Seal of the Department of Veterans Affairs
Flag of the Department of Veterans Affairs
Washington, D.C. Headquarters
|Formed||March 15, 1989|
|Jurisdiction||United States federal government|
|Headquarters||Veteran Affairs Building|
810 Vermont Avenue NW
Washington, D.C., U.S.
|Motto||"To care for him who shall have borne the battle and for his widow, and his orphan."|
|Annual budget||$200 billion (FY2019)|
The United States Department of Veterans Affairs (VA) is a federal Cabinet-level agency that provides integrated life-long healthcare services to eligible military veterans at the 1700 VA medical centers and outpatient clinics located throughout the country. Non-healthcare benefits include disability compensation, vocational rehabilitation, education assistance, home loans, and life insurance; and provides burial and memorial benefits to eligible veterans and family members at 135 national cemeteries.
While veterans benefits were provided by the Federal Government since the American Revolutionary War, a veteran-specific federal agency was not established until 1930 as Veterans Administration. In 1982, its mission was extended to a fourth mission to provide care to non-veterans and civilians in case of national emergencies, such as the COVID-19 pandemic of 2020.In 1989 the Veterans Administration became a cabinet-level Department of Veterans Affairs.
As of June 2020, [update] the VA employs 412,892 people at hundreds of Veterans Affairs medical facilities, clinics, benefits offices, and cemeteries. In Fiscal Year 2016 net program costs for the department were $273 billion, which includes the VBA Actuarial Cost of $106.5 billion for compensation benefits. The long-term "actuarial accrued liability" (total estimated future payments for veterans and their family members) is $2.491 trillion for compensation benefits; $59.6 billion for education benefits; and $4.6 billion for burial benefits.
The agency is led by the Secretary of Veterans Affairs, who, being a cabinet member, is appointed by the President with the advice and consent of the Senate.
The history and evolution of U.S. Department of Veterans Affairs is inextricably intertwined and dependent on the history of America's wars, as wounded soldiers is the population the VA care for. The list of wars involving the United States from the American Revolutionary War to the present totals ninety nine wars. The majority of the United States military casualties of war, however, occurred in the following eight wars: American Revolutionary War (est. 8000), American Civil War (218,222), World War I (53,402), World War II (291,567), Korean War (33,686), Vietnam War (47,424), Iraq War (3,836), War in Afghanistan (1,833). It is these wars that have primarily driven the mission and evolution of the VA. The VA maintains a detailed list of war wounded as it is the population that comprises the VA care system.
The Continental Congress of 1776 encouraged enlistments during the American Revolutionary War by providing pensions for soldiers who were disabled. Direct medical and hospital care given to veterans in the early days of the U.S. was provided by the individual states and communities. In 1811, the first domiciliary and medical facility for veterans was authorized by the federal government, but not opened until 1834. In the 19th century, the nation's veterans assistance program was expanded to include benefits and pensions not only for veterans, but also their widows and dependents.
After the end of the American Civil War in 1865, many state veterans' homes were established. Since domiciliary care was available at all state veterans homes, incidental medical and hospital treatment was provided for all injuries and diseases, whether or not of service origin. Indigent and disabled veterans of the Civil War, Indian Wars, Spanish–American War, and Mexican Border period as well as discharged regular members of the Armed Forces were cared for at these homes.
Congress established a new system of veterans benefits when the United States entered World War I in 1917. Included were programs for disability compensation, insurance for service persons and veterans, and vocational rehabilitation for the disabled. By the 1920s, the various benefits were administered by three different federal agencies: the Veterans Bureau, the Bureau of Pensions of the Interior Department, and the National Home for Disabled Volunteer Soldiers.
The establishment of the Veterans Administration came in 1930 when Congress authorized the president to "consolidate and coordinate Government activities affecting war veterans". The three component agencies became bureaus within the Veterans Administration. Brigadier General Frank T. Hines, who directed the Veterans Bureau for seven years, was named as the first Administrator of Veterans Affairs, a job he held until 1945.
The close of World War II resulted in not only a vast increase in the veteran population, but also a large number of new benefits enacted by Congress for veterans of the war. In addition, during the late 1940s, the VA had to contend with aging World War I veterans. During that time, "the clientele of the VA increased almost five fold with an addition of nearly 16,000,000 World War II veterans and approximately 4,000,000 World War I veterans."Prior to World War II, in response to scandals at the Veterans Bureau, programs that cared for veterans were centralized in Washington, D.C. This centralization caused delays and bottlenecks as the agency tried to serve the World War II veterans. As a result, the VA went through a decentralization process, giving more authority to the field offices.
