,,ii  #aad? ,,congress  #a/ ,session    
,s4 #bbgi  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,novemb] #aj1 #bjae    
,mr4 ,m]kley 7= himself1 ,mr4 ,r\nds1   
,mr4 ,tillis1 ,mrs4 ,%ahe51 ,mr4 ,w>n]1 
,mr4 ,br[n1 ,mr4 ,wyd51 & ,mr4 ,te/]7   
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,vet]ans' ,affairs  ,a ,,bill  ,to      
require ! ,secret>y ( ,vet]ans ,affairs 
to c>ry out a program to increase       
effici5cy 9 ! recruitm5t & hir+ by !    
,dep>tm5t ( ,vet]ans ,affairs ( heal?   
c>e work]s t are und]go+ sep>ation f !  
,arm$ ,=ces1 to create uni=m cr$5tial+  
/&>ds = c]ta9 heal? c>e pr(essionals ( !
 ,dep>tm5t1 & = o!r purposes4  #a4 ,%ort
 title  ,?is ,act may be cit$ z !       
,vet]ans ,heal? ,c>e ,/aff+ ,improvem5t 
,act4  #b4 ,program to increase         
effici5cy 9 ! recruitm5t & hir+ by !    
,dep>tm5t ( ,vet]ans ,affairs ( heal?   
c>e work]s und]go+ sep>ation f ! ,arm$  
,=ces  7a7 ,program ,! ,secret>y (      
,vet]ans ,affairs %all1 9 coord9ation ) 

! ,secret>y ( ,def5se1 c>ry out a       
program to recruit individuals :o are   
und]go+ sep>ation f ! ,arm$ ,=ces & :o  
s]v$ 9 a heal? c>e capacity :ile s]v+ z 
a memb] ( ! ,arm$ ,=ces4 ,! program %all
 be kn[n z ! ,docs-to-,doctors ,program4
  7b7 ,%>+ ( in=mation  7#a7 ,submittal 
( li/ ,= purposes ( c>ry+ out ! program1
 n less frequ5tly ?an once p] ye> 7or a 
%ort] p]iod t ! ,secret>y ( ,vet]ans    
,affairs & ! ,secret>y ( ,def5se may    
jo9tly specify71 ! ,secret>y ( ,def5se  
%all submit to ! ,secret>y ( ,vet]ans   
,affairs a li/ ( memb]s ( ! ,arm$ ,=ces1
 includ+ ! res]ve compon5ts1 :o--  7,a7 
s]v$ 9 a heal? c>e capacity :ile s]v+ z 
a memb] ( ! ,arm$ ,=ces2  7,b7 are      
und]go+ or h und]gone sep>ation f !     
,arm$ ,=ces dur+ ! p]iod cov]$ by ! li/2
 &  7,c7 w be dis*>g$ f ! ,arm$ ,=ces "u
 honorable conditions1 z det]m9$ by !   
,secret>y ( ,def5se1 or h be5 dis*>g$ f 
! ,arm$ ,=ces "u honorable conditions   
dur+ ! p]iod cov]$ by ! li/4  7#b7 ,use 
( occupational codes ,ea* li/ submitt$  

"u p>agraph 7#a7 %all include memb]s ( !
 ,arm$ ,=ces :o 7 assign$ a ,milit>y    
,occupational ,specialty code1 an ,air  
,=ce ,specialty ,code1 or a ,unit$      
,/ates ,navy rat+ indicative ( s]vice 9 
a heal? c>e capacity4  7#c7 ,in=mation  
includ$ ,ea* li/ submitt$ "u p>agraph   
7#a7 %all include ! foll[+ in=mation1 to
 ! ext5t su* in=mation is available to !
 ,secret>y ( ,def5se1 ) respect to ea*  
memb] ( ! ,arm$ ,=ces includ$ 9 su* li/3
  7,a7 ,contact in=mation4  7,b7 ,rank  
^u sep>ation f ! ,arm$ ,=ces4  7,c7 ,a  
description ( heal? c>e exp]i5ce :ile   
s]v+ z a memb] ( ! ,arm$ ,=ces & o!r    
relevant heal? c>e exp]i5ce1 includ+ any
 relevant cr$5tial1 su* z a c]tificate1 
c]tification1 or lic5se1 includ+ ! "n ( 
! in/itution or organization t issu$ !  
cr$5tial4  7#d7 ,consultation )         
,secret>y ( ,homel& ,security ,9        
submitt+ ea* li/ "u p>agraph 7#a71 !    
,secret>y ( ,def5se %all consult ) !    
,secret>y ( ,homel& ,security ) respect 
to matt]s conc]n+ ! ,coa/ ,gu>d :5 x is 

