Veterans National Traumatic Brain Injury Treatment Act

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Bill ID: 119/hr/1336
Last Updated: February 3, 2026

Sponsored by

Rep. Murphy, Gregory F. [R-NC-3]

ID: M001210

Follow the money

The bill

Veterans National Traumatic Brain Injury Treatment Act

HR. 1336, 119th Congress — read as touching Hospitals & Health Systems.

The sponsor

Rep. Murphy, Gregory F. [R-NC-3]

Every bill has someone who introduced it. That name is where the paper trail starts.

The money

$79,400 raised

20 itemised contributions to this sponsor, pulled from FEC filings.

The alignment

70% match to Project 2025

This bill's text tracks the "Department of Veterans Affairs" section, p. 676-678 of the Mandate for Leadership.

Bill's Journey to Becoming a Law

Track this bill's progress through the legislative process

Latest Action

Placed on the Union Calendar, Calendar No. 296.

October 16, 2025

Introduced

📍 Current Status

Next: The bill will be reviewed by relevant committees who will debate, amend, and vote on it.

🏛️

Committee Review

🗳️

Floor Action

✅

Passed House

🏛️

Senate Review

🎉

Passed Congress

🖊️

Presidential Action

⚖️

Became Law

📚 How does a bill become a law?

1. Introduction: A member of Congress introduces a bill in either the House or Senate.

2. Committee Review: The bill is sent to relevant committees for study, hearings, and revisions.

3. Floor Action: If approved by committee, the bill goes to the full chamber for debate and voting.

4. Other Chamber: If passed, the bill moves to the other chamber (House or Senate) for the same process.

5. Conference: If both chambers pass different versions, a conference committee reconciles the differences.

6. Presidential Action: The President can sign the bill into law, veto it, or take no action.

7. Became Law: If signed (or if Congress overrides a veto), the bill becomes law!

Bill Summary

Another bill, another exercise in legislative theater. Let's dissect this farce.

**Main Purpose & Objectives:** The Veterans National Traumatic Brain Injury Treatment Act (HR 1336) claims to establish a pilot program for hyperbaric oxygen therapy (HBOT) to treat veterans with traumatic brain injuries or post-traumatic stress disorder (PTSD). How noble. The real purpose, of course, is to provide a feel-good PR opportunity for the bill's sponsors and a potential windfall for the medical device industry.

**Key Provisions & Changes to Existing Law:** The bill creates a pilot program within the Department of Veterans Affairs to furnish HBOT to eligible veterans through accredited healthcare providers. The program will be funded by donations, because who needs actual budgetary allocations when you can rely on the kindness of strangers? The bill also extends certain limits on pension payments until 2034, because why not?

**Affected Parties & Stakeholders:** The usual suspects:

* Veterans with traumatic brain injuries or PTSD (the supposed beneficiaries) * Medical device manufacturers and healthcare providers (the real beneficiaries) * Lobbyists for the medical device industry * Politicians seeking to pad their resumes with "pro-veteran" legislation

**Potential Impact & Implications:**

* The pilot program will likely be underfunded, understaffed, and ineffective in providing meaningful treatment to veterans. * The extension of pension payment limits is a token gesture that won't address the systemic issues plaguing veteran healthcare. * The bill's focus on HBOT, a treatment with questionable efficacy for traumatic brain injuries and PTSD, suggests that lawmakers are more interested in grandstanding than actual problem-solving. * The medical device industry will likely reap significant financial benefits from this legislation, while veterans will receive little more than lip service.

Diagnosis: This bill is suffering from a severe case of " Politician's Disease," characterized by symptoms of self-aggrandizement, pandering to special interests, and a complete disregard for the well-being of those they claim to serve. Treatment involves a healthy dose of skepticism, a strong stomach, and a willingness to call out the obvious lies and half-truths peddled by our esteemed lawmakers.

