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<div class=3DSection1>

<p class=3DMsoPlainText>From: Director, RAO Baguio [raoemo@sbcglobal.net]</=
p>

<p class=3DMsoPlainText>Sent: Tuesday, August 14, 2007 6:10 PM</p>

<p class=3DMsoPlainText>Subject: RAO Bulletin 15 Aug 2007</p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText>Attachments: <a
href=3D"file:///C:\Documents%20and%20Settings\Patricia%20Siler\My%20Documen=
ts\Navy\Tucker\Web%20Page\rao_bulletins\vet_legislation_updates\vet_legisla=
tion_update_13_aug_07.mht">Veteran
Legislation Update 07-08-13.doc</a></p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText>RAO Bulletin Update</p>

<p class=3DMsoPlainText>15 August 2007</p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText>THIS BULLETIN [CONTAINS THE FOLLOWING ARTICLES:</p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText>-- Tricare Hospice Care ---------------------------=
-----
(Coverage)</p>

<p class=3DMsoPlainText>-- <st1:place w:st=3D"on"><st1:PlaceName w:st=3D"on=
">Military</st1:PlaceName>
 <st1:PlaceName w:st=3D"on">Spouse</st1:PlaceName> <st1:PlaceType w:st=3D"o=
n">Monument</st1:PlaceType></st1:place>
------------------------- (Proposed)</p>

<p class=3DMsoPlainText>-- VA Claims Assistance [03] ------------ (Triple
Compensation)</p>

<p class=3DMsoPlainText>-- Fisher House Expansion [01] ------------------ (=
<st1:City
w:st=3D"on"><st1:place w:st=3D"on">Tampa</st1:place></st1:City> Opens)</p>

<p class=3DMsoPlainText>-- Tricare Uniform Formulary [21] ------- (Changes
Announced)</p>

<p class=3DMsoPlainText>-- Publix Prescription Offer ----------------- (No =
Cost
Antibiotics)</p>

<p class=3DMsoPlainText>-- Filipino Vet Inequities [05] -------------
(Republicans Protest)</p>

<p class=3DMsoPlainText>-- VDBC [20] --------------- (CRDP Recommendation
Reversed)</p>

<p class=3DMsoPlainText>-- Minnesota Veterans Homes --------- (Commission
Appointed)</p>

<p class=3DMsoPlainText>-- Acid Reflux Disease ----------------------------
(Cancer Impact)</p>

<p class=3DMsoPlainText>-- <st1:State w:st=3D"on"><st1:place w:st=3D"on">Mi=
nnesota</st1:place></st1:State>
LinkVet ----------------------------- (First in Nation)</p>

<p class=3DMsoPlainText>-- VA Clinic Openings [06] -------- (Non-hospital D=
ental
Care)</p>

<p class=3DMsoPlainText>-- Tricare Prime Travel Reimbursement ----------- (=
100
miles +)</p>

<p class=3DMsoPlainText>-- Tricare Provider Tax Credit
--------------------------- (<st1:State w:st=3D"on"><st1:place w:st=3D"on">=
Oregon</st1:place></st1:State>)</p>

<p class=3DMsoPlainText>-- <st1:State w:st=3D"on"><st1:place w:st=3D"on">Or=
egon</st1:place></st1:State>
Taxes --------------------------------- (Military Retirees)</p>

<p class=3DMsoPlainText>-- Depleted Uranium [04] ------------------ (Report=
 Due
OCT 07)</p>

<p class=3DMsoPlainText>-- VA <st1:place w:st=3D"on">North Texas</st1:place=
> SITREP
----------------- (Array of Problems)</p>

<p class=3DMsoPlainText>-- VA Care Vet Backlash -------------------- (Claim
Acceptance)</p>

<p class=3DMsoPlainText>-- <st1:place w:st=3D"on">Puerto Rico</st1:place> M=
edical
Fraud ------- (AZ-FL-NY-TX-VA Impact)</p>

<p class=3DMsoPlainText>-- Saluting the Flag
--------------------------------------- (Veterans)</p>

<p class=3DMsoPlainText>-- VA Facility Expansion [05] ---------------------=
-----
(<st1:place w:st=3D"on"><st1:PlaceType w:st=3D"on">Ft.</st1:PlaceType> <st1=
:PlaceName
 w:st=3D"on">Bragg</st1:PlaceName></st1:place>)</p>

<p class=3DMsoPlainText>-- VA Local Access --------------------------------=
--
(Where to Go)</p>

<p class=3DMsoPlainText>-- VA Clinic Openings [05] --------------- (<st1:pl=
ace
w:st=3D"on">Guam</st1:place> Summer 2009)</p>

<p class=3DMsoPlainText>-- SBP Basics [01] ------------------------ (Program
Explanation)</p>

<p class=3DMsoPlainText>-- Retiree Annual COLAs [01] -------------- (Tracki=
ng
Inflation)</p>

<p class=3DMsoPlainText>-- VA Fraud [01] --------------------------- ($120,=
000
Embezzled)</p>

<p class=3DMsoPlainText>-- Vet Home <st1:State w:st=3D"on"><st1:place w:st=
=3D"on">Tennessee</st1:place></st1:State>
------------------------ (Fined $200,000)</p>

<p class=3DMsoPlainText>-- HVAC [02] --------------------------------- (Sup=
port
for 7 Bills)</p>

<p class=3DMsoPlainText>-- Commissary Construction --------------- (Program
Impacted)</p>

<p class=3DMsoPlainText>-- SBP Paid Up Provision [03] ----------------- (30=
 Year
Payers)</p>

<p class=3DMsoPlainText>-- Agent Orange Diseases [01] ----------------------
(Associated)</p>

<p class=3DMsoPlainText>-- Agent Orange Diseases [02] ----------------
(Non-Associated)</p>

<p class=3DMsoPlainText>-- Agent Orange &amp; Hypertension -------- (Possib=
le
Association)</p>

<p class=3DMsoPlainText>-- Retirement Tax Considerations ------------- (Sal=
es
&amp; Income)</p>

<p class=3DMsoPlainText>-- Veteran Legislation Status 13 AUG 07 ---- (Where=
 We
Stand)</p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText>Editor Note 1:<span style=3D'mso-spacerun:yes'>&nbs=
p;
</span>Effective immediately I will cease using the email addee
raoemo@mozcom.com because<span style=3D'mso-spacerun:yes'>&nbsp; </span>Spam
messages at this addee have reached 150 daily.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>My email addee raoemo@sbcglobal.ne=
t will
be the only addee I will be monitoring after 15 SEP.<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>Also, I will be relocating t=
o the <st1:country-region
w:st=3D"on"><st1:place w:st=3D"on">Philippines</st1:place></st1:country-reg=
ion> 21
AUG and will not be able to respond to messages 20 to 24 AUG.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>[Source: RAO Director]</p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText>Editor&#8217;s Note 2:<span
style=3D'mso-spacerun:yes'>&nbsp; </span>Attached is a listing of veteran
legislation with current cosponsor status that has been introduced in the 1=
10th
Congress.<span style=3D'mso-spacerun:yes'>&nbsp; </span>To see any of these=
 bills
passed into law representatives need input from their veteran constituents =
to
instruct them on how to vote.</p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText>TRICARE HOSPICE CARE:<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>Tricare hospice care is avai=
lable
to beneficiaries who have received a terminal diagnosis.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>Its function is to provide care for
terminally ill patients with a life expectancy of six months or less if the
illness runs its normal course. In particular, curative treatments are not
covered, while personal care and home health aide services are covered.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>It may include physician services,
nursing care, counseling, medical equipment, supplies, medications, medical
social services, physical and occupational services, speech and language
pathology, and hospice short term inpatient care to manage acute or chronic
symptoms or to control pain. Room and board are not covered under the Trica=
re
hospice benefit; however, inpatient care is covered when needed. You cannot
receive other Tricare services or benefits related to curative treatment of=
 the
terminal illness, unless the hospice election is formally revoked. </p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText><span style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;=
&nbsp;
</span>The hospice, in conjunction with your regional contractor, is
responsible for the arrangement of all care while you are under the hospice
election. To formally revoke the hospice election, you must submit a signed=
 and
dated statement through the hospice provider. This does not alter your abil=
ity
to elect and reenter hospice care at a later time. Hospice care can be prov=
ided
in a Home, Hospice facility or Inpatient acute care facility.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>Care can shift among these facilit=
ies
without affecting the hospice benefit. For example, if you are receiving
hospice care at home, but the family member caring for you is overwhelmed w=
ith
caretaking responsibilities, you may choose to receive short term, inpatient
respite care at a hospice facility in consultation with your hospice care t=
eam.
This is an available option under the hospice benefit. </p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText><span style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;=
&nbsp;
</span>Hospice care is managed by the hospice medical director, the hospice
care team managing your case, and your primary care manager (PCM) or primary
care provider, who are always in consultation with you and your family. Your
case manager and PCM or primary care provider will assist in locating
appropriate hospice care. A hospice evaluation does not require authorizati=
on.
Only Medicare certified hospices are authorized to provide covered services=
 to
TRICARE beneficiaries. You can locate a Tricare authorized hospice provider
through your regional contractor.<span style=3D'mso-spacerun:yes'>&nbsp;
</span>There is no deductible for hospice care, and Tricare pays the cost of
all covered services, except for small cost share amounts which may be
collected by the individual hospice (at their option) for outpatient drugs =
and
inpatient respite care.<span style=3D'mso-spacerun:yes'>&nbsp; </span>Check=
 with
your regional contractor or hospice provider for specific cost information.=
</p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText><span style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;=
&nbsp;
</span>Hospice care is provided in three benefit periods, each of which
requires prior authorization from your regional contractor. The first two
benefit periods are each 90 days long.<span style=3D'mso-spacerun:yes'>&nbs=
p;
</span>The first period begins on the day you sign a hospice election state=
ment
and both the attending physician and the hospice medical director sign a
physician&#8217;s certificate of terminal illness. Each subsequent period
requires recertification of the terminal illness by the hospice medical
director or the physician on your hospice care team.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>The final benefit period is made u=
p of
an unlimited number of 60 day periods, each of which requires physician
recertification of the terminal illness.</p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText><span style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;=
&nbsp;
</span>You, your PCM or primary care provider, or a family member acting on
your behalf can initiate hospice care. However, it is important to understa=
nd
that the hospice cannot provide services without a referral from your PCM or
primary care provider, prior authorization from your regional contractor, a=
nd
certification of the terminal illness.<span style=3D'mso-spacerun:yes'>&nbs=
p;
</span>When considering hospice care, you should discuss the options with
family members and your PCM or primary care provider. The hospice benefit a=
lso
covers a consultation with the medical director of a Medicare certified hos=
pice
so you may ask questions and learn more about a specific hospice program.<s=
pan
style=3D'mso-spacerun:yes'>&nbsp; </span>You must complete and sign an
&#8220;election statement,&#8221; which the hospice provides, that indicates
your full understanding of hospice care.<span style=3D'mso-spacerun:yes'>&n=
bsp;
</span>By signing this statement, you waive your right to any Tricare benef=
its
associated with curative treatment of your illness. The election statement =
is
then filed with your regional contractor.<span style=3D'mso-spacerun:yes'>&=
nbsp;
</span>[Source:<span style=3D'mso-spacerun:yes'>&nbsp; </span>Tricare Hospi=
ce
Care Brochure 29 Nov 06 ++]</p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText><st1:place w:st=3D"on"><st1:PlaceName w:st=3D"on">M=
ILITARY</st1:PlaceName>
 <st1:PlaceName w:st=3D"on">SPOUSE</st1:PlaceName> <st1:PlaceType w:st=3D"o=
n">MONUMENT</st1:PlaceType></st1:place>:<span
style=3D'mso-spacerun:yes'>&nbsp; </span>Due to the efforts of two military
spouses, the first steps toward a monument to honor the courage and sacrifi=
ce
of military spouses have been taken. Representative Thelma Drake (R-VA-02)
recently introduced The Military Spouses Memorial Act of 2007 (H.R. 3026) to
authorize a monument to be erected in the <st1:place w:st=3D"on"><st1:City =
w:st=3D"on">Washington</st1:City>
 <st1:State w:st=3D"on">DC</st1:State></st1:place> area.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>The Military Spouses Legacy Associ=
ation,
Inc. was founded in 2007 by Nicole Alcorn, herself a military spouse and the
daughter of a military widow, and Karie Darga, who lost her husband in <st1=
:country-region
w:st=3D"on"><st1:place w:st=3D"on">Iraq</st1:place></st1:country-region>. T=
he
association has received its 501(c)3 non-profit status and is collecting the
private donations to fund the construction and maintenance of the monument.=
 To
learn more about the Military Spouses Legacy Association, refer to
http://www.militaryspousemonument.org/home.html.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>[Source:<span
style=3D'mso-spacerun:yes'>&nbsp; </span>NMFA Government &amp; You e-News 1=
4 Aug
07 ++]</p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText>VA CLAIMS ASSISTANCE UPDATE 03:<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>A recent study by the Instit=
ute
for Defense Analysis shows that wounded veterans who approach the V.A. with=
out
professional assistance receive on average about one-third of the compensat=
ion
that those who are represented by a lawyer or service organization like the
Disabled American Veterans (DAV) get.<span style=3D'mso-spacerun:yes'>&nbsp;
</span>DAV representative Eric McGinnis said, &quot;That's not surprising at
all. If you know the proper vernacular, a few simple phrases, it makes thin=
gs a
lot easier. But you'd be hard-pressed to find a vet who knows exactly the r=
ight
things to say and do.&quot;<span style=3D'mso-spacerun:yes'>&nbsp;
</span>McGinnis' experience in that arena is both professional and personal.
The Army veteran came to work for the DAV after the organization helped him
obtain compensation after the VA initially told him he'd get none. &quot;It=
's a
common story,&quot; he said.<span style=3D'mso-spacerun:yes'>&nbsp;
</span>Complicating matters further, is a compensation process that requires
veterans to approach the VA, openly advertising their own physical and
psychological wounds in order to receive benefits. &quot;These aren't always
people who are comfortable advocating for themselves,&quot; said McGinnis.<=
span
style=3D'mso-spacerun:yes'>&nbsp; </span>Utah State Department of Veterans
Affairs Director Terry Schow said it would be nice if the system weren't so
adversarial and complex that veterans needed help from outside groups to ob=
tain
just compensation for their wounds. &quot;The process is so involved and
complicated, that I think it's just wise to do that. And so we encourage
everyone to get assistance from a service organization.&quot; </p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>DAV is an
organization of disabled veterans who are focused on building better lives =
for
disabled veterans and their families. They accomplish this by providing
assistance to veterans, their families, their widowed spouses and their orp=
hans
in obtaining benefits and services earned through their military service. T=
he
organization is fully funded through its 1.2 million membership dues and pu=
blic
contributions. It is not a government agency and receives no government fun=
ds.
However, it is the foremost representative of the interests of disabled
veterans and before federal, state, and local governments. In 88 offices, 2=
60
National Service Officers (NSOs) and 26 Transition Service Officers (TSOs)
directly represent veterans with claims for benefits from the Department of
Veterans Affairs and the Department of Defense.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>NSO/TSO personnel assist in filing
claims for VA disability compensation, rehabilitation and education program=
s,
pensions, death benefits, employment and training programs, and many other
programs.<span style=3D'mso-spacerun:yes'>&nbsp; </span>This service is ava=
ilable
to all veterans at no charge.<span style=3D'mso-spacerun:yes'>&nbsp;
</span>DAV&#8217;s Voluntary Service Program consists of a transportation
network which provides veterans with rides to and from VA medical facilities
for treatment, and a program which facilitates volunteers at VA hospitals,
clinics, and nursing homes. </p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>NSO
representation covers development and prosecution veterans' claims through =
in-depth
reviews of medical histories in conjunction with sound application of curre=
nt
law and regulations. In representing veterans and their families, NSOs assi=
st
in the thorough preparation of claims and written briefs, which includes
helping to assemble evidence in support of those claims. They also review
rating board decisions and inform veterans and their families of the appeals
process and their appellate rights.<span style=3D'mso-spacerun:yes'>&nbsp;
</span>DAV National Appeal Officers represent the largest percentage of
claimants in cases decided by the Board of Veterans Appeals (BVA). They also
provide representation before the U.S. Court of Appeals for Veterans Claims
through which veterans have the right to independent judicial review of app=
eals
denied by the BVA. Veterans seeking assistance can refer to
www.dav.org/veterans/service_office.html to locate an office accessible to
them.<span style=3D'mso-spacerun:yes'>&nbsp; </span>[Source:<span
style=3D'mso-spacerun:yes'>&nbsp; </span>The Salt Lake Tribune Mathew LaPla=
nte
article 13 Aug 07 ++]</p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText>FISHER HOUSE EXPANSION UPDATE 01:<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>The newest Fisher House was
dedicated 6 AUG 07<span style=3D'mso-spacerun:yes'>&nbsp; </span>at the Jam=
es A.
Haley Veterans&#8217; Hospital in <st1:place w:st=3D"on"><st1:City w:st=3D"=
on">Tampa</st1:City>,
 <st1:State w:st=3D"on">Florida</st1:State></st1:place>.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>The new Fisher House will provide
families free lodging, making it easier to participate in the care and reco=
very
of loved ones. Veterans Affairs Secretary Jim Nicholson participated in a
ceremony transferring ownership of the Fisher House to the VA.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>It will operate and maintain the h=
ome at
no cost to its residents.<span style=3D'mso-spacerun:yes'>&nbsp;&nbsp;
</span>This is the 38th Fisher House built by the Fisher House Foundation a=
nd
the ninth operated by VA. At 16,000 square feet, the Tampa Fisher House is
among the largest of these comfort homes, which can accommodate up to 21
families.<span style=3D'mso-spacerun:yes'>&nbsp; </span>Some families trave=
l long
distances to <st1:City w:st=3D"on">Tampa</st1:City>&#8217;s <st1:PlaceName =
w:st=3D"on">Polytrauma</st1:PlaceName>
<st1:PlaceType w:st=3D"on">Center</st1:PlaceType> &#8211; one of four uniqu=
e VA
polytrauma facilities in the <st1:country-region w:st=3D"on"><st1:place w:s=
t=3D"on">United
  States</st1:place></st1:country-region> where the most severely injured a=
nd
disabled veterans are treated.<span style=3D'mso-spacerun:yes'>&nbsp; </spa=
n>In
addition to polytrauma patients, those receiving care in the hospital&#8217=
;s
other specialized programs, such as spinal cord injury, post-traumatic stre=
ss
disorder and traumatic brain injury, will benefit from the Fisher House.<sp=
an
style=3D'mso-spacerun:yes'>&nbsp; </span>[Source: NAUS Weekly Update 10 Aug=
 07
++]</p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText>TRICARE UNIFORM FORMULARY UPDATE 21:<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>The Tricare Management Activ=
ity
announced the following changes to the Uniform Formulary:</p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText>-<span style=3D'mso-tab-count:1'>&nbsp; </span>Nexi=
um,
which is used to treat heartburn and gastric disorders, has been reclassifi=
ed
as a first-tier medication. First-tier medications (formulary generics) are
available at most military treatment facilities at no charge, or for a $3
co-pay through the Tricare Retail Pharmacy (30-day supply) or the Tricare M=
ail
Order Pharmacy (90-day supply).</p>

