1. Public Law 88-355 (approved July 7, 1964). Authorizes the issuance of total disability income provisions for inclusion in National service life insurance policies to provide coverage to age 65... 2. Public Law 88-361 (approved July 7, 1964). Authorizes the provision of educational assistance to the children of veterans who are permanently and totally disabled from an injury or disease arising out of active military, naval, or air service during a period of war or the induction period.. 3. Public Law 88-364 (approved July 7, 1964). Authorizes waiver of premium for certain veterans holding National service life insurance policies who become or have become totally disabled before their 65th birthday. 65 Estimated cost 4. Public Law 88-664 (approved October 13, 1964). Revises the veterans' pension program, reopens the National service life insurance program for certain veterans, and provides for a new "modified life plan" of National service life insurance. (The supplemental appropriation is required for the pension portion of the law only.)..... 65 MEDICAL ADMINISTRATION AND MISCELLANEOUS OPERATING EXPENSES 495 587 227 1,500 For expenses necessary for administration of the medical, hospital, domiciliary, construction and supply, research, employee education and training activities, as authorized by law, [$14,200,000.] $13,496,000. (5 U.S.C. chaps. 1, 16, 18, 21, 21A, 23-26, 30, 32, 36; 24 U.S.C. 30; 28 U.S.C. 1823; 31 U.S.C. 686; 38 U.S.C. 109(a), 111, 213, 230, 233, 234, 903, 1506, chaps. 17, 73, 81, 83, 85; 72 Stat. 12621264; 41 U.S.C. 5; Independent Offices Appropriation Act, 1965.) Note.-Excludes $2,016,000 for activities transferred in the estimates to "Construction of hospital and domiciliary facilities." The amounts obligated in 1964 and 1965 are shown in the schedule as comparative transfers. 1. Medical, hospital, and domiciliary administration.This covers the development, implementation, and administration of policies, plans, and broad objectives, and provides executive direction for all agency medical programs. Included are the central office headquarters, Washington, D.C., and immediate offices of regional representatives of the chief medical director responsible for supervision of medical programs conducted in specific geographic areas. 2. Education and training.-This provides (a) medical residency and internship training, and (b) postgraduate and inservice training to maintain and improve the quality of medical care. This also serves as a media for disseminating information on medical advances resulting from research efforts. Identification code Relation of obligations to expenditures: 10 Total obligations.. 70 Receipts and other offsets (items 11-17)... 71 72 74 90 91 862 14 846 5.0 $5,952 $10,184 6,273 26 6,299 41,154 41,154 -261 Program and Financing (in thousands of dollars)-Continued 40,893 Obligations affecting expenditures.. Obligated balance, start of year.. Obligated balance, end of year.. 37,000 40,893 783 Expenditures excluding pay increase supplemental.. Expenditures from civilian pay increase supplemental.... 11.1 11.3 11.5 1 Selected resources as of June 30 are as follows: Unpaid undelivered orders 1963; $1.286 thousand; (1964 adjustments -$8 thousand); 1964, $2,410 thousand; 1965 $2,410 thousand; 1966, $2,410 thousand. Identification code 29-00-0161-0-1-804 1. Medical research.-Medical research projects are conducted in Veterans Administration laboratories or in universities or other institutions on a contract basis, whichever is more advantageous or economical. Personnel compensation: 1964 actual In addition to amounts provided for the medical research program by direct appropriation, an amount of $9,116 thousand was available in 1964 in grants from the National Institutes of Health and from other organizations sponsoring research. Of this amount, $1,495 thousand represents grants made directly to the Veterans Administration, and grants totaling $7,621 thousand made to various medical schools with which Veterans Administration hospitals are affiliated. It is anticipated that approximately the same level of funding from these outside sources will be available in 1965 and 1966. An indeterminate amount of support is also furnished from funds budgeted for hospital operations for other services including housekeeping, personnel, supply, fiscal and engineering at the hospital level. This estimate does not include funding of research construction projects which are a part of the Construction of hospitals and domiciliaries facilities appropriation. Total personnel compensation. 12.0 Personnel benefits... 21.0 Travel and transportation of persons. 33,153 34 22.0 Transportation of things.... 