Related Topics

Military & Veterans Affairs
Generated using Llama 3.1 70B (Dr. Haus personality)

💰 Campaign Finance Network

Rep. Murphy, Gregory F. [R-NC-3]

Congress 119 • 2024 Election Cycle

Total Contributions
$79,400
14 donors
PACs
$0
Organizations
$0
Committees
$0
Individuals
$79,400

No PAC contributions found

No organization contributions found

No committee contributions found

1
DOISE, DARYL
2 transactions
$13,400
2
KAPOOR, DEEPAK
2 transactions
$13,200
3
WHITEHURST, JAMES III
3 transactions
$9,900
4
BOWEN, JOEY M
2 transactions
$6,600
5
CLARK, MELISSA A
2 transactions
$6,600
6
SCHWARZMAN, STEPHEN
1 transaction
$3,300
7
ARUMUGHAM, PRADEEP
1 transaction
$3,300
8
DAVENPORT, S LAWRENCE
1 transaction
$3,300
9
DAVIS, FREDDIE H
1 transaction
$3,300
10
EVERETTE, ROYCE EARL MR. JR
1 transaction
$3,300
11
MILLER, MATT F
1 transaction
$3,300
12
BELL, JAMES EDWARD MR. III
1 transaction
$3,300
13
CRAIG, JOHN
1 transaction
$3,300
14
FLOYD, GREGORY E ESQ.
1 transaction
$3,300

Cosponsors & Their Campaign Finance

This bill has 10 cosponsors. Below are their top campaign contributors.

Rep. Davis, Donald G. [D-NC-1]

ID: D000230

Top Contributors

10

1
FEDERATED INDIANS OF GRATON RANCHERIA
OrganizationROHNERT PARK, CA
$3,300
Mar 5, 2024
2
TUNICA-BILOXI TRIBE OF LA
OrganizationMARKSVILLE, LA
$2,000
Dec 31, 2023
3
SHAKOPEE MDEWAKANTON SIOUX COMMUNITY
OrganizationPRIOR LAKE, MN
$1,650
Jun 6, 2023
4
SHAKOPEE MDEWAKANTON SIOUX COMMUNITY
OrganizationPRIOR LAKE, MN
$1,650
May 13, 2024
5
BARONA BAND OF MISSION INDIANS
OrganizationLAKESIDE, CA
$1,500
May 31, 2023
6
CHEROKEE NATION
OrganizationTAHLEQUAH, OK
$1,000
Dec 28, 2023
7
FISHER, DEBORAH
NOT EMPLOYED • NOT EMPLOYED
IndividualCOEUR D ALENE, ID
$4,000
Jul 29, 2024
8
BLOOM, BRADLEY
BERKSHIRE PARTNERS LLC • INVESTMENTS
IndividualWELLESLEY, MA
$3,300
Oct 31, 2024
9
BRAUFMAN, JILL
NOT EMPLOYED • RETIRED
IndividualSURFSIDE, FL
$3,300
Oct 18, 2024
10
CLAPP, STEPHEN
SELF EMPLOYED • RANCHER
IndividualSEQUIM, WA
$3,300
Oct 30, 2024

Rep. Kiggans, Jennifer A. [R-VA-2]

ID: K000399

Top Contributors

10

1
AIPAC- EARMARKS
PACWASHINGTON, DC
$2,000
Oct 22, 2024
2
PEAKE FOR SENATE
COMLYNCHBURG, VA
$500
Jan 9, 2024
3
PEAKE FOR SENATE
COMLYNCHBURG, VA
$250
Jan 9, 2024
4
KEHOE, MICHAEL
KINSALE MGMT INC • CEO
IndividualRICHMOND, VA
$13,200
Jun 8, 2023
5
MITCHUM, ELZA
C & M INDUSTRIES • PRESIDENT
IndividualCHESAPEAKE, VA
$6,600
Oct 18, 2023
6
SILVERMAN, JEFFREY
RETIRED • RETIRED
IndividualMIAMI BEACH, FL
$6,600
Oct 17, 2023
7
PERRY, J DOUGLAS
RETIRED • RETIRED
IndividualNORFOLK, VA
$6,600
Nov 6, 2023
8
WEEKLEY, RICHARD
SELF EMPLOYED • REAL ESTATE DEVELOPER
IndividualHOUSTON, TX
$6,600
Nov 8, 2023
9
GILLIAM, MARVIN
RETIRED • RETIRED
IndividualBRISTOL, VA
$6,600
Mar 30, 2024
10
BOHANNON, DAVID
LONDON BRIDGE TRADING INC. • PRESIDENT
IndividualVIRGINIA BEACH, VA
$6,600
May 23, 2024

