Bradley Byrne: Caring for the brave in the Land of the Free

It has been years in the making, but finally the veterans of our area will be able to get the care they have long deserved. On Monday, March 18th, I had the honor of participating in the ribbon cutting ceremony for the new VA Outpatient Clinic located in Tillmans Corner. Many veterans from Southwest Alabama were on hand to witness the ceremony and tour the new facility. As someone who has deep respect and appreciation for our veterans, it was very exciting to watch the veterans tour their new facility. My brother, Dale, was a veteran, who served in the Alabama National Guard, so I know the importance of caring for those who have given so much of themselves to our country. Just before I was elected to my first term in Congress, Dale passed away. His legacy has always been something that has driven me every day to fight for our military members, both past and present. I couldn’t help but think about Dale as we were cutting the ribbon on that new VA clinic. I am so proud of the hard work over the past two decades to reach this point. Work on this project dates back multiple Congressmen and shows just how complicated and frustrating the government bureaucracy can be. As soon as I took office in Washington, I began pushing for the construction of this new VA facility. I held meetings and sent letters demanding a better clinic for our veterans. Thanks to the efforts of many people, we now have a clinic that truly reflects how we feel about our veterans. Our area is home to over 50,000 veterans. They have served our nation honorably, and they are deserving of everything we have to give them. Shouldn’t we, as a grateful nation, be able to give them the very best? Thankfully, the new clinic is state-of-the-art, modern, and offers several services that won’t require veterans to drive to the VA hospital in Biloxi. The new, 65,000 square feet clinic is conveniently located right off I-10 in Tillmans Corner. This location should be easy for local veterans to access, and the clinic has adequate public parking. The new clinic provides space for primary care, audiology and speech pathology, education, eye clinics, mental health, patient advocacy, radiology, Veterans’ Service Organizations, and women’s health. The region’s primary inpatient facility is still in Biloxi, but this new outpatient clinic in Mobile represents a huge improvement for our veterans. Service in the military is so much more than just a job. It is a dedication to support and defend the Constitution and the people of the United States, both at home and abroad. That service is immeasurable, and I am humbled to represent so many of those who have fought for our freedoms. There is still much work to be done to make life better for veterans. So far this year, I have thrown my support behind fifteen bills focused on making life better for veterans, military families, or active duty service members. Many of those bills have to do with getting veterans and their families the services, benefits, and recognition they have literally fought for. There is a great quote from Elmer Davis, a renowned news reporter and civil servant during World War II who knew the importance of informing the public of what service in the military really meant: “This will remain the land of the free so long as it is the home of the brave.” As long as we remember to take care of the brave, we will remain the land of the free. Bradley Byrne represents Alabama’s 1st Congressional District in the U.S. House of Representatives.

Martha Roby: Fighting for those who fought for us

military veterans

Here in Alabama’s Second District, we are fortunate to share our portion of the state with two of our nation’s finest military installations: Maxwell-Gunter Air Force Base in Montgomery and Fort Rucker down in the Wiregrass. I’m honored to serve our district that is home to these installations, thousands of active duty and reserve personnel, and more than sixteen thousand military retirees. In fact, according to last year’s federal statistics, our district has the thirteenth largest population of military retirees in the entire country, and many of these men and women were active duty servicemembers. We owe these individuals who have put on the uniform a great debt of gratitude, but unfortunately, our heroes often do not receive proper care. I’m sure you recall that just a few years ago, the Central Alabama Veterans Health Care System (CAVHCS) was involved in a scandal of epic proportion. Some changes were made and new local leadership was installed, but CAVHCS still ranks as one of the nation’s worst VA medical centers. To be clear, some veterans have told me that they have had positive experiences receiving care at CAVHCS, and I’m grateful for that, but isn’t this how the standard should be across the board, for every single veteran? Failure to properly treat even one veteran is still failure, and right now, the VA is failing far more than succeeding. With my position on the Military Construction and Veterans Affairs Appropriations Subcommittee, I recently had the opportunity to speak to VA Secretary Robert Wilkie during a hearing. I was grateful to have a direct conversation with him about my concerns with failing VA medical facilities, including our system in Central Alabama. During the hearing, I introduced myself to Secretary Wilkie and explained the severity of the problems our veterans face in Southeast Alabama. According to the VA’s own data, CAVHCS continues to be a terrible VA health care system, and I am sick and tired of getting status quo answers as to why. The VA’s goal should be for every single system in this country to be the very best it can be for our veterans. But, at CAVHCS, we’re seemingly unable to get even the simple things right, like just saying “hello” and greeting a veteran when they come in for their appointment so they feel valued and like someone cares. As I told Secretary Wilkie, I am eager to cultivate a strong relationship with him and with his Department so that we can work together to make badly needed improvements at CAVHCS and other health care systems across the country. I also invited him to Southeast Alabama to visit our VA so he can see firsthand what is happening. It’s not working, and it is not the way it should be, so I hope to host him in the Second District soon so that he can see the state of affairs for himself and work with us to make changes. At the end of the day, my priority is simple. I want to be in public places at home in our district, like church, the grocery store, or restaurants, and have veterans approach me and tell me how wonderful their experiences at the VA are. Instead, I usually speak with men and women, sometimes with tears in their eyes, who have flat out given up hope of ever receiving proper treatment, or in some cases, receiving care at all. We should be giving veterans the absolute best care available in a timely fashion, and it just is not happening. This is a huge disservice to the men and women who have served us all, and I will not stop making the case to Secretary Wilkie until we get this right. In the meantime, if you are a veteran who needs any kind of assistance with the Department of Veterans Affairs, please contact one of my offices immediately. My staff and I work for you, we are grateful for your service, and we will fight for you. Martha Roby represents Alabama’s Second Congressional District. She lives in Montgomery, Alabama, with her husband Riley and their two children.

