Review Every Veterans Claim Act of 2025

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Bill ID: 119/hr/2137
Last Updated: July 22, 2026

Sponsored by

Rep. Luttrell, Morgan [R-TX-8]

ID: L000603

Follow the money

The bill

Review Every Veterans Claim Act of 2025

HR. 2137, 119th Congress.

The sponsor

Rep. Luttrell, Morgan [R-TX-8]

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

The money

$104,334 raised

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

The alignment

85% match to Project 2025

This bill's text tracks the "Department of Veterans Affairs" section, p. 688-691 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. 549.

May 3, 2026

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 exercise in legislative theater, courtesy of the 119th Congress. Let's dissect this farce, shall we?

**Main Purpose & Objectives:** The Review Every Veterans Claim Act of 2025 (HR 2137) claims to limit the authority of the Secretary of Veterans Affairs to deny benefits to veterans who fail to appear for medical examinations. How noble. In reality, it's a thinly veiled attempt to appease veteran advocacy groups and garner votes while maintaining the status quo.

**Key Provisions & Changes to Existing Law:** The bill amends title 38 of the United States Code to prohibit the Secretary from denying benefits solely based on a veteran's failure to appear for a medical examination. It also requires the Secretary to submit annual reports on the length of adjudications and appeals, as well as guidelines for advancing cases on the docket of the Board of Veterans' Appeals. Oh, and it creates a new section (5109C) to track and maintain information on certain claims for benefits. Because, you know, more bureaucracy is always the solution.

**Affected Parties & Stakeholders:** Veterans, obviously. Or, rather, the politicians who claim to care about veterans. In reality, this bill will likely benefit the usual suspects: lawmakers seeking re-election, veteran advocacy groups looking for a PR win, and the bureaucrats who get to justify their existence with more paperwork and reporting requirements.

**Potential Impact & Implications:** Let's be real – this bill won't significantly improve the lives of veterans. It's a Band-Aid on a bullet wound. The real issues plaguing the VA system, such as inefficiency, corruption, and lack of accountability, remain untouched. This legislation is merely a symptom of a deeper disease: the politicians' addiction to empty gestures and photo ops. The actual impact will be more red tape, increased administrative costs, and a continued lack of meaningful reform.

In medical terms, this bill is akin to treating a patient's symptoms without addressing the underlying condition. It's a classic case of " legislative placebo effect" – making voters feel like something is being done while doing nothing substantive. The diagnosis? Terminal stupidity, with a healthy dose of cynicism and a complete disregard for the well-being of those they claim to serve. Prognosis? More of the same: empty promises, bureaucratic bloat, and a continued decline into absurdity.

Related Topics

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

💰 Campaign Finance Network

Rep. Luttrell, Morgan [R-TX-8]

Congress 119 • 2024 Election Cycle

Total Contributions
$104,334
17 donors
PACs
$0
Organizations
$12,400
Committees
$0
Individuals
$91,934

No PAC contributions found

1
ALABAMA-COUSHATTA TRIBE
2 transactions
$6,600
2
TIGUA INDIAN RES.-YSLETA DEL SUR PUEBLO
2 transactions
$5,800

No committee contributions found

1
LUCKEY, PALMER
3 transactions
$9,900
2
JOHNSON, MICHAEL
2 transactions
$6,870
3
GRIFFIN, KENNETH
1 transaction
$6,600
4
SINGER, PAUL
1 transaction
$6,600
5
STEDMAN, STUART
1 transaction
$6,600
6
FISHER, KENNETH
1 transaction
$6,600
7
FISHER, SHERRILYN
1 transaction
$6,600
8
ERICKSON, MARILYN
1 transaction
$6,600
9
WEBER, SCOTT
1 transaction
$6,600
10
LACY, KATE
2 transactions
$6,600
11
GONSOULIN, AL
2 transactions
$6,600
12
GANNAWAY, BERRY
1 transaction
$5,000
13
NUCHE, JEFF
1 transaction
$4,164
14
BLAIR, NELDA
1 transaction
$3,300
15
JUNEAU, MELISSA
1 transaction
$3,300

Cosponsors & Their Campaign Finance

This bill has 9 cosponsors. Below are their top campaign contributors.

