II Calendar No. 541 116th CONGRESS 2d Session S. 2558 IN THE SENATE OF THE UNITED STATES September 26, 2019 Ms. Sinema (for herself and Mr. Cramer ) introduced the following bill; which was read twice and referred to the Committee on Veterans' Affairs September 15, 2020 Reported by Mr. Moran , without amendment A BILL To amend title 38, United States Code, to authorize the Secretary of Veterans Affairs to make certain grants to assist nursing homes for veterans located on tribal lands.

1. Short title This Act may be cited as the Nursing Home Care for Native American Veterans Act . 2. Grants for State homes located on tribal lands (a) State home defined Section 101(19) of title 38, United States Code, is amended by inserting or Indian tribe (as defined in section 4 of the Indian Self-Determination and Education Assistance Act ( 25 U.S.C. 5304 )) after (other than a possession) . (b) Payments to State homes Section 1741 of title 38, United States Code, is amended by adding at the end the following new subsection: (g) In this subchapter, the term State means each of the several States and each Indian tribe (as defined in section 4 of the Indian Self-Determination and Education Assistance Act ( 25 U.S.C. 5304 )). . (c) State home construction (1) In general Section 8131(2) of title 38, United States Code, is amended by inserting includes each Indian tribe (as defined in section 4 of the Indian Self-Determination and Education Assistance Act ( 25 U.S.C. 5304 )) but before does not . (2) Conforming amendment Section 8132 of such title is amended by striking several . (d) Additional legislative or administrative action (1) Consultation with Indian tribes Not later than 180 days after the date of the enactment of this Act, the Secretary of Veterans Affairs shall consult with Indian tribes to determine if any legislative or administrative action is necessary to modify the State home program to function efficiently in support of State homes operated by Indian tribes pursuant to the amendments made by this section. (2) Report to Congress Not later than 90 days after completing consultations under paragraph (1), the Secretary shall submit to the appropriate committees of Congress a report recommending legislative action that the Secretary considers appropriate to modify the State home program described in such paragraph in light of those consultations. (3) Modifications Not later than 180 days after completing consultations under paragraph (1), the Secretary shall make any modifications to regulations implementing the State home program, for which legislative action is not necessary, as the Secretary considers appropriate in light of those consultations. (e) Technical support and assistance The Secretary of Veterans Affairs shall provide technical support and assistance to Indian tribes in carrying out the State home program at State homes operated by Indian tribes pursuant to the amendments made by this section. (f) Definitions In this section: (1) Appropriate committees of Congress The term appropriate committees of Congress means— (A) the Committee on Veterans' Affairs and the Committee on Indian Affairs of the Senate; and (B) the Committee on Veterans' Affairs and the Subcommittee for Indigenous Peoples of the United States of the Committee on Natural Resources of the House of Representatives. (2) Indian tribe The term Indian tribe has the meaning given that term in section 4 of the Indian Self-Determination and Education Assistance Act ( 25 U.S.C. 5304 ). (3) State home The term State home has the meaning given that term in section 101(19) of title 38, United States Code. (4) State home program The term State home program means the program of the Department of Veterans Affairs for which payments are made under subchapter V of chapter 17 of title 38, United States Code, and assistance is provided under subchapter III of chapter 81 of such title.

September 15, 2020 Reported without amendment