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    <number>3530</number>
    <updateDate>2022-11-01T13:50:50Z</updateDate>
    <updateDateIncludingText>2022-11-01T13:50:50Z</updateDateIncludingText>
    <originChamber>House</originChamber>
    <type>HR</type>
    <introducedDate>2019-06-27</introducedDate>
    <congress>116</congress>
    <constitutionalAuthorityStatementText><![CDATA[<pre>[Congressional Record Volume 165, Number 109 (Thursday, June 27, 2019)][House]From the Congressional Record Online through the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]By Mr. CLOUD:H.R. 3530.Congress has the power to enact this legislation pursuantto the following:Article I, Section 8, Clause 18:The Congress shall have power to make all Laws which shallbe necessary and proper for carrying into Execution theforegoing Powers, and all other Powers vested by thisConstitution in the Government of the United States, or inany Department of Officer thereof.[Page H5258]</pre>]]></constitutionalAuthorityStatementText>
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        <name>Veterans' Affairs Committee</name>
        <chamber>Senate</chamber>
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            <name>Referred to</name>
            <date>2019-12-18T15:35:23Z</date>
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                <name>Discharged from</name>
                <date>2019-10-29T16:58:32Z</date>
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                <date>2019-07-16T20:46:05Z</date>
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            <name>Markup by</name>
            <date>2019-10-29T17:04:38Z</date>
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            <name>Referred to</name>
            <date>2019-06-27T13:02:15Z</date>
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          <name>Senate</name>
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        <text>Received in the Senate and Read twice and referred to the Committee on Veterans' Affairs.</text>
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      <item>
        <actionDate>2019-12-17</actionDate>
        <actionTime>11:02:41</actionTime>
        <text>Motion to reconsider laid on the table Agreed to without objection.</text>
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        <actionCode>H38310</actionCode>
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        <actionDate>2019-12-17</actionDate>
        <actionTime>11:02:40</actionTime>
        <text>On motion to suspend the rules and pass the bill, as amended Agreed to by the Yeas and Nays: (2/3 required): 409 - 1 (Roll no. 686). (text: 12/16/2019 CR H10272-10273)</text>
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            <chamber>House</chamber>
            <congress>116</congress>
            <date>2019-12-17T16:02:40Z</date>
            <sessionNumber>1</sessionNumber>
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      <item>
        <actionDate>2019-12-17</actionDate>
        <actionTime>11:02:40</actionTime>
        <text>Passed/agreed to in House: On motion to suspend the rules and pass the bill, as amended Agreed to by the Yeas and Nays: (2/3 required): 409 - 1 (Roll no. 686).(text: 12/16/2019 CR H10272-10273)</text>
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          <name>Library of Congress</name>
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            <chamber>House</chamber>
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            <date>2019-12-17T16:02:40Z</date>
            <sessionNumber>1</sessionNumber>
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        </recordedVotes>
      </item>
      <item>
        <actionDate>2019-12-17</actionDate>
        <actionTime>10:54:57</actionTime>
        <text>Considered as unfinished business. (consideration: CR H10314-10315)</text>
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          <code>2</code>
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        <actionDate>2019-12-16</actionDate>
        <actionTime>15:22:05</actionTime>
        <text>At the conclusion of debate, the Yeas and Nays were demanded and ordered. Pursuant to the provisions of clause 8, rule XX, the Chair announced that further proceedings on the motion would be postponed.</text>
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        <actionCode>H37220</actionCode>
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          <code>2</code>
          <name>House floor actions</name>
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      </item>
      <item>
        <actionDate>2019-12-16</actionDate>
        <actionTime>15:08:10</actionTime>
        <text>DEBATE - The House proceeded with forty minutes of debate on H.R. 3530.</text>
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      <item>
        <actionDate>2019-12-16</actionDate>
        <actionTime>15:07:44</actionTime>
        <text>Considered under suspension of the rules. (consideration: CR H10272-10275)</text>
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        <actionCode>H30000</actionCode>
