[Congressional Bills 117th Congress]
[From the U.S. Government Publishing Office]
[H.R. 4591 Enrolled Bill (ENR)]

        H.R.4591

                    One Hundred Seventeenth Congress

                                 of the

                        United States of America


                          AT THE SECOND SESSION

           Begun and held at the City of Washington on Monday,
          the third day of January, two thousand and twenty-two


                                 An Act


 
   To direct the Secretary of Veterans Affairs to submit to Congress 
periodic reports on the costs, performance metrics, and outcomes of the 
 Department of Veterans Affairs Electronic Health Record Modernization 
                                program.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
    This Act may be cited as the ``VA Electronic Health Record 
Transparency Act of 2021''.
SEC. 2. REPORTS ON COSTS, PERFORMANCE METRICS, AND OUTCOMES OF 
DEPARTMENT OF VETERANS AFFAIRS ELECTRONIC HEALTH RECORD MODERNIZATION 
PROGRAM.
    (a) In General.--Section 503 of the Veterans Benefits and 
Transition Act of 2018 (Public Law 115-407; 38 U.S.C. 5701 note prec.) 
is amended--
        (1) by redesignating subsection (e) as subsection (f);
        (2) by inserting after subsection (d) the following new 
    subsection (e):
    ``(e) Quarterly Reports.--
        ``(1) Reports on costs of ehrm program.--Not later than 90 days 
    after the date of the enactment of the VA Electronic Health Record 
    Transparency Act of 2021, and every 30 days after the last day of 
    each fiscal quarter thereafter until the termination date specified 
    in paragraph (3), the Secretary of Veterans Affairs shall submit to 
    the Committees on Veterans' Affairs of the Senate and House of 
    Representatives a report on the costs of the Electronic Health 
    Record Modernization program of the Department of Veterans Affairs. 
    Each such report shall include, for the period covered by the 
    report and for the total period beginning on the date of the 
    enactment of the VA Electronic Health Record Transparency Act of 
    2021 and ending on the date of the submittal of the report, a 
    description of all actual expenses of, and driven by, such program, 
    including any such expenses paid using--
            ``(A) any funds appropriated for the Department of Veterans 
        Affairs, for any source or account, expended by any 
        organizational element of the Department or by the Federal 
        Electronic Health Record Modernization Office for the 
        Electronic Health Record Modernization Program;
            ``(B) any funds, from any source or account, expended by 
        any organizational element of the Department for physical or 
        technology infrastructure modifications, enhancements, 
        improvements, or expansions at a facility of the Department 
        necessitated by, or related or pertaining to, the Electronic 
        Health Record Modernization Program; and
            ``(C) any funds, from any source or account, expended by 
        any organizational element of the Department or by the Federal 
        Electronic Health Record Modernization Office for consultants, 
        support contractors, or experts related or pertaining to the 
        Electronic Health Record Modernization Program.
        ``(2) Reports on performance metrics and outcomes.--Not later 
    than 90 days after the date of the enactment of the VA Electronic 
    Health Record Transparency Act of 2021, and every 30 days after the 
    last day of each fiscal quarter thereafter until the termination 
    date specified in paragraph (3), the Secretary of Veterans Affairs 
    shall submit to the Committees on Veterans' Affairs of the Senate 
    and House of Representatives a report on the performance metrics 
    and outcomes of the Electronic Health Record Modernization Program. 
    Each such report shall include, for the period covered by the 
    report--
            ``(A) a list of the quality, performance, safety, or value 
        metrics, key performance indicators, and other diagnostic or 
        evaluation criteria in use to assess the Electronic Health 
        Record Modernization Program and the electronic health record 
        system, in general and at individual facilities, with respect 
        to veterans, employees of the Department, and Departmental 
        operations;
            ``(B) an explanation of any change to any of such metrics, 
        indicators, and criteria compared to the metrics, indicators, 
        and criteria included in any previous report submitted under 
        this paragraph;
            ``(C) the data supporting or demonstrating each such 
        metric, indicator, and criteria compared to the data supporting 
        or demonstrating such metric, indicator, or criteria as 
        included in the previous report submitted under this paragraph; 
        and
            ``(D) a list of patient safety reports, incidents, alerts, 
        or disclosures at each facility of the Department where the 
        electronic health record system has been implemented.
        ``(3) Termination date.--The requirement to submit a report 
    under paragraph (1) shall terminate on the date that is 90 days 
    after the date on which the Secretary submits to the Committees on 
    Veterans' Affairs of the Senate and House of Representatives 
    certification that the Electronic Health Record Modernization 
    program has been fully implemented.''; and
        (3) in subsection (f), as redesignated by paragraph (1), by 
    adding at the end the following new paragraphs:
        ``(3) The term `electronic health record system' means the 
    electronic health record system implemented pursuant to the 
    Electronic Health Record Modernization Program.
        ``(4) The term `Federal Electronic Health Record Management 
    Office' means the office established under section 1635(b) of the 
    Wounded Warrior Act (title XVI of Public Law 110-181; 10 U.S.C. 
    1071 note).
        ``(5) The term `facility of the Department' includes a joint 
    facility of the Department of Veterans Affairs and the Department 
    of Defense.''.

                               Speaker of the House of Representatives.

                            Vice President of the United States and    
                                               President of the Senate.