This bill reorganizes the Veterans Health Administration's regional structure by consolidating the current 23 Veterans Integrated Service Networks (VISNs) into eight geographically defined networks. The legislation requires each VISN headquarters to employ no more than 50 full-time staff (with no more than 10 contractors) and mandates that headquarters offices be located at VA medical centers, with the goal of reducing administrative duplication and overhead. The Veterans Affairs Secretary must submit a comprehensive reorganization plan within 180 days of enactment to right-size VISN workforces and achieve compliance within three years, with options for voluntary separation incentives or transfers to clinical positions for affected employees. The bill also requires ongoing collaboration between VISNs and other VA offices, state and local veterans agencies, and medical schools, along with triennial reviews of VISN structure and operations. The consolidation must be completed within one year, and the Secretary must certify that implementation will not reduce veterans' access to care.
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