116 S514 IS: Deborah Sampson Act U.S. Senate text/xml EN Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.
II116th CONGRESS1st SessionS. 514IN THE SENATE OF THE UNITED STATESFebruary 14, 2019Mr. Tester (for himself, Mr. Boozman, Mrs. Capito, Mrs. Blackburn, Ms. Stabenow, Mr. Schatz, Ms. Sinema, Ms. Warren, Mr. Menendez, Ms. Hassan, Mr. Reed, Mr. Whitehouse, Ms. Baldwin, Ms. Duckworth, Mr. Blumenthal, Mrs. Shaheen, Mrs. Murray, Ms. Cortez Masto, Mr. Van Hollen, Ms. Harris, Mrs. Gillibrand, Mr. Merkley, Mr. Booker, Mr. Casey, Mr. Brown, Mr. Peters, and Mrs. Feinstein) introduced the following bill; which was read twice and referred to the Committee on Veterans' AffairsA BILLTo amend title 38, United States Code, to improve the benefits and services provided by the Department of Veterans Affairs to women veterans, and for other purposes.
1.
Short title; table of contents
(a)
Short title
This Act may be cited as the Deborah Sampson Act. (b)
Table of contents
The table of contents for this Act is as follows:Sec. 1. Short title; table of contents. TITLE I—Readjustment and Related Assistance Sec. 101. Provision of reintegration and readjustment services to veterans and family members in group retreat settings. Sec. 102. Expansion of capabilities of Women Veterans Call Center to include text messaging. TITLE II—Legal and Supportive Services Sec. 201. Department of Veterans Affairs public-private partnership on legal services for women veterans. Sec. 202. Additional amount for Supportive Services for Veteran Families grant program to support organizations that have a focus on providing assistance to women veterans and their families. Sec. 203. Gap analysis of Department of Veterans Affairs programs that provide assistance to women veterans who are homeless. TITLE III—Newborn Care Sec. 301. Extension of period of eligibility for care for newborn children from the Department of Veterans Affairs. TITLE IV—Eliminating Barriers to Access Sec. 401. Women Veterans Retrofit Initiative. Sec. 402. Staffing of women's health primary care providers at medical facilities of the Department of Veterans Affairs. Sec. 403. Additional funding for primary care and emergency care clinicians in Women Veterans Health Care Mini-Residency Program. Sec. 404. Establishment of women veteran training module for non-Department of Veterans Affairs health care providers. Sec. 405. Study on staffing of Women Veteran Program Manager program at medical centers of the Department of Veterans Affairs and training of staff. TITLE V—Data Collection and Reporting Sec. 501. Requirement for collection and analysis of data on Department of Veterans Affairs benefits and services and disaggregation of such data by sex and minority status. Sec. 502. Report on availability of prosthetics for women veterans from the Department of Veterans Affairs. Sec. 503. Requirement for Department of Veterans Affairs internet website to provide information on services available to women veterans. Sec. 504. Report on locations where women veterans are using health care from Department of Veterans Affairs. Sec. 505. Report on models of medical facilities of Department of Veterans Affairs for the treatment of women. Sec. 506. Report on staffing of Department of Veterans relating to the treatment of women.
