Restore VA Accountability Act of 2025

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Bill ID: 119/s/124
Last Updated: July 7, 2026

Sponsored by

Sen. Moran, Jerry [R-KS]

ID: M000934

Follow the money

The bill

Restore VA Accountability Act of 2025

S. 124, 119th Congress — read as touching Hospitals & Health Systems.

The sponsor

Sen. Moran, Jerry [R-KS]

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

The money

$81,200 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

Committee on Veterans' Affairs. Hearings held. Hearings printed: S.Hrg. 119-35.

March 10, 2025

Introduced

Committee Review

📍 Current Status

Next: The bill moves to the floor for full chamber debate and voting.

🗳️

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 bill, another exercise in futility. The "Restore VA Accountability Act of 2025" - because what the Department of Veterans Affairs really needed was more bureaucratic red tape and a healthy dose of congressional grandstanding.

**Main Purpose & Objectives**

The main purpose of this bill is to provide disciplinary procedures for supervisors and managers at the Department of Veterans Affairs, allegedly to "restore accountability." In reality, it's just another attempt by Congress to appear as though they're doing something about the VA's chronic problems. The objectives are twofold: (1) to create a new process for disciplining VA employees, and (2) to give the Secretary more power to remove or demote underperforming staff.

**Key Provisions & Changes to Existing Law**

The bill amends Title 38 of the United States Code by adding a new section that outlines the procedures for removing, demoting, or suspending supervisors and managers. The key provisions include:

* A new disciplinary process that allows the Secretary to remove or demote employees based on performance or misconduct * A shortened timeline for notice, response, and final decision (15 business days) * A grievance process that must be completed within 21 days * Judicial review of decisions, but only if they are deemed "arbitrary, capricious, an abuse of discretion, or otherwise not in accordance with a provision of law"

**Affected Parties & Stakeholders**

The affected parties include:

* Supervisors and managers at the Department of Veterans Affairs * VA employees who may be subject to disciplinary action * The Secretary of the Department of Veterans Affairs * Congressional committees responsible for overseeing the VA

**Potential Impact & Implications**

This bill is a classic case of treating the symptoms rather than the disease. The real problems plaguing the VA - inefficiency, bureaucratic red tape, and lack of accountability - will not be solved by creating more procedures and giving the Secretary more power.

In reality, this bill may:

* Create more administrative burdens for the VA, diverting resources away from actual patient care * Lead to a culture of fear among VA employees, where they are reluctant to speak out or report problems due to fear of retaliation * Fail to address the underlying issues that lead to poor performance and misconduct in the first place

In short, this bill is a Band-Aid on a bullet wound. It's a feel-good measure designed to make Congress look like they're doing something about the VA's problems, rather than actually addressing the root causes of those problems.

Diagnosis: Legislative Theater-itis - a chronic condition characterized by grandstanding, bureaucratic busywork, and a complete lack of understanding of the underlying issues. Treatment: a healthy dose of skepticism, a strong stomach for bureaucratic nonsense, and a willingness to call out politicians on their empty promises.

Related Topics

Congressional Rules & ProceduresExecutive Branch OversightGovernment Operations & Accountability
Generated using Llama 3.1 70B (Dr. Haus personality)

💰 Campaign Finance Network

Sen. Moran, Jerry [R-KS]

Congress 119 • 2024 Election Cycle

Total Contributions
$81,200
17 donors
PACs
$0
Organizations
$0
Committees
$0
Individuals
$81,200

No PAC contributions found

No organization contributions found

No committee contributions found

1
BORCK, LEON H.
1 transaction
$6,600
2
MANDELBLATT, DANIELLE
1 transaction
$6,600
3
MANDELBLATT, ERIC
1 transaction
$6,600
4
BORCK, JACKIE
2 transactions
$6,600
5
DWYER, JOHN W
2 transactions
$6,600
6
DWYER, NANCY E
2 transactions
$6,600
7
CATZ, SAFRA
1 transaction
$5,000
8
MISSION INDIANS, MORONGO BAND OF
1 transaction
$5,000
9
WILLIS, THOMAS M
1 transaction
$5,000
10
WEILERT, STANLEY R
1 transaction
$3,500
11
THOMAS, ROBERT
1 transaction
$3,300
12
LEPRINO, TERRY L
1 transaction
$3,300
13
POTAWATOMI NATION, PRAIRIE BAND
1 transaction
$3,300
14
BUKOWSKY, BROCK
1 transaction
$3,300
15
OF CREEK INDIANS, POARCH BAND
1 transaction
$3,300
16
BRIGHT, JOHN
1 transaction
$3,300
17
HEMMER, THOMAS
1 transaction
$3,300

