Subchapter V-Payments to State Homes

§ 641. Criteria for payment

The Administrator shall pay each State at the per diem rate of— (1) $3.50 for [hospital or] domiciliary care, [and]

(2) $5.00] for nursing home care, and

(3) $7.50 for hospital care,

for each veteran of any war receiving such care in a State home, if, in the case of such a veteran receiving domiciliary or hospital care, such veteran is eligible for such care in a Veterans' Administration facility, or if, in the case of such a veteran receiving nursing home care, such veteran meets the requirements of paragraph (1), (2), or (3) of section 610(a) of this title, except that the requirements of clause (B) of such paragraph (1) shall for this purpose refer to the inability to defray the expenses of necessary nursing home care; however, in no case shall the payments made with respect to any veteran under this section exceed one-half of the cost of the veteran's care in such State home.

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§ 644. Authorization of appropriations

(a) There is hereby authorized to be appropriated $5,000,000 for the fiscal year ending June 30, 1970, and a like sum for each of the nine succeeding fiscal years. Subject to the conditions set forth in subsection (b) of this section, sums appropriated pursuant to this section shall be used for making grants to States which have submitted, and have had approved by the Administrator, applications for assistance in remodeling, modification or alteration of existing hospital or domiciliary facilities in State homes providing care and treatment for veterans.

(b) The amount which may be granted to a State home for purposes of subsection (a) shall not exceed 50 per centum of the estimated cost of the project, nor may any one State receive in any fiscal year more than 20 per centum of the amount appropriated for that fiscal year.

(c) Grants under this section shall be made on such terms and conditions prescribed in regulations by the Administrator.

(d) Sums appropriated pursuant to subsection (a) of this section shall remain available until the end of the second fiscal year following the fiscal year for which they are appropriated.

O

91ST CONGRESS 1st Session

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SENATE

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REPORT No. 91-485

SHARING PROGRAM OF AND EMPLOYMENT OF CERTAIN PROFESSIONAL PERSONNEL IN THE DEPARTMENT OF MEDICINE AND SURGERY, VETERANS' ADMINISTRATION

OCTOBER 17, 1969.-Ordered to be printed

Filed under authority of the order of the Senate of October 16, 1969

Mr. CRANSTON, from the Committee on Labor and Public Welfare, submitted the following

REPORT

[To accompany H.R. 9634]

The Committee on Labor and Public Welfare, to which was referred the bill (H.R. 9634) to amend title 38 of the United States Code in order to improve and make more effective the Veterans' Administration program of sharing specialized medical resources, having considered the same, reports favorably thereon with amendments and recommends that the bill as amended do pass.

COMMITTEE AMENDMENTS

The amendments are as follows:

On page 1, insert after the enacting clause:

That section 4114 of title 38, United States Code, is amended by inserting in subsection (a) (3) (A) immediately after the first sentence thereof the following: "Temporary full-time appointments of persons who have successfully completed a full course of nursing in a recognized school of nursing, approved by the Administrator, and are pending registration as a graduate nurse in a State, shall not exceed one year."

SEC. 2. Section 4114 of title 38, United States Code, is amended by deleting "(b)" at the beginning of subsection (b) and inserting in lieu therof "(b)(1)" and by adding the following new paragraph:

"(2) In order to more efficiently carry out the provisions of paragraph (1) of this subsection, the Administrator may contract with one or more hospitals, medical schools, or medical installations having hospital facilities and partici