VA Funding and Workforce Protection Act

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Bill ID: 119/hr/2722
Last Updated: May 20, 2026

Sponsored by

Rep. Kennedy, Timothy M. [D-NY-26]

ID: K000402

Follow the money

The bill

VA Funding and Workforce Protection Act

HR. 2722, 119th Congress — read as touching Hospitals & Health Systems.

The sponsor

Rep. Kennedy, Timothy M. [D-NY-26]

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

The money

$79,500 raised

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

The alignment

69% match to Project 2025

This bill's text tracks the "Introduction" section, p. 679-681 of the Mandate for Leadership.

Bill's Journey to Becoming a Law

Track this bill's progress through the legislative process

Latest Action

Committee Hearings Held

May 19, 2026

Introduced

Committee Review

📍 Current Status

Next: The bill moves to the floor for full chamber debate and voting.

🗳️

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 masterpiece of legislative theater, brought to you by the esteemed members of Congress. Let's dissect this farce and expose the real disease beneath.

**Main Purpose & Objectives:** The VA Funding and Workforce Protection Act (HR 2722) claims to limit the deferral or transfer of federal funds made available to the Department of Veterans Affairs, prevent layoffs and other personnel actions, and protect veterans' employment. How noble. In reality, this bill is a Band-Aid on a bullet wound, designed to appease special interest groups and garner votes.

**Key Provisions & Changes to Existing Law:** The bill prohibits the impoundment, transfer, or reprogramming of discretionary appropriations for the VA without explicit statutory authority (Sec. 2). It also exempts the VA from hiring freezes, reinstates veterans who were removed from employment, and limits layoffs (Sec. 3). The Secretary must notify Congress of potential funding shortfalls and certify compliance with the act's requirements (Secs. 2 and 4).

**Affected Parties & Stakeholders:** The obvious beneficiaries are veterans' organizations, government employee unions, and the VA bureaucracy itself. However, this bill also serves as a Trojan horse for congressional meddling in executive branch affairs, allowing lawmakers to micromanage the VA's budget and personnel decisions.

**Potential Impact & Implications:** This bill is a prime example of "legislative lockjaw," where Congress attempts to strangle the executive branch with red tape. By restricting the VA's flexibility in managing its funds and workforce, this act may inadvertently harm the very veterans it claims to protect. The real impact will be felt by taxpayers, who will foot the bill for increased bureaucratic overhead and inefficient resource allocation.

Diagnosis: This bill suffers from a severe case of "Congressional Cognitive Dissonance" – the inability to recognize that their actions often exacerbate the problems they claim to solve. The symptoms include:

* Overregulation * Micromanaging * Special interest pandering * Lack of fiscal responsibility

Treatment: A healthy dose of skepticism, followed by a strong prescription of transparency and accountability. Unfortunately, this patient is unlikely to recover from its chronic case of bureaucratic bloat and legislative ineptitude.

Related Topics

Military & Veterans AffairsFederal Budget & Appropriations
Generated using Llama 3.1 70B (Dr. Haus personality)

💰 Campaign Finance Network

Rep. Kennedy, Timothy M. [D-NY-26]

Congress 119 • 2024 Election Cycle

Total Contributions
$79,500
19 donors
PACs
$0
Organizations
$6,600
Committees
$0
Individuals
$72,900

No PAC contributions found

1
SENECA NATION OF INDIANS
2 transactions
$6,600

No committee contributions found

1
RECHLER, SCOTT H.
2 transactions
$10,000
2
FROMEN, JOHN J. JR
2 transactions
$8,400
3
O'BRIEN, CHRISTOPHER
1 transaction
$5,000
4
LOGOTHETIS, GEORGE
1 transaction
$3,300
5
SIMON, BRIAN W.
1 transaction
$3,300
6
LO, WILLIAM
1 transaction
$3,300
7
YUHNKE, WILLIAM
1 transaction
$3,300
8
BUCHHEIT, GERALD A.
1 transaction
$3,300
9
CIMINELLI, PAUL F.
1 transaction
$3,300
10
CARONE, FRANK
1 transaction
$3,300
11
CARUBBA, JOSEPH
1 transaction
$3,300
12
PERSICO, JENNIFER C.
1 transaction
$3,300
13
OSTROFF, RICHARD L.
1 transaction
$3,300
14
MERINOFF, CHARLES
1 transaction
$3,300
15
COLE, JACQUELINE
1 transaction
$3,300
16
CORRADO, JOHN J.
1 transaction
$3,300
17
KOSTRZEWSKI, MARK B.
1 transaction
$3,300
18
COLE, MARGIE
1 transaction
$3,300

