House lawmakers on Tuesday hinted at continued dramatic shake-ups at Veterans Affairs in months to come, this time taking aim at the department’s health management structure for a complete overhaul.

Republicans and Democrats on the House Veterans’ Affairs Committee said they see the potential for massive changes within VA’s existing system of Veterans Integrated Service Networks, a series of 18 regional administrative overlays to the veterans health system. Several said it may be time to get rid of the outdated management model.

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