I 
115TH CONGRESS 
2D SESSION 
H. R. 6066 
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 
A BILL 
To amend title 38, United States Code, to improve the 
productivity of the management of Department of Vet-
erans Affairs health care, and for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. DEPARTMENT OF VETERANS AFFAIRS HEALTH 
CARE PRODUCTIVITY IMPROVEMENT. 
(a) IN GENERAL.—Subchapter I of chapter 17 of title 
38, United States Code, is amended by inserting after sec-
tion 1705A the following new section: 
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‘‘§ 1705B. Management of health care: productivity 
‘‘(a) RELATIVE VALUE UNIT TRACKING.—The Sec-
retary shall track relative value units for all Department 
providers. 
‘‘(b) CLINICAL PROCEDURE CODING TRAINING.— 
The Secretary shall require all Department providers to 
attend training on clinical procedure coding. 
‘‘(c) PERFORMANCE STANDARDS.—(1) The Secretary 
shall establish for each Department facility— 
‘‘(A) in accordance with paragraph (2), stand-
ardized performance standards based on nationally 
recognized relative value unit production standards 
applicable to each specific profession in order to 
evaluate clinical productivity at the provider and fa-
cility level; 
‘‘(B) remediation plans to address low clinical 
productivity and clinical inefficiency; and 
‘‘(C) an ongoing process to systematically re-
view the content, implementation, and outcome of 
the plans developed under subparagraph (B). 
‘‘(2) In establishing the performance standards under 
paragraph (1)(A), the Secretary may— 
‘‘(A) incorporate values-based productivity mod-
els; and 
‘‘(B) take into account non-clinical duties, in-
cluding with respect to training and research. 
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‘‘(d) DEFINITIONS.—In this section: 
‘‘(1) The term ‘Department provider’ means an 
employee of the Department whose primary respon-
sibilities include furnishing hospital care or medical 
services, including a physician, a dentist, an optom-
etrist, a podiatrist, a chiropractor, an advanced 
practice registered nurse, and a physician’s assistant 
acting as an independent provider. 
‘‘(2) The term ‘relative value unit’ means a unit 
for measuring workload by determining the time, 
mental effort and judgment, technical skill, physical 
effort, and stress involved in delivering a proce-
dure.’’. 
(b) CLERICAL AMENDMENT.—The table of sections 
at the beginning of such chapter is amended by inserting 
after the item relating to section 1705A the following new 
item: 
‘‘1705B. Management of health care: productivity.’’. 
(c) REPORT.—Not later than one year after the date 
of the enactment of this Act, the Secretary of Veterans 
Affairs shall submit to Congress a report on the implemen-
tation of section 1705B of title 38, United States Code, 
as added by subsection (a). Such report shall include, for 
each professional category of Department of Veterans Af-
fairs providers, the relative value unit of such category of 
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providers at the national, Veterans Integrated Service 
Network, and facility levels. 
Æ 
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