RAO Bulletin Update
15 February 2008
THIS BULLETIN CONTAINS THE FOLLOWING ARTICLES
== Economic Stimulus Package -------------------- (Impact on Vets)
== Economic Stimulus Package [01] -------------------- (File Early)
== Economic Stimulus Package [02] ---------------- (Vet Eligibility)
== Senior Citizen Benefit Cost ----------------------------- (Up 24%)
== Postal Rates ---------------------------------- (APO/FPO Discount)
== Wyoming Veterans Home ------------------------------ (Overview)
== Iowa Veterans Trust Fund ----------------- (Law to Expand Use)
== Retiree Appreciation Days ---------------------------------- (2008)
== U.S. Savings Bonds [03] -------------------------- (Online Access)
== VA Minority Veterans Panel -------------------------- (Overview)
== AFRH [03] ------------------------- (Adverse Reports Overblown)
== WW1 Vet Search [03] --------------------------- (Memorial Plans)
== Tomb of the Unknowns ------------------- (Replacement on hold)
== Ohio State Tax ------------------------------------ (Vet Exemptions)
== Medicare Fraud [01] -------------------------------- (Mereck & Co)
== National Salute to Hospitalized Veterans ------ (11 thru 17 FEB)
== Mobilized Reserve 13 FEB 08 ---------------- (Net Increase 491)
== Passport Obtainment [02] --------------------------- (Fee Increase)
== Passport Obtainment [03] ------------------- (New Passport Card)
== Philippines Air Carrier Concerns ---- (Aviation Safety Caution)
== CRSC [37] ----------------------------------- (Chapter 61 Guidance)
== Tax Deductions ------------------------------ (11 Most Overlooked)
== VA Budget 2009 -------------------------- (President's Submission)
== VA Budget 2009 [01] --------------------- (Reactions to Proposal)
== Tricare User Fee [21] --------------------- (Proposed DoD Budget)
== VA Budget 2009 [02] --------------------------- (HCVA Concerns)
== VA Enrollment Fee [01] --------------------- (Proposed Increases)
== Medicare Part D [18] -------------------------- (Exception Request)
== Medicare Part D [19] --------------------------- (Appeal Procedure)
== VA Fraud [07] --------------------------------------- (Parachute CO)
== Windows Vista [02] -------------------- (Installing New Software)
== Vet Job [01] ---------------------------------------- (Job Fairs)
== Voluntary Separation Incentive (VSI) ----- (Legislation Needed)
== Vet Emergency Care Fairness Act ------------- (Reimbursement)
== MHS 2008 Conference ---------------------------------- (Overview)
== Military Deaths [01] --------------------- (Faulty Statistics)
== State Vet Benefit Changes ---------------------------- (MA-IL-OH)
== Military Retiree Alert ---------- (DFAS Beneficiary Verification)
== CNGR Commission [03] ---------------- (Final Report Delivered)
== TFL Facts & Tips [01] ----------------------- (Features & Options)
== Prostate Problems [04] ----------------------- (Delayed Treatment)
== Veteran Legislation Status 14 FEB 08 -------- (Where We Stand)
ECONOMIC STIMULUS PACKAGE: The House in late JAN, as part of an
economic stimulus package, approved tax rebates of $600 and $1,200
respectively for most individuals and couples, with another $300 per
child. The
Senate in considering its version made some additions to include
low-income senior citizens as well as disabled veterans and survivors of
veterans whose sole or primary income consists of VA compensation.
On a
91-6 vote, the Senate added a provision to grant $300 payments to disabled
veterans and veterans' widows who could show $3,000 in veterans'
disability and/or Social Security benefits last year. Congress passed the
$168 billion Economic Stimulus package (HR 5140) on 7 FEB. The
President
is expected to sign the package, and rebate checks could be arriving
as early as May. Even before Congress passed the stimulus package,
identity thieves were using promises of tax rebates to trick people into
revealing financial and personal data. Under one scheme, the IRS said,
people are receiving phone calls telling them they can only receive a
rebate if they provide bank account information for a direct deposit. The
tax agency stressed that it does not collect information by telephone
and that no legislation has been enacted that would allow it to provide
advance payments to taxpayers or that specifies the details of those
payments. The IRS also repeated past warnings of e-mails, supposedly
coming from the agency, where people are asked to enter personal
information
on a form needed to obtain a tax refund.
A new scam, it said, involves an e-mail notification that a
person’s tax return will be audited with instructions to click on links to
complete forms with personal and account information. Businesses and
accountants are also getting e-mails with instructions to download
information on tax law changes. Clicking on these links could download
“malware”
onto the recipient’s computer that gives the scammer remote access to
the computer hard drive. In another telephone scam, a caller claims to
be an IRS employee who says the taxpayer has not cashed a refund check
and asks the person to verify his or her bank account number. On 29
JAN, at a Senate Finance Committee confirmation hearing for Douglas
Shulman, the nominee to be IRS commissioner, Sen. Charles Schumer (D-NY)
expressed concern that taxpayers would be victimized by tax preparers and
lenders who charge high interest rates for short-term advances on their
stimulus rebates. The IRS advised people not to click on any link from
an e-mail purporting to come from the tax agency. People receiving
questionable e-mails can contact the IRS through
phishing@irs.gov. [Source:
Associated Press Jim Abrams article 30 Jan 08 ++]
ECONOMIC STIMULUS PACKAGE UPDATE 01: Under the economic-stimulus
package approved by Congress last week, more than 130 million Americans
will receive checks for at least $300 in late spring or by summer. The
rebate is a credit against your 2008 tax bill, but it will be based on
your 2007 tax return. Most single taxpayers will receive checks for $600,
while married couples will receive $1,200. If you have dependent
children younger than 17, you're eligible for an additional rebate of $300
per child. But even if you don't earn enough money to owe income tax, you
could be eligible for a rebate. If you received at least $3,000 in
2007 from Social Security, veteran benefits, earned income or any
combination of the three, you're eligible for a rebate of at least $300.
If you
meet that income threshold and have dependents, you're eligible for an
additional $300 per child. The IRS is expected to use information from
the Social Security Administration and the Department of Veterans
Affairs to track down people who are eligible for the rebate. But
identifying people who qualify for a rebate solely based on earned income
will
be much harder, says Mark Luscombe, federal tax analyst for CCH, a
publisher of tax information and software. If you fall into that category
it
is recommended you file an income tax return this year, even if you
don't make enough money to owe federal income tax. That will make it
easier for the IRS to find you, he says.
While more than 130 million Americans are expected to
receive
rebate checks, some people will come up empty-handed, while others will
see
their rebates reduced. Those individuals include:
• Single taxpayers with adjusted gross income of more than $75,000 and
couples with AGI of more than $150,000. The phase-out will be 5% of the
amount of your income that exceeds the threshold. Singles with AGI of
more than $87,000 and couples with AGI of more than $174,000 won't
receive any rebate.
• Under the law, anyone who was claimed as a dependent on someone
else's 2007 tax return is ineligible for the rebate. That means that
college
students whose parents claimed them as dependents in 2007 are not
eligible, even if they earned at least $3,000 in 2007, says Mel Schwarz,
partner with Grant Thornton's national tax office. Their parents can't
claim a $300 rebate for them, either; the rebate is limited to dependents
under age 17.
• People who owe money to the IRS. If you owe back taxes, the IRS will
withhold all or part of your rebate check to pay your debts, according
to the Treasury Department.
The rebates are designed to stimulate the economy by
encouraging
people to spend the money. So the Bush administration wants to get the
rebates in taxpayers' hands as quickly as possible. The IRS, though,
must get through the 2007 tax season before it can start sending out
rebate checks. Treasury Secretary Henry Paulson said last week that he
expects the IRS to start issuing checks in May. Treasury spokesman Andrew
DeSouza said in an e-mail the Treasury is considering using direct
deposit to speed things along but is still working out the details, If
you're eager to get your check, make sure to file your federal income tax
return by 15 APR. Because the rebate will be based on your 2007 tax
return, filing for an extension will delay your rebate. Taxpayers who
receive an extension until 15 OCT might not receive their rebate until the
end of the year. The rebate won't be treated as taxable income on
your
2008 tax return. And taxpayers who don't qualify for a rebate based on
their 2007 income will get a second chance when they file their 2008
returns next year. Though the rebate will be based on your 2007 income,
keep in mind that it's actually a credit against your 2008 taxes. So if
your situation changes and you qualify for a rebate based on your 2008
income — or become eligible for a larger rebate — you can claim the
difference on your 2008 tax return. On the other hand if -you
receive a
larger rebate based on your 2007 returns than you would have received in
2008, the IRS won't make you give the money back. President Bush
signed the bill into law on 13 JAN 08. [Source: USA TODAY Sandra Block
article 11 Feb 08 ++]
ECONOMIC STIMULUS PACKAGE UPDATE 02: The president signed into law
economic stimulus payments for all taxpayers. Included in the law is a
special provision for veterans who are not taxpayers. For answers
regarding the stimulus program, you should visit the IRS website at
www.irs.gov. Following is further clarification on vet eligibility:
• In order to be eligible to receive the special stimulus payment, you
must file a 2007 tax return.
• If you need to amend a previously filed tax return to include
benefits to reach the $3,000 qualifying income level. Adding these
benefits
on an amended tax return will not increase an individual’s tax liability
but will establish eligibility for the stimulus payment. This means a
taxpayer who had, for example, $500 in earned income and $2,500 in any
combination of the qualifying benefits can count those benefit payments
toward his or her qualifying income to reach the $3,000 earned income
requirement, even though the individual would not otherwise owe taxes
on such income. Taxpayers can use IRS Form 1040X to amend a tax return
in order to qualify for the stimulus payment.
• The law allows for payments for select individuals who have no tax
liability, such as those who receive Social Security benefits or
veterans’ disability compensation, pension or survivor's benefits received
from
the Department of Veterans Affairs in 2007. These taxpayers will be
eligible to receive a payment of $300 ($600 on a joint return) if they
had at least $3,000 of qualifying income.
• Qualifying income includes Social Security benefits, certain
Railroad Retirement benefits, veterans’ benefits (disability compensation,
pension, survivors’ benefits) and earned income, such as income from
wages, salaries, tips and self-employment. If you received one or
more of
these benefits during 2007, you must file a 2007 return in order to
receive a payment.
• Recipients of Social Security, certain Railroad Retirement and
certain veterans’ benefits should report their 2007 benefits on Line 14A
of
Form 1040A or Line 20a of Form 1040.
• People are allowed to estimate their annual benefit by taking their
monthly annual veterans’ benefit, multiplying it by the number of months
they received benefits during the year, and entering the number on
Line 20a of Form 1040 or Line 14a of the Form 1040A.
• Line 14A of Form 1040A (or Line 20A of Form 1040) says this is for
reporting Social Security benefits but IRS advised you should use these
lines even if your only benefits were Railroad Retirement or veterans’
benefits. If you receive more than one of these benefits, you should
determine the annual amount for both benefits and then combine them and
report the total on this line.
IRS will continue to update information on this program at www.irs.gov.
If you cannot obtain the info on the website you are seeking you can
call 1-800-829-1040. However, you are urged to visit their website
first to obtain information as it is expected their telephone service will
be very busy. Veterans can get no cost tax help through the Volunteer
Income Tax Assistance (VITA) program. Call 1(800)906-9887 to locate
the
nearest VITA site. For people over age 60, the Tax Counseling for
the
Elderly (TCE) program provides free tax help (1-800-829-1040). IRS
Free File allows you to electronically file or amend a tax return at co
cost to users. [Source: IRS Fact sheet FS-2008-16 Feb 08 ++]
SENIOR CITIZEN BENEFIT COST: The cost of government benefits for
seniors soared to a record $27,289 per senior in 2007, according to a USA
TODAY analysis. That's a 24% increase above the inflation rate since
2000. Medical costs are the biggest reason. Last year, for the first time,
health care and nursing homes cost the government more than Social
Security payments for seniors age 65 and older. The average Social
Security benefit per senior in 2007 was $13,184. The federal government
spent
$952 billion in 2007 on elderly benefits, up from $601 billion in 2000.
