H.R. 840House116th Congress (2019-2021)Passed House

Veterans’ Access to Child Care Act

Introduced January 29, 2019

AI-Generated Summary

Updated April 14, 2026 at 1:15 AM UTC

The Veterans’ Access to Child Care Act amends Title 38 to require the Secretary of Veterans Affairs to provide free child‑care assistance to veterans who are primary caretakers and are receiving or need mental‑health or other intensive health services at VA facilities. The assistance is meant to remove child‑care barriers that could prevent veterans from accessing needed care. The law also establishes reporting, outreach, and study requirements to monitor and improve the program.

Key Provisions

  • The VA must offer child‑care assistance to eligible veterans who receive covered health services and must travel to a VA facility for those services.
  • Assistance can be a full‑cost stipend, on‑site VA child‑care, direct payments to private providers, voucher programs, or other forms the Secretary deems appropriate.
  • Eligibility requires the veteran to be the primary caretaker of a child and to actively participate in the health services (traveling to and attending appointments).
  • The Secretary must set criteria to ensure reasonable access, restrict providers with certain criminal convictions, and conduct outreach to inform veterans of the benefit.
  • The VA must submit annual reports to Congress detailing usage, costs, processing times, and recommendations for improvement.
  • A feasibility study on extending assistance to veterans receiving care at non‑VA facilities must be completed and reported within one year.
  • A study on how the assistance affects health‑care access must be completed and reported within 18 months.
  • Ongoing reporting in the VA’s annual budget request must include regional data, funding amounts, challenges, and recommendations, with a biennial supplement addressing additional challenges and education gaps.

Legislative Activity

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49 earlier actions
SenateIntro Referral Latest Action

Received in the Senate and Read twice and referred to the Committee on Veterans' Affairs.

February 11, 2019

View full timeline
HouseIntro Referral

Introduced in House

January 29, 2019

HouseIntro Referral

Referred to the House Committee on Veterans' Affairs.

January 29, 2019

HouseCommittee

Referred to the Subcommittee on Health.

February 1, 2019

HouseFloor

Rules Committee Resolution H. Res. 105 Reported to House. Rule provides for consideration of H.R. 840. Rule provides for consideration of H.R. 840 under a structured rule. Rule provides that H. Res. 86 is adopted. Rule also provides for consideration of motions to suspend the rules through the legislative day of February 15, 2019.

February 6, 2019 • 4:39 PM

HouseFloor

Considered under the provisions of rule H. Res. 105. (consideration: CR H1418-1431; text of amendment in the nature of a substitute: CR H1422)

February 7, 2019 • 3:05 PM

HouseFloor

Rule provides for consideration of H.R. 840 and H. Res. 86. Rule provides for consideration of H.R. 840 under a structured rule. Rule provides that H. Res. 86 is adopted. Rule also provides for consideration of motions to suspend the rules through the legislative day of February 15, 2019.

February 7, 2019 • 3:05 PM

HouseFloor

House resolved itself into the Committee of the Whole House on the state of the Union pursuant to H. Res. 105 and Rule XVIII.

February 7, 2019 • 3:07 PM

HouseFloor

The Speaker designated the Honorable Stacey E. Plaskett to act as Chairwoman of the Committee.

February 7, 2019 • 3:07 PM

HouseFloor

GENERAL DEBATE - The Committee of the Whole proceeded with one hour of general debate on H.R. 840.

February 7, 2019 • 3:08 PM

HouseFloor

DEBATE - Pursuant to the provisions of H. Res. 105, the Committee of the Whole proceeded with 10 minutes of debate on the Brindisi amendment No. 1.

February 7, 2019 • 3:36 PM

HouseFloor

DEBATE - Pursuant to the provisions of H. Res. 105, the Committee of the Whole proceeded with 10 minutes of debate on the Radewagen amendment No. 2.

February 7, 2019 • 3:41 PM

HouseFloor

DEBATE - Pursuant to the provisions of H. Res. 105, the Committee of the Whole proceeded with 10 minutes of debate on the Rose of NY amendment No. 3.

February 7, 2019 • 3:52 PM

HouseFloor

DEBATE - Pursuant to the provisions of H. Res. 105, the Committee of the Whole proceeded with 10 minutes of debate on the Bergman amendment No. 4.