<p class=3DMsoPlainText>-<span style=3D'mso-tab-count:1'>&nbsp; </span>Prev=
acid,
Zegerid, Protonix and Aciphex, are also used to treat gastric disorders and
will be reclassified as non-formulary medications effective 24 OCT 07.<span
style=3D'mso-spacerun:yes'>&nbsp; </span></p>

<p class=3DMsoPlainText>-<span style=3D'mso-tab-count:1'>&nbsp; </span>Avod=
art, a
medication used to treat prostrate-related problems will move to the third =
tier
on 24 OCT.</p>

<p class=3DMsoPlainText>-<span style=3D'mso-tab-count:1'>&nbsp; </span>Hype=
rtension
drugs Avapro, Avilide, Benicar, Benicar HCT, Diovan, Diovan HCT, Teveten, a=
nd
Teveten HCT along with cholesterol-lowering medications Anatara, Tricor,
Omacor, and WelChol will be reclassified as non-formulary medications on 21
NOV.<span style=3D'mso-spacerun:yes'>&nbsp; </span>The price of non-formula=
ry
medications is $22.</p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText>Beneficiaries using the above medications may want =
to
consult with their health care providers about other options including gene=
ric
equivalents or establishing medical necessity for the third-tier medication=
 if
appropriate.<span style=3D'mso-spacerun:yes'>&nbsp; </span>If medical neces=
sity
is established, the co-payment is reduced to $9.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>Third-tier medications are not ava=
ilable
at military treatment facility (MTF) pharmacies unless an MTF provider
establishes medical necessity and writes the prescription.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>Medical necessity forms and criter=
ia are
available at</p>

<p class=3DMsoPlainText>www.tricare.mil/pharmacy/medical-nonformulary.cfm.<=
span
style=3D'mso-spacerun:yes'>&nbsp; </span>For a complete list of medications,
their formulary status and where they are available, beneficiaries may refe=
r to
</p>

<p class=3DMsoPlainText>www.tricareformularysearch.org/dod/medicationcenter=
/default.aspx.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>Additional information on the TRIC=
ARE
Retail Pharmacy and locations, and the TRICARE Mail Order Pharmacy can be f=
ound
at www.express-scripts.com/TRICARE<span style=3D'mso-spacerun:yes'>&nbsp;
</span>or by calling 1(866) 363-8779 for the retail pharmacy or 1(866)363-8=
667
for the mail order pharmacy.<span style=3D'mso-spacerun:yes'>&nbsp;
</span>[Source: NAUS Weekly Update 10 Aug 07 ++]</p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText>PUBLIX PRESCRIPTION OFFER:<span
style=3D'mso-spacerun:yes'>&nbsp; </span>On 6 AUG the Publix Super Market c=
hain
said it would make seven common prescription oral antibiotics at no charge =
to
its customers via their 648 pharmacies.<span style=3D'mso-spacerun:yes'>&nb=
sp;
</span>With a valid prescription, new or current Publix customers can recei=
ve a
14-day supply that will be filled at no charge and can be refilled. The
antibiotics include:</p>

<p class=3DMsoPlainText>*<span style=3D'mso-tab-count:1'>&nbsp; </span>Amox=
icillin</p>

<p class=3DMsoPlainText>*<span style=3D'mso-tab-count:1'>&nbsp; </span>Ceph=
alexin</p>

<p class=3DMsoPlainText>*<span style=3D'mso-tab-count:1'>&nbsp; </span>Sulf=
amethoxazole/Trimethoprim
(SMZ-TMP)</p>

<p class=3DMsoPlainText>*<span style=3D'mso-tab-count:1'>&nbsp; </span>Cipr=
ofloxacin
(excluding ciprofloxacin XR)</p>

<p class=3DMsoPlainText>*<span style=3D'mso-tab-count:1'>&nbsp; </span>Peni=
cillin
VK</p>

<p class=3DMsoPlainText>*<span style=3D'mso-tab-count:1'>&nbsp; </span>Ampi=
cillin</p>

<p class=3DMsoPlainText>*<span style=3D'mso-tab-count:1'>&nbsp; </span>Eryt=
hromycin
(excluding Ery-Tab)</p>

<p class=3DMsoPlainText>These antibiotics account for almost 50% of the gen=
eric,
pediatric prescriptions filled at Publix. Publix is not limiting the number=
 of
prescriptions customers may fill.<span style=3D'mso-spacerun:yes'>&nbsp;
</span>The antibiotics will be provided to customers regardless of their
prescription insurance provider. Publix operates stores in <st1:State w:st=
=3D"on">Florida</st1:State>,
<st1:country-region w:st=3D"on">Georgia</st1:country-region>, <st1:State w:=
st=3D"on">South
 Carolina</st1:State>, <st1:State w:st=3D"on">Alabama</st1:State> and <st1:=
State
w:st=3D"on"><st1:place w:st=3D"on">Tennessee</st1:place></st1:State>.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>[Source: NAUS Weekly Update 10 Aug=
 07
++]</p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText>FILIPINO VET INEQUITIES UPDATE 05:<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>The Filipino Veterans Equity=
 Act
of 2007 (H.R.760) passed the House Committee on Veterans Affairs.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>This is a bill to amend title 38, =
United
States Code, to deem certain service in the organized military forces of the
Government of the Commonwealth of the <st1:country-region w:st=3D"on"><st1:=
place
 w:st=3D"on">Philippines</st1:place></st1:country-region> and the Philippine
Scouts to have been active service for purposes of benefits under programs
administered by the Secretary of Veterans Affairs. As amended it will elimi=
nate
special monthly pensions currently being paid for severely disabled veterans
over 65 who are also receiving pensions for wartime service. The legislation
would use nearly all of the $965 million saved by this unprecedented cut in
veterans' benefits to provide budgetary offsets to fund oversized pensions =
for
non-citizen, non-resident World War II Filipino veterans.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>Similar legislation, S.1315, is be=
ing
considered in the Senate. The American Legion among others does not support
this legislation as amended.<span style=3D'mso-spacerun:yes'>&nbsp; </span>=
While
the Legion supports improvements to Filipino Veterans Benefits they oppose
overturning the Court decision in the Hartness case and eliminating an earn=
ed
benefit for disabled veterans.<span style=3D'mso-spacerun:yes'>&nbsp; </spa=
n>The
American Legion is asking hat their membership contact their members of
Congress and express support for securing the earned benefits of severely
disabled veterans by protecting the Hartness decision. [Source: AL Weekly
Update 10 Aug 07 ++]</p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText>VDBC UPDATE 20:<span style=3D'mso-spacerun:yes'>&nb=
sp;
</span>Veterans won an important victory this week when the Veterans Disabi=
lity
Benefits Commission (VDBC) reversed itself on the issue of giving both VA
disability payments and full military retirement pay to Chapter 61 and TERA
retirees. At the JUL 07 meeting of the Commission they pointedly voted to n=
ot support
both benefits for those groups. But discussion among a number of the
commissioners after that vote in July made it apparent that many of them did
not understand the implications of their votes. In the weeks since that
meeting, veterans groups provided information to the commission that led to=
 the
change this week. The new language adopted by the Commission in a 12 to 1 v=
ote
was as follows: Congress should eliminate the ban on concurrent receipt for=
 all
retirees and disability retirees. Future priority should be given to Chapte=
r 61
retirees with less than 20 years and greater than 50% service-connected
disabled and all combat disabled Chapter 61&#8217;s.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>At last month&#8217;s meeting the
Commission already decided to recommend that both full Military Retired Pay=
 and
VA Disability Pay be given immediately to all longevity retirees with VA
disabilities ratings (including those with 10%-40% ratings.) </p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText><span style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;=
&nbsp;
</span>The Commission next meets 22-24 AUG in <st1:place w:st=3D"on"><st1:C=
ity
 w:st=3D"on">Washington</st1:City>, <st1:State w:st=3D"on">D.C.</st1:State>=
</st1:place>,
at the Hotel Washington, which is located at <st1:Street w:st=3D"on"><st1:a=
ddress
 w:st=3D"on">15th St.</st1:address></st1:Street> and <st1:Street w:st=3D"on=
"><st1:address
 w:st=3D"on">Pennsylvania Avenue, NW</st1:address></st1:Street>.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>Anyone in the area or visiting D.C=
. is
encouraged to attend this very important meeting. The purpose of the Vetera=
ns'
Disability Benefits Commission is to carry out a study of the benefits under
the laws of the United States that are provided to compensate and assist
veterans and their survivors for disabilities and deaths attributable to
military service, and to produce a report on the study.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>The VDBC is meeting several times =
a month
in order to complete the work of the Commission by its 1 OCT deadline to ma=
ke
their report to Congress and the President.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>Their conclusions are only
recommendations but they will certainly help in veteran groups lobbying
efforts. is due sometime around the 1 OCT this year.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>[Source: TREA News flash 10 Aug 07=
 ++]</p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText>MINNESOTA VETERANS HOMES:<span
style=3D'mso-spacerun:yes'>&nbsp; </span>The Minnesota Veterans Home &#8211=
; <st1:City
w:st=3D"on"><st1:place w:st=3D"on">Minneapolis</st1:place></st1:City>, once=
 called
the Old Soldiers Home, was built in the late 1800&#8217;s for indigent vete=
rans
of the Civil War.<span style=3D'mso-spacerun:yes'>&nbsp; </span>The Home is
located on a 51 acre wooded campus overlooking the Mississippi River near <=
st1:place
w:st=3D"on"><st1:PlaceName w:st=3D"on">Minnehaha</st1:PlaceName> <st1:Place=
Type
 w:st=3D"on">Falls</st1:PlaceType></st1:place>.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>At the end of the 19th century the
intent was to create a beautiful, comfortable, community for veterans in ne=
ed
of care in their later years.<span style=3D'mso-spacerun:yes'>&nbsp;
</span>Unfortunately, the home has experienced numerous inspection problems=
 in
recent months.<span style=3D'mso-spacerun:yes'>&nbsp; </span>Gov. Tim Pawle=
nty
appointed a seven-member Veterans Long-Term Care Advisory Commission tasked
with recommending ways to end the <st1:City w:st=3D"on">Minneapolis</st1:Ci=
ty>
home's frequent problems and consider whether the five <st1:State w:st=3D"o=
n"><st1:place
 w:st=3D"on">Minnesota</st1:place></st1:State> homes should serve more peop=
le
than the 863 people housed in its nursing homes and assisted-living
facilities.<span style=3D'mso-spacerun:yes'>&nbsp; </span>Since 2005, the
Minneapolis Home has been cited by the state for 67 rule violations, the mo=
st
recent last month, and fined $42,300 when the problems were not corrected.<=
span
style=3D'mso-spacerun:yes'>&nbsp; </span>Separately, the U.S. Department of
Veterans Affairs, which pays about 20% of the care costs, found 48 violatio=
ns
since 2005.<span style=3D'mso-spacerun:yes'>&nbsp; </span></p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText><span style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;=
&nbsp;
</span>The <st1:City w:st=3D"on"><st1:place w:st=3D"on">Minneapolis</st1:pl=
ace></st1:City>
facility has asked the federal government to approve a $44 million
&quot;Cadillac plan&quot; to renovate the nursing home. The proposed renova=
tion
project, still in the design phase, would reduce the number of beds in the
home's main building from 250 to 198. The remodeled home would be divided i=
nto
14 to 16 room &quot;neighborhoods,&quot; each with its own kitchen. All the
beds in the renovated facility would be in single rooms with private baths.=
 The
home also has a 91-bed nursing-home dementia unit and a 61-bed assisted-liv=
ing
facility in separate buildings.<span style=3D'mso-spacerun:yes'>&nbsp; </sp=
an>It
had to stop taking new nursing-home residents in December while it fixes the
care problems and now has about 350 people on its waiting list.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>The home&#8217;s governing board<s=
pan
style=3D'mso-spacerun:yes'>&nbsp; </span>has submitted the plan to federal
officials as a project list &quot;place holder.&quot; If approved, the VA w=
ould
pay 65% of the $44 million cost. The Legislature would have to approve the
remaining $15 million. As the Minneapolis Home plans a major overhaul, a
commission is considering an expanded role for the five state-owned residen=
ces.
The plan would have the board provide an array of services for the state's =
140,000
aging veterans.</p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText><span style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;=
&nbsp;
</span>Admissions criteria for acceptance in a <st1:State w:st=3D"on">Minne=
sota</st1:State>
home include: Honorably Discharge, 181 Consecutive Days on Active Duty,
Minnesota Resident (or had service credited to <st1:State w:st=3D"on"><st1:=
place
 w:st=3D"on">Minnesota</st1:place></st1:State>), Spouses of eligible Vetera=
ns
over 55 years of age and reside in the state, and applicants ability to
demonstrate medical need.<span style=3D'mso-spacerun:yes'>&nbsp; </span>The
states five homes are located at:</p>

