VA Under Secretary for Health Shereef Elnahal, left, with Rep. Jason Crow, D-Colo., right, speaks during a press conference on March 4, 2024. Elnahal said this week that the department would use attrition to reduce staff.

VA Under Secretary for Health Shereef Elnahal, left, with Rep. Jason Crow, D-Colo., right, speaks during a press conference on March 4, 2024. Elnahal said this week that the department would use attrition to reduce staff. Helen H. Richardson / Getty Images

VA to shed 10,000 employees at underutilized facilities in FY25

The department plans to use attrition only and focus on staff in supervisory and administrative roles.

The Veterans Affairs Department plans to shed 10,000 employees next fiscal year, though it does not anticipate using any separation incentives and still aims to hire in some areas. 

Instead, VA will lean on natural attrition to meet the workforce reduction target, which officials said would still allow the agency to meet all of its operational objectives. Most of the reductions would come from the Veterans Health Administration, though its chief said hiring would largely continue for physicians, nurses, medical support assistants and other support staff. Instead, Shereef Elnahal, VA’s undersecretary for health, said the targeted attrition would focus on supervisory and administrative roles. 

The Veterans Benefits Administration is also anticipating a 4% reduction to its workforce, according to President Biden’s fiscal 2025 budget. 

The plan marks a significant reversal from the long-term trend at VA. The department has for years grown its workforce and has added 72,000 employees since 2019. It made significant leaps in fiscal 2023, when VHA added a whopping 61,000 employees and grew its workforce by 7%, and the start of fiscal 2024, but will now only add staff in targeted areas.

The reversal comes as VA is in the midst of surging the number of veterans seeking health care and benefits from the department as it continues to implement the PACT Act, a law that newly makes eligible for department services former military members at risk of toxic exposure. 

At some facilities, VA has already paused hiring or revoked offers. 

“We are managing this by attrition,” Elnahal told reporters this week. “We’re not under a hiring freeze, but nonetheless facilities are making strategic decisions about whether to fill positions when they vacate.” 

He added VHA loses about 9% of its workforce annually, or about 38,000 employees based on its current workforce. That would mean his agency would fill about three of every four vacancies next fiscal year. He stressed that the rate would not be spread evenly across the department. 

“This will not be an equal picture, medical center to medical center,” Elnahal said. “It would all depend on veteran care demand and veteran needs. So as a trend, we should see medical centers over areas where veterans aren't growing, or even declining in population, potentially attriting more than others.” 

Job losses would be focused on positions that operate in support of direct clinical staff. The undersecretary said the agency’s headquarters will allow regional leadership to make specific decisions on hiring needs. 

The PACT Act gave VA access to new pay bumps and recruiting and retention incentives, which Elnahal noted led to VA’s turnover rate in fiscal 2023 being 20% lower than the previous year. Still, he expressed optimism that attrition alone would be sufficient for VHA to meet its staffing reduction goals. 

“We think we can get there through attrition,” Elnahal said.