|
TESTIMONY
OF
RAYMOND G. BOLAND
PRESIDENT
NATIONAL ASSOCIATION
OF
STATE DIRECTORS OF VETERANS AFFAIRS
BEFORE THE
HOUSE COMMITTEE ON VETERANS AFFAIRS
SUBCOMMITTEE ON BENEFITS
JUNE 6, 2002
The National Association of State Directors of Veterans
Affairs (NASDVA) welcomes this opportunity to comment on the status of
the implementation of the VA Claims Task Force Recommendations. We also
appreciate the interest shown by the Subcommittee on Benefits toward the
potential for a greater VA/Veterans Service Organization (VSO)
partnership.
As you have noted in our invitation to testify, numerous
reports have made recommendations to improve claims services to
veterans. In each case, NASDVA and the various VSOs were considered
important “stakeholders” with potential for a greater role. As such, we
were all involved in the task force study process.
Before we proceed with our current observations, I would like
to comment briefly on the NASDVA organization and contrast our role to
other organizations represented at this hearing. NASDVA is a non-profit
organization whose membership includes the veterans’ directors of
veterans affairs for each of the states and territories. We represent
the voice of state government, the VA’s only full service partner in
supporting the nation’s veterans. State veterans agencies each have
statutory responsibility to serve and assist veterans and their
families. This responsibility extends to all veterans residing in our
states, regardless of which organization they may belong to.
During the past several years, NASDVA testified before joint
hearings of the House and Senate Veterans Affairs Committees. During
those hearings, NASDVA pointed out the important nature of our
partnership and how we—as governmental counterparts—are dealing directly
with exactly the same issues as USDVA. The states currently share the
cost of veterans homes and cemeteries in partnership with the VA. We
operate as approval agencies for G.I. Bill oversight. We provide claims
assistance, direct education benefits, employment and training, and a
host of other benefits and services that supplement, complement, and
assist the federal VA. We also share in the cost of these services. At
the request of Chairman Smith, we have gathered data on state government
annual expenditures for veterans services. The national total is $3.2
billion. As the VA’s established partner in providing services we are
also their logical partner for improving the management of the claims
process.
Two years ago we received the support of the National
Governors Association (NGA) when they adopted a first-ever veterans
policy agenda. That policy included the recommendation for an
independent task force study of the claims process. The NGA is now on
record with positions on a number of veterans issues involving
federal-state partnership.
As for implementation of recommendations for
reducing the backlog of claims, our sense is that it is slowly going
down. This is being accomplished by a Herculean effort from nearly
everyone who works at a Regional Office, plus the Cleveland Tiger Team
and the BVA Team. It seems clear that making this the top priority for
the VA has started to pay off. This progress isn’t coming easily or
without a price and we see several areas of concern.
·
Recent
retirements of large numbers of experienced VA personnel have led to new
hires with limited experience. The retirements affected the most senior
people—usually rating specialists. Training personnel is an enormous
task for VBA given the number of new hires and recently promoted staff.
Time to train takes away from time to work cases, so no matter how a
manager compensates for these retirements, at this point it will
probably impact negatively on the backlog.
·
We are
watching the decisions being made as a result of this effort to see if
there is any change in their quality. Faster and better would be great,
but faster and appealed would not be gainful for any of us.
·
There is
a tendency to work the “easy” cases first and leave the more difficult
ones on the desk in order to make quotas.
·
Remands
from VBA are not part of the quota workload, so they tend to sit until
someone has time to work them or until there is a request to expedite
the claim.
·
The
“over 70 over one year old” Tiger Team cases are being dealt with as
priority cases. However, if a remand applies to an “over 70” veteran,
it isn’t a Tiger Team case and waits in the queue like everybody else.
These items and others are part of the growing pains we see in the
overall attempt to move forward. It is a major undertaking but there
are definite signs of progress.
In order to present our views on how we might form a new partnership of
effort to improve the processes that take place before an application
ever gets to a VA Regional Office, we have participated in a series of
meetings with Secretary Principi and his staff as well as with the
leaders of NSOs and have drafted a proposal that we are coordinating
with them. Currently, the kind of full partnership that is needed does
not exist. For the most part, the actions of each of the players are
independent of each other and, to some extent, are actually in
competition. Although the Task Force report states that “a well
developed network of VSOs and State Departments of Veterans Service
Organizations is in place” the capabilities of these are inadequate in
many areas of the country. We urgently need more standardization of
effort to increase the quantity and quality of service and assistance
that is available to all veterans who seek to become claims applicants.