Cosponsors & Their Campaign Finance

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

Del. Norton, Eleanor Holmes [D-DC-At Large]

ID: N000147

Top Contributors

0

No contribution data available

Rep. Thanedar, Shri [D-MI-13]

ID: T000488

Top Contributors

10

1
LEVY, EDWARD C.
EDW C LEVY COCHAIRMAN
IndividualBIRMINGHAM, MI
$6,600
Jun 30, 2024
2
LEVY, EDWARD C.
EDW C LEVY COCHAIRMAN
IndividualBIRMINGHAM, MI
$6,600
Jul 1, 2024
3
LEVY, EDWARD C.
EDW C LEVY COCHAIRMAN
IndividualBIRMINGHAM, MI
$6,600
Jun 30, 2024
4
SARVER, ROBERT
NOT EMPLOYEDNOT EMPLOYED
IndividualPARADISE VALLEY, AZ
$6,600
Aug 5, 2024
5
PATEL, DILIP
JAMSAN HOTEL MANAGEMENTMANAGER
IndividualLEXINGTON, MA
$3,300
Oct 27, 2024
6
SILVERSTON, CHARLES
GIBSON SIRREAL ESTATE
IndividualCHESTNUT HILL, MA
$3,300
Oct 27, 2024
7
SINGH, GURPREET
SELF EMPLOYEDSELF EMPLOYED
IndividualHUNTS POINT, WA
$3,300
Oct 27, 2024
8
AGARWAL, AVADHESH K
N/ARETIRED
IndividualROLLING HILLS, CA
$3,300
Aug 10, 2023
9
JADEJA, ASHA
NOT EMPLOYEDNOT EMPLOYED
IndividualPALO ALTO, CA
$3,300
Jul 13, 2023
10
RATHI, VASANT
SPECIALTY ENZYMESOWNER
IndividualYORBA LINDA, CA
$3,300
Aug 10, 2023

Rep. Dingell, Debbie [D-MI-6]

ID: D000624

Top Contributors

10

1
MATCH-E-BE-NASH-SHE-WISH BAND OF POTTAWATOMI INDIANS
OrganizationDORR, MI
$3,300
Dec 13, 2023
2
NOTTAWASEPPI HURON BAND OF THE POTAWATOMI
OrganizationFULTON, MI
$3,300
Mar 28, 2024
3
MATCH-E-BE-NASH-SHE-WISH BAND OF POTTAWATOMI INDIANS
OrganizationDORR, MI
$3,300
Oct 16, 2024
4
FORD, CYNTHIA
NACIVIC PHILANTHROPIST
IndividualGROSSE POINTE FARMS, MI
$3,300
Oct 14, 2024
5
FORD, EDSEL B. II
FORD MOTOR COMPANYCONSULTANT
IndividualGROSSE POINTE FARMS, MI
$3,300
Oct 14, 2024
6
MEIJER, HENDRIK
MEIJER, INC.EXECUTIVE CHAIRMAN
IndividualGRAND RAPIDS, MI
$3,300
Oct 25, 2024
7
CARTER ALTMAN, LYNDA
SELF EMPLOYEDMUSICIAN
IndividualNEW YORK, NY
$3,300
Nov 6, 2023
8
DEBBANE, RAYMOND
THE INVUS GROUPCEO
IndividualGREENWICH, CT
$3,300
Dec 4, 2023
9
FARES, NIJAD
LINKINVESTOR
IndividualHOUSTON, TX
$3,300
Nov 30, 2023
10
III, WILLIAM H. GATES
BREAKTHROUGH ENERGY & BILL & MELINDA GPHILANTHROPIST
IndividualREDMOND, WA
$3,300
Oct 19, 2023

Rep. Tlaib, Rashida [D-MI-12]

