Blast Overpressure Research and Mitigation Task Force Act

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Bill ID: 119/hr/6444
Last Updated: August 13, 2026

Sponsored by

Rep. Jackson, Ronny [R-TX-13]

ID: J000304

Follow the money

The bill

Blast Overpressure Research and Mitigation Task Force Act

HR. 6444, 119th Congress — read as touching Defense Contractors.

The sponsor

Rep. Jackson, Ronny [R-TX-13]

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

The money

$82,443 raised

20 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

Ordered to be Reported (Amended) by Voice Vote.

May 13, 2026

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 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 congressional masterpiece, carefully crafted to make it seem like they're doing something useful while actually accomplishing nothing. Let's dissect this farce.

**Main Purpose & Objectives:** The Blast Overpressure Research and Mitigation Task Force Act (HR 6444) claims to establish a task force within the Department of Veterans Affairs to improve healthcare for veterans with traumatic brain injuries, post-traumatic stress disorder, or other symptoms related to blast overpressure. Wow, how original.

**Key Provisions & Changes to Existing Law:** The bill creates a new task force (because we don't have enough bureaucratic red tape already) that will:

1. "Improve" healthcare for affected veterans by aligning research agendas and acquisition strategies. Translation: more meetings, more reports, more nothing. 2. Establish physiological and cognitive performance baselines for these veterans. Because what they really need is another battery of tests to justify the existence of this task force. 3. Prioritize translational research on various topics, including sleep therapy, blast-related gut health, and vestibular dysfunction. Sounds like a laundry list of buzzwords to me.

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

1. Veterans with traumatic brain injuries or PTSD (the supposed beneficiaries of this bill). 2. The Department of Veterans Affairs (which will get to create another bureaucratic entity to justify its existence). 3. Defense contractors and researchers (who will receive funding for their "research" initiatives).

**Potential Impact & Implications:** This bill is a classic case of legislative theater, designed to make politicians look like they care about veterans while actually accomplishing nothing meaningful.

The real impact will be:

1. More bureaucratic overhead, as the task force creates more reports and meetings. 2. Increased funding for defense contractors and researchers, who will produce more "research" that won't change anything. 3. A temporary distraction from the actual problems facing veterans, such as inadequate healthcare, lack of support services, and a broken benefits system.

In short, this bill is a Band-Aid on a bullet wound, designed to make politicians feel good about themselves while ignoring the real issues. It's a perfect example of how Congress operates: all show, no substance.

Related Topics

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

💰 Campaign Finance Network

Rep. Jackson, Ronny [R-TX-13]

Congress 119 • 2024 Election Cycle

Total Contributions
$82,443
14 donors
PACs
$0
Organizations
$0
Committees
$0
Individuals
$82,443

No PAC contributions found

No organization contributions found

No committee contributions found

1
TARPLEY, JAMES
2 transactions
$13,200
2
BURKHARDT, JOAN
2 transactions
$13,068
3
COUNTRYMAN, LOUEEN
3 transactions
$9,900
4
ARCHER, LYNNE
2 transactions
$6,870
5
DAMBROSIO, KATHLEEN
2 transactions
$6,600
6
HIMEBAUGH, PAUL
1 transaction
$6,270
7
BURZYNSKI, STANISLAW
1 transaction
$3,435
8
PERRIN, JOE
1 transaction
$3,300
9
KOVSCHAK, ANGELA
1 transaction
$3,300
10
BALLER, JIM
1 transaction
$3,300
11
HAYNES, JOHN T
1 transaction
$3,300
12
FLETCHER, J'MELLE
1 transaction
$3,300
13
GRAVES, WILLIAM E
1 transaction
$3,300
14
COHEN, MICHAEL
1 transaction
$3,300

Cosponsors & Their Campaign Finance

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

Rep. Alford, Mark [R-MO-4]

