[House Report 118-941]
[From the U.S. Government Publishing Office]


                                                 Union Calendar No. 792
 
 118th Congress }                                             { Report
                         HOUSE OF REPRESENTATIVES
   2d Session   }                                             { 118-941
_______________________________________________________________________




                           HOUSE COMMITTEE ON
                           VETERANS' AFFAIRS



                           ACTIVITIES REPORT






            Submitted in accordance with House Rule XI(D)(1)








               [GRAPHIC(S) NOT AVAILABLE IN TIFF FORMAT]








 December 20, 2024.--Committed to the Committee of the Whole House on 
            the State of the Union and ordered to be printed
            
            
   
                                  ------
                                 
                   U.S. GOVERNMENT PUBLISHING OFFICE
 
58-652                    WASHINGTON : 2025             
            
            

























            
                          LETTER OF SUBMITTAL

                              ----------                              

                          House of Representatives,
                            Committee on Veterans' Affairs,
                                 Washington, DC, December 20, 2024.
Hon. Kevin F. McCumber,
Acting Clerk, House of Representatives,
Washington, DC.
    Dear Mister Clerk: Pursuant to rule XI 1(d)(1) of the Rules 
of the U.S. House of Representatives, I respectfully submit 
this report on the activities of the Committee on Veterans' 
Affairs during the 118th Congress.
    Thank you for your attention to this matter.
            Sincerely,
                                                 Mike Bost,
                                                          Chairman.

























                                                          
                            C O N T E N T S

                              ----------                              
Membership of the Committee on Veterans' Affairs.................   VII
Jurisdiction of the Committee....................................     1
Oversight Plan...................................................     2
Activities of the Full Committee.................................    17
Activities of the Subcommittee on Disability Assistance and 
  Memorial Affairs...............................................    35
Activities of the Subcommittee on Economic Opportunity...........    55
Activities of the Subcommittee on Health.........................    73
Activities of the Subcommittee on Oversight and Investigations...    91
Activities of the Subcommittee on Technology Modernization.......   107
Activities of the Women Veterans Task Force......................   117
Appendix I: Legislation That Passed the House....................   121
Appendix II: Public Laws Enacted.................................   125
Appendix III: Hearings Held Pursuant to Clauses 2(n), (o), or (p) 
  of Rule XI.....................................................   126
Appendix IV: Messages From the President and Other Executive 
  Branch Communications..........................................   135
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
            MEMBERSHIP OF THE COMMITTEE ON VETERANS' AFFAIRS

                     MIKE BOST, Illinois, Chairman
                MARK TAKANO, California, Ranking Member
                               (14-11)\1\

AUMUA AMATA COLEMAN RADEWAGEN,       JULIA BROWNLEY, California
  American Samoa, Vice-Chairman      MIKE LEVIN, California, Vice-
JACK BERGMAN, Michigan                 Chairman
NANCY MACE, South Carolina           CHRIS PAPPAS, New Hampshire
MATT ROSENDALE, Montana              FRANK MRVAN, Indiana
MARIANNETTE MILLER-MEEKS, Iowa       SHEILA CHERFILUS-McCORMICK, 
GREG MURPHY, North Carolina            Florida
SCOTT FRANKLIN, Florida              MORGAN McGARVEY, Kentucky
DERRICK VAN ORDEN, Wisconsin         DELIA RAMIREZ, Illinois
MORGAN LUTTRELL, Texas               GREG LANDSMAN, Ohio
JUAN CISCOMANI, Arizona              NIKKI BUDSZINSKI, Illinois
ELI CRANE, Arizona                   TIMOTHY KENNEDY, New York
KEITH SELF, Texas
JEN KIGGANS, Virginia
                                 ------                                
                   Jon Clark, Majority Staff Director
                   Matt Reel, Minority Staff Director

----------
\1\On June 3, 2024, Representative Chris Deluzio of Pennsylvania 
resigned his Committee membership, including the Subcommittees on 
Health and Disability Assistance and Memorial Affairs.
On June 3, 2024, Representative Timothy Kennedy of New York was 
appointed to the Committee.
On September 10, 2024, Representative Timothy Kennedy of New York was 
appointed to the Subcommittees on Oversight and Investigations and 
Technology Modernization.
On September 10, 2024, Representative Sheila Cherfilus-McCormick of 
Florida resigned from the Subcommittee on Oversight and Investigations 
and was appointed to the Subcommittee on Health.
On September 10, 2024, Representative Greg Landsman of Ohio resigned 
from the Subcommittee on Technology Modernization and was appointed to 
the Subcommittee on Disability Assistance and Memorial Affairs.





















                                                 Union Calendar No. 792
 
 118th Congress }                                             { Report
                         HOUSE OF REPRESENTATIVES
   2d Session   }                                             { 118-941

=======================================================================



 
                  HOUSE COMMITTEE ON VETERANS' AFFAIRS
                           ACTIVITIES REPORT

                                _______
                                

 December 20, 2024.--Committed to the Committee of the Whole House on 
            the State of the Union and ordered to be printed

                                _______
                                

   Mr. Takano, from the Committee on Veterans' Affairs, pursuant to 
        House Rule XI, Clause 1(D)(1), submitted the following


                              R E P O R T

                     JURISDICTION OF THE COMMITTEE

    Rule X of the Rules of the House of Representatives 
establishes the standing Committees of the House and their 
jurisdiction. Under that Rule, all bills, resolutions, and 
other matters relating to the subjects within the jurisdiction 
of any standing Committee shall be referred to such Committee. 
Clause 1(s) of Rule X establishes the jurisdiction of the 
Committee on Veterans' Affairs as follows:
          (1) Veterans' measures generally.
          (2) Cemeteries of the United States in which veterans 
        of any war or conflict are or may be buried, whether in 
        the United States or abroad (except cemeteries 
        administered by the Secretary of the Interior).
          (3) Compensation, vocational rehabilitation, and 
        education of veterans.
          (4) Life insurance issued by the Government on 
        account of service in the Armed Forces.
          (5) Pensions of all the wars of the United States, 
        general and special.
          (6) Readjustment of servicemembers to civil life.
          (7) Servicemembers' civil relief.
          (8) Veterans' hospitals, medical care, and treatment 
        of veterans.


















                    AUTHORIZATION AND OVERSIGHT PLAN

    In accordance with clause 2 of Rule X, the Committee on 
Veterans' Affairs submits its Authorization and Oversight Plan 
for the 118th Congress. The Committee conducts its oversight 
with the help of five Subcommittees: the Subcommittee on 
Disability Assistance and Memorial Affairs, the Subcommittee on 
Economic Opportunity, the Subcommittee on Health, the 
Subcommittee on Oversight and Investigations, and the 
Subcommittee on Technology Modernization. It is expected that 
oversight of the issues outlined below will be a shared 
responsibility of the full Committee and the appropriate 
subcommittees.
    While the Department of Veterans Affairs (VA) carries out 
many of its functions and programs under the authority of 
broad, organic statutes pertaining to health care, benefits, or 
the organization of the Department, some programs operate under 
specific authorizations. These are indicated in the applicable 
subcommittee sections. Programs whose authorizations soon 
expire are emphasized. The Committee plans to devote particular 
attention to major VA information technology (IT) programs and 
projects, all of which have yet to be authorized. This 
Congress, the Committee will individually consider whether to 
authorize each such program or project.

       SUBCOMMITTEE ON DISABILITY ASSISTANCE AND MEMORIAL AFFAIRS

     Authorizations of Disability Assistance and 
Memorial Affairs Programs--Each Congress, the Committee 
authorizes or reauthorizes VA programs in the jurisdiction of 
the Subcommittee on Disability Assistance and Memorial Affairs. 
The Committee will continue to authorize on a case-by-case 
basis for new legislation and will review and determine 
reauthorizations for existing programs. During the 117th 
Congress, Titles II, III, and IV of P.L. 117-168, the Sergeant 
First Class Heath Robinson Honoring our Promise to Address 
Comprehensive Toxics Act of 2022 (PACT Act) authorized 
disability compensation and dependency indemnity compensation 
benefits for toxic-exposed veterans and their survivors and 
established a program to determine if additional veterans are 
suffering from conditions that may be linked to military toxic 
exposures. This legislation also requires VA to report on the 
implementation of those provisions. The Committee will work 
with VA to ensure authorized programs are implemented as 
Congress intended and review older programs to ensure they are 
funded appropriately.
     Toxic Exposures--The Veterans Benefits 
Administration (VBA) is implementing provisions related to 
delivering compensation benefits for toxic-exposed veterans 
within the PACT Act. VBA began processing PACT Act-related 
claims on January 1st, 2023, including claims for 24 
presumptive conditions. VBA did not have implementation 
regulations in place before it went live on January 1st. 
Instead, VBA published a training policy letter, which was 
provided to claims processors, on Regulations.gov on December 
22nd, 2022. The Committee will conduct rigorous oversight of 
VBA's implementation of the PACT Act to ensure success. This 
will include evaluating the effectiveness of training and 
guidance, information technology updates, hiring procedures, 
outreach materials and methods, quality review, and overall 
veteran satisfaction.
     VBA Quality Review--VBA employs a variety of 
mechanisms to review the quality of initial claims decisions. 
The Compensation Service and the Office of Field Operations 
(OFO) are responsible for administering quality assurance of 
compensation claims. In 2020 and 2021, the Office of Inspector 
General (OIG) released four reports which found deficiencies in 
VBA's four quality review programs. OIG reviewed VBA's Site 
Visit program, Systematic Technical Accuracy Review (STAR) 
program, Quality Review Team program, and Consistency Study 
program. OIG also assessed the effectiveness of coordination 
between the Compensation Service and OFO and identified areas 
of improvement. The Committee will investigate the efficacy of 
VBA's quality assurance procedures and VBA's progress in 
addressing the gaps in the above programs. Additionally, the 
Committee will continue to explore how VBA has designed its 
quality review measures, and to what extent that design yields 
accurate results.
     VBA Training--A June 2021 Government 
Accountability Office (GAO) report found that VBA could improve 
its design, implementation, and evaluation of its training 
programs. VBA employees have also reported that VBA's Virtual 
and In-Person Progression (VIP) training program is of poor 
quality and does not adequately prepare examiners to process 
claims. Furthermore, the VBA manual is frequently updated, and 
employees are not always required to undergo new training that 
explains the changes. The Committee will conduct oversight into 
how VBA implements training and seek methods to improve 
training to ensure veterans receive the benefits to which they 
are entitled.
     Reducing and Preventing Compensation and Pension 
Backlog by Modernizing VA Claims--Veterans are experiencing 
longer wait times for a decision on their claim due to 
processing delays resulting from the pandemic. Further, the 
VA's inventory of pending claims has risen due to the extension 
of presumptive benefits to toxic-exposed veterans. As of 
February 4th, 2023, VA's compensation and pension inventory 
totaled 742,149 claims, including a backlog of 197,353 claims. 
The Committee will conduct oversight into how VBA reduces its 
claims backlog to its target of reaching a functional zero of 
100,000 claims, prioritizes the oldest and most emergent claims 
(such as those for homeless or critically ill veterans), and 
provides timely and accurate decisions. Additionally, the 
Committee will explore how VA can further utilize technology to 
assist with claims processing and reduce the pending claims 
inventory. For example, VA is piloting the use of automation in 
the claims process. The Committee will assess the accuracy and 
timeliness of claims developed using automation.
     Fiduciary Reform--The Committee will review the 
performance of the VBA Fiduciary Program. The program is 
designed to provide financial security to veterans and other 
beneficiaries who have been determined unable to manage their 
VA benefit payments. In FY 2022, VA fiduciaries managed over 
108,000 VA beneficiaries' benefits. Fiduciaries are designated 
by VA and can be a family member, close friends, or 
professional fiduciary. The review will include oversight of 
how fiduciaries are appointed; the Department's compliance with 
provisions in the Brady Handgun Violence Prevention Act (P.L. 
103-159), which can potentially prevent beneficiaries in the 
fiduciary program from purchasing firearms; and fraud 
associated with the program. Moreover, in July 2021, OIG 
continued to identify deficiencies in the Fiduciary Program, 
such as significant wait times for misuse and negligence 
determinations and the reimbursement of misused funds. The 
Committee will review how VBA can better protect and serve 
beneficiaries needing a fiduciary.
     National Cemeteries--The Committee will continue 
oversight of the National Cemetery Administration (NCA), 
Arlington National Cemetery (ANC), and the American Battle 
Monuments Commission (ABMC), to include each organization's 
mission, operations, and inquiries into matters of unclaimed 
remains, access, and the methodology for determining veteran 
satisfaction. Each of the above organizations provides a 
sacred, hallowed resting place for veterans. VA alone operates 
over 150 National Cemeteries to provide an honorable resting 
place for veterans and certain dependents. The Committee will 
examine several issues, including cemetery maintenance, access, 
construction, and overall management issues.
     Medical Disability Exam Office (MDEO)--Some 
veterans require a VA medical examination to adjudicate a claim 
for disability benefits. Unfortunately, there need to be more 
VA examiners to perform these evaluations on time, and some 
veterans experience lengthy delays before VA can schedule such 
examinations. It may be challenging for VA to timely schedule 
these examinations if the veteran needs to see a specialist, 
such as a cardiologist or orthopedic surgeon. Moreover, 
veterans living in rural areas may have to travel many miles to 
a VA facility to see a VA examiner for a disability 
examination. To provide veterans with more timely examinations, 
VA has the authority to contract with independent physicians to 
conduct disability examinations. The MDEO office within VBA 
oversees quality, timeliness, and veteran satisfaction with the 
program. The Committee will evaluate how MDEO plans to address 
underperforming contractors and ensure that contractors 
maintain or improve quality services for veterans.
     Life Insurance--On January 5th, 2021, President 
Trump signed P.L. 116-315, which required VA to establish a 
modernized Service-Disabled Veterans Insurance program by 
January 1st, 2023. VA refers to this program as VA Life 
Insurance (VALife). The Committee will conduct continuous 
oversight of the VA's implementation of VALife to ensure that 
veterans are timely enrolled into the new program and well 
served. Additionally, the Committee will continue to review 
whether all of the VA's active life insurance programs meet the 
needs of servicemembers, veterans, and their families.
     VBA's Physical Infrastructure--VBA is comprised of 
a system of 56 Regional Offices (ROs). These ROs have an 
unnecessarily large infrastructure footprint due to the amount 
of unused space in the current telework-heavy environment, 
which increases costs. Additionally, the pandemic accelerated 
the expansion of telework and remote work within VBA. The 
Committee will explore VBA's plans to reduce unnecessary space 
and associated costs due to its physical infrastructure.
     Manila Regional Office--The authorization for the 
Manila RO, the only overseas RO, expires on September 30th, 
2024. Initially, the Manila RO was established to better 
provide VA services to World War II veterans who resided in the 
Philippines. Since then, the Manila RO's role in benefits 
delivery has changed as VBA has modernized the claims process. 
In 2016, VA deployed the National Work Queue (NWQ), which 
assigned claims to whichever RO has the capacity to handle it 
first, rather than the more traditional model of having the 
Regional Office nearest the veteran handle the claim. As a 
result, the Manila RO began processing claims for veterans who 
resided outside of the Philippines. The Committee will examine 
whether the Manila RO's caseload, output, and quality justify 
the need for an overseas RO.

                  SUBCOMMITTEE ON ECONOMIC OPPORTUNITY

     Authorizations of Economic Opportunity Programs--
Each Congress, the Committee authorizes or reauthorizes VA 
programs in the jurisdiction of Economic Opportunity. The 
Committee will continue to authorize on a case-by-case basis 
for new legislation and will review and determine 
reauthorizations for previous programs. During the 117th 
Congress, Sec. 302 and Sec. 303 in the Joseph Maxwell Cleland 
and Robert Joseph Dole Memorial Veterans Benefits and Health 
Care Improvement Act of 2022 authorized homeless veteran 
programs. Under the G.I. Bill, the Digital G.I. Bill Program 
will be completed by the end of fiscal year 2024. The Committee 
will work with VA to ensure authorized programs are implemented 
as Congress intended and review older programs to ensure they 
are funded appropriately.
     Effectiveness of the Transition Assistance Program 
(TAP)--The Committee continues to be concerned about the 
effectiveness of the TAP program, which is intended to prepare 
servicemembers for their return to civilian life following 
active duty. The Departments of Defense (DoD), Veterans 
Affairs, and Labor (DoL) jointly manage and provide content to 
the five-day course that focuses on skills needed to obtain 
gainful employment and provides an understanding of the 
benefits that are available to them from the VA and DoL. The 
Committee will conduct stakeholder roundtables and oversight 
hearings to discuss how TAP can be enhanced for transitioning 
servicemembers and their families. Further, the Committee plans 
to have personnel attend TAP classes to review the curriculum 
that TAP counselors are teaching at the local levels and ensure 
changes made to TAP in the Fiscal Year 2019 National Defense 
Authorization Act and the Johnny Isakson and David P. Roe, M.D. 
Veterans Health Care and Benefits Improvement Act are being 
implemented appropriately. Finally, the Committee will work 
with the Committees on Armed Services and Education and the 
Workforce to address cross-jurisdictional issues as we improve 
the TAP program.
     Effectiveness and Outcomes of Education and 
Training Programs for Returning Veterans--The Post-9/11 G.I. 
Bill has been veterans' most generous education program since 
the original WWII G.I. Bill. Based on the length of service, 
the program funds up to full tuition and fees at public 
institutions of higher learning and about $26,381 per year at 
private institutions, as well as provides a monthly living 
stipend. This stipend is based on the housing allowance paid to 
servicemembers at the rank of E-5 (with dependents) and the ZIP 
Code of the institution where the student attends the majority 
of their classes. The Committee will continue oversight of the 
implementation of the Harry W. Colmery Veterans Educational 
Assistance Act of 2017, the Johnny Isakson and David P. Roe, 
M.D. Veterans Health Care and Benefits Improvement Act, and the 
Ensuring the Best Schools for Veterans Act of 2022.
    Further, as avenues for learning and training continue to 
evolve and modernize, the Committee will examine these new 
programs and how they may fit into the construct and 
requirements of the Post-9/11 G.I. Bill program in a post-
COVID-19 world. The Committee will also conduct oversight on 
Veteran Success on Campus programs, and on the national 
education call center to ensure G.I. students are receiving the 
best possible service. In addition, the Committee will examine 
outcome measures for users of the Post-9/11 G.I. Bill, 
including graduation rates and job placement data, to ensure 
the effectiveness of taxpayers' investment in our veterans' 
education benefits. Finally, the Committee will work with the 
State Approving Agencies to put in place policies that protect 
student veterans against predatory or deceitful recruiting 
practices of post-secondary institutions, such as providing 
misinformation about student outcomes or encouraging veterans 
to take out unnecessary private student loans.
     Modernization of G.I. Bill Claims Processing--
Modernizing the processing of original and supplemental G.I. 
Bill claims is long overdue. For decades, VA has relied on a 
myriad of ancient legacy systems to process these claims 
because previous modernization efforts have failed. The 
Committee will continue to conduct oversight over the current 
modernization effort called the Digital G.I. Bill system. An 
outside contractor is tasked with creating and implementing of 
this system as a managed service, and VA plans to roll out the 
bulk of the system by late 2023. This system will automate the 
process and reduce the caseworker's workload. The Committee 
will closely watch the rollout of the contractor's new software 
and work to protect veterans' ability to have a G.I. Bill claim 
processed accurately and in a timely fashion. The Committee 
will also hold the contractor and VA accountable if the program 
experiences difficulties.
     Veteran Readiness and Employment (VR&E) Program--
VA's VR&E program provides education and training benefits for 
service-connected disabled veterans who face barriers to 
employment. The program funds all costs related to long and 
short-term education and training and immediate job placement 
services. VR&E also manages the Independent Living (IL) 
program, designed to enable the most severely injured veterans 
to live as independently as possible, in addition to the 
Veteran Success on Campus program, which currently stations 
VR&E staff at institutions of higher learning to assist 
students with benefits. The Committee continues to be concerned 
with counselor caseloads, rising job vacancies, and outcomes of 
VR&E programs, as well as the administration of the self-
employment track of the VR&E program, which can often result in 
high costs. The Committee will also conduct oversight over 
management and overall effectiveness of the VR&E program, the 
``eVA'' IT system, and VA's failure to provide a case 
management system that has been delayed after two failed 
attempts that have effectively wasted $26 million.
     Loan Guaranty Service--VA's Loan Guaranty Service 
provides a loan guaranty benefit to eligible veterans and 
servicemembers, which enables them to purchase a home at a 
competitive interest rate, without private mortgage insurance, 
often without requiring a down payment. This benefit is highly 
beneficial to veterans, servicemembers, and their families. The 
Committee plans to conduct oversight of the home loan program 
with a focus on their appraisal process as well as a new focus, 
ensuring that the IT systems in place to process these loans 
are modernized. Finally, the Committee intends to evaluate the 
impact of high-interest rates and inflation on the veteran 
homeowner and prospective home buyers and will examine ways to 
make the product competitive. The Loan Guaranty Service also 
administers grants under the Specially Adapted Housing (SAH) 
and Special Housing Adaptation (SHA) programs. These grants, 
provided to eligible veterans with permanent and total service-
connected disabilities, enable the veteran to adapt their 
current home or construct a new home that allows them to live 
in a home that is not obstructive to them due to their 
disabilities. The Committee will continue to conduct oversight 
of this program and enhancements that were made to this program 
by the Ryan Kules and Paul Benne Specially Adaptive Housing 
Improvement Act.
     Adaptive Sports Program--This is a program 
administered by VA, which provides grants to qualifying 
organizations that provide adaptive sports activities and 
opportunities at the local, regional, and national levels, 
including Paralympic activities, to disabled veterans and 
servicemembers. This program awarded $16 million in 2022. The 
authorization for the Adaptive Sports Program expires on 
December 31st, 2024. The Committee will continue to examine how 
VA awards grants under this program and the organizations 
receiving funding, as well as how VA works with local 
communities and the Paralympic community to promote and enhance 
adaptive sports programs for disabled veterans and 
servicemembers.
     Licensing and Credentialing Issues--DoD spends 
billions of tax dollars to provide servicemembers with the 
skills needed to complete DoD's mission. Many of those skills 
translate well to civilian jobs. Unfortunately, not all states 
recognize and give credit for military training to qualify for 
state-licensed positions. Therefore, the training provided by 
DoD is essentially wasted. The Committee will review efforts by 
states and other entities to provide appropriate licenses and 
credentials to qualified veterans whose military training 
renders them eligible for such credentials or licenses, as well 
as the progress that states are making to make certain licenses 
and credentials transferrable across state lines.
     Homeless Veteran Reintegration Program (HVRP)--
HVRP is a program administered by DoL's Veteran Employment and 
Training Service (VETS), which provides grants to state and 
local workforce investment boards, local public agencies and 
nonprofit organizations, and tribal governments, including 
faith-based and community organizations. The organizations that 
compete and receive these grants provide homeless veterans with 
occupational, classroom, and on-the-job training, as well as 
job search and placement assistance. The authorization for HVRP 
expires on September 30th, 2024. The Committee will conduct an 
oversight hearing to examine the organizations that are 
receiving these grants, how VETS is awarding these grants, and 
how the program can be enhanced at the federal and state levels 
to place more homeless veterans in careers. The Committee's 
oversight is crucial as the Committee continues to work with VA 
and ensure the number of homeless veterans continues to 
decrease.
     Performance of the Jobs for Veterans State Grant 
Program--The Jobs for Veterans State Grant program is 
administered by VETS and funds the employment of state 
employees called Disabled Veteran Outreach Program Specialists 
(DVOP) and Local Veteran Employment Representatives (LVER). 
This program is dedicated to placing veterans in good-paying 
jobs. Significant issues surround this program's inconsistent 
performance across the states, and the outcome measures used to 
determine performance continue to be inadequate. The Committee 
will continue to review this program and the performance 
outcomes of DVOPs and LVERs and conduct oversight of the 
National Veterans' Training Institute (NVTI), which trains 
DVOPs and LVERs on job placement and training skills for 
veterans.
     Homeless Veterans--The Committee will continue 
oversight of how COVID-19 has impacted the services and 
programs that VA grantees provide to homeless veterans and 
those veterans who are at risk for homelessness. The Committee 
will also review VA efforts to permanently house homeless 
veterans and ensure that those veterans are receiving the wrap-
around services they need. The Committee will also ensure that 
if a veteran leaves permanent housing, VA will work with the 
veteran to address their needs and rehouse them as quickly as 
possible. In addition, the Committee will ensure that VA is 
accurately counting those veterans who have been housed and 
don't leave housing. The Committee will examine the Supportive 
Services for Veteran Families (SSVF), Housing and Urban 
Development-Veterans Affairs Supportive Housing (HUD-VASH) 
programs, and VA's progress toward reducing veteran 
homelessness. The Committee will also address the myriad of 
factors underlying veteran homelessness. The Committee will 
continue to oversee VA's integration efforts to support 
vulnerable veterans by facilitating access to benefits, care, 
and services. Finally, the Committee will continue to evaluate 
the effectiveness of temporary measures passed in response to 
the pandemic to support employment and homelessness programs at 
the VA that are serving more individuals due to COVID-19.

                         SUBCOMMITTEE ON HEALTH

     Authorizations of Medical Programs--The Secretary 
vests in the Undersecretary for Health the authority and 
responsibility for medical services, community care, medical 
support and compliance, and facility maintenance and 
construction programs under the authority of 38 U.S. Code, 
chapters 17, 73, 74, 75, 76, 81 and 82. Except for major 
medical construction projects and certain leases, annual 
authorization by the Committee is not required. P.L. 117-168, 
the Sergeant First Class Heath Robinson Honoring our Promise to 
Address Comprehensive Toxics Act of 2022, Title VII, modified 
the congressional process by which major medical facility 
leases are authorized, granted VA authority to enter into 
agreements with academic affiliates and other entities to 
acquire space for the purpose of providing healthcare resources 
to veterans, modified the requirements for VA's enhanced-use 
lease authority, and provided permanent authority for joint 
leasing actions between DoD and VA. Additionally, Title 38 
includes certain multiple-year authorizations for specific 
purposes. The Committee routinely examines the programs that 
have expiring authorities or sunset dates. As part of P.L. 117-
180, the Continuing Appropriations and Ukraine Supplemental 
Appropriations Act, 2023, numerous health programs were 
reauthorized through FY 2024. In this same legislation, VA and 
DoD were authorized to continue the joint incentives program 
related to healthcare resources through FY 2026.
     Community Care--The Committee remains concerned 
about inconsistent VA referral practices and veterans' ability 
to utilize community care when in their best interest. 
Eligibility for care in the community is determined in part by 
designated access standards, as mandated by the VA Maintaining 
Internal Systems and Strengthening Integrated Outside Networks 
(MISSION) Act of 2018. The Committee will closely monitor any 
adjustments made to access standard definitions. The Committee 
will conduct oversight of the VA's reorganized Integrated 
Veteran Care (IVC) office established to supposedly create a 
seamless system for coordinating VA's direct and community care 
delivery systems. Even as the Community Care Networks have 
stabilized and matured, concerns still remain about network 
adequacy and continuity of care. The Committee will continue to 
monitor veterans' access to care and VA's processes for 
monitoring the performance of the third-party administrators to 
build networks of community providers and process payments to 
these providers. VA's administratively burdensome appointment 
scheduling process needs reform, and the Committee will 
continue to conduct oversight to ensure VA improves its 
administrative efficiency and network adequacy in the U.S. 
territories, with particular emphasis on the highly remote 
islands within the Pacific region. In addition, the Committee 
will monitor VA's efforts to provide veterans greater insight 
into both VA and community care appointment wait times and 
availability, so veterans can make informed decisions about 
where best to seek care. Finally, the Committee will continue 
to monitor the baseline funding to the Medical Community Care 
account to ensure funds are being used most appropriately.
     Market Assessments and Infrastructure 
Modernization--The Committee will continue aggressive oversight 
of VA's major medical facility construction and leasing program 
and consider needed actions to address VA's vast and aging 
capital asset portfolio. The Committee is especially concerned 
about the continued maintenance requirements of underutilized 
facilities and the growing need for an expanded footprint in 
areas of the country experiencing significant veteran 
population growth. The MISSION Act required VA to conduct 
market assessments, first to inform recommendations for an 
Asset and Infrastructure Review Commission and subsequently on 
a continuing basis as a strategic review. As VA seeks to begin 
the process of updating market assessments for the strategic 
review, the Committee will conduct oversight of these 
assessments to ensure concerns about the underlying methodology 
are addressed and appropriate stakeholder involvement occurs. 
The Committee will explore mechanisms to best incorporate these 
assessments into and reform the VA Strategic Capital Investment 
Planning (SCIP) process to include better systemic metrics that 
would require realignment or modernization of certain 
facilities. Furthermore, given the changes made to leasing 
under the PACT Act, the Committee is eager for VA to leverage 
those modifications and see the impact they will have on 
veterans' access to care closer to home.
     Mental Health, Substance Use, and Suicide 
Prevention--The Committee will continue to closely monitor VA's 
mental health, substance use, and suicide prevention efforts, 
particularly its new programs and the effectiveness of existing 
programs. In 2020, two large veterans' mental health and 
suicide prevention legislative packages became law (the 
Commander John Scott Hannon Veterans Mental Health Care 
Improvement Act and the Veterans Comprehensive Prevention, 
Access to Care, and Treatment (COMPACT) Act), necessitating 
continued implementation oversight. This oversight effort will 
also include the expanded eligibility for and operational 
capacity of the Readjustment Counseling Service. The Committee 
will closely monitor and provide recommendations on VA's use of 
community providers and organizations to deliver mental health, 
substance use, and suicide prevention services to veterans, 
when VA cannot provide these services directly and when at-risk 
veterans are outside VA's reach. Given ongoing issues with 
timely veteran suicide data collection, analysis, and reporting 
from VA, the Committee also will work with VA and stakeholders 
to evaluate VA's use and dissemination of best practices in 
real-time veteran suicide surveillance. The Committee also will 
examine VA's substance use and addiction treatment capacity and 
programming, with a focus on access and complications of 
overlapping mental health issues.
     Staffing, Recruitment, and Retention--The 
Committee will closely examine VA's staffing, recruitment, and 
retention programs and take action to correct deficiencies 
within VA's overly bureaucratic and lengthy hiring processes 
that hinder VA's ability to efficiently and effectively recruit 
and retain high-quality employees to treat veteran patients. 
VHA continues to suffer from limited human resources capacity 
and weak internal control practices, both of which have 
undermined VA's ability to improve the delivery of care to 
veteran patients. Recent HR modernization efforts that 
centralized hiring authority away from the facilities and into 
the Veterans Integrated Services Networks (VISNs) and Central 
Office has exacerbated an already burdensome process. The 
Committee will assess how VA identifies staffing needs at the 
local level, prioritizes recruitment and retention in high-need 
areas, and addresses existing staffing shortages. In addition, 
the Committee will examine if and how the significant increase 
in the total number of VA employees over the last several years 
has led to improvements in care and benefits for the veterans 
VA serves. Finally, as part of the Honoring our PACT Act of 
2022, Congress provided significant authorities and resources 
to enhance human resources management. The Committee will 
closely monitor the implementation as well as the outcomes and 
impacts of these initiatives.
     Pain and Medication Management, Complementary and 
Integrative Health--The Committee will examine the extent to 
which VA is appropriately using prescription medications to 
treat veterans experiencing acute and chronic pain, and the 
extent to which veterans are offered and able to access 
complimentary and integrative therapies for pain management. 
The effective management of pain is a critical issue for the 
veteran population as data suggests that veterans are a 
particularly high-risk population for prescription misuse, 
substance use disorder, accidental overdose, accidents, and/or 
self-inflicted injury. The Committee will scrutinize VA's 
opioid safety initiative, substance use treatment programs, and 
access to alternative chronic and acute pain treatments. The 
Committee will also review VA's policies concerning veteran 
access to substance use inpatient treatment programs as well as 
assess the use and efficacy of complementary and integrative 
health treatments and techniques for veterans with pain or 
other conditions.
     Long-Term Services and Supports--The Committee 
will continue to assess VA's broad array of Long-Term Services 
and Supports (LTSS) to determine whether veterans have access 
to the methods of care delivery that best suit their needs. VA 
has historically relied primarily upon a network of 
institution-based services consisting of VA Community Living 
Centers (CLCs), State Veterans Homes (SVHs), and contracted 
community nursing homes; however, VA must do more to develop a 
robust network of home and community-based services (HCBS) to 
meet the growing demand, and preference, for non-institutional 
care among its aging veteran population. The Committee will 
monitor VA's progress in this area and continue supporting 
authorities in allowing greater access to HCBS. Given the 
growing numbers of women veterans utilizing VA services, the 
Committee will review the availability and adequacy of LTSS 
specific to this population. The Committee will also examine 
VA's role in monitoring the quality of care and patient safety 
at SVHs, and VA's role in supporting the cost of care for 
veteran residents, along with SVH construction, renovation, and 
maintenance.
     Caregivers--Following the expansion of the Program 
of Comprehensive Assistance for Family Caregivers (PCAFC) in 
October 2022 to all era veterans and their caregivers, the 
Committee will closely monitor VA's implementation of the 
numerous changes made to the program through regulation, as VA 
attempts to standardize the program. The Committee is concerned 
about the management of ``legacy'' program participants and 
will continue to monitor the evolution of benefits provided to 
this cohort. The Committee is also concerned about the focus on 
this program and the lack of coordination in providing access 
to other, possibly more appropriate, long-term-care options. 
The Committee has been encouraged by reports of success with 
the Veteran-Directed Home and Community Based Services and will 
continue to examine the availability of geriatric home health 
programs that rely on and support critical aspects of family 
caregiver support.
     Telehealth--The Committee will continue to assess 
the effectiveness of VA's telehealth programs. Telehealth is an 
increasingly important tool for improving access to care for 
veteran patients. The Committee is concerned about a potential 
overreliance on telehealth and potential impact on access 
metrics and veteran preference. The Committee will assess VA's 
efforts to provide timely and accessible care to veterans in 
rural and hard-to- reach areas through tools like telehealth, 
community partnerships, and other means.
     Quality Care--OIG, GAO, and media reports continue 
to document patient harm incidents within VHA medical 
facilities. These have called into question whether VHA 
leadership is carrying out all their credentialing, 
privileging, and quality management responsibilities. 
Specifically, the Committee is concerned about whether VHA and 
its VISNs are doing enough to ensure that their medical 
facilities are appropriately screening clinicians prior to 
hire, monitoring providers' clinical competence while they are 
employed, conducting timely investigations when concerns arise, 
and reporting serious concerns about provider performance to 
the National Practitioner Data Bank and state licensing boards, 
as required by VHA's own policy. The Committee is encouraged by 
the embrace of High Reliability Organization principles by many 
VA Medical Centers and are heartened by employee engagement in 
identifying ``near misses'' and potential quality of care/
patient safety concerns.
     Eligibility for Care in the VA Healthcare System--
In 1996, Congress created the current VA enrollment priority 
group system. Veteran eligibility for VA care has been 
minimally changed since then, despite the fact that military 
service, the veteran population, the delivery of care, and the 
VA healthcare system have changed significantly. Many of the 
most pressing issues facing veterans today concern eligibility. 
The Committee will examine the appropriateness of the current 
eligibility system for today's veteran population, particularly 
those with character of discharge concerns, to ensure that all 
veterans can receive the care that they need.
     Continued Support for Women Veterans--The over 
two-million women who have served in the U.S. military comprise 
the fastest-growing veteran subpopulation within VA. Over 
600,000 women veterans are currently enrolled for VA 
healthcare, and utilization of services continues to expand. In 
2020, Congress passed the Deborah Sampson Act, a compilation of 
comprehensive legislation focusing on women veterans. The 
Committee must continue its close implementation oversight of 
this Act as well as new or enhanced services recently made 
available to women veterans. The Committee's examination of 
issues impacting women veterans will include, but is not 
limited to: ensuring a welcoming and inclusive VA, free from 
sexual harassment and assault; providing equitable access to VA 
healthcare, with well-resourced access to gender-specific care, 
such as mammography, gynecology, and obstetrics; research into 
the impacts of military service on women veterans' physical and 
mental health; and a greater focus on the special needs of 
aging women veterans, to include unique health conditions, 
long-term care, and caregiving.
     VA Research--The Committee will aggressively 
oversee the totality of VA's medical and prosthetic research 
program to identify and eliminate redundancies and ensure the 
dissemination of best practices and a veteran-centric research 
focus. VA's Office of Research and Development (ORD) conducts 
an extensive research program that is tasked with conducting 
research to advance the healthcare provided by VA and to the 
nation. VA's Health Services Research and Development Service 
also operates 19 Centers of Innovation (COIN), built off the 
work of prior Centers of Excellence, that conduct research on 
specific issues concerning veteran patients. The Committee will 
continue to oversee opportunities for innovation, cutting-edge 
technology, veteran participation in clinical trials, and 
greater use and support of the Million Veteran Program data for 
public health research. Use of this data will also require 
continued oversight to ensure that utilization of veterans' 
data is protected and secure.
     Emergency Care--In 1999, the Veterans Millennium 
Health Care and Benefits Act (commonly known as the ``Mill 
Bill'') established criteria to govern VA's reimbursement of 
costs related to emergency care provided to veterans in non-VA 
facilities for non service-connected conditions. Those criteria 
are outdated and increasingly complicated for veterans, VA 
staff, and emergency care providers outside of the VA 
healthcare system to understand and administer, which has led 
to a backlog of emergency care claims and resulted in costly 
judicial proceedings. The Committee will work to simplify and 
modernize these criteria to ensure the appropriate provision of 
care to veterans in crisis and timely and appropriate 
reimbursements to emergency care providers in the community.
     VA's Fourth Mission and Participation in the 
National Disaster Medical System--VA's Fourth Mission, to 
assist federal and civilian partners in the event of an 
emergency, received relatively little attention before the 
pandemic. This role has proven critical as the American 
healthcare system endured the catastrophic impact of COVID-19, 
while at the same time, rural hospitals and clinics continued 
to close at an alarming rate. The current process for VA to 
pursue a ``Fourth Mission'' is overly bureaucratic, requiring 
the approval of multiple federal agencies. Congress must 
reconsider the current structure of the disaster response 
framework to reflect the sheer scale of VHA's potential. VA has 
shown to be a locally based leader in medical support response 
in the event of natural disasters. The Committee is committed 
to ensuring this capability remains a VA core competency. 
Additionally, the Committee will review potential partnerships 
with the Indian Health Service and Public Health Service, as 
well as support the recruitment of deployable nursing personnel 
to staff the mobile medical units VHA already possesses.

              SUBCOMMITTEE ON OVERSIGHT AND INVESTIGATIONS

     Budget and Waste--VA funding has doubled over the 
last decade, and staffing has increased by over 40 percent. The 
Committee will conduct oversight of waste, particularly in 
contracts, redundancies, and offices that produce no value, as 
part of a broader assessment of whether the VA's rate of growth 
has exceeded veteran demand, whether new initiatives merit 
investment, and how to implement a framework for reducing 
inefficiencies in underperforming areas.
     VA Supply Chain--During the early days of the 
COVID 19 pandemic, supply chains around the globe failed. 
Today, VA's medical supply chain is operational, but VA's 
efforts to create a more resilient supply chain have been 
unsuccessful. The Committee will conduct oversight of the 
Executive Branch's effort to bring medical supply inventory for 
crisis response under the Department of Health and Human 
Services and VA's role in that effort. The Committee will also 
ensure VA is following existing statutory requirements for 
medical supplies made in America.
     Accountable Workforce--Holding more than 400,000 
staff accountable has proven difficult for VA. VA's Office of 
Accountability and Whistleblower Protection (OAWP) has failed 
to deliver robust discipline of senior executives and managers, 
and rulings by the courts and the Merit Systems Protection 
Board have limited the Secretary's authority to hold employees 
accountable for poor performance or misconduct under 38 U.S. 
Code Sec. 714. The Committee will conduct oversight of OAWP, to 
make sure VA whistleblowers are protected from retaliation 
while holding their superiors accountable. The Committee will 
also determine where laws can be reinforced to manifest a 
responsible workforce dedicated to VA's mission.
     Oversight of Contractors--VA's annual contract 
spending has reached more than $38 billion, and there are 
nearly as many VA support contractors as federal employees in 
many offices. Additionally, VA received billions in COVID 19 
emergency appropriations. The Committee believes that a culture 
of overreliance on contractors, revolving door influence, and 
failed projects with big paydays has taken hold. The Committee, 
in concert with budget analysis and bureaucratic reforms, will 
aggressively investigate the reasons for the proliferation of 
contractors, the effectiveness of the massive contractor 
workforce, and whether the value gained matches the dollars 
spent.
     Addressing Violent Crime--From fiscal year 2018 to 
fiscal year 2021, violent crime rates on VA campuses increased 
significantly. The Committee will continue oversight of the VA 
Police Force and violent crime rate, to drive process 
improvements and protect the health and safety of veterans and 
VA employees.
     Department of Defense-VA Agreements--DoD 
(principally the Defense Logistics Agency) and VA have executed 
numerous agreements, partnerships, and funding arrangements. VA 
typically pays DoD to utilize its systems, services, or 
contracts. Our oversight will evaluate the effectiveness and 
return on investment of these arrangements.
     Human Resources--VA has centralized its human 
resources functions at the Central Office and VISNs. In an 
effort to create uniformity, VA has hamstrung local VA 
directors trying to fill vacancies, has slowed down the 
onboarding process significantly, and increased staff 
frustration with human resources. The Committee will examine 
this decision and analyze the impacts to local VA facilities 
and veterans.

                SUBCOMMITTEE ON TECHNOLOGY MODERNIZATION

     Enterprise Technology Modernization Programs--The 
Committee will continue overseeing the effectiveness of VA's 
major programs and projects to modernize technology and 
business operations.
           Electronic Health Record Modernization--
        The Oracle Cerner electronic health record system is 
        now live at five sites, significantly impairing their 
        operations. The 2021 strategic review substantiated the 
        technical flaws but failed to address most of them 
        directly, and VA has again paused additional 
        implementations through June 2023. An independent cost 
        estimate forecasts implementation costs at nearly $39 
        billion over 13 years, up from $16 billion over 10 
        years. We oppose further implementations until the 
        system is significantly improved and the five sites 
        currently using it have normalized, and we have begun 
        engaging with VA and Oracle Cerner on the status of 
        individual technical improvements.
           Digital G.I. Bill--The Digital G.I. 
        Bill's initial results are encouraging, and we are 
        closely monitoring how much automation can ultimately 
        be accomplished and how key legacy systems will be 
        phased out.
           VBA Systems and Disability Compensation 
        Automation--VBA has initiated automation pilots at a 
        handful of Regional Offices, targeting a handful of 
        categories of claims. Most are limited to assistive 
        tools or job aids. Our oversight will focus on 
        advancing automation to eliminate repetitive tasks and 
        enhance employees' effectiveness, while always 
        preserving human decision-making. Relatedly, the 
        Veterans Benefits Management System and other key VBA 
        systems must be modernized in a way that completely 
        eliminates siloed, legacy systems and is compatible 
        with the automation strategy.
           Financial Management Business 
        Transformation--VA has been implementing its new 
        financial system for more than four years and has 
        completed NCA and several components of VBA. The 
        system's cost estimate is rising, and its viability 
        remains unproven until VHA medical centers adopt it. 
        Several hurdles and long overdue decisions threaten the 
        program's success, particularly which inventory 
        management system to interface with and how to create 
        that interface. The Committee believes the Financial 
        Management Business Transformation program is 
        worthwhile and can succeed, though this is not assured, 
        and our oversight focuses on clearing these roadblocks.
           Human Capital Modernization--VA is 
        preparing to replace its human resources management 
        software, which its publisher will no longer support, 
        and add new capabilities. This project's scope is 
        uncertain, and its cost and schedule are unknown. The 
        Committee's oversight aims to clarify these key 
        questions before the VA proceeds and determine whether 
        and how this system's design will align with the human 
        resources organizational centralization.
           Supply Chain Management Modernization--
        VA will soon purchase a new supply chain management 
        system after abandoning an effort to implement the 
        Department of Defense's Defense Medical Logistics 
        Standards Support (DMLSS) system. This project's scope 
        appears to be excessively large and ambitious, 
        increasing risk. The Committee's oversight focuses on 
        determining whether VA adequately understands its own 
        requirements and has clearly expressed and prioritized 
        them. This project's cost and schedule also remain 
        unknown.
     Authorizations of Enterprise Technology 
Modernization Programs--Within memory, Congress has not 
authorized any of VA's enterprise technology modernization 
programs, or any other specific IT programs. The Secretary 
vests in the Assistant Secretary for Information and Technology 
(Chief Information Officer) with the responsibility for 
``information management functions'' under the authority of 38 
U.S. Code 308(b)(5). Additionally, the Chief Information 
Officer is designated under 38 U.S. Code 310. Both sections 
reference 44 U.S. Code 3506, which lays out the general Chief 
Information Officer responsibilities that are common across 
agencies. VA presumably carries out its IT programs under these 
organic authorities. The Committee will individually consider 
authorizing each new or proposed enterprise technology 
modernization program. During the 117th Congress, Committee 
members introduced H.R. 2420, the Overseeing the GI Bill Act of 
2021 to authorize the Digital G.I. Bill program and H.R. 9091, 
the VA Supply Chain Management System Authorization Act to 
authorize the forthcoming Supply Chain Management Modernization 
program. Neither bill was enacted. However, last Congress, the 
Department of Veterans Affairs Information Technology Reform 
Act of 2022 (Section 403 of the Joseph Maxwell Cleland and 
Robert Joseph Dole Memorial Veterans Benefits and Health Care 
Improvement Act of 2022) was enacted. This legislation requires 
VA to report the estimated costs, schedules, and performance 
objectives of each major IT project (defined as having life 
cycle costs exceeding $1 billion) before commencing them. The 
Committee intends to use this mechanism to vet each such new 
project for authorization. Specifically, the Committee will 
either authorize or reject the Supply Chain Modernization and 
Human Capital Modernization projects.
     Appointment Scheduling Technology--The Committee 
will be closely monitoring VA's progress in modernizing systems 
used by appointment schedulers and will ensure VA is providing 
veterans greater ability to directly self-schedule 
appointments, as well as view expected wait times for in-house 
vs. community care appointments.
     Information Technology and Office of Information & 
Technology--Sixteen years after VA IT activities were 
centralized in the Office of Information & Technology (OIT), 
the office still struggles to meet the Department's rapidly 
growing IT needs. After conducting a deep dive into OIT's 
budget last Congress, the Committee concluded that it is not 
structured in a way that accurately represents OIT's activities 
or needs. Successive reorganizations have not resolved unclear 
or overlapping lines of responsibility, persistent customer 
complaints, and inconsistent management practices. Nonetheless, 
OIT has made some progress introducing reusable technology 
platforms, migrating applications to the cloud, and making 
available low-code/no-code development tools to its customers. 
The Committee's oversight of OIT will focus on aligning its 
structure, budget, and processes to support VA's needs better.
     Cybersecurity--VA struggles to clear multiple 
repeat findings in the annual Federal Information Security 
Modernization Act audit, the annual financial statement audit, 
and OIG inspections. OIT's cybersecurity approach appears to 
focus on continuous monitoring and detection, but 
vulnerabilities abound due to inconsistent management and 
policy implementation. The Committee's oversight focuses on 
making cybersecurity practices more consistent across VA, 
identifying new vulnerabilities caused by digitizing formerly 
manually processes, integration with other agencies, and 
keeping unapproved IT and medical devices off VA networks. The 
Committee will also continue to probe VA's inability to 
identify what is on their networks at facilities and push to 
ensure that shadow IT is identified, and if possible, mitigated 
with enterprise solutions.
     Data Management and Privacy--Veterans' data must 
be protected from loss, theft, and monetization. The 
Committee's oversight will examine the agreements and 
safeguards VA has in place with its technology vendors and 
partners, those vendors and partners' practices, and VA's track 
record of monitoring their activities and enforcing the 
safeguards. The Committee will also oversee errors by VA 
employees that expose veterans' protected data to loss, theft, 
or monetization.

                           MANDATORY SPENDING

    In accordance with clause 2(d)(2)(E) of Rule X, the 
Committee will work to limit unintended consequences of the 
Cost of War Toxic Exposures Fund, section 805 of P.L. 117-168, 
the Honoring our PACT Act of 2022. According to the 
Congressional Budget Office, the Toxic Exposures Fund now 
encompasses programs or activities funded by the following 
accounts: Medical Community Care, Medical Support and 
Compliance, Medical Services, Medical and Prosthetic Research, 
Veterans Electronic Health Care Record, General Operating 
Expenses (VBA), General Administration, Information Technology, 
and Board of Veterans Appeals. Therefore, portions of these 
accounts which had been entirely discretionary may now become 
partially mandatory, and any legislation creating or modifying 
programs or activities funded by these accounts will receive a 
mandatory score. The Committee will continue to oversee the use 
of the Fund by VA to ensure that it supports PACT Act 
implementation, and the care of veterans exposed to toxic 
substances. The Committee will also continue to engage with the 
Budget and Appropriations Committees to assess the long-term 
impacts of the Fund and resolve any impediments to the 
Committee's ability to carry out its legislative 
responsibilities.

