House set to take up $17 billion measure to overhaul VA health care system



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WASHINGTON — With a new Veterans Affairs secretary in place and an August recess looming, Congress is likely to move quickly to approve a compromise bill to refurbish the VA and improve veterans' health care.

The House could vote on the $17 billion bill as early as Wednesday, with a Senate vote expected soon after as lawmakers rush to complete their work before leaving town this weekend for a five-week recess.

The measure, unveiled Monday by the chairmen of the House and Senate veterans affairs committees, is intended help veterans avoid long waits for health care, hire more doctors and nurses to treat them, and make it easier to fire senior executives at the Veterans Affairs Department.

The House vote could come just one day after the Senate confirmed former Procter & Gamble CEO Robert McDonald to lead the sprawling agency, which provides health care to nearly 9 million enrolled veterans and disability compensation to nearly 4 million veterans.

McDonald, 61, of Cincinnati, will replace Acting VA Secretary Sloan Gibson, who took over in May after Eric Shinseki resigned amid a growing uproar over reports of long veterans' waits for health care and VA workers falsifying records to cover up delays.

McDonald has pledged to transform the VA and promised that "systematic failures" must be addressed. He said improving patient access to health care was a top priority, along with restoring transparency, accountability and integrity to the VA.

"In the wake of the biggest scandal in the history of the Department of Veterans Affairs, Bob McDonald certainly has his work cut out for him," said Rep. Jeff Miller, R-Fla., chairman of the House Veterans' Affairs Committee.

In order to be successful, McDonald "will need to take swift and decisive action to discipline employees responsible for mismanagement, negligence and corruption that harms veterans while taking bold steps to replace the department's culture of complacency with a climate of accountability," Miller said.

Miller is a co-sponsor of the VA overhaul bill, along with Sen. Bernie Sanders, I-Vt., his counterpart on the Senate veterans panel.

The measure includes $10 billion in emergency spending to help veterans who can't get prompt appointments with VA doctors to obtain outside care; $5 billion to hire doctors, nurses and other medical staff; and about $1.5 billion to lease 27 new clinics across the country.

Miller and Sanders say the bill will require about $12 billion in new spending after accounting for about $5 billion in unspecified spending cuts from the VA's budget.

Despite the steep cost, Miller said he is confident he can sell the bill to fellow Republicans, including tea party members.

"Taking care of our veterans is not an inexpensive proposition, and our members understand that," he said. "The VA has caused this problem and one of the ways that we can help solve it is to give veterans a choice, a choice to stay in the system or a choice to go out of the system" to get government-paid health care from a private doctor.

The VA has been rocked by reports of patients dying while awaiting treatment and mounting evidence that workers falsified or omitted appointment schedules to mask frequent, long delays.

The compromise measure would require the VA 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 at least 40 miles from one of them. Only veterans who are enrolled in VA care as of Aug. 1 or live at least 40 miles away would be eligible to get outside care.


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