Title 38 — Veterans’ Benefits
Part V · Chapter 74 — Veterans Health Administration—Personnel
§ 7401. Appointments in Veterans Health Administration
Statutory text
There may be appointed by the Secretary such personnel as the Secretary may find necessary for the health care of veterans (in addition to those in the Office of the Under Secretary for Health appointed under section 7306 of this title), as follows:
Physicians, dentists, podiatrists, chiropractors, optometrists, registered nurses, physician assistants, and expanded-function dental auxiliaries.
Scientific and professional personnel, such as microbiologists, chemists, and biostatisticians.
Audiologists, licensed hearing aid specialists, speech pathologists, and audiologist-speech pathologists, biomedical engineers, certified or registered respiratory therapists, dietitians, licensed physical therapists, licensed practical or vocational nurses, nurse assistants, medical instrument technicians, medical records administrators or specialists, medical records technicians, medical technologists, dental hygienists, dental assistants, nuclear medicine technologists, occupational therapists, occupational therapy assistants, kinesiotherapists, orthotist-prosthetists, pharmacists, pharmacy technicians, physical therapy assistants, prosthetic representatives, psychologists, diagnostic radiologic technologists, therapeutic radiologic technologists, social workers, marriage and family therapists, licensed professional mental health counselors, blind rehabilitation specialists, blind rehabilitation outpatient specialists, statisticians, economists, informaticists, data scientists, and and 1 such other classes of health care occupations as the Secretary considers necessary for the recruitment and retention needs of the Department subject to the following requirements:
Such other classes of health care occupations—
are not occupations relating to administrative, clerical, or physical plant maintenance and protective services;
would otherwise receive basic pay in accordance with the General Schedule under section 5332 of title 5;
provide, as determined by the Secretary, direct patient care services or services incident to direct patient services; and
would not otherwise be available to provide medical care or treatment for veterans.
Not later than 45 days before the Secretary appoints any personnel for a class of health care occupations that is not specifically listed in this paragraph, the Secretary shall submit to the Committee on Veterans’ Affairs of the Senate, the Committee on Veterans’ Affairs of the House of Representatives, and the Office of Management and Budget notice of such appointment.
Before submitting notice under subparagraph (B), the Secretary shall solicit comments from any labor organization representing employees in such class and include such comments in such notice.
Directors of medical centers and directors of Veterans Integrated Service Networks with demonstrated ability in the medical profession, in health care administration, or in health care fiscal management.
Footnotes
- 1 So in original.
Legislative history
Reconstructed from this section’s Code source credit and amendment notes, resolved against the local Statutes at Large. Editorial notes are evidence, not the law that made the change.
Department of Veterans Affairs Health-Care Personnel Act of 1991
Pub. L. 102–40 title IV § 401(b)(2) · 105 Stat. 187
Enacted · 38 U.S.C. § 7401
Added Pub. L. 102–40, title IV, § 401(b)(2), May 7, 1991, 105 Stat. 222
Source evidence
Code source credit
Added Pub. L. 102–40, title IV, § 401(b)(2), May 7, 1991, 105 Stat. 222Enacted provision · exact public law section
(2) Such chapter is further amended by inserting before subchapter II (as added by section 202) the following: “SUBCHAPTER I— APPOINTMENTS “§ 7401. Appointments in Veterans Health Administration “There may be appointed by the Secretary such personnel as the Secretary may find necessary for the medical care of veterans (in addition to those in the Office of the Chief Medical Director appointed under section 7306 of this title), as follows: “(1) Physicians, dentists, podiatrists, optometrists, registered nurses, physician assistants, and expanded-function dental auxiliaries. “(2) Psychologists (other than those described in paragraph (3)), dietitians, and other scientific and professional personnel, such as microbiologists, chemists, biostatisticians, and medical and dental technologists. “(3) Clinical or counseling psychologists who hold diplomas as diplomates in psychology from an accrediting authority approved by the Secretary, certified or registered respiratory therapists, licensed physical therapists, licensed practical or vocational nurses, pharmacists, and occupational therapists. “§ 7402. Qualifications of appointees “(a) To be eligible for appointment to the positions in the Administration covered by subsection (b), a person must have the applicable qualifications set forth in that subsection. “(b) (1) Physician.— To be eligible to be appointed to a physician position, a person must— “(A) hold the degree of doctor of medicine or of doctor of osteopathy from a college or university approved by the Secretary, “(B) have completed an internship satisfactory to the Secretary, and “(C) be licensed to practice medicine, surgery, or osteopathy in a State. “(2) Dentist.— To be eligible to be appointed to a dentist position, a person must— “(A) hold the degree of doctor of dental surgery or dental medicine from a college or university approved by the Secretary, and “(B) be licensed to practice dentistry in a State. “(3) Nurse.— To be eligible to be appointed to a nurse position, a person must— “(A) have successfully completed a full course of nursing in a recognized school of nursing, approved by the Secretary, and “(B) be registered as a graduate nurse in a State. “(4) Director of a Hospital, Domiciliary, Center, or Out-patient Clinic.— To be eligible to be appointed to a director position, a person must have such business and administrative experience and qualifications as the Secretary shall prescribe. “(5) Podiatrist.— To be eligible to be appointed to a podiatrist position, a person must— “(A) hold the degree of doctor of pediatric medicine, or its equivalent, from a school of pediatric medicine approved by the Secretary, and “(B) be licensed to practice podiatry in a State. “(6) Optometrist.— To be eligible to be appointed to an optometrist position, a person must— “(A) hold the degree of doctor of optometry, or its equivalent, from a school of optometry approved by the Secretary, and “(B) be licensed to practice optometry in a State. “(7) Pharmacist.— To be eligible to be appointed to a pharmacist position, a person must— “(A) hold the degree of bachelor of science in pharmacy, or its equivalent, from a school of pharmacy, approved by the Secretary, and “(B) be registered as a pharmacist in a State. “(8) Psychologist.— To be eligible to be appointed to a psychologist position, a person must— “(A) hold a doctoral degree in psychology from a college or university approved by the Secretary, “(B) have completed study for such degree in a specialty area of psychology and an internship which are satisfactory to the Secretary, and “(C) be licensed or certified as a psychologist in a State, except that the Secretary may waive the requirement of licensure or certification for an individual psychologist for a period not to exceed two years on the condition that that psychologist provide patient care only under the direct supervision of a psychologist who is so licensed or certified. “(9) Other Health-Care Positions.— To be appointed as a physician assistant, expanded-function dental auxiliary, certified or registered respiratory therapist, licensed physical therapist, licensed practical or vocational nurse, occupational therapist, dietitian, microbiologist, chemist, biostatistician, medical technologist, dental technologist, or other position, a person must have such medical, dental, scientific, or technical qualifications as the Secretary shall prescribe. “(c) Except as provided in section 7407(a) of this title, a person may not be appointed in the Administration to a position listed in section 7401(1) of this title unless the person is a citizen of the United States. “(d) A person may not be appointed under section 7401(1) of this title to serve in the Administration in any direct patient-care capac-ity unless the Chief Medical Director determines that the person possesses such basic proficiency in spoken and written English as will permit such degree of communication with patients and other health-care personnel as will enable the person to carry out the Regulations. person’s health-care responsibilities satisfactorily. Any determination by the Chief Medical Director under this subsection shall be in accordance with regulations which the Secretary shall prescribe. “(e) A person may not serve as Chief of Staff of a Department health-care facility if the person is not serving on a full-time basis. “§ 7403. Period of appointments; promotions “(a) (1) Appointments under this chapter of health-care professionals to whom this section applies may be made only after qualifications have been satisfactorily established in accordance with regulations prescribed by the Secretary, without regard to civil-service requirements. “(2) This section applies to the following persons appointed under this chapter: “(A) Physicians. “(B) Dentists. “(C) Podiatrists. “(D) Optometrists. “(E) Nurses. “(F) Physician assistants. “(G) Expanded-function dental auxiliaries. “(b) (1) Appointments described in subsection (a) shall be for a probationary period of two years. “(2) The record of each person serving under such an appointment in the Medical, Dental, and Nursing Services shall be reviewed from time to time by a board, appointed in accordance with regulations of the Secretary. If such a board finds that such person is not fully qualified and satisfactory, such person shall be separated from the service. “(c) Promotions of persons to whom this section applies shall be made only after examination given in accordance with regulations prescribed by the