Rep. McGarvey, Morgan [D-KY-3]

ID: M001220

Top Contributors

10

1
EASTERN BAND OF CHEROKEE INDIANS
OrganizationCHEROKEE, NC
$3,300
Oct 26, 2024
2
LA CASITA CENTER
OrganizationLOUISVILLE, KY
$154
Oct 16, 2023
3
CALOBRACE, BRADLEY
SELF • PHYSICIAN
IndividualLOUISVILLE, KY
$6,600
Oct 18, 2024
4
BROWN, CAMPBELL
BROWN-FORMAN • PRESIDENT OLD FORESTER
IndividualLOUISVILLE, KY
$3,300
Oct 30, 2024
5
MEHROTRA, LOPA
NOT EMPLOYED • NOT EMPLOYED
IndividualGLENVIEW, KY
$3,300
Nov 5, 2024
6
MEHROTRA, RISHABH
AVIONTE • CEO
IndividualGLENVIEW, KY
$3,300
Nov 5, 2024
7
HELM, NELSON
RETIRED • RETIRED
IndividualLOUISVILLE, KY
$3,300
Dec 29, 2023
8
ROTH, EVAN
BBR PARTNERS • CO-CEO
IndividualNEW YORK, NY
$3,300
Oct 18, 2023
9
CHRISTENSEN, JOSH
NORTON HEALTHCARE • PHYSICIAN
IndividualLOUISVILLE, KY
$3,300
Dec 3, 2023
10
SISCOVICK, TALIA
NOT EMPLOYED • NOT EMPLOYED
IndividualSTAMFORD, CT
$3,300
Oct 31, 2023

Rep. Weber, Randy K. Sr. [R-TX-14]

ID: W000814

Top Contributors

10

1
TIGUA INDIAN RESERVATION - YSLETA DEL SUR PUEBLO
OrganizationEL PASO, TX
$2,500
Jun 30, 2023
2
SCOTT M. BROWN P.C.
OrganizationANGLETON, TX
$2,500
Aug 13, 2024
3
SCOTT M. BROWN P.C.
OrganizationANGLETON, TX
$2,500
Aug 14, 2024
4
ALABAMA-COUSHATTA TRIBE
OrganizationLIVINGSTON, TX
$1,000
Sep 30, 2024
5
ALLEN BOONE HUMPHRIES ROBINSON LLP
OrganizationHOUSTON, TX
$1,000
Jul 25, 2023
6
CLARK, LISA M.
IndividualHOUSTON, TX
$10,000
Feb 23, 2024
7
SULLIVAN, JOHN R. MR.
SULLIVAN COMPANIES • OWNER
IndividualGALVESTON, TX
$6,600
Oct 31, 2023
8
TEICHMAN, KEVIN MR.
TEICHMAN GROUP LLC • CEO
IndividualFRIENDSWOOD, TX
$6,600
Dec 12, 2023
9
MCCORVEY, MITZY
MCCORVEY INDUSTRIAL FABRICATION • OWNER
IndividualHOUSTON, TX
$6,600
Feb 9, 2023
10
MCCORVEY, TONY
MCCORVEY INDUSTRIAL FABRICATION • OWNER
IndividualHOUSTON, TX
$6,600
Feb 9, 2023

Rep. Pfluger, August [R-TX-11]

ID: P000048

Top Contributors

10

1
SYCUAN BAND OF THE KUMEYAAY NATION
OrganizationEL CAJON, CA
$3,300
Apr 18, 2024
2
SYCUAN BAND OF THE KUMEYAAY NATION
OrganizationEL CAJON, CA
$3,300
Jun 30, 2023
3
ALABAMA-COUSHATTA TRIBE
OrganizationLIVINGSTON, TX
$1,000
Sep 27, 2024
4
DIMEMMO, COLETTE
RETIRED • RETIRED
IndividualFORT MYERS, FL
$6,600
Oct 24, 2024
5
PUDWILL, JAMES
IndividualNIPOMO, CA
$6,600
Sep 16, 2024
6
GELBMAN, JOEL
IndividualNAPLES, FL
$6,600
Sep 16, 2024
7
GELBMAN, JOEL
RETIRED • RETIRED
IndividualNAPLES, FL
$6,600
Aug 26, 2024
8
PUDWILL, JAMES
RETIRED • RETIRED
IndividualNIPOMO, CA
$6,600
Aug 3, 2024
9
WILSON, CELIA R
OIL AND GAS • SELF-EMPLOYED
IndividualMIDLAND, TX
$5,800
Mar 31, 2024
10
WILSON, CELIA R
SELF • OIL AND GAS
IndividualMIDLAND, TX
$5,800
Apr 9, 2024

