The report details the many veterans who have died waiting for health care as a result of the VA misconduct. Secret waiting lists, poor patient care, the millions of dollars that are intended for health care that has gone unspent every year and reports of bonuses paid out to employees who have lied and covered up statistics are also detailed in the report. However, a VA Inspector General's report issued on August 26, 2014, reported that six, not forty, veterans had died experiencing “clinically significant delays” while on waiting lists to see a VA doctor, and in each of these six cases, “we are unable to conclusively assert that the absence of timely quality care caused the deaths of these veterans.” 2014 - present: Improving care, MISSION Act/Community Care, expansion of Mental Health eligibility With the Choice Act in place, wait times (and ultimately care) at VHA facilities began to improve. According to a study conducted by the Journal of the American Medical Association (JAMA) in 2014, the average wait times to receive health care were 22.5 for VHA and 18.7 days for the private sector. However, by 2017, VHA wait times were significantly shorter than wait times to see a private doctor dropping to 17.7 days for VHA, while the wait for a private doctor increased to 29.8 days. Based on the successes of the original program, Congress expanded the eligibility of the program by passing the John S. McCain III, Daniel K. Akaka, and Samuel R. Johnson VA Maintaining Internal Systems and Strengthening Integrated Outside Networks (MISSION) Act of 2018 ), which permanently codified the Choice Act features access (wait time and travel distance) standards into a new Veterans Community Care Program. It also established several additional criteria that qualify the Veteran to receive community care, such as if a Veteran needs a service not available at any VA facility (i.e., maternity care for women), a Veteran lives in a U.S. state (Alaska, Hawaii, New Hampshire) or territory (Guam, American Samoa, Northern Mariana Islands, U.S. Virgin Islands) without a full-service VA medical facility, or it is in the best medical interest of the Veteran, based on Veteran and provider agreement. Additional regulations issued by VA also changed the access standards that would make a Veteran eligible reducing the time from 30 days to 20 days of a request or at a facility within 30 minutes of average driving