I 119THCONGRESS 1 STSESSION H. R. 1970 To amend title 38, United States Code, to direct the Secretary of Veterans Affairs to reimburse State homes for the cost of, or to furnish to State homes, certain costly medications provided to veterans who receive nursing home care in such State homes, and for other purposes. IN THE HOUSE OF REPRESENTATIVES MARCH10, 2025 Mrs. M ILLER-MEEKS(for herself and Mr. PAPPAS) introduced the following bill; which was referred to the Committee on Veterans’ Affairs A BILL To amend title 38, United States Code, to direct the Sec- retary of Veterans Affairs to reimburse State homes for the cost of, or to furnish to State homes, certain costly medications provided to veterans who receive nurs- ing home care in such State homes, and for other pur- poses. Be it enacted by the Senate and House of Representa-1 tives of the United States of America in Congress assembled, 2 SECTION 1. SHORT TITLE. 3 This Act may be cited as the ‘‘Providing Veterans 4 Essential Medications Act’’. 5 VerDate Sep 11 2014 02:27 Mar 21, 2025 Jkt 059200 PO 00000 Frm 00001 Fmt 6652 Sfmt 6201 E:\BILLS\H1970.IH H1970 kjohnson on DSK7ZCZBW3PROD with $$_JOB 2 •HR 1970 IH SEC. 2. REIMBURSEMENT OF A STATE HOME FOR HIGH 1 COST MEDICATIONS. 2 Section 1745(a)(3) of title 38, United States Code, 3 is amended— 4 (1) by striking ‘‘Payment’’ and inserting ‘‘(A) 5 Subject to subparagraph (B), payment’’; and 6 (2) by adding at the end the following new sub-7 paragraphs: 8 ‘‘(B) In addition to payment described in subpara-9 graph (A), the Secretary shall, at the election of a covered 10 State home— 11 ‘‘(i) reimburse the covered State home for a 12 costly medication; or 13 ‘‘(ii) furnish such costly medication to the cov-14 ered State home. 15 ‘‘(C) In this paragraph: 16 ‘‘(i) The term ‘costly medication’ means a drug 17 or medicine for which the average wholesale price for 18 one month’s supply, plus a 3 percent transaction fee, 19 exceeds 8.5 percent of the payment under subpara-20 graph (A) by the Secretary to a covered State home 21 for care provided to the veteran who receives such 22 costly medication during such month. 23 ‘‘(ii) The term ‘covered State home’ means a 24 State home that, in the course of nursing home care 25 provided pursuant to a contract (or agreement) 26 VerDate Sep 11 2014 02:27 Mar 21, 2025 Jkt 059200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\H1970.IH H1970 kjohnson on DSK7ZCZBW3PROD with $$_JOB 3 •HR 1970 IH under paragraph (1), provides to a veteran a costly 1 medication.’’. 2 Æ VerDate Sep 11 2014 02:27 Mar 21, 2025 Jkt 059200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6301 E:\BILLS\H1970.IH H1970 kjohnson on DSK7ZCZBW3PROD with $$_JOB