VA MISSION Act: Healthcare options for Veterans - Jonathan M. Wainwright Memorial VA Medical Center
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Jonathan M. Wainwright Memorial VA Medical Center


VA MISSION Act: Healthcare options for Veterans

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The new VA MISSION Act will provide new and improved healthcare options for enrolled Veterans - healthcare when they need it.

By Linda Wondra, Public Affairs Officer
Tuesday, June 4, 2019

On June 6, the U.S. Department of Veterans Affairs (VA) will launch its new and improved community care program, implementing portions of the VA Maintaining Internal Systems and Strengthening Integrated Outside Networks Act of 2018 (the VA MISSION Act), which both ends the Veterans Choice Program and establishes a new Veterans community care program. 

The VA MISSION Act will strengthen the nationwide VA Health Care System by empowering Veterans to have more options in their health care decisions.

Under the new and improved Veterans Community Care Program, Veterans can now work with their VA health care provider or other VA staff to see if they are eligible to receive community care. Eligibility for community care does not require a Veteran to receive that care in the community; Veterans can still choose to have VA provide their care. Veterans are eligible to choose to receive care in the community if they meet any of the following six eligibility criteria:

1)  A Veteran needs a service not available at any VA medical facility.

2)  A Veteran lives in a U.S. state or territory without a full-service VA medical facility. Specifically, this would apply to Veterans living in Alaska, Hawaii, New Hampshire and the U.S. territories of Guam, American Samoa, the Northern Mariana Islands and the U.S. Virgin Islands.

3)  A Veteran qualifies under the “grandfather” provision related to distance eligibility for the Veterans Choice Program.

4)  VA cannot furnish care in a manner that complies within certain designated access standards. The specific access standards are described below (important: access standards are proposed and not yet final):  (a) Average drive time to a specific VA medical facility (30-minute average drive time for primary care, mental health and noninstitutional extended care services, or 60-minute average drive time for specialty care). Note: Average drive times are calculated by VA using geo-mapping software.  (b) Appointment wait time at a specific VA medical facility (20 days for primary care, mental health care, and non-institutional extended care services, unless the Veteran agrees to a later date in consultation with his or her VA health care provider or 28 days for specialty care from the date of request, unless the Veteran agrees to a later date in consultation with his or her VA health care provider.)

5)  The Veteran and the referring clinician agree it is in the best medical interest of the Veteran to receive community care based on defined factors. 

6)  VA has determined that a VA medical service line is not providing care in a manner that complies with VA’s standards for quality.

To help employees prepare for this transformation and others under the VA MISSION Act, the Walla Walla VA Medical Center & Clinics (WWVAMC) dedicated the month of May to readiness and will continue to communicate information about VA MISSION Act into June to assure Veterans get their questions answered and the healthcare they deserve.

“We are honored to reaffirm our commitment to America’s Veterans,” said WWVAMC Medical Center Director Christopher R. Bjornberg. “Our staff is steadfast in providing healthcare that meets the needs of our Veterans at the right time and place.”


  • Strengthens VA’s ability to recruit and retain clinicians.
  • Statutorily authorizes “Anywhere to Anywhere” telehealth provision across state lines.
  • Empowers Veterans with increased access to community care.
  • Establishes a new, urgent-care benefit that eligible Veterans can access in the community.

“We understand any transformation of this size and on such a rapid timeline is not without risk,” said Bjornberg. “We are aiming for excellence in this effort, and we will continue to tweak and improve the process."

The WWVAMC currently serves approximately 20,000 local Veterans every year. We serve Veterans because we care.


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