1. Short title This Act may be cited as the 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 . 2. Use of on-site regulated medical waste treatment systems at Department of Veterans Affairs facilities (a) Identification of facilities The Secretary of Veterans Affairs shall identify Department of Veterans Affairs facilities that would benefit from cost savings associated with the use of an on-site regulated medical waste treatment system over a five-year period. (b) Regulated medical waste cost analysis model For purposes of carrying out subsection (a), the Secretary shall develop a uniform regulated medical waste cost analysis model to be used to determine the cost savings associated with the use of an on-site regulated medical waste treatment system at Department facilities. Such model shall be designed to calculate savings based on— (1) the cost of treating regulated medical waste at an off-site location under a contract with a non-Department entity, compared to (2) the cost of treating regulated medical waste on-site, based on the equipment specification of treatment system manufacturers, with capital costs amortized over a ten-year period. (c) Installation At each Department facility identified under subsection (a), the Secretary shall secure, install, and operate an on-site regulated medical waste treatment system. (d) Use of purchase agreement Any medical waste treatment system purchased pursuant to this section shall be purchased under the purchase agreement known as the VHA Regulated Medical Waste On-Site Treatment Equipment Systems Blanket Purchase Agreement . (e) Regulated medical waste defined In this section, the term regulated medical waste has the meaning given such term under section 173.134(a)(5) of title 49, Code of Federal Regulations, concerning regulated medical waste and infectious substances, or any successor regulation, except that, in the case of an