CHOICE for Veterans Act of 2025

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Bill ID: 119/hr/3132
Last Updated: July 16, 2026

Sponsored by

Rep. Bergman, Jack [R-MI-1]

ID: B001301

Follow the money

The bill

CHOICE for Veterans Act of 2025

HR. 3132, 119th Congress — read as touching For-Profit Education & Student Loans.

The sponsor

Rep. Bergman, Jack [R-MI-1]

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

The money

$98,435 raised

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

The alignment

62% 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

Ordered to be Reported by the Yeas and Nays: 12 - 11.

May 5, 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 masterpiece of legislative theater, brought to you by the esteemed members of Congress. The CHOICE for Veterans Act of 2025 is a bill that promises to "help" veterans navigate the complex process of filing claims with the Department of Veterans Affairs (VA). How noble.

**Main Purpose & Objectives:** The main purpose of this bill is to allow certain fee agreements for services rendered in the preparation, presentation, and prosecution of initial claims and supplemental claims for benefits under laws administered by the Secretary of Veterans Affairs. In other words, it's a bill that lets lawyers and agents get paid for helping veterans with their claims.

**Key Provisions & Changes to Existing Law:** The bill makes several changes to existing law, including:

* Allowing accredited persons (i.e., lawyers and agents) to charge fees for their services * Requiring the VA to provide notice to claimants that they may be eligible for free representation from recognized organizations * Creating a system for reporting unaccredited individuals who prepare, present, or prosecute claims on behalf of veterans * Mandating online warnings about potential fees associated with hiring an agent or attorney

**Affected Parties & Stakeholders:** The affected parties include:

* Veterans and their families, who may benefit from the services of accredited persons (but also risk being taken advantage of by unscrupulous agents) * Accredited persons (lawyers and agents), who stand to gain financially from this bill * The VA, which will have to implement new regulations and procedures

**Potential Impact & Implications:** The potential impact of this bill is twofold. On the one hand, it may provide some benefits to veterans who need help navigating the complex claims process. On the other hand, it creates a lucrative market for lawyers and agents to prey on vulnerable veterans.

Let's be real – this bill is not about helping veterans; it's about lining the pockets of special interest groups. The fact that Congress is trying to pass off this self-serving legislation as a "helpful" measure is an insult to our intelligence.

In medical terms, this bill is like prescribing a placebo to a patient with a serious illness. It may make the symptoms feel better for a little while, but it doesn't address the underlying disease – in this case, the corrupting influence of money and power on our legislative process.

So, let's call this bill what it really is: a cynical attempt to exploit vulnerable veterans for the benefit of special interest groups. And let's not forget the real diagnosis: Congressional Corruption Syndrome (CCS), a terminal illness that seems to afflict every member of Congress who touches this bill.

Related Topics

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

💰 Campaign Finance Network

Rep. Bergman, Jack [R-MI-1]

Congress 119 • 2024 Election Cycle

Total Contributions
$98,435
21 donors
PACs
$0
Organizations
$19,100
Committees
$0
Individuals
$79,335

No PAC contributions found

1
POARCH BAND OF CREEK INDIANS
2 transactions
$6,600
2
MATCH-E-BE-NASH-SHE-WISH BAND OF POTTAWATOMI INDIANS
1 transaction
$3,300
3
SAGINAW CHIPPEWA INDIAN TRIBE
1 transaction
$3,300
4
PECHANGA BAND OF LUISENO INDIANS
1 transaction
$3,000
5
SAULT STE MARIE TRIBE OF CHIPPEWA INDIANS
1 transaction
$2,900

