HR658-119

Reported

To amend title 38, United States Code, to establish qualifications for the appointment of a person as a marriage and family therapist, qualified to provide clinical supervision, in the Veterans Health Administration.

119th Congress Introduced Jan 23, 2025

Summary

What This Bill Does

This bill amends title 38 appointment qualifications for marriage and family therapists in the Veterans Health Administration. It creates a specific qualification path for a marriage and family therapist position that is qualified to provide clinical supervision. To qualify, the person must already meet the existing VHA marriage and family therapist qualifications and must be recognized by the relevant state, or otherwise allowed by that state, to provide clinical supervision.

Earlier House text also recognized an American Association for Marriage and Family Therapy approved-supervisor designation. The enrolled text focuses on state recognition or state allowance. The bill is narrow, but it matters because clinical supervision authority affects who can supervise trainees or less-experienced therapists inside VA mental health programs.

Who Benefits and How

State-recognized marriage and family therapists benefit because their clinical-supervision authority becomes a federal qualification for VHA appointment. VHA mental health programs benefit from clearer rules for hiring supervisors who can oversee marriage and family therapy practice. Veterans receiving family therapy benefit if VA facilities can hire qualified supervisors and expand supervised behavioral-health capacity. VA trainees and early-career therapists benefit from more clearly qualified clinical supervisors. State licensing boards benefit because state supervision recognition becomes the relevant gate in the enrolled text.

Who Bears the Burden and How

VHA human-resources staff must verify that therapist candidates meet both title 38 qualifications and state clinical-supervision recognition. VA credentialing offices must update appointment reviews for marriage and family therapist supervisor roles. Marriage and family therapists without state supervision recognition bear a burden because they cannot qualify for the clinical-supervision appointment category. VA facility managers may need to document which therapists can supervise clinical practice. Earlier AAMFT-approved supervisors lose a separate statutory path if they lack the required state recognition.

Key Provisions

  • Amends title 38 VHA marriage and family therapist appointment qualifications.
  • Creates a qualification standard for therapists appointed to provide clinical supervision.
  • Requires candidates to meet existing VHA marriage and family therapist qualifications.
  • Requires state recognition or state allowance to provide clinical supervision.
  • Narrows the final version away from the introduced AAMFT-approved-supervisor alternative.
  • Gives VA a clearer credentialing rule for marriage and family therapy supervisors.

Evidence Chain:

This summary is generated from the full bill text using AI analysis. Expand "Detailed Analysis" below for identified beneficiaries/burden bearers with clause-level evidence links.

At a Glance

What This Bill Does

Sets clinical-supervision qualifications for Veterans Health Administration marriage and family therapists by requiring the therapist to meet existing VHA appointment qualifications and be recognized or allowed by the licensing state to provide clinical supervision.

Key Policy Areas

Veterans Health, Behavioral Health Workforce, Professional Licensing

Primary Purpose

Sets clinical-supervision qualifications for Veterans Health Administration marriage and family therapists by requiring the therapist to meet existing VHA appointment qualifications and be recognized or allowed by the licensing state to provide clinical supervision.

Policy Domains

Veterans Health Behavioral Health Workforce Professional Licensing

House resolution provisions

Identified Gains
  • State-recognized marriage and family therapists
  • VHA mental health programs
  • Veterans receiving family therapy
  • VA trainees
  • State licensing boards
Model: codex-gpt-5 | Version: bill_summary_v2 | Source: rfs
VA trainees: ,
State licensing boards: ,
VHA mental health programs: ,
Veterans receiving family therapy: ,
State-recognized marriage and family therapists: ,
Identified Costs
  • VHA human-resources staff
  • VA credentialing offices
  • Therapists without state supervision recognition
  • VA facility managers
  • AAMFT-approved supervisors lacking state recognition
Model: codex-gpt-5 | Version: bill_summary_v2 | Source: rfs
VA facility managers: ,
VA credentialing offices: ,
VHA human-resources staff: ,
Therapists without state supervision recognition: ,
AAMFT-approved supervisors lacking state recognition: ,

Legislative Progress

Reported
Introduced Committee Passed
Feb 3, 2026

Received in the Senate and Read twice and referred to …

Feb 3, 2026

Received; read twice and referred to the Committee on Veterans' …

Feb 2, 2026

Motion to reconsider laid on the table Agreed to without …

Feb 2, 2026

On motion to suspend the rules and pass the bill, …

Feb 2, 2026

Passed/agreed to in House: On motion to suspend the rules …

Feb 2, 2026

Considered under suspension of the rules. (consideration: CR H1932-1933)

Feb 2, 2026

DEBATE - The House proceeded with forty minutes of debate …

Feb 2, 2026

Mr. Bost moved to suspend the rules and pass the …

May 17, 2025

Placed on the Union Calendar, Calendar No. 72.

May 17, 2025

Additional sponsor: Mr. Johnson of Georgia

Stakeholder Effects

cui bono?

How this legislation distributes effects. Mention counts reflect frequency, not effect magnitude.

Veterans
12 mentions across 5 clauses
+8 positive -4 negative

VA credentialing offices, VHA mental health hiring staff, Veterans receiving family therapy

VHA mental health hiring staff faces effects in multiple directions

Positive-direction: Veterans receiving family therapy

Negative-direction: VA credentialing offices

Behavioral Health Providers
10 mentions across 5 clauses
+8 positive -2 negative

AAMFT-approved therapist supervisors, State-authorized therapist supervisors, State-recognized therapist supervisors

Positive-direction: AAMFT-approved therapist supervisors, State-authorized therapist supervisors, State-recognized therapist supervisors

Negative-direction: Therapists lacking state supervision recognition

1/1
sections analyzed
Full impact breakdown

Bill Structure & Actor Mappings

Who is "The Secretary" in each section?

Domains
Veterans Health Behavioral Health Workforce Professional Licensing
Actor Mappings
"va"
→ Department of Veterans Affairs
"vha"
→ Veterans Health Administration
"aamft"
→ American Association for Marriage and Family Therapy

We use a combination of our own taxonomy and classification in addition to large language models to assess meaning and potential beneficiaries. High confidence means strong textual evidence. Always verify with the original bill text.

Learn more about our methodology