United States Department of Veterans Affairs
United States Department of Veterans Affairs

Labor-Management Relations

Title 38 § 7422 Determinations

 

Special Issues in Collective Bargaining with Title 38 Medical Professionals

 

 

 

This web page is intended to provide a summary of the special issues involved in collective bargaining with non-hybrid Title 38 health care professionals - physicians, dentist, podiatrists, optometrists, registered nurses, physical assistants, and expanded duty dental assistants. These issues may arise in negotiations between VHA facilities and labor union representing Title 38 employees; in grievances filed on behalf of Title 38 employees under negotiated grievance procedures; in ULP's brought by health care professionals' unions; on in litigation before FLRA, FSIP, arbitrators, or courts. Management Officials, Regional Counsels, Personnel Specialists and Union Representatives may all benefit from a general understanding of the statutory limitations on Title 38 employees' collective bargaining rights and of the procedures that are used to resolve disputes regarding those limitations. It is hoped that the information contained here will allow field personnel to recognize issues and to submit requests to the Office of General Counsel and/or the Office of Labor-Management Relations for assistance in this specialized area.  

 

 

 

 

 

 

 

 

 

 

 

 

HOW 7422 ISSUES ARISE & HOW THEY ARE RESOLVED

Statute

 

  

  Decision Date

Facility/Union

Subject Matter

   Issue / Outcome 

10/09/08

VA Connecticut Healthcare System/AFGE

RN Reassignment

Non-negotiable PCC

09/30/08

Boston Healthcare System/AFGE and NAGE

Policy on mandatory tuberculosis (TB) testing for all employees

Non-negotiable PCC

09/26/08

Minneapolis, MN/AFGE

Staffing Ratios for Nurses

Non-negotiable PCC

09/26/08

Ann Arbor, MI/AFGE

Proficiency rating and step increase

The issue related to the proficiency rating and step increase is non-grievable PCC.  The employee's participation in a Recruitment and Retention Committee is grievable, not-PCC.

09/02/08

Minneapolis/AFGE

Alleged reprisal for testimony on behalf of union

Investigation over allegations of nurse professional competence is PCC and non-grievable.

09/02/08

Hampton, AFGE

Nursel Locality Pay-Separate Pay Scales

Grievable, not PCC and/or compensation

08/01/08

West Haven, CT/AFGE

Within Grade Increase, OWCP and leave status

The OWCP and leave status issue is grievable.  The requested remedy of back pay with interest is compensation.

07/09/08

Cleveland, OH/AFGE

Compressed Work Schedules (CWS)

Elimination of CWS is PCC/Non-grievable

07/07/08

Spokane/NFFE

ULP Change of Tour for Physicians

Non-negotiable PCC

06/03/08

VA MD Health Care System/NAGE

Suspension of RN

There is insufficient information to make PCC determination therefore the matter is within the scope of collective bargaining.

05/19/08

Louisville, KY/AFGE

Overtime Compensation for RNs

Non-grievable Compensation

05/19/08

Fort Wayne, Indiana/AFGE

Proficiency Rating

Grievance over proficiency rating is not PCC and is grievable/Remedies are PCC

05/19/08

West Haven/AFGE

Funding for training and travel

Reimbursement for training tuition and travel/Grievable Not PCC

05/19/08

VA MD Health Care System/NAGE

Non-Selection

Non-Selection of RN for EPRPC Position/Grievance over non-selection is grievable/Requested remedy is non-grievable-Compensation/Selection Process is non-negotiable PCC

02/22/08

Buffalo

Saturday Premium Pay

Non-grievable PCC

 02/22/08

Milwaukee

RN Reassignment

Non-grievable PCC and Compensation

01/23/08

VA Tennessee Valley Healthcare System/AFGE

RN five day suspension, detail and pay

Non-grievable PCC and Compensation

12/20/07

Hampton, VA

Implementation of 30 day notice requirement prior to cancellation of scheduled clinics

Non-grievable PCC

10/02/07

Washington, DC/AFGE

VA Handbook 5011/9, "Hours of Duty and Leave"

Non-negotiable PCC

10/02/07

Canandaigua/AFGE

Re-privileging

Non-grievable PCC

06/01/07

Little Rock/AFGE

Specialized Skills Pay

Entitlement of higher rate of Pay for Specialized Skills/Non-grievable Compensation

03/02/07

Washington DC/AFGE

Implementation of VA Health Care Personnel  Enhancement Act of 2004, Public Law 108-445

Non-grievable Compensation

10/11/06

Richmond/AFGE

RN Reassignment

Non-grievable PCC

09/06/06

Chillicothe/AFGE

Reassignment

Non-negotiable PCC

01/24/06

Biloxi/AFGE

Reassignment

Reassignment to non-patient care duties/Non-negotiable PCC

01/06/06

DC/AFGE

Proficiency/Privileging

Performance Concerns/Non-Grievable PCC

01/06/05

Gainesville/AFGE

Request for Information

Failure to provide 3rd party data used to establish nurse pay/Outside scope of Collective Bargaining Compensation

