Legis Daily

Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act

USA118th CongressS-141| Senate 
| Updated: 1/2/2025
Jerry Moran

Jerry Moran

Republican Senator

Kansas

Cosponsors (33)
Jeanne Shaheen (Democratic)Rick Scott (Republican)Tammy Duckworth (Democratic)Roger Marshall (Republican)Margaret Wood Hassan (Democratic)Dan Sullivan (Republican)Catherine Cortez Masto (Democratic)Kirsten E. Gillibrand (Democratic)Alex Padilla (Democratic)Christopher A. Coons (Democratic)Angus S. King (Independent)Amy Klobuchar (Democratic)John Boozman (Republican)Robert P. Casey (Democratic)Tim Kaine (Democratic)Kyrsten Sinema (Independent)Sheldon Whitehouse (Democratic)Jacky Rosen (Democratic)Mike Rounds (Republican)Ted Cruz (Republican)Chris Van Hollen (Democratic)Jon Tester (Democratic)Debbie Stabenow (Democratic)John Fetterman (Democratic)Peter Welch (Democratic)Benjamin L. Cardin (Democratic)Jeff Merkley (Democratic)Marco Rubio (Republican)Raphael G. Warnock (Democratic)Gary C. Peters (Democratic)Richard Blumenthal (Democratic)Mark Kelly (Democratic)Shelley Moore Capito (Republican)

Veterans' Affairs Committee

  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted
Elizabeth Dole Home and Community Based Services for Veterans and Caregivers Act of 2023 or the Elizabeth Dole Home Care Act This bill addresses home care and caregiver programs provided by the Department of Veterans Affairs (VA). Under the bill, the cost of providing noninstitutional alternatives to nursing home care may not exceed the cost that would have been incurred if a veteran had been furnished VA nursing home care, unless the VA determines that a higher cost is in the best interest of the veteran. (Under current law, these expenditures are limited to 65% of the cost.) Among other requirements, the VA must establish a partnership with the Program of All-Inclusive Care for the Elderly in certain areas to furnish noninstitutional alternatives to nursing home care; implement various programs (e.g., the Veteran Directed Care program) to expand access to home- and community-based services; provide specified support and benefits to caregivers of certain disabled veterans; implement a pilot program to provide homemaker and home health aide services to veterans who reside in communities with a shortage of home health aides; and ensure the availability of home and community-based services for Native American veterans. For veterans or family caregivers who are discharged from the Program of Comprehensive Assistance for Family Caregivers, a caregiver support coordinator must provide for a personalized transition to an appropriate program. The Veterans Health Administration must review programs administered through the Office of Geriatric and Extended Care to ensure consistency in program management, eliminate service gaps at the medical center level, and ensure the availability of and access to home and community-based services.

Bill Text Versions

View Text
4 versions available

Suggested Questions

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Timeline
Jan 30, 2023
Introduced in Senate
Jan 30, 2023
Read twice and referred to the Committee on Veterans' Affairs.
Feb 16, 2023
Committee on Veterans' Affairs. Ordered to be reported with an amendment in the nature of a substitute favorably.
Nov 19, 2024

Latest Companion Bill Action

HR 118-8371
Received in the Senate.
Dec 12, 2024
Passed Senate with an amendment by Unanimous Consent. (text of amendment in the nature of a substitute: CR S7013-7040)
Dec 12, 2024
Passed/agreed to in Senate: Passed Senate with an amendment by Unanimous Consent.
Dec 12, 2024
Measure laid before Senate by unanimous consent. (consideration: CR S7043-7044)
Dec 12, 2024
Senate Committee on Veterans' Affairs discharged by Unanimous Consent.
Dec 13, 2024
Message on Senate action sent to the House.
Dec 16, 2024
Received in the House.
Dec 16, 2024
Held at the desk.
Dec 16, 2024
Mr. Bost moved to suspend the rules and pass the bill.
Dec 16, 2024
Considered under suspension of the rules. (consideration: CR H7180-7207)
Dec 16, 2024
DEBATE - The House proceeded with forty minutes of debate on S. 141.
Dec 16, 2024
At the conclusion of debate, the Yeas and Nays were demanded and ordered. Pursuant to the provisions of clause 8, rule XX, the Chair announced that further proceedings on the motion would be postponed.
Dec 17, 2024
Considered as unfinished business. (consideration: CR H7220-7221)
Dec 17, 2024
On motion to suspend the rules and pass the bill Agreed to by the Yeas and Nays: (2/3 required): 382 - 12 (Roll no. 504). (text: CR H7180-7206)
View Vote
Dec 17, 2024
Motion to reconsider laid on the table Agreed to without objection.
Dec 23, 2024
Presented to President.
Jan 2, 2025
Signed by President.
Jan 2, 2025
Became Public Law No: 118-210.
  • January 30, 2023
    Introduced in Senate


  • January 30, 2023
    Read twice and referred to the Committee on Veterans' Affairs.


