S. 1089Senate112th Congress (2011-2013)In Committee

Veterans Health Care Improvement Act of 2011

Introduced May 26, 2011

Legislative Activity

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3 earlier actions
SenateCommittee Latest Action

Committee on Veterans' Affairs. Hearings held. Hearings printed: S.Hrg. 112-116.

June 8, 2011

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SenateIntro Referral

Introduced in Senate

May 26, 2011

SenateIntro Referral

Sponsor introductory remarks on measure. (CR S3432)

May 26, 2011

SenateIntro Referral

Read twice and referred to the Committee on Veterans' Affairs. (text of measure as introduced: CR S3432)

May 26, 2011

SenateCommittee

Committee on Veterans' Affairs. Hearings held. Hearings printed: S.Hrg. 112-116.

June 8, 2011

Floor Debate

21 members

What members said about S. 1089 on the floor

7 Republicans14 Democrats
John D. Rockefeller IV
Sen. John D. Rockefeller IVD-WV · May 26, 2011

Mr. President, when Congress passed the Trade Act of 2002, we made a promise to American workers that the potential loss of jobs due to trade policy will not equal the loss of health care coverage.…

Ron Wyden
Sen. Ron WydenD-OR · May 26, 2011

Mr. President, President, I rise today to introduce the Enforcing Orders and Reducing Circumvention and Evasion Act, or the ENFORCE Act, of 2011. For almost a century, Democratic and Republican…

Susan M. Collins
Sen. Susan M. CollinsR-ME · May 26, 2011

Mr. President, I rise today to introduce the Keeping Politics Out of Federal Contracting Act of 2011. This bill would prohibit Federal agencies from collecting or using information about political…

Mitch McConnell
Sen. Mitch McConnellR-KY · May 26, 2011

Mr. President, I rise today to introduce the Veterans Health Care Improvement Act of 2011. As we all know, the Department of Veterans Affairs strives to provide the best possible health care for our…

Patrick J. Leahy
Sen. Patrick J. LeahyD-VT · May 26, 2011

Mr. President, earlier this month, the President requested that Congress provide a limited exception to the statutory limit on the service of the FBI Director in order to allow Robert Mueller to…

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Benjamin L. Cardin
Sen. Benjamin L. CardinD-MD · May 26, 2011

Mr. President, I rise today to introduce the Propane Green Autogas Solutions Act of 2011. I am pleased to note that the junior Senators from Missouri, Mr. Blunt, and Michigan, Ms. Stabenow, are…

Dianne Feinstein
Sen. Dianne FeinsteinD-CA · May 26, 2011

Mr. President, I rise again today with my friend and colleague from Kentucky, Senator McConnell, to submit the joint resolution to renew the import ban on Burma for another year. We are proud to be…

Chuck Grassley
Sen. Chuck GrassleyR-IA · May 26, 2011

Mr. President, the Federal Bureau of Investigation is on the front line in defending our country from terrorists, spies, and criminals. The FBI has a long history dating back over 100 years. The FBI…

Olympia J. Snowe
Sen. Olympia J. SnoweR-ME · May 26, 2011

Mr. President, I rise today to join with Senator Stabenow of Michigan to introduce The Preservation of Access to Osteoporosis Testing for Medicare Beneficiaries Act of 2011. The companion bill in the…

James M. Inhofe
Sen. James M. InhofeR-OK · May 26, 2011

Mr. President, I have introduced a bill, S. 1085. I have some cosponsors, including Senator Snowe from Maine. The bill addresses something that has become very controversial. It is certainly not…

Sheldon Whitehouse
Sen. Sheldon WhitehouseD-RI · May 26, 2011

Mr. President, I rise today to introduce the Renewable Energy Access through Leasing Act of 2011 or the REAL Act of 2011. I'd like to thank Senator Lamar Alexander and Senator Mark Udall for joining…

Herb Kohl
Sen. Herb KohlD-WI · May 26, 2011

Mr. President, I rise today with Senator Graham to introduce the Justice for Troops Act. This legislation offers a simple solution to a serious problem that affects the well-being of our troops and…

Richard J. Durbin
Sen. Richard J. DurbinD-IL · May 26, 2011

Mr. President, over the past year, students in Illinois have told me their stories of leaving some for-profit colleges with mountains of student loan debt and no job prospects. The students who find…

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John F. Kerry
Sen. John F. KerryD-MA · May 26, 2011

Mr. President, today I am introducing the Retiree Health Coverage Protection Act to provide an additional $5 billion for the Early Retiree Reinsurance Program, EERP, to allow more employers to…

Tom Harkin
Sen. Tom HarkinD-IA · May 26, 2011

Mr. President, I have come to the floor, today, to introduce the Eunice Kennedy Shriver Act. I am very pleased that Senator Blunt has joined me in introducing this legislation; he and I are both…

Barbara Boxer
Sen. Barbara BoxerD-CA · May 26, 2011

Mr. President, as we recognize Older Americans Month this May it is important that we commit to meeting the needs of older Americans to live longer and healthier lives. Our aging population is…

Daniel K. Inouye
Sen. Daniel K. InouyeD-HI · May 26, 2011

Mr. President, I am pleased to introduce the Trash Free Seas Act of 2011, a bill to reauthorize and strengthen the Marine Debris Research, Prevention, and Reduction Act, MDRPRA. This act, of which I…

