Authorizes the furnishing of prosthetic devices and certain other medical items as part of outpatient care when necessary either to obviate the need for hospital admission or in preparation for such.
Requires the Secretary, in order for such authority to become effective, to determine that its implementation would not result in a substantial delay in furnishing such items in connection with the treatment of service-connected disabilities or in the denial of such items in connection with such treatment.
Increases the amount authorized to be expended per veteran for improvements and structural alterations necessary to assure the continuation of treatment for a disability or to provide access to the home or to lavatory and sanitary facilities.
Directs the Secretary to require the directors of Department medical centers or regional benefits offices to assess the needs of homeless veterans living within their service areas, including the needs of such veterans with respect to health care, education and training, employment, shelter, counseling, and outreach services.
Requires each assessment to indicate the extent to which such needs are being adequately met by programs of the Department and other Federal, State, and local governments and agencies, as well as nongovernmental organizations.
Requires each such director to develop a plan for each of FY 1992 through 1994 for the provision of outreach and other services to meet veterans' needs.
Requires the coordination of such plans with other Federal, non-Federal, and private plans and programs with respect to the provision of services to homeless persons.
Requires each director to carry out such plan and to disseminate to all other appropriate entities information regarding the services provided to homeless veterans by the medical facility or benefits office.
Directs the Secretary to conduct a pilot program to determine the effectiveness of providing, through existing community-based organizations, domiciliary care to homeless veterans eligible for such care from the Department under other provisions of law.
Requires the pilot program to be conducted at not more than 15 locations throughout the United States. Authorizes the Secretary to enter into contracts with community-based organizations to provide services under such program, giving preference to those that offer the most comprehensive care and services to homeless individuals and those not being adequately met by existing programs.
Authorizes the transfer of certain other funds for continuing pilot programs, with certain transfer limitations.
Authorizes the Secretary to accept donations of funds and services for providing one-stop, nonresidential services and mobile support teams and for expanding the medical services available to eligible homeless veterans.
Amends the Stewart B. McKinney Homeless Assistance Amendments Act of 1988 to extend through FY 1993 the authorization of appropriations and the provision of certain programs for homeless veterans provided under such Act. Amends the Veterans' Benefits and Services Act of 1988 to extend through FY 1994 a program under such Act with regard to certain services for mentally ill homeless veterans.
Requires the Secretary to report to the veterans' committees an evaluation of:
(1) assessments and plans by medical center and benefits office directors with respect to homeless veterans;
(2) the pilot program for the provision of domiciliary care to homeless veterans; and
(3) the acceptance of gifts and services to provide nonresidential services and mobile support teams for expanding the medical services available to homeless veterans.
Amends the Veterans' Benefits and Services Act of 1988 to extend through FY 1993 the authorization of appropriations for a pilot program which provides mobile health-care clinics for veterans residing in isolated rural areas.
Directs the Secretary to establish the Advisory Committee on Prosthetics and Special-Disabilities Programs to advise the Secretary on:
(1) all matters related to prosthetics and special-disabilities programs of the Department;
(2) coordination of programs which develop and test prosthetic devices; and
(3) the adequacy of funding for such programs within the Department. Requires the Advisory Committee to report to the Secretary and the veterans' committees annually in 1992 through 1995 on the effectiveness of the prosthetics and special-disabilities programs administered by the Secretary during the preceding fiscal year.
Expands the definition of "medical services," for purposes of veterans' benefits provisions, to include services to overcome a service-connected disability impairing a veteran's ability to achieve procreation.
Directs the CMD to appoint an advisory committee to advise the CMD on the exercise of authority to furnish such procreative-assistive services.
Authorizes the Secretary, through FY 1996, to:
(1) furnish annually at least two preventive health-care services that the Secretary determines are feasible and appropriate for any veteran being furnished hospital, nursing home, or domiciliary care or medical treatment under current veterans' benefits provisions; and
(2) implement annually at each Department health-care facility a major preventive health-care and health-promotion initiative for such veterans.
Limits the yearly expenditures for such activities.
Requires the CMD to designate an official in the VHA to act as the Director of Preventive Health-Care and Health-Promotion Programs. Requires the Secretary to report on February 1 of 1994 and 1996 on interim and final experiences under the programs.
Authorizes the Secretary to provide:
(1) a service dog to a quadriplegic veteran who has a service-connected disability; and
(2) a signal dog to a veteran who has a service-connected hearing impairment.
Authorizes the payment of travel and incidental expenses to veterans for travel incurred in becoming adjusted to such service or signal dog.
Directs the Secretary to report to the veterans' committees concerning the backlog that occurred in the procurement of prosthetic appliances in FY 1989 and on actions to be taken to prevent a recurrence of backlogs and failures to furnish appliances on a priority basis.
Repeals the authority of the Department to furnish tobacco products to veterans receiving hospital or domiciliary care through the Department. Directs the Secretary to establish a task force to recommend policies and legislation for the elimination of inconsistencies among provisions of law relating to veterans' eligibility for certain health-care benefits.
Requires the Secretary to review the report of the task force and either approve of its recommendations, make recommendations in lieu of such recommendations, or a combination of both and report thereon to the veterans' committees.
Makes former prisoners of war eligible for outpatient medical services through the Department for any disability.
Directs the Secretary, during FY 1992 through 1995, to conduct a pilot program to furnish assistive monkeys to quadriplegic veterans who have service-connected disabilities rated at 50 percent or more.
Directs the Secretary to:
(1) consider the extent to which the veteran needs and can benefit from the assistance of the monkey; and
(2) provide a preference for veterans who have service-connected quadriplegia.
Requires a receiving veteran to be well-suited for caring for such monkey and for effectively using the monkey for the provision of assistance in performing daily living tasks.
Outlines administrative matters, including the making of contracts for the furnishing of such assistive monkeys.
Requires the Secretary to evaluate and report to the veterans' committees on the pilot program.
Requires the CMD, before furnishing such assistive monkeys under the pilot program, to provide for the conduct of an independent evaluation of the way that assistive monkeys would be treated during training and placement under the pilot program.
Requires consultation with appropriate animal welfare organizations.
Extends through December 31, 1992:
(1) the temporary Departmental program for trial work periods and voluntary vocational rehabilitation evaluations for veterans receiving compensation at the rate paid to totally disabled veterans;
(2) the temporary program of vocational training for certain veterans' pension recipients; and
(3) the protection of a pension-receiving veteran's Departmental health care eligibility if pension entitlement is lost as a result of work income received after undergoing vocational training.
Exempts from Medicaid "best-price" rebate calculations prices paid by the Department for drugs and biologicals pursuant to purchase contracts entered into with States.