This legislation aims to streamline the certification process for State Veterans Homes (SVHs) participating in Medicare and Medicaid. It achieves this by allowing SVHs that are inspected and certified by the Department of Veterans Affairs (VA) to be deemed in compliance with specified Medicare and Medicaid requirements. For an SVH to receive deemed status, the VA must provide comprehensive documentation of its inspections, including survey findings, deficiencies, and corrective actions. Furthermore, the VA's survey standards and inspection procedures must undergo a joint review with the Centers for Medicare & Medicaid Services (CMS) at least every two years to ensure continued alignment with Medicare Conditions of Participation. The Secretary of Health and Human Services must approve these VA standards, ensuring they uphold, at a minimum, the same standards of resident care, safety, transparency, and accountability as federal requirements. Despite the deeming authority, the Secretary of Health and Human Services retains significant oversight, including the ability to conduct complaint investigations, perform targeted surveys, and impose remedies such as civil monetary penalties. The Secretary can also revoke deemed status if the VA's certification process is found inconsistent with federal standards. All survey and certification data from VA inspections deemed valid will be publicly reported on the Nursing Home Care Compare website or a similar platform. The bill also requires the Secretary of Health and Human Services to coordinate with the VA to incorporate VA inspection findings and quality metrics into public reporting. Within 180 days of enactment, guidance must be issued to harmonize certification and data reporting processes for SVHs. Finally, the Comptroller General is mandated to submit a report to Congress within three years, evaluating the impact of this deeming authority on survey efficiency, costs, enforcement outcomes, and the quality of care for residents.