President Obama signs veterans’ health care overhaul

FORT BELVOIR, Va. (AP) — Veterans may soon have easier access to government-paid health care under a bill President Barack Obama signed into law Thursday, the government’s most sweeping response to date to a public uproar over systemwide problems that have rocked the Veterans Affairs Department.

With service members, lawmakers and military leaders looking on, Obama put his pen to the bill at Fort Belvoir, an Army base south of Washington, where he held up the legislation as a rare example of Republicans and Democrats working together effectively. Denouncing delays in care for veterans as wrong and outrageous, Obama said the government would keep moving ahead with urgent reforms to ensure veterans have the care they’ve earned.

“This will not and cannot be the end of our effort,” Obama said. “We have to make sure the VA system can keep pace with the new demands.”

The $16.3 billion measure allows the Veterans Affairs Department to hire thousands of doctors, nurses and other health professionals at the VA’s nearly 1,000 hospitals and outpatient clinics nationwide. Under the new law, employment rules will be revised to make it easier to fire senior VA executives judged to be negligent or performing poorly.

Congress approved the measure last week before taking a five-week recess — one of the few significant bills approved this year by both the House and the Senate.

The legislation is a response to reports of veterans dying while awaiting appointments to see VA doctors and of a widespread practice of employees covering up months-long wait times for appointments. In some cases, employees received bonuses based on falsified records.

The veterans bill, approved with strong bipartisan support, “will put in place reforms and needed additional resources to meet the high standard of service that our veterans have earned,” said White House spokesman Josh Earnest.

The bill devotes $10 billion in emergency spending over three years to pay private doctors and other health professionals to care for qualifying veterans who can’t get timely appointments at VA hospitals or clinics or who live more than 40 miles from one of them. It includes $5 billion for hiring more VA doctors, nurses and other medical staff.

The bill also authorizes $1.3 billion to lease space for 27 delayed medical clinics in 18 states, including ones in Lafayette and Lake Charles. Plans for the clinics were cast in doubt when congressional budget officials adopted a new, higher-cost formula for estimating lease expenses. A 2013 House-approved bill to authorize the leases fell victim to procedural wrangling in the Senate early this year.

Authorization of the leases puts them on the VA’s to-do list — a critical step — but does not provide money for them. That would require separate legislation.

The 27 clinics have been designated by the VA in its budget requests as necessary to satisfy unmet needs for veterans’ medical care. The VA network — the largest single health care provider in the nation — treats 9 million patients at 150 hospitals and 820 clinics.

The VA operates a small clinic in Lafayette now and has set up a mobile clinic in Lake Charles, but neither is considered sufficient by the agency.

The VA has taken aggressive steps in recent months to address systemic problems found in its health care system, Earnest said, adding that reform measures will continue and accelerate under new VA Secretary Robert McDonald.

McDonald, a former Procter & Gamble CEO, was sworn in July 30 to lead the sprawling agency, which employs more than 310,000 people and provides health care for nearly 9 million enrolled veterans and disability compensation for nearly 4 million veterans.

“This is a labor of love for him, and he has hit the ground running,” Obama said.

The VA announced last week that it planned to fire two supervisors and discipline four other employees in Colorado and Wyoming accused of falsifying health care data.

Deputy Veterans Affairs Secretary Sloan Gibson said more VA employees will be disciplined as the agency tries to root out the causes of a scandal that he said has breached the trust between veterans and the agency created to serve them.

Gibson, who served as acting secretary for two months after Eric Shinseki resigned as VA secretary, has vowed to protect employees who file whistleblower complaints — a promise McDonald has echoed since taking office. Any intimidation or retaliation against employees who raise concerns will not be tolerated, they said.

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