H.R. 4334 would require the Department of Veterans Affairs (VA) to submit annual reports to the Congress about the access of women veterans to gender-specific health care. The bill also would require VA medical facilities to submit quarterly reports on health care standards for women veterans. On the basis of information from VA, CBO estimates that preparing such reports would cost about $300,000 a year (or the equivalent of three full-time employees). CBO estimates that implementing this bill would cost $2 million over the 2019-2023 period, assuming availability of appropriated amounts.