I 

113TH CONGRESS 

2D SESSION H. R. 3831 

To require the Secretary of Veterans Affairs to review the dialysis pilot 

program implemented by the Department of Veterans Affairs and submit 

a report to Congress before expanding that program, and for other 

purposes. 

IN THE HOUSE OF REPRESENTATIVES 

JANUARY 9, 2014 

Mr. ROE of Tennessee introduced the following bill; which was referred to the 

Committee on Veterans’ Affairs 

A BILL 

To require the Secretary of Veterans Affairs to review the 

dialysis pilot program implemented by the Department 

of Veterans Affairs and submit a report to Congress 

before expanding that program, and for other purposes. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Veterans Dialysis Pilot 

5 Program Review Act of 2014’’. 


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1 SEC. 2. LIMITATION ON EXPANSION OF DIALYSIS PILOT 

2 PROGRAM. 

3 (a) LIMITATION.—The Secretary of Veterans Affairs 

4 shall not expand the dialysis pilot program or create any 

5 new dialysis capability provided by the Department of Vet6 erans Affairs in any facility that is not an initial facility 

7 until after the date that— 

8 (1) the Secretary has implemented the dialysis 

9 pilot program at each initial facility for a period of 

10 not less than two years; 

11 (2) an independent analysis of the dialysis pilot 

12 program has been conducted at each initial facility; 

13 and 

14 (3) the report required by subsection (b) has 

15 been submitted. 

16 (b) REPORT.—Not later than 60 days after the date 

17 of the completion of the independent analysis required by 

18 subsection (a)(2), the Secretary shall submit to Congress 

19 a report that— 

20 (1) includes the results of that independent 

21 analysis, including a comparison of not only cost but 

22 non-cost factors such as access to care, quality of 

23 care, and Veteran satisfaction; and 

24 (2) addresses any recommendations with re25 spect to the dialysis pilot program provided in a reVerDate Mar 15 2010 22:28 Jan 13, 2014 Jkt 039200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\H3831.IH H3831

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1 port prepared by the Government Accountability Of2 fice. 

3 (c) USE OF EXISTING DIALYSIS RESOURCES.—In 

4 order to increase the access of veterans to dialysis care 

5 and decrease the amount of time such veterans are re6 quired to travel to receive such care, the Secretary shall 

7 fully use the dialysis resources of the Department that 

8 exist as of the date of the enactment of this Act, including 

9 any community dialysis provider with which the Secretary 

10 has entered into a contract or agreement for the provision 

11 of such care. 

12 (d) DEFINITIONS.—In this section: 

13 (1) The term ‘‘dialysis pilot program’’ means 

14 the pilot demonstration program established by the 

15 Secretary in 2009 to provide dialysis care to patients 

16 at certain outpatient facilities operated by the De17 partment of Veterans Affairs. 

18 (2) The term ‘‘initial facility’’ means one of the 

19 four outpatient facilities identified by the Secretary 

20 to participate in the dialysis pilot program prior to 

21 the date of the enactment of this Act. 

Æ 


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