Legislative Hearing on H.R. 92, H.R. 315, H.R. 339, H.R. 463, H.R. 538 H.R. 542, H.R. 1426, H.R. 1470, H.R. 1471, H.R. 1527 H.R
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LEGISLATIVE HEARING ON H.R. 92, H.R. 315, H.R. 339, H.R. 463, H.R. 538 H.R. 542, H.R. 1426, H.R. 1470, H.R. 1471, H.R. 1527 H.R. 1944, AND DISCUSSION DRAFT OF THE ‘‘RURAL VETERANS HEALTHCARE ACT OF 2007’’ HEARING BEFORE THE SUBCOMMITTEE ON HEALTH OF THE COMMITTEE ON VETERANS’ AFFAIRS U.S. HOUSE OF REPRESENTATIVES ONE HUNDRED TENTH CONGRESS FIRST SESSION APRIL 26, 2007 Serial No. 110–17 Printed for the use of the Committee on Veterans’ Affairs ( U.S. GOVERNMENT PRINTING OFFICE 35–636 WASHINGTON : 2008 For sale by the Superintendent of Documents, U.S. Government Printing Office Internet: bookstore.gpo.gov Phone: toll free (866) 512–1800; DC area (202) 512–1800 Fax: (202) 512–2104 Mail: Stop IDCC, Washington, DC 20402–0001 VerDate Aug 31 2005 06:35 Apr 23, 2008 Jkt 035636 PO 00000 Frm 00001 Fmt 5011 Sfmt 5011 E:\HR\OC\35636.XXX 35636 smartinez on PROD1PC64 with HEARING COMMITTEE ON VETERANS’ AFFAIRS BOB FILNER, California, Chairman CORRINE BROWN, Florida STEVE BUYER, Indiana, Ranking VIC SNYDER, Arkansas CLIFF STEARNS, Florida MICHAEL H. MICHAUD, Maine JERRY MORAN, Kansas STEPHANIE HERSETH SANDLIN, South RICHARD H. BAKER, Louisiana Dakota HENRY E. BROWN, JR., South Carolina HARRY E. MITCHELL, Arizona JEFF MILLER, Florida JOHN J. HALL, New York JOHN BOOZMAN, Arkansas PHIL HARE, Illinois GINNY BROWN-WAITE, Florida MICHAEL F. DOYLE, Pennsylvania MICHAEL R. TURNER, Ohio SHELLEY BERKLEY, Nevada BRIAN P. BILBRAY, California JOHN T. SALAZAR, Colorado DOUG LAMBORN, Colorado CIRO D. RODRIGUEZ, Texas GUS M. BILIRAKIS, Florida JOE DONNELLY, Indiana VERN BUCHANAN, Florida JERRY MCNERNEY, California ZACHARY T. SPACE, Ohio TIMOTHY J. WALZ, Minnesota Malcom A. Shorter, Staff Director SUBCOMMITTEE ON HEALTH MICHAEL H. MICHAUD, Maine, Chairman CORRINE BROWN, Florida JEFF MILLER, Florida, Ranking VIC SNYDER, Arkansas CLIFF STEARNS, Florida PHIL HARE, Illinois JERRY MORAN, Kansas MICHAEL F. DOYLE, Pennsylvania RICHARD H. BAKER, Louisiana SHELLEY BERKLEY, Nevada HENRY E. BROWN, JR., South Carolina JOHN T. SALAZAR, Colorado Pursuant to clause 2(e)(4) of Rule XI of the Rules of the House, public hearing records of the Committee on Veterans’ Affairs are also published in electronic form. The printed hearing record remains the official version. Because electronic submissions are used to prepare both printed and electronic versions of the hearing record, the process of converting between various electronic formats may introduce unintentional errors or omissions. Such occur- rences are inherent in the current publication process and should diminish as the process is further refined. ii VerDate Aug 31 2005 06:35 Apr 23, 2008 Jkt 035636 PO 00000 Frm 00002 Fmt 0486 Sfmt 0486 E:\HR\OC\35636.XXX 35636 smartinez on PROD1PC64 with HEARING C O N T E N T S April 26, 2007 Page Legislative Hearing on H.R. 92, H.R. 315, H.R. 339, H.R. 463, H.R. 538, H.R. 542, H.R. 1426, H.R. 1470, H.R. 1471, H.R. 1527, H.R. 1944, and Discussion Draft of the ‘‘Rural Veterans Healthcare Act of 2007’’ .................. 1 OPENING STATEMENTS Chairman Michael H. Michaud .............................................................................. 1 Prepared statement of Chairman Michaud .................................................... 45 Hon. Jeff Miller, Ranking Republican Member ..................................................... 2 Prepared statement of Congressman Miller ................................................... 45 WITNESSES U.S. Department of Veterans Affairs, Gerald M. Cross, M.D., FAAFP, Acting Principal Deputy Under Secretary for Health, Veterans Health Administra- tion ........................................................................................................................ 38 Prepared statement of Dr. Cross ..................................................................... 94 Altmire, Hon. Jason, a Representative in Congress from the State of Pennsyl- vania ...................................................................................................................... 21 Prepared statement of Congressman Altmire ................................................ 73 American Legion, Shannon Middleton, Deputy Director for Health, Veterans Affairs and Rehabilitation Commission ............................................................. 26 Prepared statement of Ms. Middleton ............................................................ 74 American Veterans (AMVETS), Kimo S. Hollingsworth, National Legislative Director ................................................................................................................. 27 Prepared statement of Mr. Hollingsworth ...................................................... 