[Senate Hearing 119-73]
[From the U.S. Government Publishing Office]


                                                         S. Hrg. 119-73

                       VETERANS AT THE FOREFRONT:
                 SECRETARY COLLINS ON THE FUTURE AT VA
=======================================================================

                                HEARING

                               BEFORE THE

                     COMMITTEE ON VETERANS' AFFAIRS
                          UNITED STATES SENATE

                    ONE HUNDRED NINETEENTH CONGRESS

                             FIRST SESSION

                               __________

                              MAY 6, 2025

                               __________

       Printed for the use of the Committee on Veterans' Affairs
       
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        Available via the World Wide Web: http://www.govinfo.gov
                                __________

                   U.S. GOVERNMENT PUBLISHING OFFICE                    
60-335 PDF                  WASHINGTON : 2026 
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                 SENATE COMMITTEE ON VETERANS' AFFAIRS

                     Jerry Moran, Kansas, Chairman
John Boozman, Arkansas               Richard Blumenthal, Connecticut, 
Bill Cassidy, Louisiana                  Ranking Member
Thom Tillis, North Carolina          Patty Murray, Washington
Dan Sullivan, Alaska                 Bernard Sanders, Vermont
Marsha Blackburn, Tennessee          Mazie K. Hirono, Hawaii
Kevin Cramer, North Dakota           Margaret Wood Hassan, New 
Tommy Tuberville, Alabama                Hampshire
Jim Banks, Indiana                   Angus S. King, Jr., Maine
Tim Sheehy, Montana                  Tammy Duckworth, Illinois
                                     Ruben Gallego, Arizona
                                     Elissa Slotkin, Michigan

                     David Shearman, Staff Director
                Tony McClain, Democratic Staff Director
                           
                           C O N T E N T S

                              ----------                              

                              May 6, 2025

                                SENATORS

                                                                   Page
Hon. Jerry Moran, Chairman, U.S. Senator from Kansas.............     1
Hon. Richard Blumenthal, Ranking Member, U.S. Senator from 
  Connecticut....................................................     3
Hon. Tommy Tuberville, U.S. Senator from Alabama.................    12
Hon. Patty Murray, U.S. Senator from Washington..................    14
Hon. Marsha Blackburn, U.S. Senator from Tennessee...............    16
Hon. Mazie K. Hirono, U.S. Senator from Hawaii...................    18
Hon. Thom Tillis, U.S. Senator from North Carolina...............    21
Hon. Margaret Wood Hassan, U.S. Senator from New Hampshire.......    23
Hon. Bill Cassidy, U.S. Senator from Louisiana...................    26
Hon. Angus S. King, Jr., U.S. Senator from Maine.................    28
Hon. John Boozman, U.S. Senator from Arkansas....................    30
Hon. Bernard Sanders, U.S. Senator from Vermont..................    32
Hon. Kevin Cramer, U.S. Senator from North Dakota................    35
Hon. Tammy Duckworth, U.S. Senator from Illinois.................    37
Hon. Dan Sullivan, U.S. Senator from Alaska......................    40
Hon. Elissa Slotkin, U.S. Senator from Michigan..................    42
Hon. Jim Banks, U.S. Senator from Indiana........................    44

                                WITNESS

The Honorable Douglas Collins, Secretary, U.S. Department of 
  Veterans
  Affairs........................................................     5

                                APPENDIX
                           Prepared Statement

The Honorable Douglas Collins, Secretary, U.S. Department of 
  Veterans
  Affairs........................................................    57

                       Submissions for the Record

From Senator Blumenthal:

  ProPublica article ``Internal VA Emails Reveal How Trump Cuts 
    Jeopardize Veterans' Care, Including To `Life-Saving Cancer 
    Trials' ''...................................................    65

  Statement of Darren J. Petite, President, AFGE Local 0025......    69

  The New York Times article ``V.A. Mental Health Care Staff, 
    Crowded into Federal Buildings, Raise Patient Privacy 
    Alarms''.....................................................    71

  List of 41 Unanswered Requests for Information and Briefings...    85

  List of 19 Unanswered Letters..................................    92

  Health Care Wait Times, Staffing Snapshot, and Claims Backlog 
    charts.......................................................    97

  The New York Times article ``What Elon Musk Didn't Budget For: 
    Firing Workers Cost Money, Too''.............................    99

  List of Recent Collins References to the RIF...................   104

From Senator Tuberville:

  VA Budget and Veterans Population graph........................   103

                        Questions for the Record

Department of Veterans Affairs response to questions submitted 
  by:

  Hon. Mazie K. Hirono...........................................   107

  Hon. Angus S. King, Jr.........................................   109

  Hon. Jerry Moran...............................................   111

  Hon. Richard Blumenthal........................................   113

  Hon. Ruben Gallego.............................................   133

                       Attachment for VA Response

Department of Veterans Affairs response to Question 1 from 
  Senator King: List of Contract Terminations....................   139

 
                       VETERANS AT THE FOREFRONT:
                 SECRETARY COLLINS ON THE FUTURE AT VA

                              ----------                              


                          TUESDAY, MAY 6, 2025

                                       U.S. Senate,
                            Committee on Veterans' Affairs,
                                                    Washington, DC.
    The Committee met, pursuant to notice, at 11:41 a.m., in 
Room SD-106, Dirksen Senate Office Building, Hon. Jerry Moran, 
Chairman of the Committee, presiding.

    Present: Senators Moran, Boozman, Cassidy, Tillis, 
Sullivan, Blackburn, Cramer, Tuberville, Banks, Sheehy, 
Blumenthal, Murray, Sanders, Hirono, Hassan, King, Duckworth, 
Gallego, and Slotkin.

             OPENING STATEMENT OF HON. JERRY MORAN,
               CHAIRMAN, U.S. SENATOR FROM KANSAS

    Chairman Moran. Good morning, colleagues. Good morning, Mr. 
Secretary. Welcome, and welcome to those in the audience, as 
well.
    We have two votes starting at 11:30. I think most of us 
have now cast that first vote, so we will be interrupted on a 
rolling basis, I would guess, for the second vote.
    Mr. Secretary, thank you. Thank you for testifying before 
this Committee. It is the first time in front of our Committee 
since you were sworn in to become confirmed as the Secretary of 
Veterans Affairs, and I thank you for your acceptance of my 
invitation and your willingness and the ease with which you 
agreed to come before the Committee at the appropriate time.
    While the VA is operated by many hardworking and caring 
staff members--many of whom are veterans themselves--the 
bureaucracy at the VA has hampered some of the Department's 
successes. The current way of doing business at the VA is not 
always working for every veteran or military family.
    I hear from Kansans, as I assume we do as Members of 
Congress. We talk to Kansas veterans regularly. We talk to 
their loved ones--as well as Kansans who work for the VA, in 
the medical facilities, regional offices, and veterans' 
cemeteries--about the challenges that they are facing. I look 
forward today to hosting you in Kansas and sometime in the near 
future where we will visit with those veterans and those VA 
employees.
    This Committee has worked to improve the VA, to improve its 
services for the millions of men and women around the country 
who rely on the health care, benefits, and services that VA 
provides. Most of the time we have done that in a bipartisan 
way, and we have made progress.
    The MISSION Act made the VA care more accessible and 
enabled veterans, particularly those in rural areas, to receive 
care closer to home. The MISSION Act improved what we started 
out as the CHOICE Act.
    The PACT Act expanded health care and benefits to millions 
of veterans who were exposed to burn pits and other toxins 
during their military service.
    Yet, as we always say in this Committee, more work remains 
to make this agency, this Department--the second largest 
bureaucracy in the Federal Government--perform to the levels 
that veterans, their families, and VA staff members deserve.
    I believe that we share many of the same priorities, Mr. 
Secretary, including eliminating waste and reforming the VA to 
better serve our Nation's veterans.
    During the last three months, there have been announcements 
about significant changes across the Department, including 
employee terminations, contract cancellations, and plans for 
large-scale reductions in force that could see the VA return to 
the top-line workforce numbers in place six years ago. That has 
caused understandable concern among veterans and VA staff, as 
well as many of us here on the dais. Mr. Secretary, I look 
forward to you addressing those concerns this morning. I think 
how this process is completed or how this process occurs is 
hugely important. And I have told you on the phone that it 
ought not be a set number that you are trying to reach, it 
ought to be about rightsizing the Department of Veterans 
Affairs.
    The Department is at a critical juncture--perhaps that is 
always true--and I want to hear from you that the changes 
underway at the VA are backed by data, informed by veteran 
demand, focused on improving outcomes for the men and women 
that the VA serves, and will be carried out in close 
coordination with this Committee as well as with veterans, VA 
staff, and veterans' organizations.
    As the VA undergoes restructuring, the Department must be 
well-staffed by a quality, accountable workforce and any 
efforts to rightsize the workforce must be done carefully and 
in a manner that treats the men and women who entered public 
service to care for veterans with gratitude and respect.
    I believe that we can work together to achieve lasting and 
positive changes at the VA, that best serves our veterans, 
staff members, and survivors, done in a way that is the right 
way to do it.
    Mr. Secretary, I indicated in one of our last conversations 
that if you are rightsizing the Department of Veterans Affairs, 
whether the numbers go higher or lower, that is not the issue, 
the issue is about the right size for taking care of those who 
served our country.
    I thank you for being here this morning, as I said earlier, 
and with that, I yield to Ranking Member Blumenthal for his 
opening remarks.

         OPENING STATEMENT OF HON. RICHARD BLUMENTHAL,
         RANKING MEMBER, U.S. SENATOR FROM CONNECTICUT

    Senator Blumenthal. Thank you, Mr. Chairman, and I want to 
thank you, Senator Moran, for again bringing us together for 
the bipartisan work that you and I have done together. This 
Committee has been more bipartisan than any in the United 
States Senate, so far as I am concerned, and it will continue 
to be so, in championing measures like the PACT Act, which, 
Secretary Collins, by the way, I just noticed is not mentioned 
once in your written testimony, which mystifies me.
    Let me say at the very outset, I would like to enter a few 
items into the record. The first is an article published this 
morning by ProPublica, supported by hard evidence and in-depth 
conversations with VA staff. It outlines a number of examples 
of real-life impacts to veterans caused by the firings, 
freezes, and cuts in this Administration. It also outlines 
disturbing warnings of what is to come, documents with 
recommendation from DOGE, the DOGE tech boys--I call them the 
``DOGE Dopes''--that outline cutting 100,000 employees and 
closing as many as 17 VA hospitals.
    I would also like to enter into the record a statement from 
Darren J. Petite, President of the AFGE Local 0025. His 
statement is a summary of the dozens of impact statements from 
VA employees that were provided to my office this morning. And 
in addition, The New York Times article on mental health care 
diminishing and degrading privacy available through telemental 
health care that is absolutely unacceptable. In Mr. Petite's 
words, his statement represents, quote, ``the collective voices 
of frontline public servants who have endured significant and 
unjustified hardships stemming from recent policy changes, 
management decisions, and failures to honor basic labor 
protections.''
    Finally, I want to submit for the record an updated list of 
41 requests for information and 19 letters of inquiry that have 
been sent to this Administration without substantive response, 
any sufficient response, or any response at all. If that is 
okay, Mr. Chairman, without objection.
    Chairman Moran. Without objection, so ordered.

    [The information referred to appears on pages 65-98 of the 
Appendix.]

    Senator Blumenthal. We are here about accountability, which 
so far has been totally lacking. The absence of responses to 
our inquiries are simply unacceptable. You inherited, Mr. 
Secretary, a VA that was delivering a record amount of health 
care. Last year wait times decreased, despite a record increase 
in new patient appointments. You claimed the disability 
backlogs got worse, but the percentage of backlog claims 
actually is about the same, but increasing challenges in 
numbers. And the VA has decreased the time to process each 
claim, setting new records for productivity.
    You inherited a VA that was setting new records for 
burials, and that is important to the servicemembers, the 
families that sadly have to provide those burials. The VA has 
been delivering more care, more services, more benefits, to 
more veterans, and doing it faster than ever before when you 
took over, and that is in no way to deny the importance of 
improvement. Call it reform. Call it revision. Improvement is 
absolutely necessary. But it should not be done with a 
chainsaw.
    The head, the Commander of the Veterans of Foreign Wars, 
came before us, and he drew this analogy. When he was wounded 
in combat, the surgeon used a scalpel. He took the shrapnel out 
of his arm. He did not use a meat ax. He did not use a 
chainsaw. And that is the kind of improvement that we should 
work to achieve, with the input of those skilled and dedicated 
caregivers who are working hard in the VA right now, a third of 
them veterans, thousands of them already fired, and others 
potentially losing their positions in the future.
    You have announced the cancellation of 800 contracts worth 
an alleged $2 billion, only to rescind that statement once the 
harmful impacts of the cancellations were made public, and we 
protested. You arbitrarily fired thousands of VA employees, 
including Veterans Crisis Line employees, only to subsequently 
reinstate a number of them after public backlash, or after you 
learned that they were fired by mistake, and we protested. You 
have delayed the opening of facilities across the country, only 
to announce they would open in phases because of insufficient 
staffing. You have equated them to restaurants. You claim that 
is how it has always been done. But that is not true.
    And so far as that 83,000 number is concerned, apparently 
you want to go back to the 2019 numbers, because since then 
some 80,000 VA workers have been added to the rolls. You should 
know, two-thirds of them are health care workers. If you slash 
those health care workers, VA quality and access will diminish. 
A number of them are VBA claims processors, a third of them. If 
you slash them, the times for PACT Act benefits will be 
delayed.
    I think that oversight is absolutely necessary and 
improvement is always possible. But it should be done 
positively, without the slashing and trashing that right now 
you have advocated.
    In the real world we know that support personnel are 
absolutely necessary--answering the phones, cleaning the 
surgical equipment, preparing the operating rooms, scheduling 
the appointments or fixing the IT systems. Those burdens will 
fall to others, or they will simply fall through the cracks if 
you slash and trash the VA.
    In Connecticut, the VA is operating without a locksmith, 
because that position is not exempt from your hiring freeze. 
And the VA has ignored local requests for that exemption. There 
is no way for a VA facility to operate reliably and safely 
without good locks on the doors. Now that position may seem 
like a minor or trivial one, but every member of the VA team is 
necessary to make the team effective and efficient.
    Now, we have already begun seeing the results and local 
impacts of staffing shortages. We have heard directly from 
veterans--my office has, colleagues have--service lines at 
numerous VA hospitals and clinics have been reduced. Mammogram 
appointments have been postponed. Prosthetic employees have 
been fired and services reduced. The availability of VA 
operating rooms as well as inpatient, recovery, emergency room, 
and long-term care beds have been reduced. Probationary staff 
in logistics and procurement have been fired, meaning critical 
medication and equipment deliveries have stalled. In some VA 
hospitals, senior and clinical staff are now helping stock 
supplies. Medical center employees who manage research grant 
applications have been fired, leaving hospitals unable to apply 
for new research funding.
    Countless employees are being driven away. You have 40,000 
openings right now that you are recruiting to fill at the same 
time as you are firing 80,000. It makes no sense. How do you 
expect to recruit qualified, skilled, dedicated, new workers, 
whether they are physicians or counselors, nurses, when you are 
firing our probationary employees who are the future of the VA 
workforce or who have been promoted because they are performing 
with such excellence? Nonsensical.
    So I think that you owe this Committee some explanation. 
You have refused to do it so far, in response to the 19 letters 
that I have written, along with colleagues, and the 21 other 
inquiries. There needs to be accountability. We need to avoid 
the potential disaster that is looming. And make no mistake--it 
is a disaster that is on the horizon, approaching us, as surely 
as a thunderstorm in the Nation's capital. And we need to avoid 
it. It will be a self-inflicted wound that disastrously affects 
all of our VA beneficiaries, whether they use health care or 
the PACT Act, and that is one reason why I have advanced the 
Putting Veterans First bill that would mandate rehiring all 
those fired VA employees and all the veterans who have been 
fired from the Federal workforce in other agencies. Give them 
the right to individual, personal determination, which should 
be their right under current law.
    We need to make the VA a place that works better for 
veterans and their families. They deserve nothing less.
    Thank you, Mr. Chairman.
    Chairman Moran. Senator Blumenthal, thank you.
    Mr. Secretary, we now recognize you. Thank you for your 
presence, and we recognize you for your testimony.

