[Senate Hearing 119-317]
[From the U.S. Government Publishing Office]


                                                       S. Hrg. 119-317

           LEGISLATIVE PRESENTATION OF DISABLED AMER-
             ICAN VETERANS AND MULTI VSOs: MILITARY 
             OFFICERS ASSOCIATION OF AMERICA, BLUE 
             STAR FAMILIES, VIETNAM VETERANS OF AMER-
             ICA, NATIONAL CONGRESS OF AMERICAN INDI-
             ANS, SERVICE WOMEN'S ACTION NETWORK, 
             GOLD STAR WIVES OF AMERICA, INC., BLACK 
             VETERANS PROJECT
=======================================================================

                             JOINT HEARING

                                 OF THE

                     COMMITTEE ON VETERANS' AFFAIRS

                               BEFORE THE

                        HOUSE OF REPRESENTATIVES

                                AND THE

                          UNITED STATES SENATE

                    ONE HUNDRED NINETEENTH CONGRESS

                             SECOND SESSION

                               __________

                           FEBRUARY 24, 2026

                               __________

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

        Available via the World Wide Web: http://www.govinfo.gov
        
                              __________
                              
                        U.S. GOVERNMENT PUBLISHING OFFICE
62-986 PDF                     WASHINGTON : 2026
=======================================================================

                                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

                              ----------                              

                        HOUSE OF REPRESENTATIVES
                     COMMITTEE ON VETERANS' AFFAIRS

                     Mike Bost, Illinois, Chairman

Aumua Amata Coleman Radewagen,       Mark Takano, California, Ranking 
    American Samoa                       Member
Jack Bergman, Michigan               Julia Brownley, California
Nancy Mace, South Carolina           Chris Pappas, New Hampshire
Mariannette Miller-Meeks, Iowa       Sheila Cherfilus-McCormick, 
Gregory F. Murphy, North Carolina        Florida
Derrick Van Orden, Wisconsin         Morgan McGarvey, Kentucky
Morgan Luttrell, Texas               Delia Ramirez, Illinois
Juan Ciscomani, Arizona              Nikki Budzinski, Illinois
Keith Self, Texas                    Timothy M. Kennedy, New York
Jennifer A. Kiggans, Virginia        Maxine Dexter, Oregon
Abe Hamadeh, Arizona                 Herb Conaway, New Jersey
Kimberlyn King-Hinds, Northern       Kelly Morrison, Minnesota
    Mariana Islands
Tom Barrett, Michigan

                       Jon Clark, Staff Director
                  Matt Reel, Democratic Staff Director
                            
                            C O N T E N T S

                              ----------                              

                           February 24, 2026

                                                                   Page

                            REPRESENTATIVES

Hon. Nancy Mace, U.S. Representative from South Carolina.........     1
Hon. Mark Takano, Ranking Member, U.S. Representative from 
  California.....................................................     3
Hon. Morgan Luttrell, U.S. Representative from Texas.............    16
Hon. Chris Pappas, U.S. Representative from New Hampshire........    17
Hon. Kimberlyn King-Hinds, U.S. Representative from Northern 
  Mariana Islands................................................    18

                                SENATORS

Hon. Jerry Moran, Chairman, U.S. Senator from Kansas.............     5
Hon. Richard Blumenthal, Ranking Member, U.S. Senator from 
  Connecticut....................................................     6
Hon. Tammy Duckworth, U.S. Senator from Illinois.................    36

                               INTRODUCER

The Honorable Nancy Mace, U.S. Representative from South Carolina     8

                               WITNESSES
                                Panel I

Coleman Nee, National Commander, Disabled American Veterans......     9

  accompanied by

  Barry Jesinoski, National Adjutant

  Bryan ``Cody'' VanBoxel, Executive Director, National 
    Headquarters

  Jim Marszalek, Executive Director, Washington Headquarters

  Scott Hope, DAV National Service Director

  Jon Retzer, DAV National Legislative Director

  John Kleindienst, National Director of Voluntary Service

  Ron Minter, National Caregiver Support Program Director

  Melissa Pierce, Auxiliary National Commander

                                Panel II

Lt. Gen. Brian T. Kelly, U.S. Air Force (Ret.), President and 
  Chief Executive Officer, Military Officers Association of 
  America........................................................    22

Lindsay Knight, PhD, Chief Impact Officer, Blue Star Families....    24

Tom Burke, National President, Vietnam Veterans of America.......    26

Larry Wright, Jr., Executive Director, National Congress of 
  American Indians...............................................    28

Rita Graham, Policy Director, Service Women's Action Network.....    30

Barbara Burt, Legislative Liaison, Greater Boston Chapter and New 
  England Region, National Board Member, Gold Star Wives of 
  America, Inc...................................................    32

Richard Brookshire, Co-Chief Executive Officer and Co-Founder, 
  Black Veterans Project.........................................    33

                                APPENDIX
                          Prepared Statements

Coleman Nee, National Commander, Disabled American Veterans......    49

Lt. Gen. Brian T. Kelly, U.S. Air Force (Ret.), President and 
  Chief Executive Officer, Military Officers Association of 
  America........................................................    83

Lindsay Knight, PhD, Chief Impact Officer, Blue Star Families....   111

Tom Burke, National President, Vietnam Veterans of America.......   122

Larry Wright, Jr., Executive Director, National Congress of 
  American Indians...............................................   131

Rita Graham, Policy Director, Service Women's Action Network.....   137

Barbara Burt, Legislative Liaison, Greater Boston Chapter and New 
  England Region, National Board Member, Gold Star Wives of 
  America, Inc...................................................   142

Richard Brookshire, Co-Chief Executive Officer and Co-Founder, 
  Black Veterans Project.........................................   149

                       Submissions for the Record

Military Times article, ``Veterans aren't campaign props--
  Congress must start acting like it''...........................   159

Letter dated February 4, 2026 to Secretary Douglas Collins, U.S. 
  Department of Veterans Affairs.................................   162

February 23, 2026 statement from various veteran, military 
  service, and advocacy organizations............................   164

Letter dated February 24, 2026 to Secretary Douglas Collins, U.S. 
  Department of Veterans Affairs.................................   167

                        Questions for the Record

Disabled American Veterans response to questions submitted by:

  Hon. Margaret Wood Hassan......................................   173

Disabled American Veterans supporting documentation:

  Fiscal Year 2027 Veterans Independent Budget...................   177

  2026 Critical Policy Goals.....................................   193

                        Statement for the Record

Gold Star Spouses of America, Inc., Tamra Sipes, National 
  President......................................................   207

 
LEGISLATIVE PRESENTATION OF DISABLED AMERICAN VETERANS AND MULTI VSOs: 
 MILITARY OFFICERS ASSOCIATION OF AMERICA, BLUE STAR FAMILIES, VIETNAM 
  VETERANS OF AMERICA, NATIONAL CONGRESS OF AMERICAN INDIANS, SERVICE 
    WOMEN'S ACTION NETWORK, GOLD STAR WIVES OF AMERICA, INC., BLACK 
                            VETERANS PROJECT

                              ----------                              


                       TUESDAY, FEBRUARY 24, 2026

             U.S. House of Representatives,
                                   and U.S. Senate,
                            Committee on Veterans' Affairs,
                                                    Washington, DC.

    The Committees met, pursuant to notice, at 10 a.m., in Room 
SD-G50, Dirksen Senate Office Building, Hon. Nancy Mace, 
presiding.

    Present from the House:

    Representatives Mace, Luttrell, King-Hinds, Takano, and 
Pappas.

    Present from the Senate:

    Senators Moran, Boozman, Cassidy, Sullivan, Banks, 
Blumenthal, and Duckworth.

             OPENING STATEMENT OF HON. NANCY MACE,
            U.S. REPRESENTATIVE FROM SOUTH CAROLINA

    Chairwoman Mace. Good morning, and thank you all for being 
here. I am glad to be here in the Senate with Chairman Moran 
and Ranking Member Blumenthal. Chairman Bost wishes he could be 
here today, but due to travel issues caused by the recent 
snowstorm that we are enduring today, he could not make it here 
in time for the hearing.
    I would like to thank the DAV's National Commander, Mr. 
Coleman Nee, for being here today. I would also like to 
recognize the DAV Auxiliary National Commander, Melissa Pierce. 
Thank you for being here today. A special shout-out to Mr. Dan 
Pierce for being here as well.
    And I am pleased that there are folks here from across the 
country, including my home State of South Carolina. Thank you 
for traveling through a blizzard, through the snow to be with 
us here this morning.
    If you are from South Carolina, please stand if you are 
able. I would like to see some of my folks out there. There you 
are.
    [Applause.]
    Chairwoman Mace. God bless you all, and thank you for 
traveling here. And I want to give a warm welcome to those 
folks.
    This year marks my fifth year on the Committee. Veterans 
have always been a part of my life. I grew up around veterans, 
I know veterans, and they have always been part of our 
community and our family's community. Every time I am on the 
House floor debating a bill or sitting on the dais, I am always 
thinking of them, and like my dad, the generations of men and 
women who have served, my siblings. In fact, I just had one 
come back from a deployment overseas in the Middle East.
    For me it is always about taking care of our veteran 
community when they come home. I know the sacrifices each of 
you have made, especially our disabled community. Each of you 
has fought to protect the freedoms we hold dear.
    I, along with my House Republican colleagues, are leading 
the charge to first help make life more affordable for severely 
disabled veterans and survivors through the Sharri Briley and 
Eric Edmundson Veterans Benefits Expansion Act that we reported 
out of the Committee two weeks ago. The bill would raise the 
monthly benefits rate for the most severely service-connected 
disabled veterans that require around-the-clock care by 
offering an additional $10,000 annually. It would also boost 
the monthly support payment that veterans and survivors receive 
by an additional 1.5 percent annually over the next two years.
    These increases have not been made in decades. I need your 
support to help ensure they are not cut up in election year 
political games and that they are finally enacted.
    Second, ensure veterans get quality health care at the VA 
or within the community. That is why we are fighting for the 
Veterans' ACCESS Act, which is commonsense legislation to build 
and solidify the gains made in the CHOICE and MISSION Acts. The 
bill would give veterans even more options in how they access 
their health care outside of the VA, especially veterans living 
in rural and remote areas.
    Third, we authorize VA to make sure the VA's programs work 
for today's and tomorrow's veterans, something that has not 
been done in decades. The importance of the Transition 
Assistance Program, or TAP, is an area that remains a key 
priority for me and many of us, all of us, on the VA Committee. 
Ensuring that servicemembers are set up for their next mission 
in life is not something I take lightly. Thank you to the DAV 
for highlighting the importance of new veterans understanding 
the benefits they have earned and that they deserve.
    We are also committed to ensuring opportunities for 
veterans to explore nontraditional education. Whether that be 
through apprenticeships, on-the-job training, during TAP, or 
the Veteran Readiness and Employment program. We must continue 
to focus our efforts to ensure veterans are able to find and 
maintain meaningful employment.
    The DAV plays an important role in making sure we advance 
commonsense proposals and conduct oversight to meet the needs 
of all veterans, no matter their ZIP Code and no matter where 
they work. Veterans should have the choice to use the benefits 
VA offers in exchange for their service to meet their own 
needs. You know where we need to push the Agency forward and 
not stick to the status quo.
    I can promise you one thing, my House Republican colleagues 
and I will never stop fighting for you. And the voices you 
represent, the hundreds of thousands of veterans outside the DC 
Beltway who just want their health care on time, their benefits 
without a headache, and to live the American dream. We take 
this mission seriously and I know my House and Senate 
Republican colleagues, as well as VA Secretary Doug Collins, 
and President Trump do too.
    We made progress with the most recent NDAA, and I proudly 
supported the following major provisions: enhancing the 
financial planning section of TAP to cover topics such as debt 
management, taxes, and investing; improving the warm handover 
process between VA, DOW, and DOL; allowing servicemembers to 
attend TAP multiple times and encourage folks to bring their 
spouses along too. These things make a real difference for 
transitioning servicemembers and they must have all the tools 
needed to prepare for their next phase of life with their 
family.
    We will continue to fight to deliver historic economic 
relief for all veterans, including severely disabled veterans 
like Eric Edmundson and survivors like Sharri Briley. We will 
continue to fight to modernize the VA and its programs forward 
through reauthorization. We will continue to ensure veterans, 
no matter where they live, get the health care they deserve, at 
the VA or in their community.
    I look forward to completing your mission alongside each 
and every one of you, and thank you again for being here today. 
And with that I will recognize Ranking Member Takano for his 
opening remarks.

