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United States Government Accountability Office: 
GAO: 

Report to Congressional Committees: 

June 2011: 

Veterans' Health Care Budget Estimate: 

Changes Were Made in Developing the President's Budget Request for 
Fiscal Years 2012 and 2013: 

GAO-11-622: 

GAO Highlights: 

Highlights of GAO-11-622, a report to congressional committees. 

Why GAO Did This Study: 

The Veterans Health Care Budget Reform and Transparency Act of 2009 
requires GAO to report whether the amounts for the Department of 
Veterans Affairs’ (VA) health care services in the President’s budget 
request are consistent with VA’s budget estimates as projected by the 
Enrollee Health Care Projection Model (EHCPM) and other methodologies. 

Based on the information VA provided, this report describes (1) the 
key changes VA identified that were made to its budget estimate to 
develop the President’s budget request for fiscal years 2012 and 2013 
and (2) how various sources of funding for VA health care and other 
factors informed the President’s budget request for fiscal years 2012 
and 2013. GAO reviewed documents describing VA’s estimates projected 
by the EHCPM and changes made to VA’s budget estimate that affect all 
services, including estimates developed using other methodologies. GAO 
also reviewed the President’s budget request, VA’s congressional 
budget justification, and interviewed VA officials and staff from the 
Office of Management and Budget (OMB). 

GAO is not making recommendations in this report. GAO provided a draft 
of this report to the Secretary of VA and the Director of OMB for 
comment. VA had no comments on this report. OMB provided technical 
comments, which GAO incorporated as appropriate. 

What GAO Found: 

VA officials identified changes made to its estimate of the resources 
needed to provide health care services to reflect policy decisions, 
savings from operational improvements, resource needs for initiatives, 
and other items to help develop the President’s budget request for 
fiscal years 2012 and 2013. For example, VA’s estimate for non-
recurring maintenance to repair health care facilities was reduced by 
$904 million for fiscal year 2012 and $1.27 billion for fiscal year 
2013, due to a policy decision to fund other initiatives and hold down 
the overall budget request for VA health care. VA’s estimates were 
further reduced by $1.2 billion for fiscal year 2012 and $1.3 billion 
for fiscal year 2013 due to expected savings from operational 
improvements, such as proposed changes to purchasing and contracting. 
Other changes had a mixed impact on VA’s budget estimate, according to 
VA officials; some of these changes increased the overall budget 
estimate, while other changes decreased the overall estimate. 

The President’s request for appropriations for VA health care for 
fiscal years 2012 and 2013 relied on anticipated funding from various 
sources. Specifically, of the $54.9 billion in total resources 
requested for fiscal year 2012, $50.9 billion was requested in new 
appropriations. This request assumes the availability of $4.0 billion 
from collections, unobligated balances of multiyear appropriations, 
and reimbursements VA receives for services provided to other 
government entities. Of the $56.7 billion in total resources requested 
for fiscal year 2013, $52.5 billion was requested in new 
appropriations, and $4.1 billion was anticipated from other funding 
sources. The President’s request for fiscal year 2012 also included a 
request for about $953 million in contingency funding to provide 
additional resources should a recent economic downturn result in 
increased use of VA health care. Contingency funding was not included 
in the advance appropriations request for fiscal year 2013. 

Budgeting for VA health care is inherently complex because it is based 
on assumptions and imperfect information used to project the likely 
demand and cost of the health care services VA expects to provide. The 
iterative and multilevel review of the budget estimates can address 
some of these uncertainties as new information becomes available about 
program needs, presidential policies, congressional actions, and 
future economic conditions. As a result, VA’s estimates may change to 
better inform the President’s budget request. The President’s request 
for VA health care services for fiscal years 2012 and 2013 was based, 
in part, on reductions to VA’s estimates of the resources required for 
certain activities and operational improvements. However, in 2006, GAO 
reported on a prior round of VA’s planned management efficiency 
savings and found that VA lacked a methodology for its assumptions 
about savings estimates. If the estimated savings for fiscal years 
2012 and 2013 do not materialize and VA receives appropriations in the 
amount requested by the President, VA may have to make difficult trade-
offs to manage within the resources provided. 

View [hyperlink, http://www.gao.gov/products/GAO-11-622] or key 
components. For more information, contact Randall B. Williamson at 
(202) 512-7114 or williamsonr@gao.gov or Denise M. Fantone at (202) 
512-6806 or fantoned@gao.gov. 

[End of section] 

Contents: 

Letter: 

Background: 

Changes Were Made to VA's Budget Estimate Based on Policy Decisions 
and Other Factors to Help Develop the President's Budget Request: 

The President's Budget Request for VA Health Care Relied on Funding 
from Various Sources and Included a Request for Contingency Funding: 

Concluding Observations: 

Agency Comments: 

Appendix I: GAO Contacts and Staff Acknowledgments: 

Related GAO Products: 

Tables: 

Table 1: VA and OMB Review Process Resulting in the Fiscal Year 2012 
President's Budget Request and Advance Appropriations Request for 
Fiscal Year 2013: 

Table 2: Non-Recurring Maintenance (NRM) Amounts Reflected in the 
President's Budget Request and VA's NRM Spending, Fiscal Years 2006 to 
2013: 

Table 3: Funding Sources for VA Health Care for Fiscal Years 2012 and 
2013 in the President's Budget Request: 

Abbreviations: 

CHAMPVA: Civilian Health and Medical Program of the Department of 
Veterans Affairs: 

DOD: Department of Defense: 

EHCPM: Enrollee Health Care Projection Model: 

MCCF: Medical Care Collections Fund: 

NRM: non-recurring maintenance: 

OMB: Office of Management and Budget: 

VA: Department of Veterans Affairs: 

VHA: Veterans Health Administration: 

[End of section] 

United States Government Accountability Office: 
Washington, DC 20548: 

June 14, 2011: 

Congressional Committees: 

The Department of Veterans Affairs (VA) operates one of the largest 
health care delivery systems in the nation. In fiscal year 2010, VA 
served 6 million patients and spent $48.2 billion on a range of health 
care services for eligible veterans including primary care, inpatient 
and outpatient surgery, prosthetics, mental health services, 
prescription drugs, and nursing home care.[Footnote 1] The amount of 
funding VA receives to provide its health care services is determined 
by Congress in the annual appropriations process, which also provides 
funds for a wide range of other national programs, such as those 
supporting defense, education, and transportation. In preparation for 
the appropriations process, VA must develop annually a budget estimate 
of the resources needed for its health care services, including the 
costs for the administration and operation of VA facilities. 
Developing a budget estimate is the first step in a complex, multistep 
budget formulation process, which culminates in the President's annual 
budget request to Congress. VA begins developing its budget estimate 
for health care services approximately 10 months before the President 
submits the budget to Congress in February each year. 

