,,ii  #aag? ,,congress  #b;d ,session   
,s4 #dafi  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,may #aj1 #bjbb,mr4    
,te/] 7= himself1 ,mr4 ,moran1 & ,mrs4  
,murray7 introduc$ ! foll[+ bill2 :i* 0 
read twice & ref]r$ to ! ,committee on  
,vet]ans' ,affairs  ,a ,,bill  ,to      
require ! ,secret>y ( ,vet]ans ,affairs 
to c>ry out a pilot program to provide  
assi/$ liv+ s]vices to eligible vet]ans1
 & = o!r purposes4  #a4 ,%ort title ,?is
 ,act may be cit$ z ! ,exp&+ ,vet]ans'  
,options = ,long ,t]m ,c>e ,act4  #b4   
,pilot program on assi/$ liv+ s]vices = 
vet]ans  7a7 ,program  7#a7 ,9 g5]al    
,beg9n+ n lat] ?an "o ye> aft] ! date ( 
! enactm5t ( ?is ,act1 ! ,secret>y (    
,vet]ans ,affairs %all c>ry out a       
?ree-ye> pilot program to assess-- 7,a7 
! effectiv5ess ( provid+ assi/$ liv+    
s]vices to eligible vet]ans1 at !       
election ( su* vet]ans2 &  7,b7 !       
satisfaction ) ! pilot program ( vet]ans
 p>ticipat+ 9 ! pilot program4  7#b7    
,ext5sion ,! ,secret>y may ext5d !      

duration ( ! pilot program "u p>agraph  
7#a7 = an additional ?ree-ye> p]iod if !
 ,secret>y1 bas$ on ! results ( !       
reports submitt$ "u subsections 7e7 &   
7f71 det]m9es t x is appropriate to d s4
  7b7 ,program locations  7#a7 ,vet]ans 
,integrat$ ,s]vice ,networks  7,a7 ,9   
g5]al ,! ,secret>y %all select n few]   
?an six ,vet]ans ,integrat$ ,s]vice     
,networks ( ! ,dep>tm5t ( ,vet]ans      
,affairs at :i* to c>ry out ! pilot     
program "u subsection 7a77#a74  7,b7    
,vet]ans receiv+ nurs+ home c>e ,!      
,secret>y %all ensure t n few] ?an ?ree 
,vet]ans ,integrat$ ,s]vice ,networks   
select$ "u subp>agraph 7,a7 s]ve areas )
 ! highe/ p]c5tage ( vet]ans :o are     
curr5tly receiv+ nurs+ home c>e ?r\gh ! 
,dep>tm5t & w\ld be eligible to receive 
assi/$ liv+ s]vices "u ! pilot program4 
7#b7 ,facilities  7,a7 ,9 g5]al ,)9 ea* 
,vet]ans ,integrat$ ,s]vice ,network    
select$ "u p>agraph 7#a71 ! ,secret>y   
%all select facilities at :i* to c>ry   
out ! pilot program "u subsection       

7a77#a74  7,b7 ,selection crit]ia ,9    
select+ facilities "u subp>agraph 7,a71 
! ,secret>y %all ensure t-- 7i7 !       
locations ( su* facilities are 9        
geographically div]se areas2  7ii7 n    
few] ?an two su* facilities s]ve vet]ans
 9 rural or highly rural areas 7z       
det]m9$ ?r\gh ! use ( ! ,rural-,urban   
,commut+ ,areas cod+ sy/em ( ! ,dep>tm5t
 ( ,agriculture72  7iii7 n few] ?an "o  
su* facility is locat$ 9 ea* ,vet]ans   
,integrat$ ,s]vice ,network select$ "u  
p>agraph 7#a72 &  7iv7 n few] ?an two   
su* facilities are ,/ate homes4  7c7    
,provision ( assi/$ liv+ s]vices  7#a7  
,agreem5ts ,9 c>ry+ out ! pilot program 
"u subsection 7a77#a71 ! ,secret>y may  
ent] into agreem5ts = ! provision (     
assi/$ liv+ s]vices on behalf ( eligible
 vet]ans )-- 7,a7 a provid] p>ticipat+  
"u a ,/ate plan or waiv] "u title ,,xix 
( ! ,social ,security ,act 7#db         
,u4,s4,c4 #acif et seq472 or  7,b7 a    
,/ate home recogniz$ & c]tifi$ "u subp>t
 ,b ( "p #ea ( title #ch1 ,code ( ,f$]al

