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Hearing on Pending Legislation Hearing S. HRG. 115–320 HEARING ON PENDING LEGISLATION HEARING BEFORE THE COMMITTEE ON VETERANS’ AFFAIRS UNITED STATES SENATE ONE HUNDRED FIFTEENTH CONGRESS FIRST SESSION JULY 11, 2017 Printed for the use of the Committee on Veterans’ Affairs ( Available via the World Wide Web: http://www.fdsys.gov U.S. GOVERNMENT PUBLISHING OFFICE 28–513 PDF WASHINGTON : 2018 VerDate Mar 15 2010 11:19 Sep 12, 2018 Jkt 000000 PO 00000 Frm 00001 Fmt 5011 Sfmt 5011 Z:\ACTIVE\071117.TXT PAULIN COMMITTEE ON VETERANS’ AFFAIRS JOHNNY ISAKSON, Georgia, Chairman JERRY MORAN, Kansas JON TESTER, Montana, Ranking Member JOHN BOOZMAN, Arkansas PATTY MURRAY, Washington DEAN HELLER, Nevada BERNARD SANDERS, (I) Vermont BILL CASSIDY, Louisiana SHERROD BROWN, Ohio MIKE ROUNDS, South Dakota RICHARD BLUMENTHAL, Connecticut THOM TILLIS, North Carolina MAZIE K. HIRONO, Hawaii DAN SULLIVAN, Alaska JOE MANCHIN III, West Virginia THOMAS G. BOWMAN, Staff Director 1 ROBERT J. HENKE, Staff Director 2 TONY MCCLAIN, Democratic Staff Director Majority Professional Staff Amanda Meredith Gretchan Blum Leslie Campbell Maureen O’Neill Adam Reece David Shearman Minority Professional Staff Dahlia Melendrez Cassandra Byerly Jon Coen Steve Colley Simon Coon Michelle Dominguez Eric Gardener Carla Lott Jorge Rueda 1 Thomas G. Bowman served as Committee majority Staff Director through September 5, 2017, after being confirmed as Deputy Secretary of Veterans Affairs on August 3, 2017. 2 Robert J. Henke became the Committee majority Staff Director on September 6, 2017. (II) VerDate Mar 15 2010 11:19 Sep 12, 2018 Jkt 000000 PO 00000 Frm 00002 Fmt 5904 Sfmt 5904 Z:\ACTIVE\071117.TXT PAULIN CONTENTS JULY 11, 2017 SENATORS Page Isakson, Hon. Johnny, Chairman, U.S. Senator from Georgia ............................ 1,10 Tester, Hon. Jon, Ranking Member, U.S. Senator from Montana ...................... 11 Hirono, Hon. Mazie K., U.S. Senator from Hawaii ............................................... 14 Cassidy, Hon. Bill, U.S. Senator from Louisiana .................................................. 14 Sanders, Hon. Bernard, U.S. Senator from Vermont ........................................... 14 Boozman, Hon. John, U.S. Senator from Arkansas .............................................. 43 Rounds, Hon. Mike, U.S. Senator from South Dakota ......................................... 46 Tillis, Hon. Thom, U.S. Senator from North Carolina .......................................... 49 Manchin, Hon. Joe, III, U.S. Senator from West Virginia ................................... 53 Blumenthal, Hon. Richard, U.S. Senator from Connecticut ................................ 106 WITNESSES Baldwin, Hon. Tammy, U.S. Senator from Wisconsin .......................................... 1 Prepared statement .......................................................................................... 3 Flake, Hon. Jeff, U.S. Senator from Arizona ......................................................... 4 Prepared statement .......................................................................................... 5 Inhofe, Hon. James M., U.S. Senator from Oklahoma ......................................... 6 Prepared statement .......................................................................................... 7 Strange, Hon. Luther, U.S. Senator from Alabama .............................................. 8 Prepared statement .......................................................................................... 9 Yehia, Baligh R., M.D., Deputy Under Secretary for Health for Community Care, Veterans Health Administration, U.S. Department of Veterans Af- fairs; accompanied by Tom Lynch, M.D., Assistant Deputy Under Secretary for Health Clinical Operations, VHA; Brad Flohr, Senior Advisor for Com- pensation Services, Veterans Benefits Administration; and Carin Otero, Associate Deputy Assistant Secretary for Human Resources Policy and Planning, Human Resources and Administration ............................................. 16 Prepared statement .......................................................................................... 17 Response to posthearing questions submitted by Hon. Richard Blumenthal 55 Celli, Louis, Director, National Veterans Affairs and Rehabilitation Division, The American Legion ........................................................................................... 57 Prepared statement .......................................................................................... 59 Webb, Amy, National Legislative Policy Advisor, AMVETS ................................ 70 Prepared statement .......................................................................................... 