                    ACTIVITIES OF THE FULL COMMITTEE


                         LEGISLATIVE ACTIVITIES

                           BUSINESS MEETINGS

    Full Committee Business Meeting--Organization of the 118th 
Congress. On February 8, 2023, the Committee on Veterans' 
Affairs met to formally organize the Committee's membership and 
to adopt the rules of the Committee for the 118th Congress.
    Full Committee Business Meeting--Committee's Authorization 
and Oversight Plan. On February 28, 2023, the Committee on 
Veterans' Affairs met to consider the Committee's authorization 
and oversight plan for the 118th Congress.
    Full Committee Business Meeting--Committee's Authorization 
of the Women Veteran Task Force. On March 23, 2023, the 
Committee on Veterans' Affairs met to consider the Committee's 
authorization of the Women Veteran Task Force.
    Full Committee Business Meeting--Committee's Consideration 
to Authorize a Subpoena. On January 11, 2024, the Committee on 
Veterans' Affairs met to consider a resolution to authorize a 
subpoena to the Secretary of the Department of Veterans Affairs 
for the production of documents and communications.
    Full Committee Business Meeting--Committee's Consideration 
to Authorize a Subpoena and Democratic membership of the 
subcommittees. On September 10, 2024, the Committee on 
Veterans' Affairs met to consider a resolution to authorize a 
subpoena to the Secretary of the Department of Veterans Affairs 
for the production of documents and communications; and to 
authorize Democratic membership of Rep. Timothy Kennedy of the 
subcommittees of the Full Committee.

                                MARKUPS

    Full Committee Markup. On April 28, 2023, the Full 
Committee held a markup on an amendment in the nature of a 
substitute to the H.R. 1669, VET-TEC Authorization Act; H.R. 
562, Improving Veterans Access to Congressional Services Act of 
2023; an amendment in the nature of a substitute to H.R. 1089, 
VA Medical Center Facility Transparency Act; an amendment in 
the nature of a substitute to H.R. 1530, Veterans Benefits 
Improvement Act; H.R. 1529, Veterans' Cost-of-Living Adjustment 
Act; H.R. 1256, Veterans Health Administration Leadership 
Transformation Act; and H.R. 366, Korean American VALOR Act. 
H.R. 1529 and H.R. 366 were ordered reported to the House, 
without amendment. H.R. 1669, H.R. 562, H.R. 1089, H.R. 1530, 
and H.R. 1256 were ordered reported to the House, as amended.
    Full Committee Markup. On July 26, 2023, the Full Committee 
held a markup on an amendment in the nature of a substitute to 
H.R. 3848, HOME Act; an amendment in the nature of a substitute 
to H.R. 3943, Servicemember Employment Protection Act of 2023; 
an amendment in the nature of a substitute to H.R. 3874, 
Veterans Education Assistance Improvement Act; H.R. 3933, TAP 
Promotion Act; H.R. 4278, Restore Department of Veterans 
Affairs Accountability Act; an amendment in the nature of a 
substitute to H.R. 4461, Modernizing Department of Veteran 
Affairs Disability Benefit Questionnaires Act; an amendment in 
the nature of a substitute to H.R. 3581, COPE Act; an amendment 
in the nature of a substitute to H.R. 1767, to amend title 38, 
United States Code, to provide that educational assistance paid 
under Department of Veterans Affairs educational assistance 
programs to an individual who pursued a program or course of 
education that was suspending or terminated for certain reasons 
shall not be charged against the entitlement of the individual, 
and for other purposes; H.R. 3981, Veterans Education Oversight 
Expansion Act; an amendment in the nature of a substitute to 
H.R. 542, Elizabeth Dole Home Care Act of 2023; and an 
amendment in the nature of a substitute to H.R. 984, Commitment 
to Veteran Support and Outreach Act. H.R. 3848, H.R. 3943, H.R. 
3874, H.R. 4278, H.R. 4461, H.R. 3581, H.R. 1767, H.R. 3981, 
H.R. 542, and H.R. 984 were ordered reported to the House, as 
amended. H.R. 3933 was ordered reported to the House, without 
amendment.
    The following groups submitted a letter of support: Joint 
Unions and Multi-VSOs.
    Full Committee Markup. On December 5, 2023, the Full 
Committee held a markup on an amendment in the nature of a 
substitute to H.R. 522, Deliver for Veterans Act; an amendment 
in the nature of a substitute to H.R. 3738, To amend title 38, 
United States Code, to establish in the Department of Veterans 
Affairs the Veterans Economic Opportunity and Transition 
Administration, and for other purposes; an amendment in the 
nature of a substitute to H.R. 5914, To amend title 38, United 
States Code, to improve the processes to approve programs of 
education for purposes of the educational assistance programs 
of the Department of Veterans Affairs, and for other purposes; 
H.R. 3722, as amended, Daniel J. Harvey, Jr. and Adam Lambert 
Improving Servicemember Transition to Reduce Veteran Suicide 
Act; H.R. 5938, as amended, Veterans Exam Expansion Act of 
2023; an amendment in the nature of a substitute to H.R. 1753, 
To ensure that certain members of the Armed Forces who served 
in female cultural support teams receive proper credit for such 
service; an amendment in the nature of a substitute to H.R. 
5890, Review Every Veterans Claim Act of 2023; an amendment in 
the nature of a substitute to H.R. 5785, To amend title 38, 
United States Code, to modify the requirements of the Edith 
Nourse Rogers STEM Scholarship; an amendment in the nature of a 
substitute to H.R. 3790, Justice for ALS Veterans Act of 2023; 
H.R. 4016, Veteran Fraud Reimbursement; and H.R. 4190, as 
amended, Restoring Benefits to Defrauded Veterans Act. H.R. 
522, H.R. 3738, H.R. 5914, H.R. 3722, H.R. 5938, H.R. 1753, 
H.R. 5890, H.R. 5785, and H.R. 3790 were ordered reported to 
the House, as amended. H.R. 4016 and H.R. 4190 were ordered 
reported to the House, without amendment.
    Full Committee Markup. On May 1, 2024, the Full Committee 
held a markup on an amendment in the nature of a substitute to 
H.R. 7323, Montgomery GI Bill Selected Reserves Tuition 
Fairness Act; an amendment in the nature of a substitute to 
H.R. 7643, Veterans Congressional Work Study Act of 2024; an 
amendment in the nature of a substitute to H.R. 705, Veterans 
2nd Amendment Protection Act; an amendment in the nature of a 
substitute to H.R. 5870, Veteran Appeals Transparency Act of 
2024; an amendment in the nature of a substitute to H.R. 7816, 
Clear Communications for Veterans Claims Act; an amendment in 
the nature of a substitute to H.R. 7150, Survivor Benefits 
Delivery Improvement Act of 2024; an amendment in the nature of 
a substitute to H.R. 7734, Personnel Integrity in Veterans 
Affairs Act; an amendment in the nature of a substitute to H.R. 
6452, Veterans Scam and Fraud Evasion Act; an amendment in the 
nature of a substitute to H.R. 6874, VA WEB Act; an amendment 
in the nature of a substitute to H.R. 7342, Veterans 
Accessibility Advisory Committee Act; H.R. 6538, VA Correct 
Compensation Act; an amendment in the nature of a substitute to 
H.R. 6531, TRAIN VA Employees Act; an amendment in the nature 
of a substitute to H.R. 4424, Vietnam Veterans Liver Fluke 
Cancer Study Act; an amendment in the nature of a substitute to 
H.R. 2499, VA Supply Chain Management System Authorization Act; 
an amendment in the nature of a substitute to H.R. 6324, FY24 
VA Major Medical Facility Authorization Act; Lease Resolutions; 
H.R. 7653, Veterans Employment Readiness Yield (VERY) Act of 
2024; H.R. 7100, Prioritizing Veterans' Survivors Act; H.R. 
7777, Veterans' Compensation Cost-of-Living Adjustment Act of 
2024; H.R. 2911, Fairness for Servicemembers and their Families 
Act of 2023; H.R. 7347, To amend title 38, United States ode, 
to direct the Secretary of Veterans Affairs to report on 
whether the Secretary will include certain psychedelic drugs in 
the formulary of the Department of Veterans Affairs; and H.R. 
5794, VA Peer Review Neutrality Act. H.R. 7323, H.R. 7643, H.R. 
705, H.R. 5870, H.R. 7816, H.R. 7150, H.R. 7734, H.R. 6452, 
H.R. 6874, H.R. 7342, H.R. 6531, H.R. 4424, H.R. 2499, and H.R. 
6324, were ordered reported to the House, as amended. H.R. 
6538, H.R. 7653, H.R. 7100, H.R. 7777, H.R. 2911, H.R. 7347, 
H.R. 5794, and the Lease Resolutions, were ordered reported to 
the House, without amendment.
    The following groups submitted letters of support: Veterans 
of Foreign Wars of the U.S., The American Legion, Senior 
Executives Association, American Federation of Government 
Employees, AFL CIO, and Disabled American Veterans.

                          LEGISLATIVE HEARINGS

   Full Committee Hearing--``Committee on Veterans' Affairs
               Bipartisan Member Day Hearing''

    On June 22, 2023, the Full Committee met in open session to 
receive testimony from Members of Congress on legislation and 
veterans' issues within the Committee's jurisdiction for the 
118th Congress.
    There were three witness panels. The following Members 
testified on the first panel: Representative Derek Kilmer 
(Washington); Representative Pat Ryan (New York); and 
Representative Keith Self (Texas).
    The following Members testified on the second panel: 
Representative Kim Schrier (Washington); Representative Jasmine 
Crockett (Texas); and Representative Lou Correa (California).
    The following Members testified on the third panel: 
Representative Rudy Yakym (Indiana); Representative Abigail 
Spanberger (Virginia); Representative Eric Sorensen (Illinois); 
Representative Delia Ramirez (Illinois); and Representative 
Jack Bergman (Michigan).
    The following members submitted statements for the record: 
Representative Marilyn Strickland (Washington), Representative 
Marcy Kaptur (Ohio), Representative Brad Wenstrup (Ohio), and 
Representative Marie Gluesenkamp Perez (Washington).

Full Committee Legislative Hearing--``H.R. 705 and Discussion Draft:
      Ernest Peltz Accrued Veterans Benefits Act''

    On July 18, 2023, the Full Committee met in open session to 
conduct a legislative hearing on H.R. 705, the ``Veterans 2nd 
Amendment Protection Act'' and a Discussion Draft: Ernest Peltz 
Accrued Veterans Benefits Act''. The following witnesses 
testified on the first panel: Mr. Ron Burke, Deputy Under 
Secretary, Policy & Oversight, Veterans Benefits 
Administration, U.S. Department of Veterans Affairs; Mr. Kevin 
Friel, Deputy Director, Pension & Fiduciary Services, Veterans 
Benefits Administration, U.S. Department of Veterans Affairs; 
and Mr. Dave Barrans, Chief Counsel, Benefits Law Group, Office 
of General Counsel, U.S. Department of Veterans Affairs.
    The following witnesses testified on the second panel: Dr. 
Jeffrey Swanson, PhD, Professor in Psychiatry and Behavioral 
Sciences, Duke University School of Medicine; Mr. Bob 
``Shoebob'' Carey, Captain, US Navy (Ret), Chairman and Chief 
Bottle Washer, National Defense Committee; Mr. Cole Lyle, 
Executive Director, Mission Roll Call; and Ms. Kristina Keenan, 
Deputy Director for National Legislative Service, Veterans of 
Foreign Wars of the United States.

Full Committee Legislative Hearing--``H.R. 7738, Toxic Exposure Fund 
      Improvement Act of 2024''

    On March 21, 2024, the Full Committee met in open session 
to conduct a legislative hearing on H.R. 7738, ``Toxic Exposure 
Fund Improvement Act of 2024''. The following witnesses 
testified: The Honorable Jon Rychalski, Assistant Secretary for 
Management and Chief Financial Officer, U.S. Department of 
Veterans Affairs; Ms. Laura Duke, Chief Financial Officer, 
Veterans Health Administration, U.S. Department of Veterans 
Affairs; and Ms. Lasheeco Graham, Chief Financial Officer, 
Veterans Benefits Administration, U.S. Department of Veterans 
Affairs.

                          OVERSIGHT ACTIVITIES

Full Committee Hearing--``Building an Accountable VA: Applying 
      Lessons Learned to Drive Future Success''

    On February 28, 2023, the Full Committee met in open 
session to conduct an oversight hearing to examine the 
consequences of disengaged leadership, the implementation and 
state of major U.S. Department of Veterans Affairs (VA) 
programs, and how Congressional oversight would hold VA 
accountable to improve care and benefits for veterans.
    There was one witness panel. The following witnesses 
testified: the Honorable Michael Missal, Inspector General, 
Office of the Inspector General, U.S. Department of Veterans 
Affairs; the Honorable Gene Dodaro, Comptroller General of the 
United States, Government Accountability Office; the Honorable 
Shereef Elnahal, M.D., Under Secretary for Health, U.S. 
Department of Veterans Affairs; Mr. Michael Frueh, Principal 
Deputy Under Secretary for Benefits, U.S. Department of 
Veterans Affairs; and the Honorable Matthew Quinn, Under 
Secretary for Memorial Affairs, U.S. Department of Veterans 
Affairs.
    The following groups submitted statement for the record: 
Concerned Veterans of America, American Federation of 
Government Employees, AFL-CIO, America's Warrior Partnership, 
and Student Veterans of America.

Full Committee Hearing--``Joint House and Senate Committees on 
       Veterans' Affairs Hearing to receive the Legislative 
       Presentation of the Disabled American Veterans''

    On February 28, 2023, the Full Committee held a joint 
hearing with the Senate Veterans' Affairs Committee to receive 
the legislative priorities of the Disabled American Veterans 
(DAV), who presented their legislative priorities to the House 
and Senate Veterans' Affairs Committees for fiscal year 2023.
    There was one witness panel. The following witnesses from 
DAV testified: Mr. Joseph Parsetich, National Commander; Mr. J. 
Marc Burgess, National Adjutant; Mr. Barry Jesinoski, Executive 
Director, National Headquarters; Mr. Edward R. Reese, Jr., 
Executive Director, Washington Headquarters; Mr. Jim Marszalek, 
DAV National Service Director; Ms. Joy Ilem, DAV National 
Legislative Director; Mr. John Kleindienst, National Director 
of Voluntary Service; Mr. Ryan Burgos, National Employment 
Director; and Ms. Darlene Spence, Auxiliary Commander.

Full Committee Hearing--``Joint House and Senate Committees on 
       Veterans' Affairs Hearing to receive the Legislative 
       Presentation of The American Legion and Multi-VSOs''

    On March 1, 2023, the Full Committee held a joint hearing 
with the Senate Veterans' Affairs Committee to receive the 
legislative priorities of The American Legion (TAL) and Multi 
VSOs: Paralyzed Veterans of America (PVA), Student Veterans of 
America (SVA), Iraq and Afghanistan Veterans of America (IAVA), 
National Association of State Directors of Veterans Affairs 
(NASDVA), Black Veterans Empowerment Council (BVEC), Vietnam 
Veterans of America (VVA), Fleet Reserve Association (FRA), 
National Congress of American Indians (NCAI), and National 
Guard Association of the United States (NGAUS), who presented 
their legislative priorities to the House and Senate Veterans' 
Affairs Committees for 2023.
    There were two witness panels. The following witnesses from 
TAL testified on the first panel: Mr. Vincent J. Troiola, 
National Commander; Mr. Chanin Nuntavong, National Executive 
Director; Mr. Lawrence Montreuil, Legislative Director; Mr. 
James La Coursiere, Chairman of the Legislative Commission; Mr. 
Autrey James, Chairman of the Veterans Affairs & Rehabilitation 
Commission; Mr. Jay Bowen, Chairman of the Veterans Employment 
and Education Commission; and Mr. Joe Sharpe, Director of 
Veterans Employment and Education.
    The following witnesses testified on the second panel: Mr. 
Charlie Brown, National President, PVA; Mr. Jared Lyon, 
National President & Chief Executive Officer, SVA; Mr. Jeremy 
Butler, Chief Executive Officer, IAVA; Mr. James S. Hartsell, 
President, NASDVA; Mr. Shawn L. Deadwiler, Interim Director, 
BVEC; Mr. Jack McManus, National President, VVA; Mr. 
Christopher J. Slawinski, National Executive Director, FRA; Ms. 
Angela Pratt, Co-Chair, Veterans Committee, NCAI; and Brig. 
Gen. J. Roy Robinson (Ret.), President, NGAUS.

Full Committee Hearing--``Joint House and Senate Committees on 
       Veterans' Affairs Hearing to receive the Legislative 
       Presentation of the Veterans of Foreign Wars of the United 
       States and Multi-VSOs''

    On March 8, 2023, the Full Committee held a joint hearing 
with the Senate Veterans' Affairs Committee to receive the 
legislative priorities of the Veterans of Foreign Wars of the 
United States (VFW) and Multi VSOs: Jewish War Veterans of the 
U.S.A. (JWV), Wounded Warrior Project (WWP), Tragedy Assistance 
Program for Survivors (TAPS), Military Officers Association of 
America (MOAA), American Veterans (AMVETS), Gold Star Wives of 
America, Inc., Military Order of the Purple Heart (MOPH), 
Blinded Veterans Association (BVA), and National Association of 
County Veterans Service Officers (NACVSO), who presented their 
legislative priorities to the House and Senate Veterans' 
Affairs Committees for fiscal year 2022.
    There were two witness panels. The following witnesses from 
the VFW testified on the first panel: Mr. Timothy Borland, 
Commander-in-Chief; Mr. Ryan Gallucci, Executive Director of 
the VFW Washington Office; Mr. Patrick Murray, National 
Legislative Director; Mr. Michael Figlioli, National Service 
Director; and Ms. Deborah Johnson, Legislative Committee Chair.
    The following witnesses testified on the second panel: Col. 
Nelson Mellitz, USAF (Ret.), JWV; LTG Michael S. Linnington, 
USA (Ret.), WWP; Ms. Bonnie Carroll, President and Founder, 
TAPS; Mr. Cory Titus, Director of Veteran Benefits and Guard/
Reserve Affairs, Government Relations, MOAA; Mr. Donald McLean, 
National Commander, AMVETS; Ms. Tamra Sipes, President, Gold 
Star Wives of America, Inc.; Mr. Christopher Vedvick, National 
Commander, MOPH; Mr. Joseph D. McNeil, Sr., National President, 
BVA; and Mr. Michael McLaughlin, Legislative Chairman, NACVSO.

Full Committee Hearing--``U.S. Department of Veterans Affairs Budget 
       Request for Fiscal Years 2024 and 2025''

    On March 23, 2023, the Full Committee met in open session 
to conduct an oversight hearing to examine the U.S. Department 
of Veterans Affairs' fiscal years 2024 and 2025 budget request. 
The U.S. Department of Veterans Affairs requested $325.1 
billion for fiscal year 2024, which was an increase of $16.6 
billion (5.4 percent) over fiscal year 2023. The Committee 
examined VA's discretionary and mandatory budget requests and 
the increase in the Toxic Exposure Fund.
    The Honorable Denis. R. McDonough, Secretary, U.S. 
Department of Veterans Affairs testified before the Committee.

Full Committee Hearing--``COVID-19 Supplemental Funding: Did it
       Protect and Improve Veteran Care?''

    On May 23, 2023, the Full Committee met in open session to 
conduct an oversight hearing to examine how the U.S. Department 
of Veterans Affairs spent the roughly $36.7 billion in combined 
supplemental appropriations they received in the Families First 
Coronavirus Response Act (FFCRA), the Coronavirus Aid, Relief, 
and Economic Security (CARES) Act, and the American Rescue Plan 
(ARP) Act. The Committee questioned whether VA used the funding 
effectively to protect and improve veteran care.
    There was one witness panel. The following witnesses 
testified: Mr. John Rychalski, Assistant Secretary for 
Management and Chief Financial Officer, U.S. Department of 
Veterans Affairs; Ms. Laura Duke, Chief Financial Officer, 
Veterans Health Administration, U.S. Department of Veterans 
Affairs; Mr. Robert McDivitt, Network Director, VISN 23, U.S. 
Department of Veterans Affairs; The Honorable Michael Missal, 
Inspector General, Office of Inspector General, U.S. Department 
of Veterans Affairs; and Ms. Whitney Bell, President, National 
Association of State Veterans Homes.
    The following group submitted a statement for the record: 
National Coalition for Homeless Veterans.

Full Committee Hearing--``VA Electronic Health Record Modernization: 
      Get Well Soon?''

    On September 14, 2023, the Full Committee met in open 
session to conduct an oversight hearing to examine the U.S. 
Department of Veterans Affairs' ongoing efforts to rehabilitate 
the five VA medical centers and their associated clinics in 
Washington, Oregon, and Ohio that have implemented the Oracle 
Cerner electronic health record (EHR) system. The Committee 
considered whether the facilities have returned to normal 
productivity and operating levels, what resources or changes 
are needed, and how efforts progressed to attain those levels.
    There was one witness panel. The following witnesses 
testified: Dr. Neil Evans, M.D., Acting Program Executive 
Director, Electronic Health Record Modernization Integration 
Office, U.S. Department of Veterans Affairs; Mr. Scott Kelter, 
Director, Jonathan M. Wainwright (Walla Walla, Washington) VA 
Medical Center, U.S. Department of Veterans Affairs; Dr. Robert 
Fischer, M.D., Director, Mann-Grandstaff (Spokane, Washington) 
VA Medical Center, U.S. Department of Veterans Affairs; Ms. 
Thandiwe Nelson-Brooks, Associate Director, Roseburg, Oregan VA 
Medical Center, U.S. Department of Veterans Affairs; and Dr. 
Meredith A. Arensman, M.D., Chief of Staff, Chalmers P. Wylie 
(Columbus, Ohio) VA Ambulatory Care Center, U.S. Department of 
Veterans Affairs.
    The following individual submitted a statement for the 
record: Ms. Teresa D. Boyd, D.O.

Full Committee Hearing--``Veterans Serving Veterans: The Impact of 
      America's Businesses on Veteran Employment and Opportunity''

    On November 7, 2023, the Full Committee met in open session 
to conduct an oversight hearing to highlight and recognize the 
significant contributions of veterans to American businesses 
and the economy. The Committee also highlighted businesses that 
focus on creating employment opportunities for veterans and 
military spouses as well as small businesses that have been 
established by veterans. The Committee examined ways to improve 
outreach to veterans during the transition process and 
discussed ways to reduce any barriers to veteran employment and 
the creation of veteran-owned small businesses.
    There were two witness panels. The following witnesses 
testified on the first panel: Mr. Tommy Jones, Senior Director, 
Military and Veteran Affairs, Walmart; Mr. Eric Eversole, 
President, Hiring Our Heroes: Mr. Michael McCoy, Veteran 
Recruitment, Verizon; and Ms. Erin Izen, Senior Director, 
Workforce Programs, Home Depot.
    The following witnesses testified on the second panel: Mr. 
Joe Gelardi, President and Chief Executive Officer, Vectrona, 
LLC; and Mr. Chris Maynor, Owner, Daniel Deans.

Full Committee Hearing--``Rural Access: Is VA Meeting All Veterans 
       Where They Live?''

    On January 11, 2024, the Full Committee met in open session 
to conduct an oversight hearing to examine the Department of 
Veterans Affairs' efforts to provide access to healthcare and 
benefits to veterans in rural areas. Specifically, the 
Committee considered: the role of the Office of Rural Health; 
the provision and efficacy of rural telehealth; rural veteran 
homelessness and the adequacy of grant and per diem rates for 
homeless veterans; access to healthcare providers; challenges 
accessing compensation and pension exams; and the use of mobile 
health units.
    There were two witness panels. The following witnesses 
testified on the first panel: The Honorable Shereef Elnahal, 
Under Secretary for Health, Veterans Health Administration, 
U.S. Department of Veterans Affairs; The Honorable Joshua 
Jacobs, Under Secretary for Benefits, Veterans Benefits 
Administration, U.S. Department of Veterans Affairs; Mr. John 
Boerstler, Chief Veterans Experience Officer, Veterans 
Experience Office, U.S. Department of Veterans Affairs; and Ms. 
Alyssa Hundrup, Director, Health Care, U.S. Government 
Accountability Office.
    The following witnesses testified on the second panel: Dr. 
Buu Nygren, President, The Navajo Nation; Mr. Jon Lovald, Chief 
Operating Officer, Minnesota Assistance Council for Veterans; 
Ms. Marisa Schultz, Illinois Veterans; and Dr. Mark Holmes, 
Director, Cecil G. Sheps Center for Health Services Research 
and North Carolina Rural Health Research Center, The University 
of North Carolina at Chapel Hill.
    The following groups submitted statements for the record: 
American Association of Nurse Anesthesiology, Alzheimer's 
Impact Movement, American Nurses Association, American Society 
of Anesthesiologists, ATA Action, Center for Healthcare Quality 
& Payment Reform, Neuroflow, Leidos QTC Health Services, U.S. 
Vets Prescott, and Western Governors Association.

Full Committee Hearing--``The One Percent: Supporting America's 
       Surviving Military Family Community''

    On January 30, 2024, the Full Committee met in open session 
to conduct an oversight hearing to examine gaps in the U.S. 
Department of Veterans Affairs' outreach to survivors 
concerning benefits, processing of survivors' compensation 
claims, delivery of education benefits, and provision of health 
care, including physical and mental health, for survivors.
    There were two witness panels. The following witnesses 
testified on the first panel: The Honorable Joshua Jacobs, 
Under Secretary for Benefits, Veterans Benefits Administration, 
U.S. Department of Veterans Affairs; Mr. Kevin Friel, Deputy 
Director, Pension and Fiduciary Service, Veterans Benefits 
Administration, U.S. Department of Veterans Affairs; and Dr. 
Mark Upton, Deputy to the Deputy Under Secretary for Health, 
Veterans Health Administration, U.S. Department of Veterans 
Affairs.
    The following witnesses testified on the second panel: Ms. 
Kaanan Mackey-Fugler, Surviving Spouse of Matthew Mackey; Ms. 
Gabriella Kubinyi, Surviving Spouse of Jeffrey Ferren, Veterans 
of Foreign Wars; Ms. Ashlynne Haycock-Lohmann, Deputy Director, 
Government and Legislative Affairs, Tragedy Assistance Program 
for Survivors; and Ms. Kelly B. Hruska, Government Relations 
Director, National Military Family Association.
    The following groups submitted statements for the record: 
Ms. Laura LeHigh, Disabled Veterns of America, Fleet Reserve 
Association, and Paralyzed Veterans of America.

Full Committee Hearing--``VA's HR Office: Did Leaders Ignore and 
       Perpetuate Sexual Harassment?''

    On February 14, 2024, the Full Committee met in open 
session to conduct an oversight hearing to examine sexual 
harassment and misconduct allegations within the Office of 
Resolution Management, Diversity & Inclusion (ORMDI), an office 
under the Assistant Secretary for Human Resources and 
Administration/Operations, Security and Preparedness (HRA/OSP). 
Chairman Bost wrote to the VA making the Secretary aware of 
these allegations. The Committee's investigation focused on the 
information VA was compelled to produce under the January 12th 
subpoena, and during the hearing, the Committee examined when 
VA leaders first became aware of these allegations and what 
they did about them.
    There were two witness panels. The following witness 
testified on the first panel: The Honorable Denis McDonough, 
Secretary, U.S. Department of Veterans Affairs.
    The following witnesses testified on the second panel: Ms. 
Cassandra Law, Assistant Secretary, Human Resources and 
Administration/Operations, Security and Preparedness, U.S. 
Department of Veterans Affairs; and Mr. Bruce Gipe, Acting 
Assistant Secretary, Office of Accountability and Whistleblower 
Protection, U.S. Department of Veterans Affairs.
    The following witnesses were invited to the second panel 
but did not show up to testify: Mr. Archie Davis, U.S. 
Department of Veterans Affairs; Mr. Gary Richardson, U.S. 
Department of Veterans Affairs; Ms. Gina Grosso; and Mr. Harvey 
Johnson.

Full Committee Hearing--``Joint House and Senate Committees on 
       Veterans' Affairs Hearing to receive the Legislative 
       Presentation of the Veterans of Foreign Wars of the United 
       States & Multi-VSOs''

    On March 6, 2024, the Full Committee held a joint hearing 
with the Senate Veterans' Affairs Committee to receive the 
legislative priorities of the Veterans of Foreign Wars of the 
United States (VFW) and Multi-VSOs: Paralyzed Veterans of 
America (PVA), Wounded Warrior Project (WWP), National 
Association of State Directors of Veterans Affairs (NASDVA), 
Mission Roll Call (MRC), Blue Star Families (BSF), Iraq and 
Afghanistan Veterans of America (IAVA), Blinded Veterans 
Association (BVA), Service Women's Action Network (SWAN), 
Student Veterans of America (SVA), and American Veterans 
(AMVETS).
    There were two witness panels. The following witnesses from 
VFW testified on the first panel: Mr. Duane Sarmiento, 
Commander-in-Chief; Mr. Ryan Gallucci, Executive Director of 
the VFW Washington Office; Mr. Patrick Murray, National 
Legislative Director; Mr. Michael Figlioli, National Service 
Director; and Mr. Stanley Borusiewicz, Legislative Committee 
Chairman.
    The following witnesses testified on the second panel: Mr. 
Robert Thomas, National President, PVA; LTG Michael S. 
Linnington, USA (Retired), Chief Executive Officer, WWP; Mr. 
Dennis Wimer, President, NASDVA; Mr. Jim Whaley, Chief 
Executive Officer, MRC; Ms. Kathy Roth-Douquet, Chief Executive 
Officer, BSF; Ms. Allison Jaslow, Chief Executive Officer, 
IAVA; Mr. Paul Mimms, National President, BVA; Colonel Lorry M. 
Fenner, USAF (Retired), SWAN; Mr. Jared Lyon, National 
President & Chief Executive Officer, SVA; and Mr. William 
``Bill'' Clark, National Commander, AMVETS.
    The following groups submitted statements for the record: 
Military Order of the Purple Heart, Quality of Life Foundation, 
and Representative Deila Ramirez (Illinois).

Full Committee Hearing--``Joint House and Senate Committees on 
       Veterans' Affairs Hearing to receive the Legislative 
       Presentation of the Disabled American Veterans''

    On March 7, 2024, the Full Committee held a joint hearing 
with the Senate Veterans' Affairs Committee to receive the 
legislative priorities of the Disabled American Veterans (DAV).
    There was one witness panel. The following witnesses from 
DAV testified: Ms. Nancy Espinosa, National Commander; Mr. 
Barry Jesinoski, National Adjutant; Mr. Bryan ``Cody'' Van 
Boxel, Executive Director, National Headquarters; Mr. Edward R. 
Reese, Jr., Executive Director, Washington Headquarters; Mr. 
Jim Marszalek, DAV National Service Director; Ms. Joy Ilem, DAV 
National Legislative Director; Mr. John Kleindienst, National 
Director of Voluntary Service; Mr. Ryan Burgos, National 
Employment Director; and Ms. AnnMarie Hurley, Auxiliary 
National Commander.

Full Committee Hearing--``Joint House and Senate Committees on 
       Veterans' Affairs Hearing to receive the Legislative 
       Presentation of The American Legion & Multi-VSOs''

    On March 13, 2024, the Full Committee held a joint hearing 
with the Senate Veterans' Affairs Committee to receive the 
legislative priorities of The American Legion (TAL) and Multi-
VSOs: Jewish War Veterans of the U.S.A. (JWV), Tragedy 
Assistance Program for Survivors (TAPS), National Coalition for 
Homeless Veterans (NCHV), Military Officers Association of 
America (MOAA), National Association of County Veterans Service 
Officers (NACVSO), National Coalition of American Indians 
(NCAI), Vietnam Veterans of America (VVA), National Guard 
Association of the United States (NGAUS), and Fleet Reserve 
Association (FRA).
    There were two witness panels. The following witnesses from 
TAL testified on the first panel: Mr. Daniel J. Seehafer, 
National Commander; Mr. Chanin Nuntavong, National Executive 
Director; Ms. Patricia Harris, Chairwoman, Legislative 
Commission; Ms. Julia Mathis, Director, Legislative Division; 
Mr. Autrey James, Chairman, Veterans Affairs & Rehabilitation 
Commission; Ms. Tiffany Ellet, Director, Veterans Affairs & 
Rehabilitation Division; Mr. John Bowen, Chairman, Veterans 
Employment& Education Commission; and Mr. Joe Sharpe, Director, 
Veterans Employment & Education Division.
    The following witnesses testified on the second panel: COL 
Barry Lischinsky, USA, Retired, National Commander, JWV; Ms. 
Rebecca Harrison Mullaney, Surviving Spouse of Army Captain Ian 
Morrison, TAPS; Ms. Kathryn Monet, Chief Executive Officer, 
NCHV; Commander Rene Campos, USN, Retired, Senior Director of 
Government Relations for Veterans Wounded Warrior Care, MOAA; 
Mr. Michael McLaughlin, Legislative Director, NASDVA; Mr. 
Melvin Sheldon, Jr., Alternate Vice President--Northwest 
Region, NCAI; Mr. Jack McManus, National President, VVA; Major 
General Frank McGinn, Retired, NGAUS; and Mr. John S. Handzuk, 
National President, FRA.
    The following groups submitted statements for the record: 
Mr. Jose D. Acevedo, American Defenders of Bataan and 
Corregidor Memorial Society, Black Veterans Empowerment Council 
Inc., Gold Star Wives of America, Inc., D'Aniello Institute for 
Veterans & Military Families, Military-Veterans Advocacy, 
MinorityVets, Modern Military Association of America, Reserve 
Organization of America, and Veterans Education Success.

Full Committee Hearing--``U.S. Department of Veterans Affairs Budget 
       Request for Fiscal Years 2025 and 2026''

    On April 11, 2024, the Full Committee met in open session 
to conduct an oversight hearing to consider President Biden's 
budget request for the U.S. Department of Veterans Affairs for 
fiscal years 2025 and 2026. The U.S. Department of Veterans 
Affairs requested $369.3 billion for fiscal year 2025, which is 
a $41.8 billion increase (22 percent) over FY 2024 in mandatory 
spending and a $8.9 billion decrease (6 percent) compared to FY 
2024 discretionary spending.
    There were two witness panels. The following witness 
testified on the first panel: The Honorable Denis McDonough, 
Secretary, U.S. Department of Veterans Affairs.
    The following witnesses testified on the second panel: Mr. 
Roscoe Butler, Senior Health Policy Advisor, Paralyzed Veterans 
of America; Mr. Shane Liermann, Deputy National Legislative 
Director, Disabled American Veterans; and Mr. Patrick Murray, 
National Legislative Service Director, Veterans of Foreign 
Wars.

Full Committee Hearing--``Bonus Blunder: Examining VA's Improper 
       Decision to Award Senior Executives Millions in Incentives''

    On June 4, 2024, the Full Committee met in open session to 
conduct an oversight hearing to examine the Department of 
Veterans Affairs (VA) Office of Inspector General (OIG) report 
detailing its investigation into critical skill incentive (CSI) 
bonuses made to nearly every career senior executive service 
(SES) employee in the Veterans Health Administration (VHA) and 
Veterans Benefits Administration (VBA).
    There were two witness panels. The following witness 
testified on the first panel: The Honorable Michael J. Missal, 
Inspector General, U.S. Department of Veterans Affairs.
    The following witness testified on the second panel: The 
Honorable Denis R. McDonough, Secretary, U.S. Department of 
Veterans Affairs.

Full Committee Hearing--``A Call to Action: Meeting the Needs of the 
       Paralyzed Veteran Community''

    On June 13, 2024, the Full Committee met in open session to 
conduct an oversight hearing to discuss the unique challenges 
veterans living with Spinal Cord Injury and Disorders (SCI/D) 
face by examining the U.S. Department of Veterans Affairs' (VA) 
patient safety practices, the current and future infrastructure 
of VA medical facilities, health care staffing needs, and the 
accessibility of medical care and transportation for SCI/D 
veterans. The hearing also examined the accessibility of 
contract exam facilities for veterans' disability compensation 
exams, the ability of VA's Veterans Readiness and Employment 
Program to assist SCI/D veterans, and the support VA provides 
through their Specially Adapted Housing Grant Program to assist 
SCI/D veterans in modifying their homes to meet their 
accessibility needs.
    There were two witness panels. The following witnesses 
testified on the first panel: Dr. Erica Scavella, Assistant 
Under Secretary for Health for Clinical Services, Veterans 
Health Administration, U.S. Department of Veterans Affairs; Mr. 
Jeffrey London, Executive Director, Medical Disability 
Examination Office, Veterans Benefits Administration, U.S. 
Department of Veterans Affairs; and Mr. Steve Bracci, Director, 
Claims and Medical Exams Benefits Inspection Division, Office 
of Inspector General, U.S. Department of Veterans Affairs.
    The following witnesses testified on the second panel: Mr. 
Robert Thomas, National President and Chairman of the Board, 
Paralyzed Veterans of America (PVA); Mr. Carl Blake, Chief 
Executive Officer, PVA; Ms. Sonya Sotak, Chief Government 
Affairs Officer, I AM ALS; and Dr. Jenny Kiratli, Member, 
American Federation of Government Employees.
    The following groups submitted statements for the record: 
Elliott Mitochondria Research Center, Neuralink, and the Reeve 
Foundation.

Full Committee Hearing--``Accountable of Absent? Examining VA 
       Leadership Under the Biden-Harris Administration''

    On September 10, 2024, the Full Committee met in open 
session to conduct an oversight hearing to examine where 
accountability is lacking within the Department of Veterans 
Affairs (VA), which was found though committee oversight 
travel, investigations, and whistleblower discussions. Members 
had the opportunity to pose questions to VA's Inspector 
General, the Under Secretary for Health, and the Under 
Secretary for Benefits to examine how VA leaders would take 
accountability for their own conduct and address substantiated 
and alleged misconduct.
    There was one witness panel. The following witnesses 
testified: The Honorable Dr. Shereef Elnahal, Under Secretary 
for Health, U.S. Department of Veterans Affairs; The Honorable 
Joshua Jacobs, Under Secretary for Benefits, U.S. Department of 
Veterans Affairs; Mr. Edward J. Murray, Acting Assistant 
Secretary for Management and Chief Financial Officer, U.S. 
Department of Veterans Affairs; and The Honorable Michael J. 
Missal, Inspector General, U.S. Department of Veterans Affairs.
    The following groups submitted statements for the record: 
Concerned Veterans of America, and Veterans of Foreign Wars of 
the U.S.

Full Committee Hearing--``Everyday Heroes: Supporting the Veteran 
       Caregiver Community''

    On September 25, 2024, the Full Committee met in open 
session to conduct an oversight hearing to examine the 
comprehensive challenges faced by veteran caregivers. Veterans' 
caregivers play an essential role in supporting veterans' 
health and well-being. These caregivers, often family members, 
friends, or close acquaintances, provide a wide range of 
services. These services include assistance with basic 
activities of daily living, such as bathing, dressing, and 
eating; and managing complex medical needs, administering 
medications, and providing emotional and mental health support.
    There were two witness panels. The following witnesses 
testified on the first panel: Dr. Colleen Richardson, Psy.D., 
Executive Director, Caregiver Support Program, Veterans Health 
Administration, U.S. Department of Veterans Affairs; and Ms. 
Laura Duke, Chief Financial Officer, Veterans Health 
Administration, U.S. Department of Veterans Affairs.
    The following witnesses testified on the second panel: Dr. 
Rajeev Ramchand, Senior Behavioral Scientists and Codirector, 
RAND Epstein Family Veterans Research Institute; Mr. Steve 
Schwab, CEO, Elizabeth Dole Foundation; Ms. Vanessa Chism, 
Elizabeth Dole Caregiver Fellow; Mr. Troy Broussard, State 
Director, AARP; and Mr. Jonathon Pruden, Special Advisor to the 
Chief of Staff--Warrior Care, Wounded Warrior Project.
    The following groups submitted statements for the record: 
Blue Star Families, Veterans of Foreign Wars of the U.S., 
Paralyzed Veterans of America, and Quality of Life Foundation.

Full Committee Hearing--``Fact and Fiction: Getting to the Bottom of 
       the VA Budget Shortfall''

    On December 5, 2024, the Full Committee met in open session 
to conduct an oversight hearing to examine the circumstances 
surrounding the Department of Veterans Affairs' (VA) purported 
fiscal year (FY) 2024 benefits budget shortfall and FY 2025 
health care budget shortfall.
    There was one witness panel for this hearing. The following 
witnesses testified: the Honorable Shereef Elnahal, M.D., Under 
Secretary for Health, U.S. Department of Veterans Affairs; the 
Honorable Joshua Jacobs, Under Secretary for Benefits, Veterans 
Benefits Administration, U.S. Department of Veterans Affairs; 
Ms. Laura Duke, Chief Financial Officer, Veterans Health 
Administration, U.S. Department of Veterans Affairs; and Ms. 
Lasheeco Graham, Chief Financial Officer, Veterans Benefits 
Administration, U.S. Department of Veterans Affairs.
    The following group submitted a statement for the record: 
Multi-VSOs.

Full Committee Hearing--``Restoring Congressional Power over VA After 
       Loper Bright Enterprises vs. Raimondo''

    On December 18, 2024, the Full Committee met in open 
session to conduct an oversight hearing to examine how the 
recent Supreme Court decision in Loper Bright Enterprises v. 
Raimondo will affect current and future Department of Veterans 
Affairs (VA) regulatory decisions. The hearing explored how 
Congress and VA can effectively operate to serve veterans in a 
post-Loper environment.
    There was one witness panel for this hearing. The following 
witnesses testified: Mr. Philip Wallach, Senior Fellow, 
American Enterprise Institute; Mr. Chad Squitieri, Assistant 
Professor of Law, Columbus School of Law, Catholic University 
of America; Mr. John Vecchione, Senior Litigation Counsel, New 
Civil Liberties Alliance; and Mr. Jonathan Gaffney, Supervisory 
Attorney, Congressional Research Service.

                              SITE VISITS

    Northern Illinois and Northwestern Indiana. From May 26 
through May 30, 2023, Ranking Member Takano and minority staff 
conducted an oversight trip to Northern Illinois and 
Northwestern Indiana. Ranking Member Takano and minority staff 
participated in the Boot Camp graduation at Naval Station Great 
Lakes on May 26, 2023. Afterward, Ranking Member Takano and 
minority staff visited the Captain James A. Lovell Federal 
Health Care Center (FHCC), where they met with Lovell FHCC 
leadership and discussed the unique organizational structure of 
the facility. Ranking Member Takano and minority staff also 
toured the ``USS Red Rover,'' the medical-dental facility where 
incoming Navy recruits receive in-processing medical exams, 
immunizations, and primary care. The trip also included a visit 
to Sheridan National Cemetery and Abraham Lincoln National 
Cemetery. Ranking Member Takano attended a veterans town hall 
and toured the Hines VA Medical Center with Rep. Lauren 
Underwood; and attended Memorial Day events in Indiana with 
Rep. Frank Mrvan. Ranking Member Takano was joined by Rep. 
Delia Ramirez for a visit to the Veterans Benefits 
Administration's Chicago Regional Office, where they and 
minority staff met with managers and staff to discuss 
implementation of the PACT Act and how the new law has impacted 
employees, workload, and hiring. Finally, Ranking Member Takano 
and minority staff visited the Laurent House in Rockford, 
Illinois, which hosted a celebration of the 75th anniversary of 
VA's Specially Adapted Housing Program.
    France, Belgium, Germany, and Italy. From June 23 to July 
1, 2023, Chairman Bost led a bipartisan congressional 
delegation (CODEL) to France, Belgium, Germany, and Italy. The 
delegation included Representative Mariannette Miller-Meeks 
(IA-03), Representative Derrick Van Orden (WI-03), 
Representative Scott Franklin (FL-18), Representative Amata 
Radewagen (American Samoa-At Large), and Representative Mark 
Takano (CA-39). Five majority staff members and two minority 
staff members accompanied them. The trip's purpose was to 
oversee American Battle Monument sites, examine American Armed 
Forces cemeteries, tour the Landstuhl Regional Medical Center 
and Naval Support Activity Naples, and discuss the Transition 
Assistance Program with armed services personnel.
    Virginia Beach, Virginia. From July 20 to 21, 2023, 
Chairman Bost and majority committee staff visited Virginia 
Beach, Virginia. During this trip, Chairman Bost was 
accompanied by Rep. Jen Kiggans as they toured ECPI University 
to gain insight into the skills that student veterans are 
developing before entering the workforce. Additionally, 
Chairman Bost and Rep. Kiggans held a roundtable discussion 
with over 40 veterans and veterans' organizations to understand 
better the healthcare, education, and benefits needs in the 
Virginia Beach area.
    Dayton, Ohio. On August 1, 2023, Chairman Bost and majority 
committee staff visited Dayton, Ohio. During this trip, 
Chairman Bost was accompanied by Rep. Mike Turner as they 
toured the Dayton National Cemetery and conducted an oversight 
visit. National Cemetery Administration (NCA) employees briefed 
them on the construction plans for the cemetery's expansion, 
which will extend behind historical buildings and run adjacent 
to a parking lot. Concerns were raised regarding the NCA's need 
for collaboration with the community about these expansion 
plans.
    Loma Linda, California. On August 8, 2023, Ranking Member 
Takano and minority staff accompanied Dr. Shereef Elnahal, VA's 
Under Secretary for Health, on a visit to the VA Loma Linda 
Health Care system. Together, they met with leadership from 
Veterans Integrated Service Network 22 and the medical center, 
local union leaders, and clinical staff leading research on 
MDMA-assisted psychotherapy for veterans with combat-related 
PTSD. In addition, they discussed with local leaders the 
facility's progress in improving primary care access at the 
medical center and its outpatient clinics and toured some 
clinical spaces. Finally, the Ranking Member and the Under 
Secretary held two town halls with VA Loma Linda Health Care 
System employees and a roundtable with veterans.
    Japan, Guam, Wake, and Hawaii. From April 20 to April 28, 
2024, Chairman Bost and Chairman Graves led a bipartisan led a 
bipartisan congressional delegation (CODEL) to Japan, Guam, 
Wake, and Hawaii. The delegation included Ranking Member Takano 
(CA-39), Representative Sauld Carbajal (CA-24), Representative 
Mark DeSaulnier (CA-10), Representative Troy Nehls (TX-22), 
Representative David Rouzer (NC-07), and Representative Barry 
Moore (AL-02). Nine majority staff members and one minority 
staff member accompanied them. The trip's purpose was to 
conduct a fact-finding visit to Japan, Guam, Wake Island, and 
Hawaii. The delegation met with local government officials to 
discuss U.S. operations and strategic interests in the region 
and reaffirm the U.S. commitment to our Pacific allies in the 
INDOPACOM region.
    In addition, the delegation examined transportation and 
infrastructure projects, particularly high-speed rail, along 
with the associated challenges and solutions. They also 
examined U.S. cemeteries where veterans of various wars and 
conflicts are buried, both domestically and internationally, as 
well as War Monuments in the area. Furthermore, the delegation 
visited veterans' hospitals, medical care, and the unique 
issues related to veterans in the region.
    Oregon. On June 16, 2024, the majority staff director 
conducted a site visit of the Portland Oregon VA Medical Center 
along with Rep. Chavez DeRemer and staff. The purpose of this 
visit was to tour the facility and meet with staff to learn 
about the issues facing the veterans of the pacific northwest. 
The staff found that while the care being provided by the staff 
of the facility was adequate, there was concern about them 
purposely directing veterans to not use care in the community. 
The staff also participated in veterans townhall in Bend, 
Oregon hosted by Rep. Chavez DeRemer.
    Colorado and New Mexico. From July 14 to 20, 2024, Ranking 
Member Takano and minority staff visited several sites in 
Colorado and New Mexico. Ranking Member Takano and Committee 
staff were joined by Rep. Jason Crow for a tour of the Rocky 
Mountain Regional VA Medical Center in Aurora, CO. This visit 
included discussion with interim Medical Center leadership. 
Ranking Member Takano attended veterans' town halls with Rep. 
Yadira Caraveo, Rep. Brittany Petterson, Rep. Melanie 
Stansbury, and Rep. Gabe Vasquez. The delegation also visited 
the Colorado Springs Vet Center and PFC Floyd K. Lindstrom VA 
Clinic in Colorado Springs. Also near Colorado Springs, there 
were meetings at the Air Force Academy and the Peterson Space 
Force Base to discuss servicemember transition. Additionally, 
oversight visits were conducted at the Pueblo, Raton, and Taos 
VA Community-Based Outpatient Clinics to gain a better 
understanding of rural healthcare needs in Colorado and New 
Mexico. The trip concluded with a visit to the New Mexico 
Veterans Affairs Health Care System in Albuquerque, New Mexico.
    Minneapolis, Minnesota. On August 2, 2024, Ranking Member 
Takano and minority staff visited the Minneapolis VA Medical 
Center and conducted a listening session with VA employees. 
They also met with leadership and staff from the facility's 
``Close to Me'' cancer care program and VA's Tele-Critical Care 
hub, which is based in Minneapolis. In addition, Ranking Member 
Takano participated in a PACT Act roundtable discussion with 
invited members of the local congressional delegation, state 
and local elected officials, veterans service organizations, 
and veterans. Finally, Ranking Member Takano and staff visited 
a home that is part of the Minnesota Assistance Council for 
Veterans' (MACV) permanent supportive housing program. MACV is 
a nonprofit organization working to end veteran homelessness in 
Minnesota.
    Omaha, Nebraska. On October 16, 2024, the majority staff 
director conducted a site visit to Omaha, Nebraska. Following a 
town hall with Rep. Don Bacon and local veterans, staff met 
with the leadership of the University of Nebraska Medical 
Center. During this visit staff toured the medical school's 
facilities and had a detailed conversation about the potential 
to having VA partner with the University on a new medical 
center.
    California. From October 14 to 17, 2024, Chairman Bost and 
majority committee staff visited several locations in 
California. During this trip, Chairman Bost was accompanied by 
Rep. Ken Calvert as they toured Desert Arc: Opportunities for 
People with Disabilities. This organization supports 
individuals with disabilities, including veterans and their 
families, in Palm Desert, CA. Additionally, Chairman Bost and 
Representative Calvert held a roundtable discussion with over 
40 veterans and veterans' groups to understand better the 
healthcare needs in both rural and urban areas of Palm Springs, 
CA.
    Tucson, Arizona. From October 17 to 19, 2024, Chairman Bost 
and majority committee staff visited several locations in 
Tucson, Arizona, accompanied by Rep. Juan Ciscomani. Chairman 
Bost and Rep. Ciscomani held a roundtable discussion with over 
20 veterans and veterans' groups to gain insight into the 
healthcare, economic opportunities, and homelessness challenges 
veterans face in Tucson's rural and urban areas. Additionally, 
Chairman Bost and Rep. Ciscomani toured the Healing AZ Veterans 
clinic to learn about Hyperbaric Oxygen Therapy (HBOT) and its 
application in treating veteran PTSD and traumatic brain 
injuries (TBI). They also attended a Cochise County Veteran 
Stand Down to understand better the needs of homeless veterans 
and how the VA is addressing those needs within the community. 
Lastly, they visited Cochise College to explore the skill sets 
that student veterans are obtaining before entering the 
workforce.
    Lancaster, California. On October 28, 2024, the majority 
staff director conducted a site visit to the site of the new VA 
Outpatient clinic in Lancaster, CA. The clinic is under 
construction and is expected to be completed in the fall of 
2025. Staff also participated in in a roundtable and a townhall 
with Rep. Mike Garcia.

