Veterans Affairs Peer Review Neutrality Act of 2023

S 2745, the Veterans Affairs Peer Review Neutrality Act of 2023, requires the Department of Veterans Affairs (VA) to eliminate conflicts of interest in medical quality reviews and investigations. It mandates that VA staff involved in peer reviews or administrative investigations must recuse themselves if they have direct involvement with the care being reviewed, personal bias, or a supervisory relationship with the subject. The bill also requires the VA Secretary to notify Congress within 90 days when a medical center director is detailed to another position, including details about the new role and expected absence, and to appoint an acting director within 120 days. Additionally, it limits how long a director can be detailed away from their position (180 days, with limited 90-day waivers), requiring them to return or trigger a new hiring process unless an investigation is ongoing.