CFR Title 38 Pensions, Bonuses, and Veterans Relief

CFR Title 38 – Pensions, Bonuses, and Veterans Relief

CFR DataTable of FEDERAL REGISTER Activity

PublishedTypeAgenciesNameTitleExcerptFRDocPDFHTMLAbstract
PublishedTypeAgenciesNameTitleExcerptFRDocPDFHTMLAbstract
2018-07-09Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentExclusion of Gender Alterations From the Medical Benefits PackageOn May 9, 2016, the Department of Veterans Affairs (VA) received a Petition for Rulemaking petitioning VA to amend its medical regulations by removing a provision that excludes ``gender alterations'' from its medical benefits package. The effect of the...2018-14629"https://www.gpo.gov/fdsys/pkg/FR-2018-07-09/pdf/2018-14629.pdfhttps://www.federalregister.gov/documents/2018/07/09/2018-14629/exclusion-of-gender-alterations-from-the-medical-benefits-packageOn May 9, 2016, the Department of Veterans Affairs (VA) received a Petition for Rulemaking petitioning VA to amend its medical regulations by removing a provision that excludes ``gender alterations'' from its medical benefits package. The effect of the amendment sought by the petitioners would be to authorize gender alteration surgery as part of VA care when medically necessary. VA seeks comments on the petition to assist in determining whether to amend the medical benefits package and eliminate the exclusion of gender alteration from VA's medical benefits package.
2018-07-06RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentThird Party Billing for Medical Care Provided Under Special Treatment AuthoritiesThe Department of Veterans Affairs (VA) is amending its medical regulations to clarify that VA will not bill third party payers for care and services provided by VA under certain statutory provisions, which we refer to as ``special treatment...2018-14573"https://www.gpo.gov/fdsys/pkg/FR-2018-07-06/pdf/2018-14573.pdfhttps://www.federalregister.gov/documents/2018/07/06/2018-14573/third-party-billing-for-medical-care-provided-under-special-treatment-authoritiesThe Department of Veterans Affairs (VA) is amending its medical regulations to clarify that VA will not bill third party payers for care and services provided by VA under certain statutory provisions, which we refer to as ``special treatment authorities.'' These special treatment authorities direct VA to provide care and services to veterans based upon discrete exposures or experiences that occurred during active military, naval, or air service. VA is authorized, but not required by law, to recover or collect charges for care and services provided to veterans for non-service-connected disabilities. This rule establishes that VA will not exercise its authority to recover or collect reasonable charges from third party payers for care and services provided under the special treatment authorities.
2018-06-25RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentMedical Care in Foreign Countries and Filing for Reimbursement for Community Care Not Previously Authorized by VAThe Department of Veterans Affairs (VA) adopts as final, with no changes, a proposed rule amending its medical regulations related to hospital care and medical services in foreign countries. We simplified and clarified the scope of these regulations,...2018-13487"https://www.gpo.gov/fdsys/pkg/FR-2018-06-25/pdf/2018-13487.pdfhttps://www.federalregister.gov/documents/2018/06/25/2018-13487/medical-care-in-foreign-countries-and-filing-for-reimbursement-for-community-care-not-previouslyThe Department of Veterans Affairs (VA) adopts as final, with no changes, a proposed rule amending its medical regulations related to hospital care and medical services in foreign countries. We simplified and clarified the scope of these regulations, address medical services provided to eligible veterans in the Republic of the Philippines, and removed provisions related to grants to the Republic of the Philippines that are no longer supported by statutory authority. VA also amends its medical regulations related to filing claims for reimbursement of medical expenses incurred for VA care not previously authorized. We provided a 60-day period to receive comments from the public on the proposed changes, and received no comments. VA adopts the proposed rule as final, with no changes.
2018-06-19RuleDEPARTMENT OF HOMELAND SECURITYHomeland Security DepartmentFederal Policy for the Protection of Human Subjects: Six Month Delay of the General Compliance Date of Revisions While Allowing the Use of Three Burden-Reducing Provisions During the Delay PeriodIn a final rule published on January 19, 2017, a number of federal departments and agencies revised to the Federal Policy for the Protection of Human Subjects (often referred to as the ``Common Rule''), which each department and agency adopted into...2018-13187"https://www.gpo.gov/fdsys/pkg/FR-2018-06-19/pdf/2018-13187.pdfhttps://www.federalregister.gov/documents/2018/06/19/2018-13187/federal-policy-for-the-protection-of-human-subjects-six-month-delay-of-the-general-compliance-dateIn a final rule published on January 19, 2017, a number of federal departments and agencies revised to the Federal Policy for the Protection of Human Subjects (often referred to as the ``Common Rule''), which each department and agency adopted into regulations in its part of the Code of Federal Regulations (CFR). The Consumer Product Safety Commission (CPSC) adopted the same changes in a final rule published on September 18, 2017. The revised Common Rule was scheduled to become effective on January 19, 2018, with a general compliance date of the same date. By an interim final rule issued on January 17, 2018 and published in the Federal Register on January 22, 2018, federal departments and agencies delayed the effective date and the general compliance date for the revised Common Rule for a 6-month period, until July 19, 2018. The Department of Housing and Urban Development (HUD) published an interim final rule adopting the same regulatory changes on January 26, 2018. The revised Common Rule, including technical amendments made by the January 22, 2018 interim final rule, is referred to here as the ``2018 Requirements.'' On April 20, 2018, the federal departments and agencies listed here published a notice of proposed rulemaking (NPRM) proposing and seeking comments as to whether the general compliance date for the 2018 Requirements should be delayed for an additional 6-month period. The NPRM also proposed and sought comments on whether to allow regulated entities to implement certain burden-reducing provisions of the 2018 Requirements in specified circumstances during such continued delay period. Through this final rule, we are adopting the proposals described in the April 20, 2018 NPRM. This rule delays the general compliance date for the 2018 Requirements for an additional 6-month period, until January 21, 2019. As a result of this delay, regulated entities will be required, with an exception, to continue to comply with the requirements of the pre-2018 version of the Federal Policy for the Protection of Human Subjects (the ``pre-2018 Requirements'') until January 21, 2019. The one exception to this general rule is that institutions will be permitted (but not required) to implement, for certain research, three burden-reducing provisions of the 2018 Requirements during the delay period (July 19, 2018, through January 20, 2019). Those three provisions are: The revised definition of ``research,'' which deems certain activities not to be research covered by the Common Rule; the elimination of the requirement for annual continuing review with respect to certain categories of research; and the elimination of the requirement that institutional review boards (IRBs) review grant applications or other funding proposals related to the research. Institutions taking advantage of the three-burden reducing provisions must comply with all other pre-2018 Requirements during the delay period. The three burden-reducing provisions of the 2018 Requirements can only be implemented during the delay period with respect to studies initiated prior to January 21, 2019 that will transition to compliance with the revised Common Rule. Any study that implements these three burden-reducing provisions during the delay period must, beginning on January 21, 2019, comply with all of the 2018 Requirements for the balance of the study's duration.
2018-06-05RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentCase Management Services Grant ProgramThe Department of Veterans Affairs (VA) is amending its regulations that govern programs benefitting homeless veterans to implement a new statutory requirement to establish a new grant program that will provide case management services to improve the...2018-12048"https://www.gpo.gov/fdsys/pkg/FR-2018-06-05/pdf/2018-12048.pdfhttps://www.federalregister.gov/documents/2018/06/05/2018-12048/case-management-services-grant-programThe Department of Veterans Affairs (VA) is amending its regulations that govern programs benefitting homeless veterans to implement a new statutory requirement to establish a new grant program that will provide case management services to improve the retention of housing by veterans who were previously homeless and are transitioning to permanent housing and to veterans who are at risk of becoming homeless. The grant program established by this interim final rule will be an essential part of VA's attempts to eliminate homelessness among the veteran population.
2018-05-11RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentAuthority of Health Care Providers To Practice TelehealthThe Department of Veterans Affairs (VA) is amending its medical regulations by standardizing the delivery of care by VA health care providers through telehealth. This rule ensures that VA health care providers can offer the same level of care to all...2018-10114"https://www.gpo.gov/fdsys/pkg/FR-2018-05-11/pdf/2018-10114.pdfhttps://www.federalregister.gov/documents/2018/05/11/2018-10114/authority-of-health-care-providers-to-practice-telehealthThe Department of Veterans Affairs (VA) is amending its medical regulations by standardizing the delivery of care by VA health care providers through telehealth. This rule ensures that VA health care providers can offer the same level of care to all beneficiaries, irrespective of the State or location in a State of the VA health care provider or the beneficiary. This final rule achieves important Federal interests by increasing the availability of mental health, specialty, and general clinical care for all beneficiaries.
2018-05-11RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentExpanded Access to Non-VA Care Through the Veterans Choice ProgramThe Department of Veterans Affairs (VA) adopts as final, with no change, an interim final rule revising its medical regulations that implement section 101 of the Veterans Access, Choice, and Accountability Act of 2014, as amended, (hereafter referred...2018-10054"https://www.gpo.gov/fdsys/pkg/FR-2018-05-11/pdf/2018-10054.pdfhttps://www.federalregister.gov/documents/2018/05/11/2018-10054/expanded-access-to-non-va-care-through-the-veterans-choice-programThe Department of Veterans Affairs (VA) adopts as final, with no change, an interim final rule revising its medical regulations that implement section 101 of the Veterans Access, Choice, and Accountability Act of 2014, as amended, (hereafter referred to as ``the Choice Act''), which requires VA to establish a program (hereafter referred to as the ``Veterans Choice Program'' or the ``Program'') to furnish hospital care and medical services through eligible non-VA health care providers to eligible veterans who either cannot be seen within the wait-time goals of the Veterans Health Administration (VHA) or who qualify based on their place of residence or face an unusual or excessive burden in traveling to a VA medical facility. Those revisions contained in the interim final rule, which is now adopted as final, were required by amendments to the Choice Act made by the Construction Authorization and Choice Improvement Act of 2014, and by the Surface Transportation and Veterans Health Care Choice Improvement Act of 2015. VA published an interim final rule on December 1, 2015, implementing those regulatory revisions, and we received seven public comments. This final rule responds to those public comments and does not make any further regulatory revisions.
2018-05-08RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentSpecial Monthly Compensation for Veterans With Traumatic Brain InjuryThe Department of Veterans Affairs (VA) amends its adjudication regulations to add an additional compensation benefit for veterans with residuals of traumatic brain injury (TBI). This final rule incorporates in regulations a benefit authorized by the...2018-09736"https://www.gpo.gov/fdsys/pkg/FR-2018-05-08/pdf/2018-09736.pdfhttps://www.federalregister.gov/documents/2018/05/08/2018-09736/special-monthly-compensation-for-veterans-with-traumatic-brain-injuryThe Department of Veterans Affairs (VA) amends its adjudication regulations to add an additional compensation benefit for veterans with residuals of traumatic brain injury (TBI). This final rule incorporates in regulations a benefit authorized by the enactment of the Veterans' Benefits Act of 2010. The Veterans' Benefits Act authorizes special monthly compensation (SMC) for veterans with TBI who are in need of aid and attendance, and in the absence of such aid and attendance, would require hospitalization, nursing home care, or other residential institutional care.
2018-04-27Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentVeterans' Group Life Insurance Increased CoverageCurrent statutory provisions provide Veterans' Group Life Insurance (VGLI) insureds under the age of 60 with the opportunity to increase their VGLI coverage by $25,000 not more than once in each 5- year period beginning on the 1-year anniversary of the...2018-08855"https://www.gpo.gov/fdsys/pkg/FR-2018-04-27/pdf/2018-08855.pdfhttps://www.federalregister.gov/documents/2018/04/27/2018-08855/veterans-group-life-insurance-increased-coverageCurrent statutory provisions provide Veterans' Group Life Insurance (VGLI) insureds under the age of 60 with the opportunity to increase their VGLI coverage by $25,000 not more than once in each 5- year period beginning on the 1-year anniversary of the date a person becomes insured under VGLI. The Department of Veterans Affairs (VA) proposes to amend its VGLI regulations to establish a permanent regulatory framework for such elections of increased coverage. The proposed rule would also clarify that coverage increases in an amount less than $25,000 are available only when existing VGLI coverage is within $25,000 of the Servicemembers' Group Life Insurance current maximum of $400,000, and any increases of less than $25,000 must be only in an amount that would bring the insurance coverage up to the statutory maximum.
2018-04-27RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentEligibility for Supplemental Service-Disabled Veterans' InsuranceThe Department of Veterans Affairs (VA), in this final rule, amends its regulations governing the Service-Disabled Veterans' Insurance (S-DVI) program in order to explain that a person who was granted S-DVI as of the date of death is not eligible for...2018-08854"https://www.gpo.gov/fdsys/pkg/FR-2018-04-27/pdf/2018-08854.pdfhttps://www.federalregister.gov/documents/2018/04/27/2018-08854/eligibility-for-supplemental-service-disabled-veterans-insuranceThe Department of Veterans Affairs (VA), in this final rule, amends its regulations governing the Service-Disabled Veterans' Insurance (S-DVI) program in order to explain that a person who was granted S-DVI as of the date of death is not eligible for supplemental S-DVI because the insured's total disability did not begin after the date of the insured's application for insurance and while the insurance was in force under premium-paying conditions.
2018-04-24Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentApproval Criteria for Rates Charged for Community Residential CareThis document proposes to amend the Department of Veterans Affairs (VA) regulation governing standards applicable to a community residential care facility (CRC) approved by VA. This regulation also addresses the amount that a veteran may be charged for...2018-08386"https://www.gpo.gov/fdsys/pkg/FR-2018-04-24/pdf/2018-08386.pdfhttps://www.federalregister.gov/documents/2018/04/24/2018-08386/approval-criteria-for-rates-charged-for-community-residential-careThis document proposes to amend the Department of Veterans Affairs (VA) regulation governing standards applicable to a community residential care facility (CRC) approved by VA. This regulation also addresses the amount that a veteran may be charged for residence in a CRC and how VA determines whether that rate is appropriate. Payment for the charges of CRC care is not the responsibility of the federal government or VA. The cost of community residential care is financed by the veteran's own resources, and the resident or an authorized personal representative and a representative of the community residential care facility must agree upon the charge and payment procedures for community residential care. VA reviews and has approval authority over this agreement. We propose to amend and update the criteria VA uses to determine whether the rate for care charged to a veteran residing in an approved CRC is appropriate, to clarify how VA determines whether a CRC rate should be approved, and to make the regulation consistent with current VA practice. In addition, we propose to define in regulation the level of care that must be provided to a veteran residing in a CRC.
2018-04-24RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentTechnical Correction to Combined Ratings TableThe Department of Veterans Affairs (VA) published, in the Federal Register of March 18, 1976, a final rule amending its Schedule For Rating Disabilities regulations. The amendment, which was accurately reflected in the Federal Register document, was...2018-08512"https://www.gpo.gov/fdsys/pkg/FR-2018-04-24/pdf/2018-08512.pdfhttps://www.federalregister.gov/documents/2018/04/24/2018-08512/technical-correction-to-combined-ratings-tableThe Department of Veterans Affairs (VA) published, in the Federal Register of March 18, 1976, a final rule amending its Schedule For Rating Disabilities regulations. The amendment, which was accurately reflected in the Federal Register document, was subsequently misprinted when included in Part 4 of title 38, Code of Federal Regulations. Therefore, VA is correcting this misprint which contained two typographical errors found in Table I of the Combined Ratings Table.
2018-04-20Proposed RuleDEPARTMENT OF HOMELAND SECURITYHomeland Security DepartmentFederal Policy for the Protection of Human Subjects: Proposed Six Month Delay of the General Compliance Date While Allowing the Use of Three Burden-Reducing Provisions During the Delay PeriodIn a final rule published on January 19, 2017, federal departments and agencies made revisions to the Federal Policy for the Protection of Human Subjects (hereafter the ``2018 Requirements''). The Consumer Product Safety Commission (CPSC) adopted the...2018-08231"https://www.gpo.gov/fdsys/pkg/FR-2018-04-20/pdf/2018-08231.pdfhttps://www.federalregister.gov/documents/2018/04/20/2018-08231/federal-policy-for-the-protection-of-human-subjects-proposed-six-month-delay-of-the-generalIn a final rule published on January 19, 2017, federal departments and agencies made revisions to the Federal Policy for the Protection of Human Subjects (hereafter the ``2018 Requirements''). The Consumer Product Safety Commission (CPSC) adopted the same regulatory changes in a separate final rule published on September 18, 2017. The 2018 Requirements were scheduled to become effective on January 19, 2018, with a general compliance date of January 19, 2018 (with the exception of the revisions to the cooperative research provision). The departments and agencies listed in this document have also published an interim final rule delaying the effective date and general compliance date for the 2018 Requirements for six months, to cover the time period of January 19, 2018 until July 19, 2018. As per the interim final rule, the effective date of the 2018 Requirements is now July 19, 2018. The departments and agencies listed in this document propose delaying the general compliance date for the 2018 Requirements for an additional six months, for the time period of July 19, 2018 until January 21, 2019. This proposed rule is intended to provide additional time to regulated entities for the preparations necessary to implement the 2018 Requirements. This proposed rule, if finalized, would require regulated entities to continue to comply with the requirements of the current Federal Policy for the Protection of Human Subjects (hereafter the ``pre-2018 Requirements'') until January 21, 2019. This proposal also takes comment on whether to permit institutions to implement, for certain research studies, the following provisions in the 2018 Requirements during the period from July 19, 2018, until January 21, 2019, that the general compliance date is delayed. Those three provisions, intended to reduce burdens on regulated entities, are the 2018 Requirements' definition of ``research,'' which deems certain activities not to be research, the allowance for no annual continuing review of certain categories of research, and the elimination of the requirement that institutional review boards (IRBs) review grant applications related to the research. The way that this option is proposed, regulated entities would be required to comply with all pre- 2018 Requirements during the period that the general compliance date is delayed, except for provisions substituted by the three burden-reducing provisions of the 2018 Requirements. As described in section III, below, this flexibility is proposed only for studies for which an institution makes a choice to transition to comply with the 2018 Requirements, beginning on July 19, 2018. In order to clearly describe this proposed flexibility, including how it would impact institutions choosing to transition research to comply with the 2018 Requirements, this document proposes a redrafted transition provision.
2018-04-10RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentSchedule for Rating Disabilities: The Organs of Special Sense and Schedule of Ratings-EyeThe Department of Veterans Affairs (VA) is revising the portion of the VA Schedule for Rating Disabilities (VASRD or rating schedule) that addresses the organs of special sense and schedule of ratings--eye. The final rule incorporates medical advances...2018-06928"https://www.gpo.gov/fdsys/pkg/FR-2018-04-10/pdf/2018-06928.pdfhttps://www.federalregister.gov/documents/2018/04/10/2018-06928/schedule-for-rating-disabilities-the-organs-of-special-sense-and-schedule-of-ratings-eyeThe Department of Veterans Affairs (VA) is revising the portion of the VA Schedule for Rating Disabilities (VASRD or rating schedule) that addresses the organs of special sense and schedule of ratings--eye. The final rule incorporates medical advances that have occurred since the last review, updates current medical terminology, and provides clearer evaluation criteria.
2018-04-09RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentSchedule for Rating Disabilities; Gynecological Conditions and Disorders of the BreastThis document amends the Department of Veterans Affairs (VA) Schedule for Rating Disabilities (VASRD) by revising the portion of the rating schedule that addresses gynecological conditions and disorders of the breast. The effect of this action is to...2018-07081"https://www.gpo.gov/fdsys/pkg/FR-2018-04-09/pdf/2018-07081.pdfhttps://www.federalregister.gov/documents/2018/04/09/2018-07081/schedule-for-rating-disabilities-gynecological-conditions-and-disorders-of-the-breastThis document amends the Department of Veterans Affairs (VA) Schedule for Rating Disabilities (VASRD) by revising the portion of the rating schedule that addresses gynecological conditions and disorders of the breast. The effect of this action is to ensure that this portion of the rating schedule uses current medical terminology and to provide detailed and updated criteria for evaluation of gynecological conditions and disorders of the breast.
2018-04-06Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentDefinition of Domiciliary CareThe Department of Veterans Affairs (VA) proposes to amend its rule defining domiciliary care, to accurately reflect the scope of services currently provided under the Domiciliary Care Program. VA's Domiciliary Care Program provides a temporary home to...2018-07082"https://www.gpo.gov/fdsys/pkg/FR-2018-04-06/pdf/2018-07082.pdfhttps://www.federalregister.gov/documents/2018/04/06/2018-07082/definition-of-domiciliary-careThe Department of Veterans Affairs (VA) proposes to amend its rule defining domiciliary care, to accurately reflect the scope of services currently provided under the Domiciliary Care Program. VA's Domiciliary Care Program provides a temporary home to certain veterans, which includes the furnishing of shelter, goods, clothing and other comforts of home, as well as medical services. In 2005 VA designated its Mental Health Residential Rehabilitation Treatment Program (MH RRTP) as a type of domiciliary care. MH RRTP provides clinically intensive residential rehabilitative services to certain mental health patient populations. We propose to amend the definition of domiciliary care to reflect that domiciliary care includes MH RRTP. In addition, VA domiciliary care, as a matter of long-standing practice, includes non-permanent housing, but this is not clear in the regulation. The proposed rule would clarify that domiciliary care provides temporary, not permanent, residence to affected veterans.
2018-04-06Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentVA Compensation and Pension Regulation Rewrite ProjectThe Department of Veterans Affairs (VA) published a notice of proposed rulemaking in the Federal Register on November 27, 2013, proposing to reorganize and rewrite its compensation and pension regulations in a logical, claimant focused, and...2018-07078"https://www.gpo.gov/fdsys/pkg/FR-2018-04-06/pdf/2018-07078.pdfhttps://www.federalregister.gov/documents/2018/04/06/2018-07078/va-compensation-and-pension-regulation-rewrite-projectThe Department of Veterans Affairs (VA) published a notice of proposed rulemaking in the Federal Register on November 27, 2013, proposing to reorganize and rewrite its compensation and pension regulations in a logical, claimant focused, and user-friendly format. The intended effect of the proposed revisions was to assist claimants, beneficiaries, veterans' representatives, and VA personnel in locating and understanding these regulations. VA has since determined that an incremental approach to revising these regulations is the only feasible method for the Veterans Benefit Administration (VBA) as it exists today. Therefore, VA is withdrawing the proposed rule, RIN 2900-AO13-VA Compensation and Pension Regulation Rewrite Project, that was published on November 27, 2013, at 78 FR 71,042.
2018-04-05Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentRelease of Information From Department of Veterans Affairs' RecordsThis document amends the Department of Veterans Affairs' (VA) regulations governing the submission and processing of requests for information under the Freedom of Information Act (FOIA) and the Privacy Act in order to reorganize, streamline, and...2018-06097"https://www.gpo.gov/fdsys/pkg/FR-2018-04-05/pdf/2018-06097.pdfhttps://www.federalregister.gov/documents/2018/04/05/2018-06097/release-of-information-from-department-of-veterans-affairs-recordsThis document amends the Department of Veterans Affairs' (VA) regulations governing the submission and processing of requests for information under the Freedom of Information Act (FOIA) and the Privacy Act in order to reorganize, streamline, and clarify existing regulations.
2018-03-12RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentElectronic Submission of Certain Servicemembers' Group Life Insurance, Family Servicemembers' Group Life Insurance, and Veterans' Group Life Insurance FormsThe Department of Veterans Affairs (VA) in this final rule amends its regulations governing the Servicemembers' and Veterans' Group Life Insurance programs to provide that certain Servicemembers' Group Life insurance (SGLI), Family SGLI (FSGLI), and...2018-04877"https://www.gpo.gov/fdsys/pkg/FR-2018-03-12/pdf/2018-04877.pdfhttps://www.federalregister.gov/documents/2018/03/12/2018-04877/electronic-submission-of-certain-servicemembers-group-life-insurance-family-servicemembers-groupThe Department of Veterans Affairs (VA) in this final rule amends its regulations governing the Servicemembers' and Veterans' Group Life Insurance programs to provide that certain Servicemembers' Group Life insurance (SGLI), Family SGLI (FSGLI), and Veterans' Group Life Insurance (VGLI) applications, elections, and beneficiary designations, required by statute to be ``written'' or ``in writing,'' would include those that are digitally or electronically signed and submitted via an agency-approved electronic means. This document adopts as a final rule, with minor changes, the proposed rule published in the Federal Register on September 6, 2017.
2018-03-05RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentReimbursement of Qualifying Adoption Expenses for Certain VeteransThe Department of Veterans Affairs (VA) amends its regulation to provide for reimbursement of qualifying adoption expenses incurred by a veteran with a service-connected disability that results in the inability of the veteran to procreate without the...2018-04245"https://www.gpo.gov/fdsys/pkg/FR-2018-03-05/pdf/2018-04245.pdfhttps://www.federalregister.gov/documents/2018/03/05/2018-04245/reimbursement-of-qualifying-adoption-expenses-for-certain-veteransThe Department of Veterans Affairs (VA) amends its regulation to provide for reimbursement of qualifying adoption expenses incurred by a veteran with a service-connected disability that results in the inability of the veteran to procreate without the use of fertility treatment. Under the Continuing Appropriations and Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2017, and Zika Response and Preparedness Act, VA may use funds appropriated or otherwise made available to VA for the ``Medical Services'' account to provide adoption reimbursement to these veterans. Under the law, reimbursement may be for the adoption-related expenses for an adoption that is finalized after the date of the enactment of this Act under the same terms as apply under the adoption reimbursement program of the Department of Defense (DoD), as authorized in DoD Instruction 1341.09, including the reimbursement limits and requirements set forth in such instruction. This rulemaking implements the new adoption reimbursement benefit for covered veterans.
2018-03-02RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentFederal Civil Penalties Inflation Adjustment Act AmendmentsThe Department of Veterans Affairs (VA) is providing public notice of inflationary adjustments to the maximum civil monetary penalties assessed or enforced by VA, as implemented by the Federal Civil Penalties Inflation Adjustment Act Improvements Act...2018-04241"https://www.gpo.gov/fdsys/pkg/FR-2018-03-02/pdf/2018-04241.pdfhttps://www.federalregister.gov/documents/2018/03/02/2018-04241/federal-civil-penalties-inflation-adjustment-act-amendmentsThe Department of Veterans Affairs (VA) is providing public notice of inflationary adjustments to the maximum civil monetary penalties assessed or enforced by VA, as implemented by the Federal Civil Penalties Inflation Adjustment Act Improvements Act of 2015, for calendar year 2018. VA may impose civil monetary penalties for false loan guaranty certifications. Also, VA may impose civil monetary penalties for fraudulent claims or written statements made in connection with VA programs generally. The Federal Civil Penalties Inflation Adjustment Act of 1990, as amended by the Federal Civil Penalties Inflation Adjustment Act Improvements Act of 2015, sets forth a formula that increases the maximum statutory amounts for civil monetary penalties and directs VA to give public notice of the new maximum amounts by regulation. Accordingly, VA is providing notice of the calendar year 2018 inflationary adjustments that increase maximum civil monetary penalties from $21,916 to $22,363 for false loan guaranty certifications and from $10,957 to $11,181 for fraudulent claims or written statements made in connection with VA programs generally.
2018-01-31Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentMedical Care in Foreign Countries and Filing for Reimbursement for Community Care Not Previously Authorized by VAThe Department of Veterans Affairs (VA) proposes to amend its medical regulations related to hospital care and medical services in foreign countries. We would amend the regulations to simplify and clarify the scope of these rules. We would address...2018-01865"https://www.gpo.gov/fdsys/pkg/FR-2018-01-31/pdf/2018-01865.pdfhttps://www.federalregister.gov/documents/2018/01/31/2018-01865/medical-care-in-foreign-countries-and-filing-for-reimbursement-for-community-care-not-previouslyThe Department of Veterans Affairs (VA) proposes to amend its medical regulations related to hospital care and medical services in foreign countries. We would amend the regulations to simplify and clarify the scope of these rules. We would address medical services provided to eligible veterans in the Republic of the Philippines, and remove regulations related to grants to the Republic of the Philippines that are no longer supported by statutory authority. VA also proposes to amend its medical regulations related to filing claims for reimbursement of medical expenses incurred for VA care not previously authorized.
2018-01-22RuleDEPARTMENT OF HOMELAND SECURITYHomeland Security DepartmentFederal Policy for the Protection of Human Subjects: Delay of the Revisions to the Federal Policy for the Protection of Human SubjectsIn a final rule published on January 19, 2017, federal departments and agencies listed in this document made revisions to the Federal Policy for the Protection of Human Subjects. The Consumer Product Safety Commission (CPSC) adopted the same regulatory...2018-00997"https://www.gpo.gov/fdsys/pkg/FR-2018-01-22/pdf/2018-00997.pdfhttps://www.federalregister.gov/documents/2018/01/22/2018-00997/federal-policy-for-the-protection-of-human-subjects-delay-of-the-revisions-to-the-federal-policy-forIn a final rule published on January 19, 2017, federal departments and agencies listed in this document made revisions to the Federal Policy for the Protection of Human Subjects. The Consumer Product Safety Commission (CPSC) adopted the same regulatory changes in a separate final rule published on September 18, 2017. The revised policy, reflected in both final rules, is described here as the ``2018 Requirements.'' The 2018 Requirements are scheduled to become effective on January 19, 2018, with a general compliance date of January 19, 2018 (with the exception of the revisions to the cooperative research provision). This interim final rule delays the effective date and general compliance date of the 2018 Requirements to July 19, 2018. The federal departments and agencies listed in this document are in the process of developing a proposed rule to further delay implementation of the 2018 Requirements. The limited implementation delay accomplished by this interim final rule both provides additional time to regulated entities for the preparations necessary to implement the 2018 Requirements, and additional time for the departments and agencies listed in this document to seek input from interested stakeholders through a notice and comment rulemaking process that allows for public engagement on the proposal for a further implementation delay.
2018-01-19Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentConsent for Release of VA Medical RecordsThe Department of Veterans Affairs (VA) proposes to amend its regulations to clarify that a valid consent authorizing the Department to release the patient's confidential VA medical records to a health information exchange (HIE) community partner may...2018-00758"https://www.gpo.gov/fdsys/pkg/FR-2018-01-19/pdf/2018-00758.pdfhttps://www.federalregister.gov/documents/2018/01/19/2018-00758/consent-for-release-of-va-medical-recordsThe Department of Veterans Affairs (VA) proposes to amend its regulations to clarify that a valid consent authorizing the Department to release the patient's confidential VA medical records to a health information exchange (HIE) community partner may be established not only by VA's physical possession of the written consent form, but also by the HIE community partner's written (electronic) attestation that the patient has, in fact, provided such consent. This proposed rule would be a reinterpretation of an existing, long-standing regulation and is necessary to facilitate modern requirements for the sharing of patient records with community health care providers, health plans, governmental agencies, and other entities participating in electronic HIEs. This revision would ensure that more community health care providers and other HIE community partners can deliver informed medical care to patients by having access to the patient's VA medical records at the point of care.
2018-01-17Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentCivilian Health and Medical Program of the Department of Veterans AffairsThe Department of Veterans Affairs (VA) proposes to amend its regulations governing the Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA). The proposed revisions would clarify and update these regulations to conform to...2018-00332"https://www.gpo.gov/fdsys/pkg/FR-2018-01-17/pdf/2018-00332.pdfhttps://www.federalregister.gov/documents/2018/01/17/2018-00332/civilian-health-and-medical-program-of-the-department-of-veterans-affairsThe Department of Veterans Affairs (VA) proposes to amend its regulations governing the Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA). The proposed revisions would clarify and update these regulations to conform to changes in law and policy that control the administration of CHAMPVA and would include details concerning the administration of CHAMPVA that are not reflected in current regulations. The proposed revisions would also expand covered services and supplies to include certain preventive services and eliminate cost-share amounts and deductibles for certain covered services.
2018-01-10Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentVA Veteran-Owned Small Business (VOSB) Verification GuidelinesThe Department of Veterans Affairs (VA) is proposing to amend its regulations governing VA's Veteran-Owned Small Business (VOSB) Verification Program. The National Defense Authorization Act for Fiscal Year 2017 (``the NDAA''), Public Law 114-840,...2017-27715"https://www.gpo.gov/fdsys/pkg/FR-2018-01-10/pdf/2017-27715.pdfhttps://www.federalregister.gov/documents/2018/01/10/2017-27715/va-veteran-owned-small-business-vosb-verification-guidelinesThe Department of Veterans Affairs (VA) is proposing to amend its regulations governing VA's Veteran-Owned Small Business (VOSB) Verification Program. The National Defense Authorization Act for Fiscal Year 2017 (``the NDAA''), Public Law 114-840, placed the responsibility for issuing regulations relating to ownership and control for the verification of VOSBs with the United States Small Business Administration (SBA). This proposed regulation seeks to remove all references to ownership and control and to add and clarify certain terms and references that are currently part of the verification process. The NDAA also provides that in certain circumstances a firm can qualify as VOSB or Service-Disabled Veteran Owned Small Business (SDVOSB) when there is a surviving spouse or an employee stock ownership plan (ESOP).
2018-01-09RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentReimbursement for Emergency TreatmentThe Department of Veterans Affairs (VA) revises its regulations concerning payment or reimbursement for emergency treatment for non-service-connected conditions at non-VA facilities to implement the requirements of a recent court decision....2018-00232"https://www.gpo.gov/fdsys/pkg/FR-2018-01-09/pdf/2018-00232.pdfhttps://www.federalregister.gov/documents/2018/01/09/2018-00232/reimbursement-for-emergency-treatmentThe Department of Veterans Affairs (VA) revises its regulations concerning payment or reimbursement for emergency treatment for non-service-connected conditions at non-VA facilities to implement the requirements of a recent court decision. Specifically, this rulemaking expands eligibility for payment or reimbursement to include veterans who receive partial payment from a health-plan contract for non-VA emergency treatment and establishes a corresponding reimbursement methodology. This rulemaking also expands the eligibility criteria for veterans to receive payment or reimbursement for emergency transportation associated with the emergency treatment, in order to ensure that veterans are adequately covered when emergency transportation is a necessary part of their non-VA emergency treatment.
2017-12-08RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentExtra-Schedular Evaluations for Individual DisabilitiesThe Department of Veterans Affairs (VA) amends its adjudication regulation pertaining to extra-schedular consideration of a service-connected disability in exceptional compensation cases. This rule clarifies that an extra-schedular evaluation is to be...2017-26523"https://www.gpo.gov/fdsys/pkg/FR-2017-12-08/pdf/2017-26523.pdfhttps://www.federalregister.gov/documents/2017/12/08/2017-26523/extra-schedular-evaluations-for-individual-disabilitiesThe Department of Veterans Affairs (VA) amends its adjudication regulation pertaining to extra-schedular consideration of a service-connected disability in exceptional compensation cases. This rule clarifies that an extra-schedular evaluation is to be applied to an individual service-connected disability when the disability is so exceptional or unusual that it makes application of the regular rating schedule impractical. An extra-schedular evaluation may not be based on the combined effect of more than one service-connected disability. For the reasons set forth in the proposed rule and in this final rule, VA is adopting the proposed rule as final, with two changes, as explained below.
2017-11-22Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentThird Party Billing for Medical Care Provided Under Special Treatment AuthoritiesThe Department of Veterans Affairs (VA) proposes to amend its medical regulations to clarify that VA will not bill third party payers for care and services provided by VA under certain statutory provisions, which we refer to as ``special treatment...2017-25269"https://www.gpo.gov/fdsys/pkg/FR-2017-11-22/pdf/2017-25269.pdfhttps://www.federalregister.gov/documents/2017/11/22/2017-25269/third-party-billing-for-medical-care-provided-under-special-treatment-authoritiesThe Department of Veterans Affairs (VA) proposes to amend its medical regulations to clarify that VA will not bill third party payers for care and services provided by VA under certain statutory provisions, which we refer to as ``special treatment authorities.'' These special treatment authorities direct VA to provide care and services to veterans based upon discrete exposures or experiences that occurred during active military, naval, or air service. VA is authorized, but not required by law, to recover or collect charges for care and services provided to veterans for non-service connected disabilities. This proposed rule would establish that VA would not exercise its authority to recover or collect reasonable charges from third party payers for care and services provided under the special treatment authorities.
2017-11-17RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentVA Vocational Rehabilitation and Employment Nomenclature Change for Position Title-RevisionThe Department of Veterans Affairs (VA) published a final rule in the Federal Register on May 2, 2016, which amended a number of regulations in the Code of Federal Regulations (CFR) to authorize personnel hired by VA's Vocational Rehabilitation and...2017-24949"https://www.gpo.gov/fdsys/pkg/FR-2017-11-17/pdf/2017-24949.pdfhttps://www.federalregister.gov/documents/2017/11/17/2017-24949/va-vocational-rehabilitation-and-employment-nomenclature-change-for-position-title-revisionThe Department of Veterans Affairs (VA) published a final rule in the Federal Register on May 2, 2016, which amended a number of regulations in the Code of Federal Regulations (CFR) to authorize personnel hired by VA's Vocational Rehabilitation and Employment (VR&E) Service under the title ``Vocational Rehabilitation Counselor'' (VRC) to make the same determinations with respect to Chapter 31 services and benefits as personnel who had been hired under the title ``Counseling Psychologist'' (CP). The preamble to that final rule cited supporting documents inaccurately and failed to properly explain the qualifications for and duties of this VR&E position responsible for making determinations with respect to Chapter 31 services and benefits. This interim final rule corrects those inaccuracies, more clearly explains the basis for the final rule, and invites public comment on the changes made to VA's regulations in the May 2, 2016, final rule.
2017-11-08RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentEcclesiastical Endorsing OrganizationsThe Department of Veterans Affairs (VA) is amending its medical regulations by establishing in regulation the eligibility requirements that ecclesiastical endorsing organizations must meet in order to provide ecclesiastical endorsements of individuals...2017-24320"https://www.gpo.gov/fdsys/pkg/FR-2017-11-08/pdf/2017-24320.pdfhttps://www.federalregister.gov/documents/2017/11/08/2017-24320/ecclesiastical-endorsing-organizationsThe Department of Veterans Affairs (VA) is amending its medical regulations by establishing in regulation the eligibility requirements that ecclesiastical endorsing organizations must meet in order to provide ecclesiastical endorsements of individuals seeking employment as VA chaplains, or of individuals who are seeking to be engaged by VA under contract or appointed as on-facility fee basis VA chaplains under the United States Code. VA considers veterans' spiritual care an integral part of their overall health care. As such, VA is committed to providing qualified VA chaplains to address the veterans' spiritual needs by engaging chaplains that are ecclesiastically endorsed. Ecclesiastical endorsement certifies that the individual is qualified to perform all the religious sacraments, rites, rituals, ceremonies and ordinances needed by members of a particular faith.
2017-11-03RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentHomeless VeteransThe Department of Veterans Affairs (VA) is amending its regulations that govern homeless veterans to conform to recent statutory requirements. VA is amending the definition of homeless veterans by including veterans who would otherwise be ineligible to...2017-23945"https://www.gpo.gov/fdsys/pkg/FR-2017-11-03/pdf/2017-23945.pdfhttps://www.federalregister.gov/documents/2017/11/03/2017-23945/homeless-veteransThe Department of Veterans Affairs (VA) is amending its regulations that govern homeless veterans to conform to recent statutory requirements. VA is amending the definition of homeless veterans by including veterans who would otherwise be ineligible to receive certain benefits because of their length of service or type of discharge from the Armed Forces. This rule will also increase the payment of per diem in cases where homeless veterans are placed in transitional housing that will become permanent housing. This final rule is an essential part of VA's attempts to eliminate homelessness among the veteran population.
