Title 38 — Veterans’ Benefits
Part V · Chapter 74 — Veterans Health Administration—Personnel
§ 7423. Personnel administration: full-time employees
Statutory text
Except as provided in paragraph (2), the hours of employment in carrying out responsibilities under this title of any employee who is appointed in the Administration under any provision of this chapter on a full-time basis in a position listed in section 7421(b) of this title (other than an intern or resident appointed pursuant to section 7406 of this title) and who accepts responsibilities for carrying out professional services for remuneration other than those assigned under this title shall consist of not less than 80 hours in a biweekly pay period (as that term is used in section 5504 of title 5).
Upon the advance written request of a covered physician, the Secretary may modify the hours of employment for a physician appointed in the Administration under any provision of this chapter on a full-time basis to be more or less than 80 hours in a biweekly pay period, subject to the requirements in subparagraph (B). For the purpose of determining pay, such a physician shall be deemed to have a biweekly schedule of 80 hours of employment.
A physician with an irregular work schedule established under subparagraph (A) shall be obligated to account for at least 2,080 hours of employment (through performance of work or use of leave or paid time off) in a calendar year.
The Secretary may prescribe regulations to implement this paragraph, including regulations making adjustments to address the annual hours requirement for physicians who are covered by this paragraph for only a portion of a calendar year.
The Secretary may exclude from the requirements of paragraph (1) employees hired under section 7306 or 7401(4) of this title or for a position described in section 7401(1) of this title that the Secretary has determined is of equivalent rank to a Senior Executive Service position (as such term is defined in section 3132(a) of title 5).
A person covered by subsection (a) may not do any of the following:
Teach or provide consultative services at any affiliated institution if such teaching or consultation will, because of its nature or duration, conflict with such person’s responsibilities under this title.
Accept payment under any insurance or assistance program established under title XVIII or XIX of the Social Security Act or under chapter 55 of title 10 for professional services rendered by such person while carrying out such person’s responsibilities under this title.
Accept from any source, with respect to any travel performed by such person in the course of carrying out such person’s responsibilities under this title, any payment or per diem for such travel, other than as provided for in section 4111 of title 5.
Request or permit any individual or organization to pay, on such person’s behalf for insurance insuring such person against malpractice claims arising in the course of carrying out such person’s responsibilities under this title or for such person’s dues or similar fees for membership in medical or dental societies or related professional associations, except where such payments constitute a part of such person’s remuneration for the performance of professional responsibilities permitted under this section, other than those carried out under this title.
Perform, in the course of carrying out such person’s responsibilities under this title, professional services for the purpose of generating money for any fund or account which is maintained by an affiliated institution for the benefit of such institution, or for such person’s personal benefit, or both.
In the case of any fund or account described in subsection (b)(5) that was established before —
the affiliated institution shall submit semiannually an accounting to the Secretary and to the Comptroller General of the United States with respect to such fund or account and shall maintain such fund or account subject to full public disclosure and audit by the Secretary and the Comptroller General for a period of three years or for such longer period as the Secretary shall prescribe, and
no person in a position specified in paragraph (1)(B) may receive any cash from amounts deposited in such fund or account derived from services performed before that date.
As used in this section:
The term “affiliated institution” means a medical school or other institution of higher learning with which the Secretary has a contract or agreement as referred to in section 7313 of this title for the training or education of health personnel.
The term “remuneration” means the receipt of any amount of monetary benefit from any non-Department source in payment for carrying out any professional responsibilities.
The Secretary shall establish a leave transfer program for the benefit of health-care professionals in positions listed in section 7421(b) of this title. The Secretary may also establish a leave bank program for the benefit of such health-care professionals.
To the maximum extent feasible—
the leave transfer program shall provide the same or similar requirements and conditions as are provided for the program established by the Director of the Office of Personnel Management under subchapter III of chapter 63 of title 5; and
any leave bank program established pursuant to paragraph (1) shall be consistent with the requirements and conditions provided for agency leave bank programs in subchapter IV of such chapter.