It's the biggest function of the federal government. States chipped in
$27 billion more in 2007, mostly for nursing homes. All three major
senior programs Social Security, Medicare and Medicaid experienced
dramatically escalating costs that outstripped inflation and the growth in
the senior population. Benefits per senior are soaring at a time when the
senior population is not. The portion of the U.S. population ages 65
and older has been constant at 12% since 2000. The senior boom, however,
starts big time in 2011, when the first baby boomers 79 million people
born between 1946 and 1964turn 65 and qualify for Medicare health
insurance. The oldest baby boomers turn 62 this year and qualify for
Social
Security at reduced benefits.
USA TODAY used a variety of government data to
calculate the cost
of providing Social Security, medical benefits and long-term care to an
aging population. Billions of dollars paid to non-seniors the
disabled, children and others in the programs were removed to create an
estimate that focuses exclusively on seniors. Findings include:
• Medicare experienced the most explosive growth from 2000 to 2007. The
Medicare prescription-drug benefit, started in 2006, accounts for
about one-fourth of the increase in Medicare, which provides health
benefits for people 65 and older.
• Long-term care costs per senior have declined slightly in the past
three years because of a move away from nursing homes to less expensive
home care.
• The cost of senior benefits is equal to $10,673 for every non-senior
household.
• About 35% of the federal budget is spent on senior benefits, up from
32% in 2004.
Eugene Steuerle, a senior fellow at the non-partisan Urban Institute,
notes that the full cost of senior benefits goes beyond Social Security,
Medicare and Medicaid. A complete estimate would include other
programs for retirees, such as military and civil servant pensions and
medical
benefits, he says. The Urban Institute estimates that kids receive an
average of about $4,000 per child in benefits, including the child tax
credit and other indirect assistance. Economist Dean Baker calls it
"granny bashing" to focus on the cost of senior benefits. The elderly paid
a designated tax for Social Security and Medicare taxes during their
decades of working to support these programs when they retired, says
Baker, co-director of the liberal Center for Economic Policy and Research.
[Source: USA Today Dennis Cauchon article 14 Feb 08 ++]
POSTAL RATES: Beginning 3 MAR Military families will get a price break
on the U.S. Postal Service's flat-rate shipping boxes to send care
packages around the globe. The discount applies only to the new "Priority
Mail Large Flat-Rate Box," which normally carries a $12.95 price tag
for shipping. However, when the 12-by-12-by-5.5-inch box is sent to an
AFO or FPO address, a $2 discount applies, dropping the cost to $10.95.
The new boxes will be available in post offices nationwide on 3 MAR.
Those who can't wait to start packing the boxes, however, can order them
from www.usps.com/supplies beginning 20 FEB. They're also available by
calling 1(800) 610-8734. Some of the new boxes carry the America
Supports You logo. America Supports You is a Defense Department program
connecting citizens and companies with servicemembers and their families
serving at home and abroad. The boxes bearing the America Supports
You
logo will be available only online or at select post offices near
military bases. All flat-rate boxes are available for international
shipping,
though the discount applies only to the large flat-rate box, and only
if it's being shipped to an APO or FPO address. [Source: American
Forces Press Service 14 Feb 08 ++]
WYOMING VETERANS HOME: The Veterans' Home Of Wyoming is an assisted
living facility founded to meet the needs of the veterans and their
spouses who have served in the armed forces of the United States. A
limited
number on non-veterans may also be eligible for admission. The 120 bed
facility provides the resident with room and board and a community of
caring people. It is located on the historic site of Fort McKinney. It
is located three miles west of Buffalo, one-half mile south of Highway
16, at the base of the majestic Big Horn Mountains. Clear Creek from the
Big Horns runs through the center of the area surrounding the home and
supplies the fresh water for the resident trout pond. Eligibility
and
admission policy procedures are as follows:
1. An applicant for admission must be a resident, in Wyoming, with a
valid Wyoming address at the time of application.
2. An applicant that has resided in Wyoming less than one year must
declare his/her intent to reside permanently or indefinitely in the State
of Wyoming.
3. An applicant cannot be in transit or indicate temporary or seasonal
residency in the state.
4. A resident must be a veteran or qualified nonveteran.
5. A nonveteran may be admitted when there is a 10% vacancy. A widow
or widower of a veteran is considered a nonveteran.
6. A resident must be able to maintain activities of daily living.
7. All prospective residents are asked to visit the home for a
personal interview with the nurse to review the application with an
administration staff member.
8. A veteran must include a copy of his/her Honorable Discharge with
the completed application for admission.
9. A resident cannot be gainfully employed.
10. The federal government mandates that at least 75% of Veterans’
Home of Wyoming residents are veterans.
Resident maintenance fees are based on ability to pay with the monthly
maximums reviewed annually. Veterans receive a reduction from the
maximum as a result of payments received on their behalf from the VA. A
resident with assets less than $10,000.00 is charged according to a
formula
that is applied to the resident's gross monthly income as follows: a
resident pays 85% of total monthly income reduced by $65.00 for personal
use. A resident with assets exceeding $10,000 will pay the monthly
maximum for either a veteran or a nonveteran. In addition to the
aforementioned, residents will be billed on an after the fact basis for
medical
purchases made on their behalf by this home. Services rendered for the
monthly maintenance fee include, but are not limited to, a furnished
private room, meals, laundry service, nursing service, and limited
transportation. There are weekly trips to the Sheridan Veterans Affairs
Medical Center primarily for medical appointments for the residents.
Planned
activities in the home include bingo, movies, pool tournaments, and
birthday and holiday celebrations. Outdoors activities include fishing in
the trout pond on the grounds, picnics in summer, sightseeing trips,
attending local events, and shopping trips in downtown Buffalo. Service
clubs, churches, schools, and individual volunteers visit with and
entertain the residents. There is a hobby shop, and the residents work
with
lapidary equipment, painting, woodworking, models, and kits of various
kinds. The home is under the direction of the Wyoming Department of
Health and is supervised by John R. (Jack) Tarter. For further
information or application procedures call or write: Veterans’ Home of
Wyoming,
700 Veterans’ Lane, Buffalo, WY 82834-9402 Tel. (307) 684-5511/7686F or
E-mail:
jtarte@state.wy.us. [Source: Wyoming Veterans’ Commission
Veterans Benefits Booklet Rev 2006 ++]
IOWA VETERANS TRUST FUND: Some veterans could get more help paying
for prescription drugs, in-home nursing care, car repairs and other
expenses under legislation being considered by Iowa state lawmakers. More
expenses would qualify for money from the state Veterans Trust Fund under
Senate File 2124, which was approved 47-0 by the Iowa Senate on 12
FEB. The trust fund has $5 million in it. Only the interest can be spent,
and that amounts to about $250,000 to $300,000 a year. If the Iowa
House also approves the bill in the coming weeks, it would allow veterans
to apply for money to help pay for prescription drugs, as well as
vision, hearing and dental care. Currently, trust fund money can't be used
for these expenses. It would cover ambulance fees and emergency room
expenses if a veteran has to go to a hospital other than a U.S. Department
of Veterans Affairs hospital. If a lower-income veteran needs help
paying for a vehicle repair, or an emergency home repair or temporary
housing, he or she could get money from the trust fund. There's already
money at the county level, but the idea is to provide the extra boost that
keeps veterans from losing their jobs or becoming homeless. Right now,
only travel expenses for a veteran getting follow-up medical care are
covered by trust fund money. This bill would allow a spouse to be
reimbursed for the expense of traveling to see a veteran in the hospital
due
to a service-related injury or illness. It would help pay expenses for
veterans who need nursing care but want to remain in their homes. Right
now, trust fund money can go only toward nursing home care. It also
ends the practice of giving money to the children of veterans who are
disabled or killed in action. Instead, there are other ways trust fund
money can be used to assist a child in need. [Source: Des Moines
Register
Jennifer Jacobs article 13 Feb 08 ++]
RETIREE APPRECIATION DAYS: Retiree Appreciation Days and Military
Retiree Seminars offer military retirees and their families a chance to
learn current information about topics such as benefits, entitlements,
health care, and special services available for them. Since the
day’s
schedule of activities differ from location to location, it is best to
check with the event’s point of contact for specific details. The Army
maintains a current listing of activities for 2008 at
http://www.armyg1.army.mil/rso/docs/rads.pdf.
The current listing
includes:
Schweinfurt, Germany April 12 09721-96-7033
Dover AFB, Del. April 12 (302) 677-4612
Stuttgart, Germany April 19 07031-15-2924
Fort Jackson, S.C. April 25-26 (803) 751-6715
Fort Wainwright, Alaska April 26 (907) 384-3500
McGuire AFB, N.J. April 26 (609) 754-2459
Vicenza, Italy May 30 0444-71-7262
Fort McPherson, Ga. June 21 (404) 464-3219
NAS Jacksonville, Fla. July 12 (904) 542-2766 Ext. 126
Orlando, Fla. Aug. 16 (912) 767-5013
Andrews AFB, Md. Oct. 25 (301) 981-2726
Heidelberg, Germany Oct. 18 06221-57-3347
Grafenwoehr, Germany Oct. 25 09641-83-8540
Fort Leavenworth, Kan. Nov. 1 (913) 684-2425
Bolling AFB, D.C. Nov. 8 (202) 767-5244
[Source: Afterburner Feb 08 ++]
U.S. SAVINGS BONDS UPDATE 03: Retirees can buy U.S. Savings Bonds in
electronic form and hold them directly with the U.S. Treasury over the
Internet. They can even convert their paper savings bonds into
electronic form and hold them in an account with the government. Both are
possible when people open a TreasuryDirect account, according to Defense
Finance and Accounting Service officials. TreasuryDirect allows people to
open an online account and buy savings bonds either through a payroll
allotment or with money debited directly from a bank or credit union
account. Once the bonds are eligible for redemption, people can go
online and schedule payment directly into a bank or credit union account.
Electronic savings bonds carry the same interest rates and maturity
periods as paper bonds, but, unlike paper bonds, people do not have to
wait
to receive them in the mail. Instead, all people need is access to
the
Internet. With a TreasuryDirect account, people can convert any
paper
bonds they own into electronic securities. If the DFAS is holding
the
bonds, people can request the bonds and DFAS will mail them. People
can then send them, along with any paper bonds they may have at home, to
the U.S. Treasury for addition to a TreasuryDirect account. Because
the U.S. Treasury requires people to submit the bonds with a signed
manifest, DFAS cannot mail the bonds directly to the treasury. To learn
more about converting bonds into electronic form, visit SmartExchange at
http://www.treasurydirect.gov/indiv/research/indepth/smartexchangeinfo.htm.
For more information, visit www.treasurydirect.gov. [Source:
Afterburner Feb 08 ++]
VA MINORITY VETERANS PANEL: There are approximately 4.7 million
minority veterans in the United States and its territories. They
make up
nearly 19 % of the total veteran population. The Advisory Committee
on
Minority Veterans is an expert panel appointed by the Secretary of
Veterans Affairs that advises him on issues involving these minority
veterans. Chartered on 30 JAN 95, the committee makes
recommendations for
administrative and legislative changes. The committee members are
appointed to one-, two-, or three-year terms. VA has minority veterans
program coordinators at each VA medical
center, regional office and national cemetery to assist minority
veterans with health and benefits issues. A list of the full
membership of
VA's Advisory Committee on Minority Veterans is attached follows:
* Diego E. Hernandez, Puerto Rican, Miami, Fla., a retired Navy vice
admiral, currently is an active consultant to private and public
companies.