Martha Roby invites VA Secretary to Alabama to see veterans’ experience firsthand

Martha Roby

Alabama 2nd District U.S. Rep. Martha Roby, a member of the Military Construction and Veterans Affairs Appropriations Subcommittee, on Tuesday invited Secretary of Veterans Affairs Robert Wilkie to visit Alabama to visit the VA so that he could firsthand what is happening. Wilkie was participating in an oversight hearing when Roby extended the invitation. “We should want every single VA health care system in this nation to be the very best it can be for our veterans. But, at CAVHCS, we are unable to get simple things right, and it extends on to very egregious behavior… We should be giving veterans the best care in a timely fashion, and it just isn’t working,” said Roby “I am tired of getting status quo answers as to why CAVHCS continues to be one of the worst in the nation.” She continued, “I would like to invite you to Alabama to visit the VA so you can see firsthand what is happening. This is not working. It is not the way it should be, and it is a huge disservice to our men and women who have served our country.” Roby has been a longtime advocate for improving VA services and health care. During the committee hearing, she expressed her concerns with failing VA medical facilities, including the Central Alabama Veterans Health Care System (CAVHCS) in Montgomery. Find Roby’s full remarks, as prepared, below: Good morning, Mr. Secretary, Dr. Stone. I’m not really sure where to begin other than to say that I am grateful for the opportunity to have you here today, and I’m grateful to be back on this subcommittee for this Congress. The Central Alabama VA has continued to be one of the worst in the country. We had your Under Secretary for Clinical Health, Dr. Teresa Boyd, here two weeks ago. I’m not sure if you have had a chance to talk to her about our discussion. But, it was specifically about VISN 7 and Central Alabama Veterans Health Care System, known as CAVHCS, and the facility’s current state. I’m not sure, Madame Chair, that my five minutes is enough for you to fully appreciate what’s been going on there for many years. During my time in Congress, I have worked diligently with leadership at CAVHCS and VISN 7 to make sure that our veterans are receiving the best care we can give them. As I said to Dr. Boyd, we don’t know each other well, but you will learn that I am very passionate about this issue, and I am very frustrated. I don’t understand why the VA works on a bell curve and why somebody always has to be at the bottom of the barrel with a one-star rating. We should want every single VA health care system in this nation to be the very best it can be for our veterans. But, we’re unable to get simple things right, like just saying “hello” and greeting a veteran when they come in for their appointment to make them feel valued and like someone cares. This extends to very egregious behavior, and I can give you some really specific examples, and I’d like the opportunity to do that so you can fully appreciate what has been going on in this health care system for many years. There’s a culture of complacency and gross mismanagement. I want to be in the grocery store and have a veteran come up to me and tell me how wonderful their experience was at the VA – not to have to look into a man or woman’s eyes who has served our country honorably and see tears in their eyes because they have just flat out given up because they cannot get appropriate care. We should be giving them the best care in a timely fashion, and it just isn’t working. So, I’m grateful for the opportunity, again, to be here with you today, but I am tired of getting status quo answers as to why CAVHCS continues to be one of the worst in the nation. I am hopeful that you and I can cultivate a relationship so that you can fully appreciate and understand what is going on. I would like to invite you to Alabama to visit the VA so you can see firsthand what is happening. This is not working. It is not the way it should be, and it is a huge disservice to our men and women who have served our country.

