,i  #aae? ,,congress  #a/ ,session  ,h4 
,r4 #djei  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,octob] #ab1          
#bjag,mrs4 ,mc,morris ,rodg]s 7= h]self1
 ,mr4 ,roe ( ,t5nessee1 & ,mr4 ,poliqu97
 introduc$ ! foll[+ bill2 :i* 0 ref]r$  
to ! ,committee on ,vet]ans' ,affairs   
,a ,,bill  ,to am5d title #ch1 ,unit$   
,/ates ,code1 to ensure t physicians ( !
 ,dep>tm5t ( ,vet]ans ,affairs fulfill !
 e?ical duty to report to ,/ate lic5s+  
au?orities impair$1 incompet5t1 &       
une?ical heal? c>e activities4  #a4     
,%ort title ,?is ,act may be cit$ z !   
,e?ical ,pati5t ,c>e = ,vet]ans ,act (  
#bjag4  #b4 ,duty to report impair$1    
incompet5t1 & une?ical heal? c>e        
activities  7a7 ,9 g5]al ,sub*apt] ,,ii 
( *apt] #gd ( title #ch1 ,unit$ ,/ates  
,code1 is am5d$ by add+ at ! end !      
foll[+ new section3  #gccj;,c4 ,duty to 
report impair$1 incompet5t1 & une?ical  
heal? c>e activities  7a7 ,report+ to   
,/ate lic5s+ au?ority ,9 addition to    
confid5tial report+ "u !                

quality-assurance program pursuant to   
section #gcaa7;b77#d7 ( ?is title & any 
o!r report+ au?oriz$ or requir$ by !    
,secret>y1 ! ,secret>y %all ensure t ea*
 physician ( ! ,dep>tm5t is in=m$ ( !   
duty ( ! physician to report directly   
any cov]$ activity committ$ by ano!r    
physician t ! physician witnesses or    
o!rwise directly discov]s to !          
applicable lic5s+ au?ority ( ea* ,/ate 9
 :i* ! physician :o is ! subject ( !    
report is lic5s$ to practice m$ic9e4    
7b7 ,tim+ ( report+ ,ea* physician ( !  
,dep>tm5t %all make a direct report to !
 ,/ate lic5s+ au?ority ( a cov]$        
activity "u subsection 7a7 n lat] ?an   
five days aft] ! date on :i* ! physician
 witnesses or o!rwise directly discov]s 
! cov]$ activity4  7c7 ,def9itions ,9   
?is section3 7#a7 ,! t]m cov]$ activity 
means any activity occurr+ 9 a m$ical   
facility ( ! ,dep>tm5t t consi/s ( or   
causes ! provision ( impair$1           
incompet5t1 or une?ical heal? c>e t     
requires direct report+ "u op9ion numb] 

#i4jca ( ! ,code ( ,m$ical ,e?ics ( !   
,am]ican ,m$ical ,association4  7#b7 ,! 
t]m physician ( ! ,dep>tm5t includes any
 contractor :o is a physician at a      
m$ical facility ( ! ,dep>tm5t4  4  7b7  
,cl]ical am5dm5t ,! table ( sections at 
! beg9n+ ( su* *apt] is am5d$ by ins]t+ 
aft] ! item relat+ to section #gccj;,b !
 foll[+ new item3  #gccj;,c4 ,duty to   
report impair$1 incompet5t1 & une?ical  
heal? c>e activities4  4  7c7 ,con=m+   
am5dm5t ,section #gdfb7;a77#a77;,a7 (   
su* title is am5d$ by ins]t+ be=e !     
semicolon ! foll[+3 1 includ+ pursuant  
to section #gccj;,c7c7 ( ?is title4