This bill, titled the Veteran's Choice Accountability Act, directs the Department of Veterans Affairs to undertake a comprehensive evaluation of its healthcare services. Specifically, the Secretary of Veterans Affairs must assess all programs where hospital care, medical services, and nursing home care are provided on a fee-basis . The primary goal of this evaluation is to identify the most intensively used specialized care programs within the VA and ensure they are maintained as centers of excellence . Furthermore, the bill mandates that the Secretary submit a report to Congress within two years of enactment. This report will provide an evaluation of the implementation of the VA Budget and Choice Improvement Act (title IV of Public Law 114-41), ensuring accountability and oversight regarding previous legislative efforts to improve veteran healthcare.