Doug Jones introduces legislation force VA to pay student veterans missing benefits

GI Bill

Alabama U.S. Sen. Doug Jones taking action in hopes of righting yet another wrong made by the U.S. Department of Veterans Affairs (VA). On Tuesday, he joined his colleague Sen. Cory Gardner (R-Colo.) in introducing legislation that would force the VA to pay an estimated 360,000 veterans benefits that were overlooked due to technical errors. Money, Jones says the veterans are entitled to, but did not receive because of the VA’s own error. When the VA failed to implement the Harry W. Colmery Veterans Educational Assistance Act of 2017, many student veterans did not receive the full benefits they are entitled to. The bipartisan Fix Immediately Outstanding Underpayments for Student Veterans Act would establish a VA commission at the VA to audit monthly stipends to student veterans and force the VA to pay back students who have been underpaid.Additionally this legislation will ensure the VA does not take back money from students they overpaid through their error. “When young men and women step up to serve our country in uniform, we make a solemn promise to have their backs when they come home,” said Jones. “We commit to provide them the tools needed to re-enter civilian life and to earn an education that will enable them to serve our communities in new ways. When I heard that thousands of veterans in Alabama and across the country were being underpaid – or not paid at all – for their GI Bill benefits and that the VA might not make them whole, I was appalled. While I’m glad the VA has since begun to reverse course, action from Congress is needed to make sure that these veterans receive what they’re owed.” Gardner believes VA is failing students by not providing a plan to pay them back the missing money quickly. “The VA let these veterans down and this cannot be tolerated,” added Gardner. “First, the VA made a mistake and did not properly pay student veterans the money they are entitled to; and now the VA is failing in their responsibility again by not providing a plan to pay those students back quickly. Most problems Congress addresses are complicated and do not have one ‘right’ answer. This is not one of those issues. To me, it’s pretty clear what the right thing to do is: Congress must act to ensure our student veterans receive every penny they are entitled to.” Last Friday, Jones sent a letter to the senior VA leader overseeing GI Bill benefits seeking answers from the VA about the situation. Jones also joined his colleagues last week in a bipartisan letter, led by Senators Brian Schatz (D-Hawaii) and John Boozman (R-Ark.), calling on the VA Inspector General to launch an investigation into allegations that the VA would not be reimbursing veterans for any missed or underpaid benefits. Read Jones’ letter below:

VA data: Suicide rate for Alabama veterans up, especially for young veterans

Last month, the U.S. Department of Veterans Affairs (VA) officials released national and state-level findings from its most recent analysis of Veteran suicide data, which showed an average of two and half Alabama veterans died by suicide each week from 2015-2016. The research also revealed Alabama veterans are dying by suicide at a higher rate than the national average. The VA’s figures, which are the most recent year available, reveal 34.2 Alabama veterans per 100,000 died by suicide in 2016, whereas the national veteran suicide rate was only 30.1 per 100,000. Among their findings, 18-24 years old Alabamians committed suicide more often than any other age bracket at  52.8 per 100,000. Meanwhile only 45 per 100,000 non-veterans in the same age bracket committed suicided. In the 2016, veterans account for roughly 17 percent of all Alabama suicides. Among those suicides, an overwhelming 81.3 percent of veterans used firearms, whereas the national average for firearm use in suicide was only 51.4 percent. The analysis is part of VA’s ongoing examination of non-Veteran and Veteran death records that is being used to evaluate and improve VA’s Suicide Prevention Program. “Suicide prevention remains VA’s highest clinical priority. One life lost to suicide is one too many,” said VA Secretary Robert Wilkie. The report also found: There were more than 6,000 Veteran suicides each year from 2008 to 2016. In 2016, the suicide rate was 1.5 times greater for Veterans than for non-Veteran adults, after adjusting for age and gender. The suicide rate for Veterans ages 18–34 increased substantially, from 40.4 suicide deaths per 100,000 population in 2015 to 45 suicide deaths per 100,000 population in 2016. After adjusting for age, in 2016, the suicide rate for women Veterans was 1.8 times greater than the suicide rate for non-Veteran women. If you are a veteran or are concerned about one, call the national Veterans Crisis Line 24 hours a day, seven days a week.

