Mr. Speaker, I rise today in support of H.R. 6445, the Veterans Health Care Policy Enhancement Act. I would like to thank Mr. Cazayoux for this progressive piece of legislation, and Representatives Doyle, Walz, Buyer and Hare for their…
Mr. Speaker, I rise today in support of H.R. 6445, the Veterans Health Care Policy Enhancement Act. I would like to thank Mr. Cazayoux for this progressive piece of legislation, and Representatives Doyle, Walz, Buyer and Hare for their significant contributions. Thank you also Chairman Filner and Ranking Member Buyer for your support of this measure. Finally, I would like to acknowledge the great effort of the House Veterans' Affairs Committee staff in compiling this bill and achieving it's strong bi-partisan nature.
Over the past few decades, VA has transformed the way it delivers care to our veterans. This transformation has significantly increased their efficiency, increased veterans' access to care, and aligned the VA with the health care industry at large.
Unfortunately, certain policies that are relics of the previous era of health care delivery remain. This bill will modernize VA policies regarding copayments for nonservice-connected, catastrophically disabled, Category Group 4 veterans; pain care; counseling services for family members; and HIV testing. Additionally, this legislation enhances the VA's ability to collect third party payments.
Currently, there are approximately 25,000 non-service connected catastrophically disabled veterans enrolled in Priority Group 4. These veterans have a permanent, severely disabling injury, disorder, or disease that compromises their ability to carry out many activities of daily living.
The very nature and severity of their disabilities precludes them from employment. Yet current VA policy requires these veterans to pay copayments for their care.
Section 2 of this bill prohibits VA from collecting copayments from these vulnerable veterans.
Another legacy policy of the VA states that families of veterans being treated for non-service connected disabilities are only eligible for family support services, such as counseling, training or mental health services, if they are necessary for the veteran's treatment and they are initiated during the veteran's hospitalization and they are essential for the discharge of the veteran from the hospital.
Since the VA has transformed to a predominantly outpatient-based system, this policy is no longer effective.
Section 3 of this bill removes these restrictions on the provision of family support services. This is essential for our newest generation of veterans and their families.
Veterans suffer from acute and chronic pain in proportions far exceeding the general population. In fact, pain is the leading cause of disability among veterans.
To address the issue, the VA developed a ``National Pain Management Strategy'' and issued a directive to make pain management a national priority. However, this directive expired May 31, 2008 and reports from the field suggest that implementation has been far from consistent.
Section 4 of this bill mandates that the VA develop and implement a comprehensive policy on the management of pain experienced by veterans. It requires the VA to develop the policy in consultation with veterans service organizations and other 7137 organizations with expertise in the assessment, diagnosis, treatment, and management of pain.
Current law authorizes the VA to bill veterans' insurance companies (third-party collections) for non-service connected care provided to veterans enrolled in the VA health care system. A June 2008 report from the Government Accountability Office (GAO) estimated that $1.2 to $1.4 billion dollars go uncollected annually by VA due to improper coding, delays in billing, and collections follow-up.
In 2005, VA created the Mid-Atlantic Consolidated Patient Accounting Center (CPAC) in Asheville, North Carolina which has been tremendously successful.
Section 5 of this bill would require the VA establish no more than seven other CPACs to help maximize its collections by using industry best-practices to improve timely and accurate billing and enhance collections.
The VA is the largest, single provider of HIV/AIDS care in the United States with over 22,800 patients with HIV/AIDS. In 1988, Congress passed legislation that required the VA obtain a veteran's written informed consent before being tested for HIV. This was based on the best practice in 1988.
However, since then our knowledge of HIV/AIDS has increased significantly and treatments have advanced significantly. As a result, in 2006, the CDC revised their recommendations regarding diagnostic HIV testing. CDC now recommends HIV testing be a part of routine clinical care and recommends that separate written consent for HIV screening should no longer be required.
Section 6 of this bill brings VA HIV/AIDS care up to current standards of practice.
All the provisions in this bill are intended to enhance current VA policies to bring them into the 21st century.
The improvements in these policies will have a direct and positive impact on improving the quality of healthcare our veterans receive.
I urge my colleagues to support H.R. 6445.