Expressing support for policies that maintain a robust, fully funded and staffed Veterans Health Administration of the Department of Veterans Affairs and do not jeopardize care for veterans by moving essential resources to the for-profit private sector.

IV 116TH CONGRESS 1ST SESSION H. RES. 701 Expressing support for policies that maintain a robust, fully funded and staffed Veterans Health Administration of the Department of Veterans Affairs and do not jeopardize care for veterans by moving essential resources to the for-profit private sector. IN THE HOUSE OF REPRESENTATIVES NOVEMBER 14, 2019 Mr. GRIJALVA (for himself, Mrs. KIRKPATRICK, Mr. POCAN, and Mr. TAKANO) submitted the following resolution; which was referred to the Committee on Veterans’ Affairs, and in addition to the Committee on Education and Labor, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned RESOLUTION Expressing support for policies that maintain a robust, fully funded and staffed Veterans Health Administration of the Department of Veterans Affairs and do not jeop- ardize care for veterans by moving essential resources to the for-profit private sector. Whereas Congress has promoted policies to improve the health care capabilities of the Department of Veterans Affairs by providing significant increases in funds to hire staff, conduct research, build more facilities, and improve training; VerDate Sep 11 2014 02:05 Nov 19, 2019 Jkt 099200 PO 00000 Frm 00001 Fmt 6652 Sfmt 6300 E:\BILLS\HR701.IH HR701 Sspencer on DSKBBXCHB2PROD with BILLS 2 •HRES 701 IH Whereas the approximately 19,300,000 veterans of the United States are a diverse group of individuals including older veterans with diseases associated with aging and disabilities associated with past wars which require fre- quent care and younger veterans with complex conditions related to improved battlefield medical care, and as a group contain a higher percentage of seriously wounded individuals needing complex lifelong physical and mental health care, which differs greatly from the patient mix cared for by most non-VA providers; Whereas over 9,300,000 veterans are enrolled in the health care system of the Department of Veterans Affairs, and of this number 7,100,000 actually use the health care system for all or part of their care, which is an increase of 82 percent since 2001, showing massive, growing need for care furnished by the VA; Whereas the RAND Corporation examined a decade of re- search and found that VA-provided care is equal to or better quality than private sector care in all forty-seven quality-of-care measurements it conducted as part of an independent assessment comparing VA outpatient care with comparable civilian facilities; Whereas the RAND Corporation’s Ready to Serve national study found that compared to non-VA mental health pro- viders, VA mental health providers were significantly more likely to deliver both culturally competent care, which is important for engaging veterans and increasing access to care, as well as evidenced-based care that yields clinically meaningful and significant improvement of Posttraumatic Stress Disorder and major depression; Whereas the Department of Veterans Affairs is better equipped than most non-VA providers to coordinate com- VerDate Sep 11 2014 00:42 Nov 15, 2019 Jkt 099200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6300 E:\BILLS\HR701.IH HR701 Sspencer on DSKBBXCHB2PROD with BILLS 3 •HRES 701 IH plex veteran care and provide continuity of resources for veterans, yet an increasing number of veterans are being sent into the private sector each year, first pursuant to the Veterans Access, Choice, and Accountability Act of 2014 (Public Law 113–146) and now pursuant to the VA MISSION Act of 2018 (Public Law 115–182); Whereas mental health services, including suicide prevention, are of paramount importance; Whereas the over 420,000 employees of the Department of Veterans Affairs are dedicated public servants; Whereas, according to a bipartisan survey by Lake Research and Chesapeake Beach Consulting, 80 percent of vet- erans polled oppose turning health care provided by the Department of Veterans Affairs into a system of private sector vouchers that may not adequately cover costs; Whereas a Veterans of Foreign Wars survey found that 92 percent of veterans believe working to fix the VA, rather than dismantling it, is the best way to improve the care provided to America’s veterans; Whereas millions of dollars are being spent by organizations which value dismantling the Department of Veterans Af- fairs and outsourcing veteran care for private profit over investing in the Department; Whereas one of the top priorities should be the expansion of care for the more than 4,700,000 rural veterans by using rural clinics, VA mobile clinics, and telemedicine under the supervision of each veteran’s primary VA doctor; Whereas funding has not been increased sufficiently under the VA MISSION Act of 2018 (Public Law 115–182) for the Veteran Community Care Program that pays for the costs of providing veterans private health care at the VerDate Sep 11 2014 01:24 Nov 15, 2019 Jkt 099200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6300 E:\BILLS\HR701.IH HR701 Sspencer on DSKBBXCHB2PROD with BILLS 4 •HRES 701 IH same time that the Administration is requesting inad- equate funding for medical services at the Veterans Health Administration; Whereas the freedom of workers to organize unions is an internationally recognized human right, enshrined in the Universal Declaration of Human Rights; Whereas the right of Federal employees to form and join unions and to engage in collective bargaining was estab- lished by the Civil Service Reform Act of 1978 (Public Law 95–454); Whereas 30 percent of workers at the VA are veterans them- selves and as strong members of a union receive the good pay and benefits they deserve; Whereas it is vital to attract qualified individuals to fill work- force shortages within the VA system; Whereas, on May 25, 2018, President Trump issued Execu- tive Orders that proposed damaging changes to union- izing and collective bargaining procedures including elimi- nating nearly all union and workers use of ‘‘official’’ time and eliminating reasonable due process rights; and Whereas unions provide many benefits to our democracy, economy, and working families, and a union worker re- ceives on average 18 percent higher weekly wages than nonunion workers: Now, therefore, be it Resolved, That the House of Representatives— 1 (1) supports policies to provide necessary re- 2 sources to serve veterans by maintaining a robust 3 Veterans Health Administration; 4 VerDate Sep 11 2014 00:42 Nov 15, 2019 Jkt 099200 PO 00000 Frm 00004 Fmt 6652 Sfmt 6201 E:\BILLS\HR701.IH HR701 Sspencer on DSKBBXCHB2PROD with BILLS 5 •HRES 701 IH (2) opposes policies that would jeopardize care 1 for veterans by moving essential resources and vet- 2 erans away from the Veterans Health Administra- 3 tion and into the for-profit private sector; 4 (3) supports policies that would create inte- 5 grated health care networks for veterans with the 6 Veterans Health Administration serving as the coor- 7 dinator and primary provider of care, and selected 8 high-quality non-VA partners providing care when 9 and where needed to ensure timely and convenient 10 access for all enrolled veterans, including those who 11 reside in rural areas; 12 (4) supports the right of all Americans to form, 13 join, and operate independent labor unions at all 14 government levels and in the private sector; and 15 (5) opposes any efforts against unionizing and 16 collective bargaining procedures. 17 Æ VerDate Sep 11 2014 00:42 Nov 15, 2019 Jkt 099200 PO 00000 Frm 00005 Fmt 6652 Sfmt 6301 E:\BILLS\HR701.IH HR701 Sspencer on DSKBBXCHB2PROD with BILLS