             OPENING STATEMENT OF HON. MARK TAKANO,
      RANKING MEMBER, U.S. REPRESENTATIVE FROM CALIFORNIA

    Mr. Takano. Well thank you, Madam Chair. Good morning, 
everyone. I am glad to see so many of you here ensuring that 
your voices are heard today.
    Now as tradition, I would like to shout-out to those who 
have traveled from the great State of California. Where are 
you, California? All right. There, California, yes.
    [Applause.]
    Mr. Takano. Welcome, welcome to our Nation's capital. 
Welcome to everybody to our Nation's capital.
    I would especially like to welcome DAV National Commander 
Coleman Nee and DAV Auxiliary National Commander Melissa 
Pierce, as well as the representatives from all of the 
organizations on our second panel of witnesses. It is great to 
see you all, and I am looking forward to an enlightening 
conversation.
    Since you were here last, we have all experienced 
uncertainty and, at times, flat-out chaos. Just last week, 
Secretary Collins announced an interim final rule that would 
limit VA's obligations to veterans whose service-connected 
conditions are improved by medications. The response from the 
veteran community has been loud and near universal, and I agree 
with you. This rule cannot stand.
    [Applause.]
    Mr. Takano. Medication may be able to minimize the effects 
of injury or illness, it does not erase them. I know that the 
Secretary has stated that he will not enforce the rule, 
frankly, that is not enough. Mr. Secretary, if you are 
listening, I call on you to rescind this rule immediately.
    [Applause.]
    Mr. Takano. The Committee intends to submit a comment in 
the Federal Register voicing our disapproval, and I highly 
recommend that each of you do the same. The link to do so can 
be found in the banner on top of our website at democrats-
veterans.house.gov.
    This year, in addition to the Secretary's harmful interim 
final rule, we are facing a massive reorganization of the 
Veterans Health Administration. Neither of these major actions 
were planned with input from Congress, or as far as I can tell, 
from the veteran community either. VA needs improvement, but 
this proposal appears to be more of an effort to align VA with 
what is happening in for-profit health care. VA should not 
emulate that model.
    I also want to address the hurdles that our veterans face 
in linking their toxic exposures to their service. We have had 
several discussions regarding overlooked veteran populations 
that need care. VA has the authority to create new presumptive 
conditions and deliver that care, and yet they do not use that 
authority nearly enough. Instead, we seem to have a VA 
leadership that wants to do more with less, as we have recently 
heard the Secretary say.
    You know what? Doing more with less has never worked for 
veterans. We cannot expand benefits to more veterans without 
having staff at VA to do so. We need doctors and nurses and 
researchers. We need claims examiners in VA, social workers, 
janitorial staff, and police officers in VHA to ensure VA is 
meeting its mission.
    Each of you has served, and you continue to serve your 
fellow veterans and their survivors. Now, from the moment you 
raised your hand and put on that uniform, you set yourself 
apart. That commitment came with a promise that you and your 
family would be taken care of afterwards. You fulfilled your 
duty. I consider it my duty, and the duty of every American, to 
honor that commitment.
    Over the past year we have seen attacks on veterans and 
their earned benefits in an attempt to paint you as a group of 
scammers, or that you are receiving overly generous benefits. 
Let me be clear, these are not handouts, these are earned 
benefits.
    [Applause.]
    Mr. Takano. Benefits that were earned by long days, long 
nights, months away, missed birthdays, missed anniversaries, 
through blood, sweat, and tears, through great sacrifice, and 
for some, the ultimate sacrifice. And for those left behind, 
the survivor community, we owe you a great debt, as well. That 
is why I support the Caring for Survivors Act and the Love 
Lives On Act. These bill provide meaningful change for an 
underserved and deserving community. I know everyone is waiting 
to see progress on the Major Richard Star Act. I have heard you 
loud and clear. We need to pass that act.
    [Applause.]
    Mr. Takano. I strongly urge support for the Major Richard 
Star Act and delay on action is unacceptable. It is time to get 
it done.
    [Applause.]
    Mr. Takano. Now I am being very transparent with you, none 
of these bills are cheap. And under the current rules of the 
House, it has been a struggle to find ways to pay for them. But 
that is just a lame excuse. If we can find an extra $500 
billion for the Pentagon, that they do not want or need, we can 
find an extra $50 billion for our Nation's veterans, their 
dependents, and survivors.
    [Applause.]
    Mr. Takano. Congress must do the right thing, and we should 
do so without asking veterans to shoulder the costs. Veterans 
earned their benefits already. They should not be asked to pay 
for them again when they leave service. We know veterans are 
willing to make sure their comrades are taken care of, and I 
respect that immensely. But the point is they should not have 
to. Congress can and should do better.
    The American public has told us that it is willing to stand 
up for those who have served and ensure they get the benefits 
they have earned. And that includes taking a stand against 
claims sharks. We must pass Representative Pappas' GUARD Act 
today.
    [Applause.]
    Mr. Takano. Anytime benefits are increased, the sharks come 
circling. Claims sharks prey on veterans and siphon off 
hundreds of millions of dollars a year of veterans' hard-earned 
benefits, and this is wrong. Even in the past week, the sharks 
have come circling again, pushing out ads in an attempt to 
profit off of the chaos sown by VA's rule to roll back 
disability ratings. The purpose of these ads is to scare 
veterans into signing up for their service to, quote/unquote, 
``protect their ratings.'' I have even been targeted by these 
ads. They are slick and they are made to look like they are 
coming from the VA.
    There must be consequences for this behavior. But the 
lobbying efforts of these companies is immense, and it has 
stalled congressional action. Fortunately, states have stepped 
into the breach, and I would like to shout-out to my home State 
of California for stepping up on this issue and passing 
legislation that takes on these claims sharks. Thank you, 
California. And I am proud to see California is leading the 
way, but Congress is still not off the hook. We must act.
    So Madam Chair, thank you for holding this important 
hearing today, and I look forward to a frank and fruitful 
discussion today.
    Chairwoman Mace. Thank you, Mr. Takano. I will now 
recognize Chairman Moran.

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

    Chairman Moran. Thank you, Chairwoman Mace. It is good to 
be here with my Ranking Member, Senator Blumenthal, with 
Congressman Takano and you, for our first joint hearing this 
year.
    I want to welcome our witnesses and I am glad that you are 
here. This is an important component of what we do to make 
certain that we are paying attention to those who served, and I 
am appreciative of the Disabled American Veterans and the other 
veteran service organizations for their presence here today. 
And I extend a special welcome to the Kansans who are in the 
audience today, and I look forward to spending more time with 
you this afternoon.
    I am grateful for the work that VSOs, like the ones we will 
hear from this morning, do every day across the country and 
here in our Nation's capital to support their fellow veterans 
and their families, and advocate for a stronger and better 
Department of Veterans Affairs. Our Committees are working 
every day with those same goals in mind.
    We may talk often about the challenges veterans face after 
service, but I am always reminded at these hearings that 
veterans are not defined by those challenges. Far from it. 
Every day, in every state, in every district, veterans bring a 
wealth of skills, leadership, experience and values from the 
military into their communities. It is our responsibility to 
make certain that federal programs and policies, at the VA and 
in every other department and agency, help veterans translate 
those strengths into long-term stability, health, and 
opportunity.
    This responsibility is why I, along with Ranking Member 
Blumenthal, have introduced the National Veterans Strategy Act 
to coordinate the efforts of federal, state, and local 
governments, along with for-profit and nonprofit organizations, 
all in the best interest of our Nation's veterans. I am 
grateful for the widespread support for that bill among the VSO 
community, and I am eager to discuss it with our witnesses 
today.
    I am grateful to the VSO leaders today for their tireless 
work to make certain that the Congress and the VA remain 
focused on doing what is in the best interest for our veterans 
and military communities. I look forward to hearing how your 
legislative priorities advance veteran success and where 
Congress can do more to make certain that the VA's policies 
translate into real improvements in the veterans well-being.
    Thank you again for being here, and I look forward to 
today's hearing.
    Chairwoman Mace. And I now recognize Ranking Member 
Blumenthal.

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

    Senator Blumenthal. Thank you, Chair Mace and thank you, 
Senator Moran, our Chairman in the Senate. I am honored to be 
with all of you today, and I particularly want to welcome 
anyone who has managed to make it here from Connecticut, out of 
the snow. If you are here, Connecticut, thank you. And thank 
you to all the rest of you. Never doubt--never doubt--that you 
are making a difference.
    Our VSOs are the lifeblood of our veterans' health care and 
other benefits and compensation to the men and women who are 
our national heroes. You are the ones who stand in watch over 
the VA and over us. The latest example was your reaction to the 
cuts that were threatened, cruel, stupid cuts in VA benefits, 
and you and your voices turned it around. Thank you to the 
veterans service organizations for correcting what would have 
been a disastrous slash in benefits for countless veterans who 
rely on medications to manage their service-connected 
conditions. Thank you, all of you.
    [Applause.]
    Senator Blumenthal. But there is still work to be done. 
There is still work to be done on that issue, among others. 
Representative Takano and I this morning sent a letter to 
Secretary Collins demanding the immediate rescission of the 
Department of Veterans Affairs interim final rule. It is 
entitled ``Evaluative Rating: Impact of Medication,'' a benign-
sounding rule that in fact will impact, cruelly and 
dangerously, our veterans. I call on Secretary Collins to 
rescind, this rule, this morning, while you are testifying 
here.
    [Applause.]
    Senator Blumenthal. And I thank all my colleagues who have 
joined in this letter. I am hoping that this effort will be 
bipartisan, as so much of our work is and should be, but it has 
to result in action.
    I read, just this morning, an excellent article written by 
Barry Jesinoski. Thank you for this excellent article in 
Military Times. I asked that it be put into the record, Madam 
Chair.
    Chairwoman Mace. Confirmed.

    [The article referred to appears on pages 159-161 of the 
Appendix.]

    Senator Blumenthal. Its headline is, ``Veterans aren't 
campaign props--Congress must start acting like it.'' I 
couldn't have said it better.
    [Applause.]
    Senator Blumenthal. And to quote the article, ``Recent 
Congresses rank among the least productive in modern history, 
paralyzed by dysfunction, partisan infighting and an apparent 
inability to do the basic job voters sent them to Washington to 
do.'' Yes, that deserves your applause for sure. Thank you, 
Barry.
    [Applause.]
    Senator Blumenthal. We need to overcome this kind of 
dysfunction, not only for our veterans, but for our whole 
country. And I hope that this hearing will mark a critical step 
in that effort. And the best example would be passing the 
Richard Star-Major Richard Star Act. Most of you know, I have 
championed this bill for years. I went most recently to the 
floor of the United States Senate and asked for unanimous 
consent. It was blocked by one of my colleagues.
    I ask all of you, make your views known about the Richard 
Star Act. Make sure that your Member of the Senate or Congress 
joins in supporting a measure that is about basic fairness, so 
that our combat veterans are not deprived of benefits they have 
earned. These are not beneficence. They are not charity. They 
are not philanthropy. You have earned them. It is not double 
dipping. It is deserved. The Richard Star Act should pass 
during this session of the United States Congress. And I will 
go to the floor and again ask unanimous consent that it be 
approved.
    Let me say finally, I am deeply grateful to all of you for 
the support that you provided to a range of other measures. I 
have read your testimony. The GUARD Act, the kinds of basic 
architecture that we need to sustain. We have seen a systematic 
degradation of VA health care and the first-ever net reduction 
in VA staff. A concerted effort that has forced thousands of 
physicians, schedulers, registered nurses, and others to leave 
federal service. Veterans have seen increased mental health 
care wait times, politically motivated policies that threaten 
at-risk veterans and decrease quality of veterans' decisions. 
These administrative actions also demand scrutiny and reversal.
    Thank you for all you do for America and for the veterans 
of the United States. Thank you.
    [Applause.]

                INTRODUCTION BY HON. NANCY MACE,
            U.S. REPRESENTATIVE FROM SOUTH CAROLINA

    Chairwoman Mace. Thank you. We have with us today National 
Commander Coleman Nee, a DAV life member of Chapter 3 in 
Boston, Massachusetts, and lives in Cape Cod with his family. 
He is a Marine veteran of the Persian Gulf War and a graduate 
of American University right here in Washington. The son of a 
World War II veteran, Commander Nee walked into a recruiter's 
office at the age of 18 and joined the Marine Corps Reserve. It 
was an opportunity to serve something bigger than himself while 
pursuing higher education.
    But instead of attending his college graduation, Commander 
Nee was called to active duty and boarded a plane to Saudi 
Arabia, in response to Saddam Hussein's invasion of Kuwait. 
There as a motor transport operator, he supported infantry 
units with supply runs for six months.
    Like so many of our veterans, Commander Nee's service did 
not end when he took off the uniform. From 2011 to 2015, he 
served as the Secretary of the Massachusetts Department of 
Veterans' Services. Under his leadership, the department 
created a number of new initiatives to increase access to 
services for all veterans, including the more than 47,000 
returning Massachusetts veterans from the wars in Iraq and 
Afghanistan.
    As Secretary, Commander Nee also oversaw the creation of a 
first-in-the-nation initiative to support veterans and their 
families coping with the stresses of returning from war and 
oversaw management of the Massachusetts Women Veterans Network, 
one of the most successful women's veterans advocacy 
organizations in the Nation.
    Commander Nee went on to spend nearly nine years as CEO for 
a company dedicated to empowering people with disabilities, to 
succeed in employment and leadership positions.
    Before being elected to the organization's highest post, 
Commander Nee served on DAV's Board of Directors, National 
Interim Legislative Committee, and the National Executive 
Committee.
    Through his time in the Marine Corps and his decades of 
mission-driven work, Commander Nee has shown who he is--a 
servant leader who appreciates and honors service.
    It is now with great pride and appreciation and admiration 
that the Committee now recognizes DAV National Commander 
Coleman Nee to deliver some opening remarks.
    [Applause.]

                            PANEL I

                              ----------                              


STATEMENT OF COLEMAN NEE, NATIONAL COMMANDER, DISABLED AMERICAN 
  VETERANS ACCOMPANIED BY BARRY JESINOSKI, NATIONAL ADJUTANT; 
     BRYAN ``CODY'' VANBOXEL, EXECUTIVE DIRECTOR, NATIONAL 
  HEADQUARTERS; JIM MARSZALEK, EXECUTIVE DIRECTOR, WASHINGTON 
 HEADQUARTERS; SCOTT HOPE, DAV NATIONAL SERVICE DIRECTOR; JON 
 RETZER, DAV NATIONAL LEGISLATIVE DIRECTOR; JOHN KLEINDIENST, 
 NATIONAL DIRECTOR OF VOLUNTARY SERVICE; RON MINTER, NATIONAL 
    CAREGIVER SUPPORT PROGRAM DIRECTOR; AND MELISSA PIERCE, 
                  AUXILIARY NATIONAL COMMANDER

