Democratic House members on Thursday blasted the Trump administration’s moves to shrink the Department of Veterans Affairs and demanded more transparency from its leaders after a ProPublica investigation revealed widespread disruptions across the agency’s health care system.

“There are real-life dangerous impacts for veterans,” said Rep. Chris Deluzio of Pennsylvania, citing the news organization’s work.

This week, ProPublica reported on dozens of emails sent from staff at VA hospitals and clinics across the country to headquarters warning how cuts could, and in some cases are, degrading the agency’s ability to provide for the roughly 9 million veterans who rely on it.

Hiring freezes and other edicts from the White House have left medical providers scrambling and short-staffed amid an ever-shifting series of policy moves, including the cancellation of contracts with companies that maintain cancer registries, the emails said. Staffers at VA centers in Pennsylvania warned the cuts were causing “severe and immediate impacts,” including to “life-saving cancer trials.”

“Enrollment in clinical trials is stopping,” one wrote, “meaning veterans lose access to therapies.” Staffers at the hospital warned more than 1,000 veterans would lose access to treatment for diseases ranging from metastatic head and neck cancers, to kidney disease, to traumatic brain injuries.

On Thursday, the House members, several of whom are veterans, demanded VA leadership provide more details on how cuts are affecting such work, in which service members often receive treatment they would not otherwise have access to.

“We all want to cut waste, fraud and abuse, but what we see today is when you cancel a contract, it means the end of a clinical trial that’s going to save someone’s life,” Rep. Maggie Goodlander of New Hampshire said.

Notably, Deluzio, an Iraq War veteran whose Pittsburgh-area district includes a VA facility, and other lawmakers said they had learned about the impact for the first time from ProPublica’s reporting. On Thursday, they accused agency Secretary Doug Collins of stonewalling their efforts to find out what positions have been laid off, what contracts have been canceled and what future cuts will look like.

“We want the country to understand that this administration is hiding what they are doing, not just from us and the Congress, but from veterans and the American people,” Deluzio said.

“And the worst part is, we don’t know if anyone has died,” he added.

President Donald Trump has long said his administration will prioritize veterans and not compromise their care.

The disruptions at the VA have come even as the department has laid off just a few thousand staffers — a small fraction of the employees it said it ultimately plans to remove. Collins has said the agency is developing plans with Elon Musk’s Department of Government Efficiency to cut at least 70,000 employees — a number that he has underscored is a “goal.” “Could be more, could be less,” he told lawmakers this week.

On Thursday, in a post on X, Collins pushed back on criticism, calling ProPublica’s reporting “misleading” and saying it was based on “some outdated reports from the internal system VA uses to quickly identify and fix issues across the department.”

In a statement, VA press secretary Pete Kasperowicz said that Collins was working to fix a “broken bureaucracy” that has long had problems with patient safety and access to care, among other issues. “Unfortunately, many in the media, government union bosses and some in Congress are fighting to keep in place the broken status quo,” he said. “Our message to Veterans is simple: Despite major opposition from those who don’t want to change a thing at VA, we will reform the department to make it work better for Veterans, families, caregivers and survivors.”

Kasperowicz previously told the news organization that the issues in Pennsylvania have been resolved, though locals there with knowledge of the issues said that’s not the case and that the impact is ongoing. Kasperowicz also said in regard to the contracts to maintain the cancer registries that there had been “no effect on patients.” He added that the VA is moving to create a national contract to administer them.

According to some providers, even the temporary disruptions have hurt the care of veterans. One clinical trial to treat veterans for opioid addiction was hobbled by temporary layoffs. “We couldn’t give veterans a tool that could save their lives,” said Ellie Gordon, the CEO of the startup Behavior, which is testing biosensors to alert veterans to the risk of relapse.

Collins touted the cuts in a sometimes-contentious hearing on Tuesday before the U.S Senate Committee on Veterans’ Affairs.

“We’re going to maintain VA’s mission-essential jobs like doctors, nurses and claims processors, while phasing out non-mission essential roles like interior designers and DEI officers,” he said in an opening statement. The funds saved will be rerouted into direct health care and benefits for veterans, he added.

Some Republicans at the hearing defended the administration’s proposed cuts. “The VA has become a bloated bureaucracy,” said Sen. Tommy Tuberville, who represents Alabama. “I think most of us will agree with that.”

But Sen. Richard Blumenthal, D-Conn., pushed back on Collins’ statements, saying that laying off such a large portion of the staff will inevitably involve letting go of health care workers, like nurses and doctors. “You cannot slash and trash the VA without eliminating those essential positions which provide access and availability of health care,” he said. “It simply cannot be done.”

Others at the hearing took Collins to task for a lack of transparency. Sen. Angus King, I-Maine, admonished the secretary for refusing to provide a list of the 538 canceled contracts since his appointment. Collins said he would provide the information, but only after it’s finalized.

“We’re looking at every step we can, but also, I’m not going to play it out in a public arena,” he said.