As we have previously reported, VA uses what is known as the Enrollee 
Health Care Projection Model (EHCPM) to develop most of its estimate 
of the resources needed to meet the expected demand for health care 
services, and uses other methods to estimate the remaining resources 
needed.[Footnote 2] VA's estimate of the resources needed is reviewed 
through successively higher levels within the agency and revised until 
consolidated into a departmentwide annual budget estimate that is 
submitted to the Office of Management and Budget (OMB) for review and 
consideration. OMB subsequently includes a request for VA in the 
President's annual budget request to Congress, which represents the 
administration's priorities and funding decisions for federal 
programs, including VA health care services. 

VA's formulation of its health care budget estimate is inherently 
complex, as assumptions and imperfect information are used to project 
the likely quantity and cost of the health care services VA expects to 
provide.[Footnote 3] Most of these projections are 3 to 4 years into 
the future based on data from the most recent fiscal year. As such, 
VA's budget estimate is prepared in the context of uncertainties about 
the future--not only about program needs, but also about future 
economic conditions, presidential policies, and congressional actions 
that may affect the funding needs in the year for which the request is 
made. In addition, our prior work has highlighted some of the 
challenges VA has faced in obtaining sufficient data, making accurate 
calculations, and making realistic assumptions when formulating its 
budget estimate.[Footnote 4] 

In 2009, the Veterans Health Care Budget Reform and Transparency Act 
was enacted and provided that VA's annual appropriations for health 
care include advance appropriations that become available 1 fiscal 
year after the fiscal year for which the appropriations act was 
enacted.[Footnote 5] The 2009 law also required that we report whether 
the amounts for VA health care services in the President's budget 
request are consistent with the estimates of the resources required by 
VA for the provision of medical care and services as projected by the 
EHCPM or using other methodologies.[Footnote 6] In response to this 
act, we report on: 1) the key changes VA identified that were made to 
its budget estimate to develop the President's budget request for 
fiscal years 2012 and 2013 and 2) how various sources of funding for 
VA health care and other factors informed the President's budget 
request for fiscal years 2012 and 2013. 

To describe the key changes VA identified that were made to its budget 
estimate for the President's budget request, we reviewed VA documents 
that described the estimate projected by the EHCPM and key changes 
made to the estimates for all health care services, including 
estimates developed for services using other methodologies for fiscal 
years 2012 and 2013. We also reviewed the President's fiscal year 2012 
budget request for VA health care services, including VA's 
congressional budget justification supporting the President's request. 
We interviewed VA officials and OMB staff to discuss these changes. 

To describe how various sources of funding and other factors informed 
the President's budget request, we reviewed the President's request 
and VA's supporting congressional budget justification that detail 
funds expected to be available for VA's health care services. We 
discussed with VA officials and OMB staff the availability of 
resources from prior years, anticipated collections, and other factors 
that affected decisions on funding for VA health care services 
reflected in the President's budget request. 

To assess the reliability of the estimates VA provided, changes made 
to these estimates, and VA's sources of funding, we obtained documents 
containing these data and verified the consistency of the information 
in these documents. We confirmed that the changes to VA's estimates 
for which VA provided documentation were reflected in the President's 
budget request for VA health care services for fiscal year 2012 and 
for fiscal year 2013 advance appropriations. We also relied on our 
prior work to compare data and check for internal consistency and 
discussed these data with VA officials. We found the data reliable for 
the purpose of describing certain changes to VA's budget estimate, the 
requested amounts in the President's budget request, and VA's sources 
of funding for fiscal years 2012 and 2013. 

We requested that VA provide us with the components of its total 
health care budget estimate that informed the President's budget 
request of $54.9 billion for fiscal year 2012 and $56.7 billion for 
fiscal year 2013. VA provided an estimate of $47.1 billion for fiscal 
year 2012 and $49.8 billion for fiscal year 2013 as projected by the 
EHCPM at the beginning of VA's 10-month budget formulation process. VA 
did not, however, provide the estimates it developed at the same point 
in time, or any other point in time, for the remainder of the budget 
estimate using other methodologies. VA also provided information on 
certain changes made to the underlying estimates, including those 
projected by the EHCPM and those developed using other methodologies. 
However, we were unable to determine when all of these changes were 
made. 

We conducted our work from December 2010 through June 2011 in 
accordance with all sections of GAO's Quality Assurance Framework that 
are relevant to our objectives. The framework requires that we plan 
and perform the engagement to obtain sufficient and appropriate 
evidence to meet our stated objectives and to discuss any limitations 
in our work. We believe that the information and data obtained, and 
the analysis conducted, provide a reasonable basis for any findings 
and conclusions in this product. 

Background: 

VA provides health care services to various veteran populations-- 
including an aging veteran population and a growing number of younger 
veterans returning from the military operations in Afghanistan and 
Iraq. VA operates 152 hospitals, 133 nursing homes, 824 community-
based outpatient clinics, and other facilities to provide care to 
veterans.[Footnote 7] In general, veterans must enroll in VA health 
care to receive VA's medical benefits package--a set of services that 
includes a full range of hospital and outpatient services, 
prescription drugs, and long-term care services provided in veterans' 
own homes and in other locations in the community.[Footnote 8] VA also 
provides some services that are not part of its medical benefits 
package, such as long-term care provided in nursing homes.[Footnote 9] 

To meet the expected demand for health care services, VA develops a 
budget estimate each year of the resources needed to provide these 
services. This budget estimate includes the total cost of providing 
health care services, including direct patient costs as well as costs 
associated with management, administration, and maintenance of 
facilities. VA develops most of its budget estimate using the EHCPM. 
The EHCPM's estimates are based on three basic components: the 
projected number of veterans who will be enrolled in VA health care, 
the projected quantity of health care services enrollees are expected 
to use, and the projected unit cost[Footnote 10] of providing these 
services.[Footnote 11] The EHCPM makes these projections 3 or 4 years 
into the future for budget purposes based on data from the most recent 
fiscal year. For example, in 2010, VA used data from fiscal year 2009 
to develop its health care budget estimate for the fiscal year 2012 
request and advance appropriations request for 2013. 

VA uses other methods to estimate needed resources for long-term care, 
other services,[Footnote 12] and health-care-related initiatives 
proposed by the Secretary of VA or the President. As previously 
reported, these methods estimate needed resources based on factors 
that may include historical data on costs and the amount of care 
provided, VA's policy goals for health care services such as long-term 
care, and predictions of the number of users. For example, VA's 
projections for long-term care for fiscal year 2012 were based on 
fiscal year 2010 data on the amount of care provided and the unit cost 
of providing a day of this care. 

Typically, VA's Veterans Health Administration (VHA)[Footnote 13] 
starts to develop a health care budget estimate approximately 10 
months before the President submits the budget to Congress in 
February. The budget estimate changes during the 10-month budget 
formulation process in part due to successively higher levels of 
review in VA and OMB before the President's budget request is 
submitted to Congress. For example, the successively higher levels of 
review resulting in the fiscal year 2012 President's budget request 
are described in table 1. The Secretary of VA considers the health 
care budget estimate developed by VHA when assessing resource 
requirements among competing interests within VA, and OMB considers 
overall resource needs and competing priorities of other agencies when 
deciding the level of funding requested for VA's health care services. 
OMB issues decisions, known as passback, to VA and other agencies on 
the funding and policy proposals to be included in the President's 
budget request. VA has an opportunity to appeal the passback decisions 
before OMB finalizes the President's budget request, which is 
submitted to Congress in February. Concurrently, VA prepares a 
congressional budget justification that provides details supporting 
the policy and funding decisions in the President's budget request. 