<enum>I</enum><header>Readjustment and related assistance</header> <section id="id13F0D2BD7BA0413883E702E3D2A1E573"><enum>101.</enum><header>Provision of reintegration and readjustment services to veterans and family members in group retreat settings</header> <subsection id="id4C42AB3BA9394C728F6B940B88673986"><enum>(a)</enum><header>In general</header><text>Section 1712A of title 38, United States Code, is amended—</text> <paragraph id="id0734D8EF2EDE4F63A9C6A9EFB34E4E6B"><enum>(1)</enum><text>in subsection (a)(1)(B)—</text> <subparagraph id="id49123A8C26DF4DDFA72EB41B1C15B42E"><enum>(A)</enum><text>in clause (ii), by redesignating subclauses (I) and (II) as items (aa) and (bb);</text> </subparagraph><subparagraph id="id79DBEE28B6654C0884D0AD158C94805C"><enum>(B)</enum><text>by redesignating clauses (i) and (ii) as subclauses (I) and (II);</text> </subparagraph><subparagraph id="idB92B0E2F12CF4732BA45F1BC48DBB1D1"><enum>(C)</enum><text>in the matter preceding subclause (I), as redesignated by subparagraph (B), by striking <quote>Counseling</quote> and inserting <quote>(i) Counseling</quote>; and</text> </subparagraph><subparagraph id="id95A70E3184B04F7AA8F091FCE32168C0"><enum>(D)</enum><text>by adding at the end the following new clause:</text> <quoted-block display-inline="no-display-inline" id="idE19DE8DD5A6E4372BF97B3C78AC2ADC7" style="OLC"> <clause id="idE94D066141C34E9BA88A48C33ED55104" indent="up3"><enum>(ii)</enum><subclause commented="no" display-inline="yes-display-inline" id="id4AA971C5FBE74994951681CBD55E4B47"><enum>(I)</enum><text>Except as provided in subclause (IV), counseling furnished to an individual under subparagraph (A) may include reintegration and readjustment services described in subclause (II) furnished in group retreat settings.</text> </subclause><subclause id="idDC68FADB90294F3081EDBFC67BF80616" indent="up1"><enum>(II)</enum><text>Reintegration and readjustment services described in this subclause are the following:</text> <item id="idB03F52EF0D0F44DE8985676BF049C6F0"><enum>(aa)</enum><text>Information on reintegration of the individual into family, employment, and community.</text> </item><item id="idcd8edbf432ca4988bcfb74933ae39b79"><enum>(bb)</enum><text>Financial counseling.</text> </item><item id="idfabdc9a3dbde4002a55979f61176bde1"><enum>(cc)</enum><text>Occupational counseling.</text> </item><item id="idc9657e310a5f4b2eb9b2f29f3334206e"><enum>(dd)</enum><text>Information and counseling on stress reduction.</text> </item><item id="idba7367ee7c9f481993199299eefcb9ba"><enum>(ee)</enum><text>Information and counseling on conflict resolution.</text> </item><item id="id0dfc4e7118554d8fbc857e9005d14df4"><enum>(ff)</enum><text>Such other information and counseling as the Secretary considers appropriate to assist the individual in reintegration into family, employment, and community.</text> </item></subclause><subclause id="id164745D02456458191DB0C7179172146" indent="up1"><enum>(III)</enum><text>In furnishing reintegration and readjustment services under subclause (I), the Secretary shall offer women the opportunity to receive such services in group retreat settings in which the only participants are women.</text> </subclause><subclause id="idFA10C50A5D3C4485AA5A506E7F083D9D" indent="up1"><enum>(IV)</enum><text>An individual referred to in subparagraph (C)(v) may receive reintegration and readjustment services under subclause (I) only if the individual receives such services with a family member described in subclause (I) or (II) of such subparagraph.</text></subclause></clause><after-quoted-block>.</after-quoted-block></quoted-block> </subparagraph></paragraph></subsection><subsection id="idD1C70FF68E4F42C9A9E43B3EAB153141"><enum>(b)</enum><header>Request for services</header><text>Subsection (a)(2) of such section is amended—</text> <paragraph id="idA129D104DC9C4F7CB58A1B831EC60DB6"><enum>(1)</enum><text>by striking <quote>Upon</quote> and inserting <quote>(A) Upon</quote>;</text> </paragraph><paragraph id="idAFE528A7D7FB4AFF80F6FF3DA38A5853"><enum>(2)</enum><text>by striking <quote>paragraph (1)(B)</quote> and inserting <quote>paragraph (1)(B)(i)</quote>; and</text> </paragraph><paragraph id="id1282A3AD758644A1851BE5B9E5F0110F"><enum>(3)</enum><text>by adding at the end the following new subparagraph:</text> <quoted-block display-inline="no-display-inline" id="id5686CD5E3BF04CF8BDE582FEC194DA13" style="OLC"> <subparagraph commented="no" display-inline="no-display-inline" id="id41B0E80614E64F0595B28D0EB65EAD07" indent="up2"><enum>(B)</enum><text>Upon the request of an individual described in paragraph (1)(C), the Secretary shall furnish the individual reintegration and readjustment services in group retreat settings under paragraph (1)(B)(ii).</text></subparagraph><after-quoted-block>.