Created on Thursday, 07 August 2014 Written by MATTHEW DALY, Associated Press
WASHINGTON (AP) — Veterans are expected to have an easier time getting government-paid health care from local doctors under a bill that President Barack Obama is set to sign into law Thursday.
Major provisions of veterans health care bill
The Associated Press
A bill approved by Congress aims to alleviate delays many veterans have faced in getting treatment at Veterans Affairs hospitals and clinics and end the widespread practice of covering up long wait times for appointments. The legislation also makes it easier to fire hospital administration and other senior VA executives.
Congressional budget analysts put the cost of the bill at $16.3 billion over three years and estimate it will add $10 billion to federal deficits over the next 10 years.
—Devotes $10 billion to pay private doctors to treat qualifying veterans who can't get prompt appointments at the VA's nearly 1,000 hospitals and outpatient clinics, or those who live far from them. Only veterans who enrolled in VA care as of Aug. 1 or live at least 40 miles away are eligible for outside care.
—Devotes $5 billion to hire more doctors, nurses and other medical and mental health professionals.
—Authorizes $1.3 billion to open 27 new VA outpatient clinics and other medical facilities in 18 states and Puerto Rico.
—Gives the VA secretary authority to fire immediately poor-performing senior executives. They would have seven days to appeal, with a final resolution 21 days later.
—Expands a scholarship program for children of veterans killed in the line of duty to include surviving spouses.
—Allows all returning veterans and eligible dependents to qualify for in-state tuition at public colleges and universities under the Post-9/11 GI Bill.
—Cuts funding for annual bonuses for VA employees to $360 million, $40 million less than last year.
The $16.3 billion measure also allows the Veterans Affairs Department to hire thousands of doctors, nurses and other health professionals at the VA's nearly 1,000 hospitals and outpatient clinics nationwide.
Under the new law, employment rules will be revised to make it easier to fire senior VA executives judged to be negligent or performing poorly.
Obama is traveling to Fort Belvoir, Virginia, an Army base 20 miles south of Washington, to sign the bill. Congress approved the measure last week before taking a five-week recess — one of the few significant bills approved this year by both the House and the Senate.
The legislation is a response to reports of veterans dying while awaiting appointments to see VA doctors and of a widespread practice of employees covering up monthslong wait times for appointments. In some cases, employees received bonuses based on falsified records.
"No veteran should have to wait to receive the benefits they have earned," said White House spokesman Josh Earnest.
The veterans bill, approved with strong bipartisan support, "will put in place reforms and needed additional resources to meet the high standard of service that our veterans have earned," Earnest said.
The bill devotes $10 billion in emergency spending over three years to pay private doctors and other health professionals to care for qualifying veterans who can't get timely appointments at VA hospitals or clinics or who live more than 40 miles from one of them. It includes $5 billion for hiring more VA doctors, nurses and other medical staff and $1.3 billion to open 27 new VA clinics across the country.
The VA has taken "aggressive steps" in recent months to address systemic problems found in its health care system, Earnest said, adding that reform measures will continue and accelerate under new VA Secretary Robert McDonald.
McDonald, a former Procter & Gamble CEO, was sworn in July 30 to lead the sprawling agency, which employs more than 310,000 people and provides health care for nearly 9 million enrolled veterans and disability compensation for nearly 4 million veterans.
The VA announced last week that it planned to fire two supervisors and discipline four other employees in Colorado and Wyoming accused of falsifying health care data.
Deputy Veterans Affairs Secretary Sloan Gibson said more VA employees will be disciplined as the agency tries to root out the causes of a scandal that he said has breached the trust between veterans and the agency created to serve them.
Gibson, who served as acting secretary for two months after Eric Shinseki resigned as VA secretary, has vowed to protect employees who file whistleblower complaints — a promise McDonald has echoed since taking office. Any intimidation or retaliation against employees who raise concerns will not be tolerated, they said.