Table 1: VA and OMB Review Process Resulting in the Fiscal Year 2012 
President's Budget Request and Advance Appropriations Request for 
Fiscal Year 2013: 

Date: April-September, 2010; 
Budget formulation events: 
* The Veterans Health Administration (VHA) developed most of its 
health care budget estimate for fiscal years 2012 and 2013 through the 
Enrollee Health Care Projection Model (EHCPM), which used data from 
fiscal year 2009. VHA developed the rest of its health care budget 
estimate for fiscal years 2012 and 2013 using methodologies other than 
the EHCPM. 
* VHA used the budget estimate to inform its budget submission for 
health care for fiscal year 2012, including estimated resources for 
fiscal year 2013. 
* The VHA Undersecretary for Health reviewed the budget submission for 
health care. 
* The Secretary of the Department of Veterans Affairs (VA) reviewed 
the budget submission for health care along with the submissions from 
other components of VA. 
* VA Office of Budget compiled the Department's budget submission to 
the Office of Management and Budget (OMB). 
* The Secretary approved VA's budget submission to OMB. 

Date: September, 2010; 
Budget formulation event: 
* VA delivered the budget submission to OMB. 

Date: October-December, 2010; 
Budget formulation event: 
* OMB reviewed VA's budget submission. 
* OMB issued decisions on funding and policy priorities for VA, and VA 
appealed some of the decisions. 
* OMB issued a final decision on the funding and policy priorities for 
VA to use for the fiscal year 2012 President's budget request and 
advance appropriations request for fiscal year 2013. 

Date: January, 2011; 
Budget formulation event: 
* OMB prepared the fiscal year 2012 President's budget request, and VA 
concurrently prepared its congressional budget justification, which 
supports the policies and funding decisions in the President's budget 
request. 

Date: February 14, 2011; 
Budget formulation event: 
* The President submitted the budget request, which requested 
resources for VA health care, to Congress. 

Date: October 1, 2011; 
Budget formulation event: 
* Fiscal year 2012 begins. 

Date: October 1, 2012; 
Budget formulation event: 
* Fiscal year 2013 begins. 

Source: GAO analysis and presentation of VA and OMB information. 

[End of table] 

Each year, Congress provides funding for VA health care through the 
appropriations process. For example, Congress provided new 
appropriations[Footnote 14] of about $48.0 billion for fiscal year 
2011 and advance appropriations of $50.6 billion for fiscal year 2012 
for VA health care.[Footnote 15] In addition to new appropriations 
that VA may receive from Congress as a result of the annual 
appropriations process, funding may also be available from unobligated 
balances from multiyear appropriations, which remain available for a 
fixed period of time in excess of 1 fiscal year. For example, VA's 
fiscal year 2011 appropriations provided for some amounts to be 
available for 2 fiscal years. These funds may be carried over from 
fiscal year 2011 to fiscal year 2012 if they are not obligated by the 
end of fiscal year 2011. VA and OMB consider anticipated unobligated 
balances when formulating the President's budget request. 

VA has statutory authority to collect amounts from patients, private 
insurance companies, and other government entities to be obligated for 
health care services. VA collects first-party payments from veterans, 
such as copayments for outpatient medications, and third-party 
payments from veterans' private health insurers for deposit into the 
Medical Care Collections Fund (MCCF). Amounts in the MCCF are 
available without fiscal year limitation for VA health care and 
expenses of certain activities related to collections subject to 
provisions of appropriations acts.[Footnote 16] VA also receives 
reimbursements from services it provides to other government entities, 
such as the Department of Defense (DOD), or to private or nonprofit 
entities. For example, in 2006, we reported that VA received 
reimbursements from other entities by selling laundry services. 
[Footnote 17] These amounts also contribute to decisions on funding in 
the President's budget request. 

Congress provides funding for VA health care through three 
appropriations accounts: 

* Medical Services, which funds health care services provided to 
eligible veterans and beneficiaries in VA's medical centers, 
outpatient clinic facilities, contract hospitals, state homes, and 
outpatient programs on a fee basis; 

* Medical Support and Compliance, which funds the management and 
administration of the VA health care system, including financial 
management, human resources, and logistics; and: 

* Medical Facilities, which funds the operation and maintenance of the 
VA health care system's capital infrastructure, such as costs 
associated with nonrecurring maintenance, utilities, facility repair, 
laundry services, and grounds keeping.[Footnote 18] 

Funding was appropriated for fiscal year 2012 for the three accounts 
in the following proportions: Medical Services at 78 percent, Medical 
Support and Compliance at 11 percent, and Medical Facilities at 11 
percent. 

Changes Were Made to VA's Budget Estimate Based on Policy Decisions 
and Other Factors to Help Develop the President's Budget Request: 

Changes to VA's Budget Estimate Based on Policy Decisions and 
Operational Improvements Resulted in Reduced Requested Resource Levels: 

VA identified several changes that were made to its budget estimate to 
help develop the President's budget request for VA for fiscal years 
2012 and 2013. In one change, VA identified that the resources 
identified in its budget justification for non-recurring maintenance 
(NRM) were lower than the amount estimated using the EHCPM by $904 
million for fiscal year 2012 and $1.27 billion for fiscal year 2013. 
Funds for NRM are used to repair and improve VA health care facilities 
and come from the Medical Facilities appropriations account.[Footnote 
19] The President's budget request reflected resource levels of $869 
million for NRM for fiscal year 2012 and $600 million for fiscal year 
2013. OMB staff said that amounts identified for NRM in VA's 
congressional budget justification were lower than estimated amounts 
due to a policy decision to fund other initiatives and to hold down 
the overall budget request for VA health care without affecting the 
quality and timeliness of VA's health care services. VA officials said 
NRM amounts that were identified for fiscal years 2012 and 2013 should 
be sufficient to maintain VA health care facilities in their current 
conditions. 

In recent years, VA's spending on NRM has been greater than the 
amounts identified in VA's budget justifications and reflected in the 
President's budget requests (see table 2). The higher spending is 
consistent with VA's authority to increase or decrease the amounts VA 
allocates from the Medical Facilities account for NRM and with 
congressional committee report language.[Footnote 20] While VA's NRM 
spending has exceeded amounts identified in VA's budget justifications 
over the last several years, VA's projection of the NRM backlog for 
health care facilities--which reflects the total amount needed to 
address facility deficiencies--has increased to nearly $10 billion. 
[Footnote 21] 

Table 2: Non-Recurring Maintenance (NRM) Amounts Reflected in the 
President's Budget Request and VA's NRM Spending, Fiscal Years 2006 to 
2013: 

Fiscal year: 2006; 
NRM amount reflected in President's budget request: $376 million; 
Amount spent by VA on NRM[A]: $415 million. 