        <sourceSystem>
          <code>2</code>
          <name>House floor actions</name>
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      <item>
        <actionDate>2019-12-16</actionDate>
        <actionTime>15:07:30</actionTime>
        <text>Mr. Takano moved to suspend the rules and pass the bill, as amended.</text>
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        <actionCode>H30300</actionCode>
        <sourceSystem>
          <code>2</code>
          <name>House floor actions</name>
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      <item>
        <actionDate>2019-10-29</actionDate>
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            <systemCode>hsvr00</systemCode>
            <name>Veterans' Affairs Committee</name>
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          <code>1</code>
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        <text>Ordered to be Reported (Amended) by Voice Vote.</text>
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      <item>
        <actionDate>2019-10-29</actionDate>
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          <item>
            <systemCode>hsvr00</systemCode>
            <name>Veterans' Affairs Committee</name>
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          <code>1</code>
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        <text>Committee Consideration and Mark-up Session Held.</text>
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      <item>
        <actionDate>2019-10-29</actionDate>
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          <item>
            <systemCode>hsvr00</systemCode>
            <name>Veterans' Affairs Committee</name>
          </item>
        </committees>
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          <code>1</code>
          <name>House committee actions</name>
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        <text>Subcommittee on Health Discharged.</text>
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      <item>
        <actionDate>2019-07-16</actionDate>
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          <item>
            <systemCode>hsvr03</systemCode>
            <name>Health Subcommittee</name>
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          <code>1</code>
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        <text>Referred to the Subcommittee on Health.</text>
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      <item>
        <actionDate>2019-06-27</actionDate>
        <text>Referred to the House Committee on Veterans' Affairs.</text>
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          <code>2</code>
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            <name>Veterans' Affairs Committee</name>
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        <text>Introduced in House</text>
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          <code>9</code>
          <name>Library of Congress</name>
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        <text>Introduced in House</text>
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    </actions>
    <sponsors>
      <item>
        <bioguideId>C001115</bioguideId>
        <fullName>Rep. Cloud, Michael [R-TX-27]</fullName>
        <firstName>Michael</firstName>
        <lastName>Cloud</lastName>
        <party>R</party>
        <state>TX</state>
        <district>27</district>
        <isByRequest>N</isByRequest>
      </item>
    </sponsors>
    <cosponsors>
      <item>
        <bioguideId>B001301</bioguideId>
        <fullName>Rep. Bergman, Jack [R-MI-1]</fullName>
        <firstName>Jack</firstName>
        <lastName>Bergman</lastName>
        <party>R</party>
        <state>MI</state>
        <district>1</district>
        <sponsorshipDate>2019-06-27</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>P000258</bioguideId>
        <fullName>Rep. Peterson, Collin C. [D-MN-7]</fullName>
        <firstName>COLLIN</firstName>
        <lastName>PETERSON</lastName>
        <party>D</party>
        <state>MN</state>
        <middleName>C.</middleName>
        <district>7</district>
        <sponsorshipDate>2019-06-27</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>M001187</bioguideId>
        <fullName>Rep. Meadows, Mark [R-NC-11]</fullName>
        <firstName>Mark</firstName>
        <lastName>Meadows</lastName>
        <party>R</party>
        <state>NC</state>
        <district>11</district>
        <sponsorshipDate>2019-07-15</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>R000609</bioguideId>
        <fullName>Rep. Rutherford, John H. [R-FL-4]</fullName>
        <firstName>John</firstName>
        <lastName>Rutherford</lastName>
        <party>R</party>
        <state>FL</state>
        <middleName>H.</middleName>
        <district>4</district>
        <sponsorshipDate>2019-07-15</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>S001210</bioguideId>
        <fullName>Rep. Spano, Ross [R-FL-15]</fullName>
        <firstName>Ross</firstName>
        <lastName>Spano</lastName>
        <party>R</party>
