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S-4744Senate2026-06-10Armed Forces and National Security

Take Care of America’s Veterans Act

YourVoice.Now Summary

Your MoneyWorkers & JobsCivil LibertiesCorporate BenefitsTransparency & AccountabilityTargeted & Unrelated Provisions

Combat-injured retirees could draw both retired pay and VA disability — but new sleep apnea and tinnitus claims would rate lower.

Your Money

Combat-injured retirees — Retired pay and disability pay both allowed from 2027

Service members medically retired for a combat-related injury now lose part of their retired pay if they also draw VA disability. Section 101 ends that offset for payments starting January 1, 2027.

Remarried surviving spouses — Survivor payments and TRICARE no longer cut off

Today a surviving spouse who remarries before age 55 loses dependency and indemnity compensation and the military survivor annuity. Section 102 keeps both, adds TRICARE for widows and widowers whose later marriage ended, and restarts stopped annuities one year after the law takes effect.

Severely disabled veterans — Extra $833.33 a month starting December 2026

Veterans who already draw the aid and attendance allowance because they need help with daily tasks would get $833.33 more each month. The added payment starts December 1, 2026.

Survivor payment raises — Set at Social Security increase plus one percent

Survivor payments would rise each year by whatever Social Security rises, plus one extra percentage point. The extra point applies to only the first three yearly increases, starting December 2026.

ALS survivors — Higher payments no matter how long the illness lasted

The higher survivor rate now requires the veteran to have been totally disabled for a set stretch of time before death. Section 103 drops that waiting rule for deaths from ALS, reaching back to deaths on or after October 1, 2022.

Guard and Reserve home loans — Eligibility backdated to September 11, 2001

Drill weekends, annual training, and full-time National Guard duty would count toward VA home loan eligibility, reaching back to service on or after September 11, 2001. Members with at least 14 days of active duty could also qualify, for an extra 1 percent loan fee.

Apprenticeship payments — First-year rate rises from 80% to 100%

Veterans using GI Bill benefits for a full-time apprenticeship or on-the-job program get a reduced payment in the first year. Section 210 raises that first-year rate to the full amount.

Late provider bills barred — Community providers who file late cannot bill you

Providers who treat veterans outside the VA would get one year to send the VA their claim. If they miss that deadline, section 605 bars them from billing the veteran instead.

Free overdose rescue medicine — Any veteran may get naloxone, one-year test

A one-year pilot would hand out naloxone free to any veteran who asks, with no proof of veteran status needed beyond a signed statement. Sites would be picked where overdose risk among veterans is highest.

Sleep apnea ratings — New claims need worse symptoms for higher pay

A new rating table would give 0 percent when treatment works, 10 percent when relief is partial, 50 percent only when treatment fails, and 100 percent only with organ damage. It applies to claims filed after the law takes effect, and ratings already in place are protected.

Tinnitus ratings — Separate pay ends unless hearing loss is present

Ringing in the ears would no longer earn its own payment on new claims. A 10 percent rating stays only when tinnitus is tied to service-connected hearing loss that pays nothing on its own. Ratings already in place are protected.

Some VA home loan fees — Two would rise

Section 104 raises two lines in the VA home loan fee table. One goes from 0.50 percent of the loan to 1.42 percent, and the other from 0.50 percent to 1.0 percent. The fee is charged when the loan closes.

Workers & Jobs

VA layoff notice — Sixty days' warning required before any job cuts

The VA would have to tell Congress and each affected worker 60 days before a reduction in force. A layoff carried out without that notice would have no effect on the worker until the VA follows the rule.

Telework rule changes — Ninety days' notice before any policy change

The VA would have to write a telework policy within 180 days, tell workers and Congress before changing it, and wait 90 days for any change to take effect.

Clinician education costs — VA repays up to $1,000 each year

Doctors, nurses, psychologists, social workers, pharmacists, and other VA clinicians could claim up to $1,000 a year for continuing education. No more than 50,000 people a year may be paid, and direct-care staff come first.

Caregiver job help — License fees repaid, up to $1,000 for life

Family caregivers in the VA's primary caregiver program could get the fees for their licenses and credentials paid back, plus free VA training and job placement help. The help continues for 180 days after they leave the program.

Civil Liberties

Class actions for veterans — Court may hear claims as one group

The Court of Appeals for Veterans Claims would gain power to hear class requests covering claims still pending at the VA. The Board of Veterans' Appeals could also group appeals that raise the same legal question, for three years.

Missed exam denials barred — Skipping an appointment cannot sink your claim

The VA could no longer turn down a benefits claim only because the veteran did not show up for a VA medical exam. The VA could still deny the claim on the evidence.

Military sexual assault claims — VA must explain needed proof before denying

Before turning down one of these claims, the VA would have to tell the veteran what evidence would back it up and give them a chance to send it. Specially trained teams would handle every such claim.

Health data consent — Written consent required before outside groups see records

A pilot would connect veterans to housing, food, and legal help through outside organizations. Those groups could not see a veteran's personal or health information without written permission, and only for the service the veteran asked for.

Overdose medicine records shielded — Cannot be used against your job

Information the VA collects while handing out free naloxone could not be used to block a veteran from work, or as proof of drug use or addiction. Only what is needed to prescribe the medicine may be collected.

Corporate Benefits

No-bid space deals — VA may rent from partner hospitals without competition

Section 652 lets the VA buy space or building services from an affiliated medical school or hospital without competitive bidding. Multi-year deals must still be paid from money Congress provides each year.