Fiscal year: 2007; 
NRM amount reflected in President's budget request: $514 million; 
Amount spent by VA on NRM[A]: $815 million. 

Fiscal year: 2008; 
NRM amount reflected in President's budget request: $573 million; 
Amount spent by VA on NRM[A]: $1.58 billion. 

Fiscal year: 2009[B]; 
NRM amount reflected in President's budget request: $800 million; 
Amount spent by VA on NRM[A]: $1.64 billion. 

Fiscal year: 2010[C]; 
NRM amount reflected in President's budget request: $972 million; 
Amount spent by VA on NRM[A]: $2.16 billion. 

Fiscal year: 2011; 
NRM amount reflected in President's budget request: $1,110; 
Amount spent by VA on NRM[A]: Not available. 

Fiscal year: 2012; 
NRM amount reflected in President's budget request: $869 million; 
Amount spent by VA on NRM[A]: Not available. 

Fiscal year: 2013; 
NRM amount reflected in President's budget request: $600 million; 
Amount spent by VA on NRM[A]: Not available. 

Source: GAO analysis of VA's congressional budget justifications for 
fiscal years 2006 through 2012. 

[A] Spending totals reflect obligated amounts. 

[B] VA was provided $1 billion for NRM--in addition to the fiscal year 
2009 appropriations for the Medical Facilities account--as part of the 
American Recovery and Reinvestment Act of 2009 (Recovery Act). The 
Recovery Act funding was outside the scope of the President's fiscal 
year 2009 budget request. VA spent about $260 million of this Recovery 
Act funding on NRM in fiscal year 2009. 

[C] The NRM amount reflected in the President's fiscal year 2010 
budget request included $510 million from the Recovery Act. However, 
VA had about $740 million in Recovery Act funding available for fiscal 
year 2010, and VA spent all of the remaining Recovery Act funding in 
fiscal year 2010. 

[End of table] 

Changes also were made to EHCPM estimates for health care equipment. 
For equipment purchases, VA identified that the resource request in 
its budget justification was $15 million lower than the amount 
estimated using the EHCPM for fiscal year 2012 and $410 million lower 
than the amount estimated using the EHCPM for fiscal year 2013. The 
President's budget reflected a request of $1.034 billion for fiscal 
year 2012 and $700 million for fiscal year 2013 to purchase health 
care equipment. OMB staff said amounts identified for equipment were 
lower than estimated amounts due to a policy decision to fund other 
initiatives and to hold down the overall budget request for VA health 
care without affecting the quality and timeliness of VA's health care 
services. 

In addition, estimates of resource needs for employee salaries were 
reduced due to the enactment of a law requiring the elimination of 
across-the-board pay raises for federal employees in 2011 and 2012. 
[Footnote 22] This 2-year pay raise freeze led to a reduction of $713 
million for fiscal year 2012 and $815 million for fiscal year 2013 
from VA's health care budget estimate. The amount of the reduction was 
calculated separately from the EHCPM because the EHCPM does not have 
an explicit assumption for pay increases. VA officials said that OMB 
staff calculated the impact on the President's budget request for VA 
health care for fiscal year 2013. The lower salary base that resulted 
from the pay freeze in 2011 and 2012 also would reduce the overall 
salary level for fiscal year 2013. 

According to VA's budget justification, VA's health care budget 
estimate was further reduced by $1.2 billion for fiscal year 2012 and 
by $1.3 billion for fiscal year 2013 to reflect expected savings from 
what VA identified as six operational improvements. Expected savings 
from these operational improvements are a result of planned changes in 
the way VA manages its health care system to lower costs.[Footnote 23] 
The operational improvements for fiscal years 2012 and 2013 from VA's 
budget justification are the following: 

* Acquisitions. The operational improvements with the largest amount 
of estimated cost savings are VA's proposed changes to its purchasing 
and contracting strategies for which VA estimates a savings of $355 
million a year for fiscal years 2012 and 2013.[Footnote 24] For 
example, VA has proposed savings by increasing competition for 
contracts that were formerly awarded on a sole-source basis. 

* Changing rates. VA proposed to purchase dialysis treatments and 
other care from civilian providers at Medicare rates instead of 
current community rates. VA estimates a savings of $315 million for 
fiscal year 2012 and $362 for fiscal year 2013 as a result of this 
rate change. 

* Fee care. VA proposed initiatives to generate savings from health 
care services that VA pays contractors to provide. VA estimates a 
savings of $200 million a year for fiscal years 2012 and 2013 from 
reductions in its payments for fee-based care. 

* Realigning clinical staff and resources. VA proposed to realign 
clinical staff and resources to achieve savings by using less costly 
health care providers. Specifically, VA plans to use selected non- 
physician providers instead of certain types of physicians, use 
selected licensed practical nurses instead of certain types of 
registered nurses, and more appropriately align required clinical 
skills with patient care needs. VA estimates a savings of $151 million 
a year for fiscal years 2012 and 2013 from clinical staff and resource 
realignment. 

* Medical and administrative support. VA proposed to employ resources 
more efficiently in various medical care, administrative, and support 
activities at each medical center and in other VA locations. For 
example, a VA official said that VA could examine job vacancies for 
medical and administrative support to see whether vacant positions 
need to be filled. VA estimates a savings of $150 million a year for 
fiscal years 2012 and 2013 for this operational improvement. 

* VA real property. VA proposed initiatives to repurpose its vacant or 
underutilized buildings, demolish or abandon other vacant or 
underutilized buildings, decrease energy costs, change procurement 
practices for building supplies and equipment, and change building- 
service contracts. VA estimates a savings of $66 million a year for 
fiscal years 2012 and 2013 from real property initiatives. 

In the past, VA has proposed management efficiencies to achieve 
savings in order to reduce the amount of funding needed to provide 
health care services. However, in a 2006 report, we reported that VA 
lacked a methodology for its assumptions about savings estimates it 
had detailed for fiscal years 2003 through 2006, and we concluded that 
VA may need to take actions to stay within its level of available 
resources if VA fell short of its savings goals.[Footnote 25] 
According to VA officials, VA is planning to develop a system to 
monitor the operational improvements to determine whether they were 
generating the intended savings. 

Changes to VA's Budget Estimate Based on Administration's Initiatives 
Resulted in Increased Requested Resource Levels: 

VA's health care budget estimate was increased overall by about $1.4 
billion for fiscal year 2012 and $1.3 billion for fiscal year 2013 to 
support health-care-related initiatives proposed by the 
administration, according to VA officials.[Footnote 26] Some of the 
proposed initiatives can be implemented within VA's existing 
authority, while other initiatives would require a change in law. 

