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DEPARTMENT OF VETERANS AFFAIRS

 
The President’s 2009 Budget will:
  • Provide veterans with the high-quality health care they deserve;
  • Speed veterans’ receipt of benefits; and
  • Ease the transition for veterans as they leave active military service.
 

Providing Veterans with the High-Quality Health Care They Deserve


A line graph illustrating the increase from 2001 to 2008 in VA’s total discretionary budget authority and VA’s budget authority specifically for medical care.  VA’s total budget authority increased 104 percent, from $23 billion in 2001 to $47.2 billion in 2009.  VA’s medical care budget authority, including medical care collections, increased 106 percent, from $20 billion in 2001 to $41.2 billion in 2009.
  • Continues to provide record levels of funding for medical care. $41.2 billion (including collections) for medical care—more than double the amount when President Bush took office. The Department of Veterans Affairs (VA) provides nationally recognized care to over five million veterans at more than 800 locations nationwide.

  • Provides the best possible care for our wounded warriors. Address the unique needs of returning combat servicemembers with multiple injuries at four state-of-the-art polytrauma centers, 17 regionally-based facilities, and numerous specialists throughout the system. VA will also begin design and construction of a new polytrauma center this year.

  • Expands mental health and substance abuse services. $3.9 billion for full continuum of care for veterans with substance abuse disorders and mental health issues, including post-traumatic stress disorder.

  • Focuses resources on core-mission veterans. Refocus resources on treating veterans with disabilities resulting from military service, lower incomes, and special needs or who are returning combat veterans, by proposing income-based enrollment fees and higher pharmaceutical copayments for all other veterans.

  • Increases access to long-term care. Expand non-institutional long-term care that enables veterans to live and be cared for near, or in the comfort and familiar settings of, their homes surrounded by their families.

Speeding Veterans’ Receipt of Benefits

  • Cuts the disability claims backlog. Bring the average length of time to process a veteran’s disability claim from a peak of 230 days in 2001 to 145 days in 2009.

  • Supports priority processing for returning combat veterans. Accelerate processing of disability compensation claims for servicemembers returning from active duty service in Operation Iraqi Freedom and Operation Enduring Freedom.

Easing the Transition for Veterans as They Leave Active Military Service

  • Continues implementing the recommendations of the President’s Commission on Care for America’s Returning Wounded Warriors.

    • VA and the Department of Defense are implementing recommendations that do not require legislation, such as employing Federal Recovery Coordinators to assist seriously injured servicemembers, improving recruitment and retention of mental health experts, and moving toward a single medical examination to establish eligibility for disability compensation from both Departments.

    • The Administration continues to seek enactment of the remaining Commission recommendations, including modernizing the disability compensation systems, broadening treatment for post-traumatic stress disorder and traumatic brain injury, and strengthening support for families.

  • Supports benefits delivery upon discharge from military service. Provide America’s newest veterans with the benefits and services they have earned and bring about a seamless transition from military to civilian status, including allowing separating servicemembers to apply for benefits 180 days prior to their discharge to further speed benefits delivery.

  • Improves collaboration with the Department of Defense. Implement ways to transfer records between the two agencies; share critical medical information electronically; process disability and other claims understandably and quickly; and in every way possible, support the transition from active duty to civilian life.

  • Expands treatment for Traumatic Brain Injury (TBI). Perform screenings for all recent combat veterans, increase training for all VA health care professionals, and conduct an outside review of VA’s TBI services.

Since 2001, the Department of Veterans Affairs has:

  • Increased the resources available for veterans’ medical care by 106 percent.

  • Provided medical care to more than 300,000 returning Operation Iraqi Freedom and Operation Enduring Freedom servicemembers.

  • Improved medical care and benefits delivery for our Nation’s wounded warriors.

  • Funded over $5.5 billion to continue restructuring the medical care infrastructure to improve veterans’ access to quality primary and specialty health care services.

  • Ensured more veterans have a burial option in a national or State veterans cemetery within 75 miles of their homes.

  • Expanded the range of benefits available to veterans and improved the timeliness of benefits delivery.

  • Smoothed the transition from active duty to civilian status.


Department of Veterans Affairs
(In millions of dollars)

  2007
Actual
Estimate
2008 2009
       
Spending      
   Discretionary Budget Authority:      
      Medical Care 32,201 33,979 38,737
          Medical Collections (non-add) 2,227 2,341 2,467
          Total Medical Care including collections (non-add) 34,428 36,320 41,203
      Medical and Prosthetics Research 414 408 442
      Information Technology 1,213 1,986 2,442
      Construction 715 1,144 1,028
      Veterans Benefits Administration 1,166 1,175 1,372
      General Administration 337 315 328
      Housing and Other Credit 153 156 158
      National Cemetery Administration 160 166 181
      Office of Inspector General 71 73 77
      All other −70 25
   Total, Discretionary budget authority 36,360 39,427 44,764
   Total, Discretionary budget authority (including medical collections) 38,587 41,768 47,231
       
    Memorandum:      
       Budget authority from enacted supplementals 1,788
       Budget authority from emergency funds 3,692
       
   Total, Discretionary outlays 35,152 41,744 44,242
       
   Mandatory Outlays:      
      Legislative proposal, Medical Care receipts −379
      Benefits Programs:      
         Disability Compensation and Pensions 34,600 41,360 43,940
         Education Benefits 2,430 2,640 2,747
         Vocational Rehabilitation and Employment 570 613 657
         Housing (credit) 29 801 −13
         Insurance 50 41 42
         Other receipts and transactions −6 −555 581
   Total, Mandatory outlays 37,673 44,901 47,575
       
   Total, Outlays 72,825 86,645 91,817
       
Credit activity      
   Direct Loan Disbursements:      
      Vendee and Acquired Loans 120 337 332
      All other programs 12 21 20
   Total, Direct loan disbursements 132 358 342
       
   Guaranteed Loan Disbursements:      
      Veterans Home Loans 24,186 34,761 35,817
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