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The SAFE STEPS for Veterans Act would create an Office of Falls Prevention within the Department of Veterans Affairs to address mobility and aging care services. This office would oversee a national education campaign targeting veterans, their families, and healthcare providers about fall prevention and available VA benefits. The VA would be required to update safety policies for patient handling and mobility at its facilities.
If enacted, the bill would require the VA to assess whether it can provide home improvements and structural alterations to help prevent falls for eligible veterans. Additionally, certain veterans would receive falls risk assessments from licensed physical therapists or occupational therapists. The bill would also expand an interagency committee on healthy aging to include the VA, potentially improving coordination on aging-related health issues across federal agencies.
Currently, the bill is under committee consideration following hearings held in March 2026 and has not yet been voted on by the full House.
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Committee Hearings Held
Mar 18, 2026
Mar 18, 2026 · 10:15
On March 18, 2026, the House Committee on Veterans' Affairs held a comprehensive legislative hearing on more than 20 bills designed to reauthorize and reform Department of Veterans Affairs programs. The bills addressed diverse veteran needs including dental care expansion, housing assistance, employment services, mental health support, and administrative reforms. Committee Chairman Mike Bost sought to establish a "must-pass" annual authorization process for the VA similar to the National Defense Authorization Act, citing that Congress had allowed 18 authorization laws for the VA to expire, with over $122 billion in department expenditures lacking current authorization. VA officials including Acting Assistant Under Secretary for Health Dr. Thomas O'Toole, Acting Under Secretary for Benefits Margarita Devlin, and Chief Acquisition Officer Phil Christy testified on behalf of the department. While VA officials expressed support for congressional oversight and the intent behind many proposals, they raised concerns about implementation, resource requirements, and maintaining operational flexibility. The VA cautioned that comprehensive legislation could disrupt benefits and services, preferring alternative oversight mechanisms. Key themes emerged around accountability and responsiveness. Members from both parties expressed frustration with the VA's responsiveness to congressional inquiries and oversight requests. Proposed reforms included centralized acquisition authority, stronger oversight mechanisms, standardized processes, and expanded access to care. The hearing also highlighted specific challenges including attorney retention at the Board of Veterans' Appeals, care gaps for justice-involved veterans, and fragmented transition services for separating service members. The hearing did not result in immediate legislative action. While the committee advanced discussion of these reform proposals, a hearing alone does not guarantee that any bills will advance to a vote or become law.
| Name | Position | Links |
|---|---|---|
| Dr. Thomas O'TooleVeterans Benefits Administration, U.S. Department of Veterans Affairs | Acting Assistant Under Secretary for Health for Clinical Services | |
| Dr. Thomas O'TooleVeterans Health Administration, U.S. Department of Veterans Affairs | Acting Assistant Under Secretary for Health for Clinical Services | |
| Mr. Phil ChristyOffice of Acquisition, Logistics, and Construction, U.S. Department of Veterans Affairs | Chief Acquisition Officer | |
| Ms. Margarita DevlinVeterans Benefits Administration, U.S. Department of Veterans Affairs | Acting Under Secretary for Benefits |
Committee Hearings Held
Mar 18, 2026
Mar 18, 2026 · 10:15
On March 18, 2026, the House Committee on Veterans' Affairs held a comprehensive legislative hearing on more than 20 bills designed to reauthorize and reform Department of Veterans Affairs programs. The bills addressed diverse veteran needs including dental care expansion, housing assistance, employment services, mental health support, and administrative reforms. Committee Chairman Mike Bost sought to establish a "must-pass" annual authorization process for the VA similar to the National Defense Authorization Act, citing that Congress had allowed 18 authorization laws for the VA to expire, with over $122 billion in department expenditures lacking current authorization. VA officials including Acting Assistant Under Secretary for Health Dr. Thomas O'Toole, Acting Under Secretary for Benefits Margarita Devlin, and Chief Acquisition Officer Phil Christy testified on behalf of the department. While VA officials expressed support for congressional oversight and the intent behind many proposals, they raised concerns about implementation, resource requirements, and maintaining operational flexibility. The VA cautioned that comprehensive legislation could disrupt benefits and services, preferring alternative oversight mechanisms. Key themes emerged around accountability and responsiveness. Members from both parties expressed frustration with the VA's responsiveness to congressional inquiries and oversight requests. Proposed reforms included centralized acquisition authority, stronger oversight mechanisms, standardized processes, and expanded access to care. The hearing also highlighted specific challenges including attorney retention at the Board of Veterans' Appeals, care gaps for justice-involved veterans, and fragmented transition services for separating service members. The hearing did not result in immediate legislative action. While the committee advanced discussion of these reform proposals, a hearing alone does not guarantee that any bills will advance to a vote or become law.
| Name | Position | Links |
|---|---|---|
| Dr. Thomas O'TooleVeterans Benefits Administration, U.S. Department of Veterans Affairs | Acting Assistant Under Secretary for Health for Clinical Services | |
| Dr. Thomas O'TooleVeterans Health Administration, U.S. Department of Veterans Affairs | Acting Assistant Under Secretary for Health for Clinical Services | |
| Mr. Phil ChristyOffice of Acquisition, Logistics, and Construction, U.S. Department of Veterans Affairs | Chief Acquisition Officer | |
| Ms. Margarita DevlinVeterans Benefits Administration, U.S. Department of Veterans Affairs | Acting Under Secretary for Benefits |
No CBO cost estimate has been published for this bill.