Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act

enactedUnited States· United States Congress· EN

Introduced

30 January 2023

Last action

2 January 2025 · President

Status

Became Public Law No: 118-210.

Summary

Elizabeth Dole Home and Community Based Services for Veterans and Caregivers Act of 2023 or the Elizabeth Dole Home Care Act 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 may not exceed the cost that would have been incurred if a veteran had been furnished VA nursing home care, unless the VA determines that a higher cost is in the best interest of the veteran. (Under current law, these expenditures are limited to 65% of the cost.) Among other requirements, the VA must establish a partnership 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.

This text is taken from the official record. PoliticalRepo does not editorialize.

Timeline

30 January 2023
Introduced
Read twice and referred to the Committee on Veterans' Affairs.
Source: IntroReferral
30 January 2023
Introduced
Introduced in Senate
Source: IntroReferral
16 February 2023
Reported
Committee on Veterans' Affairs. Ordered to be reported with an amendment in the nature of a substitute favorably.
Source: Committee
12 December 2024
Passed
Passed/agreed to in Senate: Passed Senate with an amendment by Unanimous Consent.
Source: Floor
12 December 2024
Floor
Measure laid before Senate by unanimous consent. (consideration: CR S7043-7044)
Source: Floor
12 December 2024
Discharge
Senate Committee on Veterans' Affairs discharged by Unanimous Consent.
Source: Discharge
12 December 2024
Committee
Senate Committee on Veterans' Affairs discharged by Unanimous Consent.
Source: Committee
13 December 2024
Floor
Message on Senate action sent to the House.
Source: Floor
16 December 2024
Passed
Motion to reconsider laid on the table Agreed to without objection.
Source: Floor
16 December 2024
Vote
On motion to suspend the rules and pass the bill Agreed to by the Yeas and Nays: (2/3 required): 382 - 12 (Roll no. 504). (text: CR H7180-7206)
Source: Floor
16 December 2024
Vote
Passed/agreed to in House: On motion to suspend the rules and pass the bill Agreed to by the Yeas and Nays: (2/3 required): 382 - 12 (Roll no. 504). (text: CR H7180-7206)
Source: Floor
16 December 2024
Floor
Considered under suspension of the rules. (consideration: CR H7180-7207)
Source: Floor
16 December 2024
Vote
At the conclusion of debate, the Yeas and Nays were demanded and ordered. Pursuant to the provisions of clause 8, rule XX, the Chair announced that further proceedings on the motion would be postponed.
Source: Floor
16 December 2024
Floor
DEBATE - The House proceeded with forty minutes of debate on S. 141.
Source: Floor
16 December 2024
Floor
Mr. Bost moved to suspend the rules and pass the bill.
Source: Floor
16 December 2024
Floor
Held at the desk.
Source: Floor
16 December 2024
Floor
Received in the House.
Source: Floor
23 December 2024
President
Presented to President.
Source: President
23 December 2024
Floor
Presented to President.
Source: Floor
2 January 2025
Became law
Became Public Law No: 118-210.
Source: President
2 January 2025
Became law
Signed by President.
Source: BecameLaw
2 January 2025
President
Signed by President.
Source: President

Votes

17 December 2024 · passed · On Motion to Suspend the Rules and Pass · Passed · Official source

Yes 382 · No 12 · Abstain — · Absent/not voting 35

Rep. Ferguson, A. Drew, IV [R-GA-3]Not Voting
Rep. Bean, Aaron [R-FL-4]Yea
Rep. Spanberger, Abigail Davis [D-VA-7]Yea
Rep. Smith, Adam [D-WA-9]Yea

Showing the first 4 recorded positions. Vote totals above are complete.

Versions

Enrolled Bill · — · Download file
Public Law · 3 January 2025 · Download file
Engrossed in Senate · 12 December 2024 · Download file
Introduced in Senate · 30 January 2023 · Download file

Documents

10 official files

Enrolled Bill (text)

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Enrolled Bill (text)
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Enrolled Bill (PDF)
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Public Law (text)
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summary · EN · 2 January 2025
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Engrossed in Senate (text)
Engrossed in Senate · EN · 12 December 2024
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Engrossed in Senate · EN · 12 December 2024
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Introduced in Senate (text)
Introduced in Senate · EN · 30 January 2023
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Introduced in Senate · EN · 30 January 2023
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Related records

related to → Native American Direct Loan Improvement Act of 2023
related to → VACANT Act
related to → Elizabeth Dole Home Care Act of 2023
related to ← VACANT Act
related to ← Protect Military Dependents Act
related to ← A bill to direct the Secretary of Veterans Affairs to update the payment system of the Department of Veterans Affairs to allow for electronic fund transfer of educational assistance, administered by the Secretary, to a foreign institution of higher education, and for other purposes.
related to ← Department of Veterans Affairs Office of Inspector General Training Act of 2023
related to ← Department of Veterans Affairs Office of Inspector General Training Act of 2023
related to ← Isakson-Roe Education Oversight Expansion Act
related to ← Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act
related to ← Elizabeth Dole Home Care Act

Showing 11 of 12 related records.

Related across the Repo ecosystem

Direct relationships are identifier-backed. Topic context means shared TopicMembership — not a citation and not causation.

Direct relationships

Legal framework · Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act · S. 141 (118th) · US

Identifier matchPROJECTS_FROM
Same us record 118-s-141 projected from PoliticalRepo US row.
Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act

Sources

PoliticalRepo is an index and interpretation layer, not the authoritative legal source.

Official source: https://www.congress.gov/bill/118th-congress/senate-bill/141
Open data entity: https://api.congress.gov/v3/bill/118/s/141
us · 118-s-141 · source updated 17 July 2026