SPEAKER INDEX    CONTENTS   INSERTS   
BOLLINGER       69     76     80  
BURNS           65     75     80  
BUTO            11     16     18     30     31     32     33     34     36  
                37     40  
COOKSEY          5     22     23     24     25     34     36     54     57  
                62     79  
CULLINAN        46     53     56     60  
EVANS           15  
GUTIERREZ        3     19     20     21     57     58     77     78  
KIZER            8     20     22     24     26     27     31     32     33  
                34     38     41  
PARTRIDGE       44     52     54     55     59  
PETERSON        28     29     30     31     32     39     40  
RHEA            71     74     79  
SNYDER           5     25     26     27     36     37     38     59     60  
                61     79     80  
SPAGNOLO        63     75     76     77     78     79     80  
STEARNS          1      4      5      8     11     14     15     16     17  
                18     19     22     25     28     32     33     34     36  
                39     40     41     43     45     48     49     51     52  
                53     54     57     58     61     62     65     67     69  
                71     74     75     76     77     79     80  
VAN DE WATER     5     15     16     17     18     19     25     28     29  
                30     31     37  
VIOLANTE        48     54  
VITIKACS        41     52     53     55     58     59     60     61  
WANNEMACHER    49     54     56     60  
WEST            67     76     80  

CONTENTS    SPEAKERS   INSERTS   
 OPENING STATEMENT OF CHAIRMAN STEARNS
                                                                 PAGE     1

OPENING STATEMENT OF HON. LUIS V. GUTIERREZ
                                                                 PAGE     3

STATEMENTS OF PAUL N. VAN DE WATER, ASSISTANT DIRECTOR FOR BUDGET ANALYSIS, CONGRESSIONAL 
BUDGET OFFICE; KENNETH W. KIZER, M.D., M.P.H., UNDER SECRETARY FOR HEALTH, VETERANS HEALTH 
ADMINISTRATION, DEPARTMENT OF VETERANS AFFAIRS; ACCOMPANIED BY GREGG PANE, CHIEF POLICY, PLANNING, 
AND PERFORMANCE OFFICER, DEPARTMENT OF VETERANS AFFAIRS, AND WALTER HALL, ASSISTANT GENERAL 
COUNSEL, DEPARTMENT OF VETERANS AFFAIRS; AND KATHLEEN A. BUTO, ASSOCIATE ADMINISTRATOR FOR POLICY, 
HEALTH CARE FINANCING ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES
                                                                 PAGE     5

STATEMENT OF N. PAUL VAN DE WATER
                                                                 PAGE     5

STATEMENT OF KENNETH W. KIZER, M.D., M.P.H.
                                                                 PAGE     8

STATEMENT OF KATHLEEN A. BUTO
                                                                 PAGE    11

STATEMENTS OF JOHN R. VITIKACS, ASSISTANT DIRECTOR, NATIONAL VETERANS AFFAIRS AND REHABILITATION 
COMMISSION, THE AMERICAN LEGION; RICHARD A. WANNEMACHER, JR., ASSOCIATE NATIONAL LEGISLATIVE 
DIRECTOR, DISABLED AMERICAN VETERANS; DENNIS M. CULLINAN, DEPUTY DIRECTOR, NATIONAL LEGISLATIVE 
SERVICE, VETERANS OF FOREIGN WARS OF THE UNITED STATES; AND COL. CHARLES C. PARTRIDGE, U.S. ARMY 
(RET.), LEGISLATIVE COUNSEL, NATIONAL MILITARY AND VETERANS ALLIANCE
                                                                 PAGE    41

STATEMENT OF JOHN R. VITIKACS
                                                                 PAGE    41

STATEMENT OF COL. CHARLES C. PARTRIDGE
                                                                 PAGE    43

STATEMENT OF DENNIS M. CULLINAN
                                                                 PAGE    46

STATEMENT OF RICHARD A. WANNEMACHER, JR.
                                                                 PAGE    49

STATEMENTS OF SAMUEL V. SPAGNOLO, M.D., PRESIDENT, NATIONAL ASSOCIATION OF VA PHYSICIANS AND 
DENTISTS; CHUCK BURNS, NATIONAL SERVICE DIRECTOR, AMVETS; KELLI R. WILLARD WEST, DIRECTOR, 
GOVERNMENT RELATIONS, VIETNAM VETERANS OF AMERICA; JOHN C. BOLLINGER, DEPUTY EXECUTIVE DIRECTOR; 
PARALYZED VETERANS OF AMERICA; AND LARRY D. RHEA, DEPUTY DIRECTOR OF LEGISLATIVE AFFAIRS, NON 
COMMISSIONED OFFICERS ASSOCIATION
                                                                 PAGE    62

STATEMENT OF SAMUEL V. SPAGNOLO, M.D.
                                                                 PAGE    62

STATEMENT OF CHUCK BURNS
                                                                 PAGE    65

STATEMENT OF KELLI R. WILLARD WEST
                                                                 PAGE    67

STATEMENT OF JOHN C. BOLLINGER
                                                                 PAGE    69

STATEMENT OF LARRY D. RHEA
                                                                 PAGE    71


INSERTS    SPEAKERS   CONTENTS   
NO INSERTS IN THIS HEARING