PRESUME Act

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Bill ID: 119/hr/4469
Last Updated: February 2, 2026

Sponsored by

Rep. Titus, Dina [D-NV-1]

ID: T000468

Follow the money

The bill

PRESUME Act

HR. 4469, 119th Congress — read as touching Health Insurance.

The sponsor

Rep. Titus, Dina [D-NV-1]

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

The money

$78,850 raised

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

The alignment

85% match to Project 2025

This bill's text tracks the "Department of Veterans Affairs" section, p. 688-691 of the Mandate for Leadership.

Bill's Journey to Becoming a Law

Track this bill's progress through the legislative process

Latest Action

Subcommittee Hearings Held

February 2, 2026

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

**Main Purpose & Objectives:** The PRESUME Act (because who doesn't love a good acronym?) claims to help veterans by making it easier for them to receive benefits related to radiation exposure. How noble. But let's not be naive – the real purpose is to buy votes and curry favor with veterans' groups, while simultaneously creating a new bureaucratic nightmare.

**Key Provisions & Changes to Existing Law:** The bill amends Section 1112(c) of title 38, United States Code, by adding a paragraph that prohibits the Secretary of Veterans Affairs from requiring evidence of a certain dose of radiation to determine if a veteran is radiation-exposed. Sounds reasonable, right? Wrong. This is a classic case of "solution in search of a problem." The existing law already provides for a presumption of service connection for certain conditions related to radiation exposure. This bill simply muddies the waters and creates more opportunities for abuse.

**Affected Parties & Stakeholders:** Veterans, veterans' groups, and the Department of Veterans Affairs are all affected by this bill. But let's be real – the only stakeholders who truly matter are the politicians who sponsored this bill and their lobbyist friends. They're the ones who will reap the benefits of this legislative charade.

**Potential Impact & Implications:** The impact of this bill will be a bureaucratic mess, with more paperwork, more red tape, and more opportunities for veterans to get lost in the system. The VA will have to create new procedures, train staff, and waste resources on implementing this "reform." Meanwhile, actual veterans' needs will continue to go unaddressed.

Diagnosis: This bill is suffering from a bad case of " Politician's Disease" – a condition characterized by an insatiable desire for votes, a complete disregard for facts, and a willingness to create more problems in the name of solving existing ones. Treatment involves a healthy dose of skepticism, a strong stomach, and a willingness to call out the obvious lies.

Prognosis: This bill will likely pass, because who doesn't love a good veterans' bill? But its impact will be negligible, except for the politicians who sponsored it – they'll get their photo ops, their votes, and their campaign contributions. The rest of us will just have to deal with the fallout.

Related Topics

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

💰 Campaign Finance Network

Rep. Titus, Dina [D-NV-1]

Congress 119 • 2024 Election Cycle

Total Contributions
$78,850
24 donors
PACs
$0
Organizations
$12,850
Committees
$0
Individuals
$66,000

No PAC contributions found

1
SAN MANUEL BAND OF MISSION INDIANS
2 transactions
$5,800
2
LAS VEGAS PAIUTE TRIBE
1 transaction
$3,300
3
BARONA BAND OF MISSION INDIANS
1 transaction
$1,500
4
RENO-SPARKS INDIAN COLONY
1 transaction
$1,000
5
SANTA YNEZ BAND OF MISSION INDIANS
1 transaction
$1,000
6
NET2LINK, LLC
1 transaction
$250

No committee contributions found

1
ALSOP, JOSEPH W
2 transactions
$6,600
2
BROWN, JAY H.
2 transactions
$6,600
3
CHANG, RONIE
1 transaction
$3,300
4
PRITZKER, JAY
1 transaction
$3,300
5
SCHMIDT, ERIC
1 transaction
$3,300
6
CASHMAN, MARYKAYE
1 transaction
$3,300
7
GREENSPUN, MYRA S
1 transaction
$3,300
8
HAAS, GENE
1 transaction
$3,300
9
KELLNER, PETER
1 transaction
$3,300
10
SANDBERG, SHERYL
1 transaction
$3,300
11
SCOTT, MARIE RAY
1 transaction
$3,300
12
SUSSMAN, S. DONALD S
1 transaction
$3,300
13
TRONE, DAVID
1 transaction
$3,300
14
JURVETSON, KARLA
1 transaction
$3,300
15
SAMUELSON, MARTHA S
1 transaction
$3,300
16
SAMUELSON, PAUL
1 transaction
$3,300
17
BEKENSTEIN, ANITA
1 transaction
$3,300
18
BEKENSTEIN, JOSHUA
1 transaction
$3,300

Cosponsors & Their Campaign Finance

This bill has 10 cosponsors. Below are their top campaign contributors.

