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STATEMENT OF
PAUL A. HAYDEN, DEPUTY DIRECTOR
NATIONAL LEGISLATIVE SERVICE
VETERANS OF FOREIGN WARS OF THE UNITED STATES
SUBMITTED TO
THE
SUBCOMMITTEE ON HEALTH AND
SUBCOMMITTEE ON OVERSIGHT AND INVESTIGATIONS
COMMITTEE ON VETERANS AFFAIRS
UNITED STATES HOUSE OF REPRESENTATIVES
WITH RESPECT TO
THE
DEPARTMENT OF VETERANS AFFAIRS’ AFFILIATED
NONPROFIT RESEARCH CORPORATIONS AND
EDUCATION FOUNDATIONS
WASHINGTON,
DC MAY 16, 2002
MESSRS.
CHAIRMEN AND MEMBERS OF THE SUBCOMMITTEES:
On behalf of the 2.7 million members of the Veterans of
Foreign Wars of the United States (VFW) and our Ladies Auxiliary, I
would like to thank you for the opportunity to present our views on this
issue that is of vital importance to improved medical care not only for
veterans but for all people.
The Independent Budget (IB), of
which the VFW is proud to coauthor along with AMVETS, Disabled American
Veterans and Paralyzed Veterans of America, subscribes to a guiding
principle that the Department of Veterans Affairs’ (VA) “mission to
conduct medical and prosthetics research… is critical to the integrity
of the veterans health-care system and to the advancement of American
medicine.”
Undeniably, the VA has established itself
as a world leader in medical and prosthetic research. Along with its
Nobel prize-winning research, VA has developed special centers
nationwide that focus on rehabilitation, environmental hazards, aging,
and mental illnesses such as Post-traumatic Stress Disorder, to list a
few. In 1988, Congress passed the Veterans’ Benefits and Services
Act, which expanded the VA research program by granting the Veterans
Health Administration (VHA) the right to establish nonprofit
corporations (NPCs) in order to compete for non-appropriated research
funds, primarily from the National Institutes of Health and other
foundations, combined with supporting funds from pharmaceutical
companies. Congress expanded the NPC role in 1999 to include education
in addition to research.
The VFW believes that the partnership
between VHA and NPCs is effective and has played an instrumental role in
attracting hundreds of millions of non-appropriated dollars that have
served to directly impact the state of VHA research programs. Dollars,
that otherwise would never have been available had it not been for the
existence of NPCs. Currently there are 85 active corporations who
attracted nearly $174 million in funds in fiscal year (FY) 2001.
Therefore, it is clear to the VFW that NPCs are accomplishing their
mission of providing a flexible funding mechanism for VA research. Past
and current investigations, however, by the VA Office of Inspector
General reported the need to improve accountability and oversight
related to the administration of NPC funds to ensure they are used for
research. Currently, NPCs, as state-chartered tax-exempt corporations,
must comply with all federal, state and local reporting requirements.
In addition to independent annual auditing for corporations with
revenues exceeding $300,000 per year they are subject to the scrutiny of
the Internal Revenue Service (IRS), the Department of Labor, VHA
guidelines, VA Inspector General and General Counsel, a Board of
Directors, and of course, Congress.
In addition to official oversight, the
mission of the National Association of Veterans’ Research and Education
Foundations (NAVREF), a membership organization of VA affiliated
nonprofit research and education foundations, was established to promote
the highest standards of fiscal and operational management; assure
appropriate, but not overly burdensome, oversight and regulation; and
educate the general public and Congress about VA research and advocating
improved federal support for the program.
Given the numerous organizations that
directly or indirectly impact the operation of NPCs, it is our
contention that significant oversight authority currently exists.
Further, we believe that the result of having so many layers of
regulations and oversight has improved the management and accountability
of NPCs. This oversight should continue and NPCs should strive to
implement oversight recommendations that progress their ability to prove
that research funds are used as intended.
This concludes my statement and I would be
happy to respond to any questions the Subcommittees may have.
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