--- Introduced (House)
+++ Reported (House)
@@ -1,11 +1,14 @@
[From the U.S. Government Publishing Office]
-[H.R. 3482 Introduced in House (IH)]
+[H.R. 3482 Reported in House (RH)]
<DOC>
+Union Calendar No. 496
119th CONGRESS
-1st Session
+2d Session
H. R. 3482
+
+[Report No. 119-576]
To amend title 38, United States Code, to establish an online program
through which an employee of the Department of Veterans Affairs may
@@ -22,6 +25,19 @@
Mr. Barrett introduced the following bill; which was referred to the
Committee on Veterans' Affairs
+March 30, 2026
+
+Additional sponsor: Ms. Budzinski
+
+March 30, 2026
+
+Reported with an amendment, committed to the Committee of the Whole
+House on the State of the Union, and ordered to be printed
+[Strike out all after the enacting clause and insert the part printed
+in italic]
+[For text of introduced bill, see copy of bill as introduced on May 19,
+2025]
+
_______________________________________________________________________
A BILL
@@ -43,111 +59,176 @@
SEC. 2. SCHEDULING OF APPOINTMENTS UNDER THE VETERANS COMMUNITY CARE
PROGRAM.
-(a) In General.--Section 3101 of the Johnny Isakson and David P.
-Roe, M.D. Veterans Health Care and Benefits Improvement Act of 2020
-(Public Law 116-315; 38 U.S.C. 1701 note) is amended by striking
-subsection (d) and inserting the following new subsection (d):
-``(d) Program on Scheduling Appointments With Community Care
-Providers by Employees of the Department Through Information Technology
-System.--(1) Not later than one year after the date of the enactment of
-the Veterans Community Care Scheduling Improvement Act, the Secretary
-shall, instead of the process under subsection (a), carry out a program
-through which a scheduler of the Department--
-``(A) may schedule, for a veteran, an appointment--
-``(i) for health care furnished through the
-Veterans Community Care Program; and
-``(ii) offered by a non-Department health care
-provider that participates in the Veterans Community
-Care Program and elects to participate in the program
-under this subsection; and
-``(B) using an information technology system.
-``(2) The Secretary shall carry out the program under this
-subsection through an existing agreement if practicable.
-``(3) The program under this subsection shall, with regards to an
-appointment available with a Department provider or a non-Department
-provider that participates in the Veterans Community Care Program,
-allow a scheduler--
-``(A) to view, search, and sort such appointments by type
-of care, location, and date;
-``(B) to schedule such an appointment;
-``(C) to provide referral or authorization documents
-directly to a non-Department provider; and
-``(D) to perform any other function the Secretary
+(a) Electronic Process.--Subsection (d) of section 3101 of the
+Johnny Isakson and David P. Roe, M.D. Veterans Health Care and Benefits
+Improvement Act of 2020 (Public Law 116-315; 38 U.S.C. 1701 note) is
+amended to read as follows:
+``(d) Electronic Process.--(1) The Secretary shall implement an
+electronic process through which a scheduler of the Department, using
+an information technology system, may schedule an appointment for
+health care furnished by the Department or through the Veterans
+Community Care Program, under section 1703 of this title, by a non-
+Department health care provider.
+``(2) The electronic process under this subsection shall allow a
+scheduler, with regards to appointments described in--
+``(A) either clause of subparagraph (A) of subsection
+(a)(1), to view, search, and sort such appointments by type of
+care, location, and date; and
+``(B) clause (ii) of such subparagraph--
+``(i) to schedule such an appointment;
+``(ii) to provide referral and authorization
+documents directly to a non-Department provider; and
+``(iii) to perform any other function the Secretary
determines necessary.
-``(4) Not later than 90 days after the date of the enactment of the
-Veterans Community Care Scheduling Improvement Act, the Secretary shall
-prescribe regulations under this subsection. Such regulations shall
-include a directive to employees at medical centers of the Department
-to use the information technology system under this subsection to
-schedule appointments described in paragraph (1) instead of the process
-under subsection (a) whenever practicable.
-``(5) Not later than 90 days after the date of the enactment of the
-Veterans Community Care Scheduling Improvement Act, the Secretary shall
-plan and carry out an outreach campaign to encourage non-Department
-providers that participate in the Veterans Community Care Program to
-participate in the program under this subsection. Such outreach shall
-include the publication of a publicly accessible website of the
-Department regarding--
-``(A) details of the program;
-``(B) how a provider may elect to participate in the
-program; and
-``(C) a point of contact in the Department regarding the
-program.
