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 This bill requires the Department of Veterans Affairs (VA) to install and operate an on-site regulated medical waste treatment system at each VA facility that would benefit from such a system's cost savings. In order to identify which VA facilities would benefit, the VA must develop a uniform regulated medical waste cost analysis model to determine the cost savings associated with the use of an on-site regulated medical waste treatment system.