     ACTIVITIES OF THE SUBCOMMITTEE ON DISABILITY 
           ASSISTANCE AND MEMORIAL AFFAIRS

                      MORGAN LUTRELL, Texas, Chair
              CHRIS PAPPAS, New Hampshire, Ranking Member
SCOTT FRANKLIN, Florida              MORGAN McGARVEY, Kentucky
JUAN CISCOMANI, Arizona              DELIA RAMIREZ, Illinois
ELI CRANE, Arizona                   GREG LANDSMAN, Ohio2
KEITH SELF, Texas
                                 ------                                
                 Jenny J. Tang, Majority Staff Director
                 Gary Woodward, Minority Staff Director

----------
2On June 3, 2024, Representative Chris Deluzio resigned his 
position on the Subcommittee on Disability and Memorial Affairs, and on 
September 10, 2024, Representative Greg Landsman joined the 
Subcommittee.

                         LEGISLATIVE ACTIVITIES


                                MARKUPS

    Subcommittee Markup. On April 19, 2023, the Subcommittee 
held a markup on H.R. 234, Gerald's Law Act; H.R. 984, 
Commitment to Veteran Support and Outreach Act; H.R. 1329, to 
amend title 38, United States Code, to provide for an increase 
in the maximum number of judges who may be appointed to the 
United States Court of Appeals for Veterans Claims; H.R. 1378, 
Veterans Appeals Backlog Improvement Act; H.R. 1529, Veterans' 
Cost-of-Living Adjustment Act; and H.R. 1530, Veterans Benefits 
Improvement Act. H.R. 1529 was ordered reported to Full 
Committee by voice vote, without amendment. H.R. 234, H.R. 
1329, H.R. 1378, H.R. 1530, and H.R. 984 were ordered reported 
to Full Committee by voice vote, as amended.
    Subcommittee Markup. On November 29, 2023, the Subcommittee 
held a markup on H.R. 1753, To ensure that certain members of 
the Armed Forces who served in female cultural support teams 
receive proper credit for such service; H.R. 3790, Justice for 
ALS Veterans Act of 2023; H.R. 4016, Veteran Fraud 
Reimbursement Act; H.R. 4190, Restoring Benefits to Defrauded 
Veterans Act; H.R. 4306, Michael Lecik Military Firefighters 
Protection Act; H.R. 5559, Protecting Veterans Claim Options 
Act; H.R. 5891, Veteran Appeals Decision Clarity Act; H.R. 
5870, Veteran Appeals Transparency Act of 2023; H.R. 5890, 
Review Every Veterans Claim Act of 2023; and H.R. 5938, 
Veterans Exam Expansion Act of 2023. H.R. 4016, and H.R. 5890 
were order reported to Full Committee by voice vote, without 
amendment. H.R. 3790, H.R. 5938, H.R. 4190, H.R. 5559, H.R. 
5870, H.R. 5891, H.R. 1753, and H.R. 4306 were ordered reported 
to Full Committee by voice vote, as amended.
    Subcommittee Markup. On April 16, 2024, the Subcommittee 
held a markup on H.R. 1083, Caring for Survivors Act of 2023; 
H.R. 2911, Fairness for Servicemembers and their Families Act 
of 2023; H.R. 3651, Love Lies On Act of 2023; H.R. 7100, 
Prioritizing Veterans' Survivors Act; H.R. 7150, Survivor 
Benefits Delivery Improvement Act of 2024; H.R. 7777, Veterans' 
Compensation Cost-of-Living Adjustment Act of 2024; H.R. 7793, 
Veterans Appeals Options Expansion Act of 2024; H.R. 7816, 
Clear Communications for Veterans Claims Act; H.R. 7883, Toxic 
Exposures Examination Improvement Act; H.R. 7917, Veterans 
Appeals Efficiency Act of 2024; and H.R. 7919, Veterans Claims 
Quality Improvement Act of 2024. H.R. 2911 and H.R. 7816 were 
ordered reported to Full Committee by voice vote, as amended. 
H.R. 1083, H.R. 3651, H.R. 7100, H.R. 7150, H.R. 7777, H.R. 
7793, H.R. 7883, H.R. 7917, and H.R. 7919 were ordered reported 
to Full Committee by voice vote, without amendment.
    Subcommittee Markup. On July 23, 2024, the Subcommittee 
held a markup on H.R. 2971, Veterans Claims Education Act of 
2023; H.R. 6362, Protecting Benefits for Disabled Veterans Act 
of 2023; H.R. 8792, Flowers for Fallen Heroes Act of 2024; H.R. 
8874, Modernizing All Veterans and Survivors Claims Processing 
Act; H.R. 8879, Improving VA Training for Military Sexual 
Trauma Claims Act; H.R. 8880, Simplifying Forms for Veterans 
Claims Act; H.R. 8881, Rural Veterans' Improved Access to 
Benefits Act of 2024; H.R. 8893, Preserving Veterans' Legacy 
Act; H.R. 8910, Dayton National Cemetery Expansion Act of 2024; 
H.R. 9053, Veterans 2nd Amendment Restoration Act; H.R. 9054, 
Safeguarding Veterans 2nd Amendment Rights Act; H.R. 9057, Gulf 
War Survivor Benefits Update Act of 2024; H.R. 9055, Veterans' 
Burial Improvement Act of 2024; and H.R. 9056, VA Insurance 
Improvement Act. H.R. 2971, H.R. 6362, H.R. 8792, H.R. 8874, 
H.R. 8879, H.R. 8879, H.R. 8880, H.R. 8881, H.R. 8910, H.R. 
9053, H.R. 9054, H.R. 9057, H.R. 9055, and H.R. 9056 were 
ordered reported to Full Committee by voice vote, without 
amendment. H.R. 8893 was ordered reported to Full Committee by 
voice vote, as amended.

                          LEGISLATIVE HEARINGS

Subcommittee Legislative Hearing--``Legislative hearing on H.R. 234, 
        Gerald's Law Act; H.R. 854, Captain James C. Edge Gold Star 
        Spouse Equity Act; H.R. 984, Commitment to Veteran Support and 
        Outreach Act; H.R. 1139, GUARD VA Benefits Act; H.R. 1329, to 
        amend title 38, United States Code, to provide for an increase 
        in the maximum number of judges who may be appointed to the 
        United States Court of Appeals for Veterans Claims; H.R. 1378, 
        Veterans' Appeals Backlog Improvement Act; H.R. 1529, Veterans' 
        Cost-of-Living Adjustment Act of 2023; and H.R. 1530, Veterans 
        Benefits Improvement Act.''

    On March 29, 2023, the Subcommittee met in an open session 
to conduct a legislative hearing to discuss the above 
legislation.
    There were three witness panels. The following witnesses 
testified on the first panel: Representative Morgan Luttrell 
(Texas); Representative Chris Pappas (New Hampshire); 
Representative Juan Ciscomani (Arizona); Representative Mike 
Levin (California); Representative Keith Self (Texas); and 
Representative Jack Bergman (Michigan).
    The following witnesses testified on the second panel: Ms. 
Cheryl Rawls, Executive Director, Outreach, Transition and 
Economic Development, Veterans Benefits Administration, U.S. 
Department of Veterans Affairs; Mr. Kevin Friel, Deputy 
Director, Pension & Fiduciary Service, Veterans Benefits 
Administration, U.S. Department of Veterans Affairs; and Ms. 
Christa Schriber, Deputy Chief Counsel, Benefits Law Group, 
Office of General Counsel, U.S. Department of Veterans Affairs.
    The following witnesses testified on the third panel: Mr. 
Shane Liermann, Deputy National Legislative Director, Disabled 
American Veterans; Mr. Lawrence Montreuil, Legislative 
Director, The American Legion; Ms. Kristina Keenan, Deputy 
Director for National Legislative Service, Veterans of Foreign 
Wars; and Lieutenant Colonel William Taylor (USA) Ret., Co-
Founder & Chief Operating Officer, Veterans Guardian VA Claim 
Consulting, LLC.
    The following groups submitted statements for the record: 
Gold Star Wives of America, National Organization of Veterans' 
Advocates, Inc., Rep. Michael Waltz, Special Operations 
Association of America, Tragedy Assistance Program for 
Survivors, and U.S. Court of Appeals for Veterans Claims.

Subcommittee Legislative Hearing--``Legislative Hearing on H.R. 1753, 
        To ensure that certain members of the Armed Forces who served 
        in female cultural support teams receive proper credit for such 
        service; H.R. 3790, Justice for ALS Veterans Act of 2023; H.R. 
        4016, Veteran Fraud Reimbursement Act; H.R. 4190, Restoring 
        Benefits to Defrauded Veterans Act; H.R. 4306, Michael Lecik 
        Military Firefighters Protection Act; H.R. 5559, Protecting 
        Veterans Claim Options Act; H.R. 5891, Veteran Appeals Decision 
        Clarity Act; H.R. 5870, Veteran Appeals Transparency Act of 
        2023; H.R. 5890, Review Every Veterans Claim Act of 2023; and 
        H.R. 5938, Veterans Exam Expansion Act of 2023.''

    On November 8, 2023, the Subcommittee met in an open 
session to conduct a legislative hearing to discuss several 
bills.
    There were three witness panels. The following witnesses 
testified on the first panel: Representative Morgan Luttrell 
(Texas); Chairman Mike Bost (Illinois); Representative Elissa 
Slotkin (Michigan); Representative Juan Ciscomani (Arizona); 
Representative Abigail Davis Spanberger (Virginia); 
Representative Keith Self (Texas); Representative David J. 
Trone (Maryland); and Representative Darrell Issa (California).
    The following witnesses testified on the second panel: Ms. 
Beth Murphy, Executive Director, Compensation Service, Veterans 
Benefits Administration, U.S. Department of Veterans Affairs; 
Mr. Kevin Friel, Deputy Director, Pension & Fiduciary Service, 
Veterans Benefits Administration, U.S. Department of Veterans 
Affairs; and Mr. Kenneth Arnold, Vice Chairman, Board of 
Veterans' Appeals, U.S. Department of Veterans Affairs.
    The following witnesses testified on the third panel: Mr. 
Shane Liermann, Deputy National Director, Disabled American 
Veterans; Ms. Quandrea N. Patterson, Associate Director, 
Veterans of Foreign Wars of the United States; and Mr. Zachary 
M. Stolz, Partner, Chisholm, Chisholm & Kilpatrick LTD.
    The following groups submitted statements for the record: 
ALS Association, AmVets, Rep. Gerald Connolly, Paralyzed 
Veterans of America, National Organization of Veterans' 
Advocates, Inc., Leidos QTC, Special Operations Association of 
America, and Service Women's Action Network.

Subcommittee Legislative Hearing--``Legislative Hearing on H.R. 1083, 
        Caring for Survivors Act of 2023; H.R. 2911, Fairness for 
        Servicemembers and their Families Act of 2023; H.R. 3651, Love 
        Lives On Act of 2023; H.R. 7100, Prioritizing Veterans' 
        Survivors Act; H.R. 7150, Survivor Benefits Delivery 
        Improvement Act of 2024; H.R. 7777, Veterans' Compensation 
        Cost-of-Living Adjustment Act of 2024; H.R. 7793, Veterans 
        Appeals Options Expansion Act of 2024; H.R. 7816, Clear 
        Communication for Veterans Claims Act; H.R. 7883, Toxic 
        Exposures Examination Improvement Act; H.R. 7917, Veterans 
        Appeals Efficiency Act of 2024; H.R. 7919, Veterans Claims 
        Quality Improvement Act of 2024; and Discussion Draft, To amend 
        title 38, United States Code, to improve matters relating to 
        medical examinations for veterans disability compensation, and 
        for other purposes.''

    On April 10, 2024, the Subcommittee met in an open session 
to conduct a legislative hearing to discuss several bills.
    There were three witness panels. The following witnesses 
testified on the first panel: Representative Keith Self 
(Texas); Representative John Duarte (California); and 
Representative Jahana Hayes (Connecticut).
    The following witnesses testified on the second panel: 
Colonel Tiffany M. Wagner, Clerk of the Court, U.S. Court of 
Appeals for Veterans Claims; Mr. Daniel T. Shedd, Legislative 
Attorney, American Law Division, Congressional Research 
Service; The Honorable Jaime Areizaga-Soto, Chairman, Board of 
Veterans' Appeals, U.S. Department of Veterans Affairs; Ms. 
Brianne Ogilvie, Assistant Deputy Under Secretary, Office of 
Policy and Oversight, Veterans Benefits Administration, U.S. 
Department of Veterans Affairs; and Ms. Jessica Pierce, 
Assistant Director, Compensation Service Policy Staff, U.S. 
Department of Veterans Affairs.
    The following witnesses testified on the third panel: Ms. 
Candace Wheeler, Director, Government and Legislative Affairs, 
Tragedy Assistance Program for Survivors (TAPS); Mr. 
Christopher Macinkowicz, Deputy Director, National Veterans 
Service, Veterans of Foreign Wars of the United States (VFW); 
Mr. Andrew Tangen, First Vice President, National Association 
of County Veterans Service Officers (NACVSO); and Ms. Renee 
Burbank, Director of Litigation, National Veterans Legal 
Services Program (NVLSP).
    The following groups submitted statements for the record: 
Administrative Conference of the United States, The American 
Legion, Disabled American Veterans, National Organization of 
Veterans' Advocates, Inc., Paralyzed Veterans of America, 
Representative Dean Phillips (Minnesota), Representative 
Marilyn Strickland, and Mr. Michael J. Wishnie.

Subcommittee Legislative Hearing--``Legislative Hearing on H.R. 2971, 
        Veterans Claims Education Act of 2023; H.R. 6362, Protecting 
        Benefits for Disabled Veterans Act of 2023; H.R. 6507, Mark Our 
        Place Act; H.R. 7729, Dennis and Lois Krisfalusy Act; H.R. 
        8792, Flowers for Fallen Heroes Act of 2024; H.R. 8854, 
        Ensuring Veterans' Final Resting Place Act of 2024; H.R. 8910, 
        Dayton National Cemetery Expansion Act of 2024; H.R. 8893, 
        Preserving Veterans' Legacy Act of 2024; H.R. 8874, Modernizing 
        All Veterans and Survivors Claims Processing Act; H.R. 8881, 
        Rural Veterans' Improved Access to Benefits Act of 2024; H.R. 
        8879, Improving VA Training for Military Sexual Trauma Claims 
        Act; H.R. 8880, Simplifying Forms for Veterans Claims Act; 
        Discussion Draft, Veterans 2nd Amendment Restoration Act; 
        Discussion Draft, Safeguarding Veterans 2nd Amendment Rights 
        Act; Discussion Draft, Board of Veterans Appeals' Attorney 
        Retention and Backlog Reduction Act; Discussion Draft, 
        Veterans' Burial Improvement Act; Discussion Draft, VA 
        Insurance Improvement Act; and Discussion Draft, Survivor 
        Benefits Update Act.''

    On July 10, 2024, the Subcommittee met in an open session 
to conduct a legislative hearing to discuss several bills.
    There were three witness panels. The following witnesses 
testified on the first panel: Representative Ryan Zinke 
(Montana); Representative Rudy Yakym III (Indiana); and 
Representative John Duarte (California).
    The following witnesses testified on the second panel: the 
Honorable Charles K. Djou, Secretary & Chief Executive, 
American Battle Monuments Commission; Mr. Glenn Powers, Deputy 
Undersecretary, Field Programs and Cemetery Operations, 
National Cemetery Administration, U.S. Department of Veterans 
Affairs; Mr. Jeffrey London, Executive Director, Medical 
Disability Examination Office, Veterans Benefits 
Administration, U.S. Department of Veterans Affairs; Ms. 
Kristina Messenger, Deputy Executive Director of Operations, 
Compensation Service, Veterans Benefits Administration, U.S. 
Department of Veterans Affairs; and Mr. Kevin Friel, Deputy 
Director of Pension & Fiduciary Service, Veterans Benefits 
Administration, U.S. Department of Veterans Affairs.
    The following witnesses testified on the third panel: Ms. 
Candace Wheeler, Director, Government and Legislative Affairs, 
Tragedy Assistance Program for Survivors (TAPS); Ms. Lesley 
Witter, Senior Vice President, Advocacy, National Funeral 
Directors Association (NFDA); Mr. Bob ``Shoebob'' Carey, 
Captain, US Navy (Ret), Director, Chief Bottle Washer, National 
Defense Committee; Mr. Robert M. ``Bob'' Holliday, Gold Star 
son of Captain Karl O. ``Hap'' Holliday; and Mr. Nicholas 
Keogh, 2nd Vice President, Local 17, American Federation of 
Government Employees (AFGE).
    The following groups submitted statements for the record: 
Center on Education and the Workforce--Georgetown University, 
Disabled American Veterans, Healthcare Leadership Council, 
National Association of Counties, Rep. Young Kim (California), 
Rep. Morgan McGarvey (Kentucky), Rep. Maxine Waters 
(California), Veterans of Foreign Wars of the U.S., and Mr. 
James Vollman.

                          OVERSIGHT ACTIVITIES

Subcommittee Oversight Hearing--``Reviewing VA's implementation of the 
      PACT Act''

    On May 16, 2023, the Subcommittee met in open session to 
conduct an oversight hearing examining the U.S. Department of 
Veterans Affairs (VA) delivery of disability compensation 
benefits under P.L. 117-168: the Sergeant First Class Heath 
Robinson Honoring Our Promise to Address Comprehensive Toxics 
Act of 2022 (PACT Act). The purpose of the hearing was to 
examine the VA's progress deploying information technology 
needed to process PACT Act claims; timelines for hiring and 
training new claims processors; provision of training and 
guidance on processing PACT Act claims; accuracy of claims 
decisions; and progress reducing the inventory of pending 
disability compensation claims.
    There were two witness panels. The following witnesses 
testified on the first panel: the Honorable Joshua Jacobs, 
Under Secretary for Benefits, Veterans Benefits Administration, 
U.S. Department of Veterans Affairs; Dr. Patricia Hastings, 
Chief Consultant, Health Outcomes and Military Exposures, 
Veterans Health Administration, U.S. Department of Veterans 
Affairs; and Mr. Robert Orifici, Director of the Benefits and 
Memorial Services Portfolio, Office of Technology 
Modernization, U.S. Department of Veterans Affairs.
    The following witnesses testified on the second panel: Mr. 
Michael T. Black, National Service Director, American Veterans 
(AMVETS); Colonel Lorry M. Fenner (USAF Retired), Director of 
Government Relations, Service Women's Action Network; and Mr. 
Aleks Morosky, Government Affairs Deputy Director, Wounded 
Warrior Project.
    The following groups submitted statements for the record: 
Veterans of Foreign Wars of the U.S., Disabled American 
Veterans, and American Federation of Government Employees, AFL-
CIO.

Joint Subcommittee Oversight Hearing--``From Months to Hours: The 
       Future of VA Benefits Claims Processing''

    On June 6, 2023, the Subcommittees on Disability Assistance 
and Memorial Affairs and Technology Modernization met in open 
session to conduct an oversight hearing to examine the U.S. 
Department of Veterans Affairs (VA) plans, and progress so far, 
to modernize the information technology systems used to process 
disability compensation claims. Specifically, the Subcommittees 
reviewed VA's 5-year Modernization Plan of Benefits Delivery 
Information Technology Systems, which was required in the PACT 
Act.
    There was one witness panel. The following witnesses 
testified: Mr. Raymond Tellez, Acting Assistant Deputy Under 
Secretary, Automated Benefits Delivery, Veterans Benefits 
Administration, U.S. Department of Veterans Affairs; Mr. Robert 
Orifici, Director, Benefits and Memorial Systems Portfolio, 
Office of Information & Technology, U.S. Department of Veterans 
Affairs; and Mr. David Bump, National Representative for 
National Veterans Affairs Council, Second Vice President for 
Veterans Benefits Administration at Local 2157, Portland, 
Oregon, American Federation of Government Employees.
    The following group submitted a statement for the record: 
Foundation for American Innovation.

Subcommittee Oversight Hearing--``VA Disability Exams: Are Veterans 
       Receiving Quality Services?''

    On July 27, 2023, the Subcommittee met in open session to 
conduct an oversight hearing to review the U.S. Department of 
Veterans Affairs (VA) oversight of disability exams conducted 
by contractors as well as Veterans Health Administration 
medical examiners. Other hearing topics included: exam 
scheduling, information technology systems for exams, examiner 
training, addressing underperforming examiners, and the 
sufficiency of VA's process to determine the quality, 
timeliness, and veteran satisfaction of disability exams. The 
Subcommittee also examined the VA's progress implementing the 
recommendations from several U.S. Government Accountability 
Office (GAO) reports.
    There was one witness panel. The following witnesses 
testified: Mr. Jeffrey London, Executive Director, Medical 
Disability Examination Office, Veterans Benefits 
Administration, U.S. Department of Veterans Affairs; Ms. 
Jacqueline Imboden, Assistant Director, Procedures & 
Interagency/MilPay, Compensation Service, Veterans Benefits 
Administration, U.S. Department of Veterans Affairs; Mr. 
Christopher Parker, Associate Executive Director, Office of 
Acquisitions, Logistics and Construction, U.S. Department of 
Veterans Affairs; Dr. Henry Bridges, Senior Medical Officer for 
the Office of Disability and Medical Assessment, (VHA/11CS-
DMA), U.S. Department of Veterans Affairs; Ms. Elizabeth Curda, 
Director, Education, Workforce, and Income Security, U.S. 
Government Accountability Office; and Mr. Stephen Bracci, 
Director, Claims and Medical Exams Inspection Division, Office 
of Audits and Evaluations, Office of Inspector General, U.S. 
Department of Veterans Affairs.
    The following groups submitted statements for the record: 
American Federation of Government Employees, AFL-CIO, Disabled 
American Veterans, Paralyzed Veterans of America, Maximus, 
National Organization of Veterans' Advocates, Inc., Optum Serve 
Health Services, and Leidos QTC.

Subcommittee Oversight Hearing--``VA's Fiduciary Program: Ensuring 
       Veterans' Benefits are Properly Managed''

    On September 28, 2023, the Subcommittee met in open session 
to conduct an oversight hearing to review the U.S. Department 
of Veterans Affairs (VA) fiduciary program to examine the 
process by which fiduciaries are appointed, including how VA 
deems an individual or entity as qualified to manage a 
veteran's benefits; the process by which VA monitors and 
removes fiduciaries; and, fraud and misuse associated with the 
program.
    There was one witness panel. The following witnesses 
testified: Mr. Kevin Friel, Deputy Director, Pension & 
Fiduciary Service, Veterans Benefits Administration, U.S. 
Department of Veterans Affairs; and Ms. Liza Van Haeren, 
Director, Claims and Fiduciary Division, Office of Audits and 
Evaluations, Office of Inspector General, U.S. Department of 
Veterans Affairs.
    The following groups submitted statements for the record: 
Disabled American Veterans and Paralyzed Veterans of America

Subcommittee Oversight Hearing--``Examining the VA Appeals Process: 
       Ensuring High Quality Decision-Making for Veterans' Claims on 
       Appeal''

    On November 29, 2023, the Subcommittee met in open session 
to conduct an oversight hearing to examine the quality of 
actions by the U.S. Department of Veterans Affairs (VA) Board 
of Veterans' Appeals (Board), including Board determinations of 
whether a Notice of Disagreement has initiated an appeal, Board 
remands of cases to the Veterans Benefits Administration (VBA) 
for further action or development, and Board decisions on 
veterans' claims for VA benefits. The hearing also examined the 
extent to which the VBA uses data from Board remands to inform 
its quality assurance and training programs, as well as the 
extent to which the Board uses data from orders by the U.S. 
Court of Appeals for Veterans Claims to inform its quality 
assurance and training programs.
    There were two witness panels. The following witnesses 
testified on the first panel: Ms. Elizabeth Curda, Director, 
Education, Workforce, and Income Security Issues, U.S. 
Government Accountability Office; Mr. Kenneth A. Arnold, Vice 
Chairman, Board of Veterans' Appeals, U.S. Department of 
Veterans Affairs; Ms. Mary Ann (Merri) Flynn, Chief Counsel, 
CAVC Litigation Group, Office of General Counsel, U.S. 
Department of Veterans Affairs; and Mr. Timothy Sirhal, 
Executive Director, Office of Administrative Review, Veterans 
Benefits Administration, U.S. Department of Veterans Affairs.
    The following witnesses testified on the second panel: Mr. 
Shane Liermann, Deputy National Legislative Director, Disabled 
American Veterans; Ms. Diane Boyd Rauber, Executive Director, 
National Organization of Veterans' Advocates, Inc.; Mr. Michael 
S. Figlioli, Director, National Veterans Service, Veterans of 
Foreign Wars of the United States; Mr. Zachary M. Stolz, 
Partner, Chisholm, Chisholm & Kilpatrick LTD; and Mr. Douglas 
E. Massey, President, Local 17, American Federation of 
Government Employees.
    The following groups submitted statements for the record: 
Bergmann & Moore, LLC and U.S. Court of Appeals for Veterans 
Claims.

Subcommittee Oversight Hearing--``Is VA Illegally Spending Taxpayer 
       Dollars in its Compensation and Pension Programs?''

    On February 14, 2024, the Subcommittee met in open session 
to conduct an oversight hearing to examine the U.S. Department 
of Veterans Affairs (VA) financial management policies and 
practices, specifically including whether VA effectively uses 
dollars that Congress appropriates for veterans' disability 
compensation and pension benefits, the extent to which VA has 
issued improper payments, and whether VA is entirely 
transparent about the overpayments it has issued.
    There was one witness panel. The following witnesses 
testified: Mr. Ronald S. Burke Jr., Deputy Under Secretary for 
Policy and Oversight, Veterans Benefits Administration, U.S. 
Department of Veterans Affairs; Ms. Lasheeco Graham, Chief 
Financial Officer, Office of Financial Management, Veterans 
Benefits Administration, U.S. Department of Veterans Affairs; 
Mr. Brent E. Arronte, Deputy Assistant Inspector General for 
Audits and Evaluations, Office of Inspector General, U.S. 
Department of Veterans Affairs; and Ms. Dana Sullivan, Director 
of Claims and Appeals, Office of Audits and Evaluations, Office 
of Inspector General, U.S. Department of Veterans Affairs.

Subcommittee Oversight Hearing--``Lost in Translation: How VA's 
       Disability Claims and Appeals Letters Should be Simplified''

    On March 20, 2024, the Subcommittee met in open session to 
conduct an oversight hearing to examine whether the U.S. 
Department of Veterans Affairs (VA) disability claims and 
appeals notice letters to veterans and their families are 
understandable and contain the information veterans need to 
effectively navigate the claims process for VA disability 
compensation benefits in a timely manner.
    There were two witness panels. The following witnesses 
testified on the first panel: Ms. Beth Murphy, Executive 
Director, Compensation Service, U.S. Department of Veterans 
Affairs; Ms. Caroline Fleming, Veterans Law Judge, Board of 
Veterans' Appeals, U.S. Department of Veterans Affairs; Ms. 
Denise Kitts, Executive Director, Enterprise Measurement and 
Design, Veterans Experience Office, U.S. Department of Veterans 
Affairs; and Mr. Brian Griffin, Deputy Chief Counsel, Benefits 
Law Group, Office of General Counsel, U.S. Department of 
Veterans Affairs.
    The following witnesses testified on the second panel: Mr. 
Shane Liermann, Deputy National Legislative Director, Disabled 
American Veterans (DAV); Ms. Diane Boyd Rauber, Executive 
Director, National Organization of Veterans' Advocates, Inc. 
(NOVA); and Mr. Michael S. Figlioli, Director, National 
Veterans Service, Veterans of Foreign Wars of the United States 
(VFW).

Subcommittee Oversight Hearing--``Does a Total Disability Rating Based 
       on Individual Unemployability (TDIU) Properly Compensate 
       Today's Veterans?''

    On June 12, 2024, the Subcommittee met in open session to 
conduct an oversight hearing to examine whether the TDIU 
benefit properly compensates veterans who are unable to secure 
and maintain substantially gainful employment as a result of 
their service-connected disability or disabilities, including 
whether the current TDIU benefit is an accurate representation 
of the average totally impaired veteran's earing capacity in 
today's civil occupational environment. The Subcommittee also 
examined the current criteria for entitlement to TDIU and the 
extent to which the U.S. Department of Veterans Affairs' 
occupational training and counseling helps veterans obtain 
substantially gainful employment.
    There were two witness panels. The following witnesses 
testified on the first panel: Mr. Ronald S. Burke Jr., Deputy 
Under Secretary, Office of Policy & Oversight, Veterans 
Benefits Administration, U.S. Department of Veterans Affairs; 
Mr. Nick Pamperin, Executive Director, Veteran Readiness and 
Employment Service, U.S. Department of Veterans Affairs; and 
Mr. David J. Barrans, Chief Counsel, Benefits Law Group, Office 
of General Counsel, U.S. Department of Veterans Affairs.
    The following witnesses testified on the second panel: Mr. 
Marquis Barefield, Assistant National Legislative Director, 
Disabled American Veterans (DAV); Mr. Michael S. Figlioli, 
Director, National Veterans Service, Veterans of Foreign Wars 
of the United States (VFW); and Mr. Michael Stoddard, National 
Service Director, Benefits Services, Wounded Warrior Project 
(WWP).
    The following groups submitted statements for the record: 
Center on Education and the Workforce--Georgetown University, 
National Organization of Veterans' Advocates, Inc., Paralyzed 
Veterans of America, and Mr. James Vollman.

Subcommittee Oversight Hearing--``Examining Shortcomings with VA's 
       National Work Queue Veterans Benefits Claims Management 
       System''

    On June 26, 2024, the Subcommittee met in open session to 
conduct an oversight hearing to examine the National Work Queue 
(NWQ), including whether VA's national and regional office (RO) 
rules for workload management allows VA employees to learn from 
their mistakes. The hearing also examined the NWQ's 
distribution of certain types of claims to ROs assigned to 
process those claims, including whether backlogs result from 
mismanagement of special mission ROs.
    There were two witness panels. The following witnesses 
testified on the first panel: Mr. Willie Clark, Deputy Under 
Secretary, Field Operations, Veterans Benefits Administration, 
U.S. Department of Veterans Affairs; and Mr. Ken Smith, 
Assistant Deputy Under Secretary, Operations Management, 
Veterans Benefits Administration, U.S. Department of Veterans 
Affairs.
    The following witnesses testified on the second panel: Mr. 
Herman Breuer, Policy Director, National Association of County 
Veterans Services Officers (NACVSO); Ms. Ashlynne Haycock-
Lohmann, Deputy Director, Government and Legislative Affairs, 
Tragedy Assistance Program for Survivors (TAPS); and Mr. James 
R. Swartz, President, Local 2823, American Federation of 
Government Employees (AFGE).

Subcommittee Oversight Hearing--``Is the Veterans Benefits 
       Administration Properly Processing and Deciding Veterans 
       Claims?''

    On July 23, 2024, the Subcommittee met in open session to 
conduct an oversight hearing to examine the efficacy of the 
Department of Veterans Affairs (VA) Veteran Benefits 
Administration (VBA) quality assurance and training programs, 
including whether VBA's training program is effective for 
ensuring accurate decisions on veterans' and survivors' claims, 
and whether VBA's quality data gathering methodology accurately 
reflects whether VBA is properly processing and deciding 
veterans' and survivors' claims.
    There was one witness panel. The following witnesses 
testified: Mr. Ronald S. Burke, Jr., Deputy Under Secretary, 
Office of Policy & Oversight, Veterans Benefits Administration, 
U.S. Department of Veterans Affairs; Mr. Kenneth Smith, 
Assistant Deputy Under Secretary, Operations Management, 
Veterans Benefits Administration, U.S. Department of Veterans 
Affairs; Ms. Kristina Messenger, Deputy Executive Director of 
Operations, Compensation Service, Veterans Benefits 
Administration, U.S. Department of Veterans Affairs; Mr. 
Stephen Bracci, Director, Compensation Programs Inspection 
Division, Office of Audits and Evaluations, Office of Inspector 
General (OIG), U.S. Department of Veterans Affairs; Ms. 
Elizabeth Curda, Director, Education, Workforce, and Income 
Security, Government Accountability Office (GAO); and Ms. Linda 
Parker-Cooks, President, Local 138, American Federation of 
Government Employees (AFGE).

Subcommittee Oversight Hearing--``Examining VA's Challenges with 
       Ensuring Quality Contracted Disability Compensation 
       Examinations''

    On September 18, 2024, the Subcommittee met in open session 
to conduct an oversight hearing to examine the Department of 
Veterans Affairs' (VA) policies and processes for overseeing 
contracted disability compensation exam vendors, including 
whether VA ensures that exam vendors properly schedule veterans 
for appropriate exams at appropriate facilities, perform high-
quality and legally adequate exams, and comply with VA's 
contractual terms and requirements. The hearing also examined 
whether VA is sufficiently holding exam vendors accountable for 
mistakes that have a direct impact on veterans and their 
eligibility for disability compensation benefits.
    There was one witness panel. The following witnesses 
testified: Mr. Ryan M. Gallucci, Director, National Veterans 
Service, Veterans of Foreign Wars of the United States; Mr. 
Jeffrey London, Executive Director, Medical Disability 
Examination Office, Veterans Benefits Administration, U.S. 
Department of Veterans; Ms. Tara Flores, Director, Acquisition 
Service, Strategic Acquisition Center, Office of Acquisition, 
Logistics and Construction, U.S. Department of Veterans 
Affairs; and Ms. Elizabeth Curda, Director, Education, 
Workforce, and Income Security, Government Accountability 
Office.
    The following groups submitted statements for the record: 
American Federation of Government Employees, AFL-CIO, National 
Organization of Veterans' Advocates, Inc., Office of Inspector 
General of the U.S. Department of Veterans Affairs, and 
Paralyzed Veterans of America.

Subcommittee Oversight Hearing--``Our Nation's Hallowed Grounds: Review 
       of America's National Cemetery Funeral Operations for Veterans 
       and Servicemembers''

    On November 13, 2024, the Subcommittee met in open session 
to conduct an oversight hearing to examine two overarching 
topics. First, the hearing examined the U.S Department of 
Veterans Affairs' (VA's) progress towards ensuring veterans 
have reasonable access to a burial option within 75 miles of 
their homes, including VA's policies and processes for 
establishing and expanding national cemeteries administered the 
National Cemetery Administration, including cost estimate 
procedures and land acquisition procedures; VA's Veterans 
Cemetery Grants Program, including VA's policies and processes 
for awarding grants and for overseeing maintenance of 
established grant-funded state, tribal, and territory veterans 
cemeteries; and VA's efforts to modernize its memorial affairs 
technology. Second, the hearing examined the Department of the 
Army's (Army's) efforts to resume full and sustainable 
operations of the Caisson Platoon at Arlington National 
Cemetery (ANC), including Army's progress towards resuming 
military funerals with caisson support at ANC on behalf of 
veterans, servicemembers, and their families.
    There were two witness panels. The following witness 
testified on the first panel: Major General Trevor J. 
Bredenkamp, Commanding General, Joint Task Force--National 
Capital Region, U.S. Army Military District of Washington.
    The following witnesses testified on the second panel: Mr. 
Ronald E. Walters, Acting Under Secretary for Memorial Affairs, 
National Cemetery Administration, U.S. Department of Veterans 
Affairs; Mr. Richard Chandler, Deputy Under Secretary for 
Management, National Cemetery Administration, U.S. Department 
of Veterans Affairs; Mr. Robert J. Orifici, Executive Director, 
Benefits and Memorial Systems, Office of Information and 
Technology, U.S. Department of Veterans Affairs; Rear Admiral 
Jon C. Kreitz, U.S. Navy (Retired), Equestrian Expert; Ms. 
Lesley Witter, Senior Vice President, Advocacy, National 
Funeral Directors Association; and Mr. Shawn P. Buck, Director, 
New Hampshire State Veterans Cemetery.
    The following groups submitted statements for the record: 
National Association of State Directors of Veterans Affairs, 
Inc., Mr. Jose D. Acevedo, J.D., and Veterans of Foreign Wars 
of the U.S.

                              ROUNDTABLES

Subcommittee Roundtable--``VBA Fiduciary Program and NICS Reporting''

    On June 1, 2023, the Subcommittee conducted a bipartisan 
staff-led, closed-door, roundtable to discuss the Veterans 
Benefits Administration's fiduciary program, their reporting to 
the National Instant Criminal Background Check System, and H.R. 
705, the Veterans 2nd Amendment Protection Act. The purpose of 
the roundtable was to discuss the U.S. Department of Veterans 
Affairs' (VA) policy of reporting veterans, who have been 
appointed a fiduciary to manage their VA benefits, to the 
Federal Bureau of Investigation's (FBI) National Instant 
Criminal Background Check System (NICS).
    In attendance were: Mr. John Kamin, Legislative Associate 
and Grass Roots Coordinator, The American Legion; Ms. Christian 
Heyne, Gun Violence Survivor and Vice President, Policy & 
Programs, Brady United Against Gun Violence; Mr. Mark Collins, 
Director, Federal Policy, Brady United Against Gun Violence; 
Mr. Shane Liermann, Deputy National Legislative Director, 
Disabled American Veterans; Mr. Marquis Barefield, Assistant 
National Legislative Director, Disabled American Veterans; Mr. 
Rob Wilcox, Federal Legal Director, Everytown for Gun Safety; 
Mr. Lindsay Nichols, Law Center Policy Director, Giffords; and 
Ms. Kristina Keenan, Deputy Director, National Legislative 
Service, Veterans of Foreign Wars of the United States.

Subcommittee Roundtable--``Exploring a Workable Standard for the Court 
      to Reverse Board Decisions''

    On November 15, 2023, the Subcommittee conducted a staff-
led, closed-door roundtable. The purpose of this roundtable was 
for veterans' advocates to discuss the U.S. Court of Appeals 
for Veterans Claims' (Court's) reversal standard and explore 
ideas for a workable standard of judicial review that would 
allow for more Court reversals of VA Board of Veterans' Appeals 
findings or decisions. The roundtable also explored ideas for 
expanding the Court's jurisdiction to increase the finality of 
claims decision, improve upon the Court's class action 
authority, and ensure greater consistency of VA decision-making 
on claims.
    In attendance were: Ms. Renee Burbank, Director of 
Litigation, National Veterans Legal Services Program; Ms. Amy 
B. Kretkowski, Adjunct Professor of Veterans Benefits Law, 
University of Iowa College of Law; Mr. Daniel Nagin, Clinical 
Professor of Law and Faculty Director, WilmerHale Legal 
Services Center; Mr. Gerald Ray, Administrative Appeals Judge, 
Deputy Chair of the Appeals Council, and Deputy Executive 
Director Office of Appellate Operations (retired), Social 
Security Administration; Mr. James D. Ridgway, Partner, 
Bergmann & Moore, LLC; Ms. Liza Sawyer, Legal Advisor, U.S. 
Court of Appeals for the Federal Circuit; Mr. Jonathan R. 
Siegel, Professor of Law, George Washington University Law 
School; Ms. Amy F. Odom, Appellate Strategy Coordinator, 
Chisholm, Chisholm, & Kilpatrick; Ms. Stacey-Rae Simcox, 
Professor of Law, Director of Veterans Law Institute and 
Director of Veterans Advocacy Clinic, Stetson University 
College of Law; and Mr. Michael J. Wishnie, William O. Douglas 
Clinical Professor of Law, Yale Law School.

Subcommittee Roundtable--``Recommendations to Make VA's Notice Letters 
      Understandable for Veterans and Survivors''

    On May 7, 2024, the Subcommittee conducted a bipartisan, 
member-led, closed door, roundtable. The purpose of this 
roundtable was for Members and VA leaders to hear from veterans 
service organizations on how to make VA's notice letters 
understandable for veterans and survivors. These notice letters 
come from the VA and are sent to veterans and survivors when 
they file for disability compensation and pension benefits.
    In attendance were: Rep. Morgan Luttrell (Texas); Rep. 
Chris Pappas (New Hampshire); Rep. Delia C. Ramirez (Illinois); 
Rep. Elijah Crane (Arizona); General Jack Bergman (Michigan); 
Rep. Keith Self (Texas); Ms. Brianne Ogilvie, Assistant Deputy 
Under Secretary for Policy & Oversight, U.S. Department of 
Veterans Affairs; Ms. Beth Murphy, Executive Director, 
Compensation Service, Veterans Benefits Administration, U.S. 
Department of Veterans Affairs; Ms. Caroline Fleming, Veterans 
Law Judge, Board of Veterans' Appeals, U.S. Department of 
Veterans Affairs; Ms. Denise Kitts, Executive Director, 
Enterprise Measurement and Design, Veterans Experience Office, 
U.S. Department of Veterans Affairs; Mr. Brian Griffin, Deputy 
Chief Counsel, Benefits Law Group, Office of General Counsel, 
U.S. Department of Veterans Affairs; Ms. Diane Boyd Rauber, 
Executive Director, National Organization of Veterans' 
Advocates; Mr. Jim Marszalek, National Service Director, 
Disabled American Veterans; Mr. Shane Liermann, Deputy National 
Legislative Director, Disabled American Veterans; Mr. 
Christopher A. Macinkowicz, Deputy Director, National Veterans 
Service, Veterans of Foreign Wars; Mr. Michael S. Figlioli, 
Director, National Veterans Service, Veterans of Foreign Wars; 
Ms. Renee Burbank, Director of Legislation, National Veterans 
Legal Service Program; Ms. Ashlynne Haycock-Lohmann, Deputy 
Director, Government and Legislative Affairs, Tragedy 
Assistance Program for Survivors; Ms. Krista Anderson, Policy 
Advisor, Tragedy Assistance Program for Survivors; Mr. Philip 
S. Du, Deputy Director of Benefits & Claims, Veterans Affairs & 
Rehabilitation Division, The American Legion; Mr. Jake Corsi, 
Legislative Associate, The American Legion; Mr. Morgan D. 
Brown, National legislative Director, Paralyzed Veterans of 
America; Mr. Peter Gaytan, Associate Executive Director, 
Paralyzed Veterans of America; and Ms. Donna Eldridge, 
Government Relations Committee, Gold Star Wives of America.

Subcommittee Roundtable--``More Recommendations to Make VA's Notice 
      Letters Understandable for Veterans and Survivors''

    On June 27, 2024, the Subcommittee conducted a bipartisan 
staff-led, closed-door, roundtable to obtain an update on VA's 
efforts to improve notice letters and to further discuss to 
improve VA notice letters, including the letters VA should 
prioritize improving to make them more understandable for 
veterans and survivors.
    In attendance were: Mr. Kevin Friel, Deputy Director, 
Pension and Fiduciary Service, Veterans Benefits 
Administration, U.S. Department of Veterans Affairs; Ms. Beth 
Murphy, Executive Director, Compensation Service, Veterans 
Benefits Administration, U.S. Department of Veterans Affairs; 
Mr. Drew Craig, Design Chief, Enterprise Measurement and Design 
Directorate, Veterans Experience Office, U.S. Department of 
Veterans Affairs; Ms. Jessica Pierce, Assistant Director for 
Policy, Compensation Service, Veterans Benefits Administration, 
U.S. Department of Veterans Affairs; Ms. Diane Boyd Rauber, 
Executive Director, National Organization of Veterans' 
Advocates; Mr. Jim Marszalek, National Service Director, 
Disabled American Veterans; Mr. Marquis Barefield, Assistant 
National Legislative Director, Disabled American Veterans; Mr. 
Christopher A. Macinkowicz, Deputy Director, National Veterans 
Service, Veterans of Foreign Wars; Mr. Michael S. Figlioli, 
Director, National Veterans Service, Veterans of Foreign Wars; 
Ms. Alexis Ivory, Senior Staff Attorney, National Veterans 
Legal Services Program; Ms. Ashlynne Haycock-Lohmann, Deputy 
Director, Government and Legislative Affairs, Tragedy 
Assistance Program for Survivors; Ms. Candace Wheeler, 
Director, Government and Legislative Affairs, Tragedy 
Assistance Program for Survivors; Mr. Philip S. Du, Deputy 
Directory of Benefits and Claims, Veterans Affairs & 
Rehabilitation Division, The American Legion; Mr. Jake Corsi, 
Legislative Associate, The American Legion; Mr. Morgan D. 
Brown, National Legislative Director, Paralyzed Veterans of 
America; Mr. Peter Gaytan, Associate Executive Director, 
Paralyzed Veterans of America; Ms. Donna Eldridge, Co-Chair 
Government Relations Committee, Gold Star Wives of America, 
Inc., Ms. Pamela Laurion, Co- Chair Government Relations 
Committee, Gold Start Wives of America, Inc.

