I 
113TH CONGRESS 
2D SESSION 
H. R. 5618 
To establish a pilot program to improve the management and accountability 
within the Veterans Health Administration of the Department of Vet-
erans Affairs, to provide oversight of the Veterans Health Administration, 
and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
SEPTEMBER 18, 2014 
Mr. KILMER (for himself, Mr. CUELLAR, Mr. CARNEY, Mr. BARBER, and Mr. 
GALLEGO) introduced the following bill; which was referred to the Com-
mittee on Veterans’ Affairs, and in addition to the Committee on the 
Budget, for a period to be subsequently determined by the Speaker, in 
each case for consideration of such provisions as fall within the jurisdic-
tion of the committee concerned 
A BILL 
To establish a pilot program to improve the management 
and accountability within the Veterans Health Adminis-
tration of the Department of Veterans Affairs, to provide 
oversight of the Veterans Health Administration, and 
for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Veterans Health Ad-
ministration Management Improvement Act’’. 
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SEC. 2. COMPTROLLER GENERAL MANAGEMENT REVIEW 
OF VETERANS HEALTH ADMINISTRATION. 
(a) MANAGEMENT REVIEW.— 
(1) IN GENERAL.—During the five-year period 
beginning on the date of the enactment of this Act, 
the Comptroller General of the United States shall 
conduct a management review of the Veterans 
Health Administration of the Department of Vet-
erans Affairs. 
(2) MATTERS
INCLUDED.—The management 
review under paragraph (1) shall include a review, 
with respect to the Veterans Health Administration, 
of the following: 
(A) The management structure, including 
the roles and responsibilities among the various 
organizational components (local facilities, re-
gional networks, and the central office). 
(B) The oversight of core functions, includ-
ing the extent to which lines of accountability 
are clearly delineated. 
(C) The evaluation plan, operations, and 
capacity to implement results-based strategic 
planning. 
(D) The extent to which contractors are 
used and monitored to support core manage-
ment functions. 
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(E) Internal communication mechanisms, 
including expectations for communications, that 
support the mission. 
(F) The setting of priorities and the moni-
toring of such priorities. 
(G) Budgeting and resource allocation 
processes. 
(H) Workforce planning. 
(I) Human capital processes, including 
training activities, to ensure timely hiring and 
effective retention of a qualified workforce. 
(J) Information technology to support core 
functions and activities. 
(K) How each of the matters described in 
subparagraphs (A) through (J) may differ for 
rural medical facilities of the Department of 
Veterans Affairs. 
(L) Incentives, including any perverse in-
centives, affecting employee actions, quality of 
care, and the provision of services. 
(M) Insights from employees and employee 
representatives about the work environment and 
the level of engagement of such employees as 
can be derived from the results of the annual 
Federal employee survey and other internal sur-
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veys administered by the Secretary of Veterans 
Affairs. 
(N) Insights on the findings of the Comp-
troller General from veteran service organiza-
tions, organizations representing employees of 
the Veterans Health Administration, other 
stakeholders, and the Management and Ac-
countability Ombudsman described in section 
312B of title 38, United States Code, as added 
by section 4. 
(b) REPORTS.—Not later than one year after the date 
of the enactment of this Act, and annually thereafter for 
a four-year period, the Comptroller General shall submit 
to Congress one or more reports that include— 
(1) the matters reviewed under subsection 
(a)(1); and 
(2) recommendations of the Comptroller Gen-
eral based on such matters. 
SEC. 3. PILOT PROGRAM TO IMPROVE MANAGEMENT AND 
ACCOUNTABILITY OF VETERANS HEALTH AD-
MINISTRATION. 
(a) ESTABLISHMENT.—The Secretary of Veterans 
Affairs shall establish a pilot program to improve the man-
agement and accountability within the Veterans Health 
Administration. 
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