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Disabled Vets, Caregivers & Womens New Health Access & Pay

24 May 2010

S 1963 has been signed.  It affects a wide area.  It may affect you, so, even though this is long its worth a read.
Let your Service Officers know about this (VFW, Amer Leg, DAV, AMVETS)

On April 21st, the House passed amendments to the Caregivers and Veterans Omnibus Health Services Act (S. 1963) by a vote of 419-0, and President Obama signed the bill into law on May 5th.  The bill:
  • provides support to family and  others who care for disabled, ill, or injured veterans
  • enhances health services for the 1.8 million women veterans, including care for newborns for the 1st time in history
  • expands mental health services for veterans and health care access for veteran in rural areas
  • prohibit co-payments for veterans who are catastrophically disabled
To help meet the many hardships and sacrifices associated with lengthy recovery and rehabilitation from severe injuries of veterans, the bill would provide support services to family and other caregivers of veterans, including education on how to be a better caregiver, counseling and mental health services, and respite care for family and other caregivers of all veterans. It also provides health care and a stipend for caregivers living with severely wounded veterans of Iraq and Afghanistan. 
This support is vital for the wounded veterans of Iraq and Afghanistan and their families, as about 20 percent of active duty, 15 percent of reserve and 25 percent of retired and separated members have a family member or friend who has been forced to leave a job to care for the veteran full-time,according to the Dole/Shalala report.
The bill also expands and improves VA health care services for the women who have bravely served their country, working to remove existing barriers to women veterans seeking health care, providing up to seven days of care of newborn children of women veterans for the first time in history, and enhancing treatment for sexual trauma for women at the VA. 
Touting it as "landmark" legislation that "offers bold solutions to major challenges facing service members, veterans, and their families," the bill is supported by the American Legion, Veterans of Foreign Wars, Disabled American Veterans, AMVETS, Paralyzed Veterans of America, Wounded Warrior Project and the National Military Family Association.
This landmark measure builds on the significant accomplishments for veterans, troops, and military families over the last three years under the New Direction Congress – including the New GI Bill, the building of more military child care centers and better military family housing, and historic investments to strengthen quality veterans’ health care.  Learn more»
The Senate passed its version of the bill on November 19, by a vote of 98-0 after Sen. Tom Coburn held it up. The House passed the Caregiver Assistance and Resource Enhancement Act (HR 3155) by voice vote on July 27 and Women Veterans Health Care Improvement Act (HR 1211) by a vote of 408-0 on June 23.
More on the provisions in the legislation:
Caregiver Assistance
Caregivers of OEF/OIF Veterans
  • Caregivers are defined as family members (parent, spouse, child, step-family member, extended family member) or non-family members who live with the veteran.  
  • The caregiver and eligible OEF/OIF veteran must submit a joint application and once accepted, the caregiver receives the following support services:
    • Training and education;
    • Counseling and mental health services;
    • Respite care of no less than 30 days annually, including 24 hour in-home respite care;
    • Lodging and subsistence payments when accompanying the veteran on medical care visits;
    • Health care through the CHAMPVA program (Civilian Health and Medical Program of the Department of Veterans Affairs); and
    • Monthly financial stipend as determined appropriate by the Secretary based on the amount and degree of personal care services provided, and no less than the monthly amount of a commercial home health care entity.
Caregivers of Veterans of Any Era
  • Caregivers are defined in the same manner as that of the support program for caregiver of OEF/OIF veterans. However, there is no residency requirement for non-family members. 
  • Support services for caregivers of veterans of any era include the following:
  • Training and education;
  • Counseling and mental health services;
  • Respite care including 24 hours in-home respite care;
  • Information on the support services available to caregivers through other public, private, and non-profit agencies.
WOMEN VETERANS HEALTH CARE
The bill will expand and improve VA health care services for the 1.8 million women who have bravely served their country.  It requires the VA to:
  • Conduct a study of barriers to women veterans seeking health care,
  • Educate and train mental health professionals caring for veterans with sexual trauma;
  • Implement a reintegration and readjustment pilot program;
  • Establish a child care pilot program for women receiving regular and intensive mental health care and intensive health care services, or who are in need of such services but do not seek care due to the lack of child care services;
  • Provide up to seven days of post-delivery health care to a new born child of a women veteran. 
RURAL HEALTH IMPROVEMENTS
  • Improves health care for veterans living in rural areas, including by expanding transportation for veterans to local VA hospitals and clinics through VA grants to local Veterans Service Organizations.
MENTAL HEALTH CARE
  • Provides access to counseling and other mental health centers to any member of the Armed Forces (including members of the National Guard and Reserves, who served during Operation Iraqi Freedom and Operation Enduring Freedom but who are no longer on active duty) and
  • Requires the VA to conduct a veterans’ suicide study.
OTHER HEALTH CARE ISSUES
  • Prohibits the VA from collecting copayments from veterans who are catastrophically disabled.
  • Creates a pilot program, which would provide specified dental services to veterans, survivors, and dependents of veterans through a dental insurer.
  • Requires the VA to provide hospital care, medical services, and nursing home care for certain Vietnam-era veterans exposed to herbicide and Gulf-War era veterans who have insufficient medical evidence to establish a service-connected disability.
  • Provides higher priority status for certain veterans who are Medal of Honor recipients.
HOMELESS VETERANS
  • Expands the organizations offering transitional housing and other support for homeless veterans that can receive grants or per diems from the VA, which is particularly important to veterans in rural areas.
What Veterans’ Organizations Are Saying About the Bill:
Veterans of Foreign Wars
“the bill will make a profound difference to veterans.” 3/22/10
The American Legion
“…encompasses a number of pressing legislative initiatives supported by… nearly every major veterans service organization in the country... this legislation offers bold solutions to major challenges facing service members, veterans, and their families.” 3/16/10
Disabled American Veterans
“…improve and restore the lives of untold numbers of sick and disabled veterans, and those who care from them in their homes… For the first time in history, VA will be authorized to aid a women veteran with up to seven days of necessary post-natal care of a newborn – an issue that has been pending in Congress for a decade – and to provide new and enhance health services to women veterans in general.” 3/18/10
AMVETS
“…goes a long way to ensure severely disabled veteran and their family will have the resources needed to provide quality care inside their own homes… ensure that our rural and remote veterans will have access to care through a variety of initiatives.” 3/23/10
Wounded Warriors Project
“At its core, the legislation would ensure that VA will meet the critical needs experienced by families of severely wounded warriors.” 3/16/10

