#aae? ,,congress  #a/ ,session  ,s4 #cbd
  ,,an ,,act  ,to am5d title #ch1 ,unit$
 ,/ates ,code1 to improve ! provision ( 
adult day heal? c>e s]vices = vet]ans4  
#a4 ,%ort title ,?is ,act may be cit$ z 
! ,/ate ,vet]ans ,home ,adult ,day      
,heal? ,c>e ,improvem5t ,act ( #bjag4   
#b4 ,provision ( c]ta9 adult day heal?  
c>e s]vices = vet]ans  7a7 ,9 g5]al     
,section #agde ( title #ch1 ,unit$      
,/ates ,code1 is am5d$-- 7#a7 by add+ at
 ! end ! foll[+ new subsection3  7d7    
7#a7 ,! ,secret>y %all ent] into an     
agreem5t ) ea* ,/ate home = paym5t by ! 
,secret>y = m$ical sup]vision model     
adult day heal? c>e provid$ to a vet]an 
describ$ 9 subsection 7a77#a7 on ^:     
behalf ! ,/ate home is n 9 receipt (    
paym5t = nurs+ home c>e f ! ,secret>y4  
7#b7 7,a7 ,paym5t "u ea* agreem5t betwe5
 ! ,secret>y & a ,/ate home "u p>agraph 
7#a7 = ea* vet]an :o receives m$ical    
sup]vision model adult day heal? c>e "u 
su* agreem5t %all be made at a rate     
e/abli%$ ?r\gh regulations prescrib$ by 

! ,secret>y to adequately reimburse !   
,/ate home = ! c>e provid$ by ! ,/ate   
home1 includ+ necess>y transportation   
exp5ses4  7,b7 ,! ,secret>y %all consult
 ) ! ,/ate homes 9 prescrib+ regulations
 "u subp>agraph 7,a74  7,c7 ,! rate     
e/abli%$ ?r\gh regulations "u           
subp>agraph 7,a7 %all n take effect     
until ! date t is #cj days aft] ! date  
on :i* ^? regulations are publi%$ 9 !   
,f$]al ,regi/]4  7#c7 ,paym5t by !      
,secret>y "u p>agraph 7#a7 to a ,/ate   
home = m$ical sup]vision model adult day
 heal? c>e provid$ to a vet]an describ$ 
9 t p>agraph con/itutes paym5t 9 full to
 ! ,/ate home = su* c>e furni%$ to t    
vet]an4  7#d7 ,9 ?is subsection1 ! t]m  
m$ical sup]vision model adult day heal? 
c>e means adult day heal? c>e t includes
 ! coord9ation ( physician s]vices1     
d5tal s]vices1 nurs+ s]vices1 !         
adm9i/ration ( drugs1 & su* o!r         
requirem5ts z det]m9$ appropriate by !  
,secret>y4  2 &  7#b7 9 ! section head+1
 by ins]t+ 1 adult day heal? c>e1 aft]  

home c>e4  7b7 ,initial rate ,be=e !    
,secret>y ( ,vet]ans ,affairs e/abli%es 
a paym5t rate "u subsection 7d77#b77;,a7
 ( section #agde ( su* title1 z add$ by 
subsection 7a71 ! ,secret>y %all pay to 
a ,/ate home t has ent]$ into an        
agreem5t ) ! ,secret>y = m$ical         
sup]vision model adult day heal? c>e 7z 
def9$ 9 subsection 7d77#d7 ( su*        
section7 an am\nt equal to #fe p]c5t ( !
 rate ! ,secret>y w\ld pay "u subsection
 7a77#b7 ( su* section to ! ,/ate home =
 nurs+ home c>e provid$ to ! vet]an4    
7c7 ,cl]ical am5dm5t ,! table ( sections
 at ! beg9n+ ( *apt] #ag ( su* title is 
am5d$ by /rik+ ! item relat+ to section 
#agde & ins]t+ ! foll[+ new item3       
#agde4 ,nurs+ home c>e1 adult day heal? 
c>e1 & m$ications = vet]ans )           
s]vice-connect$ disabilities4  4  ,pass$
 ! ,s5ate ,novemb] #i1 #bjag4,secret>y