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Veterans' health care budget better labeling of services and more detailed information could improve the congressional budget justification : report to congressional committees

The VA operates one of the largest health care delivery systems in the nation. Within VA, VHA provides a range of health care services for eligible veterans, such as primary care, inpatient and outpatient surgery, and nursing home care. In the past, VHA received medical care funds primarily through a single appropriations account. However, to 'provide better oversight and receive a more accurate accounting of funds,' in 2004, Congress established a new three appropriations account structure. GAO was asked to (1) describe the relationship between VHA's appropriations account structure and VA's development of the budget request; and (2) examine how VA presents information about the three VHA appropriations accounts in its CBJ. To conduct this work GAO reviewed VA budget policy documents, VA's fiscal year 2009-2013 CBJs, prior GAO work on budget formulation at VA, and interviewed VHA budget officials. GAO recommends that VA label health care services consistently so it is clear what services are being referred to across appropriations accounts. GAO also recommends that VA further consult with congressional decision makers when determining what detailed information related to appropriations accounts should be presented, and how, in its CBJ.

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  • "Better labeling of services and more detailed information could improve the congressional budget justification"@en

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  • "The VA operates one of the largest health care delivery systems in the nation. Within VA, VHA provides a range of health care services for eligible veterans, such as primary care, inpatient and outpatient surgery, and nursing home care. In the past, VHA received medical care funds primarily through a single appropriations account. However, to 'provide better oversight and receive a more accurate accounting of funds,' in 2004, Congress established a new three appropriations account structure. GAO was asked to (1) describe the relationship between VHA's appropriations account structure and VA's development of the budget request; and (2) examine how VA presents information about the three VHA appropriations accounts in its CBJ. To conduct this work GAO reviewed VA budget policy documents, VA's fiscal year 2009-2013 CBJs, prior GAO work on budget formulation at VA, and interviewed VHA budget officials. GAO recommends that VA label health care services consistently so it is clear what services are being referred to across appropriations accounts. GAO also recommends that VA further consult with congressional decision makers when determining what detailed information related to appropriations accounts should be presented, and how, in its CBJ."@en

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  • "Veterans' health care budget better labeling of services and more detailed information could improve the congressional budget justification : report to congressional committees"@en