* James H. Mukoyama, Jr. (Chair), Japanese American, Glenview, Ill. A
retired Army Reserve major general, currently the executive vice
president and chief operating officer of Regal Discount Securities in
Chicago.
* Julia J. Cleckley, African American, Washington, DC. A retired Army
brigadier general, currently is the director of armed forces education
with the University Alliance.
* Dr. Doris Browne, African American, Washington, DC. A retired Army
colonel, currently the senior scientific officer of the Breast and
Gynecologic Cancer Research Group, Division of Cancer Prevention, National
Cancer Institute, Bethesda, Md.
* Reginald Malebranche, Haitian American, Alexandria, Va. A retired
Army colonel with over thirty-five years of expertise in policy, planning
and program management.
* Kerwin E. Miller, African American, Washington, DC. A retired Navy
commander, currently serves as the first director of the
newly-established District of Columbia office of veterans affairs, within
the
executive office of the mayor.
* Joe C. Nuñez, Mexican American, Littleton, Colo. A retired Air Force
lieutenant colonel, currently works for the Department of Health and
Human Services as a Regional Director.
* Dr. Irene M. Zoppi, Hispanic American, Crofton, Md. An Army Reserve
lieutenant colonel, currently an adjunct professor at the College of
Notre Dame, Strayer University, and the Command General Staff College.
* Furnie Lambert, Jr., American Indian of the Lumbee Tribe, Maxton,
N.C. A retired Marine master gunnery sergeant, currently serves as
the
chairman of Veterans Affairs Committee for the Lumbee Tribe of North
Carolina.
* John W. Jelks, African American, Dale City, Va. A retired Air Force
senior master sergeant, currently the coordinator for National
Geospatial Intelligence Agency.
* Debra L. Wilson, Lakota Sioux, Tahlequah, Okla. A former Marine
Corps staff sergeant, currently works as a compliance officer for the
Cherokee Nation gaming commission.
* Nelson N. Angapak, Sr., Alaskan Native, Anchorage, Ala. An Army
veteran, currently is the executive vice president of the Alaska
Federation
of Natives.
* Shoshana N. Johnson, Black Hispanic American, El Paso, Texas. A
retired Army specialist who is the first black female POW in the U.S.
history and currently conducts speaking engagements across the country
discussing her experience as a POW in Iraq.
* Alexander Y. Chan, Asian American, Fairfax Station, Va. A Navy
veteran, currently a senior enforcement officer and certified internal
auditor in the Federal Communications Commission's Enforcement Bureau.
* James T. McLawhorn, Jr., African American, Columbia, S.C. Currently
the president and chief executive officer of the Columbia Urban League
in South Carolina.
[Source: VA News release 12 Feb 08 ++]
AFRH UPDATE 03: A report from the Defense Department’s inspector
general says allegations of serious health care problems at the Armed
Forces
Retirement Home are overblown. The Government Accountability Office
asked the Pentagon last year to investigate reports of a rising death
rate, filthy rooms and veterans suffering from bedsores. But the inspector
general’s report says investigators found that the death rate at the
home declined between 2004 and 2006. It also could not document
allegations that poor care caused an unusual number of residents to be
sent to
the hospital. The report confirmed that one patient was found with
maggots in a leg wound in 2006. The home acknowledged the incident last
year and eight employees were fired. [Source: The Associated Press 12 Feb
08 ++]
WW1 VET SEARCH UPDATE 03: Of the 2 million American soldiers sent to
the trenches during World War I, only Frank Woodruff Buckles is still
alive. The retired Army corporal, who turned 107 this month, is all that
prevents the First World War from slipping into the secondhand past.
Harry Landis, the only other known WWI veteran, died at 108 last week in
Tampa, Fla. We're about to "lose a living touchstone of history," says
Bob Patrick, director of the Library of Congress's Veterans History
Project. Yet the United States has no firm or official plans to mark the
passing of its last WWI veteran. "Frankly, we're trying to keep the focus
on the living," says Phil Budahan, director of media relations for the
Department of Veterans Affairs. Britain plans to hold an elaborate
ceremony at Westminster Abbey when the last of its three remaining WWI
veterans die. Canada and France, which each have one remaining veteran,
have also announced plans to hold a state funeral. In fact, America's
plans are more akin to those of its wartime enemy, Germany, whose last
veteran died last month at 107 without official fanfare.
In America, the First World War remains a largely
forgotten
conflict. It has no national monument on the Washington Mall, no
blockbuster
film, no iconic image equivalent to soldiers' raising the flag on Iwo
Jima. There wasn't even a reliable list of living veterans until a
writer, researching a book about the war's place in the shadows, tallied
one
for himself in 2004. "Nobody—not the Department of Veterans Affairs,
or the Veterans of Foreign Wars or the American Legion—knew how many
there were," says Richard Rubin, author of the forthcoming book "The Last
of the Doughboys." As far as he could tell, "that chapter of history
was closed." For now, the primarily privately funded World War One Museum
in Kansas City, Mo., is the only national institution with plans to
commemorate the end of the Doughboy generation. "We just don't know what
that means yet," says Denise Rendina, a spokeswoman for the museum. The
VA says that all plans must come from Congress, while the White House
Commission on Remembrance, the agency officially tasked with honoring
"America's fallen," says it will invite Buckles to join a national
flag-raising tour that began in December. There's just one problem: the
touring flag is from a World War II memorial. [Source: Newsweek Tony
Dokoupil article 9 Feb 08 ++]
TOMB OF THE UNKNOWNS: Congress has blocked the possible replacement
of the cracked Tomb of the Unknowns at Arlington National Cemetery,
deciding instead to study repairs to the existing marble monument. A
defense bill President Bush signed into law 28 JAN included an amendment
to
prevent replacement of the tomb, pending a report to Congress. The
cemetery had been leaning toward replacing the monument, which was
installed
in 1931, to maintain its dignity. But now that replacement of the
stone has been stalled, the cemetery plans to make repairs to the monument
later this year, said John Metzler, the cemetery's superintendent. The
last repairs were made in 1989. The work (with guidance from National
Park Service stone conservators) involves replacing the existing
grouting on the monument and cleaning the stone with water and a soft
brush.
Millions of people visit the tomb each year, where soldiers guard the
sculpted sarcophagus at all times. It overlooks Washington from across
the Potomac River in Arlington and is the scene of Memorial Day
wreath-laying ceremonies by the president. A crypt beneath the monument
holds
the remains of three unidentified servicemen killed in the two world wars
and the Korean War. A Vietnam War veteran buried there was later
identified through DNA testing and removed. [Source: Associated
Press
article 9 Feb 08 ++]
OHIO STATE TAX: Recently passed Ohio legislation exempts military
retirement pay from Ohio personal income tax and exempts estates of armed
forces members who died while serving in combat zones from probate fees.
The legislation also extends the 20% credit available to certain
military persons on civil service examinations to any member of the
National
Guard or a reserve component of the U.S. Armed Forces who has
completed more than 180 days of active duty service pursuant to an order
of the
President or an act of Congress. H.B. 372 Laws 2007, effective 24 DEC
07. [Source: Clark, Schaefer, Hackett & Co Tax Update 9 Feb 08 ++]
MEDICARE FRAUD UPDATE 01: Federal prosecutors on 7 FEB reported that
in one of the biggest U.S. health care fraud settlements ever, Mereck &
Co. will pay $671 million to settle claims it overcharged the
government for four popular drugs and bribed doctors to prescribe its
drugs,.
The alleged overcharges, dating back to the mid-1990s, involved Medicaid
programs in the District of Columbia and every state but Arizona, as
well as federal health-insurance programs at agencies including the
Department of Defense and Veterans Administration. A nationwide
investigation by federal prosecutors, triggered in 2000 by a former Merck
salesman-turned-whistleblower and broadened by a Louisiana doctor who also
exposed overcharging, resulted in the two settlements announced. In
Philadelphia, prosecutors said Merck agreed to pay $399 million for
improper
calculation of Medicaid rebates and bribing doctors. In New Orleans,
prosecutors said the drugmaker agreed to pay $250 million for its rebate
practices. With interest, that totals $671 million.
The settlement is the third largest ever for health
care fraud,
behind a $900 million case involving hospital operator Tenet Healthcare
Corp. and a $730 million case involving hospital chain HCA, according to
the group Taxpayers Against Fraud. Whitehouse Station, N.J.-based
Merck said the settlements do not constitute an admission of any liability
or wrongdoing. “What we have here is a disagreement (over) the rules
of the Medicaid rebate program,” said Merck spokesman Ronald Rogers.
“These civil settlements were the best and most appropriate way to resolve
these lengthy investigations.” Drug companies must report to the
government the lowest price for their medicines to ensure that Medicaid
programs get the same discounts or rebates on drugs they buy. Prosecutors
said Merck was hiding steep discounts; up to 92% off the average price
it gave hospitals that used a set amount of Merck products. From 1997 to
2001, prosecutors said Merck had about 15 different programs used by
its sales representatives to give doctors and other health professionals
“illegal kickbacks,” disguised as fees for training or consultation,
to induce them to prescribe Merck drugs.
The Philadelphia case involved pricing programs for the
cholesterol drugs Zocor and Mevacor and the painkiller Vioxx, which Merck
pulled
from the market in SEP 04 because Vioxx doubled the risk of heart
attack and stroke. Those programs ran from 1996 through 2006. The
Louisiana
case involved pricing for heartburn drug Pepcid, from mid-1996 to APR
01, when it was sold only by prescription. Federal prosecutors said
Merck ended those practices and started a program to comply with
government
pricing rules in 2001, before learning prosecutors were investigating
allegations raised in 2000 by former Merck salesman H. Dean Steinke.
Steinke filed a whistleblower lawsuit in federal court in Philadelphia
and notified the U.S. attorney’s office there of his allegations of Merck
overcharging the government and giving doctors improper payments, said
Virginia Gibson, chief of the office’s civil division. About four
years later, Steinke filed a similar whistleblower lawsuit in Nevada,
where the U.S. attorney’s office there instituted its own probe.
Massachusetts, Delaware and Illinois also joined in. Meanwhile, Dr.
William St.
John LaCorte, a geriatrics specialist, sued Merck in late 1999 after
discovering that some of his patients, while hospitalized, had been
switched to Pepcid from other heartburn drugs he prescribed.
According to Mukasey’s office, the federal government
will receive
more than $360 million out of the total settlement, and more than $290
million will go to the states and District of Columbia. Steinke will
get $67 million from the federal and state shares, and a
still-undetermined whistleblower reward will go to LaCorte. When Merck
reported its
fourth-quarter financial results 20 JAN, they included a $671 million
charge for the anticipated resolution of federal and state civil probes
into past sales and marketing practices, as the deal’s final details were
being worked out. Merck shares fell 1 cent to $45.70 Thursday. The
shares have traded in a 52-week range of $42.32 to $61.62. [Source:
Associated Press Linda A. Johnson article 8 Feb 08 ++]
NATIONAL SALUTE TO HOSPITALIZED VETERANS: Every day, some 98,000
veterans are treated in Department of Veterans Affairs medical centers,
outpatient clinics, domiciliaries, and nursing homes. And every year,
during Valentine's Week, a call goes out to the public to visit and honor
these hospitalized veterans during National Salute Week. This year, the
event runs from 11 thru 17 FEB. During the National Salute, VA invites
individuals, veterans groups, military personnel, civic organizations,
businesses, schools, local media, celebrities and sports stars to
participate in a variety of activities at the VA medical centers. The
activities and events include special ward visits and valentine
distributions;
photo opportunities; school essay contests; special recreation
activities and veteran recognition programs. The week also provides
an
opportunity for the community to become acquainted with the volunteer
opportunities within the medical center. Contact your nearest VA Medical
Center and ask for Voluntary Service to discover the things you, your
group
or organization can do to salute America’s Heroes. At present the VA
maintains 1317 facilities nationwide. You can locate the facility
nearest you at
http://www1.va.gov/directory/guide/home.asp?isFlash=1.