    Mr. Nee. Thank you, Madam Chairman. Thank you, Chairwoman. 
Thank you for that very, very kind introduction, and I 
appreciate you stepping in for my good friend, Representative 
Stephen Lynch, who could not be here. I believe Representative 
Lynch is still digging out a parking spot up in Boston, so 
thank you for stepping in.
    Chairwoman Mace, Chairman Moran, Ranking Members Blumenthal 
and Takano, and Members of the Committees on Veterans Affairs, 
thank you for the opportunity to present the 2026 legislative 
priorities of DAV, Disabled American Veterans, and our partners 
in the Auxiliary, of which I am also a proud member. Together 
our over 1 million members represent more than 6 million 
wounded, ill, and injured veterans, all of whom returned from 
wartime service forever changed.
    My written testimony details DAV's key legislative goals 
for this 119th Congress and it summarizes our many programs and 
accomplishments that we have made over the last year. So I will 
use my limited time here today to highlight some of our 
critical policy goals.
    But before I do that, please let me introduce my DAV 
colleagues joining me here today: our National Adjutant and 
CEO, Barry Jesinoski; our National Headquarters Executive 
Director, Cody VanBoxel; our Washington Headquarters Executive 
Director, Jim Marszalek; our National Service Director, Scott 
Hope; National Legislative Director, Jon Retzer; our National 
Voluntary Services Director, John Kleindienst; our National 
Caregiver Support Program Director, Ron Minter; our National 
Employment Director, Jeremy Yost; and my good friend and my 
partner and my commander, our Auxiliary National Commander, 
Melissa Pierce.
    I would also like to recognize the many DAV members and 
leaders who join me here today. Obviously, not every one of our 
members could make the trip to Washington, but their 
contributions have been critical to DAV's success as the 
Nation's premier veteran service organization.
    I also wish to express my gratitude to our National 
Executive Committee, members of our Interim Legislative 
Committee, as well as my Chief of Staff Mike Valila, for all of 
their support.
    And finally I want to thank my beautiful family, my wife 
Karen, my son Jack, and my daughter Kate, who have remained 
steadfast partners and supporters, not only of me but veterans 
everywhere.
    Members of the Committee, I sit before you as a service-
disabled veteran of the Gulf War. I know from my own time in 
uniform, as well as from the experiences of my comrades in 
arms, that there is a price paid by all those who serve. As the 
former Massachusetts Secretary of Veteran Services, I oversaw 
more than $100 million in state funding for veterans and 
dependents. This included financial aid and programming. 
Suffice it to say, I understand the difficulties you all face 
when it comes to making decisions that affect the lives of your 
fellow countrymen. It is not easy, and there is no shortage of 
critics. So let me take this opportunity, up front, to simply 
say thank you for all that you do.
    Long before gaining that insight, I watched and admired as 
those who made it home from Vietnam built one of the Nation's 
first memorials to the 25 sons of South Boston who made the 
ultimate sacrifice there. Witnessing my friends and neighbors 
from Southie honor our fallen heroes had a profound impact on 
me. It illustrated the importance of banding together to 
accomplish a task bigger than oneself. And like many of those 
seated behind me, I found military service reinforced that 
idea.
    As a Marine motor transport operator, I spent a lot of time 
getting tossed around the insanely uncomfortable cabs of 
military vehicles. It was not the kind of thing that gets 
glamorized in Hollywood. But getting Marines and supplies where 
they needed was enough for me to know that I did my part.
    But as we all know, military services comes with trials and 
tribulations that can last far beyond our time in uniform. 
Fortunately, the Department of Veterans Affairs is there to 
assist us throughout our lives. When I pursued my higher 
education, it was the GI Bill that paid my tuition. When the VA 
Home Loan Guaranty Program helped Karen and I buy the house 
that we live in today. When my service-connected disabilities 
contributed to me stepping down from as CEO from an 
organization that I ran for nearly nine years, it was VA 
disability compensation that helped me keep our finances in 
order. When I needed the medical care for those same 
disabilities, it was VA hospitals and vet centers that provided 
the care I needed and still need today. And when I am called to 
stand my final post, the VA's National Cemetery Administration 
relieves the burden for my family and ensure that I am laid to 
rest with honor and dignity.
    None of this is unique to me. Countless veterans can share 
that same story. Yet with everything happening in our country 
today, I cannot help but wonder if VA will be there for future 
generations as it was for me and for all of our Nation's 
veterans.
    The VA stands at a defining crossroads, one that will shape 
not only the institution itself but our Nation's enduring 
commitment to those who have worn its uniform. On one path lies 
the dismantling, fragmentation, and gradual erosion of a system 
that was built to serve veterans. On the other lies a 
principled effort to modernize, strengthen, and safeguard the 
VA for future generations who will answer the call to serve. 
This is not merely a political or bureaucratic debate. It is a 
moral issue. It is a strategic issue. It is even a national 
security issue.
    As an organization founded before our Nation had a federal 
agency charged with honoring veteran sacrifices, we, DAV, know 
that the VA was not created by accident or convenience. It was 
built out of necessity and obligation. After each major 
conflict in American history, our Nation confronted the same 
question: How will we keep our promise to those who bore the 
cost of war?
    The VA emerged as the answer. Its mission is singular in 
American governance, to serve a population not defined by age, 
income, or geography but by service and sacrifice.
    Yet today, VA faces intense pressure. Critics point to long 
wait times, uneven quality of care, outdated infrastructure, 
and administrative inefficiencies. These criticisms are not 
unfounded. The VA, like many large institutions, has struggled 
to adapt to changing demands, particularly the complex needs of 
post-9/11 veterans.
    But acknowledging flaws is not the same as abandoning the 
mission. Costs to dismantle or significantly privatize VA are 
often framed as pragmatic solutions, offering veterans choice 
by shifting care to the private sector. On the surface, this 
may sound reasonable. In practice, it risks hollowing out the 
only health care system in this country that is purpose-built 
for veterans. Private health care systems are not designed 
around military service. They don't specialize in combat trauma 
or polytrauma rehabilitation. They don't take into account the 
lifelong consequences of military toxic exposures, and they are 
not accountable to veterans in the same way that a public 
institution is accountable to the people that it serves.
    [Applause.]
    Mr. Nee. Dismantling, once begun, is rarely reversible. As 
resources, talent, and expertise are siphoned away, the VA's 
ability to function deteriorates. This creates a self-
fulfilling prophecy in which weakened performance is used to 
justify further destruction of the Department. Veterans are 
left navigating a fragmented landscape of providers, insurers, 
and bureaucracies, often at the moments when they are least 
equipped to do so.
    Preservation, on the other hand, does not mean defending 
the status quo. Preserving the VA means reforming it, with 
seriousness and resolve. It means modernizing facilities, 
investing in digital health infrastructure, streamlining our 
claims processing, and holding leadership accountable for 
performance. It means expanding our mental health capacity, 
strengthening rural access, and ensuring that care keeps pace 
with evolving medical science.
    Most importantly, preservation means recognizing that VA is 
not simply a health care provider. It is a covenant with those 
who have earned its services.
    [Applause.]
    Mr. Nee. If our Nation is serious about honoring the 
promise made to those who served, then our priorities must be 
clear. Here are some of DAV's critical policy goals for this 
year.
    First, we must make the claims and appeals process work for 
veterans, not against them. Timely, accurate decisions are not 
a courtesy; they are a moral obligation.
    [Applause.]
    Mr. Nee. We must also strengthen presumptive policies so 
that veterans exposed to toxic substances are not forced to 
prove what history and science already know. No veteran should 
have to be forced to wait decades for the health care and 
benefits that they have already earned.
    [Applause.]
    Mr. Nee. Equally urgent is closing the gaps in mental 
health care and suicide prevention. Every veteran in crisis 
deserves immediate, comprehensive support, because no one who 
has served this Nation should ever feel forgotten or alone.
    [Applause.]
    Mr. Nee. Our survivors also deserve better modernizing and 
strengthening their benefits ensures financial security after a 
veteran is gone. Their sacrifices have earned the gratitude of 
a grateful nation, and we must never neglect them.
    [Applause.]
    Mr. Nee. As veterans age, long-term care must keep pace 
with their needs. That means expanding assisted living options 
and strengthening support for caregivers, many of whom bear 
enormous responsibilities with limited resources. These unsung 
heroes deserve not just our thanks but meaningful support that 
makes a difference in their lives.
    [Applause.]
    Mr. Nee. We must also protect veterans' programs from 
arbitrary budget caps and PAYGO offsets that quietly erode 
funding year after year. Our nation should never balance its 
budget on the backs of those who have stood to defend it. They 
already paid.
    [Applause.]
    Mr. Nee. And finally, just last week, a new regulation was 
published by the VA. It would have reduced compensation for 
some disabled veterans simply because they take medication for 
their service-connected disabilities. We are pleased Secretary 
Collins listened to veterans and announced that the VA would 
not be implementing the rule. No veteran should be penalized 
for taking the medication they need to survive.
    [Applause.]
    Mr. Nee. Every generation of veterans inherits a system 
built by those who came before. The VA that treated World War 
II veterans, like my dad, enabled the care of Korea and Vietnam 
veterans. The reforms driven by Gulf War veterans like myself 
laid the groundwork for post-9/11 care. What we decide now will 
determine whether future veterans inherit a robust, integrated 
institution or a patchwork of programs that treats their needs 
as transactional rather than holistic. The choice before us is 
not between reform or stagnation. It is between responsibility 
or retreat.
    The VA stands at a crossroads. History will judge which 
path we choose. What lies beyond is not merely an institutional 
outcome but a statement of our national character. Let us 
choose preservation. Let us choose reform. And above all, let 
us choose to keep the promise to those who have always kept 
faith with us.
    [Applause.]
    Ladies and gentlemen, that concludes my testimony. May God 
continue to bless DAV, the men and women who serve our great 
nation, and the United States of America. Thank you very much.
    [Standing ovation.]

    [The prepared statement of Mr. Nee appears on pages 49-82 
of the Appendix.]]

    Chairwoman Mace. Alright. Beautifully stated with a 
beautiful Boston accent, so thank you.
    I'm going to recognize myself. We will have approximately 
three minutes each on this initial round, and I am going to 
recognize myself for questions.
    Commander Nee, how important is community care for 
veterans, home health care in rural and remote areas?
    Mr. Nee. I believe integrated community care with VA 
facilities is critical for a lot of our rural veterans. Many of 
these areas that we go to don't have ready access to VA 
services right away. It is why I am very proud of our DAV 
transportation network. We are getting many of these veterans 
to their medical appointments. But integrated, coordinated care 
with our VA services is something that DAV has for a long time 
supported. But it has to be done in the right manner and it has 
to be integrated with their VA health care records, that we are 
collecting that data nationwide.
    Chairwoman Mace. And in addition to transportation means, 
are there other things that we can be doing to improve 
community care in rural areas?
    Mr. Nee. Yes. If you don't mind I want to answer your 
question, Madam Chairwoman, but I also have some great experts 
up here, as well, so I may refer to them occasionally, just to 
give some follow-up background. And I know Jon Retzer, our 
National Legislative Director, might have some comments.
    Mr. Retzer. Great question, Chairwoman. I appreciate that. 
And with community care, one of the things that we really want 
to see is, first and foremost, the standards that VA has in 
training is also extended and required by our VA community 
providers. And why is that? When you look at the toxic 
exposure, traumatic brain injury, women veterans, special 
needs, those all need levels of competency that meet the 
standards of the very diverse needs of our population. So that 
is one of them.
    The second part is we need a robust interoperable system. 
The Electronic Health Record Modernization, as we watch VA go 
through '26 and '27 as they deploy to 13 in 26 sites, we really 
need to make sure that they have taken and addressed all of the 
incidents that you have all identified that are concerning and 
safety issues, and make sure that they roll it out very 
seamlessly, and ensure that change management within the staff 
is also adopted. And that is working between DoD, VA, and 
Community Care seamlessly.
    Chairwoman Mace. Thank you. And Commander Nee, my next 
question is for you but you may ask somebody else. In some of 
your testimony you have discussed alternative therapies in 
health care. Any thoughts on any technologies that are more 
valuable than others? What should we be focused on on 
alternative therapies or tools for recovering and healing for 
our veterans when they come home?
    Mr. Nee. Great question, Madam Chairwoman. Yes, I 
personally am a huge believer in alternative therapies. I, 
myself, have used alternative and naturalistic therapies for my 
own disabilities. We have done a significant amount of work on 
that, and in fact, we have done a significant amount of 
research.
    I believe, Jon, would you like to weigh in a little bit on 
some of the specifics?
    Chairwoman Mace. We only have a few seconds left before I 
have to hand it off.
    Mr. Retzer. Great. Actually, what we look at is alternate 
options, and we really appreciate the alternate options, doing 
research on psychedelics. We are looking at options in how HBOT 
can have efficacy with regards to our post-traumatic stress 
disorder. And we are continuing to also ensure that our woman 
veterans, with regards to menopause research, is also there.
    Chairwoman Mace. All right. Thank you. And I now yield to 
Ranking Member Takano. Thank you.
    [Applause.]
    Mr. Takano. Mr. Nee, how would you characterize this past 
year in terms of information flow between the Department and 
the VSO community?
    Mr. Nee. Yes, I know Jim Marszalek, our Washington 
Executive Director deals directly every day with the VA, and I 
would like him to weigh in a little bit. But before that I can 
say that honestly, over the years what I have seen is when your 
vet service organization community has an active working 
partnership with VA, the system is a lot better and more gets 
done.
    Jim, would you like to weigh in on the specifics of this 
particular conversation?
    Mr. Marszalek. Yes. Thank you, Commander, and thank you, 
Ranking Member Takano for the question. I think the Commander 
said it perfectly, as well, that working together is very, very 
important. So if we are able to collaborate more, the better 
off VA is going to be, as well, as you have just seen last week 
what occurred. I think if we were involved earlier we could 
have told them, ``Hey, this is not going to go over well in the 
veteran community. This is not a good thing for veterans at 
all.''
    So the collaboration has improved a little bit over the 
last year. I think Deputy Secretary Paul Lawrence was at our 
conference. He spoke on Sunday. Before he made formal remarks, 
I was able to meet with him. He did assure me we will be 
collaborating more. We have a meeting later this week to 
discuss a couple of things. So I am optimistic. I am excited 
about being able to sit down with him and his team and find out 
how we can work better together.
    Mr. Takano. Okay. Well, I am glad you are optimistic about 
that, that information flow seems to be improving. But I can 
tell you that I have seen that getting data from VA has been 
very difficult. This interim final rule being announced without 
any input from veterans, much less Congress, I thought was a 
huge misstep and a mistake.
    We have several bills that would radically improve benefits 
for survivors, like Love Lives On and Caring for Survivors. DAV 
supports these bills, right? Is that correct, Commander Nee?
    Mr. Nee. I believe we do. Jon?
    Mr. Retzer. That is correct, Ranking Member. DAV supports 
the Major Richard Star, Love Lives On, and we want to ensure 
that we bring the parity with all our veterans as they are----
    Mr. Takano. Well, great. Thank you. I know, as a 
nonveteran, I would never ask you or your members to bear the 
cost of your earned benefits. Would you agree that veteran and 
survivor benefits are earned and therefore should be paid by 
the general public?
    Mr. Nee. I would agree with that, Mr. Ranking Member. Thank 
you.
    Mr. Takano. I ask the same for the Major Richard Star Act. 
Should veterans shoulder the cost of the Major Richard Star 
Act?
    Mr. Nee. No, they should not. We are opposed to any 
reduction of benefits or services that help our injured or ill 
veterans in VA care.
    Mr. Takano. Should we allow arbitrary congressional rules 
to stand in the way of doing what is right for veterans?
    Mr. Nee. No.
    Mr. Takano. The answer is no. Thank you so much. I yield 
back.
    [Applause.]
    Chairwoman Mace. I will now recognize Ranking Member 
Blumenthal.
    Senator Blumenthal. Thank you, Madam Chair. Thank you for 
that excellent testimony, Mr. Nee. I have just a few questions. 
I am very interested in your emphasis on the need for standards 
for community care and at the same time improving the quality 
of care in the VA. If the emphasis is exclusively on expanding 
community care, doesn't that endanger the quality and 
availability of care for the VA, if all the resources go to 
community care?
    Mr. Nee. Thank you for that question. I believe if all the 
resources were going to community care, no, that would not be 
something we are in favor of. I believe VA works better if 
there is a coordinated community care network, but in my own 
experience, having that information and that medical record 
flow, flow from the community back into your VA record, helps 
tremendously.
    Senator Blumenthal. And you would agree that standards 
comparable to what the VA has to meet should be applied to 
community care. Correct?
    Mr. Nee. Yes.
    Senator Blumenthal. And information about what is happening 
in community care should be the same--the data, the basic 
information that is provided should be the same. Correct?
    Mr. Nee. Correct.
    Senator Blumenthal. And would you agree that there ought to 
be a commitment to repair and upgrade VA's aging 
infrastructure?
    [Applause.]
    Mr. Nee. I absolutely would agree with that, Mr. Ranking 
Member.
    Senator Blumenthal. And to replace the 30,000--yes, it is 
30,000--physicians, nurses, and others essential to VA health 
care should be filled and replaced. Would you agree?
    Mr. Nee. I would agree, and I think Mr. Retzer might have 
some thoughts on that, as well.
    Senator Blumenthal. Thank you.
    Mr. Retzer. Thank you, Ranking Member. I appreciate the 
line of questioning. And really what DAV has always supported 
is a balance amongst community care, but we have to make sure. 
If you look at our Veterans ``Independent Budget'' of Fiscal 
Year 2027, we have provided recommendations to decrease 
community care budget. And the reason is that we have got 
infrastructure issues, we have inflation market values that is 
really plaguing the Department of Veterans Affairs. We want to 
make sure that we internally strengthen VA's health care system 
to meet the needs of all of our veterans, to include rural 
veterans. So as you look at our report, it will give you some 
guidelines.
    One of the things that we noticed with the community care, 
too, is the cost of emergency and urgent needs and going out 
into community care. So we did a recommendation in our report 
citing a plus-up with regards to strengthening----
    Senator Blumenthal. Let me just speak because my time is 
about to expire. I am going to interrupt with apologies. We 
have encountered tremendous difficulty, and I will say on both 
sides of the aisle. I do not want to speak for anyone, but the 
flow of information from the VA has been highly obscure. And 
even after the last hearing that we had, when Secretary Collins 
promised to fully answer all of our questions, to this moment, 
we have received half or less than he promised to provide.
    So I hope you will join in this effort to demand full and 
complete transparency from the Department of Veterans Affairs, 
so that you can be effective advocates for the veterans of 
America.
    Thank you so much for being here today.
    Chairwoman Mace. Thank you, Senator.
    [Applause.]

