VA Mental Health Outreach and Engagement Act

Download PDF
Bill ID: 119/hr/3863
Last Updated: July 26, 2026

Sponsored by

Rep. Budzinski, Nikki [D-IL-13]

ID: B001315

Follow the money

The bill

VA Mental Health Outreach and Engagement Act

HR. 3863, 119th Congress — read as touching Hospitals & Health Systems.

The sponsor

Rep. Budzinski, Nikki [D-IL-13]

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

The money

$71,300 raised

26 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. 550.

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

**Main Purpose & Objectives:** The VA Mental Health Outreach and Engagement Act (HR 3863) claims to aim at providing annual mental health consultations to veterans with service-connected disabilities related to mental health diagnoses. How touching. I'm sure it has nothing to do with the upcoming elections or the need for politicians to pretend they care about veterans.

**Key Provisions & Changes to Existing Law:** The bill amends title 38 of the United States Code to require the Secretary of Veterans Affairs to offer annual mental health consultations and conduct outreach to eligible veterans. Because, you know, a simple phone call or text message will magically solve the complex mental health issues plaguing our veterans. The bill also includes technical corrections, redesignations, and clerical amendments – because who doesn't love a good game of bureaucratic musical chairs?

**Affected Parties & Stakeholders:** Veterans with service-connected mental health disabilities, the Department of Veterans Affairs, and the Committees on Veterans' Affairs in both the Senate and House of Representatives. Oh, and let's not forget the lobbyists and special interest groups who will inevitably find ways to exploit this legislation for their own gain.

**Potential Impact & Implications:** This bill is a classic example of "feel-good" legislation, designed to make politicians look good without actually addressing the underlying issues. The annual consultations and outreach efforts may lead to some minor improvements in mental health services, but it's unlikely to have a significant impact on the overall well-being of veterans. Meanwhile, the real problems – lack of funding, inadequate resources, and bureaucratic red tape – will continue to plague the VA.

In conclusion, HR 3863 is a symptom of a deeper disease: the chronic inability of politicians to address complex issues with meaningful solutions. Instead, they opt for shallow, symbolic gestures that serve only to perpetuate the status quo. It's a never-ending cycle of legislative placebo effects, designed to keep voters pacified while the real problems continue to fester.

Now, if you'll excuse me, I have better things to do than watch this farce unfold. Like diagnosing the terminal stupidity of our political system.

Related Topics

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

💰 Campaign Finance Network

Rep. Budzinski, Nikki [D-IL-13]

Congress 119 • 2024 Election Cycle

Total Contributions
$71,300
21 donors
PACs
$0
Organizations
$5,300
Committees
$0
Individuals
$66,000

No PAC contributions found

1
SHAKOPEE MDEWAKANTON SIOUX COMMUNITY
2 transactions
$3,300
2
LABORERS LOCAL 397 PAC
2 transactions
$1,000
3
PLUMBERS & PIPEFITTERS LOCAL 553
2 transactions
$1,000

No committee contributions found

1
MCNALLY, R. STEPHEN
2 transactions
$6,600
2
MORINO, MARIO M.
2 transactions
$6,600
3
FISHER, CYNTHIA
1 transaction
$3,300
4
MURPHY, JAMES
1 transaction
$3,300
5
NELSON, REED C.
1 transaction
$3,300
6
NI, PIN
1 transaction
$3,300
7
PRICE, RICHARD
1 transaction
$3,300
8
GOTTLIEB, HOWARD L.
1 transaction
$3,300
9
STEYER, TOM
1 transaction
$3,300
10
TRONE, DAVID J.
1 transaction
$3,300
11
WALTON, JAMES
1 transaction
$3,300
12
BEIDLER, PRUDENCE
1 transaction
$3,300
13
BENNETT, RAYMOND
1 transaction
$3,300
14
CHAVKIN, ARNIE
1 transaction
$3,300
15
CLIFFORD, ROBERT A.
1 transaction
$3,300
16
CONWAY, KEVIN
1 transaction
$3,300
17
COONEY, ROBERT
1 transaction
$3,300
18
DUNN, PAUL
1 transaction
$3,300

Cosponsors & Their Campaign Finance

This bill has 4 cosponsors. Below are their top campaign contributors.

Rep. Edwards, Chuck [R-NC-11]

