1 | 1 | | II |
---|
2 | 2 | | 119THCONGRESS |
---|
3 | 3 | | 1 |
---|
4 | 4 | | STSESSION S. 607 |
---|
5 | 5 | | To require the Secretary of Veterans Affairs to establish an integrated project |
---|
6 | 6 | | team to improve the process for scheduling appointments for health |
---|
7 | 7 | | care from the Department of Veterans Affairs, and for other purposes. |
---|
8 | 8 | | IN THE SENATE OF THE UNITED STATES |
---|
9 | 9 | | FEBRUARY18, 2025 |
---|
10 | 10 | | Ms. H |
---|
11 | 11 | | ASSAN(for herself and Mr. BOOZMAN) introduced the following bill; |
---|
12 | 12 | | which was read twice and referred to the Committee on Veterans’ Affairs |
---|
13 | 13 | | A BILL |
---|
14 | 14 | | To require the Secretary of Veterans Affairs to establish |
---|
15 | 15 | | an integrated project team to improve the process for |
---|
16 | 16 | | scheduling appointments for health care from the De- |
---|
17 | 17 | | partment of Veterans Affairs, and for other purposes. |
---|
18 | 18 | | Be it enacted by the Senate and House of Representa-1 |
---|
19 | 19 | | tives of the United States of America in Congress assembled, 2 |
---|
20 | 20 | | SECTION 1. SHORT TITLE. 3 |
---|
21 | 21 | | This Act may be cited as the ‘‘Improving Veteran Ac-4 |
---|
22 | 22 | | cess to Care Act’’. 5 |
---|
23 | 23 | | VerDate Sep 11 2014 22:04 Mar 10, 2025 Jkt 059200 PO 00000 Frm 00001 Fmt 6652 Sfmt 6201 E:\BILLS\S607.IS S607 |
---|
24 | 24 | | ssavage on LAPJG3WLY3PROD with BILLS 2 |
---|
25 | 25 | | •S 607 IS |
---|
26 | 26 | | SEC. 2. ESTABLISHMENT OF INTEGRATED PROJECT TEAM 1 |
---|
27 | 27 | | OF DEPARTMENT OF VETERANS AFFAIRS TO 2 |
---|
28 | 28 | | IMPROVE HEALTH CARE APPOINTMENT 3 |
---|
29 | 29 | | SCHEDULING. 4 |
---|
30 | 30 | | (a) I |
---|
31 | 31 | | NGENERAL.—The Secretary of Veterans Af-5 |
---|
32 | 32 | | fairs, through the Veterans Health Administration and the 6 |
---|
33 | 33 | | Office of Information and Technology of the Department 7 |
---|
34 | 34 | | of Veterans Affairs, or any successor offices or administra-8 |
---|
35 | 35 | | tions of similar function, shall establish an integrated 9 |
---|
36 | 36 | | project team to improve the process for scheduling ap-10 |
---|
37 | 37 | | pointments for health care from the Department of Vet-11 |
---|
38 | 38 | | erans Affairs. 12 |
---|
39 | 39 | | (b) P |
---|
40 | 40 | | URPOSE.—The purpose of this section is to en-13 |
---|
41 | 41 | | sure the Department of Veterans Affairs delivers to pa-14 |
---|
42 | 42 | | tients and employees of the Department in a timely man-15 |
---|
43 | 43 | | ner the scheduling capabilities developed by the integrated 16 |
---|
44 | 44 | | project team established under subsection (a) to imme-17 |
---|
45 | 45 | | diately improve delivery of care, access to care, customer 18 |
---|
46 | 46 | | experience and service, and efficiency with respect to the 19 |
---|
47 | 47 | | delivery of care. 20 |
---|
48 | 48 | | (c) O |
---|
49 | 49 | | BJECTIVES.—The objectives of the integrated 21 |
---|
50 | 50 | | project team established under subsection (a) are the fol-22 |
---|
51 | 51 | | lowing: 23 |
---|
52 | 52 | | (1) To develop or continue the development of 24 |
---|
53 | 53 | | a scheduling system that enables both personnel and 25 |
---|
54 | 54 | | patients of the Department of Veterans Affairs to 26 |
---|
55 | 55 | | VerDate Sep 11 2014 22:04 Mar 10, 2025 Jkt 059200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\S607.IS S607 |
---|
56 | 56 | | ssavage on LAPJG3WLY3PROD with BILLS 3 |
---|
