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after entering into the contract described in such para-
graph. 
‘‘(c) DATA.—To the extent practicable, the private 
sector entity or entities carrying out an assessment pursu-
ant to subsection (a) shall make use of existing data that 
has been compiled by the Department, including data that 
has been collected for— 
‘‘(1) the performance of quadrennial market as-
sessments under section 7330C of this title; 
‘‘(2) the quarterly publication of information on 
staffing and vacancies with respect to the Veterans 
Health Administration pursuant to section 505 of 
the VA MISSION Act of 2018 (Public Law 115– 
182; 38 U.S.C. 301 note); and 
‘‘(3) the conduct of annual audits pursuant to 
section 3102 of the Johnny Isakson and David P. 
Roe, M.D. Veterans Health Care and Benefits Im-
provement Act of 2020 (Public Law 116–315; 38 
U.S.C. 1701 note). 
‘‘(d) PRIVATE SECTOR ENTITIES DESCRIBED.—A 
private sector entity described in this subsection is a pri-
vate entity that— 
‘‘(1) has experience and proven outcomes in op-
timizing the performance of the health care delivery 
systems of the Veterans Health Administration and 
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the private sector and in health care management; 
and 
‘‘(2) specializes in implementing large-scale or-
ganizational and cultural transformations, especially 
with respect to health care delivery systems. 
‘‘(e) PROGRAM INTEGRATOR.—(1) If the Secretary 
enters into contracts with more than one private sector 
entity under subsection (a) with respect to a single assess-
ment under such subsection, the Secretary shall designate 
one such entity that is predominately a health care organi-
zation as the program integrator. 
‘‘(2) The program integrator designated pursuant to 
paragraph (1) shall be responsible for coordinating the 
outcomes of the assessments conducted by the private sec-
tor entities pursuant to such contracts. 
‘‘(f) REPORTS.—(1) Not later than 60 days after 
completing an assessment pursuant to subsection (a), the 
private sector entity or entities carrying out such assess-
ment shall submit to the Secretary of Veterans Affairs and 
the Committees on Veterans’ Affairs of the House of Rep-
resentatives and the Senate a report on the findings and 
recommendations of the private sector entity or entities 
with respect to such assessment. Such report shall include 
an identification of the following: 
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‘‘(A) Any changes with respect to the matters 
included in such assessment since the date that is 
the later of the following: 
‘‘(i) The date on which the independent as-
sessment under section 201 of the Veterans Ac-
cess, Choice, and Accountability Act of 2014 
(Public Law 113–146; 38 U.S.C. 1701 note) 
was completed. 
‘‘(ii) The date on which the last assess-
ment under subsection (a) was completed. 
‘‘(B) Any recommendations regarding matters 
to be covered by subsequent assessments under sub-
section (a), including any additional matters to in-
clude for assessment or previously assessed matters 
to exclude. 
‘‘(2) Not later than 30 days after receiving a report 
under paragraph (1), the Secretary shall publish such re-
port in the Federal Register and on a publicly accessible 
internet website of the Department. 
‘‘(3) Not later than 90 days after receiving a report 
under paragraph (1), the Secretary shall submit to the 
Committees on Veterans’ Affairs of the House of Rep-
resentatives and the Senate a report outlining the feasi-
bility, and advisability, of implementing the recommenda-
tions made by the private sector entity or entities in such 
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report received, including an identification of the timeline, 
cost, and any legislative authorities necessary for such im-
plementation.’’. 
(b) CLERICAL AMENDMENTS.—The table of sections 
at the beginning of such chapter is amended by inserting 
after the item relating to section 1704 the following new 
item: 
‘‘1704A. Independent assessments of health care delivery systems and manage-
ment processes.’’. 
(c) DEADLINE FOR INITIAL ASSESSMENT.—The ini-
tial assessment under section 1704A of title 38, United 
States Code, as added by subsection (a), shall be com-
pleted by not later than December 31, 2025. 
Passed the House of Representatives November 16, 
2021. 
Attest: 
CHERYL L. JOHNSON, 
Clerk. 
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