I 
113TH CONGRESS 
2D SESSION 
H. R. 3831 
To require the Secretary of Veterans Affairs to review the dialysis pilot 
program implemented by the Department of Veterans Affairs and submit 
a report to Congress before expanding that program, and for other 
purposes. 
IN THE HOUSE OF REPRESENTATIVES 
JANUARY 9, 2014 
Mr. ROE of Tennessee introduced the following bill; which was referred to the 
Committee on Veterans’ Affairs 
A BILL 
To require the Secretary of Veterans Affairs to review the 
dialysis pilot program implemented by the Department 
of Veterans Affairs and submit a report to Congress 
before expanding that program, 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 Dialysis Pilot 
Program Review Act of 2014’’. 
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SEC. 2. LIMITATION ON EXPANSION OF DIALYSIS PILOT 
PROGRAM. 
(a) LIMITATION.—The Secretary of Veterans Affairs 
shall not expand the dialysis pilot program or create any 
new dialysis capability provided by the Department of Vet-
erans Affairs in any facility that is not an initial facility 
until after the date that— 
(1) the Secretary has implemented the dialysis 
pilot program at each initial facility for a period of 
not less than two years; 
(2) an independent analysis of the dialysis pilot 
program has been conducted at each initial facility; 
and 
(3) the report required by subsection (b) has 
been submitted. 
(b) REPORT.—Not later than 60 days after the date 
of the completion of the independent analysis required by 
subsection (a)(2), the Secretary shall submit to Congress 
a report that— 
(1) includes the results of that independent 
analysis, including a comparison of not only cost but 
non-cost factors such as access to care, quality of 
care, and Veteran satisfaction; and 
(2) addresses any recommendations with re-
spect to the dialysis pilot program provided in a re-
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port prepared by the Government Accountability Of-
fice. 
(c) USE OF EXISTING DIALYSIS RESOURCES.—In 
order to increase the access of veterans to dialysis care 
and decrease the amount of time such veterans are re-
quired to travel to receive such care, the Secretary shall 
fully use the dialysis resources of the Department that 
exist as of the date of the enactment of this Act, including 
any community dialysis provider with which the Secretary 
has entered into a contract or agreement for the provision 
of such care. 
(d) DEFINITIONS.—In this section: 
(1) The term ‘‘dialysis pilot program’’ means 
the pilot demonstration program established by the 
Secretary in 2009 to provide dialysis care to patients 
at certain outpatient facilities operated by the De-
partment of Veterans Affairs. 
(2) The term ‘‘initial facility’’ means one of the 
four outpatient facilities identified by the Secretary 
to participate in the dialysis pilot program prior to 
the date of the enactment of this Act. 
Æ 
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