Extension of Program of Comprehensive Assistance for Family Caregivers Eligibility for Legacy Participants and Legacy Applicants, 57602-57609 [2022-20271]
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Federal Register / Vol. 87, No. 182 / Wednesday, September 21, 2022 / Rules and Regulations
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[FR Doc. 2022–20432 Filed 9–20–22; 8:45 am]
BILLING CODE 9110–04–P
DEPARTMENT OF VETERANS
AFFAIRS
38 CFR Part 71
RIN 2900–AR28
Extension of Program of
Comprehensive Assistance for Family
Caregivers Eligibility for Legacy
Participants and Legacy Applicants
Department of Veterans Affairs.
Interim final rule.
AGENCY:
ACTION:
The Department of Veterans
Affairs (VA) is amending its regulations
that govern VA’s Program of
Comprehensive Assistance for Family
Caregivers (PCAFC) by extending
eligibility for legacy participants, legacy
applicants and their Family Caregivers,
and the applicable benefits afforded to
such Family Caregivers, to include the
monthly stipend, by three years. VA is
also making non-substantive technical
amendments to the regulations.
DATES:
Effective date: This interim final rule
is effective September 21, 2022.
Comment date: Comments must be
received on or before November 21,
2022.
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SUMMARY:
Comments must be
submitted through
www.Regulations.gov. Comments
ADDRESSES:
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received will be available at
regulations.gov for public viewing,
inspection or copies.
FOR FURTHER INFORMATION CONTACT:
Colleen Richardson, PsyD, Executive
Director, Caregiver Support Program,
Patient Care Services, Veterans Health
Administration, Department of Veterans
Affairs, 810 Vermont Ave. NW,
Washington, DC 20420, (202) 461–7337.
(This is not a toll-free telephone
number.)
SUPPLEMENTARY INFORMATION:
I. Background
In 2010, section 1720G of title 38 of
the United States Code (U.S.C.) was
codified when it was enacted as part of
the Caregivers and Veterans Omnibus
Health Services Act of 2010. Public Law
(Pub. L.) 111–163, 124 Stat. 1130 (2010).
As originally enacted, section 1720G
required VA, in part, to establish a
Program of Comprehensive Assistance
for Family Caregivers (PCAFC) for
Family Caregivers of eligible veterans
who have a serious injury incurred or
aggravated in the line of duty in the
active military, naval, or air service on
or after September 11, 2001. VA
implemented PCAFC through its
regulations in part 71 of title 38, Code
of Federal Regulations (CFR). PCAFC
provides certain benefits such as
training, respite care, counseling,
technical support, beneficiary travel (to
attend required caregiver training and
for an eligible veteran’s medical
appointments), access to health care (if
qualified) through the Civilian Health
and Medical Program of the Department
of Veterans Affairs (CHAMPVA), and a
monthly stipend. 38 U.S.C. 1720G; 38
CFR 71.25(d), 71.40.
In 2018, section 161 of the John S.
McCain III, Daniel K. Akaka, and
Samuel R. Johnson VA Maintaining
Internal Systems and Strengthening
Integrated Outside Networks Act of
2018 (VA MISSION Act of 2018), Public
Law 115–182, 132 Stat. 1393 (2018),
amended 38 U.S.C. 1720G by expanding
PCAFC to Family Caregivers of eligible
veterans who incurred or aggravated a
serious injury in the line of duty before
September 11, 2001, in a phased
approach, establishing new benefits for
designated Primary Family Caregivers of
eligible veterans, and making other
changes affecting program eligibility
and VA’s evaluation of PCAFC
applications. To incorporate these and
other necessary changes to improve and
expand VA’s PCAFC, VA amended 38
CFR part 71. 85 Federal Register (FR)
46226 (July 31, 2020). These changes
took effect on October 1, 2020. Id. As
part of that rulemaking, VA revised the
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eligibility criteria for PCAFC in § 71.20,
identified a legacy cohort (i.e., legacy
applicants, legacy participants, and
their Family Caregivers, as those terms
are defined in § 71.15) who were
approved for PCAFC under the previous
eligibility criteria, and created a oneyear transition period whereby the
legacy cohort would continue to remain
eligible for PCAFC while VA reassessed
whether the legacy cohort would
continue to be eligible for PCAFC under
the new eligibility criteria.
When VA established the initial oneyear transition period for the legacy
cohort, VA intended to establish a
transition plan for legacy participants
and legacy applicants who may or may
not meet the new eligibility criteria and
whose Primary Family Caregivers could
have their stipend amount impacted by
changes to the stipend payment
calculation. 85 FR 13356 (March 6,
2020). The one-year period was
intended to provide a reasonable
amount of time for VA to conduct
reassessments, minimize disruption to
those individuals, including disruptions
that would result from the changes to
the stipend payment calculation, and
provide a fair and reasonable time for
transition. 85 FR 46253. VA intended
that all legacy applicants, legacy
participants, and their Family
Caregivers would have the same
transition period, regardless of when the
reassessment was completed during the
one-year transition period. Id. This
transition period was intended to ensure
equitable treatment for all legacy
applicants, legacy participants, and
their Family Caregivers. Id.
On September 22, 2021, VA published
an interim final rule (First PCAFC
Extension for Legacy Cohort) which
amended 38 CFR part 71, by extending
the one-year transition period and
timeline for VA to conduct all necessary
reassessments of the legacy cohort for
one additional year (that is, until
September 30, 2022). 86 FR 52614
(September 22, 2021). A targeted
discussion explaining why VA created
the legacy cohort and the initial oneyear transition period is more fully
described in the First PCAFC Extension
for Legacy Cohort, and that description
is adopted by reference into this
preamble. See id. at 52615.
On March 25, 2022, the U.S. Court of
Appeals for the Federal Circuit issued a
decision that set aside certain PCAFC
criteria that VA established as part of
the July 31, 2020 rulemaking. Veteran
Warriors, Inc. v. Sec’y of Veterans
Affairs, 29 F.4th 1320 (Fed. Cir. 2022).
The court’s decision applies to cases
and claims initiated on or after the date
of the decision, as well as any PCAFC
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determination still open on direct
review before VA as of that date. Matters
still open on direct review include
determinations concerning stipend
decreases or discharges for the legacy
cohort made in the course of
reassessments completed before March
25, 2022. As a result, VA must repeat
certain reassessments of the legacy
cohort to account for the court’s
interpretation, as explained in more
detail below.
For the reasons explained in the
subsequent discussion below, VA is
extending the transition period and
timeline for VA to complete
reassessments of the legacy cohort by
three additional years (that is, until
September 30, 2025). Accordingly, VA
is amending 38 CFR 71.20(b) and (c)
regarding program eligibility; § 71.30(e)
regarding reassessments; and
§ 71.40(c)(4)(i)(B) through (D),
(c)(4)(ii)(C)(2)(i) and (ii), and the note to
(c)(4)(ii)(C)(2) regarding the stipend
methodology, to account for the
additional three-year period through
September 30, 2025.
Additionally, VA is making technical
amendments to correct the citation in
the definition of ‘‘General Caregiver’’ in
§ 71.15; and in §§ 71.20(a)(2)(ii) and (iii)
and 71.25(a)(3)(ii)(A) and (B), VA is
making technical amendments to reflect
the date VA submitted to Congress a
certification that VA fully implemented
the information technology (IT) system
required by section 162 of the VA
MISSION Act of 2018 (i.e., October 1,
2020) and the date that is two years after
the Secretary submitted such
certification to Congress (i.e., October 1,
2022).
II. Extension of Transition Period for
Legacy Cohort
VA published the First PCAFC
Extension for Legacy Cohort because VA
was unable to conduct all reassessments
of the legacy cohort within the one-year
period provided in the July 31, 2020
rulemaking. 86 FR 52616. Since the
First PCAFC Extension for Legacy
Cohort was published, VA has made
significant progress in completing
reassessments of the legacy cohort. As
stated in the First PCAFC Extension for
the Legacy Cohort, as of July 1, 2021,
VA had only completed four percent of
the estimated 19,800 reassessments
needed for the legacy cohort. Id. As of
August 3, 2022, VA has completed
approximately 95 percent of the
reassessments needed for the legacy
cohort; 1 however, as discussed below,
1 Reassessment data provided in this rulemaking
come from the Caregiver Record Management
Application (CARMA) system. CARMA provides a
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the outcome of the Veteran Warriors
decision has impacted VA’s ability to
rely on certain determinations made
during many of the reassessments that
were completed. Therefore, VA believes
an additional three-year transition
period is necessary while VA completes
the remaining reassessments and repeats
certain reassessments that were
completed before the Veteran Warriors
decision.
A. Veteran Warriors, Inc. v. Sec’y of
Veterans Affairs (Veteran Warriors)
In the July 31, 2020 rulemaking, VA
added a ‘‘need for supervision,
protection, or instruction’’ as a basis
upon which VA could determine that a
veteran or servicemember is in need of
personal care services under 38 CFR
71.20(a)(3). VA defined the term, ‘‘need
for supervision, protection, or
instruction,’’ to mean ‘‘an individual
has a functional impairment that
directly impacts the individual’s ability
to maintain his or her personal safety on
a daily basis.’’ 38 CFR 71.15. This term
and its definition were intended to
implement the two criteria in 38 U.S.C.
1720G(a)(2)(C)(ii) and (iii) (that is, ‘‘a
need for supervision or protection based
on symptoms or residuals of
neurological or other impairment or
injury’’ and ‘‘a need for regular or
extensive instruction or supervision
without which the ability of the veteran
to function in daily life would be
seriously impaired’’, respectively). The
term ‘‘need for supervision, protection,
or instruction’’ is also referenced in the
definition of ‘‘unable to self-sustain in
the community’’ in 38 CFR 71.15, which
is applied for purposes of determining
the applicable stipend level in
§ 71.40(c)(4)(i)(A).
In Veteran Warriors, several parts of
the July 31, 2020 rulemaking were
challenged, including VA’s definition of
need for supervision, protection, or
instruction. On March 25, 2022, the U.S.
Court of Appeals for the Federal Circuit
set aside VA’s definition of ‘‘need for
supervision, protection, or instruction’’
because it determined that the
definition was inconsistent with the
statutory language. Veteran Warriors at
1342–43. The court dismissed or denied
the petition for review with respect to
the other regulatory provisions
challenged. Thus, none of the other
PCAFC criteria or requirements in 38
CFR part 71 were impacted by the
court’s decision.
snapshot in time, as of the point when the report
was run. This data is agile due to factors such as
delayed data entry and data corrections, and
therefore this data should be considered an
estimate.
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As a result of the court’s decision,
effective March 25, 2022, VA is required
to apply clauses (ii) and (iii) of 38 U.S.C.
