[House Hearing, 119 Congress]
[From the U.S. Government Publishing Office]


                          LEGISLATIVE HEARING
=======================================================================

                                HEARING

                               BEFORE THE

                       SUBCOMMITTEE ON DISABILITY 
                     ASSISTANCE AND MEMORIAL AFFAIRS

                                 OF THE

                     COMMITTEE ON VETERANS' AFFAIRS

                     U.S. HOUSE OF REPRESENTATIVES

                    ONE HUNDRED NINETEENTH CONGRESS

                             SECOND SESSION

                               __________

                       TUESDAY, FEBRUARY 3, 2026

                               __________

                           Serial No. 119-46

                               __________

       Printed for the use of the Committee on Veterans' Affairs
       
 [GRAPHIC NOT AVAILABLE IN TIFF FORMAT]      

                    Available via http://govinfo.gov
                       
                               __________
                               
                   U.S. GOVERNMENT PUBLISHING OFFICE
63-303                    WASHINGTON : 2026
=======================================================================
                   
                     COMMITTEE ON VETERANS' AFFAIRS

                     MIKE BOST, Illinois, Chairman

AUMUA AMATA COLEMAN RADEWAGEN,       MARK TAKANO, California, Ranking 
    American Samoa, Vice-Chairwoman      Member
JACK BERGMAN, Michigan               JULIA BROWNLEY, California
NANCY MACE, South Carolina           CHRIS PAPPAS, New Hampshire
MARIANNETTE MILLER-MEEKS, Iowa       SHEILA CHERFILUS-MCCORMICK, 
GREGORY F. MURPHY, North Carolina        Florida
DERRICK VAN ORDEN, Wisconsin         MORGAN MCGARVEY, Kentucky
MORGAN LUTTRELL, Texas               DELIA RAMIREZ, Illinois
JUAN CISCOMANI, Arizona              NIKKI BUDZINSKI, Illinois
KEITH SELF, Texas                    TIMOTHY M. KENNEDY, New York
JEN KIGGANS, Virginia                MAXINE DEXTER, Oregon
ABE HAMADEH, Arizona                 HERB CONAWAY, New Jersey
KIMBERLYN KING-HINDS, Northern       KELLY MORRISON, Minnesota
    Mariana Islands
TOM BARRETT, Michigan

                       Jon Clark, Staff Director
                  Matt Reel, Democratic Staff Director

       SUBCOMMITTEE ON DISABILITY ASSISTANCE AND MEMORIAL AFFAIRS

                    MORGAN LUTTRELL, Texas, Chairman

AUMUA AMATA COLEMAN RADEWAGEN,       MORGAN MCGARVEY, Kentucky, Ranking 
    American Samoa                       Member
JACK BERGMAN, Michigan               CHRIS PAPPAS, New Hampshire
NANCY MACE, South Carolina           MAXINE DEXTER, Oregon
KEITH SELF, Texas                    KELLY MORRISON, Minnesota

Pursuant to clause 2(e)(4) of Rule XI of the Rules of the House, public 
hearing records of the Committee on Veterans' Affairs are also 
published in electronic form. The printed hearing record remains the 
official version. Because electronic submissions are used to prepare 
both printed and electronic versions of the hearing record, the process 
of converting between various electronic formats may introduce 
unintentional errors or omissions. Such occurrences are inherent in the 
current publication process and should diminish as the process is 
further refined.
                        
                        C  O  N  T  E  N  T  S

                              ----------                              

                       TUESDAY, FEBRUARY 3, 2026

                                                                   Page

                           OPENING STATEMENTS

The Honorable Morgan Luttrell, Chairman..........................     1
The Honorable Morgan McGarvey, Ranking Member....................     2

                         SPEAKING FROM THE DAIS

The Honorable Michael R. Turner, U.S. House of Representatives, 
  (OH-10)........................................................     4
The Honorable Dina Titus, U.S. House of Representatives, (NV-01).     5
The Honorable Brian Fitzpatrick, U.S. House of Representatives, 
  (PA-01)........................................................     6
The Honorable Suhas Subramanyam, U.S. House of Representatives, 
  (VA-10)........................................................     6
The Honorable Gabe Evans, U.S. House of Representatives, (CO-08).     7
The Honorable Ryan Mackenzie, U.S. House of Representatives, (PA-
  07)............................................................     8
The Honorable Keith Self, U.S. House of Representatives, (TX-03).     9

                               WITNESSES
                                Panel I

Mr. James McCormick, Executive Director, Government Affairs, 
  Vietnam Veterans of America....................................    10

Mr. Paul Shipley, National Commander, AMVETS.....................    11

Mrs. Tanya Wilson-Thomas, Surviving Spouse and Former Caregiver, 
  Gold Star Wives of America.....................................    12

Ms. Nancy Springer, Associate Director, National Legislative 
  Service, Veterans of Foreign Wars of the United States.........    14

                                Panel II

Ms. Jennifer Bover, Executive Director, Pension and Fiduciary 
  Service, Veterans Benefits Administration, U.S. Department of 
  Veterans Affairs...............................................    22

        Accompanied by:

    Mr. Glenn Powers, Deputy Under Secretary, Field Programs and 
        Cemetery Operations, National Cemetery Administration, 
        U.S. Department of Veterans Affairs

    Mr. James W. Smith II, Deputy Executive Director, Policy and 
        Procedures for Compensation Service, Veterans Benefits 
        Administration, U.S. Department of Veterans Affairs

                                APPENDIX
                    Prepared Statements Of Witnesses

Mr. James McCormick Prepared Statement...........................    35
Mr. Paul Shipley Prepared Statement..............................    37
Mrs. Tanya Wilson-Thomas Prepared Statement......................    44
Ms. Nancy Springer Prepared Statement............................    46

                          APPENDIX--continued

Ms. Jennifer Bover Prepared Statement............................    48

                       Statements For The Record

ALS Network Prepared Statement...................................    53
National Association of Atomic Veterans, Inc. Prepared Statement.    54
Paralyzed Veterans of America Prepared Statement.................    60
Gold Star Spouses of America, Inc. Prepared Statement............    63
Tragedy Assistance Program for Survivors Prepared Statement......    69
The Invisible Enemy Prepared Statement...........................    88
Reserve Organization of America Prepared Statement...............    90
National Organization of Veterans' Advocates, Inc. Prepared 
  Statement......................................................    98
Berry Law Prepared Statement.....................................   100
ALS United Prepared Statement....................................   135
The ALS Association Prepared Statement...........................   137
The American Legion Prepared Statement...........................   138

 
                          LEGISLATIVE HEARING

                              ----------                              


                       TUESDAY, FEBRUARY 3, 2026

   Subcommittee on Disability Assistance & 
                          Memorial Affairs,
                    Committee on Veterans' Affairs,
                             U.S. House of Representatives,
                                                    Washington, DC.
    The subcommittee met, pursuant to notice, at 10:16 a.m., in 
room 360, Cannon House Office Building, Hon. Morgan Luttrell 
(chairman of the subcommittee) presiding.
    Present: Representatives Luttrell, Self, McGarvey, Pappas, 
and Morrison.

         OPENING STATEMENT OF MORGAN LUTTRELL, CHAIRMAN

    Mr. Luttrell. The committee will come to order. Without 
objection, the chair may declare recess at any time.
    Thank you for joining us today. We are here to discuss nine 
bills that would benefit veterans and their survivors.
    The bills we will be considering today, the first one will 
require the U.S. Department of Veterans Affairs (VA) Board of 
Veterans' Appeals to include in their annual report the reasons 
why the Board has failed to decide benefits appeals in a timely 
manner; another is to provide equity between all veterans who 
are seeking transportation and private burial plot 
reimbursements from the VA; require the National Cemetery 
Administration (NCA) to publish an annual report like those 
published by Veterans Benefits Administration (VBA), Veterans 
Health Administration (VHA), and the Board of Veterans Appeals; 
initiate the expansion of the Dayton National Cemetery, 
acquiring nearby land at no charge to the Federal Government; 
change the eligibility requirements for the Dependency and 
Indemnity Compensation (DIC), VA's largest survivors benefit, 
to surviving spouses under the age of 55 who choose to remarry 
and to the survivors whose loved one passed away from service-
connected Amyotrophic lateral sclerosis (ALS) before the 10-
year mark; and consider changes to how VA identifies fraudulent 
disability benefit questionnaires and the evidentiary standard 
for determining if some conditions are service-connected.
    The subcommittee has an important and unique 
responsibility. We are responsible for overseeing veterans' 
compensations, pensions, burial, fiduciary, and survivors' 
benefits. We touch many parts of the VA, including Compensation 
Service, the Board of Veterans' Appeals, the National Cemetery 
Administration, and the Court of Appeals for Veterans Claims. 
Most importantly, this subcommittee makes an impact on veterans 
and their survivors at some of the--and of the most important 
times in their lives.
    The work we do affects veterans when they are seeking 
disability benefits. It affects them when they are under 
financial distress. It affects families when their veterans--
when their veteran loved one passes away. It also affects how 
the veterans and their loved ones are honored long after they 
are gone. We are responsible for reviewing legislation that 
impacts veterans throughout their lives, and I am grateful that 
today we will be considering these bills that ensure veterans 
and their families are honored in their life and that they are 
properly cared for in their death.
    I do want to highlight that the bills we are considering 
today are not yet offset. This means that no mechanism has been 
identified for how we will fund these bills and ensure good 
policy and fiscal responsibility. That obviously goes hand-in-
hand. Our responsibility as legislators and current lawmakers, 
the new spending must be offset by reduction elsewhere to 
minimize the growth of our national debt. Until this offset can 
be found and for other proposals, we would be unable to 
consider that legislation at the full committee markup.
    I look forward to working with Chairman Bost, Ranking 
Member McGarvey, and other members of this subcommittee on 
these important proposals today. I also look forward to hearing 
from witnesses who have joined us about how we can improve 
these bills.
    I now yield to the ranking member.

      OPENING STATEMENT OF MORGAN MCGARVEY, RANKING MEMBER

    Mr. McGarvey. Thank you very much, Mr. Chairman. Good 
morning, everyone. Thank you all for being here today and for 
holding this hearing. Looks like we got a full agenda, so I am 
going to get right into things today. Just want to start by 
highlighting a few of the bills we are going to be hearing.
    I want to start by highlighting a bill from Representative 
Subramanyam, which is the Susan E. Lukas 9-11 Servicemember 
Fairness Act. I also want to recognize Susan herself, who I 
understand is with us here today. Thank you so much for your 
service, for your sacrifice, for being here, there you are, for 
being here and for, you know, for your bravery for the men and 
women alongside you that day.
    September 11th, is a day that for those of us who were 
here, will never forget. I can tell you what the temperature 
was like that day in the city where I was. It brought our 
country together in a way that I do not think we see much right 
now. Everyone was focused on how we help each other out. You 
are emblematic of that. Of course, it did lead to two wars that 
lasted 20 years. That created millions of veterans. We now have 
to take care of those veterans on this committee.
    Thankfully, we have the Sergeant First Class Heath Robinson 
Honoring our Promise to Address Comprehensive Toxics (PACT) Act 
and other laws that are addressing a lot of exposure to toxic 
substances and addressing the particular needs of this new 
generation of veterans. One of those groups is the 
servicemembers now, the veterans themselves who were at the 
Pentagon that day, who were at the Pentagon when it was struck. 
They did not get the attention; they did not get the care. They 
do not have same resources that other people exposed to toxic 
substances received even though there was jet fuel and fire 
foam and everything else dripping from the walls in the 
Pentagon that day.
    I am glad to see that H.R. 5339 is here, is going to move 
out of this committee across the House floor. Ultimately, we 
need to make sure this becomes law, so we fix this glaring gap 
in coverage for people.
    We have also learned that some illnesses do not show up 
until years after someone is exposed. That is especially true 
for servicemembers exposed to radiation during their service. 
That is why I am really glad we are taking up Representative 
Titus' Providing Radiation Exposed Servicemembers Undisputed 
Medical Eligibility (PRESUME) Act today. It is a very 
straightforward bill. It is a straightforward way to make sure 
that radiation-exposed veterans can actually access the care 
and the benefits they have earned.
    Honestly, it is heartbreaking when you hear these stories 
and see the illnesses from veterans at the Nevada Test and 
Training Range that they are dealing with. Hopefully, we can 
move this bill forward and finally get them those benefits. 
Their counterparts at the Department of Energy already receive 
these protections, I think it only makes sense that our 
veterans receive the same level of protection.
    Today on the agenda, we also have Ranking Member Takano's 
Fraud Reduction and Uncovering Deception (FRAUD) in VA 
Disability Exam Act, which tries to crack down on a familiar 
enemy of this committee, which is claim sharks and the 
disability benefits questionnaires mills.
    I am also pleased that today we are discussing H.R. 7620, 
the National Cemetery Administration Annual Report of 2026 from 
Representative Mackenzie, a bill I am happy to co-lead with 
him. This bill, simply put, it is good governance. Actually, 
when they came to me with the bill, I said they do not already 
do this? It requires the National Cemetery Administration to 
provide Congress with an annual report with basic statistical 
information about their activities and grants in the prior year 
and the projections for the year ahead. I have absolutely no 
reason to believe that the NCA is doing anything other than 
amazing work. If there is an agency in the entire Federal 
Government that is 100 percent mission-focused and dedicated to 
the families it serves, it is the NCA.
    That said, having a straightforward annual report to keep 
this committee and the American people informed, it just makes 
sense. It helps us do our job. It helps make sure taxpayer 
dollars are being used the right way. I appreciate 
Representative Mackenzie for working on this important bill and 
making sure that it is done in the bipartisan way our veterans 
deserve.
    Mr. Chairman, thank you very much. We have got a full 
agenda, but the agenda seems focused on what the committee 
does, which is making sure our veterans--we honor the promise 
we made to our veterans for their service to us. Thank you.
    Mr. Luttrell. Thank you, Mr. McGarvey.
    I respectfully request and ask that each member hold their 
statements to 3 minutes. In accordance with committee rules, I 
ask unanimous consent that the following members be permitted 
to participate in today's subcommittee hearing: Representative 
Turner from Ohio, Representative Titus from Nevada, 
Representative Hudson from North Carolina, Representative 
Fitzpatrick from Pennsylvania, Representative Evans from 
Colorado, Representative Mackenzie from Pennsylvania, and 
Representative Subramanyam from Virginia. Without objection, so 
ordered.
    It is our practice that we will forego a round of 
questioning for the members. I will now recognize the members 
for their testimony.
    Mr. Turner, you are now recognized, sir.

                  STATEMENT OF MICHAEL TURNER

    Mr. Turner. Thank you, Chairman Luttrell and Ranking Member 
McGarvey, for holding this markup and considering H.R. 2164, 
the Dayton National Cemetery Expansion Act of 2025.
    Currently, the historic VA Cemetery in Dayton, Ohio, is 
running out of land for burials. Past expansion of the cemetery 
have required cannibalization of the historic Dayton VA Medical 
Center campus. Future planned expansion would not only require 
the medical center campus of VA to cede more land to the 
cemetery for burial use, but would also allow the cemetery to 
place grave site areas in the hospital grounds. That would have 
to be the only option for expansion for the burials.
    Since the VA's policy to expand the cemetery into these 
alternative areas has come to light, I have been working with 
the city of Dayton, the Montgomery County Land Bank, the Dayton 
and Montgomery County Port Authority, to remedy this issue by 
obtaining land adjacent to the cemetery for future burials. 
Once this land is secured, the Montgomery County Land Bank will 
donate the land to the VA Cemetery for expansion for space, 
eliminating any future need to take away land from the Dayton 
VA Medical Center. My bill would simply require the VA 
Department to accept the land donation.
    This land legislation, which was passed by this 
subcommittee during the 118th Congress by a voice vote in which 
enjoys a support from several community leaders in Dayton, will 
also allow families of past veterans to continue to bury their 
loved ones in their hometown on this historical VA campus, 
which was established shortly after the Civil War and is now a 
National Historic Landmark. I and other leaders in the Dayton 
community are proud of the rich historic heritage of our VA 
campus and have worked tirelessly to maintain the historical 
integrity of our grounds. We appreciate your support for 
veterans and certainly for this bill and for our efforts to 
expand these historic grounds. We thank you for your 
consideration of my bill.
    I yield back.
    Mr. Luttrell. Thank you, sir.
    Ms. Titus, you are recognized for 3 minutes.

                    STATEMENT OF DINA TITUS

    Ms. Titus. Well, thank you, Mr. Chairman, Ranking Member 
McGarvey, members of the committee. I appreciate very much 
being allowed to sit in with you today to talk about the 
PRESUME Act.
    In Nevada's First congressional District, I hear every day 
from veterans who served honorably, returned home expecting to 
get fair treatment, and instead have encountered unnecessary 
barriers to the care and benefits they earned. Among them are 
atomic veterans, our cold war warriors, and servicemembers who 
worked at the Nevada Test Site and Training Range. These are 
individuals whose missions were so highly classified that their 
presence has been effectively erased even as they were exposed 
to toxic radiation.
    For decades, these veterans have suffered from cancers, 
pulmonary conditions, and other serious illnesses while being 
told by the system that they were never there because their 
records have been masked or buried behind classification. We 
know the military promises to leave no soldier behind and 
Congress must live up to that same commitment. That that is why 
I introduced the PRESUME Act, H.R. 4469. It would eliminate the 
unjust and nearly impossible requirement that atomic veterans 
prove a certain radiation dose before accessing VA benefits.
    Veterans were often exposed without their knowledge and 
today they are asked to provide documentation that is 
controlled entirely by the government. This data has 
hysterically, too, but historically been incomplete, been 
unreliable, or been told, well, that was probably destroyed in 
the fire in St. Louis in 1973. When the government controls all 
the evidence, veterans should not bear the burden of proving 
the impossible. The PRESUME Act would remove those bureaucratic 
barriers and bring fairness and parity to radiation-exposed 
veterans.
    This bill has been endorsed by the Disabled American 
Veterans, Veterans of Foreign Wars (VFW), National Association 
of Atomic Veterans, Paralyzed Veterans of America, and other 
veterans groups. Now, there are only a few hundred of these 
atomic veterans left, so we need to act now before it is too 
late. These men and women played a critical role in securing 
our victory in the cold war, but it was at great personal cost 
and with little public recognition. It is past time that we 
honor their service.
    As we continue to build on the success of the PACT Act, I 
urge the committee to keep veterans who were in these atomic 
situations front and center. Their service was extraordinary, 
their sacrifice was honorable, and their delay in receiving 
care is just unconscionable. We cannot change the past, but we 
can assure that there is a future rooted in dignity, 
transparency, and justice.
    I thank you for your attention to this and I urge you to 
include it and keeping those atomic veterans in mind. Thank 
you, Mr. Chairman.
    Mr. Luttrell. Thank you, Ms. Titus.
    Mr. Fitzpatrick, sir, you are recognized for 3 minutes.