2017-11-02RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentSchedule for Rating Disabilities; The Endocrine SystemThis document amends the Department of Veterans Affairs (VA) Schedule for Rating Disabilities (VASRD) by revising the portion of the Schedule that addresses endocrine conditions and disorders of the endocrine system. The effect of this action is to...2017-23044"https://www.gpo.gov/fdsys/pkg/FR-2017-11-02/pdf/2017-23044.pdfhttps://www.federalregister.gov/documents/2017/11/02/2017-23044/schedule-for-rating-disabilities-the-endocrine-systemThis document amends the Department of Veterans Affairs (VA) Schedule for Rating Disabilities (VASRD) by revising the portion of the Schedule that addresses endocrine conditions and disorders of the endocrine system. The effect of this action is to ensure that the VASRD uses current medical terminology and to provide detailed and updated criteria for evaluation of endocrine disorders.
2017-10-24RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentExtension of the Presumptive Period for Compensation for Gulf War VeteransThe Department of Veterans Affairs (VA) is issuing this final rule to affirm its adjudication regulations regarding compensation for disabilities resulting from undiagnosed illnesses suffered by veterans who served in the Persian Gulf War. This...2017-22970"https://www.gpo.gov/fdsys/pkg/FR-2017-10-24/pdf/2017-22970.pdfhttps://www.federalregister.gov/documents/2017/10/24/2017-22970/extension-of-the-presumptive-period-for-compensation-for-gulf-war-veteransThe Department of Veterans Affairs (VA) is issuing this final rule to affirm its adjudication regulations regarding compensation for disabilities resulting from undiagnosed illnesses suffered by veterans who served in the Persian Gulf War. This amendment is necessary to extend the period during which disabilities associated with undiagnosed illnesses and medically unexplained chronic multi-symptom illnesses must become manifest in order for a Veteran to be eligible for compensation. The intended effect of this amendment is to provide consistency in VA adjudication policy, preserve certain rights afforded to Persian Gulf War (GW) veterans, and ensure fairness for current and future GW veterans.
2017-10-19RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentVeterans' Mortgage Life Insurance-Coverage AmendmentThis document amends Department of Veterans Affairs (VA) regulations governing the Veterans' Mortgage Life Insurance (VMLI) program in order to provide VMLI-eligible individuals the option to lower their premiums by purchasing less than the minimum...2017-22667"https://www.gpo.gov/fdsys/pkg/FR-2017-10-19/pdf/2017-22667.pdfhttps://www.federalregister.gov/documents/2017/10/19/2017-22667/veterans-mortgage-life-insurance-coverage-amendmentThis document amends Department of Veterans Affairs (VA) regulations governing the Veterans' Mortgage Life Insurance (VMLI) program in order to provide VMLI-eligible individuals the option to lower their premiums by purchasing less than the minimum coverage amount required under current VA regulations. The final rule also amends current VA regulations to reflect that the statutory maximum amount of coverage available under the VMLI program was previously increased to $200,000, to define the term ``eligible individual,'' and to clarify that eligibility for VMLI coverage has been extended to include servicemembers as well as veterans.
2017-10-16Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentProsthetic and Rehabilitative Items and ServicesThe Department of Veterans Affairs (VA) proposes to revise its medical regulations related to providing prosthetic and rehabilitative items as medical services to veterans. These revisions would reorganize and update the current regulations related to...2017-22358"https://www.gpo.gov/fdsys/pkg/FR-2017-10-16/pdf/2017-22358.pdfhttps://www.federalregister.gov/documents/2017/10/16/2017-22358/prosthetic-and-rehabilitative-items-and-servicesThe Department of Veterans Affairs (VA) proposes to revise its medical regulations related to providing prosthetic and rehabilitative items as medical services to veterans. These revisions would reorganize and update the current regulations related to prosthetic and rehabilitative items, primarily to clarify eligibility for prosthetic and other rehabilitative items and services, and to define the types of items and services available to eligible veterans.
2017-10-02Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentAuthority of Health Care Providers To Practice TelehealthThe Department of Veterans Affairs (VA) proposes to amend its medical regulations by standardizing the delivery of care by VA health care providers through telehealth. This rule would ensure that VA health care providers provide the same level of care...2017-20951"https://www.gpo.gov/fdsys/pkg/FR-2017-10-02/pdf/2017-20951.pdfhttps://www.federalregister.gov/documents/2017/10/02/2017-20951/authority-of-health-care-providers-to-practice-telehealthThe Department of Veterans Affairs (VA) proposes to amend its medical regulations by standardizing the delivery of care by VA health care providers through telehealth. This rule would ensure that VA health care providers provide the same level of care to all beneficiaries, irrespective of the State or location in a State of the VA health care provider or the beneficiary. This proposed rule would achieve important Federal interests by increasing the availability of mental health, specialty, and general clinical care for all beneficiaries.
2017-09-06Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentElectronic Submission of Certain Servicemembers' Group Life Insurance, Family Servicemembers' Group Life Insurance, and Veterans' Group Life Insurance FormsThe Department of Veterans Affairs (VA) proposes to add a regulation governing the Servicemembers' Group Life Insurance (SGLI) and Veterans' Group Life Insurance (VGLI) programs to provide that certain SGLI, Family SGLI (FSGLI) and VGLI applications,...2017-18677"https://www.gpo.gov/fdsys/pkg/FR-2017-09-06/pdf/2017-18677.pdfhttps://www.federalregister.gov/documents/2017/09/06/2017-18677/electronic-submission-of-certain-servicemembers-group-life-insurance-family-servicemembers-groupThe Department of Veterans Affairs (VA) proposes to add a regulation governing the Servicemembers' Group Life Insurance (SGLI) and Veterans' Group Life Insurance (VGLI) programs to provide that certain SGLI, Family SGLI (FSGLI) and VGLI applications, elections, and beneficiary designations required by statute to be ``written'' or ``in writing'' would include those submitted via an agency approved electronic means that are digitally or electronically signed.
2017-09-01Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentVA Veteran-Owned Small Business Verification GuidelinesThe Department of Veterans Affairs (VA) published a rule in the Federal Register on November 6, 2015, 80 FR 68795 that proposed amending its regulations governing the VA's Veteran-Owned Small Business (VOSB) Verification Program. The Verification...2017-18543"https://www.gpo.gov/fdsys/pkg/FR-2017-09-01/pdf/2017-18543.pdfhttps://www.federalregister.gov/documents/2017/09/01/2017-18543/va-veteran-owned-small-business-verification-guidelinesThe Department of Veterans Affairs (VA) published a rule in the Federal Register on November 6, 2015, 80 FR 68795 that proposed amending its regulations governing the VA's Veteran-Owned Small Business (VOSB) Verification Program. The Verification Program has been the subject of reports from both the Government Accountability Office and VA's Office of Inspector General stating that despite VA's Verification Program, fraud still exists in the Veterans First Contracting Program. Some stakeholder feedback has been that the current regulation is too open to interpretation and is unnecessarily more rigorous than similar certification programs run by the United State Small Business Administration (SBA). The proposed rule sought to clarify the eligibility requirements for businesses to obtain ``verified'' status, added and revised definitions, reordered requirements, redefined the definition of ``control,'' and provided explanatory information on VA's examination and review processes and procedures. The proposed rule additionally sought to implement new changes to community property restrictions, unconditional ownership, and day-to-day requirements and full-time requirements. An exception for majority, supermajority, unanimous, and other voting provisions for extraordinary business decisions were also proposed. Comments to the proposed rule were to be provided to the Office of Small and Disadvantaged Business Utilization on or before January 5, 2016. Due to the nature of the adverse comments received, VA has determined not to pursue implementation of the rule as originally proposed. Accordingly, this document withdraws the proposed rule.
2017-09-01RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentSupportive Services for Veteran Families ProgramThe Department of Veterans Affairs (VA) is amending its regulations that govern the Supportive Services for Veteran Families (SSVF) Program. This rulemaking clarifies VA's procedures for continuing to fund SSVF Program services in communities that have...2017-18574"https://www.gpo.gov/fdsys/pkg/FR-2017-09-01/pdf/2017-18574.pdfhttps://www.federalregister.gov/documents/2017/09/01/2017-18574/supportive-services-for-veteran-families-programThe Department of Veterans Affairs (VA) is amending its regulations that govern the Supportive Services for Veteran Families (SSVF) Program. This rulemaking clarifies VA's procedures for continuing to fund SSVF Program services in communities that have lost grants due to the non-renewal or termination of services of an existing award to a grantee. VA can now award the non-renewed or deobligated funds to other existing SSVF grantees in or near the affected community. This award of non-renewed or deobligated funds prevents potential access issues associated with grant termination. This rulemaking also reduces the number of satisfaction surveys grantees are required to provide to participants in order to reduce the burden on grantees and participants.
2017-08-28RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentLoan Guaranty: Loans To Purchase Manufactured Homes; CorrectionOn July 14, 1993, the Department of Veterans Affairs (VA) published a final rule in the Federal Register amending its manufactured home loan guaranty regulations to comply with certain provisions of the Veterans' Home Loan Program Improvements and...2017-18037"https://www.gpo.gov/fdsys/pkg/FR-2017-08-28/pdf/2017-18037.pdfhttps://www.federalregister.gov/documents/2017/08/28/2017-18037/loan-guaranty-loans-to-purchase-manufactured-homes-correctionOn July 14, 1993, the Department of Veterans Affairs (VA) published a final rule in the Federal Register amending its manufactured home loan guaranty regulations to comply with certain provisions of the Veterans' Home Loan Program Improvements and Property Rehabilitation Act of 1987. That document erred in redesignating certain paragraphs in the regulatory provision pertaining to maximum loan amounts and terms. This document corrects that final rule.
2017-08-23Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentEligibility for Supplemental Service-Disabled Veterans' InsuranceThe Department of Veterans Affairs (VA) proposes to amend its regulations governing the Service-Disabled Veterans' Insurance (S-DVI) program in order to explain that a person who was granted S-DVI as of the date of death under is not eligible for...2017-17587"https://www.gpo.gov/fdsys/pkg/FR-2017-08-23/pdf/2017-17587.pdfhttps://www.federalregister.gov/documents/2017/08/23/2017-17587/eligibility-for-supplemental-service-disabled-veterans-insuranceThe Department of Veterans Affairs (VA) proposes to amend its regulations governing the Service-Disabled Veterans' Insurance (S-DVI) program in order to explain that a person who was granted S-DVI as of the date of death under is not eligible for supplemental S-DVI because the insured's total disability did not begin after the date of the insured's application for insurance and while the insurance was in force under premium-paying conditions.
2017-08-15Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentVA Homeless Providers Grant and Per Diem ProgramC1-2017-15338"https://www.gpo.gov/fdsys/pkg/FR-2017-08-15/pdf/C1-2017-15338.pdfhttps://www.federalregister.gov/documents/2017/08/15/C1-2017-15338/va-homeless-providers-grant-and-per-diem-program
2017-08-03RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentSchedule for Rating Disabilities; Dental and Oral ConditionsThis document amends the Department of Veterans Affairs (VA) Schedule for Rating Disabilities by revising the portion of the schedule that addresses dental and oral conditions. The effect of this action is to ensure that the rating schedule uses...2017-16132"https://www.gpo.gov/fdsys/pkg/FR-2017-08-03/pdf/2017-16132.pdfhttps://www.federalregister.gov/documents/2017/08/03/2017-16132/schedule-for-rating-disabilities-dental-and-oral-conditionsThis document amends the Department of Veterans Affairs (VA) Schedule for Rating Disabilities by revising the portion of the schedule that addresses dental and oral conditions. The effect of this action is to ensure that the rating schedule uses current medical terminology and to provide detailed and updated criteria for evaluation of dental and oral conditions for disability rating purposes.
2017-08-02RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentLoan Guaranty: Vendee Loan FeesThis document adopts as final a proposed rule of the Department of Veterans Affairs (VA) Loan Guaranty Service to amend its regulations to establish reasonable fees that VA may charge in connection with the origination and servicing of vendee loans...2017-16106"https://www.gpo.gov/fdsys/pkg/FR-2017-08-02/pdf/2017-16106.pdfhttps://www.federalregister.gov/documents/2017/08/02/2017-16106/loan-guaranty-vendee-loan-feesThis document adopts as final a proposed rule of the Department of Veterans Affairs (VA) Loan Guaranty Service to amend its regulations to establish reasonable fees that VA may charge in connection with the origination and servicing of vendee loans made by VA. Fees mentioned in this rulemaking are consistent with those charged in the private mortgage industry, and such fees will help VA to ensure the sustainability of this vendee loan program. The loans that will be subject to the fees are not veterans' benefits. This rule will also ensure that all direct and vendee loans made by the Secretary are safe harbor qualified mortgages.
2017-08-02Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentVA Homeless Providers Grant and Per Diem Program; CorrectionThe Department of Veterans Affairs (VA) Affairs is correcting a proposed rule that proposes to amend its regulations concerning the VA Homeless Providers Grant and Per Diem (GPD) Program that was published in the Federal Register on July 25, 2017....2017-16179"https://www.gpo.gov/fdsys/pkg/FR-2017-08-02/pdf/2017-16179.pdfhttps://www.federalregister.gov/documents/2017/08/02/2017-16179/va-homeless-providers-grant-and-per-diem-program-correctionThe Department of Veterans Affairs (VA) Affairs is correcting a proposed rule that proposes to amend its regulations concerning the VA Homeless Providers Grant and Per Diem (GPD) Program that was published in the Federal Register on July 25, 2017. These corrections address technical errors in the proposed rule.
2017-08-02RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentFisher Houses and Other Temporary Lodging; CorrectionThe Department of Veterans Affairs is correcting a final rule that eliminated the use of VA Form 10-0408A when veterans receiving treatment or care seek temporary lodging at a VA Fisher House for their relatives, close friends, or caregivers that was...2017-16196"https://www.gpo.gov/fdsys/pkg/FR-2017-08-02/pdf/2017-16196.pdfhttps://www.federalregister.gov/documents/2017/08/02/2017-16196/fisher-houses-and-other-temporary-lodging-correctionThe Department of Veterans Affairs is correcting a final rule that eliminated the use of VA Form 10-0408A when veterans receiving treatment or care seek temporary lodging at a VA Fisher House for their relatives, close friends, or caregivers that was published in the Federal Register (82 FR 26592) on June 8, 2017.
2017-08-01Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentSchedule for Rating Disabilities; Musculoskeletal System and Muscle InjuriesThe Department of Veterans Affairs (VA) proposes to revise the regulations that involve the Musculoskeletal System within the VA Schedule for Rating Disabilities (``VASRD'' or ``Rating Schedule''). VA proposes to rename certain diagnostic codes, revise...2017-15766"https://www.gpo.gov/fdsys/pkg/FR-2017-08-01/pdf/2017-15766.pdfhttps://www.federalregister.gov/documents/2017/08/01/2017-15766/schedule-for-rating-disabilities-musculoskeletal-system-and-muscle-injuriesThe Department of Veterans Affairs (VA) proposes to revise the regulations that involve the Musculoskeletal System within the VA Schedule for Rating Disabilities (``VASRD'' or ``Rating Schedule''). VA proposes to rename certain diagnostic codes, revise rating criteria, give new rating guidance, add new codes, and remove obsolete codes. These revisions would incorporate medical terminology more recent than the last comprehensive review, as well as simplify the rating process.
2017-07-31RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentEnsuring a Safe Environment for Community Residential Care Residents; CorrectionThe Department of Veterans Affairs is correcting a final rule that added to its medical regulations new standards that must be met by a Community Residential Care facility seeking approval by VA that was published in the Federal Register on July 25, 2017.2017-16034"https://www.gpo.gov/fdsys/pkg/FR-2017-07-31/pdf/2017-16034.pdfhttps://www.federalregister.gov/documents/2017/07/31/2017-16034/ensuring-a-safe-environment-for-community-residential-care-residents-correctionThe Department of Veterans Affairs is correcting a final rule that added to its medical regulations new standards that must be met by a Community Residential Care facility seeking approval by VA that was published in the Federal Register on July 25, 2017.
2017-07-28Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentSchedule for Rating Disabilities; The Genitourinary Diseases and ConditionsThe Department of Veterans Affairs proposes to amend the portion of the Schedule for Rating Disabilities that addresses the genitourinary system. The purpose of this change is to update current medical terminology, incorporate medical advances that...2017-15765"https://www.gpo.gov/fdsys/pkg/FR-2017-07-28/pdf/2017-15765.pdfhttps://www.federalregister.gov/documents/2017/07/28/2017-15765/schedule-for-rating-disabilities-the-genitourinary-diseases-and-conditionsThe Department of Veterans Affairs proposes to amend the portion of the Schedule for Rating Disabilities that addresses the genitourinary system. The purpose of this change is to update current medical terminology, incorporate medical advances that have occurred since the last review, and provide well-defined criteria in accordance with actual, standard medical clinical practice. The proposed rule reflects the most up-to-date medical knowledge and clinical practice of nephrology and urology specialties, as well as comments from subject matter experts and the public garnered during a public forum held January 27-28, 2011.
2017-07-25RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentEnsuring a Safe Environment for Community Residential Care ResidentsThe Department of Veterans Affairs (VA) adopts as final, with changes, a proposed rule governing the approval of a community residential care facility (CRC). The final rule prohibits a CRC from employing an individual who has been convicted in a court...2017-15519"https://www.gpo.gov/fdsys/pkg/FR-2017-07-25/pdf/2017-15519.pdfhttps://www.federalregister.gov/documents/2017/07/25/2017-15519/ensuring-a-safe-environment-for-community-residential-care-residentsThe Department of Veterans Affairs (VA) adopts as final, with changes, a proposed rule governing the approval of a community residential care facility (CRC). The final rule prohibits a CRC from employing an individual who has been convicted in a court of law of certain listed crimes within 7 years of conviction, or has had a finding within 6 months entered into an applicable State registry or with the applicable licensing authority concerning abuse, neglect, mistreatment of individuals or misappropriation of property. The CRC is required to conduct an individual assessment of suitability for employment for any conviction or finding outside either the 7 year or 6 month parameters. The CRCs is also required to develop and implement written policies and procedures that prohibit mistreatment, neglect, and abuse of residents and misappropriation of resident property. The CRC must report and investigate any allegations of abuse or mistreatment. The CRC must also screen individuals who are not CRC residents, but have direct access to a veteran living in a CRC. In addition, we are amending the rule regarding the maximum number of beds allowed in a resident's bedroom. VA published the proposed rule on November 12, 2015, and we received four public comments. We also received correspondence from a federal agency with recommendations. This final rule responds to public comments and feedback from that federal agency.
2017-07-25Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentVA Homeless Providers Grant and Per Diem ProgramThe Department of Veterans Affairs (VA) proposes to amend its regulations concerning the VA Homeless Providers Grant and Per Diem (GPD) Program. These amendments would provide GPD with increased flexibility to: respond to the changing needs of homeless...2017-15338"https://www.gpo.gov/fdsys/pkg/FR-2017-07-25/pdf/2017-15338.pdfhttps://www.federalregister.gov/documents/2017/07/25/2017-15338/va-homeless-providers-grant-and-per-diem-programThe Department of Veterans Affairs (VA) proposes to amend its regulations concerning the VA Homeless Providers Grant and Per Diem (GPD) Program. These amendments would provide GPD with increased flexibility to: respond to the changing needs of homeless veterans; repurpose existing and future funds more efficiently; and allow recipients the ability to add, modify, or eliminate components of funded programs. The proposed rule updates these regulations to better serve our homeless veteran population and the recipients who serve them.
2017-07-12RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentVA Veteran-Owned Small Business Verification GuidelinesThis document implements a portion of the Veterans Benefits, Health Care, and Information Technology Act of 2006, which requires the Department of Veterans Affairs (VA) to verify ownership and control of veteran-owned small businesses (VOSBs),...2017-14600"https://www.gpo.gov/fdsys/pkg/FR-2017-07-12/pdf/2017-14600.pdfhttps://www.federalregister.gov/documents/2017/07/12/2017-14600/va-veteran-owned-small-business-verification-guidelinesThis document implements a portion of the Veterans Benefits, Health Care, and Information Technology Act of 2006, which requires the Department of Veterans Affairs (VA) to verify ownership and control of veteran-owned small businesses (VOSBs), including service-disabled veteran-owned small businesses (SDVOSBs) in order for these firms to participate in VA acquisitions set-aside for SDVOSB/VOSBs. This rule contains a minor revision to require re-verification of SDVOSB/VOSB status once every three years rather than biennially. The purpose of this change is to reduce the administrative burden on SDVOSB/VOSBs regarding participation in VA acquisitions set asides for these types of firms.
2017-06-09RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentExpanded Delegation Authority for Procedures Related to Representation of ClaimantsThe Department of Veterans Affairs (VA) is amending its regulations on representation of claimants for VA benefits to specifically permit additional delegations of authority within the Office of the General Counsel (OGC), update the titles of certain...2017-11977"https://www.gpo.gov/fdsys/pkg/FR-2017-06-09/pdf/2017-11977.pdfhttps://www.federalregister.gov/documents/2017/06/09/2017-11977/expanded-delegation-authority-for-procedures-related-to-representation-of-claimantsThe Department of Veterans Affairs (VA) is amending its regulations on representation of claimants for VA benefits to specifically permit additional delegations of authority within the Office of the General Counsel (OGC), update the titles of certain individuals and offices in OGC, and make a minor procedural clarification. These amendments are necessary to allow OGC to streamline the procedures related to representation of claimants and to ensure correct titles of certain individuals and offices in OGC are reflected in the regulations. In addition, a procedural clarification is being made by adding a sentence that was inadvertently omitted from a previous final rule.
2017-06-08RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentFisher Houses and Other Temporary LodgingThe Department of Veterans Affairs (VA) is amending its regulations concerning Fisher House and other temporary lodging furnished by VA while a veteran is experiencing an episode of care at a VA medical facility. Such lodging is generally furnished at...2017-11888"https://www.gpo.gov/fdsys/pkg/FR-2017-06-08/pdf/2017-11888.pdfhttps://www.federalregister.gov/documents/2017/06/08/2017-11888/fisher-houses-and-other-temporary-lodgingThe Department of Veterans Affairs (VA) is amending its regulations concerning Fisher House and other temporary lodging furnished by VA while a veteran is experiencing an episode of care at a VA medical facility. Such lodging is generally furnished at no cost to veterans' relatives, close friends, and caregivers, because VA's experience has shown that veterans' treatment outcomes are improved by having loved ones nearby. The final rule updates current regulations and better describes the application process for this lodging along with generally reflecting current VA policy and practice.
2017-05-10Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentUse of Medicare Procedures To Enter Into Provider Agreements for Extended Care ServicesThe Department of Veterans Affairs (VA) published a notice of proposed rulemaking in the Federal Register on February 13, 2013, that proposed amending its regulations to allow VA to enter into provider agreements to obtain extended care services for...2017-09449"https://www.gpo.gov/fdsys/pkg/FR-2017-05-10/pdf/2017-09449.pdfhttps://www.federalregister.gov/documents/2017/05/10/2017-09449/use-of-medicare-procedures-to-enter-into-provider-agreements-for-extended-care-servicesThe Department of Veterans Affairs (VA) published a notice of proposed rulemaking in the Federal Register on February 13, 2013, that proposed amending its regulations to allow VA to enter into provider agreements to obtain extended care services for Veterans from community providers. Since publication of that proposed rule, further review has led VA to conclude VA cannot achieve the proposal's goals without a statutory change. For this reason, VA withdraws the proposed rule.
2017-05-05RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentPayment or Reimbursement for Certain Medical Expenses for Camp Lejeune Family MembersThe Department of Veterans Affairs (VA) adopts as final an interim final rule addressing payment or reimbursement of certain medical expenses for family members of Camp Lejeune veterans. Under this rule, VA reimburses family members, or pays providers,...2017-09163"https://www.gpo.gov/fdsys/pkg/FR-2017-05-05/pdf/2017-09163.pdfhttps://www.federalregister.gov/documents/2017/05/05/2017-09163/payment-or-reimbursement-for-certain-medical-expenses-for-camp-lejeune-family-membersThe Department of Veterans Affairs (VA) adopts as final an interim final rule addressing payment or reimbursement of certain medical expenses for family members of Camp Lejeune veterans. Under this rule, VA reimburses family members, or pays providers, for medical expenses incurred as a result of certain illnesses and conditions that may be associated with contaminants present in the base water supply at U.S. Marine Corps Base Camp Lejeune (Camp Lejeune), North Carolina, from August 1, 1953, to December 31, 1987. Payment or reimbursement is made within the limitations set forth in statute and Camp Lejeune family members receive hospital care and medical services that are consistent with the manner in which we provide hospital care and medical services to Camp Lejeune veterans. The statutory authority has since been amended to also include certain veterans' family members who resided at Camp Lejeune, North Carolina, for no less than 30 days (consecutive or nonconsecutive) between August 1, 1953, and December 31, 1987. This final rule will reflect that statutory change and will address public comments received in response to the interim final rule.
2017-05-05RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentExtension of Pharmacy Copayments for MedicationsThe Department of Veterans Affairs (VA) notifies the public that an interim final rule freezing medication copayments for veterans in priority groups 2 through 8, published on December 7, 2016, was superseded by a final rule amending its regulations...2017-09081"https://www.gpo.gov/fdsys/pkg/FR-2017-05-05/pdf/2017-09081.pdfhttps://www.federalregister.gov/documents/2017/05/05/2017-09081/extension-of-pharmacy-copayments-for-medicationsThe Department of Veterans Affairs (VA) notifies the public that an interim final rule freezing medication copayments for veterans in priority groups 2 through 8, published on December 7, 2016, was superseded by a final rule amending its regulations concerning copayments that published on December 12, 2016. The interim final rule received no public comments.
2017-04-13Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentLoan Guaranty: Revisions to Allowable Charges and Fees Assessed Incident to VA-Guaranteed Home LoansThe Department of Veterans Affairs (VA) Loan Guaranty Service (LGY) is currently reviewing its regulations governing the allowable expenses that a veteran may pay or be charged in connection with obtaining a VA-guaranteed home loan. By issuing this...2017-07492"https://www.gpo.gov/fdsys/pkg/FR-2017-04-13/pdf/2017-07492.pdfhttps://www.federalregister.gov/documents/2017/04/13/2017-07492/loan-guaranty-revisions-to-allowable-charges-and-fees-assessed-incident-to-va-guaranteed-home-loansThe Department of Veterans Affairs (VA) Loan Guaranty Service (LGY) is currently reviewing its regulations governing the allowable expenses that a veteran may pay or be charged in connection with obtaining a VA-guaranteed home loan. By issuing this advanced notice of proposed rulemaking, LGY seeks comments on how the public believes VA should approach this undertaking. Although LGY identifies specific issues for discussion below, it encourages commenters to discuss any issue related to improving these specific regulations.
2017-04-04RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentVA Dental Insurance ProgramThis document revises Department of Veterans Affairs (VA) medical regulations to reflect the codification of the authority for the VA Dental Insurance Program (VADIP), a program through which VA contracts with private dental insurers to offer...2017-06579"https://www.gpo.gov/fdsys/pkg/FR-2017-04-04/pdf/2017-06579.pdfhttps://www.federalregister.gov/documents/2017/04/04/2017-06579/va-dental-insurance-programThis document revises Department of Veterans Affairs (VA) medical regulations to reflect the codification of the authority for the VA Dental Insurance Program (VADIP), a program through which VA contracts with private dental insurers to offer premium-based dental insurance to enrolled veterans and certain survivors and dependents of veterans. The VA Dental Insurance Reauthorization Act of 2016 codified the authority of the VADIP, and this final rulemaking accordingly revises the authority citation in the VA medical regulations that implement VADIP.
2017-03-23RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentRelease of VA Records Relating to HIVThe Department of Veterans Affairs (VA) is amending its medical regulations governing the release of VA medical records. Specifically, VA is eliminating the restriction on sharing a negative test result for the human immunodeficiency virus (HIV) with...2017-05799"https://www.gpo.gov/fdsys/pkg/FR-2017-03-23/pdf/2017-05799.pdfhttps://www.federalregister.gov/documents/2017/03/23/2017-05799/release-of-va-records-relating-to-hivThe Department of Veterans Affairs (VA) is amending its medical regulations governing the release of VA medical records. Specifically, VA is eliminating the restriction on sharing a negative test result for the human immunodeficiency virus (HIV) with veterans' outside providers. HIV testing is a common practice today in healthcare and the stigma of testing that may have been seen in the 1980s when HIV was first discovered is no longer prevalent. Continuing to protect negative HIV tests causes delays and an unnecessary burden on veterans when VA tries to share electronic medical information with the veterans' outside providers through electronic health information exchanges. For this same reason, VA will also eliminate restrictions on negative test results of sickle cell anemia. This final rule eliminates the current barriers to electronic medical information exchange.
2017-02-21RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentVeterans Benefits Administration; Loan Guaranty: Technical CorrectionsOn June 15, 2010, VA published a document in the Federal Register eliminating redundant provisions from its loan guaranty regulations following the implementation of a new electronic reporting system and redesignating the section numbers of these...2017-03329"https://www.gpo.gov/fdsys/pkg/FR-2017-02-21/pdf/2017-03329.pdfhttps://www.federalregister.gov/documents/2017/02/21/2017-03329/veterans-benefits-administration-loan-guaranty-technical-correctionsOn June 15, 2010, VA published a document in the Federal Register eliminating redundant provisions from its loan guaranty regulations following the implementation of a new electronic reporting system and redesignating the section numbers of these regulations. At that time, VA did not update cross-reference citations to conform to the redesignated sections. A subsequent notice updated some, but not all, cross-reference citations. VA is now updating the remaining non- substantive, cross-reference citations for clarity and accuracy.
2017-02-21RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentVA Veteran-Owned Small Business Verification GuidelinesThis document implements a portion of the Veterans Benefits, Health Care, and Information Technology Act of 2006, which requires the Department of Veterans Affairs (VA) to verify ownership and control of veteran-owned small businesses (VOSB), including...2017-03331"https://www.gpo.gov/fdsys/pkg/FR-2017-02-21/pdf/2017-03331.pdfhttps://www.federalregister.gov/documents/2017/02/21/2017-03331/va-veteran-owned-small-business-verification-guidelinesThis document implements a portion of the Veterans Benefits, Health Care, and Information Technology Act of 2006, which requires the Department of Veterans Affairs (VA) to verify ownership and control of veteran-owned small businesses (VOSB), including service-disabled veteran-owned small businesses (SDVOSB) in order for these firms to participate in VA acquisitions set-aside for SDVOSB/VOSBs. This interim final rule contains a minor revision to require re-verification of SDVOSB/VOSB status only every three years rather than biennially. The purpose of this change is to reduce the administrative burden on SDVOSB/VOSBs regarding participation in VA acquisitions set asides for these types of firms.
2017-02-21RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentRecognition of Tribal Organizations for Representation of VA Claimants; Delay of Effective DateIn accordance with the memorandum of January 20, 2017, from the Assistant to the President and Chief of Staff, entitled ``Regulatory Freeze Pending Review,'' this action delays the effective date of the final rule (``Recognition of Tribal Organizations...2017-03328"https://www.gpo.gov/fdsys/pkg/FR-2017-02-21/pdf/2017-03328.pdfhttps://www.federalregister.gov/documents/2017/02/21/2017-03328/recognition-of-tribal-organizations-for-representation-of-va-claimants-delay-of-effective-dateIn accordance with the memorandum of January 20, 2017, from the Assistant to the President and Chief of Staff, entitled ``Regulatory Freeze Pending Review,'' this action delays the effective date of the final rule (``Recognition of Tribal Organizations for Representation of VA Claimants'') published January 19, 2017, from February 21, 2017, until March 21, 2017.
2017-02-21RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentFertility Counseling and Treatment for Certain Veterans and Spouses, CorrectionThe Department of Veterans Affairs published in the Federal Register on January 19, 2017, an interim final rulemaking adding a new section authorizing in vitro fertilization (IVF) for a veteran with a service-connected disability that results in the...2017-03319"https://www.gpo.gov/fdsys/pkg/FR-2017-02-21/pdf/2017-03319.pdfhttps://www.federalregister.gov/documents/2017/02/21/2017-03319/fertility-counseling-and-treatment-for-certain-veterans-and-spouses-correctionThe Department of Veterans Affairs published in the Federal Register on January 19, 2017, an interim final rulemaking adding a new section authorizing in vitro fertilization (IVF) for a veteran with a service-connected disability that results in the inability of the veteran to procreate without the use of fertility treatment. In addition, we added a new section authorizing VA to provide fertility counseling and treatment using assisted reproductive technologies (ART), including IVF, to a spouse of a veteran with a service-connected disability that results in the inability of the veteran to procreate without the use of fertility treatment. These sections contain an error regarding the expiration date VA's authority to provide health care services. This document corrects the errors and does not make any substantive change to the content of the interim final rule.
2017-01-19RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentFertility Counseling and Treatment for Certain Veterans and SpousesThe Department of Veterans Affairs (VA) amends its regulation regarding fertility counseling and treatment available to certain veterans and spouses. VA currently provides certain infertility services other than in vitro fertilization (IVF) to veterans...2017-00280"https://www.gpo.gov/fdsys/pkg/FR-2017-01-19/pdf/2017-00280.pdfhttps://www.federalregister.gov/documents/2017/01/19/2017-00280/fertility-counseling-and-treatment-for-certain-veterans-and-spousesThe Department of Veterans Affairs (VA) amends its regulation regarding fertility counseling and treatment available to certain veterans and spouses. VA currently provides certain infertility services other than in vitro fertilization (IVF) to veterans as part of the medical benefits package. IVF is the process of fertilization by manually fertilizing an egg, and then transferring the embryo to the uterus. This interim final rulemaking adds a new section authorizing IVF for a veteran with a service-connected disability that results in the inability of the veteran to procreate without the use of fertility treatment. In addition, we add a new section stating that VA may provide fertility counseling and treatment using assisted reproductive technologies (ART), including IVF, to a spouse of a veteran with a service-connected disability that results in the inability of the veteran to procreate without the use of fertility treatment. VA will provide ART treatment, including IVF, to these veterans and spouses as specified in the Continuing Appropriations and Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2017, and Zika Response and Preparedness Act to the extent such services are consistent with the services available to enrolled veterans under the medical benefits package.
2017-01-19RuleDEPARTMENT OF HOMELAND SECURITYHomeland Security DepartmentFederal Policy for the Protection of Human SubjectsThe departments and agencies listed in this document announce revisions to modernize, strengthen, and make more effective the Federal Policy for the Protection of Human Subjects that was originally promulgated as a Common Rule in 1991. This final rule...2017-01058"https://www.gpo.gov/fdsys/pkg/FR-2017-01-19/pdf/2017-01058.pdfhttps://www.federalregister.gov/documents/2017/01/19/2017-01058/federal-policy-for-the-protection-of-human-subjectsThe departments and agencies listed in this document announce revisions to modernize, strengthen, and make more effective the Federal Policy for the Protection of Human Subjects that was originally promulgated as a Common Rule in 1991. This final rule is intended to better protect human subjects involved in research, while facilitating valuable research and reducing burden, delay, and ambiguity for investigators. These revisions are an effort to modernize, simplify, and enhance the current system of oversight.
2017-01-19RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentRecognition of Tribal Organizations for Representation of VA ClaimantsThe Department of Veterans Affairs (VA) is amending its regulations concerning recognition of certain national, State, and regional or local organizations for purposes of VA claims representation. Specifically, this rulemaking allows the Secretary to...2017-00947"https://www.gpo.gov/fdsys/pkg/FR-2017-01-19/pdf/2017-00947.pdfhttps://www.federalregister.gov/documents/2017/01/19/2017-00947/recognition-of-tribal-organizations-for-representation-of-va-claimantsThe Department of Veterans Affairs (VA) is amending its regulations concerning recognition of certain national, State, and regional or local organizations for purposes of VA claims representation. Specifically, this rulemaking allows the Secretary to recognize tribal organizations in a similar manner as the Secretary recognizes State organizations. The final rule allows a tribal organization that is established and funded by one or more tribal governments to be recognized for the purpose of providing assistance on VA benefit claims. In addition, the final rule allows an employee of a tribal government to become accredited through a recognized State organization in a similar manner as a County Veterans' Service Officer (CVSO) may become accredited through a recognized State organization. The effect of this action is to address the needs of Native American populations who are geographically isolated from existing recognized Veterans Service Organizations (VSOs) or who may not be utilizing other recognized VSOs due to cultural barriers or lack of familiarity with those organizations.
2017-01-17RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentRepayment by VA of Educational Loans for Certain Psychiatrists; CorrectionThe Department of Veterans Affairs published in the Federal Register on September 29, 2016, a document amending its regulations concerning the repayment of educational loans for certain psychiatrists who agree to a period of obligated service with VA....2017-00232"https://www.gpo.gov/fdsys/pkg/FR-2017-01-17/pdf/2017-00232.pdfhttps://www.federalregister.gov/documents/2017/01/17/2017-00232/repayment-by-va-of-educational-loans-for-certain-psychiatrists-correctionThe Department of Veterans Affairs published in the Federal Register on September 29, 2016, a document amending its regulations concerning the repayment of educational loans for certain psychiatrists who agree to a period of obligated service with VA. The document contained several section and paragraph numbering errors. This document corrects the errors and does not make any substantive change to the content of the final rule.
2017-01-13RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentDiseases Associated With Exposure to Contaminants in the Water Supply at Camp LejeuneThe Department of Veterans Affairs (VA) amends its adjudication regulations regarding presumptive service connection, adding certain diseases associated with contaminants present in the base water supply at U.S. Marine Corps Base Camp Lejeune (Camp...2017-00499"https://www.gpo.gov/fdsys/pkg/FR-2017-01-13/pdf/2017-00499.pdfhttps://www.federalregister.gov/documents/2017/01/13/2017-00499/diseases-associated-with-exposure-to-contaminants-in-the-water-supply-at-camp-lejeuneThe Department of Veterans Affairs (VA) amends its adjudication regulations regarding presumptive service connection, adding certain diseases associated with contaminants present in the base water supply at U.S. Marine Corps Base Camp Lejeune (Camp Lejeune), North Carolina, from August 1, 1953, to December 31, 1987. This final rule establishes that veterans, former reservists, and former National Guard members, who served at Camp Lejeune for no less than 30 days (consecutive or nonconsecutive) during this period, and who have been diagnosed with any of eight associated diseases, are presumed to have incurred or aggravated the disease in service for purposes of entitlement to VA benefits. In addition, this final rule establishes a presumption that these individuals were disabled during the relevant period of service for purposes of establishing active military service for benefits purposes. Under this presumption, affected former reservists and National Guard members have veteran status for purposes of entitlement to some VA benefits. This amendment implements a decision by the Secretary of Veterans Affairs that service connection on a presumptive basis is warranted for claimants who served at Camp Lejeune during the relevant period and for the requisite amount of time and later develop certain diseases.
2017-01-05Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentEcclesiastical Endorsing OrganizationsThe Department of Veterans Affairs (VA) proposes to amend its medical regulations by establishing in regulation the eligibility requirements that ecclesiastical endorsing organizations must meet in order to provide ecclesiastical endorsements of...2016-31949"https://www.gpo.gov/fdsys/pkg/FR-2017-01-05/pdf/2016-31949.pdfhttps://www.federalregister.gov/documents/2017/01/05/2016-31949/ecclesiastical-endorsing-organizationsThe Department of Veterans Affairs (VA) proposes to amend its medical regulations by establishing in regulation the eligibility requirements that ecclesiastical endorsing organizations must meet in order to provide ecclesiastical endorsements of individuals seeking employment as VA chaplains or of individuals who are seeking to be engaged by VA under contract or appointed as on-facility fee basis VA chaplains under 38 U.S.C. 7405. VA considers the veterans' spiritual care an integral part of the veterans' overall health care. As such, VA is committed to providing qualified VA chaplains to address the veterans' spiritual needs by engaging chaplains that are ecclesiastically endorsed. Ecclesiastical endorsement would certify that the individual is qualified to perform all the religious sacraments, rites, rituals, ceremonies and ordinances needed by members of a particular faith.