Cosponsors & Their Campaign Finance

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

Sen. Tuberville, Tommy [R-AL]

ID: T000278

Top Contributors

43

1
BROAD METRO LLC
OrganizationOLD WESTBURY, NY
$3,300
Apr 18, 2023
2
POARCH BAND OF CREEK INDIANS
OrganizationATMORE, AL
$3,300
Apr 28, 2023
3
POARCH BAND OF CREEK INDIANS
OrganizationATMORE, AL
$2,900
Feb 20, 2023
4
POARCH BAND OF CREEK INDIANS
OrganizationATMORE, AL
$2,900
Apr 28, 2023
5
SUMMERLIN FARMS
OrganizationMOULTRIE, GA
$1,000
Oct 8, 2023
6
KENT HANCE BUSINESS
OrganizationLUBBOCK, TX
$1,000
Aug 17, 2023
7
SUMMERLIN FARMS
OrganizationMOULTRIE, GA
$1,000
Sep 8, 2023
8
KENT HANCE BUSINESS
OrganizationLUBBOCK, TX
$1,000
Sep 16, 2023
9
BEACH ICE LLC
OrganizationMOULTRIE, GA
$500
Oct 8, 2023
10
LEELAND VENTURES LLC
OrganizationHAMPTON COVE, AL
$500
Dec 4, 2023

Sen. Cassidy, Bill [R-LA]

ID: C001075

Top Contributors

20

1
YAWITZ, JESS B. MR.
RETIRED • RETIRED
IndividualSAINT LOUIS, MO
$14,000
Jun 11, 2024
2
MANDELBLATT, DANIELLE
DMM PROPRIETA MANAGEMENT • MANAGER
IndividualASPEN, CO
$9,900
Nov 2, 2023
3
MANDELBLATT, ERIC
SOROBAN CAPITAL PARTNERS LP • MANAGING PARTNER
IndividualASPEN, CO
$9,900
Nov 2, 2023
4
JAYASINGHE, SAMAN K. DR.
SELF-EMPLOYED • PHYSICIAN
IndividualBATON ROUGE, LA
$9,900
Jun 13, 2024
5
KARP, ALEXANDER C.
PALANTIR TECHNOLOGIES • CEO
IndividualBEDFORD, NH
$9,900
Apr 16, 2024
6
OBERNDORF, SUSAN
HOMEMAKER • HOMEMAKER
IndividualSAN FRANCISCO, CA
$9,900
Jun 5, 2024
7
OBERNDORF, WILLIAM
OBERNDORF ENTERPRISES • OWNER
IndividualSAN FRANCISCO, CA
$9,900
Jun 5, 2024
8
YAWITZ, ALICE G.
RETIRED • RETIRED
IndividualST. LOUIS, MO
$9,900
Jun 18, 2024
9
GRIGSBY, BOBBI F. MRS.
HOMEMAKER • HOMEMAKER
IndividualBATON ROUGE, LA
$6,600
Dec 23, 2024
10
GRIGSBY, L. LANE MR.
CAJUN INDUSTRIES LLC • CHAIRMAN EMERITUS
IndividualBATON ROUGE, LA
$6,600
Dec 23, 2024

Sen. Banks, Jim [R-IN]

ID: B001299

Top Contributors

21

1
STOCKAMP FOUNDATION
OrganizationCOLUMBIA CITY, IN
$100
Feb 26, 2024
2
NEAL, ROLLIE
RETIRED • RETIRED
IndividualCLARKSBURG, WV
$13,068
Mar 12, 2023
3
NEAL, ROLLIE
IndividualCLARKSBURG, WV
$13,068
Mar 21, 2023
4
SALAMONE, CHRISTOPHER J
IndividualFAIRPORT, NY
$12,000
Feb 8, 2024
5
BARKLEY, JOSH
BARKLEY BUILDERS INC • GENERAL CONTRACTOR
IndividualOSSIAN, IN
$6,700
Apr 3, 2023
6
THRIFT, PAUL
THOMPSON THRIFT • CEO
IndividualTERRE HAUTE, IN
$6,700
Feb 28, 2023
7
MUSELMAN, ROGER C.
DRG HOLDINGS, LLC • CHAIRMAN
IndividualBERNE, IN
$6,700
Mar 28, 2023
8
WALTERS, KENNETH
JAYCO • PRESIDENT AND CEO
IndividualGRANGER, IN
$6,700
Sep 1, 2023
9
DUMEZICH, DANA A.
RETIRED • RETIRED
IndividualMARCO ISLAND, FL
$6,600
Jun 15, 2023
10
RAMSEY, JASON
IndividualBREVARD, NC
$6,600
May 8, 2023

