VA / Government Health IT

Where it stands

Each step compares the last four complete quarters with the two years before. A theme usually moves left to right: companies push, Congress and the White House act, the government buys, and markets respond.

1. 1. Companies pushing
   Steady

   314 companies and groups lobbied on it in Q2 2026, against 360 a year earlier.

2. 2. Congress
   Falling

   10 bills introduced and 0 became law in the last four quarters, against 20 and 0 a year before that.

3. 3. White House and agencies
   Falling

   1 proposed rule, 1 final rule and 0 presidential actions in the last four quarters, against 4 a year before that.

4. 4. Government buying
   Steady

   596 purchase plans and award notices in the last four quarters, against 541 a year before that (records start October 2023).

5. 5. Markets
   Falling

   1 insider purchase in the theme's companies in the last four quarters, against 3 a year before that. Their stocks: -33% over the same year, against +14% for the S&P 500. Among the 50 largest holdings of the funds we track, these stocks were worth $557.5M at the end of Q1 2026, against $1.7B a year earlier; the figure moves with prices and with how many funds rank them that high.

The setup

The Department of Veterans Affairs (VA) is significantly ramping up its health IT infrastructure and digital services, driven by substantial contracts for Microsoft enterprise agreements and a presidential mandate. This push aims to modernize record sharing, streamline benefits applications with AI, and improve interoperability across military and VA systems. The effort began with foundational IT contracts and has recently culminated in a direct presidential order to accelerate these initiatives.

How this developed

1. Dec 20, 2024VA awards Loyal Source Government Services LLC a $112.6M IDIQ for medical disability examination services in Regions 1-4.Federal contract
2. Apr 1, 2025Dell Federal Systems L.P. secures a $1.0B delivery order from VA for a two-year Microsoft Enterprise Agreement.Federal contract
3. Nov 10, 2025Accenture Federal Services LLC receives a $109.1M contract for VA Electronic Health Record Modernization system integration support.Federal contract
4. Dec 29, 2025Veterans Evaluation Services, Inc. receives a $306.9M task order for VA Medical Disability Examination Office services.Federal contract
5. Aug 13, 2026Dell Federal Systems L.P. wins a $1.1B delivery order from VA for a two-year Microsoft Enterprise Agreement.Federal contract
6. Sep 3, 2026Dell Federal Systems L.P. receives another $1.1B delivery order from VA for a two-year Microsoft Enterprise Agreement.Federal contract
7. Sep 8, 2026President issues Proclamation mandating rapid digital sharing of military records, AI for benefits, and IT contract interoperability.Executive action
8. Sep 23, 2026TriWest Healthcare Alliance Corp receives a $1.2B delivery order from VA for healthcare services.Federal contract

The full story, year by year

* Year to date. Lobbying is the most companies and groups naming the theme in any one quarter. Insider buys are officer and director open-market purchases in TDOC, DOCS, AMWL, HIMS. Fund holdings are the value of these companies among the top 50 positions of the funds whose 13F filings we track, at the latest quarter of each year. Stock returns are an equal-weight basket of the same companies with prices on file, split-adjusted, without dividends, against the S&P 500 over the same quarters.

• Lobbying before 2025 is still loading for this theme, so earlier years undercount.
• Lobbying reports for Q3 2026 are still being filed, so the comparison uses Q2 2026.

Why it matters

• The VA has committed over $3.2 billion to Dell Federal Systems L.P. for Microsoft Enterprise Agreements (E2, E7, E8), standardizing software across the agency and indicating a significant investment in foundational IT infrastructure.
• The presidential Proclamation (E9) mandates within 180 days updated IT systems for permanent sharing of military personnel and medical records between the Department of War and VA, and the deployment of AI-powered tools for benefits applications.
• The Proclamation (E9) also requires a review and modification of existing IT contracts within 120 days to ensure interoperability between military and VA records systems, signaling potential shifts or expansions in current vendor relationships.
• Accenture Federal Services LLC's $109.1M contract (E4) specifically targets Electronic Health Record Modernization, aligning with the broader push for digital transformation and interoperability across VA systems.

