Déjà vu? GOP obstructionism delays military suicide-prevention bill

Despite the steady rise in suicides among active-duty service members, congressional politics trumped an amendment to the recently passed Defense of Defense Reauthorization Bill that would have helped address this increasing problem.

Although Sen. Tom Harkin, D-Iowa, was pleased with some of the measures in the bill that will help military members and their families, he was disappointed that his suicide-prevention measure, along with a measure to fix a pay glitch that shortchanged National Guard troops, were casualties of partisan politics.

“While I am glad my colleagues in the Senate have passed this important legislation, I was disappointed to hear that two fundamental measures that I pushed for were needlessly blocked by one member of the minority party,” Harkin said in a statement. “My amendment to help prevent suicide among active-duty service members and an amendment I co-signed that would have fixed a pay glitch that shortchanged many National Guard troops both fell tonight because of Republican obstructionism.

“The Army has reported that, as of the end of August, 62 soldiers have committed suicide so far this year and another 31 deaths appear to be suicides,” Harkin said in a statement. “If this pace continues, that could mean the number of suicides in 2008 would eclipse the 115 suicides recorded in 2007. These startling statistics should serve as a wake-up call that suicide among soldiers and veterans is more than a problem, it is an emergency. My amendment would have created a comprehensive suicide prevention program including annual training for all service members, improved instruction for field medics and post deployment assistance.”

The suicide-prevention amendment introduced by Harkin was one of 101 eventually scrapped by the majority party in the Senate, who feared that an amendment introduced by Sen. Jim DeMint, R-S.C., might reframe the debate over the amendments to a debate over pork-barrel spending – something the Democrats want to avoid in election-year politics.

Another amendment co-sponsored by Harkin and left by the wayside would have retroactively reimbursed soldiers shortchanged during a bureaucratic lapse. “Currently, there are more than 600 Iowa National Guard service members who have not received their earned leave due to a delay between the announcement of a new leave program by the Department of Defense and the establishment of the program by the individual services,” Harkin said in a statement.

DeMint, employing an obstructionist tactic, introduced an amendment that would have would have given the Department of Defense authority to ignore up to $5 billion of earmarks found not in the bill, but buried in the bill's report.

This is not the first time that a suicide-prevention measure aimed at helping service members was caught in the partisan crossfire and nearly killed by GOP obstructionism.

Despite overwhelming bipartisan congressional support for the Joshua Omvig Suicide Prevention Act, which was introduced by Harkin in August 2007, the measure was held up by Sen. Tom Coburn, R-Okla., who put a hold on it. Coburn called the bill insulting to veterans and warned that its mandatory mental health screening could harm their future job options. “I’m going to continue to hold this bill until we work on the issues to guarantee freedoms of the veterans in terms of the tracking,” Coburn said on the Senate floor.

The obstructionist move drew the ire of Harkin, who was surprised by Coburn’s hold. “The Joshua Omvig Suicide Prevention Act has received intense scrutiny, including two hearings in the House and three in the Senate,” Harkin said on the Senate floor in September 2007. “The bill has been strongly endorsed by the American Legion, Veterans of Foreign Wars, the Disabled Veterans of America, and other veterans groups. So it is a travesty to have this bill held up, now, by a single Senator for reasons that are completely bogus.”

The Joshua Omvig Suicide Prevention bill was first introduced in the House by Rep. Leonard Boswell, D-Iowa, who named the bill after a soldier from his district in Grundy Center, Iowa, who took his own life after returning from Iraq. The bill directs the Department of Veterans Affairs to step up screening, counseling and other mental health services for returning war veterans by mandating this process. The House bill overwhelmingly passed in March 2007 by a vote of 423 to 0.

In the Senate, however, Coburn objected to the unanimous consent request, citing concerns that veterans’ access to purchasing guns may be hindered. Harkin refuted Coburn’s claim on the Senate floor: “And his principal reason for doing so is completely baseless,” Harkin said. “He speculates that if we have mandatory screening of all veterans for suicide risk, the resulting medical data might be used to deny a veteran the right to purchase handguns. No medical professional can refer an individual to the background check system that would limit access to firearms. This can only be done through the judicial system.”

