To provide for the issuance of a Veterans Medical Debt Relief Stamp.

Bill ID: 119/hr/5946
Last Updated: November 12, 2025

Sponsored by

Rep. Flood, Mike [R-NE-1]

ID: F000474

Follow the money

The bill

To provide for the issuance of a Veterans Medical Debt Relief Stamp.

HR. 5946, 119th Congress — read as touching Hospitals & Health Systems.

The sponsor

Rep. Flood, Mike [R-NE-1]

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

The money

$99,811 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. 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

Invalid Date

Introduced

📍 Current Status

Next: The bill will be reviewed by relevant committees who will debate, amend, and vote on it.

🏛️

Committee Review

🗳️

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

**Main Purpose & Objectives:** The "Stamp Out Veterans Medical Debt Act" (because who doesn't love a good pun?) aims to create a special postage stamp to help pay off medical debt incurred by veterans. How noble. The real purpose, of course, is to make Congress look like they care about veterans while doing the bare minimum.

**Key Provisions & Changes to Existing Law:** The bill creates a new postage stamp, because that's exactly what we need – more stamps. The USPS will issue and sell this special stamp, with all proceeds going to the Department of Veterans Affairs (VA) to pay off medical debt. Oh, and it'll be issued in time for Veterans Day each year, because nothing says "we care" like a timely marketing gimmick.

**Affected Parties & Stakeholders:** Veterans, supposedly, will benefit from this bill. But let's be real – the VA is already a bureaucratic nightmare; adding another layer of complexity won't exactly streamline the process. The USPS gets to sell more stamps, so they're happy. Congress gets to pretend they care about veterans, and their constituents get to feel good about buying a stamp.

**Potential Impact & Implications:** This bill will have all the impact of a Band-Aid on a bullet wound. It's a token gesture, designed to make Congress look good without actually addressing the underlying issues plaguing the VA. The real problem is the systemic incompetence and inefficiency within the VA, not the lack of funding. This stamp won't even begin to scratch the surface of the medical debt issue.

In short, this bill is a symptom of a deeper disease: Congressional cowardice. They're too afraid to tackle real reform, so they opt for feel-good legislation that accomplishes nothing. It's like putting a "Support Our Troops" bumper sticker on a car – it makes you feel good, but does nothing to actually support the troops.

Diagnosis: Legislative Theater-itis, with symptoms of Congressional Cowardice and a dash of Cynical Manipulation. Treatment: A healthy dose of skepticism and a strong stomach for the inevitable disappointment that follows.

Related Topics

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

💰 Campaign Finance Network

Rep. Flood, Mike [R-NE-1]

Congress 119 • 2024 Election Cycle

Total Contributions
$985,271
426 donors
PACs
$0
Organizations
$9,011
Committees
$0
Individuals
$976,260

No PAC contributions found

1
CHEROKEE NATION
1 transaction
$3,300
2
DEMOCRACY ENGINE, LLC
2 transactions
$2,878
3
SUGAR CREEK REALTY
1 transaction
$1,500
4
LAMA COMMUNITY TRUST
1 transaction
$833
5
RADCLIFFE GILBERTSON & BRADY
1 transaction
$500

