What This Bill Does
This bill changes rules about patient advocates at Department of Veterans Affairs medical facilities. Patient advocates are staff members who help veterans navigate the healthcare system and address their concerns. The bill requires the VA to have enough patient advocates and make sure rural veterans can reach them.
Who It Affects
Veterans enrolled in the VA healthcare system, especially those living in rural areas, are directly affected. The Department of Veterans Affairs must follow the new rules. The Comptroller General of the United States must report on whether the VA is following the law.
Key Provisions
• The VA must have at least one patient advocate for every 13,500 enrolled veterans starting one year after the law takes effect (Sec. 2(a)(2))
• The VA must help rural veterans access patient advocates, including by assigning patient advocates to rural community-based outpatient clinics (offices that serve rural areas) when possible (Sec. 2(a)(2))
• The Comptroller General, a government official who checks federal spending and actions, must report to Congress within two years about whether the VA is following these new rules (Sec. 2(b))
What Changes
If this becomes law, the VA must hire or assign enough patient advocates to meet the ratio of one per 13,500 veterans. The VA must also work to place patient advocates in rural clinics so veterans far from cities can use these services.
Important Definitions
None defined in the bill text.
Effective Date
One year after the date the law is signed, for the patient advocate staffing requirements.
II
118TH CONGRESS
1ST SESSION
S. 449
To amend title 38, United States Code, to improve the assignment of patient
advocates at medical facilities of the Department of Veterans Affairs.
IN THE SENATE OF THE UNITED STATES
FEBRUARY 15, 2023
Ms. STABENOW introduced the following bill; which was read twice and
referred to the Committee on Veterans’ Affairs
A BILL
To amend title 38, United States Code, to improve the
assignment of patient advocates at medical facilities of
the Department of Veterans Affairs.
Be it enacted by the Senate and House of Representa-
1
tives of the United States of America in Congress assembled,
2
SECTION 1. SHORT TITLE.
3
This Act may be cited as the ‘‘Veterans Patient Advo-
4
cacy Act’’.
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SEC. 2. PATIENT ADVOCATES AT MEDICAL FACILITIES OF
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DEPARTMENT OF VETERANS AFFAIRS.
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(a) IN GENERAL.—Section 7309A of title 38, United
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States Code, is amended—
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•S 449 IS
(1) by redesignating subsections (e) and (f) as
1
subsections (f) and (g), respectively; and
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(2) by inserting after subsection (d) the fol-
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lowing new subsection (e):
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‘‘(e) NUMBER OF PATIENT ADVOCATES.—Beginning
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on the date that is one year after the date of the enact-
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ment of the Veterans Patient Advocacy Act, the Director
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shall ensure that—
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‘‘(1) there is not fewer than one patient advo-
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cate for every 13,500 veterans enrolled in the system
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of annual patient enrollment of the Department es-
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tablished and operated under section 1705(a) of this
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title; and
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‘‘(2) highly rural veterans may access the serv-
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ices of patient advocates, including, to the extent
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practicable, by assigning patient advocates to rural
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community-based outpatient clinics.’’.
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(b) GAO REPORT.—Not later than two years after
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the date of the enactment of this Act, the Comptroller
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General of the United States shall submit to the Com-
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mittee on Veterans’ Affairs of the Senate and the Com-
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mittee on Veterans’ Affairs of the House of Representa-
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tives a report evaluating the implementation by the Sec-
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retary of Veterans Affairs of subsection (e) of section
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•S 449 IS
7309A of title 38, United States Code, as added by sub-
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section (a)(2).
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Æ
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