                 STATEMENT OF BRIAN FITZPATRICK

    Mr. Fitzpatrick. I thank the chair and the ranking member 
for allowing me to speak today on my legislation, H.R. 1685, 
the Justice for ALS Veterans Act.
    Mr. Chair, Mr. Ranking Member, this is a bipartisan, 
bicameral bill that ensures that surviving spouses of veterans 
who pass away due to ALS receive the full benefits that they 
have earned. As we all know, ALS is a fast moving, aggressive, 
and fatal disease. Our veterans are twice as likely to be 
diagnosed compared to the general population.
    With an average life expectancy of only 2 to 5 years after 
diagnosis, our ALS veterans often do not survive long enough to 
meet the 8-year requirement for dependency and indemnity 
compensation, leaving their families without this benefit after 
their loved one passes away. Denying a surviving spouse of 
benefits because their loved one did not live long enough to 
meet an arbitrary requirement, I believe is a betrayal to our 
commitment of those who served. The Justice for ALS Veterans 
Act rights this wrong and ensures that the families of our 
brave servicemembers receive the support that they need and 
that they have earned.
    There is no more work to be done--I am sorry, there is much 
more work to be done to accelerate research and treatment 
access for ALS veterans. It is imperative that we close this 
loophole that has prevented surviving families from obtaining 
this support. I want to thank this committee for allowing us to 
raise this issue of ALS that does plague our veterans community 
twice as more frequently than the general population. I look 
forward to working with you all to move this legislation 
forward to honor all of our ALS veterans and their families.
    With that, I yield back.
    Mr. Luttrell. Thank you, sir.
    Mr. Subramanyam, you are recognized for 3 minutes, sir.

                 STATEMENT OF SUHAS SUBRAMANYAM

    Mr. Subramanyam. Thank you, Chairman Luttrell, Ranking 
Member McGarvey, and the entire subcommittee for having me here 
to speak on H.R. 5339, the Susan E. Lukas 9-11 Servicemember 
Fairness Act, a bipartisan bill to close the gap in coverage 
for those who bravely reported for duty at the Pentagon 
following 9-11.
    As many know, American Airlines Flight 77 on 9-11 crashed 
into the Pentagon, killing all those on board, 125 people 
inside, and created a debris-filled blast. What many people may 
not know is that despite the risks to their health and safety, 
Pentagon employees, including many constituents of mine, 
immediately returned to work, risking exposure to toxins which 
caused lifelong health problems and conditions. These employees 
have been left uncovered under the PACT Act. H.R. 5339 covers 
this gap by extending the PACT Act to those who reported for 
duty between September 11 and November 19, 2001, the day the 
Pentagon was deemed safe.
    The need for this bipartisan legislation is evidenced in 
the stories of constituents of mine. The heroic Pentagon 
employees who immediately returned to work to protect our 
national security include the namesake of this bill, the 
retired Air Force Lieutenant Colonel Susan E. Lukas, who is 
here today, if you want to wave to everyone again, put you on 
the spot one more time. You know in the aftermath of returning 
to work, Susan suffered persistent health issues. She was 
diagnosed with a rare condition found among others who were in 
the Pentagon right after 9-11. As a result, Susan needs to 
purchase a costly and specialized iodizing system, for 
instance, to purify her home's air. As she stated, every action 
I take is designed to overcome the health challenges posed by 
my time in the Pentagon on and after 9-11.
    These servicemembers who reported for duty at the Pentagon 
deserve the same benefits under the PACT Act that Congress 
provided to others. I urge the members of the subcommittee to 
advance this bipartisan bill to support veterans like Susan. We 
want to make sure that when people report to duty to keep our 
country safe after events like that, that they are taken care 
of and that we fulfill our promise to them to take care of 
them.
    Thank you and I yield back.
    Mr. Luttrell. Thank you, sir.
    Mr. Evans, you are recognized for 3 minutes.

                    STATEMENT OF GABE EVANS

    Mr. Evans. Thank you, Chairman, Ranking Member, other 
members of the subcommittee for the opportunity today to speak 
in support of my bill, the Veterans Burial Allowance and 
Reimbursement Act. This bill is personal to me, and I am proud 
to be a lead sponsor of the measure to benefit veterans and 
veterans families.
    I am a lifetime member of the VFW, and I have often spoken 
of my own experiences flying Black Hawk helicopters for the 
U.S. Army and the Colorado Army National Guard, which included 
an overseas deployment to a combat zone in support of the 
global war on terror. I am proud to come from a long line of 
veterans. My grandfathers on both sides of the family served 
this country honorably. Grandpa Evans is a career naval aviator 
and Abuelo Chavez as a soldier in World War II fighting with 
Patton's 3d Army.
    As someone who has personally attended the burial of 
veterans before, I know how much this sacred honor matters--
excuse me, this sacred honor matters to the families and loved 
ones of those who have given so much in defense of our Nation. 
This bill seeks to ensure parity in burial allowances and 
reimbursement for all veterans who have earned the benefit.
    Under current law, nonservice-connected burial allowances 
is actually set to exceed the service-connected burial 
allowance next year. That means veterans who pass away from 
nonservice-connected reasons will receive more burial allowance 
funds than their service-connected brothers and sisters. To fix 
this disparity and ensure all veterans receive a just 
disbursement for their benefits, my bill would eliminate the 
distinction between a nonservice-connected and a service-
connected burial allowance, converting the existing allowance 
into a general veterans benefit for both service and 
nonservice-connected passing. This commonsense fix will secure 
a standard and simple benefit to help the families of veterans 
honor their loved ones during times of loss and grief.
    I urge my colleagues on this committee to support this 
bill, look forward to working with you to advance it, and yield 
back.
    Mr. Luttrell. Thank you, sir.
    Mr. Mackenzie, you are recognized for 3 minutes.

                  STATEMENT OF RYAN MACKENZIE

    Mr. Mackenzie. Thank you, Mr. Chairman, Ranking Member, and 
the entire committee for holding this hearing today. I 
appreciate the work of my colleagues on both sides of the aisle 
and the staff who have helped prepare our bill for today's 
testimony.
    I am proud to have introduced the National Cemetery 
Administration Annual Report Act of 2026, a bipartisan bill 
that, as we heard, is co-introduced and led with Congressman 
Morgan McGarvey of Kentucky. This legislation is about 
transparency, accountability, and keeping a sacred promise to 
our veterans and their families.
    The National Cemetery Administration plays a critical role 
in honoring those who have worn the uniform. It is responsible 
for caring for our veterans in their final resting place and 
supporting grieving families during one of the most difficult 
moments of their lives. Congress has a responsibility to ensure 
that this work is done with dignity, foresight, and proper 
oversight. Today, there is no single comprehensive public 
report that clearly lays out how the National Cemetery 
Administration is operating, where resources are being used 
appropriately, as we heard, but what does not exist is, again, 
a comprehensive report like this so we can understand all of 
their operations going forward. We aim to address that.
    Under this legislation, the Department of Veterans Affairs 
would be required to submit an annual publicly available report 
dealing NCA operations and performance. That includes the 
number of internments by cemetery, burial options available to 
families, customer satisfaction metrics, cemetery construction 
projects, grants awarded to State and Tribal entities for the 
veterans' cemeteries, and how unclaimed veterans' remains are 
handled. Importantly, it also requires that this information is 
easily accessible online for families, advocates, researchers, 
and policymakers. This bill strengthens congressional 
oversight, supports long-term planning, and ensures that 
veterans and their families receive the respect and care that 
they have earned.
    I am grateful that this legislation or the intent of this 
legislation is supported by leading Veterans Service 
Organizations (VSO), including Vietnam Veterans of America 
(VVA), Disabled American Veterans, Paralyzed Veterans of 
America, Veterans of Foreign Wars, and the VA, who understand 
how important transparency and accountability are to fulfilling 
this final promise.
    I again want to thank Congressman McGarvey for his 
partnership and the committee for considering this commonsense 
bipartisan measure. I urge my colleagues to ultimately support 
the bill when it comes up for a vote. I look forward to 
continuing our work together on behalf of veterans and their 
families.
    Thank you. With that, I yield back.
    Mr. Luttrell. Thank you, sir. I ask that the second panel 
please take your seats.
    Mr. Self, you are recognized for 3 minutes, sir.

                    STATEMENT OF KEITH SELF

    Mr. Self. Thank you, Mr. Chairman. Thank you for the 
opportunity to speak today in support of my bill, H.R. 6698, 
the Board of Veterans' Appeals Annual Report Transparency Act.
    The current law requires the Board of Veterans' Appeals to 
issue an annual report. Within this report is a performance 
measure titled ``Timely Appeals Modernization Act (AMA) Post 
Hearing Decisions.'' This measure reports the percentage of AMA 
hearing decisions with a disposition of held that may have been 
decided within 180 days of the hearing, a benchmark that is 
established by the Board. Unfortunately, the report does not 
require the Board to explain why cases fail to be decided by 
the 180-day goal. Veterans and VSOs do not benefit from simply 
knowing that an appeal has exceeded the Board's 180-day goal. 
Congress, likewise, cannot effectively conduct oversight or 
legislate improvements without understanding the underlying 
causes of those untimely decisions.
    The same gap exists with respect to remands. Remands are 
necessary, but they can also be one of the most significant 
drivers of delay in the appeals process. Yet the Board's annual 
report does not currently require any systematic identification 
of the factors leading to a remand. This bill will close that 
gap. Specifically, it requires the Board of Veterans' Appeals 
to identify in its annual report the factors contributing to 
untimely decisions under the modernized appeals system and to 
quantify how frequently each factor occurs. It also requires 
the Board to identify the causes of remands for both legacy and 
modern appeals, again, with clear data.
    This is not about assigning blame. It is about identifying 
patterns. Are delays and remands being driven by staffing 
shortages, incomplete medical exams, poor record development at 
earlier stages, changes in law, or some other procedural 
bottleneck? Without this information, neither Congress nor VA 
can target reforms effectively.
    This bill does not change veterans' rights, alter the 
standard of review, or interfere with the Board's independence. 
It simply asks the Board to report on what is already happening 
using data, let me emphasize using data, and do so in a 
transparent, standardized way.
    Clear and transparent reporting helps identify where 
investments and changes will have the greatest impact so that 
the recent progress within the Board of Veterans' Appeals can 
be sustained. Ultimately, veterans deserve an appeals system 
that is not only timely, but accountable. This bill is a 
modest, but meaningful step toward that goal.
    I urge my colleagues to support it and I yield back.
    Mr. Luttrell. Thank you, sir.
    Good morning, everyone. Well traveled, I see. Thank you for 
joining us today. I know that the weather is not playing nice, 
so, again, thank you for making time.
    Our second panel, I will make the introductions. Mr. James 
McCormick, executive director of government affairs at Vietnam 
Veterans of America. Mr. Paul Shipley, national commander of 
American Veterans (AMVETS). Ms. Tanya Wilson--''Tan-ya'' or 
``Tawn-ya''? Thank you. Ms. Tanya Wilson-Thomas, surviving 
spouse and former caregiver from the Gold Star Wives of 
America. Ms. Nancy Springer, associate director of National 
Legislative Service at Veterans of Foreign Wars of the United 
States. Good to see you again, Ms. Springer, as always.
    I ask that the panel please stand and raise your right 
hand.
    [Witnesses sworn.]
    Mr. Luttrell. Thank you and let the record reflect that all 
witnesses answered in the affirmative. You may be seated.
    Mr. McCormick, sir, you are recognized for 5 minutes to 
provide your opening testimony.

                  STATEMENT OF JAMES MCCORMICK

    Mr. McCormick. Thank you very much. Chairman, Ranking 
Member, and members of this honorable committee, I want to 
thank you for this opportunity to be here today. As recognized, 
my name is James McCormick. I am the executive director of 
Government Affairs for Vietnam Veterans of America. I am also a 
22-year Army veteran who rose through the enlisted ranks 
starting as a private, retiring as a captain, with 16 of those 
years enlisted and a bunch of those years as a noncommissioned 
officer. I have been in those ranks. I served during the cold 
war, the Gulf War, and Operation Iraqi Freedom.
    Vietnam Veterans of America was founded on the shared 
resolve of veterans who returned from a very real war to a 
country that was often unprepared or sometimes unwilling to 
accept them or to understand the cost of that very real war. 
Founded in 1978, this congressionally chartered organization 
grew out of Vietnam veterans working together, often 
unofficially and without institutional support, to demand 
recognition, including recognition for those invisible wounds 
of war that would later become a fighting effort to recognize 
Post-Traumatic Stress Disorder (PTSD).
    Guided by our principle that never again will one 
generation of veterans abandon another, VVA has evolved from 
advocating for Vietnam veterans only to advocating for all 
veterans. We strive to ensure that as Vietnam veterans age, 
they receive the healthcare they have earned. Much more 
importantly, we strive to ensure that future generations of 
veterans receive a much better treatment than Vietnam veterans 
received when they came home.
    The nine items we have been asked to address largely align 
with VVA's advocacy, and we would likely endorse and robustly 
support them all: H.R. 1685, H.R. 2164, H.R. 1004, H.R. 6698, 
H.R. 4469, H.R. 5723, H.R. 5339, H.R. 6943, and also the 
Discussion Draft on the National Cemetery Administration Annual 
Report Act.
    I commend this subcommittee for working together and doing 
what many cannot seemingly do in this country. Too often it 
seems that negativity and party line politics have seeped into 
veterans' policies in ways that create competition instead of 
compassion, delay instead of care, and noise instead of 
solutions. We debate labels, errors of service, and party 
positions while veterans struggle with housing, healthcare, 
suicide risk, financial insecurity, and the dignity at the end 
of life.
    It does not matter what branch they served in, it does not 
matter when they served, and it does not matter whether they 
faced combat, supported supply lines, maintained equipment, 
gathered intelligence, or served in an administrative role. 
Every one of them raised their right hand and accepted the same 
obligation. Every one of them made sacrifices that shaped their 
lives, their families, and this Nation.
    Advocacy must never devolve into deciding which veterans 
are most politically convenient to support. The role of 
Congress is to ensure that every veteran and every veteran's 
family not be hampered by their service and can live with 
stability, access care without unnecessary barriers, and age 
with dignity.
    As we look at the warrior ethos, it is clear that it says I 
will never leave a fallen comrade behind. I will never leave 
anyone behind. That is an oath. That is a commitment, and that 
is something that we as a Nation must live up to and ensure 
that we are working together across party lines, across wartime 
service lines and peacetime service lines to ensure that we are 
doing the right thing for our veterans and their families.
    Thank you very much, and I look forward to your questions 
at any time.

    [The Prepared Statement Of James McCormick Appears In The 
Appendix]

    Mr. Luttrell. Thank you, sir.
    Mr. Shipley, you are recognized for 5 minutes, sir.

                   STATEMENT OF PAUL SHIPLEY

    Mr. Shipley. Chairman Luttrell, Ranking Member McGarvey, 
and distinguished members of the subcommittee, on behalf of 
AMVETS, thank you for the opportunity to testify on the 
legislation before you today.
    As the Nation's most inclusive, congressionally chartered 
veterans service organization, AMVETS represents more than 20 
million veterans from the Active Duty, Guard, and Reserve 
components. The bills before the subcommittee go to the heart 
of our national priorities: mental health, survivor equity, and 
accountability in the veterans benefits system. While they 
address different policy areas, they share a common goal of 
ensuring that veterans and their families are not failed by the 
systems meant to support them after service.
    First, the Love Lives On Act of 2025. AMVETS strongly 
supports this legislation. Under current law, surviving spouses 
who remarry before age 55 lose their dependency and indemnity 
compensation and survivor benefits annuities. Because most post 
9-11 surviving spouses were widowed in their 20's or 30's, more 
than 95 percent choose not to remarry to avoid this penalty. A 
servicemember's sacrifice does not diminish because their 
surviving spouse finds companionship again. This country cannot 
claim to honor the fallen while penalizing the families they 
left behind.
    Second, the Justice for ALS Veterans Act of 2025. AMVETS 
offers full support for this bill. Although ALS is 
presumptively service-connected, current survivor benefits 
rules ignore the disease's short course. Enhanced DIC requires 
8 years of total disability, but ALS veterans typically and 
tragically survive only 2 to 5 years. This legislation removes 
that requirement and ensures survivors receive appropriate 
compensation. We also support the recording requirement to 
identify other high mortality service-connected conditions so 
families are not penalized simply because a disease progresses 
too quickly.
    Third, the Susan E. Lukas 9-11 Servicemember Fairness Act. 
I would like to recognize Mrs. Lukas being here today. Her 
courage is a demonstration for all of us to follow. AMVETS is 
proud to stand with the Reserve Organization of America in 
supporting this bill. While Congress addressed many toxic 
exposure gaps through the PACT Act and the Zadroga Act, 
servicemembers who reported to the Pentagon after September 11, 
2001, were left behind. Despite working for months in 
environments contaminated with asbestos, jet fuel, and 
pulverized building materials, these veterans are forced to 
prove direct service connection for cancers and respiratory 
illnesses that emerge years later. This bill would extend 
presumptive coverage and finally close a longstanding and 
unjust gap.
    Fourth, the PRESUME Act. AMVETS strongly supports the 
legislation for atomic veterans exposed to ionizing radiation. 
Current VA policy relies on decades old reconstruction 
estimates that are scientifically flawed and administratively 
harmful, despite the fact that radiation affects individuals 
differently. If a veteran participated in a recognized 
radiation risk activity and later develops a service-connected 
illness, care should never be delayed or denied.
    Fifth, the Board of Veterans' Appeals Annual Report 
Transparency Act. AMVETS supports this bill based on decades of 
experience representing veterans before the Board. While the 
Appeals Modernization Act made progress, the progress remains 
opaque. Many decisions are remands that prolong resolution 
rather than delivering finality. This legislation would improve 
transparency around delays and remands and ensure the Board is 
evaluated on outcomes, not just volumes of claims.
    Finally, the Fraud and VA Disability Exam Act. AMVETS would 
support this bill if amended. Fraud must be addressed, but 
oversight must be precise. Veterans should not be penalized for 
relying on private providers or for minor clerical errors 
beyond their control. Fraud prevention must not become a new 
barrier to earned benefits.
    In closing, the legislation before the subcommittee 
presents real opportunities to strengthen the system veterans 
and their families rely on. AMVETS stands ready to work with 
you to advance fairness, accountability, and finality, and to 
ensure that honoring service means supporting veterans and 
survivors long after the uniform comes off.
    Thank you for the opportunity to testify. I look forward to 
your questions.