3 comments:

Anonymous,  May 25, 2010 at 11:06 AM  

Can't believe no one is upset that caregivers of previous wars are not being allowed a stipend. Nothing in the news. This is wrong and more vets need to stand up for their rights. Or should I say those of us who have been caregivers for many years should fight back....

Herschield R. Keaton,  May 31, 2010 at 4:59 PM  

I was hopefull when I first heard of a caregiver bill for Disabled Veterans, and then OUTRAGED that it only applies for people serving after 09/11. My health did not really begin to detiorate until I got closer to 50, I am a Vietnam and Desert Storm survivor. My wife had to leave her job $65k to take care of me and also meant we had to move from our home in Boulder, CO to New Mexico.
I felt that she was going to be somewhat rewarded for all that she does. I am completely disabled and cannot drive due to epilipsy. Instead, the system ignored thousands of spouses who must provide round the clock attention because, my time in the service was not popular enough, or my alternative theory that they wish to do as little as possible for the other Vets in hope we will die and be done with us. This theory has some Merit when a year ago I went to the DAV in Albuqurque and showing signs of pain, difficulty in standing and finishing a train of thought. The advocate looked at me with all sincerity and said "Jesus, I thought all you guys were dead" and then was rude and interupted my wife, saying he needed to hear from the servicemember; even though at the beginning I told him that my wife could speak for me. We were VERY offended and left, my wife wrote to our congressman and the DAV and said there was no way to reprimand this looser. After a few weeks I decided to go to the Order of the Purple Hearts and she looked at his submission and found fault after fault with his submission and the lack of information that should have been included. I have been to the DAV for over 14 years and thought very highly of them, but not any longer. This man and his receptionist were both rude and unprofessional in their conduct and would have loved to kick his ass for being rude to my wife. So whoop-te-do for this great legislation that discriminates against so many veterans and there families. As usual "thanks for nothing". I respect that better care is being given for the affected Vets, but I thought we were all "Brothers in Arms", now we have basterd step-children and I am one of many.