February 7, 2019 • 3:59 PM

HouseFloor

POSTPONED PROCEEDINGS - At the conclusion of debate on the Bergman amendment, the Chair put the question on agreeing to the amendment and by voice vote, announced that the ayes had prevailed. Mr. Bergman demanded a recorded vote and the Chair postponed further proceedings on agreeing to the amendment until a time to be announced.

February 7, 2019 • 4:09 PM

HouseFloor

DEBATE - Pursuant to the provisions of H. Res. 105, the Committee of the Whole proceeded with 10 minutes of debate on the Lee (NV) amendment No. 5.

February 7, 2019 • 4:09 PM

HouseFloor

DEBATE - Pursuant to the provisions of H. Res. 105, the Committee of the Whole proceeded with 10 minutes of debate on the Barr amendment No. 6.

February 7, 2019 • 4:18 PM

HouseFloor

DEBATE - Pursuant to the provisions of H. Res. 105, the Committee of the Whole proceeded with 10 minutes of debate on the Cisneros amendment No. 7.

February 7, 2019 • 4:24 PM

HouseFloor

DEBATE - Pursuant to the provisions of H. Res. 105, the Committee of the Whole proceeded with 10 minutes of debate on the Cisneros amendment No. 8.

February 7, 2019 • 4:30 PM

HouseFloor

DEBATE - Pursuant to the provisions of H. Res. 105, the Committee of the Whole proceeded with 10 minutes of debate on the Rodney Davis amendment No. 9.

February 7, 2019 • 4:35 PM

HouseFloor

DEBATE - Pursuant to the provisions of H. Res. 105, the Committee of the Whole proceeded with 10 minutes of debate on the Sablan amendment No. 10.

February 7, 2019 • 4:42 PM

HouseFloor

DEBATE - Pursuant to the provisions of H. Res. 105, the Committee of the Whole proceeded with 10 minutes of debate on the Cloud amendment No. 11.

February 7, 2019 • 4:48 PM

HouseFloor

Mr. Takano moved that the committee rise.

February 7, 2019 • 4:53 PM

HouseFloor

On motion that the committee rise Agreed to by voice vote.

February 7, 2019 • 4:54 PM

HouseFloor

Committee of the Whole House on the state of the Union rises leaving H.R. 840 as unfinished business.

February 7, 2019 • 4:54 PM

HouseFloor

Considered as unfinished business. (consideration: CR H1469-1482)

February 8, 2019 • 9:14 AM

HouseFloor

The House resolved into Committee of the Whole House on the state of the Union for further consideration.

February 8, 2019 • 9:15 AM

HouseFloor

DEBATE - Pursuant to the provisions of H. Res. 105, the Committee of the Whole proceeded with 10 minutes of debate on the Sherrill amendment No. 12.

February 8, 2019 • 9:16 AM

HouseFloor

DEBATE - Pursuant to the provisions of H. Res. 105, the Committee of the Whole proceeded with 10 minutes of debate on the Moore amendment No. 13.

February 8, 2019 • 9:24 AM

HouseFloor

DEBATE - Pursuant to the provisions of H. Res. 105, the Committee of the Whole proceeded with 10 minutes of debate on the Kuster amendment No. 14.

February 8, 2019 • 9:30 AM

HouseFloor

DEBATE - Pursuant to the provisions of H. Res. 105, the Committee of the Whole proceeded with 10 minutes of debate on the Delgado amendment No. 15.

February 8, 2019 • 9:36 AM

HouseFloor

DEBATE - Pursuant to the provisions of H. Res. 105, the Committee of the Whole proceeded with 10 minutes of debate on the Delgado amendment No. 16.

February 8, 2019 • 9:42 AM

HouseFloor

DEBATE - Pursuant to the provisions of H. Res. 105, the Committee of the Whole proceeded with 10 minutes of debate on the Golden amendment No. 17.

February 8, 2019 • 9:47 AM

HouseFloor

DEBATE - Pursuant to the provisions of H. Res. 105, the Committee of the Whole proceeded with 10 minutes of debate on the Golden amendment No. 18.

February 8, 2019 • 9:52 AM

HouseFloor

DEBATE - Pursuant to the provisions of H. Res. 105, the Committee of the Whole proceeded with 10 minutes of debate on the Sherrill amendment No. 19.