                     HON. MORGAN LUTTRELL,
                 U.S. REPRESENTATIVE FROM TEXAS

    Chairwoman Mace. I will now recognize Representative 
Luttrell.
    Mr. Luttrell. Thank you, Madam Chairwoman. And it is good 
to be in the house with all my brothers and sisters. I miss you 
terribly, so I am glad everyone made the trip.
    [Applause.]
    Mr. Luttrell. You know for decades, Congress has 
appropriated millions and millions of dollars to the Department 
of Veterans Affairs for suicide prevention inside the VA. 
Millions of dollars. Decades and decades. And every year the 
suicide rate increases. We are losing that battle.
    You hear the number 22 veterans a day, up to 40 veterans a 
day. Does anyone on the panel know how many spouses of veterans 
commit suicide? Does anybody know the answer to that question?
    [No response.]
    Mr. Luttrell. From what I understand, every eight days a 
spouse takes his or her life. I do not know if that is 
concrete. I would like to put that onto the panel to find that 
answer out for me. But through my research that is what I am 
hearing. Every eight days, a spouse of a veteran takes their 
life.
    I heard you say that you are supporting alternative means 
of treatment, psychedelics, neuroplastogens. We are trying to 
find a name that does not scare everyone away. And to date, 
thousands and thousands of our brothers and sisters go overseas 
for this treatment, and it is highly effective.
    And out loud, I will say there are three Members of 
Congress--myself, Mr. Correa, and Mr. Bergman, that are openly 
engaged with the VA, with DoD, HHS, FDA, on moving research on 
these medications to save us from that one-inch pistol range. 
And to date, it is like pushing a wet noodle up a hill. It is 
amazing, and some of the responses I have gotten was like, 
``Well, how many do you actually think this will save? '' and 
my response is, ``One! If it saves one veteran [applause], we 
are moving in the right direction.''
    [Applause.]
    Mr. Luttrell. But we are not making enough noise. The three 
of us cannot do this alone. You would think in the House of 
Representatives this is where the power lives. But when I look 
out into the crowd, and if DAV supports this effort, I am 
calling for an all-hands muster. You have to be present. Is 
this direction the way that we want to go? I adamantly believe 
it is. It is either taking a step somewhere else or continuing 
down the road of opioids and SSRIs and all the other stuff that 
we pump into our bodies to make ourselves feel good, and that 
inevitably leads to one place for those unfortunate ones.
    And I do not have a question more than a statement. If we 
are all in, like we are when we are in combat, and you look to 
your left and your right and like, ``Hey, I'm with you. We're 
going,'' this is what we have to do. So I am asking for your 
help. When you travel around the lower chamber, the upper 
chamber, or you are hanging out at the Administration, ask 
these questions. Why aren't, why can't, or why haven't we moved 
research in the VA, in the DoD, and why isn't the FDA 
supporting this? Why is the FDA not supporting this? And God 
bless each and every one of you and your families for your 
service. Thank you.
    [Applause.]
    Chairwoman Mace. Amen. All right. Now I recognize 
Representative Pappas.

                       HON. CHRIS PAPPAS,
             U.S. REPRESENTATIVE FROM NEW HAMPSHIRE

    Mr. Pappas. Thank you, Madam Chair, and Commander, thanks 
very much for your testimony, and to all the members that are 
here in this room, thank you for service, for making this 
country so great.
    Commander, I share your deep concerns that you expressed 
about VA not being there for future generations and efforts to 
dismantle the workforce, to carry out reorganization without 
significant feedback from the veteran community and 
stakeholders, and to implement policies that threaten rather 
than increase or improve benefits, and how that will really 
undermine the ability of VA to be there and to deliver, and 
create this self-fulfilling prophecy around privatization, I 
think we all are in agreement we need to guard against.
    You asked an essential question, which is how will we keep 
our promise to those who have borne the battle? And then, 
conveniently, you gave us all the answer. You gave us a good 
roadmap in terms of what Congress needs to do to answer that 
question and to make good on the debt that we owe to all those 
who have worn the uniform of this country.
    And I regret that it has taken so long to get things like 
the Major Richard Star Act considered and across the finish 
line, things like the Love Lives On Act, which is really 
important to survivors.
    One issue that I hear, which is a top concern of veterans 
in New Hampshire and I believe across the country, that is 
always brought up to me, is dental coverage. And I know that 
Representative Brownley is not here. She has led on that issue 
for a number of years. But could you talk about this as a 
priority in terms of treating the whole veteran and making sure 
that we have the right providers at VA to be able to expand 
this and make sure that more vets get access to dental 
coverage?
    Mr. Nee. Yes, thank you very much for that question, 
Congressman. Dental care is essential. Dental care, proper 
dental care helps many of our veterans prevent cancer, 
diabetes, other very serious health issues. It helps in 
employment rates. I know when I got to many veteran homeless 
standdowns one of the major services that is provided, with the 
longest lines, is for the dental care, because that helps with 
them to get employment and it helps with their mental health. 
And I think if you talk to all of our members they will tell 
you, all of our service-connected disabled veterans in this 
country deserve comprehensive, holistic health care, and dental 
care is health care, period.
    [Applause.]
    Mr. Pappas. Thank you for that response. Absolutely. Well, 
I want to recognize the great veterans from the ``Live Free or 
Die'' State of New Hampshire who are joining us here. We had a 
conversation yesterday that touched on a number of issues. 
Included among those was dependency and indemnity compensation, 
which we know is a critical benefit to surviving spouses and 
family members who have supported our servicemembers and 
veterans. They talked about waits, people waiting months to be 
able to get access to these benefits. Do you have any 
recommendations for Congress on what we should be doing to 
shorten that timeframe and to make sure these benefits actually 
provide the kind of support that survivors and family members 
deserve?
    Mr. Nee. Yes, absolutely, we do. Thank you, that is a great 
question. I know we have worked extensively on this, and I 
believe Scott Hope has some very specific comments on this 
particular matter.
    Mr. Hope. Thank you, Commander, and thank you for the 
question. Our dependency and indemnity compensation is 
specifically for surviving spouses. Anything that we can do to 
bring in additional funds and parallel what other federal 
agencies have for individuals who pass away of a service-
connected disability, we would definitely support. We are 
willing to link shields to defend what is currently available, 
and we will raise our swords to assist you or any member of 
your staff to fight for something in the future.
    Mr. Pappas. Thanks for that commitment, for all that you 
do. I yield back.
    Mr. Nee. Thank you.
    Chairwoman Mace. Thank you. I now recognize Representative 
King-Hinds.

                   HON. KIMBERLYN KING-HINDS,
       U.S. REPRESENTATIVE FROM NORTHERN MARIANA ISLANDS

    Ms. King-Hinds. Thank you, Madam Chair. First of all, let 
me start off by saying thank you for your service and thank you 
for making your voices echo in the halls of Congress today. I 
honor you today with my thank you.
    I think, just listening in on the conversation, what we are 
all really talking about is reform, and I think that we can all 
agree that the VA needs reform, right? But the question here is 
how do we do that reform responsibly so that, one, it improves 
performance, but more importantly, delivers better outcomes for 
all of you? And I think in these conversations what I am 
looking for is trying to find that right balance.
    And so I want to ask any member of the panel who can answer 
this, what metrics should Congress monitor to ensure that we 
are improving access without hollowing out the VA facilities? 
At what point does expanding community care risk weakening the 
VA's internal capacity? As a non-veteran myself, these are the 
conversations that I would like to have so that I can make an 
informed opinion.
    Mr. Nee. Thank you very much for the question. Obviously, 
as someone who is reliant on VA health care for my own health, 
I am interested in that as well. I believe that we have done a 
significant amount of work on this, and let me ask Jon to give 
you a little bit of a background, please.
    Mr. Retzer. Thank you. And as we address the health care 
reform and how we balance community care, we have to address 
the access standards, which you have all done for some time, 
with CHOICE Act, MISSION Act. And now we are at a point where 
we also have the introduction of the ACCESS Act, which DAV 
supports. And we believe, as we look at it, not only do we have 
to look at the ACCESS Act with regards to how it facilitates 
services for the urban metropolitan, but we do have to address, 
very specifically, how do we do that differently for our rural 
and remote veterans, along with our women veterans. When we 
have over 1 million this year now enrolled in the VA health 
care system, they are the highest users of community care. So 
we have got to figure out how to bring that back into the VA 
health care system.
    So we do need to look at the model of health care and flip 
it maybe upside down to say it is not a hospital model only. We 
need to look at really strengthening the CBOC, and that CBOC 
methodology could really strengthen----
    Ms. King-Hinds. I am going to reclaim my time. I guess, 
what type of metrics should Congress develop when we are 
talking about actually addressing those issues?
    Mr. Retzer. Yes. And I think because we have such limited 
time we would love to work with your staff on it, and we have 
some recommendations within the Veterans ``Independent Budget'' 
that talks about the staffing, infrastructure, and the budget 
requirements.
    Ms. King-Hinds. All right. Thank you. I am about to run out 
of time, but just a quick question. If Congress does nothing 
differently over the next five years, what is the single 
greatest risk to the long-term viability of the VA system?
    Mr. Nee. Jon, would you like to----
    Ms. King-Hinds. And real quickly because I am out of time.
    Mr. Retzer. Yes. It is going to be that we need mandatory 
funding to keep it strong and healthy.
    Ms. King-Hinds. All right. Thank you. I yield back.
    Chairwoman Mace. Thank you. I know that Ranking Member 
Takano has a few more questions, so I will allow a second round 
two minutes. Our side went over by one minute, so I am going to 
give Ranking Member Takano three minutes. But before I do that 
I am going to say something real quick.
    I love what everyone has said here today, and Congressman 
Luttrell, I am with you. I suffer from post-traumatic stress 
disorder, and I have authored legislation on plant-based 
therapies. I have had a bill in the House and that companion 
bill was in the Senate with Senator Cory Booker and Senator 
Rand Paul.
    One of the problems up here, as Congressman Luttrell said, 
is that anything up here is like pushing a wet noodle up a 
hill--and I am going to steal that one. We really, to move 
things fast, it is not happening, and the stats on plant-based 
therapy for veterans who are suffering from PTSD and have 
suicidal ideation, the stats of success are through the damn 
roof. It is amazing what it has done to save lives. I mean, the 
majority of veterans who suffer from PTSD and pay thousands of 
dollars, or are sponsored by someone who can afford thousands 
of dollars to go down to Costa Rica or wherever for these 
plant-based therapies, in some cases it is over 75 percent of 
improvement. And why we are denying veterans the ability to do 
that unless they are in some sort of special program at Johns 
Hopkins, that the vast majority of vets cannot get into, is 
beyond me. Because it literally saves lives.
    So as Congressman Luttrell said [Applause], and as the 
daughter of a Vietnam veteran, I have been to a lot of my 
father's Vietnam reunions. They do not have them anymore. Last 
year was probably the last one. And I have talked with men who 
served with my father, who have a lifetime of trauma. And it is 
only by God's grace that they are still alive.
    So I really appreciate this very candid conversation, and 
we do need your voices here on the Hill. So thank you all and 
God bless you. And with that, Ranking Member Takano, you have 
got three minutes.
    Mr. Takano. Thank you. Commander, have you heard anything 
from your members about negative impacts to their health care 
due to VA staffing shortages?
    [Laughter.]
    Mr. Nee. Great question, Ranking Member Takano.
    Mr. Takano. Raise your hand if you have problems with 
staffing shortages at VA direct care.
    [Hands raised.]
    Mr. Takano. Go ahead and respond. And let the record show 
that nearly all of the audience raised their hands.
    Mr. Nee. No, it is a very serious issue, sir. And again, 
for those of us who rely solely on VA for our health care, 
timely and convenient appointments again are not just a 
courtesy. They are something that is an obligation.
    Mr. Takano. Have your members raised concerns about their 
care in the community?
    Mr. Nee. Yes. I have heard anecdotes around community care, 
issues around military service not being understood, 
insensitive comments, things of that nature.
    Mr. Takano. So the level of training and preparedness of 
community providers, as compared to VA providers, is a 
significant issue, would you say?
    Mr. Nee. It is a very significant issue.
    Mr. Takano. Would your members support training 
requirements for community providers?
    Mr. Nee. Yes.
    [Applause.]
    Mr. Takano. And should those requirements be enforced 
through the community care agreements? We are about to enter 
into a 10-year agreement. In other words, if VA has a 
requirement about suicide prevention and medications and 
opioids, should community care providers be trained in those 
standards as equally as they are within the VA?
    Mr. Nee. Yes. I mean----
    Mr. Takano. That was a problem a number of years ago.
    Mr. Nee. Correct. Community providers should have specific 
military training so that they recognize the issues that are 
very specific to our veterans.
    Mr. Takano. And my understanding is that previous 
contracts, and including going forward--in a hearing that I had 
previously on community care that VA told me that third-party 
administrators, that they are not required to do this, and so 
when they build the networks for community care providers they 
cannot really get their providers to do all these trainings to 
be up to the same standards as VA doctors and providers. Do you 
think that is a problem?
    Mr. Nee. I do think that is a problem, sir.
    Mr. Takano. And would you change that? Would you ask VA to 
make sure that third-party administrators build networks that 
require their providers to take the same training that VA 
doctors get?
    Mr. Nee. I would.
    Mr. Takano. I think we should do that.
    [Applause.]
    Could you elaborate on your written testimony regarding the 
risks to adequately staffing VA's own health care system that 
are presented by legislation that would create grant programs 
to fund services outside of VA?
    Mr. Nee. The specifics of that, I know Jon has done a lot 
of research.
    Mr. Takano. I have run out of time. I want to be respectful 
to the Chairwoman. But if you could quickly maybe get the 
written testimony to me.
    Mr. Retzer. We can get back to you on that question.
    Mr. Takano. Okay. Thank you.
    Chairwoman Mace. And thank you so much. Our first panel is 
now dismissed, and I want to thank you all for being here. We 
will take a three-minute recess to get the second panel 
installed. Thank you.
    Mr. Nee. Thank you very much.
    [Applause.]

