Annual Pay Ranges for Physicians, Dentists and Podiatrists of the Veterans Health Administration, 77671-77673 [2023-24893]
Download as PDF
Federal Register / Vol. 88, No. 217 / Monday, November 13, 2023 / Notices
Issued in Washington, DC.
Livaughn Chapman Jr.,
Deputy Assistant General Counsel, Office of
Aviation Consumer Protection.
[FR Doc. 2023–24885 Filed 11–9–23; 8:45 am]
BILLING CODE 4910–9X–C
DEPARTMENT OF THE TREASURY
Community Development Financial
Institutions Fund
Open Meeting: Community
Development Advisory Board
ACTION:
Notice of open meeting.
This notice announces an
open meeting of the Community
Development Advisory Board (the
Advisory Board), which provides advice
to the Director of the Community
Development Financial Institutions
Fund (CDFI Fund). This meeting will be
conducted virtually. A link to view the
meeting will be posted under the date
of the meeting at www.cdfifund.gov/
cdab.
DATES: The meeting will be held from 2
p.m. to 4 p.m. eastern time on Tuesday,
November 28, 2023.
Submission of Written Statements:
Participation in the discussions at the
meeting will be limited to Advisory
Board members, Department of the
Treasury staff, and certain invited
guests. Anyone who would like to have
the Advisory Board consider a written
statement must submit it by 5 p.m.
eastern time on Monday, November 20,
2023. Send electronic statements to
AdvisoryBoard@cdfi.treas.gov.
In general, the CDFI Fund will make
all statements available in their original
format, including any business or
personal information provided such as
names, addresses, email addresses, or
telephone numbers, for virtual public
inspection and copying. The CDFI Fund
is open on official business days
between the hours of 9 a.m. and 5 p.m.
eastern time. You can make
arrangements to virtually inspect
statements by emailing AdvisoryBoard@
cdfi.treas.gov. All statements received,
including attachments and other
supporting materials, are part of the
public record and subject to public
disclosure. You should only submit
information that you wish to make
publicly available.
FOR FURTHER INFORMATION CONTACT: Bill
Luecht, Senior Advisor, Office of
Legislative and External Affairs, CDFI
Fund; (202) 653–0322 (this is not a tollfree number); or AdvisoryBoard@
cdfi.treas.gov. Other information
regarding the CDFI Fund and its
khammond on DSKJM1Z7X2PROD with NOTICES
SUMMARY:
VerDate Sep<11>2014
17:12 Nov 09, 2023
Jkt 262001
programs may be obtained through the
CDFI Fund’s website at https://
www.cdfifund.gov.
Section
104(d) of the Riegle Community
Development and Regulatory
Improvement Act of 1994 (Pub. L. 103–
325), which created the CDFI Fund,
established the Advisory Board. The
charter for the Advisory Board has been
filed in accordance with the Federal
Advisory Committee Act, as amended (5
U.S.C. 1001 et seq.), and with the
approval of the Secretary of the
Treasury.
The function of the Advisory Board is
to advise the Director of the CDFI Fund
(who has been delegated the authority to
administer the CDFI Fund) on the
policies regarding the activities of the
CDFI Fund. The Advisory Board is not
a governing board, and it does not
advise the CDFI Fund on approving or
declining any particular application for
monetary or non-monetary awards.
In accordance with section 10(a) of
the Federal Advisory Committee Act, 5
U.S.C. 1009 and the regulations
thereunder, Bill Luecht, Designated
Federal Officer of the Advisory Board,
has ordered publication of this notice
that the Advisory Board will convene an
open meeting, which will be conducted
virtually, from 2 p.m. to 4 p.m. eastern
time on Tuesday, November 28, 2023.
Members of the public who wish to
view the virtual meeting will be
required to register upon entering into
the virtual meeting, which can be
accessed 30 minutes prior to its
scheduled start time. The link to view
the meeting will be posted under the
date of the meeting at https://
www.cdfifund.gov/cdab.
The Advisory Board meeting will
include an update from Acting Director
Sigal on the CDFI Fund’s programs and
CDFI Certification.
Authority: 12 U.S.C. 4703.
SUPPLEMENTARY INFORMATION:
Marcia Sigal,
Acting Director, Community Development
Financial Institutions Fund.
