BACK

RAO Bulletin Update
1 June 2008
 

THIS BULLETIN CONTAINS THE FOLLOWING ARTICLES

== Veterans Benefits Expirations ------------------ (Did you Know?)
== MN Disabled Property Tax Exclusion -------- (Up to $300,000)
== Veteran's Pensions -------------------------------- (Did you know?)
== Long Term Care w/Medicaid --------------------------- (Coverage)
== CRSC [38] ------------------------------------------ (Phishing Scam)
== Army Combat Action Badge [01] ----- (Retroactive Award Bill)
== Mobilized Reserve 28 MAY 08 ----------------- (2927 Decrease)
== VA Claim Backlog [15] -------------- (GAO Faults VA Training)
== SSA Trust Fund ------------------------------- (In Trouble)
== Medicare Trust Fund ----------------------------------- (In Trouble)
== Award Modifications ----------------------------- (TIOH Changes)
== CRSC under Disability Retirement ---------- (How to Compute)
== Legislation of Interest [10] -------- (Houses Passes 10 Vet Bills)
== Veterans Tax Relief ----------------------------- (H.R.6081Passes)
== GI Bill [23] ------------------------ (Passes Senate 75-22)
== VA Commercial Ins Coverage ------------ (National Agreement)
== Medicare Drug Use Safety Program -------- (Sentinel Initiative)
== VA Emergency Care [02] ------------- (S.2142/H.R.3819 Status)
== VA Benefit Rolls ---------------------------------------- (Sep 2007)
== SBP SSDI --------------------------------- (Additional $50 Oct 08)
== VA Clinic Openings [09] ------------------------------ (H.R 5856)
== Iowa Veteran Grant Program --------------- ($500 per Semester)
== Tricare Medicaid Coverage ------------- (Tricare Primary Payer)
== SSA COLA 2009 ------------------------------- (CPI-W vs. CPI-E)
== Economic Stimulus Package [06] --------------- (Filing w/ITINs)
== VA Suicide Prevention [04] --------------- (Oversight Authority)
== COLA 2009 --------------------------------------------- (3.5% YTD)
== Eagle Hammock RV Park ----------------- (MWR Vacation Site)
== NDAA 2009 [02] ----------------------- (House passes H.R.5658)
== NDAA 2009 [03] ------------- (Anticipated Senate Amendments)
== GI Bill [22] ------------------------------ (H.R.2642 Passes House)
== VA PTSD Evaluation Criteria ------- (General Rating Formula)
== VA PTSD Claim Support ------------------------- (Valor awards)
== PTSD Purple Heart [01] ------------------------ (MOPH Opposes)
== PTSD [20] ----------------------------------- (VA Diagnosis Policy)
== Pennsylvania Vet Bonus [01] ---------- (Applications Available)
== Veteran Legislation Status 29 May 08 ------- (Where we Stand)



VETERANS BENEFITS EXPIRATIONS:   Many of your earned benefits have an
 expiration date.  Below are several of the more important ones to
 remember.  Make sure you know take advantage of your benefits before they
 expire.

- Tuition Assistance: $4,500 a year that expires as soon as you
 transition from Active Duty.
- Montgomery GI Bill for Active-Duty (MGIB): 10 years from date of last
 discharge or release from active duty.
- Veterans Education Assistance Program (VEAP): 10 years from date of
 last discharge or release from active duty.
- Montgomery GI Bill for Selected Reserve (MGIB-SR): 14 years from the
 date of eligibility for the program, or until released from the
 Selected Reserve or National Guard. Some extensions are available if
 activated.
- Vocational Rehabilitation and Employment (VocRehab): Generally, 12
 years after separation from service or within 12 years of being awarded
 service-connected VA disability compensation.
- Servicemembers' Group Life Insurance (SGLI): Coverage ends 120 days
 after separation or can be extended up to 1 year for totally disabled
 veterans.
- Combat Vet VA Health Care:  5 years after discharge for non-service
 connected care.
- Combat Vet VA Dental Care:  180 days after discharge for non-service
 connected care.
[Source: NAUS Weekly Update 30 May 08 ++]


MN DISABLED PROPERTY TAX EXCLUSION:   A new program enacted in 2008
 will provide honorably discharged disabled Minnesota veterans with some,
 if not all, of their property taxes forgiven beginning in 2009.
  Qualifying veterans must have the proper paperwork filed with their county
 assessor's office.  Veterans should start the process early in order to
 file the necessary official military discharge papers and documents
 verifying disability status before the 1 JUL 08 deadline.  Veterans with 70%
 disability or higher will have $150,000 excluded from the annual
 market value of their homestead property. Those with a 100% disability
 rating will receive$300,000 exclusion. A property must be the homestead of a
 qualified veteran in order to receive this value exclusion. To
 qualify, a veteran must have been honorably discharged from the United States
 armed forces as indicated by United States Government Form DD214 or
 other official military discharge papers, and must be certified by the
 United States Veterans Administration as having a service-connected
 disability. In the case of agricultural homesteads, only the house, garage,
 and immediately surrounding one acre of land will qualify for the
 exclusion. If a property qualifies for this market value exclusion, the
 property does not receive the residential homestead market value credit
 provided under Minnesota Statute 273.1384, subdivision 1. Applications are
 available in your county assessor’s office or online at.
•  CR-DVHE70
 http://www.taxes.state.mn.us/taxes/property/forms/cr_dvhe70.pdf
•  CR-DVHE100
 http://www.taxes.state.mn.us/taxes/property/forms/pe12.pdf.

Applications must be made by July 1 to qualify for the exclusion on the
 current year’s market value for taxes. Mail or take completed
 application and required attachments to your county assessor. For more
 information, visit the Minnesota Department of Veterans Affairs  website
 www.mdva.state.mn.us or telephone Minnesota's Veterans Linkage Line at
 1(888)546-5838.  [Source: NAUS Weekly Update 30 May 08 ++]


VETERAN'S PENSIONS:   If you are a wartime veteran with a limited
 income and you are no longer able to work, you may qualify for a Veterans
 Disability Pension or the Veterans Pension for Veterans 65 or older. Many
 veterans of wartime service are completely unaware of the fact that if
 they are 65 or older and on a limited income they may qualify for a VA
 Pension without being disabled.  An estimated 2 million impoverished
 veterans and their widows are not receiving the VA pension they deserve
 because they do not know about it. The VA has had limited success in
 getting the information to them. You may be eligible if you were
 discharged from service under other than dishonorable conditions, AND you
 served 90 days or more of active duty with at least 1 day during a period of
 war time. With the advent of the Gulf War on 2 AUG 90 (and still not
 ended by Congress to this day), veterans can now serve after 2 AUG 90
 during a period of war time. When they do, they generally now must serve
 24 months to be eligible for pension or any other benefit provided they
 meet the exclusions of 38 CFR 3.12(d). which require you are
 permanently and totally disabled, or are age 65 or older, AND your countable
 family income is below a yearly limit set by law. Family Annual Income
 Limits effective 1 DEC 07 cannot exceed the following: 
*  Veteran with no dependents $11,181
*  Veteran with a spouse or a child $14,643
* Veteran married to a veteran $14,643
*  Veterans with additional children: add $1,909 to the limit for EACH
 child
*  Housebound veteran with no dependents $13,664
*  Housebound veteran with one dependent $17,126
*  Veteran who needs aid and attendance and you have no dependents
 $18,654
*  Veteran who needs aid and attendance and you have one dependent
 $22,113

     Some income is not counted toward the yearly limit (for example,
 welfare benefits, some wages earned by dependent children, and
 Supplemental Security Income). It's also important to note that your medical
 related expenses are considered when determining your yearly family
 income.  VA pays you the difference between your countable family income and
 the yearly income limit which describes your situation. This difference
 is generally paid in 12 equal monthly payments rounded down to the
 nearest dollar. You can apply by filling out VA Form 21-526, Veteran's
 Application for Compensation Or Pension. If available, attach copies of
 dependency records (marriage & children's birth certificates) and current
 medical evidence (doctor & hospital reports). You can also apply on
 line through the VONAPP website
  http://vabenefits.vba.va.gov/vonapp/main.asp. For More Information Call
 1(800) 827-1000. [Source:
 http://www.vba.va.gov/bln/21/pension/vetpen.htmMay 08++]


LONG TERM CARE w/MEDICAID:  If you qualify for Medicaid, a federal and
 state program that covers medical care for people with low incomes and
 very little assets, it will pay for nursing home care and other
 long-term care (LTC) costs that Medicare does not cover. Medicaid may also pay
 for some LTC services provided at home. Medicaid is the country’s
 largest public payer of long-term care services. Most people with long-term
 care needs spend down their assets until they are eligible for
 Medicaid coverage. The Medicaid program varies a great deal from state to
 state, as well as within each state. This is because within broad national
 guidelines set by the federal government through the Centers for
 Medicare and Medicaid Services (CMS), each state can:
• Establish its own eligibility standards;
• Determine the type, amount, duration and scope of services;
• Set the rate of payment for services; and
• Administer its own program.