No committee contributions found

1
CASSLING, MICHAEL
2 transactions
$16,500
2
BRADFORD VI, DANA
2 transactions
$9,900
3
HAWKINS JR, FRED
2 transactions
$9,900
4
ROBINSON, JULIE
2 transactions
$9,900
5
LEBARON, MARC
4 transactions
$8,267
6
TURNER, CARLY M
3 transactions
$7,600
7
ACKLIE, PHYLLIS
2 transactions
$6,600
8
BELL, RICHARD R
2 transactions
$6,600
9
BROZ, DAN R
2 transactions
$6,600
10
CASSELS, SCOTT
2 transactions
$6,600
11
CASSLING, ELIZABETH
2 transactions
$6,600
12
CHAPIN, SUE
2 transactions
$6,600
13
CLARK, KEVIN A
2 transactions
$6,600
14
COLLISON, ALAN
2 transactions
$6,600
15
COLLISON, JACQUE
2 transactions
$6,600
16
DINKEL, CINDY M
3 transactions
$6,600
17
DOVER, ROBERT
2 transactions
$6,600
18
DUGGER, CATHERINE
1 transaction
$6,600
19
FRITZ, LANCE
2 transactions
$6,600
20
GILLICK, LYDIA
2 transactions
$6,600
21
HAMANN, DERYL F.
2 transactions
$6,600
22
HAWKINS, FRED H JR.
2 transactions
$6,600
23
HORNADY, STEVEN D.
2 transactions
$6,600
24
HUNZEKER, FRED
2 transactions
$6,600
25
KLUCK, ADAM
2 transactions
$6,600
26
MIERS, STEVE
3 transactions
$6,600
27
MILLIGAN, CYNTHIA
2 transactions
$6,600
28
MILLIGAN, ROBERT
4 transactions
$6,600
29
NEUNER, PAUL
2 transactions
$6,600
30
OSTERGARD, HOLLY
2 transactions
$6,600
31
OSTERGARD, TONN
2 transactions
$6,600
32
ROBINSON, BETTI
2 transactions
$6,600
33
ROBINSON, RICHARD A.
2 transactions
$6,600
34
ROWAN, CAROLYN
2 transactions
$6,600
35
ROWAN, MARC
2 transactions
$6,600
36
SANDALL, GRETCHEN M
2 transactions
$6,600
37
SANDALL, PAUL
2 transactions
$6,600
38
STEPHENS, WARREN A
2 transactions
$6,600
39
YANNEY, MICHAEL B.
4 transactions
$6,600
40
LOVE, BRAD
2 transactions
$6,500
41
CHAPIN, DAVID
2 transactions
$6,300
42
DILLON, SID
3 transactions
$6,300
43
HAWKINS, CHRIS
2 transactions
$6,300
44
RUBACK, ANDREW
2 transactions
$6,200
45
ANDERSON, KRISTA
2 transactions
$5,800
46
ANDERSON, MICKEY
2 transactions
$5,800
47
HOCH, HARRY A
4 transactions
$5,800
48
SAMPSON, SAM
2 transactions
$5,800
49
STINSON, ANN
2 transactions
$5,800
50
STINSON, KEN E.
2 transactions
$5,800
51
BRADFORD, DANIELLE
2 transactions
$5,600
52
MUHLEISEN, ANGIE
2 transactions
$5,300
53
WESTHOFF, JERRY
2 transactions
$5,300
54
MORONEY, JOSEPH
2 transactions
$5,200
55
BAUMERT, DENNIS
2 transactions
$5,000
56
DUHAMEL, WILLIAM
2 transactions
$5,000
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DINKEL, LARRY
4 transactions
$4,800
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COLLINGSWORTH, BLAKE
3 transactions
$4,500
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HERRICK, DONNA
3 transactions
$4,500
60
OSBORN, SHANE
3 transactions
$4,300
61
KRUEGER, RICK
7 transactions
$4,200
62
DINKEL, JOHN M
6 transactions
$4,000
63
HESSER, MARK
4 transactions
$4,000
64
LEAS, BRET
2 transactions
$4,000
65
LEONARD, STEVE
3 transactions
$4,000
66
RADCLIFFE, WALTER
4 transactions
$4,000
67
ROSS, RON
4 transactions
$4,000
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SPELLERBERG, JOEY
3 transactions
$4,000
69
DITTMAN, JOHN
3 transactions
$3,800
70
LUCKASEN, COLLEEN
2 transactions
$3,700
71
REED, ROBERT A
2 transactions
$3,700
72
HOGAN, PAUL
3 transactions
$3,500
73
ADAMS, JERRY D
1 transaction
$3,300
74
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1 transaction
$3,300
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BAUER, STU
1 transaction
$3,300
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1 transaction
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1 transaction
$3,300
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1 transaction
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1 transaction
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BRUNING, JON C
