GUARD Veterans’ Health Care Act

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Bill ID: 119/hr/4077
Last Updated: July 16, 2026

Sponsored by

Rep. Doggett, Lloyd [D-TX-37]

ID: D000399

Follow the money

The bill

GUARD Veterans’ Health Care Act

HR. 4077, 119th Congress — read as touching Hospitals & Health Systems.

The sponsor

Rep. Doggett, Lloyd [D-TX-37]

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

The money

$67,000 raised

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

The alignment

70% match to Project 2025

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

Bill's Journey to Becoming a Law

Track this bill's progress through the legislative process

Latest Action

Committee Hearings Held

December 2, 2025

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, shall we?

**Main Purpose & Objectives**

The GUARD Veterans' Health Care Act (HR 4077) claims to aim at improving the recovery of costs from Medicare Advantage and prescription drug plans for healthcare services provided to veterans. The bill's sponsors would have you believe that it's all about ensuring that veterans receive the care they deserve while also reducing the financial burden on taxpayers.

**Key Provisions & Changes to Existing Law**

The bill amends title 38, United States Code, and the Social Security Act to permit recovery from Medicare Advantage and prescription drug plans for costs incurred by the Department of Veterans Affairs (VA) in providing healthcare services to veterans. The changes include:

* Allowing the VA to recover costs from Medicare Advantage and prescription drug plans for non-service-connected disabilities * Modifying the authority for recovery of reasonable charges for care or services furnished to veterans for non-service-connected disabilities

**Affected Parties & Stakeholders**

The usual suspects are involved: veterans, Medicare Advantage and prescription drug plan providers, the Department of Veterans Affairs, and taxpayers. But let's not forget the real stakeholders – the pharmaceutical companies, healthcare providers, and insurance companies that will likely benefit from this bill.

**Potential Impact & Implications**

Now, for the fun part – diagnosing the real disease beneath the legislative theater.

This bill is a classic case of "cost-shifting" – a clever way to transfer costs from one party (the VA) to another (Medicare Advantage and prescription drug plans). The VA will likely recover some costs, but at what expense? This bill may lead to:

* Increased premiums for Medicare Advantage and prescription drug plan enrollees * Reduced benefits or increased out-of-pocket costs for veterans * Windfall profits for pharmaceutical companies and healthcare providers

The real motivation behind this bill is not to improve veteran care but to appease the powerful healthcare lobby. It's a cynical attempt to shift costs, increase profits, and maintain the status quo of our broken healthcare system.

In conclusion, HR 4077 is a textbook example of legislative malpractice – a bill that masquerades as a solution while perpetuating the underlying disease of corruption, greed, and bureaucratic inefficiency. The patients (veterans) will suffer, while the real beneficiaries (healthcare corporations) will reap the rewards.

Related Topics

Military & Veterans AffairsHealthcare & Insurance Reform
Generated using Llama 3.1 70B (Dr. Haus personality)

💰 Campaign Finance Network

Rep. Doggett, Lloyd [D-TX-37]

Congress 119 • 2024 Election Cycle

Total Contributions
$67,000
21 donors
PACs
$0
Organizations
$1,000
Committees
$0
Individuals
$66,000

No PAC contributions found

1
ALABAMA-COUSHATTA TRIBE OF TEXAS
1 transaction
$1,000

No committee contributions found

1
DENNISON, ROBERT A. III
1 transaction
$3,300
2
WEBER, THOMAS M
1 transaction
$3,300
3
CONYNGHAM, JIM
1 transaction
$3,300
4
BARNES, BEN F.
1 transaction
$3,300
5
LOOK JAMESON, MARION
1 transaction
$3,300
6
MOK, AMY WONG
1 transaction
$3,300
7
LINEBARGER, DALE
1 transaction
$3,300
8
VARNEY, LANA K.
1 transaction
$3,300
9
YANCY, HOWARD CHARLES
1 transaction
$3,300
10
KOZMETSKY, CYNTHIA H.
1 transaction
$3,300
11
SEIDEL, BRAD E.
1 transaction
$3,300
12
TURNER, ROBERT L.
1 transaction
$3,300
13
TURNER, JILL
1 transaction
$3,300
14
KLEIN, MICHAEL L
1 transaction
$3,300
15
CUNNINGHAM, COTTER
1 transaction
$3,300
16
SUSMAN, JIM
1 transaction
$3,300
17
ROBERTS-MILLER, PATRICIA
1 transaction
$3,300
18
ZELLER, CHARLES
1 transaction
$3,300
19
MILLS, BONNIE K.
1 transaction
$3,300
20
BROPHY, JOSEPH F.
1 transaction
$3,300

Cosponsors & Their Campaign Finance

This bill has 7 cosponsors. Below are their top campaign contributors.