-``(6) The Secretary shall submit to the Committees on Veterans'
+``(3) The Secretary shall ensure that the electronic process allows
+a scheduler to schedule an appointment for health care furnished by the
+Secretary through a health care provider of the Department.
+``(4) The Secretary shall implement the electronic process through
+an existing agreement if practicable.
+``(5) The Secretary shall submit to the Committees on Veterans'
Affairs of the Senate and House of Representatives the following
-documents regarding the program under this subsection:
-``(A) Not later than 30 days after each determination
-described in paragraph (3)(D), a report regarding each function
-described in such subparagraph.
-``(B) Not later than 30 days after prescription, a copy of
-the regulations prescribed under paragraph (4).
-``(C) Not later than 30 days after the Secretary formulates
-the plan under paragraph (5), a copy of such plan.
-``(D) Not later than 18 months after the date of the
-enactment of the Veterans Community Care Scheduling Improvement
-Act and every six months thereafter during the following five
-years, a report regarding operation of such program during the
-six months preceding the date of the report. Such a report
-shall include the following:
+regarding the electronic process:
+``(A) Not later than 90 days after the Secretary makes a
+determination under subparagraph (B)(iii) of paragraph (2), a
+briefing regarding the functions the Secretary has determined
+necessary.
+``(B) Not later than six months after the date of the
+enactment of Veterans Community Care Scheduling Improvement
+Act, and semiannually thereafter during the following three
+years, a report regarding operation of the electronic process
+during both the semiannual period preceding the date of the
+report and the cumulative period since the date of the
+enactment of such Act. Such a report shall include the
+following for each such period:
``(i) The number of non-Department health care
-providers who participated in such program.
-``(ii) The number of appointments under the
-Veterans Community Care Program, scheduled by a
-scheduler of the Department, disaggregated by--
-``(I) whether the appointment was scheduled
-under such program or by the process under
-subsection (a);
-``(II) category of medical services
-provided; and
+providers that participated in such electronic process,
+disaggregated by--
+``(I) category of hospital care or medical
+services provided; and
+``(II) medical center of the Department;
+``(ii) The number of appointments scheduled
+pursuant to the electronic process, disaggregated by--
+``(I) category of hospital care or medical
+services provided;
+``(II) medical center of the Department;
+and
``(III) month.
-``(7) The program under this subsection shall terminate seven years
-after the date of the enactment of the Veterans Community Care
-Scheduling Improvement Act.''.
-(b) Codification.--
+``(iii) A comparison of the average wait time for
+appointments scheduled through the electronic process
+and through non-electronic methods, disaggregated by
+medical center of the Department.
+``(iv) The rates at which veterans cancelled
+appointments scheduled through the electronic process.
+``(v) The rates at which veterans did not appear
+for appointments scheduled through the electronic
+process.''.
+(b) Implementation.--
+(1) Date.--The Secretary of Veterans Affairs shall
+implement the electronic process under subsection (d) of
+section 1703H of such title, as added by this section, not
+later than two years after the date of the enactment of this
+Act.
+(2) Guidelines.--Not later than 90 days after the date of
+the enactment of this Act, the Secretary of Veterans Affairs
+shall establish guidelines. Such guidelines shall include the
+following:
+(A) Procedures for schedulers and other employees
+of the Department involved in the scheduling of
+appointments described in such section.
+(B) A directive that employees described in
+subparagraph (A) use the electronic process to the
+extent practicable.
+(C) A directive that employees described in
+subparagraph (A), when scheduling an appointment for a
+covered veteran (as such term is used in section 1703
+of such title) for health care furnished by the
+Secretary, inform such covered veteran of available
+appointments though providers of the Department and
+through providers under the Veterans Community Care
+Program when eligible.
+(D) Procedures for engaging with non-Department
+health care providers in specialized cases.
+(E) Standards regarding timeliness and accuracy.
+(F) Escalation protocols for scheduling failures or
+delays.
+(3) Training.--Not later than 180 days after the date of
+the enactment of this Act, the Secretary shall implement a
+mandatory training program for employees described in paragraph
+(2) regarding the guidelines under paragraph (2).
+(4) Evaluation.--Not later than 60 days after the date of
+the enactment of this Act, the Secretary shall prescribe
+performance benchmarks and outcome-based metrics for the
+electronic process under such section, including--
+(A) time between a referral and a scheduled
+appointment;
+(B) patient satisfaction; and
+(C) the percentage of appointments scheduled
+exclusively through the electronic process.
