National Defense Authorization Act For Fiscal Year 2008
Mr. President, I ask unanimous consent that the order for the quorum call be rescinded. Mr. President, under the unanimous consent agreement that was entered into last night, a Senator designated on the Republican side was to offer an…
Mr. President, I ask unanimous consent that the order for the quorum call be rescinded.
Mr. President, under the unanimous consent agreement that was entered into last night, a Senator designated on the Republican side was to offer an amendment at this time and then I was going to, or someone designated by me was going to offer a second-degree amendment.
I want Senator Graham to say what the intention was on that side-- that intention has been changed--and then I will comment on what he has to say.
Mr. President, I thank my friend from South Carolina. That is our understanding. We understand what his intent was. We both have been involved in some discussions on this matter. Our staffs are involved in some discussions on this matter.
Senator Graham has indicated his willingness to hold off offering his amendment at this time, with the understanding that he will have an opportunity at a later time to offer that amendment, and these discussions will continue in the interim.
I suggest the absence of a quorum.
Mr. President, I ask unanimous consent that the order for the quorum call be rescinded.
I ask unanimous consent that the Sessions amendment No. 2024, as modified, be set aside until 4 p.m. today and that no amendment be in order to the Sessions amendment; that at 4 p.m. today, there be 2 minutes of debate equally divided and controlled between Senator Sessions and myself or our designees; that upon the use of that time, without further intervening action or debate, the Senate proceed to vote in relation to the Sessions amendment, as modified.
Mr. President, I thank my friend from Arizona. It is our hope that we can complete the debate on the wounded warriors legislation. I did intend to offer that as soon as this unanimous consent agreement is agreed to. Those who wish to speak on the wounded warrior legislation we invite to come to the floor in the next few hours. If the debate on that legislation is completed before 4 o'clock, the Senator from Arizona is correct, we would then, hopefully, have a vote on the wounded warriors amendment immediately after the vote on the Sessions amendment. If debate on the wounded warriors legislation is completed before 4 o'clock, as he indicated, there would then be an opportunity for another amendment to be offered as designated by the ranking member. I believe, in terms of alternating, it is now our turn. I will be offering, on behalf of many Senators, on a bipartisan basis the wounded warrior legislation. Then it is our understanding the next amendment would be from the Republican side.
I have no objection whatsoever to Senator McCain being recognized immediately after our UC is accepted--if it is--for a statement. Then it would be the understanding that I
would then be recognized to introduce the wounded warrior amendment.
I yield the floor.
Mr. President, I did not have a chance, because the Senator was speaking, to ask the Senator from Arizona if there would be any objection if instead of offering the wounded warrior amendment at this time that I yield to the Senator from North Dakota for a statement on an amendment, a different amendment that he intends to offer. I think his statement would last 15 minutes or 20 minutes.
Mr. President, 15 or 20 minutes.
Mr. President, I ask unanimous consent that the Senator from North Dakota be recognized for up to 20 minutes to speak on an amendment that he would intend to offer at a later time, and immediately following that I then be recognized to offer the wounded warrior legislation.
Mr. President, that would be our plan and our hope. Perhaps the Senator from North Dakota could remind me, did we clear this amendment or was there a rollcall vote on this?
I would hope we could clear it again, and if not, there will be a spot for the Senator to offer the amendment.
Mr. President, how much time is remaining of the unanimous consent?
How much time does Senator Conrad, if I could address him, need? We were delaying introducing the wounded warriors legislation in order to give the Senator an opportunity to speak on the amendment which he plans on offering. Is that the same amendment which----
I wonder if the Senator could let us know about how long it would be?
Senator McCain is not here, but I doubt that he would have any objection, so therefore I take the liberty of asking unanimous consent that Senator Conrad be recognized for 10 minutes and then I be recognized to introduce the wounded warrior legislation. Senator Akaka is also here, and I am wondering if he has any objection.
Mr. President, I ask unanimous consent that reading of the amendment be dispensed with.
Mr. President, I am offering this with Senators McCain, Akaka, Warner, Murray, Graham, and about 40 other Senators who are listed on the amendment.
