04/21/2026 | Press release | Distributed by Public on 04/21/2026 16:26
Washington, D.C. - Congresswoman Julie Fedorchak (R-ND) hosted a statewide Fedorchak Forum with U.S. Secretary of Veterans Affairs Doug Collins, connecting with more than 2,000 North Dakotans to discuss access to care, rural health challenges, and ongoing efforts to strengthen veterans' services across the state. The conversation focused on reducing VA backlogs, expanding community care options, improving transportation and reimbursement systems, and delivering more timely, veteran-focused care. Check out the highlights below:
Fedorchak's opening remarks:
I am a child of a veteran. I grew up as a military child. I wanted to mention that since this is the Month of the Military Child.
My husband is a proud veteran of the Navy, and he grew up with a father who served in the Air Force.
We have lived this life, and we are very proud and eager to support our veterans and those who have served our country so well.
I have co-sponsored 50 bills supporting our veterans.
I'm a proud co-sponsor of the Major Richard Starr Act. That is a bill that we hear about from all of the Veterans Services Organizations (VSOs). That is a big priority for them. We're hoping to push that through the House.
We have a number of bills we already have gotten through the House in addition to full funding for the VA.
As I'm going around the state and visiting with veterans' groups, we hear three big things:
Access to care,
Reimbursement payments and timing, and,
Distance that folks have to travel to the VA facilities in our state.
We are working on solutions to that.
Secretary Collins, you have done so much great work for our country. I've heard and talked to you about your priorities at the VA, and I think it's very exciting some of the great work you've already gotten done in terms of reducing the backlog of our veterans who are waiting for decisions on their disability and many other things.
Secretary Collins' opening remarks:
Thank you for your service to North Dakota and what you're doing there. You stepped in mightily and just already got to work.
That's a mark of a leader. It's a mark of someone who is taking care of their people.
I had the privilege of serving with your Governor now, who was a Member of Congress and a dear friend.
And the rest your delegation-Senators Cramer and Hoeven-North Dakota could not be more well represented, not only on the state level, but the federal level as well.
I appreciate your service, I appreciate your husband's service, and I appreciate an opportunity to tell you about the good things at the VA.
The first thing I want to start off with is not only highlighting what the Congresswoman said is our attentiveness to access-especially rural access-issues of transportation, reimbursements, making more facilities available closer to areas, but also making our community care network, which sometimes in rural areas is a little more difficult, but making that easier
In fact, one of those things that I wanted to highlight is that we are having two openings here in just the next little bit in North Dakota:
We have grand openings in Grand Forks on April 30th, we're going to be opening a new facility which is going to be larger than the current location. It's going to give more services.
And then also, just across the border in Minnesota, which also connects some of the issues that y'all have there as well, we're going to be working on those.
My vision at the VA is that we've taken a very bureaucratic organization and made it focused on one thing and one thing only, and that is veterans.
We're worried more about, does this help a veteran, their family, and their caregivers, or is it more about us?
And I have made the determination, and we've sent this down the line for the last year now, the only metric we care about is, is it helping veterans?
And so far, we've seen some great results:
We've seen our disability backlog claim, which is 125 days old cases, dropped from 260,000 down to 80,000.
130 average days to complete down to 77.
We've seen from over a million cases when I first got in down to 500,000.
We're seeing more work with our community care partners-our rural access, telehealth, telemedicine-but also working to expand our community care along with direct care so our rural states and other states as well have access to the best care as possible.
It's been a difficulty, but it shouldn't be, and we're working to fix it, and that's the transportation reimbursements.
Scheduling and transportation are two of the biggest issues, especially in areas like yours, that we're working on.
Secretary Collins on record keeping in the VA:
A number of years ago, for those of us who have been in the military for a while, [we] realized how bad our medical records were.
About 10 years ago, the Department of War (DOW) and the VA were both set to transition to electronic health records management systems, which brought us basically into the 21st century.
The DOW was eventually able to get it done. The VA, unfortunately, in the previous administration and others, just quit. They couldn't get it done.
I revived it because we had already spent $18 billion on a program that we didn't really get any benefit from.
Just this past weekend in Michigan, we have launched four new sites. It has the complete new system. And we're going to launch more next year, which includes in my understanding, North Dakota.
