Dr. Shereef Elnahal was appointed by President Joseph R. Biden to serve as Under Secretary for Health at the Department of Veterans Affairs (VA) and confirmed by the Senate on July 21, 2022. In this role, he leads the largest integrated health system in the nation alongside a team of more than 420,000 professionals delivering world class care to more than 9 million enrolled Veterans. In the first two years of his tenure, Dr. Elnahal has overseen the Veterans Health Administration’s (VHA) implementation of the Sergeant First Class (SFC) Heath Robinson Honoring our Promise to Address Comprehensive Toxics (PACT) Act, the largest expansion of Veteran benefits in a generation. To prepare the enterprise to provide more care and more benefits to more Veterans, caregivers, and survivors than ever before, he has spearheaded initiatives to improve access, expand infrastructure, and train employees to serve Veterans impacted by toxic exposures. Under his direction, VHA also embarked on an aggressive hiring effort, growing its workforce at historic rates despite recruitment and retention challenges in the broader health care market. Dr. Elnahal holds an M.D. from Harvard Medical School and an M.B.A. with Distinction from Harvard Business School.