Supporting Rural Veterans Access to Healthcare Services Act

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Bill ID: 119/s/827
Last Updated: March 18, 2026

Sponsored by

Sen. Cramer, Kevin [R-ND]

ID: C001096

Follow the money

The bill

Supporting Rural Veterans Access to Healthcare Services Act

S. 827, 119th Congress — read as touching Surface Transportation.

The sponsor

Sen. Cramer, Kevin [R-ND]

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

The money

$143,200 raised

26 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 on Veterans' Affairs. Ordered to be reported with an amendment in the nature of a substitute favorably.

July 29, 2025

Introduced

Committee Review

Floor Action

📍 Current Status

Next: The full Senate will vote on whether to pass the bill.

✅

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

**Main Purpose & Objectives:** The "Supporting Rural Veterans Access to Healthcare Services Act" (S 827) claims to extend and modify the transportation grant program of the Department of Veterans Affairs. How noble. The real purpose? To throw a few crumbs at rural veterans while lining the pockets of favored special interest groups.

**Key Provisions & Changes to Existing Law:** The bill amends Section 307 of the Caregivers and Veterans Omnibus Health Services Act of 2010, adding new subparagraphs for tribal organizations and Native Hawaiian organizations. Because, you know, those groups weren't already getting enough handouts. The maximum grant amount is increased to $50,000, with an additional 50% bonus for counties with more than five communities off the road system. How convenient.

**Affected Parties & Stakeholders:** The usual suspects:

* Rural veterans (the supposed beneficiaries) * Tribal organizations and Native Hawaiian organizations (newly added recipients of taxpayer largesse) * State veterans service agencies and veterans service organizations ( existing grant recipients) * The Department of Veterans Affairs (the bureaucratic middleman)

**Potential Impact & Implications:**

This bill is a classic case of " legislative lip service." It's a Band-Aid on a bullet wound, designed to make politicians look good while doing nothing meaningful. The real impact will be:

* Increased spending on grants for favored groups * More bureaucracy and administrative overhead at the VA * A negligible improvement in healthcare access for rural veterans

In short, this bill is a cynical exercise in vote-buying and special interest pandering. It's a symptom of the disease that afflicts our legislative system: a toxic mix of corruption, cowardice, and stupidity.

Diagnosis: "Legislative Theater-itis" – a chronic condition characterized by grandstanding, empty promises, and a complete disregard for fiscal responsibility.

Treatment: A healthy dose of skepticism, a strong stomach, and a willingness to call out the emperor's new clothes.

Related Topics

Military & Veterans AffairsState & Local Government AffairsPublic Lands & Natural Resources
Generated using Llama 3.1 70B (Dr. Haus personality)

💰 Campaign Finance Network

Sen. Cramer, Kevin [R-ND]

Congress 119 • 2024 Election Cycle

Total Contributions
$143,200
21 donors
PACs
$0
Organizations
$11,100
Committees
$0
Individuals
$132,100

No PAC contributions found

1
POARCH BAND OF CREEK INDIANS
2 transactions
$6,600
2
SISSETON-WAHPETON OYATE
1 transaction
$2,500
3
SHAKOPEE MDEWAKANTON SIOUX COMMUNITY
3 transactions
$2,000

No committee contributions found

1
SILVERMAN, JEFFREY
3 transactions
$19,800
2
WALSH, RICHARD
1 transaction
$6,700
3
JORDAN, BORIS
1 transaction
$6,600
4
SMITH, BRAD
1 transaction
$6,600
5
KAPLAN, DAVID
1 transaction
$6,600
6
SMITH, IRIS
1 transaction
$6,600
7
SMITH, MICHAEL
1 transaction
$6,600
8
EMMET, RICHARD
1 transaction
$6,600
9
GIDWITZ, RONALD J.
1 transaction
$6,600
10
SHORMA, THOMAS
1 transaction
$6,600
11
SINGER, PAUL
1 transaction
$6,600
12
DE TOLEDO, PHILIP
1 transaction
$6,600
13
VANDERSLOOT, BELINDA
1 transaction
$6,600
14
VANDERSLOOT, FRANK
1 transaction
$6,600
15
BRADLEY, JACQUELINE
1 transaction
$6,600
16
SCHWAB, CHARLES R.
1 transaction
$6,600
17
LABBAT, PETER
1 transaction
$6,600
18
GENIRBERG, RICHARD
1 transaction
$6,600

Cosponsors & Their Campaign Finance

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

Sen. King, Angus S., Jr. [I-ME]

