An amendment comprised of the following amendments printed in Part B of House Report 117-225 as en bloc No. 1: Nos. 1, 2, 4, and 5.

1. 1

   Change 1: Inserts “(A)” before “Not later”

   InsertsPage 1, line 15Printed page

   …[inserted: (A) ]Not later…

   Original wording

   Page 1, line 15, insert “(A)” before “Not later”.

2. 2

   Change 2: Replaces “(A)” with “(i)”

   ReplacesPage 1, line 18Printed page

   [struck: (A)][inserted: (i)]

   Original wording

   Page 1, line 18, strike “(A)” and insert “(i)”.

3. 3

   Change 3: Replaces “(B)” with “(ii)”

   ReplacesPage 2, line 1Printed page

   [struck: (B)][inserted: (ii)]

   Original wording

   Page 2, line 1, strike “(B)” and insert “(ii)”.

4. 4

   Change 4: Inserts new text on page 2, line 3

   InsertsPrinted page

   Inserted: (B) In carrying out subparagraph (A), the Secretary shall consider using, to the extent practical, mass texting capabilities through mobile telephones.

   Inserted: amendment no. 2 offered by mr. delgado of new york

   Original wording

   Page 2, after line 3, insert the following:

5. 5

   Change 5: Adds SEC. 3. GAO REPORT ON NOTICE OF AUTOMATIC ENROLLMENT IN PATIENT ENROLLMENT SYSTEM OF DEPARTMENT OF VETERANS AFFAIRS at the end of the bill

   Adds a section

   In H.R. 4673 · Referred in Senate

   Passed the House of Representatives January 20, 2022.

   Inserted: SEC. 3. GAO REPORT ON NOTICE OF AUTOMATIC ENROLLMENT IN PATIENT ENROLLMENT SYSTEM OF DEPARTMENT OF VETERANS AFFAIRS.

   Inserted: Not later than 180 days after the date of the enactment of this Act, the Comptroller General of the United States shall submit to Congress a report containing the results of a study to determine the best methods for the Secretary of Veterans Affairs to provide notice under paragraph (2) of subsection (d) of section 1705 of title 38, United States Code, as added by section 2. In making such determination, the Comptroller General shall consider needs of veterans based on--

   Inserted: (1) age;

   Inserted: (2) residence in urban areas; and

   Inserted: (3) residence in rural areas.

   Inserted: amendment no. 4 offered by mrs. hayes of connecticut

   Original wording

   At the end of the bill, add the following:

6. 6

   Change 6: Inserts “(A)” before “Not later”

   InsertsPage 1, line 15Printed page

   …[inserted: (A) ]Not later…

   Original wording

   Page 1, line 15, insert “(A)” before “Not later”.

7. 7

   Change 7: Replaces “(A)” with “(i)”

   ReplacesPage 1, line 18Printed page

   [struck: (A)][inserted: (i)]

   Original wording

   Page 1, line 18, strike “(A)” and insert “(i)”.

8. 8

   Change 8: Strikes “and”

   StrikesPage 1, line 18Printed page

   Struck: and

   Original wording

   Page 1, line 18, strike “and”.

9. 9

   Change 9: Replaces “(B)” with “(ii)”

   ReplacesPage 2, line 1Printed page

   [struck: (B)][inserted: (ii)]

   Original wording

   Page 2, line 1, strike “(B)” and insert “(ii)”.

10. 10

    Change 10: Replaces the period on page 2, line 3 with “; and”

    ReplacesPrinted page

    …[struck: .][inserted: ; and]

    Original wording

    Page 2, line 3, strike the period and insert “; and”.

11. 11

    Change 11: Inserts new text on page 2, line 3

    InsertsPrinted page

    Inserted: (iii) instructions for how the veteran may elect to enroll at a later date.

    Inserted: (B) Any notice or instructions required to be provided under this paragraph shall be provided in the form of a physical copy delivered by mail and, to the extent practical, in the form of an electronic copy delivered by electronic mail.

    Original wording

    Page 2, after line 3, insert the following:

12. 12

    Change 12: Inserts new text on page 3, line 5

    InsertsPrinted page

    Inserted: (d) Provision of Notice and Information.--The notice and instructions required to be provided under subsection (d)(2) of section 1705 of title 38, United States Code, as added by subsection (a), shall be provided in accordance with the established procedures of the Department of Veterans Affairs with respect to the provision of similar types of notices and instructions.

    Inserted: amendment no. 5 offered by ms. tlaib of michigan

    Original wording

    Page 3, after line 5, insert the following:

13. 13

    Change 13: Inserts new text at the end of the bill

    Inserts

    In H.R. 4673 · Referred in Senate

    Passed the House of Representatives January 20, 2022.

    Inserted: (d) Report on Automatic Enrollment.--

    Inserted: (1) In general.--Not later than one year after the first veteran is enrolled in the patient enrollment system of the Department of Veterans Affairs under subsection (d) of section 1705 of title 38, United States Code, as added by subsection (a), the Secretary shall submit to Congress a report on the enrollment process under such subsection. Such report shall include each of the following:

    Inserted: (A) A discussion of any anticipated challenges that occurred in implementing such subsection, the strategies used to address such challenges, and the effectiveness of such strategies.

    Inserted: (B) A discussion of any unanticipated challenges that occurred in implementing such subsection, the strategies used to address such challenges, and the effectiveness of such strategies.

    Inserted: (C) Any additional information the Secretary determines appropriate, including information that may be useful to other Federal departments and agencies considering the implementation of similar automatic enrollment programs.

    Inserted: (2) Form of report.--The report required under paragraph (1) shall be submitted in unclassified form, but may include a classified annex.

    Original wording

    Add at the end the following:

Read automatically from the Congressional Record. Check the original before relying on it.

As printed