HR 2283 · 119th Congress

Recognizing Community Organizations for Veteran Engagement and Recovery Act

veterans mental healthVA grantscommunity health providerspilot programveterans healthcare access
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Last action 2026-05-14

Sponsored by Rep. Bost, Mike [R-IL-12] (R) — IL

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The bill would direct the Department of Veterans Affairs to run a three-year pilot program awarding grants to nonprofit outpatient mental health providers that deliver culturally competent, evidence-based care to veterans.

It would authorize $20 million per year for three years, cap individual grants, and require reporting on outcomes, testing whether partnering with community providers can expand veterans' access to mental health care outside VA facilities.

What this bill would do

What it would do

The bill would require the Secretary of Veterans Affairs to establish a three-year pilot program making grants to nonprofit outpatient mental health facilities that have operated for at least three years. Grant recipients would have to provide culturally competent, evidence-based mental health care to veterans, train at least one clinician per funded facility, and encourage veterans to enroll in the VA's patient enrollment system. Recipients could not charge veterans fees or refuse care based on reimbursement eligibility, though they could seek reimbursement from other sources. Grants would generally be capped at $1,500,000 per facility per year, with a lower cap for facilities heavily dependent on federal funding.

The Secretary would have to distribute grants evenly between rural and urban facilities and could prioritize underserved areas, areas with large veteran populations, or high suicide-risk populations. The bill would not create a permanent program or new VA benefit; it authorizes $20,000,000 annually for fiscal years 2025 through 2027 and requires a final report to Congress within 180 days of the pilot's completion.

Key provisions

  1. 1Would require the VA Secretary to establish a three-year pilot program awarding grants to eligible nonprofit outpatient mental health providersSec. 2(a)
  2. 2Would limit eligibility to nonprofits that have run an outpatient mental health facility for at least three years and require detailed grant applicationsSec. 2(b)
  3. 3Would require grant funds be used for veteran mental health care and encouraging enrollment in VA's patient system, while barring fees or reimbursement-based refusals of careSec. 2(c)
  4. 4Would require even distribution of grants between rural and urban facilities and allow prioritizing underserved or high-risk areasSec. 2(d)
  5. 5Would cap individual facility grants at $1,500,000 per year, with a lower cap for federally-dependent facilitiesSec. 2(e)
  6. 6Would require the Secretary to set clinician training standards and issue regulations on accountability and outcome reportingSec. 2(f)-(g)
  7. 7Would require a report to Congress within 180 days of the pilot's completion detailing veterans served, outcomes, and obstaclesSec. 2(h)

Who would be affected

Nonprofit outpatient mental health providers seeking VA grants, veterans who use those community-based clinics for mental health care, and the Department of Veterans Affairs, which would administer the pilot, set training and reporting requirements, and evaluate outcomes for Congress.

Why it matters

Veterans in rural or underserved areas could gain access to community-based mental health care without facing fees or reimbursement-based denials, while participating nonprofits would receive federal funding capped by facility size and budget. Because it is a time-limited pilot, its reach and permanence depend on future appropriations and program results.

What would change

Agencies directed to act

Department of Veterans Affairs

Effective dates

  • Report on the pilot program's results due to CongressSec. 2(h)Within 180 days of completion of the pilot program

Funding and costs

  • $20,000,000FY2025-FY2027

    grants to nonprofit outpatient mental health providers under the veterans mental health pilot programSec. 2(i)

  • $1,500,000

    maximum annual grant amount per outpatient mental health facilitySec. 2(e)

View the CBO cost estimate

How implementation would work

The VA would solicit applications from nonprofit outpatient mental health providers, evaluating eligibility, facility plans, clinician training commitments, and federal-funding dependence. The Secretary would issue regulations setting accountability, clinical-outcome, and data-reporting requirements, and would establish clinician training standards for culturally competent veteran care. Grants would be distributed evenly across rural and urban areas over the three-year pilot, with recipients tracking veteran enrollment and outcomes. Within 180 days after the pilot ends, the Secretary must report to Congress on veterans served, demographics, care types, outcomes, enrollment conversions, and obstacles encountered.

Legislative status & sources

Latest action

Ordered to be Reported in the Nature of a Substitute by the Yeas and Nays: 14 - 8.

2026-05-14

Official CRS summary

Show the CRS summary

This bill requires the Department of Veterans Affairs to implement a three-year pilot program to make grants to established non-profit mental health care providers to provide culturally competent, evidence-based mental health care for veterans.

From the Congressional Research Service.

Legislative subjects

Armed Forces and National Security; Congressional oversight; Data collection, sharing, protection; Government information and archives; Health facilities and institutions; Health programs administration and funding; Home and outpatient care; Mental health; Supply chain; Veterans' medical care

Congressional Bill

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HR 2283: Recognizing Community Organizations for Veteran Engagement and Recovery Act | Legislation Reporter