Title 38 › Part V— BOARDS, ADMINISTRATIONS, AND SERVICES › Chapter 74— VETERANS HEALTH ADMINISTRATION—PERSONNEL › Subchapter IV— PAY FOR NURSES AND OTHER HEALTH-CARE PERSONNEL › § 7452
When an employee in a covered position is promoted, their basic pay must go up by at least one step in their grade. A nurse who serves as a head nurse must be paid two steps higher than they otherwise would be; if they are already at the top steps, extra steps are created only for this purpose. If someone is promoted to the next higher grade, they must move to a step that pays more than they earned the day before. Facility directors must pay a cash bonus (up to $2,000) to covered employees who earn a specialty certification, and may also give such bonuses for outstanding work. The Secretary must report each year on the use of these bonuses and other incentives. Facility directors may hire covered employees at pay above the grade minimum (but not above the grade maximum) without higher approval when needed to recruit staff with hard-to-find skills. The director must put the reasons in writing, keep that file, and include the justification in the next budget papers. Any higher pay stays only while the person keeps the specialized job. Directors may also raise pay for other employees at the same facility doing the same specialized work. Employees who transfer between Department health-care facilities cannot be cut in grade or step if the new job has similar duties. The Secretary may keep a transferred employee’s prior pay for at least one year if needed and must explain that in the next annual report. “Covered position” is the term defined in section 7451. The Secretary may also pay nurse executives special pay from $10,000 to $100,000 based on job grade, scope, skills, facility needs, and recruitment difficulty; this special pay counts for retirement and benefits but is not basic pay for certain adverse-action rules.
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 5, 2026
Release point: 119-73not60