</after-quoted-block></quoted-block> </paragraph></subsection></section><section id="id02936334579543DC959E3043BEB0F5C5"><enum>102.</enum><header>Expansion of capabilities of Women Veterans Call Center to include text messaging</header><text display-inline="no-display-inline">The Secretary of Veterans Affairs shall expand the capabilities of the Women Veterans Call Center of the Department of Veterans Affairs to include a text messaging capability.</text> </section><enum>II</enum><header>Legal and supportive services</header> <section id="id31C8E5612A4B4D46919816A95BEDA4F9"><enum>201.</enum><header>Department of Veterans Affairs public-private partnership on legal services for women veterans</header> <subsection id="id16A6A8F4A5BD413191C13FAB1DF91979"><enum>(a)</enum><header>Partnership required</header><text display-inline="yes-display-inline">The Secretary of Veterans Affairs shall establish a partnership with at least one nongovernmental organization to provide legal services to women veterans.</text> </subsection><subsection id="id7DFEFCC85EF84CA88DD9B80D075D115B"><enum>(b)</enum><header>Focus</header><text>The focus of the partnership established under subsection (a) shall be on the 10 highest unmet needs of women veterans as set forth in the most recently completed Community Homelessness Assessment, Local Education and Networking Groups for Veterans (CHALENG for Veterans) survey.</text> </subsection></section><section commented="no" id="id4AE0A20C294549EFB65A364A904A75EA"><enum>202.</enum><header>Additional amount for Supportive Services for Veteran Families grant program to support organizations that have a focus on providing assistance to women veterans and their families</header><text display-inline="no-display-inline">Section 2044(e) of title 38, United States Code, is amended—</text> <paragraph commented="no" id="id16D7A2C82A5C4A5CAC09513B432E5E6E"><enum>(1)</enum><text display-inline="yes-display-inline">in paragraph (1), by adding at the end the following new subparagraph:</text> <quoted-block display-inline="no-display-inline" id="id8EB412A6FB494452A00F77C88AACC07C" style="OLC"> <subparagraph commented="no" id="id24C5EF9E9E764A68A34E951433BAD0F1" indent="up1"><enum>(F)</enum><text>$400,000,000 for each of fiscal years 2020 through 2022.</text></subparagraph><after-quoted-block>; and</after-quoted-block></quoted-block> </paragraph><paragraph commented="no" id="id70EFE9EBF74B4EE3B70B0531DBDAE353"><enum>(2)</enum><text>by adding at the end the following new paragraph:</text> <quoted-block display-inline="no-display-inline" id="id788BCC19222249538803E17DBDE39086" style="OLC"> <paragraph commented="no" id="id3F0EAFF8DA12459FAB2F464309FAEEFE" indent="up1"><enum>(4)</enum><text>Not less than $20,000,000 shall be available under paragraph (1)(H) for the provision of financial assistance under subsection (a) to organizations that have a focus on providing assistance to women veterans and their families.</text></paragraph><after-quoted-block>.</after-quoted-block></quoted-block> </paragraph></section><section commented="no" display-inline="no-display-inline" id="id3E1636487FC9401D9A3E64F7D2FC5261" section-type="subsequent-section"><enum>203.</enum><header display-inline="yes-display-inline">Gap analysis of Department of Veterans Affairs programs that provide assistance to women veterans who are homeless</header> <subsection commented="no" display-inline="no-display-inline" id="id3708B8231D2A40B08671527E4713D7EE"><enum>(a)</enum><header display-inline="yes-display-inline">In general</header><text display-inline="yes-display-inline">The Secretary of Veterans Affairs shall complete an analysis of programs of the Department of Veterans Affairs that provide assistance to women veterans who are homeless or precariously housed to identify the areas in which such programs are failing to meet the needs of such women.</text> </subsection><subsection commented="no" display-inline="no-display-inline" id="id5E7A7CFD338B4CEF979D9A3E618AC4CA"><enum>(b)</enum><header>Report</header><text>Not later than 270 days after the date of the enactment of this Act, the Secretary shall submit to the Committee on Veterans’ Affairs of the Senate and the Committee on Veterans’ Affairs of the House of Representatives a report on the analysis completed under subsection (a).</text> </subsection></section><enum>III</enum><header>Newborn care</header> <section commented="no" display-inline="no-display-inline" id="id0E7EFE49C2244B0A8D67AA9D9796A67F" section-type="subsequent-section"><enum>301.</enum><header>Extension of period of eligibility for care for newborn children from the Department of Veterans Affairs</header><text display-inline="no-display-inline">Section 1786(a) of title 38, United States Code, is amended, in the matter preceding paragraph (1), by striking <quote>seven days</quote> and inserting <quote>14 days</quote>.