The Department of Veterans Affairs is officially lifting a hiring freeze on its health care workforce, after shedding tens of thousands of positions last year.

But the VA, which saw the first-ever workforce net decrease, is unlikely to hire its way to a higher headcount than what it currently has.

A report from Democrats on the Senate VA Committee released Thursday finds VA facilities are still operating “within strict staffing caps.”

“Facility leadership in the field are still reporting denials and severe delays in hiring approvals for all positions from clinical staff to custodians to claims processors,” lawmakers wrote.

The report claims the VA lost more than 40,000 employees last year, and that 88% of them worked in health care. About 10,000 of those employees worked in frontline positions that the department has struggled to fill.

VA workforce data shows the department saw a net decrease of 3,000 registered nurses last year, a net decrease of 1,000 physicians and a net decrease of 1,550 appointment schedulers.

In a typical year, the VA’s workforce sees a net gain of about 10,000 employees. But under the Trump administration, the VA sought to eliminate 30,000 positions through attrition by the end of fiscal 2025. The department previously envisioned cutting 83,000 jobs in part through layoffs.

VA Press Secretary Pete Kasperowicz disputed several of the report’s findings. He said the VA achieved its headcount reduction goal of 30,000 employees, but didn’t lose 40,000 employees, as Senate Democrats claim. The VA also disputes the report’s claims that veterans, in some cases, are seeing longer wait times for VA mental health care appointments. 

Committee Ranking Member Richard Blumenthal (D-Conn.) told reporters in a call that the report shows a “diminished” VA that is unable to keep up with the needs of veterans.

“The loss of talent is so deeply regrettable, and the results are basically longer wait times,” Blumenthal said.

Kasperowicz said in a statement that, “while Blumenthal stages political theater, VA is making major improvements for veterans under President Trump.”

The VA fired about 2,400 probationary employees last year, but largely reduced its workforce through voluntary separation incentives.

VA workforce data shows the department made about 21,000 hires last year, offsetting the total impact of these workforce cuts.  The latest data from the Office of Personnel Management shows the VA saw a net reduction of more than 27,000 positions in 2025.

But Blumenthal said these new hires have done little to improve the VA’s capacity.

“They are not the same skilled people as have been either fired or lost because of the toxic environment that’s been created in many areas of the VA,” he said.

VA workforce data shows the department made about 21,000 hires last year, offsetting the total impact of these workforce cuts.  The latest data from the Office of Personnel Management shows the VA saw a net reduction of more than 27,000 positions in 2025 (Source: OPM)In a memo last week, VA Under Secretary for Health John Bartrum told department leaders that “all hiring freeze restrictions” still in place at the Veterans Health Administration have been lifted.

Bartrum wrote in the memo that each Veterans Integrated Service Network (VISN) “has been allocated a baseline number of positions calculated on their budgeted FTE plus anticipated needs for growth,” and that requests to exceed that headcount must be approved by the VA Strategic Hiring Committee.

“Leaders and managers must manage operational needs within their cumulative full-time equivalent (FTE) budget and position thresholds,” Bartrum wrote.

The report claims veterans are seeing longer wait times for mental health care appointments. In early January, new-patient wait times for individual mental health care appointments in 14 states exceeded 40 days — twice the wait time threshold that allows veterans to seek treatment outside the VA’s health care network. Those states include California, Colorado, Connecticut, Iowa, Idaho, Kansas, Maryland, Maine, North Carolina, North Dakota, Nebraska, New Hampshire, New Mexico, and Virginia. According to the report, the national mean for new patients to sign up for individual mental health care appointments is 35 days.

However, Kasperowicz said VA data shows wait times for mental health care were under six days for established patients, and 19 days for new patients. 

The VA eased requirements for veterans to seek care from non-VA “community care” last year, and has increased spending on community care. The department is embarking on a $1 trillion next-generation community care contract, one of the largest government contracts in U.S. history.

House VA Committee Chairman Mike Bost (R-Ill.) said in a hearing Thursday that the contract, “if done properly,” would give the VA “unprecedented flexibility” to award contract and task orders that would lead to better health care outcomes for veterans.

In their report, Senate VA Committee Democrats found the VA last year cancelled about 2,000 contracts and let another 14,000 expire without plans to renew or replace those services.

VA Secretary Doug Collins has repeatedly defended his plans for a smaller workforce. He told lawmakers last May that increased staffing hasn’t always led to better outcomes for veterans.

Last year, the department decreased its backlog of benefits claims by nearly 60% despite a net decrease of about 2,000 VA claims processors.

