I 
119TH CONGRESS 
1ST SESSION H. R. 3643 
To amend title 38, United States Code, to improve the annual reports sub-
mitted to Congress with respect to the Veterans Benefits Administration 
and the Veterans Health Administration, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
MAY 29, 2025 
Mr. MCGUIRE (for himself and Mr. BOST) introduced the following bill; which 
was referred to the Committee on Veterans’ Affairs 
A BILL 
To amend title 38, United States Code, to improve the 
annual reports submitted to Congress with respect to 
the Veterans Benefits Administration and the Veterans 
Health Administration, and for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘VA Data Transparency 
and Trust Act’’. 
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SEC. 2. IMPROVEMENTS TO ANNUAL REPORTS ON THE VET-
ERANS BENEFITS ADMINISTRATION AND THE 
VETERANS HEALTH ADMINISTRATION. 
(a) VHA REPORT.—Section 7330B of title 38, 
United States Code, is amended to read as follows: 
‘‘§ 7330B. Annual report on Veterans Health Adminis-
tration and furnishing of hospital care, 
medical services, and nursing home care 
‘‘(a) REPORT REQUIRED.—During the period begin-
ning on the date of the enactment of the VA Data Trans-
parency and Trust Act and ending on the date that is five 
years after such date, the Secretary shall submit to the 
Committees on Veterans’ Affairs of the House of Rep-
resentatives and the Senate a report on, for the calendar 
year preceding the calendar year during which the report 
is submitted— 
‘‘(1) the furnishing of hospital care, medical 
services, and nursing home care under the laws ad-
ministered by the Secretary; and 
‘‘(2) the administration of the furnishing of 
such care and services by the Veterans Health Ad-
ministration. 
‘‘(b) ELEMENTS.—Each report required by sub-
section (a) shall include each of the following for the year 
covered by the report: 
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‘‘(1) The total number of veterans who received 
hospital care, medical services, and nursing home 
care under the laws administered by the Secretary 
furnished by the Veterans Health Administration. 
‘‘(2) Information with respect to the health sta-
tus of veterans described in paragraph (1), that in-
cludes the rate of incidence among such veterans of 
major chronic conditions, disaggregated by condi-
tion, including— 
‘‘(A) traumatic brain injury; 
‘‘(B) diabetes; 
‘‘(C) cardiovascular disease; and 
‘‘(D) cancer. 
‘‘(3) Demographic information with respect to 
such veterans, disaggregated by— 
‘‘(A) age; 
‘‘(B) period of— 
‘‘(i) active military, naval, air, or 
space service; or 
‘‘(ii) service in a Reserve component; 
and 
‘‘(C) sex. 
‘‘(4) Information with respect to furnishing of 
health care during the period covered by the report 
to— 
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‘‘(A) veterans who served on active duty 
during the Post-9/11 Global Operations period 
(as defined in section 3105 of this title), includ-
ing— 
‘‘(i) a summary of conditions the Sec-
retary determines are commonly present in 
such veterans; 
‘‘(ii) a summary of common conditions 
in such veterans that the Secretary deter-
mines have arisen since the date of the 
submission of the preceding report; 
‘‘(iii) an estimate of the number of 
such veterans that belong to a different 
priority group specified in subsection (a) of 
section 1705 of this title than on the date 
of the submission of the preceding report; 
and 
‘‘(iv) an estimate of the number of 
such veterans who are enrolled in a health 
insurance plan that is not a health insur-
ance plan under the laws administered by 
the Secretary; 
‘‘(B) veterans with mental health condi-
tions (including traumatic brain injury and sui-
cidal ideation); 
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‘‘(C) veterans with polytrauma; 
‘‘(D) veterans with spinal cord injury or 
dysfunction; 
‘‘(E) veterans with service-connected dis-
abilities, including the average cost to the De-
partment of furnishing such care to such vet-
erans; and 
‘‘(F) homeless veterans, including— 
‘‘(i) the average age of such veterans; 
‘‘(ii) estimates of the geographic loca-
tions of such veterans; 
‘‘(iii) estimates of the average dura-
tion of homelessness for such veterans; and 
‘‘(iv) the periods during which such 
veterans performed active military, naval, 
air, or space service. 
‘‘(5) Information with respect to veterans who 
received long term care under the laws administered 
by the Secretary during the period covered by the 
report, including— 
‘‘(A) the demographic information of such 
veterans, including common chronic illnesses 
present in such veterans; 
‘‘(B) the average amount of copayments 
for such long term care made by such veterans; 
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‘‘(C) a description of the types of such 
long term care; and 
‘‘(D) funding levels for State homes as of 
the date of the submission of the report. 
