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Military Construction and Veterans Af- Fairs, and Related Agencies Appropria- Tions for Fiscal Year 2012 S. HRG. 112–453 MILITARY CONSTRUCTION AND VETERANS AF- FAIRS, AND RELATED AGENCIES APPROPRIA- TIONS FOR FISCAL YEAR 2012 HEARINGS BEFORE A SUBCOMMITTEE OF THE COMMITTEE ON APPROPRIATIONS UNITED STATES SENATE ONE HUNDRED TWELFTH CONGRESS FIRST SESSION ON H.R. 2055 MAKING APPROPRIATIONS FOR MILITARY CONSTRUCTION, THE DE- PARTMENT OF VETERANS AFFAIRS, AND RELATED AGENCIES FOR THE FISCAL YEAR ENDING SEPTEMBER 30, 2012, AND FOR OTHER PURPOSES Department of Defense Department of Veterans Affairs Printed for the use of the Committee on Appropriations ( Available via the World Wide Web: http://www.gpo.gov/fdsys/browse/ committee.action?chamber=senate&committee=appropriations U.S. GOVERNMENT PRINTING OFFICE 64–615 PDF WASHINGTON : 2013 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 COMMITTEE ON APPROPRIATIONS DANIEL K. INOUYE, Hawaii, Chairman PATRICK J. LEAHY, Vermont THAD COCHRAN, Mississippi TOM HARKIN, Iowa MITCH MCCONNELL, Kentucky BARBARA A. MIKULSKI, Maryland RICHARD C. SHELBY, Alabama HERB KOHL, Wisconsin KAY BAILEY HUTCHISON, Texas PATTY MURRAY, Washington LAMAR ALEXANDER, Tennessee DIANNE FEINSTEIN, California SUSAN COLLINS, Maine RICHARD J. DURBIN, Illinois LISA MURKOWSKI, Alaska TIM JOHNSON, South Dakota LINDSEY GRAHAM, South Carolina MARY L. LANDRIEU, Louisiana MARK KIRK, Illinois JACK REED, Rhode Island DANIEL COATS, Indiana FRANK R. LAUTENBERG, New Jersey ROY BLUNT, Missouri BEN NELSON, Nebraska JERRY MORAN, Kansas MARK PRYOR, Arkansas JOHN HOEVEN, North Dakota JON TESTER, Montana RON JOHNSON, Wisconsin SHERROD BROWN, Ohio CHARLES J. HOUY, Staff Director BRUCE EVANS, Minority Staff Director SUBCOMMITTEE ON MILITARY CONSTRUCTION AND VETERANS AFFAIRS, AND RELATED AGENCIES TIM JOHNSON, South Dakota, Chairman DANIEL K. INOUYE, Hawaii MARK KIRK, Illinois MARY L. LANDRIEU, Louisiana KAY BAILEY HUTCHISON, Texas PATTY MURRAY, Washington MITCH MCCONNELL, Kentucky JACK REED, Rhode Island LISA MURKOWSKI, Alaska BEN NELSON, Nebraska ROY BLUNT, Missouri MARK PRYOR, Arkansas JOHN HOEVEN, North Dakota JON TESTER, Montana DANIEL COATS, Indiana THAD COCHRAN, Mississippi (ex officio) Professional Staff CHRISTINA EVANS CHAD SCHULKEN ANDREW VANLANDINGHAM DENNIS BALKHAM (Minority) D’ANN LETTIERI (Minority) Administrative Support RACHEL MEYER COURTNEY STEVENS (Minority) (II) CONTENTS THURSDAY, MARCH 31, 2011 Page Department of Veterans Affairs ............................................................................. 1 THURSDAY, APRIL 7, 2011 Department of Defense: Office of the Secretary of Defense ................................................................... 65 Department of the Navy .................................................................................. 101 THURSDAY, APRIL 14, 2011 Department of Defense: Department of the Army .................................................................................. 129 Department of the Air Force ........................................................................... 169 (III) MILITARY CONSTRUCTION AND VETERANS AFFAIRS, AND RELATED AGENCIES APPRO- PRIATIONS FOR FISCAL YEAR 2012 THURSDAY, MARCH 31, 2011 U.S. SENATE, SUBCOMMITTEE OF THE COMMITTEE ON APPROPRIATIONS, Washington, DC. The subcommittee met at 10:05 a.m. in room SD–124, Dirksen Senate Office Building, Hon. Tim Johnson (chairman) presiding. Present: Senators Johnson, Inouye, Reed, Nelson, Tester, Kirk, Murkowski, Blunt, and Hoeven. DEPARTMENT OF VETERANS AFFAIRS STATEMENT OF HON. ERIC K. SHINSEKI, SECRETARY ACCOMPANIED BY: HON. ROBERT PETZEL, M.D., UNDER SECRETARY FOR HEALTH MICHAEL WALCOFF, ACTING UNDER SECRETARY FOR BENEFITS STEVE MURO, ACTING UNDER SECRETARY FOR MEMORIAL AF- FAIRS HON. ROGER BAKER, ASSISTANT SECRETARY FOR INFORMATION TECHNOLOGY TODD GRAMS, ACTING ASSISTANT SECRETARY FOR MANAGEMENT TECHNOLOGY OPENING STATEMENT OF SENATOR TIM JOHNSON Senator JOHNSON. Good morning. The hearing will come to order. We meet today to review the President’s fiscal year 2012 budget request and fiscal year 2013 advanced appropriation request for the Department of Veterans Affairs (VA). Secretary Shinseki, I welcome you and your colleagues, and I thank you for appearing before our subcommittee. I also welcome Senator Kirk as the new ranking member, and I look forward to working with him and with all the new and return- ing members of the subcommittee as we move the fiscal year 2012 budget process forward. Before getting started with my opening statement, I want to rec- ognize the chairman of the full Committee and the most senior member of the subcommittee, Senator Inouye, for any opening re- marks he may have. STATEMENT OF SENATOR DANIEL K. INOUYE Senator INOUYE. All right. Thank you very much, Mr. Chairman. (1) 2 I am here to acknowledge and commend the work of the Sec- retary of VA because while bringing about a new culture of effi- ciency, he has been able to set up a