The bill
Veterans’ Assuring Critical Care Expansions to Support Servicemembers (ACCESS) Act of 2025
S. 275, 119th Congress — read as touching Hospitals & Health Systems.
Sponsored by
Sen. Moran, Jerry [R-KS]
ID: M000934
Follow the money
The bill
S. 275, 119th Congress — read as touching Hospitals & Health Systems.
The sponsor
Every bill has someone who introduced it. That name is where the paper trail starts.
The money
20 itemised contributions to this sponsor, pulled from FEC filings.
The alignment
This bill's text tracks the "Department of Veterans Affairs" section, p. 688-691 of the Mandate for Leadership.
Track this bill's progress through the legislative process
Latest Action
Committee on Veterans' Affairs. Ordered to be reported with an amendment in the nature of a substitute favorably.
July 29, 2025
📍 Current Status
Next: The full Senate will vote on whether to pass the bill.
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!
Another bill that's about as useful as a Band-Aid on a bullet wound. The Veterans' Assuring Critical Care Expansions to Support Servicemembers (ACCESS) Act of 2025 is just another exercise in legislative theater, designed to make politicians look good while doing nothing meaningful.
**Main Purpose & Objectives:** The bill's stated purpose is to improve the provision of care and services under the Veterans Community Care Program. Yeah, right. It's all about optics. The real objective is to give politicians a chance to grandstand about supporting veterans while actually doing nothing to address the systemic issues plaguing the VA.
**Key Provisions & Changes to Existing Law:** The bill codifies eligibility standards for access to community care, notifies veterans of their eligibility, and considers veteran preference for care. Oh boy, what a revolutionary concept – telling veterans they're eligible for care! It's like giving them a participation trophy. The bill also extends the deadline for submitting claims under the prompt payment standard because, you know, the VA is just so efficient.
**Affected Parties & Stakeholders:** Veterans, obviously. But let's be real, this bill won't actually help them much. The VA will still be a bureaucratic nightmare, and veterans will continue to face long wait times and subpar care. The real beneficiaries are politicians who get to pretend they're doing something for veterans.
**Potential Impact & Implications:** This bill is a Band-Aid on a bullet wound. It won't address the underlying issues with the VA's culture of incompetence, corruption, and bureaucratic red tape. Veterans will still face long wait times, inadequate care, and a system that prioritizes protecting its own interests over their needs.
In short, this bill is a joke. It's a symptom of a deeper disease – the politicians' addiction to empty rhetoric and meaningless legislation. The real illness here is the VA's systemic failure to provide adequate care to veterans, and this bill does nothing to cure it.
Diagnosis: Legislative Theater-itis, with symptoms including empty promises, bureaucratic doublespeak, and a complete lack of meaningful action. Treatment: A healthy dose of skepticism, a strong stomach for the inevitable disappointment, and a recognition that real change requires more than just feel-good legislation.
Sen. Moran, Jerry [R-KS]
Congress 119 • 2024 Election Cycle
No PAC contributions found
No organization contributions found
No committee contributions found
This bill has 10 cosponsors. Below are their top campaign contributors.
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Hub layout: Politicians in center, donors arranged by type in rings around them.
Showing 46 nodes and 46 connections
Total contributions: $46
Showing top 17 donors by contribution amount
Which industries are materially affected by specific provisions in this bill. 6 helped.
Section 106 extends the deadline for submitting claims by health care entities and providers under the prompt payment standard from 180 days to one year, which benefits hospitals and health systems by giving them more time to submit claims and receive payment.
Section 102 requires the Secretary to notify veterans of eligibility for care under the Veterans Community Care Program, which includes private health insurance providers as part of the community care network, thereby increasing their potential patient base and revenue.
Section 101(a)(1) includes 'extended care services, excluding nursing home care' in the eligibility standards for community care, which could expand access to long-term care services for veterans, benefiting providers in this industry.
Sections 105 and 301 discuss telehealth options and require the Secretary to inform veterans of telehealth availability, which could increase demand for telecommunications services supporting telehealth infrastructure.
Section 105 mandates discussion of telehealth options, which may increase utilization of remote monitoring and diagnostic medical devices used in telehealth services, benefiting manufacturers.
Section 203 includes oversight of evidence-based treatments and clinical outcomes, which may encourage adoption of innovative biotech therapies in VA mental health programs, potentially increasing demand for biotech products.
This bill shows semantic similarity to the following sections of the Project 2025 policy document.AI-enhanced analysis provides detailed alignment ratings.
