Veterans Health Care Freedom Act

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Bill ID: 119/s/219
Last Updated: April 14, 2026

Sponsored by

Sen. Blackburn, Marsha [R-TN]

ID: B001243

Follow the money

The bill

Veterans Health Care Freedom Act

S. 219, 119th Congress — read as touching Hospitals & Health Systems.

The sponsor

Sen. Blackburn, Marsha [R-TN]

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

The money

$166,000 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. 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 on Veterans' Affairs. Hearings held. Hearings printed: S.Hrg. 119-86.

May 20, 2025

Introduced

Committee Review

📍 Current Status

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

🗳️

Floor Action

✅

Passed Senate

🏛️

House 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 brilliant example of congressional theater, masquerading as meaningful legislation. The "Veterans Health Care Freedom Act" - what a joke. Let's dissect this farce and expose the real motivations behind it.

**Main Purpose & Objectives:** The bill claims to improve veterans' access to medical care by allowing them to choose their healthcare providers within the Department of Veterans Affairs (VA) system or in the community. Sounds noble, but don't be fooled. This is just a Trojan horse for privatization and further erosion of the VA's ability to provide quality care.

**Key Provisions & Changes to Existing Law:** The bill establishes a pilot program allowing eligible veterans to choose healthcare providers within the covered care system. It also removes certain requirements for accessing care, such as the need for a referral from a VA primary care provider. The bill amends existing law to make these changes permanent after a three-year phase-in period.

**Affected Parties & Stakeholders:** Veterans, of course, are the supposed beneficiaries of this legislation. But let's not forget the real stakeholders: private healthcare providers and insurance companies salivating at the prospect of tapping into the lucrative veterans' market. The VA itself will likely see its resources further depleted as more patients opt for private care.

**Potential Impact & Implications:** This bill is a classic case of "death by a thousand cuts" for the VA. By allowing veterans to choose private providers, it will drain the VA's patient base and revenue, making it even harder for the system to provide quality care. The pilot program is just a testing ground for full-scale privatization. The real winners here are the private healthcare interests who will reap the benefits of this legislation.

In short, this bill is a cynical attempt to dismantle the VA's ability to provide comprehensive care to veterans while lining the pockets of private healthcare providers. It's a classic example of "freedom" being used as a euphemism for " profiteering off vulnerable populations." The sponsors of this bill should be ashamed of themselves.

Diagnosis: Legislative malpractice, with symptoms of privatization fever and a severe case of "veteran- washing" (using veterans as a pretext to advance private interests). Prognosis: Grim.

Related Topics

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

💰 Campaign Finance Network

Sen. Blackburn, Marsha [R-TN]

Congress 119 • 2024 Election Cycle

Total Contributions
$166,000
23 donors
PACs
$5,000
Organizations
$7,900
Committees
$0
Individuals
$153,100
1
FRIENDS OF COMMUNITY ONCOLOGY PAC
1 transaction
$5,000
1
THE COGGIN GROUP
2 transactions
$5,400
2
DOSS BROTHERS FARM
2 transactions
$2,000
3
BL PARTNERS GROUP LLC
1 transaction
$500

No committee contributions found

1
KING, RODNEY W.
1 transaction
$13,200
2
KINNEY, CHRIS
2 transactions
$13,200
3
BEAN, BILL G.
1 transaction
$10,000
4
SMITH, THOMAS
1 transaction
$10,000
5
GAMBLE, KATHRYN
1 transaction
$9,900
6
NEWVERRY, KARMA
1 transaction
$9,900
7
WETHERINGTON, WILLIAM MICHAEL MR.
1 transaction
$7,600
8
HAMPTON, GEORGE
1 transaction
$6,700
9
HARWELL, SAMUEL K. MR. IV
1 transaction
$6,600
10
HARWELL, SAMUEL K.
1 transaction
$6,600
11
KING, MARY L.
1 transaction
$6,600
12
SENSING, LUCY T. MRS.
1 transaction
$6,600
13
VITAL, GREG A.
1 transaction
$6,600
14
BRADLEY, JACQUELINE
1 transaction
$6,600
15
PRESTON, CASEY MS.
1 transaction
$6,600
16
DEVOS, BETSY
1 transaction
$6,600
17
DEVOS, DANIEL G. MR.
1 transaction
$6,600
18
DEVOS, DOUGLAS L. MR.
1 transaction
$6,600
19
DEVOS, RICHARD M. JR.
1 transaction
$6,600

Cosponsors & Their Campaign Finance

This bill has 8 cosponsors. Below are their top campaign contributors.