ID: A000379

Top Contributors

23

1
OTOE-MISSOURIA TRIBE OF INDIANS
OrganizationRED ROCK, OK
$3,300
Jun 21, 2023
2
CM DUBOIS STRATEGIES LLC
OrganizationWEBSTER GROVES, MO
$2,000
Mar 18, 2024
3
WAYPOINT CONSULTING LLC
OrganizationWASHINGTON, DC
$1,100
Dec 13, 2023
4
CHERRY, DERON
UNITED BEVERAGE COMPANY • PRESIDENT
IndividualKANSAS CITY, MO
$3,300
Sep 30, 2024
5
CHERRY, DERON
UNITED BEVERAGE COMPANY • PRESIDENT
IndividualKANSAS CITY, MO
$3,300
Sep 30, 2024
6
REDFORD, STAN
REDFORD CONSTRUCTION • OWNER
IndividualRAYMORE, MO
$3,300
Jul 26, 2024
7
THOMPSON, CRAIG
GOLDEN VALLEY HEALTH • CEO
IndividualCLINTON, MO
$3,300
Sep 7, 2024
8
COOPER, SHANNON
Individual
$3,300
Dec 29, 2023
9
GRAY, CHARLES M
REMAX • BROKER
IndividualCLINTON, MO
$3,300
Dec 29, 2023
10
GUTHRIE, JASON
J&S FARMS • OWNER
Individual
$3,300
Dec 29, 2023

Rep. Smith, Christopher H. [R-NJ-4]

ID: S000522

Top Contributors

21

1
WALL REPUBLICAN CLUB
OrganizationWALL, NJ
$1,100
Mar 5, 2023
2
CLAYTON, WILLIAM MR.
RALPH CLAYTON & SONS • OWNER
IndividualBRIELLE, NJ
$3,300
Oct 30, 2024
3
DUNCAN, JAN L. MRS.
RETIRED • RETIRED
IndividualHOUSTON, TX
$3,300
Oct 29, 2024
4
HARRIS, MARY ELLEN MRS.
HARRIS FRC CORPORATION • CEO
IndividualHOLMDEL, NJ
$3,300
Oct 29, 2024
5
KOLBER, GEORGE MR.
KOLBER PROPERTIES • OWNER
IndividualRUMSON, NJ
$3,300
Oct 31, 2024
6
OBERHELMAN, DIANE MRS.
CULLINAN PROPERTIES • CHAIRMAN
IndividualEDWARDS, IL
$3,300
Dec 6, 2024
7
HOLMES, WILLIAM MR.
SELF • OIL & GAS
IndividualMIDLAND, TX
$3,300
Dec 18, 2023
8
HOLMES, WILLIAM MR.
SELF • OIL & GAS
IndividualMIDLAND, TX
$3,300
Dec 18, 2023
9
DEANGELIS, MARK MR.
SELF • FINANCE
IndividualHOLMDEL, NJ
$3,300
Sep 25, 2023
10
ADJMI, HARRY MR.
ONE STEP UP LTD • CEO
IndividualNEW YORK, NY
$3,300
Sep 29, 2023

Rep. Tiffany, Thomas P. [R-WI-7]

ID: T000165

Top Contributors

20

1
SOLBERG, TRYGVE A
SELF • BUSINESS OWNER
IndividualMINOCQUA, WI
$13,200
Sep 30, 2023
2
SHANNON, JEAN L
RETIRED • RETIRED
IndividualMILWAUKEE, WI
$13,200
Jul 27, 2023
3
NICKLAUS, GREG
INCREDIBLE BANK • VICE CHAIRMAN
IndividualARBOR VITAE, WI
$13,200
Mar 31, 2024
4
NICKLAUS, GREG
INCREDIBLE BANK • VICE CHAIRMAN
IndividualARBOR VITAE, WI
$13,200
Mar 31, 2024
5
BUHOLZER, RONALD
KLONDIKE CHEESE • PRESIDENT
IndividualMONROE, WI
$13,200
Jun 30, 2024
6
MAYER, SCOTT A
QPS EMPLOYMENT GROUP • CHAIRMAN OF THE BOARD
IndividualFRANKLIN, WI
$10,000
Feb 29, 2024
7
HILGEMANN, WILLIAM
RETIRED • RETIRED
IndividualSTRATFORD, WI
$9,900
Jun 30, 2024
8
ZIETLOW, DONALD P
RETIRED • RETIRED
IndividualLA CROSSE, WI
$6,666
Jun 28, 2023
9
ALBEE, ALAN P
EAGLE WASTE AND RECYCLING INC • PRESIDENT
IndividualMINOCQUA, WI
$6,600
Aug 12, 2024
10
ALDRIDGE, KENNETH
SELF • EXECUTIVE
IndividualLIBERTYVILLE, IL
$6,600
Aug 3, 2023

