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