PolicyBrief
H.R. 3643
119th CongressMay 29th 2025
VA Data Transparency and Trust Act
IN COMMITTEE

This Act mandates significant, detailed annual reporting improvements for both the Veterans Health Administration and the Veterans Benefits Administration, alongside the creation of secure data-sharing systems for approved researchers.

John McGuire
R

John McGuire

Representative

VA-5

LEGISLATION

VA Data Transparency Act Demands Five Years of Granular Reporting on Veteran Health and Benefits

This new piece of legislation, the VA Data Transparency and Trust Act, is essentially a five-year mandate for the Department of Veterans Affairs (VA) to open its books—and not just a little. The bill requires the VA to dramatically expand the data it collects, analyzes, and reports to Congress regarding both the Veterans Health Administration (VHA) and the Veterans Benefits Administration (VBA). Think of it as Congress demanding the most detailed, comprehensive audit report ever, covering everything from facility maintenance costs to how long it takes a veteran to get their first pension check. This move is all about improving oversight and accountability by making the VA’s operations transparent.

The VHA’s New Clinical Dossier

If you use the VHA for healthcare, this bill ensures that policymakers will finally get a clearer picture of your experience, and the experiences of millions of others. The VHA’s annual report must now include highly specific details, such as the total number of veterans treated, detailed breakdowns of chronic conditions (like cancer, diabetes, and TBI), and usage statistics broken down by age, sex, and service period. They even have to report on things like hospital-acquired infection rates and veteran satisfaction scores for both VA and non-VA care. Why does this matter to you? Because it forces the VA to track and report on the quality of care they’re providing, which is the first step toward fixing problems. For instance, the bill requires reporting on the average length of stay and cost for inpatient care, and even how much veterans rely on the VHA for their overall healthcare needs, categorized by age.

Breaking Down the Benefits Bureaucracy

The Veterans Benefits Administration (VBA) isn't spared; its reporting requirements are also getting a major upgrade. For five years, the VBA must provide granular data on who is receiving benefits, including breakdowns by age, income, and service period. Crucially, the bill demands specifics on disability compensation, including how many veterans had their initial disability rating changed (increased or decreased) after a reevaluation. If you’ve ever gone through the claims process, you know that processing time is everything. This bill mandates reporting on the number of new and supplemental claims submitted and the average time it takes to issue a decision on each. This data will be vital for holding the VBA accountable for slow processing times and inconsistent rating decisions.

Opening the Data Vault for Researchers

One of the most significant changes affects research. The Act requires both the VHA and the VBA to create secure, anonymized data sharing systems for approved researchers. This isn't just internal VA staff looking at spreadsheets; this means independent academic and policy researchers can access detailed, individual-level data—scrubbed of personal identifiers—on veteran demographics, health conditions, claims history, and compensation received. For example, a researcher could access data similar to what the Centers for Medicare & Medicaid Services (CMS) shares, allowing them to study the effectiveness of different treatments or benefit programs with unprecedented detail. This provision is huge because external, objective analysis is key to improving services, but it also means the Secretary gets to set the security criteria for access, which could potentially be used to limit who gets to look at the data if those rules become too strict.

The Real-World Impact: More Work, Better Answers

For the average veteran, this bill won't change your benefits or healthcare tomorrow, but it promises better oversight long-term. When Congress and researchers have access to this level of detail—from the average salary of a primary care physician to the occupancy rate of a VA facility—it becomes much harder for the VA to hide inefficiencies or resource shortages. However, the VA itself will face a massive administrative lift. Compiling five years of this incredibly detailed, specific data—including historical averages going back to 1997 for some metrics—will place a heavy burden on VA staff and require significant resources to ensure the data is accurate and complete. While this effort is necessary for transparency, it’s worth watching to ensure the focus on reporting doesn't pull too many resources away from actually providing care and processing claims.