Senate joins House in bid to widen VA private care
Vote delivers win in Trump’s effort to expand access
Senate OK’s expanding private care as an alternative to the Veterans Affairs health system.
WASHINGTON — Congress delivered a victory to President Donald Trump by expanding private care for veterans as an alternative to the troubled Veterans Affairs health system.
The Senate cleared the bill 92-5 Wednesday, also averting a disastrous shutdown of its Choice privatesector program. The program will likely run out of money as early as next week, causing disruptions in care.
The sweeping measure would allow veterans to see private doctors when they do not receive the treatment they expected, with the approval of a Department of Veterans Affairs health provider. Veterans could access private care when they have endured lengthy wait times or VA medical centers do not offer the services they need.
The bill's approval comes despite concerns from some Democrats that the effort would prove costly and be used too broadly by veterans in search of top-notch care even when the VA is able to provide treatment deemed sufficient for their needs.
The VA secretary will have leeway in implementing the legislation, which leaves it up to the agency to determine what is “quality” care.
Trump said last week he will nominate acting VA secretary Robert Wilkie to lead the government's second largest department serving 9 million veterans. Democrats say they intend to question Wilkie on whether he plans to “privatize” or degrade the VA health system, an issue that former VA Secretary David Shulkin said led to his firing in March.
Sen. Johnny Isakson, the Republican chairman of the Senate Veterans Affairs Committee, lauded the bill as a step toward providing veterans with “more choice and fewer barriers to care.”
Sen. Jon Tester, the top Democrat on the veterans panel, said the plan will also boost VA health care by paying off higher amounts of student loan debt for doctors who agree to work in high-need VA positions, requiring improvement plans in communities with few hospitals and creating a pilot program that would send medical personnel to help fill shortages.
“The best defense against any effort to privatize the VA or send veterans in a wholesale fashion to the private sector is to make sure the VA is living up to its promise,” he said.
Trump has made clear he will sign the bill if it reaches his desk before Memorial Day. The House passed it 347-70 last week.
The Senate supported the bill that would create a presidentially-appointed commission to review the closure of underperforming VA facilities. House Democrats had sought restrictions on the commission but were rebuffed by House Republicans and the White House.
It would also expand a VA caregivers program to cover families of veterans of all eras, not just the families of veterans who were seriously injured in the line of duty since Sept. 11, 2001.
The $51 billion bill provides for a newly combined “community care” program that includes Choice and other VA programs of outside care.
Sen. Bernie Sanders, IVt., a former chairman of the Senate Veterans Affairs Committee, criticized the bill as moving the VA “too far in the direction of privatization.”
He noted that it would not provide any money to fill more than 30,000 positions at the VA that the Trump administration has left vacant. “My fear is that this bill will open the door to the draining, year after year, of much needed resources from the VA,” he said.
The measure builds on legislation passed in 2014 in response to a wait-time scandal at the Phoenix VA medical center, where some veterans died while waiting months for appointments.