1720G(a)(2)(C) in place of the regulatory
definition at 38 CFR 71.15 when making
determinations under the PCAFC
regulations that became effective on
October 1, 2020. Further, in addition to
cases and claims initiated on or after
March 25, 2022, the judicial
interpretation in Veteran Warriors also
applies to any PCAFC determination
(e.g., claim, case, appeal) ‘‘still open on
direct review’’ before VA as of March
25, 2022, in any future decision that
will be issued as part of that direct
review. See George v. McDonough, 142
S. Ct. 1953, 1962 (2022) (citing the
general rule from Harper v. Virginia
Dept. of Taxation, 509 U.S. 86, 97
(1993) that the new interpretation of a
statute can only retroactively affect
decisions still open on direct review).
In general, new judicial
interpretations apply to cases pending
when the judicial interpretation is
issued, but do not provide a basis to
reopen final decisions. See generally
Jordan v. Nicholson, 401 F.3d 1296,
1298–99 (Fed. Cir. 2005) (citing
Reynoldsville Casket Co. v. Hyde, 514
U.S. 749, 752 (1995) as an example of
the United States Supreme Court
denying an attempt to reopen a final
decision); Disabled Am. Veterans v.
Gober, 234 F.3d 682, 698 (Fed. Cir.
2000) (citing Harper, 509 U.S. at 97
(1993), in stating that ‘‘new
interpretation of a statute can only
retroactively effect decisions still open
on direct review, not those decision[s]
that are final’’); Rivers v. Roadway
Express, 511 U.S. 298, 311–13 (1994)
(discussing retroactive application of
statutes). In general, cases are pending
when no decision containing language
‘‘from which a claimant could deduce
that the claim was adjudicated’’ has
been issued. Ingram v. Nicholson, 21
Vet. App. 232, 243 (2007).
In the context of PCAFC, VA
interprets ‘‘still open on direct review’’
to mean that, as of March 25, 2022, VA
had not issued the last notice of
decision that it intends to issue or
provide the claimant on a PCAFC
determination. This includes decisions
pertaining to joint applications,
reassessments, discharges, revocations,
and stipend changes. Matters ‘‘still open
on direct review’’ also encompass
determinations for which VA had, as of
March 25, 2022, issued advanced notice
of its findings, but not ‘‘final notice’’ as
that term is used in 38 CFR
71.40(c)(4)(ii)(C)(1)(ii) and
(c)(4)(ii)(C)(2)(ii) and 71.45(b)(1)(ii)(A).
Under those provisions, VA provides a
60-day advanced notice period before
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issuing a final notice in the case of a
stipend decrease based on a
reassessment or a discharge based on
the eligible veteran not meeting the
eligibility criteria in § 71.20(a)(1)
through (4). As a result, for those
determinations involving the ‘‘need for
supervision, protection, or instruction’’
definition that were still pending
issuance of a last notice of decision on
March 25, 2022, VA must re-evaluate
such determinations based on the
Veteran Warriors decision, as such
determinations are considered ‘‘still
open on direct review.’’
For the legacy cohort, the 60-day
advanced notice period for stipend
decreases under § 71.40(c)(4)(ii)(C)(2)(ii)
and discharges under § 71.45(b)(1)(i)(A)
(because the eligible veteran does not
meet the requirements of § 71.20) cannot
begin until October 1, 2022, by
regulation, and thus, could not have
been issued before March 25, 2022.
Prior to March 25, 2022, when a
reassessment of a member of the legacy
cohort under § 71.30(e) resulted in a
decision to decrease the stipend or
discharge the individual, VA provided
such preliminary findings to the
individual, with the intent of adopting
those findings in its advanced notice of
findings to be provided on October 1,
2022. However, because final notice of
VA’s decision regarding stipend
decreases or discharges for the legacy
cohort cannot be issued before 60 days
after October 1, 2022, those cases or
claims are ‘‘still open on direct review’’
by VA. Moreover, because VA’s
preliminary findings regarding stipend
decreases and discharges made in the
course of reassessments under § 71.30(e)
for the legacy cohort were based, at least
in part, on VA’s definition for need for
supervision, protection, or instruction
that was invalidated by the decision in
Veteran Warriors, VA can no longer rely
on those preliminary findings.
In contrast, for any PCAFC decision in
which VA had issued a final decision
notice before March 25, 2022, VA is not
required to proactively reopen the
matter and adjudicate the decision again
in accordance with Veteran Warriors.
See Jordan, 401 F.3d at 1298–99;
Disabled Am. Veterans, 234 F.3d at 698;
Rivers, 511 U.S. at 311–13. Such
decisions include those in which
members of the legacy cohort received
notice of a decision that was favorable
before March 25, 2022 (i.e., a
reassessment that resulted in a
determination of continued eligibility
for PCAFC under 38 CFR 71.20(a) with
the same monthly stipend payment or
an increased monthly stipend payment).
Upon making such determinations, VA
provides written notice of the decision.
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When a reassessment results in an
increase in the monthly stipend
payment for a Primary Family Caregiver
of a legacy applicant or legacy
participant, the increase takes effect as
of the date of the reassessment. 38 CFR
71.40(c)(4)(ii)(C)(2)(i). Such
determination is considered final and is
not subject to the 60-day advanced
notice period for stipend decreases
under § 71.40(c)(4)(ii)(C)(2)(ii) and
discharges under § 71.45(b)(1)(i)(A).
Therefore, VA would not repeat
reassessments for the legacy cohort that
resulted in a favorable determination
before March 25, 2022. However, this
would not preclude a claimant from
requesting a review of or appealing a
PCAFC decision issued before March
25, 2022, to the extent authorized by
law.
Prior to the Veteran Warriors decision
on March 25, 2022, VA had completed
approximately 80 percent of the
reassessments for the legacy cohort. As
a result of those reassessments, VA
determined that approximately 12,970
of the legacy participants and legacy
applicants in the legacy cohort that were
reassessed were no longer eligible for
PCAFC, and approximately 360 legacy
participants and legacy applicants that
were reassessed would remain eligible
but their Primary Family Caregiver’s
monthly stipend would be reduced
based on the stipend level criteria in
§ 71.40(c)(4)(i)(A). Each of these
approximately 13,330 individuals was
provided preliminary findings from VA
following their reassessments.
Since VA cannot rely on preliminary
findings regarding stipend decreases
and discharges for the legacy cohort that
were based on VA’s definition for need
for supervision, protection, or
instruction that was invalidated by the
decision in Veteran Warriors, VA must
repeat reassessments for such members
of the legacy cohort who were
reassessed using the definition of need
for supervision, protection, or
instruction (hereinafter referred to as
‘‘repeat reassessments’’). In light of the
short timeframe between the date
Veteran Warriors was decided and
September 30, 2022, VA will not be able
to complete the remaining
reassessments and repeat reassessments
before the transition period for the
legacy cohort is set to end under VA’s
current regulations. In order to maintain
equity and parity within the legacy
cohort, VA believes it is prudent to
extend the eligibility for the entire
legacy cohort until all members of the
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legacy cohort have been reassessed
using the same eligibility criteria.2
B. Duration of Extension
VA believes that a three-year
extension is necessary to complete
remaining reassessments and repeat
reassessments, particularly as the
second phase of PCAFC expansion
begins on October 1, 2022, when VA
anticipates an influx of an unknown
quantity of applications. VA expects the
surge in new applications associated
with the second phase of PCAFC
expansion will impact its ability to
timely complete the remaining
reassessments and repeat reassessments.
The VA MISSION Act of 2018
amended 38 U.S.C. 1720G by expanding
eligibility for PCAFC to Family
Caregivers of eligible veterans who
incurred or aggravated a serious injury
in the line of duty before September 11,
2001, in a two-phase approach. As
described in the First PCAFC Extension
for Legacy Cohort, VA received a
dramatic increase in PCAFC
applications at the onset of the first
phase of expansion. VA anticipates the
second phase of expansion, which takes
effect October 1, 2022, will also result
in a surge in new applications. VA
believes it has adequately prepared for
the influx of applications that will be
received beginning on October 1, 2022,
through staffing enhancements,
streamlining processes, and continuing
to provide Caregiver Support Program
staff with focused trainings. VA
increased the number of approved
Caregiver Support Program positions by
over 350 in fiscal year 2022, bringing
the total number of positions to 2,325.
As of August 30, 2022, 89 percent of all
positions have been filled. VA has
streamlined its approach to the PCAFC
assessment process by eliminating
redundancies in assessments and
evaluations, where possible. Targeted
trainings have been provided to PCAFC
staff focused on the process of
conducting evaluations of PCAFC
eligibility to build consistency and
standardization in decision making, as
well as delivery of PCAFC services.
Trainings have reinforced a holistic
approach in evaluating not only
eligibility for PCAFC but also
identifying opportunities for referrals to
supports and services beyond PCAFC
that are available through VA and
outside VA. Each of these initiatives has
positioned VA to improve the
experience of those already
participating in PCAFC, those who are
2 Changes to 38 CFR part 71 that are required as
a result of Veteran Warriors will be addressed in a
separate rulemaking.
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applying for PCAFC currently, and
individuals who will apply as a result
of second phase of expansion.
While VA has planned and prepared
for a surge in new applications as a
result of this long-awaited second phase
of expansion, similar to the surge in
applications VA received as a result of
the first phase of expansion, VA did so
based on the presumption that all
necessary reassessments of the legacy
cohort would have already been
completed before October 1, 2022. VA
does not know the exact quantity of
applications VA will receive under the
second phase of expansion, but VA
anticipates that completing necessary
reassessments of the legacy cohort while
also adjudicating a surge in PCAFC
applications received on and after
October 1, 2022, will be challenging.
Thus, to mitigate delay in new Family
Caregivers obtaining PCAFC benefits,
VA anticipates focusing our resources
initially on evaluating these new
applications received at the onset of the
second phase of expansion, which will
mean that additional time is needed to
complete necessary reassessments and
repeat reassessments of the legacy
cohort.
This current scenario closely mirrors
the scenario when the first phase of
PCAFC expansion began in 2020. At
that time, VA experienced a surge of
new applications but also had to
conduct reassessments of the legacy
cohort. VA found that two years were
needed (from October 1, 2020, to
September 30, 2022) to complete most
of the legacy cohort reassessments
under 38 CFR 71.30(e), as explained in
the First PCAFC Extension for Legacy
Cohort. See 86 FR 52615.
While VA has planned and prepared
for a surge in new applications starting
October 1, 2022, it needs to extend the
transition period for three additional
years to complete reassessments and
repeat reassessments of the legacy
cohort. While VA acknowledges that it
determined two years were needed
under the previous expansion, VA
believes that three years will be needed
during phase two of expansion to
accommodate unforeseen circumstances
or barriers that could interfere with
VA’s ability to complete reassessments
and repeat reassessments.
For those reasons explained above,
VA is now extending the transition
period for three additional years (until
September 30, 2025) for the legacy
cohort while VA completes the
remaining reassessments and repeat
reassessments. This extension will
ensure that all members of the legacy
cohort have the same transition period
and the same effective date for any
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termination or reduction in benefits,
regardless of whether the reassessment
was completed before or after the
Veteran Warriors decision.
Without this extension, the current
regulations would require VA to
proceed in one of two ways starting
October 1, 2022, both of which would
be harmful to a portion of legacy
applicants, legacy participants, and
their Family Caregivers. First, VA could
carry out the stipend decreases and
discharges based on the determinations
regarding the legacy cohort that were
made before Veteran Warriors using the
‘‘need for supervision, protection, or
instruction’’ regulatory definition.