Each state has its own method of determining eligibility depending on
 your age, family size, medical condition and financial situation.
 Generally, to be eligible for Medicaid, your monthly income must be less than
 $867 in 2008* ($1,020 for couples). You also must have little or no
 assets (savings and investments). If you have high medical expenses, you
 may still qualify for Medicaid if your income is more than $867 in
 2008* ($1,020 for couples). Income levels are based on the Federal Poverty
 Level (FPL), which goes up every year in February or March.  For a list
 by state of Medicaid descriptions and plans refer to
 http://64.82.65.67/medicaid/states.html For a list of Medicaid benefits
 by state refer to http://www.kff.org/medicaid/benefits/state_main.jsp.
 [Source: Medicare Rights Center www.medicareinteractive.org May 08 ++]


CRSC UPDATE 38:   A phishing scam has been sent to families of fallen
 Soldiers. As part of the scam, the proponents request personal
 information, such as SSN, DOB, addresses, etc., and are instructed to come to
 either visit the Army Human Resources Command Offices in Alexandria, VA,
 or email the information to an overseas Yahoo account.  Like most
 scams, the grammar is poor, it is not on official letterhead, nor does it
 come from a valid Army e-mail account. CRSC will never ask for personally
 identifiable information to be sent over e-mail due to security
 concerns. CRSC will never promise payment or award of any kind. CRSC is not
 eligible for SBP. An example of  phishing letter follows:
Classification: UNCLASSIFIED
Caveats: NONE
Supplemental Guidance for Benefit Pay off Section 644, P.L.108-375,
 Administration Letter (BAL) #98-109, US Army Survivor Benefit Plan).
21 May 2008

Attn: Dear Mr. Mark,
     We believe you are the next of kin of a deceased officer who died
 in service in that you bear the same name and last known geographical
 area of same person. We wish to duly compensate the family by paying the
 deceased officers benefits and financial entitlements to them. So many
 deceased officers have the same problem of difficulty in locating
 their kin but we are doing the best we can. We have gone as far as Asia,
 Central and southern Africa, Europe, Australia and the Americas in search
 for next of kin of deceased officers. So the benefits entitled to you
 amounts to $12,859,555.23 and you can receive it in one week. Our
 search attorney Mr. Louis Manches undertaking Group B16 search (AMERICA
 ,EUROPE & AFRICA SEARCH GROUP) found & located you. We need you to come to
 our office at: U.S. Army Human Resources Command, Army Physical
 Disability Agency (CRSC), 200 Stovall Street Alexandria , VA 22332-0470 With
 photocopies of the following documents. (As the originals will not be
 returnable.)
1. Letter of Introduction or ID of next of kin (In which case you)
2. Sworn affidavit of next of kin.
3. You are also required to complete the forms below.
A. FORM DD 2860, CLAIM FOR COMBAT-RELATED SPECIAL COMPENSATION (CRSC)
B. FORM DD 2656-7, VERIFICATION FOR SURVIVOR ANNUITY
You can download these forms from our US Army Human Resources Command
 website using the URL (FOR DD FORM 2860) (web links deleted) Or Defense
 Technical Information website using this URL (FOR DD FORM 2656-7) (web
 links deleted)
     To make it simpler for you, if you cant come to our offices
 yourself to submit these documents due to ill health or whatever you can
 appeal to your search attorney to file these documents on your behalf. The
 search attornies are legal practitioners contracted by the United
 States Army to help locate next of kins who are in various countries of the
 world. Your name fell among Group 16 Search which complises of
 beneficiaries from EUROPE,AMERICA & ASIA. The search attorney responsible for
 this areas is Barrister Louis Manches. It is the search attorney who
 shortlisted your name for payment. You are therefore advised to contact
 him if you have difficulty in completing the forms as well as providing
 the necessary documents. We understand the problems you could face in
 getting these documents owing to the fact that it has taken a long time
 when the officer died. You can write your search attorney for
 clarifications through the following email (e-mail address deleted by S1NET) If
 you also have problems filling all these forms , just fill out and
 return by email the short version attached below. Your search attorney will
 fill the rest of the forms on your behalf but of course you will
 contact him and negotiate this service with your search attorney. We expect
 to hear from you soon.
H.S. Park
Defense Finance and Accounting Service,
US Army Human Resources.
[Source:  USDR Action Alert 29 May 08 ++]


ARMY COMBAT ACTION BADGE UPDATE 01:   In 2005, the Department of the
 Army authorized the creation of the Combat Action Badge to recognize U.S.
 soldiers who engage the enemy in battle. This badge applies to men and
 women in our armed forces who might not qualify for awards such as the
 Combat Infantry or Combat Medical Badge, which are limited to those
 individuals serving with infantry or medical units. There is no doubt
 that the Combat Action Badge is a great idea; in Iraq and Afghanistan we
 are seeing soldiers from every military occupational specialty
 distinguish themselves in battle. However, the Army's current policy limits
 eligibility to only those individuals who meet its criteria after 18 SEP
 01. While the Combat Action Badge recognizes those who have served their
 country bravely in the 21st century, it overlooks the thousands of
 veterans who made similar sacrifices in previous wars. To rectify this
 injustice Rep. Ginny Brown-Waite (R-FL-05) introduced H.R.2267 on 10 MAY 07
 to retroactively award the Army Combat Action Badge to those members
 of the U.S. Army who were engaged by the enemy from 7 DEC 41 to the
 present day.  The bill was then referred to the Subcommittee on Military
 Personnel. This bill currently has only 27 cosponsors and will die in
 committee unless veterans take action to move it to the house floor. Those
 who would like to see the award of this badge to those who meet its
 criteria prior to 18 SEP 01 are encouraged to contact their legislators
 and request they support this bill. [Source: The American Legion Online
 Update 29 May 08 ++]


MOBILIZED RESERVE 28 MAY 08:  The Army, Air Force and Marine Corps
 announced the current number of reservists on active duty as of 23APR 08 in
 support of the partial mobilization. The net collective result is
 2,927 fewer reservists mobilized than last reported in the Bulletin for 23
 APR 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 77,007; Navy Reserve, 4,543; Air National Guard and Air
 Force Reserve, 8,135; Marine Corps Reserve, 9,704; and the Coast Guard
 Reserve, 341. This brings the total National Guard and Reserve
 personnel who have been mobilized to 99,730, 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://preview.defenselink.mil/news/May2008/d20080528ngr.pdf. [Source:
 DoD News Release 456-08 28 May 08 ++]


VA CLAIM BACKLOG UPDATE 15:   In fiscal 2007, VA employed 4,900 staff
 to handle disability compensation claims, a 40% increase between fiscal
 2000 and 2006. Still, in 2007, VA had a backlog of 392,000 claims with
 an average waiting time of more than four months. This year, VA plans
 to add 3,100 new claims-processing employees. Although the Veterans
 Affairs Department has added thousands of staff to help process disability
 claims, a new study finds those new employees face no consequences if
 they don’t attend mandatory training. And because the caseload is so
 heavy, instructors aren’t always available to provide on-the-job training
 for new employees. The Government Accountability Office (GAO) said in a
 report released 26 MAY that the VBA “is taking steps to strategically
 plan its training, but does not adequately evaluate its training and
 may be falling short in some areas of training design and
 implementation”.  Rep. Bob Filner (D-CA), chairman of the House Committee on Veterans’
 Affairs, asked GAO to find out what training is provided and whether
 it is uniform; how well it is implemented and evaluated; and how it
 compares with performance management practices in the private sector. The
 questions came after veterans testified that the disability compensation
 system is Byzantine in complexity, and that it takes months —
 sometimes years — to make it through the process.

     From SEP 07 to MAY 08, GAO looked at four VBA regional offices, in
 Atlanta; Baltimore; Milwaukee; and Portland OR. VA officials said it
 takes at least two years to properly train disability claims employees,
 and they must complete 80 hours of training a year. New employees have
 three weeks of intense classroom training before they begin several
 months of on-the-job training at their home offices. But “because the
 agency has no policy outlining consequences for individual staff who do not
 complete their 80 hours of training per year, individual staff are not
 held accountable for meeting their annual training requirement,” the
 GAO found. “And, at present, VBA central office lacks the ability to
 track training completed by individual staff members.” In 2007, VBA
 conducted 67 centralized training sessions for 1,458 new claims processors,
 compared with 27 sessions for 678 new employees in 2006.nVBA’s online
 training tool, the Training and Performance Support System, was found to
 be out of date, too theoretical, and lacking in real-life examples.
 Employees at one office did not know what the system was.

     GAO also found that more experienced staff members felt training
 was not helpful because it was redundant or was not specific to the work
 they do, and some said the training is adapted directly from training
 for new employees. They also said they did not have time to spend 80
 hours a year in training because their caseloads are too heavy. “A number
 of staff from one regional office noted that instructors were unable
 to spend time teaching because of their heavy workloads and because
 instructors’ training preparation hours do not count toward the 80-hour
 training requirement,” the GAO said. “Staff at another regional office
 told us that, due to workload pressures, staff may rush through training
 and may not get as much out of it as they should.” GAO found VBA’s
 performance management conforms to accepted practices in the private sector,
 except that almost all employees fell into two standards:
 “outstanding” or “fully successful.” GAO auditors said that does not provide
 constructive feedback to employees, and is not a good way for managers to
 evaluate staffs.

     GAO recommended that VBA collect feedback on training from
 regional offices to see if 80 hours is the right amount for all staff, to see
 if training is relevant and to see if the online training tool needs to
 be improved. The report also recommended that VBA hold individual
 staff members accountable if they do not receive their annual training, and
 that the performance rating system be adjusted. VA said such changes
 are already in the works. Officials also are working on an automated
 system to track which employees have attended training and how much they
 received. VA Secretary James Peake wrote in response to the report. “VA
 will closely monitor and evaluate the success of our efforts to enhance
 claims processor performance.” Peake said that VA has an “active
 program for training evaluation driven by the administration’s priorities”;
 that the 80-hour requirement is evaluated annually; that VA officials
 will evaluate the training through its regional offices; that
 supervisors will evaluate training at the individual level; and that they have
 already evaluated the on-line learning tool and have made recommendations
 for improvement. VA also plans to establish training specific to
 certain jobs, and to provide standardized training progress reports.
 [Source: Air Force Times Kelly Kennedy article Posted 28 MAY 0-8 ++]


SSA TRUST FUND:   There actually is a Social Security Trust Fund — of
 sorts.  It lays nestled in the bottom drawer of an unremarkable filing
 cabinet in a government office building in West Virginia.  It’s kept in
 a pair of loose-leaf notebooks holding plastic page covers, and each
 page resents a bond worth billions, according to a 2005 story from The
 Associated Press (AP).  Today, the total “assets” in the Social Security
 Trust Fund are worth more than $2.2 trillion. The paper is “symbolic,”
 a spokesman for the U.S. Bureau of Public Debt says.  According to AP,
 in 1994 Congress anticipated the current debate about Social Security’s
 solvency and whether the Trust Funds held anything more than I.O.U.s.
  Congress passed legislation requiring the Treasury to create a
 physical document “rather than an accounting entry.”  Andy Jacobs, the former
 Indiana Congressman responsible for the law, said he wanted to rebut
 the “disingenuous assertions” that there was no trust fund, even though
 there was, in fact, no vault stuffed with cash to pay benefits.   In
 2008 it was projected that the Social Security Trust Fund cash surplus
 excluding interest will be $79 billion reflecting a growing downward
 trend as baby boomers enter the programs. This does not take into
 consideration cost associated with Congress’s recent attempts to add illegal
 immigrants to the program.