Eventually, with the help of his colleague Sen. Chuck Grassley, R-Iowa, Harkin helped usher the bill through the Senate in late September 2007. Grassley took the leadership role on the Republican side and helped persuade Coburn to lift the hold, before it passed overwhelmingly in the Senate and was signed into law by President Bush shortly thereafter.

The fate of Harkin’s new suicide-prevention and the National Guard pay-glitch amendments remain uncertain at this point, although Harkin has vowed to keep fighting for these measures until they pass.

As he said in a recent statement: “The demise of these two common-sense amendments to the Defense Authorization Bill is unfortunate and unfair to the men and women who serve our country so courageously.”

Bush Signs Joshua Omvig Veterans Suicide Prevention Bill into Law

With the stroke of a pen President George W. Bush signed the Joshua Omvig bill into law, ending a drawn-out political chapter that overcame a procedural hold in the Senate. The bill was introduced in the House by Rep. Leonard Boswell, D-Iowa, who named the bill after one of his constituents, Joshua Omvig of Grundy Center. Omvig committed suicide in Dec. 2005 after returning from an 11-month deployment in Iraq.

“By directing the Veterans Administration (VA) to develop a comprehensive program to reduce the rate of suicide among veterans the law will help thousands of young men and women who bravely served our country,” Boswell said in a press release following Bush’s Monday signing. “The Joshua Omvig Veterans Suicide Prevention Act not only honors Joshua’s service to his country but ensures that all veterans receive the proper mental health care they need.”

Boswell also had words of praise of praise for Joshua’s parents, who have been relentless advocates for the bill’s passage. “I commend Joshua’s parents, Randy and Ellen Omvig,. While suffering this personal tragedy they went on to help other veterans and their families, and have advocated for improving all mental health services at the VA,” he said.

Boswell’s efforts were picked up in the Senate by fellow veteran, Sen. Tom Harkin, D-Iowa, who helped push the measure through the Senate. "As a nation we cannot stand idly by when the needs of our brave soldiers are not being met," Harkin said. "We have a responsibility to truly support our troops by ensuring they have the services they need during their time in active service, and after they return home."

The bipartisan bill unanimously passed in the House March 21 by a vote of 427-0 before moving on to the Senate where it hit a procedural snag. Led by Harkin the bill was expected to overwhelmingly pass before going into the August recess until it hit a road bump. Sen. Tom Coburn, R-Okla. put the bill on hold, citing duplication and second amendment concerns that Harkin called (stronger verb) "bogus." Undeterred, Harkin kept fighting for the bill's passage and solicited fellow Sen. Chuck Grassley, R-Iowa, to help persuade Coburn to lift the hold. The bipartisan effort paid off and the bill cleared the Senate hurdle Sept. 27.

Grassley was pleased Bush signed the bill as well. “Today’s action helps give veterans who are suffering mental anguish a place to turn when all else seems lost,” he said in a statement “These are brave men and women who need to know that there is help out there and they deserve medical treatment just like any other veteran.”

The Joshua Omvig Suicide Prevention Act (H.R. 327) is designed to help address Post Traumatic Stress Disorder (PTSD) among veterans by requiring mental health training for Veterans Affairs staff; a suicide prevention counselor at each VA medical facility; and mental-health screening and treatment for veterans who receive VA care. It also supports outreach and education for veterans and their families, peer support counseling and research into suicide prevention. The VA had been implementing a number of these programs, but not in a timely manner, whereas the Joshua Omvig bill mandates these programs and subsequent deadlines as a means of expediting the process for returning veterans.

After Long-Fought Battle, Veterans Suicide Prevention Bill Passes

For many combat veterans returning from war, the battle doesn’t end on the battlefield. It continues at home with the mental scars. As soldiers return from duty in Iraq and Afghanistan, many are ill-equipped to deal with emotional issues stemming from deployment, and sensing no other way out, they tragically take their own lives.

Congress, led by the tireless efforts of the Iowa delegation, has taken measures to reduce the high suicide rates among veterans. After a long-fought battle, the Joshua Omvig Veterans Suicide Prevention Act (H.R. 327) overcame its last congressional hurdle Tuesday when it passed in the House for the second time by a vote of 417-0.

Introduced by Rep. Leonard Boswell, D-3rd District, the bill directs the Department of Veterans Affairs to develop and implement a comprehensive program addressing suicide prevention. The bill is named after Joshua Omvig, from Grundy Center, Iowa, an Iraq War veteran who served in the Army Reserve and took his own life in December 2005 after an 11-month deployment.

