Women Veterans Health Care Accountability Act

Representative Joe Cunningham (SC) has introduced H.R. 2982, Women Veterans Health Care Accountability Act, to identify and remedy barriers women veterans face when trying to access VA health care.  The legislation would require the VA Secretary to survey women veterans-both those who use VA health care and those who do not-to understand their reasons for not using VA services.  The survey will question women veterans about their perceptions of safety in VA facilities, access to services, and stigmas they may express about seeking treatment for sensitive issues such as military sexual trauma, mental health or substance abuse disorders. The legislation would then require VA to identify strategies for addressing any issues identified by the survey.

According to VA, only 22% of women veterans compared with 28% of male veterans use VA health care.  VA has made many improvements in the way it manages the care of women using the system, and has launched campaigns to address veteran to veteran harassment, awareness about women veterans’ eligibility for VA benefits and services, and stigma for mental health seeking, yet these problems persist.  Findings from a detailed survey may assist the VA in developing tactics to tackle some of the ongoing concerns and barriers women veterans face when accessing VA health care.

Please contact your Representative in Congress to support H.R. 2982 using the prepared letter or compose your own.

Thank you for your support of the Commander’s Action Network.

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Open Air Burn Pit Exposure ACT

On July 30, 2019, Representative Raul Ruiz (CA), introduced H.R. 4137-the Jennifer Kepner Healthcare for Open Air Burn Pit Exposure Act.

If a veteran is not eligible for Department of Veterans Affairs (VA) health care based on service-connected disabilities, current statutes allow veterans treatment for diseases related to specific toxic exposures. However, exposure to burn pits is not one of the accepted toxic exposures.  H.R. 4137 would amend that statute to allow veterans who served at locations with an open air burn pit on or after January 1, 1990, to be eligible for VA medical care. 

DAV strongly supports H.R. 4137, as it will provide veterans exposed to burn pits who have no other means of VA health care eligibility, with access to life-saving medical treatment. This legislation is in accord with DAV Resolution No. 049.

Please use the prepared electronic letter or draft your own to urge your Representative to support and cosponsor H.R. 4137.  As always, we appreciate your support for DAV and your grassroots activism in participating in DAV CAN.  Thank you for all you do for America’s veterans and their families.

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DUE’S INCREASE

SUBJECT: New Membership Dues Rates

As you are likely aware, during DAV’s 98th National Convention in Orlando, Florida, our membership approved a change to our National Bylaws which will now call for a flat rate of $300.00 for all new members, regardless of age, with membership remaining free for those 80 years of age or older. This change will go into effect January 1, 2020. Anyone who joins DAV before January 1, 2020, pays the current appropriate rate based on age. Applications received at National Headquarters, a National Service Office, or postmarked on or before December 31, 2019, will be accepted at the current rates. All applications will be updated to reflect this change, and old paper applications should be discarded after December 31, 2019. If you have any questions please contact the Membership Department at 888-236-8313 or membershippublic@dav.org.

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• Bipartisan Honoring American Veterans in Extreme Need Act will amend current bankruptcy law to support veterans experiencing financial burdens:

U.S. Senator Jon Tester’s bipartisan bill to protect veterans’ disability payments recently passed the U.S. Senate       and now heads to the President’s desk for signature. As Ranking Member of the Senate Veterans’ Affairs Committee, Tester introduced the Honoring American Veterans in Extreme Need (HAVEN) Act to ensure veterans experiencing economic hardship do not have their  earned disability benefits penalized.

            “Under current bankruptcy law, a civilian disabled by a car wreck is treated better than a veteran disabled             because their convoy ran over an improvised explosive device,” Tester said. “For the folks who sacrificed life             and limb protecting our country, this disparity is unacceptable. Getting the HAVEN Act signed into law means  veterans’ disability payments will be rightfully excluded from burdensome bankruptcy calculations, ensuring vets      and their families retain the benefits they earned regardless of their financial circumstances.”

            To remove this unequal treatment among various disability benefits, the HAVEN Act would exclude VA and  Department of Defense disability payments made to veterans or their dependent survivors from the disposable income calculation used during a bankruptcy proceeding. Excluding these payments from the calculation will  keep veterans from having to dip into their disability payments to pay off creditors. 