Sen. Tuberville, Tommy [R-AL]

ID: T000278

Top Contributors

10

1
BROAD METRO LLC
OrganizationOLD WESTBURY, NY
$3,300
Apr 18, 2023
2
POARCH BAND OF CREEK INDIANS
OrganizationATMORE, AL
$3,300
Apr 28, 2023
3
POARCH BAND OF CREEK INDIANS
OrganizationATMORE, AL
$2,900
Feb 20, 2023
4
POARCH BAND OF CREEK INDIANS
OrganizationATMORE, AL
$2,900
Apr 28, 2023
5
SUMMERLIN FARMS
OrganizationMOULTRIE, GA
$1,000
Oct 8, 2023
6
KENT HANCE BUSINESS
OrganizationLUBBOCK, TX
$1,000
Aug 17, 2023
7
SUMMERLIN FARMS
OrganizationMOULTRIE, GA
$1,000
Sep 8, 2023
8
KENT HANCE BUSINESS
OrganizationLUBBOCK, TX
$1,000
Sep 16, 2023
9
BEACH ICE LLC
OrganizationMOULTRIE, GA
$500
Oct 8, 2023
10
LEELAND VENTURES LLC
OrganizationHAMPTON COVE, AL
$500
Dec 4, 2023

Sen. Cramer, Kevin [R-ND]

ID: C001096

Top Contributors

10

1
POARCH BAND OF CREEK INDIANS
OrganizationATMORE, AL
$3,300
Sep 29, 2023
2
POARCH BAND OF CREEK INDIANS
OrganizationATMORE, AL
$3,300
Jun 14, 2024
3
SISSETON-WAHPETON OYATE
OrganizationAGENCY VILLAGE, SD
$2,500
Jun 21, 2024
4
SHAKOPEE MDEWAKANTON SIOUX COMMUNITY
OrganizationPRIOR LAKE, MN
$1,000
Jun 18, 2024
5
SHAKOPEE MDEWAKANTON SIOUX COMMUNITY
OrganizationPRIOR LAKE, MN
$600
Jun 6, 2023
6
SHAKOPEE MDEWAKANTON SIOUX COMMUNITY
OrganizationPRIOR LAKE, MN
$400
Jun 6, 2023
7
WALSH, RICHARD
IndividualLAKE WORTH BEACH, FL
$6,700
Oct 16, 2024
8
JORDAN, BORIS
CURALEAF • EXECUTIVE CHAIRMAN OF THE BOARD
IndividualBOCA RATON, FL
$6,600
Sep 15, 2023
9
SMITH, BRAD
MICROSOFT CORPORATION • ATTORNEY
IndividualBELLEVUE, WA
$6,600
Sep 29, 2023
10
KAPLAN, DAVID
ARES MANAGEMENT • CO-FOUNDER
IndividualLOS ANGELES, CA
$6,600
Oct 11, 2023

Sen. Wicker, Roger F. [R-MS]

ID: W000437

Top Contributors

10

1
EASTERN BAND OF CHEROKEE INDIANS
OrganizationCHEROKEE, NC
$25,000
Sep 13, 2024
2
MISSISSIPPI BAND OF CHOCTAW INDIANS
OrganizationCHOCTAW, MS
$15,000
Nov 5, 2024
3
WT CONSULTANTS LLC
OrganizationJACKSON, MS
$2,500
Jan 12, 2023
4
WAYPOINT CONSULTING, LLC
OrganizationWASHINGTON, DC
$1,000
Mar 26, 2024
5
HEDERMAN BROTHERS, LLC
OrganizationMADISON, MS
$1,000
Oct 9, 2024
6
CHOUEST, GARY
EDISON CHOUEST OFFSHORE, LLC • CEO
IndividualGALLIANO, LA
$100,000
Dec 1, 2023
7
HALE, ROBERT T. JR.
GRANITE TELECOM • CEO
IndividualBOSTON, MA
$100,000
Jun 28, 2023
8
BLUE, J. NEAL
GENERAL ATOMICS • CEO
IndividualLA JOLLA, CA
$50,000
Dec 21, 2023
9
HALE, ROBERT T. JR.
GRANITE TELECOM • CEO
IndividualBOSTON, MA
$50,000
Apr 12, 2024
10
DUFF, THOMAS M.
SOUTHERN TIRE MART • PRESIDENT
IndividualHATTIESBURG, MS
$50,000
Sep 30, 2024

Sen. Rounds, Mike [R-SD]