                              SITE VISITS

    Columbia, South Carolina. On February 16, 2023, Disability 
Assistance and Memorial Affairs and Oversight and 
Investigations Subcommittees majority and minority staff 
visited the Columbia Regional Office, Columbia VA Medical 
Center, and the Women's Clinic. Staff conducted this visit 
because this is one of the 6 fiduciary hubs across the country. 
Staff heard from employees about problems in the fiduciary 
program with the Annual Written Contact Only Program. Staff 
also heard from regional office employees about how they were 
unprepared to process PACT Act claims and concerns about the 
number of errors being made in those claims.
    Seattle, Washington & Salt Lake City, Utah. On March 13-16, 
2023, Disability Assistance and Memorial Affairs and Economic 
Opportunity Subcommittees majority staff attended the VBA 
Leadership Conference, the Seattle Regional Office, and the 
Salt Lake City Regional Office. Staff conducted an oversight 
visit and heard from Regional Office staff about the stress 
from the implementation of the PACT Act. Staff also heard from 
fiduciary hub employees about problems that informed a 
subcommittee oversight hearing later in the year.
    Houston, Texas. On May 5, 2023, the Subcommittee majority 
staff accompanied Subcommittee Chairman Luttrell to the Houston 
Regional Office to hear from employees about their concerns 
with VA's implementation of the PACT Act. Chairman Luttrell and 
staff heard concerns about the lack of efficiency in updating 
the training for PACT Act. Employees also discussed the 
National Work Queue and how they want more feedback to learn 
from the errors they are making on veterans' claims.
    Dayton, Ohio. On August 2, 2023, the Subcommittee majority 
staff accompanied House Committee on Veterans' Affairs Chairman 
Bost and Representative Mike Turner on an oversight visit to 
the Dayton VA Medical Center and the Dayton National Cemetery. 
Staff were briefed on the current medical research programs 
ongoing at the Dayton VAMC, the Veterans History Project 
running at the hospital, and the National Cemetery 
Administration's current plans to expand the Cemetery.
    Indianapolis, Indiana. On September 7, 2023, the 
Subcommittee majority staff conducted an oversight visit to the 
Indianapolis Regional Office. The purpose of this visit was to 
hear about issues in this program from fiduciary hub employees 
to inform a subcommittee oversight hearing held later that 
year. Employees raised concerns, such as the need for more 
effective, modernized systems and how tasks are not adequately 
tracked across multiple systems. The Indianapolis RO was also 
one of the ROs in charge of processing Military Sexual Trauma 
(MST) claims, and staff heard from these employees about how 
MST claims will be processed at one centralized RO going 
forward.
    Washington, District of Columbia. On October 12, 2023, 
Disability Assistance and Memorial Affairs and Technology and 
Modernization Subcommittees majority and minority staff 
conducted an oversight visit at the VA Board of Veterans' 
Appeals (Board). Staff heard from Board leadership about 
concerns with working through their over 200,000 inventory of 
appeals. Staff received demos of the Board's appeals processing 
systems and quality assurance methods. Board staff and judges 
discussed inadequacies in their quality assurance and training 
programs, which informed a subcommittee oversight hearing later 
in the year as well as proposed legislation.
    New Orleans, Louisiana. On January 26, 2024, Disability 
Assistance and Memorial Affairs and Technology and 
Modernization Subcommittees majority and minority staff visited 
the New Orleans VBA Regional Office, a prototype site to test 
automation tools developed for disability compensation claims 
processing. RO staff acknowledged that accuracy of these tools 
was improving but reported that claims processing systems as a 
whole cause delays from frequent crashes and time outs.
    Waco, Texas. On February 26, 2024, the Subcommittee 
majority staff conducted an oversight visit to the Waco 
Regional Office, the largest Veterans Service Center in the 
nation. Employees reported satisfaction with the RO director 
due to his providing opportunities for their professional 
development, but they reported inadequate national training for 
new hires, resulting in low quality work across the nation. 
Employees also raised concerns about how PACT Act 
implementation was rushed, and sub regulatory guidance and 
training resources are inconsistent, which informed a 
subcommittee oversight hearing later that year.
    Houston, Texas. On February 27, 2024, the Subcommittee 
majority staff accompanied Subcommittee Chairman Luttrell for 
an oversight visit to the Houston VBA Regional Office to 
evaluate claims processing and workload management, 
particularly under the National Work Queue (NWQ). Under 
Secretary for Benefits Joshua Jacobs highlighted VBA's progress 
in reducing the claims backlog following the implementation of 
the PACT Act. Discussions with RO leadership and the RO's 
Quality Review Team (QRT) focused on the NWQ, including how the 
system does not allow for employees to learn from all their 
mistakes, which informed a Subcommittee oversight hearing later 
in the year.
    Dayton, Ohio. On March 18, 2024, the Subcommittee majority 
staff accompanied Representative Mike Turner on an oversight 
visit to the Dayton National Cemetery. This was then-Under 
Secretary for Memorial Affairs Quinn's first visit to the 
cemetery. They were briefed by National Cemetery Administration 
(NCA) employees on construction plans for the expansion of the 
cemetery, which would extend behind historical buildings and 
run adjacent to a parking lot. Concerns were raised about the 
NCA's lack of collaboration with the community regarding the 
expansion plans, which informed a Subcommittee oversight 
hearing later in the year.
    Philadelphia, Pennsylvania. On April 17, 2024, the 
Subcommittee majority staff conducted oversight visits to the 
Philadelphia VBA Regional Office, Philadelphia National 
Cemetery, and Mount Moriah Cemetery. At the RO's Pension 
Management Center (PMC), employees processing survivors' 
benefits claims raised concerns about the ineffectiveness of 
automation tools provided to them, as well as automation tools 
that should be provided to them but are only provided to 
Compensation Service; glitches in technology systems; and low-
quality work at other PMCs. This informed proposed legislation 
later in the year. At the Philadelphia National Cemetery, 
employees discussed rising costs of maintenance, and at the 
Mount Moriah Soldiers Plot and Naval Plot, staff observed the 
revitalization and upkeep of these historic sites.
    San Diego, California. On May 3, 2024, the Subcommittee 
majority and minority staff conducted oversight visits to the 
San Diego Regional Office, Miramar National Cemetery, and 
Marine Corps Air Station (MCAS) Miramar to assess claims 
processing, cemetery operations, and the health and safety of 
service members. At the RO, employees raised issues with 
quality of national training, noting that local Quality Review 
Teams often compensate for inadequate national training 
programs by providing local training, which informed a 
Subcommittee oversight hearing later that year. Marimar 
National Cemetery provided staff a tour, and staff were pleased 
with the immaculate state of the cemetery, despite their 
challenges with recruitment and retention due to high cost of 
living. At MCAS Miramar, service members shared concerns about 
exposure to toxic substances, such as Jet Propellant 8 (JP-8), 
and continued challenges related to accessing mental health 
support on the base.
    Des Moines, Iowa. On June 6, 2024, the Subcommittee 
majority staff conducted oversight visits to the Des Moines 
Regional Office and the Iowa Veterans Cemetery. At the RO, 
staff observed the Veterans Benefits Administration's first 
annual Quality Standdown Day training, and employees told staff 
that though the training was beneficial generally, local 
training fills in many gaps in the national training. Employees 
emphasized the need for improved national training and clearer 
guidance on Toxic Exposure Risk Activity claims under the PACT 
Act. At the Iowa Veterans Cemetery, a state grant-funded 
cemetery, staff expressed concerns about inadequate funding 
from the Iowa state government and the National Cemetery 
Administration, as well as staffing shortages and outdated 
equipment, which they noted hinder cemetery operations. This 
informed a subcommittee oversight hearing later that year.
    Lincoln, Nebraska. On June 7, 2024, the Subcommittee 
majority staff conducted oversight visits to the Lincoln 
Regional Office and Omaha National Cemetery. At the Lincoln RO, 
employees noted improvements to the automation tools for 
processing simple claims but noted that the automation tools 
are ineffective in complex cases, requiring manual 
intervention. RO staff also highlighted the need for more 
comprehensive national training for claims processors. At 
Offutt Air Force Base, airmen operating the Boeing RC 135 
``Rivet Joint'' reconnaissance aircraft raised concerns about 
hazardous conditions during missions, including high-intensity 
radio wave exposure, electrical fires, cramped working spaces, 
and emotional strain from their missions. At the Omaha National 
Cemetery, leadership raised concerns about staffing shortages 
and the urn/plaque benefit policy, which informed proposed 
legislation.
    Roanoke, Virginia. On June 18, 2024, the Subcommittee 
majority staff conducted an oversight visit to the Roanoke 
Regional Office, a recently designated site for processing 
backlogged Military Sexual Trauma (MST) claims. Employees noted 
inadequate training, given no option to opt out of processing 
such claims, and rushed implementation at their office. The 
reports of inadequate training for MST claims processors 
informed proposed legislation.

















                   ACTIVITIES OF THE SUBCOMMITTEE ON
                          ECONOMIC OPPORTUNITY

                 DERRICK VAN ORDEN, Wisconsin, Chairman
                 MIKE LEVIN, California, Ranking Member
NANCY MACE, South Carolina           FRANK MRVAN, Indiana
SCOTT FRANKLIN, Florida              MORGAN McGARVEY, Kentucky
JUAN CISCOMANI, Arizona              DELIA RAMIREZ, Illinois
ELI CRANE, Arizona
                                 ------                                
                  Katy Flynn, Majority Staff Director
                  Justin Vogt, Minority Staff Director
                  





                  











                  
                  
                         LEGISLATIVE ACTIVITIES

    Subcommittee Markup. On April 18, 2023, the Subcommittee 
held a markup on H.R. 645, Healthy Foundations for Homeless 
Veterans Act; H.R. 728, To Direct the Assistant Secretary of 
Labor for Veterans' Employment and Training to carry out a 
pilot program on short-term programs for veterans; H.R. 746, 
Streamlining Aviation for Eligible Veterans Act; H.R. 1169, VA 
E-Notification Enhancement Act; H.R. 1635, the Filipino 
Education Fairness Act; H.R. 1669, VET-TEC Authorization Act of 
2023; H.R. 1767, Student Veteran Benefit Restoration Act; H.R. 
1786, Get Rewarding Outdoor Work for our Veterans Act; H.R. 
1798, Protect Military Dependents Act; and H.R. 1799, EMPLOY 
VETS Act. H.R. 746, H.R. 1169, H.R. 1635, and H.R. 1786 were 
ordered reported by voice vote to Full Committee, without 
amendment. H.R. 728, H.R. 1767, H.R. 1669, H.R. 1798, H.R. 645, 
and H.R. 1799 were ordered reported by voice vote to Full 
Committee, as amended.
    The following groups submitted letters of support: 
Military-Veterans Advocacy
    Subcommittee Markup. On July 19, 2023, the Subcommittee 
held a markup on H.R. 3848, HOME Act of 2023; H.R. 3874, 
Veterans Education Assistance Improvement Act; H.R. 3898, 
Transcript Assurance for Heroes Act; H.R. 3900, To amend title 
38, United States Code, to establish certain rights for spouses 
of members of the uniformed services; H.R. 3933, TAP Promotion 
Act; H.R. 3943, Servicemember Employment Protection Act of 
2023; and H.R. 3981, Veterans Education Oversight Expansion 
Act. H.R. 3933 and H.R. 3874 were ordered reported by voice 
vote to Full Committee, without amendment. H.R. 3943, H.R. 
3848, H.R. 3900, H.R. 3898, and H.R. 3981 were ordered reported 
by voice vote to Full Committee, as amended.
    Subcommittee Markup. On November 15, 2023, the Subcommittee 
held a markup on H.R. 522, Deliver for Veterans Act; H.R. 2830, 
Veteran Improvement Commercial Driver License Act of 2023; H.R. 
3601, Student Veteran Work Study Modernization Act; H.R. 3722, 
Daniel J. Harvey, Jr. and Adam Lambert Improving Servicemember 
Transition to Reduce Veteran Suicide Act and the Amendment in 
the Nature of a Substitute to it; H.R. 3738, To amend title 38, 
United States Code, to establish in the Department of Veterans 
Affairs the Veterans Economic Opportunity and Transition 
Administration, and for other purposes; H.R. 5785, To amend 
title 38, United States Code, to modify the requirements of the 
Edith Nourse Rogers STEM Scholarship and the Amendment in the 
Nature of a Substitute to it; H.R. 5913, Consolidating Veteran 
Employment Services for Improved Performance Act of 2023; H.R. 
5914, To amend title, United States Code, to improve the 
processes to approve programs of education for purposes of the 
educational assistance programs of the Department of Veterans 
Affairs, and for other purposes; H.R. 5956, G.I. Bill 
Improvement Act of 2023; and H.R. 6193 To amend title 38, 
United States Code, to waive the fee for a housing loan 
guaranteed by the Secretary of Veterans Affairs for a veteran 
with a service-connected disability who applied for such loan 
before receiving a disability rating from the Secretary. H.R. 
522, H.R. 3601, H.R. 3738, H.R. 5914, H.R. 5956, H.R. 2830, and 
H.R. 6913 were ordered reported by voice vote to Full 
Committee, without amendment. H.R. 3722 and H.R. 5785 were 
ordered reported by voice vote to Full Committee, as amended. 
H.R. 5913 was withdrawn.
    Subcommittee Markup. On April 17, 2024, the Subcommittee 
held a markup on H.R. 6225, Expanding Home Loans for Guard and 
Reservists Act; H.R. 6656, Stuck on Hold Act; H.R. 7323, 
Montgomery GI Bill Selected Reserves Tuition Fairness Act; H.R. 
7613, Veterans Flight Training Responsibility Act of 2024; H.R. 
7643, Veterans Congressional Work Study Act of 2024; H.R. 7653, 
VERY Act of 2024; and H.R. 7732, ETS Act. H.R. 6656, H.R. 7613, 
H.R. 7732, H.R. 6225, and H.R. 7643, were ordered reported by 
voice vote to Full Committee, as amended. H.R. 7323 and H.R. 
7653 were ordered reported by voice vote to Full Committee, 
without amendment.
    Subcommittee Markup. On June 27, 2024, the Subcommittee 
held a markup on H.R. 226, Veterans Collaboration Act; H.R. 
7896, VETS Opportunity Act of 2024; H.R. 7920, Agriculture 
Grants for Veteran Education and Training Services Act; H.R. 
8592, Warriors to Workforce Act; H.R. 8646, Modernizing the 
Veterans On-Campus Experience Act of 2024; H.R. 8647, VA Home 
Loan Program Reform Act; H.R. 8661, Reforming Education for 
Veterans Act; H.R. 7543, Guard and Reserve GI Bill Parity Act 
of 2024; H.R. 8560, End Veteran Homelessness Act of 2024; H.R. 
8514, To amend title 38, United States Code, to provide an 
annual increase in stipend for books, supplies, equipment, and 
other education costs under Post-9/11 Educational Assistance 
Program of Department of Veterans Affairs; and H.R. 8627, 
Student Veteran Debt Relief Act of 2024. H.R. 226, H.R. 7896, 
H.R. 8592, H.R. 8646, H.R. 8647, H.R. 8661, H.R. 7543, H.R. 
8514, and H.R. 8627, as amended, were order reported to full 
committee, passed by voice vote. H.R. 7920 and H.R. 8560, 
without amendment, were order reported to full committee, 
passed by voice vote.

                          LEGISLATIVE HEARINGS

Subcommittee Legislative Hearing--``Legislative hearing on H.R. 291, 
        Vaccine Discharge Parity Act; H.R. 645, Healthy Foundations for 
        Homeless Veterans Act; H.R. 728, To direct the Assistant 
        Secretary of Labor for Veterans' Employment and Training to 
        carry out a pilot program on short-term programs for veterans; 
        H.R. 746, Streamlining Aviation for Eligible Veterans Act; H.R. 
        1169, VA E-Notification Enhancement Act; H.R. 1635, the 
        Filipino Education Fairness Act; H.R. 1669, VET-TEC 
        Authorization Act of 2023; H.R. 1767, Student Veteran Benefit 
        Restoration Act; H.R. 1786, Get Rewarding Outdoor Work for our 
        Veterans Act; H.R. 1798, Protect Military Dependents Act; and 
        H.R. 1799, Ensure Military Personnel Learn Opportunities 
        Yielding Vocations that Employ Transitioning Servicemembers 
        Act.''

    On March 30, 2023, the Subcommittee met in open session to 
conduct a legislative hearing on the above bills. There were 
two witness panels. The following witnesses testified on the 
first panel: Mr. Joseph Garcia, Executive Director of Education 
Service, U.S. Department of Veterans Affairs; Mr. Nick 
Pamperin, Executive Director of Veteran Readiness and 
Employment, U.S. Department of Veterans Affairs; and Dr. Keith 
Harris, Senior Executive Homelessness Agent, U.S. Department of 
Veterans Affairs.
    The following witnesses testified on the second panel: Ms. 
Tammy Barlet, Vice President of Government Affairs, Student 
Veterans of America; Mr. Matthew Brennan, Veteran Education and 
Employment Policy Analyst, The American Legion; Ms. Alicia 
Boddy, Chief Operations and Development Officer, Code Platoon; 
and Mr. Patrick Murray, Director, National Legislative Service, 
Veterans of Foreign Wars.
    The following group submitted a statement for the record: 
Disabled American Veterans and National Coalition for Homeless 
Veterans.

Subcommittee Legislative Hearing--``Legislative Hearing on H.R. 491, 
        Return Home to Housing Act; H.R. 3874, Veterans Education 
        Assistance Improvement Act; H.R. 3848, Housing our Military 
        Veterans Effectively Act; H.R. 3933, TAP Promotion Act; H.R. 
        3898, Transcript Assurance for Heroes Act; H.R. 3981, Isakson-
        Roe Education Oversight Expansion Act; H.R. 3943, Servicemember 
        Employment Protection Act of 2023; and H.R. 3900, To amend 
        title 38, to establish certain employment and reemployment 
        rights for spouses of members of the uniformed services.''

    On June 14, 2023, the Subcommittee met in open session to 
conduct a legislative hearing on the above bills. There were 
two witness panels. The following witnesses testified for the 
first panel: Mr. Joseph Garcia, Executive Director of Education 
Service, U.S. Department of Veterans Affairs; Ms. Melissa 
Cohen, Deputy Executive Director of Outreach, Transition, and 
Economic Development, U.S. Department of Veterans Affairs; Ms. 
Monica Diaz, Executive Director, Office of Homeless Programs, 
U.S. Department of Veterans Affairs; Mr. James Rodriguez, 
Assistant Secretary for Veterans' Employment and Training 
Services, U.S. Department of Labor; and Mr. Paul Marone, USERRA 
Policy Chief for Veterans' Employment and Training Service, 
U.S. Department of Labor.
    The following witnesses testified for the second panel: Mr. 
Patrick Murray, Director, National Legislative Service, 
Veterans of Foreign Wars; Mr. Ricardo Gomez, Employment & 
Education Policy Associate, The American Legion; Mr. Matthew 
Schwartzman, Director, Legislation and Military Policy, Reserve 
Organization of America; Ms. Meredith M. Smith, Government 
Relations Deputy Director, National Military Family 
Association; and Mr. Kevin Hollinger, Legislative Director, 
Enlisted Association of the National Guard of the United 
States.
    The following groups submitted statements for the record: 
The American Legion, Alston Wilkes Society, Disabled American 
Veterans, Families and Community Services, Inc., HVAF of 
Indiana, Inc., Rep. Morgan McGarvey, Nation's Finest, New 
England Center, Operation Dignity, Mr. Ryan Thompson, U.S. Vets 
Inglewood, U.S. Vets Inland Empire, U.S. Vets Long Beach, U.S. 
Vets Prescott, Veterans Education Success, Veterans Integration 
Centers, and Volunteers of America.

Subcommittee Legislative Hearing--``H.R. 522, Deliver for Veterans Act; 
        H.R. 2830, Veteran Improvement Commercial Driver License Act of 
        2023; H.R. 3601, Student Veteran Work Study Modernization Act; 
        H.R. 3722, Daniel J. Harvey, Jr. and Adam Lambert Improving 
        Servicemember Transition to Reduce Veteran Suicide Act and the 
        Amendment in the Nature of a Substitute to it; H.R. 3738, To 
        amend title 38, United States Code, to establish in the 
        Department of Veterans Affairs the Veterans Economic 
        Opportunity and Transition Administration, and for other 
        purposes; H.R. 3816, Veterans' Entry to Apprenticeship Act; 
        H.R. 5190, Military Family Protection from Debt Act; H.R. 5702, 
        Expanding Access for Online Veteran Students Act; H.R. 5785, To 
        amend title 38, United States Code, to modify the requirements 
        of the Edith Nourse Rogers STEM Scholarship; H.R. 5913, 
        Consolidating Veteran Employment Services for Improved 
        Performance Act of 2023; H.R. 5914, To amend title, United 
        States Code, to improve the processes to approve programs of 
        education for purposes of the educational assistance programs 
        of the Department of Veterans Affairs, and for other purposes; 
        H.R. 5956, G.I. Bill Improvement Act of 2023; and Discussion 
        Draft, To amend title 38, United States Code, to waive the fee 
        for a housing loan guaranteed by the Secretary of Veterans 
        Affairs for a veteran with a service-connected disability who 
        applied for such loan before receiving a disability rating from 
        the Secretary.''

    On November 2, 2023, the Subcommittee met in open session 
to conduct a legislative hearing on the above bills. There were 
two witness panels. The following witnesses testified on the 
first panel: Mr. Joseph Garcia, Executive Director, Education 
Services, U.S. Department of Veterans Affairs; Mr. Nick 
Pamperin, Executive Director, Veterans Readiness & Employment 
Services, U.S. Department of Veterans Affairs; Mr. James 
Ruhlman, Deputy Director, Education Services, U.S. Department 
of Veterans Affairs; and Ms. Margarita Devlin, Deputy Assistant 
Secretary Operations and Management, U.S. Department of Labor.
    The following witnesses testified on the second panel: Ms. 
Kristina Keenan, Deputy Director, National Legislative Service, 
Veterans of Foreign Wars; Mr. Marquis Barefield, Assistant 
National Legislative Director, Disabled American Veterans; Ms. 
Tammy Barlet, Vice President of Government Affairs, Student 
Veterans of America; Mr. Joseph W. Wescott II, Ed.D., 
Legislative Director, National Association of State Approving 
Agencies, Inc.; and Mr. Michael Hazard, Veterans in Piping 
Program Manager, United Association of Journeymen and 
Apprentices of the Plumbing and Pipe Fitting Industry of the 
United States and Canada.
    The following groups submitted statements for the record: 
Commercial Vehicle Training Association, National Association 
of State Workforce Agencies, The American Legion, Veterans 
Education Project, and Veterans Education Success.

Subcommittee Legislative Hearing--``H.R. 6656, Stuck on Hold Act; H.R. 
        7323, To amend title 38, United States Code, to direct the 
        Secretary of Veterans Affairs to disapprove courses of 
        education offered by a public institution of higher learning 
        that does not charge the in-State tuition rate to a veteran 
        using certain educational assistance under title 10 of such 
        Code; H.R. 7613, To amend title 38, United States Code, to 
        provide for a limitation on the amount of entitlement to 
        educational assistance payable for flight training under the 
        Post-9/11 Educational Assistance Program of the Department of 
        Veterans Affairs; Discussion Draft, To amend title 38, United 
        States Code, to provide for the restoration of entitlement of 
        individuals entitled to educational assistance under the laws 
        administered by the Secretary of Veterans Affairs who use such 
        entitlement to pursue a course or program of education at an 
        educational institution found to have violated certain 
        prohibitions on advertising, sales, and enrollment practices, 
        and for other purposes; H.R. 7732, To amend titles 10 and 38, 
        United States Code, to make improvements to certain programs 
        for a member nearing separation, or for a veteran who recently 
        separated, from the Armed Forces, and for other purposes; H.R. 
        6225, Expanding Home Loans for Guard and Reservists Act; H.R. 
        7643, To amend title 38, United States Code, to authorize the 
        use of Department of Veterans Affairs work-study allowance to 
        carry out casework, policy making, and oversight related to the 
        activities of the Department at certain congressional offices; 
        H.R. 7653, To amend title 38, United States Code, to update 
        certain terminology regarding veteran employment; and H.R. 
        7703, Fair Access to Co-ops for Veterans Act of 2024''

    On March 20, 2024, the Subcommittee met in open session to 
conduct a legislative hearing on the above bills. There were 
two witness panels. The following witnesses testified on the 
first panel: Ms. Melissa Cohen, Executive Director, Executive 
Director of Outreach, Transition, and Economic Development, 
Veterans Benefits, U.S. Department of Veterans Affairs; Mr. 
Nathan Sanfilippo, Executive Director of Multichannel 
Technology, Veterans Experience Office, U.S. Department of 
Veterans Affairs; Mr. Thomas Alphonso, Assistance Director of 
Education Services, Veterans Benefits Administration, U.S. 
Department of Veterans Affairs; and Mr. James Rodriguez, 
Assistant Secretary for Veterans' Employment and Training 
Service, U.S. Department of Labor.
    The following witnesses testified on the second panel: Ms. 
Nadine Bullock-Pottinga, Chief Development Officer, Hire Heroes 
USA; Mr. Gregory John, Founder & President, Infinity Flight 
Group; Mr. Matthew Schwartzman, Director, Legislation and 
Military Policy, Reserve Organization of America; Ms. Kristina 
Keenan, Deputy Director, National Legislative Service, Veterans 
of Foreign Wars; and Mr. Marquis Barefield, Assistant National 
Legislative Director, Disabled American Veterans.
    The following groups submitted statements for the record: 
Representative Ken Calvert (California), Disable American 
Veterans, The American Legion, Veterans Education Success, 
USAA, and Joint Statement- RecruitMilitary, Orion Talent, 
ZeroMils, Semper Forward, and Military Talent Pipeline, LLC.

Subcommittee Legislative Hearing--``H.R. 226, the Veterans 
        Collaboration Act, H.R. 7543, the Guard and Reserve GI Bill 
        Parity Act of 2024, H.R. 7896, the VETS Opportunity Act of 
        2024, H.R. 7920, Agriculture Grants for Veterans Education and 
        Training Services Act, H.R. 8529, Warriors to Workforce Act, 
        H.R. 8661, the Reforming Education for Veterans Act, H.R. 8646, 
        Modernizing the Veterans On-Campus Experience Act, H.R. 8647, 
        the VA Home Loan Reform Act, H.R. 8514, To amend title 38, 
        United States Code, to provide for an annual increase in 
        stipend for books, supplies, equipment, and other educational 
        costs under Post9/11 Educational Assistance Program of 
        Department of Veterans Affairs, H.R. 8560, the End Veteran 
        Homelessness Act of 2024, H.R. 8627, the Student Veteran Debt 
        Relief Act of 2024, and H.R. 8607, To amend title 38 United 
        States Code, to make certain legatees of certain eligible 
        veterans eligible for housing loans guaranteed by the Secretary 
        of Veterans Affairs, and for other purposes.''

    On June 12, 2024, the Subcommittee met in open session to 
conduct a legislative hearing on the above bills. There were 
two witness panels. The following witnesses testified on the 
first panel: Mr. John Bell, Executive Director, Loan Guaranty 
Service, U.S. Department of Veterans Affairs; Mr. Joseph 
Garcia, Executive Director, Education Service, U.S. Department 
of Veterans Affairs; Mr. James Ruhlman, Deputy Director, 
Education Service, U.S. Department of Veterans Affairs; and Ms. 
Jill Albanese, Director, Clinical Operations/Senior Advisor, 
Veterans Health Administration, U.S. Department of Veterans 
Affairs.
    The following witnesses testified on the second panel: Dr. 
Jan Del Signore, President, National Association of Veterans 
Program Administrators; Mr. Kevin O'Neil, Senior Employment and 
Education Policy Association, The American Legion; Ms. Karen 
Kreutziger Powell, Chief Executive Officer of Flat Home Loans, 
Mortgage Bankers Association; Mr. Marquis Barefield, Assistant 
National Legislative Director, U.S. Department of Veterans 
Affairs; and Mr. Richard Brookshire, Chief Executive Officer, 
Black Veterans Project.
    The following groups submitted statements for the record: 
Housing Policy Council, The Military Coalition, National 
Association of Realtors, National Consumer Law Center, Navy 
Federal Credit Union, National Guard Association of the United 
States, Reserve Organization of America, Student Veterans of 
America, Veterans Education Success, Veterans of Foreign Wars 
of the U.S., Enlisted Association of the National Guard of the 
U.S., National Alliance to End Homelessness.

                          OVERSIGHT ACTIVITIES

Subcommittee Oversight Hearing--``Examining the Future of Workforce 
       Protections for Servicemembers''

    On March 9, 2023, the Subcommittee met in open session to 
conduct an oversight hearing on the status of the Uniformed 
Services Employment and Reemployment Right Act (USERRA). The 
Subcommittee sought to review the oversight of the Department 
of Labor's Veterans' Employment and Training Service (VETS) 
control of USERRA, and determine what future changes should be 
made, if any. The hearing also examined how USERRA has impacted 
servicemembers and has been enforced through VETS. Lastly, the 
hearing reviewed potential changes from stakeholders that 
should be made to better protect servicemembers and businesses.
    There were two witness panels for this hearing. The 
following witness testified on the first panel: Mr. James 
Rodriguez, Assistant Secretary for Veterans' Employment and 
Training Service, U.S. Department of Labor.
    The following witnesses testified on the second panel: Col. 
Gilbert L. Patton (Ret.), Reserve Organization of America; Mr. 
Mike Hadley, Director of Legislative Affairs, National Guard 
Association of the United States; Mr. Kevin Hollinger, 
Legislative Director, Enlisted Association of the National 
Guard of the United States; and Mr. Jonathan E. Taylor, 
Principal, Gupta Wessler.
    The following group submitted a statement for the record: 
U.S. Department of Defense.

Subcommittee Oversight Hearing--``All Hands on Deck: Ending Veteran 
       Homelessness in San Diego''

    On May 4, 2023, the Subcommittee met in open session to 
conduct an oversight field hearing in Oceanside, California to 
examine the current state of veteran homelessness in San Diego, 
and future steps of the U.S. Department on Veterans Affairs and 
local stakeholders should take to reach functional zero in the 
region.
    There were two witness panels for this hearing. The 
following witnesses testified on the first panel: Mr. Frank P. 
Pearson, DPT, PA-C, Director, Jennifer Moreno VA San Diego 
Healthcare System, U.S. Department of Veterans Affairs; Ms. 
Jill Albanese, Senior Advisor and Director of Clinical 
Operations, Homeless Program Office, U.S. Department of 
Veterans Affairs; Ms. Leilani A. Hines, Housing and 
Neighborhood Services Director, Oceanside Public Housing 
Authority; Mr. David Estrella, Director of Housing and 
Community Development, San Diego County Public Housing 
Authority; and Mr. Matthew Wechter, Supervising Attorney, 
Public Defendant Homeless Court Team, San Diego County.
    The following witnesses testified on the second panel: Mr. 
Greg Anglea, CEO, Interfaith Community Services; Ms. Hanan 
Scrapper, Regional Director, PATH San Diego, People Assisting 
the Homeless (PATH); Dr. Dustin Potash, Veterans Director, 
Adjoin; and Mr. Sean Spear, President and CEO, Community 
Housing Works.
    The following group submitted statements for the record: 
San Diego Regional Housing Commission.

Subcommittee Oversight Hearing--``The Transition Assistance Program: 
       Steps to Ensure Success for Servicemembers as they Enter 
       Civilian Life''

    On May 17, 2023, the Subcommittee met in open session to 
conduct an oversight hearing to examine the current state of 
the Transition Assistance Program across the armed services and 
determine what steps should be made to continue modernizing and 
reforming the program through legislation.
    There were two witness panels for this hearing. The 
following witnesses testified on the first panel: Mr. Alex 
Baird, Acting Director of the Defense Support Services Center, 
U.S. Department of Defense; Ms. Cheryl J. Rawls, Executive 
Director, Outreach, Transition and Economic Development, U.S. 
Department of Veterans Affairs; Ms. Margarita Devlin, Deputy 
Assistant Secretary, U.S. Department of Labor; Ms. Dawn Locke, 
Director, Strategic Studies, Government Accountability Office.
    The following witnesses testified on the second panel: Ms. 
Brittany Dymond, Associate Director, National Security and 
Foreign Affairs Directorate, Veterans of Foreign Wars; Mr. 
Michael Quinn, Chief Executive Officer, Hire Military & Tenova 
LLC; Dr. Abby Kinch, PhD, Chief of Staff, Student Veterans of 
America; Mr. Jim Lorraine, President and CEO, America's Warrior 
Partnership; and Mr. Hernan y Prado, Founder and CEO, Workshops 
for Warriors.

Joint Subcommittee Oversight Hearing--``Reviewing the Digital G.I. Bill 
       Program''

    On July 13, 2023, the Subcommittees on Economic Opportunity 
and Technology Modernization held a joint oversight hearing to 
examine the U.S. Department of Veterans Affairs progress 
implementing the Digital G.I. Bill IT system, which aims to 
streamline G.I. Bill claims processing by consolidating 
antiquated legacy IT systems and automating steps.
    There was one witness panel for this hearing. The following 
witnesses testified: Mr. Joseph Garcia, Executive Director, 
Education Service, Veterans Benefits Administration, U.S. 
Department of Veterans Affairs; Mr. Robert Orifici, Benefits 
and Memorial Services Portfolio Director, Office of Information 
& Technology, U.S. Department of Veterans; Mr. Troy Mueller, 
Senior Advisor and Department Head, Veterans Benefits 
Administration Mission, MITRE; Mr. David Powner, Executive 
Director, Center for Data-Driven Policy, MITRE; and Mr. Kyle 
Michl, DGIB Senior Delivery and Chief Innovation Officer, 
Accenture Federal Services.

Subcommittee Oversight Hearing--``Less is More: The Impact of 
       Bureaucratic Red Tape on Veterans Education Benefits''

    On September 20, 2023, the Subcommittee met in open session 
to conduct an oversight hearing to examine the current state of 
the G.I. Bill and the implantation and utilization of Risk-
Based Surveys at the U.S. Department of Veterans Affairs' 
veteran education services. The Subcommittee also reviewed the 
impact of new rules and procedures on veterans, institutions of 
higher learning, State Approving Agencies, and the VA itself. 
They also sought to consider steps VA could take to improve GI 
Bill benefits, alleviate the burden on participating 
educational institutions, and ensure veterans receive a high-
quality benefits experience.
    There were two witness panels for this hearing. The 
following witnesses testified on the first panel: Mr. Joseph 
Garcia, Executive Director, Education Service, Veterans 
Benefits Administration, U.S. Department of Veterans Affairs; 
Mr. James Ruhlman, Deputy Director, Program Management, 
Education Service, Veterans Benefits Administration, U.S. 
Department of Veterans Affairs; and Mr. Joseph W. Wescott II, 
Ed.D., Legislative Director, National Association of State 
Approving Agencies, Inc.
    The following witnesses testified on the second panel: Mrs. 
Anne Meehan, Assistant Vice President, Government Relations, 
American Council on Education; Dr. Jan Del Signore, President, 
National Association of Veterans' Program Administrators; Mr. 
Will Hubbard, Vice President for Veterans and Military Policy, 
Veterans Education Succes; and Mr. Joe Rasmussen, Director, 
University Veteran Services at UW-Madison.
    The following groups submitted as statement for the record: 
The American Legion and Mr. Charles Bernstein.

Subcommittee Oversight Hearing--``Sink or Swim? A Deep Dive into the 
       Current State of VA's Home Loan Program in a Competitive 
       Market''

    On February 15, 2024, the Subcommittee met in open session 
to conduct an oversight hearing to examine the current state of 
the Home Loan Guaranty program and VA's Servicing Purchase 
(VASP) program, which will be released in 2024. The 
Subcommittee aimed to review the VA home loan program, 
including VA procedures governing mortgages, appraisals, 
refinancing, and foreclosures, with input from stakeholders 
such as veterans, mortgage brokers, and VA. Finally, the 
Subcommittee considered steps VA could take to improve the home 
loan and VASP program in a fiscally responsible manner and 
ensure veterans receive a high-quality homebuying experience.
    There were two witness panels. The following witness 
testified on the first panel: Mr. John E. Bell, Executive 
Director, Loan Guaranty Service, Veterans Benefits 
Administration, U.S. Department of Veterans Affairs.
    The following witnesses testified on the second panel: Mr. 
Edward J. DeMarco, President, Housing Policy Council; Mr. Mark 
Jones, Chairman, Mortgage Bankers Association; and Mr. Steve 
Sharpe, Senior Attorney, National Consumer Law Center.

Subcommittee Oversight Hearing--``Exploring the Use of Data-Driven 
       Methods and Community Collaboration to Reduce Veteran 
       Homelessness''

    On June 27, 2024, the Subcommittee met in open session to 
conduct an oversight hearing to the current state of veteran 
homelessness, analyze data collection methods, and assess 
community collaboration initiatives aimed at reducing veteran 
homelessness. The Subcommittee explored data capabilities at VA 
and steps that VA and its community partners can use to 
identify housing-insecure veterans and connect them with 
appropriate resources to achieve functional zero within 
communities.
    There were two witness panels for this hearing. The 
following witnesses testified on the first panel: Dr. Thomas 
O'Toole, Deputy Undersecretary for Health Clinical Services, 
Veterans Health Administration, U.S. Department of Veterans 
Affairs; and Mr. Jeff Olivet, Executive Director, U.S. 
Interagency Council on Homelessness.
    The following witnesses testified on the second panel: Ms. 
Rosanne Haggerty, President, Community Solutions; Mr. Ray 
Carville, Public Affairs Manager, Veterans Inc.; Dr. Randy 
Withrow, Site Director, Veterans Housing and Recovery Program, 
Lutheran Social Services of Wisconsin and Upper Michigan; and 
Mr. Nick Wood, Regional Site Director, Nations' Finest.
    The following groups submitted statements for the record: 
Black Veterans Empowerment Council, Inc., Endeavors, New 
England Center and Home for Veterans, and Rep. Deila Ramirez.

Subcommittee Oversight Joint Hearing--``Leveling the Playing Field: 
       Examining the Landscape of Veteran Owned Small Businesses''

    On July 23, 2024, the Subcommittee met in open session to 
conduct an oversight joint hearing with the Committee on Small 
Business, Subcommittee on Contracting and Infrastructure to 
highlight the experience of veterans in establishing and 
running a small business. The hearing aimed to create awareness 
regarding programs and assistance for veterans and emphasize 
the benefits of veterans and military spouses establishing and 
running small businesses. The hearing focused on veteran-owned 
small businesses (VOSBs) and service-disabled veteran-owned 
small businesses (SDVOSBs) and what the Committees can do to 
eliminate any potential barriers to the veteran 
entrepreneurship.
    There was one witness panel for this hearing. The following 
witnesses testified: Ms. Stephanie Brown, CEO and Founder, The 
Rosie Network; Mr. Stephen Hayduk, Senior Principal, Hayduk 
Engineering LLC; Mr. Bill Belknap, President, AEONRG, LLC; and 
Mr. Jon Tellier, President, JetCo Solutions.
    The following groups submitted statements for the record: 
America's Credit Unions

Subcommittee Oversight Field Hearing--``Examining Transitioning 
       Servicemembers Experience''

    On August 23, 2024, the Subcommittee met in open session to 
conduct an oversight field hearing at the University of 
Wisconsin La Crosse, in La Crosse, Wisconsin to examine the 
veteran transition experience, both on and off campus, and 
steps the Department of Veteran's Affairs, schools, veteran 
service organizations, and community members could take to 
improve the experience for veterans.
    There were two witness panels for this hearing. The 
following witnesses testified on the first panel: Mr. Duane 
Honeycutt, Executive Director, Milwaukee VA Regional Office, 
U.S. Department of Veterans Affairs; Mr. Nick Pamperin, 
Executive Director, Veteran Readiness and Employment, Veterans 
Benefits Administration, U.S. Department of Veterans Affairs; 
and Ms. Melissa Cohen, Executive Director, Outreach Transition, 
and Economic Development, Veterans Benefits Administration, 
U.S. Department of Veterans Affairs.
    The following witnesses testified on the second panel: Mr. 
Joe Quackenboss, Veteran Service Officer, Trempealeau County; 
Mr. Dustin Schultz, Veteran Specialist, Western Technical 
College; Ms. Danielle Luba, Commander, Veterans of Foreign 
Wars; Ms. Kaytlyn Brown, Student Veteran, Western Technical 
College; and Mr. Adrian Moreno, Student Veteran, University of 
Wisconsin La Cross.
    The following groups submitted statements for the record: 
Disabled American Veterans

Subcommittee Oversight Hearing--``Mission Transition: Evaluating Mental 
       Health Support Programs for Separating Servicemembers''

    On September 10, 2024, the Subcommittee met in open session 
to conduct an oversight hearing to focus on the effectiveness 
of current mental health care programs during the transition 
from military to civilian life. Additionally, the Subcommittee 
assessed data capabilities and explored strategies for VA, DOL, 
and DOD to better identify and connect with veterans in need of 
mental health resources.
    There was one witness panel for this hearing. The following 
witnesses testified: Ms. Melissa Cohen, Executive Director, 
Outreach Transition, and Economic Development, Veterans 
Benefits Administration, U.S. Department of Veterans Affairs; 
Ms. Jill Debord, Executive Director, Care Management and Social 
Work, Veterans Health Administration, U.S. Department of 
Veterans Affairs; Ms. Susan Orsega, Deputy Assistant Secretary 
of Defense for Health Services Policy and Oversight, U.S. 
Department of Defense; Ms. Alyssa Hundrup, Director of Health 
Care, Government Accountability Office; and Mr. James 
Rodriguez, Assistant Secretary for Veterans' Employment and 
Training Service, U.S. Department of Labor.
    The following groups submitted statements for the record: 
Western Governors Association

Subcommittee Oversight Hearing--``Digital GI Bill in Disarray: Holding 
       the Biden-Harris Administration Accountable for VA's Costly 
       Mismanagement''

    On September 26, 2024, the Subcommittee met in open session 
to conduct an oversight hearing to examine the U.S. Department 
of Veterans Affairs' (VA) progress at retiring antiquated 
legacy IT systems and implementing the Digital G.I. Bill IT 
system, which aims to streamline the processing of education 
benefits under the G.I. Bill. The hearing focused on the report 
from the Office of Inspector General (OIG) highlighting issues 
with the planning, expectations, and execution of the Digital 
GI Bill (DGIB) project. The hearing also reviewed the 
recommendations of the Office of the Inspector General to 
improve the program and ideas to make the DGIB program more 
efficient for veterans.
    There was one witness panel for this hearing. The following 
witnesses testified: Mr. Ronald Burke, Undersecretary for 
Policy and Oversight, Veterans Benefits Administration, U.S. 
Department of Veterans Affairs; Mr. Robert Orifici, Executive 
Director, Benefits and Memorial Services, Office of Information 
and Technology, Veterans Benefits Administration, U.S. 
Department of Veterans Affairs; Mr. Joseph Garcia, Executive 
Director, Education Services, Veterans Benefits Administration, 
U.S. Department of Veterans Affairs; Mr. Nicholas Dahl, Deputy 
Assistant Inspector General, Management and Administration, 
Office of the Inspector General, U.S. Department of Veterans 
Affairs; and Mr. Justin Parke, Managing Director, DGIB Program 
Manager, Accenture Federal Services; and MITRE.
    The following groups submitted statements for the record: 
The MITRE Corporation

Subcommittee Oversight Hearing--``Examining the Effectiveness of the 
       Veterans Readiness and Employment (VR&E) Program''

    On December 11, 2024, the Subcommittee met in open session 
to conduct an oversight hearing to examine several aspects of 
the VR&E program, including staffing, management, outcomes, 
effectiveness, and needs. The subcommittee focused on the 
recent increase in applicants due to the PACT Act, as well as 
the impact this surge has had on counselor caseloads and 
veterans' experiences. Additionally, this hearing highlighted 
the strengths of the VR&E program in serving veterans and 
identify areas for improvement.
    There were two witness panels for this hearing. The 
following witnesses testified on the first panel: Mr. Nick 
Pamperin, Executive Director, Veteran Readiness and Employment, 
Veterans Benefits Administration, U.S. Department of Veterans 
Affairs; and Mr. Kenneth P. Smith, Assistant Deputy Under 
Secretary, Operation Management Team, Veterans Benefits 
Administration, U.S. Department of Veterans Affairs.
    The following witnesses testified on the second panel: Ms. 
Julie Howell, Associate Legislative Director for Government 
Relations, Paralyzed Veterans of America; and Dr. Keith 
Glindemann, President, National Association of Veteran Program 
Administrators.
    The following groups submitted statements for the record: 
Veterans of Foreign Wars of the U.S. and Student Veterans of 
America.

                              ROUNDTABLES

Subcommittee Roundtable--``Transition Assistance Program''

    On September 11, 2023, the Subcommittee conducted a 
roundtable with the four corners and veteran service 
organizations to discuss potential improvements for the 
Transition Assistance Program, evaluate gaps in services and 
servicemembers' and dependents' accessibility to services, 
examine consistency across the services/OSD support in 
accordance with mission readiness, discuss retirement/
separation/spousal employment barriers, and discuss unique 
transition issues in the Guard and Reserve components.
    In attendance were: Mr. Michael Bianchi, Institute for 
Veterans and Military Families; Ms. Deborah Bradford, Institute 
for Veterans and Military Families; Ms. Ashley Scott, Blue Star 
Families; Ms. Jenny Akin, Blue Star Families; Mr. Matt 
Schwartzmann, Reserve Officers Association; Mr. Trey Criner, 
Reserve Officers Association; Mr. Julian M. Plamann; National 
Guard Association of the United States; Ms. Marcy Weldin, 
National Guard Association of the United States; Mr. Kevin 
Hollinger, Enlisted Association of the National Guard of the 
United States; Mr. Joe Sharpe, The American Legion; Mr. John 
Kaim, The American Legion; Mr. Pat Murray, Veterans of Foreign 
Wars; Ms. Brittany Dymond, Veterans of Foreign Wars; Mr. Cory 
Titus, Military Officers Association of America; Mr. Pat 
Williams, Military Officers Association of America; Mr. Marquis 
Barefield, Disabled American Veterans; Mr. Matt Jahn, Disabled 
American Veterans; Mr. Morgan Brown, Paralyzed Veterans of 
America; Mr. Charles McCaffrey, Paralyzed Veterans of America; 
Mr. Aleks Morosky, Wounded Warrior Project; Mr. Jeremy 
Villanueva, Wounded Warrior Project; Ms. Tammy Barlet, Student 
Veterans of America; Mr. Thomas Winkel, Arizona Coalition for 
Military Families; Ms. Kelly Hruska, National Military Family 
Association; Mr. Michael Quinn, HireMilitary; Mr. Chris Thorne, 
North San Diego Business Chamber; Dr. Arthur S. DeGroat, Ed.D., 
Lieutenant Colonel (Ret.), Military Innovation Center-Kansas 
State University; Mr. Will Hubbard, Veterans Education Success; 
Mr. James Rodriguez, U.S. Department of Labor; Ms. Cheryl J. 
Rawls, U.S. Department of Veterans Affairs; and Mr. John 
Boerstler, U.S. Department of Veterans Affairs.

Subcommittee Roundtable--``Higher Education Roundtable''

    On January 18, 2024, the Subcommittee conducted a 
roundtable with the four corners and higher education groups to 
discuss potential improvements for the GI Bill Comparison Tool, 
current data collection practices, H.R. 5956, evaluation of 
gaps in veteran-specific data collection, and GI Bill return on 
investment.
    In attendance were: Mr. Jeff Arthur, ECPI University; Mr. 
Alex Cassell, American Council on Education; Ms. Anne Meehan, 
American Council on Education; Stephanie Giesecke, National 
Association of Independent Colleges and Universities; Mr. 
Justin Monk, National Association of Independent Colleges and 
Universities; Mr. Jim Hermes, American Association of Community 
Colleges; Mr. Kent Phillippe, American Association of Community 
Colleges; Ms. Bao Le, Association of Public & Land-Grant 
Universities; Mr. Craig Lindwarm, Association of Public & Lane-
Grant Universities; Mr. Morgan Taylor, American Association of 
State Colleges and Universities; and Mr. John Patrick Walsh, 
American Association of State Colleges and Universities.

