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118th Congress Armed Forces and National Security

H.R. 542: Elizabeth Dole Home Care Act of 2023

Passed HouseDec 5, 2023

  1. Introduced (completed)Jan 26, 2023
  2. Passed House (completed)Dec 5, 2023, 414–5
  3. Passed Senate (not reached)
  4. To the President (not reached)
  5. Became law (not reached)

Summary

Passed House, Dec 5, 2023

Elizabeth Dole Home- and Community-Based Services for Veterans and Caregivers Act of 2023 or the Elizabeth Dole Home Care Act of 2023

This bill addresses home care and caregiver programs provided by the Department of Veterans Affairs (VA).

Under the bill, the cost of providing noninstitutional alternatives to nursing home care generally may not exceed 100% of the cost that would have been incurred if a veteran had been furnished VA nursing home care. (Under current law, these expenditures are limited to 65% of the cost.) However, for specified veterans, the VA may exceed 100% of the cost if it determines the higher cost is in the best interest of such veterans (i.e., veterans with amyotrophic lateral sclerosis, a spinal cord injury, or a condition the Secretary determines to be similar to such conditions).

Read the full summary

Among other requirements, the VA must

  • seek to enter into an agreement with the Program of All-Inclusive Care for the Elderly in certain areas to furnish noninstitutional alternatives to nursing home care;
  • implement various programs (e.g., the Veteran Directed Care program) to expand access to home- and community-based services;
  • provide specified support and benefits to caregivers of certain disabled veterans;
  • implement a pilot program to provide homemaker and home health aide services to veterans who reside in communities with a shortage of home health aides; and
  • ensure the availability of home and community-based services for Native American veterans.

For veterans or family caregivers who are discharged from the Program of Comprehensive Assistance for Family Caregivers, a caregiver support coordinator must provide for a personalized transition to an appropriate program.

The Veterans Health Administration must review programs administered through the Office of Geriatric and Extended Care to ensure consistency in program management, eliminate service gaps at the medical center level, and ensure the availability of and access to home and community-based services.

The bill also extends certain loan fee rates through February 4, 2032, under the VA's home loan program.

Written by the Congressional Research Service, Library of Congress.

Key votes

House final vote, Dec 5, 2023

On Motion to Suspend the Rules and Pass, as Amended

Passed 414–5

Yea 414two-thirds 280Nay 5

  • Democrats201 yea, 0 nay
  • Republicans212 yea, 5 nay
  • Independents1 yea, 0 nay

Broke with their party: Keith Self (R-TX), Chip Roy (R-TX), Clay Higgins (R-LA), Andy Harris (R-MD) and Jodey Arrington (R-TX) voted Nay

See how all 419 members voted

Showing 434 of 434 members

Yea 414

Republicans (212)

Democrats (201)

Independents (1)

Nay 5

Republicans (5) broke with their party

Not voting 15

Republicans (3)

Senate

Not yet voted

Passed the House Dec 5, 2023. Awaiting Senate action.

Roll calls

1 vote on this bill

Showing 1 of 1 roll calls

  • Dec 5, 2023HouseOn Motion to Suspend the Rules and Pass, as AmendedFinal passagePassed, yea-nay 414–5
    Roll call 696 tally by party
    PartyYeaNayPresentNot voting
    Democrats2010012
    Republicans212503
    Independents1000
    Total4145015

    House roll call 696: On Motion to Suspend the Rules and Pass, as Amended. Passed.

    5 crossed party lines: 5 Republicans

    How each member voted (434)

Amendments

0 offered

No amendments were offered to this bill.

Cosponsors

76

Bipartisan support.

Who scored on this bill

402 points earned
  1. 1Julia Brownley D-CA SponsorDrew cross-party cosponsors, introduced, reached a cosponsor milestone, reported, passed House6 events+68
  2. 2Jodey Arrington R-TX1 maverick vote1 event+6
  3. 2Andy Harris R-MD1 maverick vote1 event+6
  4. 2Clay Higgins R-LA1 maverick vote1 event+6
  5. 2Chip Roy R-TX1 maverick vote1 event+6
See all scorers and every scoring event

Introductions and cosponsorships count toward weekly caps and show no points.

Other bills by Julia Brownley

History

  1. Dec 5, 2023Passed the House, 414–5.
  2. Jan 26, 2023Introduced in the House by Julia Brownley.
Show the full action history (18 actions)
  1. Dec 6, 2023Received in the Senate.
  2. Dec 5, 2023Considered as unfinished business. (consideration: CR H6130-6131)
  3. Dec 5, 2023Passed/agreed to in House: On motion to suspend the rules and pass the bill, as amended Agreed to by the Yeas and Nays: (2/3 required): 414 - 5 (Roll no. 696). (text: 12/04/2023 CR H6097-6100)
  4. Dec 5, 2023On motion to suspend the rules and pass the bill, as amended Agreed to by the Yeas and Nays: (2/3 required): 414 - 5 (Roll no. 696). (text: 12/04/2023 CR H6097-6100)
  5. Dec 5, 2023Motion to reconsider laid on the table Agreed to without objection.
  6. Dec 4, 2023Mr. Bergman moved to suspend the rules and pass the bill, as amended.
  7. Dec 4, 2023Considered under suspension of the rules. (consideration: CR H6097-6103)
  8. Dec 4, 2023DEBATE - The House proceeded with forty minutes of debate on H.R. 542.
  9. Dec 4, 2023At the conclusion of debate, the Yeas and Nays were demanded and ordered. Pursuant to the provisions of clause 8, rule XX, the Chair announced that further proceedings on the motion would be postponed.
  10. Nov 29, 2023Reported (Amended) by the Committee on Veterans' Affairs. H. Rept. 118-284.
  11. Nov 29, 2023Placed on the Union Calendar, Calendar No. 228.
  12. Jul 26, 2023Subcommittee on Health Discharged.
  13. Jul 26, 2023Committee Consideration and Mark-up Session Held.
  14. Jul 26, 2023Ordered to be Reported in the Nature of a Substitute by Voice Vote.
  15. Mar 29, 2023Subcommittee Hearings Held.
  16. Mar 23, 2023Referred to the Subcommittee on Health.
  17. Jan 26, 2023Introduced in House
  18. Jan 26, 2023Referred to the House Committee on Veterans' Affairs.