Bill > HR6733

This bill, the VISN Reform Act of 2025, aims to improve how the Department of Veterans Affairs (VA) manages its Veterans Integrated Service Networks (VISNs), which are regional networks of VA healthcare facilities. The bill mandates that the VA organize its Veterans Health Administration into eight geographically defined VISNs, ensuring that each VISN's employees, services, and programs align with the VA's overall mission and the specific healthcare needs of veterans in their region. It requires VISNs to operate as integrated health care systems by partnering with other health organizations, managing regional budgets responsibly, and using national metrics to ensure effective, efficient, and safe care. The bill also emphasizes reducing duplicated functions across the VA, promoting collaboration between VISNs and other VA administrations (like Veterans Benefits Administration and National Cemetery Administration) and external partners, and clarifies that each VISN will have a single headquarters office co-located with a medical center, with strict limits on the number of employees at these headquarters. Furthermore, it establishes that the Director of each VISN will be appointed by the President with Senate confirmation and will be responsible for enforcing VA policies within their region, and that employees at VA facilities within a VISN will report directly to the VISN Director. Finally, the bill mandates a review of the VISN structure every three years and requires the consolidation of existing VISNs into eight new, geographically defined networks within one year of the bill's enactment, with specific combinations outlined for several VISNs.

Military Affairs and Security

https://www.congress.gov/bill/119th-congress/house-bill/6733/all-info