</text> </section><enum>IV</enum><header>Eliminating barriers to access</header> <section id="id0E489FF1655141AE9815394C05A7A663"><enum>401.</enum><header>Women Veterans Retrofit Initiative</header> <subsection id="idEF60FD9FAD224CF8BC6F793EDFA3CB33"><enum>(a)</enum><header>In general</header><text>The Secretary of Veterans Affairs shall retrofit existing medical facilities of the Department of Veterans Affairs with fixtures, materials, and other outfitting measures to support the provision of care to women veterans at such facilities.</text> </subsection><subsection id="id56D3AA6B577649A483DBEC406CA0F836"><enum>(b)</enum><header>Plan</header><text display-inline="yes-display-inline">Not later than 180 days after the date of the enactment of this Act, the Secretary shall submit to the Committee on Veterans’ Affairs of the Senate and the Committee on Veterans’ Affairs of the House of Representatives a plan to address deficiencies in environment of care for women veterans at medical facilities of the Department.</text> </subsection><subsection id="id991DA7F6B6BC412EA1367BDA2F0E6DDD"><enum>(c)</enum><header>Authorization of appropriations</header><text>There is authorized to be appropriated to the Secretary $20,000,000 to carry out subsection (a) in addition to amounts otherwise made available to the Secretary for the purposes set forth in such subsection.</text> </subsection></section><section commented="no" display-inline="no-display-inline" id="id9663DE4675EF48708AAC13EE1D579555" section-type="subsequent-section"><enum>402.</enum><header display-inline="yes-display-inline">Staffing of women's health primary care providers at medical facilities of the Department of Veterans Affairs</header><text display-inline="no-display-inline">The Secretary of Veterans Affairs shall ensure that each medical facility of the Department of Veterans Affairs has not fewer than one full-time or part-time women's health primary care provider whose duties include, to the extent possible, providing training to other health care providers of the Department on the needs of women veterans.</text> </section><section commented="no" display-inline="no-display-inline" id="idA326EF65FA4646B3AD259BCFFA508D3D"><enum>403.</enum><header>Additional funding for primary care and emergency care clinicians in Women Veterans Health Care Mini-Residency Program</header> <subsection commented="no" display-inline="no-display-inline" id="id697153BF64364B9E88FBA60826D1672B"><enum>(a)</enum><header>In general</header><text display-inline="yes-display-inline">There is authorized to be appropriated to the Secretary of Veterans Affairs $1,000,000 for each fiscal year for the Women Veterans Health Care Mini-Residency Program of the Department of Veterans Affairs to provide opportunities for participation in such program for primary care and emergency care clinicians.</text> </subsection><subsection commented="no" display-inline="no-display-inline" id="id9C65F59B63FF4F5ABA7D72AB5CE5490A"><enum>(b)</enum><header>Treatment of amounts</header><text display-inline="yes-display-inline">The amounts authorized to be appropriated under subsection (a) shall be in addition to amounts otherwise made available to the Secretary for the purposes set forth in such subsection.</text> </subsection></section><section commented="no" display-inline="no-display-inline" id="id4C7A4CABD0AF45AFA5CF8584BFBF8AC2"><enum>404.</enum><header>Establishment of women veteran training module for non-Department of Veterans Affairs health care providers</header> <subsection commented="no" display-inline="no-display-inline" id="idC2E25E2CDE79413D9AEE6CE43E121F5B"><enum>(a)</enum><header>In general</header><text display-inline="yes-display-inline">Not later than one year after the date of the enactment of this Act, the Secretary of Veterans Affairs shall establish and make available to community providers a training module that is specific to women veterans.</text> </subsection><subsection commented="no" display-inline="no-display-inline" id="id69837C90AA614DF5A0C67682A745E0C4"><enum>(b)</enum><header>Community provider defined</header><text display-inline="yes-display-inline">In this section, the term <term>community provider</term> means a non-Department of Veterans Affairs health care provider who provides health care to veterans under the laws administered by the Secretary of Veterans Affairs.</text> </subsection></section><section commented="no" display-inline="no-display-inline" id="idD99029F9A268436CAAAF13947D1CCCDC" section-type="subsequent-section"><enum>405.