However, that would be unfair and
inequitable to those legacy participants,
legacy applicants, and their Family
Caregivers because they would not have
the benefit of being reassessed under the
same criteria as those reassessed after
Veterans Warriors (under the statutory
criteria in 38 U.S.C. 1720G(a)(2)(C)(ii)
and (iii)), and the outcome of their
determinations may be different if VA
applied the statutory criteria in section
1720G(a)(2)(C)(ii) and (iii).
In the alternative, VA could set aside
the stipend decreases and discharges
based on the determinations that were
made before Veterans Warriors using
the ‘‘need for supervision, protection, or
instruction’’ regulatory definition, but
proceed in carrying out the stipend
decreases and discharges that were
determined after Veteran Warriors, as
those determinations correctly used the
statutory criteria in section
1720G(a)(2)(C)(ii) and (iii). However,
this too would be unfair and inequitable
to those legacy participants, legacy
applicants, and their Family Caregivers
with determinations made after Veteran
Warriors because it would mean that
they would have a shorter transition
period than those for whom VA initiates
repeat reassessments after October 1,
2022, because their determinations were
made before Veterans Warriors. This is
because the legacy applicants, legacy
participants, and their Family
Caregivers who are reassessed and
found to be no longer eligible for
PCAFC, or eligible but with a reduced
stipend amount, would be impacted at
different times. Some legacy
participants, legacy applicants, and
their Family Caregivers would
experience negative impacts before
others within this same cohort based on
when they are reassessed. The varying
impact would result from no reason
other than that VA reassessed certain
individuals prior to the Veterans
Warriors decision and needed to
conduct a repeat reassessment at a later
date after October 1, 2022, than those
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57605
individuals who were reassessed after
Veterans Warriors under the statutory
criteria in 38 U.S.C. 1720G(a)(2)(C)(ii)
and (iii) before that date.
C. Stipend Payment Provisions
Special Rule for Primary Family
Caregivers Subject to Decrease Because
of Monthly Stipend Rate
The initial one-year transition period
for the legacy cohort was intended to
establish a transition plan for the legacy
cohort who may or may not meet the
new eligibility criteria and whose
Primary Family Caregivers could have
their stipend amount impacted by
changes to the stipend payment
calculation. 85 FR 13356 (March 6,
2020). VA intended for the stipend
amount for Primary Family Caregivers
of legacy participants and legacy
applicants to remain generally
unchanged during the transition period,
unless it is to their benefit, and so long
as the eligible veteran did not relocate.
85 FR 13387. To this end, 38 CFR
71.40(c)(4)(i)(D) permits the Primary
Family Caregiver of an eligible veteran
who meets the requirements of
§ 71.20(b) (i.e., legacy participants) to
receive a monthly stipend that is not
less than the amount the Primary
Family Caregiver was eligible to receive
as of the day before October 1, 2020
(based on the eligible veteran’s address
on record with PCAFC on such date), so
long as the eligible veteran resides at the
same address on record with PCAFC as
of the day before October 1, 2020. VA
believed that this special rule would
provide legacy participants and their
Primary Family Caregivers time to
adjust to the proposed changes in
PCAFC eligibility and the stipend
payment methodology. Id. at 13385.
When VA published the First PCAFC
Extension for Legacy Cohort, VA
continued for an additional year this
special rule, and VA believes it is
necessary to continue this special rule
for an additional three years while VA
completes reassessments and repeat
reassessments for the legacy cohort.
VA believes this is necessary as the
transition period for the legacy cohort is
intertwined with the special rule in
§ 71.40(c)(4)(i)(D). VA never anticipated
that the transition period associated
with the special rule would be any
different than the transition period
authorized in other provisions of part 71
concerning the legacy cohort. VA’s
transition plan was intended to mitigate
potentially negative impact on the
legacy cohort based on changes VA
made to the PCAFC eligibility criteria
and stipend payment methodology. 85
FR 46268, 46270, and 46275. It was
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never VA’s intention to remove the
special rule in § 71.40(c)(4)(i)(D) before
the conclusion of the transition period
for the legacy cohort in other provisions
of part 71 and doing so could cause
hardship to the Primary Family
Caregivers still receiving stipends under
the special rule.
Moreover, CARMA, which is the
workflow management tool used within
the Caregiver Support Program and
which automates the stipend payment
calculation, intricately intertwines the
transition period and the special rule.
The workflow functionality within
CARMA allows a Primary Family
Caregiver to be transitioned off the
special rule only if the legacy
participant relocates to a new address or
if the Primary Family Caregiver is
eligible for a higher monthly stipend
level as a result of a reassessment under
§ 71.30(e)(1) or as a result of Office of
Personnel Management (OPM) updates
to the General Schedule (GS). This
functionality is by design, and
bifurcating this functionality would
require additional development, time,
and resources. In the future, if VA
determines that it is appropriate to
uncouple the special rule from the
transition period associated with the
legacy cohort, VA will do so in a future
rulemaking.
Adjustments to Stipend Payments
When VA established the initial oneyear transition period for the legacy
cohort, § 71.40(c)(4)(ii) was revised to
address adjustments to stipend
payments. 85 FR 46297. Section
71.40(c)(4)(ii)(C)(2) focuses on
adjustments to monthly stipends
pursuant to reassessments conducted by
VA under § 71.30 for eligible veterans
who meet the requirements of § 71.20(b)
or (c) (i.e., legacy participants and
legacy applicants) whose Primary
Family Caregivers received monthly
stipends pursuant to § 71.40(c)(4)(i)(B)
or (D). Section 71.40(c)(4)(ii)(C)(2)(i)
focuses on reassessments that result in
an increase in the monthly stipend, sets
forth the effective date of this increase,
and authorizes retroactive payments
because of this increase. Under
§ 71.40(c)(4)(ii)(C)(2)(i), VA provides
retroactive payments back to October 1,
2020 in recognition that not all legacy
participants and legacy applicants are
reassessed at one time but rather are
reassessed at different points during the
transition period. Retroactive payments
ensure that the Primary Family
Caregivers of all legacy participants and
legacy applicants meeting the
requirements of § 71.20(a) receive the
benefit of any stipend increase as of
October 1, 2020, regardless of when the
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reassessment is completed during the
transition period.
Further, § 71.40(c)(4)(ii)(C)(2)(i) states
that if more than one reassessment is
completed during the two-year period
beginning on October 1, 2020, the
retroactive payment would only apply if
the first reassessment during the twoyear period beginning on October 1,
2020 results in an increase in the
monthly stipend payment, and
retroactive payments only apply as a
result of the first reassessment. VA
believed that any subsequent
reassessment completed after the initial
reassessment of a legacy participant or
legacy applicant would likely be based
on changes in the circumstances of the
legacy participant or legacy applicant,
such that retroactive payments back to
a date before a previous reassessment
would not be warranted. 85 FR 13389.
However, as a result of Veteran
Warriors, VA must initiate repeat
reassessments for purposes unrelated to
the specific circumstances of the legacy
participant or legacy applicant. As
discussed above, the repeat
reassessments are needed because the
definition of need for supervision,
protection, or instruction that was relied
upon by VA during reassessments
completed before Veteran Warriors, was
invalidated by the court’s decision. VA
cannot rely on preliminary findings
regarding stipend decreases and
discharges for the legacy cohort that
were based on VA’s definition of need
for supervision, protection, or
instruction that was invalidated by the
decision in Veteran Warriors. Since this
decision, VA has applied 38 U.S.C.
1720G(a)(2)(C)(ii) and (iii) in place of
this definition when making PCAFC
eligibility and stipend level
determinations.
To maintain equity among members
of the legacy cohort, VA believes that
those who will require a repeat
reassessment as a result of Veteran
Warriors should be eligible to receive a
retroactive payment under 38 CFR
71.40(c)(4)(ii)(C)(2)(i) if the repeat
reassessment results in a stipend
increase. For example, a reassessment of
a legacy participant and their Primary
Family Caregiver could have been
completed in February 2022 applying
the definition of need for supervision,
protection, or instruction, among other
applicable criteria, which resulted in a
determination of continued eligibility
under § 71.20(a), but at a reduced
monthly stipend amount. If a repeat
reassessment is completed in November
2022 applying 38 U.S.C.
1720G(a)(2)(C)(ii) and (iii) in place of
the definition of need for supervision,
protection, or instruction, which results
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in a determination of continued
eligibility, but at the higher monthly
stipend level, which is more than the
monthly stipend amount the Primary
Family Caregiver was receiving before
the repeat reassessment, VA believes the
Primary Family Caregiver should be
eligible for the retroactive increase back
to October 1, 2020, which is presumably
what would have been authorized had
VA applied section 1720G(a)(2)(C)(ii)
and (iii) in place of the definition of
need for supervision, protection, or
instruction during the first
reassessment.
Therefore, VA adds a sentence to the
end of 38 CFR 71.40(c)(4)(ii)(C)(2)(i)
explaining that notwithstanding the
previous sentence (i.e., the last sentence
in the current paragraph), if the first
reassessment during the five-year period
beginning on October 1, 2020 was
completed by VA before March 25,
2022, and such reassessment did not
result in an increase in the monthly
stipend payment, the retroactive
payment described in this paragraph
applies to the first reassessment
initiated by VA on or after March 25,
2022 that applies the criteria in 38
U.S.C. 1720G(a)(2)(C)(ii) and (iii) in
place of the definition of need for
supervision, protection, or instruction
that was invalidated by Veteran
Warriors, if such reassessment results in
an increase in the monthly stipend
payment, and only as a result of such
reassessment.
III. Changes to 38 CFR Part 71
For the reasons explained above, VA
amends its regulations codified in 38
CFR 71.20 regarding program eligibility,
§ 71.30 regarding reassessments, and
§ 71.40 regarding caregiver benefits, to
extend the transition period for legacy
applicants, legacy participants, and
their Family Caregivers from two years
to five years (that is, until October 1,
2025) and to extend the time period for
VA to conduct reassessments of such
individuals from two years to five years
(that is, until October 1, 2025).
VA amends § 71.20 by removing the
words ‘‘two years’’ in § 71.20(b) and (c),
and adding, in their place, the words
‘‘five years’’.
VA amends § 71.30 by removing the
words ‘‘two-year’’ in paragraphs (e)(1)
and (2) and adding, in their place, the
words ‘‘five-year’’.