Secretary. Advancement within grade may be made in increments of the minimum rate of basic pay of the grade in accordance with regulations prescribed by the Secretary. “(d) In determining eligibility for reinstatement in the Federal civil service of persons appointed to positions in the Administration under this chapter who at the time of appointment have a civil-service status, and whose employment in the Administration is terminated, the period of service performed in the Administration shall be included in computing the period of service under applicable civil-service rules and regulations. “(e) In accordance with regulations prescribed by the Secretary, the grade and annual rate of basic pay of a person to whom this section applies whose level of assignment is changed from a level of assignment in which the grade level is based on both the nature of the assignment and personal qualifications may be adjusted to the grade and annual rate of basic pay otherwise appropriate. “(f) (1) Upon the recommendation of the Chief Medical Director, the Secretary may— “(A) use the authority in subsection (a) to establish the qualifications for and (subject to paragraph (2)) to appoint individuals to positions listed in section 7401(3) of this title; and “(B) use the authority provided in subsection (c) for the promotion and advancement of Department employees serving in such positions. “(2) In using such authority to appoint individuals to such positions, the Secretary shall apply the principles of preference for the hiring of veterans and other persons established in subchapter I of chapter 33 of title 5. “(3) Notwithstanding any other provision of this title or other law, all matters relating to adverse actions, disciplinary actions, and grievance procedures involving individuals appointed to such positions (including similar actions and procedures involving an employee in a probationary status) shall be resolved under the provisions of title 5 as though such individuals had been appointed under that title. “(g) (1) The Secretary may appoint in the competitive civil service without regard to the provisions of subchapter I of chapter 33 of title 5 (other than sections 3303 and 3328 of such title) an individual who— “(A) has a recognized degree or certificate from an accredited institution in a health-care profession or occupation; and “(B) has successfully completed a clinical education program affiliated with the Department. “(2) In using the authority provided by this subsection, the Secretary shall apply the principles of preference for the hiring of veterans and other persons established in subchapter I of chapter 33 of title 5. “§ 7404. Grades and pay scales “(a) The annual rates or ranges of rates of basic pay for positions provided in section 7306 of this title shall be prescribed from time to time by Executive order as authorized by chapter 53 of title 5 or as otherwise authorized by law. “(b) (1) The grades for positions provided for in paragraph (1) of section 7401 of this title shall be as follows. The annual ranges of rates of basic pay for those grades shall be prescribed from time to time by Executive order as authorized by chapter 53 of title 5 or as otherwise authorized by law: “physician and dentist schedule “Director grade. “Executive grade. “Chief grade. “Senior grade. “Intermediate grade. “Full grade. “Associate grade. “nurse schedule “Director grade. “Senior grade. “Intermediate grade. “Entry grade. “clinical podiatrist and optometrist schedule “Chief grade. “Senior grade. “Intermediate grade. “Full grade. “Associate grade. “(2) A person may not hold the director grade in the Physician and Dentist Schedule unless the person is serving as a director of a hospital, domiciliary, center, or outpatient clinic (independent). A person may not hold the executive grade in that Schedule unless the person holds the position of chief of staff at a hospital, center, or outpatient clinic (independent), or comparable position. “(c) Notwithstanding the provisions of section 7425(a) of this title, a person appointed under section 7306 of this title who is not eligible for special pay under subchapter III shall be deemed to be a career appointee for the purposes of sections 4507 and 5384 of title 5. “(d) Except as provided under subchapter ID and in section 7457 of this title, pay may not be paid at a rate in excess of the rate of basic pay for an appropriate level authorized by section 5315 or 5316 of title 5 for positions in the Executive Schedule, as follows: “(1) Level IV for the Deputy Chief Medical Director. “(2) Level V for all other positions for which such basic pay is paid under this section. “§ 7405. Temporary full-time appointments, part-time appointments, and without-compensation appointments “(a) The Secretary, upon the recommendation of the Chief Medical Director, may employ, without regard to civil service or classification laws, rules, or regulations, personnel as follows: “(1) On a temporary full-time basis, part-time basis, or without compensation basis, persons in the following positions: “(A) Positions listed in section 7401(1) of this title. “(B) Certified or registered respiratory therapists, licensed physical therapists, licensed practical or vocational nurses, pharmacists, and occupational therapists. “(C) Dietitians, social workers, and librarians. “(D) Other professional, clerical, technical, and unskilled personnel (including interns, residents, trainees, and students in medical support programs). “(2) On a fee basis, persons in the following positions: “(A) Positions listed in section 7401(1) of this title. “(B) Certified or registered respiratory therapists, licensed physical therapists, licensed practical or vocational nurses, pharmacists, and occupational therapists. “(C) Other professional and technical personnel. “(b) Personnel employed under subsection (a)— “(1) shall be in addition to personnel described in section 7306, paragraphs (1) and (3) of section 7401, and section 7408 of this title; and “(2) shall be paid such rates of pay as the Secretary may prescribe. “(c) (1) Temporary full-time appointments under this section of persons in positions listed in section 7401(1) of this title may be for a period in excess of 90 days only if the Chief Medical Director finds that circumstances render it impracticable to obtain the necessary services through appointments under that section. “(2) Temporary full-time appointments of persons who have successfully completed a full course of nursing in a recognized school of nursing, approved by the Secretary, or who have successfully completed a full course of training for any category of personnel described in paragraph (3) of section 7401 of this title in a recognized education or training institution approved by the Secretary, and who are pending registration or licensure in a State, or certification by a national board recognized by the Secretary, shall not exceed two years. “(3) Temporary full-time appointments of other personnel may not be for a period in excess of one year except as authorized in subsection (0. “(d) A part-time appointment may not be for a period of more than one year, except for appointments of persons specified in subsection (a)(1)(A) and interns, residents, and other trainees in medical support programs and except as authorized in subsection (f). “(e) A student who has a temporary appointment under this section and who is pursuing a full course of nursing in a recognized school of nursing approved by the Secretary, or who is pursuing a full course of training for any category of personnel described in paragraph (3) of section 7401 of this title in a recognized education or training institution approved by the Secretary, may be reappointed for a period not to exceed the duration of the student’s academic program. “(f) During any period during which the Secretary is exercising the authority provided in subsections (a) and (f)(1) of section 7403 of this title in connection with the appointment, under paragraph (3) of section 7401 of this title, of personnel in a category of personnel described in such paragraph— “(1) the Secretary may make temporary full-time appointments of personnel in such category for periods exceeding 90 days if the Chief Medical Director finds that circumstances render it impractical to obtain the necessary services through appointments under paragraph (3) of section 7401 of this title; and “(2) part-time appointments of personnel in such category may be for periods of more than one year. “§ 7406. Residencies and internships “(a) (1) The Secretary may establish residencies and internships. The Secretary may appoint qualified persons to such positions without regard to civil service or classification laws, rules, or regulations. “(2) For the purposes of this section: “(A) The term ‘internship’ includes the equivalency of an Regulations. internship as determined in accordance with regulations which the Secretary shall prescribe. “(B) The term ‘intern’ means a person serving an internship. “(b) The Secretary may prescribe the conditions of employment of persons appointed under this section, including necessary training, and the customary amount and terms of pay for such positions during the period of such employment and training. The amount and terms of such pay may be established retroactively based on changes in such customary amount and terms. “(c) (1) In order to carry out more efficiently the provisions of subsection (a)(1), the Secretary may contract with one or more hospitals, medical schools, or medical installations having hospital facilities and participating with the Department in the training of interns or residents to provide, by the designation of one such institution to serve as a central administrative agency, for the central administration— “(A) of stipend payments; “(B) provision of fringe benefits; and “(C) maintenance of records for such interns and residents. “(2) The Secretary may pay to such designated agency, without regard to any other law or regulation governing the expenditure of Government moneys either in advance or in arrears, an amount to cover the cost for the period such intern or resident serves