ID: E000246

Top Contributors

20

1
BAUM, ANN
OSAAT ENTERPRISES LLC DBA MCDONALD'S • RESTAURANT OWNER
IndividualCHARLOTTE, NC
$3,300
Dec 21, 2023
2
DUHAMEL, WILLIAM F
ROUTE ONE INVESTMENT COMPANY • PORTFOLIO MANAGER
IndividualSAN FRANCISCO, CA
$3,300
Dec 15, 2023
3
BELL, JOHN W III
BILTMORE PROPERTY GROUP • MANAGEMENT
IndividualASHEVILLE, NC
$3,300
Oct 21, 2024
4
EASTERN BAND OF CHEROKEE INDI, TRIBE
UNINCORP INDIAN TRIBE • UNINCORP INDIAN TRIBE
IndividualCHEROKEE, NC
$3,300
Nov 8, 2024
5
EASTERN BAND OF CHEROKEE INDI, TRIBE
UNINCORP INDIAN TRIBE • UNINCORP INDIAN TRIBE
IndividualCHEROKEE, NC
$3,300
Feb 13, 2024
6
POPE, JAMES
VARIETY WHOLESALERS • RETAILER
IndividualRALEIGH, NC
$3,300
Feb 12, 2024
7
SYKES, CLAY
ESG OPERATIONS INC. • PRINCIPAL
IndividualPENROSE, NC
$3,300
Feb 5, 2024
8
SYKES, LISA
RETIRED • RETIRED
IndividualPENROSE, NC
$3,300
Feb 5, 2024
9
FAISON, JAY
2040 FOUNDATION • DIRECTOR
IndividualCHARLOTTE, NC
$3,300
Mar 4, 2024
10
FAISON, JAY
2040 FOUNDATION • DIRECTOR
IndividualCHARLOTTE, NC
$3,300
Mar 4, 2024

Rep. Fitzpatrick, Brian K. [R-PA-1]

ID: F000466

Top Contributors

22

1
SANTA YNEZ BAND OF MISSION INDIANS
OrganizationSANTA YNEZ, CA
$1,500
Dec 31, 2024
2
STATA FAMILY OFFICE
Organization
$500
Apr 26, 2024
3
ASHER, ROBERT B.
IndividualGWYNEDD VALLEY, PA
$10,000
Oct 9, 2024
4
ASHER, ROBERT B.
ASHER CHOCOLATES • CHAIRMAN
IndividualGWYNEDD VALLEY, PA
$10,000
Sep 30, 2024
5
LEVY, EDWARD JR
EDW C LEVY CO • CHAIRMAN
IndividualBIRMINGHAM, MI
$6,600
Feb 26, 2024
6
CROTTY, THOMAS
RETIRED • RETIRED
IndividualSCOTTSDALE, AZ
$6,600
Feb 27, 2024
7
EVANS, ROGER
GREYLOCK PARTNERS • PARTNER EMERITUS
IndividualSAN FRANCISCO, CA
$6,600
Feb 27, 2024
8
LEACH, RONALD
NPX ONE • CHAIRMAN & CEO
IndividualGENEVA, IL
$6,600
Feb 28, 2024
9
MCCLAIN, MARK
SAILPOINT • CEO
IndividualAUSTIN, TX
$6,600
Mar 2, 2024
10
CROTTY, THOMAS
IndividualSCOTTSDALE, AZ
$6,600
Mar 8, 2024

Rep. Cohen, Steve [D-TN-9]

ID: C001068

Top Contributors

22

1
SEIU COPE (SERVICE EMPLOYEES INTERNATIONAL UNION COMMITTEE ON POLITICAL EDUCATION)
PACWASHINGTON, DC
$3,000
Nov 5, 2024
2
SEIU COPE (SERVICE EMPLOYEES INTERNATIONAL UNION COMMITTEE ON POLITICAL EDUCATION)
PACWASHINGTON, DC
$2,000
Nov 5, 2024
3
KEENEY, MIKE
LEWIS THOMASON • LEWIS THOMASON
IndividualMEMPHIS, TN
$3,300
Feb 6, 2024
4
RITCHEY, JANICE C
IndividualMEMPHIS, TN
$3,300
Jun 30, 2024
5
RITCHEY, KENT
WOLFCHASE TOYOTA • AUTOMOBILE DEALER
IndividualMEMPHIS, TN
$3,300
Jun 30, 2024
6
WALTON, CHRISTY
IndividualBENTONVILLE, AR
$3,300
Jun 30, 2024
7
KEENEY, MICHAEL
LEWIS THOMASON • ATTORNEY
IndividualMEMPHIS, TN
$3,300
May 25, 2023
8
SEGAL, GORDON
RETIRED • RETIRED
IndividualMEMPHIS, TN
$3,300
Apr 10, 2023
9
SMITH, FREDERICK
FEDEX • CEO
IndividualMEMPHIS, TN
$3,300
Jul 31, 2024
10
BEKTAS, MELIH
SELF EMPLOYED • ENGINEER
IndividualNORTH PROVIDENCE, RI
$3,000
Oct 19, 2023

Rep. Goodlander, Maggie [D-NH-2]

