FEDERAL HEALTH UPDATE

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Feb 5, 2010

  Produced by Kate Connelly Theroux in collaboration with the Institute of Federal Health Care (IFHC)

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Executive and Congressional News

  • The White House announced that President Obama signed into law H.R. 1377 on Feb. 1, 2010. This law expands veteran eligibility for reimbursement by the Secretary of Veterans Affairs for emergency treatment furnished in a non-department facility, and for other purposes.


  • On Feb. 4, 2010, Scott Brown (R-MA) was sworn in as the next Massachusetts senator, replacing the late Senator Edward M. Kennedy.

    Military Health Care News

  • The Department of Defense (DoD) Office of the Undersecretary of Personnel and Readiness announced that, effective Feb. 1, 2010, Ellen Embrey, acting assistant secretary of defense for health affairs, left her position and that Mr. Allen Middleton will perform the statutory duties of the assistant secretary of defense for health affairs.

    Mr. Middleton will not assume the title of “acting” but will remain the director of financial plans and policy. In addition, Mr. Middleton will assume the title and role of acting director of TRICARE Management Activity.

    Mr. William T. Bester will assume the title and role of acting principal deputy assistant secretary of defense for health affairs and acting principal deputy director of TRICARE Management Activity. In Mr. Middleton’s absence, he may perform the duties of assistant secretary of defense for health affairs and director of TRICARE Management Activity.

  • On Feb 1, 2010, President Barack Obama sent to Congress a proposed defense budget of $708 billion for fiscal 2011.

    The budget request for the Department of Defense (DoD) includes $549 billion in discretionary budget authority to fund base defense programs and $159 billion to support overseas contingency operations (OCO), primarily in Afghanistan and Iraq. This proposal continues the reform agenda established in last year's DoD budget request and builds on the initiatives identified by the 2010 Quadrennial Defense Review (QDR) and 2010 Ballistic Missile Defense Review (BMDR).

    The fiscal 2011 base budget request represents an increase of $18 billion over the $531 billion enacted for fiscal 2010. This is an increase of 3.4 percent, or 1.8 percent real growth after adjusting for inflation. DoD said it needs modest real growth to maintain, train, and equip the forces that sustain wartime efforts.

    The President’s DoD budget objectives include:

    • Continued increases for care and support of wounded, ill, and injured service members. The FY 2011 request also includes $1.1 billion for the treatment, care, and research of Traumatic Brain Injuries and Psychological Health (TBI/PH) issues.
    • The FY 2011 budget request includes $50.7 billion (including $30.9 billion for the Defense Health Program) to fully fund the military health system, which currently serves 9.5 million eligible beneficiaries
    • The FY 2011 budget supports programs to prevent and treat mental illness and includes $0.3 billion to support efforts to modernize the department’s electronic health record and medical information technology infrastructure, while partnering with the Department of Veterans Affairs and the private sector to pursue the administration’s goal of building a Virtual Lifetime Electronic Record (VLER).

    To view the entire fiscal 2011 budget proposal, please visit http://www.budget.mil and download the "FY 2011 Budget Request Overview Book."

  • On Jan. 29, 2010, TRICARE Management Activity announced that the newest TRICARE Standard and Extra handbook is available to all TRICARE Standard beneficiaries.

    The 68-page handbook includes information on accessing routine, urgent and emergency care, as well as TRICARE’s prior authorization and referral requirements. Also provided are sections on what’s covered by TRICARE Standard’s health and pharmacy benefits, and how to coordinate TRICARE with other health insurance. Information on claims, appeals, grievances, reporting fraud and abuse and more is contained in the new TRICARE Standard handbook.

    TRICARE Standard and Extra are available to family members of active duty service members, retired service members and their families and others including those who purchase TRICARE Reserve Select. With TRICARE Standard, beneficiaries manage their own health care and have the freedom to seek care from any TRICARE-authorized provider. TRICARE Extra provides discounted cost-shares for seeking care from network providers.

