About the AIR Commission

The MISSION Act of 2018 requires the Department of Veterans Affairs to conduct a nationwide study and create a series of recommendations for future investments in VA health care facilities. The goal of the study is to learn about Veterans' experiences with VA health care and how Veterans want care to be delivered in the future. To develop the recommendations, VA conducted research and analysis, interviewed and collaborated with VA facility staff and leadership, as well as solicited feedback from Veterans.

Since VA’s recommendations were released on March 14, 2022, Paralyzed Veterans of America has spent hours reviewing the VA's recommendations and supporting information, as well as collaborating with its on-staff experts. Today, PVA continues to evaluate the data provided by the VA for the justification for these recommendations as there remains many unmet specialized needs for Veterans with SCI/D, particularly facility-based long-term care. 

Veterans Integrated Services Network (VISN) Map

Veterans Integrated Services Network Map. The U.S. is divided into 18 Veterans Integrated Service Networks, or VISNs — regional systems of care working together to better meet local health care needs and provides greater access to care.

AIR Commission Report SCI/D Hub Recommendations

SCI/D Hub or LTC
AIR Recommendation
VISN 1: West Roxbury
Modernize inpatient facilities—private rooms.
VISN 1: Brockton (LTC)
No apparent change.
VISN 2: Syracuse
Consolidate inpatient SCI/D care to the Bronx VAMC.
VISN 2: East Orange
Consolidate inpatient SCI/D care to the Bronx VAMC.
VISN 2: Bronx
No apparent change.
VISN 6: Richmond
No apparent change.
VISN 6: Hampton (LTC)
Hampton VAMC will be closed and SCI/D services relocated to Richmond VAMC.
VISN 7: Augusta
Construct replacement facility that includes SCI/D on available space at the August VAMC—Uptown to consolidate services in one site.
VISN 8: Tampa
No apparent change.
VISN 8: Miami VAMC
Replacement Miami VAMC that includes SCI/D.
VISN 8: Puerto Rico
No apparent change.
VISN 9: Memphis
Recommend lowering number of beds from 70 to 26.
VISN 9: Memphis
Recommend lowering number of beds from 70 to 26.
VISN 10: Cleveland
No apparent change.
VISN 12: Milwaukee
No apparent change.
VISN 12: Hines
Construct replacement Hines VAMC that includes SCI/D.
VISN 15: St. Louis
Consolidate acute care at the St. Louis—John Cochran VAMC for a total of 30 beds. SCI/D services at St. Louis—Jefferson Barracks VAMC will focus on outpatient SCI/D services with a small number of dedicated respite and hospital beds.
VISN 16: Houston
Expand SCI/D services due to potential lack of capacity but consider if Memphis VAMC could serve unmet needs.
VISN 17: Dallas
No apparent change.
VISN 17: San Antonio
Replace San Antonio VAMC.
VISN 19: Denver
Use portion of “underutilized” SCI/D beds to address increasing demand for short-stay CLC.
VISN 20: Seattle
No apparent change.
VISN 21: Palo Alto
Move other specialized services to free up space in Building 7 for dedicated SCI/D care.
VISN 22: Long Beach
Reduce SCI/D beds to 80 acute (reduction of 22 beds) and rightsize long-term SCI/D beds to future demand.
VISN 22: San Diego
Construct a new CLC and SCI/D replacement building at the San Diego VAMC.
VISN 22: Albuquerque
Convert existing shared rooms to single patient rooms—reduce from 26 to 18 beds to align with projected demand.
VISN 23: Minneapolis
No apparent change.

Frequently Asked Questions about the AIR Commission

What is the AIR Commission?
How many people are on the AIR Commission and how are they appointed?
How do VA’s recommendations come about and who assesses them?
What are market assessments?
Why it is important for VA to regularly update and modernize its facilities?
When can the VA implement its 2021 recommendations?
Where can I find VA’s Recommendations?

Submit your questions or comments about the AIR Commission and recommendations