I 
118TH CONGRESS 
1ST SESSION 
H. R. 592 
To prohibit the Secretary of Veterans Affairs from carrying out certain 
activities under the Electronic Health Record Modernization Program 
until certification of system improvements and facility readiness. 
IN THE HOUSE OF REPRESENTATIVES 
JANUARY 27, 2023 
Mr. BOST (for himself, Mr. ROSENDALE, Mrs. RODGERS of Washington, Mr. 
CAREY, Mr. BALDERSON, Mr. NEWHOUSE, Mr. SIMPSON, Mr. BENTZ, 
and Mr. BANKS) introduced the following bill; which was referred to the 
Committee on Veterans’ Affairs 
A BILL 
To prohibit the Secretary of Veterans Affairs from carrying 
out certain activities under the Electronic Health Record 
Modernization Program until certification of system im-
provements and facility readiness. 
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 ‘‘Department of Vet-
erans Affairs Electronic Health Record Modernization Im-
provement Act’’. 
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SEC. 2. PROHIBITION ON CERTAIN ACTIVITIES UNDER 
ELECTRONIC HEALTH RECORD MODERNIZA-
TION PROGRAM UNTIL CERTIFICATION OF 
SYSTEM 
IMPROVEMENTS 
AND 
FACILITY 
READINESS. 
(a) CERTIFICATION OF IMPROVEMENT.— 
(1) PROHIBITION.—The Secretary of Veterans 
Affairs may not commence a program activity at a 
facility of the Veterans Health Administration where 
such activity is not being carried out as of the date 
of the enactment of this Act until the date on which 
the Secretary of Veterans Affairs submits to the 
Committees on Veterans’ Affairs of the House of 
Representatives and the Senate written certification 
that the electronic health record system has met 
each of the improvement objectives described in 
paragraph (2) at each facility where such system is 
being carried out as of the date of the enactment of 
this Act. 
(2) IMPROVEMENT OBJECTIVES.—The improve-
ment objectives described in this paragraph are the 
following: 
(A) A monthly uptime for the electronic 
health record system of 99.9 percent for four 
sequential months. 
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(B) The completion of all improvements or 
modifications of the electronic health record 
system required to be completed pursuant to a 
contract, task order, modification, or other 
similar instrument, entered into before the date 
of the enactment of this Act. 
(b) CERTIFICATION OF READINESS.—The Secretary 
may not implement the electronic health record system at 
a facility of the Veterans Health Administration where 
such system has not been implemented as of the date of 
the enactment of this Act until the date on which the di-
rector of such facility, the chief of staff of such facility, 
and the director of the Veterans Integrated Services Net-
work in which such facility is located each submit to the 
Secretary, and the Secretary transmits to the Committees 
on Veterans’ Affairs of the House of Representatives and 
the Senate, written certification that— 
(1) the build and configuration of the electronic 
health record system, as proposed to be carried out 
at such facility, are accurate and complete; 
(2) the staff and infrastructure of such facility 
are adequately prepared to receive such system; and 
(3) the implementation of such system will not 
have significant, sustained adverse effects on patient 
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