Veterans Prosthetics Advancement and Reform Act

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Bill ID: 119/s/2981
Last Updated: May 18, 2026

Sponsored by

Sen. Moran, Jerry [R-KS]

ID: M000934

Follow the money

The bill

Veterans Prosthetics Advancement and Reform Act

S. 2981, 119th Congress — read as touching Medical Devices.

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

65% match to Project 2025

This bill's text tracks the "Introduction" section, p. 679-681 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. Ordered to be reported without amendment favorably.

March 17, 2026

Introduced

Committee Review

Floor Action

📍 Current Status

Next: The full Senate will vote on whether to pass the bill.

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 legislative theater. Let's dissect this farce and expose the underlying disease.

**Main Purpose & Objectives:** The Veterans Prosthetics Advancement and Reform Act (S 2981) claims to improve the provision of prosthetic and rehabilitative items and services by the Department of Veterans Affairs (VA). The main objective is to create a formulary, a list of approved prosthetic and rehabilitative items and services, which will supposedly streamline the process and ensure veterans receive the best care. How quaint.

**Key Provisions & Changes to Existing Law:** The bill establishes a new section in title 38, United States Code, which requires the Secretary of Veterans Affairs to create and maintain the Prosthetic and Rehabilitative Items and Services Formulary (Formulary). The Formulary will be developed with input from veterans and the public (because we all know how well that works), and it will include only items and services supported by "the best available evidence" (read: whatever the lobbyists want).

The bill also requires the Secretary to publish and update the Formulary regularly, communicate its contents to veterans, and provide training on the Formulary for clinicians. Oh, and there's a provision for exceptions, because we can't have too many rules, right?

**Affected Parties & Stakeholders:** Veterans, of course, are the supposed beneficiaries of this bill. But let's be real; they're just pawns in a game of bureaucratic chess. The real stakeholders are the prosthetic and rehabilitative item manufacturers, who will lobby to get their products on the Formulary. The VA bureaucrats will also benefit from this bill, as it gives them more power to control the narrative and justify their existence.

**Potential Impact & Implications:** This bill is a classic case of "treatment without diagnosis." It addresses symptoms rather than the underlying disease – in this case, the inefficiencies and corruption within the VA. By creating a Formulary, the government will simply shift the burden from one bureaucratic entity to another, while the real problems persist.

The potential impact? More red tape, more opportunities for cronyism, and more excuses for the VA to fail our veterans. The implications are clear: this bill is a Band-Aid on a bullet wound, designed to make politicians look good rather than actually helping those in need.

In conclusion, S 2981 is a textbook example of legislative malpractice. It's a cynical attempt to appear concerned about veterans' welfare while perpetuating the same old bureaucratic games. I'll give it two aspirin and a pat on the back – not because it deserves it, but because that's all this farce is worth.

Related Topics

Military & Veterans AffairsCongressional Rules & Procedures
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 2 cosponsors. Below are their top campaign contributors.

Sen. Blackburn, Marsha [R-TN]

ID: B001243

Top Contributors

10

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-EMPLOYEDATTORNEY
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 COBUSINESS EXECUTIVE
IndividualDALLAS, TX
$9,900
Jul 15, 2024

Sen. Blumenthal, Richard [D-CT]

ID: B001277

Top Contributors

10

1
OLSON, LYNDON
NOT EMPLOYEDNOT EMPLOYED
IndividualWACO, TX
$3,300
Dec 20, 2024
2
ALIX, JAY
ALIX PARTNERSFOUNDER
IndividualBIRMINGHAM, MI
$3,300
Oct 2, 2023
3
KIM, CHRISTINE M.
BBB LLCATTORNEY
IndividualNEW YORK, NY
$3,300
Oct 31, 2023
4
ALIX, JAY
ALIX PARTNERSFOUNDER
IndividualBIRMINGHAM, MI
$3,300
Apr 15, 2024
5
ROURE, RITA
PAGNY - LINCOLN HOSPITALPHYSICIAN
IndividualGREENWICH, CT
$3,300
Apr 10, 2024
6
ROURE, RITA
PAGNY - LINCOLN HOSPITALPHYSICIAN
IndividualGREENWICH, CT
$3,300
Apr 10, 2024
7
CHAVEZ, TOM
KRUX INC.CEO
IndividualSAN FRANCISCO, CA
$3,300
Jul 13, 2024
8
CHAVEZ, TOM
KRUX INC.CEO
IndividualSAN FRANCISCO, CA
$3,300
Jul 13, 2024
9
JONES, JERRY C.
LIVERAMP INC.EXECUTIVE
IndividualLITTLE ROCK, AR
$3,300
Sep 19, 2024
10
NESSEL, ARIEL
NESSEL DEVELOPMENTOWNER
IndividualROSS, CA
$3,300
Jul 12, 2024

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

PACs
Organizations
Individuals
Politicians

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

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Showing 54 nodes and 26 connections (46 secondary connections hidden)

Total contributions: $101,500

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 helped.

  • +Medical Devicesconfidence 0.90

    Section 2(a) establishes a Prosthetic and Rehabilitative Items and Services Formulary and requires the Secretary to enter into contracts to support availability of items and services included in the Formulary (subsection (d)). This directly benefits medical device manufacturers that produce prosthetic and rehabilitative items by increasing demand through VA contracts and ensuring availability across VA facilities.

  • Section 2(a) requires the Secretary to ensure availability of formulary items at or through all VA facilities (subsection (b)(2)) and to provide training on the Formulary for clinicians and staff (subsection (e)). This expands the scope and standardization of services within the VA health system, benefiting hospitals and health systems under the VA through increased service provision and potential funding for training and implementation.

Project 2025 Policy Matches

This bill shows semantic similarity to the following sections of the Project 2025 policy document.

Introduction

Moderate65.4%
Pages: 679-681

— 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,

Introduction

Moderate65.4%
Pages: 679-681

— 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.

Introduction

Moderate61.3%
Pages: 676-678

— 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).

About These Correlations

Policy matches are calculated using semantic similarity between bill summaries and Project 2025 policy text. A score of 60% or higher indicates meaningful thematic overlap. This does not imply direct causation or intent, but highlights areas where legislation aligns with Project 2025 policy objectives.

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