Take Care of America’s Veterans Act

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Bill ID: 119/hr/9237
Last Updated: September 3, 2026

Sponsored by

Rep. Bost, Mike [R-IL-12]

ID: B001295

Follow the money

The bill

Take Care of America’s Veterans Act

HR. 9237, 119th Congress.

The sponsor

Rep. Bost, Mike [R-IL-12]

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

The money

$104,500 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. 676-678 of the Mandate for Leadership.

Bill's Journey to Becoming a Law

Track this bill's progress through the legislative process

Latest Action

POSTPONED PROCEEDINGS - Pursuant to clause 1(c) of rule XIX, the Chair announced further proceedings on H.R. 9237 is postponed.

July 15, 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

**Summary of H.R. 9237: Take Care of America’s Veterans Act** *(119th Congress, 2d Session)*

**1. Main Purpose & Objectives** The stated purpose of H.R. 9237 is to “improve benefits for veterans and the administration of the Department of Veterans Affairs” by amending Titles 10 and 38 of the U.S. Code and other federal laws. In reality, this bill is less a compassionate overhaul and more a legislative Band-Aid applied to a hemorrhaging system—crafted to let Congress pat itself on the back while avoiding the hard work of fixing root causes like chronic underfunding, bureaucratic inertia, and the political abandonment of veterans once they’re no longer useful photo ops. The objectives? Streamline claims, expand certain benefits, tweak healthcare access, and generate press releases that sound heroic without requiring meaningful sacrifice from lawmakers or defense contractors.

**2. Key Provisions & Changes to Existing Law** The bill is a sprawling omnibus of veteran-related tweaks, divided into three titles: - **Title I (Compensation):** Includes the *Major Richard Star Act* (eliminating the VA disability offset for combat-related injuries and military retirement pay), expanded Dependency and Indemnity Compensation (DIC) for surviving spouses of ALS victims, prohibitions on denying claims based solely on lack of medical evidence, and studies on automation, rural disability exams, and MST (military sexual trauma) claims processing. It also mandates independent reviews of VA notices and forms—because apparently, the VA can’t communicate clearly without congressional supervision. - **Title II (Education & Economic Opportunity):** Expands Post-9/11 GI Bill benefits (including housing stipends for summer distance learning), improves automobile adaptive equipment coverage, enhances Transition Assistance Program (TAP) and SkillBridge, eliminates on-campus counseling mandates (a cost-cutting move disguised as flexibility), and increases payments for apprenticeships and certification tests. - **Title III (Health Care):** Reauthorizes suicide prevention grants, mandates reports on hyperbaric oxygen therapy and blast overposure (a nod to TBI concerns), creates a Blast Overpressure Task Force, extends VA-DOD health resource sharing, allows VA to assign traveling physicians to territories, includes adaptive prostheses for sports in medical services, and funds mental health grants to community providers. It also requires timely reporting of veteran deaths—because, shockingly, the VA sometimes loses track of that.

**3. Affected Parties & Stakeholders** - **Veterans & Survivors:** Direct beneficiaries of expanded compensation, education, and healthcare provisions—though access remains uneven, especially in rural areas. - **VA Employees & Contractors:** Burdened with new reporting, automation pilots, and training reviews—likely without commensurate resources or staffing increases. - **Surviving Spouses:** Gain expanded DIC eligibility, particularly for ALS-related deaths—a long-overdue fix, albeit one that should’ve happened decades ago. - **Education Providers & Employers:** See expanded opportunities via GI Bill enhancements and apprenticeship funding. - **Mental Health & TBI Specialists:** May benefit from grant programs and research mandates, though effectiveness depends on implementation. - **Taxpayers:** Fund the whole thing—while Congress avoids addressing the elephant in the room: the VA’s structural dysfunction fueled by endless wars and zero accountability.