Rep. Strickland, Marilyn [D-WA-10]

ID: S001159

Top Contributors

10

1
SWINOMISH TRIBAL COMMUNITY
OrganizationLA CONNER, WA
$3,300
Dec 31, 2023
2
SWINOMISH TRIBAL COMMUNITY
OrganizationLA CONNER, WA
$3,300
Dec 31, 2023
3
AK-CHIN INDIAN COMMUNITY
OrganizationMARICOPA, AZ
$3,300
Mar 29, 2023
4
AGUA CALIENTE BAND OF CAHUILLA INDIANS
OrganizationPALM SPRINGS, CA
$3,300
Jun 30, 2023
5
MUCKLESHOOT INDIAN TRIBE
OrganizationAUBURN, WA
$3,300
May 16, 2023
6
NISQUALLY INDIAN TRIBE
OrganizationOLYMPIA, WA
$3,300
Jun 27, 2023
7
THE TULALIP TRIBES
OrganizationTULALIP, WA
$3,300
May 2, 2023
8
MUCKLESHOOT INDIAN TRIBE
OrganizationAUBURN, WA
$3,300
Jun 28, 2024
9
PUYALLUP TRIBE OF INDIANS
OrganizationTACOMA, WA
$3,300
Jun 28, 2024
10
THE TULALIP TRIBES
OrganizationTULALIP, WA
$3,300
Jun 18, 2024

Rep. Wittman, Robert J. [R-VA-1]

ID: W000804

Top Contributors

10

1
THE CHICKASAW NATION
PACADA, OK
$3,300
Jun 17, 2024
2
THE CHICKASAW NATION
PACADA, OK
$3,300
Sep 30, 2024
3
CHOCTAW NATION OF OKLAHOMA
OrganizationDURANT, OK
$3,300
Dec 14, 2023
4
AGUA CALIENTE BAND OF CAHUILLA INDIANS
OrganizationPALM SPRINGS, CA
$3,300
Feb 8, 2024
5
KEHOE, MICHAEL PATRICK
IndividualRICHMOND, VA
$13,200
Jun 2, 2023
6
GIFFORD, BILLY
ALTRIA GROUP INC. • CEO
IndividualMIDLOTHIAN, VA
$6,600
Sep 26, 2023
7
PAYNE, DANIEL E.
PAYNE INC • CEO
IndividualFREDERICKSBURG, VA
$6,600
Nov 29, 2023
8
CASEY, ARTHUR S.
CASEY AUTO GROUP • PRESIDENT
IndividualNEWPORT NEWS, VA
$6,600
Mar 29, 2023
9
PAYNE, DANIEL E.
PAYNE INC • CEO
IndividualFREDERICKSBURG, VA
$6,600
Nov 29, 2023
10
KANTNER, CHRIS
UKROP'S FOOD GROUP • PRESIDENT
IndividualRICHMOND, VA
$6,600
Jan 12, 2024

Rep. Malliotakis, Nicole [R-NY-11]

ID: M000317

Top Contributors

10

1
M&T BANK
OrganizationMOUNT KISCO, NY
$118
Sep 21, 2024
2
M&T BANK
OrganizationMOUNT KISCO, NY
$101
Sep 21, 2024
3
SIDIROPOULOS, JIM MR.
DELPHI PH • CONTRACTOR
IndividualSTATEN ISLAND, NY
$5,600
Jul 23, 2024
4
BERGER, RICHARD MR.
RETIRED • RETIRED
IndividualHOBOKEN, NJ
$5,000
May 17, 2024
5
LOEB, JOHN L. MR. JR
RETIRED • RETIRED
IndividualPURCHASE, NY
$5,000
Apr 22, 2024
6
BAUMRIND, MARTIN M. MR.
SELF • LANDLORD
IndividualBROOKLYN, NY
$5,000
Sep 16, 2024
7
DUIT, JAMES A
CONTRIBUTION OF CONCEPTION LLC • EXEC
IndividualEDMOND, OK
$3,300
Nov 5, 2024
8
DUIT, PAMELA A
CONTRIBUTION OF CONCEPTION LLC • EXEC
IndividualEDMOND, OK
$3,300
Nov 5, 2024
9
LAUDER, RONALD S.
SELF EMPLOYED • BUSINESSMAN
IndividualNEW YORK, NY
$3,300
Oct 28, 2024
10
BANKE, BARBARA R. MS.
CHAIRMAN • JACKSON FAMILY WINES
IndividualGEYSERVILLE, CA
$3,300
Nov 17, 2023

