YourVoice.Now Summary
Your MoneyWorkers & JobsTransparency & AccountabilityUrgent VA care would have to happen within 48 hours, with new VA payments for harm done by VA-paid private doctors.
Your Money
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.
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.
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.
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.
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.
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
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.
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.
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.
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.
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.
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
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.
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.
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.
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.
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.
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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