(2) once each fiscal quarter thereafter with re-
spect to the quarterly fact sheet under paragraph (2) 
of such subsection. 
(d) STANDARDIZED FORMAT.—The Secretary shall es-
tablish a standard format for the fact sheets under sub-
section (a) to ensure that each director of a medical center 
of the Department carries out such subsection in a con-
sistent manner. 
(e) DEFINITIONS.—In this section: 
(1) The term ‘‘appropriate Members of Congress’’ 
means, with respect to a medical facility of the De-
partment of Veterans Affairs about which a fact sheet 
is submitted under subsection (a), the Senators rep-
resenting the State, and the Member, Delegate, or 
Resident Commissioner of the House of Representa-
tives representing the district, that includes the facil-
ity. 
(2) The term ‘‘State’’ means each of the several 
States, the District of Columbia, the Commonwealth 
of Puerto Rico, and any territory or possession of the 
United States. 
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SEC. 3. REQUIREMENT FOR TIMELY SCHEDULING OF AP-
POINTMENTS AT MEDICAL FACILITIES OF DE-
PARTMENT OF VETERANS AFFAIRS. 
(a) REQUIREMENT.—Chapter 17 of title 38, United 
States Code, is amended— 
(1) by redesignating section 1706A as section 
1706B; and 
(2) by inserting after section 1706 the following 
new section: 
‘‘§ 1706A. Management of health care: timely sched-
uling of appointments at Department fa-
cilities 
‘‘(a) REQUIREMENT FOR SCHEDULING.—In managing 
the provision of hospital care and medical services at med-
ical facilities of the Department of Veterans Affairs under 
this chapter, the Secretary shall ensure that whenever a cov-
ered veteran contacts the Department by telephone to re-
quest the scheduling of an appointment for care or services 
for the covered veteran at such a facility, the scheduling 
for the appointment occurs during that telephone call (re-
gardless of the prospective date of the appointment being 
scheduled). 
‘‘(b) COVERED VETERAN DEFINED.—In this section, 
the term ‘covered veteran’ means a veteran who is enrolled 
in the system of patient enrollment of the Department under 
section 1705(a) of this title.’’. 
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(b) CLERICAL AMENDMENT.—The table of sections at 
the beginning of such chapter is amended by striking the 
item relating to section 1706A and inserting the following 
new items: 
‘‘1706A. Management of health care: timely scheduling of appointments at Depart-
ment facilities. 
‘‘1706B. Remediation of medical service lines.’’. 
(c) APPLICABILITY.—The amendments made by sub-
section (a) shall apply with respect to requests for appoint-
ment scheduling occurring on or after the date that is 180 
days after the date of the enactment of this Act. 
SEC. 4. LIMITATION ON DETAIL OF DIRECTORS OF MEDICAL 
CENTERS OF DEPARTMENT OF VETERANS AF-
FAIRS TO DIFFERENT POSITIONS. 
(a) NOTIFICATION.— 
(1) IN GENERAL.—Not later than 90 days after 
detailing a director of a medical center of the Depart-
ment of Veterans Affairs to a different position within 
the Department, the Secretary of Veterans Affairs 
shall notify the Committee on Veterans’ Affairs of the 
Senate and the Committee on Veterans’ Affairs of the 
House of Representatives of such detail. 
(2) MATTERS TO BE INCLUDED.—The notifica-
tion required by paragraph (1) shall include, with re-
spect to a director of a medical center who is detailed 
to a different position within the Department, the fol-
lowing information: 
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(A) The location at which the director is de-
tailed. 
(B) The position title of the detail. 
(C) The estimated time the director is ex-
pected to be absent from their duties at the med-
ical center. 
(D) Such other information as the Secretary 
may determine appropriate. 
(b) APPOINTMENT OF ACTING DIRECTOR.—Not later 
than 120 days after detailing a director of a medical center 
of the Department to a different position within the Depart-
ment, the Secretary shall appoint an individual as acting 
director of such medical center with all of the authority and 
responsibilities of the detailed director. 
(c) UPDATE ON DETAIL.—Not later than 120 days 
after detailing a director of a medical center of the Depart-
ment to a different position within the Department, and 
not less frequently than every 30 days thereafter while the 
detail is in effect or while the director position at the med-
ical center is vacant, the Secretary shall submit to the Com-
mittee on Veterans’ Affairs of the Senate and the Committee 
on Veterans’ Affairs of the House of Representatives an up-
date regarding the status of the detail. 
(d) RETURN TO POSITION OR REASSIGNMENT.— 
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(1) IN GENERAL.—Except as provided in para-
graph (2), not later than 180 days after detailing a 
director of a medical center of the Department to a 
different position within the Department, for a reason 
other than an ongoing investigation or administrative 
action with respect to the director, the Secretary 
shall— 
(A) return the individual to the position as 
director of the medical center; or 
(B) reassign the individual from the posi-
tion as director of the medical center and begin 
the process of hiring a new director for such po-
sition. 
(2) WAIVER.— 
(A) IN
GENERAL.—The Secretary may 
waive the requirement under paragraph (1) with 
respect to an individual for successive 90-day in-
crements for a total period of not more than 540 
days from the original date the individual was 
detailed away from their position as director of 
a medical center. 
(B) NOTIFICATION.—Not later than 30 days 
after exercising a waiver under subparagraph 
(A), the Secretary shall notify Congress of the 
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waiver and provide to Congress information as 
to why the waiver is necessary. 
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Union Calendar No. 796 
118TH CONGRESS 
2D SESSION 
H. R. 1089 
[Report No. 118–947] 
A BILL 
To require directors of medical centers of the De-
partment of Veterans Affairs to submit annual 
fact sheets to the Secretary of Veterans Affairs 
on the status of such facilities, and for other pur-
poses. 
DECEMBER 24, 2024 
Reported with an amendment, committed to the Com-
mittee of the Whole House on the State of the Union, 
and ordered to be printed 
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