Advance Appropriations for Veteran's Health Care: Issues and Options for Congress

Abstract

The Veterans Health Administration (VHA) of the Department of Veterans Affairs (VA) operates the Nation's largest health care delivery system, with about 222,000 employees supporting its mission. It is also the largest provider of health care education and training for medical residents and other health care trainees in the United States. In FY2008, VHA provided medical care to approximately 5.6 million unique patients and spent approximately $43.5 billion for medical care and research. A coalition of veterans' service organizations (VSOs) has been calling on Congress to provide VHA with a budget which is "sufficient, timely, and predictable." These organizations have asserted that VHA has underestimated its budget in the past. Moreover, VSOs contend that Congress has not enacted the VA budget by the beginning of the fiscal year. According to these organizations the delays in the enactment of the budget have exacerbated operational challenges--such as, differing capital expenditures, delaying recruitment, restricting acquisitions, limiting maintenance--faced by VHA network directors. To mitigate these issues VSO's have proposed that Congress change the funding process for VHA to an advance appropriation.

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Document Details

Document Type
Technical Report
Publication Date
Apr 28, 2009
Accession Number
ADA501090

Entities

People

  • Sidath V. Panangala

Organizations

  • Library of Congress

Tags

DTIC Thesaurus Topics

  • Brain Injuries
  • Business Administration
  • Computer Programs
  • Congress
  • Department Of Veterans Affairs
  • Federal Budgets
  • Governments
  • Health Care
  • Health Services
  • Information Systems
  • Law
  • Management Personnel
  • Medical Personnel
  • National Governments
  • Training
  • United States
  • United States Government

Readers

  • Public Financial Management and Budgeting
  • Rehabilitation and Prosthetic Care for Military Service Members and Veterans with Limb Loss or Disability.
  • Strategic Security Studies