<p class=3DMsoPlainText>-<span style=3D'mso-tab-count:1'>&nbsp; </span><st1=
:address
w:st=3D"on"><st1:Street w:st=3D"on">1821 North Park ST.</st1:Street>, <st1:=
City
 w:st=3D"on">Fergus Falls</st1:City> <st1:State w:st=3D"on">MN</st1:State><=
span
 style=3D'mso-spacerun:yes'>&nbsp; </span><st1:PostalCode w:st=3D"on">56537=
</st1:PostalCode></st1:address>
Tel: (218) 736-0400 or 1(877) 838-4633.</p>

<p class=3DMsoPlainText>-<span style=3D'mso-tab-count:1'>&nbsp; </span><st1=
:address
w:st=3D"on"><st1:Street w:st=3D"on">1200 East 18th ST.</st1:Street>, <st1:C=
ity
 w:st=3D"on">Hastings</st1:City>, <st1:State w:st=3D"on">MN</st1:State> <st=
1:PostalCode
 w:st=3D"on">55033</st1:PostalCode></st1:address> Tel; (651) 438-8504 or 1(=
877)
838-3803)</p>

<p class=3DMsoPlainText>-<span style=3D'mso-tab-count:1'>&nbsp; </span><st1=
:address
w:st=3D"on"><st1:Street w:st=3D"on">1300 North Kniss Ave., P.O. Box 539</st=
1:Street>,
 <st1:City w:st=3D"on">Luverne</st1:City> <st1:State w:st=3D"on">MN</st1:St=
ate> <st1:PostalCode
 w:st=3D"on">56156</st1:PostalCode></st1:address> Tel: (507) 283-1100 or 1(=
877)
588-8387.</p>

<p class=3DMsoPlainText>-<span style=3D'mso-tab-count:1'>&nbsp; </span><st1=
:address
w:st=3D"on"><st1:Street w:st=3D"on">5101 Minnehaha Ave. South</st1:Street>,=
 <st1:City
 w:st=3D"on">Minneapolis</st1:City> <st1:State w:st=3D"on">MN</st1:State> <=
st1:PostalCode
 w:st=3D"on">55417</st1:PostalCode></st1:address> Tel: (612) 721-0600 or 1(=
877)
838-6757.</p>

<p class=3DMsoPlainText>-<span style=3D'mso-tab-count:1'>&nbsp; </span><st1=
:address
w:st=3D"on"><st1:Street w:st=3D"on">45 Banks Boulevard</st1:Street>, <st1:C=
ity
 w:st=3D"on">Silver Bay</st1:City> <st1:State w:st=3D"on">MN</st1:State> <s=
t1:PostalCode
 w:st=3D"on">55614</st1:PostalCode></st1:address> Tel: (218) 226-6300 or
877-729-8387 </p>

