Sec. 104. ASSESSMENTS OF IMPLEMENTATION AND OPERATION
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## SEC. 104 ASSESSMENTS OF IMPLEMENTATION AND OPERATION **[**[38 U.S.C. 1710 note](/us/usc/t38/s1710)**]** ###
(a)Initial Resource Assessment and Report Not later than 180 days after the date of the enactment of this Act, the Secretary of Veterans Affairs shall— ####
(1)complete an assessment to determine— #####
(A)the personnel and material resources necessary to implement section 103 (including the amendments made by such section); and #####
(B)the total number of covered veterans, as such term is defined in section 1119(c) of title 38, United States Code (as added by section 302), who receive hospital care or medical services furnished by the Secretary under chapter 17 of such title, disaggregated by priority group specified in section 1705(a) of such title; and ####
(2)submit to the Committee on Veterans’ Affairs of the Senate and the Committee on Veterans’ Affairs of the House of Representatives a report containing the findings of the assessment completed under paragraph (1), including a specific determination as to whether the Department has the personnel and material resources necessary to implement section 103. ###
(b)Information Systems Not later than October 1, 2024, the Secretary shall establish information systems to assess the implementation of section 103, including the amendments made by such section, and use the results of assessments under such systems to inform the reports under subsection (c). ###
(c)Annual Reports ####
(1)Reports Not later than October 1, 2025, and on an annual basis thereafter until October 1, 2033, 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 following: #####
(A)The effect of the implementation of, and the provision and management of care under, section 103 (including the amendments made by such section) on the demand by veterans described in subparagraphs (G), (H), and
(I)of section 1710(e)(1) of title 38, United States Code (as added by such section 103) for health care services furnished by the Secretary. #####
(B)Any differing patterns of demand for health care services by such veterans, disaggregated by factors such as the relative distance of the veteran from medical facilities of the Department and whether the veteran had previously received hospital care or medical services furnished by the Secretary under chapter 17 of such title. #####
(C)The extent to which the Secretary has met such demand. #####
(D)Any changes, during the year covered by the report, in the delivery patterns of health care furnished by the Secretary under chapter 17 of such title, and the fiscal impact of such changes. ####
(2)Matters Each report under paragraph
(1)shall include, with respect to the year covered by the report, detailed information on the following: #####
(A)The total number of veterans enrolled in the patient enrollment system who, during such year, received hospital care or medical services furnished by the Secretary under chapter 17 of title 38, United States Code. #####
(B)Of the veterans specified in subparagraph (A), the number of such veterans who, during the preceding three fiscal years, had not received such care or services. #####
(C)With respect to the veterans specified in subparagraph (B), the cost of providing health care to such veterans during the year covered by the report, shown in total and disaggregated by— ######
(i)the level of care; and ######
(ii)whether the care was provided through the Veterans Community Care Program. #####
(D)With respect to the number of veterans described in subparagraphs (G), (H), and
(I)of section 1710(e)(1) of title 38, United States Code (as added by section 103), the following (shown in total and disaggregated by medical facility of the Department, as applicable): ######
(i)The number of such veterans who, during the year covered by the report, enrolled in the patient enrollment system. ######
(ii)The number of such veterans who applied for, but were denied, such enrollment. ######
(iii)The number of such veterans who were denied hospital care or a medical service furnished by the Secretary that was considered to be medically necessary but not of an emergency nature. #####
(E)The numbers and characteristics of, and the type and extent of health care furnished by the Secretary to, veterans enrolled in the patient enrollment system (shown in total and disaggregated by medical facility of the Department). #####
(F)The numbers and characteristics of, and the type and extent of health care furnished by the Secretary to, veterans not enrolled in the patient enrollment system (disaggregated by each class of eligibility for care under section 1710 of title 38, United States Code, and further shown as a total per class and disaggregated by medical facility of the Department). #####
(G)The specific fiscal impact (shown in total and disaggregated by geographic health care delivery areas) of changes in the delivery patterns of health care furnished by the Secretary under chapter 17 of such title as a result of the implementation of section 103 (including the amendments made by such section). ###
(d)Definitions In this section: ####
(1)Patient enrollment system The term “patient enrollment system” means the patient enrollment system of the Department of Veterans Affairs established and operated under section 1705(a) of title 38, United States Code. ####
(2)Veterans community care program The term “Veterans Community Care Program” means the program established under section 1703 of title 38, United States Code. ## Subtitle B Certain Veterans of Combat Service and Other Matters
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Sec. 104
ASSESSMENTS OF IMPLEMENTATION AND OPERATION
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