  • February 16, 2023
    Committee on Veterans' Affairs. Ordered to be reported with an amendment in the nature of a substitute favorably.


  • November 19, 2024

    Latest Companion Bill Action

    HR 118-8371
    Received in the Senate.


  • December 12, 2024
    Passed Senate with an amendment by Unanimous Consent. (text of amendment in the nature of a substitute: CR S7013-7040)


  • December 12, 2024
    Passed/agreed to in Senate: Passed Senate with an amendment by Unanimous Consent.


  • December 12, 2024
    Measure laid before Senate by unanimous consent. (consideration: CR S7043-7044)


  • December 12, 2024
    Senate Committee on Veterans' Affairs discharged by Unanimous Consent.


  • December 13, 2024
    Message on Senate action sent to the House.


  • December 16, 2024
    Received in the House.


  • December 16, 2024
    Held at the desk.


  • December 16, 2024
    Mr. Bost moved to suspend the rules and pass the bill.


  • December 16, 2024
    Considered under suspension of the rules. (consideration: CR H7180-7207)


  • December 16, 2024
    DEBATE - The House proceeded with forty minutes of debate on S. 141.


  • December 16, 2024
    At the conclusion of debate, the Yeas and Nays were demanded and ordered. Pursuant to the provisions of clause 8, rule XX, the Chair announced that further proceedings on the motion would be postponed.


  • December 17, 2024
    Considered as unfinished business. (consideration: CR H7220-7221)


  • December 17, 2024
    On motion to suspend the rules and pass the bill Agreed to by the Yeas and Nays: (2/3 required): 382 - 12 (Roll no. 504). (text: CR H7180-7206)
    View Vote


  • December 17, 2024
    Motion to reconsider laid on the table Agreed to without objection.


  • December 23, 2024
    Presented to President.


  • January 2, 2025
    Signed by President.


  • January 2, 2025
    Became Public Law No: 118-210.

Armed Forces and National Security

Related Bills

  • HR 118-8371: Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act
  • HR 118-542: Elizabeth Dole Home Care Act of 2023
Adult day careCardiovascular and respiratory healthCongressional oversightDisability and paralysisHealth personnelHealth programs administration and fundingHousing for the elderly and disabledNeurological disordersSocial security and elderly assistanceVeterans' medical care

Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act

USA118th CongressS-141| Senate 
| Updated: 1/2/2025
Elizabeth Dole Home and Community Based Services for Veterans and Caregivers Act of 2023 or the Elizabeth Dole Home Care Act This bill addresses home care and caregiver programs provided by the Department of Veterans Affairs (VA). Under the bill, the cost of providing noninstitutional alternatives to nursing home care may not exceed the cost that would have been incurred if a veteran had been furnished VA nursing home care, unless the VA determines that a higher cost is in the best interest of the veteran. (Under current law, these expenditures are limited to 65% of the cost.) Among other requirements, the VA must establish a partnership with the Program of All-Inclusive Care for the Elderly in certain areas to furnish noninstitutional alternatives to nursing home care; implement various programs (e.g., the Veteran Directed Care program) to expand access to home- and community-based services; provide specified support and benefits to caregivers of certain disabled veterans; implement a pilot program to provide homemaker and home health aide services to veterans who reside in communities with a shortage of home health aides; and ensure the availability of home and community-based services for Native American veterans. For veterans or family caregivers who are discharged from the Program of Comprehensive Assistance for Family Caregivers, a caregiver support coordinator must provide for a personalized transition to an appropriate program. The Veterans Health Administration must review programs administered through the Office of Geriatric and Extended Care to ensure consistency in program management, eliminate service gaps at the medical center level, and ensure the availability of and access to home and community-based services.

Bill Text Versions

View Text
4 versions available

Suggested Questions

Get AI-generated questions to help you understand this bill better

Timeline
Jan 30, 2023
Introduced in Senate
Jan 30, 2023
Read twice and referred to the Committee on Veterans' Affairs.
Feb 16, 2023
Committee on Veterans' Affairs. Ordered to be reported with an amendment in the nature of a substitute favorably.
Nov 19, 2024