ID: T000481

Top Contributors

10

1
ANH MANAGEMENT LLC
OrganizationPATERSON, NJ
$2,500
Jun 30, 2023
2
FALAH VENTURES LLC
OrganizationTAMPA, FL
$2,000
Mar 31, 2024
3
LAW OFFICE OF AFFAR BAKSH LLC
OrganizationJAMAICA, NY
$1,000
Mar 2, 2024
4
A. ARMUSANDNEEBOM CONSULTING LLC
OrganizationJACKSONVILLE, FL
$1,000
Mar 31, 2024
5
NADIM ISLAM EMERGENCY SERVICES, PLLC
OrganizationHOUSTON, TX
$1,000
Mar 31, 2024
6
KHALAF LLC
OrganizationTROY, MI
$1,000
Mar 31, 2024
7
MEHRIZI PROPERTIES LLC
OrganizationSACRAMENTO, CA
$500
Feb 4, 2024
8
MR AND MOSTAK LLC
OrganizationJAMAICA, NY
$500
Mar 31, 2024
9
MAHMOUD, ANNA F.
MAYO CLINICPHYSICIAN
IndividualPHOENIX, AZ
$13,200
Nov 17, 2023
10
MALAS, MOHANNAD
IndividualLAGUNA BEACH, CA
$9,300
Dec 31, 2023

Rep. Landsman, Greg [D-OH-1]

ID: L000601

Top Contributors

10

1
CHEROKEE NATION
OrganizationTAHLEQUAH, OK
$1,000
Dec 1, 2023
2
SAN MANUEL BAND OF MISSION INDIANS
OrganizationLOS ANGELES, CA
$1,000
Mar 19, 2024
3
CHEROKEE NATION
OrganizationTAHLEQUAH, OK
$1,000
Sep 30, 2024
4
SOSNICK, AARON
IndividualRENO, NV
$3,392
Jun 30, 2024
5
FISHER, CYNTHIA
PATIENTRIGHTSADVOCATE.ORGFOUNDER AND CHAIRMAN
IndividualPALM BEACH, FL
$3,300
Oct 22, 2024
6
HIRSCHTICK, JON
PTCMANAGER
IndividualLEXINGTON, MA
$3,300
Oct 29, 2024
7
PFAUTCH, ROY
SELF EMPLOYEDGOVERNMENT RELATIONS
IndividualSAINT LOUIS, MO
$3,300
Oct 21, 2024
8
TISCH, JONATHAN
LOEWS HOTELSEXECUTIVE CHAIRMAN
IndividualNEW YORK, NY
$3,300
Oct 21, 2024
9
TISCH, LIZZIE
LTD X LIZZIE TISCHCHIEF CURATOR
IndividualNEW YORK, NY
$3,300
Oct 22, 2024
10
BEEUWKES, REINIER
NOT EMPLOYEDRETIRED
IndividualCONCORD, MA
$3,300
Nov 7, 2023

Rep. Ocasio-Cortez, Alexandria [D-NY-14]

ID: O000172

Top Contributors

10

1
CHEROKEE NATION
OrganizationTAHLEQUAH, OK
$1,000
Oct 12, 2024
2
LIMA, ANANDA
SELF-EMPLOYEDPHOTOGRAPHER
IndividualCHICAGO, IL
$5,000
Jan 11, 2023
3
DRAKE, DANIEL
NOT EMPLOYEDNOT EMPLOYED
IndividualMILL VALLEY, CA
$3,300
Sep 5, 2024
4
TORRES, TOMAS
NOT EMPLOYEDNOT EMPLOYED
IndividualHOUSTON, TX
$3,300
Jul 17, 2024
5
PARK, JEANNIE
NOT EMPLOYEDNOT EMPLOYED
IndividualNEW YORK, NY
$3,300
Jul 10, 2024
6
BURDEN, CARTER
DARKSTAR ASSET MANAGEMENT LLCENTREPRENEUR
IndividualNEW YORK, NY
$3,300
Aug 12, 2024
7
GREGORY, ANDRE
NOT EMPLOYEDNOT EMPLOYED
IndividualNEW YORK, NY
$3,300
Jul 16, 2024
8
WESTON, JEFF
NOT EMPLOYEDNOT EMPLOYED
IndividualPORTLAND, OR
$3,300
Jul 24, 2024
9
SISSON, MICHAEL
NOT EMPLOYEDNOT EMPLOYED
IndividualFAIRVIEW, OR
$3,300
Sep 20, 2024
10
CRYER, JON
SELF-EMPLOYEDPRODUCER
IndividualSANTA CLARITA, CA
$3,300
Aug 18, 2024