  • Irwin Army Community Hospital (IAHC), located at Fort Riley, Kan., was selected as the recipient of the Surgeon General’s Excalibur award in the active component military treatment facility category for its success in improving its physical evaluation board process and decreasing the rate of returned board packets.

    The results of the process improvement took IACH from being one of the worst MTFs in the Army for return rates to being one of the best in the Army.

    This is the first time IACH submitted a performance improvement initiative for consideration by the Office of the Surgeon General, according to Deanna Wolnik, chief of quality management in the clinical operations division.

    The process improvement began when IACH’s return rate — cases submitted but rejected because of incorrect or missing data — was as high as 39 percent.

    IACH consistently has maintained a return rate below the OTSG and Medical Command standard of 10 percent for the past four years.

  • The U.S. Defense Department released its 2010 Quadrennial Defense Review, which announced that it intends to enhance its capabilities to prevent the spread and use of weapons of mass destruction.

    Means of addressing those dangers include securing or eliminating potential weapons materials, tight scrutiny of potentially deadly agents and delivery systems and countermeasures against an attack, according to the report.

    Also on the agenda are creation of "countermeasures, defenses and mitigation strategies" intended to persuade enemies against using biological or chemical warfare materials.

    Specific initiatives mandated by Defense Secretary Robert Gates are:

    • Opening of a "Joint Task Force Elimination Headquarters" that would be used to prepare and train for and conduct anti-WMD activities and provide enhance "nuclear disablement, exploitation, intelligence and coordination capabilities."
    • Augmenting resources for research and development of countermeasures against "nontraditional chemical agents" that might be used against military personnel from the United States or allied nations.
    • Improving U.S. capabilities in nuclear forensics, the scientific capability to identify the source of nuclear material that is seized in transit or used in an attack.
    • Safeguarding nuclear materials around the world by "working with interagency partners to identify countries that could benefit from site upgrades, security training facilities, and the disposition of weapons grade materials."
    • Broadening the scope of the biological threat reduction program to involve countries beyond the former Soviet Union in monitoring and responding to outbreaks of disease.
    • Producing new technologies for monitoring compliance with global nonproliferation regimes.

    The review also highlights a significant number of other issues, including cyber-security, terrorism, climate change and preparedness for dealing with various concurrent conflicts.

  • The Uniformed Services University of the Health Sciences (USU) announced Navy Captain Tanis Batsel Stewart, MC, as the University’s next Brigade Commander. She will officially assume the duties this spring.

    Batsel Stewart currently serves as the director, Emergency Preparedness and Contingency Support, Navy Bureau of Medicine and Surgery (BUMED), in Washington, D.C. She is responsible for implementing a coordinated, comprehensive strategy to guide Navedicine’s emergency management and public health emergency preparedness and response efforts. She is also responsible for sourcing Navy medical personnel in support of contingency operations, humanitarian assistance, and disaster response efforts worldwide, including the Haitian earthquake.

    Batsel-Stewart is a former Navy line officer, and is a graduate of USU’s medical and graduate degree programs, having earned her M.D. in 1993 and her MPH in 2000. She is board certified in General Preventive Medicine and Public Health. She holds a certificate in Tropical Medicine and Hygiene from USU, and a master’s certificate in Homeland Defense from the University of Colorado, Colorado Springs. Her career spans operational, research, policy development, and leadership assignments.

  • A new DoD Instruction will “establish DoD guidance to protect installations and personnel by mitigating the impacts of public health emergencies.

    The DoD Instruction (DoDI) (6200.03), titled “Public Health Emergency Management Within the Department of Defense,” was signed Jan. 14 by Gail McGinn, deputy undersecretary of defense (plans), performing the duties of the undersecretary of defense for personnel and readiness.