57 | 57 | | •S 607 IS |
---|
58 | 58 | | view available appointments for all care furnished by 1 |
---|
59 | 59 | | the Department, including— 2 |
---|
60 | 60 | | (A) available appointments for all pro-3 |
---|
61 | 61 | | viders of the Department; 4 |
---|
62 | 62 | | (B) available appointments at all clinics, 5 |
---|
63 | 63 | | hospitals, and other health care facilities of the 6 |
---|
64 | 64 | | Department; and 7 |
---|
65 | 65 | | (C) available appointments at all offices 8 |
---|
66 | 66 | | providing patient care within the health care 9 |
---|
67 | 67 | | system of the Department, including primary 10 |
---|
68 | 68 | | care and all forms of specialty care. 11 |
---|
69 | 69 | | (2) To develop or continue the development of 12 |
---|
70 | 70 | | a self-service scheduling platform, available for use 13 |
---|
71 | 71 | | by all patients of the Department, which shall— 14 |
---|
72 | 72 | | (A) enable such patients to view available 15 |
---|
73 | 73 | | appointments and fully schedule appointments 16 |
---|
74 | 74 | | for all care furnished by the Department, in-17 |
---|
75 | 75 | | cluding— 18 |
---|
76 | 76 | | (i) appointments for all providers of 19 |
---|
77 | 77 | | the Department; 20 |
---|
78 | 78 | | (ii) appointments at all clinics, hos-21 |
---|
79 | 79 | | pitals, and other health care facilities of 22 |
---|
80 | 80 | | the Department; and 23 |
---|
81 | 81 | | (iii) appointments at all offices pro-24 |
---|
82 | 82 | | viding patient care within the health care 25 |
---|
83 | 83 | | VerDate Sep 11 2014 22:04 Mar 10, 2025 Jkt 059200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6201 E:\BILLS\S607.IS S607 |
---|
84 | 84 | | ssavage on LAPJG3WLY3PROD with BILLS 4 |
---|
85 | 85 | | •S 607 IS |
---|
86 | 86 | | system of the Department, including pri-1 |
---|
87 | 87 | | mary care and all forms of specialty care; 2 |
---|
88 | 88 | | (B) if a referral is required for an appoint-3 |
---|
89 | 89 | | ment, provide a method for the patient to re-4 |
---|
90 | 90 | | quest a referral and subsequently book an ap-5 |
---|
91 | 91 | | pointment if the referral is approved; and 6 |
---|
92 | 92 | | (C) provide such patients with the ability 7 |
---|
93 | 93 | | to cancel or reschedule appointments. 8 |
---|
94 | 94 | | (3) To create a process through which all pa-9 |
---|
95 | 95 | | tients of the Department can telephonically speak 10 |
---|
96 | 96 | | with a scheduler who can assist the patient to deter-11 |
---|
97 | 97 | | mine appointment availability and can fully schedule 12 |
---|
98 | 98 | | appointments on behalf of the patient for all care 13 |
---|
99 | 99 | | furnished by the Department, including— 14 |
---|
100 | 100 | | (A) appointments for all providers of the 15 |
---|
101 | 101 | | Department; 16 |
---|
102 | 102 | | (B) appointments at all clinics, hospitals, 17 |
---|
103 | 103 | | and other health care facilities of the Depart-18 |
---|
104 | 104 | | ment; and 19 |
---|
105 | 105 | | (C) appointments at all offices providing 20 |
---|
106 | 106 | | patient care within the health care system of 21 |
---|
107 | 107 | | the Department, including primary care and all 22 |
---|
108 | 108 | | forms of specialty care. 23 |
---|
109 | 109 | | (4) To carry out such other functions, over-24 |
---|
110 | 110 | | sight, metric development and tracking, change man-25 |
---|
111 | 111 | | VerDate Sep 11 2014 22:04 Mar 10, 2025 Jkt 059200 PO 00000 Frm 00004 Fmt 6652 Sfmt 6201 E:\BILLS\S607.IS S607 |
---|
112 | 112 | | ssavage on LAPJG3WLY3PROD with BILLS 5 |