    According to the Congressional Budget Office (CBO) neither the
 Medicare Trust Fund nor the Social Security Retirement and Disability Trust
 Funds operate like a “Trust Fund” as the average person would
 understand it.  Instead of setting the money aside and protecting it in a
 special account, both the Medicare and Social Security Trust Funds exist
 only on paper as an accounting mechanism.   Government accounting is
 hiding serious financing problems, making the trust funds appear to have
 more cash coming in than they actually do.  The majority of Medicare
 Hospital Insurance (Part A) and Social Security costs are presently financed
 by the payroll taxes that workers pay and taxes that seniors pay on a
 portion of their Social Security benefits.  When one of the trust funds
 receives more from these sources  than it needs to pay benefits, the
 U.S. Treasury issues a government bond to the Trust fund and  borrows
 the cash from the surplus to pay for other government expenses.  The
 bonds earn interest, but are very different from the bonds sold to the
 public that can be redeemed for cash.  The bonds placed in the trust funds
 are non-marketable, representing only an “I.O.U.” from the Treasury. 

     A big problem is that in recent years the so-called “interest”
 earned by the bonds in the government trust funds has become a growing
 source of funding for both programs, at least on the government’s books.
  But the interest funding, like the trust funds, exists only on paper
 and does not represent any real cash resources to pay benefits.  GAO says
 for the trust funds to be paid, the Treasury will need to provide cash
 from general revenues in exchange for those trust fund securities and
 interest I.O.U. bonds.  Such use of general revenue for Social Security
 would represent a major policy shift in how the government pays for
 expenditures.  In the past Congress for the most part has rejected
 general revenue financing for Social Security.  The GAO says payments to the
 trust funds  in the future, should only come through “increased
 revenue, increased borrowing, and reduced spending (benefit cuts) or some
 combination.” The current state of denial is leading to a day of reckoning
 that could have serious long-term financial repercussions for both
 today’s and tomorrow’s retirees. 

     The Social Security Trustees further estimate that the program
 costs will begin to exceed cash revenues in 2017, or about nine years from
 now. According to the former U.S. Comptroller General, David Walker,
 the new president and Congress will have about 5 years to make changes,
 before we run out of cash revenues to pay full Social Security
 benefits.  The Medicare Part A Hospital Insurance Trust Fund is in trouble
 today. The Social Security and Medicare Lock-Box Act” (H.R. 4338) that was
 recently introduced in the House by Representative Timothy Walberg (MI)
 and (S. 302) in the Senate by Senator David Vitter (LA) would
 establish new procedures to safeguard extra Social Security and Medicare taxes.
  Congress would be prevented from dipping into the Trust Fund
 surpluses to pay for other wasteful or pet projects. Instead the extra Social
 Security taxes would be “locked away” to pay future Social Security
 benefits  [Source: TSCL, The Budget And Economic Outlook, CBO, Jan 08,.
 Social Security & Medicare Trustees Reports 23 Apr 07, and   Social
 Security Reform GAO-07-213 Mar 07 ++]  


MEDICARE TRUST FUND:   When a government trust fund no longer has
 enough cash revenues to pay benefits in full, the Treasury must provide cash
 from general revenues to pay the interest and redeem the bonds held by
 the trust fund.  But, first, lawmakers must agree on where the money
 will come from to do that. They can increase taxes, increase borrowing,
 curt benefits, or cut spending such as COLAs. Historically, seniors
 have paid their share in higher out-of-pocket costs. The Medicare Hospital
 Insurance (Part A) Trust Fund last ran low on cash in the late 1990’s.
  By 1997 Congress passed the most massive cuts to Medicare in the
 history of the program — $116 billion ($153 billion in today’s dollars)
 over five years.  In addition to cutting payments to hospitals, a
 provision of the 1997 law moved certain costs that were originally paid under
 Part A to Part B.  While most seniors do not pay a premium for Part A,
 they do pay a hefty one for Part B.  Thus the transfer of costs was one
 of several factors contributing to the astronomical growth in Medicare
 Part B premiums, which grew from $43.80 in 1998, to $96.40 in 2008
 (120%).

     Now the Medicare Part A Trust Fund is in trouble all over again.
  Earlier this year, the Congressional Budget Office projected that the
 Medicare Part A Hospital Insurance Trust Fund ended 2007 with a $17
 billion surplus, and would end 2008 with a $16 billion surplus.  But if the
 government only counts the real cash revenues (excluding government
 bonds on interest earned), according to the 2008 Medicare and Social
 Security Trustees reports the Part A Trust Fund ended 2007 about $500
 million in the red, and is projected to end 2008 with a $10 billion deficit.
 President Bush has proposed $178 billion in cuts over the next five
 years, which, if passed, would exceed the cuts in the 1997 Balanced
 Budget Act.  The Senior Citizen’s League (TSCL) is highly concerned and
 recently submitted a statement to a hearing on The President’s Fiscal Year
 2009 Budget to the House Ways and Means Committee supporting the
 passage of “The Social Security and Medicare Lock-Box Act,” in addition to
 recommending that the government do a better job of reducing waste,
 fraud, and abuse.  Because the new President and Congress will surely be
 tasked with fixing Medicare’s financing, TSCL also urges seniors to
 carefully examine the records of candidates, and make sure your voter
 registration is up-to-date to be ready for the upcoming elections. [Source:
 Social Security and Medicare Advisor, Vol. 13, No. 5 dtd 27 May 08 ++]


AWARD MODIFICATIONS:  The Department of Defense announced today that
 The Institute of Heraldry (TIOH) will remove the word "medal" from four
 campaign and service medals in order to align their designs with
 heraldic protocols. The word "medal" will be removed from the Global War on
 Terrorism Expeditionary Medal, Global War on Terrorism Service Medal,
 Korea Defense Service Medal and Armed Forces Service Medal. In addition,
 TIOH will resize eight campaign and service medals that were initially
 designed one-eighth of an inch larger in diameter than required by
 specification. The larger medals will be gradually replaced over the next
 several years as current stock levels are depleted. These medals will not
 be made obsolete and will remain authorized decorations. In addition,
 the applicable miniature medals will also be re-sized from
 eleven-sixteenths of an inch diameter to five-eighths of an inch. The medals being
 resized are the: Kosovo Campaign Medal, Afghanistan Campaign Medal,
 Iraq Campaign Medal, Global War on Terrorism Expeditionary Medal, Global
 War on Terrorism Service Medal, Korea Defense Service Medal, Armed
 Forces Service Medal and the Military Outstanding Volunteer Service Medal.
 Historically, campaign and service medal pendants are 1 1/4 inches in
 diameter; the only exceptions are the two victory medals commemorating
 the end of World War I and World War II; these medals were designed at 1
 13/32 inches in diameter in order to enhance their heraldic stature
 given the magnitude of the two world wars. Questions may be directed to
 Army Public Affairs at (703) 692-2000. [Source: DoD News Release 444-08
 dtd 23 May 08 ++]


CRSC UNDER DISABILITY RETIREMENT:  For disabled Chapter 61 retirees who
 retired under a disability retirement law who are eligible for CRSC
 entitlement, an offset is calculated before CRSC entitlement is
 calculated.  To determine the amount of offset subtract your DoD monthly
 retirement pay calculated based on years of service prior to retirement from
 the VA disability retirement monthly payment for the CSRS percentage
 assigned. Retirement computations vary according to each individual's
 retirement date, retirement age, and years in service.  The figures in the
 following example are only to explain the calculation method.
• Disability Retirement Monthly Payment = $2000.00
• Monthly Retirement Pay calculated based on years of service = $1500
• Difference between two retirement methods (i.e. Offset) = $500

Example CRSC entitlement amounts for approved Combat Related combined
 disability percentages less the $500.00 example offset amount using CRSC
 entitlements at the Vet only rates would be:

10% $ 117.00- $500.00 = $0.00 CRSC entitlement due
20% $ 230.00- $500.00 = $0.00 CRSC entitlement due
30% $ 356.00- $500.00 = $0.00 CRSC entitlement due
40% $ 512.00- $500.00 = $12.00 CRSC entitlement due
50% $ 721.00- $500.00 = $228.00 CRSC entitlement due
60% $ 117.00- $500.00 = $421.00 CRSC entitlement due
70% $1161.00- $500.00 = $661.00 CRSC entitlement due
80% $1349.00- $500.00 = $849.00 CRSC entitlement due
90% $1517.00- $500.00 = $1017.00 CRSC entitlement due
100% $2527.00- $500.00 = $1500.00 CRSC entitlement due *
* (Note: Any entitlement due cannot exceed the retired pay amount
 computed based on years of service)
[Source:  NAUS Weekly Update 23 May 08 ++]


LEGISLATION of INTEREST UPDATE 10:  As Memorial Day approached, the
 U.S. House of Representatives approved the following 10 bipartisan
 measures on 21 MAY to improve benefits and services for veterans.

•  H.R.2790, as amended, which passed by voice vote, will establish the
 position of Director of Physician Assistant Services within the
 Department of Veterans Affairs (VA).
•  H.R.3681, as amended, the Veterans' Benefits Awareness Act of 2007,
 which passed by voice vote, will authorize VA to purchase advertising
 in national media to promote awareness of veterans' benefits.
• H.R.3889, as amended, which passed by voice vote, will require a
 longitudinal study of VA vocational rehabilitation programs.
• H.R. 5554, as amended, the Justin Bailey Veterans' Substance Use
 Disorders Prevention and Treatment Act of 2008, which passed by a voice
 vote, will expand and improve VA health care services for substance use
 disorders. 
• H.R. 5664, as amended, which passed by voice vote, will direct VA to
 update, at least once every six years, plans and specifications for its
 specially adapted housing program.
• H.R. 5729, as amended, the Spina Bifida Health Care Program Expansion
 Act, which passed by voice vote, will direct VA to provide
 comprehensive health care to certain Vietnam veterans' children born with spina
 bifida.
• H.R. 6048, which passed by a voice vote, will amend the
 Servicemembers Civil Relief Act to provide for the protection of child custody
 arrangements for parents deployed in support of a contingency operation. 