VA also amends § 71.40 by removing
the words ‘‘two years’’ in paragraphs
(c)(4)(i)(B) through (D) and adding, in
their place, the words ‘‘five years’’. VA
similarly amends paragraph
(c)(4)(ii)(C)(2)(i) by removing the words
‘‘two-year’’ and adding, in their place,
the words ‘‘five-year’’. Additionally, VA
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revises paragraph (c)(4)(ii)(C)(2)(i) by
adding a sentence to the end of the
paragraph explaining that
notwithstanding the previous sentence
(i.e., the last sentence in the current
paragraph), if the first reassessment
during the five-year period beginning on
October 1, 2020 was completed by VA
before March 25, 2022, and such
reassessment did not result in an
increase in the monthly stipend
payment, the retroactive payment
described in this paragraph applies to
the first reassessment initiated by VA on
or after March 25, 2022 that applies the
criteria in section 1720G(a)(2)(C)(ii) and
(iii) in place of the definition of need for
supervision, protection, or instruction
that was invalidated by Veteran
Warriors, if such reassessment results in
an increase in the monthly stipend
payment, and only as a result of such
reassessment. Lastly, VA amends
paragraph (c)(4)(ii)(C)(2)(ii) and the note
to paragraph (c)(4)(ii)(C)(2) by removing
the words ‘‘October 1, 2022’’, and
adding, in their place, the words
‘‘October 1, 2025’’.
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IV. Technical Amendments
The VA MISSION Act of 2018
amended 38 U.S.C. 1720G by expanding
eligibility for PCAFC to Family
Caregivers of eligible veterans who
incurred or aggravated a serious injury
in the line of duty before September 11,
2001, in a two-phase approach. The first
phase expanded PCAFC to eligible
veterans who incurred or aggravated a
serious injury (including traumatic
brain injury, psychological trauma, or
other mental disorder) in the line of
duty on or before May 7, 1975, and
began on the date the Secretary
submitted a certification to Congress
that VA fully implemented a required IT
system required by section 162(a) of the
VA MISSION Act of 2018. 38 U.S.C.
1720G(a)(2)(B)(ii). The second phase
will begin two years after the date the
Secretary submitted such certification to
Congress. Id. at 1720G(a)(2)(B)(iii). As
part of the July 31, 2020 rulemaking, VA
referenced these dates of certification
required by the VA MISSION Act of
2018 in 38 CFR 71.20(a)(2)(ii) and (iii)
and 71.25(a)(3)(ii)(A) and (B) by using
the phrases ‘‘date specified in a future
Federal Register document’’ and ‘‘date
published in a future Federal Register
document’’. 85 FR 46295–96. Section
71.20(a)(2)(ii) and (iii) refer to the time
periods within which the individual’s
serious injury must have been incurred
or aggravated for purposes of the first
and second phases of expansion,
respectively. Section 71.20(a)(3)(ii)(A)
and (B) refer to the dates VA will begin
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approving joint applications pursuant to
§ 71.20(a)(2)(ii) and (iii), respectively.
On October 7, 2020, VA published a
Federal Register Notice (FRN)
announcing that, in accordance with the
requirements of the VA MISSION Act of
2018, the Secretary submitted to
Congress on October 1, 2020, a
certification that VA fully implemented
the IT system required by the Act. 85 FR
63358 (October 7, 2020). This
certification enabled VA to begin the
first phase of the PCAFC expansion on
October 1, 2020, and the second phase
will begin on October 1, 2022. VA is
amending §§ 71.20(a)(2)(ii) and (iii) and
71.25(a)(3)(ii)(A) and (B), to reflect these
dates.
Thus, § 71.20(a)(2)(ii) is amended to
replace ‘‘on the date specified in a
future Federal Register document’’ with
‘‘October 1, 2020’’. Section
71.20(a)(2)(iii) is amended to replace
‘‘two years after the date specified in a
future Federal Register document as
described in paragraph (a)(2)(ii) of this
section’’ with ‘‘October 1, 2022’’.
Section 71.25(a)(3)(ii)(A) is amended to
replace ‘‘the date published in a future
Federal Register document that is
specified in such section’’ and ‘‘the date
published in a future Federal Register
document that is specified in
§ 71.20(a)(2)(ii)’’ with ‘‘October 1,
2020’’. Section 71.25(a)(3)(ii)(B) is
amended to replace ‘‘the date that is two
years after the date published in a future
Federal Register document that is
specified in § 71.20(a)(2)(ii)’’ each time
it appears with ‘‘October 1, 2022’’.
These are non-substantive technical
amendments that will reflect the
publication of the October 7, 2020 FRN
and add clarity to the regulation but will
have no impact on PCAFC eligibility
criteria nor VA’s administration of
PCAFC.
Additionally, in the July 31, 2020
rulemaking, VA redesignated § 71.30,
which pertained to the Program of
General Caregiver Support Services
(PGCSS), as § 71.35. 85 FR 46296. The
definition for general caregiver under
§ 71.15 refers to an individual who
meets the requirements of PGCSS;
however, the cross-reference in the
definition directs readers to § 71.30,
which now pertains to reassessments of
eligible veterans and Family Caregivers.
Accordingly, the definition for general
caregiver is amended to include the
correct cross-reference to § 71.35.
Further, in § 71.40 in the note to
paragraph (c)(4)(ii)(C)(2), VA is
redesignating the note as ‘‘Note 1 to
paragraph (c)(4)(ii)(C)(2)’’. The Office of
Federal Register has directed that even
if there is only one note in a section, it
must still be designated as ‘‘Note 1.’’
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57607
Therefore, we are redesignating the note
accordingly.
Administrative Procedure Act
The Secretary of Veterans Affairs
finds that there is good cause under 5
U.S.C. 553(b)(B) to publish this rule
without prior notice and opportunity for
public comment, as notice and comment
would be impracticable and contrary to
public interest. Generally, VA would
seek notice and comment in advance of
issuing a final rule. However, in this
circumstance, VA does not have
sufficient time to provide the public
with the opportunity for prior notice
and comment and have the amendments
effective by October 1, 2022. To provide
such opportunity would cause harm to
the eligible veterans and Family
Caregivers who greatly benefit from and
rely on PCAFC. As discussed earlier,
due to the Veteran Warriors case, for
those determinations involving the
‘‘need for supervision, protection, or
instruction’’ definition in 38 CFR 71.15
that were still pending issuance of a last
notice of decision on March 25, 2022,
VA must re-evaluate such
determinations based on the Veteran
Warriors decision. VA cannot rely on
preliminary findings regarding stipend
decreases and discharges for the legacy
cohort that were based on VA’s
regulatory definition for need for
supervision, protection, or instruction,
and therefore these reassessments must
be repeated. At the time of the court’s
decision, VA had already completed
approximately 80 percent of
assessments for the legacy cohort.
However, VA will not be able to repeat
reassessments that were completed prior
to the Veteran Warriors decision in
addition to completing remaining
reassessments that have yet to be
completed by October 1, 2022. The time
period is much too short for VA to be
able to repeat and complete all these
reassessments.
Therefore, absent regulatory action, as
mentioned earlier, the current
regulations would require VA to
proceed in one of two ways, both of
which would be harmful to a portion of
legacy applicants, legacy participants,
and their Family Caregivers. First, VA
could carry out the stipend decreases
and discharges based on the
determinations regarding the legacy
cohort that were made before Veteran
Warriors using the ‘‘need for
supervision, protection, or instruction’’
regulatory definition. In the alternative,
VA could set aside the stipend
decreases and discharges based on the
determinations that were made before
Veterans Warriors using the ‘‘need for
supervision, protection, or instruction’’
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regulatory definition, but proceed in
carrying out the stipend decreases and
discharges that were determined after
Veteran Warriors, as those
determinations correctly used the
statutory criteria in section
1720G(a)(2)(C)(ii) and (iii). However, as
explained earlier, neither option would
be fair and equitable to all members of
the legacy cohort.
Therefore, extending the transition
and reassessment period in advance of
October 1, 2022, is necessary to provide
time for VA to repeat reassessments that
were completed prior to the Veterans
Warriors decision (in addition to
complete remaining reassessments) in
order to maintain equity and parity
among the legacy applicants, legacy
participants, and their Family
Caregivers. Otherwise, certain eligible
veterans and Family Caregivers may be
harmed, which would be contrary to
public interest.
Notwithstanding the need to publish
these amendments as an interim final
rule, VA invites public comments on the
amendments and will fully consider and
address any comments received.
For the reasons stated above, the
Secretary also finds good cause under 5
U.S.C. 553(d)(3) to make this interim
final rule effective on the date of its
publication in the Federal Register.
applicants, legacy participants, and
their Family Caregivers and the
transition period for such individuals.
This rule will have no impact on small
entities. Therefore, pursuant to 5 U.S.C.
605(b), the initial and final regulatory
flexibility analysis requirements of 5
U.S.C. 603 and 604 do not apply.
Executive Orders 12866 and 13563
Executive Orders 12866 and 13563
direct agencies to assess the costs and
benefits of available regulatory
alternatives and, when regulation is
necessary, to select regulatory
approaches that maximize net benefits
(including potential economic,
environmental, public health and safety
effects, and other advantages;
distributive impacts; and equity).
Executive Order 13563 (Improving
Regulation and Regulatory Review)
emphasizes the importance of
quantifying both costs and benefits,
reducing costs, harmonizing rules, and
promoting flexibility. The Office of
Information and Regulatory Affairs has
determined that this rule is a significant
regulatory action under Executive Order
12866. The Regulatory Impact Analysis
associated with this rulemaking can be
found as a supporting document at
www.regulations.gov.
Pursuant to Congressional Review
Act) (5 U.S.C. 801 et seq.), the Office of
Information and Regulatory Affairs
designated this rule as not a major rule,
as defined by 5 U.S.C. 804(2).
Regulatory Flexibility Act
The Secretary hereby certifies that
this interim final rule will not have a
significant economic impact on a
substantial number of small entities as
they are defined in the Regulatory
Flexibility Act (5 U.S.C. 601–612). This
interim final rule extends the time for
VA to conduct reassessments of legacy
Consuela Benjamin,
Regulations Development Coordinator, Office
of Regulation Policy & Management, Office
of General Counsel, Department of Veterans
Affairs.
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Unfunded Mandates
The Unfunded Mandates Reform Act
of 1995 requires, at 2 U.S.C. 1532, that
agencies prepare an assessment of
anticipated costs and benefits before
issuing any rule that may result in the
expenditure by State, local, and tribal
governments, in the aggregate, or by the
private sector, of $100 million or more
(adjusted annually for inflation) in any
one year. This interim final rule will
have no such effect on State, local, and
tribal governments, or on the private
sector.
Paperwork Reduction Act
This interim final rule contains no
provisions constituting a collection of
information under the Paperwork
Reduction Act of 1995 (44 U.S.C. 3501–
3521).
Congressional Review Act
List of Subjects in 38 CFR Part 71
Administrative practice and
procedure, Claims, Health care, Health
facilities, Health professions, Mental
health programs, Public assistance
programs, Travel and transportation
expenses, Veterans.
Signing Authority
Denis McDonough, Secretary of
Veterans Affairs, approved this
document on August 19, 2022, and
authorized the undersigned to sign and
submit the document to the Office of the
Federal Register for publication
electronically as an official document of
the Department of Veterans Affairs.
For the reasons stated in the
preamble, the Department of Veterans
Affairs amends 38 CFR part 71 as
follows:
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PART 71—CAREGIVERS BENEFITS
AND CERTAIN MEDICAL BENEFITS
OFFERED TO FAMILY MEMBERS OF
VETERANS
1. The authority citation for part 71
continues to read as follows:
■
Authority: 38 U.S.C. 501, 1720G, unless
otherwise noted.
