,i  #aai? ,,congress  #a/ ,session  ,h4 
,r4 #feai  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,decemb] #i1          
#bjbe,mrs4 ,d+ell 7= h]self & ,mr4      
,b]gman7 introduc$ ! foll[+ bill2 :i* 0 
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/ration1 & = 
o!r purposes4  #a4 ,%ort title ,?is ,act
 may be cit$ z ! ,vet]ans ,affairs ,pe] 
,review ,neutrality ,act ( #bjbe4  #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