PUBLIC LAW 106-117 —NOV. 30, 1999 113 STAT. 1551 incurred by the Secretary for extended care services if this section had not been enacted; and (3) the Secretary's recommendations, with respect to the provisions of section 1710A(a) of title 38, United States Code, as added by subsection (a), and with respect to the provisions of section 1701(10) of such title, as added by subsection (b), as to— (A) whether those provisions should be extended or made permanent; and (B) what modifications, if any, should be made to those provisions. SEC. 102. PILOT PROGRAMS RELATING TO LONG-TERM CARE. 38 USC 17 lOB (a) PILOT PROGRAMS.—The Secretary shall carry out three pilot programs for the purpose of determining thtj effectiveness of dif- ferent models of all-inclusive care-delivery in reducing the use of hospital and nursing home care by frail, elderly veterans. (b) LOCATIONS OF PILOT PROGRAMS.—In selecting locations in which the pilot programs will be carried out, the Secretary may not select more than one location in any given health care region of the Veterans Health Administration. (c) SCOPE OF SERVICES UNDER PILOT PROGRAMS. —Each of the pilot programs under this section shall be designed to provide participating veterans with integrated, comprehensive services which include the following: (1) Adult-day health care services on an eight-hour per day, five-day per week basis. (2) Medical services (including primary care, preventive services, and nursing home care, as needed). (3) Coordination of needed services. (4) Transportation services. (5) Home care services. (6) Respite care. (d) PROGRAM REQUIREMENTS.— In carrying out the pilot programs under this section, the Secretary shall— (1) employ the use of interdisciplinary care-management teams to provide the required array of services; (2) determine the appropriate number of patients to be enrolled in each program and the criteria for enrollment; and (3) ensure that funding for each program is based on the complex care category under the resource allocation system (known as the Veterans Equitable Resource Allocation system) established pursuant to section 429 of Public Law 104-204 (110 Stat. 2929). (e) DESIGN OF PILOT PROGRAMS.— TO the maximum extent feasible, the Secretary shall use the following three models in designing the three pilot programs under this section: (1) Under one of the pilot programs, the Secretary shall provide services directly through facilities and personnel of the Department. (2) Under one of the pilot programs, the Secretary shall provide services through a combination of— (A) services provided under contract with appropriate public and private entities; and (B) services provided through facilities and personnel of the Depeirtment. 69-194-01-2: QL 3 Part 3
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