This bill mandates the Secretary of Veterans Affairs to establish a two-year demonstration project within one year of enactment. The project's primary goal is to evaluate the fiscal impact and effectiveness of covering FDA-cleared, over-the-counter (OTC) hearing aids for veterans, similar to how prescription hearing aids are covered. Eligible participants must be enrolled in VA healthcare, have an audiologist determine medical necessity for OTC aids for mild-to-moderate hearing loss without contraindications, and possess mobile technology for device functionality. The project will be carried out at a minimum of two VA medical facilities across different networks, selected for their ability to serve diverse veteran populations in both rural and urban settings. The project design includes two study groups: one for FDA-cleared OTC hearing aids and another for audiologist-fitted prescription hearing aids, with an approximately equal number of participants in each. The Secretary will measure both self-reported benefits and speech recognition, alongside the fiscal impact of potential permanent coverage of OTC aids. Consultation with consumer and stakeholder organizations is required during the project. The Secretary must submit an interim report after one year and a final report within 180 days of the project's conclusion to Congress. The final report will include an evaluation of the fiscal impact of permanent OTC hearing aid coverage and any other relevant findings or recommendations. Additionally, the bill directs the Comptroller General to conduct a study on hearing aid benefits for veterans with mild-to-moderate hearing loss, examining current coverage effectiveness and providing recommendations for VA programs.