S-141 : Became Public Law


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.

Action Timeline

Action DateTypeTextSource
2025-01-02PresidentBecame Public Law No: 118-210.Library of Congress
2025-01-02PresidentSigned by President.Library of Congress
2024-12-23FloorPresented to President.House floor actions
2024-12-16FloorMotion to reconsider laid on the table Agreed to without objection.House floor actions
2024-12-16VoteOn 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)House floor actions
2024-12-16FloorConsidered as unfinished business. (consideration: CR H7220-7221)House floor actions
2024-12-16FloorAt 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
2024-12-16FloorDEBATE - The House proceeded with forty minutes of debate on S. 141.House floor actions
2024-12-16FloorConsidered under suspension of the rules. (consideration: CR H7180-7207)House floor actions
2024-12-16FloorMr. Bost moved to suspend the rules and pass the bill.House floor actions
2024-12-16FloorHeld at the desk.House floor actions
2024-12-16FloorReceived in the House.House floor actions
2024-12-13FloorMessage on Senate action sent to the House.Senate
2024-12-12FloorPassed Senate with an amendment by Unanimous Consent. (text of amendment in the nature of a substitute: CR S7013-7040)Senate
2024-12-12FloorMeasure laid before Senate by unanimous consent. (consideration: CR S7043-7044)Senate
2024-12-12DischargeSenate Committee on Veterans' Affairs discharged by Unanimous Consent.Senate
2023-02-16CommitteeCommittee on Veterans' Affairs. Ordered to be reported with an amendment in the nature of a substitute favorably.Senate
2023-01-30IntroReferralRead twice and referred to the Committee on Veterans' Affairs.Senate
2023-01-30IntroReferralIntroduced in SenateLibrary of Congress