; and (II) identified by a local veterans service organization; and (ii) a local elected official. (2) Transmittal to President (A) In general The Commission shall, not later than January 31, 2023, transmit to the President a report containing the Commission’s findings and conclusions based on a review and analysis of the recommendations made by the Secretary, together with the Commission’s recommendations, for modernizations and realignments of facilities of the Veterans Health Administration. (B) Authority to make changes to recommendations Subject to subparagraph (C), in making its recommendations, the Commission may change any recommendation made by the Secretary if the Commission— (i) determines that the Secretary deviated substantially from the final criteria referred to in subsection (a)(2) in making such recommendation; (ii) determines that the change is consistent with the final criteria referred to in subsection (a)(2); (iii) publishes a notice of the proposed change in the Federal Register not less than 45 days before transmitting its recommendations to the President pursuant to subparagraph (A)