Mr. Speaker, I move to suspend the rules and pass the bill (H.R. 5815) to authorize major medical facility projects and major medical facility leases for the Department of Veterans Affairs for fiscal years 2006 and 2007, and for other…
Mr. Speaker, I move to suspend the rules and pass the bill (H.R. 5815) to authorize major medical facility projects and major medical facility leases for the Department of Veterans Affairs for fiscal years 2006 and 2007, and for other purposes, as amended.
Mr. Speaker, I yield myself such time as I may consume.
H.R. 5815, the Department of Veterans Affairs Medical Facility Authorization Act of 2006, would ensure that we will act officially and provide the right facilities at the right places given the current veteran populations that we can expect in the coming years.
I thank my colleagues, Henry Brown, the chairman of our Subcommittee on Health, and Mike Michaud, the subcommittee ranking member, for their hard work on a bipartisan bill that deploys new models for providing health care. These models show great promise for veterans who want cutting-edge care as close to their home as possible.
Mr. Speaker, the very nature of health care delivery has changed dramatically over the last 15 years, yet the VA has not built a single hospital in that time. Some challenges ahead of us deal with, for example, in New Orleans the damage by Hurricane Katrina and that along the coast of Mississippi. Some put a price tag on a new New Orleans VA facility at around $600 million. I recently toured a new cutting-edge tertiary care hospital in Indiana built for about $280 million. So trying to figure out how we build new hospitals for the government and at the same time trying to do one that is cost effective is the challenge.
When we look at the VA, the VA has some aging infrastructure and we must replace some facilities, not only the ones damaged by the hurricanes, but also we need to modernize others. This bill will help rationalize the work, including the actions necessary along the Gulf Coast where we restored the VA medical centers in Biloxi and in New Orleans.
We will also move forward with construction in Charleston, South Carolina, with regard to delivering a new model, and Mr. Brown will be talking about that in a moment. We will be purchasing property in Denver. We will work toward a facility in San Juan, Puerto Rico. The bill would authorize the construction of 17 major facility projects authorized in the last session of Congress, including Las Vegas and Orlando, all of which align with the demand projected for the next two decades.
Mr. Speaker, after World War II, the VA faced a huge influx of returning service members and a worrisome shortage of doctors. Responding to the challenge, the VA in 1946 formed its affiliation program with medical schools.
A wise decision at the VA, made two generations ago by some far- seeing leaders, among them Army General Omar Bradley, a post war VA administrator, enabled the agency to avail itself of the country's best doctors and nurses, and opened VA to the country's best health care practices, ensuring it had the capacity to care for millions of new patients.
According to VA, more than 150 VA facilities have affiliations with more than 100 medical schools, dozens of dental schools and more than 1,200 other schools across the country. VA trains 50,000 students and residents each year, more than half of the physicians practicing in the United States, and a similar portion of nurses, I might add, have experienced parts of their professional education in the VA health care system. The VA has built up considerable experience leveraging service and quality throughout this collaboration.
As the visionaries of 1946 dared to look beyond the familiar patterns, we must now be willing to consider the possibilities that new ideas generate. These new ideas can also generate controversy. Some veterans are concerned that some form of collaboration may dilute the ``veterans' identity'' of a VA hospital. That is not an intention on our part at all.
Mr. Speaker, the facts show that the last 50 years of affiliation have meant better VA care for veterans. If a veteran in the Capital area went to Washington, DC Veteran Center for an emergency, that veteran would likely be seen by a doctor also on staff at the George Washington University Medical Center. A veteran being seen at the Ralph Johnson VA Medical Center in Charleston, South Carolina, is almost certain, the chances are about 90 percent, to be seen by a doctor also on staff with the Medical University of South Carolina. You do not hear complaints from veterans about these arrangements.
H.R. 5815 would position VA to leverage existing affiliation relationships with top notch medical universities and build a new relationship with these universities, while preserving the veterans' identity through a collaboration of shared facilities.