“I’m very pleased that both chambers have passed H.R. 327, and it’s now ready to be signed by the President,” Boswell said in a press release. “A recent article in USA Today reported that the number of Iraq and Afghanistan war veterans seeking treatment for post-traumatic stress disorder (PTSD) from the VA has jumped almost 70 percent in the past year. The time to act is now.”

“I commend Joshua’s parents, Randy and Ellen Omvig, who have suffered this personal tragedy, but have helped endless veterans and their families,” Boswell added. “They have advocated for improving all mental health services at the VA and have assisted countless veterans navigate the VA system.”

Although suicide rates are difficult to confirm and accurately gauge, the VA inspector general in a report last May noted that Veterans Health Administration mental health officials estimate 1,000 suicides per year among veterans receiving care within VHA and as many as 5,000 per year among all living veterans.

"Unfortunately, suicide prevention has become a major part of our responsibility to both active duty and to our veterans," Bob Filner, D-Calif., chairman of the Veterans' Affairs Committee, told the Associated Press. "It's a terrible statistic," he said. "As many Vietnam veterans have now committed suicide as died in the original war. That's over 58,000."

The bill, authored by Rep. Leonard Boswell, D-Iowa, is designed to help address PTSD among veterans by requiring the Veterans Administration to develop and implement a comprehensive veterans suicide prevention program, provide 24-hour mental health care services to veterans, and requiring that a suicide prevention counselor be available at every VA facility.

“Post Traumatic Stress Disorder is the hidden combat wound. Veterans suffering from PTSD are often the last to know they have a problem,” Rep. Bruce Braley, D-1st District, said in a statement. “In the past, many veterans returning from war have suffered silently from this illness without the help and support they need.”

“Joshua Omvig’s experience puts a human face to PTSD. His death stands as a stark reminder of the impact PTSD can have on veterans and their families,” Braley added. “Passing the Omvig bill into law is so important because veterans coming home and suffering from PTSD deserve the screening, treatment and resources they need to ensure their long term mental health.”

The bipartisan bill unanimously passed in the House March 21 by a vote of 427-0 before moving on to the Senate, where it hit a procedural snag. Led by the efforts of Sen. Tom Harkin, D-Iowa, the bill was expected to overwhelmingly pass going into the August recess, until it hit a procedural road bump when Sen. Tom Coburn, R-Okla., put a hold on the bill, citing duplication and second amendment concerns, which Harkin said were “bogus.” Undeterred, Harkin kept fighting for the bill’s passage and solicited fellow Sen. Chuck Grassley, R-Iowa, to help persuade Coburn to lift the hold. Their bipartisan effort paid off, and the bill cleared the Senate hurdle Sept. 27.

Before the vote, Rep. Dave Loebsack, D-Iowa, delivered a speech on the House floor in support of the bill. “I rise today in strong support of the Joshua Omvig Suicide Prevention Act,” Loebsack said. “This bill was one of the first that I co-sponsored as a new Member of Congress. I did so because I believe that we have a moral obligation to care for those who have worn our country’s uniform. I urge the president to quickly sign it into law so that these vital mental health services can reach our nation’s veterans.”

Originally posted on "Iowa Independent"

Harkin and Grassley Team Up to Push Joshua Omvig Veterans Suicide Bill Through Senate

After a long-fought battle, Sen. Tom Harkin, D-Iowa, helped push the Joshua Omvig Suicide Prevention Act of 2007 through the Senate late Thursday night. The heavily bipartisan bill had been obstructed for two months by Sen. Tom Coburn, R-Ok., who placed a hold on the bill for reasons Harkin called “bogus.” Harkin received help from Sen. Chuck Grassley, R-Iowa, who took the leadership role on the Republican side and helped persuade Coburn to lift the hold earlier in the day. The bill now returns to the House of Representatives, where Rep. Leonard Boswell, D-Iowa, the original author of the legislation, will lead the bill through the House, where it had previously passed by a vote count of 423-0.

“I am heartened to see that after many months of talking about preventing suicide among our veterans, Congress finally took action,” Harkin said. “The Omvig family’s patience and selfless determination in seeing this through so other soldiers and families are protected is truly commendable. This is a matter of honoring the memory of their son Josh. And it is a matter of honoring the service and sacrifice of all our men and women in uniform. It is shockingly evident that our veterans urgently need the screening and counseling that this bill would require.”

