WASHINGTON (AP) — Spending on veterans' health care could double in three years under the Senate's solution to the long waits experienced by thousands seeking medical care at VA hospitals and clinics, according to congressional budget experts.
Analyzing a bill the Senate passed overwhelmingly last week, the Congressional Budget Office estimates the measure would cost $35 billion over the next three years to build new clinics, hire doctors and make it easier for veterans who can't get prompt appointments with VA doctors to get outside care.
Once the program was fully in place, the budget office said it "expects that veterans would ultimately seek additional care that would cost the federal government about $50 billion a year" in new spending — more than double the $44 billion the government now spends annually on medical care for veterans.
Both the Senate bill and a House version also passed this past week would dramatically expand government-paid health care. They would require the Veterans Affairs Department to pay private providers to treat qualifying veterans who can't get prompt appointments at the VA's nearly 1,000 hospitals and outpatient clinics or who live at least 40 miles from one of them.
The bills are Congress's response to a growing uproar over patients dying while awaiting VA treatment and mounting evidence that workers falsified or omitted appointment schedules to mask frequent, long delays. The resulting election-year firestorm forced VA Secretary Eric Shinseki to resign two weeks ago.
An audit released last week showed that more than 57,000 veterans have had to wait at least three months for initial appointments. An additional 64,000 veterans who asked for appointments over the past decade never got them.
The VA has confirmed that at least 35 veterans died while awaiting appointments at VA facilities in the Phoenix area, although officials say they can't say whether not getting VA treatment caused any of the deaths.
More than 8 million of the nation's 21 million veterans are now enrolled in VA health care although only about 6.5 million seek VA treatment every year. The CBO analysts said VA now covers about 30 percent, or an average $5,200, of those veterans' annual health care costs, excluding long-term care.
The Senate bill would open up VA health care to as many as 8 million veterans who now qualify for VA health care but have not enrolled, the budget office said. By making it easier to get outside care, the Senate bill and a companion measure in the House also would encourage veterans to seek VA coverage for a bigger portion of their health care, the report said.
Both bills would make it easier to fire or demote senior agency officials, and both would end bonuses to regional VA officials and other administrators based on meeting patient scheduling goals — a practice investigators say led some officials to create phony waiting lists to "game" the system.
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