 Additionally the House unanimously approved the following three
 bipartisan measures to improve benefits and services for veterans. 
• H.R. 3819, the Veterans' Emergency Care Fairness Act of 2007, which
 passed the House by a vote of 412-0, will require the Department of
 Veterans Affairs (VA) to reimburse veterans receiving emergency treatment
 in non-VA facilities for such treatment until transfer to a VA facility
 is possible.
• H.R. 5826, The Veterans' Compensation Cost-of-Living Adjustment Act
 of 2008, which passed the House by a vote of 417-0, will increase
 effective December 1, 2008, the rates of compensation for veterans with
 service-connected disabilities, and the rates of dependency and indemnity
 compensation for the survivors of certain disabled veterans.
• H.R. 5856, the VA Medical Facility Authorization and Lease Act of
 2008, which passed the House by a vote of 416-0, will authorize major
 medical facility projects and major medical facility leases for VA in
 fiscal year 2009, and will authorize approximately $2.2 billion over the
 next five years to improve access to healthcare for our nation's veterans.
[Source:  NAUS Weekly Update 23 May 08 ++]


VETERANS TAX RELIEF:  The House and Senate passed H.R.6081, the Heroes
 Earnings Assistance and Relief Tax (HEART) Act of 2008 which will
 provide more than $1.2 billion dollars in tax relief to benefit America’s
 veterans and soldiers. The Senate Finance leaders worked closely with
 House colleagues, especially Ways and Means Committee Chairman Charlie
 Rangel, to combine their own military tax relief bill – the Defenders of
 Freedom Tax Relief Act of 2007 – with an earlier version of the House’s
 HEART Act. HEART was approved by the House of Representatives on 20
 MAY. The legislation includes tax cuts for members of the military who are
 receiving combat pay, saving for retirement, or purchasing their own
 homes. It also helps civilian employers of military men and women keep
 jobs available for soldiers who are called to active duty. Final HEART
 Act provisions, including many originally introduced by Baucus and
 Grassley in the Defenders of Freedom Act, include:

• Allow disabled veterans to file up to 5 years of amended tax returns
 to recoup taxes when VA processing delays result in retroactive
 benefits.
•  Allow members of the armed forces who have non-citizen spouses to
 qualify for the economic stimulus rebate.
•  Make permanent the ability to include combat pay as earned income
 for purposes of the Earned Income Tax Credit.
• Make permanent the provision that permits active duty reservists to
 make penalty-free withdrawals from retirement plans.
• Allow survivors to roll over military death gratuity payments into
 tax-advantaged savings accounts. 
• Permit reserve component members to withdraw money from flexible
 spending accounts without penalty .
• A tax cut for small businesses when they continue paying some salary
 to members of the National Guard and Reserve who are called to active
 duty.
• A permanent allowance for soldiers to count their non-taxable combat
 pay when figuring their eligibility for the earned income tax credit, a
 refundable federal income tax credit that puts cash in the hands of
 low-income working individuals and families.
• The ability for active duty troops to withdraw money from retirement
 plans, and an allowance of two years to replace the funds without tax
 penalty.
• A 180-day period for Reservists called to active duty to use unspent
 funds in a health flexible spending account or cafeteria plan.
• The ability for military families to count most military cash
 allowances beyond basic pay to be treated as earned income for purposes of
 determining Supplemental Security Income (SSI) eligibility and benefit
 amounts, and treat certain housing payments as in-kind support and
 maintenance.
• A one year extension of parity between mental and physical health
 benefits.
• A permanent allowance for all veterans to use qualified mortgage
 bonds to purchase their homes.
• Authority for the IRS to treat gifts of thanks from states to
 veterans—such as payments of excess state revenue—as nontaxable gifts.
• The ability for blind, disabled, and aged veterans to disregard state
 annuity payments when determining Supplemental Security Income
 eligibility and benefits.
• The ability for families of Reservists killed in the line of duty to
 collect life insurance and other benefits provided by the civilian
 employer.
• An end to cumbersome rules for reporting of income when companies
 continue paying some salary to members of the National Guard and Reserve
 who are called to duty. This makes it easier for reservists to file
 their taxes and simpler for employers to keep contributing to those
 employees’ retirement plans.
• Increases the penalty for people who fail to file their tax returns
 and allows the Social Security Administration and the Veterans’
 Administration to work together to verify low-income status when distributing
 veteran’s benefits.

Baucus said that he would continue to work for additional provisions
 aiding America’s military men and women in the coming days. Both the
 House and Senate passed multiple versions of this legislation last year,
 but got hung up negotiating minor differences. Congress finally got past
 the haggling and acted on this measure to end tax inequities now
 imposed on the military community. [Source: MOAA Leg Up 23 May 08 ++]


GI BILL UPDATE 23:  The Senate overwhelmingly backed a landmark
 increase in educational aid to the nation’s veterans on 22 MAY, defying the
 White House and challenging President Bush to make good on a threatened
 veto. Senators voted 75-22 to attach the revamped GI Bill to a $165
 billion appropriations measure for continued military operations in Iraq
 and Afghanistan. The total is $57 billion more than Bush requested and
 includes billions of dollars in additional aid to victims of Hurricane
 Katrina and heating subsidies for the poor, among other domestic
 programs. With an estimated 10-year cost of $51 billion, the Webb proposal
 would be the largest increase in decades in a veteran’s aid program.
 Modeled after the GI bill provided to World War II veterans, the measure
 would give veterans tuition aid equal to the cost of the most expensive
 public college in their home states once they’ve served for at least three
 years since the 911 attacks. Veterans choosing private schools, which
 typically are more expensive, could get additional aid if their
 colleges agreed to reduce tuitions. And all participants would be eligible for
 a monthly cost-of-living stipend while attending college.

     In a concession to the administration engineered by Warner, Webb
 agreed to amend the legislation later this year to permit career service
 members to transfer at least part of their college aid to a spouse or
 children. The White House has argued that such transferability is
 critical to efforts to encourage experienced troops to remain in uniform.
 Bush has promised to veto any bill spending more than the $108 billion he
 sought for the war effort. The 75 votes Webb’s plan received is eight
 more than supporters would need to override a veto. The previous week
 the House passed the 21st century GI Bill by a vote of 256-166.
  However, the administration position apparently has more strength in the
 House. The Senate package now goes to the House to reconcile differences.
 White House spokeswoman Dana Perino said, “There’s a long way to go in
 this process, and fortunately, it takes two houses of Congress to send a
 bill to the president. Our position hasn’t changed: This is the wrong
 way to consider domestic spending, and Congress should not go down this
 path.” The House is expected to consider the package after the Memorial
 Day recess. The Senate vote for Webb’s plan represented a
 greater-than-expected show of strength for the enhanced benefit and underscored an
 election-year gap between the president and his fellow Republicans.
 Twenty-five of the Senate’s 47 Republicans backed the Webb plan, despite
 the fact that the president and Arizona Sen. John McCain, their party’s
 presumptive presidential nominee, support a less generous alternative.

     McCain was on the campaign trail and did not take part in the
 vote. But South Carolina Sen. Lindsey Graham, perhaps McCain’s closest ally
 in the Senate and the chief sponsor of the administration’s preferred
 GI Bill plan, renewed arguments that the Webb plan will encourage
 needed troops to leave the military. Graham cited a Congressional Budget
 Office study indicating that the Webb bill could cut the military’s annual
 re-enlistments by 16%. The same report, however, suggested that the
 prospect of a fully financed college education would stimulate a 16% jump
 in initial enlistments. Democrats Hillary Rodham Clinton and Barack
 Obama fighting for their party’s presidential nomination, showed up to
 support Webb’s proposal. Webb insisted again that the legislation should
 not be a partisan issue. He recruited 11 Republicans as co-sponsors in
 the Senate, he reminded reporters, adding that “if I were able to sit
 down with John McCain for 10 or 15 minutes, I honestly think that he
 would support this bill.” Both Webb and Warner paid tribute on 22 MAY to a
 broad coalition of veterans groups that supported the bill, with Webb
 suggesting that their backing might have helped persuade Republicans in
 particular to differ with the administration. Patrick Campbell,
 legislative director for the Iraq and Afghanistan Veterans of America, said
 members of the organization watched with excitement as senators switched
 their votes on the floor. The group began working on the bill four
 months ago with Webb, Warner, and representatives from the American
 Legion, Veterans of Foreign Wars, and Military Officers Association of
 America, Campbell said. “How can you tell a veteran that’s been to war three
 or four times that it’s too rich of a benefit?” he asked.  [Source: The
 Virginian Pilot Dale Eisman article 23 May 08 ++]


VA COMMERCIAL INSURANCE COVERAGE:    UnitedHealthcare has bridged a
 wall between private and public insurance with a national agreement that
 gives eligible veterans in their commercial health plans in-network
 coverage at facilities in the Department of Veterans Affairs. Those
 enrollees meeting VA eligibility requirements can use all VA hospitals and
 outpatient clinics the same way they would use any hospital or doctor's
 office in United's network. Also included are transplants and services
 for mental health and substance abuse services, administered by United
 Behavioral Health.  Adding the VA to United's network enables veterans to
 more easily coordinate their medical care and finances when they use
 both private and VA facilities, CEO Ken Burdick said. The agreement
 provides more convenient access to the "VA's vital and relevant health care
 services on which so many veterans rely," Burdick said. Along with the
 network agreement, UnitedHealth Group has created UnitedHealth
 Military & Veterans Services with a focus on providing health care benefits
 and services to veterans, active-duty military, retirees and their
 families by augmenting the existing military health systems. [Source: Dayton
 Daily news article 21 May 08 ++]


MEDICARE DRUG USE SAFETY PROGRAM:   Federal health officials will begin
 monitoring prescription drug usage by millions of Medicare
 participants in an effort to identify potential safety problems. The Food and Drug
 Administration has been under increasing pressure to develop a
 comprehensive drug surveillance system since the painkiller Vioxx was pulled
 from the market in 2004 after it was linked to increased risk of stroke
 and heart attack. New regulations announced 22 MAY by the Health and
 Human Services Department will enable the FDA, states and academic
 researchers to screen the Medicare claims data. Under the regulation, the
 Medicare data can be made available in 30 days.  Medicare beneficiaries
 use an average of 28 prescriptions a year, and those who consider
 themselves in poor health have an average of 45 prescriptions annually, giving
 investigators a huge database of health records to tap into. Officials
 said they no longer would have to wait years to see how a drug or
 medical device affects millions of people. "The era of wait and see is
 going to become the era of tell me right now," the FDA commissioner, Dr.
 Andrew von Eschenbach, said.

