This book focuses on the legislative process through a case study of the Veterans Millennium Health Care Act of 1999 signed by President Clinton on November 30, 1999. This research examines the roles and interactions of various actors in the legislative process (i.e., congressional party leaders, executive branch, veterans interest groups, state health care providers and Congress) during the first session of the 106th Congress in overcoming what traditionally is an extremely lethargic, slow and relatively resistant structural environment. The principle finding of this study include the structural role orientations of legislators towards utilizing already formed interpersonal relationships to ‘fast-track’ the 1999 veteran’s legislation in record time.