                              SITE VISITS

    Orlando, Florida. On January 6, 2023, the Subcommittee 
majority and minority staff attended the Student Veterans of 
America 2023 National Conference in Orlando, FL. Committee 
staff participated in a conference legislative priorities panel 
and a breakout session with Veterans Service Organizations 
(VSO) and conference attendees. Committee staff highlighted 
recent legislative proposals passed into law, discussed 
priorities for the 118th Congress, and listened to concerns 
from G.I. Bill beneficiaries and School Certifying Officials.
    Portland, Oregon. On February 22, 2023, the Subcommittee 
majority and minority staff conducted a site visit to the 
Vancouver, Washington VA Medical Center to review the Portland, 
Oregon, and surrounding area Homeless Program Office (HPO). 
Staff met with HPO leadership to discuss the status of VA 
homeless programs in the area. The Portland-Vancouver HPO 
focuses heavily on housing homeless veterans through the Grant 
and Per-Diem (GPD) program, but they had been having staffing 
issues. Committee staff discussed ways the HPO had been able to 
overcome staffing issues and listened to what ways GPD could 
still be improved. Committee Staff also visited an on-campus 
Enhanced Use-Lease facility that was under renovation. 
Unfortunately, Committee staff were unable to visit a GPD 
provider in Portland because of bad weather in the area.
    Seattle, Washington. On February 23, 2023, the Subcommittee 
majority and minority staff conducted a site visit to the 
Seattle Community Resource and Referral Center. The purpose of 
this travel was to conduct oversight of VA's status of homeless 
programs in Seattle and the King County area. VA Homeless 
Program Office leadership, as well as the King County Public 
Housing Authority personnel, were in attendance to discuss GPD, 
and U.S. Department of Housing and Urban Development-VA 
Supportive Housing (HUD-VASH) issues in the Seattle area. 
Seattle had specific problems with veterans making over the 
maximum for housing vouchers even though they did not have 
employment. Subcommittee staff also met with community 
providers, toured several GPD facilities, and discussed funding 
and hiring and issues with case managers and GPD programs.
    Seattle, Washington. On March 14, 2023, the Subcommittees 
on Economic Opportunity and Disability Assistance and Military 
Affairs majority staff attended the Veteran Benefits 
Administration (VBA) Senior leadership symposium in Seattle, 
WA. The purpose of this travel was to attend the conference 
with the VBA and Regional Office (RO) leadership to learn more 
about the implementation of the PACT Act and recent changes to 
the Veteran Readiness & Employment (VRE) program.
    San Diego, California. On May 4, 2023, the Subcommittee 
held a field hearing in Oceanside, California. During the 
hearing, Subcommittee staff heard about homeless issues in the 
San Diego area from the VA, Oceanside and San Diego County 
Public Housing Authority, and local community providers. The 
purpose of this trip was to gain an understanding of veteran 
homelessness in an area where housing costs are high and there 
are a large number of veterans. Additionally, Subcommittee 
staff conducted an oversight visit of the Naval Special Warfare 
Command (NSW) in Coronado, California to receive a briefing on 
NSW's Transition Assistance Program (TAP), and their special 
program called Readiness for SOF Transition (R4ST). 
Subcommittee staff also met with NSW leadership to discuss the 
changing environment in TAP and how TAP outcomes could be 
improved.
    Camp Lejeune, North Carolina, Fort Liberty, North Carolina, 
Norfolk Naval Station, Virginia. From August 7 to 9, 2023, the 
Subcommittee majority staff went on StaffDel Flynn to oversee 
TAP at Camp Lejeune, Fort Liberty, and Norfolk Naval Station. 
Committee and personal office staff met with base commanders at 
Camp Lejeune and Fort Liberty, as well as TAP counselors and 
servicemembers about the current transition process across the 
Armed Services. Majority staff were concerned about the Armed 
Service's inability to provide the information and data 
required by Congress. Majority staff also learned that while 
TAP is highly encouraged to be in-person whenever possible, 
many of the services were encouraging participation in TAP 
online instead of in person. The staff also listened in on DOL 
and DOD TAP courses and were able to attend a Skillbridge class 
with Trane Technologies and BMW at Fort Liberty.
    Georgetown University, Washington, DC. On October 12, 2023, 
the Subcommittee majority staff conducted a site visit at 
Georgetown University to meet with School Certifying Officials 
about the status of Enrollment Manager and listen to concerns 
both the school and veterans had about the system.
    Buffalo, New York. On November 16, 2023, the Subcommittee 
majority and minority staff conducted an oversight visit at the 
Buffalo, NY Regional Office. Staff met with RO leadership to 
discuss current issues in VA education, listen to their 
concerns about the Digital G.I. Bill system, and oversee the 
education claims process. Staff also met with on the ground VA 
employees to listen to their concerns and see how the Education 
Service can be improved.
    Nashville, Tennessee. On January 5, 2024, the Subcommittee 
majority and minority staff attended the Student Veterans of 
America 2024 National Conference in Nashville, TN. Committee 
staff participated in a conference legislative priorities panel 
and a breakout session with Veterans Service Organizations 
(VSO) and conference attendees. Committee staff highlighted 
recent legislative proposals passed into law, discussed 
priorities for the 118th Congress, such as TAP reform and 
improvements to the VR&E program and listened to concerns from 
G.I. Bill beneficiaries and School Certifying Officials.
    Miami, Florida. On February 28, 2024, the Subcommittee 
majority staff arrived to meet with the Miami VA Medical Center 
Homeless Program Office, as well as visit two homeless 
providers, Camillus House and Carrfour Supportive Housing. 
Committee staff also visited the Sunrise, FL VR&E facility and 
a Veteran Success on Campus Coordinator (VSOC) at Florida 
International University (FIU). This two-day visit was focused 
on gaining information on the homeless situation in Miami, FL, 
and how the homeless providers are performing with a decreased 
amount of Grant Per-Deim (GPD) post-COVID-19. The trip also 
focused on learning ways we could improve and reduce the 
administrative workload of VR&E counselors and VSOCs.
    St. Paul, Minnesota. On April 17, 2024, the Subcommittee 
majority and minority staff visited the St. Paul Regional 
Office on Thursday, April 18, 2024; staff met with the regional 
office VA employees in the morning for a briefing. Committee 
staff met and discussed VR&E and Loan Guaranty Service issues 
one-on-one with front-line staff.
    Baltimore, Maryland, and Philadelphia, Pennsylvania. On 
April 23, 2024, the Subcommittee majority and minority staff 
met with the Maryland DOL-VETS State Level Office and visited 
one of the Homeless Veteran Reintegration Program (HVRP) and 
Jobs for Veteran State Grants (JVSG) combination sites. 
Committee staff on Wednesday visited the DOL-VETS Regional 
Office in Philadelphia and a Veterans Multi-Service Center. 
This two-day visit focused on gaining information on how well 
the JVSG and HVRP programs are working to serve and provide 
better economic opportunities for veterans. The trip also 
focused on learning ways DOL-VETS could improve the tracking of 
the employment programs to ensure they are an effective use of 
taxpayer dollars.
    Las Vegas, Nevada. On August 12, 2024, the Subcommittee 
majority staff attended conference sessions and a panel 
discussion on their legislative priorities with the House and 
Senate Veterans Affairs Committees. They also engaged with 
several VSOs and SCOs. This three-day visit focused on 
attending conference seminars on veteran education, employment, 
and SAA and SCO issues they face on the field. Additionally, 
this trip aimed to update SAAs on relevant legislative 
initiatives during a legislative panel with Committee staff, 
veteran service organizations (VSOs), and school certifying 
officials (SCOs). Finally, Committee staff were able to meet 
and discuss some of the SAA legislative priorities.
    Des Moines, Iowa. On August 19, 2024, the Subcommittee 
majority staff attended a veteran roundtable with Rep. Nunn in 
Des Moines, Iowa on Tuesday, August 20, 2024. During the 
roundtable, Committee staff was able to hear about veteran 
issues local to Iowa and receive updates of how national 
legislation has impacted veterans and their families in Rep. 
Nunn's District.
    La Crosse, Wisconsin. On August 23, 2024, the Subcommittee 
majority staff met with School Certifying Officials at the 
University of Wisconsin-La Crosse to find ways to reduce red 
tape in the education benefit space.
    New Orleans, Louisiana. On August 23, 2024, the 
Subcommittee majority staff attended the American Legion 
National Convention on Saturday, August 24, 2024. Staff 
participated in 4-Corners legislative priorities meeting with 
House minority and Senate minority staff to discuss legislative 
and oversight priorities for the rest of the Congress. 
Subcommittee staff heard during a Q&A session about the VBA 
budget shortfall, and the need to do more oversight and hold VA 
employees accountable.
    Detroit, Michigan. On August 28, 2024, the Subcommittee 
majority staff conducted an oversight visit with Rep. John 
James at Selfridge Air National Guard Base during the morning 
of Thursday, August 29, 2024. Staff received briefings on TAP, 
mental health concerns, and education opportunities unique to 
Michigan National Guard members. During the afternoon, 
Subcommittee staff went to the University of Michigan to meet 
with student veterans and School Certifying Officials about 
their problems and solutions surrounding education benefits. On 
Friday, August 30, 2024, Subcommittee staff visited the Detroit 
Regional Office to hear about Veteran Readiness & Employment 
and Homeless Veteran Outreach Coordinator efforts. 
Additionally, Committee staff viewed the voter registration 
site at the Detroit RO.
    Kansas City, Missouri. On September 10, 2024, the 
Subcommittee majority staff attended the Veteran Benefits 
Administration (VBA) 2024 Fall Senior Leaders Symposium in 
Kansas City, MO. The purpose of this travel was to attend the 
conference with the VBA and Regional Office (RO) leadership to 
learn more about upcoming changes to the Veteran Readiness & 
Employment (VRE) program, Office of Equity Assurance Updates, a 
union leadership roundtable, and RO best practices.
    Syracuse, New York. On October 4, 2024, the Subcommittee 
majority staff, along with Representative Willams and his 
staff, visited the IVMF at the University of Syracuse. In the 
afternoon, the Subcommittee also attended a veteran roundtable 
with IVMF and other local stakeholders and constituents of 
Representative Williams at his district office. Committee 
staff, alongside Rep. Williams and his staff, learned about the 
research initiatives the IVMF is currently working on, 
including transition, mental health, and economic opportunities 
for veterans. Syracuse's IVMF has been a top-ranked research 
facility for veterans' issues nationwide.
    Memphis, Tennessee. On October 4-6, 2024, the Subcommittee 
minority staff conducted a visit to the Memphis VA Medical 
Center, University of Memphis, Alpha Omega Veteran Services, 
and LeMoyne-Owen College. The purpose of this visit was to 
review security screening systems, GI Bill implementation, and 
homeless services.
    Kansas City, Missouri. On October 7-9, 2024, the 
Subcommittee minority staff attended the National Association 
of Veteran Program Administrators Conference. Staff presented 
on a panel on veteran education issues before Congress and 
attended breakout sessions with attendees.
    Los Angeles, California. On October 21, 2024, Subcommittee 
majority staff, along with Rep. Kim and her staff, attended a 
veteran roundtable at the American Legion Post 132. On the 
afternoon of the 21st, Subcommittee staff traveled to the 
Villages at Cabrillo in Long Beach, where they toured the 
facility and discussed current issues with US VETS. On the 
morning of October 22nd, Committee staff toured the West LA 
Campus, held a candid roundtable discussion with veterans 
living on the campus, met with leadership, and discussed recent 
updates to the West Los Angeles Master Plan, Grand and Per-Diem 
(GPD), and HUD-VASH vouchers.
    New York, New York. On October 27-29, 2024, the 
Subcommittee minority staff conducted an oversight of the New 
York VA Medical Center, and met with DOL Vets program 
participants, New York City veteran housing staff, Student 
Veterans of America chapters, and homelessness grant 
recipients.


















                ACTIVITIES OF THE SUBCOMMITTEE ON HEALTH

               MARIANNETTE MILLER MEEKS, Iowa, Chairwoman
               JULIA BROWNLEY, California, Ranking Member
AMATA COLEMAN RADEWAGEN,             MIKE LEVIN, California
  American Samoa                     SHEILA CHERFILUS-McCORMICK, 
JACK BERGMAN, Michigan                 Florida3
GREG MURPHY, North Carolina          GREG LANDSMAN, Ohio
DERRICK VAN ORDEN, Wisconsin         NIKKI BUDZINSKI, Illinois
MORGAN LUTTRELL, Texas
JEN KIGGANS, Virginia
                                 ------                                
                James Whittaker, Majority Staff Director
               Alexis MacDonald, Minority Staff Director

----------
3On June 3, 2024, Representative Chris Deluzio resigned his 
position on the Subcommittee on Health, and on September 10, 2024, 
Representative Sheila Cherfilus-McCormick joined the Subcommittee.





















                         LEGISLATIVE ACTIVITIES

    Subcommittee Markup. On April 18, 2023, the Subcommittee 
held a markup on H.R. 41, VA Same-Day Scheduling Act of 2023; 
H.R. 562, Improving Veterans Access to Congressional Services 
Act of 2023; H.R. 808, Veterans Patient Advocacy Act; H.R. 754, 
Modernizing Veterans' Health Care Eligibility Act; H.R. 693, 
Veterans Affairs Medical Center Absence and Notification 
Timeline (VACANT) Act; H.R. 1089, VA Medical Center 
Transparency; H.R. 366, Korean American VALOR Act; and H.R. 
1256, Veterans Health Administration Leadership Transformation 
Act. H.R. 754, H.R. 693, H.R. 1089, and H.R. 366 were ordered 
reported by voice vote to Full Committee, without amendment. 
H.R. 562, H.R. 808, H.R. 1256, and H.R. 41 were ordered 
reported by voice vote to Full Committee, as amended.
    Subcommittee Markup. On July 18, 2023, the Subcommittee 
held a markup on H.R. 3520, Veteran Care Improvement Act of 
2023; H.R. 3581, COPE Act; H.R. 1278, DRIVE Act; H.R. 1639, VA 
Zero Suicide Demonstration Act of 2023; H.R. 1774, VA Emergency 
Transportation Act; H.R. 1815, Expanding Veterans' Options for 
Long Term Care Act; H.R. 2683, VA Flood Preparedness Act; H.R. 
2768. PFC Joseph P. Dwyer Peer Support Program Act; and H.R. 
2818, Autonomy for Disabled Veterans Act. H.R. 1278, H.R. 1639, 
H.R. 2683, H.R. 2768, and H.R. 3581 were ordered reported by 
voice vote to Full Committee, without amendment. H.R. 3520, 
H.R. 1815, H.R. 1774, and H.R. 2818 were ordered reported by 
voice vote to Full Committee, as amended.
    The following groups submitted letters of support: American 
Seniors Housing Association, Argentum, Leading Age, and 
National Center for Assisted Living.
    Subcommittee Markup. On April 16, 2024, the Subcommittee 
held a markup on H.R. 3225, BUILD for Veterans Act of 2023; 
H.R. 3303, Maternal Health for Veterans Act; H.R. 3644, ACT for 
Veterans Act; H.R. 3649, Veterans National Traumatic Brain 
Injury Treatment Act; H.R. 4424, Vietnam Veterans Liver Fluke 
Cancer Study Act; H.R. 5530, VA Emergency Transportation Access 
Act; H.R. 5794, Veterans Affairs Peer Review Neutrality Act of 
2023; H.R. 6324, Fiscal Year 2024 Veterans Affairs Major 
Medical Facility Authorization Act; H.R. 6373, Veterans STAND 
Act; H.R. 7347, To amend title 38, United States Code, to 
direct the Secretary of Veterans Affairs to report on whether 
the Secretary will include certain psychedelic drugs in the 
formulary of the Department of Veterans Affairs; and Lease 
Resolution. H.R. 3644, was ordered reported by voice vote to 
Full Committee, as amended. H.R. 3584, H.R. 4424, H.R. 6373, 
H.R. 5530, H.R. 6324, H.R. 7347, H.R. 3225, H.R. 5794, H.R. 
3649, H.R. 3303, and the Lease Resolutions were order reported 
by voice vote to Full Committee, without amendment.
    Subcommittee Markup. On September 18, 2024, the 
Subcommittee held a markup on H.R. 9496, To amend title 38, 
United States Code, to include a representative of the National 
Association of State Veterans Homes on the Geriatrics and 
Gerontology Advisory Committee of the Department of Veterans 
Affairs; H.R. 9324, Protecting Veteran Access to Telemedicine 
Services Act of 2024; H.R. 9478, Veterans Supporting 
Prosthetics Opportunities and Recreational Therapy (SPORT) Act; 
H.R. 9525, Service Dogs Assisting Veterans (SAVES) Act; H.R. 
7504, Rural Veterans Transportation to Care Act; H.R. 9301, New 
Mexico Rural Veteran Health Care Access Act; H.R. 9485, 
Enhancing Faith-Based Support for Veterans Act of 2024; H.R. 
9438, No Wrong Door for Veterans Act; H.R. 9146, Ensuring 
Continuity in Veterans Health Act; and H.R. 8562, Parity for 
Native Hawaiian Veterans Act. H.R. 9496, H.R. 9324, H.R. 9478, 
H.R. 9525, H.R. 7504, H.R. 9301, H.R. 9485, H.R. 9416, and H.R. 
8562 were ordered reported by voice vote to Full Committee, 
without amendment. H.R. 9438 was ordered reported by voice vote 
to Full Committee, as amended.

                          LEGISLATIVE HEARINGS

Subcommittee Legislative Hearing--``Legislative Hearing on H.R. 41, VA 
        Same-Day Scheduling Act of 2023; H.R. 562, Improving Veterans 
        Access to Congressional Services Act of 2023; H.R. 808, 
        Veterans Patient Advocacy Act; H.R. 754, Modernizing Veterans' 
        Health Care Eligibility Act; H.R. 693, Veterans Affairs Medical 
        Center Absence and Notification Timeline (VACANT) Act; H.R. 
        1089, VA Medical Center Facility Transparency Act; H.R. 366, 
        Korean American VALOR Act; H.R. 542, Elizabeth Dole Home Care 
        Act of 2023; and H.R. 1256, Veterans Health Administration 
        Leadership Transformation Act''

    On March 29, 2023, the Subcommittee met in open session to 
conduct a legislative hearing on the above bills. There were 
three witness panels. The following witnesses testified on the 
first panel: Representative Brian Mast (FL-21); Representative 
Jim Baird (IN-4); Representative John Moolenaar (MI-2); 
Representative Steve Womack (AR-3); and Representative Debbie 
Lesko (AZ-8).
    The following witnesses testified on the second panel: Mr. 
Alfred Montoya, Deputy Assistant Under Secretary for Health for 
Operations, Office of the Deputy Under Secretary for Health, 
Veterans Health Administration, U.S. Department of Veterans 
Affairs; Dr. Scotte Hartronft, Executive Director, Office of 
Geriatrics & Extended Care, Veterans Health Administration, 
U.S. Department of Veterans Affairs; and Mr. David Perry, Chief 
Officer, Workforce Management, Veterans Health Administration, 
U.S. Department of Veterans Affairs.
    The following witnesses testified on the third panel: Mr. 
Jon Retzer, Assistant National Legislative Director, Disabled 
American Veterans; Ms. Tiffany Ellett, Deputy Director of 
Health Policy, The American Legion; and Mr. Morgan Brown, 
National Legislative Director, Paralyzed Veterans of America.
    The following groups submitted statements for the record: 
Veterans of Foreign Wars of the U.S., AARP, Student Veterans of 
America, and Elizabeth Dole Foundation.

Subcommittee Legislative Hearing--``Legislative Hearing on H.R. 3520, 
        Veterans Care Improvement Act of 2023; H.R. 1182, Veterans 
        Serving Veterans Act of 2023; H.R. 1774, VA Emergency 
        Transportation Act; H.R. 2683, VA Flood Preparedness Act; H.R. 
        2768, PFC Joseph P. Dwyer Peer Support Program Act; H.R. 2818, 
        Autonomy for Disabled Veterans Act; H.R. 3581, Caregiver 
        Outreach and Program Enhancement (COPE) Act; H.R. 1278, DRIVE 
        Act; H.R. 1639, VA Zero Suicide Demonstration Project Act of 
        2023; and H.R. 1815, Expanding Veterans' Options for Long Term 
        Care Act''

    On June 21, 2023, the Subcommittee met in open session to 
conduct a legislative hearing on the above bills. There were 
three witness panels. The following witnesses testified on the 
first panel: Representative Jenniffer Gonzalez-Colon (Puerto 
Rico-At Large).
    The following witnesses testified on the second panel: Dr. 
Erica Scavella, M.D., Assistant Under Secretary for Health 
Clinical Services, Veterans Health Administration, U.S. 
Department of Veterans Affairs; Dr. Colleen Richardson, Psy.D., 
Executive Director, Caregiver Support Program, Veterans Health 
Administration, U.S. Department of Veterans Affairs; Dr. Scotte 
Hartronft, M.D., Executive Director, Office of Geriatrics and 
Extended Care, Veterans Health Administration, U.S. Department 
of Veterans Affairs; and Dr. Mark Hausman, M.D., Executive 
Director, Integrated Access, Office of Integrated Veteran Care, 
Veterans Health Administration, U.S. Department of Veterans 
Affairs.
    The following witnesses testified on the third panel: Mr. 
Jon Retzer, Assistant National Legislative Director, Disabled 
American Veterans; Ms. Tiffany Ellett, Director, Veterans 
Affairs and Rehabilitation Division; and Mr. Cole Lyle, 
Executive Director, Mission Roll Call, America's Warrior 
Partnership.
    The following groups submitted statements for the record: 
The Independence Fund, Veterans of Foreign Wars of the U.S., 
Wounded Warrior Project, All Points North Community Care 
Provider, Paralyzed Veterans of America, Representative Susie 
Lee (Nevada), Argentum, and Representative Mark Alford 
(Missouri).

Subcommittee Legislative Hearing--``Legislative Hearing on H.R. 3584, 
        Veterans CARE Act; H.R. 3644, Act for Veterans Act; H.R. 3649, 
        Veterans National Traumatic Brain Injury Treatment Act; H.R. 
        4424, Vietnam Veterans Liver Fluke Cancer Study Act; H.R. 5530, 
        VA Emergency Transportation Access Act; H.R. 6324, FY24 VA 
        Major Medical Facility Authorization Act; H.R. 6373, Veterans 
        STAND Act; H.R. 7347, To amend title 38, United States Code, to 
        direct the Secretary of Veterans Affairs to report on whether 
        the Secretary will include certain psychedelic drugs in the 
        formulary of the Department of Veterans Affairs; H.R. 3225, 
        BUILD for Veterans Act; H.R. 5794, VA Peer Review Neutrality 
        Act; H.R. 3303 Maternal Health for Veterans Act; and H.R. 5247, 
        Expedited Hiring for VA Trained Psychiatrists Act of 2023''

    On March 21, 2024, the Subcommittee met in open session to 
conduct a legislative hearing on the above bills. There were 
three witness panels. The following witnesses testified on the 
first panel: Chairman Mike Bost (IL-12); Representative Chris 
Deluzio (PA-17); Representative Jack Bergman (MI-1); 
Representative Greg Murphy (NC-3); Representative Derrick Van 
Orden (WI-3); Representative Nick LaLota (NY-1); Representative 
Debbie Dingell (MI-6); and Representative Lauren Underwood (IL-
14).
    The following witnesses testified on the second panel: Dr. 
Ajit Pai, Executive Director, Office of Rehabilitation and 
Prosthetic Services, Veterans Health Administration, U.S. 
Department of Veterans Affairs; Dr. Michael Brennan, Executive 
Director, Office of Construction and Facilities Management, 
U.S. Department of Veterans Affairs; Dr. Wendy Tenhula, Deputy 
Chief Research and Development Officer, Office of Research and 
Development, Veterans Health Administration, U.S. Department of 
Veterans Affairs; and Mr. David Perry, Chief Officer, Workforce 
Management and Consulting, Veterans Health Administration, U.S. 
Department of Veterans Affairs.
    The following witnesses testified on the third panel: Mr. 
Jon Retzer, Assistant National Legislative Director, Disabled 
American Veterans; Mr. Roscoe Butler, Senior Health Policy 
Advisor, Paralyzed Veterans of America; Ms. Brittany Elliot, 
Veteran (USMC), Advocate; and Ms. Melissa Bryant, Chair, Board 
of Directors, Minority Veterans of America.
    The following groups submitted statements for the record: 
Association of Air Medical Services, Rep. Matt Cartwright, 
Jewish War Veterans, Military-Veterans Advocacy, Wounded 
Warrior Project, American Ambulance Association/International 
Association of Fire Chiefs, and TreatNOW.

Subcommittee Legislative Hearing--``Legislative Hearing on H.R. 9496, 
        to amend title 38, United States Code, to include a 
        representative of the National Association of State Veterans 
        Homes on the Geriatrics and Gerontology Advisory Committee of 
        the Department of Veterans Affairs (VA); H.R. 9427, Veterans' 
        Mental Health Access Act; H.R. 9463, Recruitment Improvement 
        for Service Excellence at VA Hospitals Act; H.R. 9485, 
        Enhancing Faith-Based Support for Veterans Act of 2024; H.R. 
        9438, No Wrong Door for Veterans Act; H.R. 9324, Protecting 
        Veteran Access to Telemedicine Services Act; H.R. 9426, 
        Safeguarding VA's Healthcare Workforce Act; H.R. 9478, The 
        Veterans Supporting Prosthetics Opportunities and Recreational 
        Therapy Act; H.R. 9525, Service Dogs Assisting Veterans Act; 
        H.R. 9146, Ensuring Continuity in Veterans Health Act; H.R. 
        7504, Rural Veterans Transportation to Care Act; H.R. 6330, 
        Veterans Sentinel Act; H.R. 8562, Parity for Native Hawaiian 
        Veterans Act; H.R. 6291, Have You Served Act; H.R. 9301, New 
        Mexico Rural Veteran Health Care Access Act; DRAFT, Conflict of 
        Interest Waiver for VA Researchers''

    On September 11, 2024, the Subcommittee met in open session 
to conduct a legislative hearing on the above bills. There were 
three witness panels for this hearing.
    The following witnesses testified on the first panel: 
Representative Morgan Luttrell (TX-8); Representative Gabe 
Vasquez (NM-2); Representative Scott Franklin (FL-18); 
Representative Marie Gluesenkamp-Perez (WA-3); Representative 
Keith Self (TX-3); Representative Jill Tokuda (HI-2); 
Representative Steve Womack (AR-3)
    The following witnesses testified on the second panel: Dr. 
Carolyn Clancy, Assistant Undersecretary for Health, Discovery, 
Education, and Affiliate Networks, Veterans Health 
Administration, U.S. Department of Veterans Affairs; Dr. 
Matthew Miller, Executive Director, Office of Suicide 
Prevention, Veterans Health Administration, U.S. Department of 
Veterans Affairs; Dr. Ajit Pai, Executive Director, Office of 
Rehabilitation and Prosthetic Services, Veterans Health 
Administration, U.S. Department of Veterans Affairs; and Mr. 
Ryan Heiman, Acting Director, Member Services, Veterans Health 
Administration, U.S. Department of Veterans Affairs.
    The following witnesses testified on the second panel: Mr. 
Brian Dempsey, Director of Government Relations, Wounded 
Warrior Project; Ms. Missy Meyer, Director of Community 
Integration, America's Warrior Partnership; Mr. Clark 
Pennington, Chief Operating Officer, The Independence Fund; and 
Mr. Jon Retzer, Deputy National Legislative Director, Disabled 
American Veterans.
    The following groups submitted statements for the record: 
Joint Statement- American Psychological Association, 
Association of VA Psychologist Leaders, Association of VA 
Social Workers, National Association of Veterans Affairs 
Physicians and Dentists, Nurses Organization of Veterans 
Affairs, and Veterans Healthcare Policy Institute; American 
Federation of Government Employees, AFL-CIO, National 
Association of State Veterans Homes, U.S. Office of Government 
Ethics, and Rep. Jason Crow.

Subcommittee Legislative Hearing--``Legislative Hearing on H.R. 214, 
        Veterans' True Choice Act of 2023; H.R. 3176 Veterans Health 
        Care Freedom Act; H.R. 5287, Veterans Access to Direct Primary 
        Care Act; H.R. 8481, Emergency Community Care Notification Time 
        Adjustment Act of 2024; H.R. 10012, to amend title 38, United 
        States Code, to include eyeglass lens fittings in the category 
        of medical services authorized to be furnished to veterans 
        under the Veterans Community Care Program, and for other 
        purposes; H.R. 9924, What Works for Preventing Veteran Suicide 
        Act; H.R. 8347, Improving Menopause Care for Veterans Act; H.R. 
        6333, Veterans Emergency Care Reimbursement Act; Discussion 
        Draft--Supporting Medical Students and VA Workforce Act; H.R. 
        10267, Complete the Mission Act of 2024.''

    On December 17, 2024, the Subcommittee met in open session 
to conduct a legislative hearing on the above bills. There were 
three witness panels for this hearing. The following witnesses 
testified on the first panel: Chairman Mike Bost (Illinois); 
Representative Celeste Maloy (Utah); Representative Andy Biggs 
(Arizona); Representative Brian Mast (Florida); Representative 
Chip Roy (Texas); Representative Greg Steube (Florida); 
Representative Julia Brownley (California); Ranking Member Mark 
Takano (California); and Representative Greg Landsman (Ohio).
    The following witnesses testified on the second panel: Ms. 
Hillary Peabody, Acting Assistant Under Secretary for Health 
for Integrated Veteran Care, Veterans Health Administration, 
U.S. Department of Veterans Affairs; and Dr. Erica Scavella, 
Assistant Under Secretary for Health for Clinical Services, 
Veterans Health Administration, U.S. Department of Veterans 
Affairs.
    The following witnesses testified on the second panel: Mr. 
Cole Lyle, Director of Veterans Affairs and Rehabilitation, The 
American Legion; Mr. Darin Selnick, Senior Veterans Affairs 
Advisor; Mr. Patrick Murray, Director, National Legislative 
Service, Veterans of Foreign Wars; and Ms. Mary-Jean ``MJ'' 
Burke, First Executive Vice President, National Veterans 
Affairs Council, American Federation of Government Employees.

                          OVERSIGHT ACTIVITIES

Subcommittee Oversight Hearing--``Combatting a Crisis: Providing 
       Veterans Access to Life-saving Substance Abuse Disorder 
       Treatment''

    On April 18, 2023, the Subcommittee met in open session to 
conduct an oversight hearing to examine the U.S. Department of 
Veterans Affairs' provision of substance use disorder (SUD) 
treatment both through in-house Mental Health Residential 
Rehabilitation Treatment Programs (MHRRTPs) and through 
community care referrals. The Subcommittee sought to look at 
how VA evaluates veterans for treatment and whether that 
treatment meets the often-urgent need for access.
    There were two witness panels. The following witnesses 
testified on the first panel: Dr. Tamara Campbell, MD, 
Executive Director, Office of Mental Health and Suicide 
Prevention, Veterans Health Administration, U.S. Department of 
Veterans Affairs; Dr. Sachin Yende, MD, Chief Medical Officer, 
Office of Integrated Veteran Care, Veterans Health 
Administration, U.S. Department of Veterans Affairs; and Dr. 
Julie Kroviak, MD, Principal Deputy Assistant Inspector 
General, Healthcare Inspections, Office of the Inspector 
General, U.S. Department of Veterans Affairs.
    The following witnesses testified on the second panel: Mr. 
Daniel Elkins, Chief of Staff, The Independence Fund; Mrs. Jen 
Silva, Chief Program Officer, Wounded Warrior Project; Mr. 
Thoams B. Sauer, Chief Executive Officer & Owner, Miramar 
Health; and Mr. Brendan Dowling, Veteran Outreach, Mental 
Health.
    The following groups submitted statements for the record: 
Cohen Veterans Network

Subcommittee Oversight Hearing--``Care Coordination: Assessing Veteran 
       Needs and Improving Outcomes''

    On June 13, 2023, the Subcommittee met in open session to 
conduct an oversight hearing to examine the U.S. Department of 
Veterans Affairs' (VA's) management of its various care 
coordination programs. Specifically, the Subcommittee sought to 
look at how the VA assesses veterans' needs and supports care 
transitions both within the VA and with community providers or 
emergency services. The hearing also explored the various roles 
and responsibilities of care coordinators, patient advocates, 
and case managers and how their functions may need to be 
adjusted to serve diverse populations such as rural or 
geriatric veterans.
    There were two witness panels. The following witnesses 
testified on the first panel: Dr. M. Christopher Saslo, Ph.D., 
Assistant Under Secretary for Health/Chief Nursing Officer, 
Office of Patient Care Services, Veterans Health 
Administration, U.S. Department of Veterans Affairs; Dr. Sachin 
Yende, MD, Chief Medical Officer, Office of Integrated Veteran 
Care, Veterans Health Administration, U.S. Department of 
Veterans Affairs; Dr. Jennifer Strawn, Ph.D., Deputy Chief 
Nursing Officer/Executive Director, Office of Nursing Service, 
Veterans Health Administration, U.S. Department of Veterans 
Affairs; Ms. Jill Debord, Executive Director, Office of Care 
Management and Social Work Services, Veterans Health 
Administration, U.S. Department of Veterans Affairs; and Dr. 
Julie Kroviak, MD, Principal Deputy Assistant Inspector 
General, Healthcare Inspections, Office of the Inspector 
General, U.S. Department of Veterans Affairs.
    The following witnesses testified on the second panel: Ms. 
Andrea Sawyer, Advocacy Director, Quality of Life Foundation; 
Mr. Matt Brady, Director, Complex Case Coordination Program, 
Wounded Warrior Project; and Mr. Roscoe Butler, Senior Health 
Policy Advisor, Paralyzed Veterans of America.

Subcommittee Oversight Hearing--``VA's Federal Supremacy Initiative: 
       Putting Veterans First''

    On September 19, 2023, the Subcommittee met in open session 
to conduct an oversight hearing to examine the U.S. Department 
of Veterans Affairs' (VA's) multi-year process to standardize 
their clinical scope of practice standards for over 50 health 
care specialties. The Subcommittee sought to look at how VA 
assesses licensure requirements and jurisdiction of care and 
ensure that all stakeholder concerns are being heard. The 
Subcommittee also examined potential ways to improve VA's 
process and outcomes to ensure safe, quality care is provided 
to our nation's veterans.
    There were two witness panels. The following witnesses 
testified on the first panel: Dr. Jesse Ehrenfeld, MD, 
President, American Medical Association; Dr. Paul Barney, OD, 
American Optometric Association; Ms. Janet Setnor, MSN, CRNA, 
Col (Ret.) USAFR, NC, President Elect, American Association of 
Nurse Anesthesiology; Dr. Stephen D. McLeod, MD, Chief 
Executive Officer, American Academy of Ophthalmology; and Dr. 
Ron Harter, MD, FASA, President-Elect, American Society of 
Anesthesiologists.
    The following witnesses testified on the second panel: Dr. 
Erica Scavella, MD, FACP, FACHE, Assistant Under Secretary for 
Health Clinical Services, Chief Medical Officer, Veterans 
Health Administration, U.S. Department of Veterans Affairs; Dr. 
M. Christopher Saslo, DNS, ARNP- BC, FAANP, Assistant Under 
Secretary for Health for Patient Care Services, Chief Nursing 
Officer, Veterans Health Administration, U.S. Department of 
Veterans Affairs; and Mr. Ethan Kalett, Executive Director, 
Office of Regulations, Appeals & Policy, Veterans Health 
Administration, U.S. Department of Veterans Affairs.
    The following groups submitted statements for the record: 
American Academy of Family Physicians, American Nurses 
Association, American Society of Retina Specialists, The 
American Legion, Nursing Community Coalition, National 
Conference of State Legislatures, American Association of Nurse 
Practitioners, American Pharmacists Association, Blinded 
Veterans Association, Fleet Reserve Association, Jewish War 
Veterans of the USA, and American Association of Nurse 
Anesthesiology.

Subcommittee Oversight Hearing--``Emerging Therapies: Breakthroughs in 
       the Battle Against Suicide?''

    On November 14, 2023, the Subcommittee met in open session 
to conduct an oversight hearing to examine the ongoing research 
and clinical trials involving psychedelic-assisted therapy for 
treating PTSD, other mental conditions, and substance use 
disorder. The Subcommittee sought to hear from U.S. Department 
of Veterans Affairs (VA) and different stakeholders about the 
details and results of clinical trials so far, next steps, and 
how VA is preparing for potential FDA approval of the assisted 
therapy. The Subcommittee examined the scaling of treatments to 
veterans nationwide, heard from the researchers in the 
forefront of this field, and discussed potential dangers or 
barriers that lay ahead.
    There were two witness panels. The following witnesses 
testified on the first panel: Dr. Carolyn Clancy, MD, Assistant 
Under Secretary for Health, Office of Discovery, Education, and 
Affiliate Networks, Veterans Health Administration, U.S. 
Department of Veterans Affairs; Dr. Ilse Wiechers, MD, Deputy 
Executive Director, Office of Mental Health and Suicide 
Prevention, Veterans Health Administration, U.S. Department of 
Veterans Affairs; and Dr. Rachel Yehuda, Ph.D., Patient Care 
Center Director, Bronx Veterans Affairs Medical Center, 
Veterans Health Administration, U.S. Department of Veterans 
Affairs.
    The following witnesses testified on the second panel: 
Sergeant Jonathan Lubecky, USA (Ret.), clinical trial 
participant; Dr. Frederick Barrett, Ph.D., Associate Professor 
of Psychiatry and Behavioral Sciences, Johns Hopkins Center for 
Psychedelic and Consciousness Research; Mr. Mike Mullette, 
Chief Operating Officer, Multidisciplinary Association for 
Psychedelic Studies- Public Benefit Corporation (MAPS PBC); Dr. 
Rajeev Ramchand, Ph.D., Co-Director, RAND Epstein Family 
Veterans Policy Research Institute; Mr. Brett Waters, Co-
Founder, Executive Director, Reason for Hope, Co-Founder, 
Veteran Mental Health Leadership Coalition; and Ms. Juliana 
Mercer, USMC (Ret.), Director, Veteran Advocacy and Public 
Policy, Health Breakthrough.
    The following groups submitted statements for the record: 
American Psychedelic Practitioners Association.

Subcommittee Oversight Hearing--``SSG Fox Suicide Prevention Grants: 
       Saving Veterans' Lives Through Community Connection''

    On December 12, 2023, the Subcommittee met in open session 
to conduct an oversight hearing to examine the U.S. Department 
of Veterans Affairs' (VA) Staff Sergeant Parker Gordon Fox 
Suicide Prevention Grant Program, which assists veterans and 
their families by providing veteran-based outreach, veteran 
suicide prevention services, connections to VA, and additional 
community resources that provide more encompassing mental 
health care access. The Subcommittee sought to evaluate the 
application process to ensure these grants are accessible to 
the community organizations best suited to help veterans. The 
Subcommittee heard from grantees about the strengths and 
shortcomings of the program and discussed how Congress and VA 
can enhance and expand the grant program beyond the initial 
pilot phase to reach even more veterans.
    There was one witness panel. The following witnesses 
testified: Dr. Erica Scavella, MD, Assistant Under Secretary 
for Health for Clinical Services, Veterans Health 
Administration; U.S. Department of Veterans Affairs; Dr. Todd 
Burnett, PsyD, Senior Consultant for Operations, Suicide 
Prevention Program, Veterans Health Administration, U.S. 
Department of Veterans Affairs; Ms. Missy Myers, Director of 
Community Integration, America's Warrior Partnership; Mr. Ken 
Falke, Chairman/Founder, Boulder Crest Foundation; Ms. Joyce 
King, Project Director, SSG Fox Veterans Suicide Prevention 
Program, Sheppard Pratt.
    The following groups submitted statements for the record: 
D'Aniello Institute for Veterans & Military Families, Swords to 
Plowshares, and Wounded Warrior Project.

Subcommittee Oversight Hearing--``Artificial Intelligence at VA: 
       Exploring its Current State and Future Possibilities''

    On February 15, 2024, the Subcommittee met in open session 
to conduct an oversight hearing to examine the Department of 
Veterans Affairs' (VA) artificial intelligence (AI) use-case 
pipeline, the policy guidelines in place for these initiatives, 
the alignment of VA policies on AI with executive orders 
governing AI, and the department's ability to rapidly implement 
and scale AI solutions and technologies.
    There were two witness panels. The following witnesses 
testified on the first panel: Mr. Charles Worthington, Chief 
Technology Officer/Chief Artificial Intelligence Officer, 
Office of Information and Technology, U.S. Department of 
Veterans Affairs; Dr. Gil Alterovitz, Ph.D., Director, VA 
National Artificial Intelligence Institute, Veterans Health 
Administration, U.S. Department of Veterans Affairs; and Dr. 
Carolyn Clancy, M.D., Assistant Under Secretary for Health, 
Office of Discovery, Education, and Affiliate Networks, 
Veterans Health Administration, U.S. Department of Veterans 
Affairs.
    The following witnesses testified on the second panel: 
Prashant Natarajan, Author, Topics:
    Artificial Intelligence, Machine Learning; Gary Velasquez, 
Chief Executive Officer, Cogitativo; Charles Rockefeller, Co-
Founder and Head of Partnerships, CuraPatient; and Dr. David 
Newman-Toker, M.D., Ph.D., Director, Armstrong Institute Center 
for Diagnostic Excellence, Johns Hopkins University School of 
Medicine.
    The following groups submitted statements for the record: 
Siemens Medical Solutions USA, Inc., Johnson & Johnson, UCSF 
Weill Institute for Neurosciences, and SHRM.

Subcommittee Oversight Field Hearing--``Iowa: A Leader in Veteran 
       Healthcare Innovation''

    On May 13, 2024, the Subcommittee met in open session in 
Iowa City, Iowa to conduct an oversight field hearing to 
examine the modern healthcare and services that the Department 
of Veterans Affairs (VA) Veterans Health Administration (VHA) 
performs across the state of Iowa. The subcommittee discussed 
the partnerships that VA has forged with local universities, 
and community-based healthcare providers to assess the unique 
ways that VHA, in partnership with Iowa providers, serves as an 
innovator in the healthcare industry for veterans, active-duty 
servicemembers, and their families. Further, the subcommittee 
discussed the progress that the University of Iowa, a VA 
partner, has achieved regarding Artificial Intelligence (AI) in 
the ophthalmology industry.
    There were two witness panels. The following witnesses 
testified on the first panel: Dr. Carolyn Clancy, M.D., 
Assistant Under Secretary for Health, Office of Discovery, 
Education and Affiliate Networks, Veterans Health 
Administration, U.S. Department of Veterans Affairs; and Dr. 
Victoria Sharp, M.D., Deputy Chief of Staff, Iowa City VA 
Healthcare System, U.S. Department of Veterans Affairs.
    The following witnesses testified on the second panel: Dr. 
Mahsaw Mansoor, M.D., Resident, University of Iowa, Department 
of Ophthalmology; and Mr. Brandon Blankenship, Chief Technology 
Officer, Pro Circular.
    The following groups submitted statements for the record: 
American Optometric Association.

Subcommittee Oversight Hearing--``The Continuity of Care: Assessing the 
       Structure of VA's Healthcare Network''

    On June 26, 2024, the Subcommittee met in open session to 
conduct an oversight hearing to examine the oversight, 
stability, and evolution of the Department of Veterans Affairs 
(VA) Veterans Integrated Service Networks (VISNs). The 
Subcommittee aimed to discuss the administrative structures and 
practices of VISNs, Veteran Health Administration (VHA) 
oversight of VISN management and performance, and patient care 
outcomes to determine where improvements in access to care need 
to be made.
    There was one witness panel for this hearing. The following 
witnesses testified: Mr. Alfred ``Al'' Montoya, Deputy 
Assistant Under Secretary for Health Operations, Veterans 
Health Administration, U.S. Department of Veterans Affairs; Mr. 
Ryan Lilly, MPA, Director of the Veterans Integrated Service 
Network, New England Healthcare System (VISN 1), Veterans 
Health Administration, U.S. Department of Veterans Affairs; Dr. 
Julie Kroviak, MD, Principal Deputy Assistant Inspector General 
for Healthcare Inspections, Office of the Inspector General, 
U.S. Department of Veterans Affairs; and The Honorable Kenneth 
W. Kizer, MD, MPH, Distinguished Professor Emeritus, University 
of California Davis School of Medicine.
    The following groups submitted statements for the record: 
Alzheimer's Association and U.S. Government Accountability 
Office.

Subcommittee Oversight Hearing--``Dial 988 +1: Examining the Operations 
       of the Veterans Crisis Line''

    On September 18, 2024, the Subcommittee met in open session 
to conduct an oversight hearing to examine the Department of 
Veterans Affairs' (VA) oversight and operations of the Veterans 
Crisis Line. The Subcommittee explored if VA is ensuring that 
the Veterans Crisis Line is operating at its full capacity for 
veterans who use this crucial resource in times of need.
    There was one witness panel for this hearing. The following 
witnesses testified: Dr. Matthew Miller, Executive Director, 
Office of Suicide Prevention, Veterans Health Administration, 
U.S. Department of Veterans Affairs; Dr. Christopher Watson, 
Executive Director, Veterans Crisis Line, Office of Suicide 
Prevention, Veterans Health Administration, U.S. Department of 
Veterans Affairs; Mr. Brad Mills, Deputy Director, Unified 
Communications Operations, Connectivity & Collaboration 
Services, Office of Information & Technology, U.S. Department 
of Veterans Affairs; and Dr. Julie Kroviak, MD, Principal 
Deputy Assistant Inspector General for Healthcare Inspections, 
U.S. Department of Veterans Affairs, Office of the Inspector 
General.
    The following groups submitted statements for the record: 
American Foundation for Suicide Prevention, Disabled American 
Veterans, and U.S. Department of Veterans Affairs.

Subcommittee Oversight Hearing--``Life After Limb Loss: Examining VA 
       Amputee Prosthetics Care''

    On November 20, 2024, the Subcommittee met in open session 
to conduct an oversight hearing to examine the Department of 
Veterans Affairs' (VA) ability to care for veterans in need of 
amputee prosthetics who suffered amputation during or after 
their military service. The Subcommittee also examined recent 
alleged failures in the prosthetics departments and examine 
whether direct VA amputee care and care in the community are 
ensuring veteran amputees are all receiving quality care from 
VA.
    There were two witness panels for this hearing. The 
following witnesses testified on the first panel: Dr. 
Christopher Saslo, DNS, APRN-BC, FAANP, Assistant Under 
Secretary for Patient Care Services/Chief Nursing Officer, 
Veterans Health Administration, Dr. Joel Scholten, Executive 
Director, Physical Medicine and Rehabilitation, Veterans Health 
Administration; Dr. Ajit Pai, Executive Director, Office of 
Rehabilitation and Prosthetic Services, Veterans Health 
Administration, and Mr. J. Drew Craig, Design Chief, Enterprise 
Measurement and Design Directorate, Veterans Experience Office, 
U.S. Department of Veterans Affairs.
    The following witnesses testified on the second panel: Mr. 
Jose Ramos, Vice President of Government and Community 
Relations, Wounded Warrior Project; Ms. Ashlie White, Chief 
Strategy and Programs Officer, Amputee Coalition; and Mr. Matt 
Brown, U.S. Army Veteran, The Independence Fund.
    The following groups submitted statements for the record: 
U.S. Government Accountability Office, The American Legion, and 
Mr. Scott Restivo.

                              ROUNDTABLES

Subcommittee Roundtable--``Federal Supremacy''

    On April 26, 2023, the Subcommittee conducted a roundtable 
to educate Members about the U.S. Department of Veterans 
Affairs' (VA) Federal Supremacy Project. The Subcommittee heard 
from different stakeholders about their professional 
perspectives on the process behind the development of the 
national standards and what it means for VA patient care.
    In attendance were: Mr. Ethan Kalett, Senior Advisor for 
Regulations and Policy, Veterans Health Administration, U.S. 
Department of Veterans Affairs; Ms. Sallie Massarsky, Director 
of Regulations and Policy, Veterans Health Administration, U.S. 
Department of Veterans Affairs; Dr. Gerald E. Harmon, M.D., 
Board Chair and Former President, American Medical Association; 
Colonel Janet L. Setnor, CRNA, Vice President, American 
Association of Nurse Anesthesiology; Dr. Richard Castillo, 
O.D., D.O., Co-Chair, Contemporary Practice Task Force, 
American Optometric Association; Dr. Suzanne S. Blaylock, M.D., 
Delegate, American Society of Anesthesiologists; Mr. W. Take 
Heuer, Vice President of Federal Advocacy, American Academy of 
PAs; and Dr. Mary Gilbert Lawrence, M.D., M.P.H., Medical 
Director for Governmental Affairs, Minnesota Academy of 
Ophthalmology.

Subcommittee Roundtable--``Emerging Therapies''

    On June 5, 2023, the Subcommittee conducted a roundtable on 
``Emerging Therapies'' regarding psychedelic-assisted therapy 
clinical trials that are ongoing at universities and VA medical 
centers across the country.
    In attendance were: Dr. Carolyn M. Clancy, M.D., Assistant 
Under Secretary for Health, Office of Discovery, Education and 
Affiliate Networks, Veterans Health Administration, U.S. 
Department of Veterans Affairs; Dr. Christopher Bever, M.D., 
Director, Biomedical Laboratory Research and Development, VA 
Maryland Health Care System, U.S. Department of Veterans 
Affairs; Dr. Miriam Smyth, Ph.D., Acting Director, Clinical 
Science Research, & Development, Office of Research & 
Development, Veterans Health Administration, U.S. Department of 
Veterans Affairs; Dr. Stephen Ross, M.D., Associate Director, 
Psychedelic Medicine Research Training Program, New York 
University Langone Health Center for Psychedelic Medicine; Dr. 
Kelley O'Donnell, M.D., Ph.D., Director Clinical Training, 
Center for Psychedelic Medicine, New York University Langone 
Health Center for Psychedelic Medicine; Dr. Frederick Barrett, 
Ph.D., Associate Professor for Psychiatry and Behavior 
Sciences, Johns Hopkins Center for Psychedelic and 
Consciousness Research; Dr. Sandeep Nayak, M.D., Assistant 
Professor for Psychiatry and Behavioral Sciences, Johns Hopkins 
Center for Psychedelic and Consciousness Research; Mr. Mike 
Mullette, Chief Operating Officer, Multidisciplinary Associate 
for Psychedelic Studies-Public Benefit Corporation (MAPS-PBC); 
Honorable Mimi Walters, Chairwoman, Apollo Pact; Ms. Juliana 
Mercer, USMC, Director, Veteran Advocacy and Public Policy, 
Healing Breakthrough; and Mr. Jonathan M. Lubecky, USA (Ret.), 
Veteran clinical trial participant.

Subcommittee Roundtable--``Staff Sergeant Parker Gordon Fox Suicide 
       Prevention Grant Program (Fox Grants)''

    On September 6, 2023, the Subcommittee conducted a 
roundtable to discuss the Staff Sergeant Parker Gordon Fox 
Suicide Prevention Grant Program. The purpose of the roundtable 
was to bring together different stakeholders to examine the Fox 
Grants strengths and shortcomings and to evaluate the 
application process to ensure a better understanding of how to 
make these grants effective for veterans and their families.
    In attendance were: Dr. Todd Burnett, Senior Consultant, 
Operations, Suicide Prevention Program, Veterans Health 
Administration, U.S. Department of Veterans Affairs; Ms. Sandra 
Foley, Director, Staff Sergeant Parker Gordon (SSG) Fox Suicide 
Prevention Grants Program (SPGP), Veterans Health 
Administration, U.S. Department of Veterans Affairs; Ms. Missy 
Meyer, Director of Community Integration, America's Warrior 
Partnership; Mr. Josh Goldberg, Chief Executive Officer, 
Boulder Crest Foundation; Ms. Sarah Norman, Chief of Community 
Development, Sheppard Pratt Health System; Ms. Joyce King, 
Program Director, SSG Fox SPGP, Sheppard Pratt Health System; 
and Mr. Jared Sussman, Analyst in Health Policy, Congressional 
Research Service.