2016-12-21Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentSpecial Monthly Compensation for Veterans With Traumatic Brain InjuryThe Department of Veterans Affairs (VA) seeks to amend its adjudication regulations to add an additional benefit for veterans with residuals of traumatic brain injury (TBI). This benefit was enacted by the Veterans' Benefits Act of 2010 and provides...2016-30509"https://www.gpo.gov/fdsys/pkg/FR-2016-12-21/pdf/2016-30509.pdfhttps://www.federalregister.gov/documents/2016/12/21/2016-30509/special-monthly-compensation-for-veterans-with-traumatic-brain-injuryThe Department of Veterans Affairs (VA) seeks to amend its adjudication regulations to add an additional benefit for veterans with residuals of traumatic brain injury (TBI). This benefit was enacted by the Veterans' Benefits Act of 2010 and provides special monthly compensation for veterans with TBI who are in need of aid and attendance and, in the absence of such aid and attendance, would require hospitalization, nursing home care, or other residential institutional care. Prior to the law's enactment, veterans with TBI were not eligible for this benefit unless they had a separate service- related disability that qualified under the law.
2016-12-14RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentAdvanced Practice Registered NursesThe Department of Veterans Affairs (VA) is amending its medical regulations to permit full practice authority of three roles of VA advanced practice registered nurses (APRN) when they are acting within the scope of their VA employment. Certified...2016-29950"https://www.gpo.gov/fdsys/pkg/FR-2016-12-14/pdf/2016-29950.pdfhttps://www.federalregister.gov/documents/2016/12/14/2016-29950/advanced-practice-registered-nursesThe Department of Veterans Affairs (VA) is amending its medical regulations to permit full practice authority of three roles of VA advanced practice registered nurses (APRN) when they are acting within the scope of their VA employment. Certified Registered Nurse Anesthetists (CRNA) will not be included in VA's full practice authority under this final rule, but comment is requested on whether there are access issues or other unconsidered circumstances that might warrant their inclusion in a future rulemaking. The final rulemaking establishes the professional qualifications an individual must possess to be appointed as an APRN within VA, establishes the criteria under which VA may grant full practice authority to an APRN, and defines the scope of full practice authority for each of the three roles of APRN. The services provided by an APRN under full practice authority in VA are consistent with the nursing profession's standards of practice for such roles. This rulemaking increases veterans' access to VA health care by expanding the pool of qualified health care professionals who are authorized to provide primary health care and other related health care services to the full extent of their education, training, and certification, without the clinical supervision of physicians, and it permits VA to use its health care resources more effectively and in a manner that is consistent with the role of APRNs in the non-VA health care sector, while maintaining the patient-centered, safe, high-quality health care that veterans receive from VA.
2016-12-12RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentTiered Pharmacy Copayments for MedicationsThe Department of Veterans Affairs (VA) adopts as a final rule, with changes, a proposal to amend its regulations concerning copayments charged to certain veterans for medication required on an outpatient basis to treat nonservice-connected conditions....2016-29515"https://www.gpo.gov/fdsys/pkg/FR-2016-12-12/pdf/2016-29515.pdfhttps://www.federalregister.gov/documents/2016/12/12/2016-29515/tiered-pharmacy-copayments-for-medicationsThe Department of Veterans Affairs (VA) adopts as a final rule, with changes, a proposal to amend its regulations concerning copayments charged to certain veterans for medication required on an outpatient basis to treat nonservice-connected conditions. Prior to this final rule, VA charged non-exempt veterans either $8 or $9 for each 30-day or less supply of medication, and that amount may have changed in future years. This rulemaking replaces those rates and establishes three classes of medications for copayment purposes, identified as Tier 1, Tier 2, and Tier 3. These tiers are defined further in the rulemaking and are distinguished in part based on whether the medications are available from multiple sources or a single source, with some exceptions. Copayment amounts are fixed and would vary depending upon the class of medication. The following medication copayment amounts are applicable on the effective date of this final rule: $5 for a 30-day or less supply of a Tier 1 medication, $8 for a 30-day or less supply of a Tier 2 medication, and $11 for a 30-day or less supply of a Tier 3 medication. For non-exempt veterans these copayment amounts will result in lower out-of-pocket costs, thereby encouraging greater adherence to taking prescribed medications and reducing the risk of fragmented care that results when veterans use non-VA pharmacies to fill their prescriptions. The proposed rule was published on January 5, 2016 and the public comment period closed on March 7, 2016. We received nine comments and respond to these comments here.
2016-12-07RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentExtension of Pharmacy Copayments for MedicationsThe Department of Veterans Affairs (VA) amends its medical regulations concerning the copayment required for certain medications. This rulemaking freezes copayments at the current rate for veterans in priority groups 2 through 8 through February 26, 2017.2016-29337"https://www.gpo.gov/fdsys/pkg/FR-2016-12-07/pdf/2016-29337.pdfhttps://www.federalregister.gov/documents/2016/12/07/2016-29337/extension-of-pharmacy-copayments-for-medicationsThe Department of Veterans Affairs (VA) amends its medical regulations concerning the copayment required for certain medications. This rulemaking freezes copayments at the current rate for veterans in priority groups 2 through 8 through February 26, 2017.
2016-10-26Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentLoan Guaranty Vendee Loan FeesThis document proposes to amend the Department of Veterans Affairs (VA) Loan Guaranty Service (LGY) regulations to establish reasonable fees that VA may charge in connection with the origination and servicing of vendee loans made by VA. Fees proposed...2016-25738"https://www.gpo.gov/fdsys/pkg/FR-2016-10-26/pdf/2016-25738.pdfhttps://www.federalregister.gov/documents/2016/10/26/2016-25738/loan-guaranty-vendee-loan-feesThis document proposes to amend the Department of Veterans Affairs (VA) Loan Guaranty Service (LGY) regulations to establish reasonable fees that VA may charge in connection with the origination and servicing of vendee loans made by VA. Fees proposed in this rulemaking are consistent with those charged in the private mortgage industry, and such fees would help VA to ensure the sustainability of this vendee loan program. The loans that would be subject to the fees are not veterans' benefits. This rule would also ensure that all direct and vendee loans made by the Secretary are safe harbor qualified mortgages.
2016-10-18Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentVeterans' Mortgage Life Insurance-Coverage AmendmentThe Department of Veterans Affairs (VA) proposes to amend its regulations governing the Veterans' Mortgage Life Insurance (VMLI) program in order to provide VMLI-eligible individuals the option to lower their premiums by purchasing less than the...2016-25025"https://www.gpo.gov/fdsys/pkg/FR-2016-10-18/pdf/2016-25025.pdfhttps://www.federalregister.gov/documents/2016/10/18/2016-25025/veterans-mortgage-life-insurance-coverage-amendmentThe Department of Veterans Affairs (VA) proposes to amend its regulations governing the Veterans' Mortgage Life Insurance (VMLI) program in order to provide VMLI-eligible individuals the option to lower their premiums by purchasing less than the minimum coverage amount required under current VA regulations. The proposed rule would also amend current VA regulations to reflect that the statutory maximum amount of coverage available under the VMLI program was previously increased to $200,000, to define the term ``eligible individual,'' and to clarify that eligibility for VMLI coverage has been extended to include servicemembers as well as veterans. These additional amendments are necessary to conform the existing regulations to current statutory provisions.
2016-10-17RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentExtension of the Presumptive Period for Compensation for Gulf War VeteransThe Department of Veterans Affairs (VA) is issuing this interim final rule to amend its adjudication regulations regarding compensation for disabilities resulting from undiagnosed illnesses suffered by veterans who served in the Persian Gulf War. This...2016-25017"https://www.gpo.gov/fdsys/pkg/FR-2016-10-17/pdf/2016-25017.pdfhttps://www.federalregister.gov/documents/2016/10/17/2016-25017/extension-of-the-presumptive-period-for-compensation-for-gulf-war-veteransThe Department of Veterans Affairs (VA) is issuing this interim final rule to amend its adjudication regulations regarding compensation for disabilities resulting from undiagnosed illnesses suffered by veterans who served in the Persian Gulf War. This amendment is necessary to extend the presumptive period for qualifying chronic disabilities resulting from undiagnosed illnesses that must become manifest to a compensable degree in order that entitlement for compensation be established. The intended effect of this amendment is to provide consistency in VA adjudication policy and preserve certain rights afforded to Persian Gulf War veterans and ensure fairness for current and future Persian Gulf War veterans.
2016-09-29RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentRepayment by VA of Educational Loans for Certain PsychiatristsThe Department of Veterans Affairs (VA) is adding to its medical regulations a program for the repayment of educational loans for certain psychiatrists who agree to a period of obligated service with VA. This program is intended to increase the pool of...2016-23360"https://www.gpo.gov/fdsys/pkg/FR-2016-09-29/pdf/2016-23360.pdfhttps://www.federalregister.gov/documents/2016/09/29/2016-23360/repayment-by-va-of-educational-loans-for-certain-psychiatristsThe Department of Veterans Affairs (VA) is adding to its medical regulations a program for the repayment of educational loans for certain psychiatrists who agree to a period of obligated service with VA. This program is intended to increase the pool of qualified VA psychiatrists and increase veterans' access to mental health care.
2016-09-23RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentFederal Civil Penalties Adjustment Act AmendmentsThe Federal Civil Monetary Penalties Act of 1990, as amended by the Federal Civil Penalties Inflation Adjustment Act Improvements Act of 2015, sets forth a formula increasing the maximum statutory amounts for civil monetary penalties and requires...2016-22732"https://www.gpo.gov/fdsys/pkg/FR-2016-09-23/pdf/2016-22732.pdfhttps://www.federalregister.gov/documents/2016/09/23/2016-22732/federal-civil-penalties-adjustment-act-amendmentsThe Federal Civil Monetary Penalties Act of 1990, as amended by the Federal Civil Penalties Inflation Adjustment Act Improvements Act of 2015, sets forth a formula increasing the maximum statutory amounts for civil monetary penalties and requires federal agencies to give notice of the new maximum amounts by regulation. This final rule of the Department of Veterans Affairs (VA) adopts without change VA's interim final rule, which increased maximum civil monetary penalties from $10,000 to $21,563 for false loan guaranty certifications and from $5,500 to $10,781 for fraudulent claims or fraudulent statements in any VA program.
2016-09-22Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentAuthority To Solicit Gifts and Donations; WithdrawalThe Department of Veterans Affairs (VA) is withdrawing VA's proposed rulemaking, published on July 11, 2016, to amend its regulation giving the Under Secretary of Memorial Affairs (USMA), or his designee, authority to solicit gifts and donations. VA...2016-22833"https://www.gpo.gov/fdsys/pkg/FR-2016-09-22/pdf/2016-22833.pdfhttps://www.federalregister.gov/documents/2016/09/22/2016-22833/authority-to-solicit-gifts-and-donations-withdrawalThe Department of Veterans Affairs (VA) is withdrawing VA's proposed rulemaking, published on July 11, 2016, to amend its regulation giving the Under Secretary of Memorial Affairs (USMA), or his designee, authority to solicit gifts and donations. VA received two supportive comments and no adverse comments concerning the proposed rule and its companion substantially identical direct final rule published in the Federal Register on the same date. Accordingly, this document withdraws as unnecessary the proposed rule.
2016-09-22RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentAuthority To Solicit Gifts and DonationsOn July 11, 2016, the Department of Veterans Affairs (VA) published a direct final rule amending its regulation that governs soliciting contributions from the public by officials and employees of NCA, or authorizing the use of officials' or employees'...2016-22834"https://www.gpo.gov/fdsys/pkg/FR-2016-09-22/pdf/2016-22834.pdfhttps://www.federalregister.gov/documents/2016/09/22/2016-22834/authority-to-solicit-gifts-and-donationsOn July 11, 2016, the Department of Veterans Affairs (VA) published a direct final rule amending its regulation that governs soliciting contributions from the public by officials and employees of NCA, or authorizing the use of officials' or employees' names, name of the Secretary, or the name of VA for the purpose of making a gift or donation to VA. VA received two supportive comments and no adverse comments concerning the direct final rule and its companion substantially identical proposed rule published in the Federal Register on the same date. This document confirms that the direct final rule became effective on September 9, 2016. In a companion document in this issue of the Federal Register, we are withdrawing as unnecessary the proposed rule.
2016-09-12RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentTelephone Enrollment in the VA Healthcare SystemThe Department of Veterans Affairs (VA) adopts as final, without change, an interim final rule amending its medical regulations. Specifically, this rule allows veterans to complete applications for health care enrollment by providing application...2016-21830"https://www.gpo.gov/fdsys/pkg/FR-2016-09-12/pdf/2016-21830.pdfhttps://www.federalregister.gov/documents/2016/09/12/2016-21830/telephone-enrollment-in-the-va-healthcare-systemThe Department of Veterans Affairs (VA) adopts as final, without change, an interim final rule amending its medical regulations. Specifically, this rule allows veterans to complete applications for health care enrollment by providing application information, agreeing to VA's provisions regarding copayment liability and assignment of third-party insurance benefits, and attesting to the accuracy and authenticity of the information provided to a VA employee over the phone. This action makes it easier for veterans to apply to enroll and speeds VA processing of applications.
2016-09-09Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentDiseases Associated With Exposure to Contaminants in the Water Supply at Camp LejeuneThe Department of Veterans Affairs (VA) proposes to amend its adjudication regulations relating to presumptive service connection to add certain diseases associated with contaminants present in the base water supply at U.S. Marine Corps Base Camp...2016-21455"https://www.gpo.gov/fdsys/pkg/FR-2016-09-09/pdf/2016-21455.pdfhttps://www.federalregister.gov/documents/2016/09/09/2016-21455/diseases-associated-with-exposure-to-contaminants-in-the-water-supply-at-camp-lejeuneThe Department of Veterans Affairs (VA) proposes to amend its adjudication regulations relating to presumptive service connection to add certain diseases associated with contaminants present in the base water supply at U.S. Marine Corps Base Camp Lejeune (Camp Lejeune), North Carolina, from August 1, 1953 to December 31, 1987. The chemical compounds involved have been associated by various scientific organizations with the development of certain diseases. This proposed rule would establish that veterans, former reservists, and former National Guard members, who served at Camp Lejeune for no less than 30 days (consecutive or nonconsecutive) during this period, and who have been diagnosed with any of eight associated diseases, are presumed to have a service-connected disability for purposes of entitlement to VA benefits. In addition, VA proposes to establish a presumption that these individuals were disabled during the relevant period of service, thus establishing active military service for benefit purposes. Under this proposed presumption, affected former reservists and National Guard members would have veteran status for purposes of entitlement to some VA benefits. This proposed amendment would implement a decision by the Secretary of Veterans Affairs that service connection on a presumptive basis is warranted for claimants who served at Camp Lejeune during the relevant period and for the requisite amount of time and later develop certain diseases. The Secretary's decision is supported by the conclusions of internationally recognized scientific authorities that strong evidence exists establishing a relationship between exposure to certain volatile organic compounds (VOCs) that were in the water at Camp Lejeune and later development of certain disabilities.
2016-08-29RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentLoan Guaranty: Delegation of AuthorityThis document amends the Department of Veterans Affairs (VA) loan guaranty regulations to correct an oversight in the delegation of authority to exercise the powers and functions of the Secretary with respect to the guaranty or insurance of loans and...2016-20499"https://www.gpo.gov/fdsys/pkg/FR-2016-08-29/pdf/2016-20499.pdfhttps://www.federalregister.gov/documents/2016/08/29/2016-20499/loan-guaranty-delegation-of-authorityThis document amends the Department of Veterans Affairs (VA) loan guaranty regulations to correct an oversight in the delegation of authority to exercise the powers and functions of the Secretary with respect to the guaranty or insurance of loans and the rights and liabilities arising therefrom. This document also incorporates into regulatory form delegatory authority already granted certain VA loan guaranty officials to administer and manage properties acquired by VA.
2016-08-12Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentSchedule for Rating Disabilities; Skin ConditionsThe Department of Veterans Affairs (VA) proposes to amend the portion of the VA Schedule for Rating Disabilities (VASRD or Rating Schedule) that addresses skin conditions. The purpose of these changes is to incorporate medical advances that have...2016-18695"https://www.gpo.gov/fdsys/pkg/FR-2016-08-12/pdf/2016-18695.pdfhttps://www.federalregister.gov/documents/2016/08/12/2016-18695/schedule-for-rating-disabilities-skin-conditionsThe Department of Veterans Affairs (VA) proposes to amend the portion of the VA Schedule for Rating Disabilities (VASRD or Rating Schedule) that addresses skin conditions. The purpose of these changes is to incorporate medical advances that have occurred since the last review, update current medical terminology, and provide clear evaluation criteria. The proposed rule reflects advances in medical knowledge, recommendations from the Skin Disorders Work Group, which is comprised of subject matter experts from both the Veterans Benefits Administration and the Veterans Health Administration, and comments from experts and the public gathered as part of a public forum. The public forum, focusing on revisions to the skin conditions section of the VASRD, was held in January 2012.
2016-08-10RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentVeterans Employment Pay for Success Grant ProgramThe Department of Veterans Affairs (VA) is establishing a grant program (Veterans Employment Pay for Success (VEPFS)) under the authority of the U.S.C. to award grants to eligible entities to fund projects that are successful in accomplishing...2016-18721"https://www.gpo.gov/fdsys/pkg/FR-2016-08-10/pdf/2016-18721.pdfhttps://www.federalregister.gov/documents/2016/08/10/2016-18721/veterans-employment-pay-for-success-grant-programThe Department of Veterans Affairs (VA) is establishing a grant program (Veterans Employment Pay for Success (VEPFS)) under the authority of the U.S.C. to award grants to eligible entities to fund projects that are successful in accomplishing employment rehabilitation for Veterans with service-connected disabilities. VA will award grants on the basis of an eligible entity's proposed use of a Pay for Success (PFS) strategy to achieve goals. This interim final rule establishes regulations for awarding a VEPFS grant, including the general process for awarding the grant, criteria and parameters for evaluating grant applications, priorities related to the award of a grant, and general requirements and guidance for administering a VEPFS grant program.
2016-08-05Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentRelease of VA Records Relating to HIVThe Department of Veterans Affairs (VA) proposes to amend its medical regulations governing the release of VA medical records. Specifically, VA proposes to eliminate the restriction on protecting a negative test result for the human immunodeficiency...2016-18660"https://www.gpo.gov/fdsys/pkg/FR-2016-08-05/pdf/2016-18660.pdfhttps://www.federalregister.gov/documents/2016/08/05/2016-18660/release-of-va-records-relating-to-hivThe Department of Veterans Affairs (VA) proposes to amend its medical regulations governing the release of VA medical records. Specifically, VA proposes to eliminate the restriction on protecting a negative test result for the human immunodeficiency virus (HIV). HIV testing is a common practice today in healthcare and the stigma of testing that may have been seen in the 1980s when HIV was first discovered is no longer prevalent. Continuing to protect negative HIV tests causes delays and an unnecessary burden to veterans when VA tries to share electronic medical information with the veterans' outside providers for their treatment through health information exchange efforts. For this same reason, VA would also eliminate negative test results of sickle cell anemia as protected medical information. This proposed rule would eliminate the current barriers to electronic medical information exchange.
2016-07-27Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentSupportive Services for Veteran Families ProgramThe Department of Veterans Affairs (VA) proposes to amend its regulations that govern the Supportive Services for Veteran Families (SSVF) Program. This rulemaking would clarify VA's procedures for continuing to fund SSVF Program services in communities...2016-17624"https://www.gpo.gov/fdsys/pkg/FR-2016-07-27/pdf/2016-17624.pdfhttps://www.federalregister.gov/documents/2016/07/27/2016-17624/supportive-services-for-veteran-families-programThe Department of Veterans Affairs (VA) proposes to amend its regulations that govern the Supportive Services for Veteran Families (SSVF) Program. This rulemaking would clarify VA's procedures for continuing to fund SSVF Program services in communities that have lost grants due to the non-renewal or termination of services of an existing award to a grantee by awarding non-renewed or deobligated funds to other existing SSVF grantees in or near the affected community. This award of non-renewed or deobligated funds would prevent potential access issues associated with grant termination. This rulemaking would also reduce the number of satisfaction surveys grantees are required to provide to participants in order to reduce the burden on grantees and participants.
2016-07-20Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentRecognition of Tribal Organizations for Representation of VA ClaimantsThe Department of Veterans Affairs (VA) is proposing to amend its regulations concerning recognition of certain national, State, and regional or local organizations for purposes of VA claims representation. Specifically, this rulemaking would allow the...2016-17052"https://www.gpo.gov/fdsys/pkg/FR-2016-07-20/pdf/2016-17052.pdfhttps://www.federalregister.gov/documents/2016/07/20/2016-17052/recognition-of-tribal-organizations-for-representation-of-va-claimantsThe Department of Veterans Affairs (VA) is proposing to amend its regulations concerning recognition of certain national, State, and regional or local organizations for purposes of VA claims representation. Specifically, this rulemaking would allow the Secretary of Veterans Affairs to recognize tribal organizations in a similar manner as the Secretary recognizes State organizations. The proposed rule would allow a tribal organization that is established and funded by one or more tribal governments to be recognized for the purpose of providing assistance on VA benefit claims. In addition, the proposed rule would allow an employee of a tribal government to become accredited through a recognized State organization in a similar manner as a County Veterans' Service Officer (CVSO) may become accredited through a recognized State organization. The intended effect of this proposed rule is to improve access of Native American veterans to VA-recognized organizations and VA- accredited individuals who may assist them on their benefit claims.
2016-07-18RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentHospital Care and Medical Services for Camp Lejeune VeteransThis document amends Department of Veterans Affairs (VA) regulations to reflect a statutory mandate that VA provide health care to certain veterans who served at Camp Lejeune, North Carolina, for at least 30 days during the period beginning on August...2016-16917"https://www.gpo.gov/fdsys/pkg/FR-2016-07-18/pdf/2016-16917.pdfhttps://www.federalregister.gov/documents/2016/07/18/2016-16917/hospital-care-and-medical-services-for-camp-lejeune-veteransThis document amends Department of Veterans Affairs (VA) regulations to reflect a statutory mandate that VA provide health care to certain veterans who served at Camp Lejeune, North Carolina, for at least 30 days during the period beginning on August 1, 1953, and ending on December 31, 1956. The law requires VA to furnish hospital care and medical services for these veterans for certain illnesses and conditions that may be attributed to exposure to toxins in the water system at Camp Lejeune. This rule does not address the statutory provision requiring VA to provide health care to these veterans' family members; regulations applicable to such family members will be promulgated through a separate final rule.
2016-07-18RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentPrescriptions in Alaska and U.S. Territories and PossessionsThe Department of Veterans Affairs (VA) is removing its medical regulation that governs medications provided in Alaska and territories and possessions of the United States because this regulation is otherwise subsumed by another VA medical regulation...2016-16908"https://www.gpo.gov/fdsys/pkg/FR-2016-07-18/pdf/2016-16908.pdfhttps://www.federalregister.gov/documents/2016/07/18/2016-16908/prescriptions-in-alaska-and-us-territories-and-possessionsThe Department of Veterans Affairs (VA) is removing its medical regulation that governs medications provided in Alaska and territories and possessions of the United States because this regulation is otherwise subsumed by another VA medical regulation related to provision of medications that are prescribed by non-VA providers.
2016-07-11RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentAuthority To Solicit Gifts and DonationsThe Department of Veterans Affairs (VA) amends its National Cemeteries regulation on the prohibition of officials and employees of VA from soliciting contributions from the public or authorizing the use of their names, name of the Secretary, or the...2016-16234"https://www.gpo.gov/fdsys/pkg/FR-2016-07-11/pdf/2016-16234.pdfhttps://www.federalregister.gov/documents/2016/07/11/2016-16234/authority-to-solicit-gifts-and-donationsThe Department of Veterans Affairs (VA) amends its National Cemeteries regulation on the prohibition of officials and employees of VA from soliciting contributions from the public or authorizing the use of their names, name of the Secretary, or the name of VA for the purpose of making a gift or donation to VA. The amended regulation gives the Under Secretary of Memorial Affairs (USMA), or his designee, authority to solicit gifts and donations, which include monetary donations, in-kind goods and services, and personal property, or authorize the use of their names, the name of the Secretary, or the name of VA by an individual or organization in any campaign or drive for donation of money or articles to VA for the purpose of beautifying, or for the benefit of, one or more national cemeteries.
2016-07-11Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentAuthority To Solicit Gifts and DonationsThe Department of Veterans Affairs (VA) is proposing to amend its National Cemeteries regulation on the prohibition of officials and employees of VA from soliciting contributions from the public or authorizing the use of their names, name of the...2016-16232"https://www.gpo.gov/fdsys/pkg/FR-2016-07-11/pdf/2016-16232.pdfhttps://www.federalregister.gov/documents/2016/07/11/2016-16232/authority-to-solicit-gifts-and-donationsThe Department of Veterans Affairs (VA) is proposing to amend its National Cemeteries regulation on the prohibition of officials and employees of VA from soliciting contributions from the public or authorizing the use of their names, name of the Secretary, or the name of VA for the purpose of making a gift or donation to VA. The amended regulation would give the Under Secretary of Memorial Affairs (USMA), or his designee, authority to solicit gifts and donations, which include monetary donations, in-kind goods and services, and personal property, or authorize the use of their names, the name of the Secretary, or the name of VA by an individual or organization in any campaign or drive for donation of money or articles to VA for the purpose of beautifying, or for the benefit of, one or more national cemeteries.
2016-06-22RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentFederal Civil Penalties Adjustment Act AmendmentsThe Federal Civil Monetary Penalties Act of 1990, as amended by the Federal Civil Penalties Inflation Adjustment Act Improvements Act of 2015, sets forth a formula increasing the maximum statutory amounts for civil monetary penalties and requires...2016-14592"https://www.gpo.gov/fdsys/pkg/FR-2016-06-22/pdf/2016-14592.pdfhttps://www.federalregister.gov/documents/2016/06/22/2016-14592/federal-civil-penalties-adjustment-act-amendmentsThe Federal Civil Monetary Penalties Act of 1990, as amended by the Federal Civil Penalties Inflation Adjustment Act Improvements Act of 2015, sets forth a formula increasing the maximum statutory amounts for civil monetary penalties and requires federal agencies to give notice of the new maximum amounts by regulation. Accordingly, this document gives notice that the Department of Veterans Affairs (VA) is increasing maximum civil monetary penalties from $10,000 to $21,563 for false loan guaranty certifications and from $5,500 to $10,781 for fraudulent claims or fraudulent statements in any VA program.
2016-05-25Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentAdvanced Practice Registered NursesThe Department of Veterans Affairs (VA) is proposing to amend its medical regulations to permit full practice authority of all VA advanced practice registered nurses (APRNs) when they are acting within the scope of their VA employment. This rulemaking...2016-12338"https://www.gpo.gov/fdsys/pkg/FR-2016-05-25/pdf/2016-12338.pdfhttps://www.federalregister.gov/documents/2016/05/25/2016-12338/advanced-practice-registered-nursesThe Department of Veterans Affairs (VA) is proposing to amend its medical regulations to permit full practice authority of all VA advanced practice registered nurses (APRNs) when they are acting within the scope of their VA employment. This rulemaking would increase veterans' access to VA health care by expanding the pool of qualified health care professionals who are authorized to provide primary health care and other related health care services to the full extent of their education, training, and certification, without the clinical supervision of physicians. This rule would permit VA to use its health care resources more effectively and in a manner that is consistent with the role of APRNs in the non-VA health care sector, while maintaining the patient-centered, safe, high-quality health care that veterans receive from VA. The proposed rulemaking would establish additional professional qualifications an individual must possess to be appointed as an APRN within VA. The proposed rulemaking would subdivide APRN's into four separate categories that include certified nurse practitioner, certified registered nurse anesthetist, clinical nurse specialist, and certified nurse-midwife. The proposed rulemaking would also provide the criteria under which VA may grant full practice authority to an APRN, and define the scope of full practice authority for each category of APRN. VA intends that the services to be provided by an APRN in one of the four APRN roles would be consistent with the nursing profession's standards of practice for such roles.
2016-05-24RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentMailing Address of the Board of Veterans' AppealsThe Department of Veterans Affairs (VA) is amending its regulations on representation of claimants and the Rules of Practice of the Board of Veterans' Appeals (Board) to update the Board's mailing address and titles of certain individuals and offices...2016-12111"https://www.gpo.gov/fdsys/pkg/FR-2016-05-24/pdf/2016-12111.pdfhttps://www.federalregister.gov/documents/2016/05/24/2016-12111/mailing-address-of-the-board-of-veterans-appealsThe Department of Veterans Affairs (VA) is amending its regulations on representation of claimants and the Rules of Practice of the Board of Veterans' Appeals (Board) to update the Board's mailing address and titles of certain individuals and offices at the Board to whom mail is addressed. These amendments are necessary because of a mailing address change and to ensure that correct titles of certain individuals and offices at the Board are reflected in the regulations.
2016-05-02RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentTechnical Corrections-VA Vocational Rehabilitation and Employment Nomenclature Change for Position TitleThe Department of Veterans Affairs is amending its regulations by making nonsubstantive changes to ensure consistency within its regulations regarding a nomenclature change in the title of a Vocational Rehabilitation and Employment position.2016-10112"https://www.gpo.gov/fdsys/pkg/FR-2016-05-02/pdf/2016-10112.pdfhttps://www.federalregister.gov/documents/2016/05/02/2016-10112/technical-corrections-va-vocational-rehabilitation-and-employment-nomenclature-change-for-positionThe Department of Veterans Affairs is amending its regulations by making nonsubstantive changes to ensure consistency within its regulations regarding a nomenclature change in the title of a Vocational Rehabilitation and Employment position.
2016-04-25RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentExpanded Access to Non-VA Care Through the Veterans Choice Program; CorrectionThe Department of Veterans Affairs published in the Federal Register of December 1, 2015, a document amending its medical regulations that implement section 101 of the Veterans Access, Choice, and Accountability Act of 2014. In that rule, two...2016-09475"https://www.gpo.gov/fdsys/pkg/FR-2016-04-25/pdf/2016-09475.pdfhttps://www.federalregister.gov/documents/2016/04/25/2016-09475/expanded-access-to-non-va-care-through-the-veterans-choice-program-correctionThe Department of Veterans Affairs published in the Federal Register of December 1, 2015, a document amending its medical regulations that implement section 101 of the Veterans Access, Choice, and Accountability Act of 2014. In that rule, two paragraphs were inadvertently removed. This document corrects that error.
2016-04-20Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentExtra-Schedular Evaluations for Individual DisabilitiesThe Department of Veterans Affairs (VA) proposes to amend its adjudication regulation pertaining to extra-schedular consideration of a service-connected disability in exceptional compensation cases. In a recent decision, the United States Court of...2016-08937"https://www.gpo.gov/fdsys/pkg/FR-2016-04-20/pdf/2016-08937.pdfhttps://www.federalregister.gov/documents/2016/04/20/2016-08937/extra-schedular-evaluations-for-individual-disabilitiesThe Department of Veterans Affairs (VA) proposes to amend its adjudication regulation pertaining to extra-schedular consideration of a service-connected disability in exceptional compensation cases. In a recent decision, the United States Court of Appeals for the Federal Circuit (Federal Circuit) held that VA's regulation, as written, requires VA to consider the combined effect of two or more service- connected disabilities when determining whether to refer a disability evaluation for extra-schedular consideration. VA, however, has long interpreted its regulation to provide an extra-schedular evaluation for a single disability, not the combined effect of two or more disabilities. This proposed amendment will clarify VA's regulation pertaining to exceptional compensation claims such that an extra- schedular evaluation is available only for an individual service- connected disability but not for the combined effect of more than one service-connected disability.
2016-04-12RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentServicemembers' Group Life Insurance and Veterans' Group Life Insurance-Slayer's Rule ExclusionThe Department of Veterans Affairs adopts as final, without change, the final rule seeking comments published on October 3, 2012, amending its regulations governing Servicemembers' Group Life Insurance (SGLI) and Veterans' Group Life Insurance (VGLI)....2016-08381"https://www.gpo.gov/fdsys/pkg/FR-2016-04-12/pdf/2016-08381.pdfhttps://www.federalregister.gov/documents/2016/04/12/2016-08381/servicemembers-group-life-insurance-and-veterans-group-life-insurance-slayers-rule-exclusionThe Department of Veterans Affairs adopts as final, without change, the final rule seeking comments published on October 3, 2012, amending its regulations governing Servicemembers' Group Life Insurance (SGLI) and Veterans' Group Life Insurance (VGLI). Specifically, this rule prohibits paying insurance proceeds because of the death of a person (decedent) whose life was insured under SGLI or VGLI, or paying a SGLI Traumatic Injury Protection (TSGLI) benefit to a person (slayer) convicted of intentionally and wrongfully killing the decedent or determined in a civil proceeding to intentionally and wrongfully killing the decedent. This prohibition of payment also applies to any family member of the slayer who is not related to the decedent and to any person who assisted the slayer in causing the death of the decedent. Additionally, the term ``domestic partner'' is removed from the definition of ``member of the family''.
2016-04-06RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentHealth Care for Certain Children of Vietnam Veterans and Certain Korea Veterans-Covered Birth Defects and Spina BifidaThis rule adopts as final a proposed rule of the Department of Veterans Affairs (VA) to amend its regulations concerning the provision of health care to birth children of Vietnam veterans and veterans of covered service in Korea diagnosed with spina...2016-07897"https://www.gpo.gov/fdsys/pkg/FR-2016-04-06/pdf/2016-07897.pdfhttps://www.federalregister.gov/documents/2016/04/06/2016-07897/health-care-for-certain-children-of-vietnam-veterans-and-certain-korea-veterans-covered-birthThis rule adopts as final a proposed rule of the Department of Veterans Affairs (VA) to amend its regulations concerning the provision of health care to birth children of Vietnam veterans and veterans of covered service in Korea diagnosed with spina bifida, except for spina bifida occulta, and certain other birth defects. In the proposed rule published on May 15, 2015, VA proposed changes to more clearly define the types of health care VA provides, including day health care and health-related services, which we defined as homemaker or home health aide services that provide assistance with Activities of Daily Living or Instrumental Activities of Daily Living that have therapeutic value. We also proposed changes to the list of health care services that require preauthorization by VA. This final rule addresses comments received from the public and adopts as final the proposed rule, without change.
2016-04-04RuleDEPARTMENT OF EDUCATIONEducation DepartmentFederal Agency Final Regulations Implementing Executive Order 13559: Fundamental Principles and Policymaking Criteria for Partnerships With Faith-Based and Other Neighborhood OrganizationsThe Agencies publishing this final rule amend or establish their regulations to implement Executive Order 13279, as amended by Executive Order 13559. Executive Order 13279 established fundamental principles to guide the policies of Federal agencies...2016-07339"https://www.gpo.gov/fdsys/pkg/FR-2016-04-04/pdf/2016-07339.pdfhttps://www.federalregister.gov/documents/2016/04/04/2016-07339/federal-agency-final-regulations-implementing-executive-order-13559-fundamental-principles-andThe Agencies publishing this final rule amend or establish their regulations to implement Executive Order 13279, as amended by Executive Order 13559. Executive Order 13279 established fundamental principles to guide the policies of Federal agencies regarding the participation of faith-based and other community organizations in programs that the Federal agencies administer. Executive Order 13559 amended Executive Order 13279 to clarify those principles and add certain protections for beneficiaries of Federal social service programs.
2016-03-16RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentTelephone Enrollment in the VA Healthcare SystemThis rulemaking amends VA's medical regulations to allow veterans to complete applications for health care enrollment by telephone by providing application information to a VA employee, agreeing to VA's provisions regarding copayment liability and...2016-05680"https://www.gpo.gov/fdsys/pkg/FR-2016-03-16/pdf/2016-05680.pdfhttps://www.federalregister.gov/documents/2016/03/16/2016-05680/telephone-enrollment-in-the-va-healthcare-systemThis rulemaking amends VA's medical regulations to allow veterans to complete applications for health care enrollment by telephone by providing application information to a VA employee, agreeing to VA's provisions regarding copayment liability and assignment of third-party insurance benefits, and attesting to the accuracy and authenticity of the information provided over the phone. This action will make it easier for veterans to apply to enroll and will speed VA processing of applications.
2016-03-10Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentRecognition of Tribal Organizations for Representation of VA ClaimantsThe Department of Veterans Affairs (VA) is considering issuing a proposed rulemaking to amend its regulations concerning recognition of certain national, State, and regional or local organizations for purposes of VA claims representation. Specifically,...2016-05163"https://www.gpo.gov/fdsys/pkg/FR-2016-03-10/pdf/2016-05163.pdfhttps://www.federalregister.gov/documents/2016/03/10/2016-05163/recognition-of-tribal-organizations-for-representation-of-va-claimantsThe Department of Veterans Affairs (VA) is considering issuing a proposed rulemaking to amend its regulations concerning recognition of certain national, State, and regional or local organizations for purposes of VA claims representation. Specifically, the proposed rulemaking would amend VA's regulations to expressly provide for the VA recognition of Tribal organizations so that representatives of Tribal organizations may assist Native American claimants in the preparation, presentation, and prosecution of their VA benefit claims. In addition, the proposed rule would allow an employee of a Tribal government to become accredited through a recognized State organization.
2016-03-02RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentVet CentersThe Department of Veterans Affairs (VA) adopts as final an interim final rule that amends its medical regulation that governs Vet Center services. The National Defense Authorization Act for Fiscal Year 2013 (the 2013 Act) requires Vet Centers to...2016-04552"https://www.gpo.gov/fdsys/pkg/FR-2016-03-02/pdf/2016-04552.pdfhttps://www.federalregister.gov/documents/2016/03/02/2016-04552/vet-centersThe Department of Veterans Affairs (VA) adopts as final an interim final rule that amends its medical regulation that governs Vet Center services. The National Defense Authorization Act for Fiscal Year 2013 (the 2013 Act) requires Vet Centers to provide readjustment counseling services to broader groups of veterans, members of the Armed Forces, including a member of a reserve component of the Armed Forces, and family members of such veterans and members. This final rule adopts as final the regulatory criteria to conform to the 2013 Act, to include new and revised definitions.
2016-03-02RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentApplicants for VA Memorialization BenefitsThe Department of Veterans Affairs (VA) amends its regulations defining who may apply for a headstone or marker. The rule expands the types of individuals who may request headstones and markers on behalf of decedents.2016-04553"https://www.gpo.gov/fdsys/pkg/FR-2016-03-02/pdf/2016-04553.pdfhttps://www.federalregister.gov/documents/2016/03/02/2016-04553/applicants-for-va-memorialization-benefitsThe Department of Veterans Affairs (VA) amends its regulations defining who may apply for a headstone or marker. The rule expands the types of individuals who may request headstones and markers on behalf of decedents.
2016-03-01RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentVeterans Transportation ServiceThis document adopts as a final rule, with changes, a Department of Veterans affairs (VA) proposed rule concerning VA's direct transportation of persons for the purposes of examination, treatment, and care. Section 202 of the Dignified Burial and Other...2016-04281"https://www.gpo.gov/fdsys/pkg/FR-2016-03-01/pdf/2016-04281.pdfhttps://www.federalregister.gov/documents/2016/03/01/2016-04281/veterans-transportation-serviceThis document adopts as a final rule, with changes, a Department of Veterans affairs (VA) proposed rule concerning VA's direct transportation of persons for the purposes of examination, treatment, and care. Section 202 of the Dignified Burial and Other Veterans' Benefits Improvement Act of 2012, as amended, authorized VA to carry out a program to transport any person to or from a VA facility or VA-authorized facility, for the purpose of examination, treatment, or care. VA is authorized to carry out this program until December 31, 2016. These regulations provide guidelines for veterans and the public regarding this program, hereafter referred to as the Veterans Transportation Service (VTS).