Rep. Pfluger, August [R-TX-11]

ID: P000048

Top Contributors

23

1
SYCUAN BAND OF THE KUMEYAAY NATION
OrganizationEL CAJON, CA
$3,300
Apr 18, 2024
2
SYCUAN BAND OF THE KUMEYAAY NATION
OrganizationEL CAJON, CA
$3,300
Jun 30, 2023
3
ALABAMA-COUSHATTA TRIBE
OrganizationLIVINGSTON, TX
$1,000
Sep 27, 2024
4
DIMEMMO, COLETTE
RETIRED • RETIRED
IndividualFORT MYERS, FL
$6,600
Oct 24, 2024
5
PUDWILL, JAMES
IndividualNIPOMO, CA
$6,600
Sep 16, 2024
6
GELBMAN, JOEL
IndividualNAPLES, FL
$6,600
Sep 16, 2024
7
GELBMAN, JOEL
RETIRED • RETIRED
IndividualNAPLES, FL
$6,600
Aug 26, 2024
8
PUDWILL, JAMES
RETIRED • RETIRED
IndividualNIPOMO, CA
$6,600
Aug 3, 2024
9
WILSON, CELIA R
OIL AND GAS • SELF-EMPLOYED
IndividualMIDLAND, TX
$5,800
Mar 31, 2024
10
WILSON, CELIA R
SELF • OIL AND GAS
IndividualMIDLAND, TX
$5,800
Apr 9, 2024

Rep. Edwards, Chuck [R-NC-11]

ID: E000246

Top Contributors

20

1
BAUM, ANN
OSAAT ENTERPRISES LLC DBA MCDONALD'S • RESTAURANT OWNER
IndividualCHARLOTTE, NC
$3,300
Dec 21, 2023
2
DUHAMEL, WILLIAM F
ROUTE ONE INVESTMENT COMPANY • PORTFOLIO MANAGER
IndividualSAN FRANCISCO, CA
$3,300
Dec 15, 2023
3
BELL, JOHN W III
BILTMORE PROPERTY GROUP • MANAGEMENT
IndividualASHEVILLE, NC
$3,300
Oct 21, 2024
4
EASTERN BAND OF CHEROKEE INDI, TRIBE
UNINCORP INDIAN TRIBE • UNINCORP INDIAN TRIBE
IndividualCHEROKEE, NC
$3,300
Nov 8, 2024
5
EASTERN BAND OF CHEROKEE INDI, TRIBE
UNINCORP INDIAN TRIBE • UNINCORP INDIAN TRIBE
IndividualCHEROKEE, NC
$3,300
Feb 13, 2024
6
POPE, JAMES
VARIETY WHOLESALERS • RETAILER
IndividualRALEIGH, NC
$3,300
Feb 12, 2024
7
SYKES, CLAY
ESG OPERATIONS INC. • PRINCIPAL
IndividualPENROSE, NC
$3,300
Feb 5, 2024
8
SYKES, LISA
RETIRED • RETIRED
IndividualPENROSE, NC
$3,300
Feb 5, 2024
9
FAISON, JAY
2040 FOUNDATION • DIRECTOR
IndividualCHARLOTTE, NC
$3,300
Mar 4, 2024
10
FAISON, JAY
2040 FOUNDATION • DIRECTOR
IndividualCHARLOTTE, NC
$3,300
Mar 4, 2024

Rep. Van Duyne, Beth [R-TX-24]