**4. Potential Impact & Implications** If fully implemented and funded (a massive *if*), the bill could marginally reduce claims backlogs, improve survivor benefits, and ease education transitions. The automation study and rural access review might yield long-term efficiencies—if not buried in bureaucracy. The Major Richard Star Act alone would significantly boost income for hundreds of thousands of disabled veterans. But let’s not pretend this is transformative. It’s a patchwork of popular, low-risk fixes that avoid confronting the real issues: the VA’s toxic culture, congressional micromanagement, and the fact that we keep sending people to war then acting surprised when they come back broken. This bill feels less like care and more like damage control—a way for legislators to say they “supported the troops” while voting for the next pointless

Related Topics

Military & Veterans AffairsHealthcare & Insurance ReformEducation & Student Aid
Generated using Llama 3.1 70B (Dr. Haus personality)

💰 Campaign Finance Network

Rep. Bost, Mike [R-IL-12]

Congress 119 • 2024 Election Cycle

Total Contributions
$104,500
19 donors
PACs
$0
Organizations
$12,100
Committees
$0
Individuals
$92,400

No PAC contributions found

1
AK-CHIN INDIAN COMMUNITY
2 transactions
$6,600
2
MIAMI TRIBE OF OKLAHOMA
1 transaction
$2,000
3
CAMPBELL FARMS
1 transaction
$1,500
4
MUSCOGEE CREEK NATION
2 transactions
$1,500
5
WAITE, TOMB & EBERLY LLP
1 transaction
$500

No committee contributions found

1
EMMET, RICHARD
4 transactions
$23,100
2
GILLIAM, RICHARD
2 transactions
$9,900
3
SCHWAB, CHARLES
1 transaction
$6,600
4
STERN, ELIZABETH MAY
1 transaction
$6,600
5
WEEKLEY, RICHARD
1 transaction
$6,600
6
BRADLEY, JACQUELINE
1 transaction
$6,600
7
BUKOWSKY, BRANT N. MR.
2 transactions
$6,600
8
BUKOWSKY, BROCK R. MR.
2 transactions
$6,600
9
BUKOWSKY, JENNIFER
1 transaction
$3,300
10
DONOHO, KIMBERLY K. MRS.
1 transaction
$3,300
11
FLINT, ETHAN
1 transaction
$3,300
12
GREENBLATT, SCOTT
1 transaction
$3,300
13
HOPKINS, JUSTIN MR.
1 transaction
$3,300
14
MCINERNEY, THOMAS E.
1 transaction
$3,300

Cosponsors & Their Campaign Finance

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

Rep. Bilirakis, Gus M. [R-FL-12]

ID: B001257

Top Contributors

21

1
COOL MASTER PRO LLC
OrganizationTAMPA, FL
$6,600
Mar 8, 2023
2
ARTECHE, LEON
V-ME MEDIA INC. • CFO
IndividualDORAL, FL
$5,000
Jan 18, 2024
3
OF FLORIDA, SEMINOLE TRIBE
EMPLOYEE RECOGNIZED TRIBE
IndividualHOLLYWOOD, FL
$3,300
Aug 2, 2024
4
LAGOS, JAMES H.
LAGOS LAGOS, PLL • ATTORNEY
IndividualSPRINGFIELD, OH
$3,300
Sep 9, 2024
5
RICE, WILLIAM LLOYD
FALFURRIAS CAPITAL PARTNERS
IndividualMINT HILL, NC
$3,300
Sep 30, 2024
6
WANEK, RON
ASHLEY FURNITURE INDUSTRIES, INC • CHAIRMAN OF THE BOARD
IndividualTAMPA, FL
$3,300
Oct 17, 2024
7
WANEK, TODD
ASHLEY FURNITURE • CEO
IndividualTAMPA, FL
$3,300
Oct 17, 2024
8
WANEK, JOYCE
N/A • N/A
IndividualTAMPA, FL
$3,300
Oct 18, 2024
9
WANEK, KAREN
SUPERIOR FRESH • OWNER
IndividualTAMPA, FL
$3,300
Oct 17, 2024
10
HEPSCHER, WILLIAM S
RX MANAGE USA • BUSINESS OWNER
IndividualTAMPA, FL
$3,300
Oct 30, 2024

Rep. Hudson, Richard [R-NC-9]

