VFW Joins House Democrats for Veterans Roundtable

*UPDATE: The Office of Management and Budget announced this afternoon that all VA accounts and military personnel accounts would be exempt from budget sequestration. 

Yesterday the VFW joined House Democratic leadership and some of the nation’s other leading veterans’ advocates for a roundtable discussion on veterans’ issues. House Minority Leader Nancy Pelosi has routinely hosted quarterly roundtables with the veterans’ community for the last few years, offering veterans’ advocates an opportunity to candidly discuss ways in which Congress could work to better serve our veterans.

 VFW Deputy Director Ryan Gallucci joined in the discussion, expressing the VFW’s frustration over looming sequestration cuts to the defense budget and administrative accounts for Veterans Affairs. Gallucci pointed out that while the Obama Administration had clarified that VA health care accounts were exempt from sequestration, experts had indicated that VA’s administrative accounts could be subject to cuts.

The veterans’ community has asked for clarification from Congress and the Administration as to what kinds of administrative accounts could be affected, pointing out that the timely delivery of other VA benefits, like disability compensation or the G.I. Bill, could be affected if the administrators of those benefits are forced to scale back their operations.

House Budget Committee Ranking Member Chris Van Hollen, D-Md., tackled the issue by explaining that the Administration was scheduled to deliver their analysis of how sequestration would affect each agency, but that he and his fellow committee members were still searching for ways to avoid the looming 2013 deadline when across-the-board cuts would have to take place.

Other issues raised during the roundtable were the absence of advance appropriations in the VA budget continuing resolution currently before Congress, daunting unemployment numbers among Iraq and Afghanistan-era veterans, and the persistent lack of mental health resources for veterans suffering from the invisible wounds of war.

Your VFW advocates have been working hard all week, asking the 112th Congress to “Finish Strong For Veterans.” In addition to the Democratic roundtable, VFW participated in a Republican veterans affairs roundtable on Tuesday, and members of the VFW National Legislative Committee hit the halls of Congress all week, pushing for solutions to issue related to the VA budget, employment and education, health care, and benefits delivery.

As Congress wraps up business leading into the election, check back regularly for updates.

VFW Joins House VA Committee Republican Roundtable

House Veterans Affairs Committee Chairman Jeff Miller, R-Fla., hosted a roundtable discussion this morning with Republican committee leadership and leading veterans’ advocates in the committee’s chambers of the Cannon House Office Building. VFW Deputy Legislative Director Ryan Gallucci was on hand to discuss a series of persistent veterans’ issues like mental health care, employment, and looming budget concerns.

Miller decided to host the roundtable as a way to evaluate progress over the 112th Congress, identify shortfalls in meeting the needs of veterans, and candidly discussing potential new ideas to ensure veterans receive the care and benefits to which they are entitled.

The morning’s discussion took place just as the VFW National Legislative Committee converged on Washington, asking Congress to “Finish Strong For Veterans,” by enacting meaningful legislation, providing oversight, and applying pressure on federal agencies to better serve the veterans’ community. This week, VFW advocates will visit every Congressional office discuss VFW’s outstanding issues for the 112th Congress relating to benefits delivery, health care, budget concerns, and education and employment. To learn more about these issues, click here.

Gallucci reiterated the VFW’s “Finish Strong For Veterans” message, encouraging Congress to pass bills like the H.R. 4057 to improve consumer information for student-veterans; provide oversight to ensure the military’s new transition assistance program, or TAP, provides relevant resources to transitioning service members; ensure VA can meet its mental health staffing requirements; and apply pressure to VA and the Administration to define “administrative accounts” potentially affected by mandatory sequestration budget cuts.

Chairman Miller also took the opportunity to candidly discuss a controversial proposal from Republican leaders designed to help veterans receive timely mental health care from TRICARE providers, paid for by VA. The idea comes on the heels of ongoing military and veteran suicide concerns, and reports that VA cannot meet the demand to deliver mental health care in a timely manner.

Veterans’ advocates expressed concern about how the proposal could not only increase care costs for VA, but could create more bureaucratic problems for veterans seeking care outside the VA system.

Gallucci explained that many times veterans cannot receive timely mental health care from VA because they never actively enrolled in the VA health care system before reaching out for help. If veterans sought out emergency care from TRICARE providers on the economy, Gallucci explained that they could be left with a hefty bill for services, and face additional bureaucratic hurdles when they seek reimbursement from VA.

Chairman Miller explained that the concept was designed to ensure veterans who need mental health care can find somewhere to go as a stop-gap measure, and ensured the veterans’ community that his committee would flesh out exactly how such a system could efficiently deliver care.

