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GAO-12-383R 1 (2012-03-30)

handle is hein.gao/gaobacfxj0001 and id is 1 raw text is: Accountabiliy - Integrity - Reliability United States Government Accountability Office Washington, DC 20548 March 30, 2012 The Honorable Patty Murray Chairman The Honorable Richard Burr Ranking Member Committee on Veterans' Affairs United States Senate The Honorable Jeff Miller Chairman The Honorable Bob Filner Ranking Member Committee on Veterans' Affairs House of Representatives Subject: VA Health Care: Estimates of Available Budget Resources Compared with Actual Amounts The Department of Veterans Affairs (VA) is one of the nation's largest health care providers. In fiscal year 2011, VA spent about $51.4 billion to provide health care to about 6.2 million patients. To provide this care, VA operates more than 150 hospitals, 130 nursing homes, 800 outpatient clinics, and 300 readjustment counseling centers through 21 regional health care networks known as Veterans Integrated Service Networks.1 VA is required by law to provide health care services to certain veterans and may provide care to other veterans on a discretionary basis.2 In general, veterans must enroll in the VA health care system to receive VA's medical benefits package, which includes coverage for a full range of hospital and outpatient services, prescription drug coverage, and noninstitutional long-term care 1VA is responsible for providing health care services to various populations, including an aging veteran population and a growing number of younger veterans returning from the military operations in Afghanistan and Iraq. 2VA is required to provide health care services to specified veterans, such as those with service- connected disabilities, income below a certain level, or other special statuses, such as former prisoners of war. See 38 U.S.C. § 171 0(a)(1), (2). VA is authorized to provide care to other veterans not identified in these groups. See 38 U.S.C. § 1710(a)(3). Requirements for VA health care services are effective in any fiscal year only to the extent and in the amount provided in advance in appropriations acts for such purposes. See 38 U.S.C. § 171 0(a)(4). To manage the provision of health care services within available resources, VA operates a system of annual patient enrollment, as required by 38 U.S.C. § 1705, in accordance with eight listed priorities. GAO-12-383R VA Budget Resources

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