ID: H001067

Top Contributors

23

1
MORONGO BAND OF MISSION INDIANS
OrganizationBANNING, CA
$3,300
Sep 30, 2023
2
SAN MANUEL BAND OF MISSION INDIANS
OrganizationLOS ANGELES, CA
$3,300
Sep 30, 2024
3
CATAWBA INDIAN NATION
OrganizationROCK HILL, SC
$1,500
Mar 5, 2024
4
HENDRICK, JOSEPH RIDDICK III
HENDRICK MOTORSPORTS • CHAIRMAN
IndividualCHARLOTTE, NC
$50,000
Dec 12, 2023
5
GROSS, MARK J.
OAK GROVE TECHNOLOGIES • CEO
IndividualRALEIGH, NC
$50,000
Feb 27, 2023
6
WARLICK, ANDERSON D. MR.
PARKDALE MILLS • CEO
IndividualGASTONIA, NC
$50,000
Mar 16, 2023
7
BARNHILL, ROBERT E. MR. JR.
BARNHILL CONTRACTING COMPANY • PRESIDENT
IndividualROCKY MOUNT, NC
$50,000
May 14, 2024
8
HUNTER, FRED NEAL
KNOW BIO LLC • BUSINESS OWNER
IndividualDURHAM, NC
$35,000
Mar 31, 2023
9
SULLIVAN, SCOTT C.
CAMERON MANAGEMENT • CO-FOUNDER
IndividualBANNER ELK, NC
$25,000
Dec 29, 2023
10
ALLISON, DENNIS KEITH MR.
SYSTEL • PRESIDENT/CEO
IndividualFAYETTEVILLE, NC
$25,000
Mar 3, 2023

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. Van Orden, Derrick [R-WI-3]

ID: V000135

Top Contributors

25

1
EASTERN BAND OF CHEROKEE INDIANS
OrganizationCHEROKEE, NC
$3,300
Dec 9, 2024
2
HO CHUNK NATION
OrganizationBLACK RIVER FALLS, WI
$3,300
Nov 2, 2024
3
FOREST COUNTY POTAWATOMI COMMUNITY
OrganizationCRANDON, WI
$3,300
Sep 17, 2024
4
AIPAC PAC CONDUIT ACCOUNT
OrganizationWASHINGTON, DC
$500
Oct 23, 2024
5
ALLIANCE OF BANKERS FOR WISCONSIN
OrganizationMADISON, WI
$250
Apr 23, 2024
6
ANDERSON, JOHN R. MR.
ANDERSON ENTERPRISES LLC • OWNER
IndividualROCKFORD, IL
$10,000
Dec 19, 2023
7
BROIN, JEFF
POET LLC • CEO
IndividualSIOUX FALLS, SD
$6,600
Aug 24, 2023
8
UIHLEIN, RICHARD E. MR.
ULINE INC. • CEO
IndividualLAKE BLUFF, IL
$6,600
Feb 28, 2023
9
LEVY, EDWARD C.
EDW. C. LEVY CO. • CHAIRMAN
IndividualBIRMINGHAM, MI
$6,600
Mar 28, 2024
10
LEVY, EDWARD C.
IndividualBIRMINGHAM, MI
$6,600
May 6, 2024

Rep. Miller-Meeks, Mariannette [R-IA-1]

ID: M001215

Top Contributors

25

1
SAC & FOX TRIBE OF THE MISSISSIPPI IN IOWA
COMTAMA, IA
$1,000
Aug 11, 2023
2
RENEWABLE ENERGY, CITIZENS FOR
COMMADISON, WI
$500
Aug 20, 2024
3
POLITICAL COMMITTEE, NWF ACTION FUND
PACWASHINGTON, DC
$500
Sep 18, 2024
4
US MARSHALS SERVICES
OrganizationNEW YORK, NY
$2,900
Apr 20, 2023
5
HUNTON ANDREWS KURTH LLP
OrganizationRICHMOND, VA
$1,000
Mar 22, 2023
6
HOGAN, PATRICK F
RETIRED • RETIRED
IndividualDALLAS, TX
$13,200
Mar 15, 2023
7
HOLDEN, RONALD
RETIRED • RETIRED
IndividualWILLIAMSBURG, IA
$13,200
Jun 20, 2023
8
VANDEWALLE, LOLA L
SELF-EMPLOYED • ENTREPRENEUR
IndividualBLUE GRASS, IA
$13,200
Oct 16, 2023
9
GLEESON, JOHN W
KLINGER COMPANIES, LLC • CEO
IndividualSIOUX CITY, IA
$11,600
Feb 15, 2023
10
SMITH, DYAN
HOMEMAKER • HOMEMAKER
IndividualNAPLES, FL
$10,000
May 13, 2024

