; and (D) a description of any human capital needs required to implement the strategy and roadmap, including qualifications or incentives to obtain such needs. (c) Update to report Not later than 120 days after the first day of the fiscal year after the fiscal year during which the report required under subsection (a) is submitted, and annually thereafter until the date specified in subsection (d), the Chief Digital Health Officer shall submit to the appropriate congressional committees an updated report that includes each of the following: (1) An identification of any significant changes to the strategy described in subsection (b)(1) or any of the elements of the strategy. (2) An assessment of the extent to which the goals described in subsection (b)(2) have been achieved, including supporting metrics and data. (3) An assessment of the progress and milestones achieved related to the timeline described in subsection (b)(4)(D). (4) A description of any corrective actions to be taken in response to failure to meet any goals or milestones. (5) The budget and spending plan of the Department for health information technology, including all relevant accounts, for the fiscal year during which the updated report is submitted and the next fiscal year. (d) Termination date The date specified in this subsection is the date that is four years after the date on which the first update is submitted under subsection (c). 538. Annual report on efforts to maintain VistA electronic health record system (a) In general Not later than 120 days after the first day of each fiscal year that begins after the date of the enactment of this Act until the date specified in subsection (c), the Secretary shall submit to the appropriate congressional committees a report on the Veterans Information Systems and Technology Architecture. (b) Contents of report The report required by subsection (a) shall include— (1) the operation and maintenance costs and development and enhancement costs for the most recent fiscal year that ended before the date of