(1)The Secretary shall enter into a contract (or agreement under section
1720(c)(1) of this title) with each State home for payment by the Secretary for nursing home care provided in the home, in any case in which such care is provided to any veteran as follows:
(A)Any veteran in need of such care for a service-connected disability.
(B)Any veteran who—
(i)has a service-connected disability rated at 70 percent or more; and
(ii)is in need of such care.
(2)Payment under each contract (or agreement) between the Secretary and a State home under paragraph (1) shall be based on a methodology, developed by the Secretary in consultation with the State home, to adequately reimburse the State home for the care provided by the State home under the contract (or agreement).
(3)Payment by the Secretary under paragraph (1) to a State home for nursing home care provided to a veteran described in that paragraph constitutes payment in full to the State home for such care furnished to that veteran.
(b)The Secretary shall furnish such drugs and medicines as may be ordered on prescription of a duly licensed physician as specific therapy in the treatment of illness or injury to any veteran as follows:
(1)Any veteran who—
(A)is not being provided nursing home care for which payment is payable under subsection (a); and
(B)is in need of such drugs and medicines for a service-connected disability.
(2)Any veteran who—
(A)has a service-connected disability rated at 50 percent or more;
(B)is not being provided nursing home care for which payment is payable under subsection (a); and
(C)is in need of such drugs and medicines.
(c)Any State home that requests payment or reimbursement for services provided to a veteran under this section shall provide to the Secretary such information as the Secretary considers necessary to identify each individual veteran eligible for payment under such section.
2012—Subsec. (a)(1). Pub. L. 112–154, § 105(a)(1), substituted in introductory provisions “The Secretary shall enter into a contract (or agreement under section
1720(c)(1) of this title) with each State home for payment by the Secretary for nursing home care provided in the home” for “The Secretary shall pay each State home for nursing home care at the rate determined under paragraph (2)”.
Subsec. (a)(2). Pub. L. 112–154, § 105(a)(2), added par. (2) and struck out former par. (2) which read as follows: “The rate determined under this paragraph with respect to a State home is the lesser of—
“(A) the applicable or prevailing rate payable in the geographic area in which the State home is located, as determined by the Secretary, for nursing home care furnished in a non-Department nursing home (as that term is defined in section
1720(e)(2) of this title); or
“(B) a rate not to exceed the daily cost of care, as determined by the Secretary, following a report to the Secretary by the director of the State home.”
Amendment by Pub. L. 112–154applicable to care provided on or after the date that is 180 days after Aug. 6, 2012, with certain exceptions, see section 105(c) ofPub. L. 112–154, set out as a note under 1720 of this title.
Section and amendment by section 211(a)(2) ofPub. L. 109–461effective 90 days after Dec. 22, 2006, see section 211(a)(5) ofPub. L. 109–461, set out as an Effective Date of 2006 Amendment note under section
1710 of this title.
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