H.R. 3261: VA Employee Fairness Act of 2025

Introduced May 7, 2025118 cosponsors

Sponsor

Mark Takano

Mark Takano

Democrat · CA-39

At the VA, management decides what can't be bargained

5 min readLast updated September 20, 2026

Why it matters

The eight clinical professions that deliver most VA care — physicians, registered nurses, physician assistants, dentists and four others — cannot bargain over their pay, over peer review, or over anything the department classifies as patient care. H.R. 3261 removes all three limits, and with them the Secretary's power to decide what fits into them without review by any other agency. It has 118 cosponsors.

Current law excludes three subjects from collective bargaining for VA clinicians: professional conduct or competence, peer review, and the setting of their pay. The law defines the first of those as direct patient care and clinical competence.

The next step is what decides most disputes. When a union and the department disagree about whether a grievance falls into one of those three categories, the Secretary of Veterans Affairs decides — and the law says that decision cannot itself be bargained and may not be reviewed by any other agency. The department that sits on one side of the bargaining table also decides what may be placed on it.

H.R. 3261 strikes all three exclusions and the decision-making provision along with them. Disputes over staffing, workload, or working conditions that the department could previously classify as patient care would run through the same bargaining process that covers most of the federal workforce.

The bill leaves the VA's recruiting tools alone. It states explicitly that nothing in it touches the Secretary's authority over incentive pay and expedited hiring — the flexibilities the department uses to compete for clinicians against private hospitals.

No money changes hands and no one gets a raise from this bill. It changes who has leverage when a dispute starts, and who gets the final word on whether the dispute is allowed at all.

Bill Progress

IntroducedMay 7
Committee 
Pass House 
Pass Senate 
Signed 
Law 

Latest Action · May 29, 2025

1/3

Assigned to Subcommittee on Oversight and Investigations. for review

H.R. 3261 Bill Summary

What H.R. 3261 actually does.

1

Pay, peer review, and patient care return to the table

H.R. 3261 strikes the three provisions that currently exclude professional conduct or competence, peer review, and the setting of employee compensation from collective bargaining for covered VA clinicians.

2

The VA loses the final word on what counts

Current law gives the Secretary of Veterans Affairs sole authority to decide whether a dispute falls into one of the excluded categories, and bars review of that decision by any other agency — including the Federal Labor Relations Authority, which otherwise resolves federal-sector bargaining disputes. The bill repeals that provision.

3

Your job title decides whether this reaches you

The restrictions apply to physicians, dentists, podiatrists, optometrists, registered nurses, physician assistants, expanded-duty dental auxiliaries, and chiropractors. Other VA staff, including most administrative and support employees, bargain under different rules and are unaffected.

4

Hiring bonuses and incentive pay are untouched

A rule of construction states that the bill's changes may not be read to affect the Secretary's authorities over incentive pay and expedited hiring, or similar provisions of law.

5

Court challenges still go to Washington

The surviving provision routing petitions for judicial review to the U.S. Court of Appeals for the D.C. Circuit is kept and simply renumbered, so the venue for these cases does not change.

6

No new spending

H.R. 3261 authorizes no appropriations and creates no grant, bonus, or payment. It is a change to labor law inside the VA health system.

Who benefits from H.R. 3261?

VA registered nurses

The largest of the eight covered professions. Complaints about staffing levels, workload, or scheduling can currently be ruled out of bargaining as matters of direct patient care; under the bill they would not be.

VA physicians, physician assistants, and dentists

Their pay is set under the same title of law the bill amends, which is why pay is currently off the bargaining table for them. Removing that exclusion would let compensation questions be negotiated.

Unions representing VA clinical staff

Fewer grievances would be dismissed at the threshold, and disagreements about whether a subject is negotiable would no longer be settled solely by the agency on the other side of the dispute.

Veterans who depend on stable VA staffing

The VA says its health system serves 9.1 million enrolled Veterans each year. Sponsors argue that broader bargaining rights improve retention at the bedside; the bill itself contains no staffing requirement or guarantee.

Who is affected by H.R. 3261?

The eight covered clinical professions

Physicians, dentists, podiatrists, optometrists, registered nurses, physician assistants, expanded-duty dental auxiliaries, and chiropractors employed in the Veterans Health Administration are the workers the bill directly reaches.

VA medical center directors and managers

They would negotiate over a wider range of workplace disputes, and could no longer rely on a determination that a subject is outside bargaining to end the matter.

The Secretary of Veterans Affairs

The Secretary would lose the authority to decide, without review by another agency, whether a dispute concerns patient care, peer review, or compensation. Authority over incentive pay and expedited hiring is expressly preserved.

The Federal Labor Relations Authority

Disputes the agency is currently barred from reviewing would fall within the federal labor system's normal process, adding to the cases it handles.