No committee contributions found

1
DRESNER, LINDA
2 transactions
$9,900
2
LEVY, EDWARD
2 transactions
$9,900
3
TAYLOR, MARGARETTA J. MS
2 transactions
$9,900
4
GREENBLATT, SCOTT
1 transaction
$6,600
5
COTTON, MICHAEL D. MR.
2 transactions
$6,600
6
ALI, RAO
1 transaction
$3,435
7
JAVED, MOHAMMAD S.
1 transaction
$3,300
8
DANIELS, GEORGE G. MR
1 transaction
$3,300
9
KELLY, JOHN J. MR.
1 transaction
$3,300
10
RITCHIE, STEPHEN
1 transaction
$3,300
11
GUIDRY, SHANE
1 transaction
$3,300
12
LUCKEY, PALMER
1 transaction
$3,300
13
COLEMAN, NEIL S
1 transaction
$3,300
14
DOLL, DAVID M. MR.
1 transaction
$3,300
15
CATZ, SAFRA
1 transaction
$3,300
16
DE VOS, BETSY
1 transaction
$3,300

Cosponsors & Their Campaign Finance

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

Rep. Bost, Mike [R-IL-12]

ID: B001295

Top Contributors

10

1
AK-CHIN INDIAN COMMUNITY
OrganizationMARICOPA, AZ
$3,300
Feb 21, 2024
2
AK-CHIN INDIAN COMMUNITY
OrganizationMARICOPA, AZ
$3,300
Aug 14, 2024
3
MIAMI TRIBE OF OKLAHOMA
OrganizationMIAMI, OK
$2,000
Aug 14, 2024
4
CAMPBELL FARMS
OrganizationCARMI, IL
$1,500
Sep 19, 2023
5
MUSCOGEE CREEK NATION
OrganizationOKMULGEE, OK
$1,000
Jun 25, 2024
6
MUSCOGEE CREEK NATION
OrganizationOKMULGEE, OK
$500
Jun 25, 2024
7
WAITE, TOMB & EBERLY LLP
OrganizationTROY, OH
$500
Apr 1, 2024
8
EMMET, RICHARD
NONERETIRED
IndividualLARCHMONT, NY
$6,600
Nov 21, 2023
9
GILLIAM, RICHARD
CUMBERLAND DEVELOPMENTMANAGER
IndividualCHARLOTTESVILLE, VA
$6,600
Nov 21, 2023
10
SCHWAB, CHARLES
CHARLES SCHWAB CORPORATIONCHAIRMAN
IndividualPALM BEACH, FL
$6,600
Dec 19, 2023

Rep. Self, Keith [R-TX-3]

ID: S001224

Top Contributors

10

1
TUCKER HILL HOA
OrganizationALLEN, TX
$300
Jun 15, 2023
2
MULLIGI, GINO
NAPOLIAC'SMANAGER
IndividualWYLIE, TX
$9,000
May 23, 2023
3
FRITCHER, SAMMY
AIRBORNE ASPECT INCCHIEF EXECUTIVE OFFICER
IndividualPLANO, TX
$6,600
Aug 19, 2024
4
LOBB, PAT
SELFCAR DEALER
IndividualFRISCO, TX
$6,600
Aug 31, 2024
5
MYERS, ROBERT
RETIREDRETIRED
IndividualMCKINNEY, TX
$6,600
May 19, 2023
6
HUFFINES, RAY
HUFFINES AUTO DEALERSHIPSAUTO DEALER
IndividualPLANO, TX
$6,600
May 26, 2023
7
MOSES, FRED
TELCOM ELECTRIC SUPPLY
IndividualPLANO, TX
$6,600
Mar 9, 2023
8
LI, QINGSONG
SONGHAO HOLDINGS LLCOWNER
IndividualPLANO, TX
$6,000
May 3, 2023
9
CHALIN, THOMAS
NONERETIRED
IndividualFAIRVIEW, TX
$5,800
Jan 30, 2024
10
CHALIN, THOMAS
NONERETIRED
IndividualFAIRVIEW, TX
$5,800
Aug 12, 2024

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 LLCOWNER
IndividualROCKFORD, IL
$10,000
Dec 19, 2023
7
BROIN, JEFF
POET LLCCEO
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. Harris, Mark [R-NC-8]