Rep. Mills, Cory [R-FL-7]

ID: M001216

Top Contributors

10

1
RASMUSSEN, DALE
SELF EMPLOYED • REAL ESTATE
IndividualBLACK DIAMOND, WA
$3,435
Oct 14, 2024
2
RASMUSSEN, DALE
SELF EMPLOYED • REAL ESTATE
IndividualBLACK DIAMOND, WA
$3,435
Oct 14, 2024
3
BRANDT, HARRY
RETIRED • RETIRED
IndividualNEW SMYRNA BEACH, FL
$3,300
Nov 16, 2023
4
WEINBERGER, MEG
HOMEMAKER • HOMEMAKER
IndividualWEST PALM BEACH, FL
$3,300
Nov 20, 2023
5
MANGI, ROBERT
NEC SPECIALTY • INSURANCE
IndividualGARDEN CITY, NY
$3,300
Oct 23, 2023
6
MILLER, JEFFREY
MILLER STRATEGIES, LLC • CEO
IndividualMIAMI BEACH, FL
$3,300
Dec 15, 2023
7
MILLER, JEFFREY
MILLER STRATEGIES, LLC • CEO
IndividualMIAMI BEACH, FL
$3,300
Mar 11, 2024
8
MCMAHON, JOHN
RETIRED • RETIRED
IndividualBETHESDA, MD
$3,300
Mar 20, 2024
9
BROWN, REGINALD
KIRKLAND ELLIS • ATTORNEY
IndividualALEXANDRIA, VA
$3,300
Jan 26, 2024
10
ARMSTRONG, WAYMON
ECS • CEO
IndividualORLANDO, FL
$3,300
Mar 11, 2024

Rep. Vindman, Eugene Simon [D-VA-7]

ID: V000138

Top Contributors

10

1
LUX FOR VIRGINIA
OrganizationLADYSMITH, VA
$500
Mar 29, 2024
2
LUX FOR VIRGINIA
OrganizationLADYSMITH, VA
$500
Mar 31, 2024
3
FORSTER-BURKE, DIANE
NOT EMPLOYED • NOT EMPLOYED
IndividualCOTTONWOOD HEIGHTS, UT
$4,000
Apr 20, 2024
4
FORSTER-BURKE, DIANE
IndividualCOTTONWOOD HEIGHTS, UT
$4,000
May 5, 2024
5
VON STEIN, THOMSON
IndividualROCKVILLE, MD
$3,500
Aug 7, 2024
6
HULL, MEGAN
SELF • ACTIVIST
IndividualWASHINGTON, DC
$3,300
Nov 2, 2024
7
KAISER, GEORGE
GBK CORPORATION • EXECUTIVE
IndividualTULSA, OK
$3,300
Oct 25, 2024
8
PARSONS, KATHLEEN
NOT EMPLOYED • NOT EMPLOYED
IndividualPOTOMAC, MD
$3,300
Oct 18, 2024
9
STAPLE, HARISE
SELF • MD
IndividualLOS ALTOS, CA
$3,300
Oct 18, 2024
10
HOLMES, LAURA
SELF • REAL ESTATE INVESTOR
IndividualBOCA RATON, FL
$3,300
Oct 22, 2024

Rep. Neguse, Joe [D-CO-2]

