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S-3466Senate2025-12-11Armed Forces and National Security

Honor Our Promise to Veterans Act of 2025

YourVoice.Now Summary

Your MoneyWorkers & JobsTransparency & Accountability

Urgent VA care would have to happen within 48 hours, with new VA payments for harm done by VA-paid private doctors.

Your Money

Urgent VA care within 48 hours — non-urgent visits scheduled in seven days

Section 101 would put deadlines on VA scheduling. Urgent visits would have to happen within two days. Other visits would have to be booked within a week of the ask.

No bills from late-filing providers — they get one year to charge VA

Section 111 would give private providers one year to send VA a claim. A provider that misses the deadline could not turn around and bill the veteran instead.

VA payments for harm by private doctors — negligence or unforeseeable injury

Section 126 would extend an existing VA benefit to community care. Veterans hurt by a VA-paid provider's mistake could draw disability payments. Survivors could draw payments after a death.

Providers trained on military sexual trauma — public list updated weekly

Section 112 would create an MST Aware rating for private providers. To earn it, they would finish VA training on military sexual trauma and on care for women veterans. The firms that run VA's networks would post who holds the rating.

Fewer private telehealth options — allowed only when VA telehealth is slower

Section 102 would limit when a veteran can use telehealth from a VA-paid private provider. It would be allowed only when VA has no telehealth for that need. It is also allowed when VA's wait is longer, or when the veteran already sees that provider in person.

Court awards cut by VA payments — for the same injury

The same section would subtract VA's payment from any court award the veteran wins against that provider. In practice the provider would owe the veteran less.

Workers & Jobs

Telework becomes the default at VA — policy due within 180 days

Section 216 would make telework the standard for VA employees. Jobs that must be done on site would be exempt. The policy would override conflicting White House or VA memos.

Pharmacist executive bonuses — cap rises from $40,000 to $100,000

Section 202 would raise the yearly limit on incentive pay for VA pharmacist executives. Recruiting and retention bonuses would no longer count against that limit.

VA police get law enforcement retirement — five years to claim past service

Section 211 would treat VA police like other federal police for retirement. Officers already on the job would have five years to ask that past service count. Full credit may cost them a payment into the fund.

New VA scholarships for scheduling staff — up to $20,000 a year

Section 221 would pay tuition for medical support assistants. Those are the staff who book visits and handle records, and they need two years at VA first. Section 222 would add a second program for building trades.

Student loan payoff for new hires

The same program would pay off up to $40,000 in student loans for people hired into those scheduling jobs. They would have to stay three years or pay part of it back.

VA hiring steps approve themselves — after five business days overdue

Section 214 would set a time limit on each step of VA's hiring approvals. If an approver runs five business days late, the step counts as approved.

Transparency & Accountability

Wait and drive times published — website updated every week

Section 103 would require VA to tell a veteran the wait and drive time for each way of getting a visit. The same figures would go on VA's public Access to Care site, with ten years of history.

Smaller budget requests must be justified — unfunded projects named each year

Section 316 would authorize about $125 billion for VA buildings through 2037. If a President's budget asks for less, VA would have to give a written reason. It would also list the projects left unfunded.

Inspector General can audit private clinics — unannounced, no subpoena needed

Section 117 would let VA's Inspector General audit any clinic or firm treating veterans under VA programs. Auditors could arrive unannounced and ask for records without a subpoena.

VA job vacancies posted publicly — updated quarterly by facility

Section 231 would expand VA's public staffing website. It would show open jobs by hospital and by stage of hiring, plus posts nobody has started filling.

Dialysis care review with penalties — public report within 18 months

Section 125 would have the Inspector General publish a review of dialysis care within 18 months. If violations are still open a year later, VA would have to fine the provider until they are fixed.

Ten-year expiration on new scholarships — Congress must vote to renew

The Start and Stay and Build and Maintain programs would both end ten years after the law passed. Congress would have to pass a new law to keep them going.

More about this bill

Veterans would get faster VA appointments under this measure. Urgent care would have to happen within 48 hours. Other visits would have to be booked within seven days of a request, though the visit itself could come later. Before picking an option, a veteran would be told the wait time and drive time for each one. These scheduling rules would start 180 days after the bill became law. Veterans harmed by a private doctor paid by VA could get VA disability payments for that injury. Families could get payments if the veteran died. Any court award won against that doctor would be reduced by what VA paid. Private providers would get one year to bill VA, and could not bill the patient after missing that deadline. Veterans could use private telehealth only when VA telehealth is slower or not offered. VA staff would see several changes. Telework would become the default, with exceptions for jobs that must be done on site. VA police would earn federal law enforcement retirement. Bonuses for pharmacist executives could reach $100,000, up from $40,000. Scheduling staff could get up to $20,000 a year for school. New hires in those jobs could get up to $40,000 toward student loans for a three-year commitment. About $125 billion would be authorized for VA buildings from 2026 through 2037. That money covers major and minor construction plus grants for state veterans' nursing homes. If a President asked for less, the budget would have to say why and name the projects left unfunded. The VA Inspector General could audit private clinics that treat veterans, including unannounced visits.

Congressional Summary

Honor Our Promise to Veterans Act of 2025 This bill addresses the provision of care at the Department of Veterans Affairs (VA), including regarding scheduling, non-VA provider requirements, staffing, and infrastructure. Regarding scheduling, the VA must (1) ensure appointments for urgent and nonurgent care for veterans are scheduled within certain time frames, and (2) provide information about driving and wait times for care at VA facilities, Veteran Community Care Program (VCCP) facilities, and via telehealth. The bill also addresses requirements for non-VA providers under the VCCP, including by (1) extending the time limit for providers to submit claims to the VA for payment, (2) requiring certain training relevant to veterans, and (3) authorizing the Office of Inspector General of the VA to audit entities providing care under the VA’s authority. The bill provides compensation for veterans who are disabled or die due to VCCP hospital care, medical services, or extended care services. The bill addresses VA staffing matters, including by (1) removing the cap on pay limitation waivers for critical health care personnel, (2) offering certain retirement benefits to VA police officers, (3) requiring the VA to establish a telework policy, and (4) establishing scholarship programs for certain individuals in medical or infrastructure programs who commit to a period of obligated service at the VA. The VA must also address infrastructure matters, including by (1) authorizing funding for certain land acquisitions for medical facilities, and (2) requiring the VA to develop performance metrics for capital asset management programs.

Details

Congress
119th
Chamber
Senate
Status
summarized
Action
Introduced in Senate
Action Date
2025-12-11
Date Added
2026-04-30
Source
Congress.gov →

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