                              SITE VISITS

    Orlando, Florida. On February 15-17, 2023, the Subcommittee 
majority and minority staff conducted a site visit to the 
Orlando VA Medical Center and surrounding facilities. Staff met 
with medical center leadership and visited multiple clinics and 
the community living center. While at the medical center, staff 
met with AFGE employees and discussed work conditions in the 
facility. Oversight also included a visit to the Orlando vet 
center and satellite office campus for the Office of Community 
Care to monitor the Well Hive self-scheduling pilot program.
    New York, New York. On April 4-6, 2023, the Subcommittee 
majority staff conducted a site visit to the Bronx and 
Manhattan VA Medical Centers, as well as New York University's 
Langone Hospital. Staff met with VA medical center leadership 
and visited select clinics within the facilities, including the 
psychedelic research centers and prosthetics centers. Staff 
also met with New York University's Langone Center for 
Psychedelic Medicine, toured the facility, and spoke with their 
leading researchers. Minority staff joined the NYU portion via 
teleconference.
    Laredo, Texas. On April 20-22, 2023 the Subcommittee 
majority and communications staff travelled with Chairman Bost 
to conduct an oversight visit focused on veteran support 
operations at or near the US southern border. The Chairman 
visited the Laredo Vet Center and travelled to Eagle Pass to 
meet with Border Patrol Agents, view operations, and discuss 
the Customs and Border Protection (CBP) Del Rio Sector 
Partnership and VA outreach.
    Baltimore, Maryland. On May 5, 2023, the Subcommittee 
majority staff conducted a visit to Johns Hopkins University 
Psychedelic and Consciousness Research Center to gather 
information on clinical trials involving psychedelics with 
patients who have PTSD and substance abuse disorder. We met 
with leading researchers in the field and toured their 
facility.
    Phoenix, Arizona. On June 14, 2023, majority and minority 
staff participated in a Veterans Health Administration (VHA) 
Senior Leader Summit in Phoenix, AZ. Together with majority and 
minority staff from the Senate Committee on Veterans' Affairs, 
they appeared on a panel to discuss their respective 
legislative and oversight priorities for the 118th Congress, 
and responded to questions from VHA senior executives.
    Loma Linda, California. On June 15, 2023, the Subcommittee 
majority staff conducted a site visit to Loma Linda VA Medical 
Center with majority staff from the Oversight and 
Investigations Subcommittee. Staff toured the facility and 
discussed geriatric care, suicide prevention, policing, and 
community care. Staff conducted whistleblower interviews 
regarding workplace rights..
    Phoenix, Payson, Flagstaff, and Prescott, Arizona. On 
August 14-18, 2023, the Subcommittee majority staff led 
oversight visits, along with other Committee majority staff, to 
various locations within the Phoenix VA Health Care System 
(PVAHCS) and the Northern Arizona VA Health Care System 
(NAVAHCS) catchment areas. In additional to meeting with 
leadership at both the Phoenix and Prescott VAMCs, oversight 
focused on emergency care, women's health, substance abuse and 
mental health inpatient rehabilitation (MH RRTP), and community 
care operations both at the medical centers and their 
affiliated CBOCs. Committee staff also participated in veteran 
forums in Payson, Flagstaff and at the Navajo Nation. Finally, 
staff visited with the leadership team from US Vets and visited 
the workforce area, living areas, and dining facility.
    Winchester, Virginia. On August 29, 2023, the Subcommittee 
majority staff conducted a site visit to the Winchester, 
Virginia, VA clinic. Staff toured the facility and spoke with 
leadership about rural health, telehealth, and hiring and 
retention issues.
    Tomah, Wisconsin. On October 11, 2023, the Subcommittee 
majority staff led an oversight visit along with majority staff 
from the Oversight and Investigations Subcommittee to the Tomah 
VA Medical Center. After participating in various leadership 
huddles, staff focused on discussions with clinicians located 
in community care, urgent care, the mental health residential 
rehabilitation unit (MH RRTP), the proposed women's health 
clinic, and the whole health clinic. The visit concluded with a 
review of various quality metric evaluations.
    Las Vegas, Nevada. On October 26, 2023, the Subcommittee 
majority and Senate minority staff conducted a site visit to 
North Las Vegas VA Medical Center. Staff met with VA clinicians 
within the inpatient ward, emergency department, prosthetics, 
and the VA Southern Nevada Fisher House. Staff also toured the 
Northeast Primary Care Clinic. Majority and minority staff, 
along with majority and minority staff from the Senate 
Veterans' Affairs Committee, participated in a Nurses 
Organization of VA (NOVA) conference panel on October 27, 2023. 
They presented their respective legislative and oversight 
priorities for the 118th Congress and responded to questions 
from VA nurses in attendance at the conference.
    Las Vegas, NV. On November 26, 2023, House majority and 
Senate minority staff conducted a site visit to North Las Vegas 
VA Medical Center. Staff met with VA clinicians within the 
inpatient ward, emergency department, and prosthetics 
departments, and visited the VA Southern Nevada Fisher House. 
Staff also toured the Northeast Primary Care Clinic. Staff 
participated in a Nurses Organization of VA (NOVA) conference 
panel on November 27, 2023.
    Lyons, NJ; East Orange, NJ. Between February 26 to 27, 
2024, the Subcommittee majority staff as well as local district 
staff visited the Lyons VA Medical Center and East Orange VA 
Medical Center to tour the facilities and discuss ongoing 
challenges related to infrastructure, staffing, and access to 
care. The visit also included an in-depth review of specialized 
programs, such as women's health initiatives, mental health 
services, and the PACT Act outreach efforts, along with an 
examination of the facilities' partnerships with community 
providers and Rutgers University.
    Tucson, AZ. On March 13 to 15, 2024, majority staff from 
the Health and Economic Opportunity Subcommittees travelled to 
Tucson, Arizona, to meet with staff and researchers at the 
University of Arizona, wo are also affiliated with the Tucson 
VA Medical Center, regarding their research on mental health 
and vaccinations and preventative health measures. Staff also 
learned about the University's education and transition 
services.
    West Palm Beach, Florida. On March 25 to 26, 2024, the 
Subcommittee majority staff as well as local Congressional 
staff visited the West Palm Beach VA Medical Center to tour the 
facility and meet with leadership regarding Congressional 
office space issues faced by members of Congress. Additionally, 
staff investigated a recent veteran homicide at a mental health 
unit on campus.
    Iowa City, IA; La Crosse and Tomah, WI; Rochester and 
Minneapolis, MN. Between August 11 and 16, 2024 majority staff 
from the Health, Technology Modernization, and Disability 
Assistance and Memorial Affairs Subcommittees travelled to Iowa 
City, IA; La Crosse and Tomah, WI; and Rochester and 
Minneapolis, MN to conduct oversight of VA Medical Centers, 
Community Based Outpatient Clincs, Vet Centers, and other 
veterans support initiatives. Staff met with leadership and 
staff at all these facilities to conduct oversight of their 
operations. Of note, Staff were able to discuss the findings of 
an Administrative Investigations Board Report with Rep. Van 
Orden and the Executive Leadership Team regarding an incident 
at the Tomah facility.
    Detroit, Michigan. On September 4, 2024, the Subcommittee 
majority staff visited the John D. Dingell Department of 
Veterans Affairs Medical Center (VAMC) in Detroit, Michigan 
with Representative John James and members of his staff to 
conduct oversight over the facility's implementation of the 
Department of Veterans Affairs (VA's) voter registration 
program as required by Executive Order (EO) 14019, discuss the 
facility's progress in addressing the recommendations from a 
July 2023 VA Office of Inspector General (OIG) report about 
senior leadership failures regarding care quality, learn about 
the facility's plans to open a new Community Based Outpatient 
Clinics (CBOCs) in Rep. James' district, and discuss the 
facility's preparedness for the potential implementation of the 
Oracle Cerner Electronic Health Record (EHR).
    Virginia Beach, Virginia. On October 10 to 11, 2024, the 
Subcommittee majority and minority staff visited Virginia Beach 
to participate in the Nurses Organization of Veterans Affairs 
(NOVA) conference's panel titled ``118th Congress VA 
Legislation/Policy Wrap Up.'' Additionally, majority staff 
briefly visited a state veterans' home in Virginia Beach, which 
was recently approved for VA funding, to discuss its mission 
and how VA could be most helpful moving forward.
    Miami, Florida. On October 28, 2024, the Subcommittee 
majority staff went on an oversight visit to the Key largo VA 
Clinic and the Homestead VA Clinic and met with facility 
leadership. During the visit, the leadership team provided 
staff with details on current challenges with aging facilities 
in the Miami region. Staff toured the facilities and discussed 
the challenges of leasing a new Homestead clinic location. 
After the visits, staff engaged in a veteran's roundtable with 
Rep. Gimenez and his constituents.




















                   ACTIVITIES OF THE SUBCOMMITTEE ON
                      OVERSIGHT AND INVESTIGATIONS

                    JEN KIGGANS, Virginia, Chairman
                  FRANK MRVAN, Indiana, Ranking Member
AMATA COLEMAN RADEWAGEN,             CHRIS PAPPAS, New Hampshire
    American Samoa                   TIMOTHY KENNEDY, New York\4\
JACK BERGMAN, Michigan
MATT ROSENDALE, Montana
                                 ------                                
              Thomas Finnigan III, Majority Staff Director
                  Ally Cimino, Minority Staff Director

----------
\4\On September 10, 2024, Representative Sheila Cherfilus-McCormick 
resigned her position on the Subcommittee on Oversight and 
Investigations, and Representative Timothy Kennedy joined the 
Subcommittee.

















                         LEGISLATIVE ACTIVITIES

    Subcommittee Markup. On July 19, 2023, the Subcommittee 
held a markup on H.R. 592, Department of Veterans Affairs 
Electronic Health Record Modernization Improvement Act; H.R. 
608, To Terminate the Electronic Health Record Modernization 
Program of the Department of Veterans Affairs; H.R. 1659, 
Department of Veterans Affairs IT Modernization Improvement 
Act; H.R. 2499, VA Supply Chain Management System Authorization 
Act; H.R. 4278, Restore Department of Veterans Affairs 
Accountability Act; H.R. 196, Expediting Temporary Ratings for 
Veterans Act; H.R. 4461, Modernizing Department of Veteran 
Affairs Disability Benefit Questionnaires Act; H.R. 3504, VA 
Medical Center Security Report Act; H.R. 2733, Department of 
Veterans Affairs Office of Inspector General Training Act; and 
H.R. 4225, VA Acquisition Review Board Act. H.R. 196, H.R. 
4461, H.R. 1659, H.R. 608, H.R. 592, H.R. 4225, H.R. 4278, and 
H.R. 2733 were ordered reported by voice vote to Full 
Committee, without amendment. H.R. 3504 and H.R. 2499 were 
ordered reported by voice vote, as amended.
    Subcommittee Markup. On April 17, 2024, the Subcommittee 
held a markup on H.R. 6452, Veterans Scam and Fraud Evasion Act 
of 2023; H.R. 6531 TRAIN VA Employees Act; H.R. 6538, VA 
Correct Compensation Act of 2023; H.R. 6874, VA WEB Act; H.R. 
6947, Veterans Affairs Centennial and Heritage Act of 2024; 
H.R. 7342, Veterans Accessibility Advisory Committee Act of 
2024; H.R. 7713, VA Political Performance Disclosure Act; and 
H.R. 7734, To Amend Title 38, United States Code, to Require a 
Notation in the Personnel Record File of Certain Employees of 
the Department of Veterans Affairs Who Resign from Government 
Employment Under Certain Circumstances. H.R. 6538, H.R. 6874, 
H.R. 7342, H.R. 7713, H.R. 6531, and H.R. 6947 were ordered 
reported by voice vote to Full Committee, without amendment. 
H.R. 6452 and H.R. 7734, were ordered reported by voice vote to 
Full Committee, as amended.

                          LEGISLATIVE HEARINGS

Subcommittee Legislative Hearing--``Legislative Hearing on H.R. 592, 
        Department of Veterans Affairs Electronic Health Record 
        Modernization Improvement Act; H.R. 608, To Terminate the 
        Electronic Health Record Modernization Program of the 
        Department of Veterans Affairs; H.R. 1658, Manage VA Act; H.R. 
        1659, Department of Veterans Affairs IT Modernization 
        Improvement Act; and H.R. 2499, VA Supply Chain Management 
        System Authorization Act''

    On April 19, 2023, the Subcommittee met in open session to 
conduct a legislative hearing on the above bills. There was one 
witness panel. The following witnesses testified: Mr. Phillip 
Christy, Deputy Executive Director, Office of Acquisition, 
Logistics, and Construction, U.S. Department of Veterans 
Affairs; Ms. Catherine Cravens, Chief of Staff, Office of 
Information Technology, U.S. Department of Veterans Affairs; 
Dr. Leslie Sofocleous, Executive Director, Program Management 
Office, Electronic Health Record Modernization, Integration 
Office, U.S. Department of Veterans Affairs; Ms. Shana Love-
Holmon, Acting Assistant Secretary, Office of Enterprise 
Integration, U.S. Department of Veterans Affairs; and Ms. 
Shelby Oakley, Director, Contracting and National Security 
Acquisitions, Government Accountability Office.
    The following groups submitted statements for the record: 
Fleet Reserve Association and The American Legion.

Subcommittee Legislative Hearing--``Legislative Hearing on H.R. 4278, 
        Restore Department of Veterans Affairs Accountability Act; H.R. 
        196, Expediting Temporary Ratings for Veterans Act; H.R. 4461, 
        Modernizing Department of Veteran Affairs Disability Benefit 
        Questionnaires Act; H.R. 3504, VA Medical Center Security 
        Report Act; H.R. 2733, Department of Veterans Affairs Office of 
        Inspector General Training Act; and H.R. 4225, VA Acquisition 
        Review Board Act''

    On July 12, 2023, the Subcommittee met in open session to 
conduct a legislative hearing on the above bills. There were 
two witness panels. The following witnesses testified on the 
first panel: Mr. Lewis Ratchford, Chief Security Officer, 
Office of Human Resources and Administration/Operations, 
Security, and Preparedness, U.S. Department of Veterans 
Affairs; Mr. Rondy Waye, Executive Director, Human Capital 
Programs, Office of Human Resources and Administration/
Operations, Security, and Preparedness, U.S. Department of 
Veterans Affairs; Mr. Ray Tellez, Acting Deputy Under Secretary 
for Automated Benefits Delivery, Veterans Benefits 
Administration, U.S. Department of Veterans Affairs; Ms. Angela 
Billups, Ph.D., Executive Director, Office of Acquisitions and 
Logistics, Office of Acquisition, Logistics, and Construction, 
U.S. Department of Veterans Affairs; and Mr. David Case, Deputy 
Inspector General, Office of Inspector General, U.S. Department 
of Veterans Affairs.
    The following witnesses testified on the second panel: Mr. 
Joshua Hastings, Veterans Benefits Policy Analyst, The American 
Legion; Mr. Patrick Murray, Director, National Legislative 
Service, Veterans of Foreign Wars; Mr. Clint Romesha, SSG 
(ret.), Board of Director, Emeritus, America's Warrior 
Partnership; and Ms. Terry Gerton, President and Chief 
Executive Officer, National Academy of Public Administration.
    The following groups submitted statements for the record: 
American Federation of Government Employees, AFL-CIO, Concerned 
Veterans of America, National Federation of Federal Employees, 
Partnership for Public Service, Senior Executives Association, 
and United Nurses Association of California/Union of Health 
Care Professionals.

Subcommittee Legislative Hearing--``Legislative Hearing on H.R. 6452, 
        Veterans Scam and Fraud Evasion Act; H.R. 6531, TRAIN VA 
        Employees Act; H.R. 6538, VA Correct Compensation Act; H.R. 
        6874, VA WEB Act; H.R. 6947, Veterans Affairs Centennial and 
        Heritage Act; H.R. 7342, Veterans Accessibility Advisory 
        Committee Act; H.R. 7765, VA Security Screening Pilot Program 
        Act; H.R. 7734, Required Notation of Investigation in Personnel 
        Record File Act; and H.R. 7713, VA Political Performance 
        Disclosure Act''

    On March 21, 2024, the Subcommittee met in open session to 
conduct a legislative hearing on the above bills. There was one 
witness panel. The following witnesses testified: Mr. John W. 
Boerstler, Chief Veterans Experience Officer, Office of Human 
Resources and Administration/Operations, Security, and 
Preparedness, U.S. Department of Veterans Affairs; Ms. Tracey 
Therit, Chief Human Capital Officer, Office of Human Resources 
and Administration/Operations, Security, and Preparedness, U.S. 
Department of Veterans Affairs; Mr. David Perry, Chief Officer, 
Workforce Management and Consulting, Veterans Health 
Administration, U.S. Department of Veterans Affairs; Mr. 
Charles Worthington, Chief Technology Officer, Office of 
Information Technology, U.S. Department of Veterans Affairs; 
and Ms. Joycelyn Westbrooks, RN, Secretary-Treasurer, AFGE 
Local 1633, U.S. Department of Veterans Affairs.
    The following groups submitted statements for the record: 
Paralyzed Veterans of America, American Association of Nurse 
Anesthesiology, National Federation of Federal Employees/
Service Employees International Union, Rep. Williams, Senior 
Executives Association, Rep. Turner, and United Nurses 
Associations of California/Union Health Care Professionals.

                          OVERSIGHT ACTIVITIES

Subcommittee Oversight Hearing--``Accountability at VA: Leadership 
       Decisions Impacting its Employees and Veterans''

    On March 9, 2023, the Subcommittee met in open session to 
conduct an oversight hearing to examine how VA leaders, and 
their employees, are held accountable to the Veterans they 
serve. Members had the opportunity to ask questions about VA's 
Human Resources Office The hearing's goal was to examine if the 
policies and systems VA has in place foster accountability 
within VA and, if they do not, how they can be improved.
    There was one witness panel. The witness on the first and 
only panel was the following: Ms. Tracey Therit, Chief Human 
Capital Officer, Human Resources Administration/Operations, 
Security and Preparedness, U.S. Department of Veterans Affairs.
    The following groups submitted statements for the record: 
American Federation of Government Employees, AFL-CIO.

Joint Subcommittee Oversight Hearing--``VHA Recruitment and Retention: 
       Is Bureaucracy Holding Back a Quality Workforce?''

    On May 17, 2023, the Subcommittees on Oversight and 
Investigations and Health met in open session to conduct an 
oversight hearing to examine the U.S. Department of Veterans 
Affairs' (VA's) and Veterans Health Administration's (VHA's) 
workforce. The subcommittees looked at VA's recruitment, 
retention, and relocation efforts over the past year, with 
particular emphasis on legislative authorities that were 
enacted in the 117th Congress. The hearing also provided the 
subcommittees an opportunity to examine VHA's organizational 
``modernization'' of its Human Resource functions and its 
impact on the ability to adequately support Medical Center 
needs. Another goal of the hearing was to look at the 
effectiveness of VHA in retaining its workforce, to include 
equitable implementation of educational incentives and other 
benefits unique to federal employment.
    There were two witness panels. The following witnesses 
testified on the first panel: Ms. Tracey Therit, Chief Human 
Capital Officer, Human Resources Administration/ Operations, 
Security and Preparedness, U.S. Department of Veterans Affairs; 
Ms. Jessica Bonjorni, MBA, PMP, SPHR, Chief of Human Capital 
Management, Veterans Health Administration, U.S. Department of 
Veterans Affairs; and Ms. Sharon Silas, Director of Health Care 
Team, Government Accountability Office.
    The following witnesses testified on the second panel: Ms. 
Mary Jane ``MJ'' Burke, First Executive Vice President, AFGE 
National VA Council; Dr. Robyn Begley, DNP, RN, NEA BC, FAAN, 
Senior Vice President of Workforce, American Hospital 
Association; Mr. Will Morse, Corporate Vice President of 
Solution Design and Sales, AMN Healthcare; and Ms. Kelley 
Saindon, DNP, RN NE-BC, CHPN, Chairman of the Legislative 
Committee, Nurses Organization of Veterans Affairs.

Subcommittee Oversight Hearing--``VA Procurement: Made in America''

    On September 20, 2023, the Subcommittee met in open session 
to conduct an oversight hearing to examine how VA's procurement 
practices and the reasons why more progress has not been made. 
The subcommittee sought to investigate why very little appeared 
to have been accomplished to boost domestic purchases during 
the Biden Administration, particularly in the U.S. Department 
of Veterans Affairs, which is the second largest buyer in the 
federal government.
    There was one witness panel. The following witnesses 
testified: Mr. Michael D. Parrish, Principal Executive Director 
and Chief Acquisition Officer, Office of Acquisition, 
Logistics, and Construction, U.S. Department of Veterans 
Affairs; Dr. Angela Billups, Executive Director and Senior 
Procurement Executive, Office of Acquisition, Logistics, and 
Construction, U.S. Department of Veterans Affairs; Mr. Andrew 
Centineo, Executive Director for Procurement and Logistics, 
Veterans Health Administration, U.S. Department of Veterans 
Affairs; and Dr. Thomas Emmendorfer, Executive Director for 
Pharmacy Benefits Management Services, Veterans Health 
Administration, U.S. Department of Veterans Affairs.
    The following groups submitted statements for the record: 
Representative Matt Rosendale (Montana).

Subcommittee Oversight Hearing--``Trust in Transparency: Holding VA 
       Accountable and Protecting Whistleblowers''

    On November 2, 2023, the Subcommittee met in open session 
to conduct an oversight hearing to examine the whistleblower 
protections and reporting avenues available to U.S. Department 
of Veterans Affairs (VA) employees and the veterans they serve. 
The subcommittee sought to examine VA and its Office of 
Accountability and Whistleblower Protection's (OAWP's) progress 
in addressing the subcommittee's concerns raised during its 
2019 and 2021 hearings about VA whistleblowers.
    There were two witness panels. The following witnesses 
testified on the first panel: Mr. Bruce P. Gipe, Acting 
Assistant Secretary, Office of Accountability and Whistleblower 
Protection, U.S. Department of Veterans Affairs; Mr. Eric 
Calhoun, Director, Investigations Division, Office of 
Accountability and Whistleblower Protection, U.S. Department of 
Veterans Affairs; Mr. Ted Radway, Executive Director, 
Investigations and Acting Executive Director, Compliance and 
Oversight Directorate, Office of Accountability and 
Whistleblower Protection, U.S. Department of Veterans Affairs; 
Ms. Emiliee Collier, Chief, Investigation and Prosecution 
Division, Office of Special Counsel; and Mr. Thomas Costa, 
Director, Education, Workforce, and Income Security, Government 
Accountability Office.
    The following witnesses testified on the second panel: Mr. 
Tristan Leavitt, President, Empower Oversight; Ms. Samanatha 
Feinstein, International Director and Staff Attorney, 
Government Accountability Project; Mr. Joe Speilberger, Policy 
Counsel, Project on Government Oversight; and Mr. Paul Pearson, 
Vice President, Whistleblowers of America.
    The following groups submitted statements for the record: 
Whistleblowers of America.

Subcommittee Oversight Hearing--``Background Checks: Are VA's HR 
       Failures Risking Drug Abuse and Veteran Harm?''

    On December 6, 2023, the Subcommittee met in open session 
to conduct an oversight hearing to examine VA's personnel 
suitability program governance with a particular focus on how 
VA ensures employees with felony drug convictions are properly 
identified.
    There was one witness panel. The following witnesses 
testified: Ms. Jessica Bonjoni, Chief, Human Capital 
Management, Veterans Health Administration, U.S. Department of 
Veterans Affairs; Mr. Shawn Steele, Director of the Healthcare 
Infrastructure Division, Office of Inspector General, U.S. 
Department of Veterans Affairs; Mr. Seto Bagdoyan, Director for 
Audit Services, Forensic Audits & Investigative Service, U.S. 
Government Accountability Office; and Mr. Daniel Galik, 
Executive Director for Identity Credential and Access 
Management, Office of Human Resources and Administration/
Operations, Security and Preparedness, U.S. Department of 
Veterans Affairs.

Subcommittee Oversight Hearing--``VA Revolving Funds: Are Veterans 
       Being Shortchanged?''

    On January 17, 2024, the Subcommittee met in open session 
to conduct an oversight hearing to examine VA's two large 
revolving funds, the Franchise Fund and the Supply Fund, that 
provide services to VA offices and other agencies on a fee-for-
service basis. Together, they have assets exceeding $1.7 
billion. The Subcommittee discovered that the Supply Fund 
operated at a loss in fiscal year 2023 and individual 
enterprises within the Franchise Fund routinely operate at a 
loss. The Subcommittee sought to question whether the Financial 
Services Center was best equipped to process payments for 
veterans' community care, most of which were transferred to the 
VA Office of Integrated Veteran Care when the Biden 
Administration reorganized community care in 2021.
    There was one witness panel. The following witnesses 
testified: Ms. Teresa Riffel, Deputy Assistant Secretary for 
Financial Management Business Transformation, Financial 
Management Business Transformation Service, U.S. Department of 
Veterans Affairs; Mr. Leroy Larkins, Executive Director, Office 
of Revolving Funds, Office of Management, U.S. Department of 
Veterans Affairs; Mr. Phillip Christy, Deputy Executive 
Director, Office of Acquisition, Logistics, and Construction, 
U.S. Department of Veterans Affairs; and Ms. Julie Matta, 
Deputy General Counsel, U.S. Government Accountability Office.

Subcommittee Oversight Hearing--``Ensuring VA's Security: How Can 
       Congress Best Support VA's Law Enforcement?''

    On May 16, 2024, the Subcommittee met in open session to 
conduct an oversight hearing to explore different ways for 
Congress to effectively support the U.S. Department of Veterans 
Affairs (VA) Police and provide oversight to ensure VA is 
adequately supporting its Police Officers to serve and protect.
    There were two witness panels. The following witnesses 
testified on the first panel: Mr. Alfred, Montoya, Deputy 
Assistant Under Secretary for Health Operations, Veterans 
Health Administration, U.S. Department of Veterans Affairs; Mr. 
Troy Brown, Senior Security Officer, Veterans Health 
Administration, U.S. Department of Veterans Affairs; Ms. Brandy 
Soto, Chief of Police, Little Rock, Arkansas Veterans Affairs 
Medical Cetner, U.S. Department of Veterans Affairs; Mr. George 
Chester, Chief of Police, Detroit, Michigan Veterans Affairs 
Medical Center, U.S. Department of Veterans Affairs; and Mr. 
Bryan Hunt, President, AFGE Local #2384.
    The following witnesses testified on the second panel: Mr. 
Kapua Conley, Regional President, Sentara Healthcare System, 
Hampton, Virginia; Mr. Chuck Dowd, Vice President, Public 
Safety Broadband Technology Association, Las Vegas, Nevada; and 
Mr. Jon Retzer, Assistant National Legislative Director, 
Disabled American Veterans.
    The following groups submitted statements for the record: 
Federal Law Enforcement Officers Association.

Subcommittee Oversight Hearing--``VA Accountability: What Has Happened 
       to Hampton?''

    On September 24, 2024, the Subcommittee met in open session 
to conduct an oversight hearing to examine the alleged and 
substantiated misconduct within the Department of Veterans 
Affairs (VA) Hampton Medical Center (Hampton VA). 
Whistleblowers alleged the Hampton VA Chief of Surgery was a 
poor leader who retaliated against those who reported patient 
safety concerns and failed to act against medical professionals 
who were clinically inept. Whistleblowers also alleged Hampton 
VA leadership did not adequately address the whistleblowers' 
concerns and poorly managed the facility. The whistleblowers 
alleged this ineffective leadership led to internal employee 
disputes, workplace harassment, and facility cleanliness 
issues. As a result, many providers have left the facility.
    There was one witness panel for this hearing. The following 
witnesses testified: Mr. Paul S. Crews, Veterans Integrated 
Services Network 6 Director, U.S. Department of Veterans 
Affairs; Dr. Frederick Kotler, MD, Interim Medical Inspector, 
Office of the Medical Inspector, U.S. Department of Veterans 
Affairs; Mr. Walt C. Dannenberg, Acting Executive Director, VA 
Hampton Health Care, U.S. Department of Veterans Affairs; and 
Dr. Jennifer Baptiste, Deputy Assistant Inspector General for 
Healthcare Inspections, Office of Inspector General, U.S. 
Department of Veterans Affairs.
    The following groups submitted statements for the record: 
American Association of Nurse Anesthesiology.

                              SITE VISITS

    Columbia, South Carolina. On February 3, 2023, the 
Subcommittee majority staff conducted a site visit to the 
Columbia Regional Office and Columbia VA Medical Center. Staff 
met with VBA and VAMC leadership and took a tour of the 
facilities, including the medical center's Women's Clinic. The 
visit included continued oversight of PACT Act implementation. 
Staff also met with representatives from the local AFGE about 
their relationship with regional office leadership. Minority 
staff joined for a briefing that provided an overview of the 
medical center and the progress it has made.
    Hampton, Virginia. On April 12, 2023, the Subcommittee 
majority staff visited Hampton VA Medical Center with 
Chairwoman Kiggans and her team. Staff visited Hampton VAMC in 
part, because it was ranked 134 out of 141 VA Medical Centers 
in the 2022 All Employee Survey. The Hampton VA has overseen a 
steady increase in veterans utilizing its care. Therefore, 
leadership argued they need a new facility to meet demand. 
Chairwoman Kiggans stressed the need to follow up on the 
development of VA facilities in and around Virginia Beach. 
Majority staff also met with student veterans at Old Dominion 
University where student veterans discussed the need for better 
access to mental health care and improved on campus VA liaison 
services. Chairwoman Kiggans and Majority staff also hosted a 
town hall where veterans focused on the need for adequate care 
including accessibility to the East Shore Rural Health System 
as part of the Community Care program.
    Loma Linda, California. On June 15, 2023, the Subcommittee 
majority staff met with personnel from different Loma Linda VA 
departments. Majority staff met with leadership to discuss 
geriatric care. Loma Linda clinical staff discussed the need 
for a greater financial investment in geriatric care 
infrastructure. On June 16th, Rep. Obernolte of California 
joined majority staff on a visit to the medical center and 
toured the facility with local leadership. Before the tour, Mr. 
Obernolte and majority staff discussed various disciplinary 
actions with Loma Linda leadership. Additionally, majority 
staff met with whistleblowers to discuss Loma Linda VA waste, 
fraud, and abuse, and whistleblower retaliation.
    San Diego, California. On August 14, 2023, the Subcommittee 
majority staff conducted a site visit to Jennifer Moreno VA 
Medical Center in San Diego. Staff met with Community Care, 
Police, GEC, Supply Chain, and Mental Health and Emergency 
Department leadership. Community Care leadership shared with 
staff that their biggest challenge involves medical records and 
the lack of coordination from community partners. During the 
staff's meeting with police leadership, the Police Chief 
explained the jurisdictional issues VA police have when 
responding to calls. For example, leadership explained how VA 
police would not be able to take action without extensive 
coordination and approval if an individual committing 
disorderly conduct or experiencing behavioral health challenges 
left the facility's immediate boundaries.
    Loma Linda, California. On August 15-16, 2023, the 
Subcommittee majority staff met with a former VA official to 
discuss whistleblower protections and problems VA 
whistleblowers in California are experiencing. Staff also met 
with individuals who raised concerns about patient safety and 
employment issues at VA facilities in Loma Linda. Staff was 
able to identify core issues facing patients and employees at 
VA Loma Linda, which have led to ongoing investigations.
    Palo Alto, California. On August 17, 2023, the Subcommittee 
majority staff conducted an oversight trip to the Palo Alto 
Veteran Affairs Medical Center. Majority staff met with the 
acting Medical Center Director and senior VA leaders of the 
following offices and programs: Finance, Police and Security, 
Supply Chain, Geriatrics, and the Office of Facilities. Staff 
had the opportunity to tour the largest multidisciplinary 
rehabilitation building in the VA Health Care System. O&I also 
met with supply chain leadership to discuss corrective actions 
since the VA OIG report on the facility's purchase card misuse. 
Leadership assured staff that there have been systemic changes 
to inventory and supply management to ensure financial 
efficiency.
    San Francisco, California. On August 18, 2023, the 
Subcommittee majority staff conducted an oversight visit to the 
San Francisco Veteran Affairs Medical Center. Staff met with 
the Medical Center Director and leadership from the following 
offices and programs: Social Work, HUD/VASH, and the Police 
Force. Medical Center leadership informed staff during the 
visit that there are 196 residencies through a University of 
California San Francisco School of Medicine partnership. San 
Francisco VA has one of the largest funded research programs in 
VHA, with $84.3 million in research expenditures in FY2022. O&I 
visited the new Memory Care unit within the Community Living 
Center. The Center houses 14 single-bed units that integrate 
construction with minimal risk of triggering unsafe behaviors 
in a quiet and decluttered atmosphere with reassuring sensory 
interventions.
    Tomah, Wisconsin. On October 10, 2023, the Subcommittee on 
Oversight and Investigations and Health majority staff 
conducted an oversight visit to the Tomah Veterans Affairs 
Medical Center. O&I and Health traveled to Tomah, WI, to meet 
with the Tomah Veterans Affairs Medical Center (VAMC) executive 
leadership and VISN 12 representatives, including the VISN 12 
Director. During the visit, the facility leadership team 
provided staff with details on current initiatives and 
challenges at the VAMC. Staff had the opportunity to observe 
both clinical and administrative team huddles, tour newly 
constructed facilities, and engage with employees from multiple 
health service departments who provide daily services to 
veterans. Finally, staff met with representatives from the 
local AFGE union.
    St. Petersburg, Florida. On November 6, 2023, the 
Subcommittee majority staff traveled to Florida to conduct 
oversight visits at the VA Tampa and Bay Pines VA Healthcare 
Systems. Staff assessed operations at the North Pinellas VA 
Clinic, the C.W. Bill Young VAMC in St. Petersburg, the Bay 
Pines National Cemetery, and was joined by the Subcommittee on 
Economic Opportunity majority staff to visit the James A. Haley 
VAMC in Tampa, Tampa VA Domiciliary and St. Petersburg Regional 
Office. Staff from the offices of Rep. Anna Paulina Luna (R-FL-
13), who represents most of St. Petersburg, and Rep. Laurel Lee 
(R-FL-15), who represents most of Tampa, were present during 
the visit to the VAMC's in their respective districts. During 
the visits to the medical centers and the national cemetery, 
committee staff were briefed on ongoing initiatives and current 
challenges. Staff also met with AFGE representatives at the 
James A. Haley VAMC and at C.W. Bill Young VAMC. The St. 
Petersburg Regional Office briefed O&I and EO staff on 
challenges related to the Veteran Readiness and Employment 
office.
    Northport, New York. On November 29, 2023, the Subcommittee 
majority staff traveled to Northport, NY to conduct an 
oversight visit of the Northport VAMC on Long Island. Staff was 
joined by staff from the offices of Representative LaLota (R-
NY-01), Representative Garbarino (R-NY-02), and Representative 
D'Esposito (R-NY-04). Staff assessed operations at the medical 
center and conducted oversight based on the Committee's 2016 
and 2017 investigations into the aging infrastructure at 
Northport VAMC. The campus is 277 acres and has far too many 
buildings, many of them vacant, to match its current patient 
volume. Staff found that while there are many buildings that 
remain in disrepair and there are several capital improvement 
projects that have yet to be funded, the medical center has 
completed or is in the process of completing a number of 
significant projects addressing the major deficiencies that 
were identified by the Committee in 2017 and in a 2014 facility 
condition assessment. An updated facility condition assessment 
was conducted earlier in 2023 and the facility stated that they 
expect it to be published in late 2023 or early 2024.
    Atlanta and Augusta, Georgia. On December 11 to 13, 2023, 
the Subcommittee majority staff traveled to Georgia, VISN 7, to 
conduct oversight visits within the Augusta and Atlanta VA 
Healthcare systems. The visit included visiting two medical 
centers, the Charlie Norwood Department of Veterans' Affairs 
Medical Center in Augusta, GA and the Joseph Maxwell Cleland 
Medical Center in Atlanta, GA, and the Cobb County 
Multispecialty Clinic in Marietta, GA. Additionally, 
subcommittee staff met with individuals off-site who shared 
concerns about their respective facilities. Staff from the 
offices of Rep. Barry Loudermilk (R-GA-11), who represents most 
of Marietta, GA and Rep. Rick Allen (R-GA-12), who represents 
most of Augusta, were present during the visit to the 
facilities in their respective districts. During the visits, 
committee staff were briefed on ongoing initiatives and current 
challenges. Finally, committee staff met with AFGE 
representatives at both the Charlie Norwood and Jospeh Maxwell 
Cleland VAMCs.
    Brooklyn, New York. On December 18, 2023, the Subcommittee 
majority staff traveled to Brooklyn, NY to conduct an oversight 
visit at the Brooklyn VA Medical Center. O&I staff assessed 
operations and spoke with employees at the facility. Staff from 
the office of Rep. Nicole Malliotakis (R-NY-11), who represents 
Staten Island and the southern tip of Brooklyn, including the 
medical facility, also attended the visit. During the visit, 
committee staff were briefed on ongoing initiatives and current 
challenges. Staff also met with local AFGE representatives.
    Hampton Beach, Virgina. On March 27, 2024, the Subcommittee 
majority staff traveled to Virginia Beach, VA, to meet with six 
whistleblowers who work at the Hampton Department of Veterans 
Affairs Medical Center (Hampton VAMC). Committee staff were 
also accompanied by two Rep. Jen Kiggans (R-VA-02) staff 
members. During the visit, Committee staff heard credible 
allegations, that retaliatory and ineffective leadership from 
members of the Hampton VAMC leadership may be allowing 
negligent medical providers to endanger Veterans lives by 
missing cancer diagnosis, failing to fully remove easily 
identifiable cancerous masses, and purposefully avoiding 
patients who require care.
    Montrose, New York. On April 18, 2024, the Oversight and 
Investigations and Health Subcommittees majority staff traveled 
to Montrose, NY, to conduct an oversight visit at the Franklin 
Delano Roosevelt (FDR) Hospital. Staff from the Office of Rep. 
Mike Lawler (R-NY-17), who represents Rockland and Putnam 
Counties and portions of Westchester and Dutchess County, which 
includes the medical facility, also attended the visit. Staff 
assessed operations and spoke with facility leadership and 
employees. During the visit, staff were also briefed on the 
facility's ongoing initiatives.
    Fayetteville, North Carolina. On April 25, 2024, the 
Subcommittee majority staff as well as local congressional 
staff were hosted by facility leadership for multiple briefings 
regarding the services offered at the facility and programs 
administered by the local VA Medical Center. In FY 2023, the 
facility treated more than 92,838 Veterans and had more than 
850,000 outpatient visits. The demographics are split roughly 
80/20 between male and female veterans. According to Strategic 
Analytics for Improvement and Learning (SAIL) data, care 
coordination and provider rating scored in the ``opportunities 
available'' quartile which is below average. Congressional 
staff received a detailed explanation from leadership and their 
plan to implement changes to improve care coordination and 
provider ratings.
    Syracuse, New York: On June 21, 2024, the Oversight and 
Investigations and Health Subcommittees majority staff 
supported Representative Brandon Williams (R-NY-22) with two 
events. First, staff visited Clear Path for Veterans, an 
organization offering comprehensive services such as canine 
therapy, wellness, career, and culinary programs aimed at 
empowering veterans. Staff toured the facility, learned about 
the programs, and discussed Clear Path's Fox Grant application 
with leadership who emphasized the success of their meal 
program. Later, staff attended a veterans' resource fair hosted 
by Rep. Williams, alongside VA representatives and local 
agencies. Attendees had positive feedback about the Syracuse VA 
Medical Center but raised concerns over the closure of its 
neurological/spinal unit, which remains under review by the 
Health Subcommittee.
    Denver, Colorado: On July 10 to 12, 2024, the Subcommittee 
majority staff visited the Rocky Mountain Regional VA Medical 
Center and the University of Colorado School of Medicine in 
Aurora, Colorado, following the release of VA OIG and OMI 
reports detailing leadership failures and patient safety 
concerns. During meetings with VISN 19 and Rocky Mountain VAMC 
leadership, staff discussed the disconnect between the facility 
and its providers, communication challenges, and the impact on 
patient care and resident education. The toxic culture at the 
VAMC led to significant staff turnover, particularly in the ICU 
and cardiothoracic departments, exacerbated by a hiring freeze. 
Though facility morale is low, many providers remain committed 
to the VA's mission. VISN leadership has faced criticism for 
inadequate oversight, with leadership changes and ongoing 
investigations into former leaders. Concerns persist regarding 
the VISN director's leadership approach and her awareness of 
facility issues. Staff recommended continued oversight and 
engagement with whistleblowers to ensure VA addresses these 
challenges.
    Central Alabama Health Care System: On August 5 to 7, 2024, 
the Subcommittee majority staff visited VA facilities in north 
Florida, central Alabama, and west Georgia to address concerns 
raised by the district offices of Representative Neal Dunn (R-
FL-02) and Representative Barry Moore (R-AL-02). Key issues 
included VA appointment delays, community care challenges, and 
the closure of the Panama City Beach clinic pharmacy, which 
affects veterans' access to medications. At the G.V. (Sonny) 
Montgomery VAMC, staff reported fears of retaliation from 
leadership. The Columbus clinic, the newest in the system, 
offers comprehensive services and robust security, serving as a 
model for future facilities. Committee staff has continued to 
work with Rep. Moore's staff including sending a Chairman's 
letter to the Secretary.
    Bakersfield, California: On August 12, 2024, the O&I, 
Health, and DAMA Subcommittee majority staff participated in a 
town hall with Representatives Valadao (R-CA-22) and Fong (R-
CA-20) where veterans and local stakeholders expressed concerns 
about lengthy claims processing times, homelessness, and access 
to care at VA. Staff then visited the Bakersfield Community-
Based Outpatient Clinic (CBOC), where VA staff highlighted 
difficulties in utilizing their current space effectively while 
awaiting a new facility. VA staff also highlighted how the 
clinic's reliance on outdated medical equipment has hindered 
the quality of care, and how veterans face challenges accessing 
the onsite pharmacy, which often resorting to mail-order 
prescriptions.
    Big Sandy Rancheria, California: On August 11, 2024, O&I, 
Health, and DAMA Subcommittee majority staff visited the Big 
Sandy Rancheria, where tribal leaders raised concerns about the 
underuse of their cemetery, that was built in 2016. 
Additionally, they highlighted issues related to the tribe's 
responsibility for keeping up maintenance costs. They praised 
the effectiveness of the National Cemetery Administration's 
(NCA) national training, which was tailored for tribal staff.
    Madera and Oakland, California: On August 12, 2024, O&I, 
Health, and DAMA Subcommittee majority staff participated in a 
Representative Duarte (R-CA-13) led town hall and visited the 
Oakland Regional Office (RO). At the townhall, which occurred 
in Representative Duarte's district in Madera California, 
Committee staff were available to assist Representative 
Durate's constituents with VA related questions. At the Oakland 
Regional Office, Committee staff listened to claims processing 
staff who raised concerns about high workforce attrition and 
training gaps. These issues have negatively impacted the 
overall quality and timeliness of claims, with the RO currently 
ranking 27th in performance metrics. Committee staff also heard 
from Union representatives about reported tensions between 
leadership and staff. Veterans Benefit Administration (VBA) RO 
leadership explained that to fix these concerns, the facility 
implemented a mentor system, where a senior Veterans Service 
Representatives (VSRs) and Rating Veteran Service 
Representatives (RVSRs) are paired with junior staff.
    Hampton, Virginia. On August 26 to 28, 2024, the 
Subcommittee minority staff and Health minority staff conducted 
a site visit to the Hampton VA Medical Center. The purpose of 
this trip was to obtain a perspective on concerns that have 
been raised about facilities management, credentialing and 
privileging, risk management, recruitment and retention, and 
quality management at the facility, ahead of future oversight 
hearings on the topic.
    Buffalo, New York: On August 29, 2024, the Subcommittee 
majority and minority staff traveled to Buffalo NY to visit the 
Buffalo Department of Veterans Affairs (VA) Medical Center 
(Buffalo VAMC) after learning the facility poorly managed 
oncology referrals made to the community, which led to veterans 
receiving delayed care. Committee staff's goal was to talk with 
Buffalo VAMC employees and VISN 2 leadership to better 
understand how the poor management occurred and what the 
facility was currently doing to not only correct previous 
errors, but ensure similar mistakes are not repeated.
    New York City, New York. On September 15 to 16, 2024, the 
Subcommittee minority staff conducted a site visit at two 
medical facilities in New York City: the Bronx VA Medical 
Center and the Manhattan VA Medical Center. The purpose of this 
trip was to provide oversight of operations at the Bronx and 
Manhattan VAMCs as it relates to clinical and nonclinical 
staff, police and security efforts, and IT modernization 
projects.
    Los Angeles, California. On September 30 to October 2, 
2024, the Subcommittee minority staff conducted a site visit to 
the West Los Angeles VA Medical Center. The purpose of this 
trip was to provide an oversight of operations at the Greater 
Los Angeles Healthcare System, specifically regarding veteran 
homelessness, VA police, supply chain, and community relations. 
Staff met with veterans and various community officials, 
stakeholders, partners, and providers who will engage in 
services for regional veterans.
    Rocky Point, New York: On October 15, 2024, the 
Subcommittee majority staff participated in a veteran 
roundtable hosted by Representative LaLota (R-NY-01) in Rocky 
Point, New York. Roundtable participants included veteran 
leaders from local Veterans Service Organizations (VSOs), 
Suffolk County New York Community leaders, Rep. Lalota staff, 
and committee staff. The roundtable addressed several pressing 
issues impacting the local veteran community, and veterans 
nationally, including mental health care, housing, healthcare, 
the Northport VA Medical Center (Northport VAMC), and state 
veterans' homes. The visit's goals were to: (1) learn the local 
veteran population's opinion on major veteran topics including 
mental health challenges, access to healthcare services at the 
Northport VAMC, housing concerns, and the support level 
veterans get from state veterans' homes; and (2) support 
Representative LaLota with subject matter expertise. After the 
roundtable, staff accepted an invitation to tour the Long 
Island State Veterans Home.
    Hempstead, New York: On October 21, 2024, the Subcommittee 
majority staff participated in a veteran town hall hosted by 
Representative Anthony D'Esposito (R-NY-04) in Hempstead, New 
York. The event allowed veterans, leaders of local veteran 
service organizations (VSOs), and local stakeholders to share 
their concerns on issues impacting veterans living in Rep. 
D'Esposito's district. During the town hall, committee staff 
engaged with veterans, local VSO leaders, and community 
stakeholders to hear about issues impacting veterans in 
Representative D'Esposito's district. Attendees raised concerns 
about access to VA benefits, healthcare, and employment 
counseling, as well as homelessness among veterans. Attendees 
were also interested in hearing more about Congress's work 
combating antisemitism at the VA.
    Mountain Home Tennessee: On October 30, 2024, the 
Subcommittee majority staff traveled to Mountain Home, 
Tennessee to conduct oversight at the James H. Quillen 
Department of Veterans Affairs Medical Center (Mountain Home 
VAMC) to further the Committee's investigation into sexual 
harassment, sexual assault, and inappropriate relationship 
allegations at the facility. Travel to the Mountain Home VAMC 
was necessary as VA would not provide the Committee with 
requested information regarding the many serious allegations. 
Committee staff's goal was to talk to VISN, facility, and 
police leadership to gain a better understanding of how the 
allegations were reported and addressed.
    Atlantic City, New Jersey: On October 30, 2024, the 
Subcommittee minority staff traveled to Atlantic City, New 
Jersey to participate in the New Jersey Veterans Housing 
Symposium. Staff discussed issues that New Jersey VSOs and 
homeless service providers face in constructing new permanent 
supportive housing for homeless veterans in the region. Staff 
also heard directly from VA staff about how they are improving 
the Veteran Justice Outreach program to further serve veterans 
who have cases before the area Veterans Treatment Courts.
    Wappingers Falls, New York: On December 10, 2024, Committee 
staff traveled to Wappingers Falls, New York to conduct 
oversight at the Castle Point VA Medical Center. Staff assessed 
operations, spoke with facility leadership and employees, and 
toured the facility. Staff also met with facility union 
employees to gain insight into the challenges union employees 
are currently facing.




















                   ACTIVITIES OF THE SUBCOMMITTEE ON
                        TECHNOLOGY MODERNIZATION

                     MATT ROSENDALE, Montana, Chair
          SHEILA CHERFILUS McCORMICK, Florida, Ranking Member
NANCY MACE, South Carolina           TIM KENNEDY, New York\5\
KEITH SELF, Texas
                                 ------                                
               William Mallison, Majority Staff Director
                  John Harry, Minority Staff Director

----------
\5\On September 10, 2024, Representative Greg Landsman resigned his 
position on the Subcommittee on Technology Modernization, and 
Representative Tim Kennedy joined the Subcommittee.



















                          OVERSIGHT ACTIVITIES


Subcommittee Oversight Hearing--``VistA: the Good, the Bad, and the 
       Misunderstood''

    On March 7, 2023, the Subcommittee met in open session to 
conduct an oversight hearing to examine VistA's strengths and 
weaknesses as well as explore its attributes, which are 
commonly misunderstood. The Subcommittee discussed how VA will 
operate and maintain VistA while the Oracle Cerner 
implementation is ongoing and the likelihood that the 
Department will continue relying on VistA for many years.
    There were two witness panels. The following witnesses 
testified on the first panel: Mr. Daniel McCune, Executive 
Director of Software Product Management, Office of Information 
& Technology, U.S. Department of Veterans Affairs; Mr. Charles 
Hume, Chief Informatics Officer, Veterans Health 
Administration, U.S. Department of Veterans Affairs; Mr. Thomas 
O'Toole, M.D., Deputy Assistant Undersecretary for Health for 
Clinical Services, Veterans Health Administration, U.S. 
Department of Veterans Affairs; Ms. Zhuchun ``Emily'' Qui, 
Director of Health Informatics, Office of Information & 
Technology, U.S. Department of Veterans Affairs, and Mr. 
Michael Giurbino, Director of Health Infrastructure and Systems 
Management, Office of Information & Technology, U.S. Department 
of Veterans Affairs.
    The following witnesses testified on the second panel: the 
Honorable Roger Baker; the Honorable James Gfrerer; and Mr. 
Peter L. Levin.

Subcommittee Oversight Hearing--``Electronic Health Record 
       Modernization Deep Dive: Pharmacy''

    On May 9, 2023, the Subcommittee met in open session to 
conduct an oversight hearing to examine the Oracle Cerner 
electronic health record (EHR) system's pharmacy functions, 
including changes and enhancements that were completed in 
February and April 2023. The Subcommittee sough to discuss the 
VA's April 21 announcement that will halt future deployments of 
the Oracle Cerner EHR while prioritizing improvements at the 
five sites currently using the system, as part of a larger 
program reset.
    There was one witness panel. The following witnesses 
testified: Mr. Neil Evans, M.D., Acting Program Executive 
Director, Electronic Health Record Modernization Integration 
Office, U.S. Department of Veterans Affairs; Mr. Thomas 
Emmendorfer, Pharm.D., Executive Director, Pharmacy Benefits 
Management Services, Veterans Health Administration, U.S. 
Department of Veterans Affairs; Mr. Robert Silverman, Pharm.D., 
Chairman, Pharmacy Council, Veterans Health Administration, 
U.S. Department of Veterans Affairs; Ms. Carol Harris, 
Director, Information Technology and Cybersecurity, Government 
Accountability Office; Mr. Mike Sicilia, Executive Vice 
President, Global Industries, Oracle; and Mr. James Ellzy, 
M.D., Vice President, Federal, Health Executive, Oracle.