Sen. Blackburn, Marsha [R-TN]

ID: B001243

Top Contributors

26

1
FRIENDS OF COMMUNITY ONCOLOGY PAC
PACVIRGINIA BEACH, VA
$5,000
Apr 12, 2023
2
THE COGGIN GROUP
OrganizationMURFREESBORO, TN
$2,900
Mar 9, 2023
3
THE COGGIN GROUP
OrganizationMURFREESBORO, TN
$2,500
Mar 9, 2023
4
DOSS BROTHERS FARM
OrganizationLAWRENCEBURG, TN
$1,000
Apr 17, 2024
5
DOSS BROTHERS FARM
OrganizationLAWRENCEBURG, TN
$1,000
Mar 18, 2024
6
BL PARTNERS GROUP LLC
OrganizationARLINGTON, VA
$500
Mar 17, 2023
7
KING, RODNEY W.
SELF-EMPLOYED • ATTORNEY
IndividualGERMANTOWN, TN
$13,200
Apr 4, 2024
8
BEAN, BILL G.
HANNING & BEAN ENTERPRISES INC. • REAL ESTATE INVESTOR
IndividualCOLUMBIA CITY, IN
$10,000
May 1, 2024
9
SMITH, THOMAS
PRESCOTT INVESTORS INC. • INVESTOR
IndividualBOCA RATON, FL
$10,000
May 13, 2024
10
GAMBLE, KATHRYN
UNAKA CO • BUSINESS EXECUTIVE
IndividualDALLAS, TX
$9,900
Jul 15, 2024

Sen. Boozman, John [R-AR]

ID: B001236

Top Contributors

23

1
CHEROKEE NATION
OrganizationTAHLEQUAH, OK
$3,300
Oct 3, 2024
2
SHAKOPEE MDEKEWAKANTON COMMUNITY
OrganizationPRIOR LAKE, MN
$3,300
Nov 7, 2023
3
SHAKOPEE MDEKEWAKANTON COMMUNITY
OrganizationPRIOR LAKE, MN
$3,300
Jun 27, 2024
4
BJERKE, TYLER
HERITAGE INSURANCE SERVICES • SALES
IndividualFARGO, ND
$5,000
Mar 22, 2023
5
LEPRINO, TERRY
LEPRINO FARMS • BOARD DIRECTOR
IndividualDENVER, CO
$3,300
Dec 6, 2024
6
POWELL, JESSE
PAYWARD INC. • CEO
IndividualSAN FRANCISCO, CA
$3,300
Nov 5, 2024
7
POWELL, JESSE
PAYWARD INC. • CEO
IndividualSAN FRANCISCO, CA
$3,300
Nov 5, 2024
8
STEPHENS, WARREN MR.
STEPHENS INC • PRESIDENT
IndividualLITTLE ROCK, AR
$3,300
Jul 7, 2023
9
STEPHENS, WARREN MR.
STEPHENS INC • PRESIDENT
IndividualLITTLE ROCK, AR
$3,300
Jul 7, 2023
10
WALTON, ALICE L.. MS.
SELF-EMPLOYED • PHILANTHROPIST
IndividualBENTONVILLE, AR
$3,300
Aug 11, 2023

Sen. Sheehy, Tim [R-MT]

ID: S001232

Top Contributors

100

1
CLUB FOR GROWTH PAC
PACWASHINGTON, DC
$7,720
Jun 27, 2024
2
CLUB FOR GROWTH PAC
PACWASHINGTON, DC
$7,720
Jun 27, 2024
3
CLUB FOR GROWTH PAC
PACWASHINGTON, DC
$7,720
Jun 27, 2024
4
CLUB FOR GROWTH PAC
PACWASHINGTON, DC
$7,720
Jun 27, 2024
5
CLUB FOR GROWTH PAC
PACWASHINGTON, DC
$7,720
Jun 27, 2024
6
SENATE CONSERVATIVES FUND
PACWASHINGTON, DC
$7,609
Jun 21, 2024
7
SENATE CONSERVATIVES FUND
PACWASHINGTON, DC
$7,609
Jun 21, 2024
8
SENATE CONSERVATIVES FUND
PACWASHINGTON, DC
$7,609
Jun 21, 2024
9
REPUBLICAN JEWISH COALITION-POLITICAL ACTION COMMITTEE (RJC-PAC)
PACWASHINGTON, DC
$7,000
Jun 25, 2024
10
REPUBLICAN JEWISH COALITION-POLITICAL ACTION COMMITTEE (RJC-PAC)
PACWASHINGTON, DC
$7,000
Jun 25, 2024