[FR Doc. 2023–24942 Filed 11–9–23; 8:45 am]
BILLING CODE 4810–70–P
DEPARTMENT OF VETERANS
AFFAIRS
Annual Pay Ranges for Physicians,
Dentists and Podiatrists of the
Veterans Health Administration
Department of Veterans Affairs.
Notice.
AGENCY:
ACTION:
VA is hereby giving notice of
annual pay ranges, which is the sum of
SUMMARY:
PO 00000
Frm 00123
Fmt 4703
Sfmt 4703
77671
the base pay rate and market pay for
VHA physicians, dentists and
podiatrists as prescribed by the
Secretary for Department-wide
applicability. These annual pay ranges
are intended to enhance the flexibility
of the Department to recruit, develop
and retain the most highly qualified
providers to serve the Nation’s Veterans
and maintain a standard of excellence in
the VA health care system.
DATES: Annual pay ranges are applicable
on January 14, 2024.
FOR FURTHER INFORMATION CONTACT:
Leah Brady, Supervisory Human
Resources (HR) Specialist, Human
Resources Center of Expertise, VHA
Workforce Management and Consulting
(10A2A), Department of Veterans
Affairs, 810 Vermont Avenue NW,
Washington, DC 20420, 842–288–7894.
This is not a toll-free number.
SUPPLEMENTARY INFORMATION: Under 38
U.S.C. 7431(e)(1)(A), not less often than
once every 2 years, the Secretary must
prescribe for Department-wide
applicability the minimum and
maximum amounts of annual pay that
may be paid to VHA physicians,
dentists and podiatrists. 38 U.S.C.
7431(e)(1)(B) allows the Secretary to
prescribe separate minimum and
maximum amounts of annual pay for a
specialty or assignment. Pursuant to 38
U.S.C. 7431(e)(1)(C), amounts
prescribed under section 7431(e) shall
be published in the Federal Register
and shall not take effect until at least 60
days after the date of publication.
In addition, under 38 U.S.C.
7431(e)(4), the total amount of
compensation paid to a physician,
dentist or podiatrist under title 38 of the
United States Code cannot exceed, in
any year, the amount of annual
compensation (excluding expenses) of
the President. For the purposes of
section 7431(e)(4), ‘‘the total amount of
compensation’’ includes base pay,
market pay, performance pay, and fee
basis earnings, but excludes
recruitment, relocation, retention
incentives,1 awards for performance and
special contributions from total
compensation calculations.
Background
The ‘‘Department of Veterans Affairs
Health Care Personnel Enhancement Act
of 2004’’ (Pub. L. 108–445) was signed
by the President on December 3, 2004.
1 In accordance with title IX, section 906 of the
‘‘Sergeant First Class Heath Robinson Honoring our
Promise to Address Comprehensive Toxics (PACT)
Act of 2022’’ (Pub. L. 117–168, dated August 10,
2022), recruitment, relocation and retention
incentives, along with performance awards, shall
not be considered in calculating the limitation
under 38 U.S.C. 7431(e)(4).
E:\FR\FM\13NON1.SGM
13NON1
77672
Federal Register / Vol. 88, No. 217 / Monday, November 13, 2023 / Notices
khammond on DSKJM1Z7X2PROD with NOTICES
The law’s major provisions established
a new pay system for VHA physicians
and dentists consisting of base pay,
market pay and performance pay. These
three components create a system of pay
that is driven by both market indicators
and employee performance, while
recognizing employee tenure in VHA.
While the base pay component is set by
statute, market pay is intended to reflect
the recruitment and retention needs for
the specialty or assignment of a
particular physician or dentist at a
facility. Further, performance pay is
intended to recognize the achievement
of specific goals and performance
objectives prescribed annually.
On April 8, 2019, the President signed
Public Law 116–12, which amended 38
U.S.C. 7431 to include podiatrists
within the physician and dentist pay
system, authorizing podiatrists to
receive base pay, market pay and
performance pay. With the amendment,
podiatrists are also subject to the same
limitations and requirements as
physicians and dentists under section
7431.
VA will consolidate pay table 1 and
2, resulting in the elimination of a pay
table. Changes to the minimum and
maximum amounts for the revised pay
tables 1 and 2 have been made. The
maximum amount for the former pay
table 3 (now pay table 2) remains
unchanged since the 2016 publication
in the Federal Register. Pay tables 1 and
2 will cover the clinical specialties, with
pay tables 3 and 4 covering the
executive assignments.
