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STATEMENT
OF
DENNIS
M. CULLINAN, DIRECTOR
NATIONAL
LEGISLATIVE SERVICE
VETERANS
OF FOREIGN WARS OF THE UNITED STATES
BEFORE
THE
COMMITTEE
ON VETERANS’ AFFAIRS
UNITED
STATES HOUSE OF REPRESENTATIVES
WITH
RESPECT TO
THE
DEPARTMENT OF VETERANS AFFAIRS’
CONSTRUCTIONBUDGET
REQUEST FOR
FISCAL
YEAR 2003
WASHINGTON,
D.C.
FEBRUARY
13, 2002
MR.
CHAIRMAN AND MEMBERS OF THE COMMITTEE:
On behalf of the 2.7 million members of the Veterans of Foreign
Wars of the United States (VFW) and its Ladies Auxiliary, I would like
to thank you for the opportunity to participate in today’s hearing.
The VFW’s primary contribution as a member of the Independent
Budget is an assiduous analysis of the Department of Veterans
Affairs’ (VA) construction programs.
Therefore, as in years past, I will confine my remarks to this
particular area of the VA budget.
As
this committee is well aware, VA possesses an immense, aged
infrastructure that is in need of urgent funding.
We applaud you, Mr. Chairman, the members of this committee,
and the full House of Representatives for actions undertaken to
correct VA’s construction budget shortfalls.
The Independent Budget was pleased to endorse H. R. 811,
Veterans Hospital Emergency Repair Act.
We can assure you that we will continue to fight for its
passage in the Senate this session.
Unhappily, we again find
that VA’s budget request for fiscal year (FY) 2003 as it pertains to
construction programs is inadequate.
The administration is requesting $194 million (numbers are
rounded up or down) for major construction, up $11 million over FY
2002 funding, while funding for minor construction remains nearly
flat-lined at $211 million. An
$11 million increase is hardly sufficient to sustain and improve
nearly 1,300 care facilities, including 163 hospitals, 800 ambulatory
care and community-based outpatient clinics, 206 counseling centers,
135 nursing homes, and 43 domiciliary facilities.
In fact, VA’s capital
asset value is in a constant state of deterioration.
For nearly five years we have cited an independent study
conducted by Price Waterhouse that concluded VA should be investing an
amount equal from 2 to 4 percent of the value of its facilities to
maintain (nonrecurring maintenance) and another 2 to 4 percent to
improve them. That means
VA should be investing roughly a minimum of $700 million annually on
just upkeep. Yet a quick analysis of VA’s construction budgets since the
1998 study was published show us that VA received an average of $291
million a year for both major and minor construction since FY 1999;
and if we figure in the FY 2003 proposal, it would bring the five-year
average to $314 million. These
figures represent less than half the recommended investment and have
forced VA to delay high priority projects and other renovations to
meet basic patient safety standards.
Recognizing that VA has
undergone a major transformation in its health care delivery process
(primarily inpatient-based to outpatient-based) and noting a
Government Accounting Office (GAO) report that “without major
restructuring, billions of dollars will be used in the operation of
hundreds of unneeded VA buildings” and “restructuring… could
reduce budget pressures or generate revenues that could be used to
enhance veterans’ health care benefits” we continue to be
supportive of VA’s Capital Assets Realignment for Enhanced Services
(CARES) process.
We note that CARES remains
behind schedule while needed construction is being held hostage.
The Independent Budget recommends that VA immediately
identify all the facilities that will certainly be retained and allow
construction of already approved and/or urgently needed projects to
improve patient safety and environment. Further, property divestures should be placed on hold until a
comprehensive capital assets plan is formulated. As always, stakeholders need to be included and consulted in
every step of the process.
Of great concern to the Independent Budget is that
veterans and staff continue to occupy high-risk buildings.
We have identified and expanded our list to 73 facilities that
are subject to collapse or serious structural damage from an
earthquake. We commend VA
for funding seismic corrections in four of its California-based
facilities in its FY 2003 budget request.
We, however, remain perplexed that one year after experiencing
a 6.8 magnitude earthquake, the American Lake VA Medical Center in
Washington has yet to receive a dime for structural repairs to its
main hospital and nursing home.
In order for VA to properly
operate, maintain and improve its facilities, the Independent
Budget recommends a minimum of $800 million for major and minor
construction projects for FY 2003.
It is important to keep in mind that the administration’s
request is $400 million for FY 2003.
For major construction, we recommend that Congress appropriate
$400 million, $217 million higher than FY 2002.
A majority of this funding request, $250 million, is needed for
seismic corrections. Earlier
in our testimony we noted our pleasure that VA is requesting major
construction funds for seismic corrections, and we are also happy to
see funding requests for national cemetery expansion.
We have also recommended
$400 million for VA’s minor construction account.
This represents an increase of $190 million.
This increase will support construction projects for inpatient
and outpatient care support, infrastructure and physical plant
improvements, research infrastructure upgrades, and an historic
preservation grant program to protect VA’s most important historic
buildings. In order for
VA to more effectively carry out these projects we recommend raising
the ceiling on minor construction projects from the current $4 million
per project to $16 million per project.
As we have testified in the past, the current limitation
results in a piecemeal approach to design and completion of projects
that adds unnecessary delays, facility disruptions, and promotes poor
fiscal management practices.
Other construction items
recommended for increased funding include grants for state extended
care facilities and state veterans’ cemeteries.
As stated previously, we
believe the administration’s request is inadequate as it pertains to
VA’s construction programs. Further,
we believe we have presented compelling evidence such as patient
safety, asset management, and continued access to support our proposed
increase. Therefore, we
look to Congress to correct this shortfall.
The passage of H. R. 811 is a good step in that direction and a
valid attempt to forestall the continued deterioration of VA’s
infrastructure. Yet
without continued increases in construction appropriations to sustain
VA facilities during the CARES process, there will be a need for
legislation such as H. R. 811 every year in addition to
appropriations. We look
to the leadership of this committee to ensure adequate funding for
Major and Minor Construction so that VA may realize its potential
without compromising veterans’ services.
Mr. Chairman, this concludes
my statement and I will be pleased to answer any questions you or
members of the committee may have.
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