Rep. Ross, Deborah K. [D-NC-2]

ID: R000305

Top Contributors

10

1
CHEROKEE NATION
OrganizationTAHLEQUAH, OK
$1,000
Dec 8, 2023
2
COOPER, JOHN D JR.
NOT EMPLOYED • CONTRACTOR/ENGINEER
IndividualRALEIGH, NC
$6,600
May 8, 2023
3
MARTIN, LOUISE PORTER
NOT EMPLOYED • NOT EMPLOYED
IndividualRALEIGH, NC
$4,600
Dec 29, 2023
4
WILKES, NANCY
UNC HOSPITALS • PHYSICIAN
IndividualCHAPEL HILL, NC
$3,300
Oct 31, 2024
5
ALLEN, DIANA
NOT EMPLOYED • NOT EMPLOYED
IndividualCARY, NC
$3,300
Dec 30, 2023
6
ALSOP, JOSEPH
ALSOP LOUIE PARTNERS • VENTURE PARTNER
IndividualBEVERLY, MA
$3,300
Dec 29, 2023
7
ALSUP, WILLIAM B III
NOT EMPLOYED • NOT EMPLOYED
IndividualWASHINGTON, DC
$3,300
Oct 17, 2023
8
BEEUWKES, REINIER
ISCHEMIX • CEO
IndividualCONCORD, MA
$3,300
Dec 31, 2023
9
DEBNAM, CAREY
SELF EMPLOYED • PROPERTY MANAGEMENT
IndividualRALEIGH, NC
$3,300
Dec 21, 2023
10
DEBNAM, SESHA F
DEBNAM PROPERTY MANAGEMENT LLC • PROPERTY MANAGER
IndividualRALEIGH, NC
$3,300
Dec 21, 2023

Rep. Van Orden, Derrick [R-WI-3]

ID: V000135

Top Contributors

10

1
EASTERN BAND OF CHEROKEE INDIANS
OrganizationCHEROKEE, NC
$3,300
Dec 9, 2024
2
HO CHUNK NATION
OrganizationBLACK RIVER FALLS, WI
$3,300
Nov 2, 2024
3
FOREST COUNTY POTAWATOMI COMMUNITY
OrganizationCRANDON, WI
$3,300
Sep 17, 2024
4
AIPAC PAC CONDUIT ACCOUNT
OrganizationWASHINGTON, DC
$500
Oct 23, 2024
5
ALLIANCE OF BANKERS FOR WISCONSIN
OrganizationMADISON, WI
$250
Apr 23, 2024
6
ANDERSON, JOHN R. MR.
ANDERSON ENTERPRISES LLC • OWNER
IndividualROCKFORD, IL
$10,000
Dec 19, 2023
7
BROIN, JEFF
POET LLC • CEO
IndividualSIOUX FALLS, SD
$6,600
Aug 24, 2023
8
UIHLEIN, RICHARD E. MR.
ULINE INC. • CEO
IndividualLAKE BLUFF, IL
$6,600
Feb 28, 2023
9
LEVY, EDWARD C.
EDW. C. LEVY CO. • CHAIRMAN
IndividualBIRMINGHAM, MI
$6,600
Mar 28, 2024
10
LEVY, EDWARD C.
IndividualBIRMINGHAM, MI
$6,600
May 6, 2024

Rep. Biggs, Sheri [R-SC-3]

