,,iv  #aaf? ,,congress  #a/ ,session    
,h4 ,,res4 #gja  ,,9 ,,! ,,h\se ,,(     
,,repres5tatives  ,novemb] #ad1         
#bjai,mr4 ,grijalva 7= himself1 ,mrs4   
,kirkpatrick1 ,mr4 ,pocan1 & ,mr4       
,takano7 submitt$ ! foll[+ resolution2  
:i* 0 ref]r$ to ! ,committee on         
,vet]ans' ,affairs1 & 9 addition to !   
,committee on ,education & ,labor1 = a  
p]iod to be subsequ5tly det]m9$ by !    
,speak]1 9 ea* case = consid]ation ( su*
 provisions z fall )9 ! jurisdiction ( !
 committee conc]n$  ,,resolution        
,express+ support = policies t ma9ta9 a 
robu/1 fully fund$ & /aff$ ,vet]ans     
,heal? ,adm9i/ration ( ! ,dep>tm5t (    
,vet]ans ,affairs & d n jeop>dize c>e = 
vet]ans by mov+ ess5tial res\rces to !  
=-pr(it private sector4  ,:]eas         
,congress has promot$ policies to       
improve ! heal? c>e capabilities ( !    
,dep>tm5t ( ,vet]ans ,affairs by provid+
 significant increases 9 funds to hire  
/aff1 conduct rese>*1 build m           
facilities1 & improve tra9+2 ,:]eas !   

approximately #ai1cjj1jjj vet]ans ( !   
,unit$ ,/ates are a div]se gr\p (       
individuals includ+ old] vet]ans )      
diseases associat$ ) ag+ & disabilities 
associat$ ) pa/ w>s :i* require frequ5t 
c>e & y\ng] vet]ans ) complex conditions
 relat$ to improv$ battlefield m$ical   
c>e1 & z a gr\p conta9 a high] p]c5tage 
( s]i\sly w\nd$ individuals ne$+ complex
 lifelong physical & m5tal heal? c>e1   
:i* diff]s greatly f ! pati5t mix c>$ = 
by mo/ non-,,va provid]s2 ,:]eas ov]    
#i1cjj1jjj vet]ans are enroll$ 9 ! heal?
 c>e sy/em ( ! ,dep>tm5t ( ,vet]ans     
,affairs1 & ( ?is numb] #g1ajj1jjj      
actually use ! heal? c>e sy/em = all or 
"p ( _! c>e1 :i* is an increase ( #hb   
p]c5t s9ce #bjja1 %[+ massive1 gr[+ ne$ 
= c>e furni%$ by ! ,,va2 ,:]eas ! ,,r&  
,corporation exam9$ a decade ( rese>* & 
f\nd t ,,va-provid$ c>e is equal to or  
bett] quality ?an private sector c>e 9  
all =ty-sev5 quality-(-c>e measurem5ts x
 conduct$ z "p ( an indep5d5t assessm5t 
comp>+ ,,va outpati5t c>e ) comp>able   

civilian facilities2 ,:]eas ! ,,r&      
,corporation's ,ready to ,s]ve national 
/udy f\nd t comp>$ to non-,,va m5tal    
heal? provid]s1 ,,va m5tal heal?        
provid]s 7 significantly m likely to    
deliv] bo? culturally compet5t c>e1 :i* 
is important = engag+ vet]ans & increas+
 access to c>e1 z well z evid5c$-bas$   
c>e t yields cl9ically mean+ful &       
significant improvem5t ( ,po/traumatic  
,/ress ,disord] & major depression2     
,:]eas ! ,dep>tm5t ( ,vet]ans ,affairs  
is bett] equipp$ ?an mo/ non-,,va       
provid]s to coord9ate complex vet]an c>e
 & provide cont9uity ( res\rces =       
vet]ans1 yet an increas+ numb] ( vet]ans
 are be+ s5t into ! private sector ea*  
ye>1 fir/ pursuant to ! ,vet]ans        
,access1 ,*oice1 & ,acc\ntability ,act (
 #bjad 7,public ,law #aac-adf7 & n[     
pursuant to ! ,,va ,,mission ,act (     
#bjah 7,public ,law #aae-ahb72 ,:]eas   
m5tal heal? s]vices1 includ+ suicide    
prev5tion1 are ( p>am\nt importance2    
,:]eas ! ov] #dbj1jjj employees ( !     

