- Record: Senate Floor
- Section type: Amendments
- Chamber: Senate
- Date: June 24, 2026
- Congress: 119th Congress
- Why this source matters: This section came from the Senate floor portion of the record.
SA 6414. Mr. HEINRICH submitted an amendment intended to be proposed by him to the bill S. 4784, to authorize appropriations for fiscal year 2027 for military activities of the Department of Defense, for military construction, and for defense activities of the Department of Energy, to prescribe military personnel strengths for such fiscal year, and for other purposes; which was ordered to lie on the table; as follows:
At the appropriate place in title X, insert the following:
SEC. 10__. REIMBURSEMENT RATES FOR HOME AND COMMUNITY-BASED
SERVICES FOR VETERANS.
(a) Homemaker and Home Health Aide Program.—Section
1720L(c) of title 38, United States Code, is amended by
adding at the end the following:
“(3) On and after the date of the enactment of the
National Defense Authorization Act for Fiscal Year 2027, the
Secretary—
“(A) in the case of any reimbursement rates for services
furnished under the Homemaker and Home Health Aide program
that were reduced after December 31, 2025, shall reinstate
the rates in effect on such date; and
“(B) may not reduce the reimbursement rates for such
services to an amount that is less than the rates in effect
on such date, unless the Secretary notifies Congress of such
reduction not later than 90 days before such reduction takes
effect.
“(4) Not later than 180 days after the date of the
enactment of the National Defense Authorization Act for
Fiscal Year 2027, and annually thereafter, the Secretary
shall submit to Congress a report—
“(A) specifying whether the number of providers furnishing
services under the Homemaker and Home Health Aide program is
adequate to meet veteran demand for such services;
“(B) identifying any regions where provider participation
in furnishing such services is inadequate to meet such
demand; and
“(C) identifying how the Secretary plans to ensure
adequate provider participation in furnishing such services
to ensure the needs of veterans for such care are met.”.
(b) Report on Reimbursement Rates.—Not later than 90 days
after the date of the enactment of this Act, the Secretary of
Veterans Affairs shall submit to Congress a report that
includes—
(1) the data sources used to establish reimbursement rates
for services under subsections (c) and (e) of section 1720L
of title 38, United States Code, including any use of data
from the Medicare program under title XVIII of the Social
Security Act (42 U.S.C. 1395 et seq.), the Medicaid program
under title XIX of such Act (42 U.S.C. 1396 et seq.), or the
private market;
(2) the weighting and adjustment factors applied to such
data;
(3) the role of any contractors or third-party
administrators in determining such rates;
(4) a description of any consultation with providers of
home and community-based services in establishing such rates,
including how such input was solicited, considered, and
incorporated; and
(5) a description of any formulas, models, or analytical
methods used to establish such rates, including any
variables, assumptions, weighting, and any additional data
sources or factors considered by the Secretary.