On May 23, 2018 Veterans Administration (VA) directive issued policies to improve prevention, early diagnosis and treatment was established for all viral hepatitis including chronic Hepatitis B. The goal of our study was to identify patients with positive HBsAg test at the Dayton VA Medical Center who would benefit on going medical care for hepatitis B with gastroenterology (GI) clinic, identify reasons for lack of treatment, and re-establish patients into the GI clinic.