Allows the Department of Veterans Affairs to continue using contract health care professionals to perform medical disability exams by extending the temporary authority through January 5, 2031, and updates language to use “health care professionals.” It also requires the VA Secretary to send a detailed report to the congressional Veterans’ Affairs committees within 15 months describing how the authority was used, with counts, costs, error rates, and a corrective plan if misuse is found.
Replaces paragraph (2) of subsection (c) of section 504 of the Veterans’ Benefits Improvements Act of 1996 with a new definition of “health care professional.” The new definition says a health care professional is a person who (A) is eligible for appointment to a position in the Veterans Health Administration covered by 38 U.S.C. 7402(b), (B) has a current and unrestricted license to practice the profession, (C) is not barred from practicing that profession in any State, and (D) is performing authorized duties for the Department under a contract entered into under subsection (a).
Changes the sunset date that limited the temporary amendments made by the 2020 Act. The prior text that set the sunset as “the date that is five years after the date of the enactment of this Act” is replaced with an explicit date: January 5, 2031.
Conforming amendment: replaces the phrase “physicians assistants, nurse practitioners, audiologists, and psychologists” with the term “health care professionals.”
Requires the Secretary of Veterans Affairs to submit a report to the Senate and House Committees on Veterans’ Affairs not later than 15 months after the date of enactment. The report must cover the one-year period after enactment and include: (1) number of examinations done under the contract authority; (2) cost, timeliness, and legal adequacy of those examinations, disaggregated by health care professional and by contract; (3) number of such examinations in each State, DC, and US territory; (4) counts of each kind of health care professional who conducted the examinations; (5) number of examinations erroneously conducted by a health care professional (A) without such a contract or (B) who was unauthorized to enter into such a contract; and (6) the Secretary’s plan to correct errors in the use of the authority.
Who is affected and how:
Overall impact: The bill is primarily administrative and oversight-focused. It prolongs an existing temporary contracting option while strengthening reporting requirements to detect misuse, control costs, and drive corrective actions. Short-term effects include continued contractor use and increased VA reporting; longer-term effects depend on findings in the required report and any follow-on legislative or administrative actions.
Last progress September 16, 2025 (4 months ago)
Introduced on June 12, 2025 by Juan Ciscomani
Passed/agreed to in House: On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote. (text: CR H4289: 1)
Received in the Senate and Read twice and referred to the Committee on Veterans' Affairs.