H.R. 5974House115th Congress (2017-2019)Passed House

VA COST SAVINGS Enhancements Act

Introduced May 25, 2018

AI-Generated Summary

Updated April 15, 2026 at 10:08 PM UTC

The VA COST SAVINGS Enhancements Act directs the Department of Veterans Affairs to look for facilities where treating regulated medical waste on‑site would be cheaper than sending it out to contractors. It requires the VA to create a standard cost‑analysis tool, install the appropriate treatment equipment, and use existing procurement contracts, all without providing any new funding. The changes affect VA medical facilities and aim to reduce waste‑disposal expenses while maintaining safety standards.

Key Provisions

  • The VA Secretary must identify VA facilities that could save money by using on‑site regulated medical waste treatment over a five‑year period.
  • The Secretary must develop a uniform cost‑analysis model that compares off‑site contract costs with on‑site system costs, amortizing equipment capital costs over ten years.
  • At each identified facility, the VA must secure, install, and operate an on‑site regulated medical waste treatment system.
  • All equipment purchases must be made through the existing VHA Regulated Medical Waste On‑Site Treatment Equipment Systems Blanket Purchase Agreement or a successor arrangement.
  • The definition of “regulated medical waste” follows federal regulations, but more expansive state definitions apply if they exist.
  • No additional funds are authorized; the program must be funded from amounts already appropriated.

Legislative Activity

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16 earlier actions
SenateIntro Referral Latest Action

Received in the Senate and Read twice and referred to the Committee on Veterans' Affairs.

July 25, 2018

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HouseIntro Referral

Introduced in House

May 25, 2018

HouseIntro Referral

Referred to the House Committee on Veterans' Affairs.

May 25, 2018

HouseCommittee

Referred to the Subcommittee on Health.

June 13, 2018

HouseCommittee

Subcommittee Hearings Held.

June 13, 2018

HouseCommittee

Subcommittee Consideration and Mark-up Session Held.

June 27, 2018

HouseCommittee

Forwarded by Subcommittee to Full Committee (Amended) by Voice Vote .

June 27, 2018

HouseCommittee

Committee Consideration and Mark-up Session Held.

July 12, 2018

HouseCommittee

Ordered to be Reported by Voice Vote.

July 12, 2018

HouseCommittee

Reported (Amended) by the Committee on Veterans' Affairs. H. Rept. 115-869.

July 24, 2018

HouseCalendars

Placed on the Union Calendar, Calendar No. 672.

July 24, 2018

HouseFloor

Mr. Roe (TN) moved to suspend the rules and pass the bill, as amended.

July 24, 2018 • 7:30 PM

HouseFloor

Considered under suspension of the rules. (consideration: CR H7144-7145)

July 24, 2018 • 7:30 PM

HouseFloor

DEBATE - The House proceeded with forty minutes of debate on H.R. 5974.

July 24, 2018 • 7:30 PM

HouseFloor

Passed/agreed to in House: On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote.(text: CR H7144)

July 24, 2018 • 7:38 PM

HouseFloor

On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote. (text: CR H7144)

July 24, 2018 • 7:38 PM

HouseFloor

Motion to reconsider laid on the table Agreed to without objection.

July 24, 2018 • 7:38 PM

SenateIntro Referral

Received in the Senate and Read twice and referred to the Committee on Veterans' Affairs.

July 25, 2018

Floor Debate

3 members

What members said about H.R. 5974 on the floor

2 Republicans1 Democrat
David P. Roe
Rep. David P. RoeR-TN-1 · Jul 24, 2018

Mr. Speaker, I move to suspend the rules and pass the bill (H.R. 5974) to direct the Secretary of Veterans Affairs to use on-site regulated medical waste treatment systems at certain Department of…

Jeff Denham
Rep. Jeff DenhamR-CA-10 · Jul 24, 2018

Mr. Speaker, I thank the chairman and ranking member for their support of H.R. 5974, the VA COST SAVINGS Enhancements Act. This bipartisan bill improves care for our veterans. It also ensures that…

Mark Takano
Rep. Mark TakanoD-CA-41 · Jul 24, 2018

Mr. Speaker, I yield myself such time as I may consume. Mr. Speaker, I rise in support of H.R. 5974, as amended, the Department of Veterans Affairs Creation of On-Site Treatment Systems Affording…

Bill Text

4 versions available

Reading Mode
Latest
Referred in SenateIssued July 25, 2018

IIB

115th CONGRESS

2d Session

H. R. 5974

IN THE SENATE OF THE UNITED STATES

July 25, 2018

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

AN ACT

To direct the Secretary of Veterans Affairs to use on-site regulated medical waste treatment systems at certain Department of Veterans Affairs facilities, and for other purposes.

1.

Short title

This Act may be cited as the Department of Veterans Affairs Creation of On-Site Treatment Systems Affording Veterans Improvements and Numerous General Safety Enhancements Act or the VA COST SAVINGS Enhancements Act.

2.

Use of on-site regulated medical waste treatment systems at Department of Veterans Affairs facilities

(a)

Identification of facilities

The Secretary of Veterans Affairs shall identify Department of Veterans Affairs facilities that would benefit from cost savings associated with the use of an on-site regulated medical waste treatment system over a five-year period.

(b)

Regulated medical waste cost analysis model

For purposes of carrying out subsection (a), the Secretary shall develop a uniform regulated medical waste cost analysis model to be used to determine the cost savings associated with the use of an on-site regulated medical waste treatment system at Department facilities. Such model shall be designed to calculate savings based on—

(1)

the cost of treating regulated medical waste at an off-site location under a contract with a non-Department entity, compared to

(2)

the cost of treating regulated medical waste on-site, based on the equipment specification of treatment system manufacturers, with capital costs amortized over a ten-year period.

(c)

Installation

At each Department facility identified under subsection (a), the Secretary shall secure, install, and operate an on-site regulated medical waste treatment system.

(d)

Use of blanket purchase agreement

Any medical waste treatment system purchased pursuant to this section shall be purchased under the blanket purchase agreement known as the VHA Regulated Medical Waste On-Site Treatment Equipment Systems Blanket Purchase Agreement or any successor, contract, agreement, or other arrangement.

(e)

Regulated medical waste defined

In this section, the term regulated medical waste has the meaning given such term under section 173.134(a)(5) of title 49, Code of Federal Regulations, concerning regulated medical waste and infectious substances, or any successor regulation, except that, in the case of an applicable State law that is more expansive, the definition in the State law shall apply.

3.

No additional funds authorized

No additional funds are authorized to be appropriated to carry out the requirements of this Act. Such requirements shall be carried out using amounts otherwise authorized to be appropriated.

Passed the House of Representatives July 24, 2018.

Karen L. Haas,

Clerk