My amendment calls on the Department of Veterans Affairs to develop hospice care standards tailored to the unique needs of Vietnam-era combat veterans. As Vietnam veterans grow older, it is imperative that the VA has clear standards in place to care for this group and future veteran populations. By the VA's own estimate, there are approximately 6.5 million Vietnam veterans. These veterans have unique medical and psychological needs which must be identified and addressed, including lethal diseases associated with Agent Orange exposure and a high prevalence of post- traumatic stress disorder, depression, and substance abuse. As part of the fiscal year 2018 MILCON-VA Appropriations, Congress directed the VA to submit a report identifying the unique challenges faced by Vietnam veterans receiving specialized palliative and hospice care and to develop best practices for hospice care specifically tailored to Vietnam veterans. Unfortunately, the VA responded with an inadequate two-page report that did not meet the reporting requirements. What the report did state is that there are over 4,000 community hospice care providers maintaining their own resources and training materials. This lack of cohesion indicates that the VA lacks consistent protocols and clear standards for veterans' hospice care.…
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On that I demand the yeas and nays. The yeas and nays were ordered. The SPEAKER pro tempore. This is a 5-minute vote. The vote was taken by electronic device, and there were--yeas 207, nays 179, answered ``present'' 2, not voting 40, as…





