What Biden and Trump Actually Did for Veterans as

Here's What Biden and Trump Actually Did for Veterans as President

President Joe Biden and former President Donald Trump have both sought to claim the mantle of veterans champion as each vies for a second term in office.

The campaign has often focused on the symbolic and intangible, such as Biden visiting a World War I cemetery during a recent trip to France that Trump opted against visiting during his tenure after reportedly deriding veterans in private, or Republicans hitting Biden for falsely claiming at last week's presidential debate that no U.S. troops have died on his watch.

But both also have legislative track records from their first terms in office, as well as well-documented accounts of how the Department of Veterans Affairs functioned under their administrations, that could point to how a second term would play out.

Biden shepherded through the PACT Act, which has been described as the biggest expansion of veterans benefits in a generation. Trump's biggest veterans-related legislation was the Mission Act, which expanded veterans' ability to seek VA-funded care outside of the VA system.

"Someone who may have benefited from the passage of the Mission Act, for that individual, it's the most important thing," said Patrick Murray, legislative director at the Veterans for Foreign Wars. "Someone who may have had a rare cancer that was benefited by the PACT Act, that's the most important thing to them. So, different veterans who had different illnesses, injuries, disabilities, whatever, may have benefited from either of the bills and, to those veterans, that's the most important thing."

Other veterans groups echoed the importance of both bills.

"We fought hard for the passage of the Mission and PACT acts because all veterans deserve the best care possible from VA," Chanin Nuntavong, the American Legion's executive director for government affairs, told Military.com in an email. "This means untangling the knots often associated with securing their earned health care benefits; expanding the rules to cover all those eligible; and lifting barriers to access, especially to those who live in rural areas."

The PACT Act was the culmination of a yearslong effort from veterans, family members and other advocates to get better recognition and care for ailments believed to be caused by exposure to burn pits and other toxins during their military services.

The legislative push got a significant boost when Biden, who has said he believes his son Beau's fatal brain cancer was caused by burn pit exposure, endorsed it at a State of the Union address, giving it the momentum needed to become law.

By the VA's own accounting, the law has resulted in more than a million new benefits claims approved and more than 300,000 new enrollments in VA health care.

The implementation has not been without issue. Most significantly, senior VA executives were improperly paid $10.8 million in bonuses that were intended to retain employees with critical skills needed to handle the influx of work from the PACT Act. Veterans have also given one of the most high-profile elements of the PACT Act, toxic exposure screenings, lackluster reviews.

But, overall, veterans organizations have celebrated the PACT Act as a historic achievement.

"Simply put, the bill represents the largest expansion of VA care and benefits for those exposed to harmful substances during their military service in history," Joe Parsetich, then the national commander for the Disabled American Veterans, said at the time of the passage in 2022.

The Mission Act, meanwhile, was an effort to fix issues with the earlier Choice Act, a 2014 law that was borne out of the VA wait-time scandal. Trump often incorrectly refers to his achievement as "Choice," even though the earlier bill with the same name was signed by his predecessor, President Barack Obama.

The Mission Act expanded the number of veterans eligible to receive private health care funded by the VA and consolidated several different programs for community care into one. Under the law, veterans can seek outside care if they face more than a 30-minute drive for primary care or mental health services or 60 minutes for specialty care, or a 20-day wait for a primary care or mental health appointment and more than 28 days for specialty care.

Republicans have alleged that the VA under the Biden administration has undermined the Mission Act by limiting the number of referrals to community care. VA officials and Democrats, by contrast, have expressed concern about ballooning community care costs since the law's implementation.

Another major element of the Mission Act, a commission that studied the VA's infrastructure needs, fizzled out when it recommended closing 17 medical centers and dozens of aging or underused clinics. Lawmakers in both.....

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