The United States Department of Veterans Affairs (VA) is a government-run military veteran benefit system with Cabinet-level status. It is responsible for administering programs of veterans benefits for veterans, their families, and survivors. The benefits provided include compensation, pension, education, home loans, life insurance, vocational rehabilitation, survivors' benefits, medical benefits and burial benefits. The VA is a single-payer government run health care system and the federal government's second largest department, after the Department of Defense. With a budget of more than $70 billion, VA employs approximately 230,000 people at hundreds of VA medical centers, clinics and benefits offices.
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The Veterans Health Administration (VHA) operates the largest healthcare delivery system in the U.S., serving over 7.5 million enrolled participants, with roughly 5 million receiving health services through the system. VHA is organized into 21 Veterans Integrated Service Networks (VISNs) with:
- 133 decentralized field facility VistA systems;
- 162 hospitals;
- 137 nursing homes;
- 43 domicilaries;
- 850+ community and facility based clinics.
VHA is headquartered in Washington, D.C.; the Enrollment System Redesign project is a joint effort of two headquarters organizations, the Business Office and the Office of Information. The VHA enrolls roughly 900,000 new enrollees. The system supporting this process is decentralized and operated at the VISN level. Veterans’ enrollment priority and status may be adjusted due to changes in compensation or pension award, financial or health status, or military service factors. In 2004, 800,000 cases were subject to Income Verification in 2004; this number might grow to 1.6 million per year in coming years.

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