AI Analysis:
"The bill directly enhances the Veterans Community Care Program by standardizing eligibility, improving transparency, considering veteran preferences, and expanding telehealth—core objectives likely emphasized in Project 2025’s VA reform agenda."
— 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.
AI Analysis:
"The bill strongly aligns with Project 2025's focus on expanding community-based care, improving access through telehealth, and enhancing the efficiency and responsiveness of the Veterans Community Care Program. Both emphasize modernizing care delivery, leveraging community partnerships, and improving veteran access and continuity of care."
— 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
AI Analysis:
"The bill strongly aligns with Project 2025's goal of codifying and strengthening VA Community Care access standards, enhancing transparency, and ensuring veterans are informed of their eligibility—directly supporting the MISSION Act implementation and veteran-centric care objectives outlined in the policy."
— 644 — Mandate for Leadership: The Conservative Promise In sum, the VA for the foreseeable future will experience significant fiscal, human capital, and infrastructure crosswinds and risks. Budgets are at historic highs, and with a workforce now above 400,000, the VA is contending with a lack of new veteran enrollees to offset the declining population of older veterans. Recruitment of medical and benefits personnel has become more challenging. Veterans are migrating from the northern states to the southern and western states for retirement and employment. Meanwhile, VA information technol- ogy (IT) is struggling to keep pace with the evolution of patient care and record keeping. Consequently, VA leaders in the next Administration must be wise and courageous political strategists, experienced managers to run day-to-day oper- ations more effectively, innovators to address the changing veteran landscape, and agile “fixers” to mitigate and repair systemic problems created or ignored by the present leadership team. VETERANS HEALTH ADMINISTRATION (VHA) Needed Reforms l Rescind all departmental clinical policy directives that are contrary to principles of conservative governance starting with abortion services and gender reassignment surgery. Neither aligns with service-connected conditions that would warrant VA’s providing this type of clinical care, and both follow the Left’s pernicious trend of abusing the role of government to further its own agenda. l Focus on the effects of shifting veteran demographics. At least during the next decade, the VA will experience a significant generational shift in its overall patient population. Of the approximately 18 million veterans alive today, roughly 9.1 million are enrolled for VA health care, and 6.4 million of these enrollees use VA health care consistently. These 6.4 million veterans are split almost evenly between those who are over age 65 and those who are under age 65, but the share of VA’s health care dollars is spent predominantly in the over-65 cohort. That share increases significantly as veterans live longer and use the VHA system at a higher rate. VHA enrollments of new users are increasingly at risk of being exceeded by the deaths of current enrollees, primarily because significant numbers of the Vietnam generation are reaching their life expectancy. The generational transition from Vietnam-era veterans to post-9/11 veterans will take several years to complete. The ongoing demographic transition is a catalyst for needed assessments of how the VA can improve the delivery of care to a numerically declining and differently dispersed national population — 645 — Department of Veterans Affairs of veterans—a population that is more active, reaching middle age or retirement age, and migrating for lifestyle and career reasons. At the center of the VHA’s evolution during this generational transition is an ongoing tension, some of it politically contrived, between Direct Care for Veterans provided from inside the VHA system and Community Care for Veterans who are referred to private providers participating in the VHA’s two Community Care Networks (CCNs). In recent years, the budget for Community Care has grown as demand from veterans has risen sharply, sometimes outpacing the budgets for Community Care at individual VAMCs. The Trump Administration made Community Care part of its “Veteran- centric” approach to ensure that veterans would be able to participate more fully in their health care decisions and have options if or when the VHA was unable to meet their needs. The Biden Administration has watered down that effort, has sought various procedural ways to slow the rate of referrals to private doctors, and at some facilities is reportedly manipulating the Community Care access standards required by the VA MISSION Act of 2018. If the makeup of Congress is favorable in 2025, the next Administration should rapidly and explicitly codify VA MISSION Act access standards in legislation to prevent the VA from avoiding or watering down the requirements in the future. First and foremost, a veterans bill of rights is needed so that veterans and VA staff know exactly what benefits veterans are entitled to receive, with a clear process for the adjudication of disputes, and so that staff ensure that all veterans are informed of their eligibility for Community Care. Currently, veterans are not routinely and consistently told that they are eligible for Community Care unless they request information or are given a referral. l To strengthen Community Care, the next Administration should create new Secretarial directives to implement the VA MISSION Act properly. Sections for consideration and areas for reform include the following: 1. Sections 101 and 103 (Community Care eligibility for access standards and the best medical interest of the veteran). 2. Section 104 (Community Care access standards and standards for quality of care).
Showing 3 of 5 policy matches
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.