,b7 seek su*  
assi/ance & support z may be requir$ 9 !
 p]=mance ( its duties f appropriate    
dep>tm5ts & ag5cies ( ! ,unit$ ,/ates or
 dep>tm5ts or ag5cies ( a ,/ate2  7,c7  
ent] into contracts or make o!r         
arrangem5ts1 z may be necess>y = !      

conduct ( ! "w ( ! ,commission 7)\t     
reg>d to section #cgji ( ! ,revis$      
,/atutes 7#da ,u4,s4,c4 #faja772  7,d7  
make advance1 progress1 & o!r paym5ts t 
relate to ! "w ( ! ,commission2  7,e7   
provide transportation & subsi/5ce =    
individuals s]v+ ! ,commission )\t      
comp5sation2 &  7,f7 prescribe su* rules
 & regulations z ! ,commission det]m9es 
necess>y ) respect to ! int]nal         
organization & op]ation ( ! ,commission4
  7#b7 ,data collection ,9 ord] to c>ry 
out its functions1 ! ,commission %all-- 
7,a7 utilize exi/+ in=mation1 bo?       
publi%$ & unpubli%$1 if possible1       
collect$ & assess$ ei!r by its own /aff 
or "u o!r arrangem5ts made 9 accordance 
) ?is section2  7,b7 c>ry out1 or aw>d  
grants or contracts =1 orig9al rese>* & 
exp]im5tation1 if exi/+ in=mation is    
inadequate2 &  7,c7 adopt proc$ures     
all[+ any int]e/$ p>ty to submit        
in=mation = use by ! ,commission 9 mak+ 
reports & recomm5dations4  7#c7         
,in=mation f ,f$]al ag5cies  7,a7 ,9    

g5]al ,! ,commission may secure directly
 f any relevant dep>tm5t or ag5cy ( !   
,unit$ ,/ates heal? c>e in=mation !     
,*airman det]m9es w\ld be helpful to    
enable ! ,commission to c>ry out ?is    
section4  7,b7 ,tim+ ,^u reque/ ( !     
,*airman1 ! head ( a dep>tm5t or ag5cy (
 ! ,unit$ ,/ates %all furni% in=mation  
reque/$ "u subp>agraph 7,a7 to !        
,commission on an agre$ ^u s*$ule or n  
lat] ?an #ahj days aft] ! date ( !      
reque/4  7h7 ,comp5sation  7#a7 ,memb]s 
7,a7 ,9 g5]al ,:ile conduct+ ! bus9ess (
 ! ,commission 7includ+ travel "t71 a   
memb] ( ! ,commission %all be entitl$ to
 comp5sation at ! p] diem equival5t ( ! 
rate provid$ = level ,,iv ( ! ,executive
 ,s*$ule "u section #ecae ( title #e4   
7,b7 ,travel exp5ses ,:ile conduct+ !   
bus9ess ( ! ,commission away f home & ! 
regul> place ( bus9ess ( ! memb]1 a     
memb] may be all[$ travel exp5ses1 z    
au?oriz$ by ! ,*airman4  7#b7 ,physician
 comp>ability all[ance = p]sonnel ,!    
,commission may provide a physician     

comp>ability all[ance to physicians s]v+
 z p]sonnel ( ! ,commission 9 ! same    
mann] z physicians ( ! ,f$]al ,gov]nm5t 
may be provid$ su* an all[ance by an    
ag5cy "u section #eidh ( title #e1 & =  
su* purpose1 subsection 7i7 ( su*       
section %all apply to ! ,commission 9 ! 
same mann] z x applies to ! ,t5nessee   
,valley ,au?ority4  7#c7 ,treatm5t (    
p]sonnel ,= purposes ( pay 7o!r ?an pay 
( memb]s ( ! ,commission7 & employm5t   
b5efits1 rights1 & privileges1 all      
p]sonnel ( ! ,commission %all be treat$ 
z if !y 7 employees ( ! ,unit$ ,/ates   
,s5ate4  7i7 ,detail ( ,f$]al employees 
,an employee ( ! ,f$]al ,gov]nm5t may be
 detail$ to ! ,commission )\t           
reimbursem5t & )\t int]ruption or loss (
 civil s]vice /atus or privileges4  7j7 
,access ( congressional support ag5cies 
to in=mation ,! ,commission %all provide
 to ! ,comptroll] ,g5]al1 !             
,congressional ,rese>* ,s]vice1 & !     
,congressional ,budget ,(fice unre/rict$
 access to all delib]ations1 records1 & 