in a Department hospital of— “(A) stipends fixed by the Secretary pursuant to paragraph (1); “(B) hospitalization, medical care, and life insurance and any other employee benefits as are agreed upon by the participating institutions for the period that such intern or resident serves in a Department hospital; “(C) tax on employers pursuant to chapter 21 of the Internal Revenue Code of 1986, where applicable; and “(D) an amount to cover a pro rata share of the cost of expense of such central administrative agency. “(3) (A) Any amounts paid by the Secretary to such central administrative agency to cover the cost of hospitalization, medical care, or life insurance or other employee benefits shall be in lieu of any benefits of like nature to which such intern or resident may be entitled under the provisions of title 5, and the acceptance of stipends and employee benefits from the designated central administrative agency shall constitute a waiver by the recipient of any claim such recipient might have to any payment of stipends or employee benefits to which such recipient may be entitled under this title or title 5. “(B) Notwithstanding subparagraph (A), any period of service of any such intern or resident in a Department hospital shall be deemed creditable service for the purposes of section 8332 of title 5. “(4) The agreement with such central administrative agency may further provide that the designated central administrative agency shall— “(A) make all appropriate deductions from the stipend of each intern and resident for local, State, and Federal taxes; “(B) maintain all records pertinent to such deductions and make proper deposits of such deductions; and “(C) maintain all records pertinent to the leave accrued by such intern and resident for the period during which such recipient serves in a participating hospital, including a Department hospital. “(5) Leave described in paragraph (4)(C) may be pooled, and the intern or resident may be afforded leave by the hospital in which such person is serving at the time the leave is to be used to the extent of such person’s total accumulated leave, whether or not earned at the hospital in which such person is serving at the time the leave is to be afforded. “§ 7407. Administrative provisions for section 7405 and 7406 appointments “(a) When the Chief Medical Director determines that it is not possible to recruit qualified citizens for the necessary services, appointments under sections 7405 and 7406 of this title may be made without regard to the citizenship requirements of section 7402(c) of this title or of any other law prohibiting the employment of, or payment of compensation to, a person who is not a citizen of the United States. “(b) (1) Subject to paragraph (2), the Chief Medical Director may waive for the purpose of the appointment of an individual under section 7405 or 7406 of this title the requirements set forth in section 7402(b) of this title— “(A) that a physician, dentist, psychologist, optometrist, registered nurse, practical or vocational nurse, or physical therapist be licensed or certified, as appropriate; “(B) that the licensure or certification of such an individual be in a State; and “(C) that a psychologist have completed an internship. “(2) The waivers authorized in paragraph (1) may be granted— “(A) in the case of clauses (A) and (C) of such paragraph, if the individual (i) will be employed to conduct research or serve in an academic position, and (ii) will have no responsibility for furnishing direct patient care services; and “(B) in the case of clause (B) of such paragraph, if the individual will be employed to serve in a country other than the United States and the individual’s licensure or registration is in the country in which the individual is to serve. “(c) The program of training prescribed by the Secretary in order to qualify a person for the position of full-time physician assistant or expanded-function dental auxiliary shall be considered a full-time institutional program for purposes of chapter 34 of this title. The Secretary may consider training for such a position to be on a less than full-time basis for purposes of such chapter when the combined classroom (and other formal instruction) portion of the program and the on-the-job training portion of the program total less than 30 hours per week. “(d) A person may not be appointed under section 7405 or 7406 of this title to an occupational category described in section 7401(1) of this title or in section 7406 of this title unless the person meets the requirements established in section 7402(d) of this title and regulations prescribed under that section. “(e) In accordance with the provisions of section 7425(b) of this title, the provisions of chapter 34 of title 5 pertaining to part-time career employment shall not apply to part-time appointments under sections 7405 and 7406 of this title. “§ 7408. Appointment of additional employees “(a) There shall be appointed by the Secretary under civil-service laws, rules, and regulations, such additional employees, other than those provided in section 7306 and paragraphs (1) and (3) of section 7401 of this title and those specified in sections 7405 and 7406 of this title, as may be necessary to carry out the provisions of this chapter. “(b) The Secretary, after considering an individual’s existing pay, higher or unique qualifications, or the special needs of the Department, may appoint the individual to a position in the Administration providing direct patient-care services or services incident to direct patient-services at a rate of pay above the minimum rate of the appropriate grade. “§ 7409. Contracts for scarce medical specialist services “(a) The Secretary may enter into contracts with institutions and persons described in subsection (b) to provide scarce medical special-ist services at Department facilities. Such services may include the services of physicians, dentists, podiatrists, optometrists, nurses, physician assistants, expanded-function dental auxiliaries, technicians, and other medical support personnel. “(b) Institutions and persons with whom the Secretary may enter into contracts under subsection (a) are the following: “(1) Schools and colleges of medicine, osteopathy, dentistry, podiatry, optometry, and nursing. “(2) Clinics. “(3) Any other group or individual capable of furnishing such scarce medical specialist services.”.Veterans’ Medical Programs Amendments of 1992
Pub. L. 102–405 title III § 302(c)(1) · 106 Stat. 1972
Substituted · 38 U.S.C. § 7401
Pub. L. 102–405 substituted “Under Secretary for Health” for “Chief Medical Director”
Source evidence
Code amendment note
Pub. L. 102–405 substituted “Under Secretary for Health” for “Chief Medical Director”.Enacted provision · exact public law section
(1) Title 38, United States Code, is amended by striking out “Chief Medical Director” and “Chief Benefits Director” each place they appear (including in headings and tables but not including the sentences added by paragraphs (2) and (3)) and inserting in lieu thereof “Under Secretary for Health” and “Under Secretary for Benefits”, respectively.Pub. L. 108–170 § 302(a)(1) · 117 Stat. 2042
Substituted · 38 U.S.C. § 7401
Pub. L. 108–170, § 302(a)(1), substituted “health” for “medical” in introductory provisions
Source evidence
Code amendment note
Pub. L. 108–170, § 302(a)(1), substituted “health” for “medical” in introductory provisions.Enacted provision · exact public law section
(1) in the matter preceding paragraph (1), by striking “medical” and inserting “health”; andEffective date note
Amendment by section 302(a) of Pub. L. 108–170 effective at end of 180-day period beginning on Dec. 6, 2003, see section 302(h) of Pub. L. 108–170, set out as a note under section 7316 of this title.Pub. L. 108–170 § 302(a)(2) · 117 Stat. 2042
Inserted · 38 U.S.C. § 7401(1)
Pub. L. 108–170, § 302(a)(2), inserted “chiropractors,” after “podiatrists,”
Source evidence
Code amendment note
Par. (1). Pub. L. 108–170, § 302(a)(2), inserted “chiropractors,” after “podiatrists,”.Enacted provision · exact public law section
(2) in paragraph (1), by inserting “chiropractors,” after “podiatrists,”.Effective date note
Amendment by section 302(a) of Pub. L. 108–170 effective at end of 180-day period beginning on Dec. 6, 2003, see section 302(h) of Pub. L. 108–170, set out as a note under section 7316 of this title.Pub. L. 108–170 § 301(a)(1)(A) · 117 Stat. 2042
Added · 38 U.S.C. § 7401(2)
Pub. L. 108–170, § 301(a)(1)(A), added par. (2)
Struck · 38 U.S.C. § 7401(2)
Pub. L. 108–170, § 301(a)(1)(A), struck out former par. (2) which read as follows: “Psychologists (other than those described in paragraph (3)), dietitians, and other scientific and professional personnel, such as microbiologists, chemists, biostatisticians, and medical and dental technologists.”
Source evidence
Code amendment note
Par. (2). Pub. L. 108–170, § 301(a)(1)(A), added par. (2) and struck out former par. (2) which read as follows: “Psychologists (other than those described in paragraph (3)), dietitians, and other scientific and professional personnel, such as microbiologists, chemists, biostatisticians, and medical and dental technologists.”Enacted provision · exact public law section
(A) by striking paragraph (2) and inserting the following new paragraph (2): “(2) Scientific and professional personnel, such as microbiologists, chemists, and biostatisticians.” ; andEffective date note
Amendment by section 302(a) of Pub. L. 108–170 effective at end of 180-day period beginning on Dec. 6, 2003, see section 302(h) of Pub. L. 108–170, set out as a note under section 7316 of this title.Pub. L. 108–170 § 301(a)(1)(B) · 117 Stat. 2042
Added · 38 U.S.C. § 7401(3)
Pub. L. 108–170, § 301(a)(1)(B), added par. (3)
Struck · 38 U.S.C. § 7401(3)
Pub. L. 108–170, § 301(a)(1)(B), struck out former par. (3) which read as follows: “Clinical or counseling psychologists who hold diplomas as diplomates in psychology from an accrediting authority approved by the Secretary, certified or registered respiratory therapists, licensed physical therapists, licensed practical or vocational nurses, pharmacists, and occupational therapists.”