Rep. Ramirez, Delia C. [D-IL-3]

ID: R000617

Top Contributors

10

1
SIBLANI, ALI EL
NOT EMPLOYEDNOT EMPLOYED
IndividualDEARBORN HEIGHTS, MI
$6,600
Nov 11, 2023
2
ROGERS, JOHN
ARIEL INVESTMENTS LLCCHAIRMAN
IndividualCHICAGO, IL
$6,600
Jun 29, 2023
3
ALNOBANI, ABDUL
AYAZZ CONSTRCTION LLCCEO
IndividualMOKENA, IL
$5,600
Nov 19, 2023
4
REHMAN, MOHAMMED
HUBCOMIT
IndividualNAPERVILLE, IL
$5,000
Nov 19, 2023
5
REZNICK, DEBORAH
POLK BROS FOUNDATIONPROGRAM OFFICER
IndividualCHICAGO, IL
$5,000
Dec 28, 2023
6
ALNOBANI, ABDUL
AYAZZ CONSTRCTION LLCCEO
IndividualMOKENA, IL
$4,000
Nov 19, 2023
7
ALNOBANI, ABDUL
IndividualMOKENA, IL
$4,000
Dec 4, 2023
8
AKHTER, REHAN
OPTIMA LABPRESIDENT
IndividualLAKE FOREST, IL
$3,300
Sep 30, 2024
9
ANWAR, NAVEED
GILLONS INCMANUFACTURER
IndividualORLAND PARK, IL
$3,300
Sep 30, 2024
10
HORNSTEIN, NORBERT
NOT EMPLOYEDNOT EMPLOYED
IndividualWASHINGTON, DC
$3,300
Sep 10, 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 GROUPCEO
IndividualBOSTON, MA
$3,300
Oct 18, 2024
8
GROSS, DAVID
UNIVERSITY OF COLORADOINSTRUCTOR
IndividualBOULDER, CO
$3,300
Oct 31, 2024
9
WEAVER, LINDSAY
SELFENGINEER
IndividualPAGOSA SPRINGS, CO
$3,300
Oct 22, 2024
10
BLOOM, BRADLEY
BERKSHIRE PARTNERS LLCINVESTMENTS
IndividualWELLESLEY, MA
$3,300
Oct 21, 2024

Rep. Davis, Danny K. [D-IL-7]

ID: D000096

Top Contributors

10

1
CONSULATE OF JAMAICA
OrganizationWASHINGTON, DC
$2,500
Jun 30, 2023
2
PLASTY PAC
OrganizationARLINGTON HEIGHTS, IL
$1,000
Jul 1, 2024
3
DLV
OrganizationCHICAGO, IL
$955
Oct 10, 2023
4
AL BOSTAAN SERVICES
OrganizationBRIDGEVIEW, IL
$500
Jun 30, 2023
5
COMMITTEE TO ELECT JUDGE THOMAS MORE DONNELLY
OrganizationCHICAGO, IL
$500
Jun 30, 2023
6
MELISSA FOR CHICAGO
OrganizationCHICAGO, IL
$500
Jun 30, 2023
7
ALLEN, ANDRE
RIGHTEOUS WORKSBUNDING ENG.
IndividualCHICAGO, IL
$3,300
Sep 18, 2023
8
CHEN, YONG
EATONELECTRICAL ENGINEER
IndividualBURBANK, IL
$3,300
Aug 2, 2023
9
CHOPRA, PARAMJIT S.
FIELD MUSEUMFUNDRASING
IndividualGLENVIEW, IA
$3,300
Sep 5, 2023
10
CUCCO, FRANK T
IMPACT NETWORKINGCEO/PARTNER
IndividualKILDEER, IL
$3,300
Aug 30, 2023

Rep. Mannion, John [D-NY-22]