The Omvig Act directs the Department of Veterans Affairs (VA) to integrate mental health services into veterans’ primary care and to step up counseling and other mental health services for returning war veterans. It is named after Joshua Omvig, a soldier from Grundy Center Iowa who took his own life after returning from Iraq.

“Our veterans should not have to suffer alone. They may be reluctant to seek help, but they need to know that help is there,” Grassley said. “We also need to make sure that the support mechanisms are in place to help veterans when they do seek help.”

The VA estimates that more than 5,000 veterans take their lives each year. Suicide rates are 35 percent higher for Iraq veterans than for the general population. And the Department of Defense recently reported that the Army is now seeing the highest rate of suicide since the Vietnam War. A study in this July’s issue of “Journal of Epidemiology and Community Health” found that those who have been in combat are twice as likely to commit suicide as men who have not served in a war.

“The memories of combat haunt many of our men and women who have served. We must provide the resources and support to prevent the unnecessary deaths of the men and women who have put their lives on the line to defend our nation,” said Harkin. “I look forward to seeing the President sign this critical bill into law to ensure that programs are in place to meet the needs of veterans.”

Harkin’s efforts to get the Joshua Omvig bill passed received praise on the presidential campaign trail from New Mexico Gov. Bill Richardson. "Tom Harkin's leadership on this issue in the Senate was essential to its passage,” Richardson said in a press release statement. “I encourage the House of Representatives to follow the leadership of Congressman Boswell and pass this bill. Then, for our veterans' sake, hopefully President Bush will see the error of his ways and sign the bill into law."

Originally posted on "Iowa Independent"

The Iowa Front: Military & Veterans’ Weekly Roundup

As families gather for this holiday weekend to celebrate and honor the “working man,” I hope they’ll include the men and women working for us in Iraq and Afghanistan. I would like to take this moment to pay tribute to one such person, Master Sgt. Scott Carney of Ankeny, who was laid to rest Friday. Carney, age 37, was killed in Afghanistan Aug. 24, when his Humvee rolled over in a convoy near Herat, while serving with the Iowa Army National Guard’s 2nd Brigade Combat Team, 34th Infantry Division. Carney is the 20th member of the Iowa Army National Guard and the 60th soldier with Iowa ties to die while serving in the wars in Iraq and Afghanistan since March 2003. Carney is survived by his wife, Jeni, and their two twin sons, Jacob and Justin. (Des Moines Register)

A recently released Gallup poll shows that the military veterans’ presidential preferences closely mirror the national polls. With the wars in Iraq and Afghanistan expected to be waged through next year’s November election, the candidates have targeted military veteran voters, which comprise roughly one out of every six Americans. These efforts, however, have yet to show any major impact in the polls thus far.

Another reason why the candidates are attempting to shore up support from veterans, is that most of them have not served in the military themselves and a strong veteran endorsement will help validate their support of the troops. A few interesting anomalies in the poll did manifest. On the Republican side, Arizona Sen. John McCain, a former Vietnam prisoner of war, received a high favorable rating by veterans, but this favorability did not translate to solid preferential ratings when compared to his Republican rivals. Conversely, on the Democrat side, New York Sen. Hillary Clinton received low favorability ratings among veterans, but she received the highest preferential rating among her competitors, thus indicating that veterans are weighing more factors than just military and veterans’ issues. (Gallup Poll News Service)

As Congress prepares to reconvene Tuesday, a number of bills affecting military members and veterans await. One of these bills, the Joshua Omvig Suicide Prevention Act, is one such bill; however, a hold was placed on the bill by Sen. Tom Coburn, R-Okla., who cited issues concerning the second amendment as the reason for his hold. (Iowa Independent)

Hold Put on Harkin’s Veterans Suicide Prevention Act

The Joshua Omvig Veterans Suicide Prevention Act appeared to be on the fast track in Congress until Sen. Tom Coburn, R-Okla., put a hold on it because of 2nd Amendment concerns.