‘‘(6) The number of veterans who enrolled in 
the annual system for patient enrollment under sec-
tion 1705 of this title during the period covered by 
the report, disaggregated by— 
‘‘(A) priority group specified in subsection 
(a) of such section; 
‘‘(B) age; 
‘‘(C) sex; 
‘‘(D) annual income; and 
‘‘(E) enrollment in a health insurance plan 
that is not a health insurance plan under the 
laws administered by the Secretary. 
‘‘(7) With respect to veterans described in para-
graph (6), the average period of time between the 
date on which such a veteran was separated from ac-
tive military, naval, air, or space service and the ear-
lier of— 
‘‘(A) the date on which the veteran en-
rolled in such annual system for patient enroll-
ment; and 
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‘‘(B) the date on which the veteran first 
received hospital care, medical services, or nurs-
ing home care under the laws administered by 
the Secretary furnished by the Veterans Health 
Administration. 
‘‘(8) The total number of visits to facilities of 
the Department for hospital care, medical services, 
and nursing home care under laws administered by 
the Secretary. 
‘‘(9) A summary of each type of hospital care, 
medical service, or nursing home care under laws ad-
ministered by the Secretary furnished by the Vet-
erans Health Administration to veterans, includ-
ing— 
‘‘(A) inpatient care; 
‘‘(B) outpatient care; 
‘‘(C) prescription drugs; 
‘‘(D) mental health care; and 
‘‘(E) primary care. 
‘‘(10) A statement of the percentage of hospital 
care, medical service, or nursing home care under 
laws administered by the Secretary furnished by the 
Veterans Health Administration to veterans during 
the period covered by the report intended to treat— 
‘‘(A) service-connected disabilities; and 
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‘‘(ii) per priority group specified in 
subsection (a) of section 1705 of this title; 
and 
‘‘(C) the total amount so collected. 
‘‘(19) Information with respect to physicians 
employed by the Veterans Health Administration, 
that includes— 
‘‘(A) the number of such physicians who 
are full-time employees, disaggregated by— 
‘‘(i) specialty; and 
‘‘(ii) the type of medical facility where 
the physician is employed; 
‘‘(B) the average annual salary for such 
physicians, including bonuses and other pay 
awards; and 
‘‘(C) for such physicians who are primary 
care physicians— 
‘‘(i) the average number of patients, 
adjusted for patient health status, treated 
per— 
‘‘(I) week; and 
‘‘(II) calendar year; and 
‘‘(ii) the average amount of time such 
physicians spend with patients during ap-
pointments for primary care. 
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‘‘(20) Information with respect to medical pro-
fessionals employed by the Veterans Health Admin-
istration that includes a statement of— 
‘‘(A) the average number of patients such 
a medical professional treats each week; and 
‘‘(B) the average amount of time such phy-
sicians spend with patients during appoint-
ments for primary care. 
‘‘(21) An assessment of the management of fa-
cilities of Veterans Health Administration that in-
cludes— 
‘‘(A) for each medical facility under the ju-
risdiction of the Veterans Health Administra-
tion a statement of— 
‘‘(i) the date of— 
‘‘(I) the original construction; 
and 
‘‘(II) the most recent renovation 
project carried out, if applicable; 
‘‘(ii) the total square feet; 
‘‘(iii) the cost to the Department of 
regular maintenance and repairs; 
‘‘(B) for each such medical facility that 
provides inpatient care, the rate of occupancy; 
and 
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‘‘(C) for each such medical facility that 
provides outpatient care, the number of patient 
visits, disaggregated by type of health care pro-
vided at the visit. 
‘‘(22) A summary of major capital spending 
pursuant to the administration by the Veterans 
Health Administration of furnishing medical care 
and services under the laws administered by the Sec-
retary that includes a description of— 
‘‘(A) planned construction of new facilities; 
‘‘(B) planned renovation of facilities; and 
‘‘(C) any purchase of medical equipment 
that totals more than $20,000. 
‘‘(23) For each priority group specified in sub-
section (a) of section 1705 of this title— 
‘‘(A) demographic information of veterans 
that comprise each such priority group; 
‘‘(B) an assessment of the extent to which 
veterans that comprise each such priority group 
use the benefits under the laws administered by 
the Secretary for which such veterans are eligi-
ble; and 
‘‘(C) an estimate of the average cost to the 
Department of furnishing health care under the 
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laws administered by the Secretary to veterans 
that comprise each such priority group. 
‘‘(24) The percentage of hospital care, medical 
services, and nursing home care provided to veterans 
in facilities of the Department and in non-Depart-
ment facilities and any changes in such percentages 
compared to the year preceding the year covered by 
the report. 
‘‘(c) DATA SHARING SYSTEM.—(1) The Secretary 
shall develop and carry out a data sharing system to grant 
individuals described in paragraph (2) access to aggre-
gated, anonymized data with respect to veterans and indi-
viduals receiving health care furnished under laws admin-
istered by the Secretary. 
