VA Physician Recognition for Policymakers

Support the VA Provider Equity Act (HR 3016/S 2175), Legislation to Recognize DPMs as Physicians under the Veterans Health Administration

Recent Activity
  • February 9, 2016 - The House passed HR 3016. While no vote has been scheduled in the Senate for the companion bill (S 2175), the two legislative bodies have already agreed to work on a compromise bill.
  • November 19, 2015 - The Congressional Budget Office (CBO) released its official estimate of the Veterans Employment, Education, and Healthcare Improvement Act (HR 3016). CBO estimates that enacting the House bill (HR 3016) would reduce federal spending by $815 million over the 2016–2025 period.
  • October 8, 2015 - Sen. Jon Tester (D-MT) introduced the VA Provider Equity Act (S 2175).
  • September 17, 2015 - The US House Veterans Affairs Committee passed the Veterans Employment, Education, and Healthcare Improvement Act (HR 3016), and it is now awaiting consideration and a final vote by the full US House of Representatives. During this hearing, the committee combined more than 30 separate pieces of legislation into our bill, which will now be used to carry this legislation in what will be known as the "Veterans Employment, Education, and Healthcare Improvement Act." This new bill includes a number of different items related to resolving various problems within, and making improvements to, the Veterans Health Administration.
  • July 14, 2015 - During a hearing of the US House Veterans Affairs Health Subcommittee, testimony was recorded from the American Legion, the Veterans of Foreign Wars, the Disabled Veterans of America, the Paralyzed Veterans of America, and the Veterans Health Administration in support of the VA Provider Equity Act (HR 3016).
  • July 9, 2015 - Rep. Brad Wenstrup, DPM, introduced the VA Provider Equity Act (HR 3016). The original sponsors of this legislation include Dr. Wenstrup, and all of the other physician members of the US House Veterans Affairs Committee.
  • May 15, 2015 - APMA testified at the US House Veterans Affairs Health Subcommittee hearing. Director of Young Physicians, and former VA podiatric physician, Nichol Salvo, DPM, testified on how the disparity within the VA hinders recruitment and retention of podiatrists.
Cosponsor Information

Review this up-to-date list of House and Senate cosponsors of the bill.

Request

APMA requests your assistance to resolve ongoing recruitment and retention issues for podiatric physicians employed under the Veterans Health Administration (VHA). These recruitment and retention issues are directly related to the definition of "physician" used by VHA, and as part of APMA's Path to Parity and goal for DPM recognition as physicians under all federal statutes, we need APMA members to contact their senators and representatives to address this issue for our nation's veterans.

Problem

As Congress continues to address health-care reform, there is an impending shortage of physicians and other health-care professionals to meet the needs of the nation’s veterans. Podiatric physicians play a key role in delivering the same, or better, medical and surgical foot and ankle services as medical doctors (MD) and osteopathic doctors (DO) provide. Yet, podiatric physicians are frequently excluded from programs that provide such workforce development incentives as performance bonuses, loan repayment, and scholarship opportunities. This exclusion ultimately results in ever-decreasing enrollment and increasing attrition rates at VHA facilities among willing residents and experienced podiatric physicians as they pursue opportunities for advancement not available to them through service to VHA.

If Congress fails to act to correct this recruitment and retention issue for podiatric physicians, the net effect will be the lowering of the quality of foot and ankle care available for the nation’s veterans.

Several VHA workforce enhancement bills introduced in both the House and Senate last session failed to recognize doctors of podiatric medicine—in the physician definition used, in the recognition of hospital-based podiatric residencies, or in the recognition of institutions that train podiatric physicians.

Background

The VHA podiatric physician compensation package has remained unchanged since 1976, except for those changes reflected in the Title 38, USC Section 7404 Clinical Podiatrist and Optometrist Salary Tables, that include basic pay and locality rate adjustments. Senior clinical podiatric physicians in 55 percent of the regions receiving locality pay have reached the legislatively capped rate of pay for the Level IV Executive Schedule limit. The compensation package for VHA podiatric physicians has become less attractive than what is offered in other practice settings, especially the private sector, which has resulted in recruitment and retention problems within VHA.

A significant proportion of the VHA podiatric physician workforce is composed of senior practitioners eligible for retirement, and difficulties have been documented in recruiting and retaining qualified providers in anticipation of these retirements and to meet current and future podiatric physician needs. VHA has acknowledged the need to develop strategic succession plans and initiatives to ensure knowledge transfer, continuity of services, and to replace the numerous clinicians and administrators across the system who are eligible to retire.

To remain competitive, VHA needs to initiate proactively appropriate recognition of podiatric physicians similar, if not identical, to what has been established for medicine and dentistry. Because this pool of providers is a very small percentage of the total physician providers in VHA (less than five percent, or approximately 330 podiatrists system-wide), both the costs and the savings will have little impact on the overall budget. However, if VHA were to include podiatric physicians under the Physician and Dentist Pay Schedule, it would give the facility directors the flexibility to help resolve retention and recruitment obstacles.

Response to AAOS Opposition

Recently the American Association of Orthopedic Surgeons delivered a letter in opposition to this legislation. Download the response letters from APMA, the American Board of Podiatric Medicine, and the Academy of Physicians in Wound Healing.

Download this issue/policy brief: VA Recruitment & Retention Issue Brief (PDF)


Leave Your Thoughts

Please sign in to leave a comment

Advertisement
Read the lastest issue of APMA News from anywhere!