,i  #aah? ,,congress  #b;d ,session  ,h4
 ,r4 #ajadb  ,,9 ,,! ,,h\se ,,(         
,,repres5tatives  ,novemb] #ae1         
#bjbd,mr4 ,h>d] ( ,cali=nia introduc$ ! 
foll[+ bill2 :i* 0 ref]r$ to !          
,committee on ,vet]ans' ,affairs  ,a    
,,bill  ,to improve ! work=ce ( !       
,dep>tm5t ( ,vet]ans ,affairs1 & = o!r  
purposes4  #a4 ,%ort title2 table (     
cont5ts ,?is ,act may be cit$ z !       
,dep>tm5t ( ,vet]ans ,affairs           
,comp5sation ,optimization &            
,mod]nization = ,physicians to ,ensure  
,treatm5t ,excell5ce & ,s]vice ,act or !
 ,,va ,,competes ,act4  #b4             
,modification ( pay limitation =        
physicians1 podiatri/s1 optometri/s1 &  
d5ti/s ( ,dep>tm5t ( ,vet]ans ,affairs  
7a7 ,m>ket pay  7#a7 ,9 g5]al ,section  
#gdca ( title #ch1 ,unit$ ,/ates ,code1 
is am5d$-- 7,a7 by /rik+ subsections    
7a71 7b71 & 7d72  7,b7 by r$esignat+    
subsections 7c71 7e71 7f71 7g71 & 7h7 z 
subsections 7a71 7b71 7c71 7d71 & 7e71  
respectively2  7,c7 by ins]t+           

optometri/s1 aft] podiatri/s1 ea* place 
x appe>s2  7,d7 by ins]t+ optometri/1   
aft] podiatri/1 ea* place x appe>s2     
7,e7 9 subsection 7a71 z s r$esignat$-- 
7i7 by /rik+ ! matt] prec$+ p>agraph    
7#a7 & ins]t+ ,pay ( physicians1        
podiatri/s1 optometri/s1 & d5ti/s 9 !   
,vet]ans ,heal? ,adm9i/ration %all      
consi/ ( m>ket pay1 :i* %all meet !     
foll[+ requirem5ts32  7ii7 9 p>agraph   
7#d7-- 7,i7 9 subp>agraph 7,e71 by /rik+
 & at ! end2  7,,ii7 by r$esignat+      
subp>agraph 7,f7 z subp>agraph 7,i72 &  
7,,iii7 by ins]t+ aft] subp>agraph 7,e7 
! foll[+ new subp>agraphs3  7,f7 !      
p]=mance ( ! physician1 podiatri/1      
optometri/1 or d5ti/ bas$ on specific   
crit]ia prescrib$ by ! ,secret>y1       
includ+ ! p>amet]s to det]m9e ! relevant
 timeframe ( p]=mance2  7,g7 ! annual   
pay adju/m5ts "u section #ecjc ( title  
#e2  7,h7 ! non=eign co/ ( liv+ adju/m5t
 all[ance au?oriz$ "u section #eida (   
title #e2 &  2  7iii7 9 p>agraph 7#e71  
by add+ at ! end ! foll[+ new s5t5ce3   

,su* a notice %all include a /atem5t (  
:e!r ! m>ket pay w increase1 decrease1  
or rema9 un*ang$ foll[+ su* evaluation42
 &  7iv7 by add+ at ! end ! foll[+ new  
p>agraphs3  7#g7 ,! ,secret>y %all      
ensure t ea* physician1 podiatri/1      
optometri/1 & d5ti/ 9 ! ,vet]ans ,heal? 
,adm9i/ration is-- 7,a7 advis$1 on an   
annual basis1 ( ! crit]ia ref]r$ to 9   
p>agraph 7#d77;,f72  7,b7 evaluat$ 9    
accordance ) su* crit]ia2 &  7,c7       
comp5sat$ 9 accordance )-- 7i7          
applicable assignm5t & pay levels1      
subject to relevant pay limitations2 &  
7ii7 ! ext5t to :i* su* crit]ia are met4
  7#h7 ,n lat] ?an #abj days aft] ! la/ 
day ( ea* fiscal ye>1 ! ,secret>y %all  
submit to ! ,committees on ,vet]ans'    
,affairs ( ! ,s5ate & ! ,h\se (         
,repres5tatives a report cov]+ t fiscal 
ye> t includes ! foll[+3 7,a7 ,a li/ (  
ea* m$ical specialty cl9ic t conduct$ an
 evaluation ( m>ket pay dur+ ! fiscal   
ye> cov]$ by ! report4  7,b7 ,= ea*     
evaluation describ$ 9 subp>agraph 7,a7--