Rep. Murphy, Gregory F. [R-NC-3]

ID: M001210

Top Contributors

20

1
DOISE, DARYL
OCEANS HEALTHCARE • EXEC VP
IndividualDALLAS, TX
$6,700
Apr 1, 2024
2
DOISE, DARYL
IndividualDALLAS, TX
$6,700
Apr 10, 2024
3
KAPOOR, DEEPAK
SOLARIS HEALTH • PHYSICIAN EXECUTIVE
IndividualFORT LAUDERDALE, FL
$6,600
Sep 23, 2024
4
KAPOOR, DEEPAK
IndividualFORT LAUDERDALE, FL
$6,600
Sep 30, 2024
5
SCHWARZMAN, STEPHEN
BLACKSTONE • CEO AND CHAIRMAN
IndividualNEW YORK, NY
$3,300
Oct 21, 2024
6
ARUMUGHAM, PRADEEP
ECU • DOCTOR
IndividualKINSTON, NC
$3,300
Dec 11, 2023
7
BOWEN, JOEY M
PRIVATEER TOBACCO CO. INC. • TOBACCONIST
IndividualGREENVILLE, NC
$3,300
Nov 15, 2023
8
BOWEN, JOEY M
PRIVATEER TOBACCO CO. INC. • TOBACCONIST
IndividualGREENVILLE, NC
$3,300
Nov 15, 2023
9
CLARK, MELISSA A
HOMEMAKER • HOMEMAKER
IndividualGREENVILLE, NC
$3,300
Oct 6, 2023
10
CLARK, MELISSA A
HOMEMAKER • HOMEMAKER
IndividualGREENVILLE, NC
$3,300
Oct 6, 2023

Rep. McGuire, John J. [R-VA-5]

ID: M001239

Top Contributors

0

No contribution data available

Rep. Barrett, Tom [R-MI-7]

ID: B001321

Top Contributors

21

1
MICHIGAN AGGREGATES ASSOCIATION PAC
OrganizationOKEMOS, MI
$300
Feb 27, 2024
2
DEMKOWICZ, BRIAN MR.
HURON CAPITAL • INVESTOR
IndividualGROSSE POINTE, MI
$13,200
Jan 8, 2024
3
STADLER, BRIAN
WOLGAST CORPORATION • MANAGER
IndividualSAGINAW, MI
$6,870
Sep 28, 2023
4
UIHLEIN, RICHARD
ULINE • CHAIRMAN
IndividualLAKE FOREST, IL
$6,870
Sep 26, 2023
5
COURTNEY, JOHN
RETIRED • RETIRED
IndividualOKEMOS, MI
$6,870
Dec 8, 2023
6
BAKER, JEFFREY
MUSKEGON CAR CREDIT • EXECUTIVE
IndividualGRAND RAPIDS, MI
$6,600
Jul 25, 2023
7
BANCROFT, NICHOLAS
AGROLIQUID • CEO
IndividualSAINT JOHNS, MI
$6,600
Sep 19, 2023
8
HAWORTH, MATTHEW
HAWORTH, INC. • CHAIRMAN
IndividualHOLLAND, MI
$6,600
Sep 18, 2023
9
HAWORTH, RICHARD
HAWORTH, INC. • CHAIRMAN EMERITUS
IndividualSAUGATUCK, MI
$6,600
Sep 18, 2023
10
O'NEIL, WILLIAM
W J O'NEIL COMPANY • EXECUTIVE
IndividualCOMMERCE TOWNSHIP, MI
$6,600
Sep 11, 2023

Rep. Bergman, Jack [R-MI-1]