Montgomery VA Medical Center earns 1-star facility rating, others improve

Veterans Affairs

A new report from the Veterans Administration shows two Alabama VA medical centers have made some improvements in its quality of services over the past year, while another remains stagnant. As part of their efforts to remain transparent and hold VA facilities accountable, the U.S. Department of Veterans Affairs’ (VA) on Wednesday released end of fiscal year 2018 (FY2018) hospital Star ratings, which evaluate and benchmark quality of care delivery at VA medical centers (VAMCs) across the nation. In Alabama, on a 1 through 5 star scale, they rated: Birmingham: 4-star (score went up) Montgomery: 1-star (trivial change, did not improve) Tuscaloosa: 3-star (score went up) “With closer monitoring and increased medical center leadership and support we have seen solid improvements at most of our facilities,” said VA Secretary Robert Wilkie. “Even our highest performing facilities are getting better, and that is driving up our quality standards across the country.” The Star rating designation is designed to help VA identify best practices of its top performing hospitals and share them across VA’s health care system to achieve system-wide improvements. “There’s no doubt that there’s still plenty of work to do, but I’m proud of our employees, who work tirelessly to move VA in the right direction for Veterans and taxpayers,” Wilkie added. Birmingham Birmingham remains a bright spot for veterans within the Alabama care system. Over the past three years it has steadily improved having received a 3-star rating in 2016, going up to a 4-star in 2017 and now pulling another 4-star with additional signs of improvement. “Providing high quality healthcare and benefits to our nations Veterans is one of our most fundamental obligations,” said Rep. Terri Sewell. “I’m proud of the tireless work that VA professionals are doing in Birmingham to save lives and improve healthcare quality standards for our Veterans and service members. Here in Congress, I have supported VA reforms like the Veterans’ Access, Choice and Accountability Act, a bill which allowed Veterans to receive care from private doctors when there’s a backlog and which increases accountability and transparency within the VA. I also introduced and helped pass a VA hiring amendment that encouraged the VA Secretary to select eligible employees for its fellowship program who represent rural areas. I’ve visited the Birmingham VA and met with the staff there, which is why I am not surprised to learn that they have maintained their 4-star rating. Our fight to provide Veterans across Alabama with timely and responsive access to quality care is far from over, and I applaud the Birmingham VA medical center on the strides it has made.” Montgomery In 2015, the director of the Central Alabama Veterans Healthcare System (CAVHCS), or Montgomery VA, was removed from his post when a pattern of gross mismanagement and systemic malfeasance was exposed. Weeks later he became the first VA official in the country fired under our new VA accountability law. Since that time the Montgomery VA has been under a federal microscope and was making many improvements. However, after improving from 2015 to 2017 and receiving a 3-star rating for two years in a row, the state’s capital city VA hospital dropped to a 1-star, out of 5, in 2018. Someone who has been working hard to hold the Montgomery VA accountable and improve their service is Alabama 2nd District Rep. Martha Roby. She calls the newly released rating “unacceptable.” “The news that the Central Alabama VA has dropped from a 3-star rating to a 1-star rating is completely unacceptable,” Roby told Alabama Today. “Our veterans represent the very best of this country, and it is incumbent upon us to ensure they receive the best possible care we can provide. Significant work is needed to achieve this goal. She continued, “I have been and will remain actively engaged with CAVHCS Director Dr. Linda Boyle and other VA leadership to improve care for our veterans so that it is easily accessible and of the highest quality. As always, I encourage veterans in Alabama’s Second District to contact my office with problems related to VA casework. I am deeply disappointed in this rating, and my top priority continues to be that we treat our veterans properly.” Rating methodology The VA uses a comprehensive performance improvement tool called Strategic Analytics for Improvement and Learning (SAIL) that includes key metrics used by the private sector as well as additional metrics that are important for addressing access to care, quality of mental health care, employee perception about the organization, nursing turnover, efficiency and capacity. The metrics are organized into 9 Quality domains and one Efficiency and Capacity domain. The Quality domains are combined to represent overall Quality. Each VA medical center is assessed for overall Quality from two perspectives: Relative Performance compared to other VA medical centers using a Star rating system from 1 to 5. Improvement compared to its own performance from the past year.  Both relative performance and size of improvement are used to guide improve efforts.

