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VA RIN: 2900-AO88 Publication ID: Fall 2016 
Title: Per Diem Paid to States for Care of Eligible Veterans in State Homes 

The Department of Veterans Affairs (VA) proposed to reorganize, update (based on revisions to statutory authority), and clarify its regulations that govern paying per diem to State homes providing nursing home and adult day health care to eligible veterans. The reorganization will improve consistency and clarity throughout these State home programs. We believe that these proposed regulations will clarify current law and policy, which should improve and simplify the payment of per diem to State homes, and encourage participation in these programs.  VA plans to finalize this proposal after considering public comments.

Agency: Department of Veterans Affairs(VA)  Priority: Other Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Final Rule Stage 
Major: No  Unfunded Mandates: No 
CFR Citation: 38 CFR 51   
Legal Authority: 38 U.S.C. 101, 501 and 1710    38 U.S.C. 1741 to 1743    38 U.S.C. 1745    38 U.S.C. 7104 and 7105    42 U.S.C. 1395(cc)   
Legal Deadline:  None

Statement of Need:

The proposed reorganization would improve consistency and clarity throughout these State home programs.  Currently, we require States to operate these programs exclusively using a medical supervision model.  We expect that these liberalizing changes will result in an increase in the number of States that have adult day health care programs.  Moreover, we proposed to eliminate the regulations governing per diem for State home hospitals because there are no longer any State home hospitals.

Summary of the Legal Basis:

38 U.S.C. 101, 501, 1710, 1741 to 1743, 1745, 7104, 7105, and 42 U.S.C. 1395(cc)


Anticipated Costs and Benefits:


Action Date FR Cite
NPRM  06/17/2015  80 FR 34793   
NPRM; Correction and Clarification  06/24/2015  80 FR 36305   
NPRM Comment Period End  08/17/2015 
Final Action  05/00/2017 
Regulatory Flexibility Analysis Required: No  Government Levels Affected: None 
Small Entities Affected: No  Federalism: No 
Included in the Regulatory Plan: Yes 
Public Comment URL:  
RIN Data Printed in the FR: No 
Agency Contact:
Richard Allman
Chief Consultant, Geriatrics and Extended Care Services
Department of Veterans Affairs
810 Vermont Avenue NW.,
Washington, DC 20420
Phone:202 461-6750