Replaces the legacy 65% cap on non-institutional in-home care, raising it to 100% of nursing home costs (and over 100% for ALS and spinal cord injury). Mandates Veteran-Directed Care (VDC) across all 172 VA Medical Centers so veterans can hire family members as paid caregivers.
Requires the VA to disclose contracted examiner credentials and clinical specialty in advance. Mandates acceptance of valid private Disability Benefits Questionnaires (DBQs) without automatically forcing redundant contractor exams.
Codifies $0 emergency psychiatric and acute crisis care at all VA and private emergency rooms nationwide under the COMPACT Act. Permanently authorizes and funds the VET-TEC tech-training career initiative.
| Title / Focus Area | Key Statutory Changes | Direct Benefit to Veteran | Implementation Status |
|---|---|---|---|
| Title I: Home & Community Care | Raises home care cost cap from 65% to 100% of nursing home cost; expands Veteran-Directed Care to all 172 VAMCs. | Prevents nursing home institutionalization; allows family members to be paid aides. | ACTIVE (Ongoing Rollout) |
| Title II: Caregiver Support (PCAFC) | Streamlines eligibility criteria, standardizes appeals, and prohibits abrupt administrative discharges without reassessment. | Stipends ($1,600β$3,400/mo) and CHAMPVA health coverage for primary caregivers protected. | ACTIVE |
| Title III: Disability Claims & C&P | Examiner transparency rules; digital intake integration; fast-tracking PACT Act TERA toxic exposure claims. | Fewer arbitrary C&P exam denials; faster decisions on Fully Developed Claims (FDC). | ACTIVE INTAKE |
| Title IV: Emergency Mental Health | Permanently cements 100% free emergency medical and psychiatric hospitalization for acute suicidal crisis (COMPACT Act). | $0 copays, covered private ambulance transport, and immediate private ER coverage. | PERMANENT LAW |
| Title V: Education & Transition | Permanent VET-TEC high-tech computer science and AI workforce training funding without burning GI Bill months. | Full tuition + monthly housing allowance (MHA) for coding bootcamps & IT certs. | ACTIVE |
Contact your primary care team or VA social worker to request Home-Based Primary Care (HBPC), Homemaker/Home Health Aide (HHA) hours, or the Veteran-Directed Care (VDC) budget under the expanded 100% cap.
If you require assistance with activities of daily living (bathing, dressing, mobility, medication), have your family caregiver apply using the digital forms wizard in VeteransVSO.
Work with your private specialist to complete official VA Disability Benefits Questionnaires (DBQs) and attach them directly to Form 21-526EZ to invoke Dole Act private evidence acceptance.