 7i7 a li/ ( occupations = :i* pay 0    
evaluat$1 disaggregat$ by m$ical        
specialty1 numb] ( au?oriz$ full-"t     
employees1 & onsite full-"t employees z 
( ! date ( ! evaluation2  7ii7 ! date   
su* evaluation 0 complet$2  7iii7 :e!r a
 m>ket pay adju/m5t 0 made foll[+ !     
evaluation p] ea* occupation & specialty
 evaluat$2  7iv7 :e!r applicable        
employees 7 notifi$ ( su* evaluation2   
7v7 :e!r local labor p>tn]s 7 notifi$ ( 
su* evaluation2 &  7vi7 9 ! case ( an   
evaluation t result$ 9 an adju/m5t (    
pay-- 7,i7 ! date su* adju/m5t-- 7aa7 0 
implem5t$2 &  7bb7 became effective2 &  
7,,ii7 ! p]c5tage ( employees ( ea*     
occupation & specialty = :i* pay 0      
adju/$ pursuant to su* evaluation4  7,c7
 ,a li/ ( facilities ( ! ,dep>tm5t t did
 n conduct an evaluation ( m>ket pay1   
pursuant to p>agraph 7#e71 dur+ ! fiscal
 ye> cov]$ by ! report4  2  7,f7 9      
subsection 7b71 z s r$esignat$-- 7i7 9 !
 head+1 by /rik+ total & ins]t+ m>ket2  
7ii7 9 p>agraph 7#a77;,a7-- 7,i7 by     

/rik+ annual ea* place x appe>s & ins]t+
 m>ket2 &  7,,ii7 by ins]t+ 1           
optometri/s1 aft] podiatri/s2  7iii7 by 
/rik+ p>agraphs 7#b7 & 7#c72  7iv7 by   
r$esignat+ p>agraph 7#d7 z p>agraph     
7#b72  7v7 9 p>agraph 7#b71 z s         
r$esignat$-- 7,i7 by /rik+ ,except z    
provid$ 9 sections #gdjd;,a7c7 &        
#gdaj7;a77#b7 ( ?is title1 9 no case may
 ! total am\nt ( comp5sation & ins]t+ ,!
 total am\nt ( m>ket pay "u subsection  
7a72 &  7,,ii7 by ins]t+ n be=e exce$2 &
  7vi7 by add+ at ! end ! foll[+ new    
p>agraphs3  7#c7 ,not)/&+ any           
comp5sation or pay limitations "u ?is   
title or title #e1 ! ,secret>y may      
au?orize ! ,"u ,secret>y = ,heal? to pay
 physicians1 podiatri/s1 optometri/s1 & 
d5ti/s-- 7,a7 aw>ds au?oriz$ "u ?is     
title2  7,b7 advance paym5ts1 recruitm5t
 or relocation bonuses1 & ret5tion      
all[ances au?oriz$ "u section #gdaj7;a7 
( ?is title or z o!rwise provid$ by law2
  7,c7 inc5tives or bonuses "u section  
#gjf ( ?is title or z o!rwise provid$ by