Rep. Thompson, Mike [D-CA-4]

ID: T000460

Top Contributors

10

1
ACTBLUE
COMSOMERVILLE, MA
$500
Oct 27, 2024
2
ACTBLUE
COMSOMERVILLE, MA
$30
Nov 3, 2024
3
SHINGLE SPRINGS BAND OF MIWOK INDIANS
OrganizationSHINGLE SPRINGS, CA
$3,300
Sep 30, 2023
4
YOCHA DEHE WINTUN NATION
OrganizationBROOKS, CA
$3,300
Dec 22, 2023
5
YOCHA DEHE WINTUN NATION
OrganizationBROOKS, CA
$3,300
Dec 22, 2023
6
EASTERN BANK OF CHEROKEE INDIANS
OrganizationCHEROKEE, NC
$3,300
Feb 7, 2024
7
HABEMATOLEL POMO OF UPPER LAKE
OrganizationUPPER LAKE, CA
$3,300
Jun 23, 2024
8
FEDERATED INDIANS OF GRATON RANCHERIA
OrganizationROHNERT PARK, CA
$3,300
May 23, 2023
9
FEDERATED INDIANS OF GRATON RANCHERIA
OrganizationROHNERT PARK, CA
$3,300
May 23, 2023
10
MOORETOWN RANCHERIA
OrganizationOROVILLE, CA
$3,300
Sep 28, 2024

Del. Norton, Eleanor Holmes [D-DC-At Large]

ID: N000147

Top Contributors

0

No contribution data available

Rep. McGovern, James P. [D-MA-2]

ID: M000312

Top Contributors

10

1
CHEROKEE NATION
OrganizationTAHLEQUAH, OK
$3,300
Dec 31, 2023
2
CHEROKEE NATION
OrganizationTAHLEQUAH, OK
$3,300
Dec 31, 2023
3
SHAKOPEE MDEWAKANTON SIOUX COMMUNITY
OrganizationPRIOR LAKE, MN
$3,300
Oct 20, 2023
4
SHAKOPEE MDEWAKANTON SIOUX COMMUNITY
OrganizationPRIOR LAKE, MN
$3,300
Apr 30, 2024
5
CHOCTAW NATION OF OKLAHOMA
OrganizationDURANT, OK
$2,900
Sep 30, 2023
6
HANEY, WILLIAM M III
DRAGONFLY • CEO
IndividualWAYLAND, MA
$6,600
Nov 29, 2023
7
DEMPSEY, BRIAN S
DEMPSEY LUCEY & ASSOCIATES • PRESIDENT
IndividualHAVERHILL, MA
$3,300
Nov 8, 2023
8
ESLER, JOHN K.
NOT EMPLOYED • NOT EMPLOYED
IndividualSUTTON, MA
$3,300
Oct 24, 2023
9
HANEY, WILLIAM M III
IndividualWAYLAND, MA
$3,300
Dec 31, 2023
10
TANG, KEVIN
TANG CAPITAL • CEO
IndividualSAN DIEGO, CA
$3,300
Nov 8, 2024

Rep. Sewell, Terri A. [D-AL-7]

ID: S001185

Top Contributors

10

1
BUFFALO ROCK COMPANY
OrganizationBIRMINGHAM, AL
$5,000
Oct 15, 2024
2
POARCH BAND OF CREEK INDIANS
OrganizationATMORE, AL
$3,300
Mar 26, 2024
3
POARCH BAND OF CREEK INDIANS
OrganizationATMORE, AL
$3,300
Sep 21, 2023
4
BUFFALO ROCK COMPANY
OrganizationBIRMINGHAM, AL
$2,500
Sep 10, 2024
5
BUFFALO ROCK COMPANY
OrganizationBIRMINGHAM, AL
$2,500
Sep 30, 2024
6
LAW OFFICES OF FREDERICK GRAEFE LLC
OrganizationWASHINGTON, DC
$500
Sep 30, 2023
7
CHIROPRACTIC CARE INC.
OrganizationGULF SHORES, AL
$250
Feb 26, 2024
8
BROWN, CANDACE P.
NONE • RETIRED
IndividualFLORENCE, SC
$4,500
Sep 6, 2024
9
BROWN, JAMES A.
SMS COMPANY • VICE PRESIDENT
IndividualFLORENCE, SC
$4,500
Sep 6, 2024
10
LEHMAN, WILLIAM
NOT EMPLOYED • NOT EMPLOYED
IndividualAVENTURA, FL
$3,300
Dec 9, 2024

