[Code of Federal Regulations]
[Title 38, Volume 2]
[Revised as of July 1, 2003]
From the U.S. Government Printing Office via GPO Access
[CITE: 38CFR59.40]

[Page 884-885]
 
            TITLE 38--PENSIONS, BONUSES, AND VETERANS' RELIEF
 
          CHAPTER I--DEPARTMENT OF VETERANS AFFAIRS (CONTINUED)
 
PART 59--GRANTS TO STATES FOR CONSTRUCTION OR ACQUISITION OF STATE HOMES--
Table of Contents
 
Sec. 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...................................................           883
Alaska....................................................            79
Arizona...................................................         1,068
Arkansas..................................................           557
California................................................         5,754
Colorado..................................................           717
Connecticut...............................................           738
Delaware..................................................           165
District of Columbia......................................           104
Florida...................................................         4,471
Georgia...................................................         1,202
Hawaii....................................................           216
Idaho.....................................................           233
Illinois..................................................         2,271
Indiana...................................................         1,209
Iowa......................................................           632
Kansas....................................................           542
Kentucky..................................................           759
Louisiana.................................................           785
Maine.....................................................           301
Maryland..................................................         1,020
Massachusetts.............................................         1,348
Michigan..................................................         1,896
Minnesota.................................................           932
Mississippi...............................................           500
Missouri..................................................         1,230
Montana...................................................           198
Nebraska..................................................           355
Nevada....................................................           428
New Hampshire.............................................           264
New Jersey................................................         1,683
New Mexico................................................           344
New York..................................................         3,220
North Carolina............................................         1,454
North Dakota..............................................           121
Ohio......................................................         2,530
Oklahoma..................................................           747
Oregon....................................................           804
Pennsylvania..............................................         3,173
Puerto Rico...............................................           350
Rhode Island..............................................           254
South Carolina............................................           750
South Dakota..............................................           155
Tennessee.................................................         1,050
Texas.....................................................         3,226
Utah......................................................           304
Vermont...................................................           124
Virginia..................................................         1,312
Virgin Islands............................................             8
Washington................................................         1,215
West Virginia.............................................           455
Wisconsin.................................................         1,070
Wyoming...................................................            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 (P.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

[[Page 885]]

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)