               STATEMENT OF HON. DOUGLAS COLLINS,
         SECRETARY, U.S. DEPARTMENT OF VETERANS AFFAIRS

    Secretary Collins. Thank you, Mr. Chairman. I appreciate 
that. And Ranking Member Blumenthal, and distinguished Members 
of the Committee, it is good to be back here.
    Chairman Moran. Mr. Secretary, would you pull the mic 
closer, please?
    Secretary Collins. It is on.
    Chairman Moran. That is better.
    Secretary Collins. So I am going to have to swallow it. 
Okay. There we go.
    Since becoming VA Secretary, I have met many of the men and 
women who show up every day to work. It has been one of the 
greatest experiences of my life to see the deep dedication that 
they have to the veterans that they serve. And I have also 
listened to those VA employees and others who have expressed 
their concerns about what is going on and the stuff that they 
need to be able to do to perform their job. Most of those are a 
bureaucracy that has been out of control and a bureaucracy that 
has not been tamed in years.
    You know, also, though, in the same period of time, since I 
have come to learn what many of you on this Committee realize: 
the VA is in need of reform, and which I can probably quote 
every Member of this Committee who has stated in the past, 
multiple times, including even last year, that the VA needed 
reform, and needed it badly. We must do a better job serving 
our veterans, and getting to ``yes'' so veterans can get the 
benefits they have earned, and making sure the money Congress 
appropriates to the VA is not diverted to non-mission-critical 
or even wasteful programs.
    Way back in 2024, Congress discussed many times reform in 
the VA, but it often was simply a thinly veiled request for 
more employees. But the Department's history shows that adding 
more employees to the system does not automatically equal 
better results.
    The Biden administration's record is a perfect example. The 
last four years, which, again, I would be happy to talk about 
today, showed that this issue of money and people do not solve 
the problems. In fact, the number of VA employees grew by more 
than 52,000 full-time equivalents from fiscal year 2021 to 
fiscal year 2024. And did all those people make things better 
for veterans? No. In fact, VA performance actually got worse. 
VA wait times for primary care rose from 15.7 days to 24.3 
days. Wait times for mental health care rose from 14.7 days to 
20.4 days. Wait times for specialty care rose from 24 days to 
38 days. And VA's disability benefits backlog increased, and 
was at 260,000 when I took office at the first of February. I 
will say that we have decreased it by 40,000 since we have 
taken office.
    Something has to change, and we are going to have to change 
it. President Trump looked at the problems. He has looked at 
the problems across it and said, ``Let's take care of our 
veterans, and do so in a way that takes care of our veterans, 
families, caregivers, and the survivors that we serve.''
    And also I have never been shy about talking about and 
addressing tough issues, and I will not ignore the elephant in 
the room here today. As has already been discussed and we are 
aware, we are looking at Department's structure and staffing 
across the enterprise. I said countless times, this review is 
aimed at finding ways to improve health care and benefits for 
veterans without cutting care and benefits for veterans. Our 
goal is to increase productivity, eliminate waste and 
bureaucracy, increase efficiency, and improve health care and 
benefits to our veterans.
    We are going to maintain VA's mission-essential jobs like 
doctors, nurses, claims processors, while phasing out non-
essential roles like interior designers and other things. This 
is savings we can achieve that will be redirected to veteran 
health care and benefits. Our goal--and here is the key word--
our goal, as we look at it as everything goes forward, is a 15 
percent decrease. It is a goal. As the Chairman said, it could 
be less, it could be more. It is a goal that you have to look 
at. You have to start somewhere.
    Year after year, the calls for VA reform come from every 
corner--the lawmakers, the media, watchdog groups like the 
inspectors general, Government Accountability Office, VSOs, and 
individual veterans across the country.
    This year, we have finally embarked on a historic effort to 
reform the VA. We have been emphatic that we will not be 
cutting benefits and health care--only improving them--and I 
think the budget shows that. And we are engaging career 
subject-matter experts, senior executives, and political 
leadership to restructure the Department so it works better for 
veterans--a scalpel, not a hatchet.
    We are also doing, what all the veteran stakeholders agree 
needs to be done, and there has been some reaction. We have 
been met with a barrage of false rumors, innuendo, 
disinformation, and speculation implying firing of doctors and 
nurses, and forcing staff to work in closets and showers, and 
that there is ``chaos'' in the Department, none of which have 
been backed up, even articles from today. Why? Because we 
canceled some contracts, that work for the VA, that we should 
be doing in-house, and we let go less than one-half of 1 
percent. That is what I am sort of amazed at some things you 
said. We have let go one-half of 1 percent of non-mission-
critical employees.
    To hear our critics tell it, the Department was absolutely 
perfect before January 2025. Everyone knows that is not true. 
The fact is that VA health care has been on the Government 
Accountability Office's high-risk list for a decade. GAO says 
VA faces ``system-wide challenges in overseeing patient safety, 
access to care, hiring critical staff, and meeting future 
infrastructure needs.'' We are working hard to fix these and 
other issues, and we need your help. We want to work with 
Congress to fix the VA. But our shared goal needs to be making 
things better for veterans, not protecting the Department's 
broken bureaucracy.
    The Department of Veterans Affairs is not a Federal jobs 
program. It is an organization whose sole purpose is to serve 
veterans, and we must never lose sight of that. In just the 
first 100 days we are refocusing our core mission back on the 
veteran, not the VA itself. We are making sure that they 
actually get choice in the MISSION Act, which is what the law 
requires, which we have found over the past few years has been 
actually stifled at the VA. Instead of sending people to 
community care, they were actually encouraged to stay in the 
care inside the VA.
    We brought back people from work. We have accelerated the 
deployment of our Electronic Health Records Management system, 
and yes, we have processed record numbers of disability claims, 
and we are redirecting hundreds of millions of dollars from 
non-mission-critical efforts to support our beneficiaries.
    As we go forward, we are just getting started. There is a 
lot we can agree on. There may be some things that we disagree 
on. But the one thing about it, it will never change for me, 
Mr. Chairman, Ranking Member, and the rest of the Committee, is 
that we have got to take care of our veterans. And obviously 
the numbers that we have seen in the last few years have shown 
that we are not.
    And with that I yield back.

    [The prepared statement of Secretary Collins appears on 
page 57 of the Appendix.]

    Chairman Moran. Mr. Secretary, thank you. So in your time 
as the Secretary and the circumstances that you are under and 
engaged in, what do you assess as your most significant areas 
of concern for the VA, and what do you believe is working? Is 
there anything that you have learned that needs to be done 
differently?
    Secretary Collins. Thank you, Mr. Chairman. I think one of 
the most interesting things for me in the first 100 days is 
constantly fighting rumor and innuendo, much of which I am sure 
we will hear today that I am going to try and put to rest.
    But one of the things is, I had to take it from a 
perspective of both being on the GAO list and looking at the 
past history, as I expressed to many of you during 
confirmation, is what is working right and what is not working 
right. And as we looked at this, what I found was a system, a 
bureaucracy, that was broken.
    Here is an interesting stat for most of you that you may 
not know. I came into the office and it took me a week and a 
half before Human Resources Department could actually produce a 
list of all the employees that we have--a week and a half--
because our systems were so broken and bureaucratically 
challenged.
    You know, what I found out was we did not address any of 
the major concerns. Wait times, which I just outlined in my 
opening statement, have gotten worse. Backlogs got worse. All 
while we were adding people and all while we were adding money.
    You know, the inefficiencies are interesting. I will just 
show you one example. Under the previous administration they 
were trying to consolidate payroll, and payroll across the 
board, we asked for a number from payroll, and we got 230,000 
is our employee base. It is who we are paying. Well, we know, 
obviously, we had almost 470,000. The reason was we had 50 to 
60 of our hospitals still doing their own payroll instead of it 
all being centralized where it could be done in an efficient 
manner, and make sure that we all have it where we need to go.
    The HR system is in disarray. Our death by suicide number 
has not changed since 2008, yet we are spending $588 million a 
year to look at that, and $2.3 billion in counseling and care.
    These are just the things that we have seen so far, and we 
have actually implemented to go forward and look at the things 
that we have got to fix and more forward on those. But to 
simply say that where we came in was okay and needed tweaks was 
just simply not true, and veterans in this room and other 
places know that.
    Chairman Moran. Mr. Secretary, you mentioned in your 
opening statement inspectors general.
    Secretary Collins. Yes.
    Chairman Moran. I have indicated, I think in many 
conversations, and certainly hearings in which VA staff are 
witnesses, that the return of an inspector general is a high 
priority for me. What is the plan?
    Secretary Collins. We are in favor of that, as well, and 
making sure that the White House--and we have encouraged the 
inspector general to be named, and look forward to that being 
in place. I mean, again, we are looking at it as a metric of 
how we can get better. Over the last 10 years, that has been 
the metric saying that we are at a high risk. So from my 
perspective we welcome the oversight to make sure that we are 
heeding the metrics that we need to do to take care of 
veterans.
    Chairman Moran. And so, Mr. Secretary, the impression that 
you leave is that the White House, the President needs to 
nominate someone. Is that where we are?
    Secretary Collins. That is the next step in that, yes.
    Chairman Moran. Okay. I want to ask a specific question 
about community care. I appreciate your attention to the 
MISSION Act. We have been trying, this Committee, that we 
believe it is particularly important for veterans at risk for 
suicide and mental health issues, veterans who are potentially 
victims of overdose deaths.
    I wrote to the VA in January, urging Mental Health 
Residential Rehabilitation Treatment programs to be included 
under existing community care access standards, to immediately 
expand access to those lifesaving services to veterans across 
the country, in the community. Can you provide me with an 
update on your progress to add Mental Health Residential 
Rehabilitation Treatment programs to the MISSION Act access 
standards?
    Secretary Collins. Yes, and I think that is going through 
right now and adding those as we go forward, making sure that 
the VA and the veteran is going through the programs that are 
suitable for the program it needs to be and also taking care of 
the needs of the veterans. So that is moving forward. We agree 
with you that any opportunity that we can take to give more 
service to veterans, especially in the mental health area.
    Also, Mr. Chairman, there is something else to think about 
here, as well. One of the things that I did not mention 
earlier, is there seems to be, at times, a difference in how we 
deal with the VA as opposed to how we deal with health care, in 
general. And some of that, frankly, needs to change in the 
sense that the VA is the largest health care provider. But also 
we share the same challenges as the community does, as well, 
with doctor recruitment, nurse shortage, doctor shortages, 
mental health workers, and those. So we are working those in 
our areas to make sure that we do have good community partners 
in this regard and also hiring the best that we can. Also, we 
are levering partnerships with DoD, but also looking at our 
nonprofits and our VSOs, to see how they can help, as well. So 
it is a total approach to how we are looking at this and want 
to continue to do that.
    Chairman Moran. Senator Blumenthal.
    Senator Blumenthal. Thanks, Mr. Chairman. You know, I 
listened to you recite those problems that you encountered. Not 
a single one of them will be solved or addressed by slashing 
the VA workforce by 83,000 people. Putting those workers on the 
chopping block fails to address one single aspect of any of the 
problems that you have brought to this Committee, or that you 
encountered.
    Are you aware, Mr. Secretary, that the VA changed the way 
it calculates wait times in 2022?
    Secretary Collins. The information I gave you is as of our 
current VA system.
    Senator Blumenthal. The information you gave us is 
deceptive and misleading because the VA changed the way it 
calculates wait times in 2022. In addition, because it begins 
in 2021, at a time when a lot of VA patients were coming back 
to the VA after COVID in 2022, this information is 
fundamentally deceptive and misleading. I ask you to go back to 
the VA and correct it in a written submission to this 
Committee.
    Mr. Chairman, I ask that we enter into the record an 
article that appeared in The New York Times entitled, ``What 
Elon Musk Didn't Budget For: Firing Workers Costs Money, Too.'' 
If there is no objection.
    Chairman Moran. Without objection.

    [The article referred to appears on pages 99-102 of the 
Appendix.]

    Senator Blumenthal. Are you aware of the costs that will 
result from firing those VA workers in compensation that has to 
be paid to them, when they have been wrongfully terminated?
    Secretary Collins. Well, Mr. Ranking Member, if you look at 
that from a perspective, there is cost to moving forward. There 
have been some issues here. I think one of the----
    Senator Blumenthal. You do not have a number for us, do 
you?
    Secretary Collins. No, because we have----
    Senator Blumenthal. Because you have not calculated----
    Secretary Collins [continuing]. Less than one-half of 1 
percent----
    Senator Blumenthal [continuing]. What it will cost to 
fire----
    Secretary Collins [continuing]. Of people we actually----
    Senator Blumenthal [continuing]. Workers, and then 
reinstate them, when the courts tell you, as they will, that 
they have been wrongfully terminated.
    Secretary Collins. We are talking about less than one-half 
of 1 percent, Mr. Ranking Member. You have thrown out numbers 
of thousands. This is exactly what I am fighting against. When 
you use numbers that----
    Senator Blumenthal. It may be a small part of your 
workforce, but they are the physicians.
    Secretary Collins. No.
    Senator Blumenthal. They are the surgeons.
    Secretary Collins. No. No. Mr. Ranking Member, I will not 
let you do that. I will not let you sit here and scare my 
veterans and scare my employees, because there has been no--I 
mean, you must have stuff that, you know, again you are looking 
at, making a prediction in the future because no one has 
discussed firing doctors or firing nurses. We have always said 
that we are going to keep frontline health care.
    Now, if we want to continue to this message that these are 
out there when you have no knowledge of what you have just said 
except speculation----
    Senator Blumenthal. Well, let's begin with facts----
    Secretary Collins [continuing]. And innuendos.
    Senator Blumenthal [continuing]. Right now.
    Secretary Collins. That is facts.
    Senator Blumenthal. Will you submit to us, which you have 
failed to do, specific positions where workers have been fired 
already?
    Secretary Collins. At this point in time----
    Senator Blumenthal. That is a yes or no.
    Secretary Collins [continuing]. We submitted to that. You 
know, you also said something that I need to address real 
quickly.
    Senator Blumenthal. No, wait a second. Please answer my 
question. Will you give us the information?
    Secretary Collins. We have given you the information----
    Senator Blumenthal. We have requested it again and again 
and again, what positions have you terminated and what is your 
plan for terminating in the future.
    Secretary Collins. Okay. First off, we will get you the 
information, that your staff will check back. With the plans 
for the future, this is an interesting thing. I think what we 
are trying to do here is we are going through a process which I 
talked about in my opening statement, that deals with career 
employees, that deals with professional staff, and others, 
outside consultants, to see what is the proper size for our VA.
    Senator Blumenthal. You know, you are running out the 
clock----
    Secretary Collins. Will you let me answer the question?
    Senator Blumenthal. I know what the tactic is.
    Secretary Collins. Let me answer the question.
    Senator Blumenthal. We both know, because you served in the 
United States Congress too. You can fill the air with words.
    Secretary Collins. You can if----
    Senator Blumenthal. What the veterans deserve is action and 
accountability. We have asked for this information repeatedly. 
You have said you are firing 83,000 people. If you fire the 
people who have been hired in the last 5 years, you will be 
firing physicians, nurses, surgeons, counselors, workers who 
are frontline. You cannot slash and trash the VA without 
eliminating those essential positions which provide access and 
availability of health care. It simply cannot be done. And you 
may give us a lot of verbiage here, but you are not giving us 
facts, and facts are essential to accountability. That is why 
you are supposed to be here. But you are not giving us the 
facts that we need.
    Thank you, Mr. Chairman.
    Secretary Collins. With all due respect, can I answer his 
question?
    Chairman Moran. You may answer.
    Secretary Collins. Thank you. With all due respect, there 
is verbiage being said from the dais, as well, and I would like 
to say, as I have said already in this hearing, that there is a 
goal of looking at a 15 percent reduction. You have stated on 
several occasions already that I am saying we are going to fire 
83,000 employees. That is wrong. I would appreciate that being 
corrected, because that is not true. I said we are looking at a 
goal of how many employees we have and how many employees that 
are actually working in the front lines, taking care. I have 
doctors and nurses right now that do not see patients. Is that 
helping veteran health care?
    Senator Blumenthal. Yes, it does.
    Secretary Collins. No. No, it does not.
    Senator Blumenthal. It does.
    Secretary Collins. Not when I need those doctors----
    Senator Blumenthal. A doctor who consults on a case----
    Secretary Collins. Not when I need those doctors in a 
clinic.
    Senator Blumenthal [continuing]. A doctor who consults, a 
doctor who advises, a doctor who looks at radiology reports, a 
doctor who----
    Secretary Collins. You are missing the point.
    Senator Blumenthal [continuing]. Is overseeing and assuring 
quality, absolutely yes.
    Chairman Moran. Senator Tuberville.

                     HON. TOMMY TUBERVILLE,
                   U.S. SENATOR FROM ALABAMA

    Senator Tuberville. Thank you, Mr. Chairman. Thank you, 
Secretary Collins, for being here. And thanks to the veterans 
that are here today. And I want to pass on the thanks from the 
400,000 veterans in the State of Alabama. They have, for the 
first time, in just two months, have seen progress at a lot of 
the VAs in my state.
    We have seen a record number of disability claims 
processed, employees finally returning to work, and an end to 
the DEI programs like treatment for gender dysphoria. You know, 
the days of business, as we all are noticing and hearing today, 
are over, and finally our veterans are being put first.
    Let's talk about the budget a little bit, Mr. Secretary. 
Over the last 10 years, the VA's budget has more than doubled, 
and the number of employees at the VA has increased more than 
100,000. But the number of veterans in our country is 
declining, and VA enrollment has changed.

    [The information referred to appears on page 103 of the 
Appendix.]