Subcommittee Oversight Hearing--``VA Information Technology 
       Contracting: Challenges in Consolidation of Competition and 
       Conflict of Interest''

    On May 24, 2023, the Subcommittee met in open session to 
conduct an oversight hearing to examine trends in the U.S. 
Department of Veterans' Affairs (VA) information technology 
contracting including increasing spending, a consolidating 
contractor/supplier base, and procurement methods that limit 
the pool of eligible companies. The Subcommittee also 
considered VA's management of organizational conflicts of 
interest among current and prospective contractors.
    There was one witness panel. The following witnesses 
testified: Ms. Shelby Oakley, Director, Contracting and 
National Security Acquisitions, U.S. Government Accountability 
Office; and Ms. Hana Schank, Senior Advisor, New America.

Subcommittee Oversight Hearing--``The Status of VA Financial Management 
       Business Transformation''

    On June 20, 2023, the Subcommittee met in open session to 
conduct an oversight hearing to examine the U.S. Department of 
Veterans Affairs' effort, Financial Management Business 
Transformation (FMBT) program, to replace its aging finance and 
accounting systems with the CGI Momentum system and resolve 
longstanding audit findings.
    There was one witness panel. The following witnesses 
testified: Ms. Teresa Riffel, Deputy Assistant Secretary for 
Financial Management Business Transformation, Financial 
Management Business Transformation Service, U.S. Department of 
Veterans Affairs; Mr. Charles Tapp II, Chief Financial Officer, 
Veterans Benefits Administration, U.S. Department of Veterans 
Affairs; Mr. Daniel McCune, Deputy Chief Information Officer, 
Software Product Management, Office of Information & 
Technology, U.S. Department of Veterans Affairs; Mr. Sidney 
Getz, Senior Vice President, CGI Federal; and Mr. Nick Dahl, 
Deputy Assistant Inspector General for Audits and Evaluations, 
Office of Inspector General, U.S. Department of Veterans 
Affairs.

Subcommittee Oversight Hearing--``Examining VA.gov''

    On September 26, 2023, the Subcommittee met in open session 
to conduct an oversight hearing to examine recent glitches in 
VA.gov that impacted nearly 100,000 veterans and survivors, 
causing their benefits claims to be delayed or lost. The 
hearing aimed to cover when VA first became aware of the 
benefits-related glitches, whether the Department determined 
and disclosed the extent of the problems, how the affected 
veterans would be made whole, and what VA's plan was to improve 
the website and associated systems.
    There was one witness panel. The following witnesses 
testified: the Honorable Kurt DelBene, Assistant Secretary for 
Information and Technology, Office of Information & Technology, 
U.S. Department of Veterans Affairs; Mr. Charles Worthington, 
Chief Technology Officer, Office of Information & Technology, 
U.S. Department of Veterans Affairs; and Mr. Ray Tellez, Acting 
Assistant Deputy Under Secretary for Automated Benefits 
Delivery, Veterans Benefits Administration, U.S. Department of 
Veterans Affairs.

Subcommittee Oversight Hearing--``Electronic Health Record 
       Modernization Deep Dive: System Uptime''

    On November 15, 2023, the Subcommittee met in open session 
to conduct an oversight hearing to examine the Oracle Cerner 
electronic health record (EHR) system. The Subcommittee 
demonstrated that Oracle and VA had made some improvements, 
independent data and the employees themselves portray the 
situation as dramatically worse. The Oracle Cerner EHR's 
instability has been caused by a wide range of problems that 
Oracle, VA, and the Department of Defense (DoD) are each 
responsible for. The data indicates that the Oracle system 
itself is the primary cause. The Subcommittee questioned if 
Oracle and VA were not cooperating adequately, and to see if 
the DoD was still not sufficiently prioritizing solving the 
problems that its aging IT infrastructure created, despite this 
issue having been escalated to the VA and DoD chief information 
officers' level earlier this year.
    There was one witness panel. The following witnesses 
testified: the Honorable Kurt DelBene, Assistant Secretary for 
Information and Technology, Office of Information & Technology, 
U.S. Department of Veterans Affairs; Ms. Laura Prietula, Deputy 
Chief Information Officer, Electronic Health Record 
Modernization Integration Office, U.S. Department of Veterans 
Affairs; Mr. Bill Tinston, Director, Federal Electronic Health 
Record Modernization Office, U.S. Department of Defense; and 
Mr. Lance Scott, Solutions Integration Director and Acting 
Technical Director, Federal Electronic Health Record 
Modernization Office, U.S. Department of Defense.
    The following groups submitted statements for the record: 
Oracle

Subcommittee Oversight Hearing--``Reexamining VA.gov''

    On December 4, 2023, the Subcommittee met in open session 
to conduct an oversight hearing to follow up on the promises 
that the VA officials made in the September 26th hearing, 
``Examining VA.gov'' to make over 120,000 veterans and 
survivors whole, whose benefits claims were delayed or lost 
because of global glitches in VA.gov. The Subcommittee also 
sought to explore why the pension mistakes happened, whether 
they were truly resolved, how the veterans would be held 
harmless, and whether there were connections between any of 
these issues.
    There was one witness panel. The following witnesses 
testified: the Honorable Kurt DelBene, Assistant Secretary for 
Information and Technology, Office of Information & Technology, 
U.S. Department of Veterans Affairs; Mr. Charles Worthington, 
Chief Technology Officer, Office of Information & Technology, 
U.S. Department of Veterans Affairs; Mr. Ray Tellez, Executive 
Director, Office of Business Integration, Veterans Benefits 
Administration, U.S. Department of Veterans Affairs; and Mr. 
Paul Shute, Deputy Under Secretary for Automated Benefits 
Delivery, Veterans Benefits Administration, U.S. Department of 
Veterans Affairs.

Subcommittee Oversight Hearing--``The Future of Data Privacy and 
       Artificial Intelligence at VA''

    On January 29, 2024, the Subcommittee met in open session 
to conduct an oversight hearing to examine how the Department 
of Veterans Affairs (VA) manages veterans' data and protects 
their privacy. This includes detecting and containing data 
breaches caused by employees losing or stealing records. Such 
data breaches have been happening several times per year with 
each incident impacting hundreds or a few thousand veterans. 
Protecting data privacy also includes preventing the 
mishandling of veterans' data by VA's contractors or technology 
partners who are entrusted with access to VA's data sets or 
systems, potentially impacting thousands or millions of people.
    There was one witness panel. The following witnesses 
testified: Mr. Charles Worthington, Chief Technology Officer, 
Office of Information & Technology, U.S. Department of Veterans 
Affairs; Mr. Gil Alterovitz, Ph.D., Director, VA National 
Artificial Intelligence Institute, Veterans Health 
Administration, U.S. Department of Veterans Affairs; Mr. John 
Oswalt, Deputy Chief Information Officer, Office of Freedom of 
Information Act, Office of Information & Technology, U.S. 
Department of Veterans Affairs; Ms. Stephania Griffin, 
Director, Information Access and Privacy Office, Veterans 
Health Administration, U.S. Department of Veterans Affairs; and 
Ms. Shane Tews, Nonresident Senior Fellow, American Enterprise 
Institute.

Subcommittee Oversight Hearing--``Electronic Health Record 
       Modernization Deep Dive: Can the Oracle Pharmacy Software Be 
       Made Safe and Effective?''

    On February 15, 2024, the Subcommittee met in open session 
to conduct an oversight hearing to examine continued problems 
with the pharmacy functions of the Oracle Cerner electronic 
health record (EHR) system, including Oracle's second 
unsuccessful attempt to implement a major fix in a software 
update, and a forthcoming Office of Inspector General (OIG) 
report that uncovered errors in roughly 250,000 veterans' 
medication records, potentially impacting the accuracy drug-to-
drug interaction and medication allergy checks. The 
Subcommittee will also examine the pharmacy challenges 
presented by the Oracle Cerner EHR go-live at the James A. 
Lovell Federal Health Care Center, which is scheduled to happen 
on March 9th.
    There was one witness panel. The following witnesses 
testified: Mr. Neil Evans, M.D., Acting Program Executive 
Director, EHRM Integration Office, U.S. Department of Veterans 
Affairs; Mr. Thomas Emmendorfer, Pharm.D., Executive Director, 
Pharmacy Benefits Management Services, Veterans Heath 
Administration, U.S. Department of Veterans Affairs; Mr. Robert 
Silverman, Pharm.D., Chairman, EHRM Pharmacy Council, Veterans 
Health Administration, U.S. Department of Veterans Affairs; Mr. 
David Case, Deputy Inspector General, Office of Inspector 
General, U.S. Department of Veterans Affairs; and Mr. Mike 
Sicilia, Executive Vice President, Oracle Corporation.

Subcommittee Oversight Hearing--``VA Supply Chain Modernization: Ready 
       for Prime Time?''

    On April 9, 2024, the Subcommittee met in open session to 
conduct an oversight hearing to examine Supply Chain 
Modernization project when VA ignored an ultimatum in March 
2024 to provide the information. The Subcommittee examined the 
Department of Veterans Affairs plan to award a series of 
contracts, potentially worth hundreds of millions or billions 
of dollars, for a new supply chain management IT system.
    There was one witness panel. The following witnesses 
testified: Mr. Michael D. Parrish, Chief Acquisition Officer 
and Principal Executive Director, Office of Acquisition, 
Logistics, and Construction, U.S. Department of Veterans 
Affairs; Mr. Ronald Miller, Ph.D., Deputy Assistant Under 
Secretary for Health for Support, Veterans Health 
Administration, U.S. Department of Veterans Affairs; and Mr. 
Dewaine Beard, Principal Deputy Assistant Secretary, Veterans 
Health Administration, U.S. Department of Veterans Affairs.

Subcommittee Oversight Hearing--``U.S. Department of Veterans Affairs 
       Office of Information and Technology Budget Request for Fiscal 
       Year 2025''

    On May 14, 2024, the Subcommittee met in open session to 
conduct an oversight hearing to examine the Office of 
Information and Technology budget request for FY 2025. The 
Biden administration requested $7.595 billion for OIT for 
fiscal year (FY) 2025, which is a slight cut from $7.644 
billion in FY 2024 (including the base budget and the Toxic 
Exposures Fund). The flat budget included a 99% cut to IT 
development, a 2.7% cut to operations and maintenance, and a 
4.9% increase to salaries and administration.
    There was one witness panel for this hearing. The following 
witnesses testified: the Honorable Kurt DelBene, Assistant 
Secretary for Information and Technology, Office of Information 
and Technology, U.S. Department of Veterans Affairs; Mr. 
Dewaine Beard, Principal Deputy Under Secretary, Office of 
Information and Technology, U.S. Department of Veterans 
Affairs; Mr. Nathan Tierney, Deputy Chief Information Officer 
and Chief People Officer, Office of Information and Technology, 
U.S. Department of Veterans Affairs; and Mr. Timothy Puetz, 
Deputy Chief Information Officer and Chief Financial Officer, 
Office of Information and Technology, U.S. Department of 
Veterans Affairs.

Subcommittee Oversight Hearing--``The VA Beneficiary Travel Self-
       Service System: Mission Accomplished?''

    On June 11, 2024, the Subcommittee met in open session to 
conduct an oversight hearing to examine the U.S. Department of 
Veterans Affairs Beneficiary Travel Self-Service System 
(BTSSS), a web-based system for veterans to input their travel 
reimbursement claims, replacing the medical center VetLink 
kiosks and the beneficiary travel module within VistA. The 
Subcommittee aimed to question how the BTSSS project has been 
managed, why VA ignored veterans' complaints all over the 
country, and what is necessary for the system to achieve its 
goals.
    There was one witness panel for this hearing. The following 
witnesses testified: Mr. Ryan Heiman, Deputy Executive Director 
for Member Services, Veterans Health Administration, U.S. 
Department of Veterans Affairs; Mr. Benjamin Williams, Veterans 
Transportation Program Director, Veterans Health 
Administration, U.S. Department of Veterans Affairs; Ms. Carrie 
Lee, Deputy Chief Information Officer, Office of Information 
and Technology, U.S. Department of Veterans Affairs; and Mr. 
Jon Retzer, Assistant National Legislative Director, Disabled 
American Veterans.

Subcommittee Oversight Hearing--``Report Card: Assessing Electronic 
       Health Record Modernization at the Captain James A. Lovell 
       Federal Health Care Center''

    On July 22, 2024, the Subcommittee met in open session to 
conduct an oversight hearing to examine the Department of 
Veterans Affairs (VA) and Oracle implementation of the Oracle 
Cerner electronic health record (EHR) system at the Captain 
James A. Lovell Federal Health Care Center in North Chicago, 
Illinois. The hearing aimed to assess the new problems the 
facility is experiencing, in addition to the challenges 
regarding additional staff needed and the billions of dollars 
of cost to compensate for the system's productivity defects and 
safety risks.
    There was one witness panel for this hearing. The following 
witnesses testified: Mr. Neil Evans, M.D., Acting Program 
Executive Director, Electronic Health Record Modernization 
Integration Office, U.S. Department of Veterans Affairs; Ms. 
Laura Duke, Chief Financial Officer, Veterans Health 
Administration, U.S. Department of Veterans Affairs; Mr. Robert 
Buckley, M.D., Director, Captain James A. Lovell Federal Health 
Care Center, Veterans Health Administration, U.S. Department of 
Veterans Affairs; Ms. Seema Verma, Executive Vice President, 
Oracle Health and Oracle Life Sciences, Oracle Corporation.

Subcommittee Oversight Hearing--``VA's Open Cash Register: Fraud, 
       Waste, Abuse, and Revenue Operations''

    On September 19, 2024, the Subcommittee met in open session 
to conduct an oversight hearing to examine the Department of 
Veterans Affairs' (VA) Program Integrity Tool (PIT), which is a 
key system used to collect payments from insurance companies 
and veterans for non-service connected community care as well 
as to prevent waste, fraud, and abuse when VA pays community 
care providers' claims.
    There was one witness panel for this hearing. The following 
witnesses testified: the Honorable Kurt DelBene, Assistant 
Secretary for Information and Technology and Chief Information 
Office, U.S. Department of Veterans Affairs; Ms. Cherri Waters, 
Executive Director, Health Portfolio, Office of Information and 
Technology, U.S. Department of Veterans Affairs; Ms. Laura 
Duke, Chief Financial Officer, Veterans Health Administration, 
U.S. Department of Veterans Affairs; Ms. Tracy Davis-Bradley, 
Ph.D., Chief Integrity and Compliance Officer, Veterans Health 
Administration, U.S. Department of Veterans Affairs; and Ms. 
Jennifer McDonald, Ph.D., Director, Community Care Division, 
Office of Inspector General, U.S. Department of Veterans 
Affairs.

Subcommittee Oversight Hearing--``Ensuring Timely Access: Challenges in 
       VA Scheduling''

    On September 26, 2024, the Subcommittee met in open session 
to conduct an oversight hearing to examine the Department of 
Veterans Affairs' (VA) information technology systems used to 
schedule veterans' medical appointments. The Subcommittee will 
also examine the viability of these projects and VA's overall 
strategy to modernize appointment scheduling and encourage the 
Department to move forward, not waste more time and money by 
repeatedly changing direction.
    There was one witness panel for this hearing. The following 
witnesses testified: Ms. Hillary Peabody, Acting Assistant 
Under Secretary for Health for Integrated Veteran Care, 
Veterans Health Administration, U.S. Department of Veterans 
Affairs; Mr. Mark Hausman, M.D., Executive Director for 
Integrated Access, Veterans Health Administration, U.S. 
Department of Veterans Affairs; and Ms. Cherri Waters, 
Executive Director, Health Portfolio, Office of Information and 
Technology, U.S. Department of Veterans Affairs.

Subcommittee Oversight Hearing--``VA Cybersecurity: Protecting Veteran 
       Data from Evolving Threats''

    On November 20, 2024, the Subcommittee met in open session 
to conduct an oversight hearing to examine the results of the 
Office of Inspector General's annual Federal Information 
Security Modernization Act (FISMA) audit and a special 
cybersecurity assessment by the MITRE Corporation that Congress 
commissioned in the Strengthening VA Cybersecurity Act of 2022 
(Public Law 117-302).
    There was one witness panel for this hearing. The following 
witnesses testified: the Honorable Kurt DelBene, Assistant 
Secretary for Information and Technology and Chief Information 
Officer, U.S. Department of Veterans Affairs; Ms. Lynette 
Sherrill, Chief Information Security Officer, Office of 
Information and Technology, U.S. Department of Veterans 
Affairs; Mr. Jeff Spaeth, Executive Director of Information 
Security Operations, Office of Information and Technology, U.S. 
Department of Veterans Affairs; Mr. Michael Bowman, Director, 
Information Security Division, Office of Inspector General, 
U.S. Department of Veterans Affairs; and Mr. David Powner, 
Executive Director, Center for Data-Driven Policy, MITRE 
Corporation.

Subcommittee Oversight Hearing--``Modernizing VA: Lessons Learned in 
       the 118th Congress''

    On December 12, 2024, the Subcommittee met in open session 
to conduct an oversight hearing to examine the Department of 
Veterans Affairs (VA) technology modernization projects during 
the 118th Congress.
    The following witnesses testified on the first panel: Ms. 
Carol Harris, Director, Information Technology and 
Cybersecurity Issues, U.S. Government Accountability Office; 
Ms. Lynn Overmann, Executive Director, Beeck Center at 
Georgetown University; and Mr. Reynold Schweickhardt, Non-
Resident Senior Fellow for Congressional Modernization.
    The following witnesses testified on the second panel: the 
Honorable Kurt DelBene, Assistant Secretary for Information and 
Technology, Office of Information & Technology, U.S. Department 
of Veterans Affairs; Mr. Robert Orifici, Director, Benefits and 
Memorial Systems Portfolio, Office of Information & Technology, 
U.S. Department of Veterans Affairs; and Ms. Cherri Waters, 
Executive Director, Health Portfolio, Office of Information & 
Technology, U.S. Department of Veterans Affairs.

                              ROUNDTABLES

    On October 23, 2023, the Subcommittee conducted a 
roundtable to discuss the trajectory of the electronic health 
record (EHR) industry. Specifically, the Subcommittee discussed 
the original policy objectives and expectations with respect to 
EHRs during the Bush and Obama administrations, how well the 
industry has performed against these expectations, and current 
issues facing the industry.
    In attendance were: Mr. Michael Cannon, Director, Health 
Policy Studies, Cato Institute; Ms. Christina Caraballo, Vice 
President, Informatics, Health Information Management and 
Systems Society (HIMSS); Ms. Patricia MacTaggart, Teaching 
Instructor and Program Director of Health Informatics, George 
Washington University, Health Information Management and 
Systems Society (HIMSS); Mr. Brian Miller, M.D., Nonresident 
Fellow, American Enterprise Institute; Ms. Nora Wells, Analyst 
in Health Policy, Analyst in Health Policy, Congressional 
Research Service.

                              SITE VISITS

    North Chicago, Illinois. On June 13-14, 2023, the 
Subcommittee majority and minority staff visited the James A. 
Lovell Federal Health Care Center (FHCC) to examine the impact 
of the Oracle Cerner EHR, which went live on March 9, 2024. 
This was DoD's last Oracle Cerner deployment and VA's sixth. 
This oversight visit allowed committee staff to speak directly 
with facility staff and hear their firsthand perspective about 
the Oracle Cerner EHR. Staff concluded that the facility is 
performing better on Oracle Cerner than the previous VA medical 
centers, but this is because of an infusion of resources and 
strong management, not improvements in the Cerner EHR.
    Pittsburgh, PA. On September 12, 2023, Subcommittee staff 
from the Technology Modernization and Disability and Memorial 
Affairs Subcommittees visited the Pittsburgh VA Regional Office 
to examine the office's operations and review the progress of 
disability compensation claims automation. The office has 
experienced a large staff expansion in the last year and seems 
to be well managed and high performing. Staff expressed 
frustration with the Veterans Benefits Management System 
(VBMS), but they were much more positive about automation than 
the Boise RO staff in October 2022. The automation tools have 
become more accurate and useful.
    North Chicago, Illinois. On December 8, 2023, the 
Subcommittee majority staff visited the James A. Lovell Federal 
Health Care Center (FHCC) to examine preparations for the 
Oracle Cerner EHR go-live on March 9, 2024. FHCC is the only 
DoD-VA joint hospital. Discussions with facility staff revealed 
that Lovell is already struggling with staffing shortages in 
primary care, cardiology, radiology, and a few other 
specialties. Immediately after the EHR go-live, the facility 
plans to go down to 50% of normal patient volumes to 
accommodate for the transition to the new EHR. Staff concluded 
from the visit that FHCC is somewhat better prepared for Oracle 
Cerner than previous VA medical centers, but it poses a host of 
unique challenges that outweigh that preparedness.
    Seattle, Washington. On October 1-3, 2024, the Subcommittee 
minority staff conducted a site visit to the Seattle VA Medical 
Center. The purpose of this trip was to conduct oversight of 
the Seattle VAMC's preparation to transition to the Electronic 
Health Record, and to attend the opening of Minority Veterans 
of America's new Transitional Housing Program.





















              ACTIVITIES OF THE WOMEN VETERANS TASK FORCE

       AUMUA AMATA COLEMAN RADEWAGEN, American Samoa, Chairwoman
               JULIA BROWNLEY, California, Co-Chairwoman

                 COMMITTEE MEMBERSHIP ON THE TASK FORCE

MIKE BOST, Illinois                  MARK TAKANO, California
JACK BERGMAN, Michigan               MIKE LEVIN, California
NANCY MACE, South Carolina           CHRIS PAPPAS, New Hampshire
MATT ROSENDALE, Montana              SHEILA CHERFILUS-McCORMICK, 
MARIANNETTE MILLER-MEEKS, Iowa         Florida
GREG MURPHY, North Carolina          CHRIS DELUZIO, Pennsylvania
SCOTT FRANKLIN, Florida              MORGAN McGARVEY, Kentucky
DERRICK VAN ORDEN, Wisconsin         DELIA RAMIREZ, Illinois
MORGAN LUTTRELL, Texas               GREG LANDSMAN, Ohio
JUAN CISCOMANI, Arizona              NIKKI BUDZINSKI, Illinois
ELI CRANE, Arizona
KEITH SELF, Texas
JEN KIGGANS, Virginia
                                 ------                                
          Olivia Naughton, Majority Professional Staff Member
               Alexis MacDonald, Minority Staff Director
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
                         LEGISLATIVE ACTIVITIES

    The Women Veterans Task Force coordinated all legislative 
activities through the subcommittees of the Committee on 
Veterans' Affairs.

                          OVERSIGHT ACTIVITIES

Task Force Roundtable--``Barriers to Disability Benefits for Women 
       Veterans''

    On April 27, 2023, the Task Force held a closed-door 
roundtable to address barriers to benefits for women veterans. 
The purpose of the roundtable is to examine the potential 
barriers to benefits that women veterans may face in the VA 
disability claims process. Such topics included: outreach to 
women veterans about the disability benefits available to them, 
potential inequities in the claims and rating process for women 
veterans, and ensuring accurate decisions for women veterans, 
including those serving in special operations.
    The following were in attendance: Ms. Kristina N. 
Messenger, Deputy Executive Director of Operations, 
Compensation Service, Veterans Benefits Administration; Ms. 
Cheryl Rawls, Executive Director, Outreach, Transition, and 
Economic Development, Veterans Benefits Administration; Ms. 
Elizabeth Curda, Director, Education, Workforce, and Income 
Security, Government Accountability Office; Ms. Naomi Mathis, 
Associate National Legislative Director, Disabled American 
Veterans; Ms. Kaitlynne Yancy, Associate Director, Government 
Affairs, Iraq and Afghanistan Veterans of America; Ms. Alia 
Schenck, Casework Director, OEF Veteran, The Independence Fund; 
Ms. Kristina Keenan, Deputy Director of National Legislative 
Service, Veterans of Foreign Wars of the U.S.; Ms. Kristen 
Laha-Walsh, Government Affairs Specialist, Wounded Warrior 
Project; Ms. Jax Scott, Board Member, Special Operation 
Association of America; Ms. Tiffany Myrick-Woodley, Army First 
Seargeant (Retired); Ms. Caitlin ``Cat'' Clason, MSN, CRNP, 
WHNP-BC; and Ms. Raquel Patrick, Army Chief Warrant Officer 4 
(Retired).

Task Force Roundtable--``Women Wounded Warriors''

    On May 23, 2023, the Task Force held a closed-door 
roundtable to examine cancer-related health issues that are 
specific to women veterans. Topics included the different types 
of cancer research (i.e. breast, ovarian, and cervical), 
treatments, and diagnostics being done at VA and through 
community care to help early detection and improve the lives of 
female veterans.
    The following were in attendance: Ms. Sarah Colonna, MD, 
MSCI, Associate Professor, Medical Oncology, Breast Genetics, 
Huntsman Cancer, Institute/Section Chief, Hematology/Oncology, 
George E. Wahlen VA and Medical Director, Breast Oncology; Ms. 
Susan Kirsch, MD, MPH, Deputy Assistant Under Secretary, Health 
for Office of Discovery Education, and Affiliate Networks; Ms. 
Rachel Ramoni, DMD, ScD, Chief Research and Development 
Officer, U.S. Department of Veterans Affairs; Ms. Kenute Myrie, 
PhD, Senior Portfolio Manager for Precision Oncology; Ms. Julie 
Howell, Associate Legislative Director, Paralyzed Veterans of 
America; Ms. Naomi Mathis, Associate National Legislative 
Director, Disabled American Veterans; Ms. Tiffany Ellett, 
Director, Veterans Affairs and Rehabilitation Division, The 
American Legion; Ms. Cassandra ``Cassie'' Ricci, Senior 
Manager, Alliance Development and Federal Government Affairs, 
Roche; Mr. Stan Lipkowitz, MD, PhD, Senior Investigator--
Women's Malignances Branch, National Institute of Health; Mr. 
Orrin Marcella, Head of U.S. Government Affairs & Policy, GE--
HealthCare; Ms. Kathryn Schubert, MPP, CAE, Chief Executive 
Officer, Society for Women's Health Research; Ms. Clara 
Bodelon, PhD, MS, Staff Scientist--Integrative Tumor 
Epidemiology Branch, American Cancer Society; and Ms. Anna Jo 
Smith, MD, MPH, Senior Manager, Governance and Clinical 
Practice, Society of Gynecologic Oncology.

Task Force Roundtable--``EO focus on Underemployment for Women 
       Veterans''

    On June 7, 2023, the Task Force held a closed-door 
roundtable to examine issues related to underemployment as it 
applies to women veterans. The purpose of the roundtable was to 
discuss the economic issues that uniquely affect women 
veterans. Such topics included: increasing employment 
opportunities for women veterans, food insecurity, and 
homelessness as they relate to underemployment and mental 
health for women veterans.
    The following were in attendance: Mr. Anthony Love, 
Principal Advisor, Intra/Inter-Agency Collaboration and 
Director of Community Engagement, VHA Homeless Programs; Ms. 
Lourdes Tiglao, Director, Center for Women Veterans; Ms. Regina 
Yount, Assistant Director, Outreach, Transition, and Economic 
Development; Ms. Cheyenna Irwin, Deputy Director, Veteran 
Readiness and Employment Service; Dr. Christine Going, Acting 
Senior Advisor, Food Security Office; Ms. Karla Langham, Chief 
of Staff; DOL-VETS; Mr. Rick Gomez, Education and Employment 
Policy Associate, The American Legion; Ms. Jennifer Goodale, 
Director, Military Family and Survivor Policy, Military 
Officers Association of America; Ms. Meredith M. Smith, 
Government Relations Deputy Director, National Military Family 
Association; Ms. Meggan Thomas, MPH, Associate Director, 
National Legislative Services, Veterans of Foreign Wars; Lt. 
Col. Olivia Nunn, USA (Ret), Founder and CEO, Olivia Nunn 
Communications LLC. & Never Stop Serving Podcast; Ms. Sarah J. 
Kelly, Senior Manager, Public Policy; D'Aniello Institute for 
Veterans and Military Families; Ms. Deborah Bradbard, Senior 
Research Associate, D'Aniello Institute for Veterans and 
Military Families; Ms. Liza Lieberman, Vice President of 
Communications, MAZON: A Jewish Response to Hunger; and Ms. 
Christine Kurth, Director, Legislative Affairs, T-Mobile.

Task Force Roundtable--``Facility Security for Women Veterans''

    On July 13, 2023, the Task Force held a closed-door 
roundtable to examine issues related to safety and security in 
VA Medical Centers as it applies to women veterans. The purpose 
of the roundtable was to discuss the security issues that 
uniquely affect women veterans. Such topics included: safety 
for women at VA medical centers (VAMC) and women's health 
clinics; recruitment, retention, and training programs for law 
enforcement and health care providers; and, accurately 
reporting and preventing sexual assault and sexual harassment 
on VAMC campuses.
    The following were in attendance:
    Ms. Robyn Begley, DNP, RN, NEA-BC, AHA Senior Vice 
President and Chief Nursing Officer, AONL Chief Executive 
Officer, American Hospital Association; Tracy Fuller, 
President, Government Services, Allied Universal; Charles 
Bohnenberger, Senior Vice President, Government Services, 
Allied Universal; Lindsay Church, Executive Director, Minority 
Veterans of America; Alyssa Hundrup, Director, Health Care, 
U.S. Government Accountability Office; Edward J. Dubois Chief, 
Law Enforcement Oversight and Criminal Investigations Division 
Office of Security and Law Enforcement, VA; Chelsea Cosby 
Morgan, MD Acting Director, Comprehensive Health, Office of 
Women's Health, VHA; Deborah K. McCallum, Senior Advisor to the 
Deputy Assistant Secretary, Office of Resolution Management, 
Diversity, and Inclusion, VA; Katheryne E. Hoover, Special 
Agent, Law Enforcement Oversight and Criminal Investigations 
Division, Office of Security and Law Enforcement; Lelia 
Jackson, MBA, MS, FAC-P/PM Director, VHA Assault and Harassment 
Prevention Program Department of Veterans Affairs; Troy Brown, 
Senior Security Officer, VA.

Task Force Roundtable--``Support Services for Women Veterans''

    On Thursday, August 23, 2023, at Meyera E. Oberndorf 
Central Library in Virginia Beach, VA, the Women's Veteran Task 
Force held a closed-door roundtable to examine issues related 
to Support Services for Women Veterans. The purpose of the 
roundtable was to discuss services for women veterans after 
they leave the military starting on Day 1. Such topics included 
TAP programs and other economic assistance and geriatric care.
    The following were in attendance: Mr. Fred Kinkin, the 
American Legion; Kathy Owens, Former Navy Pilot, President 
Beach Development Group; Lois Thompson, Former Army, 
Lieutenant, Virgina Beach Sherriff's Department; Nanette 
Miller, Career Navy; Kerri Furey, Navy Veteran, ForKids Inc, 
Defense Information School.

Task Force Roundtable--``Women in Tech''

    On Thursday, September 28, 2023, the Task Force met for a 
closed-door roundtable to discuss women veterans in technology 
careers. Specifically, the Task Force examined the barriers and 
resources available to women veterans to enter and advance in 
technology careers, whether as entrepreneurs or employees, in 
the private or public sector. The roundtable dialogue was 
designed to convene knowledgeable and interested parties in a 
single forum where challenges, opportunities, and potential 
policy changes were discussed.
    The following were in attendance: Ms. Barbara Ashe, 
President, Montgomery County Chamber Community Foundation; Ms. 
Julie Hoyte, MPA, BSN, RT(R), CSM, Chief Executive Officer, 
Health Information Technology Solutions; Ms. Katherine Webster, 
Founder & CEO, VetsinTech; Ms. Sharon Grimm, Chief Executive 
Officer, Snowbird Agility.













             APPENDIX I: LEGISLATION THAT PASSED THE HOUSE


            BILLS AND RESOLUTIONS REFERRED TO THE COMMITTEE
                         THAT PASSED THE HOUSE

    03/07/2023: H.R. 502--To amend title 38, United States 
Code, to ensure that the Secretary of Veterans Affairs repays 
members of the Armed Forces for certain contributions made by 
such members towards Post-9/11 Educational Assistance, and for 
other purposes.
    03/07/2023: H.R. 1226--Wounded Warrior Access Act, To amend 
title 38, United States Code, to allow for the electronic 
request of certain records, and for other purposes.
    03/08/2023: H.R. 753--VA COST SAVINGS Enhancements Act, To 
direct the Secretary of Veterans Affairs to use on-site 
regulated medical waste treatment systems at certain Department 
of Veterans Affairs facilities, and for other purposes.
    04/20/2023: H.R. 815--Making emergency supplemental 
appropriations for the fiscal year ending September 30, 2024, 
and for other purposes, To amend title 38, United States Code, 
to make certain improvements relating to the eligibility of 
veterans to receive reimbursement for emergency treatment 
furnished through the Veterans Community Care program, and for 
other purposes.
    05/22/2023: H.R. 366--Korean American VALOR Act, To amend 
title 38, United States Code, to treat certain individuals who 
served in Vietnam as a member of the armed forces of the 
Republic of Korea as a veteran of the Armed Forces of the 
United States for purposes of the provision of health care by 
the Department of Veterans Affairs.
    05/24/2023: H.R. 1669--VET-TEC Authorization Act of 2023, 
To amend title 38, United States Code, to make permanent the 
high technology pilot program of the Department of Veterans 
Affairs, and for other purposes.
    05/31/2023: H.R. 3746--Fiscal Responsibility Act of 2023, 
To provide for a responsible increase to the debt ceiling.
    06/20/2023: H.R. 3672--To designate the clinic of the 
Department of Veterans Affairs in Indian River, Michigan, as 
the ``Pfc. Justin T. Paton Department of Veterans Affairs 
Clinic''.
    09/18/2023: H.R. 3981--Isakson-Roe Education Oversight 
Expansion Act, To amend title 38, United States Code, to 
improve the methods by which the Secretary of Veterans Affairs 
conducts oversight of certain educational institutions, and for 
other purposes.
    09/20/2023: H.R. 1530--Veterans Benefits Improvement Act of 
2023, To amend title 38, United States Code, to improve the 
requirement to publish disability benefit questionnaire forms 
of Department of Veterans Affairs, and for other purposes.
    11/13/2023: H.R. 593--To rename the Department of Veterans 
Affairs community-based outpatient clinic in Hinesville, 
Georgia, as the ``John Gibson, Dan James, William Sapp, and 
Frankie Smiley VA Clinic''.
    11/13/2023: H. Res. 848--Encouraging the connecting of 
members of the Armed Forces in the United States to support 
structures necessary to transition from the battlefield.
    12/04/2023: H.R. 3581--COPE Act, To amend title 38, United 
States Code, to modify the family caregiver program of the 
Department of Veterans Affairs to include services related to 
mental health and neurological disorders, and for other 
purposes.
    12/05/2023: H.R. 542--Elizabeth Dole Home Care Act of 2023, 
To amend title 38, United States Code, to improve certain 
programs of the Department of Veterans Affairs for home and 
community based services for veterans, and for other purposes.
    12/05/2023: H.R. 3848--Housing our Military Veterans 
Effectively Act of 2023, To make certain improvements in the 
laws administered by the Secretary of Veterans Affairs relating 
to homelessness, and for other purposes.
    04/29/2024: EXPLORE Act, To improve recreation 
opportunities on, and facilitate greater access to, Federal 
public land, and for other purposes.
    04/29/2024: H.R. 3722--Daniel J. Harvey, Jr. and Adam 
Lambert Improving Servicemember Transition to Reduce Veteran 
Suicide Act, To require a pilot program on activities under the 
pre- separation transition process of members of the Armed 
Forces for a reduction in suicide among veterans, and for other 
purposes.
    04/29/2024: H.R. 5194--VETT Act, To amend title 38, United 
States Code, to improve the processes to approve programs of 
education for purposes of the educational assistance programs 
of the Department of Veterans Affairs, and for other purposes.
    04/30/2024: H.R. 1767--To amend title 38, United States 
Code, to provide that educational assistance paid under 
Department of Veterans Affairs educational assistance programs 
to an individual who pursued a program or course of education 
that was suspended or terminated for certain reasons shall not 
be charged against the entitlement of the individual, and for 
other purposes.
    04/30/2024: H.R. 3738--Veterans Economic Opportunity and 
Transition Administration Act, To amend title 38, United States 
Code, to establish in the Department of Veterans Affairs the 
Veterans Economic Opportunity and Transition Administration, 
and for other purposes.
    04/30/2024: H.R. 4016--Veteran Fraud Reimbursement Act, To 
amend title 38, United States Code, to improve the repayment by 
the Secretary of Veterans Affairs of benefits misused by a 
fiduciary.
    07/22/2024: H.R. 4136--U.S. Congressman Sam Johnson 
Memorial VA Clinic Act, To name the Department of Veterans 
Affairs community-based outpatient clinic in Plano, Texas, as 
the ``U.S. Congressman Sam Johnson Memorial VA Clinic''.
    07/22/2024: H.R. 7333--To name the Department of Veterans 
Affairs medical center in West Palm Beach, Florida, as the 
``Thomas H. Corey VA Medical Center''.
    09/17/2024: H.R. 2911--Fairness for Servicemembers and 
their Families Act of 2024, To amend title 38, United States 
Code, to require the Secretary of Veterans Affairs to 
periodically review the automatic maximum coverage under the 
Servicemembers' Group Life Insurance program and the Veterans' 
Group Life Insurance program, and for other purposes.
    09/17/2024: H.R. 4190--Restoring Benefits to Defrauded 
Veterans Act, To amend title 38, United States Code, to direct 
the Secretary of Veterans Affairs to repay the estates of 
deceased beneficiaries for certain benefits paid by the 
Secretary and misused by fiduciaries of such beneficiaries.
    09/17/2024: H.R. 4424--Vietnam Veterans Liver Fluke Cancer 
Study Act, To direct the Secretary of Veterans Affairs to study 
and report on the prevalence of cholangiocarcinoma in veterans 
who served in the Vietnam theater of operations during the 
Vietnam era, and for other purposes.
    09/17/2024: H.R. 5464--To name the Department of Veterans 
Affairs community-based clinic in Guntersville, Alabama, as the 
``Colonel Ola Lee Mize Department of Veterans Affairs Clinic''.
    09/17/2024: H.R. 6324--Fiscal Year 2024 Veterans Affairs 
Major Medical Facility Authorization Act, To authorize major 
medical facility projects for the Department of Veterans 
Affairs for fiscal year 2024, and for other purposes.
    09/17/2024: H.R. 7100--Prioritizing Veterans' Survivors 
Act, To amend title 38, United States Code, to clarify the 
organization of the Office of Survivors Assistance of the 
Department of Veterans Affairs.
    09/17/2024: H.R. 7342--Veterans Accessibility Advisory 
Committee Act of 2024, To establish the Veterans Advisory 
Committee on Equal Access, and for other purposes.
    09/17/2024: H.R. 7777--Veterans' Compensation Cost-of-
Living Adjustment Act of 2024, To increase, effective as of 
December 1, 2024, the rates of compensation for veterans with 
service-connected disabilities and the rates of dependency and 
indemnity compensation for the survivors of certain disabled 
veterans, and for other purposes.
    09/17/2024: H.R. 7816--Clear Communication for Veterans 
Claims Act, To direct the Secretary of Veterans Affairs to seek 
to enter into an agreement with a federally funded research and 
development center for an assessment of notice letters that the 
Secretary sends to claimants for benefits under laws 
administered by the Secretary, and for other purposes.
    09/25/2024: H.R. 522--Deliver for Veterans Act, To amend 
title 38, United States Code, to authorize the Secretary of 
Veterans Affairs to provide or assist in providing a vehicle 
adapted for operation by disabled individuals to certain 
eligible persons, to pay expenses associated with the delivery 
of such vehicle, and for other purposes.
    09/25/2024: H.R. 6656--Stuck on Hold Act, To direct the 
Secretary of Veterans Affairs and the Commissioner of Social 
Security to implement automated systems with callback 
functionality for each customer service telephone line of the 
Department of Veterans Affairs and the Social Security 
Administration, respectively, and for other purposes.
    09/25/2024: H.R. 7323--Montgomery GI Bill Selected Reserves 
Tuition Fairness Act of 2024, Amend title 38, United States 
Code, to direct the Secretary of Veterans Affairs to disapprove 
courses of education offered by a public institution of higher 
learning that does not charge the in- State tuition rate to a 
veteran using certain educational assistance under title 10 of 
such Code, and for other purposes.
    11/18/2024: H.R. 7653--VERY Act of 2024, To amend title 38, 
United States Code, to update certain terminology regarding 
veteran employment.
    11/18/2024: H.R. 8371--Senator Elizabeth Dole 21st Century 
Veterans Healthcare and Benefits Improvement Act, To make 
certain improvements in the laws administered by the Secretary 
of Veterans Affairs, and for other purposes.



















                    APPENDIX II: PUBLIC LAWS ENACTED

    Public Law 118-20: H.R. 366--Korean American Valor Act, To 
amend title 38, United States Code, to treat certain 
individuals who served in Vietnam as a member of the armed 
forces of the Republic of Korea as a veteran of the Armed 
Forces of the United States for purposes of the provision of 
health care by the Department of Veterans Affairs.
    Public Law 118-61: H.R. 593--To rename the Department of 
Veterans Affairs community-based outpatient clinic in 
Hinesville, Georgia, as the ``John Gibson, Dan James, William 
Sapp, and Frankie Smiley VA Clinic''.
    Public Law 118-50: H.R. 815--Making emergency supplemental 
appropriations for the fiscal year ending September 30, 2024, 
and for other purposes, To amend title 38, United States Code, 
to make certain improvements relating to the eligibility of 
veterans to receive reimbursement for emergency treatment 
furnished through the Veterans Community Care program, and for 
other purposes.
    Public Law 118-21: H.R. 1226--Wounded Warrior Access Act, 
To amend title 38, United States Code, to allow for the 
electronic request of certain records, and for other purposes.
    Public Law 118-12: H.R. 3672--To designate the clinic of 
the Department of Veterans Affairs in Indian River, Michigan, 
as the ``Pfc. Justin T. Paton Department of Veterans Affairs 
Clinic''.
    Public Law 118-5: H.R. 3746--Fiscal Responsibility Act of 
2023, To provide for a responsible increase to the debt 
ceiling.
    Public Law 118-114: H.R. 4190--Restoring Benefits to 
Defrauded Veterans Act, To amend title 38, United States Code, 
to direct the Secretary of Veterans Affairs to repay the 
estates of deceased beneficiaries for certain benefits paid by 
the Secretary and misused by fiduciaries of such beneficiaries.
    Public Law 118-114: H.R. 5464--To name the Department of 
Veterans Affairs community based outpatient clinic in 
Guntersville, Alabama, as the ``Colonel Ola Lee Mize Department 
of Veterans Affairs Clinic''.
    Public Law 118-124: H.R. 6324--Fiscal Year 2024 Veterans 
Affairs Major Medical Facility Authorization Act, To authorize 
major medical facility projects for the Department of Veterans 
Affairs for fiscal year 2024, and for other purposes.
    Public Law 118-128: H.R. 7333--To name the Department of 
Veterans Affairs medical center in West Palm Beach, Florida, as 
the ``Thomas H. Corey VA Medical Center''.
    Public Law 118-130: H.R. 7777--Veterans' Compensation Cost-
of-Living Adjustment Act of 2024, To increase, effective as of 
December 1, 2024, the rates of compensation for veterans with 
service-connected disabilities and the rates of dependency and 
indemnity compensation for the survivors of certain disabled 
veterans, and for other purposes.





















                APPENDIX III: HEARINGS HELD PURSUANT TO
                  CLAUSES 2(n),(o), or (p) of RULE XI


Rule 2(n) Each standing committee, or subcommittee thereof, shall hold 
        at least one hearing during each 120-day period following the 
        establishment of the Committee on the topic of waste, fraud, 
        abuse or mismanagement in Government programs which that 
        Committee may authorize. The hearing shall focus on the most 
        egregious instances of waste, fraud, abuse or mismanagement as 
        documented by any report the Committee has received from a 
        Federal Office of the Inspector General or the Comptroller 
        General of the United States.

Full Committee Hearing--``Building an Accountable VA: Applying Lessons 
       Learned to Drive Future Success''

    On February 28, 2023, the Full Committee met in open 
session to conduct an oversight hearing to examine the 
consequences of disengaged leadership, the implementation and 
state of major U.S. Department of Veterans Affairs (VA) 
programs, and how Congressional oversight would hold VA 
accountable to improve care and benefits for veterans.
    There was one witness panel. The following witnesses 
testified: the Honorable Michael Missal, Inspector General, 
Office of the Inspector General, U.S. Department of Veterans 
Affairs; the Honorable Gene Dodaro, Comptroller General of the 
United States, Government Accountability Office; the Honorable 
Shereef Elnahal, M.D., Under Secretary for Health, U.S. 
Department of Veterans Affairs; Mr. Michael Frueh, Principal 
Deputy Under Secretary for Benefits, U.S. Department of 
Veterans Affairs; and the Honorable Matthew Quinn, Under 
Secretary for Memorial Affairs, U.S. Department of Veterans 
Affairs.

Joint Subcommittee Oversight Hearing--``VHA Recruitment and Retention: 
       Is Bureaucracy Holding Back a Quality Workforce?''

    On May 17, 2023, the Subcommittees on Oversight and 
Investigations and Health met in open session to conduct an 
oversight hearing to examine the U.S. Department of Veterans 
Affairs' (VA's) and Veterans Health Administration's (VHA's) 
workforce. The subcommittees looked at VA's recruitment, 
retention, and relocation efforts over the past year, with 
particular emphasis on legislative authorities that were 
enacted in the 117th Congress. The hearing also provided the 
subcommittees an opportunity to examine VHA's organizational 
``modernization'' of its Human Resource functions and its 
impact on the ability to adequately support Medical Center 
needs.Another goal of the hearing was to look at the 
effectiveness of VHA in retaining its workforce, to include 
equitable implementation of educational incentives and other 
benefits unique to federal employment.
    There were two witness panels. The following witnesses 
testified on the first panel: Ms. Tracey Therit, Chief Human 
Capital Officer, Human Resources Administration/Operations, 
Security and Preparedness, U.S. Department of Veterans Affairs; 
Ms. Jessica Bonjorni, MBA, PMP, SPHR, Chief of Human Capital 
Management, Veterans Health Administration, U.S. Department of 
Veterans Affairs; and Ms. Sharon Silas, Director of Health Care 
Team, Government Accountability Office.
    The following witnesses testified on the second panel: Ms. 
Mary Jane ``MJ'' Burke, First Executive Vice President, AFGE 
National VA Council; Dr. Robyn Begley, DNP, RN, NEA BC, FAAN, 
Senior Vice President of Workforce, American Hospital 
Association; Mr. Will Morse, Corporate Vice President of 
Solution Design and Sales, AMN Healthcare; and Ms. Kelley 
Saindon, DNP, RN NE-BC, CHPN, Chairman of the Legislative 
Committee, Nurses Organization of Veterans Affairs.

Full Committee Hearing--``COVID-19 Supplemental Funding: Did it Protect 
       and Improve Veteran Care?''

    On May 23, 2023, the Full Committee met in open session to 
conduct an oversight hearing to examine how the U.S. Department 
of Veterans Affairs spent the roughly $36.6 billion in combined 
supplemental appropriations they received in the Families First 
Coronavirus Response Act (FFCRA), the Coronavirus Aid, Relief, 
and Economic Security (CARES) Act, and the American Rescue Plan 
(ARP) Act. The Committee questioned whether VA used the funding 
effectively to protect and improve veteran care.
    There was one witness panel. The following witnesses 
testified: Ms. Laura Duke, Chief Financial Officer, Veterans 
Health Administration, U.S. Department of Veterans Affairs; Mr. 
Robert McDivitt, Network Director, VISN 23, U.S. Department of 
Veterans Affairs; the Honorable Michael Missal, Inspector 
General, Office of Inspect General, U.S. Department of Veterans 
Affairs; and Ms. Whitney Bell, President, National Association 
of State Veterans Homes.

Subcommittee on Disability and Memorial Affairs Oversight Hearing--``VA 
       Disability Exams: Are Veterans Receiving Quality Services?''

    On July 27, 2023, the Subcommittee met in open session to 
conduct an oversight hearing to review the U.S. Department of 
Veterans Affairs (VA) oversight of disability exams conducted 
by contractors as well as Veterans Health Administration 
medical examiners. Other hearing topics included: exam 
scheduling, information technology systems for exams, examiner 
training, addressing underperforming examiners, and the 
sufficiency of VA's process to determine the quality, 
timeliness, and veteran satisfaction of disability exams. The 
Subcommittee also examined the VA's progress implementing the 
recommendations from several U.S. Government Accountability 
Office (GAO) reports.
    There was one witness panel. The following witnesses 
testified: Mr. Jeffrey London, Executive Director, Medical 
Disability Examination Office, Veterans Benefits 
Administration, U.S. Department of Veterans Affairs; Ms. 
Jacqueline Imboden, Assistant Director, Procedures & 
Interagency/MilPay, Compensation Service, Veterans Benefits 
Administration, U.S. Department of Veterans Affairs; Mr. 
Christopher Parker, Associate Executive Director, Office of 
Acquisitions, Logistics and Construction, U.S. Department of 
Veterans Affairs; Dr. Henry Bridges, Senior Medical Officer for 
the Office of Disability and Medical Assessment, (VHA/11CS 
DMA), U.S. Department of Veterans Affairs; Ms. Elizabeth Curda, 
Director, Education, Workforce, and Income Security, U.S. 
Government Accountability Office; and Mr. Stephen Bracci, 
Director, Claims and Medical Exams Inspection Division, Office 
of Audits and Evaluations, Office of Inspector General, U.S. 
Department of Veterans Affairs.