Kayla Williams, a former VA assistant secretary and a senior advisor for the Vet Voice Foundation, said the department reduced the initial claims backlog, but has grown the volume of claims requiring higher-level review.

“These actions were never about efficiency or cost savings,” Williams said.

The VA anticipated a spike in the backlog after Congress passed the PACT Act, making more veterans eligible for VA health care and benefits, because they were exposed to toxic substances during their military service.

Lindsay Church, the executive director of Minority Veterans of America, said 1.2 million veterans have lost their VA providers under the Trump administration.

“Clinics can’t keep care teams staffed. Appointments are being canceled or delayed, and veterans who rely on consistent, trauma-informed care are being forced into instability and pressured into community care. Mental health access, which has always been a crisis for our community for decades, has deteriorated rapidly,” Church said.

Mary Jean Burke, the first executive vice president of the American Federation of Government Employees National VA Council, said that by the end of 2026, most VA facilities are on track to lose about 2-5% of their psychologists — and that locations, including Seattle and Buffalo, are on track to see “double-digit” attrition.

Burke said VA health care employees have left because the VA has slashed jobs, stripped away remote work and telework, and brought staff back into “overcrowded” spaces.

“These punishing policies haven’t just lowered morale, they end up compromising the quality of care we provide,” Burke said.

Collins is scheduled to testify before the Senate VA Committee next Wednesday, in a hearing about the department’s ongoing reorganization efforts.

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A bipartisan group of lawmakers wants the Defense Department and the Department of Veterans Affairs to use a single credentialing and privileging system for medical providers, which would allow clinicians to move between DoD and VA facilities without having to go through months-long approval processes.

Currently, the DoD and the VA rely on separate credentialing and privileging systems to approve their clinicians. But those approvals don’t transfer between the two agencies, forcing providers who switch facilities to restart the approval process from the beginning. The process can take several months, during which clinicians are unable to see patients, which delays access to care and leaves facilities understaffed.

The legislation, introduced by Sens. Jacky Rosen (D-Nev.) and Marsha Blackburn (R-Tenn.), would require DoD and VA to provide Congress with a report on the medical provider credentialing and privileging systems they currently use. The report would assess what data each system stores, how portable provider’s credentialing and privileging information is, how interoperable the systems are and where gaps or limitations exist in their interoperability. It would also require recommendations for scaling those systems with the goal of establishing a single, uniform credentialing and privileging system across both departments.

Under the bill, the Pentagon and the VA would have to jointly select a single credentialing and privileging system by January 2027 and notify Congress that the system is operational by 2028.

“Health care providers shouldn’t be hindered by bureaucratic red tape when caring for the men and women who have bravely served our nation. Our bipartisan legislation would end unnecessary duplication so that medical providers can move between the DoD and VA more quickly, ensuring service members and veterans get the high-quality care they need without delay,” Blackburn said in a statement. 

The credentialing process ensures that providers treating service members and veterans meet required qualifications. Meanwhile, privileging determines the medical services a provider can deliver based on their qualifications and experience.

Reps. Greg Murphy (R-N.C.) and Susie Lee (D-Nev.) introduced a companion bill in the House titled the “Department of Defense and Department of Veterans Affairs Medical Credentialing Integration Act of 2025.”

“This legislation is a strategic opportunity for the advancement of healthcare priorities throughout the federal sector healthcare system that strengthens workforce recruitment and retention, refines effective government health agency practices and provides for service members and veterans, all while safeguarding and better utilizing Americans’ hard-earned tax dollars,” Murphy said in a statement. 

It is unclear what strategy the lawmakers plan to pursue — while it’s a bipartisan effort, standalone bills often face political hurdles, and lawmakers frequently try to attach such proposals to larger legislative packages like the annual National Defense Authorization Act to increase their chances. 

The DoD only recently streamlined its privileging process, which now allows medical providers to move between military treatment facilities with minimal administrative delays. 

As of October, providers no longer have to reapply for their clinical privileges when moving within the enterprise, including across stateside and overseas military hospitals and clinics.

“Health care providers should be able to focus on their patients. With portable privileges, they can do so more quickly,” Stephen Ferrara, acting assistant secretary of defense for health affairs, said in a statement. “Enterprise-wide privileging is just one of many efforts to make the Military Health System more agile. Previously, our health care providers renewed their privileges every two years. With this expanded policy, we have extended the renewal window to three years to reduce their administrative load.” 

The Military Health System said the process of obtaining clinical privileges remains the same under the new policy.

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