I 114th CONGRESS 1st Session H. R. 1247 IN THE HOUSE OF REPRESENTATIVES March 4, 2015 Mr. Graves of Missouri (for himself and Ms. Schakowsky ) introduced the following bill; which was referred to the Committee on Veterans’ Affairs , and in addition to the Committee on Armed Services , for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned A BILL To revive and expand the Intermediate Care Technician Pilot Program of the Department of Veterans Affairs, and for other purposes.

1. Short title This Act may be cited as the Improving Veterans Access to Quality Care Act of 2015 . 2. Revival and expansion of Intermediate Care Technician Pilot Program of Department of Veterans Affairs (a) Revival The Secretary of Veterans Affairs shall revive the Intermediate Care Technician Pilot Program of the Department of Veterans Affairs that was carried out by the Secretary between January 2013 and February 2014. (b) Technicians (1) In general The Secretary shall expand the pilot program under subsection (a) to include not less than 250 intermediate care technicians who are participating in the pilot program. (2) Facilities (A) In general Any intermediate care technician hired pursuant to paragraph (1) may be assigned to a medical facility of the Department as determined by the Secretary for purposes of this section. (B) Priority In assigning intermediate care technicians under subparagraph (A), the Secretary shall give priority to facilities at which veterans have the longest wait times for appointments for the receipt of hospital care or medical services from the Department, as determined by the Secretary for purposes of this section. (c) Termination The Secretary shall carry out the pilot program under subsection (a) during the three-year period beginning on the date of the enactment of this Act. (d) Hospital care and medical services defined In this section, the terms hospital care and medical services have the meanings given such terms in section 1701 of title 38, United States Code. 3. Transfer of health care provider credentialing data from Secretary of Defense to Secretary of Veterans Affairs (a) In general In a case in which the Secretary of Veterans Affairs hires a covered health care provider, the Secretary of Defense shall, after receiving a request from the Secretary of Veterans Affairs for the credentialing data of the Secretary of Defense relating to such health care provider, transfer to the Secretary of Veterans Affairs such credentialing data. (b) Covered health care providers For purposes of this section, a covered provider is a health care provider who— (1) is or was employed by the Secretary of Defense; (2) provides or provided health care related services as part of such employment; and (3) was credentialed by the Secretary of Defense. (c) Policies and regulations The Secretary of Veterans Affairs and the Secretary of Defense shall establish such policies and promulgate such regulations as may be necessary to carry out this section. (d) Credentialing defined In this section, the term credentialing means the systematic process of screening and evaluating qualifications and other credentials, including licensure, required education, relevant training and experience, and current competence and health status. 4. Full practice authority of advanced practice registered nurses of Department of Veterans Affairs (a) In general Notwithstanding any provision of law of a State, the Secretary of Veterans Affairs may authorize a covered nurse to practice to the full scope of the nurse’s practice, as defined by the applicable national professional association, under a set of privileges approved by the Secretary, regardless of the State in which the covered nurse is employed by the Secretary. (b) Covered nurses For purposes of this section, a covered nurse is an advanced practice registered nurse who is employed by the Secretary of Veterans Affairs in any of the following specializations: (1) Nurse midwife. (2) Clinical nurse specialist. (3) Nurse practitioner. (4) Certified registered nurse anesthetist.