nonpropriet>y data ( ! ,commission n    
lat] ?an #cj days aft] su* access is    
reque/$4  7k7 ,au?orization (           
appropriations  7#a7 ,reque/ =          
appropriations ,! ,commission %all      
submit reque/s = appropriations 9 ! same
 mann] z ! ,comptroll] ,g5]al submits   
reque/s = appropriations1 b am\nts      
appropriat$ = ! ,commission %all be     
sep>ate f am\nts appropriat$ = !        
,comptroll] ,g5]al4  7#b7 ,au?orization 
,!re are au?oriz$ to be appropriat$ su* 
sums z may be necess>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 #gcaj;,a ! foll[+ new item3  
#gcaj;,b4 ,vet]ans ,heal? ,adm9i/ration 
,policy ,advisory ,commission4  4  7c7  
,initial appo9tm5t ,n lat] ?an #bhj days
 aft] ! date on :i* am\nts are fir/     
appropriat$ to ! ,vet]ans ,heal?        
,adm9i/ration ,policy ,advisory         
,commission e/abli%$ "u section #gcaj;,b
 ( title #ch1 ,unit$ ,/ates ,code1 z    

add$ by subsection 7a71 ! ,comptroll]   
,g5]al ( ! ,unit$ ,/ates %all make      
initial appo9tm5ts ( memb]s to !        
,commission "u subsection 7b77#a7 ( su* 
section4  #a4 ,%ort title ,?is ,act may 
be cit$ z ! ,vet,p,a,c ,act ( #bjbe4    
#b4 ,e/abli%m5t ( ,vet]ans ,heal?       
,adm9i/ration ,policy ,advisory         
,commission  7a7 ,9 g5]al ,*apt] #a (   
title #ch1 ,unit$ ,/ates ,code1 is am5d$
 by add+ at ! end ! foll[+ new section3 
#abj4 ,vet]ans ,heal? ,adm9i/ration     
,policy ,advisory ,commission  7a7      
,e/abli%m5t ,!re is e/abli%$ ! ,vet]ans 
,heal? ,adm9i/ration ,policy ,advisory  
,commission 79 ?is section ref]r$ to z !
 ,commission74  7b7 ,memb]%ip  7#a7     
,composition ,! ,commission %all be     
compos$ ( #ag memb]s appo9t$ by !       
,comptroll] ,g5]al ( ! ,unit$ ,/ates1 ( 
:i* n few] ?an #b %all be vet]ans4  7#b7
 ,qualifications  7,a7 ,9 g5]al ,an     
individual is eligible = appo9tm5t to ! 
,commission "u p>agraph 7#a7 if !       
individual has significant exp]tise 9   

op]at+ or advis+ l>ge m$ical sy/ems1    
includ+ exp]tise 9 quality ( c>e1 /aff+ 
issues1 in=mation te*nology1 artificial 
intellig5ce 9 heal? c>e1 m$ical supply  
*a9s1 procurem5t ( m$ical supplies1     
m$ical facility con/ruction or leas+1   
m$ical facility ar*itecture or eng9e]+1 
m$ical rese>*1 & manag$ c>e plans &     
networks4  7,b7 ,exp]i5ce ( memb]s ,9   
appo9t+ memb]s "u p>agraph 7#a71 !      
,comptroll] ,g5]al %all select          
individuals f backgr\nds t reflect !    
broad div]sity ( heal? c>e receiv$ by   
vet]ans1 includ+ nonpr(it heal? sy/ems1 
public & private heal? sy/ems1 c>e      
furni%$ by ! ,vet]ans ,heal?            
,adm9i/ration1 & c>e furni%$ by !       
,dep>tm5t ( ,def5se4  7#c7 ,e?ical      
disclosure ,a memb] ( ! ,commission %all
 be consid]$ an employee ( ,congress ^: 
comp5sation is disburs$ by ! ,secret>y (
 ! ,s5ate = purposes ( apply+ sub*apt]  
,i ( *apt] #aca ( title #e1 ,unit$      
,/ates ,code1 except t a memb] ( !      
,commission is requir$ to file public   

