# 119-hr-6733: VISN Reform Act of 2025

119-hr-6733, VISN Reform Act of 2025, is a 119th Congress bill sponsored by Rep. Bost, Mike [R-IL-12] (R-IL); status in_committee; PRIA reads it as touching household money (as of 2026-09-05).

- Canonical: https://policyrisk.com/legislation/119-hr-6733
- As of: 2026-09-05
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-6733
- Congress: 119
- Title: VISN Reform Act of 2025
- Status: in_committee
- Introduced: 2025-12-16
- Sponsor: Rep. Bost, Mike [R-IL-12] (R-IL)
- Cosponsors: 1
- Policy area: Armed Forces and National Security
- Touches household money: yes
- Last recorded action: 2026-09-05

## 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. - 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.

## Cosponsors (1)

- Rep. Messmer, Mark B. [R-IN-8] (R-IN), 2026-09-03T00:00:00.000Z

## Provisions PRIA read

- VISN budget and care oversight: benefit, medium. 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 qual…
- Combine VA regions into eight VISNs: mixed, medium. 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: mixed, medium. 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 b…

## Related bills

- 119-hr-3151: SHIPS for America Act of 2025
- 119-hr-9237: Take Care of America’s Veterans Act
- 119-hr-2725: Affordable Housing Credit Improvement Act of 2025
- 119-hr-1229: United States-Israel Defense Partnership Act of 2025
- 119-hr-5089: Weather Act Reauthorization Act of 2025
- 119-hr-7613: ALERT Act

## Sources
- [119-hr-6733 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/6733)

## Related
- [119-hr-3151: SHIPS for America Act of 2025](https://policyrisk.com/legislation/119-hr-3151)
- [119-hr-9237: Take Care of America’s Veterans Act](https://policyrisk.com/legislation/119-hr-9237)
- [119-hr-2725: Affordable Housing Credit Improvement Act of 2025](https://policyrisk.com/legislation/119-hr-2725)
- [119-hr-1229: United States-Israel Defense Partnership Act of 2025](https://policyrisk.com/legislation/119-hr-1229)
- [119-hr-5089: Weather Act Reauthorization Act of 2025](https://policyrisk.com/legislation/119-hr-5089)
- [119-hr-7613: ALERT Act](https://policyrisk.com/legislation/119-hr-7613)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-6733 (as of 2026-09-05).