Legislation6 days ago
50
To authorize implementation grants to community-based nonprofits to operate one-stop reentry centers.
HR8548Rep. Kamlager-Dove, Sydney [D-CA-37] (D-CA)
introduced
HR6733119th CongressWALLET
VISN Reform Act of 2025
Sponsored By: Representative Bost
In Committee
Summary
Reorganizes the Veterans Health Administration into eight geographically defined Veterans Integrated Service Networks (VISNs) to align regional management and tailor services to local veteran needs. It would also cap VISN headquarters staff, change how VISN directors are appointed, and require plans to cut duplicated functions.
Show full summary
- Veterans and families: Regions would be consolidated into eight VISNs so services and budgets aim to match local needs, and the VA must certify the reorganization will not reduce veteran access to care.
- VA employees at VISN headquarters: Each VISN HQ would be limited to 50 full-time employees and up to 10 contractors, with required right-sizing plans, possible voluntary separation incentives, and retraining options under Title 5.
- Clinical staff and patient care: Licensed clinicians must work at least one day per week at a VA medical center in their VISN and, where practicable, eligible HQ clinicians should be offered transfers into direct patient care without loss of pay or benefits.
- Leadership and oversight: VISN Directors would be noncareer executive appointments made by the President with Senate advice and consent and would be responsible for enforcing VA policies in their region; VISNs must use national metrics and report annually to the House and Senate Veterans’ Affairs Committees on HQ employment.
- Operations and partnerships: VISNs must identify and reduce duplicated clinical, administrative, and operational functions, coordinate consolidation of institutional functions and capital assets, and enter agreements with governmental and private health partners to meet veterans’ needs.
Your PRIA Score
Score Hidden
Personalized for You
How does this bill affect your finances?
Sign up for a PRIA Policy Scan to see your personalized alignment score for this bill and every other piece of legislation we track. We analyze your financial profile against policy provisions to show you exactly what matters to your wallet.
Bill Overview
Analyzed Economic Effects
3 provisions identified: 1 benefits, 0 costs, 2 mixed.
VISN budget and care oversight
If enacted, each VISN would manage a regional budget and must end each fiscal year balanced. VISNs would be allowed to enter agreements with government and private partners to meet veterans' needs. The bill would require reducing duplicated functions and using national measures to improve care quality and safety.
Combine VA regions into eight VISNs
If enacted, VA would combine the current regional VISNs into eight new VISNs. The bill lists which VISNs merge together. The Secretary must finish the realignment no later than one year after enactment.
New VISN leadership and HQ limits
If enacted, the head of each VISN would be a Presidential appointee confirmed by the Senate and be a noncareer official. Each VISN would have a single headquarters co-located with a VA medical center, and employees at VISN facilities would report to the VISN Director. Each VISN headquarters would be limited to 50 full-time staff, with no more than 10 contractors; waivers up to one year would need written certification to Congressional Veterans' Affairs Committees. The Secretary would have 180 days to submit a reorganization and right-sizing plan and must meet the headcount limit within three years, while offering licensed clinicians opportunities to transfer to patient-care roles where practicable.
Free Policy Watch
You just read the policy. Now see what it costs you.
Pick a topic. PRIA runs your household against live legislation and sends you a free personalized readout.
Pick a topic to get started
Sponsors & CoSponsors
Sponsor
Bost
IL • R
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
No roll call votes available for this bill.
View on Congress.govTake It Personal
Get Your Personalized Policy View
Take the PRIA Score to see how policy affects your household, then upgrade to PRIA Full Coverage for year-round monitoring.
Already have an account? Sign in