[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[S. 607 Reported in Senate (RS)]

<DOC>





                                                       Calendar No. 272
119th CONGRESS
  1st Session
                                 S. 607

To require the Secretary of Veterans Affairs to establish an integrated 
  project team to improve the process for scheduling appointments for 
  health care from the Department of Veterans Affairs, and for other 
                               purposes.


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

                           February 18, 2025

 Ms. Hassan (for herself, Mr. Boozman, Mr. Moran, and Mr. Blumenthal) 
introduced the following bill; which was read twice and referred to the 
                     Committee on Veterans' Affairs

                            December 2, 2025

 Reported by Mr. Moran, with an amendment and an amendment to the title
 [Strike out all after the enacting clause and insert the part printed 
                               in italic]

_______________________________________________________________________

                                 A BILL


 
To require the Secretary of Veterans Affairs to establish an integrated 
  project team to improve the process for scheduling appointments for 
  health care from the Department of Veterans Affairs, and for other 
                               purposes.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

<DELETED>SECTION 1. SHORT TITLE.</DELETED>

<DELETED>    This Act may be cited as the ``Improving Veteran Access to 
Care Act''.</DELETED>

<DELETED>SEC. 2. ESTABLISHMENT OF INTEGRATED PROJECT TEAM OF DEPARTMENT 
              OF VETERANS AFFAIRS TO IMPROVE HEALTH CARE APPOINTMENT 
              SCHEDULING.</DELETED>

