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.
Passed Senate with an amendment by Unanimous Consent. (text of amendment in the nature of a substitute: CR S7013-7040)
Passed/agreed to in Senate: Passed Senate with an amendment by Unanimous Consent.
Measure laid before Senate by unanimous consent. (consideration: CR S7043-7044)
Senate Committee on Veterans' Affairs discharged by Unanimous Consent.
Message on Senate action sent to the House.
Received in the House.
Held at the desk.
Mr. Bost moved to suspend the rules and pass the bill.
Considered under suspension of the rules. (consideration: CR H7180-7207)
DEBATE - The House proceeded with forty minutes of debate on S. 141.
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.
Considered as unfinished business. (consideration: CR H7220-7221)
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)
Passed Senate with an amendment by Unanimous Consent. (text of amendment in the nature of a substitute: CR S7013-7040)
Passed/agreed to in Senate: Passed Senate with an amendment by Unanimous Consent.
Measure laid before Senate by unanimous consent. (consideration: CR S7043-7044)
Senate Committee on Veterans' Affairs discharged by Unanimous Consent.
Message on Senate action sent to the House.
Received in the House.
Held at the desk.
Mr. Bost moved to suspend the rules and pass the bill.
Considered under suspension of the rules. (consideration: CR H7180-7207)
DEBATE - The House proceeded with forty minutes of debate on S. 141.
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.
Considered as unfinished business. (consideration: CR H7220-7221)
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)
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.
Passed Senate with an amendment by Unanimous Consent. (text of amendment in the nature of a substitute: CR S7013-7040)
Passed/agreed to in Senate: Passed Senate with an amendment by Unanimous Consent.
Measure laid before Senate by unanimous consent. (consideration: CR S7043-7044)
Senate Committee on Veterans' Affairs discharged by Unanimous Consent.
Message on Senate action sent to the House.
Received in the House.
Held at the desk.
Mr. Bost moved to suspend the rules and pass the bill.
Considered under suspension of the rules. (consideration: CR H7180-7207)
DEBATE - The House proceeded with forty minutes of debate on S. 141.
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.
Considered as unfinished business. (consideration: CR H7220-7221)
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)
Passed Senate with an amendment by Unanimous Consent. (text of amendment in the nature of a substitute: CR S7013-7040)
Passed/agreed to in Senate: Passed Senate with an amendment by Unanimous Consent.
Measure laid before Senate by unanimous consent. (consideration: CR S7043-7044)
Senate Committee on Veterans' Affairs discharged by Unanimous Consent.
Message on Senate action sent to the House.
Received in the House.
Held at the desk.
Mr. Bost moved to suspend the rules and pass the bill.
Considered under suspension of the rules. (consideration: CR H7180-7207)
DEBATE - The House proceeded with forty minutes of debate on S. 141.
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.
Considered as unfinished business. (consideration: CR H7220-7221)
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)
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