---|
113 | 113 | | •S 607 IS |
---|
114 | 114 | | agement, cross-Department coordination, and other 1 |
---|
115 | 115 | | related matters as the Secretary determines appro-2 |
---|
116 | 116 | | priate as it relates to scheduling tools, functions, 3 |
---|
117 | 117 | | and operations with respect to health care appoint-4 |
---|
118 | 118 | | ments furnished by the Department. 5 |
---|
119 | 119 | | (d) C |
---|
120 | 120 | | OORDINATION WITHELECTRONICHEALTH 6 |
---|
121 | 121 | | R |
---|
122 | 122 | | ECORDMODERNIZATIONPROGRAM.— 7 |
---|
123 | 123 | | (1) I |
---|
124 | 124 | | N GENERAL.—The integrated project team 8 |
---|
125 | 125 | | established under subsection (a) shall carry out the 9 |
---|
126 | 126 | | objectives under subsection (c) in consultation and 10 |
---|
127 | 127 | | coordination with the deployment schedule and capa-11 |
---|
128 | 128 | | bilities of the Electronic Health Record Moderniza-12 |
---|
129 | 129 | | tion Program of the Department of Veterans Affairs 13 |
---|
130 | 130 | | to ensure a smooth transition to using the tools and 14 |
---|
131 | 131 | | features, where relevant and appropriate, that may 15 |
---|
132 | 132 | | be created pursuant to this section, along with the 16 |
---|
133 | 133 | | features in the Electronic Health Record Moderniza-17 |
---|
134 | 134 | | tion Program. 18 |
---|
135 | 135 | | (2) R |
---|
136 | 136 | | ULE OF CONSTRUCTION .—Nothing in this 19 |
---|
137 | 137 | | subsection shall be construed to require the inte-20 |
---|
138 | 138 | | grated project team established under subsection (a), 21 |
---|
139 | 139 | | the Veterans Health Administration, or the Office of 22 |
---|
140 | 140 | | Information and Technology of the Department to 23 |
---|
141 | 141 | | defer or delay the deployment of scheduling capabili-24 |
---|
142 | 142 | | ties required by this section because of future poten-25 |
---|
143 | 143 | | VerDate Sep 11 2014 22:04 Mar 10, 2025 Jkt 059200 PO 00000 Frm 00005 Fmt 6652 Sfmt 6201 E:\BILLS\S607.IS S607 |
---|
144 | 144 | | ssavage on LAPJG3WLY3PROD with BILLS 6 |
---|
145 | 145 | | •S 607 IS |
---|
146 | 146 | | tial planned capabilities of the Electronic Health 1 |
---|
147 | 147 | | Record Modernization Program. 2 |
---|
148 | 148 | | (e) D |
---|
149 | 149 | | EADLINES.— 3 |
---|
150 | 150 | | (1) E |
---|
151 | 151 | | STABLISHMENT.—Not later than 180 days 4 |
---|
152 | 152 | | after the date of the enactment of this Act, the Sec-5 |
---|
153 | 153 | | retary of Veterans Affairs, through the Veterans 6 |
---|
154 | 154 | | Health Administration and the Office of Information 7 |
---|
155 | 155 | | and Technology of the Department of Veterans Af-8 |
---|
156 | 156 | | fairs, or any successor office, shall fully establish the 9 |
---|
157 | 157 | | integrated project team under subsection (a). 10 |
---|
158 | 158 | | (2) C |
---|
159 | 159 | | OMPLETION OF OBJECTIVES .—Not later 11 |
---|
160 | 160 | | than one year after the date of the enactment of this 12 |
---|
161 | 161 | | Act, the integrated project team established under 13 |
---|
162 | 162 | | subsection (a) shall complete the objectives under 14 |
---|
163 | 163 | | subsection (c). 15 |
---|
164 | 164 | | (f) R |
---|
165 | 165 | | EPORT ONOBJECTIVES.—If the Secretary of 16 |
---|
166 | 166 | | Veterans Affairs determines that an objective under sub-17 |
---|
167 | 167 | | section (c), or any feature or service in connection with 18 |
---|
168 | 168 | | that objective, cannot be implemented or otherwise incor-19 |
