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The Veterans Health Administration Did Not Get Secretary’s Approval Before Using Canines for Medical Research

Report Information

Issue Date
Report Number
19-06451-165
VA Office
Veterans Health Administration (VHA)
Report Author
Office of Audits and Evaluations
Report Type
Review
Report Topic
Healthcare Infrastructure
Major Management Challenges
Leadership and Governance
Recommendations
5
Questioned Costs
$0
Better Use of Funds
$0
Congressionally Mandated
No

Summary

Summary
Five members of Congress asked the VA Office of Inspector General (OIG) to review the Veterans Health Administration’s (VHA) canine research approval process in response to public concerns about alleged animal welfare and oversight violations. In fiscal years (FY) 2018 and 2019, Congress mandated that the VA Secretary directly approve the use of appropriated funds for canine research. The OIG found VHA conducted eight studies without the former or current Secretary’s direct approval, resulting in the unauthorized use of $393,606 in appropriated funds.VA continued research using canines after the passage of the funding restrictions, in part, because VHA executives perceived that then VA Secretary David Shulkin had approved the continuation of the studies before his March 28, 2018, departure. Former Secretary Shulkin denied approving each study for continuation after funding restrictions were enacted. The OIG did not confirm Dr. Shulkin had directly approved continuation in a March 28, 2018, meeting on his last day as Secretary. VHA also did not have a formal procedure to obtain and document the Secretary’s approval. Unclear communication, inadequate recordkeeping, and failure to ensure approval decisions were accurately recorded and verified all contributed to VHA’s noncompliance. Providing unsupported and potentially inaccurate information on this topic could undermine public trust in VA and unnecessarily detract attention from its important statutory mission—supporting a wide range of authorized research on veterans’ health issues. The OIG recommended the under secretary for health establish a process to obtain the Secretary’s approval for canine research as required by federal law, ensure approval is documented, and prevent appropriated funds from being spent without approval. The OIG also recommended the under secretary report to Congress on FY 2018 and 2019 funds spent on canine research without the Secretary’s approval.

Open Recommendation Image, SquareOpenClosed and Implemented Recommendation Image, CheckmarkClosed-ImplementedNot Implemented Recommendation Image, X character'Closed-Not Implemented
No. 1
Closed and Implemented Recommendation Image, Checkmark
to Veterans Health Administration (VHA)
The Under Secretary for Health establish a formal process for requesting and obtaining the approval of the VA Secretary for research studies that use canine subjects to comply with applicable restrictions on the use of appropriated funds.
No. 2
Closed and Implemented Recommendation Image, Checkmark
to Veterans Health Administration (VHA)
The Under Secretary for Health develop and implement processes for documenting and maintaining records of the VA Secretary’s approval of canine research studies, including the study at the Richmond VAMC that was not included in the Secretary’s August 30, 2019, approval document.
No. 3
Closed and Implemented Recommendation Image, Checkmark
to Veterans Health Administration (VHA)
The Under Secretary for Health establish controls for ensuring appropriate funds are not spent for canine research studies before obtaining the VA Secretary’s approval.
No. 4
Closed and Implemented Recommendation Image, Checkmark
to Veterans Health Administration (VHA)
The Under Secretary for Health review local accounting records and cost allocations to determine the total amount of FY 2018 and 2019 funds spent on canine research before the VA Secretary approved the studies and report this information to the House and Senate appropriations committees.
No. 5
Closed and Implemented Recommendation Image, Checkmark
to Veterans Health Administration (VHA)
The Under Secretary for Health work with the VA Secretary and the chief financial officer to take the steps required by OMB Circular A-11 to determine whether an Antideficiency Act violation occurred and, if so, take appropriate action for the funds obligated and expended for research studies involving canine subjects.