Mr. Speaker, I move to suspend the rules and agree to the resolution (H. Res. 804) providing for the concurrence by the House in the Senate amendment to H.R. 1016, with amendment. Mr. Speaker, I rise…
Mr. Speaker, I move to suspend the rules and agree to the resolution (H. Res. 804) providing for the concurrence by the House in the Senate amendment to H.R. 1016, with amendment.
Mr. Speaker, I rise in support of the Veterans Health Care Budget Reform and Transparency Act of 2009.
Mr. Speaker, this is a very important bill. It's a whole new approach to the funding of Veterans Administration health care programs, one that will allow our Nation's veterans to receive timely, high quality and well-funded care regardless of political considerations that go into the budget process every year. I'm glad I was able to work with my colleagues in the Committee on Veterans' Affairs in both the House and the Senate to get this bill to the House floor today.
This is a bipartisan response to years of chronic underfunding of VA medical care and happens to be the highest legislative priority of veterans' groups in this Nation.
In an unprecedented step, Mr. Speaker, nine veterans' groups formed the Partnership for Veterans Health Care Budget Reform. These groups, including The American Legion, AMVETS, Blinded Veterans Association, Disabled American Veterans, Jewish War Veterans, Military Order of the Purple Heart, Paralyzed Veterans of America, Veterans of Foreign Wars, and the Vietnam Veterans of America all formed together to advocate for a VA health care budget that is sufficient, timely and predictable.
In fact, the leadership of one of the prime organizations that took the leadership in this fight, the Disabled American Veterans, are watching this debate from the gallery. Their national commander, Bobby Barrera; their executive director, Dave Gorman; and their legislative director, Joe Violante, are watching this, and we thank them for their leadership in this fight.
These groups put together the idea that resources for VA health care should be provided through advance appropriations, so that when the fiscal year starts on October 1, the VA will already have its budget figure regardless of what occurred in the year's budget that was funding other agencies. The result of their advocacy is H.R. 1016, which will pass as we pass the resolution before us on the floor.
The VA budget, in fact, has been in place at the start of the fiscal year only four times in the last two decades. We all felt that this delay in providing vital funding, for whatever reasons that were going on in the House and the Senate, put the provision of health care to veterans at risk and hampered the VA's ability to plan its health care expenditures and hire needed health care professionals. This was a concern that was shared by current and former VA officials.
Again this year the VA was forced to rely on funding from a continuing resolution, even though the House acted in a timely fashion and passed the FY 2010 VA spending bill in July.
The House passed its version of the forward funding bill by a vote of 409-1 this June. Our other colleagues in the Senate acted in August, and the version of the legislation before us represents a compromise agreement between us and our colleagues on the Senate Committee on Veterans' Affairs.
The bill will ensure that VA can best plan and utilize taxpayer dollars to provide veterans with the health care they have earned and deserve. It provides a framework with which we can realize advance appropriations for VA medical care accounts.
As part of the annual budget submission, the President will be required to submit a request for certain VA accounts for the ``fiscal year following the fiscal year for which the budget is submitted.'' For example, as part of the administration's fiscal year 2011 budget, the President will include budget estimates for VA medical care accounts for fiscal year 2012. The VA will be required to detail estimates in the budget documents it submits annually to Congress.
Each July, the VA will be required to report to Congress if it has the resources it needs in the upcoming fiscal year in order for Congress to address any funding imbalances. This will help to safeguard against the VA facing budget shortfalls such as it faced several years ago.
Finally, the Government Accountability Office will report, within 120 days of the annual budget submission, whether VA's advance appropriations requests are in line with workload and cost estimates and the VA's budget model. It sounds a little complicated. It was worked out by, as I said, this really hardworking coalition of veterans' organizations and, in fact, bottom line and simple, it will make sure that a year in advance, the VA will be funded appropriately.
I want to thank both the Appropriations and the Budget Committees for their assistance in moving this measure forward. The Budget Committee, for example, in the fiscal year 2010 budget resolution provided explicit language exempting the three medical care accounts of the VA, the accounts covered by the compromise agreement on H.R. 1016, from many points of order against advance appropriations. The Appropriations Committee, under the leadership of Chairman Obey and Chairman Edwards, provided for advance appropriations for the three medical care accounts representing an 8 percent increase above the historic levels provided for fiscal year 2010.
Mr. Speaker, I would like to insert a copy of the letter from the veterans' groups comprising the Partnership for Veterans Health Care Budget Reform expressing their full support of this measure and an explanatory statement on the bill in the Congressional Record.
By working together, Congress and the administration have provided veterans with their top legislative priority. They spoke, we listened, and today we are acting. I ask the rest of the House to join once again in unanimous support of this bipartisan bill and ask for swift action by the Senate before the end of this session.
The Partnership for Veterans
Health Care Budget Reform,
Washington, DC, September 29, 2009.
Hon. Bob Filner,
Chairman, House Committee on Veterans' Affairs, Cannon House
Office Building, Washington, DC.
Dear Chairman Filner: On behalf of the Partnership for
Veterans Health Care Budget Reform, we write to fully endorse
the substitute amendment that you intend to offer to H.R.