The World War II GI Bill was signed into law on 22 June 1944, by President Franklin D. Roosevelt.
"The United States government began serious consolidated services to veterans in 1930. The GI Bill of Rights, which was passed in 1944, had more effect on the American way of life than any other legislation – with the possible exception of the Homestead Act."
Further educational assistance acts were passed for the benefit of veterans of the Korean War.
In the Vietnam Era, the introduction of an "all-volunteer force" in the 1970s (following the end of conscription in the United States in 1973), the Persian Gulf War, and those who served following the attacks of 11 September 2001.
The Department of Veterans Affairs Act of 1988 (Pub.L. 100–527) changed the former Veterans Administration, an independent government agency established in 1930 into a Cabinet-level Department of Veterans Affairs. It was signed into law by President Ronald Reagan on 25 October 1988, however came into effect under the term of his successor, George H. W. Bush, on 15 March 1989.
The reform period 1995–2000 saw the Veterans Health Administration (VHA) dramatically improve care access, quality, and efficiency. This was through leveraging its national integrated electronic health information system (VistA), and in so doing implemented universal primary care, increased patients treated by 24%, had a 48% increase in ambulatory care visits, and decreased staffing by 12%. By 2000, the VHA had 10,000 fewer employees than in 1995 and a 104% increase in patients treated since 1995, and had managed to maintain the same cost per patient-day, while all other facilities' costs had risen over 30% to 40% during the same period.[ citation needed ]
In May 2014, critics of the VA system reported problems with scheduling timely access to medical care. In May 2014, a retired doctor said that veterans died because of delays getting care at the Phoenix, Arizona Veterans Health Administration facilities.An investigation of delays in treatment in the Veterans Health Administration system was conducted by the Veterans Affairs Inspector General of 3,409 veteran patients found that there were 28 instances of clinically significant delays in care associated with access or scheduling. Of these 28 patients, 6 were deceased. The same OIG report stated that the Office of Investigations had opened investigations at 93 sites of care in response to allegations of wait time manipulations, and found that wait time manipulations were prevalent throughout VHA. On 30 May 2014, Secretary of Veterans Affairs Eric Shinseki resigned from office due to the fallout from the scandal, saying he could not explain the lack of integrity among some leaders in VA healthcare facilities. "That breach of integrity is irresponsible, it is indefensible, and unacceptable to me. I said when this situation began weeks to months ago that I thought the problem was limited and isolated because I believed that. I no longer believe it. It is systemic. I was too trusting of some and I accepted as accurate reports that I now know to have been misleading with regard to patient wait-times," Shinseki said in a statement.
In September 2017, the VA declared its intent to abolish a 1960s conflict of interest rule prohibiting employees from owning any stock, performing any service, or doing any work at for-profit colleges; arguing that, for example, the 1960s rule prohibits VA doctors from teaching veterans at for-profit universities with special advantages for veterans.
The VA's primary function is to support veterans in their time after service by providing benefits and support.
Providing care for non-veteran civilian or military patients in case hospitals overflow in a crisis was added as role by Congress in 1982, and became known as the VA's "fourth mission" (besides the three missions of serving veterans through care, research and training).It can provide medical services (reimbursed from other federal agencies) to the general public for major disasters and emergencies declared by the President of the United States, and when the Secretary of Health and Human Services activates the National Disaster Medical System. During disasters and health emergencies, requests for VA assistance are made by state governors to the Federal Emergency Management Agency or the Department of Health and Human Services, which then relay approved requests to the VA. The VA is also allowed to provide paid medical care on an emergency basis to non-veterans. The VA made public, March 27, the COVID-19 Response Plan it is executing within its medical facilities to protect Veterans, their families and staff.
A current[ when? ] initiative in the Department is to prevent and end veterans' homelessness. The VA works with the United States Interagency Council on Homelessness to address these issues. The USICH identified ending veterans' homelessness by 2015 as a primary goal in its proposal Opening Doors: Federal Strategic Plan to Prevent and End Homelessness, released in 2010; amendments to the 2010 version made in 2015 include a preface written by U.S. Secretary of Labor Thomas E. Perez that cites a 33% reduction in veteran homelessness since the creation of the Opening Doors initiative. The prominent role of the Department of Veterans Affairs and its joined up approach to veteran welfare are such that they have been deemd to distinguish the US response to veteran homelessness internationally.
