VISN Reform Act of 2025
Sponsored By: Representative Bost
In Committee
Summary
Consolidation of the Veterans Integrated Service Networks into eight regional VISNs to centralize management and reduce duplication. The bill would create a statutory governance framework for those VISNs, set one headquarters per network with a 50 full-time employee cap, and require VISN directors to lead operations and enforce Veterans Health Administration policy.
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- Veterans and families: Would aim to build integrated regional health systems that contract with public and private providers and use national metrics to improve quality and patient satisfaction.
- VHA employees and clinicians: Would cap each VISN headquarters at 50 full-time employees and require a workforce realignment plan within 180 days to identify duplicative headquarters roles and reassign staff to clinical or local support duties.
- VISN leadership and oversight: Would make VISN Directors noncareer presidential appointees who oversee all VHA staff in their area and require a review of the VISN structure every three years with reports to Veterans' Affairs committees.
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Bill Overview
Analyzed Economic Effects
2 provisions identified: 0 benefits, 0 costs, 2 mixed.
Limits on VISN headquarters staff
If enacted, the bill would cap each VISN headquarters at 50 full-time employees and no more than 10 contractors. The Secretary would have 180 days to submit a workforce reorganization plan and must ensure headquarters meet the cap within three years. The Secretary could waive the FTE cap for up to one year, but only after certifying the waiver to the House and Senate Veterans' Affairs Committees before it takes effect. The plan must identify positions, show phased realignments or separations, and—to the maximum extent practicable—offer licensed clinicians at headquarters transfers into direct patient care jobs without loss of pay or benefits; the bill also requires annual reports to Congress on HQ employment.
New VISN regions for veterans
If enacted, the bill would reorganize VA health care into eight Veterans Integrated Service Networks. The Secretary would combine the current VISNs into the specified groupings within one year of enactment and pick one headquarters per VISN colocated with a VA medical center. Each VISN Director would be a presidentially appointed, Senate-confirmed noncareer official who must align services, reduce duplicate functions, manage a regional budget, and make agreements with other public and private health providers. The Secretary would also have to review VISN structure within three years and at least every three years after that, and submit reports with recommendations within 180 days after each review.
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.
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