THIS BULLETIN CONTAINS
THE FOLLOWING ARTICLES

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VA DISABILITY COMPENSATION UPDATE
03:
The Veterans AffairsDepartment has been
wrongfully recovering money from widows of deceasedveterans
over the last 12 years by demanding reimbursement for
finalbenefits checks in violation of federal law. Sen. Daniel
K. Akaka,(D-HI), the chairman of the Senate Veterans’ Affairs
Committee,confronted the department last week about the
problem, which has resulted in hundreds of thousands of senior
citizens losing pension and disability money received during
the month of their spouse’s death. “This flawed practice has
caused serious hardship for many widows,” Akaka said. “I
suspect that the improper procedures have harmed thousands of
widows and widowers over the last 12 years.”Congress granted
veterans’ spouses the right to keep their partner’s last
month’s worth of benefits when it passed the Veterans’ Benefits
Improvements Act of 1996 (PL 104-275). The law instructed the
department to treat disability and pension checks issued during
the month of a veteran’s death “as being payable to a surviving
spouse. But the department never adjusted its systems to follow
the law. As a result, the department has routinely either
refused to send checks or taken active measures to retrieve
money already sent, including collection actions. Akaka brought
up the issue in a 5 DEC letter to Secretary James B. Peake,
asking him to immediately take steps to identify all the
spouses affected, pay them their missing benefits, and fix the
system.
Akaka’s press secretary, Jesse Broder Van
Dyke, said there was no evidence officials intentionally
withheld any money. “It was something that slipped through the
cracks,” he said. “They’re using an automated system, so they
needed to go and change the program, but they never did.” Peake
responded 11 DEC with a tentative action plan to fix the
benefits problem over the coming months, saying “I agree that
this problem must be fixed.” A department spokesman did not
immediately respond to requests for comment, but a committee
aide said solving the problem likely would take some time,
partly because the department does not keep track of all
spouses. The aide estimated that up to 50,000 spouses could
have been affected each year since the law was passed. Each
spouse could be entitled to anywhere from a few hundred to a
few thousand dollars, depending on their situation. Repayments
could cost the government hundreds of millions dollars, the
aide said. The department should have enough money in its
budget to cover the costs, but “they might have to come back to
Congress for some additional money,” the staffer said. Akaka
became aware of the problem last month when contacted by Ruby
Maile Sasaoka, a Hawaii resident whose veteran husband died in
2007. After using her husband’s final benefit check for funeral
expenses, the Treasury department took an equal amount of money
directly from her bank account without her knowledge. As a
result, she unwittingly bounced checks and now faces credit
issues.
[Source: CQ TODAY Josh Rogin article 12
Dec 08 ++]
VA DISABILITY &
DIVORCE:
United States Code, Title 38, Veteran’s
Benefits, is the governing document created by the U.S.
Congress forthe administration and protection of benefits,
entitlements, andhealthcare services earned by persons
honorably discharged from the U.S. military, spouses,
dependents, and widows of former military personnel. The
Department of Veterans Affairs is the sole agency responsible
for enforcement and interpretation of the contents of USC,
Title 38. According to the Department of Justice, the ultimate
responsibility for all actions taken/or not taken under USC,
Title 38 falls squarely on the shoulders of the Secretary of
the Department of Veterans Affairs. One of the primary
functions of USC, Title 38 is to insure persons not eligible
for veterans’ benefits, entitlements, compensation, and/or
medical services are not granted access to such, and veterans
receiving benefits, entitlements, compensation, and/or medical
services are qualified and eligible to receive said benefits.
In the case of veteran’s disability compensation, these funds
are paid solely to the disabled veteran for injuries incurred
in the line of duty. Disability compensation is tax-exempt and
not classified as ‘income’ by the IRS. VA disability
compensation is also protected from seizure, attachment,
garnishment, or levy under any legal process
whatsoever.
USC, Title 38 reads, “Section 5301(a) -
1) Payments of benefits due or to become due under any law
administered by the Secretary shall not be assignable except to
the extent specifically authorized by law, and such payments
made to, or on account of, a beneficiary shall be exempt from
taxation, shall be exempt from the claim of creditors, and
shall not be liable to attachment, levy, or seizure by or under
any legal or equitable process whatever, either before or after
receipt by the beneficiary.
www.law.cornell.edu/uscode/html/uscode38/usc_sec_38_00005301----000-.html
”. In spite of this very
focused and explicate language, every day in civil court rooms
across the country disabled veterans are being forced to use
their earned disability compensation as a divisible asset in a
divorce settlement, or go to jail for contempt. In a blatant
violation of USC, Title 38, most family court attorneys and
civil court judges have wrongly concluded that the federal law
does not apply to them or their court proceedings. Nothing
could be farther from the truth. Contrary to the opinions of
some, there is no gray area here. When the federal law states;
‘under any legal or equitable process whatever, either before
or after receipt by the beneficiary’, that means exactly that.
USC, Title 38 makes NO exception for civil court rulings.
Operation Firing For Effect (OFFE) is currently monitoring over
40 cases nationwide where severely disabled veterans are being
ordered to use their earned disability compensation to pay
alimony or spousal support to a non-military able body
ex-spouse. In a number of these cases the disabled veteran has
spent months in jail for refusing to give up their disability
compensation to a third party. Operation Firing For Effect
(OFFE) is a veteran’s advocacy group devoted to the improvement
and protection of benefits and entitlements earned by ourmen
and women in uniform.
Although
USC, Title 38 is extremely clear about the protection of
disability compensation, the Department of Veterans Affairs
refuses to enforce the laws outlined in Title 38. This inaction
by the VA leaves the veteran with no other recourse but to pay
the court order or go to jail. OFFE is currently warning active
duty personnel (man, or woman) of the waiting ambush they face
if they should fall victim to an ugly divorce upon returning
home. OFFE is recommending all military personnel consider
filing a premarital/prenuptial agreement designed specifically
to protect veterans’ benefits from consideration as a divisible
asset in a divorce. OFFE is also exploring the possibility of
filing a class-action suit against the Department of Veterans
Affairs for failure to enforce the federal statues that protect
veteran’s benefits from third party awards. The Department of
Veterans Affairs has an obligation to our veterans to protect
their benefits and entitlements from abuse and theft. For more
information on this issue, refer to
http://jerebeery.com/5301%20Club.htm
. To
view a video on this subject refer
to http://www.youtube.com/watch?v=9FAjR-QbhPw
.
[Source:
OFFE Release 55 dtd 11 Dec 08 ++]
VET LEGISLATIVE
ADVANCES:
The
2008 legislative year ended with a sense of disappointment when
a flap over pork-barrel spending caused the Senate to abruptly
drop consideration of numerous MOAA-endorsed amendments in the
rush to finish the FY2009 Defense Authorization Act. Among
those were amendments that would have expanded concurrent
receipt, improved compensation for military widows, and
improved Guard and reserve retirement credit, among others.
While it's frustrating to see action deferred another year on
those high-profile goals, it's also important to acknowledge
that Congress did approve many other initiatives sought by The
Military Coalition:
Post-9/11 GI Bill: As of August 1,
2009, the new GI Bill will cover the full tuition at any
state/public college or university, plus a stipend for books
and housing. Additionally, eligible members willing to extend
their current service for four or more years will be able to
transfer the new benefits to a spouse and/or
child(ren).
Medicare/Tricare Physician Payments: Reversed
a 10.6% cut in payments to doctors that would have threatened
military beneficiaries' access to quality care, and substituted
a 1.1% increase.
Military Pay Raise: Won a 3.9% military
pay raise for active duty, Guard, and Reserve troops (one-half
percentage point higher than the defense budget
request).
Tricare Fees: Barred a Pentagon
proposal to impose large health fee increases for retirees
under 65 and retail pharmacy copays for all Tricare
beneficiaries.
Reserve Tricare Premiums. Won a
major reduction in Tricare Reserve Select premiums for
currently serving Guard/Reserve members and families, effective
in JAN 09.
Preventive Care Services: Authorized the
Pentagon to waive copays and deductibles for certain preventive
health services to encourage military beneficiaries to pursue
healthy lifestyles.
Tax
Issues: Authorized disabled military retirees to file up to
five years of amended income tax returns in the event of delays
in award of a VA disability rating. Authorized survivors to
deposit the $100,000 military death gratuity into an
IRA.
Paternity
Leave: Authorized 10 days of leave, in addition to regular
leave, to allow military fathers to bond with a newborn
child.
In-state tuition: All states must now provide
continuity of in-state tuition when military parents move (14
states did not at the beginning of 2008)
Also during 2008, we realized the fruits of
past years' labor on several fronts:
SBP
age-62 annuity: As of April 1, 2008, all military survivors age
62 and older had their Survivor Benefit Plan annuities
increased to equal 55% of the deceased member's covered retired
pay. This was the final installment of a four-year phase-in
that cumulatively raised SBP annuities by almost 60% for
survivors age 62 and older. Before enactment of the
MOAA-sponsored change, survivors received only 35% of covered
retired pay.
Paid-up SBP: Effective 1 OCT 0, military
retirees who have attained age 70 and paid at least 30 years of
SBP premiums have been awarded "paid-up SBP" status, so that
premiums for SBP will no longer be deducted from their retired
pay.
Combat-Related Special Compensation (CRSC):
Thousands of members medically retired with less than 20 years
of service due to combat- or operations-related injuries became
eligible for CRSC.
Special Survivor Indemnity Allowance: As of 1
OCT, survivors subject to deduction of VA survivor benefits
from their SBP annuities began receiving a modest rebate of $50
per month.
Concurrent Retirement Disability Pay (CRDP):
Phased-in restoration of the retired pay deducted from military
retirees’ accounts due to their receipt of Veterans Affairs
compensation (reflected on Retiree Account Statements as the
“VA waiver”) will be 84.88% in 2009.
[Source:
MOAA Leg Up 12 Dec 08 ++]
DFAS 1099R FOR 2008 UPDATE
01:
The
Defense Finance and Accounting Service (DFAS) has posted the
following schedule for issuing members' tax statements for the
2008 tax year. The first date indicates when statements will be
accessible on line through myPay. The second date indicates
when they will be mailed out to those who have not registered
for on-line access.
- Retiree Annual Statement: Dec. 10 (myPay)
or Dec. 16-22 (U.S. Mail).
- Retiree 1099R: Dec. 22 (myPay) or Dec.
16-22 (U.S. Mail).
- Annuitant Account Statement: Dec. 15
(myPay) or Dec. 22-24 (U.S. Mail).
- Annuitant 1099R: Dec. 15 (myPay) or Dec.
22-24 (U.S. Mail).
- VSI/SSB W-2: Jan. 2 (only available
through U.S. Mail).
- Active Duty Army, Navy, Air Force W-2:
Jan. 22 (myPay) or Jan. 23-29 (U.S.
Mail).
- Reserve Army, Navy, Air Force W-2: Jan. 2
(myPay) or Jan. 5-8 (U.S. mail)
Retirees
who don't have access to myPay and have requested a hardcopy of
a Retired Account Statement and a 1099R will be sent a combined
mailing in late December or early January. Annuitants will
receive a combined mailing of both the Annuity Account
Statement and the 1099R.
If
you don't receive your statement(s) by January 15, 2009, you
have several options:
- Access the myPay system and adjust your
account.
- Request a 1099R through DFAS' Interactive
Voice Response System (1-888-332-7366).
- Contact DFAS Customer Service Center at
1-800-321-1080
Additional information can be found on the
DFAS Web Site www.dfas.mil
.