The Department of Veterans Affairs is headed by the Secretary of Veterans Affairs, appointed by the President with the advice and consent of the Senate.
The Secretary of Veterans Affairs is Robert Wilkie who was selected by President Donald Trump and sworn in by Vice President Mike Pence on 30 July 2018. The Deputy Secretary of Veterans Affairs position is currently vacant with the retirement of Thomas G. Bowman on 15 June 2018.The third listed executive on the VA's official web site is its Chief of Staff (currently Pamela J. Powers); the Chief of Staff position does not require Senate confirmation. In addition to Secretary and Deputy Secretary, the VA has ten more positions requiring presidential appointment and Senate approval.
The Department has three main subdivisions, known as Administrations, each headed by an Undersecretary:
There are Assistant Secretaries of Veteran Affairs for: Congressional and Legislative Affairs; Policy and Planning; Human Resources and Administration; and Operations, Security and Preparedness. Other Senate-approved presidential nominees at the VA include: Chief Financial Officer; Chairman of the Board of Veterans' Appeals; General Counsel; and Inspector General.
The VA, through its Veterans Benefits Administration (VBA), provides a variety of services for veterans including disability compensation, pension, education, home loans, life insurance, vocational, rehabilitation, survivors' benefits, health care, and burial benefits.
The Department of Labor (DOL) provides job development and job training opportunities for disabled and other veterans through contacts with employers and local agencies.
The VA categorizes veterans into eight priority groups and several additional subgroups, based on factors such as service-connected disabilities, and their income and assets (adjusted to local cost of living).
Veterans with a 50% or higher service-connected disability as determined by a VA regional office "rating board" (e.g., losing a limb in battle, PTSD, etc.) are provided comprehensive care and medication at no charge. Veterans with lesser qualifying factors who exceed a pre-defined income threshold have to make co-payments for care for non-service-connected ailments and prescription medication.[ dubious ] VA dental and nursing home care benefits are more restricted.[ citation needed ]
Reservists and National Guard personnel who served stateside in peacetime settings or have no service-related disabilities generally do not qualify for VA health benefits.
The VA's budget has been pushed to the limit in recent years[ when? ] by the War on Terrorism. In December 2004, it was widely reported that VA's funding crisis had become so severe that it could no longer provide disability ratings to veterans in a timely fashion. This is a problem because until veterans are fully transitioned from the active-duty TRICARE healthcare system to VA, they are on their own with regard to many healthcare costs.[ original research? ]
The VA's backlog of pending disability claims under review (a process known as "adjudication") peaked at 421,000 in 2001, and bottomed out at 254,000 in 2003, but crept back up to 340,000 in 2005. [ when? ] backlog numbers are much lower at 69,626. These numbers are released every Monday. No copayment is required for VA services for veterans with military-related medical conditions. VA-recognized service-connected disabilities include problems that started or were aggravated due to military service. Veteran service organizations such as the American Legion, Veterans of Foreign Wars, and Disabled American Veterans, as well as state-operated Veterans Affairs offices and County Veteran Service Officers (CVSO), have been known to assist veterans in the process of getting care from the VA.Today's
In his budget proposal for fiscal year 2009, President George W. Bush requested $38.7 billion—or 86.5% of the total Veterans Affairs budget—for veteran medical care alone.[ citation needed ]
In the 2011 Costs of War report from Brown University , researchers projected that the cost of caring for veterans of the War on Terror would peak 30–40 years after the end of combat operations. They also predicted that medical and disability costs would ultimately total between $600 billion and $1 trillion for the hundreds of thousands treated by the Department of Veterans Affairs.
The 2008 "New GI Bill" authored by Sen. Jim Webb (D-VA) doubled GI Bill college benefits while providing a 13-week extension to federal unemployment benefits. The new GI Bill more than doubled the value of the benefit to roughly $90,000 up from $40,000. In-state public universities essentially are covered to provide full scholarships for veterans under the new education package. For those veterans who served at least three years a monthly housing stipend was also added to the law.
Congress and President Barack Obama extended the new GI Bill in August 2009 at the cost of roughly $70 billion over the next decade. The Department of Defense (DoD) allows individuals who, on or after 1 August 2009, have served at least six years in the Armed Forces and who agree to serve at least another four years in the U.S. Armed Forces to transfer unused entitlement to their surviving spouse. Servicemembers reaching 10-year anniversaries could choose to transfer the benefit to any dependent(s) (spouse, children).