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

ID: M001210

Top Contributors

10

1
DOISE, DARYL
OCEANS HEALTHCARE • EXEC VP
IndividualDALLAS, TX
$6,700
Apr 1, 2024
2
DOISE, DARYL
IndividualDALLAS, TX
$6,700
Apr 10, 2024
3
KAPOOR, DEEPAK
SOLARIS HEALTH • PHYSICIAN EXECUTIVE
IndividualFORT LAUDERDALE, FL
$6,600
Sep 23, 2024
4
KAPOOR, DEEPAK
IndividualFORT LAUDERDALE, FL
$6,600
Sep 30, 2024
5
SCHWARZMAN, STEPHEN
BLACKSTONE • CEO AND CHAIRMAN
IndividualNEW YORK, NY
$3,300
Oct 21, 2024
6
ARUMUGHAM, PRADEEP
ECU • DOCTOR
IndividualKINSTON, NC
$3,300
Dec 11, 2023
7
BOWEN, JOEY M
PRIVATEER TOBACCO CO. INC. • TOBACCONIST
IndividualGREENVILLE, NC
$3,300
Nov 15, 2023
8
BOWEN, JOEY M
PRIVATEER TOBACCO CO. INC. • TOBACCONIST
IndividualGREENVILLE, NC
$3,300
Nov 15, 2023
9
CLARK, MELISSA A
HOMEMAKER • HOMEMAKER
IndividualGREENVILLE, NC
$3,300
Oct 6, 2023
10
CLARK, MELISSA A
HOMEMAKER • HOMEMAKER
IndividualGREENVILLE, NC
$3,300
Oct 6, 2023

Rep. Takano, Mark [D-CA-39]

ID: T000472

Top Contributors

10

1
SEIU COPE (SERVICE EMPLOYEES INTERNATIONAL UNION COMMITTEE ON POLITICAL EDUCATION)
PACWASHINGTON, DC
$5,000
Mar 30, 2023
2
FEDERATED INDIANS OF GRATON RANCHERIA
OrganizationROHNERT PARK, CA
$3,300
Jun 28, 2023
3
FEDERATED INDIANS OF GRATON RANCHERIA
OrganizationROHNERT PARK, CA
$3,300
Jun 28, 2023
4
HABEMATOLEL POMO OF UPPER LAKE TRIBE OF CALIFORNIA
OrganizationUPPER LAKE, CA
$3,300
May 1, 2023
5
MS BAND OF CHOCTAW INDIANS
OrganizationCHOCTAW, MS
$1,000
Oct 10, 2024
6
BECKER, TODD
LAW OFFICES OF TODD B BECKER • ATTORNEY
IndividualPASADENA, CA
$3,300
Oct 17, 2023
7
ELDRIDGE, SEAN
STAND UP AMERICA • PRESIDENT
IndividualNEW YORK, NY
$3,300
Nov 29, 2023
8
HUH, JIHEE
PAFCO • VICE CHAIRMAN
IndividualROLLING HILLS, CA
$3,300
Oct 17, 2023
9
HUH, PETER
PAFCO • CHAIRMAN
IndividualPALOS VERDES PENINSULA, CA
$3,300
Oct 17, 2023
10
LI, LI
MEBO INTERNATIONAL • PRESIDENT
IndividualARCADIA, CA
$3,300
Oct 17, 2023

Rep. Schweikert, David [R-AZ-1]

ID: S001183

Top Contributors

10

1
SAN MANUEL BAND OF MISSION INDIANS
OrganizationHIGHLAND, CA
$3,300
Dec 31, 2023
2
MORONGO BAND OF MISSION INDIANS
OrganizationBANNING, CA
$3,300
Mar 20, 2023
3
MORONGO BAND OF MISSION INDIANS
OrganizationBANNING, CA
$3,300
Mar 20, 2023
4
SALT RIVER PIMA MARICOPA INDIAN COMMUNITY
OrganizationSCOTTSDALE, AZ
$3,300
Mar 31, 2023
5
SALT RIVER PIMA MARICOPA INDIAN COMMUNITY
OrganizationSCOTTSDALE, AZ
$3,300
May 23, 2024
6
WSS
Organization
$3,300
Jul 3, 2024
7
HPUL PROJECT OPERATIONS
OrganizationUPPER LAKE, CA
$3,300
Jun 30, 2023
8
SANTA YNEZ BAND OF MISSION INDIANS
OrganizationSANTA YNEZ, CA
$3,300
Oct 23, 2024
9
MASHANTUCKET (WESTERN) PEQUOT TRIBE
OrganizationLEDYARD, CT
$3,300
Oct 30, 2024
10
HPUL PROJECT OPERATIONS
OrganizationUPPER LAKE, CA
$2,500
Jul 25, 2024

