Congressional Republicans and Democrats have reached agreement on a bill to make it easier for the Department of Veterans Affairs to fire its employees, part of an accountability effort touted by President Trump.
The deal announced early Thursday could smooth the way for final passage on an issue that had been largely stalled since the 2014 wait-time scandal at the Phoenix VA medical center. As many as 40 veterans died while waiting months for appointments as VA employees created secret waiting lists and other false data to cover up delays.
The deal on Capitol Hill followed a fresh warning from the VA's inspector general of continuing patient safety problems at another facility, the VA medical center in Washington, D.C. After uncovering serious problems there last month, the IG's "rapid response" team visited the facility again on Wednesday and found at least two new instances in which patients were "placed at unnecessary risk," according to a letter the inspector general sent to the VA,
In one case, inspectors found that a patient prepped for vascular surgery in an operating room, under anesthesia, had to have their surgery postponed at the last minute because "the surgeon did not have a particular sterile instrument necessary to perform the surgery." The team also found "surgical instruments that had color stains of unknown origin in sterile packs," according to the IG's letter. The inspector general again urged the department to take immediate action to correct problems.
The new accountability measure, led by Sen. Marco Rubio (R-Fla.), softens portions of a bill that had passed the House in March, which Democrats criticized as unfairly harsh on workers. Sens. Jon Tester of Montana and Johnny Isakson of Georgia, the top Democrat and the Republican chair, respectively, on the Senate Veterans' Affairs Committee, worked to make modifications that in part would give VA employees added time to appeal disciplinary actions.
House Veterans Affairs' Committee Chairman Phil Roe, sponsor of the House measure, said he would support the revisions.
"To fully reform the VA and provide our nation's veterans with the quality care they were promised and deserve, we must ensure the department can efficiently dismiss employees who are not able or willing to do their jobs," Rubio told the Associated Press.
It comes after Trump last month signed an executive order to create a VA Office of Accountability and Whistleblower Protection, with an aim of identifying "barriers" that make it difficult for the VA to fire or reassign bad managers or employees. VA Secretary David Shulkin had urged the Senate to act quickly to pass legislation.
The GOP-controlled House previously approved an accountability bill mostly along party lines. Rep. Tim Walz (D-Minn.) urged the House to embrace alternate language from a bipartisan bill by Isakson from last year that added due process protections for workers.
The Senate bill to be introduced Thursday adopts several portions of that previous Isakson bill, including a longer appeal process than provided in the House bill — 180 days vs. 45 days, though workers would not be paid during that appeal. VA executives would be held to a tougher standard than rank-and-file employees for discipline. The Senate bill also codifies into law the VA accountability office created under Trump's order, but with changes to give the head of the office more independent authority and require the office to submit regular updates to Congress.
Conservative groups praised the bill.
"These new measures will disincentivize bad behavior within the VA and further protect those who bravely expose wrongdoing," said Dan Caldwell, policy director of Concerned Veterans for America, pointing to a "toxic culture" at the department.
The agreement comes in a week in which Senate Democrats are standing apart from Trump on a separate issue affecting veterans — the GOP bill passed by the House to repeal and replace the nation's healthcare law. Sen. Tammy Duckworth (D-Ill.) warned that the House measure would strip away explicit protections to ensure that as many as 8 million veterans who are eligible for VA care but opt to use private insurance would still receive tax credits.
Many veterans use a private insurer if they feel a VA facility is too far away, or if they don't qualify for fuller VA coverage because they have higher incomes or ailments unrelated to their time in service, said Duckworth, a combat veteran who lost her legs and partial use of her right arm during the Iraq war. A group of GOP senators is working to craft their own health bill.
"Trumpcare threatens to rip healthcare out of their hands," Duckworth said at a news briefing this week. "The question left is what will Senate Republicans do?"