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You you you good morning the committee will come to order welcome and thank all of you all for joining us today full committee hearing on the Department of Veterans Affairs family caregiver program the family caregiver program was created by Congress in 2022 to support support severely wounded post 9/11 veterans and their caregivers approximately 4,000 caregivers were expected to be approved for the program at the time VA ended up with more than 22,000 approved caregivers that's a 550 percent increase over what was expected needless to say significantly higher than expected demand for the program has created setbacks there's been miscommunication confusion and frustration from veterans caregivers and VA employees alike concerning practically every aspect of this program from eligibility determinations to clinical appeals revocations and more to the department's credit they're well aware of these of those issues and have taken steps in the letter last year to address them I'm particularly glad that following a 6-year wait a formal directive was published last June containing guidance on how the program should be administered I applaud the secretary and his cabin at the national caregiver program lead for the actions they've taken and I'm fully supportive of their ongoing efforts to include the request for information that was issued in early January to solicit public feedback on how to modify the program to better serve veterans and their caregivers that said serious issues still remain to be resolved including it seems to be in every VA program long-standing critically important IT issues I support expanding the family caregiver program to pre 9/11 veterans but I believe that before we're doing so we must ensure that the program is working as intended I've had the opportunity over the years to get to know caregivers who have provided life-saving care on a daily basis to the veterans in their lives and I have been a caregiver for my elderly parent in the past and so I have some understanding of what this involves and my heart goes out to them for the time health money and personal aspirations if they have sacrificed to be there for their loved ones the selfless devotion that it takes to be a caregiver knows no age or era and what caregivers of post 9-11 veterans have been experiencing over the last 17 years is old hat to what the caregivers of Priene on eleven veterans have been experiencing for in some cases decades I'm a Vietnam ER veteran myself and I'm well aware that I and my fellow brothers and sisters in arms I'm not getting any younger and neither are our caregivers however I share this administration's concern that this is a significant expansion the family caregiver program cannot be discussed or supported without an honest conversation about finding the right balance between clinical appropriateness and cost I also share the Obama administration's concerned that expansion of the family caregiver program under current budget framework would compromise resources needed to.