Gulf War Era Veterans Report: Pre-9/11 - Veterans Affairs

Department of Veterans Affairs Gulf War Era Veterans

Supplemental Pre-9/11 Report

July 2015

Table of Contents

REPORT INTRODUCTION ...........................................................................................................1 Gulf War Era Review ..................................................................................................................1 Gulf War Reporting Requirement................................................................................................1 Supplemental Report Overview ...................................................................................................2

COHORT STRUCTURE.................................................................................................................3 VETERANS PROFILE ? FY 2013 .................................................................................................4 VETERANS RECEIVING COMPENSATION BY COMBINED EVALUATION ? FY 2013....6 NON-SERVICE-CONNECTED PENSION BY COHORT AND FISCAL YEAR .......................8 EDUCATION PROGRAMS BY COHORT ? FY 2013 .................................................................9 VOCATIONAL REHABILITATION PROGRAMS BY COHORT ? FY 2013..........................10 INPATIENT AND OUTPATIENT HEALTHCARE BY COHORT ? FY 2013 .........................11 HEALTHCARE ENROLLMENT BY PRIORITY GROUP BY COHORT ? FY 2013 ..............12 VETERANS HEALTHCARE BY VISN AND COHORT ? FY 2013 .........................................12 VISN HEALTHCARE COSTS BY COHORT ? FY 2013 ...........................................................14 VETERANS WITH LONG-TERM CARE ? FY 2013.................................................................15 VETERANS WITH FEE-BASIS CARE BY COHORT ? FY 2013.............................................16 DEFINITIONS AND ABBREVIATIONS....................................................................................17 DATA SOURCES, ASSUMPTIONS AND LIMITATIONS .......................................................20 CONTACT INFORMATION........................................................................................................22

Report Introduction

Gulf War Era Review

On August 2,1990, the Republic of Iraq invaded and occupied the State of Kuwait. Following international condemnation of the invasion, the United States began deployment of American military forces to the Persian Gulf region as part of Operation Desert Shield, beginning what is now referred to as the Gulf War era. After unsuccessful attempts from the world community to diplomatically resolve the situation, the United States led an international military coalition in Operation Desert Storm aimed at liberating Kuwait. This military campaign swiftly ended in February 1991, however, to date, Congress has not declared an official ending to the Gulf War era.

As America's armed forces made their tremendous contribution to the historic victory of the United Nations coalition, VA geared up to fulfill its mission of providing contingency support for the U.S. military medical program. Fortunately, U.S. casualties were light, and VA was able to refocus these intensified efforts on preparing to meet the needs of returning Veterans. The nation owes its full, unequivocal support to those we send to war.

VA worked closely with the Department of Defense (DoD) to expedite benefits and services to our Servicemembers wounded, ill and injured in Operation Desert Storm and to provide all possible assistance to the families of those who died. As the troops from the Persian Gulf War came home, VA took special steps to ensure all were apprised in filing claims or for other services. VA showed the way to achieving a new level of responsiveness and efficiency in serving Veterans.

Based upon a collaborative relationship with the DoD Manpower Data Center, the Department of Veterans Affairs (VA) has identified 6.5 million Veterans with at least one day of service during the Pre-9/11 period ranging from August 2, 1990 through September 10, 2001. VA provides a range of benefits and services to address the various needs of these Veterans. This report provides a snapshot of Pre-9/11 Gulf War Era Veterans and how VA serves them with compensation, healthcare, education, insurance, loan guaranty, and vocational rehabilitation programs.

Gulf War Reporting Requirement

The Veterans Health Care Act of 1992 required a series of reports on Gulf War Veterans shortly after enactment of the legislation. A specific obligation from this Law that remains is an annual report on VA health research for the Gulf War Era population (Title VII 707). There also remains a general obligation to report data from the "Persian Gulf War Veterans Health Registry" which contains the names of individuals who served as a member of the Armed Forces in the Persian Gulf Theater of operations during the Persian Gulf War and who ?

a. Applies for medical care services from VA under Chapter 17 of 38 U.S.C.

Gulf War Era Veterans Pre-9/11Supplemental Report: July 2015

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b. Files a claim for disability compensation under Chapter 11 of 38 U.S.C. on the basis of any disability which may be associated with such service;

c. Dies and is survived by a spouse, child, or parent who files a claim for dependency and indemnity compensation under Chapter 13 of 38 U.S.C. of such title on the basis of such service;

d. Requests from VA a health examination under section 703; or receives from DoD a health examination similar to the health examination referred to in subparagraph (D) and requests inclusion in the Registry.

