,i  #aag? ,,congress  #a/ ,session  ,h4 
,r4 #fccb  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,decemb] #bj1         
#bjba,mr4 ,kilm] 7= himself & ,mrs4     
,rodg]s ( ,wa%+ton7 introduc$ ! foll[+  
bill2 :i* 0 ref]r$ to ! ,committee on   
,vet]ans' ,affairs  ,a ,,bill  ,to      
direct ! ,secret>y ( ,vet]ans ,affairs  
to improve long-t]m c>e provid$ to      
vet]ans by ! ,dep>tm5t ( ,vet]ans       
,affairs1 & = o!r purposes4  #a4 ,%ort  
title ,?is ,act may be cit$ z ! ,plann+ 
= ,ag+ ,vet]ans ,act ( #bjba4  #b4      
,/rategy = long-t]m c>e = ag+ vet]ans   
7a7 ,9 g5]al ,! ,secret>y ( ,vet]ans    
,affairs %all develop a /rategy = !     
long-t]m c>e ( vet]ans4  7b7 ,elem5ts ,!
 /rategy develop$ "u subsection 7a7     
%all-- 7#a7 id5tify curr5t & future ne$s
 = ! long-t]m c>e ( vet]ans bas$ on     
demographic data & availability (       
s]vices bo? f ,dep>tm5t ( ,vet]ans      
,affairs & f non-,dep>tm5t provid]s 9 ! 
community1 include o!r ,f$]al ,gov]nm5t1
 non-,f$]al ,gov]nm5t1 nonpr(it1 =      

pr(it1 & o!r entities2  7#b7 id5tify !  
curr5t & future ne$s ( vet]ans = bo?    
in/itutional & non-in/itutional long-t]m
 c>e 7= example1 home-bas$ &            
community-bas$ s]vices71 tak+ into      
acc\nt ! ne$s ( gr[+ vet]an population  
gr\ps1 includ+ wom5 vet]ans1 vet]ans )  
traumatic bra9 injury1 vet]ans ) memory 
loss1 & o!r population gr\ps ) unique   
ne$s2 &  7#c7 address new & diff]5t c>e 
deliv]y models1 includ+ by-- 7,a7       
assess+ ! implications ( su* models = ! 
design ( facilities & h[ ^? facilities  
may ne$ to *ange2  7,b7 exam9+ ! work=ce
 ne$$ to support ag+ populations (      
vet]ans z !y gr[ & receive long-t]m c>e 
?r\gh diff]5t tr5ds ( c>e deliv]y2 &    
7,c7 consid]+ ! feasibility &           
advisability ( implem5t+ a vet]an-focus$
 indep5d5t provid] model =              
non-in/itutional c>e4  7c7 ,report ,n   
lat] ?an "o ye> aft] ! date ( ! enactm5t
 ( ?is ,act1 ! ,secret>y %all submit to 
,congress a report on ! /rategy develop$
 "u subsection 7a74  #c4 ,improvem5t (  

,/ate vet]ans homes  7a7 ,/&>diz$ %>+   
agreem5ts ,! ,secret>y ( ,vet]ans       
,affairs %all develop a /&>diz$ process 
?r\gh\t ! ,dep>tm5t ( ,vet]ans ,affairs 
= ent]+ into %>+ agreem5ts betwe5 ,/ate 
homes & m$ical c5t]s ( ! ,dep>tm5t4  7b7
 ,provision ( m$ication to              
cata/rophically disabl$ vet]ans ,section
 #agde7;b7 ( title #ch1 ,unit$ ,/ates   
,code1 is am5d$ by add+ at ! end !      
foll[+ new p>agraph3  7#c7 ,any vet]an  
:o has be5 det]m9$ by ! ,secret>y to be 
cata/rophically disabl$1 z def9$ 9      
section #ag4cf7;e7 ( title #ch1 ,code ( 
,f$]al ,regulations1 or successor       
regulations1 & on ^: behalf ! ,secret>y 
is pay+ a p] diem = nurs+ home or       
domicili>y c>e 9 a ,/ate home "u ?is    
*apt]4  4  7c7 ,ov]sight ( inspections  
7#a7 ,monitor+ ,! ,secret>y %all monitor
 any contractor us$ by ! ,dep>tm5t to   
conduct inspections ( ,/ate homes1      
includ+ by review+ ! inspections        
conduct$ by ea* su* contractor = quality
 n less frequ5tly ?an qu>t]ly4  7#b7    