VA officials estimated that the majority of initiatives would increase 
resource needs for new health care services or expanded existing 
services. Four initiatives which make up over 80 percent of the total 
amount for initiatives in the President's budget request are: 

* Homeless veterans programs. VA officials estimated that this 
initiative, which supports the agency's goal to end homelessness among 
veterans, would increase VA's resource needs by $460 million for 
fiscal year 2012 as well as for fiscal year 2013. This would allow VA 
to expand existing programs and develop new ones to prevent veterans 
from becoming homeless and help those veterans who are currently 
homeless, programs such as assisting veterans with acquiring safe 
housing, receiving needed health care services, and locating 
employment opportunities. 

* Opening new health care facilities. This initiative would provide VA 
with the resources to purchase equipment and supplies and complete 
other activities that are necessary to open new VA health care 
facilities and begin providing health care services to veterans. VA 
officials estimated that this initiative would increase VA's resource 
needs by $344 million for fiscal year 2012 as well as for fiscal year 
2013. 

* Additional services for caregivers. This initiative would give VA 
the resources to expand services to caregivers of the most severely 
wounded veterans returning from Afghanistan and Iraq, as required by 
the Caregivers and Veterans Omnibus Health Services Act of 2010. 
[Footnote 27] For example, this initiative would provide caregivers a 
monthly stipend and eligibility to receive VA health care benefits. To 
provide these additional services to caregivers, VA officials 
estimated that the agency's resource needs would increase by $208 
million for fiscal year 2012 and $248 million for fiscal year 2013. 

* Benefits for veterans exposed to Agent Orange. This initiative would 
provide VA with the resources to implement activities required by the 
Agent Orange Act of 1991 that directs the Secretary of VA to extend 
health care benefits to veterans with certain conditions, such as some 
types of leukemia, who were known to be exposed to Agent Orange and to 
issue regulations establishing presumptions of service connection for 
diseases that the Secretary finds to be associated with exposure to an 
herbicide agent.[Footnote 28] VA officials estimated that to provide 
these additional benefits, its resource needs would increase by $171 
million for fiscal year 2012 and $191 million for fiscal year 2013. 

VA officials estimated a small number of initiatives in the 
President's budget request would decrease VA's spending needs. These 
initiatives propose ways for VA to reduce costs. For example, the 
Medicare ambulatory rates initiative proposes that Congress amend 
current law to allow VA to reimburse vendors for certain types of 
transportation, such as ambulances, at the local prevailing Medicare 
ambulance rate in the absence of a contract. VA expects that by paying 
transportation vendors the Medicare rate over their current billing 
rate--which VA reported may be up to three to four times the Medicare 
rate--VA's resource needs related to certain types of transportation 
would decrease by about $17 million for fiscal year 2012 as well as 
for fiscal year 2013. 

Changes to VA's Estimate Based on More Current Information and Other 
Factors Had a Mixed Impact on VA's Estimate: 

VA's overall estimate for long-term care and other services was 
reduced, according to VA officials and OMB staff, to reflect more 
current data that became available during the 10-month budget 
formulation process. To meet OMB's timeline for preparing the 
President's budget request, VA initially produced estimates for long- 
term care and CHAMPVA services in May 2010. These estimates were based 
on a mix of available data representing the actual amount of care 
provided and unit costs for these services to-date and projections for 
these services for the remainder of the 2010 fiscal year. VA had to 
project data because only partial-year data were available in May. 
Between May and November 2010, VA provided OMB with periodic updates 
of the most current data available. OMB staff, with input from VA 
officials, finalized the estimate for the President's budget request 
using this information, which according to VA officials and OMB staff, 
resulted in a lower estimate overall for long-term care and other 
services than the estimate VA produced in May 2010. VA, however, did 
not provide us with the amount of the decrease in the estimate. 

According to VA officials, VA's health care budget estimate was 
increased by $420 million for fiscal year 2012 and by $434 million for 
fiscal year 2013 to account for the costs of providing health care to 
non-veterans, including active duty service members and other DOD 
beneficiaries under sharing agreements, and certain VA employees who 
are not enrolled as veterans.[Footnote 29] Since VA's estimates from 
the EHCPM are based on the cost of treating veterans, the agency 
developed the estimates for providing health care to non-veterans 
separately. 

VA's estimate from the EHCPM was also increased by $220 million for 
fiscal year 2012 to reflect enhancements for rural health care for 
veterans, according to VA officials. Congress directed VA to spend 
$250 million on enhancements for rural health care in fiscal year 
2009,[Footnote 30] and VA made a policy decision to continue spending 
this amount on enhancements for rural health care in subsequent years, 
according to VA officials. However, VA was not able to spend the 
entire $250 million in fiscal year 2009 and spent only $30 million. 
[Footnote 31] Since VA used data from fiscal year 2009 in the EHCPM to 
develop its health care budget estimate for fiscal year 2012, VA's 
estimate projected $30 million in spending for enhancements for rural 
health care for that fiscal year. As a result, VA's estimate was 
increased by about $220 million to reflect the agency's planned $250 
million spending for this policy change. 

The President's Budget Request for VA Health Care Relied on Funding 
from Various Sources and Included a Request for Contingency Funding: 

The President's Budget Request for New Appropriations Was Based in 
Part on Consideration of Collections, Unobligated Balances, and 
Reimbursements: 

The President's request for appropriations for VA health care for 
fiscal years 2012 and 2013 relied on anticipated funding from several 
sources. Of the $54.9 billion requested by the President for fiscal 
year 2012 to fund VA's health care services, $50.9 billion was 
requested in new appropriations. This request was an increase of 5.5 
percent from the amount requested for fiscal year 2011--the lowest 
requested percent increase in recent years. The request assumes the 
availability of about $4.0 billion from collections, unobligated 
balances of mulitiyear appropriations, and reimbursements. Similarly, 
of the $56.7 billion requested by the President for fiscal year 2013, 
$52.5 billion was requested in new appropriations--an increase of 3.3 
percent from the fiscal year 2012 request. About $4.1 billion was 
expected to be available from other funding sources. (See table 3.) VA 
estimates the amount of funding from these other sources as part of 
its congressional budget justification supporting the President's 
request. 

Table 3: Funding Sources for VA Health Care for Fiscal Years 2012 and 
2013 in the President's Budget Request: 

President's budget request; 
Fiscal year 2012: $54.87 billion; 
Advance appropriations for fiscal year 2013: $56.69 billion. 

New appropriations[A]; 
Fiscal year 2012: $50.85 billion; 
Advance appropriations for fiscal year 2013: $52.54 billion. 

Collections; 
Fiscal year 2012: $3.08 billion; 
Advance appropriations for fiscal year 2013: $3.29 billion. 

Unobligated balances; 
Fiscal year 2012: $600 million; 
Advance appropriations for fiscal year 2013: $500 million. 

Reimbursements; 
Fiscal year 2012: $343 million; 
Advance appropriations for fiscal year 2013: $358 million. 

Source: GAO analysis of VA's congressional budget justification for 
fiscal year 2012. 

