Page:United States Statutes at Large Volume 104 Part 1.djvu/471

 PUBLIC LAW 101-366 —AUG. 15, 1990 104 STAT. 437 "SUBCHAPTER IV—PAY FOR NURSES AND OTHER HEALTH-CARE PERSONNEL "4141. Nurses and other health-care personnel: competitive pay. "4142. Nurses and other health-care personnel: administration of pay.". ^ SEC. 103. REPEAL OF LIMITATION ON HOURLY RATE OF OVERTIME PAY. Section 4107(e)(5) of title 88, United States Code, is amended by striking out ", not to exceed" in the first sentence and all that follows through "Nurse Schedule". SEC. 104. EFFECTIVE DATE. 38 USC 4141 (a) IN GENERAL. — (1) Except as provided in subsection (b), section 101 and the amendments made by section 102 shall take effect on the date of enactment. (2) The amendment made by section 103 shall take effect on April 1, 1991. (h) NEW PAY RATES. —The rates of basic pay established pursuant to section 4141 of title 38, United States Code, as added by section 102, shall take effect for covered positions (as defined in that section) with respect to the first pay period beginning on or after April 1, 1991. TITLE II—MISCELLANEOUS SEC. 201. PILOT PROGRAM ON PROVISION OF NONINSTITUTIONAL ALTER- NATIVES TO NURSING HOME CARE. (a) AUTHORITY TO PROVIDE FOR NONINSTITUTIONAL CARE. —(1) Subchapter II of chapter 17 of title 38, United States Code, is amended by adding at the end the following new section: "§620C. Noninstitutional alternatives to nursing home care: pilot program "(a) During the four-year period beginning on October 1, 1990, the Secretary may conduct a pilot program for the furnishing of medical, rehabilitative, and health-related services in noninstitutional settings for veterans who are eligible under this chapter for, and are in need of, nursing home care and who— "(1) are in receipt of, or are in need of, nursing home care primarily for the treatment of a service-connected disability; or "(2) have a service-connected disability rated at 50 percent or more. "O^XD Under the pilot program conducted pursuant to subsection (a), the Secretary shall (A) furnish appropriate health-related services solely through contracts with appropriate public and private agencies that provide such services, and (B) designate Department health-care employees to furnish case management services to veteran furnished services under the program. "(2) For the purposes of paragraph (1), the term 'case management services' includes the coordination and facilitation of all services furnished to a veteran by the Department of Veterans Affairs, either directly or through contract, including assessment of needs, planning, referral (including referral for services to be furnished by the Department, either directly or through a contract, or by an entity other than the Department), monitoring, reassessment, and followup.

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