<p class=3DMsoPlainText>[Source: <st1:City w:st=3D"on"><st1:place w:st=3D"o=
n">Minneapolis</st1:place></st1:City>
Star Tribune Warren Wolfe article 9 Aug 07 ++]</p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText>ACID REFLUX DISEASE:<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp; </span>Acid Reflux (i.e. hear=
tburn)
is caused when acid from the stomach flows upwards into the long feeding tu=
be
that connects the stomach and throat (esophagus) causing a burning sensatio=
n.
Unlike the stomach, which has a lining that protects it from the acid, the
esophagus is delicate and easily irritated by acid. Nighttime heartburn is
heartburn that occurs at night. Anyone can have occasional heartburn as mig=
ht
occur after a spicy meal. Frequent and recurring heartburn, however, may be=
 a
symptom of a more serious condition.<span style=3D'mso-spacerun:yes'>&nbsp;
</span>Gastroesophageal reflux disease is caused when the opening between t=
he
esophagus and the stomach becomes looser or relaxes at the wrong times.
Normally, this opening allows food to travel only from your esophagus into =
your
stomach. A muscular valve, called a sphincter, normally keeps stomach conte=
nts,
including stomach acid, in the stomach. When the sphincter between the stom=
ach
and the esophagus becomes loose or relaxes at the wrong time, the stomach
contents can flow up from the stomach into the esophagus. This irritates the
esophagus, which doesn't have a special lining to protect it from acid like=
 the
stomach does. Studies have also shown that if you lie in bed, the protective
effect of gravity can become lessened. </p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText><span style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;=
&nbsp;
</span>New research from scientists at UT Southwestern Medical Center and t=
he <st1:place
w:st=3D"on"><st1:PlaceName w:st=3D"on">Dallas</st1:PlaceName> <st1:PlaceNam=
e w:st=3D"on">Veterans</st1:PlaceName>
 <st1:PlaceName w:st=3D"on">Affairs</st1:PlaceName> <st1:PlaceName w:st=3D"=
on">Medical</st1:PlaceName>
 <st1:PlaceType w:st=3D"on">Center</st1:PlaceType></st1:place> underscores =
the importance
of preventing recurring acid reflux while also uncovering tantalizing clues=
 on
how typical acid reflux can turn potentially cancerous. In research publish=
ed
in July and August, scientists discovered that people with acid reflux dise=
ase,
particularly those with a complication of acid reflux called Barrett&#8217;s
esophagus, have altered cells in their esophagus containing shortened
telomeres, the ending sequences in DNA strands. Combined with related resea=
rch
to be published in AUG, the findings indicate that the shortened sequences
might allow other cells more prone to cancer to take over. &#8220;The resea=
rch
supports why it is important to prevent reflux, because the more reflux you
have and the longer you have it, the more it might predispose you to getting
Barrett&#8217;s esophagus. So you want to suppress that reflux,&#8221; said=
 Dr.
Rhonda Souza, associate professor of internal medicine at UT Southwestern a=
nd
lead author of the paper which appears in the July issue of the American
Journal of Physiology &#8211; Gastrointestinal and Liver Physiology.</p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText><span style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;=
&nbsp;
</span>Over time, the persistent acid bath from acid reflux can cause normal
skin-like cells in the esophagus to change into tougher, more acid-resistant
cells of the type found in the stomach and intestine, a condition called Ba=
rrett&#8217;s
esophagus, explained Dr. Stuart Spechler, professor of internal medicine and
senior author of the paper. &#8220;Unfortunately, those acid-resistant cells
are also more prone to cancer,&#8221; Dr. Spechler said.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>According to the National Cancer
Institute Adenocarcinoma of the esophagus, the cancer that is especially
associated with Barrett&#8217;s esophagus, is currently the most rapidly ri=
sing
cancer in the <st1:country-region w:st=3D"on"><st1:place w:st=3D"on">U.S.</=
st1:place></st1:country-region>,
with a six fold increase in cases during the past 30 years. Understanding h=
ow
and why the cells change in some cases and not others has been a major
challenge for investigators. The research was funded by the Department of
Veteran&#8217;s Affairs, National Institutes of Health, the Harris Methodist
Health Foundation, the Dr. Clark R. Gregg Fund and AstraZeneca.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>[Source: UT <st1:place w:st=3D"on"=
><st1:PlaceName
 w:st=3D"on">Southwestern</st1:PlaceName> <st1:PlaceName w:st=3D"on">Medica=
l</st1:PlaceName>
 <st1:PlaceType w:st=3D"on">Center</st1:PlaceType></st1:place> article 10 A=
ug 07
++]</p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText><st1:State w:st=3D"on">MINNESOTA</st1:State> LinkVe=
t:<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>To make it easier to find se=
rvices
and to ensure immediate crisis intervention, Minnesota Gov. Tim Pawlenty
announced the launch of LinkVet &#8212; the Veterans Linkage Line for <st1:=
State
w:st=3D"on"><st1:place w:st=3D"on">Minnesota</st1:place></st1:State> vetera=
ns and
their family members. The toll-free customer service line is the first of i=
ts
kind in the nation and will provide information referrals, immediate crisis
intervention and psychological counseling 24 hours a day, seven days a week=
 at
(888) LINKVET (546-5838). The new line is up and running.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>LinkVet will be answered by trained
staff at the Minnesota Department of Veterans Affairs (MDVA) and Crisis
Connection, a Twin Cities based non-profit mental health telephone counseli=
ng
service. MDVA staff, who are veterans themselves, will manage the lines M-F
from 08-1600. Crisis Connection social workers will field all crisis calls
during business hours, and all calls after hours, on weekends and holidays.
Veterans who call LinkVet and need to be transferred to someone other than a
MDVA staff member will be connected in a three-way call to the necessary
resources. MDVA staff will remain on the line with the caller until the
veteran&#8217;s issue has been successfully resolved.</p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText><span style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;=
&nbsp;
</span>LinkVet was developed by the Governor&#8217;s Yellow Ribbon Task For=
ce
Crisis Line Workgroup. This group met during the spring and included
representatives from several state agencies, the National Guard and non-pro=
fit
veteran services providers.<span style=3D'mso-spacerun:yes'>&nbsp; </span>A=
fter
discovering there were several toll-free lines for crisis intervention and
suicide prevention for returning soldiers and veterans, and that United
Way&#8217;s 211 referral line is not cell phone accessible, the workgroup
proposed a statewide one-stop call line for veterans similar to the Senior
Linkage and Disability Linkage lines.<span style=3D'mso-spacerun:yes'>&nbsp;
</span>Revation, the company that has supplied the software for Senior Link=
age
and Disability Linkage lines, has agreed to provide a one-year free trial of
the Veterans Linkage Line software. After the first year, there will be no
additional hardware required and approximately $0.04 per minute operating
costs. Last year, MDVA launched www.minnesotaveteran.org, a one-stop Web si=
te
for information about education, medical, employment, retirement and other
benefits. <span style=3D'mso-spacerun:yes'>&nbsp;</span>[Source:<span
style=3D'mso-spacerun:yes'>&nbsp; </span>Independent Review Kristin Holtz a=
rticle
13 Aug 07 ++]</p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText>VA CLINIC OPENINGS UPDATE 06:<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>A joint effort of two Depart=
ment
of Veterans&#8217; Affairs medical centers has put dental health care close=
r to
the homes of many eastern <st1:State w:st=3D"on"><st1:place w:st=3D"on">Nor=
th
  Carolina</st1:place></st1:State> veterans.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>An open house was held 9 AUG at th=
e VA
Outpatient Clinic in <st1:place w:st=3D"on"><st1:PlaceName w:st=3D"on">More=
head</st1:PlaceName>
 <st1:PlaceType w:st=3D"on">City</st1:PlaceType></st1:place> to celebrate t=
he
opening of the first community-based VA dental clinic in the state.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>Eligible veterans, who would norma=
lly
travel to either the VA medical centers in <st1:City w:st=3D"on">Durham</st=
1:City>
or <st1:City w:st=3D"on">Fayetteville</st1:City>, can now be referred to th=
e <st1:place
w:st=3D"on"><st1:PlaceName w:st=3D"on">Morehead</st1:PlaceName> <st1:PlaceT=
ype
 w:st=3D"on">City</st1:PlaceType></st1:place> clinic for general dentistry =
and
dental cleanings. While the <st1:PlaceName w:st=3D"on">Morehead</st1:PlaceN=
ame> <st1:PlaceType
w:st=3D"on">City</st1:PlaceType> clinic is affiliated with the medical cent=
er in <st1:City
w:st=3D"on">Durham</st1:City>, many area veterans who are patients at the <=
st1:City
w:st=3D"on">Fayetteville</st1:City> medical center also live close to the <=
st1:place
w:st=3D"on"><st1:PlaceName w:st=3D"on">Carteret</st1:PlaceName> <st1:PlaceT=
ype
 w:st=3D"on">County</st1:PlaceType></st1:place> site. By working together, =
the
two medical centers are making the new dental clinic accessible to all those
eligible veterans who live nearby.<span style=3D'mso-spacerun:yes'>&nbsp;
</span>While VA dental services have traditionally been associated with its=
 hospitals,
VA Mid-Atlantic Health Care Network Director Daniel Hoffmann believes the <=
st1:place
w:st=3D"on"><st1:PlaceName w:st=3D"on">Morehead</st1:PlaceName> <st1:PlaceT=
ype
 w:st=3D"on">City</st1:PlaceType></st1:place> clinic will be an example for
others to follow. </p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText><span style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;=
&nbsp;
</span>For many of the area's veterans, trips to a VA hospital require seve=
ral
hours. While specialty dental care may still require visits to <st1:City w:=
st=3D"on">Durham</st1:City>
or <st1:City w:st=3D"on">Fayetteville</st1:City>, the <st1:place w:st=3D"on=
"><st1:PlaceName
 w:st=3D"on">Morehead</st1:PlaceName> <st1:PlaceType w:st=3D"on">City</st1:=
PlaceType></st1:place>
clinic is now equipped with four dental exam rooms and will be staffed by t=
wo
general dentists, a dental hygienist and dental assistants. The <st1:place
w:st=3D"on"><st1:PlaceName w:st=3D"on">Morehead</st1:PlaceName> <st1:PlaceT=
ype
 w:st=3D"on">City</st1:PlaceType></st1:place> outpatient clinic currently
provides primary care and mental health care services to about 2,400 vetera=
ns.
The planned enrollment for the dental clinic is expected to be about 700
patients in the first year.<span style=3D'mso-spacerun:yes'>&nbsp; </span>T=
he
clinic was originally designed under the premise that it would serve as a j=
oint
clinic with the U.S. Navy. When that plan did not work out, the VA decided =
to
proceed with building the larger facility to accommodate future growth.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>At a community meeting last Octobe=
r, it
was announced that VA staff would be taking over operations of the clinic f=
rom
the private corporation that had provided care since the clinic's opening. =
VA
officials said at that time that the move would allow for better health care
for veterans in the area.<span style=3D'mso-spacerun:yes'>&nbsp; </span>An =
eye
clinic is expected to be added to the <st1:place w:st=3D"on"><st1:PlaceName
 w:st=3D"on">Morehead</st1:PlaceName> <st1:PlaceType w:st=3D"on">City</st1:=
PlaceType></st1:place>
site in October and the possibility of other services is being evaluated. A=
ll
the unused space will be filled with the additions, but other services such=
 as
dermatology or podiatry might be possible through visiting specialists. </p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText><span style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;
</span>The dental care at the <st1:place w:st=3D"on"><st1:PlaceName w:st=3D=
"on">Morehead</st1:PlaceName>
 <st1:PlaceType w:st=3D"on">City</st1:PlaceType></st1:place> clinic is for
dental-eligible veterans only.<span style=3D'mso-spacerun:yes'>&nbsp;
</span>Congress has established special eligibility rules for dental care f=
or
veterans. The majority of patients who are eligible are either 100% disabled
due to a service-connected condition, have a service-connected disability f=
or a
dental condition or are within 90 days of discharge from active duty.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>Patients must be referred to the c=
linic
by the VA Medical Center in <st1:City w:st=3D"on"><st1:place w:st=3D"on">Du=
rham</st1:place></st1:City>.
Priority will be given to eligible dental patients who are currently treate=
d in
<st1:City w:st=3D"on">Durham</st1:City> or <st1:City w:st=3D"on">Fayettevil=
le</st1:City>,
who live closer to <st1:place w:st=3D"on"><st1:PlaceName w:st=3D"on">Morehe=
ad</st1:PlaceName>
 <st1:PlaceType w:st=3D"on">City</st1:PlaceType></st1:place> and whose prov=
iders
feel they may transfer their care. Patients in these categories will be cal=
led
or will receive a letter telling them of their options to transfer their
routine dental care to the <st1:place w:st=3D"on"><st1:PlaceName w:st=3D"on=
">Morehead</st1:PlaceName>
 <st1:PlaceType w:st=3D"on">City</st1:PlaceType></st1:place> clinic. Current
users of VA care who would like to request dental care at the Morehead City
clinic may call the Durham VA Medical Center at1 (888) 878-6890, ext. 6247.=
 New
patients to the VA system should complete VA Form 10-10EZ in full, listing
&quot;Morehead City CBOC&quot; in section 1B. Packets can be picked up at t=
he
clinic, requested from the Durham VA Medical Center or obtained electronica=
lly
at www.1010ez.med.va.gov. Include a copy of DD214 if available and mail to:
Eligibility Office (136); VA Medical Center; <st1:Street w:st=3D"on"><st1:a=
ddress
 w:st=3D"on">508 Fulton St.</st1:address></st1:Street>; <st1:place w:st=3D"=
on"><st1:City
 w:st=3D"on">Durham</st1:City>, <st1:State w:st=3D"on">N.C.</st1:State> <st=
1:PostalCode
 w:st=3D"on">27705</st1:PostalCode></st1:place>. Patients will be contacted=
 by
phone once registration is complete. [Source: <st1:City w:st=3D"on"><st1:pl=
ace
 w:st=3D"on">Jacksonville</st1:place></st1:City> NC Daily News Staff Jannet=
te
Pippin article 9 Aug 07 ++]</p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText>TRICARE PRIME TRAVEL REIMBURSEMENT:<span
style=3D'mso-spacerun:yes'>&nbsp; </span>Tricare Prime beneficiaries referr=
ed by
their primary care manager for specialty services at a location more than 1=
00
miles from their provider&#8217;s location may be eligible to have their
reasonable travel expenses reimbursed by Tricare. Beneficiaries must have a
valid referral and travel orders prior to traveling, and file a travel claim
upon their return.<span style=3D'mso-spacerun:yes'>&nbsp; </span>This can be
requested at the military treatment facility (MTF) or from the Tricare Regi=
onal
Offices (TRO) if the doctor is a Tricare network provider. Beneficiaries wi=
ll
receive a briefing on the entitlement process, coverage, and their
responsibilities at the MTF or from the TRO point of contact. Reasonable tr=
avel
expenses are the actual costs incurred by the beneficiary when traveling to
their specialty provider.<span style=3D'mso-spacerun:yes'>&nbsp; </span>Cos=
ts
include meals, gas, tolls, parking, and tickets for public transportation
(i.e., airplane, train, bus, etc.).<span style=3D'mso-spacerun:yes'>&nbsp;
</span>Beneficiaries must submit receipts for expenses above $75. The MTF or
TRO will provide the beneficiary with specific instructions on how and wher=
e to
submit his or her travel entitlement claim. Government rates are used to
estimate the reasonable cost.<span style=3D'mso-spacerun:yes'>&nbsp;
</span>Beneficiaries are expected to use the least costly mode of
transportation.<span style=3D'mso-spacerun:yes'>&nbsp; </span>Costs of lodg=
ing
and meals may be reimbursed up to the government per diem rate. This benefit
does not apply to travel expense for specialty care experienced by active d=
uty
uniformed service members, or active duty family members residing with their
sponsors overseas, which are reimbursed by other travel entitlements.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>For more information on the Tricare
Prime Travel Reimbursement, refer to www.tricare.mil/factsheets.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>[Source: Tricare News Release 8 Aug
07++]</p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText>TRICARE PROVIDER TAX CREDIT:<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>The leadership of the state =
of <st1:State
w:st=3D"on"><st1:place w:st=3D"on">Oregon</st1:place></st1:State> took a gi=
ant step
forward in their unprecedented efforts to help Tricare beneficiaries receive
the health care they deserve.<span style=3D'mso-spacerun:yes'>&nbsp; </span=
>A
bill-signing ceremony was part of the fanfare surrounding the legislation,
which features a tax incentive package that encourages health care provider=
s to
support military families by participating in Tricare, the health care plan=
 for
the uniformed services, retirees, and their families. The incentives includ=
e a
one-time tax credit of $2,500 for new providers in the Tricare system, plus=
 an
additional annual credit for treating patients enrolled in Tricare.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>It also creates a deduction from f=
ederal
taxable income in the first two years of a provider's participation in the
Tricare system. TriWest Healthcare Alliance, the managed care support
contractor for the Tricare benefit in <st1:State w:st=3D"on">Oregon</st1:St=
ate>
and 20 other western states, applauded the efforts of Oregon Governor Ted
Kulongoski and the <st1:State w:st=3D"on"><st1:place w:st=3D"on">Oregon</st=
1:place></st1:State>
legislature.</p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText><span style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;=
&nbsp;
</span>TriWest has been conducting a proactive campaign to enlist state
governors in their service area to support active duty, retiree and Guard a=
nd
Reserve families by encouraging physicians to accept patients with Tricare.
With the encouragement and support of state leadership, the Oregon War Vete=
rans
Association and the Oregon Medical Association, TriWest Healthcare Alliance=
 has
increased the Tricare provider network in <st1:State w:st=3D"on"><st1:place
 w:st=3D"on">Oregon</st1:place></st1:State> by 35% since the fall of 2004.<=
span
style=3D'mso-spacerun:yes'>&nbsp; </span>There are currently more than 9,000
providers serving the 65,000 Tricare beneficiaries in <st1:State w:st=3D"on=
"><st1:place
 w:st=3D"on">Oregon</st1:place></st1:State>. Maj. Gen. Elder Granger, Deputy
Director, TMA said, &#8220;Increased availability of health care providers =
will
become even more important as an improved Tricare Reserve Select (TRS) heal=
th
care program launches this fall.&#8221; TRS offers a premium-based health c=
are
plan to National Guard and Reserve members.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>Starting 1 OCT 07, all eligible me=
mbers
of the Selected Reserve will be able to purchase health care coverage under=
 the
new TRS and all will pay the same low monthly premium.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>The current TRS plan, which remain=
s in
effect through 30 SEP, has a complex three-tier system requiring activation=
 in
support of a contingency operation, among others, to qualify for the lowest
monthly premiums. Members of the Selected Reserve can refer to www.tricare.=
mil
for more information on the improved TRS program.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>[Source:<span
style=3D'mso-spacerun:yes'>&nbsp; </span>Tricare News Release 8 Aug 07 ++]<=
/p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText><st1:State w:st=3D"on"><st1:place w:st=3D"on">OREGO=
N</st1:place></st1:State>
TAXES:<span style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>The following ta=
xes
are applicable to military retirees:</p>

<p class=3DMsoPlainText>Sales Taxes - State Sales Tax: None; Gasoline Tax: =
24.9
cents/gallon &amp; Diesel Fuel Tax: 24.3 cents/gallon (Local fuel taxes may=
 add
1 to 3 cents/gallon); Cigarette Tax: $1.18/pack of 20.<span
style=3D'mso-spacerun:yes'>&nbsp; </span></p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText>Personal Income Taxes - <st1:place w:st=3D"on"><st1=
:PlaceName
 w:st=3D"on">Tax</st1:PlaceName> <st1:PlaceName w:st=3D"on">Rate</st1:Place=
Name> <st1:PlaceType
 w:st=3D"on">Range</st1:PlaceType></st1:place>: Low - 5%; High - 9%. For jo=
int
returns, the taxes are twice the tax imposed on half the income.</p>

<p class=3DMsoPlainText>-<span style=3D'mso-tab-count:1'>&nbsp; </span>Inco=
me
Brackets: Lowest - $2,750; Highest - $6,851 w/3 brackets.</p>

<p class=3DMsoPlainText>-<span style=3D'mso-tab-count:1'>&nbsp; </span>Pers=
onal Tax
Credits: Single - $154; Married - $308; Dependents - $154; and a credit equ=
al
to 40% of federal credit</p>

<p class=3DMsoPlainText>-<span style=3D'mso-tab-count:1'>&nbsp; </span> Sta=
ndard
Deduction: Single - $1,840; Married filing jointly - $3,685; Single over 65=
 -
$1,200; Married over 65 filing jointly $2,000.</p>

<p class=3DMsoPlainText>-<span style=3D'mso-tab-count:1'>&nbsp; </span>Medi=
cal/Dental
Deduction: Full only for age 59 or older, if itemized.</p>

<p class=3DMsoPlainText>-<span style=3D'mso-tab-count:1'>&nbsp; </span>Fede=
ral
Income Tax Deduction: $5,000 ($2,500 if married filing separately) </p>

<p class=3DMsoPlainText>-<span style=3D'mso-tab-count:1'>&nbsp; </span><st1=
:State
w:st=3D"on"><st1:place w:st=3D"on">Oregon</st1:place></st1:State> has a sta=
tutory
provision for automatic adjustment of tax brackets, personal exemption or
standard deductions to the rate of inflation.</p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText>Retirement Income Taxes: Federal income tax rules
generally determine the amount of your pension that is taxed by <st1:State
w:st=3D"on"><st1:place w:st=3D"on">Oregon</st1:place></st1:State>.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>However, you may subtract some pen=
sions
on your <st1:State w:st=3D"on"><st1:place w:st=3D"on">Oregon</st1:place></s=
t1:State>
return that were taxed on your federal return.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>Pensions not taxed are Social Secu=
rity
benefits, Veterans Administration benefits and Railroad Board benefits.<span
style=3D'mso-spacerun:yes'>&nbsp; </span><st1:State w:st=3D"on"><st1:place =
w:st=3D"on">Oregon</st1:place></st1:State>
allows a subtraction for part or all of the payments you receive from the
federal pension system.<span style=3D'mso-spacerun:yes'>&nbsp; </span>Gener=
ally,
retirement income is subject to <st1:State w:st=3D"on"><st1:place w:st=3D"o=
n">Oregon</st1:place></st1:State>
tax.<span style=3D'mso-spacerun:yes'>&nbsp; </span>A tax credit of up to 9%=
 of
taxable pension income is available to recipients of pension income, includ=
ing
most private pension income, whose household income was less than $22,5000
(single) and $45,000 (joint), and who received less than $7,500/$15,000 in
Social Security or Railroad Retirement benefits.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>The credit is the lesser of tax
liability or 9% of taxable pension income.</p>