,dep>tm5t ( ,vet]ans ,affairs are       
d$icat$ public s]vants2 ,:]eas1 accord+ 
to a bip>tisan survey by ,lake ,rese>* &
 ,*esapeake ,bea* ,consult+1 #hj p]c5t (
 vet]ans poll$ oppose turn+ heal? c>e   
provid$ by ! ,dep>tm5t ( ,vet]ans       
,affairs into a sy/em ( private sector  
v\*]s t may n adequately cov] co/s2     
,:]eas a ,vet]ans ( ,=eign ,w>s survey  
f\nd t #ib p]c5t ( vet]ans believe work+
 to fix ! ,,va1 r ?an dismantl+ x1 is ! 
be/ way to improve ! c>e provid$ to     
,am]ica's vet]ans2 ,:]eas millions (    
doll>s are be+ sp5t by organizations :i*
 value dismantl+ ! ,dep>tm5t ( ,vet]ans 
,affairs & outs\rc+ vet]an c>e = private
 pr(it ov] inve/+ 9 ! ,dep>tm5t2 ,:]eas 
"o ( ! top priorities %\ld be !         
expansion ( c>e = ! m ?an #d1gjj1jjj    
rural vet]ans by us+ rural cl9ics1 ,,va 
mobile cl9ics1 & telem$ic9e "u !        
sup]vision ( ea* vet]an's prim>y ,,va   
doctor2 ,:]eas fund+ has n be5 increas$ 
suffici5tly "u ! ,,va ,,mission ,act (  
#bjah 7,public ,law #aae-ahb7 = !       

,vet]an ,community ,c>e ,program t pays 
= ! co/s ( provid+ vet]ans private heal?
 c>e at ! same "t t ! ,adm9i/ration is  
reque/+ inadequate fund+ = m$ical       
s]vices at ! ,vet]ans ,heal?            
,adm9i/ration2 ,:]eas ! fre$om ( work]s 
to organize unions is an int]nationally 
recogniz$ human "r1 en%r9$ 9 ! ,univ]sal
 ,decl>ation ( ,human ,rights2 ,:]eas ! 
"r ( ,f$]al employees to =m & jo9 unions
 & to engage 9 collective b>ga9+ 0      
e/abli%$ by ! ,civil ,s]vice ,re=m ,act 
( #aigh 7,public ,law #ie-ded72 ,:]eas  
#cj p]c5t ( work]s at ! ,,va are vet]ans
 !mselves & z /rong memb]s ( a union    
receive ! good pay & b5efits !y des]ve2 
,:]eas x is vital to attract qualifi$   
individuals to fill work=ce %ortages )9 
! ,,va sy/em2 ,:]eas1 on ,may #be1      
#bjah1 ,presid5t ,trump issu$ ,executive
 ,ord]s t propos$ damag+ *anges to      
unioniz+ & collective b>ga9+ proc$ures  
includ+ elim9at+ ne>ly all union &      
work]s use ( (ficial "t & elim9at+      
reasonable due process rights2 & ,:]eas 

unions provide _m b5efits to our        
democracy1 economy1 & work+ families1 & 
a union work] receives on av]age #ah    
p]c5t high] weekly wages ?an nonunion   
work]s3 ,n[1 !re=e1 be x  ,t ! ,h\se (  
,repres5tatives-- 7#a7 supports policies
 to provide necess>y res\rces to s]ve   
vet]ans by ma9ta9+ a robu/ ,vet]ans     
,heal? ,adm9i/ration2  7#b7 opposes     
policies t w\ld jeop>dize c>e = vet]ans 
by mov+ ess5tial res\rces & vet]ans away
 f ! ,vet]ans ,heal? ,adm9i/ration &    
into ! =-pr(it private sector2  7#c7    
supports policies t w\ld create         
integrat$ heal? c>e networks = vet]ans )
 ! ,vet]ans ,heal? ,adm9i/ration s]v+ z 
! coord9ator & prim>y provid] ( c>e1 &  
select$ high-quality non-,,va p>tn]s    
provid+ c>e :5 & :]e ne$$ to ensure     
timely & conv5i5t access = all enroll$  
vet]ans1 includ+ ^? :o reside 9 rural   
areas2  7#d7 supports ! "r ( all        
,am]icans to =m1 jo91 & op]ate indep5d5t
 labor unions at all gov]nm5t levels & 9
 ! private sector2 &  7#e7 opposes any  

ef=ts aga9/ unioniz+ & collective b>ga9+
 proc$ures4