; and (2) by adding at the end the following new paragraph: (4) Nothing in this section shall be construed to authorize any provision of records in violation of relevant health record privacy laws, including the Health Insurance Portability and Accountability Act of 1996 ( Public Law 104–191 ). . 203. Elimination of copayment offset (a) In general Section 1729(a) of title 38, United States Code, is amended by adding at the end the following new paragraph: (4) Notwithstanding any other provision of law, any amount that the United States may collect or recover under this section shall not affect any copayment amount a veteran is otherwise obligated to pay under this chapter. . (b) Effective date The amendment made by subsection (a) shall take effect on the date of the enactment of this Act and apply with respect to a copayment obligation that arises on or after the date of the enactment of this Act. 204. Use of Department of Veterans Affairs Medical Care Collections Fund for certain improvements in collections Section 1729A(c)(1)(B) of title 38, United States Code, is amended by inserting (including with respect to automatic data processing or information technology improvements) after collection . 205. Department of Veterans Affairs health care productivity improvement (a) In general Subchapter I of chapter 17 of title 38, United States Code, is further amended by inserting after section 1705A the following new section: 1705B. Management of health care: productivity (a) Relative value unit tracking The Secretary shall track relative value units for all Department providers. (b) Clinical procedure coding training The Secretary shall require all Department providers to attend training on clinical procedure coding. (c) Performance standards The Secretary shall establish for each Department facility— (1) standardized performance standards based on nationally recognized relative value unit production standards applicable to each specific profession in order to evaluate clinical productivity at the provider and facility