February 8, 2019 • 9:57 AM

HouseFloor

POSTPONED PROCEEDINGS - At the conclusion of debate on the Sherrill amendment, the Chair put the question on agreeing to the amendment and by voice vote, announced that the ayes had prevailed. Ms. Sherrill demanded a recorded vote and the Chair postponed further proceedings on agreeing to the amendment until a time to be announced.

February 8, 2019 • 10:04 AM

HouseFloor

DEBATE - Pursuant to the provisions of H. Res. 105, the Committee of the Whole proceeded with 10 minutes of debate on the Sherrill amendment No. 20.

February 8, 2019 • 10:04 AM

HouseFloor

DEBATE - Pursuant to the provisions of H. Res. 105, the Committee of the Whole proceeded with 10 minutes of debate on the Slotkin amendment No. 21.

February 8, 2019 • 10:09 AM

HouseFloor

MOMENT OF SILENCE - Mr. Hoyer addressed the Committee and led a moment of silence in memory of the life and legacy of the Honorable John Dingell.

February 8, 2019 • 10:45 AM

HouseFloor

The House rose from the Committee of the Whole House on the state of the Union to report H.R. 840.

February 8, 2019 • 11:06 AM

HouseFloor

The previous question was ordered pursuant to the rule.

February 8, 2019 • 11:07 AM

HouseFloor

The House adopted the amendment in the nature of a substitute as agreed to by the Committee of the Whole House on the state of the Union.

February 8, 2019 • 11:08 AM

HouseFloor

Mr. Barr moved to recommit with instructions to the Committee on Veterans' Affairs. (text: CR H1479)

February 8, 2019 • 11:09 AM

HouseFloor

DEBATE - The House proceeded with 10 minutes of debate on the Barr motion to recommit with instructions. The instructions contained in the motion seek to require the bill to be reported back to the House with an amendment to add a subsection to section 2 pertaining to additional requirements for child care providers.

February 8, 2019 • 11:10 AM

HouseFloor

The previous question on the motion to recommit with instructions was ordered without objection.

February 8, 2019 • 11:19 AM

HouseFloor

On motion to recommit with instructions Failed by recorded vote: 200 - 214 (Roll no. 74).

February 8, 2019 • 11:28 AM

HouseFloor

Passed/agreed to in House: On passage Passed by recorded vote: 400 - 9 (Roll no. 75).

February 8, 2019 • 11:36 AM

HouseFloor

On passage Passed by recorded vote: 400 - 9 (Roll no. 75).

February 8, 2019 • 11:36 AM

HouseFloor

Motion to reconsider laid on the table Agreed to without objection.

February 8, 2019 • 11:36 AM

HouseFloor

The Clerk was authorized to correct section numbers, punctuation, and cross references, and to make other necessary technical and conforming corrections in the engrossment of H.R. 840.

February 8, 2019 • 11:36 AM

SenateIntro Referral

Received in the Senate and Read twice and referred to the Committee on Veterans' Affairs.

February 11, 2019

Amendments

21 amendments

Offered to this bill

H.Amdt. 40Feb 8, 2019

An amendment numbered 21 printed in House Report 116-6 to provide authority for the Secretary of Veterans Affairs to consult with the Secretary of Defense in implementing the bill.

On agreeing to the Slotkin amendment (A021) Agreed to by voice vote. · Sponsored by Elissa Slotkin

H.Amdt. 39Feb 8, 2019

An amendment numbered 20 printed in House Report 116-6 to amend the bill to specifically include Military Sexual Trauma counseling and care services under section 1720D of title 38 in the definition of covered health care services.

On agreeing to the Sherrill amendment (A020) Agreed to by voice vote. · Sponsored by Mikie Sherrill

H.Amdt. 38Feb 8, 2019

Amendment states that child care providers may not provide child care if they employ an individual who has been convicted of a sex crime, an offense involving a child victim, a violent crime, a drug felony, or other offense the Secretary deems appropriate.

On agreeing to the Sherrill amendment (A019) Agreed to by recorded vote: 401 - 19 (Roll no. 73). · Sponsored by Mikie Sherrill

H.Amdt. 37Feb 8, 2019

An amendment numbered 18 printed in House Report 116-6 to direct the Secretary of Veterans Affairs to submit a report to Congress regarding the accessibility and effectiveness of the program for eligible individuals who reside in rural and highly rural areas.

