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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