Section 71.40 also issued under 38 U.S.C.
111(e), 1720B, 1782.
Section 71.47 also issued under 31 U.S.C.
3711; 38 U.S.C. 5302, 5314.
Section 71.50 also issued under 38 U.S.C.
1782.
§ 71.15
[Amended]
2. Amend § 71.15 by, in the definition
of ‘‘General Caregiver’’, removing
‘‘§ 71.30’’ and adding in its place
‘‘§ 71.35’’.
■
§ 71.20
[Amended]
3. Amend § 71.20 by:
a. In paragraph (a)(2)(ii), removing
‘‘on the date specified in a future
Federal Register document’’ and adding
in its place ‘‘October 1, 2020’’.
■ b. In paragraph (a)(2)(iii), removing
‘‘two years after the date specified in a
future Federal Register document as
described in paragraph (a)(2)(ii) of this
section’’ and adding in its place
‘‘October 1, 2022’’.
■ c. In paragraphs (b) and (c), removing
‘‘two years’’ and adding in its place
‘‘five years’’.
■
■
§ 71.25
[Amended]
4. Amend § 71.25 by:
a. In paragraph (a)(3)(ii)(A), removing
‘‘the date published in a future Federal
Register document that is specified in
such section’’ and ‘‘the date published
in a future Federal Register document
that is specified in § 71.20(a)(2)(ii)’’ and
adding in their places ‘‘October 1,
2020’’.
■ b. In paragraph (a)(3)(ii)(B), removing
‘‘the date that is two years after the date
published in a future Federal Register
document that is specified in
§ 71.20(a)(2)(ii)’’ each time it appears
and adding in its place ‘‘October 1,
2022’’.
■
■
§ 71.30
[Amended]
5. Amend § 71.30(e)(1) and (2) by
removing ‘‘two-year’’ and adding in its
place ‘‘five-year’’.
■ 6. Amend § 71.40 by:
■ a. In the introductory text of
paragraph (c)(4)(i)(B), removing ‘‘two
years’’ and adding in its place ‘‘five
years’’.
■ b. In paragraphs (c)(4)(i)(C) and (D),
removing ‘‘two years’’ and adding in its
place ‘‘five years’’.
■ c. In paragraph (c)(4)(ii)(C)(2)(i):
■
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i. Removing ‘‘two-year’’ each time it
appears and adding in its place ‘‘fiveyear’’.
■ ii. Adding a sentence to the end of the
paragraph.
■ d. In paragraph (c)(4)(ii)(C)(2)(ii),
removing ‘‘October 1, 2022’’ each time
it appears and adding in its place
‘‘October 1, 2025’’.
■ e. In the note to paragraph
(c)(4)(ii)(C)(2):
■ i. Redesignating the note as note 1 to
paragraph (c)(4)(ii)(C)(2).
■ ii. Removing ‘‘October 1, 2022’’ each
time it appears and adding in its place
‘‘October 1, 2025’’.
The revision reads as follows:
■
§ 71.40
Caregiver benefits.
*
*
*
*
*
(c) * * *
(4) * * *
(ii) * * *
(C) * * *
(2) * * *
(i) * * * Notwithstanding the
previous sentence, if the first
reassessment during the five-year period
beginning on October 1, 2020 was
completed by VA before March 25,
2022, and such reassessment did not
result in an increase in the monthly
stipend payment, the retroactive
payment described in this paragraph
(c)(4)(ii)(C)(2)(i) applies to the first
reassessment initiated by VA on or after
March 25, 2022 that applies the criteria
in 38 U.S.C. 1720G(a)(2)(C)(ii) and (iii)
in place of the definition of ‘‘need for
supervision, protection, or instruction’’
that was invalidated by Veteran
Warriors, Inc. v. Sec’y of Veterans
Affairs, 29 F.4th 1320, 1342–43 (Fed.
Cir. 2022), if such reassessment results
in an increase in the monthly stipend
payment, and only as a result of such
reassessment.
*
*
*
*
*
[FR Doc. 2022–20271 Filed 9–20–22; 8:45 am]
BILLING CODE 8320–01–P
ENVIRONMENTAL PROTECTION
AGENCY
40 CFR Part 52
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[EPA–R03–OAR–2020–0575; FRL–10205–
02–R3]
Approval and Promulgation of Air
Quality Implementation Plans;
Pennsylvania; Reasonably Available
Control Technology Determinations for
PPG Industries Springdale Plant’s
Case-by-Case Sources Under the 2008
8-Hour Ozone National Ambient Air
Quality Standards
Environmental Protection
Agency (EPA).
AGENCY:
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I. Background
On May 7, 2021, EPA published a
SUMMARY: The Environmental Protection notice of proposed rulemaking (NPRM).
Agency (EPA) is approving a state
86 FR 24564. In the NPRM, EPA
implementation plan (SIP) revision
proposed approval of case-by-case
submitted by the Commonwealth of
RACT determinations for sources at ten
Pennsylvania. This revision was
facilities in Allegheny County, as EPA
submitted by the Pennsylvania
found that that the RACT controls for
Department of Environmental Protection these sources met the CAA RACT
(PADEP), on behalf of the Allegheny
requirements for the 2008 8-hour ozone
County Health Department (ACHD), to
NAAQS. On October 21, 2021, EPA
establish and require reasonably
approved case-by-case RACT
available control technology (RACT) for determinations for sources at nine of
these major NOX and VOC emitting
sources at PPG Industries Springdale
facilities in Allegheny County and noted
Plant (PPG Springdale), a major source
that EPA was not taking final action on
of volatile organic compounds (VOC),
PPG Springdale at that time. 86 FR
pursuant to the Commonwealth of
58220. This rule takes final action on
Pennsylvania’s conditionally approved
RACT regulations. In this action, EPA is the case-by-case RACT determination
for sources at the one remaining facility
approving source-specific RACT
included in the May 7, 2021 NPRM,
determinations (case-by-case or CbC)
PPG Springdale. PADEP, on behalf of
submitted by PADEP for certain VOC
ACHD, initially submitted the revisions
sources at PPG Springdale, a facility in
to its SIP to address case-by-case VOC
Allegheny County. This RACT
evaluation was submitted to meet RACT RACT sources at PPG Springdale on
May 7, 2020.
requirements for the 2008 8-hour ozone
As more fully explained in the NPRM,
national ambient air quality standard
under certain circumstances, states are
(NAAQS). EPA is approving this
required to submit SIP revisions to
revision to the Pennsylvania SIP in
accordance with the requirements of the address RACT requirements for both
major sources of nitrogen oxides (NOX)
Clean Air Act (CAA) and EPA’s
and
VOC and any source covered by
implementing regulations.
control technique guidelines (CTG) for
DATES: This final rule is effective on
each ozone NAAQS. Which NOX and
October 21, 2022.
VOC sources in Pennsylvania are
considered ‘‘major,’’ and are therefore
ADDRESSES: EPA has established a
subject to RACT, is dependent on the
docket for this action under Docket ID
location of each source within the
Number EPA–R03–OAR–2020–0575. All
Commonwealth. NOX sources in
documents in the docket are listed on
Pennsylvania located in any ozone
the www.regulations.gov website.
attainment areas or in any
Although listed in the index, some
nonattainment areas designated
information is not publicly available,
moderate or below are subject to a major
e.g., confidential business information
source threshold of 100 tons per year
(CBI) or other information whose
(tpy) because of the Ozone Transport
disclosure is restricted by statute.
Region (OTR) requirements in CAA
Certain other material, such as
section 182(f)(1). See definition of
copyrighted material, is not placed on
‘‘Major NOX emitting facility’’ at 25 Pa.
the internet and will be publicly
Code 121.1 and 40 CFR 52.2020(c)(1).
available only in hard copy form.
Similarly, VOC sources located in any
Publicly available docket materials are
ozone attainment areas or in any
available through www.regulations.gov,
nonattainment areas designated serious
or please contact the person identified
or below are subject to a source
in the FOR FURTHER INFORMATION
threshold of 50 tpy because of the OTR
CONTACT section for additional
requirements in CAA section 184(b)(2).
availability information.
See definition of ‘‘Major VOC emitting
facility’’ at 25 Pa. Code 121.1 and 40
FOR FURTHER INFORMATION CONTACT: Mr.
CFR 52.2020(c)(1).
Riley Burger, Permits Branch (3AD10),
On May 16, 2016, PADEP submitted
Air and Radiation Division, U.S.
a SIP revision addressing RACT for both
Environmental Protection Agency,
Region III, Four Penn Center, 1600 John the 1997 and 2008 8-hour ozone
NAAQS in Pennsylvania. PADEP’s May
F. Kennedy Boulevard, Philadelphia,
16, 2016 SIP revision intended to
Pennsylvania 19103. The telephone
address certain outstanding non-CTG
number is (215) 814–2217. Mr. Burger
VOC RACT, VOC CTG RACT, and major
can also be reached via electronic mail
source VOC and NOX RACT
at burger.riley@epa.gov.
requirements for both standards. The
SIP revision requested approval of
SUPPLEMENTARY INFORMATION:
ACTION:
PO 00000
Final rule.
Frm 00039
Fmt 4700
Sfmt 4700
E:\FR\FM\21SER1.SGM
21SER1
Agencies
[Federal Register Volume 87, Number 182 (Wednesday, September 21, 2022)]
[Rules and Regulations]
[Pages 57602-57609]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2022-20271]
=======================================================================
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DEPARTMENT OF VETERANS AFFAIRS
38 CFR Part 71
RIN 2900-AR28
Extension of Program of Comprehensive Assistance for Family
Caregivers Eligibility for Legacy Participants and Legacy Applicants
AGENCY: Department of Veterans Affairs.
ACTION: Interim final rule.
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SUMMARY: The Department of Veterans Affairs (VA) is amending its
regulations that govern VA's Program of Comprehensive Assistance for
Family Caregivers (PCAFC) by extending eligibility for legacy
participants, legacy applicants and their Family Caregivers, and the
applicable benefits afforded to such Family Caregivers, to include the
monthly stipend, by three years. VA is also making non-substantive
technical amendments to the regulations.
DATES:
Effective date: This interim final rule is effective September 21,
2022.
Comment date: Comments must be received on or before November 21,
2022.
ADDRESSES: Comments must be submitted through www.Regulations.gov.
Comments received will be available at regulations.gov for public
viewing, inspection or copies.
FOR FURTHER INFORMATION CONTACT: Colleen Richardson, PsyD, Executive
Director, Caregiver Support Program, Patient Care Services, Veterans
Health Administration, Department of Veterans Affairs, 810 Vermont Ave.
NW, Washington, DC 20420, (202) 461-7337. (This is not a toll-free
telephone number.)
