US Federal 2023-2024 Regular Session

US Federal Senate Bill SB10

Introduced
1/23/23  
Refer
1/23/23  

Caption

VA Clinician Appreciation, Recruitment, Education, Expansion, and Retention Support (CAREERS) Act of 2023 This bill addresses Department of Veterans Affairs (VA) personnel matters and the training, recruitment, and retention of VA health care employees. Among other requirements, the VA must expand various staff training efforts and programs; comply with certain notification and staffing requirements when a VA medical center director is on detail; prescribe a system of pay for individuals appointed as directors of medical centers and directors of Veterans Integrated Service Networks; and establish a consolidated annual leave account for certain VA employees with restored leave during 2020, 2021, and 2022. The bill also authorizes the VA to waive pay limitations for employees of the Veterans Health Administration (VHA) who are performing mission critical work; increases the maximum amount of incentive pay for pharmacist executives; modifies the special pay authority for nurse executives and the administration of pay for VA physicians, podiatrists, optometrists, and dentists; authorizes a waiver of certain licensure requirements for psychologists and mental health counselors in certain circumstances; requires the Inspector General of the VA to study and report on the use of direct hire authority, the contributions made by the use of such authority, and any vulnerabilities or inconsistencies with respect to the use of such authority; includes VA police officers as law enforcement officers for purposes of the federal retirement system; and requires the Government Accountability Office to report on human resources modernization conducted by the VHA.

Impact

The bill has significant potential implications for state laws governing the recruitment and compensation of healthcare professionals within the VA system. By authorizing the VA to waive certain pay limitations for mission-critical roles, it supports the agency's ability to respond proactively to staffing shortages and operational needs. Additionally, the increase in maximum incentive pay for pharmacist executives and modifications to pay authority for nurse executives aim to encourage higher performance and attract top-level administrators. Moreover, the establishment of programs to reimburse continuing education expenses promotes ongoing professional development among VA employees.

Summary

SB10, titled the VA Clinician Appreciation, Recruitment, Education, Expansion, and Retention Support (CAREERS) Act of 2023, aims to enhance the workforce of the Department of Veterans Affairs (VA) by addressing various personnel matters. Key highlights of the bill include measures aimed at improving the recruitment and retention of health care employees within the VA system. To achieve this, the bill mandates expanded training programs, modifications to pay scales for clinicians, and adjustments to licensure requirements for specific health professionals. This comprehensive approach seeks to ensure that the VA can attract and retain qualified personnel to serve veterans effectively.

Contention

While SB10 has garnered support for its focus on improving health services for veterans, it has also faced scrutiny regarding the potential increase in administrative burden and the financial implications of the expanded pay and benefits for VA staff. There is concern about how these changes will be funded and whether they could detract from other critical areas within the VA budget. Opponents emphasize the need for careful oversight to ensure that the intended outcomes, such as improved veteran services, are genuinely achieved without compromising fiscal responsibility.

Companion Bills

US SB55

Related bill VA medical Center Absence and Notification Timeline Act or the VACANT Act This bill requires the Department of Veterans Affairs (VA) to comply with certain notification and staffing requirements when a VA medical center director is on detail. Not later than 90 days after detailing a director of a VA medical center to a different position within the VA, the VA must notify Congress with specified information about the detail (e.g., the location of the detail). Additionally, the VA must appoint an individual as acting director not later than 120 days after detailing a director to a different position. The VA must regularly update Congress regarding the status of the detail. Generally, not later than 180 days after detailing a director to a different position, the VA must return the individual to the position as director or reassign the individual from the position and begin the process of hiring a new director. This requirement may be waived for a limited amount of time, but the VA must submit to Congress a justification for the waiver.

