H.R. 1860

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 1860 Referred in Senate (RFS)]

<DOC>
119th CONGRESS
1st Session
H. R. 1860

_______________________________________________________________________

IN THE SENATE OF THE UNITED STATES

September 16, 2025

Received; read twice and referred to the Committee on Veterans' Affairs

_______________________________________________________________________

AN ACT

To designate Regional Breast and Gynecologic Cancer Care Coordinators 
to expand the work of the Breast and Gynecologic Oncology System of 
Excellence at the Department of Veterans Affairs, and for other 
purposes.

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 ``Women Veterans Cancer Care 
Coordination Act''.

SEC. 2. DEPARTMENT OF VETERANS AFFAIRS REGIONAL BREAST CANCER AND 
GYNECOLOGIC CANCER CARE COORDINATORS.

(a) Establishment.--Not later than one year after the date of the 
enactment of this Act, the Secretary of Veterans Affairs shall hire or 
designate a Regional Breast Cancer and Gynecologic Cancer Care 
Coordinator at each Veteran Integrated Services Network (hereinafter in 
this section referred to as ``VISN''). Each Care Coordinator hired or 
designated under this subsection shall report directly to the Director 
of the Breast and Gynecologic Oncology System of Excellence 
(hereinafter in this section referred to as the ``BGOSoE'').
(b) Eligible Veterans.--A veteran is eligible to receive care 
coordination provided by a Care Coordinator hired or designated under 
subsection (a) if the veteran--
(1) is diagnosed with a breast or gynecologic cancer, or 
has been identified as having a precancerous breast or 
gynecologic condition; and
(2) is eligible for health care furnished through the 
Veterans Community Care Program under section 1703 of title 38, 
United States Code, at a non-Department facility.
(c) Locations.--The Secretary shall establish regions for purposes 
of care coordination provided by Regional Breast Cancer and Gynecologic 
Cancer Care Coordinators hired or designated under subsection (a). In 
establishing such regions, the Secretary shall--
(1) assign all Department facilities to an appropriate 
region under the supervision of the BGOSoE Director and a 
designated Regional Breast and Gynecologic Cancer Care 
Coordinator; and
(2) take into account existing VISNs and the specific needs 
of veterans in each region, including veterans living in rural 
communities.
(d) Duties of Regional Breast and Gynecological Cancer Care 
Coordinators.--The Regional Breast Cancer and Gynecologic Cancer Care 
Coordinator hired or designated under subsection (a) shall be 
responsible for carrying out the following duties:
(1) Ensuring the coordination of care between clinicians of 
the Department and breast and gynecologic cancer community care 
providers.
(2) Working with the Office of Community Care of the 
relevant medical facility of the Department regarding care 
furnished under such section.
(3) Making regular contact with each veteran based on the 
veteran's specific medical needs when the veteran receives care 
from a community care provider.
(4) Monitoring--
(A) the services furnished to veterans by the 
Department and community care providers;
(B) the health outcomes of veterans with respect to 
a cancer diagnosis, including remission, metastasis, 
and death; and
(C) the data relating to breast and gynecologic 
cancer care (using relevant databases of the Veterans 
Health Administration or other Department databases), 
including--
(i) the demographics of veterans who have 
breast or gynecologic cancer; and
(ii) the number of veterans being treated 
for breast or gynecologic cancer.
(5) Providing particular information to veterans with 
breast or gynecologic cancer, including--
(A) how to seek emergency care at the emergency 
department closest to the residence of the veteran, 
including that it is generally advisable for veterans 
to notify the Department of emergency care received at 
a non-Department facility within 72 hours of receiving 
care to facilitate the authorization of payments for 
such emergency treatment; and
(B) information about mental health resources, 
including with respect to information encouraging 
follow-up care for depression.
(6) Documenting certain information on veterans receiving 
care for breast or gynecologic care in the electronic health 
records of the Department, including--
(A) the documentation of the contact described in 
paragraph (3);
(B) the contact information of the breast or 
gynecologic cancer care community care providers of 
such veterans; and
(C) the breast or gynecologic cancer diagnosis of 
veterans.
(7) Carrying out such other duties as may be determined 
appropriate by the Secretary.
(e) Report.--Not later than three years after the date of the 
enactment of this Act, the Secretary shall submit to the Committees on 
Veterans' Affairs of the Senate and the House of Representatives a 
report containing the following:
(1) A comparison of the health outcomes of veterans who 
received cancer care at a Department facility and those who 
received care furnished by non-Department medical providers 
pursuant to section 1703 of title 38, United States Code, 
include with respect to the following:
(A) Treatment and types of health outcomes, 
including (for the most recent three years of available 
data)--
(i) the number of veterans who were 
diagnosed with a breast or gynecologic cancer, 
or precancerous breast or gynecologic 
condition;
(ii) the percentage of such veterans who 
have experienced a cancer-related death; and
(iii) the percentage of such veterans who 
have entered remission for gynecologic cancer.
(B) Timeliness of care furnished under chapter 17 
of title 38, United States Code, including how quickly 
initial post-diagnosis appointments and appointments to 
develop a treatment plan are scheduled and provided.
(C) Patient safety associated with such care at 
Department facilities or community care providers, 
including the number of errors in medical care that 
rise to the level of ``never events'' (such as a 
foreign body left in a veteran during surgery).
(2) An evaluation of what changes or additional resources 
are needed to further improve breast and gynecologic cancer 
care and coordination.
(3) Any other matter the Secretary determines appropriate.
(f) Definitions.--In this section:
(1) The term ``community care provider'' means a health 
care provider described in section 1703(c) of title 38, United 
States Code, who has entered into a contract or agreement to 
furnish hospital care, medical services, or extended care 
services (other than care related to breast and gynecologic 
cancer) to veterans under section 1703 of title 38, United 
States Code.
(2) The term ``breast and gynecologic cancer community care 
provider'' means a breast or gynecologic cancer care provider 
described in section 1703(c) of title 38, United States Code, 
who has entered into a contract or agreement to furnish 
hospital care, medical services, or extended care services to 
provide care related to breast or gynecologic cancer to 
veterans under section 1703 of title 38F, United States Code.
(3) The term ``breast cancer'' has the meaning given such 
term by the Director of the Breast and Gynecologic Oncology 
System of Excellence.
(4) The term ``gynecologic cancer'' means cervical cancer, 
ovarian cancer, uterine cancer, vaginal cancer, vulvar cancer, 
and gestational trophoblastic neoplasia.
(5) The term ``non-Department facility'' has the meaning 
given that term in section 1701 of title 38, United States 
Code.

SEC. 3. EXTENSION OF CERTAIN LIMITS ON PAYMENTS OF PENSION.

Section 5503(d)(7) of title 38, United States Code, is amended by 
striking ``November 30, 2031'' and inserting ``September 30, 2032''.

Passed the House of Representatives September 15, 2025.

Attest:

KEVIN F. MCCUMBER,

Clerk.