IB 
Union Calendar No. 24 
114TH CONGRESS 
1ST SESSION 
H. R. 294 
[Report No. 114–35] 
To amend title 38, United States Code, to authorize the Secretary of Veterans 
Affairs to enter into contracts and agreements for the transfer of vet-
erans to non-Department medical foster homes for certain veterans who 
are unable to live independently. 
IN THE HOUSE OF REPRESENTATIVES 
JANUARY 13, 2015 
Mr. MILLER of Florida introduced the following bill; which was referred to 
the Committee on Veterans’ Affairs 
MARCH 2, 2015 
Additional sponsors: Mr. COLE and Mr. NORCROSS 
MARCH 2, 2015 
Reported with amendments, committed to the Committee of the Whole House 
on the State of the Union, and ordered to be printed 
[Strike out all after the enacting clause and insert the part printed in italic] 
[For text of introduced bill, see copy of bill as introduced on January 13, 2015] 
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A BILL 
To amend title 38, United States Code, to authorize the 
Secretary of Veterans Affairs to enter into contracts 
and agreements for the transfer of veterans to non- 
Department medical foster homes for certain veterans 
who are unable to live independently. 
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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 ‘‘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 three-year period beginning on Oc-
tober 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 Sec-
retary 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 entered into 
between the Secretary and the medical foster home for such 
purpose. A veteran who is placed in a medical foster home 
under this subsection shall agree, as a condition of such 
placement, to accept home health services furnished by the 
Secretary under section 1717 of this title. 
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‘‘(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 their 
care covered at the expense of the United States under sub-
section (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.—Section 
705 of the Veterans Access, Choice, and Accountability 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 au-
thorized under such title or title 38, United States Code, 
does not exceed the following amounts: 
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