US HB693

Related bill VACANT Act VA medical Center Absence and Notification Timeline Act

Previously Filed As

US HB71

Veterans Health Care Freedom Act This bill requires the Center for Innovation for Care and Payment within the Department of Veterans Affairs (VA) to implement a three-year pilot program to improve the ability of veterans who are enrolled in the VA health care system to access hospital care, medical services, and extended care services through the covered care system by providing such veterans with the ability to choose health care providers. Under the bill, the covered care system includes VA medical facilities, health care providers participating in the Veterans Community Care Program (VCCP), and eligible entities or providers that have entered into a Veterans Care Agreement. A veteran participating in the program may elect to receive care at any provider in the covered care system. The pilot program removes certain requirements (e.g., location of the veteran) to access care at VA and non-VA facilities. After four years, the bill permanently phases out the requirements for accessing care under the VCCP and Veterans Care Agreements and requires the VA to provide such care under the same conditions of the pilot program. Additionally, after four years, veterans may receive care at a VA medical facility regardless of whether the facility is in the same Veterans Integrated Service Network as the veteran.

US HB770

Accountability for Veterans ActThis bill requires the Department of Veterans Affairs (VA) to report to Congress on certain appeals, resources, and VA health care systems. Specifically, the report must address (1) the reasons why there is a backlog of appeals of claims for VA disability benefits; (2) ways to increase the amount of information, resources, and tools provided by the VA to individuals participating in the Transition Assistance Program of the Department of Defense; and (3) the management problems impacting one-star health care systems of the VA.

US HB41

VA Same-Day Scheduling Act of 2023 This bill requires the Department of Veterans Affairs (VA) to ensure that when a veteran enrolled in the VA health care system contacts the VA by telephone to schedule an appointment for care or services at a VA facility, the scheduling for the appointment occurs during that telephone call.

US HB554

Veteran's Choice Accountability Act This bill requires the Department of Veterans Affairs (VA) to evaluate VA programs that furnish hospital care, medical services, and nursing home care to ensure that the most intensively used specialized care programs are maintained as centers of excellence. The bill also requires the VA to submit an evaluation of the VA's implementation of the VA Budget and Choice Improvement Act.

US H5002

Community Health Workers

US HB236

This bill requires the Department of Veterans Affairs (VA) to designate one week per year as Battle Buddy Check Week for the purposes of organizing outreach events and educating veterans on how to conduct peer wellness checks. The VA shall ensure that the Veterans Crisis Line has a plan for handling the potential increase in calls that may occur during such week.

US HB1290

Veterans Mental Health Crisis Referral Enhancement Act of 2025This bill requires the Department of Veterans Affairs (VA) to implement a three-year pilot program under which Vet Centers and VA medical facilities provide veterans who are experiencing mental health crises with referrals to approved non-VA mental health care providers.The VA must report on the implementation, outcomes, and effectiveness of the pilot program.

US A572

Authorizes elected official and their chief of staff to carry certain firearms, subject to compliance with training requirements.

US HB228

Veterans Affairs Transfer of Information and Sharing of Disability Examination Procedures With DOD Doctors Act This bill addresses the sharing of medical information and disability examination procedures between the Departments of Defense (DOD) and Veterans Affairs (VA). It requires that if a member of the Armed Forces who is required to receive a physical examination upon separation from active duty has or is believed to have a medical condition that may make the member eligible for veterans' disability compensation and benefits, the examination must be performed by a VA-certified health care provider. If the condition is discovered during the physical examination and the examining health care provider is not VA-certified, the examination must be completed by a VA-certified provider. An eligibility determination made as part of such an examination shall be binding on the VA and be used as the basis for assigning the member's disability rating. The VA and DOD shall jointly establish a system to share data and maintain the medical and personnel records of Armed Forces members and veterans.

US S07786

Authorizes the Department of Veterans' Services to consult and collaborate with relevant offices in the federal department of veterans affairs, the department of health, the state office for the aging and other HCBS experts to develop educational materials for veterans and their families about the accessibility to home and community-based services.

Similar Bills

No similar bills found.