    The DoD Instruction takes a holistic approach to public health emergency management, moving DoD toward an “all-hazards” focus and away from the chemical, biological, radiological, nuclear and high yield explosive (CBRNE) focus of the past.

    The assistant secretary of defense for health affairs ASD(HA) will serve as the primary advisor to the Secretary of Defense regarding PHEs and will be the point of contact for interagency coordination, according to McGinn. The individual services will ensure commanders work with state and local government authorities, and ensure that public health emergency management (PHEM) resources are identified and developed.

    In addition to the added responsibilities of the services, geographic combatant command, military commander, and the MTF commander, there is a set of general procedures that military commanders must follow during a PHE.

    The new DoD Instruction also incorporates guidance from and brings the Department of Defense into compliance with several key documents that have emerged over the past several years, including the updated International Health Regulations, updated Centers for Disease Control and Prevention (CDC) quarantine regulations, the Pandemic and All-Hazards Preparedness Act, and the Model State Emergency Health Powers Act.

    While it was written specifically in coordination within the Department of Defense, the instruction also was coordinated extensively with offices from the Departments of Health and Human Services, State and Veterans Affairs.

Veterans Health Care News

  • On Feb 1, 2010, the White House announced a proposed $125 billion budget next year for the Department of Veterans Affairs.

    The $125 billion budget request, which has to be approved by Congress, includes $60.3 billion for discretionary spending (mostly health care) and $64.7 billion in mandatory funding (mostly for disability compensation and pensions).

    Some of the budget requests include:

    • An increase of $460 million and more than 4,000 additional claims processors for veterans benefits. This is a 27 percent funding increase over the 2010 level.
    • $5.2 billion for mental health, an increase of $410 million (or 8.5 percent) over current spending, enabling expansion of inpatient, residential and outpatient mental health services, with emphasis on making mental health services part of primary care and specialty care.
    • $250 million to strengthen access to health care for 3.2 million veterans enrolled in VA’s medical system who live in rural areas. Rural outreach includes expanded use of home-based primary care and mental health.

    The budget provides an increase of $42 million for VA’s home telehealth program. The effort already cares for 35,000 patients and is the largest program of its kind in the world.

    The 2011 budget provides $217.6 million to meet the gender-specific health care needs of women veterans, an increase of $18.6 million (or 9.4 percent) over the 2010 level. Enhanced primary care for women veterans remains one of the Department’s top priorities.

    During 2011, VA expects to treat 6.1 million patients, who will account for more than 800,000 hospitalizations and 83 million outpatient visits.

    The total includes 439,000 veterans who served in Iraq and Afghanistan, for whom $2.6 billion is included in the budget proposal. That’s an increase of $597 million – or 30 percent – from the current budget.

    The proposed budget for health care also includes:

    • $6.8 billion for long-term care, an increase of $859 million (or 14 percent) over 2010. This amount includes $1.5 billion for non-institutional long-term care.
    • Expanding access to VA health care system for more than 99,000 Veterans who were previously denied care because of their incomes.
    • $590 million for medical and prosthetic research.
    • Continuing development of a “virtual lifetime electronic record,” a digital health record that will accompany Veterans throughout their lives.

    VA is requesting $54.3 billion in advance appropriations for 2012 for health care, an increase of $2.8 billion over the 2011 enacted amount. Planned initiatives in 2012 include better leveraging acquisitions and contracting, enhancing the use of referral agreements, strengthening VA’s relationship with the Defense Department, and expanding the use of medical technology.

  • Doctors and diabetic patients don't agree on what part of the patient's health condition is most important, according to a new study conduct by Ann Arbor VA Center for Clinical Management Research and the University of Michigan's Medical School.

    Patients seem to focus on problems like chronic pain and depression, while doctors focus on conditions like hypertension. The middle ground involves treatment.

    Researchers surveyed 92 primary care doctors and 1,200 patients who had diabetes and hypertension. Over a quarter of the doctor-patient pairs revealed disagreements about what their top three health concerns were.

