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New SBP Bills
Reps. Brown and Saxton kick off cosponsorship
campaigns for legislation to eliminate the SBP-DIC offset and
accelerate implementation of paid-up SBP coverage.
Rep. Henry Brown (R-S.C.) and 23 other original cosponsors have
introduced
H.R. 808, which would end the dollar-for-dollar deduction
of Dependency and Indemnity Compensation (DIC)—paid by the VA when
the servicemember’s death is due to service-caused conditions—from
the survivor’s military Survivor Benefit Plan (SBP) annuity. Because
most SBP annuities are relatively low in such cases, the SBP-DIC
offset often eliminates most or all of the SBP, leaving many
surviving spouses with only the $993 monthly DIC annuity. At press
time, H.R. 808 had 54 cosponsors.
Key Survivor Benefit Plan Bills
H.R. 808 (Brown) would repeal the SBP-DIC offset.
H.R. 968 (Saxton) would accelerate paid-up SBP authority.
S. 185 (Nelson/Corzine) would do both.
Rep. Jim Saxton (R-N.J.) has introduced
H.R. 968, which would change
the effective date of 30-year, paid-up SBP from Oct. 1, 2008, to
Oct. 1, 2005. Congress authorized paid-up SBP coverage in 1998 for
any retiree who reaches age 70 and has paid at least 30 years of SBP
premiums. But the effective date was delayed for 10 years to save
money. In effect, this imposed a “greatest generation tax” on the
oldest military retirees who enrolled when SBP first was enacted in
1972. Even before that, many paid premiums under the earlier Retired
Servicemen’s Family Protection Plan. By this fall, those 1972
enrollees already will have paid almost 20 percent more SBP premiums
than a 1978 enrollee will ever have to pay. If they have to wait
until 2008, they’ll end up paying 34 percent more than 1978
retirees.
As MOAA reported last month, in the Senate, Sens. Bill Nelson (D-Fla.)
and Jon Corzine (D-N.J.) have combined the SBP-DIC and paid-up SBP
initiatives into a single bill,
S. 185. Fixing these SBP inequities
is a top goal for MOAA this year. See the
tear-out brochure on these
issues in the center of this magazine after page 46. You can help by
visiting MOAA’s Web site at http://capwiz.com/moaa/home and clicking
on the “SBP Fixes” link to urge your legislators to support these
important bills. In addition, use MOAA’s toll-free Capitol Hill hot
line, (877) 762-8762, to ask your U.S. representative to cosponsor
H.R. 808 and
H.R. 968 and your two U.S. senators to cosponsor
S. 185.
Death Benefits in Spotlight
SGLI, death gratuity improvements are likely.
The Senate Armed Services Committee (SASC) and Senate Veterans
Affairs Committee (SVAC) each held hearings in early February to
explore what more should be done for survivors of members killed on
active duty.
The SASC heard testimony from the service vice chiefs of staff,
concerning Sen. Jeff Sessions’ (R-Ala.) and Sen. Joseph Lieberman’s
(D-Conn.)
S. 77, which would raise the death gratuity from the
current $12,420 to $100,000 for servicemembers killed in combat and
increase the maximum Servicemembers’ Group Life Insurance (SGLI)
coverage to $400,000 (versus the current $250,000). The bill would
have the government automatically pay the premium on $150,000 of
SGLI for members assigned in a combat zone. It would make the
changes retroactive to Oct. 7, 2001—the official start date of the
war on terror. (The government already provided substantial payments
to survivors of all people killed in the Sept. 11, 2001, terrorist
attack, including military casualties.)
Witnesses included DoD’s personnel chief, Dr. David Chu, and the
service vice chiefs of staff. Chu endorsed Sessions’ bill, but the
vice chiefs favored increasing the death gratuity for all
servicemembers killed on active duty. They expressed concern about
the difficulties and propriety of trying to assign different benefit
values for military deaths depending on whether the death occurred
in a specific geographic area.
In an interview with CNN, MOAA President Vice Adm. Norbert R. Ryan
Jr., USN-Ret., supported the vice chiefs’ position, saying, “The
death gratuity ought to cover all of our men and women in uniform,
because they’re serving in lots of other dangerous places besides
Iraq.”
