IB 

Union Calendar No. 807 

115TH CONGRESS 

2D SESSION H. R. 6066 

[Report No. 115–1034] 

To amend title 38, United States Code, to improve the productivity of the 

management of Department of Veterans Affairs health care, and for 

other purposes. 

IN THE HOUSE OF REPRESENTATIVES 

JUNE 8, 2018 

Mr. WENSTRUP introduced the following bill; which was referred to the 

Committee on Veterans’ Affairs 

NOVEMBER 16, 2018 

Reported with an amendment, committed to the Committee of the Whole 

House on the State of the Union, and ordered to be printed 

[Strike out all after the enacting clause and insert the part printed in italic] 

[For text of introduced bill, see copy of bill as introduced on June 8, 2018] 


pamtmann on DSKBFK8HB2PROD with BILLS
2 

•HR 6066 RH

A BILL 

To amend title 38, United States Code, to improve the 

productivity of the management of Department of Veterans Affairs health care, and for other purposes. 


pamtmann on DSKBFK8HB2PROD with BILLS
3 

•HR 6066 RH

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. DEPARTMENT OF VETERANS AFFAIRS HEALTH 

4 CARE PRODUCTIVITY IMPROVEMENT. 

5 (a) IN GENERAL.—Subchapter I of chapter 17 of title 

6 38, United States Code, is amended by inserting after sec7 tion 1705A the following new section: 

8 ‘‘§ 1705B. Management of health care: productivity 

9 ‘‘(a) RELATIVE VALUE UNIT TRACKING.—The Sec10 retary shall track relative value units for all Department 

11 providers. 

12 ‘‘(b) CLINICAL PROCEDURE CODING TRAINING.—If the 

13 coding accuracy of a Department provider within a clinical 

14 area of responsibility of the provider falls below the min15 imum threshold set by the Secretary, the Secretary shall re16 quire the Department provider to attend training on clin17 ical procedure coding. 

18 ‘‘(c) PERFORMANCE STANDARDS.—(1) The Secretary 

19 shall establish for each Department facility— 

20 ‘‘(A) in accordance with paragraph (2), stand21 ardized performance standards based on nationally 

22 recognized relative value unit production standards 

23 applicable to each specific profession in order to 

24 evaluate clinical productivity at the provider and fa25 cility level; 


pamtmann on DSKBFK8HB2PROD with BILLS
4 

•HR 6066 RH

1 ‘‘(B) remediation plans to address low clinical 

2 productivity and clinical inefficiency; and 

3 ‘‘(C) an ongoing process to systematically review 

4 the content, implementation, and outcome of the plans 

5 developed under subparagraph (B). 

6 ‘‘(2) In establishing the performance standards under 

7 paragraph (1)(A), the Secretary— 

8 ‘‘(A) may incorporate values-based productivity 

9 models and may incorporate other productivity meas10 ures and models determined appropriate by the Sec11 retary; and 

12 ‘‘(B) shall take into account non-clinical duties, 

13 including with respect to training and research; 

14 ‘‘(C) shall take into account factors that impede 

15 productivity and efficiency and, in developing reme16 diation plans under paragraph (1)(B), shall incor17 porate action plans to address such factors. 

18 ‘‘(d) DEFINITIONS.—In this section: 

19 ‘‘(1) The term ‘Department provider’ means an 

20 employee of the Department who has been appointed 

21 to the Veterans Health Administration as a physi22 cian, a dentist, an optometrist, a podiatrist, a chiro23 practor, an advanced practice registered nurse, or a 

24 physician’s assistant acting as an independent pro25 vider. 


pamtmann on DSKBFK8HB2PROD with BILLS
5 

•HR 6066 RH

1 ‘‘(2) The term ‘relative value unit’ means a unit 

2 for measuring workload by determining the time, 

3 mental effort and judgment, technical skill, physical 

4 effort, and stress involved in delivering a service.’’. 

5 (b) CLERICAL AMENDMENT.—The table of sections at 

6 the beginning of such chapter is amended by inserting after 

7 the item relating to section 1705A the following new item: 

‘‘1705B. Management of health care: productivity.’’. 

8 (c) REPORT.—Not later than one year after the date 

9 of the enactment of this Act, the Secretary of Veterans Af10 fairs shall submit to Congress a report on the implementa11 tion of section 1705B of title 38, United States Code, as 

12 added by subsection (a). Such report shall include, for each 

13 professional category of Department of Veterans Affairs 

14 providers, the relative value unit of such category of pro15 viders at the national, Veterans Integrated Service Network, 

16 and facility levels. 

17 (d) COMPREHENSIVE STAFFING MODELS.—Not later 

18 than one year after the date of the enactment of this Act, 

19 the Secretary of Veterans Affairs shall develop comprehen20 sive staffing models for all Department of Veterans Affairs 

21 medical centers. 


pamtmann on DSKBFK8HB2PROD with BILLS
Union Calendar No. 807 

115TH CONGRESS 

2D SESSION H. R. 6066 

[Report No. 115–1034] 

A BILL 

To amend title 38, United States Code, to improve 

other purposes. ment of Veterans Affairs health care, and for the productivity of the management of DepartNOVEMBER 16, 2018 

Reported with an amendment, committed to the Comand ordered to be printed mittee of the Whole House on the State of the Union, 


pamtmann on DSKBFK8HB2PROD with BILLS