On agreeing to the Golden amendment (A018) Agreed to by voice vote. · Sponsored by Jared F. Golden

H.Amdt. 36Feb 8, 2019

An amendment numbered 17 printed in House Report 116-6 to expand the scope of services under which a veteran would qualify for free child care to include health care services provided as part of readjustment counseling.

On agreeing to the Golden amendment (A017) Agreed to by voice vote. · Sponsored by Jared F. Golden

H.Amdt. 35Feb 8, 2019

An amendment numbered 16 printed in House Report 116-6 to include under definitions in the Health Care Services, Emergency Mental Health Care Services, which provide immediate assistance to individuals experiencing a mental health crisis.

On agreeing to the Delgado amendment (A016) Agreed to by voice vote. · Sponsored by Antonio Delgado

H.Amdt. 34Feb 8, 2019

An amendment numbered 15 printed in House Report 116-6 to add extended day programs to the child care services that can receive stipends.

On agreeing to the Delgado amendment (A015) Agreed to by voice vote. · Sponsored by Antonio Delgado

H.Amdt. 33Feb 8, 2019

An amendment numbered 14 printed in House Report 116-6 to require the Secretary to establish criteria for furnishing child care assistance to eligible veterans that accounts for unusual or excessive access burdens, such as excessive driving distance, geographic challenges, and other environmental factors.

On agreeing to the Kuster (NH) amendment (A014) Agreed to by voice vote. · Sponsored by Ann M. Kuster

H.Amdt. 32Feb 8, 2019

An amendment numbered 13 printed in House Report 116-6 to require annual reports on participation in this program and biannual reports on any other child care related barriers that remain for veterans seeking care at VA medical facilities.

On agreeing to the Moore amendment (A013) Agreed to by voice vote. · Sponsored by Gwen Moore

H.Amdt. 31Feb 8, 2019

An amendment numbered 12 printed in House Report 116-6 to require the Secretary to provide public notification on VA.gov to ensure veterans are aware of the expanded, cost-free child care services within this Act, and to perform outreach to inform eligible veterans.

On agreeing to the Sherrill amendment (A012) Agreed to by voice vote. · Sponsored by Mikie Sherrill

H.Amdt. 23Feb 8, 2019

Amendment sought to prohibit the VA from constructing new structures to be used as childcare centers.

On agreeing to the Bergman amendment (A004) Failed by recorded vote: 172 - 246 (Roll no. 72). · Sponsored by Jack Bergman

H.Amdt. 30Feb 7, 2019

An amendment numbered 11 printed in House Report 116-6 to direct the Department of Veterans Affairs (VA) to conduct an annual report to Congress on its processing system for child care payments to veterans and private care providers. Moreover, the VA must identify the number of unprocessed child care claims that have been left unresolved in its report.

On agreeing to the Cloud amendment (A011) Agreed to by voice vote. · Sponsored by Michael Cloud

H.Amdt. 29Feb 7, 2019

An amendment numbered 10 printed in House Report 116-6 to clarify that veterans who receive telemental health services furnished by the Department as opposed to in-person mental health services would be eligible for child care assistance authorized under the bill.

On agreeing to the Sablan amendment (A010) Agreed to by voice vote. · Sponsored by Gregorio Kilili Camacho Sablan

H.Amdt. 28Feb 7, 2019

An amendment numbered 9 printed in House Report 116-6 to prevent interpretation by the VA that only one of the two parents could be considered the primary caretaker.

On agreeing to the Davis, Rodney amendment (A009) Agreed to by voice vote. · Sponsored by Rodney Davis

H.Amdt. 27Feb 7, 2019

An amendment numbered 8 printed in House Report 116-6 to include intensive health care services related to physical therapy for a service-connected disability in the definition of "covered health care services.".

On agreeing to the Cisneros amendment (A008) Agreed to by voice vote. · Sponsored by Gilbert Ray Cisneros, Jr.

H.Amdt. 26Feb 7, 2019

An amendment numbered 7 printed in House Report 116-6 to require the Secretary of Veterans Affairs to conduct a feasibility study to determine how the Department of Veterans Affairs could provide child care assistance for veterans who receive covered health care services from non-Department facilities.

On agreeing to the Cisneros amendment (A007) Agreed to by voice vote. · Sponsored by Gilbert Ray Cisneros, Jr.

