IIB 
115TH CONGRESS 
2D SESSION 
H. R. 4245 
IN THE SENATE OF THE UNITED STATES 
MAY 22, 2018 
Received; read twice and referred to the Committee on Veterans’ Affairs 
AN ACT 
To direct the Secretary of Veterans Affairs to submit to 
Congress certain documents relating to the Electronic 
Health Record Modernization Program of the Depart-
ment of Veterans Affairs. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
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SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Veterans’ Electronic 
Health Record Modernization Oversight Act of 2017’’. 
SEC. 2. OVERSIGHT OF ELECTRONIC HEALTH RECORD 
MODERNIZATION PROGRAM. 
(a) PROGRAM DOCUMENTS.—Not later than 30 days 
after the date of the enactment of this Act, the Secretary 
of Veterans Affairs shall submit to the appropriate con-
gressional committees the following documents concerning 
the Electronic Health Record Modernization Program: 
(1) Integrated Master Plan. 
(2) Integrated Master Schedule. 
(3) Program Management Plan. 
(4) Annual and lifecycle cost estimates, includ-
ing, at a minimum, cost elements relating to— 
(A) Federal Government labor; 
(B) contractor labor; 
(C) hardware; 
(D) software; and 
(E) testing and evaluation. 
(5) Cost baseline. 
(6) Risk Management Plan. 
(7) Health IT Strategic Architecture Plan. 
(8) Transition Plan for implementing updated 
architecture. 
(9) Data Migration Plan. 
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(10) System and Data Security Plan. 
(11) Application Implementation Plan. 
(12) System Design Documents. 
(13) Legacy Veterans Information Systems and 
Technology Architecture Standardization, Security 
Enhancement, and Consolidation Project Plan. 
(14) Health Data Interoperability Management 
Plan. 
(15) Community Care Vision and Implementa-
tion Plan, including milestones and a detailed de-
scription of how complete interoperability with non- 
Department health care providers will be achieved. 
(b) QUARTERLY UPDATES.—Not later than 30 days 
after the end of each fiscal quarter during the period be-
ginning with the fiscal quarter in which this Act is enacted 
and ending on the date on which the Electronic Health 
Record Modernization Program is completed, the Sec-
retary shall submit to the appropriate congressional com-
mittees the most recent updated versions, if any exist, of 
the following documents: 
(1) Integrated Master Schedule. 
(2) Program Management Plan, including any 
written Program Management Review material de-
veloped for the Program Management Plan during 
the fiscal quarter covered by the submission. 
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(3) Each document described in subsection 
(a)(4). 
(4) Performance Baseline Report for the fiscal 
quarter covered by the submission or for the fiscal 
quarter ending the fiscal year prior to the submis-
sion. 
(5) Budget Reconciliation Report. 
(6) Risk Management Plan and Risk Register. 
(c) CONTRACTS.—Not later than 5 days after award-
ing a contract, order, or agreement, including any modi-
fications thereto, under the Electronic Health Record 
Modernization Program, the Secretary shall submit to the 
appropriate congressional committees a copy of the entire 
such contract, order, agreement, or modification. 
(d) NOTIFICATION.— 
(1) REQUIREMENT.—Not later than 10 days 
after an event described in paragraph (2) occurs, the 
Secretary shall notify the appropriate congressional 
committees of such occurrence, including a descrip-
tion of the event and an explanation for why such 
event occurred. 
(2) EVENT DESCRIBED.—An event described in 
this paragraph is any of the following events regard-
ing the Electronic Health Record Modernization 
Program: 
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(A) The delay of any milestone or deliver-
able by 30 or more days. 
(B) A request for equitable adjustment, eq-
uitable adjustment, or change order exceeding 
$1,000,000 (as such terms are defined in the 
Federal Acquisition Regulation). 
(C) The submission of any protest, claim, 
or dispute, and the resolution of any protest, 
claim, or dispute (as such terms are defined in 
the Federal Acquisition Regulation). 
(D) A loss of clinical or other data. 
(E) A breach of patient privacy, including 
any— 
(i) disclosure of protected health in-
formation that is not permitted under reg-
ulations promulgated under section 264(c) 
of the Health Insurance Portability and 
Accountability Act of 1996 (Public Law 
104–191; 42 U.S.C. 1320d–2 note); and 
(ii) breach of sensitive personal infor-
mation (as defined in section 5727 of title 
38, United States Code). 
(e) DEFINITIONS.—In this section: 
(1) The term ‘‘appropriate congressional com-
mittees’’ means— 
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(A) the Committees on Veterans’ Affairs of 
the House of Representatives and the Senate; 
and 
(B) the Committees on Appropriations of 
the House of Representatives and the Senate. 
(2) The term ‘‘Electronic Health Record Mod-
ernization Program’’ means— 
(A) any activities by the Department of 
Veterans Affairs to procure or implement an 
electronic health or medical record system to re-
place any or all of the Veterans Information 
Systems and Technology Architecture, the Com-
puterized Patient Record System, the Joint 
Legacy Viewer, or the Enterprise Health Man-
agement Platform; and 
(B) any contracts or agreements entered 
into by the Secretary of Veterans Affairs to 
carry out, support, or analyze the activities 
under subparagraph (A). 
Passed the House of Representatives May 21, 2018. 
Attest: 
KAREN L. HAAS, 
Clerk. 
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