(February 1, 2011)

In order to further improve the lines of communication and to respond to the concerns between the National VA Council and you our members, I have established a National VA Council Briefing. This NVAC Briefing will bring you the latest news and developments within DVA and provide you with the current status of issues this Council is currently addressing. I believe that this NVAC Briefing will greatly enhance the way in which we communicate and the way in which we share new information, keeping you better informed.

Alma L. Lee

National VA Council, President

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In This Briefing:   AFGE/NVAC Legislative Priorities for the 112th Congress

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AFGE NATIONAL VA COUNCIL LEGISLATIVE PRIORITIES FOR THE 112th CONGRESS

 

SUMMARY

I.                      More accountability for VA spending practices (including investigation of VHA and VBA executive bonuses, VISH growth and PACT Medical Home Model implementation);

II.                    Compliance with personnel provisions in recent health care legislation (including employment rights for P/T nurses and limits on mandatory overtime) and benefits legislation (supervisor skills certification test and overhaul of work credit system);

III.                  Equal rights and fair treatment for all VA employees (equal Title 38 bargaining rights, appeal rights for terminated Canteen employees, equal veterans preference appeal rights for vets working in VA health care);

IV.                 Veterans’ Employment:   In source all contracted out entry level VA  jobs (cemetery caretaker, VHA  laundry and food service, housekeeping and maintenance) and prohibit future outsourcing; Update list of set aside jobs for disabled veterans; Expand veterans preference rights to reassignment and promotion; Improve data collection;

V.                   VA appointment of permanent Under Secretaries for VBA and NCA urgently needed.

VI.                 Halt unfair downgrades of VHA patient support employees:  NVAC is very concerned about national and VISN-level reports of proposed downgrades of VHA employees.  These employees play an essential role in the operation of the VA Health-Care System and they should not be downgraded.  The far better option for ensuring a strong VHA workforce to take care of veterans; offering these employees a decent career ladder.  NVAC has already approached the VA to attempt to resolve this issue.  We urge lawmakers to contact OPM and the VA regarding the status of the downgrades and other options for addressing the needs for a strong VHA workforce.  The rumor that VA Police Officers are going to be downgraded is not true in accordance to Mr. Freddie Jackson, Director of Security and Law Enforcement.

MORE ACCOUNTABILITY FOR VA SPENDING

o   Investigate why, despite advance appropriations funding for VA health care for FY 2011, a number of VISNs are implementing hiring caps;

o   Investigate harmful trend in both VHA and VBA to expand their already top heavy workforce with new management layers while front line staff struggle to provide direct health care and benefits services;

o   Investigate explosive growth in budgets and staff at VA’s 21 VISN offices.

o   Investigate lack of adequate front line staff for PACT, TeleHealth and other new VHA initiatives;

o   Investigate management bonuses VACO and all VA agencies; Revisit 400% bonus increase (now up to $100K!)for nurse execs and $40K for pharmacy execs in Caregiver Act.

REDUCING THE VBA BACKLOG

·         VBA supervisors need more skills and experience to mentor and conduct quality assurance; Implement of supervisor skills certification test is long overdue;

·         Improve national coordination of VB A pilot programs to ensure that best practices are captured when programs go national;

·         Investigate growing number of terminations of VBA employees, including number of veterans among the recent hires who are terminated before they are adequately trained.

 

COMPLIANCE WITH RECENT PERSONNEL LEGISLATION

·         Expedite compliance with part-time nurse, nurse overtime, loan assistance and alternative work schedule provisions in P.L. 111-163 and P.L. 108-445.

·         Expedite implementation of supervisor skills certification provisions and work credit provisions in P.L. 110-389.

EQUAL EMPLOYMENT RIGHTS FOR VA EMPLOYEES:

BARGAINING RIGHTS: Amend 38 USC §7422 to restore Congressional intent to provide Title 38 health care professionals with the same rights to bargain over indirect patient care, peer review and compensation matters as Hybrid Title 38 VA clinicians, and DOD and BOP clinicians. It is time to hold VHA accountable for its failure to comply with statutory rights related to fair pay, safe schedules, EEO, workers comp, and unfair labor practices.

CANTEEN EMPLOYEES: Enact legislation to provide Veterans Canteen Service employees appointed under Section 7802 with full appeal and remedy rights under 5 USC Chapters 71 and 75. Investigate use of Canteen employees to fill non-Canteen positions in VA medical centers.

VETERANS PREFERENCE PROTECTIONS FOR VA HEALTH CARE EMPLOYEES: Extend coverage of the Veterans Employment Opportunities Act, including MSPB and DOL appeal rights for violations of veterans’ preference, to Hybrid and pure Title 38 employees.

 

HYBRID TITLE 38 PERSONNEL SYSTEM: Conduct oversight of the Hybrid Title 38 hiring timeframes, human resources personnel costs, and consistency and fairness of appointments and promotions for Hybrid positions.

 

VA PHYSICIANS AND DENTISTS

·         Oversee of the implementation of the physician and dentist pay provisions in P.L. 108-445;

·         Investigate impact of VA “24/7” regulation on recruitment and retention of VA physicians and dentists, and quality and safety of patient care;

·         Enact legislation to require that VA issue nationally uniform performance pay criteria based only on, individual achievement, and not facility-wide factors beyond the provider’s control.

·         Enact legislation to keep the VA competitive with other health care employers by increasing the annual amount of continuing medical education reimbursement.

·         Revisit Caregiver Act provision exempting physician and dentist executives from peer market pay panels required by PL 108-445.

VA OUTSOURCING HURTS PATIENT CARE AND VETERANS’ EMPLOYMENT OPPORTUNITIES

·         Implement Inspector General recommendations to improve controls over VHA’s fee basis program;

·         Monitor wrap up of Project HERO and plans for use of HERO “lessons learned”;

·         Investigate credentialing requirements for contract nurses, physicians and other contract providers;

·         Reintroduce legislation to improve Physician Assistant employment opportunities for military medics and corpsmen who wish to transition to civilian employment in the VA;

·         Require that every NCA entry level job (e.g. mowing and trimming, headstone setting) be set aside for disabled veterans. In-source back into NCA every contractor entry level job. Apply this to new and existing NCA sites;

·         Expedite the development of VA’s in-sourcing plan, and evaluate its impact on veterans’ job opportunities.

 

VETERANS PREFERENCE: 21ST CENTURY OVERHAUL NEEDED

·         Ease the transition of medics and military corpsmen to Hybrid Title 38 and pure Title 38 positions;

·         Extend coverage of the Veterans Employment Opportunities Act, including appeal rights, to all hybrid and pure Title 38 employees;

·         Extend veterans’ preference laws to reassignments and promotions;

·         Update and expand the list of restricted positions for preference eligible’s through legislation and/or regulation;

·         Improve OPM data collection on agency veteran employment policies;

·         Expand training for federal hiring officials to increase compliance with veterans’ preference and improve rating of military experience; Provide Title 38 guidance for crediting military service.

 

FOR MORE INFORMATION, CONTACT MARILYN PARK, AFGE NATIONAL VA COUNCIL LOBBYIST

 (202) 639 6456 or email:  mpark@afge.org).