Participation by a health-care professional in the leave transfer program established pursuant to paragraph (1), and in any leave bank program established pursuant to such paragraph, shall be voluntary. The Secretary may not require any health-care professional to participate in such a program.
The Secretary and the Director of the Office of Personnel Management may enter into an agreement that permits health-care professionals referred to in paragraph (1) to participate in the leave transfer program established by the Director of the Office of Personnel Management under subchapter III of chapter 63 of title 5 or in any leave bank program established for other employees of the Department pursuant to subchapter IV of chapter 63 of title 5, or both.
Participation of such health-care professionals in a leave transfer program or a leave bank program pursuant to an agreement entered into under subparagraph (A) shall be subject to such requirements and conditions as may be prescribed in such agreement.
The Secretary is not required to establish a leave transfer program for any personnel permitted to participate in a leave transfer program pursuant to an agreement referred to in paragraph (4).
The Secretary may purchase promotional items of nominal value for use in the recruitment of individuals for employment under this chapter. The Secretary shall prescribe guidelines for the administration of the preceding sentence.
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 Labor Relations Improvement Act of 1991
Pub. L. 102–40 title II § 202 · 105 Stat. 187
Enacted · 38 U.S.C. § 7423
Added and amended Pub. L. 102–40, title II, § 202, title IV, § 401(b)(3)(A), May 7, 1991, 105 Stat. 201, 230
Source evidence
Code source credit
Added and amended Pub. L. 102–40, title II, § 202, title IV, § 401(b)(3)(A), May 7, 1991, 105 Stat. 201, 230Enacted provision · exact public law section
SEC. 202. COLLECTIVE BARGAINING FOR TITLE 38 EMPLOYEES. Chapter 74, as added by section 102, is amended by inserting before subchapter III the following: “SUBCHAPTER II— COLLECTIVE BARGAINING AND PERSONNEL ADMINISTRATION “§ 7421. Personnel administration: in general “(a) Notwithstanding any law, Executive order, or regulation, the Secretary shall prescribe by regulation the hours and conditions of employment and leaves of absence of employees appointed under any provision of this chapter in positions in the Veterans Health Administration listed in subsection (b). “(b) Subsection (a) refers to the following positions: “(1) Physicians. “(2) Dentists. “(3) Podiatrists. “(4) Optometrists. “(5) Registered nurses. “(6) Physician assistants. “(7) Expanded-duty dental auxiliaries. “§ 7422. Collective bargaining “(a) Except as otherwise specifically provided in this title, the authority of the Secretary to prescribe regulations under section 7421 of this title is subject to the right of Federal employees to engage in collective bargaining with respect to conditions of employment through representatives chosen by them in accordance with chapter 71 of title 5 (relating to labor-management relations). “(b) Such collective bargaining (and any grievance procedures provided under a collective bargaining agreement) in the case of employees described in section 7421(b) of this title may not cover, or have any applicability to, any matter or question concerning or arising out of (1) professional conduct or competence, (2) peer review, or (3) the establishment, determination, or adjustment of employee compensation under this title. “(c) For purposes of this section, the term ‘professional conduct or competence’ means any of the following: “(1) Direct patient care. “(2) Clinical competence. “(d) An issue of whether a matter or question concerns or arises out of (1) professional conduct or competence, (2) peer review, or (3) the establishment, determination, or adjustment of employee compensation under this title shall be decided by the Secretary and is not itself subject to collective bargaining and may not be reviewed by any other agency. “(e) A petition for judicial review or petition for enforcement under section 7123 of title 5 in any case involving employees described in section 7421(b) of this title or arising out of the applicability of chapter 