I 
111TH CONGRESS 
1ST SESSION H. R. 4062 
To amend title 38, United States Code, to make certain improvements in 
the administration of medical facilities of the Department of Veterans 
Affairs, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
NOVEMBER 7, 2009 
Mr. ADLER of New Jersey (for himself, Mr. HALL of New York, Mr. FATTAH, 
Ms. SCHWARTZ, Mr. BRADY of Pennsylvania, Mr. SESTAK, and Mr. 
WALZ) introduced the following bill; which was referred to the Committee 
on Veterans’ Affairs 
A BILL 
To amend title 38, United States Code, to make certain 
improvements in the administration of medical facilities 
of the Department of Veterans Affairs, 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. SHORT TITLE. 
This Act may be cited as the ‘‘Veterans’ Health and 
Radiation Safety Act’’. 
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SEC. 2. ANNUAL REPORT ON LOW VOLUME PROGRAMS AT 
DEPARTMENT OF VETERANS AFFAIRS MED-
ICAL FACILITIES. 
(a) ANNUAL REPORT.—Subchapter II of chapter 73 
of title 38, United States Code, is amended by adding at 
the end the following new section: 
‘‘§ 7330B. Annual report on low volume programs 
‘‘(a) ANNUAL REPORT REQUIRED.—The Secretary 
shall submit to Congress an annual report on the low vol-
ume programs at each medical facility of the Department. 
Each such report shall contain the evaluation and the 
findings of the Secretary with respect to such programs. 
‘‘(b) LOW VOLUME PROGRAM DEFINED.—For pur-
poses of this section, the term ‘low volume program’ 
means a program that treats 100 patients or fewer during 
a calendar year.’’. 
(b) CLERICAL AMENDMENT.—The table of sections 
at the beginning of such chapter is amended by inserting 
after the item relating to section 7330A the following new 
item: 
‘‘7330B. Annual report on low volume programs.’’. 
SEC. 3. USE OF RADIOACTIVE ISOTOPES AT DEPARTMENT 
OF VETERANS AFFAIRS HOSPITALS. 
(a) IN GENERAL.—Subchapter II of chapter 73 of 
title 38, United States Code, as amended by section 1, 
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is further amended by adding at the end the following new 
section: 
‘‘§ 7330C. Use of radioactive isotopes 
‘‘(a) TRAINING REQUIRED.—The Secretary shall en-
sure that all employees, including employees employed 
under a contract entered into with a non-government enti-
ty, who are employed at a Department hospital where ra-
dioactive isotopes are used in the administration of med-
ical services receive appropriate training on what con-
stitutes a medical event and when and to whom a medical 
event should be reported. 
‘‘(b) FAILURE TO PROVIDE TRAINING.—If the Sec-
retary determines that any Department hospital has failed 
to provide the training required under subsection (a), the 
Secretary shall ensure that radioactive isotopes are not 
used at that hospital for such period as the Secretary de-
termines is appropriate.’’. 
(b) CLERICAL AMENDMENT.—The table of sections 
at the beginning of such chapter, as amended by section 
1, is further amended by inserting after the item relating 
to section 7330B the following new item: 
‘‘7330C. Use of radioactive isotopes.’’. 
SEC. 4. REQUIREMENTS RELATING TO CONTRACTS FOR 
THE PROVISION OF MEDICAL SERVICES. 
(a) EVALUATION OF CONTRACTORS.—The Secretary 
of Veterans Affairs shall carry out the following evalua-
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tions of all medical services provided pursuant to a con-
tract entered into by the Secretary with a non-government 
entity: 
(1) Weekly independent peer reviews of such 
services. 
(2) Written evaluations of the services carried 
out by the supervisor or manager of the employee 
providing the services. 
(3) Such other evaluations as the Secretary de-
termines are appropriate. 
(b) REQUIREMENTS RELATING TO EXTENSION OF 
CERTAIN CONTRACTS.—Before any contracting officer of 
the Department of Veterans Affairs may extend or renew 
any contract entered into by the Secretary of Veterans Af-
fairs and a non-government entity for the provision of 
medical services, the contracting officer shall review and 
take into consideration the results of the evaluations car-
ried out under subsection (a). 
Æ 
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