ID: B001301

Top Contributors

26

1
MATCH-E-BE-NASH-SHE-WISH BAND OF POTTAWATOMI INDIANS
OrganizationSHELBYVILLE, MI
$3,300
Dec 8, 2023
2
SAGINAW CHIPPEWA INDIAN TRIBE
OrganizationMT. PLEASANT, MI
$3,300
Dec 8, 2023
3
POARCH BAND OF CREEK INDIANS
OrganizationATMORE, AL
$3,300
Jun 17, 2024
4
POARCH BAND OF CREEK INDIANS
OrganizationATMORE, AL
$3,300
Jun 30, 2023
5
PECHANGA BAND OF LUISENO INDIANS
OrganizationTEMECULA, CA
$3,000
Dec 31, 2023
6
SAULT STE MARIE TRIBE OF CHIPPEWA INDIANS
OrganizationSAULT SAINTE MARIE, MI
$2,900
Dec 7, 2023
7
DRESNER, LINDA
DRESNER DESIGNS • CEO
IndividualBIRMINGHAM, MI
$6,600
Dec 6, 2023
8
LEVY, EDWARD
WEST BAY BEACH RESORT • PRESIDENT
IndividualBIRMINGHAM, MI
$6,600
Dec 6, 2023
9
TAYLOR, MARGARETTA J. MS
NONE • RETIRED
IndividualNEW YORK, NY
$6,600
Mar 5, 2024
10
GREENBLATT, SCOTT
VETERANS GUARDIAN VA CLAIM CONSULTING • CEO
IndividualPINEHURST, NC
$6,600
Jun 29, 2023

Rep. Baird, James R. [R-IN-4]

ID: B001307

Top Contributors

21

1
TORCHBEARER PUBLIC AFFAIRS
OrganizationCARMEL, IN
$1,000
Apr 10, 2024
2
NICOSON, JON
NICOSON FARMING INC • FARMER
IndividualCORY, IN
$6,600
Aug 25, 2023
3
BAIRD, BEAU
SELF • RANCHER
IndividualGREENCASTLE, IN
$3,300
Sep 30, 2023
4
GOODRICH, CHARLES D
GAYLOR ELECTRIC, INC. • VICE PRESIDENT
IndividualNOBLESVILLE, IN
$3,300
Jun 30, 2024
5
CARRIER, JAMISON
RELENTLESS DEALER SERVICES • FOUNDER
IndividualGREENWOOD, IN
$3,300
Mar 11, 2024
6
WALTON, ROBERT S
RETIRED • RETIRED
IndividualBENTONVILLE, AR
$3,300
Mar 31, 2024
7
NICOSON, BARBRA
RETIRED • RETIRED
IndividualCORY, IN
$3,300
Jul 8, 2024
8
NICOSON, JON
NICOSON FARMING INC • FARMER
IndividualCORY, IN
$3,300
Jul 8, 2024
9
NESSEL, ARIEL
ENTREPRENEUR • ENTREPRENEUR
IndividualROSS, CA
$2,500
Apr 14, 2023
10
LANGLEY, THOMAS
LANGLEY CONSULTING • CONSULTANT
IndividualATHENS, AL
$2,000
Sep 29, 2023

Donor Network - Rep. Bost, Mike [R-IL-12]

PACs
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Politicians

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

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Showing 47 nodes and 65 connections

Total contributions: $65

Top Donors - Rep. Bost, Mike [R-IL-12]

Showing top 19 donors by contribution amount

5 Orgs14 Individuals

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: 71%
Pages: 676-678AI Enhanced

AI Analysis:

"The bill aligns strongly with Project 2025's focus on modernizing VA operations, improving disability claims processing, expanding community-based care, and addressing demographic and infrastructure challenges within the Veterans Health Administration. Both emphasize automation, efficiency, and adapting to evolving veteran needs."

Key themes:disability claims processingVA modernizationcommunity-based outpatient careworkforce and infrastructure challengesdemographic shifts in veteran population