This amendment, in bill form, was introduced on June 13 of this year. It was marked up and unanimously agreed to by the Armed Services Committee on the 14th of June. It was reported to the full Senate on the 18th of June. As of now, as I indicated, we have over 40 cosponsors. The ideas of many Senators and parts of legislation championed by many Senators are incorporated in this amendment.
This is truly a bipartisan amendment. It is an amendment that has had a huge amount of input by many Senators. Although I would prefer the Senate consider this important legislation as a stand-alone provision, a stand-alone bill, because of the shortage of floor time, we now offer it as an amendment to the national defense authorization bill. If it is adopted as an amendment, and assuming that our Defense authorization bill is passed, we would then seek to have it introduced and passed immediately thereafter as stand-alone legislation, so we would have it in two forms--one as an amendment to the bill and the other as a stand- alone bill passed by the Senate, so it could go immediately to the House, without waiting for a conference on the authorization bill between the Senate and the House, which would delay the passage of this very important legislation.
Shortfalls in the care and treatment of our wounded warriors came to our
attention as a result of a series of articles in the Washington Post in February. These articles described deplorable living conditions for some servicemembers in an outpatient status. They described a bungled bureaucratic process for assigning disability ratings that determine whether a servicemember will be medically retired with health and other benefits for himself and his family. They describe a clumsy handoff between the Department of Defense and the Department of Veterans Affairs as the military member transitions from one department to another. The Nation's shock and dismay, when hearing about these problems, reflected the American people's support, the American people's respect, and the American people's gratitude to the men and women who put on our Nation's uniform. Those men and women deserve the best--not shoddy medical care and bureaucratic snafus.
The Armed Services Committee and the Committee on Veterans' Affairs held a rare joint hearing to identify the problems our wounded soldiers are facing. These committees have continued to work together to address these issues, culminating in the amendment we offer today. The Committee on Veterans' Affairs has also marked up separate legislation that will be offered as an amendment to our amendment. Their legislation will ensure that the Veterans' Administration appropriately addresses the problems our seriously wounded and injured servicemembers face after they transition to VA care.
The amendment we are introducing addresses the issues of inconsistent application of disability standards. It addresses disparate disability ratings, substandard facilities, lack of seamless transition from the Department of Defense to the Veterans' Administration, inadequacy of severance pay, care and treatment for traumatic brain injury and post- traumatic stress disorder, medical care for caregivers not eligible for TRICARE, and it addresses the need to share medical records between the Department of Defense and the Department of Veterans Affairs.
Our amendment addresses the issue of inconsistent disability ratings by requiring that the military departments use VA standards for rating disabilities, unless the Department of Defense rating is higher. So it would take the higher of the two ratings under our legislation. Our amendment adopts a more favorable statutory presumption for determining whether a disability is incident to military service. We do that by adopting the more favorable VA presumption.
We require two pilot programs to test the viability of using the VA to assign disability ratings for the Department of Defense. We also establish an independent board to review and, where appropriate, correct unjustifiably low Department of Defense disability ratings awarded since 2001.
Our amendment addresses the lack of a seamless transition from the military to the Veterans' Administration by requiring the Secretary of Defense and the Secretary of Veterans Affairs to jointly develop a comprehensive policy on the care and management of injured servicemembers who will transition from the Department of Defense to the VA.
We establish a Department of Defense and a Department of Veterans Affairs interagency program office to develop and implement a joint electronic health record.
The amendment authorizes $50 million for improved diagnosis, treatment, and rehabilitation of military members with traumatic brain injury, TBI, and post-traumatic stress disorder, PTSD. We require the establishment of centers of excellence for both TBI and PTSD to conduct research, train health care professionals, and a number of other things.
We provide guidance throughout the Department of Defense in the prevention, diagnosis, mitigation, treatment, and rehabilitation of TBI and PTSD. And the amendment requires that the Secretary of Defense, in consultation with the Secretary of Veterans Affairs, report to Congress with comprehensive plans to prevent, diagnose, mitigate, and treat TBI and PTSD.
The amendment increases the minimum severance pay to 1 year's basic pay for those separated with disabilities incurred in a combat zone or combat-related activity and 6 months basic pay for all others. This is quadrupling or doubling, depending on the circumstance, of the current arrangement.