ID: N000191

Top Contributors

10

1
AK-CHIN INDIAN COMMUNITY
OrganizationMARICOPA, AZ
$3,300
Mar 31, 2023
2
AK-CHIN INDIAN COMMUNITY
OrganizationMARICOPA, AZ
$2,500
Oct 13, 2024
3
YUROK TRIBE
OrganizationKLAMATH, CA
$1,000
Feb 1, 2023
4
SAN MANUEL BAND OF MISSION INDIANS
OrganizationLOS ANGELES, CA
$1,000
Jun 9, 2024
5
EKLUND, PAUL
IndividualBOULDER, CO
$6,400
Oct 3, 2023
6
EKLUND, PAUL
P.N. EKLUND INTERESTS INC. • REAL ESTATE
IndividualBOULDER, CO
$6,400
Sep 30, 2023
7
KLARMAN, SETH
THE BAUPOST GROUP • CEO
IndividualBOSTON, MA
$3,300
Oct 18, 2024
8
GROSS, DAVID
UNIVERSITY OF COLORADO • INSTRUCTOR
IndividualBOULDER, CO
$3,300
Oct 31, 2024
9
WEAVER, LINDSAY
SELF • ENGINEER
IndividualPAGOSA SPRINGS, CO
$3,300
Oct 22, 2024
10
BLOOM, BRADLEY
BERKSHIRE PARTNERS LLC • INVESTMENTS
IndividualWELLESLEY, MA
$3,300
Oct 21, 2024

Rep. Thompson, Mike [D-CA-4]

ID: T000460

Top Contributors

10

1
ACTBLUE
COMSOMERVILLE, MA
$500
Oct 27, 2024
2
ACTBLUE
COMSOMERVILLE, MA
$30
Nov 3, 2024
3
SHINGLE SPRINGS BAND OF MIWOK INDIANS
OrganizationSHINGLE SPRINGS, CA
$3,300
Sep 30, 2023
4
YOCHA DEHE WINTUN NATION
OrganizationBROOKS, CA
$3,300
Dec 22, 2023
5
YOCHA DEHE WINTUN NATION
OrganizationBROOKS, CA
$3,300
Dec 22, 2023
6
EASTERN BANK OF CHEROKEE INDIANS
OrganizationCHEROKEE, NC
$3,300
Feb 7, 2024
7
HABEMATOLEL POMO OF UPPER LAKE
OrganizationUPPER LAKE, CA
$3,300
Jun 23, 2024
8
FEDERATED INDIANS OF GRATON RANCHERIA
OrganizationROHNERT PARK, CA
$3,300
May 23, 2023
9
FEDERATED INDIANS OF GRATON RANCHERIA
OrganizationROHNERT PARK, CA
$3,300
May 23, 2023
10
MOORETOWN RANCHERIA
OrganizationOROVILLE, CA
$3,300
Sep 28, 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

Rescom. Hernández, Pablo Jose [D-PR-At Large]

ID: H001103

Top Contributors

0

No contribution data available

Donor Network - Rep. Luttrell, Morgan [R-TX-8]

PACs
Organizations
Individuals
Politicians

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

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Showing 66 nodes and 39 connections (64 secondary connections hidden)

Total contributions: $144,658

Top Donors - Rep. Luttrell, Morgan [R-TX-8]

Showing top 17 donors by contribution amount

2 Orgs15 Individuals

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

Strong
Vector: 64%
Pages: 688-691AI Enhanced

AI Analysis:

"HR 2137 seeks to streamline and make more transparent the VA claims process by prohibiting denials based solely on missed exams and requiring performance reporting, which aligns with Project 2025’s VA objectives of improving efficiency, accountability, and veteran access to benefits."

Key themes:veterans benefits accessVA claims processing efficiencytransparency and accountabilityadministrative barrier reduction