<p class=3DMsoPlainText>a.<span style=3D'mso-tab-count:1'> </span>Retired M=
ilitary
Pay: Federal retirees, including military personnel, may be able to subtract
some or all of their federal pension income.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>This includes benefits paid to the
retiree or to the surviving spouse.<span style=3D'mso-spacerun:yes'>&nbsp;
</span>The subtraction amount is based on the number of months of federal s=
ervice
before and after October 1, 1991.<span style=3D'mso-spacerun:yes'>&nbsp;
</span>Retirees can subtract their entire federal pension if all the months=
 of
federal service occurred before October 1, 1991.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>If there are no months of service =
before
October 1, 1991, retirees cannot subtract any federal pension.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>If service included months before =
and
after October 1, 1991, retirees can subtract a percentage of their pension
income.</p>

<p class=3DMsoPlainText>b.<span style=3D'mso-tab-count:1'> </span>Military
Disability Retired Pay: Disability Portion - Length of Service Pay; Member =
on
September 24, 1975 - No tax; Not Member on September 24, 1975 - Taxed, unle=
ss
combat incurred.<span style=3D'mso-spacerun:yes'>&nbsp; </span>Retired Pay -
Based solely on disability: Member on September 24, 1975 - No tax; Not Memb=
er
on September 24, 1975 - Taxed, unless all pay based on disability and
disability resulted from armed conflict, extra-hazardous service, simulated
war, or an instrumentality of war.</p>

<p class=3DMsoPlainText>c.<span style=3D'mso-tab-count:1'> </span>VA Disabi=
lity
Dependency and Indemnity Compensation: Not subject to federal or state taxe=
s.</p>

<p class=3DMsoPlainText>d.<span style=3D'mso-tab-count:1'> </span>Military
SBP/SSBP/RCSBP/RSFPP: Generally subject to state taxes for those states with
income tax.<span style=3D'mso-spacerun:yes'>&nbsp; </span>Check with state
department of revenue office.</p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText>Property Taxes:<span style=3D'mso-spacerun:yes'>&nb=
sp;
</span><st1:State w:st=3D"on"><st1:place w:st=3D"on">Oregon</st1:place></st=
1:State>
does not grant homeowners a homestead exemption.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>Tax rates are set by the counties =
and
any special considerations are levied by county officials. Homeowners 62 or
older may delay paying property taxes based on certain income criteria.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>The state offers a Disabled Citizen
Property Tax Deferral Program and a Senior Citizen Property Tax Deferral
Program.<span style=3D'mso-spacerun:yes'>&nbsp; </span>Both deferral progra=
ms
allow qualified taxpayers to defer payment of their property taxes on their=
 homes.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>The state pays the taxes to the co=
unty,
maintains the account, and charges 6% simple interest, which also is
deferred.<span style=3D'mso-spacerun:yes'>&nbsp; </span>Taxes are owed when=
 the
taxpayer receiving the deferral dies, sells the property, ceases to live
permanently on the property, or the property changes ownership. To qualify =
for
either program, the taxpayer must live on the property and have a total
household income of less than $36,500 for the year before application.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>Participants may remain on either
program as long as their federal adjusted gross income does not exceed that=
 amount.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>If a participant's income exceeds =
the
$36,500 limit, part of the taxes still may be deferred.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>Participants can come in and out o=
f the
programs if their income changes.<span style=3D'mso-spacerun:yes'>&nbsp;
</span>In addition to meeting the income limitation and property ownership
requirement, disabled persons must be receiving or be eligible to receive
federal Social Security Disability benefits to qualify.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>Residents must be 62 years old or =
older
to qualify for the Senior Citizen Property Tax Deferral Program.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>Call 800-356-4222 or 503-376-4988 =
for
details or refer to http://www.oregon.gov/DOR/SCD/faq.shtml#Anchor-What-495=
75. </p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText>Inheritance and Estate Taxes:<span
style=3D'mso-spacerun:yes'>&nbsp; </span>An Oregon inheritance tax return is
required to be filed whenever a federal estate tax return (Form 706) is
required to be filed.<span style=3D'mso-spacerun:yes'>&nbsp; </span>For a
resident decedent, <st1:State w:st=3D"on">Oregon</st1:State> taxes real pro=
perty
and tangible personal property located in <st1:State w:st=3D"on"><st1:place
 w:st=3D"on">Oregon</st1:place></st1:State> and intangible personal property
wherever it is located.<span style=3D'mso-spacerun:yes'>&nbsp; </span>For a
nonresident decedent, <st1:State w:st=3D"on">Oregon</st1:State> taxes real
property, tangible personal property, and intangible personal property loca=
ted
in <st1:State w:st=3D"on"><st1:place w:st=3D"on">Oregon</st1:place></st1:St=
ate>.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>An exemption is allowed for intang=
ible
personal property located in <st1:State w:st=3D"on"><st1:place w:st=3D"on">=
Oregon</st1:place></st1:State>
if a like exemption is allowed by the state of residence. </p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText>For latest information, visit the Oregon Department=
 of
Revenue site http://www.oregon.gov/DOR/ or call (503) 378-4988. [Source:
http://www.retirementliving.com/RLstate3.html Aug 07 ++]</p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText>DEPLETED URANIUM UPDATE 04:<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>In the wake of an Iraqi offi=
cial
in blaming <st1:country-region w:st=3D"on"><st1:place w:st=3D"on">America</=
st1:place></st1:country-region>&#8217;s
use of depleted uranium (DU) munitions in its 2003 &quot;Shock and Awe&quot;
campaign for a surge in cancer there, the Defense Department is facing an O=
CT
07 deadline for providing a comprehensive report to Congress on the health
effects of such weapons. The report is required by the National Defense
Authorization Act for Fiscal Year 2007, which President Bush signed into law
last year. The request for the study is an outgrowth of claims by <st1:coun=
try-region
w:st=3D"on"><st1:place w:st=3D"on">Iraq</st1:place></st1:country-region> war
veterans that exposure to depleted uranium and other toxic substances there=
 has
negatively affected their health and that, therefore, their illnesses shoul=
d be
recognized as war-related and the treatment covered by the Veterans
Administration. Currently, the State Department's Web site says fears about
adverse health effects of<span style=3D'mso-spacerun:yes'>&nbsp; </span>DU,=
 are &quot;unwarranted,&quot;
and it lists worries about DU under a section called &quot;identifying
misinformation.&quot; The site says the American military uses the material=
 in
ammunition to take advantage of its unsurpassed ability to penetrate armored
vehicles, and it cites four separate studies -- by NATO, the Rand Corporati=
on,
the European Commission, and the World Health Organization -- that found no
evidence of adverse health effects from depleted uranium.</p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText><span style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;=
&nbsp;
</span>Even so, worries persist. According to Rep. Jim McDermott [D-WA 07] =
who
pushed for the report from the Pentagon, &quot;There are countless stories =
of
mysterious illnesses, higher rates of serious illnesses, and even birth
defects. We do not know what role, if any, DU plays in the medical tragedie=
s in
<st1:country-region w:st=3D"on"><st1:place w:st=3D"on">Iraq</st1:place></st=
1:country-region>,
but we must find out.&quot; In contrast to soldiers who have lost limbs to
explosive devices in Iraq, who qualify for Traumatic Servicemembers Group L=
ife
Insurance injury benefits of up to $100,000, veterans with unexplained
cancers<span style=3D'mso-spacerun:yes'>&nbsp; </span>don't get benefits be=
cause
cancer is a disease and not a war wound. On 23 JUL 07, Iraq's environment
minister blamed at least 350 sites in Iraq being contaminated during bombing
with depleted uranium weapons for about 140,000 cases of cancer there and f=
or
between 7,000 and 8,000 new cases each year. A U.N. Environment Program rep=
ort
states that depleted uranium poses little threat if spent munitions are cle=
ared
from the ground. However, no major clean-up or public awareness campaigns h=
ave
been reported in <st1:country-region w:st=3D"on"><st1:place w:st=3D"on">Ira=
q</st1:place></st1:country-region>,
the report added.<span style=3D'mso-spacerun:yes'>&nbsp; </span>[Source:<sp=
an
style=3D'mso-spacerun:yes'>&nbsp; </span><st1:State w:st=3D"on"><st1:place =
w:st=3D"on">New
  York</st1:place></st1:State> Sun R.B. Stuart article 6 Aug 07 ++]</p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText>VA NORTH TEXAS SITREP:<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>The Veterans Affairs medical
system in <st1:place w:st=3D"on">North Texas</st1:place> has a new director=
, Joe
Dalpiaz, the third director in less than three years.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>He faces many challenges one of wh=
ich is
restoring local veteran&#8217;s faith in the ability of VA to care for their
needs. The veterans of Tarrant, Johnson, Parker and Wise counties can hardl=
y be
faulted for their concerns. The VA's clinic on <st1:Street w:st=3D"on"><st1=
:address
 w:st=3D"on">West Rosedale Street</st1:address></st1:Street> has been acute=
ly
overcrowded for close to a decade, and officials have talked about needing a
larger one for at least six years. The VA system in <st1:place w:st=3D"on">=
North
 Texas</st1:place> is confronting a daunting array of problems -- overwhelm=
ing
demand for services, long waits for appointments, complaints about rude
employees and scathing reports from its own inspector general. Dalpiaz, 49,=
 who
took over in May as part of a management overhaul, vows to work on getting =
it
right. The North Texas system<span style=3D'mso-spacerun:yes'>&nbsp; </span=
>(the <st1:City
w:st=3D"on">Dallas</st1:City> hospital, <st1:City w:st=3D"on"><st1:place w:=
st=3D"on">Fort
  Worth</st1:place></st1:City> clinic and a hospital and nursing home in
Bonham) is the fifth-largest VA system in the nation, drawing from a pool of
481,000 veterans in 40 counties. This year's budget is $511 million. Even a=
s it
has struggled, and sometimes failed, to handle the World War II, Korean War=
 and
Vietnam-era veterans, hundreds of veterans from the <st1:country-region w:s=
t=3D"on">Iraq</st1:country-region>
and <st1:country-region w:st=3D"on"><st1:place w:st=3D"on">Afghanistan</st1=
:place></st1:country-region>
wars have further burdened the system. Thirty percent of the new enrollees =
are
young men and women, many with complex mental health or brain injuries that
require considerable time and care.</p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText><span style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;=
&nbsp;
</span>Dalpiaz seemed surprised when he took over to discover there was no
strategic plan, no blueprint for where to go or how to get there. He insists
that veterans must be treated better by employees. The <st1:City w:st=3D"on=
"><st1:place
 w:st=3D"on">Fort Worth</st1:place></st1:City> hospital terminated 150 empl=
oyees
in the last year as a result of stricter performance and customer-service
expectations, and the hospital is actively seeking more and better nurses,
Dalpiaz said. He would like to improve the morale of nurses and physicians,=
 and
he said he is working to improve pay in a brutally competitive medical mark=
et
in <st1:place w:st=3D"on">North Texas</st1:place>. He also expects to hire =
more
people to answer the phones and reduce the wait time for a doctor appointme=
nt,
all of which he believes would improve people's perceptions of their care.
Eight months ago, the <st1:City w:st=3D"on"><st1:place w:st=3D"on">Fort Wor=
th</st1:place></st1:City>
clinic closed its enrollment to veterans, an extraordinary step. The
45,000-square-foot building, opened in DEC 91, was designed for 45,000
outpatient visits a year. But just a few years after the facility opened, t=
he
squeeze started, in part because the Air Force closed the hospital at Carsw=
ell AFB.
Patient numbers rose after a congressional decision to open VA healthcare to
any veteran, the managed-care crunch and ballooning cost of prescription dr=
ugs.
Last year, the facility recorded 149,429 outpatient visits -- three times m=
ore
than it was designed to handle. In December, officials at the <st1:City w:s=
t=3D"on"><st1:place
 w:st=3D"on">Fort Worth</st1:place></st1:City> clinic decided to close enro=
llment
to new veterans when the patient workload per doctor exceeded standards for
care. There are only 13 doctors and physician assistants working in the
building.</p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText><span style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;=
 </span><span
style=3D'mso-spacerun:yes'>&nbsp;</span>Anyone new who joins the system must
drive to the <st1:City w:st=3D"on"><st1:place w:st=3D"on">Dallas</st1:place=
></st1:City>
hospital in Oak Cliff. &quot;That's not good,&quot; Dalpiaz conceded. That's
because the <st1:City w:st=3D"on">Dallas</st1:City> facility is no less cro=
wded
than the <st1:City w:st=3D"on"><st1:place w:st=3D"on">Fort Worth</st1:place=
></st1:City>
clinic. The <st1:City w:st=3D"on"><st1:place w:st=3D"on">Dallas</st1:place>=
</st1:City>
facility sees close to 91,000 veterans annually and recorded more than 700,=
000
outpatient visits last year. Just trying to park at the <st1:City w:st=3D"o=
n"><st1:place
 w:st=3D"on">Dallas</st1:place></st1:City> facility can take half an hour o=
r more
and involve a 10-minute walk.</p>