        <state>FL</state>
        <district>15</district>
        <sponsorshipDate>2019-07-19</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>W000795</bioguideId>
        <fullName>Rep. Wilson, Joe [R-SC-2]</fullName>
        <firstName>Joe</firstName>
        <lastName>Wilson</lastName>
        <party>R</party>
        <state>SC</state>
        <district>2</district>
        <sponsorshipDate>2019-07-19</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>S001214</bioguideId>
        <fullName>Rep. Steube, W. Gregory [R-FL-17]</fullName>
        <firstName>W.</firstName>
        <lastName>Steube</lastName>
        <party>R</party>
        <state>FL</state>
        <middleName>Gregory</middleName>
        <district>17</district>
        <sponsorshipDate>2019-07-19</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>Y000065</bioguideId>
        <fullName>Rep. Yoho, Ted S. [R-FL-3]</fullName>
        <firstName>Ted</firstName>
        <lastName>Yoho</lastName>
        <party>R</party>
        <state>FL</state>
        <middleName>S.</middleName>
        <district>3</district>
        <sponsorshipDate>2019-07-25</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>P000599</bioguideId>
        <fullName>Rep. Posey, Bill [R-FL-8]</fullName>
        <firstName>Bill</firstName>
        <lastName>Posey</lastName>
        <party>R</party>
        <state>FL</state>
        <district>8</district>
        <sponsorshipDate>2019-07-25</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>G000568</bioguideId>
        <fullName>Rep. Griffith, H. Morgan [R-VA-9]</fullName>
        <firstName>H.</firstName>
        <lastName>Griffith</lastName>
        <party>R</party>
        <state>VA</state>
        <middleName>Morgan</middleName>
        <district>9</district>
        <sponsorshipDate>2019-07-25</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>G000584</bioguideId>
        <fullName>Rep. Gianforte, Greg [R-MT-At Large]</fullName>
        <firstName>Greg</firstName>
        <lastName>Gianforte</lastName>
        <party>R</party>
        <state>MT</state>
        <district>0</district>
        <sponsorshipDate>2019-07-25</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>H001071</bioguideId>
        <fullName>Rep. Hice, Jody B. [R-GA-10]</fullName>
        <firstName>Jody</firstName>
        <lastName>Hice</lastName>
        <party>R</party>
        <state>GA</state>
        <middleName>B.</middleName>
        <district>10</district>
        <sponsorshipDate>2019-07-30</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>D000626</bioguideId>
        <fullName>Rep. Davidson, Warren [R-OH-8]</fullName>
        <firstName>Warren</firstName>
        <lastName>Davidson</lastName>
        <party>R</party>
        <state>OH</state>
        <district>8</district>
        <sponsorshipDate>2019-07-30</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>N000190</bioguideId>
        <fullName>Rep. Norman, Ralph [R-SC-5]</fullName>
        <firstName>Ralph</firstName>
        <lastName>Norman</lastName>
        <party>R</party>
        <state>SC</state>
        <district>5</district>
        <sponsorshipDate>2019-07-30</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>C001092</bioguideId>
        <fullName>Rep. Collins, Chris [R-NY-27]</fullName>
        <firstName>Chris</firstName>
        <lastName>Collins</lastName>
        <party>R</party>
        <state>NY</state>
        <district>27</district>
        <sponsorshipDate>2019-07-30</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>G000565</bioguideId>
        <fullName>Rep. Gosar, Paul A. [R-AZ-4]</fullName>
        <firstName>Paul</firstName>
        <lastName>Gosar</lastName>
        <party>R</party>
        <state>AZ</state>
        <middleName>A.</middleName>
        <district>4</district>
        <sponsorshipDate>2019-07-30</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>B001307</bioguideId>
        <fullName>Rep. Baird, James R. [R-IN-4]</fullName>
        <firstName>James</firstName>
        <lastName>Baird</lastName>
        <party>R</party>
        <state>IN</state>
        <middleName>R.</middleName>
        <district>4</district>
        <sponsorshipDate>2019-08-09</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>A000372</bioguideId>
        <fullName>Rep. Allen, Rick W. [R-GA-12]</fullName>
        <firstName>Rick</firstName>
        <lastName>Allen</lastName>
        <party>R</party>
        <state>GA</state>
        <middleName>W.</middleName>
        <district>12</district>
        <sponsorshipDate>2019-08-13</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>E000299</bioguideId>
        <fullName>Rep. Escobar, Veronica [D-TX-16]</fullName>
        <firstName>Veronica</firstName>
        <lastName>Escobar</lastName>
        <party>D</party>
        <state>TX</state>
        <district>16</district>
        <sponsorshipDate>2019-08-20</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>J000299</bioguideId>
        <fullName>Rep. Johnson, Mike [R-LA-4]</fullName>
        <firstName>Mike</firstName>
        <lastName>Johnson</lastName>
        <party>R</party>
        <state>LA</state>