Martha Roby: Spreading the word on constituent services

As your representative in Congress, one of my top priorities is assisting the people of Alabama’s Second District with various issues that may arise with the federal government in addition to offering numerous other resources. My offices offer a number of constituent services, and I’d like to take a moment to share a few of them with you so that you can take full advantage of the assistance my offices can provide. Perhaps most importantly, my district offices in Montgomery, Dothan, and Andalusia help our constituents with casework. This means if you’ve placed an inquiry with a federal agency like the VA or Social Security Administration and haven’t received an answer in a timely fashion, or if you feel you have been treated unfairly, my district offices might be able to help resolve the problem or provide information you need. If you’re currently experiencing issues with one of the federal agencies, I encourage you to contact one of my offices as soon as possible so we can do our best to get the issue resolved. Secondly, if you are planning a trip to Washington, D.C., my staff is available to help you obtain tickets for tours of the U.S. Capitol building and other attractions, such as the White House, the Supreme Court, the Library of Congress, and more. Of course, please be advised that advance notice is often necessary, especially when requesting to tour the White House. If you are planning to visit our nation’s Capital, I hope you’ll contact my Washington office as early as possible. We want to help you have a wonderful experience. Third, did you know that you can purchase an American flag through my office? You also have the option to request that your flag be flown over the Capitol building before it is sent to you. I believe this is a really unique, special way to commemorate any important occasion for yourself or a loved one. If you’re interested in taking advantage of this particular service, make sure you contact my office in Washington, and we would be happy to make it happen. There are many other services available through my office, including service academy nominations, congressional commendations, presidential greetings, assistance with federal grant applications, and more. I am glad to offer these services, and I hope you will pass this information along to your friends and family so they are aware of what’s available to them, too. Below you will find the contact information for all of my offices, and of course, all of this information can be found on my website – just visit roby.house.gov/constituent-services. My staff and I work for you, and we look forward to assisting you in the future. Washington office: 442 Cannon House Office Building Washington, D.C. 20515 (202) 225-2901 Montgomery office: 401 Adams Avenue, Suite 160 Montgomery, AL 36104 (334) 262-7718 Dothan office: 217 Graceland Drive, Suite 5 Dothan, AL 36305 (334) 794-9680 Andalusia office: City Hall 505 E. Three Notch Street, Suite 322 Andalusia, AL 36420 (334) 428-1129 •••   Martha Roby represents Alabama’s Second Congressional District. She lives in Montgomery, Alabama, with her husband Riley and their two children.