Discussion
VA identified and utilized salary
survey data sources which most closely
represent VA comparability in the areas
of practice setting, employment
environment and hospital/health care
systems. The Association of American
Medical Colleges, Sullivan Cotter and
Associates, Medical Group Management
Association, Korn Ferry Healthcare
National and Executive Report, Mercer
Integrated Health Networks and the
Survey of Dental Practice published by
the American Dental Association were
collectively utilized as benchmarks to
prescribe annual pay ranges across the
scope of assignments/specialties within
the Department. While aggregating the
data, a preponderance of weight was
given to those surveys which most
directly resembled the environment of
the Department.
VA continued the practice of grouping
specialties into consolidated pay ranges
to accommodate the more than 40
specialties that currently exist in the VA
system. This allows VA to use multiple
VerDate Sep<11>2014
17:12 Nov 09, 2023
Jkt 262001
salary survey data sources to minimize
disparities and aberrations that may
surface from data involving smaller
samples that change from year to year.
Aggregating multiple survey sources
into like groupings results in greater
confidence that the average
compensation reported is truly
representative. The aggregation of data
provides for a large enough sample size
to provide maximum flexibility for pay
setting for VHA physicians, dentists and
podiatrists.
In developing the annual pay ranges,
distinctive principles were factored into
the compensation analysis of the data.
The first principle is to ensure that the
minimum and maximum salaries are at
a level that accommodates special
employment situations from fellowships
and medical research career
development awards to Nobel Laureates;
high-cost areas; and internationally
renowned clinicians. The second
principle provides ranges large enough
to accommodate career progression,
geographic differences, subspecialization and other special factors.
Clinical specialties were reviewed
against available, relevant private sector
data. The specialties are grouped into
two (formerly three) clinical pay ranges
that reflect comparable complexity in
salary, recruitment and retention
considerations. The Steering Committee
recommendations included
consolidating the former pay tables 1
and 2, designating two clinical pay
ranges (pay tables 1 and 2) for the
varying clinical specialties and
designating pay tables 3 and 4 for
executive assignments. The Steering
Committee also made recommendations
to add new and realign existing
specialties to different clinical pay
ranges, as well as changes to the
minimum and maximum pay ranges.
Tier level
Minimum
Maximum
Pay Table 1—Clinical Specialty
Tier 1 ........................
Tier 2 ........................
Tier 3 ........................
$115,587
145,000
165,000
$300,000
320,000
336,000
Pay Table 1—Covered Clinical Specialties
Allergy and Immunology, Endocrinology,
Endodontics, Family Medicine, General
Practice—Dentistry,
Geriatrics,
Health
Informatics, Hospitalist, Infectious Diseases, Internal Medicine, Neurology,
Nocturnist, Palliative Care, Periodontics,
Physical Medicine & Rehabilitation/Spinal
Cord Injury, Podiatry (General), Preventive
Medicine, Primary Care, Prosthodontics,
Psychiatry, Rheumatology, Sleep Medicine,
All other specialties or assignments.
PO 00000
Frm 00124
Fmt 4703
Sfmt 4703
Pay Table 2—Clinical Specialty
Tier level
Minimum
Maximum
Tier 1 ........................
Tier 2 ........................
$115,587
200,000
$400,000
400,000
I
Pay Table 2—Covered Clinical Specialties
Anatomic Pathology, Anesthesiology, Cardiology (Invasive/Non-Interventional), Cardiology (Non-Invasive), Cardio-Thoracic Surgery, Critical Care, Dermatology, Dermatology (Mohs), Emergency Medicine, Gastroenterology, General Surgery, Gynecology, Hematology—Oncology, Interventional Cardiology, Interventional Radiology, Nephrology, Neurosurgery, Nuclear
Medicine, Ophthalmology, Oral Surgery,
Orthopedic Surgery, Otolaryngology, Pain
Management (Interventional & Non-Operating Room Anesthesiology), Pain Management (PM&R), Pathology, Plastic Surgery, Podiatry (Surgery-Forefoot, Rearfoot/
Ankle, Advanced Rearfoot/Ankle), Pulmonary, Radiology (Diagnostic), Radiation
Oncology, Urology, Vascular Surgery.
Pay Table 3—Chief Medical Officer
Assignments
Tier level
Tier
Tier
Tier
Tier
1
2
3
4
........................
........................
........................
........................
