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Legislative Info

American Legion Steps Up to Support
VA Physician Assistants

NATIONAL EXECUTIVE COMMITTEE
OF
THE AMERICAN LEGION
INDIANAPOLIS, INDIANA
May 6-7, 2009


RESOLUTION NO.: 20

SUBJECT: THE AMERICAN LEGION SUPPORTS LEGISLATION TO ESTABLISH A DIRECTOR OF PHYSICIAN ASSISTANT (PA) SERVICES IN THE DEPARTMENT OF VETERANS AFFAIRS (VA)

COMMITTEE: VETERANS AFFAIRS AND REHABILITATION

WHEREAS, A Physician Assistant (PA) is a licensed health professional who practices medicine as a member of a team with their supervising physicians; and

WHEREAS, The Department of Veterans Affairs employs approximately 2000 Physician Assistants; and

WHEREAS, According to the Association of Physician Assistant Academy, the elevation of the PA Advisor to Director is a necessity to increase veterans’ access to quality medical care by ensuring efficient utilization of the programs and initiatives; now, therefore, be it

RESOLVED, By The National Executive Committee of The American Legion in regular meeting assembled in Indianapolis, Indiana, on May 6-7, 2009, That The American Legion supports legislation to establish a Director for Physician Assistant (PA) Services in the Department of Veterans Affairs.


YOU MUST ACT NOW on the PA Director Bill:

Our Congressional bill (HR 1302) has been bundled into a large group of veterans bills under one heading (HR 3219). This WAS PASSED during this congressional session on Monday 27 July 2009. Our thanks go out to Congressman HARE for initially sponsoring this bill.

Now we need YOU to contact your SENATOR and INSIST that the SENATE bill be passed. (It takes bills from BOTH houses of congress to pass a law.)

The Senate has introduced on May 21, 2009 the Senate version (S.B.1155) by Senator Collins (Maine) and an initial cosponsor of Senator Inouye (Hawaii). This change in the House bill should then make it easier for senate, because they're working on companion to this one. BUT YOU HAVE TO ACT NOW.

CONTACT your Senator...we need to have ALL PAs call, fax, or e-mail their Senators to urge them to co-sponsor S. 1155 (Senate Bill 1155). We especially need you to contact your Senator if he or she is one of the Senate Veterans Affairs Committee members. We need to get the Senate bill moved to the floor and passed either by including on the consent agenda or by including the bill in another veterans omnibus bill. We want to push for passage of this legislation before the August recess! We have a SAMPLE of what you can tell your Senators on this website for you to modify before sending. Find your Senator through Thomas.

Here is what Senator Susan Collins (ME) introduced, with Sen Daniel Inouye (HI) & Jon Tester (MT) signing on as co-sponsors:

111th CONGRESS

1st Session

S. 1155

To amend title 38, United States Code, to establish the position of Director of Physician Assistant Services within the office of the Under Secretary of Veterans Affairs for Health.

IN THE SENATE OF THE UNITED STATES

May 21, 2009

Ms. COLLINS (for herself and Mr. INOUYE) introduced the following bill; which was read twice and referred to the Committee on Veterans' Affairs

A BILL

To amend title 38, United States Code, to establish the position of Director of Physician Assistant Services within the office of the Under Secretary of Veterans Affairs for Health.

Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,

SECTION 1. ESTABLISHMENT OF DIRECTOR OF PHYSICIAN ASSISTANT SERVICES AT VETERANS HEALTH ADMINISTRATION OF DEPARTMENT OF VETERANS AFFAIRS.

(a) In General- Section 7306(a) of title 38, United States Code, is amended by striking paragraph (9) and inserting the following new paragraph (9):

`(9) The Director of Physician Assistant Services, who shall serve in a full-time capacity at the Central Office of the Department and who shall be a qualified physician assistant who shall be responsible to and report directly to the Under Secretary for Health on all matters relating to the education and training, employment, appropriate utilization, and optimal participation of physician assistants within the programs and initiatives of the Administration.'.

(b) Deadline for Implementation- The Secretary of Veterans Affairs shall ensure that an individual is serving as the Director of Physician Assistant Services under section 7306(a)(9) of title 38, United States Code, as added by subsection (a), by not later than 120 days after the date of the enactment of this Act.


------------------

THANK YOU, Congressman HARE for TWICE coming to our assistance!

Here is the register heading for the House Bill that was passed:

111th CONGRESS

1st Session

H. R. 3219

[Report No. 111-223]

To amend title 38, United States Code, to make certain improvements in the laws administered by the Secretary of Veterans Affairs relating to insurance and health care, and for other purposes.

IN THE HOUSE OF REPRESENTATIVES
July 15, 2009

Mr. FILNER (for himself, Mr. BUYER, Ms. CORRINE BROWN of Florida, Mr. STEARNS, Mr. SNYDER, Mr. MORAN of Kansas, Mr. MICHAUD, Mr. BROWN of South Carolina, Ms. HERSETH SANDLIN, Mr. MILLER of Florida, Mr. MITCHELL, Mr. BOOZMAN, Mr. HALL of New York, Mr. BILBRAY, Mrs. HALVORSON, Mr. LAMBORN, Mr. PERRIELLO, Mr. BILIRAKIS, Mr. TEAGUE, Mr. BUCHANAN, Mr. RODRIGUEZ, Mr. ROE of Tennessee, Mr. DONNELLY of Indiana, Mr. MCNERNEY, Mr. SPACE, Mr. WALZ, Mr. ADLER of New Jersey, Mrs. KIRKPATRICK of Arizona, and Mr. NYE) introduced the following bill; which was referred to the Committee on Veterans' Affairs

July 23, 2009

Additional sponsor: Mr. BOCCIERI
July 23, 2009

Committed to the Committee of the Whole House on the State of the Union and ordered to be printed

A BILL

To amend title 38, United States Code, to make certain improvements in the laws administered by the Secretary of Veterans Affairs relating to insurance and health care, and for other purposes.

Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,
SECTION 1. SHORT TITLE; TABLE OF CONTENTS.

(a) Short Title- This Act may be cited as the `Veterans' Insurance and Health Care Improvements Act of 2009'.

(b) Table of Contents- The table of contents for this Act is as follows:

Sec. 1. Short title; table of contents.
TITLE I--MATTERS RELATING TO INSURANCE

Sec. 101. Permanent extension of duration of Servicemembers' Group Life Insurance coverage for totally disabled veterans.

Sec. 102. Increased amount of Veterans' Group Life Insurance.

Sec. 103. Elimination of reduction in amount of accelerated death benefit for terminally-ill persons insured under Servicemembers' Group Life Insurance and Veterans' Group Life Insurance.

TITLE II--MATTERS RELATING TO HEALTH CARE

Sec. 201. Higher priority status for certain veterans who are medal of honor recipients.

Sec. 202. Provision of hospital care, medical services, and nursing home care for certain Vietnam-era veterans exposed to herbicide and veterans of the Persian Gulf War.

Sec. 203. Prohibition on collection of copayments from catastrophically disabled veterans.

Sec. 204. Establishment of Director of Physician Assistant Services at Veterans Health Administration of Department of Veterans Affairs.

Sec. 205. Committee on Care of Veterans with Traumatic Brain Injury.

Sec. 206. Revision of certain requirements for the pilot program of enhanced contract care authority for health care needs of veterans in highly rural areas.

TITLE III--MATTERS RELATING TO BENEFITS

Sec. 301. Benefits for qualified World War II veterans.

Now, please contact your local Senator through the Thomas website and ask that person to please sign on as a cosponsor to the bill! We already have bipartisan support so no matter if your Senator is Republican or Democrat, please ask them to sign on. We have a SAMPLE of what you can tell your Senators on this website for you to modify before sending. Please use it. Thanks.../s/Bob Kunath, President
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SENATE VETERANS' AFFAIRS COMMITTEE PROVIDES VIEWS ON VETERANS' BUDGET

FOR IMMEDIATE RELEASE Contact: Kawika Riley (Veterans’ Affairs)
March 17, 2009 (202) 224-9126

SENATE VETERANS’ AFFAIRS COMMITTEE
PROVIDES VIEWS ON VETERANS’ BUDGET

WASHINGTON, D.C. – U.S. Senator Daniel K. Akaka (D-HI), Chairman of the Veterans’ Affairs Committee, was joined by Ranking Member Richard Burr, and a majority of the Committee members yesterday in submitting views and estimates for the Fiscal Year 2010 budget for veterans’ programs to the Senate Budget Committee. Akaka and the other co-signers outlined a need for appropriate funding to match rising veteran demand for health care, to reduce the claims backlog, and to implement the 21st Century GI Bill on schedule. The co-signers also rejected a proposal to shift VA’s responsibility to pay for the cost of care for service-connected injuries to veterans’ private insurers.

“America’s veterans and their families pay the true cost of war everyday, and we must pay for the care and benefits they have earned. I look forward to working with my colleagues and the Administration to pass a budget worthy of their service,” said Akaka.

Views and estimates are a formal part of the federal budget process, in which Congressional committees recommend funding levels for programs and activities under their legislative jurisdiction. (For the Veterans’ Affairs Committee’s jurisdiction, click here.) The House and Senate Budget Committees review the recommendations when formulating the proposed Budget Resolution for the following fiscal year.

The President’s budget blueprint proposed an overall increase of more than $5 billion for VA in the next fiscal year. Veterans Affairs Secretary Eric K. Shinseki testified that a detailed proposed VA budget is expected in late April. Chairman Akaka noted that the Committee will provide further comments when that proposal becomes available.

The co-signers include Chairman Akaka, Ranking Member Richard Burr (R-NC), and Senators Rockefeller (D-WV), Murray (D-WA), Sanders (I-VT), Webb (D-VA), Brown (D-OH), Tester (D-MT), Begich (D-AK), Burris (D-IL), Specter (R-PA), Isakson (R-GA), and Wicker (R-MS).

Highlights of the Senate Veterans’ Affairs Committee’s views and estimates include:

**Support for Funding to Prepare for Increased Health Care Demand: VA operates the largest health care system in the nation. The co-signers noted that increased enrollment and demands on the health care system require funding increases. Forces expected to simultaneously stretch VA health care resources include increased enrollment of returning Iraq and Afghanistan veterans, growing age-related health issues among older veterans, and the economy’s impact on veterans who earned VA eligibility through their honorable service, but who have not received services from VA until now.
**Opposition to Any Proposed 3rd Party Billing for Service-Connected Injuries: The co-signers voiced united opposition to any proposal to shift VA’s responsibility to pay the cost of care for service-connected injuries. The Committee understands that the formal budget may propose charging veterans’ insurers for care provided for injury and disease incurred or aggravated during military service.
**Support for Resources to Combat Old Problems and Prepare for New Benefits: While Congress has appropriated historic funding increases for VA in the past two years, these funds were long overdue and followed budget shortfalls. For the coming fiscal year, VA requires appropriate funding to reduce the backlog of disability claims, prepare for the August 1, 2009, implementation of the 21st Century GI Bill, and adapt VA to meet veterans’ needs in other areas.
**The Need to Plan for Costs in Future Years: To ensure VA is prepared for inflation and increased needs from rising enrollment, the co-signers urged the Budget Committee to anticipate necessary increases to account for health care inflation and other cost-adjustments.

For the Committee’s views and estimates, click here.

-END-


 


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