ID: V000134

Top Contributors

23

1
DEMOCRACY ENGINE (EARMARK)
OrganizationWASHINGTON, DC
$2,500
Aug 10, 2023
2
SYCUAN BAND OF THE KUMEYAAY NATION
OrganizationEL CAJON, CA
$1,000
Aug 2, 2024
3
ALABAMA-COUSHATTA TRIBE
OrganizationLIVINGSTON, TX
$1,000
Oct 24, 2024
4
ALSH, DENNIS
RETIRED • RETIRED
IndividualSOUTHLAKE, TX
$6,600
Sep 30, 2024
5
SCHWARZMAN, CHRISTINE
RETIRED • RETIRED
IndividualNEW YORK, NY
$6,600
Dec 1, 2023
6
ADAIR, AARON
COPART INC. • CEO
IndividualDALLAS, TX
$6,600
Feb 12, 2024
7
ADAIR, AARON
COPART INC. • CEO
IndividualDALLAS, TX
$6,600
Feb 12, 2024
8
GRIFFIN, KENNETH C. MR.
CITADEL LLC • FOUNDER CEO
IndividualMIAMI BEACH, FL
$6,600
Apr 10, 2023
9
FISHER, KENNETH
FISHER INVESTMENTS • EXECUTIVE CHAIRMAN
IndividualPLANO, TX
$6,600
May 23, 2024
10
FISHER, SHERRILYN
PLANO 6500 LLC • MEMBER
IndividualPLANO, TX
$6,600
May 23, 2024

Rep. Lawler, Michael [R-NY-17]

ID: L000599

Top Contributors

21

1
MURTAGH, COSSU, VENDITTI & CASTRO-BLANCO, LLP
OrganizationWHITE PLAINS, NY
$1,000
Feb 24, 2024
2
BATMASIAN, JAMES
INVESTMENTS LIMITED • OWNER
IndividualBOCA RATON, FL
$6,600
Sep 27, 2023
3
BATMASIAN, JAMES
IndividualBOCA RATON, FL
$6,600
Sep 29, 2023
4
AUSTIN, ROBERT
UNAKA CO., INC. • BUSINESSMAN
IndividualDALLAS, TX
$6,600
Jul 18, 2024
5
SILVERMAN, JEFFREY
RETIRED • RETIRED
IndividualSURFSIDE, FL
$6,534
Feb 15, 2024
6
SILVERMAN, JEFFREY
IndividualSURFSIDE, FL
$6,534
Feb 22, 2024
7
SCALA, MARY ELLEN
RETIRED • RETIRED
IndividualPORT CHESTER, NY
$5,300
Aug 27, 2023
8
DEUTSCH, SHMULEY
SELF • PRESIDENT
IndividualSPRING VALLEY, NY
$3,900
Jun 24, 2024
9
DEUTSCH, SHMULEY
IndividualSPRING VALLEY, NY
$3,900
Jun 25, 2024
10
PERLMUTTER, RAFUEL
GOLDEN TASTE • CEO
IndividualSPRING VALLEY, NY
$3,400
Jun 24, 2024

Rep. Vindman, Eugene Simon [D-VA-7]

ID: V000138

Top Contributors

22

1
LUX FOR VIRGINIA
OrganizationLADYSMITH, VA
$500
Mar 29, 2024
2
LUX FOR VIRGINIA
OrganizationLADYSMITH, VA
$500
Mar 31, 2024
3
FORSTER-BURKE, DIANE
NOT EMPLOYED • NOT EMPLOYED
IndividualCOTTONWOOD HEIGHTS, UT
$4,000
Apr 20, 2024
4
FORSTER-BURKE, DIANE
IndividualCOTTONWOOD HEIGHTS, UT
$4,000
May 5, 2024
5
VON STEIN, THOMSON
IndividualROCKVILLE, MD
$3,500
Aug 7, 2024
6
HULL, MEGAN
SELF • ACTIVIST
IndividualWASHINGTON, DC
$3,300
Nov 2, 2024
7
KAISER, GEORGE
GBK CORPORATION • EXECUTIVE
IndividualTULSA, OK
$3,300
Oct 25, 2024
8
PARSONS, KATHLEEN
NOT EMPLOYED • NOT EMPLOYED
IndividualPOTOMAC, MD
$3,300
Oct 18, 2024
9
STAPLE, HARISE
SELF • MD
IndividualLOS ALTOS, CA
$3,300
Oct 18, 2024
10
HOLMES, LAURA
SELF • REAL ESTATE INVESTOR
IndividualBOCA RATON, FL
$3,300
Oct 22, 2024