Minimum
Maximum
$150,000
147,000
145,000
140,000
$400,000
375,000
350,000
325,000
Pay Table 3—Covered Assignments
The recommendation is to decouple VHA
Chiefs of Staff and Network Chief Medical
Officers Tier assignments for Chiefs of
Staff from their complexity levels to address recruitment and retention issues. By
decoupling the provider from their facility,
this allows individual qualifications to be
acknowledged.
Tier 1—Network Chief Medical Officer.
Tier 2—Chief of Staff.
Tier 3—Deputy Network Chief Medical Officer and Deputy Chief of Staff.
Tier 4—Associate Chief of Staff.
Pay Table 4—Executive Assignments
No discussions took place regarding pay
table 4 (formerly pay table 5) other than
the pay table number changing due to
combining of other pay tables.
Tier level
Minimum
Maximum
Tier 1 ........................
Tier 2 ........................
Tier 3 ........................
$145,000
145,000
145,000
$310,000
295,000
285,000
E:\FR\FM\13NON1.SGM
13NON1
I
Federal Register / Vol. 88, No. 217 / Monday, November 13, 2023 / Notices
ACTION:
Tier level
Deputy Under Secretary for Health; Assistant
Under Secretaries for Health; Associate
Deputy Under Secretary for Health; Assistant Deputy Under Secretary for Health;
Chief Officers (VHA Central Office (CO));
Network Directors; Medical Center Directors; Executive Directors (VHA CO); Deputy to the Assistant Under Secretaries for
Health; Chief Consultants (VHA CO); Deputy Chief Officers (VHA CO); Deputy Network Directors; Deputy Medical Center Directors; Deputy Chief Consultants (VHA
CO); Deputy to the Executive Directors
(VHA CO); VHA CO physicians, dentists or
podiatrists (non-Senior Executive Service
equivalents) with an administrative/executive role for more than 50% of their fulltime equivalent.
Signing Authority
Denis McDonough, Secretary of
Veterans Affairs, approved and signed
this document on October 24, 2023, and
authorized the undersigned to sign and
submit the document to the Office of the
Federal Register for publication
electronically as an official document of
the Department of Veterans Affairs.
Luvenia Potts,
Regulation Development Coordinator, Office
of Regulation Policy & Management, Office
of General Counsel, Department of Veterans
Affairs.
[FR Doc. 2023–24893 Filed 11–9–23; 8:45 am]
BILLING CODE 8320–01–P
DEPARTMENT OF VETERANS
AFFAIRS
[OMB Control No. 2900–NEW]
Agency Information Collection
Activity: Monthly Progress ReportVeteran Readiness and Employment
Veterans Benefits
Administration, Department of Veterans
Affairs.
khammond on DSKJM1Z7X2PROD with NOTICES
VerDate Sep<11>2014
17:12 Nov 09, 2023
Jkt 262001
Veterans Benefits
Administration, Department of Veterans
Affairs (VA), is announcing an
opportunity for public comment on the
proposed collection of certain
information by the agency. Under the
Paperwork Reduction Act (PRA) of
1995, Federal agencies are required to
publish notice in the Federal Register
concerning each proposed collection of
information, including each proposed
new collection, and allow 60 days for
public comment in response to the
notice.
DATES: Written comments and
recommendations on the proposed
collection of information should be
received on or before January 12, 2024.
ADDRESSES: Submit written comments
on the collection of information through
Federal Docket Management System
(FDMS) at www.Regulations.gov or to
Nancy J. Kessinger, Veterans Benefits
Administration (20M33), Department of
Veterans Affairs, 810 Vermont Avenue
NW, Washington, DC 20420 or email to
nancy.kessinger@va.gov. Please refer to
‘‘OMB Control No. 2900–NEW’’ in any
correspondence. During the comment
period, comments may be viewed online
through FDMS.
FOR FURTHER INFORMATION CONTACT:
Maribel Aponte, Office of Enterprise
and Integration, Data Governance
Analytics (008), 810 Vermont Ave. NW,
Washington, DC 20420, (202) 266–4688
or email maribel.aponte@va.gov. Please
refer to ‘‘OMB Control No. 2900–NEW’’
in any correspondence.
SUPPLEMENTARY INFORMATION: Under the
PRA of 1995, Federal agencies must
obtain approval from the Office of
Management and Budget (OMB) for each
collection of information they conduct
or sponsor. This request for comment is
being made pursuant to section
3506(c)(2)(A) of the PRA.