12/15/05

Canandaigua/AFGE

Reassignment

Use of Official Time/Non-Grievable PCC

12/13/05

National/NFFE

Medical Staff Elections Bylaws

Participation in Medical Staff Elections/ Non-Negotiable PCC

11/21/05

Puget Sound HSC/AFGE

Credentialing & Privileging

Requirement to complete continuing education during privileging period/Non-Grievable

10/11/05

Palo Alto HCS/AFGE

Compressed Work Schedule

Decision to discontinue CWS/Non-Grievable PCC

08/22/05

Ashville/AFGE

Retention Allowance

Improper Termination of Retention Allowance/Non-Grievable Compensation

08/22/05

Anchorage/AFGE

Compressed Work Schedule

Failure to Negotiate/Non-Negotiable PCC

05/27/05

Charleston/NAGE

Change in MD's Work Assignments & Schedules

Failure to Negotiate/Non-Negotiable PCC

03/15/05

Columbia/AFGE

Physician Specialty Pay

Disparate Treatment in Reducing Specialty Pay/Outside the Scope of Collective Bargaining & Compensation

03/15/05

West Palm Beach/AFGE

Termination of Compressed Wk Schedules for MD's

Failure to Negotiate/Non-Negotiable PCC

02/08/05

North Hampton/AFGE

Change in PA's Work Assignments

Restructuring of Workload/Non-Grievable PCC

01/18/05

Huntington/AFGE

Change of Nurse Schedules

Failure to Bargain/Non-Grievable Non-Negotiable PCC     

 

01-05-05

VA Gulf Coast HCS/AFGE

Reassignment of RN's

Failure to Bargain/Non-Negotiable PCC

    

2004 Cases Listed Below

 

12-17-04

VA Northern Indiana HCS

Patient Scheduling

Non-Grievable PCC

12-15-04

Reno NV/AFGE

Professional Standards Board (Reno)

Failure to negotiate/Non-Grievable PCC/Peer Review

12-17-04

Anchorage

Professional Standards Board

Non-Grievable Peer Review

12-03-04

Richmond/AFGE

 Employee Suspension & Related Request for Information

 Failure to provide information/Grievable NOT PCC

 

09-16-04

Salisbury/AFGE

 Reassignment/Seniority

 Alleged violation of local MOU/Non-Grievable PCC    

07-15-04

Portland/AFGE

 Shift Differential 

 Alleged violation of Master Agreement/Non-Grievable  Compensation PCC

07-19-04

Richmond/AFGE

 Physical Standards Board

 Alleged discrimination, timeliness.../Grievable NOT PCC 

05-11-04

Black Hills HCS/AFGE

 Reassignment

 Alleged violation of Master Agreement/Non-Grievable PCC

 03-02-04

VA Northern Indiana HCS/AFGE

 Reassignment

 Alleged violation of Master Agreement/Non-Grievable PCC

 

 02-24-04

Indianapolis/AFGE

 Compressed Work Schedule

Alleged violation of Master Agreement/ Non-Grievable PCC

 01-16-04

Dayton/AFGE

 Weekend Rotation

Failure to Negotiate over tours of duty.../Non-Negotiable PCC

                  

2003 Cases Listed Below

 

 12-16-03

San Juan/AFGE

 Nurse Work Schedules

 

 Failure to negotiate over change in RN's work schedule/Non-Negotiable PCC

 12-11-03

Miami/NFFE

 Nurse Locality Pay

 

 Request for information to show favored treatment/Non- Negotiable Compensation

 10-28-03

Memphis/AFGE

 Reassignment

 

Failure to provide requested inf.Non-Negotiable PCC

 10-16-03

VA Gulf Coast HCS

 Compressed Work Schedule

 

 Non-Negotiable PCC

  10-16-03

Alexandria/AFGE

 Compressed Work Schedule (Alexandria)

 

 Non-Negotiable PCC

 10-10-03

Ashville/AFGE

   Fee Basis

 

 Union argues use of fee based RN violates policy/Non-Negotiable PCC

 

09-30-03

Bronx/AFGE

   Fitness for Duty

 

 Order to report and cooperate in fitness for duty exam.../Non-Grievable PCC

 

08-15-03

Ashville/AFGE

 Fee Basis

 

 Use of fee basis Nurses and impact on overtime comp/Non-Grievable PCC/Compensation

07-03-03

San Juan/AFGE

 Fitness for Duty

 

Fitness for duty and physical standards.../Non-Grievable PCC/Peer Review

02-12-03

Poplar Bluff/AFGE

 Reassignment

 

 Failure to bargain over reassignment.../Non-Negotiable PCC

02-04-03 

VA Maryland HCS/Professional Staff Nurses Assoc. of MD

 Reassignment

 Failure to bargain over reassignment.../Non-Negotiable PCC

12-16-02

Miami/NFFE

Scarce Medical Specialty Pay

Non-Negotiable Compensation

11-06-02

National/NAGE

Staffing Adjustments

 