[Source: St. Cloud MN Times editorial 6 Feb 08 ++]
MOBILIZED RESERVE 13 FEB 08: The Army, Air Force and Marine Corps
announced the current number of reservists on active duty as of 13 FEB 08
in support of the partial mobilization. The net collective result is 481
more reservists mobilized than last reported in the Bulletin for 30
JAN 08. At any given time, services may mobilize some units and
individuals while demobilizing others, making it possible for these
figures to
either increase or decrease. The total number currently on active duty
in support of the partial mobilization of the Army National Guard and
Army Reserve is 73,769; Navy Reserve, 5,029; Air National Guard and Air
Force Reserve, 7,128; Marine Corps Reserve, 8,703; and the Coast Guard
Reserve, 343. This brings the total National Guard and Reserve personnel
who have been mobilized to 94,972, including both units and individual
augmentees. A cumulative roster of all National Guard and Reserve
personnel, who are currently mobilized, can be found at
http://www.defenselink.mil/news/Feb2008/d20080213ngr.pdf.
[Source:
DoD News Release 13 Feb 08 ++]
PASSPORT OBTAINMENT UPDATE 02: On 1 FEB 08 the U.S. Government
increased its fees for their U.S. citizen passport services. For adult
applicants renewing a passport, the total fee is now $75. For first-time,
applicants age 16 and over, the total fee increases to $100. The fee for
minors under 16 years of age will be $85. Effective 1 FEB 08
passport
applicants who are U.S. citizen minors under the age of 16 must appear
personally with their parents to establish identity, proof of citizenship
and proof of relationship. For parental application permission, both
parents must appear together and sign or one parent may appear to sign
and submit the other parent’s notarized statement, or one parent may
appear, sign, and submit primary evidence of sole authority. Minors age 16
and 17 may apply in person with their own identification, but for
security reasons, parental consent may be required. If your child does not
have identification of their own, a parent will be required to accompany
the child and present identification. Refer to the Department of
State’s website at www.travel.state.gov for complete information on all
new
requirements, including downloadable revised forms that must be used as
of 1 FEB, and the U.S. Embassy website at manila.usembassy.gov, for
complete U.S. passport application instructions. Americans traveling
abroad should regularly monitor their Embassy’s and the U.S. Department of
State's travel website at www.travel.state.gov , where the current
Worldwide Caution, Travel Warnings, and Travel Alerts can be found. The
U.S. Embassy also encourages U.S. citizens to review to "A Safe Trip
Abroad," found at
http://travel.state.gov/travel/tips/safety/safety_1747.html
, which
includes valuable security information for those both living and traveling
abroad. In addition to information on the Internet, travelers may
obtain up-to-date information on security conditions by calling 1(888)
407-4747 toll-free in the U.S. and Canada, or outside the U.S. and Canada
on a regular toll line at 1(202) 501-4444. Citizens living and residing
in the Philippines are advised to register their presence in the
country through the U.S. Department of State's automated online
registration
system,
https://travelregistration.state.gov. U.S. citizens may also
contact the Consular Section at the U.S. Embassy via e-mail or by calling
(02) 301-2000. [Source: U.S. Embassy Warden msg 1 Feb 08 ++]
PASSPORT OBTAINMENT UPDATE 03: U.S. citizens may begin applying in
advance for the new U.S. Passport Card beginning 1 FEB 08, in anticipation
of land border travel document requirements. It is expected cards will
be available and mailed to applicants in spring 2008. The passport
card will facilitate entry and expedite document processing at U.S. land
and sea ports-of-entry when arriving from Canada, Mexico, the Caribbean
and Bermuda. The Department of State is issuing this passport card in
response to the needs of border resident communities for a less
expensive and more portable alternative to the traditional passport.
The
passport card is by definition a passport and will be considered proof of
U.S. citizenship. The card may not, however, be used to travel by air.
The passport card will otherwise carry the rights and privileges of the
U.S. passport book and will be adjudicated to the exact same standards.
The card will have the same period of validity as the passport book:
ten years for an adult (age 16 and older), and five years for children 15
years and younger. If you already have a passport book, you may apply
for the card as a passport renewal and pay only $20. The fee for a
first-time adult applicant will be $45. The fee for a minor applicant
under
the age of 16 will be $35. [Source: U.S. Embassy Warden msg 1 Feb 08
++]
PHILIPPINES AIR CARRIER CONCERNS: On 26 DEC 07 the U.S. Federal
Aviation Administration (FAA) informed the Government of the Philippines
that
it has revised the Philippines’ aviation safety oversight category
from Category 1 to Category 2 due to serious concerns about the Philippine
Air Transportation Office’s oversight of air carrier operations.
Category 2 indicates that the FAA has assessed the Government of the
Philippines’ Civil Aviation Authority as not being in compliance with
International Civil Aviation Organization (ICAO) safety standards for the
oversight of Philippine air carrier operations. While in Category 2,
Philippine air carriers will be permitted to continue current operations
to
the United States, but will be under heightened FAA surveillance. For
more information, travelers may visit the FAA’s website at
http://www.faa.gov/safety/programs_initiatives/oversight/iasa.
Whenever possible, Americans traveling to and from the
Philippines
should fly to their destinations on international carriers from
countries whose civil aviation authorities meet international aviation
safety
standards for the oversight of their air carrier operations under the
FAA’s International Aviation Safety Assessment (IASA) program. The
U.S. Embassy strongly encourages Americans in the Philippines, including
short-term visitors, to register with the Embassy in Manila.
Registration may be done on-line at
https://travelregistration.state.gov.
Information on registration procedures, all security-related Travel
Warnings
and Public Announcements, and recent Embassy warden messages are posted
on the Embassy’s website at
http://manila.usembassy.gov. The U.S.
Embassy is located at: 1201 Roxas Boulevard, Manila, Philippines, tel.
63-2-301-2000. The Consular American Citizen Services (ACS) section's fax
number is 63-2-301-2017. [Source: U.S. Embassy Warden msg 1 Feb 08 ++]
CRSC UPDATE 37: The 2008 National Defense Authorization Act (NDAA)
was signed into law on 29 JAN 08. The NDAA expanded Combat-Related
Special Compensation (CRSC) eligibility to include those who were
medically
retired under Chapter 61with less than 20 years of service, effective 1
JAN 08. A Chapter 61 retiree is anyone who was medically retired from
military service. Chapter 61 is a new component for CRSC. Medically
retired Veterans must still provide documentation that shows a causal link
between a current VA disability and a combat-related event. CRSC
will
not begin processing claims until the DoD provides program
implementation instructions. Potentially eligible retirees can begin
to gather
the required documentation (VA rating decision, DD214, medical records)
needed to submit their claim. Required documentation includes a signed
claim form and:
1. Copy of Chapter 61 Board results (Chapter 61 claimants only).
2. Copies of ALL VA rating decisions which include the letter and the
narrative summaries
3. Copies of ALL DD214's
4. Medical records that support "HOW" the injury occurred for each
claimed disability that meets the criteria for combat-related. Refer to
CRSC website to learn what combat-related is.
The CRSC website www.crsc.army.mil will be kept updated with program
guidance and claim information. For questions and further guidance
send
email to
crsc.info@us.army.mil or contact the CRSC call center at
1(866) 281-3254. [Source: U.S. Army Wounded Warrior Program
Northeast Team
Ayandria Barry input 5 Feb 08 ++]
TAX DEDUCTIONS: Many disabled veterans and disabled people in
general
think that there is no reason to file any taxes. However, even
though
VA comp is non-reportable, in many states you can still get a rebate
back on sales tax property tax, and the likes. Every year, the IRS
dutifully reports the most common blunders taxpayers make on their
returns.
And every year, at or near the top of the list, is forgetting to enter
a Social Security number or making a mistake when entering the nine
digits that identify us to IRS computers. Who knows how many people
forgot-or never knew about-a deduction that could save them money?
The
opportunity for mistakes is almost unlimited. The most recent numbers show
that about 46 million of us itemized deductions on our 1040s-claiming
nearly one trillion dollars’ worth of deductions. Another 85 million
taxpayers claimed more than half a trillion dollars’ worth of standard
deductions. Some of those who took the easy way out probably shortchanged
themselves. Years ago, the head of the IRS told Kiplinger’s Personal
Finance magazine that he figured millions of taxpayers overpaid their
taxes every year by overlooking just one of the following money-savers
listed:
1. State sales taxes. This write-off makes sense primarily for those
who live in states that do not impose an income tax. You must choose
between deducting state income taxes or state sales taxes and, for most
citizens of income-tax states, the income tax deduction usually is a
better deal. IRS has tables for residents of states with sales taxes
showing
how much they can deduct. But the tables aren’t the last word. If you
purchased a vehicle, boat or airplane, you get to add the state sales
tax you paid to the amount shown in IRS tables for your state, to the
extent the sales tax rate you paid doesn’t exceed the state’s general
sales tax rate. The same goes for home building materials you purchased.
These items are easy to overlook. The IRS even has a calculator on its
Web site to help you figure out the deduction, which varies by your
state and income level.
2. Reinvested dividends. This isn’t really a deduction, but it is a
subtraction that can save you money; this is the break former IRS
Commissioner Fred Goldberg told Kiplinger’s that lots of taxpayers miss.
If,
like most investors, you have mutual fund dividends automatically
invested in extra shares, remember that each reinvestment increases your
“tax basis” in the fund. That, in turn, reduces the taxable capital gain
(or increases the tax-saving loss) when you redeem shares. Forgetting to
include the reinvested dividends in your basis-which you subtract from
the proceeds of sale to pinpoint your gain-means overpaying your tax.
3. Out-of-pocket charitable contributions. It’s hard to overlook the
big charitable gifts you made during the year, by check or payroll
deduction. But the little things add up, too, and you can write off
out-of-pocket costs you incur while doing good works. Ingredients for
casseroles
you regularly prepare for a nonprofit organization’ s soup kitchen,
for example, or the cost of stamps you buy for your school’s
fundraiser count as a charitable contribution. If you drove your car
for charity in 2007, remember to deduct 14 cents per mile.
4. Student loan interest paid by Mom and Dad. Until recently, if
parents paid back a student loan incurred by their children, no one got a
tax
break. To get a deduction, the law held that you had to be both liable
for the debt and actually pay it yourself. But now there’s an
exception. If Mom and Dad pay back the loan, the IRS treats it as though
they
gave the money to their child, who then paid the debt. So, a child who’s
not claimed as a dependent can qualify to deduct up to $2,500 of
student loan interest
paid by Mom and Dad.
5. Moving expense to take first job. Job-hunting expenses incurred
while looking for your first job are not
deductible, but moving expenses to get to that first job are. And you
get this write-off even if you don’t itemize. If you moved more than 50
miles, you can deduct the cost of getting yourself and your household
goods to the new area, including 20 cents per mile (plus parking fees
and tolls) for driving your own car.
6. Military reservists’ travel expenses. If you are a member of the
National Guard or military reserve, you may deserve a deduction for travel
expenses to drills or meetings. To qualify, you must travel more than
100 miles and be away from home overnight. If you qualify, you can
deduct the cost of lodging and half the cost of your meals, plus 48.5
cents
per mile (and any parking or toll fees) for driving your own car. You
get this deduction whether or not you itemize.