With respect to the following
collection of information, VBA invites
SUMMARY:
Pay Table 4—Covered Assignments
AGENCY:
Notice.
PO 00000
Frm 00125
Fmt 4703
Sfmt 9990
77673
comments on: (1) whether the proposed
collection of information is necessary
for the proper performance of VBA’s
functions, including whether the
information will have practical utility;
(2) the accuracy of VBA’s estimate of the
burden of the proposed collection of
information; (3) ways to enhance the
quality, utility, and clarity of the
information to be collected; and (4)
ways to minimize the burden of the
collection of information on
respondents, including through the use
of automated collection techniques or
the use of other forms of information
technology.
Authority: 38 U.S.C 3116 and 3117.
Title: Monthly Progress ReportVeteran Readiness and Employment.
OMB Control Number: 2900–NEW.
Type of Review: New collection.
Abstract: VA Form 28–10289 is
primarily used to gather information to
determine the Veteran’s monthly
employment progress as outlined in his
or her Individualized Employment
Assistance Plan. Without this
information, VR&E service is unable to
ensure that program participants are
receiving the necessary employment
services to ensure the successful
completion of their rehabilitation
program.
Affected Public: Individuals and
households.
Estimated Annual Burden: 3,897
hours.
Estimated Average Burden per
Respondent: 15 minutes.
Frequency of Response: Monthly.
Estimated Number of Respondents:
15,586.
By direction of the Secretary.
Maribel Aponte,
VA PRA Clearance Officer, Office of
Enterprise and Integration/Data Governance
Analytics, Department of Veterans Affairs.
[FR Doc. 2023–24918 Filed 11–9–23; 8:45 am]
BILLING CODE 8320–01–P
E:\FR\FM\13NON1.SGM
13NON1
Agencies
[Federal Register Volume 88, Number 217 (Monday, November 13, 2023)]
[Notices]
[Pages 77671-77673]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-24893]
=======================================================================
-----------------------------------------------------------------------
DEPARTMENT OF VETERANS AFFAIRS
Annual Pay Ranges for Physicians, Dentists and Podiatrists of the
Veterans Health Administration
AGENCY: Department of Veterans Affairs.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: VA is hereby giving notice of annual pay ranges, which is the
sum of the base pay rate and market pay for VHA physicians, dentists
and podiatrists as prescribed by the Secretary for Department-wide
applicability. These annual pay ranges are intended to enhance the
flexibility of the Department to recruit, develop and retain the most
highly qualified providers to serve the Nation's Veterans and maintain
a standard of excellence in the VA health care system.
DATES: Annual pay ranges are applicable on January 14, 2024.
FOR FURTHER INFORMATION CONTACT: Leah Brady, Supervisory Human
Resources (HR) Specialist, Human Resources Center of Expertise, VHA
Workforce Management and Consulting (10A2A), Department of Veterans
Affairs, 810 Vermont Avenue NW, Washington, DC 20420, 842-288-7894.
This is not a toll-free number.
SUPPLEMENTARY INFORMATION: Under 38 U.S.C. 7431(e)(1)(A), not less
often than once every 2 years, the Secretary must prescribe for
Department-wide applicability the minimum and maximum amounts of annual
pay that may be paid to VHA physicians, dentists and podiatrists. 38
U.S.C. 7431(e)(1)(B) allows the Secretary to prescribe separate minimum
and maximum amounts of annual pay for a specialty or assignment.
Pursuant to 38 U.S.C. 7431(e)(1)(C), amounts prescribed under section
7431(e) shall be published in the Federal Register and shall not take
effect until at least 60 days after the date of publication.
In addition, under 38 U.S.C. 7431(e)(4), the total amount of
compensation paid to a physician, dentist or podiatrist under title 38
of the United States Code cannot exceed, in any year, the amount of
annual compensation (excluding expenses) of the President. For the
purposes of section 7431(e)(4), ``the total amount of compensation''
includes base pay, market pay, performance pay, and fee basis earnings,
but excludes recruitment, relocation, retention incentives,\1\ awards
for performance and special contributions from total compensation
calculations.
---------------------------------------------------------------------------
\1\ In accordance with title IX, section 906 of the ``Sergeant
First Class Heath Robinson Honoring our Promise to Address
Comprehensive Toxics (PACT) Act of 2022'' (Pub. L. 117-168, dated
August 10, 2022), recruitment, relocation and retention incentives,
along with performance awards, shall not be considered in
calculating the limitation under 38 U.S.C. 7431(e)(4).
