Elizabeth Dole Home Care Act of 2023
Also known as Elizabeth Dole Home- and Community-Based Services for Veterans and Caregivers Act of 2023
Where it stands
- Introduced1/26/23
- Passed HousePassed 12/5/23
- Senate
- President
- Law
Passed the House 414–5 on December 5, 2023 (Roll Call 696 →). Received in the Senate on December 6, 2023. No Senate action since.
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Roll calls on this bill
- Democratic201 Yea · 0 Nay · 12 Not voting
- Republican213 Yea · 5 Nay · 3 Not voting
- Independent / Other0 Yea · 0 Nay · 0 Not voting
Elizabeth Dole Home- and Community-Based Services for Veterans and Caregivers Act of 2023 or the Elizabeth Dole Home Care Act of 2023
This bill addresses home care and caregiver programs provided by the Department of Veterans Affairs (VA).
Under the bill, the cost of providing noninstitutional alternatives to nursing home care generally may not exceed 100% of the cost that would have been incurred if a veteran had been furnished VA nursing home care. (Under current law, these expenditures are limited to 65% of the cost.) However, for specified veterans, the VA may exceed 100% of the cost if it determines the higher cost is in the best interest of such veterans (i.e., veterans with amyotrophic lateral sclerosis, a spinal cord injury, or a condition the Secretary determines to be similar to such conditions).
Among other requirements, the VA must
seek to enter into an agreement with the Program of All-Inclusive Care for the Elderly in certain areas to furnish noninstitutional alternatives to nursing home care;
implement various programs (e.g., the Veteran Directed Care program) to expand access to home- and community-based services;
provide specified support and benefits to caregivers of certain disabled veterans;
implement a pilot program to provide homemaker and home health aide services to veterans who reside in communities with a shortage of home health aides; and
ensure the availability of home and community-based services for Native American veterans.
For veterans or family caregivers who are discharged from the Program of Comprehensive Assistance for Family Caregivers, a caregiver support coordinator must provide for a personalized transition to an appropriate program.
The Veterans Health Administration must review programs administered through the Office of Geriatric and Extended Care to ensure consistency in program management, eliminate service gaps at the medical center level, and ensure the availability of and access to home and community-based services.
The bill also extends certain loan fee rates through February 4, 2032, under the VA's home loan program.
76
1/26/23
What happens next
The Senate must pass the same text, then it goes to the President.
If it isn't enacted by Jan 3, 2025, it expires when the 118th Congress ends.
All actions (18)
- 1/26/23Introduced in House
- 1/26/23Referred to the House Committee on Veterans' Affairs.
- 3/23/23Referred to the Subcommittee on Health.
- 3/29/23Subcommittee Hearings Held.
- 7/26/23Subcommittee on Health Discharged.
- 7/26/23Committee Consideration and Mark-up Session Held.
- 7/26/23Ordered to be Reported in the Nature of a Substitute by Voice Vote.
- 11/29/23Reported (Amended) by the Committee on Veterans' Affairs. H. Rept. 118-284.
- 11/29/23Placed on the Union Calendar, Calendar No. 228.
- 12/4/23Mr. Bergman moved to suspend the rules and pass the bill, as amended.
- 12/4/23Considered under suspension of the rules. (consideration: CR H6097-6103)
- 12/4/23DEBATE - The House proceeded with forty minutes of debate on H.R. 542.
- 12/4/23At the conclusion of debate, the Yeas and Nays were demanded and ordered. Pursuant to the provisions of clause 8, rule XX, the Chair announced that further proceedings on the motion would be postponed.
- 12/5/23Considered as unfinished business. (consideration: CR H6130-6131)
- 12/5/23Passed/agreed to in House: On motion to suspend the rules and pass the bill, as amended Agreed to by the Yeas and Nays: (2/3 required): 414 - 5 (Roll no. 696). (text: 12/04/2023 CR H6097-6100)
- 12/5/23On motion to suspend the rules and pass the bill, as amended Agreed to by the Yeas and Nays: (2/3 required): 414 - 5 (Roll no. 696). (text: 12/04/2023 CR H6097-6100)
- 12/5/23Motion to reconsider laid on the table Agreed to without objection.
- 12/6/23Received in the Senate.