VA must contact veterans annually for mental health care—with accountability built in
H.R. 3863 — VA Mental Health Outreach and Engagement Act · Filed by Nicole (Nikki) Budzinski (D-IL) · 4 cosponsors · Introduced Jun 10, 2025 · Reported out
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What it does
This bill requires the VA to contact veterans with service-connected mental health disabilities at least once per year to offer mental health consultations and discuss available services. The VA must use phone calls, texts, emails, or letters to reach out, and must report annually to Congress on the success rates of each outreach method. The bill also includes a technical redesignation of a section of the VA code and a modification to housing loan fees (details truncated in the provided text).
Why we flagged it
The bill's core function is to establish a mandatory annual mental health consultation and outreach program for VA-compensated veterans with mental health service-connected disabilities. It is a public-health and veterans-benefit measure, not a market-facing or deregulatory instrument.
- Section 3 modifies housing loan fees under 38 USC 3729(2), substantively unrelated to mental health outreach. Text is truncated, but the provision appears disconnected from the bill's stated purpose.
What the text implies
- The bill mandates contact attempts via multiple channels (phone, text, email, letter) but does not specify data-security or privacy protections for contact information, potentially exposing veteran personal data to broader VA systems or third-party vendors if the VA contracts outreach services.
- Annual reporting requirements create a four-year data collection burden on the VA; if outreach methods prove ineffective, the bill does not authorize additional funding or mandate corrective action, risking a compliance-theater outcome.
- The bill does not define 'mental health consultation' or specify minimum qualifications for personnel conducting outreach, leaving room for inconsistent implementation across VA regional offices.
- Opt-out language ('unless a veteran elects not to receive such outreach') may be difficult to enforce uniformly; veterans who do not respond to initial contact may be re-contacted despite implicit non-engagement.
Section numbers refer to the bill text the analysis read — linked under Primary records below.
Who it affects
Veterans with service-connected mental health conditions gain a structured, proactive outreach mechanism to access mental health care they may otherwise miss. The annual consultation requirement and multiple contact methods lower barriers to care. Mandatory reporting to Congress and a GAO review ensure accountability and transparency in implementation.
Who stands to gain
- pharmaceutical companies (BMY, PFE, JNJ) — increased mental health diagnoses and treatment engagemen
- DVA (DaVita HealthCare Partners) — if VA contracts mental health services to private providers
- GH (Guardant Health) — if mental health data analytics or health-information systems are procured
Named in the bill
Department of Veterans Affairs, Secretary of Veterans Affairs, House Committee on Veterans' Affairs, Senate Committee on Veterans' Affairs, Comptroller General of the US, Bristol Myers Squibb (BMY), Guardant Health (GH), Pfizer (PFE), DaVita HealthCare Partners (DVA), Johnson & Johnson (JNJ)
Where it stands
4 cosponsors: 2 Democrats, 2 Republicans.
- Jun 10, 2025 — Introduced · Congress.gov: “Introduced in House”
- Jun 10, 2025 — Referred to House Committee on Veterans' Affairs · Congress.gov: “Referred to the House Committee on Veterans' Affairs”
- Jul 23, 2025 — Markup held in committee · Congress.gov: “Committee Consideration and Mark-up Session Held”
- Jul 23, 2025 — Reported out of committee · Congress.gov: “Ordered to be Reported (Amended) by Voice Vote”
Dates and quoted wording are Congress.gov's action record; the timeline shows status changes, not every procedural step.
Money around this bill
4 lobbying clients named this bill on 8 disclosure filings across 2 quarters, Dec 2025 to Jun 2026. Those filings disclosed $1,739,816 in lobbying spend. A filing names 32 bills on average, so that figure is what each filing reported, not a share belonging to this bill.
More lobbying clients named this bill than 72% of bills with at least one filing.
Nicole (Nikki) Budzinski, the sponsor, reported $1,267,485 in PAC receipts in the 2026 cycle.
- United Services Automobile Association — $890,000 on 2 filings
- American Psychiatric Association — $529,365 on 2 filings
- Disabled American Veterans — $310,451 on 2 filings
- American Public Works Association — $10,000 on 2 filings
Lobbying Disclosure Act filings through Jul 21, 2026. A filing shows who paid to lobby on a bill it names, not what changed.
How this was measured
Analysis — Quorum's AI read the bill text published by Congress.gov (4,422 characters) on Jun 8, 2026. Section numbers in the findings refer to that text, linked below; transparency and hidden-provision scores are compared against the median of 16,222 analysed bills.
Status and sponsors — Congress.gov's bill record — actions, committee referrals and cosponsors — loaded nightly. The timeline shows status changes, not every procedural action.
Money — Senate Lobbying Disclosure Act filings whose specific-issue field names this bill for quarters ending Dec 2025 to Jun 2026. A filing's amount is reported whole beside the median number of bills a filing names; it is never divided across them. PAC receipts are FEC-reported contributions to the sponsor's candidate committee in the 2026 cycle.
As of — lobbying records through Jul 21, 2026 · page rendered 2026-10-20.
- H.R. 3863 on Congress.gov
- Actions and status history
- Cosponsors (4)
- Bill text the analysis read
- United Services Automobile Association — LDA filing, 2025 Q4
- American Psychiatric Association — LDA filing, 2025 Q4
- Disabled American Veterans — LDA filing, 2025 Q4
- Nicole (Nikki) Budzinski — FEC candidate receipts, 2026 cycle
“VA must contact veterans annually for mental health care—with accountability built in” QuorumCivic. https://share.quorumcivic.app/bill/119/hr3863 Report an error
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