ID: G000604

Top Contributors

20

1
MCLAUGHLIN, JANE
NOT EMPLOYED • NOT EMPLOYED
IndividualLYME, NH
$4,500
Aug 24, 2024
2
FLORY, ROBERT H. JR
FLORY INVESTMENTS, INC. • PRESIDENT
IndividualDAMARISCOTTA, ME
$4,100
Sep 30, 2024
3
FLORY, ROBERT H. JR
FLORY INVESTMENTS, INC. • PRESIDENT
IndividualDAMARISCOTTA, ME
$4,100
Sep 30, 2024
4
KRAUSZ, STEVEN
US VENTURE PARTNERS • VENTURE CAPITAL
IndividualPORTOLA VALLEY, CA
$3,300
Oct 23, 2024
5
HIRSHBERG, GARY
STONYFIELD FARM INC. • SENIOR ADVISOR
IndividualCONCORD, NH
$3,300
Oct 22, 2024
6
DRAKE, LAWRENCE C JR
NOT EMPLOYED • NOT EMPLOYED
IndividualPORTSMOUTH, NH
$3,300
Oct 19, 2024
7
CUTLER, DOULGAS
CUTLER MANAGEMENT CORP • MANAGEMENT
IndividualDANIA, FL
$3,300
Oct 17, 2024
8
JAMES, AMABEL
NOT EMPLOYED • NOT EMPLOYED
IndividualNEW YORK, NY
$3,300
Oct 24, 2024
9
NUNNELLY, MARK
NOT EMPLOYED • NOT EMPLOYED
IndividualDOVER, MA
$3,300
Oct 21, 2024
10
ROBY, DAVID M.
NOT EMPLOYED • NOT EMPLOYED
IndividualLYME, NH
$3,300
Oct 28, 2024

Donor Network - Rep. Budzinski, Nikki [D-IL-13]

PACs
Organizations
Individuals
Politicians

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

Loading...

Showing 46 nodes and 61 connections

Total contributions: $61

Top Donors - Rep. Budzinski, Nikki [D-IL-13]

Showing top 21 donors by contribution amount

3 Orgs18 Individuals

Industry Impact

Which industries are materially affected by specific provisions in this bill. 1 helped.

  • Section 2 provides for annual mental health consultations to certain veterans, which could lead to increased demand for mental health services from hospitals and health systems.

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: 70%
Pages: 688-691AI Enhanced

AI Analysis:

"HR 3863 directly enhances VA mental health outreach and ensures regular consultations for veterans with service-connected mental health disabilities, aligning with Project 2025's VA objectives to improve access to care, increase accountability, and strengthen veteran engagement."

Key themes:veterans mental healthVA outreachservice-connected disabilitiesannual consultationsaccountability reporting

— 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: 67%
Pages: 679-681AI Enhanced

AI Analysis:

"HR 3863 focuses on expanding mental health outreach and annual consultations for veterans with service-connected mental health disabilities, which aligns with Project 2025's emphasis on assessing mental health professional surpluses/deficits and improving access to care, though it does not directly address facility realignment, telehealth expansion, or personnel reforms outlined in the VA section."

Key themes:mental health accessveterans outreachworkforce assessmentcare delivery improvement

— 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. — 648 — Mandate for Leadership: The Conservative Promise 5. Assess the medical facilities where Community Care is readily available but referrals for Community Care are below the averages in other similar markets, referrals expiring are above the average, and/ or canceled appointments are above the average. Identify reasons and factors and consider possible ways to improve timeliness and responsiveness for veterans. 6. Further explore how to leverage telehealth to reduce personnel costs across the enterprise and serve veterans. Continue to pursue expansion of broadband services to remote and rural areas. 7. Assess recruitment and retention in highly competitive medical markets to identify common limiting factors for attracting high-demand, specialized occupations. 8. Consider aggressively recruiting retired physicians who desire to serve veterans. 9. Consider expanding VA tuition assistance in exchange for reciprocal service in rural or understaffed VAMCs. 10. Examine the surpluses or deficits in mental health professionals throughout the enterprise, recognizing that the department needs a blend of social workers, therapists, psychologists, and psychiatrists with a focus on attracting high-quality talent. l Conduct a high-priority assessment of Electronic Health Record (EHR) transition delays and functionality problems. VA innovation in health care for the next 20 years and beyond will rest squarely on the timely implementation of the new VHA EHR in coordination with the DOD’s parallel pacing effort. The VA’s EHR rollout has been blocked by technical delays at local facilities where personnel have raised safety concerns and infrastructure has not been modernized to accept the new system. VETERANS BENEFITS ADMINISTRATION (VBA) Needed Reforms The most evident and ongoing concern is the complexity of benefits, which can lead to confusion for the veteran and, if not mitigated early in the veteran’s interactions, long-term distrust of and animosity toward the VA. Wholesale ben- efits reform is unnecessary and politically a “third rail,” but effective managerial

Department of Veterans Affairs

Moderate
Vector: 66%
Pages: 679-681AI Enhanced

AI Analysis:

"HR 3863 aligns with Project 2025's emphasis on improving veteran access to care and enhancing VA outreach, particularly through proactive engagement and reporting on service effectiveness. While the bill focuses specifically on mental health consultations for disabled veterans, it supports broader goals of patient engagement and accountability in VA healthcare delivery."

Key themes:veteran outreachmental health accessVA accountabilitypatient engagementhealthcare reporting

— 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.

Full Policy Text

Related Bills