VA OIG report 25-00867-171, published Nov 12, 2026, found that only 3 of 28 VA facilities without a locked mental health acute inpatient unit reported having the required agreements for involuntary admissions elsewhere. Without those agreements, OIG said, facilities risk delays and poor coordination of care. Fourteen percent of facilities lacked guidance on holds. OIG made 7 recommendations; Acting Under Secretary for Health John Figueroa concurred; recommendations 4, 5, and 6 were closed at publication, and 1, 2, 3, and 7 remain open. The figures are point-in-time and self-reported; OIG did not assess compliance with state laws.
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