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GAO-06-794R 1 (2006-06-30)

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        Accountability * Integrity * Reliability
United States Government Accountability Office
Washington, DC 20548


          June 30, 2006

          The Honorable Michael Bilirakis
          Chairman
          Subcommittee on Oversight and Investigations
          Committee on Veterans' Affairs
          House of Representatives

          Subject: VA and DOD Health Care: Efforts to Provide Seamless Transition of
                  Care for OEF and OIF Servicemembers and Veterans

          Dear Mr. Chairman:

          As of the end of March 2006, over 1.3 million' U.S. military servicemembers had
          served or were serving in Operation Enduring Freedom (OEF) or Operation Iraqi
          Freedom (OIF).2 These servicemembers, including members of the reserves and
          National Guard, may be eligible to receive health care from the Department of
          Veterans Affairs (VA) while serving on active duty or upon separating from active
          duty. Although the Department of Defense (DOD) provides health care services to
          servicemembers under TRICARE,3 legislation passed by the Congress in May 1982
          authorized VA to provide health care services to servicemembers in time of war or
          national emergency, when DOD may have insufficient resources to care for
          casualties. Through December 16, 2005, DOD had arranged for 193 active duty
          servicemembers with serious injuries-traumatic brain injuries and other complex
          trauma, such as missing limbs-to receive medical and rehabilitative5 care at VA




          'DOD's Contingency Tracking System Deployment File for Operations Enduring Freedom and Iraqi
          Freedom reported that as of March 31, 2006, the total number of servicemembers ever deployed was
          1,312,221.
          2OEF, which began in October 2001, supports combat operations in Afghanistan and other locations,
          and OIF, which began in March 2003, supports combat operations in Iraq and other locations.
          3DOD provides health care through TRICARE-a regionally structured program that uses civilian
          contractors to maintain provider networks to complement health care services provided at military
          treatment facilities.
          4The Veterans' Administration and Department of Defense Health Resources Sharing and Emergency
          Operations Act, Pub. L. No. 97-174, § 4(a), 96 Stat. 70, 74-75.

          'Most servicemembers receive medical care from DOD providers. However, DOD does not typically
          provide long-term rehabilitative services and looks to VA to be a provider of these services.


GAO-06-794R Transition of Care for OEF and OIF Servicemembers

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