7. Child care credit. A credit is so much better than a deduction-it
reduces your tax bill dollar for dollar. So missing one is even more
painful than missing a deduction that simply reduces the amount of income
that’s subject to tax. But it’s easy to overlook the child care credit
if you pay your child care bills thorough a reimbursement account at
work. Until a few years ago, the child care credit applied to no more than
$4,800 of qualifying expenses. The law allows you to run up to $5,000
of such expenses through a tax-favored reimbursement account at work.
Now, however, up to $6,000 can qualify for the credit, but the old
$5,000 limit still applies to reimbursement accounts. So, if you run the
maximum $5,000 through a plan at
work but spend more for work-related child care, you can claim the
credit on up to an extra $1,000. That would cut your tax bill by at least
$200.
8. Estate tax on income in respect of a decedent. This sounds
complicated, but it can save you a lot of money if you inherited an IRA
from
someone whose estate was big enough to be subject to the federal estate
tax. Basically, you get an income tax deduction for the amount of estate
tax paid on the IRA balance. Let’s say you inherited a $100,000 IRA and
the fact that the $100,000 was included in your benefactor’s estate
added $45,000 to the estate tax bill. As you withdraw the money from the
IRA and pay tax on it, you also get to deduct a proportional amount of
the estate tax paid. If you withdraw $50,000 in one year, for example,
you get to claim a $22,500 itemized deduction on Schedule A.
9. State tax you paid last spring. Did you owe tax when you filed your
2006 state tax return in the spring of 2007? Then remember to include
that amount with your state tax deduction on your 2007 return, along
with state income taxes withheld from your paychecks or paid via quarterly
estimated payments.
10. Refinancing points. When you buy a house, you get to deduct points
paid to obtain your mortgage in one fell swoop. When you refinance a
mortgage, though, you have to deduct the points over the life of the
loan. That means 1/30th a year if it’s a 30-year mortgage-that’ s $33 a
year for each $1,000 of points you paid. And, in the year you pay off the
loan-because you sell the house or refinance again-you may get to
deduct all the as-yet-undeducted points. You do unless you refinance with
the same lender. In that case, you add points on the latest deal to the
leftovers from the previous refinancing and deduct the expense ratably
over the life of the new loan.
11. Jury pay paid to employer. Some employers continue to pay
employees’ full salary while they are doing their civic duty, but ask that
they
turn over their jury fees to the corporate treasury. The only problem
is that the IRS demands that you report those fees as taxable income.
You’ve always had a right to deduct the amount, so you weren’t taxed on
money that simply passed through your hands.
[Source: Gulf War Resource Center Jim Bunker input Feb 08 ++]
VA BUDGET 2009: President Bush is seeking a budget of $93.7 billion in
fiscal year 2009 for the Department of Veterans Affairs (VA), with
health care and disability compensation receiving most of the funding.
If
Congress accepts the White House’s budget request, VA’s budget would
be $3.4 billion more than the current spending level and nearly double
the budget in effect when President Bush took office seven years ago.
The budget proposal calls for $47.2 billion in discretionary funding,
mostly for health care. It also would provide $46.4 billion in
mandatory
funding for compensation, pension, educational assistance, home loan
guaranties and other benefit programs. This proposed budget will
allow
VA to continue implementing the recommendations of the President’s
Commission on Care for America’s Returning Wounded Warriors (Dole-Shalala
Commission). Included in the $93.7 billion request are funds to/for:
• Research projects ($252 million) specifically focused on veterans
returning from service in Iraq and Afghanistan. This includes
research
in traumatic brain injury, polytrauma, spinal cord injury, prosthetics,
burn injury, pain, and post-deployment mental health.
• Acquire greater access to DoD’s online medical information, by
working to reduce the Department’s reliance upon paper-based claims
folders
and by aggressively hiring new staff. By the beginning of 2009, VA
expects to complete a two-year effort to hire 3,100 new staff.
• Operations and maintenance for the National Cemetery Administration
($181 million) and an additional $5 million to begin interment
operations at six new national cemeteries—Bakersfield CA, Birmingham AL;
Columbia-Greenville SC; Jacksonville FL; Sarasota FL; and southeastern PA.
Major construction funding of $105 million to support the VA’s burial
program including resources for gravesite expansion and cemetery
improvement projects at three national cemeteries—New York (Calverton, $29
million); Massachusetts ($20.5 million); and Puerto Rico ($33.9 million).
Expand access to its burial program by increasing the percent of veterans
served by a national or state veterans cemetery within 75 miles of
their residence to 88% in 2009. VA expects to perform 111,000
interments
in 2009.
• Cyber-security program ($93 million) to uphold to support the
commitment to make the Department the gold standard in data security
within
the federal government.
• Medical services ($34.08 billion), medical facilities ($4.66
billion), and resources from medical care collections ($2.47 billion).
• Provide resources to treat nearly 5.8 million patients, including
about 3.9 million veterans who are VA’s highest priority
patients-veterans returning from service in Operation Iraqi Freedom (OIF)
and Operation
Enduring Freedom (OEF), veterans with service-connected disabilities,
those with lower incomes, and veterans with special health care needs.
• Treatment of about 333,000 OIF/OEF veterans in 2009. Medical care
funding for these patients will climb to nearly $1.3 billion in 2009, or
21% more than in 2008.
• Resources for VA to virtually eliminate the patient waiting list by
the end of 2009.
• Resources for mental health care ($3.9 billion).
• Non-institutional long-term care ($762 million). The number of
patients receiving this type of care, as measured by the average daily
census, is expected to reach 61,000.
• Resources for CHAMPVA ($1 billion +).
• $1.5 billion to support the increasing workload associated with the
purchase and repair of prosthetics and sensory aids to improve veterans’
quality of life.
• $83 million for facility activations where needed to purchase
equipment and supplies for newly constructed and leased buildings as VA
completes projects from the Capital Asset Realignment for Enhanced
Services
(CARES) program.
• Investments in VA’s capital infrastructure including the continued
development of new hospitals in Orlando FL ($120 million) and Denver CO
($20 million), and beginning three new projects to enhance mental health
and polytrauma care at the Palo Alto CA ($38 million), Bay Pines FL
($17 million) and Tampa FL ($21 million) medical centers.
• Expansion of the telehealth program to improve access to health care
for veterans living in rural and remote areas.
• $442 million for Medical/Prosthetic research in nearly 2,000
high-priority research projects.
• Disability compensation payments to 234,000 more service-disabled
veterans and their survivors in 2009 than were made in 2007. Total
disability compensation payments will increase by $6 billion.
• Improve the delivery of compensation and pension benefits. The
volume of claims is projected to reach 872,000 in 2009.
• Vocational rehabilitation and employment benefits for
service-disabled veterans will increase by $14 million in 2009.
• Resources to improve the timeliness with which compensation and
pension claims are processed— average days to process these claims will be
145 days. The number of claims processed will grow to over 940,000.
The
number of pending claims for compensation and pension benefits will
fall to 298,000 by the end of 2009.
• Resources to improve original education claims processing to 19 days
and supplemental education claims to 10 days in 2009.
• Resources for VA and the DoD to complete the pilot of a new
disability evaluation system at major medical facilities in the
Washington,
D.C., area.
• Specially adapted housing grants ($35.9 million).
• Expand access to its burial program by increasing the percent of
veterans served by a national or state veterans cemetery within 75 miles
of
their residence to 88% in 2009. That’s a 4.6 percentage point
increase above the performance level at the close of 2007.
• Provide more than $2.4 billion for the Department’s IT program.
• $23.8 million to complete the transition of compensation and pension
payment processing from the current system to VETsNET.
• $284 million for development and implementation of the Veterans
Health Information Systems and Technology Architecture (HealtheVet-VistA)
program.
[Source: VA News Release 4 Feb 08 ++]
VA BUDGET 2009 UPDATE 01: Some say budget request would not meet VA's
requirements. Following are some of the media/congressional comments
regarding the Bush proposal:
• Congressional Quarterly reported, "The Veterans Affairs Department
(VA) would receive only a modest boost for veterans' medical needs in
fiscal 2009, which Democrats said would not meet the agency's
requirements." The White House's budget request contains a total of $91.2
billion
for the VA, including $44.8 billion in discretionary spending. The
proposed discretionary spending is a modest increase over the $43.1
billion
appropriated to the department through the fiscal 2008 omnibus
spending law. And, while VA Secretary James B. Peake said the budget
request
builds on VA's past successes in providing veterans with timely,
accessible delivery of high-quality benefits and services earned through
their
sacrifice and service in defense of freedom some Democrats said the VA
medical budget could fall short of projected needs.
• Tim Johnson (D-SD), chairman of the Senate Appropriations Military
Construction-VA Subcommittee, said, "The administration has proposed an
increase in funding for the VA, but I'm concerned the need will outpace
the increase."
• The AP reported Sen. Jon Tester (D-MT) said the budget proposal is
about as out-of-touch with Montana values as you can get. It racks up
nearly a trillion dollars in new debt while containing nearly $2 billion
in new fees on veterans who want to use the VA. We need a budget that
prioritizes working families, rural America, infrastructure, veterans and
health care, especially for our children. If President Bush isn't
going to prioritize these things in his budget, Congress will in ours.
• USA Today said that with its budget request, the Bush administration
is again seeking to charge health care enrollment fees to veterans with
no service injuries and incomes above $50,000, along with charging a
hike in prescription-drug co-payments from $8 to $15. Congress, however,
has denied both before. USA Today added that outlook in Congress for
the request can best be summed up by Sen. Daniel Akaka (D-HI), the head
of the Senate Veterans Affairs Committee. Akaka called the proposal
inadequate: 'It's just not enough.'"
• The New York Times added, "The president proposes to raise $2 billion
from new enrollment fees and higher pharmacy co-payments for certain
veterans receiving health care from the Department of Veterans Affairs."
• The Marine Corps Times reports VA Secretary Peake praised the White
House request for VA funding, saying, "If you look at health care, it's
more than double what it was seven years ago." The Times added, "One
of the biggest issues facing VA is overwhelmed case workers who can't
keep up with the thousands of new benefits claims that continue to pour
in,"
• Rita Reese, principal deputy assistant secretary for management,
said VA plans to increase the number of fulltime case workers. She added
that the budget plan aims to reduce the disability claims backlog to
298,000 by the end of fiscal 2009, a drop of 24%. Reese also said the
average length of time required to rule on an initial benefits claim will
drop from the current 180 days to about 145 days, a 21% improvement over
2007.
• UPI added that President Bush's 2009 budget pushes for implementation
of recommendations from the Commission on Care for America's Returning
Wounded Warriors. The VA budget, unveiled Tuesday, seeks $41.2 billion
for medical care, which Bush said was more than double the amount the
department received when Bush took office. Picking up themes from his
State of the Union address last week, Bush said the administration also
would seek enactment of commission recommendations, including
modernizing of disability compensation systems, expanding treatment for
post-traumatic stress disorder and strengthening support for families.
• The Wall Street Journal reported a major expansion included in the
proposed budget was a 28% increase to $348 million for the Veterans
Affairs Department.
• Government Executive reported, "The Veterans Affairs Department would
see a nearly 18% jump in its information technology budget if Congress
approves President Bush's fiscal 2009 budget request." The
administration earmarked $2.53 billion for VA's tech budget in 2009, up
from $2.15
billion in 2008.
• VA officials said the bulk of the $380 million increase will be
allocated to programs to enhance veteran services, to cover inflationary
cost increases, replace aging equipment, build new facilities and add
services."