1 transaction
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1 transaction
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2 transactions
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1 transaction
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1 transaction
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85
CASSELS, KARLA
1 transaction
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1 transaction
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87
CLARK, JENNIFER M DDS
1 transaction
$3,300
88
DILLON, BLAKE
1 transaction
$3,300
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DIXON, CHRISTOPHER
2 transactions
$3,300
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DOVER, ANN
1 transaction
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DUGGER, EMILY
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DUGGER, JEFF
1 transaction
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DUGGER, STEVEN
1 transaction
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DUNLAP, MIKE
1 transaction
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FALTYS, JARED M.
1 transaction
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FOOTE, BRAD
1 transaction
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1 transaction
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GALL, R.J.
1 transaction
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100
GEARY, CONNIE
1 transaction
$3,300
101
HAGER, ALLEN
1 transaction
$3,300
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HAWKINS, KAYLA
1 transaction
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HAWKS, HOWARD
1 transaction
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HAWKS, RHONDA
1 transaction
$3,300
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HERRE, MICHAEL
1 transaction
$3,300
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HERRE, MICHAEL F
2 transactions
$3,300
107
HILGERS, MICHAEL T.
1 transaction
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108
HINCHCLIFF, STEVEN
1 transaction
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109
HORNADY, JASON
1 transaction
$3,300
110
HOROWITZ, BEN
2 transactions
$3,300
111
JABENIS, JON LANCE
1 transaction
$3,300
112
KELLY, MARTIN
1 transaction
$3,300
113
LEGERE, SYLVIE
1 transaction
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114
LUCKASEN, JOHN R.
1 transaction
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115
NODDLE, JAY
1 transaction
$3,300
116
NOORDHOEK, JEFF
1 transaction
$3,300
117
NORTON, TRAVIS
1 transaction
$3,300
118
PADEN, COLLEEN
1 transaction
$3,300
119
RICKETTS, MARLENE
1 transaction
$3,300
120
ROBINSON, ARNOLD
1 transaction
$3,300
121
RUWE, MEGAN
1 transaction
$3,300
122
RYAN, CONSTANCE
3 transactions
$3,300
123
SJULIN, CARL J.
1 transaction
$3,300
124
SMITH, KRISTIN
1 transaction
$3,300
125
TIMMERMAN, JAMES
1 transaction
$3,300
126
TIMMERMAN, MARGIE
1 transaction
$3,300
127
VOKOUN, DANIEL L
1 transaction
$3,300
128
WALKER, KENT
1 transaction
$3,300
129
WILKE, LOIS J
1 transaction
$3,300
130
WILKE, MICHAEL J
1 transaction
$3,300
131
WINKLEVOSS, CAMERON
1 transaction
$3,300
132
WINKLEVOSS, TYLER
1 transaction
$3,300
133
CARLSON, SCOTT
2 transactions
$3,250
134
MUELLER, SCOTT
2 transactions
$3,024
135
CLARE, TIMOTHY F.
2 transactions
$3,000
136
DINKEL, BRAD
2 transactions
$3,000
137
DOELE, JASON S
2 transactions
$3,000
138
LANGE, JASON
2 transactions
$3,000
139
NELSEN, BRUCE
1 transaction
$2,900
140
REED, STACIA
1 transaction
$2,900
141
VOKOUN, DANIEL
1 transaction
$2,900
142
BENES, BOB
1 transaction
$2,500
143
BRIGHAM, ROBERT S
1 transaction
$2,500
144
BULFINCH, SCOTT
3 transactions
$2,500
145
BURGESS, ROBERT
