H.R. 136 (119th)Bill Overview

Veteran Overmedication and Suicide Prevention Act of 2025

Armed Forces and National Security|Armed Forces and National SecurityDepartment of Veterans Affairs
Cosponsors
Support
Republican
Introduced
Jan 3, 2025
Discussions
Bill Text
Current stageCommittee

Referred to the Subcommittee on Health.

Introduced
Committee
Floor
President
Law
Congressional Activities
01 · The brief
Plain-English summaryWhat this bill actually does

This bill requires the Secretary of Veterans Affairs to arrange for the National Academies of Sciences, Engineering, and Medicine (NASEM) to review suicides of veterans who received VA care during the five years before enactment. The review must quantify deaths, describe decedents, inventory medications and toxicology findings, examine diagnoses and polypharmacy, evaluate use of non-medication first-line treatments, assess VA mental health staffing, review coordination with State prescription monitoring and medical examiners, identify facilities with high prescription or suicide rates, and recommend improvements.

Why people may split

Whether a study-only approach is sufficient versus immediate reforms.

Watch point

Relative to its intended legislative type, this bill is a well-scoped statutory study/commission directive with strong specificity about required analytical elements, responsible entities, and report deadlines, but it lacks fiscal authorization, explicit data-access authorities or contingency planning, and sustained implementation follow-up.

This bill requires the Secretary of Veterans Affairs to arrange for the National Academies of Sciences, Engineering, and Medicine (NASEM) to review suicides of veterans who received VA care during the five years before enactment.

The review must quantify deaths, describe decedents, inventory medications and toxicology findings, examine diagnoses and polypharmacy, evaluate use of non-medication first-line treatments, assess VA mental health staffing, review coordination with State prescription monitoring and medical examiners, identify facilities with high prescription or suicide rates, and recommend improvements.

NASEM must complete the review within 180 days of contract entry; the VA must submit and publicly release the report to Congress.

Passage38/100

Low-cost, oversight-focused veteran suicide measure with independent review is broadly attractive, but timing, data/privacy, and appropriations uncertainty reduce certainty.

CredibilityPartially aligned

Relative to its intended legislative type, this bill is a well-scoped statutory study/commission directive with strong specificity about required analytical elements, responsible entities, and report deadlines, but it lacks fiscal authorization, explicit data-access authorities or contingency planning, and sustained implementation follow-up.

Contention55/100

Whether a study-only approach is sufficient versus immediate reforms.

02 · What it does

Who stands to gain, and who may push back.

Likely benefits vs burdens50% / 50%
Federal agenciesFederal agencies · Veterans

These are examples from the analysis, not a ranked list of the most-affected groups.

Likely helped
  • Potential benefitProvides evidence to update VA prescribing guidelines, potentially reducing unsafe medication practices.
  • Potential benefitIdentifies high-risk facilities for targeted interventions to reduce overprescribing and suicide risk.
  • Federal agenciesEncourages federal-state PDMP coordination, which may reduce polypharmacy and duplicate prescriptions.
Likely burdened
  • Federal agenciesCreates new administrative and contracting costs for VA and federal budgets.
  • VeteransExpanded data sharing and compilation raise privacy and confidentiality concerns for veterans' health data.
  • Potential burdenAggressive statutory timelines risk producing rushed, incomplete, or lower-quality analyses.
03 · Why people split

Why the argument around this bill splits.

Whether a study-only approach is sufficient versus immediate reforms.
Progressive85%

Likely supportive because the bill addresses veteran suicide and potential overmedication and advances transparency.

They will appreciate independent, disaggregated data, attention to non-medication treatments, and mental-health staffing assessments.

They will want stronger, binding follow-up actions and funding for alternatives, since the bill is a study rather than immediate reform.

Leans supportive
Centrist70%

Generally favorable to an independent, data-driven review that could inform policy.

They will value the NASEM credibility, the clear timelines, and the focus on actionable metrics, while seeking clarity on costs, privacy protections, and avoiding duplication.

They will want a plan to implement recommendations if problems are found.

Leans supportive
Conservative35%

Skeptical of expanding federal reviews and potential bureaucratic mandates.

They may accept the goal of protecting veterans but worry the bill creates more oversight, threatens clinician autonomy, and lacks limits on data use.

Some conservatives could be open if scope is narrowed and implementation avoids unfunded mandates.

Likely resistant
04 · Can it pass?

The path through Congress.

Introduced

Reached or meaningfully advanced

Committee

Reached or meaningfully advanced

Floor

Still ahead

President

Still ahead

Law

Still ahead

Passage likelihood38/100

Low-cost, oversight-focused veteran suicide measure with independent review is broadly attractive, but timing, data/privacy, and appropriations uncertainty reduce certainty.

Scope and complexity
52%
Scopemoderate
52%
Complexitymedium
Why this could stall
  • No cost estimate or explicit funding source included
  • VA data completeness and ability to compile disaggregated datasets
05 · Recent votes

Recent votes on the bill.

No vote history yet

The bill has not accumulated any surfaced votes yet.

06 · Go deeper

Go deeper than the headline read.

Included on this page

Whether a study-only approach is sufficient versus immediate reforms.

Low-cost, oversight-focused veteran suicide measure with independent review is broadly attractive, but timing, data/privacy, and appropriat…

Unlocked analysis

Relative to its intended legislative type, this bill is a well-scoped statutory study/commission directive with strong specificity about required analytical elements, responsible entities, and report deadlines, but it l…

Go beyond the headline summary with full stakeholder mapping, legislative design analysis, passage barriers, and lens-by-lens tradeoff breakdowns.

Perspective breakdownsPassage barriersLegislative design reviewStakeholder impact map
Open full analysis