    The VA has become a bloated bureaucracy. I think most of us 
will agree with that.
    Secretary Collins, why has the VA budget become so bloated 
over the last 10 years if the veteran population has remained 
stagnant?
    Secretary Collins. Senator, I appreciate the question 
because it is also another number that we are leaving out 
there, as well, is that veteran population of actually enrolled 
in the VA has stayed steady at 9.1 million. And again, we can 
try and talk about numbers all we want here, but it has been 
9.1 million steady for the last, you know, 10 years we look at 
this. So we are also losing veterans as a total population, but 
we are also not gaining in the enrollment of the VA.
    What we tend to forget, and some people will say, well, we 
have had an increase in different programs. We have, but we 
also lose about 400,000 veterans a year to death, you know, 
natural causes. So, I mean, it is a priority of function. So 
what we are looking at here is there have been programs that 
have been increased, there has been a mandatory spending 
increase, and those have been the things that we look at.
    I think what we are actually looking at here, though, is 
there has been a decision that it is easier to just put money 
and people toward issues without looking at is there any real-
world aspect to that. Is there a return on investment?
    I think as you talk to veterans, and I go out and talk to 
veterans, one of the things that we are having is that those 
amount of numbers and people are not equating into how we can 
actually function.
    I mean, I appreciate the Ranking Member's service and I 
appreciate we just disagree on this, that when we have doctors 
and nurses and other clinicians who are not actually being 
clinicians and not reading charts or doing anything else, they 
are actually, you know, formulating policy or doing 
administrative work, when I have these many folks that need to 
be more in the clinics, then we are not helping the veteran. 
That is just something that is not happening.
    When you are taking time to process disability claims that 
went up, and also not having the proper, you know, computer, 
the AI technology to help us do that. We are also putting out 
the issues that are slowing up. And then also we get in our 
way, because we are such a bureaucratic organization. We have 
rules over rules over rules.
    I had a gentleman tell me just the other day--and this is, 
again, I have seen this before from my own daughter--he 
actually said--he is a double amputee. He actually said, ``I 
have to go to the VA. If I need a new wheelchair, I have to go 
to my primary care, a PT, and an OT, before I can get a seating 
clinic appointment.'' Explain to me why we are having to go 
through that kind of mess to get straight to a seating clinic, 
which we know where they need to be to start with.
    Senator Tuberville. Thank you. I often hear a lot about the 
large amounts of paperwork and administrative burden VA doctors 
are forced to navigate when seeing patients. This leads to VA 
doctors seeing less patients per day. Where do you see the 
opportunity to reduce all these administrative processes?
    Secretary Collins. I think there are plenty of 
opportunities there, and again, this has nothing to do with 
employees. It has nothing to do with money. It is simply, are 
we doing it most efficiently in the process.
    I made a statement to every hospital that I go to, every 
clinic that I go to, every Veteran Benefit Office that I go to, 
to say this. I use a proverbial 10 sheets of paper. If you have 
10 sheets of paper to get a veteran the services that they 
need, or 10 sheets of paper to do the next thing, can you do it 
with 5? I mean, I will show you an example.
    To apply for benefits in our VBA, there is a sheet on there 
that has a full listing of the veteran as far as just basic 
information about their military service. And this, for older 
veterans, could be a problem actually to go back and remember 
dates. If the veteran served, and we could do that with their 
name, their Social Security number, their ID number using their 
DD-214, we can gain all the records that we need to confirm 
that they are a part. But yet we are making them go through 
this process of filling out a form that many of our veterans, 
who may or may not have computer capabilities, are having 
trouble with. So it makes it difficult.
    Senator Tuberville. I hear from some of the supervisors in 
the VAs, and they say we use two coding systems, one a hospital 
coding system that is very, very effective, and the other one 
is from the W-H-O, which is a useless piece of crap, that has 
come from them. Why do we use both of those?
    Secretary Collins. That is something I am looking at now, 
again, to try and streamline the issues that we have in our 
system. Again, it is interesting. A lot of times we end up 
talking about processes and plans here and not talking about 
actual care and actually what the veteran experiences when they 
go in. Most of the veterans, I will tell you, a lot of times 
when they get through the labyrinth of stuff to get there, they 
are happy with the service that they get. They are glad that 
they are getting the service and they appreciate that. They 
enjoy the choice.
    But when we actually put restrictions on our employees and 
put restrictions on veterans getting in, it just makes it all 
the worse.
    Senator Tuberville. Thank you.
    Chairman Moran. Thank you. Senator Murray.

                       HON. PATTY MURRAY,
                  U.S. SENATOR FROM WASHINGTON

    Senator Murray. Thank you, Mr. Chairman. Secretary Collins, 
thank you for being here. Thank you for taking the time to talk 
with me yesterday morning about the new policies that you now 
have related to congressional engagement. For all of my 
colleagues, this new policy will limit our ability to interact 
with veterans on a VA campus, as it did when I was denied the 
ability to host a veteran and provider roundtable at the CL VA. 
I will note I have done that many times over my 30 years here 
in the Senate.
    My staff was told it was a new policy, which had not been 
put into writing at the time that I got denied. And I just want 
to reiterate my request, Mr. Secretary, that you share that 
newly written policy with every single Member of Congress.
    Secretary Collins. Senator, we definitely, as you and I 
talked yesterday, this had been an unwritten policy for years. 
It had been----
    Senator Murray. No.
    Secretary Collins [continuing]. It had been applied 
differently. And I went back and checked. It had been applied 
differently. And simply, there is no filter that we want you to 
be there.
    Senator Murray. Well, I just have to say, I have never been 
denied before.
    Secretary Collins. That is fine.
    Senator Murray. I do not know anybody else who has. This is 
a new policy, and I think it is important that you have it in 
writing----
    Secretary Collins. It will be.
    Senator Murray [continuing]. To every single member----
    Secretary Collins. It will be.
    Senator Murray. So we all know that. I would also note that 
in our conversation yesterday, as well as in your responses to 
nearly all of the oversight letters I have seen, you are 
relying on this very broad explanation to everything that, and 
I quote it, ``Everything you do is to ensure veterans receive 
the care and services they deserve.''
    I want to take this opportunity, Mr. Secretary, to remind 
you, the people on this dais, both sides, have the same 
purpose. Many of us have been doing this for decades, and 
oversight is both constitutionally required and it is critical 
for all of us to do our jobs. So with that in mind, I would ask 
you to rescind the memo from your Chief of Staff, which allows 
him to personally sign off on any proposed or planned 
engagement with any one of the 535 Members of Congress, which 
really just stonewalls legitimate questions that we have.
    Secretary Collins. Senator, that was a memo that--that was 
a missing characterization. That memo simply was coordinating 
between OM and our Legislative Affairs Office to make sure that 
our OM staff, who actually deals with the budget side, which 
you do, and our Legislative Affairs, were on the same page. 
Just as you would not want to, in your staff, talking to the 
same group and basically not being on the same page.
    Senator Murray. Well, I have the letter and it directly 
says that every request we have has to go through your Chief of 
Staff, from our staff who wants questions, from any of us who 
do. Everything has to be rerouted up to the top. That is going 
to take forever. That denies us the ability for us to do----
    Secretary Collins. We will make sure that all legislative 
inquiries, the stuff that you need, you are getting the 
oversight. I agree with you. I served in Congress, as well. 
Oversight is important. Also getting you good information is 
important, as well.
    Senator Murray. I appreciate that. So is that letter no 
longer in place, no longer applies?
    Secretary Collins. That letter is, the one that I am 
familiar with, is letters to streamline information so we can 
get you actually information quicker.
    Senator Murray. Streamline all the way to the top so our 
questions are never answered. That is how we all read it.
    Secretary Collins. No. That is not the way the letter is 
written.
    Senator Murray. Well----
    Secretary Collins. So it is not the way the interpretation 
is.
    Senator Murray. I would ask you go to back and look at it--
--
    Secretary Collins. Okay.
    Senator Murray [continuing]. Because again, we have 
oversight responsibility. We all take that very seriously.
    Secretary Collins. I agree with you.
    Senator Murray. We need those responses. We do not need 
weeks and months to go through some, all the way to the top, 
and one guy is sitting there deciding whether or not we get 
information.
    Secretary Collins. Well, there is no weeks and months, and 
the unfortunate part of the VA has been a bureaucracy issue. We 
are trying to actually streamline it to get you information.
    Senator Murray. I have other questions. I mean this. I 
would like you to go back and look at that letter and remind 
yourselves we all need the information.
    Secretary Collins. Thank you, Senator.
    Senator Murray. As you know, fixing EHR and getting it 
right for our veterans is about patient safety. During your 
hearing I expressed my concerns about VA moving forward with 
deploying the new system at four additional new sites when it 
is still experiencing very serious issues at places in my 
state, Spokane and Walla Walla. And you said that when it comes 
to EHR you were going to, quote, ``listen to our clinicians and 
listen to our hospitals.''
    Weeks later, VA announced plans to look at firing a 
staggering 80,000 employees this year. I want to know, did you 
ask these VA clinicians and hospitals about how those cuts 
would affect future EHR deployments?
    Secretary Collins. The issue of the employment and the EHR 
deployments are separate. We are not looking--again, I cannot 
emphasize this enough. None of the reorganization that we are 
looking at deals with frontline workers or frontline employees 
that deal with everything from cleaning a----
    Senator Murray. Okay. That was not my question.
    Secretary Collins. So yes, we have been included. Dr. 
Evans, who runs our program, we have incorporated this. He has 
been working the program for well over a decade.
    Senator Murray. Okay. I have 20 seconds left. I have been 
very vocal--you know this--about VA's troubling decision not to 
renew the terms of researchers who are working on absolutely 
critical projects and clinical trials for our veterans. There 
are planned trials that have not started. There are ongoing 
trials that have been stopped. And there are trials that have 
fallen apart due to staff layoffs.
    Yes or no, would you agree that clinical trials stopping 
would have an impact on the care for our veterans?
    Secretary Collins. I think clinical trials are very 
important, and the good thing about it is, is when we looked at 
it there were trials that were coming due, just as they always 
do. I put a 90-day stop on that so we can examine and make sure 
that everything is going good.
    Senator Murray. Yes, I understand there is a pause on this 
new policy. Has a decision been made about what happens when 
that pause stops?
    Secretary Collins. We are currently in the process of 
examining that now.
    Senator Murray. Clinical trials that are out there have no 
idea. They have got to wait 90 days and pray.
    Secretary Collins. At this point in time, like I said, some 
of those were actually stopped at the end, and we are actually 
keeping some in line so that they can continue if need be.
    Senator Murray. Thank you, Mr. Chairman.
    Senator Blumenthal [presiding]. On behalf of the Chairman, 
I recognize Senator Blackburn.

                     HON. MARSHA BLACKBURN,
                  U.S. SENATOR FROM TENNESSEE

    Senator Blackburn. Thank you, Mr. Chairman, and Mr. 
Secretary, we are delighted that you are here today, so thank 
you for your time.
    I do want to say, I have been so impressed with the way 
that you have tackled the EHRM program and that rollout. You 
and I discussed this in our first meeting and in your 
confirmation hearing and when you were in Nashville, and thank 
you again for making the Nashville VA one of your first stops.
    I know that you are planning to take the EHR program live 
in 13 additional facilities in '26. And I know previously we 
have had an issue with VA employees showing up for the training 
and then utilizing the system. So talk to me a little bit about 
how you are going to continue this rollout and then get the 
employees to actually use the system.
    Secretary Collins. I appreciate that, Senator, and I think 
one of the things that we are looking at in this rollout--and 
Senator Murray is no longer here but we talked about this--this 
rollout is being done, in a sense, when I found the system, 
basically the VA side of the house was sort of, we are not 
going to do anything and we are going to make it all 
individualized. And then you had Oracle side that was saying, 
you know, we could just finish this in a short amount of time.
    So what we have done is we have actually now said put the 
onus back on Oracle to actually provide what they are supposed 
to provide, and we have also cut down on our side the amount of 
delay that was caused, really caused the initial problems in 
the rollout, where we had six different locations doing six 
different things.
    So we have taken eight or nine committees that were all 
having to touch stuff before they could get back to a decision 
and cut that down to one committee, that then can communicate 
directly with Oracle to get this started.
    Dr. Lawrence, which I appreciate everybody on the dais who 
helped get him through as our Deputy, he is now in place to 
actually take care of and work to oversee that, and we are 
bringing in others right now. And I have committed to him to 
whatever help he needs to hire, to bring in, to make sure that 
our system is safe and useful for our clinicians to make sure 
that they have that. And so far we have seen that actually 
occurring as we go forward. So I am looking forward to it.
    Senator Blackburn. Okay. And then the employees that were 
instructed to go through the training, they have shown up and 
done the training?
    Secretary Collins. As far as I know, Senator.
    Senator Blackburn. Okay. That is great. And then let's see. 
How many employees have been released from the VA to date, out 
of your totals?
    Secretary Collins. It would just be out of the probationary 
firings, it was about 1,000.
    Senator Blackburn. About 1,000.
    Secretary Collins. Yes.
    Senator Blackburn. Okay. That is helpful. I want to ask you 
about the budget. The President's budget came out last week. 
How did you view the resources that are in there for 
modernizing the VA, and can you give me some examples of how 
you are going to use these resources, moving forward, so that 
the VA is more responsive, and in a more timely manner for our 
vets?
    Secretary Collins. Yes. I think the budget as presented by 
the President is actually one that fulfills the commitment that 
we have talked about, about making sure our veterans are taken 
care of. And I think that is the big issue here when you look 
at the increases. And for all of the folks who have basically 
been saying and accusing us of, you know, going to cut health 
care and cut benefits and cut all this, it does not add up when 
you look at the budget itself, which has an increase either on 
base budget or also using TAP funds, as well.
    So what we are looking at is how do we then use that, 
combined with the efficiencies we are finding, either through 
our contracts or through our employee base, to make sure that 
we are putting more of those resources to our research, toward 
our clinical care, toward our [response unclear]. Also toward 
our--and I know this is a concern of yours, is also toward 
community care, is how we actually balance the two needs.
    So these are going to provide the resources we need. It 
also provides enough money to continue the EHRM, the Health 
Record Management system.
    Senator Blackburn. And then how do we shorten the time that 
it takes for approval to move into community care? I just left 
a meeting with our rural hospitals, and they are willing to be 
a provider. And it is so much more convenient for our veterans 
to get the health care that they have earned, and to get it in 
their communities, when they want it, where they want it, at 
their convenience. And I think that community care is something 
that should be moved on today.
    Secretary Collins. It is, and we are doing that. I have 
made it clear to every staff that I meet, and especially in our 
hospitals, that community care is part of the law. MISSION Act 
is there if they meet the qualifications. And also there is 
always a catch-fall that if the doctors sees that they could 
get better care in the community they can actually do that.
    What we have found in the last few years is that actually, 
and through memos and others, has actually been not encouraged. 
There was an encouragement to keep everything in the VA. So we 
are actually moving forward with those kinds of things.
    What we are also finding, though, is we have a community 
care group right now that is actually looking at how we do 
community care, and I am looking forward to seeing their 
findings here in the next week or so.
    But what we have actually found is some roadblocks that are 
being put in by our own processes to not get people where they 
need to go. So that is something that is very important to me, 
and we are going to continue to look at it.
    Senator Blackburn. Well, I am going to continue to work on 
that issue, and I appreciate your attention to community care. 
Thank you.
    Senator Blumenthal. Senator Hirono.

