VA EHR Reboot 2026: Federal EHR Modernization, Deployment Schedule, and What Government Contractors Must Know

The VA EHR Reboot in 2026 marks the restart of the Department of Veterans Affairs’ Electronic Health Record Modernization (EHRM) program, also known as the Federal EHR initiative using Oracle Health (formerly Cerner Millennium).

After years of performance challenges, deployment pauses, and oversight scrutiny, the VA is resuming EHR deployments at additional VA medical centers under a revised rollout strategy.

For government contractors supporting VA health IT modernization, the 2026 restart represents both opportunity and elevated execution risk.

This article explains:

  • The background of the VA EHR modernization effort

  • Why deployments were paused

  • What changes in the 2026 reboot

  • What contractors should understand before go-live

  • Where to access the 2026 VA EHR deployment schedule

If you are competing in federal health IT contracts, VA IT modernization, systems integration, training, infrastructure, cybersecurity, or program management, this update directly impacts capture and delivery strategy.

Background: VA Electronic Health Record Modernization (EHRM)

In 2018, the Department of Veterans Affairs awarded a multibillion-dollar contract to modernize its legacy electronic health record system. The selected platform was Cerner Millennium, later acquired by Oracle and now branded as Oracle Health.

The objectives of VA EHR modernization included:

  • Standardizing clinical workflows

  • Improving interoperability with the Department of Defense

  • Replacing legacy VistA systems

  • Creating a unified Federal EHR environment

The first VA EHR go-live occurred in October 2020 at the Mann-Grandstaff VA Medical Center in Spokane, Washington.

Deployments expanded to additional VA medical centers in 2022.

However, the implementation encountered sustained operational challenges including:

  • Performance degradation

  • Workflow disruption

  • System latency

  • Integration complexity

  • Hundreds of documented major performance incidents

In April 2023, the VA paused further EHR deployments after rollout to five medical centers to reassess stabilization, governance, and change management processes.

This pause triggered increased oversight attention and a broader evaluation of execution strategy.

VA EHR Reboot 2026: What Is Changing

The 2026 VA EHR restart is not a continuation of the previous rollout model.

VA leadership has described a revised approach emphasizing:

  • Wave-based regional deployments

  • Greater standardization of system configuration

  • Reduced site-specific customization

  • Improved governance and oversight mechanisms

  • Faster operational stabilization after go-live

This shift reflects lessons learned from the initial deployment phases between 2020 and 2023.

For contractors, this means the evaluation environment is different in 2026.

Programs that have experienced public scrutiny and deployment pauses typically operate under:

  • Lower tolerance for ambiguity

  • Greater emphasis on measurable readiness

  • Increased focus on post-go-live stabilization

  • Heightened oversight visibility

Understanding this context is critical when shaping proposals and delivery frameworks.

What the 2026 VA EHR Rollout Means for Government Contractors

The VA EHR modernization program remains one of the most visible federal health IT efforts in the United States.

For government contractors, the 2026 restart affects:

  • Capture strategy for VA EHR task orders

  • Proposal positioning for health IT modernization

  • Staffing models for go-live support

  • Integration and infrastructure readiness

  • Training and adoption planning

  • Incident response and command center design

This is not simply a technical deployment.

It is an enterprise transformation under sustained oversight.

Contractors supporting VA EHR go-lives in 2026 will be evaluated on operational control, stabilization capability, and execution discipline.

To understand how this environment affects proposal competitiveness and performance risk, watch our full breakdown:

👉 How to Win Contracts with the Department of Veterans Affairs in 2026 (VA EHR)

The video provides a deeper analysis of:

  • The evolution of VA EHR modernization

  • The operational implications of the 2026 reboot

  • The shifting expectations for contractors supporting Federal EHR deployments

2026 VA EHR Modernization Deployment Schedule and Go-Live Locations

As part of the 2026 restart, VA has outlined a deployment schedule structured around regional waves.

To support planning and capture efforts, we are including a 2026 VA EHR Modernization Deployment Schedule table, detailing:

  • Planned medical center go-live locations

  • Regional clustering strategy

  • Expected sequencing of deployments

  • Wave timing for 2026

This deployment schedule is particularly relevant for:

  • Capture managers

  • Proposal teams

  • Health IT integrators

  • Staffing planners

  • Subcontractors seeking teaming alignment

Reviewing the schedule allows contractors to align pipeline strategy, resource planning, and competitive positioning with anticipated rollout phases.

Final Analysis: VA EHR 2026 Is an Execution Test

The VA Electronic Health Record Modernization program has moved through initial deployment, pause, reassessment, and now reboot.

In 2026, deployments resume under greater scrutiny and with clearer expectations.

For government contractors, the difference between winning and losing may not be technical capability alone. It will likely hinge on how well firms demonstrate disciplined execution, stabilization planning, and operational readiness in a highly visible federal modernization program.

To gain full context:

  1. Watch the complete video analysis of the VA EHR Reboot 2026

  2. Review the 2026 VA EHR deployment schedule and go-live locations

  3. Reassess your capture and delivery strategy accordingly

The VA EHR modernization effort is moving forward again.

Contractors who understand the history, the reboot strategy, and the 2026 deployment environment will be positioned more effectively in this next phase of Federal EHR implementation.

If you want to win government contracts and grow your business, set up a time to chat with our team and see how we can help you win more!

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