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STATEMENT
OF
PAUL A. HAYDEN, DEPUTY DIRECTOR
NATIONAL LEGISLATIVE SERVICE
VETERANS OF FOREIGN WARS OF THE UNITED
STATES
BEFORE THE
SUBCOMMITTEE ON HEALTH
COMMITTEE ON VETERANS’ AFFAIRS
UNITED STATES HOUSE OF REPRESENTATIVES
WITH RESPECT TO
H.R. 4514
VETERANS’ MAJOR MEDICAL FACILITIES
CONSTRUCTION ACT OF 2002
WASHINGTON, DC
APRIL 24, 2002
MR. CHAIRMAN AND
MEMBERS OF THE SUBCOMMITTEE:
On behalf of the 2.7 million members of the
Veterans of Foreign Wars of the United States (VFW) and our Ladies
Auxiliary, and as the organization who authored this year’s
Independent Budget section on the Department of Veterans Affairs’
(VA) construction needs, I would like to thank you for the opportunity
to communicate our position on what we believe is an important piece of
legislation.
The VFW
subscribes to the principle that all veterans should have timely access
to quality medical care. In order for VA to accomplish this mission,
however, they must be able to properly operate, maintain, and improve
their facilities. It is for this reason that we are pleased to support
the Veterans’ Major Medical Facilities Construction Act of 2002.
Section 2 of this legislation would expand
the number of major medical facility construction projects that VA could
accomplish in fiscal year (FY) 2003. Aside from the 4 seismic projects
requested in the President’s budget, this legislation would authorize VA
to carry out an additional 6 projects ranging in category from patient
environment to clinical to ambulatory care. It is our understanding
that each one of these projects has been scored and is ranked in the top
15 of VA’s priorities for major medical construction projects for FY
2003 and as such enjoys our full support.
At this point, I would be remiss if I did
not once again emphasize our concern that one year after experiencing a
6.8 magnitude earthquake, the American Lake VA Medical Center in
Washington State has yet to receive funding for structural repairs to
its main hospital and nursing home.
Section 3 would
authorize $285 million to carry out the projects in Section 2. We
support this authorization. It is our view that failure to adequately
provide for needed major construction projects means monies allocated
for health care ultimately get shifted to cover the construction
shortfalls to the great detriment of the veteran. By authorizing
additional dollars, this legislation is acknowledging that construction
funding must be increased to keep VA’s facilities in top-rate condition.
The VFW supports Section 4. This section
would increase the threshold for major construction projects from $4
million to $6 million. This would, in turn, raise the cap on what
constitutes minor construction from projects costing less than $4
million to projects costing less than $6 million. The VFW notes that
this current limitation on minor construction funds often forces network
directors to string together a series of minor projects to complete
changes that are needed to realign or improve facilities or wait their
turn for years to secure congressional approval for major funding. This
is highly inefficient and leads to unnecessary delays, facility
disruptions, and promotes poor fiscal management practices. It is our
position that the major construction threshold should be raised to $16
million to adequately allow network directors the flexibility to design
and complete projects without unnecessary delays in order to enhance
services sooner. We do consider this section, however, a step in the
right direction.
Finally, Section 5 of the bill would create
criteria for selecting minor construction projects. The VFW supports
the 5 categories and sub-categories within the section. We believe,
however, that the Secretary should not be limited in the event that a
project merits minor construction yet is not articulated by the bill’s
language. In other words, the Secretary should retain a certain amount
of discretion.
This concludes my testimony and I will be
pleased to answer any questions you or the members of the subcommittee
may have.
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