VISN Reform Act of 2025

Improved Health Care Delivery: The Secretary must use national metrics to develop systems for effective, efficient, and safe health care delivery that is highly satisfactory to patients and families (Section 2(a)(c)(3)).

Increased Alignment of Services: Employees, services, and programs must be aligned with the mission of the Department and the specific health care requirements of the veterans in each specific network (Section 2(a)(b)).

Local Collaboration: The bill encourages the Secretary to assess the consolidation or realignment of functions in collaboration with local offices, such as the Veterans Benefits Administration, the National Cemetery Administration, and State/local agencies (Section 2(a)(e)(2)).

Care Continuity for Professionals: Licensed healthcare professionals at VISN headquarters may be offered the opportunity to transfer to positions providing direct patient care or clinical support without loss of pay or benefits (Section 2(a)(f)(3)(C)(ii)).

Workforce Reductions: The Secretary must develop a plan for the "right-sizing" of the workforce at VISN headquarters, which includes identifying and potentially implementing workforce realignments, reassignments, or separations (Section 2(a)(f)(3)(B)(iv)).

Strict Staffing Limits: Headquarters offices are restricted to no more than 50 full-time employees, with no more than 10 of those being contractors (Section 2(a)(f)(2)(A)).

Organizational Changes: The bill requires the geographic realignment and combination of existing Veterans Integrated Service Networks into a new eight-network structure (Section 3).