    [The Prepared Statement Of Paul Shipley Appears In The 
Appendix]

    Mr. Luttrell. Thank you, sir.
    Mrs. Wilson-Thomas, you are recognized for 5 minutes.

                STATEMENT OF TANYA WILSON-THOMAS

    Mrs. Wilson-Thomas. Good morning, Chairman Luttrell, 
Ranking Member McGarvey, members of the subcommittee. My name 
is Tanya Lynn Wilson-Thomas, surviving spouse of U.S. Marine 
Dwight Anthony Thomas, Sr.
    I am a member of Gold Star Wives of America Incorporated, 
which was founded in 1945 as a service organization of World 
War II widows. We are the surviving spouses of our Nation's 
military servicemembers. We were created to advocate for 
policies that support quality of life for military survivors 
and their children due to their servicemember's spouse's death 
on Active Duty or as a result of service-connected conditions. 
We have been advocating for families for 80 years and are 
continuing to do so.
    I am here to express support for H.R. 1004, the Love Lives 
On Act, and H.R. 1685, the Justice for ALS Veterans Act. I am 
providing testimony on only these two bills as they are most 
impactful to our membership. The Love Lives On Act and the 
Justice for ALS Veterans Act are two bills which would have a 
positive impact on our members and we urge the committee and 
the Congress to see them through to enactment.
    While our members have different stories and journeys, we 
have all arrived to the same destination. We have all found 
ourselves experiencing the trauma of loss of our spouse, the 
upheaval of our lives, and the weight of learning to 
incorporate that loss into our everyday existence. We are also 
tasked with simultaneously helping our children to do the same.
    The Love Lives On Act affirms our Nation's responsibility 
to stand with Gold Star wives and their husbands--and husbands 
beyond their moment of loss. It provides essential recognition 
by acknowledging that our sacrifices are perpetual, just as the 
benefits provided to spouses have a perpetual indemnification 
purpose that should not be threatened. It asserts that honoring 
service must emphatically include honoring those who constantly 
endure life with the rigors of its sacrifices along with its 
lasting associated cost.
    My late husband Dwight Senior was a proud U.S. Marine who 
suffered greatly due to several service-connected illnesses. He 
was on emergency standby with his unit to deploy to the Persian 
Gulf when he collapsed and underwent brain surgery. He 
collapsed with a brain hemorrhage and underwent brain surgery 
at the age of 23. I was 22, our children were 2 and 4. I then 
became his military caregiver until his death 8 years later.
    Support for the Love Lives On Act affirms that our Nation 
does not forget but remembers that although they are no longer 
physically here, our spouse's service and sacrifices are still 
recorded in the annals of our Nation's American history. This 
act provides the reinstatement of the benefits of the Survivor 
Benefit Plan and, in addition, it provides reinstatement of 
TRICARE benefits when a subsequent marriage ends in divorce or 
death. Currently, a survivor would lose eligibility.
    This bill ensures that military survivors are not forgotten 
in a real and tangible way, but provided the resource to 
rebuild stability in their lives after sacrifice on behalf of a 
grateful Nation. Gold Star Wives also strongly supports H.R. 
1685. Amyotrophic lateral sclerosis, ALS, this is a devastating 
and unforgiving disease that has taken the lives of those who 
serve this Nation with honor. The families, after acting as 
their loved ones military caregiver, are left to bear 
unimaginable loss. Then, because of ALS rapid progression, they 
are often left with significant financial loss due to the law's 
inflexibility in recognizing that progression.
    The report on additional medical conditions should commence 
without delay. Gold Star Wives of America Incorporated urges 
the committee to extend eligibility for increased survivor 
benefits to all families whose servicemember died due to ALS 
before October 1, 2025. All surviving spouses with ALS-related 
deaths have similar experience, irrespective of the date of 
death. This bill represents accountability for servicemembers.
    Finally, members of the subcommittee, I close in asking for 
your support for these bills. The ALS bill, it acknowledges 
respect for, compassion for the families by streamlining access 
to care, benefits, and much-needed answers. Supporting this is 
not only good policy, but it is our moral obligation.
    I close in asking you to work together constructively and 
how to accomplish moving these bills beyond this first step. 
For 80 years, Gold Star Wives has seen this committee, which 
formed in 1946, the same age as our organization, come together 
on issues affecting veterans and survivors. We are asking that 
you do so again. We are asking that you proudly build on the 
foundation of President Abraham Lincoln's pledge to care for 
those who borne the battle and for his widow and his orphan. He 
knew this was morally just. We know that you believe the same 
in the end.
    Thanks again for your support. Thank you for the 
opportunity to hold forum with each of you today.

    [The Prepared Statement Of Tanya Wilson-Thomas Appears In 
The Appendix]

    Mr. Luttrell. Thank you, ma'am.
    Ms. Springer, you are recognized for 5 minutes.

                  STATEMENT OF NANCY SPRINGER

    Ms. Springer. Good morning. Chairman Luttrell, Ranking 
Member McGarvey, and members of the subcommittee, on behalf of 
the men and women of the Veterans of Foreign Wars in the United 
States and its auxiliary, thank you for the opportunity to 
present our views on the legislation before this subcommittee 
today. My written testimony outlines the VFW's position on all 
the bills under consideration. This morning, I will highlight 
three.
    First, the VFW supports H.R. 1685, the Justice for ALS 
Veterans Act of 2025. This legislation would extend Enhanced 
Dependency and Indemnity Compensation, or DIC, to surviving 
spouses of veterans who die from ALS, regardless of how long 
the veteran lived after diagnosis. Currently, VA pays surviving 
spouses enhanced DIC only if the veteran is rated totally 
disabled for at least 8 years prior to death and if the 
marriage lasts at least 8 years.
    While VA presumes ALS to be service-connected and typically 
assigns a total disability rating at diagnosis, the 8-year 
disability requirement is fundamentally incompatible with the 
realities of this disease. ALS is a rapidly progressive 
internal illness with a typical life expectancy of just 2 to 5 
years following diagnosis. Consequently, many families can 
never meet the 8-year disability threshold through no fault of 
their own. H.R. 1685 would remove this unattainable requirement 
while preserving the 8-year marriage rule, ensuring surviving 
spouses receive the full survivor benefits Congress intended.
    This issue is deeply personal to the VFW. Chris Mulholland, 
United States Marine Corps, retired, VFW member, and ALS 
patient, led our organization's longstanding advocacy to reform 
ALS survivor benefits, including spearheading the adoption of a 
related VFW resolution. Major Mulholland spoke powerfully about 
the toll ALS takes not only on veterans, but also on families 
who suddenly become full-time caregivers while facing the rapid 
decline of their veteran along with related emotional trauma 
and financial uncertainty. Tragically, Major Mulholland himself 
lived fewer than 8 years after his ALS diagnosis in 2020, 
embodying the very injustice the bill seeks to correct.
    Second, the VFW supports H.R. 5723, the Fraud Reduction and 
Uncovering Deception in VA Disability Exams Act. Veterans use 
VA disability benefits questionnaires, or DBQs, which are 
available on VA's publicly accessible website, to document 
medical evidence supporting disability compensation claims. 
Because DBQs often provide foundational evidence, their 
accuracy is essential to the integrity of the VA claims 
process.
    Unfortunately, their importance has also made them a target 
for exploitation. Some bad actors charge veterans for 
assistance that VA credited representatives provide at no 
charge. Others falsely promise guaranteed outcomes, encourage 
veterans to avoid VA examinations, or claim access to private 
providers who will secure higher ratings. In more serious 
cases, affiliate health care providers charge fees to 
manufacture diagnoses or exaggerate conditions to obtain 
benefits beyond what the evidence supports.
    H.R. 5723 would require VA to establish a formal process to 
identify and report suspected DBQ-related fraud, mandate 
referrals to appropriate authorities, and implement a recurring 
audit program to monitor both reported and detected fraud. 
Together, these reforms would create a systematic and 
accountable approach to addressing DBQ fraud, one that would 
protect honest veterans and preserve trust in the disability 
compensation system.
    Finally, the VFW supports H.R. 6698, the Board of Veterans' 
Appeals Annual Report Transparency Act of 2025. This 
legislation would require the Board of Veterans' Appeals, or 
BVA, to identify in its annual report the factors contributing 
to untimely decisions and remands. Due to the Board's workload, 
veterans can wait up to 2 years and sometimes beyond for a 
decision and even longer if they request a hearing. Remands to 
the agency of original jurisdiction further delay final 
decision. In Fiscal Year 2024 alone, BVA remanded more than 40 
percent of appeals, further extending resolution timelines and 
creating uncertainty for veterans awaiting their final 
disposition.
    Requiring BVA to identify and report the drivers of delay 
would improve transparency and provide the data needed to 
strengthen processes and reduce inefficiencies. This 
transparency would enhance oversight, improve accountability, 
and build confidence that BVA is handling appeals fairly and 
consistently.
    In conclusion, these three bills collectively would ensure 
that veterans and their survivors are treated with the 
fairness, integrity, and urgency their service deserves.
    Chair Luttrell, Ranking Member McGarvey, thank you for the 
opportunity to present the VFW's views. I look forward to 
answering your questions.

    [The Prepared Statement Of Nancy Springer Appears In The 
Appendix]

