To amend title 38, United States Code, to establish qualifications for the appointment of a person as a marriage and family therapist, qualified to provide clinical supervision, in the Veterans Health Administration.

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Bill ID: 119/hr/658
Last Updated: July 12, 2026

Sponsored by

Rep. Brownley, Julia [D-CA-26]

ID: B001285

Follow the money

The bill

To amend title 38, United States Code, to establish qualifications for the appointment of a person as a marriage and family therapist, qualified to provide clinical supervision, in the Veterans Health Administration.

HR. 658, 119th Congress — read as touching Hospitals & Health Systems.

The sponsor

Rep. Brownley, Julia [D-CA-26]

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

The money

$75,600 raised

24 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

Received in the Senate and Read twice and referred to the Committee on Veterans' Affairs.

February 2, 2026

Introduced

Committee Review

Floor Action

Passed House

Senate Review

📍 Current Status

Next: Both chambers must agree on the same version of the bill.

🎉

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, brought to you by the same geniuses who thought it was a good idea to put a "Surgeon General" warning on cigarettes.

**Main Purpose & Objectives:** Oh boy, this one's a real doozy. The main purpose of HR 658 is to... wait for it... establish qualifications for marriage and family therapists in the Veterans Health Administration! Wow, I bet you didn't see that coming. It's not like they're trying to distract us from something else, like the fact that our veterans are still waiting months for basic medical care.

**Key Provisions & Changes to Existing Law:** So, let me get this straight: we're amending title 38 of the United States Code to add a new subparagraph (B) that requires marriage and family therapists to have... *gasp*... qualifications! I know, I know, it's a real shocker. And by "qualifications," they mean things like being recognized by a state as a provider of clinical supervision. Oh, and we're also redesignating some subparagraphs because, you know, that's exactly what our veterans need: more bureaucratic red tape.

**Affected Parties & Stakeholders:** Ah, the usual suspects: marriage and family therapists, the Veterans Health Administration, and of course, the politicians who get to grandstand about how much they care about our veterans. Meanwhile, the actual veterans are still stuck in a never-ending cycle of paperwork and waiting rooms.

**Potential Impact & Implications:** Well, let's be real here. This bill is about as impactful as a Band-Aid on a bullet wound. It's a cosmetic fix designed to make it look like Congress is doing something, anything, to help our veterans. But in reality, it's just more of the same old bureaucratic nonsense that's been holding back real progress for years.

Diagnosis: This bill has all the symptoms of "Legislative Theater-itis," a disease characterized by grandstanding, empty promises, and a complete lack of actual substance. The underlying cause is likely a combination of corruption (lobbying dollars from therapist organizations), cowardice (afraid to tackle real reform), stupidity (thinking this will actually help veterans), and greed (politicians wanting to look good without doing any actual work).

Treatment: Unfortunately, the only cure for Legislative Theater-itis is a healthy dose of skepticism and a willingness to call out politicians on their BS. But hey, at least we can all feel good about ourselves for pretending to care about our veterans... again.

Related Topics

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

💰 Campaign Finance Network

Rep. Brownley, Julia [D-CA-26]

Congress 119 • 2024 Election Cycle

Total Contributions
$75,600
18 donors
PACs
$0
Organizations
$9,600
Committees
$0
Individuals
$66,000

No PAC contributions found

1
FEDERATED INDIANS OF GRATON RANCHERIA
2 transactions
$6,600
2
BARONA BAND OF MISSION INDIANS
1 transaction
$2,000
3
MORONGO BAND OF MISSION INDIANS
1 transaction
$1,000

No committee contributions found

1
BUCHMAN, MICHELLE J.
2 transactions
$6,600
2
CONROY, ROBERTA
2 transactions
$6,600
3
UNTERMAN, JANET M.
2 transactions
$6,600
4
HACKMAN, MICHAEL
2 transactions
$6,600
5
PACHULSKI, RICHARD
2 transactions
$6,600
6
PRISELAC, TOM M.
1 transaction
$3,300
7
SAVAGE, KEVIN
1 transaction
$3,300
8
STEVENS, SETH R.
1 transaction
$3,300
9
BURLEY, MARK
1 transaction
$3,300
10
LISAGOR, MARK S.
1 transaction
$3,300
11
PRATT, FRANKLIN
1 transaction
$3,300
12
BENENSON, BILL
1 transaction
$3,300
13
BROKAW, ELLEN M.
1 transaction
$3,300
14
BURNAM, BETH
1 transaction
$3,300
15
CHIU, SUSAN E
1 transaction
$3,300

Cosponsors & Their Campaign Finance

This bill has 1 cosponsors. Below are their top campaign contributors.