<DELETED>    (a) In General.--The Secretary of Veterans Affairs, 
through the Veterans Health Administration and the Office of 
Information and Technology of the Department of Veterans Affairs, or 
any successor offices or administrations of similar function, shall 
establish an integrated project team to improve the process for 
scheduling appointments for health care from the Department of Veterans 
Affairs.</DELETED>
<DELETED>    (b) Purpose.--The purpose of this section is to ensure the 
Department of Veterans Affairs delivers to patients and employees of 
the Department in a timely manner the scheduling capabilities developed 
by the integrated project team established under subsection (a) to 
immediately improve delivery of care, access to care, customer 
experience and service, and efficiency with respect to the delivery of 
care.</DELETED>
<DELETED>    (c) Objectives.--The objectives of the integrated project 
team established under subsection (a) are the following:</DELETED>
        <DELETED>    (1) To develop or continue the development of a 
        scheduling system that enables both personnel and patients of 
        the Department of Veterans Affairs to view available 
        appointments for all care furnished by the Department, 
        including--</DELETED>
                <DELETED>    (A) available appointments for all 
                providers of the Department;</DELETED>
                <DELETED>    (B) available appointments at all clinics, 
                hospitals, and other health care facilities of the 
                Department; and</DELETED>
                <DELETED>    (C) available appointments at all offices 
                providing patient care within the health care system of 
                the Department, including primary care and all forms of 
                specialty care.</DELETED>
        <DELETED>    (2) To develop or continue the development of a 
        self-service scheduling platform, available for use by all 
        patients of the Department, which shall--</DELETED>
                <DELETED>    (A) enable such patients to view available 
                appointments and fully schedule appointments for all 
                care furnished by the Department, including--</DELETED>
                        <DELETED>    (i) appointments for all providers 
                        of the Department;</DELETED>
                        <DELETED>    (ii) appointments at all clinics, 
                        hospitals, and other health care facilities of 
                        the Department; and</DELETED>
                        <DELETED>    (iii) appointments at all offices 
                        providing patient care within the health care 
                        system of the Department, including primary 
                        care and all forms of specialty care;</DELETED>
                <DELETED>    (B) if a referral is required for an 
                appointment, provide a method for the patient to 
                request a referral and subsequently book an appointment 
                if the referral is approved; and</DELETED>
                <DELETED>    (C) provide such patients with the ability 
                to cancel or reschedule appointments.</DELETED>
        <DELETED>    (3) To create a process through which all patients 
        of the Department can telephonically speak with a scheduler who 
        can assist the patient to determine appointment availability 
        and can fully schedule appointments on behalf of the patient 
        for all care furnished by the Department, including--</DELETED>
                <DELETED>    (A) appointments for all providers of the 
                Department;</DELETED>
                <DELETED>    (B) appointments at all clinics, 
                hospitals, and other health care facilities of the 
                Department; and</DELETED>
                <DELETED>    (C) appointments at all offices providing 
                patient care within the health care system of the 
                Department, including primary care and all forms of 
                specialty care.</DELETED>
        <DELETED>    (4) To carry out such other functions, oversight, 
        metric development and tracking, change management, cross-
        Department coordination, and other related matters as the 
        Secretary determines appropriate as it relates to scheduling 
        tools, functions, and operations with respect to health care 
        appointments furnished by the Department.</DELETED>
<DELETED>    (d) Coordination With Electronic Health Record 
Modernization Program.--</DELETED>
        <DELETED>    (1) In general.--The integrated project team 
        established under subsection (a) shall carry out the objectives 
        under subsection (c) in consultation and coordination with the 
        deployment schedule and capabilities of the Electronic Health 
        Record Modernization Program of the Department of Veterans 
        Affairs to ensure a smooth transition to using the tools and 
        features, where relevant and appropriate, that may be created 
        pursuant to this section, along with the features in the 
        Electronic Health Record Modernization Program.</DELETED>
        <DELETED>    (2) Rule of construction.--Nothing in this 
        subsection shall be construed to require the integrated project 
        team established under subsection (a), the Veterans Health 
        Administration, or the Office of Information and Technology of 
        the Department to defer or delay the deployment of scheduling 
        capabilities required by this section because of future 
        potential planned capabilities of the Electronic Health Record 
        Modernization Program.</DELETED>
<DELETED>    (e) Deadlines.--</DELETED>
        <DELETED>    (1) Establishment.--Not later than 180 days after 
        the date of the enactment of this Act, the Secretary of 
        Veterans Affairs, through the Veterans Health Administration 
        and the Office of Information and Technology of the Department 
        of Veterans Affairs, or any successor office, shall fully 
        establish the integrated project team under subsection 
        (a).</DELETED>
        <DELETED>    (2) Completion of objectives.--Not later than one 
        year after the date of the enactment of this Act, the 
        integrated project team established under subsection (a) shall 
        complete the objectives under subsection (c).</DELETED>
<DELETED>    (f) Report on Objectives.--If the Secretary of Veterans 
Affairs determines that an objective under subsection (c), or any 
feature or service in connection with that objective, cannot be 
implemented or otherwise incorporated into a final product, the 
Secretary shall, within 45 days of that determination, submit to the 
appropriate committees of Congress a report--</DELETED>
        <DELETED>    (1) detailing that objective, feature, or service 
        and providing an explanation as to why that objective, feature, 
        or service cannot be implemented or incorporated, as the case 
        may be; and</DELETED>
        <DELETED>    (2) setting forth a plan for implementing this 
        section without that objective, feature, or service.</DELETED>
<DELETED>    (g) Implementation Reports.--Not later than each of one 
year and two years after the date of the enactment of this Act, the 
Secretary of Veterans Affairs shall submit to the appropriate 
committees of Congress a report on the progress of the Secretary in 
fulfilling the requirements of this section, including--</DELETED>
        <DELETED>    (1) costs incurred to implement such requirements 
        as of the date of the report;</DELETED>
        <DELETED>    (2) the expected costs to complete implementation 
        of such requirements (including costs for management and 
        technology);</DELETED>
        <DELETED>    (3) the schedule for deployment of any 
        capabilities developed by the integrated project team 
        established under subsection (a); and</DELETED>
        <DELETED>    (4) goals and metrics achieved, challenges, and 
        lessons learned.</DELETED>
<DELETED>    (h) Rule of Construction.--Nothing in this section shall 
be construed to preclude or impede the ability of a veteran to contact 
or schedule an appointment directly with a facility or provider through 
a non-online scheduling process, should the veteran choose to do 
so.</DELETED>
<DELETED>    (i) Definitions.--In this section:</DELETED>
        <DELETED>    (1) Appropriate committees of congress.--The term 
        ``appropriate committees of Congress'' means the Committee on 
        Veterans' Affairs of the Senate and the Committee on Veterans' 
        Affairs of the House of Representatives.</DELETED>
        <DELETED>    (2) Fully schedule.--The term ``fully schedule'', 
        with respect to booking an appointment, means that the 
        appointment booking is completed, rather than simply 
        requested.</DELETED>

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Improving Veteran Access to Care 
Act''.

SEC. 2. IMPLEMENTATION OF AND REPORT ON EFFORTS OF DEPARTMENT OF 
              VETERANS AFFAIRS TO IMPROVE HEALTH CARE APPOINTMENT 
              SCHEDULING.

