,,ii  #aahth ,,congress  #b;d ,session  
,s4 #chda  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,february #bi1 
#bjbd,mr4 ,king 7for himself and ,mr4   
,cramer7 introduced the following bill2 
which was read twice and referred to the
 ,committee on ,veterans' ,affairs  ,a  
,,bill  ,to require the ,secretary of   
,veterans ,affairs to submit a report on
 the impact of a proposed rule submitted
 by the ,centers for ,medicare          
,medicaid ,services on access of        
veterans to long-term care facilities4  
#a4 ,short title ,this ,act may be cited
 as the ,,va ,report on ,proposed ,,cms 
,staffing ,ratios ,act4  #b4 ,report on 
impact of proposed rule on access of    
veterans to long-term care facilities   
7a7 ,in general ,not later than #fj days
 after the date of the enactment of this
 ,act1 the ,secretary of ,veterans      
,affairs shall submit to the ,committee 
on ,veterans' ,affairs of the ,senate   
and the ,committee on ,veterans'        
,affairs of the ,house of               

,representatives a report on the impact 
of the proposed rule submitted by the   
,centers for ,medicare  ,medicaid       
,services relating to ,medicare and     
,medicaid programs2 minimum staffing    
standards for long-term care facilities 
and ,medicaid institutional payment     
transparency reporting 7#hh ,fed4 ,reg4 
#faceb2 published ,september #f1 #bjbc7 
on the access of veterans to long-term  
care facilities under the laws          
administered by the ,secretary1 which   
shall include the following3 7#a7 ,the  
number of ,state homes at which current 
staffing would not meet the threshold   
for minimum staffing outlined in such   
proposed rule4  7#b7 ,the number of     
veterans who reside in a ,state home    
described in paragraph 7#a74  7#c7 ,the 
number of community nursing homes       
currently contracted with the           
,department of ,veterans ,affairs that  
would not meet the threshold for minimum
 staffing outlined in such proposed     
rule4  7#d7 ,the number of veterans who 

reside in a community nursing home      
described in paragraph 7#c74  7#e7 ,an  
assessment of whether or not such       
proposed rule would have any impact on  
community living centers of the         
,department4  7#f7 ,an analysis of      
whether the ,department will be able to 
adequately meet the long-term care needs
 of veterans after the full             
implementation of such proposed rule1   
including veterans in-- 7,a7 rural and  
highly rural areas2  7,b7 medically     
underserved areas2  7,c7 territories of 
the ,united ,states2 or  7,d7 ,tribal   
areas4  7#g7 ,such other matters as the 
,secretary considers appropriate4  7b7  
,state home defined ,in this section1   
the term ,state home has the meaning    
given that term in section #aja7ai7 of  
title #ch1 ,united ,states ,code4