SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Improving Oversight 
of Women Veterans’ Care Act of 2018’’. 
SEC. 2. ANNUAL REPORT ON VETERAN ACCESS TO COV-
ERED SEX-SPECIFIC SERVICES UNDER COM-
MUNITY CARE CONTRACTS. 
(a) ANNUAL REPORT.—The Under Secretary of Vet-
erans Affairs shall submit to the Committees on Veterans’ 
Affairs of the Senate and the House of Representatives 
an annual report on the access of women veterans to cov-
ered sex-specific medical care under contracts with non- 
Department medical providers entered into by the Sec-
retary of Veterans Affairs for the provision of hospital 
care or medical services to veterans eligible for enrollment 
in the patient enrollment system of the Department of 
Veterans Affairs maintained under section 1705 of title 
38, United States Code. Such report shall include data 
and performance measures for the availability of covered 
sex-specific medical care, including— 
(1) the average wait time between the veteran’s 
preferred appointment date and the date on which 
the appointment is completed; 
(2) driving time required for veterans to attend 
appointments; and 
(3) reasons why appointments could not be 
scheduled with non-Department medical providers.
(b) SUNSET.—The requirement to submit a report 
under this section shall terminate on the date that is 7 
years after the date of the enactment of this Act. 
(c) COVERED SEX-SPECIFIC MEDICAL CARE.—In 
this section, the term ‘‘covered sex-specific medical care’’ 
means mammography, maternity care, and gynecological 
care. 
SEC. 3. REPORTING ON VETERANS HEALTH ADMINISTRA-
TION ENVIRONMENT OF CARE STANDARDS 
FOR WOMEN VETERANS. 
(a) MEDICAL FACILITY REPORTING.—Each medical 
facility of the Department shall submit to the Secretary 
of Veterans Affairs a quarterly report on the compliance 
and noncompliance of the facility with the environment of 
care standards for women veterans. Each such report shall 
include the name of each person associated with such facil-
ity who is responsible for such compliance and the specific 
role or responsibility assigned to each such person. 
(b) REPORT TO CONGRESS.—Not later than 180 days 
after the date of the enactment of this Act, the Secretary 
of Veterans Affairs shall submit to the Committees on 
Veterans’ Affairs of the Senate and the House of Rep-
resentatives a report on the plan of the Secretary to 
strengthen the environment of care standards for women
veterans at Department of Veterans Affairs medical facili-
ties. Such report shall include— 
(1) a description of the process established to 
verify that noncompliance information reported 
under subsection (a) is accurate and complete; and 
(2) a description of the method by which the 
Secretary will— 
(A) ensure that all patient care areas of 
each Department medical facility are inspected 
as required; and 
(B) expand the list of items that facility 
staff inspect for compliance to align with the 
women’s health handbook of the Veterans 
Health Administration. 
(c) SUNSET.—The requirement to submit a report 
under this section shall terminate on the date that is 7 
years after the date of the enactment of this Act. 
(d) ENVIRONMENT
OF
CARE
STANDARDS
FOR 
WOMEN VETERANS.—In this section, the term ‘‘environ-
ment of care standards for women veterans’’ has the
meaning given that term in Veterans Health Administra-
tion Directive 1330.01(1). 
Passed the House of Representatives May 21, 2018. 
Attest: 
Clerk.
115TH CONGRESS 
2D SESSION 
H. R. 4334 
AN ACT 
To provide for certain reporting requirements relat-
ing to medical care for women veterans provided 
by the Department of Veterans Affairs and 
through contracts entered into by the Secretary 
of Veterans Affairs with non-Department medical 
providers, and for other purposes.