    Mr. Luttrell. Thank you, Ms. Springer.
    Mr. Self, you are recognized for 5 minutes for your line of 
questioning.
    Mr. Self. Thank you, Mr. Chairman.
    Mr. McCormick, I want to explore the 6698 with you. You 
said that it could drive real change. Can you elaborate on 
that?
    Mr. McCormick. Yes, sir.
    Mr. Self. This, of course, is the Board of Veterans' 
Appeals Annual Report Transparency.
    Mr. McCormick. Yes, sir. Thank you very much. What this 
does is it opens up an opportunity for more transparency. As we 
look at common sense approaches to, number one, ensure that 
what we are doing is both monitored and overseen, we believe 
that an Annual Report Transparency Act of 2025 would help 
create that. It identifies root issues, training quality. VVA 
frequently calls for appeals reform and transparency to reduce 
backlogs, delays affecting veterans, indirect benefits through 
pressure for improvements, aligned with priorities, and added 
to the workload is at risk.
    Mr. Self. Well, my real question is, who benefits from 
this? We often talk about inputs here. You know, we love to set 
up new offices and talk about inputs. I want to know, do the 
veterans themselves benefit from this? That should be the goal 
of what we are trying to do here.
    Mr. McCormick. Absolutely. I believe that is that is the 
intent here, sir, of this bill. We believe that it would 
improve a level of trust in the system and also remove some 
additional barriers that have frequently plagued especially our 
generation of veterans, the Vietnam Veterans of America.
    Mr. Self. With that, Mr. Chairman, in the interest of time, 
I yield back.
    Mr. Luttrell. Thank you, Mr. Self.
    Mr. Pappas, sir, you are recognized for 5 minutes.
    Mr. Pappas. Well, thank you, Mr. Chairman. Thank you to 
everyone on the witness panel for their testimony here today 
and for your service and commitment to our Nation's veterans 
and their families. I appreciate that you all have spoken up 
loudly and clearly in favor of the Justice for ALS Veterans 
Act. I appreciate my colleague, Representative Fitzpatrick, who 
was here earlier to testify on behalf of that bipartisan 
partisan bill that we introduced together.
    Mrs. Wilson-Thomas, thank you for relating your own 
personal experience. I am sorry for your loss, and I appreciate 
the way you talked about the moral obligation that we have on 
this committee to get it right for survivors and for families 
who have sacrificed so much for this great country.
    We know specifically with ALS that it is a devastating, 
progressive disease. It affects veterans at a rate twice the 
rate of the general population, and we are learning more about 
ALS, but there is still so much we do not know about the 
disease, no known cause, and certainly no cure for it. Veterans 
with ALS and their families deserve greater understanding and 
the kind of benefits that we strive to provide on an equitable 
basis to all those who wear the uniform. I think updating 
current VA policy to better reflect the reality faced by 
veterans with ALS and their families is simple common sense, 
and it is the right thing to do and it is the moral thing to 
do. Thank you for underscoring that.
    Ms. Springer, I appreciate you relating the personal 
experience of families that have struggled with ALS. I think 
the current 8-year total disability requirement for enhanced 
DIC benefits simply does not align with the medical reality 
faced by ALS patients and certainly their families and 
survivors. I am wondering if you can just underscore for us why 
maintaining that 8-year disability requirement for benefits 
poses harm to survivors of veterans with ALS, even though that 
they already have the service connection and total disabilities 
already recognized. Why do we need to change that 8-year 
window?
    Ms. Springer. Actually it is fundamentally inequitable and 
wholly incompatible with the realities of this disease. The 
lifespan of an ALS patient is between 2 and 5 years, as shown 
by my VFW colleague, Major Mulholland, who lived fewer than 8 
years before his death. Without recognizing that, we are 
putting an unattainable burden on these survivors who have 
suffered so much. Devastating disease and family members 
frequently become full-time caregivers, giving up their jobs, 
giving up their financial security, and we are asking them to 
attain something that they just cannot. That is why we think 
that that is totally incompatible with the realities of this 
disease and totally unfair.
    Mr. Pappas. Well, thank you for those comments. I do think 
we need to give these families compassion and understanding. I 
think this bill does that, and so I hope that the committee can 
find a way to move this forward soon.
    With that, I yield back.
    Mr. Luttrell. Thank you, sir. The vote has been called in 
the House. The subcommittee will stand in recess subject to the 
call of the chair. I expect to reconvene 10 minutes after the 
start of the last vote. What that means, ladies and gentlemen, 
is we have to go across the street to cast our votes and we 
will be back as quick as possible.
    [Recess.]
    Mr. Luttrell. Thank you for giving us some grace. I forgot 
to gavel out. Now I am gaveling back in. We are good to go. It 
is the rules. Apologize.
    I will recognize ranking member for his opening line of 
questioning.
    Mr. McGarvey. Thank you all so much. Thank you, Mr. 
Chairman, for having this panel here today.
    Mrs. Wilson-Thomas, I want to start with you. First of all, 
thank you for being here. Thank you for your courage throughout 
this whole ordeal, not just in taking care of your husband and 
your family, but in being here to tell us that story.
    I am not sure if you have had a chance to read the VA's 
testimony on the Love Lives On Act right now, but I hope you 
did because I want to get your reaction to it. In particular, 
the VA says, and I want to quote what it says here, quote, 
``The existing marriage restrictions help manage and allocate 
VA resources effectively.''
    Now, they tried to make that sound as bland as humanly 
possible, but to me, that is a lot of government speak that we 
are going to take this away from you. I want to know, really 
and truly, again, thank you for your courage and bravery in 
being here, but for you, for other survivors, what does it say 
to you guys when the VA boils your losses down to a budgeting 
exercise?
    Mrs. Wilson-Thomas. Thank you for that. First of all, when 
it is stated as such, it really means that we have to pay more 
attention to ``On behalf of a grateful Nation.'' If we pay 
attention to that statement, ``On behalf of a grateful 
Nation,'' our sacrifices were on behalf of a grateful Nation, 
then the VA should not state it as such, but be very specific 
in how we are to be--how we should have access to resources. 
Really and truly, we are working diligently to try to have some 
semblance of normalcy, have a life, rebuild a life after the 
rug was pulled out from underneath ourselves and our children.
    Gold Star wives and husbands, we need the support of the 
government to provide resources to help rebuild the life. When 
we hear that stated in such a way, it makes us understand that 
that is not really the goal, and that is not what we want to 
understand about our system.
    Mr. McGarvey. The language is seemingly bland. The impact 
is absolutely----
    Mrs. Wilson-Thomas. It is devastating.
    Mr. McGarvey. Devastating.
    Mrs. Wilson-Thomas. It is devastating. It is devastating.
    Mr. McGarvey. I appreciate you sharing your personal side 
of this because I am also afraid that VA is trying to rewrite 
the story with the American public about what Dependency and 
Indemnity Compensation, or DIC, is and the purpose behind it.
    Yes, DIC, Dependency and Indemnity Compensation, provides 
money to people whose spouses are killed because of their 
service. This has never been just a check. It is always been 
more than that. This is an acknowledge, as you said, when you 
say, ``On behalf of a grateful Nation,'' when you sign up, when 
you put that flag on your shoulder, when you put on the 
uniform, willing to sacrifice everything to serve us and keep 
us free, we make you a promise. That promise is a legal 
promise. That promise is a moral promise. It says, we are going 
to take care of you and we are going to take care of your 
family.
    The reality is my brother is Active Duty right now. No, no 
servicemember serves alone. They have a team behind them. Your 
service, your sacrifice has to be recognized. It is especially 
true for families of disabled veterans. Their service does not 
end when the veteran passes away and it certainly does not 
disappear if that spouse is fortunate enough to find love 
again.
    You told your story and your husband was injured when you 
were 22.
    Mrs. Wilson-Thomas. Pardon me?
    Mr. McGarvey. You told your story. Your husband was?
    Mrs. Wilson-Thomas. He was 22 when he, yes, developed a 
blood--a brain hemorrhage at the age of 22.
    Mr. McGarvey. Then you----
    Mrs. Wilson-Thomas. Well, excuse me, he was 23. I was 22.
    Mr. McGarvey. You were 22.
    Mrs. Wilson-Thomas. Yes.
    Mr. McGarvey. Then took care of him for 8 years?
    Mrs. Wilson-Thomas. Yes, I did.
    Mr. McGarvey. You know, I just say this, like that does not 
disappear. Your service does not disappear, especially if you 
are able to find love again and fortunate enough to find love 
again.
    One of the reasons we are talking about this is it says 
cost. The Love Lives On Act is supposed to cost $2 billion over 
10 years. Look, I am not saying that is not a lot of money, but 
let us look at where some of the other priorities are. Just 
this year in the One Big Beautiful Bill, there is a provision 
in it which cuts the tax off of firearm suppressors, silencers, 
over the same 10-year period that we are taking money away from 
our Gold Star spouses. We are giving it to make firearm 
silencers cheaper. That to me is not a trade that we should be 
doing. The same amount of money to pay for silencers, but they 
cannot find money to pay for survivor's benefits.
    I appreciate you being here to testify and I hope the VA 
will rethink its opposition to this bill.
    Mr. Chairman, I yield back.
    Mrs. Wilson-Thomas. Thank you.
    Mr. Luttrell. I was actually going to use the VA's 
testimony and ask something similar, Mrs. Thomas, so he beat me 
to that. Great job. Not really, but great job.
    I try to put myself in the situation, especially in this 
position of--because I have spoken to a lot of spouses, a lot 
of Gold Star spouses. I lost a lot of teammates over the two 
wars, and a lot of my friends lost a lot. Gave it all just like 
you did. I try to appreciate the perspective that the VA is 
providing us--and then I asked them, have you ever had--have 
you had conversations with Gold Star spouses? A spouse's job is 
probably the most challenging job there is. Saw a pretty 
interesting T-shirt one time, said, ``A Navy wife is the 
hardest job in the military.'' I agree with that.
    I do not understand why it is even a conversation that we 
have to have that you would take something from someone who 
walked that pathway alongside us or those members that served. 
The functionality of the military through its men and women is 
successful because of a lot of things, but most certainly the 
family, because the spouses--my spouse looked at me every day 
and said, you are doing great things for our country, and we 
are here for you. If something had happened to me and then my 
wife had gotten her benefits, in my opinion, that is something 
that she earned forever.
    Mrs. Wilson-Thomas. Thank you.
    Mr. Luttrell. I wholeheartedly support the idea that you 
have earned those benefits, whether or not you get remarried 
again or whomever under the age of 55.
    As Mr. McGarvey, I do not look at it as dollar bills. I do 
not. Someone who works in Congress, whose job is to spend 
money, I am speaking as a veteran, that is something that you 
earned, and it is--no one has that right to take that away from 
you, in my opinion.
    Mrs. Wilson-Thomas. Thank you.
    Mr. Luttrell. The challenge is obviously getting there from 
here, which we are working on a daily basis to make sure that 
that does happen. I think speaking to you, Mrs. Wilson-Thomas, 
is that I want you to know that he and I agree wholeheartedly. 
Since I am the chairman and ranking member, in this 
subcommittee will carry this all the way to the finish line or 
damn sure die trying.
    Mrs. Wilson-Thomas. Thank you.
    Mr. Luttrell. I had a young lady, Ms. Patsy Dietz, sit in 
my office, and I have been friends with her a long time. She is 
remarried to another friend of mine who was in the military. I 
got to tell you, I was present when she lost her husband, and 
she came back last year to visit with me. I looked her in the 
face, I was like, you do not have to explain this to me. I 
understand. It is making sure that everyone else does, because 
you are a--you know, being in the military is a very small 
sorority or fraternity. Unfortunately, that, you know, that 
fraternity that you are a part of, losing someone is--it is not 
one anybody should have to be a part of. We are doing our 
absolute to make sure that you get what you deserve and you 
keep it.
    Okay. Ms. Springer, when it comes to ALS----
    Mrs. Wilson-Thomas. Thank you.
    Mr. Luttrell. Yes, ma'am. When it comes to ALS, you know, 
if we can understand how the brain works, that would be an 
amazing thing. The window at which someone with ALS or any 
other neurological disease, you know, it is kind of a rolling 
tide. I think until we can understand exactly, you know, how 
this thing functions, we are kind of throwing darts at a 
dartboard.
    I can appreciate that 8-year window is substantially wrong. 
The timeframe in which it was created to what we understand 
about the brain currently, it has changed. I hate to say, what 
does it look like or what is necessary or what is the sweet 
spot that we should pay attention to? The one that you give me 
is going to be argued amongst everyone and then we have to make 
the decision. That is the hard part about our job. We cannot 
necessarily decide on who is right or wrong. We have to take a 
step forward.
    This place loves to have problems. This place loves to talk 
about the problems we have. It does not seem to be the place 
that wants to solve many problems. On this committee, we do 
everything that we possibly can to solve those problems. You 
may not have this answer for me, but I need--we, if I may, sir, 
where is it? What is the next step? What does the timeline need 
to look like? What is most beneficial for those that are 
suffering from ALS and the families, to put them in a place--I 
am not--you know, you cannot say put them in their comfort zone 
because there is nothing comfortable about this at all.
    It is, hopefully, something that we can change as science 
shows up with medicine. To now, to date, you know, we have to 
pray to God every day that those that are suffering from this, 
you know, they do their best to live in peace. I do not know if 
you have an answer to what I just kind of threw at you, but.
    Ms. Springer. Mr. Chairman, we, we really thank you for 
your concern about this matter. I gave the personal story of 
one of my VFW comrades, Major Mulholland. I did not know him 
personally, but I do know people who did. Unfortunately, it is 
a very devastating, fast-moving disease. People go from being 
essentially normal to being very incapacitated in a very short 
amount of time. Along the way their family members often are 
the caregivers, so they have to leave their jobs and spouse or 
family members leave their jobs and watch that happen to their 
loved one, to their veterans. There is a huge emotional toll on 
the family members. There is loss of financial security.
    I would suggest that we stay plugged in with medical 
science and use data to determine if it is not 8 years, where 
is it? We would say no time limit at all. This is such a 
devastating disease. Once that person dies, and it is likely 
going to be between 2 and 5 years that that surviving spouse 
does get that extra enhanced DIC. It is not a princely sum, but 
every little bit helps because that family's financial 
situation will have degraded tremendously from the time before 
diagnosis.
    Mr. Luttrell. Should it be a timeframe more than a----
    Ms. Springer. Conditions based?
    Mr. Luttrell. A phase in which the conditions have become 
more exacerbated.
    Ms. Springer. Okay. That is--right.
    Mr. Luttrell. If you put--you cannot put a timeframe window 
in----
    Ms. Springer. Right.
    Mr. Luttrell [continuing]. because everyone is different. 
When it comes to science and medicine, and I speak on how 
academia is very siloed, gathering that information may be more 
challenging than saying, hey, look, if a certain individual has 
this systematic diagnoses, they have reached that specific time 
instead of a 2-, 4-, 6-, 8-year window. That is something we 
are going to have to figure out.
    Ms. Springer. That may be a very viable alternate viewpoint 
is to look at it from the basis of condition instead of time 
limit, conditions based, preference it on conditions based.
    Mr. Luttrell. We have not asked those questions. Who in the 
VA do you deal with directly with this issue?
    Ms. Springer. I have not directly.
    Mr. Luttrell. All right. Well, I am going to find out who 
that is and have this conversation to follow up. Hang on for 1 
second.
    Well, it is just me and you guys in here today. Washington, 
DC, is a busy place. I wish we all had the answer for the 
problems that we not only presented here today, but that live 
in the veteran space. It seems forever changing. The problem 
when you inject politics and the government on top of something 
that is so sacred as our veteran community, we are the ones 
that get lost and we are having to wade through that.
    I will close with thank you all for coming and sitting in 
on this panel and sharing this information. We will--the 
chairman and--the ranking member and I will move on this.
    With that, thank you and you are excused.
    The third panel, you may be seated. Mr. Smith, Mr. Powers, 
Ms. Bover, are you ready?
    Thank you to the witnesses for joining us today. From the 
Department of Veterans Affairs and the National Cemetery 
Administration, the lead witness for the VA is Ms. Jennifer 
Bover, executive director of Pensions and Fiduciary Services at 
the Veterans Benefits Administration. Ms. Bover is accompanied 
by Mr. James Smith, deputy executive director of Compensation 
Services at the Veterans Benefits Administration; Mr. Glenn 
Power is deputy undersecretary for Field Programs and Cemetery 
Operations at the National Cemetery Administration.
    I ask that all witnesses please stand. Raise your right 
hand.
    [Witnesses sworn.]
    Mr. Luttrell. Thank you. Let the record reflect that all 
witness have answered in the affirmative. You may be seated.
    Ms. Bover, you are now recognized for 5 minutes to present 
the Department's testimony.

                  STATEMENT OF JENNIFER BOVER

    Ms. Bover. Good morning, Chairman Luttrell, Ranking Member 
McGarvey, and the members of the subcommittee. Thank you for 
the opportunity today to discuss the Department of Veterans 
Affairs' views on several bills that would affect VA programs 
and services. Supporting me today is Mr. James Smith, deputy 
executive director, Compensation Service, and Mr. Glenn Powers, 
deputy undersecretary for Field Programs and Cemetery 
Operations. Our board partners are not able to attend today's 
hearing.
    Unfortunately, I will not be able to speak on H.R. 6698, 
Board of Veterans' Appeals Annual Report Transparency Act of 
2025. I will be taking those questions for the record.
    At VA, we recognize the sacrifice that veterans, 
servicemembers, their families, and survivors have made serving 
our country. It is our job to serve them as well as they have 
served us. VA believes clarity and transparency allows us to 
provide high-quality care along with modernized benefits and 
services. We welcome the opportunity to provide insight into 
these proposed pieces of legislation. We have provided detailed 
comments in the written testimony to include areas of support 
and concern VA has on today's legislation.
    VA supports the intent of H.R. 1004, the Love Lives On Act 
of 2025, and its focus on ensuring that eligible survivors 
receive support from VA following the loss of a veteran. VA has 
determined that the remarriage restrictions currently in place 
for Dependency and Indemnity Compensation and Medal of Honor 
special pension are consistent with that intent. The remarriage 
restrictions align with provisions for a multitude of Federal 
benefits across varying agencies and departments.
    VA supports H.R. 1685, the Justice for ALS Veterans Act of 
2025, subject to appropriations and if amended. VA respectfully 
requests further discussion on section 3 of this bill, which 
requires a report of other conditions that should be treated in 
the same manner as ALS due to high mortality rates. The concept 
of a high mortality rate lacks a standardized government 
definition as there is not a universal set of metrics to define 
this concept. We are happy to work with the committee on 
identifying what may constitute a high mortality rate and the 
service-connected conditions that may qualify for this 
designation.
    VA appreciates the intent of H.R. 5723, the FRAUD in VA 
Disability Exam Act of 2025. However, VA does not support this 
bill. VA is concerned about the requirements to notify 
individuals whose DBQs are suspected of fraud. Under current 
practice, if fraud is suspected, VA typically orders a new exam 
and revises ratings as needed to ensure fairness. VA does not 
support the proposed restriction of reopening or changing 
benefit decisions based on investigations unless the individual 
is convicted of fraud. The time required and the higher bar of 
evidence needed to secure a fraud conviction eliminates VA's 
ability to correct errors in a shorter timeframe than needed 
for a Federal criminal proceeding to unfold, potentially 
harming veterans who are not involved in fraudulent activity.
    VA does not support the Discussion Draft entitled 
``Veterans Burial Allowance and Reimbursement Act of 2026.'' VA 
appreciates and supports the need to make changes to the burial 
benefit structure to alleviate the issue that occurred on 
October 1st of 2025, where the combination of paying 
nonservice-connected burial and plot allowances is now greater 
than the service-connected burial allowance. VA's 
recommendation within the written testimony provides a more 
streamlined plan to amend the burial benefit structure that 
would allow VA to preserve the distinction of a higher rate for 
service-connected burials that Congress has had in place since 
1973.
    Across VA, we continue to improve services to meet the 
needs of veterans, servicemembers, and their families and 
survivors. We thank the committee for your continued support.
    Thank you again for the opportunity to appear before you 
today, Mr. Chairman. This concludes my statement.

    [The Prepared Statement Of Jennifer Bover Appears In The 
Appendix]