Latest Companion Bill Action

HR 118-8371
Received in the Senate.
Dec 12, 2024
Passed Senate with an amendment by Unanimous Consent. (text of amendment in the nature of a substitute: CR S7013-7040)
Dec 12, 2024
Passed/agreed to in Senate: Passed Senate with an amendment by Unanimous Consent.
Dec 12, 2024
Measure laid before Senate by unanimous consent. (consideration: CR S7043-7044)
Dec 12, 2024
Senate Committee on Veterans' Affairs discharged by Unanimous Consent.
Dec 13, 2024
Message on Senate action sent to the House.
Dec 16, 2024
Received in the House.
Dec 16, 2024
Held at the desk.
Dec 16, 2024
Mr. Bost moved to suspend the rules and pass the bill.
Dec 16, 2024
Considered under suspension of the rules. (consideration: CR H7180-7207)
Dec 16, 2024
DEBATE - The House proceeded with forty minutes of debate on S. 141.
Dec 16, 2024
At the conclusion of debate, the Yeas and Nays were demanded and ordered. Pursuant to the provisions of clause 8, rule XX, the Chair announced that further proceedings on the motion would be postponed.
Dec 17, 2024
Considered as unfinished business. (consideration: CR H7220-7221)
Dec 17, 2024
On motion to suspend the rules and pass the bill Agreed to by the Yeas and Nays: (2/3 required): 382 - 12 (Roll no. 504). (text: CR H7180-7206)
View Vote
Dec 17, 2024
Motion to reconsider laid on the table Agreed to without objection.
Dec 23, 2024
Presented to President.
Jan 2, 2025
Signed by President.
Jan 2, 2025
Became Public Law No: 118-210.
  • January 30, 2023
    Introduced in Senate


  • January 30, 2023
    Read twice and referred to the Committee on Veterans' Affairs.


  • February 16, 2023
    Committee on Veterans' Affairs. Ordered to be reported with an amendment in the nature of a substitute favorably.


  • November 19, 2024

    Latest Companion Bill Action

    HR 118-8371
    Received in the Senate.


  • December 12, 2024
    Passed Senate with an amendment by Unanimous Consent. (text of amendment in the nature of a substitute: CR S7013-7040)


  • December 12, 2024
    Passed/agreed to in Senate: Passed Senate with an amendment by Unanimous Consent.


  • December 12, 2024
    Measure laid before Senate by unanimous consent. (consideration: CR S7043-7044)


  • December 12, 2024
    Senate Committee on Veterans' Affairs discharged by Unanimous Consent.


  • December 13, 2024
    Message on Senate action sent to the House.


  • December 16, 2024
    Received in the House.


  • December 16, 2024
    Held at the desk.


  • December 16, 2024
    Mr. Bost moved to suspend the rules and pass the bill.


  • December 16, 2024
    Considered under suspension of the rules. (consideration: CR H7180-7207)


  • December 16, 2024
    DEBATE - The House proceeded with forty minutes of debate on S. 141.


  • December 16, 2024
    At the conclusion of debate, the Yeas and Nays were demanded and ordered. Pursuant to the provisions of clause 8, rule XX, the Chair announced that further proceedings on the motion would be postponed.


  • December 17, 2024
    Considered as unfinished business. (consideration: CR H7220-7221)


  • December 17, 2024
    On motion to suspend the rules and pass the bill Agreed to by the Yeas and Nays: (2/3 required): 382 - 12 (Roll no. 504). (text: CR H7180-7206)
    View Vote


  • December 17, 2024
    Motion to reconsider laid on the table Agreed to without objection.


  • December 23, 2024
    Presented to President.


  • January 2, 2025
    Signed by President.


  • January 2, 2025
    Became Public Law No: 118-210.
Jerry Moran

Jerry Moran

Republican Senator

Kansas

Cosponsors (33)
Jeanne Shaheen (Democratic)Rick Scott (Republican)Tammy Duckworth (Democratic)Roger Marshall (Republican)Margaret Wood Hassan (Democratic)Dan Sullivan (Republican)Catherine Cortez Masto (Democratic)Kirsten E. Gillibrand (Democratic)Alex Padilla (Democratic)Christopher A. Coons (Democratic)Angus S. King (Independent)Amy Klobuchar (Democratic)John Boozman (Republican)Robert P. Casey (Democratic)Tim Kaine (Democratic)Kyrsten Sinema (Independent)Sheldon Whitehouse (Democratic)Jacky Rosen (Democratic)Mike Rounds (Republican)Ted Cruz (Republican)Chris Van Hollen (Democratic)Jon Tester (Democratic)Debbie Stabenow (Democratic)John Fetterman (Democratic)Peter Welch (Democratic)Benjamin L. Cardin (Democratic)Jeff Merkley (Democratic)Marco Rubio (Republican)Raphael G. Warnock (Democratic)Gary C. Peters (Democratic)Richard Blumenthal (Democratic)Mark Kelly (Democratic)Shelley Moore Capito (Republican)

Veterans' Affairs Committee

Armed Forces and National Security

Related Bills

  • HR 118-8371: Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act
  • HR 118-542: Elizabeth Dole Home Care Act of 2023
  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted
Adult day careCardiovascular and respiratory healthCongressional oversightDisability and paralysisHealth personnelHealth programs administration and fundingHousing for the elderly and disabledNeurological disordersSocial security and elderly assistanceVeterans' medical care