Madam Speaker, as a member of the House Committee on Veterans' Affairs, I am proud to have been an early co- sponsor of the Veterans Health Care Budget Reform and Transparency Act--a landmark piece of legislation which would require…
Madam Speaker, as a member of the House Committee on Veterans' Affairs, I am proud to have been an early co- sponsor of the Veterans Health Care Budget Reform and Transparency Act--a landmark piece of legislation which would require Congress to approve the Department of Veterans Affairs health care budget one year in advance.
Imagine being the sole breadwinner in your house and not knowing your annual salary until well after that year started. As you are forced each year to guess, you might alternate between underspending and overspending, between scrimping and splurging.
Now imagine that rather than the head of a small family, you were the VA.
The VA--despite its size and its undeniably important mission to fulfill our Nation's most sacred promise--has received its appropriation after the start of the fiscal year in 18 out of the last 21 years, including, now, this fiscal year.
The VA employs well over 250,000 staff nationwide, with more than 222,000 of those employees directly supporting the VA's health care system serving 5.6 million unique patients. Last year, the Veterans Health Administration spent approximately $43.5 billion on medical care and research. These numbers make the VA the second largest agency in the federal government after the Department of Defense, and make the VHA both the Nation's largest health care delivery system as well as its largest provider of health care education and training.
The late appropriations and insufficient budgets have meant restricted access for many Veterans. When funding is short, late, or unpredictable, it is our Veterans who pay the price.
Veterans in Greater Arizona are keenly aware that we need more medical facilities and the claims backlog is keeping many Veterans from the benefits they have earned. But once inside the VHA, there is no denying that the quality of service is very good. Numerous third party sources, including both the New England Journal of Medicine and Annals of Medicine, have concluded that the quality of care in the VA health care system is among the best available publicly or privately in the Nation.
However, its sheer size has amplified the problems stemming from late appropriations, which lead to rationed care, waiting lists and Veterans being turned away from service.
As Iraq and Afghanistan Veterans return and Veterans from prior conflicts continue to age, the number of those who need care will only increase, and the situation will become more critical.
It is heartening, then, that those who support the Veterans Health Care Budget Reform and Transparency Act are also increasing in number. General Eric Shinseki, voiced his support for advance appropriations shortly after becoming the Secretary of Veterans Affairs. The American Federation of Government Employees, which represents many of the federal employees who work for the VA, also supports the bill, as does the Partnership for Veterans Health Care Budget Reform--a coalition of eleven Veterans service organizations representing millions of Veterans, servicemembers, spouses and survivors.
In my short time on the House Committee on Veterans' Affairs, we have made great strides toward a budget that lives up to the sacrifices of our Veterans. We voted to increase the budget for the VA by $5.6 billion--an increase of 11.7% for Veterans health care and other programs. We ensured that Veterans are given their fair share of the American Recovery and Reinvestment Act, providing $1.4 billion for maintenance at VA medical facilities, construction of Veterans' extended care facilities, and Veteran cemetery repairs, as well as providing one-time payments of $250 to disabled veterans.
However, we still struggle to provide sufficient, timely, and predictable funding for our Veterans. When the Veterans Health Care Budget Reform and Transparency Act arrives at the floor of the House, I would urge all Members of the Arizona delegation and from all across the Nation to support it to ensure Veterans can get the care they have earned.