2016-02-08Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentPrescriptions in Alaska and U.S. Territories and PossessionsThe Department of Veterans Affairs (VA) is proposing to remove its medical regulation that governs medications provided in Alaska and territories and possessions of the United States because this regulation is otherwise subsumed by another VA medical...2016-02350"https://www.gpo.gov/fdsys/pkg/FR-2016-02-08/pdf/2016-02350.pdfhttps://www.federalregister.gov/documents/2016/02/08/2016-02350/prescriptions-in-alaska-and-us-territories-and-possessionsThe Department of Veterans Affairs (VA) is proposing to remove its medical regulation that governs medications provided in Alaska and territories and possessions of the United States because this regulation is otherwise subsumed by another VA medical regulation related to provision of medications that are prescribed by non-VA providers.
2016-01-26Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentFisher Houses and Other Temporary LodgingThe Department of Veterans Affairs (VA) proposes to amend its regulations concerning Fisher House and other temporary lodging furnished by VA while a veteran is experiencing an episode of care at a VA medical facility. Such lodging is generally...2016-01491"https://www.gpo.gov/fdsys/pkg/FR-2016-01-26/pdf/2016-01491.pdfhttps://www.federalregister.gov/documents/2016/01/26/2016-01491/fisher-houses-and-other-temporary-lodgingThe Department of Veterans Affairs (VA) proposes to amend its regulations concerning Fisher House and other temporary lodging furnished by VA while a veteran is experiencing an episode of care at a VA medical facility. Such lodging is generally furnished to veterans' relatives, close friends, and caregivers at no cost, because VA's experience has shown that veterans' treatment outcomes are improved by having loved ones nearby. The proposed rule updates current regulations and better describes the application process for this lodging. The proposed rule generally reflects current VA policy and practice.
2016-01-13RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentAutomobile or Other Conveyance and Adaptive Equipment Certificate of Eligibility for Veterans or Members of the Armed Forces With Amyotrophic Lateral Sclerosis Connected to Military ServiceThe Department of Veterans Affairs (VA) published an Interim Final Rule on February 25, 2015, to amend its adjudication regulations to provide a certificate of eligibility for financial assistance in the purchase of an automobile or other conveyance...2016-00490"https://www.gpo.gov/fdsys/pkg/FR-2016-01-13/pdf/2016-00490.pdfhttps://www.federalregister.gov/documents/2016/01/13/2016-00490/automobile-or-other-conveyance-and-adaptive-equipment-certificate-of-eligibility-for-veterans-orThe Department of Veterans Affairs (VA) published an Interim Final Rule on February 25, 2015, to amend its adjudication regulations to provide a certificate of eligibility for financial assistance in the purchase of an automobile or other conveyance and adaptive equipment for all veterans with service-connected amyotrophic lateral sclerosis (ALS) and servicemembers serving on active duty with ALS. The amendment authorized automatic issuance of a certificate of eligibility for financial assistance in the purchase of an automobile or other conveyance and adaptive equipment to all veterans with service- connected ALS and members of the Armed Forces serving on active duty with ALS. The intent of this final rule is to confirm the amendment made by the interim final rule without change.
2016-01-05Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentCopayments for Medications Beginning January 1, 2017The Department of Veterans Affairs (VA) proposes to amend its regulations concerning copayments charged to certain veterans for medication required on an outpatient basis to treat non-service connected conditions. VA currently charges non-exempt...2015-33052"https://www.gpo.gov/fdsys/pkg/FR-2016-01-05/pdf/2015-33052.pdfhttps://www.federalregister.gov/documents/2016/01/05/2015-33052/copayments-for-medications-beginning-january-1-2017The Department of Veterans Affairs (VA) proposes to amend its regulations concerning copayments charged to certain veterans for medication required on an outpatient basis to treat non-service connected conditions. VA currently charges non-exempt veterans either $8 or $9 for each 30-day or less supply of medication, and under current regulations, a calculation based on the prescription drug component of the Medical Consumer Price Index would be used to determine the copayment amount in future years. This rulemaking would eliminate the formula used to calculate future rate increases and establish three classes of medications, identified as Tier 1, Tier 2, and Tier 3. These tiers would be defined further in the rulemaking and would be distinguished in part based on whether the medications are available from multiple sources or a single source, with some exceptions. Copayment amounts would be fixed and would vary depending upon the class of medication. The following copayment amounts would be effective January 1, 2017: $5 for a 30-day or less supply of a Tier 1 medication, $8 for a 30-day or less supply of a Tier 2 medication, and $11 for a 30-day or less supply of a Tier 3 medication. For most veterans these copayment amounts would result in lower out-of-pocket costs, thereby encouraging greater adherence to prescribed medications and reducing the risk of fragmented care that results when veterans use multiple pharmacies to fill their prescriptions.
2015-12-29RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentRemoval of Requirement To File Direct-Pay Fee Agreements With the Office of the General CounselThe Department of Veterans Affairs (VA) is amending its regulations concerning the payment of fees for representation by agents and attorneys in proceedings before VA. Specifically, this rule removes the requirement that an agent or attorney file a...2015-32687"https://www.gpo.gov/fdsys/pkg/FR-2015-12-29/pdf/2015-32687.pdfhttps://www.federalregister.gov/documents/2015/12/29/2015-32687/removal-of-requirement-to-file-direct-pay-fee-agreements-with-the-office-of-the-general-counselThe Department of Veterans Affairs (VA) is amending its regulations concerning the payment of fees for representation by agents and attorneys in proceedings before VA. Specifically, this rule removes the requirement that an agent or attorney file a direct-pay fee agreement with both the VA Office of the General Counsel and the agency of original jurisdiction. The intended effect of this final rule is to require that direct-pay fee agreements be submitted only to the agency of original jurisdiction, thereby eliminating duplicate filings by agents and attorneys.
2015-12-22RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentPayment of Emergency Medication by VAThe Department of Veterans Affairs (VA) is amending its medical regulations that govern reimbursement of emergency treatment provided by non-VA medical care providers. VA is clarifying its regulations insofar as it involves the reimbursement of...2015-32098"https://www.gpo.gov/fdsys/pkg/FR-2015-12-22/pdf/2015-32098.pdfhttps://www.federalregister.gov/documents/2015/12/22/2015-32098/payment-of-emergency-medication-by-vaThe Department of Veterans Affairs (VA) is amending its medical regulations that govern reimbursement of emergency treatment provided by non-VA medical care providers. VA is clarifying its regulations insofar as it involves the reimbursement of medications prescribed or provided to the veteran during the episode of non-VA emergency treatment.
2015-12-01RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentExpanded Access to Non-VA Care Through the Veterans Choice ProgramThe Department of Veterans Affairs (VA) revises its medical regulations that implement section 101 of the Veterans Access, Choice, and Accountability Act of 2014 (hereafter referred to as ``the Choice Act''), which requires VA to establish a program to...2015-29865"https://www.gpo.gov/fdsys/pkg/FR-2015-12-01/pdf/2015-29865.pdfhttps://www.federalregister.gov/documents/2015/12/01/2015-29865/expanded-access-to-non-va-care-through-the-veterans-choice-programThe Department of Veterans Affairs (VA) revises its medical regulations that implement section 101 of the Veterans Access, Choice, and Accountability Act of 2014 (hereafter referred to as ``the Choice Act''), which requires VA to establish a program to furnish hospital care and medical services through eligible non-VA health care providers to eligible veterans who either cannot be seen within the wait-time goals of the Veterans Health Administration (VHA) or who qualify based on their place of residence (hereafter referred to as the ``Veterans Choice Program'' or the ``Program''). These regulatory revisions are required by the most recent amendments to the Choice Act made by the Construction Authorization and Choice Improvement Act of 2014, and by the Surface Transportation and Veterans Health Care Choice Improvement Act of 2015. The Construction Authorization and Choice Improvement Act of 2014 amended the Choice Act to define additional criteria that VA may use to determine that a veteran's travel to a VA medical facility is an ``unusual or excessive burden,'' and the Surface Transportation and Veterans Health Care Choice Improvement Act of 2015 amended the Choice Act to cover all veterans enrolled in the VA health care system, remove the 60-day limit on an episode of care, modify the wait-time and 40-mile distance eligibility criteria, and expand provider eligibility based on criteria as determined by VA. This interim final rule revises VA regulations consistent with the changes made to the Choice Act as described above.
2015-12-01RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentUniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; Updating ReferencesThis rule adopts as final, without change, interim final rule amending the Department of Veterans Affairs (VA) regulations governing Office of Management and Budget (OMB) citations and references for federal grant programs. This amendment is necessary...2015-30346"https://www.gpo.gov/fdsys/pkg/FR-2015-12-01/pdf/2015-30346.pdfhttps://www.federalregister.gov/documents/2015/12/01/2015-30346/uniform-administrative-requirements-cost-principles-and-audit-requirements-for-federal-awardsThis rule adopts as final, without change, interim final rule amending the Department of Veterans Affairs (VA) regulations governing Office of Management and Budget (OMB) citations and references for federal grant programs. This amendment is necessary to replace obsolete OMB references in VA regulations.
2015-11-25Proposed RuleDEPARTMENT OF HOMELAND SECURITYHomeland Security DepartmentFederal Policy for the Protection of Human SubjectsThe Department of Health and Human Services and the other Federal Departments and Agencies listed in this document are extending the comment period on the Federal Policy for the Protection of Human Subjects notice of proposed rulemaking. The NPRM...2015-30122"https://www.gpo.gov/fdsys/pkg/FR-2015-11-25/pdf/2015-30122.pdfhttps://www.federalregister.gov/documents/2015/11/25/2015-30122/federal-policy-for-the-protection-of-human-subjectsThe Department of Health and Human Services and the other Federal Departments and Agencies listed in this document are extending the comment period on the Federal Policy for the Protection of Human Subjects notice of proposed rulemaking. The NPRM requests comment on proposed revisions to modernize, strengthen, and make more effective the Federal Policy for the Protection of Human Subjects that was promulgated as a Common Rule in 1991. The NPRM was published in the Federal Register on September 8, 2015.
2015-11-12Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentEnsuring a Safe Environment for Community Residential Care ResidentsThis document proposes to amend the Department of Veterans Affairs (VA) regulations governing the approval of a community residential care facility (CRC). We would prohibit a CRC from employing an individual who has been convicted in a court of law of...2015-28749"https://www.gpo.gov/fdsys/pkg/FR-2015-11-12/pdf/2015-28749.pdfhttps://www.federalregister.gov/documents/2015/11/12/2015-28749/ensuring-a-safe-environment-for-community-residential-care-residentsThis document proposes to amend the Department of Veterans Affairs (VA) regulations governing the approval of a community residential care facility (CRC). We would prohibit a CRC from employing an individual who has been convicted in a court of law of certain listed crimes against a person or property, or has had a finding entered into an applicable state registry or with the applicable licensing authority concerning abuse, neglect, mistreatment of individuals or misappropriation of property. VA also proposes to require CRCs to develop and implement written policies and procedures that prohibit mistreatment, neglect, and abuse of residents and misappropriation of resident property. The proposed rule would also require CRCs to report and investigate any allegations of abuse or mistreatment. In addition, the proposed rule would require the CRC to screen and monitor individuals who are not CRC residents, but have direct access to a veteran living in a CRC. The revisions would improve the safety and help prevent the neglect or abuse of veteran residents in CRCs. In addition, we propose to amend the rule regarding the maximum number of beds allowed in a resident's bedroom.
2015-11-06Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentVA Veteran-Owned Small Business (VOSB) Verification GuidelinesThe Department of Veterans Affairs (VA) is proposing to amend its regulations governing the VA Veteran-Owned Small Business (VOSB) Verification Program. VA seeks to find an appropriate balance between preventing fraud in the Veterans First Contracting...2015-28256"https://www.gpo.gov/fdsys/pkg/FR-2015-11-06/pdf/2015-28256.pdfhttps://www.federalregister.gov/documents/2015/11/06/2015-28256/va-veteran-owned-small-business-vosb-verification-guidelinesThe Department of Veterans Affairs (VA) is proposing to amend its regulations governing the VA Veteran-Owned Small Business (VOSB) Verification Program. VA seeks to find an appropriate balance between preventing fraud in the Veterans First Contracting Program and providing a process that would make it easier for more VOSBs to become verified. The Verification Program has been the subject of reports from both the Government Accountability Office (GAO) and VA's Office of Inspector General stating that despite VA's Verification Program, fraud still exists in the Veterans First Contracting Program. Some stakeholder feedback has been that the current regulations at 38 CFR part 74 are too open to interpretation and are unnecessarily more rigorous than similar certification programs run by the Small Business Administration (SBA). This proposed rule would clarify the eligibility requirements for businesses to obtain ``verified'' status, add and revise definitions, reorder requirements, redefine the definition of ``control'', and explain examination procedure and review processes. This proposed rule would additionally implement new changes--references to community property restrictions, ``unconditional'' ownership, day- to-day requirements, and full-time requirements would be removed or revised and limited in scope; an exception for majority, supermajority, unanimous, or other voting provisions for extraordinary business decisions would be added.
2015-11-05RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentExempting Mental Health Peer Support Services From CopaymentsThe Department of Veterans Affairs (VA) published a direct final rule amending its regulation that governs VA services that are not subject to copayment requirements for inpatient hospital care or outpatient medical care. Specifically, the regulation...2015-28259"https://www.gpo.gov/fdsys/pkg/FR-2015-11-05/pdf/2015-28259.pdfhttps://www.federalregister.gov/documents/2015/11/05/2015-28259/exempting-mental-health-peer-support-services-from-copaymentsThe Department of Veterans Affairs (VA) published a direct final rule amending its regulation that governs VA services that are not subject to copayment requirements for inpatient hospital care or outpatient medical care. Specifically, the regulation is amended to exempt mental health peer support services from having any required copayment. VA received no adverse comments concerning the direct final rule or its companion substantially identical proposed rule published in the Federal Register on the same date. This document confirms that the direct final rule became effective on January 27, 2015. In a companion document in this issue of the Federal Register, we are withdrawing as unnecessary the proposed rule.
2015-11-05Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentExempting Mental Health Peer Support Services From CopaymentsThe Department of Veterans Affairs (VA) is withdrawing VA's proposed rulemaking, published in the Federal Register on November 28, 2014, to amend its regulation that governs VA services that are not subject to copayment requirements for inpatient...2015-28255"https://www.gpo.gov/fdsys/pkg/FR-2015-11-05/pdf/2015-28255.pdfhttps://www.federalregister.gov/documents/2015/11/05/2015-28255/exempting-mental-health-peer-support-services-from-copaymentsThe Department of Veterans Affairs (VA) is withdrawing VA's proposed rulemaking, published in the Federal Register on November 28, 2014, to amend its regulation that governs VA services that are not subject to copayment requirements for inpatient hospital care or outpatient medical care. Specifically, the proposed rule would have amended the regulation to exempt mental health peer support services from having any required copayment. VA received no adverse comments concerning the proposed rule or its companion substantially identical direct final rule published in the Federal Register on the same date. In a companion document in this issue of the Federal Register, we are confirming that the direct final rule became effective on January 27, 2015. Accordingly, this document withdraws as unnecessary the proposed rule.
2015-10-29RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentExpanded Access to Non-VA Care Through the Veterans Choice ProgramThis document amends the Department of Veterans Affairs (VA) medical regulations implementing section 101 of the Veterans Access, Choice, and Accountability Act of 2014, which directed VA to establish a program to furnish hospital care and medical...2015-27481"https://www.gpo.gov/fdsys/pkg/FR-2015-10-29/pdf/2015-27481.pdfhttps://www.federalregister.gov/documents/2015/10/29/2015-27481/expanded-access-to-non-va-care-through-the-veterans-choice-programThis document amends the Department of Veterans Affairs (VA) medical regulations implementing section 101 of the Veterans Access, Choice, and Accountability Act of 2014, which directed VA to establish a program to furnish hospital care and medical services through eligible non-VA health care providers to eligible veterans who either cannot be seen within the wait-time goals of the Veterans Health Administration or who qualify based on their place of residence (hereafter referred to as the ``Veterans Choice Program'', or the ``Program''). VA published an interim final rule implementing the Veterans Choice Program on November 5, 2014, and published a subsequent interim final rule making further amendments on April 24, 2015. This final rule responds to public comments received from both interim final rules and amends the regulations to modify payment rates under the Program.
2015-10-20Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentRemoving Net Worth Requirement From Health Care EnrollmentThis rulemaking proposes to remove the regulatory provision regarding consideration by the Department of Veterans Affairs (VA) of the net worth of a veteran's assets as a factor in determining the veteran's eligibility for lower-cost VA health care....2015-26606"https://www.gpo.gov/fdsys/pkg/FR-2015-10-20/pdf/2015-26606.pdfhttps://www.federalregister.gov/documents/2015/10/20/2015-26606/removing-net-worth-requirement-from-health-care-enrollmentThis rulemaking proposes to remove the regulatory provision regarding consideration by the Department of Veterans Affairs (VA) of the net worth of a veteran's assets as a factor in determining the veteran's eligibility for lower-cost VA health care. Prior to January 1, 2015, VA considered both the net worth of a veteran's assets and the veteran's annual income when determining a veteran's eligibility. Because of that, certain veterans who would have been eligible for VA health care based on their annual income alone were ineligible for care because the net value of their assets was too high, or they were placed in a less favorable eligibility category. Reporting asset information imposed a significant paperwork burden on veterans, and VA dedicated significant administrative resources to verifying reported information. VA changed its policy to improve access to health care to lower-income veterans and remove the reporting burden from veterans by discontinuing collection of asset information. This rulemaking would amend the regulation to remove the reference to VA's discretionary statutory authority to consider net worth.
2015-09-17RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentLoan Guaranty-Specially Adapted Housing Assistive Technology Grant ProgramThis rule adopts as final, without change, a proposed rule of the Department of Veterans Affairs (VA) to amend its regulations to provide grants for the development of new assistive technologies for use in specially adapted housing for eligible...2015-23280"https://www.gpo.gov/fdsys/pkg/FR-2015-09-17/pdf/2015-23280.pdfhttps://www.federalregister.gov/documents/2015/09/17/2015-23280/loan-guaranty-specially-adapted-housing-assistive-technology-grant-programThis rule adopts as final, without change, a proposed rule of the Department of Veterans Affairs (VA) to amend its regulations to provide grants for the development of new assistive technologies for use in specially adapted housing for eligible veterans or servicemembers. The Veterans' Benefits Act of 2010 authorizes VA to provide grants of up to $200,000 per fiscal year to persons or entities to encourage the development of specially adapted housing assistive technologies. This final rule implements changes to VA regulations to clarify the process, the criteria, and the priorities relating to the award of these research and development grants.
2015-09-16RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentCopayments for Medications in 2015This document adopts as a final rule, with changes, an interim final rule amending the Department of Veterans Affairs (VA) medical regulations to freeze the copayments required for certain medications provided by VA until December 31, 2015. Under that...2015-23162"https://www.gpo.gov/fdsys/pkg/FR-2015-09-16/pdf/2015-23162.pdfhttps://www.federalregister.gov/documents/2015/09/16/2015-23162/copayments-for-medications-in-2015This document adopts as a final rule, with changes, an interim final rule amending the Department of Veterans Affairs (VA) medical regulations to freeze the copayments required for certain medications provided by VA until December 31, 2015. Under that interim final rule, copayment amounts were maintained at the same rates as they were in 2014 (which were $8 for veterans in priority groups 2-6 and $9 for veterans in priority groups 7 and 8), and would have increased based on the prescription drug component of the Medical Consumer Price Index (CPI-P) on January 1, 2016. This final rule extends the current freeze for copayments through December 31, 2016.
2015-09-08Proposed RuleDEPARTMENT OF HOMELAND SECURITYHomeland Security DepartmentFederal Policy for the Protection of Human SubjectsThe departments and agencies listed in this document propose revisions to modernize, strengthen, and make more effective the Federal Policy for the Protection of Human Subjects that was promulgated as a Common Rule in 1991. This NPRM seeks comment on...2015-21756"https://www.gpo.gov/fdsys/pkg/FR-2015-09-08/pdf/2015-21756.pdfhttps://www.federalregister.gov/documents/2015/09/08/2015-21756/federal-policy-for-the-protection-of-human-subjectsThe departments and agencies listed in this document propose revisions to modernize, strengthen, and make more effective the Federal Policy for the Protection of Human Subjects that was promulgated as a Common Rule in 1991. This NPRM seeks comment on proposals to better protect human subjects involved in research, while facilitating valuable research and reducing burden, delay, and ambiguity for investigators. This proposed rule is an effort to modernize, simplify, and enhance the current system of oversight. The participating departments and agencies propose these revisions to the human subjects regulations because they believe these changes would strengthen protections for research subjects while facilitating important research.
2015-08-17RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentAnimals on VA PropertyThe Department of Veterans Affairs (VA) amends its regulation concerning the presence of animals on VA property. This final rule expands the current VA regulation to authorize the presence of service animals consistent with applicable Federal law when...2015-20182"https://www.gpo.gov/fdsys/pkg/FR-2015-08-17/pdf/2015-20182.pdfhttps://www.federalregister.gov/documents/2015/08/17/2015-20182/animals-on-va-propertyThe Department of Veterans Affairs (VA) amends its regulation concerning the presence of animals on VA property. This final rule expands the current VA regulation to authorize the presence of service animals consistent with applicable Federal law when these animals accompany individuals with disabilities seeking admittance to property owned or operated by VA.
2015-08-13RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentAdditional Compensation on Account of Children Adopted Out of Veteran's FamilyThe Department of Veterans Affairs (VA) is amending its adjudication regulations to clarify that a veteran will not receive the dependent rate of disability compensation for a child who is adopted out of the veteran's family. This action is necessary...2015-19949"https://www.gpo.gov/fdsys/pkg/FR-2015-08-13/pdf/2015-19949.pdfhttps://www.federalregister.gov/documents/2015/08/13/2015-19949/additional-compensation-on-account-of-children-adopted-out-of-veterans-familyThe Department of Veterans Affairs (VA) is amending its adjudication regulations to clarify that a veteran will not receive the dependent rate of disability compensation for a child who is adopted out of the veteran's family. This action is necessary because applicable VA adjudication regulations are currently construed as permitting a veteran, whose former child was adopted out of the veteran's family, to receive the dependent rate of disability compensation for the adopted-out child, which constitutes an unwarranted award of benefits not supported by the applicable statute and legislative history. This document adopts as a final rule, without change, the proposed rule published in the Federal Register on December 2, 2014.
2015-08-12RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentLoan Guaranty: Adjustable Rate Mortgage Notification Requirements and Look-Back PeriodThis document adopts as final, without change, a proposed rule of the Department of Veterans Affairs (VA) to amend its regulations that govern adjustable rate mortgages made in conjunction with the Home Loan Guaranty program. These revisions align VA's...2015-19775"https://www.gpo.gov/fdsys/pkg/FR-2015-08-12/pdf/2015-19775.pdfhttps://www.federalregister.gov/documents/2015/08/12/2015-19775/loan-guaranty-adjustable-rate-mortgage-notification-requirements-and-look-back-periodThis document adopts as final, without change, a proposed rule of the Department of Veterans Affairs (VA) to amend its regulations that govern adjustable rate mortgages made in conjunction with the Home Loan Guaranty program. These revisions align VA's disclosure and interest rate adjustment requirements with the implementing regulations of the Truth in Lending Act (TILA), as recently revised by the Consumer Financial Protection Bureau (CFPB). This rulemaking will ensure VA remains consistent with other applicable consumer finance and housing regulations governing adjustable rate mortgages.
2015-08-06Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentEqual Protection of the Laws for Faith-Based and Community OrganizationsThe Department of Veterans Affairs (VA) proposes to amend its existing regulations concerning VA Homeless Providers Grant and Per Diem Program (GPD) and Supportive Service for Veterans Families Program (SSVF) and to establish a new part. More...2015-18492"https://www.gpo.gov/fdsys/pkg/FR-2015-08-06/pdf/2015-18492.pdfhttps://www.federalregister.gov/documents/2015/08/06/2015-18492/equal-protection-of-the-laws-for-faith-based-and-community-organizationsThe Department of Veterans Affairs (VA) proposes to amend its existing regulations concerning VA Homeless Providers Grant and Per Diem Program (GPD) and Supportive Service for Veterans Families Program (SSVF) and to establish a new part. More specifically, VA proposes to revise provisions that apply to religious organizations that receive financial assistance from VA in order to more clearly distinguish between ``direct'' and ``indirect'' financial assistance, amend VA's regulations to replace the term ``inherently religious activities'' with the term ``explicitly religious activities'', and establish new provisions that provide valuable protections for beneficiaries, provide guidance to VA employees and faith-based and other neighborhood organizations that receive ``direct'' or ``indirect'' VA financial assistance, and provide clear and uniform instructions on the fundamental principles that apply to their awards.
2015-08-06Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentSchedule for Rating Disabilities: The Hematologic and Lymphatic SystemsThe Department of Veterans Affairs (VA) proposes to amend the portion of the VA Schedule for Rating Disabilities (Rating Schedule) that addresses the hematologic and lymphatic systems. The intended effect of this change is to incorporate medical...2015-19197"https://www.gpo.gov/fdsys/pkg/FR-2015-08-06/pdf/2015-19197.pdfhttps://www.federalregister.gov/documents/2015/08/06/2015-19197/schedule-for-rating-disabilities-the-hematologic-and-lymphatic-systemsThe Department of Veterans Affairs (VA) proposes to amend the portion of the VA Schedule for Rating Disabilities (Rating Schedule) that addresses the hematologic and lymphatic systems. The intended effect of this change is to incorporate medical advances that have occurred since the last review, update medical terminology, add medical conditions not currently in the Rating Schedule, and refine criteria for further clarity and ease of rater application.
2015-08-04RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentVet CentersThe Department of Veterans Affairs (VA) is amending its medical regulation that governs Vet Center services. The National Defense Authorization Act for Fiscal Year 2013 (the 2013 Act) requires Vet Centers to provide readjustment counseling services to...2015-18988"https://www.gpo.gov/fdsys/pkg/FR-2015-08-04/pdf/2015-18988.pdfhttps://www.federalregister.gov/documents/2015/08/04/2015-18988/vet-centersThe Department of Veterans Affairs (VA) is amending its medical regulation that governs Vet Center services. The National Defense Authorization Act for Fiscal Year 2013 (the 2013 Act) requires Vet Centers to provide readjustment counseling services to broader groups of veterans, members of the Armed Forces, including a member of a reserve component of the Armed Forces, and family members of such veterans and members. This interim final rule amends regulatory criteria to conform to the 2013 Act, to include new and revised definitions.
2015-07-28Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentSchedule for Rating Disabilities; Dental and Oral ConditionsThe Department of Veterans Affairs (VA) proposes to amend the portion of the VA Schedule for Rating Disabilities (VASRD or rating schedule) that addresses dental and oral conditions. The purpose of these changes is to incorporate medical advances that...2015-17266"https://www.gpo.gov/fdsys/pkg/FR-2015-07-28/pdf/2015-17266.pdfhttps://www.federalregister.gov/documents/2015/07/28/2015-17266/schedule-for-rating-disabilities-dental-and-oral-conditionsThe Department of Veterans Affairs (VA) proposes to amend the portion of the VA Schedule for Rating Disabilities (VASRD or rating schedule) that addresses dental and oral conditions. The purpose of these changes is to incorporate medical advances that have occurred since the last amendment, update current medical terminology, and provide clear evaluation criteria for application of this portion of the rating schedule. The proposed rule reflects advances in medical knowledge, recommendations from the Dental and Oral Conditions Work Group (Work Group), which is comprised of subject matter experts from both the Veterans Benefits Administration (VBA) and the Veterans Health Administration (VHA), and comments from experts and the public gathered as part of a public forum. The public forum, focusing on revisions to the dental and oral conditions section of the VASRD, was held on January 25--26, 2011.
2015-07-28RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentUpdate to NFPA Standards, Incorporation by ReferenceThe Department of Veterans Affairs (VA) is amending its regulations incorporating by reference the National Fire Protection Association (NFPA) codes and standards. These codes and standards are referenced in VA regulations concerning community...2015-18332"https://www.gpo.gov/fdsys/pkg/FR-2015-07-28/pdf/2015-18332.pdfhttps://www.federalregister.gov/documents/2015/07/28/2015-18332/update-to-nfpa-standards-incorporation-by-referenceThe Department of Veterans Affairs (VA) is amending its regulations incorporating by reference the National Fire Protection Association (NFPA) codes and standards. These codes and standards are referenced in VA regulations concerning community residential care facilities, contract facilities for certain outpatient and residential services, Medical Foster Homes, and State home facilities. To ensure the continued safety of veterans in these facilities, VA is continuing to rely upon NFPA codes and standards for VA approval of such facilities. This rulemaking updates our regulations to adhere to more recent NFPA codes and standards.
2015-07-27Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentPayment of Emergency Medication by VAThe Department of Veterans Affairs (VA) proposes to amend its medical regulations that govern reimbursement of emergency treatment provided by non-VA medical care providers. VA proposes to clarify its regulations insofar as it involves the...2015-18331"https://www.gpo.gov/fdsys/pkg/FR-2015-07-27/pdf/2015-18331.pdfhttps://www.federalregister.gov/documents/2015/07/27/2015-18331/payment-of-emergency-medication-by-vaThe Department of Veterans Affairs (VA) proposes to amend its medical regulations that govern reimbursement of emergency treatment provided by non-VA medical care providers. VA proposes to clarify its regulations insofar as it involves the reimbursement of medications prescribed or provided to the veteran during the episode of non-VA emergency treatment.
2015-07-22RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentUniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; Updating ReferencesThe Department of Veterans Affairs (VA) is amending its regulations with updated citations and references to Office of Management and Budget (OMB) authorities for Federal grant programs. OMB has issued final guidance, located in Title 2 of the Code of...2015-17416"https://www.gpo.gov/fdsys/pkg/FR-2015-07-22/pdf/2015-17416.pdfhttps://www.federalregister.gov/documents/2015/07/22/2015-17416/uniform-administrative-requirements-cost-principles-and-audit-requirements-for-federal-awardsThe Department of Veterans Affairs (VA) is amending its regulations with updated citations and references to Office of Management and Budget (OMB) authorities for Federal grant programs. OMB has issued final guidance, located in Title 2 of the Code of Federal Regulations (CFR), which streamlines and supersedes requirements previously found in various OMB Circulars. VA has adopted OMB's guidance, and this rule replaces the obsolete OMB references in VA's regulations.
2015-07-16RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentAgency Interpretation of Prosthetic Replacement of a JointThe Department of Veterans Affairs is publishing interpretive guidance for diagnostic codes (DC) 5051 through 5056, which establish rating criteria for prosthetic implant replacements of joints of the musculoskeletal system. The Schedule for Rating...2015-17417"https://www.gpo.gov/fdsys/pkg/FR-2015-07-16/pdf/2015-17417.pdfhttps://www.federalregister.gov/documents/2015/07/16/2015-17417/agency-interpretation-of-prosthetic-replacement-of-a-jointThe Department of Veterans Affairs is publishing interpretive guidance for diagnostic codes (DC) 5051 through 5056, which establish rating criteria for prosthetic implant replacements of joints of the musculoskeletal system. The Schedule for Rating Disabilities under these DCs allows for a 1-year, 100-percent disability evaluation upon prosthetic replacement of a joint. This final rule clarifies that VA's longstanding interpretation of DCs 5051 through 5056 is that a 100- percent evaluation will be in place for a period of one year when the total joint, rather than the partial joint, has been replaced by a prosthetic implant.
2015-07-08Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentSchedule for Rating Disabilities-The Endocrine SystemThe Department of Veterans Affairs (VA) proposes to revise the portion of the VA Schedule for Rating Disabilities (Rating Schedule) that addresses the endocrine system. The intended effects of these changes are to update medical terminology, add...2015-16666"https://www.gpo.gov/fdsys/pkg/FR-2015-07-08/pdf/2015-16666.pdfhttps://www.federalregister.gov/documents/2015/07/08/2015-16666/schedule-for-rating-disabilities-the-endocrine-systemThe Department of Veterans Affairs (VA) proposes to revise the portion of the VA Schedule for Rating Disabilities (Rating Schedule) that addresses the endocrine system. The intended effects of these changes are to update medical terminology, add medical conditions not currently in the Rating Schedule, revise the criteria to reflect medical advances since the last revision in 1996, and clarify the criteria.
2015-06-24Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentPer Diem Paid to States for Care of Eligible Veterans in State Homes; CorrectionThe Department of Veterans Affairs is correcting and clarifying a proposed rule that published in the Federal Register on June 17, 2015 (80 FR 34794).2015-15503"https://www.gpo.gov/fdsys/pkg/FR-2015-06-24/pdf/2015-15503.pdfhttps://www.federalregister.gov/documents/2015/06/24/2015-15503/per-diem-paid-to-states-for-care-of-eligible-veterans-in-state-homes-correctionThe Department of Veterans Affairs is correcting and clarifying a proposed rule that published in the Federal Register on June 17, 2015 (80 FR 34794).
2015-06-19RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentPresumption of Herbicide Exposure and Presumption of Disability During Service for Reservists Presumed Exposed to HerbicideThe Department of Veterans Affairs (VA) is amending its regulation governing individuals presumed to have been exposed to certain herbicides. Specifically, VA is expanding the regulation to include an additional group consisting of individuals who...2015-14995"https://www.gpo.gov/fdsys/pkg/FR-2015-06-19/pdf/2015-14995.pdfhttps://www.federalregister.gov/documents/2015/06/19/2015-14995/presumption-of-herbicide-exposure-and-presumption-of-disability-during-service-for-reservistsThe Department of Veterans Affairs (VA) is amending its regulation governing individuals presumed to have been exposed to certain herbicides. Specifically, VA is expanding the regulation to include an additional group consisting of individuals who performed service in the Air Force or Air Force Reserve under circumstances in which they had regular and repeated contact with C-123 aircraft known to have been used to spray an herbicide agent (``Agent Orange'') during the Vietnam era. In addition, the regulation will establish a presumption that members of this group who later develop an Agent Orange presumptive condition were disabled during the relevant period of service, thus establishing that this service constituted ``active, naval, military or air service.'' The effect of this action is to presume herbicide exposure for these individuals and to allow individuals who were exposed to herbicides during reserve service to establish veteran status for VA purposes and eligibility for some VA benefits. The need for this action results from a recent decision by the Secretary of Veterans Affairs to acknowledge that individuals who had regular and repeated exposure to C-123 aircraft that the United States Air Force used to spray the herbicides in Vietnam during Operation Ranch Hand were exposed to Agent Orange.
2015-06-18RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentDelegations of Authority: Office of Regulation Policy and Management (ORPM)The Department of Veterans Affairs is amending its regulations delegating rulemaking authority within the Office of the General Counsel. The amendments reflect current management structure and titles.2015-14959"https://www.gpo.gov/fdsys/pkg/FR-2015-06-18/pdf/2015-14959.pdfhttps://www.federalregister.gov/documents/2015/06/18/2015-14959/delegations-of-authority-office-of-regulation-policy-and-management-orpmThe Department of Veterans Affairs is amending its regulations delegating rulemaking authority within the Office of the General Counsel. The amendments reflect current management structure and titles.
2015-06-17Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentPer Diem Paid to States for Care of Eligible Veterans in State HomesThe Department of Veterans Affairs (VA) proposes to reorganize, update (based on revisions to statutory authority), and clarify its regulations that govern paying per diem to State homes providing nursing home and adult day health care to eligible...2015-13838"https://www.gpo.gov/fdsys/pkg/FR-2015-06-17/pdf/2015-13838.pdfhttps://www.federalregister.gov/documents/2015/06/17/2015-13838/per-diem-paid-to-states-for-care-of-eligible-veterans-in-state-homesThe Department of Veterans Affairs (VA) proposes to reorganize, update (based on revisions to statutory authority), and clarify its regulations that govern paying per diem to State homes providing nursing home and adult day health care to eligible veterans. The reorganization will improve consistency and clarity throughout these State home programs. We propose to revise the regulations applicable to adult day health care programs of care so that States may establish diverse programs that better meet participants' needs for socialization and maximize their independence. Currently, we require States to operate these programs exclusively using a medical supervision model. We expect that these liberalizing changes would result in an increase in the number of States that have adult day health care programs. We also propose to establish new regulations governing the payment of per diem to State homes providing domiciliary care to eligible veterans, because the current regulations are inadequate. Moreover, we propose to eliminate the regulations governing per diem for State home hospitals because there are no longer any State home hospitals. In general, this rulemaking is consistent with current regulations and policies, and we do not expect that these proposed rules would have a negative impact on State homes; rather, we believe that these proposed regulations would clarify current law and policy, which should improve and simplify the payment of per diem to State homes, and encourage participation in these programs.
2015-06-16RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentLoan Guaranty: Elimination of Redundant Regulations; Technical CorrectionOn June 15, 2010, the Department of Veterans Affairs (VA) published a document in the Federal Register (75 FR 33704), amending its loan guaranty regulations to eliminate redundancies in the regulations that were a result of a new electronic reporting...2015-13456"https://www.gpo.gov/fdsys/pkg/FR-2015-06-16/pdf/2015-13456.pdfhttps://www.federalregister.gov/documents/2015/06/16/2015-13456/loan-guaranty-elimination-of-redundant-regulations-technical-correctionOn June 15, 2010, the Department of Veterans Affairs (VA) published a document in the Federal Register (75 FR 33704), amending its loan guaranty regulations to eliminate redundancies in the regulations that were a result of a new electronic reporting system. At that time, we failed to update the cross-reference citations within the redesignated sections. On October 22, 2010 (75 FR 65238), Sections 36.4301 through 36.4323(e) were amended to replace the incorrect cross-reference citations with the accurate, updated cross-references. This document corrects the remaining redesignated sections (Sec. 36.4324 through Sec. 36.4393) to contain the correct and updated cross-reference citations. These nonsubstantive changes are made for clarity and accuracy.
2015-06-09Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentSchedule for Rating Disabilities; The Organs of Special Sense and Schedule of Ratings-EyeThe Department of Veterans Affairs (VA) proposes to amend the portion of the VA Schedule for Rating Disabilities (VASRD or rating schedule) that addresses the organs of special sense and schedule of ratings--eye. The purpose of these changes is to...2015-13788"https://www.gpo.gov/fdsys/pkg/FR-2015-06-09/pdf/2015-13788.pdfhttps://www.federalregister.gov/documents/2015/06/09/2015-13788/schedule-for-rating-disabilities-the-organs-of-special-sense-and-schedule-of-ratings-eyeThe Department of Veterans Affairs (VA) proposes to amend the portion of the VA Schedule for Rating Disabilities (VASRD or rating schedule) that addresses the organs of special sense and schedule of ratings--eye. The purpose of these changes is to incorporate medical advances that have occurred since the last review, update current medical terminology, and provide clear evaluation criteria. The proposed rule reflects advances in medical knowledge, recommendations from the National Academy of Sciences (NAS), and comments from subject matter experts and the public garnered as part of a public forum. The public forum, focusing on revisions to the organs of special sense and schedule of ratings for eye disabilities, was held on January 19-20, 2012.
2015-05-27Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentVeterans Transportation ServiceThe Department of Veterans Affairs (VA) proposes to amend its medical regulations concerning the transportation of persons for the purposes of examination, treatment, and care. Public Law 112-260, as amended, authorized VA to carry out a program to...2015-12724"https://www.gpo.gov/fdsys/pkg/FR-2015-05-27/pdf/2015-12724.pdfhttps://www.federalregister.gov/documents/2015/05/27/2015-12724/veterans-transportation-serviceThe Department of Veterans Affairs (VA) proposes to amend its medical regulations concerning the transportation of persons for the purposes of examination, treatment, and care. Public Law 112-260, as amended, authorized VA to carry out a program to transport any person to or from a VA facility or other place, among other things, for the purpose of examination, treatment, or care. This authority expires on December 31, 2015. These regulations would provide guidelines for veterans and the public regarding VA's Veterans Transportation Service (VTS).