Senate confirms Robert Wilkie for Veterans Affairs secretary

Robert Wilkie

The Senate on Monday confirmed Pentagon official Robert Wilkie to be secretary of Veterans Affairs, charged with delivering on President Donald Trump’s campaign promises to fire bad VA employees and steer more patients to the private sector. Wilkie won approval on a bipartisan vote of 86-9, securing the backing of many Democrats after insisting at his confirmation hearing that he will not privatize the government’s second-largest department. It was a moment of respite from the sharp political divisions engulfing Trump’s other nominees in the final months before congressional midterm elections. Wilkie is Trump’s third pick for the job in 18 months. The longtime public official says he will “shake up complacency” at VA, which has struggled with long waits in providing medical treatment to millions of veterans. In a statement released by the White House, Trump applauded the confirmation vote and said he looked forward to Wilkie’s leadership. “I have no doubt that the Department of Veterans Affairs will continue to make strides in honoring and protecting the heroic men and women who have served our nation with distinction,” he said. Trump selected Wilkie for the post in May after firing his first VA secretary, David Shulkin, amid ethics charges and internal rebellion at the department over the role of private care for veterans. Trump’s initial replacement choice, White House doctor Ronny Jackson, withdrew after allegations of workplace misconduct surfaced. Wilkie, a former assistant secretary of defense under President George W. Bush, has received mostly positive reviews from veterans’ groups for his management experience, but the extent of his willingness to expand private care as an alternative to government-run VA care remains largely unknown. Trump last year pledged he would triple the number of veterans “seeing the doctor of their choice.” Currently more than 30 percent of VA appointments are made in the private sector. Under repeated questioning at his hearing, the Air Force and Navy veteran said he opposed privatizing the agency of 360,000 employees and would make sure VA health care is “fully funded.” When pressed by Sen. Jon Tester, the top Democrat on the panel, if he would be willing to disagree with Trump, Wilkie responded “yes.” “I have been privileged to work for some of the most high-powered people in this town,” said Wilkie, currently a Pentagon undersecretary for Defense Secretary Jim Mattis. “They pay me for their opinions, and I give those to them.” Wilkie’s main task in the coming months will be carrying out a newly signed law to ease access to private health providers. That law gives the VA secretary wide authority to decide when veterans can bypass the VA, based on whether they receive “quality” care, but the program could face escalating costs. Some Democrats have warned the VA won’t be able to handle a growing price tag, putting it at risk of budget shortfalls next year. Major veterans’ groups want full funding for core VA medical centers, which they see as best-suited to veterans’ specialized needs such as treatment for post-traumatic stress. As VA secretary, Wilkie also will have more power under a new accountability law to fire VA employees. Lawmakers from both parties have recently raised questions about the law’s implementation, including how whistleblower complaints are handled and whether the law is being disproportionately used against rank-and-file employees rather than senior managers who set policy. “The tone has been set by President Trump on the direction of VA reforms,” said Dan Caldwell, executive director of the conservative Concerned Veterans for America. “There have been a tremendous number of bills passed in the last year and half, and all will require a lot of work to make sure they are properly implemented.” Republican Sen. Johnny Isakson of Georgia, chairman of the Senate Veterans Affairs Committee, praised Wilkie as “eminently qualified,” saying he will “bring stability and leadership” to VA. Wilkie served as acting VA secretary after Shulkin’s firing in March, before returning to his role as Pentagon undersecretary. He will replace current acting VA secretary Peter O’Rourke, who clashed with the VA inspector general after refusing to release documents relating to VA whistleblower complaints and casting the independent watchdog as an underling who must “act accordingly.” Under pressure from Congress, the VA agreed last week to provide documents to the IG. Republished with the permission of the Associated Press.

VA announces grant for Alabama State Veterans Memorial Cemetery at Spanish Fort

Alabama State Veterans Memorial Cemetery at Spanish Fort

The Department of Veterans Affairs (VA) National Cemetery Association (NCA) on Wednesday announced it has awarded the state of Alabama a grant in the amount of $274,393 for the expansion and improvement of the Alabama State Veterans Memorial Cemetery at Spanish Fort. “Our state and tribal partners are critical in helping NCA achieve our strategic goal of providing 95 percent of the Veteran population with convenient access to a burial option within 75 miles of the home,” said Under Secretary for Memorial Affairs Randy Reeves. “We look forward to continuing to work with states like Alabama and provide grants that reflect the needs, resources and preferences of the local Veteran community.” The grant will fund the construction of 430 in-ground cremains gravesite, a memorial wall containing 100 plaques, widened cortege lane, landscape, irrigation and supporting infrastructure. The project will develop approximately 0.5 acres and provide continued service for approximately 56,000 Veterans, spouses and eligible family members. “Great news! The Department of Veterans Affairs has awarded a $274,000 grant for the expansion and improvements to the Alabama State Veterans Memorial Cemetery in Spanish Fort,” Alabama 1st District U.S. Rep. Bradley Byrne posted on Facebook of the news. “This is excellent news for our local veterans and the entire community.” The closest national or state Veterans cemetery to Spanish Fort is Barrancas National Cemetery in Pensacola, Fla. approximately 57 miles away.

Alabama delegation votes to pass major VA overhaul; Trump expected to sign into law

Veterans saluting

With the support of the entire Alabama delegation, S. 2372: the VA MISSION Act of 2018 has passed both chambers and is now heading to President Donald Trump’s desk for his signature. The legislation – which puts the needs of veterans first by giving them the option of seeking care when and where it makes the most sense for their needs – combines provisions from fifteen different Senate-introduced bills, building upon the success of the Veterans Choice Act. The bill combines the VA’s multiple community care programs into one streamlined program, improves incentives to recruit, hire, and retain qualified medical professionals, and expands the VA’s Post-9/11 Caregiver Program to all eras. Dozens of veterans and military service organizations across the country endorsed the bill. Here’s what the Alabama delegation had to say about their votes and the legislation: Sen. Richard Shelby I am honored to support this milestone legislation that prioritizes brave veterans in Alabama and across the nation. This bicameral, bipartisan bill provides veterans with necessary access to efficient, timely, and quality health care services. As Members of Congress, it is our job to ensure the proper care of those who have risked their lives to protect our freedoms. 1st District U.S. Rep. Bradley Byrne: Another major piece of legislation is headed to President Trump’s desk for his signature. The VA MISSION Act consolidates the VA’s Community Care Program, opens the VA Caregivers Program to serve all veterans, and provides $5.2 billion to fund the VA Choice Program. Simply put, this bill increases access to care at the VA, including walk-in clinics that may be more convenient and immediate in addressing the needs of our veterans. 2nd District U.S. Rep. Martha Roby: By passing the VA MISSION Act, the House has taken another important step toward improving access to care for our nation’s veterans. This legislation addresses a number of important pieces of the large VA puzzle, including extending funding for the Choice Program that countless veterans depend on to receive care. I believe this bill will reduce the bureaucracy associated with veterans seeking private sector health care and improve the lives of those who have served our great country. I’ve heard from countless veterans in Alabama’s Second District about the continued need for VA changes to ensure they get the best care available. I hope we will soon see this legislation signed into law.