[Source: News from Around the Country 5 Feb 08 ++]
TRICARE USER FEE UPDATE 21: In the proposed FY09 budget DoD
included
the “Task Force for the Future of Military” recommendations to
dramatically raise the TRICARE enrollment fees, co-pays and deductibles
for
working age military retirees and their families. They estimate a savings
to them (and a cost to the retirees) of $1.2 billion. On 7 FEB,
representatives from The Military Coalition testified against these
proposals
before the House Armed Service Committee’s personnel subcommittee. The
increases proposed for 2009 are as follows:
• For retirees with retired pay from $0 to $19,999 for TRICARE Prime
(presently $230 for an individual and $460 for a family) up to $364 for
an individual and $728 for a family.
• For TRICARE Standard (presently there is no yearly enrollment fee and
the deductible is $150 for an individual and $300 for a family) there
will be an enrollment fee of $32 for an individual, $64 for a family, a
deductible of $209 for an individual and $407 for an family.
• For retirees with retired pay from $20,000-$39,000 for TRICARE Prime
(presently $230 for an individual and $460 for a family) up to $444 for
an individual and $888 for a family.
• For TRICARE Standard (presently there is no yearly enrollment fee and
the deductible is $150 for an individual and $300 for a family) there
will be an enrollment fee of $32 for an individual, $64 for a family, a
deductible of $252 for an individual and $503 for an family.
• For retirees with retired pay from $40,000 and above for TRICARE
Prime (presently $230 for an individual and $460 for a family) up to $594
for an individual and $1,188 for a family.
• For TRICARE Standard (presently there is no yearly enrollment fee and
the deductible is $150 for an individual and $300 for a family) there
will be an enrollment fee of $32 for an individual, $64 for a family, a
deductible of $337 for an individual and $675 for an family.
• The present co-pays in retail for a 30 day supply are $3 for a
generic drug, $9 for a brand name and $22 for a non-formulary drug. Under
this proposal it would increase to $15 for a generic; $25 for a brand name
and $45 for a non-formulary drug.
• Mail order for 90 day supply co-pays are presently $3 for a generic,
$9 for a brand and $22 for a non-formulary. Under the proposal the
generic they would have $0 co-pay generic, $15 for the brand and $45 for
the non-formulary.
[Source: TREA Washington Update 8 Feb 08 ++]
VA BUDGET 2009 UPDATE 02: On 7 FEB, the House Committee on Veterans’
Affairs, led by Chairman Bob Filner (D-CA), held a hearing to address
the Administration’s budget request for the Department of Veterans
Affairs (VA) for fiscal year 2009. Chairman Filner said, “The
request for
veterans’ funding for 2009 is simply not adequate. Although the request
includes a 5.5%increase for health care, this increase barely covers the
cost of medical inflation and does not keep up with the
ever-increasing demand for VA health care. I believe that no veteran
should have to
wait for a health care appointment simply because the VA does not have
the resources to care for that veteran. The VA must make sure that
resources are in place to meet the needs of our servicemembers returning
from Iraq and Afghanistan, especially in the areas of mental health care
services and traumatic brain injury care, and that we provide the
benefits and services promised to previous generations of veterans.
The
service and sacrifice of our veterans is real, and the budget for the VA
must provide realistic funding levels to meet these needs – and I’m
afraid that the Bush budget for veterans does not make the grade.”
The Administration request calls for a $2 billion increase
for VA
medical care, and an overall increase of $1.7 billion for VA
discretionary funding. The budget, released on 4 FEB, increases
veterans’
spending in FY 2009 but afterwards calls for slashing veterans’ programs
from
2009-2013 by $20 billion below the levels needed to maintain what the
VA is doing today. The Chairman said, “I am concerned that this
budget
proposal contains only modest increases for veterans’ health care while
paying for this slight increase with cuts in other veterans’ programs
below the historic levels this Congress provided for in this fiscal
year. It is hard for me to believe that the VA is serious about providing
the finest health care possible to our veterans when the Bush
Administration slashes funding for building new health care facilities and
reduces our investment in VA medical and prosthetic research – we need to
keep our promises to veterans and invest in their futures.” For the
sixth year in a row, the budget proposal raises health care costs on 1.4
million veterans by proposing an enrollment fee and calling for nearly
doubling the amount paid by some veterans for prescription drugs.
“This
is simply the Bush Administration’s attempt to raise taxes on veterans
and discourage them from seeking the health care they need, and have
earned,” said Chairman Filner. He added, “There are too many
uninsured
veterans who need medical care and cannot afford it. I am extremely
disappointed that the VA has once again submitted a budget that assumes
the continuation of the enrollment ban on Priority 8 veterans – this
continued ban on an entire class of veterans is especially egregious when
we look at our faltering economy. We face the very real prospect of
more and more of our veterans facing economic hardships and losing access
to medical care.” [Source: House Committee on Veterans’ Affairs News
Release 7 Feb 08 ++]
VA ENROLLMENT FEE UPDATE 01: The President’s proposed 2009 VA budget,
once again, calls for an annual enrollment fee for veterans in priority
7 and 8 and an increase in the pharmacy co-pays. Fortunately, unlike
DoD the VA did not budget the “savings” that adoption of such proposals
would bring into to the healthcare budget. Therefore, if the Military
Coalition is once again successful at stopping these proposed increases
there will not be a hole in the VA’s healthcare budget. The Budget
as
submitted presently includes the following tiered annual enrollment
fees based on veteran’s family income (Priority 7/8):
Family Income
Annual Enrollment Fee
Under $50,000
None
$50,000 -$74,999
$250
$75,000 -$99,999
$500
$100,000 and above
$750
It also calls for an increase in pharmacy co-payments from $8 to $15
(Priority 7/8). Last year Congress passed historic increases in the VA
budget; $3.7 billion additional funding was given to the VA in emergency
funding for this year. Hopefully, permanent additional funding can be
added to this already increased budget. [Source: TREA Washington Update
8 Feb 08 ++]
MEDICARE PART D UPDATE 18: To get your Medicare drug plan to pay for
a drug they have declined to pay for or lower the cost you must ask for
an exception. This has to be done by a formal, written request to your
plan asking that it pay for a drug you need that is not on its
formulary or asking it to lower the price of a drug you need that is on
its
formulary but it costs too much. The process for asking a plan to cover a
drug for you is the same whether you are in a Medicare private health
plan with drug coverage (MA-PD) or stand-alone private drug plan (PDP).
Normally, you will not know it is necessary to do this until after you
try to fill your prescription at the pharmacy. The steps to follow
when asking for an exception are:
1. Get a supporting statement from your prescribing doctor: You or
your doctor can request an exception. However, you will still need a
supporting letter from your doctor certifying that the drug prescribed is
medically necessary because other drugs are not as effective or may be
harmful for you. If it is an emergency—your “life, health or ability to
regain maximum function” are at risk—your doctor can ask the plan to
respond quickly (expedited exception).
2. Find out where you should file for an exception: To find out where
to fax the letter and whether you need any other forms, you or your
doctor should call your plan. In most plans, you should ask for the
“Clinical Review or Pharmacy Department.”
3. Make sure your plan responds when it should: If you do not get an
answer, call until you do.
Plans must respond within 72 hours of receiving your doctor's written
statement explaining why the drug is medically necessary for you. If it
is an emergency, plans must respond to expedited requests within 24
hours. These are clock hours not business hours. Your plan should contact
you with a decision, but if you do not hear from them in the proper
timeframe, you should call and ask for the plan’s decision.
4. Exception request denied: If a plan denies an exception request,
you can appeal the plan's decision. Your plan should respond to you in
writing with a letter titled “Notice of Denial of Medicare Prescription
Drug Coverage.” The letter will tell you how to appeal.
[Source: Dear Marci Medicare Rights Center 4 Feb 08 ++]
MEDICARE PART D UPDATE 19: Before you can begin the appeals process,
you must have already asked for an exception and been officially denied
in writing. A “no” at the pharmacy is not an official denial. The
process for appealing is the same whether you are in a Medicare private
health plan with drug coverage (MA-PD) or stand-alone private drug plan
(PDP). If your exception has been denied, the first step is to go back to
your plan and ask for a “redetermination.” The notice you received
denying your exception request will tell you why you have been turned down
and how to ask for a redetermination (this notice is generally called a
“Notice of Denial of Medicare Prescription Drug Coverage”). Following
are the appeal steps you are entitled to and the time frames in which
they must be responded to:
Redetermination: You must ask for a redetermination within 60 days.
You, your prescribing doctor or a representative acting on your behalf can
make the request (a representative can be someone authorized under
state law to act for you, such as a legal guardian, or someone you appoint
in a written statement to Medicare). You should call your plan’s
“Grievance and Appeals” department to make sure you understand what you
need
to do to ask for a redetermination. (Under certain circumstances, you
may be able to file after 60 days, for example, if you were in the
hospital and therefore unable to make the request). If it is not an
emergency, you can file a standard request for a redetermination. If your
doctor is filing on your behalf, he will need to have you sign a client
“representative form.” This form must be submitted with the
redetermination request. The plan must respond no later than seven
calendar days from
the date it receives the request.
Expedited Redetermination: If it is an emergency you or your doctor can
ask for an “expedited” redetermination. Your doctor will not need a
representative form in this case (but it may be a good idea to submit one
anyway). The plan must respond within 72 hours. If the plan fails to
act within this time frame, it must forward the appeal to the
Independent Review Entity (IRE) within 24 hours of the missed deadline.
Plans
must expedite appeals if your doctor certifies that your health requires
it. If the plan decides to overturn its initial decision, it must
process the request for coverage within seven calendar days (72 hours for
an
expedited appeal) from the date it received the request for
redetermination. If the redetermination request involved payment
(including
reimbursement), the plan must authorize it within seven calendar days and
pay
within 30 calendar days from the date it received the request for
redetermination.
Independent Review Entity (IRE): If the plan denies coverage after a
redetermination request, you can request a review by the IRE within 60
days of getting the notice of denial. That notice should also explain how
to appeal to the IRE (sometimes referred to as a Qualified Independent
Contractor or QIC). The IRE is an independent agency that contracts
with Medicare to handle these appeals and is not affiliated with any
Medicare private drug plan. The IRE must get the input of the prescribing
doctor either orally or in writing and respond no later than seven
calendar days after receiving the reconsideration request (72 hours for an
expedited appeal).
Administrative Law Judge (ALJ) hearing: If you disagree with the IRE’s
decision, or if the IRE fails to act, you can request an ALJ hearing
within 60 days of the IRE’s decision if the amount in question meets the
minimum amount that Medicare sets each year ($120 in 2008). Multiple
appeals can be consolidated to meet this amount, allowing you to project
the cost of the drug to include all of the refills you will need for
the calendar year. The ALJ has a 90-day time limit within which to
consider your appeal.
Medicare Appeals Council (MAC): If you disagree with the ALJ’s
decision, you can appeal within 60 days to the MAC. The MAC can also
review
the ALJ decision on its own initiative. The MAC has 90 days to respond.
Judicial Review: If you disagree with the MAC’s decision or if the MAC
denied the request for appeal, and the amount in question meets the
minimum amount that Medicare will announce annually ($1,180 in 2008), you
can request judicial review in federal court.
If the IRE, ALJ, MAC or Judicial Review decides the plan must cover the
drug you need, the plan must process the coverage within 72 hours (24
hours for an expedited appeal) from the date the plan received the
decision. If the case involves a reimbursement request, the plan must
authorize it within 72 hours and pay within 30 calendar days from the date
it received the request. [Source: Dear Marci Medicare Rights Center
4
Feb 08 ++]
VA FRAUD UPDATE 07: A rural route carrier for the U.S. Postal
Service
has been accused of stealing medication from mail intended for
veterans. Thirty-8-year-old Leta May McDaniel of De Beque CO was arrested
Thursday on suspicion of 2 counts of unlawful possession of a controlled
substance. She is free on a personal recognizance bond. The Postal
Service says McDaniel resigned from her job earlier this month.
