,,ii  #aag? ,,congress  #a/ ,session    
,s4 #bheb  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,septemb] #bg1         
#bjba,ms4 ,s9ema 7= h]self & ,mrs4      
,blackburn7 introduc$ ! foll[+ bill2 :i*
 0 read twice & ref]r$ to ! ,committee  
on ,vet]ans' ,affairs  ,a ,,bill  ,to   
am5d title #ch1 ,unit$ ,/ates ,code1 to 
au?orize ! ,secret>y ( ,vet]ans ,affairs
 to ent] into contracts & agreem5ts = ! 
paym5t ( c>e 9 non-,dep>tm5t ( ,vet]ans 
,affairs m$ical fo/] homes = c]ta9      
vet]ans :o are unable to live           
indep5d5tly1 & = o!r purposes4  #a4     
,%ort title ,?is ,act may be cit$ z !   
,long-,t]m ,c>e ,vet]ans ,*oice ,act4   
#b4 ,secret>y ( ,vet]ans ,affairs       
contract au?ority = paym5t ( c>e =      
vet]ans 9 non-,dep>tm5t ( ,vet]ans      
,affairs m$ical fo/] homes  7a7         
,au?ority  7#a7 ,9 g5]al ,section #agbj 
( title #ch1 ,unit$ ,/ates ,code1 is    
am5d$ by add+ at ! end ! foll[+ new     
subsection3  7h7 7#a7 ,dur+ ! five-ye>  
p]iod beg9n+ on ! date ( ! enactm5t ( ! 

,long-,t]m ,c>e ,vet]ans ,*oice ,act1 & 
subject to p>agraph 7#c7-- 7,a7 at !    
reque/ ( a vet]an = :om ! ,secret>y is  
requir$ to provide nurs+ home c>e "u    
section #agaj;,a ( ?is title1 !         
,secret>y may place ! vet]an 9 a m$ical 
fo/] home t meets ,dep>tm5t /&>ds1 at ! 
exp5se ( ! ,unit$ ,/ates1 pursuant to a 
contract1 agreem5t1 or o!r arrangem5t   
ent]$ into betwe5 ! ,secret>y & ! m$ical
 fo/] home = su* purpose2 &  7,b7 !     
,secret>y may pay = c>e ( a vet]an plac$
 9 a m$ical fo/] home be=e su* date (   
enactm5t1 if ! home meets ,dep>tm5t     
/&>ds1 pursuant to a contract1 agreem5t1
 or o!r arrangem5t ent]$ into betwe5 !  
,secret>y & ! m$ical fo/] home = su*    
purpose4  7#b7 ,a vet]an on ^: behalf ! 
,secret>y pays = c>e 9 a m$ical fo/]    
home "u p>agraph 7#a7 %all agree1 z a   
condition ( su* paym5t1 to accept home  
heal? s]vices furni%$ by ! ,secret>y "u 
section #agag ( ?is title4  7#c7 ,9 any 
ye>1 n m ?an a daily av]age ( #ijj      
vet]ans receiv+ c>e 9 a m$ical fo/]     

home1 :e!r plac$ be=e1 on1 or aft] !    
date ( ! enactm5t ( ! ,long-,t]m ,c>e   
,vet]ans ,*oice ,act1 may h _! c>e cov]$
 at ! exp5se ( ! ,unit$ ,/ates "u       
p>agraph 7#a74  7#d7 ,! prohibition "u  
section #agcj7;b77#c7 ( ?is title %all n
 apply to a vet]an ^: c>e is cov]$ at ! 
exp5se ( ! ,unit$ ,/ates "u p>agraph    
7#a74  7#e7 ,9 ?is subsection1 ! t]m    
m$ical fo/] home means a home design$ to
 provide non-in/itutional1 long-t]m1    
supportive c>e = vet]ans :o are unable  
to live indep5d5tly & pref] a family    
sett+4  4  7#b7 ,effective date         
,subsection 7h7 ( section #agbj ( title 
#ch1 ,unit$ ,/ates ,code1 z add$ by     
p>agraph 7#a71 %all take effect #ij days
 aft] ! date ( ! enactm5t ( ?is ,act4   
7b7 ,ongo+ monitor+ ( m$ical fo/] home  
program  7#a7 ,9 g5]al ,! ,secret>y (   
,vet]ans ,affairs %all create a sy/em to
 monitor & assess ! workload = !        
,dep>tm5t ( ,vet]ans ,affairs 9 c>ry+   
out ! au?ority "u section #agbj7;h7 (   
title #ch1 ,unit$ ,/ates ,code1 z add$  

by subsection 7a77#a71 includ+ by       
track+-- 7,a7 reque/s by vet]ans to be  
plac$ 9 a m$ical fo/] home "u su*       
section2  7,b7 d5ials ( su* reque/s1    
includ+ ! reasons = su* d5ials2  7,c7 ! 
total numb] ( m$ical fo/] homes apply+  
to p>ticipate "u su* section1           
disaggregat$ by ^? approv$ & ^? d5i$    
approval by ! ,dep>tm5t to p>ticipate2  
7,d7 vet]ans receiv+ c>e at a m$ical    
fo/] home at ! exp5se ( ! ,unit$ ,/ates2
 &  7,e7 vet]ans receiv+ c>e at a m$ical
 fo/] home at _! own exp5se4  7#b7      
,report ,bas$ on ! monitor+ & assessm5ts
 conduct$ "u p>agraph 7#a71 ! ,secret>y 
%all id5tify & submit to ,congress a    
report on su* modifications to implem5t+
 section #agbj7;h7 ( title #ch1 ,unit$  
,/ates ,code1 z add$ by subsection      
7a77#a71 z ! ,secret>y consid]s necess>y
 to ensure ! au?ority "u su* section is 
function+ z int5d$ & c>e is provid$ to  
vet]ans "u su* section z int5d$4  7#c7  
,m$ical fo/] home def9$ ,9 ?is          
subsection1 ! t]m m$ical fo/] home has !

 mean+ giv5 t t]m 9 section #agbj7;h7 ( 
title #ch1 ,unit$ ,/ates ,code1 z add$  
by subsection 7a77#a74  7c7 ,comptroll] 
,g5]al report ,n lat] ?an ea* ( ?ree    
ye>s & six ye>s aft] ! date ( ! enactm5t
 ( ?is ,act1 ! ,comptroll] ,g5]al ( !   
,unit$ ,/ates %all submit to ,congress a
 report-- 7#a7 assess+ ! implem5tation (
 ?is section & ! am5dm5ts made by ?is   
section2  7#b7 assess+ ! impact ( !     
monitor+ & modifications "u subsection  
7b7 on c>e provid$ "u section #agbj7;h7 
( title #ch1 ,unit$ ,/ates ,code1 z add$
 by subsection 7a77#a72 &  7#c7 sett+ =?
 recomm5dations = improvem5ts to !      
implem5tation ( su* section1 z !        
,comptroll] ,g5]al consid]s appropriate4