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

ID: C001068

Top Contributors

10

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

Rep. Neguse, Joe [D-CO-2]

ID: N000191

Top Contributors

10

1
AK-CHIN INDIAN COMMUNITY
OrganizationMARICOPA, AZ
$3,300
Mar 31, 2023
2
AK-CHIN INDIAN COMMUNITY
OrganizationMARICOPA, AZ
$2,500
Oct 13, 2024
3
YUROK TRIBE
OrganizationKLAMATH, CA
$1,000
Feb 1, 2023
4
SAN MANUEL BAND OF MISSION INDIANS
OrganizationLOS ANGELES, CA
$1,000
Jun 9, 2024
5
EKLUND, PAUL
IndividualBOULDER, CO
$6,400
Oct 3, 2023
6
EKLUND, PAUL
P.N. EKLUND INTERESTS INC. • REAL ESTATE
IndividualBOULDER, CO
$6,400
Sep 30, 2023
7
KLARMAN, SETH
THE BAUPOST GROUP • CEO
IndividualBOSTON, MA
$3,300
Oct 18, 2024
8
GROSS, DAVID
UNIVERSITY OF COLORADO • INSTRUCTOR
IndividualBOULDER, CO
$3,300
Oct 31, 2024
9
WEAVER, LINDSAY
SELF • ENGINEER
IndividualPAGOSA SPRINGS, CO
$3,300
Oct 22, 2024
10
BLOOM, BRADLEY
BERKSHIRE PARTNERS LLC • INVESTMENTS
IndividualWELLESLEY, MA
$3,300
Oct 21, 2024

Rep. McBride, Sarah [D-DE-At Large]

ID: M001238

Top Contributors

10

1
SOKOLA FOR SENATE
COMNEWARK, DE
$1,000
Dec 15, 2023
2
HPUL PROJECT OPERATIONS
OrganizationUPPER LAKE, CA
$3,300
Dec 30, 2023
3
ATLAS RESTAURANT GROUP LLC
OrganizationBALTIMORE, MD
$1,000
Jun 12, 2024
4
EASTERN SUSSEX DEMOCRATS
OrganizationLEWES, DE
$1,000
Jun 23, 2024
5
FRIENDS FOR HANSEN
OrganizationMIDDLETOWN, DE
$600
Oct 6, 2024
6
FRIENDS OF JULIAN CYR
OrganizationTRURO, MA
$500
Nov 4, 2024
7
FRIENDS OF JULIAN CYR
OrganizationTRURO, MA
$500
Apr 30, 2024
8
FRIENDS OF SHARIF STREET
OrganizationPHILADELPHIA, PA
$500
Jun 5, 2024
9
SC PAC
OrganizationWILMINGTON, DE
$500
Sep 10, 2024
10
SC PAC
OrganizationWILMINGTON, DE
$500
Oct 11, 2024

Rep. Bell, Wesley [D-MO-1]

ID: B001324

Top Contributors

10

1
DEMOCRACY ENGINE INC PAC
CONDUIT TOTAL LISTED IN AGG. FIELD
PACALEXANDRIA, VA
$3,300
Mar 1, 2024
2
DEMOCRACY ENGINE INC PAC
CONDUIT TOTAL LISTED IN AGG. FIELD
PACALEXANDRIA, VA
$3,300
Mar 12, 2024
3
DEMOCRACY ENGINE INC PAC
CONDUIT TOTAL LISTED IN AGG. FIELD
PACALEXANDRIA, VA
$1,000
Mar 27, 2024
4
DEMOCRACY ENGINE INC PAC
CONDUIT TOTAL LISTED IN AGG. FIELD
PACALEXANDRIA, VA
$1,000
Mar 27, 2024
5
DEMOCRACY ENGINE INC PAC
CONDUIT TOTAL LISTED IN AGG. FIELD
PACALEXANDRIA, VA
$1,000
Feb 6, 2024
6
SUN POLITICAL ACTION COMMITTEE
PACCORAL GABLES, FL
$1,000
Feb 16, 2024
7
DEMOCRACY ENGINE INC PAC
CONDUIT TOTAL LISTED IN AGG. FIELD
PACALEXANDRIA, VA
$500
Mar 28, 2024
8
DEMOCRACY ENGINE INC PAC
CONDUIT TOTAL LISTED IN AGG. FIELD
PACALEXANDRIA, VA
$500
Mar 29, 2024
9
DEMOCRACY ENGINE INC PAC
CONDUIT TOTAL LISTED IN AGG. FIELD
PACALEXANDRIA, VA
$500
Mar 1, 2024
10
DEMOCRACY ENGINE INC PAC
CONDUIT TOTAL LISTED IN AGG. FIELD
PACALEXANDRIA, VA
$500
Jan 25, 2024

