S3532119th CongressWALLET

State Veterans Homes Inspection Simplification Act

Sponsored By: Senator Mike Crapo

Introduced

Summary

Deems VA-certified State Veterans Homes to meet Medicare and Medicaid participation standards. The bill would create a pathway for State homes inspected and certified by the Department of Veterans Affairs to be treated as meeting Medicare Conditions of Participation and a matching Medicaid rule, while keeping federal oversight, public reporting, and the ability to revoke that status.

Show full summary
  • Residents and families: VA inspection findings, deficiency statements, and quality metrics would be incorporated into Nursing Home Care Compare so families can see VA survey results, with VA standards reviewed at least every 2 years.
  • State Veterans Homes and operators: Homes inspected and certified by the VA could be treated as meeting key Medicare and Medicaid rules if VA standards align with Centers for Medicare & Medicaid Services (CMS) expectations, but CMS could still investigate complaints, run targeted surveys, impose civil monetary penalties, or end participation.
  • Federal coordination and timing: The Department of Health and Human Services and the VA would harmonize certification and reporting, with guidance due within 180 days and the changes taking effect 90 days after enactment.

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Bill Overview

Analyzed Economic Effects

1 provisions identified: 0 benefits, 0 costs, 1 mixed.

VA-Inspected State Homes Treated Like Medicare

This bill would let State Veterans Homes inspected and certified by the Department of Veterans Affairs be treated as meeting key Medicare participation rules if the HHS Secretary approves the VA standards. The VA would have to give CMS inspection records on request and submit State home survey standards and inspection procedures at least once every 2 years for joint review. CMS would publish accepted VA survey and certification data on Nursing Home Care Compare, and the rule would also apply to Medicaid. CMS would still be able to investigate complaints, do targeted surveys, impose civil monetary penalties or terminate participation, and revoke deemed status if VA processes fail federal transparency, data quality, or enforcement standards. The Medicare/Medicaid changes would take effect 90 days after enactment, and HHS and VA would have to issue guidance to align certification and public reporting within 180 days after enactment.

Sponsors & CoSponsors

Sponsor

Mike Crapo

ID • R

Cosponsors

  • Angus King

    ME • I

    Sponsored 12/17/2025

  • James Risch

    ID • R

    Sponsored 12/17/2025

  • Mike Lee

    UT • R

    Sponsored 12/17/2025

  • Marsha Blackburn

    TN • R

    Sponsored 12/17/2025

  • James Justice

    WV • R

    Sponsored 12/17/2025

  • Tim Sheehy

    MT • R

    Sponsored 12/17/2025

  • Tommy Tuberville

    AL • R

    Sponsored 2/10/2026

Roll Call Votes

No roll call votes available for this bill.

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