ID: H001102

Top Contributors

10

1
CARSTEN, KATHERINE M
NO EMPLOYERHOMEMAKER
IndividualWAXHAW, NC
$10,000
Feb 14, 2024
2
HORNE, CHRIS
HORNE HEATING AND AIR CONDITIONINGPRINICPAL
IndividualCHARLOTTE, NC
$6,600
Nov 3, 2023
3
DIMICCO, DANIEL
RETIREDRETIRED
IndividualWAXHAW, NC
$6,600
Jan 17, 2024
4
GREENBLATT, SCOTT
VETERANS GUARDIANOWNER
IndividualPINEHURST, NC
$6,600
May 17, 2024
5
HENDLEY, JOHN NANCE
BREWER-HENSLEY OIL COMPANYEXECUTIVE
IndividualMONROE, NC
$6,600
Jun 7, 2024
6
BUTLER, DONALD R
RETIREDRETIRED
IndividualMOORESVILLE, NC
$6,600
Sep 13, 2023
7
CHERRY, LINDA
RETIREDRETIRED
IndividualCHARLOTTE, NC
$6,600
Sep 13, 2023
8
GOLDING, ERNEST G
RETIREDRETIRED
IndividualADVANCE, NC
$6,600
Sep 13, 2023
9
KIDD, VICKIE
SELFREAL ESTATE
IndividualMOORESVILLE, NC
$6,600
Sep 12, 2023
10
LAMB, JOHN R
AMERICAN AIRLINESPILOT
IndividualMOORESVILLE, NC
$6,600
Sep 21, 2023

Rep. Alford, Mark [R-MO-4]

ID: A000379

Top Contributors

10

1
OTOE-MISSOURIA TRIBE OF INDIANS
OrganizationRED ROCK, OK
$3,300
Jun 21, 2023
2
CM DUBOIS STRATEGIES LLC
OrganizationWEBSTER GROVES, MO
$2,000
Mar 18, 2024
3
WAYPOINT CONSULTING LLC
OrganizationWASHINGTON, DC
$1,100
Dec 13, 2023
4
CHERRY, DERON
UNITED BEVERAGE COMPANYPRESIDENT
IndividualKANSAS CITY, MO
$3,300
Sep 30, 2024
5
CHERRY, DERON
UNITED BEVERAGE COMPANYPRESIDENT
IndividualKANSAS CITY, MO
$3,300
Sep 30, 2024
6
REDFORD, STAN
REDFORD CONSTRUCTIONOWNER
IndividualRAYMORE, MO
$3,300
Jul 26, 2024
7
THOMPSON, CRAIG
GOLDEN VALLEY HEALTHCEO
IndividualCLINTON, MO
$3,300
Sep 7, 2024
8
COOPER, SHANNON
Individual
$3,300
Dec 29, 2023
9
GRAY, CHARLES M
REMAXBROKER
IndividualCLINTON, MO
$3,300
Dec 29, 2023
10
GUTHRIE, JASON
J&S FARMSOWNER
Individual
$3,300
Dec 29, 2023

Rep. Van Drew, Jefferson [R-NJ-2]

ID: V000133

Top Contributors

10

1
WINRED
PACARLINGTON, VA
$6,781
Jan 26, 2024
2
WINRED
PACARLINGTON, VA
$868
Feb 16, 2024
3
ACE LISTENGER ENTERPRISES LLC
OrganizationLOUISVILLE, KY
$500
Sep 30, 2024
4
SPTWO LLC
OrganizationNORTH WILDWOOD, NJ
$500
Sep 30, 2024
5
TEC AEROSPACE, LLC
OrganizationCLAYTON, NJ
$500
Jun 30, 2024
6
FV REDEMPTION LLC
OrganizationCAPE MAY COURT HOUSE, NJ
$500
Jun 27, 2024
7
CHARLES MARANDINO LLC
OrganizationMILMAY, NJ
$105
May 15, 2024
8
FORMAN, RICHARD P
RETIREDRETIRED
IndividualCHERRY HILL, NJ
$6,600
Nov 29, 2023
9
HOLLANDER, SCOTT
PULSE VASCULARPHYSICIAN
IndividualMULLICA HILL, NJ
$6,600
Feb 16, 2024
10
LAUDEMAN, KEITH MR
COLD SPRING FISHFISH DEALER
IndividualCAPE MAY, NJ
$6,600
May 8, 2023