— 643 — Department of Veterans Affairs with a growth in same-day surgical procedures and outpatient care, so has the VA, and in 2018 Congress added access to private-sector urgent care outlets as one of the VA’s health care benefits. Today, the VA operates 172 inpatient VA Medical Centers (VAMCs), which are an average of 60 years old, and 1,113 Community Based Outpatient Clinics (CBOCs), which are newer facilities designed to meet the needs of veterans closer to home. The VA also manages a Community Care Network (CCN) through contracts with Optum and TriWest, third-party health care administrators responsible for build- ing and maintaining a robust population of community providers to meet the needs of veterans referred for care outside of the VA system. Currently, approximately 6.4 million veterans out of 18 million nationally (and out of the 9.1 million who are enrolled) use the VA for health care; the remainder use employer-sponsored plans, Tricare, Medicare, and Medicaid. The disability benefits system evolved significantly in the years between the Cold War era and the global war on terrorism, a period when the VA enrolled large numbers of veterans from World War II, Korea, and Vietnam who were seeking disability benefits and health care. Disability compensation is the largest VA benefit, but there also are dozens of others, the next largest of which are the GI Bill and the Home Loan Guaranty. These benefits are administered through 56 Regional Benefits Offices (RBOs) and hundreds of satellite sites around the country. The Agent Orange Act of 19914 significantly expanded the scope of disability ben- efits for those who had deployed to Vietnam, and the cost of those benefits began to increase dramatically as the Vietnam generation of veterans aged and began to expe- rience adverse health conditions, some of which were presumed to have been caused by defoliant chemicals used in Southeast Asia. In 2016 and 2017, a burdensome backlog of appeals of denied disability claims from multiple wartime generations—a backlog numbering in the hundreds of thousands—led to a joint effort by the VA, Vet- eran Service Organizations (VSOs), and Congress to pass legislation that streamlined appeal processes. Implemented in 2017, this historic “good governance” success has helped the VA to reduce the number of these appeals dramatically. The Sergeant First Class Heath Robinson Honoring Our Promise to Address Comprehensive Toxics (PACT) Act of 20225 addressed adverse health outcomes presumed to be the result of veterans’ exposure to airborne toxins during the global war on terrorism and further expanded disability benefits to the most recent gen- eration of veterans. These ambitious authorities, like the 1991 authorities, have the potential to overwhelm the VA’s ability to process new disability claims and adjudicate appeals. Currently, the VA is seeking to hire large numbers of personnel to process these claims while exploring the use of an automated process to accel- erate claims reviews and decisions. The ever-present lag in the hiring and training of new employees could result in major problems with the timely adjudication of benefits well into the next Administration in 2025. — 644 — Mandate for Leadership: The Conservative Promise In sum, the VA for the foreseeable future will experience significant fiscal, human capital, and infrastructure crosswinds and risks. Budgets are at historic highs, and with a workforce now above 400,000, the VA is contending with a lack of new veteran enrollees to offset the declining population of older veterans. Recruitment of medical and benefits personnel has become more challenging. Veterans are migrating from the northern states to the southern and western states for retirement and employment. Meanwhile, VA information technol- ogy (IT) is struggling to keep pace with the evolution of patient care and record keeping. Consequently, VA leaders in the next Administration must be wise and courageous political strategists, experienced managers to run day-to-day oper- ations more effectively, innovators to address the changing veteran landscape, and agile “fixers” to mitigate and repair systemic problems created or ignored by the present leadership team. VETERANS HEALTH ADMINISTRATION (VHA) Needed Reforms l Rescind all departmental clinical policy directives that are contrary to principles of conservative governance starting with abortion services and gender reassignment surgery. Neither aligns with service-connected conditions that would warrant VA’s providing this type of clinical care, and both follow the Left’s pernicious trend of abusing the role of government to further its own agenda. l Focus on the effects of shifting veteran demographics. At least during the next decade, the VA will experience a significant generational shift in its overall patient population. Of the approximately 18 million veterans alive today, roughly 9.1 million are enrolled for VA health care, and 6.4 million of these enrollees use VA health care consistently. These 6.4 million veterans are split almost evenly between those who are over age 65 and those who are under age 65, but the share of VA’s health care dollars is spent predominantly in the over-65 cohort. That share increases significantly as veterans live longer and use the VHA system at a higher rate. VHA enrollments of new users are increasingly at risk of being exceeded by the deaths of current enrollees, primarily because significant numbers of the Vietnam generation are reaching their life expectancy. The generational transition from Vietnam-era veterans to post-9/11 veterans will take several years to complete. The ongoing demographic transition is a catalyst for needed assessments of how the VA can improve the delivery of care to a numerically declining and differently dispersed national population

Department of Veterans Affairs

Strong
Vector: 69%
Pages: 676-678AI Enhanced

AI Analysis:

"The bill aligns strongly with Project 2025's focus on modernizing VA disability claims processing, reducing backlogs, and improving access to care through automation and streamlined appeals—key themes emphasized in the policy text regarding claims adjudication challenges and the need for systemic reform."