Sen. Bill Nelson (D-Fla.) also noted at the hearing that reduction
of military Survivor Benefit Plan (SBP) annuities by the amount of
any payment from the VA for service-caused deaths remains a “glaring
unfairness” and that his new bill,
S. 185, would end that offset.
Sen. Carl Levin (D-Mich.) agreed that reducing the SBP entitlement
for survivors by the amount of Dependency and Indemnity Compensation
(DIC) is a “huge issue” and said he also has introduced a bill (S.
11) that would end that practice.
SASC Chairman John Warner (R-Va.) and Levin promised quick action on
death benefits and called for DoD to submit proposed language in
time for consideration with the administration’s coming supplemental
appropriation request for Iraq.
MOAA and The Military Coalition (TMC) have sent Sessions a letter
proposing the $100,000 death gratuity be payable to all survivors of
servicemembers killed on active duty. TMC also recommended providing
$100,000 of government-paid-for SGLI coverage to all servicemembers
if they elect $300,000 in coverage. This would be more in line with
employer-paid coverage levels prevalent in large corporations while
still encouraging servicemembers to take maximum SGLI coverage.
At the SVAC hearing, Chairman Larry Craig (R-Idaho) and Ranking
Minority Member Sen. Daniel Akaka (D-Hawaii) expressed their intent
to ensure the nation fulfills its obligations to military survivors.
Two spouses (including Jennifer McCollum, who appears on the cover
of the MOAA SBP brochure after page 46) whose husbands were killed
in the war on terror provided moving testimony about the
difficulties they experienced during their transition from active
duty family status, highlighting the unfairness of the SBP-DIC
offset.
A second panel of VA, DoD, and Social Security Administration
witnesses discussed what is being done to speed benefits to
survivors. During questioning, it became clear surviving spouses
have encountered numerous problems in information delivery and
assistance. Committee members told DoD witnesses they expect
improvements.
Talking Hearings
MOAA confers with Hill leaders, staffs about 2005 priorities.
February was “meeting month” on Capitol Hill, as legislators and
their staffers and MOAA representatives worked to compare and
prioritize legislative goals in preparation for hearings and
development of draft authorization bills.
House Minority Leader Nancy Pelosi (D-Calif.) invited MOAA President
Vice Adm. Norbert R. Ryan Jr., USN-Ret., and other military and
veterans association leaders to meet with her and the senior
Democrats from the armed services, budget, veterans affairs, and
appropriations committees Feb. 17 to outline her “21st Century
Veterans Bill of Rights.” Pelosi and Reps. Steny Hoyer (D-Md.), Ike
Skelton (D-Mo.), John Spratt (D-S.C.), Lane Evans (D-Ill.), Chet
Edwards (D-Texas), and others endorse initiatives in this package,
including: full, mandatory funding for VA health care; full
concurrent receipt of military retired pay and VA disability
compensation; repeal of the SBP-DIC offset; and a permanent increase
in Army end strength to ease operational stresses on troops and
families.
Ryan highlighted the need for continued bipartisan cosponsorship for
these and other issues, such as expanded health coverage for the
Selected Reserve.
Lobbyists from MOAA and other associations also met for several
hours with House Military Personnel Subcommittee staffers to discuss
a long list of proposals to assist returning wounded servicemembers
and their families, as well as survivors of servicemembers killed on
active duty. Initiatives discussed included survivor benefit
upgrades, special needs for wounded Guard and Reserve members,
continuation of combat pays during hospitalization for combat
wounds, and improved casualty assistance for survivors and families
of the severely wounded. No Partying on Reserve Bill
Conservatives, liberals unite on Guard and Reserve needs.
On Feb. 9, MOAA President Vice Adm. Norbert R. Ryan Jr., USN-Ret.,
participated in a press conference called by a bipartisan group of
senators and House members to introduce new bills to expand Guard
and Reserve TRICARE coverage and lower the reserve retirement age.
