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Code · STATUTE-COMPILATIONS · Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act · Sec. 130

Sec. 130. REVIEWS AND OTHER IMPROVEMENTS RELATING TO HOME- AND COMMUNITY-BASED SERVICES

1,208 words·~5 min read·/statute-compilations/comps-18103/sec-130

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## SEC. 130 REVIEWS AND OTHER IMPROVEMENTS RELATING TO HOME- AND COMMUNITY-BASED SERVICES **[**[38 U.S.C. 1720L note](/us/usc/t38/s1720L)**]** ###
(a)Office of Geriatric and Extended Care ####
(1)Review of programs The Under Secretary for Health of the Department of Veterans Affairs shall conduct a review of each program administered through the Office of Geriatric and Extended Care of the Department and the Caregiver Support Program Office of the Department, or any successor offices, to— #####
(A)eliminate service gaps at the medical center level; and #####
(B)ensure— ######
(i)the clinical needs of veterans are met; ######
(ii)consistency in program management; ######
(iii)the availability of, and the access by veterans to, home- and community-based services, including for veterans living in rural areas; and ######
(iv)proper coordination between covered programs. ####
(2)Assessment of staffing needs The Secretary of Veterans Affairs shall conduct an assessment of the staffing needs of the Office of Geriatric and Extended Care of the Department and the Caregiver Support Program Office of the Department, or any successor offices. ####
(3)Goals for geographic alignment of care #####
(A)Establishment of goals The Director of the Office of Geriatric and Extended Care, or successor office, shall establish quantitative goals to enable aging or disabled veterans who are not located near medical centers of the Department to access extended care services (including by improving access to home- and community-based services for such veterans). #####
(B)Implementation timeline Each goal established under subparagraph
(A)shall include a timeline for the implementation of the goal at each medical center of the Department. ####
(4)Goals for in-home specialty care The Director of the Office of Geriatric and Extended Care, or successor office, shall establish quantitative goals to address the specialty care needs of veterans through in-home care, including by ensuring the education of home health aides and caregivers of veterans in the following areas: #####
(A)Dementia care. #####
(B)Care for spinal cord injuries and diseases. #####
(C)Ventilator care. #####
(D)Other speciality care areas as determined by the Secretary. ####
(5)Input on goals To the extent practicable, the head of the Caregiver Support Program Office, or successor office, shall provide to the Director of the Office of Geriatric and Extended Care, or successor office, input with respect to the establishment of the goals under paragraphs
(3)and (4). ####
(6)Report to congress Not later than one year after the date of the enactment of this Act, the Secretary shall submit to the Committees on Veterans’ Affairs of the House of Representatives and the Senate a report containing the findings of the review under paragraph (1), the results of the assessment under paragraph (2), and the goals established under paragraphs
(3)and (4). ###
(b)Review of Incentives and Efforts Relating to Home- and Community-based Services ####
(1)Review The Secretary of Veterans Affairs shall conduct a review of the following: #####
(A)The financial and organizational incentives or disincentives for the directors of medical centers of the Department to establish or expand covered programs at such medical centers. #####
(B)Any incentives or disincentives for such directors to provide to veterans home- and community-based services in lieu of institutional care. #####
(C)The efforts taken by the Secretary to enhance spending of the Department for extended care by balancing spending between institutional care and home- and community-based services consistent with the demand for such services. #####
(D)The plan of the Under Secretary for Health of the Department to accelerate efforts to enhance spending as specified in subparagraph (C), to match the progress of similar efforts taken by the Administrator of the Centers for Medicare & Medicaid Services with respect to spending of the Centers for Medicare & Medicaid Services for extended care. ####
(2)Report to congress Not later than one year after the date of the enactment of this Act, the Secretary shall submit to the Committees on Veterans’ Affairs of the House of Representatives and the Senate a report on the findings of the review under paragraph (1). ###
(c)Review of Respite Care Services Not later than two years after the date of the enactment of this Act, the Secretary of Veterans Affairs shall conduct a review of the use, availability, cost, and effectiveness, of the respite care services furnished by the Secretary under chapter 17 of title 38, United States Code, including— ####
(1)the frequency at which the Department of Veterans Affairs is unable to meet demand for such services; ####
(2)a detailed description of— #####
(A)the reasons the Department of Veterans Affairs is unable to meet the demand for such services; and #####
(B)any actions, or planned actions, of the Secretary of Veterans Affairs to ensure such demand is met. ###
(d)Collaboration to Improve Home- and Community-based Services ####
(1)Recommendations #####
(A)Development The Secretary of Veterans Affairs shall develop recommendations as follows: ######
(i)With respect to home- and community-based services for veterans, the Secretary of Veterans Affairs shall develop recommendations regarding new services (in addition to those furnished as of the date of enactment of this Act) in collaboration with the Secretary of Health and Human Services. ######
(ii)With respect to the national shortage of home health aides, the Secretary of Veterans Affairs shall develop recommendations regarding methods to address such shortage in collaboration with the Secretary of Health and Human Services and the Secretary of Labor. #####
(B)Submission to congress The Secretary of Veterans Affairs shall submit to the Committees on Veterans’ Affairs of the House of Representatives and the Senate a report containing the recommendations developed under subparagraph
(A)and an identification of any changes in existing law or new statutory authority necessary to implement the recommendations, as determined by the Secretary. #####
(C)Consultation with secretary of labor In carrying out this paragraph, the Secretary of Veterans Affairs shall consult with the Secretary of Labor. ####
(2)Feedback and recommendations on caregiver support #####
(A)Feedback and recommendations The Secretary of Veterans Affairs shall solicit from the entities described in subparagraph
(B)feedback and recommendations regarding opportunities for the Secretary to enhance home- and community-based services for veterans and the caregivers of veterans, including through the potential provision by the entity of care and respite services to veterans and caregivers who may not be eligible for any program under section 1720G of title 38, United States Code, or section 1720L of such title (as added by section 123), but have a need for assistance. #####
(B)Covered entities The entities described in this subparagraph are veterans service organizations and nonprofit organizations with a focus on caregiver support or long term care (as determined by the Secretary). ####
(3)Collaboration for certain veterans The Secretary of Veterans Affairs shall collaborate with the Director of the Indian Health Service and representatives from tribal health programs and Urban Indian organizations to ensure the availability of home- and community-based services for— #####
(A)Native American veterans, including Native American veterans receiving health care and medical services under multiple health care systems; and #####
(B)Native Hawaiian veterans, including Native Hawaiian veterans receiving health care and medical services under the Native Hawaiian health care system.
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  • 38 USC 1720L
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Sec. 130
REVIEWS AND OTHER IMPROVEMENTS RELATING TO HOME- AND COMMUNITY-BASED SERVICES
Cite38 USC 1720L
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