SUPPLEMENTARY INFORMATION:
I. Background
In 2010, section 1720G of title 38 of the United States Code
(U.S.C.) was codified when it was enacted as part of the Caregivers and
Veterans Omnibus Health Services Act of 2010. Public Law (Pub. L.) 111-
163, 124 Stat. 1130 (2010). As originally enacted, section 1720G
required VA, in part, to establish a Program of Comprehensive
Assistance for Family Caregivers (PCAFC) for Family Caregivers of
eligible veterans who have a serious injury incurred or aggravated in
the line of duty in the active military, naval, or air service on or
after September 11, 2001. VA implemented PCAFC through its regulations
in part 71 of title 38, Code of Federal Regulations (CFR). PCAFC
provides certain benefits such as training, respite care, counseling,
technical support, beneficiary travel (to attend required caregiver
training and for an eligible veteran's medical appointments), access to
health care (if qualified) through the Civilian Health and Medical
Program of the Department of Veterans Affairs (CHAMPVA), and a monthly
stipend. 38 U.S.C. 1720G; 38 CFR 71.25(d), 71.40.
In 2018, section 161 of the John S. McCain III, Daniel K. Akaka,
and Samuel R. Johnson VA Maintaining Internal Systems and Strengthening
Integrated Outside Networks Act of 2018 (VA MISSION Act of 2018),
Public Law 115-182, 132 Stat. 1393 (2018), amended 38 U.S.C. 1720G by
expanding PCAFC to Family Caregivers of eligible veterans who incurred
or aggravated a serious injury in the line of duty before September 11,
2001, in a phased approach, establishing new benefits for designated
Primary Family Caregivers of eligible veterans, and making other
changes affecting program eligibility and VA's evaluation of PCAFC
applications. To incorporate these and other necessary changes to
improve and expand VA's PCAFC, VA amended 38 CFR part 71. 85 Federal
Register (FR) 46226 (July 31, 2020). These changes took effect on
October 1, 2020. Id. As part of that rulemaking, VA revised the
eligibility criteria for PCAFC in Sec. 71.20, identified a legacy
cohort (i.e., legacy applicants, legacy participants, and their Family
Caregivers, as those terms are defined in Sec. 71.15) who were
approved for PCAFC under the previous eligibility criteria, and created
a one-year transition period whereby the legacy cohort would continue
to remain eligible for PCAFC while VA reassessed whether the legacy
cohort would continue to be eligible for PCAFC under the new
eligibility criteria.
When VA established the initial one-year transition period for the
legacy cohort, VA intended to establish a transition plan for legacy
participants and legacy applicants who may or may not meet the new
eligibility criteria and whose Primary Family Caregivers could have
their stipend amount impacted by changes to the stipend payment
calculation. 85 FR 13356 (March 6, 2020). The one-year period was
intended to provide a reasonable amount of time for VA to conduct
reassessments, minimize disruption to those individuals, including
disruptions that would result from the changes to the stipend payment
calculation, and provide a fair and reasonable time for transition. 85
FR 46253. VA intended that all legacy applicants, legacy participants,
and their Family Caregivers would have the same transition period,
regardless of when the reassessment was completed during the one-year
transition period. Id. This transition period was intended to ensure
equitable treatment for all legacy applicants, legacy participants, and
their Family Caregivers. Id.
On September 22, 2021, VA published an interim final rule (First
PCAFC Extension for Legacy Cohort) which amended 38 CFR part 71, by
extending the one-year transition period and timeline for VA to conduct
all necessary reassessments of the legacy cohort for one additional
year (that is, until September 30, 2022). 86 FR 52614 (September 22,
2021). A targeted discussion explaining why VA created the legacy
cohort and the initial one-year transition period is more fully
described in the First PCAFC Extension for Legacy Cohort, and that
description is adopted by reference into this preamble. See id. at
52615.
On March 25, 2022, the U.S. Court of Appeals for the Federal
Circuit issued a decision that set aside certain PCAFC criteria that VA
established as part of the July 31, 2020 rulemaking. Veteran Warriors,
Inc. v. Sec'y of Veterans Affairs, 29 F.4th 1320 (Fed. Cir. 2022). The
court's decision applies to cases and claims initiated on or after the
date of the decision, as well as any PCAFC
[[Page 57603]]
determination still open on direct review before VA as of that date.
Matters still open on direct review include determinations concerning
stipend decreases or discharges for the legacy cohort made in the
course of reassessments completed before March 25, 2022. As a result,
VA must repeat certain reassessments of the legacy cohort to account
for the court's interpretation, as explained in more detail below.
For the reasons explained in the subsequent discussion below, VA is
extending the transition period and timeline for VA to complete
reassessments of the legacy cohort by three additional years (that is,
until September 30, 2025). Accordingly, VA is amending 38 CFR 71.20(b)
and (c) regarding program eligibility; Sec. 71.30(e) regarding
reassessments; and Sec. 71.40(c)(4)(i)(B) through (D),
(c)(4)(ii)(C)(2)(i) and (ii), and the note to (c)(4)(ii)(C)(2)
regarding the stipend methodology, to account for the additional three-
year period through September 30, 2025.
Additionally, VA is making technical amendments to correct the
citation in the definition of ``General Caregiver'' in Sec. 71.15; and
in Sec. Sec. 71.20(a)(2)(ii) and (iii) and 71.25(a)(3)(ii)(A) and (B),
VA is making technical amendments to reflect the date VA submitted to
Congress a certification that VA fully implemented the information
technology (IT) system required by section 162 of the VA MISSION Act of
2018 (i.e., October 1, 2020) and the date that is two years after the
Secretary submitted such certification to Congress (i.e., October 1,
2022).
II. Extension of Transition Period for Legacy Cohort
VA published the First PCAFC Extension for Legacy Cohort because VA
was unable to conduct all reassessments of the legacy cohort within the
one-year period provided in the July 31, 2020 rulemaking. 86 FR 52616.
Since the First PCAFC Extension for Legacy Cohort was published, VA has
made significant progress in completing reassessments of the legacy
cohort. As stated in the First PCAFC Extension for the Legacy Cohort,
as of July 1, 2021, VA had only completed four percent of the estimated
19,800 reassessments needed for the legacy cohort. Id. As of August 3,
2022, VA has completed approximately 95 percent of the reassessments
needed for the legacy cohort; \1\ however, as discussed below, the
outcome of the Veteran Warriors decision has impacted VA's ability to
rely on certain determinations made during many of the reassessments
that were completed. Therefore, VA believes an additional three-year
transition period is necessary while VA completes the remaining
reassessments and repeats certain reassessments that were completed
before the Veteran Warriors decision.
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\1\ Reassessment data provided in this rulemaking come from the
Caregiver Record Management Application (CARMA) system. CARMA
provides a snapshot in time, as of the point when the report was
run. This data is agile due to factors such as delayed data entry
and data corrections, and therefore this data should be considered
an estimate.
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A. Veteran Warriors, Inc. v. Sec'y of Veterans Affairs (Veteran
Warriors)
In the July 31, 2020 rulemaking, VA added a ``need for supervision,
protection, or instruction'' as a basis upon which VA could determine
that a veteran or servicemember is in need of personal care services
under 38 CFR 71.20(a)(3). VA defined the term, ``need for supervision,
protection, or instruction,'' to mean ``an individual has a functional
impairment that directly impacts the individual's ability to maintain
his or her personal safety on a daily basis.'' 38 CFR 71.15. This term
and its definition were intended to implement the two criteria in 38
U.S.C. 1720G(a)(2)(C)(ii) and (iii) (that is, ``a need for supervision
or protection based on symptoms or residuals of neurological or other
impairment or injury'' and ``a need for regular or extensive
instruction or supervision without which the ability of the veteran to
function in daily life would be seriously impaired'', respectively).
The term ``need for supervision, protection, or instruction'' is also
referenced in the definition of ``unable to self-sustain in the
community'' in 38 CFR 71.15, which is applied for purposes of
determining the applicable stipend level in Sec. 71.40(c)(4)(i)(A).
In Veteran Warriors, several parts of the July 31, 2020 rulemaking
were challenged, including VA's definition of need for supervision,
protection, or instruction. On March 25, 2022, the U.S. Court of
Appeals for the Federal Circuit set aside VA's definition of ``need for
supervision, protection, or instruction'' because it determined that
the definition was inconsistent with the statutory language. Veteran
Warriors at 1342-43. The court dismissed or denied the petition for
review with respect to the other regulatory provisions challenged.
Thus, none of the other PCAFC criteria or requirements in 38 CFR part
71 were impacted by the court's decision.
As a result of the court's decision, effective March 25, 2022, VA
is required to apply clauses (ii) and (iii) of 38 U.S.C. 1720G(a)(2)(C)
in place of the regulatory definition at 38 CFR 71.15 when making
determinations under the PCAFC regulations that became effective on
October 1, 2020. Further, in addition to cases and claims initiated on
or after March 25, 2022, the judicial interpretation in Veteran
Warriors also applies to any PCAFC determination (e.g., claim, case,
appeal) ``still open on direct review'' before VA as of March 25, 2022,
in any future decision that will be issued as part of that direct
review. See George v. McDonough, 142 S. Ct. 1953, 1962 (2022) (citing
the general rule from Harper v. Virginia Dept. of Taxation, 509 U.S.
86, 97 (1993) that the new interpretation of a statute can only
retroactively affect decisions still open on direct review).
In general, new judicial interpretations apply to cases pending
when the judicial interpretation is issued, but do not provide a basis
to reopen final decisions. See generally Jordan v. Nicholson, 401 F.3d
1296, 1298-99 (Fed. Cir. 2005) (citing Reynoldsville Casket Co. v.
Hyde, 514 U.S. 749, 752 (1995) as an example of the United States
Supreme Court denying an attempt to reopen a final decision); Disabled
Am. Veterans v. Gober, 234 F.3d 682, 698 (Fed. Cir. 2000) (citing
Harper, 509 U.S. at 97 (1993), in stating that ``new interpretation of
a statute can only retroactively effect decisions still open on direct
review, not those decision[s] that are final''); Rivers v. Roadway
Express, 511 U.S. 298, 311-13 (1994) (discussing retroactive
application of statutes). In general, cases are pending when no
decision containing language ``from which a claimant could deduce that
the claim was adjudicated'' has been issued. Ingram v. Nicholson, 21
Vet. App. 232, 243 (2007).
In the context of PCAFC, VA interprets ``still open on direct
review'' to mean that, as of March 25, 2022, VA had not issued the last
notice of decision that it intends to issue or provide the claimant on
a PCAFC determination. This includes decisions pertaining to joint
applications, reassessments, discharges, revocations, and stipend
changes. Matters ``still open on direct review'' also encompass
determinations for which VA had, as of March 25, 2022, issued advanced
notice of its findings, but not ``final notice'' as that term is used
in 38 CFR 71.40(c)(4)(ii)(C)(1)(ii) and (c)(4)(ii)(C)(2)(ii) and
71.45(b)(1)(ii)(A). Under those provisions, VA provides a 60-day
advanced notice period before
[[Page 57604]]
issuing a final notice in the case of a stipend decrease based on a
reassessment or a discharge based on the eligible veteran not meeting
the eligibility criteria in Sec. 71.20(a)(1) through (4). As a result,
for those determinations involving the ``need for supervision,
protection, or instruction'' definition that were still pending
issuance of a last notice of decision on March 25, 2022, VA must re-
evaluate such determinations based on the Veteran Warriors decision, as
such determinations are considered ``still open on direct review.''
