,i  #aai? ,,congress  #b;d ,session  ,h4
 ,r4 #igeb  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,july #af1 #bjbf,ms4  
,leg] ,f]n&ez 7= h]self1 ,mr4 ,vasquez1 
,ms4 ,/ansbury1 ,mr4 ,cuell>1 ,mr4      
,veasey1 ,mr4 ,ca/ro ( ,texas1 ,mr4     
,vic5te ,gonzalez ( ,texas1 ,ms4        
,escob>1 ,ms4 ,g>cia ( ,texas1 & ,mr4   
,gre5 ( ,texas7 introduc$ ! foll[+ bill2
 :i* 0 ref]r$ to ! ,committee on        
,vet]ans' ,affairs  ,a ,,bill  ,to am5d 
title #ch1 ,unit$ ,/ates ,code1 to      
ensure fair reimbursem5t rates = home & 
community-bas$ s]vices furni%$ by !     
,dep>tm5t ( ,vet]ans ,affairs1 & = o!r  
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,protect+ ,home-,bas$ ,c>e 
= ,rural ,vet]ans ,act ( #bjbf4  #b4    
,reimbursem5t rates = home &            
community-bas$ s]vices  7a7 ,homemak] & 
,home ,heal? ,aide program ,section     
#agbj,l7c7 ( title #ch1 ,unit$ ,/ates   
,code1 is am5d$ by add+ at ! end !      
foll[+3  7#c7 ,on & aft] ! date ( !     
enactm5t ( ! ,protect+ ,home-,bas$ ,c>e 

= ,rural ,vet]ans ,act ( #bjbf1 !       
,secret>y-- 7,a7 9 ! case ( any         
reimbursem5t rates = s]vices furni%$ "u 
! ,homemak] & ,home ,heal? ,aide program
 t 7 r$uc$ aft] ,decemb] #ca1 #bjbe1    
%all re9/ate ! rates 9 effect on su*    
date2 &  7,b7 may n r$uce ! reimbursem5t
 rates = su* s]vices to an am\nt t is   
less ?an ! rates 9 effect on su* date1  
unless ! ,secret>y notifies ,congress ( 
su* r$uction n lat] ?an #ij days be=e   
su* r$uction takes effect4  7#d7 ,n lat]
 ?an #ahj days aft] ! date ( ! enactm5t 
( ! ,protect+ ,home-,bas$ ,c>e = ,rural 
,vet]ans ,act ( #bjbf1 & annually       
!reaft]1 ! ,secret>y %all submit to     
,congress a report--  7,a7 specify+ :e!r
 ! numb] ( provid]s furni%+ s]vices "u !
 ,homemak] & ,home ,heal? ,aide program 
is adequate to meet vet]an dem& = su*   
s]vices2  7,b7 id5tify+ any regions :]e 
provid] p>ticipation 9 furni%+ su*      
s]vices is inadequate to meet su* dem&2 
&  7,c7 id5tify+ h[ ! ,secret>y plans to
 ensure adequate provid] p>ticipation 9 

furni%+ su* s]vices to ensure ! ne$s (  
vet]ans = su* c>e are met4  4  7b7      
,report on reimbursem5t rates ,n lat]   
?an #ij days aft] ! date ( ! enactm5t ( 
?is ,act1 ! ,secret>y ( ,vet]ans        
,affairs %all submit to ,congress a     
report t includes--  7#a7 ! data s\rces 
us$ to e/abli% reimbursem5t rates =     
s]vices "u subsections 7c7 & 7e7 (      
section #agbj,l ( title #ch1 ,unit$     
,/ates ,code1 includ+ any use ( data f !
 ,m$ic>e program "u title ,,xviii ( !   
,social ,security ,act 7#db ,u4,s4,c4   
#acie et seq471 ! ,m$icaid program "u   
title ,,xix ( su* ,act 7#db ,u4,s4,c4   
#acif et seq471 or ! private m>ket2     
7#b7 ! weight+ & adju/m5t factors appli$
 to su* data2  7#c7 ! role ( any        
contractors or ?ird-p>ty adm9i/rators 9 
det]m9+ su* rates2  7#d7 a description (
 any consultation ) provid]s ( home &   
community-bas$ s]vices 9 e/abli%+ su*   
rates1 includ+ h[ su* input 0 solicit$1 
consid]$1 & incorporat$2 &  7#e7 a      
description ( any =mulas1 models1 or    

analytical me?ods us$ to e/abli% su*    
rates1 includ+ any v>iables1            
assumptions1 weight+1 & any additional  
data s\rces or factors consid]$ by !    
,secret>y4