    Mr. Luttrell. The written statement Ms. Bover will be 
entered into the hearing record. We will now move to 
questioning.
    Dr. Morrison, are you ready to go? I will hand it off to 
you if you would like.
    Ms. Morrison. Thank you, Mr. Chair. Mr. Chair, I want to 
thank you for holding this hearing. Thanks to the panel for 
being here. I also want to thank the gentleman--you, Mr. Chair, 
and the gentleman from North Carolina, Mr. Hudson, for your 
partnership and leadership on the Love Lives On Act. I am 
pleased to see that the bill is on the docket for today's 
hearing and I want to use my time to continue making the case 
that we need this legislation. No surviving military spouse 
should have to choose between finding love again and keeping 
the benefits their family deserves.
    Ms. Bover, I would like to turn to you for my questions. 
The Love Lives On Act was considered at a legislative hearing 
held by this subcommittee in April 2024. During that hearing, 
VA provided a cost estimate of 327 million over 10 years for 
Section 2 of the bill, which eliminates the remarriage penalty 
for DIC. Congressional Budget Office (CBO) had a wildly 
different estimate stating that it would cost around $2 
billion. Is VA willing to provide the numbers it utilized to 
determine its score and work with CBO to provide a more 
accurate estimate?
    Ms. Bover. The VA is always happy to work with the 
committee on this topic. We do not have a cost estimate at this 
time, but we are happy to get that for you when it is 
available.
    Ms. Morrison. That would be great. You would commit to 
following up with my team on those numbers?
    Ms. Bover. The Department commits to transparently sharing 
the information that we have as soon as we can.
    Ms. Morrison. Thank you. VA's testimony states that 
Disability and Indemnity Compensation payments are designated 
for individuals who have lost financial support due to a 
spouse's service-related disability or death. It also states 
that if the surviving spouse remarries before age 55, this 
financial need is no longer considered to exist, thereby 
altering the initial intent of the law.
    Ma'am, what changes at the age of 55 for a survivor to 
suddenly need this financial support? How is the situation 
different from someone who is, say, 32 or 52?
    Ms. Bover. Thank you for the opportunity to clarify our 
position. The previous administration, you know, there is been 
a change in administration, and after reviewing the 
legislation, we have recognized that there are different 
complexities this may impose on surviving spouses for the 
benefits, both within the VA and in other areas of Federal 
agencies. The remarriage restrictions are not unique to VA.
    Ms. Morrison. Leaving aside the financial need and earning 
potential, we are also talking about people who suffered 
unimaginable loss. Right? This is about following through on 
the promise we made to our servicemembers, veterans, and their 
families. We owe survivor benefits to men and women who have 
tragically lost their loved ones in service to their country. 
It is not right that we take them away if they find love again 
too soon.
    Ms. Bover, beyond the economic factors, do you think there 
is a moral imperative to protect survivor benefits for those 
who remarry before age 55?
    Ms. Bover. VA supports survivors getting remarried. When we 
reviewed this legislation what we found was it created 
inequities not only within our own programs within VA, but also 
across other Federal agencies. I think it is important to know 
that I myself am a veteran and the VA supports taking care of 
survivors and their families. I have been in this role about 3 
months, and just in those 3 months I have made an effort to 
understand the issues that face survivors. I have set up 
meetings with the Offices of Survivors Assistance, the Tragedy 
Assistance Program. Just since this fiscal year, we have 
decreased the inventory of DIC claims by 34 percent and our 
average days pending by 40 percent.
    We are making survivors a focus. With this legislation, we 
would be happy to work with the committee to address this more 
holistically while considering these secondary effects this 
legislation would have if enacted.
    Ms. Morrison. One final question. In previous testimony, VA 
supported the Love Lives On Act with amendments. This Congress 
the bill was amended to include some technical fixes identified 
by VA in 2024. What has changed for VA to go from supporting 
the removal of remarriage restriction requirements for 
surviving spouses to now opposing the bill outright?
    Ms. Bover. With the change in administration, again, after 
we reviewed the legislation, we found that there would be some 
inequities caused within some of our own survivor programs 
within the VA and also across other Federal agencies. For 
example, survivor's pension, if a survivor remarries at any 
age, they lose that benefit. It also affects other Federal 
agencies, such as TRICARE, the Survivor Benefit Plan, Social 
Security. Those remarriage restrictions are not unique to the 
VA.
    Ms. Morrison. It is disappointing to me. In spite of our 
disagreement, I do hope that we can work together, find a path 
forward, because I believe we owe it to survivors and their 
families to get this done. Thank you.
    Mr. Chair, with that, I yield back.
    Mr. Luttrell. Thank you.
    Ms. Bover, you answered Dr. Morrison's two questions with 
the exact same answer, which means I think you are either 
reading it, or you had that memorized before you walked in. You 
say as far as Love Lives On, it is not unique just to the VA 
and that other Federal agencies are touched. I want you to 
expand on that for me.
    Ms. Bover. Absolutely. Our Survivor's Pension Program has 
remarriage restrictions as well, so if a survivor in our 
pension program remarries, they face----
    Mr. Luttrell. I am aware of that. That is what we are--that 
is what we will be changing. When you say ``other Federal 
agencies.''
    Ms. Bover. Absolutely. Other Federal agencies, Social 
Security Administration has a Remarriage Restriction Act, 
Survivor Benefits Plan has a Remarriage Restriction Act, 
TRICARE has a remarriage restriction. Many other----
    Mr. Luttrell. What do you mean TRICARE has a--explain.
    Ms. Bover. Absolutely. With TRICARE, if a survivor 
remarries at any age, they lose that benefit.
    Mr. Luttrell. Okay. Social Security, they lose that 
benefit. That is what you are telling me?
    Ms. Bover. For Social Security, if the survivor remarries 
after the age of 60, they lose that benefit.
    Mr. Luttrell. Because other Federal agencies, Social 
Security and TRICARE, have this legislative requirement, the VA 
as a whole is stating that it will not support a young lady or 
a young man remarrying under the age of 55 and keep their 
benefits because other Federal agencies have that legislation 
or have that regulatory clause?
    Ms. Bover. VA definitely supports survivors remarrying at 
any age.
    Mr. Luttrell. No, that is not what I am asking. That is not 
what I am asking at all, because we want the age to be under 
55. From what I understand from the VA's testimony is because 
other Federal agencies, because it is not unique to the VA, it 
seems like you are playing a chess game with me. The VA is 
going to use that Social Security and TRICARE to get out of 
this.
    Ms. Bover. Even within our own Department, again, with the 
Survivor's Pension Program, it would cause an inequity. Then 
also with our Home Loan Guarantee Program, it would also cause 
an inequity within our own Department.
    Mr. Luttrell. Explain. Explain.
    Ms. Bover. The Survivor's Pension Program, if a survivor 
remarries at any age, they would lose entitlement to that 
benefit. Then there is also a remarriage restriction on home 
Loan Guarantee. They would not be eligible for that VA-backed 
loan for that benefit----
    Mr. Luttrell. If we go under the age of 55, they would be 
eligible.
    Ms. Bover. This particular bill only addresses--does not 
address those other instances of benefits within our program.
    Mr. Luttrell. Okay. Why did you bring it up?
    Ms. Bover. We need the bill to holistically consider the 
impacts of other benefits within our own Department.
    Mr. Luttrell. Okay. If we add all that in there, the VA 
would be okay with us taking the age of 55 away?
    Ms. Bover. The VA is definitely willing to work with the 
committee.
    Mr. Luttrell. Then why did not the VA come to the committee 
and say, hey, this is the best way forward instead of waiting 
until now? Here is the issue that I have. It seems like the VA 
is using its latitudes to say because other Federal agencies do 
not have the same opportunity that we do or have the same 
opportunity that we do, we are not going to change this piece 
of legislation. I do not care about everybody else because I am 
the chairman of this committee, and my sole responsibility is 
taking care of the veterans and the veterans' spouses. The VA 
is trying to sidestep this landmine, saying that we are not 
going to do that. You are throwing all this political BS at me 
that you are digging up God knows where, thinking that I am 
going to be okay with it. I can assure you, ma'am, I am not.
    In conversation with you from this point forward, I want to 
know why the VA--because you will not use other Federal 
agencies, and it is not unique to the VA. It is the VA. The 
reason that we sit in here today and the country exists is 
because of our veterans and their loved ones. I want a great 
explanation of why you are not going to do this.
    Ms. Bover. The VA supports veterans and survivors and their 
families passionately.
    Mr. Luttrell. I know, yes, ma'am. You said that. You said 
that many times.
    Ms. Bover. Even within our own Department, it would cause--
--
    Mr. Luttrell. Also, Ms. Bover, you are a veteran, and I 
probably would guess that you probably agree with me, but 
because of the role and responsibility you have inside the VA, 
you cannot. That is sad. Please continue.
    Ms. Bover. Even within our own department, it would cause 
inequities. We are happy to work with the committee.
    Mr. Luttrell. Like, give me a dollar sign on that.
    Ms. Bover. I am sorry, sir?
    Mr. Luttrell. Give me a dollar sign on that. It is all 
about money. At the end of the day, you break it down to the 
lowest common denominator, we are talking about dollar bills. I 
have to look all the constituents in the face and all the 
spouses that lost their loved ones like, hey, you are not worth 
it. You are going to have to convince me that I need to do 
that.
    Ms. Bover. We do not have a cost estimate at this time, but 
we would be happy to get that for you.
    Mr. Luttrell. Over the last Congress, which this thing 
showed up to this Congress in the second year, the VA does not 
have a cost estimate on this. How is that even possible?
    Ms. Bover. We would be happy to get you that information, 
sir, as soon as we can.
    Mr. Luttrell. Is that going to be coming from you or is 
there a secretary I need to talk to?
    Ms. Bover. The VA is committed to transparency, and as soon 
as they have that information, they will get it to you.
    Mr. Luttrell. Okay. You got 24 hours. Does that sound 
doable? I want all that information in 24 hours from the second 
that you guys walk out of here. Because if I do not tell you to 
do that, I will not get it till next year and, unfortunately, I 
will not be here. You got 24 hours. Or you could call the 
Secretary and have him call me directly. Okay?
    Ms. Bover. The VA will get you the information as soon as 
they can.
    Mr. Luttrell. I gave you 24 hours, period. I am going to 
keep going, Doc, unless, Ms. Morrison, you got anything you 
want to jump on? Okay. I am going to keep going.
    Mr. Powers, how does the VA plan to manage the comfort of 
VA hospital patients who will now see grave sites from their 
hospital window if VA moves forward with existing expansion 
plan? Mr. Powers? Turn the microphone on, sir.
    Mr. Powers. Thank you for the question, Mr. Chairman. We 
have over 20 national cemeteries that are located--co-located 
with VA medical centers. It is a historical--in most cases, it 
is a historical element that goes back to the 18--the 19th 
century, after the Civil War.
    Mr. Luttrell. Okay. Keep going.
    Mr. Powers. We do not feel that that is an issue. Those 
cemeteries started almost at the same time that those 
facilities started, particularly in the case of Dayton. They 
both started, I think, in 1867. As soon as the Civil War 
veterans passed away----
    Mr. Luttrell. Is the VA planning on moving cemeteries away 
from our VA hospitals? I guess is a better way to ask you that 
question.
    Mr. Powers. No. No, we are not.
    Mr. Luttrell. They are going to keep them right there on 
the same spot?
    Mr. Powers. It is--historically, it is been no issue for us 
to have our national cemeteries co-located with the medical 
centers or the--what preceded the medical centers, which were 
disabled soldiers homes for Civil War veterans and veterans of 
other conflicts.
    Mr. Luttrell. We are running out of space for our 
cemeteries though, are not we? As far as location in the 
hospitals.
    Mr. Powers. We proactively, National Cemetery 
Administration, look at our burial depletion data. We have 
policies to make sure that we are expanding and replacing 
cemeteries where necessary and going through the criteria to 
determine how to get more land so that we can continue to serve 
veterans the way we do throughout the country.
    Mr. Luttrell. Let us shift gears to, let us see here, how 
does the VA currently collect and use data related to national 
cemetery operations? How would a public annual report change 
this process? How often does a report currently come out?
    Mr. Powers. We do not issue, as has been--thank you for the 
question, Mr. Chairman. We do not issue a report right now, as 
has been pointed out. This bill would have us issue an annual 
report and we support the intent of the bill. It clearly does 
what is needed, what many people think is good government, the 
proposed topics which are benefits administration, customer 
satisfaction, cemetery maps, burial options, internment 
activity. That is data that we currently have almost in every 
aspect that the bill requires except one that we pointed out in 
the testimony is we would have to work on. We collect that 
data. We provided it to Congress when asked for, but we never 
did it in a annual report, so.
    Mr. Luttrell. How long have you been at the Department of 
Veterans Affairs, sir?
    Mr. Powers. I have been with--19 years.
    Mr. Luttrell. In the same spot, something similar?
    Mr. Powers. In the National Cemetery Administration for the 
entire 19 years, 15 years basically----
    Mr. Luttrell. Would it be more beneficial for an annual 
report to come out or----
    Mr. Powers. Oh, we support it. We support the intent. There 
is just one slight thing in the bill that we said we would have 
a problem disaggregating along one minor part of the bill. We 
support the intent of this bill for the reason stated in the 
bill.
    Mr. Luttrell. Are we for or against the FRAUD in VA 
Disability Exams Act, Mr. Smith?
    Mr. Smith. Thank you for that question. The way that it is 
written, it really is duplication of efforts that we currently 
have in place, sir. It also uses language that would 
potentially confuse veterans. Where it specifically says that 
we would be required to notify veterans when DBQs are suspected 
of fraudulent activity is problematic. Just because there is a 
possibility that a DBQ would be fraudulent does not necessarily 
mean that it is, so.
    Mr. Luttrell. Explain to me when you say fraudulent DBQ.
    Mr. Smith. Yes, sir. Thank you for that question.
    Mr. Luttrell. Kind of walk me through how we have come to 
that.
    Mr. Smith. This is specifically for public facing DBQs, so 
those that are on the web that can be downloaded. Through 
research, we have determined that there are telltale signs that 
a DBQ could potentially be fraudulent, such as you could see 
where the DBQ may have been altered or the information that is 
required in the signature block is missing or the examiner's 
address is, say, greater than 100 miles away from where the 
veteran lives. Looking at those potential signs that a DBQ 
could be fraudulent----
    Mr. Luttrell. Is there a language model inside of our 
computational system that picks this up or is this a still 
human touching this?
    Mr. Smith. That is a great question. We have developed a 
Power BI tool that should be ready this year that is going to 
be able to analyze a little over a million DBQs, public facing 
DBQs that have been scanned going all the way back to 2010, so 
we have a repository. When public DBQs come in, those are 
scanned and there should be a tool that is available this year 
that will allow us to, with greater fidelity, to be able to 
quickly identify potential problem cases.
    Mr. Luttrell. Then this particular legislation, it seems to 
me, would make sense if we had that capability?
    Mr. Smith. Yes, sir.
    Mr. Luttrell. Okay. We are just--as far as technology goes, 
we are not there for implementation of this?
    Mr. Smith. We should----
    Mr. Luttrell. That makes sense. I can have that 
conversation with the committee if you are supporting what I 
just said.
    Mr. Smith. I believe that I am supporting what you just 
said unless my colleague kicks me under the table. I think that 
the electronic piece should be available in 2026, so in this 
fiscal year.
    Mr. Luttrell. Okay. This showed up for a reason. Amplifying 
information will always help us navigate these waters.
    Mr. Smith. I think, and I am not sure how wires may have 
gotten crossed, but VA has been proactive in this space. We 
recognize that there are some problem players out there. We 
have developed training that the claims processors are required 
to take so that they can understand their responsibility to 
potentially identify fraudulent DBQs as well as a defined 
process for them to report suspected fraudulent DBQs up. As an 
organization, we work with the Office of Inspector General if 
we run into issues or cases where we feel that there is some 
type of impairment investigation required.
    Mr. Luttrell. Let us talk about H.R. 5339 for a second. I 
was unaware that servicemembers in the Pentagon did not fall 
underneath the PACT Act. Explain to me how that happened.
    Mr. Smith. I appreciate that question. I cannot explain how 
that location was overlooked or that group was overlooked. With 
the respect to how this rule is written, our issue with it is 
that the conditions are listed in a manner that is too broad. 
All we are asking----
    Mr. Luttrell. Please say more.
    Mr. Smith. For instance, cancers of any type or cancers of, 
I do not know, neck, something of that nature, whereas we could 
be more specific with the conditions that could potentially 
have been caused by whatever toxics may have been present in 
that space. As an organization, we support identifying those 
exposures and making sure that we taking care of veterans. 
However, there needs to be more research in this particular 
area so we could determine if there is causation.
    Mr. Luttrell. The PACT Act covers or explains that very 
well----
    Mr. Smith. Yes, sir.
    Mr. Luttrell [continuing]. I thought.
    Mr. Smith. Yes, sir.
    Mr. Luttrell. As far as types of--not to go down a rabbit 
hole here, but if we are going to try to unpack this suitcase, 
I do not think anybody can, as far as research goes, I do not 
think anybody can put their finger on exactly what chemical 
combinations create what cancers in anybody, especially if you 
are after an attack of such magnitude. This is total 
truthfulness. I had no idea that they were not included until a 
week ago when this was brought to my attention.
    Mr. Smith. I would be honest and say that I was not aware 
either, sir. In preparing for--and I hope it is okay to be 
honest. In preparing for this hearing, you know, do my due 
diligence and reached out to our partners in VHA, who identify 
the cohorts of veterans and they track them and do the 
research, but this particular cohort has not been defined. 
Again----
    Mr. Luttrell. Who is responsible for that?
    Mr. Smith. It falls under VHA, but there is an office VHA 
Home Health Outcomes, Medical Exposures. They are the research 
point that partners with VBA and the presumptive disability 
process.
    Mr. Luttrell. Has this specific issue been brought to the 
VA's attention in the past?
    Mr. Smith. Not to my knowledge, sir. No, sir.
    Mr. Luttrell. Okay. I expect movement on this one. This is 
absolutely ridiculous, first and foremost. As far as the global 
war and terror, they were the first ones to feel it short of 
the towers falling, I mean. For them to not be included, that 
makes--it sounds like we are on the same page, though.
    Mr. Smith. Yes, sir.
    Mr. Luttrell. Okay. Ms. Bover, are you for or against the 
PRESUME Act?
    Ms. Bover. That is under the oversight of Mr. James Smith, 
so I am going to pass it to my colleague.
    Mr. Luttrell. Okay.
    Mr. Smith. With the--I guess this is written down. No, we 
cannot support that. For the presumptive disabilities, dose 
requirement is--dose is not required for us to grant service 
connection as long as there are two criteria that are met. One 
is that the servicemember participated in a radiation risk 
activity and, two, that they be diagnosed with a condition that 
is listed in 3.309 or the presumptive conditions that were part 
of the PACT Act.
    Mr. Luttrell. Okay. This particular group that Ms. Titus 
was speaking about specifically, how do we, because of the VA 
regulations, how do we fix this problem? You cannot argue that 
this happened and that they were there. I understand 
classification levels and everything that happens in between. 
What is the best way to fix this from VA's perspective?
    Mr. Smith. I appreciate that question, sir. I am not a 
clinician, I am not a researcher speaking to counterparts at 
VHA. There is been research looked at this area and, again, I 
cannot speak to the research in and of itself. However, in 
partnership with U.S. Department of War Subject Matter Experts 
(DOW SME), there is no way for them to--or there is not been 
definitive evidence, I am just reading now, ``no definitive 
evidence of health problems as a result of radiation 
exposure.'' I asked someone to send me that report, but I think 
that is the issue is that as it stands, they have looked at 
this area, but, for whatever reason, they have not been able to 
determine causation.
    Mr. Luttrell. If there is a report that you find, would you 
send that over to committee staff so we can see it, too, 
please?
    Mr. Smith. Yes, sir. Yes, sir.
    Mr. Luttrell. I thank the Department of Veterans Affairs 
for your time today. I appreciate it. As far as this 
legislation goes, I think that we are--I think we disagree with 
each other. It is a shame it has to happen in this hearing, 
which I--you know, if we could have had a roundtable 
discussion, you could have come to my office and reached out to 
the committee and said, hey, we would like to sit down and 
discuss this with you before you show up. I think we could--it 
would have been a lot more productive instead of me being on 
send and you on receive.
    At the end of the day, it is you. It is not me. You touch 
the veterans, you do. Thank you all for your service. I can 
wire brush you all day long, yell and scream and ask you, and I 
do not sit up here and just throw this at you. These are 
conversations I have with those who put me here. It is my job 
to do that, period. When we walk out of here, you can either 
forget the fact that I asked you to do what I asked you to do, 
in 24 hours you are going to have that report for me. I will be 
calling you tomorrow asking for that report. You are going to 
give me the same answer I have gotten since the 3 years and 2 
months I have been here. Then I am going to go home and tell 
the veterans exactly what you told me. That is a damn shame. 
Okay?
    Veterans should not be caught up in the political 
bureaucracies of this place, period, and their loved ones. 
Thank you for your time.
    I ask unanimous consent that all members have 5 legislative 
days to revise and extend their remarks and include extraneous 
material. Hearing no objection, so ordered.
    This meeting is adjourned.
    [Whereupon, at 12:47 p.m., the subcommittee was adjourned.]      
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                         A  P  P  E  N  D  I  X

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                    Prepared Statements of Witnesses

                              ----------                              


                 Prepared Statement of James McCormick

    Chairman, Ranking Member, Members of the Committee. Thank you for 
the opportunity to appear before you today.
    My name is James L. McCormick II.
    I am the Executive Director of Government Affairs for Vietnam 
Veterans of America (VVA). I am a retired captain with 22 years of 
service in the United States Army. That included 16-years as enlisted 
in the NCO ranks, which then led to my direct commission as a combat 
arms officer where I spent the last 6 years of my service in the 
officer ranks.
    I served during the Cold war, the Gulf War, and Operation Iraqi 
Freedom.
    Vietnam Veterans of America was founded on the shared resolve of 
veterans who returned from a very real war to a country unprepared, or 
sometimes unwilling, to understand the cost of that service.
    Formed in 1978, the congressionally chartered organization grew out 
of Vietnam veterans working together, often unofficially and without 
institutional support, to demand recognition, including for those 
invisible wounds of war that would later, because of their fighting for 
it, become formally recognized as post-traumatic stress disorder 
(PTSD).
    Guided by our principle that, ``Never again will one generation of 
veterans abandon another,'' VVA has evolved from advocating for Vietnam 
veterans alone to standing for all veterans and their families. We 
strive to ensure that as Vietnam veterans age they receive the 
healthcare, long-term support, disability and survivor benefits, and 
dignity they have earned... while also fighting just as fiercely to 
protect future generations from being ignored, misunderstood, or left 
to fight alone.
    The nine items we've been asked to address largely align with VVA's 
advocacy; and would likely endorse most while monitoring implementation 
to avoid administrative pitfalls or unintended restrictions.
    H.R. 1685--Justice for ALS Veterans Act of 2025: VVA would strongly 
support this bill. It addresses a clear inequity for surviving spouses 
of veterans who die from service-connected ALS, a condition often 
progressing rapidly and linked to exposures (relevant to Vietnam 
veterans via Agent Orange or other hazards). Deeming total disability 
for the full 8-year DIC enhancement period prevents unfair denials due 
to disease timeline. The reporting requirement on other short-life-
expectancy conditions promotes broader equity and oversight--aligning 
with VVA's push for presumptive and survivor benefits. Minimal VA 
burden makes it practical. The noted condition about shifting from 90 
to 120 days active duty appears to be a mis-reference (bill focuses on 
DIC rating, not presumption threshold), but VVA would likely back 
mitigations for edge cases.

