Bill to improve rural veteran health care sees support from North Dakota providers

WASHINGTON, D.C. — North Dakota organizations have submitted letters of support for a federal bill that would improve veterans’ access to local health care options, which has been examined by the Senate Veterans’ Affairs Committee.

The bill – the Critical Access for Veterans Care Act – from Sen. Kevin Cramer and Sen. Tim Sheehy would allow veterans living in the rural United States to seek health care services at their local critical access hospitals or rural health clinics, a press release said.

“The Community Care program literally can be a lifeline,” said Cramer, R-N.D. “(What) prevents it from being a lifeline as often as it ought to be is all of the roadblocks that get put up. After hearing from veterans and rural health care providers and leaders across North Dakota, I proposed a solution with Sen. Sheehy to simplify access to the critical access network, whether it’s a critical access hospital (or) rural health clinic.”

Cramer and Sheehy’s (R-Mont.) bill would amend the VA (Veterans Affairs) MISSION Act of 2018 to make a new category under which “care is required to be furnished through community providers, specifically for care sought by a veteran residing within 35 miles of the critical access hospital or rural health clinic,” the release said.

The release also said a number of veterans live in rural areas and face major challenges to accessing timely and quality health care. In North Dakota, there are 37 critical access hospitals, but only five of those communities housing them also have a VA community-based outpatient clinic. The state has one VA medical center in Fargo and eight community-based outpatient clinics in total.

The bill has received letters of support from the North Dakota Rural Health Association and a coalition of 22 North Dakota rural health care providers, the release said, who wrote that the legislation will offer a streamlined and practical approach building on existing infrastructure and recognized designations in rural health care. The American Hospital Association, America’s Warrior Partnership and the National Rural Health Association have also voiced support for the bill.

Another letter of support for the bill has come from Marcus Lewis, CEO of the North Dakota Veteran and Critical Access Hospital. A veteran himself, he said he lives more than three hours from the nearest VA hospital and works two hours away from it. However, there are three community health care facilities within 50 miles of his home.

“Despite the availability of this high quality local care, I am currently paying out of pocket for needed therapy because accessing services through the Community Care Network has proven prohibitively difficult,” he wrote.

Cramer said the VA system gives veterans less access to care that is readily available, and the goal of the bill is to give rural veterans access to their local critical access hospitals without strings attached.

“I worry if the bill is watered down, quite honestly, that we turn the authority back over to the bureaucracy to decide,” he said.

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