            This legislation is also a part of Tester’s larger push to help combat service member and veteran mental health  issues, addiction, suicide, poverty, and homelessness – all of which are exacerbated by financial hardship. The HAVEN Act is supported by the Veterans of Foreign Wars, The American

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• VA updates the disability rating schedule for infectious diseases, immune disorders and nutritional deficiencies:

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As of Aug. 11, the U.S. Department of Veterans Affairs (VA) updated portions of the VA Schedule for Rating Disabilities(VASRD, or Rating Schedule) that evaluate infectious diseases, immune disorders and nutritional             deficiencies.  The collection of federal regulations used by the Veterans Benefits Administration helps claims processors evaluate the severity of disabilities and assign disability ratings.  “VA is in the process of updating all  15 body systems of the VASRD to more accurately reflect modern medicine and provide Veterans with clearer  rating decisions,” said VA Secretary Robert Wilkie. “By updating the rating schedule, Veterans receive decisions  based on the most current medical knowledge of their condition.”

The complete list of updates to the rating schedule is available online. Claims pending prior to Aug. 11, will beconsidered under both the old and new rating criteria, and whichever criteria is more favorable to a Veteran will be applied. Claims filed on or after Aug. 11, will be rated under the new rating schedule

Updating the rating schedule for conditions related to infectious diseases, immune disorders and nutritional deficiencies, enables VA claims processors to make more consistent decisions with greater ease and ensure Veterans understand these decisions. VA remains committed to improving its service to Veterans continuously and staying at the forefront of modern medicine as it has for decades

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• VA awards contract for Region 4 of Community Care

By awarding the contract, the VA can now lift the “gag” order which was awarded by the judicial system and             clinics and hospitals in region 4 can start to award contracts to physicians and speciality clinics.

            The U.S. Department of Veterans Affairs (VA) awarded a contract Aug. 6 to TriWest Healthcare Alliance to serve    as Third Party Administrator in managing Region4 of VA’s new Community Care Network (CCN).

            The Community Care Network is the department’s direct link with community providers that will ensure VA             provides the right care at the right time to Veterans.

            Region 4 includes VA medical centers in Arizona, California, Colorado, Hawaii, Idaho, Montana, Nevada, New Mexico, Oregon, Texas, Utah, Washington and Wyoming. 

   “This contract award reflects our ongoing commitment to increasing Veterans’ access to care,” said VA Secretary Robert Wilkie. “As part of VA’s modernization efforts, we designed the new network based on feedback from Veterans and other stakeholders, along with lessons learned from the Veterans Choice Program. We are confident that CCN will greatly improve customer service for Veterans and timeliness of payments to community providers.”

CCN will be the standard contract vehicle that allows VA to provide access to care for Veterans from community care providers using industry-standard approaches and guidelines. Until CCN is fully-implemented nationwide,  TriWest Healthcare Alliance will continue to support Veteran community care through its community provider network.

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VA Agent Orange claims – Blue Water Navy:

The U.S. Department of Veterans Affairs (VA) is preparing to process Agent Orange exposure claims for “Blue Water Navy” Veterans who served offshore of the Republic of Vietnam between Jan. 9, 1962, and May 7, 1975. These Veterans may be eligible for presumption of herbicide exposure through Public Law 116-23, Blue Water Navy Vietnam Veterans Act of 2019, which was signed into law June 25, 2019, and goes into effect Jan. 1, 2020.

The new law affects Veterans who served on a vessel operating not more than 12 nautical miles seaward from the demarcation line of the waters of Vietnam and Cambodia, as defined in Public Law 116-23. An estimated 420,000 to 560,000 Vietnam-era Veterans may be considered Blue Water Navy Veterans. To qualify, under the new law, these Veterans must have a disease associated with herbicide exposure, as listed in 38 Code of Federal Regulations section 3.309(e). Agent Orange presumptive conditions are: o AL amyloidosis Chloracne or similar acneform disease, o Chronic B-cell leukemias, o Diabetes mellitus Type 2, o Hodgkin lymphoma, formerly known as Hodgkin’s disease, o Ischemic heart disease, o Multiple myeloma Non-Hodgkin lymphoma, formerly known as Non-Hodgkin’s lymphoma , o Parkinson’s disease, o Peripheral neuropathy, o early-onset Porphyria cutanea tarda, o Prostate cancer, o Respiratory cancers (lung, bronchus, larynx or trachea), and o Soft-tissue sarcoma (other than osteosarcoma, chondrosarcoma, Kaposi’s sarcoma or mesothelioma