---------------------------------------------------------------------------
Background
The ``Department of Veterans Affairs Health Care Personnel
Enhancement Act of 2004'' (Pub. L. 108-445) was signed by the President
on December 3, 2004.
[[Page 77672]]
The law's major provisions established a new pay system for VHA
physicians and dentists consisting of base pay, market pay and
performance pay. These three components create a system of pay that is
driven by both market indicators and employee performance, while
recognizing employee tenure in VHA. While the base pay component is set
by statute, market pay is intended to reflect the recruitment and
retention needs for the specialty or assignment of a particular
physician or dentist at a facility. Further, performance pay is
intended to recognize the achievement of specific goals and performance
objectives prescribed annually.
On April 8, 2019, the President signed Public Law 116-12, which
amended 38 U.S.C. 7431 to include podiatrists within the physician and
dentist pay system, authorizing podiatrists to receive base pay, market
pay and performance pay. With the amendment, podiatrists are also
subject to the same limitations and requirements as physicians and
dentists under section 7431.
VA will consolidate pay table 1 and 2, resulting in the elimination
of a pay table. Changes to the minimum and maximum amounts for the
revised pay tables 1 and 2 have been made. The maximum amount for the
former pay table 3 (now pay table 2) remains unchanged since the 2016
publication in the Federal Register. Pay tables 1 and 2 will cover the
clinical specialties, with pay tables 3 and 4 covering the executive
assignments.
Discussion
VA identified and utilized salary survey data sources which most
closely represent VA comparability in the areas of practice setting,
employment environment and hospital/health care systems. The
Association of American Medical Colleges, Sullivan Cotter and
Associates, Medical Group Management Association, Korn Ferry Healthcare
National and Executive Report, Mercer Integrated Health Networks and
the Survey of Dental Practice published by the American Dental
Association were collectively utilized as benchmarks to prescribe
annual pay ranges across the scope of assignments/specialties within
the Department. While aggregating the data, a preponderance of weight
was given to those surveys which most directly resembled the
environment of the Department.
VA continued the practice of grouping specialties into consolidated
pay ranges to accommodate the more than 40 specialties that currently
exist in the VA system. This allows VA to use multiple salary survey
data sources to minimize disparities and aberrations that may surface
from data involving smaller samples that change from year to year.
Aggregating multiple survey sources into like groupings results in
greater confidence that the average compensation reported is truly
representative. The aggregation of data provides for a large enough
sample size to provide maximum flexibility for pay setting for VHA
physicians, dentists and podiatrists.
In developing the annual pay ranges, distinctive principles were
factored into the compensation analysis of the data. The first
principle is to ensure that the minimum and maximum salaries are at a
level that accommodates special employment situations from fellowships
and medical research career development awards to Nobel Laureates;
high-cost areas; and internationally renowned clinicians. The second
principle provides ranges large enough to accommodate career
progression, geographic differences, sub-specialization and other
special factors.
Clinical specialties were reviewed against available, relevant
private sector data. The specialties are grouped into two (formerly
three) clinical pay ranges that reflect comparable complexity in
salary, recruitment and retention considerations. The Steering
Committee recommendations included consolidating the former pay tables
1 and 2, designating two clinical pay ranges (pay tables 1 and 2) for
the varying clinical specialties and designating pay tables 3 and 4 for
executive assignments. The Steering Committee also made recommendations
to add new and realign existing specialties to different clinical pay
ranges, as well as changes to the minimum and maximum pay ranges.
------------------------------------------------------------------------
Tier level Minimum Maximum
------------------------------------------------------------------------
Pay Table 1--Clinical Specialty
------------------------------------------------------------------------
Tier 1............................................ $115,587 $300,000
Tier 2............................................ 145,000 320,000
Tier 3............................................ 165,000 336,000
------------------------------------------------------------------------
Pay Table 1--Covered Clinical Specialties
------------------------------------------------------------------------
Allergy and Immunology, Endocrinology, Endodontics, Family Medicine,
General Practice--Dentistry, Geriatrics, Health Informatics,
Hospitalist, Infectious Diseases, Internal Medicine, Neurology,
Nocturnist, Palliative Care, Periodontics, Physical Medicine &
Rehabilitation/Spinal Cord Injury, Podiatry (General), Preventive
Medicine, Primary Care, Prosthodontics, Psychiatry, Rheumatology, Sleep
Medicine, All other specialties or assignments.........................
