What does Preamble of VISN Reform Act of 2025 do?

This bill proposes to amend title 38, United States Code. The proposed amendments aim to improve the administration of Veterans Integrated Service Networks. The Secretary of Veterans Affairs will be responsible for administering the laws under which these improvements are made.

What does SHORT TITLE. of VISN Reform Act of 2025 do?

This bill is formally titled the VISN Reform Act of 2025.

What does ADMINISTRATION OF VETERANS INTEGRATED SERVICE NETWORKS. of VISN Reform Act of 2025 do?

This section amends chapter 73 of title 38, United States Code, by adding section 7305A concerning Veterans Integrated Service Networks (VISNs). The Secretary of the Department of Veterans Affairs shall organize the Veterans Health Administration into eight geographically defined VISNs. Each VISN must align its employees, services, and programs with the Department's mission and the healthcare needs of veterans in its area. VISNs are required to maintain a regional integrated healthcare system through agreements with other healthcare organizations. The Secretary must identify and reduce duplicated functions within the Veterans Health Administration. VISN Directors are responsible for enforcing Department policies and standards within their geographic area. Each VISN shall have only one headquarters office, co-located with a Department medical center, with a maximum of 50 full-time employees. Within 180 days of enactment, the Secretary must develop a plan to reorganize VISN headquarters workforce to comply with the employee limitation. The Secretary must conduct a triennial review and assessment of the VISN structure and operations.

What does CONSOLIDATION OF VETERANS INTEGRATED SERVICE NETWORKS. of VISN Reform Act of 2025 do?

This section directs the Secretary of Veterans Affairs to realign and combine Veterans Integrated Service Networks (VISNs). The realignment must occur no later than one year after the Act's enactment. VISNs 1, 2, and 4 are to be combined into a single VISN. VISNs 5, 6, and 9 are to be combined into a single VISN. VISNs 10, 12, and 23 are to be combined into a single VISN. VISNs 7, 8, and 16 are to be combined into a single VISN. VISNs 15 and 19 are to be combined into a single VISN. VISNs 17 and 22 are to be combined into a single VISN. VISNs 20 and 21 are to remain as single VISNs.

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VISN Reform Act of 2025

Last updated: 3/18/2026 · Introduced: 12/16/2025

Author: Mike Bost (R-IL)

TL;DR (AI)

This bill reorganizes the Department of Veterans Affairs' Veterans Integrated Service Networks (VISNs) into eight geographically defined networks, aligning their operations with the Department's mission and veteran healthcare needs.
The bill mandates the consolidation of several VISNs, combining VISNs 1, 2, and 4; 5, 6, and 9; 10, 12, and 23; 7, 8, and 16; 15 and 19; and 17 and 22, while leaving VISNs 20 and 21 as single networks.
The Secretary of Veterans Affairs must reduce duplicated functions within the Veterans Health Administration, limit VISN headquarters staff to 50 employees, and conduct triennial reviews of the VISN structure.

119th Congressin committeeOfficial page

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Other Sections

Includes provisions on preamble, short title., and 2 more.

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