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S. 2981Senate119th Congress (2025-2027)In Committee

Veterans Prosthetics Advancement and Reform Act

Sponsored by Jerry MoranSen. Jerry Moran (R-KS)
Introduced October 7, 2025

AI-Generated Summary

Updated November 23, 2025 at 8:10 PM UTC

The Veterans Prosthetics Advancement and Reform Act amends the law governing veterans’ health care to require the Department of Veterans Affairs to create and maintain a standardized list—called a Formulary—of prosthetic and rehabilitative items and services it will provide. It ensures the list is evidence‑based, publicly inputted, available at all VA facilities, and clearly communicated to veterans, while also allowing for exceptions when needed and establishing oversight and training requirements. The bill mainly affects veterans who receive prosthetic or rehabilitation care through the VA.

Key Provisions

  • The VA Secretary must create a ‘Prosthetic and Rehabilitative Items and Services Formulary’ that lists all prosthetic and rehab items and services the VA will provide.
  • Veterans and the public must be consulted when the Formulary is developed.
  • The Formulary must include only items and services that are supported by the best available evidence and must be available at every VA facility.
  • The Formulary must be posted on the VA website and updated regularly, with clear communication to veterans about what is covered and how to appeal coverage decisions.
  • The Secretary can enter contracts as needed to ensure items and services on the Formulary are obtainable.
  • VA clinicians and staff must receive training on how to use the Formulary.
  • A process is required for clinicians to request, prescribe, and provide items not on the Formulary when medically necessary, and the Secretary must monitor these requests to decide if they should be added to the Formulary.
  • The VA should apply lessons from its Pharmacy Benefits Management system to manage the Formulary efficiently.

Legislative Activity

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2 earlier actions
SenateCommittee Latest Action

Committee on Veterans' Affairs. Ordered to be reported without amendment favorably.

Veterans' Affairs Committee

March 18, 2026

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SenateIntro Referral

Introduced in Senate

October 7, 2025

SenateIntro Referral

Read twice and referred to the Committee on Veterans' Affairs.

Veterans' Affairs Committee

October 7, 2025

SenateCommittee

Committee on Veterans' Affairs. Ordered to be reported without amendment favorably.

Veterans' Affairs Committee

March 18, 2026

Bill Text

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Introduced in SenateIssued October 7, 2025

II

119th CONGRESS

1st Session

S. 2981

IN THE SENATE OF THE UNITED STATES

October 7, 2025

Mr. Moran introduced the following bill; which was read twice and referred to the Committee on Veterans' Affairs

A BILL

To amend title 38, United States Code, to improve the provision of prosthetic and rehabilitative items and services by the Department of Veterans Affairs, and for other purposes.

1.

Short title

This Act may be cited as the Veterans Prosthetics Advancement and Reform Act.

2.

Improvements to Department of Veterans Affairs prosthetic and rehabilitative items and service

(a)

In general

Chapter 17 of title 38, United States Code, is amended by inserting after section 1709C the following new section:

1709D.

Prosthetic and rehabilitative items and services formulary

(a)

In general

The Secretary shall establish a list of prosthetic and rehabilitative items and services, which may be referred to as the Prosthetic and Rehabilitative Items and Services Formulary or the Formulary, for purposes of furnishing medical services under section 1701(6)(F) of this title pursuant to section 1710 of this title.

(b)

Requirements

(1)

Input

In developing the Formulary, the Secretary shall solicit input from veterans and the public.

(2)

Availability of items

The Secretary shall ensure that all items and services included in the Formulary are available at or through all facilities of the Department.

(3)

Items To be included

In developing the Formulary, the Secretary shall rely on the best available evidence to identify which items and services should be included on the Formulary.

(c)

Publication and communication

(1)

Publication and update

The Secretary shall publish the Formulary on a website of the Department and shall update the Formulary periodically.

(2)

Communication

The Secretary shall communicate to veterans the contents of the Formulary and information about how to appeal decisions regarding the provision of items and services on the Formulary.

(d)

Contracts

The Secretary shall enter into such contracts as the Secretary considers necessary to support the availability of items and services included in the Formulary.

(e)

Training

The Secretary shall ensure the availability of training on the Formulary for clinicians and other staff of the Department.

(f)

Exceptions

(1)

In general

The Secretary shall establish a process for clinicians of the Department to request, prescribe, and furnish prosthetic and rehabilitative items and services that are not included on the Formulary when medically necessary.

(2)

Monitoring of non-Formulary items and services

The Secretary shall monitor requests, prescriptions, and the furnishing of prosthetic and rehabilitative items and services under paragraph (1)—

(A)

to ensure that such items and services are being consistently and appropriately prescribed at all facilities of the Department; and

(B)

to determine whether such items or services should be added to the Formulary.

(g)

Consideration

In developing the Formulary, the Secretary shall consider how the approach of the Pharmacy Benefits Management Services of the Department for formulary management and medication safety can be adapted to support the efficient and effective administration of the Formulary.

.

(b)

Clerical amendment

The table of sections at the beginning of such chapter is amended by inserting after the item relating to section 1709C the following new item:

1709D. Prosthetic and rehabilitative items and services formulary.