Rep. Johnson, Henry C. "Hank" [D-GA-4]

ID: J000288

Top Contributors

10

1
JAVED, MUHAMMAD
RICELAND HEALTHCARE • CEO
IndividualBEAUMONT, TX
$3,300
Oct 9, 2024
2
BEY, N. JOHN
BEY & ASSOCIATES • ATTORNEY
IndividualATLANTA, GA
$3,300
Feb 29, 2024
3
BRYSON, JAN P.
BENCHMARK MANAGEMENT • FOUNDER
IndividualATLANTA, GA
$3,300
Feb 22, 2024
4
CRAWFORD, JESS
N/A • RETIRED
IndividualBROOKHAVEN, GA
$3,300
Feb 23, 2024
5
LEVETT, GREGORY B. SR
GREGORY B. LEVETT FUNERAL HOME • FUNERAL DIRECTOR
IndividualSCOTTDALE, GA
$3,300
Feb 19, 2024
6
AGGARWAL, SHIV
AMS • REAL EATATE
IndividualJOHNS CREEK, GA
$2,500
Feb 27, 2024
7
WALKER, CEDRIC
SOUL CIRCUS INC • CEO
IndividualFAYETTEVILLE, GA
$2,500
Feb 22, 2024
8
CHO, CHOONG SHIK
HOPEWELL ENTERPRISES • CEO
IndividualATLANTA, GA
$2,000
Nov 21, 2024
9
HOLLIS, JULIUS H.
SELF-EMPLOYED • BUSINESS OWNER
IndividualROSWELL, GA
$2,000
Feb 19, 2024
10
RUSSELL, MICHAEL
HJ RUSSELL & COMPANY • BUSINESS OWNER
IndividualATLANTA, GA
$2,000
Feb 19, 2024

Donor Network - Rep. Brownley, Julia [D-CA-26]

PACs
Organizations
Individuals
Politicians

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

Loading...

Showing 43 nodes and 27 connections (46 secondary connections hidden)

Total contributions: $85,500

Top Donors - Rep. Brownley, Julia [D-CA-26]

Showing top 18 donors by contribution amount

3 Orgs15 Individuals

Industry Impact

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

  • Section 1 establishes qualifications for marriage and family therapists in the Veterans Health Administration, which may lead to improved mental health services for veterans, potentially benefiting hospitals and health systems that partner with the VA.

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: 65%
Pages: 688-691AI Enhanced

AI Analysis:

"HR 658 seeks to improve the qualifications and accountability of marriage and family therapists providing clinical supervision within the VHA, directly supporting the Project 2025 VA objective of enhancing veteran healthcare quality and oversight."

Key themes:veteran mental health careclinical supervision standardsquality improvementaccountabilityworkforce qualifications

— 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: 63%
Pages: 679-681AI Enhanced

AI Analysis:

"HR 658 focuses on improving the qualifications of marriage and family therapists providing clinical supervision in the VHA, which aligns with Project 2025's broader goal of enhancing mental health workforce capacity and quality within the VA, particularly in assessing and addressing shortages of mental health professionals."

Key themes:mental health workforceclinical supervisionveterans' mental health careprofessional qualificationsVA healthcare quality

— 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: 62%
Pages: 676-678AI Enhanced

AI Analysis:

"HR 658 focuses on improving the qualifications of marriage and family therapists providing clinical supervision within the VHA, which aligns broadly with Project 2025's goal of enhancing the quality and effectiveness of VA health care for veterans. However, the bill does not address the specific conservative governance directives, demographic shifts, or Community Care reforms emphasized in the Project 2025 VA section."

