two years after the date on which the Secretary 
submitted such certification’’ after ‘‘clause (i)’’; 
and 
(2) in clause (iii), by striking ‘‘that is 2 years 
after the date on which the Secretary submits to 
Congress the certification described in clause (i)’’ 
and inserting ‘‘determined by the Secretary pursu-
ant to clause (ii)’’. 
(c) QUARTERLY REPORT ON PARTICIPATION IN PRO-
GRAM.— 
(1) REPORTS.—Not later than 90 days after 
the date of the enactment of this Act, and quarterly 
thereafter, the Secretary of Veterans Affairs shall 
submit to the Committees on Veterans’ Affairs of 
the House of Representatives and the Senate a re-
port on participation in the program established 
under section 1720G(a) of title 38, United States 
Code. Each report shall include the following: 
(A) The total number of applications sub-
mitted to the Secretary for participation in the 
program. 
(B) The total number of approvals and de-
nials made with respect to such applications. 
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(C) The total number of appeals submitted 
following denials made with respect to such ap-
plications. 
(D) The respective timelines for approvals, 
denials, and appeals made with respect to such 
applications. 
(E) The total number of removals and re-
assessments made with respect to participation 
in the program. 
(F) The respective timelines for removals 
and reassessments made with respect to partici-
pation in the program. 
(2) DISAGGREGATION OF DATA.—The informa-
tion included in the reports under paragraph (1) 
shall be disaggregated by— 
(A) the disposition of the application or 
appeal, as applicable; 
(B) the reason for the disposition (includ-
ing whether the disposition was based on a de-
termination that participation was not in the 
best interest of an eligible veteran); and 
(C) Centralized Eligibility and Appeals 
Team or, with respect to dispositions that were 
not determined, or applications that were not 
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assessed, by a Centralized Eligibility and Ap-
peals Team, facility of the Department. 
(3) PATIENT
PRIVACY.—In carrying out this 
subsection, the Secretary shall ensure measures are 
in place to protect patient privacy, including to pro-
tect against disclosures of protected health informa-
tion not authorized under regulations promulgated 
under section 264(c) of the Health Insurance Port-
ability and Accountability Act of 1996 (Public Law 
104–191; 42 U.S.C. 1320d–2 note). 
(d) REPORT ON IMPROVEMENTS TO CLINICAL AP-
PEALS PROCESS.—Not later than 180 days after the date 
of the enactment of this Act, the Secretary (in consulta-
tion with veterans service organizations, veterans, care-
givers of veterans, and other stakeholders as determined 
relevant by the Secretary) shall submit to the Committees 
on Veterans’ Affairs of the House of Representatives and 
the Senate a report containing recommendations for ad-
ministrative and legislative actions to improve the clinical 
appeals process of the Department of Veterans Affairs 
with respect to timeliness, transparency, objectivity, con-
sistency, and fairness. 
Æ 
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