Companies exposed to this theme

The record · 8 items, oldest first

• Dec 20, 2024Federal contractLOYAL SOURCE GOVERNMENT SERVICES LLC: DEPARTMENT OF VETERANS AFFAIRS (VA) VETERANS BENEFITS ADMINISTRATION (VBA) MEDICAL DISABILITY EXAMINATION OFFICE (MDEO) 2025 IDIQ FOR MEDICA
• Apr 1, 2025Federal contractDELL FEDERAL SYSTEMS L.P: $1.0B Department of Veterans Affairs Contract
• Nov 10, 2025Federal contractACCENTURE FEDERAL SERVICES LLC: VA ELECTRONIC HEALTH RECORD MODERNIZATION SYSTEM INTEGRATION SUPPORT SERVICES
• Dec 29, 2025Federal contractVETERANS EVALUATION SERVICES, INC: OPTION 1 TASK ORDER (JANUARY 1, 2026 - DECEMBER 31, 2026) FOR DEPARTMENT OF VETERANS AFFAIRS (VA) VETERANS BENEFITS ADMINISTRATION (VBA) MED
• Aug 13, 2026Federal contractDELL FEDERAL SYSTEMS L.P: $1.1B Department of Veterans Affairs Contract
• Sep 3, 2026Federal contractDELL FEDERAL SYSTEMS L.P: $1.1B Department of Veterans Affairs Contract
• Sep 8, 2026Executive actionProclamation: Accelerating Access To Veterans' Benefits And Employment Opportunities
• Sep 23, 2026Federal contractTRIWEST HEALTHCARE ALLIANCE CORP: $1.2B Department of Veterans Affairs Contract

Some keyword matches were judged unrelated to this theme and are excluded from the record above.

How this story evolved

• Oct 16, 2026, 5:14 AM ETreal163 recordslatest record Oct 13, 2026

  VA accelerates digital health modernization with $2.2B in Microsoft software, AI tools, and interoperability mandates.

  The Department of Veterans Affairs (VA) is rapidly modernizing its health IT infrastructure, driven by significant investments in enterprise software and a presidential mandate for digital interoperability. This initiative aims to streamline veteran benefits and healthcare access through advanced technology and AI-powered tools. The effort began with substantial software contracts and culminated in an executive order demanding comprehensive digital sharing of military and medical records.

• Oct 15, 2026, 5:15 AM ETreal413 recordslatest record Oct 13, 2026

  VA accelerates digital record sharing and AI tools for veterans' benefits, awarding $3.3B in Microsoft software contracts to Dell.

  The Department of Veterans Affairs (VA) is undergoing a significant digital transformation, driven by a presidential proclamation to accelerate access to veterans' benefits and employment opportunities. This initiative mandates rapid digital sharing of military and medical records, deployment of AI-powered tools, and updates to existing IT contracts for interoperability. Dell Federal Systems has secured over $3.3 billion in contracts to provide Microsoft software and services to support these modernization efforts.

• Oct 14, 2026, 5:42 AM ETreal162 recordslatest record Oct 8, 2026

  VA commits over $2.1B to IT modernization and services, with a Presidential order mandating AI and digital record sharing.

  The Department of Veterans Affairs (VA) is significantly investing in IT modernization and healthcare services, awarding over $2.1 billion in contracts since January 2025. This push culminated in a September 2026 Presidential proclamation mandating rapid digital sharing of military and medical records, deployment of AI tools for benefits, and interoperability updates to existing IT contracts. The focus is on streamlining veteran support through advanced technology and integrated systems.

• Oct 13, 2026, 5:15 AM ETreal164 recordslatest record Oct 8, 2026

  VA commits over $2.1B to IT modernization and services, with a Presidential order mandating AI and digital record sharing.

  The Department of Veterans Affairs (VA) is significantly investing in IT modernization and healthcare services, awarding over $2.1 billion in contracts since January 2025. This push culminated in a September 2026 Presidential proclamation mandating rapid digital sharing of military and medical records, deployment of AI tools for benefits, and interoperability updates to existing IT contracts. The focus is on streamlining veteran support through advanced technology and integrated systems.

• Oct 12, 2026, 5:15 AM ETreal165 recordslatest record Oct 8, 2026

  VA commits over $2.1B to IT modernization and services, with a Presidential order mandating AI and digital record sharing.

  The Department of Veterans Affairs (VA) is significantly investing in IT modernization and healthcare services, awarding over $2.1 billion in contracts since January 2025. This push culminated in a September 2026 Presidential proclamation mandating rapid digital sharing of military and medical records, deployment of AI tools for benefits, and interoperability updates to existing IT contracts. The focus is on streamlining veteran support through advanced technology and integrated systems.