2015-05-15Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentHealth Care for Certain Children of Vietnam Veterans and Certain Korea Veterans-Covered Birth Defects and Spina BifidaThe Department of Veterans Affairs (VA) proposes to amend its regulations concerning the provisions of health care to birth children of Vietnam veterans and veterans of covered service in Korea diagnosed with spina bifida, except for spina bifida...2015-11718"https://www.gpo.gov/fdsys/pkg/FR-2015-05-15/pdf/2015-11718.pdfhttps://www.federalregister.gov/documents/2015/05/15/2015-11718/health-care-for-certain-children-of-vietnam-veterans-and-certain-korea-veterans-covered-birthThe Department of Veterans Affairs (VA) proposes to amend its regulations concerning the provisions of health care to birth children of Vietnam veterans and veterans of covered service in Korea diagnosed with spina bifida, except for spina bifida occulta, and certain other birth defects. The proposed changes would more clearly define the types of health care VA provides, including day health care and health- related services, which VA would define as homemaker or home health aide services that provide assistance with Activities of Daily Living or Instrumental Activities of Daily Living that have therapeutic value. We would also make changes to the list of health care services that require preauthorization by VA.
2015-05-04RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentGrants for Adaptive Sports Programs for Disabled Veterans and Disabled Members of the Armed ForcesThis final rule amends Department of Veterans Affairs (VA) regulations to establish a new program to provide grants to eligible entities to provide adaptive sports activities to disabled veterans and disabled members of the Armed Forces. This...2015-10358"https://www.gpo.gov/fdsys/pkg/FR-2015-05-04/pdf/2015-10358.pdfhttps://www.federalregister.gov/documents/2015/05/04/2015-10358/grants-for-adaptive-sports-programs-for-disabled-veterans-and-disabled-members-of-the-armed-forcesThis final rule amends Department of Veterans Affairs (VA) regulations to establish a new program to provide grants to eligible entities to provide adaptive sports activities to disabled veterans and disabled members of the Armed Forces. This rulemaking is necessary to implement a change in the law that authorizes VA to make grants to entities other than the United States Olympic Committee for adaptive sports programs. It establishes procedures for evaluating grant applications under this grant program, and otherwise administering the grant program. This rule implements section 5 of the VA Expiring Authorities Extension Act of 2013.
2015-05-01RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentHealth Care for Homeless Veterans ProgramThe Department of Veterans Affairs (VA) amends its medical regulations concerning eligibility for the Health Care for Homeless Veterans (HCHV) program. The HCHV program provides per diem payments to non-VA community-based facilities that provide...2015-10150"https://www.gpo.gov/fdsys/pkg/FR-2015-05-01/pdf/2015-10150.pdfhttps://www.federalregister.gov/documents/2015/05/01/2015-10150/health-care-for-homeless-veterans-programThe Department of Veterans Affairs (VA) amends its medical regulations concerning eligibility for the Health Care for Homeless Veterans (HCHV) program. The HCHV program provides per diem payments to non-VA community-based facilities that provide housing, outreach services, case management services, and rehabilitative services, and may provide care and/or treatment to homeless veterans who are enrolled in or eligible for VA health care. The rule modifies VA's HCHV regulations to conform to changes enacted in the Honoring America's Veterans and Caring for Camp Lejeune Families Act of 2012. Specifically, the rule removes the requirement that homeless veterans be diagnosed with a serious mental illness or substance use disorder to qualify for the HCHV program. This change makes the program available to all homeless veterans who are enrolled in or eligible for VA health care. The rule also updates the definition of homeless to match in part the one used by the Department of Housing and Urban Development (HUD). The rule further clarifies that the services provided by the HCHV program through non-VA community-based providers must include case management services, including non-clinical case management, as appropriate.
2015-04-27RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentUpdating Certain Delegations of Authority in VA Medical RegulationsThe Department of Veterans Affairs (VA) is making technical amendments to its medical regulations by updating certain delegations of authority to be consistent with the statutory authority that established the Consolidated Patient Account Centers...2015-09633"https://www.gpo.gov/fdsys/pkg/FR-2015-04-27/pdf/2015-09633.pdfhttps://www.federalregister.gov/documents/2015/04/27/2015-09633/updating-certain-delegations-of-authority-in-va-medical-regulationsThe Department of Veterans Affairs (VA) is making technical amendments to its medical regulations by updating certain delegations of authority to be consistent with the statutory authority that established the Consolidated Patient Account Centers (CPACs). VA is, through this final rule, specifying delegations of authority for the collection of debts owed VA to the Chief Financial Officers of the CPACs.
2015-04-24RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentDriving Distance Eligibility for the Veterans Choice ProgramThe Department of Veterans Affairs (VA) amends its medical regulations implementing section 101 of the Veterans Access, Choice, and Accountability Act of 2014, which directed VA to establish a program to furnish hospital care and medical services...2015-09370"https://www.gpo.gov/fdsys/pkg/FR-2015-04-24/pdf/2015-09370.pdfhttps://www.federalregister.gov/documents/2015/04/24/2015-09370/driving-distance-eligibility-for-the-veterans-choice-programThe Department of Veterans Affairs (VA) amends its medical regulations implementing section 101 of the Veterans Access, Choice, and Accountability Act of 2014, which directed VA to establish a program to furnish hospital care and medical services through eligible non-VA health care providers to eligible veterans who either cannot be seen within the wait-time goals of the Veterans Health Administration or who qualify based on their place of residence (hereafter referred to as the Veterans Choice Program, or the ``Program''). VA published an interim final rule implementing the Veterans Choice Program on November 5, 2014. Under current law, VA uses a straight-line or geodesic distance to determine eligibility based on place of residence. This interim final rule modifies how VA measures the distance from a veteran's residence to the nearest VA medical facility. This modified standard will consider the distance the veteran must drive to the nearest VA medical facility, rather than the straight-line or geodesic distance to such a facility.
2015-04-13RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentReimbursement for Caskets and Urns for Burial of Unclaimed Remains in a National CemeteryThe Department of Veterans Affairs (VA) National Cemetery Administration (NCA) amends its regulations to establish a new program to provide reimbursement for caskets and urns for the interment of the remains of veterans with no known next-of-kin and...2015-08388"https://www.gpo.gov/fdsys/pkg/FR-2015-04-13/pdf/2015-08388.pdfhttps://www.federalregister.gov/documents/2015/04/13/2015-08388/reimbursement-for-caskets-and-urns-for-burial-of-unclaimed-remains-in-a-national-cemeteryThe Department of Veterans Affairs (VA) National Cemetery Administration (NCA) amends its regulations to establish a new program to provide reimbursement for caskets and urns for the interment of the remains of veterans with no known next-of-kin and where sufficient financial resources are not available for this purpose.
2015-04-03RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentTechnical CorrectionsThe Department of Veterans Affairs (VA) amends its regulations to remove out-of-date legal citations and add the correct authority. This rulemaking contains only nonsubstantive, technical changes.2015-07540"https://www.gpo.gov/fdsys/pkg/FR-2015-04-03/pdf/2015-07540.pdfhttps://www.federalregister.gov/documents/2015/04/03/2015-07540/technical-correctionsThe Department of Veterans Affairs (VA) amends its regulations to remove out-of-date legal citations and add the correct authority. This rulemaking contains only nonsubstantive, technical changes.
2015-03-19RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentSchedule for Rating Disabilities-Mental Disorders and Definition of Psychosis for Certain VA PurposesThe Department of Veterans Affairs (VA) adopts as final, without change, an interim final rule amending its Schedule for Rating Disabilities (VASRD) dealing with mental disorders and its adjudication regulations that define the term ``psychosis.''...2015-06212"https://www.gpo.gov/fdsys/pkg/FR-2015-03-19/pdf/2015-06212.pdfhttps://www.federalregister.gov/documents/2015/03/19/2015-06212/schedule-for-rating-disabilities-mental-disorders-and-definition-of-psychosis-for-certain-vaThe Department of Veterans Affairs (VA) adopts as final, without change, an interim final rule amending its Schedule for Rating Disabilities (VASRD) dealing with mental disorders and its adjudication regulations that define the term ``psychosis.'' Outdated references are replaced with references to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). Nomenclature used to refer to certain mental disorders is amended to conform to DSM-5. This rule also provides clarification of the applicability date.
2015-02-27Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentSchedule for Rating Disabilities; Gynecological Conditions and Disorders of the BreastThe Department of Veterans Affairs (VA) proposes to amend the portion of the VA Schedule for Rating Disabilities (VASRD or rating schedule) that addresses gynecological conditions and disorders of the breast. The purpose of these changes is to...2015-03851"https://www.gpo.gov/fdsys/pkg/FR-2015-02-27/pdf/2015-03851.pdfhttps://www.federalregister.gov/documents/2015/02/27/2015-03851/schedule-for-rating-disabilities-gynecological-conditions-and-disorders-of-the-breastThe Department of Veterans Affairs (VA) proposes to amend the portion of the VA Schedule for Rating Disabilities (VASRD or rating schedule) that addresses gynecological conditions and disorders of the breast. The purpose of these changes is to incorporate medical advances that have occurred since the last review, update current medical terminology, and provide clear evaluation criteria. The proposed rule reflects advances in medical knowledge, recommendations from the Gynecological Conditions and Disorders of the Breast Work Group (Work Group), which is comprised of subject matter experts from both the Veterans Benefits Administration (VBA) and the Veterans Health Administration (VHA), and comments from experts and the public gathered as part of a public forum. The public forum, focusing on revisions to the gynecological conditions and disorders of the breast section of the VASRD, was held on January 24, 2012.
2015-02-25RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentAutomobile or Other Conveyance and Adaptive Equipment Certificate of Eligibility for Veterans or Members of the Armed Forces With Amyotrophic Lateral SclerosisThe Department of Veterans Affairs (VA) is amending its adjudication regulation regarding certificates of eligibility for financial assistance in the purchase of an automobile or other conveyance and adaptive equipment. The amendment authorizes...2015-03889"https://www.gpo.gov/fdsys/pkg/FR-2015-02-25/pdf/2015-03889.pdfhttps://www.federalregister.gov/documents/2015/02/25/2015-03889/automobile-or-other-conveyance-and-adaptive-equipment-certificate-of-eligibility-for-veterans-orThe Department of Veterans Affairs (VA) is amending its adjudication regulation regarding certificates of eligibility for financial assistance in the purchase of an automobile or other conveyance and adaptive equipment. The amendment authorizes automatic issuance of a certificate of eligibility for financial assistance in the purchase of an automobile or other conveyance and adaptive equipment to all veterans with service-connected amyotrophic lateral sclerosis (ALS) and members of the Armed Forces serving on active duty with ALS.
2015-02-24RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentSupportive Services for Veteran Families ProgramThis rule adopts as final, with changes, a proposed rule of the Department of Veterans Affairs (VA) to amend its regulations concerning the Supportive Services for Veteran Families Program (SSVF). In the proposed rule published on May 9, 2014, VA...2015-03753"https://www.gpo.gov/fdsys/pkg/FR-2015-02-24/pdf/2015-03753.pdfhttps://www.federalregister.gov/documents/2015/02/24/2015-03753/supportive-services-for-veteran-families-programThis rule adopts as final, with changes, a proposed rule of the Department of Veterans Affairs (VA) to amend its regulations concerning the Supportive Services for Veteran Families Program (SSVF). In the proposed rule published on May 9, 2014, VA proposed to make a number of changes to the SSVF program to emphasize the intended goals of SSVF. VA is making minor changes to the proposed rule based on comments we received.
2015-01-29Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentLoan Guaranty: Adjustable Rate Mortgage Notification Requirements and Look-Back PeriodThis document proposes to amend the Department of Veterans Affairs (VA) Loan Guaranty Service (LGY) regulations that govern adjustable rate mortgages made in conjunction with the Home Loan Guaranty program. These revisions would align VA's disclosure...2015-01681"https://www.gpo.gov/fdsys/pkg/FR-2015-01-29/pdf/2015-01681.pdfhttps://www.federalregister.gov/documents/2015/01/29/2015-01681/loan-guaranty-adjustable-rate-mortgage-notification-requirements-and-look-back-periodThis document proposes to amend the Department of Veterans Affairs (VA) Loan Guaranty Service (LGY) regulations that govern adjustable rate mortgages made in conjunction with the Home Loan Guaranty program. These revisions would align VA's disclosure and interest rate adjustment requirements with the implementing regulations of the Truth in Lending Act (TILA), as recently revised by the Consumer Financial Protection Bureau (CFPB). Specifically, the rule would amend the timing, content, and format requirements for the disclosures provided to borrowers prior to an interest-rate adjustment. The proposed regulation would also require that an interest-rate adjustment correspond with the interest rate index available 45 days prior to the adjustment. This proposed rulemaking would ensure VA's consistency with other applicable consumer finance and housing regulations governing adjustable rate mortgages.
2015-01-23Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentNet Worth, Asset Transfers, and Income Exclusions for Needs-Based BenefitsThe Department of Veterans Affairs (VA) proposes to amend its regulations governing entitlement to VA pension to maintain the integrity of the pension program and to implement recent statutory changes. The proposed regulations would establish new...2015-00297"https://www.gpo.gov/fdsys/pkg/FR-2015-01-23/pdf/2015-00297.pdfhttps://www.federalregister.gov/documents/2015/01/23/2015-00297/net-worth-asset-transfers-and-income-exclusions-for-needs-based-benefitsThe Department of Veterans Affairs (VA) proposes to amend its regulations governing entitlement to VA pension to maintain the integrity of the pension program and to implement recent statutory changes. The proposed regulations would establish new requirements pertaining to the evaluation of net worth and asset transfers for pension purposes and would identify those medical expenses that may be deducted from countable income for VA's needs-based benefit programs. The intended effect of these changes is to respond to recent recommendations made by the Government Accountability Office (GAO), to maintain the integrity of VA's needs-based benefit programs, and to clarify and address issues necessary for the consistent adjudication of pension and parents' dependency and indemnity compensation claims. We also propose to implement statutory changes pertaining to certain pension beneficiaries who receive Medicaid-covered nursing home care, as well as a statutory income exclusion for certain disabled veterans and a non-statutory income exclusion pertaining to annuities.
2015-01-09RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentCaregivers ProgramThe Department of Veterans Affairs (VA) adopts, with changes, the interim final rule concerning VA's Program of Comprehensive Assistance for Family Caregivers. VA administers this program to provide certain medical, travel, training, and financial...2015-00071"https://www.gpo.gov/fdsys/pkg/FR-2015-01-09/pdf/2015-00071.pdfhttps://www.federalregister.gov/documents/2015/01/09/2015-00071/caregivers-programThe Department of Veterans Affairs (VA) adopts, with changes, the interim final rule concerning VA's Program of Comprehensive Assistance for Family Caregivers. VA administers this program to provide certain medical, travel, training, and financial benefits to caregivers of certain veterans and servicemembers who were seriously injured during service on or after September 11, 2001. Also addressed in this rulemaking is the Program of General Caregiver Support Services that provides support services to caregivers of veterans from all eras who are enrolled in the VA health care system. Specifically, changes in this final rule include a requirement that Veterans be notified in writing should a Family Caregiver request revocation (to no longer be a Family Caregiver), an extension of the application timeframe from 30 days to 45 days for a Family Caregiver, and a change in the stipend calculation to ensure that Primary Family Caregivers do not experience unexpected decreases in stipend amounts from year to year.
2014-12-19RuleEXECUTIVE OFFICE OF THE PRESIDENTExecutive Office of the PresidentFederal Awarding Agency Regulatory Implementation of Office of Management and Budget's Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal AwardsThis joint interim final rule implements for all Federal award-making agencies the final guidance Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance) published by the Office of Management...2014-28697"https://www.gpo.gov/fdsys/pkg/FR-2014-12-19/pdf/2014-28697.pdfhttps://www.federalregister.gov/documents/2014/12/19/2014-28697/federal-awarding-agency-regulatory-implementation-of-office-of-management-and-budgets-uniformThis joint interim final rule implements for all Federal award-making agencies the final guidance Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance) published by the Office of Management and Budget (OMB) on December 26, 2013. This rule is necessary in order to incorporate into regulation and thus bring into effect the Uniform Guidance as required by OMB. Implementation of this guidance will reduce administrative burden and risk of waste, fraud, and abuse for the approximately $600 billion per year awarded in Federal financial assistance. The result will be more Federal dollars reprogrammed to support the mission, new entities able to compete and win awards, and ultimately a stronger framework to provide key services to American citizens and support the basic research that underpins the United States economy.
2014-12-03RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentHome Improvements and Structural Alterations (HISA) Benefits ProgramThis rulemaking adopts as final, without change, a proposed rule creating regulations for the Home Improvements and Structural Alterations (HISA) benefits program. Through the HISA benefits program, VA provides monetary benefits to disabled veterans...2014-28373"https://www.gpo.gov/fdsys/pkg/FR-2014-12-03/pdf/2014-28373.pdfhttps://www.federalregister.gov/documents/2014/12/03/2014-28373/home-improvements-and-structural-alterations-hisa-benefits-programThis rulemaking adopts as final, without change, a proposed rule creating regulations for the Home Improvements and Structural Alterations (HISA) benefits program. Through the HISA benefits program, VA provides monetary benefits to disabled veterans for necessary home improvements and alterations. An increase in the HISA benefits limit was authorized by the Caregivers and Veterans Omnibus Health Services Act of 2010. This rulemaking codifies regulations governing the HISA benefits program and incorporates the increase in HISA benefits authorized by the 2010 Act.
2014-12-02RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentTechnical Amendment for Information Collection Regarding Designee for Patient Personal PropertyThis final rule will add the Office of Management and Budget approval number for the new collection of information in the Department of Veterans Affairs (VA) regulation that governs a competent veteran's designation of a person to receive the veteran's...2014-28377"https://www.gpo.gov/fdsys/pkg/FR-2014-12-02/pdf/2014-28377.pdfhttps://www.federalregister.gov/documents/2014/12/02/2014-28377/technical-amendment-for-information-collection-regarding-designee-for-patient-personal-propertyThis final rule will add the Office of Management and Budget approval number for the new collection of information in the Department of Veterans Affairs (VA) regulation that governs a competent veteran's designation of a person to receive the veteran's funds and personal effects in the event that such veteran was to die while in a VA field facility.
2014-12-02Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentAdditional Compensation on Account of Children Adopted Out of Veteran's FamilyThe Department of Veterans Affairs (VA) proposes to amend its adjudication regulations to clarify that a veteran will not receive the dependent rate of disability compensation for a child who is adopted out of the veteran's family. This action is...2014-28374"https://www.gpo.gov/fdsys/pkg/FR-2014-12-02/pdf/2014-28374.pdfhttps://www.federalregister.gov/documents/2014/12/02/2014-28374/additional-compensation-on-account-of-children-adopted-out-of-veterans-familyThe Department of Veterans Affairs (VA) proposes to amend its adjudication regulations to clarify that a veteran will not receive the dependent rate of disability compensation for a child who is adopted out of the veteran's family. This action is necessary because applicable VA adjudication regulations are currently construed as permitting a veteran, whose former child was adopted out of the veteran's family, to receive the dependent rate of disability compensation for the adopted-out child, which constitutes an unwarranted award of benefits not supported by the applicable statute and legislative history.
2014-11-28RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentExempting Mental Health Peer Support Services From CopaymentsThe Department of Veterans Affairs (VA) is taking final action to amend its regulation that sets forth the VA services that are not subject to copayment requirements for inpatient hospital care or outpatient medical care. Specifically, the regulation...2014-27231"https://www.gpo.gov/fdsys/pkg/FR-2014-11-28/pdf/2014-27231.pdfhttps://www.federalregister.gov/documents/2014/11/28/2014-27231/exempting-mental-health-peer-support-services-from-copaymentsThe Department of Veterans Affairs (VA) is taking final action to amend its regulation that sets forth the VA services that are not subject to copayment requirements for inpatient hospital care or outpatient medical care. Specifically, the regulation is amended to exempt mental health peer support services from having any required copayment. This removes a barrier that may have previously discouraged veterans from choosing to use mental health peer support services as a viable care option. VA believes that mental health peer support services are a valuable resource for veterans with mental health conditions and wants to ensure that veterans take full advantage of all resources available to them.
2014-11-28Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentExempting Mental Health Peer Support Services From CopaymentsThe Department of Veterans Affairs (VA) is proposing to amend its regulation that sets forth the VA services that are not subject to copayment requirements for inpatient hospital care or outpatient medical care. Specifically, the regulation would be...2014-27230"https://www.gpo.gov/fdsys/pkg/FR-2014-11-28/pdf/2014-27230.pdfhttps://www.federalregister.gov/documents/2014/11/28/2014-27230/exempting-mental-health-peer-support-services-from-copaymentsThe Department of Veterans Affairs (VA) is proposing to amend its regulation that sets forth the VA services that are not subject to copayment requirements for inpatient hospital care or outpatient medical care. Specifically, the regulation would be amended to exempt mental health peer support services from having any required copayment. This would remove a barrier that may have previously discouraged veterans from choosing to use mental health peer support services as a viable care option. VA believes that mental health peer support services are a valuable resource for veterans with mental health conditions and wants to ensure that veterans take full advantage of all resources available to them.
2014-11-21Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentAnimals on VA PropertyThe Department of Veterans Affairs (VA) proposes to amend its regulation regarding the presence of animals on VA property. Current VA regulation authorizes the presence of seeing-eye dogs on VA property and other animals as authorized at the discretion...2014-27629"https://www.gpo.gov/fdsys/pkg/FR-2014-11-21/pdf/2014-27629.pdfhttps://www.federalregister.gov/documents/2014/11/21/2014-27629/animals-on-va-propertyThe Department of Veterans Affairs (VA) proposes to amend its regulation regarding the presence of animals on VA property. Current VA regulation authorizes the presence of seeing-eye dogs on VA property and other animals as authorized at the discretion of a VA facility head or designee. However, applicable Federal law authorizes the presence of guide dogs and other service animals when these animals accompany individuals with disabilities seeking admittance to buildings or property owned or operated by the Federal Government. This proposed rule would expand the current VA regulation to be consistent with applicable Federal law, and would clarify the authority of a VA facility head or designee to allow nonservice animals to be present on VA property.
2014-11-14RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentTechnical Corrections to Medical Regulations Based on Veterans' Health Care Eligibility Reform Act of 1996The Department of Veterans Affairs (VA) is amending its medical regulations by making technical corrections to conform to the Veterans' Health Care Eligibility Reform Act of 1996 (Act of 1996). Currently VA regulations read that veterans receive only...2014-26954"https://www.gpo.gov/fdsys/pkg/FR-2014-11-14/pdf/2014-26954.pdfhttps://www.federalregister.gov/documents/2014/11/14/2014-26954/technical-corrections-to-medical-regulations-based-on-veterans-health-care-eligibility-reform-act-ofThe Department of Veterans Affairs (VA) is amending its medical regulations by making technical corrections to conform to the Veterans' Health Care Eligibility Reform Act of 1996 (Act of 1996). Currently VA regulations read that veterans receive only VA hospital care to treat medical conditions of eligible veterans. We are amending our regulation to clarify that VA provides hospital care and medical services to eligible veterans.
2014-11-14RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentDesignee for Patient Personal PropertyThe Department of Veterans Affairs (VA) is amending its regulation that governs a competent veteran's designation of a person to receive the veteran's funds and personal effects in the event that such veteran was to die while in a VA field facility. We...2014-26953"https://www.gpo.gov/fdsys/pkg/FR-2014-11-14/pdf/2014-26953.pdfhttps://www.federalregister.gov/documents/2014/11/14/2014-26953/designee-for-patient-personal-propertyThe Department of Veterans Affairs (VA) is amending its regulation that governs a competent veteran's designation of a person to receive the veteran's funds and personal effects in the event that such veteran was to die while in a VA field facility. We are eliminating reference to an obsolete VA form, clarifying the role of a VA fiduciary for an incompetent veteran-patient, as well as restructuring the current regulation for ease of readability.
2014-11-05RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentExpanded Access to Non-VA Care Through the Veterans Choice ProgramThe Department of Veterans Affairs (VA) amends its medical regulations concerning its authority for eligible veterans to receive care from non-VA entities and providers. The Veterans Access, Choice, and Accountability Act of 2014 directs VA to...2014-26316"https://www.gpo.gov/fdsys/pkg/FR-2014-11-05/pdf/2014-26316.pdfhttps://www.federalregister.gov/documents/2014/11/05/2014-26316/expanded-access-to-non-va-care-through-the-veterans-choice-programThe Department of Veterans Affairs (VA) amends its medical regulations concerning its authority for eligible veterans to receive care from non-VA entities and providers. The Veterans Access, Choice, and Accountability Act of 2014 directs VA to establish a program to furnish hospital care and medical services through non-VA health care providers to veterans who either cannot be seen within the wait-time goals of the Veterans Health Administration or who qualify based on their place of residence (hereafter referred to as the Veterans Choice Program, or the ``Program''). The law also requires VA to publish an interim final rule establishing this program. This interim final rule defines the parameters of the Veterans Choice Program, and clarifies aspects affecting veterans and the non-VA providers who will furnish hospital care and medical services through the Veterans Choice Program.
2014-10-27RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentCopayments for Medications in 2015The Department of Veterans Affairs (VA) amends its medical regulations concerning the copayment required for certain medications. But for this rulemaking, beginning on January 1, 2015, the copayment amount would increase based on a formula set forth in...2014-25454"https://www.gpo.gov/fdsys/pkg/FR-2014-10-27/pdf/2014-25454.pdfhttps://www.federalregister.gov/documents/2014/10/27/2014-25454/copayments-for-medications-in-2015The Department of Veterans Affairs (VA) amends its medical regulations concerning the copayment required for certain medications. But for this rulemaking, beginning on January 1, 2015, the copayment amount would increase based on a formula set forth in regulation. The maximum annual copayment amount payable by veterans would also increase. This rulemaking freezes copayments for 2015 at the current rate for veterans in priority categories 2 through 8, and thereafter resumes increasing copayments in accordance with the regulatory formula.
2014-10-01Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentApplicants for VA Memorialization BenefitsThe Department of Veterans Affairs (VA) proposes to amend its regulations defining who may apply for a headstone or marker. The intended effect of this proposed rule would be to expand the types of individuals who may request headstones and markers on...2014-23330"https://www.gpo.gov/fdsys/pkg/FR-2014-10-01/pdf/2014-23330.pdfhttps://www.federalregister.gov/documents/2014/10/01/2014-23330/applicants-for-va-memorialization-benefitsThe Department of Veterans Affairs (VA) proposes to amend its regulations defining who may apply for a headstone or marker. The intended effect of this proposed rule would be to expand the types of individuals who may request headstones and markers on behalf of decedents. This amendment would address concerns that the existing applicant definition is too restrictive and results in identified veteran gravesites going unmarked.
2014-09-25RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentStandard Claims and Appeals FormsThe Department of Veterans Affairs (VA) amends its adjudication regulations and the appeals regulations and rules of practice of the Board of Veterans' Appeals (Board) to require that all claims governed by VA's adjudication regulations be filed on...2014-22633"https://www.gpo.gov/fdsys/pkg/FR-2014-09-25/pdf/2014-22633.pdfhttps://www.federalregister.gov/documents/2014/09/25/2014-22633/standard-claims-and-appeals-formsThe Department of Veterans Affairs (VA) amends its adjudication regulations and the appeals regulations and rules of practice of the Board of Veterans' Appeals (Board) to require that all claims governed by VA's adjudication regulations be filed on standard forms prescribed by the Secretary, regardless of the type of claim or posture in which the claim arises. This rulemaking also eliminates the constructive receipt of VA reports of hospitalization or examination and other medical records as informal claims for increase or to reopen while retaining the retroactive effective date assignment for awards for claims for increase which are filed on a standard form within 1 year of such hospitalization, examination, or treatment. This final rule also implements the concept of an intent to file a claim for benefits, which operates similarly to the current informal claim process, but requires that the submission establishing a claimant's effective date of benefits must be received in one of three specified formats. Finally, these amendments will provide that VA will accept an expression of dissatisfaction or disagreement with an adjudicative determination by the agency of original jurisdiction(AOJ) as a Notice of Disagreement (NOD) only if it is submitted on a standardized form provided by VA for the purpose of appealing the decision, in cases where such a form is provided. Although a standardized NOD form will only initially be provided in connection with decisions on compensation claims, VA may require a standard NOD form for any type of claim for VA benefits if, in the future, it develops and provides a standardized NOD form for a particular benefit. The purpose of these amendments is to improve the quality and timeliness of the processing of veterans' claims for benefits by standardizing the claims and appeals processes through the use of forms.
2014-09-24RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentHospital Care and Medical Services for Camp Lejeune VeteransThis document amends Department of Veterans Affairs (VA) regulations in order to implement a statutory mandate that VA provide health care to certain veterans who served at Camp Lejeune, North Carolina, for at least 30 days during the period beginning...2014-22637"https://www.gpo.gov/fdsys/pkg/FR-2014-09-24/pdf/2014-22637.pdfhttps://www.federalregister.gov/documents/2014/09/24/2014-22637/hospital-care-and-medical-services-for-camp-lejeune-veteransThis document amends Department of Veterans Affairs (VA) regulations in order to implement a statutory mandate that VA provide health care to certain veterans who served at Camp Lejeune, North Carolina, for at least 30 days during the period beginning on January 1, 1957, and ending on December 31, 1987. The law requires VA to furnish hospital care and medical services for these veterans for certain illnesses and conditions that may be attributed to exposure to toxins in the water system at Camp Lejeune. This rule does not implement the statutory provision requiring VA to provide health care to these veterans' family members; regulations applicable to such family members will be promulgated through a separate notice.
2014-09-24RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentPayment or Reimbursement for Certain Medical Expenses for Camp Lejeune Family MembersThe Department of Veterans Affairs (VA) is promulgating regulations to implement statutory authority to provide payment or reimbursement for hospital care and medical services provided to certain veterans' family members who resided at Camp Lejeune,...2014-22635"https://www.gpo.gov/fdsys/pkg/FR-2014-09-24/pdf/2014-22635.pdfhttps://www.federalregister.gov/documents/2014/09/24/2014-22635/payment-or-reimbursement-for-certain-medical-expenses-for-camp-lejeune-family-membersThe Department of Veterans Affairs (VA) is promulgating regulations to implement statutory authority to provide payment or reimbursement for hospital care and medical services provided to certain veterans' family members who resided at Camp Lejeune, North Carolina, for at least 30 days during the period beginning on January 1, 1957, and ending on December 31, 1987. Under this rule, VA will reimburse family members, or pay providers, for medical expenses incurred as a result of certain illnesses and conditions that may be attributed to exposure to contaminated drinking water at Camp Lejeune during this time period. Payment or reimbursement will be made within the limitations set forth in statute and Camp Lejeune family members will receive hospital care and medical services that are consistent with the manner in which we provide hospital care and medical services to Camp Lejeune veterans.
2014-09-12RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentUpdating Certain Citations in VA Medical RegulationsThe Department of Veterans Affairs (VA) is making technical amendments to its medical regulations by updating the statutory authorities identified in certain sections where those statutes have been renumbered or where the authority citation is...2014-21790"https://www.gpo.gov/fdsys/pkg/FR-2014-09-12/pdf/2014-21790.pdfhttps://www.federalregister.gov/documents/2014/09/12/2014-21790/updating-certain-citations-in-va-medical-regulationsThe Department of Veterans Affairs (VA) is making technical amendments to its medical regulations by updating the statutory authorities identified in certain sections where those statutes have been renumbered or where the authority citation is inaccurate for other technical, nonsubstantive reasons. VA is also amending outdated or incorrect cross-references to other Code of Federal Regulation sections.
2014-09-12RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentSpecial Home Adaptation Grants for Members of the Armed Forces and Veterans With Certain Vision ImpairmentThe Department of Veterans Affairs (VA) is issuing a final rule to amend its adjudication regulations regarding special home adaptation grants for members of the Armed Forces and veterans with certain vision impairment. This regulatory amendment is...2014-21791"https://www.gpo.gov/fdsys/pkg/FR-2014-09-12/pdf/2014-21791.pdfhttps://www.federalregister.gov/documents/2014/09/12/2014-21791/special-home-adaptation-grants-for-members-of-the-armed-forces-and-veterans-with-certain-visionThe Department of Veterans Affairs (VA) is issuing a final rule to amend its adjudication regulations regarding special home adaptation grants for members of the Armed Forces and veterans with certain vision impairment. This regulatory amendment is necessary to conform the regulations to changes mandated in the Honoring America's Veterans and Caring for Camp Lejeune Families Act of 2012.
2014-09-08Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentLoan Guaranty-Specially Adapted Housing Assistive Technology Grant ProgramThe Department of Veterans Affairs (VA) is proposing to implement through regulation statutory authority to provide grants for the development of new assistive technologies for use in specially adapted housing for eligible veterans or servicemembers,...2014-21138"https://www.gpo.gov/fdsys/pkg/FR-2014-09-08/pdf/2014-21138.pdfhttps://www.federalregister.gov/documents/2014/09/08/2014-21138/loan-guaranty-specially-adapted-housing-assistive-technology-grant-programThe Department of Veterans Affairs (VA) is proposing to implement through regulation statutory authority to provide grants for the development of new assistive technologies for use in specially adapted housing for eligible veterans or servicemembers, as authorized by the Veterans' Benefits Act of 2010 (the Act), enacted on October 13, 2010. The Act authorizes VA to provide grants of up to $200,000 per fiscal year to persons or entities to encourage the development of specially adapted housing assistive technologies. VA is amending its regulations to outline the process, the criteria, and the priorities relating to the award of these research and development grants.
2014-09-05RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentSubstitution in Case of Death of ClaimantThis document adopts as a final rule the Department of Veterans Affairs' (VA) proposal to amend its regulations on adjudication of VA benefit claims, representation of claimants, and the Board of Veterans' Appeals rules of practice. Specifically, these...2014-21139"https://www.gpo.gov/fdsys/pkg/FR-2014-09-05/pdf/2014-21139.pdfhttps://www.federalregister.gov/documents/2014/09/05/2014-21139/substitution-in-case-of-death-of-claimantThis document adopts as a final rule the Department of Veterans Affairs' (VA) proposal to amend its regulations on adjudication of VA benefit claims, representation of claimants, and the Board of Veterans' Appeals rules of practice. Specifically, these amendments implement section 212 of the Veterans' Benefits Improvement Act of 2008, which allows an eligible survivor to substitute for a deceased claimant in the decedent's pending claim or appeal of a decision on a claim. This final rule addresses eligibility for substitution and the procedures applicable to requests to substitute in a claim that is pending before a VA agency of original jurisdiction or an appeal that is pending before the Board of Veterans' Appeals.
2014-08-15RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentServicemembers' Group Life Insurance and Veterans' Group Life Insurance Information AccessThe Department of Veterans Affairs (VA) is amending its regulations governing Servicemembers' Group Life Insurance (SGLI), Family SGLI, SGLI Traumatic Injury Protection, and Veterans' Group Life Insurance (all hereafter referred to as SGLI) to clarify...2014-19491"https://www.gpo.gov/fdsys/pkg/FR-2014-08-15/pdf/2014-19491.pdfhttps://www.federalregister.gov/documents/2014/08/15/2014-19491/servicemembers-group-life-insurance-and-veterans-group-life-insurance-information-accessThe Department of Veterans Affairs (VA) is amending its regulations governing Servicemembers' Group Life Insurance (SGLI), Family SGLI, SGLI Traumatic Injury Protection, and Veterans' Group Life Insurance (all hereafter referred to as SGLI) to clarify and acknowledge what is implicit in the law: that VA, which has the responsibility under the law to administer the SGLI programs, also has the right to full access to records held by the insurer or on behalf of the insurer from whom VA has purchased a policy. These records include all of the insurer's records related to the operation and administration of the SGLI programs necessary to protect the legal and financial rights of the Government and of the persons affected by the activities of the agency and its agents. This document adopts as a final rule, without change, the proposed rule published in the Federal Register on September 23, 2013.
2014-08-14RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentSpecially Adapted Housing Eligibility for Amyotrophic Lateral Sclerosis BeneficiariesThe Department of Veterans Affairs (VA) amended by interim final rule its adjudication regulation regarding specially adapted housing (SAH) to authorize automatic issuance of a certificate of eligibility for SAH to all veterans and active-duty...2014-19240"https://www.gpo.gov/fdsys/pkg/FR-2014-08-14/pdf/2014-19240.pdfhttps://www.federalregister.gov/documents/2014/08/14/2014-19240/specially-adapted-housing-eligibility-for-amyotrophic-lateral-sclerosis-beneficiariesThe Department of Veterans Affairs (VA) amended by interim final rule its adjudication regulation regarding specially adapted housing (SAH) to authorize automatic issuance of a certificate of eligibility for SAH to all veterans and active-duty servicemembers with service-connected amyotrophic lateral sclerosis (ALS) rated totally disabling under the VA Schedule for Rating Disabilities. This document adopts as a final rule, without change, the interim final rule published in the Federal Register on December 3, 2013.
2014-08-04RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentSchedule for Rating Disabilities-Mental Disorders and Definition of Psychosis for Certain VA PurposesThe Department of Veterans Affairs (VA) is amending the portion of its Schedule for Rating Disabilities (VASRD) dealing with mental disorders and its adjudication regulations that define the term ``psychosis.'' The VASRD refers to the Diagnostic and...2014-18150"https://www.gpo.gov/fdsys/pkg/FR-2014-08-04/pdf/2014-18150.pdfhttps://www.federalregister.gov/documents/2014/08/04/2014-18150/schedule-for-rating-disabilities-mental-disorders-and-definition-of-psychosis-for-certain-vaThe Department of Veterans Affairs (VA) is amending the portion of its Schedule for Rating Disabilities (VASRD) dealing with mental disorders and its adjudication regulations that define the term ``psychosis.'' The VASRD refers to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV), and VA's adjudication regulations refer to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition Text Revision (DSM-IV-TR). DSM-IV and DSM-IV-TR were recently updated by issuance of the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). This rulemaking will remove outdated DSM references by deleting references to DSM-IV and DSM-IV-TR and replacing them with references to DSM-5. Additionally, this rulemaking will update the nomenclature used to refer to certain mental disorders to conform to DSM-5.
2014-07-31RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentServicemembers' Group Life Insurance-Veterans' Group Life Insurance Regulation Update-ABO, VGLI Application, SGLI 2-Year Disability ExtensionThis document amends the Department of Veterans Affairs (VA) insurance regulations concerning Servicemembers' Group Life Insurance (SGLI) to reflect the statutory provisions of the Veterans' Benefits Act of 2010, which became law on October 13, 2010,...2014-17900"https://www.gpo.gov/fdsys/pkg/FR-2014-07-31/pdf/2014-17900.pdfhttps://www.federalregister.gov/documents/2014/07/31/2014-17900/servicemembers-group-life-insurance-veterans-group-life-insurance-regulation-update-abo-vgliThis document amends the Department of Veterans Affairs (VA) insurance regulations concerning Servicemembers' Group Life Insurance (SGLI) to reflect the statutory provisions of the Veterans' Benefits Act of 2010, which became law on October 13, 2010, and resulted in the need for amendments to change the SGLI Disability Extension period from 1 year to 2 years in duration; provide SGLI Traumatic Injury Protection (TSGLI) retroactive coverage effective from October 7, 2001, for all qualifying injuries regardless of the geographic location and military operation in which the injuries were incurred; and remove the SGLI and Veterans' Group Life Insurance (VGLI) Accelerated Benefits Option (ABO) discount rate. This rule also clarifies that ``initial premium'' refers to ``initial Veterans' Group Life Insurance premium,'' updates the current address of the Office of Servicemembers' Group Life Insurance (OSGLI), managed by Prudential Insurance Company of America, to reflect where the ABO application is mailed for processing, and corrects the OSGLI phone number. Finally, this rule removes the ABO application form from the regulation, and it corrects and clarifies language concerning the VGLI application period that was inadvertently incorrectly modified in a prior amendment of the regulations.
