S.Amdt. 2423

SA 2423. Mrs. ERNST (for herself and Mr. Grassley) submitted an
amendment intended to be proposed to amendment SA 2282 submitted by Mr.
Inhofe (for himself and Mr. McCain) and intended to be proposed to the
bill H.R. 5515, to authorize appropriations for fiscal year 2019 for
military activities of the Department of Defense, for military
construction, and for defense activities of the Department of Energy,
to prescribe military personnel strengths for such fiscal year, and for
other purposes; which was ordered to lie on the table; as follows:

At the end of subtitle F of title X, add the following:

SEC. 1066. THIRD PARTY REVIEW OF APPOINTEES IN VETERANS
HEALTH ADMINISTRATION WHO HAD A LICENSE,
REGISTRATION, OR CERTIFICATION FOR THE
PROVISION OF HOSPITAL CARE OR MEDICAL SERVICES
REVOKED AND NOTICE TO INDIVIDUALS TREATED BY
THOSE APPOINTEES.

(a) Third Party Review.--The Secretary of Veterans Affairs
shall enter into a contract or other agreement with an
organization that is not part of the Federal Government to
conduct a clinical review of the hospital care and medical
services furnished by covered individuals.
(b) Notice to Patients Treated by Covered Individuals.--
With respect to hospital care or medical services furnished
by a covered individual under the laws administered by the
Secretary of Veterans Affairs, if a clinical review
determines that an experienced, competent practitioner would
have managed the care or services differently, the Secretary
shall notify any individual who received such care or
services from the covered individual.
(c) Covered Individual.--For purposes of this section, a
covered individual is an individual who was appointed to a
position in the Veterans Health Administration covered by
subsection (b) of section 7402 of title 38, United States
Code, in violation of subsection (f) of such section because
the individual had a license, registration, or certification
applicable to the provision of hospital care or medical
services terminated for cause.
(d) Hospital Care and Medical Services Defined.--In this
section, the terms ``hospital care'' and ``medical services''
have the meanings given those terms in section 1701 of title
38, United States Code.
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