Donald Trump’s pick to head Veterans Affairs: Robert Wilkie

Robert Wilkie

President Donald Trump announced Friday he is nominating Acting Veterans Affairs Secretary Robert Wilkie to permanently lead the beleaguered department. Wilkie, a former Pentagon undersecretary for personnel and readiness, has led the agency since Trump fired David Shulkin two months ago amid an ethics scandal and mounting rebellion within the department. Trump revealed his decision during a prison reform event at the White House, and said the decision was a surprise to Wilkie. “He doesn’t know this yet — that we’re going to be putting his name up for nomination to be secretary of the veterans’ administration,” Trump said. Trump previously nominated White House physician Dr. Ronny Jackson for the job, but he withdrew last month. Wilkie, 56, oversaw a new Pentagon policy aimed at stemming harassment in the military after an online nude-photo sharing scandal rocked the Marine Corps. He was confirmed unanimously as Pentagon undersecretary by the Senate. As acting VA secretary, Wilkie has sought to rebuild morale at an agency beset with inner turmoil and rebellion over Trump’s push to expand private care. On Thursday, he announced a major $10 billion contract with Cerner Corp. to overhaul electronic health records for millions of veterans, a 10-year project that aims to improve mental health care and ease access to private providers. The VA faces problems demanding immediate attention, including a multibillion dollar revamp of electronic medical records, now in limbo, that members of Congress fear will prove too costly and wasteful, and a budget shortfall in the coming weeks in its private-sector Veterans Choice program. The House is slated to vote on a wide-ranging bill next week that would give veterans more freedom to see doctors outside the VA health system and fill the budget shortfall, a major step toward fulfilling Trump’s promise to expand private care for veterans. Wilkie, an Air Force and Navy veteran, had the strong backing of Defense Secretary Jim Mattis and White House chief of staff John Kelly for the VA post as a skilled manager with defense expertise, over other candidates who had more political experience, such as former Rep. Jeff Miller, who had chaired the House Veterans Affairs Committee. The son of an Army artillery commander, he spent his childhood at Fort Bragg and served under President George W. Bush as an assistant secretary of defense. He was the youngest senior leader in the department. He also served as senior adviser to Sen. Thom Tillis, R-N.C., before being named a Pentagon undersecretary in 2017. Jackson’s nomination to replace Shulkin surprised veterans groups that were unaware his name was under consideration. He was a career military doctor who lacked significant management experience. While Jackson was well-liked in Washington and drew praise from Obama administration officials he’d treated, even many Republicans were skeptical of his ability to lead the VA. After Jackson withdrew from consideration, White House officials said Trump planned to interview and vet his next nominee more thoroughly. Wilkie was among several candidates White House staff interviewed in recent weeks for the post. The president had indicated he intended to pick someone with a more political background for the role, hoping such a person would better navigate the turbulent confirmation process in a narrowly divided Senate. Wilkie has experience shepherding two defense secretaries through Senate confirmation. Republished with permission from the Associated Press.