Source evidence
Code amendment note
Par. (3). Pub. L. 108–170, § 301(a)(1)(B), added par. (3) and struck out former par. (3) which read as follows: “Clinical or counseling psychologists who hold diplomas as diplomates in psychology from an accrediting authority approved by the Secretary, certified or registered respiratory therapists, licensed physical therapists, licensed practical or vocational nurses, pharmacists, and occupational therapists.”Enacted provision · exact public law section
(B) by striking paragraph (3) and inserting the following new paragraph (3): “(3) Audiologists, speech pathologists, and audiologist-speech pathologists, biomedical engineers, certified or registered respiratory therapists, dietitians, licensed physical therapists, licensed practical or vocational nurses, medical instrument technicians, medical records administrators or specialists, medical records technicians, medical and dental technologists, nuclear medicine technologists, occupational therapists, occupational therapy assistants, kinesiotherapists, orthotist-prosthetists, pharmacists, pharmacy technicians, physical therapy assistants, prosthetic representatives, psychologists, diagnostic radiologic technicians, therapeutic radiologic technicians, and social workers.” .Effective date note
Amendment by section 302(a) of Pub. L. 108–170 effective at end of 180-day period beginning on Dec. 6, 2003, see section 302(h) of Pub. L. 108–170, set out as a note under section 7316 of this title.Veterans Health Programs Improvement Act of 2004
Pub. L. 108–422 title V § 502 · 118 Stat. 2379
Substituted · 38 U.S.C. § 7401(3)
Pub. L. 108–422 substituted “technologists, dental hygienists, dental assistants” for “and dental technologists”
Substituted · 38 U.S.C. § 7401(3)
Pub. L. 108–422 substituted “technologists, therapeutic radiologic technologists, social workers, blind rehabilitation specialists, and blind rehabilitation outpatient specialists” for “technicians, therapeutic radiologic technicians, and social workers”
Source evidence
Code amendment note
Par. (3). Pub. L. 108–422 substituted “technologists, dental hygienists, dental assistants” for “and dental technologists” and “technologists, therapeutic radiologic technologists, social workers, blind rehabilitation specialists, and blind rehabilitation outpatient specialists” for “technicians, therapeutic radiologic technicians, and social workers”.Enacted provision · exact public law section
SEC. 502. TECHNICAL CORRECTION TO LISTING OF CERTAIN HYBRID POSITIONS IN VETERANS HEALTH ADMINISTRATION. Section 7401(3) is amended— (1) by striking “and dental technologists” and inserting “technologists, dental hygienists, dental assistants”; and (2) by striking “technicians, therapeutic radiologic technicians, and social workers” and inserting “technologists, therapeutic radiologic technologists, social workers, blind rehabilitation specialists, and blind rehabilitation outpatient specialists”.Veterans Benefits, Health Care, and Information Technology Act of 2006
Pub. L. 109–461 title II § 201(a) · 120 Stat. 3403
Inserted · 38 U.S.C. § 7401(3)
Pub. L. 109–461 inserted “marriage and family therapists, licensed professional mental health counselors,” after “social workers,”
Source evidence
Code amendment note
Par. (3). Pub. L. 109–461 inserted “marriage and family therapists, licensed professional mental health counselors,” after “social workers,”.Enacted provision · exact public law section
(a) Appointments.— Section 7401(3) 38 USC 7401. is amended by inserting after “social workers,” the following: “marriage and family therapists, licensed professional mental health counselors,”.Caregivers and Veterans Omnibus Health Services Act of 2010
Pub. L. 111–163 title VI § 601(a) · 124 Stat. 1130
Inserted · 38 U.S.C. § 7401(3)
Pub. L. 111–163 inserted “nurse assistants,” after “licensed practical or vocational nurses,”
Substituted · 38 U.S.C. § 7401(3)
Pub. L. 111–163 substituted “blind rehabilitation outpatient specialists, and such other classes of health care occupations as the Secretary considers necessary for the recruitment and retention needs of the Department subject to the following requirements:” for “and blind rehabilitation outpatient specialists.”
Added · 38 U.S.C. § 7401(3)
Pub. L. 111–163 added subpars. (A) to (C)
Source evidence
Code amendment note
Par. (3). Pub. L. 111–163 inserted “nurse assistants,” after “licensed practical or vocational nurses,”, substituted “blind rehabilitation outpatient specialists, and such other classes of health care occupations as the Secretary considers necessary for the recruitment and retention needs of the Department subject to the following requirements:” for “and blind rehabilitation outpatient specialists.”, and added subpars. (A) to (C).Enacted provision · exact public law section
(a) Secretarial Authority To Extend Title 38 Status to Additional Positions.— (1) In general.— Paragraph (3) of section 7401 is amended by striking “and blind rehabilitation outpatient specialists.” and inserting the following: “blind rehabilitation outpatient specialists, and such other classes of health care occupations as the Secretary considers necessary for the recruitment and retention needs of the Department subject to the following requirements: “(A) Such other classes of health care occupations— “(i) are not occupations relating to administrative, clerical, or physical plant maintenance and protective services; “(ii) that would otherwise receive basic pay in accordance with the General Schedule under section 5332 of title 5; “(iii) provide, as determined by the Secretary, direct patient care services or services incident to direct patient services; and “(iv) would not otherwise be available to provide medical care or treatment for veterans. “(B) Deadline. Notification. Not later than 45 days before the Secretary appoints any personnel for a class of health care occupations that is not specifically listed in this paragraph, the Secretary shall submit to the Committee on Veterans’ Affairs of the Senate, the Committee on Veterans’ Affairs of the House of Representatives, and the Office of Management and Budget notice of such appointment. “(C) Before submitting notice under subparagraph (B), the Secretary shall solicit comments from any labor organization representing employees in such class and include such comments in such notice.” . (2) Appointment of nurse assistants.— Such paragraph is further amended by inserting “nurse assistants,” after “licensed practical or vocational nurses,”.Department of Veterans Affairs Expiring Authorities Act of 2015
Pub. L. 114–58 title VI § 601(23) · 129 Stat. 530
Struck · 38 U.S.C. § 7401(3)(A)(ii)
Pub. L. 114–58 struck out “that” before “would otherwise receive”
Source evidence
Code amendment note
Par. (3)(A)(ii). Pub. L. 114–58 struck out “that” before “would otherwise receive”.Enacted provision · exact public law section
(23) in section 7401(3)(A)(ii), by striking “that”;Veterans Mobility Safety Act of 2016
Pub. L. 114–256 § 4(a)(1) · 130 Stat. 1345
Inserted · 38 U.S.C. § 7401(3)
Pub. L. 114–256 inserted “licensed hearing aid specialists,” after “Audiologists,” in introductory provisions
Source evidence
Code amendment note
Par. (3). Pub. L. 114–256 inserted “licensed hearing aid specialists,” after “Audiologists,” in introductory provisions.Enacted provision · exact public law section
(1) Appointment.— Section 7401(3) of title 38, United States Code, is amended by inserting “licensed hearing aid specialists,” after “Audiologists,”.Department of Veterans Affairs Accountability and Whistleblower Protection Act of 2017
Pub. L. 115–41 title II § 207(a) · 131 Stat. 862
Added · 38 U.S.C. § 7401(4)
Pub. L. 115–41 added par. (4)
Source evidence
Code amendment note
Par. (4). Pub. L. 115–41 added par. (4).Enacted provision · exact public law section
(a) In General.— Section 7401 of title 38, United States Code, is amended by adding at the end the following new paragraph: “(4) Directors of medical centers and directors of Veterans Integrated Service Networks with demonstrated ability in the medical profession, in health care administration, or in health care fiscal management.” .Department of Transportation Appropriations Act, 2023
Pub. L. 117–328 div. U title I § 183 · 136 Stat. 4459
Inserted · 38 U.S.C. § 7401(3)
Pub. L. 117–328 inserted “statisticians, economists, informaticists, data scientists, and” after “blind rehabilitation outpatient specialists,” in introductory provisions
Source evidence
Code amendment note
Par. (3). Pub. L. 117–328 inserted “statisticians, economists, informaticists, data scientists, and” after “blind rehabilitation outpatient specialists,” in introductory provisions.Enacted provision · exact public law section
Sec. 183. None of the funds made available by this Act shall be available for salaries and expenses of more than 125 political and Presidential appointees in the Department of Transportation: Provided, That none of the personnel covered by this provision may be assigned on temporary detail outside the Department of Transportation.
