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Veterans Administration - Appropriations and Health Care Issues (Hardcover)
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Veterans Administration - Appropriations and Health Care Issues (Hardcover)
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The Department of Veterans Affairs (VA) provides a range of
benefits and services to veterans and eligible dependents who meet
certain criteria as authorized by law. These benefits include
medical care, disability compensation and pensions, education,
vocational rehabilitation and employment services, assistance to
homeless veterans, home loan guarantees, administration of life
insurance and traumatic injury protection insurance for service
members, and death benefits that cover burial expenses. Chapter 1
focuses on FY2018 appropriations and FY2019 advance appropriations
for the Department of Veterans Affairs (VA). VA is one of the
Federal government's largest property holding entities with a
capital asset portfolio that includes thousands of medical
facilities spanning hundreds of millions of square feet in both
owned and leased space across the country. The average VA medical
facility building is five times older than the average building in
a not for profit hospital system. All too often current facilities,
including those that have been well maintained, are not equipped to
support the provisions of modern high quality care and are not well
suited to providing care in the current VA healthcare system. As
reported in chapter 2, there is a wide and growing gap between VA's
capital need and the antiquated and anticipated resources.
Following the brief legislative history of VA provided community
care, chapter 3 describes the background and legislative history
leading up to the enactment of the VA MISSION Act. This is followed
by summaries of the major provisions in the VA MISSION Act by
title. The chapter concludes with an appendix providing
implementation and reporting deadlines contained in the VA MISSION
Act. VHA anticipates that it will provide care to more than 7
million veterans in fiscal year 2019. The majority of veterans
using VHA health care services receive care in one or more of the
172 medical centers or at associated outpatient facilities. Chapter
4 assesses VHA's management of medical center performance. Chapter
5 reviews the new rule entitled "VA Claims and Appeals
Modernization" (RIN: 2900-AQ26), which amends the regulations
governing claims adjudication and appeals. VBA employees have
authority to request reexaminations for veterans "whenever VA
determines there is a need to verify either the continued existence
or the current severity of a disability," and when there is no
exclusion from reexamination. Chapter 6 determines whether Veterans
Benefits Administration (VBA) employees required disabled veterans
to submit to unwarranted medical reexaminations. Training health
care professionals is part of the VA's statutory mission. The VA is
the largest provider of medical training in the United States and
is involved in training at all levels: medical students, medical
residents, and medical fellows Chapter 7 focuses on physician
training.
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