Is it true the VA is changing the rating schedule for mental health, sleep apnea, and tinnitus? What actually changed?

As of now, no final rule has taken effect changing how VA rates mental health conditions, sleep apnea, or tinnitus. Rumors and speculation about these topics circulate often because VA periodically reviews and proposes updates to the rating schedule found in 38 CFR Part 4, but a proposal is not the same as a finalized regulation.

Any real change to the rating schedule has to go through federal rulemaking. VA typically publishes an Advance Notice of Proposed Rulemaking or a Notice of Proposed Rulemaking in the Federal Register, opens a public comment period, reviews those comments, and then issues a final rule with a specific effective date. Only after that final rule is published and its effective date arrives does the new criteria apply. Until that happens, claims continue to be rated under the current, unchanged version of 38 CFR Part 4.

What would this rating pay you? (2026 rates)

Official 2026 VA monthly compensation, including the 2.8% COLA increase.

per month ·  per year, tax-free

Dependent add-ons start at a 30% rating. Child-only and dependent-parent rates: see the full 2026 pay chart.

2026 base rates, all ratings (veteran alone)
RatingMonthly (2026, incl. 2.8% COLA)
10%$180.42
20%$356.66
30%$552.47
40%$795.84
50%$1,132.90
60%$1,435.02
70%$1,808.45
80%$2,102.15
90%$2,362.30
100%$3,938.58
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When VA does finalize a rating schedule change, it is almost always prospective, meaning it applies to decisions made on or after the effective date, not retroactively to past decisions. Veterans already rated under the old criteria generally are not automatically re-evaluated or reduced just because the schedule changes, unless VA specifically orders systemic reviews, which has happened in some past rating schedule updates (such as prior changes to the mental health or musculoskeletal systems). If you have a claim pending, it will typically be rated under whatever version of the regulation is in effect at the time VA makes its decision, so if a new rule becomes effective while your claim is still pending, it could apply to you.

Because rating schedule changes affect a huge number of claims, VA has historically provided lead time, often months, between when a final rule is published and when it actually takes effect, specifically so claims processors, veterans, and representatives can prepare.

The safest approach is to rely only on official VA and Federal Register announcements, not YouTube commentary, claims consultants, or social media speculation, since proposed changes can be delayed, modified, or withdrawn entirely before finalization. If you have a current claim, keep gathering evidence and filing under the existing rating criteria rather than waiting for a change that is not yet in effect, since there is no guaranteed timeline for when, or whether, these specific proposals will become final.

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Disclaimer: VetAid is not a law firm, medical practice, or Veterans Service Organization. This information is for educational purposes only and does not constitute legal, medical, or professional advice. Consult with a qualified VA-accredited attorney or your VSO representative. Veterans Crisis Line: 988 (press 1).

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