I 
114TH CONGRESS 
1ST SESSION H. R. 1369 
To modify the treatment of agreements entered into by the Secretary of 
Veterans Affairs to furnish nursing home care, adult day health care, 
or other extended care services, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
MARCH 16, 2015 
Mrs. WALORSKI (for herself and Ms. GABBARD) introduced the following bill; 
which was referred to the Committee on Veterans’ Affairs, and in addi-
tion to the Committee on Education and the Workforce, for a period to 
be subsequently determined by the Speaker, in each case for consider-
ation of such provisions as fall within the jurisdiction of the committee 
concerned 
A BILL 
To modify the treatment of agreements entered into by the 
Secretary of Veterans Affairs to furnish nursing home 
care, adult day health care, or other extended care serv-
ices, and for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Veterans Access to 
Extended Care Act of 2015’’. 
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SEC. 2. TREATMENT OF AGREEMENTS FOR NURSING HOME 
CARE, ADULT DAY HEALTH CARE, OR OTHER 
EXTENDED CARE SERVICES FROM DEPART-
MENT OF VETERANS AFFAIRS. 
(a) IN GENERAL.—Subparagraph (B) of section 
1720(c)(1) of title 38, United States Code, is amended 
by adding after the period at the end the following: ‘‘Any 
such agreement shall not be treated as a Federal contract 
for the acquisition of goods or services and is not subject 
to any provision of law governing Federal contracts for 
the acquisition of goods or services. Title 41 shall not 
apply to any such agreement.’’. 
(b) REQUIREMENTS.—Such section is amended by 
adding at the end the following new subparagraphs: 
‘‘(C) Any agreement entered into under subpara-
graph (A) with a provider described in that subparagraph 
shall include provisions that are necessary to ensure the 
safety and quality of care furnished to veterans pursuant 
to such agreement, including the following: 
‘‘(i) Requirements as to the licensing and 
credentialing of medical professionals of the pro-
vider, as applicable. 
‘‘(ii) Review by the Department of medical 
records of the provider. 
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‘‘(iii) Visits by employees of the Department to 
assess facilities and practices of the provider on an 
unannounced basis. 
‘‘(iv) Review by the Department of staffing lev-
els for medical professionals and support personnel 
of the provider. 
‘‘(v) Such other provisions as the Secretary con-
siders necessary to ensure the safety and quality of 
care furnished to veterans. 
‘‘(D) The failure of a provider with which the Sec-
retary has entered into an agreement under subparagraph 
(A) to comply with a provision of such agreement de-
scribed in subparagraph (C) may result in the termination 
of such agreement by the Department.’’. 
SEC. 3. EXEMPTION OF AGREEMENTS ENTERED INTO BY 
SECRETARY OF VETERANS AFFAIRS FOR 
NURSING HOME CARE, ADULT DAY HEALTH 
CARE, OR OTHER EXTENDED CARE SERVICES 
FROM THE APPLICATION OF CERTAIN LABOR 
LAWS. 
Section 6702(b) of title 41, United States Code, is 
amended— 
(1) in paragraph (6), by striking ‘‘; and’’ and 
inserting a semicolon; 
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(2) in paragraph (7), by striking the period at 
the end and inserting ‘‘; and’’; and 
(3) by adding at the end the following: 
‘‘(8) an agreement to furnish nursing home 
care, adult day health care, or other extended care 
services under section 1720 of title 38.’’. 
Æ 
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