WASHINGTON >> Congressional Republicans and Democrats have reached agreement on a bill to make it easier for the Department of Veterans Affairs to fire its employees, part of an accountability effort touted by President Donald Trump.

The deal being announced early Thursday could smooth the way for final passage on an issue that had been largely stalled since the 2014 wait-time scandal at the Phoenix VA medical center. As many as 40 veterans died while waiting months for appointments as VA employees created secret waiting lists and other falsehoods to cover up delays.

The Hill deal followed a fresh warning from the VA inspector general’s office of continuing patient safety problems at another facility, the VA medical center in Washington D.C. After warning of serious problems there last month, the IG’s “rapid response” team visited the facility again today and found a patient prepped for vascular surgery in an operating room, under anesthesia, whose surgery was postponed because “the surgeon did not have a particular sterile instrument necessary to perform the surgery.”

The team also found “surgical instruments that had color stains of unknown origin in sterile packs,” according to the IG’s letter sent today to the VA. The IG again urged the department to take immediate action to ensure patients “are not placed at unnecessary risk.”

The new accountability measure, led by Sen. Marco Rubio, R-Fla., softens portions of a bill that had passed the House in March, which Democrats criticized as unfairly harsh on workers. Sens. Jon Tester of Montana and Johnny Isakson of Georgia, the top Democrat and the Republican chair on the Senate Veterans’ Affairs Committee, agreed to back the new bill after modifications that would give VA employees added time to appeal disciplinary actions.

House Veterans Affairs’ Committee Chairman Phil Roe, sponsor of the House measure, said he would support the revisions.

“To fully reform the VA and provide our nation’s veterans with the quality care they were promised and deserve, we must ensure the department can efficiently dismiss employees who are not able or willing to do their jobs,” Rubio told The Associated Press.

It comes after Trump last month signed an executive order to create a VA Office of Accountability and Whistleblower Protection, with an aim of identifying “barriers” that make it difficult for the VA to fire or reassign bad managers or employees. VA Secretary David Shulkin had urged the Senate to act quickly to pass legislation.

The GOP-controlled House previously approved an accountability bill mostly along party lines. Rep. Tim Walz, D-Minn., argued the House should embrace language instead from a bipartisan bill by Isakson from last year with added due process protections for workers.

The Senate bill to be introduced Thursday adopts several portions of that previous Isakson bill, including a longer appeal process than provided in the House bill — 180 days vs. 45 days, though workers would not be paid during that appeal. VA executives would be held to a tougher standard than rank-and-file employees for discipline. The Senate bill also codifies into law the VA accountability office created under Trump’s order, but with changes to give the head of the office more independent authority and require the office to submit regular updates to Congress.

Conservative groups praised the bill.

“These new measures will disincentivize bad behavior within the VA and further protect those who bravely expose wrongdoing,” said Dan Caldwell, policy director of Concerned Veterans for America, pointing to a “toxic culture” at VA.

The agreement comes in a week in which Senate Democrats are standing apart from Trump on a separate issue affecting veterans, the GOP bill passed by the House to repeal and replace the nation’s health care law. Sen. Tammy Duckworth, D-Ill., warned the House measure would strip away explicit protections to ensure that as many as 8 million veterans who are eligible for VA care but opt to use private insurance would still receive tax credits.

Many veterans use a private insurer if they feel a VA facility is too far away, or if they don’t qualify for fuller VA coverage because they have higher incomes or ailments unrelated to their time in service, said Duckworth, a combat veteran who lost her legs and partial use of her right arm during the Iraq war. A group of GOP senators is working to craft their own health bill.

“Trumpcare threatens to rip health care out of their hands,” Duckworth said at a news briefing this week. “The question left is what will Senate Republicans do?”

Congress has had difficulty coming to agreement on an accountability bill after the Phoenix VA scandal. A 2014 law gave the VA greater power to discipline executives, but the department stopped using that authority after the Obama Justice Department deemed it likely unconstitutional.

Critics have since complained that few employees were fired for various VA malfeasance, including rising cases of opioid drug theft, first reported by the AP.