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GAO Faults VA on Unfinished EHR Fixes as Oracle Pitches 2031 Rollout

GAO told lawmakers the department still lacks a substantiated plan.

Overview

  • GAO said 15 of 18 recommendations for the VA’s EHR program remain open, including 12 priority items, with only two fully implemented and one partially addressed.
  • Congress had sought an updated cost estimate and detailed schedule by Sept. 30, 2025, but GAO reported the VA provided no new estimate and only a notional timeline without supporting documentation.
  • Oracle Health executive Seema Verma described an accelerated deployment finishing in 2031, with go‑lives in 2026 for Michigan, Ohio, Alaska and Indiana, and in 2027 across Minnesota, Wisconsin, Oregon, Washington, Missouri, Idaho, Nebraska, South Dakota, North Dakota, Illinois, Iowa and Kansas.
  • VA’s Dr. Neil Evans said roughly 1,500 changes have been delivered and Oracle highlighted tools such as bed‑capacity management and an AI clinical assistant that automates documentation, as lawmakers flagged reports of prescription errors and incomplete patient data.
  • From fiscal 2018 through Q2 2025, the VA obligated about $13.84 billion to EHR modernization; a 2022 projection put lifecycle costs at $49.8 billion, and the subcommittee chair cited $37 billion as the latest figure discussed at the hearing.