Our amendment also eliminates the requirement that severance pay be deducted from disability compensation for disabilities incurred in a combat zone.
Our amendment also addresses the problem that exists because medically retired servicemembers who are eligible for TRICARE as retirees do not have access to some of the cutting-edge treatments that are available to members still on active duty.
The amendment does that by authorizing medically retired servicemembers to receive the Active-Duty medical benefit for 3 years after the member leaves active duty, and this can be extended to 5 years where medically required.
The amendment authorizes military and VA health care providers to provide medical care and counseling to family members who leave their homes and often leave their jobs to help provide care to their wounded warriors.
The dignified treatment of wounded warriors amendment requires the Secretary of Defense to establish standards for the treatment of and housing for military outpatients. These standards will require compliance with Federal and other standards for military medical treatment facilities, speciality medical care facilities, and military housing for outpatients that will be uniform and consistent and high level throughout the Department of Defense.
In summary, the dignified treatment of wounded warriors amendment is a comprehensive approach that lays out a path for the Department of Defense and the Department of Veterans Affairs to address shortfalls in the care of our wounded warriors in the Department of Defense and through the transition to care in the VA system. With the amendment we will be discussing in a moment, that has been adopted by the Veterans' Affairs Committee under the chairmanship and leadership of Senator Akaka, this bill will also address shortfalls in the VA system itself after the transition to the Veterans' Administration of our wounded warriors. Those warriors deserve the best care and support that we can muster. The American people rightly insist on no less.
There are a number of organizations which support this legislation. I will read from a release that was issued by one of those organizations. This is the Wounded Warrior Project:
[This] is a nonprofit organization aimed at assisting those
men and women of the United States armed forces who have been
severely injured during the war on terrorism in Iraq,
Afghanistan, and other hot spots around the world.
A description of this project is:
Beginning at the bedside of the severely wounded, Wounded
Warrior Project provides programs and services designated to
ease the burdens of these heroes and their families, aid in
the recovery process and smooth the transition back to
civilian life.
Just one paragraph from their release is the following:
With this legislation, the Senate is telling our nation's
wounded warriors that they have heard their concerns and are
ready to take appropriate actions to ensure that these brave
men and women are taken care of in a manner befitting their
sacrifices. . . . This wide ranging legislation will improve
the provision of health care and benefits to injured military
personnel and make the system much more efficient as well.
I ask unanimous consent that the statement of the Wounded Warrior Project and the statement of the Fleet Reserve Association be printed in the Record at the conclusion of my remarks.
Mr. President, we have a number of amendments which have been cleared, 10 amendments which have been cleared which we will describe in a few moments after Senator McCain speaks and after Senator Akaka speaks. We will describe those second-degree amendments that have been cleared on both sides of the aisle.
Again, I especially thank my ranking member, Senator McCain, and all the members of our committee for the extraordinary work they have put in on this legislation. It is, as I mentioned, comprehensive and desperately needed.
I also thank Senator Akaka, who is chairman of our Veterans' Affairs Committee, for his leadership because that committee has worked very closely
with our committee on this joint project. This is truly not just a joint effort between two committees but just about every Member of this body has had a role and a voice in this legislation. It is one of the best examples, I believe, of not only bipartisan action that I have seen in the Senate, but also a very speedy action and, we believe, very thorough consideration as well.
I yield the floor.
Exhibit 1
Wounded Warrior Project (WWP) Applauds Senate Armed Services Committee
for New Legislation to Assist Severely Wounded Servicemembers
Jacksonville, FL, June 14, 2007.--Today, the Wounded
Warrior Project (WWP) applauded the Senate Armed Services
Committee for the introduction of the ``Dignified Treatment
of Wounded Warriors Act'', a comprehensive piece of
legislation that will greatly assist severely wounded
servicemembers. WWP was particularly pleased to note that the
bill included several of the legislative proposals that the
organization has proposed and supported.
``With this legislation, the Senate is telling our nation's
wounded warriors that they have heard their concerns and are
ready to take appropriate actions to ensure that these brave
men and women are taken care of in a manner befitting their
sacrifices'', said WWP Executive Director, John Melia. ``This
wide ranging legislation will improve the provision of health
care and benefits to injured military personnel and make the
system much more efficient as well''.