18 of 18 references resolved to an enrolled provision
Editorial Notes
Prior Provisions
Provisions similar to those in this section were contained in section 4104 of this title prior to the repeal of that section as part of the complete revision of chapter 73 of this title by Pub. L. 102–40.
Amendments1992–2022 · 9 rounds
2022
Par. (3). Pub. L. 117–328 inserted “statisticians, economists, informaticists, data scientists, and” after “blind rehabilitation outpatient specialists,” in introductory provisions.
2017
Par. (4). Pub. L. 115–41 added par. (4).
2016
Par. (3). Pub. L. 114–256 inserted “licensed hearing aid specialists,” after “Audiologists,” in introductory provisions.
2015
Par. (3)(A)(ii). Pub. L. 114–58 struck out “that” before “would otherwise receive”.
2010
Par. (3). Pub. L. 111–163 inserted “nurse assistants,” after “licensed practical or vocational nurses,”, substituted “blind rehabilitation outpatient specialists, and such other classes of health care occupations as the Secretary considers necessary for the recruitment and retention needs of the Department subject to the following requirements:” for “and blind rehabilitation outpatient specialists.”, and added subpars. (A) to (C).
2006
Par. (3). Pub. L. 109–461 inserted “marriage and family therapists, licensed professional mental health counselors,” after “social workers,”.
2004
Par. (3). Pub. L. 108–422 substituted “technologists, dental hygienists, dental assistants” for “and dental technologists” and “technologists, therapeutic radiologic technologists, social workers, blind rehabilitation specialists, and blind rehabilitation outpatient specialists” for “technicians, therapeutic radiologic technicians, and social workers”.
2003
Pub. L. 108–170, § 302(a)(1), substituted “health” for “medical” in introductory provisions.
Par. (1). Pub. L. 108–170, § 302(a)(2), inserted “chiropractors,” after “podiatrists,”.
Par. (2). Pub. L. 108–170, § 301(a)(1)(A), added par. (2) and struck out former par. (2) which read as follows: “Psychologists (other than those described in paragraph (3)), dietitians, and other scientific and professional personnel, such as microbiologists, chemists, biostatisticians, and medical and dental technologists.”
Par. (3). Pub. L. 108–170, § 301(a)(1)(B), added par. (3) and struck out former par. (3) which read as follows: “Clinical or counseling psychologists who hold diplomas as diplomates in psychology from an accrediting authority approved by the Secretary, certified or registered respiratory therapists, licensed physical therapists, licensed practical or vocational nurses, pharmacists, and occupational therapists.”
1992
Pub. L. 102–405 substituted “Under Secretary for Health” for “Chief Medical Director”.
Statutory Notes and Related Subsidiaries
Effective Date of 2003 Amendment
Amendment by section 302(a) of Pub. L. 108–170 effective at end of 180-day period beginning on , see section 302(h) of Pub. L. 108–170, set out as a note under section 7316 of this title.
Limitation on Detail of Directors of Medical Centers of Department of Veterans Affairs to Different Positions
Pub. L. 118–210, title I, § 148, , 138 Stat. 2754, provided that:
“(a) Notification.—
“(1) In general.—
Not later than 90 days after detailing a director of a medical center of the Department of Veterans Affairs to a different position within the Department, the Secretary of Veterans Affairs shall notify the Committee on Veterans’ Affairs of the Senate and the Committee on Veterans’ Affairs of the House of Representatives of such detail.
“(2) Matters to be included.—
The notification required by paragraph (1) shall include, with respect to a director of a medical center who is detailed to a different position within the Department, the following information:
“(A) The location at which the director is detailed.
“(B) The position title of the detail.
“(C) The estimated time the director is expected to be absent from their duties at the medical center.
“(D) Such other information as the Secretary may determine appropriate.
“(b) Appointment of Acting Director.—
Not later than 120 days after detailing a director of a medical center of the Department to a different position within the Department, the Secretary shall appoint an individual as acting director of such medical center with all of the authority and responsibilities of the detailed director.
“(c) Update on Detail.—
Not later than 120 days after detailing a director of a medical center of the Department to a different position within the Department, and not less frequently than every 30 days thereafter while the detail is in effect or while the director position at the medical center is vacant, the Secretary shall submit to the Committee on Veterans’ Affairs of the Senate and the Committee on Veterans’ Affairs of the House of Representatives an update regarding the status of the detail.
“(d) Return to Position or Reassignment.—
“(1) In general.—
Except as provided in paragraph (2), not later than 180 days after detailing a director of a medical center of the Department to a different position within the Department, for a reason other than an ongoing investigation or administrative action with respect to the director, the Secretary shall—
“(A) return the individual to the position as director of the medical center; or
“(B) reassign the individual from the position as director of the medical center and begin the process of hiring a new director for such position.
“(2) Waiver.—
“(A) In general.—
The Secretary may waive the requirement under paragraph (1) with respect to an individual for successive 90-day increments for a total period of not more than 540 days from the original date the individual was detailed away from their position as director of a medical center.
“(B) Notification.—
Not later than 30 days after exercising a waiver under subparagraph (A), the Secretary shall notify Congress of the waiver and provide to Congress information as to why the waiver is necessary.”
Third Party Review of Appointees in Veterans Health Administration Who Had a License Terminated for Cause and Notice to Individuals Treated by Those Appointees if Determined That an Episode of Care or Services That They Received Was Below the Standard of Care
Pub. L. 117–328, div. U, title I, § 111, , 136 Stat. 5410, provided that:
“(a) Third Party Review.—
“(1) In general.—
Not later than 180 days after the date of the enactment of this Act [], the Secretary of Veterans Affairs shall enter into a contract or other agreement with an organization that is not part of the Federal Government to conduct a clinical review for quality management of hospital care or medical services furnished by covered providers.
“(2) Qualifications.—
The Secretary shall ensure that each review of a covered provider under this subsection is performed by an individual who is licensed in the same specialty as the covered provider.
“(b) Notice to Patients Treated by Covered Providers.—
With respect to hospital care or medical services furnished by a covered provider under the laws administered by the Secretary, if a clinical review for quality management under subsection (a) determines that the standard of care was not met during an episode of care, the Secretary shall notify the individual who received such care or services from the covered provider as described in applicable policy of the Veterans Heath Administration.
“(c) Definitions.—
In this section:
“(1) Covered provider.—
The term ‘covered provider’ means an individual who—
“(A) was appointed to the Veterans Health Administration under section 7401 of title 38, United States Code; and
“(B) before such appointment, had a license terminated for cause by a State licensing board for hospital care or medical services provided in a facility that is not a facility of the Veterans Health Administration.
“(2) Hospital care or medical services.—
The terms ‘hospital care’ and ‘medical services’ have the meanings given those terms in section 1701 of title 38, United States Code.”
Modification of Resource Allocation System To Include Peer Specialists
Pub. L. 117–328, div. U, title I, § 192, , 136 Stat. 5439, provided that:
“(a) In General.—
Not later than one year after the date of the enactment of this Act [], the Secretary of Veterans Affairs shall modify the Veterans Equitable Resource Allocation system, or successor system, to ensure that resource allocations under such system, or successor system, include peer specialists appointed under section 7402(b)(13) of title 38, United States Code.
“(b) Veterans Equitable Resource Allocation System Defined.—
In this section, the term ‘Veterans Equitable Resource Allocation system’ means the resource allocation system established pursuant to section 429 of the Departments of Veterans Affairs and House and Urban Development, and Independent Agencies Appropriations Act, 1997 [probably means section 429 of the Departments of Veterans Affairs and Housing and Urban Development, and Independent Agencies Appropriations Act, 1997, which is not classified to the Code] (Public Law 104–204; 110 Stat. 2929).”
