This bill would allow the Dept. of Veterans Affairs (VA) to offer long-term care in medical foster homes (MFH) to certain veterans with severe service-related disabilities.
The VA would be authorized to put up to 900 veterans in these medical facilities, and would have to foot the bill. MFH's are private homes where trained caregivers attend to a small number of individuals. As the CBO explains in it's cost estimate of this bill:
"VA has an existing program under which it inspects and approves MFHs for veterans. Veterans currently living in such homes are eligible to receive VA’s Home Based Primary Care services, which include case management and health care provided in the home. VA is not currently authorized to pay for the cost of living in MFHs, but under this bill, VA could pay that cost."
This bill would also cap the number of bonuses awarded to VA employees through 2018 at $300 million. From 2019 - 2024, the cap would be $360 million. For context, the CBO found that between 2010 and 2013, the VA averaged $395 million in bonuses and awards to employees.