ID: R000605

Top Contributors

10

1
SHAKOPEE MDEWAKANTON SIOUX COMMUNITY
OrganizationPRIOR LAKE, MN
$1,000
Nov 22, 2023
2
SHAKOPEE MDEWAKANTON SIOUX COMMUNITY
OrganizationPRIOR LAKE, MN
$1,000
Apr 30, 2024
3
CHOCTAW NATION OF OKLAHOMA
OrganizationDURANT, OK
$500
Nov 1, 2024
4
ROWAN, CAROLYN
CAROLYN ROWAN COLLECTION • OWNER
IndividualGREENWICH, CT
$6,600
Mar 30, 2023
5
ROWAN, MARC J
APOLLO MGMT. • CEO
IndividualGREENWICH, CT
$6,600
Mar 30, 2023
6
HEGYI, ALBERT
1ST FINANCIAL BANK • BANKER
IndividualSOUTHPORT, CT
$6,600
Aug 22, 2023
7
ROWAN, CAROLYN
CAROLYN ROWAN COLLECTION • OWNER
IndividualGREENWICH, CT
$6,600
Mar 30, 2023
8
ROWAN, MARC J
APOLLO MGMT. • CEO
IndividualGREENWICH, CT
$6,600
Mar 30, 2023
9
HEGYI, ALBERT
1ST FINANCIAL BANK • BANKER
IndividualSOUTHPORT, CT
$6,600
Aug 22, 2023
10
PFAUTCH, ROY
CIVIC SERVICE, INC. • CONSULTANT
IndividualSAINT LOUIS, MO
$6,600
Feb 20, 2024

Sen. Cruz, Ted [R-TX]

ID: C001098

Top Contributors

10

1
WINRED
PACARLINGTON, VA
$1,167,293
Nov 1, 2024
2
WINRED
PACARLINGTON, VA
$330,599
Nov 5, 2024
3
FASKEN MANAGEMENT
OrganizationMIDLAND, TX
$10,000
May 24, 2023
4
REPUBLICAN PARTY OF HARRISON COUNTY
OrganizationMARSHALL, TX
$4,000
Oct 16, 2024
5
FOLAD ENTERPRISES LLC
OrganizationPINELLAS PARK, FL
$2,000
May 20, 2024
6
BALCH & BINGHAM LLP
OrganizationBIRMINGHAM, AL
$1,000
May 20, 2024
7
PARTNERS HOTEL GROUP LLC
OrganizationMURPHY, TX
$1,000
Jun 7, 2023
8
KHAT INVESTMENS LLC
OrganizationMIDLAND, TX
$1,000
Jun 30, 2023
9
PJB INVESTMENT ADVISORS LLC
OrganizationADDISON, TX
$800
May 1, 2024
10
GRANT MORELAND LP LLC
OrganizationGILMER, TX
$750
Sep 19, 2024

Sen. Sheehy, Tim [R-MT]

ID: S001232

Top Contributors

10

1
CLUB FOR GROWTH PAC
PACWASHINGTON, DC
$7,720
Jun 27, 2024
2
CLUB FOR GROWTH PAC
PACWASHINGTON, DC
$7,720
Jun 27, 2024
3
CLUB FOR GROWTH PAC
PACWASHINGTON, DC
$7,720
Jun 27, 2024
4
CLUB FOR GROWTH PAC
PACWASHINGTON, DC
$7,720
Jun 27, 2024
5
CLUB FOR GROWTH PAC
PACWASHINGTON, DC
$7,720
Jun 27, 2024
6
SENATE CONSERVATIVES FUND
PACWASHINGTON, DC
$7,609
Jun 21, 2024
7
SENATE CONSERVATIVES FUND
PACWASHINGTON, DC
$7,609
Jun 21, 2024
8
SENATE CONSERVATIVES FUND
PACWASHINGTON, DC
$7,609
Jun 21, 2024
9
REPUBLICAN JEWISH COALITION-POLITICAL ACTION COMMITTEE (RJC-PAC)
PACWASHINGTON, DC
$7,000
Jun 25, 2024
10
REPUBLICAN JEWISH COALITION-POLITICAL ACTION COMMITTEE (RJC-PAC)
PACWASHINGTON, DC
$7,000
Jun 25, 2024

Sen. Daines, Steve [R-MT]