72 Atizado, Adrian, Deputy National Legislative Director, Disabled American Veterans ................................................................................................................ 79 Prepared statement .......................................................................................... 80 Stultz, Gabriel, Legislative Counsel, Paralyzed Veterans of America ................ 91 Prepared statement .......................................................................................... 93 APPENDIX Crapo, Hon. Mike, U.S. Senator from Idaho; prepared statement ...................... 111 Flake, Hon. Jeff, U.S. Senator from Arizona; letters from constituents and organizations ........................................................................................................ 113 Association of American Medical Colleges (AAMC); prepared statement ........... 130 American Academy of PAs (AAP); prepared statement ........................................ 136 American Federation of Government Employees, AFL-CIO (AFGE); prepared statement .............................................................................................................. 137 (III) VerDate Mar 15 2010 11:19 Sep 12, 2018 Jkt 000000 PO 00000 Frm 00003 Fmt 5904 Sfmt 5904 Z:\ACTIVE\071117.TXT PAULIN IV Page Currie, Col. James T., USA (Ret.) Ph.D., Executive Director, Commissioned Officers Association of the U.S. Public Health Service (USPHS); letter ......... 141 Fighting for Veterans Healthcare, Association of VA Psychologist Leaders, Association of VA Social Workers, and Nurses Organization of Veterans Affairs; prepared statement ................................................................................ 143 Augustine, Lauren, Director of Government Relations, Got Your 6 (GY6); prepared statement .............................................................................................. 149 Porter, Tom, Legislative Director, Iraq and Afghanistan Veterans of America (IAVA); prepared statement ................................................................................ 154 Military Officers Association of America (MOAA); prepared statement ............. 158 Stier, Max, President and CEO, Partnership for Public Service (PPS); pre- pared statement ................................................................................................... 163 Urgent Care Association of America (UCAO); prepared statement .................... 166 DaSilva, Rubina, MBA, PA-C, President, Veterans Affairs Physician Assistant Association (VAPAA); prepared statement ........................................................ 166 Fuentes, Carlos, Director, National Legislative Service, Veterans of Foreign Wars of the United States (VFW); prepared statement .................................... 169 Wounded Warrior Project (WWP); prepared statement ....................................... 182 VerDate Mar 15 2010 11:19 Sep 12, 2018 Jkt 000000 PO 00000 Frm 00004 Fmt 5904 Sfmt 5904 Z:\ACTIVE\071117.TXT PAULIN HEARING ON PENDING LEGISLATION TUESDAY, JULY 11, 2017 U.S. SENATE, COMMITTEE ON VETERANS’ AFFAIRS, Washington, DC. The Committee met, pursuant to notice, at 2:32 p.m., in room 418, Russell Senate Office Building, Hon. Johnny Isakson, Chair- man of the Committee, presiding. Committee Members Present: Senators Isakson, Boozman, Hell- er, Cassidy, Rounds, Tillis, Tester, Sanders, Brown, Blumenthal, Hirono, and Manchin. HON. JOHNNY ISAKSON, CHAIRMAN, U.S. SENATOR FROM GEORGIA Chairman ISAKSON. I call this meeting of the Senate Veterans’ Affairs Committee to order. Welcome to our Members and our guests today as well as all others that will testify. As is always the tradition of the Committee, we will recognize visiting Senators who are here to testify first. They will be recog- nized for up to 5 minutes. There will be no Q&A, and you are wel- come to leave afterwards, or if you want to stay, you can move to the back of the room—that is fine—or come up here and sit with me. It does not matter. [Laughter.] You can do anything you want to. We are all United States Senators. We are delighted to have you here at the Veterans’ Affairs Com- mittee, look forward to your input, and just—I will reserve—we will reserve opening statements until after these Senators speak. We will, first of all, ask unanimous consent that the statement submitted for the record by Senator Crapo, who was going to testify and then could not come, be put in the record. Without objection. [The prepared statement of Senator Crapo appears in the Appendix.] Chairman ISAKSON. So, starting with Sen. Baldwin, we will rec- ognize her up to 5 minutes. Welcome. STATEMENT OF HON. TAMMY BALDWIN, U.S. SENATOR FROM WISCONSIN Senator BALDWIN. Thank you so much. Thank you, Mr. Chair- man. Thank you, Ranking Member Tester. I really want to thank you for the opportunity to testify today on bipartisan
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