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Senate-passed spending deal sets VA staffing targets amid reorganization

A Senate-passed spending plan to end the longest government shutdown includes bills that would keep the Department of Veterans Affairs funded through the rest of the fiscal year.

The fiscal 2026 spending bill β€œminibus” passed by the Senate on Monday gives the VA $133 billion in discretionary spending β€” about a 3% increase compared to last year.

The Senate also approved FY 2026 funding for the Agriculture Department, military construction and the legislative branch.

Lawmakers have included several provisions to ensure the VA doesn’t shed too many employees, as part of its ongoing agency reorganization plans.

The VA previously planned to eliminate 83,000 positions this year. Those plans involved cutting 20,000 clinical staff from the Veterans Health Administration, including nurses and other frontline medical staff.

The department, however, scrapped plans for a department-wide reduction in force, and instead planned toΒ eliminate 30,000 positions by the end of fiscal 2025, largely through attrition.

The spending bill gives the VA 90 days to provide the House and Senate appropriations committees with a staffing model β€œthat will ensure timely, high-quality delivery of healthcare, benefits, and other services.”

β€œThe department is directed to maintain staffing levels to facilitate the department’s own goals,” lawmakers wrote.

On the health care side of VA’s operations, those targets include veterans waiting no longer than 20 days for primary and mental health care appointments, and no more than 28 days for specialty care appointments. The Veterans Benefits Administration must also ensure that it has enough employees to adjudicate benefits claims within 125 days.

The spending bill specifically bars the VA from reducing staffing levels, hours of operation or services at the Veterans Crisis Line or any of its other suicide prevention programs.

Former VCL employees told the Senate VA Committee this summer that hotline employees are often overwhelmed juggling multiple incoming texts and web chats.

Lawmakers wrote that the Veterans Crisis Line β€œis often the first place a veteran will turn to in a moment of crisis,” and that they are β€œconcerned about the continued functionality, accessibility, and performance of the VCL.”

The VA must also provide the House and Senate appropriations committees with an update on VCL staffing levels and capacity to respond to incoming calls. The report must also include call answer rates, average wait times and referrals to suicide prevention coordinators.

The spending bill also prohibits the VA from terminating any contract over $10 million, unless the VA provides advanced notice to the House and Senate committees, explaining how the department plans to replace the services in the contract targeted for elimination, and whether ending the contract would result in any change in the VA’s staffing levels.

VA gets billions to resume EHR rollout

The Senate-passed spending bill would give the VA $3.4 billion to resume the rollout of its new Electronic Health Record.

The funds will go toward deploying the new EHR to 13 new locations in 2026, as well as β€œoptimization” of the six sites already using the new EHR.

The VA paused its EHR deployment schedule in April 2023, and used the β€œreset” period to address problems at sites already using the system.

The department currently plans to roll out the new EHR to 27 sites in 2027, but it’s still far away from fully deploying the new system to about 170 VA medical centers across the country.

The Defense Department completed its own rollout of the same health record system last year.

Lawmakers are holding onto nearly a third of the EHR modernization funds until July 2026 and will only release the money once the VA has demonstrated that the project is back on track.

Congress will release 30% of the EHR modernization funds to the VA once it has certified that it has seen β€œat least four consecutive successful site deployments without any incidents of a delay in care or patient harm.”

To receive these funds, the VA must also give Congress an updated lifecycle cost estimate for the new EHR, a facility-by-facility deployment schedule, projected staffing levels and whether sites already using the new EHR are meeting baseline productivity targets.

VA’s EHR deployment plans for fiscal 2026 focus on medical facilities in Michigan, Ohio and Indiana β€” although go-lives are also planned in Kentucky and Alaska that year.

Lawmakers wrote that they are β€œencouraged by deployment activities” at some of the 2026 EHR sites. However, they wrote that β€œCongress remains vigilant of potential usability problems that have led to or contributed to instances of patient harm and reduced employee productivity.”

The post Senate-passed spending deal sets VA staffing targets amid reorganization first appeared on Federal News Network.

Β© AP/Pablo Martinez Monsivais

Veteran Affairs building near the White House in Washington, Feb. 14, 2018. An internal watchdog's investigation has found that Veterans Affairs Secretary David Shulkin improperly accepted Wimbledon tennis tickets and likely wrongly used taxpayer money to cover his wife's airfare for an 11-day European trip. (AP Photo/Pablo Martinez Monsivais)
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