2 transactions
$2,500
146
CABELA, THOMAS G
1 transaction
$2,500
147
DUDLEY, BOB
1 transaction
$2,500
148
HANSON, LEO
1 transaction
$2,500
149
HAWKINS, KAREN M
1 transaction
$2,500
150
HAWKINS, KIM M
1 transaction
$2,500
151
HEVLIN, TYLER
1 transaction
$2,500
152
LOMBARDO, SPENCER
3 transactions
$2,500
153
MARQUIS, DL
1 transaction
$2,500
154
OWEN, TYLER
4 transactions
$2,500
155
PAPE, JEFFREY W
2 transactions
$2,500
156
PILLEN, BROCK
1 transaction
$2,500
157
PRINCE, ROBERT
1 transaction
$2,500
158
QUINN, SEAN
1 transaction
$2,500
159
SELINE, STEVE W
3 transactions
$2,500
160
ALETY, SAAT
3 transactions
$2,000
161
AMES, KEAGHAN
2 transactions
$2,000
162
ASCHOFF, TIM
2 transactions
$2,000
163
BOULAY, GREGORY
2 transactions
$2,000
164
BROGAN, TIMOTHY
2 transactions
$2,000
165
CASTNER, RALPH
2 transactions
$2,000
166
COPPLE, DAVID E
2 transactions
$2,000
167
FAUST, MICHAEL
2 transactions
$2,000
168
FELLER, TOM
1 transaction
$2,000
169
FREDRICKSON, ALLEN
1 transaction
$2,000
170
KELLEY, THOMAS O
1 transaction
$2,000
171
KETCHUM, JOHN
1 transaction
$2,000
172
MCCLYMONT, PETE
2 transactions
$2,000
173
MCNALLY-SCHULLER, LYNNE
3 transactions
$2,000
174
QUANDAHL, MARK
3 transactions
$2,000
175
QUINN, RONALD
2 transactions
$2,000
176
RAMAEKERS, STEVEN M.
1 transaction
$2,000
177
SPRAY, DAN A
1 transaction
$2,000
178
WARNEMUNDE, DAVID J
2 transactions
$2,000
179
WEITZENKAMP, TOM
2 transactions
$2,000
180
ZOLLER, ERIC
1 transaction
$2,000
181
THOMPSON, KENT
2 transactions
$2,000
182
ABBOUD, CHRIS
2 transactions
$1,900
183
BAKER, SKARDON
1 transaction
$1,800
184
LOVE, KRIS
1 transaction
$1,700
185
AMES, PATRICK
1 transaction
$1,650
186
LINDSTROM, BRETT
1 transaction
$1,518
187
ASCHOFF, TIMOTHY
1 transaction
$1,500
188
BLAKE, JEREMIAH L
1 transaction
$1,500
189
EUREK, PAUL
2 transactions
$1,500
190
FOSSUM, DREW
2 transactions
$1,500
191
HENNING, THOMAS E
1 transaction
$1,500
192
HITE, CHRIS
1 transaction
$1,500
193
HOPPE, JAKE
1 transaction
$1,500
194
HOPPE, WARD
1 transaction
$1,500
195
HUDSON JR, JOHN H
1 transaction
$1,500
196
JONES JR, BO D
1 transaction
$1,500
197
LAWLER, MIKE
1 transaction
$1,500
198
MCCLAIN, TERRY
2 transactions
$1,500
199
OLSEN, JANA
1 transaction
$1,500
200
OTTEN, AARON A
2 transactions
$1,500
201
PADEN, ROBERT J
1 transaction
$1,500
202
PETERSON, JEFFREY
1 transaction
$1,500
203
ROSKENS, LISA
2 transactions
$1,500
204
SCHEER, JAMES
2 transactions
$1,500
205
SMITH, CLAY
2 transactions
$1,500
206
STOVER, RYAN
1 transaction
$1,500
207
WHALEN, KATINA
1 transaction
$1,500
208
WOODLING, ROBERT
1 transaction
$1,500
209
LOCKARD, BARRY
2 transactions
$1,500
210
PEETZ, NATALIE
2 transactions
$1,400
211
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1 transaction
$1,143
212
EDELMAN, THEODORE
1 transaction
$1,143
213
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1 transaction
$1,143
214
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1 transaction
$1,143
215
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1 transaction
$1,143
216
POSNER, DANIEL
1 transaction
$1,143
217
SUSSMAN, STEVE
1 transaction
$1,143
218
ADAMS, GORDON D
1 transaction
$1,000
219
BAILEY, BRUCE
1 transaction
$1,000
220
BALKAYA, IHSAN YASIR
1 transaction
$1,000
221
BECKER, TOM
1 transaction
$1,000
222
BOCK, TRAVIS A
1 transaction
$1,000
223
BOE, NANCY
1 transaction
$1,000
224
BRADFORD, JAMES
1 transaction
$1,000
225
BUCHANAN, DEE
2 transactions
$1,000
226
BURNS, PHILIP
1 transaction
$1,000
227
CADA, JAMES
2 transactions
$1,000
228
CADA, JAMES A
2 transactions
$1,000
229
CHAMBERLAIN, SARAH
1 transaction
$1,000
230
CHOCHON, RICHARD B
1 transaction
$1,000
231
CUSICK, NICHOLAS
1 transaction
$1,000
232
DAVIS, WILLIAM S