     The Institute of Medicine recommended creation of such a
 surveillance system in 2006. Personally identifying information will stay inside
 the Medicare agency and will not be part of the information that the
 FDA and others look at, officials said. The FDA primarily relies on
 physicians and patients to report suspected adverse events. Often, it takes
 a number of cases before someone at the agency detects a pattern
 that's worth investigating. Then it conducts an investigation to determine
 whether the side effects were caused by the drug. At the first hint of
 trouble, the FDA now will be able to query databases involving tens of
 millions of patients. It will not only be able to see the medications
 used, but also whether a patient had lab work done or whether they had to
 be hospitalized. The first batch of records the agency will have at
 its disposal will be from 25 million Medicare beneficiaries. Later,
 private companies will contribute medical data, Health and Human Services
 Secretary Mike Leavitt said.  "We're moving from a reactive dependence on
 voluntary reporting of product safety concerns to a proactive
 surveillance of medical products currently on the market," Leavitt said.
  Officials provided only general details about the cost of enacting what the
 FDA has labeled the Sentinel Initiative. The agency is hiring more
 staff, but it won't need a large new computer system. That's because
 agencies such as the Centers for Medicare and Medicaid Services will use
 their own computer systems to do the data-mining. The FDA will simply
 provide the questions while Medicare's computers supply the answer.

     Medicare officials said the program could end up reducing the
 government's health costs if it can cut down on adverse drug events. The
 cost of treating preventable adverse events in Medicare comes to about
 $900 million a year. Also, officials said they will be able to determine
 when a drug is being inappropriately dispensed to treat certain
 conditions. By promoting best practices in therapy management, agency
 officials said they hope to cut down on unnecessary prescription bills. Dr.
 Mark McClellan, a senior fellow at the Brookings Institution and a former
 Medicare administrator, said the new data mining system was actually a
 good model for maintaining patient privacy. The personal data stays
 where it was, with an insurer or within a medical practice, or within
 Medicare. The FDA doesn't need personally identifying information to help
 it monitor medical practices. "You don't have to share with the FDA a
 whole lot of detailed personal information about each case," McClellan
 said. "What FDA mainly needs to know is what's going on in the population
 being treated by all these different components of our health care
 system." Rep. Rosa DeLauro, (D-CT) said she was glad the FDA was laying
 the groundwork for the surveillance system. But she said the effort has
 taken too long and that it's still just in the planning stages. Von
 Eschenbach said a pilot project allowing the FDA to look at Medicare data
 could begin after 30 days.  [Source: AP Kevin Freking article 22 May 08
 ++]


VA EMERGENCY CARE UPDATE 02:   On 21 MAY, the House passed the Veterans
 Emergency Care Fairness Act of 2007 (H.R.3819) by a vote of 412-0.
  The ball now has been passed to the Senate under a companion bill S.2142
 introduced by Senator Sherrod Brown.  Currently, 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. A problem arises when there is a wait for a bed in a VA
 hospital. The law does not require the VA to reimburse the hospital for
 the care given after the point of stabilization. S.2142/HR 3819 simply
 closes that loophole and requires the VA to reimburse the private
 hospital for care. 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:
• 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.

Veterans are encouraged to contact their Senators and impress upon them
 the necessity of voting favorably on this legislation. This can be
 easily done by referring to
 http://capwiz.com/usdr/issues/alert/?alertid=11407326&queueid=[capwiz:queue_id],
 entering a zip code, reviewing a preformatted message, and completing
 constituency data to forward the message to their Senators. [Source:
 USDR action alert 22 May 08 ++]


VA BENEFIT ROLLS:   Following are the numbers of veterans, children,
 parents, and surviving spouses on the U.S. Veterans and Dependents
 Benefits Rolls as of SEP 07:

CONFLICT ……………. VETS – Kids – PARENTS - SPOUSES
Civil War ……………….. 0 – 3 – 0 – 0
Indian Wars ……………..  0 – 0 – 0 – 0
Spanish-American War ... 0 – 108 – 0 – 108
Mexican Border ................ 0 – 15 – 0 – 62
World War I …………….  0 – 3,500 – 0 – 6,059
World War II (Note 1)….. 396,944 – 15,006 – 167 – 225,908
Korean Conflict ………… 223,499 – 3,278 – 335 – 60,885
Vietnam Era …………….. 1,141,946 – 9,227 – 3,252 – 158,127
Gulf War (Note 2) ……… 802,381 – 13,189 – 859 – 14,471

Nonservice-connected 322,875 – 19,176 – 0 – 180,664
Service-connected 2,844,354 – 28,176 – 6,133 – 317,385

(Note 1) Based on new population projections VA estimates the number of
 living World War II U.S. vets over the next 15 years will be:

• SEP 08 - 2,457,000;  SEP 09 - 2,143,000; SEP 10 - 1,850,000; SEP 11
 -1,581,000;
• SEP 12 - 1,336,000; SEP 13 - 1,117,000; SEP 14 - 921,000; SEP 15 -
 750,000;
• SEP 16 - 602,000; SEP 17 - 477,000; SEP 18 -371,000; SEP 19 -
 285,000;
• SEP 20 - 214,000; SEP 21 - 158,000; and SEP 22 – 115,000.

(Note 2) For compensation and pension purposes, the Persian Gulf War
 period has not yet been terminated and includes veterans of Operations
 Iraqi and Enduring Freedom.)
[Source: VA America’s Wars Fact Sheet Nov 07 ++]


SBP SSDI:   Section 644 of the 2008 National Defense Authorization Act
 (NDAA) authorizes a Special Survivor Indemnity Allowance (SSDI) for
 person affected by required SBP annuity offset for Dependency and
 Indemnity Compensation (DIC).  This includes Guard/Reserve retirees who died
 before age 60. The service secretary concerned shall pay SSDI to the
 surviving spouse/former spouse if the surviving spouse/former spouse is
 entitled to DIC and is eligible to receive an annuity by reason of an
 election of SBP who, except for the DIC offset, would be eligible to
 receive the annuity, shall be paid the monthly amount equal to: 
• For months during fiscal year 2009, $50.00;
• For months during fiscal year 2010, $60.00;
• For months during fiscal year 2011, $70.00;
• For months during fiscal year 2012, $80.00;
• For months during fiscal year 2013, $90.00;
• For months after fiscal year 2013, $100.00.

The amount of the allowance paid for any month may not exceed the
 amount of the annuity for that month that is subject to DIC offset.  The
 survivor indemnity allowance is not subject to adjustment under any other
 provision of law.  The funds shall be paid from the retirement trust
 fund, and shall only apply with respect to months beginning on 1 OCT 08,
 through 28 FEB 16. The indemnity allowance might be perceived as a
 first step toward easing the ban on concurrent receipt for military widows.
 [Source: DFAS Retired Pay Newsletter Apr 08 ++]


VA CLINIC OPENINGS UPDATE 09:   The House with a vote of 416-0 passed a
 bill 21 MAY that would authorize the Veterans Affairs Department to
 pay for major medical facility construction projects and leases in fiscal
 2009." The legislation, H.R.5856: Department of Veterans Affairs
 Medical Facility Authorization and Lease Act of 2008 sponsored by US Rep.
 Michael H. Michaud (D-ME), chairman of the Veterans Affairs Health
 Subcommittee, would authorize approximately $2.1 billion to build new and
 previously authorized medical facilities, while approximately $60.1
 million would be authorized for the VA to lease 12 medical facilities. The VA
 secretary, meanwhile, would be required to submit an annual report on
 community-based outpatient clinics to the House and Senate Veterans
 Affairs committees. The report would include lists of outpatient clinics
 opened by the department during the preceding fiscal year, those opened
 during the current fiscal year and proposals for clinics to be opened
 in the following fiscal year. [Source: Congressional Quarterly Johnson
 article 21 May 08 ++]


IOWA VETERAN GRANT PROGRAM:   The University of Iowa has created a
 Veterans Grant Program to help fill the financial gap that many veterans
 face with existing GI Bill benefits. The UI will provide grants of up to
 $500 per semester to offset educational expenses for veterans who
 entered service from the state of Iowa and who were on active duty to serve
 in support of the Global War on Terror, or other periods of hostility.
 The UI has allocated $100,000 for the Veterans Grant Program, according
 to UI President Sally Mason. John Mikelson, advisor for the UI
 Veterans Center, explained that while the current GI Bill covers some tuition
 and fees for veterans, it does not cover all costs, depending on
 individual situations. "In a best-case scenario, approximately 60% of these
 educational costs are currently covered for veterans, and the UI grant
 will be a big help to current students," he said, adding that the UI is
 among the first universities in the country to offer this kind of grant
 to veterans.  The new UI Veteran's Grant is based on need as
 determined by completion of the Application for Federal Student Aid (FAFSA)
 form. Students who are eligible for benefits as a dependent of a veteran
 who became 100% disabled or died as a result of military duty may also be
 awarded this grant. The Veterans Grant is renewable, but cannot exceed
 eight semesters. To reapply, the veteran must complete the FAFSA each
 year and must submit an application. To apply, students are required to
 complete the FAFSA, and present military discharge papers to the UI
 Veterans Affairs office, Office of the Registrar, Room 1 of Jessup Hall,
 Iowa city IA 52242 Tel: (319-335-0219). Proof of eligibility for
 benefits can be submitted by dependents of veterans. The Veterans Affairs
 Office will provide a brief grant application upon request. [Source: UI
 News Service Office 21 May 08 ++]


TRICARE MEDICAID COVERAGE:   Most Tricare users are aware that Tricare
 by law is always the last payer over any other type of medial care
 insurance (including Medicare) that a user has.  However, this does not
 apply to Medicaid.  Medicaid is essentially a welfare program, providing
 medical benefits for people under various state welfare programs (such
 as Aid to Families with Dependent Children) or who qualify by reason of
 being determined to be "medically indigent" based on a means test.
 Congress enacted P.L. 97-377 with the intent that no class of Tricare
 beneficiary should have to resort to welfare programs; therefore, Medicaid
 was exempted from these double coverage provisions. Whenever a Tricare
 beneficiary is also eligible for Medicaid, Tricare is always the primary
 payer. Medicaid can supplement Tricare. [Source:  Washington Times Sgt
 Shaft article 19 May 08 ++]


SSA COLA 2009:  For years seniors have been getting by on Social
 Security benefits with a very small Cost-of-Living-Adjustment (COLA). The
 Senior Citizens League (TSCL) recently released a study that puts real
 numbers of the loss of buying power they are facing.  This study shows
 that, from 2000 through 2008 alone, Medicare Part B premiums have
 increased 112%, and that prescription drugs have increased 49%. Concurrently
 seniors are facing cost increases in basic groceries like milk and eggs.
 Meanwhile, their Social Security benefits have increased only 24%. The
 study shows they have lost 51% of their buying power just since 2000.
  Clearly, the Social Security COLA is not keeping up with inflation,
 which is what it was intended to do. One primary reason is that the
 current COLA is based on a market basket of goods typically purchased by
 younger wage earners, called the Consumer Price Index for Wage Earners
 (CPI-W). As a result, Social Security beneficiaries received a 2.3%
 increase in benefits for 2008.