Rep. Rouzer, David [R-NC-7]

ID: R000603

Top Contributors

10

1
WRIGHT, DEREK
MERIDIEN MARKETING AND LOGISTICS, INCEXPORT
IndividualWILMINGTON, NC
$3,435
Mar 27, 2024
2
CREASY, DONALD J
CARUTHERS PROPERTIESREAL ESTATE
IndividualCLAYTON, NC
$3,435
Jun 11, 2024
3
ESTEP, HANK
GRIFFIN ESTEPINSURANCE
IndividualWILMINGTON, NC
$3,435
May 16, 2024
4
POWERS, DAVID M.
SELF EMPLOYEDPUBLIC AFFAIRS
IndividualRALEIGH, NC
$3,435
Sep 6, 2024
5
BERGMAN, LEAH MARIE
SOUTHERN REPAIR SERVICE INCREAL ESTATE
IndividualCHAPEL HILL, NC
$3,300
Oct 28, 2024
6
CONNORS, CATHERINE F
SOLSTICE PARTNERS LLCREAL ESTATE
IndividualCARY, NC
$3,300
Oct 28, 2024
7
DEGIACINTO, CLAY
AXONIC CAPITALMANAGING PARTNER
IndividualRALEIGH, NC
$3,300
Oct 31, 2024
8
ELLIS, GARY
SELF-EMPLOYEDINVESTOR
IndividualMATTHEWS, NC
$3,300
Oct 28, 2024
9
MILLS, FRED G JR.
MILLS CONSTRUCTIONGENERAL CONTRACTOR
IndividualWAKE FOREST, NC
$3,300
Oct 28, 2024
10
ROCKEFELLER, LISENNE
WINROCK GROUP INCPRESIDENT
IndividualLITTLE ROCK, AR
$3,300
Oct 28, 2024

Rep. Miller-Meeks, Mariannette [R-IA-1]

ID: M001215

Top Contributors

10

1
SAC & FOX TRIBE OF THE MISSISSIPPI IN IOWA
COMTAMA, IA
$1,000
Aug 11, 2023
2
RENEWABLE ENERGY, CITIZENS FOR
COMMADISON, WI
$500
Aug 20, 2024
3
POLITICAL COMMITTEE, NWF ACTION FUND
PACWASHINGTON, DC
$500
Sep 18, 2024
4
US MARSHALS SERVICES
OrganizationNEW YORK, NY
$2,900
Apr 20, 2023
5
HUNTON ANDREWS KURTH LLP
OrganizationRICHMOND, VA
$1,000
Mar 22, 2023
6
HOGAN, PATRICK F
RETIREDRETIRED
IndividualDALLAS, TX
$13,200
Mar 15, 2023
7
HOLDEN, RONALD
RETIREDRETIRED
IndividualWILLIAMSBURG, IA
$13,200
Jun 20, 2023
8
VANDEWALLE, LOLA L
SELF-EMPLOYEDENTREPRENEUR
IndividualBLUE GRASS, IA
$13,200
Oct 16, 2023
9
GLEESON, JOHN W
KLINGER COMPANIES, LLCCEO
IndividualSIOUX CITY, IA
$11,600
Feb 15, 2023
10
SMITH, DYAN
HOMEMAKERHOMEMAKER
IndividualNAPLES, FL
$10,000
May 13, 2024

Rep. Newhouse, Dan [R-WA-4]