system wherein hospitals are now working with universities and major hospitals. Men and women who we consider to be hopeless cases are now hopefully get- ting up—comatose patients. I have seen those men and women who are now benefiting from the work of this Department in new pros- thetic appliances, and that is a new specialty on my part. What you have achieved here is almost miraculous, and I want to commend you. I am also here for a personal reason. I have the pride of having nominated General Eric Shinseki when I was in the House of Rep- resentatives. That is a long time ago. That makes me ancient. And here he is now the head of VA and former Chief of the Staff of the Army. I wish I could stay here, General Shinseki, but as you know, we are trying to resolve the budget, if it goes well, we will do it. So if you will excuse me, sir, and Mr. Chairman, you will excuse me. Thank you very much. Senator JOHNSON. Thank you, Mr. Chairman. In order to reserve the majority of the time for questions, our procedure will be to have opening statements by the chairman and ranking member, followed by an opening statement from the Sec- retary. We will limit the first round of questions to 6 minutes per member, but we can have additional rounds should we need them. The overall fiscal year 2012 budget—discretionary budget re- quest for the VA totals $58.8 billion, $1.8 billion more than last year’s request. Additionally, the submission also includes a fiscal year 2013 medical care request of $52.5 billion. Mr. Secretary, I would note that outside of the increase for med- ical care in the fiscal year 2012 budget submission, that the De- partment’s request for all other functions is down, a combined $859 million from last year’s request. I understand and appreciate that as budgets get tighter, Depart- ments are being asked to do more with less. But I want to make sure that these cuts will not erode services or diminish the quality of care that veterans receive. In particular, I am concerned about the 25-percent reduction in the request for the construction and facilities accounts, and the im- pact this may have on the adequacy of VA medical facilities and healthcare deliveries in future years. VA has a $9 billion backlog in repairs and improvements to exist- ing buildings, and I am concerned that this budget does not ade- quately address that requirement. Before I turn to my ranking member, I want to point out that the VA is estimating that the average wait time for disability claims will reach 230 days in fiscal year 2012. This is totally unac- ceptable. This subcommittee has provided the VA with significant resources over the past several years, including an additional $460 million in the current continuing resolution for fiscal year 2011, which the Department said was needed to reduce the wait time and backlog. Yet the problem is getting worse, not better. I understand that the decision on Agent Orange claims and the complexity of new claims have added to the problem, but the VA 3 needs to come up with a comprehensive plan to solve this problem sooner rather than later. I will have specific questions on these and other topics after your testimony. So I will end my opening statement here. Senator Kirk, welcome, and do you have an opening statement that you would like to make? STATEMENT OF SENATOR MARK KIRK Senator KIRK. Thank you, Mr. Chairman, and thank you for hav- ing me to be a new member of this subcommittee. And, Senator Reed, it’s an honor to be serving with you, especially after your nasty habit of jumping out of perfectly good airplanes on behalf of the—— Senator REED. I was just trying to emulate the Secretary. Senator KIRK. That’s right. Mr. Chairman, I really look forward to working with you, Tina, Chairman Culberson, and Tim, and especially Dennis Balkam, Ben Hammond, Patrick Magnusson, and you, Mr. Secretary. After Operation Iraqi Freedom, you have been very much a per- sonal hero of mine, and I particularly have been proud of your work on the Stryker, and in a reserve capacity, I was a customer of that vehicle. And I want to touch on Stryker later during this hearing because I think its philosophy has bearing on the Depart- ment. Now, I have served in the Navy Reserve for 23 years, and on top of that, 10 years in the Congress. My major work with the VA was regarding the North Chicago Veterans Medical Care Center, which was the first ever to truly combine with a military hospital, Great Lakes. And that combination has led to a number of groundbreaking precedents, to be topped off by it being named after the Commander of Apollo 13, Captain James A. Lovell. We have about 780,000 veterans in Illinois, 5 Senators, 26 clin- ics, 12 veteran Senators. And I am looking at your budget now, and it is a hefty sum, needed for our veterans, $181 billion. We are aware that 40 cents of every Federal $1 is borrowed. Now, that would mean $72 billion of this money is borrowed, one-half of it from abroad.
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