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HEHS-95-268R 1 (1995-09-19)

handle is hein.gao/gaobackyg0001 and id is 1 raw text is: AO) United States (3 O General Accounting Office Washington, D.C. 20548 Health, Education and Human Services Division B-266170 September 19, 1995 The Honorable Christopher S. Bond Chairman Subcommittee on VA, HUD, and Independent Agencies Committee on Appropriations United States Senate Dear Mr. Chairman: The Department of Veterans Affairs (VA) has requested that the Congress appropriate $211.1 million for a major construction project at the David Grant Medical Center at Travis Air Force Base in Fairfield, California. The proposed project is to provide space to serve veterans who had used the VA medical center in Martinez, California, which closed in 1991 due to earthquake safety concerns.' VA's current cost estimate for the Travis project is $47.3 million, or about 29 percent, higher than the estimate previously provided to the Congress. This letter responds to a request from your office for information about the proposed Travis project. As agreed, we obtained VA's reasons for the higher project cost estimate and its assessment of where veterans living in the proposed Travis facility target area currently receive hospital care. In doing this, we visited the David Grant Medical Center, VA's Western Region and headquarters offices, and VA's Northern California Health Care System (NCHCS) office.2 During the visits, we interviewed VA and Air Force officials and reviewed such documents as VA's fiscal year 1995 and 1996 budget submissions, project cost estimates, and selected studies. 'In VA Health Care: Closure and Replacement of the Medical Center in Martinez, California (GAO/HRD-93-15, Dec. 1, 1992), we discussed factors that we believed VA should have considered in selecting a replacement facility for the Martinez medical center. 2NCHCS is the network of VA medical facilities that serves the former Martinez medical center catchment area. GAO/HEHS-95-268R Proposed VA Hospital at Travis Air Base )9f~ 7 0 -/

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