‘‘(2) An eligible individual described in this para-
graph is a researcher who meets the criteria for data secu-
rity and data protection established by the Secretary in 
regulations for the purposes of administering the data 
sharing system under paragraph (1). 
‘‘(3) In developing the data sharing system under 
paragraph (1), the Secretary shall consider the Centers 
for Medicare & Medicaid Services Qualified Entity Pro-
gram (commonly referred to as the ‘Medicare Data Shar-
ing for Performance Measurement Program’) established 
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pursuant to section 1874(e) of the Social Security Act (42 
U.S.C. 1395kk(e), 1395kk–2). 
‘‘(4) The Secretary shall ensure that data available 
through such data sharing system includes— 
‘‘(A) each type data available under the Medi-
care Data Sharing for Performance Measurement 
Program, where applicable; 
‘‘(B) data on veterans enrolled in the annual 
system for patient enrollment established under sec-
tion 1705 of this title, including— 
‘‘(i) demographic data; 
‘‘(ii) the number of veterans that comprise 
each priority group specified in subsection (a) 
of such section; and 
‘‘(iii) the number of veterans with service- 
connected disabilities, disaggregated by level of 
disability rating determined by the Secretary; 
‘‘(C) data on visits for health care under laws 
administered by the Secretary furnished at facilities 
of the Department, including— 
‘‘(i) types of health care providers fur-
nishing such health care during such visits; 
‘‘(ii) diagnostic codes associated with ill-
nesses in veterans diagnosed during the course 
of such visits; 
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‘‘(iii) with respect to such visits for out-
patient care, an identification of the date of 
such visit; and 
‘‘(iv) with respect to such visits for inpa-
tient care, an identification of the applicable ad-
mission date and discharge date; and 
‘‘(D) data on insurance claims submitted to the 
Secretary for health care furnished at non-Depart-
ment facilities, including— 
‘‘(i) provider numbers of applicable insur-
ance companies; 
‘‘(ii) payments made by the Secretary to 
veterans pursuant to such claims; and 
‘‘(iii) payments made by veterans with re-
spect to such insurance claims. 
‘‘(d) DEFINITIONS.—In this section, the terms ‘hos-
pital care’, ‘medical services’, ‘nursing home care’, ‘facili-
ties of the Department’, and ‘non-Department facilities’ 
have the meanings given those terms in section 1701 of 
this title.’’. 
(b) ADDITIONAL DATA FOR INCLUSION IN ANNUAL 
VBA REPORT.—Subchapter II of chapter 77 of title 38, 
United States Code, is amended by adding at the end the 
following new section (and conforming the table of sections 
at the beginning of such chapter accordingly): 
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‘‘§ 7735. Additional data for inclusion in annual re-
port to Congress; data sharing system 
‘‘(a) IN GENERAL.—(1) During the period beginning 
on the date of the enactment of the VA Data Trans-
parency and Trust Act and ending on the date that is five 
years after such date, the Secretary shall include in the 
Annual Benefits Report of the Veterans Benefits Adminis-
tration the following: 
‘‘(A) The number of veterans in receipt of bene-
fits under the laws administered by the Secretary, 
disaggregated by— 
‘‘(i) age; 
‘‘(ii) income level; 
‘‘(iii) period and length of— 
‘‘(I) active military, naval, air, or 
space service; or 
‘‘(II) service in a Reserve component. 
‘‘(B) A summary of the types of benefits under 
the laws administered by the Secretary furnished to 
veterans. 
‘‘(C) Demographic data with respect to veterans 
with service-connected disabilities, disaggregated by 
each schedule of disability rating specified in section 
1155 of this title, including— 
‘‘(i) age; 
‘‘(ii) sex; 
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‘‘(iii) race; 
‘‘(iv) highest level of educational attain-
ment; 
‘‘(v) period and length of— 
‘‘(I) active military, naval, air, or 
space service; or 
‘‘(II) service in a Reserve component. 
‘‘(D) A statement of the number of veterans 
with service-connected disabilities to whom the Sec-
retary assigned a disability rating different from the 
disability rating initially assigned to the veteran. 
‘‘(E) The average amount of compensation 
under chapter 11 of this title paid to veterans— 
‘‘(i) with dependents; 
‘‘(ii) in receipt of special monthly com-
pensation under subsection (r) of section 1114 
of this title; and 
‘‘(iii) with a disability rated as total by 
reason of unemployability under section 1164 of 
this title. 
‘‘(F) Data with respect to veterans with dis-
ability ratings reevaluated by the Secretary, includ-
ing— 
‘‘(i) the number of such veterans; 
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‘‘(ii) the conditions associated with such 
disability ratings; 
‘‘(iii) the number of such veterans as-
signed, pursuant to such reevaluation— 
‘‘(I) an increased disability rating; or 
‘‘(II) a decreased disability rating. 
