H.R. 753House118th Congress (2023-2025)Passed House

VA COST SAVINGS Enhancements Act

Sponsored by Mike BostRep. Mike Bost (R-IL)
Introduced February 2, 2023

AI-Generated Summary

Updated January 20, 2026 at 3:07 AM UTC

The VA COST SAVINGS Enhancements Act directs the Secretary of Veterans Affairs to find VA facilities that could cut costs by using on‑site regulated medical waste treatment systems, create a standard model to compare costs, and install and run those systems using existing funds. It applies to all Department of Veterans Affairs facilities that handle regulated medical waste and uses current federal or more stringent state definitions of that waste.

Key Provisions

  • Identify VA facilities that would benefit from on‑site regulated medical waste treatment over a five‑year period.
  • Develop a uniform cost‑analysis model comparing off‑site contract costs to on‑site system costs, with equipment capital costs amortized over ten years.
  • Secure, install, and operate on‑site regulated medical waste treatment systems at the identified facilities.
  • Define "regulated medical waste" according to federal regulations or any more expansive state law.
  • No additional funds are authorized; the program must be funded from existing appropriations.

Legislative Activity

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11 earlier actions
SenateIntro Referral Latest Action

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

March 9, 2023

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HouseIntro Referral

Introduced in House

February 2, 2023

HouseIntro Referral

Referred to the House Committee on Veterans' Affairs.

February 2, 2023

HouseCommittee

Referred to the Subcommittee on Health.

February 28, 2023

HouseFloor

Mr. Bost moved to suspend the rules and pass the bill, as amended.

March 7, 2023 • 5:12 PM

HouseFloor

Considered under suspension of the rules. (consideration: CR H1125-1126)

March 7, 2023 • 5:13 PM

HouseFloor

DEBATE - The House proceeded with forty minutes of debate on H.R. 753.

March 7, 2023 • 5:13 PM

HouseFloor

At the conclusion of debate, the Yeas and Nays were demanded and ordered. Pursuant to the provisions of clause 8, rule XX, the Chair announced that further proceedings on the motion would be postponed.

March 7, 2023 • 5:17 PM

HouseFloor

Considered as unfinished business. (consideration: CR H1195-1196)

March 8, 2023 • 6:00 PM

HouseFloor

Passed/agreed to in House: On motion to suspend the rules and pass the bill, as amended Agreed to by the Yeas and Nays: (2/3 required): 426 - 0 (Roll no. 137). (text: 3/7/2023 CR H1125)

March 8, 2023 • 6:10 PM

HouseFloor

On motion to suspend the rules and pass the bill, as amended Agreed to by the Yeas and Nays: (2/3 required): 426 - 0 (Roll no. 137). (text: 3/7/2023 CR H1125)

March 8, 2023 • 6:10 PM

HouseFloor

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

March 8, 2023 • 6:10 PM

SenateIntro Referral

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

March 9, 2023

Floor Debate

2 members

What members said about H.R. 753 on the floor

1 Republican1 Democrat
Mike Bost
Rep. Mike BostR-IL-12 · Mar 7, 2023

Mr. Speaker, I move to suspend the rules and pass the bill (H.R. 753) to direct the Secretary of Veterans Affairs to use on-site regulated medical waste treatment systems at certain Department of…

Mark Takano
Rep. Mark TakanoD-CA-39 · Mar 7, 2023

Mr. Speaker, I yield myself such time as I may consume. Mr. Speaker, I rise in support of H.R. 753, as amended, the VA COST SAVINGS Enhancements Act. This bill will require the Secretary of Veterans…

Bill Text

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Latest
Referred in SenateIssued March 9, 2023

IIB

118th CONGRESS

1st Session

H. R. 753

IN THE SENATE OF THE UNITED STATES

March 9, 2023

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)

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.

Passed the House of Representatives March 8, 2023.

Cheryl L. Johnson,

Clerk.