Rep. Thanedar, Shri [D-MI-13]

ID: T000488

Top Contributors

10

1
LEVY, EDWARD C.
EDW C LEVY CO • CHAIRMAN
IndividualBIRMINGHAM, MI
$6,600
Jun 30, 2024
2
LEVY, EDWARD C.
EDW C LEVY CO • CHAIRMAN
IndividualBIRMINGHAM, MI
$6,600
Jul 1, 2024
3
LEVY, EDWARD C.
EDW C LEVY CO • CHAIRMAN
IndividualBIRMINGHAM, MI
$6,600
Jun 30, 2024
4
SARVER, ROBERT
NOT EMPLOYED • NOT EMPLOYED
IndividualPARADISE VALLEY, AZ
$6,600
Aug 5, 2024
5
PATEL, DILIP
JAMSAN HOTEL MANAGEMENT • MANAGER
IndividualLEXINGTON, MA
$3,300
Oct 27, 2024
6
SILVERSTON, CHARLES
GIBSON SIR • REAL ESTATE
IndividualCHESTNUT HILL, MA
$3,300
Oct 27, 2024
7
SINGH, GURPREET
SELF EMPLOYED • SELF EMPLOYED
IndividualHUNTS POINT, WA
$3,300
Oct 27, 2024
8
AGARWAL, AVADHESH K
N/A • RETIRED
IndividualROLLING HILLS, CA
$3,300
Aug 10, 2023
9
JADEJA, ASHA
NOT EMPLOYED • NOT EMPLOYED
IndividualPALO ALTO, CA
$3,300
Jul 13, 2023
10
RATHI, VASANT
SPECIALTY ENZYMES • OWNER
IndividualYORBA LINDA, CA
$3,300
Aug 10, 2023

Rep. Carson, André [D-IN-7]

ID: C001072

Top Contributors

10

1
BARONA BAND OF MISSION INDIANS
OrganizationLAKESIDE, CA
$1,500
May 22, 2023
2
INDIANA IMPORT LLC
OrganizationFISHERS, IN
$1,000
Nov 11, 2023
3
MNAYMEH, HALA
RETIRED • RETIRED
IndividualCORAL GABLES, FL
$3,300
Oct 21, 2024
4
DE LA CRUZ, FABIO
WESTON PROPERTY MANAGEMENT • PARTNER
IndividualINDIANAPOLIS, IN
$3,300
Nov 5, 2024
5
KHAN, AZHER M
CALDERON TEXTILES • PRESIDENT
IndividualCARMEL, IN
$3,300
Dec 8, 2023
6
HOGAN, ALAN P.
THE HOGAN GROUP, INC. • CONSULTANT
IndividualINDIANAPOLIS, IN
$3,300
Feb 22, 2023
7
JOHNSON, LACY M.
ICE MILLER • ATTORNEY
IndividualINDIANAPOLIS, IN
$3,300
Mar 16, 2023
8
STACK, ANN M.
RETIRED • RETIRED
IndividualINDIANAPOLIS, IN
$3,300
Feb 22, 2023
9
ABDALLA, MIKE A.
MAGNA PROPERTIES • PRESIDENT
IndividualINDIANAPOLIS, IN
$3,300
Mar 11, 2024
10
MAMOUN, IHSAN
SDI RADIOLOGY • PHYSICIAN
IndividualSEFFNER, FL
$3,300
Jan 23, 2024

Donor Network - Rep. Titus, Dina [D-NV-1]

PACs
Organizations
Individuals
Politicians

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

Loading...

Showing 78 nodes and 39 connections (70 secondary connections hidden)

Total contributions: $112,480

Top Donors - Rep. Titus, Dina [D-NV-1]

Showing top 24 donors by contribution amount

6 Orgs18 Individuals

Industry Impact

Which industries are materially affected by specific provisions in this bill. 3 helped.

  • +Health Insuranceconfidence 0.80

    Section 2 of the bill amends title 38 to prohibit requiring evidence of a certain dose of radiation, which could lead to more veterans being classified as radiation-exposed and thus eligible for medical benefits, potentially increasing the business of health insurance companies that contract with the VA.

  • +Pharmaceuticalsconfidence 0.60

    As more veterans become eligible for medical benefits under the VA due to the changes in radiation-exposed veteran status (Section 2), pharmaceutical companies may see an increase in sales of medications prescribed to these patients.

  • +Medical Devicesconfidence 0.60

    With potentially more veterans eligible for medical benefits, there could be an increased demand for medical devices used in treating conditions related to radiation exposure, as per the amendments in Section 2.

