Mr. Speaker, I move to suspend the rules and agree to the conference report on the bill (H.R. 3230) making continuing appropriations during a government shutdown to provide pay and allowances to members of the reserve components of the…
Mr. Speaker, I move to suspend the rules and agree to the conference report on the bill (H.R. 3230) making continuing appropriations during a government shutdown to provide pay and allowances to members of the reserve components of the Armed Forces who perform inactive-duty training during such period.
Mr. Speaker, I ask unanimous consent that all Members may have 5 legislative days within which to revise and extend their remarks.
Mr. Speaker, I yield myself such time as I may consume.
I rise today in support of the conference report to accompany H.R. 3230, the Veterans' Access to Care through Choice, Accountability, and Transparency Act of 2014.
General Omar Bradley, the former administrator of what is now the Department of Veterans Affairs, once said of our work, ``We are dealing with veterans, not procedures--with their problems, not ours.''
We have come face-to-face with the problems our veterans routinely encounter, and they are considerable to say the least. As every American now knows, congressional oversight and whistleblower revelations have exposed widespread corruption and systemic delays in access and failures of accountability across our Nation's second largest bureaucracy.
Thousands of veterans across this country have been left to wait-- some for years; some in pain; and, most disturbingly, some in caskets that are draped with American flags; some while chronic or fatal conditions worsened until little hope was left--for the health care they earned through their honorable service to our Nation. Meanwhile, poor-performing VA leaders and employees continued to receive large bonuses, subject to little accountability for their many inadequacies.
There is no doubt, Mr. Speaker, that the Department of Veterans Affairs, as we know it today, is in crisis, and as a result, our veterans are suffering. The conference report we are considering this afternoon is the first step to alleviating their pain and for paving the
way for the failing VA health care system to experience much-needed structural and cultural reform.
To immediately improve access to care for veteran patients, the conference report would require the VA to authorize non-VA care to any eligible veteran who is unable to secure a timely appointment at a VA facility or who resides more than 40 miles from the nearest VA medical facility, with certain exceptions.
Eligible veterans would include those who are enrolled in the VA health care system as of August 1 of 2014 or who are newly-discharged combat veterans.
It would further require the VA to issue a veterans choice card to eligible veterans to facilitate care provided by non-VA providers and provide $10 billion for the newly-established veterans choice fund to cover the costs of access to non-VA care under this bill.
To lead the way for true reform in the long term, the conference report would require a comprehensive assessment of VA care by an expert independent entity or entities and would establish a congressional commission on care, which would be charged with setting the future course for access to and quality care throughout the entire VA health care system.
To improve the VA's internal capacity to provide timely and high- quality care to our veterans, this report would also provide the Department with $5 billion to hire physicians and other clinical staff and would provide for certain critical physical infrastructure improvements.
The conference report would also extend the VA's rural health care- focused project, ARCH--a pilot program--for an additional 2 years. It would extend the pilot program for an additional 3 years to provide rehabilitation, quality of life, and community integration services to veterans with traumatic brain injury.
It would authorize 27 medical facility leases across 18 States and Puerto Rico and make certain improvements to care provided to veterans who have experienced military sexual trauma and others.
To advance genuine accountability for incompetent or corrupt senior managers, the conference report would reduce funding for bonuses available to VA employees by $40 million each year through fiscal year 2024, and it would authorize the Secretary to fire or demote Senior Executive Service employees and title 38 SES equivalent employees for poor performance or misconduct. Poor-performing employees who are disciplined under this authority would be provided an expedited and limited appeal process, but would be prohibited from receiving their pay, bonuses, or benefits during the appeal process.
This provision will give the Secretary the tools he needs to expeditiously hold senior managers accountable for the types of willful misconduct and possibly criminal negligence we have seen during our investigations.
The conference report would also require public colleges to provide instate tuition to veterans and eligible dependents for the school to remain eligible to receive GI Bill education payments.
This provision closely mirrors the bill that I offered, H.R. 357, the GI Bill Tuition Fairness Act, which passed the House earlier this year. The men and women who served this Nation did not just defend the citizens of their home States; they defended the entire United States of America.
The conference report would also include approximately $5 billion in offsets with additional incidental offsets expected to accrue over time as a result of increased third-party collections for nonservice- connected conditions and reductions in Medicare payments as a result of the increased utilization of the newly-created choice program.
Mr. Speaker, the bill before us is one that I am proud of, but more importantly, it is one that I believe our Nation's veterans can be proud of. It is not a blank check for a broken system, but it is an important first step down a long road toward true transformation.
However, our work is far from over. We all know that congressional oversight was crucial to bringing the failures at the VA to light, and it will increase in the days and weeks and months ahead after the passage of this bill.
The passage of this conference report will increase access to care and improve accountability within a desperately broken bureaucracy. However, the reform that is necessary to reforming the agency will require dedication for years to come, and I would ask all of my colleagues to join me in beginning that effort today.
I reserve the balance of my time.
Mr. Speaker, it is my pleasure to yield 2 minutes to the gentleman from Colorado (Mr. Lamborn), a member of the conference committee.
Mr. Speaker, it is a pleasure to yield 2 minutes to the gentleman from Tennessee (Mr. Roe), a veteran, a physician, and also a member of the conference committee.
Mr. Speaker, it is a pleasure to yield 2 minutes to the gentleman from Michigan (Mr.
Benishek), a former physician within the VA system.
Mr. Speaker, it is my pleasure to yield 1 minute and 35 seconds to the gentleman from Colorado (Mr. Coffman), a United States veteran and another member of the conference committee.
Mr. Speaker, at this time, I yield 2 minutes to the gentlewoman from Indiana (Mrs. Walorski), another member of our conference committee and an outstanding member of the full committee.
Mr. Speaker, I yield 1\1/2\ minutes to the gentleman from Florida (Mr. Bilirakis), the vice chairman of the full committee and a member of the conference committee.
Mr. Speaker, I yield 1\1/2\ minutes to the gentleman from Kansas (Mr. Huelskamp).
Mr. Speaker, I yield 1 minute to the gentleman from Nebraska (Mr. Terry), someone who always has veterans first in his mind.
Mr. Speaker, I, too, would like to say thank you to the ranking member of the full House committee, Mr. Michaud, for his tenacity in what he has done to move this conference report along.
I also want to say thank you to the ranking member, Mr. Burr, in the Senate and to Senator Sanders because, as we continue to negotiate through, there never was a willingness to quit by either side.
I am grateful to the 24 other conference committee members who worked with us, with their input, their ideas, and their willingness to embrace this compromise. It was brought forth by diligent, focused effort and a willingness on all sides to put aside differences of opinion and ideology and focus not on our disagreements, but how best we can all help our veterans.
While not perfect, this is an example of all the good work we can accomplish when we work together, and remember, it is the veteran who is sacred, not the VA.
With that, Mr. Speaker, I yield back the balance of my time.
Mr. Speaker, on that I demand the yeas and nays.