State level governments play a pivotal role in allocating resources, setting policy agendas and direct service delivery to veterans. Because services are delivered at the state level, there is significant variance in the level of, and types of services offered, state by state. To date, no comprehensive assessment of state-level departments of Veterans Affairs (DVAs) has been conducted to analyze these differences and identify the challenges and leading practices across the various states. To address this question, the IVMF, with support from the New York State Health Foundation conducted a study of state-level departments of veteran’s affairs.