VISN Reform Act of 2025

The VISN Reform Act of 2025 reorganizes the Veterans Health Administration’s 23 regional networks (VISNs) into eight geographically defined networks. It requires consolidating specific existing VISNs (e.g., combining VISNs 1, 2, and 4 into one network) and limits each VISN headquarters to 50 employees (no more than 10 contractors). The bill mandates a reorganization plan within 180 days of enactment, focusing on reducing duplicate functions, aligning services with veteran needs, and ensuring headquarters staff do not reduce access to care. This directly affects VA healthcare operations, including facility management, staffing at VISN headquarters, and coordination with state/local veteran services. The reform aims to streamline administration while maintaining accountability through annual reports to Congress and triennial network reviews.