Sen. Cramer, Kevin [R-ND]

ID: C001096

Top Contributors

26

1
POARCH BAND OF CREEK INDIANS
OrganizationATMORE, AL
$3,300
Sep 29, 2023
2
POARCH BAND OF CREEK INDIANS
OrganizationATMORE, AL
$3,300
Jun 14, 2024
3
SISSETON-WAHPETON OYATE
OrganizationAGENCY VILLAGE, SD
$2,500
Jun 21, 2024
4
SHAKOPEE MDEWAKANTON SIOUX COMMUNITY
OrganizationPRIOR LAKE, MN
$1,000
Jun 18, 2024
5
SHAKOPEE MDEWAKANTON SIOUX COMMUNITY
OrganizationPRIOR LAKE, MN
$600
Jun 6, 2023
6
SHAKOPEE MDEWAKANTON SIOUX COMMUNITY
OrganizationPRIOR LAKE, MN
$400
Jun 6, 2023
7
WALSH, RICHARD
IndividualLAKE WORTH BEACH, FL
$6,700
Oct 16, 2024
8
JORDAN, BORIS
CURALEAF • EXECUTIVE CHAIRMAN OF THE BOARD
IndividualBOCA RATON, FL
$6,600
Sep 15, 2023
9
SMITH, BRAD
MICROSOFT CORPORATION • ATTORNEY
IndividualBELLEVUE, WA
$6,600
Sep 29, 2023
10
KAPLAN, DAVID
ARES MANAGEMENT • CO-FOUNDER
IndividualLOS ANGELES, CA
$6,600
Oct 11, 2023

Sen. Tillis, Thomas [R-NC]

ID: T000476

Top Contributors

20

1
SASTRY, ASHWANI
SUNRISE VASCULAR • PHYSICIAN
IndividualORLANDO, FL
$3,400
Dec 12, 2024
2
AGARWAL, SAJJAN K
GREENHAWK CORPORATION • CEO
IndividualCARY, NC
$3,300
Dec 11, 2024
3
ALLYN, JILL
BRIGHTHOUSE FINANCIAL • INVESTMENTS
IndividualESTERO, FL
$3,300
Oct 17, 2024
4
BARATTA, JOSEPH PATRICK
BLACKSTONE • FINANCE EXECUTIVE
IndividualNEW YORK, NY
$3,300
Dec 18, 2024
5
BARATTA, JOSEPH PATRICK
BLACKSTONE • FINANCE EXECUTIVE
IndividualNEW YORK, NY
$3,300
Dec 18, 2024
6
BIELEN, RICHARD J
PROTECTIVE LIFE CORPORATION • PRESIDENT & CEO
IndividualMOUNTAIN BRK, AL
$3,300
Oct 29, 2024
7
BLITZER, DAVID S
BLACKSTONE • CHAIRMAN
IndividualNEW YORK, NY
$3,300
Dec 12, 2024
8
BLITZER, DAVID S
BLACKSTONE • CHAIRMAN
IndividualNEW YORK, NY
$3,300
Dec 12, 2024
9
BRAND, MARTIN
BLACKSTONE • FINANCE
IndividualNEW YORK, NY
$3,300
Dec 20, 2024
10
CAMERON, WILLIAM H
CAMERON MANAGMENT • PRESIDENT
IndividualWILMINGTON, NC
$3,300
Oct 28, 2024

Sen. Ricketts, Pete [R-NE]