</enum><header>Study on staffing of Women Veteran Program Manager program at medical centers of the Department of Veterans Affairs and training of staff</header> <subsection commented="no" display-inline="no-display-inline" id="idC15FB9CBC85D41B389945C80BB974276"><enum>(a)</enum><header>Study</header><text display-inline="yes-display-inline">The Secretary of Veterans Affairs shall conduct a study on the use of the Women Veteran Program Manager program of the Department of Veterans Affairs to determine—</text> <paragraph commented="no" display-inline="no-display-inline" id="idCFBD2AF47C3B44AFAFD5420C8696E7A9"><enum>(1)</enum><text display-inline="yes-display-inline">if the program is appropriately staffed at each medical center of the Department;</text> </paragraph><paragraph commented="no" display-inline="no-display-inline" id="id109919CDB51F44F1977C52658DD6008A"><enum>(2)</enum><text display-inline="yes-display-inline">whether each medical center of the Department is staffed with a Women Veteran Program Manager; and</text> </paragraph><paragraph commented="no" display-inline="no-display-inline" id="idBEEB4567ADB14D60BAEF062A82468146"><enum>(3)</enum><text display-inline="yes-display-inline">whether it would be feasible and advisable to have a Women Veteran Program Ombudsman at each medical center of the Department.</text> </paragraph></subsection><subsection commented="no" display-inline="no-display-inline" id="idD82453C183F144C0AF4C6A535C4B7DB4"><enum>(b)</enum><header>Report</header><text>Not later than 270 days after the date of the enactment of this Act, the Secretary shall submit to the Committee on Veterans’ Affairs of the Senate and the Committee on Veterans’ Affairs of the House of Representatives a report on the study conducted under subsection (a).</text> </subsection><subsection commented="no" display-inline="no-display-inline" id="id6B595CD6A47F486DA09CD1F3BFDA8A1E"><enum>(c)</enum><header>Training</header><text>The Secretary shall ensure that all Women Veteran Program Managers and Women Veteran Program Ombudsmen receive the proper training to carry out their duties.</text> </subsection></section><enum>V</enum><header>Data collection and reporting</header> <section id="id0CC0EC4A12564A9B97A1E68B2473C2BA"><enum>501.</enum><header>Requirement for collection and analysis of data on Department of Veterans Affairs benefits and services and dis­ag­gre­ga­tion of such data by sex and minority status</header><text display-inline="no-display-inline">The Secretary of Veterans Affairs shall—</text> <paragraph id="id960DEA145B1D4B268604C3110A51B5C2"><enum>(1)</enum><text display-inline="yes-display-inline">collect and analyze data on each program of the Department of Veterans Affairs that provides a service or benefit to a veteran, including the program carried out under section 1144 of title 10, United States Code;</text> </paragraph><paragraph id="id391AC45DB70A41AC82206BF36D90D38B"><enum>(2)</enum><text>disaggregate such data by sex and minority status, when the data lends itself to such dis­ag­gre­ga­tion; and</text> </paragraph><paragraph id="id061FC87FC90C412B84A6AD7E0C75C8B8"><enum>(3)</enum><text>publish the data collected and analyzed under paragraph (1), except for such cases in which the Secretary determines that some portions of the data would undermine the anonymity of a veteran.</text> </paragraph></section><section commented="no" display-inline="no-display-inline" id="idC7A17D1657C64F468B34E55EB85B0780" section-type="subsequent-section"><enum>502.</enum><header>Report on availability of prosthetics for women veterans from the Department of Veterans Affairs</header><text display-inline="no-display-inline">Not later than one year after the date of the enactment of this Act, the Secretary of Veterans Affairs shall submit to the Committee on Veterans’ Affairs of the Senate and the Committee on Veterans’ Affairs of the House of Representatives a report on the availability from the Department of Veterans Affairs of prosthetics made for women veterans, including an assessment of the availability of such prosthetics at each medical facility of the Department.</text> </section><section id="id334e701445464ad7b2fd1f3503eb5b79"><enum>503.</enum><header>Requirement for Department of Veterans Affairs internet website to provide information on services available to women veterans</header> <subsection id="idad8625b961ec48df90ff9effe144f0c7"><enum>(a)</enum><header>In general</header><text>The Secretary of Veterans Affairs shall survey the internet websites and information resources of the Department of Veterans Affairs in effect on the day before the date of the enactment of this Act and publish an internet website that serves as a centralized source for the provision to women veterans of information about the benefits and services available to them under laws administered by the Secretary.