    (a) In General.--Not later than one year after the date of the 
enactment of this Act, the Secretary of Veterans Affairs shall submit 
to the appropriate committees of Congress a plan to improve the process 
for scheduling appointments for health care from the Department of 
Veterans Affairs, including improvements for both patients and 
employees of the Department responsible for scheduling such 
appointments.
    (b) Elements of Plan.--
            (1) In general.--The plan required by subsection (a) shall 
        include--
                    (A) such actions, resources, technology, and 
                process improvements as the Secretary determines 
                necessary to ensure the Department achieves, in a 
                timely manner, improved delivery of health care, access 
                to health care, customer experience and service 
                relating to the receipt of health care, and efficiency 
                with respect to the delivery of health care; and
                    (B) a proposed schedule and timeline to carry out 
                such plan.
            (2) Objectives.--
                    (A) In general.--The Secretary shall ensure that 
                the plan required by subsection (a) addresses the 
                following objectives:
                            (i) To develop or continue the development 
                        of a scheduling system that enables both 
                        personnel and patients of the Department to 
                        view available appointments for care furnished 
                        by the Department, including primary care, 
                        mental health care, and all forms of specialty 
                        care.
                            (ii) To develop or continue the development 
                        of a self-service scheduling platform, 
                        available for use by all patients of the 
                        Department, which shall--
                                    (I) enable such patients to view 
                                available appointments and, subject to 
                                the method provided under subclause 
                                (II), fully schedule appointments for 
                                all care furnished by the Department;
                                    (II) if a referral is required for 
                                an appointment, provide a method for 
                                the patient to request a referral and 
                                subsequently book an appointment if the 
                                referral is approved; and
                                    (III) provide such patients with 
                                the ability to cancel or reschedule 
                                appointments.
                            (iii) To create a process through which all 
                        patients of the Department can telephonically 
                        speak with a scheduler who can assist the 
                        patient to determine appointment availability 
                        and can fully schedule appointments on behalf 
                        of the patient for all care furnished by the 
                        Department.
                            (iv) To carry out such other functions, 
                        oversight, metric development and tracking, 
                        change management, cross-Department 
                        coordination, and other related matters, 
                        including improvements to employee-facing 
                        information technology, training, and 
                        processes, as the Secretary determines 
                        appropriate as it relates to scheduling tools, 
                        functions, and operations with respect to 
                        health care appointments furnished by the 
                        Department.
                    (B) Explanation of inability to implement certain 
                objectives, features, or services.--If the Secretary 
                determines that an objective under subparagraph (A), or 
                any feature or service in connection with that 
                objective, cannot be implemented or otherwise 
                incorporated into a final product pursuant to the plan 
                required by subsection (a), the Secretary shall include 
                with the plan submitted under such subsection a report 
                containing--
                            (i) an explanation as to why that 
                        objective, feature, or service cannot be 
                        implemented or incorporated, as the case may 
                        be; and
                            (ii) a plan for implementing the plan 
                        required by subsection (a) without that 
                        objective, feature, or service.
    (c) Implementation.--Not later than two years after submitting to 
the appropriate committees of Congress the plan required by subsection 
(a), the Secretary shall fully implement the plan.
    (d) Coordination With Electronic Health Record Modernization 
Program.--In developing the plan required by subsection (a), the 
Secretary shall ensure that the elements and objectives of such plan 
set forth under subsection (b) are developed in consideration of the 
deployment schedule and capabilities of the Electronic Health Record 
Modernization Program of the Department to ensure a smooth transition 
to using the tools and features under such plan as relevant and 
appropriate.
    (e) Implementation Reports.--Not later than each of one year and 
two years after the date on which the Secretary submits the plan 
required by subsection (a), the Secretary shall submit to the 
appropriate committees of Congress a report on the progress of the 
Secretary in implementing such plan, including--
            (1) the costs incurred to implement the plan as of the date 
        of the report;
            (2) the expected costs to complete implementation of the 
        plan (including costs for management and technology);
            (3) the schedule for deployment of any capabilities 
        developed pursuant to the plan; and
            (4) the goals and metrics achieved, challenges, and lessons 
        learned in implementing the plan.
    (f) Rule of Construction.--Nothing in this section shall be 
construed to require the Secretary to include in the plan required by 
subsection (a) any technology or process that would preclude or impede 
the ability of a veteran to contact or schedule an appointment directly 
with a facility or provider through a non-online scheduling process, 
should the veteran choose to do so.
    (g) Definitions.--In this section:
            (1) Appropriate committees of congress.--The term 
        ``appropriate committees of Congress'' means the Committee on 
        Veterans' Affairs of the Senate and the Committee on Veterans' 
        Affairs of the House of Representatives.
            (2) Fully schedule.--The term ``fully schedule'', with 
        respect to an appointment for health care, means that the 
        appointment booking is completed, rather than simply requested.
            Amend the title so as to read: ``A bill to require the 
        Secretary of Veterans Affairs to establish and implement a plan 
        to improve the process for scheduling appointments for health 
        care from the Department of Veterans Affairs, and for other 
        purposes.''.
                                                       Calendar No. 272

119th CONGRESS

  1st Session

                                 S. 607

_______________________________________________________________________

                                 A BILL

To require the Secretary of Veterans Affairs to establish an integrated 
  project team to improve the process for scheduling appointments for 
  health care from the Department of Veterans Affairs, and for other 
                               purposes.

_______________________________________________________________________

                            December 2, 2025

        Reported with an amendment and an amendment to the title