Other discussion topics this morning included alternative treatments for traumatic brain injury like hypobaric oxygen therapy, persistent processing delays for Post-9/11 G.I. Bill recipients, the effectiveness of peer-to-peer counseling for mental health issues, and empowering employers to find potential veteran employees.

(Image: VFW Deputy Legislative Director Ryan Gallucci discusses VFW's call for Congress to "Finish Strong For Veterans" in the 112th Congress. Photo courtesy of the House Committee on Veterans Affairs.)

VFW Applauds White House Efforts to Stop Military Suicide

The national commander of the Veterans of Foreign Wars of the U.S., the nation’s largest organization of combat veterans, applauded the president’s signing of an executive order this morning designed to curb military and veteran suicide and improve the delivery of mental health resources to our nation’s heroes.

“Today, more American service members die by their own hands than at the hands of our enemies, which is why the VFW is proud to see our commander-in-chief taking action to address this national crisis,” said VFW National Commander John E. Hamilton. “Long, repeat deployments through more than a decade of war have taken an immeasurable toll on our nation’s newest generation of heroes. We have an obligation to care for these brave men and women when they return from the front lines, and we think this executive order will be a critical step in fulfilling that obligation.”

The executive order, “Improving Access to Mental Health Services for Veterans, Service Members and Military Families,” which President Obama announced during a visit to Fort Bliss in Texas, includes nearly a dozen specific initiatives designed to improve mental health resources and intervention tools.

Among the initiatives included in the executive order, VA and its partner agencies are directed to increase the capacity of the veteran crisis line, 1-800-273-8255; leverage training initiatives to hire 800 peer-to-peer counselors and 1,600 mental health professionals by June 2013; ensure veterans in crisis receive care within 24 hours; develop a National Research Action Plan across federal agencies to improve early intervention for those suffering from invisible wounds; and create an Interagency Task Force reporting directly to the White House on strategies to improve outreach and intervention for veterans, service members, and their families.

The VFW fully supports the president’s vision to prevent military suicides and improve mental health care delivery, but Hamilton also expressed concerns about potential funding shortfalls to accomplish the president’s goals.

“We hope that as VA and the Pentagon work with their partner agencies to deliver on these initiatives, that a comprehensive plan is in place to fund it without negatively affecting the continuum of care that our veterans rely on,” said Hamilton, who received three Purple Hearts for wounds sustained as a Marine Corps rifleman in Vietnam. “This morning the president pledged to help the brave military men and women who continue to suffer in silence, and the VFW stands ready to assist the Administration in delivering on this pledge.”

To read the executive order, click here.

VFW Joins Defense and VA Officials to Discuss Suicide Prevention

This week, the departments of Defense and Veterans Affairs hosted their joint annual suicide prevention conference in Washington, D.C. VFW Senior Legislative Associate Shane Barker was on hand for a number of presentations, including this afternoon's intriguing remarks about post-traumatic stress disorder, or PTSD, by Defense Secretary Leon Panetta.

“Secretary Panetta reinforced many of the hallmarks of our public message” said Barker, who handles military health policy issues for the VFW Washington office. "To the VFW, the alarming suicide rates we've seen among today's veterans indicate that we still haven't done enough to properly identify and treat invisible wounds. It will take a concerted effort on the part of the military, VA, Congress, and veterans' advocates to sufficiently address this issue, and we are encouraged to see so many agencies coming together to discuss this issue."

Panetta discussed his four pillars for addressing the mental health challenges our military personnel and veterans endure: Improving leadership, ensuring access to quality treatment; achieving parity between mental and physical health in all aspects of military culture, and emphasizing research into the brain within DoD.

“Secretary Panetta referred to PTSD as ‘the signature unseen wound’ of the conflicts in Iraq and Afghanistan,” said Barker. “This is an important distinction, as it brings into focus the importance of actively going out and identifying mental health challenges within the ranks without minimizing the need to address the multitudes of other very serious injuries in these conflicts, such as traumatic eye injury, traumatic brain injury, and serious hearing loss.”

Secretary Panetta and others stressed the importance of working more closely with VA, the Department of Health and Human Services, and the private sector.

Your VFW will continue to watch the changing approach to mental health services very closely to ensure improved services and outcomes for all military personnel and veterans. In the meantime, If you are a veteran in crisis, help is available 24 hours a day, seven days a week though the Veterans Crisis Line. Call 1-800-273-TALK (8255) and press “1” to speak to someone now. You can also log on to www.veteranscrisisline.net for confidential chat or text a message to 838255.