,report+ ( defici5cies ,! ,secret>y %all
 require t any defici5cies ( a ,/ate    
home not$ dur+ ! inspection ( ! ,/ate   
home be report$ to ! ,secret>y4  7#c7   
,transp>5cy ,! ,secret>y %all publi% !  
results ( any inspection ( a ,/ate home1
 & any associat$ corrective actions     
plann$ by ! ,/ate home1 on a publicly   
available int]net website ( ! ,dep>tm5t4
  7d7 ,/ate home def9$ ,9 ?is section1 !
 t]m ,/ate home has ! mean+ giv5 t t]m 9
 section #aja7ai7 ( title #ch1 ,unit$   
,/ates ,code4  #d4 ,g]iatric psy*iatry  
pilot program at ,/ate vet]ans homes    
7a7 ,9 g5]al ,n lat] ?an "o ye> aft] !  
date ( ! enactm5t ( ?is ,act1 !         
,secret>y ( ,vet]ans ,affairs %all      
comm5ce ! conduct ( a pilot program "u  
:i* ! ,secret>y %all provide g]iatric   
psy*iatry assi/ance to eligible vet]ans 
at ,/ate homes4  7b7 ,duration ,!       
,secret>y %all c>ry out ! pilot program 
"u ?is section = a two-ye> p]iod4  7c7  
,type ( assi/ance ,assi/ance provid$ "u 
! pilot program "u ?is section may      

include-- 7#a7 direct provision (       
g]iatric psy*iatry s]vices1 includ+     
heal? c>e if feasible2  7#b7 paym5ts to 
non-,dep>tm5t ( ,vet]ans ,affairs       
provid]s 9 ! community to provide su*   
s]vices2  7#c7 collaboration ) o!r      
,f$]al ag5cies to provide su* s]vices2  
or  7#d7 su* o!r =ms ( assi/ance z !    
,secret>y consid]s appropriate4  7d7    
,consid]ation ( local area ne$s ,9      
provid+ assi/ance "u ! pilot program "u 
?is section1 ! ,secret>y %all consid] ! 
g]iatric psy*iatry ne$s ( ! local area1 
includ+ by consid]+-- 7#a7 ,/ate homes )
 a high proportion ( resid5ts ) unmet   
m5tal heal? ne$s2  7#b7 ,/ate homes     
locat$ 9 m5tal heal? c>e heal?          
pr(essional %ortage areas designat$ "u  
section #ccb ( ! ,public ,heal? ,s]vice 
,act 7#db ,u4,s4,c4 #bed;e72 or  7#c7   
,/ate homes locat$ 9 rural or highly    
rural areas4  7e7 ,def9itions ,9 ?is    
section1 ! t]ms ,/ate home & vet]an h ! 
mean+s giv5 ^? t]ms 9 section #aja (    
title #ch1 ,unit$ ,/ates ,code4  #e4    

,support = ag+ vet]ans at risk ( or     
exp]i5c+ homelessness  7a7 ,9 g5]al ,!  
,secret>y ( ,vet]ans ,affairs %all "w ) 
public h\s+ au?orities & local          
organizations to assi/ ag+ homeless     
vet]ans 9 access+ exi/+ h\s+ &          
supportive s]vices1 includ+ heal?       
s]vices l home-bas$ & community-bas$    
s]vices f ! ,dep>tm5t ( ,vet]ans        
,affairs or f non-,dep>tm5t provid]s 9 !
 community4  7b7 ,paym5t = s]vices ,!   
,secret>y may1 & is enc\rag$ to1 pay =  
s]vices = ag+ homeless vet]ans describ$ 
9 subsection 7a74