Investigators
say a number of people had complained they weren't receiving their
medications. Authorities say the suspect was believed to have taken
medicine from mail coming from the Veterans Administration Hospital in
Grand
Junction. McDaniel has an unlisted phone number and could not be
reached for comment. [Source: Parachute CO Post Independent AP article 3
Feb
08 ++]
WINDOWS VISTA UPDATE 02: With Windows Vista, it you can encounter a
whole array of issues every time you try to install a new piece of
software, a new utility, a new driver or anything else for that matter.
And
those problems are usually caused by one of three things:
1.) A conflict between the new program and one you already have
installed on your computer.
2.) A problem within the new application itself.
3.) An improper installation or problems with the installation.
There are some solutions! If, after you install a new program, you're
having trouble with your overall computer or even with some of the other
programs you already have on your PC, the first thing you should do is
uninstall the program and try it again. There could have been some
complications with the initial install and a fresh start may be just what
your computer needs. Also, when you're going through the install, just
make sure you are following the directions exactly and not missing any
important information along the way. If the first install messed up
your computer so much that you can't even boot into Windows, you'll need
to try booting into Safe Mode. By doing that, you'll be able to
troubleshoot and figure out exactly what's causing the problem. You should
then
be able to boot up normally and try the install again. If neither of
those suggestions worked for you, there is something else you can check
on. When you're installing a new piece of software, you should always
ensure that you have the latest version and all of the new updates. If
the program has updates, you won't be able to install it correctly until
you get them. You can get the updates by visiting the manufacturer's
Web site. The same goes if you're trying to install a new piece of
hardware that needs updated drivers. You also need to make sure the
program
you're installing is Vista compatible. A lot of the older programs you
have may not work with Vista and if you're having trouble installing
them, that's probably why. When Microsoft designed Windows Vista, they
didn't really account for a lot of the older programs most of us use, so
you have to do a lot of trial and error when you're installing new
applications. Programs that worked just fine with Windows XP may be
completely different with Vista. [Source: Bits & Pieces Jack
Gallimore Input
4 Jan 08 ++]
VET JOB UPDATE 01: Some upcoming Military Job Fairs scheduled for
southern California are listed below. For additional info refer to
http://hirepatriots.com/:
February 28, San Diego Naval Base, Anchors Club, 10:00-14:00.
July 10, Camp Pendleton Marine Base, So. Mesa Club, 10:00-14:00.
July 31, San Diego Naval Base, Anchors Club, 10:00-14:00.
October 23, Camp Pendleton Marine Base, So. Mesa Club, 10:00-14:00.
November 6, San Diego Naval Base, Anchors Club, 10:00-14:00.
December 4, Miramar Marine Air Station, Officers Club, 10:00-14:00.
[Source: Patriotic Hearts Winter Newsletter Feb 08 ++]
VOLUNTARY SEPARATION INCENTIVE (VSI): There is a group of disabled
veterans on the DOD payroll that are totally excluded from the benefits of
the restoration of concurrent receipt: those separated under provision
of title 10 US Code Sec 1175 - Voluntary Separation Incentive (VSI)
that was used in conjunction with Temporary Early Retirement Authority
(TERA, PL 102-484 Sec 4403(f)) to reduce the size of the military
establishment during 1992 through 2001. Beginning 31 DEC 92, VSI was
offered
to service members having at least 6 but less than 20 years of service.
They receive an annual amount funded by the Department of defense that
equals the multiplication product of four factors: (1) their base pay
at separation, (2) number of years of service, (3) 12 and (4) 2.5%. Note
that while the annual amount is identical to the 12 times the monthly
amount they would have received if retired for the same length of
service, the VSI amount is not considered retirement pay. If the VSI
recipient later qualifies for VA compensation for service connected
disability, the same title 38 US Code sections that require a $1 for $1
offset of
military retired pay also require the same offset of the VSI amount.
While the 2003 NDAA included TERA retirees under
Concurrent
Retirement Disability Pay (CRDP, 10 USC 1414) it excludes VSI recipients
because they are not “retired.” The 2008 NDAA includes Chapter 61 medical
disability retirees under the Combat Related Special Compensation (CRSC,
10 USC 1413a) but not CRDP. Regardless, one can be retired under
Chapter 61 with a minimum of 30 days active service. Extending CRSC to
Chapter 61 restores their retirement pay (based on 2.5% x length of
service
x base pay) that is offset by VA disability compensation. Thus there is
some form of relief of the VA disability compensation offset extended
to TERA and Chapter 61 retirees, but absolutely no relief for VSI
recipients. Those interested in seeing legislation to correct this
omission
should contact their legislators and request his/her sponsorship of a
bill. For sure, the 2009 NDAA should include VSI recipients in
concurrent receipt. A suggested editable letter with automatic
transmission
means can be found at
http://capwiz.com/usdr/issues/alert/?alertid=10921911&queueid=[capwiz:queue_id]
to assist in this endeavor. [Source: USDR Action Alert 3 Feb 08 ++]
VETERANS EMERGENCY CARE FAIRNESS ACT: When a veteran needs emergency
medical treatment, the VA allows that veteran to go to the nearest
private or community hospital. Once the veteran is stabilized, the veteran
must then be transferred to a VA hospital for any necessary continued
care. The problem arises when there is a wait for a bed in a VA
hospital. Current law does not require the VA to reimburse the hospital
for the
care given after the point of stabilization. In rural areas, the
problem with the current law is particularly pronounced. Often, a patient
may be deemed stable but is not necessarily stable enough to make
ambulance trips traveling long distances. More specifically, the Veterans
Emergency Care Fairness Act of 2007:
• Requires (under current law, authorizes) the Secretary of Veterans
Affairs to reimburse certain veterans without a service-connected
disability enrolled as active participants of the Department of Veterans
Affairs (VA) health care plan for the cost of emergency treatment received
in a non-VA facility until such time as such veterans are transferred to
a VA facility.
• Requires (under current law, authorizes) the Secretary to reimburse
certain veterans with a service-connected disability or a
non-service-connected disability associated with or aggravating a
service-connected
disability for the value of emergency treatment for which such veterans
have made payment from sources other than the VA.
Thus, HR 3819 would simply close that loophole and require the VA to
reimburse the private hospital for care. Those interested in seeing this
legislation become law should contact their legislator and request
his/her support of the bill. A suggested editable letter with automatic
transmission means can be found at
http://capwiz.com/usdr/issues/alert/?alertid=10912651&queueid=[capwiz:queue_id]
to assist in this endeavor. [Source: USDR Action Alert 1 Feb 08 ++]
MHS 2008 CONFERENCE: On 28 JAN 07, the 2008 Military Health System
(MHS) "Caring for America 's Heroes" conference began. The goal of this
year's conference was to illustrate the MHS' role in global healthcare
delivery, while featuring plenary sessions aligned with the MHS
strategic plan, goals and objectives. The event brought together over
3,500
military and civilian health professionals, contractors, and veteran
advocates. In his opening remarks, Assistant Secretary of Defense
for
Health Affairs Dr. S. Ward Casscells called on everyone to share lessons
learned to make the care of wounded, injured and ill even better Dr. James
B. Peake, Secretary of Veterans Affairs (VA), also addressed the
group, promising greater collaboration between the two departments in the
months to come. One of the major issues discussed was the need to make a
single seamless pathway for our military from point of illness to, and
through the VA system. The electronic personal health record is
essential, said Dr. Casscells, to clearing a seamless pathway between DoD
and
VA as well as a critical element to maintain healthcare costs by
tracking the progression and treatment of chronic disease. For years DoD
and
VA have been developing individual systems that were not
interchangeable. More recently, the two departments have undertaken a
series of
initiatives that will allow data to move rapidly between the two agencies.
Another item receiving heavy emphasis during the conference was
accession and retention of health care professionals. The need for
physicians,
clinicians and nurses has been a continuing concern for the military
services. Health care leaders pledged to take a serious look at this
area and hope to increase incentives for these critical healthcare
providers. Unlike previous years, the issue of retiree health care and the
possibility of Tricare fee increases were not on the agenda. [Source: NAUS
weekly Update 1 Feb 07 ++]
MILITARY DEATHS UPDATE 01: The claim that there were more U.S.
military fatalities during the Bill Clinton administration than there have
been to date under George W. Bush is false. Moreover, that erroneous
conclusion was based on falsified statistics. Using the actual figures
from
the Congressional Research Service report on the subject which can be
seen at
http://www.fas.org/sgp/crs/natsec/RL32492.pdf, the total
military deaths under each of the two administrations are Bill Clinton
(1993 -
2000) 7,500 deaths and George W. Bush (2001 - 2006) 8,792 deaths.
Moreover, of the 7,500 fatalities that occurred on Clinton's watch, only
76 were attributable to hostile action; the rest were the result of
accidents, homicide, illness, self-inflicted injuries, or unknown causes.
For the record, here are the accurate totals for the past 26 years:
U.S. Active Duty Military Deaths 1980-2006
1980 .... 2,392
1981 .... 2,380
1982 .... 2,319
1983 .... 2,465
1984 .... 1,999
1985 .... 2,252
1986 .... 1,984
1987 .... 1,983
1988 .... 1,819
1989 .... 1,636
1990 .... 1,507
1991 .... 1,787
1992 .... 1,293
1993 .... 1,213
1994 .... 1,075
1995 .... 1,040
1996 ....... 974
1997 ....... 817
1998 ....... 827
1999 ....... 796
2000 ....... 758
2001 ....... 891
2002 ....... 999
2003 .... 1,228
2004 .... 1,874
2005 .... 1,942
2006 .... 1,858
[Source: Urban Legends
http://urbanlegends.about.com/ 26 Jan 08 ++]
STATE VET BENEFIT CHANGES: Illinois, Ohio, and Massachusetts have
recently passed legislation to help veterans transition back into civilian
life. Veterans in Massachusetts are entitled to bonuses through the
State's Welcome Home Program. Massachusetts veterans should call the
State Treasurer's office at (617) 367-9333, ext. 859, to request bonus
application materials. In Illinois, a new tax law known as the Returning
Veterans Homestead Exemption provides a one-time $5,000 reduction to
their home's equalized assessed value. For more information, visit the
Illinois Department of Revenue website. Ohio’s governor signed a law that
exempts military pensions from State income tax and also prevents
discrimination against veterans. [Source: NAUS weekly Update 1 Feb 07 ++]
MILITARY RETIREE ALERT: Military retirees need to check their
beneficiary information on the reverse side of their Military Retiree
Account
Statement. Some retirees have reported an unauthorized beneficiary name
change. The Defense Finance and Accounting Service said it has no way
of ascertaining whose identity may have been stolen, resulting in a
beneficiary change. If this becomes a widespread issue, they most likely
will put out at notice. Those retirees that have the wrong
beneficiary
on their statement should contact DFAS immediately to change their
beneficiary, and let them know it was changed without their authorization.
The DFAS number is: 1-800-321-1080. [Source: VetJobs Veteran Eagle 1
Feb 08 ++]
CNGR COMMISSION UPDATE 03: The independent Commission on the
National
Guard and Reserves (CNGR) is charged by Congress to recommend any
needed changes in law and policy to ensure that the Guard and Reserves are
organized, trained, equipped, compensated, and supported to best meet
the national security requirements of the United States. The Commission
was established by the Ronald W. Reagan National Defense Authorization
Act for Fiscal Year 2005. On 31 JAN 08 it recommended sweeping changes
to the way U.S. military reserve forces have been structured and have
operated for more than a half century and delivered to Congress and
Pentagon officials its final report, which includes 95 recommendations on
how to transition the reserves into a feasible and sustainable
operational reserve.