71 of title 5 to employees in those positions, shall be taken only in the United States Court of Appeals for the District of Columbia Circuit. “§ 7423. Personnel administration: full-time employees “(a) The hours of employment in carrying out responsibilities under this title of any employee who is appointed in the Administration under any provision of this chapter on a full-time basis in a position listed in section 7421(b) of this title (other than an intern or resident appointed pursuant to section 7406 of this title) and who accepts responsibilities for carrying out professional services for remuneration other than those assigned under this title shall consist of not less than 80 hours in a biweekly pay period (as that term is used in section 5504 of title 5). “(b) A person covered by subsection (a) may not do any of the following: “(1) Assume responsibility for the medical care of any patient other than a patient admitted for treatment at a Department facility, except in those cases where the person, upon request and with the approval of the Chief Medical Director, assumes such responsibilities to assist communities or medical practice groups to meet medical needs which would not otherwise be available for a period not to exceed 180 calendar days, which may be extended by the Chief Medical Director for additional periods not to exceed 180 calendar days each. “(2) Teach or provide consultative services at any affiliated institution if such teaching or consultation will, because of its nature or duration, conflict with such person’s responsibilities under this title. “(3) Accept payment under any insurance or assistance program established under title XVIII or XIX of the Social Security Act or under chapter 55 of title 10 for professional services rendered by such person while carrying out such person’s responsibilities under this title. “(4) Accept from any source, with respect to any travel performed by such person in the course of carrying out such person’s responsibilities under this title, any payment or per diem for such travel, other than as provided for in section 4111 of title 5. “(5) Request or permit any individual or organization to pay, on such person’s behalf for insurance insuring such person against malpractice claims arising in the course of carrying out such person’s responsibilities under this title or for such person’s dues or similar fees for membership in medical or dental societies or related professional associations, except where such payments constitute a part of such person’s remuneration for the performance of professional responsibilities permitted under this section, other than those carried out under this title. “(6) Perform, in the course of carrying out such person’s responsibilities under this title, professional services for the purpose of generating money for any fund or account which is maintained by an affiliated institution for the benefit of such institution, or for such person’s personal benefit, or both. “(c) In the case of any fund or account described in subsection (b)(6) that was established before September 1, 1973— “(1) the affiliated institution shall submit semiannually an accounting to the Secretary and to the Comptroller General of the United States with respect to such fund or account and shall maintain such fund or account subject to full public disclosure and audit by the Secretary and the Comptroller General for a period of three years or for such longer period as the Secretary shall prescribe, and “(2) no person in a position specified in paragraph (1)(B) may receive any cash from amounts deposited in such fund or account derived from services performed before that date. “(d) As used in this section: “(1) The term ‘affiliated institution’ means a medical school or other institution of higher learning with which the Secretary has a contract or agreement as referred to in section 7313 of this title for the training or education of health personnel. “(2) The term ‘remuneration’ means the receipt of any amount of monetary benefit from any non-Department source in payment for carrying out any professional responsibilities.”.Department of Veterans Affairs Health-Care Personnel Act of 1991
Pub. L. 102–40 § 401(b)(3)(A) · 105 Stat. 187