<p class=3DMsoPlainText>The VA's requirement that a veteran get an appointm=
ent
within 30 days is being met only half the time. Mike George, the newly named
clinic administrator, said there's a ripple effect on the entire facility i=
f a
doctor falls behind, a suicidal patient shows up, a doctor calls in sick or=
 a
crush of veterans drop in without appointments.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>Eldon Armstrong of <st1:City w:st=
=3D"on"><st1:place
 w:st=3D"on">Grand Prairie</st1:place></st1:City>, adjutant of the state Di=
sabled
American Veterans chapter, said more funding is the answer to the VA's
problems. Other than an overburdened system, he characterized VA care in <s=
t1:place
w:st=3D"on">North Texas</st1:place> as outstanding. &quot;If the Congress w=
ould
fund the VA to build additional facilities and fund the cost of staffing th=
ose,
then that would help a patient like me get a timely appointment,&quot;
Armstrong said.</p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText><span style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;=
&nbsp;
</span>The VA has closed a real estate deal in south <st1:City w:st=3D"on">=
<st1:place
 w:st=3D"on">Fort Worth</st1:place></st1:City> and drawn up conceptual plan=
s, and
money has been set aside in the budget. Officials expect to break ground by=
 the
summer or fall of 2008. The new clinic will dwarf the existing building --
193,000 square feet larger, hundreds more parking spaces, a lunch cafe and
expansion room just off Interstate 20. The two-story building will have room
for 32 doctors, more than a twofold increase. The VA also hopes to start
offering cardiology, endoscopy, pulmonary and dermatology services in <st1:=
City
w:st=3D"on"><st1:place w:st=3D"on">Fort Worth</st1:place></st1:City> and wo=
uld like
to open a women's clinic. Plans include moving mental health services back =
into
the facility. &quot;It will be the largest leased clinic in the entire VA
system,&quot; said Bob Bearden, a facility planner for the system. Like the
facility on <st1:place w:st=3D"on">Rosedale</st1:place>, the VA will lease =
it
from a private developer for 20 years. Officials believed that they could no
longer wait for VA construction money to build it. But that means that the
estimated $4.2 million lease will come out of the <st1:place w:st=3D"on">No=
rth
 Texas</st1:place> system's operating budget -- the same money used to buy
drugs and pay nurses. The VA will increase doctors, nurses and support staf=
f in
<st1:City w:st=3D"on"><st1:place w:st=3D"on">Fort Worth</st1:place></st1:Ci=
ty>, but
whether it can afford to fully staff the clinic remains to be seen.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>[Source: Fort Worth Star-Telegram =
Chris
Vaughn article 5 Aug 07 ++]</p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText>VA CARE VET BACKLASH:<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>Angry veterans shouted down =
U.S.
Rep. Ciro Rodriguez [D-TX-23] as he tried to bring order to a forum for
veterans held in downtown <st1:City w:st=3D"on"><st1:place w:st=3D"on">San =
Antonio</st1:place></st1:City>
5 AUG.<span style=3D'mso-spacerun:yes'>&nbsp; </span>&quot;We know, we
understand, how crucial this issue is,&quot; the San Antonio congressman tr=
ied
to tell an overflow crowd of veterans who had been invited to ask questions=
 and
share experiences with U.S. Rep. Bob Filner [D-CA] , chairman of the House
Committee on Veterans' Affairs, along with Rodriguez and two other Democrat=
ic
congressmen from Texas. But Rodriguez was drowned out and ultimately gave t=
he
floor to Jack E. Long, one of several vets who heckled the moderator as she
tried to read e-mail questions that had been sent to the congressmen in
advance.<span style=3D'mso-spacerun:yes'>&nbsp; </span>&quot;Don't try to t=
alk
over me!&quot; Long yelled to Rodriguez as he clutched his wife's hand.
&quot;I've had PTSD for years, and I've been turned away from the VA five
times! I served my country for 44 years!&quot; Veterans and their families
around him cheered and clapped. Then they set about telling the congressmen
that a nation that claims to support its troops hasn't done well by them si=
nce
they served; many of them said they've had to deal with PTSD, or post-traum=
atic
stress disorder. Hancock Darrell refused to sit until he, too, could tell h=
is
story.<span style=3D'mso-spacerun:yes'>&nbsp; </span>&quot;I've had PTSD fo=
r 24
years,&quot; Darrell shouted. &quot;I've been diagnosed five times. But what
does the VA say? 'We need more information.' And they turn me down again.&q=
uot;
</p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText><span style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;=
&nbsp;
</span>Filner then told the audience that the House had committed &quot;ten=
s of
billions&quot; into the 2008 budget for PTSD. He said he was working to cha=
nge
the adversarial relationship the Department of Veterans Affairs has with so
many veterans, especially those of the <st1:country-region w:st=3D"on"><st1=
:place
 w:st=3D"on">Vietnam</st1:place></st1:country-region> era. &quot;I want to =
run a
claim system like the IRS,&quot; he said.<span style=3D'mso-spacerun:yes'>&=
nbsp;
</span>Such a system would accept a veteran's claim on its face rather than
force the veteran &quot;to prove Agent Orange caused this. You shouldn't ha=
ve
to prove anything. You served us; now we should be serving you.&quot;<span
style=3D'mso-spacerun:yes'>&nbsp; </span>U.S. Rep. Charlie Gonzalez [D-TX-2=
0] of <st1:City
w:st=3D"on">San Antonio</st1:City>, who joined Filner, Rep. Henry Cuellar [=
D-TX-28]
of <st1:City w:st=3D"on"><st1:place w:st=3D"on">Laredo</st1:place></st1:Cit=
y> and
Rodriguez on the stage, took the microphone to plead for unity.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>&quot;We're not fighting smart,&qu=
ot; he
said. &quot;We're fighting ourselves here today. We have to show people that
veterans are not part of our past.&quot; The key to a healthy volunteer mil=
itary,
he said, is showing young people who might be interested in serving that th=
ey
will be taken care of after they leave the military. Rodriguez, who sits on=
 the
Veterans' Affairs Committee, noted that 80% of veterans get no care from the
VA, many because they've become disillusioned with an agency that has a bac=
klog
of claims close to 800,000 claims that can take years to resolve. </p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText><span style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;=
&nbsp;
</span>In his opening remarks, Filner said he had come to listen and learn,=
 and
he asked the capacity crowd how many had served in <st1:country-region w:st=
=3D"on"><st1:place
 w:st=3D"on">Vietnam</st1:place></st1:country-region>. The majority in the =
room
raised their hands. &quot;Thank you for your service,&quot; he said, &quot;=
And
I am sorry. We did not do the job for you.&quot; More than 200,000 homeless=
 <st1:country-region
w:st=3D"on">Vietnam</st1:country-region> veterans will sleep on the streets
tonight, he told the crowd, and as many <st1:country-region w:st=3D"on"><st=
1:place
 w:st=3D"on">Vietnam</st1:place></st1:country-region> veterans have now com=
mitted
suicide as died in the war.<span style=3D'mso-spacerun:yes'>&nbsp;
</span>&quot;And that is a moral disgrace. We must correct it as best we can
and make sure it never happens again.&quot; The ratio of injured to killed =
in
today's wars is a staggering 17-to-1, he said. In <st1:country-region w:st=
=3D"on"><st1:place
 w:st=3D"on">Vietnam</st1:place></st1:country-region>, it was 3-to-1. &quot=
;We
spend $1 billion every two and a half days&quot; in <st1:country-region w:s=
t=3D"on">Iraq</st1:country-region>
and <st1:country-region w:st=3D"on"><st1:place w:st=3D"on">Afghanistan</st1=
:place></st1:country-region>,
he said. &quot;Supporting our troops at home needs to be part of that
cost.&quot; Congress has added $13 billion to the 2008 budget for
veterans&#8217; affairs, Filner said, calling it the largest increase ever.
&quot;The resources will be there. It's our job to make sure they serve
you.&quot; Long before the audience was ready, the hour long session came t=
o a
close and the congressmen headed to <st1:City w:st=3D"on"><st1:place w:st=
=3D"on">Del
  Rio</st1:place></st1:City> for another veterans forum that evening.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>[Source: San Antonio Express-News =
Tracy
Hamilton article 5 Aug 07 ++]</p>

<p class=3DMsoPlainText><span style=3D'mso-spacerun:yes'>&nbsp;</span></p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText>PUERTO RICO MEDICAL FRAUD:<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>Over 80 doctors and licensing
board administrators from Puerto Rico have been indicted by a <st1:country-=
region
w:st=3D"on">US</st1:country-region> federal grand jury for taking part in a=
 large
scale fraud that helped unqualified doctors in the self governing <st1:coun=
try-region
w:st=3D"on"><st1:place w:st=3D"on">US</st1:place></st1:country-region> terr=
itory
obtain medical licenses through alleged bribery and deception. Most of the
defendants are Puerto Rican and have been practicing as doctors in Puerto R=
ico,
including in emergency departments, but so far, according to the authoritie=
s,
none has practiced on mainland <st1:country-region w:st=3D"on"><st1:place w=
:st=3D"on">USA</st1:place></st1:country-region>.
A medical license from Puerto Rico is recognized in five <st1:country-region
w:st=3D"on">US</st1:country-region> states: <st1:State w:st=3D"on">Arizona<=
/st1:State>,
<st1:State w:st=3D"on">Florida</st1:State>, <st1:City w:st=3D"on">New York<=
/st1:City>,
<st1:State w:st=3D"on">Texas</st1:State>, and <st1:State w:st=3D"on"><st1:p=
lace
 w:st=3D"on">Virginia</st1:place></st1:State>. The defendants are said to h=
ave
obtained false licenses by various means, including bribing officials with =
up
to $10,000 and substituting exam papers submitted by successful candidates =
for
their own. According to ABC News, a secretary at the licensing board allege=
dly
cut and paste extracts of papers from successful candidates into the papers
submitted by some of the defendants so they could be passed off as authenti=
c.
Some of the cases are thought to have involved &#8220;intermediaries&#8221;.
These are people who approached doctors who failed their exams and suggeste=
d to
them they could get licenses by other means. The intermediaries liaised bet=
ween
the doctors and the licensing board officials.</p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText><span style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;=
&nbsp;
</span>Some of the defendants had failed their medical exams a dozen times.
Most of them did their medical training overseas, for instance in the <st1:=
country-region
w:st=3D"on">Dominican Republic</st1:country-region>, <st1:country-region w:=
st=3D"on">Mexico</st1:country-region>
and <st1:country-region w:st=3D"on"><st1:place w:st=3D"on">Cuba</st1:place>=
</st1:country-region>.
One of the people arrested is the former executive director of the licensing
board in <st1:place w:st=3D"on">Puerto Rico</st1:place>, Pablo Valentin.
Television news showed him being led away by local police and agents from t=
he
US Food and Drug Administration (FDA). The current list of charges could be=
 the
tip of the iceberg as federal agencies unravel the threads of a fraud that
could stretch farther back than 2001, the year the current charges reaches =
back
to. The pattern of the scores on the test papers suggests this could have b=
een
going on much earlier, said one attorney. Also, there could be implications=
 in
other areas of the law. For instance, if the defendants have prescribed
medication while unlicensed, then they could face charges under the Control=
led
Substances Act. And if they have submitted claims to Medicare or Medicaid w=
hile
unlicensed, these actions may attract charges of false statements and mail
fraud. The defendants, if convicted, could face prison terms of 5 to 20 yea=
rs.
Federal authorities are searching for nine other suspects, 3 believed to be=
 in
Puerto Rico and 5 in <st1:City w:st=3D"on">Philadelphia</st1:City>, <st1:St=
ate
w:st=3D"on">Florida</st1:State> and the <st1:country-region w:st=3D"on"><st=
1:place
 w:st=3D"on">Dominican Republic</st1:place></st1:country-region>.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>[Source: AP Michael Melia article =
3 Aug
07 ++]<span style=3D'mso-spacerun:yes'>&nbsp; </span></p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText>SALUTING THE FLAG:<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>The Senate has passed legisl=
ation
to ensure that veterans and service members can salute the flag when not in
uniform.<span style=3D'mso-spacerun:yes'>&nbsp; </span>The bill S.1877, spo=
nsored
by Sen. James Inhofe [R-OK] would address the ambiguity of current law, whi=
ch
states that veterans and service members not in uniform should place their =
hand
over their hearts, without specifying whether they can or should salute the
flag. Inhofe said, &#8220;The salute is a form of honor and respect,
representing pride in one&#8217;s military service. Unfortunately, current =
<st1:country-region
w:st=3D"on"><st1:place w:st=3D"on">U.S.</st1:place></st1:country-region> la=
w leaves
confusion as to whether veterans and service members out of uniform can or
should salute the flag.&#8221; Inhofe said he believes this is &#8220;an
appropriate way to honor and recognize the 25 million veterans who have ser=
ved
in the military and remain as role models to others citizens. Those who are
currently serving or have served in the military have earned this right, and
their recognition will be an inspiration to others.&#8221; The House would =
have
to agree to the legislation before it could become law.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>The bill does not address the ambi=
guity
of veterans saluting during The Pledge of Allegiance and playing of the
National Anthem.<span style=3D'mso-spacerun:yes'>&nbsp; </span>Present poli=
cy for
saluting is:</p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText>-<span style=3D'mso-tab-count:1'>&nbsp; </span>When=
 the
flag passes in a procession, or when it is hoisted or lowered, all should f=
ace
the flag and salute.</p>

<p class=3DMsoPlainText>-<span style=3D'mso-tab-count:1'>&nbsp; </span>To s=
alute,
all persons come to attention. </p>

<p class=3DMsoPlainText>-<span style=3D'mso-tab-count:1'>&nbsp; </span>Thos=
e in
uniform give the appropriate formal salute. </p>

<p class=3DMsoPlainText>-<span style=3D'mso-tab-count:1'>&nbsp; </span>Citi=
zens not
in uniform salute by placing their right hand over the heart and men with h=
ead
cover should remove it and hold it to left shoulder, hand over the heart. <=
/p>

<p class=3DMsoPlainText>-<span style=3D'mso-tab-count:1'>&nbsp; </span>Memb=
ers of
organizations in formation salute upon command of the person in charge.</p>

<p class=3DMsoPlainText>-<span style=3D'mso-tab-count:1'>&nbsp; </span>The =
pledge
of allegiance should be rendered by standing at attention, facing the flag,=
 and
saluting. When the national anthem is played or sung, citizens should stand=
 at
attention and salute at the first note and hold the salute through the last
note. The salute is directed to the flag, if displayed, otherwise to the mu=
sic.</p>

<p class=3DMsoPlainText>[Source:<span style=3D'mso-spacerun:yes'>&nbsp;
</span>ArmyTimes Daily News Roundup 3 Aug 07 ++]</p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText>VA FACILITY EXPANSION UPDATE 05:<span
style=3D'mso-spacerun:yes'>&nbsp; </span>VA and <st1:PlaceType w:st=3D"on">=
Ft.</st1:PlaceType>
<st1:PlaceName w:st=3D"on">Bragg</st1:PlaceName> have opened a newly expand=
ed
facility to explain benefits to transitioning service members at the
post&#8217;s <st1:place w:st=3D"on"><st1:PlaceName w:st=3D"on">Soldier</st1=
:PlaceName>
 <st1:PlaceName w:st=3D"on">Support</st1:PlaceName> <st1:PlaceType w:st=3D"=
on">Center</st1:PlaceType></st1:place>.
Dedication of the facility, called a Benefits Delivery Office, was held 1 A=
UG
at Building 4-2843 on <st1:Street w:st=3D"on"><st1:address w:st=3D"on">Norm=
andy
  Drive</st1:address></st1:Street>.<span style=3D'mso-spacerun:yes'>&nbsp;
</span>In <st1:State w:st=3D"on">North Carolina</st1:State>, in addition to=
 <st1:place
w:st=3D"on"><st1:City w:st=3D"on">Fort Bragg</st1:City>, <st1:State w:st=3D=
"on">VA</st1:State></st1:place>
operates benefits offices on Camp Lejeune Marine Corps Base and New River
Marine Corps Air Station, with services provided at Cherry Point Marine Cor=
ps
Air Station and Seymour Johnson Air Force Base. The Benefits Delivery Offic=
e is
open from 08-1600 weekdays. Information on VA benefits can also be obtained=
 by
calling 1(800) 827-1000, or by visiting the VA website at www.va.gov. [Sour=
ce:
NAUS Weekly Update 3Aug 07 ++]</p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText>VA LOCAL ACCESS:<span style=3D'mso-spacerun:yes'>&n=
bsp;
</span>The Department of Veterans Affairs is represented by numerous Region=
al
offices (VARO), state Benefit Offices, <st1:PlaceName w:st=3D"on">Vet</st1:=
PlaceName>
<st1:PlaceType w:st=3D"on">Centers</st1:PlaceType>, and medical facilities
throughout the <st1:country-region w:st=3D"on"><st1:place w:st=3D"on">U.S.<=
/st1:place></st1:country-region>
and its territories. Locations of these facilities can be found at:</p>