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 VA overhauls religious and spiritual symbol policies to protect religious liberty:

The U.S. Department of Veterans Affairs (VA) recently revised its directives permitting religious literature, symbols and displays at VA facilities to protect religious liberty for Veterans and families while ensuring       inclusivity and nondiscrimination.

The move aims to simplify and clarify the department’s policies governing religious symbols, and spiritual and             pastoral care, which have been interpreted inconsistently at various VA facilities in recent years, resulting in unfortunate incidents that interrupted certain displays.

 Effective July 3, these changes will help ensure that patrons within VA have access to religious literature and symbols at chapels as requested and protect representations of faith in publicly accessible displays at facilities    throughout the department.

 “We want to make sure that all of our Veterans and their families feel welcome at VA, no matter their religious beliefs. Protecting religious liberty is a key part of how we accomplish that goal,” said VA Secretary Robert        Wilkie. “These important changes will bring simplicity and clarity to our policies governing religious and spiritual symbols, helping ensure we are consistently complying with the First Amendment to the             U.S.Constitution at thousands of facilities across the department.”

 The new policies will: 

 Allow the inclusion in appropriate circumstances of religious content in publicly accessible displays at VA facilities.

 Allow patients and their guests to request and be provided religious literature, symbols and sacred texts during visits to VA chapels and during their treatment at VA.

 Allow VA to accept donations of religious literature, cards and symbols at its facilities and distribute them to VA patrons under appropriate circumstances or to a patron who requests them.

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 GI Bill update – H.R.3369 | Defending all Veterans in Education Act (DAVIE):

On the 75th anniversary of the GI Bill, freshman U.S. Rep. Donna Shalala (D-FL) is taking aim at for-profit colleges, introducing a bill 19 JUN that would close a loophole she says props up substandard schools that view veterans as “cash cows.” Shalala’s proposed “Defending all Veterans in Education Act,” or DAVIE, would change what is known as the 90/10 rule, which allows for-profit colleges to receive federal student aid if they generate at least 10% of their revenue from sources other than federal dollars. The bill would change the requirement to an 80/20 ratio. It also would make schools count GI Bill benefits as federal dollars. Currently, GI Bill payments are not counted as federal monies in the calculations, allowing for-profit schools to include them as contributing to the 10% requirement

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 VA Telehealth program – H.R.3228 | Expand Vet Pool of Healthcare Providers:

Congress is considering a bill to expand the pool of healthcare providers able using telemedicine to treat the nation’s veterans. The VA MISSION Telemedicine Clarification Act of 2019 (HR 3228), introduced 12 JUN by U.S. Rep Earl 52 “Buddy Carter” (R-GA), would enable professional trainees to take part in the Department of Veterans Affairs’ “Anywhere to Anywhere VA Care” program, which allows the VA to treat veterans via telehealth no matter where they live. The bill aims to correct what its sponsors say is a flaw in the VA MISSION Act of 2018. That bill, signed into law in June 2018, opened the door to the use of connected health technology by authorizing the “Anywhere to Anywhere VA Care” program, unveiled one year earlier by then-Secretary Robert Shulkin, but it restricted care delivery to doctors. Dig Deeper “The telemedicine section of the bill was designed to allow VA covered practitioners to provide telehealth services across state lines to increase veteran access to VA services (but) missed a large population of health care providers,” Carter said in a press release. “This meant that only doctors could provide services through telehealth, not students, interns, residents or fellows. This is a major problem especially for interns, residents and fellows who have graduated medical school and are training to become full time doctors because they are not able to get the necessary experience in telehealth at the VA until the time they become fully licensed.” “Increasing the use of telehealth at VA health centers is critical to ensure veterans are able to receive the care they need no matter where they live,” Carter added.

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