    Doctors appeared to be focused on more long-term issues such as blood pressure, while patients were concerned about current issues like back pain. Hypertension was ranked by 38 percent of doctors as the most important condition, but only 18 percent of patients ranked the same. The study is questioning whether diabetics are having trouble managing their diabetes because of doctor-patient disagreements.

    Diabetes patients, on average, suffer from at least three chronic health problems, outside of diabetes. Their doctors therefore, have to diagnosis and treat more than just diabetes, which causes multiple visits, medications and disagreements. The study is further encouraging physicians to focus on their patients' needs, especially when 18 million Americans suffer from diabetes and 5.7 million are living undiagnosed. The numbers have almost tripled since 1980.

    The causes of diabetes range from age, obesity, inactivity to medical reactions, pregnancy and damage to the pancreas. The correlation between an increase in obesity and an increase in diabetes is significant and are among the two leading health problems in the U.S.

Health Care News

  • On Feb. 1, 2010, President Obama sent to Congress $911 billion budget for the Department of Health and Human Services for fiscal year (FY) 2011. This is an increase of $51 billion over FY 2010.

    The budget proposes $81 billion in discretionary authority, an increase of $2.3 billion over FY 2010 on a comparable basis.

    Among the proposals are:

    • The budget invests $995 million to address the shortage of health care providers in underserved areas, increasing funding to expand services at Community Health Centers by $290 million and allocating nearly $80 million for work to spread the adoption and use of health information technology.
    • The budget makes landmark investments to fight health care fraud and requests $1.7 billion for fraud fighting at HHS, including $561 million in Health Care Fraud and Abuse Control (HCFAC) discretionary funding, an increase of $250 million over the FY 2010 enacted level.
    • The budget also helps protect families from disease and illness and improves public health, by investing $1.4 billion to transform the food safety system and help prevent food borne illness. Other important investments to stop diseases before they start include $954 million to help prevent smoking and tobacco use and $20 million for a new initiative in CDC to help prevent chronic disease.
    • Additionally, the budget increases funding for the National Institutes of Health by $1 billion to support innovative projects from basic to clinical research.
    • The budget includes $78 million, an increase of $17 million, for the Office of the National Coordinator for Health Information Technology (ONC) to advance the President’s health IT initiative by accelerating health IT adoption and electronic health records (EHRs) utilization as essential tools to modernizing the health care system.
    • The budget includes $1.4 billion, an increase of $327 million or 30 percent, for food safety efforts that will strengthen the ability of the Food and Drug Administration (FDA) and the Centers for Disease Control and Prevention (CDC) to prioritize prevention, strengthen surveillance and enforcement, and improve response and recovery – key priorities of the Food Safety Working Group the President established in March 2009.
    • The budget includes $3.6 billion, an increase of $186 million for the Centers for Medicare and Medicaid Services (CMS).
    • The budget includes $995 million, an increase of $33 million, to address the shortage of health care providers in underserved areas.
    • The budget includes an increase of $290 million for further expansions of health center services, including the creation of 25 new access points in communities without access to a health center, and will facilitate the integration of behavioral health into the existing health centers’ primary care system.
  • President Barack Obama's proposed budget includes a $101 million boost in funding for the Centers for Disease Control and Prevention (CDC).

    The new funding will help pay for new programs aimed at addressing obesity and diseases in big cities, a new training program for public health professionals and other agency expansions.

    The CDC also would add about 100 full-time employees nationwide in the fiscal year beginning Oct. 1, although most of the new employees would simply replace current employees already working as contractors.

    The increases are relatively small given the CDC's proposed overall budget of $10.6 billion and its payroll of nearly 10,000 workers.

    But the proposed boost to the CDC is significant, especially since other government programs are facing cutbacks.