     The government does track a Consumer Price Index for Elderly
 Consumers (CPI-E), which takes into account the spending habits of senior
 citizens. That index would have increased seniors benefits by 2.6% vice
 2/3% this year. While that difference sounds tiny, it means thousands of
 dollars in extra benefits over your retirement. The effect of a larger
 COLA is cumulative like compound interest. A person retiring with an
 average benefit of $1,055 in 2007 would receive $2,000 more in the first
 ten years of retirement using the CPI-E vice the CPI-W and $18,227
 more over a 25-year retirement. A senior who retired with a benefit of
 $460 in 1984 would have received almost $11,200 more over the past 24
 years if the COLA was based on the CPI-E. Legislation has been introduced
 by Rep. Charles Gonzalez (TX-20) that would base the Social Security
 COLA on the CPI-E. If signed into law the Consumer Price Index for Elderly
 Consumers Act (H.R.1953) would base the Social Security COLA on the
 CPI-E. To see if your Member of Congress is one of the 16 who so far have
 supported  the CPI-E or request he/she do refer to
 http://capwiz.com/usdr/issues/alert/?alertid=11399626&queueid=[capwiz:queue_id].
  Enter your zip code and complete your constitute data.  If he/she is
 already sponsoring the bill you can send an automatic “Thank You”
 message.  If he/she has not signed on to support the bill you can send an
 automatic message requesting to so. [Source: TSCL Action alert 20 May 08
 ++]


ECONOMIC STIMULUS PACKAGE UPDATE 06:   Clarification for tax filers who
 are using Taxpayer Identification Numbers (ITIN) vice Social Security
 numbers on their 1040 & 1040A tax forms for their spouse or children
  is provided in the below taken from the IRS website. Bottom line if your
 spouse does not have a SSN and you file jointly using his/her ITIN
 neither of you will receive a ECS payment.  If you both have SSNs and your
 child does not you will receive your ECS payment but nothing for the
 child:

Q. I file using an individual taxpayer identification number (ITIN).
 Can I still get a stimulus payment?
A. No. The law does not allow stimulus payments to people who file a
 return using an ITIN. A taxpayer must have a valid Social Security number
 to qualify for the stimulus payment. If married filing jointly, both
 taxpayers must have a valid Social Security number. And children must
 have valid Social Security numbers to be eligible as qualifying children.

Q. If I currently have an ITIN and file my return but later this year
 get an SSN, can I amend my return to get the payment or will I need to
 wait until I file my 2008 return to claim it?
A. You will need to wait until you file your 2008 income tax return to
 claim the economic stimulus payment. [New 4/14/08]

Q. I have an ITIN, but my spouse has a valid Social Security number.
 Can we get a payment?
A. If you and your spouse file a joint return, you will not get a
 stimulus payment. If your spouse files a separate return, your spouse may
 qualify for a payment, based on his or her income deductions and credits.

Q. If I have a spouse with an ITIN and therefore choose "married filing
 separately" status to qualify for the economic stimulus payment and
 later on amend my original return to "married filing jointly" status,
 will I need to return the stimulus payment?
A. No. [New 4/14/08]


Q. If I have a valid Social Security number and my child has an ITIN,
 do I get extra money for the child?
A. No. To qualify for the extra credit for qualifying children, not
 only do the taxpayer and spouse, if filing jointly, need valid Social
 Security numbers, but the qualifying child must also have a valid Social
 Security number.

Q. I adopted a child this year and my child has an ATIN (Adoption
 Taxpayer Identification Number). Will I receive the $300 additional child
 payment?
A. An ATIN is issued by the IRS as a temporary taxpayer identification
 number for the child. Adoptive parents who do not yet have a Social
 Security number for their child will not get the advance payment. However,
 if they receive a Social Security number for the child before the end
 of 2008, they can claim the additional child payment on their 2008 tax
 return.
[Source:  IRS Website
 http://www.irs.gov/newsroom/article/0,,id=181995,00.html 20 May 08 ++]


VA SUICIDE PREVENTION UPDATE 04:   On 15 MAY Senator Daniel K. Akaka
 (D-HI) invoked his oversight authority as Chairman of the Veterans'
 Affairs Committee to formally request data from VA on veterans' suicides
 that is not otherwise available to the Congress.  In a letter to Veterans
 Affairs Secretary James Peake, Akaka stressed the need for full and
 accurate data on the issue. In his letter, Akaka specifically requested
 the following from Secretary Peake:
• The total number of veterans who have committed suicide or attempted
 to commit suicide
• The number of veterans who have committed suicide or attempted to
 commit suicide while receiving care from VA
• Information on VA's efforts to improve outreach and assistance for
 veterans between the ages of 30 and 64
• All of VA's health care quality assurance reviews related to suicides
 and suicide attempts over the past three years

As Chairman of the Senate Veterans' Affairs Committee, Akaka is
 empowered by federal law to review medical quality assurance records that are
 otherwise not provided outside of the Department.  Akaka's request
 follows heightened concerns from Congress and others regarding veteran
 suicides.  Last week, Secretary Peake testified that both male and female
 veterans are more likely than non-veterans to commit suicide.  In recent
 weeks Akaka has sought action on veteran mental health issues, meeting
 with Secretary Peake, and working with the Senate Majority Leader to
 bring up S.2162, the bipartisan Veterans’ Mental Health and Other
 Improvements Act of 2008.    According to a recent Rand study nearly one in
 five Iraq and Afghanistan veterans - roughly 300,000 so far - report
 symptoms of PTSD or major depression, and fewer than half receive mental
 health care.  [Source:  Akaka Press Release 15 May 08 ++]


COLA 2009:    On 14 MAY, the Bureau of Labor Statistics at
 www.bls.gov/cpi announced the APR 08 monthly Consumer Price Index (CPI), which is
 the metric used to calculate the annual cost-of-living adjustment (COLA)
 for military retired pay, VA disability compensation, survivor
 annuities, and Social Security. The CPI jumped 0.7% over March's value.  The
 CPI-W for April is 210.698. That puts cumulative inflation at 3.5% above
 the 2007 third quarter average base index of 203.6. The COLA will be
 even higher if inflation goes up between now and 30 SEP. About one in
 every six Americans - millions of former feds, ex-military and people on
 Social Security - will get the JAN 09 COLA. It's automatic. Congress
 and the White House don't have to do anything to implement it. And,
 because Social Security is the dangerous third rail of American politics,
 Congress and the White House know better than to touch it. The majority
 of federal retirees are under the old Civil Service Retirement System.
 They will get the full COLA regardless of their age. Retirees who are
 under the FERS retirement system get one percentage point less than the
 full COLA and they don't qualify for it until they are age 62 or older.
  MAY’s consumer price indices will be released on 13 JUN 08. [Source:
 NARFE Legislative Update 629 dtd 16 May 08 ++]

  
EAGLE HAMMOCK RV PARK:  The Navy’s MWR Eagle Hammock RV Park is located
 on the Naval Submarine Base Kings Bay GA 6 miles from the Florida
 state line, Georgia Exit 1, Interstate 95.  It contains 50 RV sites
 equipped with paved pads, water, sewage, and electrical hookups, picnic
 tables, and fire rings. Five sites and one restroom are American Disability
 compliant.  Sites run $18 to $32 daily dependent on season, site
 location and hookups.  A community center structure offers no cost laundry
 room and bathhouse plus WiFi connectivity. Limit of 2 pets allowed per
 campsite with usual leash and clean-up rules. Cell phone use while driving
 on base is prohibited. BioDiesel is available at on-base gas station.
 Recreational activities available include
• Fishing in a 220 acre lake and various ponds stocked with bass, bream
 and catfish
• Miles of paved paves for joggers and cyclist.
• On base 18 hole golf course and bowling center.
• Fitness complex with cardio theatre, racquetball basketball and
 tennis courts, weight room, and Olympic size swimming pool with a 150 foot
 double water slide.

Kings Bay is situated on Georgia’s coastal region in the town of St.
 Mary’s in the SE corner of the state. Cumberland Island National Seashore
 and Okefenokee Swamp National Wildlife Refuge are just minutes away.
  Jacksonville FL is about 35 miles away.  Facilities are available year
 round to all Active Duty, Retirees, Reserves, National Guard, and DOD
 Civilians.  For additional info and reservations email
 eaglehammock@tds.net or call either (800) 818-1815 or (912) 673-1161 or
 mail to: Outdoor Recreation, 1063 USS Tennessee Avenue, Kings Bay, GA
 31547. [Source: U.S. Military Campgrounds and RV Parks 29 May 08 ++]


NDAA 2009 UPDATE 02:    On 14 MAY the House Armed Services Committee
 (HASC) completed action on H.R.5658, the FY 2009 National Defense
 Authorization Act, and reported the bill to the full House for further
 consideration.  Subsequently, on 22 MAY by a vote of 384-23, the House
 approved H.R. 5658 the FY 2009 National Defense Authorization Act (NDAA). It
 may appears, on first look that the bill sent to the House floor by the
 HASC rejected the Pentagon and Task Force plan to steeply raise Tricare
 fees and prescription costs.  However, unlike the Senate's rejection
 of higher fees, there's a serious wrinkle in the HASC version.  Instead
 of outright rejecting the Pentagon plan, Personnel Subcommittee
 Chairwoman Susan Davis (D-CA) decided that retirees could help cover the costs
 of Tricare by absorbing a one month, one percent reduction in their
 COLAs.  In other words, Chairwomen Davis would have retirees pay for
 their Tricare benefits from their retirement pocket instead of their
 healthcare pocket.  Subcommittee Ranking Member John McHugh (R-NY) objected
 to the plan and said he would find a more palatable alternative. 
 According Tom Philpott's Military Update column, Subcommittee Chairwomen
 Davis "shrugged off McHugh's criticism, saying difficult choices had to be
 made." NAUS Memo to House Members:  Here's a "less difficult" choice
 for our U.S. Congress: how 'bout getting your priorities straight.  End
 "free health care for illegal immigrants" and keep the promise made to
 Americans who gave a lifetime to military service defending our country
 and our way of life.  

