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Contract Intelligence

VA EHRM (Electronic Health Record Modernization)

VA's enterprise EHR modernization replacing VistA. Only 6 of 164 VA medical centers live as of March 2026 — 158 remain on legacy VistA. April 2026: 4 Michigan sites go live (Detroit, Saginaw, Ann Arbor, Battle Creek), followed by 9 more in Ohio, Indiana, Kentucky, and Alaska. Performance record is the primary driver of Congressional pressure: VA IG documented 826 major performance incidents since first go-live, GAO found only 13% of staff believe the system makes VA more efficient, and 58% believe it increased patient safety risks. FY2026: $3.4B allocated but 30% ($1.02B) withheld until July 1, 2026 pending VA conditions. Oracle exercised 3rd option period in 2025. Rep. Budzinski's 33-page discussion draft (March 2026) proposes a 2-year clock: if VA can't certify improvement and complete 2 new deployments, Oracle contract extensions would be restricted. Oracle facing reported 20-30% layoffs that could further strain EHRM staffing.

Agency

Department of Veterans Affairs

Vendor

Oracle Health (Cerner)

Value

$37.2B lifecycle estimate

Status

Active

Confidence

--
NAICS: 541512

Current Intelligence

Contract Overview

VA's enterprise EHR modernization replacing VistA. Only 6 of 164 VA medical centers live as of March 2026 — 158 remain on legacy VistA. April 2026: 4 Michigan sites go live (Detroit, Saginaw, Ann Arbor, Battle Creek), followed by 9 more in Ohio, Indiana, Kentucky, and Alaska. Performance record is the primary driver of Congressional pressure: VA IG documented 826 major performance incidents since first go-live, GAO found only 13% of staff believe the system makes VA more efficient, and 58% believe it increased patient safety risks. FY2026: $3.4B allocated but 30% ($1.02B) withheld until July 1, 2026 pending VA conditions. Oracle exercised 3rd option period in 2025. Rep. Budzinski's 33-page discussion draft (March 2026) proposes a 2-year clock: if VA can't certify improvement and complete 2 new deployments, Oracle contract extensions would be restricted. Oracle facing reported 20-30% layoffs that could further strain EHRM staffing.

Agency: Department of Veterans Affairs
Vendor: Oracle Health (Cerner)
Value: $37.2B lifecycle estimate
NAICS: 541512

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Last built: 2026-03-31

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