[Source:
MOAA Leg Up 12 Dec 08 ++]
MOBILIZED RESERVE 10 DEC
08:
The Army,
Air Force and Marine Corps announced the current number of
reservists on active duty as of 10 DEC 08 in support of the
partial mobilization. The net collective result is 3,577 more
reservists mobilized than last reported in the Bulletin for 1
DEC 08. At any given time, services may mobilize some units and
individuals while demobilizing others, making it possible for
these figures to either increase or decrease. The total number
currently on active duty in support of the partial mobilization
of the Army National Guard and Army Reserve is 97,824; Navy
Reserve, 5,885; Air National Guard and Air Force Reserve,
11,080; Marine Corps Reserve, 8,536; and the Coast Guard
Reserve, 858. This brings the total National Guard and Reserve
personnel who have been mobilized to 124,183 including both
units and individual augmentees. A cumulative roster of all
National Guard and Reserve personnel, who are currently
mobilized, can be found at
http://www.defenselink.mil/news/Dec2008/d20081209ngr.pdf
.
[Source:
DoD News Release 1006-08 10 Dec 08 ++]
NEW YORK VET PROPERTY TAX
RELIEF:
Counties,
towns and cities throughout the Capital Region are placing laws
on the books providing a new property tax exemption authorized
by the state back in 2007 in honor of Cold War veterans. But of
all the veterans in Albany, Fulton, Montgomery, Schoharie,
Schenectady and Saratoga counties, only 73 will see the benefit
on their 2009 tax bills — and they are all in Montgomery
County, according to officials in the various counties.
Difficulties veterans experienced under the law’s first
provisions prompted revisions of the state law that carried
into 2008, and some counties waited to pass their laws until
the confusion was cleared up.
Those
that waited and passed a local law this year, or who do so in
time for veterans to apply by 1 MAR 09, will be offering
eligible veterans the benefit, which they’ll see on their tax
bills in 2010. Despite confusion at the state level, Montgomery
County supervisors approved their law in time for veterans to
get their applications into their assessors’ offices by 1 MAR
08. The 73 Montgomery County veterans will be exempt from
county taxes on 15% of their property’s assessed value up to
$12,000, for properties assessed at full value. In the
Montgomery County town of Charleston, for example, where
property is assessed at full value, an eligible veteran with a
home assessed at $100,000 will pay county property taxes on
$88,000, for a savings of roughly $160 under 2008 tax
rates.
The
benefit is greater if the eligible veteran has a disability,
and the exemption is not allowed if the veterans already make
use of other property tax exemptions offered to veterans.To be
eligible, the property has to be a residence. State law
approved in AUG 07 created the exemption to recognize thousands
of veterans who served on active duty between 2 SEP 45 and26
DEC 91, but were never recognized with such a credit. The state
made the benefit optional, so counties, cities and towns must
make their own local laws and extend the benefit if they
choose. In Montgomery County, the discussion began in
2007.
The
county’s Board of Supervisors passed the law and veterans began
submitting applications to their assessors. Quirks in the law
as originally written caused difficulties for some veterans.
Many never got a “Cold War Recognition Certificate” required
for eligibility, and some were injured prior to serving all of
the 365 days in the military required to qualify, so they were
left out as well, under early provisions. The initial law also
called for veterans to reapply each year. That was changed to
each 10 years, and the certificate and one-year service
requirements were all eliminated by the state
Legislature.
The
changes in the law caused confusion and Montgomery County
supervisors ultimately did the whole process all over again,
said Minden Supervisor Thomas Quackenbush, a supporter of the
law in 2007 when former County Veterans Service Agency Director
William Mullarkey brought it to the county board’s attention.
“We could have very easily been in the same boat,” said
Quackenbush, who said the Minden Town Board just passed the law
for town taxing purposes. He said Minden passed a law in time
for veterans to obtain the benefit in 2009, but it was flawed
due to discrepancies in the numbers and the town had to do it
all over again.
The
property tax exemption for Cold War Veterans lasts 10 years,
and veterans need to fill out an application by the taxable
status date in their municipality, which is typically in March.
The city of Amsterdam’s taxable status date is 1 DEC so those
who haven’t yet applied can do so for their 2011 tax bills in
Amsterdam. State Division of Veterans Affairs Director William
Kraus said that veterans should contact their local veterans’
service agency to ensure they are receiving benefits they’ve
earned on active duty. Veterans in need of help can get in
touch with a counselor through the state Veterans Affairs
toll-free number at 1-888-VETS-NYS.
[Source:Schenectady Gazette Edward Munger
article 10 Dec 08 ++]
TOMB OF THE UNKNOWNS UPDATE
03:
Despite
an economic crisis that has organizations from small-town
mom-and-pop shops to local and national governments tightening
their belts, the Department of the Army still refuses to accept
a donation from a Glenwood Springs CO man that could save it
millions of dollars. The donation in question is a
118,000-pound slab" of marble, valued at just over $31,000,
from "the Yule Quarry in Marble, Colo." Retired Glenwood car
dealer John Haines has been trying to donate the marble since
2003. It "would replace the cracked Tomb of the Unknowns at
Arlington National Cemetery, but procedure dictates that all
government jobs must go through a pricey bidding process,
thereby disqualifying Haines' donation.
[Source:
AP article 8 Dec 08 +]
VA APPOINTMENTS UPDATE
04:
U.S.
Senator Daniel K. Akaka (D-HI), Chairman of the Veterans'
Affairs Committee on 5 DEC responded to two new Office of
Inspector General (IG) reports regarding unused appointments in
VA and VA procedures for scheduling appointments and
maintaining wait lists. Senator Akaka requested the reports as
part of continuing oversight of these issues, and based on
information received by the Committee. "The fact that we
continue to see a trend of flawed or inefficient scheduling
practices being used by VA is troubling. I have led the fight
to provide full funding for VA but VA must be as efficient and
accurate as possible in order to avoid waste and mismanagement,
especially in these times of economic difficulty." said Akaka.
According to information provided by IG, approximately 4.9
million appointments, 18% of all VHA appointments, were unused
during Fiscal Year 2008. By implementing IG recommended
procedures to fill appointments before they go unused,
conservative estimates suggest that VHA could save at least $76
million annually and $380 million over five years. IG also
reported that in the North Florida/South Georgia Veterans
Health System, scheduling continues to be done inaccurately,
resulting in distorted data being reported. By placing new
patients in "non-count" clinics, statistics on how long
veterans wait for their initial appointments can be skewed.
VA's data collection does not track those placed in these
clinics, which are typically used for routine procedures such
as checking blood pressure. VA, Congress, and others rely on
this data to make informed decisions about staffing and funding
levels.
[Source:
Senator Akaka News Release 5 Dec 08 ++]
HEART ATTACK UPDATE
02:
New York
City announced that it will require all ambulances to take
cardiac arrest patients not to the nearest hospital, but to
those hospitals that use specialized cooling equipment to lower
the temperature in the brain, even if they're farther away.
Starting 1 JAN ambulances will be re-routed to hospitals
offering this "cooling therapy." About one third of city
hospitals currently have the technology and some are working to
get cooling operations before the deadline.
Typically, after someone suffers cardiac
arrest, emergency technicians attempt to restore a pulse, and
most patients head to the nearest emergency room in a coma. New
York now joins eleven other cities, including Boston, Miami and
Seattle, in re-directing cardiac arrest cases to hospitals
offering cooling therapy – a technique that has been shown to
reduce brain damage and deaths. We'll do everything we can in
this city to make sure you survive," said New York City Mayor
Michael Bloomberg. In the cooling process called therapeutic
hypothermia, doctors lower the temperature in the body and,
more importantly, in the brain from 98 degrees down to 90
degrees. While it's just an 8 degree difference, the cooler
temperature helps reduce brain damage. "When you cool the
brain, the brain cells go to sleep, go into a state of
hibernation, where they don't work so hard," said Dr. Fink of
New York-Presbyterian/Weill Cornell Medical Center. "They don't
need to use oxygen anymore and it gives them a chance to rest
and recover from their injury."
Studies
in the New England Journal of Medicine show that cooling
therapy reduces serious brain damage by 50% and lowers death
rates by 25%. Cooling therapy often works out to cost about
$1,000 per patient for a state-of-the art cooling suit, but the
treatment can be done using less expensive methods. "It's been
over five years since the American Heart Association endorsed
this treatment and it simply baffles me why more hospitals
don't do it," said Dr. Michael Sayre of Ohio State University.
"I think part of the reason why they don't do the treatment is
because they think it's harder than it really is. Actually all
you need is an ice machine and a cooling blanket." Thousands of
lives could be saved, Sayre said, if more hospitals offered
cooling therapy. With the country's largest city now pushing
the therapy, researchers predict more cities will soon follow
suit.
[Source:
ABC News 8 Dec 08 ++]
VA SECRETARY UPDATE
08:
President-elect Barack Obama has chosen
retired Gen. Eric K. Shinseki to be the next Veterans Affairs
secretary, turning to a former Army chief of staff once
vilified by the Bush administration for questioning its Iraq
war strategy. He will be the first Asian-American to hold the
post of Veterans Affairs secretary, adding to the growing
diversity of Obama's Cabinet. "I think that General Shinseki is exactly the
right person who is going to be able to make sure that we honor
our troops when they come home," Obama said in an interview
with NBC's Meet the Press. Shinseki's tenure as Army chief of
staff from 1999 to 2003 was marked by constant tensions with
Defense Secretary Donald Rumsfeld, which boiled over in 2003
when Shinseki testified to Congress that it might take several
hundred thousand U.S. troops to control Iraq after the
invasion. Rumsfeld and his deputy, Paul Wolfowitz, belittled
the estimate as "wildly off the mark" and the general was
marginalized and later retired from the Army. But Shinseki's
words proved prophetic after President George W. Bush in early
2007 announced a "surge" of additional troops to Iraq after
miscalculating the numbers needed to stem sectarian violence.
Obama said he chose Shinseki for the VA post because he "was
right" in predicting that the U.S. will need more troops in
Iraq than Rumsfeld believed at the time.
Shinseki,
66, is slated to take the helm of the government"s second
largest agency, which was roundly criticized during the Bush
administration for underestimating the amount of funding needed
to treat thousands of injured veterans returning from Iraq and
Afghanistan. Thousands of veterans currently endure six-month
waits for disability benefits, despite promises by current VA
Secretary James Peake and his predecessor, Jim Nicholson, to
reduce delays. The department also is scrambling to upgrade
government technology systems before new legislation providing
for millions of dollars in new GI benefits takes effect next
August. Sen. Daniel Akaka, D-Hawaii, and chairman of the Senate
Veterans Affairs Committee, praised Shinseki as a "great
choice" who will make an excellent VA secretary. "I have great
respect for General Shinseki's judgment and abilities," Akaka
said in a statement. "I am confident that he will use his
wisdom and experience to ensure that our veterans receive the
respect and care they have earned in defense of our nation.
President-elect Obama is selecting a team that reflects our
nation's greatest strength, its diversity, and I applaud him.
Veterans groups also cheered the decision. "General Shinseki
has a record of courage and honesty, and is a bold choice to
lead the VA into the future," said Paul Rieckhoff, executive
director of the Iraq and Afghanistan Veterans of America. "He
is a man that has always put patriotism ahead of politics, and
is held in high regard by veterans of Iraq and
Afghanistan."
Obama's
choice of Shinseki, who grew up in Hawaii, is the latest
indication that the president-elect is making good on his
pledge to have a diverse Cabinet. In Obama's eight Cabinet
announcements so far, white men are the minority with two
nominations Timothy Geithner at Treasury and Robert Gates at
Defense. Three are women Janet Napolitano at Homeland
Security, Susan Rice as United Nations ambassador and Hillary
Rodham Clinton at State. Eric Holder at the Justice Department
is African American, while Bill Richardson at Commerce is
Latino. Shinseki is a recipient of two Purple Hearts for
life-threatening injuries in Vietnam. Upon leaving his post in
June 2003, Shinseki in his farewell speech sternly warned
against arrogance in leadership. "You must love those you lead
before you can be an effective leader," he said. "You can
certainly command without that sense of commitment, but you
cannot lead without it. And without leadership, command is a
hollow experience, a vacuum often filled with mistrust and
arrogance."Shinseki also left with the warning: "Beware a
12-division strategy for a 10-division army."
