IIB 
114TH CONGRESS 
1ST SESSION 
H. R. 294 
IN THE SENATE OF THE UNITED STATES 
MARCH 3, 2015 
Received; read twice and referred to the Committee on Veterans’ Affairs 
AN ACT 
To amend title 38, United States Code, to authorize the 
Secretary of Veterans Affairs to enter into contracts 
and agreements for the placement of veterans in non- 
Department medical foster homes for certain veterans 
who are unable to live independently. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
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SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Long-Term Care Vet-
erans Choice Act’’. 
SEC. 2. SECRETARY OF VETERANS AFFAIRS CONTRACT AU-
THORITY FOR PLACEMENT OF VETERANS IN 
NON-DEPARTMENT MEDICAL FOSTER HOMES. 
(a) AUTHORITY.— 
(1) IN
GENERAL.—Section 1720 of title 38, 
United States Code, is amended by adding at the 
end the following new subsection: 
‘‘(h)(1) During the 3-year period beginning on Octo-
ber 1, 2015, and subject to paragraph (2), at the request 
of a veteran for whom the Secretary is required to provide 
nursing home care under section 1710A of this title, the 
Secretary may place the veteran in a medical foster home 
that meets Department standards, at the expense of the 
United States, pursuant to a contract or agreement en-
tered into between the Secretary and the medical foster 
home for such purpose. A veteran who is placed in a med-
ical foster home under this subsection shall agree, as a 
condition of such placement, to accept home health serv-
ices furnished by the Secretary under section 1717 of this 
title. 
‘‘(2) Not more than 900 veterans placed in a medical 
foster home, whether placed before or after the enactment 
of the Long-Term Care Veterans Choice Act, may have 
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their care covered at the expense of the United States 
under subsection (a). 
‘‘(3) In this subsection, the term ‘medical foster 
home’ means a home designed to provide non-institutional, 
long-term, supportive care for veterans who are unable to 
live independently and prefer a family setting.’’. 
(2) EFFECTIVE DATE.—Subsection (h) of title 
38, United States Code, as added by subsection (a), 
shall take effect on October 1, 2015. 
(b) LIMITATIONS ON AWARDS AND BONUSES.—Sec-
tion 705 of the Veterans Access, Choice, and Account-
ability Act of 2014 (Public Law 113–146; 38 U.S.C. 703 
note) is amended to read as follows: 
‘‘SEC. 705. LIMITATION ON AWARDS AND BONUSES PAID TO 
EMPLOYEES OF DEPARTMENT OF VETERANS 
AFFAIRS. 
‘‘The Secretary of Veterans Affairs shall ensure that 
the aggregate amount of awards and bonuses paid by the 
Secretary in a fiscal year under chapter 45 or 53 of title 
5, United States Code, or any other awards or bonuses 
authorized under such title or title 38, United States 
Code, does not exceed the following amounts: 
‘‘(1) With respect to each of fiscal years 2015 
through 2018, $300,000,000. 
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‘‘(2) With respect to each of fiscal years 2019 
through 2024, $360,000,000.’’. 
Passed the House of Representatives March 2, 
2015. 
Attest: 
KAREN L. HAAS, 
Clerk. 
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