46258 Federal Register / Vol. 83, No. 177 / Wednesday, September 12, 2018 / Notices 

Benjamin D. Herndon, Chief Research, 

Applied, Analytics & Statistics 

John E. Hinding, Director, Cross Border 

Activities Practice Area, Large 

Business & International 

David W. Horton, Deputy 

Commissioner, Tax Exempt & 

Government Entities 

Cecil T. Hua, Director, Infrastructure 

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Eric C. Hylton, Deputy Chief Criminal 

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This document does not meet the 

Treasury’s criteria for significant 

regulations. 

Jeffrey J. Tribiano, 

Deputy Commissioner for Operations 

Support, Internal Revenue Service. 

[FR Doc. 2018–19618 Filed 9–11–18; 8:45 am] 

BILLING CODE 4830–01–P 

DEPARTMENT OF VETERANS 

AFFAIRS 

Annual Pay Ranges for Physicians, 

Dentists, and Podiatrists of the 

Veterans Health Administration (VHA) 

AGENCY: Department of Veterans Affairs. 

ACTION: Notice. 

SUMMARY: The Department of Veterans 

Affairs (VA) Mission Act of 2018 (VA 

Maintaining Systems and Strengthening 

Integrated Outside Networks Act), 

Section 502, provides that podiatrists be 

paid from the Veterans Health 

Administration (VHA) physician and 

dentist pay system. 

DATES: Annual pay ranges are applicable 

November 25, 2018. 

FOR FURTHER INFORMATION CONTACT: 

Farine Cohen, Program Analyst, Policy 

and Programs, VHA Workforce 

Management and Consulting Office 

(10A2A), Department of Veterans 

Affairs, 810 Vermont Avenue NW, 

Washington, DC 20420, (202) 461–7179. 

This is not a toll-free number. 

SUPPLEMENTARY INFORMATION: As 

required by the ‘‘Department of Veterans 

Affairs Health Care Personnel 

Enhancement Act of 2004,’’ (Pub. L. 

108–445, dated December 3, 2004) VA is 

hereby giving notice of annual pay 

ranges for VHA podiatrists as prescribed 

by the Secretary for Department-wide 

applicability. The pay table placement 

and annual salary rates of podiatrists is 

intended to enhance the flexibility of 

the Department to recruit, develop, and 

retain the most highly-qualified 

podiatrists to serve our Nation’s 

Veterans and maintain a standard of 

excellence in the VA health care system. 

Under 38 United States Code (U.S.C.) 

7431(e)(1)(A), not less often than once 

every 2 years, the Secretary must 

prescribe for Department-wide 

applicability the minimum and 

maximum amounts of annual pay that 

may be paid to VHA physicians and 

dentists. Further, 38 U.S.C. 7431(e)(1)(B) 

allows the Secretary to prescribe 

separate minimum and maximum 

amounts of pay for a specialty or 

assignment. In construction of the 

annual pay ranges, 38 U.S.C. 

7431(c)(4)(A) requires the consultation 

of two or more national surveys of pay, 

whether prepared by private, public, or 

quasi-public entities, in order to make a 

general assessment of the range of pays 

payable to physicians and dentists. 

Lastly, 38 U.S.C. 7431(e)(1)(C) states 

amounts prescribed under paragraph 

7431(e) shall be published in the 

Federal Register and shall not take 

effect until at least 60 days after date of 

publication. 


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Federal Register / Vol. 83, No. 177 / Wednesday, September 12, 2018 / Notices 46259 

Background 

The ‘‘Department of Veterans Affairs 

Health Care Personnel Enhancement Act 

of 2004’’ (Pub. L. 108–445) was signed 

by the President on December 3, 2004. 

The major provisions of the law 

established a new pay system for VHA 

physicians and dentists consisting of 

base pay, market pay, and performance 

pay. While the base pay component is 

set by statute, market pay is intended to 

reflect the recruitment and retention 

needs for the specialty or assignment of 

a particular physician or dentist at a 

facility. Further, performance pay is 

intended to recognize the achievement 

of specific goals and performance 

objectives prescribed annually. These 

three components create a system of pay 

that is driven by both market indicators 

and employee performance, while 

recognizing employee tenure in VHA. 

Discussion 

VA identified and utilized salary 

survey data sources which most closely 

represent VA comparability in the areas 

of practice setting, employment 

environment, and hospital/health care 

system. Sullivan Cotter and Associates, 

Medical Group Management 

Association, and Korn Ferry Hay Group 

Healthcare Compensation were 

collectively utilized as benchmarks from 

which to prescribe annual pay ranges 

for podiatrists across the scope of 

assignments/specialties within the 

Department. While aggregating the data, 

a preponderance of weight was given to 

those surveys which most directly 

resembled the environment of the 

Department. 

In developing pay table placement 

and annual salary rates of podiatrists, a 

few distinctive principles were factored 

into the compensation analysis of the 

data. The first principle is to ensure that 

both the minimum and maximum salary 

is at a level that accommodates special 

employment situations, from 

fellowships and medical research career 

development awards to Nobel Laureates, 

high-cost areas, and internationallyrenowned clinicians. The second 

principle is to provide ranges large 

enough to accommodate career 

progression, geographic differences, 

sub-specialization, and other special 

factors. 

Several VA data sources were 

reviewed against available, relevant 

private sector data. The podiatry 

specialties are grouped into one clinical 

pay range that reflect comparable 

complexity in salary, recruitment, and 

retention considerations. 

Tier level Minimum Maximum 

Pay Table 1—Clinical Specialty 

TIER 1 ...................... $100,967 $225,000 

TIER 2 ...................... 110,000 234,000 

TIER 3 ...................... 120,000 262,000 

Pay Table 1—Covered Clinical Specialties 

Endocrinology. 

Tier level Minimum Maximum 

Endodontics. 

General Practice—Dentistry. 

Geriatrics. 

Infectious Diseases. 

Internal Medicine/Primary Care/Family Practice. 

Palliative Care. 

Periodontics. 

Podiatry (General). 

Podiatry (Surgery—Forefoot, Rearfoot/Ankle, 

Advanced Rearfoot/Ankle). 

Preventive Medicine. 

Prosthodontics. 

Rheumatology. 

All other specialties or assignments not requiring a specific specialty training or certification. 

Signing Authority 

The Secretary of Veterans Affairs 

approved this document and authorized 

the undersigned to sign and submit the 

document to the Office of the Federal 

Register for publication electronically as 

an official document of the Department 

of Veterans Affairs. Robert L. Wilkie, 

Secretary, Department of Veterans 

Affairs, approved this document on 

September 7, 2018 for publication. 

Dated: September 7, 2018. 

Luvenia Potts, 

Program Specialist, Office of Regulation 

Policy & Management, Office of the Secretary, 

Department of Veterans Affairs. 

[FR Doc. 2018–19847 Filed 9–11–18; 8:45 am] 

BILLING CODE 8320–01–P 


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