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Evans
Calls Veterans’ Budget Major Disappointment; Veterans’ Medical
Care Funding Inadequate, Transfer Of Veterans Employment Program
Proposed Without Explanation, Veterans Claims Backlog Continues
Illinois
Lawmaker Welcomes Administration Work On Procurement Reform
Washington, DC --
Congressman Lane Evans (D-IL), today called the newly released Bush
Administration budget for veterans, “a major disappointment.”
Evans is the senior Democratic Member of the House Veterans
Affairs Committee.
Evans said the new
proposal for veterans is “particularly disappointing because Bush
Administration public statements describing the budget could easily
mislead some veterans. Our
veterans have earned and deserve the simple truth, Evans continued.
Instead, the Administration’s public description of this
budget is likely to create misunderstanding among some veterans about
the facts of the new VA medical care budget proposed by the Bush
Administration.”
For example, Evans
continued, “the Bush Administration claims the new veterans budget
requests a record-setting ‘$25.5 billion for medical programs”’.
The fact is the Bush Administration is really asking Congress
to appropriate $22.75 billion for veterans’ medical care -- $2.75
billion less than the reported record-setting reported total.”
Of the $25.5 billion
the Bush Administration claims the budget will provide for veterans
medical care, $794 million will simply shift personnel related costs
to VA from the Office of Personnel Management (OPM).
Another $1.28 billion is to offset unavoidable cost increases
like inflation, higher pharmaceutical prices, and federal pay raises.
Taken together, this $2 billion “increase” doesn’t
provide a single dime more for medical care for veterans, Evans said.
Evans pointed out
that the proposed increase in the medical care appropriation for
fiscal year 2003 is approximately $100 million more than the $1.3
billion Congress appropriated for fiscal year 2002 which the
Administration acknowledges is $400 million short of meeting
veterans’ needs. Five
of VA’s 22 networks have already projected shortfalls in funding for
veterans medical care by the year’s end.
The Administration already plans to request a $142 million
supplement for funding to continue to treat non-service connected,
higher income veterans. It
plans to find another $300 million in “management efficiencies”.
As proposed by the Administration, the FY 2003 VA medical care
budget will require VA to find an additional $316 million in
management savings in order to meet veterans’ demand for health
care.
The Administration
budget also assumes Congress will pass a Bush proposal to impose a new
$1,500 annual copayment on higher income non-service connected
veterans who receive medical care from VA.
If Congress were to reject this proposal, VA would require an
additional $1.15 billion in appropriations to cover the cost of
providing this care.
Evans continued by
saying more than $400 million of the reported budget increase for
veterans medical care is projected to come from increased collections
by VA, particularly veterans’ copayments.
With the recent increase from $2 to $7 in the amount veterans
are charged by VA for a prescription, much of this “increase” in
funding for medical care is being paid for by veterans themselves.
Evans also noted the
Bush Administration veterans’ medical care appropriation is nearly
$2 billion less than veterans’ organizations requested President
Bush recommend. In a
January letter, the Disabled American Veterans, the Veterans of
Foreign Wars of the U.S., Paralyzed Veterans of America and AMVETS,
called on President Bush to propose a veterans’ medical care
appropriation of $24.5 billion. Evans
said he regrets the Administration has not heeded this budget advice
from veterans.
Evans said the Bush
budget again emphasizes the need to reduce the huge backlog in claims
for benefits submitted by veterans.
No one disagrees with providing veterans good service, Evans
continued, and reducing the claims backlog while increasing the
quality of decision-making, is a goal everyone can support.
Evans expressed concern, however, that during the first four
months of fiscal year 2002, the number of rating cases awaiting a
decision for over 180 days increased from 172,294 to 204,006.
Evans said veterans are waiting for VA to reduce claims
processing time without sacrificing decision-making quality or VA’s
statutory duty to assist veterans develop their claims which President
Bush has strongly supported in the past.
Evans said the Bush
budget for veterans also calls for transferring to VA veterans
employment programs now administered by the Department of Labor.
Evans said the Administration has not provided any
justification, rationale or basis for the transfer of employment
programs to VA and he expects Congress will “not buy a pig in a
poke.” Evans encouraged
the Administration to provide a full and complete explanation of the
proposed transfer so it can be fully examined.
The budget calls for
coordinating the medical care systems of the Department of Veterans
Affairs and Defense to improve health care delivery.
As reported in the Administration’s budget, “Although VA
and the Department of Defense (DOD) both operate very large medical
care systems with a combined cost of over $40 billion yearly,
historically there has been little cooperation between the
Departments.” According
to the budget only $100 million – or one-quarter of one percent –
of $40 billion in expenses passes from one Department to the other.
“Given the budget rhetoric on sharing resources,” Evans
commented, “it’s surprising the budget lacks a proposal from the
Administration to achieve more sharing or even sets a goal for
increased sharing that could be achieved without action by
Congress.”
Evans welcomed the
Administration’s acknowledgement of VA’s need to improve
procurement processes. Calling
for reduced VA procurement costs, Evans recently introduced H.R. 3645,
the VA Health-Care Items Procurement Reform and Improvement Act of
2002. Evans said
enactment of his legislation would leverage the enormous untapped
purchasing power of VA and reduce annual VA spending on medical and
surgical supplies by an estimated tens of millions of dollars
annually. Evans said the
budget reports that a VA Procurement Reform Task Force is likely to
soon issue a draft report on procurement reform. Evans said he welcomed the Administration’s commitment to
procurement reform and called on Congress to support and act on
procurement reform legislation.
-30-
Link
to Budget Table prepared by the Democratic staff of the Committee on
Veterans Affairs.
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