Expansion of Mental Health Training for Department of Veterans Affairs
Pub. L. 117–328, div. V, title I, § 103, , 136 Stat. 5500, provided that:
“(a) In General.—
Not later than three years after the date of the enactment of this Act [] and subject to the availability of appropriations, the Secretary of Veterans Affairs, in collaboration with the Office of Mental Health and Suicide Prevention and the Office of Academic Affiliations, shall add an additional 250 paid trainee slots in covered mental health disciplines to the workforce of the Department of Veterans Affairs.
“(b) Covered Mental Health Disciplines Defined.—
In this section, the term ‘covered mental health disciplines’ means psychiatry, psychology, advanced practice nursing (with a focus on mental health or substance use disorder), social work, licensed professional mental health counseling, and marriage and family therapy.”
Outreach
Pub. L. 117–328, div. V, title I, § 104(c), , 136 Stat. 5501, provided that:
“(1) In general.—
Not later than one year after the date of the enactment of this Act [], the Secretary shall develop a public awareness campaign to encourage veterans and mental health professionals to choose the Department for their mental health career.
“(2) Elements.—
The campaign required under paragraph (1)—
“(A) shall advertise the paid trainee, scholarship, and loan repayment opportunities offered by the Department; and
“(B) may highlight the new graduate medical education residencies available at the Department for medical students entering residency.”
National Rural Recruitment and Hiring Plan for Veterans Health Administration
Pub. L. 117–168, title IX, § 901, , 136 Stat. 1808, provided that:
“(a) In General.—
Not later than 18 months after the date of the enactment of this Act [], the Secretary of Veterans Affairs, in collaboration with the directors of each community-based outpatient clinic and medical center of the Department of Veterans Affairs, shall develop and implement a national rural recruitment and hiring plan for the Veterans Health Administration to—
“(1) recruit health care professionals for rural and highly rural community-based outpatient clinics and rural and highly rural medical centers of the Department;
“(2) determine which such clinics or centers have a staffing shortage of health care professionals;
“(3) develop best practices and techniques for recruiting health care professionals for such clinics and centers;
“(4) not less frequently than annually, provide virtually based, on-demand training to human resources professionals of the Veterans Health Administration on the best practices and techniques developed under paragraph (3); and
“(5) provide recruitment resources, such as pamphlets and marketing material to—
“(A) Veterans Integrated Service Networks of the Department;
“(B) rural and highly rural community-based outpatient clinics of the Department; and
“(C) rural and highly rural medical centers of the Department.
“(b) Annual Report.—
Not later than 18 months after the date of the enactment of this Act, and annually thereafter, the Secretary shall submit to the Committee on Veterans’ Affairs of the Senate and the Committee on Veterans’ Affairs of the House of Representatives a report that includes—
“(1) the plan developed and implemented under subsection (a); and
“(2) an assessment of the outcomes related to recruitment and retention of employees of the Veterans Health Administration at rural and highly rural facilities of the Department.
“(c) Definitions.—
In this section, the terms ‘rural’ and ‘highly rural’ have the meanings given those terms under the rural-urban commuting areas coding system of the Department of Agriculture.”
Authority To Buy Out Service Contracts for Certain Health Care Professionals in Exchange for Employment at Rural or Highly Rural Facilities of Department of Veterans Affairs
Pub. L. 117–168, title IX, § 902, , 136 Stat. 1808, provided that:
“(a) In General.—
For any covered health care professional to whom the Secretary of Veterans Affairs has offered employment with the Department of Veterans Affairs, the Secretary may buy out the non-Department service contract of such individual in exchange for such individual agreeing to be employed at a rural or highly rural facility of the Department for a period of obligated service specified in subsection (c).
“(b) Payment of Amounts.—
“(1) In general.—
Payment of any amounts for a buy out of a service contract for a covered health care professional under subsection (a) shall be made directly to the individual or entity with respect to which the covered health care professional has a service obligation under such contract.
“(2) Limitation on total amount.—
The total amount paid by the Department under this section shall not exceed $40,000,000 per fiscal year.
“(c) Obligated Service.—
In exchange for a contract buy out under subsection (a), a covered health care professional shall agree to be employed for not less than four years at a rural or highly rural facility of the Department.
“(d) Liability.—
“(1) In general.—
Except as provided in paragraph (2), if a covered health care professional fails for any reason to complete the period of obligated service of the individual under subsection (c), the United States shall be entitled to recover from the individual an amount equal to—
“(A) the total amount paid under subsection (a) to buy out the non-Department service contract of the individual; multiplied by
“(B) a fraction—
“(i) the numerator of which is—
“(I) the total number of months in the period of obligated service of the individual; minus
“(II) the number of months served by the individual; and
“(ii) the denominator of which is the total number of months in the period of obligated service of the individual.
“(2) Exception.—
Liability shall not arise under paragraph (1) in the case of an individual covered by that paragraph if the individual does not obtain, or fails to maintain, employment as an employee of the Department due to staffing changes approved by the Under Secretary for Health.
“(e) Annual Report.—
“(1) In general.—
Not later than 18 months after the date of the enactment of this Act [], and not less frequently than annually thereafter, the Secretary of Veterans Affairs shall submit to the Committee on Veterans’ Affairs of the Senate and the Committee on Veterans’ Affairs of the House of Representatives a report on the use by the Secretary of the authority under this section.
“(2) Elements.—
Each report required by paragraph (1) shall include the following:
“(A) The number of health care professionals for whom a service contract buyout payment was made under subsection (a) in the previous fiscal year, disaggregated by occupation or specialty.
“(B) The average, highest, and lowest amount of the service contract buyout payments made under subsection (a) for each occupation or specialty in the previous fiscal year.
“(C) Each location where contract buyout authority under subsection (a) was utilized and the number of covered health care professionals who agreed to be employed at such location in the previous fiscal year.
“(f) Definitions.—
In this section:
“(1) Covered health care professional.—
The term ‘covered health care professional’ means a physician, nurse anesthetist, physician assistant, or nurse practitioner offered employment with the Department regardless of the authority under which such employment is offered.
“(2) Rural; highly rural.—
The terms ‘rural’ and ‘highly rural’ have the meanings given those terms under the rural-urban commuting areas coding system of the Department of Agriculture.
“(g) Sunset.—
This section shall terminate on .”
Qualifications for Human Resources Positions Within Department of Veterans Affairs and Plan To Recruit and Retain Human Resources Employees
Pub. L. 117–168, title IX, § 903, , 136 Stat. 1810, provided that:
“(a) Establishment of Qualifications.—
Not later than 180 days after the date of the enactment of this Act [], the Secretary of Veterans Affairs shall—
“(1) establish qualifications for each human resources position within the Department of Veterans Affairs in coordination with the Office of Personnel Management;
“(2) establish standardized performance metrics for each such position; and
“(3) submit to the Committee on Veterans’ Affairs of the Senate and the Committee on Veterans’ Affairs of the House of Representatives a report containing the qualifications and standardized performance metrics established under paragraphs (1) and (2).
“(b) Improvement of Human Resources Actions.—
Not later than 90 days after the date of the enactment of this Act, the Secretary shall establish or enhance systems of the Department to monitor the hiring and other human resources actions that occur at the local, regional, and national levels of the Department to improve the performance of those actions.
“(c) Report.—
Not later than one year after the establishment of the qualifications and performance metrics under subsection (a), the Comptroller General of the United States shall submit to the Committee on Veterans’ Affairs of the Senate and the Committee on Veterans’ Affairs of the House of Representatives a report containing—
“(1) a description of the implementation of such qualifications and performance metrics;
“(2) an assessment of the quality of such qualifications and performance metrics;
“(3) an assessment of performance and outcomes based on such metrics; and
“(4) such other matters as the Comptroller General considers appropriate.
“(d) Plan to Recruit and Retain Human Resources Employees.—
Not later than one year after the date of the enactment of this Act, the Secretary of Veterans Affairs shall submit to the Committee on Veterans’ Affairs of the Senate and the Committee on Veterans’ Affairs of the House of Representatives a plan for the recruitment and retention of human resources employees within the Department of Veterans Affairs.”
Emergency Department of Veterans Affairs Employee Leave Fund
Pub. L. 117–2, title VIII, § 8008, , 135 Stat. 116, provided that:
“(a) Establishment; Appropriation.—
There is established in the Treasury the Emergency Department of Veterans Affairs Employee Leave Fund (in this section referred to as the ‘Fund’), to be administered by the Secretary of Veterans Affairs, for the purposes set forth in subsection (b). In addition to amounts otherwise available, there is appropriated for fiscal year 2021, out of any money in the Treasury not otherwise appropriated, $80,000,000, which shall be deposited into the Fund and remain available through .