The ``Dignified Treatment of Wounded Warriors Act'' is
sponsored by Senators Levin (D-MI), McCain (R-AZ), Akaka (D-
HI), Warner (R-VA), Clinton (D-NY) and others. Among the
provisions included in the legislation, the bill would
require the Department of Defense (DOD) to adopt a Pre-
Deployment Cognitive Assessment tool to help identify
Traumatic Brain Injury or Post Traumatic Stress Disorder in
returning servicemembers. Additionally, it would require DOD
to work with the Department of Veterans Affairs (VA) on
developing a caregiver training program for family members of
brain injured servicemembers, and reform the disability
evaluation and ratings system that military personnel must
navigate prior to retirement from service. The bill would
also create an overlap of DOD and VA benefits to allow
wounded warriors to benefit from the strengths of both
systems without having to choose access to one over the
other.
In addition to these provisions, at this morning's Senate
Armed Services Committee hearing, eight amendments suggested
by WWP were adopted into the bill.
``These provisions have grown out of our direct interaction
with our wounded warriors'', Melia said. ``We strongly
encourage the Senate to pass this bill and to work with the
House of Representatives to ensure these vital initiatives
are included in the final version of the bill that will
hopefully reach the President's desk. We stand committed to
assisting in any way.''
about wounded warrior project
Wounded Warrior Project (WWP) is a non-profit organization
aimed at assisting those men and women of the United States
armed forces who have been severely injured during the war on
terrorism in Iraq, Afghanistan and other hot spots around the
world. Beginning at the bedside of the severely wounded, WWP
provides programs and services designated to ease the burdens
of these heroes and their families, aid in the recovery
process and smooth the transition back to civilian life. For
more information, please call (904) 296-7350 or visit
www.woundedwarriorproject.org.
Mr. President, I wonder if the Senator from Hawaii would yield for a unanimous consent request.
Mr. President, I ask unanimous consent that following the remarks of the Senator from Hawaii, the Senator from Washington and the Senator from New York be recognized on this side to speak, and if there are Senators on the Republican side who wish to speak, that they be interspersed with those three Senators.
I know Senator Murray is going to be recognized now under our existing unanimous consent agreement. I ask, after she is recognized and after Senator Schumer, who is also in the sequence, is recognized, that Senator Carper of Delaware be recognized following Senator Schumer.
Madam President, before the Senator from New York is recognized under our unanimous consent agreement, I especially thank the Senator from Washington. She has been one extraordinary advocate for this cause of our veterans. She is a symbol of the effort that so many people in this Senate have put into this legislation, but I just want to especially identify her because she, along with Senator Akaka and other members of the Veterans' Affairs Committee, has joined with us as one. I thank her particularly.
The sequence is the Senator from New York, then the Senator from Delaware. But how long will this take?
Are we ready with the list?
Madam President, Senator Carper had to leave the Chamber for a moment. I ask unanimous consent that Senator Durbin now be recognized and then Senator Carper be recognized under the sequence previously ordered. That is always subject to a Republican coming because they would be interspersed among the listed Senators on this side of the aisle.
Mr. President, there was an agreement previously that we would alternate back and forth. If that is what Senator Isakson is seeking to implement, they have a right to do so. I would note to Senator Carper that we did agree that if a Republican did wish to speak, they would be recognized in an alternate way.
I ask unanimous consent that the following sequence be accepted for the Democratic Senators, subject to that same understanding that Republican Senators would be interspersed: After Senator Carper, Senator McCaskill, Senator Brown, and then Senator Lincoln would be the order on this side.
Mr. President, I ask unanimous consent that following Senator McCaskill's remarks, Senator Collins be recognized on the Republican side.
Will the Senator from Idaho yield for a unanimous consent request?
Mr. President, I ask unanimous consent that after the Senator from Idaho has completed his remarks, the Senator from Massachusetts, Mr. Kerry, be recognized; after Senator Lincoln, if there is a Republican here, they would then come next and that, after that, after Senator Lincoln, Senator Kerry be the next Democrat in sequence.