                     HON. MAZIE K. HIRONO,
                    U.S. SENATOR FROM HAWAII

    Senator Hirono. Thank you, Mr. Chairman. Facts are 
important so why don't we get to some facts.
    You were asked how many VA personnel have been let go, and 
you said 1,000, but this Committee had been given information 
that there were some 2,400 who have been let go, and then you 
are trying to get back to 2019 numbers, which would be another 
70,000 to 80,000. So what happened to the other 1,000 or so 
that we have been told have been released by the VA?
    Secretary Collins. Following the court order, they are back 
employed.
    Senator Hirono. I am sorry?
    Secretary Collins. Following the court order, they are back 
employed.
    Senator Hirono. Okay. So in other words, when you fired all 
these people or let them go, you did not follow appropriate 
procedures, and therefore you had to hire them back. That is 
not what I consider a process that is going to determine 
whether or not people are doing their job.
    Secretary Collins. I disagree with that premise. We had one 
judge in one area. This court is still being litigated, so as 
you well know----
    Senator Hirono. We have actually had, in other departments 
where they have fired people and other judges that have said 
you have to follow an actual procedure.
    So getting back to some factual information, on February 
21, you claimed that the VA has saved millions of dollars by 
firing staff. How much have you saved? You said millions. What 
is the amount?
    Secretary Collins. Those millions in the round-out, I would 
have to get back. Especially now with those who have come back 
there is probably a different number that I would have to get 
back with you on.
    Senator Hirono. Aren't you prepared to give us that 
information, knowing that you are testifying, knowing that you 
will probably be asked for factual information such as this? So 
you do not know. Even if you said, in February, that you saved 
millions of dollars by firing staff, and then you said----
    Secretary Collins. Well, let me reclarify there. We did----
    Senator Hirono. Let me finish my question.
    Secretary Collins. We did say $14 million when we did away 
with our DEI.
    Senator Hirono. You saved $14 million.
    Secretary Collins. Yes----
    Senator Hirono. Okay. So then my next question is, where is 
all that money going? I have a series of questions relating to 
your comments on February 21st. So you said millions of 
dollars. Now you are testifying, first you said you would have 
to get back to me, but now you are saying $14 million. Also, by 
cutting unnecessary programs, can you tell me what unnecessary 
programs, specifically, you have cut? And then you have 
redirected those savings, some $14 million, you say today, to 
veterans. And I would like to know specifically where these 
moneys were redirected? Do you have that information?
    Secretary Collins. The number that I gave you just now on 
the DEI, the $14 million those have been directed to those with 
disabilities and prosthetics. We have also had a part of that, 
millions was also contracts that were either terminated or 
renegotiated, that we are in the process of doing, as well.
    Senator Hirono. I think you need to tell us exactly what 
contracts have been terminated, because that is the thing about 
a contract. You know, when you terminate it, you have to have a 
reason for that. Otherwise, you end up having to pay.
    Secretary Collins. Senator, also, in the contracts you also 
have to, when you are going through contracts and renegotiation 
you also have to make sure that you are doing it properly. We 
are going to give you all the information you need when those 
are actually finished.
    Senator Hirono. I would hope that you would have had all 
that specific information today. You have about 500,000 
employees at the VA?
    Secretary Collins. I am sorry. I did not hear you.
    Senator Hirono. Does that sound right? You have 500,000 
employees at the VA?
    Secretary Collins. No, we do not.
    Senator Hirono. What is the number?
    Secretary Collins. About 470,000.
    Senator Hirono. Okay. That is getting pretty close to 
500,000.
    Secretary Collins. Yes. It is a little high.
    Senator Hirono. And what categories are they employed? I 
mean, for example, how many nurses? How many doctors? Do you 
have these 470,000 employees broken down by categories of jobs?
    Secretary Collins. Well, that is part of our problem, 
Senator. I laid that out in my opening statement and also in my 
conversation with----
    Senator Hirono. So you do not know.
    Secretary Collins. No, and----
    Senator Hirono. You do not have that----
    Secretary Collins. Let me say something.
    Senator Hirono [continuing]. You do not have that 
information?
    Secretary Collins. Let me say something. Yes, we have over 
300,000, probably closer to 400,000, position titles. But you 
know what the problem is?
    Senator Hirono. Thank you.
    Secretary Collins. Before I ever got there, we could not 
even find some of these when our HR people started to look at 
it. So we took what we had----
    Senator Hirono. Okay.
    Secretary Collins [continuing]. At that point----
    Senator Hirono. Let me proceed.
    Secretary Collins. Well, if you want a direct answer, then 
I am giving you a direct answer.
    Senator Hirono. You have a lot of people who are working 
for you. I would like to know, because there are questions 
about----
    Secretary Collins. Well, and I am trying to answer your 
questions.
    Senator Hirono [continuing]. Who are you actually going to 
let go when you go to the 2019 numbers, that is your goal?
    But you were asked some questions about the clinical 
trials. That is very important to provide health care services 
to our veterans when they are enrolled in clinical trials. Do 
you know how many clinical trials are on pause, and do you know 
how many veterans are in clinical trials?
    Secretary Collins. I would have to get that number back to 
you.
    Senator Hirono. Is it 10? Is it more than--are we talking 
about 1,000 clinical trials?
    Secretary Collins. No, we are not talking 1,000.
    Senator Hirono. When you put----
    Secretary Collins. But again, here is the question.
    Senator Hirono. Can you give me a ballpark figure----
    Secretary Collins. I will give you--no, I am not going to 
ballpark because it will be used against me next time I am 
here.
    Senator Hirono. So you do not know. You do not know how 
many people that you have put on pause so that they are not 
getting the health care services that they need, because that 
is what a clinical trial is. You are getting medication. You 
are seeing doctors. You put these trials on pause. You cannot 
tell me how many veterans are now being paused in their 
clinical trials. You cannot tell me how many veterans are 
enrolled in clinical trials. You also cannot tell me how many 
clinical trials impact some--well, you have over 9 million 
veterans that you are taking care of. Clinical trials are very 
important, and you said so yourself.
    Mr. Chairman, I have other questions. You know, it is very 
clear that our Secretary has not come with much in the way of 
numbers, and I really do not know how he is going to go about 
eliminating, getting to 2019 figures for cutting employees, and 
he cannot tell us what the categories of employees are, et 
cetera, et cetera.
    So I think we are going to need to hear from Mr. Secretary 
again. Mr. Secretary, would you commit to coming back to this 
Committee to provide us the kind of information we are asking 
for and to respond to questions?
    Secretary Collins. I will get you the information that you 
asked for----
    Senator Hirono. Will you come back to testify, or is this 
it for us, with you, Mr. Secretary?
    Secretary Collins. I will get you the information that you 
are looking for, Senator.
    Senator Hirono. Mr. Chairman, we are not getting any 
commitment from the Secretary that he will come back to this 
Committee to provide us the responses to our questions. Thank 
you. That says a lot.
    Senator Blumenthal. Senator Tillis.

                       HON. THOM TILLIS,
                U.S. SENATOR FROM NORTH CAROLINA

    Senator Tillis. Good morning, Secretary.
    Secretary Collins. Good morning.
    Senator Tillis. How are you doing?
    Secretary Collins. Having a ball.
    Senator Tillis. I guess it might be afternoon by now, or 
close to it. Thanks for the time, the few minutes we just spent 
in the office.
    You know, I was going to ask you some other questions until 
I ran into some folks at the elevator who are concerned over 
the proposed 83,000 cuts in the VA. And they asked me 
specifically would I publicly oppose those cuts. I said, ``I 
can't.'' They said, ``What do you know about these cuts? What 
do you know where they are? Are they potential cuts that will 
improve access, outcomes, or costs?''
    So my question to you--what I did tell them, though, is I 
do not believe cuts are real unless there is a recissions 
package sent to the U.S. Congress, so that we codify those 
cuts. And so my commitment to the folks that I was talking to 
was when I see that recissions package, if it is at odds with 
what I consider to be in the best interests of the VA, I may 
vote against it. But right now can you give me an idea of how 
you would rack and stack each of those 83,000 jobs, and where 
you are in that process, and can we expect, at some point in 
the future, to have a recissions package?
    Secretary Collins. Yes, Senator. I think the biggest thing 
here is, I think what we have got to understand is when you 
start out in any business, and I do not care what side of the 
aisle you are on, when you go out to look at somebody, you just 
do not go say, ``Just go do something.'' That has been 
happening at the VA and many agencies in the Federal Government 
for a long time. And typically what you get is a spattering of 
this, you get some who are interested, some who are not.
    So when you look and you put a 15 percent number, which 
everybody characterizes, and I have been accused of firing 
80,000 people here, which is not true. Nobody can predict that. 
And also no one on this dais, on either side of the aisle, can 
say that that many people are going to be fired, because this 
is the reason. When you take a 470,000 person organization, and 
you begin to look at its efficiencies, you begin to look at the 
fact that between the hospitals and the Central Office you have 
added significant layers of bureaucracy that go into this, you 
cannot do it. So we are looking at every step we can.
    But also, I am not going to play it out in a public arena, 
because that is the other time, is if we start saying, here is 
everything we are looking at, then you start, in a pre-
decisional kind of format, you are not working it.
    Senator Tillis. Look, I get it. What I tried to explain to 
them, I asked them, and I think some of them may be in the 
audience. I wanted to note that I heard you. But I asked them, 
``How do you rack and stack it? Tell me which specific 
positions you are concerned with?'' Obviously, they do not know 
the answer to that because I do not know the answer to that.
    But here is the problem, folks. Is the VA just great? Do we 
just put it on autopilot? Because that is the question. And 
when people say ``don't change,'' I am saying, ``Right. So you 
are happy with the current state. You are happy with a poorly 
implemented PACT Act,'' that I tried to get people to hold off 
on until we got it right. And now we are dealing with a 
shortfall there.
    So look, do not be against something because it is new. And 
by the way, if any of you need it I have got extra copies of 
``Who Moved My Cheese?'' in the office. We have got to move the 
cheese in the VA folks, because we are not performing. When is 
the last time I have heard people stand at a parade and say, 
``Appointments are rocking. Boy, they are doing great.'' When 
is the last time I heard that the electronic health record is 
great? Some folks need to lose their job on a poor 
implementation, and I have got your assurance that they are 
moving forward.
    Folks, the VA is not working for veterans. And if we just 
say everything has to stay the same, and you have just got to 
have more money and more people, you are looking at it the 
wrong way. Maybe, at some point, when we prove that we are 
improving access, improving outcomes, or reducing costs, when 
those policies come before me, then I get excited. But in the 
meantime, I am open to anything that is going to improve the 
service to people and make an installment on a debt that we can 
never fully repay. But we need to be honest with these veterans 
and tell them change is necessary to do that.
    And so to the veterans that I met with outside the hallway 
today, you recorded it but you can use this response. This 
response is ``I am open to any suggestion that improves the 
condition for veterans, period.'' And I cannot say no to 
something because it makes me feel uncomfortable. I do not know 
if it is 83,000, 8,000, or 800. But I have confidence in you to 
go through that process. And at the end of the day I will make 
a judgment on your decisions because I would expect a 
recissions package to make sure that those positions are not 
going to be approved in the future. And that is how I will 
complete my job as a U.S. Senator.
    But in the meantime, I am not going to say do not change, 
because we have to change to do a better job for veterans, 
folks. And we have to be a little bit uncomfortable in going 
through it.
    Thank you.
    Secretary Collins. Thank you, Senator. I could not agree 
with you more, and I think the interesting thing that I came in 
here today was, again, hearing some of the comments in opening 
statements and stuff, I would almost have thought that up until 
January of this year there were no problems in the VA.
    Senator Tillis. It is like nothing to see here.
    Secretary Collins. Nothing to see. So the minute we start 
trying, can we make things better, my only criteria that I have 
looking forward in this is making sure that we are taking care 
of the veterans first. That is the only criteria that we are 
looking at, going through that. And if that means we reshape 
the workforce, we do whatever our goal is. But at the end of 
the day, the metric is, are we taking care of veterans.
    Senator Tillis. Never stray off that course. Thank you, Mr. 
Chairman.
    Chairman Moran [presiding]. Senator Hassan.

                   HON. MARGARET WOOD HASSAN,
                U.S. SENATOR FROM NEW HAMPSHIRE

    Senator Hassan. Thank you, Mr. Chair and thanks to the 
Ranking Member as well. Welcome, Secretary Collins. Thank you 
for being here today and for your own military service.
    Just a note to my colleague from North Carolina, a lot of 
us have been working hard on reform at the VA for a long time, 
and agree that there need to be changes. But that is not what 
my line of questioning is about. This is about whether the so-
called changes you are already making are being made with 
thought and transparency in a way that will serve veterans the 
best.
    In your testimony, you stated that the VA is an 
organization whose sole purpose is to serve veterans. You have 
also publicly stated that you plan to fire 80,000 VA employees. 
The quote is, ``That is a goal. That is our target,'' close 
quote. Well, roughly 25 percent of VA employees are themselves 
veterans, meaning that if you do follow through with this plan, 
you will likely end up firing thousands of veterans.
    It is also worth noting that the Veterans Health 
Administration accounts for nearly 90 percent of all VA 
employees. So if you are firing evenly across the VA, you will 
end up firing roughly 70,000 VHA employees.
    So Secretary Collins, is your goal to fire thousands of VA 
employees who work to support and provide health care to our 
veterans? Yes or no.
    Secretary Collins. My goal is to make sure that veteran 
care is done in the best possible way, and putting numbers in a 
place that, of course, you have no blueprint for is not helping 
any veteran in this room.
    Senator Hassan. The numbers that I am talking about are the 
numbers that exist at the VA now, and I am basing my remarks 
and my questions on your public statements, because to many of 
the other Senators' points, we are not getting specifics from 
you or your agency.
    Now, how many employees does the VA have that work outside 
of the Veterans Health Administration?
    Secretary Collins. If you divide it up, in the different 
administrations, the vast majority are close to--what was it 
the last time, about 350,000?
    Senator Hassan. So let me answer the question. Outside----
    Secretary Collins. 370,000 in VHA. The rest are all 
[response unclear].
    Senator Hassen. Outside of the VHA there are 54,000 
employees. It is actually impossible for you to fire 80,000 
employees without firing those who help provide health care to 
our veterans. And I am disappointed that in all this back-and-
forth you seem to be trying to hide that.
    Secretary Collins. Senator, can I ask a question?
    Senator Hassan. So no one----
    Secretary Collins. I mean, I just want to respond to this 
because I have a question for you. When my goal is to actually 
take care of veterans health care, and when you look at an 
interior designer in a hospital, is that actually taking care 
of health care? I do not think so. Those are the kinds of 
positions we are looking for.
    Senator Hassan. My point is----
    Secretary Collins. When you have multiple----
    Senator Hassan. My point is this. My point is this. If 
there are a few hundred here and there. But you are talking 
about 80,000 employees, and 54,000 employees work outside of 
VHA. So you are taking a meat cleaver approach. There is that 
old adage, ``Measure twice, cut once.'' You guys have been 
cutting without measuring.
    Now let me get to another question.
    Secretary Collins. Well, I am not cutting anything yet.
    Senator Hassan. Well, you----
    Secretary Collins. We have not cut anything yet.
    Senator Hassan. You have cut 2,500 employees, randomly.
    Secretary Collins. They----
    Senator Hassan. Secretary, my time is my time. No one in 
the Trump administration has been able to explain how cutting 
nearly 1 in 5 VA employees will not harm health care and 
service for veterans. In fact, just last week, the VA's head of 
Clinical Services, the top doctor in the entire VA, came before 
this Committee and stated that he has not been involved in any 
discussions about how firing 80,000 employees would affect 
veterans' care, and he had not seen or been provided any 
analysis as to how these planned firings might affect care for 
veterans. That is the VA's head doctor, the person in charge of 
primary care, emergency medicine, surgery, mental health, et 
cetera, saying that no one from your team has even bothered to 
once ask him whether firing one-fifth of all VA employees would 
make health care better or worse for our veterans.
    So Mr. Secretary, why have you not asked the VA's top 
doctor whether your plans to fire 80,000 VA employees would 
harm health care for veterans?
    Secretary Collins. I will not speak for anyone else who 
gave that testimony, but I will say this. In VHA, VBA, and NCA, 
they all have working groups. They all have, at the senior 
leadership, have been working on this process.
    Senator Hassan. Well, this doctor told us that he has not 
been involved in any of those discussions.
    Recent reporting states that the Department of Defense may 
cut the Army's active duty force by up to 90,000 soldiers. To 
cut the force by that much we could reasonably expect that 
thousands of soldiers will end up leaving active duty and 
returning to civilian life, meaning that they will lose their 
military health care and will almost certainly turn to the VA. 
How is the VA preparing to care for those soldiers, and how 
does firing 80,000 employees support that preparation?
    Secretary Collins. You know, again, the interesting part is 
that they will be taken care of, as every veteran who has 
earned the benefit, going forward. I cannot state this enough, 
and we can continue this process with everybody who wants to 
ask, and I get it. But there has not been 83,000 people 
targeted for firing. There has been a goal to look at our 
restructuring, and putting 15 percent----
    Senator Hassan. You----
    Secretary Collins [continuing]. It is a nice talking 
point----
    Senator Hassan. Mr. Secretary----
    Secretary Collins [continuing]. But we have not done it 
yet.
    Senator Hassan [continuing]. It is your talking point.
    Secretary Collins. It is 15 percent----
    Senator Hassan. It is your talking point. We are quoting 
you saying that is the goal.
    Secretary Collins. It is our goal.
    Senator Hassan. Now, okay.
    Secretary Collins. A goal is not a fact.
    Senator Hassan. Now, do you want to reach your goal, or 
not?
    Secretary Collins. A goal is not a fact.
    Senator Hassan. Because most people, when they state a 
goal, decide they would like to reach it. If you do not want to 
reach 80,000, revise your goal, and tell us what you want to 
do. Talk to us about the analysis you have performed. You have 
got a lot of knowledgeable people, both sides of this aisle. 
Both sides of this aisle want to serve veterans. It is our 
primary honor and privilege as Americans to do it. And we are 
asking to engage with you in a way to reform the VA, improve 
care, but make sure that that health care and those services 
are there for veterans. And just tossing out big numbers and 
cutting before you are measuring is not the way to do it.
    Thank you, Mr. Chair.
    Chairman Moran. Senator Cassidy.
    Secretary Collins. Can I finish that, because again, this 
is----
    Chairman Moran. Secretary Collins.
    Secretary Collins. Senator Cassidy?
    Senator Cassidy. This is his time.
    Chairman Moran. Secretary Collins.
    Secretary Collins. This is the problem that we have, and 
this is the problem that I saw when I was in Congress and this 
is a problem that I have seen everywhere. When we go into 
something, and you look at it, you have to go in and look at 
the process to start with. You start with a goal, you start 
with what you are looking for, and then you use the data that 
you find from your organizations to make the best choices you 
can, without a meat cleaver approach.
    But when you also start with a premise that is not true, a 
premise that is not going to--and basically saying things that 
we are not looking at--because I am not sure how we get around 
the fact that we are not cutting the primary health care of 
people who are getting it or cutting their benefits. That is 
not helpful in a collaborative process to say are we working 
it.
    The question I have is, the VA is not working in the way 
that it should work. I am trying to get it to a point where it 
can work for all veterans, and the workforce is a part of that.
    So, I mean, the VA is working undoubtedly, as I have heard 
this morning. It was perfect before this year started. That is 
not true.
    Senator Hassan. And, Mr. Secretary, that is unfair to the 
Members of this Committee, and you need to stop characterizing 
it that way, because that is not what a single person on this 
dais thinks.
    Chairman Moran. Senator Cassidy.
    Senator Hassan. So, Mr. Chair, I am just going to say one 
more thing here. I am eager to engage in real numbers and non-
magical thinking here. But this witness and the VA cannot have 
it both ways. They cannot set out a goal and then get angry at 
us for asking what the impacts of that goal and those cuts 
would be. Thank you.
    Chairman Moran. Senator Cassidy.