[Source:
ArmyTimes Hope Yen AP article 8 Dec 08 ++]
IRS FEIE RESIDENCY
TEST:
To take
advantage of the Foreign Earned Income Exclusion ($87,600 in
2008), an American expatriate must qualify for foreign
residency. Under the bona fide residency test, he or she would
need to be a foreign resident for one tax year. For most
people, a tax year is a calendar year. In addition, though, an
expat must show intention to be a foreign resident. Evidence of
intent includes family presence, renting or buying a place of
residence rather than staying in a hotel room, participating in
community activities, maintaining a permanent foreign address,
and opening charge accounts. While these criteria may appear
extravagant, other criteria definitely kill qualifying: taking
inconsistent positions toward foreign residency such as filing
a statement with the foreign authorities that one is not a
resident there nor held subject to income taxes. Qualifying
under the physical presence test means staying in a foreign
country for 330 days in any 12 month period. The time period is
not attached to tax year. Nor must the days be consecutive. The
330 day period begins and ends with travel to or from the
United States. Days traveling over international waters or in
the U.S. do not count. Periodic trips home for vacation or
business do not disqualify one from the bona fide test. But
they reduce FEIE under the physical presence test. Bona fide is
jeopardized when at the end of the first tax year the expat
returns stateside for Christmas holidays and then does not
return to the foreign country.
[Source:
Barron's International Tax Service Nov/Dec 08
++]
RECRUITING NON-CITIZENS UPDATE
01:
The
Secretary of Defense has authorized the military services to
recruit certain legal aliens under the Military Accessions
Vital to National Interest (MAVNI) recruitment pilot program
whose skills are considered to be vital to the national
interest. Those holding critical skills ? physicians, nurses,
and certain experts in language with associated cultural
backgrounds ? would be eligible. To determine its value in
enhancing military readiness, the limited pilot program will
recruit up to 1,000 people, and will continue for a period of
up to 12 months. Criteria for recruitment are: ? Applicant must
be in one of the following categories at time of enlistment:
Asylee, Refugee, Temporary Protected Status (TPS), or
Nonimmigrant categories E, F, H, I, J, K, L, M, O, P, Q, R, S,
T, TC, TD, TN, U, or V. ? Applicant must have been in valid
status in one of those categories for at least two years
immediately prior to the enlistment date, but it does not have
to be the same category as the one held on the date of
enlistment; and ? Applicant who may be eligible on the basis of
a nonimmigrant category at time of enlistment must not have had
any single absence from the United States of more than 90 days
during the two year period immediately preceding the date of
enlistment.
Applicants seeking enlistment as Health Care
Professionals must: ? Fill medical specialties where the
service has a shortfall. ? Meet all qualification criteria
required for their medical specialty, and the criteria for
foreign-trained DoD medical personnel recruited under other
authorities. ? Demonstrate proficiency in English and a second
language. Language proficiency in one of the following will be
taken into consideration: Albanian, Amharic, Arabic,
Azerbaijani, Bengali, Burmese, Cambodian-Khmer, Chinese, Czech,
Hausa, Hindi, Hungarian, Igbo, Indonesian, Korean, Kurdish,
Lao, Malay, Malayalam, Moro, Nepalese, Persian [Dari &
Farsi], Polish, Punjabi, Pushtu (aka Pashto), Russian, Sindhi,
Sinhalese, Somali, Swahili, Tamil, Turkish, Turkmen, Urdu, and
Yoruba. ? Commit to at least 3 years of active duty, or six
years in the Selected Reserve Enlisted Individuals with Special
Language and Culture Backgrounds. ? Possess specific language
and culture capabilities in a language critical to DoD. ?
Enlist for at least 4 years of active duty ? Meet all existing
enlistment eligibility criteria. (Services may add additional
requirements)
The U.S.
military services sign up about 8,000 foreign nationals
annually and about 29,000 non-citizens serve in the U.S.
military today. Non-citizen servicemembers normally possess a
State Department-issued green card that authorizes them to live
and work in the United States. The pilot program is designed to
assist the Defense Department in maintaining its requirement of
about 24,000 doctors, dentists and nurses for the military
services. All nursing specialties are needed, as well as neural
surgeons, family practitioners, dermatologists and some other
specialties. Past accession programs failed to attract enough
medical practitioners and linguists so the department decided
to focus on foreign nationals. Since there are tens of
thousands of health professionals in the United States on a
work visa who would be very interested in achieving green card
status or, ultimately, citizenship, he pilot program was
initiated. It provides successful applicants with a way to
accelerate achievement of U.S. citizenship with the proviso
that "they're willing to serve in our time of need to fulfill a
vital national interest." Applicants are required to commit to
specified periods of military service. Applicants also will
undergo security screenings and meet the same high standards
required for every other person entering the military
today.
[Source:
AFPS Gerry J. Gilmore article 5 Dec 08 & http://www.defenselink.mil/news/MAVNI-Fact-Sheet.pdf ++]
TSGLI UPDATE
02:
Traumatic
Servicemembers? Group Life Insurance (TSGLI) is a
congressionally mandated program that applies to members of all
branches of service and all components ? active, Guard or
Reserve, who incur a traumatic, physical injury based on an
external force of violence. More servicemembers may now qualify
for TSGLI, because of newly expanded benefits resulting from a
recent review by the Department of Veterans Affairs. TSGLI
provides tax-free payments between $25,000 and $100,000 per
traumatic event, which can be used to help with unseen expenses
or provide a financial start on life after recovery. The TSGLI
program began 1 DEC 05, as a non-option selection attached to
Servicemembers? Group Life Insurance (SGLI). All servicemembers
from that point forward who elected SGLI benefits pay $1
towards this coverage each month. Servicemembers who incurred a
qualifying traumatic injury from 7 OCT 01, through 30 NOV 05,
while on orders outside the United States in support of
Operation Iraqi Freedom and Operation Enduring Freedom, or
serving in a Combat Zone Tax Exclusion area, are now also
covered by TSGLI, regardless of whether they elected SGLI
coverage or not.
Expansion
of Covered Losses effective on 26 NOV 08
includes:
- Loss
of Sight - Loss of Sight lasting 120 days or more is
considered as "permanent?, qualifying the service member
for the same payment rate as for permanent loss of sight
($100,000 for both eyes, $50,000 for one
eye).
- Uniplegia - Uniplegia (complete and total
paralysis of one limb) has been added to the schedule of
losses with payment at $50,000.
- Amputation of the Hand - The definition
of amputation of the hand has been expanded to include loss
of four fingers (on the same hand) or loss of thumb, with
payment remaining at $50,000 for one affected hand and
$100,000 for both hands.
- Amputation of the Foot - The definition
of amputation of the foot has been expanded to include loss
of all toes, with the payment remaining at $50,000 for one
affected foot and $100,000 for both
feet.
- Loss
of Four Toes - A new category has been created for loss of
four toes (on the same foot and not including the big toe)
with payment at $25,000 for one affected foot and $50,000
for both feet.
- Loss
of Big Toe - A new category has been created for the loss
of the big toe, with payment at $25,000 for one affected
foot and $50,000 for both feet.
- Limb
Salvage - Coverage has been expanded to include limb
salvage (multiple surgeries intended to save a limb rather
than amputate) with payment equivalent to
amputation.
- Burns - The burn standard, currently 3rd
degree (full thickness) burns to at least 30% of face or
body, has been expanded to include 2nd degree (partial
thickness) burns to at least 20% of the face or
body.
- Hospitalization as a Proxy for ADL Loss -
Continuous 15-day inpatient hospital care is deemed a proxy
for the first ADL eligibility period for OTI (Other
Traumatic Injury) and TBI (Traumatic Brain Injury)
claims.
- Facial Reconstruction - Facial
Reconstruction, required as a result of traumatic avulsion
of the face or jaw that causes discontinuity defects, has
been added to the schedule of losses, with payment levels
of $25,000 to $75,000, depending upon the severity of the
injury.
Servicemembers that have already submitted a
claim in the past do not need to resubmit. The VA and TSGLI
offices for each service will conduct a reachback of previously
denied claims to see if they qualify for payment under the new
guidance. Notifications will be sent to servicemembers if an
additional award is due. To expedite the process, service
members or veterans who believe they could qualify under the
new program changes should contact their branch of service
TSGLI office to ensure that:
- Their previous claim is being reviewed
for a new eligibility determination.
- All
the required information is of record;
and
- Their current contact and banking
information is up to date.
For
more information, refer to: http://www.vfw.org/index.cfm?fa=news.newsDtl&did=4849.
[Source:
VFW Washington Weekly 5 Dec 08 ++]
VA SECRETARY ANNUAL
REPORT: The VA Secretary has
forwarded his annual Performance and Accountability Report to
the President/Congress on VA's self-assessment of their
progress towards meeting its performance goals. In 2008, with
approximately $97 billion in obligations and approximately
250,000 employees, VA achieved numerous accomplishments that
helped improve the quality of life for America?s veterans and
their families.
Major
accomplishments are summarized below
1.
Medical Services: Workload has increased significantly
over the past 8 years, rising from 3.8 million unique patients
in 2000 to more than 5.5 million in 2008. In 2008, VA achieved
the following key results to help meet the needs of
veterans:
- Patient Access: In 2006, 94% of primary
care appointments were scheduled within 30 days of the
patient?s desired appointment date vs. 98.7% in
2008.
- Quality of Health Care: VA attained
scores of 84% and 88% for the Clinical Practice Guidelines
and Prevention Index, respectively. These indices are
nationally recognized industry standards used to measure
quality of health care.
- Rural Health: In rural areas where it is
not feasible to establish a medical center or outpatient
center, VA established the Rural Mobile Health Care Clinics
pilot project to improve access to primary care and mental
health services. The project has outfitted four new mobile
health clinics to serve veterans in 24 predominately rural
counties throughout Colorado, Nebraska, Wyoming, Maine,
Washington, and West Virginia.
- Suicide Hotline and Suicide Prevention:
Suicide is the 11th most frequent cause of death in
America. Vet Centers and VA Medical Centers are ready to
help veterans at risk for suicide. VA continued to operate
a national suicide prevention hotline to provide veterans
in emotional crisis with free, 24/7 access to trained
counselors. To operate the hotline, VA partners with the
U.S. Department of Health and Human Services? Substance
Abuse and Mental Health Services
Administration.
- Traumatic Brain Injury: VA has developed
innovative treatment for combat veterans returning from
Iraq and Afghanistan. Recent developments include
developing a mandatory TBI training course for all VA
health care professionals and instituting a program to
screen all patients who served in the OEF/OIF combat
theaters for TBI.
- AW2
Advocates: In 2006, VA began hosting Army Wounded Warrior
(AW2) Advocates at key VA medical centers. Advocates work
closely with Network Polytrauma Sites and OEF/OIF Teams to
provide transition assistance and community support to
injured/ill soldiers, veterans, and their families. By 31
DEC 08 AW2 Advocates will be in place at 59 VA medical
centers.
- Call
Center: In MAY 08, VA began contacting nearly 570,000
recent combat veterans to inform them of VA?s medical
services and other benefits. In the first phase, calls were
made to approximately 15,500 veterans who were sick or
injured while serving in Iraq or Afghanistan. VA offered to
appoint a case manager to ensure that they receive
appropriate care and know about their VA benefits. The
second phase launched in June is targeting 550,000 OEF/OIF
discharged veterans who had not contacted VA for
services.