In Biloxi, the bill would take advantage of the joint-use facility being shared with Keesler Air Force Base in Biloxi.
Veterans in the New Orleans area would benefit from a new agreement that we are most hopeful could have fruition with Louisiana State University for the construction and operation of a collocated joint-use medical facility.
In Charleston, South Carolina, we would move forward with the building and operation of a joint-use facility with the Medical University of South Carolina.
Mr. Speaker, this legislation would authorize the purchase of a site in Denver for the ultimate replacement of the medical facility there and would require the VA to report to us and our Senate counterpart on the viability of engaging in a public-private partnership that would reduce taxpayer burden as construction begins.
Mr. Speaker, resources are not on the side of isolated facilities. Enhanced collaboration means that the most expensive equipment, such as medical imaging devices, could be shared between VA and university facilities. As new technology becomes available with its inevitable steep price tag, it could be more easily acquired through these collaborative efforts.
Sharing expensive capital assets reduces duplication and waste. Physicians can more easily travel from the university facility to the VA's facility. That, in turn, means that the veterans will get quality care much faster. This logic has appealed to veterans advocates with whom I have spoken.
This bill would also help the VA grow the expertise that has gone fallow over the past decade and a half, since VA's last construction project. H.R. 5815 would establish within the VA a senior Civil Service position whose role would be to provide department-wide executive leadership over all construction and facility management.
Mr. Speaker, the total cost of this legislation is approximately $2.4 billion.
Shortly I will turn to my distinguished colleague, Mr. Brown of South Carolina, chairman of the Subcommittee on Health, for a detailed explanation of the bill.
Mr. Speaker, I reserve the balance of my time
Mr. Speaker, I yield 6\1/2\ minutes to the gentleman from South Carolina (Mr. Brown).
Mr. Speaker, at this time I yield 2\1/2\ minutes to the delegate from Puerto Rico (Mr. Fortuno).
I thank the delegate for his work on this bill.
I yield 1\1/4\ minutes to Mr. Stearns of Florida
I yield to Mr. Feeney of Florida 2 minutes.
(Mr. FEENEY asked and was given permission to revise and extend his remarks.)
Mr. Speaker, will the gentleman yield?
Likewise, you do such good because you are a genuine human being, and I want to thank you for your leadership. And it was a treat and joy to work with you and Chairman Brown on this, along with your staff.
I appreciate you also recognizing the staff. Mr. Tucker who is sitting there next to you, when I think of his work, and Mr. Weekly and Ms. Dunn, but also that of Jim Lariviere, Jim who now has been activated as a colonel in the Marine Corps in Afghanistan, Kelly Craven and Jim Holley who is also here on the floor for their hard work.
But I also want to pause and, if I might, this is a pretty large bill and we have had to work with a lot of different Members. So if I might, I would like to thank, in particular, Mr. Michaud for your work. I want to thank Mr. Evans for his bipartisanship and his good work and his leadership. I also want to thank Chairman Brown for his work on the Charleston project, Mr. Fortuno for his work in Puerto Rico, Ms. Berkley in Las Vegas, Mr. Beauprez in Denver, Mr. Baker for New Orleans.
And we got a full court press when it came to Orlando. We had leadership of Mr. Stearns, Mr. Feeney, Ms. Brown, Chairman Miller, Mr. Keller, Chairman Bilirakis, and Ms. Ginny Brown-Waite. So we got the full court press when it came to Orlando; we got the message. And it was just a real treat in working with all of them, and I thank the gentleman for recognizing them.
Mr. Speaker, H.R. 5815 is a well-thought-out bill. It is the product of thorough bipartisan collaboration. I urge my colleagues to act favorably now and move this legislation to the Senate so that we can give our veterans the assurances of new and improved medical facilities
Mr. Speaker, I have no further requests for time, and I yield back the balance of my time.