    Included in the proposed budget for the CDC:

    • A new $10 million Health Prevention Corps program that would recruit and train new public health professionals and assign them to state and local public health departments. CDC director Thomas Frieden said about 100 to 150 recruits would be trained through the program, which would be based in Atlanta.
    • A new $20 million grant program aimed at reducing obesity, smoking and other health problems in big cities. The funding would be used to start wellness programs in up to 10 big cities in the country.
    • A $23 million funding increase for the CDC's health statistics program. The money would be used to improve national health data collection by helping states increase the use of electronic birth and death records and by enhancing national health surveys.

    The CDC expects to use about $225 million of funds originally designated for H1N1 for other programs during the next fiscal year.

  • The Lancet has "fully" retracted a paper it published in 1998 that suggested a link between measles-mumps-rubella vaccination and the subsequent development of autism.

    The journal's editors point to a recent judgment by a panel of the U.K.'s General Medical Council that "it has become clear that several elements of the 1998 paper by Wakefield et al. are incorrect, contrary to the findings of an earlier investigation."

    The editors say that two claims in the paper "have been proven to be false." Contrary to the authors' claims, the patients studied were not consecutively referred, and the local ethics committee had not approved the investigations. The editors conclude: "Therefore we fully retract this paper from the published record."

    Asked to comment on the journal's action, Dr. Andrew Wakefield sent the following statement: "The allegations against me and against my colleagues are both unfounded and unjust and I invite anyone to examine the contents of these proceedings and come to their own conclusion."

  • The National Institute on Aging (NIA) announced that it has committed more than $36.7 million over the next five years to support and expand its Centers on the Demography and Economics of Aging.

    The Centers form a network of universities and organizations leading innovative studies on the characteristics of the aging population. The awards, which include some support from the American Recovery and Reinvestment Act, renewed support for 11 centers and established three new ones.

    Each NIA Demography Center has its own set of disciplinary specializations, although research conducted at the different centers is often interrelated. All centers investigate aspects of health and health care, the societal impact of population aging and the economic and social circumstances of older people. Many centers also conduct research on global aging and cross-national comparisons, and several are pioneering work on the bio-demography of aging, investigating the relationships among biology and genetics, health and mortality and life expectancy.

    The NIA Demography Centers provide crucial information to policy makers to help them understand the aging population in America and around the world and make decisions that affect societal programs such as Medicare and Social Security.

    The three new Centers, their principal investigators and research emphasis are:

    • Center on the Demography of Aging, Duke University. James W. Vaupel, Ph.D. Research focus: Bio-demography.
    • Hopkins Center for Population Aging and Health, Johns Hopkins University (supported with Recovery Act funds). Emily Agree, Ph.D. Research focus: Disability, intergenerational support.
    • Center for Aging and Policy Studies, Syracuse University. Douglas Wolf, Ph.D. Research focus: Behavioral responses to aging, public policy, gerontology education.

    NIA will support one new center for two years with funds from the Recovery Act, and two renewed centers will also receive Recovery Act supplementary funds for one year. The NIH's Office of Behavioral and Social Sciences Research and Fogarty International Center also provided funding support for the centers. Additional Recovery Act funding was also provided by the NIH Office of the Director.

  • The U.S. Food and Drug Administration approved Tykerb (lapatinib) in combination with Femara (letrozole) to treat hormone positive and HER2-positive advanced breast cancer in postmenopausal women for whom hormonal therapy is indicated.

    HER2 is a protein involved in normal cell growth. It is found on some types of cancer cells, including breast cancer cells. In hormone positive breast cancer, the presence of certain hormones contributes to breast cancer growth. In HER2-positive breast cancer, stimulation of the HER2 receptor contributes to cancer cell growth. Breast cancer is the second leading cause of death among women. More than 192,000 women will be diagnosed with breast cancer this year.