Mr. President, first, let me thank Senator Craig for all the work he and his committee put in on this bill. I know he and Senator Akaka and members of that committee have played a major role. Their amendment reflects additional work, and we are very grateful. I know every veteran in this country and their families are grateful.
Mr. President, I ask unanimous consent that Senator McCain and I, at this time, be allowed to offer six second-degree amendments which have been cleared--they shouldn't take more than a few minutes--prior to Senator Lincoln being recognized.
Mr. President, on behalf of myself and Senators Durbin and McCain, I call up amendment No. 2131, a second-degree amendment to our amendment. It requires the Secretary of Defense to develop a comprehensive plan for the provision to members of the Armed Forces with traumatic brain injury or post-traumatic stress disorder. The amendment has been cleared, I believe.
Mr. President, I move to reconsider the vote.
Mr. President, on behalf of Senator Graham, I call up amendment No. 2154, an amendment which improves the distribution of benefits under Traumatic Servicemembers' Group Life Insurance.
Mr. President, I move to reconsider the vote.
Mr. President, on behalf of myself, Senators Craig, Akaka, and McCain, I call up amendment No. 2115. It is a second-degree amendment to the wounded warrior amendment that requires the Secretary of Defense to ensure that the Center of Excellence in Prevention, Diagnosis, Mitigation, Treatment, and Rehabilitation of Post-Traumatic Stress Disorder collaborates to the maximum extent possible with the National Center for PTSD and the Department of Veterans Affairs and other appropriate entities.
Mr. President, I move to reconsider the vote.
Mr. President, on behalf of myself and Senators Craig, Akaka, and McCain, I call up amendment No. 2114, which is a second- degree amendment to the pending amendment that requires the Secretary of Defense to ensure that the Center of Excellence in Prevention, Diagnosis, Mitigation, Treatment, and Rehabilitation of Traumatic Brain Injury collaborates to the maximum extent possible with the Department of Veterans Affairs and other appropriate entities.
Mr. President, I move to reconsider the vote.
Mr. President, on behalf of Senator Lieberman, myself, and Senator McCain, I call up amendment No. 2089, a second-degree amendment to our pending amendment. This relates to the Center of Excellence for
Mr. President, I move to reconsider the vote.
Mr. President, on behalf of Senators Lieberman, McCain, and myself, I call up amendment No. 2090, a second-degree amendment to our pending amendment regarding the Center of Excellence for Traumatic Brain Injury.
Mr. President, I move to reconsider the vote.
Mr. President, on behalf of Senator Snowe and myself, I call up amendment No. 2162, a second-degree to the pending amendment. It requires the Secretary of Defense to submit a report on reductions in disability ratings.
Mr. President, I move to reconsider the vote.
I believe we have done amendment No. 2154. I thank the Chair and thank our good friends from Arkansas and Massachusetts for their understanding and, of course, my good friend from Arizona.
Madam President, that, of course, would be fine with me, but we have a vote scheduled at 4 o'clock. If that is going to delay that vote, we better clear that with folks who may be relying upon a 4 o'clock vote.
Madam President, how long will the Senator from Michigan wish to speak?
Madam President, then I join in that unanimous consent request that the Senator from Michigan be recognized for up to 10 minutes.
Now the vote will be delayed until about 5 after 4 o'clock.
Madam President, the next order of business we agreed upon will be to dispose of the wounded warrior legislation. There are three pending amendments which have now all been cleared. They need to be prepared and accepted. It may take us 20 minutes or so. Then there will be a vote.
Five minutes before a vote can begin, that will be fine. The sooner the better. We are all happy with that schedule. Is Senator Dorgan on the floor?
I will be happy to yield. I will be happy to yield in a minute to the Senator from Vermont. The next business, if it is agreeable with the ranking member, will be to dispose of the Dorgan amendment, at which point we are going to Levin-Reed. Is my understanding correct?
The Dorgan amendment is an al-Qaida amendment. We are trying to work out a UC that involves a series of amendments around Levin-Reed, including the Cornyn amendment.
I will be happy to yield.