A common criticism that we hear in Washington about state government
veterans services, including claims assistance, is that they are
different in every state. This is true, but the main reason we are
different is because there is no federal direction for our mission. Each
state has reached its current capabilities through evolution. There are
major differences in structure. Just over one-half of the states have
county veterans service officers. The size and capability of the
service organizations differ greatly from one state to another yet there
are important examples of common success. Although voluntary, the
current VA partnership programs have received remarkable participation
among the states. These programs have standards we must meet. This can
be done with claims processing as well.
Our Association has completed an analysis of claims outcome data
comparing the percentage of veterans population in each state that are
service-connected with the size and type of service network
infrastructure. We have considered socio-economic variances from one
region to another. We believe there is conclusive evidence that aside
from demographic differences, a veteran’s chances of receiving a
service-connected disability rating from the VA depends greatly on the
quantity and quality of local service officer assistance. To a great
extent, the nature of the workloads at VA Regional Offices is a direct
reflection of the relative effectiveness of VSO networks in their area.
We urge this Subcommittee to look closely at the differences in national
outcomes for service connected disability. The attached table is a
listing by state that shows the percentage of veterans residing in the
state who currently have a service connected rating.
The total national average is approximately nine percent. A majority of
the states are above that average but half the population resides in
states that are below average. In five states more than eleven percent
have service connected ratings, in four states less than seven percent.
We do not see sufficient demographic differences among the veterans in
these states to account for this much variance. We do see major
differences in the size and scope of VSO networks compared to the size
of the veterans population in these states. These differences
determined whether a veteran knows how to apply or has the help to do it
properly.
Chairman Smith also requested a summary of current VSO resources present
in each state. We recently reported that 27 states have county service
officers (CVSOs). CVSOs play a major role in assisting veterans with
claims applications and they represent the largest majority of the
national total of service officers with approximately 2,000.
We have looked at the CVSO portion of the
network structure in detail, by county in each of the states that have
them. We saw an interesting picture that is consistent with our overall
conclusions. The trend is that there are larger percentages of veterans
with service-connected ratings in counties with smaller populations.
This is also the trend among state totals. Most of the states with the
highest percentages of service connection have relatively small
populations. This is true regardless of whether there are CVSOs; in
fact, most of the higher-ranking states do not have them. There are two
noticeable exceptions. Texas and Florida have large populations and
high outcomes. These states are skewed demographically with large
numbers of military retirees, and have extensive VSO networks that
include county officers.
The point is that the number of qualified
service officers available to assist a given population is a key
variable. The service organizations and state government employees
comprise the rest of the service officer networks. They are present in
most states, and again, 23 states have no CVSOs. In terms of total
numbers, the VSOs have an aggregate total of approximately 600
accredited service officers. State governments have a total of 750
service officers. There are approximately 3,200 accredited service
officer activists. In many cases county service officers are subsidized
with state funding. State government also provides funding partially or
in full to the service organizations. Currently, there is no federal
funding provided to state or county government or the service
organizations for these important networks of service. We are not only
underserved, but also feeling the pinch of state budget deficits and
shrinking revenues among the service organizations. As we collectively
strive to solve the claims challenge, we must address the resources
needed for balancing the service network infrastructure. In this light,
the VA should seriously consider potential returns for investment on
resources going to VA Regional Offices versus those that might be
redirected toward more balanced and efficient VSO network
infrastructures.
We believe the following steps should be
followed in order to achieve an effective VBA/VSO system that will
facilitate a long-term solution for a prompt, efficient claims
processing system.
First, NASDVA, in collaboration with NACVSO and
the NSOs should develop a model for the ratio of service officers
required to equally serve and assist all veterans and the appropriate
training, certification and performance criteria required to enable the
development of ready-to-rate claims by service officers throughout the
network.
Second, we should coordinate this proposal with
VBA and conduct a joint demonstration to measure the effectiveness of
the proposal. This will require VA granting the necessary information
and records access to the partnership networks participating in the
demonstration.
Third, in conjunction with the VA, we should
determine the resources necessary to implement a national VA/VSO
partnership claims system.
Final implementation of this plan will require
a management system that is able to adapt to differing circumstances and
capabilities across the nation. It must enable flexibility in each
state to tailor the network structure according to the circumstances.
The standards should be the same but the mix of the structures will
differ depending on local capabilities. Again, nearly half the states
don’t have CVSOs.
The VA can look to its state government
partners to coordinate and integrate the network structure in each state
and also for accountability for its performance. This role would be
similar to what we already have with other programs and services.
In closing, NASDVA is ready to move forward as
part of the national solution for veterans claims processing. With the
support of the Congress, we are confident that, as a veterans community,
in full partnership, we will bring an end to the long history of
veterans waiting and in some cases dying before a claims application can
be processed and benefits awarded.
|