AMENDMENTS TO PROVISIONS ENACTED BY THE DEPARTMENT OF VETERANS AFFAIRS NURSE PAY ACT OF 1990.

SEC. 301. AMENDMENTS TO PROVISIONS ENACTED BY THE DEPARTMENT OF VETERANS AFFAIRS NURSE PAY ACT OF 1990. (a) Savings Provision.— Physician assistants and expanded-function dental auxiliaries shall continue to be paid after August 14, 1990, according to the Nurse Schedule in section 4107(b) of title 38, United States Code, as in effect on August 14, 1990, until the effective date of a determination by the Secretary to convert those occupations to “covered positions” and pay them pursuant to section 7451 of such title, as redesignated by section 401(c). (b) Chief Medical Director Authority.— Section 4141(d) is amended— (1) in paragraph (1)(B), by inserting “or the Chief Medical Director, with respect to covered Regional and Central Office employees in that grade,” before “determines”; (2) in paragraph (3)— (A) by redesignating subparagraph (C) as subparagraph (D) and by inserting “or Chief Medical Director” in that subparagraph after “facility”; and (B) by inserting after subparagraph (B) the following: “(C) The Chief Medical Director shall prescribe regulations providing for the adjustment of the rates of basic pay for Regional and Central Office employees in covered positions in order to assure that those rates are sufficient and competitive.”; and (3) in paragraph (4), by inserting “, or the Chief Medical Director with respect to Regional and Central Office employees,” in the first sentence after “facility” the first place it appears. (c) Inclusion of Certain Title 5 Employees.— Section 4141(a)(3) is amended by inserting “or chapter 53 of title 5” before the period at the end. (d) Technical Amendment.— Section 4142(a)(3) is amended by striking out “appointed” and inserting in lieu thereof “paid”. (e) Effective Date.— Section 104(a)(2) of Public Law 101–366 is amended by inserting “the first day of the first pay period beginning after” before “April 1, 1991”.