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119-hr-6519119th CongressWALLET

Veterans Affairs Peer Review Neutrality Act of 2025

Sponsored By: Representative Dingell, Debbie [D-MI-6]

In Committee

Summary

Neutral, conflict-free peer review would be required across Veterans Health Administration medical facilities to stop reviewers with personal involvement or bias from judging cases they handled. The bill would add section 7311B to title 38, U.S. Code and set clear recusal rules and limits on use of confidential quality-assurance information for peer reviewers and administrative investigators.

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  • Veterans: Veterans would have reviews and investigations handled by non-involved reviewers, aiming for more impartial findings about the quality of care.
  • Health care providers: Providers who sit on a facility peer review committee would be removed from reviewing their own cases, and initial reviews involving them would go to a neutral peer review committee at another VA facility.
  • Administrative boards and factfinders: Individuals with confidential quality-assurance knowledge, personal or supervisory ties, or other conflicts would be barred from serving or required to recuse, with notification to the investigating authority.
  • VA facilities and administrators: Each facility would have to create procedures and guidelines to implement neutral peer review and investigation processes.

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Bill Overview

Analyzed Economic Effects

1 provisions identified: 1 benefits, 0 costs, 0 mixed.

Fairer peer reviews for VA patients

If enacted, VA medical facilities would have to get a neutral peer review at another VA when the provider under review is a member of the facility's peer review committee. The neutral committee would evaluate, discuss, and give the final-level determination. If enacted, people who do VA peer reviews or serve on investigative boards would have to withdraw if they were directly involved in the care or could not be objective. People with confidential quality-assurance information about a specific matter would not be allowed to serve on boards or disclose that information to investigators. The Secretary would be required to ensure members have no personal interest, bias, or supervisory or personal relationship with the subject, and conflicted members would have to notify the investigating authority and recuse themselves. These requirements would take effect upon enactment.

Sponsors & CoSponsors

Sponsor

Dingell, Debbie [D-MI-6]

MI • D

Cosponsors

  • Rep. Bergman, Jack [R-MI-1]

    MI • R

    Sponsored 12/9/2025

Roll Call Votes

No roll call votes available for this bill.

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