Title 38 › Part PART V— - BOARDS, ADMINISTRATIONS, AND SERVICES › Chapter CHAPTER 74— - VETERANS HEALTH ADMINISTRATION—PERSONNEL › Subchapter SUBCHAPTER IV— - PAY FOR NURSES AND OTHER HEALTH-CARE PERSONNEL › § 7452
Promotions must raise pay. When a worker in a covered health-care job gets a promotion, their basic pay must go up by at least one step in their grade. A head nurse must be paid two steps higher than they would otherwise get. If a head nurse is already at the top steps, extra steps are created just for that pay boost. If someone moves up one grade, their new pay step must be higher than the pay they had the day before the promotion. Facility directors must pay certain bonuses and can use extra pay to hire and keep staff. A director must pay a cash bonus up to $2,000 to an employee who earns a Department-recognized specialty certification. The director can also give that bonus for truly outstanding performance. The Secretary must report each year on use of these bonuses and other pay incentives. A facility director may hire a new worker at a rate above the grade minimum (but not above the grade maximum) without higher approval when needed to get people with hard-to-find skills. The director must write down the reasons and include them in budget papers. That higher pay only lasts while the employee does the specialized work. The director may also raise pay for other employees doing the same specialized work, but only while they keep doing it. Employees who transfer between facilities without a break cannot be cut in grade or step if the job duties are similar. The Secretary may pay special pay of $10,000 to $100,000 to nurse executives based on job level, facility needs, and recruitment difficulty; that pay counts for retirement and other benefits but is not treated as basic pay for certain adverse-action rules. Covered position: the jobs listed under section 7451.
Full Legal Text
Veterans' Benefits — Source: USLM XML via OLRC
Legislative History
Reference
Citation
38 U.S.C. § 7452
Title 38 — Veterans' Benefits
Last Updated
Apr 6, 2026
Release point: 119-73