(b) TABLE OF CONTENTS.—The table of contents for 
this Act is as follows: 
Sec. 1. Short title; table of contents. 
Sec. 2. Increase to expenditure cap for noninstitutional care alternatives to 
nursing home care. 
Sec. 3. Coordination with Program of All-Inclusive Care for the Elderly. 
Sec. 4. Home and community based services: programs. 
Sec. 5. Coordination with Program of Comprehensive Assistance for Family 
Caregivers. 
Sec. 6. Development of centralized website for program information. 
Sec. 7. Improvements relating to Home Maker and Home Health Aide pro-
gram. 
Sec. 8. Reviews and other improvements relating to home and community based 
services. 
Sec. 9. Definitions. 
SEC. 2. INCREASE OF EXPENDITURE CAP FOR NONINSTITU-
TIONAL CARE ALTERNATIVES TO NURSING 
HOME CARE. 
(a) INCREASE
OF
EXPENDITURE
CAP.—Section 
1720C(d) of title 38, United States Code, is amended— 
(1) by striking ‘‘The total cost’’ and inserting 
‘‘(1) Except as provided in paragraph (2), the total 
cost’’; 
(2) by striking ‘‘65 percent’’ and inserting ‘‘100 
percent’’; and 
(3) by adding at the end the following new 
paragraph: 
‘‘(2) The total cost of providing services or in-kind 
assistance in the case of any veteran for any fiscal year 
under the program may exceed 100 percent of the cost 
that would otherwise have been incurred as specified in 
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paragraph (1) if the Secretary determines such higher 
total cost is in the best interest of the veteran.’’. 
(b) APPLICABILITY.—The amendments made by sub-
section (a) shall apply with respect to fiscal years begin-
ning on or after the date of the enactment of this Act. 
SEC. 3. COORDINATION WITH PROGRAM OF ALL-INCLUSIVE 
CARE FOR THE ELDERLY. 
Section 1720C of title 38, United States Code, as 
amended by section 2, is further amended by adding at 
the end the following new subsection: 
‘‘(f) In furnishing services to a veteran under the pro-
gram conducted pursuant to subsection (a), if a medical 
center of the Department through which such program is 
administered is located in a geographic area in which serv-
ices are available to the veteran under a PACE program 
(as such term is defined in sections 1894(a)(2) and 
1934(a)(2) of the Social Security Act (42 U.S.C. 
1395eee(a)(2); 1396u–4(a)(2))), the Secretary shall estab-
lish a partnership with the PACE program operating in 
that area for the furnishing of such services.’’. 
SEC. 4. HOME AND COMMUNITY BASED SERVICES: PRO-
GRAMS. 
(a) PROGRAMS.—Chapter 17 of title 38, United 
States Code, is amended by inserting after section 1720J 
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the following new section (and conforming the table of sec-
tions at the beginning of such chapter accordingly): 
‘‘§ 1720K. Home and community based services: pro-
grams 
‘‘(a) IN GENERAL.—In furnishing noninstitutional al-
ternatives to nursing home care pursuant to the authority 
of section 1720C of this title (or any other authority under 
this chapter or other provision of law administered by the 
Secretary of Veterans Affairs), the Secretary shall carry 
out each of the programs specified in this section in ac-
cordance with such relevant authorities except as other-
wise provided in this section. 
‘‘(b) VETERAN DIRECTED CARE PROGRAM.—(1) The 
Secretary of Veterans Affairs, in collaboration with the 
Secretary of Health and Human Services, shall carry out 
a program to be known as the ‘Veteran Directed Care pro-
gram’ under which the Secretary of Veterans Affairs may 
enter into agreements with the providers described in 
paragraph (2) to provide to eligible veterans funds to ob-
tain such in-home care services and related items as may 
be determined appropriate by the Secretary of Veterans 
Affairs and selected by the veteran, including through the 
veteran hiring individuals to provide such services and 
items or directly purchasing such services and items. 
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‘‘(2) The providers described in this paragraph are 
the following: 
‘‘(A) An Aging and Disability Resource Center, 
an area agency on aging, or a State agency. 
‘‘(B) A center for independent living. 
‘‘(3) In carrying out the Veteran Directed Care pro-
gram, the Secretary of Veterans Affairs shall— 
‘‘(A) administer such program through each 
medical center of the Department of Veterans Af-
fairs; 
‘‘(B) ensure the availability of such program in 
American Samoa, Guam, the Commonwealth of the 
Northern Mariana Islands, the Commonwealth of 
Puerto Rico, the Virgin Islands of the United States, 
and any other territory or possession of the United 
States; and 
‘‘(C) ensure the availability of such program for 
eligible veterans who are Native American veterans 
receiving care and services furnished by the Indian 
Health Service, a tribal health program, an Urban 
Indian organization, or (in the case of a Native Ha-
waiian veteran) a Native Hawaiian health care sys-
tem. 
‘‘(4) If a veteran participating in the Veteran Di-
rected Care program is catastrophically disabled, the vet-
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