ID: K000383

Top Contributors

10

1
2120 SEA ISLAND LLC
OrganizationRIVER FOREST, IL
$3,300
Oct 26, 2023
2
THE CHICKASAW NATION
OrganizationADA, OK
$3,300
May 22, 2024
3
THE CHICKASAW NATION
OrganizationADA, OK
$2,000
Mar 29, 2024
4
THE CHICKASAW NATION
OrganizationADA, OK
$1,300
May 22, 2024
5
SMITH, BRAD
MICROSOFT CORPORATION • ATTORNEY
IndividualBELLEVUE, WA
$6,600
Feb 13, 2024
6
SMITH, BRAD
IndividualBELLEVUE, WA
$6,600
Feb 20, 2024
7
DOWNEY, NANCY A.
IndividualNEW YORK, NY
$5,000
Sep 4, 2024
8
DOWNEY, NANCY A.
NOT EMPLOYED • RETIRED
IndividualNEW YORK, NY
$5,000
Aug 31, 2024
9
OTTEN, LESLIE B.
AMERICAN SKIING COMPANY • OWNER
IndividualBETHEL, ME
$5,000
Oct 4, 2024
10
BEKENSTEIN, ANITA
NOT EMPLOYED • RETIRED
IndividualWAYLAND, MA
$3,300
Oct 24, 2024

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

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. Justice, James C. [R-WV]

ID: J000312

Top Contributors

10

1
VECELLIO, LEO A. JR.
SELF-EMPLOYED • CORP EXEC
IndividualPALM BEACH, FL
$13,200
Jun 1, 2023
2
HASLAM, JAMES A. II
PILOT FLYING J • CHAIRMAN
IndividualKNOXVILLE, TN
$13,200
Jun 28, 2023
3
MCCLUNG, RICHARD E.
RETIRED • RETIRED
IndividualLEWISBURG, WV
$13,200
Jun 30, 2023
4
MILLER, CHRISTOPHER D.
DUTCH MILLER KIA • OWNER
IndividualHUNTINGTON, WV
$13,200
Jun 30, 2023
5
WAY, GLENN MR.
CHARTER ONE • FOUNDER
IndividualQUEEN CREEK, AZ
$10,000
Oct 18, 2023
6
BUNN, JAMES O.
SELF-EMPLOYED • MINING ENGINEER
IndividualBRISTOL, VA
$6,600
Sep 30, 2023
7
CORRIGAN, FREDRIC W.
IndividualEDINA, MN
$6,600
Sep 30, 2023
8
ERICKSON, KRISTINE S. MRS.
RETIRED • RETIRED
IndividualEDINA, MN
$6,600
Sep 30, 2023
9
ERICKSON, RONALD A. MR.
RETIRED • RETIRED
IndividualEDINA, MN
$6,600
Sep 30, 2023
10
KROLL, MARK W. DR.
UNIVERSITY OF MINNESOTA • ADJUNCT FULL PROFESSOR
IndividualCRYSTAL BAY, MN
$6,600
Sep 30, 2023

Donor Network - Sen. Cramer, Kevin [R-ND]

PACs
Organizations
Individuals
Politicians

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

Loading...

Showing 73 nodes and 38 connections (74 secondary connections hidden)

Total contributions: $278,900

Top Donors - Sen. Cramer, Kevin [R-ND]

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.

  • The bill extends and modifies a transportation grant program, which could benefit surface transportation companies involved in veteran transport (Section 2).

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: 68%
Pages: 676-678AI Enhanced

AI Analysis:

"The bill aims to improve healthcare access for rural veterans through transportation grants, which aligns with Project 2025's emphasis on adapting VA care to shifting demographics and dispersed populations, though it does not directly address the specific reforms (e.g., rescinding abortion services, gender reassignment focus) outlined in the policy."

Key themes:rural veteran accesshealthcare accessveteran demographicsVA funding flexibilitycommunity-based 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 Veterans Affairs

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

AI Analysis:

"The bill aligns with Project 2025's focus on improving veterans' healthcare access, particularly through Community Care and addressing rural challenges, though it does not directly engage with the specific reforms like rescinding clinical directives or codifying MISSION Act standards."

Key themes:rural veterans healthcare accessCommunity Care expansiontransportation barriersVA funding flexibilitydemographic shifts in veteran population

— 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).

Department of Veterans Affairs

Moderate
Vector: 65%
Pages: 676-678AI Enhanced

AI Analysis:

"Both the bill and the Project 2025 VA section aim to improve veterans' access to healthcare, particularly by expanding services closer to where veterans live; the bill focuses on transportation grants for rural veterans while Project 2025 emphasizes community-based outpatient clinics and the Community Care Network."

Key themes:veterans healthcare accessrural/underserved populationscommunity-based outpatient caretransportation/mobilityfunding flexibility

— 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.

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.

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