     The Committee good news is that it also approved a 3.9% pay raise
 for active duty forces, which is a half percent higher than the
 Administration requested.  Rep. Thelma Drake (R-VA) successfully added an
 amendment to see that military pay raises are at least a half-percentage
 point higher than the Employment Cost Index (ECI) through 2013.  Other
 provisions would:
• Lower premiums paid by drilling reservists who enroll in the Tricare
 Reserve Select (TRS) program;
• Bar any TRICARE or pharmacy fee increases for FY2009.
• Establish a new preventive health program, which now includes Tricare
 for Life beneficiaries.
• Bar studies of commissary privatization through 2013.
• Require DoD recommendation on selling beer and wine in commissaries.
• Direct DoD recommendation on opening commissaries to disabled
 veterans with VA ratings of 30% or greater.
• Direct DoD plan to simplify Guard/Reserve duty status categories.
• Authorize Reservists who retired with 20 years of active duty to
 switch to Reserve retirement if that provides greater retired pay, as of
 JAN 09 (no retroactive payment).
• Authorize recomputation of Guard/Reserve retired pay following at
 least two years of recalled active duty .
• Extend Guard/Reserve income replacement authority through 2009.
• Authorize a pilot program to exempt certain preventive care (e.g.,
 mammograms, colonoscopies, vaccinations) from TRICARE copays and
 deductibles (Note: original reports indicated that Medicare-eligibles would be
 excluded, but Committee leaders resolved that problem).
•  Authorize chiropractic care for all active duty members (but not
 family members, retirees or survivors).
•  Restore SBP to survivors of members who died on active duty, but
 whose SBP was switched to children (when children attain majority or if
 remarriage ends).
• Include the Mail Voucher program (H.R.1439) as an amendment to
 provide free mailing privileges for family members to send mail and packages
 to their loved ones serving in combat areas.

Unfortunately, three key initiatives were offered but rejected or
 withdrawn during the mark-up.  The Committee majority rejected:
• Rejected an amendment offered by Rep. Thelma Drake (R-VA) to repeal
 the SBP/DIC offset. This was blocked on a procedural ruling that it was
 not allowed under the budget resolution guidelines;
• Rejected an amendment from Rep. Joe Wilson (R-SC) to lower Guard and
 Reserve retirement age retroactive to Sept. 11, 2001; and
• In the face of these rejections, Rep. Joe Kline (R-MN) withdrew his
 amendment for full concurrent receipt to all disabled retirees. 
 
The House defense authorization bill also includes language that would
 halt construction of replacement hospitals for Walter Reed Army Medical
 Center until the Defense Department demonstrates that it can deliver
 world-class health services.  Language inserted in the bill would
 prohibit construction from going beyond the foundation stage until lawmakers
 are satisfied with the design of a new hospital at Fort Belvoir in
 Fairfax County and expansion of the National Naval Medical Center in
 Bethesda.  Hopefully there will be a sense of urgency, which will spur the
 Senate to complete action and approve their version of the NDAA and allow
 a conference to be completed before Congress recesses in October for
 elections. [Source: NAUS Weekly Update 16 & 23 May 08++]


NDAA 2009 UPDATE 03:   Sometime in June, the full Senate will be
 considering Defense Authorization Bill (S.2787) amendments on a variety of
 issues close to the hearts of the military community.  These include:
• Tricare Fees: Senators Frank Lautenberg (D-NJ) and Chuck Hagel (R-NE)
 will be offering their amendment that would establish principles in
 law that military people pay large in-kind premiums of sacrifice for
 their lifetime health care in addition to cash fees in retirement, and that
 their fees shouldn't rise in any year by a percentage that exceeds the
 percentage increase in their military compensation.
• Concurrent Receipt: Majority Leader Harry Reid (D-NV) will offer one
 or more amendments to eliminate the VA disability offset to earned
 military retired pay.
•  Survivor Benefit Plan (SBP): Sen. Bill Nelson's (D-FL) amendment
 would end the deduction of VA survivor benefits from SBP for all survivors
 of servicemembers who died of service-connected causes.
• GI Bill Transferability: Sen. John Warner (R-VA) will offer an
 amendment to allow servicemembers who complete their initial obligations and
 commit to extended service the opportunity to transfer part (or in some
 cases all) of their GI Bill benefits to a spouse or child(ren).
•  Reserve Retirement Age:  Sen. Saxby Chambliss's (R-GA) amendment
 would allow three months' reduction in the reserve retirement age for
 every 90 days activated since Sept. 11, 2001.

When these amendments are finalized, veterans will be asked  to e-mail
 and call their  senators to support them.  The House completed action
 on their Defense Authorization Bill (H.R.5658) in MAY. After the Senate
 approves its version (hopefully by the end of June), House and Senate
 leaders will have to negotiate resolutions to the differences in the two
 versions. This could be accomplished before Congress recesses for the
 election. However, recent history indicates we may not get a final
 defense bill until late NOV or DEC, via a post-election "lame duck" session
 of Congress. [Source: MOAA Leg Up 30 May 08 ++]


GI BILL UPDATE 22:    On 15 MAY, the House approved a war-funding bill
 H.R.2642 without any funding for the war after the Democratic
 leadership had stated that they would allow only 3 Amendments to be considered
 splitting the bill into 3 parts: War funding, policy provisions and
 domestic spending. The bill included provisions, which Bush announced he
 would veto,  that would require withdrawal of troops to begin 30 days
 after it was signed into law and a non-binding goal of total removal in 18
 months. So without the ability to propose Amendments, the funding
 issue failed on a 141-to-149 vote with 132 Republicans voting "present,"
 holding back their support to protest against domestic-spending items
 Democrats added to the must-pass legislation.  While there's no war
 funding, the legislation does contain a domestic spending package including:
• Money to grant 13 more weeks of unemployment insurance for workers
 whose insurance has run out and 13 weeks more in high unemployment
 states.
• A “millionaire tax surcharge” to pay for it and other programs. The
 surcharge would be a 1/2% tax on incomes above $1 million but, it would
 apply to an individual making $500,000, or a couple making $1 million).
• Utilization of the tax proceeds to cover the estimated $51 billion
 costs over 10 years of a 4-year Public University’s tuition plus a
 monthly stipend and book costs.
• A withdrawal of U.S. troops from Iraq to begin within 30 days with a
 "goal" of withdrawal within18 months.
 
     The bill’s passage hardly settles all the issues in the
 Supplemental, but it would mean that the bill would start to move through the
 process. As is it includes $96.6 billion to fund the Wars in Iraq and
 Afghanistan through September. (President requested $100 billion.) The
 remaining $3.4 billion is assigned to pay for military base and hospital
 construction, food aid and money for the Federal Bureau of the Census and
 the Federal Bureau of Prisons. There is an additional $66 billion for
 DoD to pay for the Wars from 1 OCT until a new Administration is sworn
 in next year. President Bush has said that he would veto the bill if it
 included tax increases. It is expected that the Senate will remove the
 War withdrawal provisions and the tax increase from the bill. Smart
 money on the Hill is the President will not veto the Supplemental if it
 includes the improved Veterans Benefits or the unemployment provisions.
 Only time will tell. Leaders in the House and Senate now say final
 action is unlikely to be completed before the Memorial Day recess.  Without
 the extra money, Pentagon officials warn that by June the services
 will run out of money and be forced to cut elsewhere to cover war costs.
  Though once assured that Congress would finish the bill by early May,
 Senate Majority Leader Harry Reid now believes the bill may not be
 completed until mid-June.  Debate, however, may begin before the recess.
  [Source: TREA/NAUS 16 May 08 ++]


VA PTSD EVALUATION CRITERIA:  Per 38 CFR DC 9440 the evaluation
 criteria for chronic adjustment disorder and General Rating Formula for mental
 disorders is:

• 100%: Total occupational and social impairment, due to such symptoms
 as: gross impairment in thought processes or communication; persistent
 delusions or hallucinations; grossly inappropriate behavior; persistent
 danger of hurting self or others; intermittent inability to perform
 activities of daily living (including maintenance of minimal personal
 hygiene); disorientation to time or place; memory loss for names of close
 relatives, own occupation, or own name.
• 70%:  Occupational and social impairment, with Deficiencies in most
 areas, such as work, school, family relations, judgment, thinking, or
 mood, due to such symptoms as: suicidal ideation; obsessional rituals
 which interfere with routine activities; speech intermittently illogical,
 obscure, or irrelevant; near-continuous panic or depression affecting
 the ability to function independently, appropriately and effectively;
 impaired impulse control (such as unprovoked irritability with periods of
 violence); spatial disorientation; neglect of personal appearance and
 hygiene; difficulty in adapting to stressful circumstances (including
 work or a work like setting); inability to establish and maintain
 effective relationships.
• 50%: Occupational and social impairment with reduced reliability and
 productivity due to such symptoms as: flattened affect; circumstantial,
 circumlocutory, or stereotyped speech; panic attacks more than once a
 week; difficulty in understanding complex commands; impairment of
 short- and long-term memory (e.g., retention of only highly learned
 material, forgetting to complete tasks); impaired judgment; impaired abstract
 thinking; disturbances of motivation and mood; difficulty in
 establishing and maintaining effective work and social relationships.
• 30%:  Occupational and social impairment with occasional decrease in
 work efficiency and intermittent periods of inability to perform
 occupational tasks (although generally functioning satisfactorily, with
 routine behavior, self-care, and conversation normal), due to such symptoms
 as: depressed mood, anxiety, suspiciousness, panic attacks (weekly or
 less often), chronic sleep impairment, mild memory loss (such as
 forgetting names, directions, recent events.
• 10%:  Occupational and social impairment due to mild or transient
 symptoms which decrease work efficiency and ability to perform
 occupational tasks only during periods of significant stress, or; symptoms
 controlled by continuous medication.
• 0%: A mental condition has been formally diagnosed, but symptoms are
 not severe enough either to interfere with occupational and social
 functioning or to require continuous medication.
[Source:  VFW VSO Scott H. Langhoff article 15 May 08 ++]


VA PTSD CLAIM SUPPORT:  There has been some confusion concerning what
 is a decoration for Valor in combat to support PTSD claims filed due to
 combat.  The decorations on the below list are the only decorations
 recognized for Valor in combat.  If the Veteran has one of these
 decorations, he (or she) does not need a diagnosis of PTSD, as exposure to
 combat is conceded by the VA.  They only need to complete VA form 21-0781
 detailing stressful incidences to the best of their ability, and provide
 a "Stressor Statement" detailing the symptoms they're experiencing (see
 attached list). There can be other acceptable evidence in the form of
 official Unit Records, Diaries and Ship's Deck Logs on occasion.

