Lead by Example Act of 2025

This proposal would require lawmakers and their staff to get their medical care through the Department of Veterans Affairs (VA), not through the usual federal health plans or insurance exchanges. Care could be at VA hospitals or at outside clinics and hospitals the VA is allowed to use. This would start in early 2027, after the VA and federal personnel office lay out a plan to make it work .

Key points:

• Who is affected: Members of the House and Senate, Delegates, the Resident Commissioner from Puerto Rico, and congressional staff.
• What changes: Their only government-provided health coverage would be VA health care, including VA facilities and VA-authorized non-VA facilities, as if they were veterans.
• When: The switch would begin on January 3, 2027. A detailed plan is due by September 15, 2025 to prepare for the change .