Veterans receiving VA care

Patients are not regulated by the bill. They would encounter its effects only indirectly, through how staffing and workplace disputes are resolved at the facilities where they get care.

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Tracking floor activity — no debate on H.R. 3261 yet. Updates when a legislator speaks on the record.

HR3261 Legislative Journey

2 actions

House: Committee Action

May 29, 2025

Referred to the Subcommittee on Oversight and Investigations.

House: Committee Action

May 7, 2025

Referred to the House Committee on Veterans' Affairs.

About the Sponsor

Mark Takano

Mark Takano

Democrat, California's 39th congressional district · 13 years in Congress

Committees: Veterans' Affairs, Education and Workforce

View full profile →

Cosponsors (118)

This bill gained 7 cosponsors in the last 30 days

All 118 cosponsors are Democrats. Cosponsors represent 35 states: Alabama, Arizona, California, and 32 more.

118Democrats·35 states

Cosponsor Coverage Map

Committee Sponsors

Veterans' Affairs Committee

11D14R
|10 signed15 not yet

10 of 25 committee members cosponsored

1 Democrats across this committee haven't cosponsored yet. Mobilize their constituents

H.R. 3261 Quick Facts

Cosponsors
118+7
Terri Sewell
Jimmy Gomez
Linda Sánchez
Maxine Waters
Scott Peters
+113 more
Committee
Veterans' Affairs
Chamber
House
Policy
Armed Forces and National Security
Introduced
May 7, 2025

Assigned to Subcommittee on Oversight and Investigations. for review

May 29, 2025

Constituent Resources

Get notified when this bill moves

Official Sources

H.R. 3261 on Congress.gov

Official bill page with the text, status, actions, cosponsors, and committee referral for the VA Employee Fairness Act of 2025.

38 U.S.C. § 7422 — Collective bargaining

The statute H.R. 3261 amends. Subsections (b), (c), and (d) are the three bargaining exclusions the bill strikes.

38 U.S.C. § 706 — Recruitment and retention authority

The incentive pay and expedited hiring authorities the bill expressly leaves untouched in its rule of construction.

Veterans Health Administration

The VA component that employs the eight clinical professions the bill reaches.

FLRA Negotiability Disputes

How the Federal Labor Relations Authority resolves disputes over whether a subject can be bargained — the process VA clinicians are currently shut out of.

VA Office of Labor-Management Relations

The VA office that negotiates national collective bargaining agreements and would handle the widened scope of bargaining.

VA Careers

The recruiting channel that uses the incentive pay and expedited hiring tools the bill preserves.

U.S. House Committee on Veterans' Affairs

The committee holding H.R. 3261, where a markup decision determines whether the bill moves.

H.R. 3261 Common Questions

What does H.R. 3261 actually change?

It removes three subjects that current law keeps out of collective bargaining for VA clinicians: professional conduct or competence, peer review, and pay. It also repeals the provision letting the Secretary of Veterans Affairs decide, with no outside review, whether a dispute falls into those categories.

Which VA employees does H.R. 3261 cover?

Eight clinical professions: physicians, dentists, podiatrists, optometrists, registered nurses, physician assistants, expanded-duty dental auxiliaries, and chiropractors. Most administrative and support staff at the VA bargain under different rules and are not affected.

Can VA nurses bargain over pay right now?

No. The setting and adjusting of compensation for these clinicians is one of the three subjects current law places outside bargaining. H.R. 3261 would remove that restriction, making pay a negotiable subject.

Who decides if a VA dispute is off-limits today?

The Secretary of Veterans Affairs. Current law says that determination cannot itself be bargained and may not be reviewed by any other agency — including the Federal Labor Relations Authority, which otherwise handles federal-sector bargaining disputes.

Would H.R. 3261 affect VA hiring bonuses?

No. The bill states that its changes cannot be read to affect the Secretary's authority over incentive pay and expedited hiring. Those recruiting tools stay as they are.

Does H.R. 3261 give VA workers a raise?

Not by itself. The bill authorizes no money and sets no pay amount. It makes compensation something that can be negotiated for covered clinicians; any actual increase would still have to be agreed at the bargaining table.

Is H.R. 3261 bipartisan?

Not so far. All 118 cosponsors are Democrats, as is the sponsor, Representative Mark Takano of California. No Republican has signed on.

Has H.R. 3261 passed?

No. It was introduced in May 2025 and referred to the House Veterans' Affairs Committee's Subcommittee on Oversight and Investigations, where it remains. An earlier version introduced in 2019 got a subcommittee hearing in March 2020 and went no further.

Based on H.R. 3261 bill text

H.R. 3261 Bill Text

PDF

“To amend title 38, United States Code, to modify authorities relating to the collective bargaining of employees in the Veterans Health Administration.”

Source: U.S. Government Publishing Office

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