A bipartisan deal to improve veterans health care would authorize at least $15 billion in emergency spending to fix a veterans health program scandalized by long patient wait times and falsified records covering up delays.
Congressional aides say the agreement includes $10 billion to make it easier for veterans who can't get prompt appointments with Veterans Affairs doctors to obtain outside care and $5 billion to hire doctors, nurses and other medical staff.
The chairmen of the House and Senate Veterans Affairs committees have scheduled a news conference Monday afternoon to unveil the bill, which also grants the VA secretary authority to immediately fire senior executives, while providing employees with streamlined appeal rights.
Sen. Bernie Sanders, I-Vt., chairman of the Senate veterans panel, proposed a bill last week that would cost about $25 billion over three years. Rep. Jeff Miller, R-Fla., his House counterpart, responded with a plan to approve $10 billion in emergency spending, with a promise of more spending in future years under the normal congressional budget process.
The compromise measure is expected to authorize the VA to lease 27 new clinics across the country, as well as require the Department of Veterans Affairs 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.
The bill would limit the number of veterans who can get outside care by restricting it to those who are enrolled as of Aug. 1, according to a summary of the legislation obtained by The Associated Press. Veterans also would have to show they could not get an appointment within current wait time goals for the VA, or live at least 40 miles for a VA site.
The proposed restrictions are important in controlling costs for the program. Congressional budget analysts had projected that tens of thousands of veterans who currently are not treated by the VA would likely seek VA care if they could see a private doctor paid for by the government.
Sanders and Miller reached agreement Sunday after more than six weeks of sometimes testy talks.
The deal requires a vote by a conference committee of House and Senate negotiators, and votes in the full House and Senate.
Miller and Sanders said in a joint statement Sunday that they "made significant progress" over the weekend toward agreement on legislation to reform the Veterans Affairs Department, which has been rocked by reports of patients dying while awaiting VA treatment and mounting evidence that workers falsified or omitted appointment schedules to mask frequent, long delays. The resulting election-year firestorm forced VA Secretary Eric Shinseki to resign in late May.
The plan set to be announced Monday is intended to "make VA more accountable and to help the department recruit more doctors, nurses and other health care professionals," Miller and Sanders said.
Louis Celli, legislative director for the American Legion, the nation's largest veterans group, said the deal would provide crucial help to veterans who have been waiting months or even years for VA health care.
"There is an emergency need to get veterans off the waiting lists. That's what this is all about," Celli said Sunday.
Tom Tarantino, chief policy officer of the Iraq and Afghanistan Veterans of America, said the agreement was good news — although several months late.
"It's about time they're doing their jobs," he said of Sanders, Miller and other members of Congress. "You don't get a medal for doing your job."
Veterans waiting two months for medical appointments "don't care about all this back and forth" in Congress, Tarantino said. "That's what should be driving decisions."
An updated audit by the VA this month showed that about 10 percent of veterans seeking medical care at VA hospitals and clinics still have to wait at least 30 days for an appointment. About 46,000 veterans have had to wait at least three months for initial appointments, the report said, and an additional 7,000 veterans who asked for appointments over the past decade never got them.
Acting VA Secretary Sloan Gibson has said the VA is making improvements, but said veterans in many communities still are waiting too long to receive needed care. The VA provides health care to nearly 9 million enrolled veterans.
The House and Senate are set to adjourn at the end of the week until early September, and lawmakers from both parties have said completing a bill on veterans' health care is a top priority.
The Senate is expected to vote this week to confirm former Procter & Gamble CEO Robert McDonald as the new VA secretary, replacing Gibson.