Patient satisfaction rates have improved steadily at VA in recent years, but Trump insists his changes have reformed the entire department.
VA has conducted a poll of federal employees every year since 2006, but won't distrubute one this year amid multiple reforms to the workforce.
About 80% of VA's roughly 450,000 employees are union members, but the department will no longer honor its contracts with the bargaining units.
Officials will extend authorizations for care handled outside the VA system for 30 different medical specialties, a move they say will ease red tape.