    [Recess.]
    Chairwoman Mace. Good afternoon and welcome to our second 
panel. I want to thank you all for being here. We have a lot of 
information of important organizations to hear from on this 
panel, so I would like us to get right to it.
    Today we are joined by Lieutenant General Brian Kelly of 
Military Officers Association of America; Dr. Lindsay Knight of 
Blue Star Families; Mr. Tom Burke of Vietnam Veterans of 
America; Mr. Larry Wright, Jr., of National Congress of 
American Indians; Captain Rita Graham of Service Women's Action 
Network; Ms. Barbara Burt of Gold Star Wives of America; and 
Mr. Richard Brookshire of Black Veterans Project.
    Again, welcome to all of you, and to all of your members in 
the audience here today.
    Lieutenant General Kelly, you are now recognized for 5 
minutes for your opening statement.

                            PANEL II

                              ----------                              


 STATEMENT OF LT. GEN. BRIAN T. KELLY, U.S. AIR FORCE (RET.), 
   PRESIDENT AND CHIEF EXECUTIVE OFFICER, MILITARY OFFICERS 
                     ASSOCIATION OF AMERICA

    General Kelly. Thank you, Chairwoman Mace and although not 
here, thanks to Chairman Bost and Chairman Moran and to our 
Ranking Members Takano and Blumenthal, and all the 
distinguished Members of both Committees. On behalf of the 
Military Officers Association of America, thank you for the 
opportunity to appear before you today. I am honored to be here 
along with so many members of our community who work tirelessly 
to support and help those who serve and have served our 
veterans and their families, who allow our Nation to remain 
free and strong.
    I would like the MOAA members and staff who are here today 
to stand. They represent more than 356,000 members whose voices 
strengthen our advocacy and who work to preserve and protect 
the earned benefits of over 22 million Americans who serve, 
have served, their families and survivors across all ranks and 
all uniformed services. Thank you.
    Let me begin by thanking both Committees for your 
leadership in advancing the Veteran Caregiver Reeducation, 
Reemployment, and Retirement Act, MOAA's top veterans' health 
care priority this year. This legislation includes meaningful 
steps to address the financial, professional, and emotional 
burdens borne by caregivers who enable veterans to live with 
dignity and independence. As the bill progresses, we 
respectfully respect your continued support to bring it to the 
floor in both chambers and ensure its passage. As strengthening 
education, employment, and retirement opportunities for 
caregivers honors their service and helps family members avoid 
choosing between caring for a veteran and securing their own 
future, all while reducing long-term reliance on public 
assistance.
    You have my written testimony, but today I am focusing my 
opening remarks on two priorities that go to the heart of the 
system integrity and long-term force sustainability: the GUARD 
VA Benefits Act and the TAP Promotion Act.
    First the GUARD VA Benefits Act. Federal law establishes 
who may charge veterans for assistance with VA disability 
claims. That law exists to protect veterans, preserve the 
integrity of the claims process, and ensure accountability for 
those who operate within it. When criminal penalties for 
unaccredited were removed in 2006, Congress did not authorize a 
new industry to emerge outside the existing framework. Yet that 
is exactly what has happened. Unaccredited, for-profit 
companies now openly charge veterans for services that federal 
law already restricts. They operate beyond VA oversight and 
without meaningful consequences.
    Faced with growing claims volumes, the answer cannot be to 
simply change the law to accommodate those who are breaking it. 
If the system is under strain, our responsibility, all of our 
responsibilities, is to fix the system, not to legitimize 
practices that siphon earned benefits away from veterans.
    As someone who has spent decades in uniform, responsible 
for people, processes, and accountability, I can say this 
clearly. Weakening standards to compensate for system stress 
only compounds the problem. It erodes trust, which is our 
ultimate currency, undermines legitimately accredited 
representatives, and sends the wrong message to servicemembers 
who expect the rules to apply evenly.
    The GUARD VA Benefits Act restores accountability without 
restricting access to lawful, accredited assistance. It 
reaffirms that the solutions to system challenges is better 
performance and better oversight. MOAA urges Congress to 
advance this legislation and make clear that earned benefits 
belong to veterans, not to companies exploiting gaps in 
enforcement.
    Second, the TAP Promotion Act. MOAA believes that service 
does not exist in silos. It begins the day someone raises their 
right hand, and it continues into burial honors. From a 
readiness enforced management perspective, the transition from 
servicemember to civilian is truly a consequential period, not 
only for the individual but for the credibility of the all-
volunteer force. Yet transition outcomes vary widely. Too many 
servicemembers leave uniform not understanding their earned 
benefits, available resources, or where to turn to for trusted 
help. That lack of continuity increases the risk to the 
veteran.
    As both an MSO and a VSO, MOAA occupies a unique position 
in this space. We support servicemembers while they are still 
in uniform and continue that support throughout their life as a 
veteran. That continuity matters.
    The TAP Promotion Act strengthens outreach, improves 
consistency, and ensures servicemembers and their family 
members receive timely, accurate information before separation, 
not after problems arise. It reinforces connections to 
organizations like ours and the others at this table who are 
there testifying before this Committee, that remain with 
veterans long after their service departs.
    This belief in lifecycle responsibility is also why MOAA 
launched the TotalForce+ Conference. With TotalForce+ we bring 
together leaders from the uniformed services, the Pentagon, the 
VA, the Congress, industry, and the nonprofit community to 
collaborate and advance solutions across this lifecycle 
together. There are plenty of venues that focus on the types of 
the next ships, the next planes, the next tanks, the next 
weapons. TotalForce+ focuses on the people who make strong 
national defense possible, because outcomes improve when 
responsibility is shared rather than passed along, and 
everybody believes that people truly outrank everything.
    From first salute to final honors, how we care for those 
who serve and those who stand beside them directly impacts who 
will be willing to serve next. That group of people that was 
behind us before with those hats on are your biggest advocates. 
How they are treated will tell whether they tell somebody else 
to serve, and that is important.
    MOAA stands here today ready for you to serve, and I thank 
you, and I look forward to your questions.

    [The prepared statement of General Kelly appears on pages 
83-110 of the Appendix.]

    Chairwoman Mace. Thank you. I would now like to recognize 
Dr. Knight for 5 minutes for your opening statement.

               STATEMENT OF LINDSAY KNIGHT, PHD,
            CHIEF IMPACT OFFICER, BLUE STAR FAMILIES

    Ms. Knight. Thank you, Chairwoman Mace, Chairman Moran, 
Ranking Members Blumenthal and Takano, and distinguished 
Members of the Committee. Thank you for the opportunity to 
provide testimony on Blue Star Families' 2026 priorities.
    Blue Star Families is the Nation's largest military and 
veteran family supporting organization. Its research-driven 
approach builds strong communities with a focus on innovative 
and data-informed solutions. Since 2009, our research has 
gathered trusted feedback from over 150,000 active-duty and 
veteran-connected families. Our goal is to enable military-
connected families to thrive in the communities that they call 
home.
    Since our founding, Blue Star Families has delivered more 
than $336 million in benefits, counts over 440,000 members, and 
supports more than 1.5 million people annually. Thirty-three 
percent of our membership base is comprised of veterans, 
veteran spouses, and veteran family members.
    Using this data and member insights as our guide, Blue Star 
Families has three primary legislative priorities in 2026.
    The first one, in 2022, as a result of the Commander John 
Scott Hannon Veterans Mental Health Care Improvement Act of 
2019, Blue Star Families was awarded funding by the VA under 
the Staff Sergeant Parker Gordon Fox Suicide Prevention Grant 
Program. Blue Star Families appreciates the extensive work your 
two Committees have done to extend this program past the 
original three-year pilot legislation, but we call on you both 
to work together to extend the program for at least another 
three years, and then to work toward a long-term authorization 
for the most successful initiatives.
    As recipients of the Staff Sergeant Fox grant, Blue Star 
Families operates a program, Blue Star Support Circles Upstream 
Solutions to Crisis. Through this community-based suicide 
prevention program, we prioritize veterans who are at risk of 
suicide by ensuring that their friends and family members can 
recognize and understand signs and intervene before a veteran's 
struggle becomes a crisis.
    As a quick aside to Representative Luttrell, because he 
brought up the question of how many veteran spouses die by 
suicide a year, I do not have the number of veteran spouses but 
I do have the most recent number from a DoD annual report in 
2023 on suicide in the military. That report states that 146 
family members, 93 of which were active-duty spouses, died by 
suicide. I think it is an open question and one that our 
research team is certainly interested in pursuing in 
partnership with the VA to find out what the corollary number 
is for veteran spouses.
    But I also wanted to point out this is why community- and 
family based interventions and programs matter. Servicemembers 
do not stand on their own. They stand as part of a unit, 
whether that is a family, a community. They are connected to 
others, and oftentimes those individuals are most able to tell 
when a crisis is going to happen before the emergency is at our 
feet. That is the entire theory of change behind our program.
    To date, nearly 200 individuals have completed this eight-
week nonclinical program with Blue Star Families. Support 
Circles was externally validated by the University of Alabama, 
and participants demonstrated through pre- and post-surveys 
statistically significant improvements in their capacity to 
help others experiencing suicidal thoughts and their own self-
efficacy to intervene.
    Our program increased participants' confidence in 
discussing suicide from 55 percent to 74 percent, enhance 
knowledge of appropriate language and resources, and 
significantly imparted skills to mitigate factors for loved 
ones who might be having thoughts of suicide. Additionally, the 
share of participants indicating that all firearms were stored 
and unloaded increased from 30 percent to 43 percent as a 
result of this program.
    Veteran suicide prevention, however, is not nice to have. 
It is a moral imperative. I think everyone in this room would 
agree with that. And it also saves VA health care resources 
when done right and done upstream and in a preventative 
fashion.
    In 2025, using the first three years of participant data, 
we had an external firm conduct an economic analysis of 
outcomes. That analysis projects that the Blue Star Support 
Circles generate health care and economic cost savings 17 times 
greater than program costs. That amounts to roughly $13,247 of 
net cost savings per cohort participant. Our participants show 
measurable PHQ-9 depression improvements, reducing major 
depressive disorder-related health care costs, and preventing 
costly emergency visits and psychiatric hospitalizations.
    The second legislative priority that we have is that we are 
calling on Congress to enact the Building Readiness and 
Integration for Dependents Going to Civilian Environments Act. 
This is sponsored by Senator Alex Padilla and Representative 
Sanford Bishop and Jen Kiggans. The measure would establish a 
three-year pilot project at four U.S. military bases where 
national organizations serving the military and veteran 
community would coordinate the extension of military transition 
services to military families.
    Challenges veterans face around transition are persistent. 
In our 2025 annual ``Military Family Lifestyle Survey,'' 58 
percent of veteran respondents described their overall 
transition from military-to-civilian life as difficult or very 
difficult, and 44 percent found it more difficult than 
expected. The transition from military-to-civilian life is not 
just a personal journey for the servicemember, it is a profound 
change experienced by the entire family. However, many support 
services for spouses cease at the time of separation, which is 
often when families require it the most. Successful military-
to-civilian transitions depend on comprehensive support 
strategies that recognize the unique needs of veteran family 
members, not just in their capacity as caregivers but as 
individuals navigating a significant transition themselves.
    A true measure of a successful transition extends beyond 
the veteran's employment or access to benefits is reflected in 
the family's stability, well-being and connection to their 
community as they establish their new life as a veteran family.
    Finally, Blue Star Families calls on Congress to pass the 
Major Richard Star Act. As many of you know, this bill will 
allow 52,000 combat-injured, medically retired veterans to 
receive their earned retirement pay and disability compensation 
without offset. The Star Act has 315 House and 77 Senate co-
sponsors. That is three-quarters of Congress. And it could pass 
today if brought to the floor on each side of the Capitol.
    Thank you all and distinguished Members of the Committee 
for inviting Blue Star Families to provide our priorities, 
views, and research. I am happy to answer any questions.

    [The prepared statement of Ms. Knight appears on pages 111-
121 of the Appendix.]

    Chairwoman Mace. Thank you. I would now like to recognize 
Mr. Burke for 5 minutes for your opening statement.