ID: N000189

Top Contributors

10

1
THE CONFEDERATED TRIBES OF THE COLVILLE RESERVATION
OrganizationNESPELEM, WA
$5,000
Sep 27, 2024
2
THE CONFEDERATED TRIBES OF THE COLVILLE RESERVATION
OrganizationNESPELEM, WA
$3,300
Oct 6, 2023
3
PUYALLUP TRIBE OF INDIANS
OrganizationTACOMA, WA
$3,300
Jun 14, 2024
4
CHEROKEE NATION
OrganizationTAHLEQUAH, OK
$3,300
Oct 29, 2024
5
PUYALLUP TRIBE OF INDIANS
OrganizationTACOMA, WA
$2,900
Aug 11, 2023
6
SWINOMISH INDIAN TRIBAL COMMUNITY
OrganizationLA CONNER, WA
$2,000
Oct 22, 2024
7
CONFEDERATED TRIBES OF THE CHEHALIS RESERVATION
OrganizationOAKVILLE, WA
$2,000
Oct 1, 2024
8
SANTA YNEZ BAND OF MISSION INDIANS
OrganizationSANTA YNEZ, CA
$1,000
Aug 30, 2023
9
PUYALLUP TRIBE OF INDIANS
OrganizationTACOMA, WA
$400
Jun 14, 2024
10
FAISON, JAY W. MR.
CLEAN PATH ACTION FUND FOR CONSERVATIVCEO
IndividualCHARLOTTE, NC
$11,600
Jul 24, 2023

Rep. Franklin, Scott [R-FL-18]

ID: F000472

Top Contributors

10

1
SEMINOLE TRIBE OF FLORIDA
OrganizationHOLLYWOOD, FL
$3,300
Aug 23, 2023
2
SEMINOLE TRIBE OF FLORIDA
OrganizationHOLLYWOOD, FL
$3,300
Aug 16, 2024
3
MICCOSUKEE TRIBE
OrganizationMIAMI, FL
$1,000
Jan 30, 2024
4
CASSIDY, ALBERT B MR.
THE CASSIDY ORGANIZATION INC.REAL ESTATE
IndividualWINTER HAVEN, FL
$6,600
May 12, 2023
5
CASSIDY, GENA
IndividualWINTER HAVEN, FL
$6,600
Jun 16, 2023
6
CASSIDY, GLORIA
ENTREPRENEURENTREPRENEUR
IndividualWINTER HAVEN, FL
$6,600
May 12, 2023
7
CASSIDY, STEVEN L
IndividualWINTER HAVEN, FL
$6,600
Jun 16, 2023
8
SILBEY, ALEXANDER
ATS COMMUNICATIONS INCCONSULTANT
IndividualWASHINGTON, DC
$5,000
Mar 29, 2024
9
BRADY, JOSEPH P
RETIREDRETIRED
IndividualST. PETERSBURG, FL
$5,000
Aug 23, 2023
10
RAUCH, GEORGE W III
IndividualBRADENTON, FL
$4,000
Sep 29, 2023

Donor Network - Rep. Bergman, Jack [R-MI-1]

PACs
Organizations
Individuals
Politicians

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

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Showing 72 nodes and 41 connections (57 secondary connections hidden)

Total contributions: $162,435

Top Donors - Rep. Bergman, Jack [R-MI-1]

Showing top 21 donors by contribution amount

5 Orgs16 Individuals

Industry Impact

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

  • Section 3(a)(1)(B)(i) allows individuals seeking recognition as agents or attorneys to submit applications for recognition, and Section 3(a)(1)(B)(B) permits the Secretary to charge an assessment (up to $500) from individuals seeking recognition who charge fees for claim preparation services. This creates a potential market for for-profit education providers offering training or certification programs for veterans' claims agents/attorneys to meet recognition requirements, thus benefiting the for

  • Section 3(a)(1)(B)(D) establishes a revolving fund in the Treasury for assessments collected from individuals seeking recognition as agents or attorneys. This fund is available to the Secretary for administration of the section, creating potential opportunities for private equity firms to invest in or manage related services, technology, or administrative support for the VA's recognition and fee agreement systems.

Project 2025 Policy Matches

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

Introduction

Moderate62.2%
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

Moderate62.2%
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.

About These Correlations

Policy matches are calculated using semantic similarity between bill summaries and Project 2025 policy text. A score of 60% or higher indicates meaningful thematic overlap. This does not imply direct causation or intent, but highlights areas where legislation aligns with Project 2025 policy objectives.

Full Policy Text

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