Key themes:disability claims processingbacklog reductionautomation in VA servicesappeals streamliningveterans' healthcare access

— 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.

Department of Veterans Affairs

Strong
Vector: 68%
Pages: 682-684AI Enhanced

AI Analysis:

"The bill strongly aligns with Project 2025's focus on modernizing VA disability claims processing through automation, private-sector partnerships, and performance accountability, directly supporting goals like streamlining procedures, improving timeliness, and leveraging technology."

Key themes:automation in claims processingprivate sector partnershipsperformance metrics and reportingtimely benefits deliverydisability claims reform

— 649 — Department of Veterans Affairs approaches and technology tools that currently exist in the private sector could be employed to improve existing VBA activities. This problem is most pronounced in the disability claims process, which needs more and better management attention focused on streamlining the procedures involved in processing claims and administering benefits. The VA must improve timeliness of claim adjudication and benefits delivery: Veterans want the VBA to provide timely responses to requests for benefits support, render empathetic customer service and understandable explanations of those benefits, and deliver those benefits without frustrating delays (weeks, not months). l Identify performance targets for benefits, report publicly on actual performance each quarter, and use these metrics to drive consistent improvement. l Develop a new pilot “Express 30” commitment for a veteran’s first fully developed disability compensation claim and organize the VBA to complete the first claim in 30 days. l Hire more private companies to perform disability medical examinations. Delays in completing the examinations could be eliminated with more external capacity. l Increase automation. Hiring additional staff to process claims is costly, is inflexible, and has yielded mixed results. Attempting to change laws and regulations simply to adjudicate claims would be a herculean effort given their complexity. The best way to provide benefits faster and more accurately is by using technology to perform most of the work. Technology currently exists in the private sector, but the VBA lacks the expertise to use it. This would be more of an organizational challenge than a technology hurdle. l Reduce improper payment and fraud. About $500 million is improperly paid out each year. Better tools, training, and management could reduce this substantially, but rule changes at the departmental level would be needed. Budget The VA’s Schedule for Rating Disabilities (VASRD) has assigned disability ratings to a growing number of health conditions over time; some are tenuously related or wholly unrelated to military service. The further growth in presumptive service-connected medical conditions pursued by Congress and Veteran Service Organizations, begun with Agent Orange and most recently for Burn Pits/Airborne — 650 — Mandate for Leadership: The Conservative Promise Toxins, has led to historic increases in mandatory VBA spending in recent years. The VA has a time-phased plan to reassess the VASRD and its ratings for com- pensation, but this internal process can be slow and laborious, requires Office of Management and Budget (OMB) approvals, and can become politically charged both in Congress and with VSOs. l The next Administration should explore how VASRD reviews could be accelerated with clearance from OMB to target significant cost savings from revising disability rating awards for future claimants while preserving them fully or partially for existing claimants. l The VBA’s Information Technology top-line budget should be reexamined and reassessed in light of the need for expanded automation across the enterprise. l Traditionally, VHA captures the large majority of VA IT funding. The VBA needs to make the case for a larger IT budget with clear requirements to support that request. Personnel l Pursue reforms of the Human Capital Management process and operations within the VBA to build a more blended workforce with more contractors to process claims. This would free federal employees to perform other duties and be involved solely with the final decision to award benefits. l Improve the VBA acquisition workforce. The VBA needs more world-class contractor support. Currently, few of the top companies have contracts with the VBA, and the VBA needs to conduct more outreach to the private sector through senior leader engagement and industry conferences. l To identify more effective and efficient ways to complete claims, establish a knowledge exchange program with top-tier private-sector companies that do similar work. The VBA is fundamentally a financial services organization. A significant amount of its work has a private-sector analogue that could be leveraged to improve service to veterans. l For most of its existence, the VBA has been a risk-averse, insular, paper-based organization, implementing technology only over the past decade. This insularity has led to a predominantly “build it ourselves” approach, partly because VBA staff has limited experience or insight into current private- sector tools and methods and partly because the VBA struggles to compete

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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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