VA nominee accused of drunken behavior, reckless prescribing

White House doctor Ronny Jackson

White House doctor Ronny Jackson exhibited a pattern of recklessly prescribing drugs and drunken behavior, including crashing a government vehicle while intoxicated and doling out such a large supply of a prescription opioid that staffers panicked because they thought the drugs were missing, according to accusations compiled by Democratic staff on the committee considering his nomination as Veterans Affairs secretary. The summary was based on conversations with 23 of Jackson’s current and former colleagues at the White House Medical Unit. It is the latest blow to his nomination to lead the government’s second-largest Cabinet agency. In just a matter of days, the allegations have transformed Jackson’s reputation as a celebrated doctor attending the president to an embattled nominee accused of drinking on the job and over-prescribing drugs. He was seen pacing back and forth on the White House grounds Wednesday. And while the White House put on a full-scale defense of Jackson, spokesman Raj Shah said aides are “of course” preparing for the possibility that he might withdraw. “This is, as the president said, Dr. Jackson’s decision,” Shah said on CNN. Jackson huddled late Wednesday evening with top White House press staff. They declined to comment on the situation. A former colleague who spoke to The Associated Press described Jackson as a gregarious, Type A charmer who knew how to position himself for success — attentive to bosses but also causing unnecessary grief and consternation among colleagues. He said Jackson became known as “Candyman” because of the way he handed out drugs. The ex-colleague spoke on condition of anonymity because of fear of retaliation. The “Candyman” nickname was also cited in the summary released by the Democrats. In a section on Jackson’s prescribing practices, the summary said that in one case, missing Percocet tabs threw members of the White House Medical Unit into a panic — but it turned out he had prescribed a “large supply” of the opioid to a White House Military Office staffer. The allegations also referred to multiple incidents of Jackson’s intoxication while on duty, often on overseas trips. On at least one occasion he was nowhere to be found when his medical help was needed because “he was passed out drunk in his hotel room,” according to the summary. At a Secret Service going-away party, the summary says, Jackson got drunk and wrecked a government vehicle. Jackson has denied allegations of bad behavior and told reporters at the White House he was “still moving ahead as planned.” “I never wrecked a car,” he said. “I have no idea where that is coming from.” Reports of overprescribing and alcohol-related behavior problems can jeopardize a doctor’s license. Many state medical boards allow doctors to keep their licenses and return to practice if they complete special treatment programs and submit to random urine screens. The allegations were publicly released on the day that Jackson’s confirmation hearing was to have been held. The hearing was postponed indefinitely while the allegations against him are reviewed. “He treated the people above him very, very well. He treated the people below him very, very poorly,” Sen. Jon Tester, the ranking Democrat on the Senate Veterans Affairs Committee, told the AP. “It’s not surprising the people above him think he was doing a really, really good job.” White House Press Secretary Sarah Huckabee Sanders said Wednesday that Jackson had passed “at least four independent background checks” that found “no areas of concern.” “He has received more vetting than most nominees,” she said. Marc Short, the White House legislative director, could not say he was confident the allegations were false. He was “not familiar” with car wreck episode. But Short also suggested Tester was airing the allegations for political gain. “It’s quite unusual for a United States senator to take allegations that have not been fully investigated, but to flaunt them to the national public to suggest he’s the ‘candyman’ I think is outrageous,” Short said. Tester, speaking on MSNBC, acknowledged that not all the allegations had been verified. “Am I 100% rock solid sure that he did this? No,” Tester said. “But I’ve seen a pattern here that continues on and on and on.” Jackson met late at the Capitol with a key Republican on the Veterans Affairs Committee, Sen. Thom Tillis of North Carolina. They discussed a variety of subjects — “some were the allegations” — as well as Jackson’s credentials for the job. “It was just getting through the facts,” Tillis said. Veterans groups are dismayed over the continuing uncertainty at the VA, already beset by infighting over improvements to veterans care. “The American Legion is very concerned about the current lack of permanent leadership,” said Denise Rohan, national commander of The American Legion, the nation’s largest veterans organization. A watchdog report requested in 2012 and reviewed by the AP found that Jackson and a rival physician exhibited “unprofessional behaviors” as they engaged in a power struggle over the White House medical unit. That report by the Navy’s Medical Inspector General found a lack of trust in the leadership and low morale among staff members, who described the working environment as “being caught between parents going through a bitter divorce.” It included no references to improper prescribing of drugs or the use of alcohol, as alleged in the summary compiled by the Senate Democratic staff members. The White House has released handwritten reports from Trump and former President Barack Obama praising Jackson’s leadership and medical care and recommending him for promotion. Trump’s first VA secretary, David Shulkin, was dismissed after an ethics scandal and mounting rebellion within the agency. But Jackson has faced numerous questions from lawmakers and veterans groups about whether he has the experience to manage the department of 360,000 employees serving 9 million veterans. Republished with permission from the Associated Press.