Secretary Collins on medical contractor exam quality and fraud prevention:
[John Windom's case] is a criminal indictment that came out of an investigation through our Office of Inspector General. That also had to do with our Electronic Health Record Modernization (EHRM) system, so it's a part of our fraud issue that we look at.
To be very blunt, we're looking to redo and re-look at how we use our Compensation and Pension (C&P) exams.
Frankly, we use them way too much when we don't have to.
We can save a lot of money. Instead of sending veterans to a doctor to tell us what we already know from the record, why don't we just go ahead and process the claim?
Again, I'm trying to apply common sense to this and also a veteran-first approach because many times, a veteran will have to go many miles to get an exam, and it also just takes too much time for that to happen.
Secretary Collins on VA funding:
President Trump is fully committed to our veterans and the VA.
Aside from DOW, we're the only [department] that actually received our proposed increase for the budget going forward.
The areas that we're looking to be fully funded is what I talked about earlier about the electronic health records management system, our community care program, and also funding our facilities, which includes building new hospitals and continuing to build out clinics.
Congress has been always very generous with us as well.
We're also taking steps to make sure that we're doing everything we possibly can to be good stewards of the taxpayer dollar.
That means we're making sure we have appropriate staffing, not overstaffing, and we're putting money into new technologies and new research that are all designed to help veterans.
At this point in time, I couldn't be happier with the President's recommendations. We've had good talks with the Appropriations Committee so far, and we're looking forward to those hearings and hopefully that budget getting passed before October 1st.
Fedorchak on community care networks:
Community care networks are a big deal for North Dakota.
Having such a large geography and the main medical facility in Fargo, that's a long distance-a good seven to eight hours across to the far northwest corner.
So that's a lot of travel for our veterans, and that community care network can both help provide better access and reduce costs. I think it's a smart investment and appreciate your focus on that.
Fedorchak on government funding:
The whole appropriations process this past year has been plagued with multiple government shutdowns, which is something that I really regret and have been opposing.
I voted to keep the government open multiple times along the way, and most recently this week sent a letter to Speaker Johnson asking him to bring forward a bill that has passed out of committee that would prevent Members of Congress from getting paid-back pay or pay for any days that the government is shut down.
If we don't get our work done, we shouldn't get paid. That's how it works in the private sector and that's how it should work in government too.
Fedorchak on staffing and retention:
Workforce issues are a real battle, not just for the VA, but for all of health care in North Dakota. We have a hard time keeping enough medical professionals, whether it's nurses or doctors.
In the Rural Healthcare Transformation Fund that we passed in the Working Families Tax Cuts, workforce development is one of the primary focuses.
We have added $200 million the state is already qualified for in funds through the Rural Health Transformation Fund, and that is being led by Governor Armstrong and his team in conjunction with our legislature.
Secretary Collins on need for more health professionals:
So many times we take the VA as if it's a separate special kind of entity. And it is, in the sense that we get to take care of the best people in the world, which are our veterans.
However, I would encourage this: if you have young people in your house who are looking for careers, I highly recommend that they go to medical school, go to be a nurse, or go into health tech.
It's a field that all of us, I don't care if you're the Mayo Clinic, Cleveland Clinic, or anywhere in between, every hospital-we all struggle to get and maintain proper workforce.
We do use contract facilities in some of our rural areas where from a cost perspective, it makes it much more realistic for us to use another company to contract and do those services.
They do have some turnover issues, and it depends on who they're using.
But this is very much something we're aware of. We're trying to increase our presence.
When you plan out expansions, it's typically a three-to-five-year process. And sometimes that is actually taking longer. I'm trying to cut that time down.
For Western North Dakota, we'll continue to evaluate where we need to place facilities. But also, my work is to try and cut down the lag time from identifying the need to actually getting the need filled.
Fedorchak on veterans' health care access:
The house passed and I voted to support, HR 1107, which is an act called Protecting Veterans' Access to Telemedicine Services. This would permanently authorize certain VA health care professionals to use telemedicine to deliver, distribute, or dispense controlled substances that are prescription drugs to patients who are eligible for VA care.
That's one of the technologies that has proven very helpful in North Dakota for all of health care to eliminate some of these distance barriers and improve the access issue.
Fedorchak on community care programs:
I recently cosponsored the Veterans' ACCESS Act of 2025, which is focused on the community care issue and establishing standards for receiving care in a non-VA facility.
It will help expand the access to folks throughout the state.