 law2 &  7,d7 e>n+s f fee-basis         
appo9tm5ts "u section #gdje7;a77#b7 (   
?is title4  7#d7 7,a7 ,! ,secret>y may  
waive any pay limitation describ$ 9 ?is 
section 7includ+ ti] limitations7 z !   
,secret>y det]m9es necess>y = !         
recruitm5t or ret5tion ( critical heal? 
c>e p]sonnel t ! ,secret>y det]m9es w\ld
 provide direct pati5t c>e4  7,b7       
,priority = su* waiv]s %all be giv5 =   
positions1 locations1 & c>e provid$     
?r\gh contracts at a high co/ to !      
,dep>tm5t4  7,c7 ,dur+ ! p]iod !        
au?ority "u subp>agraph 7,a7 is         
effective1 ! ,secret>y may n issue m ?an
 #cjj waiv]s "u su* subp>agraph4  7,d7  
,! ,secret>y may prescribe requirem5ts1 
limitations1 & o!r consid]ations =      
waiv]s "u su* subp>agraph4  7,e7 ,n lat]
 ?an #ahj days aft] ! date ( enactm5t ( 
! ,,va ,,competes ,act1 & annually      
!reaft]1 ! ,secret>y %all submit to !   
,committees on ,vet]ans' ,affairs ( !   
,s5ate & ! ,h\se ( ,repres5tatives a    
report t includes-- 7i7 any updates to !

 requirem5ts1 limitations1 &            
consid]ations prescrib$ "u subp>agraph  
7,b7 dur+ ! p]iod cov]$ by ! report2    
7ii7 a description ( ! f9d+s ( ea*      
review1 if any1 conduct$ pursuant to    
subp>agraph 7,g72  7iii7 a description (
 ea* waiv] "u subp>agraph 7,a7 9 effect 
z ( ! date ( ! submission ( ! report1   
includ+ !-- 7,i7 duty location1         
position1 specialty1 m>ket1 & p]=mance  
consid]ations = ! waiv]2 &  7,,ii7      
impact1 if any1 ( ! waiv] on contract$  
c>e pur*as$ by ! ,dep>tm5t = ! region2 &
  7iv7 a li/ ( any sep>ation actions    
dur+ ! p]iod cov]$ by ! report ) respect
 to a position = :i* a waiv] "u         
subp>agraph 7,a7 is 9 effect4  7,f7 ,!  
au?ority ( ! ,secret>y "u subp>agraph   
7,a7 %all t]m9ate on ! date t is five   
ye>s aft] ! date ( enactm5t ( ! ,,va    
,,competes ,act4  7,g7 ,! ,*ief ,human  
,capital ,(fic] ( ! ,dep>tm5t1 ! ,*ief  
,f9ancial ,(fic] ( ! ,dep>tm5t1 & !     
,(fice ( ! ,g5]al ,c\nsel ( ! ,dep>tm5t 
%all review any waiv] issu$ pursuant to 

subp>agraph 7,a742  2  7,g7 9 subsection
 7c71 z s r$esignat$1 by /rik+          
subsections 7a7 & 7b7 ( &2  7,h7 9      
subsection 7d71 z s r$esignat$-- 7i7 9  
p>agraph 7#a71 by /rik+ subsection 7c7 &
 ins]t+ subsection 7a72 &  7ii7 by add+ 
at ! end ! foll[+ new p>agraph3  7#c7   
,an individual receiv+ m>ket pay "u     
subsection 7a7 may n receive an adju/m5t
 or a non=eign co/ ( liv+ all[ance "u   
sections #ecjc or #eida ( title #e4  2 &
  7,i7 9 subsection 7e71 z s r$esignat$1
 by /rik+ subsection 7c71 7d71 or 7e7   
except = ! responsibilities ( !         
,secret>y "u subsection 7e77#a7 & ins]t+
 subsection 7a7 or 7b7 except = !       
responsibilities ( ! ,secret>y "u       
subsection 7b77#a74  7#b7 ,report on    
waiv] au?ority ,n lat] ?an #ahj days    
aft] ! date ( enactm5t ( ?is ,act1 !    
,secret>y ( ,vet]ans ,affairs %all      
submit to ! ,committees on ,vet]ans'    
,affairs ( ! ,s5ate & ! ,h\se (         
,repres5tatives a report t includes a   
description ( ! requirem5ts1            

