,,ii  #aah? ,,congress  #b;d ,session   
,s4 #chda  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,febru>y #bi1 #bjbd,mr4
 ,k+ 7= himself & ,mr4 ,cram]7 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 submit 
a report on ! impact ( a propos$ rule   
submitt$ by ! ,c5t]s = ,m$ic>e  ,m$icaid
 ,s]vices on access ( vet]ans to        
long-t]m c>e facilities4  #a4 ,%ort     
title ,?is ,act may be cit$ z ! ,,va    
,report on ,propos$ ,,cms ,/aff+ ,ratios
 ,act4  #b4 ,report on impact ( propos$ 
rule on access ( vet]ans to long-t]m c>e
 facilities  7a7 ,9 g5]al ,n lat] ?an   
#fj days aft] ! date ( ! enactm5t ( ?is 
,act1 ! ,secret>y ( ,vet]ans ,affairs   
%all submit to ! ,committee on ,vet]ans'
 ,affairs ( ! ,s5ate & ! ,committee on  
,vet]ans' ,affairs ( ! ,h\se (          
,repres5tatives a report on ! impact ( !
 propos$ rule submitt$ by ! ,c5t]s =    
,m$ic>e  ,m$icaid ,s]vices relat+ to    

,m$ic>e & ,m$icaid programs2 m9imum     
/aff+ /&>ds = long-t]m c>e facilities & 
,m$icaid in/itutional paym5t transp>5cy 
report+ 7#hh ,f$4 ,reg4 #faceb2 publi%$ 
,septemb] #f1 #bjbc7 on ! access (      
vet]ans to long-t]m c>e facilities "u ! 
laws adm9i/]$ by ! ,secret>y1 :i* %all  
include ! foll[+3 7#a7 ,! numb] ( ,/ate 
homes at :i* curr5t /aff+ w\ld n meet ! 
?re%old = m9imum /aff+ outl9$ 9 su*     
propos$ rule4  7#b7 ,! numb] ( vet]ans  
:o reside 9 a ,/ate home describ$ 9     
p>agraph 7#a74  7#c7 ,! numb] (         
community nurs+ homes curr5tly contract$
 ) ! ,dep>tm5t ( ,vet]ans ,affairs t    
w\ld n meet ! ?re%old = m9imum /aff+    
outl9$ 9 su* propos$ rule4  7#d7 ,!     
numb] ( vet]ans :o reside 9 a community 
nurs+ home describ$ 9 p>agraph 7#c74    
7#e7 ,an assessm5t ( :e!r or n su*      
propos$ rule w\ld h any impact on       
community liv+ c5t]s ( ! ,dep>tm5t4     
7#f7 ,an analysis ( :e!r ! ,dep>tm5t w  
be able to adequately meet ! long-t]m   
c>e ne$s ( vet]ans aft] ! full          

implem5tation ( su* propos$ rule1       
includ+ vet]ans 9-- 7,a7 rural & highly 
rural areas2  7,b7 m$ically und]s]v$    
areas2  7,c7 t]ritories ( ! ,unit$      
,/ates2 or  7,d7 ,tribal areas4  7#g7   
,su* o!r matt]s z ! ,secret>y consid]s  
appropriate4  7b7 ,/ate home def9$ ,9   
?is section1 ! t]m ,/ate home has !     
mean+ giv5 t t]m 9 section #aja7ai7 (   
title #ch1 ,unit$ ,/ates ,code4