after the first report required by subsection (a) shall include a description of any enhancements to the VistA system that have occurred during fiscal year immediately preceding the date of the report, those planned, but not implemented and an explanation for such lack of implementation and those planned for the fiscal year in which the report is submitted. (e) Termination This section shall terminate on the date that is 15 years after the date of the enactment of this Act. 405. Report on alternatives to current electronic health record technology and contract for Department of Veterans Affairs (a) In general Not later than 60 days after the date of the enactment of this Act, the Secretary shall submit to the appropriate committees of Congress a report on paths the Department and Congress should consider to achieve a modernized electronic health record as an alternative to the Oracle-Cerner product. (b) Elements The report required under subsection (a) shall include the following with respect to an alternative path or paths to be considered by the Department and Congress: (1) Considerations for and against such alternative path or paths. (2) Accurate reinvestment analysis of expenditures, developed consistent with cost estimation and other relevant guidance issued by the Comptroller General of the United States, already made on the modernized electronic health record as of the date of the report, including an assessment of which of those expenditures would have to be made again and which would not based on an alternative technology and contract path chosen and the ability to repurpose investments. (3) The capabilities and weaknesses of other technology solutions the Department could pursue, including an assessment of long-term value and return on investment from a health delivery, health quality, and operational perspective, and the acquisition process that could be used to procure such solutions. (4) An analysis of electronic health record and health information technology market trends, capabilities, and