— 655 — Department of Veterans Affairs ENDNOTES 1. U.S. Department of Veterans Affairs, Veterans Health Division, VHA Directive 1003, “VHA Veteran Patient Experience,” April 14, 2020, pp. 1 and B-1. 2. S. 2372, VA Mission Act of 2018, Public Law No. 115-182, 115th Congress, June 6, 2018, https://www.congress. gov/115/plaws/publ182/PLAW-115publ182.pdf (accessed January 30, 2023). 3. U.S. Department of Veterans Affairs, VA History Office, “VA History,” last updated May 27, 2021, https://www. va.gov/HISTORY/VA_History/Overview.asp (accessed January 28, 2023). 4. 38 U.S. Code § 1116, https://www.law.cornell.edu/uscode/text/38/1116 (accessed January 28, 2023). 5. S. 3373, Sergeant First Class Heath Robinson Honoring Our Promise to Address Comprehensive Toxics Act of 2022 (Honoring Our PACT Act of 2022), Public Law No. 117-168, 117th Congress, August 10, 2022, https://www. congress.gov/117/plaws/publ168/PLAW-117publ168.pdf (accessed January 28, 2023). 6. H.R. 2471, Consolidated Appropriations Act, 2022, Public Law No. 117-103, 117th Congress, March 15, 2022, Division S, Title I, https://www.congress.gov/117/plaws/publ103/PLAW-117publ103.pdf (accessed March 18, 2023). Known variously as the Department of Veterans Affairs Nurse and Physician Assistant Retention and Income Security Enhancement Act and the VA Nurse and Physician Assistant RAISE Act. 7. See note 5, supra. — 657 — Section Four THE ECONOMY The next Administration must prioritize the economic prosperity of ordi- nary Americans. For several decades, establishment “elites” have failed the citizenry by refusing to secure the border, outsourcing manufacturing to China and elsewhere, spending recklessly, regulating constantly, and generally controlling the country from the top down rather than letting it flourish from the bottom up. The proper role of government, as was articulated nearly 250 years ago, is to secure our God-given, unalienable rights in order that we might enjoy the pursuit of happiness, the benefits of free enterprise, and the blessings of liberty. Finding the right approach to trade policy is key to the fortunes of everyday Americans. In Chapter 26, president of the Competitive Enterprise Institute Kent Lassman and former White House director of trade and manufacturing policy Peter Navarro debate what an effective conservative trade policy would look like. Lass- man argues that the best trade policy is a humble, limited-government approach that would encourage free trade with all nations. He maintains that aggressive trade policies involve an increased government role that future leftist Administra- tions will utilize to push “climate change” and “equity”-based activism. Focusing more on gross domestic product (GDP) growth than on median income, he writes that “people mistakenly believe that U.S. manufacturing and the U.S. economy are in decline” when in truth “American manufacturing output is currently at an all-time high.” Meanwhile, we continue to experience “record-setting real GDP” despite our “long-run decline in manufacturing employment.” Lassman does not think that an aggressive U.S. trade policy would lead to more manufacturing jobs. Rather, he writes, “Federal Reserve research shows” that the

Department of Veterans Affairs

Moderate
Vector: 66%
Pages: 688-691AI Enhanced

AI Analysis:

"Both HR 2137 and the Project 2025 VA policy focus on improving the efficiency, transparency, and fairness of veterans' benefits processing, though the specific Project 2025 directives are not detailed in the provided excerpt."

Key themes:claims processing efficiencytransparency and accountabilityveteran access to benefitstracking and reportingreducing procedural barriers

— 655 — Department of Veterans Affairs ENDNOTES 1. U.S. Department of Veterans Affairs, Veterans Health Division, VHA Directive 1003, “VHA Veteran Patient Experience,” April 14, 2020, pp. 1 and B-1. 2. S. 2372, VA Mission Act of 2018, Public Law No. 115-182, 115th Congress, June 6, 2018, https://www.congress. gov/115/plaws/publ182/PLAW-115publ182.pdf (accessed January 30, 2023). 3. U.S. Department of Veterans Affairs, VA History Office, “VA History,” last updated May 27, 2021, https://www. va.gov/HISTORY/VA_History/Overview.asp (accessed January 28, 2023). 4. 38 U.S. Code § 1116, https://www.law.cornell.edu/uscode/text/38/1116 (accessed January 28, 2023). 5. S. 3373, Sergeant First Class Heath Robinson Honoring Our Promise to Address Comprehensive Toxics Act of 2022 (Honoring Our PACT Act of 2022), Public Law No. 117-168, 117th Congress, August 10, 2022, https://www. congress.gov/117/plaws/publ168/PLAW-117publ168.pdf (accessed January 28, 2023). 6. H.R. 2471, Consolidated Appropriations Act, 2022, Public Law No. 117-103, 117th Congress, March 15, 2022, Division S, Title I, https://www.congress.gov/117/plaws/publ103/PLAW-117publ103.pdf (accessed March 18, 2023). Known variously as the Department of Veterans Affairs Nurse and Physician Assistant Retention and Income Security Enhancement Act and the VA Nurse and Physician Assistant RAISE Act. 7. See note 5, supra.