2014-07-15Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentUpdate to NFPA Standards, Incorporation by ReferenceThe Department of Veterans Affairs (VA) proposes to amend its regulations incorporating by reference the National Fire Protection Association (NFPA) codes and standards. These codes and standards are referenced in VA regulations concerning community...2014-16414"https://www.gpo.gov/fdsys/pkg/FR-2014-07-15/pdf/2014-16414.pdfhttps://www.federalregister.gov/documents/2014/07/15/2014-16414/update-to-nfpa-standards-incorporation-by-referenceThe Department of Veterans Affairs (VA) proposes to amend its regulations incorporating by reference the National Fire Protection Association (NFPA) codes and standards. These codes and standards are referenced in VA regulations concerning community residential care facilities, contract facilities for certain outpatient and residential services, Medical Foster Homes, and State home facilities. To ensure the continued safety of veterans in these facilities, VA would continue to rely upon NFPA codes and standards for VA approval of such facilities. This proposed rulemaking would update our regulations to adhere to more recent NFPA codes and standards.
2014-07-02Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentReimbursement for Caskets and Urns for Burial of Unclaimed Remains in a National CemeteryThe Department of Veterans Affairs National Cemetery Administration (NCA) proposes to amend its regulations to establish a new program to furnish caskets and urns for the interment of the remains of veterans with no known next-of-kin (NOK) where...2014-15531"https://www.gpo.gov/fdsys/pkg/FR-2014-07-02/pdf/2014-15531.pdfhttps://www.federalregister.gov/documents/2014/07/02/2014-15531/reimbursement-for-caskets-and-urns-for-burial-of-unclaimed-remains-in-a-national-cemeteryThe Department of Veterans Affairs National Cemetery Administration (NCA) proposes to amend its regulations to establish a new program to furnish caskets and urns for the interment of the remains of veterans with no known next-of-kin (NOK) where sufficient financial resources are not available for this purpose. This rulemaking is necessary to implement new statutory authority by establishing procedures to provide reimbursement for privately purchased caskets or urns and to otherwise administer the new program. This proposed rule would implement a portion of the Dignified Burial and Other Veterans' Benefits Improvement Act of 2012 (the Act).
2014-07-01RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentGrants for Adaptive Sports Programs for Disabled Veterans and Disabled Members of the Armed ForcesThis interim final rule amends Department of Veterans Affairs (VA) regulations to establish a new program to provide grants to eligible entities to provide adaptive sports activities to disabled veterans and disabled members of the Armed Forces. This...2014-15191"https://www.gpo.gov/fdsys/pkg/FR-2014-07-01/pdf/2014-15191.pdfhttps://www.federalregister.gov/documents/2014/07/01/2014-15191/grants-for-adaptive-sports-programs-for-disabled-veterans-and-disabled-members-of-the-armed-forcesThis interim final rule amends Department of Veterans Affairs (VA) regulations to establish a new program to provide grants to eligible entities to provide adaptive sports activities to disabled veterans and disabled members of the Armed Forces. This rulemaking is necessary to implement a change in the law that authorizes VA to make grants to entities other than the United States Olympic Committee for adaptive sports programs. It establishes procedures for evaluating grant applications under this grant program, and otherwise administering the grant program. This rule implements section 5 of the VA Expiring Authorities Extension Act of 2013.
2014-06-26Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentReimbursement for Caskets and Urns for Burial of Unclaimed Remains in a National CemeteryThe Department of Veterans Affairs National Cemetery Administration (NCA) proposes to amend its regulations to establish a new program to furnish caskets and urns for the interment of the remains of veterans with no known next- of-kin (NOK) where...2014-14651"https://www.gpo.gov/fdsys/pkg/FR-2014-06-26/pdf/2014-14651.pdfhttps://www.federalregister.gov/documents/2014/06/26/2014-14651/reimbursement-for-caskets-and-urns-for-burial-of-unclaimed-remains-in-a-national-cemeteryThe Department of Veterans Affairs National Cemetery Administration (NCA) proposes to amend its regulations to establish a new program to furnish caskets and urns for the interment of the remains of veterans with no known next- of-kin (NOK) where sufficient financial resources are not available for this purpose. This rulemaking is necessary to implement new statutory authority by establishing procedures to provide reimbursement for privately purchased caskets or urns and to otherwise administer the new program. This proposed rule would implement a portion of the Dignified Burial and Other Veterans' Benefits Improvement Act of 2012 (the Act).
2014-06-06RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentBurial BenefitsThe Department of Veterans Affairs (VA) is amending its regulations governing entitlement to monetary burial benefits, which include burial allowances for service-connected and non-service- connected deaths, a plot or interment allowance, and...2014-13230"https://www.gpo.gov/fdsys/pkg/FR-2014-06-06/pdf/2014-13230.pdfhttps://www.federalregister.gov/documents/2014/06/06/2014-13230/burial-benefitsThe Department of Veterans Affairs (VA) is amending its regulations governing entitlement to monetary burial benefits, which include burial allowances for service-connected and non-service- connected deaths, a plot or interment allowance, and reimbursement of transportation expenses. As amended, the regulations establish rules to support VA's automated payment of burial allowances to surviving spouses, conversion to flat-rate burial and plot or interment allowances that are equal to the maximum benefit authorized by law, and priority of payment to non-spouse survivors. The purpose of these regulations is to streamline the program and make it easier for veterans and their families to receive the right benefits and meet their expectations for quality, timeliness, and responsiveness.
2014-05-27RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentCopayments for Medications in 2014This document adopts as a final rule, without change, an interim final rule amending the Department of Veterans Affairs (VA) medical regulations to freeze the copayments required for certain medications provided by VA until December 31, 2014. Under...2014-12092"https://www.gpo.gov/fdsys/pkg/FR-2014-05-27/pdf/2014-12092.pdfhttps://www.federalregister.gov/documents/2014/05/27/2014-12092/copayments-for-medications-in-2014This document adopts as a final rule, without change, an interim final rule amending the Department of Veterans Affairs (VA) medical regulations to freeze the copayments required for certain medications provided by VA until December 31, 2014. Under that rule, the copayment amounts for all veterans were maintained at the same rates as they were in 2013, which were $8 for veterans in priority groups 2-6 and $9 for veterans in priority groups 7 and 8. On January 1, 2015, the copayment amounts may increase based on the prescription drug component of the Medical Consumer Price Index (CPI-P).
2014-05-15Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentHealth Care for Homeless Veterans ProgramThe Department of Veterans Affairs (VA) proposes to amend its medical regulations concerning eligibility for the Health Care for Homeless Veterans (HCHV) program. The HCHV program provides per diem payments to non-VA community-based facilities that...2014-11046"https://www.gpo.gov/fdsys/pkg/FR-2014-05-15/pdf/2014-11046.pdfhttps://www.federalregister.gov/documents/2014/05/15/2014-11046/health-care-for-homeless-veterans-programThe Department of Veterans Affairs (VA) proposes to amend its medical regulations concerning eligibility for the Health Care for Homeless Veterans (HCHV) program. The HCHV program provides per diem payments to non-VA community-based facilities that provide housing, outreach services, case management services, and rehabilitative services, and may provide care and/or treatment to homeless veterans who are enrolled in or eligible for VA health care. The proposed rule would modify VA's HCHV regulations to conform to changes enacted in the Honoring America's Veterans and Caring for Camp Lejeune Families Act of 2012. Specifically, the proposed rule would remove the requirement that homeless veterans be diagnosed with a serious mental illness or substance use disorder to qualify for the HCHV program. This change would make the program available to all homeless veterans who are enrolled in or eligible for VA health care. The proposed rule would also update the definition of homeless to match in part the one used by the Department of Housing and Urban Development (HUD). The proposed rule would further clarify that the services provided by the HCHV program through non-VA community-based providers must include case management services, including non-clinical case management, as appropriate.
2014-05-09RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentLoan Guaranty: Ability-To-Repay Standards and Qualified Mortgage Definition Under the Truth in Lending ActThis document amends the Department of Veterans Affairs (VA) Loan Guaranty regulations to implement provisions of the Dodd-Frank Wall Street Reform and Consumer Protection Act, requiring that VA define the types of VA loans that are ``qualified...2014-10600"https://www.gpo.gov/fdsys/pkg/FR-2014-05-09/pdf/2014-10600.pdfhttps://www.federalregister.gov/documents/2014/05/09/2014-10600/loan-guaranty-ability-to-repay-standards-and-qualified-mortgage-definition-under-the-truth-inThis document amends the Department of Veterans Affairs (VA) Loan Guaranty regulations to implement provisions of the Dodd-Frank Wall Street Reform and Consumer Protection Act, requiring that VA define the types of VA loans that are ``qualified mortgages'' for the purposes of the new Ability to Repay provisions of the Truth in Lending Act. This rule establishes which VA-guaranteed loans are to be considered ``qualified mortgages'' and have either safe harbor protection or the presumption that the borrower is able to repay a loan, in accordance with the new Ability to Repay provisions. The rule does not change VA's regulations or policies with respect to how lenders are to originate mortgages, except to the extent lenders want to make qualified mortgages.
2014-05-09Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentSupportive Services for Veteran Families ProgramThe Department of Veterans Affairs (VA) proposes to amend its regulations concerning the Supportive Services for Veteran Families Program (SSVF). The proposed changes would clarify, consistent with existing regulations, that grantees must focus on...2014-10251"https://www.gpo.gov/fdsys/pkg/FR-2014-05-09/pdf/2014-10251.pdfhttps://www.federalregister.gov/documents/2014/05/09/2014-10251/supportive-services-for-veteran-families-programThe Department of Veterans Affairs (VA) proposes to amend its regulations concerning the Supportive Services for Veteran Families Program (SSVF). The proposed changes would clarify, consistent with existing regulations, that grantees must focus on providing permanent housing to eligible veteran families who, without SSVF assistance, would likely become homeless. The proposed clarifications are intended to emphasize the intended goals of SSVF. The proposed rule would expand grantees' authority to provide certain services to all very low-income veteran families, and specifically to those veteran families with significantly lower economic resources, which we would identify as extremely low-income veteran families. The purpose of this expanded authority is to address identified needs based on the administration of SSVF since its inception, and to provide greater incentive to grantees to assist these particularly vulnerable veteran families. Finally, the proposed rule would clarify that certain services are not permissible uses of SSVF funds.
2014-03-25RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentPayment for Home Health Services and Hospice Care to Non-VA Providers; Delay of Effective DateThe Department of Veterans Affairs (VA) published in the Federal Register on November 14, 2013 (78 FR 68364), a notification delaying the effective date of a final rule that amends the payment methodology for providers of home health services and...2014-06470"https://www.gpo.gov/fdsys/pkg/FR-2014-03-25/pdf/2014-06470.pdfhttps://www.federalregister.gov/documents/2014/03/25/2014-06470/payment-for-home-health-services-and-hospice-care-to-non-va-providers-delay-of-effective-dateThe Department of Veterans Affairs (VA) published in the Federal Register on November 14, 2013 (78 FR 68364), a notification delaying the effective date of a final rule that amends the payment methodology for providers of home health services and hospice care. That notification changed the effective date from November 15, 2013, to April 1, 2014. We are now delaying until June 1, 2014, the effective date of the final rule at 78 FR 26250.
2014-03-24RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentVocational Rehabilitation and Employment Program: Changes Related to the Honoring America's Veterans and Caring for Camp Lejeune Families Act of 2012The Department of Veterans Affairs (VA) is amending its regulation to reflect a change made by the Honoring America's Veterans and Caring for Camp Lejeune Families Act of 2012. If a veteran has been displaced as the result of a natural or other...2014-06378"https://www.gpo.gov/fdsys/pkg/FR-2014-03-24/pdf/2014-06378.pdfhttps://www.federalregister.gov/documents/2014/03/24/2014-06378/vocational-rehabilitation-and-employment-program-changes-related-to-the-honoring-americas-veteransThe Department of Veterans Affairs (VA) is amending its regulation to reflect a change made by the Honoring America's Veterans and Caring for Camp Lejeune Families Act of 2012. If a veteran has been displaced as the result of a natural or other disaster while being paid an allowance, referred to as an employment adjustment allowance, this Act allows the extension of the allowance. This amendment is necessary to conform the regulation to the statutory provision.
2014-03-21RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentCriteria for a Catastrophically Disabled Determination for Purposes of Enrollment; CorrectionThe Department of Veterans Affairs published in the Federal Register on December 3, 2013, a document amending its regulation concerning the manner in which VA determines that a veteran is catastrophically disabled for purposes of enrollment in priority...2014-06222"https://www.gpo.gov/fdsys/pkg/FR-2014-03-21/pdf/2014-06222.pdfhttps://www.federalregister.gov/documents/2014/03/21/2014-06222/criteria-for-a-catastrophically-disabled-determination-for-purposes-of-enrollment-correctionThe Department of Veterans Affairs published in the Federal Register on December 3, 2013, a document amending its regulation concerning the manner in which VA determines that a veteran is catastrophically disabled for purposes of enrollment in priority group 4 for VA health care. The Regulation Identifier Number, 2900-AO21, in the heading was typed incorrectly. This document corrects the Regulation Identifier Number.
2014-03-20RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentVA Dental Insurance Program-FederalismThe Department of Veterans Affairs (VA) published a direct final rule in the Federal Register on October 22, 2013, amending its regulations related to the VA Dental Insurance Program (VADIP), a pilot program to offer premium-based dental insurance to...2014-05911"https://www.gpo.gov/fdsys/pkg/FR-2014-03-20/pdf/2014-05911.pdfhttps://www.federalregister.gov/documents/2014/03/20/2014-05911/va-dental-insurance-program-federalismThe Department of Veterans Affairs (VA) published a direct final rule in the Federal Register on October 22, 2013, amending its regulations related to the VA Dental Insurance Program (VADIP), a pilot program to offer premium-based dental insurance to enrolled veterans and certain survivors and dependents of veterans. Specifically, this rule adds language to clarify the limited preemptive effect of certain criteria in the VADIP regulations. VA received no comments concerning this rule or its companion substantially identical proposed rule published in the Federal Register on October 23, 2013. This document confirms that the direct final rule became effective on December 23, 2013. In a companion document in this issue of the Federal Register, we are withdrawing as unnecessary the proposed rule.
2014-03-20Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentVA Dental Insurance Program-FederalismThe Department of Veterans Affairs (VA) is withdrawing VA's proposed rule, published in the Federal Register on October 23, 2013, to amend its regulations related to the VA Dental Insurance Program (VADIP), a pilot program to offer premium-based dental...2014-05912"https://www.gpo.gov/fdsys/pkg/FR-2014-03-20/pdf/2014-05912.pdfhttps://www.federalregister.gov/documents/2014/03/20/2014-05912/va-dental-insurance-program-federalismThe Department of Veterans Affairs (VA) is withdrawing VA's proposed rule, published in the Federal Register on October 23, 2013, to amend its regulations related to the VA Dental Insurance Program (VADIP), a pilot program to offer premium-based dental insurance to enrolled veterans and certain survivors and dependents of veterans. Specifically, this rule would have added language to clarify the limited preemptive effect of certain criteria in the VADIP regulations. VA received no comments concerning the proposed rule or its companion substantially identical direct final rule published on October 22, 2013, in the Federal Register. In a companion document in this issue of the Federal Register, we are confirming that the direct final rule became effective on December 23, 2013. Accordingly, this document withdraws as unnecessary the proposed rule.
2014-03-14RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentDisclosures to Participate in State Prescription Drug Monitoring ProgramsThis document adopts as final, without change, an interim final rule published in the Federal Register that amended the Department of Veterans Affairs' (VA) regulations concerning the sharing of certain patient information in order to implement VA's...2014-05691"https://www.gpo.gov/fdsys/pkg/FR-2014-03-14/pdf/2014-05691.pdfhttps://www.federalregister.gov/documents/2014/03/14/2014-05691/disclosures-to-participate-in-state-prescription-drug-monitoring-programsThis document adopts as final, without change, an interim final rule published in the Federal Register that amended the Department of Veterans Affairs' (VA) regulations concerning the sharing of certain patient information in order to implement VA's authority to participate in State Prescription Drug Monitoring Programs (PDMP).
2014-01-13RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentLoan Guaranty: Minimum Property and Construction RequirementsThis final rule amends the Department of Veterans Affairs (VA) guaranteed loan regulations by clarifying VA's statutory authority to establish minimum property requirements for properties securing VA- guaranteed loans. It does not make any substantive...2014-00386"https://www.gpo.gov/fdsys/pkg/FR-2014-01-13/pdf/2014-00386.pdfhttps://www.federalregister.gov/documents/2014/01/13/2014-00386/loan-guaranty-minimum-property-and-construction-requirementsThis final rule amends the Department of Veterans Affairs (VA) guaranteed loan regulations by clarifying VA's statutory authority to establish minimum property requirements for properties securing VA- guaranteed loans. It does not make any substantive policy change or affect any substantive rights; rather, it merely cites more complete authority for the existing rule.
2014-01-13RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentVA Compensation Service and Pension and Fiduciary Service Nomenclature ChangesThis document amends the Department of Veterans Affairs (VA) regulations by making nonsubstantive changes to reflect new titles of certain VA offices.2014-00390"https://www.gpo.gov/fdsys/pkg/FR-2014-01-13/pdf/2014-00390.pdfhttps://www.federalregister.gov/documents/2014/01/13/2014-00390/va-compensation-service-and-pension-and-fiduciary-service-nomenclature-changesThis document amends the Department of Veterans Affairs (VA) regulations by making nonsubstantive changes to reflect new titles of certain VA offices.
2014-01-08RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentCommunity Residential CareThis rule adopts as final, without change, an interim final rule amending the Department of Veterans Affairs (VA) regulations concerning approval of non-VA community residential care (CRC) facilities to allow VA to waive such facilities' compliance...2014-00099"https://www.gpo.gov/fdsys/pkg/FR-2014-01-08/pdf/2014-00099.pdfhttps://www.federalregister.gov/documents/2014/01/08/2014-00099/community-residential-careThis rule adopts as final, without change, an interim final rule amending the Department of Veterans Affairs (VA) regulations concerning approval of non-VA community residential care (CRC) facilities to allow VA to waive such facilities' compliance with standards that do not jeopardize the health or safety of residents. As amended, the regulation allows VA to grant a waiver of a CRC standard in those limited circumstances where the deficiency cannot be corrected to meet a standard provided for in VA regulation. This rulemaking also makes a certain necessary technical amendment to correct a reference to the section addressing requests for a hearing.
2014-01-08RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentRemoval of Penalty for Breaking AppointmentsThe Department of Veterans Affairs (VA) amends its regulations to remove an outdated regulation that stated that a veteran who misses two medical appointments without providing 24 hours' notice and a reasonable excuse is deemed to have refused VA...2014-00098"https://www.gpo.gov/fdsys/pkg/FR-2014-01-08/pdf/2014-00098.pdfhttps://www.federalregister.gov/documents/2014/01/08/2014-00098/removal-of-penalty-for-breaking-appointmentsThe Department of Veterans Affairs (VA) amends its regulations to remove an outdated regulation that stated that a veteran who misses two medical appointments without providing 24 hours' notice and a reasonable excuse is deemed to have refused VA medical care. VA removes this penalty because we believe it is incompatible with regulatory changes implemented after the regulation was promulgated, is not in line with current practice, and is inconsistent with VA's patient- centered approach to medical care.
2014-01-03Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentFiduciary ActivitiesThe Department of Veterans Affairs (VA) proposes to amend its fiduciary program regulations, which govern the oversight of beneficiaries who, because of injury, disease, the infirmities of advanced age, or minority, are unable to manage their VA...2013-29970"https://www.gpo.gov/fdsys/pkg/FR-2014-01-03/pdf/2013-29970.pdfhttps://www.federalregister.gov/documents/2014/01/03/2013-29970/fiduciary-activitiesThe Department of Veterans Affairs (VA) proposes to amend its fiduciary program regulations, which govern the oversight of beneficiaries who, because of injury, disease, the infirmities of advanced age, or minority, are unable to manage their VA benefits, and the appointment and oversight of fiduciaries for these vulnerable beneficiaries. The proposed amendments would update and reorganize regulations consistent with current law, VA policies and procedures, and VA's reorganization of its fiduciary activities. They would also clarify the rights of beneficiaries in the program and the roles of VA and fiduciaries in ensuring that VA benefits are managed in the best interest of beneficiaries and their dependents.
2013-12-30RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentCopayments for Medications in 2014The Department of Veterans Affairs (VA) amends its medical regulations concerning the copayment required for certain medications. But for this rulemaking, beginning on January 1, 2014, the copayment amount would increase based on a formula set forth in...2013-31102"https://www.gpo.gov/fdsys/pkg/FR-2013-12-30/pdf/2013-31102.pdfhttps://www.federalregister.gov/documents/2013/12/30/2013-31102/copayments-for-medications-in-2014The Department of Veterans Affairs (VA) amends its medical regulations concerning the copayment required for certain medications. But for this rulemaking, beginning on January 1, 2014, the copayment amount would increase based on a formula set forth in regulation. The maximum annual copayment amount payable by veterans would also increase. This rulemaking freezes copayments at the current rate for 2014 for veterans in priority categories 2 through 8, and thereafter resumes increasing copayments in accordance with the regulatory formula.
2013-12-26RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentDuty Periods for Establishing Eligibility for Health CareThe Department of Veterans Affairs (VA) is amending its medical regulations concerning eligibility for health care to re- establish the definitions of ``active military, naval, or air service,'' ``active duty,'' and ``active duty for training.'' These...2013-30775"https://www.gpo.gov/fdsys/pkg/FR-2013-12-26/pdf/2013-30775.pdfhttps://www.federalregister.gov/documents/2013/12/26/2013-30775/duty-periods-for-establishing-eligibility-for-health-careThe Department of Veterans Affairs (VA) is amending its medical regulations concerning eligibility for health care to re- establish the definitions of ``active military, naval, or air service,'' ``active duty,'' and ``active duty for training.'' These definitions were deleted in 1996; however, we believe that all duty periods should be defined in part 17 of the Code of Federal Regulations (CFR) to ensure proper determination of eligibility for VA health care. We are also providing a more complete definition of ``inactive duty training.''
2013-12-18Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentBurial BenefitsThe Department of Veterans Affairs (VA) proposes to clarify, reorganize, and rewrite in plain language its regulations that govern entitlement to monetary burial benefits, which include burial allowances for service-connected and non-service-connected...2013-29142"https://www.gpo.gov/fdsys/pkg/FR-2013-12-18/pdf/2013-29142.pdfhttps://www.federalregister.gov/documents/2013/12/18/2013-29142/burial-benefitsThe Department of Veterans Affairs (VA) proposes to clarify, reorganize, and rewrite in plain language its regulations that govern entitlement to monetary burial benefits, which include burial allowances for service-connected and non-service-connected deaths, a plot or interment allowance, and reimbursement of transportation expenses. The amendments would also establish rules to support VA's automated payment of burial allowances to surviving spouses, conversion to flat-rate burial and plot or interment allowances that are equal to the maximum benefit authorized by law, and priority of payment to non- spouse survivors.
2013-12-17RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentSecondary Service Connection for Diagnosable Illnesses Associated With Traumatic Brain InjuryThe Department of Veterans Affairs (VA) amends its adjudication regulations concerning service connection. This final rule acts upon a report of the National Academy of Sciences, Institute of Medicine (IOM), Gulf War and Health, Volume 7: Long-Term...2013-29911"https://www.gpo.gov/fdsys/pkg/FR-2013-12-17/pdf/2013-29911.pdfhttps://www.federalregister.gov/documents/2013/12/17/2013-29911/secondary-service-connection-for-diagnosable-illnesses-associated-with-traumatic-brain-injuryThe Department of Veterans Affairs (VA) amends its adjudication regulations concerning service connection. This final rule acts upon a report of the National Academy of Sciences, Institute of Medicine (IOM), Gulf War and Health, Volume 7: Long-Term Consequences of Traumatic Brain Injury, regarding the association between traumatic brain injury (TBI) and five diagnosable illnesses. This amendment establishes that if a veteran who has a service-connected TBI also has one of these diagnosable illnesses, then that illness will be considered service connected as secondary to the TBI.
2013-12-16RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentAuthorization for Non-VA Medical Services; WithdrawalThe Department of Veterans Affairs (VA) published a direct final rule in the Federal Register on November 28, 2012, that would have amended its regulations regarding payment by VA for medical services under VA's statutory authority to provide non-VA...2013-29312"https://www.gpo.gov/fdsys/pkg/FR-2013-12-16/pdf/2013-29312.pdfhttps://www.federalregister.gov/documents/2013/12/16/2013-29312/authorization-for-non-va-medical-services-withdrawalThe Department of Veterans Affairs (VA) published a direct final rule in the Federal Register on November 28, 2012, that would have amended its regulations regarding payment by VA for medical services under VA's statutory authority to provide non-VA medical care. VA sought to remove an outdated regulatory limitation on veterans' eligibility to be referred for non-VA medical care. On the same date, VA also published a companion proposed rule containing the same amendments as the direct final rule. Because VA received adverse comments on this action, we are withdrawing the direct final rule. In a companion document in the Federal Register, VA is publishing a final rule that addresses comments received on the proposed and direct final rules.
2013-12-16RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentAuthorization for Non-VA Medical ServicesThis Department of Veterans Affairs (VA) rulemaking amends VA's regulations regarding payment by VA for medical services under VA's statutory authority for non-VA medical care. In the Federal Register on November 28, 2012, VA proposed to remove an...2013-29311"https://www.gpo.gov/fdsys/pkg/FR-2013-12-16/pdf/2013-29311.pdfhttps://www.federalregister.gov/documents/2013/12/16/2013-29311/authorization-for-non-va-medical-servicesThis Department of Veterans Affairs (VA) rulemaking amends VA's regulations regarding payment by VA for medical services under VA's statutory authority for non-VA medical care. In the Federal Register on November 28, 2012, VA proposed to remove an outdated regulatory limitation on veterans' eligibility to be referred for non- VA medical care. On the same date, VA also published a companion direct final rule that would have made the same amendments effective on January 28, 2013, if no significant adverse comments were received. Because VA received adverse comments on the direct final rule, VA is withdrawing it in a companion document in this issue of the Federal Register. This rulemaking includes VA's responses to comments on the proposed and direct final rules.
2013-12-06RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentGrants to States for Construction or Acquisition of State HomesThis rule adopts as final, without change, an interim final rule amending the Department of Veterans Affairs (VA) regulations governing prioritization of State applications for VA grants for the construction or acquisition of State home facilities that...2013-29105"https://www.gpo.gov/fdsys/pkg/FR-2013-12-06/pdf/2013-29105.pdfhttps://www.federalregister.gov/documents/2013/12/06/2013-29105/grants-to-states-for-construction-or-acquisition-of-state-homesThis rule adopts as final, without change, an interim final rule amending the Department of Veterans Affairs (VA) regulations governing prioritization of State applications for VA grants for the construction or acquisition of State home facilities that furnish domiciliary, nursing home, or adult day health care to veterans. As amended, the regulation gives preference to State applications that would use grant funds solely or primarily (under certain circumstances) to remedy cited life or safety deficiencies. This rulemaking also makes certain necessary technical amendments to regulations governing State home grants.
2013-12-03RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentSpecially Adapted Housing Eligibility for Amyotrophic Lateral Sclerosis BeneficiariesThe Department of Veterans Affairs (VA) is amending its adjudication regulation regarding specially adapted housing (SAH). The amendment authorizes automatic issuance of a certificate of eligibility for SAH to all veterans and active servicemembers...2013-28831"https://www.gpo.gov/fdsys/pkg/FR-2013-12-03/pdf/2013-28831.pdfhttps://www.federalregister.gov/documents/2013/12/03/2013-28831/specially-adapted-housing-eligibility-for-amyotrophic-lateral-sclerosis-beneficiariesThe Department of Veterans Affairs (VA) is amending its adjudication regulation regarding specially adapted housing (SAH). The amendment authorizes automatic issuance of a certificate of eligibility for SAH to all veterans and active servicemembers with service- connected amyotrophic lateral sclerosis (ALS) rated totally disabling under the VA Schedule for Rating Disabilities. The intent and effect of this amendment are to establish eligibility for SAH for all persons who have service-connected ALS. VA previously amended its Schedule for Rating Disabilities to assign a 100-percent disability evaluation for any veteran who has service-connected ALS based on the recognition that ALS is a rapidly progressive, totally debilitating, and irreversible motor neuron disease that results in muscle weakness leading to a wide range of serious disabilities, including problems with mobility. Because individuals with ALS quickly reach a level of total disability, the change was designed to eliminate the need to repeatedly reevaluate veterans suffering from ALS over a short period of time as symptoms worsen. Based on that same rationale, this amendment addresses the corresponding eligibility for SAH benefits for veterans and servicemembers with service-connected ALS. The overall SAH grant approval and oversight process is complex and lengthy, with many parts beyond VA's control. This rulemaking streamlines one aspect of the process within VA's control, by establishing SAH eligibility for all veterans or servicemembers with service-connected, totally disabling ALS. By shortening the first stage of the SAH process, this regulatory change will assist veterans and servicemembers suffering from ALS in adapting their homes before their condition becomes too debilitating. It will also lengthen the period during which ALS-afflicted veterans and servicemembers will be able to utilize the core SAH benefits. VA also makes non-substantive technical amendments for clarity.
2013-12-03RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentCriteria for a Catastrophically Disabled Determination for Purposes of EnrollmentThe Department of Veterans Affairs (VA) is amending its regulation concerning the manner in which VA determines that a veteran is catastrophically disabled for purposes of enrollment in priority group 4 for VA health care. As amended by this...2013-28858"https://www.gpo.gov/fdsys/pkg/FR-2013-12-03/pdf/2013-28858.pdfhttps://www.federalregister.gov/documents/2013/12/03/2013-28858/criteria-for-a-catastrophically-disabled-determination-for-purposes-of-enrollmentThe Department of Veterans Affairs (VA) is amending its regulation concerning the manner in which VA determines that a veteran is catastrophically disabled for purposes of enrollment in priority group 4 for VA health care. As amended by this rulemaking, the regulation articulates the clinical criteria that identify an individual as catastrophically disabled, instead of using the corresponding International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) and Current Procedural Terminology (CPT[supreg]) codes. The revisions ensure that the regulation is not out of date when new versions of those codes are published. The revisions also broaden some of the descriptions for a finding of catastrophic disability. Additionally, the final rule does not rely on the Folstein Mini Mental State Examination (MMSE) as a criterion for determining whether a veteran meets the definition of catastrophically disabled, because we have determined that the MMSE is no longer a necessary clinical assessment tool.
2013-11-27RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentCopayment for Extended Care ServicesThis document promulgates Department of Veterans Affairs (VA) final regulations amending the definition of ``spousal resource protection amount'' to reference the Maximum Community Spouse Resource Standard, which is adjusted and published each year by...2013-28436"https://www.gpo.gov/fdsys/pkg/FR-2013-11-27/pdf/2013-28436.pdfhttps://www.federalregister.gov/documents/2013/11/27/2013-28436/copayment-for-extended-care-servicesThis document promulgates Department of Veterans Affairs (VA) final regulations amending the definition of ``spousal resource protection amount'' to reference the Maximum Community Spouse Resource Standard, which is adjusted and published each year by the Centers for Medicare and Medicaid Services (CMS). This change has the immediate effect of increasing the spousal resource protection amount from $89,280 to $115,920, and ensures that the spousal resource protection amount will stay consistent with the comparable protection for the spouses of Medicaid recipients.
2013-11-27Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentVA Compensation and Pension Regulation Rewrite ProjectThe Department of Veterans Affairs (VA) proposes to reorganize and rewrite its compensation and pension regulations in a logical, claimant-focused, and user-friendly format. The intended effect of the proposed revisions is to assist claimants,...2013-23895"https://www.gpo.gov/fdsys/pkg/FR-2013-11-27/pdf/2013-23895.pdfhttps://www.federalregister.gov/documents/2013/11/27/2013-23895/va-compensation-and-pension-regulation-rewrite-projectThe Department of Veterans Affairs (VA) proposes to reorganize and rewrite its compensation and pension regulations in a logical, claimant-focused, and user-friendly format. The intended effect of the proposed revisions is to assist claimants, beneficiaries, veterans' representatives, and VA personnel in locating and understanding these regulations.
2013-11-20Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentHome Improvements and Structural Alterations (HISA) Benefits ProgramThe Department of Veterans Affairs (VA) proposes to establish regulations for the Home Improvements and Structural Alterations (HISA) benefits program. Through the HISA benefits program, VA has provided monetary benefits to disabled veterans for...2013-27672"https://www.gpo.gov/fdsys/pkg/FR-2013-11-20/pdf/2013-27672.pdfhttps://www.federalregister.gov/documents/2013/11/20/2013-27672/home-improvements-and-structural-alterations-hisa-benefits-programThe Department of Veterans Affairs (VA) proposes to establish regulations for the Home Improvements and Structural Alterations (HISA) benefits program. Through the HISA benefits program, VA has provided monetary benefits to disabled veterans for necessary home improvements and alterations. An increase in the HISA benefits limit was authorized by the Caregivers and Veterans Omnibus Health Services Act of 2010. The proposed rule would codify regulations to govern the HISA benefits program and incorporate the increase in HISA benefits authorized by the 2010 Act.
2013-11-14RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentPayment for Home Health Services and Hospice Care to Non-VA Providers; Delay of Effective DateThe Department of Veterans Affairs (VA) published in the Federal Register on May 6, 2013 (78 FR 26250) a final rule to change the billing methodology for non-VA providers of home health services and hospice care. The preamble of that final rule stated...2013-27218"https://www.gpo.gov/fdsys/pkg/FR-2013-11-14/pdf/2013-27218.pdfhttps://www.federalregister.gov/documents/2013/11/14/2013-27218/payment-for-home-health-services-and-hospice-care-to-non-va-providers-delay-of-effective-dateThe Department of Veterans Affairs (VA) published in the Federal Register on May 6, 2013 (78 FR 26250) a final rule to change the billing methodology for non-VA providers of home health services and hospice care. The preamble of that final rule stated the effective date was November 15, 2013. This document delays that effective date to April 1, 2014.
2013-10-31Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentStandard Claims and Appeals FormsThe Department of Veterans Affairs (VA) is proposing to amend its adjudication regulations and the appeals regulations and rules of practice of the Board of Veterans' Appeals (Board). There are two major components of these proposed changes. The first...2013-25968"https://www.gpo.gov/fdsys/pkg/FR-2013-10-31/pdf/2013-25968.pdfhttps://www.federalregister.gov/documents/2013/10/31/2013-25968/standard-claims-and-appeals-formsThe Department of Veterans Affairs (VA) is proposing to amend its adjudication regulations and the appeals regulations and rules of practice of the Board of Veterans' Appeals (Board). There are two major components of these proposed changes. The first is to require all claims to be filed on standard forms prescribed by the Secretary, regardless of the type of claim or posture in which the claim arises. The second is to provide that VA would accept an expression of dissatisfaction or disagreement with an adjudicative determination by the agency of original jurisdiction (AOJ) as a Notice of Disagreement (NOD) only if it is submitted on a standardized form provided by VA for the purpose of appealing the decision, in cases where such a form is provided. The purpose of these amendments is to improve the quality and timeliness of the processing of veterans' claims for benefits.
2013-10-23Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentVA Dental Insurance Program-FederalismThe Department of Veterans Affairs (VA) proposes to amend its regulations related to the VA Dental Insurance Program (VADIP), a pilot program to offer premium-based dental insurance to enrolled veterans and certain survivors and dependents of veterans....2013-24588"https://www.gpo.gov/fdsys/pkg/FR-2013-10-23/pdf/2013-24588.pdfhttps://www.federalregister.gov/documents/2013/10/23/2013-24588/va-dental-insurance-program-federalismThe Department of Veterans Affairs (VA) proposes to amend its regulations related to the VA Dental Insurance Program (VADIP), a pilot program to offer premium-based dental insurance to enrolled veterans and certain survivors and dependents of veterans. Specifically, this rule would add language to clarify the preemptive effect of certain criteria in the VADIP regulations.
2013-10-23Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentDesignee for Patient Personal PropertyThe Department of Veterans Affairs (VA) proposes to amend its regulation that governs a competent veteran's designation of a person to receive the veteran's funds and personal effects in the event that such veteran was to die while in a VA field...2013-24625"https://www.gpo.gov/fdsys/pkg/FR-2013-10-23/pdf/2013-24625.pdfhttps://www.federalregister.gov/documents/2013/10/23/2013-24625/designee-for-patient-personal-propertyThe Department of Veterans Affairs (VA) proposes to amend its regulation that governs a competent veteran's designation of a person to receive the veteran's funds and personal effects in the event that such veteran was to die while in a VA field facility. The proposed rule would eliminate reference to an obsolete VA form, clarify the role of a VA fiduciary for an incompetent veteran-patient, as well as restructure the current regulation for ease of readability.
2013-10-22RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentVA Dental Insurance Program-FederalismThe Department of Veterans Affairs (VA) is taking direct final action to amend its regulations related to the VA Dental Insurance Program (VADIP), a pilot program to offer premium-based dental insurance to enrolled veterans and certain survivors and...2013-24585"https://www.gpo.gov/fdsys/pkg/FR-2013-10-22/pdf/2013-24585.pdfhttps://www.federalregister.gov/documents/2013/10/22/2013-24585/va-dental-insurance-program-federalismThe Department of Veterans Affairs (VA) is taking direct final action to amend its regulations related to the VA Dental Insurance Program (VADIP), a pilot program to offer premium-based dental insurance to enrolled veterans and certain survivors and dependents of veterans. Specifically, this rule will add language to clarify the limited preemptive effect of certain criteria in the VADIP regulations.
2013-09-23Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentServicemembers' Group Life Insurance and Veterans' Group Life Insurance Information AccessThe Department of Veterans Affairs (VA) proposes to amend its regulations governing Servicemembers' Group Life Insurance (SGLI), Family SGLI, SGLI Traumatic Injury Protection, and Veterans' Group Life Insurance (all hereafter referred to as SGLI). The...2013-22977"https://www.gpo.gov/fdsys/pkg/FR-2013-09-23/pdf/2013-22977.pdfhttps://www.federalregister.gov/documents/2013/09/23/2013-22977/servicemembers-group-life-insurance-and-veterans-group-life-insurance-information-accessThe Department of Veterans Affairs (VA) proposes to amend its regulations governing Servicemembers' Group Life Insurance (SGLI), Family SGLI, SGLI Traumatic Injury Protection, and Veterans' Group Life Insurance (all hereafter referred to as SGLI). The purpose is to acknowledge and clarify what is implicit in the law: That VA, which has the responsibility under the law to oversee the SGLI program and ensure its proper operation, also has the right to full access to records held by the insurer or on behalf of the insurer from whom VA has purchased a policy. These records include all of the insurer's records related to the operation and administration of the SGLI programs necessary to protect the legal and financial rights of the Government and of the persons affected by the activities of the agency and its agents.
2013-09-19RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentEligibility of Disabled Veterans and Members of the Armed Forces With Severe Burn Injuries for Financial Assistance in the Purchase of an Automobile or Other Conveyance and Adaptive EquipmentThe Department of Veterans Affairs (VA) adopts as a final rule its proposal to amend its adjudication regulation concerning a certificate of eligibility for financial assistance in the purchase of an automobile or other conveyance and adaptive...2013-22764"https://www.gpo.gov/fdsys/pkg/FR-2013-09-19/pdf/2013-22764.pdfhttps://www.federalregister.gov/documents/2013/09/19/2013-22764/eligibility-of-disabled-veterans-and-members-of-the-armed-forces-with-severe-burn-injuries-forThe Department of Veterans Affairs (VA) adopts as a final rule its proposal to amend its adjudication regulation concerning a certificate of eligibility for financial assistance in the purchase of an automobile or other conveyance and adaptive equipment, which was published in the Federal Register on November 5, 2012, and republished for minor technical corrections on November 26, 2012. The amendment is necessary to incorporate statutory changes made by the Veterans' Benefits Act of 2010.