1016, the Veterans Health Care Budget Reform and Transparency
Act. We understand that this amendment has been developed in
cooperation with Senate Veterans' Affairs Committee Chairman
Akaka and Ranking Member Burr, who join you in support of
this new language. We agree with all of you that adoption and
enactment of H.R. 1016, as amended by this substitute
amendment, will lead to VA health care funding that is
sufficient, timely and predictable.
The Partnership, comprised of nine leading veterans service
organizations, has long sought a solution to the recurring
budget problems that have plagued the VA health care system
for most of the past two decades. Last year we began
advocating that Congress provide advance appropriations for
VA medical care and we were grateful that you introduced
legislation to authorize this funding reform. We supported
your reintroduction of this legislation (H.R. 1016) in
February and fully supported the substitute amendment you
offered during the Committee's markup in June, that was
subsequently approved by the full House with a vote of 409 to
1 on June 23rd. That amendment would add important new budget
reporting provisions for VA medical care and would increase
transparency of the advance appropriation process,
strengthening the legislation.
The compromise substitute amendment you plan to offer on
the House floor retains these provisions and makes two other
modifications. First, your new amendment provides the
Government Accountability Office, GAO, with 120 days from the
time the President submits his budget to Congress to review
and report on whether the level of funding requested for VA's
medical care accounts is consistent with the estimates
generated by VA's Enrollee Health Care Projection Model. With
this change, GAO would have ample time to complete the review
and still report in a timeframe that allows Congress to
consider this information before finalizing future
appropriations levels for VA health care.
Second, this compromise amendment limits VA's advance
appropriations to the three medical care accounts, Medical
Services, Medical Facilities, and Medical Support and
Compliance, contained in our original proposal, removing the
two additional ones, Medical and Prosthetic Research, and
Information Technology, added during the Committee's markup.
We understand the reasons
for this modification and support your compromise position.
However, we expect that the Committee will closely monitor
implementation of this legislation and carefully consider
whether VA health care would be enhanced if additional budget
accounts, such as IT and research, were similarly
appropriated in advance.
Mr. Chairman, the Partnership has worked for over two
decades to enact legislation that would assure sufficient,
timely and predictable funding for VA health care. With your
leadership, and that of Chairman Akaka, Ranking Member Burr
and others, as well as the crucial support of President
Obama, we are closer than ever to achieving an historic
legislative victory on behalf of all veterans. We thank you
for all that you have done to support these efforts, and look
forward to working with you on future matters of importance
to the men and women who have served, are serving, and will
serve in our nation's armed forces.
Respectfully,
Steve Robertson, Legislative Director, The American
Legion; Thomas Zampieri, Director of Government
Relations, Blinded Veterans Association; Herb
Rosenbleeth, National Executive Director, Jewish War
Veterans of the USA; Carl Blake, Legislative Director,
Paralyzed Veterans of America; Rick Weidman, Director
of Government Relations, Vietnam Veterans of America,
Inc.; Raymond C. Kelley, National Legislative Director,
AMVETS (American Veterans); Joseph A. Violante,
National Legislative Director, Disabled American
Veterans; Hershel Gober, National Legislative Director,
Military Order of the Purple Heart of the USA; Dennis
Cullinan, Legislative Director, Veterans of Foreign
Wars of the United States.
As I yield 2 minutes to the gentleman from Maine (Mr. Michaud), I would just remind the gentleman from Florida that when the Senate saw that the prime mover of the amendment that put those two extra accounts in the bill was the only one in the House that voted against the bill that was sent to the Senate, they didn't take that too seriously. I just would remind the gentleman.
Mr. Speaker, I would yield 2 minutes to the gentlewoman from Illinois (Mrs. Halvorson) who as a new Member has been an incredibly active and committed member of our committee.
Mr. Speaker, I yield 3 minutes to another new Member who has been a great addition to our committee, the gentleman from New Mexico (Mr. Teague).
I do have more speakers, yes.
How much time do I have left, Mr. Speaker?
I yield 2 minutes to another new member of our committee who has, again, given us a great commitment and energy to the cause of veterans, the gentleman from Virginia (Mr. Nye).
I yield myself 30 seconds just to say something I forgot when I introduced the gentleman from Maine (Mr. Michaud).
In this process, there was a time when the executive branch seemed to waiver in its commitment to this effort, and Mr. Michaud's tenacity and his steadfast support of this makes sure that we continue down this path. I want to thank him for doing that.
I yield as much time as he may consume to Mr. Hare from Illinois, a former member of the committee, who I wish was still on our committee.
Mr. Speaker, I thank the gentleman from Florida for those words of support, and I ask unanimous consent that all Members may have 5 legislative days in which to revise and extend their remarks and include extraneous material on House Resolution 804.
Mr. Speaker, this is a unique solution for a unique population, our veterans. Again, I want to thank the Disabled American Veterans and all of the members of the coalition who are watching this on television or in the gallery today for working so hard to come up with this unique approach. It is an incredibly good solution to what we saw as a real problem. It took creativity, it took commitment, and it took sticktuitiveness to get this done. I tell you, we would not have been here without the coalition's work. So I urge all my colleagues to adopt this legislation.
I yield back the balance of my time.
Mr. Speaker, on that I demand the yeas and nays.