The Veterans Health Care Budget Reform and Transparency Act of 2009 required this report on whether the amounts for the Dept. of Veterans Affairs' (VA) health care services in the President's budget request are consistent with VA's budget estimates as projected by the Enrollee Health Care Projection Model (EHCPM) and other methodologies. Based on the information VA provided, this report describes: (1) the key changes VA identified that were made to its budget estimate to develop the President's budget request for fiscal years 2012 and 2013; and (2) how various sources of funding for VA health care and other factors informed the President's budget request for fiscal years 2012 and 2013. Charts and tables. This is a print on demand reort.

In FY 2007, the Dept. of Veterans Affairs (VA) spent $4.1 billion on long-term care for veterans. VA provides -- through VA or other providers -- institutional care in nursing homes and non-institutional care in veterans' homes or the community. In 2007, the VA published a long-term care strategic plan through FY 2013. These estimates are based on workload projections -- the amount of care to be provided -- and cost assumptions. This report examined: (1) VA's reporting of planned workload in its 2007 long-term care strategic plan; and (2) VA's long-term care spending estimates, including its cost assumptions and workload projections, in VA's FY 2009 budget justification. Includes recommendations. Charts and tables.

Funding for VA health care is determined by Congress in the annual appropriations process. Prior to this process, VA develops a budget estimate of the resources needed to provide health care services to eligible veterans. The Veterans Health Care Budget Reform and Transparency Act of 2009 requires an assessment of whether the funding requested for VA health care in the President's budget requests submitted to Congress in 2011, 2012, and 2013 is consistent with VA's estimates of the resources needed to provide health care services. This report describes: (1) how the VA develops its health care budget estimate; and (2) how VA's health care budget estimate is used in the President's budget request to Congress. Illus. A print on demand report.