[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 9446 Introduced in House (IH)]

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119th CONGRESS
  2d Session
                                H. R. 9446

  To direct the Secretary of Veterans Affairs to report biennially on 
 staffing of medical facilities of the Department of Veterans Affairs.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                             June 24, 2026

  Mr. Takano introduced the following bill; which was referred to the 
                     Committee on Veterans' Affairs

_______________________________________________________________________

                                 A BILL


 
  To direct the Secretary of Veterans Affairs to report biennially on 
 staffing of medical facilities of the Department of Veterans Affairs.

    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 Health Care Capacity Assessment 
Act''.

SEC. 2. BIENNIAL REPORT ON STAFFING OF MEDICAL FACILITIES OF THE 
              DEPARTMENT OF VETERANS AFFAIRS.

    (a) Report Required.--Not later than 180 days after the date of the 
enactment of this Act, and not later than December 31 of each even-
numbered year thereafter, the Secretary of Veterans Affairs shall 
submit to the Committees on Veterans' Affairs of the Senate and House 
of Representatives a report assessing the staffing of each medical 
facility of the Department.
    (b) Elements.--Each report submitted under subsection (a) shall 
include the following elements:
            (1) The results of a system-wide assessment of all medical 
        facilities of the Department to ensure the following:
                    (A) Appropriate staffing levels for health care 
                professionals to meet the goals of the Secretary for 
                timely access to care for veterans.
                    (B) Appropriate staffing levels for support 
                personnel, including clerks.
                    (C) Appropriate sizes for clinical panels.
                    (D) Appropriate numbers of full-time staff, or 
                full-time equivalents, dedicated to direct care of 
                patients.
                    (E) Appropriate physical plant space to meet the 
                capacity needs of the Department in the area.
                    (F) Such other factors that the Secretary 
                determines necessary.
            (2) A plan for addressing any issues identified in the 
        assessment under paragraph (1), including a timeline for 
        addressing such issues.
            (3) A list of the current wait times and workload levels 
        for the following clinics in each medical facility:
                    (A) Mental health.
                    (B) Primary care.
                    (C) Gastroenterology.
                    (D) Women's health.
                    (E) Such other clinics that the Secretary 
                determines appropriate.
            (4) A description of--
                    (A) the results of the most current determination 
                of the Inspector General under subsection (a) of 
                section 7412 of title 38, United States Code; and
                    (B) a plan to use direct appointment authority 
                under subsection (b) of such section to fill staffing 
                shortages, including recommendations for improving the 
                speed at which the credentialing and privileging 
                process can be conducted.
            (5) The current staffing models of the Department for the 
        following clinics, including recommendations for changes to 
        such models:
                    (A) Mental health.
                    (B) Primary care.
                    (C) Gastroenterology.
                    (D) Women's health.
                    (E) Such other clinics that the Secretary 
                determines appropriate.
            (6) A detailed analysis of succession planning at medical 
        facilities of the Department, including the following:
                    (A) The number of positions in medical facilities 
                throughout the Department that are not filled by a 
                permanent employee.
                    (B) The length of time each position described in 
                subparagraph (A) remained vacant or filled by a 
                temporary or acting employee.
                    (C) A description of any barriers to filling the 
                positions described in subparagraph (A).
                    (D) A plan for filling any positions that are 
                vacant or filled by a temporary or acting employee for 
                more than 180 days.
                    (E) A plan for handling emergency circumstances, 
                such as administrative leave or sudden medical leave 
                for senior officials.
            (7) The number of health care providers of the Department 
        who have been removed from their positions, have retired, or 
        have left their positions for another reason, disaggregated by 
        provider type, during the two-year period preceding the 
        submission of the report.
            (8) Of the health care providers specified in paragraph (7) 
        who have been removed from their positions, the following:
                    (A) The number of such health care providers who 
                were reassigned to other positions in the Department.
                    (B) The number of such health care providers who 
                left the Department.
                    (C) The number of such health care providers who 
                left the Department and whom the Secretary subsequently 
                rehired.
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