2013-09-17RuleDEPARTMENT OF DEFENSEDefense DepartmentVet Center ServicesThe Department of Veterans Affairs (VA) is establishing in regulation the readjustment counseling currently provided in VA's Vet Centers to certain veterans of the Armed Forces and members of their families, and implementing provisions of the...2013-22607"https://www.gpo.gov/fdsys/pkg/FR-2013-09-17/pdf/2013-22607.pdfhttps://www.federalregister.gov/documents/2013/09/17/2013-22607/vet-center-servicesThe Department of Veterans Affairs (VA) is establishing in regulation the readjustment counseling currently provided in VA's Vet Centers to certain veterans of the Armed Forces and members of their families, and implementing provisions of the Caregivers and Veterans Omnibus Health Services Act of 2010 regarding readjustment counseling.
2013-09-11Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentHospital Care and Medical Services for Camp Lejeune VeteransThe Department of Veterans Affairs (VA) proposes to amend its regulations to implement a statutory mandate that VA provide health care to certain veterans who served at Camp Lejeune, North Carolina, for at least 30 days during the period beginning on...2013-22050"https://www.gpo.gov/fdsys/pkg/FR-2013-09-11/pdf/2013-22050.pdfhttps://www.federalregister.gov/documents/2013/09/11/2013-22050/hospital-care-and-medical-services-for-camp-lejeune-veteransThe Department of Veterans Affairs (VA) proposes to amend its regulations to implement a statutory mandate that VA provide health care to certain veterans who served at Camp Lejeune, North Carolina, for at least 30 days during the period beginning on January 1, 1957, and ending on December 31, 1987. The law requires VA to furnish hospital care and medical services for these veterans for certain illnesses and conditions that may be attributed to exposure to toxins in the water system at Camp Lejeune. This proposed rule does not implement the statutory provision requiring VA to provide health care to these veterans' family members; regulations applicable to such family members are currently in development and will be promulgated through a separate notice.
2013-09-06RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentDisease Associated With Exposure to Certain Herbicide Agents: Peripheral NeuropathyThe Department of Veterans Affairs (VA) adopts as a final rule its proposal to amend its adjudication regulations by clarifying and expanding the terminology regarding presumptive service connection for acute and subacute peripheral neuropathy...2013-21674"https://www.gpo.gov/fdsys/pkg/FR-2013-09-06/pdf/2013-21674.pdfhttps://www.federalregister.gov/documents/2013/09/06/2013-21674/disease-associated-with-exposure-to-certain-herbicide-agents-peripheral-neuropathyThe Department of Veterans Affairs (VA) adopts as a final rule its proposal to amend its adjudication regulations by clarifying and expanding the terminology regarding presumptive service connection for acute and subacute peripheral neuropathy associated with exposure to certain herbicide agents. This amendment implements a decision by the Secretary of Veterans Affairs based on findings from the National Academy of Sciences (NAS) Institute of Medicine report, Veterans and Agent Orange: Update 2010. It also amends VA's regulation governing retroactive awards for certain diseases associated with herbicide exposure as required by court orders in the class action litigation of Nehmer v. U.S. Department of Veterans Affairs.
2013-08-22RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentVA Veteran-Owned Small Business Verification GuidelinesThis document adopts as a final rule, without change, the interim final rule published in the Federal Register on June 27, 2012. This document implements a portion of the Veterans Benefits, Health Care, and Information Technology Act of 2006, which...2013-20488"https://www.gpo.gov/fdsys/pkg/FR-2013-08-22/pdf/2013-20488.pdfhttps://www.federalregister.gov/documents/2013/08/22/2013-20488/va-veteran-owned-small-business-verification-guidelinesThis document adopts as a final rule, without change, the interim final rule published in the Federal Register on June 27, 2012. This document implements a portion of the Veterans Benefits, Health Care, and Information Technology Act of 2006, which requires the Department of Veterans Affairs (VA) to verify ownership and control of veteran- owned small businesses (VOSBs), including service-disabled veteran- owned small businesses (SDVOSBs), in order for these firms to participate in VA acquisitions set asides for SDVOSB/VOSBs. Specifically, this final rule requires re-verification of SDVOSB/VOSB status only every 2 years rather than annually. The purpose of this change is to reduce the administrative burden on SDVOSB/VOSBs regarding participation in VA acquisitions set asides for these types of firms. Verified SDVOSB/VOSBs are placed on the Vendor Information Page (VIP) at www.vetbiz.gov.
2013-08-21RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentTechnical Changes To Remove FormsThe Department of Veterans Affairs (VA) is making technical changes to remove from its regulations a series of forms related to VA payments for care provided to veterans at State homes. Official forms are not required to be reproduced in the Code of...2013-20357"https://www.gpo.gov/fdsys/pkg/FR-2013-08-21/pdf/2013-20357.pdfhttps://www.federalregister.gov/documents/2013/08/21/2013-20357/technical-changes-to-remove-formsThe Department of Veterans Affairs (VA) is making technical changes to remove from its regulations a series of forms related to VA payments for care provided to veterans at State homes. Official forms are not required to be reproduced in the Code of Federal Regulations (CFR), and all VA forms are more readily available on VA Web sites. Removing these forms from the CFR is an administrative action and will not impact the ability of the public to comment on any amendments to the information collections contained in these forms.
2013-08-20RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentVA Health Professional Scholarship and Visual Impairment and Orientation and Mobility Professional Scholarship ProgramsThe Department of Veterans Affairs (VA) is amending its VA Health Professional Scholarship Program (HPSP) regulations. VA is also establishing regulations for a new program, the Visual Impairment and Orientation and Mobility Professional Scholarship...2013-20255"https://www.gpo.gov/fdsys/pkg/FR-2013-08-20/pdf/2013-20255.pdfhttps://www.federalregister.gov/documents/2013/08/20/2013-20255/va-health-professional-scholarship-and-visual-impairment-and-orientation-and-mobility-professionalThe Department of Veterans Affairs (VA) is amending its VA Health Professional Scholarship Program (HPSP) regulations. VA is also establishing regulations for a new program, the Visual Impairment and Orientation and Mobility Professional Scholarship Program (VIOMPSP). These regulations comply with and implement sections 302 and 603 of the Caregivers and Veterans Omnibus Health Services Act of 2010 (the 2010 Act). Section 302 of the 2010 Act established the VIOMPSP, which authorizes VA to provide financial assistance to certain students seeking a degree in visual impairment or orientation or mobility, in order to increase the supply of qualified blind rehabilitation specialists for VA and the United States. Section 603 of the 2010 Act reauthorized and modified HPSP, a program that provides scholarships for education or training in certain health care occupations.
2013-07-29RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentPatient Access to RecordsThe Department of Veterans Affairs (VA) amends its regulation governing disclosure of information to veterans and other beneficiaries. The current regulation provides for a special procedure for evaluating sensitive records and determining whether an...2013-18057"https://www.gpo.gov/fdsys/pkg/FR-2013-07-29/pdf/2013-18057.pdfhttps://www.federalregister.gov/documents/2013/07/29/2013-18057/patient-access-to-recordsThe Department of Veterans Affairs (VA) amends its regulation governing disclosure of information to veterans and other beneficiaries. The current regulation provides for a special procedure for evaluating sensitive records and determining whether an individual may gain access to his or her own records. The special procedure allows VA to prevent an individual's access to his or her own records if VA determines that such release could have an adverse effect on the physical or mental health of a requesting individual. We have determined that this special procedure is contrary to law, and therefore remove it from the current regulation.
2013-07-16RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentMedications Prescribed by Non-VA ProvidersThe Department of Veterans Affairs (VA) is amending its regulation concerning filling prescriptions written by non-VA providers for veterans of a period of war who are receiving increased pension because they are permanently housebound or in need of...2013-16978"https://www.gpo.gov/fdsys/pkg/FR-2013-07-16/pdf/2013-16978.pdfhttps://www.federalregister.gov/documents/2013/07/16/2013-16978/medications-prescribed-by-non-va-providersThe Department of Veterans Affairs (VA) is amending its regulation concerning filling prescriptions written by non-VA providers for veterans of a period of war who are receiving increased pension because they are permanently housebound or in need of aid and attendance. This rulemaking revises the regulation to reflect the current statutory periods of war to ensure that eligible veterans engaged in current and future conflicts receive medications prescribed by non-VA physicians when appropriate for their care.
2013-06-19Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentVA Veteran-Owned Small Business (VOSB) Verification Guidelines; CorrectionIn a document published in the Federal Register on May 13, 2013, the Department of Veterans Affairs (VA) amended its Veteran-Owned Small Business (VOSB) Verification Guidelines Program regulations to provide greater clarity, to streamline the program...2013-14583"https://www.gpo.gov/fdsys/pkg/FR-2013-06-19/pdf/2013-14583.pdfhttps://www.federalregister.gov/documents/2013/06/19/2013-14583/va-veteran-owned-small-business-vosb-verification-guidelines-correctionIn a document published in the Federal Register on May 13, 2013, the Department of Veterans Affairs (VA) amended its Veteran-Owned Small Business (VOSB) Verification Guidelines Program regulations to provide greater clarity, to streamline the program and to encourage more VOSBs to apply for verification. The preamble of that document contained several errors. This document merely corrects those errors and does not make any substantive change to the content of the advance notice of proposed rulemaking.
2013-06-17RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentPayment or Reimbursement for Emergency Services for Nonservice-Connected Conditions in Non-VA Facilities; CorrectionThis document corrects a Department of Veterans Affairs (VA) final rule that governs ``Payment or Reimbursement for Emergency Services for Nonservice-Connected Conditions in Non-VA Facilities'' regulations to conform with a statutory change that...2013-14249"https://www.gpo.gov/fdsys/pkg/FR-2013-06-17/pdf/2013-14249.pdfhttps://www.federalregister.gov/documents/2013/06/17/2013-14249/payment-or-reimbursement-for-emergency-services-for-nonservice-connected-conditions-in-non-vaThis document corrects a Department of Veterans Affairs (VA) final rule that governs ``Payment or Reimbursement for Emergency Services for Nonservice-Connected Conditions in Non-VA Facilities'' regulations to conform with a statutory change that expanded veterans' eligibility for reimbursement. This document corrects a typographical error without making any substantive change to the content of the final rule.
2013-05-29RuleOFFICE OF PERSONNEL MANAGEMENTPersonnel Management OfficeGarnishment of Accounts Containing Federal Benefit PaymentsTreasury, SSA, VA, RRB and OPM (Agencies) are adopting as final an interim rule to amend their regulation governing the garnishment of certain Federal benefit payments that are directly deposited to accounts at financial institutions. The rule...2013-12567"https://www.gpo.gov/fdsys/pkg/FR-2013-05-29/pdf/2013-12567.pdfhttps://www.federalregister.gov/documents/2013/05/29/2013-12567/garnishment-of-accounts-containing-federal-benefit-paymentsTreasury, SSA, VA, RRB and OPM (Agencies) are adopting as final an interim rule to amend their regulation governing the garnishment of certain Federal benefit payments that are directly deposited to accounts at financial institutions. The rule establishes procedures that financial institutions must follow when they receive a garnishment order against an account holder who receives certain types of Federal benefit payments by direct deposit. The rule requires financial institutions that receive such a garnishment order to determine the sum of such Federal benefit payments deposited to the account during a two month period, and to ensure that the account holder has access to an amount equal to that sum or to the current balance of the account, whichever is lower.
2013-05-29RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentVA Dental Insurance ProgramThe Department of Veterans Affairs (VA) amends its regulations to establish rules and procedures for the VA Dental Insurance Program (VADIP), a pilot program that offers premium-based dental insurance to enrolled veterans and certain survivors and...2013-12642"https://www.gpo.gov/fdsys/pkg/FR-2013-05-29/pdf/2013-12642.pdfhttps://www.federalregister.gov/documents/2013/05/29/2013-12642/va-dental-insurance-programThe Department of Veterans Affairs (VA) amends its regulations to establish rules and procedures for the VA Dental Insurance Program (VADIP), a pilot program that offers premium-based dental insurance to enrolled veterans and certain survivors and dependents of veterans. Under the pilot program, VA will contract with a private insurer, through the Federal contracting process, to offer dental insurance to eligible individuals. The private insurer will be responsible for the administration of the dental insurance plan. VA will form the contract and verify the eligibility of individuals who apply for the private dental insurance.
2013-05-29RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentCommunity Residential CareThe Department of Veterans Affairs (VA) amends its regulations concerning approval of non-VA community residential care facilities to allow VA to waive such facilities' compliance with standards that do not jeopardize the health or safety of residents....2013-12641"https://www.gpo.gov/fdsys/pkg/FR-2013-05-29/pdf/2013-12641.pdfhttps://www.federalregister.gov/documents/2013/05/29/2013-12641/community-residential-careThe Department of Veterans Affairs (VA) amends its regulations concerning approval of non-VA community residential care facilities to allow VA to waive such facilities' compliance with standards that do not jeopardize the health or safety of residents. Waiver would be authorized in those limited circumstances where the deficiency cannot be corrected to meet a standard provided for in VA regulation. Authorizing this waiver will prevent veterans from needlessly choosing to move out of established and appropriate living situations due to minor deficiencies in standards that cannot be corrected, and into more restrictive and/or costly care. In addition, we make a technical edit to correct a reference to the section addressing requests for a hearing.
2013-05-23RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentCopayments for Medications in 2013This document adopts as a final rule, without change, an interim final rule amending the Department of Veterans Affairs (VA) medical regulations to freeze the copayments required for certain medications provided by VA until December 31, 2013. Under...2013-12252"https://www.gpo.gov/fdsys/pkg/FR-2013-05-23/pdf/2013-12252.pdfhttps://www.federalregister.gov/documents/2013/05/23/2013-12252/copayments-for-medications-in-2013This document adopts as a final rule, without change, an interim final rule amending the Department of Veterans Affairs (VA) medical regulations to freeze the copayments required for certain medications provided by VA until December 31, 2013. Under that rule, the copayment amounts for all enrolled veterans were maintained at the same rates as they were in 2012, which were $8 for veterans in priority groups 2-6 and $9 for veterans in priority groups 7 and 8. On January 1, 2014, the copayment amounts may increase based on the prescription drug component of the Medical Consumer Price Index (CPI-P).
2013-05-15Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentSecondary Service Connection for Diagnosable Illnesses Associated With Traumatic Brain InjuryC1-2012-29709"https://www.gpo.gov/fdsys/pkg/FR-2013-05-15/pdf/C1-2012-29709.pdfhttps://www.federalregister.gov/documents/2013/05/15/C1-2012-29709/secondary-service-connection-for-diagnosable-illnesses-associated-with-traumatic-brain-injury
2013-05-14RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentTentative Eligibility Determinations; Presumptive Eligibility for Psychosis and Other Mental IllnessThis document amends the Department of Veterans Affairs (VA) regulation authorizing tentative eligibility determinations to comply with amended statutory authority concerning minimum active-duty service requirements. This document also codifies in...2013-11410"https://www.gpo.gov/fdsys/pkg/FR-2013-05-14/pdf/2013-11410.pdfhttps://www.federalregister.gov/documents/2013/05/14/2013-11410/tentative-eligibility-determinations-presumptive-eligibility-for-psychosis-and-other-mental-illnessThis document amends the Department of Veterans Affairs (VA) regulation authorizing tentative eligibility determinations to comply with amended statutory authority concerning minimum active-duty service requirements. This document also codifies in regulation statutory presumptions of medical care eligibility for veterans of certain wars and conflicts who developed psychosis within specified time periods and for Persian Gulf War veterans who developed a mental illness other than psychosis within 2 years after service and within 2 years after the end of the Persian Gulf War period.
2013-05-13Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentVA Veteran-Owned Small Business (VOSB) Verification GuidelinesThe Office of Small and Disadvantaged Business Utilization (OSDBU) is currently reviewing its regulations governing the Department of Veterans Affairs (VA) Veteran-Owned Small Business (VOSB) Verification Program. OSDBU intends to improve the...2013-11326"https://www.gpo.gov/fdsys/pkg/FR-2013-05-13/pdf/2013-11326.pdfhttps://www.federalregister.gov/documents/2013/05/13/2013-11326/va-veteran-owned-small-business-vosb-verification-guidelinesThe Office of Small and Disadvantaged Business Utilization (OSDBU) is currently reviewing its regulations governing the Department of Veterans Affairs (VA) Veteran-Owned Small Business (VOSB) Verification Program. OSDBU intends to improve the regulations to provide greater clarity, to streamline the program, and to encourage more VOSBs to apply for verification. By issuing this notice of proposed rulemaking, OSDBU seeks comments on how best to approach this undertaking. Although OSDBU identified specific issues for discussion below, it encourages commenters to discuss any issue related to improving these specific regulations and the program.
2013-05-09Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentDuty Periods for Establishing Eligibility for Health CareThe Department of Veterans Affairs (VA) is proposing to amend its medical regulations concerning eligibility for health care to re- establish the definitions of ``active military, naval, or air service,'' ``active duty,'' and ``active duty for...2013-11051"https://www.gpo.gov/fdsys/pkg/FR-2013-05-09/pdf/2013-11051.pdfhttps://www.federalregister.gov/documents/2013/05/09/2013-11051/duty-periods-for-establishing-eligibility-for-health-careThe Department of Veterans Affairs (VA) is proposing to amend its medical regulations concerning eligibility for health care to re- establish the definitions of ``active military, naval, or air service,'' ``active duty,'' and ``active duty for training.'' These definitions were deleted in 1996; however, we believe that all duty periods should be defined in part 17 of the Code of Federal Regulations (CFR) to ensure proper determination of eligibility for VA health care. We would also provide a more complete definition of ``inactive duty training.''
2013-05-06RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentPayment for Home Health Services and Hospice Care to Non-VA ProvidersThe Department of Veterans Affairs (VA) amends its regulations concerning the billing methodology for non-VA providers of home health services and hospice care. Because the newly applicable methodology cannot supersede rates for which VA has...2013-10694"https://www.gpo.gov/fdsys/pkg/FR-2013-05-06/pdf/2013-10694.pdfhttps://www.federalregister.gov/documents/2013/05/06/2013-10694/payment-for-home-health-services-and-hospice-care-to-non-va-providersThe Department of Veterans Affairs (VA) amends its regulations concerning the billing methodology for non-VA providers of home health services and hospice care. Because the newly applicable methodology cannot supersede rates for which VA has specifically contracted, this rulemaking will only affect home health and hospice care providers who do not have existing negotiated contracts with VA. This rule also rescinds internal guidance documents that could be interpreted as conflicting with this final rule.
2013-04-22Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentCopayment for Extended Care ServicesThe Department of Veterans Affairs (VA) proposes to amend how VA determines the ``spousal resource protection amount,'' which is the amount of liquid assets of a veteran and community (i.e., not institutionalized) spouse that is considered unavailable...2013-09396"https://www.gpo.gov/fdsys/pkg/FR-2013-04-22/pdf/2013-09396.pdfhttps://www.federalregister.gov/documents/2013/04/22/2013-09396/copayment-for-extended-care-servicesThe Department of Veterans Affairs (VA) proposes to amend how VA determines the ``spousal resource protection amount,'' which is the amount of liquid assets of a veteran and community (i.e., not institutionalized) spouse that is considered unavailable when calculating the veteran's maximum monthly copayment obligation for extended care services longer than 180 days. This proposed rule would define the ``spousal resource protection amount'' by reference to the Maximum Community Spouse Resource Standard, which is published each year by the Centers for Medicare and Medicaid Services (CMS) and is adjusted annually based on the Consumer Price Index. This change would have the immediate effect of increasing the spousal resource protection amount from $89,280 to $115,920, and would ensure that the spousal resource protection amount stays consistent with the comparable protection for the spouses of Medicaid recipients.
2013-04-15Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentRemoval of Penalty for Breaking AppointmentsThe Department of Veterans Affairs (VA) proposes to remove a regulation that states that a veteran who misses two medical appointments without providing 24 hours' notice and a reasonable excuse is deemed to have refused VA medical care. The current...2013-08794"https://www.gpo.gov/fdsys/pkg/FR-2013-04-15/pdf/2013-08794.pdfhttps://www.federalregister.gov/documents/2013/04/15/2013-08794/removal-of-penalty-for-breaking-appointmentsThe Department of Veterans Affairs (VA) proposes to remove a regulation that states that a veteran who misses two medical appointments without providing 24 hours' notice and a reasonable excuse is deemed to have refused VA medical care. The current regulation states that no further treatment will be furnished to a veteran deemed to have refused care except in emergency situations, unless the veteran agrees to cooperate by keeping future appointments. VA believes that the current regulation is incompatible with regulatory changes implemented after the regulation was promulgated, is not in line with current practice, and is inconsistent with VA's patient-centered approach to medical care.
2013-04-10RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentGrants to States for Construction or Acquisition of State HomesThis interim final rule amends the Department of Veterans Affairs (VA) regulation on the prioritization of State applications for VA grants for the construction or acquisition of State home facilities that furnish domiciliary, nursing home, or adult...2013-08366"https://www.gpo.gov/fdsys/pkg/FR-2013-04-10/pdf/2013-08366.pdfhttps://www.federalregister.gov/documents/2013/04/10/2013-08366/grants-to-states-for-construction-or-acquisition-of-state-homesThis interim final rule amends the Department of Veterans Affairs (VA) regulation on the prioritization of State applications for VA grants for the construction or acquisition of State home facilities that furnish domiciliary, nursing home, or adult day health care to veterans. As amended, the regulation gives preference to State applications that would use grant funds solely or primarily (under certain circumstances) to remedy cited life or safety deficiencies. This rulemaking also makes certain necessary technical amendments to regulations governing State home grants.
2013-04-02RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentGrants for Transportation of Veterans in Highly Rural AreasThe Department of Veterans Affairs (VA) amends its regulations to establish a new program to provide grants to eligible entities to assist veterans in highly rural areas through innovative transportation services to travel to VA medical centers, and to...2013-07636"https://www.gpo.gov/fdsys/pkg/FR-2013-04-02/pdf/2013-07636.pdfhttps://www.federalregister.gov/documents/2013/04/02/2013-07636/grants-for-transportation-of-veterans-in-highly-rural-areasThe Department of Veterans Affairs (VA) amends its regulations to establish a new program to provide grants to eligible entities to assist veterans in highly rural areas through innovative transportation services to travel to VA medical centers, and to otherwise assist in providing transportation services in connection with the provision of VA medical care to these veterans, in compliance with section 307 of title III of the Caregivers and Veterans Omnibus Health Services Act of 2010. This final rule establishes procedures for evaluating grant applications under the new grant program, and otherwise administering the new grant program.
2013-03-26RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentRemoval of 30-Day Residency Requirement for Per Diem PaymentsThe Department of Veterans Affairs (VA) published a direct final rule amending its regulations concerning per diem payments to State homes for the provision of nursing home care to veterans. Specifically, this rule removes the requirement that a...2013-06828"https://www.gpo.gov/fdsys/pkg/FR-2013-03-26/pdf/2013-06828.pdfhttps://www.federalregister.gov/documents/2013/03/26/2013-06828/removal-of-30-day-residency-requirement-for-per-diem-paymentsThe Department of Veterans Affairs (VA) published a direct final rule amending its regulations concerning per diem payments to State homes for the provision of nursing home care to veterans. Specifically, this rule removes the requirement that a veteran must have resided in a State home for 30 consecutive days before VA will pay per diem for that veteran when there is no overnight stay. VA received no significant adverse comments concerning this rule or its companion substantially identical proposed rule published on the same date. This document confirms that the direct final rule became effective on November 26, 2012. In a companion document in this issue of the Federal Register, we are withdrawing as unnecessary the proposed rule.
2013-03-26Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentRemoval of 30-Day Residency Requirement for Per Diem PaymentsThe Department of Veterans Affairs (VA) is withdrawing VA's proposed rulemaking, published in the Federal Register on September 27, 2012, which proposed to amend its regulations that govern VA payments to State homes for bed holds on behalf of...2013-06829"https://www.gpo.gov/fdsys/pkg/FR-2013-03-26/pdf/2013-06829.pdfhttps://www.federalregister.gov/documents/2013/03/26/2013-06829/removal-of-30-day-residency-requirement-for-per-diem-paymentsThe Department of Veterans Affairs (VA) is withdrawing VA's proposed rulemaking, published in the Federal Register on September 27, 2012, which proposed to amend its regulations that govern VA payments to State homes for bed holds on behalf of veterans. Specifically, the regulation proposed to remove a 30-day residency requirement before VA would make such payments. VA received no significant adverse comments concerning the proposed rule or its companion substantially identical direct final rule published on the same date in the Federal Register. In a companion document in this issue of the Federal Register, we are confirming that the direct final rule became effective on November 26, 2012. Accordingly, this document withdraws as unnecessary the proposed rule.
2013-02-25RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentVA Homeless Providers Grant and Per Diem ProgramThis document adopts as a final rule, with changes, the proposed rule to amend the Department of Veterans Affairs (VA) regulations concerning VA's Homeless Providers Grant and Per Diem Program (Program). This rulemaking updates and improves the clarity...2013-04222"https://www.gpo.gov/fdsys/pkg/FR-2013-02-25/pdf/2013-04222.pdfhttps://www.federalregister.gov/documents/2013/02/25/2013-04222/va-homeless-providers-grant-and-per-diem-programThis document adopts as a final rule, with changes, the proposed rule to amend the Department of Veterans Affairs (VA) regulations concerning VA's Homeless Providers Grant and Per Diem Program (Program). This rulemaking updates and improves the clarity of these regulations, and implements and authorizes new VA policies.
2013-02-25RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentGrants for the Rural Veterans Coordination Pilot (RVCP)The Department of Veterans Affairs (VA) adopts as a final rule, without change, the proposal to establish a pilot program known as the Rural Veterans Coordination Pilot (RVCP). The RVCP will provide grants to eligible community-based organizations and...2013-04277"https://www.gpo.gov/fdsys/pkg/FR-2013-02-25/pdf/2013-04277.pdfhttps://www.federalregister.gov/documents/2013/02/25/2013-04277/grants-for-the-rural-veterans-coordination-pilot-rvcpThe Department of Veterans Affairs (VA) adopts as a final rule, without change, the proposal to establish a pilot program known as the Rural Veterans Coordination Pilot (RVCP). The RVCP will provide grants to eligible community-based organizations and local and State government entities to be used by these organizations and entities to assist veterans and their families who are transitioning from military service to civilian life in rural or underserved communities. VA will use information obtained through the pilot program to evaluate the effectiveness of using community-based organizations and local and State government entities to improve the provision of services to transitioning veterans and their families. Five RVCP grants will be awarded for a 2-year period in discrete locations pursuant to a Notice of Funds Availability (NOFA) to be published in the Federal Register.
2013-02-22Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentCriteria for a Catastrophically Disabled Determination for Purposes of EnrollmentThe Department of Veterans Affairs (VA) proposes to amend its regulation concerning the manner in which VA determines that a veteran is catastrophically disabled for purposes of enrollment in priority group 4 for VA health care. The current regulation...2013-04134"https://www.gpo.gov/fdsys/pkg/FR-2013-02-22/pdf/2013-04134.pdfhttps://www.federalregister.gov/documents/2013/02/22/2013-04134/criteria-for-a-catastrophically-disabled-determination-for-purposes-of-enrollmentThe Department of Veterans Affairs (VA) proposes to amend its regulation concerning the manner in which VA determines that a veteran is catastrophically disabled for purposes of enrollment in priority group 4 for VA health care. The current regulation relies on specific codes from the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) and Current Procedural Terminology (CPT[supreg]). We propose to state the descriptions that would identify an individual as catastrophically disabled, instead of using the corresponding ICD-9-CM and CPT[supreg] codes. The revisions would ensure that our regulation is not out of date when new versions of those codes are published. The revisions would also broaden some of the descriptions for a finding of catastrophic disability. Additionally, we would eliminate the Folstein Mini Mental State Examination (MMSE) as a criterion for determining whether a veteran meets the definition of catastrophically disabled, because we have determined that the MMSE is no longer a necessary clinical assessment tool.
2013-02-13Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentUse of Medicare Procedures To Enter Into Provider Agreements for Extended Care ServicesThis rulemaking proposes to amend the medical regulations of the Department of Veterans Affairs (VA) to allow VA to use Medicare or State procedures to enter into provider agreements to obtain extended care services from non-VA providers. In addition,...2013-02993"https://www.gpo.gov/fdsys/pkg/FR-2013-02-13/pdf/2013-02993.pdfhttps://www.federalregister.gov/documents/2013/02/13/2013-02993/use-of-medicare-procedures-to-enter-into-provider-agreements-for-extended-care-servicesThis rulemaking proposes to amend the medical regulations of the Department of Veterans Affairs (VA) to allow VA to use Medicare or State procedures to enter into provider agreements to obtain extended care services from non-VA providers. In addition, this rulemaking proposes to include home health care, palliative care, and noninstitutional hospice care services as extended care services, when provided as an alternative to nursing home care. Under this proposed rule, VA would be able to obtain extended care services for veterans from providers who are closer to veterans' homes and communities.
2013-02-11RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentDisclosures To Participate in State Prescription Drug Monitoring ProgramsThe Department of Veterans Affairs (VA) amends its regulations concerning the sharing of certain patient information in order to implement VA's authority to participate in State Prescription Drug Monitoring Programs (PDMPs). Participation in PDMPs will...2013-03001"https://www.gpo.gov/fdsys/pkg/FR-2013-02-11/pdf/2013-03001.pdfhttps://www.federalregister.gov/documents/2013/02/11/2013-03001/disclosures-to-participate-in-state-prescription-drug-monitoring-programsThe Department of Veterans Affairs (VA) amends its regulations concerning the sharing of certain patient information in order to implement VA's authority to participate in State Prescription Drug Monitoring Programs (PDMPs). Participation in PDMPs will allow the VA patient population to benefit from the reduction in negative health outcomes.
2012-12-31RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentCopayments for Medications in 2013The Department of Veterans Affairs (VA) amends its medical regulations concerning the copayment required for certain medications. But for this rulemaking, beginning on January 1, 2013, the copayment amount would increase based on a formula set forth in...2012-31432"https://www.gpo.gov/fdsys/pkg/FR-2012-12-31/pdf/2012-31432.pdfhttps://www.federalregister.gov/documents/2012/12/31/2012-31432/copayments-for-medications-in-2013The Department of Veterans Affairs (VA) amends its medical regulations concerning the copayment required for certain medications. But for this rulemaking, beginning on January 1, 2013, the copayment amount would increase based on a formula set forth in regulation. The maximum annual copayment amount payable by veterans would also increase. For 2012, VA ``froze'' the copayment amount for veterans in VA's health care system enrollment priority categories 2 through 6, but allowed copayments to increase based on the regulatory formula for veterans in priority categories 7 and 8. However, that formula did not trigger an increase in the copayment amount for veterans in priority categories 7 and 8. This rulemaking freezes copayments at the current rate for veterans in priority categories 2 through 8 for 2013, and thereafter resumes increasing copayments in accordance with the regulatory formula.
2012-12-26Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentVA Health Professional Scholarship and Visual Impairment and Orientation and Mobility Professional Scholarship ProgramsThe Department of Veterans Affairs (VA) proposes to amend its VA Health Professional Scholarship Program (HPSP) regulations. VA also proposes to establish regulations for a new program, the Visual Impairment and Orientation and Mobility Professional...2012-30811"https://www.gpo.gov/fdsys/pkg/FR-2012-12-26/pdf/2012-30811.pdfhttps://www.federalregister.gov/documents/2012/12/26/2012-30811/va-health-professional-scholarship-and-visual-impairment-and-orientation-and-mobility-professionalThe Department of Veterans Affairs (VA) proposes to amend its VA Health Professional Scholarship Program (HPSP) regulations. VA also proposes to establish regulations for a new program, the Visual Impairment and Orientation and Mobility Professional Scholarship Program (VIOMPSP). These proposed regulations would comply with and implement sections 302 and 603 of the Caregivers and Veterans Omnibus Health Services Act of 2010 (the 2010 Act). Section 302 of the 2010 Act established the VIOMPSP, which authorizes VA to provide financial assistance to certain students seeking a degree in visual impairment or orientation or mobility, in order to increase the supply of qualified blind rehabilitation specialists for VA and the United States. Section 603 of the 2010 Act reauthorized and modified HPSP, a program that provides scholarships for education or training in certain healthcare occupations.
2012-12-10Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentSecondary Service Connection for Diagnosable Illnesses Associated With Traumatic Brain InjuryThe Department of Veterans Affairs (VA) is amending its adjudication regulations concerning service-connection. This amendment is necessary to act upon a report of the National Academy of Sciences, Institute of Medicine (IOM), Gulf War and Health,...2012-29709"https://www.gpo.gov/fdsys/pkg/FR-2012-12-10/pdf/2012-29709.pdfhttps://www.federalregister.gov/documents/2012/12/10/2012-29709/secondary-service-connection-for-diagnosable-illnesses-associated-with-traumatic-brain-injuryThe Department of Veterans Affairs (VA) is amending its adjudication regulations concerning service-connection. This amendment is necessary to act upon a report of the National Academy of Sciences, Institute of Medicine (IOM), Gulf War and Health, Volume 7: Long-Term Consequences of Traumatic Brain Injury, regarding the association between traumatic brain injury (TBI) and five diagnosable illnesses. The intended effect of this amendment is to establish that if a veteran who has a service-connected TBI also has one of these diagnosable illnesses, then that illness will be considered service connected as secondary to the TBI.
2012-12-10RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentTechnical Revisions-State Veterans HomesThe Department of Veterans Affairs (VA) amends its regulations governing VA assistance in hiring and retaining nurses in State Veterans Homes. These regulations must be updated because of recent changes to the Veterans Health Administration (VHA)...2012-29750"https://www.gpo.gov/fdsys/pkg/FR-2012-12-10/pdf/2012-29750.pdfhttps://www.federalregister.gov/documents/2012/12/10/2012-29750/technical-revisions-state-veterans-homesThe Department of Veterans Affairs (VA) amends its regulations governing VA assistance in hiring and retaining nurses in State Veterans Homes. These regulations must be updated because of recent changes to the Veterans Health Administration (VHA) organizational structure, which reassigned certain administrative duties of the Chief Consultant of the Office of Geriatrics and Extended Care to the Director of the Office of Geriatrics and Extended Care Operations.
2012-12-06RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentContracts and Provider Agreements for State Home Nursing Home CareThis interim final rule amends Department of Veterans Affairs (VA) regulations to allow VA to enter into contracts or provider agreements with State homes for the nursing home care of certain disabled veterans. This rulemaking is required to implement...2012-29521"https://www.gpo.gov/fdsys/pkg/FR-2012-12-06/pdf/2012-29521.pdfhttps://www.federalregister.gov/documents/2012/12/06/2012-29521/contracts-and-provider-agreements-for-state-home-nursing-home-careThis interim final rule amends Department of Veterans Affairs (VA) regulations to allow VA to enter into contracts or provider agreements with State homes for the nursing home care of certain disabled veterans. This rulemaking is required to implement a change in law that revises how VA will pay for care provided to these veterans and authorizes VA to use provider agreements to pay for such care. The change made by this law applies to all care provided to these veterans in State homes on and after February 2, 2013.
2012-11-28Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentAuthorization for Non-VA Medical ServicesThe Department of Veterans Affairs (VA) proposes to amend its regulation governing payment by VA for non-VA outpatient care under VA's statutory authority to provide non-VA care. Under this authority, VA may contract for certain hospital care...2012-28776"https://www.gpo.gov/fdsys/pkg/FR-2012-11-28/pdf/2012-28776.pdfhttps://www.federalregister.gov/documents/2012/11/28/2012-28776/authorization-for-non-va-medical-servicesThe Department of Veterans Affairs (VA) proposes to amend its regulation governing payment by VA for non-VA outpatient care under VA's statutory authority to provide non-VA care. Under this authority, VA may contract for certain hospital care (inpatient care) and medical services (outpatient care) for eligible veterans when VA facilities are not capable of providing such services due to geographical inaccessibility or are not capable of providing the services needed. This proposed amendment would revise VA's existing regulation in accordance with statutory authority to remove a limitation on which veterans are eligible for medical services under this authority.
2012-11-28RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentAuthorization for Non-VA Medical ServicesThe Department of Veterans Affairs (VA) is taking direct final action to amend its regulation governing payment by VA for non-VA outpatient care under VA's statutory authority to provide non-VA care. Under this authority, VA may contract for certain...2012-28778"https://www.gpo.gov/fdsys/pkg/FR-2012-11-28/pdf/2012-28778.pdfhttps://www.federalregister.gov/documents/2012/11/28/2012-28778/authorization-for-non-va-medical-servicesThe Department of Veterans Affairs (VA) is taking direct final action to amend its regulation governing payment by VA for non-VA outpatient care under VA's statutory authority to provide non-VA care. Under this authority, VA may contract for certain hospital care (inpatient care) and medical services (outpatient care) for eligible veterans when VA facilities are not capable of providing such services due to geographical inaccessibility or are not capable of providing the services needed. This amendment revises VA's existing regulation in accordance with statutory authority to remove a limitation on which veterans are eligible for medical services under this authority.
2012-11-27RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentRules Governing Hearings Before the Agency of Original Jurisdiction and the Board of Veterans' Appeals; Repeal of Prior Rule ChangeThe Department of Veterans Affairs (VA) published a direct final rule amending its hearing regulations to repeal a prior amendment that specified that the provisions regarding hearings before the Agency of Original Jurisdiction (AOJ) do not apply to...2012-28621"https://www.gpo.gov/fdsys/pkg/FR-2012-11-27/pdf/2012-28621.pdfhttps://www.federalregister.gov/documents/2012/11/27/2012-28621/rules-governing-hearings-before-the-agency-of-original-jurisdiction-and-the-board-of-veteransThe Department of Veterans Affairs (VA) published a direct final rule amending its hearing regulations to repeal a prior amendment that specified that the provisions regarding hearings before the Agency of Original Jurisdiction (AOJ) do not apply to hearings before the Board of Veterans' Appeals (Board). VA received no significant adverse comment concerning this rule. This document confirms that the direct final rule became effective on June 18, 2012. Additionally, in the preamble of the direct final rule, VA did not provide an applicability date. This document provides an applicability date.
2012-11-26RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentServicemembers' Group Life Insurance-Stillborn Child CoverageThis final rule amends the Department of Veterans Affairs (VA) Servicemembers' Group Life Insurance (SGLI) regulations in order to provide that, if a stillborn child is otherwise eligible to be insured by the SGLI coverage of more than one...2012-28611"https://www.gpo.gov/fdsys/pkg/FR-2012-11-26/pdf/2012-28611.pdfhttps://www.federalregister.gov/documents/2012/11/26/2012-28611/servicemembers-group-life-insurance-stillborn-child-coverageThis final rule amends the Department of Veterans Affairs (VA) Servicemembers' Group Life Insurance (SGLI) regulations in order to provide that, if a stillborn child is otherwise eligible to be insured by the SGLI coverage of more than one servicemember under SGLI dependent child coverage, the child would be insured by the coverage of the child's SGLI-insured biological mother. This final rule will provide consistency in payment determinations involving SGLI stillborn child coverage.
2012-11-26Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentEligibility of Disabled Veterans and Members of the Armed Forces With Severe Burn Injuries for Financial Assistance in the Purchase of an Automobile or Other Conveyance and Adaptive Equipment; CorrectionIn a document published in the Federal Register on November 5, 2012 (77 FR 66419), the Department of Veterans Affairs amended its adjudication regulations regarding a certificate of eligibility for financial assistance in the purchase of an automobile...2012-28437"https://www.gpo.gov/fdsys/pkg/FR-2012-11-26/pdf/2012-28437.pdfhttps://www.federalregister.gov/documents/2012/11/26/2012-28437/eligibility-of-disabled-veterans-and-members-of-the-armed-forces-with-severe-burn-injuries-forIn a document published in the Federal Register on November 5, 2012 (77 FR 66419), the Department of Veterans Affairs amended its adjudication regulations regarding a certificate of eligibility for financial assistance in the purchase of an automobile or other conveyance and adaptive equipment. The document contained several grammatical errors in the preamble and regulatory text. This document corrects the errors and does not make any substantive change to the content of the proposed rule.
