,,ii  #aaeth ,,congress  #ast ,session  
,s4 #cbd  ,,in ,,the ,,senate ,,of ,,the
 ,,united ,,states  ,february #g        
7legislative day1 ,february #f71        
#bjag,mr4 ,hatch 7for himself1 ,ms4     
,hirono1 and ,mr4 ,boozman7 introduced  
the following bill2 which was read twice
 and referred to the ,committee on      
,veterans' ,affairs  ,a ,,bill  ,to     
amend title #ch1 ,united ,states ,code1 
to improve the provision of adult day   
health care services for veterans4  #a4 
,short title ,this ,act may be cited as 
the ,state ,veterans ,home ,adult ,day  
,health ,care ,improvement ,act of      
#bjag4  #b4 ,provision of certain adult 
day health care services for veterans   
7a7 ,in general ,section #agde of title 
#ch1 ,united ,states ,code1 is amended--
  7#a7 by adding at the end the         
following new subsection3  7d7 7#a7 ,the
 ,secretary shall enter into a contract 
or agreement with each ,state home for  
payment by the ,secretary for medical   
supervision model adult day health care 

provided to a veteran described in      
subsection 7a77#a7 on whose behalf the  
,state home is not in receipt of payment
 for nursing home care from the         
,secretary4  7#b7 ,payment under each   
contract or agreement between the       
,secretary and a ,state home under      
paragraph 7#a7 for each veteran who     
receives medical supervision model adult
 day health care under such contract or 
agreement shall be made at a rate that  
is equal to #fe percent of the payment  
that the ,secretary would make under    
subsection 7a77#b7 to the ,state home   
for nursing home care provided to the   
veteran4  7#c7 ,payment by the          
,secretary under paragraph 7#a7 to a    
,state home for medical supervision     
model adult day health care provided to 
a veteran described in that paragraph   
constitutes payment in full to the      
,state home for such care furnished to  
that veteran4  7#d7 ,in this subsection1
 the term medical supervision model     
adult day health care means adult day   

health care that includes the           
coordination of physician services1     
dental services1 the administration of  
drugs1 and such other requirements as   
determined appropriate by the           
,secretary4  2 and  7#b7 in the section 
heading1 by inserting 1 adult day health
 care1 after home care4  7b7 ,clerical  
amendment ,the table of sections at the 
beginning of chapter #ag of such title  
is amended by striking the item relating
 to section #agde and inserting the     
following new item3  #agde4 ,nursing    
home care1 adult day health care1 and   
medications for veterans with           
service-connected disabilities4  4