1 transaction
$1,000
233
DE VERE, MICHAEL
1 transaction
$1,000
234
DINKEL, JOHN
2 transactions
$1,000
235
DINSDALE, SID
1 transaction
$1,000
236
DOWNS, RYAN
1 transaction
$1,000
237
DRISCOLL, KELLY A
1 transaction
$1,000
238
FAHLESON, MARK A.
1 transaction
$1,000
239
FEHRINGER, JOE
1 transaction
$1,000
240
FELLERS, ANSLEY
2 transactions
$1,000
241
FOX, JOHN
1 transaction
$1,000
242
FULTON, ANTHONY W.
1 transaction
$1,000
243
GEAR, KENNETH
1 transaction
$1,000
244
GEORGE, STEVEN L.
1 transaction
$1,000
245
HAMILTON, BRIAN
1 transaction
$1,000
246
HAMILTON, CAREY
1 transaction
$1,000
247
HANSEN, COLETTE
1 transaction
$1,000
248
HANSON, ROBERT
1 transaction
$1,000
249
HARTZELL, MARYANNE
1 transaction
$1,000
250
HEADLEY, MATTHEW
1 transaction
$1,000
251
HEINEMAN, DAVE
1 transaction
$1,000
252
HEINEMAN, SAMUEL
1 transaction
$1,000
253
HELLBUSCH, JAMES
1 transaction
$1,000
254
HENNING, THOMAS
1 transaction
$1,000
255
HODGES, RENE K
1 transaction
$1,000
256
HOLM, TROY
1 transaction
$1,000
257
HUPP, MICHAEL
2 transactions
$1,000
258
JAIN, TUSHAR
1 transaction
$1,000
259
JANSSEN, CHARLES L
1 transaction
$1,000
260
JOHNSON, JEFFREY J
1 transaction
$1,000
261
JONES, TROY
1 transaction
$1,000
262
KAMLER, ERIC
2 transactions
$1,000
263
KEIGHER, TIMOTHY P
1 transaction
$1,000
264
KINSELLA, DANIEL
1 transaction
$1,000
265
KNOBBE, SCOTT
1 transaction
$1,000
266
KROEGER, TERRY
1 transaction
$1,000
267
LANDEN, JAMES E.
1 transaction
$1,000
268
LAU, ROBERT
1 transaction
$1,000
269
LAUGHLIN, MARK
1 transaction
$1,000
270
LEITNER, CHRIS
1 transaction
$1,000
271
LOCKE, CORY
2 transactions
$1,000
272
MARENGO, DELETTE
1 transaction
$1,000
273
MARTIN CHRISTENSEN, MARY ANN
1 transaction
$1,000
274
MCILHON, JOE
1 transaction
$1,000
275
MEHTA, NEIL
1 transaction
$1,000
276
MITCHELL, DAVID C
2 transactions
$1,000
277
MITCHELL, EARL H.
1 transaction
$1,000
278
MOORE, SCOTT D
1 transaction
$1,000
279
MORGAN, LANCE G.
1 transaction
$1,000
280
MUELLER, WILLIAM
1 transaction
$1,000
281
PALM, OWEN
1 transaction
$1,000
282
PARKER, GARY
1 transaction
$1,000
283
PAULEY, DANIEL C
1 transaction
$1,000
284
PEDIATRIC DENTISTRY PAC, AMERICAN ACADEMY OF
1 transaction
$1,000
285
PEETZ III, JOHN P.
1 transaction
$1,000
286
PETERSEN, DIRK A
1 transaction
$1,000
287
PETERSON, CHRIS
1 transaction
$1,000
288
PETERSON, RUSSELL V
1 transaction
$1,000
289
PETERSON, RUSSELL V JR.
1 transaction
$1,000
290
PILLEN, SARAH
1 transaction
$1,000
291
POWERS, VERNON
1 transaction
$1,000
292
ROTH, CHRIS
1 transaction
$1,000
293
RUSSELL, RANDALL
1 transaction
$1,000
294
SAMANI, KYLE
1 transaction
$1,000
295
SCHAFER, ROBERT M
1 transaction
$1,000
296
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2 transactions
$1,000
297
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1 transaction
$1,000
298
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2 transactions
$1,000
299
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1 transaction
$1,000
300
SHAW, REBECCA
1 transaction
$1,000
301
SHRADER, DANIEL
1 transaction
$1,000
302
SROCZYNSKI, MARK
1 transaction
$1,000
303
STEFFENSMEIER, RYAN
1 transaction
$1,000
304
STITZEL, JULIE
1 transaction
$1,000
305
SUESS, NEAL
1 transaction
$1,000
306
SUNDERMAN, DOUGLAS D
1 transaction
$1,000
307
TESSENDORF, RYAN G.
1 transaction
$1,000
308
THOMPSON, SARA
1 transaction
$1,000
309
TRYSLA, TIMOTHY
2 transactions
$1,000
310
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1 transaction
$1,000
311
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1 transaction
$1,000
312
WAKE, MAX T.
1 transaction
$1,000
313
WHITEHEAD, MARK A.
1 transaction
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Donor Network - Rep. Flood, Mike [R-NE-1]

