Learn about The American Legion’s position on the Take Care of America’s Veterans Act (TCAVA), its support for the legislation, and potential outcomes if the act passes or fails.
A Coalition of veterans groups send letter to key congressional leaders, calling for them to pass the Take Care of America's Veterans Act (TCAVA)
The American Legion and 22 other veterans service organizations sent a coalition letter to the top leadership of the House and Senate Committees on Veterans’ Affairs on June 29, calling for Congress to pass the Take Care of America’s Veterans Act (TCAVA).
View the 23 Veterans Service Organizations in the coalition
The American Legion
Military Officers Association of America (MOAA)
Wounded Warrior Project
Elizabeth Dole Foundation
Tragedy Assistance Program for Survivors (TAPS)
American Veterans (AMVETS)
Air Force Sergeants Association
American Optometric Association
Avalon Action Alliance
Commissioned Officers Association of the USPHS (COA)
Gold Star Spouses of America
K9s For Warriors
Korean War Veterans Association
Military Chaplains Association
Military Order of the Purple Heart (MOPH)
Mission Roll Call
National Defense Committee
National Military Family Association (NMFA)
Sons and Daughters In Touch
United States Army Warrant Officers Association (USAWOA)
USCG Chief Petty Officers Association (CPOA)
Veterans Justice Alliance
Vietnam Veterans of America
What Veterans & Their Families Win with TCAVA
More than 60 stalled veterans' bills, including those that would support and expand concurrent retirement pay, survivor benefits, caregiver support, and suicide prevention, are finally moving together in one path forward in the Take Care of America's Veterans Act (TCAVA).
For the first time in a generation, the votes and resources line up to move dozens of long-stalled priorities together. Rather than letting the moment pass and having veterans go back to waiting indefinitely for single-issue bills to pass one by one, The American Legion is capitalizing on it.
60+
VETERANS PRIORITIES PACKAGED INTO ONE BILL
5
LANDMARK ACTS FINALLY IN REACH
25
AMERICAN LEGION RESOLUTIONS SUPPORT THIS LEGISLATIVE ACTION
TCAVA AT-A-GLANCE
Mental Health 9 PROVISIONS, INCLUDING:
Standardized mental-health residential screening & admission, with a community fallback if VA can’t admit in time
Plan & pilot to improve disability-related access to residential programs for SCI veterans
Addressing claims made about The American Legion's support of the Take Care of America's Veterans Act (TCAVA).
CLAIM:
"TCAVA cuts sleep apnea and tinnitus disability ratings."
FACT:
The proposed rating changes for sleep apnea and tinnitus originated with the VA's ongoing rewrite of the VA Schedule for Rating Disabilities (VASRD), not with TCAVA. The VA first proposed these changes in February 2022 through regulation years before TCAVA existed.
For sleep apnea, VA has proposed moving away from automatically assigning a 50% rating based on CPAP use and instead rating veterans based on the level of impairment that remains after treatment.
For tinnitus, VA has proposed ending the standalone 10% rating and instead evaluating it as a symptom of another service-connected condition.
Existing ratings are still protected in TCAVA, and the proposed changes would primarily affect future claims and future rating decisions.
CLAIM:
"The trade-offs aren't worth it."
FACT:
The choice is not TCAVA versus a perfect bill.
The current choice available is TCAVA versus continued gridlock on a long list of reforms veterans have earned but are yet to receive.
CLAIM:
"TCAVA cuts veterans' benefits."
FACT:
No veteran loses a benefit they already receive. The Legion does not support retroactive cuts, and TCAVA does not include any.
CLAIM:
"Legion is violating it’s own PAYGO resolution."
FACT:
It is common for legislation to include provisions where Legion resolutions compete against one another. In this case, there are nearly 30 American Legion resolutions in support of the bill, with 2 in opposition.
CLAIM:
"TCAVA takes money away from veterans with sleep apnea and tinnitus."
FACT:
If the VA implements its proposed rating changes through regulation without TCAVA, any resulting savings could return to the general federal budget.
TCAVA would instead direct any savings from the VA rating changes toward veteran-focused priorities, including the Major Richard Star Act, caregiver support, survivor benefits, and other provisions that expand benefits and services for veterans and their families.
CLAIM:
"Just wait for a better deal."
FACT:
The Star Act has waited since 2020.
Despite having 79 Senate and 334 House co-sponsors, it still has not passed in 6 years. Waiting is the status quo that fails veterans.
CLAIM:
"This bill is privatization of VA."
FACT:
This bill includes billions of dollars for VA direct care and requires a long-term infrastructure investment strategy.
It also requires a 60-day notice, including a risk mitigation plan and performance metrics, to Congress and VA employees before any reduction in force, and it requires the VA to terminate contracts with noncompliant community care partners.
CLAIM:
"Find the money elsewhere!"
FACT:
Waiving PAYGO is the ideal scenario, but is extremely rare and not realistic in today’s political environment.
Further, bipartisan members of the Armed Services and Appropriations Committees would need to agree on a DOD/DOW funding mechanism, and they do not.