• Oct 11, 2026, 5:15 AM ETreal445 recordslatest record Oct 9, 2026

  VA commits $2.1B to Microsoft Enterprise Agreements with Dell, then mandates rapid digital sharing of military and VA records.

  The Department of Veterans Affairs (VA) is making significant investments in modernizing its IT infrastructure, primarily through large-scale software agreements. This push is now being accelerated by a presidential mandate to rapidly digitize and share military and VA medical records, leveraging AI for benefits processing. The sequence of events suggests a strategic move towards an integrated, digitally-driven healthcare and benefits system for veterans.

• Oct 10, 2026, 5:14 AM ETreal168 recordslatest record Oct 8, 2026

  VA commits over $2.1B to IT modernization and services, with a Presidential order mandating AI and digital record sharing.

  The Department of Veterans Affairs (VA) is significantly investing in IT modernization and healthcare services, awarding over $2.1 billion in contracts since January 2025. This push culminated in a September 2026 Presidential proclamation mandating rapid digital sharing of military and medical records, deployment of AI tools for benefits, and interoperability updates to existing IT contracts. The focus is on streamlining veteran support through advanced technology and integrated systems.

• Oct 9, 2026, 5:15 AM ETreal443 recordslatest record Oct 7, 2026

  VA commits $2.1B to Microsoft software, driven by executive order for military-VA IT interoperability.

  The Department of Veterans Affairs (VA) is undergoing a significant IT modernization, committing over $2.1 billion to Microsoft software agreements through Dell Federal Systems. This push is directly influenced by a presidential proclamation mandating rapid digital sharing of military and VA records and the deployment of AI tools for veteran benefits. The broader Defense Health Agency is also investing tens of billions in managed care support for the TRICARE program.

• Oct 8, 2026, 5:15 AM ETreal440 recordslatest record Oct 6, 2026

  VA accelerates digital sharing of military and medical records with AI tools, awarding $2.1B in IT contracts.

  The Department of Veterans Affairs (VA) is undergoing a significant digital transformation, driven by a presidential proclamation to accelerate access to veterans' benefits and employment opportunities. This initiative mandates rapid digital sharing of military and medical records, deployment of AI-powered tools for benefits applications, and updates to existing IT contracts for interoperability. The VA has already awarded substantial contracts to support these modernization efforts.

• Oct 7, 2026, 5:42 AM ETreal434 recordslatest record Oct 5, 2026

  VA accelerates IT modernization with $2.1B in Microsoft agreements and a presidential order for AI-powered benefits.

  The Department of Veterans Affairs (VA) is significantly upgrading its IT infrastructure and digital services, driven by substantial software contracts and a presidential mandate. Dell Federal Systems has secured over $2.1 billion in contracts for Microsoft Enterprise Agreements, standardizing software across the VA. This push is further amplified by a presidential proclamation ordering rapid digital sharing of military records and the deployment of AI tools for veteran benefits.

• Oct 6, 2026, 5:15 AM ETreal1241 recordslatest record Oct 5, 2026

  VA awards $2.1B in IT contracts to Dell and Optum, followed by an Executive Order mandating digital sharing of veteran records.

  The Department of Veterans Affairs (VA) is significantly investing in IT modernization, awarding over $2.1 billion in contracts to Dell and Optum for enterprise software and healthcare technology. This push for digital transformation culminated in a Presidential Executive Order mandating rapid, interoperable digital sharing of military and VA records, alongside AI-powered tools for veteran benefits. The sequence of large-scale IT procurements preceding the executive mandate suggests a coordinated effort to upgrade infrastructure in anticipation of broader digital integration and service delivery improvements.

• Oct 5, 2026, 5:14 AM ETreal185 recordslatest record Oct 2, 2026

  VA commits $2.5B to IT modernization and services, driven by an Executive Order mandating digital record sharing and AI tools.

  The Department of Veterans Affairs (VA) is undergoing a significant modernization of its IT infrastructure and veteran services, with over $2.5 billion in contracts awarded since January 2025. This acceleration is largely driven by a September 2026 Executive Order mandating rapid digital sharing of military and medical records and the deployment of AI-powered tools for benefits applications. The contracts focus on enterprise software, managed care support, and veteran experience services, indicating a comprehensive push towards integrated digital healthcare and support systems.