I 
116TH CONGRESS 
1ST SESSION H. R. 4858 
To require the Secretary of Veterans Affairs to enter into a contract or 
other agreement with a third party to review appointees in the Veterans 
Health Administration who had a license terminated for cause by a 
State licensing board for care or services rendered at a non-Veterans 
Health Administration facility and to provide individuals treated by such 
an appointee with notice if it is determined that an episode of care 
or services to which they received was below the standard of care, 
and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
OCTOBER 24, 2019 
Mr. NORMAN (for himself and Mr. HUDSON) introduced the following bill; 
which was referred to the Committee on Veterans’ Affairs 
A BILL 
To require the Secretary of Veterans Affairs to enter into 
a contract or other agreement with a third party to 
review appointees in the Veterans Health Administration 
who had a license terminated for cause by a State licens-
ing board for care or services rendered at a non-Veterans 
Health Administration facility and to provide individuals 
treated by such an appointee with notice if it is deter-
mined that an episode of care or services to which they 
received was below the standard of care, and for other 
purposes. 
VerDate Sep 11 2014 
04:03 Oct 30, 2019
Jkt 099200
PO 00000
Frm 00001
Fmt 6652
Sfmt 6652
E:\BILLS\H4858.IH
H4858
pamtmann on DSKBC07HB2PROD with BILLS
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 ‘‘Ensuring Quality Care 
for Our Veterans Act’’. 
SEC. 2. THIRD-PARTY REVIEW OF APPOINTEES IN VET-
ERANS HEALTH ADMINISTRATION WHO HAD 
A LICENSE TERMINATED FOR CAUSE AND NO-
TICE TO INDIVIDUALS TREATED BY THOSE 
APPOINTEES IF DETERMINED THAT AN EPI-
SODE OF CARE OR SERVICES TO WHICH THEY 
RECEIVED WAS BELOW THE STANDARD OF 
CARE. 
(a) THIRD-PARTY REVIEW.— 
(1) IN
GENERAL.—Not later than 180 days 
after the date of the enactment of this Act, the Sec-
retary of Veterans Affairs shall enter into a contract 
or other agreement with an organization that is not 
part of the Federal Government to conduct a clinical 
review for quality management of hospital care or 
medical services furnished by covered providers. 
(2) QUALIFICATIONS.—The Secretary shall en-
sure that each review of a covered provider under 
this subsection is performed by an individual who is 
VerDate Sep 11 2014 
05:17 Oct 31, 2019
Jkt 099200
PO 00000
Frm 00002
Fmt 6652
Sfmt 6201
E:\BILLS\H4858.IH
H4858
pamtmann on DSKBC07HB2PROD with BILLS
licensed in the same specialty as the covered pro-
vider. 
(b) NOTICE TO PATIENTS TREATED BY COVERED 
PROVIDERS.—With respect to hospital care or medical 
services furnished by a covered provider under the laws 
administered by the Secretary, if a clinical review for qual-
ity management under subsection (a) determines that the 
standard of care was not met during an episode of care, 
the Secretary shall notify the individual who received such 
care or services from the covered provider as described in 
applicable policy of the Veterans Heath Administration. 
(c) DEFINITIONS.—In this section: 
(1) COVERED PROVIDER.—The term ‘‘covered 
provider’’ means an individual who— 
(A) was appointed to the Veterans Health 
Administration under section 7401 of title 38, 
United States Code; and 
(B) had a license terminated for cause by 
a State licensing board for hospital care or 
medical services provided in a facility that is 
not a facility of the Veterans Health Adminis-
tration. 
(2) HOSPITAL CARE OR MEDICAL SERVICES.— 
The terms ‘‘hospital care’’ and ‘‘medical services’’ 
VerDate Sep 11 2014 
04:03 Oct 30, 2019
Jkt 099200
PO 00000
Frm 00003
Fmt 6652
Sfmt 6201
E:\BILLS\H4858.IH
H4858
pamtmann on DSKBC07HB2PROD with BILLS
have the meanings given those terms in section 1701 
of title 38, United States Code. 
Æ 
VerDate Sep 11 2014 
04:03 Oct 30, 2019
Jkt 099200
PO 00000
Frm 00004
Fmt 6652
Sfmt 6301
E:\BILLS\H4858.IH
H4858
pamtmann on DSKBC07HB2PROD with BILLS