I 
117TH CONGRESS 
2D SESSION 
H. R. 9002 
To direct the Secretary of Veterans Affairs to establish a pilot program 
for gynecologic cancer care coordination at the Department of Veterans 
Affairs, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
SEPTEMBER 28, 2022 
Ms. GARCIA of Texas introduced the following bill; which was referred to the 
Committee on Veterans’ Affairs 
A BILL 
To direct the Secretary of Veterans Affairs to establish a 
pilot program for gynecologic cancer care coordination 
at the Department of Veterans Affairs, 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’ Cancer Care 
Coordinator Act of 2022’’. 
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SEC. 2. PILOT PROGRAM ON GYNECOLOGIC CANCER CARE 
COORDINATION. 
(a) ESTABLISHMENT.—Not later than one year after 
the date of the enactment of this Act, the Secretary of 
Veterans Affairs shall establish a pilot program (in this 
section referred to as the ‘‘Program’’) for gynecologic can-
cer care coordination at the Department of Veterans Af-
fairs, including through the designation of a gynecologic 
cancer care coordinator of the Department. 
(b) ELIGIBLE PARTICIPANTS.—A veteran is eligible 
to participate in the program if the veteran— 
(1) has been diagnosed with a gynecologic can-
cer; and 
(2) is eligible for health care furnished through 
the Veterans Community Care Program under sec-
tion 1703 of title 38, United States Code, at a non- 
Department facility. 
(c) LOCATIONS.—The Secretary shall select not fewer 
than five medical centers of the Department of Veterans 
Affairs at which to carry out the Program, including one 
medical center that primarily serves rural veterans, as de-
termined by the Secretary. 
(d) DUTIES OF GYNECOLOGIC CANCER CARE COOR-
DINATOR.—Under 
the 
Program, 
the 
designated 
gynecologic cancer care coordinator shall be responsible 
for carrying out the following duties: 
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(1) Ensuring the coordination of care be-
tween— 
(A) clinicians of the Department and com-
munity gynecologic cancer care providers; 
(B) clinicians of the Department, Women’s 
Veteran Program Managers, and Women’s 
Health Medical Directors; and 
(C) any other relevant clinicians of the De-
partment and community care providers who 
provide care to participating veterans. 
(2) Working with the Office of Community Care 
of the relevant medical facility of the Department re-
garding authorizations of care in the community, in-
cluding for participating veterans whose mental 
health screening results indicate the presence of 
military sexual trauma, depression, domestic or inti-
mate partner violence, or post-traumatic stress dis-
order. 
(3) Making regular contact with each partici-
pating veteran when the veteran receives care from 
a community care provider to evaluate the needs of 
the veteran, including through an assessment of the 
mental health of the veteran (including as such men-
tal health and trauma history related to the cancer 
diagnosis of the veteran). 
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(4) Monitoring— 
(A) the services furnished under the Pro-
gram to participating veterans; 
(B) the outcomes relating to the health of 
such participating veterans, including remission, 
metastasis, and death; and 
(C) the data relating to gynecologic cancer 
care collected at a medical facility of the De-
partment (using relevant databases of the Vet-
erans Health Administration or other Depart-
ment databases), including— 
(i) the demographics of participating 
veterans who have gynecologic cancer; and 
(ii) the number of participating vet-
erans being treated for gynecologic cancer. 
(5) Providing particular information to partici-
pating veterans, including— 
(A) how to seek emergency care at the 
emergency department closest to the veteran, 
including the requirement for the veteran or the 
community care provider to notify the Depart-
ment when the veteran receives emergency 
treatment relating to the cancer of the veteran 
for the Department to authorize payment for 
such emergency treatment; and 
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(B) information about mental health re-
sources, including with respect to information 
encouraging follow-up care for depression. 
(6) Documenting certain information in the 
electronic health records of participating veterans, 
including— 
(A) the documentation of the contact de-
scribed in paragraph (3); 
(B) the contact information of the commu-
nity gynecologic cancer care providers of such 
participating veterans; and 
(C) the cancer diagnosis of such partici-
pating veterans. 
(7) Carrying out such other duties as may be 
determined appropriate by the Secretary. 
(e) REPORT.— 
(1) IN
GENERAL.—Not later than two years 
after the date on which the Secretary commences the 
Program, the Secretary shall submit to the Commit-
tees on Veterans’ Affairs of the Senate and the 
House of Representatives a report containing the 
following: 
(A) A comparison of the outcomes of vet-
erans who have participated in the Program to 
the outcomes of non-participating veterans de-
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scribed in paragraph (2), including with respect 
to the following: 
(i) Health outcomes, including (for 
the most recent two years of available 
data)— 
(I) the percentage of such vet-
erans who have experienced a cancer- 
related death; 
(II) the percentage of such vet-
erans who have entered remission for 
gynecologic cancer; and 
(III) the percentage of such vet-
erans who have been diagnosed with 
mental health disorders determined 
relevant by the Secretary for purposes 
of the comparison (including anxiety, 
depression, and post-traumatic stress 
disorder). 
(ii) Timeliness of care furnished under 
chapter 17 of title 38, United States Code, 
including the average time that elapses be-
tween the initial diagnosis and each succes-
sive stage of treatment for gynecologic can-
cer. 
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(iii) Patient safety associated with 
such care, including the number of errors 
in medical care that rise to the level of 
‘‘never events’’ (such as a foreign body left 
in a veteran during surgery). 
(iv) Patient satisfaction associated 
with such care, including the results of a 
patient satisfaction survey administered to 
such veterans on the receipt of adequate 
pain management from health care pro-
viders of the Department, mental health 
resources from such providers, and overall 
quality of such care. 
(B) An evaluation of whether to expand 
the Program or make such Program perma-
nent. 
(C) Any other matter the Secretary deter-
mines appropriate. 
(2) 
NON-PARTICIPATING
VETERANS
DE-
SCRIBED.—A non-participating veteran described in 
this paragraph is a female veteran who— 
(A) has not participated in the Program; 
(B) is enrolled in the patient enrollment 
system of the Department of Veterans Affairs 
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(5) The term ‘‘participating veteran’’ means a 
veteran who is participating in the Program. 
(6) The term ‘‘Women’s Health Medical Direc-
tor’’ means a Women’s Health Medical Director de-
scribed in the directive of the Veterans Health Ad-
ministration titled ‘‘Health Care Services for Women 
Veterans’’ (directive 1330.01), or any successor di-
rective. 
(7) The term ‘‘Women’s Veteran Program Man-
ager’’ means a Women’s Veterans Program Manager 
described in the directive of the Veterans Health Ad-
ministration titled ‘‘Women Veterans Program Man-
ager’’ (directive 1330.02), or any successor directive. 
Æ 
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