Title 38, Veterans' BenefitsRelease 119-110

§7459 Nursing Staff: Special Rules for Overtime Duty

Title 38 › PART V — BOARDS, ADMINISTRATIONS, AND SERVICES › CHAPTER 74 — VETERANS HEALTH ADMINISTRATION—PERSONNEL › SUBCHAPTER IV — PAY FOR NURSES AND OTHER HEALTH-CARE PERSONNEL › § 7459

Last updated Sep 22, 2026|Official source

Summary

Nursing staff cannot be forced to work more than 40 hours in an administrative work week, or more than 24 hours if they are covered under section 7456. They also cannot be forced to work more than eight hours in a row, or 12 hours in a row if covered under section 7456 or 7456A. Nurses may choose to work extra hours if they want. Saying no to extra hours cannot be used as a reason to punish, fire, or treat them unfairly. The Secretary may require extra hours only in a real emergency that could not be expected, is not repeating or caused by poor planning, and after trying in good faith to get volunteers. The required staff must have critical skills needed for the work and the work must need continuity of care until a case, treatment, or procedure is finished. The requirement ends when the staff’s direct role in the emergency response ends. “Nursing staff” means registered nurses, licensed practical or vocational nurses, nurse assistants appointed under the law, and any other nurse jobs the Secretary names.

Full Legal Text

Title 38, §7459

Veterans' Benefits, Source: USLM XML via OLRC

(a)Limitation.—
Except as provided in subsection (c), the Secretary may not require nursing staff to work more than 40 hours (or 24 hours if such staff is covered under section 7456 of this title) in an administrative work week or more than eight consecutive hours (or 12 hours if such staff is covered under section 7456 or 7456A of this title).
(b)Voluntary Overtime.—
(1)Nursing staff may on a voluntary basis elect to work hours otherwise prohibited by subsection (a).
(2)The refusal of nursing staff to work hours prohibited by subsection (a) shall not be grounds—
(A)to discriminate (within the meaning of section 704(a) of the Civil Rights Act of 1964 (42 U.S.C. 2000e–3(a))) against the staff;
(B)to dismiss or discharge the staff; or
(C)for any other adverse personnel action against the staff.
(c)Overtime Under Emergency Circumstances.—
(1)Subject to paragraph (2), the Secretary may require nursing staff to work hours otherwise prohibited by subsection (a) if—
(A)the work is a consequence of an emergency that could not have been reasonably anticipated;
(B)the emergency is non-recurring and is not caused by or aggravated by the inattention of the Secretary or lack of reasonable contingency planning by the Secretary;
(C)the Secretary has exhausted all good faith, reasonable attempts to obtain voluntary workers;
(D)the nurse staff have critical skills and expertise that are required for the work; and
(E)the work involves work for which the standard of care for a patient assignment requires continuity of care through completion of a case, treatment, or procedure.
(2)Nursing staff may not be required to work hours under this subsection after the requirement for a direct role by the staff in responding to medical needs resulting from the emergency ends.
(d)Nursing Staff Defined.—
In this section, the term “nursing staff” includes the following:
(1)A registered nurse.
(2)A licensed practical or vocational nurse.
(3)A nurse assistant appointed under this chapter or title 5.
(4)Any other nurse position designated by the Secretary for purposes of this section.

Reference

Citations & Metadata

Citation

38 U.S.C. § 7459

Title 38, Veterans' Benefits

Last Updated

Sep 22, 2026

Release point: 119-110