H. R. 4591 
One Hundred Seventeenth Congress 
of the 
United States of America 
AT THE SECOND SESSION 
Begun and held at the City of Washington on Monday, 
the third day of January, two thousand and twenty-two 
An Act 
To direct the Secretary of Veterans Affairs to submit to Congress periodic reports 
on the costs, performance metrics, and outcomes of the Department of Veterans 
Affairs Electronic Health Record Modernization program. 
Be it enacted by the Senate and House of Representatives of 
the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘VA Electronic Health Record 
Transparency Act of 2021’’. 
SEC. 2. REPORTS ON COSTS, PERFORMANCE METRICS, AND OUTCOMES 
OF DEPARTMENT OF VETERANS AFFAIRS ELECTRONIC 
HEALTH RECORD MODERNIZATION PROGRAM. 
(a) IN GENERAL.—Section 503 of the Veterans Benefits and 
Transition Act of 2018 (Public Law 115–407; 38 U.S.C. 5701 note 
prec.) is amended— 
(1) by redesignating subsection (e) as subsection (f); 
(2) by inserting after subsection (d) the following new sub-
section (e): 
‘‘(e) QUARTERLY REPORTS.— 
‘‘(1) REPORTS ON COSTS OF EHRM PROGRAM.—Not later than 
90 days after the date of the enactment of the VA Electronic 
Health Record Transparency Act of 2021, and every 30 days 
after the last day of each fiscal quarter thereafter until the 
termination date specified in paragraph (3), the Secretary of 
Veterans Affairs shall submit to the Committees on Veterans’ 
Affairs of the Senate and House of Representatives a report 
on the costs of the Electronic Health Record Modernization 
program of the Department of Veterans Affairs. Each such 
report shall include, for the period covered by the report and 
for the total period beginning on the date of the enactment 
of the VA Electronic Health Record Transparency Act of 2021 
and ending on the date of the submittal of the report, a descrip-
tion of all actual expenses of, and driven by, such program, 
including any such expenses paid using— 
‘‘(A) any funds appropriated for the Department of 
Veterans Affairs, for any source or account, expended by 
any organizational element of the Department or by the 
Federal Electronic Health Record Modernization Office for 
the Electronic Health Record Modernization Program; 
‘‘(B) any funds, from any source or account, expended 
by any organizational element of the Department for phys-
ical or technology infrastructure modifications, enhance-
ments, improvements, or expansions at a facility of the
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Department necessitated by, or related or pertaining to, 
the Electronic Health Record Modernization Program; and 
‘‘(C) any funds, from any source or account, expended 
by any organizational element of the Department or by 
the Federal Electronic Health Record Modernization Office 
for consultants, support contractors, or experts related or 
pertaining to the Electronic Health Record Modernization 
Program. 
‘‘(2) REPORTS ON PERFORMANCE METRICS AND OUTCOMES.— 
Not later than 90 days after the date of the enactment of 
the VA Electronic Health Record Transparency Act of 2021, 
and every 30 days after the last day of each fiscal quarter 
thereafter until the termination date specified in paragraph 
(3), the Secretary of Veterans Affairs shall submit to the 
Committees on Veterans’ Affairs of the Senate and House of 
Representatives a report on the performance metrics and out-
comes of the Electronic Health Record Modernization Program. 
Each such report shall include, for the period covered by the 
report— 
‘‘(A) a list of the quality, performance, safety, or value 
metrics, key performance indicators, and other diagnostic 
or evaluation criteria in use to assess the Electronic Health 
Record Modernization Program and the electronic health 
record system, in general and at individual facilities, with 
respect to veterans, employees of the Department, and 
Departmental operations; 
‘‘(B) an explanation of any change to any of such 
metrics, indicators, and criteria compared to the metrics, 
indicators, and criteria included in any previous report 
submitted under this paragraph; 
‘‘(C) the data supporting or demonstrating each such 
metric, indicator, and criteria compared to the data sup-
porting or demonstrating such metric, indicator, or criteria 
as included in the previous report submitted under this 
paragraph; and 
‘‘(D) a list of patient safety reports, incidents, alerts, 
or disclosures at each facility of the Department where 
the electronic health record system has been implemented. 
‘‘(3) TERMINATION
DATE.—The requirement to submit a 
report under paragraph (1) shall terminate on the date that 
is 90 days after the date on which the Secretary submits 
to the Committees on Veterans’ Affairs of the Senate and 
House of Representatives certification that the Electronic 
Health Record Modernization program has been fully imple-
mented.’’; and 
(3) in subsection (f), as redesignated by paragraph (1), 
by adding at the end the following new paragraphs: 
‘‘(3) The term ‘electronic health record system’ means the 
electronic health record system implemented pursuant to the 
Electronic Health Record Modernization Program. 
‘‘(4) The term ‘Federal Electronic Health Record Manage-
ment Office’ means the office established under section 1635(b) 
of the Wounded Warrior Act (title XVI of Public Law 110– 
181; 10 U.S.C. 1071 note).
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‘‘(5) The term ‘facility of the Department’ includes a joint 
facility of the Department of Veterans Affairs and the Depart-
ment of Defense.’’. 
Speaker of the House of Representatives. 
Vice President of the United States and
President of the Senate.