Subcommittee Oversight Hearing--``Background Checks: Are VA's HR 
       Failures Risking Drug Abuse and Veteran Harm?''

    On December 6, 2023, the Subcommittee on Oversight and 
Investigations met in open session to conduct an oversight 
hearing to examine VA's personnel suitability program 
governance with a particular focus on how VA ensures employees 
with felony drug convictions are properly identified.
    There was one witness panel. The following witnesses 
testified: Ms. Jessica Bonjoni, Chief, Human Capital 
Management, Veterans Health Administration, U.S. Department of 
Veterans Affairs; Mr. Shawn Steele, Director of the Healthcare 
Infrastructure Division, Office of Inspector General, U.S. 
Department of Veterans Affairs; Mr. Seto Bagdoyan, Director for 
Audit Services, Forensic Audits & Investigative Service, U.S. 
Government Accountability Office; and Mr. Daniel Galik, 
Executive Director for Identity Credential and Access 
Management, Office of Human Resources and Administration/
Operations, Security and Preparedness, U.S. Department of 
Veterans Affairs.

Subcommittee Oversight Hearing--``VA Revolving Funds: Are Veterans 
       Being Shortchanged?''

    On January 17, 2024, the Subcommittee on Oversight and 
Investigations met in open session to conduct an oversight 
hearing to examine VA's two large revolving funds, the 
Franchise Fund and the Supply Fund, that provide services to VA 
offices and other agencies on a fee-for-service basis. 
Together, they have assets exceeding $1.7 billion. The 
Subcommittee discovered that the Supply Fund operated at a loss 
in fiscal year 2023 and individual enterprises within the 
Franchise Fund routinely operate at a loss. The Subcommittee 
sought to question whether the Financial Services Center was 
best equipped to process payments for veterans' community care, 
most of which were transferred to the VA Office of Integrated 
Veteran Care when the Biden administration reorganized 
community care in 2021.
    There was one witness panel. The following witnesses 
testified: Ms. Teresa Riffel, Deputy Assistant Secretary for 
Financial Management Business Transformation, Financial 
Management Business Transformation Service, U.S. Department of 
Veterans Affairs; Mr. Leroy Larkins, Executive Director, Office 
of Revolving Funds, Office of Management, U.S. Department of 
Veterans Affairs; Mr. Phillip Christy, Deputy Executive 
Director, Office of Acquisition, Logistics, and Construction, 
U.S. Department of Veterans Affairs; and Ms. Julie Matta, 
Deputy General Counsel, U.S. Government Accountability Office.

Full Committee Hearing--``VA's HR Office: Did Leaders Ignore and 
       Perpetuate Sexual Harassment?''

    On February 14, 2024, the Full Committee met in open 
session to conduct an oversight hearing to examine sexual 
harassment and misconduct allegations within the Office of 
Resolution Management, Diversity & Inclusion (ORMDI), an office 
under the Assistant Secretary for Human Resources and 
Administration/Operations, Security and Preparedness (HRA/OSP). 
Chairman Bost wrote to the VA making the Secretary aware of 
these allegations. The Committee's investigation focused on the 
information VA was compelled to produce under the January 12th 
subpoena, and during the hearing, the Committee examined when 
VA leaders first became aware of these allegations and what 
they did about them.
    There were two witness panels. The following witness 
testified on the first panel: the Honorable Denis McDonough, 
Secretary, U.S. Department of Veterans Affairs.
    The following witnesses testified on the second panel: Ms. 
Cassandra Law, Assistant Secretary, Human Resources and 
Administration/Operations, Security and Preparedness, U.S. 
Department of Veterans Affairs; and Mr. Bruce Gipe, Acting 
Assistant Secretary, Office of Accountability and Whistleblower 
Protection, U.S. Department of Veterans Affairs.
    The following witnesses were invited to the second panel 
but did not show up to testify: Mr. Archie Davis, U.S. 
Department of Veterans Affairs; Mr. Gary Richardson, U.S. 
Department of Veterans Affairs; Ms. Gina Grosso; and Mr. Harvey 
Johnson.

Full Committee Hearing--``Bonus Blunder: Examining VA's Improper 
       Decision to Award Senior Executives Millions in Incentives''

    On June 4, 2024, the Full Committee met in open session to 
conduct an oversight hearing to examine the Department of 
Veterans Affairs (VA) Office of Inspector General (OIG) report 
detailing its investigation into critical skill incentive (CSI) 
bonuses made to nearly ever career senior executive service 
(SES) employee in the Veterans Health Administration (VHA) and 
Veterans Benefits Administration (VBA).
    There were two witness panels. The following witness 
testified on the first panel: The Honorable Michael J. Missal, 
Inspector General, U.S. Department of Veterans Affairs.
    The following witness testified on the second panel: The 
Honorable Denis R. McDonough, Secretary, U.S. Department of 
Veterans Affairs.

Full Committee Hearing--``Accountable of Absent? Examining VA 
       Leadership Under the Biden-Harris Administration''

    On September 10, 2024, the Full Committee met in open 
session to conduct an oversight hearing to examine where 
accountability is lacking within the Department of Veterans 
Affairs (VA), which was found though oversight travel, 
investigations, and whistleblower discussions. Members had the 
opportunity to pose questions to VA Inspector General, the 
Under Secretary for Health, and the Under Secretary for 
Benefits to examine how VA leaders would take accountability 
for their own conduct and address substantiated and alleged 
misconduct.
    There was one witness panel. The following witnesses 
testified: The Honorable Dr. Shereef Elnahal, Under Secretary 
for Health, U.S. Department of Veterans Affairs; The Honorable 
Joshua Jacobs, Under Secretary for Benefits, U.S. Department of 
Veterans Affairs; Mr. Edward J. Murray, Acting Assistant 
Secretary for Management and Chief Financial Officer, U.S. 
Department of Veterans Affairs; and The Honorable Michael J. 
Missal, Inspector General, U.S. Department of Veterans Affairs.

Subcommittee Oversight Hearing--``Mission Transition: Evaluating Mental 
       Health Support Programs for Separating Servicemembers''

    On September 10, 2024, the Subcommittee on Oversight and 
Investigations met in open session to conduct an oversight 
hearing to focus on the effectiveness of current mental health 
care programs during the transition from military to civilian 
life. Additionally, the Subcommittee assessed data capabilities 
and explored strategies for VA, DOL, and DOD to better identify 
and connect with veterans in need of mental health resources.
    There was one witness panel for this hearing. The following 
witnesses testified: Ms. Melissa Cohen, Executive Director, 
Outreach Transition, and Economic Development, Veterans 
Benefits Administration, U.S. Department of Veterans Affairs; 
Ms. Jill Debord, Executive Director, Care Management and Social 
Work, Veterans Health Administration, U.S. Department of 
Veterans Affairs; Ms. Susan Orsega, Deputy Assistant Secretary 
of Defense for Health Services Policy and Oversight, U.S. 
Department of Defense; Ms. Alyssa Hundrup, Director of Health 
Care, Government Accountability Office; and Mr. James 
Rodriguez, Assistant Secretary for Veterans' Employment and 
Training Service, U.S. Department of Labor.

Subcommittee on Technology Modernization Oversight Hearing--``VA's Open 
       Cash Register: Fraud, Waste, Abuse, and Revenue Operations''

    On September 19, 2024, the Subcommittee on Technology 
Modernization met in open session to conduct an oversight 
hearing to examine the Department of Veterans Affairs' (VA) 
Program Integrity Tool (PIT), which is a key system used to 
collect payments from insurance companies and veterans for non-
service connected community care as well as to prevent waste, 
fraud, and abuse when VA pays community care providers' claims.
    There was one witness panel for this hearing. The following 
witnesses testified: the Honorable Kurt DelBene, Assistant 
Secretary for Information and Technology and Chief Information 
Office, U.S. Department of Veterans Affairs; Ms. Cherri Waters, 
Executive Director, Health Portfolio, Office of Information and 
Technology, U.S. Department of Veterans Affairs; Ms. Laura 
Duke, Chief Financial Officer, Veterans Health Administration, 
U.S. Department of Veterans Affairs; Ms. Tracy Davis-Bradley, 
Ph.D., Chief Integrity and Compliance Officer, Veterans Health 
Administration, U.S. Department of Veterans Affairs; and Ms. 
Jennifer McDonald, Ph.D., Director, Community Care Division, 
Office of Inspector General, U.S. Department of Veterans 
Affairs.

Subcommittee Oversight Hearing--``VA Accountability: What has Happened 
       to Hampton?''

    On September 24, 2024, the Subcommittee met in open session 
to conduct an oversight hearing to examine the alleged and 
substantiated misconduct within the Department of Veterans 
Affairs (VA) Hampton Medical Center (Hampton VA). 
Whistleblowers alleged the Hampton VA Chief of Surgery was a 
poor leader who retaliated against those who reported patient 
safety concerns and failed to act against medical professionals 
who were clinically inept. Whistleblowers also alleged Hampton 
VA leadership did not adequately address the whistleblowers' 
concerns and poorly managed the facility. The whistleblowers 
alleged this ineffective leadership led to internal employee 
disputes, workplace harassment, and facility cleanliness 
issues. As a result, many providers have left the facility.
    There was one witness panel for this hearing. The following 
witnesses testified: Mr. Paul S. Crews, Veterans Integrated 
Services Network 6 Director, U.S. Department of Veterans 
Affairs; Mr. Frederick Kotler, MD, Interim Medical Inspector, 
Office of the Medical Inspector, U.S. Department of Veterans 
Affairs; Mr. Walt C. Dannenberg, Acting Executive Director, VA 
Hampton Health Care, U.S. Department pf Veterans Affairs; and 
Dr. Jennifer Baptiste, Deputy Assistant Inspector General for 
Healthcare Inspections, Office of Inspector General, U.S. 
Department of Veterans Affairs.

Subcommittee Oversight Hearing--``Digital GI Bill in Disarray: Holding 
       the Biden-Harris Administration Accountable for VA's Costly 
       Mismanagement''

    On September 26, 2024, the Subcommittee met in open session 
to conduct an oversight hearing to examine the U.S. Department 
of Veterans Affairs' (VA) progress at retiring antiquated 
legacy IT systems and implementing the Digital G.I. Bill IT 
system, which aims to streamline the processing of education 
benefits under the G.I. Bill. The hearing focused on the report 
from the Office of Inspector General (OIG) highlighting issues 
with the planning, expectations, and execution of the Digital 
GI Bill (DGIB) project. The hearing also reviewed the 
recommendations of the Office of the Inspector General to 
improve the program and ideas to make the DGIB program more 
efficient for veterans.
    There was one witness panel for this hearing. The following 
witnesses testified: Mr. Ronald Burke, Undersecretary for 
Policy and Oversight, Veterans Benefits Administration, U.S. 
Department of Veterans Affairs; Mr. Robert Orifici, Executive 
Director, Benefits and Memorial Services, Office of Information 
and Technology, Veterans Benefits Administration, U.S. 
Department of Veterans Affairs; Mr. Joseph Garcia, Executive 
Director, Education Services, Veterans Benefits Administration, 
U.S. Department of Veterans Affairs; Mr. Nicholas Dahl, Deputy 
Assistant Inspector General, Management and Administration, 
Office of the Inspector General, U.S. Department of Veterans 
Affairs; and Mr. Justin Parke, Managing Director, DGIB Program 
Manager, Accenture Federal Services.

Rule 2(p) Each standing committee, or subcommittee thereof, shall hold 
        at least one hearing on issues raised by reports issued by the 
        Comptroller General of the United States indicating that 
        federal programs or operations that the Committee may authorize 
        are at high risk for waste, fraud, and mismanagement, known as 
        the ``high risk list'' or the ``high risk series.''

Subcommittee on Technology Modernization Oversight Hearing:--``VA 
        Information Technology Contracting: Challenges in Consolidation 
        of Competition and Conflict of Interest''

    On May 24, 2023, the Subcommittee on Technology 
Modernization met in open session to conduct an oversight 
hearing to examine trends in the U.S. Department of Veterans' 
Affairs (VA) information technology contracting including 
increasing spending, a consolidating contractor/supplier base, 
and procurement methods that limit the pool of eligible 
companies. The Subcommittee also considered VA's management of 
organizational conflicts of interest among current and 
prospective contractors.
    There was one witness panel. The following witnesses 
testified: Ms. Shelby Oakley, Director, Contracting and 
National Security Acquisitions, U.S. Government Accountability 
Office; and Ms. Hana Schank, Senior Advisor, New America.

Subcommittee Oversight Hearing--``VA Procurement: Made in America''

    On September 20, 2023, the Subcommittee on Oversight and 
Investigations met in open session to conduct an oversight 
hearing to examine how VA's procurement practices and the 
reasons why more progress has not been made. The subcommittee 
sought to investigate why very little appeared to have been 
accomplished to boost domestic purchases during the Biden 
Administration, particularly in the U.S. Department of Veterans 
Affairs, which is the second largest buyer in the federal 
government.
    There was one witness panel. The following witnesses 
testified: Mr. Michael D. Parrish, Principal Executive Director 
and Chief Acquisition Officer, Office of Acquisition, 
Logistics, and Construction, U.S. Department of Veterans 
Affairs; Dr. Angela Billups, Executive Director and Senior 
Procurement Executive, Office of Acquisition, Logistics, and 
Construction, U.S. Department of Veterans Affairs; Mr. Andrew 
Centineo, Executive Director for Procurement and Logistics, 
Veterans Health Administration, U.S. Department of Veterans 
Affairs; and Dr. Thomas Emmendorfer, Executive Director for 
Pharmacy Benefits Management Services, Veterans Health 
Administration, U.S. Department of Veterans Affairs.

Subcommittee Oversight Hearing--``VA Supply Chain Modernization: Ready 
       for Prime Time?''

    On April 9, 2024, the Subcommittee met in open session to 
conduct an oversight hearing to examine Supply Chain 
Modernization project when VA ignored an ultimatum in March 
2024 to provide the information. The Subcommittee examined the 
Department of Veterans Affairs plan to award a series of 
contracts, potentially worth hundreds of millions or billions 
of dollars, for a new supply chain management IT system.
    There was one witness panel. The following witnesses 
testified: Mr. Michael D. Parrish, Chief Acquisition Officer 
and Principal Executive Director, Office of Acquisition, 
Logistics, and Construction, U.S. Department of Veterans 
Affairs; Mr. Ronald Miller, Ph.D., Deputy Assistant Under 
Secretary for Health for Support, Veterans Health 
Administration, U.S. Department of Veterans Affairs; and Mr. 
Dewaine Beard, Principal Deputy Assistant Secretary, Veterans 
Health Administration, U.S. Department of Veterans Affairs.

Rule 2(o) Each standing committee, or subcommittee thereof, shall hold 
        at least one hearing in any session in which the Committee has 
        received disclaimers of agency financial statements from 
        auditors of any federal agency that the Committee may authorize 
        to hear testimony on such disclaimers from representatives of 
        such agency.

Full Committee Hearing--``U.S. Department of Veterans Affairs Budget 
       Request for Fiscal Years 2025 and 2026''

    On April 11, 2024, the Full Committee met in open session 
to conduct an oversight hearing to consider President Biden's 
budget request for the U.S. Department of Veterans Affairs for 
fiscal years 2025 and 2026. The U.S. Department of Veterans 
Affairs requested $369.3 billion for fiscal year 2025, which is 
a $41.8 billion increase over FY 2024 in mandatory spending and 
a $8.9 billion decrease over FY 2024 in discretionary spending.
    There were two witness panels. The following witness 
testified on the first panel: The Honorable Denis McDonough, 
Secretary, U.S. Department of Veterans Affairs.
    The following witnesses testified on the second panel: Mr. 
Roscoe Butler, Senior Health Policy Advisor, Paralyzed Veterans 
of America; Mr. Shane Liermann, Deputy National Legislative 
Director, Disabled American Veterans; and Mr. Patrick Murray, 
National Legislative Service Director, Veterans of Foreign 
Wars.

Full Committee Hearing--``Fact and Fiction: Getting to the Bottom of 
       the VA Budget Shortfall''

    On December 5, 2024, the Full Committee met in open session 
to conduct an oversight hearing to examine the circumstances 
surrounding the Department of Veterans Affairs' (VA) purported 
fiscal year (FY) 2024 benefits budget shortfall and FY 2025 
health care budget shortfall.
    There was one witness panel for this hearing. The following 
witnesses testified: the Honorable Shereef Elnahal, M.D., Under 
Secretary for Health, U.S. Department of Veterans Affairs; the 
Honorable Joshua Jacobs, Under Secretary for Benefits, Veterans 
Benefits Administration, U.S. Department of Veterans Affairs; 
Mr. Edward Murray, Principal Deputy Assistant Secretary for 
Management and Deputy Chief Financial Officer; Ms. Laura Duke, 
Chief Financial Officer for Veterans Health Administration, 
U.S. Department of Veterans Affairs; and Ms. Lasheeco Graham, 
Chief Financial Officer, Veterans Benefits Administration, U.S. 
Department of Veterans Affairs.


















          APPENDIX IV: MESSAGES FROM THE PRESIDENT AND
             OTHER EXECUTIVE BRANCH COMMUNICATIONS


Executive Communication 164--Committee on Veterans' Affairs--01/25/2023

    A letter from the Regulation Development Coordinator, 
Office of Regulation Policy and Management, Office of General 
Counsel, Department of Veterans Affairs, transmitting the 
Department's interim final rule--Reimbursement of Emergent 
Suicide Care (RIN: 2900-AR50) received January 19, 2023, 
pursuant to 5 U.S.C. 801(a)(1)(A); Public Law 104-121, section 
251; (110 Stat. 868); to the Committee on Veterans' Affairs.

Executive Communication 165--Committee on Veterans' Affairs--01/25/2023

    A letter from the Regulation Development Coordinator, 
Office of Regulation Policy and Management, Office of the 
General Counsel, Department of Veterans Affairs, transmitting 
the Department's final rule--Modifications of Approval 
Requirements for Courses Designed to Prepare Individuals for 
Licensure or Certifications (RIN: 2900-AQ91) received January 
19, 2023, pursuant to 5 U.S.C. 801(a)(1)(A); Public Law 104-
121, section 251; (110 Stat. 868); to the Committee on 
Veterans' Affairs.

Executive Communication 344--Committee on Veterans' Affairs--02/02/2023

    A letter from the Regulation Development Coordinator, 
Office of Regulation Policy and Management, Office of General 
Counsel (00REG), Department of Veterans Affairs, transmitting 
the Department's final rule--Statutory Increase in Operations 
and Maintenance Grant Funding (RIN: 2900-AR71) received January 
31, 2023, pursuant to 5 U.S.C. 801(a)(1)(A); Public Law 104-
121, section 251; (110 Stat. 868); to the Committee on 
Veterans' Affairs.

Executive Communication 415--Committee on Veterans' Affairs--02/14/2023

    A letter from the Regulation Development Coordinator, 
Office of Regulation Policy and Management, Office of General 
Counsel (00REG), Department of Veterans Affairs, transmitting 
the Department's final rule--VA Acquisition Regulation: 
Acquisition of Information Technology; and Other Contracts for 
Goods and Services Involving Information, VA Sensitive 
Information, and Information Security; and Liquidated Damages 
Requirements for Data Breach (RIN: 2900-AQ41) received February 
2, 2023, pursuant to 5 U.S.C. 801(a)(1)(A); Public Law 104-121, 
section 251; (110 Stat. 868); to the Committee on Veterans' 
Affairs.

Executive Communication 526--Committee on Veterans' Affairs--03/01/2023

    A letter from the Regulation Development Coordinator, 
Office of Regulation Policy and Management, Office of General 
Counsel (00REG), Department of Veterans Affairs, transmitting 
the Department's final rule--Change in Rates VA Pays for 
Special Modes of Transportation (RIN: 2900-AP89) received 
February 21, 2023, pursuant to 5 U.S.C. 801(a)(1)(A); Public 
Law 104-121, section 251; (110 Stat. 868); to the Committee on 
Veterans' Affairs.

Executive Communication 548--Committee on Veterans' Affairs--03/03/2023

    A letter from the Regulation Development Coordinator, 
Office of Regulation Policy and Management, Office of General 
Counsel (00REG), Department of Veterans Affairs, transmitting 
the Department's Major final rule--Reimbursement for Emergency 
Treatment (RIN: 2900-AQ08) received February 28, 2023, pursuant 
to 5 U.S.C. 801(a)(1)(A); Public Law 104-121, section 251; (110 
Stat. 868); to the Committee on Veterans' Affairs.

Executive Communication 750--Committee on Veterans' Affairs--04/13/2023

    A letter from the Regulation Development Coordinator, 
Office of Regulation Policy and Management, Department of 
Veterans Affairs, transmitting the Department's final rule 
Updating Presumptive Radiation Locations based on the PACT Act 
(RIN: 2900-AR74) received March 16, 2023, pursuant to 5 U.S.C. 
801(a)(1)(A); Public Law 104-121, section 251; (110 Stat. 868); 
to the Committee on Veterans' Affairs.

Executive Communication 751--Committee on Veterans' Affairs--04/13/2023

    A letter from the Regulation Development Coordinator, 
Office of Regulation Policy and Management, Department of 
Veterans Affairs, transmitting the Department's final rule 
Servicemembers' Group Life Insurance Traumatic Injury 
Protection Program (RIN: 2900-AQ53) received March 16, 2023, 
pursuant to 5 U.S.C. 801(a)(1)(A); Public Law 104-121, section 
251; (110 Stat. 868); to the Committee on Veterans' Affairs.

Executive Communication 880--Committee on Veterans' Affairs--05/05/2023

    A letter from the Regulation Development Coordinator, 
Office of Regulation Policy and Management, Office of General 
Counsel, Department of Veterans Affairs, transmitting the 
Department's interim final rule--Exceptions to Applying the 
Bilateral Factor in VA Disability Calculations (RIN: 2900-AR51) 
received May 2, 2023, pursuant to 5 U.S.C. 801(a)(1)(A); Public 
Law 104-121, section 251; (110 Stat. 868); to the Committee on 
Veterans' Affairs.

Executive Communications 881--Committee on Veterans' Affairs--05/05/
       2023

    A letter from the Regulation Development Coordinator, 
Office of Regulation Policy and Management, Office of General 
Counsel, Department of Veterans Affairs, transmitting the 
Department's final rule--Medical Benefits Package; Chiropractic 
Services (RIN: 2900-AQ70) received May 2, 2023, pursuant to 5 
U.S.C. 801(a)(1)(A); Public Law 104-121, section 251; (110 
Stat. 868); to the Committee on Veterans' Affairs.

Executive Communications 1048--Committee on Veterans' Affairs--05/25/
       2023

    A letter from the National Adjutant, Chief Executive 
Officer, Disabled American Veterans, transmitting the reports 
and proceedings of the 2022 National Convention of Disabled 
American Veterans, held in Orlando, Florida, August 6-9, 2022, 
pursuant to 44 U.S.C. 1332; Public Law 90-620, Oct. 22, 1968 
(as amended by Public Law 105-225, section 3); (112 Stat. 
1498); (H. Doc. No. 118-44); to the Committee on Veterans' 
Affairs and ordered to be printed.

Executive Communications 1116--Committee on Veterans' Affairs--06/06/
       2023

    A letter from the Regulation Development Coordinator, 
Office of Regulation Policy and Management, Office of the 
General Counsel (00REG), Department of Veterans Affairs, 
transmitting the Department's final rule--Collection or 
Recovery by VA for Humanitarian Care or Services and for 
Certain Other Care and Services (RIN: 2900-AQ58) received May 
25, 2023, pursuant to 5 U.S.C. 801(a)(1)(A); Public Law 104-
121, section 251; (110 Stat. 868); to the Committee on 
Veterans' Affairs.

Executive Communications 1454--Committee on Veterans' Affairs--07/24/
       2023

    A letter from the Regulation Development Coordinator, 
Office of Regulation Policy and Management, Department of 
Veterans Affairs, transmitting the Department's final rule--
Allowance for Caskets and Urns for Unclaimed Remains of 
Veterans (RIN: 2900-AR36(F)) received July 10, 2023, pursuant 
to 5 U.S.C. 801(a)(1)(A); Public Law 104-121, section 251; (110 
Stat. 868); to the Committee on Veterans' Affairs.

Executive Communications 1586--Committee on Veterans' Affairs--08/08/
       2023

    A letter from the Regulation Development Coordinator, 
Office of Regulation Policy and Management, Department of 
Veterans Affairs, transmitting the Department's final rule--
Names for National Cemeteries and Features (RIN: 2900-AR81(F)) 
received July 24, 2023, pursuant to 5 U.S.C. 801(a)(1)(A); 
Public Law 104-121, section 251; (110 Stat. 868); to the 
Committee on Veterans' Affairs.

Executive Communications 1620--Committee on Veterans' Affairs--08/08/
       2023

    A letter from the Regulation Development Coordinator, 
Office of Regulation Policy and Management, Department of 
Veterans Affairs, transmitting the Department's final rule--VA 
Vocational Rehabilitation and Employment Nomenclature Change 
for Position Title--Revision (RIN: 2900-AQ11(F)) received July 
24, 2023, pursuant to 5 U.S.C. 801(a)(1)(A); Public Law 104-
121, section 251; (110 Stat. 868); to the Committee on 
Veterans' Affairs.

Memorial 56--Committee on Veterans' Affairs--09/01/2023

    The SPEAKER presented a memorial of the Senate of the State 
of California, relative to Senate Joint Resolution No. 4, 
urging the Congress to provide funding for the ongoing 
operation of satellite VHA medical clinics located on or near 
California veterans' home campuses; to the Committee on 
Veterans' Affairs.

Executive Communication 1830--House Foreign Affairs and 4 more 
       committees including the Committee on Veterans' Affairs--09/08/
       2023

    A letter from the Secretary, Department of the Interior, 
transmitting proposed legislation to provide mandatory 
appropriations and necessary authorities to carry out 
agreements related to the Compacts of Free Association between 
the Government of the United States of America and the 
Governments of the three Freely Associated States (FAS)--the 
Federated States of Micronesia (FSM), the Republic of the 
Marshall Islands (RMI), and the Republic of Palau (Palau); 
jointly to the Committees on Foreign Affairs, the Judiciary, 
Natural Resources, Veterans' Affairs, and Education and the 
Workforce.

Executive Communications 1958--Committee on Veterans' Affairs--09/28/
       2023

    A letter from the Regulation Development Coordinator, 
Office of Regulation Policy and Management, Office of General 
Counsel, Department of Veterans Affairs, transmitting the 
Department's final rule--Persons Eligible for Burial (RIN: 
2900-AR80(F)) received September 15, 2023, pursuant to 5 U.S.C. 
801(a)(1)(A); Public Law 104-121, section 251; (110 Stat. 868); 
to the Committee on Veterans' Affairs.

Memorial 69--Committee on Veterans' Affairs--09/28/2023

    The SPEAKER presented a memorial of the State of Louisiana 
relative to House Concurrent Resolution No. 12, to memorialize 
the United States Congress to take such actions as are 
necessary to establish the ``Agent Orange Veterans Service 
Medal'' to commemorate the service and sacrifice of veterans 
who were exposed to the Agency Orange herbicide during the 
Vietnam War from 1961 to 1971; to the Committee on Veterans' 
Affairs.

Executive Communication 1972--Committee on Veterans' Affairs--09/30/
       2023

    A letter from the Regulation Development Coordinator, 
Office of Regulation Policy and Management, Office of the 
General Counsel, Department of Veterans Affairs, transmitting 
the Department's Major final rule--Presumptive Service 
Connection for Respiratory Conditions Due to Exposure to Fine 
Particulate Matter [RIN: 2900-AR25] received September 11, 
2023, pursuant to 5 U.S.C. 801(a)(1)(A); Public Law 104-121, 
section 251; (110 Stat. 868); to the Committee on Veterans' 
Affairs.

Memorial 79--House Armed Services and House Committee on Veterans' 
       Affairs--10/03/2023

    The SPEAKER presented a memorial of the House of 
Representatives of the State of Michigan, relative to House 
Concurrent Resolution No. 5, urging the United States Congress, 
Department of Defense, and Department of Veterans Affairs to 
prioritize research and investment in non-technology treatment 
options for servicemembers and veterans who have psychological 
trauma as a result of military service; jointly to the 
Committees on Armed Services and Veterans' Affairs.

Executive Communication 2484--Committee on Veterans' Affairs--12/05/
       2023

    A letter from the Regulations Development Coordinator, 
Office of Regulation Policy and Management, Office of the 
General Counsel, Department of Veterans Affairs, transmitting 
the Department's final rule--VA Pilot Program on Graduate 
Medical Education and Residency (RIN: 2900-AR01) received 
November 29, 2023, pursuant to 5 U.S.C. 801(a)(1)(A); Public 
Law 104-121, section 251; (110 Stat. 868); to the Committee on 
Veterans' Affairs.

Executive Communication 2576--Committee on Veterans' Affairs--12/15/
       2023

    A letter from the Regulation Development Coordinator, 
Office of Regulations Policy and Management, Office of General 
Counsel, Department of Veterans Affairs, transmitting the 
Department's final rule--Payments Under State Home Care 
Agreements for Nursing Home Care (RIN: 2900-AR62) received 
December 5, 2023, pursuant to 5 U.S.C. 801(a)(1)(A); Public Law 
104-121, section 251; (110 Stat. 868); to the Committee on 
Veterans' Affairs.

Executive Communication 2584--Committee on Veterans' Affairs--12/19/
       2023

    A letter from the Adjutant General, Veterans Of Foreign 
Wars, transmitting the proceedings of the 123rd National 
Convention of the Veterans of Foreign Wars of the United 
States, held in Kansas City, Missouri, July 16-21, 2023, 
pursuant to 44 U.S.C. 1332; Public Law 90-620, Oct. 22, 1968 
(as amended by Public Law 105-225, section 3); (112 Stat. 
1498); (H. Doc. No. 118-91); to the Committee on Veterans' 
Affairs and ordered to be printed.

Executive Communication 2794--Committee on Veterans' Affairs--12/29/
       2023

    A letter from the Regulations Development Coordinator, 
Office of Regulation Policy and Management, OGC, Office of 
Regulation Policy and Management, Department of Veterans 
Affairs, transmitting the Department's Major final rule--
Reevaluation of Claims for Dependency and Indemnity 
Compensation (RIN: 2900-AR76) received December 5, 2023, 
pursuant to 5 U.S.C. 801(a)(1)(A); Public Law 104-121, section 
251; (110 Stat. 868); to the Committee on Veterans' Affairs.

Executive Communication 3087--Committee on Veterans' Affairs--02/07/
       2024

    A letter from the Regulation Development Coordinator, 
Office of Regulation Policy and Management, Office of General 
Counsel, Department of Veterans Affairs, transmitting the 
Department's final rule--85/15 Rule Calculations, Waiver 
Criteria, and Reports [RIN: 2900-AR56] received January 22, 
2024, pursuant to 5 U.S.C. 801(a)(1)(A); Public Law 104-121, 
section 251; (110 Stat. 868); to the Committee on Veterans' 
Affairs.

Petition 10--Committee on Veterans' Affairs--02/14/2024

    The Speaker presented a petition of the Legislature of 
Guam, relative to Resolution No. 29-37, requesting for the U.S. 
Congress to appropriate monies for Guam non-military residents 
who were exposed to Agent Orange and who are suffering from 
ailments caused by exposure to Agent Orange; to the Committee 
on Veterans' Affairs.

Executive Communications 3378--Committee on Veterans' Affairs--03/11/
       2024

    A letter from the Legislative Director, Legislative 
Division, American Legion, transmitting The American Legion's 
102nd Annual Report, The American Legion's Proceedings Of The 
102nd Annual National Convention, And The American Legion's 
Proceedings Of The 103rd Annual National Convention; (H. Doc. 
No. 118-115); to the Committee on Veterans' Affairs and ordered 
to be printed.

Executive Communications 3379--Committee on Veterans' Affairs--03/11/
        2024

    A letter from the Legislative Director, Legislative 
Division, American Legion, transmitting The American Legion's 
103rd Annual Report, The American Legion's Proceedings Of The 
103rd Annual National Convention, And The American Legion's 
Proceedings Of The 104th Annual National Convention; (H. Doc. 
No. 118-116); to the Committee on Veterans' Affairs and ordered 
to be printed.

Executive Communications 3649--Committee on Veterans' Affairs--04/02/
       2024

    A letter from the Regulations Development Coordinator, 
Office of Regulation Policy and Management, Department of 
Veteran Affairs, transmitting the Department's Major final 
rule--Schedule for Rating Disabilities: The Digestive System 
(RIN: 2900-AQ90) received March 27, 2024, pursuant to 5 U.S.C. 
801(a)(1)(A); Public Law 104-121, section 251; (110 Stat. 868); 
to the Committee on Veterans' Affairs.

Executive Communications 3650--Committee on Veterans' Affairs--04/02/
        2024

    A letter from the Regulations Development Coordinator, 
Office of Regulatory Policy and Management, Department of 
Veterans Affairs, transmitting the Department's final rule--
Reproductive Health Services (RIN: 2900-AR57) received March 
27, 2024, pursuant to 5 U.S.C. 801(a)(1)(A); Public Law 104-
121, section 251; (110 Stat. 868); to the Committee on 
Veterans' Affairs.

Executive Communications 3651--Committee on Veterans' Affairs--04/02/
       2024

    A letter from the Regulations Development Coordinator, 
Office of Regulation Policy and Management, Department of 
Veterans Affairs, transmitting the Department's final rule--
Agency Ethics Officials (RIN: 2900-AS04) received March 27, 
2024, pursuant to 5 U.S.C. 801(a)(1)(A); Public Law 104-121, 
section 251; (110 Stat. 868); to the Committee on Veterans' 
Affairs.

Executive Communications 3714--House Education and the Workforce and 7 
       more committees including the Committee on Veterans' Affairs--
       04/05/2024

    A letter from the Senior Counsel, Office of Legal Policy, 
DOJ (on behalf all participating Agencies), Department of 
Justice et. al., transmitting the Departments' final rule--
Partnerships With Faith-Based and Neighborhood Organizations 
[A.G. Order No.: 5874 2024] (RIN: 2900-AR23; 0412-AB10; 0503-
AA73; 0991-AC13; 1105-AB64; 1290-AA45; 1601-AB02; 1840-AD46; 
2501-AD91) received March 13, 2024, pursuant to 5 U.S.C. 
801(a)(1)(A); Public Law 104-121, section 251; (110 Stat. 868); 
jointly to the Committees on Education and the Workforce, 
Homeland Security, Agriculture, Foreign Affairs, Financial 
Services, the Judiciary, Veterans' Affairs, and Energy and 
Commerce.

Executive Communications 3822--Committee on Veterans' Affairs--04/17/
       2024

    A letter from the National Adjutant, Chief Executive 
Officer, Disabled American Veterans, transmitting the reports 
and proceedings of the 2023 National Convention of Disabled 
American Veterans, held in Atlantic City, New Jersey, August 5-
8, 2023; (H. Doc. No. 118-132); to the Committee on Veterans' 
Affairs and ordered to be printed.

Executive Communications 4061--Committee on Veterans' Affairs--05/06/
       2024

    A letter from the Regulations Development Coordinator, 
Office of Regulation Policy and Management, Department of 
Veterans Affairs, transmitting the Department's final rule--
Loan Guaranty: Servicer Regulation Changes (RIN: 2900-AR97) 
received April 24, 2024, pursuant to 5 U.S.C. 801(a)(1)(A); 
Public Law 104-121, section 251; (110 Stat. 868); to the 
Committee on Veterans' Affairs.

Memorial 101--Committee on Veterans' Affairs--05/06/2024

    The SPEAKER presented a memorial of the Legislature of the 
State of Maine, relative to Joint Resolution S.P. 998, 
requesting the United States Department of Veterans Affairs to 
provide access to medical care and assistance to members of the 
Maine National Guard who trained at the military support base 
in Gagetown, New Brunswick, Canada; to the Committee on 
Veterans' Affairs.

Executive Communications 4084--Committee on Veterans' Affairs--05/07/
       2024

    A letter from the Regulations Development Coordinator, 
Office of Regulatory Policy and Management, Office of General 
Counsel, Department of Veterans Affairs, transmitting the 
Department's manual--VA Manual M26-3, Chapter 9: VA Purchase 
received April 24, 2024, pursuant to 5 U.S.C. 801(a)(1)(A); 
Public Law 104-121, section 251; (110 Stat. 868); to the 
Committee on Veterans' Affairs.

Executive Communications 4085--Committee on Veterans' Affairs--05/07/
       2024

    A letter from the Regulations Development Coordinator, 
Office of Regulatory Policy and Management, Office of General 
Counsel, Department of Veterans Affairs, transmitting the 
Department's handbook--VA Servicer Handbook M26-4, Chapter 9: 
VA Purchase received April 24, 2024, pursuant to 5 U.S.C. 
801(a)(1)(A); Public Law 104-121, section 251; (110 Stat. 868); 
to the Committee on Veterans' Affairs.

Executive Communications 4399--Committee on Veterans' Affairs--05/31/
       2024

    A letter from the Regulation Development Coordinator, 
Office of Regulations Policy and Management, Office of General 
Counsel, Department of Veterans Affairs, transmitting the 
Department's final rule--Changes to the Provision of Health 
Care for World War II Veterans (RIN: 2900-AS01) received May 
21, 2024, pursuant to 5 U.S.C. 801(a)(1)(A); Public Law 104-
121, section 251; (110 Stat. 868); to the Committee on 
Veterans' Affairs.

Executive Communications 4425--Committee on Veterans' Affairs--06/03/
       2024

    A letter from the Regulation Development Coordinator, 
Office of Regulation Policy and Management, Office of General 
Counsel, Department of Veterans Affairs, transmitting the 
Department's final rule--Commemorative Plaques and Urns (RIN: 
2900-AR88) received May 22, 2024, pursuant to 5 U.S.C. 
801(a)(1)(A); Public Law 104-121, section 251; (110 Stat. 868); 
to the Committee on Veterans' Affairs.

Executive Communications 4618--Committee on Veterans' Affairs--06/26/
       2024

    A letter from the Regulations Development Coordinator, 
Office of Regulation Policy and Management, Office of General 
Counsel, Department of Veterans Affairs, transmitting the 
Department's final rule--Changes in Rates VA Pays for Special 
Modes of Transportation; Delay of Effective Date (RIN: 2900-
AS03) received June 12, 2024, pursuant to 5 U.S.C. 
801(a)(1)(A); Public Law 104-121, section 251; (110 Stat. 868); 
to the Committee on Veterans' Affairs.

Executive Communications 4707--Committee on Veterans' Affairs--07/05/
       2024

    A letter from the Regulations Development Coordinator, 
Office of Regulation Policy and Management (00REG), Office of 
the General Counsel (OCG), Department of Veterans Affairs, 
transmitting the Department's final rule--CHAMPVA Coverage of 
Audio-Only Telehealth, Mental Health Services, and Cost Sharing 
for Certain Contraceptive Services and Contraceptive Products 
Approved, Cleared, or Granted by FDA (RIN: 2900-AR55) received 
June 20, 2024, pursuant to 5 U.S.C. 801(a)(1)(A); Public Law 
104-121, section 251; (110 Stat. 868); to the Committee on 
Veterans' Affairs.

Executive Communications 5014--Committee on Veterans' Affairs--07/30/
       2024

    A letter from the Regulation Development Coordinator, 
Office of Regulation Policy and Management, Office of General 
Counsel, Department of Veterans Affairs, transmitting the 
Department's Major final rule--Update and Clarify Regulatory 
Bars to Benefits Based on Character of Discharge (RIN: 2900-
AQ95(F)) received July 26, 2024, pursuant to 5 U.S.C. 
801(a)(1)(A); Public Law 104-121, section 251; (110 Stat. 868); 
to the Committee on Veterans' Affairs.

Executive Communications 5030--Committee on Veterans' Affairs--08/02/
       2024

    A letter from the Regulation Development Coordinator, 
Office of Regulation Policy and Management, Office of General 
Counsel, Department of Veterans Affairs, transmitting the 
Department's final rule--Veteran and Spouse Transitional 
Assistance Grant Program (RIN: 2900-AR68) received July 26, 
2024, pursuant to 5 U.S.C. 801(a)(1)(A); Public Law 104-121, 
section 251; (110 Stat. 868); to the Committee on Veterans' 
Affairs.

Executive Communications 5102--Committee on Veterans' Affairs--08/16/
       2024

    A letter from the Regulations Development Coordinator, 
Office of Regulation Policy and Management, Office of General 
Counsel, Department of Veterans Affairs, transmitting the 
Department's final rule--Reconsideration of Burial and 
Memorialization Decisions (RIN: 2900-AR37(F)) received August 
2, 2024, pursuant to 5 U.S.C. 801(a)(1)(A); Public Law 104-121, 
section 251; (110 Stat. 868); to the Committee on Veterans' 
Affairs.

Executive Communications 5318--Committee on Veterans' Affairs--09/16/
       2024

    A letter from the Regulations Development Coordinator, 
Office of Regulation Policy and Management (00REG), Department 
of Veterans Affairs, transmitting the Department's final rule--
Adaptive Equipment Allowance (RIN: 2900-AP39) received August 
20, 2024, pursuant to 5 U.S.C. 801(a)(1)(A); Public Law 104-
121, section 251; (110 Stat. 868); to the Committee on 
Veterans' Affairs.

Executive Communications 5319--Committee on Veterans' Affairs--09/16/
       2024)

    A letter from the Regulations Development Coordinator, 
Office of Regulation Policy and Management (00REG), Department 
of Veterans Affairs, transmitting the Department's final rule--
Center for Innovation for Care and Payment Update (RIN: 2900-
AR18) received August 20, 2024, pursuant to 5 U.S.C. 
801(a)(1)(A); Public Law 104-121, section 251; (110 Stat. 868); 
to the Committee on Veterans' Affairs.

Executive Communications 5320--Committee on Veterans' Affairs--09/16/
       2024

    A letter from the Regulations Development Coordinator, 
Office of Regulation Policy and Management (00REG), Department 
of Veterans Affairs, transmitting the Department's final rule--
Update to Delegations of Authority to Certain Officials (RIN: 
2900-AS09) received August 20, 2024, pursuant to 5 U.S.C. 
801(a)(1)(A); Public Law 104-121, section 251; (110 Stat. 868); 
to the Committee on Veterans' Affairs.

Executive Communications 5321--Committee on Veterans' Affairs--09/16/
       2024

    A letter from the Regulations Development Coordinator, 
Office of Regulation Policy and Management (00REG), Department 
of Veterans Affairs, transmitting the Department's final rule--
Exemption of ``Diversity and Equal Employment Opportunity (EEO) 
Program Records'' (203VA08) (RIN: 2900-AR95) received August 
20, 2024, pursuant to 5 U.S.C. 801(a)(1)(A); Public Law 104-
121, section 251; (110 Stat. 868); to the Committee on 
Veterans' Affairs.

Executive Communications 5322--Committee on Veterans' Affairs--09/16/
       2024

    A letter from the Regulations Development Coordinator, 
Office of Regulation Policy and Management (00REG), Department 
of Veterans Affairs, transmitting the Department's handbook--VA 
Servicer Handbook M26-4, Chapter 9: VA Purchase received August 
20, 2024, pursuant to 5 U.S.C. 801(a)(1)(A); Public Law 104-
121, section 251; (110 Stat. 868); to the Committee on 
Veterans' Affairs.

Executive Communications 5323--Committee on Veterans' Affairs--09/16/
       2024

    A letter from the Regulations Development Coordinator, 
Office of Regulatory Policy and Management (00REG), Department 
of Veterans Affairs, transmitting the Department's final rule--
VA Health Professional Scholarship Program (RIN: 2900-AR98) 
received August 20, 2024, pursuant to 5 U.S.C. 801(a)(1)(A); 
Public Law 104-121, section 251; (110 Stat. 868); to the 
Committee on Veterans' Affairs.

Executive Communications 5531--Committee on Veterans' Affairs--10/01/
       2024

    A letter from the Senior Advisor for Oversight, Office of 
Regulation Policy & Management (00REG), Department of Veterans 
Affairs, transmitting the Department's final rule--Bar to 
Approval (RIN: 2900-AQ99) received August 27, 2024, pursuant to 
5 U.S.C. 801(a)(1)(A); Public Law 104-121, section 251; (110 
Stat. 868); to the Committee on Veterans' Affairs.

Executive Communications 5532--Committee on Veterans' Affairs--10/01/
       2024

    A letter from the Senior Advisor for Oversight, Office of 
Regulation Policy and Management (00REG), Department of 
Veterans Affairs, transmitting the Department's final rule--
Delegation of Concurrence for Entitlement Extensions (RIN: 
2900-AS14(F)) received August 27, 2024, pursuant to 5 U.S.C. 
801(a)(1)(A); Public Law 104-121, section 251; (110 Stat. 868); 
to the Committee on Veterans' Affairs.

Executive Communications 5649--House Armed Services and 1 more 
       committee--10/11/2024

    A letter from the Deputy Secretary and Under Secretary of 
Defense for Personnel and Readiness, Department of Veterans 
Affairs and Department of Defense, transmitting the Annual 
Joint Report for Fiscal Year 2023 regarding the activities and 
accomplishments of the Department of Veterans Affairs and 
Department of Defense Joint Executive Committee, pursuant to 38 
U.S.C. 8111(f)(1); Public Law 96-22, section 301(a) (as amended 
by Public Law 97-174, section 3(a)(3)); (96 Stat. 73); jointly 
to the Committees on Armed Services and Veterans' Affairs.

Executive Communications 5924--Committee on Veterans' Affairs--11/01/
       2024

    A letter from the Senior Advisor, Office of Regulation 
Policy and Management, Department of Veterans Affairs, 
transmitting the Department's final rule--Expanded Burial 
Benefits (RIN: 2900-AR69) received October 11, 2024, pursuant 
to 5 U.S.C. 801(a)(1)(A); Public Law 104-121, section 251; (110 
Stat. 868); to the Committee on Veterans' Affairs.

Executive Communications 5925--Committee on Veterans' Affairs--11/01/
       2024

    A letter from the Senior Advisor for Oversight, Office of 
Regulation Policy and Management, Department of Veterans 
Affairs, transmitting the Department's final rule--Outer Burial 
Receptacles (RIN: 2900-AR82) received October 11, 2024, 
pursuant to 5 U.S.C. 801(a)(1)(A); Public Law 104-121, section 
251; (110 Stat. 868); to the Committee on Veterans' Affairs.

Executive Communications 5926--Committee on Veterans' Affairs--11/01/
       2024

    A letter from the Regulations Development Coordinator, 
Office of Regulation Policy and Management, Department of 
Veterans Affairs, transmitting the Department's final rule--
Staff Sergeant Parker Gordon Fox Suicide Prevention Grant 
Program (RIN: 2900-AR16) received October 11, 2024, pursuant to 
5 U.S.C. 801(a)(1)(A); Public Law 104-121, section 251; (110 
Stat. 868); to the Committee on Veterans' Affairs.

Executive Communications 5927--Committee on Veterans' Affairs--11/01/
       2024

    A letter from the Regulations Development Coordinator, 
Office of Regulation Policy and Management, Department of 
Veterans Affairs, transmitting the Department's manual--VA 
Manual M26 3, Chapter 9: VA Purchase received October 11, 2024, 
pursuant to 5 U.S.C. 801(a)(1)(A); Public Law 104-121, section 
251; (110 Stat. 868); to the Committee on Veterans' Affairs.

Executive Communications 5928--Committee on Veterans' Affairs--11/01/
       2024

    A letter from the Secretary, Department of Veterans 
Affairs, transmitting a draft bill, the ``Veterans Health, 
Benefits and Administration Programs Act of 2025''; to the 
Committee on Veterans' Affairs.

Executive Communications 6198--Committee on Veterans' Affairs--11/26/
       2024

    A letter from the Senior Advisor for Oversight, Office of 
Regulation Policy and Management, Department of Veterans 
Affairs, transmitting the Department's final rule--Fee 
Reasonableness Reviews; Effect of Loss of Accreditation on 
Direct Payment (RIN: 2900-AR93) received November 21, 2024, 
pursuant to 5 U.S.C. 801(a)(1)(A); Public Law 104-121, section 
251; (110 Stat. 868); to the Committee on Veterans' Affairs.

Executive Communications 6199--Committee on Veterans' Affairs--11/26/
       2024

    A letter from the Senior Advisor for Oversight, Office of 
Regulation Policy and Management, Department of Veterans 
Affairs, transmitting the Department's final rule--Determining 
Eligibility for Domiciliary Care (RIN: 2900-AR61) received 
November 21, 2024, pursuant to 5 U.S.C. 801(a)(1)(A); Public 
Law 104-121, section 251; (110 Stat. 868); to the Committee on 
Veterans' Affairs.

Executive Communications 6200--Committee on Veterans' Affairs--11/26/
       2024

    A letter from the Senior Advisor for Oversight, Office of 
Regulation Policy and Management, Department of Veterans 
Affairs, transmitting the Department's final rule--Legal 
Services for Homeless Veterans and Veterans At-Risk for 
Homelessness Grant Program (RIN: 2900-AR33) received November 
21, 2024, pursuant to 5 U.S.C. 801(a)(1)(A); Public Law 104-
121, section 251; (110 Stat. 868); to the Committee on 
Veterans' Affairs.

                                  [all]