77 Brown-Waite, Hon. Ginny, a Representative in Congress from the State of Florida ................................................................................................................... 6 Prepared statement of Congresswoman Brown-Waite .................................. 47 Disabled American Veterans, Adrian M. Atizado, Assistant National Legisla- tive Director .......................................................................................................... 28 Prepared statement of Mr. Atizado ................................................................. 79 Filner, Hon. Bob, Chairman, Full Committee on Veterans’ Affairs, and a Representative in Congress from the State of California ................................. 24 Prepared statement of Congressman Filner ................................................... 74 Latham, Hon. Tom, a Representative in Congress from the State of Iowa ........ 19 Prepared statement of Congressman Latham ................................................ 72 Moran, Hon. Jerry, a Representative in Congress from the State of Kansas .... 22 Ortiz, Hon. Solomon P., a Representative in Congress from the State of Texas ..................................................................................................................... 10 Prepared statement of Congressman Ortiz .................................................... 48 Paralyzed Veterans of America, Carl Blake, National Legislative Director ....... 30 Prepared statement of Mr. Blake .................................................................... 84 Pearce, Hon. Steve, a Representative in Congress from the State of New Mexico ................................................................................................................... 2 Prepared statement of Congressman Pearce .................................................. 46 Rothman, Hon. Steven R., a Representative in Congress from the State of New Jersey ........................................................................................................... 14 Prepared statement of Congressman Rothman ............................................. 71 Solis, Hon. Hilda L., a Representative in Congress from the State of Cali- fornia ..................................................................................................................... 18 Veterans of Foreign Wars of the United States, Dennis M. Cullinan, Director, National Legislative Service ................................................................................ 32 Prepared statement of Mr. Cullinan ............................................................... 89 iii VerDate Aug 31 2005 07:05 Apr 23, 2008 Jkt 035636 PO 00000 Frm 00003 Fmt 0486 Sfmt 0486 E:\HR\OC\35636.XXX 35636 smartinez on PROD1PC64 with HEARING Page Vietnam Veterans of America, Richard F. Weidman, Executive Director for Policy and Government Affairs ........................................................................... 33 Prepared statement of Mr. Weidman ............................................................. 92 SUBMISSIONS FOR THE RECORD American Academy of Neurology, statement ........................................................ 100 Brown, Hon. Corrine, a Representative in Congress from the State of Florida, statement .............................................................................................................. 101 Hinojosa, Hon. Rube´n, a Representative in Congress from the State of Texas, statement .............................................................................................................. 101 iv VerDate Aug 31 2005 06:35 Apr 23, 2008 Jkt 035636 PO 00000 Frm 00004 Fmt 0486 Sfmt 0486 E:\HR\OC\35636.XXX 35636 smartinez on PROD1PC64 with HEARING LEGISLATIVE HEARING ON H.R. 92, H.R. 315, H.R. 339, H.R. 463, H.R. 538 H.R. 542, H.R. 1426, H.R. 1470, H.R. 1471, H.R. 1527 H.R. 1944, AND DISCUSSION DRAFT OF THE ‘‘RURAL VETERANS HEALTHCARE ACT OF 2007’’ THURSDAY, APRIL 26, 2007 U.S. HOUSE OF REPRESENTATIVES, COMMITTEE ON VETERANS’ AFFAIRS, SUBCOMMITTEE ON HEALTH, Washington, DC. The Subcommittee met, pursuant to notice, at 10:02 a.m., in Room 334, Cannon House Office Building, Hon. Michael H. Michaud [Chairman of the Subcommittee] presiding. Present: Representatives Michaud, Snyder, Hare, Miller, Stearns, Moran. OPENING STATEMENT OF CHAIRMAN MICHAUD Mr. MICHAUD. I would like to thank everyone for coming here today and I would ask unanimous consent that all written state- ments be made part of the record. Without objection, so ordered. I also ask unanimous consent that all Members be allowed five legislative days to revise and extend their remarks. Without objec- tion, so ordered. Today’s legislative hearing will be the first of many this Sub- committee plans on holding to provide Members of Congress, vet- erans, the VA, and other interested parties with the