<p class=3DMsoPlainText>-<span style=3D'mso-tab-count:1'>&nbsp; </span>VARO:
http://www.vba.va.gov/benefits/ROcontacts.htm</p>

<p class=3DMsoPlainText>-<span style=3D'mso-tab-count:1'>&nbsp; </span>State
Benefit Offices: http://www.va.gov/statedva.htm</p>

<p class=3DMsoPlainText>-<span style=3D'mso-tab-count:1'>&nbsp; </span>Vet =
Centers:
http://www1.va.gov/directory/guide/vetcenter.asp</p>

<p class=3DMsoPlainText>-<span style=3D'mso-tab-count:1'>&nbsp; </span>Medi=
cal,
cemetery, and all the above:<span style=3D'mso-spacerun:yes'>&nbsp;
</span>http://www1.va.gov/directory/guide/home.asp.</p>

<p class=3DMsoPlainText>-<span style=3D'mso-tab-count:1'>&nbsp; </span>The =
yellow
pages of your local telephone directory under &#8220;Government Offices&#82=
21; </p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText>For questions or information you get an email respo=
nse by
asking your question at
https://iris.va.gov/scripts/iris.cfg/php.exe/enduser/home.php.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>To talk to someone you can go to y=
our
local VA office or call the following </p>

<p class=3DMsoPlainText>-<span style=3D'mso-tab-count:1'>&nbsp; </span>VA B=
enefits:
1(800) 827-1000 for Burial; Civilian Health &amp; Medical Program of the
Department of Veterans Affairs (CHAMPVA); Death Pension; Dependency Indemni=
ty
Compensation; Direct Deposit; Directions to VA Benefits Regional Offices;
Disability Compensation; Disability Pension; Education; Home Loan Guaranty;
Life Insurance; Medical Care; Vocational Rehabilitation &amp; Employment.</=
p>

<p class=3DMsoPlainText>-<span style=3D'mso-tab-count:1'>&nbsp; </span>Educ=
ation
(GI Bill): 1(888) 442-4551</p>

<p class=3DMsoPlainText>-<span style=3D'mso-tab-count:1'>&nbsp; </span>Heal=
th Care
Benefits: 1(877) 222-8387</p>

<p class=3DMsoPlainText>-<span style=3D'mso-tab-count:1'>&nbsp; </span>Inco=
me
Verification and Means Testing: 1(800) 929-8387</p>

<p class=3DMsoPlainText>-<span style=3D'mso-tab-count:1'>&nbsp; </span>Life
Insurance: 1(800) 669-8477</p>

<p class=3DMsoPlainText>-<span style=3D'mso-tab-count:1'>&nbsp; </span>Mamm=
ography
Helpline: 1(888) 492-7844</p>

<p class=3DMsoPlainText>-<span style=3D'mso-tab-count:1'>&nbsp; </span>Spec=
ial
Issues - Gulf War/Agent <st1:City w:st=3D"on"><st1:place w:st=3D"on">Orange=
</st1:place></st1:City>/Project
Shad/Mustard Agents and Lewisite/Ionizing Radiation: 1(800) 749-8387</p>

<p class=3DMsoPlainText>-<span style=3D'mso-tab-count:1'>&nbsp; </span>Stat=
us of
Headstones and Markers: 1(800) 697-6947</p>

<p class=3DMsoPlainText>-<span style=3D'mso-tab-count:1'>&nbsp; </span>Tele=
communications
Device for the Deaf (TDD): 1(800) 829-4833</p>

<p class=3DMsoPlainText>-<span style=3D'mso-tab-count:1'>&nbsp; </span><st1=
:place
w:st=3D"on"><st1:PlaceName w:st=3D"on">Suicide</st1:PlaceName> <st1:PlaceNa=
me
 w:st=3D"on">Call</st1:PlaceName> <st1:PlaceType w:st=3D"on">Center</st1:Pl=
aceType></st1:place>:
1(800) 273-TALK (8255).</p>

<p class=3DMsoPlainText>[Source:<span style=3D'mso-spacerun:yes'>&nbsp; </s=
pan>VA
website www.vba.gov Aug 07 ++]</p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText>VA CLINIC OPENINGS UPDATE 05: The Department of Vet=
erans
Affairs (VA) announced week to construct in <st1:place w:st=3D"on">Guam</st=
1:place>
a new $5.4 million outpatient clinic (OPC) on the periphery of the
island&#8217;s naval hospital.<span style=3D'mso-spacerun:yes'>&nbsp; </spa=
n>The
plan approved by VA Secretary Jim Nicholson calls for a 6,000 square-foot
outpatient clinic next to the grounds of the naval hospital, with its own
parking area.<span style=3D'mso-spacerun:yes'>&nbsp; </span>Patients will n=
ot
have to pass through Navy security to get to the facility.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>The new OPC is scheduled to open i=
n the
summer of 2009.<span style=3D'mso-spacerun:yes'>&nbsp; </span>It will repla=
ce the
existing 2,700 square-foot VA OPC at the naval hospital.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>VA will still partner with the nav=
al
facility for emergency and after-hours health care, acute inpatient care and
some specialty services.<span style=3D'mso-spacerun:yes'>&nbsp; </span>Abou=
t 9,000
veterans live on the island.<span style=3D'mso-spacerun:yes'>&nbsp; </span>=
The
existing clinic employs a staff of 11, including an internal medicine
physician, psychiatrist and nurse practitioner.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>It provides primary care, mental h=
ealth
care, limited specialty services and physical examinations for VA&#8217;s
compensation and pension benefits.<span style=3D'mso-spacerun:yes'>&nbsp;
</span>[Source: NAUS Weekly Update 3 Aug 07 ++]</p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText>SBP BASICS UPDATE 01:<span
style=3D'mso-spacerun:yes'>&nbsp; </span>When a military retiree dies their
retirement pay stops. This means that the surviving spouse will be left wit=
hout
a substantial income source. If you are considering retirement you need to =
give
serious thought to how you can protect your spouse from the hardships cause=
d by
the loss your retirement pay.<span style=3D'mso-spacerun:yes'>&nbsp; </span=
>One
option available to you is the Survivor Benefit Plan (SBP). This is an
insurance plan that will pay your surviving spouse a monthly payment (taxab=
le
annuity) to help make up for the loss of your retirement income. The plan is
designed to protect your survivors against the risks of your early death; y=
our
survivor outliving the benefits; and inflation. At retirement, full basic S=
BP
for spouse and children will take effect automatically if you make no other
valid election. You may not reduce or decline spouse coverage without your
spouse's written consent. This means you will have to have your spouses inp=
ut
in the decision and his or her signature is required.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>If you are divorced or not married=
 than
any future spouse can be signed up within one year of the marriage.<span
style=3D'mso-spacerun:yes'>&nbsp; </span></p>

<p class=3DMsoPlainText><span style=3D'mso-spacerun:yes'>&nbsp;</span></p>

<p class=3DMsoPlainText><span style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;
</span>If you do not decline SBP you will be required to pay a monthly prem=
ium.
If a marriage ends, the SBP premium payments are stopped when the retiree
notifies DFAS. Premiums and benefits are based on the base amount or benefit
level that you elect. Your base amount can be any amount from full coverage
down to as little as $300 a month. Full coverage is based on your full reti=
red
pay meaning your spouse will receive 55% of your retirement pay. If you sel=
ect
lesser coverage then your spouse will receive 55% of your elected base
amount.<span style=3D'mso-spacerun:yes'>&nbsp; </span>A surviving spouse's =
SBP
annuity is reduced when they reach age 62 and become eligible for Social
Security. This is called the Social Security offset. In the past the offset
reduced the SBP annuity to 35% of the base amount.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>Fortunately the NDAA of 2005 estab=
lished
a phase out of the offset.<span style=3D'mso-spacerun:yes'>&nbsp; </span>Th=
is will
increase the SBP offset percentage from the present 50 to 55% effective 1 A=
PR
08. Categories of coverage are:</p>

<p class=3DMsoPlainText>-<span style=3D'mso-tab-count:1'>&nbsp; </span>Spou=
se Only:
Eligibility for this requires that a surviving spouse be a widow or widower=
 who
was married to a retiree at the time of his or her enrollment; or, if not
married at the time of enrollment, was married to the deceased retiree for =
at
least one year prior to the retiree&#8217;s death; or, if not married at ti=
me
of enrollment and was not married to the deceased retiree for at least one =
year
prior to death, was the parent of issue by that marriage. Spouse coverage a=
pplies
not only to the spouse a member has at time of enrollment, but also
automatically to any subsequent spouse the member might acquire, unless the
member elects to decline coverage for a subsequent spouse within one year of
the date of marriage (concurrence of the subsequent spouse is not required,=
 but
that spouse will be notified of the member&#8217;s declination).</p>

<p class=3DMsoPlainText>-<span style=3D'mso-tab-count:1'>&nbsp; </span>Spou=
se (or
Former Spouse) and Child: SBP protection is expanded to cover an eligible c=
hild
or children if there is no surviving spouse, or if a surviving spouse
subsequently dies or becomes ineligible to receive benefits due to remarria=
ge
before the age of 55. Thus, if there is a divorce or if the spouse dies bef=
ore
the retiree, the full annuity will be paid to the eligible surviving child =
or
children in the same manner as if the member had elected Child Only coverag=
e.</p>

<p class=3DMsoPlainText>-<span style=3D'mso-tab-count:1'>&nbsp; </span>Chil=
d Only:
This option provides an annuity only for dependent children regardless of
whether a member is married or not at time of enrollment (although a married
member&#8217;s spouse must concur with a child only election). Children rem=
ain
beneficiaries until age 18 or age 22 if a full-time, unmarried student.
Children mentally or physically incapable of self-support remain eligible,
while unmarried, for as long as the incapacitation exists. A member with no
dependent children at time of eligibility to elect coverage may elect cover=
age
for a child subsequently acquired, but the child must be added within one y=
ear
of being acquired (born, adopted, etc.).</p>

<p class=3DMsoPlainText>-<span style=3D'mso-tab-count:1'>&nbsp; </span>Form=
er
Spouse: A member who has a former spouse upon becoming eligible to elect a
survivor annuity may elect coverage for a former spouse. If the member has =
more
than one former spouse, the member must specify which former spouse is being
covered. An election for a former spouse prevents payment of an annuity to a
current spouse. A former spouse who was not a member&#8217;s former spouse =
on
the date a member became eligible to participate in SBP must have been marr=
ied
to the member for at least one year in order to be named as a former spouse=
 beneficiary.</p>