- VA
Nursing Academy: VA?s Nursing Academy established six new
partnerships with the country?s leading nursing schools.
Through these partnerships, VA has increased the number of
nursing students coming to VA facilities for clinical
experiences and the number of baccalaureate degree nursing
graduates who are making VA their first choice of
employment after graduation.
2.
Benefits: VA is providing compensation and pension benefits to
nearly 3.8 million veterans and beneficiaries. In 2008, VA
processed more than 899,800 claims for disability benefits.
Despite greater workload, VA achieved a number of significant
positive performance results in the benefits delivery
area:
- Increasing Workforce: Hired nearly 2,000
additional employees to process compensation and pension
claims to reduce the backlog and improve claims processing
timeliness.
- Benefits Adjustments: Adjusted
compensation benefits for more than 37,000 veterans
entitled to CRSC & CRDP Pay.
- Seamless Transition: Received more than
47,000 pre-discharge claims in 2008 through its Benefits
Delivery at Discharge (BDD) program and the newly
introduced Quick Start program. Servicemembers who are
within 60-180 days of discharge and who are available for
examination prior to discharge can participate in the BDD
program. Since VA rates disabilities while the
servicemembers are still in military service, the BDD
allows disability benefits to be awarded very soon after
discharge. The Quick Start program was introduced so that
servicemembers with fewer than 60 days to discharge or who
do not meet the BDD criterion requiring availability for
all examinations prior to discharge can submit a claim
prior to discharge. In August, VA began processing all BDD
claims in a paperless environment.
- Quality: Increased to 92% the national
accuracy rate for authorization work for pension claims,
compared to 91% in 2007.
- Timeliness:
Processed insurance disbursements in an average of 1.6
workdays ? significantly better than the industry average
of 5.7 workdays.
- Education: Provided education benefits to
approximately 539,000 students of which 20% of these
received VA education benefits for the first time. The
number of students receiving education benefits continues
to climb, with claims increasing 10% over the 2007 level to
approximately 1.6 million in 2008.
3.
Cemeteries: VA honors the service and sacrifices of America?s
veterans through the construction and maintenance of national
cemeteries as national shrines. In 2008, VA maintained more
than 2.9 million gravesites at 158 properties, including 125
national cemeteries and 33 other cemeterial installations. In
this context, the Department accomplished the
following:
- Cemetery openings: VA funded four new
State veterans cemeteries in Glennville GA; Anderson SC;
Des Moines IA; and Williamstown KY, VA increasing to 84.2%
the proportion of veterans served by a burial option within
a reasonable distance (75 miles) of their residence -- up
from 83.4% in 2007. Continued progress in establishing six
new national cemeteries to serve veterans in the areas of
Bakersfield CA; Birmingham AL; Columbia SC; Jacksonville
& Sarasota FL; and Philadelphia PA as part of the
Department?s largest expansion of its system of national
cemeteries since the Civil War era. These cemeteries are
expected to begin operations in 2009 and will provide
service to about 1 million veterans.
- Timeliness: Achieved a 93% threshold of
the proportion of graves in national cemeteries marked
within 60 days of interment, a compared to the 49% level of
2002.
- Quality: Ninety-eight percent of survey
respondents rated national cemetery appearance as
"excellent."
The
report highlights additional accomplishments in the areas of
OEF/OIF, Advisory Committee on Gulf War Veterans, VA/DoD
Collaboration, Finance, Data Quality Data, and Security. To
review the Secretary?s letter and the report itself refer to
www.va.gov/budget/report/2008/SecLetter.pdf
& www.va.gov/budget/report/2008/index.htm
.
[Source:
NAUS Weekly Update 5 Dec 08 ++]
TRAUMATIC BRAIN INJURY UPDATE
05:
The
National Guard is developing a method to track soldiers who
have been exposed to blasts in Iraq or Afghanistan. The effort
will allow soldiers who might develop problems years later to
show how many times they were in the vicinity of a mortar round
explosion, improvised explosive device detonation or other
blast. "A lot of soldiers don't show symptoms right away," said
Lt. Col. Maureen Weigl, project officer for the Army Guard
program. However, she said, if they show symptoms down the
road, there has not been a way to link them to exposure to
blasts during their service in the war zones. "Documenting this
information ensures quality of care if they develop symptoms,"
she said. "Having the documentation available to providers will
give them the opportunity to treat the issues." Weigl said she
was asked by Lt. Gen. Clyde Vaughn, Army Guard director, to
visit Iraq and review the current method of recording soldiers
who are exposed to a blast. If nothing was available, something
was to be created. The database simply records the names of all
personnel in the vicinity of a blast, even if they are not
injured, and how close they were. Weigl said inclusion in the
database should not be interpreted to suggest something is
wrong with the soldier. "It merely just links you to a
significant activity," she said. The new system debuted in OCT
098 and is now being briefed to surgeons and sergeant majors.
It is possible the data included will help with the future
research of traumatic brain injuries and their treatment. For
the service member, it could help prove that problems suffered
years later are related to his or her service, which could
result in VA benefits that otherwise would go
unclaimed.
[Source:
NGAUS Notes 5 Dec 08 ++]
VA
BENEFITS:
Too many
veterans are unaware of the benefits and services that are
available to them. Many of those veterans have health issues
and need medical care. Others may be eligible for benefits, but
they don't know how to go about getting them. The sad fact is,
there are millions of veterans who have little, or no, medical
insurance and are paying for care that our Department of
Veterans Affairs should be offering them for little or no cost.
There are veterans in America today that are suffering from
illnesses directly related to their service who are not aware
there is help out there. Needless to say, this is a national
disgrace. The VA has established a listing of ?presumptive
illnesses or disabilities? that provide a direct link to where
and when a veteran served. The problem is getting that word
out. For example, the majority of ?in-country? Vietnam veterans
who have survived prostate cancer, or have died, had no clue
that it was related to their service. The reasons that
information like this doesn't get to veterans are as varied as
the cancers and other aliments that are now recognized by the
VA. The bottom line is, the VA is doing a crappy job of
informing veterans of their rights, even though they are
required to do so by law!
Veterans
dating back to World War II have been identified as being
higher risk groups for all forms of leukemia (with the
exception of chronic lymphocytic leukemia). Cancers of the
thyroid, breast, pharynx, esophagus, stomach, small intestine,
pancreas, bile ducts, gall bladder, salivary gland, urinary
tract, brain, bone, lung, colon and ovaries are recognized as
service-connected. Bronchiolo-alveola carcinoma, multiple
myelomas, lymphomas, and primary liver cancer (with the
exception of cirrhosis or hepatitis B is indicated) are also on
the list. Veterans who served in the Southwest Asia Theater of
Operations during the Gulf War have been showing signs of
medically unexplained chronic multi-symptom illnesses defined
by a cluster of signs or symptoms that have existed for six
months or more. The signs are chronic fatigue syndrome,
fibromyalgia, irritable bowel syndrome, and any undiagnosed
illness that the secretary of Veterans Affairs determines
warrants a presumptive of service connection. All of the
mentioned have at least a 10% rating. How many veterans are
aware that within one year of their release from active duty,
those chronic diseases (such as arthritis, diabetes, or
hypertension) can be linked to their time in the military? How
many veterans know that if they spent 90 days or more active
duty, and were diagnosed with amyotophic lateral sclerosis (ALS
-- Lou Gehrig's disease), they may have it because of time they
spent in the military?
When I
hear the old refrain from the VA that they do not have the
resources to inform our veterans of these options for treatment
and help, my blood boils. There is absolutely no reason that
the VA can't work more closely with the traditional media such
as television, radio, and newspapers to get this important
information out to the vast veteran population in our country.
In this new age, all avenues should be explored to get the word
out. The VA should work the Web to provide easy-access blogs
that give medical updates, and a more friendly service approach
than the traditional VA Web site which is like navigating
through a maze. I support the good things the VA does, such as
the recently implemented Veterans Suicide Hotline. For the
record, that hotline was in response to the orders of the
federal court to inform veterans of their options and to help
them regardless of where they were in the country. Without
information, veterans have no hope when they become ill and
wonder where to turn. Getting information to them is a matter
of life and death. Especially, if a veteran dies and his/her
family are left paying crushing private medical bills that
should have been handled by the VA.
Despite
talk of caring for veterans, the VA is not walking the walk
when it comes to informing them of their rights and medical
benefits. VA clinics nationally need to step up and have
handouts available (where they can be easily seen) for veterans
whose lives may depend upon the knowledge in them. By not
making more of an effort than it is to get this valuable
information out to all veterans, the VA is failing in its
mission to us. Men and women who have served their country
honorably are now being dishonored by this lack of attention to
something so vital. The theme of the 75th anniversary of the VA
was to outreach to every living veteran to inform them of what
services were available to them. Veterans are still waiting for
that grand claim to come true. Let's not make them wait another
75 years before action is actually taken. For further
information, contact the Humboldt County Veterans Service
office at 445-7341, the VA at 1-800-827-1000 or the VA's Web
page, www.vba.va.gov/VBA/benefits/factsheets/serviceconnected/Presumpeg_0307.doc.
[Source:
The Times Standard Carl Young "My Word" 4 Dec 08
++]
VA CLINIC OPENINGS UPDATE
11:
Veterans
will have easier access to health care under a Department of
Veterans Affairs (VA) plan to open 31 new outpatient clinics in
16 states. Secretary of Veterans Affairs Dr. James B. Peake
announced VA will establish new clinics in Alabama, Arkansas,
California, Florida, Georgia, Hawaii, Illinois, Iowa, Maryland,
Michigan, Minnesota, Mississippi, Missouri, North Carolina,
Pennsylvania and Vermont. With 153 hospitals and about 745
community-based clinics, VA operates the largest integrated
health care system in the country. VA's medical care budget of
more than $41 billion this year will provide health care to
about 5.8 million people during nearly 600,000 hospitalizations
and more than 62 million outpatient visits. "Community-based
medicine is better medicine," said Dr. Michael Kussman, VA's
Under Secretary for Health. "It makes preventative care easier
for patients, helps health care professionals have closer
relationships with their patients and permits easier follow-ups
for patients with chronic health problems." The community-based
outpatient clinics, or CBOCs, will become operational by late
2010, with some opening in 2009. Local VA officials will keep
communities and their veterans informed of milestones in the
creation of the new CBOCs.
VA's
Proposed Sites for New Outpatient Clinics
are:
- Alabama - Monroe County
(2010)
- Arkansas - Faulkner County (2010), Pope
County (2010)
- California - Lake County (2010), Oakhurst
(2010), Susanville (2010), Yuba County
(2010)
- Florida - Brandon (2010), Clermont
(2010)
- Georgia -- Blairsville
(2010)
- Hawaii - Leeward (Honolulu,
2010)
- Illinois - Carbondale (2009), Harrisburg
(2010), Sterling (2010)
- Iowa
-- Decorah (2010)
- Maryland - Fort Meade (2010), Montgomery
County (2010)
- Michigan - Bad Axe (2010), Cadillac
(2010), Cheboygan (2010), Grayling
(2010)
- Minnesota - Southern central border
(2010), Southwest metro area (exact locations to be
determined, 2010)
- Mississippi - Pike County
(2010)
- Missouri - Excelsior Springs (2009),
Sikeston (2009), Sedalia (2010)
- North Carolina - Edenton-Elizabeth City
(2010), Goldsboro (2010)
- Pennsylvania - Cranberry Township
(2009)
- Vermont - Brattleboro
(2010)
[Source:
VA News Release 4 Dec 08 ++]
MEDICARE ADVANTAGE PLANS UPDATE
03:
The
Centers for Medicare & Medicaid Services (CMS) has now
issued three successive sets of regulations on the commissions
that Medicare private health plans pay their agents. The
result: Major insurance companies will be paying $500 or more
for each new Medicare Advantage enrollee in 2009, followed by
five years of renewal commissions worth at least $250 per year.