For the legacy cohort, the 60-day advanced notice period for
stipend decreases under Sec. 71.40(c)(4)(ii)(C)(2)(ii) and discharges
under Sec. 71.45(b)(1)(i)(A) (because the eligible veteran does not
meet the requirements of Sec. 71.20) cannot begin until October 1,
2022, by regulation, and thus, could not have been issued before March
25, 2022. Prior to March 25, 2022, when a reassessment of a member of
the legacy cohort under Sec. 71.30(e) resulted in a decision to
decrease the stipend or discharge the individual, VA provided such
preliminary findings to the individual, with the intent of adopting
those findings in its advanced notice of findings to be provided on
October 1, 2022. However, because final notice of VA's decision
regarding stipend decreases or discharges for the legacy cohort cannot
be issued before 60 days after October 1, 2022, those cases or claims
are ``still open on direct review'' by VA. Moreover, because VA's
preliminary findings regarding stipend decreases and discharges made in
the course of reassessments under Sec. 71.30(e) for the legacy cohort
were based, at least in part, on VA's definition for need for
supervision, protection, or instruction that was invalidated by the
decision in Veteran Warriors, VA can no longer rely on those
preliminary findings.
In contrast, for any PCAFC decision in which VA had issued a final
decision notice before March 25, 2022, VA is not required to
proactively reopen the matter and adjudicate the decision again in
accordance with Veteran Warriors. See Jordan, 401 F.3d at 1298-99;
Disabled Am. Veterans, 234 F.3d at 698; Rivers, 511 U.S. at 311-13.
Such decisions include those in which members of the legacy cohort
received notice of a decision that was favorable before March 25, 2022
(i.e., a reassessment that resulted in a determination of continued
eligibility for PCAFC under 38 CFR 71.20(a) with the same monthly
stipend payment or an increased monthly stipend payment). Upon making
such determinations, VA provides written notice of the decision. When a
reassessment results in an increase in the monthly stipend payment for
a Primary Family Caregiver of a legacy applicant or legacy participant,
the increase takes effect as of the date of the reassessment. 38 CFR
71.40(c)(4)(ii)(C)(2)(i). Such determination is considered final and is
not subject to the 60-day advanced notice period for stipend decreases
under Sec. 71.40(c)(4)(ii)(C)(2)(ii) and discharges under Sec.
71.45(b)(1)(i)(A). Therefore, VA would not repeat reassessments for the
legacy cohort that resulted in a favorable determination before March
25, 2022. However, this would not preclude a claimant from requesting a
review of or appealing a PCAFC decision issued before March 25, 2022,
to the extent authorized by law.
Prior to the Veteran Warriors decision on March 25, 2022, VA had
completed approximately 80 percent of the reassessments for the legacy
cohort. As a result of those reassessments, VA determined that
approximately 12,970 of the legacy participants and legacy applicants
in the legacy cohort that were reassessed were no longer eligible for
PCAFC, and approximately 360 legacy participants and legacy applicants
that were reassessed would remain eligible but their Primary Family
Caregiver's monthly stipend would be reduced based on the stipend level
criteria in Sec. 71.40(c)(4)(i)(A). Each of these approximately 13,330
individuals was provided preliminary findings from VA following their
reassessments.
Since VA cannot rely on preliminary findings regarding stipend
decreases and discharges for the legacy cohort that were based on VA's
definition for need for supervision, protection, or instruction that
was invalidated by the decision in Veteran Warriors, VA must repeat
reassessments for such members of the legacy cohort who were reassessed
using the definition of need for supervision, protection, or
instruction (hereinafter referred to as ``repeat reassessments''). In
light of the short timeframe between the date Veteran Warriors was
decided and September 30, 2022, VA will not be able to complete the
remaining reassessments and repeat reassessments before the transition
period for the legacy cohort is set to end under VA's current
regulations. In order to maintain equity and parity within the legacy
cohort, VA believes it is prudent to extend the eligibility for the
entire legacy cohort until all members of the legacy cohort have been
reassessed using the same eligibility criteria.\2\
---------------------------------------------------------------------------
\2\ Changes to 38 CFR part 71 that are required as a result of
Veteran Warriors will be addressed in a separate rulemaking.
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B. Duration of Extension
VA believes that a three-year extension is necessary to complete
remaining reassessments and repeat reassessments, particularly as the
second phase of PCAFC expansion begins on October 1, 2022, when VA
anticipates an influx of an unknown quantity of applications. VA
expects the surge in new applications associated with the second phase
of PCAFC expansion will impact its ability to timely complete the
remaining reassessments and repeat reassessments.
The VA MISSION Act of 2018 amended 38 U.S.C. 1720G by expanding
eligibility for PCAFC to Family Caregivers of eligible veterans who
incurred or aggravated a serious injury in the line of duty before
September 11, 2001, in a two-phase approach. As described in the First
PCAFC Extension for Legacy Cohort, VA received a dramatic increase in
PCAFC applications at the onset of the first phase of expansion. VA
anticipates the second phase of expansion, which takes effect October
1, 2022, will also result in a surge in new applications. VA believes
it has adequately prepared for the influx of applications that will be
received beginning on October 1, 2022, through staffing enhancements,
streamlining processes, and continuing to provide Caregiver Support
Program staff with focused trainings. VA increased the number of
approved Caregiver Support Program positions by over 350 in fiscal year
2022, bringing the total number of positions to 2,325. As of August 30,
2022, 89 percent of all positions have been filled. VA has streamlined
its approach to the PCAFC assessment process by eliminating
redundancies in assessments and evaluations, where possible. Targeted
trainings have been provided to PCAFC staff focused on the process of
conducting evaluations of PCAFC eligibility to build consistency and
standardization in decision making, as well as delivery of PCAFC
services. Trainings have reinforced a holistic approach in evaluating
not only eligibility for PCAFC but also identifying opportunities for
referrals to supports and services beyond PCAFC that are available
through VA and outside VA. Each of these initiatives has positioned VA
to improve the experience of those already participating in PCAFC,
those who are
[[Page 57605]]
applying for PCAFC currently, and individuals who will apply as a
result of second phase of expansion.
While VA has planned and prepared for a surge in new applications
as a result of this long-awaited second phase of expansion, similar to
the surge in applications VA received as a result of the first phase of
expansion, VA did so based on the presumption that all necessary
reassessments of the legacy cohort would have already been completed
before October 1, 2022. VA does not know the exact quantity of
applications VA will receive under the second phase of expansion, but
VA anticipates that completing necessary reassessments of the legacy
cohort while also adjudicating a surge in PCAFC applications received
on and after October 1, 2022, will be challenging. Thus, to mitigate
delay in new Family Caregivers obtaining PCAFC benefits, VA anticipates
focusing our resources initially on evaluating these new applications
received at the onset of the second phase of expansion, which will mean
that additional time is needed to complete necessary reassessments and
repeat reassessments of the legacy cohort.
This current scenario closely mirrors the scenario when the first
phase of PCAFC expansion began in 2020. At that time, VA experienced a
surge of new applications but also had to conduct reassessments of the
legacy cohort. VA found that two years were needed (from October 1,
2020, to September 30, 2022) to complete most of the legacy cohort
reassessments under 38 CFR 71.30(e), as explained in the First PCAFC
Extension for Legacy Cohort. See 86 FR 52615.
While VA has planned and prepared for a surge in new applications
starting October 1, 2022, it needs to extend the transition period for
three additional years to complete reassessments and repeat
reassessments of the legacy cohort. While VA acknowledges that it
determined two years were needed under the previous expansion, VA
believes that three years will be needed during phase two of expansion
to accommodate unforeseen circumstances or barriers that could
interfere with VA's ability to complete reassessments and repeat
reassessments.
For those reasons explained above, VA is now extending the
transition period for three additional years (until September 30, 2025)
for the legacy cohort while VA completes the remaining reassessments
and repeat reassessments. This extension will ensure that all members
of the legacy cohort have the same transition period and the same
effective date for any termination or reduction in benefits, regardless
of whether the reassessment was completed before or after the Veteran
Warriors decision.
Without this extension, the current regulations would require VA to
proceed in one of two ways starting October 1, 2022, both of which
would be harmful to a portion of legacy applicants, legacy
participants, and their Family Caregivers. First, VA could carry out
the stipend decreases and discharges based on the determinations
regarding the legacy cohort that were made before Veteran Warriors
using the ``need for supervision, protection, or instruction''
regulatory definition. However, that would be unfair and inequitable to
those legacy participants, legacy applicants, and their Family
Caregivers because they would not have the benefit of being reassessed
under the same criteria as those reassessed after Veterans Warriors
(under the statutory criteria in 38 U.S.C. 1720G(a)(2)(C)(ii) and
(iii)), and the outcome of their determinations may be different if VA
applied the statutory criteria in section 1720G(a)(2)(C)(ii) and (iii).
In the alternative, VA could set aside the stipend decreases and
discharges based on the determinations that were made before Veterans
Warriors using the ``need for supervision, protection, or instruction''
regulatory definition, but proceed in carrying out the stipend
decreases and discharges that were determined after Veteran Warriors,
as those determinations correctly used the statutory criteria in
section 1720G(a)(2)(C)(ii) and (iii). However, this too would be unfair
and inequitable to those legacy participants, legacy applicants, and
their Family Caregivers with determinations made after Veteran Warriors
because it would mean that they would have a shorter transition period
than those for whom VA initiates repeat reassessments after October 1,
2022, because their determinations were made before Veterans Warriors.
This is because the legacy applicants, legacy participants, and their
Family Caregivers who are reassessed and found to be no longer eligible
for PCAFC, or eligible but with a reduced stipend amount, would be
impacted at different times. Some legacy participants, legacy
applicants, and their Family Caregivers would experience negative
impacts before others within this same cohort based on when they are
reassessed. The varying impact would result from no reason other than
that VA reassessed certain individuals prior to the Veterans Warriors
decision and needed to conduct a repeat reassessment at a later date
after October 1, 2022, than those individuals who were reassessed after
Veterans Warriors under the statutory criteria in 38 U.S.C.
1720G(a)(2)(C)(ii) and (iii) before that date.