f9ancial disclosure reports )\t reg>d to
 _! numb] ( days ( s]vice or rate ( pay4
  7c7 ,p]iod ( appo9tm5t2 vacancies     
7#a7 ,t]ms ,a memb] ( ! ,commission %all
 be appo9t$ "u subsection 7b77#a7 = a   
t]m ( #e ye>s1 except t ! ,comptroll]   
,g5]al %all designate /agg]$ t]ms = !   
memb]s fir/ appo9t$4  7#b7 ,vacancies   
7,a7 ,9 g5]al ,a vacancy on !           
,commission %all be fill$ 9 ! mann] 9   
:i* ! orig9al appo9tm5t 0 made & %all be
 subject to any conditions t appli$ )   
respect to ! orig9al appo9tm5t4  7,b7   
,fill+ unexpir$ t]m ,an individual *os5 
to fill a vacancy %all be appo9t$ = !   
unexpir$ t]m ( ! memb] replac$4  7#c7   
,expiration ( t]ms ,! t]m ( any memb]   
%all n expire be=e ! date on :i* !      
memb]'s successor takes (fice4  7d7     
,meet+s  7#a7 ,frequ5cy ,! ,commission  
%all meet at ! call ( ! ,*airman1 b n   
less frequ5tly ?an once p] ye>4  7#b7   
,quorum ,a majority ( ! memb]s ( !      
,commission %all con/itute a quorum1 b a
 less] numb] ( memb]s may hold meet+s4  

7e7 ,*airman & ,vice ,*airman ,!        
,comptroll] ,g5]al %all designate "o    
memb] ( ! ,commission z ,*airman & "o   
memb] ( ! ,commission z ,vice ,*airman1 
at ! "t ( appo9tm5t ( su* memb] & = !   
t]m ( appo9tm5t ( su* memb]1 except t 9 
! case ( vacancy ( ! ,*airman%ip or     
,vice ,*airman%ip1 ! ,comptroll] ,g5]al 
may designate ano!r memb] = ! rema9d] ( 
t memb]'s t]m4  7f7 ,duties ( !         
,commission  7#a7 ,review ,! ,commission
 %all-- 7,a7 review op]ations at !      
,vet]ans ,heal? ,adm9i/ration2 &  7,b7  
prep>e reports = ,congress bas$ on su*  
review1 includ+ recomm5dations to       
,congress4  7#b7 ,topics to be review$  
,9 conduct+ a review "u p>agraph        
7#a77;,a71 ! ,commission %all include   
p]iodic reviews ( ! foll[+1 tak+ into   
consid]ation o!r indep5d5t assessm5ts 9 
select+ topics to limit duplicative     
ef=ts3 7,a7 ,in=mation te*nology        
infra/ructure at m$ical facilities ( !  
,dep>tm5t1 includ+ ) respect to         
electronic heal? record sy/ems4  7,b7   

