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H.R. 3482 — what changed

Veterans Community Care Scheduling Improvement Act

From Introduced in House to Reported in House. 1 section amended and 1 added between Introduced in House and Reported in House.

Sec. 2 Scheduling of appointments under the Veterans Community Care Program

(a)
changed In general—Electronic process— Section Subsection (d) of section 3101 of the Johnny Isakson and David P. Roe, M.D. Veterans Health Care and Benefits Improvement Act of 2020 (Public Law 116–315; 38 U.S.C. 1701 note) is amended by striking subsection (d) and inserting the following new subsection (d):to read as follows:

changed “(d) Program on scheduling appointments with Community Care providers by employees of the Department through information technology systemElectronic process

changed “(1) Not later than one year after the date of the enactment of the Veterans Community Care Scheduling Improvement Act, the The Secretary shall, instead of the shall implement an electronic process under subsection (a), carry out a program through which a scheduler of the Department—Department, using an information technology system, may schedule an appointment for health care furnished by the Department or through the Veterans Community Care Program, under section 1703 of this title, by a non-Department health care provider.

changed “(A) may schedule, for “(2) The electronic process under this subsection shall allow a veteran, an appointment—scheduler, with regards to appointments described in—

changed “(i) for health care furnished through the Veterans Community Care Program; “(A) either clause of subparagraph (A) of subsection (a)(1), to view, search, and sort such appointments by type of care, location, and date; and

changed “(ii) offered by a non-Department health care provider that participates in the Veterans Community Care Program and elects to participate in the program under this subsection; and“(B) clause (ii) of such subparagraph—

changed “(B) using “(i) to schedule such an information technology system.appointment;

changed “(2) The Secretary shall carry out the program under this subsection through an existing agreement if practicable.“(ii) to provide referral and authorization documents directly to a non-Department provider; and

changed “(3) The program under this subsection shall, with regards “(iii) to an appointment available with a Department provider or a non-Department provider that participates in perform any other function the Veterans Community Care Program, allow a scheduler—Secretary determines necessary.

changed “(A) “(3) The Secretary shall ensure that the electronic process allows a scheduler to view, search, and sort such appointments schedule an appointment for health care furnished by type the Secretary through a health care provider of care, location, and date;the Department.

changed “(B) to schedule such “(4) The Secretary shall implement the electronic process through an appointment;existing agreement if practicable.

changed “(C) to provide referral or authorization documents directly “(5) The Secretary shall submit to a non-Department provider; andthe Committees on Veterans’ Affairs of the Senate and House of Representatives the following regarding the electronic process:

changed “(D) to perform any other function “(A) Not later than 90 days after the Secretary determines makes a determination under subparagraph (B)(iii) of paragraph (2), a briefing regarding the functions the Secretary has determined necessary.

changed “(4) “(B) Not later than 90 days six months after the date of the enactment of the Veterans Community Care Scheduling Improvement Act, and semiannually thereafter during the Secretary shall prescribe regulations under this subsection. Such regulations shall include following three years, a directive to employees at medical centers report regarding operation of the Department to use electronic process during both the information technology system under this subsection to schedule appointments described in paragraph (1) instead semiannual period preceding the date of the process under subsection (a) whenever practicable.report and the cumulative period since the date of the enactment of such Act. Such a report shall include the following for each such period:

changed “(5) Not later than 90 days after the date of the enactment “(i) The number of the Veterans Community Care Scheduling Improvement Act, the Secretary shall plan and carry out an outreach campaign to encourage non-Department health care providers that participate in the Veterans Community Care Program to participate participated in the program under this subsection. Such outreach shall include the publication of a publicly accessible website of the Department regarding—such electronic process, disaggregated by—

changed “(A) details “(I) category of the program;hospital care or medical services provided; and

changed “(B) how a provider may elect to participate in “(II) medical center of the program; andDepartment;

changed “(C) a point “(ii) The number of contact in the Department regarding appointments scheduled pursuant to the program.electronic process, disaggregated by—

changed “(6) The Secretary shall submit to the Committees on Veterans’ Affairs of the Senate and House “(I) category of Representatives the following documents regarding the program under this subsection:hospital care or medical services provided;

changed “(A) Not later than 30 days after each determination described in paragraph (3)(D), a report regarding each function described in such subparagraph.“(II) medical center of the Department; and

removed “(B) Not later than 30 days after prescription, a copy of the regulations prescribed under paragraph (4).