23.0 Rent, communications, and utilities. 24.0 Printing and reproduction.... 25.1 Other services.. 33,187 3,318 -4,156 26.0 Supplies and materials. 31.0 Equipment....... 32.0 Lands and structures.. 1965 1966 estimate estimate 2. Prosthetic research.-This is a research program to develop and test prosthetic, orthopedic, and sensory aids for the purpose of improving the care and rehabilitation of disabled eligible veterans, including amputees, paraplegics, and the blind. Object Classification (in thousands of dollars) Total program costs, funded. 94.0 Change in selected resources. 99.0 Total obligations.. 38,725 41,154 38,725 41,154 4,156 3,322 -3,322 -4,576 32,349 38,802 39,874 757 26 1964 1965 1966 actual estimate estimate 19,510 21,691 23,191 1,178 1,272 1,279 85 81 85 20,769 299 325 359 39 55 60 265 166 49 287 76 68 2,193 2,962 3,092 3.127 4,172 4,708 3,656 5,842 5,804 222 375 495 32,021 38,725 1,132 41,154 33,153 38,725 41,154 Total number of permanent positions. Full-time equivalent of other positions. Average GS salary... Average salary grades established by title 38 Average salary of ungraded positions. Personnel Summary MEDICAL CARE For expenses necessary for the maintenance and operation of hospitals, nursing homes, and domiciliary facilities; for furnishing, as authorized by law, inpatient and outpatient care and treatment to beneficiaries of the Veterans Administration including care and treatment in facilities not under the jurisdiction of the Veterans Administration, and furnishing recreational articles and facilities; maintenance, operation and acquisition of farms and burial grounds; repairing, altering, improving or providing facilities in the several hospitals and homes under the jurisdiction of the Veterans Administration, not otherwise provided for, either by contract, or by the hire of temporary employees and purchase of materials; purchase of [eighty-four] eight passenger motor vehicles for replacement only; uniforms or allowances therefor as authorized by law (5 U.S.C. 2131); and aid to State homes as authorized by section 641 of title 38, United States Code; [$1,115,935,000] $1,177,417,000, plus reimbursements: Provided, That allotments and transfers may be made from this appropriation to the Department of Health, Education, and Welfare (Public Health Service), the Army, Navy, and Air Force Departments, for disbursements by them under the various headings of their applicable appropriations, of such amounts as are necessary for the care and treatment of beneficiaries of the Veterans Administration. (5 U.S.C. chaps. 1, 16, 18, 21, 21A, 2326, 30, 32, 36, 37, 39; 38 U.Š.C. 109(a), 111, 216, 217, 233, 234, 903, 1506, chaps. 17, 73, 81, 85; 72 Stat. 1262-1264; 41 Ú.S.C. 5; Independent Offices Appropriation Act, 1965.) Program and Financing (in thousands of dollars) 1964 actual Total capital outlay...... Total direct program costs, 3,087 $5,604 $9,594 1964 actual 294,865 1965 1966 estimate estimate 7,582 1965 estimate 305,724 311,077 1,913 11,776 11,899 16,285 16,906 16,905 8,000 6,936 6,593 743 2,250 1966 estimate 1,060,319 1,122,444 1,139,295 6,657 5,879 10,357 1,085,797 1,145,864 1,177,543 To be eligible for inpatient care and treatment, a beneficiary must be a veteran of any war with a serviceconnected disability incurred or aggravated during a period of war, or, within the limits of Veterans Administration facilities, for any other disability if the veteran is unable to defray the expenses of necessary hospital, nursing home, or domiciliary care. Outpatient medical and dental treatment is provided to eligible veterans with disabilities by staffs of Veterans Administration outpatient clinics and 38,248 by physicians and dentists participating in the hometown medical care program; to veterans receiving vocational rehabilitation who require treatment to avoid interruption of training; to pensioners of nations allied with the United 1 Selected resources as of June 30 are as follows: Unpaid undelivered orders, 1963, $8,758 thousand (1964 adjustments, -$114 thousand); 1964, $13,427 thousand; 1965, $13,427 thousand; 1966, $13,427 thousand. This appropriation provides for the cost of care and treatment of eligible beneficiaries in Veterans Administration hospitals, domiciliary and nursing care beds, outpatient clinics, contract hospitals and nursing homes, and State domiciliary and nursing homes. General and special funds-Continued MEDICAL CARE-Continued States in World War I and in World War II; and to Increases in 1966 are for (a) the full year cost of the Total...... Number visits, medical..... 