CHIROPRACTIC SERVICES IN THE DEPARTMENT OF VETERANS AFFAIRS HEARING BEFORE THE SUBCOMMITTEE ON HEALTH COMMITTEE ON VETERANS’ AFFAIRS HOUSE OF REPRESENTATIVES ONE HUNDRED SIXTH CONGRESS SECOND SESSION OCTOBER 3, 2000 Printed for the use of the Committee on Veterans’ Affairs Serial No. 106-51 oe U.S. GOVERNMENT PRINTING OFFICE 69-974 DTP WASHINGTON : 2001 For one by the Superintntent of Domne, US. Goverinnt Pent ternet: bookstore gpo.gov Phone: (an 61-3600 Fax: (202) 512-2250 Mail: Stop SSOP, Washington, DCCOMMITTEE ON VETERANS’ AFFAIRS: BOB STUMP, Arizona, Chairman CHRISTOPHER H. SMITH, New Jersey MICHAEL BILIRAKIS, Florida FLOYD SPENCE, South Carolina TERRY EVERETT, Alabama STEPHEN E. BUYER, Indiana JACK QUINN, New York CLIFF STEARNS, Florida JERRY MORAN, Kansas J.D. HAYWORTH, Arizona HELEN CHENOWETH-HAGE, Idaho RAY LAHOOD, Minois JAMES V. HANSEN, Utah HOWARD P. (BUCK) McKEON, California JIM GIBBONS, Nevada MICHAEL K. SIMPSON, Idaho RICHARD H. BAKER, Louisiana LANE EVANS, Illinois BOB FILNER, California LUIS V. GUTIERREZ, [linois CORRINE BROWN, Florida MICHAEL F. DOYLE, Pennsylvania COLLIN C. PETERSON, Minnesota JULIA CARSON, Indiana SILVESTRE REYES, Texas VIC SNYDER, Arkansas CIRO D. RODRIGUEZ, Texas RONNIE SHOWS, Mississippi SHELLEY BERKLEY, Nevada BARON P. HILL, Indiana TOM UDALL, New Mexico Cant. D. ComMENATOR, Chief Counsel and Staff Director SUBCOMMITTEE ON HEALTH CLIFF STEARNS, Florida, Chairman CHRISTOPHER H. SMITH, New Jersey MICHAEL BILIRAKIS, Florida JERRY MORAN, Kansas HELEN CHENOWETH-HAGE, Idaho HOWARD P. (BUCK) McKEON, California MICHAEL K. SIMPSON, Idaho RICHARD H. BAKER, Louisiana LUIS V. GUTIERREZ, Tlinois MICHAEL F. DOYLE, Pennsylvania COLLIN C. PETERSON, Minnesota JULIA CARSON, Indiana VIC SNYDER, Arkansas CIRO D. RODRIGUEZ, Texas RONNIE SHOWS, Mississippi «@CONTENTS October 3, 2000 OPENING STATEMENTS Page Chairman Stearns... 1 i Lane Evans, Ranking Democratic Member, full Committee on Veterans’ ; 8 repared statement of Congressman Evans 82 Hon Beb'Riiner @ Representative in Congress from the State of California 3 Hon. Ciro D. Rodriguez 4 Hon. Luis V. Gutierrez . 10 Prepared statement of Congressman Gutierrez 10 WITNESSES Cowan, Rear Adm. Michael L., U.S.N., Deputy Executive Director and Chief Operating Officer, TRICARE Management Activity, Office of the Assistant of Defense for Health Affairs, Department of Defense; accom- panied by Richard D. Guerin, Director, Health Program Analysis and Edu- cation, TRICARE Management Activity, Office of the Assistant Secretary of Defense for Health is, Department of Defense 51 Prepared statement of Admiral Cowan .. : 164 Goodman, George, President, Logan College of Chiropractic, DOD Oversight ‘Advisory Committe, Immediate Past President, Association of Chiropractic 36 McLean, Michaci 8, ‘Chairperson, IGA Legislative Committee, 1GA’ Board of Directors, International Chiropractors Association, accompanied by Ron- ald M. Henrickson, Executive Director, International Chiropractors Asso- ciation 35 Prepared statement of Mr. McLean . 143 McMichael, Rick A., ACA Delegates Member, DOD Oversight Advisory Com: mittee, ‘American ‘Chiropractic Association 33 Prepared statement of Dr. McMichael, with ‘attachment, 89 Murphy, Frances M., Acting Deputy Under Secretary for Health, Veterans Health ‘Administration, Department of Veterans Affairs; accompanied by Thomas V. Holohan, Chief Patient Care Services Officer, Veterans Healt} Administration, Department sive Affairs 5 Prepared statement of Dr. Mi . 84 Phillipe Rood’ Proaident Los Angeles College of Ghicopractle, BOD Oversight Advisory Committee, Past President, coammae of Chiropractic ee _ 38 Prepared statement of Dr. Phillips ............ el | MATERIAL SUBMITTED FOR THE RECORD Letters: From chiropractic representatives on the Oversight Advisory Committee (OAC) to Thomas R Carrato, RADM, USPHS” Chief Opperating Offi- cer TRICARE Management Activity, ie review’and comments on Birch & Davis version of Chiropractic Health Care Demonstration Pro- gram Final Report, February 23, 2000 72 To Chairman Stearns from the American Osteopathie Association, Sep- tember 28, 2000 ... 61 To Chairman Stearns from the American Physical ‘Therapy ‘Association, October 2, 2000 ... 65 ap