The National Asylum for Disabled Volunteer Soldiers was established on March 3, 1865, in the United States by Congress to provide care for volunteer soldiers who had been disabled through loss of limb, wounds, disease, or injury during service in the Union forces in the American Civil War. Initially, the Asylum, later called the Home, was planned to have three branches: in the Northeast, in the central area north of the Ohio River, and in what was then considered the Northwest, the present upper Midwest.
The Board of Managers, charged with governance of the Home, added seven more branches between 1870 and 1907 as broader eligibility requirements allowed more veterans to apply for admission. The effects of World War I, which resulted in a new veteran population of over five million men and women, brought dramatic changes to the National Home and all other governmental agencies responsible for veterans' benefits. In 1930 the Veterans Administration was established, to consolidate all veterans' programs into a single Federal agency. The several wars since then in the 20th and 21st centuries have resulted in more veterans needing services.