removed “(C) Not later than 30 days after the Secretary formulates the plan under paragraph (5), a copy of such plan.

removed “(D) Not later than 18 months after the date of the enactment of the Veterans Community Care Scheduling Improvement Act and every six months thereafter during the following five years, a report regarding operation of such program during the six months preceding the date of the report. Such a report shall include the following:

removed “(i) The number of non-Department health care providers who participated in such program.

removed “(ii) The number of appointments under the Veterans Community Care Program, scheduled by a scheduler of the Department, disaggregated by—

removed “(I) whether the appointment was scheduled under such program or by the process under subsection (a);

removed “(II) category of medical services provided; and

“(III) month.

added “(iii) A comparison of the average wait time for appointments scheduled through the electronic process and through non-electronic methods, disaggregated by medical center of the Department.

added “(iv) The rates at which veterans cancelled appointments scheduled through the electronic process.

added “(v) The rates at which veterans did not appear for appointments scheduled through the electronic process.”

removed “(7) The program under this subsection shall terminate seven years after the date of the enactment of the Veterans Community Care Scheduling Improvement Act.”

(b)
changed Codification—Implementation—
(1)
added Date— The Secretary of Veterans Affairs shall implement the electronic process under subsection (d) of section 1703H of such title, as added by this section, not later than two years after the date of the enactment of this Act.
(2)
added Guidelines— Not later than 90 days after the date of the enactment of this Act, the Secretary of Veterans Affairs shall establish guidelines. Such guidelines shall include the following:
(A)
added Procedures for schedulers and other employees of the Department involved in the scheduling of appointments described in such section.
(B)
added A directive that employees described in subparagraph (A) use the electronic process to the extent practicable.
(C)
added A directive that employees described in subparagraph (A), when scheduling an appointment for a covered veteran (as such term is used in section 1703 of such title) for health care furnished by the Secretary, inform such covered veteran of available appointments though providers of the Department and through providers under the Veterans Community Care Program when eligible.
(D)
added Procedures for engaging with non-Department health care providers in specialized cases.
(E)
added Standards regarding timeliness and accuracy.
(F)
added Escalation protocols for scheduling failures or delays.
(3)
added Training— Not later than 180 days after the date of the enactment of this Act, the Secretary shall implement a mandatory training program for employees described in paragraph (2) regarding the guidelines under paragraph (2).
(4)
added Evaluation— Not later than 60 days after the date of the enactment of this Act, the Secretary shall prescribe performance benchmarks and outcome-based metrics for the electronic process under such section, including—
(A)
added time between a referral and a scheduled appointment;
(B)
added patient satisfaction; and
(C)
added the percentage of appointments scheduled exclusively through the electronic process.
(5)
added Outreach— Not later than 90 days after the date of the enactment of this Act, the Secretary shall plan and carry out an outreach strategy to encourage non-Department of Veterans Affairs health care providers that participate in the Veterans Community Care Program to participate in the electronic process under such subsection. Such outreach shall—
(A)
added include contacting each such provider during such 90 days;
(B)
added include seeking to enter into an agreement with each such provider under which the provider shall participate in the electronic process;
(C)
added include collaborating with State hospital associations and rural health associations to promote such participation;
(D)
added focus on providers in specialties or underserved areas, as determined by the Secretary; and
(E)
added include the publication, on a publicly accessible website of the Department, of information regarding—
