Veterans Health-Care Personnel Act of 1989

Veterans Health-Care Personnel Act of 1989 - Title I: Pay Matters - Directs the Secretary of Veterans Affairs, for the pay period beginning on or after July 1, 1990, to establish the rates of basic pay for the following health-care personnel employed within the Veterans Health Services and Research Administration (HSRA) of the Department of Veterans Affairs (VA): registered nurses and registered nurse anesthetists, physicians, dentists, podiatrists, optometrists, nurses, physician assistants, dental assistants, certain clinical or counseling psychologists, certain therapists, practical or vocational nurses, pharmacists, and occupational therapists. Requires the director of each VA health-care facility to conduct a survey which will establish the rate of basic pay in each appropriate pay grade by a specified date. Requires the director to conduct an annual review to determine if such basic pay rates need to be adjusted, and to adjust them, if necessary. Requires the director, as part of such survey, to survey the equivalent entry-level positions for such work performed in non-VA health-care facilities in order to determine the amount of basic pay for similar work. Outlines further administrative provisions relating to the determination of a similar labor market area for purposes of making such pay-rate determinations, requiring the director of a VA facility to notify the Chief Medical Director (CMD) of the labor market identified of his or her selection of a labor market area, and requiring the CMD to approve or disapprove of such a labor market area selection within a specified time. Provides maximum amounts for such minimum rates of basic pay as established under this Act. Outlines employee exceptions to such basic pay rates. Requires the Secretary to submit an annual report to the Senate and House Veterans' Affairs Committees regarding the exercise of authority under this Act for the preceding fiscal year and to prescribe final regulations setting forth criteria and procedures to carry out this Act. Requires the director of each VA facility to establish and adjust such basic pay rates by a specified date even if such final regulations have not been implemented. Requires each director, within a specified period, to conduct a survey and establish an interim competitive pay rate to be followed until such final regulations and pay rates are determined. Makes conforming amendments.

Authorizes overtime pay for nurses who perform in excess of 40 hours in an administrative workweek. (Currently, overtime is authorized only for work performed in excess of eight hours a day.) Authorizes the payment of six percent additional pay per hour for nurses performing work as a head nurse. Provides for the waiver of a mandatory reduction under Federal law for registered nurses working in positions of health-care professionals involved in direct patient care or in positions involving the provision of services incident to direct patient care.

Increases the limitation on the amount authorized to be paid as special pay to certain individuals in the HSRA of the VA. Requires increases in such pay of a specified amount or more to be reported by the Secretary to the veterans' committees. Reduces from 90 to 45 days the time in which the Secretary must notify the President of the Secretary's intention to approve such special rates of pay.

Authorizes a one-time lump-sum payment of special pay to each nurse who is recertified in the specialty in which the nurse is employed.

Title II: Other Personnel Benefits - Directs the Secretary to establish by regulation a program under which the Secretary may pay a cash award to any VA employee who is a supervisor or manager employed in any of the following positions: physician, dentist, podiatrist, optometrist, nurse, physicians' assistant, or expanded-function dental auxiliary. Limits the amount of each award and the total number of recipients in each fiscal year.

Directs the Secretary to establish and conduct a dependent care assistance program, which meets certain requirements of the Internal Revenue Code of 1986, for the care of dependents of employees of the HSRA. Requires such program to be implemented no later than June 1, 1990.

Directs the Secretary to establish a voluntary transfer of leave program for the benefit of health-care professionals of the HSRA. Authorizes the Secretary to establish a voluntary leave bank program for the benefit of such individuals. Requires such programs to be consistent with current Federal voluntary leave programs. Authorizes the Secretary and the Director of the Office of Personnel Management to enter into agreements permitting health-care professionals of the HSRA to participate in the current Federal voluntary leave transfer and voluntary leave bank programs. Requires the Secretary to implement such programs no later than October 1, 1990.

Title III: Health Care Education - Requires the Secretary, in selecting applicants for the VA Scholarship Program, to ensure an equitable allocation of scholarships to persons enrolled in the second year of a program leading to an associate degree in nursing. Requires such requirement to be implemented beginning with scholarships awarded in 1990.

Requires current representatives of the field of paramedics to assist in the establishment of cooperative arrangements to provide for the training of health and paramedical personnel in order to improve the manpower utilization of such personnel. Requires such requirement to be implemented no later than February 1, 1990. Authorizes appropriations for FY 1990 through 1993 for making grants for such cooperative programs.

Title IV: Other Personnel Management Matters - Authorizes the Secretary, upon the recommendation of the CMD, to appoint in the competitive service any individual who: (1) has been awarded a degree or certificate in a health-care profession or occupation by an accredited institution; (2) has been appointed by the Secretary to a clinical education program conducted by an educational institution affiliated with a VA health-care facility; and (3) has successfully completed such program within one year before the individual's appointment into the competitive service.

Directs the CMD of the VA to conduct a pilot program at no less than five VA medical facilities during FY 1990 through 1992 in order to determine the effect on employees of VA pay and personnel management practices. Requires the CMD to establish certain alternative pay and personnel management practices, such as increasing certain pay differentials for day versus evening duty, utilizing registered nurses in new ways for the furnishing of direct-patient care, and establishing flexible employment benefits programs for VA employees. Requires various reports between the CMD, the Secretary, and the veterans' committees relating to the results of such pilot program.