n op]at+ z a s]vice 9 ! ,navy4  7c7     
,resolution ( b>ri]s to employm5t  7#a7 
,9 g5]al ,9 c>ry+ out ! program1 !      
,secret>y ( ,vet]ans ,affairs %all1 9   
coord9ation ) ! ,secret>y ( ,def5se1 "w 
to resolve any b>ri]s relat+ to         
cr$5tial+ or to specific hir+ rules1    
proc$ures1 & processes ( ! ,dep>tm5t (  
,vet]ans ,affairs t may delay or prev5t 
! hir+ ( individuals :o are und]go+     
sep>ation f ! ,arm$ ,=ces & :o s]v$ 9 a 
heal? c>e capacity :ile s]v+ z a memb] (
 ! ,arm$ ,=ces1 includ+ by reconcil+    
diff]5t cr$5tial+ processes & /&>ds     
betwe5 ! ,dep>tm5t ( ,vet]ans ,affairs &
 ! ,dep>tm5t ( ,def5se4  7#b7 ,report   
,if ! ,secret>y ( ,vet]ans ,affairs     
det]m9es t a b>ri] describ$ 9 p>agraph  
7#a7 _c be resolv$ "u su* p>agraph1 !   
,secret>y %all1 n lat] ?an #ij days aft]
 ! discov]y ( ! b>ri]1 submit to        
,congress a report t includes su*       
recomm5dations = legislative &          
adm9i/rative action z ! ,secret>y       
consid]s appropriate to resolve ! b>ri]1

 includ+ any b>ri] impos$ by a ,/ate4   
7d7 ,treatm5t ( applications = employm5t
 ,an application = employm5t 9 !        
,dep>tm5t ( ,vet]ans ,affairs 9 a heal? 
c>e capacity receiv$ by ! ,secret>y (   
,vet]ans ,affairs f a memb] or =m] memb]
 ( ! ,arm$ ,=ces :o is on a li/ submitt$
 to ! ,secret>y "u subsection 7b7 %all n
 be consid]$ an application f outside ! 
"w =ce ( ! ,dep>tm5t = purposes (       
section #cccj ( title #e1 ,unit$ ,/ates 
,code1 & section #cce4aje ( title #e1   
,code ( ,f$]al ,regulations 7z 9 effect 
on ! date ( ! enactm5t ( ?is ,act71 if !
 application is receiv$ n lat] ?an "o   
ye> aft] ! sep>ation ( ! memb] or =m]   
memb] f ! ,arm$ ,=ces4  #c4 ,uni=m      
cr$5tial+ /&>ds = c]ta9 heal? c>e       
pr(essionals ( ! ,dep>tm5t ( ,vet]ans   
,affairs  7a7 ,9 g5]al ,sub*apt] ,,ii ( 
*apt] #gd ( title #ch1 ,unit$ ,/ates    
,code1 is am5d$ by ins]t+ aft] section  
#gdbc ! foll[+ new section3  #gdbc;,a4  
,p]sonnel adm9i/ration3 uni=m cr$5tial+ 
process  7a7 ,uni=m process ,! ,secret>y

 %all implem5t a uni=m cr$5tial+ process
 = employees ( ! ,vet]ans ,heal?        
,adm9i/ration = ea* position specifi$ 9 
section #gdba7;b7 ( ?is title4  7b7     
,recognition ?r\gh\t ,adm9i/ration ,if  
an employee ( ! ,adm9i/ration 9 a       
position specifi$ 9 section #gdba7;b7 ( 
?is title is cr$5tial$ "u ?is section = 
purposes ( practic+ 9 a location )9 !   
,adm9i/ration1 su* cr$5tial %all be     
deem$ to be suffici5t = ! employee to   
practice 9 any location )9 !            
,adm9i/ration4  7c7 ,r5ewal  7#a7       
,except z provid$ 9 p>agraph 7#b71 !    
,secret>y may provide = ! r5ewal (      
cr$5tials "u ?is section pursuant to su*
 regulations z ! ,secret>y may prescribe
 = su* purpose4  7#b7 ,r5ewal (         
cr$5tials "u ?is section may n be       
requir$ solely because an employee moves
 f "o facility ( ! ,dep>tm5t to ano!r4  
4  7b7 ,cl]ical am5dm5t ,! table (      
sections at ! beg9n+ ( *apt] #gd ( su*  
title is am5d$ by ins]t+ aft] ! item    
relat+ to section #gdbc ! foll[+ new    