<p class=3DMsoPlainText>-<span style=3D'mso-tab-count:1'>&nbsp; </span>Insu=
rable
Interest:<span style=3D'mso-spacerun:yes'>&nbsp; </span>A member who does n=
ot
have a spouse or dependent child when eligible to make a program election m=
ay
elect to provide coverage for a person with an insurable interest in the me=
mber
(such as, a business partner or parent). DoD defines an insurable interest =
as a
natural person who has a reasonable and lawful expectation of financial ben=
efit
from the continued life of the participating member, or any individual havi=
ng a
reasonable and lawful basis, founded upon the relation of parties to each
other, either financial or of blood or affinity, to expect some benefit or
advantage from the continuance of the life of the retired member. If the
election is for a person who is more nearly related than a cousin, no proof=
 of
financial expectation is required. An election for insurable interest cover=
age,
for other than a dependent made by a member retiring on or after 24 NOV 03
under a military disability provision, who dies within one year after being
retired due to a cause related to the disability for which retired, shall be
voided and any premiums paid for that coverage will be paid to the person to
whom the annuity would have been paid.</p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText>Like your retirement pay the SBP annuity is protect=
ed
from inflation. Each year when retired pay gets a COLA, so does the base
amount, and as a result, so do premiums and annuity payments.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>Meaning that your premiums and ann=
uity
payments will increase with the COLA. These increases are determined by the
previous year's Consumer Price Index and averages approximately 2.5%. For
specific costs on your election refer to
http://www.military.com/benefits/survivor-benefits/coverage-cost-and-benefi=
ts.
NOTE: Survivors should report retiree deaths to the DFAS casualty office at
1(800) 269-5170. Faxes can be sent to the office at 1(800) 469-6559.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>[Source: NCPOA Don Harribine 2 Aug=
 07
++]</p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText>RETIREE ANNUAL COLAS UPDATE 01: Military retired pay
rises each year to ensure that inflation does not erode the purchasing powe=
r of
retirees. These cost-of-living adjustments, known as COLAs, match the annual
increase in Social Security benefits. They become effective each 1 DEC and
first show up in January paychecks. The foundation for the COLA adjustment =
is
the Labor Department&#8217;s Consumer Price Index, a measure of the cost of=
 certain
categories of goods and services that is updated monthly. There is one over=
all
CPI, as well as a variety of more specific indexes. The index upon which the
retired pay COLA is based is called the CPI for Urban Wage Earners and Cler=
ical
Workers, or CPI-W. The rate of inflation may rise and fall throughout the y=
ear,
but the exact increase in retired pay is based only on the average inflation
rate over the last quarter of the fiscal year that runs from Oct. 1 to Sept=
 30.
The size of the increase is equal to the difference between the average
inflation rate in that quarter and the average inflation rate in the same
quarter of the previous fiscal year. For the purposes of military retired p=
ay,
this means the only months in which inflation matters are July, August and
September.<span style=3D'mso-spacerun:yes'>&nbsp; </span>So far this fiscal=
 year
inflation rates have been OCT 06 (-1.1), NOV 06 (-1.2), DEC 06 (-1.0), JAN =
07
(-0.8), FEB 07 (-0.3), MAR 07 (0.8), APR 07 (1.5), MAY 07 (2.3), &amp; JUN =
07
(2.4).<span style=3D'mso-spacerun:yes'>&nbsp; </span>Thus, if the last the
month&#8217;s CPI-W rates were to be used to compute the 2008 COLA we would=
 be
looking at an increase of<span style=3D'mso-spacerun:yes'>&nbsp; </span>1.5=
 + 2.3
+ 2.4 divided by 3 which equates to<span style=3D'mso-spacerun:yes'>&nbsp;
</span>2.1%. Service members who retire in a given fiscal year receive a
partial COLA for that year only, based on the date of their retirement. They
receive the full COLA in subsequent years. The retired pay COLA technically=
 is
not automatic; Congress must formally approve it each year. To track CPI-W
yourself go to www.armytimes.com and click on &quot;Retirement Tracking your
COLA&#8221;.<span style=3D'mso-spacerun:yes'>&nbsp; </span>[Source:<span
style=3D'mso-spacerun:yes'>&nbsp; </span>Army Times Aug 07 ++]</p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText>VA FRAUD UPDATE 01:<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>The <st1:country-region w:st=3D"on">U.S.</st1:country-region> attorn=
ey's
office announced 1 AUG that a grand jury has indicted a 63-year-old <st1:Ci=
ty
w:st=3D"on"><st1:place w:st=3D"on">San Diego</st1:place></st1:City> woman on
charges alleging that she embezzled more than $120,000 in military veteran's
survivor benefits over a 10-year period. Linda Bent Lampert is scheduled to=
 be
arraigned on the 36-count indictment 6 AUG, federal prosecutors said in a n=
ews
release. Lampert is alleged to have received benefits through the Dependency
Indemnity Compensation (DIC) program, which provides money to the unmarried,
surviving spouses of military veterans who have died. Lampert's mother was
eligible to receive the benefits from DEC 75 until her death in AUG 96, but
Lampert continued to receive the payments after her mother died, according =
to federal
prosecutors. Lampert is alleged to have forged her mother's signature in AU=
G 03
on a document submitted to the Department of Veterans Affairs, which
administers the program, according to federal prosecutors. [Source: San Die=
go
North County Times Scott Marshal article 1 Aug 07 ++]</p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText><st1:City w:st=3D"on">VET HOME</st1:City> <st1:Stat=
e w:st=3D"on">TENNESSEE</st1:State>:<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>On 1 AUG state officials sai=
d the
state veterans' home in <st1:place w:st=3D"on"><st1:City w:st=3D"on">Murfre=
esboro</st1:City>
 <st1:State w:st=3D"on">TN</st1:State></st1:place> has been fined nearly $2=
00,000
for violations thus far this year.<span style=3D'mso-spacerun:yes'>&nbsp;
</span>The home was being fined $6,000 a day by the Centers for Medicare and
Medicaid Services, but that fine has since been knocked down to $800 a day
because of improvements in care.<span style=3D'mso-spacerun:yes'>&nbsp;
</span>State Finance Commissioner Dave Goetz told a joint legislative commi=
ttee
that the state can't simply pay the $198,900 fine because the veterans' hom=
es
were set up by the Legislature to be managed by an independent board.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>Goetz recommended that lawmakers
consider changing the management structure for the veterans' homes in <st1:=
City
w:st=3D"on">Murfreesboro</st1:City>, Humboldt and <st1:City w:st=3D"on"><st=
1:place
 w:st=3D"on">Knoxville</st1:place></st1:City>. Gov. Phil Bredesen in JUN 07=
 put a
freeze on new admissions to the homes after an investigation into the
Murfreesboro facility found the staff failed to manage residents who showed
aggressive behavior, protect residents from harm, report unusual incidents =
and
investigate injuries.<span style=3D'mso-spacerun:yes'>&nbsp; </span>The nur=
sing
home was also fined by state and federal officials last year after a report=
 by
the state Health Department found workers failed to treat bedsores and foll=
ow
doctors' orders, putting residents' lives in danger.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>Bredesen lifted the admissions ban=
 for
the <st1:City w:st=3D"on"><st1:place w:st=3D"on">Knoxville</st1:place></st1=
:City>
and Humboldt homes last month. </p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText><span style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;=
&nbsp;
</span>When the state's first veterans home opened in <st1:City w:st=3D"on"=
><st1:place
 w:st=3D"on">Murfreesboro</st1:place></st1:City>, the plan was for it and a=
ny
other homes to finance themselves through federal Veterans Affairs money, f=
rom
Medicare and Medicaid payments and from private pay. But the homes have not
become self-sufficient.<span style=3D'mso-spacerun:yes'>&nbsp; </span>They =
have
also become riddled with accounting problems that have led to incomplete
financial records, according to a state audit. Goetz said the state has put=
 on
hold a plan to open a new veterans home in <st1:City w:st=3D"on"><st1:place
 w:st=3D"on">Clarksville</st1:place></st1:City>. &quot;Given all the things=
 we've
had going on, I didn't think we'd get a very positive reception if we press=
ed
at this moment,&quot; he said. &quot;I think we're going to have to kind of=
 get
things straightened out before we consider proceeding ahead with <st1:City
w:st=3D"on"><st1:place w:st=3D"on">Clarksville</st1:place></st1:City>.&quot=
; </p>

<p class=3DMsoPlainText><span style=3D'mso-spacerun:yes'>&nbsp;</span></p>

<p class=3DMsoPlainText><span style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;
</span>The first <st1:State w:st=3D"on"><st1:place w:st=3D"on">Tennessee</s=
t1:place></st1:State>
veterans&#8217; home located on a seven acre lot, deeded to the Board by the
U.S. Department of Veterans Affairs, adjacent to the Alvin C. York VA. <st1=
:PlaceName
w:st=3D"on">Medical</st1:PlaceName> <st1:PlaceType w:st=3D"on">Center</st1:=
PlaceType>
opened in <st1:City w:st=3D"on"><st1:place w:st=3D"on">Murfreesboro</st1:pl=
ace></st1:City>
10 JUN 91. It is a 140 bed facility offering intermediate and skilled level=
s of
nursing care in a one-story building encompassing 69,278 square feet.
Legislation passed by the state&#8217;s General Assembly in 1993 provided f=
or
construction of a second facility in Humboldt <st1:State w:st=3D"on"><st1:p=
lace
 w:st=3D"on">Tennessee</st1:place></st1:State>. Also, a 140 bed facility of=
fering
intermediate and skilled levels of nursing care. This one-story building
encompassing some 74,870 square feet opened 7 FEB 96. The third home in <st=
1:place
w:st=3D"on"><st1:PlaceName w:st=3D"on">Knox</st1:PlaceName> <st1:PlaceType =
w:st=3D"on">County</st1:PlaceType></st1:place>
opened in DEC 06. This 140 bed facility, offered intermediate and skilled
levels of nursing care in a spacious 73,065 square foot, one-story building=
 and
is<span style=3D'mso-spacerun:yes'>&nbsp; </span>currently accepting reside=
nts.
In each of the three facilities, 20 of the beds are located in a secure, sp=
ecial
needs unit.<span style=3D'mso-spacerun:yes'>&nbsp; </span>Eligible applican=
ts for
admission are veterans who are entitled to medical treatment and/or other
benefits from the USDVA, and who also meet at least one of the below additi=
onal
requirements:</p>

<p class=3DMsoPlainText>-<span style=3D'mso-tab-count:1'>&nbsp; </span>Resi=
dent of <st1:State
w:st=3D"on"><st1:place w:st=3D"on">Tennessee</st1:place></st1:State> at tim=
e of
admission.</p>

<p class=3DMsoPlainText>-<span style=3D'mso-tab-count:1'>&nbsp; </span>Born=
 in <st1:State
w:st=3D"on"><st1:place w:st=3D"on">Tennessee</st1:place></st1:State>.</p>

<p class=3DMsoPlainText>-<span style=3D'mso-tab-count:1'>&nbsp; </span>Ente=
red the <st1:country-region
w:st=3D"on">U.S.</st1:country-region> Armed Forces in <st1:State w:st=3D"on=
"><st1:place
 w:st=3D"on">Tennessee</st1:place></st1:State>.</p>

<p class=3DMsoPlainText>-<span style=3D'mso-tab-count:1'>&nbsp; </span><st1=
:State
w:st=3D"on"><st1:place w:st=3D"on">Tennessee</st1:place></st1:State> addres=
s is
official Home of Record on Veteran's Military Record.</p>

<p class=3DMsoPlainText>-<span style=3D'mso-tab-count:1'>&nbsp; </span>Has =
an
immediate family member (Parent, Spouse, Sibling, or Child) or Legal Guardi=
an
who would serve as primary caregiver, who is a resident of <st1:State w:st=
=3D"on"><st1:place
 w:st=3D"on">Tennessee</st1:place></st1:State>.</p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText>Spouse, Widow/Widower or Gold Star Parent may also =
be
eligible for admission on a space available basis. Upon meeting the eligibi=
lity
requirements, an applicant's name will be placed on a Potential Admissions =
Wait
List.<span style=3D'mso-spacerun:yes'>&nbsp; </span>Applications are availa=
ble
for download at http://www.tsvh.org as well pricing and availability
information.<span style=3D'mso-spacerun:yes'>&nbsp; </span>Also, a video/DV=
D on <st1:State
w:st=3D"on"><st1:place w:st=3D"on">Tennessee</st1:place></st1:State>&#8217;=
s homes
can be ordered at no charge. Assistance on completing the application can be
obtained by calling<span style=3D'mso-spacerun:yes'>&nbsp; </span>call the
Admissions office in <st1:City w:st=3D"on">Murfreesboro</st1:City> at (615)
225-1852, in Humboldt at (731) 824-5776, or in <st1:City w:st=3D"on"><st1:p=
lace
 w:st=3D"on">Knoxville</st1:place></st1:City> at (865) 862-8152.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>[Source: AP Erik Schelzig article =
Aug 07
++]</p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText>HVAC UPDATE 02:<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>In a Subcommittee on Disabil=
ity
Assistance and Memorial Affairs legislative hearing 1 AUG on H.R. 674, H.R.
1273, H.R. 1900, H.R. 1901, H.R. 2346, H.R. 2696, and H.R. 2697, members
expressed general bipartisan support for these bills.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>One area of concern among subcommi=
ttee
Republicans is the lack of cost information now available, especially as mu=
ch
of the legislation considered involves the need for PAYGO mandatory funding
offsets. H.R. 2696, H.R. 2697, and H.R. 2346 each directly address how Cong=
ress
determines the location of national cemeteries in a timely manner.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>Following are the bills that are u=
nder
consideration:</p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText>-<span style=3D'mso-tab-count:1'>&nbsp; </span>H.R.=
 2696,
the Veterans Dignified Burial Assistance Act of 2007 introduced by subcommi=
ttee
ranking member Doug Lamborn (R-CO) contains provisions which would improve =
the
VA burial benefit and state veteran&#8217;s cemeteries.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>This bill would increase the buria=
l and
plot allowance for a veteran&#8217;s burial in a private cemetery from $300=
 to
$400.<span style=3D'mso-spacerun:yes'>&nbsp; </span>The bill would also rep=
eal
the current time limitation for state reimbursement of interment costs by
VA.<span style=3D'mso-spacerun:yes'>&nbsp; </span>Occasionally, a state loc=
ates
the remains of veterans who were not buried.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>When states bury these veterans, V=
A may
not be able to reimburse them because of a time limit on reimbursement.
Additionally, the bill would authorize the VA secretary to make additional
grants to states for improving and expanding state veteran cemeteries.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>States would have to submit an
application to the secretary, and could receive up to $5 million.</p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText>-<span style=3D'mso-tab-count:1'>&nbsp; </span>H.R.=
 2697,
also introduced by Lamborn, would extend eligibility for Veterans Mortgage =
Life
Insurance (VMLI) to members of the armed forces.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>VMLI is a special type of life ins=
urance
that is only available to veterans who qualify for specially adapted housing
grants. Many of our nation&#8217;s injured active duty servicemembers may
eventually qualify for VMLI, and would benefit by having this eligibility.<=
/p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText>-<span style=3D'mso-tab-count:1'>&nbsp; </span>H.R.=
 2346,
introduced by Vito Fossella (R-NY), would direct VA to establish a process =
to
determine whether a geographic area is sufficiently served by existing
veterans&#8217; cemeteries.<span style=3D'mso-spacerun:yes'>&nbsp; </span>T=
he
process will take into account the following variables for each geographic
area: (1) total number of veterans;<span style=3D'mso-spacerun:yes'>&nbsp;
</span>(2) average distance a resident must travel to reach the nearest
national cemetery; (3) population density; (4) average amount of time it ta=
kes
a resident to travel to the nearest national cemetery; (5) availability of
public transportation for purposes of traveling to national cemeteries; and=
 (6)
average amount of fees charged to an individual traveling on the major roads
leading to the national cemeteries.<span style=3D'mso-spacerun:yes'>&nbsp;
</span>This process will be a departure from the current 175,000 population=
 and
75-mile thresholds that the VA uses for determining the need of a national
cemetery.</p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText>-<span style=3D'mso-tab-count:1'>&nbsp; </span>H.R.=
 674,
introduced by Luis Gutierrez (D-IL) would repeal the 2008 sunset provision =
on
VA&#8217;s Advisory Committee on Minority Veterans.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>The committee comprises representa=
tives
from minority groups, veterans&#8217; service organizations, and
representatives from many federal, state, and local government agencies.<sp=
an
style=3D'mso-spacerun:yes'>&nbsp; </span>The major functions include: (1)
advising the VA secretary and Congress on VA&#8217;s administration of bene=
fits
and provisions of health care, benefits, and services to minority veterans;=
 (2)
providing an annual report to Congress outlining recommendations, concerns =
and
observations on VA&#8217;s delivery of services to minority veterans; (3)
meeting with VA officials, veteran service organizations, and other
stakeholders to assess the department&#8217;s efforts in providing benefits=
 and
outreach to minority veterans; and (4) making periodic site visits and hold=
ing
town hall meetings with veterans to address their concerns.</p>

<p class=3DMsoPlainText><o:p>&nbsp;</o:p></p>

<p class=3DMsoPlainText>-<span style=3D'mso-tab-count:1'>&nbsp; </span>H.R.=
 1273,
introduced by Shelley Berkley (D-NV) extends eligibility for a $300 plot
allowance for burial in a private cemetery who is eligible for burial in a
national cemetery and who: (1) was discharged from active service for a
disability incurred or aggravated in the line of duty; or (2) is a veteran =
of
any war.<span style=3D'mso-spacerun:yes'>&nbsp; </span>Currently, a veteran=
 is
only eligible for this plot allowance if they were receiving VA compensatio=
n,
pension benefits, or died of service-connected injuries.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>The bill also authorizes the VA
secretary to reimburse a veteran&#8217;s family for the cost of buying a
non-governmental headstone.<span style=3D'mso-spacerun:yes'>&nb