This legislation seeks to amend title 38, United States Code, by establishing new requirements to eliminate conflicts of interest within the Veterans Health Administration's (VHA) quality management and administrative investigation processes, thereby ensuring impartiality in critical oversight functions. For peer reviews concerning the quality of care, individuals conducting reviews or serving on committees must withdraw if they have direct involvement with the care under scrutiny or are unable to conduct an objective assessment. Additionally, if a healthcare provider under initial peer review is also a member of that facility's peer review committee, a neutral committee at a different VHA facility must evaluate and finalize the review. Regarding administrative investigation boards and factfindings , the bill prohibits individuals with specific confidential quality assurance information from serving on these boards or disclosing that information to them. It further mandates that board members and factfinders must not have any personal interest, bias, direct involvement in the matters being investigated, or a supervisory or personal relationship with the subject of the investigation, requiring recusal if such conflicts exist.