HR 542 United States House · 118th Congress

Elizabeth Dole Home Care Act of 2023

The Elizabeth Dole Home Care Act of 2023 increases the expenditure cap for home- and community-based care for veterans from 65% to 100% of costs, with exceptions for certain cases based on clinical need and geographic factors. It establishes new programs including Veteran-Directed Care, which allows veterans to select and manage their own in-home care services, and Home-Based Primary Care, which provides in-home health care overseen by VA providers. The bill requires improved coordination with existing programs like the Program of All-Inclusive Care for the Elderly (PACE) and mandates a centralized website with information about available services. It specifically targets veterans who would otherwise require nursing home care or face increased risk of hospitalization, and includes provisions to address home health aide shortages through pilot programs.

Sub-Topics: Government Spending Long-Term Care Primary Care Veteran Benefits Veteran Healthcare Veteran Housing

Bill status passed 3 of 5 stages cleared

Introduction

Jan 2023

Committee Review

Nov 2023

House Passage

Dec 2023

Senate Passage

President

Introduced Jan 26, 2023 Last action Dec 6, 2023

Floor votes · House Dec 5, 2023

How they voted

414–5

Passed · 15 other

Total votes 434

Dec 5, 2023

D Democratic213

201 Yea 12

94% Yea

I Independent1

1 Yea

100% Yea

R Republican220

212 Yea 5 Nay 3

96% Yea

Vote distribution

All Yea All Nay Mixed No data

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Amendments

Dec 5, 2023

Introduced

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)

lower

Dec 5, 2023

Lower · Passed

Passed/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)

lower