        <district>4</district>
        <sponsorshipDate>2019-09-03</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>P000609</bioguideId>
        <fullName>Rep. Palmer, Gary J. [R-AL-6]</fullName>
        <firstName>Gary</firstName>
        <lastName>Palmer</lastName>
        <party>R</party>
        <state>AL</state>
        <middleName>J.</middleName>
        <district>6</district>
        <sponsorshipDate>2019-10-18</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>H001053</bioguideId>
        <fullName>Rep. Hartzler, Vicky [R-MO-4]</fullName>
        <firstName>Vicky</firstName>
        <lastName>Hartzler</lastName>
        <party>R</party>
        <state>MO</state>
        <district>4</district>
        <sponsorshipDate>2019-12-13</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
    </cosponsors>
    <cboCostEstimates>
      <item>
        <pubDate>2019-11-18T21:49:40Z</pubDate>
        <title>H.R. 3530, Improving Confidence in Veterans’ Care Act</title>
        <url>https://www.cbo.gov/publication/55870</url>
        <description>As ordered reported by the House Committee on Veterans’ Affairs on October 29, 2019</description>
      </item>
    </cboCostEstimates>
    <policyArea>
      <name>Armed Forces and National Security</name>
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    <subjects>
      <legislativeSubjects>
        <item>
          <name>Accounting and auditing</name>
        </item>
        <item>
          <name>Administrative remedies</name>
        </item>
        <item>
          <name>Congressional oversight</name>
        </item>
        <item>
          <name>Department of Veterans Affairs</name>
        </item>
        <item>
          <name>Drug trafficking and controlled substances</name>
        </item>
        <item>
          <name>Drug, alcohol, tobacco use</name>
        </item>
        <item>
          <name>Employee hiring</name>
        </item>
        <item>
          <name>Employee performance</name>
        </item>
        <item>
          <name>Employment and training programs</name>
        </item>
        <item>
          <name>Government employee pay, benefits, personnel management</name>
        </item>
        <item>
          <name>Government studies and investigations</name>
        </item>
        <item>
          <name>Health care quality</name>
        </item>
        <item>
          <name>Health facilities and institutions</name>
        </item>
        <item>
          <name>Health personnel</name>
        </item>
        <item>
          <name>Licensing and registrations</name>
        </item>
        <item>
          <name>Medical ethics</name>
        </item>
        <item>
          <name>Performance measurement</name>
        </item>
        <item>
          <name>Personnel records</name>
        </item>
        <item>
          <name>Prescription drugs</name>
        </item>
        <item>
          <name>Public contracts and procurement</name>
        </item>
        <item>
          <name>Veterans' medical care</name>
        </item>
      </legislativeSubjects>
      <policyArea>
        <name>Armed Forces and National Security</name>
      </policyArea>
    </subjects>
    <summaries>
      <summary>
        <versionCode>00</versionCode>
        <actionDate>2019-06-27</actionDate>
        <actionDesc>Introduced in House</actionDesc>
        <updateDate>2019-12-20T16:26:42Z</updateDate>
        <text><![CDATA[ <p><b>Improving Confidence in Veterans' Care Act</b></p> <p>This bill addresses licensure and employment requirements for medical providers of the Department of Veterans Affairs (VA). Specifically, for VA medical provider positions that require a person to prescribe controlled substances, the bill prohibits a person from being employed if their Drug Enforcement Administration (DEA) registration has been terminated, revoked, or surrendered, and they have not received a waiver from the DEA.</p> <p>The bill also requires the VA to take prompt adverse personnel actions against a medical provider employee (1) who is not licensed, registered, certified, or in receipt of a DEA waiver; or (2) who does not promptly notify the VA of any suspension in such license, registration, or certification.</p> <p>Additionally, the VA must conduct biennial audits of medical provider employees to ensure they are licensed, registered, or certified as required.</p> <p>The VA shall ensure that the hiring process includes a request for licensure status and a verification of licensure status before an individual begins employment.</p> <p>Finally, the VA shall provide annual training on these licensure and employment requirements to directors of the Veterans Integrated Service Networks, as well as chiefs of staff and directors of VA health care facilities.</p>]]></text>
      </summary>
      <summary>
        <versionCode>53</versionCode>
        <actionDate>2019-12-17</actionDate>
        <actionDesc>Passed House</actionDesc>
        <updateDate>2021-11-09T12:25:45Z</updateDate>
