I 
119TH CONGRESS 
1ST SESSION H. R. 6519 
To amend title 38, United States Code, to eliminate conflicts of interest 
in conduct of quality management and administrative investigations by 
the Veterans Health Administration, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
DECEMBER 9, 2025 
Mrs. DINGELL (for herself and Mr. BERGMAN) introduced the following bill; 
which was referred to the Committee on Veterans’ Affairs 
A BILL 
To amend title 38, United States Code, to eliminate conflicts 
of interest in conduct of quality management and admin-
istrative investigations by the Veterans Health Adminis-
tration, 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 Affairs Peer 
Review Neutrality Act of 2025’’. 
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SEC. 2. ELIMINATION OF CONFLICTS OF INTEREST IN PEER 
REVIEW, 
ADMINISTRATIVE 
INVESTIGATION 
BOARDS, AND FACTFINDINGS OF VETERANS 
HEALTH ADMINISTRATION. 
(a) IN GENERAL.—Subchapter II of chapter 73 of 
title 38, United States Code, is amended by inserting after 
section 7311A the following new section: 
‘‘§ 7311B. Elimination of conflicts of interest in peer 
review, 
administrative 
investigation 
boards, and factfindings of Veterans 
Health Administration 
‘‘(a) PEER REVIEW.— 
‘‘(1) IN GENERAL.—Each individual responsible 
for conducting peer review for quality management 
of care provided by a health care provider at a med-
ical facility of the Department and each member of 
a peer review committee with respect to quality man-
agement of such care shall withdraw from participa-
tion in a case review if— 
‘‘(A) the individual has direct involvement 
with the care under review; or 
‘‘(B) the individual is unable to conduct an 
objective, impartial, accurate, and informed re-
view. 
‘‘(2) NEUTRAL ASSESSMENT OF CONDUCT OF 
COMMITTEE MEMBERS.—Each medical facility of the 
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Department shall develop procedures and guidelines 
for that facility to require that any initial peer re-
view for quality management that is conducted with 
respect to care provided by a health care provider 
who is a member of the peer review committee for 
that facility be evaluated, discussed, and assigned a 
final level review by a neutral peer review committee 
at another facility of the Department. 
‘‘(b) ADMINISTRATIVE INVESTIGATION BOARDS AND 
FACTFINDINGS.— 
‘‘(1) KNOWLEDGE OF CONFIDENTIAL INFORMA-
TION.—Individuals with knowledge of confidential 
quality assurance information specific to a matter 
under investigation by an administrative investiga-
tion board or factfinder with respect to quality man-
agement of care provided by a health care provider 
at a medical facility of the Department may not— 
‘‘(A) serve on the administrative investiga-
tion board or as a factfinder; or 
‘‘(B) disclose such information to an ad-
ministrative investigation board or a factfinder. 
‘‘(2) PERSONAL INTEREST, INVOLVEMENT, OR 
RELATIONSHIP.— 
‘‘(A) IN
GENERAL.—The Secretary shall 
ensure that each member of an administrative 
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investigative board or factfinder does not 
have— 
‘‘(i) any personal interest or other 
bias concerning the investigation being 
conducted; 
‘‘(ii) direct involvement in matters 
being investigated; or 
‘‘(iii) a supervisory or personal rela-
tionship with the subject of the investiga-
tion. 
‘‘(B) RECUSAL.—If a potential member of 
an 
administrative 
investigative 
board 
or 
factfinder has a personal interest or other bias 
concerning the investigation being conducted, 
direct involvement in matters being inves-
tigated, or a supervisory or personal relation-
ship with the subject of the investigation, the 
potential member shall inform the authority re-
sponsible for the investigation and recuse them-
selves from such matter.’’. 
(b) CLERICAL AMENDMENT.—The table of sections 
at the beginning of such subchapter is amended by insert-
ing after the item relating to section 7311A the following 
new item: 
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‘‘7311B. Elimination of conflicts of interest in peer review, administrative inves-
tigation boards, and factfindings of Veterans Health Adminis-
tration.’’. 
Æ 
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