be deemed a reference to the first day . (4) Any reference to the date on which the President transmits a report shall be deemed a reference to the date on which a Member of Congress introduced a concurrent resolution described in subsection (a). (d) Examination Not later than 72 hours after the adoption by Congress of the concurrent resolution described in subsection (a), the Commission shall conduct the examination described under such subsection. 6. Report (a) In general Not later than 72 hours after completing the examination under section 5, and notwithstanding the HIPAA privacy regulations (as defined in section 1180(b)(3) of the Social Security Act ( 42 U.S.C. 1320d–9(b)(3) )), the Commission shall, in consultation with the Vice President, transmit a report to the Speaker of the House of Representatives and the President Pro Tempore of the Senate that shall include the declaration described in section 4 of the 25th Amendment providing whether the President is able to discharge the powers and duties of the office and otherwise describing the findings and conclusions of the examination. (b) Disagreement of Vice President If the Vice President disagrees with the declaration or any other conclusion of the Commission under subsection (a), the report submitted under such subsection shall include a statement by the Vice President setting forth such disagreement and the basis for such disagreement. (c) Consideration Any refusal by the President to undergo such examination shall be taken into consideration by the Commission in reaching a conclusion in the report under subsection (a).