IB 
Union Calendar No. 286 
115TH CONGRESS 
1ST SESSION H. R. 1066 
[Report No. 115–389] 
To direct the Secretary of Veterans Affairs to submit to the Committees 
on Veterans’ Affairs of the Senate and the House of Representatives 
a report regarding the organizational structure of the Department of 
Veterans Affairs, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
FEBRUARY 15, 2017 
Mr. KILMER (for himself and Mr. NEWHOUSE) introduced the following bill; 
which was referred to the Committee on Veterans’ Affairs 
NOVEMBER 6, 2017 
Additional sponsors: Ms. KUSTER of New Hampshire, Mr. RENACCI, Mrs. 
BROOKS of Indiana, Miss RICE of New York, Mr. BACON, Mr. PETERS, 
Mr. O’ROURKE, Mr. COFFMAN, and Miss GONZA´LEZ-COLO´N of Puerto 
Rico 
NOVEMBER 6, 2017 
Committed to the Committee of the Whole House on the State of the Union 
and ordered to be printed 
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A BILL 
To direct the Secretary of Veterans Affairs to submit to 
the Committees on Veterans’ Affairs of the Senate and 
the House of Representatives a report regarding the 
organizational structure of the Department of Veterans 
Affairs, and for other purposes. 
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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 ‘‘VA Management 
Alignment Act of 2017’’. 
SEC. 2. REPORT ON THE ORGANIZATIONAL STRUCTURE OF 
THE DEPARTMENT OF VETERANS AFFAIRS. 
(a) REPORT.—Not later than 180 days after the date 
of the enactment of this Act, the Secretary of Veterans 
Affairs shall submit to the Committees on Veterans’ Af-
fairs of the Senate and the House of Representatives a 
report (including recommendations for legislation the Sec-
retary considers appropriate) regarding the roles, respon-
sibility, and accountability of elements and individuals of 
the Department of Veterans Affairs. 
(b) MATTERS INCLUDED.—In creating the report 
under subsection (a), the Secretary shall— 
(1) utilize the results of— 
(A) the Independent Assessment of the 
Health Care Delivery Systems and Management 
Process of the Department of Veterans Affairs 
established by section 201 of the Veterans Ac-
cess, Choice, and Accountability Act of 2014 
(Public Law 113–146); 
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(B) any study or report by the Commission 
on Care established by section 202 of the Vet-
erans Access, Choice, and Accountability Act of 
2014 (Public Law 113–146); and 
(C) other studies or reports, including a 
report titled ‘‘Task Force on Improving Effec-
tiveness of VHA Governance: Report to the 
VHA Under Secretary for Health’’, dated Feb-
ruary 28, 2015; and 
(2) specify clearly delineated roles and respon-
sibilities to optimize the organizational effectiveness 
and accountability of each— 
(A) Administration, staff office, or staff or-
ganization; 
(B) subordinate organization of each Ad-
ministration, staff office, or staff organization; 
and 
(C) key leader of the Department in rela-
tion to any Administration, staff office, or staff 
organization, Veteran Integrated Service Net-
work, or medical facility. 
(c) DEFINITION.—In this Act, the term ‘‘key leader 
of the Department’’ includes— 
(1) the Secretary; 
(2) the Deputy Secretary; 
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