ment of the feasibility and advisability of au-
thorizing access to Vet Centers by— 
(i) family caregivers enrolled in a pro-
gram under section 1720G of title 38, 
United States Code; and 
(ii) family caregivers of veterans par-
ticipating in a program specified in section 
1720K of such title, as added by section 4. 
(2) RECOMMENDATIONS.— 
(A) DEVELOPMENT.—The Secretary of Vet-
erans Affairs shall develop recommendations as 
follows: 
(i) With respect to home- and commu-
nity-based services for veterans, the Sec-
retary of Veterans Affairs shall develop rec-
ommendations regarding new services (in 
addition to those furnished as of the date of 
the enactment of this Act) in collaboration 
with the Secretary of Health and Human 
Services. 
(ii) With respect to the national short-
age of home health aides, the Secretary of 
Veterans Affairs shall develop recommenda-
tions regarding methods to address such 
shortage in collaboration with the Secretary 
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of Health and Human Services and the Sec-
retary of Labor. 
(B) SUBMISSION TO CONGRESS.—The Sec-
retary of Veterans Affairs shall submit to the 
Committees on Veterans’ Affairs of the House of 
Representatives and the Senate a report con-
taining the recommendations developed under 
subparagraph (A) and an identification of any 
changes in existing law or new statutory author-
ity necessary to implement the recommendations, 
as determined by the Secretary. 
(C) CONSULTATION
WITH
SECRETARY
OF 
LABOR.—In carrying out this paragraph, the 
Secretary of Veterans Affairs shall consult with 
the Secretary of Labor. 
(3) FEEDBACK
AND
RECOMMENDATIONS
ON 
CAREGIVER SUPPORT.— 
(A) FEEDBACK AND RECOMMENDATIONS.— 
The Secretary of Veterans Affairs shall solicit 
from the entities described in subparagraph (B) 
feedback and recommendations regarding oppor-
tunities for the Secretary to enhance home- and 
community-based services for veterans and the 
caregivers of veterans, including through the po-
tential provision by the entity of care and res-
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pite services to veterans and caregivers who may 
not be eligible for any program under section 
1720G of title 38, United States Code, or section 
1720K of such title (as added by section 4), but 
have a need for assistance. 
(B) COVERED ENTITIES.—The entities de-
scribed in this subparagraph are veterans service 
organizations and nonprofit organizations with 
a focus on caregiver support (as determined by 
the Secretary). 
(4) COLLABORATION FOR NATIVE AMERICAN VET-
ERANS.—The Secretary of Veterans Affairs shall col-
laborate with the Director of the Indian Health Serv-
ice and representatives from tribal health programs 
and Urban Indian organizations to ensure the avail-
ability of home- and community-based services for 
Native American veterans, including Native Amer-
ican veterans receiving health care and medical serv-
ices under multiple health care systems. 
SEC. 9. MODIFICATION OF CERTAIN HOUSING LOAN FEES. 
The loan fee table in section 3729(b)(2) of title 38, 
United States Code, is amended by striking ‘‘November 14, 
2031’’ each place it appears and inserting ‘‘January 26, 
2032’’. 
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SEC. 10. DEFINITIONS. 
In this Act: 
(1) The terms ‘‘caregiver’’ and ‘‘family care-
giver’’ have the meanings given those terms under sec-
tion 1720K(h) of title 38, United States Code (as 
added by section 4). 
(2) The term ‘‘covered program’’— 
(A) means any program of the Department 
of Veterans Affairs for home- and community- 
based services; and 
(B) includes the programs specified in sec-
tion 1720K of title 38, United States Code (as 
added by section 4). 
(3) The term ‘‘home- and community-based serv-
ices’’— 
(A) means the services referred to in section 
1701(6)(E) of title 38, United States Code; and 
(B) includes services furnished under a pro-
gram specified in section 1720K of such title (as 
added by section 4). 
(4) The terms ‘‘Home-Based Primary Care pro-
gram’’, ‘‘Homemaker and Home Health Aide pro-
gram’’, and ‘‘Veteran-Directed Care program’’ mean 
the programs of the Department of Veterans Affairs 
specified in subsection (d), (c), and (b) of such section 
1720K, respectively. 
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(5) The terms ‘‘home health aide’’, ‘‘Native 
American’’, ‘‘Native American veteran’’, ‘‘tribal 
health programs’’, and ‘‘Urban Indian organizations’’ 
have the meanings given those terms in subsection (h) 
of such section 1720K. 
(6) The term ‘‘Vet Center’’ has the meaning 
given that term in section 1712A(h) of title 38, 
United States Code. 
(7) The term ‘‘veterans service organization’’ 
means any organization recognized by the Secretary 
under section 5902 of such title. 
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