ID: B001325

Top Contributors

10

1
BENNETT, HEATHER
IndividualTOWNVILLE, SC
$6,600
Feb 12, 2024
2
COX, HOWARD
RETIRED • RETIRED
IndividualSENECA, SC
$6,600
Mar 18, 2024
3
SCOTT, MARILYN
RETIRED • RETIRED
IndividualKOSCIUSKO, MS
$6,600
Feb 12, 2024
4
SEYMORE, GARY W
RETIRED • RETIRED
IndividualANDERSON, SC
$6,600
Feb 12, 2024
5
MATTEO, CHRIS
UBS • FINANCIAL ADVISOR
IndividualHOBOKEN, NJ
$5,000
Mar 6, 2024
6
CASSELS, W.T. JR.
SOUTHEASTERN FRIGHT LINES • PRESIDENT
IndividualCOLUMBIA, SC
$3,500
Oct 30, 2024
7
CASSELS, W TOBIN III
SOUTHEASTERN FREIGHT LINES • PRESIDENT
IndividualCOLUMBIA, SC
$3,500
Oct 30, 2024
8
ARIAIL, BRANDI C
CROSSWALK HOLDINGS, INC. • INVESTOR
IndividualGREENVILLE, SC
$3,500
Mar 22, 2024
9
FLOYD, KAREN KANES
THE PALLADIAN GROUP INC • PUBLIC RELATIONS
IndividualSPARTANBURG, SC
$3,500
Jun 18, 2024
10
SIMPSON, DARWIN H
RETIRED • RETIRED
IndividualSPARTANBURG, SC
$3,500
Jun 18, 2024

Rep. Harder, Josh [D-CA-9]

ID: H001090

Top Contributors

10

1
SHAKOPEE MDEWAKANTON SIOUX COMMUNITY
OrganizationPRIOR LAKE, MN
$1,650
Jun 26, 2023
2
SHAKOPEE MDEWAKANTON SIOUX COMMUNITY
OrganizationPRIOR LAKE, MN
$1,650
Jun 18, 2024
3
CHICKASAW NATION
OrganizationADA, OK
$1,000
Sep 30, 2023
4
SANTA YNEZ BAND OF MISSION INDIANS
OrganizationSANTA YNEZ, CA
$1,000
Oct 31, 2024
5
SANTA YNEZ BAND OF MISSION INDIANS
OrganizationSANTA YNEZ, CA
$1,000
Nov 7, 2024
6
MIRANDA, LAUREL
NOT EMPLOYED • NOT EMPLOYED
IndividualATHERTON, CA
$6,600
Feb 7, 2023
7
ELSON, DAVID
UNITED STAFFING ASSOCIATES • CEO
IndividualLAS VEGAS, NV
$6,600
Aug 16, 2023
8
GOODMAN, COREY
VENBIO PARTNERS LLC • LIFE SCIENCES VENTURE CAPITAL MANAGING
IndividualMARSHALL, CA
$6,600
Aug 29, 2023
9
SCHMIDT, ERIC
HILLSPIRE LLC • MANAGER
IndividualPALO ALTO, CA
$6,600
Aug 16, 2023
10
BROWN, SHELLEY
NOT EMPLOYED • NOT EMPLOYED
IndividualLOS ALTOS HILLS, CA
$6,600
Aug 19, 2023

Del. King-Hinds, Kimberlyn [R-MP-At Large]

ID: K000404

Top Contributors

0

No contribution data available

Donor Network - Rep. Murphy, Gregory F. [R-NC-3]

PACs
Organizations
Individuals
Politicians

Hub layout: Politicians in center, donors arranged by type in rings around them.

Loading...

Showing 43 nodes and 35 connections (31 secondary connections hidden)

Total contributions: $114,719

Top Donors - Rep. Murphy, Gregory F. [R-NC-3]

Showing top 14 donors by contribution amount

14 Individuals

Industry Impact

Which industries are materially affected by specific provisions in this bill. 2 helped.

  • Section 2(a) directs the Secretary of Veterans Affairs to implement a pilot program to furnish hyperbaric oxygen therapy (HBOT) to veterans through a health care provider described in 38 U.S.C. § 1703(c)(5), which includes non-VA medical facilities. This creates demand for HBOT services, benefiting hospitals and health systems that provide such therapy.

  • +Medical Devicesconfidence 0.85

    Section 2(f) defines HBOT as therapy with a medical device approved by the FDA or issued an investigational device exemption by the FDA. This provision supports the use of FDA-cleared hyperbaric chambers, directly benefiting medical device manufacturers that produce such equipment.

Who funds the sponsor on these industries

For each industry this bill affects, here's what the sponsor (Rep. Murphy, Gregory F. [R-NC-3])received from donors associated with that industry during the 2022–present cycles. Donations are not proof of intent — they are a record of who funds the people writing the law.

