H.R. 542Elizabeth Dole Home Care Act of 2023

1 recorded action298 of these members are on the 2026 ballotWhat the measure does Read on Congress.gov

Sponsor: Julia Brownley [D-CA-26]
Cosponsors: 76 · 63 Democrats · 13 Republicans
Policy area: Armed Forces and National Security
Committee: Veterans' Affairs Committee
Latest action: Dec 6, 2023 · Received in the Senate.

IntroducedJan 26, 2023
Passed the HouseDec 5, 2023
Passed the SenateNot yet reached
Sent to the PresidentNot yet reached
Became lawNot yet reached

What the measure doesCRS summary

Elizabeth Dole Home- and Community-Based Services for Veterans and Caregivers Act of 2023 or the Elizabeth Dole Home Care Act of 2023

This bill addresses home care and caregiver programs provided by the Department of Veterans Affairs (VA).

Under the bill, the cost of providing noninstitutional alternatives to nursing home care generally may not exceed 100% of the cost that would have been incurred if a veteran had been furnished VA nursing home care. (Under current law, these expenditures are limited to 65% of the cost.) However, for specified veterans, the VA may exceed 100% of the cost if it determines the higher cost is in the best interest of such veterans (i.e., veterans with amyotrophic lateral sclerosis, a spinal cord injury, or a condition the Secretary determines to be similar to such conditions).

Among other requirements, the VA must

seek to enter into an agreement with the Program of All-Inclusive Care for the Elderly in certain areas to furnish noninstitutional alternatives to nursing home care;
implement various programs (e.g., the Veteran Directed Care program) to expand access to home- and community-based services;
provide specified support and benefits to caregivers of certain disabled veterans;
implement a pilot program to provide homemaker and home health aide services to veterans who reside in communities with a shortage of home health aides; and
ensure the availability of home and community-based services for Native American veterans.

For veterans or family caregivers who are discharged from the Program of Comprehensive Assistance for Family Caregivers, a caregiver support coordinator must provide for a personalized transition to an appropriate program.

The Veterans Health Administration must review programs administered through the Office of Geriatric and Extended Care to ensure consistency in program management, eliminate service gaps at the medical center level, and ensure the availability of and access to home and community-based services.

The bill also extends certain loan fee rates through February 4, 2032, under the VA's home loan program.

Written by the nonpartisan Congressional Research Service, describing H.R. 542 as passed House on Dec 5, 2023. It is not the text of the measure; a later amendment may have changed what it does.

How every member votedHouse roll call 696

House Dec 5, 2023

On Motion to Suspend the Rules and Pass, as Amended

Elizabeth Dole Home- and Community-Based Services for Veterans and Caregivers Act

Passed · Two-thirds required

414 Yea 5 Nay 15 not voting

Crossed both parties 5 of 419 voting members broke with their own party: 5 Republicans.

Open the official roll call

How the chamber split

One dot per member. Select a seat or a bar to filter the list.

DemocratsRepublicansFilled: YeaRing: NayGrey: not voting or present

By party select a segment to filter

All members434 members

Democratic213 members

Republican221 members

marks half of the votes cast. A party’s majority is the side most of its voting members took.

Cosponsors76 · 63 Democrats · 13 Republicans

Signing on is not a vote: a member can cosponsor H.R. 542 and vote against it. 1 signed when it was filed.

Who lobbied on H.R. 54214 organizations

Organizations that named H.R. 542 in a lobbying disclosure. Only those that cited the bill by number appear, so this is a floor, not a full list.

AMERICAN FED OF GOVERNMENT EMPLOYEES AFL-CIOfiled by AMERICAN FED OF GOVERNMENT EMPLOYEES, AFL-CIO

Agriculture · Budget/Appropriations · Health Issues · Homeland Security +13 more12 filings · 4th Quarter (Oct 1 - Dec 31) 2024Filing

PARALYZED VETERANS OF AMERICA

Veterans · Budget/Appropriations · Civil Rights/Civil Liberties · Housing +9 more9 filings · 4th Quarter (Oct 1 - Dec 31) 2024Filing

DISABLED AMERICAN VETERANS

Veterans8 filings · 4th Quarter (Oct 1 - Dec 31) 2024Filing

GENERAL FEDERATION OF WOMEN'S CLUBSfiled by UNIFIED SOLUTIONS, LLC

Government Issues · Law Enforcement/Crime/Criminal Justice · Budget/Appropriations · Veterans +2 more8 filings · 4th Quarter (Oct 1 - Dec 31) 2024Filing

HOME CARE ASSOCIATION OF AMERICAfiled by BUCHANAN INGERSOLL & ROONEY PC

Health Issues · Immigration · Insurance · Labor Issues/Antitrust/Workplace +2 more8 filings · 4th Quarter (Oct 1 - Dec 31) 2024Filing

AARPfiled by AARP, MRS. EMILY HETHERINGTON

Disaster Planning/Emergencies · Agriculture · Family issues/Abortion/Adoption · Law Enforcement/Crime/Criminal Justice +15 more7 filings · 4th Quarter (Oct 1 - Dec 31) 2024Filing

THE ALS ASSOCIATION

Budget/Appropriations · Health Issues · Medicare/Medicaid · Pharmacy +5 more7 filings · 4th Quarter (Oct 1 - Dec 31) 2024Filing

WOUNDED WARRIOR PROJECT

Veterans5 filings · 2nd Quarter (Apr 1 - June 30) 2024Filing

AMERICAN LEGIONfiled by THE AMERICAN LEGION

Veterans · Defense · Foreign Relations2 filings · 3rd Quarter (July 1 - Sep 30) 2023Filing

MILITARY OFFICERS ASSOCIATION OF AMERICA

Defense · Veterans · Taxation/Internal Revenue Code2 filings · 1st Quarter (Jan 1 - Mar 31) 2024Filing

73 disclosures name this measure. Retrieved from LDA.gov on 2026-10-04. Senate Office of Public Records cannot vouch for the data or analyses derived from these data after the data have been retrieved from LDA.gov.