Key themes:veterans mental health carequality of care improvementVA workforce qualificationsdirect care enhancementVA health care delivery

— 644 — Mandate for Leadership: The Conservative Promise In sum, the VA for the foreseeable future will experience significant fiscal, human capital, and infrastructure crosswinds and risks. Budgets are at historic highs, and with a workforce now above 400,000, the VA is contending with a lack of new veteran enrollees to offset the declining population of older veterans. Recruitment of medical and benefits personnel has become more challenging. Veterans are migrating from the northern states to the southern and western states for retirement and employment. Meanwhile, VA information technol- ogy (IT) is struggling to keep pace with the evolution of patient care and record keeping. Consequently, VA leaders in the next Administration must be wise and courageous political strategists, experienced managers to run day-to-day oper- ations more effectively, innovators to address the changing veteran landscape, and agile “fixers” to mitigate and repair systemic problems created or ignored by the present leadership team. VETERANS HEALTH ADMINISTRATION (VHA) Needed Reforms l Rescind all departmental clinical policy directives that are contrary to principles of conservative governance starting with abortion services and gender reassignment surgery. Neither aligns with service-connected conditions that would warrant VA’s providing this type of clinical care, and both follow the Left’s pernicious trend of abusing the role of government to further its own agenda. l Focus on the effects of shifting veteran demographics. At least during the next decade, the VA will experience a significant generational shift in its overall patient population. Of the approximately 18 million veterans alive today, roughly 9.1 million are enrolled for VA health care, and 6.4 million of these enrollees use VA health care consistently. These 6.4 million veterans are split almost evenly between those who are over age 65 and those who are under age 65, but the share of VA’s health care dollars is spent predominantly in the over-65 cohort. That share increases significantly as veterans live longer and use the VHA system at a higher rate. VHA enrollments of new users are increasingly at risk of being exceeded by the deaths of current enrollees, primarily because significant numbers of the Vietnam generation are reaching their life expectancy. The generational transition from Vietnam-era veterans to post-9/11 veterans will take several years to complete. The ongoing demographic transition is a catalyst for needed assessments of how the VA can improve the delivery of care to a numerically declining and differently dispersed national population — 645 — Department of Veterans Affairs of veterans—a population that is more active, reaching middle age or retirement age, and migrating for lifestyle and career reasons. At the center of the VHA’s evolution during this generational transition is an ongoing tension, some of it politically contrived, between Direct Care for Veterans provided from inside the VHA system and Community Care for Veterans who are referred to private providers participating in the VHA’s two Community Care Networks (CCNs). In recent years, the budget for Community Care has grown as demand from veterans has risen sharply, sometimes outpacing the budgets for Community Care at individual VAMCs. The Trump Administration made Community Care part of its “Veteran- centric” approach to ensure that veterans would be able to participate more fully in their health care decisions and have options if or when the VHA was unable to meet their needs. The Biden Administration has watered down that effort, has sought various procedural ways to slow the rate of referrals to private doctors, and at some facilities is reportedly manipulating the Community Care access standards required by the VA MISSION Act of 2018. If the makeup of Congress is favorable in 2025, the next Administration should rapidly and explicitly codify VA MISSION Act access standards in legislation to prevent the VA from avoiding or watering down the requirements in the future. First and foremost, a veterans bill of rights is needed so that veterans and VA staff know exactly what benefits veterans are entitled to receive, with a clear process for the adjudication of disputes, and so that staff ensure that all veterans are informed of their eligibility for Community Care. Currently, veterans are not routinely and consistently told that they are eligible for Community Care unless they request information or are given a referral. l To strengthen Community Care, the next Administration should create new Secretarial directives to implement the VA MISSION Act properly. Sections for consideration and areas for reform include the following: 1. Sections 101 and 103 (Community Care eligibility for access standards and the best medical interest of the veteran). 2. Section 104 (Community Care access standards and standards for quality of care).

Showing 3 of 5 policy matches

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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