Industries this bill HELPS

Project 2025 Policy Matches

This bill shows semantic similarity to the following sections of the Project 2025 policy document.AI-enhanced analysis provides detailed alignment ratings.

Department of Veterans Affairs

Moderate
Vector: 63%
Pages: 676-678AI Enhanced

AI Analysis:

"The bill aligns with Project 2025's focus on improving VA healthcare delivery and addressing veteran health needs, particularly through innovative treatments and pilot programs, though it does not directly address the specific reforms like rescinding clinical directives or demographic shifts emphasized in the policy."

Key themes:veterans healthcaretreatment innovationpilot programsVA health servicesTBI and PTSD care

— 643 — Department of Veterans Affairs with a growth in same-day surgical procedures and outpatient care, so has the VA, and in 2018 Congress added access to private-sector urgent care outlets as one of the VA’s health care benefits. Today, the VA operates 172 inpatient VA Medical Centers (VAMCs), which are an average of 60 years old, and 1,113 Community Based Outpatient Clinics (CBOCs), which are newer facilities designed to meet the needs of veterans closer to home. The VA also manages a Community Care Network (CCN) through contracts with Optum and TriWest, third-party health care administrators responsible for build- ing and maintaining a robust population of community providers to meet the needs of veterans referred for care outside of the VA system. Currently, approximately 6.4 million veterans out of 18 million nationally (and out of the 9.1 million who are enrolled) use the VA for health care; the remainder use employer-sponsored plans, Tricare, Medicare, and Medicaid. The disability benefits system evolved significantly in the years between the Cold War era and the global war on terrorism, a period when the VA enrolled large numbers of veterans from World War II, Korea, and Vietnam who were seeking disability benefits and health care. Disability compensation is the largest VA benefit, but there also are dozens of others, the next largest of which are the GI Bill and the Home Loan Guaranty. These benefits are administered through 56 Regional Benefits Offices (RBOs) and hundreds of satellite sites around the country. The Agent Orange Act of 19914 significantly expanded the scope of disability ben- efits for those who had deployed to Vietnam, and the cost of those benefits began to increase dramatically as the Vietnam generation of veterans aged and began to expe- rience adverse health conditions, some of which were presumed to have been caused by defoliant chemicals used in Southeast Asia. In 2016 and 2017, a burdensome backlog of appeals of denied disability claims from multiple wartime generations—a backlog numbering in the hundreds of thousands—led to a joint effort by the VA, Vet- eran Service Organizations (VSOs), and Congress to pass legislation that streamlined appeal processes. Implemented in 2017, this historic “good governance” success has helped the VA to reduce the number of these appeals dramatically. The Sergeant First Class Heath Robinson Honoring Our Promise to Address Comprehensive Toxics (PACT) Act of 20225 addressed adverse health outcomes presumed to be the result of veterans’ exposure to airborne toxins during the global war on terrorism and further expanded disability benefits to the most recent gen- eration of veterans. These ambitious authorities, like the 1991 authorities, have the potential to overwhelm the VA’s ability to process new disability claims and adjudicate appeals. Currently, the VA is seeking to hire large numbers of personnel to process these claims while exploring the use of an automated process to accel- erate claims reviews and decisions. The ever-present lag in the hiring and training of new employees could result in major problems with the timely adjudication of benefits well into the next Administration in 2025. — 644 — Mandate for Leadership: The Conservative Promise In sum, the VA for the foreseeable future will experience significant fiscal, human capital, and infrastructure crosswinds and risks. Budgets are at historic highs, and with a workforce now above 400,000, the VA is contending with a lack of new veteran enrollees to offset the declining population of older veterans. Recruitment of medical and benefits personnel has become more challenging. Veterans are migrating from the northern states to the southern and western states for retirement and employment. Meanwhile, VA information technol- ogy (IT) is struggling to keep pace with the evolution of patient care and record keeping. Consequently, VA leaders in the next Administration must be wise and courageous political strategists, experienced managers to run day-to-day oper- ations more effectively, innovators to address the changing veteran landscape, and agile “fixers” to mitigate and repair systemic problems created or ignored by the present leadership team. VETERANS HEALTH ADMINISTRATION (VHA) Needed Reforms l Rescind all departmental clinical policy directives that are contrary to principles of conservative governance starting with abortion services and gender reassignment surgery. Neither aligns with service-connected conditions that would warrant VA’s providing this type of clinical care, and both follow the Left’s pernicious trend of abusing the role of government to further its own agenda. l Focus on the effects of shifting veteran demographics. At least during the next decade, the VA will experience a significant generational shift in its overall patient population. Of the approximately 18 million veterans alive today, roughly 9.1 million are enrolled for VA health care, and 6.4 million of these enrollees use VA health care consistently. These 6.4 million veterans are split almost evenly between those who are over age 65 and those who are under age 65, but the share of VA’s health care dollars is spent predominantly in the over-65 cohort. That share increases significantly as veterans live longer and use the VHA system at a higher rate. VHA enrollments of new users are increasingly at risk of being exceeded by the deaths of current enrollees, primarily because significant numbers of the Vietnam generation are reaching their life expectancy. The generational transition from Vietnam-era veterans to post-9/11 veterans will take several years to complete. The ongoing demographic transition is a catalyst for needed assessments of how the VA can improve the delivery of care to a numerically declining and differently dispersed national population