• Air Force Cross
• Air Medal with "V" Device
• Army Commendation Medal with "V" Device
• Bronze Star Medal with "V" Device
• Combat Action Badge
• Combat Action Ribbon (Note: Prior to FEB 69, the Navy Achievement
 Medal with "V" Device was awarded.)
• Combat Aircrew Insignia
• Combat Infantry/Infantryman Badge
• Combat Medical Badge
• Distinguished Flying Cross
• Distinguished Service Cross
• Joint Service Commendation Medal with "V" Device
• Medal of Honor
• Navy Commendation Medal with "V" Device
• Navy Cross
• Purple Heart, and/or
• Silver Star.
[Source:  VFW VSO Scott H. Langhoff article 15 May 08 ++]


PTSD PURPLE HEART UPDATE 01:  Recently, a military psychologist John E.
 Fortunato at Fort Bliss TX told reporters during a roundtable that
 making troops with PTSD eligible for the Purple Heart could help
 destigmatize the disorder. "These guys have paid at least a high as high a
 price, some of them as anybody with a traumatic brain injury, as anybody
 with shrapnel wound, and what it does is it says this is the wound that
 isn’t worthy, and I say it is.” When asked about Fortunato’s suggestion
 later, Defense Secretary Robert Gates called it an interesting idea,
 adding the matter is clearly something that needs to be looked into. On 16
 MAY, Pentagon Press Secretary Geoff Morrell said the issue was
 referred to the Defense Department Awards Advisory Group after Gates' remarks.
 "I should point out they've looked at this before, and they determined
 that it was not appropriate to make PTSD a qualification for the
 Purple Heart," Morrell said at a news conference. Right now, the regulation
 that outlines the criteria for the Purple Heart lists PTSD as an injury
 that does not merit the award, along with trench foot, heat stroke and
 self-inflicted wounds. The group does not have a timetable to produce
 a recommendation on the issue, Morrell said. The awards group is made
 up of awards experts from the services and the Defense Department, said
 Lt. Col. Jonathan Withington, a Defense Department Spokesman.

     The Military Order of the Purple Heart (MOPH) veterans group for
 combat wounded troops whose mission is to preserve the integrity of the
 Purple Heart has come out against giving the award to troops suffering
 from post-traumatic stress disorder. They claim that PTSD does not
 merit the Purple Heart, according to an Army regulation that lays out the
 criteria for the award.  MOPH representatives said, the Purple Heart was
 set up for combat wounds, for those who have shed blood, and although
 PTSD is a physical disease and is an injury it does not qualify for the
 merit of Purple Heart based on that.  Injuries that merit the Purple
 Heart must happen in a combat theater and must be a direct result of
 enemy action. The group’s concern about PTSD is that it can be caused by
 other factors, not necessarily the enemy. "Did it occur in boot camp?
 Did it occur because of the rough air flight into theater? Or did it
 occur because an individual saw the results of the Taliban massacre of a
 village? Stars and Stripes called the medical center where Fortunato
 works for a response, but a spokesman there referred questions to Army
 Human Resources Command, adding that Fortunato should not have commented on
 the Purple Heart in the first place because the issue is “out of our
 medical lane." [Source: Stars and Stripes Jeff Schogol article 14 & 17
 May 08 ++]


PTSD UPDATE 20:  Two veterans’ advocacy groups have asked for copies of
 all documents relating to the Veterans Affairs Department’s
 post-traumatic stress disorder policies after an e-mail surfaced asking VA
 doctors to keep costs down by giving diagnoses of adjustment disorder
 instead. Veterans diagnosed with PTSD are eligible for health benefits and, in
 some cases, disability retirement pay. Adjustment disorder, on the
 other hand, is considered a short-term diagnosis, and does not qualify
 veterans for benefits, said Brandon Friedman, vice chair of VoteVets.org,
 one of the advocacy groups. “They can say, ‘Ah, you’ve got something
 temporary, it’ll go away, so we don’t need to pay you for the rest of
 your life,’ ” Friedman said. He said several veterans have told him they
 were diagnosed with adjustment disorder rather than PTSD, and that they
 felt they had received the wrong diagnosis. “We hear anecdotal evidence
 all the time that VA is trying to cut costs by not diagnosing PTSD,”
 said Friedman, a former infantry officer who served in Iraq and
 Afghanistan. “But we’ve never actually seen proof that it was being done in an
 organized way.”

     The e-mail, which Friedman said came from a VA hospital’s PTSD
 program coordinator, was apparently sent to several VA employees at that
 hospital. A psychologist from the hospital in turn sent it to
 VoteVets.org, Friedman said. “Given that we are having more and more
 compensation-seeking veterans, I’d like to suggest you refrain from giving a
 diagnosis of PTSD straight out,” the e-mail states. “Consider a diagnosis of
 adjustment disorder, r/o [rule out] PTSD. Additionally, we really don’t
 ... have time to do the extensive testing that should be done to
 determine PTSD.” The e-mail also states veterans are appealing their
 compensation and pension ratings based on diagnosis from his staff. VA
 Secretary James Peake acknowledged in a statement that the e-mail did come
 from a VA facility, but said it’s not official policy. “A single staff
 member, out of VA’s 230,000 employees, in a single medical facility sent a
 single e-mail with suggestions that are inappropriate and have been
 repudiated at the highest level of our health-care organization,” he
 said. “The employee has been counseled and is extremely apologetic.”

     VoteVets.org and Citizens for Responsibility and Ethics in
 Washington (CREW) filed a Freedom of Information Act request 14 MAY asking VA
 for all documents relating to PTSD.  On 28 MAY they requested that the
 Inspector General for the DVA open an investigation into the process
 and manner by which the VA makes a diagnosis of post traumatic stress
 disorder (PTSD) in veterans.  Their basis for making this request was
 additional information they became aware of indicating:
• The VA has adopted incentive programs that, by rewarding those
 employees and hospitals that distribute lower levels of compensation to
 veterans, encourage adjustment disorder diagnoses rather than the most
 appropriate but also more costly diagnosis of PTSD.
• VA's internal computer system permits medical files to be changed by
 health professionals who did not conduct the initial examinations, a
 practice that appears to have resulted in changed diagnoses from PTSD to
 adjustment disorder, even where there is no additional medical evidence
 to support the downgraded diagnoses.
• Assertions from VA employees that they suffered retaliation for their
 failure to support these practices.
“We’re not head-hunting,” Friedman said. “There are a lot of great
 people who work at VA who have helped me and my friends. We had to file the
 FOIA to get to the bottom of this. Is it from the head of the VA? The
 presidential administration? Or individual hospitals? I would like to
 know where this directive is coming from.” Peake said his staffs “works
 hard” to make sure mental health issues are accurately diagnosed. “VA’s
 leadership will strongly remind all medical staff that trust, accuracy
 and transparency is paramount to maintaining our relationships with
 our veteran patients,” he said. “We are committed to absolute accuracy in
 a diagnosis and unwavering in providing any and all earned benefits.
 PTSD and the mental health arena is no exception.”  [Source: Air Force
 Times Kelly Kennedy article posted 16 May & CREW press release 28 May 08
 ++]  


PENNSYLVANIA VET BONUS UPDATE 01:   Eligible veterans are those who:
• Served with the United States Armed Forces, a reserve component of
 the United States Armed Forces or the Pennsylvania National Guard.
• Served on active duty in the Persian Gulf Theater of Operations
 during the period from August 2, 1990 to August 31, 1991 and received the
 Southwest Asia Service Medal.
• Been a legal resident of Pennsylvania at the time of active service
 (Aug 2, 1990 - Aug 31, 1991) and served under honorable conditions. 

Eligible beneficiaries of deceased veterans include, in the following
 order of precedence:
•  Surviving spouse.
•  Surviving children.
•  Surviving parents.

Vets will receive $75 per month for each month (or major fraction) of
 active service, up to a maximum of $525. The sum of $5,000 will be paid
 on behalf of veterans who died in active service or as a result of
 service-connected wounds, and $5,000 to prisoners of war in the conflict.
 Service members, veterans or their surviving beneficiaries are not
 eligible for the program if a bonus, gratuity, or compensation similar to
 that provided by this Act has been received from any other state, or if
 the service member or veteran has renounced his or her US citizenship.
 To request a copy of an application or ask questions call (866) 458-9182
 between 9AM and 5PM, M-F or anytime to utilize the automated voice
 system.  Forms can be downloaded.  The short form (PG-1 Short) at
 http://www.milvet.state.pa.us/DMVA/Docs_BVA/PGVB/Application_Short_FILL.pdf 
for veterans or service persons filing on their own behalf.  The long
 form (PG-1 Long) at
 http://www.milvet.state.pa.us/DMVA/Docs_BVA/PGVB/Application_Long_FILL.pdf
 should be used if you are a surviving family member of a veteran, or if
 you are applying on behalf of a veteran deemed incompetent. It can be
 obtained at   Completed applications with attachments should be mailed
 to: Persian Gulf Conflict Veterans’ Benefit Program, PO Box 1109,
 Harrisburg, PA 17108-1109. For more info ion the program, refer to
 www.persiangulfbonus.state.pa.us . [Source: EANGUS Minuteman Update 15 May 08
 ++]


VETERAN LEGISLATION STATUS 29 MAY 08:   Congress recessed on 22 MAY for
 the Memorial Day weekend and will return to Washington 2 JUN. 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.  Refer to
 http://www.thecapitol.net/FAQ/cong_schedule.html for future times that
 you can access your representatives on their home turf.  [Source: RAO
 Bulletin Attachment 29 May 08 ++] 


HAVE YOU HEARD:  A famous Viking explorer returned home from a voyage
 and found his name missing from the town register. His wife insisted on
 complaining to the local civic official who apologized profusely
 saying, 'I must have taken Leif off my census.'


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 in U.S. or Cell: 0915-361-3503 in the 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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