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WASHINGTON – Today, U.S. Sen. Mark R. Warner (D-VA) sent a letter to the Office of Management and Budget (OMB) urging it to review and approve the leasing prospectus submitted more than two months ago by the General Services Administration (GSA) for a new Veterans Affairs (VA) medical facility in Hampton Roads. While GSA had initially anticipated receiving OMB sign-off on the project by the end of last month, nearly three weeks later, the project is still awaiting review at OMB, further delaying plans to complete the much-needed new facility in South Hampton Roads by the fall of 2023.

“This clinic is essential to reducing VA wait times in a region with one of the fastest-growing veterans populations in the country. From 2012 to 2016, patient visits at the Hampton VA Medical Center increased by 21.4 percent, a rate nearly triple the national average of 7.3 percent. As of March 2019, patients were waiting an average of 57 days to access primary care at the Hampton VA Medical Center,” wrote Sen. Warner in today’s letter to OMB Director Mick Mulvaney. “Meanwhile, at the region’s other VA facility, an outpatient clinic in Chesapeake, veterans experienced wait times of 59 days for primary care. Any further delays constructing and opening this new health facility will only exacerbate the VA’s existing capacity challenges in Hampton Roads, where the veterans population is anticipated to increase approximately 22 percent between 2017 and 2027.”

In 2017, Congress approved leases for 28 VA facilities around the country, including two in Virginia. In an effort to ensure timely completion of the facilities, the VA passed off procurement authority for six of the projects, including the Hampton Roads clinic, to the GSA, which has been conducting the lease procurement process for the Hampton Roads facility since March 2018 and is currently in the ‘prospectus authority’ phase of the project. On May 8, 2019, GSA submitted a lease prospectus document to OMB, which must approve the plan in order to proceed with the design and construction of the Hampton Roads VA medical facility.

“As you know, OMB approval is required for lease projects over $3.095 million. GSA cannot proceed on this lease procurement until both OMB and Congress authorize the prospectus document. However, congressional authorization cannot be sought until OMB approves the prospectus. Therefore, in order for this project to move forward, your approval is urgently needed,” continued Sen. Warner. “According to GSA estimates, this project can be completed and turned over to the VA in the fall of 2023 – approximately six years after the leases were tardily approved by Congress. However, this timeline was produced by GSA on the assumption that OMB would approve the project by the end of June. Now that we are more than halfway into the month of July, each additional day that goes by without OMB approval is one more day that Hampton Roads veterans could have to wait to see this long-promised facility up and running.”

In the letter, Sen. Warner asked OMB to approve the project within the next week, and reiterated his commitment to help expedite the process.

“The prospectus document is no more than a few pages – it should not take OMB over two months to review the proposal,” Sen. Warner noted. “Once OMB is finished, I will do my part to ensure that the Senate conducts our approval process in an expedited manner, and together I hope that we can put this lease project back on track so that veterans in need of the facility will be able to use it as soon as possible.”

Since Congress approved the Hampton Roads clinic in 2017, Sen. Warner has repeatedly pushed the VA and GSA to expedite their work to get it up and running swiftly. In a personal meeting at his Washington office in December of 2018, Sen. Warner pressed GSA leadership to provide an update on the agency’s progress in opening the new facility. Dissatisfied with the lack of headway, the following month Sen. Warner again demanded a plan from GSA to speed up the procurement and construction process for the clinic. Sen. Warner followed up with the VA and GSA last week to express his continued outrage at “the glacial pace” of the Hampton Roads project, as well as another VA medical facility awaiting construction in Fredericksburg, Va., and to demand real plans from both for completing the already-delayed projects on a faster timeline.

A copy of today’s letter can be found here and below.

 

Dear Director Mulvaney:

I write to urge the Office of Management and Budget (OMB) to expeditiously approve the prospectus on a Veterans Affairs (VA) Outpatient Clinic in the Hampton Roads area of Virginia, which was submitted on May 8, 2019 by the General Services Administration (GSA). Further delays will only prolong a process that is already significantly and unnecessarily behind schedule. 

In 2017 Congress authorized leases for 28 VA facilities around the country, two of which are in the Commonwealth of Virginia. The VA passed procurement authority to the GSA for six of the projects, including the Hampton Roads outpatient clinic, in an effort to ensure timely completion of the facilities. GSA has been conducting the lease procurement process for the Hampton Roads facility since March 2018, and is currently in the “prospectus authority” phase of the project.

This clinic is essential to reducing VA wait times in a region with one of the fastest-growing veterans populations in the country. From 2012 to 2016, patient visits at the Hampton VA Medical Center increased by 21.4 percent, a rate nearly triple the national average of 7.3 percent. As of March 2019, patients were waiting an average of 57 days to access primary care at the Hampton VA Medical Center. Meanwhile, at the region’s other VA facility, an outpatient clinic in Chesapeake, veterans experienced wait times of 59 days for primary care. Any further delays constructing and opening this new health facility will only exacerbate the VA’s existing capacity challenges in Hampton Roads, where the veterans population is anticipated to increase approximately 22 percent between 2017 and 2027.

As you know, OMB approval is required for lease projects over $3.095 million. GSA cannot proceed on this lease procurement until both OMB and Congress authorize the prospectus document. However, congressional authorization cannot be sought until OMB approves the prospectus. Therefore, in order for this project to move forward, your approval is urgently needed. According to GSA estimates, this project can be completed and turned over to the VA in the fall of 2023 – approximately six years after the leases were tardily approved by Congress. However, this timeline was produced by GSA on the assumption that OMB would approve the project by the end of June. Now that we are more than halfway into the month of July, each additional day that goes by without OMB approval is one more day that Hampton Roads veterans could have to wait to see this long-promised facility up and running.

I ask that OMB do everything possible to expedite the review and approval of this prospectus document within the next week. The prospectus document is no more than a few pages – it should not take OMB over two months to review the proposal. Once OMB is finished, I will do my part to ensure that the Senate conducts our approval process in an expedited manner, and together I hope that we can put this lease project back on track so that veterans in need of the facility will be able to use it as soon as possible.

I look forward to your response, or even better, to the notice that OMB has approved the lease prospectus.

Sincerely,

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