PlainBillCongress, translated.Legislation. Context. Public interest.Received in the Senate and Read twice and referred to the Committee on Veterans' Affairs.
Congressional Research Service
Version 53 · Passed House · Dec 1, 2022
Long-Term Care Veterans Choice Act
This bill authorizes the Department of Veterans Affairs (VA) to enter into contracts to pay for specified veterans (i.e., certain veterans who have service-connected disabilities and require nursing home care) to be placed in medical foster homes at their request. A medical foster home is a home designed to provide non-institutional, long-term, supportive care for veterans who are unable to live independently and prefer a family setting.
Veterans receiving such care must agree, as a condition of payment for their care, to accept home health services furnished by the VA.
Under the bill, no more than a daily average of 900 veterans may have their care in a medical foster home covered by the VA.
The VA must create a monitoring system to assess its workload in carrying out the medical foster home payments. Additionally, the Government Accountability Office must submit to Congress reports that assess the implementation of this program and provide recommendations for improvements.
The bill also extends certain loan fee rates through February 15, 2031, under the VA's home loan program.
People & committees
Rep. Higgins, Clay [R-LA-3] · R–LA
Legislative record
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Received in the Senate and Read twice and referred to the Committee on Veterans' Affairs.
Pursuant to section 5 of H. Res. 1499, and the motion offered by Mr. Hoyer, the following bills passed under suspension of the rules: H.R. 4601, as amended; H.R. 4772, as amended; H.R. 4899; H.R. 5943, as amended; H.R. 7158, as amended; H.R. 8203; H.R. 9308; and S. 3825; and the following resolutions were agreed to under suspension of the rules: H. Res. 744, as amended; and H. Res. 922, as amended. (consideration: CR H8696-8700; text: CR H8697-8698)
Passed/agreed to in House: Pursuant to section 5 of H. Res. 1499, and the motion offered by Mr. Hoyer, the following bills passed under suspension of the rules: H.R. 4601, as amended; H.R. 4772, as amended; H.R. 4899; H.R. 5943, as amended; H.R. 7158, as amended; H.R. 8203; H.R. 9308; and S. 3825; and the following resolutions were agreed to under suspension of the rules: H. Res. 744, as amended; and H. Res. 922, as amended.(consideration: CR H8696-8700; text: CR H8697-8698)
Pursuant to the provisions of H. Res. 1499, proceedings on H.R. 7158 are considered vacated.
At the conclusion of debate, the Yeas and Nays were demanded and ordered. Pursuant to the provisions of clause 8, rule XX, the Chair announced that further proceedings on the motion would be postponed.
DEBATE - The House proceeded with forty minutes of debate on H.R. 7158.
Considered under suspension of the rules. (consideration: CR H8607-8609; text: CR H8607-8608)
Mr. Takano moved to suspend the rules and pass the bill, as amended.
Ordered to be Reported by Voice Vote.
Committee Consideration and Mark-up Session Held.
Referred to the House Committee on Veterans' Affairs.
Introduced in House
Introduced in House
Primary sources
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Source last updated: Dec 5, 2025. Consult Congress.gov for the current record.
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Analyze H.R.7158 as objectively as possible. Explain its main provisions, who would be affected, possible benefits and harms, implementation, exceptions, and uncertainties. Present the strongest arguments for and against it, and identify evidence needed to assess its public impact.
Examine H.R.7158 through a progressive lens, focusing on fairness, access, economic inequality, and effects on vulnerable communities. Explain potential benefits, costs, and unintended consequences. Consider the strongest counterarguments and distinguish stated goals from demonstrated outcomes.
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