HR-542 : Still Just a Bill


Elizabeth Dole Home- and Community-Based Services for Veterans and Caregivers Act of 2023 or the Elizabeth Dole Home Care Act of 2023

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 100% of 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

  • seek to enter into an agreement 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.

Action Timeline

Action DateTypeTextSource
2023-12-06IntroReferralReceived in the Senate.Senate
2023-12-05FloorMotion to reconsider laid on the table Agreed to without objection.House floor actions
2023-12-05VoteOn motion to suspend the rules and pass the bill, as amended Agreed to by the Yeas and Nays: (2/3 required): 414 - 5 (Roll no. 696). (text: 12/04/2023 CR H6097-6100)House floor actions
2023-12-05FloorConsidered as unfinished business. (consideration: CR H6130-6131)House floor actions
2023-12-04FloorAt 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.House floor actions
2023-12-04FloorDEBATE - The House proceeded with forty minutes of debate on H.R. 542.House floor actions
2023-12-04FloorConsidered under suspension of the rules. (consideration: CR H6097-6103)House floor actions
2023-12-04FloorMr. Bergman moved to suspend the rules and pass the bill, as amended.House floor actions
2023-11-29CalendarsPlaced on the Union Calendar, Calendar No. 228.House floor actions
2023-11-29CommitteeReported (Amended) by the Committee on Veterans' Affairs. H. Rept. 118-284.House floor actions
2023-07-26CommitteeOrdered to be Reported in the Nature of a Substitute by Voice Vote.House committee actions
2023-07-26CommitteeCommittee Consideration and Mark-up Session Held.House committee actions
2023-07-26CommitteeSubcommittee on Health Discharged.House committee actions
2023-03-29CommitteeSubcommittee Hearings Held.House committee actions
2023-03-23CommitteeReferred to the Subcommittee on Health.House committee actions
2023-01-26IntroReferralReferred to the House Committee on Veterans' Affairs.House floor actions
2023-01-26IntroReferralIntroduced in HouseLibrary of Congress

Sponsor :

Julia Brownley [D] (CA-26)
See Cosponsors

Policy Area :

Armed Forces and National Security
Related Subjects
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  • Social security and elderly assistance
  • Veterans' medical care
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