Rep. Tran, Derek [D-CA-45]

ID: T000491

Top Contributors

24

1
FEHER, ERICA
FEHER LAW • MARKETING
OrganizationTORRANCE, CA
$3,300
Feb 22, 2024
2
COTCHETT, PITRE & MCCARTHY LLP
OrganizationBURLINGAME, CA
$1,700
Jul 7, 2024
3
BRACAMONTES VLASAK, PC
OrganizationOAKLAND, CA
$1,000
Mar 31, 2024
4
FEDERATED INDIANS OF GRATON RANCHERIA
OrganizationROHNERT PARK, CA
$1,000
Aug 27, 2024
5
SOSNICK, AARON
IndividualRENO, NV
$3,392
Jun 24, 2024
6
ABIR, DANNY
ACTS LAW FIRM • ATTORNEY
IndividualENCINO, CA
$3,300
Oct 2, 2023
7
ABRON, BYRON
BYRON ABRON • ATTORNEY
IndividualLOS ANGELES, CA
$3,300
Oct 2, 2023
8
ARDALAN, PEZHMAN CHRISTOPHER
ARDALAN & ASSOCIATES, APLC • ATTORNEY
IndividualTHOUSAND OAKS, CA
$3,300
Oct 2, 2023
9
AREVALO, KRISTY
MCCUNE LAW GROUP • ATTORNEY
IndividualUPLAND, CA
$3,300
Oct 1, 2023
10
BABBITT, GREGORY
AUTO FRAUD LEGAL CENTER • ATTORNEY
IndividualSAN DIEGO, CA
$3,300
Nov 24, 2023

Rep. Begich, Nicholas J. [R-AK-At Large]

ID: B001323

Top Contributors

20

1
LOKEN, TYLER
IndividualANCHORAGE, AK
$5,000
Oct 17, 2024
2
ODOM, WILLIAM L
ODOM CORP • VICE CHAIRMAN
IndividualANCHORAGE, AK
$5,000
Oct 26, 2024
3
ODOM, WILLIAM L
IndividualANCHORAGE, AK
$5,000
Oct 26, 2024
4
FOX, RICHARD
GMS LLC • MANAGER
IndividualANCHORAGE, AK
$3,435
Sep 4, 2024
5
GERONDALE, CHRISTOPHER
SELF
IndividualJUNEAU, AK
$3,300
Oct 16, 2023
6
GERONDALE, CHRISTOPHER
SELF
IndividualJUNEAU, AK
$3,300
Oct 16, 2023
7
MCNAMARA, MICHAEL
MICHAEL MCNAMARA • PHYSICIAN
IndividualANCHORAGE, AK
$3,300
Oct 25, 2023
8
SCHWARZMAN, CHRISTINE
RETIRED • RETIRED
IndividualNEW YORK, NY
$3,300
Nov 1, 2023
9
SCHWARZMAN, CHRISTINE
RETIRED • RETIRED
IndividualNEW YORK, NY
$3,300
Nov 1, 2023
10
SCHWARZMAN, STEPHEN
BLACKSTONE
IndividualNEW YORK, NY
$3,300
Oct 30, 2023

Donor Network - Rep. Jackson, Ronny [R-TX-13]

PACs
Organizations
Individuals
Politicians

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

Loading...

Showing 27 nodes and 46 connections

Total contributions: $46

Top Donors - Rep. Jackson, Ronny [R-TX-13]

Showing top 14 donors by contribution amount

14 Individuals

Industry Impact

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

  • +Defense Contractorsconfidence 0.80

    Section 2(a) establishes a task force to improve health care for veterans and members of the Armed Forces, which may benefit defense contractors through improved research and development opportunities.

Who funds the sponsor on these industries

For each industry this bill affects, here's what the sponsor (Rep. Jackson, Ronny [R-TX-13])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: 62%
Pages: 688-691AI Enhanced

AI Analysis:

"The bill's focus on improving VA health care and benefits for veterans with blast overpressure injuries aligns closely with Project 2025's VA objectives to enhance veteran care, modernize services, and strengthen coordination between VA and DoD."