Rep. Joyce, John [R-PA-13]

ID: J000302

Top Contributors

10

1
SPELL, JOE
TIDES MEDICAL • CEO
IndividualLAFAYETTE, LA
$3,500
Nov 4, 2024
2
SPELL, JOE
TIDES MEDICAL • CEO
IndividualLAFAYETTE, LA
$3,500
Nov 4, 2024
3
EDATTEL, PAUL
TODD STRATEGY GROUP • CONSULTANT
IndividualFALLS CHURCH, VA
$3,300
Mar 28, 2024
4
KIMBELL, JEFFREY
SELF-EMPLOYED • HEALTH CARE CONSULTANT
IndividualPARK CITY, UT
$3,300
Feb 13, 2024
5
SHOAP, VICKI
IndividualLURGAN, PA
$3,300
Mar 26, 2024
6
WALKER, KENT
GOOGLE LLC • PRESIDENT, GLOBAL AFFAIRS
IndividualMOUNTAIN VIEW, CA
$3,300
Mar 23, 2024
7
ALAM, MURAD
NORTHWESTERN UNIVERSITY • PHYSICIAN
IndividualCHICAGO, IL
$3,300
Mar 7, 2023
8
EDATTEL, PAUL
TODD STRATEGY LLC • CONSULTANT
IndividualFALLS CHURCH, VA
$3,300
Mar 31, 2023
9
KIMBELL, JEFFREY
SELF-EMPLOYED • HEALTH CARE CONSULTANT
IndividualPARK CITY, UT
$3,300
Feb 23, 2023
10
RAYDER, MARK
ALSTON BIRD, LLP • SENIOR POLICY ADVISOR
IndividualALEXANDRIA, VA
$3,300
Mar 20, 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.ORG • FOUNDER AND CHAIRMAN
IndividualPALM BEACH, FL
$3,300
Oct 22, 2024
6
HIRSCHTICK, JON
PTC • MANAGER
IndividualLEXINGTON, MA
$3,300
Oct 29, 2024
7
PFAUTCH, ROY
SELF EMPLOYED • GOVERNMENT RELATIONS
IndividualSAINT LOUIS, MO
$3,300
Oct 21, 2024
8
TISCH, JONATHAN
LOEWS HOTELS • EXECUTIVE CHAIRMAN
IndividualNEW YORK, NY
$3,300
Oct 21, 2024
9
TISCH, LIZZIE
LTD X LIZZIE TISCH • CHIEF CURATOR
IndividualNEW YORK, NY
$3,300
Oct 22, 2024
10
BEEUWKES, REINIER
NOT EMPLOYED • RETIRED
IndividualCONCORD, MA
$3,300
Nov 7, 2023

Rep. Downing, Troy [R-MT-2]

ID: D000634

Top Contributors

10

1
REPUBLICAN MAINSTREET PARTNERSHIP PAC
PACWASHINGTON, DC
$5,000
Sep 18, 2024
2
BILLION, JOSEPH C
RETIRED • RETIRED
IndividualBOZEMAN, MT
$13,200
Dec 31, 2023
3
BILLION, PEDER J
BILLION DODGE CHRYSLER JEEP RAM • OWNER
IndividualBOZEMAN, MT
$13,200
Dec 31, 2023
4
DURRETT, STEVEN
RETIRED • RETIRED
IndividualBILLINGS, MT
$13,200
May 1, 2024
5
BARNARD, MARY
HOMEMAKER • HOMEMAKER
IndividualBOZEMAN, MT
$6,600
Aug 1, 2024
6
BARNARD, TIMOTHY
BARNARD CONST. CO. • CHAIRMAN
IndividualBOZEMAN, MT
$6,600
Aug 1, 2024
7
GREGORY, JOSEPH R.
IndividualPINEY FLATS, TN
$6,600
Jul 15, 2024
8
PLANTE, THOMAS
RETIRED • RETIRED
IndividualHENDERSONVILLE, TN
$6,600
Sep 10, 2024
9
MENHOLT, DENNY
MENHOLT AUTO GROUP • AUTO DEALER
IndividualBILLINGS, MT
$6,600
Aug 12, 2024
10
GALT, SHARRIE
IndividualMARTINSDALE, MT
$6,600
Nov 1, 2024