limitations1 & o!r consid]ations        
prescrib$ "u section #gdca7;b77#d77;,b7 
( title #ch1 ,unit$ ,/ates ,code1 z add$
 by p>agraph 7#a74  7#c7 ,con=m+        
am5dm5ts  7,a7 ,inc5tives = recruitm5t  
,section #gjf7;d77#f7 ( title #ch1      
,unit$ ,/ates ,code1 is am5d$ by /rik+  
total am\nt ( comp5sation "u section    
#gdca7;e77#d7 & ins]t+ total am\nt (    
m>ket pay "u section #gdca4  7,b7 ,aw>ds
 ,section #gdjd;,a7c7 ( su* title is    
am5d$ by /rik+ ! limitation "u section  
#gdca7;e77#d7 & ins]t+ a limitation "u  
section #gdca4  7,c7 ,additional pay    
au?orities ,section #gdaj7;a77#b7 ( su* 
title is am5d$ by /rik+ ! limitation "u 
section #gdca7;e77#d7 & ins]t+ a        
limitation "u section #gdca4  7,d7 ,pay 
( ,"u ,secret>y = ,heal? ,section       
#gdcb7;b77#a7 ( su* title is am5d$-- 7i7
 by ins]t+ 1 podiatri/1 optometri/1 aft]
 physician2  7ii7 by /rik+ ! m>ket pay  
elem5t ( pay ( physicians & d5ti/s &    
ins]t+ m>ket pay2 &  7iii7 by /rik+     
#gdca7;c7 & ins]t+ #gdca4  7,e7         

,adm9i/rative matt]s ,section #gdcc (   
su* title is am5d$ by ins]t+            
optometri/s1 aft] physicians1 ea* place 
x appe>s4  7,f7 ,competitive pay        
,section #gdea7;a77#b77;,c7 ( su* title 
is am5d$ by ins]t+ optometri/1 aft]     
physician14  7,g7 ,comp5sation &        
pr(essional /&>ds = c]ta9 m$ical (fic]s 
,section #bg7;b7 ( ! ,c5tral            
,intellig5ce ,ag5cy ,act ( #aidi 7#ej   
,u4,s4,c4 #cebh7;b77 is am5d$ by /rik+  
section #gdca7;e77#a77;,c7 & ins]t+     
section #gdca7;b77#a77;,c74  7#d7       
,cl]ical am5dm5ts  7,a7 ,section head+  
7i7 ,9 g5]al ,! head+ = section #gdca ( 
title #ch1 ,unit$ ,/ates ,code is am5d$ 
to read z foll[s3  #gdca4 ,m>ket pay  4 
7ii7 ,table ( sections ,! table (       
sections at ! beg9n+ ( sub*apt] ,,iii ( 
*apt] #gd ( title #ch1 ,unit$ ,/ates    
,code1 is am5d$ by /rik+ ! item relat+  
to section #gdca & ins]t+ ! foll[+ new  
item3  #gdca4 ,m>ket pay4  4  7,b7      
,sub*apt] head+  7i7 ,9 g5]al ,! head+ =
 sub*apt] ,,iii ( *apt] #gd ( su* title 

is am5d$ to read z foll[s3  ,,iii ,pay =
 ,physicians1 ,podiatri/s1 ,optometri/s1
 & ,d5ti/s  4  7ii7 ,table ( sections ,!
 table ( sections at ! beg9n+ ( *apt]   
#gd ( su* title is am5d$ by /rik+ ! item
 relat+ to sub*apt] ,,iii & ins]t+ !    
foll[+ new item3  ,,sub*apt] ,,iii--,pay
 = physicians1 podiatri/s1 optometri/s1 
& d5ti/s  4  7#e7 ,applicability dates  
7,a7 ,9 g5]al ,! am5dm5ts made by ?is   
subsection %all apply to any pay p]iod (
 ! ,dep>tm5t ( ,vet]ans ,affairs beg9n+ 
on or aft] ! date t is #ahj days aft] ! 
date ( enactm5t ( ?is ,act4  7,b7       
,p]=mance pay ,! ,secret>y ( ,vet]ans   
,affairs may pay p]=mance pay "u section
 #gdca7;d7 ( title #ch1 ,unit$ ,/ates   
,code1 z 9 effect on ! day be=e ! date (
 ! enactm5t ( ?is ,act1 = ! cal5d> ye>  
dur+ :i* ?is ,act is enact$4  7b7       
,modification & cl>ification ( pay grade
 = optometri/s ,section #gdjd ( su*     
title is am5d$-- 7#a7 9 subsection      
7a77#b77;,a71 by ins]t+ optometri/s1    
aft] podiatri/s12 &  7#b7 9 ! li/ 9     