This supplemental report supports VA's general obligation to provide information about Gulf War Era Veterans.

Supplemental Report Overview

This report supplements VA's February 2011 Gulf War Era Pre-9/11 Report that provided comprehensive statistics on the utilization of VA benefits and healthcare services. This supplement provides an update of the base report, not a reissue of it. For example, the February 2011 Report has a map of the Southwest Asia theater of operations, "State of Record at Discharge," and "Race/Ethnicity data for the Pre- 9/11 Cohort" that are static historical variables; therefore, an update was not needed since these variables are not expected to change.

The purpose of this report is to provide statistics on the utilization of VA benefits and healthcare services by Gulf War Era Pre-9/11 Veterans. This report provides analyses of disability compensation, pension, education and healthcare data to include enrollment characteristics. The data used in this report were obtained from multiple internal and external sources. More information regarding data can be found in the "Data Sources, Assumptions and Limitations" section. The tables shown in this report contain Veteran counts by cohort and sub-cohort.

For reference, the Gulf War Era Pre-9/11 Report can be found at: .

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Cohort Structure

The Cohort Structure shows the relationship of Pre-9/11 Veteran cohorts and subcohorts for different types of military service, operational periods, conflicts and significant exposure events such as Al Jubayl, Saudi Arabia and Khamisiyah, Iraq. The Pre-9/11 cohort is disaggregated by Deployed vs Not-Deployed status.

Pre-9/11: Identifies Veterans with military service during the period August 2, 1990 to September 10, 2001.

Deployed to Persian Gulf: Identifies Veterans who served in Persian Gulf region during the period August 2, 1990 to January 31, 1992 or Stabilization Period from February 1, 1992 to September 10, 2001.

Not Deployed to Persian Gulf: Identifies Pre-9/11 Veterans who did not deploy to the Persian Gulf region between August 2, 1990 to September 10, 2001.

Gulf War Component: Served in Operation Desert Shield (August 2, 1990 to January 15, 1991), Operation Desert Storm (January 16, 1991 to February 28, 1991) and/or in the Post-Desert Storm Period (March 1, 1991 to January 31, 1992).

Exposure Events: Identified by DoD as potentially exposed to toxins during service in Al Jubayl, Saudi Arabia or Khamisiyah, Iraq on one of the dates noted above.

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Veteran Profile ? FY 2013

The following tables present major demographics by cohort. The way to read the table is as follows. The Pre-9/11 cohort (6,510,889) includes both the not deployed cohort (5,382,345) and the deployed cohort (1,128,544) combined. The Desert Shield and Desert Storm (DS/DS) cohorts are included in the deployed cohort. The Al Jubayl cohort is included in the DS/DS cohort. The Khamisiyah cohort is included in the deployed cohort, but not the DS/DS cohort. They are part of the Post-Desert Storm cohort.

The `Vital Stats' table allocates Pre-9/11 populations into those living, deceased and unknown status. The tables that follow provide information on Veterans' Gender and Service Branches. These numbers may vary slightly from other published reports due to varying data collection methods. To calculate the percent, we did not include unknown.

Vital Stats FY 2013

Deceased

Living Unknown All

Pre-9/11

266,770 (4.1%)

6,231,666 (95.9%) 12,453

6,510,889

Not Deployed

223,296 (4.2%)

5,147,240 (95.8%) 11,809

5,382,345

Deployed

43,474 (3.9%) 1,084,426 (96.1%)

644 1,128,544

DS/DS

28,754 (4.6%) 592,920 (95.4%)

285 621,959

Al Jubayl

93 (7.0%) 1,240 (93%)

0 1,333

Khamisiyah

7,230 (5%) 137,990 (95%)

66 145,286

For the Pre-9/11 and the Not Deployed cohorts, the percent male is between 81 and 83 percent. For the DS/DS and the Deployed cohorts, the percent male is 92. For Al Jubayl, Saudi Arabia exposure site, it is 99 percent male and for the Khamisiyah, Iraq exposure site, it is 90 percent male.

Gender FY 2013

Female

Male Unknown All

Pre-9/11

945,754 (14.9%) 5,406,397 (83.2%) 158,738 6,510,889

Not Deployed

862,022 (16.5%) 4,368,395 (81.3%) 151,928 5,382,345

Deployed

83,732 (7.5%) 1,038,002 (92%) 6,810 1,128,544

DS/DS

44,952 (7.3%) 574,710 (92.5%) 2,297 621,959

Al Jubayl

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