“(b) Purpose.—
Amounts in the Fund shall be available for payment to the Department of Veterans Affairs for the use of paid leave by any covered employee who is unable to work because the employee—
“(1) is subject to a Federal, State, or local quarantine or isolation order related to COVID–19;
“(2) has been advised by a health care provider to self-quarantine due to concerns related to COVID–19;
“(3) is caring for an individual who is subject to such an order or has been so advised;
“(4) is experiencing symptoms of COVID–19 and seeking a medical diagnosis;
“(5) is caring for a son or daughter of such employee if the school or place of care of the son or daughter has been closed, if the school of such son or daughter requires or makes optional a virtual learning instruction model or requires or makes optional a hybrid of in-person and virtual learning instruction models, or the child care provider of such son or daughter is unavailable, due to COVID–19 precautions;
“(6) is experiencing any other substantially similar condition;
“(7) is caring for a family member with a mental or physical disability or who is 55 years of age or older and incapable of self-care, without regard to whether another individual other than the employee is available to care for such family member, if the place of care for such family member is closed or the direct care provider is unavailable due to COVID–19; or
“(8) is obtaining immunization related to COVID–19 or to recover from any injury, disability, illness, or condition related to such immunization.
“(c) Limitations.—
“(1) Period of availability.—
Paid leave under this section may only be provided to and used by a covered employee during the period beginning on the date of enactment of this Act [] and ending on .
“(2) Total hours; amount.—
Paid leave under this section—
“(A) shall be provided to a covered employee in an amount not to exceed 600 hours of paid leave for each full-time employee, and in the case of a part-time employee, employee on an uncommon tour of duty, or employee with a seasonal work schedule, in an amount not to exceed the proportional equivalent of 600 hours to the extent amounts in the Fund remain available for reimbursement;
“(B) shall be paid at the same hourly rate as other leave payments; and
“(C) may not be provided to a covered employee if the leave would result in payments greater than $2,800 in aggregate for any biweekly pay period for a full-time employee, or a proportionally equivalent biweekly limit for a part-time employee.
“(3) Relationship to other leave.—
Paid leave under this section—
“(A) is in addition to any other leave provided to a covered employee; and
“(B) may not be used by a covered employee concurrently with any other paid leave.
“(4) Calculation of retirement benefit.—
Any paid leave provided to a covered employee under this section shall reduce the total service used to calculate any Federal civilian retirement benefit.
“(d) Covered Employee Defined.—
In this section, the term ‘covered employee’ means an employee of the Department of Veterans Affairs appointed under chapter 74 of title 38, United States Code.”
Department of Veterans Affairs Pilot Program for Clinical Observation by Undergraduate Students
Pub. L. 116–315, title III, § 3010, , 134 Stat. 4997, provided that:
“(a) Establishment.—
The Secretary of Veterans Affairs shall carry out a pilot program for a one-year period, beginning not later than , to provide certain students described in subsection (d) a clinical observation experience at medical centers of the Department of Veterans Affairs.
“(b) Medical Center Selection.—
The Secretary shall carry out the pilot program under this section at not fewer than five medical centers of the Department. In selecting such medical centers, the Secretary shall ensure regional diversity among such selected medical centers.
“(c) Clinical Observation Sessions.—
“(1) Frequency and duration.—
In carrying out the pilot program, the Secretary shall—
“(A) provide at least one and not more than three clinical observation sessions at each medical center selected during each calendar year;
“(B) ensure that each clinical observation session—
“(i) lasts between four and six months; and
“(ii) to the extent practicable, begins and ends concurrently with one or more academic terms of an institution of higher education (as defined in section 101 of the Higher Education Act of 1965 (20 U.S.C. 1001)); and
“(C) ensure that the clinical observation sessions provided at a medical center have minimal overlap.
“(2) Sessions.—
The Secretary shall ensure that the pilot program consists of clinical observation sessions as follows:
“(A) Each session shall allow for not fewer than five students nor greater than 15 students to participate in the session.
“(B) Each session shall consist of not fewer than 20 observational hours nor greater than 40 observational hours.
“(C) A majority of the observational hours shall be spent observing a health professional. The other observational hours shall be spent in a manner that ensures a robust, well rounded experience that exposes the students to a variety of aspects of medical care and health care administration.
“(D) Each session shall provide a diverse clinical observation experience.
“(d) Students.—
“(1) Selection.—
The Secretary shall select to participate in the pilot program under subsection (a) students who are—
“(A) nationals of the United States;
“(B) enrolled in an accredited program of study at an institution of higher education; and
“(C) referred by their institution of higher education following an internal application process.
“(2) Priority.—
In making such selection, the Secretary shall give priority to each of the following five categories of students:
“(A) Students who, at the time of the completion of their secondary education, resided in a health professional shortage area (as defined in section 332 of the Public Health Service Act (42 U.S.C. 254e)).
“(B) First generation college students (as defined in section 402A(h)(3) of the Higher Education Act of 1965 (20 U.S.C. 1067q(a))).
“(C) Students who have been referred by minority-serving institutions (as defined in section 371(a) of the Higher Education Act of 1965 (20 U.S.C. 1067q(a))).
“(D) Veterans (as defined in section 101 of title 38, United States Code).
“(E) Students who indicate an intention to specialize in a health professional occupation identified by the Inspector General of the Department under section 7412 of title 38, United States Code, as having a staffing shortage.
“(3) Assignment to medical centers.—
The Secretary shall assign students selected under paragraph (1) to medical centers selected under subsection (b) without regard for whether such medical centers have staffing shortages in any health professional occupation pursuant to section 7412 of title 38, United States Code.
“(e) Other Matters.—
In carrying out the pilot program under this section, the Secretary shall—
“(1) establish a formal status to facilitate the access to medical centers of the Department by student observers participating in the pilot program;
“(2) establish standardized legal, privacy, and ethical requirements for the student observers, including with respect to—
“(A) ensuring that no student observer provides any care to patients while participating as an observer; and
“(B) ensuring the suitability of a student to participate in the pilot program to ensure that the student poses no risk to patients;
“(3) develop and implement a partnership strategy with minority-serving institutions to encourage referrals;
“(4) create standardized procedures for student observers;
“(5) create an online information page about the pilot program on the internet website of the Department;
“(6) publish on the online information page created under paragraph (5) the locations of such centers, and other information on the pilot program, not later than 180 days before the date on which applications are required to be submitted by potential student observers;
“(7) identify medical centers and specific health professionals participating in the pilot program; and
“(8) notify the Committees on Veterans’ Affairs of the House of Representatives and the Senate of the medical centers selected under subsection (c) within 30 days of selection, to facilitate program awareness.
“(f) Report.—
Not later than 180 days after the completion of the pilot program under subsection (a), the Secretary shall submit to the Committees on Veterans’ Affairs of the House of Representatives and the Senate a report on the results of the pilot program, including—
“(1) the number and demographics of all applicants, those accepted to participate in the pilot program, and those who completed the pilot program; and
“(2) if participating institutions of higher education choose to administer satisfaction surveys that assess the experience of those who completed the pilot program, the results of any such satisfaction surveys, provided at the discretion of the institution of higher education.
“(g) Sense of Congress Regarding Department of Veterans Affairs Pilot Program for Clinical Observation by Undergraduate Students.—
It is the sense of Congress that the pilot program described in subsection (a) should be designed to—
“(1) increase the awareness, knowledge, and empathy of future health professionals toward the health conditions common to veterans;
“(2) increase the diversity of the recruitment pool of future physicians of the Department; and
“(3) expand clinical observation opportunities for all students by encouraging students of all backgrounds to consider a career in the health professions.
“(h) No Additional Funds Authorized.—
No additional funds are authorized to be appropriated to carry out the requirements of this section. Such requirements shall be carried out using amounts otherwise authorized to be appropriated.”
Occupational Series for Certain Mental Health Providers
Pub. L. 116–171, title V, § 501(b), , 134 Stat. 815, provided that: “Not later than one year after the date of the enactment of this Act [], the Secretary of Veterans Affairs, in consultation with the Office of Personnel Management, shall develop an occupational series for licensed professional mental health counselors and marriage and family therapists of the Department of Veterans Affairs.”