    H.R. 2164--Dayton National Cemetery Expansion Act of 2025: VVA 
would support this targeted expansion. Ensuring burial capacity in 
regions like Dayton prevents future access restrictions for veterans 
and families. Accepting no-cost land transfer with clear timelines 
advances NCA goals without new cemetery creation. VVA emphasizes 
dignified burial access; this addresses a regional constraint 
efficiently. Risks like timeline delays for reviews are valid watch 
items, but the bill's direction to VA helps move it forward.

    H.R. 1004--Love Lives On Act of 2025: VVA would strongly support 
this. Eliminating the remarriage penalty for DIC, survivor pensions, 
SBP, and TRICARE modernizes outdated rules that penalize surviving 
spouses (often widows) for remarrying, especially after age 55 or if 
later marriages end. This improves financial/health stability and 
reflects contemporary realities. Retroactive elements and age 
provisions help many. VVA has long advocated for survivor equity; this 
reduces hardship without major drawbacks beyond potential costs (which 
VVA would argue are justified). Guidance clarity is a key watch item.

    H.R. 6698--BVA Annual Report Transparency Act of 2025: VVA would 
support this. Enhanced BVA reporting on delays, remands (distinguishing 
legacy/AMA systems), causes, and mitigation plans boosts accountability 
and identifies root issues (e.g., training, quality). VVA frequently 
calls for appeals reform and transparency to reduce backlogs/delays 
affecting veterans. Indirect benefits through pressure for improvements 
align with priorities. Added workload is a risk, but paired with 
resources, it could drive real change.

    H.R. 4469--PRESUME Act: VVA would strongly support this. Removing 
dose-proof requirements for radiation-exposed veterans aligns with 
presumptive frameworks VVA champions (e.g., Agent Orange, burn pits). 
Many Vietnam-era veterans faced radiation risks; easing evidentiary 
barriers reduces unfair denials from incomplete records. It simplifies 
adjudication while potentially increasing grants--consistent with VVA's 
toxic exposure advocacy. Watch for clear verification standards to 
maintain integrity.
    H.R. 5723--Fraud Reduction And Uncovering Deception (FRAUD) in VA 
Disability Exams Act: VVA would support this. Stronger oversight of 
contractors via audits, fraud identification (especially DBQs), 
reporting, and tracking targets bad actors/claim mills without broadly 
reopening decisions absent criminal conviction. This protects program 
integrity and veterans from predatory practices. VVA emphasizes 
contractor accountability; safeguards against delays/false positives on 
legitimate claims are essential watch items.

    H.R. 5339--Susan E. Lukas 9/11 Servicemember Fairness Act: VVA 
would support this presumption for Pentagon responders on/after 9/11. 
Broad disease list (respiratory, cancers, etc.) tied to documented 
hazards eases nexus proof for an identifiable group. While site-
specific, it promotes equity for post-9/11 exposures; VVA supports 
similar presumptions. Cohort verification and outreach are important to 
avoid burdens.

    H.R. 6943--Veterans Burial Allowance and Reimbursement Act of 2026: 
VVA would cautiously support, pending details. Standardizing/
consolidating burial authorities (including service-connected deaths) 
could simplify processing and reduce confusion. VVA values clear, 
uniform benefits for families. However, repeals/amendments risk 
unintended narrowing; VVA would watch for side-by-side comparisons 
ensuring no eligibility/benefit losses during transition.

    Discussion Draft--National Cemetery Administration Annual Report 
Act of 2026: VVA would support this. Detailed annual NCA reporting 
(interments disaggregated, satisfaction, maps, options, memorials) 
enhances transparency and oversight of burial access/program 
performance. Indirectly benefits veterans/families by informing 
improvements and accountability. Aligns with VVA's interest in 
dignified, accessible burials nationwide.
    I commend the subcommittee for the work it is doing. Helping 
veterans get the benefits they deserve is noble and required of our 
government. Too often, it seems that negativity and party-line politics 
have seeped into veteran policy in ways that create competition instead 
of compassion, delay instead of care, and noise instead of solutions. 
We debate labels, eras of service, and party positions while veterans 
struggle with housing, healthcare, suicide risk, financial insecurity, 
and dignity at the end of life.
    It does not matter what branch they served in. It does not matter 
when they served. And it does not matter whether they faced combat, 
supported supply lines, maintained equipment, gathered intelligence, or 
served in an administrative role. Every one of them raised their right 
hand and accepted the same obligation. Every one of them made 
sacrifices that shaped their lives, their families, and this Nation.
    But advocacy must never devolve into deciding which veterans are 
most politically convenient to support. The role of Congress is to 
ensure that every veteran, and every veteran's family, area not 
hampered by their service, and can live with stability, access care 
without unnecessary barriers, and age with dignity.
    Thank you. I look forward to your questions now or at any time.

                   Prepared Statement of Paul Shipley
[GRAPHICS NOT AVAILABLE IN TIFF FORMAT] 

               Prepared Statement of Tanya Wilson-Thomas
[GRAPHICS NOT AVAILABLE IN TIFF FORMAT] 

                  Prepared Statement of Nancy Springer

    Chairman Luttrell, Ranking Member McGarvey, and members of the 
subcommittee, on behalf of the men and women of the Veterans of Foreign 
Wars of the United States (VFW) and its Auxiliary, I would like to 
thank you for the opportunity to speak on these subjects.

H.R. 1004, Love Lives On Act of 2025

    As a resolutions-based Veterans Service Organization, the VFW does 
not have a position on whether survivors should retain their benefits 
upon remarriage. However, the VFW supports restoring TRICARE 
eligibility for surviving spouses who remarry and whose subsequent 
marriage later ends. Under current law, a surviving spouse in this 
circumstance may apply to have Dependency and Indemnity Compensation 
(DIC) and Survivor Benefit Plan payments reinstated. To ensure parity 
across survivor benefits, legislation should also reinstate TRICARE 
coverage when a surviving spouse's subsequent marriage ends.

H.R. 1685, Justice for ALS Veterans Act of 2025

    The VFW supports this legislation to extend the enhanced DIC paid 
to surviving spouses of veterans who die from amyotrophic lateral 
sclerosis (ALS) regardless of the length of time the veteran lived 
after diagnosis. According to the Department of Veterans Affairs (VA), 
veterans are approximately 1.5 times more likely to develop ALS than 
individuals who did not serve in the military. VA presumes ALS is 
service-connected and assigns a 100 percent disability rating due to 
its severe and progressive nature. VA pays surviving spouses DIC and an 
additional monthly allowance if the spouse was married to the veteran 
for at least 8 years and VA rated the veteran totally disabled due to 
ALS for a minimum of 8 years.
    However, ALS is a rapidly progressive and terminal disease, with a 
typical life expectancy of only three to 5 years following diagnosis, 
making the 8-year disability requirement unattainable for many 
families. This legislation would remove that unrealistic requirement 
while preserving the 8-year marriage rule, ensuring more surviving 
spouses receive the full benefits available for survivors of veterans 
who die from ALS.
    VFW member and ALS patient Major Chris Mulholland, United States 
Marine Corps (Retired), spearheaded the VFW's long-standing advocacy to 
reform ALS survivor benefits, including leading the VFW's adoption of a 
resolution on this issue. Major Mulholland personally experienced the 
relentless progression of this debilitating and terminal illness. He 
spoke out not only about the disproportionate impact of ALS on 
veterans, but also about the profound toll it takes on families, who 
shoulder intense caregiving responsibilities and face financial 
uncertainty while coping with rapid decline and loss. Tragically, Major 
Mulholland's own life reflected the very injustice this bill seeks to 
address, as he lived fewer than 8 years following his ALS diagnosis in 
2020.
    The VFW also supports the provision that would require VA to submit 
a report identifying other service-connected disabilities with high 
mortality rates that warrant similar treatment.

H.R. 2164, Dayton National Cemetery Expansion Act of 2025

    Although this legislation addresses a specific circumstance in 
Ohio, the VFW supports both this legislation and the broader principle 
of expanding VA-administered cemeteries whenever feasible. In this 
instance, it authorizes VA to enter into an agreement with a local bank 
to acquire a 58-acre parcel adjacent to Dayton National Cemetery. This 
land transfer would create additional burial capacity for veterans and 
eligible family members, which is particularly important given the 
limited availability of other VA-managed cemeteries in the region.
    In 2018, the median age of the Nation's approximately 18 million 
veterans was 65, while the median age of the 6.4 million Vietnam-era 
veterans was 71. Taken together, these demographics underscore the 
urgency of proactive planning. Accordingly, the VFW urges VA to develop 
and implement a comprehensive, forward-looking national cemetery land 
acquisition strategy to ensure it can continue to honor the final 
wishes of these large and aging veteran populations.

H.R. 4469, Providing Radiation Exposed Servicemembers Undisputed 
Medical Eligibility (PRESUME) Act

    The VFW supports this legislation to eliminate the requirement for 
a specific radiation dose to determine whether a veteran qualifies as 
radiation exposed. Currently, to qualify for a presumption of service 
connection due to radiation exposure, the veteran must provide proof of 
on-site participation in a radiation-risk activity and radiation dose 
estimates from the Defense Threat Reduction Agency.
    This legislation would streamline this process by eliminating the 
dosage requirement and aligning the process more closely with that used 
for radiation-affected civilian personnel. Diseases attributable to 
radiation exposure may manifest several years after exposure, 
exacerbating the difficulty of obtaining an accurate dosage reading. 
Also, both service members and civilian employees worked many times in 
the same radiation-affected areas, yet programs for civilian employees 
do not require dose assessments to establish exposure. This discrepancy 
creates the appearance of unequal treatment.

H.R. 5339, Susan E. Lukas 9/11 Servicemember Fairness Act

    The VFW supports this legislation to establish a presumption of 
service connection for specific diseases associated with exposure to 
toxins attributable to the 9/11 attack on the Pentagon. This attack may 
have exposed individuals to toxins that cause various respiratory, 
cardiovascular, and cancer-related conditions. Because current law 
excludes this cohort from the Sergeant First Class Heath Robinson 
Honoring our Promise to Address Comprehensive Toxics Act of 2022 
(Public Law 117-168) and other benefits programs, this legislation 
would streamline the disability compensation claims process and close a 
long-standing coverage gap.

H.R. 5723, Fraud Reduction And Uncovering Deception (FRAUD) in VA 
Disability Exams Act

    The VFW supports this legislation to require VA to identify and 
report instances of fraud with respect to VA Disability Benefits 
Questionnaire (DBQ) forms. Since DBQs provide foundational evidence for 
many VA disability compensation claims, they must accurately reflect a 
veteran's injury or illness to preserve the integrity of the claims 
process.
    Veterans use public DBQs, available on VA's publicly accessible 
website, to collect clinical information from their health care 
providers to assist VA in evaluating disability compensation claims. VA 
organizes these commonly used forms by body systems as characterized in 
the VA Schedule for Rating Disabilities. Because DBQs often play a 
decisive role in claims outcomes, fraudulent schemes have emerged to 
exploit their use. In some cases, bad actors charge veterans for 
assistance that VA and VA-accredited representatives provide at no 
cost. These actors may also falsely promise access to private health 
care providers who will secure higher ratings, improperly advise 
veterans to avoid VA examinations, or claim they can guarantee 
favorable outcomes. Some affiliated health care providers charge fees 
while offering to manufacture diagnoses or exaggerate existing 
conditions for the DBQs to obtain benefits beyond what the evidence 
supports.
    This legislation would require VA to establish a formal process for 
claimants and claims processors to identify and report suspected DBQ-
related fraud. VA would refer these cases to appropriate authorities 
while also implementing a recurring audit program to monitor both 
reported and detected fraudulent activity. Together, these measures 
would create a systematic approach to reporting, evaluating, and 
prosecuting DBQ-related fraud, which is an approach that does not 
currently exist.
    The VFW also supports the legislation's reporting requirements to 
ensure that VA regularly informs the appropriate congressional 
committees of the program's effectiveness.

H.R. 6698, Board of Veterans Appeals Annual Report Transparency Act of 
2025

    The VFW supports this legislation to require the Board of Veterans' 
Appeals (BVA) to include in its annual report an identification of the 
factors contributing to untimely disposition and remand of appeals. In 
its Fiscal Year 2024 annual report, BVA reported an appeals inventory 
of approximately 200,000 cases and projected an additional 100,000 new 
appeals in Fiscal Year 2025. As a result, veterans may wait up to 2 
years for a decision, depending on the docket, with significantly 
longer delays for appellants who request a hearing.
    Remands from BVA to the Agency of Original Jurisdiction further 
delay appeal resolution. In Fiscal Year 2024, BVA remanded more than 40 
percent of appeals. Because remands occur for a variety of reasons, the 
time required for a claim to return to BVA if necessary varies widely, 
making it difficult to predict when BVA will issue a final decision. 
Although returned appeals retain their original place on the docket, 
the remand process still prolongs the overall appeals timeline. 
Requiring BVA to identify the factors driving delays in appeals and 
remands would improve transparency, and provide data BVA could use to 
evaluate and strengthen its processes and procedures.

Discussion Draft, Veterans Burial Allowance and Reimbursement Act of 
2026

    The VFW supports this proposal to standardize the payment of burial 
and funeral expenses, and plot allowances for deceased veterans. 
Currently, burial benefits vary based on many factors such as the 
veteran's date of death, the manner or location of interment, or 
whether a service-connected condition caused the death. Also, statutory 
provisions governing plot allowances and burial or interment 
eligibility remain scattered throughout the United States Code or lack 
a consistent, unified framework. This proposal would consolidate and 
clarify existing statutes to ensure VA treats similarly situated 
veterans and their survivors consistently and equitably.

Discussion Draft, National Cemetery Administration Annual Report Act of 
2026

    The VFW supports this legislation that would require VA to submit 
an annual National Cemetery Administration (NCA) report to Congress. 
Currently, VA's performance and financial reports to Congress include 
NCA data and information. A separate report exclusively focused on NCA 
would increase transparency of its operations, enable better oversight, 
inform budgeting and strategic planning for veteran burial benefits, 
and highlight shortfalls or challenges that need a legislative 
solution.
    The VFW would support a well-written, informative report that would 
enhance NCA services and ensure veteran burial benefits despite 
dwindling resources. The proposed report would include a variety of 
cemetery-related data markers that VA could use to analyze cemetery 
operations, and either support reforms or continue best practices.
    Chairman Luttrell and Ranking Member McGarvey, this concludes my 
testimony. I am prepared to answer any questions you or the members of 
the subcommittee may have.

Information Required by Rule XI2(g)(4) of the House of Representatives

Pursuant to Rule XI2(g)(4) of the House of Representatives, the VFW has 
not received any Federal grants in Fiscal Year 2026, nor has it 
received any Federal grants in the two previous Fiscal Years.

The VFW has not received payments or contracts from any foreign 
governments in the current year or preceding two calendar years.

                                 

                  Prepared Statement of Jennifer Bover

    Chairman Luttrell, Ranking Member McGarvey, and other Members of 
the Subcommittee, thank you for inviting us here today to present our 
views on several bills that would affect VA programs and services. 
Joining me today is Mr. Glenn Powers, Deputy Under Secretary for Field 
Programs and Cemetery Operations, National Cemetery Administration, and 
Mr. James Smith, Deputy Executive Director, Compensation Service, 
Veterans Benefits Administration. I appreciate the opportunity to 
discuss the important pieces of legislation affecting Veterans pending 
before this Subcommittee.

H.R. 1685  Justice for ALS Veterans Act of 2025

    Section 2 of this bill amends 38 U.S.C. Sec.  1311 to ensure that 
surviving spouses of Veterans who die from ALS receive the increased 
Dependency and Indemnity Compensation under Sec.  1311(a)(2), commonly 
called the `eight and eight' kicker, regardless of how long the Veteran 
had the disease. Currently, this additional benefit applies only when 
the Veteran was totally disabled for 8 years prior to death and married 
for that same period. The bill removes that 8-year requirement for ALS 
cases but keeps the length of marriage requirement. It also applies to 
deaths on or after October 1, 2025, and directs VA to report on other 
high-mortality conditions.

    VA supports the intent to provide this benefit to ALS-affected 
families.

    We also support the goal of Section 3 to review other rapidly 
progressive diseases, like cancer or Parkinson's, but note the bill 
lacks criteria for defining ``high mortality rate.'' Clear standards 
are needed to ensure consistent implementation with congressional 
intent.

    Position: VA supports the intent of this bill if amended, however, 
VA is unable to assess the impact to budgetary resources and therefore 
will follow up with the committee once this evaluation is complete or 
the Congressional Budget Office has provided a score.