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In 1973, the Veterans Administration assumed another major responsibility when the National Cemetery System (NCS) (except for Arlington National Cemetery) was transferred to the Veterans Administration from the Department of the Army.
In 1978, Congress established the State Cemetery Grants Program (Public Law 95-476). This act is administered by the National Cemetery Administration to aid States and U.S. territories in the establishment, expansion and improvement of veterans cemeteries.The VA was charged with the operation of the NCS, including the marking of graves of all persons in national and State cemeteries (and the graves of veterans in private cemeteries, upon request) as well and administering the State Cemetery Grants Program. The VA's National Cemetery Administration maintains 131 national cemeteries in 39 states (and Puerto Rico) as well as 33 soldiers' lots and monument sites.
The Department of the Army maintains two national cemeteries, the Arlington National Cemetery and the U.S. Soldiers' & Airmen's Home National Cemetery. Many states have established state veterans cemeteries. The American Battle Monuments Commission maintains 25 overseas military cemeteries that serve as resting places for almost 125,000 American war dead; on Tablets of the Missing that memorialize more than 94,000 U.S. servicemen and women; and through 25 memorials, monuments and markers. Fourteen national cemeteries are maintained by the National Park Service.
The Center for Women Veterans (CWA) was established within the Department of Veterans Affairs by Public Law 103-446 in November 1994.The Center's mission is to:
Center for Women Veterans activities include monitoring and coordinating delivery of benefits and services to women veterans; coordinating with Federal, state, and local agencies and organizations and non-government partners which serve women veterans; serving as a resource and referral center for women veterans, their families, and their advocates; educating VA staff on women' military contributions; ensuring that outreach materials portray and target women veterans; promoting recognition of women veterans' service with activities and special events; and coordinating meetings of the Advisory Committee on Women Veterans. CWA has held summits and forums for female veterans and created social media campaigns and exhibits to highlight women's military service. CWA offers a Women Veterans Call Center (1-855-829-6636) to assist female U.S. military veterans with VA services and resources.In 2018, the Center for Women Veterans launched the "I Am Not Invisible" photography project, featuring individual portraits, to highlight and represent the contributions, needs, and experiences of America's two million women veterans.
In a 2015 Center for Effective Government analysis of 15 federal agencies which receive the most Freedom of Information Act (United States) (FOIA) requests (using 2012 and 2013 data, the most recent years available), the VA earned a D by scoring 64 out of a possible 100 points, i.e. did not earn a satisfactory overall grade.
The VA employs[ when? ] 377,805 people, of which 338,205 are nonseasonal full-time employees. The American Federation of Government Employees represents 230,000 VA employees, with VA matters addressed in detail by the National VA Council.
VA expends a substantial amount of its budgetary resources on medical care for Veterans and also disburses large cash amounts for Veteran’s compensation and education benefits programs.
OIG examined the Electronic Health Records (EHRs) and other information for the 3,409 veteran patients and identified 28 instances of clinically significant delays in care associated with access or scheduling. Of these 28 patients, 6 were deceased. In addition, we identified 17 cases of care deficiencies that were unrelated to access or scheduling. We also found problems with access to care for patients requiring Urology Services. As a result, Urology Services at PVAHCS will be the subject of a subsequent report. The 45 cases discussed in this report reflect unacceptable and troubling lapses in followup, coordination, quality, and continuity of care. The VA OIG Office of Investigations opened investigations at 93 sites of care in response to allegations of wait time manipulations. While most are still ongoing, these investigations confirmed wait time manipulations were prevalent throughout VHA.
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The Veterans Health Administration (VHA) is the component of the United States Department of Veterans Affairs (VA) led by the Under Secretary of Veterans Affairs for Health that implements the healthcare program of the VA through the administration and operation of numerous VA Medical Centers (VAMC), Outpatient Clinics (OPC), Community Based Outpatient Clinics (CBOC), and VA Community Living Centers Programs.
The US Department of Veterans Affairs provides a wide variety of benefits, e.g., educational assistance, healthcare, assisted living, home loans, insurance, and burial and memorial services, for retired or separated United States armed forces personnel, their dependents, and survivors. The VA provides compensation to disabled veterans who suffer from a medical disorder or injury that was incurred in, or aggravated by, their military service, and which causes social and occupational impairment. Many U.S. states also offer disability benefits for veterans.
