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House votes for speedier care for US vets, responding to uproar over delays: Senate is next

House Speaker John Boehner of Ohio, joined by House Majority Leader Eric Cantor, R-Va., center, and Rep. Pat Tiberi, R-Ohio, talks to reporters on Capitol Hill in Washington, Tuesday, June 10, 2014, after a Republican Conference meeting. Commenting on problems with the troubled health care system in the Department of Veterans Affairs, Boehner said,

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House Speaker John Boehner of Ohio, joined by House Majority Leader Eric Cantor, R-Va., center, and Rep. Pat Tiberi, R-Ohio, talks to reporters on Capitol Hill in Washington, Tuesday, June 10, 2014, after a Republican Conference meeting. Commenting on problems with the troubled health care system in the Department of Veterans Affairs, Boehner said, "We have a systemic failure of an entire department of our government." (AP Photo/J. Scott Applewhite)

WASHINGTON - Congress is suddenly moving quickly to address military veterans' long waits for care at the U.S. Department of Veterans' Affairs hospitals in response to a national uproar.

The House unanimously approved legislation Tuesday to make it easier for patients enduring lengthy delays for initial visits to get VA-paid treatment from local doctors instead. The Senate was poised to vote on a similar bill within 48 hours, said Democratic leader Harry Reid.

The controversy led Eric Shinseki to resign as head of the VA on May 30, but the situation remains a continuing embarrassment for President Barack Obama and a potential political liability for congressional Democrats seeking re-election in November.

The legislation comes close on the heels of a Veterans Affairs Department audit showing that more than 57,000 new applicants for care have had to wait at least three months for initial appointments and an additional 64,000 newly enrolled vets who requested appointments never got them.

"I cannot state it strongly enough — this is a national disgrace," said Veterans Affairs Committee Chairman Jeff Miller, a Republican and chief author of the House legislation.

Miller made his comments minutes before the House completed the first of two votes on its measure. Lawmakers approved the bill 421-0, then re-voted a little over an hour later, making sure no one was left out on the politically important vote, with five more in favour and no one against.

Rep. Mike Michaud, top Democrat on the Veteran Affairs Committee, said the care that veterans receive at VA facilities is "second to none — that is, if you can get in. As we have recently learned, tens of thousands of veterans are not getting in."

The House bill and a similar version in the Senate would spend hundreds of millions of dollars to hire more doctors and nurses, but that may be easier said than done given a nationwide shortage of primary care physicians.

Primary care physicians are expected to become increasingly in demand as millions of people newly insured under the federal health care law start looking for regular doctors. The Association of American Medical Colleges has projected that by 2020, there will be 45,000 too few primary care physicians, as well as a shortage of 46,000 surgeons and specialists.

The American Medical Association added its voice, in Chicago, as the House was voting. At its annual policy meeting, the AMA approved a resolution urging Obama to take immediate action to enable veterans to get timely access to care from outside the VA system. The nation's largest doctors group also recommended that state medical societies create and make available registries of outside physicians willing to treat vets.

Sen. John McCain, a Republican and a chief author of the Senate measure, said he believed the Senate would approve the bill in the next day or two, adding that it shouldn't be hard for the two chambers to craft a compromise version.

Sen. Bernie Sanders, an independent and chairman of that chamber's Veterans Affairs Committee, said that by Senate standards, lawmakers are moving at "lightning speed."

The Senate bill would authorize the VA to lease 26 new health facilities in 17 states and Puerto Rico and spend $500 million to hire more doctors and nurses. The House bill does not include a specific dollar amount, but Miller said the VA would save $400 million annually by eliminating bonuses, money the agency could use for expanded care.

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AP Medical Writers Lauran Neergaard in Washington and Lindsey Tanner in Chicago contributed.

Follow Matthew Daly: https://twitter.com/MatthewDalyWDC

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