,ref]rals to c>e at facilities ( !      
,dep>tm5t & "u ! ,vet]ans ,community    
,c>e ,program "u section #agjc ( ?is    
title1 & factors impact+ ^? ref]rals4   
7,c7 ,access & wait times at m$ical     
facilities ( ! ,dep>tm5t & "u ! ,vet]ans
 ,community ,c>e ,program1 includ+ bo?  
prim>y & specialty c>e1 & factors       
impact+ ^? wait times4  7,d7 ,! quality 
( heal? c>e furni%$ by ! ,dep>tm5t &    
?r\gh ! ,vet]ans ,community ,c>e        
,program4  7,e7 ,work=ce issues1 includ+
 work=ce p]=mance1 recruitm5t1 &        
ret5tion factors4  7,f7 ,pati5t         
satisfaction & cu/om] s]vice at m$ical  
facilities ( ! ,dep>tm5t & ?r\gh !      
,vet]ans ,community ,c>e ,program4  7,g7
 ,! tra9+ ( heal? c>e provid]s & ! /&>ds
 ( c>e at facilities ( ! ,dep>tm5t & 9 !
 ,vet]ans ,community ,c>e ,program4     
7,h7 ,! long-t]m budget>y outlook ( !   
,vet]ans ,heal? ,adm9i/ration1 z well z 
key compon5ts driv+ budget>y *anges ov] 
"t4  7,i7 ,procurem5t ( supplies at     
m$ical facilities ( ! ,dep>tm5t4  7,j7  

,! rese>* program ( ! ,dep>tm5t1 includ+
 bo? int]nal & ext]nal rese>*4  7,k7    
,hospital con/ruction1 leas+1 & capital 
requirem5ts4  7,l7 ,! int]action ( c>e  
"u ! ,m$ic>e program "u title ,,xviii ( 
! ,social ,security ,act 7#db ,u4,s4,c4 
#acie et seq471 ! ,m$icaid program "u   
title ,,xix ( su* ,act 7#db ,u4,s4,c4   
#acif et seq471 ! ,,tric>e program "u   
*apt] #ee ( title #aj1 & comm]cial heal?
 c>e plans ) c>e furni%$ by ! ,vet]ans  
,heal? ,adm9i/ration4  7#c7 ,use ( exi/+
 data ,9 c>ry+ out ! requirem5ts ( ?is  
subsection1 ! ,commission1 to ! ext5t   
practicable1 %all use exi/+ data t has  
be5 compil$ by ! ,dep>tm5t1 compil$ = ! 
,dep>tm5t1 or pur*as$ by ! ,dep>tm5t1   
includ+-- 7,a7 data describ$ 9          
subsection 7c77#a7 ( section #agjd;,a ( 
?is title2 &  7,b7 ! results ( !        
indep5d5t assessm5ts conduct$ "u su*    
section4  7#d7 ,issues reg>d+ vet]an    
heal? c>e deliv]y g5]ally ,9 c>ry+ out !
 requirem5ts ( ?is subsection1 !        
,commission %all review ! effect (      

policies "u ?is title on ! deliv]y (    
heal? c>e s]vices to vet]ans & assess ! 
implications ( *anges 9 heal? c>e       
deliv]y = vet]ans "u ! laws adm9i/]$ by 
! ,secret>y4  7#e7 ,transmittal ( c]ta9 
reports ,if ! ,secret>y or ! ,inspector 
,g5]al ( ! ,dep>tm5t ( ,vet]ans ,affairs
 submits to ,congress 7or a committee ( 
,congress7 a report t is requir$ by law 
& t relates to policies = heal? c>e     
furni%$ "u ! laws adm9i/]$ by !         
,secret>y1 ! ,secret>y %all transmit a  
copy ( t report to ! ,commission4  7#f7 
,consultation & additional reviews &    
/udies  7,a7 ,consultation ,9 c>ry+ out 
! requirem5ts ( ?is subsection1 !       
,commission %all consult p]iodically ) !
 *airm5 & rank+ memb]s ( ! ,committee on
 ,vet]ans' ,affairs ( ! ,s5ate & !      
,committee on ,vet]ans' ,affairs ( !    
,h\se ( ,repres5tatives reg>d+ ! ag5da (
 ! ,commission & progress t[>ds a*iev+ t
 ag5da4  7,b7 ,additional reviews &     
reports ,! ,commission may conduct      
additional reviews1 & may submit        

