Page:United States Statutes at Large Volume 110 Part 5.djvu/132

 110 STAT. 3206 PUBLIC LAW 104-262—OCT. 9, 1996 (3) compare the costs (or reinge of costs) of providing care through each of the program models covered by paragraph (l);and (4) identify any barriers to providing, procuring, or coordinating hospice services through any of the program models covered by paragraph (1), (c) PROGRAM MODELS.— For purposes of subsection (b)(1), the Secretary shall evaluate a variety of types of models for delivery of hospice care, including the following: (1) Direct furnishing of full hospice care by the Secretary. (2) Direct furnishing of some hospice services by the Secretary. (3) Contracting by the Secretary for the furnishing of hospice care, with a commitment that the Secretary will provide any further required hospital care for the patient. (4) Contracting for adl required care to be furnished outside the Department. (5) Referral of the patient for hospice care without a contract. (d) REPORT.—Not later than April 1, 1998, the Secretary shall submit to the Committees on Veterans' Affairs of the Senate and House of Representatives a report on the research study. The report shall set forth the Secretary's findings and recommendations. The Secretary shall include in the report information on the extent to which the Secretary advises veterans concerning their eligibility for hospice care and information on the number of veterans (as of the time of the report) who are in each model of hospice care described in subsection (c) and the average cost per patient of hospice care for each such model. SEC. 342. PAYMENT TO STATES OF PER DIEM FOR VETERANS RECEIVING ADULT DAY HEALTH CARE. (a) PAYMENT OF PER DIEM FOR VETERANS RECEIVING ADULT DAY CARE.— Section 1741 is amended— (1) by inserting "(1)" after "(a)"; (2) by redesignating paragraphs (1) and (2) as subparagraphs (A) and (B), respectively; and (3) by adding at the end the following new paragraph (2): "(2) The Secretary may pay each State per diem at a rate determined by the Secretary for each veteran receiving adult day health care in a State home, if such veteran is eligible for such care under laws administered by the Secretary.". (b) ASSISTANCE TO STATES FOR CONSTRUCTION OF ADULT DAY CARE FACILITIES.—(1) Section 8131(3) is amended by inserting "adult day health," before "or hospital care". (2) Section 8132 is amended by inserting "adult day health," before "or hospital care". (3) Section 8135(b) is amended— (A) in paragraph (2)(C), by inserting "or adult day health care facilities" after "domiciliary beds"; and (B) in paragraph (3)(A), by inserting "or construction (other than new construction) of adult day health care buildings" before the semicolon.

