,,ii  #aaith ,,congress  #ast ,session  
,s4 #ccaa  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,december #b1  
#bjbe,mr4 ,peters 7for himself1 ,mr4    
,boozman1 and ,ms4 ,slotkin7 introduced 
the following bill2 which was read twice
 and referred to the ,committee on      
,veterans' ,affairs  ,a ,,bill  ,to     
amend title #ch1 ,united ,states ,code1 
to eliminate conflicts of interest in   
peer review for quality management of   
care conducted by the ,veterans ,health 
,administration1 and for other purposes4
  #a4 ,short title ,this ,act may be    
cited as the ,veterans ,affairs ,peer   
,review ,neutrality ,act of #bjbe4  #b4 
,elimination of conflicts of interest in
 peer review for quality management of  
care provided by ,veterans ,health      
,administration  7a7 ,in general        
,subchapter ,,ii of chapter #gc of title
 #ch1 ,united ,states ,code1 is amended 
by inserting after section #gcaa;,a the 
following new section3  #gcaa;,b4       
,elimination of conflicts of interest in

 peer review for quality management of  
care  7a7 ,in general ,each individual  
responsible for conducting peer review  
for quality management of care provided 
by a health care provider at a medical  
facility of the ,department and each    
member of a peer review committee with  
respect to quality management of such   
care shall withdraw from participation  
in a case review if-- 7#a7 the          
individual has direct involvement with  
the care under review2 or  7#b7 the     
individual is unable to conduct an      
objective1 impartial1 accurate1 and     
informed review4  7b7 ,neutral          
assessment of conduct of committee      
members ,each medical facility of the   
,department shall develop procedures and
 guidelines for that facility to require
 that any initial peer review for       
quality management that is conducted    
with respect to care provided by a      
health care provider who is a member of 
the peer review committee for that      
facility be evaluated1 discussed1 and   

assigned a final level review by a      
neutral peer review committee at another
 facility of the ,department4  4  7b7   
,clerical amendment ,the table of       
sections at the beginning of such       
chapter is amended by inserting after   
the item relating to section #gcaa;,a   
the following new item3  #gcaa;,b4      
,elimination of conflicts of interest in
 peer review for quality management of  
care4  4