; and (2) a list of each medical facility of the Department for which such a certification was not made, including a copy of each report submitted to the Secretary under subsection (b). 3. Uniform application of directives and policies of Department of Veterans Affairs (a) In general The Secretary of Veterans Affairs shall apply the directives and policies of the Department of Veterans Affairs to each office or facility of the Department in a uniform manner. (b) Notification If the Secretary does not uniformly apply the directives and policies of the Department pursuant to subsection (a), including by waiving such a directive or policy with respect to an office, facility, or element of the Department, the Secretary shall notify the Committee on Veterans’ Affairs of the Senate and the Committee on Veterans’ Affairs of the House of Representatives of such nonuniform application, including an explanation for the nonuniform application. 4. Requirement for appointment and confirmation of certain officials of Department of Veterans Affairs (a) Principal Deputy Under Secretary for Health Subsection (c) of section 7306 of title 38, United States Code, is amended to read as follows: (c) (1) Except as provided in paragraph (2), appointments under subsection (a) shall be made by the Secretary. (2) Appointments under subsection (a)(1) shall be made by the President, by and with the advice and consent of the Senate. (3) In the case of appointments under paragraphs (1), (2), (3), (4), and (8) of subsection (a), such appointments shall be made upon the recommendation of the Under Secretary for Health. . (b) Other Deputy Under Secretary positions (1) In general Notwithstanding any other provision of law, the Deputy Under Secretary for Health for Operations and Management of the Department of Veterans Affairs, the Deputy Under Secretary for Health for Policy and Services of the Department, the Principal Deputy Under Secretary for Benefits of the Department, the Deputy Under Secretary for Disability Assistance of the Department,