H.Amdt. 25Feb 7, 2019

An amendment numbered 6 printed in House Report 116-6 to require a study of the effects of child care assistance provided under section 2 of the underlying bill and on compliance with treatment protocols.

On agreeing to the Barr amendment (A006) Agreed to by voice vote. · Sponsored by Andy Barr

H.Amdt. 24Feb 7, 2019

An amendment numbered 5 printed in House Report 116-6 to specify that all Vet Centers, not just Vet Centers located within a physical area in which VA has jurisdiction, would also be a place where veterans could be eligible for no-cost child care.

On agreeing to the Lee (NV) amendment (A005) Agreed to by voice vote. · Sponsored by Susie Lee

H.Amdt. 22Feb 7, 2019

An amendment numbered 3 printed in House Report 116-6 to include substance or drug abuse counseling in the definition of "covered health care services.".

On agreeing to the Rose (NY) amendment (A003) Agreed to by voice vote. · Sponsored by Max Rose

H.Amdt. 21Feb 7, 2019

An amendment numbered 2 printed in House Report 116-6 to clarify that the child care benefit be made available for veterans while they are traveling to or attending VA appointments and not at any other time.

On agreeing to the Radewagen amendment (A002) Agreed to by voice vote. · Sponsored by Aumua Amata Coleman Radewagen

H.Amdt. 20Feb 7, 2019

An amendment numbered 1 printed in House Report 116-6 to clarify that veterans who receive covered health care services at VA community-based outpatient clinics are eligible for child care assistance.

On agreeing to the Brindisi amendment (A001) Agreed to by voice vote. · Sponsored by Anthony Brindisi

Floor Debate

22 members

What members said about H.R. 840 on the floor

8 Republicans14 Democrats
Mark Takano
Rep. Mark TakanoD-CA-41 · Feb 7, 2019

Mr. Speaker, I ask unanimous consent that all Members have 5 legislative days in which to revise and extend their remarks and to insert extraneous material on H.R. 840. Madam Chair, I yield myself…

David P. Roe
Rep. David P. RoeR-TN-1 · Feb 7, 2019

Madam Chair, I yield myself as much time as I may consume. Madam Chair, I rise today in support of H.R. 840, the Veterans' Access to Child Care Act, and I acknowledge the gentlewoman from California…

Rob Woodall
Rep. Rob WoodallR-GA-7 · Feb 7, 2019

Mr. Speaker, I yield myself such time as I may consume, and I want to thank my friend from New York for yielding me the customary 30 minutes. Mr. Speaker, I am not going to have the opportunity very…

Joseph D. Morelle
Rep. Joseph D. MorelleD-NY-25 · Feb 7, 2019

Mr. Speaker, by direction of the Committee on Rules, I call up House Resolution 105 and ask for its immediate consideration. Mr. Speaker, for the purpose of debate only, I yield the customary 30…

Steve Scalise
Rep. Steve ScaliseR-LA-1 · Jan 30, 2019

Madam Speaker, I yield to the gentleman from Maryland (Mr. Hoyer), the majority leader, for the purpose of inquiring as to the schedule for the week to come. Madam Speaker, as it relates to the…

Show 8 more
Mark Takano
Rep. Mark TakanoD-CA-41 · Feb 8, 2019

Mr. Chair, I thank the gentlewoman for yielding. I support this amendment because we want every veteran who may be eligible to receive no-cost childcare to be able to access it. If veterans don't…

David P. Roe
Rep. David P. RoeR-TN-1 · Feb 8, 2019

Mr. Chairman, I rise in opposition to the amendment, although I am not opposed. Mr. Chair, I yield myself such time as I may consume. Mr. Chair, I rise in support of Representatives Allred, Sherrill,…

Julia Brownley
Rep. Julia BrownleyD-CA-26 · Feb 7, 2019

Madam Chair, I thank the chairman for yielding time and for bringing my bill, the Veterans' Access to Child Care Act, to the floor for consideration; and I thank Ranking Member Roe for his support of…

Gilbert Ray Cisneros, Jr.
Rep. Gilbert Ray Cisneros, Jr.D-CA-39 · Feb 7, 2019

Mr. Chair, I have an amendment, No. 7, at the desk made in order by the rule. Mr. Chairman, I sincerely thank my colleague, Ms. Brownley, for her steadfast leadership on this critical issue, and Mr.…