Department of Veterans Affairs

Moderate
Vector: 65%
Pages: 679-681AI Enhanced

AI Analysis:

"HR 2137 aligns with Project 2025's focus on improving VA efficiency, transparency, and accountability in claims processing, particularly through reporting requirements and process improvements. While it does not directly address education programs, innovation office restructuring, or caregiver program reforms, it supports broader goals of modernizing VA operations and enhancing service delivery."

Key themes:VA efficiencyclaims processingtransparencyaccountabilityprocess improvement

— 646 — Mandate for Leadership: The Conservative Promise 3. Section 121 (developing and administering an education program that teaches veterans about their health care options available from the Department of Veterans Affairs). 4. Section 152 (returning the Office for Innovation of Care and Payment to the Office of Enterprise Integration with a joint governance process set up with the VHA). 5. Section 161 (overhauling Family Caregiver Program expansion, which has gone poorly, so that it focuses on consistency of eligibility and awareness that the most severely wounded or injured may require the program indefinitely). l Require the VHA to report publicly on all aspects of its operation, including quality, safety, patient experience, timeliness, and cost-effectiveness, using standards similar to those in the Medicare Accountable Care Organization program so that the government may monitor and achieve continuous improvement in the VA system more effectively. l Encourage VA Medical Centers to seek out relevant academic and private- sector input in their communities to improve the overall patient experience. Budget l Conduct an independent audit of the VA similar to the 2018 Department of Defense (DOD) audit to identify IT, management, financial, contracting, and other deficiencies. l Assess the misalignment of VHA facilities and rising infrastructure costs. The VHA operates 172 inpatient medical facilities nationally that are an average of 60 years old. Some of these facilities are underutilized and inadequately staffed. Facilities in certain urban and rural areas are seeing significant declines in the veteran population and strong competition for fresh medical staff. In 2018, Congress authorized an Asset Infrastructure Review (AIR) of national VHA medical markets to provide insight into where the VA health care budget should be responsibly allocated to serve veterans most effectively. However, the Senate Veterans Affairs Committee lacked the political will to act on the White House’s nominations of commission members, and this ultimately led to termination of the AIR process. The next Administration should seek out agile, creative, and politically acceptable operational solutions to this aging infrastructure status quo, — 647 — Department of Veterans Affairs reimagine the health care footprint in some locales, and spur a realignment of capacity through budgetary allocations. Specifically: 1. Embrace the expansion of Community Based Outpatient Clinics (CBOCs) as an avenue to maintain a VA footprint in challenging medical markets without investing further in obsolete and unaffordable VA health care campuses. 2. Explore the potential to pilot facility-sharing partnerships between the VA and strained local health care systems to reduce costs by leveraging limited talent and resources. Personnel l Extend the term of the Under Secretary for Health (USH) to five years. Additionally, authority should be given to reappoint this individual for a second five-year term both to allow for continuity and to protect the USH from political transition. l Establish a Senior Executive Service (SES) position of VHA Care System Chief Information Officer (CIO), selected by and reporting to the chief of the VHA Care System with a dotted line to the VA CIO. l Identify a workflow process to bring wait times in compliance with VA MISSION Act–required time frames wherever possible. 1. Assess the daily clinical appointment load for physicians and clinical staff in medical facilities where wait times for care are well outside of the time frames required by the VA MISSION Act. 2. Require VHA facilities to increase the number of patients seen each day to equal the number seen by DOD medical facilities: approximately 19 patients per provider per day. Currently, VA facilities may be seeing as few as six patients per provider per day. 3. Consider a pilot program to extend weekday appointment hours and offer Saturday appointment options to veterans if a facility continues to demonstrate that it has excess capacity and is experiencing delays in the delivery of care for veterans. 4. Identify clinical services that are consistently in high demand but require cost-prohibitive compensation to recruit and retain talent, and examine exceptions for higher competitive pay.

Showing 3 of 5 policy matches

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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