Issue Secretarial directives to implement MISSION Act Community Care sections aggressively
Mandate calls for new Secretarial directives implementing MISSION Act Sections 101/103 (eligibility/best interest), 104 (access/quality standards), 121 (veteran education on options), 152 (Innovation of Care and Payment office governance), and 161 (Family Caregiver Program consistency).
Mandate
Mandate Ch. 20 (Veterans Affairs) — VHA Needed Reforms: to strengthen Community Care, create new Secretarial directives to implement the VA MISSION Act properly, covering Sections 101, 103, 104, 121, 152, and 161 (Family Caregiver Program overhaul for consistency of eligibility and indefinite support for most severely wounded).
Undo plan
1) Replace one-sided Community Care steering directives with balanced implementation that protects VHA capacity and integrated care.
2) Restore Office of Innovation of Care and Payment governance that does not sideline VHA clinical leadership.
3) Stabilize Family Caregiver eligibility with clear appeals and adequate staffing rather than constriction-by-policy.
4) Require public metrics on education-program reach and caregiver waitlists.
5) Verify: congressional scorecard on MISSION Act section compliance without privatizing default care.