,,ii #aah? ,,congress #a/ ,session ,s4 #bgde ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,septemb] #g1 #bjbc ,mr4 ,pet]s 7= himself & ,mr4 ,boozman7 introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,vet]ans' ,affairs ,a ,,bill ,to am5d title #ch1 ,unit$ ,/ates ,code1 to elim9ate conflicts ( int]e/ 9 conduct ( quality managem5t & adm9i/rative inve/igations by ! ,vet]ans ,heal? ,adm9i/ration & to limit ! detail ( directors ( m$ical c5t]s ( ,dep>tm5t ( ,vet]ans ,affairs to diff]5t positions1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,vet]ans ,affairs ,pe] ,review ,neutrality ,act ( #bjbc4 #b4 ,elim9ation ( conflicts ( int]e/ 9 pe] review1 adm9i/rative inve/igation bo>ds1 & factf9d+s ( ,vet]ans ,heal? ,adm9i/ration 7a7 ,9 g5]al ,sub*apt] ,,ii ( *apt] #gc ( title #ch1 ,unit$ ,/ates ,code1 is am5d$ by ins]t+ aft] section #gcaa;,a ! foll[+ new section3 #gcaa;,b4 ,elim9ation ( conflicts ( int]e/ 9 pe] review1 adm9i/rative inve/igation bo>ds1 & factf9d+s ( ,vet]ans ,heal? ,adm9i/ration 7a7 ,pe] review 7#a7 ,9 g5]al ,ea* individual responsible = conduct+ pe] review = quality managem5t ( c>e provid$ by a heal? c>e provid] at a m$ical facility ( ! ,dep>tm5t & ea* memb] ( a pe] review committee ) respect to quality managem5t ( su* c>e %all )draw f p>ticipation 9 a case review if-- 7,a7 ! individual has direct involvem5t ) ! c>e "u review2 or 7,b7 ! individual is unable to conduct an objective1 imp>tial1 accurate1 & in=m$ review4 7#b7 ,neutral assessm5t ( conduct ( committee memb]s ,ea* m$ical facility ( ! ,dep>tm5t %all develop proc$ures & guidel9es = t facility to require t any initial pe] review = quality managem5t t is conduct$ ) respect to c>e provid$ by a heal? c>e provid] :o is a memb] ( ! pe] review committee = t facility be evaluat$1 discuss$1 & assign$ a f9al level review by a neutral pe] review committee at ano!r facility ( ! ,dep>tm5t4 7b7 ,adm9i/rative inve/igation bo>ds & factf9d+s 7#a7 ,k ( confid5tial in=mation ,individuals ) k ( confid5tial quality assurance in=mation specific to a matt] "u inve/igation by an adm9i/rative inve/igation bo>d or factf9d] ) respect to quality managem5t ( c>e provid$ by a heal? c>e provid] at a m$ical facility ( ! ,dep>tm5t may n-- 7,a7 s]ve on ! adm9i/rative inve/igation bo>d or z a factf9d]2 or 7,b7 disclose su* in=mation to an adm9i/rative inve/igation bo>d or a factf9d]4 7#b7 ,p]sonal int]e/1 involvem5t1 or relation%ip 7,a7 ,9 g5]al ,! ,secret>y %all ensure t ea* memb] ( an adm9i/rative inve/igative bo>d or factf9d] does n h-- 7i7 any p]sonal int]e/ or o!r bias conc]n+ ! inve/igation be+ conduct$2 7ii7 direct involvem5t 9 matt]s be+ inve/igat$2 or 7iii7 a sup]visory or p]sonal relation%ip ) ! subject ( ! inve/igation4 7,b7 ,recusal ,if a pot5tial memb] ( an adm9i/rative inve/igative bo>d or factf9d] has a p]sonal int]e/ or o!r bias conc]n+ ! inve/igation be+ conduct$1 direct involvem5t 9 matt]s be+ inve/igat$1 or a sup]visory or p]sonal relation%ip ) ! subject ( ! inve/igation1 ! pot5tial memb] %all in=m ! au?ority responsible = ! inve/igation & recuse !mselves f su* matt]4 4 7b7 ,cl]ical am5dm5t ,! table ( sections at ! beg9n+ ( su* sub*apt] is am5d$ by ins]t+ aft] ! item relat+ to section #gcaa;,a ! foll[+ new item3 #gcaa;,b4 ,elim9ation ( conflicts ( int]e/ 9 pe] review1 adm9i/rative inve/igation bo>ds1 & factf9d+s ( ,vet]ans ,heal? ,adm9i/ration4 4 #c4 ,limitation on detail ( directors ( m$ical c5t]s ( ,dep>tm5t ( ,vet]ans ,affairs to diff]5t positions 7a7 ,notification 7#a7 ,9 g5]al ,n lat] ?an #ij days aft] detail+ a director ( a m$ical c5t] ( ! ,dep>tm5t ( ,vet]ans ,affairs to a diff]5t position )9 ! ,dep>tm5t1 ! ,secret>y ( ,vet]ans ,affairs %all notify ! ,committee on ,vet]ans' ,affairs ( ! ,s5ate & ! ,committee on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives ( su* detail4 7#b7 ,matt]s ,to be includ$ ,! notification requir$ by p>agraph 7#a7 %all include1 ) respect to a director ( a m$ical c5t] :o is detail$ to a diff]5t position )9 ! ,dep>tm5t1 ! foll[+ in=mation3 7,a7 ,! location at :i* ! director is detail$4 7,b7 ,! position title ( ! detail4 7,c7 ,! e/imat$ "t ! director is expect$ to be abs5t f _! duties at ! m$ical c5t]4 7,d7 ,su* o!r in=mation z ! ,secret>y may det]m9e appropriate4 7b7 ,appo9tm5t ( act+ director ,n lat] ?an #abj days aft] detail+ a director ( a m$ical c5t] ( ! ,dep>tm5t to a diff]5t position )9 ! ,dep>tm5t1 ! ,secret>y %all appo9t an individual z act+ director ( su* m$ical c5t] ) all ( ! au?ority & responsibilities ( ! detail$ director4 7c7 ,update on detail ,n lat] ?an #abj days aft] detail+ a director ( a m$ical c5t] ( ! ,dep>tm5t to a diff]5t position )9 ! ,dep>tm5t1 & n less frequ5tly ?an e #cj days !reaft] :ile ! detail is 9 effect or :ile ! director position at ! m$ical c5t] is vacant1 ! ,secret>y %all submit to ! ,committee on ,vet]ans' ,affairs ( ! ,s5ate & ! ,committee on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives an update reg>d+ ! /atus ( ! detail4 7d7 ,return to position or reassignm5t 7#a7 ,9 g5]al ,except z provid$ 9 p>agraph 7#b71 n lat] ?an #ahj days aft] detail+ a director ( a m$ical c5t] ( ! ,dep>tm5t to a diff]5t position )9 ! ,dep>tm5t1 = a reason o!r ?an an ongo+ inve/igation or adm9i/rative action ) respect to ! director1 ! ,secret>y %all-- 7,a7 return ! individual to ! position z director ( ! m$ical c5t]2 or 7,b7 reassign ! individual f ! position z director ( ! m$ical c5t] & beg9 ! process ( hir+ a new director = su* position4 7#b7 ,waiv] 7,a7 ,9 g5]al ,! ,secret>y may waive ! requirem5t "u p>agraph 7#a7 ) respect to an individual = successive #ij-;day increm5ts = a total p]iod ( n m ?an #edj days f ! orig9al date ! individual 0 detail$ away f _! position z director ( a m$ical c5t]4 7,b7 ,notification ,n lat] ?an #cj days aft] ex]cis+ a waiv] "u subp>agraph 7,a71 ! ,secret>y %all notify ,congress ( ! waiv] & provide to ,congress in=mation z to :y ! waiv] is necess>y4