Added · 38 U.S.C. § 7423(e)
Pub. L. 102–40, § 401(b)(3)(A), added subsec. (e)
Source evidence
Code amendment note
Subsec. (e). Pub. L. 102–40, § 401(b)(3)(A), added subsec. (e).Enacted provision · exact public law section
(A) by adding at the end of section 7423 the following new subsection: “(e) (1) The Secretary shall establish a leave transfer program for the benefit of health-care professionals in positions listed in section 7401(1) of this title. The Secretary may also establish a leave bank program for the benefit of such health-care professionals. “(2) To the maximum extent feasible— “(A) the leave transfer program shall provide the same or similar requirements and conditions as are provided for the program established by the Director of the Office of Personnel Management under subchapter III of chapter 63 of title 5; and “(B) any leave bank program established pursuant to paragraph (1) shall be consistent with the requirements and conditions provided for agency leave bank programs in subchapter IV of such chapter. “(3) Participation by a health-care professional in the leave transfer program established pursuant to paragraph (1), and in any leave bank program established pursuant to such paragraph, shall be voluntary. The Secretary may not require any health-care professional to participate in such a program. “(4) (A) The Secretary and the Director of the Office of Personnel Management may enter into an agreement that permits health-care professionals referred to in paragraph (1) to participate in the leave transfer program established by the Director of the Office of Personnel Management under subchapter III of chapter 63 of title 5 or in any leave bank program established for other employees of the Department pursuant to subchapter IV of chapter 63 of title 5, or both. “(B) Participation of such health-care professionals in a leave transfer program or a leave bank program pursuant to an agreement entered into under subparagraph (A) shall be subject to such requirements and conditions as may be prescribed in such agreement. “(5) The Secretary is not required to establish a leave transfer program for any personnel permitted to participate in a leave transfer program pursuant to an agreement referred to in paragraph (4)/’; andVeterans’ Medical Programs Amendments of 1992
Pub. L. 102–405 § 302(c)(1) · 106 Stat. 1972
Substituted · 38 U.S.C. § 7423(b)(1)
Pub. L. 102–405, § 302(c)(1), substituted “Under Secretary for Health” for “Chief Medical Director” in two places
Source evidence
Code amendment note
Subsec. (b)(1). Pub. L. 102–405, § 302(c)(1), substituted “Under Secretary for Health” for “Chief Medical Director” in two places.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.Veterans’ Medical Programs Amendments of 1992
Pub. L. 102–405 § 203 · 106 Stat. 1972
Added · 38 U.S.C. § 7423(f)
Pub. L. 102–405, § 203, added subsec. (f)
Source evidence
Code amendment note
Subsec. (f). Pub. L. 102–405, § 203, added subsec. (f).Enacted provision · exact public law section
SEC. 203. AUTHORITY TO PURCHASE ITEMS OF NOMINAL VALUE FOR RECRUITMENT PURPOSES. Section 7423 is amended by adding at the end the following new subsection: “(f) The Secretary may purchase promotional items of nominal value for use in the recruitment of individuals for employment under this chapter. The Secretary shall prescribe guidelines for the administration of the preceding sentence.”.Veterans’ Health Care Eligibility Reform Act of 1996
Pub. L. 104–262 § 347(a) · 110 Stat. 3177
Redesignated · 38 U.S.C. § 7423(b)
Pub. L. 104–262, § 347(a), redesignated pars. (2) to (6) as (1) to (5), respectively
Struck · 38 U.S.C. § 7423(b)
Pub. L. 104–262, § 347(a), struck out former par. (1) which read as follows: “Assume responsibility for the medical care of any patient other than a patient admitted for treatment at a Department facility, except in those cases where the person, upon request and with the approval of the Under Secretary for Health, assumes such responsibilities to assist communities or medical practice groups to meet medical needs which would not otherwise be available for a period not to exceed 180 calendar days, which may be extended by the Under Secretary for Health for additional periods not to exceed 180 calendar days each.”
