Elon Musk and Vivek Ramaswamy are preparing to lead a transformative initiative that could reshape federal spending under the incoming administration.

According to Newsweek, the newly announced Department of Government Efficiency (DOGE) could potentially impact $119 billion in veterans' healthcare funding by targeting appropriations for expired legislative authorities.

The announcement follows President-elect Donald Trump's Tuesday revelation about the creation of DOGE, which will operate outside official government structures. The department aims to address what its leaders view as unnecessary government expenditures, including programs operating under expired authorizations.

Examining Federal Spending Practices

The initiative targets over 1,200 programs currently receiving funding despite expired authorizations. These programs collectively account for $516 billion in government spending for the 2024 fiscal year, showing a slight decrease from the previous year's $519 billion.

Ramaswamy, who ended his Republican presidential campaign in January, expressed his perspective on social media platform X about the current spending situation. He emphasized the urgency of addressing these expenditures.

The Veterans' Health Care Eligibility Act, which expired in 1998 but continues to receive funding, stands as one of the most significant programs under scrutiny. This act provides essential medical services to veterans, including outpatient care, immunizations, and critical inpatient treatments.

Potential Impact On Veterans Services

The Heritage Foundation's Project 2025 adds another layer to the discussion about veterans' healthcare reform. This conservative policy blueprint suggests significant changes to the Department of Veterans Affairs, including increased political oversight and modifications to current healthcare provisions.

The Veterans Healthcare Policy Institute has voiced strong concerns about these potential changes. Their analysis suggests severe consequences for veterans' healthcare under a second Trump administration.

Former Trump administration officials have played significant roles in developing these reform proposals. Brooks Tucker, who previously served as acting chief of staff for the VA during Trump's first term, authored the VA-focused section of Project 2025.

Blueprint For Administrative Reform

Other expired acts facing potential funding cuts include the 21st Century Cures Act, which supports biomedical research with $48 billion in funding, and the Foreign Relations Authorization Act, allocated $38 billion for foreign affairs administration.

The establishment of DOGE represents a significant shift in approach to government spending and regulation. Trump's appointment of Musk and Ramaswamy signals his intention to bring private sector perspectives to government efficiency efforts.

While Trump has publicly distanced himself from Project 2025, the involvement of his former officials in its development suggests potential alignment with some of its proposals. The project's recommendations for the VA have drawn particular attention from veterans' advocacy groups.

Reshaping Federal Programs

President-elect Trump's Department of Government Efficiency, led by Elon Musk and Vivek Ramaswamy, aims to restructure federal spending by targeting programs operating under expired authorizations. The initiative particularly focuses on the Veterans' Health Care Eligibility Act, which currently provides $119 billion in healthcare services to veterans despite expiring in 1998.

The department's creation raises concerns among veterans' healthcare advocates, who warn about potential impacts on essential medical services. As the January transition approaches, the administration's plans for implementing these changes and their effects on veterans' healthcare services remain a critical point of discussion in Washington.