Rep. DelBene, Suzan K. [D-WA-1]

ID: D000617

Top Contributors

10

1
JAMESTOWN S'KLALLAM TRIBE
OrganizationSEQUIM, WA
$6,600
Mar 31, 2023
2
LUMMI INDIAN NATION
OrganizationBELLINGHAM, WA
$5,000
Jul 17, 2024
3
PUYALLUP TRIBE OF INDIANS
OrganizationTACOMA, WA
$3,700
Jun 28, 2024
4
SNOQUALMIE TRIBE
OrganizationSNOQUALMIE, WA
$3,300
Nov 2, 2023
5
JAMESTOWN S'KLALLAM TRIBE
OrganizationSEQUIM, WA
$3,300
Mar 31, 2023
6
MUCKLESHOOT INDIAN TRIBE
OrganizationAUBURN, WA
$3,300
Jun 1, 2023
7
THE TULALIP TRIBES OF WASHINGTON
OrganizationTULALIP, WA
$3,300
Jun 30, 2023
8
PUYALLUP TRIBE OF INDIANS
OrganizationTACOMA, WA
$3,300
Jun 28, 2024
9
THE TULALIP TRIBES OF WASHINGTON
OrganizationTULALIP, WA
$3,300
Jun 20, 2024
10
MUCKLESHOOT INDIAN TRIBE
OrganizationAUBURN, WA
$3,300
Aug 13, 2024

Donor Network - Rep. Doggett, Lloyd [D-TX-37]

PACs
Organizations
Individuals
Politicians

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

Loading...

Showing 50 nodes and 36 connections (34 secondary connections hidden)

Total contributions: $121,800

Top Donors - Rep. Doggett, Lloyd [D-TX-37]

Showing top 21 donors by contribution amount

1 Org20 Individuals

Industry Impact

Which industries are materially affected by specific provisions in this bill. 4 helped.

  • Section 2(a) requires Medicare Advantage and prescription drug plans to reimburse the VA for health care items or services provided to veterans, including outpatient and inpatient care, prescription drugs, medical devices, lab testing, and post-acute and long-term care settings. This creates a new revenue stream for VA providers and potentially for hospitals and health systems that contract with the VA or provide similar services, as it ensures payment for services rendered to veterans enrolled

  • +Medical Devicesconfidence 0.85

    Section 2(a) explicitly includes 'medical devices' among the health care items or services for which Medicare Advantage and prescription drug plans must reimburse the VA. This provision ensures payment for medical devices used in veteran care, directly benefiting medical device manufacturers by securing reimbursement channels through the VA for devices provided to veterans in Medicare Advantage plans.

  • +Pharmaceuticalsconfidence 0.85

    Section 2(a) includes 'prescription drugs' as a covered item or service for which Medicare Advantage and prescription drug plans must reimburse the VA. This ensures payment for pharmaceuticals provided to veterans under Medicare Advantage plans, creating a reliable reimbursement mechanism that benefits pharmaceutical manufacturers by securing payment for drugs dispensed through VA care.

  • Section 2(a) specifies that reimbursement applies to 'items or services delivered in post-acute and long-term care settings.' This provision ensures that long-term care providers receive payment from Medicare Advantage plans for services rendered to veterans, directly benefiting the long-term care industry by creating a federal reimbursement obligation for these services.

Who funds the sponsor on these industries

For each industry this bill affects, here's what the sponsor (Rep. Doggett, Lloyd [D-TX-37])received from donors associated with that industry during the 2022–present cycles. Donations are not proof of intent — they are a record of who funds the people writing the law.

Industries this bill HELPS

Project 2025 Policy Matches

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

Department of Veterans Affairs

Moderate
Vector: 66%
Pages: 676-678AI Enhanced

AI Analysis:

"The bill's focus on VA cost recovery aligns with Project 2025's emphasis on improving VA fiscal sustainability and efficient resource management, though it does not address the specific clinical policy reforms or demographic shifts highlighted in the policy."