Fraudulent-claim providers — VA may suspend them from treating veterans

If the VA finds reliable evidence that a provider sent a false claim, it could suspend them from treating veterans after 30 days' notice and a chance to respond. Suspensions would be reported to Congress every three months.

Barred health companies — VA must drop contractors excluded or convicted

The VA would have to end outside-care contracts with firms banned from Medicare or Medicaid, listed as barred federal contractors, or convicted of a felony. The Secretary could waive this for one year and must tell Congress.

Transparency & Accountability

Public assault claims dashboard — Updated monthly on the VA website

The VA would post an interactive dashboard on military sexual trauma claims: how many are filed, how long they take, how often they are approved, and the most common reasons for denial. It refreshes at least every 30 days.

Public staffing vacancy data — Updated quarterly, broken down by hospital

The VA's public staffing website would have to show, every three months and by medical center or regional office, how many jobs are being recruited and at what stage, plus how many empty jobs the VA has no plan to fill.

Residential mental health waits published — Posted monthly on a public site

The VA would track bed openings and wait times for residential mental health and substance use programs at every VA and outside facility, and publish that data at least once a month.

Records for Congress protected — Officials may not screen, delay, or alter them

Three sections bar VA staff from filtering what Congress asks for: on VA-Defense health sharing, on construction projects and leases, and on budget answers. The VA could not hold back construction records by calling them predecisional, or demand a nondisclosure agreement.

Independent VA health panel — Seventeen experts named by the GAO head

A new commission, picked by the head of the Government Accountability Office and including at least two veterans, would review VA wait times, care quality, staffing, and budget, and report to Congress by March 15 each year. It ends September 30, 2032.

Care access limits need Congress — Changes require a vote after eight years

The drive-time and wait-time limits written into law would expire eight years after the law takes effect. After that the VA could not set different limits unless Congress passes a joint resolution approving them.

Targeted & Unrelated Provisions

New Hampshire hospital project — $1.18 billion for one Manchester replacement

Section 331 names one site: a replacement medical center, central utility plant, community living center, and rehab facility in Manchester, New Hampshire. It is the single largest dollar line in the bill, and the VA could skip a rule that another federal agency manage the project.

Overseas Jewish grave markers — $500,000 a year for five years

About 900 Jewish service members killed in the world wars were buried overseas under Latin crosses by mistake. A separate agency, the American Battle Monuments Commission, would pay a nonprofit $500,000 a year for five years to find them and reach their families.

More about this bill

Combat-injured service members who were medically retired could collect both their military retired pay and their VA disability pay. Today most of them lose one to offset the other. The change would start January 1, 2027. Veterans who need daily help with basic tasks would get an extra $833.33 a month from December 2026. Surviving spouses who remarry would keep their survivor payments, their military annuity, and TRICARE. Spouses of veterans who died of ALS would qualify for the higher survivor rate. Some benefits would get tighter. On new claims, sleep apnea would rate 50 percent only when treatment fails, and 100 percent only with organ damage. Tinnitus would no longer earn its own payment unless it comes with hearing loss. Ratings already in place would not be cut. Two VA home loan fees would rise, one from 0.50 percent to 1.42 percent. Guard and Reserve members would gain home loan eligibility, backdated to September 11, 2001. The bill writes rules for care outside the VA into law. You would be offered a private provider if the VA cannot see you within 20 days. The same offer applies if primary or mental health care would need a 30-minute drive. For specialty care the limits would be 28 days and a 60-minute drive. Those limits would expire after eight years unless Congress votes to keep them. Outside providers who bill the VA late could not turn around and bill you. Naloxone, the overdose rescue medicine, would be free to any veteran during a one-year test. VA staff would get 60 days' notice before any layoff, and a layoff without notice would not count. The VA would have to post job vacancy counts by hospital every three months. A new 17-member panel, chosen by the head of the Government Accountability Office, would review VA health care and report to Congress each March. The bill also spends $500 million on VA technology and $1.18 billion to replace the Manchester, New Hampshire medical center.

Congressional Summary

Take Care of America's Veterans ActThis bill addresses veterans’ benefits, health care, counseling, Department of Veterans Affairs (VA) personnel, VA infrastructure, and the Veterans Community Care Program (VCCP).The bill modifies various compensation programs for veterans, including by (1) allowing concurrent receipt of disability compensation and military retired pay for certain retirees with a combat-related disability, (2) extending entitlement for various benefits and services to remarried surviving spouses, (3) increasing the rate of dependency and indemnity compensation, and (4) establishing a supplemental monthly allowance for certain disabled veterans.The bill also addresses VA education and training benefits, including by (1) modifying which independent study programs are covered under veterans’ educational assistance benefits, (2) requiring Transition Assistance Program counseling to include a presentation about VA benefits, and (3) increasing the housing allowance rate for individuals pursuing apprenticeships.The bill revises health care provisions, including by (1) expanding support and assistance provided to family caregivers, (2) extending the Staff Sergeant Parker Gordon Fox Suicide Prevention Grant Program, and (3) expanding the scope of VA mental health research.Among other elements, the billrevises VA disability ratings for sleep apnea and tinnitus;expands eligibility for a memorial headstone or marker for the spouse, surviving spouse, child, or dependent of a veteran or member of the Armed Forces;addresses the administration of the VCCP and codifies the eligibility standards;establishes a standardized screening process for priority or routine admission to certain mental health care programs; andaddresses VA personnel, hiring, and infrastructure matters.

Details

Congress
119th
Chamber
Senate
Status
summarized
Action
Introduced in Senate
Action Date
2026-06-10
Date Added
2026-07-14
Source
Congress.gov →

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