---|
169 | 169 | | porated into a final product, the Secretary shall, within 20 |
---|
170 | 170 | | 45 days of that determination, submit to the appropriate 21 |
---|
171 | 171 | | committees of Congress a report— 22 |
---|
172 | 172 | | (1) detailing that objective, feature, or service 23 |
---|
173 | 173 | | and providing an explanation as to why that objec-24 |
---|
174 | 174 | | VerDate Sep 11 2014 22:04 Mar 10, 2025 Jkt 059200 PO 00000 Frm 00006 Fmt 6652 Sfmt 6201 E:\BILLS\S607.IS S607 |
---|
175 | 175 | | ssavage on LAPJG3WLY3PROD with BILLS 7 |
---|
176 | 176 | | •S 607 IS |
---|
177 | 177 | | tive, feature, or service cannot be implemented or in-1 |
---|
178 | 178 | | corporated, as the case may be; and 2 |
---|
179 | 179 | | (2) setting forth a plan for implementing this 3 |
---|
180 | 180 | | section without that objective, feature, or service. 4 |
---|
181 | 181 | | (g) I |
---|
182 | 182 | | MPLEMENTATION REPORTS.—Not later than 5 |
---|
183 | 183 | | each of one year and two years after the date of the enact-6 |
---|
184 | 184 | | ment of this Act, the Secretary of Veterans Affairs shall 7 |
---|
185 | 185 | | submit to the appropriate committees of Congress a report 8 |
---|
186 | 186 | | on the progress of the Secretary in fulfilling the require-9 |
---|
187 | 187 | | ments of this section, including— 10 |
---|
188 | 188 | | (1) costs incurred to implement such require-11 |
---|
189 | 189 | | ments as of the date of the report; 12 |
---|
190 | 190 | | (2) the expected costs to complete implementa-13 |
---|
191 | 191 | | tion of such requirements (including costs for man-14 |
---|
192 | 192 | | agement and technology); 15 |
---|
193 | 193 | | (3) the schedule for deployment of any capabili-16 |
---|
194 | 194 | | ties developed by the integrated project team estab-17 |
---|
195 | 195 | | lished under subsection (a); and 18 |
---|
196 | 196 | | (4) goals and metrics achieved, challenges, and 19 |
---|
197 | 197 | | lessons learned. 20 |
---|
198 | 198 | | (h) R |
---|
199 | 199 | | ULE OFCONSTRUCTION.—Nothing in this sec-21 |
---|
200 | 200 | | tion shall be construed to preclude or impede the ability 22 |
---|
201 | 201 | | of a veteran to contact or schedule an appointment directly 23 |
---|
202 | 202 | | with a facility or provider through a non-online scheduling 24 |
---|
203 | 203 | | process, should the veteran choose to do so. 25 |
---|
204 | 204 | | VerDate Sep 11 2014 22:04 Mar 10, 2025 Jkt 059200 PO 00000 Frm 00007 Fmt 6652 Sfmt 6201 E:\BILLS\S607.IS S607 |
---|
205 | 205 | | ssavage on LAPJG3WLY3PROD with BILLS 8 |
---|
206 | 206 | | •S 607 IS |
---|
207 | 207 | | (i) DEFINITIONS.—In this section: 1 |
---|
208 | 208 | | (1) A |
---|
209 | 209 | | PPROPRIATE COMMITTEES OF CON -2 |
---|
210 | 210 | | GRESS.—The term ‘‘appropriate committees of Con-3 |
---|
211 | 211 | | gress’’ means the Committee on Veterans’ Affairs of 4 |
---|
212 | 212 | | the Senate and the Committee on Veterans’ Affairs 5 |
---|
213 | 213 | | of the House of Representatives. 6 |
---|
214 | 214 | | (2) F |
---|
215 | 215 | | ULLY SCHEDULE.—The term ‘‘fully sched-7 |
---|
216 | 216 | | ule’’, with respect to booking an appointment, means 8 |
---|
217 | 217 | | that the appointment booking is completed, rather 9 |
---|
218 | 218 | | than simply requested. 10 |
---|
219 | 219 | | Æ |
---|
220 | 220 | | VerDate Sep 11 2014 22:04 Mar 10, 2025 Jkt 059200 PO 00000 Frm 00008 Fmt 6652 Sfmt 6301 E:\BILLS\S607.IS S607 |
---|
221 | 221 | | ssavage on LAPJG3WLY3PROD with BILLS |
---|