</text> </subsection><subsection id="id6614cc52d16f416fa6dfb0891b516f54"><enum>(b)</enum><header>Elements</header><text>The internet website published under subsection (a) shall provide to women veterans information regarding all of the services available in the district in which that the veteran is seeking such services, including, with respect to each medical center and community-based outpatient clinic in the applicable Veterans Integrated Service Network—</text> <paragraph id="id4920f167f53e4149ae1e28f359af1592"><enum>(1)</enum><text>the name and contact information of each women's health coordinator;</text> </paragraph><paragraph id="id21fb7758c3bd475da91612ee0db98b6c"><enum>(2)</enum><text>a list of appropriate staff for other benefits available from the Veterans Benefits Administration, the National Cemetery Administration, and such other entities as the Secretary considers appropriate; and</text> </paragraph><paragraph id="id10833c246ce04592952fe1d8dfbe06f9"><enum>(3)</enum><text>such other information as the Secretary considers appropriate.</text> </paragraph></subsection><subsection id="idc6b6a4f71a8245fe9a54cb9d3f1a28d9"><enum>(c)</enum><header>Updated information</header><text>The Secretary shall ensure that the information described in subsection (b) that is published on the internet website required by subsection (a) is updated not less frequently than once every 90 days.</text> </subsection><subsection id="idc64264f488604c8f81e3f80a94df8ab4"><enum>(d)</enum><header>Outreach</header><text>In carrying out this section, the Secretary shall ensure that the outreach conducted under section 1720F(i) of title 38, United States Code, includes information regarding the internet website required by subsection (a).</text> </subsection><subsection id="id1E4D950233F541429FFDB9AAEAF96955"><enum>(e)</enum><header>Derivation of funds</header><text>Amounts used by the Secretary to carry out this section shall be derived from amounts made available to the Secretary to publish internet websites of the Department.</text> </subsection></section><section id="id380ab8672c7a42eca9330a38bf49f1c4"><enum>504.</enum><header>Report on locations where women veterans are using health care from Department of Veterans Affairs</header> <subsection id="id5b6d5eef0aea484e98aff1d16057f436"><enum>(a)</enum><header>In general</header><text>Not later than 90 days after the date of the enactment of this Act, and annually thereafter, the Secretary of Veterans Affairs shall submit to the Committee on Veterans’ Affairs of the Senate and the Committee on Veterans’ Affairs of the House of Representatives a report on the use by women veterans of health care from the Department of Veterans Affairs.</text> </subsection><subsection id="id87143F44554C4E91B0C77D3B9544EFDA"><enum>(b)</enum><header>Elements</header><text>Each report required by subsection (a) shall include the following information:</text> <paragraph id="id202788822921492b83b4e9f16f4179e8"><enum>(1)</enum><text>The number of women veterans who reside in each State.</text> </paragraph><paragraph id="idb3e922cd90e44c01a79790d019bce33d"><enum>(2)</enum><text>The number of women veterans in each State who are enrolled in the system of patient enrollment of the Department established and operated under section 1705(a) of title 38, United States Code.</text> </paragraph><paragraph id="ida265597e09484afb8a461562b78ce4bd"><enum>(3)</enum><text>Of the women veterans who are so enrolled, the number who have received health care under the laws administered by the Secretary at least one time during the one-year period preceding the submittal of the report.</text> </paragraph><paragraph id="id28ca44274d2042adb3243c7237db8bdf"><enum>(4)</enum><text>The number of women veterans who have been seen at each medical facility of the Department during such year.</text> </paragraph><paragraph id="id9f5dede253e54eeda9e0e8d059933427"><enum>(5)</enum><text>The number of appointments that women veterans have had at each such facility during such year.</text> </paragraph><paragraph id="idd329bafd1e614107947aaf2a25380a05"><enum>(6)</enum><text>If known, an identification of the medical facility of the Department in each Veterans Integrated Service Network with the largest rate of increase in patient population of women veterans as measured by the increase in unique women veteran patient use.</text> </paragraph><paragraph id="id0ffab137ca41429eb0b34a1e8365ce22"><enum>(7)</enum><text>If known, an identification of the medical facility of the Department in each Veterans Integrated Service Network with the largest rate of decrease in patient population of women veterans as measured by the decrease in unique women veterans patient use.</text> </paragraph></subsection></section><section id="id1ccf853f5c0740729349642693a9de96"><enum>505.