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Tuesday, September 3, 2013

Veterans' Medical Care: FY2014 Appropriations


Sidath Viranga Panangala
Specialist in Veterans Policy


The Department of Veterans Affairs (VA) provides benefits to veterans who meet certain eligibility criteria. Benefits to veterans range from disability compensation and pensions to hospital and medical care. The VA provides these benefits through three major operating units: the Veterans Health Administration (VHA), the Veterans Benefits Administration (VBA), and the National Cemetery Administration (NCA). This report focuses on funding for the VHA. The VHA is primarily a direct service provider of primary care, specialized care, and related medical and social support services to veterans through the nations largest integrated health care system. Eligibility for VA health care is based primarily on previous military service, disability, and income.

The Presidents FY2014 budget request was submitted to Congress on April 10, 2013. The Presidents budget requested $147.9 billion in budget authority for the VA as a whole. For FY2014, the Administration requested $55.2 billion for VHA. This included $43.7 billion for the medical services account, $6.0 billion for the medical support and compliance account, $4.9 billion for the medical facilities account, and nearly $586 million for the medical and prosthetic research account. Furthermore, as required by the Veterans Health Care Budget Reform and Transparency Act of 2009 (P.L. 111-81), the Presidents budget requested $55.6 billion in advance appropriations for the three medical care accounts (medical services, medical support and compliance, and medical facilities) for FY2015.

On May 15, 2013, the House Military Construction and Veterans Affairs Subcommittee approved its version of a Military Construction and Veterans Affairs and Related Agencies Appropriations bill for FY2014 (MILCON-VA Appropriations bill). The full House Appropriations Committee voted to report the measure on May 21, 2013, and the House passed H.R. 2216 on June 4, 2013. The MILCON-VA Appropriations bill for FY2014 (H.R. 2216; H.Rept. 113-90) proposes a total of $147.6 billion for the VA as whole. For FY2014, H.R. 2216 proposes $54.9 billion for VHA. This included $43.6 billion for the medical services account, $6.0 billion for the medical support and compliance account, $4.9 billion for the medical facilities account, and nearly $586 million for the medical and prosthetic research account. H.R. 2216 (H.Rept. 113-90) proposes to rescind $156 million of funding already appropriated for VHA in FY2014 (as advance appropriations) and gives the Secretary the discretion to allocate these reductions across VHA accounts. H.R. 2216 includes $55.6 billion in advance FY2015 funding for the medical services, medical support and compliance, and medical facilities accountsthe same level included in the House-passed Budget Resolution, and the Presidents request.

On June 18, 2013, the Senate Military Construction, Veterans Affairs, and Related Agencies Subcommittee approved its version of the MILCON-VA Appropriations bill. The full Senate Appropriations Committee voted to report (H.R. 2216; S.Rept. 113-48) on June 20. H.R. 2216 (S.Rept. 113-48) proposes appropriations totaling $147.9 billion for FY2014 for the functions of the VA as a whole and $55.2 billion for VHA. VHAs total includes $43.6 billion for the medical services account (an additional $25 million over the FY2014 advance appropriations), $6.0 billion for the medical support and compliance account, nearly $5.0 billion for the medical facilities account (an additional $100 million over the FY2014 advance appropriations), and almost $586 million for the medical and prosthetic research account. Similar to the House version, the Senate Committee approved version includes $55.6 billion in advance FY2015 funding for the medical services, medical support and compliance, and medical facilities accounts.
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Date-of-Report:-August 28, 2013
Number-of-Pages:-27
Order-Number:-R43179
Price:-$29.95

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