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Adds a new subparagraph (C) to 38 U.S.C. 1703(m)(1) requiring that the annual review include specified metrics about requests for care or services.
Amend subsection (d)(1): adjust punctuation in subparagraphs (D) and (E) and add new subparagraph (F) establishing eligibility for residential mental health or substance-use services when the covered veteran meets VA priority admission criteria for a Mental Health Residential Rehabilitation Treatment Program and VA cannot accommodate such admission, or when the veteran requests such services and VA cannot furnish them in a manner that complies with the Department's access standards for specialty care.
Adds two new paragraphs, (3) and (4), to subsection (n) of 38 U.S.C. 1703.
This bill makes it easier for veterans to get timely mental health and substance-use treatment in their community when the VA can’t provide it fast enough. If a veteran qualifies for priority admission to a VA residential program but the VA can’t fit them in, or can’t meet access standards, the veteran can go to a licensed, accredited community facility instead. The VA can’t force a referral to another VA facility if that would delay care, unless the veteran asks for that option. Veterans get to choose among available options. The VA also can’t deny community care just because local providers are struggling to meet wait-time targets. Community programs must meet state licensing and national accreditation standards, though the VA may waive this on a case-by-case basis if it’s in the veteran’s best interest and no other option exists .
Within 90 days, the VA must update its rules so mental health access under community care is no more restrictive than other specialty care. The VA must publish yearly numbers on community care requests, approvals, denials, appeals, mental health requests, and emergency care details. Any future VA move to tighten community care access won’t take effect unless Congress approves it. The bill’s findings stress faster access to in-person care and more choice for veterans, noting ongoing suicide concerns and that no veteran should wait 30 days for mental health approval .
Read twice and referred to the Committee on Veterans' Affairs.
Introduced May 22, 2025 by Steve Daines · Last progress May 22, 2025
Read twice and referred to the Committee on Veterans' Affairs.
Introduced in Senate