Madam Chair, I rise to enter into a short colloquy with the distinguished gentlewoman from American Samoa. As it is in your district, it is in my district. Sometimes we have to leave our home and…

Max Rose
Rep. Max RoseD-NY-11 · Feb 7, 2019

Madam Chair, I have an amendment at the desk. Madam Chair, I yield myself such time as I may consume. Madam Chair, I rise to offer an amendment that would make clear that healthcare related to…

Antonio Delgado
Rep. Antonio DelgadoD-NY-19 · Feb 8, 2019

Mr. Chairman, I have an amendment at the desk. Mr. Chairman, I yield myself such time as I may consume. No veteran in Upstate New York or across the country should have to forgo healthcare because…

Steny H. Hoyer
Rep. Steny H. HoyerD-MD-5 · Jan 30, 2019

Madam Speaker, I thank my friend for yielding. On Tuesday, the House will meet at 12 p.m. for morning-hour debate and 2 p.m. for legislative business following 1 minutes. The House will recess to…

Show 11 more
Ann M. Kuster
Rep. Ann M. KusterD-NH-2 · Feb 8, 2019

Mr. Chairman, I rise to speak on my amendment to H.R. 840, Kuster amendment No. 14. Mr. Chairman, first, I thank the members of the House Veterans' Affairs Committee and our new leader, Mark Takano.…

Sheila Jackson Lee
Rep. Sheila Jackson LeeD-TX-18 · Feb 7, 2019

Mr. Speaker, let me say that the gentleman from New York is doing an excellent job. He has translated the great leadership of the New York legislature and brought it here to the House. We thank the…

Mikie Sherrill
Rep. Mikie SherrillD-NJ-11 · Feb 8, 2019

Mr. Chair, I rise as the designee for the gentleman from Texas (Mr. Allred). Mr. Speaker, I rise to offer and speak in support of the amendment by my colleagues, Congressman Allred from Texas and…

Rodney Davis
Rep. Rodney DavisR-IL-13 · Feb 7, 2019

Mr. Chairman, I have an amendment at the desk. Mr. Chairman, I obviously rise in support of our amendment. Mr. Chairman, I yield 2 minutes to the gentleman from Tennessee (Mr. David P. Roe), the…

Michael Cloud
Rep. Michael CloudR-TX-27 · Feb 7, 2019

Mr. Chair, I have an amendment at the desk. Mr. Chair, I rise in support of my amendment to H.R. 840, the Veterans' Access to Child Care Act. In 2017, the Congressional Budget Office estimated that…

Susie Lee
Rep. Susie LeeD-NV-3 · Feb 7, 2019

Mr. Chair, I have an amendment at the desk. Mr. Chairman, my amendment clarifies that every veteran is able to access childcare services guaranteed by the underlying bill, regardless of whether they…

Debbie Lesko
Rep. Debbie LeskoR-AZ-8 · Feb 7, 2019

Mr. Chair, I am proud to come to the floor today to discuss an amendment to H.R. 840, the Veterans' Access to Child Care Act, that I have cosponsored with my colleague, Representative Susie Lee from…

Gwen Moore
Rep. Gwen MooreD-WI-4 · Feb 8, 2019

Mr. Chairman, I have an amendment at the desk. Mr. Chairman, I will be brief. The lack of childcare is a serious barrier to workforce participation. But the lack of childcare is also a significant…

Jack Bergman
Rep. Jack BergmanR-MI-1 · Feb 7, 2019

Madam Chair, I have an amendment at the desk. Madam Chair, I rise today to offer an amendment to H.R. 840, the Veterans' Access to Child Care Act. My amendment is simple. It prohibits VA from…

Anthony Brindisi
Rep. Anthony BrindisiD-NY-22 · Feb 7, 2019

Madam Chair, I have an amendment at the desk. Madam Chair, I yield myself such time as I may consume. Madam Chair, I thank the gentlewoman from California, chairwoman of the Veterans' Affairs…

Andy Barr
Rep. Andy BarrR-KY-6 · Feb 7, 2019

Mr. Chairman, I have an amendment at the desk. Mr. Chairman, I rise today in support of my amendment to H.R. 840, the Veterans' Access to Child Care Act. Let me just first say to my good friend, the…

Bill Text

3 versions available

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Referred in SenateIssued February 11, 2019

IIB

116th CONGRESS

1st Session

H. R. 840

IN THE SENATE OF THE UNITED STATES

February 11, 2019

Received; read twice and referred to the Committee on Veterans' Affairs

AN ACT

To amend title 38, United States Code, to direct the Secretary of Veterans Affairs to provide child care assistance to veterans receiving certain medical services provided by the Department of Veterans Affairs.