    Women with HER2-positive disease receiving the Tykerb plus Femara combination more than doubled the time they lived without the cancer’s progressing, compared with those receiving Femara alone (35 weeks vs. 13 weeks). Women in the company-sponsored study were randomized to receive Tykerb plus Femara or Femara alone. It is too early to determine whether an improvement in overall survival will be observed in the clinical trial.

    Tykerb works by depriving tumor cells of signals needed to grow. Tykerb enters the cell and blocks the function of the HER2 protein.

    Tykerb was initially approved in combination with a chemotherapy drug, Xeloda (capecitabine) in 2007. This combination was used to treat women with advanced breast cancer tumors with the HER2 protein who had received prior treatment with chemotherapy drugs.

Reserve/Guard

  • As of Feb. 2, 2010, the total number of Guard and Reserve currently on active duty has decreased by 474 to 142,834. The totals for each service are Army National Guard and Army Reserve 112,004; Navy Reserve, 6,973; Air National Guard and Air Force Reserve, 16,738; Marine Corps Reserve, 6,350; and the Coast Guard Reserve, 769. www.defenselink.mil

Reports/Policies

  • The Institute of Medicine (IOM) announced it will conduct a study determine the long term health effects of exposure to burn pits in Iraq and Afghanistan.

    Using the Balad Burn Pit in Iraq as an example, the committee will examine existing literature that has detailed the types of substances burned in the pits and their by-products, and examine the feasibility and design issues for an epidemiologic study of veterans exposed to the Balad burn pit. The committee will explore the background on the use of burn pits in the military.

  • The GAO published “Patient Safety Act: HHS Is in the Process of Implementing the Act, So Its Effectiveness Cannot Yet Be Evaluated,” (GAO-10-281) on Jan. 29, 2010. This report describes progress by the Department of Health and Human Services, Agency for Healthcare Research and Quality (AHRQ) to implement the Patient Safety Act by creating a list of Patient Safety Organizations (PSO) so that these entities are authorized under the Patient Safety Act to collect patient safety data from health care providers to develop improvements in patient safety; and implementing the network of patient safety databases (NPSD) to collect and aggregate patient safety data. http://www.gao.gov/new.items/d10281.pdf

  • The GAO published “Veterans' Disability Benefits: Further Evaluation of Ongoing Initiatives Could Help Identify Effective Approaches for Improving Claims Processing,” (GAO-10-213) on Jan. 29, 2010. This report examines trends in VA's disability compensation claims processing at the initial claims and appeals levels and actions that VA has taken to improve its disability claims process. http://www.gao.gov/new.items/d10213.pdf