additional reports to ! ,committee on   
,vet]ans' ,affairs ( ! ,s5ate & !       
,committee on ,vet]ans' ,affairs ( !    
,h\se ( ,repres5tatives1 f "t to "t on  
su* topics relat+ to ! activities ( !   
,commission z may be reque/$ by !       
,*airman & memb]s & z ! ,commission     
det]m9es appropriate4  7,c7 ,special    
/udies ,! ,commission may conduct       
special /udies reque/$ by ! *airman or  
rank+ memb] ( ! ,committee on ,vet]ans' 
,affairs ( ! ,s5ate or ! ,committee on  
,vet]ans' ,affairs ( ! ,h\se (          
,repres5tatives & z ! ,commission       
det]m9es appropriate4  7#g7 ,coord9ation
 ,9 c>ry+ out reviews1 prep>+ reports1 &
 conduct+ /udies "u ?is section1 !      
,commission %all1 to ! ext5t            
practicable1 coord9ate ) ! ,inspector   
,g5]al ( ! ,dep>tm5t to ensure ! "w ( ! 
,commission does n int]f]e )            
inve/igations or rem$iations und]way by 
! ,inspector ,g5]al4  7#h7 ,budget>y    
consid]ations ,be=e mak+ any            
recomm5dations to ,congress1 !          

,commission %all exam9e ! budget        
consequ5ces ( su* recomm5dations1       
directly or ?r\gh consultation )        
appropriate exp]t entities4  7#i7       
,report  7,a7 ,9 g5]al ,by n lat] ?an   
,m>* #ae ( ea* ye>1 ! ,commission %all  
submit to ,congress a report conta9+ !  
results & recomm5dations f ! review     
conduct$ "u p>agraph 7#a74  7,b7        
,inclusion ( recomm5dations ,a          
recomm5dation may be includ$ 9 a report 
"u subp>agraph 7,a7 if a simple majority
 ( ! memb]s ( ! ,commission vote to     
include ! recomm5dation 9 ! report4  7g7
 ,p[]s ( ,commission  7#a7 ,9 g5]al ,!  
,commission may-- 7,a7 employ & fix !   
comp5sation ( an ,executive ,director   
7at a rate ( pay n great] ?an t provid$ 
= level ,,iii ( ! ,executive ,s*$ule "u 
section #ecad ( title #e7 & su* o!r     
p]sonnel z may be necess>y to c>ry out !
 duties ( ! ,commission1 )\t reg>d to ! 
provisions ( title #e gov]n+ appo9tm5ts 
9 ! competitive s]vice2  7,b7 seek su*  
assi/ance & support z may be requir$ 9 !

 p]=mance ( its duties f appropriate    
dep>tm5ts & ag5cies ( ! ,unit$ ,/ates or
 dep>tm5ts or ag5cies ( a ,/ate2  7,c7  
ent] into contracts or make o!r         
arrangem5ts1 z may be necess>y = !      
conduct ( ! "w ( ! ,commission 7)\t     
reg>d to section #cgji ( ! ,revis$      
,/atutes 7#da ,u4,s4,c4 #faja772  7,d7  
make advance1 progress1 & o!r paym5ts t 
relate to ! "w ( ! ,commission2  7,e7   
provide transportation & subsi/5ce =    
individuals s]v+ ! ,commission )\t      
comp5sation2 &  7,f7 prescribe su* rules
 & regulations z ! ,commission det]m9es 
necess>y ) respect to ! int]nal         
organization & op]ation ( ! ,commission4
  7#b7 ,data collection ,9 ord] to c>ry 
out its functions1 ! ,commission %all-- 
7,a7 utilize exi/+ in=mation1 bo?       
publi%$ & unpubli%$1 if possible1       
collect$ & assess$ ei!r by its own /aff 
or "u o!r arrangem5ts made 9 accordance 
) ?is section2  7,b7 c>ry out1 or aw>d  
grants or contracts =1 orig9al rese>* & 
exp]im5tation1 if exi/+ in=mation is    