 ,regulations1 or successor regulations4
  7#b7 ,/&>ds ,! ,secret>y may n place1 
transf]1 or admit a vet]an to any       
facility = assi/$ liv+ s]vices "u !     
pilot program "u subsection 7a77#a7     
unless ! ,secret>y det]m9es t-- 7,a7 !  
facility meets ! /&>ds = community      
resid5tial c>e e/abli%$ "u sections     
#ag4fa ?r\gh #ag4gb ( title #ch1 ,code (
 ,f$]al ,regulations1 or successor      
regulations1 & any additional /&>ds (   
c>e z ! ,secret>y may specify2 or  7,b7 
9 ! case ( a facility t is a ,/ate home1
 ! ,/ate home meets ! /&>ds = c>e       
e/abli%$ "u subp>t ,e ( "p #ea ( title  
#ch1 ,code ( ,f$]al ,regulations1 or    
successor regulations1 & any additional 
/&>ds ( c>e z ! ,secret>y may specify4  
7#c7 ,inspection ,! ,secret>y %all      
inspect facilities at :i* vet]ans are   
plac$ "u ! pilot program "u subsection  
7a77#a7-- 7,a7 ) respect to a facility t
 is a ,/ate home1 n less frequ5tly ?an  
annually & 9 ! same mann] z ! ,secret>y 
conducts inspection ( ,/ate homes "u    

section #agdb ( title #ch1 ,unit$ ,/ates
 ,code2 &  7,b7 ) respect to any o!r    
facility1 n less frequ5tly ?an annually 
& 9 ! same mann] z ! ,secret>y conducts 
inspection ( facilities "u section #agcj
 ( su* title4  7#d7 ,paym5t to c]ta9    
facilities  7,a7 ,/ate homes ,9 ! case (
 a facility p>ticipat+ 9 ! pilot program
 "u subsection 7a77#a7 t is a ,/ate     
home1 ! ,secret>y %all pay to ! ,/ate   
home a p] diem = ea* vet]an p>ticipat+ 9
 ! pilot program at ! ,/ate home t is-- 
7i7 great] ?an ! p] diem = domicili>y   
c>e at ! ,/ate home1 if applicable2 &   
7ii7 less ?an ! p] diem = nurs+ home c>e
 at ! ,/ate home4  7,b7 ,community      
assi/$ liv+ facilities ,9 ! case ( a    
facility p>ticipat+ 9 ! pilot program t 
is a community assi/$ liv+ facility1 !  
,secret>y %all pay to ! facility an     
am\nt t is less ?an ! av]age rate paid  
by ! ,dep>tm5t = placem5t 9 a community 
nurs+ home 9 ! same ,vet]ans ,integrat$ 
,s]vice ,network4  7d7 ,cont9uity ( c>e 
,^u ! t]m9ation ( ! pilot program "u    

subsection 7a77#a71 ! ,secret>y %all--  
7#a7 provide to all vet]ans p>ticipat+ 9
 ! pilot program at ! "t ( su* t]m9ation
 ! option to cont9ue to receive assi/$  
liv+ s]vices at ! site !y 7 assign$ to  
"u ! pilot program1 at ! exp5se ( !     
,dep>tm5t2 &  7#b7 = su* vet]ans :o d n 
opt to cont9ue to receive su* s]vices-- 
7,a7 ensure su* vet]ans d n exp]i5ce    
lapses 9 c>e2 &  7,b7 provide su*       
vet]ans ) in=mation on1 & enroll        
p>ticipants 91 o!r long-t]m c>e options 
bas$ on _! pref]5ces & be/ m$ical       
int]e/4  7e7 ,annual report  7#a7 ,9    
g5]al ,n lat] ?an "o ye> aft] !         
initiation ( ! pilot program "u         
subsection 7a77#a71 & annually !reaft] =
 ea* ye> 9 :i* ! pilot program is c>ri$ 
out1 ! ,secret>y %all submit to !       
,committee on ,vet]ans' ,affairs ( !    
,s5ate & ! ,committee on ,vet]ans'      
,affairs ( ! ,h\se ( ,repres5tatives a  
report on ! pilot program1 includ+--    
7,a7 an id5tification ( ,vet]ans        
,integrat$ ,s]vices ,networks &         