          STATEMENT OF TOM BURKE, NATIONAL PRESIDENT,
                  VIETNAM VETERANS OF AMERICA

    Mr. Burke. Chairman Moran, Chairman Bost, Ranking Members 
Blumenthal and Takano, I appear before you today as a Vietnam 
veteran and the proud President of Vietnam Veterans of America, 
an organization born not from comfort or consensus but from 
necessity.
    Our motto is simple, and it is unyielding: ``Never Again 
Will One Generation of Veterans Abandon Another.'' That promise 
was forged by Vietnam veterans who came home to a country that 
did not know what to do with us. We did not return to parades, 
gratitude, and too often we had returned to silence. Some 
questioned even if Vietnam was a real war. We learned quickly 
that if veterans did not fight for each other, no one else 
would. So we fought. We fought for ourselves when no one else 
would, and we won battles many said we could not win.
    Long before PTSD had a name, Vietnam veterans forced this 
Nation to recognize invisible wounds as real injuries. Long 
before Agent Orange or toxic exposure were politically safe to 
acknowledge, we demanded accountability for harms caused in 
service to this country.
    There were no playbooks, no large budgets--only conviction, 
perseverance, and the refusal to be ignored. That is how 
Vietnam Veterans of America was built. We may not have the 
largest balance sheets, but our passion is rooted in lived 
experience and the hard, hard knowledge of what happens when a 
nation looks away from those it they sent to war.
    That is why, although our name reflects one generation, our 
mission has never been confined to one. We speak today not only 
for Vietnam veterans but for all veterans, because we know what 
abandonment looks like, and we will not allow it to be 
repeated. Never again will one generation of veterans abandon 
another.
    That history brings me directly to the Vietnam Veterans' 
highest priority, the full accounting of our prisoners of war 
and those still missing in action. For those who served, this 
is not an abstract. These are names not in the database. They 
are friends we trained with, people we served beside, and we 
expected them to come home.
    The promise that no one would be left behind did not end 
when the battle stopped, and it does not weaken in time. That 
is why VVA has never wavered on POW/MIA accountability for all 
wars. It is a sacred obligation, not a discretionary program.
    Reducing budgets for the agencies responsible for 
recovering our missing servicemembers is unacceptable. It 
breaks faith with families who have waited decades and with 
those currently serving who trust their country will not forget 
them. Accounting for the missing is not about the past. It is 
about trust.
    Vietnam Veterans of America also carries the same sense of 
passion into a cause that our members know all too well, a 
fight for veterans exposed to toxic exposures. For too many of 
us the war did not end when we came home. It followed us. It 
surfaced years later in our bodies, and too often in our 
families. Vietnam veterans were exposed to Agent Orange long 
before anyone was willing to admit what it was doing to our 
bodies. And evidence now demands serious research into toxic 
exposure may affect spouses and biological descendants.
    This fight is not limited to one generation. Vietnam 
veterans have stood with all veterans who have been harmed by 
toxic exposure, including those suffering from the Gulf War 
illness, whose symptoms were dismissed for far too long. We 
push for recognition because we know exactly what happens when 
denial replaces accountability.
    This nation must fully accept this responsibility to every 
veteran harmed in service, and the Vietnam veterans will 
continue to speak about this.
    And this brings me to what deeply--veterans must never be 
used as political leverage. No veteran should ever be helped, 
or ignored, because it is politically convenient. Care must 
never depend on party loyalty, polling, or legislative timing. 
When veterans become bargaining chips, progression stops, trust 
erodes, and real people pay the price. Vietnam Veterans of 
America did not pick sides. We pick outcomes, and we will work 
with anyone, of any party, who is serious about delivering 
results for those who served.
    Vietnam Veterans of America will continue working across 
the aisle on a wide range of legislative issues. We look 
forward to working with both Committee and every Member willing 
to engage in good faith. We will offer our expertise directly 
to any office, wherever it is helpful, because results matter 
more than credit.
    Before I close I must ask, how a nation that asks so much 
of its servicemembers can accept that so many will die from 
suicide, sleeping in the streets, or fall apart in transition 
once the uniform comes off? How do we explain that the danger 
does not end when the service is over, be that in combat or any 
area of other service? How can we accept the danger continues, 
in paperwork, in silence? These veteran losses are mostly 
caused by delay, diffusion of responsibility, and the excuse of 
complexity. And when systems fail to act, veterans pay the 
price with their lives.
    These are our people. They stood watch, they carried the 
burden, and they deserve urgency. They do not deserve 
explanations about why help must wait. Vietnam Veterans of 
America will not accept a system that saves resources while it 
costs lives. Vietnam veterans taught this Nation something 
important, that progress does not come from waiting to be 
invited, it comes from showing up, from telling the truth, and 
from refusing to go away. That is who we are, and that is what 
we continue to be, as long as we have breath in our bodies.
    Thank you for the opportunity to testify.

    [The prepared statement of Mr. Burke appears on pages 122-
130 of the Appendix.]

    Chairwoman Mace. Thank you. I now recognize Mr. Wright for 
5 minutes for your opening statement.

 STATEMENT OF LARRY WRIGHT, JR., EXECUTIVE DIRECTOR, NATIONAL 
                  CONGRESS OF AMERICAN INDIANS

    Mr. Wright. [Speaks Native language.] Good morning, 
distinguished Members of the Committee. I address you in my 
Tribal language, my Ponca language, out of respect and to raise 
awareness for our Navajo Code Talkers, who were instrumental in 
helping our country during World Wars I and II.
    My name is Larry Wright, Jr. I am the Executive Director 
for the National Congress of American Indians. Previously I 
served as Tribal Chairman for the Ponca Tribe in Nebraska for 
11 years. I am also a proud veteran.
    Thank you for the opportunity to testify on behalf of 
American Indian and Alaska Native veterans, who continue to 
proudly serve this country at higher rates than any other 
demographic in the United States.
    As noted in my written testimony, the contributions of 
Native American veterans span from the Revolutionary War to 
today. Whether serving as Code Talkers during World War II or 
helping raise the American Flag at Iwo Jima, Native American 
veterans have demonstrated courage, commitment, sacrifice, and 
undeniable service to this country, many before we were even 
citizens of this country.
    Many of these veterans commit to continued service upon 
returning to their communities, whether in Tribal governance, 
community development, or other forms of public service. Native 
American veterans carry forward a long tradition of warrior 
societies, rooted in responsibility, protection, and 
leadership. This is why it is important that NCAI is here today 
to advocate for the needs of our veterans, including health 
care, housing, food, and other support mechanisms that ensure 
their continued success in contributions to our communities and 
this country.
    First, on health care. Since I last testified before your 
Committees, I am proud to report that the Congress has 
continually provided advanced appropriations for the Indian 
Health Service. Many of our veterans live far away from VA 
health care facilities, making IHS the only way for many of our 
veterans to access health care. I thank you for your support in 
this effort, and ask that you continue to ensure that Native 
American veterans relying on IHS receive the same advanced 
appropriations as the VA does.
    Second, on housing. Many of our veterans have difficulty 
finding safe and affordable housing on or near Tribal 
communities. NCAI supports the Native American Direct Loan 
Program, which provides necessary financing for homes located 
on Tribal trust lands at a 2.5 percent interest rate. Given the 
high cost of housing across the United States and the unique 
financing challenges associated with trust land, below-market 
interest rates are critical to putting our deserving veterans 
in healthy homes.
    To ensure that the program is successful, we urge Congress 
to provide a directive to the VA to put it into its current 
hiring freeze, and more specifically to hire necessary VA staff 
that can educate Native American veterans on the program and 
provide much needed technical assistance to improve its 
utilization.
    Likewise, NCAI strongly supports the continuation and 
expansion of the Tribal HUD-VASH Program. As part of this 
process, we encourage your Committees to remove any unnecessary 
restrictions for Native American veterans who reside in current 
assisted stock units. In some Tribal communities, these units 
are the only vacant units available to Native veterans. They 
should not be penalized because of limited housing options.
    Third, on food. NCAI has been paying close attention to the 
changes to the Supplemental Nutrition Assistance Program. We 
were disappointed to see that recent changes to SNAP removed 
the work requirement exemption for veterans, Native and non-
Native alike. The elimination of this exemption creates 
unnecessary burdens in accessing critical nutrition for the 
bravest among us, rather than serving as an incentive for 
employment. A significant portion of our veterans reside in 
remote Tribal areas where local unemployment rates are often 
three times or more the national average. In these regions, 
failure to secure a job that satisfies specific hourly 
requirements is more frequently due to geographic limitations 
than lack of effort.
    Fourth, on additional resources. The VA Advisory Committee 
on Tribal and Indian Affairs has served as a critical mechanism 
to ensure that Tribal voices remain at the table as the VA 
develops policies, programs, and services that directly impact 
more than 145,000 Native American veterans that the VA serves 
today. NCAI strongly believes that any disruption to the 
advisory committee's operations undermines the VA's ability to 
effectively serve Native American veterans. We urge your 
Committees to ensure that the advisory committee has the legal 
framework and financial resources required to meet its 
obligations.
    To this point, we appreciate the introduction of the 
National Veterans Strategy Act, which would establish metrics 
to determine the well-being of our veterans regarding their 
physical health, mental health, spiritual health, economic 
security and opportunity, education, family and social 
engagement, and civic engagement. This important bill 
rightfully recognizes Tribal governments and Tribal 
organizations as key stakeholders to determine these metrics.
    Indian Country knows firsthand the shortfalls that our 
veterans face, and we are eager to work with Congress to close 
those gaps. Thank you for your time. I am happy to answer any 
questions that you may have.

    [The prepared statement of Mr. Wright appears on pages 131-
136 of the Appendix.]

    Chairwoman Mace. Thank you so much. I will now recognize 
Captain Rita Graham for your opening remarks in 5 minutes.

           STATEMENT OF RITA GRAHAM, POLICY DIRECTOR,
                 SERVICE WOMEN'S ACTION NETWORK

    Ms. Graham. Good morning, distinguished Members. Thank you 
for the opportunity to testify today.
    My name is Rita Graham. I served as an Army Field Artillery 
Officer, and I now serve as the Policy Director for the Service 
Women's Action Network, or SWAN. On behalf of woman veterans 
everywhere and on behalf of SWAN, I respectfully highlight 
three priorities today.
    Number one, closing the gender-based research gaps under 
the PACT Act. Number two, restoring comprehensive reproductive 
health care access for veterans. And three, protecting 
evidence-based policies on women service and ground combat 
units. These priorities reflect what we are seeing from women 
veterans across the country.
    Veterans like me volunteered to serve, fully knowing the 
risks of combat. But what we did not expect was that after our 
service our access to health care and benefits that we earned 
could still depend on whether or not the VA systems recognize 
our service and sacrifice.
    Which leads me to priority number one, ensuring the PACT 
Act implementation fully addresses reproductive and fertility 
impacts. The PACT Act has been hugely successful in 
establishing long-term harms from toxic exposure. However, 
implementation gaps remain for women veterans specifically. 
Women veterans report substantially higher infertility rates 
than civilian women, yet researchers consistently identify 
significant gaps in data on reproductive health outcomes among 
women exposed to military environmental hazards. Substances 
linked to reproductive toxicity, miscarriage risk, and 
infertility are routinely encountered in everyday military 
environments from motor pools, maintenance facilities, and 
firing ranges.
    Yet infertility and many reproductive health conditions are 
not currently included among toxic exposure presumptive 
conditions. And proving service-connection can be particularly 
difficult due to complex nexus and service-connection 
requirements.
    While VA data shows success in women veterans' enrollment 
proportional to their population in toxic exposure screenings, 
however, the gap that we see today is that publicly available 
data related to claims approvals and denials and condition 
level outcomes are not consistently disaggregated by gender, 
making it difficult to fully assess whether benefits are being 
delivered appropriately.
    This issue is not whether or not women are being exposed to 
these chemicals. That has already been well documented. The 
issue today is that research systems to track these toxic 
exposures were built when the force was primarily male. 
Therefore, reproductive outcomes were not systematically 
tracked appropriately. Our challenge today is whether or not 
these outcomes are being fully and effectively measured.
    And let me be clear. This is not primarily a benefits 
issue. It is a measurement and accountability issue.
    SWAN urges Congress to require gender disaggregated 
reporting, prioritizing longitudinal reproductive health 
research, and ensuring veterans with service-connected 
infertility have clear treatment pathways. Recognizing 
reproductive harm from toxic exposure does not expand the PACT 
Act's mission but instead fulfills it.
    Priority two, restoring comprehensive reproductive health 
care access. In December 2025, the VA reversed its policy 
permitting reproductive health services in cases of rape and 
incest. This policy reversal affects countless numbers of 
survivors of military sexual trauma within the female veteran 
population. VA data proves that roughly 1 in 3 women will 
experience military sexual trauma throughout their life, and 
reporting under the Deborah Sampson Act has documented more 
than 1,500 instances of sexual harassment on VA campuses every 
single year.
    These data highlight the serious ongoing risk, where a 
veteran who survives sexual violence may seek care inside a VA 
system, yet lack the full range of pregnancy-related medical 
counseling available in their counterpart civilian health care 
systems.
    At SWAN, we believe that no veteran should lose their 
bodily autonomy because of their service to our country. SWAN 
urges Congress to ensure survivors of sexual violence have 
access to the same medically appropriate care available in 
their civilian health care counterparts.
    Our final priority number three, protecting evidence-based 
policies that affect women's military service. Last month, the 
Department of Defense announced a new or re-review of women in 
ground combat positions. This review comes despite more than a 
decade of research and operational experience that prove that 
integration challenges are solved through leadership, 
standards, and infrastructure, not inclusion.
    Today, there are approximately 5,000 women who serve in 
ground combat roles, and thousands more have already 
transitioned to veteran status, like myself. While not directly 
under the scope of this Committee, the policies that affect who 
can serve today will shape the population that the VA and this 
Committee will serve tomorrow. SWAN encourages continued 
oversight to ensure personnel decisions remain evidence-based 
to sustain a strong military.
    Before closing, SWAN would like to appreciate the VA's 
reversal of the interim final rule on medication and disability 
ratings, and hope this will lead to more transparency and 
congressional oversight for all future regulatory changes.
    In closing, when I became one of the first women integrated 
into a ground combat unit, I did not consider it a historic 
milestone. I was doing my job, as did so many other women 
veterans around the country. And now today we women veterans 
ask for something very simple. We ask that the veteran health 
care system and benefits fully reflect the realities of our 
service.
    Thank you, and I look forward to any questions.

    [The prepared statement of Ms. Graham appears on pages 137-
141 of the Appendix.]

    Chairwoman Mace. Thank you. I will now recognize Ms. 
Barbara Burt for her opening remarks.

STATEMENT OF BARBARA BURT, LEGISLATIVE LIAISON, GREATER BOSTON 
  CHAPTER AND NEW ENGLAND REGION, NATIONAL BOARD MEMBER, GOLD 
                  STAR WIVES OF AMERICA, INC.

