S.Amdt. 2690

SA 2690. Mr. MORAN (for himself and Mr. Tester) submitted an
amendment intended to be proposed by him to the bill S. 4638, to
authorize appropriations for fiscal year 2025 for military activities
of the Department of Defense, for military construction, and for
defense activities of the Department of Energy, to prescribe military
personnel strengths for such fiscal year, and for other purposes; which
was ordered to lie on the table; as follows:

At the end of subtitle H of title X, add the following:

SEC. 1095. INCREASE OF EXPENDITURE CAP FOR NONINSTITUTIONAL
CARE ALTERNATIVES TO NURSING HOME CARE.

(a) Increase of Expenditure Cap.--Section 1720C(d) of title
38, United States Code, is amended--
(1) by striking ``The total cost'' and inserting ``(1)
Except as provided in paragraph (2), the total cost'';
(2) by striking ``65 percent of''; and
(3) by adding at the end the following new paragraph:
``(2)(A) The total cost of providing services or in-kind
assistance in the case of any veteran described in
subparagraph (B) for any fiscal year under the program may
exceed the cost that would otherwise have been incurred as
specified in paragraph (1) if the Secretary determines, based
on a consideration of clinical need, geographic market
factors, and such other matters as the Secretary may
prescribe through regulation, that such higher total cost is
in the best interest of the veteran.
``(B) A veteran described in this subparagraph is a veteran
with amyotrophic lateral sclerosis, a spinal cord injury, or
a condition the Secretary determines to be similar to such
conditions.''.
(b) Applicability.--The amendments made by subsection (a)
shall apply with respect to fiscal years beginning on or
after the date of the enactment of this Act.
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