That means about half the average annual overpayment a Medicare
Advantage plan receives per enrollee "the amount taxpayers pay
in excess of what it would cost to provide care under Original
Medicare" will be paid out to agents for each enrollment they
secure. In 2008, the excess payment per enrollee is estimated
at $986. In the past two years, it has topped $1,000. Taxpayers
are paying more in subsidies to insurance companies ($8.5
billion in 2008) so that insurance companies can pay agents
commissions to enroll more people with Medicare in private
plans that cost taxpayers more money. CMS' efforts to restrain
agent commissions and regulate marketing practices are akin to
trying to fix a broken pipe without first turning off the
water. It doesn?t work and you make a big
mess.
Next year
Congress needs to eliminate the excessive subsidies paid to
Medicare Advantage plans. President-elect Barack Obama has
already targeted these excess payments as waste that needs to
be cut. Congress and the new administration also need to decide
how much of the subsidies paid to insurance companies should go
to marketing and how much should go to medical care. One way to
address that question is to require companies to use a minimum
percentage of the subsidies they receive for medical benefits.
CMS can also set an overall cap on the amount that Medicare
Advantage plans spend on marketing. Plans that have a poor
record in improving health outcomes, for example, should not be
devoting taxpayer dollars toward enticing more people into
plans that provide lousy care. CMS needs to set minimum benefit
standards for plans, including mandating that all plans provide
a comprehensive out-of-pocket limit on medical expenses. Right
now, agents can earn more commission selling plans that do not
offer such protection, or that set a high limit and exclude key
services, than for selling plans with a low, comprehensive
out-of-pocket limit. That creates perverse incentives to sell
low-quality plans, even for agents who want to do the right
thing.
[Source:
Medicare Consumer Advocacy Update 4 Dec 08
++]
GRACE AFTER
FIRE:
Grace
After Fire is a resource solely for women veterans to support
their need to connect with each other and share yet remain
anonymous. These women can reach out to others who have
experienced the same concerns of re-entry, alcoholism, drug
addiction or prescription addiction due to chronic pain, Post
Traumatic Stress Disorder (PTSD), incidents of service time
rape, depression, unwarranted anger, or Traumatic Brain Injury
(TBI) due to war time trauma. Grace After Fire was created by
women for women veterans returning home from service. It will
be available in JAN 09. For more information, contact
1-877-490-5797 are visit their web site at http://www.graceafterfire.org. Grace
After Fire is a sister-program to The Woman's Heart, whose
mission is to provide innovative recovery support services
and healthcare resources for all women in recovery from
addiction, anywhere, anytime. For more information about The
Woman's Heart, refer their web site at http://www.thewomansheart.org/page.php?39.
[Source:
EANGUS Minuteman Update 4 Dec 08 ++]
MEDICAID
COPAY:
A new
federal rule gives states sweeping authority to charge premiums
and higher co-payments for doctors? services, hospital care and
prescription drugs provided to low-income people under
Medicaid. The rule, published 2 DEC in the Federal Register, is
expected to save money for the federal government and the
states. But public health experts and even some federal
officials predicted that many low-income people would delay or
forgo care because of the higher charges. Under the rule,
states can, in many cases, deny care or coverage to Medicaid
beneficiaries who do not pay their premiums or their share of
the cost for a particular item or service. Governors have
sought this kind of discretion for a long time, saying they
wanted Medicaid to look more like private health insurance.
Under the rule, the administration estimated, Medicaid
recipients will pay more than $1.3 billion in co-payments over
five years, and the federal government will save $1.4 billion,
while states will save $1.1 billion. The savings would result
not only from the collection of co-payments, but also from
reduced use of services. The co-payments will help Medicaid
recipients become "more educated and efficient health care
consumers," the administration said.
The
Congressional Budget Office has estimated that 13 million
low-income people, about a fifth of Medicaid recipients, will
face new or higher co-payments. Most of the savings result from
"decreased use of services," it said. The rule allows states to
establish a sliding scale for premiums and co-payments. The
total of these charges, for all members of a family, cannot
exceed 5% of the family's income. For Medicaid recipients with
incomes at or below the poverty level ($17,600 for a family of
three), can be charged co-payments up to $3.40 for a doctor's
visit or other service. The maximum amount will be updated each
year to reflect medical inflation. Medicaid recipients with
incomes from 100 to 150% of the poverty level ($17,600 to
$26,400 for a family of three), can generally be required to
pay up to 10% of what the state pays for a service; like a
doctor's visit. And for Medicaid recipients with incomes above
that level, states can generally charge co-payments up to20 %
of what they pay. For a $150 drug, the co-payment could be as
much as $30. Under the rule, states can use co-payments to
promote the use of preferred brand-name drugs and to discourage
the use of hospital emergency rooms for routine
care.
[Source:
The New York Times Robert Pear article 26 Nov 08
++]
VA CLAIMS BACKLOG UPDATE
20:
The New
York office of Veterans Affairs is among the slowest in the
nation to process new disability claims, with local veterans
languishing six months or longer in one of three cases. "It is
much higher than we would like," said Michael Walcoff, the VA's
deputy undersecretary of benefits. "It is something we have
been concerned about." Only the Detroit regional office, where
33.3% of claims take at least six months, processed claims
slower than New York as of Nov. 15, according to VA data. New
York, with 32.4%of claims taking that long, was tied with
Pittsburgh for the nation's second slowest processing center.
The national average is 21%. Walcoff said the agency is
addressing the backlog at its Manhattan office by hiring about
30 veterans service representatives over the past 18 months - a
16% staff increase. The VA became so concerned that employees
had misplaced key documents such as marriage certificates and
medical records that they offered amnesty to encourage their
return. Some 700 documents were recovered anonymously, Walcoff
said. The massive agency has already been pummeled by
accusations that employees have lost, misplaced or shredded
documents across the country. Three weeks ago, the agency
decided to allow veterans who submitted claims between 14 APR
07, and 14 OCT 08 of this year to reopen claims in cases where
they believe the agency had lost their
documents.
Those
dates correspond with a period in which VA inspectors found
evidence that claims-related documents were being improperly
shredded. Claims refiled by 17 NOV 09, would receive benefits
that correspond to the original filing date. The irregularities
in the New York office are only the latest in a string of
embarrassing revelations about an agency that is expected to
see a large increase in claims, as more than 1.6 million
personnel who have served in Iraq and Afghanistan continue
leaving the military. The VA ousted its New York regional
director in October after a summerlong investigation found
employees were affixing phony dates to claims to make it appear
they were being processed on time.
Investigators also turned up large quantities
of unprocessed mail. Last month, two national veterans groups
sued to force the VA to handle claims within 90 days, saying
vets with physical or psychological troubles often don't get
services for a year or more. "Once the paperwork is filed, the
individual just waits and waits," said Francisco Muñiz III, an
officer with the Nassau County chapter of Vietnam Veterans of
America, one plaintiff. "For someone who has lost a limb or is
disabled, these individuals have no recourse." Walcoff said he
could not be certain that documents have not been improperly
shredded at the New York office, which is responsible for the
claims of some 800,000 veterans living in eastern New York
State. But he said an October inspection did not show evidence
of shredding in New York, and that the dating scandal did not
reduce the retroactive benefits to which veterans were
entitled.
[Source:
Newsday.com Martin C. Evans article 4 Dec 08
++]
MILITARY HISTORY
ANNIVERSARIES:
Significant December Events in Military
History are:
- 1775
- The first official American flag (not the Stars and
Stripes) was raised for the first time over the Navy
flagship Alfred.
- 1778
- British troops under COL Archibald Campbell occupied
Savannah GA (American Revolution).
- 1812
- The US frigate Constitution defeats the British frigate
Java (War of 1812).
- 1814
- Treaty of Ghent (Belgium) signed, ending the War of 1812
between the United States and England.
- 1846
- American troops occupied Ciudad Victoria in northeastern
Mexico (Mexican War).
- 1860
- South Carolina secedes from the Union and South Carolina
troops seize the Federal arsenal in Charleston (Civil
War).
- 1898
- The Treaty of Paris was signed by American and Spanish
representatives, ending the Spanish-American
War.
- 1921
- The first helium-filled balloon, a U.S. Navy dirigible,
flew from Hampton Roads, VA to Washington,
D.C.
- 1941
- Japanese attack Pearl Harbor. The United States declared
war on Germany, Japan and Italy (World War
II).
- 1944
- Battle of the Bulge began (World War II). 1946 - The
official end of World War II.
- 1972
- The Paris Peace talks temporarily fail and President
Nixon orders a resumption of full-scale bombing of targets
in North Vietnam (Vietnam War).
- 1989
- Operation Just Cause, the invasion of Panama,
begins.
- 1991
- The USSR went out of existence after 74
years.
- 1992
- Operation Restore Hope. America's intervention in Somalia
began.
[Source:
VetJobs Veteran Eagle Dec 08 ++]
BURN PIT TOXIC EMISSIONS UPDATE
03:
A Georgia
man has filed a class-action lawsuit against KBR and
Halliburton, saying the contractors exposed everyone at Joint
Base Balad in Iraq to unsafe water, food and hazardous fumes
from the burn pit there. Joshua Eller, who worked as a civilian
computer-aided drafting technician with the 332nd Air
Expeditionary Wing, said military personnel, contractors and
third-country nationals may have been sickened by contamination
at the largest U.S. installation in Iraq, home to more than
30,000 service members, Defense Department civilians and
contractor personnel. "Defendants promised the United States
government that they would supply safe water for hygienic and
recreational uses, safe food supplies and properly operate base
incinerators to dispose of medical waste safely," according to
the lawsuit, filed 26 NOV in U.S. District Court for the
Southern District of Texas. "Defendants utterly failed to
perform their promised duties." Eller filed his claim after he
deployed in FEB 06 for 10 months.
The
lawsuit:
States
Eller developed skin lesions that subsequently spread, filled
with fluid and burst. He said they went away, then reappeared,
followed by blisters on his feet that made it painful for him
to walk. He said they healed, but continue to return every
three to four months. Then, Eller said he experienced vomiting,
cramping and diarrhea, and continues to suffer severe abdominal
pain. "Plaintiff witnessed the open air burn pit in operation
at Balad Air Force Base." States on one occasion, Eller
witnessed a wild dog running around base with a human arm in
its mouth. The human arm had been dumped on the open air burn
pit by KBR. He said he still has nightmares and has been
diagnosed with adjustment disorder. States that KBR was
required to comply with military standards for clean water, and
monitor it.
Eller
accused KBR of not performing water quality tests and of not
properly treating or chlorinating water, and said an audit by
the Defense Department backs up his claim. A report from Wil
Granger, KBR?s water quality manager for Iraq, states that
non-potable water used for showering was not disinfected. This
caused an unknown population to be exposed to potentially
harmful water for an undetermined amount of time, according to
the report. The report also stated the problems occurred all
across Iraq and were not confined to Balad.
Claims
there was no formalized training for KBR employees in proper
water operations, and the company maintained insufficient
documentation about water safety. The suit notes that former
KBR employees Ben Carter and Ken May testified at a
congressional hearing in JAN 06 that KBR used contaminated
water from the Euphrates and Tigris rivers. Carter testified
that he found the water polluted with sewage and that KBR did
not chlorinate it. The lawsuit states the swimming pools at
Balad were also filled with unsafe water.