                       HON. BILL CASSIDY,
                  U.S. SENATOR FROM LOUISIANA

    Senator Cassidy. Hey, Secretary Collins. How are you, man?
    Secretary Collins. I am having a great time.
    Senator Cassidy. Good to see you here. Listen, I was just 
with a press conference back home, with reporters back home----
    Secretary Collins. Okay.
    Senator Cassidy. I was asked one, and if you need to get 
back to me on this, I am okay with that. But they asked me 
about the VA's Servicing Purchase program, or VASP. And there 
was a COVID-era program helping veterans who, because of the 
COVID-era shutdown, needed mortgage support. The Biden 
administration abruptly ended it two years ago, according to 
NPR, leaving veterans in the lurch. There was something put in 
the interim.
    Now, apparently Congress has not filled that void. So I am 
asking you about this, and if you have to get back to me that 
is fine. But also kind of challenging the Members of this dais, 
if Congress needs to step up and do something, then hopefully 
we will be able to do something.
    Let me turn it to you.
    Secretary Collins. Yes. The VASP program is something that 
we do not need to be in the mortgage side that we were with the 
VASP program requires us to take on. So we, on May 1st, did end 
that part. It was a discretionary part. That is not 
appropriated funds. It was used and generated from inside.
    We do not need to be in that business. I know there has 
been a lot of discussion on some legislation that is coming 
through, dealing with more partial claims, that can actually 
give the veteran help in the situations that they are in 
without having to go into the situations that VASP created. So 
that is the story on where we are at right now with that.
    Congress does have a big role to play in that. We look 
forward to seeing how that legislation, especially the partial 
claims, comes through.
    Senator Cassidy. Sounds great. Next, because Senator Hassan 
was saying, okay, we need to have some sort of objective 
analysis, you would agree we need an objective analysis. 
Believe me, I think all of us would say the VA needed some 
improvement, so thank you for taking on that big job.
    One thing I have been proposing is something called VetPAC, 
which would be patterned after MedPAC and MACPAC, which gives 
advice from an independent board objectively to the public and 
to Congress as to how to reform, in the case of these two 
programs, Medicare and Medicaid, preserving benefits, but doing 
it more cost effectively for the taxpayer. Senator Hirono and I 
have suggested something called VetPAC, and we have 
reintroduced that this year.
    My question for you is, we had submitted it for the 
legislative review. Your folks said they liked it. But we have 
not yet gotten the technical assistance. So it is something 
that is bipartisan, that would address a lot of the concerns 
being up here, to give us objective reality, and you guys like, 
but we have not gotten our technical assistance. So just a 
request that, by golly, you walk out of here, you call somebody 
and say, ``Hey, Cassidy and Hirono want that technical 
assistance. Give it to them.''
    Secretary Collins. I think they are hearing that right now, 
Senator.
    Senator Cassidy. That is great. It always helps when you 
say it too.
    Secretary Collins. Okay. We will get the technical 
assistance to you.
    Senator Cassidy. That is great. Thank you, sir.
    Lastly, one thing that I have been concerned about, and to 
see where you are on this. I am doctor and I like the fact that 
veterans, if they are not near a VA facility, can go to the 
private sector. But there has not been a good utilization 
review or prior authorization. Prior authorization can be a bad 
word, but I just know from experience that if someone goes 
someplace and there is no limit on the amount of testing that 
the medical facility can order, there is going to be a lot more 
tests ordered, and sometimes they are inappropriate and 
sometimes they bring on complications. Does that make sense?
    Secretary Collins. It does, and I think that is one of the 
things that we are looking at, especially in the community care 
working group that we have currently going, is making sure that 
we are looking to make sure that those equities are in balance 
as far as making sure the veteran gets what they need, the 
doctor have their authorizations.
    We also have an issue, especially in community care, that 
is something I think you and I have spoken about too, and that 
is our third-party administrator system. It tends to be 
something that is a multiple complaint by many in the system 
because it is the sort of conduit between the VA and the 
community, and it has not been working as it should.
    About my first week when I got there, one of the things 
that I did find out was the groundwork had not been put in 
place to do the renewal of contracts this year on those third-
party administrators. There was supposed to have been work done 
in the prior. So we had to delay that, go to the extra year, so 
we are sort of stuck in a year here in which we did not ask 
for. But it is not actually being able to get to the part that 
we are putting in questions. We are going to have a contract 
that is going to be much better in that authorization side, 
much better in getting the VA and the community on the same 
page.
    Senator Cassidy. I think you are working at least 80-hour 
work weeks, so thank you for doing that on behalf of our 
veterans.
    Secretary Collins. Thank you.
    Senator Cassidy. I yield.
    Chairman Moran. Senator King.

                    HON. ANGUS S. KING, JR.,
                    U.S. SENATOR FROM MAINE

    Senator King. Thank you, Mr. Chairman. Mr. Secretary, on 
February 24th, you announced, I think there was a video of the 
cancellation of hundreds of contracts, 875 non-mission-critical 
you characterized them as, and then there was a lot of reaction 
to that. So in 24 hours, the Department made an internal 
announcement that you were reconsidering that guidance and 
offered a pause on the cancellations. Then, on March 3rd, 
another announcement, 585 contracts would be canceled. You said 
they were non-mission-critical or duplicative.
    On March 6th, I wrote you a letter asking to have a list of 
those 585 contracts. You mentioned earlier today it is not 
weeks or months. Well, in my case it was two months. I got a 
response on Friday that was a non-response. It did not give me 
the list of the contracts. Why will you not tell us what those 
contracts are?
    Secretary Collins. As those are finished, as you well know, 
and I said earlier to the contracts end, we are doing the 
negotiations. Part of those contracts may be rescoping of 
contracts. They are not completely taken down----
    Senator King. I understand that. But just give us----
    Secretary Collins. When we get to the final we will be 
giving those to you.
    Senator King. Well, I do not understand why you cannot give 
them to us now. I just want a list of the contracts. It has 
been two months, 585 contracts. I want to know what they are. I 
mean----
    Secretary Collins. I understand, sir.
    Senator King [continuing]. I am an optimistic kind of guy, 
and I am not suspicious. But the fact that you will not tell us 
what they contracts are that are being renegotiated makes me 
wonder if there are things in those contracts that maybe you do 
not want us to know about.
    Secretary Collins. Well, I will say that, from my 
perspective, that is not it, and we will work to get you the 
information you need.
    Senator King. When?
    Secretary Collins. We are working through it now. We sent 
the last----
    Senator King. How about by next Friday?
    Secretary Collins. I will get with our folks and see what 
we can provide you at that time, and we will see what we can 
get to you.
    Senator King. Well, that is really not a very satisfactory 
answer. It seems to me this could not be simpler, just a list 
of 585 contracts. Somebody has that list. I do not know why you 
cannot supply it to his Committee. When you were confirmed, 
Senator Blumenthal said, ``Will you commit to respond promptly 
to any inquiry from Members of this Committee to request 
information and be fully transparent with this Committee?'' You 
said, ``That is my intention for this Committee, that you have 
every information that you need.'' Well, this is the antithesis 
of transparency. Again, I cannot imagine anything more simple 
than to just give us, somewhere there exists, this list.
    Anyway, let me go on to another question. There has been a 
lot of discussion today about the firings, and you have talked 
about a goal. What bothers me is the goal. If you are talking 
about restructuring the VA, shouldn't you be talking about 
where you need restructuring and not start with an arbitrary 
number? How did you choose 2019 as the number, as the target 
for your staff size? What is magic about that year?
    Secretary Collins. Well, I think that was, when you go back 
to the actual Executive order, which we were following to go 
through, to downsizing our government, making it more 
efficient, and looking at it, and that was the termination from 
looking at sort of the 15 percent, as we look at the target----
    Senator King. Well, my problem with that is if you have an 
arbitrary number, whether it is 15 percent or 2019, that 
presupposes the result that there are that many unnecessary 
jobs. It seems to me you ought to do an analysis of where is 
the duplication.
    By the way, I am not one that is advocating, in any way, 
shape, or form, that the VA was perfect on January 20, 2025. I 
certainly agree that the staffing should be examined, the 
policies, particularly the red tape that Senator Tuberville was 
talking about. I think those are all very good things that 
should be examined. But it should be done in a thoughtful and 
transparent way. And I just do not understand why the magic 
2019, by the way, there have been seven significant veterans-
related bills passed since that year, including the PACT Act, 
one of the most significant expansions of VA benefits in recent 
American history. And yet the goal is going back to that 
particular year. A goal should be efficiency, not a quota.
    Secretary Collins. Yes, and that is what we are looking at, 
and that is what a goal is, is looking at it. But one of the 
things, when you look at this, just last year the previous 
administration, and through presentations that they made, 
actually advocated for a 28,000 person decrease in employees at 
the VA.
    Senator King. I am not----
    Secretary Collins. So, I mean, it is not a new thing to 
look at it. But I want to agree with you here, Senator, that we 
are looking at this in a way that says what is the best part. 
One of the things, also, there may be a new application in new 
legislation that has come forward, because also newer 
technologies, also newer ways and quicker ways that we can get 
stuff done.
    Senator King. And I----
    Secretary Collins. So that is the efficiency issue we are 
talking about.
    Senator King. Well, in the memo from your Chief of Staff on 
March 4th it talks about this. It says, there is an 
information-gathering report due March 10th, another report due 
April 10th, and then ``a Department-wide review will be 
completed by May 9th.'' That is three days from now. Will you 
share that data with this Committee, whose responsibility is to 
oversee the implementation of the laws and regulations on 
behalf of veterans?
    Secretary Collins. Yes, those are being worked on right 
now, and they are in the pre-decisional format, so there is not 
something to share with you on those at this point, especially 
the one coming out. In fact, we have actually had an extension 
because our Department is so large, so we are not making quick 
decisions. We are not moving forward on that, at this point.
    Senator King. Well, I will go back to my question then, and 
I will end with this. The reaction to the contracts request, 
which it seems to me is so straightforward, does not fill me 
with the confidence that we are going to truly have a 
transparent relationship here.
    We are all on the same side. The whole goal of everybody 
stated here today is to protect our veterans and to be sure 
that they get the services they have earned and the benefits 
that they have earned. And so to the extent that you can work 
with us and allow us to understand what you are doing, that 
would be helpful to develop a more collaborative relationship.
    Thank you, Mr. Chairman.
    Secretary Collins. Thank you, Senator.
    Chairman Moran. Senator Boozman.

                       HON. JOHN BOOZMAN,
                   U.S. SENATOR FROM ARKANSAS

    Senator Boozman. Thank you, Mr. Chairman. Thank you so much 
for being here, Secretary. The VA owes it to the veterans it 
serves to evolve and provide them with the best possible 
experience. I appreciate your commitment to improving delivery 
of veterans health care and benefits. I know improving the 
veteran experience is a priority that both you and I share, and 
we appreciate your hard work in trying to get that done.
    I want to thank you for submitting your fiscal year 2025 
spending plan in a timely manner. The plan raised some 
questions with the Appropriations Committee and this Committee 
as some of the numbers differ from what we expected. To date, 
none of those questions have been answered, and repeated 
requests for a briefing on the plan have not yet yielded 
results.
    As we are trying to get our appropriations bills done, will 
you commit to sending a team over to brief us as to what is 
going on and give us a little bit more detail, so that we can--
--
    Secretary Collins. Yes, Senator, we will be happy to do 
that.
    Senator Boozman [continuing]. To get things done? Very 
good. That was easy. 2025 and 2026--your 2026 budget request 
proposes a significant reduction in VA's IT systems. DOGE 
review of the nearly 1,000 unique systems at the VA is not 
complete yet. Would you consider balancing your proposed 
reduction in funding until we actually get that report done, to 
see what they find is needed?
    Secretary Collins. We are looking at that right now as far 
as what we do need, and we will be able to work with you as we 
go forward on that.
    Senator Boozman. Very good. You recently announced the 
ending of the VA Service Purchase program, or VASP, that saw 
the VA take on modified home loans for veterans at risk of 
foreclosure. I support the VA looking for ways to avoid the 
financial risks that VASP exposed the agency to. We are worried 
about the current population of delinquent veterans who are now 
enrolled. It is my understanding that as of May 1st, delinquent 
veterans who are not already enrolled in VASP are now at risk 
of foreclosure.
    Now that VASP is unavailable, how does the VA plan to help 
veterans at risk of foreclosure?
    Secretary Collins. I think one of the things that we are 
looking at is any other programs that are out there, also, that 
we go forward. But I think when you have to look at the 
organization, is this an area that we need to be in? And I 
think those are the kinds of things that the decision there was 
the people that had mortgages that were coming due was becoming 
to be a larger burden because we are not a system that is set 
up to own property. So we are going to be working on that, and 
as I said earlier, to one of the Senator, I think we are also 
looking at it from a perspective. I know there is some 
legislation being talked about, about partial claims and stuff, 
that can help them in the long term.
    Senator Boozman. Good. I would appreciate you looking at 
that. You know, it is one thing, going forward. It is another 
thing for those individuals that are caught up in that now. And 
it makes it really difficult.
    How did the VA make the decision to reduce the VA's Remote 
Temperature Monitoring Program for veterans who have 
demonstrated both clinical benefit and cost savings to the VA?
    Secretary Collins. Could you repeat the question?
    Senator Boozman. Well, the VA's recent changes have 
impacted veterans' access to the Remote Temperature Monitoring 
Program. As you may be aware, this program is critical in 
preventing and reducing amputations required because of ulcers 
and other diabetic foot complications. Effective preventions of 
amputations result in significant cost savings for the VA.
    Again, are you aware of that, and if so, how did we come to 
that conclusion?
    Secretary Collins. Senator, I will have to get back with 
you on that one. I have prepared for a lot of things. That was 
just one I will have to get back to you.
    Senator Boozman. Good. No, I understand. You certainly have 
a lot going on.
    During your remarks at President Trump's April 30th Cabinet 
meeting you mentioned that you and Secretary Kennedy have 
discussed the potential of researching psychedelics as an 
effective tool to combat PTSD, TBI, and other mental issues. 
Can you provide further details on how your team plans to take 
action on this interest? I think the Committee is very 
interested.
    Secretary Collins. I can. I think it is something that I am 
committed to doing whatever we can to provide veterans and 
those who have maybe not responded to traditional care and 
others, especially in the area of PTSD, also TBI, the other 
issues that we are dealing with that lead to a lot of what we 
have seen in suicide and death by suicide. So we are looking at 
it right now.
    I think there are 11 studies that are going on. Most are 
performed outside the VA, with our help. MDMA is another one. I 
just saw a program at Emory University in which they are seeing 
some really good results, a single treatment then followed up 
by two weeks of intensive counseling that actually has lowered 
the score number on the PTS scale.
    I am willing to say this, is I want to work with--and I 
said this with HHS and with others, to make sure that we are 
not closing off any outlet for a veteran who could be helped by 
these programs. And I think we will definitely be working with 
Congress on that if there seems to be something else we need to 
have.
    Senator Boozman. Very good. Thank you, Mr. Chairman.
    Chairman Moran. Senator Sanders.

