What This Bill Does
This bill requires the Secretary of Veterans Affairs to formally recognize and track caregivers of veterans in their health records. The bill also requires the VA to send standardized letters notifying veterans and caregivers about eligibility decisions for caregiver programs. If a veteran loses eligibility for family caregiver benefits, the bill temporarily extends those benefits for at least 90 days after notification.
Who It Affects
The Secretary of Veterans Affairs, veterans receiving VA care, family caregivers participating in VA caregiver assistance programs, and caregivers participating in VA support services programs for caregivers.
Key Provisions
• The Secretary must formally recognize all caregivers of veterans by identifying them in the veteran's health record, including family caregivers in the comprehensive assistance program and caregivers in the support services program (Sec. 2(a))
• The Secretary must send standardized letters to veterans and caregivers about clinical determinations regarding eligibility, tier reduction, or termination of caregiver assistance (Sec. 2(b))
• When a veteran loses clinical eligibility for the family caregiver program, benefits including stipends must continue for at least 90 days after the notification letter (Sec. 2(c))
• The 90-day benefit extension does not apply if the caregiver committed fraud, abuse or neglect, if a new primary caregiver is designated within 90 days, if a third family caregiver is designated within 90 days, if the caregiver moved out or abandoned the veteran, or if the caregiver or veteran requests termination (Sec. 2(c)(2))
What Changes
The VA will create a formal system to identify and track all caregivers in veterans' health records. Veterans and caregivers will receive standardized notification letters when eligibility decisions are made. Veterans who lose clinical eligibility for family caregiver benefits will keep receiving those benefits and payments for at least 90 days while they transition.
Important Definitions
None defined in bill text.
I
118TH CONGRESS
1ST SESSION
H. R. 104
To require the Secretary of Veterans Affairs to formally recognize caregivers
of veterans, notify veterans and caregivers of clinical determinations
relating to eligibility for caregiver programs, and temporarily extend
benefits for veterans who are determined ineligible for the family care-
giver program, and for other purposes.
IN THE HOUSE OF REPRESENTATIVES
JANUARY 9, 2023
Mr. BIGGS introduced the following bill; which was referred to the Committee
on Veterans’ Affairs
A BILL
To require the Secretary of Veterans Affairs to formally
recognize caregivers of veterans, notify veterans and
caregivers of clinical determinations relating to eligibility
for caregiver programs, and temporarily extend benefits
for veterans who are determined ineligible for the family
caregiver program, and for other purposes.
Be it enacted by the Senate and House of Representa-
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tives of the United States of America in Congress assembled,
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SECTION 1. SHORT TITLE.
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This Act may be cited as the ‘‘Transparency and Ef-
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fective Accountability Measures for Veteran Caregivers
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Act’’ or the ‘‘TEAM Veteran Caregivers Act’’.
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•HR 104 IH
SEC. 2. MODIFICATION OF ADMINISTRATION OF CARE-
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GIVER PROGRAM OF DEPARTMENT OF VET-
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ERANS AFFAIRS.
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(a) OFFICIAL DESIGNATION OF CAREGIVERS.—
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(1) IN GENERAL.—The Secretary of Veterans
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Affairs shall formally recognize all caregivers of vet-
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erans by identifying any caregiver of a veteran in
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the health record of the veteran.
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(2) INCLUSION.—Caregivers recognized under
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paragraph (1) shall include—
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(A) family caregivers participating in the
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program of comprehensive assistance for family
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caregivers under subsection (a) of section
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1720G of title 38, United States Code; and
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(B) caregivers participating in the program
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of support services for caregivers under sub-
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section (b) of such section.
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(b) NOTIFICATION LETTERS REGARDING CLINICAL
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DETERMINATIONS.—
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(1) IN
GENERAL.—The Secretary, using a
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standardized letter, shall notify veterans and care-
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givers of veterans regarding any clinical determina-
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tions made relating to claims, tier reduction, or ter-
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mination of assistance under, or eligibility for, a
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caregiver program under subsection (a) or (b) of sec-
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tion 1720G of title 38, United States Code.
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•HR 104 IH
(2) ELEMENTS.—Notifications under paragraph
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(1) shall include the elements required for notices of
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decisions under section 5104(b) of title 38, United
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States Code, to the extent that those elements apply
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to determinations under paragraph (1).
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(c) TEMPORARY EXTENSION OF BENEFITS FOR FAM-
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ILY CAREGIVER PROGRAM.—
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(1) IN
GENERAL.—Upon determining that a
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veteran who was receiving services under the pro-
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gram of comprehensive assistance for family care-
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givers under section 1720G(a) of title 38, United
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States Code, is no longer clinically eligible for pur-
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poses of such program, the Secretary shall extend
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benefits under such program, including stipends
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under paragraph (3)(A)(ii)(V) of such section, for
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not less than 90 days after the date of notification
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under subsection (b) that the veteran is no longer
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clinically eligible.
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(2) EXCLUSION.—Paragraph (1) shall not apply
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to the termination of caregiver benefits—
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(A) if the Secretary determines that the
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family caregiver committed fraud or abused or
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neglected the veteran;
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(B) if the family caregiver was designated
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under section 1720G(a)(7) of title 38, United
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•HR 104 IH
States Code, as the primary provider of per-
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sonal care services for the veteran and another
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primary provider is designated within 90 days
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after the date of termination, in which case
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benefits for the terminated primary provider
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will terminate the day before the date on which
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the new primary provider is designated;
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(C) if another individual is designated to
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be a family caregiver within 90 days after the
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date of termination, such that there are three
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family caregivers assigned to the veteran, in
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which case benefits for the terminated family
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caregiver will terminate the day before the date
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on which the new family caregiver is des-
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ignated;
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(D) the terminated individual had been liv-
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ing with the veteran and moves out, or the ter-
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minated individual abandons or terminates his
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or her relationship with the veteran; or
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(E) upon request of the family caregiver or
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the veteran.
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Æ
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