IIB 
114TH CONGRESS 
2D SESSION 
H. R. 3234 
IN THE SENATE OF THE UNITED STATES 
FEBRUARY 10, 2016 
Received; read twice and referred to the Committee on Veterans’ Affairs 
AN ACT 
To amend title 38, United States Code, to direct the Sec-
retary of Veterans Affairs to evaluate the ability of each 
medical center of the Department to provide quality 
health care to veterans, to ensure that the Secretary 
improves such medical centers that are underperforming, 
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 Medical Center 
Recovery Act’’. 
SEC. 2. EVALUATION AND IMPROVEMENT OF MEDICAL 
CENTERS. 
(a) UNDERPERFORMING MEDICAL CENTERS.— 
(1) IN
GENERAL.—Chapter 73 of title 38, 
United States Code, is amended by inserting after 
section 7311A the following new section: 
‘‘§ 7311B. Evaluation and improvement of medical 
centers 
‘‘(a) IDENTIFICATION OF UNDERPERFORMING MED-
ICAL CENTERS.—(1) Not later than 15 days after the end 
of each fiscal quarter, the Secretary shall publish in the 
Federal Register and on a publically available, searchable 
Internet website of the Department a compilation of key 
health metrics for each medical center of the Department. 
‘‘(2) On a semiannual basis, the Secretary shall de-
termine, under the key health metrics, whether each med-
ical center of the Department is satisfactory or underper-
forming. 
‘‘(b) RAPID DEPLOYMENT TEAMS.—(1) Not later 
than 30 days after the date on which the Secretary identi-
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fies a medical center as an underperforming medical cen-
ter under subsection (a)(2), the Secretary shall deploy a 
rapid deployment team to the medical center to ensure 
that the medical center achieves satisfactory performance 
as quickly as practicable. 
‘‘(2) Each rapid deployment team deployed to an 
underperforming medical center under paragraph (1) 
shall— 
‘‘(A) identify the areas of the medical center 
that require improvement, including with respect to 
the procedures of the medical center, inefficiencies of 
the medical center, and whether the medical center 
follows directives and best practices; 
‘‘(B) establish a remediation plan to improve 
the performance of the medical center; 
‘‘(C) review and assesses the status of any— 
‘‘(i) disciplinary actions taken at the med-
ical center; 
‘‘(ii) recommendations made by the Inspec-
tor General of the Department applicable to the 
medical center; and 
‘‘(iii) findings made by the Comptroller 
General of the United States applicable to the 
medical center; and 
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‘‘(D) provide training to the director and staff 
of the medical center with respect to carrying out 
such improvements. 
‘‘(3) The Secretary shall ensure that— 
‘‘(A) the director of each underperforming med-
ical center carries out the remediation plan under 
paragraph (2)(B); and 
‘‘(B) the rapid deployment team has access to 
all facilities and all electronic systems, records, re-
ports, audits, reviews, documents, papers, or other 
materials the rapid deployment team determines 
necessary to carry out this subsection. 
‘‘(4) Each rapid deployment team deployed to an 
underperforming medical center under paragraph (1) shall 
consist of— 
‘‘(A) subject matter experts with experience 
in— 
‘‘(i) customer service training; 
‘‘(ii) increasing the efficiency of organiza-
tions; 
‘‘(iii) clinical care specific to the areas in 
which the underperforming medical center re-
quires improvement; and 
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