                     HON. BERNARD SANDERS,
                   U.S. SENATOR FROM VERMONT

    Senator Sanders. Thank you, Mr. Chairman. Secretary 
Collins, do workers in the United States have a right to be in 
unions? Secretary Collins, do workers in the United States have 
a right to be members of unions?
    Secretary Collins. Okay.
    Senator Sanders. Yes or no?
    Secretary Collins. Yes.
    Senator Sanders. Okay.
    Secretary Collins. I did not know that was a question.
    Senator Sanders. Okay. President Trump issued an Executive 
order banning collective bargaining in the VA, eliminating 
union rights to 79 percent of workers there, because of 
security reasons. Do you think that workers in the VA are a 
threat to national security if they are a member of a union?
    Secretary Collins. I do not think that was the purpose of 
the EO, Senator.
    Senator Sanders. That is exactly what he said. Then why did 
you eliminate collective bargaining rights at the VA?
    Secretary Collins. I think the interesting issue is that is 
not what the EO was about. The EO was about our national 
security interests of our fourth mission, and if you look at 
the entire EO it is about making sure that the fourth mission 
is not----
    Senator Sanders. Is a nurse at the VA a national security 
threat by being a member of a union?
    Secretary Collins. Okay. Sir, I cannot answer the question. 
We are on different pages. It is not the fact that the VA is a 
national security threat. It is a national security threat that 
if we cannot perform our fourth mission----
    Senator Sanders. No, no, no. That is----
    Secretary Collins [continuing]. That is what we are looking 
at.
    Senator Sanders. Well, the bottom line is unions, 79 
percent of workers at the VA are union members. They no longer 
are able to engage in collective bargaining. To me that is an 
outrage. I think the courts will overturn that. Next question.
    Secretary Collins. No, at this point that is not true.
    Senator Sanders. Let me----
    Secretary Collins. At this point that is not true.
    Senator Sanders. All right. Let me ask you this. Do you 
believe that every veteran in this country, as I believe and I 
think many Members of this Committee believe, are entitled to 
VA health care?
    Secretary Collins. As a veteran, yes.
    Senator Sanders. Yes, Okay. What are we doing right now, 
what are you doing to improve outreach to bring more veterans 
into VA?
    Secretary Collins. Well, I think, let's go back to the 
question you just said, does everybody have a right to be in a 
union. The answer is yes. Does everybody have a right to, a 
benefit that they have earned, to come to the VA? But I cannot 
force them in.
    Senator Sanders. No, of course you can't. But of course you 
can't.
    Secretary Collins. So I am missing--I mean, maybe I am 
missing the point there. I apologize.
    Senator Sanders. The point is there are a lot of veterans 
out there--I know this; I used to be Chair of this Committee--
who do not know what their benefits are. And it is our 
obligation to say to veterans all over this country, ``You put 
your life on the line to defend America. Congress has passed A, 
B, and C. We welcome you into the VA if you choose to come 
in.''
    Secretary Collins. Senator, I think this is a great place 
for us to have an honest conversation, because I am concerned 
about this, as well. And part of this goes back to how we are 
actually transitioning out of DoD, into VA.
    Senator Sanders. That is one of the factors.
    Secretary Collins. And I think that is one of the big 
things. And there is an honest conversation here, is it 
properly placed right now----
    Senator Sanders. Good.
    Secretary Collins [continuing]. Transition. So I am wanting 
to do that, and we are doing outreach all the time with our Vet 
Centers and everybody else, to let people know.
    Senator Sanders. Okay. I think we could do a better job.
    Secretary Collins. I agree. I agree completely.
    Senator Sanders. Okay. Question. You know, we talk about VA 
health care, which is what we are here to talk about, but we do 
not put it into a context. We are living in a nation which has 
a broken, dysfunctional, wildly expensive health care system. 
In your judgment, just out of curiosity, how does VA health 
care compare to health care out in the regular world for 
civilians?
    Secretary Collins. I think in certain areas, just like out 
in the regular world, you have some hospitals that are 
performing exceptionally and you have some that are not. I 
think that is the problem that we have in our health care 
systems, in general. I think this is something I said earlier. 
We cannot separate out VA from the health care system as a 
whole.
    Senator Sanders. Sure. That is true.
    Secretary Collins. Though sometimes we do that.
    Senator Sanders. All right. All right. Let me ask you this. 
My understanding is that we have, roughly speaking, a shortage 
of 2,500 doctors, 6,600 nurses. All right. What are you guys 
doing to bring in more doctors, nurses, social workers, into 
VA, where they are desperately needed?
    Secretary Collins. Well, one, I want to move doctors that 
are not working with patients and move them into patient care. 
That would be a good start. Nurses, as well. Also, I would like 
to have help from the Congress, as well. We need to actually 
look at our pay structures and our caps on our doctors and what 
we can pay them. It is very difficult to compete when you are 
offering, at some points, hundreds of thousands of dollars 
less----
    Senator Sanders. That is right.
    Secretary Collins [continuing]. For someone to come work at 
the VA.
    Senator Sanders. All right. I agree with you. Do you 
acknowledge, though, that right now there is a shortage of 
doctors, nurses, social workers in the VA?
    Secretary Collins. I acknowledge there is a shortage for 
everybody in the health care industry on those same issues.
    Senator Sanders. But in the VA. I am not criticizing you.
    Secretary Collins. No, no. I mean, we are the same as 
everybody else. That is why I said, we are the same as every 
other health care system. We are struggling to recruit doctors, 
nurses, and others, just as anybody else. And that is something 
we are constantly in outreach about. Sometimes it is helpful, 
sometimes it is not.
    Senator Sanders. The Department of Defense has a medical 
school. You are aware of that, Uniformed Services Medical 
School----
    Secretary Collins. Yes.
    Senator Sanders [continuing]. Which does a very good job. 
Do you think that one of the problems we have overall is that 
we are not graduating enough doctors and nurses in America?
    Secretary Collins. Yes.
    Senator Sanders. All right. Do you think we can be 
expanding schools like the Uniformed Services Medical School to 
bring more people into DoD and VA health care?
    Secretary Collins. It is an interesting concept. I think we 
have got to go back to a deeper issue, is why are more of our 
young people not going to school to be a doctor, a nurse, or 
other things. I think that is a bigger issue.
    Senator Sanders. All right. Fair enough. But that has to do 
with if I am a working-class kid, I am going to graduate 
medical school $500,000 in debt. Correct?
    Secretary Collins. Right.
    Senator Sanders. Is the idea of entertaining programs 
saying you want to go to medical school, we are going to pay 
for your entire tuition, et cetera, et cetera, to encourage you 
to get to medical school graduation?
    Secretary Collins. I think anything that we can look at to 
encourage that, probably you already have that, when you can go 
into the medical and they will pay for your, in DoD, they will 
pay for your medical school.
    Senator Sanders. But it sounds like we may want to expand 
that.
    Secretary Collins. I think it is something, as an overall 
health care system, Senator, you and I probably agree on this 
probably more than anyone else, that we have got to make sure 
that our pool of workers is adequate for all of our systems, 
not just the VA. And the health care system in our country is 
an issue that we have right now. And I think it is a bigger 
discussion. I appreciate you bringing it up, and it is 
something to look at.
    Senator Sanders. Okay. Thank you.
    Secretary Collins. Thank you.
    Chairman Moran. Senator Cramer.

                       HON. KEVIN CRAMER,
                 U.S. SENATOR FROM NORTH DAKOTA

    Senator Cramer. Well, I was encouraged by that dialogue. 
Thank you Senator and Mr. Secretary. And welcome, Mr. 
Secretary. It is a good thing I have not been here all day or I 
would have way too many things to talk about. But right now I 
want to raise an issue related to the discussion you just had.
    Under the first Trump administration we passed the pilot 
program for Solid Start Act, and then under the Biden 
administration we made it a law, specifically to get at the 
issue that I think Senator Sanders was raising, about how do 
you inform veterans more about the opportunities and the 
benefits that they have at the VA. So I would just encourage 
you to look at that and make sure we are managing that well.
    The other thing I would raise, with regard to the 
workforce, which I think Senator Sanders is right about, and it 
is true. We have a shortage of people in health care 
everywhere, and to the degree we can incentivize it, I think we 
ought to.
    At the same time--and I am just going to give a little 
North Dakota example, and Senator Blackburn spoke to it briefly 
toward the end of her questioning--in North Dakota, in this 
rectangular spot in the middle of the North American continent, 
that is about 350 miles across and about 200 miles up and down, 
there are 36 critical access hospitals in rural communities. 
Now, Fortuna, North Dakota, to Fargo, North Dakota, where the 
only VA hospital is, is 412 miles. It takes roughly 6 hours and 
19 minutes if you do not stop to go to the bathroom, to go from 
one to the other.
    But there are these 36 critical access hospitals that have 
20 hospital beds each, and maybe two or three of them are being 
used at any given time. Senator Blackburn talked about 
community care. We have talked about the shortage of 
facilities, shortage of workers and opportunities. And yet 
there is all of this infrastructure not being used. There has 
got to be a way to utilize existing infrastructure and actually 
save money, both for the VA and then create opportunity for 
these struggling hospitals in rural America.
    Secretary Collins. I do not disagree with you at all, and I 
think, actually, Senator Duckworth and I had this conversation 
a long time ago about actually co-locating CBOCs and stuff, 
that we could actually do that. I think that is a great idea, 
as we look at it. But I think one of the things is how we 
utilize the MISSION Act possibilities that we have, to make 
sure that we are getting people there.
    The other problem we have, and this is found not only in 
some of our facilities but mainly some in DoD facilities, but 
also community facilities, it is also an issue of quality care. 
It is an issue of our doctors seeing enough patients to keep 
their clinical skills up, our nurses seeing enough to keep 
their clinical skills up. That is why I have already been 
looking at several options, and we are doing this in certain 
cities now where we can. I am encouraging every one of our 
facilities to have understanding and agreements with local 
hospitals, with community hospitals, where they can go back and 
forth.
    We can also look at DoD facilities, which is also a big 
issue. We have underutilized DoD hospitals, underutilized DoD 
facilities in which we could be--one of those actually we are 
looking at right now in Jacksonville, Florida, in which we 
could actually save our community care costs because we could 
actually have a DoD facility there.
    So there are a lot of things we can work on here, and I 
think it is just a matter of using all the resources that we 
have.
    Senator Cramer. Right. And that starts with knowing what 
they all are. That is a great illustration, the one you just 
made. One of Cramer's convictions is I reject the notion that 
every transaction requires a loser. We should look for 
opportunities for winners and winners, and I think that would 
be one of them. Congratulations. Thanks for doing that.
    I want to get back to the 80,000 thing, because you have 
been battered about it, I think, without us acknowledging the 
other issue. I am going to stick with a lower number. Correct 
me if I am wrong, but I believe there were 52,000 new positions 
added between 2021 and 2024. Does that sound about right, 
52,000 during the Biden administration?
    Secretary Collins. Yes.
    Senator Cramer. Okay. And how has that improved the health 
care offerings for veterans? Are we seeing a lot more veterans? 
Is it better care? That 52,000, has that saved the day for our 
veterans?
    Secretary Collins. I do not think so because I think if you 
also--I use it in a different way. If you go back to 2015, when 
the GAO put us under the high risk--and again, I have been here 
barely 90 days at this point--you know, looking at this, I am 
using the numbers that we are given. And we can talk about will 
the numbers change or anything. I am using the numbers that we 
currently have at VA. Wait times have increased. Primary care, 
mental health, specialty care all rose. Disability backlogs, it 
is not a secret. It was at 260,000 when I came in. It is about 
220,000 now. These are just honest numbers.
    But I want to go back to something 10 years ago. At 10 
years ago, if I had told this Committee, and I did this at our 
senior staff, this is careers and political. I said, ``if I 
told you that in 2025 you are going to have a budget of almost 
$400 billion, and you are going to a workforce of 470,000,'' 
you would have thrown a party, everything would have been 
great, because that would have been the answer to everything. 
Well, we are 10 years later and we are still experiencing the 
same problem.
    Senator Cramer. No, I appreciate that.
    Secretary Collins. Servicing the same amount of veterans.
    Senator Cramer. That is the important point. I appreciate 
all of that. I think everybody on this Committee wants to have 
an honest discussion about how to do better for our veterans. 
And real data can help us, because there is plenty of data 
there to tell us where we have been okay, where we have not 
been so good, and where we have been awful or great.
    Thank you, Mr. Chairman.
    Chairman Moran. Senator Cramer, thank you. Senator 
Duckworth.

                     HON. TAMMY DUCKWORTH,
                   U.S. SENATOR FROM ILLINOIS

    Senator Duckworth. Thank you, Mr. Chairman. I do think it 
is important to acknowledge that we did sign up, just in the 
first year of the PACT Act alone, a million veterans. So that 
increase in personnel is also to deal with the increase in 
veterans coming to VA for care, long overdue because of their 
exposure to toxic substances.
    Secretary Collins. We also lost about 400,000 veterans that 
year, as well. So it does equal out.
    Senator Duckworth. We had rollover of a million in the 
first year, that signed up.
    Secretary Collins, when you testified before this Committee 
in January, you stated that it would be a mark of failure--your 
words, mark of failure--if a veteran must contact a 
congressional office for support with accessing their VA care 
and benefits. My office alone has received 143 casework 
requests from veterans since the start of the Trump 
administration, a consequence of service disruptions worsened 
by DOGE's cruel dismantlement of the VA workforce and of the 
critical programs serving our Nation's heroes.
    I am going to give you some examples. A Vietnam veteran did 
not receive his benefits for three months due to greater than 
usual processing times. A veteran in urgent need of mental 
health services was told that the earliest available 
appointment was 6 weeks away. A veteran's widow and cancer 
survivor had her CHAMPVA-covered prescription canceled without 
notice, forcing her to pay $700 out of pocket. An Iraq war 
veteran needed his records to apply for his disability benefits 
but was met with a 6- to 12-month backlog. Now, backlogs and 
delays are not new to VA. They were there when I was at the VA 
under Secretary Shinseki in the Obama administration.
    And so I think, I would agree that this is indeed a mark of 
failure, and I am requesting your commitment to work together 
to overcome this backlog. This will require the immediate 
reinstatement of all 2,400 VA employees who were 
indiscriminately terminated when Elon Musk and his DOGE cronies 
failed to evaluate civil servants on the basis of merit, and 
failed to use a scalpel to root out the bad apples who are 
failing to effectively execute the mission, and instead chose 
the most wasteful, inefficient, and lazy path in simply firing 
probationary employees en masse, which, ironically, represents 
some of our Nation's most motivated, most idealistic, and most 
energized Federal employees. Those probationary employees who 
had signed up since the PACT Act was passed, for example.
    Those Americans, including thousands upon thousands of 
veterans who made the patriotic decision to serve their country 
and begin their civilian careers.
    Senator Collins, will you commit to reviewing the status of 
all terminated VA employees and promptly reinstating them and 
to protecting the VA workforce against additional 
indiscriminate mass firings?
    Secretary Collins. Well, most of the ones that I have 
already testified, the probationary, were brought back to work 
in that setup, so they are already back at work. And we are 
going to keep looking at our setup and how we do it, because 
nothing we have done so far--we have protected over 300,000-
plus positions that did not--they protected those that were 
directly with disability care and with health care benefits.
    I just have a question, and I appreciate your concern, 
because I do still think when they have to call your office, it 
is a failure for us. I say that to all of our hospitals, and I 
say it to all of our veteran benefits.
    I have a curious question here. You brought up something 
that is very close to my heart. Was that veteran who was given 
six weeks for an appointment, were they given a community care 
option?
    Senator Duckworth. We could get you that information. But 
if you----
    Secretary Collins. I would love to know, because I want to 
help if we can.
    Senator Duckworth. With all my open cases, I would love to 
work with you.
    Secretary Collins. And also, again, I have acknowledged 
this from day one. You and I have talked about this. The calls, 
they represent something we are not doing right, and I think 
that should overlay everything we are talking about here is, 
why is this a problem? Why are we still there? You know, 
records that take 6 to 12 months, that is possible. I am 
assuming that is probably a DoD issue, trying to get their 
records out of the DoD. These are all issues that I want to try 
and fix.
    Senator Duckworth. They have had access to VA records, as 
well.
    Secretary Collins. Okay.
    Senator Duckworth. Let me just go on to the next thing. In 
an official letter in response to Senator Tammy Baldwin's 
oversight letter on the Veterans Crisis Line, dated April 7, 
2025, you wrote, and I quote, ``While 24 VCL employees 
erroneously received probationary termination notices, all 
notices were rescinded. All terminated employees were 
reinstated, have been rehired into the same positions they 
previously held,'' end quote.
    Secretary Collins, while I appreciate your candor in 
finally acknowledging that, in fact, VCL employees were 
terminated, and clarifying that this was incompetence and not 
malicious intent, I hope you recognize that your work in fixing 
this mistake is not complete. Personally, I know of at least 
one veteran who you still have failed to reinstate, and this 
was a person who did so well that they were promoted to help 
train other VCL hotline employees, the type of person who is a 
supervisor on a shift. They still have not been reinstated.
    Look, the Veterans Crisis Line serves veterans in their 
darkest hour, and it is our responsibility to make certain that 
it operates to the highest standards, just as every military 
commander understands that our warfighters' effectiveness, 
indeed their lethality, depends on a fully resourced, diverse 
network of enablers possessing the capability and capacity to 
support a given mission's requirements. You cannot just invest 
and rehire the pilots of the aircraft and not retain the 
refuelers and the mechanics who fix that aircraft.
    Secretary Collins, do you agree that support staff who 
train, equip, and handle the basic operational and 
administrative functions at the Veterans Crisis Line program 
are mission critical?
    Secretary Collins. That is why we brought them back, 
Senator. And I think there is something, though, that we need 
to also clarify here, and this was clarified not by our senior 
level. It was clarified by career employees that know VCL, who 
answers the phone, who talk to our veterans, was let go.
    Senator Duckworth. Right, but the VCL----
    Secretary Collins. No, no----
    Senator Duckworth [continuing]. Cannot operate without the 
other people, as well, like the supervisors on shift or the 
people who train the VCL. You are parsing your words, and there 
are----
    Secretary Collins. I am not parsing.
    Senator Duckworth [continuing]. Veterans Crisis Line people 
who have been fired, who have not been reinstated, and these 
are people who actually are training the people who are 
answering the phones. These are people who did so well as a 
phone answerer that they are the supervisors of the people. And 
like I said, you cannot just say, okay, we are going to take 
care of the pilots but not the refuelers and the mechanics who 
maintain that jet.
    Secretary Collins. And I think we can actually find common 
ground agreement here that that was why they were brought back. 
But also I will not accept the premise, when it was given, that 
people were not being answered on the call line when they came 
in, which has just been talked about many times in the press, 
by others. That is not true. I will acknowledge the fact that 
we brought back staff to help in those situations, and that is 
why they are not exempted. And we did do that.
    But I will not also let it be put out there that people 
were not getting their phone calls answered because those were 
the ones that were let go. Those were not the ones that were 
let go. And I think we at least need to be honest about the 
situation, as far as I agree with you that is why they brought 
them back. And if you have a situation with one person, please 
let me know. Let my office find out, and we will talk about it.
    Senator Duckworth. There is more than one person being 
affected.
    Secretary Collins. Thank you.
    Chairman Moran. Senator Sullivan.

