Washington, D.C. – U.S. Senators Susan Collins and Angus King, and Representatives Chellie Pingree and Jared Golden today announced that Maine Veterans’ Homes (MVH) has received full reimbursement due to them from the Department of Veterans Affairs (VA) for domiciliary care provided to veterans since 2021. In 2020, Congress passed legislation authorizing the VA to cover the costs of nursing home care provided by state veterans’ homes for veterans with early-stage dementia after it abruptly stopped covering these payments in 2019. Unfortunately, the VA delayed the required rulemaking by more than two years. This lag forced MVH to pay out-of-pocket for the care costing approximately $130,000 per month and over $3 million since 2019.
“For decades, Maine Veterans’ Homes (MVH) has provided quality care to Maine veterans; working hard to make good on our nation’s promise to give back to those who served,” said Senators Collins and King and Representatives Pingree and Golden. “However, for years, MVH has faced financial strain due to the Department of Veterans Affairs (VA) delay in reimbursing it for nursing home care for veterans battling dementia, putting additional burdens on Maine veterans and their families. We are excited to share that MVH has finally received full reimbursement from the VA for this care — an important step that will ensure its doors can stay open, and our veterans can continue to access important care and support.”
Domiciliary care was established by the VA after the Civil War as a type of assisted living that is provided to older veterans who are independently mobile, or semi-mobile and incapable of living alone. Over 115 MVH residents receive domiciliary care, 80 percent of whom are on Medicaid.
The Veterans Health Care and Benefits Improvement Act, signed into law on January 5, 2021, authorized the VA to resume reimbursements for domiciliary care at state homes like MVH. Since then, the Maine Congressional delegation has continuously pushed the Department of Veterans Affairs (VA) to reimburse Maine Veterans’ Homes. In spring of 2023, the delegation introduced the Reimburse Veterans for Domiciliary Care Act, which would require the VA to restart payments for current care as mandated by law and retroactively provide MVH with the reimbursements for past care. Months later, the delegation received news the VA had agreed to resume reimbursing Maine Veterans’ Homes (MVH) for domiciliary care, but did not follow through on delivering the funds. After pressure from the Maine delegation, in September 2023 the VA announced a proposed rule that would retroactively reimburse MVH for the care they’ve provided back to January 2020. Last spring, the delegation wrote a letter to the former Department of Veterans Affairs (VA) Secretary Denis McDonough requested an update on the rule and in October 2024, the VA announced the finalized rule that would provide retroactive reimbursement for MVH.
###