[A] We use the term "new appropriations" to refer to the 
appropriations provided during the current annual appropriations 
process for the upcoming fiscal year and, with respect to advance 
appropriations, the next fiscal year. 

[End of table] 

As table 3 shows, the President's budget request assumes that VA will 
collect about $3.1 billion for fiscal year 2012 and $3.3 billion for 
fiscal year 2013. These funds are from health insurers of veterans who 
receive VA care for nonservice-connected conditions, as well as from 
other sources, such as veterans' copayments. VA has the authority to 
retain these collections in the MCCF and may use them without fiscal 
year limitation for providing VA medical care and services and for 
paying departmental expenses associated with the collections program. 

According to VA officials, VA reduced its $3.7 billion estimate for 
collections included in the fiscal year 2012 advance appropriations 
request by approximately $600 million for the fiscal year 2012 
President's budget request. VA officials said that because of the 
depressed economy, fewer enrollees have comprehensive health insurance 
that VA can bill for third party payments for services that VA 
provides. In addition, even if enrollees do have health insurance that 
VA can bill, insurance companies are increasingly reducing payment 
amounts to levels stipulated in the insurers' own policies. Finally, 
because the enrollee population is aging, the percentage of enrollees 
who are Medicare beneficiaries is rising. As a result, VA is 
increasingly limited to billing enrollees' Medicare Supplement 
Insurance policies, because fewer enrollees have full health insurance 
policies that VA can bill.[Footnote 32] 

The President's budget request also assumes that VA will have 
unobligated balances left from fiscal years 2011 and 2012 totaling 
$1.1 billion to obligate in fiscal years 2012 and 2013. Specifically, 
VA proposes to carry over $600 million of the funds left from fiscal 
year 2011 to obligate in fiscal year 2012 and to carry over $500 
million of the funds left from fiscal year 2012 to obligate in fiscal 
year 2013. VA assumes that Congress will provide some multiyear 
funding and thus, VA will be able to carry over any unobligated 
balances from one fiscal year to the next fiscal year. The fiscal year 
2011 full-year continuing resolution provided that $1.2 billion would 
be available for 2 fiscal years,[Footnote 33] so VA has the ability to 
use unobligated balances in fiscal year 2012, including the $600 
million proposed, if that amount remains available. If the fiscal year 
2012 appropriations also provide funding that is available for 2 
fiscal years, VA would be able to carry over the $500 million in 
unobligated balances, if available, from fiscal year 2012 into fiscal 
year 2013 as proposed. 

The President's budget request also assumes that VA will receive $343 
million and $358 million in reimbursements for fiscal years 2012 and 
2013, respectively, from services it provides to other government 
entities as well as prior year recoveries. For example, VA receives 
reimbursements for medical services it provides under sharing 
agreements with DOD, including to TRICARE beneficiaries.[Footnote 34] 
VA estimates that prior year recoveries will be approximately $3 
million for each of the fiscal years 2012 and 2013. 

The President's Budget Request Included Funding Contingent on Certain 
Conditions: 

Of the $54.9 billion in total resources requested by the President for 
fiscal year 2012, $953 million represents contingency funding to be 
available under certain circumstances for health care services, 
supplies, and materials. This contingency funding would only be made 
available to VA through the Medical Services appropriations account if 
the Director of OMB concurs with the Secretary of VA's determination 
that economic conditions warrant the additional funds. The Secretary's 
determination would reflect an examination of national unemployment 
rates, the quantity of VA health care services enrollees use, and the 
amount of spending for VA's health care services. According to staff 
at OMB, any unused contingency funds would expire at the end of the 
fiscal year and could not be used to fund VA health care services in 
future years. 

OMB determined that the contingency funding request for fiscal year 
2012 would be the amount projected by the EHCPM with some adjustment 
for OMB's economic assumptions. This amount was calculated by 
estimating the potential impact of a recent downturn in the economy on 
veterans' use of VA health care. VA conducted an analysis of 
unemployment rates and their effect on enrollees' use of VA's health 
care services. VA showed that enrollees under age 65 who lost their 
jobs, and therefore their access to employer-sponsored health 
insurance, relied more heavily on VA health care services. For the 
first time since developing the model, VA incorporated unemployment 
rates into estimates developed using the EHCPM to estimate the effect 
of the economic downturn on VA's needed resources. 

The President's fiscal year 2012 budget request did not include 
contingency funding for fiscal year 2013 advance appropriations 
because OMB was uncertain if the increased costs VA anticipated as a 
result of the economic downturn would materialize. OMB staff said they 
planned to monitor VA's fiscal year 2011 performance and would request 
contingency funding for fiscal year 2013 if needed, as part of the 
President's fiscal year 2013 budget request. 

Concluding Observations: 

Budgeting for VA health care, by its very nature, is complex because 
assumptions and imperfect information are used to project the likely 
demand and cost of the health care services VA expects to provide. The 
complexity is compounded because most of VA's projections anticipate 
events 3 to 4 years into the future. To address these challenges, VA 
uses an iterative, multilevel process to mitigate various levels of 
uncertainty not only about program needs, but also about presidential 
policies, congressional actions, and future economic conditions that 
may affect funding needs in the year for which the request is made. 
VA's continuing review of estimates in this iterative process does 
attempt to address some of these uncertainties, and as a result, VA's 
estimates may change to better inform the President's budget request. 
Essential to the usefulness of these estimates, as our prior work has 
shown, is obtaining sufficient data, making accurate calculations, and 
making realistic assumptions. However, the uncertainty inherent in 
budgeting always remains. 

The President's request for VA health care services for fiscal years 
2012 and 2013 was based, in part, on reductions in VA's estimates for 
certain activities that were made using the EHCPM or other methods. 
The changes in VA's estimates reflected a decline in expected spending 
for these activities compared to what VA officials said would have 
been the case if the management and provision of health care services 
had continued unchanged. For example, VA estimated that various 
operational improvements would substantially reduce the costs for 
carrying out some activities, such as contracting and purchasing, in 
fiscal years 2012 and 2013. As a result of these anticipated changes, 
VA estimated that it would achieve savings that could be used for 
other purposes. However, in 2006, we reported on a prior round of VA's 
planned management efficiency savings and found that VA lacked a 
methodology for its assumptions about savings estimates. If the 
estimated savings for fiscal years 2012 and 2013 do not materialize 
and VA receives appropriations in the amount requested by the 
President, VA may have to make difficult tradeoffs to manage within 
the resources provided. 

Agency Comments: 

We provided a draft of this report to the Secretary of VA and the 
Director of OMB for comment. VA had no comments on this report. OMB 
provided technical comments, which we incorporated as appropriate. 

We are sending copies of this report to the Secretary of Veterans 
Affairs, the Director of the Office of Management and Budget, and 
appropriate congressional committees. In addition, the report will be 
available at no charge on the GAO Web site at [hyperlink, 
http://www.gao.gov]. 