facilities ( ! ,dep>tm5t p>ticipat+ 9 ! 
pilot program & assi/$ liv+ facilities &
 ,/ate homes at :i* vet]ans are plac$ "u
 ! pilot program2  7,b7 ! numb] (       
p>ticipants 9 ! pilot program1          
disaggregat$ by facility2  7,c7 g5]al   
demographic in=mation ( p>ticipants 9 ! 
pilot program1 includ+ av]age age1 g5d]1
 & race or e?nicity2  7,d7 disability   
/atus ( p>ticipants 9 ! pilot program2  
7,e7 an id5tification ( any b>ri]s or   
*all5ges to enroll+ vet]ans 9 ! pilot   
program1 conduct+ ov]sight ( ! pilot    
program1 or any o!r b>ri]s or *all5ges2 
7,f7 ! co/ ( c>e at ea* assi/$ liv+     
facility & ,/ate home p>ticipat+ 9 !    
pilot program1 includ+ an analysis ( any
 co/ sav+s by ! ,dep>tm5t :5 comp>+ t   
co/ to ! co/ ( nurs+ home c>e2  7,g7    
aggregat$ fe$back f p>ticipants 9 !     
pilot program2 &  7,h7 su* o!r matt]s ! 
,secret>y consid]s appropriate4  7#b7   
,f9al report ,z "p ( ! f9al report      
submitt$ "u p>agraph 7#a71 ! ,secret>y  
%all include recomm5dations on :e!r !   

model /udi$ 9 ! pilot program %\ld be   
cont9u$ or adopt$ ?r\gh\t ! ,dep>tm5t4  
7f7 ,report by ,inspector ,g5]al  7#a7  
,9 g5]al ,n lat] ?an two ye>s aft] !    
initiation ( ! pilot program "u         
subsection 7a77#a71 ! ,inspector ,g5]al 
( ! ,dep>tm5t ( ,vet]ans ,affairs %all  
submit to ! ,secret>y1 ! ,committee on  
,vet]ans' ,affairs ( ! ,s5ate1 & !      
,committee on ,vet]ans' ,affairs ( !    
,h\se ( ,repres5tatives a report on !   
pilot program4  7#b7 ,elem5ts ,! report 
requir$ by p>agraph 7#a7 %all include an
 assessm5t (-- 7,a7 ! quality ( c>e     
provid$ to vet]ans at facilities        
p>ticipat+ 9 ! pilot program2  7,b7 !   
ov]sight ( su* facilities1 z conduct$ by
 ! ,dep>tm5t1 ! ,c5t]s = ,m$ic>e        
,m$icaid ,s]vices1 ,/ate ag5cies1 & o!r 
relevant entities2 &  7,c7 su* o!r      
matt]s z ! ,inspector ,g5]al consid]s   
appropriate4  7#c7 ,foll[-up ,n lat] ?an
 #ij days aft] ! submittal ( ! report   
requir$ by p>agraph 7#a71 ! ,secret>y   
%all submit to ! ,committee on ,vet]ans'

 ,affairs ( ! ,s5ate & ! ,committee on  
,vet]ans' ,affairs ( ! ,h\se (          
,repres5tatives a plan to address !     
defici5cies id5tifi$ 9 ! report1 if any4
  7g7 ,def9itions ,9 ?is section3 7#a7  
,assi/$ liv+ s]vices ,! t]m assi/$ liv+ 
s]vices means-- 7,a7 s]vices ( a        
facility 9 provid+ room1 bo>d1 & p]sonal
 c>e = & sup]vision ( resid5ts = _!     
heal?1 safety1 & welf>e2 &  7,b7 a level
 ( c>e m int5sive ?an domicili>y c>e &  
less int5sive ?an nurs+ home c>e4  7#b7 
,eligible vet]an ,! t]m eligible vet]an 
means a vet]an :o-- 7,a7 7i7 is already 
receiv+ nurs+ home level c>e paid = by !
 ,dep>tm5t2  7ii7 is eligible to receive
 nurs+ home level c>e paid = by !       
,dep>tm5t2 or  7iii7 exce$s !           
requirem5ts = domicili>y c>e paid = by !
 ,dep>tm5t b does n meet ! requirem5ts =
 nurs+ home level c>e paid = by !       
,dep>tm5t2 &  7,b7 is eligible = assi/$ 
liv+ s]vices1 z det]m9$ by ! ,secret>y4 
7#c7 ,/ate home ,! t]m ,/ate home has ! 
mean+ giv5 t t]m 9 section #aja7ai7 (   

title #ch1 ,unit$ ,/ates ,code4