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HEHS-95-247R 1 (1995-09-12)

handle is hein.gao/gaobackxz0001 and id is 1 raw text is: 



GAO           United States
              General Accounting Offlce
              Washington, D.C. 20548

              Health, Education and Human Services Division

              B-265819

              September 12, 1995

              The Honorable Bob Stump
              Chairman, Committee on Veterans' Affairs
              House of Representatives

              Dear Mr. Chairman:

              The President proposed an increase in the Department of
              Veterans Affairs' (VA) health care funding of about $747
              million in fiscal year 1996--to $17 billion--with subsequent
              reductions in funding of 2 percent per year over the
              following 4 years. By contrast, the budget resolution
              approved by the House of Representatives on May 18, 1995,
              would have frozen VA health care spending at fiscal year
              1995 levels--$16.2 billion--for 7 years.'

              The Veterans Health Administration (VHA) assessed the
              potential impact of the House proposal in terms of budget
              shortfalls, equivalent medical center closings, and
              equivalent workload reductions. VHA's calculations
              indicated that VA would experience a budget shortfall of
              $747 million in 1996 and a cumulative shortfall of $23.8
              billion by 2002. The VHA budget office estimated that the
              predicted shortfall would be equivalent to all of the
              following:

                  closing 6 medical centers in 1996 and 41 by 2002,

                  treating 67,000 fewer inpatients in 1996 and 1.8
                  million fewer by 2002, and

                  providing 1.6 million fewer episodes of care in 1996
                  and at least 41 million fewer by 2002.
             The results of these assessments were cited by the Secretary
             of Veterans Affairs and others in a series of speeches and
             press releases.


             'The Congress adopted the budget resolution on June 29, 1995
             providing $16.2 billion annually for 7 years (H.R. Con. Res.
             67, 104th Cong. 1st Sess. 1995). Subsequently, in August
             1995, the House of Representatives approved a $16.8 billion
             appropriation for VA health care for fiscal year 1996.

                      GAO/HEHS-95-247R Medical Care Budget Alternatives

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