                       HON. DAN SULLIVAN,
                    U.S. SENATOR FROM ALASKA

    Senator Sullivan. Thank you, Mr. Chairman. Mr. Secretary, 
thank you for your testimony today. We all want to take care of 
our veterans. And, you know, you and I have talked about it, 
and I want to thank you on a couple of things.
    One of the biggest issues I have seen in my 10 years here, 
one of the biggest scams I have seen in terms of hurting 
veterans, was the implementation of the Camp Lejeune Act that 
we passed here to help Camp Lejeune Marines and their families 
and sailors who were exposed to toxic water. You want to talk 
about taking care of marines and taking care of veterans, I 
worked with my colleagues on the other side of the aisle for 
years, to try to get them to cap contingency fees to the 
lawyers who are advertising billions of dollars on Fox News and 
CNN, and none of my colleagues would do it. None of them. Why? 
We know why. Every one of them knows why.
    So these law firms were charging 60 and 70 percent 
contingency fees to steal money from sick marines and their 
families. That happened. I met a woman outside right there. I 
asked her about it. She said, ``I am paying 40 percent, 
Senator,'' from some ripoff law firm. I tried to get my 
Democratic colleagues--by the way, the former chairman of this 
Committee, who is no longer here, bye-bye, I think, because he 
was screwing veterans and favoring trial lawyers over veterans.
    So when we talk about taking care of veterans, I get a 
little miffed when my colleagues over here bring the show, and 
they would not do it. You know who is doing it? You are doing 
it. You are doing it. Thank you. You put out a scam alert, 
saying if you are getting charged over 25 percent by a law 
firm--and by the way, the attorney general of President Biden 
worked with me to put that 25 percent cap. My colleagues would 
not do it. No, no. No, no.
    So it is a little rich when I hear everybody talking about 
taking care of veterans, and I spent a decade trying to get 
Democrats to help me, and they never did it. You are doing it, 
so I want to thank you for that. You put out a scam alert. 
There are still law firms, who fund Democratic campaigns, who 
are still charging marines and their families 60 and 70 
percent.
    So can you continue to work with me and this Committee to 
put out scam alerts so these patriotic marines and their 
families and sailors--and by the way, this is zero sum. You get 
a million bucks, okay. It is either going to go to the law 
firms or to the marines. And I know what side they were on, and 
I know what side the former chairman of this Committee was on. 
And you are on the side of the veterans. You are the side of 
the marines. You are on the side of sailors. So thank you, 
because you know what? It is a little rich for me to watch all 
this theater when I know that you are taking care of them.
    Do you want to comment on this? I appreciate the scam 
alert, but gosh darn it, I am still seeing these ads on TV. My 
staff calls these law firms, 70 percent. It is the biggest 
injustice I have seen since I have been here as a Senator, 
ripping off sick marines and sailors and their families, and 
nobody on the other side of the aisle helped. None. I worked 
this harder than any other issue since I have been here as a 
U.S. Senator, and you are helping.
    Do you want to just comment on that? Thank you very much 
for the scam alert. And by the way, the former attorney general 
said if you are a law firm and you are charging a sick marine 
more than 25 percent, that is a criminal violation. I have 
talked to Attorney General Bondi, and she is going to bring it. 
Criminal and civil violations if they go over 25 percent, or 20 
percent if they are just doing the administrative filing. So 
thank you on that.
    Secretary Collins. Senator, I appreciate that, and I will 
work with anybody on this Committee. It does not matter the 
side. If you are doing something that should not be done to our 
veterans--I have said this before. I take this personally. I 
take it. We can disagree about things. We can disagree about 
numbers. We can disagree about anything else. But at the end of 
the day, I want to honestly say that I believe all of us are 
trying to get the veterans help. And when you have folks who do 
that, when you have firms that do that, we will continue to put 
the scam alerts. If they are watching today they can get mad at 
me all they want. I really do not care.
    Senator Sullivan. Trust me. They are mad at me. They are 
coming for me, but I do not care, because I know I am doing the 
right thing for United States Marines and veterans and their 
families. It is the right thing. Everybody here knows it.
    Secretary Collins. Yep, it is. I agree with you.
    Senator Sullivan. Let me thank you on another thing. Every 
year, every hearing, I have been coming to this Committee 
talking about the Alaska backlog. My state has more veterans 
per capita than any state in the country. It is a proud 
heritage over the great State of Alaska. And the previous 
administration, the backlog, to just get an appointment, 
ballooned to--it was almost 15,000. We have got 80,000 
veterans. That is like 15 percent. It is over 15 percent. I 
finally went down, and I pressed the former Secretary, to 5,500 
at the end of January, when the Biden administration left. 
Still way too high. Do you know what it is under your 
leadership, Mr. Secretary, right now? I will tell you. It is 
1,361. I do not think I have been here the whole time where 
that backlog has been that low. In three months you did more 
than Biden did in four years on the Alaska backlog. So I want 
to thank you for that, because that is real service for our 
veterans.
    Secretary Collins. Thank you, Senator. We are going to 
continue to do that for all veterans in every state. We want to 
make sure that those numbers are coming down and that the 
veterans are getting the benefits that they deserve and also 
the health care that they deserve.
    Senator Sullivan. And if you can help us finally get a call 
center up there, I know it is an issue that you and I have 
talked about, it will bring that backlog even down further.
    But I want to thank you on both of those things. I will 
submit some questions for the record related to community care 
and some of the other issues you are working on. But on both of 
these issues, I appreciate your focus, because this is what 
taking care of veterans is.
    Chairman Moran. Senator Slotkin.
    Senator Sullivan. Bringing down the backlog and making sure 
our marines and sailors do not get scammed.
    Secretary Collins. Thank you, Senator.

                      HON. ELISSA SLOTKIN,
                   U.S. SENATOR FROM MICHIGAN

    Senator Slotkin. Thank you. First of all, I just want to 
recognize the Chairman. Thank you for holding this hearing. I 
think it is a bipartisan goal to support our veterans, and I 
think it is one of the first hearings I have had where, after a 
confirmation hearing, we have brought the Secretary back in 
short order. So I appreciate that.
    Secretary Collins, during your confirmation hearing you 
assured me and the others here that, quote, ``the mission is 
the veteran,'' and quote, ``that you would not sacrifice the 
veteran.'' I took you at your word, as did many on this side of 
the dais.
    But since you have taken office, you have heard it, you 
moved to terminate VA contracts, offered to buy out VA 
employees that were in already shortage situations in those 
career fields. You placed a hiring freeze on critical VA 
employees serving veterans. Twenty-four hundred recent VA hires 
were let go, and then I think because of the courts, brought 
back. And, you know, you have been here today doubling and 
tripling down on that.
    I have no problem with cutting fat in the VA. I worked at 
the Defense Department. If someone had said to me, ``Cut fat,'' 
I would know exactly where I would cut. But it is the nature of 
the cuts. If you are firing someone on a Friday and they are 
being brought back on a Monday, no CEO in America would be 
lauded for that kind of sloppy cuts.
    And then when you came to Michigan, you came to Howell, 
Michigan, I think in the last month and a half, you were asked 
directly about the potential for 80,000 additional employees to 
be cut. And instead of pushing back you just said, quote, 
``There is going to be a lot of friction.''
    And I understand that you are wordsmithing things to say 
that no nurses or doctors in the VA facilities are going to be 
touched. That is good. But I held a roundtable with veterans, 
these are folks who are in the business. And their concern was 
that if you are a veteran and you walk into a VA, in Iron 
Mountain, and you need to get a claim. You know, you put in a 
claim to get a knee surgery, and there is no claim caseworkers, 
there is no people working on those claims, and it takes you 
two years to get an answer, that is also not access to care. 
The doctors and nurses may be there, but if you cannot go in 
and you are in pain every single day, that is also a problem. 
It is a problem for Veteran Center staff, who have not been 
excluded, primary care administrators, IT staff. I know it is 
wonky, but you have just accelerated the electronic health 
record transition. I think IT staff are important if we are 
going to make sure we do not lose records of our veterans. And 
then benefit claims administrators. These are all people who 
kind of do not meet your criteria to be saved.
    We all want to serve the mission of the veterans, but what 
was really strange was that we had the Deputy Chief Medical 
Officer up here for a hearing, and we said, ``What is the plan 
on cutting this potentially 80,000? Have you been consulted?'' 
And they said, very clearly, no.
    So I am having a problem understanding how I am to believe 
that the veterans in Michigan are going to get the same or 
better care, which is what we want, when you seem to be sort 
of--I know you are claiming that these 80,000 are like DEI and 
interior designers. There is no way that all those 80,000 are 
in those job fields. So help me understand how you are going to 
preserve that veteran who needs the knee surgery but there is 
no one to process his claim.
    Secretary Collins. Thank you, Senator. I think there is a 
lot to unpack there, and yes, the mission is the veteran. And I 
want to go back to one of the statements you made earlier. You 
said you worked in DoD. If you want to find it, I would just 
happen to turn the table and say if you came to work at VA you 
would probably be able to do the same thing.
    Senator Slotkin. For sure. I do not have a question with 
that.
    Secretary Collins. So I think that----
    Senator Slotkin. But 80,000 is different than cutting--and 
I think, again, any CEO in America who fires people on a Friday 
and rehires them with back pay a week later, would be fired 
from their job. It is sloppy, and you know it.
    Secretary Collins. I think I will disagree with the judge's 
decision there and continue the appeals process on that. So, I 
mean, look at it from that perspective as we go forward. But 
also, again, when you look at these issues and you look 
forward.
    I mean, it is interesting to me. I would just be curious, 
and I am just playing the scenario out, if you go into DoD is 
20,000 a proper number? Is 50,000 a proper number? Is 10,000 a 
proper number? At the VA, we exempted over 300,000 positions to 
ensure patient care, patient quality, and disability benefits 
were being done.
    Senator Slotkin. So how come there were people fired and 
then rehired from the Veteran Suicide Hotline? Like you have 
acknowledged, I think, even publicly, that some of these things 
were a mistake. It does not give us confidence that an 80,000 
number, which is just a number--you did not say career fields, 
you did not say whatever; you just said 80,000--that that is 
being done with a scalpel and not a sledgehammer. And I think 
for veteran care, again, it is not me that is the only one 
asking these questions. It is veterans who have a very 
different political view than me, who are getting seriously 
agitated back home.
    So I just do not understand the logic behind an across-the-
board haircut.
    Secretary Collins. Well, I think the biggest thing is, what 
you are looking at here is I think right now there has been, 
because this is what I have had to fight for the whole time, is 
to fight this idea of just being blanket numbers thrown out, 
playing Trivial Pursuit with numbers and others. It has scared 
veterans. So honestly, what are they going to hear? If all they 
hear from people is, ``If you cut this then it is going to 
actually impact my health care,'' then what are they actually 
going to think. Because one, they have not seen a plan, you 
have not seen a plan, because we are still working the plan. I 
am not going to play out a plan in public that would actually 
take employees. You would not do it in your own office.
    Senator Slotkin. And I know I am over, but if you----
    Secretary Collins. So I mean, this is a goal.
    Senator Slotkin [continuing]. But it is playing out in 
public, because you have fired people, and then they have been 
rehired. That is not a secret plan. People in my district--
marines, veterans--have been fired from their VA jobs, and then 
brought back. So it is not that there is some sneaky plan. You 
are in it. You are living it, and you are living the sloppiness 
of it.
    So I am sorry. I know my time is over, but I cannot agree 
that the 80,000 is going to be a nice, trim scalpel approach.
    Secretary Collins. We will just have to agree to disagree, 
Senator.
    Chairman Moran. Senator Banks.

                        HON. JIM BANKS,
                   U.S. SENATOR FROM INDIANA

    Senator Banks. Thank you, Mr. Chairman. Secretary Collins, 
the President's budget calls for a nearly $5 billion increase 
for the VA, primarily for medical care and for homelessness. 
You have been accused of cutting care and benefits--we have 
heard a great deal of that today--which is obviously a scare 
tactic. How do you plan to target the new funding that you are 
requesting?
    Secretary Collins. Exactly what you just said there, and 
that is to our health care side, I mean community care side. 
Community care is growing, but it has actually been under-
budgeted in the last few years by the previous administration. 
So we have got to actually make sure that the proper moneys are 
being put into community care. Also looking at how we actually 
need to improve our direct care services.
    We have got a lot of issues out there that range from, not 
only recruitment and retention of employees, but also our 
facilities, the things that we have. Our average age of a 
facility is well over 60 years old. These are the kinds of 
things that we are working right that again, along with a 
reshaping of the force that we are looking at right now, 
looking at our contracts, to make sure that some of the folks 
sitting behind me actually get the care that they have deserved 
and earned.
    It is interesting to me though, again, when we talk about 
here in the last little bit I have had, and some of the 
conversation today is where people have called offices and said 
they have had appointments that are delayed or they cannot get 
it. In all fairness, I just have to ask, that was the same 
thing happening in December. That was the same thing happening 
in November of last year. The only difference right now is I am 
sitting here saying we are looking and going through a 
comprehensive approach on how to size the force at the VA, and 
spend the money that you and the House appropriate to us. That 
is the only difference. And again, I keep seeing veteran after 
veteran after veteran standing here saying, ``I couldn't get in 
to see my appointment. I couldn't get in.'' The problem is, 
when was that? We are still working on that because we have 
issues in our systems, and a bureaucracy is not good. And we 
had hospitals and VAs who are not sending people to community 
care.
    Senator Banks. Cutting bureaucracy means better service for 
our veterans.
    Secretary Collins. Yes.
    Senator Banks. And that is what you are doing. How are you 
planning to reinvest any savings from head count reduction to 
improve services for our veterans?
    Secretary Collins. That will go back into our different 
services, and I think that is what we have already shown and 
had the sign up on taking it back into community care, back 
into improving our IT systems, back into improving our 
prosthetics, back into improving our situations with our mental 
health counselors and others, that we can actually show real 
results in.
    One of the things that is amazing enough, that has not been 
talked about here today, and I think it, for me, has been the 
top line that I have talked about all along, except in a way 
that, frankly, was not truthful in the sense of what we are 
doing, is suicide has not been discussed here today. And the 
issue that we still have, since 2008, have not seen a 
significant decrease in our veteran suicide rate since 2008, 
although we have spent literally billions of dollars on that.
    So when we talked about earlier, we talked about other 
kinds of care, we have talked about how can we tap into 
research into maybe psychedelics or other things that help, 
getting in more with our VSOs and our nonprofits to actually 
make a difference here. I think this is something we have got 
to have. We sometimes get caught up in the overall scheme of 
the VA, believing that the VA, unfortunately being on the Hill, 
is something that is manipulated or brought back into a certain 
way that is special. We are special in the sense that we get to 
treat the veteran of the United States. It is the most precious 
gift that we have.
    But we are not unique in health care. We experience the 
same issues that all of health care, that we got to speak about 
earlier. And we are going to make sure, just as every other 
health care organization goes through this kind of look and 
reorganization of their facilities, they do the same thing.
    Senator Banks. I appreciate that you are focused on that 
very much. Go back to the reduction-in-force, though, and tell 
me, how much do you expect the reduction-in-force to be 
retirements or early retirements versus separations?
    Secretary Collins. We are seeing a good bit of that right 
now, as you always have--that is one of the things, that I got 
accused of from the cuts that we had, that somebody had not 
been able to get their next appointment and the doctor had 
actually just retired out and they were just bringing in the 
new doctor. That is not on reduction-in-force. That is just a 
simple matter of attrition in the hospitals.
    So some of that will be taken care of. Some have taken the 
early retirement possibility, which has been a program that I 
think has worked in a great deal. So some of that will be 
normal attrition like that and also the incentivized attrition.
    Senator Banks. I am almost out of time, but I want to ask 
you, really quickly, reviewing the situation that you 
inherited, the Biden administration's 2025 budget was 
misleading, as you know. They misrepresented the budget 
shortfall that they created. Congress closed the immediate $6 
billion shortfall in March, but are there still budgetary 
problems that we have to clean up?
    Secretary Collins. I think that is what we are trying to 
work through right now. What is interesting is I promised in my 
confirmation, I think you remember, maybe you and I had this 
conversation, I was not going to come to this Committee, or 
even send you information, in which I cannot give you either 
the information because it was not ready yet or we were not 
comfortable with where the numbers are.
    The same thing applies to a lot of the questions I have 
gotten here today. As we move through these processes we are 
going to make sure that we give the information. We are working 
through a budget process right now that does not come and 
surprise you in a political way at the end of the year. So I 
think that is why the President and his budget, which is very 
favorable to the VA in looking at what we need to do, is 
something that we can then build on and give you more 
information as we go.
    Senator Banks. Thank you for what you are doing.
    Secretary Collins. Thank you.
    Senator Banks. I yield back.
    Chairman Moran. Thank you. Mr. Secretary, we are going to 
have another round, but it is only the two of us, Senator 
Blumenthal and I. Senator Blumenthal is committed to 5 minutes. 
I have a constituent waiting in the back room. I am going to be 
back in 5 minutes. I have a couple of questions for you, then 
we will conclude the hearing.
    Secretary Collins. Okay. Thank you.
    Chairman Moran. Senator Blumenthal.
    Senator Blumenthal. Secretary Collins, you have just told 
Senator Banks that you are going to give us the information 
that you have. You have failed to give us the information that 
you should have, or you do have and you are declining to 
provide it--the numbers of specific categories of people whom 
you plan to fire, the contracts that you have canceled or that 
you plan to cancel. I am going to ask you to provide that 
information in written form. I am not going to get into an 
argument with you here. But just so you understand, I think 
that a good portion of the questions that you have been asked, 
frankly, you just have not answered, and I am hoping that you 
will provide those answers.
    Let me tell you one fact that I think we do know, and that 
is that your goal is to fire 15 percent of the VA workforce. 
You have said it again and again and again. I am going to ask 
that a list of your quotes be put into the record, most 
recently to the Arizona Public Media, AZPM, on May 1, that, 
quote, ``I said there was a goal of 15 percent, which if you do 
the math is about 80,000.'' What I take away is you have got a 
goal of slashing 15 percent of the workforce, come hell or high 
water, and you are going to figure out whom to fire as you go 
along. And that means frontline people who have been hired 
among those 50,000 or 80,000 people. And I have a list right 
here, which I am also going to ask be entered into the record, 
they are numbers. They are real people.