Assuming cloture is invoked and we get to a vote on Levin- Reed, at that point there will be a side by side in this UC with the Cornyn amendment, but we have to leave open the possibility, then, of a side by side for an amendment with Cornyn.
Now I will be happy to yield to the Senator from Vermont.
If the Senator will yield, the staff is preparing a UC which covers the entire subject. It is too complex for us to say something and get into more trouble. Let's just get the UC.
If we get to a vote on Levin-Reed, it is our intention, and it will be implemented in a UC, that Senator Cornyn's amendment, which he wanted to be voted on side by side, would be voted on side by side, but we then need to have the opportunity to have a side by side with the Cornyn amendment. I am just cautioning everybody, because we have already had enough confusion on this subject, that we should wait for the staff to prepare that UC so everybody is satisfied.
I will be happy to yield.
My understanding is the current procedure, where we are, we alternate amendments. So the Senator from Arizona, the ranking member, can designate anybody he wishes on his side to offer an amendment. But in terms of laying aside what comes up, when it is voted on, and side by sides, that part has to be resolved by a UC.
We are going to try to dispose of the Dorgan amendment immediately afterward. But the next time the Senator from Arizona can designate a Member on his side, it is his intention to have the Senator from Texas recognized.
I am trying to figure out how to respond to Senator McCain. I am not sure I have a good response.
We are going to move to the Iraq legislation immediately after the disposition of the Dorgan amendment, subject to the Cornyn amendment, which will be next which is being figured out in a UC. We are then going to go to the Iraq legislation, the Levin-Reed legislation, so I cannot tell the Senator from Vermont how long the debate on that legislation is going to last. There are many people who wish to be recognized thereafter, and I cannot at this time tell him which one from our side will be the one to be selected. I don't want to make that choice now.
It is certainly my intention that Senators have that opportunity. The Senator from California has asked, a number of other Senators have asked, and it is my hope and intent that Senators will have an opportunity to offer amendments.
Madam President, I join my good friend from Arizona first of all in urging people to get their amendments in to us. I don't know the time that was suggested by the Senator, but I want to repeat it-- what was it? Well, the earlier the better because we have a lot on our plate.
Madam President, these are the three second-degree amendments--we referred to them before--and as soon as these amendments are disposed of, we are then going to move to vote on the wounded warriors legislation, and I believe we should have a rollcall on that legislation.
Amendment No. 2132 to Amendment No. 2011
(Purpose: To provide and enhance rehabilitative treatment and services to veterans with traumatic brain injury and to improve health care and
benefits programs for veterans)
Madam President, on behalf of Senators Akaka, Craig, Rockefeller, Murray, Brown, Mikulski, and Obama, I call up amendment No. 2132, an amendment to provide and enhance rehabilitative treatment and services to veterans with traumatic brain injury and to improve health care and benefits programs for veterans.
Madam President, I move to reconsider.
Madam President, on behalf of Senators Nelson of Nebraska and Graham, I call up amendment No. 2160, a second-degree amendment to our pending amendment; and on behalf of Senators Nelson and Graham, I send a modification to the desk.
Madam President, I move to reconsider.
Madam President, on behalf of Senators Nelson of Nebraska and Graham, I call up amendment No. 2159, a second-degree amendment to the pending amendment regarding travel reimbursement for specialty care; and on behalf of Senators Nelson and Graham, I send a modification to the desk.
Madam President, I move to reconsider.
Madam President, I believe we have now disposed of all the known amendments to the wounded warrior legislation, and I know that I am speaking on behalf of all of us, at least 50 cosponsors, that a lot of work was put in by a lot of Senators on this legislation. Both committees, Veterans' Affairs and Armed Services, have worked together, so thanks to all of the Senators for all of the work that has gone into this. In all the bills that have been filed, ideas have been taken from so many of those bills, and those Senators are a part of this legislation, so I hope we can now promptly, and even unanimously, in a very bipartisan way, adopt this legislation.
Mr. President, I ask unanimous consent that Senator Cornyn now be recognized to call up amendment No. 2100; that after his statement of 20 minutes, his amendment be laid aside; that Senator Dorgan then be recognized to offer his amendment No. 2135.