132 STAT. 1244 PUBLIC LAW 115–159—MAR. 27, 2018 

Public Law 115–159 

115th Congress 

An Act 

To amend title 38, United States Code, to improve the provision of adult day 

health care services for veterans. 

Be it enacted by the Senate and House of Representatives of 

the United States of America in Congress assembled, 

SECTION 1. SHORT TITLE. 

This Act may be cited as the ‘‘State Veterans Home Adult 

Day Health Care Improvement Act of 2017’’. 

SEC. 2. PROVISION OF CERTAIN ADULT DAY HEALTH CARE SERVICES 

FOR VETERANS. 

(a) IN GENERAL.—Section 1745 of title 38, United States Code, 

is amended— 

(1) by adding at the end the following new subsection: 

‘‘(d)(1) The Secretary shall enter into an agreement with each 

State home for payment by the Secretary for medical supervision 

model adult day health care provided to a veteran described in 

subsection (a)(1) on whose behalf the State home is not in receipt 

of payment for nursing home care from the Secretary. 

‘‘(2)(A) Payment under each agreement between the Secretary 

and a State home under paragraph (1) for each veteran who receives 

medical supervision model adult day health care under such agreement shall be made at a rate established through regulations prescribed by the Secretary to adequately reimburse the State home 

for the care provided by the State home, including necessary 

transportation expenses. 

‘‘(B) The Secretary shall consult with the State homes in prescribing regulations under subparagraph (A). 

‘‘(C) The rate established through regulations under subparagraph (A) shall not take effect until the date that is 30 days 

after the date on which those regulations are published in the 

Federal Register. 

‘‘(3) Payment by the Secretary under paragraph (1) to a State 

home for medical supervision model adult day health care provided 

to a veteran described in that paragraph constitutes payment in 

full to the State home for such care furnished to that veteran. 

‘‘(4) In this subsection, the term ‘medical supervision model 

adult day health care’ means adult day health care that includes 

the coordination of physician services, dental services, nursing services, the administration of drugs, and such other requirements 

as determined appropriate by the Secretary.’’; and 

(2) in the section heading, by inserting ‘‘, adult day health 

care,’’ after ‘‘home care’’. 

38 USC 101 note. 

State Veterans 

Home Adult Day 

Health Care 

Improvement Act 

of 2017. 

Mar. 27, 2018 

[S. 324] 


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PUBLIC LAW 115–159—MAR. 27, 2018 132 STAT. 1245 

LEGISLATIVE HISTORY—S. 324 (H.R. 1005): 

HOUSE REPORTS: No. 115–148 (Comm. on Veterans’ Affairs) accompanying 

H.R. 1005. 

CONGRESSIONAL RECORD: 

Vol. 163 (2017): Nov. 9, considered and passed Senate. 

Vol. 164 (2018): Mar. 13, considered and passed House. 

Æ 

(b) INITIAL RATE.—Before the Secretary of Veterans Affairs 

establishes a payment rate under subsection (d)(2)(A) of section 

1745 of such title, as added by subsection (a), the Secretary shall 

pay to a State home that has entered into an agreement with 

the Secretary for medical supervision model adult day health care 

(as defined in subsection (d)(4) of such section) an amount equal 

to 65 percent of the rate the Secretary would pay under subsection 

(a)(2) of such section to the State home for nursing home care 

provided to the veteran. 

(c) CLERICAL AMENDMENT.—The table of sections at the beginning of chapter 17 of such title is amended by striking the item 

relating to section 1745 and inserting the following new item: 

‘‘1745. Nursing home care, adult day health care, and medications for veterans with 

service-connected disabilities.’’. 

Approved March 27, 2018. 

38 USC 1701 

prec. 

38 USC 1745 

note. 


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