    [The information referred to appears on page 104 of the 
Appendix.]

    Senator Blumenthal. We are talking about, for example, 
18,000 registered nurses and 5,000 social workers. Those are 
increases of 20 and 25 percent. Those are frontline people who 
have been hired. The total number is an approximately 17 
percent increase in the VA workforce. They are schedulers, 
physicians, police, psychologists, registered nurses, social 
workers, and 31 percent of them are VBA. You fire those people. 
Your goal is to fire 15 percent of the total workforce. They 
are among them. You are going to lose quality. You are going to 
lose time. There is no way around it.
    Now, I welcome your commitment that the savings--you just 
told Senator Banks--will go into care for our veterans, but 
that is not what you said on April 17th. You said that, quote, 
``That will be up to the President.'' Now, I do not know which 
is true, but I hope that the savings will go into caring for 
veterans, but is that your commitment now?
    Secretary Collins. I think, one, I would like to see the 
context of that quote and where it was actually put. I think 
the issue here today is, look, Senator, I think this is where 
we got--it is not right to stand here today, because I actually 
think there was a quote from others, and I will not say you 
specifically, there have been others, that says we are going to 
take 15 percent of doctors, 15 percent of nurses. That is just 
wrong. It is almost cruel.
    Senator Blumenthal. It would be cruel. It would be cruel if 
it happened.
    Secretary Collins. It is not happening.
    Senator Blumenthal. Let me just----
    Secretary Collins. By even repeating it, though, you are 
letting my workforce know, which are going through a process, 
if you were going to reorganize your office, would you just 
stand up at a staff meeting today and say, ``Here's the 16 
people we are discussing right now.''
    Senator Blumenthal. These are your words. These are your 
words, in Tucson, on April 30th.
    Secretary Collins. Okay.
    Senator Blumenthal. In KOLD News, April 28th. Scripps News, 
April 21. Spectrum, local news, April 9th. Detroit Free Press, 
April 1. Collins told the veteran that cutting 80,000 people 
from the Department is a goal. On April 9th----
    Secretary Collins. What are we doing here, Senator? I have 
admitted that here today.
    Senator Blumenthal [continuing]. 15 percent is a goal.
    Secretary Collins. I have admitted that here today.
    Senator Blumenthal. Let me just go on, because the record 
is there.
    Secretary Collins. It is. Nobody is denying you, Senator. I 
am not sure the point you are trying to make, because I have 
said it is a goal. But I have also said it may not actually get 
to that number. It is what will the process we are going 
through, and I am not going to work out a process in front of a 
committee or anywhere else, in which we are still in the 
deliberative process. Because at the end of the day, with 
470,000 workforce----
    Senator Blumenthal. The goal----
    Secretary Collins [continuing]. That is incompetence. That 
is malpractice for me to do that in front of a committee. I am 
not going to, to scare people. But I have also made the 
commitment that we are going to make sure that our health care 
is provided for, that our people are getting their disability 
benefits. And what we are seeing right now, whether you agree 
with the numbers or not, those failed when we added billions of 
dollars and thousands of employees. That is the part we cannot 
get away from.
    Senator Blumenthal. Let me ask you----
    Secretary Collins. And I am willing to work with you in any 
way to do that.
    Senator Blumenthal [continuing]. You responded to Senator 
Sullivan's question about capping certain attorneys' fees for 
the Camp Lejeune victims. Are you aware of the Ensuring Justice 
for Camp LeJeune Victims Act that Senator Tillis and I have 
offered to put caps on attorneys' fees?
    Secretary Collins. No, but it should have come a long time 
ago. I do not know what took so long.
    Senator Blumenthal. Well, will you support our legislation?
    Secretary Collins. I have not seen the legislation, sir. I 
do not comment on things I have not read.
    Senator Blumenthal. Well, instead of just putting out a----
    Secretary Collins. Why isn't Senator Sullivan on it?
    Senator Blumenthal. Instead of putting----
    Secretary Collins. I am just curious. Why wouldn't Senator 
Sullivan be on that bill?
    Senator Blumenthal. You know what?
    Secretary Collins. I am just curious. Because, I mean, it 
would help me out because we have actually seen this play out, 
and I am not going to let the veterans be duped into paying 70 
percent.
    Senator Blumenthal. Maybe you can talk to Senator Sullivan 
and he will join the bill. But I am asking for your support.
    Secretary Collins. Please, I will take a look at your bill 
and see what we can do.
    Senator Blumenthal. You are not aware of it?
    Secretary Collins. Excuse me?
    Senator Blumenthal. You are doing a scam alert. I would 
suggest that maybe the way to really help veterans is to 
support legislation to put caps on it.
    Secretary Collins. Are you denying that this is happening? 
Because if not, I mean, I have----
    Senator Blumenthal. You know----
    Secretary Collins. You are asking me to support a bill that 
I have never read, sir, and that is just not fair.
    Senator Blumenthal. I am going to take a little more time--
--
    Secretary Collins. I will be happy to read the bill.
    Senator Blumenthal [continuing]. Because he seems to feel 
that--he is asking the questions here. But I am happy to 
continue the conversation.
    Chairman Moran. Senator Blumenthal, let me see if I can sum 
this up. I think the Secretary has said he will take a look at 
the bill.
    Secretary Collins. Yes, yes.
    Chairman Moran. And it is a bill that you do not know 
anything about, so you cannot say whether you are for it. And 
Senator Blumenthal is happy to have your support after you look 
at it.
    Secretary Collins. Correct. Thank you.
    Senator Blumenthal. Well said, Mr. Chairman.
    Chairman Moran. Thank you.
    Secretary Collins. The Chairman----
    Senator Blumenthal. Let me ask you--Secretary Collins, I 
just have a couple of quick questions for you. Will you commit 
to provide privacy for telehealth professionals doing mental 
health care?
    Secretary Collins. We have already done that, sir. Anything 
in our return-to-work policy, if they are actually put in a 
position where they do not have privacy, it is against the 
policy of return to work, and they will be----
    Senator Blumenthal. Do you deny the accuracy of The New 
York Times----
    Secretary Collins. Oh, very much so. And I will be happy to 
provide you everything. They were contacted. Everything that it 
showed was that our systems were working. And anything that 
they actually reported--by the way, we asked for veterans where 
care had been affected by that. They could not produce a single 
one. In fact, The New York Times even produced, of overworked, 
crowded conditions, they sent our press people to empty rooms. 
So yes, I do deny it.
    Senator Blumenthal. You deny--will you provide us a factual 
refutation of it, not just----
    Secretary Collins. We can, and we also did it--I think we 
are actually putting that out on social media today. So yes, we 
go line by line. I take every one of these seriously, sir. I 
take every one of them seriously. ProPublica, you mentioned it 
earlier, New York Times. And yet we answer them one by one by 
one, and I have the email chains with the reporters that they 
choose to ignore. That is what we get.
    Senator Blumenthal. Well, I welcome that you are committed 
to providing privacy and that you will provide a line-by-line 
refutation of The New York Times article.
    Secretary Collins. We always have, sir.
    Senator Blumenthal. Will you do the same with ProPublica?
    Secretary Collins. We have that, as well.
    Senator Blumenthal. Let me ask you. Have research contracts 
been canceled or frozen?
    Secretary Collins. Research contracts are right now under--
the ones that are continuing are still continuing. If they were 
running out, then we are on a 90-day policy to see whether they 
need to be continued or not.
    Senator Blumenthal. Is that a yes?
    Secretary Collins. I mean, I cannot answer your question 
any better than that. The continuing contracts are happening 
right now. There were some, by the way, as you well know, that 
they do run out at a three-year cycle. We have actually held 
onto those right now.
    Senator Blumenthal. So you have not canceled any.
    Secretary Collins. No. Not at this point, no. Not that I am 
aware of in that situation. If you want to provide something, 
we will be happy to look at it.
    Senator Blumenthal. Have you frozen any? In other words, 
before the expiration of the three years?
    Secretary Collins. That I would have to look at. I do not 
believe so. Because that is one of the reasons why we put the 
90-day policy.
    Senator Blumenthal. Mr. Secretary, is Medicaid important to 
veterans?
    Secretary Collins. Give me the context, Senator. I mean, it 
is important for anyone.
    Senator Blumenthal. Well, do veterans take advantage of the 
Medicaid program?
    Secretary Collins. That is a conversation that has been 
going on for a while now concerning the Medicaid Advantage 
plans and the ones that are----
    Senator Blumenthal. No. I am talking about Medicaid, not 
Medicare Advantage.
    Secretary Collins. Okay. I am sorry. I will have to--I 
mean, I am not sure where we are going with this.
    Senator Blumenthal. Do veterans use Medicaid? You are not 
aware of that fact?
    Secretary Collins. Yes. Yes. I mean, I understand the 
Medicaid process. I am not sure what your question is.
    Senator Blumenthal. Well, my question is, is Medicaid 
important to veterans?
    Secretary Collins. It is important to everyone who uses it.
    Senator Blumenthal. Okay. Thank you, Mr. Chairman.
    Chairman Moran. Senator Blumenthal, thank you. Just a 
couple of wrap-ups from me, Mr. Secretary. I wanted to give you 
the opportunity, and maybe just to educate me, what are the 
facts with the Veteran Crisis Hotline?
    Secretary Collins. The facts on that is we protected all 
those who actually answered the phones. And this was a concern 
that came up many times, that I started seeing in the press, 
where there were accusations from the Hill and other places, 
that we had actually fired the ones who were actually answering 
the phones. The answer to that, even from career folks, was 
that was not true.
    What we did have is, we found there were some, there were 
staff that were let go. When we immediately looked at that, I 
made the decision that we will make everybody back in. We will 
protect the entire group, because we did not want anybody to 
falsely accuse that we were not answering the lines.
    Chairman Moran. And so today, is the Crisis Hotline any 
less or more--have more or less personnel than it did before 
this?
    Secretary Collins. I think it is at the same lines that it 
has in the last year.
    Chairman Moran. The people that were let go that you 
returned----
    Secretary Collins. They are back.
    Chairman Moran [continuing]. They are back.
    Secretary Collins. Yes, they are back.
    Chairman Moran. Okay. And then you answered my question 
about your interest in an IG and believe in its value. Would 
you also ask the White House for an IG for the Department?
    Secretary Collins. We already have.
    Chairman Moran. Okay. That is my questions. Mr. Secretary, 
anything you want to--I often ask this. It is not just a 
treatment of you, the witnesses--if they have anything they 
want to clarify or correct.
    Secretary Collins. No. Look, I appreciate it, and I 
appreciate the Ranking Member. We have the same goals, I think 
all of us on this dais. We are going to disagree, and we are 
going to disagree about how to go about it. But there are 
several things, Mr. Chairman, that I am not going to do, and I 
do not think it is fair to VA employees, and I do not think it 
is fair to veterans, to take things that are pre-decisional. 
Many of the things that have been discussed today were leaked 
memos, designed to disrupt. They were designed to make the VA 
look bad or make veterans scared.
    I am not going to do that. I am going to challenge anyone 
that is going to hurt or scare veterans or scare employees. We 
are going to give you everything that we can at the time. I 
promise you that, and I continue to do that. We have had 
conversations, you and I have. But when we are doing something 
as large as we are, at an organization as sensitive on this 
Hill, it would not be right for us to do that in public. It 
would not be right for us to just come out and say, ``Here's 
everything that we have got,'' and then have everybody scared 
because in the end it may not be the final decision.
    What we are going to do is come to the best possible 
decision we can, for the veterans in this country, so that they 
have a VA system that actually works. And when we understand 
that, again, the VA has been an issue for a long time. We are 
trying to not make it an issue anymore. We are trying to get it 
to a point to where it is, doing what it is supposed to be 
doing, and taking care of the veterans that have earned it. And 
I appreciate the chance to be here today.
    Chairman Moran. And I would just encourage you, it would be 
a mistake if I did not, to see if your crew can answer our 
team, both minority's and majority's staffs, questions fully 
and promptly.
    Secretary Collins. Yes. Can I say one other thing about 
that? I have been in about 90 days. We have answered, from 
Ranking Member Blumenthal and SVAC minority alone, we have 
responded to 78 RFIs, 11 briefings, 9 technical assistance 
calls, 4 technical assistance are in progress, and many, many 
visits. We have also answered 19 letters from Senator 
Blumenthal and Chairman Moran, 68 letters and RFIs. Now, you 
might not like----
    Chairman Moran. Mr. Secretary, that was----
    Secretary Collins [continuing]. The answers----
    Chairman Moran. That was my mistake, because we are going 
to start this conversation all over again now.
    Secretary Collins. Yes.
    Senator Blumenthal. I just want to make it clear----
    Secretary Collins. And we are going to do that.
    Senator Blumenthal [continuing]. Just so you do not feel--I 
mean, I am just going to be really blunt. I think some of those 
responses are an insult to my intelligence and perhaps yours, 
if you respond by giving us the kind of non-substantive answer 
that I think is inadequate. I am not going to count it as a 
real response.
    Secretary Collins. That is your prerogative, Senator, and 
we will continue to do our best to give you the information.
    Senator Blumenthal. I am asking for facts, not just 
acknowledgement of the questions.
    And I also would encourage you to avoid the use of non-
disclosure agreements with employees, so that we can get more 
facts from them.
    Chairman Moran. All right. The hearing is about to 
conclude. I thank our Committee members for their participation 
today. You had a full house. I thank the Secretary for his 
presence and his testimony today.
    The hearing record will remain open for 5 legislative days, 
should any Committee member wish to submit additional 
statements or questions for the record. Then, Mr. Secretary, I 
ask you and the Department to respond to any question for the 
record that you may receive, following today's hearing, in a 
timely manner, which I guess will be decided by I hope me, if 
it is necessary.
    With that, our Committee is adjourned.
    [Whereupon, at 2:01 p.m., the hearing was adjourned.]

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