(i)
added details of the electronic process;
(ii)
added how a provider may elect to participate in the electronic process; and
(iii)
added a point of contact in the Department regarding the electronic process.
(6)
added Oversight— The Secretary shall submit to the Committees on Veterans’ Affairs of the Senate and House of Representatives, with regards to the electronic process under such subsection, the following:
(A)
added Not later than 30 days after the Secretary establishes guidelines under paragraph (2) of this subsection, a copy of such guidelines.
(B)
added Not later than 30 days after the Secretary formulates the plan under paragraph (5) of this subsection, a briefing on the outreach strategy under such paragraph.
(C)
added Not later than 180 days after the date of the enactment of this Act, the benchmarks and metrics prescribed under paragraph (4).
(c)
added Expansion— Not later than 90 days after the date of the enactment of this Act, the Secretary shall submit to the Committees on Veterans’ Affairs of the Senate and House of Representatives a plan to integrate the scheduling of appointments for health care furnished through health care providers of the Department of Veterans Affairs into the electronic process under subsection (d) of section 1703H of such title. Such plan shall include the following elements:
(1)
added A timeline to implement such plan.
(2)
added Estimated costs to carry out such plan.
(3)
added Changes to policies and procedures of the Department the Secretary determines necessary to implement such plan.
(d)
added Codification—
(1)
renumbered was (3)(2) In general— Section 3101 of such Act, as amended by subsection (a), is transferred to subchapter I of chapter 17 of title 38, United States Code, inserted after section 1703G, and redesignated as section 1703H.
(2)
added Conforming amendments— Section 1703H of such title, as transferred and redesignated by this subsection, is amended—
(2)
removed Conforming amendments— Section 1703H of such title, as added by this section, is amended—
(A)
renumbered was (3)(3)(3) by striking any heading that is not a section heading or subsection heading and conforming the margins accordingly;
(B)
renumbered was (3)(3)(4) by striking “of title 38, United States Code” both places it appears and inserting “of this title”;
(C)
removed in subsection (a)(1)—
(i)
removed in the matter preceding subparagraph (A), by striking “Not later than 60 days after the date of the enactment of this Act, the Secretary of Veterans Affairs” and inserting “The Secretary”; and
(ii)
removed in subparagraph (A), by striking “Department of Veterans Affairs” and inserting “Department”;
(C)
renumbered was (3)(3)(6) in subsection (b)(1), by striking “Not later than one year after the date of the enactment of this Act, the Secretary” and inserting “The Secretary”;
(D)
renumbered was (3)(3)(7) in subsection (c)—
(i)
renumbered was (3)(3)(7)(2) in paragraph (1), in the matter preceding subparagraph (A), by striking “Not later than 180 days after the date of the enactment of this Act, the Secretary” and inserting “The Secretary”; and
(ii)
renumbered was (3)(3)(7)(3) in paragraph (2), by striking subparagraphs (A) and (B) and inserting “The Secretary shall require each medical facility of the Department to use the method or tool described in paragraph (1).”;
(E)
renumbered was (3)(3)(8) in the section enumerator, by striking “Sec.” and inserting “§”; and
(F)
renumbered was (3)(3)(9) in the section heading—
(i)
renumbered was (3)(3)(9)(2) by striking “Process and requirements for scheduling appointments for health care from Department of Veterans Affairs and non-Department health care.” and inserting “Scheduling of appointments”; and
(ii)
renumbered was (3)(3)(9)(3) by conforming the typeface and typestyle, including capitalization, to the typeface and typestyle used in the section heading of section 1703G of such title.
(3)
renumbered was (3)(4) Table of sections— The table of sections at the beginning of such chapter is amended by inserting, after the item relating to section 1703G, the following new item:

Sec. 3 Extension of certain limits on payment of pension

added

added Section 5503(d)(7) of title 38, United States Code, is amended by striking “January 31, 2033” and inserting “June 30, 2033”.