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The Department of Veterans Affairs (VA) proposes to amend its regulations concerning provision of necessary health care to birth children of Vietnam and certain Korea veterans diagnosed with spina bifida, except for spina bifida occulta, and other covered birth defects. The proposed changes would more clearly define the types of health care benefits VA is authorized to reimburse, including day health care as well as health-related services that supply homemaker or home health aide services furnished in the individual's residence, to the extent that those services provide assistance with Activities of Daily Living or Instrumental Activities of Daily Living. We would also further define those health care services that would require preauthorization.