H.R. 3530 — what changed

added “7414. Compliance with requirements for examining qualifications and clinical abilities of health care professionals

added “(a) Compliance with credentialing requirements—The Secretary shall ensure that each medical center of the Department, in a consistent manner—

added “(1) compiles, verifies, and reviews documentation for each health care professional of the Department at such medical center regarding, at a minimum—

added “(A) the professional licensure, certification, or registration of the health care professional;

added “(B) whether the health care professional holds a Drug Enforcement Administration registration; and

added “(C) the education, training, experience, malpractice history, and clinical competence of the health care professional; and

added “(2) continuously monitors any changes to the matters under paragraph (1), including with respect to suspensions, restrictions, limitations, probations, denials, revocations, and other changes, relating to the failure of a health care professional to meet generally accepted standards of clinical practice in a manner that presents reasonable concern for the safety of patients.

added “(b) Registration regarding controlled substances

added “(1) Except as provided by paragraph (2), the Secretary shall ensure that each covered health care professional holds an active Drug Enforcement Administration registration.

added “(2) The Secretary shall—

added “(A) determine the circumstances in which a medical center of the Department must obtain a waiver under section 303 of the Controlled Substances Act (21 U.S.C. 823) with respect to covered health care professionals; and

added “(B) establish a process for medical centers to request such waivers.

added “(3) In carrying out paragraph (1), the Secretary shall ensure that each medical center of the Department monitors the Drug Enforcement Administration registrations of covered health care professionals at such medical center in a manner that ensures the medical center is made aware of any change in status in the registration by not later than 7 days after such change in status.

added “(4) If a covered health care professional does not hold an active Drug Enforcement Administration registration, the Secretary shall carry out any of the following actions, as the Secretary determines appropriate:

added “(A) Obtain a waiver pursuant to paragraph (2).

added “(B) Transfer the health care professional to a position that does not require prescribing, dispensing, administering, or conducting research with controlled substances.

added “(C) Take adverse actions under subchapter V of this chapter, with respect to an employee of the Department, or terminate the services of a contractor, with respect to a contractor of the Department.

added “(c) Reviews of concerns relating to quality of clinical care

added “(1) The Secretary shall ensure that each medical center of the Department, in a consistent manner, carries out—

added “(A) ongoing, retrospective, and comprehensive monitoring of the performance and quality of the health care delivered by each health care professional of the Department located at the medical center, including with respect to the safety of such care; and

added “(B) timely and documented reviews of such care if an individual notifies the Secretary of any potential concerns relating to a failure of the health care professional to meet generally accepted standards of clinical practice in a manner that presents reasonable concern for the safety of patients.

added “(2) The Secretary shall establish a policy to carry out paragraph (1), including with respect to—

added “(A) determining the period by which a medical center of the Department must initiate the review of a concern described in subparagraph (B) of such paragraph following the date on which the concern is received; and

added “(B) ensuring the compliance of each medical center with such policy.

added “(d) Compliance with requirements for reporting quality of care concerns—When the Secretary substantiates a concern relating to the clinical competency of, or quality of care delivered by, a health care professional of the Department (including a former such health care professional), the Secretary shall ensure that the appropriate medical center of the Department timely notifies the following entities of such concern, as appropriate:

added “(1) The appropriate licensing, registration, or certification body in each State in which the health care professional is licensed, registered, or certified.

added “(2) The Drug Enforcement Administration.

added “(3) The National Practitioner Data Bank established pursuant to the Health Care Quality Improvement Act of 1986 (42 U.S.C. 11101 et seq.).

added “(4) Any other relevant entity.

added “(e) Prohibition on certain settlement agreement terms

added “(1) Except as provided by paragraph (2), the Secretary may not enter into a settlement agreement relating to an adverse action against a health care professional of the Department if such agreement includes terms that require the Secretary to conceal from the personnel file of the employee a serious medical error or lapse in clinical practice that constitutes a substantial failure to meet generally accepted standards of clinical practice as to raise reasonable concern for the safety of patients.

added “(2) Paragraph (1) does not apply to adverse actions that the Special Counsel under section 1211 of title 5 determines constitutes a prohibited personnel practice.

added “(f) Training—Not less frequently than biannually, the Secretary shall provide mandatory training to employees of each medical center of the Department who are responsible for any of the following activities:

added “(1) Compiling, validating, or reviewing the credentials of health care professionals of the Department.

added “(2) Reviewing the quality of clinical care delivered by health care professionals of the Department.

added “(3) Taking adverse privileging actions or making determinations relating to other disciplinary actions or employment actions against health care professionals of the Department for reasons relating to the failure of a health care professional to meet generally accepted standards of clinical practice in a manner that presents reasonable concern for the safety of patients.

added “(4) Making notifications under subsection (d).

added “(g) Definitions—In this section:

added “(1) The term “controlled substance” has the meaning given that term in section 102 of the Controlled Substances Act (21 U.S.C. 802).

added “(2) The term “covered health care professional” means a person employed in a position as a health care professional of the Department, or a contractor of the Department, that requires the person to be authorized to prescribe, dispense, administer, or conduct research with, controlled substances.

added “(3) The term “Drug Enforcement Administration registration” means registration with the Drug Enforcement Administration under section 303 of the Controlled Substances Act (21 U.S.C. 823) by health care practitioners authorized to dispense, prescribe, administer, or conduct research with, controlled substances.

added “(4) The term “health care professional of the Department” means the professionals described in section 1730C(b) of this title, and includes a contractor of the Department serving as such a professional.”

removed “(g)

removed “(1) The Secretary shall take prompt and appropriate adverse personnel actions pursuant to this chapter against an employee who—

removed “(A) is not licensed, registered, certified, or in receipt of a waiver, as required by subsection (f); or

removed “(B) who does not promptly notify the Secretary of any suspension in such license, registration, or certification.

removed “(2) The Secretary shall conduct biennial audits of employees covered by subsection (f) to ensure that the employee is licensed, registered, or certified as required by such subsection.

removed “(3) The Secretary shall ensure that the hiring process for employees covered by subsection (f) includes—

removed “(A) requesting from the individual applying for the position the status of the licensure, registration, or certification of the individual as required by such subsection, including a description of any actions the individual must take to fulfill such licensure, registration, or certification requirement before beginning such employment; and

removed “(B) verifying such status before the individual begins such employment.

removed “(4) The Secretary shall provide annual training to directors of Veterans Integrated Service Networks, directors of Department health-care facilities, and chiefs of staff of Department health-care facilities (and such other employees as the directors or chiefs of staff determine appropriate) with respect to carrying out this subsection and subsection (f).”