Department of Veterans Affairs

Moderate
Vector: 63%
Pages: 676-678AI Enhanced

AI Analysis:

"The bill seeks to improve veterans' health care by piloting HBOT for TBI/PTSD, which aligns broadly with the Project 2025 goal of enhancing VA health care benefits and services, though it does not directly address the specific infrastructure, community care network, or disability benefits processing issues highlighted in the policy excerpt."

Key themes:veterans health caretraumatic brain injurypost-traumatic stress disorderVA pilot programdisability benefits

— 643 — Department of Veterans Affairs with a growth in same-day surgical procedures and outpatient care, so has the VA, and in 2018 Congress added access to private-sector urgent care outlets as one of the VA’s health care benefits. Today, the VA operates 172 inpatient VA Medical Centers (VAMCs), which are an average of 60 years old, and 1,113 Community Based Outpatient Clinics (CBOCs), which are newer facilities designed to meet the needs of veterans closer to home. The VA also manages a Community Care Network (CCN) through contracts with Optum and TriWest, third-party health care administrators responsible for build- ing and maintaining a robust population of community providers to meet the needs of veterans referred for care outside of the VA system. Currently, approximately 6.4 million veterans out of 18 million nationally (and out of the 9.1 million who are enrolled) use the VA for health care; the remainder use employer-sponsored plans, Tricare, Medicare, and Medicaid. The disability benefits system evolved significantly in the years between the Cold War era and the global war on terrorism, a period when the VA enrolled large numbers of veterans from World War II, Korea, and Vietnam who were seeking disability benefits and health care. Disability compensation is the largest VA benefit, but there also are dozens of others, the next largest of which are the GI Bill and the Home Loan Guaranty. These benefits are administered through 56 Regional Benefits Offices (RBOs) and hundreds of satellite sites around the country. The Agent Orange Act of 19914 significantly expanded the scope of disability ben- efits for those who had deployed to Vietnam, and the cost of those benefits began to increase dramatically as the Vietnam generation of veterans aged and began to expe- rience adverse health conditions, some of which were presumed to have been caused by defoliant chemicals used in Southeast Asia. In 2016 and 2017, a burdensome backlog of appeals of denied disability claims from multiple wartime generations—a backlog numbering in the hundreds of thousands—led to a joint effort by the VA, Vet- eran Service Organizations (VSOs), and Congress to pass legislation that streamlined appeal processes. Implemented in 2017, this historic “good governance” success has helped the VA to reduce the number of these appeals dramatically. The Sergeant First Class Heath Robinson Honoring Our Promise to Address Comprehensive Toxics (PACT) Act of 20225 addressed adverse health outcomes presumed to be the result of veterans’ exposure to airborne toxins during the global war on terrorism and further expanded disability benefits to the most recent gen- eration of veterans. These ambitious authorities, like the 1991 authorities, have the potential to overwhelm the VA’s ability to process new disability claims and adjudicate appeals. Currently, the VA is seeking to hire large numbers of personnel to process these claims while exploring the use of an automated process to accel- erate claims reviews and decisions. The ever-present lag in the hiring and training of new employees could result in major problems with the timely adjudication of benefits well into the next Administration in 2025.

