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U
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GOVERNMENT PRINTING OFFICEWASHINGTON
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For sale by the Superintendent of Documents, U.S. Government Printing OfficeInternet: bookstore.gpo.govPhone: toll free (866) 512–1800; DC area (202) 512–1800Fax: (202) 512–2104Mail: Stop IDCC, Washington, DC 20402–000155–229
2010
 
THE VETERANS HEALTH ADMINISTRATION’S FISCAL YEAR 2011 BUDGET
HEARING
BEFORE THE
 
SUBCOMMITTEE ON HEALTH
OF THE
 
COMMITTEE ON VETERANS’ AFFAIRS U.S. HOUSE OF REPRESENTATIVES
ONE HUNDRED ELEVENTH CONGRESS
SECOND SESSION FEBRUARY 23, 2010
Serial No. 111–61
Printed for the use of the Committee on Veterans’ Affairs
(
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COMMITTEE ON VETERANS’ AFFAIRS
BOB FILNER, California,
Chairman
CORRINE BROWN, Florida  VIC SNYDER, Arkansas MICHAEL H. MICHAUD, Maine STEPHANIE HERSETH SANDLIN, South Dakota HARRY E. MITCHELL, Arizona JOHN J. HALL, New York DEBORAH L. HALVORSON, Illinois THOMAS S.P. PERRIELLO, Virginia HARRY TEAGUE, New Mexico CIRO D. RODRIGUEZ, Texas JOE DONNELLY, Indiana JERRY M
C
NERNEY, California ZACHARY T. SPACE, Ohio TIMOTHY J. WALZ, Minnesota JOHN H. ADLER, New Jersey  ANN KIRKPATRICK, Arizona GLENN C. NYE, Virginia STEVE BUYER, Indiana,
 Ranking
CLIFF STEARNS, Florida JERRY MORAN, Kansas HENRY E. BROWN, J
R
., South Carolina JEFF MILLER, Florida JOHN BOOZMAN, Arkansas BRIAN P. BILBRAY, California DOUG LAMBORN, Colorado GUS M. BILIRAKIS, Florida  VERN BUCHANAN, Florida DAVID P. ROE, Tennessee Malcom A. Shorter,
Staff Director
S
UBCOMMITTEE ON
H
EALTH
 
MICHAEL H. MICHAUD, Maine,
Chairman
CORRINE BROWN, Florida  VIC SNYDER, Arkansas HARRY TEAGUE, New Mexico CIRO D. RODRIGUEZ, Texas JOE DONNELLY, Indiana JERRY M
C
NERNEY, California GLENN C. NYE, Virginia DEBORAH L. HALVORSON, Illinois THOMAS S.P. PERRIELLO, Virginia HENRY E. BROWN, J
R
., South Carolina,
 Ranking
CLIFF STEARNS, Florida JERRY MORAN, Kansas JOHN BOOZMAN, Arkansas GUS M. BILIRAKIS, Florida  VERN BUCHANAN, Florida Pursuant to clause 2(e)(4) of Rule XI of the Rules of the House, public hearing records of the Committee on Veterans’ Affairs are also published in electronic form.
The printed hearing record remains the official version.
Because electronic submissions are used to prepare both printed and electronic versions of the hearing record, the process of converting between various electronic formats may introduce unintentional errors or omissions. Such occur-rences are inherent in the current publication process and should diminish as the process is further refined.
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C O N T E N T S
February 23, 2010
Page
The Veterans Health Administration’s Fiscal Year 2011 Budget .......................1 OPENING STATEMENTS Chairman Michael Michaud ...................................................................................1 Prepared statement of Chairman Michaud ....................................................27 Hon. Henry E. Brown, Jr., Ranking Republican Member, prepared statement of ............................................................................................................................27 WITNESSES U.S. Department of Veterans Affairs, Hon. Robert A. Petzel, M.D., Under Secretary for Health, Veterans Health Administration ....................................2 Prepared statement of Dr. Petzel ....................................................................28  American Legion, Joseph L. Wilson, Deputy Director, Veterans Affairs and Rehabilitation Commission .................................................................................20 Prepared statement of Mr. Wilson ..................................................................46
The Independent Budget:
Blake C. Ortner, Senior Associate Legislative Director, Paralyzed Vet-erans of America ...........................................................................................17 Prepared statement of Mr. Ortner ...........................................................32 Eric A. Hilleman, Director, National Legislative Service, Veterans of For-eign Wars of the United States ...................................................................19 Prepared statement of Mr. Hilleman .......................................................37 SUBMISSION FOR THE RECORD National Association for Veterans’ Research and Education Foundations, Barbara F. West, Executive Director .................................................................48 MATERIAL SUBMITTED FOR THE RECORD Post-Hearing Questions and Responses for the Record: Hon. Michael Michaud, Chairman, Subcommittee on Health, Committee on Veterans’ Affairs, to Hon. Eric K. Shinseki, Secretary, U.S. Depart- mentofVeteransAffairs,letterdatedMarch9,2010,andVAresponses .53 Hon. Michael Michaud, Chairman, Subcommittee on Health, Committee on Veterans’ Affairs, to Blake C. Ortner, Senior Associate Legislative Director, Paralyzed Veterans of America, letter dated March 9, 2010, and response letter and attachment, dated April 1, 2010 .........................65
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