------------------------------------------------------------------------
------------------------------------------------------------------------
------------------------------------------------------------------------
Pay Table 2--Clinical Specialty
------------------------------------------------------------------------
Tier level Minimum Maximum
------------------------------------------------------------------------
Tier 1............................................ $115,587 $400,000
Tier 2............................................ 200,000 400,000
------------------------------------------------------------------------
Pay Table 2--Covered Clinical Specialties
------------------------------------------------------------------------
Anatomic Pathology, Anesthesiology, Cardiology (Invasive/Non-
Interventional), Cardiology (Non-Invasive), Cardio-Thoracic Surgery,
Critical Care, Dermatology, Dermatology (Mohs), Emergency Medicine,
Gastroenterology, General Surgery, Gynecology, Hematology--Oncology,
Interventional Cardiology, Interventional Radiology, Nephrology,
Neurosurgery, Nuclear Medicine, Ophthalmology, Oral Surgery, Orthopedic
Surgery, Otolaryngology, Pain Management (Interventional & Non-
Operating Room Anesthesiology), Pain Management (PM&R), Pathology,
Plastic Surgery, Podiatry (Surgery-Forefoot, Rearfoot/Ankle, Advanced
Rearfoot/Ankle), Pulmonary, Radiology (Diagnostic), Radiation Oncology,
Urology, Vascular Surgery..............................................
------------------------------------------------------------------------
------------------------------------------------------------------------
------------------------------------------------------------------------
Pay Table 3--Chief Medical Officer Assignments
------------------------------------------------------------------------
Tier level Minimum Maximum
------------------------------------------------------------------------
Tier 1............................................ $150,000 $400,000
Tier 2............................................ 147,000 375,000
Tier 3............................................ 145,000 350,000
Tier 4............................................ 140,000 325,000
------------------------------------------------------------------------
Pay Table 3--Covered Assignments
------------------------------------------------------------------------
The recommendation is to decouple VHA Chiefs of Staff and Network Chief
Medical Officers Tier assignments for Chiefs of Staff from their
complexity levels to address recruitment and retention issues. By
decoupling the provider from their facility, this allows individual
qualifications to be acknowledged......................................
Tier 1--Network Chief Medical Officer...................................
Tier 2--Chief of Staff..................................................
Tier 3--Deputy Network Chief Medical Officer and Deputy Chief of Staff..
Tier 4--Associate Chief of Staff........................................
------------------------------------------------------------------------
------------------------------------------------------------------------
------------------------------------------------------------------------
Pay Table 4--Executive Assignments
------------------------------------------------------------------------
No discussions took place regarding pay table 4 (formerly pay table 5)
other than the pay table number changing due to combining of other pay
tables.................................................................
------------------------------------------------------------------------
Tier level Minimum Maximum
------------------------------------------------------------------------
Tier 1............................................ $145,000 $310,000
Tier 2............................................ 145,000 295,000
Tier 3............................................ 145,000 285,000
------------------------------------------------------------------------
[[Page 77673]]
Pay Table 4--Covered Assignments
------------------------------------------------------------------------
Deputy Under Secretary for Health; Assistant Under Secretaries for
Health; Associate Deputy Under Secretary for Health; Assistant Deputy
Under Secretary for Health; Chief Officers (VHA Central Office (CO));
Network Directors; Medical Center Directors; Executive Directors (VHA
CO); Deputy to the Assistant Under Secretaries for Health; Chief
Consultants (VHA CO); Deputy Chief Officers (VHA CO); Deputy Network
Directors; Deputy Medical Center Directors; Deputy Chief Consultants
(VHA CO); Deputy to the Executive Directors (VHA CO); VHA CO
physicians, dentists or podiatrists (non-Senior Executive Service
equivalents) with an administrative/executive role for more than 50% of
their full-time equivalent.............................................
------------------------------------------------------------------------
Signing Authority
Denis McDonough, Secretary of Veterans Affairs, approved and signed
this document on October 24, 2023, and authorized the undersigned to
sign and submit the document to the Office of the Federal Register for
publication electronically as an official document of the Department of
Veterans Affairs.
Luvenia Potts,
Regulation Development Coordinator, Office of Regulation Policy &
Management, Office of General Counsel, Department of Veterans Affairs.
[FR Doc. 2023-24893 Filed 11-9-23; 8:45 am]
BILLING CODE 8320-01-P