This bill codifies the employment status and pay structure for therapeutic medical physicists within the Department of Veterans Affairs. Therapeutic medical physicists are specialists who help plan and administer radiation therapy for cancer patients at VA medical centers. The legislation establishes formal qualifications for these positions, requiring candidates to complete post-graduate clinical training and obtain board certification in therapeutic medical physics. The bill removes pay restrictions that previously capped the salaries of these medical professionals, allowing the VA to offer competitive compensation to recruit and retain qualified specialists. Within one year of enactment, the VA Secretary must report to Congress on how the pay increases affect full-time therapeutic medical physicists, those working under agreements with the VA, and overall departmental costs.