Today's reserve components were designed as a strategic
reserve
during the Cold War era. "The Guard was part of that surge force that
would be dusted off once in a lifetime," commission chairman retired
Marine
Maj. Gen. Arnold Punaro said. "That is absolutely not the situation we
have today." Nearly 100,000 reserve troops are on active duty,
according to DoD reports. In 2006, reserves forces provided 61 million
"man
days," or single days of duty, in support of the Defense Department.
It
would not be feasible to add an equivalent number of forces to active
duty, Punaro said in a news conference at the National Press Club. He
called increasing active forces so significantly an economically
unaffordable option that would cost a trillion dollars. Right now, for
about 9%
of the DoD budget, the National Guard and reserves provide 44% of
manpower available to the Defense Department, Punaro said. Six
conclusions
serve as the foundation for the 400-page report, which is based on 163
findings, 17 days of public hearings, testimony of 115 officials
witness and 800 interviews and site visits by commission members. It is
the
most comprehensive, independent review of the Guard and reserves in 60
years, Punaro said.
The commission proposed changes in laws and regulations
that
govern the reserves, as well as how reserve forces train, equip and
approach
medical readiness. The commission proposed an "integrated continuum of
service" between reserve and active forces, offering the same pay,
personnel, promotion and retirement systems. The changes would allow
a
seamless transition by servicemembers over the course of a military
career to transition from active to reserve, and to even leave the service
temporarily for child rearing or to pursue higher education. Now,
when
reservists move from one duty status, such as from active duty to state
duty, they sometimes face pay problems and delays. The commission
recommended moving from the current 29 duty statuses to only two: active
duty or not. For health care, a hot-ticket item for activated
reservists, the commission proposed more specific, targeted information
geared to
reservists and their families. Many of those the commission
interviewed expressed frustration with trying to understand the medical
healthcare system quickly once their spouses were mobilized, commission
members
said. In personnel changes, the commission recommended a
competency-based promotion system that recognizes civilian skills and
recruits and
retains accordingly.
Many of the changes could be implemented this year if
supported by
Congress and DoD, Punaro said. Some, though, could require years to
debate and implement. The commission also called for better support
programs, funding and resourcing for families and defense officials to
have
an open dialogue with employers who suffer when employees depart on
multiple employments. It also recommends expanding the role of the
National Committee for Employer Support of the Guard and Reserve, which
advocates on the behalf of servicemembers. "During the past few
years, DoD
has initiated the largest set of changes in policy and statute since
the inception of the all-volunteer force. This is transforming the Guard
and Reserve from a purely strategic reserve to a sustainable
operational and strategic reserve," Thomas F. Hall, assistant secretary of
defense for reserve affairs, said today. Defense Department
officials said
they are reviewing the report. [Source: AFPS Fred W. Baker III
article
31 Jan 08 ++]
TFL FACTS & TIPS UPDATE 01: Tricare for Life (TFL) is TRICARE's
Medicare-wraparound coverage available to all Medicare-eligible Tricare
beneficiaries, regardless of age, provided they have Medicare Parts A and
B. Under TFL Medicare is your primary insurance and TRICARE acts as your
secondary payer minimizing your out-of-pocket expenses. Tricare
benefits include covering Medicare's coinsurance and deductible. Key
features of Tricare for Life include:
• Minimal out-of-pocket costs (aside from Medicare part B premium).
• No enrollment fees for TFL. But, you must purchase Medicare Part B
and pay monthly premiums to be eligible for TFL.
• Coordination of benefits between Medicare and Tricare.
• Tricare is the secondary payer for all services covered by both
Tricare and Medicare.
• Tricare is the primary payer for those services covered only by
Tricare.
• Additional steps may be required in order to coordinate benefits if
you have other health insurance in addition to Tricare and Medicare.
• Freedom to manage your own health care.
• No assigned primary care manager.
• Visit any Medicare provider.
• Receive care at a military treatment facility on a space-available
basis.
• No claims to file (in most cases).
• Your provider files your claim with Medicare. Medicare processes the
claims and forwards them electronically to Tricare.
• Tricare pays similarly to Tricare Standard in those overseas
locations where Medicare is not available.
• You can apply to suspend your FEHBP coverage by calling the Office of
Personnel Management's Retirement Information line at 1-888-767-6738
to obtain a suspension form.
• Although the age for full Social Security retirement benefits has
increased, the age for Medicare entitlement has not changed; it continues
to be age 65.
TFL is available to all Medicare-eligible Tricare beneficiaries,
regardless of age, including retired members of the National Guard and
Reserve who are in receipt of retired pay, family members, widows and
widowers and certain former spouses. Dependent parents and parents-in-law
are
not eligible for TFL. If you're under age 65, have Medicare Part B, and
live in a Tricare Prime service area, you have the option to enroll in
Tricare Prime; Tricare waives your Tricare Prime enrollment fee. You
should confirm that your Medicare status is current in the Defense
Enrollment Eligibility Reporting System (DEERS). Your uniformed services
ID
card and your Medicare card, which must reflect enrollment in Medicare
Part B, are evidence of your TFL eligibility. To learn more about how
TFL works for you, you can enter your profile at
http://www.tricare.mil/mybenefit/index.jsp
and select "Tricare for
Life" as your health plan. For help in determining which plan
options are
available to you refer to
http://www.tricare.mil/mybenefit/ProfileFilter.do?puri=%2Fhome%2Foverview%2FPlanWizard.jsp?
After answering a series of questions, it will tell you which plan
options you may be eligible for. If you are not sure which plan you are in
now, or if you want to compare your options side by side refer to
http://www.tricare.mil/mybenefit/ProfileFilter.do?puri=%2Fhome%2Foverview%2FComparePlans.
[Source:
http://www.tricare.mil/mybenefit/ Jan 08 ++]
PROSTATE PROBLEMS UPDATE 04: Whether or not to treat prostate cancer
is one of the biggest medical dilemmas today. The disease is the most
common cancer in American men -- about 220,000 cases will be diagnosed
this year -- but most tumors grow so slowly they never threaten lives.
There is no sure way to tell which tumors will. Older men with early
stage prostate cancer are not taking a big risk if they keep an eye on the
disease instead of treating it right away, suggests the largest study
to look at this issue since PSA tests became popular. Only 10% of the
9,000 men in the study who chose to delay or skip treatment had died of
prostate cancer a decade later. The vast majority were alive without
significantly worsening symptoms or had died of other causes. Even the 30%
who eventually sought treatment were able to delay it for an average
of 11 years. Chief medical officer of the American Cancer Society Dr.
Otis Brawley said, "It is important news. It may persuade some
middle-of-the-roaders that we are over treating this disease," and that
PSA
testing may be amplifying the problem, he said. The PSA blood test to help
detect tumors has been widely used since the 1990s.
PSA tests can help find tumors many years before they cause
symptoms, but routine screening of men at average risk of the disease is
not
recommended, because there is no proof it saves lives. Prostate cancer
treatments are tough, especially on older men. Many men are left with
sexual or bladder control problems. Some doctors instead recommend
"watchful waiting" to monitor signs of the disease and treat only if they
worsen, but smaller studies have given conflicting views of the safety of
that approach. The new study looked at the natural course of the disease
in men who chose that option. It is the first involving so many older
men -- half were over 75 -- and so many whose tumors were found through
PSA tests. Using the federal government's cancer database, researchers
studied 9,018 men diagnosed from 1992-2002 with early-stage prostate
cancer who did not get surgery, radiation or hormone therapy for at
least six months. Most never got any treatment at all. A decade later, 3
to
7% of those with low- or moderate-grade tumors -- rated by how
aggressive the cells appear -- had died of prostate cancer, versus 23% of
those with high-grade tumors. Overall, prostate cancer killed 10% of them.
Grace Lu-Yao of Robert Wood Johnson Medical School in
New Jersey
led the study and will report results at a cancer conference in FEB in
San Francisco. “The great majority of patients ... are going to die of
something else," so most older men with early-stage tumors could delay
treatment, Lu-Yao said. "If people are younger or have more advanced
disease, I wouldn't say this is a safe option," but most cases are
diagnosed in men 68 or older, and most are early stage, she noted. Dr.
Howard
Sandler, a radiation and prostate specialist at the University of
Michigan, cautioned, "there are exceptions to every rule," and some very
active, healthy older men may do better having treatment right away, along
with older men who have higher-grade tumors. Earlier this month, a
scientific review published in the Annals of Internal Medicine concluded
that evidence was too thin to recommend treatment over watchful waiting,
or one treatment over another. Studies do show that prostate cancer
surgery mostly helps men under 65, said Dr. Timothy Wilt of the
Minneapolis VA Center for Chronic Disease Outcomes Research, who led the
review.
The new study shows that for men older than that, "observation is a
very reasonable approach," he said. "Many men do quite well for a long
period of time with no treatment." Although routine PSA testing is not
recommended for all men, the cancer society does advise giving men
information and the option to have it starting at age 50. Screening is
recommended starting at age 45 for men with a family history of prostate
cancer and for black men, because of their higher risk of the disease.
[Source: Associated Press article 13 Feb 08 ++]
VETERAN LEGISLATION STATUS 14 FEB 08: For a listing of Congressional
bills of interest to the veteran community that have been introduced in
the 110th Congress refer to the Bulletin’s House & Senate attachments.
By clicking on the bill number indicated you can access the actual
legislative language of the bill and see if your representative has
signed on as a cosponsor. Support of these bills through cosponsorship by
other legislators is critical if they are ever going to move through the
legislative process for a floor vote to become law. A good
indication
on that likelihood is the number of cosponsors who have signed onto the
bill. A cosponsor is a member of Congress who has joined one or more
other members in his/her chamber (i.e. House or Senate) to sponsor a
bill or amendment. The member who introduces the bill is considered the
sponsor. Members subsequently signing on are called cosponsors. Any
number of members may cosponsor a bill in the House or Senate. At
http://thomas.loc.gov
you can also review a copy of each bill’s
content, determine its current status, the committee it has been assigned
to,
and if your legislator is a sponsor or cosponsor of it. To determine
what bills, amendments your representative has sponsored, cosponsored,
or dropped sponsorship on refer to
http://thomas.loc.gov/bss/d110/sponlst.html.
The key to increasing
cosponsorship on veteran related bills and subsequent passage into law is
letting our representatives know of veteran’s feelings on issues. At
the end of some listed bills is a web link that can be used to do that.
Otherwise, you can locate on
http://thomas.loc.gov who
your
representative is and his/her phone number, mailing address, or
email/website to
communicate with a message or letter of your own making. [Source:
RAO
Bulletin Attachment 14 Feb 08 ++]
HAVE YOU HEARD: Evidence has been found that William Tell and his
family were avid bowlers. However, all the Swiss league records were
unfortunately destroyed in a fire, and we'll never know for whom the Tells
bowled.
Lt. James “EMO” Tichacek, USN (Ret)
Director, Retiree Assistance Office, U.S. Embassy Warden & IRS VITA
Baguio City RP
PSC 517 Box RCB, FPO AP 96517
Tel: (951) 238-1246 when in U.S. & Cell: 0915-361-3503 when in
Philippines.
Email:
raoemo@sbcglobal.net Web:
http://post_119_gulfport_ms.tripod.com/rao1.html
AL/AMVETS/DAV/FRA/NAUS/NCOA/MOAA/USDR/VFW/VVA/CG33/DD890/AD37 member
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