Task 3 · §7451 Facility Locality
The same nurse, priced facility by facility.
Under 38 U.S.C. §7451, every VA medical center surveys its own local labor market each year and sets Nurse Locality Pay from it. Pick a facility to see its real local RN market (BLS OEWS 2025) and the locality factor against the national baseline.
San Francisco VA Medical Center
San Francisco, CA · VISN 21
What §7451 requires — San Francisco VA Medical Center surveys 5–12 comparator employers in the San Francisco labor market each year, validates the wage data, and files a Nurse Locality Pay recommendation. At an index of 191, paying the national median would under-pay nurses here by roughly 91% — the kind of gap that drives the recruitment loss the OIG flags. HSG runs that survey — every facility, every year — on the Task 4 platform.
Facilities shown are real VA medical centers mapped to their metropolitan labor market; RN market medians and the locality index are real (BLS OEWS 2025, SOC 29-1141). Comparator counts and the per-facility Nurse Locality Pay schedule are produced under the §7451 annual local labor-market survey at engagement.