If you or your staff have any questions about this report, please 
contact Randall B. Williamson at (202) 512-7114 or at 
williamsonr@gao.gov, or Denise M. Fantone at (202) 512-6806 or at 
fantoned@gao.gov. Contact points for our Offices of Congressional 
Relations and Public Affairs may be found on the last page of this 
report. GAO staff who made key contributions to this report are listed 
in appendix I. 

Signed by: 

Randall B. Williamson: 
Director, Health Care: 

Signed by: 

Denise M. Fantone: 
Director, Strategic Issues: 

List of Congressional Committees: 

The Honorable Kent Conrad: 
Chairman: 
The Honorable Jeff Sessions: 
Ranking Member: 
Committee on the Budget: 
United States Senate: 

The Honorable Patty Murray: 
Chairman: 
The Honorable Richard Burr: 
Ranking Member: 
Committee on Veterans' Affairs: 
United States Senate: 

The Honorable Paul Ryan: 
Chairman: 
The Honorable Chris Van Hollen: 
Ranking Member:
Committee on the Budget: 
House of Representatives: 

The Honorable Jeff Miller: 
Chairman: 
The Honorable Bob Filner: 
Ranking Member: 
Committee on Veterans' Affairs: 
House of Representatives: 

The Honorable Tim Johnson: 
Chairman: 
The Honorable Mark Kirk: 
Ranking Member: 
Subcommittee on Military Construction, Veterans' Affairs, and Related 
Agencies: 
Committee on Appropriations: 
United States Senate: 

The Honorable John Culberson: 
Chairman: 
The Honorable Sanford Bishop: 
Ranking Member: 
Subcommittee on Military Construction, Veterans' Affairs, and Related 
Agencies: 
Committee on Appropriations: 
House of Representatives: 

[End of section] 

Appendix I: GAO Contacts and Staff Acknowledgments: 

Contacts: 

Randall B. Williamson, Director, Health Care, (202) 512-7114, 
williamsonr@gao.gov Denise M. Fantone, Director, Strategic Issues, 
(202) 512-6806, fantoned@gao.gov: 

Acknowledgments: 

In addition to the contacts named above, James C. Musselwhite and 
Melissa Wolf, Assistant Directors; Rashmi Agarwal; Matthew Byer; 
Jennifer DeYoung; Amber G. Edwards; Krister Friday; Lauren Grossman; 
Tom Moscovitch; Lisa Motley; Leah Probst; and Steve Robblee made key 
contributions to this report. 

[End of section] 

Related GAO Products: 

Veterans' Health Care: VA Uses a Projection Model to Develop Most of 
Its Health Care Budget Estimate to Inform the President's Budget 
Request. [hyperlink, http://www.gao.gov/products/GAO-11-205]. 
Washington, D.C.: January 31, 2011. 

VA Health Care: Spending for and Provision of Prosthetic Items. 
[hyperlink, http://www.gao.gov/products/GAO-10-935]. Washington, D.C.: 
September 30, 2010. 

VA Health Care: Reporting of Spending and Workload for Mental Health 
Services Could Be Improved. [hyperlink, 
http://www.gao.gov/products/GAO-10-570]. Washington, D.C.: May 28, 
2010. 

Continuing Resolutions: Uncertainty Limited Management Options and 
Increased Workload in Selected Agencies. [hyperlink, 
http://www.gao.gov/products/GAO-09-879]. Washington, D.C.: September 
24, 2009. 

VA Health Care: Challenges in Budget Formulation and Issues 
Surrounding the Proposal for Advance Appropriations. [hyperlink, 
http://www.gao.gov/products/GAO-09-664T]. Washington, D.C.: April 29, 
2009. 

VA Health Care: Challenges in Budget Formulation and Execution. 
[hyperlink, http://www.gao.gov/products/GAO-09-459T]. Washington, 
D.C.: March 12, 2009. 

VA Health Care: Long-Term Care Strategic Planning and Budgeting Need 
Improvement. [hyperlink, http://www.gao.gov/products/GAO-09-145]. 
Washington, D.C.: January 23, 2009. 

VA Health Care: Budget Formulation and Reporting on Budget Execution 
Need Improvement. [hyperlink, http://www.gao.gov/products/GAO-06-958]. 
Washington, D.C.: September 20, 2006. 

VA Health Care: Preliminary Findings on the Department of Veterans 
Affairs Health Care Budget Formulation for Fiscal Years 2005 and 2006. 
[hyperlink, http://www.gao.gov/products/GAO-06-430R]. Washington, 
D.C.: February 6, 2006. 

Veterans Affairs: Limited Support for Reported Health Care Management 
Efficiency Savings. [hyperlink, 
http://www.gao.gov/products/GAO-06-359R]. Washington, D.C.: February 
1, 2006. 

VA Long-Term Care: Trends and Planning Challenges in Providing Nursing 
Home Care to Veterans. [hyperlink, 
http://www.gao.gov/products/GAO-06-333T]. Washington, D.C.: January 9, 
2006. 

VA Long-Term Care: More Accurate Measure of Home-Based Primary Care 
Workload Is Needed. [hyperlink, 
http://www.gao.gov/products/GAO-04-913]. Washington, D.C.: September 
8, 2004. 

[End of section] 

Footnotes: 

[1] Eligibility is determined on the basis of service-connected 
disability, income, and other special statuses, such as former 
prisoners of war, and is used to determine priority for VA services. 
VA is required to provide a specified set of health care services, 
including hospital care, to eligible veterans. 38 U.S.C. §§ 
1710(a)(1), (2), 1701(5), (6). VA is authorized to provide these 
health care services to other veterans not identified in these groups. 
38 U.S.C. § 1710(a)(3). The population of veterans to whom VA is 
required to provide nursing home care is more limited than the 
population to whom VA is required to provide other health care 
services, although VA also makes nursing home care available to other 
veterans on a discretionary basis as resources permit. See 38 U.S.C. § 
1710A. 

[2] For fiscal year 2011, VA used the EHCPM to develop approximately 
83 percent of VA's budget estimate. See GAO, VA Health Care: VA Uses a 
Projection Model to Develop Most of Its Health Care Budget Estimate to 
Inform the President's Budget Request, GAO-11-205 (Washington, D.C.: 
Jan. 31, 2011). 

[3] See GAO, VA Health Care: Challenges in Budget Formulation and 
Execution, [hyperlink, http://www.gao.gov/products/GAO-09-459T] 
(Washington, D.C.: Mar. 12, 2009). 

[4] See GAO, VA Health Care: Budget Formulation and Reporting on 
Budget Execution Need Improvement, [hyperlink, 
http://www.gao.gov/products/GAO-06-958] (Washington, D.C.: Sept. 20, 
2006) and VA Health Care: Long-Term Care Strategic Planning and 
Budgeting Need Improvement, [hyperlink, 
http://www.gao.gov/products/GAO-09-145] (Washington, D.C.: Jan. 23, 
2009). 

[5] Pub. L. No. 111-81, § 3, 123 Stat. 2137, 2137-38 (2009), codified 
at 38 U.S.C. § 117. The act provided for advance appropriations for 
VA's Medical Services, Medical Support and Compliance, and Medical 
Facilities appropriations accounts. 

