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VA to Consider Medical Management of Symptoms in Determining Disability Ratings

The VA's new rule, effective immediately, may reduce compensation for millions by basing disability ratings on veterans' function with medication, following a 2025 court ruling.

  • On Feb. 17, the Department of Veterans Affairs published an interim final rule titled `Evaluative Rating: Impact of Medication` in the Federal Register, effective immediately, covering new claims and reevaluations based on veterans’ function while on medication.
  • Because of court interpretations of Jones v. Shinseki and Ingram v. Collins, the VA said the rule formalizes longstanding policy, citing an `erroneous interpretation` as the legal driver.
  • Since Tuesday the regulation has drawn more than 650 comments and a public comment period is open through April 20, while the VA invoked good cause under 5 U.S.C. 808 to bypass normal review.
  • As the rule takes effect immediately, advocates from Disabled American Veterans, Veterans of Foreign Wars, and Unite for Veterans Coalition warn it could reduce disability compensation for millions and push veterans to stop medication, while the VA disability program pays roughly $150 billion annually.
  • The rule applies across all body systems, including cardiovascular, digestive, musculoskeletal and mental health, but runs counter to at least two prior judicial rulings, risking higher costs and delays; public comments will become part of the administrative record and could be cited in court.
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The Berkshire EagleThe Berkshire Eagle
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Paralyzed Veterans of America Issues Statement in Response to Department of Veterans Affairs' Interim Rule Impacting Veterans' Disability Ratings

WASHINGTON, Feb. 18, 2026 /PRNewswire/ -- Paralyzed Veterans of America Chief Executive Officer Carl Blake released the following statement in response to the Department of Veterans Affairs' (VA) recent interim final rule impacting veterans' disability ratings.

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Stars and Stripes broke the news in Washington, United States on Tuesday, February 17, 2026.
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