Anonymous,  July 6, 2010 at 8:38 PM  

I am ticked off again! Congress continues to honor vets from the last decade and once again screws other vets in the process. Many of the Vietnam vets from my era represent the largest homeless segment of the population. We also represent some of the most horrific PTSD and mental problems in and out of the VA. Most are distrustful talking to unexperienced counselors who have never been in combat. I would suspect much of the PTSD is not just a result of combat, but from the sleazy receptions we received back here in the states. As Herschield R. Keaton pointed out above, we continue to be the bastard step-children of this country.

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RECOMMENDED BY PAHRUMP AREA MILITARY RETIREE AND VETERANS COUNCIL:

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VA- APPLICATIONS For DISABILITIES

Applications are pending for over 12 months.

Everyone is aware of this problem. The VA and certainly the Veterans.

This is an outrage! Approximately 1/3 of the applications submitted are by Retired Military Personnel and therefore a problem to the Retired Military Councils.

The other 2/3 are Veterans that have served their country and deserve a decision.

Many have conditions that are aggravated by non treatment. We can do better.

The current omnibus bill, and especially the MILCON-VA provisions, covers a number of important priorities, including: $1.7 billion to allow VA to hire 1,200 additional claims processors to address the nearly 397,000 claims backlog.

(On January 20, 2010 the Federal Times reported the backlog at 489,345.)

This will require; first approval, then hiring, followed by training, and then they can start working on the problem! Looks like about 12 months before they start processing the actual applications. Our veterans deserve better treatment than this. We need to change the way the processing is accomplished.

One possible answer may be: take 200 military personnel clerks, 20 Personnel NCO’s and 5 Warrant Officers and take 95% of the pending applications and process them.

This is not rocket science, there is an established criteria to decide which applications get what percentage and it doesn't have to be done by VA Civilians. The VA may welcome the help. We realize the Active Army is stretched thin, but these veterans need help. This is not the only answer, but it is one solution.

GI BILL POST-9/11: Dependents.

This is the House of Representatives bill to adjust Educational Assistance for Retiree's.
H.R. 3577: Education Assistance to Realign New Eligibilities for Dependents (EARNED) Act of 2009 to amend title 38, United States Code, to provide authority for certain members of the Armed Forces who have served 20 years on active duty to transfer entitlement to Post-9/11 Educational Assistance to their dependents. Latest Major Action 9/24-2009 House committee subcommittee actions. Status:
Subcommittee Hearings Held.

DENTAL PROGRAM

Dental program for Emergency situations for Retiree’s could be initiated at the Installation or the VA level to solve only the emergency problems.

EYE COVERAGE:

There is vision/eye coverage for Retirees who use Tricare for life thru NOSTRA, they an get glasses but the coverage does not cover the eye exam. This is provided by the Navy. See the handout for details. TRICARE Prime has coverage for both the exam and glasses every 2 years. Recommend equal coverage through out the Services.

INCREASED PAY FOR DOCTORS

Increase the pay for doctors who handle VA Cases or use Contract services to get the job done. We need to incentivize Doctor participation. The current level of waiting is not treating our former warriors with the respect they deserve. We have sent a letter to Dr Toppo for Input.

IDENTITY THEFT

The phasing out of Social Security Numbers on ID Cards has begun and will be one solution to the problem of Identity Theft.

This problem was brought up by Col Rast (USMC Retired) of Amorgosa

SUICIDE

Discussion revealed a consensus of opinion that Active duty combat tours are too many. We recommend 2 tours in a combat zone in a 7 year period for combat personnel and not more than 3 tours for combat support personnel in the same 7 years.

Discussion: There are 1.1 million personnel in the Army alone. The war has lasted 8 years, Some people are on their 5th tour. This is unprecedented in our history and certainly creates stress. If nation building is the goal, use the civilian agencies to build the new country such as Dept of Agriculture to teach crops, Dept of Education to establish schools etc. and leave the soldiers to provide security for the Americans, and put down insurrections. If we stop some of the Stress we may cut down on Suicide.

POST TRAUMATIC STRESS DISORDERS (PTSD)

PTSD cases are now taking 4 months for an appointment in VA Clinics in rural areas. Recommend increasing the funding and/or contracting services from people that can help. Personnel who have PTSD may not have 4 months before they do something irrational. We can do better.

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