MARCO RU BIO FLORIDA COMMERCE. SCIENCE. AND TRANSPORTATION FOREIGN RELATIONS SELECT COMMITTEE ON INTELLIGENCE WASHINGTON, DC 20510 SMALL BUSINESS AND ENTREPRENEURSHIP May 26, 2016 The Honorable Robert McDonald Secretary of Veterans Affairs US. Department of Veterans Affairs 810 Vermont Avenue Northwest Washington, DC. 20420 Dear Secretary McDonald, 1 am writing you today in regards to the pending grant application submitted by the Florida Department of Veterans? Affairs (FDVA) to the Department of Veterans? Affairs (VA) pursuant to funding construction of the Ardie R. Copas State Veterans? Nursing Home in Port St. Lucie, Florida. I write in support of resubmitted application and urge your Department to prioritize necessary funding; however, I remain concerned over the statutory and regulatory barriers inhibiting the construction and funding of this new VA facility. As you may know, Florida is the proud home of our nation?s third largest veterans community, with a growing population of over one million veterans. According to FDVA statistics, more than 700,000 veterans in Florida are age 65 or older. While demand for nursing homes will continue to uniquely impact my State, there is not a single issue impacting veterans nationally that does not ultimately impact veterans in Florida. With dramatic improvements in medical technology and pharmaceutical innovation, our veterans are surviving battle?eld injuries and accidents that would have been fatal just years ago. While this reality has provided them and their families with a second chance at life, it has also undeniably come with excruciating challenges over the remainder of their lives. We owe it to our veterans to ensure they are being provided the highest quality health care available, including nursing home care. Over the last several years, St. Lucie County and the State of Florida, in coordination with the DVA, has devoted signi?cant personnel and ?nancial resources to construct a veterans nursing home in the community of Tradition, Florida. Unfortunately, as a result of needless red tape and bureaucratic hurdles put in place by the VA, construction of the facility has yet to break ground. Worse, the proposed site of the nursing home is in an area of demonstrated and urgent need of resources to care for its rapidly growing veteran community. According to the TC Palm neWSpaper: In June 20] 1, about the same time the Florida Department of Veterans A?airs applied for federal grants to build four veterans nursing homes in the Sunshine State, the US. Department of Veterans A?airs released its "Design Guide for Community Living Centers. Unlike a conventional veterans nursing home, which state VA o??icials had planned to build in Tradition, "community living centers are more compartmentalized. They consist of buildings with 10 to 12 single-resident bedrooms, with full baths, and all the common areas necessary to accommodate the residents in a residential environment, "according to the guide. Community living centers also are more expensive to build, sta? and maintain. Under the new model, the construction cost for the Tradition facility jumped from $39 million to $58.9 million. Here 's the bureaucratic twist: The design guide clearly states: his volume is meant to be a guide, not a code or regulation. "At some point, however, the guidelines became requirements. When state VA o?icials failed to receive assurances from the federal VA that the latter would cover 65 percent of the construction cost to build a conventional veterans nursing home in Tradition, state o?icials withdrew their original application and reapplied for a larger grant to build a community living center. Because the FDVA had to reapply for this larger grant, there is a concern among local, state and federal of?cials, including me, that the nursing home project will be delayed by at least a year and that Florida could lose its original position in the federal grants pipeline to build this facility. As such, I look forward to your prompt consideration of grant application and respectfully request an appraisal of any related developments. Additionally, I urge your personal involvement in making sure that this nursing home can be completed in a timely manner, and in honoring our veterans by enabling those who are eligible and qualify to use this facility to receive the care they have earned. Sincerely, Marco Rubio United States Senator