Reserve Bill Looks Strong
Hopes for expanded health coverage for the Selected Reserve have been
raised by broad bipartisan support from legislators such as Sens.
Lindsey Graham (R-S.C.), George Allen (R-Va.), Hillary Clinton (D-N.Y.),
and Patrick Leahy (D-Vt.).
Sens. Lindsey Graham (R-S.C.), Mike DeWine (R-Ohio), George Allen
(R-Va.), Patrick Leahy (D-Vt.), and Hillary Clinton (D-N.Y.) spoke
eloquently about the need to extend TRICARE eligibility to all
members of the Selected Reserve to ensure the readiness and
retention of these forces and their families. House champion Rep.
Tom Latham (R-Iowa) and Rep. Joe Wilson (R-S.C.) also joined the
press conference in an unusual display of bicameral support.
S. 337, The Guard and Reserve Readiness and Retention Act of 2005,
would allow Selected Reserve members to enroll in TRICARE, the
military’s health care system, for an annual premium without regard
to their status of activation.
Graham noted that Congress passed legislation this past year
allowing reservists mobilized for 90 days or more on active duty to
purchase one year of TRICARE coverage for each 90 days served. While
acknowledging this as an important first step, he said it is neither
enough to ensure medical readiness nor to take care of Guard and
Reserve families who sacrifice so much for the nation. Graham
asserted that all other part-time federal workers can participate in
government health insurance and that Guard and Reserve families
deserve the same opportunity.
Latham announced introduction of his companion bill in the House,
H.R. 558.
In addition to expanding TRICARE coverage, the bills would reduce
the age at which a Guard or Reserve servicemember could attain
retirement eligibility, depending on length of service. Currently,
the reserve retirement age is 60.
H.R. 558 and
S. 337 would allow
retirement at age 59 with 22 years of service, 58 with 24 years, 57
with 26 years, etcetera, down to age 53 with 34 years of service.
Speaking at the press conference, Ryan expressed his gratitude to
the sponsors, emphasizing the importance of addressing Guard and
Reserve health and retirement issues in the near term. “History
reminds us that a good Army takes generations to build but only a
few short years to break,” he said. “Because of frequent and
prolonged deployments, our citizen-soldiers are becoming
‘soldier-citizens.’ The nation needs to send a clear message that we
recognize Guard and Reserve members and their families for their
sacrifices.”
Governors on Guard
MOAA letter prompts governors to discuss military manpower.
On January, MOAA President Vice Adm. Norbert R. Ryan Jr., USN-Ret.,
wrote to Virginia Gov. Mark Warner (R), asking him to address
publicly—through the National Governors Association (NGA), which he
currently chairs—the need for permanent Army and Marine Corps
end-strength increases and long-overdue improvements in Guard and
Reserve health care and other benefits. Former Secretary of Homeland
Security Tom Ridge had suggested approaching the NGA when Ryan spoke
to him this past year about the ramifications of active force
shortfalls for the National Guard and Reserve.
Shortfalls of active duty forces have necessitated extensive and
repeated mobilizations of Guard units. This, in turn, has affected
availability of National Guard manpower and equipment resources to
meet in-state natural disasters and other requirements. Long-term
continuation of these increased stresses for guardmembers and their
families have significant implications for recruiting, retention,
and readiness that affect national and state needs alike.
Warner was concerned enough about this issue to invite Ryan to meet
with him and his staff Feb. 21 at the Rand Corp.’s headquarters in
Arlington, Va. Also invited to the meeting were former Army
Personnel Chief Lt. Gen. William Reno, USA-Ret., former Army Chief
of Staff Gen. Dennis Reimer, USA-Ret., and former Secretary of the
Army Jack Marsh.
The discussion piqued significant interest on Warner’s part, and he
indicated his intent to introduce the issue at the NGA meeting at
the end of February. VA Budget Looks Short
MOAA urges full funding for health, claims, transition, and GI
Bill.
The House Veterans Affairs Committee, headed by new Chairman
Steve Buyer (R-Ind.), held
a hearing Feb. 16 to review the president’s VA budget request for FY
2006. The committee heard testimony from three panels of witnesses,
including newly confirmed VA Secretary Jim Nicholson. One panel was
composed of military and veterans’ organization witnesses, including
MOAA Deputy Director of Government Relations Col. Bob Norton,
USA-Ret.