The standing Committee on Veterans' Affairs in the United States House of Representatives oversees agencies, reviews current legislation, and recommends new bills or amendments concerning U.S. military veterans. Jurisdiction includes retiring and disability pensions, life insurance, education, vocational training, medical care, and home loan guarantees. The committee oversees the Department of Veterans Affairs (VA), veterans' hospitals, and veterans' cemeteries, except cemeteries under the Secretary of the Interior.
The Veterans Benefits Administration (VBA) is an agency of the U.S. Department of Veterans Affairs. It is responsible for administering the Department's programs that provide financial and other forms of assistance to veterans, their dependents, and survivors. Major benefits include Veterans' compensation, Veterans' pension, survivors' benefits, rehabilitation and employment assistance, education assistance, home loan guaranties, and life insurance coverage.
The Disabled American Veterans (DAV) is an organization created in 1920 by World War I veterans for disabled military veterans of the United States Armed Forces that helps them and their families through various means. It was issued a federal charter by Congress in 1932. It currently has over 1 million members. As a 501(c)(4) social welfare organization, it is outside the purview of – and therefore not rated by – Charity Navigator. DAV's Employer Identification Number (EIN) is 31-0263158.
The Military Health System (MHS) is the enterprise within the United States Department of Defense that provides health care to active duty, Reserve component and retired U.S. Military personnel and their dependents.
The United States military formerly excluded gay men, bisexuals, and lesbians from service. In 1993, the United States Congress passed and President Bill Clinton signed a law instituting the policy commonly referred to as "Don't ask, don't tell" (DADT) which allowed gay, lesbian, and bisexual people to serve as long as they did not reveal their sexual orientation. Although there were isolated instances in which service personnel met with limited success through lawsuits, efforts to end the ban on openly gay, lesbian, and bisexual people serving either legislatively or through the courts initially proved unsuccessful.
The Illinois Department of Veterans' Affairs (IDVA) is the department of the Illinois state government that assists veterans and their families in navigating the system of federal state and local resources and benefits, provides long-term health care for eligible veterans, and helps veterans address education, mental health, housing, employment, and other challenges.
Swords to Plowshares is a veterans organization that provides job training, housing, and benefits advocacy to low income and homeless U.S. military veterans. Swords to Plowshares also operates a drop-in center for veterans requiring emergency services, and engages in policy work. It is a 501(c)(3) non-profit organization headquartered in San Francisco, supported by governmental and private grants, as well as donations from individuals. Michael Blecker is the Executive Director.
The United States has compensated military veterans for service-related injuries since the Revolutionary War, with the current indemnity model established near the end of World War I. The Department of Veterans Affairs (VA) began to provide disability benefits for post-traumatic stress disorder (PTSD) in the 1980s after the diagnosis had become part of official psychiatric nosology.
The Veteran Health Identification Card (VHIC) is an identification card issued by the United States Department of Veterans Affairs (VA) for eligible veterans to receive medical care at VA Medical Facilities. The VHIC protects the privacy of veterans' sensitive information, as it no longer displays the Social Security number or date of birth on the front of the card. The VHIC will only display the veteran's name, picture, and special eligibility indicators—Service Connected, Purple Heart and former POW, if applicable, on the front of the card. Only veterans who are eligible for VA medical benefits will receive the card.Starting on Jan. 1, 2020, the Purple Heart and Disabled Veterans Equal Access Act allows Purple Heart recipients, former prisoners of war and veterans with service-connected disabilities entry onto military installations to use the AAFES Exchange; commissary and Morale, Welfare and Recreation facilities.
The Board of Veterans' Appeals is an administrative tribunal within the United States Department of Veterans Affairs (VA), located in Washington, D.C. It determines whether U.S. military veterans are entitled to claimed veterans' benefits and services. The Board's mission is to conduct hearings and decide appeals properly before the Board in a timely manner. 38 United States Code (U.S.C.) § 7101 (a). The Board's jurisdiction extends to all questions in matters involving a decision by the Secretary under a law that affects a provision of benefits by the Secretary to Veterans, their dependents, or their Survivors. 38 U.S.C. §§ 551(a); 7104(a). Final decision on such appeals are made by the Board based on the entire record in the proceedings and upon consideration of all evidence and applicable provisions of law and regulation. The Board's review is de novo.