Our support for TCAVA doesn't end the conversation. It begins one.
Many people picture the pathway of a bill supported by The American Legion as a straight line: The Legion passes a resolution > backs a bill > Congress passes it > the President signs it
The real road to The Legion choosing to back a bill and then that bill passing runs through a web of back-and-forth with many discussions and revisions. The decision by our leadership to support a bill is not made in a silo, and is often instrumental in setting the journey of veteran-centered bill in motion.
The Reality
When The American Legion backs a bill, it signals priorities and gives sponsors a banner to build a coalition around. Fellow VSOs, advocates, committees and the administration start talking to each other, initiating exchanges that weren't happening before.
Bills idling for years get a path forward together, instead of waiting alone.
Congress
Where the bill is written & passed
↻ MANY ROUNDS
Senators, representatives, and the Veterans' Affairs committees — drafting, marking up, and moving the text.
U.S. SenateU.S. HouseVA committees & staff
The bill is reshaped each round. That back-and-forth — not a single vote — is the work.
The White House
Administration · VA · OMB
↕ TWO-WAY
On scope, cost, and whether the President will sign — shaping what's workable before it's law.
Fellow VSOs
VFW · DAV · IAVA · VVA
↕ TWO-WAY
Aligning with other veterans groups so the community speaks to Congress with one voice.
Advocates & partners
Coalitions · subject experts
↕ TWO-WAY
Sharpening the details and rallying outside support behind shared language.
IT DOESN’T STOP WITH THE LEGION
The conversations our support set in motion:
It didn't just open lines to us. It got these players talking to each other, initiating exchanges that weren't happening before.
Fellow VSOs
↔
Congress
Other veterans groups press the Hill directly.
The White House
↔
Congress
The administration comes to the table on terms.
Fellow VSOs
↔
Advocates
Coalitions align behind shared language.
U.S. Senate
↔
U.S. House
The chambers reconcile their two versions.
The following stages work in rounds. Provisions get clarified, added, traded, and strengthened during each round.
The back-and-forth is what turns a stalled bill into a law that can pass.
Draft ↻
The American Legion's priorities are introduced
Markups ↻
Committees rework the text
Negotiations ↻
Trade-offs with VSOs, members, and the administration
ENACTED
TCAVA signed into law
Take Care of America's Veterans Act FAQs
(Click topic to expand)
What is the Take Care of America's Veterans Act (TCAVA)?
TCAVA is a large legislative package that combines more than 60 veteran-related bills into one measure, covering health care, benefits, caregiver support, survivor programs, education, and transition assistance. Many of these reforms, including Major Richard Star Act, have had bipartisan support for years but stalled when considered separately, often because of funding concerns. Combining them gives broadly supported reforms a single, viable path forward.
That also means the provisions are tied together. With more than 60 provisions in play and 535 voting members in the U.S. Congress, debate is expected. Even one disputed reform can slow progress; in a package this large, multiple points of disagreement are likely.
What does the bill actually do for veterans?
Quite a bit. TCAVA represents a rare opportunity to move a long list of overdue veteran priorities in one package, including:
expanded suicide prevention
better TBI care
faster and more accurate claims
relief for combat-injured retirees
stronger support for family caregivers
fairer treatment for surviving spouses
Isn't this making future veterans pay for other veterans' benefits?
No. Congress and VA recently testified under oath that they intended to update sleep apnea and tinnitus ratings. The question was whether any resulting savings would stay within the veteran community or return to the Treasury for broader government use. The answer appeared to be the latter. Supporting the bill, then, was a way to keep veteran dollars with veterans while moving long-overdue reforms forward.
More recently, VA was quoted in Government Executive saying “no changes are planned or imminent.” That shift is why we are re-examining positions they were prepared to take, and why this is a live situation.
Did supporting this bill violate The American Legion's own position on PAYGO?
No. Resolution No. 38 (2016) commits The American Legion to advocate for exempting VA benefits and services from the PAYGO budget rule and we have, for years, across multiple Congresses and both parties. Until Congress changes it, every mandatory-spending bill for veterans must work within it.
So, we did two things at once, as we always have: we pressed for the PAYGO exemption our members directed us to seek, and we worked within the rules as they exist to advance the priorities our members directed us to win. More importantly, this package alone carries provisions tied to nearly thirty standing American Legion resolutions — from the Major Richard Star Act to caregiver support to relief for surviving spouses. Working within today's rules while we change them is how work gets done for our members and veterans more broadly.
What is the Legion doing right now?
The American Legion is staying at the table, engaging key stakeholders, and closely monitoring changes to the bill. The Legion is seeking clarity from Congress and the Administration while working with partners across the veteran community to find a path that advances these reforms without undermining anyone's earned benefits. The work has not stopped.
What can members do?
Stay informed and be cautious of soundbites that can complicate or misrepresent the situation. The Legion will keep its members updated as the facts settle. Members can help by keeping the conversation grounded in what the bill actually does and doesn't do — and by contacting their members of Congress through the Grassroots Action Center to urge support for TCAVA.