Claims
KBR served spoiled, expired and rotten food to the troops, as
well as dishes that may have been contaminated with shrapnel
"Defendants knowingly and intentionally supplied and served
food that was well past its expiration date, in some cases over
a year past its expiration date. Even when it was called to the
attention of the KBR food service managers that the food was
expired, KBR still served the food to U.S. forces." The food
included chicken, beef, fish, eggs and dairy products, which
caused cases of salmonella poisoning.
Claims
KBR prevented their employees from speaking with government
auditors and hid employees from auditors by moving them from
bases when an audit was scheduled. Any employees that spoke
with auditors were sent to more dangerous locations in Iraq as
punishment.
Accuses
KBR of shipping ice in mortuary trucks that "still had traces
of body fluids and putrefied remains in them when they were
loaded with ice. This ice was served to U.S.
forces."
Accuses
KBR of failing to maintain a medical incinerator at Joint Base
Balad, which has been confirmed by two surgeons in interviews
with Military Times about the Balad burn pit. Instead,
according to the lawsuit and the physicians, medical waste,
such as needles, amputated body parts and bloody bandages were
burned in the open-air pit. "Wild dogs in the area raided the
burn pit and carried off human remains. The wild dogs could be
seen roaming the base with body parts in their mouths, to the
great distress of the U.S. forces." According to military
regulations, medical waste must be burned in an incinerator to
prevent anyone from breathing hazardous
fumes.
"On at
least one occasion, defendants were attempting to improperly
dispose of medical waste at an open-air burn pit by backing a
truck full of medical waste up to the pit and emptying the
contents onto the fire," the lawsuit states. The truck caught
fire. Defendants" fraudulent actions were thereby discovered by
the military."
Claims
the contractors burned old lithium batteries in the pits,
"causing noxious and unsafe blue smoke to drift over the
base."
Military
Times has received more than 100 letters from troops saying
they were sickened by fumes from the burn pits, which burned
plastics, petroleum products, rubber, dining-facility waste and
batteries. The lawsuit asks that the plaintiffs receive
monetary compensation for physical injuries, emotional
distress, fear of future disease, and need for continued
medical treatment and involvement, and that KBR and Halliburton
be stripped of all revenue and profits earned ?from their
pattern of constant misconduct and callous disregard to the
welfare of Americans serving and working in
Iraq.
Werner
Ayers, LLP, of Houston, and Burk O'Neil LLC of Washington,
D.C., are representing Eller. They are seeking to have the suit
declared a class action.
[Source:
NavyTimes Kelly Kennedy article 3 Dec 08 ++]
HELOC
FRAUD:
Have you
checked your home equity line of credit lately? If not, you
probably should. Even if you've never used a home equity line
of credit (HELOC), it's a good idea to check your three credit
reports (Equifax, Experian and TransUnion) to make sure
identity thieves haven't opened one in your name. According to
the FBI, canny con artists are increasingly draining the equity
of unsuspecting homeowners by tapping into their home equity
lines of credit. The more equity you have in your home, and the
less vigilant you are about monitoring your finances, the
greater the risk that thieves could drain the equity from your
home -- or worse, sell it out from under you. In its annual
mortgage fraud report, the FBI identified HELOC fraud as an
"emerging scheme" that adds further insult to an already
injured real estate and mortgage market. The report calls the
current housing bust the "ideal climate" for HELOC fraud and
other fast-buck mortgage schemes associated with builder
bailouts, seller-assisted financing, short sales and
foreclosure rescue. Identity thieves have traditionally
targeted those with poor credit. In the past, by posing as
homeowners, they could easily obtain subprime loans with little
documentation. But now that the door to subprime lending has
slammed shut, thieves have set their sights on those with good
credit and substantial equity in their homes -- deep pools of
cash that can be easily tapped via a HELOC.
The FBI
says HELOC thieves typically use stolen identification to apply
online for a line of credit in your name. Then they instruct
the bank to wire the funds to their accounts, providing their
own contact information in place of yours. That way, the bank
unwittingly contacts the thief to verify the electronic funds
transfer. Although the FBI does not track the dollar amount
lost each year to mortgage fraud, incidents reported by
financial institutions jumped a whopping 31% (from 35,617 to
46,717) in fiscal 2007, over the previous year. Jay Foley,
executive director of the San Diego-based Identity Theft
Resource Center, echoes the FBI's findings that some HELOC
fraud, especially schemes aimed at selling the home without the
homeowner's knowledge or consent, originates from within the
mortgage industry itself. "It depends on the depth of the
scam," he says. "In the recent mortgage bust by the FBI, these
are all people who actually work in the industry; this is what
I could classify as an inside job. An outsider would have to
find a less-than-scrupulous Realtor, a less-than-scrupulous
mortgage broker, and probably have to come up with somebody to
do the inspections and all the other things."
Now that
anti-fraud software has shored up credit card accounts, HELOCs
have become the next tempting target for theft. Thieves gain
access to your home equity pool either through an existing
HELOC or by opening one in your name at the bank of their
choice. Ironically, you may have more trouble opening a HELOC
than identity thieves, who can manipulate the loan documents to
suit their purposes. Once accessed, a line of credit can be
tapped as easily and directly as a debit card account. And
don't expect the thief to stay under the limit on your account.
"The HELOC thief won't stop at your line of credit; they'll go
into overdraft big time, and each one of those overdrafts is
going to bean you for a few dozen dollars and launch your
interest rate sky-high," Foley says.
Foley
says seniors may be particularly at risk of HELOC fraud for
four reasons:
- They
often own their home outright (translation: 100 percent
equity).
- They
may not be as vigilant of their
finances.
- They
may not be living in their home.
- They
may be more trusting and forthcoming with personal
information when approached by a friendly official-sounding
caller.
"If your
place is worth $300,000, I'm sure I could tempt a bank into
loaning me $100,000 against it without any problem," Foley
says. In extreme cases, con artists could even sell your home
out from under you. Here's how: One poses as the buyer, obtains
a mortgage to purchase your home from a partner posing as you,
the seller. Upon closing, they split the mortgage money and
disappear. Victims of HELOC theft and mortgage-jacking
typically are reimbursed by the lender when fraud is proven.
However, the process can be lengthy, and often the identity
theft doesn't stop there. While you can arrange for credit
monitoring from the three credit bureaus and various vendors,
it's often too little, too late, Foley says. "Between the time
that line of credit is opened and you get the notice that it's
open, it is entirely possible that that entire line of credit
would be spent," he says. For additional assurance freeze your
credit with each of the three credit reporting bureaus. This
prevents them from releasing your credit report for anything
(credit cards, auto loans, HELOCs, etc.) until you "thaw" your
credit, thereby stopping mortgage fraud at its source. It's a
somewhat lengthy process but can be well worth it if you have
no plans to obtain credit in the near future.
[Source:
Consumer Affairs Jay MacDonald article 14 Nov 08
++]
GA VET HOME
CLOSURE:
On 1 AUG
08 Gov. Sonny Perdue sent a memo to the state Department of
Veterans Services, which operated the Georgia War Veterans Home
domiciliary. It ordered the agency to devise plans to cut
expenditures by 6, 8 and 10% for the rest of this fiscal year
and the next. The department took a "real, real hard look" at
its domiciliary care there, said Len Glass, the department's
assistant commissioner for administration. The program, he
said, cost the state $2.7 million annually. By cutting it for
the rest of this fiscal year (ending 30 JUN 09) the department
would deduct $1.7 million from its $25 million budget. It would
represent more than a 10% reduction for the next fiscal year,
he said. Officials also looked at other numbers. The 81
residents, Glass said, represented far less than 1% of the
state's total veteran population, estimated at 760,000. In late
August, Glass came to the domiciliary and delivered the news:
The men, who'd fought in World War II, Korea and Vietnam, had
to find a new home by 30 NOV 08. The domiciliary located a
couple of miles south of downtown occupied two floors of the
X-shaped Pete Wheeler Building. Its foyer was a reminder that
residents earned the right to be there. Glass display cases
contained Nazi uniforms, medals and other paraphernalia that
returning servicemen brought back to Georgia after World War
II. Its walls featured patriotic signs, paintings and news
clippings from decades ago. Residents had to be war veterans
who had a medical problem but did not require nursing care. The
domiciliary closing is proof that few programs are safe from
state budget cuts in this cramped economy.
[Source:
The Atlanta Journal-Constitution Mark Davis article 30 Nov 08
++]
BURN PIT TOXIC EMISSIONS UPDATE
02:
Sen.
Daniel Akaka (D-HI), chairman of the Senate Veterans' Affairs
Committee, has asked that the co-chairs of the Defense
Department and Veterans Affairs Oversight Committee begin a
review of environmental toxins " including those coming from
burn pits " at bases in Iraq and Afghanistan. "Reports of
possible exposure to smoke from burn pits in Iraq and
Afghanistan have come to the committee's attention," Akaka
wrote in a letter dated 1 DEC. "Concerns about such exposure
would appear to be an ideal opportunity for focused efforts to
track the location of service members in relation to the
possible exposure sites." The letter was addressed to Gordon
England, deputy defense secretary, and Gordon Mansfield, deputy
VA secretary. "I would appreciate learning how DoD identifies
and monitors locations where possible exposure to smoke from
fire pits in Iraq and Afghanistan may have occurred, what steps
DoD is taking to identify those service members who may have
been exposed to such hazards, how information on exposures is
transmitted to VA, and what policies and procedures VA has in
place to ensure that relevant information is used to the
adjudication of potential disability claims," Akaka wrote. In
NOV, Sen. Russ Feingold (D-WI) asked Gen. David Petraeus for an
investigation into whether troops are being exposed to harmful
fumes from burn pits.
[Source:
AirForceTimes Kelly Kennedy article 1 Dec 08
++]
GULF WAR SYNDROME UPDATE
07:
The DVA
has sent the OCT 08 report from the VA Research Advisory
Committee on Gulf War Veterans' Illnesses to the National
Academy of Sciences' Institute of Medicine (IOM) for review and
recommendations. The October report from the advisory committee
identified potential causes for -- and asserted that research
supports the existence of -- a multi-symptom condition
resulting from service in the 1990 - 1991 Gulf War, which the
committee identified as Gulf War Illness (GWI). Because VA has
traditionally and by law relied upon IOM for independent and
credible reviews of the science behind these particular
veterans' health issues, Secretary of Veterans Affairs Dr.
James B. Peake has asked IOM to review the advisory committee's
report before VA officially responds to the report's
conclusions. "I appreciate the committee's work on this report,
and I am eager to see the results of further independent study
into their findings," Peake said. "Of course, VA will continue
to provide the care and benefits our Gulf War veterans have
earned through their service, as we have for more than a
decade." VA has long recognized conditions, granted benefits
and provided health care to Gulf War veterans suffering from a
broad range of symptoms, even though these conditions have not
been scientifically recognized as a specific disease or injury
or GWI. Ground combat in the 1991 Persian Gulf War lasted just
100 hours, but it's meant 17 years of pain and anguish for
hundreds of thousands of veterans.