Legislation

  • H.R.4555 (introduced Feb. 2, 2010): To amend title 38, United States Code, to direct the Secretary of Veterans Affairs to furnish hospital care, medical services, and nursing home care to veterans who were stationed at Camp Lejeune, North Carolina, while the water was contaminated at Camp Lejeune, and for other purposes was referred to the House Committee on Veterans' Affairs.
    Sponsor: Representative Brad Miller [NC-13]
  • H.R.4559 (introduced Feb. 2, 2010): To establish a commission to review benefits provided by each state to disabled veterans was referred to the House Committee on Veterans' Affairs.
    Sponsor: Representative Larry Kissell [NC-8]
  • H.R.4563 (introduced Feb. 2, 2010): To amend the Employee Retirement Income Security Act of 1974, Public Health Service Act, and the Internal Revenue Code of 1986 to require that group and individual health insurance coverage and group health plans provide coverage of screening for breast, prostate, and colorectal cancer was referred to the Committee on Energy and Commerce, and in addition to the Committees on Education and Labor, Ways and Means, and Oversight and Government Reform, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
    Sponsor: Representative Carolyn B. Maloney [NY-14]
  • H.R.4568 (introduced Feb. 2, 2010): To direct the Secretary of Defense and the Secretary of Veterans Affairs to carry out a pilot program under which the Secretaries make payments for certain treatments of traumatic brain injury and post-traumatic stress disorder was referred to the Committee on Armed Services, and in addition to the Committee on Veterans' Affairs, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
    Sponsor: Representative Pete Sessions [TX-32]
  • H.R.4569 (introduced Feb. 2, 2010): To amend the United States Housing Act of 1937 relating to the amount of rental assistance available under the veterans affairs supported housing program was referred to the House Committee on Financial Services.
    Sponsor: Representative Joe Sestak [PA-7]
  • H.R.4571 (introduced Feb. 2, 2010): To amend title 38, United States Code, to provide for an increase in the amount available for reimbursements payable by the Secretary of Veterans Affairs to State approving agencies, and for other purposes was referred to the House Committee on Veterans' Affairs.
    Sponsor: Representative Joe Sestak [PA-7]
  • H.R.4577 (introduced Feb. 3, 2010): To direct the President, acting through the National Disaster Medical System, to reimburse States for expenses incurred in providing treatment for health conditions and illnesses resulting, directly or indirectly, from the earthquake in Haiti on January 12, 2010 was referred to the House Committee on Energy and Commerce.
    Sponsor: Representative Corrine Brown [FL-3]
  • H.R.4592 (introduced Feb. 3, 2010): To provide for the establishment of a pilot program to encourage the employment of veterans in energy-related positions was referred to the House Committee on Veterans' Affairs.
    Sponsor: Representative Harry Teague [NM-2]
  • H.R.4593 (introduced Feb. 3, 2010): To amend part B of title XVIII of the Social Security Act to waive Medicare part B premiums for certain military retirees was referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
    Sponsor: Representative Chris Van Hollen [MD-8] (introduced 2/3/2010

Hill Hearings

  • The Senate Armed Services Committee will hold a hearing on Feb. 9, 2010, to examine the President's proposed budget request for fiscal year 2011 for defense authorization and the future years defense program.
  • The Senate Veterans' Affairs Committee will hold a hearing on Feb. 10, 2010, to examine the President's proposed budget request for fiscal year 2011 for the Department of Veterans Affairs.
  • The Senate Armed Services Committee will hold a hearing on Feb. 23, 2010, to examine proposed defense authorization request for fiscal year 2011 for the future years’ defense program.
  • The House Veterans Affairs Committee will hold a hearing on Feb. 24, 2010, to explore the relationship between medication and veteran suicide.
  • The Senate Armed Services Committee will hold a hearing on Feb. 25, 2010, to examine the Department of the Navy in review of the Defense Authorization request for fiscal year 2011 and the future years defense program.
  • The House and Senate Veterans Affairs Committees will hold a joint hearing on March 2, 2010, to hear the legislative presentation from the Disabled American Veterans.
  • The House and Senate Veterans Affairs Committees will hold a joint hearing on March 4, 2010, to hear the legislative presentations from PVA, JWV, MOPH, Ex-POW, BVA, MOAA, AFSA, and WWP.
  • The House and Senate Veterans Affairs Committees will hold a joint hearing on March 9, 2010, to hear the legislative presentation from the Veterans of Foreign Wars of the United States.
  • The House Veterans Affairs Committee will hold a hearing on March 10, 2010, to examine the structuring the U.S. Department of Veterans Affairs of the 21st Century.
  • The House and Senate Veterans Affairs Committees will hold a joint hearing on March 18, 2010, to hear the legislative presentations from AMVETS, NASDVA, NCOA, GSW, TREA, FRA, VVA, and IAVA.
  • On March 18, 2010, the House Veterans Affairs Committee will hold the 2010 Claims Summit.

Meetings / Conferences


If you need further information on any of the items in the Federal Health Update, please contact Kate Connelly Theroux at (703) 447-3257 or by e-mail at katetheroux@fedhealthinst.org. To subscribe, please visit http://fedhealthinst.org/subscriber.cfm. To unsubscribe, please send an email to newsletter@fedhealthinst.org with UNSUBSCRIBE as the subject.

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