Identification and Referral of Members of the Armed Forces With a Health Care Occupation for Potential Employment With the Department of Veterans Affairs During Separation From the Armed Forces
Pub. L. 115–46, title II, § 207, , 131 Stat. 964, as amended by Pub. L. 117–67, § 2, , 135 Stat. 1491, provided that:
“(a) In General.—
The Secretary of Veterans Affairs, in consultation with the Secretary of Defense, shall establish a program to identify and refer members of the Armed Forces with a health care occupation for employment with the Department of Veterans Affairs during the separation of such members from the Armed Forces.
“(b) Referral of Interested Individuals.—
“(1) In general.—
If a member of the Armed Forces identified under subsection (a) expresses an interest in working in a health care occupation within the Department of Veterans Affairs, the Secretary of Veterans Affairs shall refer the member to a recruiter of the Department for consideration of open positions in the specialty and geography of interest to the member.
“(2) Timing.—
Any referral of a member of the Armed Forces conducted under paragraph (1) shall be made not earlier than one year before the separation of the member from the Armed Forces.
“(c) Rule of Construction.—
Any identification of a member of the Armed Forces under subsection (a) or referral of such member under subsection (b) shall not be construed as a guarantee of employment of such member with the Department of Veterans Affairs.
“(d) Reports.—
Not later than each of one year and two years after the date of the enactment of the Hire Veteran Health Heroes Act of 2021 [], the Secretary of Veterans Affairs shall submit to the appropriate committees of Congress a report on the program established under subsection (a).
“(e) Definitions.—
In this section:
“(1) Appropriate committees of congress.—
The term ‘appropriate committees of Congress’ means—
“(A) the Committee on Armed Services and the Committee on Veterans’ Affairs of the Senate; and
“(B) the Committee on Armed Services and the Committee on Veterans’ Affairs of the House of Representatives.
“(2) Health care occupation.—
The term ‘health care occupation’ means an occupation for which an individual may be appointed for employment with the Department of Veterans Affairs under section 7401 of title 38, United States Code.”
Training for Human Resources Professionals of Veterans Health Administration on Recruitment and Retention
Pub. L. 115–46, title II, § 209, , 131 Stat. 965, provided that:
“(a) In General.—
The Secretary of Veterans Affairs shall provide to human resources professionals of the Veterans Health Administration training on how to best recruit and retain employees of the Veterans Health Administration, including with respect to any recruitment and retention matters that are unique to the Veterans Health Administration pursuant to chapter 74 of title 38, United States Code, or other provisions of law.
“(b) Virtual Training.—
Training provided under this section shall be provided virtually.
“(c) Amount of Training.—
The Secretary shall ensure that each human resources professional of the Veterans Health Administration receives the training described in subsection (a)—
“(1) as soon as practicable after being hired by the Secretary as a human resources professional; and
“(2) annually thereafter.
“(d) Certification.—
The Secretary shall require that each human resources professional of the Veterans Health Administration, upon the completion of the training described in subsection (a), certifies that the professional received the training and understands the information provided by the training.
“(e) Annual Report.—
Not less frequently than annually, the Secretary shall submit to the Committee on Veterans’ Affairs of the Senate and the Committee on Veterans’ Affairs of the House of Representatives a report on the training described in subsection (a), including the cost of providing such training and the number of human resources professionals who received such training during the year covered by the report.”
Plan To Hire Directors of Medical Centers of Department of Veterans Affairs
Pub. L. 115–46, title II, § 210, , 131 Stat. 965, provided that:
“(a) Plan.—
Not later than 120 days after the date of the enactment of this Act [], the Secretary of Veterans Affairs shall develop and implement a plan to hire highly qualified directors for each medical center of the Department of Veterans Affairs that lacks a permanent director as of the date of the plan.
“(b) Priority.—
The Secretary shall prioritize under the plan developed under subsection (a) the hiring of directors for medical centers that have not had a permanent director for the longest periods.
“(c) Matters Included.—
The plan developed under subsection (a) shall include the following:
“(1) A deadline to hire directors of medical centers of the Department as described in such subsection.
“(2) Identification of the possible impediments to such hiring.
“(3) Identification of opportunities to promote and train candidates from within the Department to senior executive positions in the Department, including as directors of medical centers.
“(d) Submittal of Plan.—
Not later than 120 days after the date of the enactment of this Act, the Secretary shall submit to the Committee on Veterans’ Affairs of the Senate and the Committee on Veterans’ Affairs of the House of Representatives the plan developed under subsection (a).
“(e) Semiannual Reports.—
Not later than 180 days after the date of the enactment of this Act, and not later than 180 days thereafter, the Secretary shall submit to the Committee on Veterans’ Affairs of the Senate and the Committee on Veterans’ Affairs of the House of Representatives a report containing a list of each medical center of the Department that lacks a permanent director as of the date of the report.”
Licensed Hearing Aid Specialists Appointment and Services
Pub. L. 114–256, § 4(b), (c), , 130 Stat. 1347, 1348, provided that:
“(b) Requirements.—
With respect to appointing hearing aid specialists under sections 7401 and 7402 of title 38, United States Code, as amended by subsection (a), and providing services furnished by such specialists, the Secretary [of Veterans Affairs] shall ensure that—
“(1) a hearing aid specialist may only perform hearing services consistent with the hearing aid specialist’s State license related to the practice of fitting and dispensing hearing aids without excluding other qualified professionals, including audiologists, from rendering services in overlapping practice areas;
“(2) services provided to veterans by hearing aid specialists shall be provided as part of the non-medical treatment plan developed by an audiologist; and
“(3) the medical facilities of the Department of Veterans Affairs provide to veterans access to the full range of professional services provided by an audiologist.
“(c) Consultation.—
In determining the qualifications required for hearing aid specialists and in carrying out subsection (b), the Secretary shall consult with veterans service organizations, audiologists, otolaryngologists, hearing aid specialists, and other stakeholder and industry groups as the Secretary determines appropriate.”
Prior Appointments of Certain Personnel
Pub. L. 108–170, title III, § 301(a)(2), , 117 Stat. 2055, provided that: “Personnel appointed to the Veterans Health Administration before the date of the enactment of this Act [] who are in an occupational category of employees specified in paragraph (3) of section 7401 of title 38, United States Code, by reason of the amendment made by paragraph (1)(B) of this subsection [amending this section] shall, as of such date, be deemed to have been appointed to the Administration under such paragraph (3).”
Credits
1991–2022 · 10 acts
- 1991Added Pub. L. 102–40, title IV, § 401(b)(2), , 105 Stat. 222
- 1992amended Pub. L. 102–405, title III, § 302(c)(1), , 106 Stat. 1984
- 2003Pub. L. 108–170, title III, §§ 301(a)(1), 302(a), , 117 Stat. 2054, 2057
- 2004Pub. L. 108–422, title V, § 502, , 118 Stat. 2396
- 2006Pub. L. 109–461, title II, § 201(a), , 120 Stat. 3409
- 2010Pub. L. 111–163, title VI, § 601(a), , 124 Stat. 1167
- 2015Pub. L. 114–58, title VI, § 601(23), , 129 Stat. 539
- 2016Pub. L. 114–256, § 4(a)(1), , 130 Stat. 1347
- 2017Pub. L. 115–41, title II, § 207(a), , 131 Stat. 877
- 2022Pub. L. 117–328, div. U, title I, § 183, , 136 Stat. 5436.
Show as published
(Added Pub. L. 102–40, title IV, § 401(b)(2), , 105 Stat. 222; amended Pub. L. 102–405, title III, § 302(c)(1), , 106 Stat. 1984; Pub. L. 108–170, title III, §§ 301(a)(1), 302(a), , 117 Stat. 2054, 2057; Pub. L. 108–422, title V, § 502, , 118 Stat. 2396; Pub. L. 109–461, title II, § 201(a), , 120 Stat. 3409; Pub. L. 111–163, title VI, § 601(a), , 124 Stat. 1167; Pub. L. 114–58, title VI, § 601(23), , 129 Stat. 539; Pub. L. 114–256, § 4(a)(1), , 130 Stat. 1347; Pub. L. 115–41, title II, § 207(a), , 131 Stat. 877; Pub. L. 117–328, div. U, title I, § 183, , 136 Stat. 5436.)