No, state budgets to affect things, according to my good friend who works in the VA in NV. The states are supposed to kick in extra funds. Her VA office is on furloughs right now because the NV state budget mandates all state employees have 'em, and they're seriously budget-strapped and can't handle the volume of requests they're getting right now.

Also, it's often different once you're firmly in the hospitals and the system; getting past the paperwork hurdles is often tricky, and that part's where the state budget often cuts hardest.