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Total contributions: $99,811

Top Donors - Rep. Flood, Mike [R-NE-1]

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Industry Impact

Which industries are materially affected by specific provisions in this bill. 1 helped.

  • Section 2(c) directs the Secretary of Veterans Affairs to disperse stamp sale proceeds to VA offices for paying down veteran medical debt incurred via unresolved copayment and coinsurance billings related to services furnished by the Department and the Community Care Program, which would benefit hospitals and health systems providing care to veterans.

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: 60%
Pages: 688-691AI Enhanced

AI Analysis:

"The bill’s focus on reducing veteran medical debt aligns with Project 2025’s VA objectives of improving veteran financial well-being and strengthening VA support services, showing significant overlap in goals."

Key themes:veteran medical debt reliefVA funding mechanismsveteran financial well-beingpublic-private partnershipVA healthcare access

— 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

Moderate
Vector: 62%
Pages: 676-678AI Enhanced

AI Analysis:

"The bill addresses veteran medical debt relief through a public fundraising mechanism, which aligns with Project 2025's focus on improving veteran care and financial well-being, though it does not directly engage with the specific reforms to Community Care access standards or VHA restructuring emphasized in the policy."

Key themes:veteran healthcaremedical debt reliefVeterans AffairsCommunity Careveteran financial well-being

— 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

Weak
Vector: 61%
Pages: 676-678AI Enhanced

AI Analysis:

"The bill creates a fundraising mechanism to pay veterans' medical debt, whereas Project 2025's VA section emphasizes operational reforms, infrastructure, disability benefits, and conservative governance directives; they share only a general concern for veterans' health care and financial well-being."

Key themes:veteranshealth caremedical debtVAfunding

— 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

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.

Full Policy Text

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