Madam Speaker, I rise today to oppose S. 114. A strong and sustainable Veterans Health Administration is critical to providing America's veterans with the care they deserve. By funding the Choice exception without investing in the VA…
Madam Speaker, I rise today to oppose S. 114.
A strong and sustainable Veterans Health Administration is critical to providing America's veterans with the care they deserve. By funding the Choice exception without investing in the VA itself, this legislation explicitly prioritizes the private sector at the VA's expense. This is not an acceptable way forward.
Care in the community has always been and will always be important in ensuring veterans have access to care, the care that they have earned, but it would be a profound mistake to funnel billions of dollars into private care while neglecting the VA and the millions of veterans it serves every year, and that is exactly what this bill does.
Veterans service organizations are speaking out, because they know what is at stake. They understand the bigger policy implications of today's vote.
This legislation is a referendum on the mistaken belief that the private sector is better equipped to care for our Nation's veterans than specialized VA doctors.
I have a statement from eight VSOs that echo these concerns, and I include it in the Record.
Leading Veterans Organizations Call on Members of Congress To Defeat
Unacceptable Choice Funding Legislation
Urge House to Work with Senate to Reach a Bipartisan, Bicameral
Agreement
(Joint Statement from AMVETS, DAV (Disabled American Veterans), Iraq
and Afghanistan Veterans Association (IAVA), Military Officers
Association of America (MOAA), Military Order of the Purple Heart
(MOPH), Veterans of Foreign Wars (VFW), Vietnam Veterans of America
(VVA), and Wounded Warrior Project (WWP))
As organizations who represent and support the interests of
America's 21 million veterans, and in fulfillment of our
mandate to ensure that the men and women who served are able
to receive the health care and benefits they need and
deserve, we are calling on Members of Congress to defeat the
House vote on unacceptable choice funding legislation (S.
114, with amendments) scheduled for Monday, July 24, and
instead work with the Senate to reach a bipartisan, bicameral
agreement.
As we have repeatedly told House leaders in person this
week, and in a jointly-signed letter on June 28, we oppose
legislation that includes funding only for the ``choice''
program which provides additional community care options, but
makes no investment in VA and uses ``savings'' from other
veterans benefits or services to ``pay'' for the ``choice''
program.
Veterans health care benefits have already been ``paid
for'' through the service and sacrifice of the men and women
who wore our nation's uniform, millions of whom suffered
injuries, illnesses and lifelong disabilities.
In order to ensure that veterans can receive necessary care
without interruption, we call on House leaders to take the
time necessary to work together with Senate leaders to
develop acceptable ``choice'' funding legislation that not
only fills the current funding gap, but also addresses urgent
VA infrastructure and resource needs that led to creation of
the ``choice'' program in the first place.
All of our organizations are committed to building a future
veterans health care system that modernizes VA and integrates
community care whenever needed so that enrolled veterans have
seamless access to timely, quality care. However, if new
funding is directed only or primarily to private sector
``choice'' care without any adequate investment to modernize
VA, the viability of the entire system will soon be in
danger.
We call on leaders in both the House and Senate to work
together in good faith, and we remain committed to supporting
such efforts, in order to quickly reach an agreement that
ensures veterans health care is not interrupted in the short
term, nor threatened in the long term.
The organizations signing the statement are AMVETS; the Disabled American Veterans; Iraq and Afghanistan Veterans Association, IAVA; Military Officers Association of America, MOAA; Military Order of the Purple Heart; Veterans of Foreign Wars; Vietnam Veterans of America; and Wounded Warrior Project.
I would like to quote from a few of the paragraphs:
``In order to ensure that veterans can receive necessary care without interruption, we call on House leaders to take the time necessary to work together with Senate leaders to develop acceptable Choice funding legislation that not only fills the current funding gap, but also addresses urgent VA infrastructure and resource needs that led to creation of the Choice Program in the first place.
``All of our organizations are committed to building a future veterans healthcare system that modernizes VA and integrates community care whenever needed so that enrolled veterans have seamless access to timely, quality care. However, if new funding is directed only or primarily to private sector Choice care without any adequate investment to modernize VA, the viability of the entire system will soon be in danger.''
I also have letters opposing S. 114 from the Paralyzed Veterans of America and the VFW. I include these letters in opposition in the Record.
Washington, July 22, 2017.--Paralyzed Veterans of America
(Paralyzed Veterans) today weighed in on options being
considered to fund the veteran ``choice'' program, as the
House of Representatives considers a vote on a draft bill, S.
114 as amended, on Monday, July 24. Priorities for the
organization include open discussion on the best way to build
up specialized veteran-centric services offered by the
Department of Veterans Affairs (VA), while expanding access
to non-specialized healthcare for veterans without cutting
critical non-healthcare VA benefits.
``The notion of streamlining VA is a necessary discussion
that must continue. The devil is in the details, though,''
said Sherman Gillums Jr., executive director of Paralyzed
Veterans of America. ``We do support the responsible `right
sizing' of VA, starting with the elimination of redundancies
and ultimately using cost savings to increase reinvestment in
VA's foundational services, such as spinal cord injury care.
Offsets, at least in part, may be necessary in order to
achieve that.''
Offsets, or program and benefit trade-offs used for
budgeting purposes, are not new to VA. Past offsets include
fees and collections related to housing loans and extensions
in the reduction of certain pensions used to pay for other
benefits. However, this is the first time Congress is
requiring VA to include deficit reduction as a component of
the agency's plan to maintain and expand the VA Choice
Program. Moreover, some veteran advocates have expressed
staunch opposition to offsets because they require VA to
employ a ``rob Peter to pay Paul'' approach to funding
programs.
``Paralyzed Veterans' main concern is that using these
offsets to pay for VA healthcare comes at the expense of
expanding non-healthcare benefits, such as disability
compensation,'' explained Gillums. ``However, we are not
prepared to simply oppose offsets because we believe VA is
open to strengthening healthcare for our most
catastrophically disabled veterans, which matters above all
else. Paralyzed Veterans leads as an expert voice on the most
complex healthcare challenges these veterans face, and we
intend to use that voice to promote new ideas and progress.''
``The bottom line is the discussion must continue with open
minds on all sides,'' concluded Gillums.
About Paralyzed Veterans
Paralyzed Veterans of America is the only congressionally
chartered veterans service organization dedicated solely for
the benefit and representation of veterans with spinal cord
injury or disease. For 70 years, we have ensured that
veterans have received the benefits earned through their
service to our nation; monitored their care in VA spinal cord
injury units; and funded research and education in the search
for a cure and improved care for individuals with paralysis.
As a partner for life, Paralyzed Veterans also develops
training and career services, works to ensure accessibility
in public buildings and spaces, provides health and
rehabilitation opportunities through sports and recreation
and advocates for veterans and all people with disabilities.
With more than 70 offices and 33 chapters, Paralyzed Veterans
serves veterans, their families and their caregivers in all
50 states, the District of Columbia and Puerto Rico
(pva.org).
Source: Paralyzed Veterans of America.
Madam Speaker, after more than 2 years and more than $10 billion, the VA Choice Program has failed to deliver on its promise of shorter wait times for veterans.
It is time for us to recognize that private care is not the panacea for the complex challenge of caring for our Nation's veterans and that the VA's role must remain foundational to veterans' care. This bill does not reflect that reality.
I urge my colleagues to reject this legislation while we continue to work toward a bipartisan, bicameral solution.