    Ms. Burt. Chairwoman Mace, Chairman Bost, Chairman Moran, 
Ranking Member Takano, Ranking Member Blumenthal, and 
distinguished Members of the Committees, my name is Barbara 
Burt. I was born in Kansas, and now live in Hanson, 
Massachusetts, on a small farm. I appear today on behalf of 
Gold Star Wives of America, Inc., representing the widows and 
widowers across this Nation who have lost their spouses as a 
result of military service.
    Gold Star Wives of America was founded in 1945, to advocate 
for policies and financial support for military survivors and 
their children. Eighty years later, that mission remains as 
urgent as ever.
    I am the widow of Robert Burt Jr., who served in the United 
States Army Reserves and as a full-time recruiter in the Kansas 
Army National Guard. As the effects of Agent Orange emerged, 
Bob's health declined. In 2019, he was diagnosed with multiple 
system atrophy, a devastating neurodegenerative disease. Within 
two years it took everything from him, including his life.
    After Bob's death, I became trapped in grief. Gold Star 
Wives of America, Inc., became my restoration. Dependency and 
Indemnity Compensation, DIC, was created to prevent economic 
collapse after the loss of a servicemember. The word 
``indemnity'' recognizes the loss caused by military service is 
permanent, yet today that promise is not being fulfilled.
    As a new member of Gold Star Wives of America, Inc., I was 
struck by who these military spouses are. Many gave up careers, 
education, and financial security to care for their veteran. 
They met medical, emotional, and financial needs without 
guarantee of a future. When the spouse returned broken in body 
and spirit, or in a flag-draped casket, they stepped forward 
into a life of caregiving, loss, economic instability, without 
hesitation. They served a nation that has not always served 
them.
    For more than 30 years, Gold Star Wives of America, Inc., 
has advocated for updating the inadequate level of DIC. We are 
often told it costs too much. Meanwhile, I watch grieving 
spouses struggle with inadequate heat, food insecurity, housing 
instability, and unmet medical needs, and still show up. They 
show up for each other, for their communities, and for this 
country. These brave, selfless women and men validated my grief 
and showed me that purpose can grow from loss, what the Bible 
calls ``beauty from ashes.''
    Today most surviving spouses live on approximately $1,700 
per month from DIC. Some receive Social Security. Many do not. 
Every year that DIC remains inadequate, military spouses pay 
the consequences, not in theory but in daily hardship. That 
hardship means choosing between heat and medication, groceries 
and gasoline, it means delaying care, skipping meals, and 
living with the constant fear that one unexpected expense will 
undo what little stability remains. For many it means losing a 
family home and moving into shared or unstable housing.
    Members of the Committee, you can change this. H.R. 6047 
provides a modest but meaningful increase, and we thank 
Chairman Bost and the House Committee for advancing this bill. 
As noted at markup, this is a down payment, progress, not 
completion. That completion is S. 611 and H.R. 2055, the Caring 
for Survivors Act. Today, DIC replaces only 43 percent of 100 
percent disabled veterans' compensation. This bill raises that 
to 55 percent, aligning military survivors with other federal 
survivors. This is not just a matter of fairness. It is a 
matter of survival.
    H.R. 1685, the Justice for ALS Veterans Act, reflects 
medical reality. ALS carries a two- to five-year life 
expectancy. Policies requiring eight years of total disability 
create structural exclusion.
    We also support S. 410 and H.R. 1004, the Love Lives On 
Act, which affirms that our Nation's responsibility to military 
families does not end at loss. Chairman Moran, thank you for 
your leadership.
    Finally, we support H.R. 2264, the Service-Connected 
Suicide Compensation Act. Like the PACT Act, it shifts the 
burden of proof away from grieving spouses and toward fairness 
and compassion.
    Members of this Committee, we urge your favorable 
consideration of these bills and are confident that bipartisan 
leadership can move them to the President's desk.
    Thank you for the opportunity to testify on behalf of Gold 
Star Wives of America, Inc.

    [The prepared statement of Ms. Burt appears on pages 142-
148 of the Appendix.]

    Chairwoman Mace. Thank you. I would now like to recognize 
Mr. Richard Brookshire for 5 minutes for your opening 
statement.

STATEMENT OF RICHARD BROOKSHIRE, CO-CHIEF EXECUTIVE OFFICER AND 
               CO-FOUNDER, BLACK VETERANS PROJECT

    Mr. Brookshire. Chairman Moran, Chairwoman Mace, Ranking 
Members Blumenthal and Takano, and distinguished Members of the 
Committees, Black Veterans Project represents the first 
comprehensive reparative justice effort mobilizing Black 
veterans and military families systematically denied access to 
the GI Bill during the height of Jim Crow, as well as those who 
endured systemic racial inequities across the Department of 
Veterans Affairs benefits programs since the end of legal 
segregation.
    BVP leverages data-driven research, narrative storytelling, 
and impact litigation to redress the Federal Government's 
sustained legacy of racial bias that has siphoned an estimated 
$100 billion in wealth-generating opportunities from Black 
veterans and military families since World War II.
    While the families of white veterans now hold 32 times more 
wealth than those of Black veterans--a gap of $164,000 per 
household--Black veterans remain twice as likely to live in 
poverty and represent fully one-third of the homeless veteran 
population.
    Since 2020, Black Veterans Project has worked with Yale Law 
School and the National Veterans Council for Legal Redress to 
FOIA internal VA data exposing the systemic denial of billions 
in disability pay to Black veterans in the post-9/11 era. Monk 
v. United States, a legal case leveraging these findings, is 
poised to become the first race-based class action reckoning 
with the legacy of racial discrimination in VA's benefits 
programs.
    While more recent disparities at VA has taken years of 
strategic advocacy to bring to light, efforts to further 
investigate and address systemic inequities were haphazardly 
upended last year, when the Office of Equity Assurance was 
liquidated under the auspices of government efficiency.
    For decades, VA flat-out ignored repeated requests by 
advocates to access its racial data. A 2021 lawsuit by Black 
Veterans Project compelled the release of just two decades' 
worth of disability grant rate data by race, substantiating 
what Black veterans and advocates had long suspected--sustained 
and systemic disparities in the administration of a veterans' 
benefits program. Despite a government record spanning the 
widespread obstruction of Civil War pensions through the 
multigenerational obstruction of veterans' housing, education, 
and healthcare benefits from World War II through the Gulf 
Wars, accountability remains elusive.
    In January 2024, VA summarily eliminated its diversity, 
equity, and inclusion initiatives focused on improving outreach 
to minority, women, and veterans adversely affected by 
persistent inequality. Seemingly overnight, it terminated more 
than 60 employees and reallocated more than $14 million in 
earmarked funding to wage a war shameless war on ``woke.'' Now, 
innocuous rule changes and unregulated artificial intelligence 
are wreaking havoc in ways that will undermine access, with too 
few guardrails in place to ebb their impact.
    The deployment of anti-diversity, equity, and inclusive 
narratives, levied through dubious Executive orders, has sown 
confusion and fear, threatening those working to mitigate 
adverse discriminatory outcomes at VA and beyond. The very 
systems built to catalyze integration and guarantee 
accessibility for all veterans have been eroded for partisan 
political gain, and the dignity of our Nation's veterans has 
become collateral damage for an anti-woke agenda that serves to 
distract from the rapid privatization of our Nation's largest 
public health care system.
    Worse still, powerful forces are actively colluding to 
redefine who is entitled to the myriad of benefits earned 
through military service and whose contributions in uniform are 
ultimately remembered, honored, and uplifted.
    As we mark our Nation's 250th anniversary, historical 
erasure is adding insult to injury. The veneration and 
advancement of anti-democratic, discriminatory narratives and 
policies present a nexus of crisis across our Federal 
Government that must be confronted, and a decay of values that 
must be uprooted and repaired. Americans envision a multiracial 
democracy in which all veterans are respected and protected. 
That is not the moment in which we now find ourselves.
    We are at a pivotal crossroads where apathy, animus, and 
willful ignorance are converging. This must be met with moral 
clarity and conviction. The shared values of integration, equal 
opportunity, equity, and inclusion are structural necessities 
that equip the best of us to do the most for all of us. That is 
the America for which countless souls have perished, that is 
the America for which I donned a uniform, and that is the 
America your Committees must embody to adequately care for 
those who have borne the battle, no matter their identity.
    Black Veterans Project looks forward to working with each 
of you to repair past and present harms and to rebuild the 
public trust required for VA, veterans, and our Nation to 
thrive into the future. Thank you.

    [The prepared statement of Mr. Brookshire appears on pages 
149-155 of the Appendix.]

    Chairwoman Mace. Thank you so much, Mr. Brookshire. I will 
now recognize myself for three minutes of questions.
    My first question goes to you, General Kelly. The barriers 
within the transition process preventing veterans from 
accessing and understanding their benefits, what are those 
barriers?
    General Kelly. First, thanks for the question, Chairwoman, 
and thanks for having us here again today. I think first and 
foremost, when you get into those room--you know, I have gone 
through the Transition Assistance Program, as many of the 
veterans, I am sure, Representative Luttrell went through, as 
well--you get in there and there is focus on a very short 
period of time, and most people are focused on only their 
disability claims, the information that comes out and what is 
going to happen. There are so many other benefits and so many 
other things that have to happen that the information is not 
necessarily passed in the right way.
    In addition, to make the connections that have to happen 
afterwards, to help people make their transitions to the VA and 
access to all those other benefits and have continued--
continued--continuity in that really requires a focus, for 
which many of the VSOs, many of the MSOs that you see here, are 
prepared and set to do that, not just on the disability side--
in fact, we do not even do disability claims at MOAA--but to 
make sure that those veterans have access to all of the 
benefits that they have, and have information from a trusted 
source, so that they do not go looking for somebody who is out 
there just doing it for profit.
    Chairwoman Mace. And so what are some of those key benefits 
you think that they are missing hearing about?
    General Kelly. Education, housing, other health care that 
is not related to disability claims. There is a variety of 
those in there that they have earned through their service, 
that are just being lost, or sometimes they are being sent to 
folks who are there to prey on them in regard to helping them 
get a disability outpayment, for which then they will reap the 
benefits, which is unfortunate for our veterans.
    Chairwoman Mace. I think we call those sharks, right?
    General Kelly. Yes, we do. That is correct.
    Chairwoman Mace. And then how do we, I guess for that 
continuity, making sure they know all their benefits, how do we 
remove some of those barriers? What are some of your ideas?
    General Kelly. I think we have looked at some of them in 
our written testimony, but certainly the work that is being 
done for the GUARD VA Act, to help make sure we police some of 
those sharks, as you called them, out of there is important, 
make sure we get the right groups of people involved in that 
transition so that the connections and the discussions can be 
made, and we can know who the trusted sources are so the 
veterans, even if they do not have the information the first 
time, have the right places to follow up and make sure that 
they get access to all of their benefits.
    Chairwoman Mace. Thank you. And I have 45 seconds left, 
Captain Graham. My last question is for you. How can the VA be 
more efficient with how it delivers benefits to veterans, their 
families, women, et cetera, everything you talked about?
    Ms. Graham. Thank you for the question. I think, first of 
all, just having proper reporting data coming from the VA up. 
The question obviously is how to receive the benefits, but the 
VA needs to know what issues there are. A lot of the data that 
we pull is anecdotal from individuals. The VA just needs a 
better understanding of what these issues are for service 
women, and that comes from better research, disaggregated by 
gender.
    Chairwoman Mace. Okay, thank you. I would now like to 
recognize the Ranking Member.
    Mr. Takano. I will yield to Senator Duckworth.
    Chairwoman Mace. Okay. Senator Duckworth, you are now 
recognized.