inadequate2 &  7,c7 adopt proc$ures     
all[+ any int]e/$ p>ty to submit        
in=mation = use by ! ,commission 9 mak+ 
reports & recomm5dations4  7#c7         
,in=mation f ,f$]al ag5cies  7,a7 ,9    
g5]al ,! ,commission may secure directly
 f any relevant dep>tm5t or ag5cy ( !   
,unit$ ,/ates heal? c>e in=mation !     
,*airman det]m9es w\ld be helpful to    
enable ! ,commission to c>ry out ?is    
section4  7,b7 ,tim+ ,^u reque/ ( !     
,*airman1 ! head ( a dep>tm5t or ag5cy (
 ! ,unit$ ,/ates %all furni% in=mation  
reque/$ "u subp>agraph 7,a7 to !        
,commission on an agre$ ^u s*$ule or n  
lat] ?an #ahj days aft] ! date ( !      
reque/4  7h7 ,comp5sation  7#a7 ,memb]s 
7,a7 ,9 g5]al ,:ile conduct+ ! bus9ess (
 ! ,commission 7includ+ travel "t71 a   
memb] ( ! ,commission %all be entitl$ to
 comp5sation at ! p] diem equival5t ( ! 
rate provid$ = level ,,iv ( ! ,executive
 ,s*$ule "u section #ecae ( title #e4   
7,b7 ,travel exp5ses ,:ile conduct+ !   
bus9ess ( ! ,commission away f home & ! 

regul> place ( bus9ess ( ! memb]1 a     
memb] may be all[$ travel exp5ses1 z    
au?oriz$ by ! ,*airman4  7#b7 ,physician
 comp>ability all[ance = p]sonnel ,!    
,commission may provide a physician     
comp>ability all[ance to physicians s]v+
 z p]sonnel ( ! ,commission 9 ! same    
mann] z physicians ( ! ,f$]al ,gov]nm5t 
may be provid$ su* an all[ance by an    
ag5cy "u section #eidh ( title #e1 & =  
su* purpose1 subsection 7i7 ( su*       
section %all apply to ! ,commission 9 ! 
same mann] z x applies to ! ,t5nessee   
,valley ,au?ority4  7#c7 ,treatm5t (    
p]sonnel ,= purposes ( pay 7o!r ?an pay 
( memb]s ( ! ,commission7 & employm5t   
b5efits1 rights1 & privileges1 all      
p]sonnel ( ! ,commission %all be treat$ 
z if !y 7 employees ( ! ,unit$ ,/ates   
,s5ate4  7i7 ,detail ( ,f$]al employees 
,an employee ( ! ,f$]al ,gov]nm5t may be
 detail$ to ! ,commission )\t           
reimbursem5t & )\t int]ruption or loss (
 civil s]vice /atus or privileges4  7j7 
,access ( congressional support ag5cies 

to in=mation ,! ,commission %all provide
 to ! ,comptroll] ,g5]al1 !             
,congressional ,rese>* ,s]vice1 & !     
,congressional ,budget ,(fice unre/rict$
 access to all delib]ations1 records1 & 
nonpropriet>y data ( ! ,commission n    
lat] ?an #cj days aft] su* access is    
reque/$4  7k7 ,au?orization (           
appropriations  7#a7 ,reque/ =          
appropriations ,! ,commission %all      
submit reque/s = appropriations 9 ! same
 mann] z ! ,comptroll] ,g5]al submits   
reque/s = appropriations1 b am\nts      
appropriat$ = ! ,commission %all be     
sep>ate f am\nts appropriat$ = !        
,comptroll] ,g5]al4  7#b7 ,au?orization 
,!re are au?oriz$ to be appropriat$ su* 
sums z may be necess>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 #aai ! foll[+ new item3      
#abj4 ,vet]ans ,heal? ,adm9i/ration     
,policy ,advisory ,commission4  4  7c7  
,initial appo9tm5t ,n lat] ?an #bhj days

 aft] ! date on :i* am\nts are fir/     
appropriat$ to ! ,vet]ans ,heal?        
,adm9i/ration ,policy ,advisory         
,commission e/abli%$ "u section #abj (  
title #ch1 ,unit$ ,/ates ,code1 z add$  
by subsection 7a71 ! ,comptroll] ,g5]al 
( ! ,unit$ ,/ates %all make initial     
appo9tm5ts ( memb]s to ! ,commission "u 
subsection 7b77#a7 ( su* section4       
,decemb] #b1 #bjbe,report$ ) an am5dm5t