subsection 7b7-- 7,a7 9 ! fir/ head+ ( !
 li/ foll[+ ! colon1 by /rik+           
,,podiatri/ 7,,dpm71 ,,& ,,d5ti/ &      
ins]t+ ,,podiatri/ 7,,dpm71 ,,optometri/
 7,,od71 ,,& ,,d5ti/2  7,b7 by ins]t+ & 
optometri/ grade aft] ,podiatri/ grade2 
&  7,c7 9 ! ?ird head+ ( ! li/ foll[+ ! 
colon1 by /rik+ ,,cl9ical ,,*iropractor 
,,& ,,optometri/ ,,s*$ule & ins]t+      
,,cl9ical ,,*iropractor ,,s*$ule4  7c7  
,retroactive au?ority = comp5sation     
7#a7 ,9 g5]al ,! ,secret>y ( ,vet]ans   
,affairs may pay retroactive comp5sation
 to a cov]$ employee 9 an am\nt t equals
 ! am\nt ( comp5sation t 0 au?oriz$ to  
be paid to su* cov]$ employee dur+ !    
p]iod specifi$ 9 p>agraph 7#b71 b 0     
def]r$ & paid to su* employee 9 ! cal5d>
 ye> foll[+ ! cal5d> ye> 9 :i* su*      
comp5sation 0 au?oriz$ because ! paym5t 
( su* comp5sation w\ld h exce$$ an      
applicable cap on annual comp5sation4   
7#b7 ,p]iod specifi$ ,! p]iod specifi$ 9
 ?is p>agraph is ! p]iod beg9n+ on      
,janu>y #h1 #bjjf1 & end+ on ,decemb]   

#ca1 #bjag4  7#c7 ,exclusion            
,comp5sation au?oriz$ "u ?is subsection 
%all n be includ$ 9 ! calculation ( any 
aggregate limit on comp5sation = a cov]$
 employee = ! ye> 9 :i* x is paid4  7#d7
 ,*>g+ ( comp5sation ,comp5sation       
au?oriz$ "u ?is subsection %all be *>g$ 
to ! appropriate m$ical c>e             
appropriation acc\nt ( ! ,dep>tm5t (    
,vet]ans ,affairs = ! fiscal ye> 9 :i* !
 "w 0 p]=m$ except z foll[s3 7,a7 ,9 !  
case ( an acc\nt t has clos$ pursuant to
 section #aeeb ( title #ca1 ,unit$      
,/ates ,code1 ! comp5sation %all be *>g$
 to a curr5t appropriation acc\nt 9     
accordance ) section #aeec ( su* title4 
7,b7 ,9 ! case ( an expir$ acc\nt t has 
n clos$1 if *>g+ ! comp5sation to !     
expir$ acc\nt w\ld cause su* acc\nt to h
 a negative unliquidat$ or unexp5d$     
balance1 ! comp5sation may be *>g$ to a 
curr5t appropriation acc\nt available = 
! same purpose4  7#e7 ,def9itions ,9 ?is
 subsection3 7,a7 ,! t]m comp5sation    
means any pay1 includ+ sal>y1 aw>ds1 &  

inc5tives4  7,b7 ,! t]m cov]$ employee  
means a physician1 podiatri/1 or d5ti/  
subject to m>ket pay "u section #gdca ( 
title #ch1 ,unit$ ,/ates ,code4