Those who
came home and complained of symptoms such as memory loss and
joint pain are even sicker. As their lives unraveled and their
health further deteriorated, many were told their problems were
just in their head. The report noted a sad reality: Of the $340
million in government funds spent to research the topic, little
has focused on finding treatments. And, researchers said, the
estimated 175000-210000 Gulf veterans who are sick aren't
getting any better. Many of those veterans are left wondering
what's next for them. The panel, created by Congress, said at
least $60 million should be spent annually for research, but
some veterans question whether the money will be made available
during a time when the economy is struggling. The sad irony,
said John Schwertfager, a veterans advocate in Ohio, is that
many of the veterans who came home physically sick and were
told wrongly that they suffered from a mental condition. Now,
after years of chronic pain and personal, marital or
professional struggles, they're grappling with real mental
health problems. Paul Sullivan, a Gulf War veteran who helped
lead the fight on Capitol Hill to get help for the veterans,
said it wasn't very long after the war ended that more veterans
started complaining of symptoms such as fatigue, rashes,
respiratory problems, diarrhea, headaches, muscle and joint
pain, and nausea. When veterans wrote members of Congress, the
lawmakers typically responded by contacting Pentagon officials
who in turn wrote back saying there were no reports of chemical
exposure, Sullivan said. "They didn't tell Congress that they
weren't looking," Sullivan said.
Cost was
a factor. A 100% disabled veteran today is entitled to about
$30,000 annually, which could easily mean more than $1 million
in payments to veterans who live decades longer. Compounding
the problem was the complexity of the symptoms and uncertainty
over the causes. Were they caused by combat stress?
Was it vaccinations? Was it pills given to protect
soldiers from nerve agents? Was it exposure to oil well
fires or chemical weapons? Or a combination of
factors? Meanwhile, veterans like Jim Bunker, 49, an Army
captain in the war who is today president of the National Gulf
War Veterans Research Center in Kansas City, Kan., recalled
getting the wrong type of treatment at the VA. "They were like
it's all psychological, it's all in your head, here are some
antidepressants," said Bunker, who has severe headaches and has
trouble walking, among other problems. Since those early years,
independent scientists have determined that the symptoms of the
veterans do not constitute a single syndrome. They have pointed
to pesticide, used to control insects, and pyridostigmine
bromide pills, given to protect troops from nerve agents, as
probable culprits for some of the symptoms. In 2001, after a
government study determined that those who served in the Gulf
War were nearly twice as likely to develop Lou Gehrig's disease
as other military personnel, the VA said it would immediately
offer disability and survivor benefits to veterans with the
disease who fought in the war. The veterans scored a
legislative victory in 1998 with the passage of legislation
that created the advisory panel that made the recent
recommendations. In 2004, acting on its recommendations,
then-VA Secretary Anthony Principi said that the agency would
no longer pay for studies that seek to show stress is the
primary cause. It's not immediately clear whether Peake will
act on the most recent recommendations. Most likely, it will be
up to the incoming administration of President-elect Barack
Obama and the new Congress to decide what to do
next.
[Source:
VA News Release & AP Kimberly Hefling articles 1 Dec 08
++]
VET JOBS UPDATE
07:
Helmets
to Hardhats is a national program that connects National Guard,
Reserve and transitioning active-duty military members with
quality career training and employment opportunities within the
construction industry. The program is administered by the
Center for Military Recruitment, Assessment, and Veterans
Employment and headquartered in Washington, D.C. It was
established as a nonprofit Section 501(c)(6) organization with
a funding structure set out under Section 302(c)(9) of the
Taft-Hartley Act for purposes provided for under Section 6(b)
of the Labor-Management Cooperation Act. Direction for
management of the center comes from a board of trustees
comprised of equal numbers of employer and labor trustees. The
program places quality men and women from the Armed Forces into
promising building and construction careers. Eligibility varies
based on the standards set by each individual career provider.
In most cases, you must be at least 18 years of age, have an
honorable discharge, have a high school diploma or equivalent,
pass a drug test, conduct an interview and be physically fit to
perform work. There are no upper age restrictions for
applicants. Many employers list other types of careers for
their construction company such as administrative, engineering
and management positions. Interested personnel are encouraged
to register at http://recruiter.helmetstohardhats.org.
After completing the registration, you will be contacted by
a Helmet to Hardhat representative concerning your
request.
Most
candidates will enter an apprenticeship program where they
learn a trade through on-the-job training supplemented by
classroom instruction at state-of-the-art training facilities.
Typically, there is no charge for the training and you will be
paid for the time you are working. The pay you receive from an
employer can be supplemented by education benefits under the
G.I. Bill, adding hundreds more dollars each month to your take
home pay. An apprentice's pay increases periodically over the
course of the job, and as the apprentice becomes more skilled.
Many apprenticeship programs have arrangements allowing
individuals to obtain college credit for classroom work. Upon
graduation, you will become a journeyman -- a craftsperson
recognized for his or her knowledge and ability in the selected
trade. In some cases your military experience can give you
credit towards journeyman status and allow you to enter an
apprenticeship program at an advanced level or be classified as
a journeyman immediately. Benefits of joining a certified
apprenticeship program are:
- High
pay, great medical insurance and some of the best pension
plans in the nation.
- High
quality training at well-resourced training centers that
are recognized by Regional Education Certifying Councils
and Boards.
- Use
your Montgomery GI Bill or other veteran educational
benefits.
- Earn
while you learn. Receive on the job training and get top
notch classroom instruction.
[Source:
http://www.helmetstohardhats.org Dec 08
++]
DOD PDBR UPDATE
04:
Following
are answers to frequently asked questions regarding the
Physical Disability Board of Review (PDBR) policy and review
procedures:
A PDBR
review is made by the military services, upon request, to
review certain separations for medical conditions where the
rating was 20% or less and the member did not otherwise retire.
The review will evaluate whether, under the applicable guidance
in effect at the time, the rating awarded was fair and
accurate.
- The
rating of members as described above who were separated
from service between 11 SEP 01 and 31 DEC 09 can request
this review.
- The
former service member, surviving spouse, next of kin or
legal representative may request this
review.
- At
the present time, no time limit or cutoff date established
for this review.
- Applications should be submitted to the
Central Intake and Tracking Unit (CITU) located at Randolph
AFB, TX on a form, DD Form 294, Application for Review of
Physical Disability Separation from the Armed Forces of the
United States (currently pending approval), or computer-
generated equivalent.
- The
applications may be mailed to :SAF/MRBR, 550-C Street West,
Suite 41 Randolph AFB, TX 78150-4743. Due to the need for
an original signature, applications may not, as of this
date, be submitted electronically.
- Assuming the request to use this form
before final OMB approval is granted, applications forms
should be available for down load on or about 1 DEC.
Applications will be accepted immediately
thereafter.
- DoD
has designated the Air Force as lead component for
implementing the PDBR process. As such, the AF has overall
responsibility for case tracking and reporting, although
the actual case evaluation and adjudication is done in a
joint adjudication unit with all Services (and components)
represented. The Under Secretary of Defense for Personnel
and Readiness retains overall responsibility for program
implementation.
- An
applicant may submit with the application statements,
briefs, medical records, or affidavits in support of their
application. Unless requested by the intake unit, the
applicant does not need to send medical records that are
already included among his or her service medical documents
or the medical separation paperwork (informal board, formal
board and appeal files and results).
- Under special circumstances, the PDBR can
initiate a review but if this occurs, the PDBR will contact
the former member, explain why the board believes a review
is appropriate and ask for his/her consent. If consent is
not given, there will be no review. If you do not consent
to a board initiated review and then later change your mind
you may subsequently request a board
review.
- You
cannot appear in person. The PDBR is a document review only
with no provision for a personal
appearance.
- Since this is an entirely new process, it
is not possible to come up with an estimate at this time of
how long a review will take.
- Access to DVA medical records is
necessary for this review. Part of the review process is to
consider the rating the DVA awarded the applicant for the
unfitting condition(s) with particular attention to those
awarded within 12 months of separation. If the applicant
does not consent to a release of DVA records, the service
disability rating will be reviewed for fairness and
accuracy but the comparison to the DVA rating will not be
accomplished.
- Only
individuals with a need to know will have access to
information from the applicant's service and medical
records. The case evaluation and consideration (so-called
adjudication) will take place in a joint (all services and
components represented) central adjudication unit in
Crystal City, VA created especially to perform this
mission.
- The
PDBR cannot lower a service disability rating. By law, the
PDBR makes a recommendation to the applicant?s Service
Secretary who makes the final decision. This responsibility
may be delegated to, but to no lower than, the Directors of
the Review Boards Agencies (Army and Air Force) and for the
Navy, the Assistant Secretary of the Navy (Manpower and
Reserve Affairs) or the Associate Counsel. These
individuals are career members of the senior executive
service (civilian general officer
equivalents).
- The
Central Intake and Tracking Unit (CITU) will notify the
applicant of the final decision and the consequences if the
rating is changed including the effect upon benefits. If
the rating is changed, that unit will also notify the
applicant's Service BCMR/BCNR who will be responsible for
correcting the military records. The VA will also be
notified where appropriate.
- The
final letter to the applicant will provide a rationale for
the decision.
- The
military records will be corrected effective the date of
the Secretary?s decision (not retroactive). It should be
noted, Board for Correction of Military (or Naval) Records
(BCMR/BCNR) corrections are effective as of the date of the
original action (here medical separation). This means that
benefits arising from a PDBR will be prospective only
whereas a BCMR/BCNR correction would give benefits
retroactively.
- By
law, the decision of the Secretary (or designee) is final.
There are no provisions for appeal or reconsideration by
the PDBR. On the other hand, previously denied BCMR/BCNR
appeals may be reconsidered when relevant newly discovered
evidence (not previously available) is
presented.
- The
governing instruction for the PDBR process is DODI 6040.44
available at http://www.dtic.mil/whs/directives/corres/pdf/604044p.pdf.
Question
about processing procedures should be submitted in writing to
the intake unit at the SAF/MRBR, 550-C Street West, Suite 41
Randolph AFB, TX 78150-4743.
[Source:
DoD Military Health System News 3 Nov 08 ++]
VA 2009 COMPENSATION RATES
(DISABILITY):
This
benefit program evaluates disability resulting from all types
of diseases and injuries encountered as a result of military
service. The degree of disability as determined by VA
represents (as far as can practicably be determined) the
average loss in wages resulting from such diseases and injuries
and their complications in civil occupations. Generally, the
degrees of disability specified are also designed to compensate
for considerable loss of working time from exacerbations or
illnesses. By law, payment of VA compensation and military
disability severance pay for the same medical condition or
disability is prohibited. VA compensation will be withheld on a
monthly basis until the total amount of military severance pay
has been recovered.
As
required by the Veterans' Compensation Cost-of-Living
Adjustment Act of 2008 the DVA has given notice of adjustments
in certain benefit rates. These adjustments effective 1 DEC 08
for 2009 affect the compensation program as indicated
below:
Veteran
no dependents 10% $123 20% $243
30% thru
100% Without Children
- Veteran Alone $376 $541 $770 $974 $1,228
$1,427 $1,604 $2,673
- Veteran with Spouse Only $421 $601 $845
$1064 $1,333 $1,547 $1,739 $2,823
- Veteran with Spouse & One Parent $457
$649 $905 $1136 $1,417 $1,643 $1,847
$2,943
- Veteran with Spouse and Two Parents $493
$697 $965 $1208 $1,501 $1,739 $1,955
$3,063
- Veteran with One Parent $412 $589 $830
$1046 $1,312 $1,523 $1,712 $2,793
- Veteran with Two Parents $448 $637 $890
$1118 $1,312 $1,396 $1,619 $1,820 $2,913
- Additional for A/A
spouse (see footnote b) $40 $54 $68 $81 $95 $108 $122
$136
30% thru 100% With
Children
- Veteran with Spouse
& Child $453 $644 $899 $1129 $1,409 $1,634 $1,837
$2,932
- Veteran with Child Only $406 $581 $820
$1034 $1,298 $1,507 $1,694 $2,774
- Veteran with Spouse, One Parent and Child
$489 $692 $959 $1201 $1,493 $1,730 $1,945
$3,052
- Veteran with Spouse, Two Parents and
Child $525 $740 $1019 $1,273 $1,577 $1,826 $2,053
$3,172
- Veteran with One Parent and Child $442
$629 $880 $1106 $1,382 $1,603 $1,802
$2,894
- Veteran with Two Parents and Child $478
$677 $940 $1178 $1,466 $1,699 $1,910
$3,014
- Add for Each
Additional Child Under Age 18 $22 $30 $37 $45 $52 $60 $67
$75
- Each
Additional Schoolchild Over Age 18 (see footnote a) $72 $96
$120 $144 $168 $192 $216 $240
- Additional for A/A spouse (see footnote
b) $40 $54 $68 $81 $95 $108 $122 $136
-
FOOTNOTES:
a. Rates for each school child
are shown separately. They are not included with
any other compensation rates. All other entries on
this chart reflecting a rate for children show the
rate payable for children under 18 or helpless. To
find the amount payable to a 70% disabled veteran
with a spouse and four children, one of whom is
over 18 and attending school, take the 70% rate for
a veteran with a spouse and 3 children, $ 1,513,
and add the rate for one school child, $168. The
total amount payable is $1,681.
b. Where the veteran has a spouse
who is determined to require A/A, add the figure
shown as "additional for A/A spouse" to the amount
shown for the proper dependency code. For example,
veteran has A/A spouse and 2 minor children and is
70% disabled. Add $95, additional for A/A spouse,
to the rate for a 70% veteran with dependency code
12, $1,461. The total amount payable is $
1,556.