H.R. 2164  Dayton National Cemetery Expansion Act of 2025

    This bill would require VA to enter into an agreement with the 
Montgomery County Land Bank to acquire land near Dayton National 
Cemetery for future expansion. VA does not support this bill.
    VA has an established policy on expansion processes in National 
Cemetery Administration (NCA) Directive 3001. This directive provides 
statutory references, establishes mandatory policy for the 
establishment, expansion, and replacement of VA national cemeteries, as 
well as detailed decision criteria for expanding, replacing, or closing 
an existing national cemetery.
    NCA monitors the rates at which each cemetery will deplete capacity 
for each type of burial it provides. Current projections show that 
Dayton National Cemetery has sufficient burial space until at least 
2050, and NCA and the Veterans Health Administration (VHA) are already 
exploring transfer of excess and unneeded land from the co-located 
medical center, which is VA's preferred and standard approach.
    The bill raises several other concerns as well. It mandates VA to 
accept land even if we have no need for it, and without time limits on 
acquisition. Although the transfer is described as ``no cost,'' VA 
would bear significant potential expenses to clear structures, 
remediate hazards, and maintain the property. The land also includes 
occupied homes, raising the risk of displacing families and creating 
the impression VA endorses that outcome.
    VA remains committed to using existing property to meet burial 
needs before pursuing new acquisitions.

    Position: VA does not support this bill.

    H.R. 1004  Love Lives On Act of 2025

    Section 2 of this bill would amend 38 U.S.C. Sec.  103(d) by 
restructuring and expanding exceptions to the remarriage bar for 
Dependency and Indemnity Compensation (DIC) and Medal of Honor Pension. 
VA does not support removing remarriage restrictions for these 
benefits.
    VA is sensitive to the intent behind this bill and is available to 
work with the Committee to pursue ways to better support surviving 
spouses, while accounting for secondary impacts across various benefit 
entitlements. Existing remarriage restrictions help manage and allocate 
VA resources effectively, ensuring that they are directed to 
individuals who have lost the financial support of a spouse due to that 
spouse's service-related disability or death. DIC payments are 
designated for individuals who have lost financial support due to a 
spouse's service-related disability or death. In regard to DIC 
benefits, if the surviving spouse remarries before the age of 55, this 
financial need is considered to no longer exist, thereby altering the 
initial intent of the law.
    Furthermore, if enacted, this bill would create a greater disparity 
of survivor pension beneficiaries under Chapter 15 who will remain 
precluded from benefit entitlement if they remarry at any age.
    The bill also creates a secondary impact. Under 38 U.S.C. Sec.  
3701(b)(2), surviving spouses of Veterans who died from service-
connected disabilities are eligible for VA home loan benefits. 
Currently, VA relies on DIC eligibility to determine home loan 
eligibility. The bill would break that link because proposed Sec.  
103(d)(5)(C) still bars home loan benefits if remarriage occurs before 
age 57. VA would need to separately verify remarriage status for home 
loan eligibility, adding complexity. Aligning DIC and home loan 
requirements would streamline this process.
    Finally, VA also highlights an ambiguity created within this bill 
regarding Medal of Honor Pension under Sec.  1562. Section 2 removes 
application of certain provisions for DIC but retains them for Medal of 
Honor Pension, despite language aligning Sec. Sec.  1311 and 1562. If 
remarriage is not intended to bar entitlement under Sec.  1562, VA 
recommends removing that reference in Sec.  103(d)(5) or clarifying 
when remarriage applies. VA offers this clarification for accuracy, 
even though we oppose the bill.
    We understand the Department of War has long opposed section 3 on 
the grounds of increased cost and inequity among surviving spouses. 
Furthermore, termination of a spousal annuity due to remarriage before 
a certain age is a standard feature of all Federal annuity programs 
(and civilian employers' pension programs). For that reason, it would 
be inequitable to further enhance the benefits for active-duty deaths 
while not allowing a similar option for the surviving spouses of 
retirees under other Federal programs such as the Federal Employee 
Retirement System, the Civil Service Retirement System, the Federal 
Railroad Retirement program, Social Security, and the Worker's 
Compensation Program survivor annuities.
    VA defers to the Department of War on Section 4.

    Position: VA does not support this bill.

H.R. 6698  Board of Veterans Appeals Annual Report Transparency Act of 
2025

    This bill would amend the Board's annual reporting requirements 
under 38 U.S.C. Sec.  7101(d) to include reporting on factors 
contributing to untimely dispositions and remands. While the VA 
supports the intent, we have concerns that this requirement could harm 
Veterans by introducing delays, unnecessary costs, and confusion about 
docket choices--especially as appeal processing times are improving 
under the Appeals Modernization Act of 2017 (AMA). The AMA became 
effective in 2019 and introducing new reporting requirements at a time 
when VA is significantly decreasing adjudication times would divert 
resources and potentially stall current progress.
    Section 2 of this bill would require the Board to report the number 
of cases not disposed of timely, identify contributing factors, and 
provide percentages for each factor. Many factors affect case 
timelines--staffing levels, productivity, evolving case law, case 
complexity, evidence volume, and appellant-requested delays. Within the 
Board's case management system, there are nearly 100 task assignments 
that influence processing time to varying degrees, making it difficult 
to isolate specific factors. Often, multiple factors, some of them 
subjective, apply to a single case.
    Section 2 also adds reporting on remanded cases under the AMA or 
legacy system, requiring identification of factors and percentages. 
This creates a significant administrative and IT burden. Current 
systems track remands at the issue level, not the case level, so 
reporting by case would require major system changes. Many cases can 
have multiple issues remanded with multiple other dispositions in the 
same case. Accordingly, while reporting by issue is possible, it would 
produce confusing data because the number of remanded issues would not 
match the number of remanded cases.
    In short, while we support transparency, these requirements would 
divert resources, create complexity, and risk slowing progress for 
Veterans.

    Position: VA supports the intent of this bill but cites concerns. 
VA is unable to assess the impact to budgetary resources at this time.

H.R. 4469  Providing Radiation Exposed Servicemembers Undisputed 
Medical Eligibility Act or the ``PRESUME Act''

    Section 2 of the proposed bill would amend 38 United States Code 
(U.S.C.) Sec.  1112 by adding the following new paragraph:

        ``The Secretary may not require evidence of a certain dose of 
        radiation to determine that a Veteran is a radiation-exposed 
        Veteran.''

    VA does not support this bill because it would not meaningfully 
change existing statutory or regulatory standards. Under 38 U.S.C. 
Sec.  1112, a `radiation-exposed veteran' is defined by participation 
in certain radiation-risk activities during service--not by dose 
estimates. Current law already grants presumptive service connection 
for Veterans who engaged in these activities and later develop the 
listed conditions. Dose evidence is only required when the claimed 
condition is not on the presumptive list.
    This bill does not expand the list of presumptive diseases, 
redefine radiation-risk activities, or alter VA's approach for non-
presumptive claims. In short, the PRESUME Act would largely restate 
existing practice and would not create new eligibility or relief. The 
bill's intent is unclear because radiation dose estimates do not factor 
into presumptions under Sec.  1112 or healthcare eligibility under 
Sec.  1710.

    Position: VA does not support this bill.

H.R. 5723  FRAUD in VA Disability Exam Act

    This bill would require VA to establish a process for auditing, 
identifying, and reporting fraudulent Disability Benefit Questionnaire 
(DBQ) activity, regardless of source. It mandates reporting suspected 
fraud to investigatory bodies, including the Office of Inspector 
General (OIG); creating a process for claims processors to flag and 
transmit suspected fraud; conducting recurring audits of all DBQs; and 
notifying individuals when their DBQs raise suspicion. The bill also 
prohibits reopening or changing benefit decisions based on 
investigations unless the individual is convicted of fraud and requires 
annual reporting on these activities.
    VA appreciates the intent but notes this may duplicate existing 
processes. In Fiscal Year 2025, VA implemented mandatory training for 
claims processors and quality reviewers on identifying insufficient or 
potentially fraudulent DBQs and required actions when concerns arise. 
All DBQs--whether from VA-employed, VA-contracted, or public sources--
are reviewed for consistency and integrity. When concerns arise, claims 
processors can refer cases to the OIG.
    VA is concerned about the requirement to notify individuals whose 
DBQs are suspected of fraud, especially when exams were requested by VA 
and conducted by VA-employed or contracted examiners. The bill also 
prevents VA from revising decisions unless there is a fraud conviction. 
Under current practice, if fraud is suspected, VA typically offers a 
new exam and revises ratings as needed to ensure fairness. The proposed 
restriction would eliminate VA's ability to correct errors promptly, 
potentially harming Veterans who were not involved in fraudulent 
activity.

    Position: VA does not support this bill.

H.R. 5339  Susan E. Lukas 9/11 Servicemember Fairness Act

    This bill would create a new section, 38 U.S.C. Sec.  1120A, to 
establish presumptive service connection for certain diseases linked to 
toxin exposure at the Pentagon Reservation between September 11 and 
November 19, 2001.
    VA does not support this bill. The listed conditions are broad and 
lack sufficient research support to confirm causality. While the number 
of affected Veterans may be small, the scientific basis for the 
proposed diseases is not established.
    The bill references 38 U.S.C. Sec.  1119, which currently includes 
Gulf War Veterans with service in specific locations in Southwest Asia 
after August 2, 1990, and in certain other countries after September 
11, 2001, creating confusion about who qualifies and which conditions 
apply. This could complicate benefit implementation and disrupt 
automated claims processes.
    The proposed paragraph in Sec.  1120A(b)(9) adding presumptive 
diseases for Veterans linked to substances identified in 38 U.S.C. 
Sec.  1119(b)(2) would conflict with the specific definition of 
``covered Veteran'' already used for that section in Sec.  1119(c). 
Referencing Sec.  1119 in a bill about toxic-exposed Veterans could 
lead to confusion, suggesting that Veterans covered under Sec.  1119 
are also eligible under Sec.  1120A, or that all conditions in Sec.  
1119 apply to Sec.  1120A's covered Veterans.
    The proposed legislation has overlaps and some differences with the 
September 11th Victim Compensation Fund, necessitating further inquiry 
into potential impacts for Veterans.
    In short, VA opposes this bill due to unclear definitions, 
operational challenges, and insufficient evidence supporting the 
presumptions.

    Position: VA does not support this bill.

H.R. XXXX  Veterans Burial Allowance and Reimbursement Act of 2026

    This bill would repeal 38 U.S.C. Sec.  2307 and amend Sec.  2303 to 
pay all burial and plot allowances--service-connected and non-service-
connected--at the same rate. VA does not support this bill and instead 
recommends amending Sec.  2307.
    Since 1973, VA has provided a higher burial allowance for service-
connected deaths to recognize the sacrifice of Veterans whose deaths 
are related to service. Aligning the rates would eliminate that 
distinction. Under current law, the service-connected burial benefit is 
capped at $ 2,000 and has not increased since 2001, while non-service-
connected benefits are indexed to inflation. As of October 1, 2025, the 
combined non-service-connected burial and plot allowance now exceeds 
the service-connected allowance.
    VA recommends amending Sec.  2307 to authorize annual cost-of-
living increases based on the Consumer Price Index, ensuring parity and 
preserving the intent to provide greater assistance for service-
connected deaths. VA also recommends a one-time increase to restore the 
service-connected benefit as the higher amount. We defer to Congress on 
the rate but are ready to assist with analysis.

    Position: VA does not support this bill. VA recommends amending 
Sec.  2307 instead.

    H.R. XXXX  National Cemetery Administration Annual Report Act of 
2026

    The National Cemetery Administration Annual Report Act of 2026 
would add a new section, 38 U.S.C. Sec.  2415, requiring VA to submit 
an annual report to the Veterans' Affairs Committees. VA supports the 
intent of this bill. The report would improve transparency and provide 
Congress with consistent data on NCA operations, programs, and 
outcomes. Proposed topics--benefits administration, customer 
satisfaction, cemetery maps, burial options, and interment activity--
are frequently requested by Congress, and consolidating this 
information would be helpful.
    Many of these elements are already captured in NCA's annual 
statistical summary. However, some proposed requirements raise 
feasibility concerns. For example, Sec.  2415(b)(1) would require 
interment data broken down by cemetery, eligibility category under 
Sec.  2402(a)(1)-(10), and type of remains. Section 2415(b)(6) would 
require reporting memorial products by cemetery and eligibility 
category. Memorialization benefits, such as Presidential Memorial 
Certificates and headstones, are authorized under different statutes 
(Sec. Sec.  112 and 2306), and eligibility differs accordingly.
    Current systems--Burial Operations Support System, the Memorial 
Benefits Management System, and related analytics--do not track data by 
the categories in Sec.  2402(a)(1)-(10). Meeting these requirements 
would require major system redesign or manual reconciliation, risking 
delays and data quality issues. NCA recommends revising the language in 
Sec.  2415(b)(1)(B) and (b)(6)(A) to align with reliable data points 
already maintained in our systems. This approach would meet the bill's 
intent while remaining operationally feasible.
    NCA looks forward to working with the Committees to ensure the 
report fulfills oversight objectives and is analytically sound.

    Position: VA supports the intent of this bill; however, VA is 
unable to assess the impact to budgetary resources and therefore will 
follow up with the committee once this evaluation is complete or CBO 
has provided a score.

Conclusion

    I appreciate the opportunity to speak before you today and welcome 
any questions you may have. Thank you for your continued support of 
Veterans and the many programs to support them through the Department 
of Veterans Affairs.

                       Statements for the Record

                              ----------                              


                   Prepared Statement of ALS Network
[GRAPHICS NOT AVAILABLE IN TIFF FORMAT] 

  Prepared Statement of National Association of Atomic Veterans, Inc.
[GRAPHICS NOT AVAILABLE IN TIFF FORMAT] 

          Prepared Statement of Paralyzed Veterans of America

    Chairman Luttrell, Ranking Member McGarvey, and members of the 
subcommittee, Paralyzed Veterans of America (PVA) would like to thank 
you for the opportunity to submit our views on some of the bills being 
examined by the subcommittee today. No group of veterans understand the 
full scope of benefits and care provided by the Department of Veterans 
Affairs (VA) better than PVA members--veterans who have incurred a 
spinal cord injury or disorder (SCI/D).

H.R. 1004, the Love Lives on Act of 2025

    When a military member or veteran dies, their spouse is eligible to 
receive a number of survivor benefits, but current law strips many of 
them if the spouse remarries again before age 55. This arbitrary age 
limit often prevents many surviving spouses from remarrying out of 
concern for the financial stability of their surviving children. These 
surviving spouses should be freed from the fear of losing the benefits 
owed to them through their late spouse's military sacrifice. PVA 
supports the Love Lives On Act, which would ensure they retain many 
benefits from both the VA and the Department of Defense (DOD), 
regardless of their age at the time of remarriage.

H.R. 1685, the Justice for ALS Veterans Act of 2025

    Currently, if a veteran was rated totally disabled for a continuous 
period of at least 8 years immediately preceding death, their eligible 
survivor can receive an additional $360.85 per month in Dependency and 
Indemnity Compensation (DIC). This monetary installment is commonly 
referred to as the DIC ``kicker.''
    Amyotrophic Lateral Sclerosis (ALS) is an aggressive disease that 
quickly leaves veterans incapacitated and reliant on family members and 
caregivers. Many spouses stop working to provide care for their loved 
one who, once diagnosed, only has an average lifespan of between three 
to 5 years. Because so few veterans survive beyond 5 years, the 
surviving spouses of veterans with ALS rarely qualify for the 
additional DIC benefit. Jann, the surviving spouse of a PVA member, was 
disqualified for this exact reason. Determined not to let this happen 
to other spouses, she helped PVA craft the Justice for ALS Veterans Act 
to make the surviving spouses of future veterans with ALS eligible for 
the DIC kicker, regardless of how long the veteran had the disease.
    Members of this subcommittee were supportive of this legislation 
when it was reviewed in October 2021, but some suggested that there may 
be other service-connected conditions that deserve similar 
consideration. The VA recognizes ALS as a presumptive service-connected 
disease, and due to its progressive nature, automatically rates any 
diagnosed veteran at 100 percent once service connected. Although we 
are unaware of other service-connected conditions that have a 100 
percent mortality rate, like ALS, we are pleased this version of the 
bill incorporates PVA's recommended language directing the VA to study 
the matter and provide their findings to Congress. With the addition of 
this language, Congress should not further delay passage of this 
critical legislation.

H.R. 6698, the Board of Veterans Appeals Annual Report Transparency Act 
of 2025

    PVA supports efforts like this bill to increase transparency of the 
Board of Veterans' Appeals (BVA or Board) process. This legislation 
would require the Board to identify specific factors that contribute to 
the delay in the adjudication of pending appeals. PVA supports this 
bill, which requires these factors to be included in the Board's annual 
report that is published online to help find these inhibiting factors 
to help improve the appeals process.

H.R. 6943, the Veterans Burial Allowance and Reimbursement Act of 2026

    This legislation would remove the distinction between non-service-
connected and service-connected cause of death, as it pertains to 
eligibility for VA's burial allowance. Currently, a veteran who died 
due to a service-connected condition is eligible for $2,000 toward 
their funeral/burial expenses. A veteran who dies due to a non-service-
connected condition is eligible for up to $1,002 for burial and $1,002 
toward a plot potentially equaling $2,004 toward funeral/burial 
expenses. PVA supports this legislation, which removes the service-
connected allowance of $2,000 and instead amends the eligibility for 
the $1,002 for burial and $1,002 plot allowance to include those who 
die from a service-connected condition.

H.R. 4469, the Providing Radiation Exposed Servicemembers Undisputed 
Medical Eligibility (PRESUME) Act

    Veterans exposed to radiation during service may be eligible for VA 
disability compensation. Currently, the VA recognizes specific 
conditions as being presumptively caused by exposure to ionizing 
radiation that may have occurred during service. However, when a 
veteran applies for their compensation benefits, the VA asks DOD's 
Defense Threat Reduction Agency to confirm exposure and to provide the 
actual or estimated radiation dose the veteran received. PVA supports 
this legislation which rescinds the need for a veteran to prove that 
the amount of ionizing radiation they were exposed was sufficient to 
warrant service-connection for their conditions.