House Veterans Affairs Committee Questions VA on Mental Health Care Delivery

On Tuesday, the VFW was on hand as the House Veterans’ Affairs Committee held a hearing to discuss the findings of a recent VA Office of Inspector General report, highlighting serious concerns with access to mental health care within the VA system. At the request of Committee Chairman Jeff Miller, R-Fla., VA Secretary Eric Shinseki testified alongside Dr. Robert A. Petzel, VA undersecretary for health, and other distinguished members of the VA team.

To view an archived webcast of the hearing, click here. To view a full list of witnesses and to read their prepared remarks, click here.

The panelists defended VA efforts and practices against the recent damaging OIG report which found, among other things, that the measurements used by VA to calculate wait times for mental health appointments lack accuracy and reliability. The report explicitly said that the measurements offered “no real value” and should be replaced. OIG also found that nearly half of veterans seeking a mental health episode of care waited approximately 50 days -- a figure in stark contrast to the 14-day standard VA has regularly promoted.

Much of the hearing focused on VA’s recent announcement that the agency would hire 1,900 new mental health staff -- 1,600 clinicians and 300 support staff -- to help overcome shortfalls across the country that currently prevent veterans from receiving timely care.

Unfortunately, The VFW believes many questions remain unanswered. VA does not yet have a true staffing model to ensure the mental health contingent within VA is right-sized or properly distributed across the system. Because of that, many committee members and other witnesses questioned the effectiveness of VA’s response, and whether or not 1,900 is the optimal number of new hires. Questions of how VA would pay for the additional staff were also raised, and VA’s response that they would be taking the money out of the dollars allocated to the VISNs did not seem to satisfy many on the committee.

Shinseki admitted that VA had much to do to resolve this problem, and made clear his belief that the problem could get worse in coming years as the conflicts in Iraq and Afghanistan draw to a close and more service members seek VA care. Dr. Petzel offered that VA needed to do more fee-basis mental health authorizations, and more mental health contracting with private providers, especially in rural areas. VA also discussed a new and ongoing peer counselor program in which VA is currently training 400 veterans to become peer counselors. Tele-mental health and the future deployment of an integrated electronic health record were also mentioned as facets of VA’s plan to address the need to provide more mental health treatment for our veterans.

In the midst of all these efforts, committee members and veterans’ advocates did not seem satisfied. As your voice on Capitol Hill, your VFW will continue to keep VA’s feet to the fire to improve the delivery of mental health care for our veterans. Check back regularly for updates.

Watch Live: Senate Hosts Hearing on Vets' Mental Health Care

UPDATE: The archived webcast from yesterday's hearing is now available on the Senate VA Committee's Web site. To view a full list of witnesses, read their prepared remarks, and view the archived webcast, click here. 

This morning the Senate Veterans Affairs Committee will host a hearing to evaluate the ease-of-access for veterans seeking mental health care at VA facilities. The hearing comes in the wake of an alarming report from the VA's Office of the Inspector General, indicating that VA may have misled Congress and the veterans' community on how it ensured prompt access to care for veterans seeking treatment for mental health conditions.

Your VFW will be on hand when the hearing is scheduled to commence at 9:30 a.m. in Senate Dirksen Office Building room 138. To view a live webcast of the hearing on the committee's home page, click here.

VA policy dictates that veterans who seek treatment for mental health must be seen with 14 days of requesting treatment. However, the report, which can be read here, claims that VA misrepresented how it tracked whether or not veterans received treatment in a timely manner, many times only starting the 14-day clock from the earliest date on which a veteran physically entered a VA facility for treatment.

For example, if a veteran were to contact VA on April 1 to seek treatment, VA could offer an appointment date on April 16. If the veteran accepted the April 16 appointment and was actually treated in a VA clinic on April 16, VA would report that the veteran waited zero days for his or her treatment, as opposed to the actual 15-day waiting period.

As a result, OIG determined that VA's reports on wait times and treatments were neither accurate nor reliable, and called on the VA Undersecretary of Health to revise policies to clarify how patient scheduling and treatment should be tracked and identify staffing shortfalls that may impede timely treatment.

Senate VA Committee Chairman Patty Murray, D-Wash.,  and Ranking Member Richard Burr, R-S.C., called for the IG report. The results come less than a week after VA pledged to hire an additional 1,900 mental health care personnel to include marriage and family therapists and licensed professional mental health counselors.

VFW leaders were disturbed at the report that VA may have misled the public and the veterans’ community on how it delivers mental health care. Your VFW will continue to keep its finger on the pulse of this critical issue, putting pressure on VA officials and leaders in Congress to take decisive action. Check back regularly for updates.