+(5) Outreach.--Not later than 90 days after the date of the
+enactment of this Act, the Secretary shall plan and carry out
+an outreach strategy to encourage non-Department of Veterans
+Affairs health care providers that participate in the Veterans
+Community Care Program to participate in the electronic process
+under such subsection. Such outreach shall--
+(A) include contacting each such provider during
+such 90 days;
+(B) include seeking to enter into an agreement with
+each such provider under which the provider shall
+participate in the electronic process;
+(C) include collaborating with State hospital
+associations and rural health associations to promote
+such participation;
+(D) focus on providers in specialties or
+underserved areas, as determined by the Secretary; and
+(E) include the publication, on a publicly
+accessible website of the Department, of information
+regarding--
+(i) details of the electronic process;
+(ii) how a provider may elect to
+participate in the electronic process; and
+(iii) a point of contact in the Department
+regarding the electronic process.
+(6) Oversight.--The Secretary shall submit to the
+Committees on Veterans' Affairs of the Senate and House of
+Representatives, with regards to the electronic process under
+such subsection, the following:
+(A) Not later than 30 days after the Secretary
+establishes guidelines under paragraph (2) of this
+subsection, a copy of such guidelines.
+(B) Not later than 30 days after the Secretary
+formulates the plan under paragraph (5) of this
+subsection, a briefing on the outreach strategy under
+such paragraph.
+(C) Not later than 180 days after the date of the
+enactment of this Act, the benchmarks and metrics
+prescribed under paragraph (4).
+(c) Expansion.--Not later than 90 days after the date of the
+enactment of this Act, the Secretary shall submit to the Committees on
+Veterans' Affairs of the Senate and House of Representatives a plan to
+integrate the scheduling of appointments for health care furnished
+through health care providers of the Department of Veterans Affairs
+into the electronic process under subsection (d) of section 1703H of
+such title. Such plan shall include the following elements:
+(1) A timeline to implement such plan.
+(2) Estimated costs to carry out such plan.
+(3) Changes to policies and procedures of the Department
+the Secretary determines necessary to implement such plan.
+(d) Codification.--
(1) In general.--Section 3101 of such Act, as amended by
subsection (a), is transferred to subchapter I of chapter 17 of
title 38, United States Code, inserted after section 1703G, and
redesignated as section 1703H.
(2) Conforming amendments.--Section 1703H of such title, as
-added by this section, is amended--
+transferred and redesignated by this subsection, is amended--
(A) by striking any heading that is not a section
heading or subsection heading and conforming the
margins accordingly;
(B) by striking ``of title 38, United States Code''
both places it appears and inserting ``of this title'';
-(C) in subsection (a)(1)--
-(i) in the matter preceding subparagraph
-(A), by striking ``Not later than 60 days after
-the date of the enactment of this Act, the
-Secretary of Veterans Affairs'' and inserting
-``The Secretary''; and
-(ii) in subparagraph (A), by striking
-``Department of Veterans Affairs'' and
-inserting ``Department'';
-(D) in subsection (b)(1), by striking ``Not later
+(C) in subsection (b)(1), by striking ``Not later
than one year after the date of the enactment of this
Act, the Secretary'' and inserting ``The Secretary'';
-(E) in subsection (c)--
+(D) in subsection (c)--
(i) in paragraph (1), in the matter
preceding subparagraph (A), by striking ``Not
later than 180 days after the date of the
@@ -158,9 +239,9 @@
Secretary shall require each medical facility
of the Department to use the method or tool
described in paragraph (1).'';
-(F) in the section enumerator, by striking ``sec.''
+(E) in the section enumerator, by striking ``sec.''
and inserting ``Sec. ''; and
-(G) in the section heading--
+(F) in the section heading--
(i) by striking ``process and requirements
for scheduling appointments for health care
from department of veterans affairs and non-
@@ -175,4 +256,34 @@
item relating to section 1703G, the following new item:
``1703H. Scheduling of appointments.''.
-<all>
+
+SEC. 3. EXTENSION OF CERTAIN LIMITS ON PAYMENT OF PENSION.
+
+Section 5503(d)(7) of title 38, United States Code, is amended by
+striking ``January 31, 2033'' and inserting ``June 30, 2033''.
+Union Calendar No. 496
+
+119th CONGRESS
+
+2d Session
+
+H. R. 3482
+
+[Report No. 119-576]
+
+_______________________________________________________________________
+
+A BILL
+
+To amend title 38, United States Code, to establish an online program
+through which an employee of the Department of Veterans Affairs may
+schedule an appointment for a covered veteran with a non-Department
+health care provider under the Veterans Community Care Program, and for
+other purposes.
+
+_______________________________________________________________________
+
+March 30, 2026
+
+Reported with an amendment, committed to the Committee of the Whole
+House on the State of the Union, and ordered to be printed