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H.R. 3230, Veterans Access to Care Act of 2014 1 (July 24, 2014)

handle is hein.congrec/cbo1845 and id is 1 raw text is: O-0 CONGRESSIONAL BUDGET OFFICE Douglas W. Elmendorf, Director U.S. Congress Washington, DC 20515 July 24, 2014 Honorable Jeff Miller Chairman Committee on Veterans' Affairs U.S. House of Representatives Washington, DC 20515 Dear Mr. Chairman: The Congressional Budget Office has prepared an updated and complete estimate of H.R. 3230, the Veterans Access to Care Act of 2014, as passed in the House of Representatives on June 18, 2014. That version of H.R. 3230 would authorize the appropriation of whatever sums are necessary for the Department of Veterans Affairs (VA) to expand, for two years, its use of non-VA health care providers to provide medical services to veterans. VA also would be authorized to use funds that were previously appropriated but have not yet been used to undertake that expansion. The agency would be required to arrange for independent assessments of the performance of the Veterans Health Administration and would face new limits on the amount of awards and bonuses it could pay certain VA employees. Effects of Sections 2 and 3 Most of the costs of implementing H.R. 3230 would stem from the provisions of sections 2 and 3. Those sections would expand, for two years after the date of enactment, the VA's current authority to provide medical services to veterans through agreements with non-VA health care providers, and would require VA to use that authority to ensure that all eligible veterans receive requested health care in a timely fashion. (For the purpose of this estimate, CBO has assumed that the legislation would be enacted by early in August 2014.) Under the version of the bill that was passed by the House, the waiting times would generally have to be 14 days or less (under the goals specified by VA as of June 1, 2014).

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