38 C.F.R. § 59.40   Maximum number of nursing home care and domiciliary care beds for veterans by State.


Title 38 - Pensions, Bonuses, and Veterans' Relief


Title 38: Pensions, Bonuses, and Veterans' Relief
PART 59—GRANTS TO STATES FOR CONSTRUCTION OR ACQUISITION OF STATE HOMES

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§ 59.40   Maximum number of nursing home care and domiciliary care beds for veterans by State.

(a) Except as provided in paragraph (b) of this section, a State may not request a grant for a project to construct or acquire a new State home facility, to increase the number of beds available at a State home facility, or to replace beds at a State home facility if the project would increase the total number of State home nursing home and domiciliary beds beyond the maximum number designated for that State. The maximum number of State home nursing home and domiciliary beds designated for each State is (for maximum numbers see VA website at http://www.va.gov/About_VA/Orgs/VHA/VHAProg.htm). the number in the following chart for the State, minus the sum of the number of nursing home and domiciliary beds already in operation at State home facilities, and the number of State home nursing home and domiciliary beds not yet in operation but for which a grant has either been requested or awarded under this part (the availability of VA and community nursing home beds in each State will also be considered at the time of grant application for bed-producing projects):

 ------------------------------------------------------------------------                                                             State home                                                            nursing home                           State                                 and                                                             domiciliary                                                                beds------------------------------------------------------------------------Alabama...................................................           883Alaska....................................................            79Arizona...................................................         1,068Arkansas..................................................           557California................................................         5,754Colorado..................................................           717Connecticut...............................................           738Delaware..................................................           165District of Columbia......................................           104Florida...................................................         4,471Georgia...................................................         1,202Hawaii....................................................           216Idaho.....................................................           233Illinois..................................................         2,271Indiana...................................................         1,209Iowa......................................................           632Kansas....................................................           542Kentucky..................................................           759Louisiana.................................................           785Maine.....................................................           301Maryland..................................................         1,020Massachusetts.............................................         1,348Michigan..................................................         1,896Minnesota.................................................           932Mississippi...............................................           500Missouri..................................................         1,230Montana...................................................           198Nebraska..................................................           355Nevada....................................................           428New Hampshire.............................................           264New Jersey................................................         1,683New Mexico................................................           344New York..................................................         3,220North Carolina............................................         1,454North Dakota..............................................           121Ohio......................................................         2,530Oklahoma..................................................           747Oregon....................................................           804Pennsylvania..............................................         3,173Puerto Rico...............................................           350Rhode Island..............................................           254South Carolina............................................           750South Dakota..............................................           155Tennessee.................................................         1,050Texas.....................................................         3,226Utah......................................................           304Vermont...................................................           124Virginia..................................................         1,312Virgin Islands............................................             8Washington................................................         1,215West Virginia.............................................           455Wisconsin.................................................         1,070Wyoming...................................................            93------------------------------------------------------------------------

Note to paragraph (a): The provisions of 38 U.S.C. 8134 require VA to prescribe for each State the number of nursing home and domiciliary beds for which grants may be furnished. This is required to be based on the projected demand for nursing home and domiciliary care on November 30, 2009 (10 years after the date of enactment of the Veterans Millennium Health Care and Benefits Act (Pub. L. 106–117)), by veterans who at such time are 65 years of age or older and who reside in that State. In determining the projected demand, VA must take into account travel distances for veterans and their families.

(b) A State may request a grant for a project that would increase the total number of State nursing home and domiciliary beds beyond the maximum number for that State, if the State submits to VA, documentation to establish a need for the exception based on travel distances of at least two hours (by land transportation or any other usual mode of transportation if land transportation is not available) between a veteran population center sufficient for the establishment of a State home and any existing State home. The determination regarding a request for an exception will be made by the Secretary.

(Authority: 38 U.S.C. 101, 501, 1710, 1742, 8105, 8131–8137)

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