    [United States Statutes at Large, Volume 132, 115th Congress, 2nd Session]
    [From the U.S. Government Publishing Office, www.gpo.gov]

    Public Law 115-159
    115th Congress

    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''.

    [[Page 1245]]

    (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.''.

    Approved March 27, 2018.

    LEGISLATIVE HISTORY--S. 324 (H.R. 1005):
    ---------------------------------------------------------------------------

    HOUSE REPORTS: No. 115-148 (Comm. on Veterans' Affairs) accompanying
    H.R. 1005.
    CONGRESSIONAL RECORD:
    Vol. 163 (2017):
    Nov. 9, considered and passed
    Senate.
    Vol. 164 (2018):
    Mar. 13, considered and passed
    House.