        <text><![CDATA[ <p><b>Improving Confidence in Veterans' Care Act</b></p>            <p>This bill prescribes oversight requirements for the Department of Veterans Affairs (VA) regarding health care professionals at VA medical centers. </p> <p>Specifically, the bill requires the VA to ensure each VA medical center consistently compiles, verifies, and reviews specified documentation for each VA health care professional (including contractors).</p> <p> The VA shall ensure that specified health care professionals hold an active Drug Enforcement Administration registration. </p> <p>Each VA medical center must implement (1) monitoring of the performance and quality of the health care delivered by each health care professional at the center, and (2) reviews of such care if an individual notifies the VA of any potential concerns relating to a failure to meet generally accepted standards of clinical practice. </p> <p>The bill imposes notification requirements in situations where the VA substantiates a concern relating to the clinical competency of, or quality of care delivered by, a current or former VA health care professional. </p> <p>The VA is prohibited from entering into a settlement agreement relating to an adverse action against a VA health care professional if such agreement includes terms that require the VA to conceal certain information from the employee's personnel file. Such prohibition does not apply to adverse actions determined to be prohibited personnel practices. </p> <p>The VA must provide mandatory training, at least biannually, to employees who are responsible for specified tasks (e.g., those who are responsible for compiling, validating, or reviewing the credentials of VA health care professionals).</p>]]></text>
      </summary>
    </summaries>
    <title>Improving Confidence in Veterans' Care Act</title>
    <titles>
      <item>
        <titleType>Display Title</titleType>
        <title>Improving Confidence in Veterans' Care Act</title>
      </item>
      <item>
        <titleType>Short Title(s) as Passed House</titleType>
        <title>Improving Confidence in Veterans’ Care Act</title>
        <chamberCode>H</chamberCode>
        <chamberName>House</chamberName>
        <billTextVersionName>Engrossed in House</billTextVersionName>
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      </item>
      <item>
        <titleType>Official Title as Introduced</titleType>
        <title>To amend title 38, United States Code, to direct the Secretary of Veterans Affairs to enforce the licensure requirement for medical providers of the Department of Veterans Affairs.</title>
        <billTextVersionName>Engrossed in House</billTextVersionName>
        <billTextVersionCode>EH</billTextVersionCode>
      </item>
      <item>
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        <title>Improving Confidence in Veterans' Care Act</title>
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        <chamberName>House</chamberName>
      </item>
      <item>
        <titleType>Short Title(s) as Introduced</titleType>
        <title>Improving Confidence in Veterans’ Care Act</title>
        <billTextVersionName>Introduced in House</billTextVersionName>
        <billTextVersionCode>IH</billTextVersionCode>
      </item>
    </titles>
    <textVersions>
      <item>
        <type>Referred in Senate</type>
        <date>2019-12-18T05:00:00Z</date>
        <formats>
          <item>
            <url>https://www.govinfo.gov/content/pkg/BILLS-116hr3530rfs/xml/BILLS-116hr3530rfs.xml</url>
          </item>
        </formats>
      </item>
      <item>
        <type>Engrossed in House</type>
        <date>2019-12-17T05:00:00Z</date>
        <formats>
          <item>
            <url>https://www.govinfo.gov/content/pkg/BILLS-116hr3530eh/xml/BILLS-116hr3530eh.xml</url>
          </item>
        </formats>
      </item>
      <item>
        <type>Introduced in House</type>
        <date>2019-06-27T04:00:00Z</date>
        <formats>
          <item>
            <url>https://www.govinfo.gov/content/pkg/BILLS-116hr3530ih/xml/BILLS-116hr3530ih.xml</url>
          </item>
        </formats>
      </item>
    </textVersions>
    <latestAction>
      <actionDate>2019-12-18</actionDate>
      <text>Received in the Senate and Read twice and referred to the Committee on Veterans' Affairs.</text>
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    <dc:rights>Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.</dc:rights>
    <dc:contributor>Congressional Research Service, Library of Congress</dc:contributor>
    <dc:description>This file contains bill summaries and statuses for federal legislation. A bill summary describes the most significant provisions of a piece of legislation and details the effects the legislative text may have on current law and federal programs. Bill summaries are authored by the Congressional Research Service (CRS) of the Library of Congress. As stated in Public Law 91-510 (2 USC 166 (d)(6)), one of the duties of CRS is "to prepare summaries and digests of bills and resolutions of a public general nature introduced in the Senate or House of Representatives". For more information, refer to the User Guide that accompanies this file.</dc:description>
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