Key themes:VA financingcost recoveryfiscal responsibilityhealthcare efficiencyveteran health care

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

Department of Health and Human Services

Weak
Vector: 67%
Pages: 497-499AI Enhanced

AI Analysis:

"The bill focuses on VA cost recovery from Medicare Advantage plans, which tangentially relates to Project 2025's goal of reforming Medicare Advantage by removing burdensome policies and increasing plan flexibility, but does not directly advance core objectives like default enrollment, competitive bidding, or beneficiary control of funds."

Key themes:Medicare Advantage reformcost recoverythird-party liabilityplan flexibilityVA healthcare financing

— 465 — Department of Health and Human Services 1. Make Medicare Advantage the default enrollment option. 2. Give beneficiaries direct control of how they spend Medicare dollars. 3. Remove burdensome policies that micromanage MA plans. 4. Replace the complex formula-based payment model with a competitive bidding model. 5. Reconfigure the current risk adjustment model. 6. Remove restrictions on key benefits and services, including those related to prescription drugs, hospice care, and medical savings account plans.26 Legacy Medicare Reform. Legislation reforming legacy (non-MA) Medicare should: l Base payments on the health status of the patient or intensity of the service rather than where the patient happens to receive that service. l Replace the bureaucrat-driven fee-for-service system with value- based payments to empower patients to find the care that best serves their needs. l Codify price transparency regulations. l Restructure 340B drug subsidies27 toward beneficiaries rather than hospitals. l Repeal harmful health policies enacted under the Obama and Biden Administrations such as the Medicare Shared Savings Program28 and Inflation Reduction Act.29 Medicare Part D Reform. The Inflation Reduction Act (IRA) created a drug price negotiation program in Medicare that replaced the existing private-sector negotiations in Part D with government price controls for prescription drugs. These government price controls will limit access to medications and reduce patient access to new medication. This “negotiation” program should be repealed, and reforms in Part D that will have meaningful impact for seniors should be pursued. Other reforms should include eliminating the coverage gap in Part D, reducing the government share in — 466 — Mandate for Leadership: The Conservative Promise the catastrophic tier, and requiring manufacturers to bear a larger share. Until the IRA is repealed, an Administration that is required to implement it must do so in a way that is prudent with its authority, minimizing the harmful effects of the law’s policies and avoiding even worse unintended consequences.30 Medicaid. Over the past 45 years, Medicaid and the health safety net have evolved into a cumbersome, complicated, and unaffordable burden on nearly every state. The program is failing some of the most vulnerable patients; is a prime target for waste, fraud, and abuse; and is consuming more of state and federal budgets. The dramatic increase in Medicaid expenditures is due in large part to the ACA (Obamacare), which mandates that states must expand their Medicaid eligibility standards to include all individuals at or below 138 percent of the federal poverty level (FPL), and the public health emergency, which has prohibited states from performing basic eligibility reviews. The overlap of available benefits among the various health agencies has led to a complex, confusing system that is nearly impossible to navigate—even for recipients. Recipients are often faced with a “welfare cliff” of benefit losses as they earn above a certain amount, which is contrary to the fundamental purpose of empowering individuals to achieve economic independence. Benefits increasingly involve nonmedical services such as air conditioning and housing, many of which are already handled by departments other than HHS. Improper payments within Medicaid are higher than those of any other federal program. These payments are evidence of the inappropriateness of Medicaid’s expansion, which, stemming largely from public health emergency maintenance of effort (MOE) requirements and the Affordable Care Act, has crowded out the primary targets of these programs: those who are most in need. True health care reform cannot be accomplished in a bureaucratic silo or only through Medicaid and health safety net programs. Reform of the tax code is also essential to genuine, effective reform of our health care system. All components of the health care system should be part of the reform efforts, and it is imperative that the system be modified to assist states with their current programs. Therefore, the next Administration should: l Reform financing. Allow states to have a more flexible, accountable, predictable, transparent, and efficient financing mechanism to deliver medical services. This system should include a more balanced or blended match rate, block grants, aggregate caps, or per capita caps. Any financial system should be designed to encourage and incentivize innovation and the efficient delivery of health care services. Federal and state financial participation in the Medicaid program should be rational, predictable, and reasonable. It should also incentivize states to save money and improve the quality of health care.

Department of Veterans Affairs

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

AI Analysis:

"The bill centers on enabling the VA to recover costs from Medicare Advantage and third-party payers, which could indirectly support financial sustainability but does not directly address Project 2025's focus on healthcare footprint realignment, CBOC expansion, wait‑time improvements, personnel reforms, telehealth, or EHR modernization."

Key themes:VA financingcost recoverybudgetary sustainabilitythird-party reimbursement

— 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

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About These Correlations

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

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