[Congressional Bills 115th Congress]
[From the U.S. Government Publishing Office]
[S. 324 Enrolled Bill (ENR)]

        S.324

                     One Hundred Fifteenth Congress

                                 of the

                        United States of America


                          AT THE SECOND SESSION

         Begun and held at the City of Washington on Wednesday,
           the third day of January, two thousand and eighteen


                                 An Act


 
To amend title 38, United States Code, to improve the provision of adult 
                 day health care services for veterans.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
    This Act may be cited as the ``State Veterans Home Adult Day Health 
Care Improvement Act of 2017''.
SEC. 2. PROVISION OF CERTAIN ADULT DAY HEALTH CARE SERVICES FOR 
VETERANS.
    (a) In General.--Section 1745 of title 38, United States Code, is 
amended--
        (1) by adding at the end the following new subsection:
    ``(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.''; and
        (2) in the section heading, by inserting ``, adult day health 
    care,'' after ``home care''.
    (b) Initial Rate.--Before the Secretary of Veterans Affairs 
establishes a payment rate under subsection (d)(2)(A) of section 1745 
of such 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.
    (c) Clerical Amendment.--The table of sections at the beginning of 
chapter 17 of such title is amended by striking the item relating to 
section 1745 and inserting the following new item:

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


                               Speaker of the House of Representatives.

                            Vice President of the United States and    
                                               President of the Senate.