1. Maintenance and operation of Veterans Administration 1964 actual 1965 estimate 1966 estimate 40,432 (b) General hospitals. This covers the operation of general hospitals. The estimated costs for 1966 exceed 1965 by $6,281 thousand; however, a net decrease is estimated in direct operating costs because of the planned closing of 11 marginal hospitals in 1965 which more than offsets proposed increases. Estimated operating levels are: Average number of operating beds.. - 1964 actual 1965 estimate 1966 estimate 74,150 73,424 Average number of operating beds. 75,460 (c) Nursing home care. This covers the operation of nursing care beds in Veterans Administration facilities. The increase in the estimated cost over 1965 is $6,757 thousand. 1964 actual 1965 estimate 1966 estimate 406 350 Nursing home care: Average number of operating beds. 1,645 267 (d) Domiciliary care. This covers the cost of domiciliary care of veterans in Veterans Administration facilities including the operation of two pilot restoration centers. The decrease in the estimated cost under 1965 is $4,023 thousand because of the planned closing in 1965 of four domiciliaries. Estimated operating levels are: (e) Outpatient care. This covers the expense of outpatient medical and dental care provided by Veterans Administration staff and by physicians and dentists participating under a fee basis arrangement in the hometown care program. The increase in the estimated cost over 1965 is $4,627 thousand, primarily because of the initiation of the new program of providing drugs and medicines for veterans receiving increased pensions based on need of regular aid and attendance (Public Law 88-664). 1964 actual 1965 estimate 1966 estimate 15,330 3.226 2,826 Average number of operating beds. 16,440 3.282 NUMBER OF MEDICAL VISITS AND DENTAL CASES 52 6,274 Number visits, medical... Total.. In Veterans Administration facilities: Total...... 4,946 45 5,030 1.233 Average daily patient load: Total. 47 1,244 1965 estimate 1966 estimate 6,067 6,109 43 45 52 54 6,162 6,208 4,839 45 4,923 936 374 1.412 2.722 1,228 4 7 1,239 4,881 41 46 4,968 (f) Miscellaneous benefits and services.-This covers items of expense not directly connected with medical care and treatment such as beneficiary travel, care of the dead, operation of personnel quarters at medical facilities, and the cost of furnishing supply, engineering, housekeeping, and other administrative support service to other Veterans Administration departments on a nonreimbursable basis. The decrease in the estimated cost 1,228 4 7 1,240 under 1965 is $57 thousand. 2. Contract care (a) Hospitalization.-This covers the hospitalization in other Federal hospitals for service and non-service-connected disabilities where Veterans Administration facilities are not available. It also covers the use of non-Federal hospitals which are limited to treatment of service-connected disabilities, except that female veterans, veterans in training under the provisions of 38 U.S.C. 1506, and veterans in U.S. Territories and possessions may also receive treatment of non-service-connected disabilities. The net decrease in the estimated costs under 1965 of only $1 thousand is due to a decrease of 70 average daily patient load offset almost entirely by an increase in contract per diem payment rates. 1964 actual Under existing legislation, 1965.-A supplemental appropriation of $8,295 thousand is proposed for separate transmittal to cover the $7,500 thousand wage rate increases approved for wage board employees between July 1, 1963 and June 30, 1965, $215 thousand to be applied to the net increased per diem rates in Federal and non-Federal contract hospitals, and $580 thousand for increased grants for State home care resulting from the implementation of Public Law 88-450 approved August 19, 1964. COMPENSATION AND PENSIONS For the payment of compensation, pensions, gratuities, and allowances (including burial awards authorized by section 902 of title 38, United States Code, burial flags, and subsistence allowances for vocational rehabilitation), authorized under any Act of Congress, or regulation of the President based thereon, including emergency officers' retirement pay and annuities, the administration of which is now or may hereafter be placed in the Veterans Administration, and for the payment of adjusted-service credits and certificates as provided in sections 401, [and] 601, and 647 of the Act of May 19, 1924, as amended, and for payment of amounts of compromises or settlements under 28 U.S.C. 2677 of tort claims potentially subject to the offset provisions of 38 U.S.C. 351, [$3,963,000,000] $4,142,000,000, to remain available until expended [.]: Provided, |
Get this book in print
0 Reviews Reviews aren't verified, but Google checks for and removes fake content when it's identified Write review |