[6] The law requires that we report on our analysis within 120 days 
after the President's budget requests are submitted in 2011, 2012, and 
2013. The President's budget request is submitted to Congress in 
February for the fiscal year that starts the following October. For 
example, the President's budget submission in February 2011 was for 
fiscal year 2012--which starts October 1, 2011--and includes a request 
for advance appropriations for VA health care for fiscal year 2013. 

[7] VA is required by law to provide health care services, including 
hospital care, to certain veterans and may provide care to other 
veterans. See 38 U.S.C. §§ 1710(a)(1)-(3), 1701(5), (6). 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. 38 U.S.C. § 1710(a)(4). 

[8] Under 38 U.S.C. § 1710B, VA is required to provide adult day care 
and respite care. VA provides these and other noninstitutional long- 
term care services as part of its medical benefits package and makes 
them available to veterans enrolled in VA health care. 

[9] The population of veterans to whom VA provides nursing home care 
is more limited than the population to whom VA provides other health 
care services. See 38 U.S.C. § 1710A. 

[10] Unit costs are the costs to VA of providing a unit of service, 
such as a 30-day supply of a prescription or a day of care at a 
medical facility. 

[11] For fiscal years 2012 and 2013, VA used the EHCPM to estimate the 
resources needed to provide 61 health care services. 

[12] Other services include the Civilian Health and Medical Program of 
the Department of Veterans Affairs (CHAMPVA), which provides health 
coverage for spouses, widowed spouses, and children of veterans who 
are permanently and totally disabled from a service-connected 
disability or who died in the line of duty or from a service-connected 
disability. See 38 U.S.C. § 1781. 

[13] VHA administers VA's health care system. VHA is one of three 
administrations that comprise VA and are included in the President's 
budget request for VA: VHA, the Veterans Benefits Administration, and 
the National Cemetery Administration. 

[14] We use the term "new appropriations" to refer to the 
appropriations provided during the current annual appropriations 
process for the upcoming fiscal year and, with respect to advance 
appropriations, the next fiscal year. 

[15] The Military Construction and Veterans Affairs and Related 
Agencies Appropriations Act, 2010 provided advance appropriations for 
fiscal year 2011. Pub. L. No. 111-117, div. E, tit. II, 123 Stat. 
3034, 3298-3300 (2009). The Department of Defense and Full-Year 
Continuing Appropriations Act, 2011, rescinded 0.2 percent of the 
fiscal 2011 appropriations and provided advance appropriations for 
fiscal year 2012. Pub. L. No. 112-10, div. B, tit. I, § 1119, 125 
Stat. 38, 107 (2011); Pub. L. No. 112-10, div. B, tit. X, § 2015, 125 
Stat. 38, 175 (2011). 

[16] Appropriations acts have authorized VA to transfer collections to 
its appropriation for Medical Services, but provide for these amounts 
to be available without fiscal year limitation. See, e.g., Pub. L. No. 
111-117, § 215, 123 Stat. 3034, 3305 (2009); Pub. L. No. 110-329, § 
215, 122 Stat. 3574, 3711 (2008). 

[17] [hyperlink, http://www.gao.gov/products/GAO-06-958]. 

[18] This account does not include funding for major or minor 
construction or for information technology because separate 
appropriations provide funds for these purposes. 

[19] NRM funds are used for expansion, renovation, and infrastructure 
improvements that cost more than $25,000. Funds for recurring 
maintenance--which includes routine repair of facilities and upkeep of 
land that costs less than $25,000--and operating equipment maintenance 
are tracked separately and are not included in the NRM estimate. In 
addition, expansion, renovation, and infrastructure improvements can 
be categorized as minor construction or major construction. Minor 
Construction and Major Construction are separate VA appropriations 
accounts. The Minor Construction account funds projects estimated to 
cost at least $500,000 but not more than $10 million, and the Major 
Construction account funds projects estimated to cost more than $10 
million. 

[20] See, e.g., S. Rep. No. 111-40 (2009), at 57; H.R. Rep. No. 111-
188 (2009), at 43-44. 

[21] VA reported a repair backlog for VHA facilities of $7.8 billion 
in the fiscal year 2010 budget justification to Congress, $9.3 billion 
in the fiscal year 2011 budget justification, and $9.7 billion in the 
fiscal year 2012 budget justification. 

[22] See Continuing Appropriations and Surface Transportation 
Extensions Act, 2011, Pub. L. No. 111-322, § 1, 124 Stat. 3518, 3518-
19 (2010). 

[23] According to VA's fiscal year 2012 budget justification, VA 
estimates that it will realize savings from operational improvements 
in fiscal years 2012 and 2013 to partly pay for a total of $2.8 
billion in proposed initiatives in those 2 years. 

[24] VA's budget justification lists the following eight initiatives 
for acquisition improvements: consolidated contracting, increasing 
competition of contracts, converting contracting workload from the 
U.S. Army Corps of Engineers to workload within VA, reverse auctioning 
of utilities to lower costs, procurement of supplies at lower prices, 
converting contracted services to services within VA, reutilizing 
excess equipment to avoid costs of purchasing new equipment, and using 
medical and surgical vendors rather than VA for inventory management. 

[25] GAO, Veterans Affairs: Limited Support for Reported Health Care 
Management Efficiency Savings, [hyperlink, 
http://www.gao.gov/products/GAO-06-359R] (Washington, D.C.: Feb. 1, 
2006). 

[26] The President's budget request includes 17 initiatives for fiscal 
year 2012 and 12 initiatives for fiscal year 2013. 

[27] Pub. L. No. 111-163, 124 Stat. 1130 (2010). 

[28] See 38 U.S.C. § 1116. The requirement to issue regulations will 
terminate on September 30, 2015. VA published final regulations on 
August 31, 2010, that established presumptive service connection for 
veterans who were exposed to certain herbicides and subsequently 
developed hairy cell leukemia and other chronic B-cell leukemias, 
Parkinson's disease, and ischemic heart disease. See 75 Fed. Reg. 
53,202 (Aug. 31, 2010) (amending 38 C.F.R. § 3.309). 

[29] See 5 U.S.C. § 7901; 38 U.S.C. § 8111. 

[30] See Pub. L. No. 110-329, 122 Stat. 3574, 3704-05 (2008). 

[31] According to VA officials, the agency subsequently spent $470 
million on enhancements for rural health in fiscal year 2010, which 
consisted of the remaining $220 million from fiscal year 2009 and $250 
million for fiscal year 2010. 

[32] VA can bill enrollees' private health insurance policies, 
including Medicare Supplement Insurance, but cannot bill Medicare. 

[33] Pub. L. No. 112-10, div. B, tit. X, § 2014, 125 Stat. 38, 174-75 
(2011). 

[34] TRICARE is DOD's program that provides health care to active duty 
military personnel and other beneficiaries, including retired service 
members. 

[End of section] 

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