Negotiability of proposal for RIF procedures to apply equally to T5 & T38 Employees/ Non-negotiable PCC

10-25-02

VA Connecticut HCS/AFGE

Reassignment

 

Refusal to bargain over temporary detail of a Nurse/ Non-Negotiable PCC     

  

10-9-02

Sheridan/AFGE

Patient Discharge Instructions

 

Failure to bargain over implementation of policy/ Non-Negotiable PCC

07-01-02

Erie/SEIU

Non-Selection

 

Non-Selection of RN for promotional opportunity/ Non-Grievable PCC

05-06-02

Reno/AFGE

Reassignment

 

Reassignment of MD with loss of eligibility for specialty pay/ Non-Grievable

 

2001 Case Listings

 

01-22-01

Biloxi/NFFE

Reassignment

 

MD Union official Special Pay Reduction/Non-Negotiable PCC and Compensation

03-05-01

Asheville/AFGE

Night Differential/Weekend Premium Pay

 

Non-Negotiable Compensation

05-07-01

Hampton/AFGE

Union Observers on Nurse Professional Standards Boards (NPSB)

 

Non Grievable-Peer Review

07-29-01

Cincinnati/UAN

Overtime

 

Cancellation of Scheduled Overtime/Non-Grievable PCC

11-18-01

Little Rock/AFGE

Overtime Pay

 

RN Overtime/Weekend Pay-Non-Grievable Compensation

12-04-01

Wilmington/Prof. Staff Nurses Assoc. of MD

Clinical Matters

 

Negotiability:Panel size, staff/patient ratios, nurse advisory Committees, Non-Clinical duties, scheduling, staff assignments/Non-Negotiable PCC

 

90's Archived Case Listings 

 

08-31-94

Long Beach/AFGE

Timely Proficiency

 

Failure to provide timely proficiency ratings-Negotiable-Not PCC

08-16-94

Buffalo/NY State Nurses Association

Non-Selection

Non-Selection for Reassignment/Non-grievable PCC

07-07-94

White River Junction/AFGE

Reorganization

 

Reduction of Nurse Staffing/Non-Negotiable PCC

05-16-94

Fayetteville/AFGE

Proficiency Rating

 

Fairness of Proficiency Rating/Non-grievable PCC and Peer Review

02-16-94

Washington DC/UAN

Special Advancement

 

Failure to consider RN for Special Advancement/Non-Grievable PCC

 

11-27-93

Portland/AFGE

RNs proficiency report, performance counseling and light duty assignments

 

Non-grievable PCC

11-26-93

Des Moines/UAN

Rotations

 

Timing of Shift Rotations for RNs/Non-grievable PCC

03-09-93

Sepulveda/AFGE

Non-selection

 

Non-selection of RN for reassignment/Non-grievable PCC

02-08-93

Fayetteville/AFGE

Proficiency Rating

 

RN proficiency rating/Non-grievable PCC

07-21-93

Hampton/AFGE

Conduct

 

Incident with patient in respiratory distress/Non-grievable PCC

04-13-93

Portland/AFGE

Patient Abuse

 

Counseling letter/Non-grievable PCC

01-12-93

Long Beach/AFGE

Improvement Plan

 

RN's PIP and transfer from night shift/Non-grievable PCC

01-04-93

Hampton/AFGE

QA Investigation

 

Failure to provide representation during Q&A investigation of patient care incident/Non-negotiable PCC

 

11-24-92

Leavenworth/NFFE

Probationary Review Board

 

No union representation in Summary Probationary Review Board/Non-negotiable PCC

09-09-92

San Antonio/AFGE

Duplicate Board Action files

 

Non-grievable PCC

09-09-92

Manchester/NAGE

Proficiency Rating

 

RN's unsatisfactory proficiency rating

08-27-92

Jackson/NFFE

Nurse Professional Standard Board

 

refusal to allow union rep to actively participate in NPSB

08-27-92

Amarillo/NFFE

Official Time

 

Official Time to represent RN at Summary Review Board

07-20-92

Hampton/AFGE

Reassignment

 

RN Reassignment/Non-grievable PCC

07-10-92

Fayetteville/AFGE

RN Reassignment

 

Non-grievable PCC

07-07-92

Omaha/AFGE

Sleeping while on duty

 

Non-grievable PCC

06-15-92

National/AFGE

Transfer Policy

 

MP-5, Pt. II, Ch 11/Non-grievable PCC

05-13-92

Leavenworth/NFFE

Compressed Work Schedule

 

12 hour shifts and shift overlap/Non-negotiable PCC

04-28-92

Milwaukee/Wisconsin Federation of Nurses

Pay

 

Overtime/Non-negotiable Compensation

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FURTHER GUIDANCE

This overview is not intended to provide all the information necessary for field personnel to handle negotiations, grievances, or litigation in which issues of professional conduct or competence, peer review, or compensation of Title 38 medical professionals may arise. Further guidance should be requested from Regional Counsel, from the Office of General Counsel's (OGC) Professional Staff Group III (023), and/or from VACO's Office of Labor-Management Relations (LMR).