
NAVREF is the 501(c)(3) membership organization of VA-affiliated nonprofit research and education corporations (NPCs), authorized by Congress under 38 U.S.C. §§ 7361–7366. Our 75+ member sites provide the flexible, non-federal infrastructure that keeps VA research moving — managing grants, hiring research staff, and enabling public-private partnerships without new federal structures.
VA research is at risk from three solvable problems: broken hiring rules, the Section 208/209 waiver burden combined with the proposed 15% indirect cost cap, and budget pressure on the research infrastructure Veterans depend on.
Reform WOC/IPA hiring delays so VA research stops losing talent to the private sector. Research is only as strong as the people doing it, and current rules are eroding the enterprise.
Two years into VA Human Resources Modernization of Research Hiring, timelines have not meaningfully improved — including for renewals of current staff. The Human Resources Operations Office (HROO) continues to operate with staffing levels insufficient for current request volumes, and new policy requirements often roll out without adequate training, creating uneven understanding and prolonged review cycles.
NPCs receive no status updates on where candidates sit in the process, leaving them unable to support candidates or meet their legal obligation to keep applicants informed. Hiring practices are inconsistent across sites — some candidates in the same job title are required to complete drug or physical testing, while others are not — creating real legal and compliance exposure.
Fix the Section 208/209 conflict-of-interest waiver problem and eliminate the proposed 15% indirect cost cap that would gut research infrastructure. Together, these two changes would let VA-affiliated NPCs do what they were built for: fast, flexible, compliant funding.
In October 2023, the U.S. Office of Government Ethics issued a new interpretation of 18 U.S.C. § 208, the federal conflict-of-interest law. Research projects that were previously viewed as two parts — the science conducted by VA and the business of the grant managed by the affiliate — are now treated as a single "particular matter." Any VA investigator with a dual appointment at an NPC or university affiliate is presumed to have a conflict of interest, even if their only role is conducting the research. The interpretation interacts directly with 18 U.S.C. § 209, which restricts supplementation of federal salaries, compounding the burden on dually appointed investigators.
The result: an estimated 3,500 to 4,000 individual COI waivers per year just to apply for research funding. The administrative burden falls on researchers, medical center directors, and leadership — and risks deterring top scientists from pursuing VA research at all. NAVREF and FOVA have urged a narrow legislative fix to restore the prior workable standard for public service scientists, in joint letters to the House VA Committee (Sept. 9, 2024) and to the White House (Dec. 4, 2024).
Federal discussions about indirect cost recovery often assume a research environment anchored by universities with tuition revenue, endowments, and clinical margins to subsidize infrastructure. That model does not describe VA-affiliated NPCs. NPCs exist solely to support VA research and have none of those revenue cushions. Indirect cost recovery is the primary mechanism that sustains the administrative, compliance, and research infrastructure that allows VA research to operate safely and in compliance with federal regulation.
NPCs already recover indirect costs at roughly half the rate of large academic institutions. A proposed 15% cap would fall well below what is required to maintain federally mandated infrastructure: IRB and human subjects protections, regulatory compliance and reporting, data security and IT, grants administration, and the coordinator and analyst staffing required to keep studies enrolling. Because NPCs operate at a smaller scale with concentrated funding streams, even modest reductions can destabilize the entire network.
For perspective: VA-affiliated NPCs received approximately $114.6 million from NIH in 2023 — about 0.25% of NIH’s total budget. A cap aimed at the largest federal research recipients would do disproportionate damage to a small, mission-specific network that exists only to serve Veteran-focused research.
Expand clinical trial access — especially for rural and underserved Veterans. Protect VA Medical and Prosthetic Research funding. Ensure VA research remains a national priority in federal budget negotiations.
The Friends of VA Medical Care and Health Research (FOVA) Coalition respectfully urges the Subcommittee to provide the full requested levels for:
$1.2 Billion for Medical and Prosthetic Research. Supports VA’s core research operations — investigator-initiated studies, clinical trials, and translational science — sustaining the research workforce, the investigator pipeline, and Veterans’ access to emerging therapies.
$200 Million for Major and Minor Construction. Addresses longstanding research infrastructure deficiencies, modernizes laboratory and clinical research space, corrects Priority 1 health and safety deficiencies, and brings facilities up to contemporary standards for biomedical research.
$55 Million for Research Information Technology. Supports dedicated modernization of VA’s research IT infrastructure — data storage and security, cloud computing, interoperability with academic and industry partners, and the digital tools required for modern clinical trials. The Million Veteran Program depends on secure, scalable data systems; without IT investment, the data VA has collected over decades cannot be fully used.
Hiring is currently the single most immediate threat to VA research. If these deficiencies are not addressed, the damage to the VA research enterprise will be generational.
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