§ 1745 Nursing home care, adult day health care, and medications for veterans with service-connected disabilities · 115-171

§ 1745.

Nursing home care, adult day health care, and medications for veterans with service-connected disabilities

(a)

(1)

The Secretary shall enter into a contract (or agreement under section 1720(c)(1) of this title) with each State home for payment by the Secretary for nursing home care provided in the home, in any case in which such care is provided to any veteran as follows:

(A)

Any veteran in need of such care for a service-connected disability.

(B)

Any veteran who—

(i)

has a service-connected disability rated at 70 percent or more; and

(ii)

is in need of such care.

(2)

Payment under each contract (or agreement) between the Secretary and a State home under paragraph (1) shall be based on a methodology, developed by the Secretary in consultation with the State home, to adequately reimburse the State home for the care provided by the State home under the contract (or agreement).

(3)

Payment by the Secretary under paragraph (1) to a State home for nursing home care provided to a veteran described in that paragraph constitutes payment in full to the State home for such care furnished to that veteran.

(b)

The Secretary shall furnish such drugs and medicines as may be ordered on prescription of a duly licensed physician as specific therapy in the treatment of illness or injury to any veteran as follows:

(1)

Any veteran who—

(A)

is not being provided nursing home care for which payment is payable under subsection (a); and

(B)

is in need of such drugs and medicines for a service-connected disability.

(2)

Any veteran who—

(A)

has a service-connected disability rated at 50 percent or more;

(B)

is not being provided nursing home care for which payment is payable under subsection (a); and

(C)

is in need of such drugs and medicines.

(c)

Any State home that requests payment or reimbursement for services provided to a veteran under this section shall provide to the Secretary such information as the Secretary considers necessary to identify each individual veteran eligible for payment under such section.

(d)

(1)

The Secretary shall enter into an agreement with each State home for payment by the Secretary for medical supervision model adult day health care provided to a veteran described in subsection (a)(1) on whose behalf the State home is not in receipt of payment for nursing home care from the Secretary.

(2)

(A)

Payment under each agreement between the Secretary and a State home under paragraph (1) for each veteran who receives medical supervision model adult day health care under such agreement shall be made at a rate established through regulations prescribed by the Secretary to adequately reimburse the State home for the care provided by the State home, including necessary transportation expenses.

(B)

The Secretary shall consult with the State homes in prescribing regulations under subparagraph (A).

(C)

The rate established through regulations under subparagraph (A) shall not take effect until the date that is 30 days after the date on which those regulations are published in the Federal Register.

(3)

Payment by the Secretary under paragraph (1) to a State home for medical supervision model adult day health care provided to a veteran described in that paragraph constitutes payment in full to the State home for such care furnished to that veteran.

(4)

In this subsection, the term “medical supervision model adult day health care” means adult day health care that includes the coordination of physician services, dental services, nursing services, the administration of drugs, and such other requirements as determined appropriate by the Secretary.

Source

(Added and amended Pub. L. 109–461, title II, § 211(a)(1), (2), (b)(1),

Dec. 22, 2006

, 120 Stat. 3418, 3419; Pub. L. 112–154, title I, § 105(a),

Aug. 6, 2012

, 126 Stat. 1170; Pub. L. 115–159, § 2(a),

Mar. 27, 2018

, 132 Stat. 1244.)

Notes

Amendments

2018—Pub. L. 115–159, § 2(a)(2), inserted “, adult day health care,” after “home care” in section catchline.

Subsec. (d). Pub. L. 115–159, § 2(a)(1), added subsec. (d).

2012—Subsec. (a)(1). Pub. L. 112–154, § 105(a)(1), substituted in introductory provisions “The Secretary shall enter into a contract (or agreement under section 1720(c)(1) of this title) with each State home for payment by the Secretary for nursing home care provided in the home” for “The Secretary shall pay each State home for nursing home care at the rate determined under paragraph (2)”.

Subsec. (a)(2). Pub. L. 112–154, § 105(a)(2), added par. (2) and struck out former par. (2) which read as follows: “The rate determined under this paragraph with respect to a State home is the lesser of—

“(A) the applicable or prevailing rate payable in the geographic area in which the State home is located, as determined by the Secretary, for nursing home care furnished in a non-Department nursing home (as that term is defined in section 1720(e)(2) of this title); or

“(B) a rate not to exceed the daily cost of care, as determined by the Secretary, following a report to the Secretary by the director of the State home.”

2006—Subsec. (b). Pub. L. 109–461, § 211(a)(2), added subsec. (b).

Subsec. (c). Pub. L. 109–461, § 211(b)(1), added subsec. (c).

Effective Date of 2012 Amendment

Amendment by Pub. L. 112–154 applicable to care provided on or after the date that is 180 days after

Aug. 6, 2012

, with certain exceptions, see section 105(c) of Pub. L. 112–154, set out as a note under 1720 of this title.

Effective Date

Section and amendment by section 211(a)(2) of Pub. L. 109–461 effective 90 days after

Dec. 22, 2006

, see section 211(a)(5) of Pub. L. 109–461, set out as an Effective Date of 2006 Amendment note under section 1710 of this title.

Initial Rate

Pub. L. 115–159, § 2(b),

Mar. 27, 2018

, 132 Stat. 1245, provided that:

“Before the Secretary of Veterans Affairs establishes a payment rate under subsection (d)(2)(A) of section 1745 of such title [meaning this title], as added by subsection (a), the Secretary shall pay to a State home that has entered into an agreement with the Secretary for medical supervision model adult day health care (as defined in subsection (d)(4) of such section) an amount equal to 65 percent of the rate the Secretary would pay under subsection (a)(2) of such section to the State home for nursing home care provided to the veteran.”

§ 1745. Nursing home care, adult day health care, and medications for veterans with service-connected disabilities

Nursing home care, adult day health care, and medications for veterans with service-connected disabilities

Amendments

Effective Date of 2012 Amendment

Effective Date

Initial Rate