ID: D000618

Top Contributors

10

1
CONFEDERATED SALISH AND KOOTENAI TRIBES OF THE FLATHEAD NATI
OrganizationPABLO, MT
$6,600
Mar 30, 2023
2
BARONA BAND OF MISSION INDIANS
OrganizationLAKESIDE, CA
$5,000
Jun 18, 2024
3
BLUECHIP FINANCIAL
OrganizationBELCOURT, ND
$3,300
Jun 20, 2024
4
HPUL PROJECT OPERATION
OrganizationUPPER LAKE, CA
$3,300
Jun 20, 2024
5
EASTERN BAND OF CHEROKEE INDIANS
OrganizationCHEROKEE, NC
$3,300
Nov 5, 2024
6
SUQUAMISH INDIAN TRIBE
OrganizationSUQUAMISH, WA
$3,300
Sep 20, 2024
7
ALABAMA-COUSHATTA TRIBE
OrganizationLIVINGSTON, TX
$2,500
Oct 31, 2024
8
SHAKOPEE MDEWAKANTON SIOUX COMMUNITY
OrganizationPRIOR LAKE, MN
$1,000
Jun 5, 2024
9
MUSCOGEE CREEK NATION
OrganizationOKMULGEE, OK
$1,000
Jun 20, 2024
10
CHOCTAW NATION OF OKLAHOMA
OrganizationDURANT, OK
$765
Oct 17, 2023

Sen. Sullivan, Dan [R-AK]

ID: S001198

Top Contributors

10

1
SEND IN THE SEAL PAC
PACALEXANDRIA, VA
$45,000
Aug 9, 2024
2
THE LINCOLN CLUB OF ORANGE COUNTY FEDERAL PAC
PACNEWPORT BEACH, CA
$25,000
Oct 18, 2024
3
SEND IN THE SEAL PAC
PACALEXANDRIA, VA
$15,000
Aug 9, 2024
4
WINRED
PACARLINGTON, VA
$6,600
Oct 19, 2023
5
RON JOHNSON VICTORY
COMOSHKOSH, WI
$1,997
Sep 30, 2024
6
MACLEAN-FOGG COMPANY
OrganizationMUNDELEIN, IL
$58,700
Dec 28, 2023
7
AK-CHIN INDIAN COMMUNITY
OrganizationMARICOPA, AZ
$41,300
Dec 29, 2023
8
MACLEAN-FOGG COMPANY
OrganizationMUNDELEIN, IL
$41,300
Dec 28, 2023
9
PASCUA YAQUI TRIBE
OrganizationTUCSON, AZ
$41,300
Dec 29, 2023
10
TIGUA INDIAN RESERVATION
OrganizationEL PASO, TX
$41,300
Dec 19, 2023

Donor Network - Sen. Blackburn, Marsha [R-TN]

PACs
Organizations
Individuals
Politicians

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

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Showing 62 nodes and 41 connections (55 secondary connections hidden)

Total contributions: $1,737,492

Top Donors - Sen. Blackburn, Marsha [R-TN]

Showing top 23 donors by contribution amount

1 PAC3 Orgs19 Individuals

Industry Impact

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

  • Section 2(b)(2) allows veterans to receive care at non-Department facilities (i.e., community hospitals and health systems) without certain restrictions, expanding access for veterans to community providers.

  • +Health Insuranceconfidence 0.85

    Section 2 expands veterans' ability to choose health care providers in the community, which may increase demand for private health insurance services among veterans or affect coordination with insurers, though indirectly.

Who funds the sponsor on these industries

For each industry this bill affects, here's what the sponsor (Sen. Blackburn, Marsha [R-TN])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

Strong
Vector: 71%
Pages: 676-678AI Enhanced

AI Analysis:

"The bill's focus on expanding veterans' ability to choose private-sector providers and reducing referral barriers aligns closely with Project 2025's emphasis on strengthening the VA's Community Care Network, adapting to shifting veteran demographics, and improving access to non-VA care."

Key themes:community care networkveteran choiceprivate-sector provider accessdemographic shiftshealthcare access improvement

— 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 Veterans Affairs

Strong
Vector: 71%
Pages: 679-681AI Enhanced

AI Analysis:

"The bill aligns strongly with Project 2025's emphasis on expanding community-based care, increasing access through non-VA providers, and improving timeliness and responsiveness in veteran healthcare delivery. Both prioritize leveraging community care options to enhance access and reduce systemic inefficiencies."

Key themes:community care expansionprovider choiceaccess to carereducing wait timeshealthcare system realignment

— 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

Strong
Vector: 69%
Pages: 679-681AI Enhanced

AI Analysis:

"The bill aligns strongly with Project 2025's emphasis on expanding veteran choice in healthcare, improving access through community-based options, and enhancing care coordination—particularly through pilot programs that allow veterans to select providers within a covered care system, mirroring Project 2025's support for CBOC expansion and facility-sharing partnerships."

Key themes:veteran healthcare choicecommunity-based care expansioncare coordinationpilot programsaccess to non-VA providers

— 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.

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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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