When Congress returns from recess next month, one of the first Veterans’ issues on the agenda will be the Veterans’ Assuring Critical Care Expansions to Support Servicemembers Act, or ACCESS Act. The legislation, introduced by Sen. Jerry Moran (R-Kan.), and Rep. Mike Bost (R-Ill.), seeks to expand how Veterans can access medical services outside the VA.
The measure would allow Veterans for the first time to schedule their own community care appointments online, track referrals to private providers, and challenge denied requests through an appeal system. Supporters believe these changes will reduce delays in treatment and provide an alternative for Veterans who currently face long drives or lengthy wait times at VA hospitals and clinics.
Over the past five years, VA spending on private care has grown rapidly, rising from $17.6 billion in 2021 to an expected $34 billion by 2026. Lawmakers backing the bill argue that this trend shows the increasing importance of community-based services within the larger VA system. The ACCESS Act emphasizes that expanding outside care options does not amount to privatization of the VA. Instead, it frames private care as an extension of the system, ensuring Veterans receive timely treatment when VA facilities cannot meet demand.
One of the bill’s central provisions would require the VA to clearly inform Veterans of their right to seek community care from approved providers. Lawmakers say many Veterans remain unaware of this option, leading to delays or missed opportunities for treatment. The legislation would also compel the VA to explain decisions when referrals for outside care are denied, creating greater transparency in the approval process. Current rules require VA doctors to authorize most referrals, with exceptions made only for urgent care or emergencies.
The proposal also includes a three-year pilot program designed to expand mental health and substance abuse services. Veterans would be able to bypass the standard pre-approval process and directly access outpatient treatment through private clinics. This provision is aimed at preventing life-threatening delays for those struggling with conditions such as addiction, chronic pain, or depression.
The ACCESS Act builds upon the Mission Act of 2018, which first broadened eligibility for community-based medical services. Critics of the VA argue that loopholes and bureaucratic hurdles have undermined the intent of that law, restricting Veterans’ choices. The new bill is designed to close those gaps, set clearer access standards, and ensure that care options are not limited by administrative barriers.
According to Stars & Stripes, the legislation has drawn strong support from major Veterans’ service organizations, including The American Legion, Veterans of Foreign Wars, Disabled American Veterans, and Wounded Warrior Project. With momentum in both chambers, the ACCESS Act is expected to receive final votes when Congress reconvenes in September.
Author: Rikki Almanza
Rikki is a Web Content Coordinator for the American Legion, Department of California. With a deep-rooted family connection to the military, Rikki is committed to using her skills and knowledge to provide valuable assistance and resources to servicemembers and veterans.
