I 108th CONGRESS 2d Session H. R. 4020 IN THE HOUSE OF REPRESENTATIVES March 24, 2004 Mr. Smith of New Jersey (for himself and Mr. Evans) introduced the following bill; which was referred to the Committee on Veterans’ Affairs A BILL To amend title 38, United States Code, to establish within the Department of Veterans Affairs a program to assist the States in hiring and retaining nurses at State veterans homes.

1.

Short title

This Act may be cited as the &short-title1;.

2.

Assistance for hiring and retention of nurses at State veterans homes

(a)

In general

(1)Chapter 17 of title 38, is amended by inserting after section 1743 the following new section:

1744.

Hiring and retention of nurses: payments to assist States

(a)

Payment program

The Secretary shall make payments to States under this section for the purpose of assisting State homes in the hiring and retention of nurses and the reduction of nursing shortages at State homes. (b)

Eligible recipients

Payments to a State for a fiscal year under this section shall, subject to submission of an application, be made to any State that during that year— (1)receives per diem payments under this subchapter for that fiscal year; and (2)has in effect an employee incentive scholarship program or other employee incentive program at a State home designed to promote the hiring and retention of nursing staff and to reduce nursing shortages at that home. (c)

Use of funds received

A State may use an amount received under this section only to provide funds for a program described in subsection (b)(2). Any program shall meet such criteria as the Secretary may prescribe. In prescribing such criteria, the Secretary shall take into consideration the need for flexibility and innovation. (d)

Limitations on amount of payment

(1)A payment under this section may not be used to provide more than 50 percent of the costs for a fiscal year of the employee incentive scholarship or other incentive program for which the payment is made. (2)The amount of the payment to a State under this section for any fiscal year is, for each State home in that State with a program described in subsection (b)(2), the amount equal to 2 percent of the amount of payments estimated to be made to that State, for that State home, under section 1741 of this title for that fiscal year. (e)

Applications

A payment under this section for any fiscal year with respect to any State home may only be made based upon an application submitted by the State seeking the payment with respect to that State home. Any such application shall describe the nursing shortage at the State home and the employee incentive scholarship program or other incentive program described in subsection (c) for which the payment is sought. (f)

Source of funds

Payments under this section shall be made from funds available for other payments under this subchapter. (g)

Disbursement

Payments under this section to a State home shall be made as part of the disbursement of payments under section 1741 of this title with respect to that State home. (h)

Use of certain receipts

The Secretary shall require as a condition of any payment under this section that, in any case in which the State home receives a refund payment made by an employee in breach of the terms of an agreement for employee assistance that used funds provided under this section, the payment shall be returned to the State home's incentive program account and credited as a non-Federal funding source. (i)

Annual report from payment recipients

Any State home receiving a payment under this section for any fiscal year, shall, as a condition of the payment, be required to agree to provide to the Secretary a report setting forth in detail the use of funds received through the payment, including a descriptive analysis of how effective the incentive program has been on nurse staffing in the State home during that fiscal year. The report for any fiscal year shall be provided to the Secretary within 60 days of the close of the fiscal year and shall be subject to audit by the Secretary. Eligibility for a payment under this section for any later fiscal year is contingent upon the receipt by the Secretary of the annual report under this subsection for the previous year in accordance with this subsection. (j)

Regulations

The Secretary shall prescribe regulations to carry out this section. The regulations shall include the establishment of criteria for the award of payments under this section.

. (2)The table of sections at the beginning of such chapter is amended by inserting after section 1743 the following new item: 1744. Hiring and retention of nurses: payments to assist States. (b)

Implementation

The Secretary of Veterans Affairs shall implement section 1744 of title 38, United States Code, as added by subsection (a), as expeditiously as possible. The Secretary shall establish such interim procedures as necessary so as to ensure that payments are made to eligible States under that section commencing not later than January 1, 2005, notwithstanding that regulations under subsection (j) of that section may not have become final.