ID: R000618

Top Contributors

26

1
SPIKE OCOTILLO LLC
OrganizationCHANDLER, AZ
$2,500
Mar 4, 2024
2
HUNTON ANDREWS KURTH LLP
OrganizationRICHMOND, VA
$1,000
Mar 28, 2024
3
KING & SPALDING LLP
OrganizationATLANTA, GA
$1,000
Mar 29, 2024
4
GREENBERG TRAURIG
OrganizationALBANY, NY
$1,000
Apr 23, 2024
5
H.A. TRUE, III
OrganizationCASPER, WY
$1,000
Aug 22, 2024
6
DELTA AIRLINES
OrganizationATLANTA, GA
$234
Apr 17, 2023
7
VANDERSLOOT, BELINDA
SELF • HOMEMAKER
IndividualIDAHO FALLS, ID
$6,600
Mar 4, 2024
8
VANDERSLOOT, FRANK
MELALEUCA • OWNER
IndividualIDAHO FALLS, ID
$6,600
Mar 4, 2024
9
MANDELBLATT, DANIELLE
RETIRED
IndividualASPEN, CO
$6,600
Jun 7, 2024
10
MANDELBLATT, ERIC
SOROBAN CAPITAL PARTNERS LP • MANAGING PARTNER
IndividualASPEN, CO
$6,600
Jun 7, 2024

Sen. Scott, Rick [R-FL]

ID: S001217

Top Contributors

22

1
SEMINOLE TRIBE OF FLORIDA
OrganizationHOLLYWOOD, FL
$3,300
Aug 22, 2023
2
SEMINOLE TRIBE OF FLORIDA
OrganizationHOLLYWOOD, FL
$3,300
Aug 12, 2024
3
SCOTT, RICK SENATOR
US SENATE • US SENATOR
IndividualTAMPA, FL
$90,795
May 31, 2024
4
SCOTT, RICK SEN
US SENATE • US SENATOR
IndividualWASHINGTON, DC
$77,714
May 31, 2023
5
SCOTT, RICK SENATOR
US SENATE • US SENATOR
IndividualTAMPA, FL
$69,607
Apr 30, 2024
6
SCOTT, RICK SENATOR
US SENATE • US SENATOR
IndividualTAMPA, FL
$68,538
Aug 31, 2023
7
SCOTT, RICK SENATOR
US SENATE • US SENATOR
IndividualTAMPA, FL
$53,187
Sep 30, 2023
8
SCOTT, RICK SEN
US SENATE • US SENATOR
IndividualWASHINGTON, DC
$49,992
Jun 30, 2023
9
SCOTT, RICK SENATOR
US SENATE • US SENATOR
IndividualTAMPA, FL
$39,695
Jun 30, 2024
10
SCOTT, RICK
US SENATE • US SENATOR
IndividualWASHINGTON, DC
$34,494
Jan 31, 2023

Donor Network - Sen. Moran, Jerry [R-KS]

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

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Showing 46 nodes and 46 connections

Total contributions: $46

Top Donors - Sen. Moran, Jerry [R-KS]

Showing top 17 donors by contribution amount

17 Individuals

Industry Impact

Which industries are materially affected by specific provisions in this bill. 2 harmed.

  • Section 2 and Section 4 modify disciplinary procedures for employees of the Department of Veterans Affairs, which may lead to increased scrutiny and potential removals of supervisors and managers, potentially affecting hospitals and health systems within the VA system.

  • −Labor Unionsconfidence 0.70

    Section 4(h) states that the procedures in this section shall supersede any collective bargaining agreement to the extent that such agreement is inconsistent with such procedures, potentially limiting labor union influence

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: 66%
Pages: 688-691AI Enhanced

AI Analysis:

"The bill's focus on strengthening VA accountability through streamlined disciplinary procedures, enhanced whistleblower protections, and increased Secretary authority aligns closely with Project 2025's VA reform objectives of improving performance and oversight."

Key themes:VA accountabilitydisciplinary procedureswhistleblower protectioninternal grievance processSecretary authority

— 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

Weak
Vector: 67%
Pages: 679-681AI Enhanced

AI Analysis:

"The bill focuses on VA personnel accountability and disciplinary procedures, while the Project 2025 policy emphasizes healthcare delivery improvements, infrastructure reform, workforce efficiency, and leadership continuity—there is minimal thematic overlap."

Key themes:Department of Veterans Affairspersonnel managementaccountability

— 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.

Department of Veterans Affairs

Weak
Vector: 66%
Pages: 682-684AI Enhanced

AI Analysis:

"The bill focuses on VA personnel accountability and disciplinary procedures, while the Project 2025 policy emphasizes improving disability claims processing through technology, automation, private-sector partnerships, and workforce reforms. There is minimal thematic overlap, as the bill does not address claims timeliness, automation, or private-sector engagement in benefits delivery."

Key themes:Department of Veterans Affairsaccountabilitypersonnel management

— 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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