I 
116TH CONGRESS 
1ST SESSION H. R. 2372 
To direct the Comptroller General of the United States to conduct an assess-
ment of all memoranda of understanding and memoranda of agreement 
between Under Secretary of Health and non-Department of Veterans 
Affairs entities relating to suicide prevention and mental health services. 
IN THE HOUSE OF REPRESENTATIVES 
APRIL 25, 2019 
Ms. UNDERWOOD introduced the following bill; which was referred to the 
Committee on Veterans’ Affairs 
A BILL 
To direct the Comptroller General of the United States to 
conduct an assessment of all memoranda of under-
standing and memoranda of agreement between Under 
Secretary of Health and non-Department of Veterans 
Affairs entities relating to suicide prevention and mental 
health services. 
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’ Care Quality 
Transparency Act’’. 
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SEC. 2. COMPTROLLER GENERAL ASSESSMENT OF MEMO-
RANDA OF UNDERSTANDING AND MEMO-
RANDA OF AGREEMENT BETWEEN UNDER 
SECRETARY OF HEALTH AND NON-DEPART-
MENT OF VETERANS AFFAIRS ENTITIES RE-
LATING TO SUICIDE PREVENTION AND MEN-
TAL HEALTH SERVICES. 
(a) ASSESSMENT.—Not later than 180 days after the 
date of the enactment of this Act, the Comptroller General 
of the United States shall conduct an assessment of the 
effectiveness of all memoranda of understanding and 
memoranda of agreement entered into by the Under Sec-
retary of Veterans Affairs for Health and a non-Depart-
ment of Veterans Affairs entity relating to— 
(1) suicide prevention activities and outreach; 
and 
(2) the provision or coordination of mental 
health services during the five-year period preceding 
the date of the enactment of this Act. 
(b) CONTENTS OF ASSESSMENT.—The assessment 
required by subsection (a) shall include an assessment 
of— 
(1) the regional variances of the non-Depart-
ment entities with which the Under Secretary has 
entered into a memorandum of understanding or 
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memorandum of agreement referred to in subsection 
(a); 
(2) the size of the catchment area of each such 
entity; 
(3) the staffing structures of such entities; 
(4) any accreditation or licensure any such enti-
ty has obtained in relation to the services the entity 
provides; 
(5) any variances in the subpopulations of vet-
erans served by such entities; 
(6) any limitations any such entity may face in 
carrying out its obligations under the memorandum 
of understanding or memorandum of agreement; 
(7) the extent to which the Under Secretary 
provides oversight and tracks outcomes of such enti-
ties; 
(8) any variations in the structure or require-
ments of the memoranda of understanding and 
memoranda of agreement; 
(9) a breakdown of the percentage of such enti-
ties that serve— 
(A) women veterans; 
(B) minority veterans; 
(C) veterans who are over the age of 55; 
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(D) veterans between the ages of 18 and 
34; and 
(E) veterans’ families; and 
(10) any measures taken to ensure the secure 
exchange of data and information between such enti-
ties and the Department of Veterans Affairs. 
(c) REPORT TO CONGRESS.—Not later than 60 days 
after the completion of the assessment under subsection 
(a), the Comptroller General shall submit to the Commit-
tees on Veterans’ Affairs of the Senate and House of Rep-
resentatives a report on the results of the assessment. 
Æ 
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