1.

Short title

This Act may be cited as the Veterans’ Access to Child Care Act.

2.

Child care assistance for veterans receiving mental health care and other intensive health care services provided by the Department of Veterans Affairs

(a)

In general

Subchapter III of chapter 17 of title 38, United States Code, is amended by adding at the end the following new section:

1730D.

Child care assistance for veterans receiving mental health care and other intensive health care services

(a)

In general

Subject to subsection (c), the Secretary shall provide child care assistance to an eligible veteran for any period that the veteran—

(1)

receives covered health care services at a facility of the Department, such as a community-based outpatient clinic; and

(2)

is required to travel to and return from such facility for the receipt of such health care services.

(b)

Child Care Assistance

(1)

Subject to subsection (c), child care assistance provided under this section may include any of the following:

(A)

A stipend for the payment of child care offered by a licensed child care center or extended day program (either directly or through a voucher program) which shall be, to the extent practicable, modeled after the Department of Veterans Affairs Child Care Subsidy Program established pursuant to section 590 of title 40.

(B)

Direct provision of child care at an on-site facility of the Department.

(C)

A payment made directly to a private child care agency.

(D)

A collaboration with a facility or program of another Federal department or agency.

(E)

Such other form of assistance as the Secretary considers appropriate.

(2)

In the case that child care assistance under this section is provided as a stipend under paragraph (1)(A), such stipend shall cover the full cost of such child care.

(3)

The Secretary shall establish criteria for providing child care assistance under paragraph (1) designed to ensure reasonable access to such assistance for veterans who experience any unusual or excessive burden to accessing child care services, including excessive driving distances, geographic challenges, and other environmental factors that impede such access.

(c)

Condition on receipt of assistance

(1)

The Secretary may not provide any child care assistance under this section to an eligible veteran who is receiving covered health care services from the Department unless that eligible veteran actively participates in such services.

(2)

For purposes of this subsection, the term actively participates means, with respect to covered health care services—

(A)

engaging in transit to and from appointments for such services;

(B)

attending appointments for such services; and

(C)

such other activities as the Secretary determines appropriate.

(d)

Annual report

(1)

In general

The Secretary shall submit to Congress an annual report on the provision of child care assistance under this section. Each such report shall include, for the year covered by the report, each of the following for each of the categories of child care assistance specified in paragraph (2):

(A)

The average amount of time required by the Department to provide a payment for child care assistance.

(B)

The average cost of child care assistance.

(C)

The extent to which the Department has a backlog of unprocessed claims for child care assistance.

(D)

The number of Department employees who worked on the processing of claims for child care assistance.

(E)

The average amount of time required by such an employee to process such a claim.

(F)

The number of improper or duplicative payments of child care assistance made.

(G)

The recommendations of the Secretary for improving the processing of claims for child care assistance.

(2)

Categories of child care assistance

The categories of child care assistance specified in this paragraph are each of the following:

(A)

Direct stipends.

(B)

Payments made directly to a child care agencies.

(C)

Stipends provided through a voucher program.

(e)

Outreach

The Secretary shall perform outreach to inform eligible veterans of the child care assistance available under this section.

(f)

Requirements; rule of construction

(1)

In accordance with paragraph (2), a child care center, child care agency, or any other child care provider described in subsection (b) may not provide child care under this section if the center, agency, or provider employs an individual who has been convicted of a sex crime, an offense involving a child victim, a violent crime, a drug felony, or other offense the Secretary determines appropriate.

(2)

Nothing in paragraph (1) shall supersede, nullify, or diminish any Federal or State law (including any local law or ordinance), contract, agreement, policy, plan, practice, or other matter that establishes standards and requirements for employees of child care centers, child care agencies, or other child care providers described in subsection (b) that are more restrictive than the requirements specified in paragraph (1).