H.R. 5723, the Fraud Reduction And Uncovering Deception (FRAUD) in VA 
Disability Exam Act

    PVA supports the intent of this legislation and appreciates that 
the bill seeks to look at Disability Benefits Questionnaires (DBQs) 
submitted from all sources, not just the veteran. However, we disagree 
that individuals responsible for processing claims for benefits have 
the adequate expertise to identify and report issues with DBQs. Also, 
we are concerned that this legislation does not specify who in the 
process will be responsible for identifying and reporting fraud. Adding 
requirements like this would help improve the oversight process that 
already exists. PVA strongly believes that the VA could improve the 
quality control review of an incoming DBQ before it is input into a 
veteran's file, and further, can ensure that fraud can be investigated 
and prosecuted. Currently, VA claims processers have the authority ``to 
evaluate and weigh all evidence of record, including privately 
completed DBQs. If it is determined that a privately completed DBQ 
contains indicator(s) of inauthenticity that are substantive enough to 
deem it potentially inauthentic or fraudulent, claims processors have 
the authority to assign low or no probative value to the privately 
completed DBQ.'' But if a DBQ is completed by a contracted examiner, 
the claims processors ``are not expected to routinely scrutinize or 
question the credentials of clinical personnel to determine the 
acceptability of their reports, unless there is contradictory evidence 
of record.'' However, according to the VA's Clinician's Guide, it 
informs contract providers, ``It is important to remember that 
[Veterans Benefits Administration] Raters are not clinicians and 
therefore may not understand concepts that are considered basic or 
assumed by those educated in the field of medicine.'' This leads to 
obvious questions of whether the claims processors are actually picking 
up on the adequacy of DBQs and the possibility of fraudulent/
inconsistent findings being recorded by either outside providers or 
contracted examiners.
    VA's Medical Disability Examiners Office (MDEO) presently employs 
approximately 20 quality analysts whose job is to review DBQs that are 
received from contractors and determine whether or not they are 
``contractually compliant'' by ensuring that the reports include all 
requested issues, reviewing for discrepancies, and whether or not the 
report described the condition(s) that have impacted the veterans 
ability to work, among other requirements. However, these analysts only 
have access to the DBQs after they have been uploaded to the Veterans 
Benefits Management System (VBMS), which is the same time claims 
processors receive them. Many times, this is too late as the processors 
are waiting to finalize a claim and only need the DBQ to finish the 
rating process. According to a Government Accountability Office (GAO) 
report from August 2025, ``MDEO also analyzes the effects of checklist 
errors on claims, such as delays associated with correcting errors. 
MDEO officials say many claims continue through processing and are 
decided before the office completes its checklist review. After MDEO 
identifies errors, claims processors determine if the errors affected 
their decisions on the claims.''
    To effectively do their jobs and to provide real oversight to the 
claims process, PVA believes that MDEO should make two changes to the 
claims process. First, prior to them being downloaded to VBMS, all 
DBQs, regardless of whether they are provided by the veteran or a 
contractor, should go into a drop box that is only accessible by the 
quality analysts. Second, the quality analysts should be trained and 
required to review the forms for contractual compliance and for 
potential fraud/inconsistent findings. Only after this review has been 
done should the forms be uploaded to VBMS and the claims process be 
allowed to continue.

H.R. 5339, the Susan E. Lukas 9/11 Servicemember Fairness Act

    This legislation would allow presumptive service-connection for 
eight conditions that veterans who were exposed to toxins during their 
service at the Pentagon between September 11 and November 19, 2001, 
subsequently develop. Many service members were exposed to chemicals 
and toxic substances during the period after the 9/11 terrorist attacks 
after having to return to duty at the Pentagon before the building was 
determined to be safe. PVA supports legislation that would help 
veterans receive their benefits for conditions they incurred due to 
their time of service.

H.R. 7260, the National Cemetery Administration Annual Report Act of 
    2026

    PVA supports this draft legislation, which would require the VA to 
submit an annual report on the National Cemetery Administration (NCA). 
This report would include key information such as the number of 
interments performed by the NCA by cemetery, burial options at each 
location, completed or planned cemetery construction projects, and data 
on grants awarded for veterans cemeteries. Additionally, it allows the 
VA to include any other metrics they feel would be appropriate. PVA 
believes this report would help the VA with long-term planning within 
the NCA to ensure that our veterans and service members' families can 
lay their loved ones to rest with dignity and respect for generations 
to come.
    PVA would once again like to thank the subcommittee for the 
opportunity to present our views on the legislation being considered 
today. We look forward to working with you on this legislation and 
would be happy to answer any questions.

  Information Required by Rule XI 2(g) of the House of Representatives

Pursuant to Rule XI 2(g) of the House of Representatives, the following 
information is provided regarding Federal grants and contracts.

                            Fiscal Year 2026

Department of Veterans Affairs, Office of National Veterans Sports 
Programs & Special Events--Grant to support rehabilitation sports 
activities--$368,500.

                            Fiscal Year 2025

Department of Veterans Affairs, Office of National Veterans Sports 
Programs & Special Events----Grant to support rehabilitation sports 
activities--$502,000.

                            Fiscal Year 2023

    Department of Veterans Affairs, Office of National Veterans Sports 
Programs & Special Events----Grant to support rehabilitation sports 
activities--$479,000.

                     Disclosure of Foreign Payments

    Paralyzed Veterans of America is largely supported by donations 
from the general public. However, in some very rare cases we receive 
direct donations from foreign nationals. In addition, we receive 
funding from corporations and foundations which in some cases are U.S. 
subsidiaries of non-U.S. companies.

        Prepared Statement of Gold Star Spouses of America, Inc.
[GRAPHICS NOT AVAILABLE IN TIFF FORMAT] 

     Prepared Statement of Tragedy Assistance Program for Survivors
[GRAPHICS NOT AVAILABLE IN TIFF FORMAT] 

               Prepared Statement of The Invisible Enemy
[GRAPHICS NOT AVAILABLE IN TIFF FORMAT] 

         Prepared Statement of Reserve Organization of America
[GRAPHICS NOT AVAILABLE IN TIFF FORMAT] 

  Prepared Statement of National Organization of Veterans' Advocates, 
                                  Inc.

    Chairman Luttrell, Ranking Member McGarvey, and members of the DAMA 
Subcommittee, thank you for the opportunity to offer our views on 
pending legislation.
    NOVA is a not-for-profit 501(c)(6) educational membership 
organization incorporated in the District of Columbia in 1993. NOVA 
represents over 900 accredited attorneys, agents, and other qualified 
members practicing across the country and assisting tens of thousands 
of our Nation's military veterans, survivors, family members, and 
caregivers seeking to obtain their earned benefits from VA. NOVA 
members advocate for their clients before the Department of Veterans 
Affairs (VA), Board of Veterans' Appeals (Board), U.S. Court of Appeals 
for Veterans Claims (CAVC), U.S. Court of Appeals for the Federal 
Circuit (Federal Circuit), and U.S. Supreme Court. NOVA works to 
develop and encourage high standards of service and representation for 
all persons seeking VA benefits.
    NOVA advocates for laws and policies that advance the rights of 
veterans. For example, NOVA collaborated with Veteran Service 
Organizations (VSOs) and other accredited representatives, VA, and 
Congress on appeals modernization reform. Those efforts resulted in 
passage of the Veterans Appeals Improvement and Modernization Act 
(AMA), P.L. 115-55, 131 Stat. 1105, which was signed into law in 2017. 
At the time of its passage, VA emphasized the AMA would provide 
claimants with more choice and control over the disability claims and 
appeals adjudication process by expanding their review options.
    NOVA also advances important cases and files amicus briefs in 
others. See, e.g., NOVA v. Secretary of Veterans Affairs, 710 F.3d 1328 
(Fed. Cir. 2013) (addressing VA's failure to honor its commitment to 
stop applying an invalid rule); Procopio v. Wilkie, 913 F.3d 1371 (Fed. 
Cir. 2019) (amicus); NOVA v. Secretary of Veterans Affairs, 981 F.3d 
1360 (Fed. Cir. 2020) (M21-1 rule was interpretive rule of general 
applicability and agency action subject to judicial review); National 
Organization of Veterans' Advocates, Inc., et al., v. Secretary of 
Veterans Affairs, 981 F.3d 1360 (2022) (Federal Circuit invalidated 
knee replacement rule); Arellano v. McDonough, 598 U.S. 1 (2023) 
(amicus); Terry v. McDonough, 37 Vet.App. 1 (2023) (amicus); Bufkin v. 
Collins, 604 U.S.(2025)_(amicus).
    A critical part of NOVA's mission is to educate advocates. NOVA 
currently conducts two conferences per year, each offering 
approximately 15 hours of continuing legal education (CLE) credit for 
attendees. Experts from within and outside the membership present and 
train on the latest developments and best practices in veterans law and 
policy. NOVA sustaining members must participate in at least one 
conference every 24 months to maintain eligibility to appear in our 
public-facing advocate directory. In addition to conferences, NOVA 
offers webinars, online support, peer-to-peer mentorship, and other 
guidance to its members to enhance their advocacy skills.
    NOVA provides feedback on the following bills.

                  H.R. 1004, Love Lives On Act of 2025

    NOVA continues its support for H.R. 1004, Love Lives On Act of 
2025. This important bipartisan legislation, which currently has 128 
cosponsors, would remove the bar to furnishing benefits to surviving 
spouses who remarry before the age of 55 and restore certain benefits 
to surviving spouses who remarried before age 55. Many surviving 
spouses forego remarriage due to the impending loss of important earned 
benefits that provide long-term security to themselves and their 
families. Congress should promptly remedy this injustice.

              H.R. 1685, Justice for ALS Veterans of 2025

    NOVA supports H.R. 1685, Justice for ALS Veterans of 2025, which 
would extend increased dependency and indemnity (DIC) compensation to 
the surviving spouse of veteran who dies from amyotrophic lateral 
sclerosis (ALS) regardless of how long the veteran had ALS prior to 
death. Current law only provides for enhanced DIC benefits for 
surviving spouses of veterans who were rated totally disabled for at 
least 8 years prior to death. Given the devastating effects of this 
disease on veterans and their families, expansion of DIC would provide 
critical benefits to this population of survivors.

   H.R. 4469, Providing Radiation Exposed Servicemembers Undisputed 
                   Medical Eligibility (PRESUME) Act

    NOVA supports H.R. 4469, Providing Radiation Exposed Servicemembers 
Undisputed Medical Eligibility (PRESUME) Act. This bill will help all 
veterans who have been exposed to radiation get proper consideration by 
VA in their radiation-related claims.

       H.R. 5339, Susan E. Lukas 9/11 Servicemember Fairness Act

    NOVA supports H.R. 5339, Susan E. Lukas 9/11 Servicemember Fairness 
Act. This bill will extend presumptive service connection for certain 
conditions to those who served on active duty at the Pentagon between 
September 11, 2001, and November 19, 2001.

   H.R. 5723, Fraud Reduction And Uncovering Deception (FRAUD) in VA 
                          Disability Exam Act

    NOVA supports the intent of H.R. 5723, but amendments are needed. 
NOVA supports ensuring proper investigation of those who submit 
fraudulent disability benefit questionnaires (DBQs) in support of VA 
disability benefits claims. However, the bill as written is not 
sufficiently detailed and could result in veterans being unfairly 
targeted.
    Specifically, under proposed 38 U.S.C. Sec.  5322(a)(3), notice 
must be expanded. As currently written, this subsection would require 
the Secretary to only inform ``the individual who submitted the 
disability benefit questionnaire form or claim.'' This notice is not 
sufficiently specific. This subsection should be amended as follows: 
``with respect to such disability benefit questionnaire forms or such 
claims that the Secretary suspects may contain fraudulent information, 
informing the following individuals of suspicion of fraudulent 
activity: (1) the individual who signed the disability benefit 
questionnaire; (2) the claimant in connection with whose claim the 
disability questionnaire was submitted; and (3) that claimant's 
representative, if any.''
    NOVA is also concerned about the broad language found at proposed 
subsection 5322(c)(2), which would permit VA to upset final, favorable 
decisions when the individual convicted is not the veteran. In those 
instances, the claimant may be unaware of the fraud. Unless the 
claimant is convicted of fraud, overturning final grants would punish 
the wrong person. We recommend the following change: ``Paragraph (1) 
shall not apply in any case in which, pursuant to an investigation of 
the Inspector General under subsection (b), the claimant is convicted 
by a court of competent jurisdiction of a crime relating to fraudulent 
activity in the submission to the Secretary of evidence supporting a 
claim for benefits under laws administered by the Secretary.''
    Congress should also consider that the unfettered rise of 
unaccredited claims consultants and coaches has resulted in the 
submission of thousands of DBQs. It is unclear if VA is tracking these 
submissions since VA has no way of knowing if anyone is assisting a pro 
se veteran. These unaccredited individuals operate behind the scenes 
and are unaccountable to VA (unlike accredited VSOs, attorneys, and 
agents). Congress should seek specific information from VA about any 
current efforts to track these submissions and require VA to seek 
additional information from veterans - as simple as a checkbox on a 
form - regarding any assistance received from an outside company.

H.R. 6698, Board of Veterans' Appeals Annual Report Transparency Act of 
                                  2025

    NOVA supports the intent of H.R. 6698 and recommends two changes. 
First, Congress should define what ``timely'' disposition means. 
Second, Congress should require all reporting to distinguish between 
those cases that are advanced on the docket versus those that are not 
advanced.

                               Conclusion

    NOVA appreciates the opportunity to present its views to the 
Subcommittee. We remain committed to working with this Committee, VA, 
and accredited stakeholders to improve the VA disability and claims 
adjudication process for veterans, survivors, family members, and 
caregivers.

For more information:

    NOVA staff would be happy to assist you with any further inquiries 
you may have regarding our views on this important topic. For questions 
regarding this testimony or if you would like to request additional 
information, please feel free to contact Diane Boyd Rauber by calling 
NOVA's office at (202) 587-5708 or by emailing Diane directly at 
[email protected].

                    Prepared Statement of Berry Law
[GRAPHICS NOT AVAILABLE IN TIFF FORMAT] 

                    Prepared Statement of ALS United
[GRAPHICS NOT AVAILABLE IN TIFF FORMAT] 

               Prepared Statement of The ALS Association

    The ALS Association would like to thank Chairperson Luttrell, 
Ranking Member McGarvey, and the members of the House Veterans Affairs 
Subcommittee on Disability Assistance and Memorial Affairs for the 
opportunity to submit this statement for the record for the hearing on 
legislation in your subcommittee.
    H.R. 1685--Justice for ALS Veterans Act ensures that veterans and 
families who have made the ultimate sacrifice for this country receive 
benefits they cannot qualify for, through no fault of their own. 
Boosted Dependency and Indemnity payments grants peace of mind to 
current veterans living with ALS because they will know their families 
are supported after they are gone.
    The ALS Association endorses this legislation and asks the Veterans 
Affairs Subcommittee on Disability Assistance and Memorial Affairs to 
consider and swiftly pass H.R. 1685 to deliver boosted DIC benefits 
surviving families have earned.

Background

    Amyotrophic Lateral Sclerosis (ALS) is an always fatal 
neurodegenerative disease in which a person's brain loses connection 
with the muscles. People with ALS lose their ability to walk, talk, eat 
and eventually breathe. There is no cure, and the average life 
expectancy following diagnosis is 2-5 years.
    Military veterans, regardless of branch of service, the era in 
which they served, and whether they served during a time of peace or a 
time of war, are at a greater risk of dying from ALS than those who 
have not served in uniform. For this reason, the Department of Veterans 
Affairs has labeled ALS as a presumptive service-connected disease 
rated at 100 percent disability upon diagnosis because ALS never 
improves and, in all cases, leads to total body paralysis.
    While high-quality, multi-disciplinary care for ALS is provided by 
the Department of Veterans Affairs, military veterans living with ALS 
require care that extends outside of the clinical setting. Veterans 
living with ALS rely on their spouses, children, parents, and friends 
to provide the round-the-clock caregiving they need. The aggressiveness 
of ALS leaves many veterans totally incapacitated and reliant on family 
caregivers. It is an incredible price that veterans living with ALS and 
their loved ones pay as a result of their service to our country.

Support for H.R. 1685 the Justice for ALS Veterans Act

    The ALS Association wholeheartedly supports H.R. 1685--Justice for 
ALS Veterans Act, to ensure families of veterans are supported after 
their loved one passes.
    The surviving spouses of veterans with a 100 percent disability 
rating are eligible to receive Dependency and Indemnity Compensation 
(DIC) payments from the VA after their loved one passes. However, to be 
eligible for the boosted DIC benefit, also known as the ``kicker,'' a 
veteran must live with a totally disabling condition for 8 years. With 
average life expectancy for ALS post-diagnosis ranging from 2-5 years, 
most veterans who have service-connected ALS will not meet the current 
criteria for the boosted DIC payment. This is a fixable injustice for 
veterans living with ALS who already have little time left with their 
loved ones.
    The bipartisan Justice for ALS Veterans Act, sponsored by 
Representatives Brian Fitzpatrick (R-PA) and Chris Pappas (D-NH) 
ensures fairness by eliminating the 8-year survival requirement for 
veterans with ALS.
    Families of veterans living with ALS who serve admirably as 
caregivers should not be penalized because of an ALS diagnosis that 
offers them less time with their loved ones than the current 
requirement stipulates. Ensuring this boosted benefit, which equates to 
little more than $300 a month for a surviving family, can make a marked 
difference.

               Prepared Statement of The American Legion
[GRAPHICS NOT AVAILABLE IN TIFF FORMAT] 

                                 [all]