item3  #gdbc;,a4 ,p]sonnel adm9i/ration3
 uni=m cr$5tial+ process4  4  7c7       
,effective date ,! ,secret>y ( ,vet]ans 
,affairs %all implem5t ! uni=m cr$5tial+
 process requir$ "u section #gdbc;,a (  
su* title1 z add$ by subsection 7a71 n  
lat] ?an "o ye> aft] ! date ( ! enactm5t
 ( ?is ,act4  #d4 ,provision ( full     
practice au?ority = advanc$ practice    
regi/]$ nurses1 physician assi/ants1 &  
o!r heal? c>e pr(essionals ( ! ,dep>tm5t
 ( ,vet]ans ,affairs  7a7 ,full practice
 au?ority ,! ,secret>y ( ,vet]ans       
,affairs %all provide full practice     
au?ority to advanc$ practice regi/]$    
nurses1 physician assi/ants1 & su* o!r  
lic5s$ heal? c>e pr(essionals ( !       
,dep>tm5t ( ,vet]ans ,affairs z !       
,secret>y consid]s appropriate consi/5t 
) ! education1 tra9+1 & c]tification (  
su* heal? c>e pr(essionals4  7b7        
,inapplicability ( ,/ate limitations    
,full practice au?ority %all be provid$ 
by ! ,secret>y "u subsection 7a7 to     
heal? c>e pr(essionals describ$ 9 t     

subsection )\t reg>d to any limitation t
 w\ld o!rwise be impos$ on ! heal? c>e  
practice ( su* pr(essionals by a lic5s+ 
or cr$5tial+ body ( a ,/ate or o!rwise  
"u ,/ate law4  7c7 ,def9itions ,9 ?is   
section3 7#a7 ,advanc$ practice regi/]$ 
nurse ,! t]m advanc$ practice regi/]$   
nurse has ! mean+ giv5 t t]m 9 section  
#eeji7;e77#a7 ( ,public ,law #aaa-adh   
7#db ,u4,s4,c4 #acieww note74  7#b7     
,full practice au?ority ,! t]m full     
practice au?ority means-- 7,a7 ) respect
 to an advanc$ practice regi/]$ nurse1 !
 full scope ( practice = ! area ( nurs+ 
practic$ by ! advanc$ practice regi/]$  
nurse z det]m9$ by ! national           
pr(essional association or organization1
 a successor association or             
organization1 or any o!r appropriate    
entity z det]m9$ by ! ,secret>y = su*   
area ( nurs+2  7,b7 ) respect to a      
physician assi/ant1 ! full scope (      
practice = ! area ( m$ic9e practic$ by !
 physician assi/ant z det]m9$ by !      
national pr(essional association or     

organization1 a successor association or
 organization1 or any o!r appropriate   
entity z det]m9$ by ! ,secret>y = su*   
area ( m$ic9e2 &  7,c7 ) respect to any 
o!r lic5s$ heal? c>e pr(essional n      
specifi$ 9 subp>agraph 7,a7 or 7,b71 !  
full scope ( practice = ! area ( m$ic9e 
practic$ by ! lic5s$ heal? c>e          
pr(essional z det]m9$ by ! national     
pr(essional association or organization1
 a successor association or             
organization1 or any o!r appropriate    
entity z det]m9$ by ! ,secret>y = su*   
area ( m$ic9e4  7#c7 ,physician assi/ant
 ,! t]m physician assi/ant has ! mean+  
giv5 t t]m 9 section #ahfa7;aa77#e77;,a7
 ( ! ,social ,security ,act 7#db        
,u4,s4,c4 #aciex7aa77#e77;,a774