Source evidence
Code amendment note
Subsec. (b). Pub. L. 104–262, § 347(a), redesignated pars. (2) to (6) as (1) to (5), respectively, and struck out former par. (1) which read as follows: “Assume responsibility for the medical care of any patient other than a patient admitted for treatment at a Department facility, except in those cases where the person, upon request and with the approval of the Under Secretary for Health, assumes such responsibilities to assist communities or medical practice groups to meet medical needs which would not otherwise be available for a period not to exceed 180 calendar days, which may be extended by the Under Secretary for Health for additional periods not to exceed 180 calendar days each.”Enacted provision · exact public law section
(a) Authority.— Subsection (b) of section 7423 is amended— (1) by striking out paragraph (1); and (2) by redesignating paragraphs (2) through (6) as paragraphs (1) through (5), respectively.Veterans’ Health Care Eligibility Reform Act of 1996
Pub. L. 104–262 § 347(b) · 110 Stat. 3177
Substituted · 38 U.S.C. § 7423(c)
Pub. L. 104–262, § 347(b), substituted “subsection (b)(5)” for “subsection (b)(6)” in introductory provisions
Source evidence
Code amendment note
Subsec. (c). Pub. L. 104–262, § 347(b), substituted “subsection (b)(5)” for “subsection (b)(6)” in introductory provisions.Enacted provision · exact public law section
(b) Conforming Amendment.— Subsection (c) of such section is amended in the matter preceding paragraph (1) by striking out “subsection (b)(6)” and inserting in lieu thereof “subsection (b)(5)”.Jeff Miller and Richard Blumenthal Veterans Health Care and Benefits Improvement Act of 2016
Pub. L. 114–315 title VI § 614 · 130 Stat. 1536
Amended · 38 U.S.C. § 7423(a)
Pub. L. 114–315 designated existing provisions as par. (1)
Substituted · 38 U.S.C. § 7423(a)
Pub. L. 114–315 substituted “Except as provided in paragraph (2), the hours” for “The hours”
Added · 38 U.S.C. § 7423(a)
Pub. L. 114–315 added par. (2)
Source evidence
Code amendment note
Subsec. (a). Pub. L. 114–315 designated existing provisions as par. (1), substituted “Except as provided in paragraph (2), the hours” for “The hours”, and added par. (2).Enacted provision · exact public law section
SEC. 614. MODIFICATION OF HOURS OF EMPLOYMENT FOR PHYSICIANS EMPLOYED BY THE DEPARTMENT OF VETERANS AFFAIRS. Section 7423(a) 38 USC 7423. of title 38, United States Code, is amended— (1) by striking “(a) The hours” and inserting “(a)(1) Except as provided in paragraph (2), the hours”; and (2) by adding at the end the following new paragraph: “(2) (A) Upon the advance written request of a covered physician, the Secretary may modify the hours of employment for a physician appointed in the Administration under any provision of this chapter on a full-time basis to be more or less than 80 hours in a biweekly pay period, subject to the requirements in subparagraph (B). For the purpose of determining pay, such a physician shall be deemed to have a biweekly schedule of 80 hours of employment. “(B) A physician with an irregular work schedule established under subparagraph (A) shall be obligated to account for at least 2,080 hours of employment (through performance of work or use of leave or paid time off) in a calendar year. “(C) The Secretary may prescribe regulations to implement this paragraph, including regulations making adjustments to address the annual hours requirement for physicians who are covered by this paragraph for only a portion of a calendar year.” .Sergeant First Class Heath Robinson Honoring our Promise to Address Comprehensive Toxics Act of 2022
Pub. L. 117–168 § 906(c)(2)(A) · 136 Stat. 1759
Added · 38 U.S.C. § 7423(a)(2)(D)
Pub. L. 117–168, § 906(c)(2)(A), added subpar. (D)
Source evidence
Code amendment note
Subsec. (a)(2)(D). Pub. L. 117–168, § 906(c)(2)(A), added subpar. (D).Enacted provision · exact public law section
(A) in subsection (a)(2), by adding at the end the following new subparagraph: “(D) The Secretary may exclude from the requirements of paragraph (1) employees hired under section 7306 or 7401(4) of this title or for a position described in section 7401(1) of this title that the Secretary has determined is of equivalent rank to a Senior Executive Service position (as such term is defined in section 3132(a) of title 5).” ; andSergeant First Class Heath Robinson Honoring our Promise to Address Comprehensive Toxics Act of 2022
Pub. L. 117–168 § 906(c)(2)(B) · 136 Stat. 1759
Substituted · 38 U.S.C. § 7423(e)(1)
Pub. L. 117–168, § 906(c)(2)(B), substituted “7421(b)” for “7401(1)”
Source evidence
Code amendment note
Subsec. (e)(1). Pub. L. 117–168, § 906(c)(2)(B), substituted “7421(b)” for “7401(1)”.Enacted provision · exact public law section
(B) in subsection (e)(1), by striking “7401(1)” and inserting “7421(b)”.