Quick Decisions Required
One problem with new TRICARE Reserve Select health coverage is that
mobilized Guard and Reserve members must decide to enroll and pay
premiums before leaving active duty — perhaps before being able to
discuss this big decision with their spouses.
Nicholson said the administration’s plan increases the VA budget by
2.7 percent over last year. Association witnesses took issue with
that description, pointing out that much of the budget increase
comes from plans to raise fees and copayments for certain veterans
and optimistic assumptions about increased collections from
veterans’ insurance companies. They asserted that, once medical
inflation and increasing demand for care for combat veterans from
Iraq and Afghanistan are taken into account, the proposed budget
won’t allow the VA even to continue its current level of services.
Nicholson said the administration’s budget request proposes to raise
drug copayments for lower-priority non-disabled veterans and impose
an annual usage fee of $250 for Priority 7 and 8 veterans (those
without compensable disabilities and whose incomes exceed indigence
levels). Buyer backed the enrollment fees to sustain the VA health
system, asserting that the VA should focus its efforts on the
disabled and indigent. Rep. Lane Evans (D-Ill.), the committee’s
senior Democrat, strongly disagreed, saying the administration’s own
estimates show these fees were designed to drive 213,000 veterans
from the VA system.
Norton urged the House panel to provide full funding for all
currently enrolled veterans, consistent with the recommendations of
the recent President’s Task Force on DoD/VA Health Care. He also
noted the critical need for additional funding to reverse cutbacks
in claims processing staff and reduce the disability claims backlog,
which now is lengthening again just when there is a new influx of
disabled returnees from Iraq and Afghanistan. He urged immediate
action to ensure a “seamless transition” from military to VA health
coverage to ensure wounded returnees aren’t further disadvantaged by
administrative and records conflicts between DoD and VA personnel
and health systems.
Norton also expressed MOAA’s support for improving the Montgomery GI
Bill, including automatic adjustment of Reserve GI Bill benefits to
maintain their intended value (about 50 percent of the active duty
rate).
The hearing came on the heels of a more extensive, informal dialogue
Feb. 11 between veterans affairs committee leaders and association
representatives at The Citadel in Charleston, S.C. Buyer and four of
his subcommittee chairmen invited leaders of MOAA and nine other
military and veterans associations to this “off-site” meeting to
discuss respective goals for and concerns about VA programs.
Late-breaking News: Just before this column went to press,
the chairmen of the House and Senate veterans affairs committees
announced their committees’ rejection of the administration’s
proposal to increase pharmacy copayments. However, both committees
supported charging enrollment fees for Priority 7 and 8 veterans.
The Senate committee, chaired by Sen. Larry Craig (R-Idaho),
endorsed the administration-recommended $250 fee. Buyer and the
House committee proposed charging a $230 enrollment fee for Priority
7 veterans (to match the fee paid by military retirees enrolled in
TRICARE Prime, the military HMO-style health plan). For Priority 8
veterans, the House committee proposed a sliding scale of fees
ranging from $230 to $500, depending on the veteran’s income.
Defense Budget Fares Better
Administration recommends pay, housing plus-ups, no TRICARE fee
increases.
In addition to the VA initiatives outlined above, President
George W. Bush’s recently released FY 2006 budget proposal contains
a number of provisions of interest, including a 3.1 percent pay
raise for active duty and Guard and Reserve members and additional
recruiting and retention bonuses.
The president’s budget did not propose copayment or other fee
increases for TRICARE or TRICARE For Life (though DoD leaders’
repeated public expressions of concern about rising DoD health care
costs could indicate such proposals might not be far off). In all,
the budget calls for $109 billion for personnel programs, including:
- housing allowances that (for the first time) cover median
off-base housing costs, by grade and locality;
- changing the Army from a division-based structure to one
based on new, more agile “modular” brigades;
- boosting the number of Special Operations forces by 1,400
and increasing spending for language training;
- continued rebasing activities aimed at returning 70,000
military personnel and 100,000 family members and civilians from
overseas bases to continental U.S. installations; and
- conversion of several thousand non-deployed medical
positions to civilian billets.