(g)

Definitions

In this section:

(1)

The term eligible veteran means a veteran who—

(A)

is a primary caretaker of a child or children; and

(B)

is—

(i)

receiving covered health care services from the Department; or

(ii)

in need of covered health care services, and but for lack of child care services, would receive such covered health care services from the Department.

(2)

The term covered health care services means—

(A)

regular mental health care services, including telemental health services furnished by the Department, including health care services provided as part of readjustment counseling;

(B)

intensive mental health care services, including telemental health services furnished by the Department, including counseling and care and services under section 1720D of this title;

(C)

health care services related to substance or drug abuse counseling;

(D)

intensive health care services related to physical therapy for a service-connected disability;

(E)

emergency mental health care services; or

(F)

such other intensive health care services that the Secretary determines that provision of assistance to the veteran to obtain child care would improve access to such health care services by the veteran.

(3)

The term facility of the Department includes any Vet Center.

(4)

The term Vet Center has the meaning given that term in section 1712A of this title.

.

(b)

Clerical amendment

The table of sections at the beginning of such chapter is amended by inserting after the item relating to section 1730C the following new item:

1730D. Child care assistance for veterans receiving mental health care and other intensive health care services.

.

(c)

Feasibility study on child care for veterans receiving care in non-Department facilities

(1)

Study required

The Secretary of Veterans Affairs shall conduct a feasibility study to determine how the Department of Veterans Affairs could provide child care assistance for veterans who receive covered health care services (as such term is defined in section 1730D(c)(2) of title 38, United States Code, as added by subsection (a)) from the Department at non-Department facilities.

(2)

Submission to Congress

Not later than one year after the date of the enactment of this Act, the Secretary shall submit to the Committees on Veterans Affairs of the Senate and House of Representatives a report containing the results of the study required to be conducted under paragraph (1).

(d)

Public notice

After the enactment of this Act, the Secretary shall make publicly available on a Department website notice of the child care assistance benefit under section 1730D of title 38, United States Code, as added by subsection (a). Such notice shall be easily accessible and visible and shall include a description of the expanded and cost-free child care assistance for veterans, eligibility requirements, and any additional information the Secretary determines necessary.

(e)

Report to Congress

Not later than 18 months after the date of the enactment of this Act, the Secretary of Veterans Affairs shall submit to Congress a report on the effectiveness and accessibility of the child care assistance provided under section 1710D of title 38, United States Code, as added by this section, for eligible individuals who reside in rural and highly rural areas.

(f)

Authority to consult with Secretary of Defense

In implementing section 1730D of title 38, United States Code, as added by subsection (a), the Secretary of Veterans Affairs may consult with the Secretary of Defense.

3.

Study on effects of child care assistance

(a)

Study required

Not later than one year after the date of the enactment of this Act, the Secretary of Veterans Affairs shall conduct a study of the effects of the child care assistance provided under section 2 on access to covered health care services, as that term is defined in that section, and on compliance with treatment protocols.

(b)

Report

Not later than 18 months after the date of the enactment of this Act, the Secretary of Veterans Affairs shall submit a report to Congress regarding the study required under subsection (a).

4.

Report required

(a)

Annual report

Beginning in the first fiscal year following the enactment of this Act, the Secretary of Veterans Affairs shall submit, as part of the annual budget request document for the Department of Veterans Affairs, a report regarding eligible veterans who received child care assistance under section 2 during the immediately preceding fiscal year. Each such report shall include the following:

(1)

The number of such eligible veterans in each region of the Veterans Health Administration.

(2)

If feasible, the number of such eligible veterans per facility of the Department.

(3)

The amount of funding for such assistance made available by the Secretary—

(A)

for each region of the Veterans Health Administration; and

(B)

for each type of assistance specified in subsection (b) of such section.

(4)

Findings regarding—

(A)

challenges in providing such assistance;

(B)

child care not covered by such assistance; and

(C)

recommendations to improve such assistance.

(b)

Biennial supplement

Not less than once every two years, the report under subsection (a) shall include a supplement regarding the following:

(1)

Other challenges regarding child care services that prevent veterans from receiving covered health care services under section 2.

(2)

Plans of the Secretary to address challenges identified under paragraph (1).

(3)

An assessment of the extent to which lack of education by the Department or awareness by veterans of the assistance under section 2 contributes to a lack of use of such assistance.

Passed the House of Representatives February 8, 2019.

Karen L. Haas,

Clerk.