Daniel K. Akaka
Sen. Daniel K. AkakaD-HI · May 26, 2011

Mr. President, I rise today to speak about legislation that would remove the obstacles preventing Filipino veterans of World War II from being united with their children, a situation whose roots…

Michael B. Enzi
Sen. Michael B. EnziR-WY · May 26, 2011

Mr. President, I rise today to introduce the Small Business Fairness Act. I want to first thank my colleague Senator Casey from Pennsylvania for cosponsoring this important legislation with me.…

Mark Udall
Sen. Mark UdallD-CO · May 26, 2011

Mr. President, I rise to speak about a bill that is born from the forward-thinking ideas of my constituents, a bill that will help spur our Nation's new energy economy and create jobs: the Solar…

Mitch McConnell
Sen. Mitch McConnellR-KY · May 26, 2011

Mr. President, I rise today to introduce the Veterans Health Care Improvement Act of 2011. As we all know, the Department of Veterans Affairs strives to provide the best possible health care for our…

John Boozman
Sen. John BoozmanR-AR · May 26, 2011

Mr. President, it has been brought to my attention that certain Continuing Care Retirement Communities and Life Care Communities are required to pay a provider tax despite the fact that they provide…

Bill Text

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Introduced in SenateIssued May 26, 2011

II

112th CONGRESS

1st Session

S. 1089

IN THE SENATE OF THE UNITED STATES

May 26, 2011

Mr. McConnell introduced the following bill; which was read twice and referred to the Committee on Veterans' Affairs

A BILL

To provide for the introduction of pay-for-performance compensation mechanisms into contracts of the Department of Veterans Affairs with community-based outpatient clinics for the provision of health care services, and for other purposes.

1.

Short title

This Act may be cited as the Veterans Health Care Improvement Act of 2011.

2.

Findings

Congress makes the following findings:

(1)

Veterans of the Armed Forces have made tremendous sacrifices in the defense of freedom and liberty.

(2)

Congress recognizes these great sacrifices and reaffirms America’s strong commitment to its veterans.

(3)

As part of the on-going congressional effort to recognize the sacrifices made by America’s veterans, Congress has dramatically increased funding for the Department of Veterans Affairs for veterans health care in the years since September 11, 2001.

(4)

Part of the funding for the Department of Veterans Affairs for veterans health care is allocated toward community-based outpatient clinics (CBOCs).

(5)

Many CBOCs are administered by private contractors.

(6)

CBOCs administered by private contractors operate on a capitated basis.

(7)

Some current contracts for CBOCs may create an incentive for contractors to sign up as many veterans as possible, without ensuring timely access to high quality health care for such veterans.

(8)

The top priorities for CBOCs should be to provide quality health care and patient satisfaction for America’s veterans.

(9)

The Department of Veterans Affairs currently tracks the quality of patient care through its Computerized Patient Record System. However, fees paid to contractors are not currently adjusted automatically to reflect the quality of care provided to patients.

(10)

A pay-for-performance payment model offers a promising approach to health care delivery by aligning the payment of fees to contractors with the achievement of better health outcomes for patients.

(11)

The Department of Veterans Affairs should begin to emphasize pay-for-performance in its contracts with CBOCs.

3.

Pay-for-performance under Department of Veterans Affairs contracts with community-based outpatient health care clinics

(a)

Plan required

Not later than one year after the date of the enactment of this Act, the Secretary of Veterans Affairs shall submit to Congress a plan to introduce pay-for-performance measures into contracts which compensate contractors of the Department of Veterans Affairs for the provision of health care services through community-based outpatient clinics (CBOCs).

(b)

Elements

The plan required by subsection (a) shall include the following:

(1)

Measures to ensure that contracts of the Department for the provision of health care services through CBOCs begin to utilize pay-for-performance compensation mechanisms for compensating contractors for the provision of such services through such clinics, including mechanisms as follows:

(A)

To provide incentives for clinics that provide high-quality health care.

(B)

To provide incentives to better assure patient satisfaction.

(C)

To impose penalties (including termination of contract) for clinics that provide substandard care.

(2)

Mechanisms to collect and evaluate data on the outcomes of the services generally provided by CBOCs in order to provide for an assessment of the quality of health care provided by such clinics.

(3)

Mechanisms to eliminate abuses in the provision of health care services by CBOCs under contracts that continue to utilize capitated-basis compensation mechanisms for compensating contractors.

(4)

Mechanisms to ensure that veterans are not denied care or face undue delays in receiving care.

(c)

Implementation

The Secretary shall commence the implementation of the plan required by subsection (a) unless Congress enacts an Act, not later than 60 days after the date of the submittal of the plan, prohibiting or modifying implementation of the plan. In implementing the plan, the Secretary may initially carry out one or more pilot programs to assess the feasability and advisability of mechanisms under the plan.

(d)

Reports

Not later than 180 days after the date of the enactment of this Act and every 180 days thereafter, the Secretary shall submit to Congress a report setting forth the recommendations of the Secretary as to the feasability and advisability of utilizing pay-for-performance compensation mechanisms in the provision of health care services by the Department by means in addition to CBOCs.