The Military Construction and Veterans Affairs, and Related Agencies Appropriations Act, 2014 is an appropriations bill that was introduced into the United States House of Representatives during the 113th United States Congress. The bill would appropriate money to various government agencies related to the United States Department of Defense and the United States Department of Veterans Affairs. This funding would be used during fiscal year 2014, which ends September 30, 2014. According to its committee report, "the purpose of the bill is to support our military and their families and provide the benefits and medical care that our veterans have earned for their service." The report also indicated that the Committee had made its decisions with the national debt and budget deficit in mind.
The G.I. Bill Tuition Fairness Act of 2013 is a bill that would require colleges to charge veterans the in-state tuition rates regardless of whether they meet the residency requirement. The bill also makes several other changes related to veterans benefits, such as extending the time period during which veterans are eligible for job training. The bill passed the House of Representatives on February 4, 2014 during the 113th United States Congress.
The Military Construction and Veterans Affairs and Related Agencies Appropriations Act, 2015 is a bill that would make appropriations for fiscal year 2015 for military construction and the United States Department of Veterans Affairs. The bill is considered one of the two easiest appropriations bills to pass each year. The total amount appropriated by the introduced version of the bill is $71.5 billion, approximately $1.8 billion less than fiscal year 2014 due to a decrease in the need for military construction.
United States military veteran suicide is an ongoing phenomenon regarding the high rate of suicide among U.S. military veterans in comparison to the general civilian public. A focus on preventing veteran suicide began in 1958 with the opening of the first suicide prevention center in the United States. During the mid 1990s, a paradigm shift in addressing veteran suicide occurred with the development of a national strategy which included several Congressional Resolutions. More advancements were made in 2007, when the Joshua Omvig Veterans Suicide Prevention Act created a comprehensive program including outreach at each Veterans Affairs Office (VA) and the implementation of a 24-hour crisis hotline. PTSD, depression, and combat-related guilt in veterans are often related to suicide as it can be difficult for veterans to transition to civilian life.
The Veterans Health Administration scandal of 2014 is a reported pattern of negligence in the treatment of United States military veterans. Critics charged that patients at the VHA hospitals had not met the target of getting an appointment within 14 days. In some hospitals, the staff falsified appointment records to appear to meet the 14-day target. Some patients died while they were on the waiting list. Defenders agreed that it was unacceptable to falsify data, but the 14-day target was unrealistic in understaffed facilities like Phoenix, and most private insurers did not meet a 14-day target either. By most measures, the VHA system provides "excellent care at low cost," wrote Paul Krugman, who believes that the attacks on the VHA system are motivated by conservatives who want to discredit a government program that works well. Conservative legislators have proposed privatizing the VHA, and legislative reforms will make it easier for veterans to go to private doctors.
The Veterans' Access to Care through Choice, Accountability, and Transparency Act of 2014, also known as the Veterans Choice Act, is a United States public law that is intended to address the ongoing Veterans Health Administration scandal of 2014. The law expanded the number of options veterans have for receiving care and granted the United States Secretary of Veterans Affairs more power to fire senior executives. The Veterans Health Administration scandal of 2014 began with the discovery that there was on-going systematic lying by the Veterans Health Administration about the wait times veterans experienced waiting to be seen by doctors. By June 5, 2014, Veterans Affairs internal investigations had identified a total of 35 veterans who had died while waiting for care in the Phoenix VHA system. Another audit determined that "more than 57,000 veterans waited at least 90 days to see a doctor, while another 63,000 over the last decade never received an initial appointment."
The United States Veterans Health Administration (VHA) has a lesbian, gay, bisexual and transgender (LGBT) Program through the Office of Patient Care Services. However, VHA does not currently collect data on veteran’s sexual orientation or gender identity. There are estimated to be more than one million LGBT Americans who are military veterans. If LGBT veterans use VHA at the same rate as non-LGBT veterans, there could be more than 250,000 LGBT veterans served by VHA. Using diagnostic codes in medical record data, Blosnich and colleagues found that the prevalence of transgender veterans in VHA (22.9/100,000) is five times higher than reported prevalence of transgender-related diagnoses in the general population (4.3/100,000). Brown and Jones identified 5,135 transgender veterans receiving care in VHA using a broader set of diagnostic codes. Brown also notes that this methodology fails to identify transgender veterans who have not disclosed their gender identity to providers, those who don’t meet criteria for a diagnosis, or veterans who get their transition-related care outside of the VHA.
Homeless veterans are persons who have served in the armed forces who are homeless or living without access to secure and appropriate accommodation.