Key themes:veterans health careblast injury researchVA-DoD coordinationbenefits improvementtranslational research

— 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: 679-681AI Enhanced

AI Analysis:

"The bill shares the Project 2025 goal of enhancing VA health care and benefits for veterans, particularly through improved VA-DoD coordination and research alignment, but it does not directly address the broader operational reforms (e.g., CBOC expansion, wait‑time metrics, telehealth, EHR transition) emphasized in the Project 2025 VA section."

Key themes:veterans health careVA-DoD coordinationresearch alignmentbenefits improvementTBI/PTSD focus

— 647 — Department of Veterans Affairs reimagine the health care footprint in some locales, and spur a realignment of capacity through budgetary allocations. Specifically: 1. Embrace the expansion of Community Based Outpatient Clinics (CBOCs) as an avenue to maintain a VA footprint in challenging medical markets without investing further in obsolete and unaffordable VA health care campuses. 2. Explore the potential to pilot facility-sharing partnerships between the VA and strained local health care systems to reduce costs by leveraging limited talent and resources. Personnel l Extend the term of the Under Secretary for Health (USH) to five years. Additionally, authority should be given to reappoint this individual for a second five-year term both to allow for continuity and to protect the USH from political transition. l Establish a Senior Executive Service (SES) position of VHA Care System Chief Information Officer (CIO), selected by and reporting to the chief of the VHA Care System with a dotted line to the VA CIO. l Identify a workflow process to bring wait times in compliance with VA MISSION Act–required time frames wherever possible. 1. Assess the daily clinical appointment load for physicians and clinical staff in medical facilities where wait times for care are well outside of the time frames required by the VA MISSION Act. 2. Require VHA facilities to increase the number of patients seen each day to equal the number seen by DOD medical facilities: approximately 19 patients per provider per day. Currently, VA facilities may be seeing as few as six patients per provider per day. 3. Consider a pilot program to extend weekday appointment hours and offer Saturday appointment options to veterans if a facility continues to demonstrate that it has excess capacity and is experiencing delays in the delivery of care for veterans. 4. Identify clinical services that are consistently in high demand but require cost-prohibitive compensation to recruit and retain talent, and examine exceptions for higher competitive pay. — 648 — Mandate for Leadership: The Conservative Promise 5. Assess the medical facilities where Community Care is readily available but referrals for Community Care are below the averages in other similar markets, referrals expiring are above the average, and/ or canceled appointments are above the average. Identify reasons and factors and consider possible ways to improve timeliness and responsiveness for veterans. 6. Further explore how to leverage telehealth to reduce personnel costs across the enterprise and serve veterans. Continue to pursue expansion of broadband services to remote and rural areas. 7. Assess recruitment and retention in highly competitive medical markets to identify common limiting factors for attracting high-demand, specialized occupations. 8. Consider aggressively recruiting retired physicians who desire to serve veterans. 9. Consider expanding VA tuition assistance in exchange for reciprocal service in rural or understaffed VAMCs. 10. Examine the surpluses or deficits in mental health professionals throughout the enterprise, recognizing that the department needs a blend of social workers, therapists, psychologists, and psychiatrists with a focus on attracting high-quality talent. l Conduct a high-priority assessment of Electronic Health Record (EHR) transition delays and functionality problems. VA innovation in health care for the next 20 years and beyond will rest squarely on the timely implementation of the new VHA EHR in coordination with the DOD’s parallel pacing effort. The VA’s EHR rollout has been blocked by technical delays at local facilities where personnel have raised safety concerns and infrastructure has not been modernized to accept the new system. VETERANS BENEFITS ADMINISTRATION (VBA) Needed Reforms The most evident and ongoing concern is the complexity of benefits, which can lead to confusion for the veteran and, if not mitigated early in the veteran’s interactions, long-term distrust of and animosity toward the VA. Wholesale ben- efits reform is unnecessary and politically a “third rail,” but effective managerial

Department of Veterans Affairs

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

AI Analysis:

"The bill focuses on improving health care and research coordination for veterans with blast-related injuries, which aligns with Project 2025's broader goals of enhancing VA health care quality, accountability, and innovation, though it does not directly address the specific infrastructure, personnel, or caregiver program reforms outlined in the policy."

