To prohibit the Secretary of Veterans Affairs from paying bonuses to certain employees of the Department of Veterans Affairs until the backlog of disability claims is resolved, to establish a commission to evaluate such backlog, and for other purposes.
A BILL
Sec. 2 Limitation on payment of bonuses until the resolution of the backlog of disability claims
Sec. 3 Evaluation of backlog of disability claims and appeals of claims of Department of Veterans Affairs
Sec. 4 Supplemental reports to the Strategic Plan to Eliminate the Compensation Claims Backlog
Sec. 5 Expedition of transfer of certain records
Sec. 6 Claims processors training
Sec. 7 Report by Comptroller General of the United States
Sec. 8 Priority for processing claims of the Department of Veterans Affairs
“5109C. Priority for processing claims
“(a) Priority—In processing claims for compensation under this chapter, the Secretary shall provide the following claimants with priority over other claimants:
“(1) Veterans who have attained the age of 70.
“(2) Veterans who are terminally ill.
“(3) Veterans with life-threatening illnesses.
“(4) Homeless veterans (as defined in section 2002 of this title).
“(5) Veterans who were awarded the Medal of Honor.
“(6) Veterans who are former prisoners of war.
“(7) Veterans whose claims are being reviewed again in relation to a previously denied claim relating to military sexual trauma.
“(8) Veterans whom the Secretary determines, on a case-by-case basis, are seriously or very seriously injured.
“(9) Veterans whom the Secretary determines, on a case-by-case basis, should be given priority under this section based on an application for good cause established by the Secretary.
“(b) Regulations—The Secretary shall prescribe regulations to carry out subsection (a).”
Sec. 9 Public availability of certain information about pending and completed claims for compensation under the laws administered by the Secretary of Veterans Affairs
“5109D. Information about pending and completed claims
“(a) Availability of information—The Secretary shall maintain on the Internet website of the Department publicly accessible information about pending and completed claims for compensation under chapter 11 of this title. Such information shall include each of the following:
“(1) For each regional office and for the Department as a whole—
“(A) the average number of days between the date of the submittal of a claim and the date of the decision with respect to the claim for each of the preceding three-month and one-year period;
“(B) the average number of days such a claim is pending during the preceding three-month and one-year periods;
“(C) the quality and accuracy rating of the claims adjudication process during the preceding three-month and one-year periods;
“(D) the number of claims pending;
“(E) the number of pending claims that have been pending for more than 125 days; and
“(F) the number of claims completed during—
“(i) the current month, to date;
“(ii) the month preceding the current month;
“(iii) the current calendar year, to date; and
“(iv) the calendar year preceding the current calendar year.
“(2) For each medical condition for which a claim for compensation is submitted, for each regional office and for the Department as a whole—
“(A) the average number of days between the date of the submittal of a claim relating to such medical condition and the date of the decision with respect to the claim for each of the preceding three-month and one-year period;
“(B) the average number of days such a claim is pending during the preceding three-month and one-year periods;
“(C) the quality and accuracy rating of the claims adjudication process as applied to claims relating to such medical condition during the preceding three-month and one-year periods;
“(D) the number of pending claims relating to such condition;
“(E) the number of such pending claims that have been pending for more than 125 days; and
“(F) the number of claims relating to such medical condition completed during—
“(i) the current month, to date;
“(ii) the month preceding current month;
“(iii) the current calendar year, to date; and
“(iv) the calendar year preceding the current calendar year.
“(b) Updates—The Secretary shall update the information on the website under subsection (a) not less frequently than once every seven days.”
Sec. 10 Annual report on processing of claims
“5109E. Annual report on processing of claims
“(a) Annual report—The Secretary shall include in the annual report to Congress required under section 529 of this title information on the following:
“(1) The automatic processing of claims for compensation.
“(2) The performance of any regional office that fails to meet the administrative goals of the regional office with respect to timeliness and accuracy in processing claims for compensation.
“(3) The timeliness of receiving information pursuant to a request by the Secretary to the head of another department or agency of the United States for information required by the Secretary in adjudicating a claim for compensation under chapter 11 of this title.
“(b) Matters included—In carrying out subsection (a) to include information in the report required under section 529 of this title, the Secretary shall include the following:
“(1) With respect to the information required by subsection (a)(1)—
“(A) each medical condition for which claims relating to such condition were processed in an electronic automated fashion during the fiscal year covered by the report;
“(B) the feasibility of processing any additional medical conditions in an electronic automated fashion and any barriers to such processing, including any such barriers relating to the schedule for rating disabilities under section 1155 of this title;
“(C) the number of claims for compensation relating to each medical condition submitted during such fiscal year; and
“(D) for each medical condition, the percentage of claims denied and the percentage of claims approved during such fiscal year.
“(2) With respect to the information required by subsection (a)(2), in the case of any regional office that, for the fiscal year covered by the report, did not meet the administrative goal of having no claim pending for more than 125 days and achieving an accuracy rating of 98 percent—
“(A) a signed statement prepared by the individual serving as director of the regional office as of the date of the submittal of the report containing—
“(i) an explanation for why the regional office did not meet the goal;
“(ii) a description of the additional resources needed to enable the regional office to reach the goal; and
“(iii) a description of any additional actions planned for the subsequent fiscal year that are proposed to enable the regional office to meet the goal; and
“(B) a statement prepared by the Under Secretary for Benefits explaining how the failure of the regional office to meet the goal affected the performance evaluation of the director of the regional office.
“(3) With respect to the information required by subsection (a)(3)—
“(A) the number of requests described in such paragraph made during the fiscal year covered by the report; and
“(B) the average response time for such requests made during each month of such fiscal year, as determined based on the period beginning on the date on which the Secretary made the request and ending on the date on which the Secretary determines that the request is completed.”