[Source: http://www.vba.va.gov/bln/21/rates/comp01.htm#BM01
Dec 08 ++]
VA DIC RATES
2009:
As required by the Veterans'
Compensation Cost-of-Living Adjustment Act of 2009
the DVA has given notice of adjustments in certain
benefit rates. These adjustments effective 1 DEC 08
affect the dependency and indemnity compensation
(DIC) programs as indicated
below:
Veteran's Death was on or After
January 1, 1993: $1154 per month.
Additional Allowances
are:
- a.
Add $246 if at the time of the veteran's death, the veteran
was in receipt of or entitled to receive compensation for a
service-connected disability rated totally disabling
(including a rating based on individual unemployability)
for a continuous period of at least 8 years immediately
preceding death AND the surviving spouse was married to the
veteran for those same 8 years. (38 U.S.C.
1311(a)(2))
- b.
Add the $286 for each dependent child under age 18: * (38
U.S.C. 1311(c))
- c.
If the surviving spouse is entitled to A&A, add $286.
(38 U.S.C. 1311(c))
- d.
If the surviving spouse is entitled to Housebound, add $135
(38 U.S.C. 1311(d))
*DIC
apportionment rates approved by the Under Secretary for
Benefits under 38 CFR 3.461(b) will be the additional allowance
received for each child.
Veteran's
Death was before January 1, 1993:
Enlisted
Pay Grade Rates:
- E-1
thru E-6 $1,154 (Add $46 if veteran rated totally disabled
8 continuous years prior to death and surviving spouse was
married to veteran those same 8 years).
- E-7
$1,194 E-8 $1,260 E-9 $1,314 (Base rate is $1,400 if vet
rated totally disabled 8 continuous years prior to death
and surviving spouse was married to vet those same 8
years.
- E-9
Veteran who served as Sgt Major of the Army or Marine
Corps, Senior Enlisted Advisor of the Navy, Chief Master
Sgt of the Air Force, or Master Chief Petty Officer of the
Coast Guard $1,419
-
Officer Pay Grade
Rates:
- W-1; $1,219 W-2; $1,267 W-3,
$1,305; W-4 $1,380; (Base rate for W-1 thru 4 is
$1,400 if vet rated totally disabled 8 continuous
years prior to death and surviving spouse was
married to vet those same 8
years.)
- O-1 $1,219; O-2 $1,260; O-3
$1,347 (Base rate for O1 thru 3 is $1,400 if vet
rated totally disabled 8 continuous years prior to
death and surviving spouse was married to vet those
same 8 years.)
- O-4 $1,427; O-5 $1,571; O-6
$1,771; O-7 $1,912; O-8 $2,100; O-9 $2,246; O-10
$2,463; O-10c $2,643 veteran who served as Chairman
of the Joint Chiefs of Staff, Chief of Staff of the
Army or Air Force, Chief of Naval Operations, or
Commandant of the Marine Corps.
Footnotes:
- a. Surviving spouse
of Aviation Cadet or other service not covered by this
table is paid the DIC rate for enlisted E-3 under
34.
- b.
If surviving spouse entitled to A/A, add $286; if entitled
to HB, add $135. c. Add $286 for each child under
18.
Children's Rates:
- If
the surviving spouse is also entitled to DIC the additional
separate award for each child over 18 who is in school is
$243 and/or is helpless is $488.
- If
there is no surviving spouse the rate for each child
numbering 1 thru 9 is: [1] $488.00; [2] $350.50; [3]
$305.00; [4] $272.25; [5] $252.60; [6] $239.50; [7]
$230.14; [8] $223.12; [9] $217.66. Add $174for each
additional child exceeding [9]. Add $286 for each helpless
child over 18.
[Source:
http://www.vba.va.gov/bln/21/rates/comp03.htmDec 08
++]
CANCER VITAMIN
STUDY:
Vitamin C
or E pills do not help prevent cancer in men, concludes the
same big study that last week found these supplements
ineffective for warding off heart disease. The public has been
whipsawed by good and bad news about vitamins, much of it from
test-tube or animal studies and hyped manufacturer claims. Even
when researchers compare people's diets and find that a vitamin
seems to help, the benefit may not translate when that nutrient
is obtained a different way, such as a pill. "Antioxidants,
which include vitamin C and vitamin E, have been shown as a
group to have potential benefit," but have not been tested
individually for a long enough time to know, said Howard Sesso
of Harvard-affiliated Brigham and Women's Hospital in Boston.
The Physicians Health Study, which he helped lead, was designed
to do that. It involved 14,641 male doctors, 50 or older,
including 1,274 who had cancer when or before the study started
in 1997. They were included so scientists could see whether the
vitamins could prevent a second cancer. Participants were put
into four groups and given vitamin E, vitamin C, both, or dummy
pills. The dose of E was 400 international units every other
day; C was 500 milligrams daily. After an average of eight
years, there were 1,929 cases of cancer, including 1,013 cases
of prostate cancer, which many had hoped vitamin E would
prevent. However, rates of prostate cancer and of total cancer
were similar among all four groups.
The study
was funded by the National Institutes of Health and several
vitamin makers. Results were being reported 16 NOV at an
American Association for Cancer Research conference in
Washington. "Well-conducted clinical trials such as this are
rapidly closing the door on the hope that common vitamin
supplements may protect against cancer," said Marji McCullough,
nutrition chief at the American Cancer Society. "It's still
possible that some benefit exists for subgroups that couldn't
be measured, but the overall results are certainly
discouraging. "The American Cancer Society recommends getting
these and other nutrients by eating a mostly plant-based diet
with a variety of vegetables, fruits and whole grains. A bonus
is that this type of diet helps to prevent obesity, which
increases the risk of several cancers." About 12% of Americans
take supplements of C and E. The new study does not mean these
vitamins have no value, just that they didn't prevent cancer in
this group of doctors, who may be healthier than the general
population, said Dr. Peter Shields, deputy director of
Georgetown University's Lombardi Comprehensive Cancer Center.
The best bet, he said, is to do things that are known to
prevent the disease _ eat right, maintain a healthy weight, and
exercise.
[Source:
Washington Post AP Marilynn Marchione article 16 Nov 08
++]
WARMTH &
HEALTH:
As the
cold weather rolls in, you may hear your windows rattle or feel
a cold breeze through your back door, even when it is closed.
These are sure signs of drafts stealing your heat and making it
harder for you to stay warm. If your home is drafty or not
well-insulated it could cost you hundreds of dollars a year as
you attempt to stay warm. It may also affect your health. While
sitting in a draft does not make you sick, you should take
notice if you feel chilled. "Your normal body temperature can
drop after prolonged exposure to cold drafts," says Andrea
Tannenbaum, president of Dynamic-Living.com. "The elderly and
those who have compromised immune systems need to protect
themselves because a decrease in the body's natural temperature
can lower resistance to germs. Stopping drafts will not only
keep your energy costs lower but will also help you stay warm
and healthy. Exposure to drafts can lower your resistance to
all viruses and make you feel stiff, uncomfortable and
run-down."
Here are
a few tips that will help you handle drafts and stay warm at
the same time.
- Stay
warm by plugging up drafty windows and doors with
inexpensive insulation and draft
stoppers:
- If
you have older windows, they might not keep the heat in
very well. Plastic sheeting can be affixed over the whole
window to provide a layer of insulation without blocking
the light. The plastic helps you stay warm by stopping
drafts as well as the cold that just seeps through the
window pane itself.
- If
you can see daylight through the edges of your doors that
means they leak. You can?t cover doors with plastic
sheeting, but a storm door will probably pay for itself
within a few heating seasons. There are also inexpensive
insulation kits for doors that have foam, magnets or fleece
to seal the edges, and weather stripping to put along the
bottom.
- Draft stoppers for the base of doors and
windows can be found in colorful and playful designs. You
can also make your own. Sew a fabric tube and fill it
loosely with dried beans or popcorn kernels. Want to
recycle? Cut the sleeve off an old shirt or fill pantyhose
you aren?t using anymore.
- If
you have double hung windows, check each one to ensure it
is fully closed on both the top and bottom. They sometimes
slide down a little bit during the warmer months and will
cause a draft if not closed properly.
How to
deal with drafts you can't stop:
- Try rearranging your furniture to
stay warm. If you feel a breeze on you while you sit in
your favorite chair, consider rearranging the room to
avoid drafts in the locations where you sit
regularly.
- Ceramic space heaters are very cost
effective for heating a small area and cost much less
to run than trying to heat your entire home. For safety
from accidents, make sure that your heater has a timer
on it or remember to unplug it when you leave the
room.
- Most of us use our ceiling fans only
in summer, but try using the ceiling fan when the
weather is cold too. Most styles have a reverse switch
on them that will push down the warmer air that
collects at the ceiling to help you stay
warm.
Bundle up
to stay warm:
- Wearing several thin layers of clothes
will help you stay warm in cold weather. The warmth from
your body will get trapped in the air pockets between the
layers. Long underwear is particularly good for helping you
stay warm and dry.
- Keep
a throw blanket handy to cover your feet or shoulders, or
use a fleece shawl across your lap or around your shoulders
to help you stay warm. Fleece blankets and throws are
particularly useful, because they are incredibly warm but
lightweight and less bulky than most other
fabrics.
- Wearing fleece slippers around the house
can help keep your feet warm. Look for non-skid bottoms
because they prevent slipping and possible
falls.
- Heat
from external sources can be helpful. If you use a heating
pad for warmth, limit the length of time it's close to the
skin to avoid a burn and always turn it off if you are
sleepy. Some heating pads come with safety shut-off
switches, which will turn off automatically after a set
period of time. There are also wraps or pads that you can
heat in the microwave. They provide temporary warmth and
you don't need to remember to turn them
off.
-
[Source:
AARP Senior Living Sharon O'Brien article 18 Nov 08
++]
MILITARY MUSEUMS &
MEMORIALS:
To look
for a military museum/memorials in the area where you live in
or an area where you may be traveling to refer to the
following:
[Source:
Various Dec 08 ++]
VETERAN LEGISLATION STATUS 14 DEC
08:
All bills
introduced in the 110th Congress that were not passed into law
in 2008 are now void. They can be reintroduced into the 111th
Congress if their sponsors decide to do so as new bills with
new bill numbers. Congress will convene the 111th Congress on
JAN 09.
|