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

    Senator Duckworth. Thank you, and I want to thank the 
Ranking Member, Congressman Takano for yielding to me. I am 
running a little behind schedule.
    From the moment my buddies carried me to safety, I have 
dedicated my life to supporting our Nation's veterans and 
serving them, in order to try, in a minuscule way, honor their 
bravery and their sacrifice. That mission is why I am here 
today as a Member of Congress, and that is why I continue to 
join you in fighting tirelessly against Donald Trump's attack 
on the VA. Because I see clear as day that the end goal here is 
to privatize and eventually dismantle the VA, and this effort 
has started even before this Administration. It has been long 
ongoing, and we have been fighting this for a very long time.
    At this point, President Trump has fired more veterans than 
any other President in American history. He has taken an axe to 
the VA workforce. He has killed collective bargaining rights to 
instill a culture of fear, and consistently withheld oversight 
authorities from Congress. His Administration plans to gut the 
Veterans Health Administration's management structure and 
outsource $1 trillion away from VA clinicians and to a civilian 
provider network that does not have the specialized 
infrastructure to provide service-informed care.
    Over one year into his second term, there is still no clear 
strategy on how Donald Trump's VA plans to deliver more 
resources to veterans, not less. He claims that he cares about 
veterans, and I state, the President said, and I quote, ``Under 
my leadership our Nation will always uphold the legacy of our 
veterans, and as President I will always have their backs,'' 
end quote.
    Frankly, I am tired of his broken promises, and the veteran 
community should be too. His Administration has turned its back 
on veterans every single time an opportunity has presented 
itself.
    Secretary Collins' most recent ambush interim final rule, 
should be a sobering call to action. Do not be fooled. Until 
Secretary Collins rescinds that rule, it remains in effect. It 
remains in effect. If you think that this is the end of this 
Administration's effort to attack disability compensation, then 
you are wrong. If that was the case, Secretary Collins would 
have consulted all of us, or at the minimum rescind the rule 
and assert a clear consultation plan with all stakeholders 
being consulted, beginning with the Members of Congress, and 
then, of course, with the VSOs. You are the voice of our 
Nation's veterans, each and every one of you. You should have 
been consulted.
    This is not a Republican versus Democrat issue. This is not 
even a Trump issue. This is an issue of privatizing the VA, 
which has been an effort that has been underway for decades, 
and we must stand up to it. This is a veterans issue.
    And my promise, my commitment, is to fight to uphold our 
Nation's promise to veterans, even when that makes us unpopular 
and calls for confrontation. More than ever, Republicans, 
Democrats, and VSOs alike need to come together to protect our 
Nation's veterans. So, let's get to work to codify protections 
that ensure that Donald Trump, or any other future President, 
cannot come after veterans' disability compensation, ever 
again.
    Before I close, I want to get the panel's view on a 
particularly offensive angle of this ambush rulemaking that the 
public may not fully appreciate. And again, I want to establish 
a precedent that no future President, no future administration, 
regardless of their party affiliation, can do this ever again. 
So this question is open-ended to the members of the panel that 
is here.
    Can you explain why it was so inappropriate to use an 
interim final rulemaking process for such a controversial 
policy and address the message that is being sent by the 
Administration to the VSOs and the entire veterans community 
and seeking to jam this through before a single comment was 
filed? Basically, I would like each of you to explain to me why 
it is important that you should be consulted when such a rule 
is being made. General?
    General Kelly. Senator Duckworth, first, thanks for your 
support of veterans in what you do. It is amazing.
    You know, all of us think we have the ears of our veterans 
and have some information to provide, so transparency in terms 
of consulting us, giving us information, we think would have 
provided the Secretary and the VA with some information that 
may have adjusted the outcomes, which means anxiety and all the 
things that were associated with this recent thing would have 
been avoided. And we think that can happen in the future.
    This group of people has information to provide and should 
be consulted.
    Senator Duckworth. Anybody else?
    Mr. Wright. Yes. From Indian Country it is very important 
that we have those consultation processes and upholding the 
trust and treaty responsibility that the United States has to 
our Tribal people, and in this case, especially our veterans. 
When we look at, there are 145,000 Native veterans in this 
country, a law was passed creating a VA Tribal Advisory 
Committee, and this kind of information and that kind of 
consultation should have gone through that committee, that is 
upheld by law.
    Senator Duckworth. I was very proud when I was at VA, under 
General Shinseki, to set up the situation where we dealt with 
our First Nation veterans on a nation-to-nation basis. That is 
critically important, especially for a population that has the 
highest per capita service in our Nation's military than any 
other population. So thank you. I think you have a unique 
voice, and you should have a seat at the table, because your 
veterans, in particular, have unique needs that should have 
been addressed, and you were not consulted, and that is 
completely inappropriate.
    Ms. Graham. On behalf of Service Women's Action Network we 
also fully believe that the filing of the interim rule is so 
important because it has happened to us already, where the 
reproductive health access were taken away under an interim 
final rule. So this just shows a pattern of these unofficial 
systems without any of the veterans, the VSOs being consulted 
on ways to take away further and further minority health care 
and minority veteran benefits.
    Senator Duckworth. Thank you. You have been very indulgent, 
Madam Chairwoman.
    Chairwoman Mace. I have been very generous. It is fine. I 
want to hear from our veterans, and thank you, Senator 
Duckworth.
    Ranking Member Takano, you are now recognized for three 
minutes.
    Mr. Takano. Thank you, Madam Chair. Ms. Graham, my 
colleagues and I in both the House and the Senate have 
introduce legislation to overturn VA's final rule restricting 
abortion access. How important is it to your members to 
overturn this rule and allow veterans access to abortion?
    Ms. Graham. Thank you for the question. We believe it is 
incredibly important. If nothing else, there is no other health 
care in the VA system that men can have that women cannot, 
other than this abortion ruling. When these actions get taken 
place, women veterans are just told time and time again that 
our service does not count as much, it does not mean as much, 
and that we do not deserve the same benefits.
    Mr. Takano. Can you tell me, how do women veterans feel 
that they have put on the uniform of our country, put their 
lives on the line to defend the rights of all Americans, but 
yet have this right over their own health care taken away?
    Ms. Graham. It is insulting, both as a veteran, and on 
behalf of SWAN. It is insulting that the fact that our health 
care could even be limited in this system that we have earned, 
that we have deserved. So it is insulting, and it is also 
terrifying. Women veterans, especially, need trauma-informed 
care, that the VA is really excellent at providing, and it has 
only improved over the years. When we cannot receive trauma-
informed care for reproductive health access, women will die. 
Their health outcomes will be adversely impacted. So it is 
hugely detrimental.
    Mr. Takano. Thank you. Mr. Wright, how is the 
implementation of the Dole Act regarding awarding grants to 
states and Indian Tribes to improve veteran outreach, how has 
that been going this year?
    Mr. Wright. Indian Country is very thankful for the Dole 
Act and the impact that it has. And in particular, this law was 
signed in January 2025. Two landmark provisions that represent 
a significant step forward for Indian Country is expanding home 
ownership opportunities for Native American veterans----
    Mr. Takano. Excuse me, Mr. Wright. Is it going well? Is it 
not going well?
    Mr. Wright. It is. There are other opportunities that we 
would like to see continue to help with the Native American 
Direct Loan Program, HUD-VASH are two other programs that are 
very helpful for Indian Country.
    Mr. Takano. Well, thank you. Mr. Brookshire, last May, 
Black Veterans of America participated in our roundtable 
assessing disparities for minority veterans. And what we 
highlighted was the importance of the VA's now shuttered Office 
of Equity Assurance. What has been the impact that this office 
closure has had on your community?
    Mr. Brookshire. Thank you for the question. It is the 
inability to track data and to move on findings that the Office 
of Equity Assurance, findings that were beginning to 
materialize out of the office that were pinpointing where 
disparities were most concentrated and trying to get down to 
the root cause issues. Obviously that work has been abandoned.
    Mr. Takano. We have seen an explosion in the use of 
artificial intelligence at VA, in both clinical and non-
clinical spaces. What concerns do you have about these use 
cases, and what recommendations do you have for better 
protecting veteran data as AI continues to expand at VA?
    Mr. Brookshire. The use of AI at this point is an evolving 
technology with a lot of concern about exacerbating racial bias 
in the system, if implemented without proper oversight and 
regulation. And I believe that many veterans organizations, 
including Black Veterans Project, want an AI Veterans Bill of 
Rights, so that we understand how our data is being leveraged 
at any given moment.
    Mr. Takano. Thank you for that. Thank you, Madam.
    Chairwoman Mace. All right. I will now recognize Ranking 
Member Blumenthal for three minutes.
    Senator Blumenthal. Thank you, Madam Chair. I am going to 
go a little bit off script, because as you know, you are here 
on a very important day. It is the day of the State of the 
Union address. And typically a President delivering the State 
of the Union address talks about veterans. I certainly hope 
tonight President Trump will talk about veterans.
    And I have sort of a wish list. I don't know whether you 
do. I would like to see the President of the United States 
commit to immediate passage of the Richard Star Act. I would 
like to see the President of the United States commit to 
replace all of the 30,000 workforce who have been fired or 
encouraged to leave--positions that are open now and are 
essential to veterans' health care and other benefits. I would 
like to see him commit to restoring contracts. We do not know 
how many exactly, and we do not know which ones they are. But 
we know that hundreds have been canceled. The VA has not been 
forthcoming.
    I would like to see the President commit to the full 
funding of all the programs that benefit veterans, education 
and training that are so essential to their making productive 
lives when they leave active duty. And I would like to see him 
commit to rescinding the interim final rule that we have been 
discussing here today--rescinding it. The Secretary of the VA 
can do it right away, and I would like to see the President 
commit to it, as well as the reversal of the ban which--Ms. 
Burt, you were talking about--that bars providing reproductive 
health care to veterans.
    Those are just some of the steps that I would like to see 
him take. And I would like to invite anyone who wants to add to 
that wish list to do so now.
    Mr. Burke. Sir, if I might. The interim rule, according to 
our research, has been in existence since 1958, evaluating 
disability ratings in light of medications veterans are taking. 
This is really not a brand-new concept, but the way it was 
introduced created confusion and concern across the entire 
veterans community.
    VVA was engaged in professional dialogue with Secretary 
Collins and senior officials to ensure veterans were protected. 
Our concern is not political. It is about clarity, 
transparency, and ensuring no veteran is harmed, now or in the 
future.
    Never again means never again. Veterans should not be 
blindsided by regulatory action without clear communication and 
opportunity for input, which we never had, and we did not, 
obviously, have a clear communication from the VA. Our goal 
really is simple, is to protect veterans today and prevent 
problems for future generations.
    Senator Blumenthal. Well, thank you, sir. I hope the 
President is listening, or someone in the White House is 
listening to you, because that interim rule needs to be 
rescinded, or we need to do legislation that will, as you put 
it very well, clarify what the rules are and make sure that 
veterans understand, they do not have to sacrifice their 
medical benefits in order to comply with this rule, which is 
the threat that was raised, the confusion that was created, and 
the unfortunate impact on the veteran community without any 
real communication with them. Thank you.
    My time has expired. Thank you, Madam Chair.
    Chairwoman Mace. Yes. I will now recognize Mr. Luttrell.
    Mr. Luttrell. Thank you, Madam Chairwoman. Mr. Brookshire, 
ideally, in my opinion, as a veteran you are probably going to 
appreciate what I am about to say. The transition from active 
duty to veteran, it really does not exist as far as 
information, moving from one space to the other. In my opinion, 
we should be able to take all of the information, our service 
records, our medical records, everything that we have touched, 
tasted, felt, and smelled inside active duty, and it should 
automatically move into the veteran system. I am leaving the 
Navy, PSD says, ``hey look,''-- calls VA up,``Morgan is 
inbound.'' We are going to drag all the information that lands 
inside the VA. The VA says, ``I've got him. He's good to go,'' 
and everything is actioned.
    When I am dealing with VSOs, it touched the homeless 
population. The homeless population don't have all their 
information. They either lost it, or wherever that goes. How do 
we get out in front of the issue that affects our homeless 
population while they are still in the DoD? Is there a 
trajectory that we are missing? Is there information breakdown 
that we can catch? And when you are engaging with the homeless 
population, is there something that kind of elevates to the 
top, like hey, this is what we are seeing in the vast majority 
of our homeless veterans that we could probably catch while 
they are still active duty, or the VA could pay more attention 
to? Until--which I have been working on this for three years 
now--until the system itself moves effectively and efficiently 
for us.
    Mr. Brookshire. I appreciate the question. I would like to 
consult with the organizations that focus specifically on that, 
specifically Black veterans organizations that focus on that, 
and get back to you.
    Mr. Luttrell. Because I deal with Black Veterans 
Empowerment with Shawn Deadwiler. I do not know if you are 
familiar with that gentleman. This is where he operates. And I 
have asked the same question to him. But I am trying to gather 
as much information as possible here so we can legislate that 
appropriately. Because to your point, no veteran should be 
forgotten. No veteran should be dismissed. And the system 
itself, since its creation, has created that problem set. I 
would like to say that you take the veteran out of the 
equation, make the system correct, and the veterans are better 
taken care of. And the reason I asked you that specific 
question about our homeless population--and the answers that I 
get, some of our homeless population is like, ``Hey, I'm happy 
where I'm at.'' How are we supposed to address that?
    Mr. Brookshire. Again, I do not know how to specifically 
answer that question, but the first thing that comes to mind is 
there is a disproportionate amount of homeless veterans who are 
facing other-than-honorable or dishonorable discharges, so you 
have to kind of address some of the root causation of that 
within DoD, that puts them at a disadvantage to begin with when 
they get out. And Black folks are overrepresented even today, 
in the present data, twice as likely, almost three times as 
likely, depending on branch of service, to get out with an 
other-than-honorable discharge, which affects their 
accessibility to benefits. So I think there is a need to 
address the systemic racial justice issues relative to the 
UCMJ.
    Chairwoman Mace. All right. Thank you. I would like to 
thank Chairman Moran, Ranking Member Blumenthal, we would like 
to thank you for being here today. I will now recognize Ranking 
Member Takano for closing remarks.
    Mr. Takano. Thank you. Very briefly, I want to really thank 
the sincere interest of my colleague from Texas, Congressman 
Luttrell, in his questions. Congressman, your concern about the 
transition of military servicemembers going smoothly, making 
sure that all the data, information gets transferred from DoD 
into the VA.
    I want to suggest you take a look at legislation that I 
have offered called EVEST, which would basically be an opt-out 
program, so that veterans do not have to go and get into VA. 
They are assumed and presumed to automatically be enrolled in 
VA, and they have to opt out of it. That was what EVEST does. 
Oddly enough, it does cost some money to do this. But I think 
for that year, two years, three years that they leave the 
military, that is a very critical time for them to be in touch 
with VA and to know and learn about all the programs. They 
should not have to opt in. They should automatically be put 
into VA as number one.
    Secondly, we know from the Vietnam War era, minority 
veterans, African American veterans, Latino veterans, faced 
disproportionate disciplinary actions, and upon review many of 
them might retrospectively look very unjust, and I would say 
unjust. And it is not just that particular war. It was many 
other conflicts, where other-than-honorable discharges were 
issued, and it is a big issue for the veteran community. And it 
impacts their ability to get those transition services, and 
many are disproportionately on the streets because of that 
reason.
    So, I think if we want to address veteran homelessness, 
other-than-honorable discharges are something that we need to 
look at rectifying. And it goes beyond minority veterans. It 
goes to the general veteran population in addressing 
homelessness. We need to look at what veterans are being denied 
services that they need. And look who enters the military 
service. It is not the wealthiest. It is not the most 
privileged. It is people from low-income backgrounds who are 
looking for a way out, a way up. And for many servicemembers, 
the military has been an excellent place for that to occur. But 
the transition services are so important.
    Madam Chair, thank you so much for hosting these hearings, 
and thank you to all the veteran service organizations for 
being here and testifying. I yield back.
    Chairwoman Mace. Thank you. And I want to thank everybody 
for being here today, for the veterans who served and traveled 
through snow, through a blizzard, for their testimony today. It 
is very clear we still have, no surprise, shocker, a lot of 
work to do for our veterans when they come home. I am the 
daughter of a Vietnam veteran, exposed to Agent Orange, have 
seen the lifelong health complications that my father has had.
    You would like to give remarks, as well? Okay. I will 
recognize you.
    Senator Blumenthal. I am happy to follow you, Madam Chair.
    Chairwoman Mace. Okay, that is fine. You can go. Go for it.
    Senator Blumenthal. Thank you. Well, let me begin by 
thanking you and our other House colleagues for making the long 
trip over here. But I think this hearing has been very, very 
useful. Thank you for your and Representative Takano's 
leadership, and of course, Senator Moran. And I want to thank 
all of you who have demonstrated your enormous patience and 
perseverance in staying with us in the audience and, of course, 
this panel, which has been excellent, like the last one. And as 
I said at the very start, never doubt that you are making a 
difference. You are the chief champions and advocates for our 
veterans, and they need your voice and face.
    I want to reiterate, for the record, that the Senate 
Committee has yet to receive many of the most important 
responses that we have urged--I was going to say demanded, but 
that we have requested--from the Secretary of the VA, Doug 
Collins. I am going to ask that our letter of February 4th, 
almost three weeks ago, which asks for this information as 
promptly as possible--we have not yet received more than half 
of the responses that are due. If there is no objection, Madam 
Chair.
    Chairwoman Mace. So ordered.

    [The letter referred to appears on pages 162-163 of the 
Appendix.]

    Senator Blumenthal. And again, I think transparency is so 
important; transparency, the flow of information, 
communication. Our veterans are attuned to listening. If you 
are taught nothing else in the military it is pay attention. 
Our veterans pay attention. And they deserve, and they need, to 
be told the truth, promptly and accurately.
    So thank you all for being here today because your 
oversight is so important. And thank you again, Madam Chair.
    Chairwoman Mace. Thank you, Senator. I would be remiss if I 
did not recognize the Charleston Ralph H. Johnson Veterans 
Affairs Medical Center for those who are here from South 
Carolina. Some of the most preeminence and greatest 
technologies coming out of there for our veterans. A lot of my 
family gets served there, and we are very proud of their work. 
But coming from a veteran family, talking about those that are 
poor and destitute to get out of rural America and make 
something of themselves.
    My father went into the Army in 1963. He was from little 
old Hampton, South Carolina. He knew to hunt. His family did 
not have a lot of money. And when he went to Vietnam he was one 
of the best sharpshooters they had, even though they did not 
really have that back then. And, you know, he still has 
shrapnel in his body from those days, from serving two tours in 
Vietnam. And his best friend, Mr. Brookshire, was his radio 
operator, a Black young man from North Carolina, who died in 
that service. My father still cannot tell that story without 
tearing up because of the sacrifices. Men and women from all 
walks of life, all colors, have come forward to serve their 
nation, valiantly.
    And I appreciate the very open, the very honest 
conversation we have had today. I would urge you all to 
continue to use your voices, to be loud, to be heard, as we 
work together for the future, for serving all of our veterans 
across the country. I want to say thank you, I want to say 
welcome home, and I want to say God bless each and every one of 
you.
    Thank you, and this concludes today's joint VSO hearing. I 
think it is clear that the Committees, in collaboration with 
the VA, under the leadership of Secretary Collins, have a lot 
more work to do in service to our veterans and their families. 
And, of course, we all are committed to the work needed for our 
veterans and their families.
    Chairwoman Mace. So I ask unanimous consent that all 
members have five legislative days in which to revise and 
extend their remarks and include any extraneous materials. And 
hearing no objection, so ordered. This hearing is now 
adjourned.
    [Whereupon, at 12:23 p.m., the hearing was adjourned.]

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