2012-11-05Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentEligibility of Disabled Veterans and Members of the Armed Forces With Severe Burn Injuries for Financial Assistance in the Purchase of an Automobile or Other Conveyance and Adaptive EquipmentThe Department of Veterans Affairs (VA) is amending its adjudication regulation regarding a certificate of eligibility for financial assistance in the purchase of an automobile or other conveyance and adaptive equipment. The amendment is necessary to...2012-26607"https://www.gpo.gov/fdsys/pkg/FR-2012-11-05/pdf/2012-26607.pdfhttps://www.federalregister.gov/documents/2012/11/05/2012-26607/eligibility-of-disabled-veterans-and-members-of-the-armed-forces-with-severe-burn-injuries-forThe Department of Veterans Affairs (VA) is amending its adjudication regulation regarding a certificate of eligibility for financial assistance in the purchase of an automobile or other conveyance and adaptive equipment. The amendment is necessary to incorporate statutory changes made by the Veterans' Benefits Act of 2010.
2012-11-01RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentVeterans' Group Life Insurance (VGLI) No-Health Period ExtensionThe Department of Veterans Affairs (VA) is issuing this final rule that amends the regulations governing eligibility for Veterans' Group Life Insurance (VGLI) to extend to 240 days the current 120-day ``no-health'' period during which veterans can...2012-26580"https://www.gpo.gov/fdsys/pkg/FR-2012-11-01/pdf/2012-26580.pdfhttps://www.federalregister.gov/documents/2012/11/01/2012-26580/veterans-group-life-insurance-vgli-no-health-period-extensionThe Department of Veterans Affairs (VA) is issuing this final rule that amends the regulations governing eligibility for Veterans' Group Life Insurance (VGLI) to extend to 240 days the current 120-day ``no-health'' period during which veterans can apply for VGLI without proving that they are in good health for insurance purposes. The purpose of this rule is to increase the opportunities for disabled veterans to enroll in VGLI, some of whom would not qualify for VGLI coverage under existing provisions. This document adopts as a final rule, without change, the proposed rule published in the Federal Register on June 25, 2012.
2012-10-16RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentExtension of Statutory Period for Compensation for Certain Disabilities Due to Undiagnosed Illnesses and Medically Unexplained Chronic Multi-Symptom IllnessesThe Department of Veterans Affairs (VA) is issuing this final rule to affirm an amendment to its adjudication regulation regarding compensation for disabilities experienced by veterans who served in the Southwest Asia Theater of Operations during the...2012-25353"https://www.gpo.gov/fdsys/pkg/FR-2012-10-16/pdf/2012-25353.pdfhttps://www.federalregister.gov/documents/2012/10/16/2012-25353/extension-of-statutory-period-for-compensation-for-certain-disabilities-due-to-undiagnosed-illnessesThe Department of Veterans Affairs (VA) is issuing this final rule to affirm an amendment to its adjudication regulation regarding compensation for disabilities experienced by veterans who served in the Southwest Asia Theater of Operations during the Persian Gulf War. This amendment is necessary to extend the period during which disabilities associated with undiagnosed illnesses and medically unexplained chronic multi-symptom illnesses must become manifest in order for a veteran to be eligible for compensation. Additionally, in this final rule, VA will correct the adjudication section title that was amended and published in the Federal Register on September 29, 2010, but inadvertently changed to the original title.
2012-10-03RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentServicemembers' Group Life Insurance and Veterans' Group Life Insurance-Slayer's Rule ExclusionThe Department of Veterans Affairs (VA) is amending its regulations governing Servicemembers' Group Life Insurance (SGLI) and Veterans' Group Life Insurance (VGLI) to prohibit payment of insurance proceeds payable because of the death of a person whose...2012-24391"https://www.gpo.gov/fdsys/pkg/FR-2012-10-03/pdf/2012-24391.pdfhttps://www.federalregister.gov/documents/2012/10/03/2012-24391/servicemembers-group-life-insurance-and-veterans-group-life-insurance-slayers-rule-exclusionThe Department of Veterans Affairs (VA) is amending its regulations governing Servicemembers' Group Life Insurance (SGLI) and Veterans' Group Life Insurance (VGLI) to prohibit payment of insurance proceeds payable because of the death of a person whose life was insured under SGLI or VGLI (decedent) or payment of a SGLI Traumatic Injury Protection (TSGLI) benefit to a person who is convicted of intentionally and wrongfully killing the decedent or determined in a civil proceeding to have intentionally and wrongfully killed the decedent (slayer) and to any family member of the slayer. These provisions apply also to any person who assisted the slayer in causing the death of the decedent. Additionally, this document contains an interim final amendment that defines the term ``member of the family'' not to include a ``domestic partner.''
2012-09-27RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentRemoval of 30-Day Residency Requirement for Per Diem PaymentsThe Department of Veterans Affairs (VA) is taking direct final action to amend its regulations concerning per diem payments to State homes for the provision of nursing home care to veterans. Specifically, this rule removes the requirement that a...2012-23775"https://www.gpo.gov/fdsys/pkg/FR-2012-09-27/pdf/2012-23775.pdfhttps://www.federalregister.gov/documents/2012/09/27/2012-23775/removal-of-30-day-residency-requirement-for-per-diem-paymentsThe Department of Veterans Affairs (VA) is taking direct final action to amend its regulations concerning per diem payments to State homes for the provision of nursing home care to veterans. Specifically, this rule removes the requirement that a veteran must have resided in a State home for 30 consecutive days before VA will pay per diem for that veteran when there is no overnight stay. The intended effect of this direct final rule is to permit per diem payments to State homes for veterans who do not stay overnight, regardless of how long the veterans have resided at the State homes, so that the State homes will hold the veterans' beds until the veterans return.
2012-09-27Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentRemoval of 30-Day Residency Requirement for Per Diem PaymentsThe Department of Veterans Affairs (VA) is proposing to amend its regulations concerning per diem payments to State homes for the provision of nursing home care to veterans. Specifically, this rule would remove the requirement that a veteran must have...2012-23777"https://www.gpo.gov/fdsys/pkg/FR-2012-09-27/pdf/2012-23777.pdfhttps://www.federalregister.gov/documents/2012/09/27/2012-23777/removal-of-30-day-residency-requirement-for-per-diem-paymentsThe Department of Veterans Affairs (VA) is proposing to amend its regulations concerning per diem payments to State homes for the provision of nursing home care to veterans. Specifically, this rule would remove the requirement that a veteran must have resided in a State home for 30 consecutive days before VA will pay per diem for that veteran when there is no overnight stay. The intended effect of this proposed rule is to permit per diem payments to State homes for veterans who do not stay overnight, regardless of how long the veterans have resided at the State homes, so that the State homes will hold the veterans' beds until the veterans return.
2012-09-26RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentFisher House and Other Temporary LodgingThis final rule amends Department of Veterans Affairs (VA) regulations concerning Fisher Houses and other temporary lodging furnished by VA while a veteran is experiencing an episode of care at a VA health care facility. This final rule better...2012-23730"https://www.gpo.gov/fdsys/pkg/FR-2012-09-26/pdf/2012-23730.pdfhttps://www.federalregister.gov/documents/2012/09/26/2012-23730/fisher-house-and-other-temporary-lodgingThis final rule amends Department of Veterans Affairs (VA) regulations concerning Fisher Houses and other temporary lodging furnished by VA while a veteran is experiencing an episode of care at a VA health care facility. This final rule better describes the application process for this lodging and clarifies the distinctions between Fisher Houses and other temporary lodging provided by VA. This final rule generally reflects current VA policy and practice, and conforms to industry standards and expectations.
2012-09-25RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentExempting In-Home Video Telehealth From CopaymentsThe Department of Veterans Affairs (VA) published a direct final rule amending its regulation that governs VA services that are not subject to copayment requirements for inpatient hospital care or outpatient medical care. Specifically, the regulation...2012-23513"https://www.gpo.gov/fdsys/pkg/FR-2012-09-25/pdf/2012-23513.pdfhttps://www.federalregister.gov/documents/2012/09/25/2012-23513/exempting-in-home-video-telehealth-from-copaymentsThe Department of Veterans Affairs (VA) published a direct final rule amending its regulation that governs VA services that are not subject to copayment requirements for inpatient hospital care or outpatient medical care. Specifically, the regulation exempted in-home video telehealth care from having any required copayment. VA received no significant adverse comments concerning this rule or its companion substantially identical proposed rule published on the same date. This document confirms that the direct final rule became effective on May 7, 2012. In a companion document in this issue of the Federal Register, we are withdrawing as unnecessary the proposed rule.
2012-09-25Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentExempting In-Home Video Telehealth From CopaymentsThe Department of Veterans Affairs (VA) is withdrawing VA's proposed rulemaking, published in the Federal Register on March 6, 2012, to amend its regulation that governs VA services that are not subject to copayment requirements for inpatient hospital...2012-23514"https://www.gpo.gov/fdsys/pkg/FR-2012-09-25/pdf/2012-23514.pdfhttps://www.federalregister.gov/documents/2012/09/25/2012-23514/exempting-in-home-video-telehealth-from-copaymentsThe Department of Veterans Affairs (VA) is withdrawing VA's proposed rulemaking, published in the Federal Register on March 6, 2012, to amend its regulation that governs VA services that are not subject to copayment requirements for inpatient hospital care or outpatient medical care. Specifically, the regulation exempted in-home video telehealth care from having any required copayment. VA received no significant adverse comments concerning the proposed rule or its companion substantially identical direct final rule published on the same date in the Federal Register. In a companion document in this issue of the Federal Register, we are confirming that the direct final rule became effective on May 7, 2012. Accordingly, this document withdraws as unnecessary the proposed rule.
2012-09-05RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentService DogsThe Department of Veterans Affairs (VA) amends its regulations concerning veterans in need of service dogs. Under this final rule, VA will provide to veterans with visual, hearing, or mobility impairments benefits to support the use of a service dog as...2012-21784"https://www.gpo.gov/fdsys/pkg/FR-2012-09-05/pdf/2012-21784.pdfhttps://www.federalregister.gov/documents/2012/09/05/2012-21784/service-dogsThe Department of Veterans Affairs (VA) amends its regulations concerning veterans in need of service dogs. Under this final rule, VA will provide to veterans with visual, hearing, or mobility impairments benefits to support the use of a service dog as part of the management of such impairments. The benefits include assistance with veterinary care, travel benefits associated with obtaining and training a dog, and the provision, maintenance, and replacement of hardware required for the dog to perform the tasks necessary to assist such veterans.
2012-09-05RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentSharing Information Between the Department of Veterans Affairs and the Department of DefenseThis document adopts as final, without change, the interim final rule published in the Federal Register on October 20, 2011. This final rule removes a Department of Veterans Affairs (VA) regulatory restriction on the sharing of certain medical...2012-21816"https://www.gpo.gov/fdsys/pkg/FR-2012-09-05/pdf/2012-21816.pdfhttps://www.federalregister.gov/documents/2012/09/05/2012-21816/sharing-information-between-the-department-of-veterans-affairs-and-the-department-of-defenseThis document adopts as final, without change, the interim final rule published in the Federal Register on October 20, 2011. This final rule removes a Department of Veterans Affairs (VA) regulatory restriction on the sharing of certain medical information with the Department of Defense (DoD) that is not required by the applicable statute and is inconsistent with the intent and purpose of that statute.
2012-08-10Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentDisease Associated With Exposure to Certain Herbicide Agents: Peripheral NeuropathyThe Department of Veterans Affairs (VA) proposes to amend its adjudication regulation concerning presumptive service connection for acute and sub-acute peripheral neuropathy associated with exposure to certain herbicide agents. This proposed amendment...2012-19634"https://www.gpo.gov/fdsys/pkg/FR-2012-08-10/pdf/2012-19634.pdfhttps://www.federalregister.gov/documents/2012/08/10/2012-19634/disease-associated-with-exposure-to-certain-herbicide-agents-peripheral-neuropathyThe Department of Veterans Affairs (VA) proposes to amend its adjudication regulation concerning presumptive service connection for acute and sub-acute peripheral neuropathy associated with exposure to certain herbicide agents. This proposed amendment is necessary to implement a decision by the Secretary of Veterans Affairs to clarify and expand the terminology regarding presumption of service connection for peripheral neuropathy associated with exposure to certain herbicide agents.
2012-07-18Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentGrants for the Rural Veterans Coordination Pilot (RVCP)The Department of Veterans Affairs (VA) proposes to establish a pilot program, known as the Rural Veterans Coordination Pilot (RVCP), to provide grants to eligible community-based organizations and local and State government entities to be used by...2012-17434"https://www.gpo.gov/fdsys/pkg/FR-2012-07-18/pdf/2012-17434.pdfhttps://www.federalregister.gov/documents/2012/07/18/2012-17434/grants-for-the-rural-veterans-coordination-pilot-rvcpThe Department of Veterans Affairs (VA) proposes to establish a pilot program, known as the Rural Veterans Coordination Pilot (RVCP), to provide grants to eligible community-based organizations and local and State government entities to be used by these organizations and entities to assist veterans and their families who are transitioning from military service to civilian life in rural or underserved communities. VA would use information obtained through the pilot to evaluate the effectiveness of using community-based organizations and local and State government entities to improve the provision of services to transitioning veterans and their families. Five RVCP grants would be awarded for a 2-year period in discrete rural locations pursuant to a Notice of Funds Availability (NOFA) to be published in the Federal Register.
2012-07-13RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentCore Values and Characteristics of the DepartmentThis document amends the Department of Veterans Affairs' (VA) regulations concerning the standards of ethical conduct and related responsibilities of its employees by adding a new subpart for VA's Core Values and Characteristics. These foundational...2012-17069"https://www.gpo.gov/fdsys/pkg/FR-2012-07-13/pdf/2012-17069.pdfhttps://www.federalregister.gov/documents/2012/07/13/2012-17069/core-values-and-characteristics-of-the-departmentThis document amends the Department of Veterans Affairs' (VA) regulations concerning the standards of ethical conduct and related responsibilities of its employees by adding a new subpart for VA's Core Values and Characteristics. These foundational values and organizational characteristics define VA employees and articulate what VA stands for, respectively, and they are a set of guidelines that will be applied Department-wide to all VA employees. This final rule establishes VA's Core Values and Characteristics, and ensures their proper application to the VA workforce.
2012-07-10RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentDependency and Indemnity Compensation Payable to a Surviving Spouse With One or More Children Under Age 18The Department of Veterans Affairs (VA) is issuing this final rule to amend its adjudication regulation regarding the additional statutory amount of Dependency and Indemnity Compensation (DIC) payable to a surviving spouse with one or more children...2012-16810"https://www.gpo.gov/fdsys/pkg/FR-2012-07-10/pdf/2012-16810.pdfhttps://www.federalregister.gov/documents/2012/07/10/2012-16810/dependency-and-indemnity-compensation-payable-to-a-surviving-spouse-with-one-or-more-children-underThe Department of Veterans Affairs (VA) is issuing this final rule to amend its adjudication regulation regarding the additional statutory amount of Dependency and Indemnity Compensation (DIC) payable to a surviving spouse with one or more children below the age of 18. The Veterans' Compensation Cost-of-Living Adjustment Act of 2006 redesignated the statutory section cited in VA's governing regulation. This amendment is necessary to conform the regulation to the statutory provision.
2012-07-10RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentDependency and Indemnity Compensation (DIC) Benefits for Survivors of Former Prisoners of War Rated Totally Disabled at Time of DeathThe Department of Veterans Affairs (VA) is amending its adjudication regulation regarding benefits for survivors of former prisoners of war who were rated totally disabled at the time of death. This amendment is necessary to conform the regulation to...2012-16812"https://www.gpo.gov/fdsys/pkg/FR-2012-07-10/pdf/2012-16812.pdfhttps://www.federalregister.gov/documents/2012/07/10/2012-16812/dependency-and-indemnity-compensation-dic-benefits-for-survivors-of-former-prisoners-of-war-ratedThe Department of Veterans Affairs (VA) is amending its adjudication regulation regarding benefits for survivors of former prisoners of war who were rated totally disabled at the time of death. This amendment is necessary to conform the regulation to the authorizing statutory provision. The effect of this amendment is to liberalize the eligibility criteria for dependency and indemnity compensation (DIC) based on the death of a former prisoner of war whose service-connected disabilities had been continuously rated totally disabling for at least 1 year when he or she died.
2012-06-27RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentAutopsies at VA ExpenseThe Department of Veterans Affairs (VA) is amending its regulation that governs the performance of autopsies on veterans. This final rule updates outdated cross-references to a statute that previously authorized certain outpatient and ambulatory care,...2012-15624"https://www.gpo.gov/fdsys/pkg/FR-2012-06-27/pdf/2012-15624.pdfhttps://www.federalregister.gov/documents/2012/06/27/2012-15624/autopsies-at-va-expenseThe Department of Veterans Affairs (VA) is amending its regulation that governs the performance of autopsies on veterans. This final rule updates outdated cross-references to a statute that previously authorized certain outpatient and ambulatory care, which included post-hospitalization autopsies, and its implementing regulation. This final rule clarifies that consent for an autopsy is implied if a known surviving spouse or next of kin has either not responded to a VA request for permission or has not inquired as to the decedent for 6 months before the decedent's death. This final rule modifies the current regulation to make the laws of the jurisdiction in which the autopsy will be performed the controlling laws for purposes of determining who has authority to grant permission for the autopsy. This final rule also clarifies the authorized purposes of a VA autopsy. Lastly, this final rule clarifies that the authority to order an autopsy includes transporting the body at VA's expense to the place where the autopsy will be performed.
2012-06-27RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentVA Veteran-Owned Small Business Verification GuidelinesThis document implements a portion of the Veterans Benefits, Health Care, and Information Technology Act of 2006, which requires the Department of Veterans Affairs (VA) to verify ownership and control of veteran-owned small businesses (VOSBs),...2012-15801"https://www.gpo.gov/fdsys/pkg/FR-2012-06-27/pdf/2012-15801.pdfhttps://www.federalregister.gov/documents/2012/06/27/2012-15801/va-veteran-owned-small-business-verification-guidelinesThis document implements a portion of the Veterans Benefits, Health Care, and Information Technology Act of 2006, which requires the Department of Veterans Affairs (VA) to verify ownership and control of veteran-owned small businesses (VOSBs), including service-disabled veteran-owned small businesses (SDVOSBs) in order for these firms to participate in VA acquisitions set-aside for SDVOSB/VOSBs. This interim final rule contains a minor revision to require re-verification of SDVOSB/VOSB status only every two years rather than annually. The purpose of this change is to reduce the administrative burden on SDVOSB/VOSBs regarding participation in VA acquisitions set asides for these types of firms.
2012-06-25Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentVeterans' Group Life Insurance (VGLI) No-Health Period ExtensionThe Department of Veterans Affairs (VA) proposes to amend its regulations governing eligibility for Veterans' Group Life Insurance (VGLI) to extend to 240 days the current 120-day ``no-health'' period during which veterans can apply for VGLI without...2012-15420"https://www.gpo.gov/fdsys/pkg/FR-2012-06-25/pdf/2012-15420.pdfhttps://www.federalregister.gov/documents/2012/06/25/2012-15420/veterans-group-life-insurance-vgli-no-health-period-extensionThe Department of Veterans Affairs (VA) proposes to amend its regulations governing eligibility for Veterans' Group Life Insurance (VGLI) to extend to 240 days the current 120-day ``no-health'' period during which veterans can apply for VGLI without proving that they are in good health for insurance purposes. The purpose of this proposed rule is to increase the opportunities for disabled veterans to enroll in VGLI, some of who would not qualify for VGLI coverage under existing provisions.
2012-06-11RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentClothing Allowance; CorrectionThe Department of Veterans Affairs (VA) published a final rule on November 16, 2011, amending its adjudication regulations governing eligibility for clothing allowances. VA has since determined that certain language added to the final rule could be...2012-14108"https://www.gpo.gov/fdsys/pkg/FR-2012-06-11/pdf/2012-14108.pdfhttps://www.federalregister.gov/documents/2012/06/11/2012-14108/clothing-allowance-correctionThe Department of Veterans Affairs (VA) published a final rule on November 16, 2011, amending its adjudication regulations governing eligibility for clothing allowances. VA has since determined that certain language added to the final rule could be construed to impose a restriction that VA did not intend. This document corrects that error.
2012-06-01RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentServicemembers' Group Life Insurance Traumatic Injury Protection Program-Genitourinary LossesThe Department of Veterans Affairs (VA) is issuing this final rule that amends the regulations governing the Servicemembers' Group Life Insurance Traumatic Injury Protection (TSGLI) program by adding certain genitourinary (GU) system losses to the...2012-13298"https://www.gpo.gov/fdsys/pkg/FR-2012-06-01/pdf/2012-13298.pdfhttps://www.federalregister.gov/documents/2012/06/01/2012-13298/servicemembers-group-life-insurance-traumatic-injury-protection-program-genitourinary-lossesThe Department of Veterans Affairs (VA) is issuing this final rule that amends the regulations governing the Servicemembers' Group Life Insurance Traumatic Injury Protection (TSGLI) program by adding certain genitourinary (GU) system losses to the TSGLI Schedule of Losses and defining terms relevant to these new losses. This amendment is necessary to make qualifying GU losses a basis for paying TSGLI benefits to servicemembers with severe GU injuries. The intended effect is to expand the list of losses for which TSGLI payments can be made. This document adopts as a final rule, without change, the interim final rule published in the Federal Register on December 2, 2011.
2012-05-14RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentCopayments for Medications in 2012This document affirms as final, without change, an interim final rule amending the Department of Veterans Affairs (VA) medical regulations concerning the copayment required for certain medications. The interim final rule froze until December 31, 2012,...2012-11486"https://www.gpo.gov/fdsys/pkg/FR-2012-05-14/pdf/2012-11486.pdfhttps://www.federalregister.gov/documents/2012/05/14/2012-11486/copayments-for-medications-in-2012This document affirms as final, without change, an interim final rule amending the Department of Veterans Affairs (VA) medical regulations concerning the copayment required for certain medications. The interim final rule froze until December 31, 2012, the copayment amount for veterans in the VA health care system in enrollment priority categories 2 through 6 at the 2011 level, which was $8. The interim final rule also froze until December 31, 2012, the maximum annual copayment amount for enrollment priority categories 2 through 6, which was $960. On January 1, 2013, the copayment amounts may increase based on the prescription drug component of the Medical Consumer Price Index (CPI-P). If the copayment increases, the maximum annual copayment amount will automatically increase in turn.
2012-05-08Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentSchedule for Rating Disabilities; The Digestive System; WithdrawalThe Department of Veterans Affairs (VA) hereby withdraws a proposed rule published in the Federal Register on July 5, 2011, that was intended to amend the Schedule for Rating Disabilities; The Digestive System. VA has determined, after conducting...2012-11035"https://www.gpo.gov/fdsys/pkg/FR-2012-05-08/pdf/2012-11035.pdfhttps://www.federalregister.gov/documents/2012/05/08/2012-11035/schedule-for-rating-disabilities-the-digestive-system-withdrawalThe Department of Veterans Affairs (VA) hereby withdraws a proposed rule published in the Federal Register on July 5, 2011, that was intended to amend the Schedule for Rating Disabilities; The Digestive System. VA has determined, after conducting extensive medical research, the existence of new medical advances that more accurately and comprehensively address the current medical criteria, terminology, and science related to the digestive system. Therefore, the proposed rule is in part based upon outdated and partially incomplete or irrelevant information.
2012-05-03RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentTechnical Revisions To Update Reference to the Required Assessment Tool for State Nursing Homes Receiving Per Diem Payments From VAThis rule updates the reference to the required resident assessment tool for State homes that receive per diem from VA for providing nursing home care to veterans. It requires State nursing homes receiving per diem from VA to use the most recent...2012-10590"https://www.gpo.gov/fdsys/pkg/FR-2012-05-03/pdf/2012-10590.pdfhttps://www.federalregister.gov/documents/2012/05/03/2012-10590/technical-revisions-to-update-reference-to-the-required-assessment-tool-for-state-nursing-homesThis rule updates the reference to the required resident assessment tool for State homes that receive per diem from VA for providing nursing home care to veterans. It requires State nursing homes receiving per diem from VA to use the most recent version of the Centers for Medicare and Medicaid Services (CMS) Resident Assessment Instrument/Minimum Data Set (MDS), which is version 3.0. This will ensure that the standard used to assess veterans is the same as the standard applicable to Medicare and Medicaid beneficiaries.
2012-04-27Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentNotice of Information and Evidence Necessary To Substantiate ClaimIn a document published in the Federal Register on December 11, 2009, the Department of Veterans Affairs (VA) proposed to amend its regulations regarding VA's duty to notify a claimant of the information and evidence necessary to substantiate a claim....2012-10259"https://www.gpo.gov/fdsys/pkg/FR-2012-04-27/pdf/2012-10259.pdfhttps://www.federalregister.gov/documents/2012/04/27/2012-10259/notice-of-information-and-evidence-necessary-to-substantiate-claimIn a document published in the Federal Register on December 11, 2009, the Department of Veterans Affairs (VA) proposed to amend its regulations regarding VA's duty to notify a claimant of the information and evidence necessary to substantiate a claim. This document withdraws that proposed rule.
2012-04-20RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentPayment or Reimbursement for Emergency Services for Nonservice-Connected Conditions in Non-VA FacilitiesThis document amends the Department of Veterans Affairs (VA) ``Payment or Reimbursement for Emergency Services for Nonservice- Connected Conditions in Non-VA Facilities'' regulations to conform with a statutory change that expanded veterans'...2012-9265"https://www.gpo.gov/fdsys/pkg/FR-2012-04-20/pdf/2012-9265.pdfhttps://www.federalregister.gov/documents/2012/04/20/2012-9265/payment-or-reimbursement-for-emergency-services-for-nonservice-connected-conditions-in-non-vaThis document amends the Department of Veterans Affairs (VA) ``Payment or Reimbursement for Emergency Services for Nonservice- Connected Conditions in Non-VA Facilities'' regulations to conform with a statutory change that expanded veterans' eligibility for reimbursement. Some of the revisions in this final rule are purely technical, matching the language of our regulations to the language of the revised statute, while others set out VA's policies regarding the implementation of statutory requirements. This final rule expands the qualifications for payment or reimbursement to veterans who receive emergency services in non-VA facilities, and establishes accompanying standards for the method and amount of payment or reimbursement.
2012-04-18RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentRules Governing Hearings Before the Agency of Original Jurisdiction and the Board of Veterans' Appeals; Repeal of Prior Rule ChangeThe Department of Veterans Affairs (VA) is taking final action to amend its hearing regulations to repeal a prior amendment that specified that the provisions regarding hearings before the Agency of Original Jurisdiction (AOJ) do not apply to hearings...2012-9295"https://www.gpo.gov/fdsys/pkg/FR-2012-04-18/pdf/2012-9295.pdfhttps://www.federalregister.gov/documents/2012/04/18/2012-9295/rules-governing-hearings-before-the-agency-of-original-jurisdiction-and-the-board-of-veteransThe Department of Veterans Affairs (VA) is taking final action to amend its hearing regulations to repeal a prior amendment that specified that the provisions regarding hearings before the Agency of Original Jurisdiction (AOJ) do not apply to hearings before the Board of Veterans' Appeals (Board). This action is being taken because of VA's decision that the prior amendment should have followed the notice- and-comment procedure of the Administrative Procedure Act (APA).
2012-03-16Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentFisher House and Other Temporary LodgingThe Department of Veterans Affairs (VA) proposes to amend its regulations concerning Fisher House and other temporary lodging furnished by VA while a veteran is experiencing an episode of care at a VA medical facility. We intend that the proposed rule...2012-6397"https://www.gpo.gov/fdsys/pkg/FR-2012-03-16/pdf/2012-6397.pdfhttps://www.federalregister.gov/documents/2012/03/16/2012-6397/fisher-house-and-other-temporary-lodgingThe Department of Veterans Affairs (VA) proposes to amend its regulations concerning Fisher House and other temporary lodging furnished by VA while a veteran is experiencing an episode of care at a VA medical facility. We intend that the proposed rule would update current regulations to better describe the application process for this assistance and clarify the distinctions between Fisher House and other temporary lodging provided by VA. The proposed rule generally reflects current VA policy and practice, and conforms to industry standards and expectations.
2012-03-13Proposed RuleDEPARTMENT OF DEFENSEDefense DepartmentVet Center ServicesThe Department of Veterans Affairs (VA) proposes to establish in regulation the readjustment counseling currently provided in VA's Vet Centers to certain veterans of the Armed Forces and members of their immediate families, and to implement provisions...2012-6004"https://www.gpo.gov/fdsys/pkg/FR-2012-03-13/pdf/2012-6004.pdfhttps://www.federalregister.gov/documents/2012/03/13/2012-6004/vet-center-servicesThe Department of Veterans Affairs (VA) proposes to establish in regulation the readjustment counseling currently provided in VA's Vet Centers to certain veterans of the Armed Forces and members of their immediate families, and to implement provisions of the Caregivers and Veterans Omnibus Health Services Act of 2010 (the 2010 Act) regarding readjustment counseling. Although for several decades VA has provided readjustment counseling to veterans and members of their immediate families, a regulation is now explicitly required by the 2010 Act. The 2010 Act makes certain current members of the Armed Forces who served on active duty in Operation Enduring Freedom or Operation Iraqi Freedom eligible for the readjustment counseling that VA currently provides to veterans and members of their immediate families. In addition, the proposed regulation would authorize Vet Centers to provide referral and advice to individuals who are not otherwise eligible for such counseling, and served in a theater of combat operations or in an area during a period of hostilities in that area, in accordance with the 2010 Act.
2012-03-06RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentExempting In-Home Video Telehealth From CopaymentsThe Department of Veterans Affairs (VA) is taking final action to amend its regulation that governs VA services that are not subject to copayment requirements for inpatient hospital care or outpatient medical care. Specifically, the regulation is...2012-5354"https://www.gpo.gov/fdsys/pkg/FR-2012-03-06/pdf/2012-5354.pdfhttps://www.federalregister.gov/documents/2012/03/06/2012-5354/exempting-in-home-video-telehealth-from-copaymentsThe Department of Veterans Affairs (VA) is taking final action to amend its regulation that governs VA services that are not subject to copayment requirements for inpatient hospital care or outpatient medical care. Specifically, the regulation is amended to exempt in-home video telehealth care from having any required copayment. This removes a barrier that may have previously discouraged veterans from choosing to use in-home video telehealth as a viable medical care option. In turn, VA hopes to make the home a preferred place of care, whenever medically appropriate and possible.
2012-03-06Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentExempting In-Home Video Telehealth From CopaymentsThe Department of Veterans Affairs (VA) is proposing to amend its regulation that governs VA services that are not subject to copayment requirements for inpatient hospital care or outpatient medical care. Specifically, the regulation would be amended...2012-5355"https://www.gpo.gov/fdsys/pkg/FR-2012-03-06/pdf/2012-5355.pdfhttps://www.federalregister.gov/documents/2012/03/06/2012-5355/exempting-in-home-video-telehealth-from-copaymentsThe Department of Veterans Affairs (VA) is proposing to amend its regulation that governs VA services that are not subject to copayment requirements for inpatient hospital care or outpatient medical care. Specifically, the regulation would be amended to exempt in-home video telehealth care from having any required copayment. This would remove a barrier that may have previously discouraged veterans from choosing to use in-home video telehealth as a viable medical care option. In turn, VA hopes to make the home a preferred place of care, whenever medically appropriate and possible.
2012-03-05RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentDrug and Drug-Related Supply Promotion by Pharmaceutical Company Representatives at VA FacilitiesThis final rule amends the Department of Veterans Affairs (VA) regulations regarding access to VA facilities by pharmaceutical company representatives. The purposes of the rule are to reduce or eliminate any potential for disruption in the patient care...2012-5279"https://www.gpo.gov/fdsys/pkg/FR-2012-03-05/pdf/2012-5279.pdfhttps://www.federalregister.gov/documents/2012/03/05/2012-5279/drug-and-drug-related-supply-promotion-by-pharmaceutical-company-representatives-at-va-facilitiesThis final rule amends the Department of Veterans Affairs (VA) regulations regarding access to VA facilities by pharmaceutical company representatives. The purposes of the rule are to reduce or eliminate any potential for disruption in the patient care environment, manage activities and promotions at VA facilities, and provide pharmaceutical company representatives with a consistent standard of permissible business practice at VA facilities. The amendments will facilitate mutually beneficial relationships between VA and pharmaceutical company representatives.
2012-03-01Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentVA Dental Insurance ProgramThe Department of Veterans Affairs (VA) proposes to amend its regulations to establish a pilot program to offer premium-based dental insurance to enrolled veterans and certain survivors and dependents of veterans. VA would contract with a private...2012-4879"https://www.gpo.gov/fdsys/pkg/FR-2012-03-01/pdf/2012-4879.pdfhttps://www.federalregister.gov/documents/2012/03/01/2012-4879/va-dental-insurance-programThe Department of Veterans Affairs (VA) proposes to amend its regulations to establish a pilot program to offer premium-based dental insurance to enrolled veterans and certain survivors and dependents of veterans. VA would contract with a private insurer through the Federal contracting process to offer dental insurance, and the private insurer would then be responsible for the administration of the dental insurance plan. VA's role would primarily be to form the contract with the private insurer and verify the eligibility of veterans, survivors, and dependents. The program is authorized, and this rulemaking is required, by section 510 of the Caregivers and Veterans Omnibus Health Services Act of 2010 (the 2010 Act).
2012-03-01Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentTentative Eligibility Determinations; Presumptive Eligibility for Psychosis and Other Mental IllnessThis document proposes to amend the Department of Veterans Affairs (VA) regulation authorizing tentative eligibility determinations to comply with amended statutory authority concerning statutory minimum active-duty service requirements. This document...2012-4941"https://www.gpo.gov/fdsys/pkg/FR-2012-03-01/pdf/2012-4941.pdfhttps://www.federalregister.gov/documents/2012/03/01/2012-4941/tentative-eligibility-determinations-presumptive-eligibility-for-psychosis-and-other-mental-illnessThis document proposes to amend the Department of Veterans Affairs (VA) regulation authorizing tentative eligibility determinations to comply with amended statutory authority concerning statutory minimum active-duty service requirements. This document also proposes to codify in regulation statutory presumptions of medical-care eligibility for veterans of certain wars and conflicts who developed psychosis within specified time periods and for Persian Gulf War veterans who developed a mental illness other than psychosis within two years after service and within two years after the end of the Persian Gulf War period. We believe that regulations are necessary because we would interpret the law to allow VA to waive any copayments associated with care pursuant to the statutory presumption and to waive any otherwise applicable minimum service requirements.
2012-03-01Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentVA Homeless Providers Grant and Per Diem ProgramWe propose to revise and reorganize regulations which contain the Department of Veterans Affairs' (VA) Homeless Providers Grant and Per Diem Program. This rulemaking would update our current regulations, implement and authorize new VA policies, and...2012-4878"https://www.gpo.gov/fdsys/pkg/FR-2012-03-01/pdf/2012-4878.pdfhttps://www.federalregister.gov/documents/2012/03/01/2012-4878/va-homeless-providers-grant-and-per-diem-programWe propose to revise and reorganize regulations which contain the Department of Veterans Affairs' (VA) Homeless Providers Grant and Per Diem Program. This rulemaking would update our current regulations, implement and authorize new VA policies, and generally improve the clarity of part 61.
2012-02-23RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentDue Date of Initial Application Requirements for State Home Construction GrantsThis final rule amends the Department of Veterans Affairs (VA) regulations concerning the calendar date by which VA must receive an initial application for a State Home Construction Grant in order for the application to be included on the priority list...2012-4234"https://www.gpo.gov/fdsys/pkg/FR-2012-02-23/pdf/2012-4234.pdfhttps://www.federalregister.gov/documents/2012/02/23/2012-4234/due-date-of-initial-application-requirements-for-state-home-construction-grantsThis final rule amends the Department of Veterans Affairs (VA) regulations concerning the calendar date by which VA must receive an initial application for a State Home Construction Grant in order for the application to be included on the priority list for the award of grants during the next fiscal year. We require that initial application materials must be received by VA no later than April 15, instead of August 15, of the year before the fiscal year in which the application would be considered for inclusion on the priority list for the award of grants. We require certification of State matching funds to be submitted no later than August 1, instead of August 15, in order for the project to be placed in priority group 1 of the priority list for the next fiscal year. The purpose of these changes is to ensure that VA has sufficient time to process all applications received and timely prepare the priority list, so that we can accurately notify States that VA intends to select and fund particular projects. We also make technical revisions to conform our regulations to these revisions.
2012-02-08RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentSchedule for Rating Disabilities; AL Amyloidosis (Primary Amyloidosis)The Department of Veterans Affairs (VA) is amending its Schedule for Rating Disabilities by updating the schedule of ratings for the hemic and lymphatic systems to include AL amyloidosis. This regulatory action is necessary to add AL amyloidosis as one...2012-2883"https://www.gpo.gov/fdsys/pkg/FR-2012-02-08/pdf/2012-2883.pdfhttps://www.federalregister.gov/documents/2012/02/08/2012-2883/schedule-for-rating-disabilities-al-amyloidosis-primary-amyloidosisThe Department of Veterans Affairs (VA) is amending its Schedule for Rating Disabilities by updating the schedule of ratings for the hemic and lymphatic systems to include AL amyloidosis. This regulatory action is necessary to add AL amyloidosis as one of the disease conditions and establish criteria for disability evaluation to fully implement the decision by the Secretary of Veterans Affairs to grant presumptive service connection based on herbicide exposure for this disease. The intended effects are to provide consistency in disability ratings and to ease tracking of AL amyloidosis for statistical analysis.
2012-02-02RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentMedical Foster HomesThis document amends the Department of Veterans Affairs (VA) ``Medical'' regulations to add rules relating to medical foster homes. Prior to this final rule, VA's medical foster home program had, whenever possible and appropriate, relied upon...2012-2063"https://www.gpo.gov/fdsys/pkg/FR-2012-02-02/pdf/2012-2063.pdfhttps://www.federalregister.gov/documents/2012/02/02/2012-2063/medical-foster-homesThis document amends the Department of Veterans Affairs (VA) ``Medical'' regulations to add rules relating to medical foster homes. Prior to this final rule, VA's medical foster home program had, whenever possible and appropriate, relied upon regulations governing community residential care facilities; however, those regulations did not cover all aspects of medical foster homes, which provide community based care in a smaller, residential facility and to a more medically complex and disabled population. This final rule reflects current VA policy and practice, and generally conforms to industry standards and expectations.
2012-01-31Proposed RuleDEPARTMENT OF VETERANS AFFAIRSVeterans Affairs DepartmentServicemembers' Group Life Insurance-Stillborn Child CoverageThe Department of Veterans Affairs (VA) proposes to amend its Servicemembers' Group Life Insurance (SGLI) regulations in order to provide that, if a stillborn child is otherwise eligible to be insured by the SGLI coverage of more than one member, the...2012-1990"https://www.gpo.gov/fdsys/pkg/FR-2012-01-31/pdf/2012-1990.pdfhttps://www.federalregister.gov/documents/2012/01/31/2012-1990/servicemembers-group-life-insurance-stillborn-child-coverageThe Department of Veterans Affairs (VA) proposes to amend its Servicemembers' Group Life Insurance (SGLI) regulations in order to provide that, if a stillborn child is otherwise eligible to be insured by the SGLI coverage of more than one member, the child would be insured by the coverage of the child's SGLI-insured mother.
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