ID: M001231

Top Contributors

10

1
POLITY GROUP LLC
OrganizationPORTLAND, OR
$2,500
Oct 28, 2024
2
LYNN D'ELIA TEMES & STANCZYK
OrganizationSYRACUSE, NY
$1,000
Mar 12, 2024
3
SLOME, IAN
SLOME CAPITAL LLCINVESTOR
IndividualNEW YORK, NY
$6,600
May 18, 2024
4
SPITZER, ELIOT
SELF-EMPLOYEDREAL ESTATE
IndividualNEW YORK, NY
$6,600
May 1, 2024
5
CUTLER, RANDI
NOT EMPLOYEDNOT EMPLOYED
IndividualBOSTON, MA
$6,600
Jun 11, 2024
6
MCDOLE, MORGAN
CITY OF SYRACUSEFIREFIGHTER
IndividualFAYETTEVILLE, NY
$6,600
Jun 20, 2024
7
ALBERTS, EDWARD
LITTLE LUKESSELF-EMPLOYED
IndividualBALDWINSVILLE, NY
$6,600
Jul 13, 2023
8
STONE, JAMES M
PLYMOUTH ROCK COMPANY, INC.EXECUTIVE
IndividualBOSTON, MA
$5,000
Oct 11, 2024
9
FAIVUS, HARRY E.
NOT EMPLOYEDRETIRED
IndividualNEW YORK, NY
$5,000
Oct 25, 2024
10
BASCH, ELI B.
BASCH &KEEGAN LLPATTORNEY
IndividualKINGSTON, NY
$5,000
Oct 28, 2024

Donor Network - Rep. Kennedy, Timothy M. [D-NY-26]

PACs
Organizations
Individuals
Politicians

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

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Showing 52 nodes and 34 connections (47 secondary connections hidden)

Total contributions: $117,700

Top Donors - Rep. Kennedy, Timothy M. [D-NY-26]

Showing top 19 donors by contribution amount

1 Org18 Individuals

Industry Impact

Which industries are materially affected by specific provisions in this bill. 3 helped.

  • Section 2(a) limits deferral or transfer of Federal funds made available for the Department of Veterans Affairs, ensuring continued funding for VA healthcare services, which benefits hospitals and health systems that partner with or receive referrals from the VA.

  • Section 2(a) protects VA funding, which includes support for long-term care services provided to veterans, thereby benefiting long-term care providers that serve veteran populations.

  • +Labor Unionsconfidence 0.80

    Section 3 exempts the VA from hiring freezes and limits layoffs, which protects VA employees, many of whom are represented by labor unions such as AFGE, SEIU, and others, thus benefiting labor unions by preserving union jobs.

Project 2025 Policy Matches

This bill shows semantic similarity to the following sections of the Project 2025 policy document.

Introduction

Moderate68.6%
Pages: 679-681

— 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.

Introduction

Moderate68.6%
Pages: 679-681

— 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,

Introduction

Moderate66.1%
Pages: 676-678

— 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 — 645 — Department of Veterans Affairs of veterans—a population that is more active, reaching middle age or retirement age, and migrating for lifestyle and career reasons. At the center of the VHA’s evolution during this generational transition is an ongoing tension, some of it politically contrived, between Direct Care for Veterans provided from inside the VHA system and Community Care for Veterans who are referred to private providers participating in the VHA’s two Community Care Networks (CCNs). In recent years, the budget for Community Care has grown as demand from veterans has risen sharply, sometimes outpacing the budgets for Community Care at individual VAMCs. The Trump Administration made Community Care part of its “Veteran- centric” approach to ensure that veterans would be able to participate more fully in their health care decisions and have options if or when the VHA was unable to meet their needs. The Biden Administration has watered down that effort, has sought various procedural ways to slow the rate of referrals to private doctors, and at some facilities is reportedly manipulating the Community Care access standards required by the VA MISSION Act of 2018. If the makeup of Congress is favorable in 2025, the next Administration should rapidly and explicitly codify VA MISSION Act access standards in legislation to prevent the VA from avoiding or watering down the requirements in the future. First and foremost, a veterans bill of rights is needed so that veterans and VA staff know exactly what benefits veterans are entitled to receive, with a clear process for the adjudication of disputes, and so that staff ensure that all veterans are informed of their eligibility for Community Care. Currently, veterans are not routinely and consistently told that they are eligible for Community Care unless they request information or are given a referral. l To strengthen Community Care, the next Administration should create new Secretarial directives to implement the VA MISSION Act properly. Sections for consideration and areas for reform include the following: 1. Sections 101 and 103 (Community Care eligibility for access standards and the best medical interest of the veteran). 2. Section 104 (Community Care access standards and standards for quality of care).

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