Key themes:veterans health careresearch coordinationquality improvementVA-DoD collaborationclinical innovation

— 646 — Mandate for Leadership: The Conservative Promise 3. Section 121 (developing and administering an education program that teaches veterans about their health care options available from the Department of Veterans Affairs). 4. Section 152 (returning the Office for Innovation of Care and Payment to the Office of Enterprise Integration with a joint governance process set up with the VHA). 5. Section 161 (overhauling Family Caregiver Program expansion, which has gone poorly, so that it focuses on consistency of eligibility and awareness that the most severely wounded or injured may require the program indefinitely). l Require the VHA to report publicly on all aspects of its operation, including quality, safety, patient experience, timeliness, and cost-effectiveness, using standards similar to those in the Medicare Accountable Care Organization program so that the government may monitor and achieve continuous improvement in the VA system more effectively. l Encourage VA Medical Centers to seek out relevant academic and private- sector input in their communities to improve the overall patient experience. Budget l Conduct an independent audit of the VA similar to the 2018 Department of Defense (DOD) audit to identify IT, management, financial, contracting, and other deficiencies. l Assess the misalignment of VHA facilities and rising infrastructure costs. The VHA operates 172 inpatient medical facilities nationally that are an average of 60 years old. Some of these facilities are underutilized and inadequately staffed. Facilities in certain urban and rural areas are seeing significant declines in the veteran population and strong competition for fresh medical staff. In 2018, Congress authorized an Asset Infrastructure Review (AIR) of national VHA medical markets to provide insight into where the VA health care budget should be responsibly allocated to serve veterans most effectively. However, the Senate Veterans Affairs Committee lacked the political will to act on the White House’s nominations of commission members, and this ultimately led to termination of the AIR process. The next Administration should seek out agile, creative, and politically acceptable operational solutions to this aging infrastructure status quo, — 647 — Department of Veterans Affairs reimagine the health care footprint in some locales, and spur a realignment of capacity through budgetary allocations. Specifically: 1. Embrace the expansion of Community Based Outpatient Clinics (CBOCs) as an avenue to maintain a VA footprint in challenging medical markets without investing further in obsolete and unaffordable VA health care campuses. 2. Explore the potential to pilot facility-sharing partnerships between the VA and strained local health care systems to reduce costs by leveraging limited talent and resources. Personnel l Extend the term of the Under Secretary for Health (USH) to five years. Additionally, authority should be given to reappoint this individual for a second five-year term both to allow for continuity and to protect the USH from political transition. l Establish a Senior Executive Service (SES) position of VHA Care System Chief Information Officer (CIO), selected by and reporting to the chief of the VHA Care System with a dotted line to the VA CIO. l Identify a workflow process to bring wait times in compliance with VA MISSION Act–required time frames wherever possible. 1. Assess the daily clinical appointment load for physicians and clinical staff in medical facilities where wait times for care are well outside of the time frames required by the VA MISSION Act. 2. Require VHA facilities to increase the number of patients seen each day to equal the number seen by DOD medical facilities: approximately 19 patients per provider per day. Currently, VA facilities may be seeing as few as six patients per provider per day. 3. Consider a pilot program to extend weekday appointment hours and offer Saturday appointment options to veterans if a facility continues to demonstrate that it has excess capacity and is experiencing delays in the delivery of care for veterans. 4. Identify clinical services that are consistently in high demand but require cost-prohibitive compensation to recruit and retain talent, and examine exceptions for higher competitive pay.

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About These Correlations

Policy matches are calculated using a hybrid approach: initial candidates are found using semantic similarity between bill summaries and Project 2025 policy text, then an AI model (Llama 3.1 70B) provides detailed alignment ratings and analysis. Ratings range from 1 (minimal alignment) to 5 (very strong alignment). This analysis does not imply direct causation or intent.

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