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H.R. 1058 (115th): VA Provider Equity Act


The text of the bill below is as of Jul 25, 2017 (Referred to Senate Committee). The bill was not enacted into law.

Summary of this bill

Source: Republican Policy Committee

H.R. 1058 includes podiatrists within the Department of Veterans Affairs (VA) definition of a physician, increases their pay grade to match other VA physician compensation, and expands the opportunity to compete for leadership positions. In addition, the bill extends, through September 20, 2026, the current $90 per month limit on a VA pension paid to veterans residing in nursing homes when their nursing costs are paid through Medicaid.

Veterans face increasing numbers of foot and ankle ailments, including diabetic-related complications, peripheral neuropathy often linked to Agent Orange exposure, orthopedic maladies, and vascular compromise, with 1.8 million veterans at risk of amputation. As of 2015, 93% of new podiatry ...


IIB

115th CONGRESS

1st Session

H. R. 1058

IN THE SENATE OF THE UNITED STATES

July 25, 2017

Received; read twice and referred to the Committee on Veterans' Affairs

AN ACT

To amend title 38, United States Code, to clarify the role of podiatrists in the Department of Veterans Affairs, and for other purposes.

1.

Short title

This Act may be cited as the VA Provider Equity Act.

2.

Role of podiatrists in Department of Veterans Affairs

(a)

Inclusion as physician

(1)

In general

Subchapter I of chapter 74 of title 38, United States Code, is amended by adding at the end the following new section:

7413.

Treatment of podiatrists; clinical oversight standards

(a)

Podiatrists

Except as provided by subsection (b), a doctor of podiatric medicine who is appointed as a podiatrist under section 7401(1) of this title is eligible for any supervisory position in the Veterans Health Administration to the same degree that a physician appointed under such section is eligible for the position.

(b)

Establishment of clinical oversight standards

The Secretary, in consultation with appropriate stakeholders, shall establish standards to ensure that specialists appointed in the Veterans Health Administration to supervisory positions do not provide direct clinical oversight for purposes of peer review or practice evaluation for providers of other clinical specialties.

.

(2)

Clerical amendment

The table of sections at the beginning of such chapter is amended by inserting after the item relating to section 7412 the following new item:

7413. Treatment of podiatrists; clinical oversight standards.

.

(b)

Modification and clarification of pay grade

(1)

Grade

The list in section 7404(b) of such title is amended—

(A)

by striking PHYSICIAN AND DENTIST SCHEDULE and inserting PHYSICIAN AND SURGEON (MD/DO), PODIATRIC SURGEON (DPM), AND DENTIST AND ORAL SURGEON (DDS, DMD) SCHEDULE;

(B)

by striking, Physician grade and inserting Physician and surgeon grade; and

(C)

by striking PODIATRIST, CHIROPRACTOR, AND, and inserting CHIROPRACTOR AND.

(2)

Application

The amendment made by paragraph (1) shall apply with respect to a pay period of the Department of Veterans Affairs beginning on or after the date that is 30 days after the date of the enactment of this Act.

3.

Extension of reduction in amount of pension furnished by Department of Veterans Affairs for certain veterans covered by medicaid plans for services furnished by nursing facilities

Section 5503(d)(7) of title 38, United States Code, is amended by striking September 30, 2024 and inserting September 30, 2026.

Passed the House of Representatives July 24, 2017.

Karen L. Haas,

Clerk.