Reserve TRICARE Roll-Out
Program opens April 26, but some glitches remain to be
fixed.
TRICARE is gearing up to roll out TRICARE Reserve Select (TRS),
and MOAA has obtained access to the rules that will govern the
new benefit, set to kick off April 26. TRS allows certain
Selected Reservists and their family members access to TRICARE
Standard (DoD’s fee-for-service health plan) in return for
a monthly premium.
To qualify, the member must have been mobilized on a contingency
operation for 90 days or more since Sept. 11, 2001. Each 90 days
served provides eligibility for one year of TRS coverage, so a
one-year deployment can earn a Selected Reserve member and his
or her family four years of TRS. The member must commit to
continued participation in the Selected Reserve in return for
TRS benefits.
Rules governing this benefit are far from simple. First,
activated reservists must complete a preliminary service
agreement before leaving active duty. This document commits the
member to one year of Selected Reserve service for each year of
TRS benefits. Failure to sign this agreement before
demobilization will result in loss of the benefit.
Second, a service agreement is final only when reserve component
agrees to keep the member in the Selected Reserve. It’s not just
a matter of the member’s willingness to drill; there must also
be a Selected Reserve billet available for the entire time
period.
Premiums will be set at 28 percent of the total cost of TRS
coverage and paid monthly. Premiums stop upon mobilization.
Enrollees can elect self-only or self-and-family coverage. DoD
will have to calculate the final amounts. Previously, the
Congressional Budget Office estimated the premiums might be in
the range of $530 for an individual and $1,860 for a family, but
those were only preliminary estimates. Premiums may prove higher
or lower.
TRS will offer access to TRICARE Standard coverage only.
Reservists and their families will not be able to enroll in
TRICARE Prime or use military treatment facilities or military
pharmacies. MOAA appreciates Congress’ work in authorizing TRS,
but several issues remain to be addressed. First, MOAA believes
strongly that all drilling Guard and Reserve members and their
families should be eligible for TRS. Those who haven’t yet been
mobilized already likely will be shortly.
Another problem is that, under Pentagon-announced rules, any TRS
eligibility contract is voided if the member is mobilized again.
For example, a member deployed for one year earns four years of
TRS coverage. But if the member is mobilized again for 90 days
after two years in TRS, that voids the remaining two years of
eligibility. Upon return from the 90-day deployment, the member
only will have one year of TRS eligibility—no matter how many
years the member agrees to in future service. This is patently
unfair.
But the most significant problem might be the requirement for
the servicemember to elect TRS and execute the service agreement
before leaving active duty status. This certainly will result in
snap decisions at demobilization sites by members who haven’t
had a chance to discuss the issue with their family members.
Health coverage is a family issue, and members and their
families need full information and a full discussion opportunity
to make informed decisions.
TRICARE already covers members and families for six months after
demobilization. MOAA thinks these members and families should be
able to make their TRS decision anytime within that period.
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New House and Senate Bills |
| Bill Number(s) |
Sponsor(s) |
Purpose |
S. 407/
H.R. 602 |
Sen. Tim
Johnson
(D-S.D.)/Rep. Chris Van Hollen (D-Md.) |
Allow
military retirees and their dependents the option to
enroll in the Federal Employees Health Benefits Plan;
waive Medicare Part B premiums for retirees who entered
service before Dec. 7, 1956; and provide drug
reimbursement at TRICARE network rates to beneficiaries
who do not have access to a pharmacy in the TRICARE
retail network.
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S. 438/
H.R. 916 |
Sen. John Ensign
(R-Nev.)/Rep. Phil
English (R-Pa.) |
Repeal Medicare Part B
outpatient rehabilitation therapy caps. Permanent law
caps Medicare payments for such therapy at $1,500
annually—for what can be very expensive care for stroke
victims and others. Congress passed legislation
deferring implementation of the caps until Jan. 1, 2005.
Without further action, the cap will be instituted next
year. |
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