The House version introduced by Rep. Leonard Boswell, D-Iowa, unanimously passed in March, while the Senate was scheduled to vote on Iowa Democratic Sen. Tom Harkin’s companion bill upon returning from the August recess. Coburn said last week he is worried that veterans seeking treatment for Post Traumatic Stress Disorder (PTSD) and suicide-related symptoms will be “adjudicated as mentally defective,” which may prevent them from buying guns in the future. The bill was introduced by Boswell in honor of Joshua Omvig, a young man from Grundy Center who took his own life after returning home form an 11-month tour in Iraq.

Paul Rieckhoff, an Iraq war veteran and founder of the Iraq and Afghanistan Iraq Veterans of America, took issue with Coburn’s rationale. “Sen. Coburn’s claim that Joshua Omvig Veteran Suicide prevention bill really is just a red herring argument using veterans as political pawns in a struggle over gun control legislation,” said Rieckhoff.

“The real issue behind Coburn blocking the Omvig bill is that he hates new proposed gun control legislation (H.R. 2640) which was drafted in response to the Virginia Tech shooting,” Rieckhoff writes on his IAVA blog. “The new bill called NICS would compel government agencies to turn over any list they might have of people who have been 'adjudicated as mentally defective.' The gun lobby says that the background check measure ‘will deter veterans from seeking help and counseling if they think that being helped with something like post-traumatic stress disorder will disqualify them from owning guns.’ Current law already states that people who have been thus adjudicated can not receive gun permits.”

During the House's consideration of the bill, Boswell said, "With more and more veterans returning from tours of duty in Iraq and Afghanistan, new issues have arisen regarding veterans mental health care that have not received attention in the past."

"Some estimates have found that almost one thousand veterans receiving care from the Department of Veterans Affairs commit suicide each year, and one out of five suicides in the United States is a veteran,” Boswell said in a press release. “We must do better for our veterans, and I believe this legislation is a step in the right direction. A screening and tracking process might have provided Joshua with the counseling he needed," added Boswell. "But, the provisions in this bill will help other veterans, and that is very important."

H.R. 327 mandates the screening of all patients at the Department of Veterans Affairs medical facilities for suicide risk factors and the tracking of at-risk veterans. It requires that each VA medical center designate one suicide prevention counselor and for the VA to conduct outreach to veterans and their families on mental health issues. The bill also requires 24-hour availability of a mental health hotline for veterans.

In August, Harkin introduced his companion bill, which also takes a multifaceted approach. It emphasizes the importance of social support, readjustment services, and further research to prevent and treat suicide among our nation’s veterans. “The stress our service men and women endure in combat is enormous and can trigger severe mental health issues after they have returned home,” Harkin said in a press release. “We have a responsibility to treat both the physical injuries and the mental wounds our soldiers suffer.” Sen. Chuck Grassley, R-Iowa, is a co-sponsor of the bill.

“The same way swift triage care can save a soldier on the battlefield,” Harkin said in the statement, “accurate diagnosis and delivery of quality mental health care can do the same once the fighting ends. It’s time to provide new resources and eliminate the stigmatization about seeking help. We must focus on increasing programs in detection, prevention, and treatment of suicidal behavior among those who have dedicated their lives to keeping our nation secure.”

Until Coburn removes the hold, passage of the Omvig Bill remains uncertain and delays will have a lasting impact on veterans struggling with PTSD and thoughts of suicide.

Regarding the hold, Rieckhoff examines Coburn’s rationale on his IAVA blog:

Coburn’s office (via the gun lobby) is purposefully combining two unrelated issues to score political points. The facts are that to be “ADJUDICATED” as mentally defective a person must be “a danger to himself or others” “as a result of marked subnormal intelligence, or mental illness, incompetency, condition, or disease” as determined by “by a court, board, commission, or other lawful authority.” (27 CFR 478.11)

The key word is “adjudicated.” Even if the VA determines that a veteran has high suicide risk factors (screening for these factors is a provision of the Omvig bill) or even PTSD, they must specifically determine that the veteran is danger to himself. That determination could only happen when the veteran applies for benefits and the VA “adjudicates” their claim. The VA would have to make a specific finding that as part of the veteran’s disability rating that they ARE a danger to themselves, not that they MIGHT be a danger.

The Omvig bill only deals with screening for risk factors. The House version does contain a provision that requires the VA to track those with high risk factors, but neither mentions anything about adjudication. If someone has started receiving counseling for PTSD then they are already being screened for suicidal risk factors and the Omvig bill does not affect the adjudication of the veterans PTSD claim in ANY way.