Who funds the sponsor on these industries

For each industry this bill affects, here's what the sponsor (Rep. Titus, Dina [D-NV-1])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: 64%
Pages: 688-691AI Enhanced

AI Analysis:

"The PRESUME Act removes the dose‑evidence requirement for radiation‑exposed veterans, streamlining eligibility and reducing administrative burden, which aligns with Project 2025’s VA objectives of improving benefit access and increasing efficiency."

Key themes:veterans benefitsradiation exposureadministrative simplificationVA eligibilityaccess to care

— 655 — Department of Veterans Affairs ENDNOTES 1. U.S. Department of Veterans Affairs, Veterans Health Division, VHA Directive 1003, “VHA Veteran Patient Experience,” April 14, 2020, pp. 1 and B-1. 2. S. 2372, VA Mission Act of 2018, Public Law No. 115-182, 115th Congress, June 6, 2018, https://www.congress. gov/115/plaws/publ182/PLAW-115publ182.pdf (accessed January 30, 2023). 3. U.S. Department of Veterans Affairs, VA History Office, “VA History,” last updated May 27, 2021, https://www. va.gov/HISTORY/VA_History/Overview.asp (accessed January 28, 2023). 4. 38 U.S. Code § 1116, https://www.law.cornell.edu/uscode/text/38/1116 (accessed January 28, 2023). 5. S. 3373, Sergeant First Class Heath Robinson Honoring Our Promise to Address Comprehensive Toxics Act of 2022 (Honoring Our PACT Act of 2022), Public Law No. 117-168, 117th Congress, August 10, 2022, https://www. congress.gov/117/plaws/publ168/PLAW-117publ168.pdf (accessed January 28, 2023). 6. H.R. 2471, Consolidated Appropriations Act, 2022, Public Law No. 117-103, 117th Congress, March 15, 2022, Division S, Title I, https://www.congress.gov/117/plaws/publ103/PLAW-117publ103.pdf (accessed March 18, 2023). Known variously as the Department of Veterans Affairs Nurse and Physician Assistant Retention and Income Security Enhancement Act and the VA Nurse and Physician Assistant RAISE Act. 7. See note 5, supra.

Department of Veterans Affairs

Strong
Vector: 61%
Pages: 688-691AI Enhanced

AI Analysis:

"The PRESUME Act streamlines VA adjudication by removing burdensome evidentiary requirements for radiation-exposed veterans, aligning with Project 2025’s goal to reduce VA bureaucracy and improve veterans’ access to benefits and care."

Key themes:veterans benefits accessadministrative simplificationradiation exposure compensationVA policy reformexpanded eligibility

— 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. — 657 — Section Four THE ECONOMY The next Administration must prioritize the economic prosperity of ordi- nary Americans. For several decades, establishment “elites” have failed the citizenry by refusing to secure the border, outsourcing manufacturing to China and elsewhere, spending recklessly, regulating constantly, and generally controlling the country from the top down rather than letting it flourish from the bottom up. The proper role of government, as was articulated nearly 250 years ago, is to secure our God-given, unalienable rights in order that we might enjoy the pursuit of happiness, the benefits of free enterprise, and the blessings of liberty. Finding the right approach to trade policy is key to the fortunes of everyday Americans. In Chapter 26, president of the Competitive Enterprise Institute Kent Lassman and former White House director of trade and manufacturing policy Peter Navarro debate what an effective conservative trade policy would look like. Lass- man argues that the best trade policy is a humble, limited-government approach that would encourage free trade with all nations. He maintains that aggressive trade policies involve an increased government role that future leftist Administra- tions will utilize to push “climate change” and “equity”-based activism. Focusing more on gross domestic product (GDP) growth than on median income, he writes that “people mistakenly believe that U.S. manufacturing and the U.S. economy are in decline” when in truth “American manufacturing output is currently at an all-time high.” Meanwhile, we continue to experience “record-setting real GDP” despite our “long-run decline in manufacturing employment.” Lassman does not think that an aggressive U.S. trade policy would lead to more manufacturing jobs. Rather, he writes, “Federal Reserve research shows” that the

Department of Veterans Affairs

Moderate
Vector: 61%
Pages: 679-681AI Enhanced

AI Analysis:

"The PRESUME Act seeks to streamline VA eligibility determinations for radiation-exposed veterans, reducing administrative burden and improving access to benefits, which aligns with Project 2025's broader goals of enhancing VA efficiency, accountability, and service delivery."

Key themes:veterans benefits accessVA administrative efficiencyprocess simplificationaccountability and service improvement

— 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,

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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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