Strikes subsections (a) through (e) and inserts a new subsection (a) establishing 'eligibility access standards' (including specified driving time and wait time thresholds and related rules); strikes subsection (g); redesignates subsections (f), (h), and (i) as (d), (e), and (f), respectively; and makes related terminology and definitional edits.

Amends paragraphs (1)(D) and (3) to replace references to 'designated access standards developed by the Secretary under section 1703B of this title' with 'eligibility access standards under section 1703B(a) of this title.'

Adds a new paragraph (5) requiring written notification to each covered veteran of eligibility for care or services as soon as possible but not later than two business days after the Secretary is aware the veteran is seeking care and is eligible; requires periodic reminders of ongoing eligibility as the Secretary determines appropriate; allows notifications or reminders to be provided electronically.

Adds new subparagraphs (F), (G), and (H) to require consideration of the covered veteran's preference for where/when/how to seek care, continuity of care, and whether the veteran requests or requires assistance of a caregiver or attendant.

Redesignates subsection (o) as (p); inserts a new subsection (o) requiring written notification of denials of requests for care (as soon as possible, but not later than two business days), including reasons and appeal instructions using the Veterans Health Administration clinical appeals process; and inserts a new subsection (p) (after redesignation) requiring that when discussing care options, veterans be informed about telehealth availability, appropriateness, and acceptability.

Amends paragraph (b) by striking '180 days' and inserting 'one year' for the deadline to submit claims under the prompt payment standard.

Amends section 1703E of title 38 by (a) relocating the Center from language 'within the Department' to 'within the Office of the Secretary'; (b) changing authorization language from 'may' to 'shall' in paragraph (2); (c) modifying paragraph (3) to add a new subparagraph (C) directing the Center to 'increase productivity, efficiency, and modernization throughout the Department'; (d) replacing subsection (d) to require the Secretary to include in budget justification materials a specific budgetary line item identifying amounts required to carry out the section; (e) revising subsection (f) to alter the scope of referenced authorities and to change text to 'waiving any provision of this title'; (f) amending subsection (i)(1) to add multiple specified VA offices (Office of Integrated Veteran Care; Office of Finance; Veteran Experience Office; Office of Enterprise Integration; Office of Information and Technology) to the list of entities and subsection (i)(2) to expand listed participants to include 'nonprofit organizations, and other public and private sector entities, including those with clinical and analytical experts with expertise in medicine and health care management'; and (g) adding a new subsection (k) requiring annual reports to Congress on the Center's activities, staff, budget and an assessment of outcomes for the one-year period preceding each report.