‘‘(G) For each of fiscal years 1997 through 
2024, a statement of the number of reevaluations of 
disability ratings initiated by the Secretary. 
‘‘(H) For each condition for which a presump-
tion of service-connection is established under chap-
ter 11 of this title— 
‘‘(i) the number of veterans with such con-
dition in receipt of compensation under such 
chapter, disaggregated by each schedule of dis-
ability rating specified in section 1155; and 
‘‘(ii) the average amount of such com-
pensation paid to such veterans. 
‘‘(I) For each non-service-connected disability 
that is compensable under the laws administered by 
the Secretary, a statement of the average amount of 
compensation under chapater 11 of this title paid to 
veterans with each such non-service-connected dis-
ability. 
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‘‘(J) Data with respect to veterans in receipt of 
a pension under chapter 15 of this title, including— 
‘‘(i) 
the 
number 
of 
such 
veterans, 
disaggregated by— 
‘‘(I) age; 
‘‘(II) sex; 
‘‘(III) income level; 
‘‘(IV) period and length of— 
‘‘(aa) active military, naval, air, 
or space service; or 
‘‘(bb) service in a Reserve compo-
nent; 
‘‘(ii) the average period of time between 
the date on which such a veteran was separated 
from active military, naval, air, or space service 
and the date on which the veteran received the 
first payment of pension under such chapter; 
and 
‘‘(iii) for each of fiscal years 2000 through 
2024, the average amount of pension paid to 
such veterans. 
‘‘(K) Data with respect to individuals in receipt 
of dependency and indemnity compensation under 
chapter 13 of this title, including— 
‘‘(i) demographic data; and 
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‘‘(ii) a summary of the reasons such indi-
viduals are eligible for such dependency and in-
demnity compensation. 
‘‘(L) The number of new claims for disability 
compensation under the laws administered by the 
Secretary, and the average period of time between 
the date on which such claim was submitted and the 
date on which the Secretary issued a decision with 
respect to such claim. 
‘‘(M) The number of supplemental claims for 
disability compensation under such laws, and the av-
erage period of time between the date on which such 
claim was submitted and the date on which the Sec-
retary issued a decision with respect to such claim. 
‘‘(N) Data on the staffing levels of the Veterans 
Benefits Administration, including the number of 
full-time employees of the Veterans Benefits Admin-
istration responsible for processing such claims for 
disability compensation. 
‘‘(O) A statement, for each of fiscal years 2000 
through 2024, of the average amount of disability 
compensation under chapter 11 of this title paid to 
veterans 
with 
service-connected 
disabilities, 
disaggreated by each schedule of rating specified in 
section 1155 of this title. 
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‘‘(2)(A) The first report submitted pursuant to sub-
section (a) shall include each element specified in para-
graphs (1) through (15) of such subsection for— 
‘‘(i) the calendar year during which the first re-
port is submitted; and 
‘‘(ii) each calendar year during the five-year pe-
riod that precedes the date of the submission of the 
first report. 
‘‘(B) Each report submitted after the date on which 
the first report is submitted shall include each such ele-
ment for the calendar year during which the report is sub-
mitted. 
‘‘(b) DATA SHARING SYSTEM.—(1) During the pe-
riod the requirement under subsection (a) is in effect, the 
Secretary shall develop and carry out a data sharing sys-
tem to grant eligible individuals described in paragraph 
(2) access to individual-level, anonymized data with re-
spect to individuals in receipt of benefits furnished by the 
Under Secretary for Benefits. 
‘‘(2) An eligible individual described in this para-
graph is researcher who meets the criteria for data secu-
rity and data protection established by the Secretary in 
regulations for the purposes of administering the data 
sharing system under paragraph (1). 
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‘‘(3) Data available through such data sharing sys-
tem shall include, for each individual in receipt of benefits 
furnished by the Under Secretary for Benefits— 
‘‘(A) demographic information, including— 
‘‘(i) age; 
‘‘(ii) sex; 
‘‘(iii) race; 
‘‘(iv) period and length of— 
‘‘(I) active military, naval, air, or 
space service; or 
‘‘(II) service in a Reserve component; 
‘‘(v) branch of service in the Armed 
Forces; 
‘‘(vi) number of dependents; and 
‘‘(vii) State of residence; 
‘‘(B) information with respect to each service- 
connected disability for which the individual has 
filed a claim for disability compensation under laws 
administered by the Secretary, including— 
‘‘(i) whether such claim was— 
‘‘(I) approved by the Secretary; or 
‘‘(II) denied by the Secretary; 
‘‘(ii) the diagnostic code for the service- 
connected disability; and 
‘‘(iii) the date on which— 
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‘‘(B) each individual about whom data is avail-
able under the data sharing system is assigned a 
unique identifier for use in such data sharing sys-
tem.’’. 
Æ 
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