12 of 12 references resolved to an enrolled provision
Editorial Notes
References in Text
The Social Security Act, referred to in subsec. (b)(2), is act Aug. 14, 1935, ch. 531, 49 Stat. 620. Titles XVIII and XIX of the Act are classified generally to subchapters XVIII (§ 1395 et seq.) and XIX (§ 1396 et seq.), respectively, of chapter 7 of Title 42, The Public Health and Welfare. For complete classification of this Act to the Code, see section 1305 of Title 42 and Tables.
Prior Provisions
Provisions similar to those in this section were contained in section 4108(a), (c), and (e) 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.
Amendments1991–2022 · 5 rounds
2022
Subsec. (a)(2)(D). Pub. L. 117–168, § 906(c)(2)(A), added subpar. (D).
Subsec. (e)(1). Pub. L. 117–168, § 906(c)(2)(B), substituted “7421(b)” for “7401(1)”.
2016
Subsec. (a). Pub. L. 114–315 designated existing provisions as par. (1), substituted “Except as provided in paragraph (2), the hours” for “The hours”, and added par. (2).
1996
Subsec. (b). Pub. L. 104–262, § 347(a), redesignated pars. (2) to (6) as (1) to (5), respectively, and struck out former par. (1) which read as follows: “Assume responsibility for the medical care of any patient other than a patient admitted for treatment at a Department facility, except in those cases where the person, upon request and with the approval of the Under Secretary for Health, assumes such responsibilities to assist communities or medical practice groups to meet medical needs which would not otherwise be available for a period not to exceed 180 calendar days, which may be extended by the Under Secretary for Health for additional periods not to exceed 180 calendar days each.”
Subsec. (c). Pub. L. 104–262, § 347(b), substituted “subsection (b)(5)” for “subsection (b)(6)” in introductory provisions.
1992
Subsec. (b)(1). Pub. L. 102–405, § 302(c)(1), substituted “Under Secretary for Health” for “Chief Medical Director” in two places.
Subsec. (f). Pub. L. 102–405, § 203, added subsec. (f).
1991
Subsec. (e). Pub. L. 102–40, § 401(b)(3)(A), added subsec. (e).
Statutory Notes and Related Subsidiaries
Establishment of Leave Bank Program
For provision authorizing the establishment of a leave bank program for health-care professional covered under subsec. (e) of former section 4108 of this title [now covered by subsec. (e) of this section] similar to the leave bank program for Federal civilian employees in reserves who were activated during Persian Gulf War, see section 361 of Pub. L. 102–25, set out as a Leave Bank for Federal Civilian Employees in Reserves Who Were Activated During Persian Gulf War note under section 6361 of Title 5, Government Organization and Employees.
Credits
1991–2022 · 5 acts
- 1991Added and amended Pub. L. 102–40, title II, § 202, title IV, § 401(b)(3)(A), , 105 Stat. 201, 230
- 1992Pub. L. 102–405, title II, § 203, title III, § 302(c)(1), , 106 Stat. 1983, 1984
- 1996Pub. L. 104–262, title III, § 347, , 110 Stat. 3208
- 2016Pub. L. 114–315, title VI, § 614, , 130 Stat. 1577
- 2022Pub. L. 117–168, title IX, § 906(c)(2), , 136 Stat. 1812.
Show as published
(Added and amended Pub. L. 102–40, title II, § 202, title IV, § 401(b)(3)(A), , 105 Stat. 201, 230; Pub. L. 102–405, title II, § 203, title III, § 302(c)(1), , 106 Stat. 1983, 1984; Pub. L. 104–262, title III, § 347, , 110 Stat. 3208; Pub. L. 114–315, title VI, § 614, , 130 Stat. 1577; Pub. L. 117–168, title IX, § 906(c)(2), , 136 Stat. 1812.)