"Making the significant improvements we recommend requires a sense of urgency and strong leadership," the report read. "The experiences of these young men and women have highlighted the need for fundamental changes in care management and the disability system."

The report does not seek to directly criticize or lay blame for shoddy outpatient treatment at the Walter Reed Army Medical Center in Washington that brought a public outcry for change and creation of the commission. It cited a need to move forward, saying there was no need to "reiterate" the findings of news reports that uncovered substandard care.

Among the proposals:

—Boost staff and money for Walter Reed until it closes in the coming years. Urge the Pentagon to work with the VA to create "integrated care teams" of doctors and nurses to see injured troops through their recovery.

—Restructure the disability pay systems to give the VA more responsibility for awarding benefits.

—Require comprehensive training programs in post-traumatic stress and traumatic brain injuries for military leaders, VA and Pentagon personnel.

—Create a "My eBenefits" Web site, developed jointly by the VA and Pentagon. It would let those in the military and doctors access private medical information as the injured move from facility to facility to receive treatment.

—Provide better family support. One-third of injured Iraq war veterans reported that a family member or close friend had to relocate to care for them. The report calls for training and counseling for families of service members who require long-term care and improved family leave and insurance benefits for family members.

"We owe our wounded soldiers the very best care, and the very best benefits, and the very easiest to understand system," Bush said. "And so they took a very interesting approach. They took the perspective from the patient, as the patient had to work his way through the hospitals and bureaucracies. And they've come up with some very interesting and important suggestions."

Bush created the panel on March 6 to investigate problems in the treatment of wounded veterans following the disclosures at Walter Reed.

Meanwhile, the Senate voted by unanimous consent on legislation that seeks to end inconsistencies in disability pay. It would provide for a special review of cases in which those in the military received low ratings of their level of disability. The aim is to determine if they were shortchanged.

The bill would boost severance pay and provide $50 million for improved diagnosis of veterans with traumatic brain injury or post-traumatic stress disorder. The House was considering similar measures.