Tuesday, November 19, 2024

House Approves Wide-Ranging Veterans Bill

A wide-ranging veterans policy bill that would bolster home caregiver programs and support for homeless veterans, among other areas, was approved by the House on Monday evening after election-season politics stalled the bill for months.

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... Tweaks were made to the legislation between when it was first introduced over the summer and Monday's vote that got Democrats on board with the bill, allowing it to easily pass the House in a bipartisan 389-9 vote.

But the backbone of the bill -- language aimed at making it easier for aging and disabled veterans to get home- and community-based nursing care -- remained intact in the version of the bill approved Monday.

"For nearly the entire 118th Congress, the House and Senate committees on Veterans Affairs have worked together to develop a bipartisan package of common-sense proposals," House Veterans Affairs Committee Chairman Mike Bost, R-Ill., said on the House floor Monday afternoon. "The Dole Act is a result of that work and would enhance, reform and modernize nearly every part of the VA. Specifically, the Dole Act would change the landscape for elderly veterans and finally give them a choice in where they choose to live out their sunset years."

Dubbed the Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act, the marquee provisions in the bill would increase the Department of Veterans Affairs' share of covering home nursing care from 65% to 100% of costs and make several other changes to increase the accessibility of home nursing care for veterans. ...


#1 | Posted by LampLighter at 2024-11-19 02:35 PM

Does it actually fund the VA, or just special programs? According to Musk and DOGE the VA is on the chopping block since it doesn't actually have congressional authorization.

#2 | Posted by mattm at 2024-11-19 04:46 PM

@#2 ... Does it actually fund the VA, or just special programs? ...

My guess, yes to the former.

More from the article...

... The changes have long been sought by caregivers and their advocates who say that veterans should be able to live out their final days at home if they choose.

On veterans homelessness, the bill would increase the per diem rate the VA can pay to organizations providing short-term transitional housing from 115% of costs to 133%. It would also give the VA flexibility to provide unhoused veterans with bedding, shelter, food, hygiene items, blankets and rideshare services to medical appointments. Both changes would sunset in September 2027.

The VA had those authorities during the COVID-19 pandemic, and they were credited with reducing the veterans homelessness rate. But the authorities expired when the public health emergency did.

Those two aspects of the bill always had broad bipartisan support, but other aspects of the bill became political lightning rods.

Democrats argued that some language in the bill amounted to backdoor efforts to privatize the VA, while some Republicans argued that the bill did not go far enough in expanding veterans' ability to seek private health care using VA funding. Veterans groups maintained both sides were playing politics with a much-needed bill ahead of a hotly contested election.

One of the sections caught in that fight -- which would have established new access standards for veterans to get treatment at residential mental health and substance abuse programs and allow veterans to go to non-VA programs if the wait for a VA program is too long -- was taken out of the bill approved Monday.

But another of the contentious sections made it into the approved bill. That section would ban the department from overriding a VA doctor's referral for their patient to get outside care. The ban would last two years, after which the VA would need to report to Congress on its effects.

The tweak was enough to get Democrats to support the bill. ...


#3 | Posted by LampLighter at 2024-11-19 06:12 PM

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