Department of Veterans Affairs

Weak
Vector: 64%
Pages: 682-684AI Enhanced

AI Analysis:

"The bill centers on a medical treatment pilot for TBI/PTSD using hyperbaric oxygen therapy, while the Project 2025 VA section focuses on streamlining disability claims, improving timeliness, automation, and private-sector contracting for claims processing. There is only tangential overlap in both addressing VA services and involving private-sector partners."

Key themes:veteransVApilot programprivate-sector collaborationhealthcare innovation

— 649 — Department of Veterans Affairs approaches and technology tools that currently exist in the private sector could be employed to improve existing VBA activities. This problem is most pronounced in the disability claims process, which needs more and better management attention focused on streamlining the procedures involved in processing claims and administering benefits. The VA must improve timeliness of claim adjudication and benefits delivery: Veterans want the VBA to provide timely responses to requests for benefits support, render empathetic customer service and understandable explanations of those benefits, and deliver those benefits without frustrating delays (weeks, not months). l Identify performance targets for benefits, report publicly on actual performance each quarter, and use these metrics to drive consistent improvement. l Develop a new pilot “Express 30” commitment for a veteran’s first fully developed disability compensation claim and organize the VBA to complete the first claim in 30 days. l Hire more private companies to perform disability medical examinations. Delays in completing the examinations could be eliminated with more external capacity. l Increase automation. Hiring additional staff to process claims is costly, is inflexible, and has yielded mixed results. Attempting to change laws and regulations simply to adjudicate claims would be a herculean effort given their complexity. The best way to provide benefits faster and more accurately is by using technology to perform most of the work. Technology currently exists in the private sector, but the VBA lacks the expertise to use it. This would be more of an organizational challenge than a technology hurdle. l Reduce improper payment and fraud. About $500 million is improperly paid out each year. Better tools, training, and management could reduce this substantially, but rule changes at the departmental level would be needed. Budget The VA’s Schedule for Rating Disabilities (VASRD) has assigned disability ratings to a growing number of health conditions over time; some are tenuously related or wholly unrelated to military service. The further growth in presumptive service-connected medical conditions pursued by Congress and Veteran Service Organizations, begun with Agent Orange and most recently for Burn Pits/Airborne — 650 — Mandate for Leadership: The Conservative Promise Toxins, has led to historic increases in mandatory VBA spending in recent years. The VA has a time-phased plan to reassess the VASRD and its ratings for com- pensation, but this internal process can be slow and laborious, requires Office of Management and Budget (OMB) approvals, and can become politically charged both in Congress and with VSOs. l The next Administration should explore how VASRD reviews could be accelerated with clearance from OMB to target significant cost savings from revising disability rating awards for future claimants while preserving them fully or partially for existing claimants. l The VBA’s Information Technology top-line budget should be reexamined and reassessed in light of the need for expanded automation across the enterprise. l Traditionally, VHA captures the large majority of VA IT funding. The VBA needs to make the case for a larger IT budget with clear requirements to support that request. Personnel l Pursue reforms of the Human Capital Management process and operations within the VBA to build a more blended workforce with more contractors to process claims. This would free federal employees to perform other duties and be involved solely with the final decision to award benefits. l Improve the VBA acquisition workforce. The VBA needs more world-class contractor support. Currently, few of the top companies have contracts with the VBA, and the VBA needs to conduct more outreach to the private sector through senior leader engagement and industry conferences. l To identify more effective and efficient ways to complete claims, establish a knowledge exchange program with top-tier private-sector companies that do similar work. The VBA is fundamentally a financial services organization. A significant amount of its work has a private-sector analogue that could be leveraged to improve service to veterans. l For most of its existence, the VBA has been a risk-averse, insular, paper-based organization, implementing technology only over the past decade. This insularity has led to a predominantly “build it ourselves” approach, partly because VBA staff has limited experience or insight into current private- sector tools and methods and partly because the VBA struggles to compete

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About These Correlations

Policy matches are calculated using a hybrid approach: initial candidates are found using semantic similarity between bill summaries and Project 2025 policy text, then an AI model (Llama 3.1 70B) provides detailed alignment ratings and analysis. Ratings range from 1 (minimal alignment) to 5 (very strong alignment). This analysis does not imply direct causation or intent.

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