‘‘(i) Pharmaceuticals. 
‘‘(ii) Medical and surgical supplies. 
‘‘(iii) Medical devices. 
‘‘(B) The use by the Department of group 
purchasing arrangements to purchase pharma-
ceuticals, medical and surgical supplies, medical 
devices, and health care related services. 
‘‘(C) The strategy and systems used by the 
Department to distribute pharmaceuticals, med-
ical and surgical supplies, medical devices, and 
health care related services to Veterans Inte-
grated Service Networks and medical facilities 
of the Department. 
‘‘(13) The process of the Department for car-
rying out construction and maintenance projects at 
medical facilities of the Department and the medical 
facility leasing program of the Department. 
‘‘(14) The competency of Department leader-
ship with respect to culture, accountability, reform 
readiness, leadership development, physician align-
ment, employee engagement, succession planning, 
and performance management. 
‘‘(15) The training of health care personnel of 
the Department. 
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‘‘(16) The conduct of medical and prosthetic re-
search of the Department. 
‘‘(17) The provision of Department assistance 
to Federal agencies and personnel involved in re-
sponding to a disaster or emergency. 
‘‘(18) Such additional matters as may be deter-
mined relevant by the Secretary. 
‘‘(b) TIMING.—The private sector entity or entities 
carrying out an assessment pursuant to subsection (a) 
shall complete such assessment not later than one year 
after entering into the contract described in such para-
graph. 
‘‘(c) PRIVATE SECTOR ENTITIES DESCRIBED.—A 
private entity described in this subsection is a private enti-
ty that— 
‘‘(1) has experience and proven outcomes in op-
timizing the performance of the health care delivery 
systems of the Veterans Health Administration and 
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. 
‘‘(d) PROGRAM INTEGRATOR.—(1) If the Secretary 
enters into contracts with more than one private sector 
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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 en-
tities pursuant to such contracts. 
‘‘(e) 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: 
‘‘(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. 
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‘‘(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.’’. 
(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. 
Æ 
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