</enum><header>Report on models of medical facilities of Department of Veterans Affairs for the treatment of women</header> <subsection id="id3b23704b73e84194b37009ea00868c18"><enum>(a)</enum><header>In general</header><text>Not later than 90 days after the date of the enactment of this Act, and annually thereafter, the Secretary of Veterans Affairs shall submit to the Committee on Veterans’ Affairs of the Senate and the Committee on Veterans’ Affairs of the House of Representatives a report on the use by the Department of Veterans Affairs of general primary care clinics, separate but shared spaces, and women's health centers as models of providing health care to women veterans.</text> </subsection><subsection id="id0FAB73ED1ACA43979D64598BB7C48238"><enum>(b)</enum><header>Elements</header><text>Each report required by subsection (a) shall include the following:</text> <paragraph id="idf242b5c460784d109a56701237b2f33f"><enum>(1)</enum><text>The number of facilities of the Department that fall into each model described in subsection (a), disaggregated by Veterans Integrated Service Network and State.</text> </paragraph><paragraph id="id348d94f2ca9e49a686555466074bca78"><enum>(2)</enum><text>A description of the criteria used by the Department to determine which such model is most appropriate for each facility of the Department.</text> </paragraph><paragraph id="id5f262247da29428497c3b97dea1b8a9f"><enum>(3)</enum><text>An assessment of how the Department decides to make investments to upgrade facilities to the next higher-level model.</text> </paragraph><paragraph id="idd1824bdf14884295b899b1339123bda1"><enum>(4)</enum><text>A description of what, if any, plans the Department has to upgrade facilities from the lowest-level model, general primary care clinics, to another model.</text> </paragraph><paragraph id="id97664b3c2806467cb4de1756c46c4635"><enum>(5)</enum><text>An assessment of whether any facilities could be upgraded to the next higher-level model within planned investments under the strategic capital investment planning process of the Department.</text> </paragraph><paragraph id="ide435c489e1be4c9e893e7d59d2cad410"><enum>(6)</enum><text>An assessment of whether any facilities could be upgraded to the next higher-level model with minor modifications to existing plans under the strategic capital investment planning process of the Department.</text> </paragraph><paragraph id="id6628441e337c4b40ba7005f2a07f1aaf"><enum>(7)</enum><text>An assessment of whether the Department has a goal for how many facilities should fall into each such model.</text> </paragraph></subsection></section><section id="id56383b779103400c9ac33e9d354f2296"><enum>506.</enum><header>Report on staffing of Department of Veterans relating to the treatment of women</header> <subsection id="id2f2d5cf3711c47169657e25df7c2a20e"><enum>(a)</enum><header>In general</header><text>Not later than 90 days after the date of the enactment of this Act, and annually thereafter, the Secretary of Veterans Affairs shall submit to the Committee on Veterans’ Affairs of the Senate and the Committee on Veterans’ Affairs of the House of Representatives a report on the staffing of the Department of Veterans Affairs relating to the treatment of women.</text> </subsection><subsection id="id6B0A8A4CFAFD427C96E63707E528EFF6"><enum>(b)</enum><header>Elements</header><text>Each report required by subsection (a) shall include the following, disaggregated by Veterans Integrated Service Network and State (except with respect to paragraph (4)):</text> <paragraph id="id344865cc25364ef984ab59ac007d7a5c"><enum>(1)</enum><text>The number of women’s health centers.</text> </paragraph><paragraph id="id5345298ec30949c8b5a72188c7e36efd"><enum>(2)</enum><text>The number of patient aligned care teams of the Department relating to women's health.</text> </paragraph><paragraph id="idbebeae3b61ad408b91d7c1400d14cd09"><enum>(3)</enum><text>The number of full- and part-time gynecologists of the Department.</text> </paragraph><paragraph id="id9e0f16b8638c49e9b1f3bfac6466f8ed"><enum>(4)</enum><text>The number of designated women’s health care providers of the Department, disaggregated by facility of the Department.</text> </paragraph><paragraph id="ida49441fc945142b69e69c01fe837ecf4"><enum>(5)</enum><text>The number of health care providers of the Department who have completed a mini-residency for women’s health care through Women Veterans Health Care Mini-Residency Program of the Department during the one-year period preceding the submittal of the report, and the number that plan to participate in such a mini-residency during the one-year period following such date.</text> </paragraph><paragraph id="id8f1dc7ba892f441e87923eb4ada4cdf4"><enum>(6)</enum><text>The number of designated women’s health care providers of the Department who have sufficient female patients to retain their competencies and proficiencies.</text></paragraph></subsection></section>