C. Stipend Payment Provisions
Special Rule for Primary Family Caregivers Subject to Decrease Because
of Monthly Stipend Rate
The initial one-year transition period for the legacy cohort was
intended to establish a transition plan for the legacy cohort who may
or may not meet the new eligibility criteria and whose Primary Family
Caregivers could have their stipend amount impacted by changes to the
stipend payment calculation. 85 FR 13356 (March 6, 2020). VA intended
for the stipend amount for Primary Family Caregivers of legacy
participants and legacy applicants to remain generally unchanged during
the transition period, unless it is to their benefit, and so long as
the eligible veteran did not relocate. 85 FR 13387. To this end, 38 CFR
71.40(c)(4)(i)(D) permits the Primary Family Caregiver of an eligible
veteran who meets the requirements of Sec. 71.20(b) (i.e., legacy
participants) to receive a monthly stipend that is not less than the
amount the Primary Family Caregiver was eligible to receive as of the
day before October 1, 2020 (based on the eligible veteran's address on
record with PCAFC on such date), so long as the eligible veteran
resides at the same address on record with PCAFC as of the day before
October 1, 2020. VA believed that this special rule would provide
legacy participants and their Primary Family Caregivers time to adjust
to the proposed changes in PCAFC eligibility and the stipend payment
methodology. Id. at 13385. When VA published the First PCAFC Extension
for Legacy Cohort, VA continued for an additional year this special
rule, and VA believes it is necessary to continue this special rule for
an additional three years while VA completes reassessments and repeat
reassessments for the legacy cohort.
VA believes this is necessary as the transition period for the
legacy cohort is intertwined with the special rule in Sec.
71.40(c)(4)(i)(D). VA never anticipated that the transition period
associated with the special rule would be any different than the
transition period authorized in other provisions of part 71 concerning
the legacy cohort. VA's transition plan was intended to mitigate
potentially negative impact on the legacy cohort based on changes VA
made to the PCAFC eligibility criteria and stipend payment methodology.
85 FR 46268, 46270, and 46275. It was
[[Page 57606]]
never VA's intention to remove the special rule in Sec.
71.40(c)(4)(i)(D) before the conclusion of the transition period for
the legacy cohort in other provisions of part 71 and doing so could
cause hardship to the Primary Family Caregivers still receiving
stipends under the special rule.
Moreover, CARMA, which is the workflow management tool used within
the Caregiver Support Program and which automates the stipend payment
calculation, intricately intertwines the transition period and the
special rule. The workflow functionality within CARMA allows a Primary
Family Caregiver to be transitioned off the special rule only if the
legacy participant relocates to a new address or if the Primary Family
Caregiver is eligible for a higher monthly stipend level as a result of
a reassessment under Sec. 71.30(e)(1) or as a result of Office of
Personnel Management (OPM) updates to the General Schedule (GS). This
functionality is by design, and bifurcating this functionality would
require additional development, time, and resources. In the future, if
VA determines that it is appropriate to uncouple the special rule from
the transition period associated with the legacy cohort, VA will do so
in a future rulemaking.
Adjustments to Stipend Payments
When VA established the initial one-year transition period for the
legacy cohort, Sec. 71.40(c)(4)(ii) was revised to address adjustments
to stipend payments. 85 FR 46297. Section 71.40(c)(4)(ii)(C)(2) focuses
on adjustments to monthly stipends pursuant to reassessments conducted
by VA under Sec. 71.30 for eligible veterans who meet the requirements
of Sec. 71.20(b) or (c) (i.e., legacy participants and legacy
applicants) whose Primary Family Caregivers received monthly stipends
pursuant to Sec. 71.40(c)(4)(i)(B) or (D). Section
71.40(c)(4)(ii)(C)(2)(i) focuses on reassessments that result in an
increase in the monthly stipend, sets forth the effective date of this
increase, and authorizes retroactive payments because of this increase.
Under Sec. 71.40(c)(4)(ii)(C)(2)(i), VA provides retroactive payments
back to October 1, 2020 in recognition that not all legacy participants
and legacy applicants are reassessed at one time but rather are
reassessed at different points during the transition period.
Retroactive payments ensure that the Primary Family Caregivers of all
legacy participants and legacy applicants meeting the requirements of
Sec. 71.20(a) receive the benefit of any stipend increase as of
October 1, 2020, regardless of when the reassessment is completed
during the transition period.
Further, Sec. 71.40(c)(4)(ii)(C)(2)(i) states that if more than
one reassessment is completed during the two-year period beginning on
October 1, 2020, the retroactive payment would only apply if the first
reassessment during the two-year period beginning on October 1, 2020
results in an increase in the monthly stipend payment, and retroactive
payments only apply as a result of the first reassessment. VA believed
that any subsequent reassessment completed after the initial
reassessment of a legacy participant or legacy applicant would likely
be based on changes in the circumstances of the legacy participant or
legacy applicant, such that retroactive payments back to a date before
a previous reassessment would not be warranted. 85 FR 13389.
However, as a result of Veteran Warriors, VA must initiate repeat
reassessments for purposes unrelated to the specific circumstances of
the legacy participant or legacy applicant. As discussed above, the
repeat reassessments are needed because the definition of need for
supervision, protection, or instruction that was relied upon by VA
during reassessments completed before Veteran Warriors, was invalidated
by the court's decision. VA cannot rely on preliminary findings
regarding stipend decreases and discharges for the legacy cohort that
were based on VA's definition of need for supervision, protection, or
instruction that was invalidated by the decision in Veteran Warriors.
Since this decision, VA has applied 38 U.S.C. 1720G(a)(2)(C)(ii) and
(iii) in place of this definition when making PCAFC eligibility and
stipend level determinations.
To maintain equity among members of the legacy cohort, VA believes
that those who will require a repeat reassessment as a result of
Veteran Warriors should be eligible to receive a retroactive payment
under 38 CFR 71.40(c)(4)(ii)(C)(2)(i) if the repeat reassessment
results in a stipend increase. For example, a reassessment of a legacy
participant and their Primary Family Caregiver could have been
completed in February 2022 applying the definition of need for
supervision, protection, or instruction, among other applicable
criteria, which resulted in a determination of continued eligibility
under Sec. 71.20(a), but at a reduced monthly stipend amount. If a
repeat reassessment is completed in November 2022 applying 38 U.S.C.
1720G(a)(2)(C)(ii) and (iii) in place of the definition of need for
supervision, protection, or instruction, which results in a
determination of continued eligibility, but at the higher monthly
stipend level, which is more than the monthly stipend amount the
Primary Family Caregiver was receiving before the repeat reassessment,
VA believes the Primary Family Caregiver should be eligible for the
retroactive increase back to October 1, 2020, which is presumably what
would have been authorized had VA applied section 1720G(a)(2)(C)(ii)
and (iii) in place of the definition of need for supervision,
protection, or instruction during the first reassessment.
Therefore, VA adds a sentence to the end of 38 CFR
71.40(c)(4)(ii)(C)(2)(i) explaining that notwithstanding the previous
sentence (i.e., the last sentence in the current paragraph), if the
first reassessment during the five-year period beginning on October 1,
2020 was completed by VA before March 25, 2022, and such reassessment
did not result in an increase in the monthly stipend payment, the
retroactive payment described in this paragraph applies to the first
reassessment initiated by VA on or after March 25, 2022 that applies
the criteria in 38 U.S.C. 1720G(a)(2)(C)(ii) and (iii) in place of the
definition of need for supervision, protection, or instruction that was
invalidated by Veteran Warriors, if such reassessment results in an
increase in the monthly stipend payment, and only as a result of such
reassessment.
III. Changes to 38 CFR Part 71
For the reasons explained above, VA amends its regulations codified
in 38 CFR 71.20 regarding program eligibility, Sec. 71.30 regarding
reassessments, and Sec. 71.40 regarding caregiver benefits, to extend
the transition period for legacy applicants, legacy participants, and
their Family Caregivers from two years to five years (that is, until
October 1, 2025) and to extend the time period for VA to conduct
reassessments of such individuals from two years to five years (that
is, until October 1, 2025).
VA amends Sec. 71.20 by removing the words ``two years'' in Sec.
71.20(b) and (c), and adding, in their place, the words ``five years''.
VA amends Sec. 71.30 by removing the words ``two-year'' in
paragraphs (e)(1) and (2) and adding, in their place, the words ``five-
year''.
VA also amends Sec. 71.40 by removing the words ``two years'' in
paragraphs (c)(4)(i)(B) through (D) and adding, in their place, the
words ``five years''. VA similarly amends paragraph (c)(4)(ii)(C)(2)(i)
by removing the words ``two-year'' and adding, in their place, the
words ``five-year''. Additionally, VA
[[Page 57607]]
revises paragraph (c)(4)(ii)(C)(2)(i) by adding a sentence to the end
of the paragraph explaining that notwithstanding the previous sentence
(i.e., the last sentence in the current paragraph), if the first
reassessment during the five-year period beginning on October 1, 2020
was completed by VA before March 25, 2022, and such reassessment did
not result in an increase in the monthly stipend payment, the
retroactive payment described in this paragraph applies to the first
reassessment initiated by VA on or after March 25, 2022 that applies
the criteria in section 1720G(a)(2)(C)(ii) and (iii) in place of the
definition of need for supervision, protection, or instruction that was
invalidated by Veteran Warriors, if such reassessment results in an
increase in the monthly stipend payment, and only as a result of such
reassessment. Lastly, VA amends paragraph (c)(4)(ii)(C)(2)(ii) and the
note to paragraph (c)(4)(ii)(C)(2) by removing the words ``October 1,
2022'', and adding, in their place, the words ``October 1, 2025''.
IV. Technical Amendments
The VA MISSION Act of 2018 amended 38 U.S.C. 1720G by expanding
eligibility for PCAFC to Family Caregivers of eligible veterans who
incurred or aggravated a serious injury in the line of duty before
September 11, 2001, in a two-phase approach. The first phase expanded
PCAFC to eligible veterans who incurred or aggravated a serious injury
(including traumatic brain injury, psychological trauma, or other
mental disorder) in the line of duty on or before May 7, 1975, and
began on the date the Secretary submitted a certification to Congress
that VA fully implemented a required IT system required by section
162(a) of the VA MISSION Act of 2018. 38 U.S.C. 1720G(a)(2)(B)(ii). The
second phase will begin two years after the date the Secretary
submitted such certification to Congress. Id. at 1720G(a)(2)(B)(iii).
As part of the July 31, 2020 rulemaking, VA referenced these dates of
certification required by the VA MISSION Act of 2018 in 38 CFR
71.20(a)(2)(ii) and (iii) and 71.25(a)(3)(ii)(A) and (B) by using the
phrases ``date specified in a future Federal Register document'' and
``date published in a future Federal Register document''. 85 FR 46295-
96. Section 71.20(a)(2)(ii) and (iii) refer to the time periods within
which the individual's serious injury must have been incurred or
aggravated for purposes of the first and second phases of expansion,
respectively. Section 71.20(a)(3)(ii)(A) and (B) refer to the dates VA
will begin approving joint applications pursuant to Sec.
71.20(a)(2)(ii) and (iii), respectively.
On October 7, 2020, VA published a Federal Register Notice (FRN)
announcing that, in accordance with the requirements of the VA MISSION
Act of 2018, the Secretary submitted to Congress on October 1, 2020, a
certification that VA fully implemented the IT system required by the
Act. 85 FR 63358 (October 7, 2020). This certification enabled VA to
begin the first phase of the PCAFC expansion on October 1, 2020, and
the second phase will begin on October 1, 2022. VA is amending
Sec. Sec. 71.20(a)(2)(ii) and (iii) and 71.25(a)(3)(ii)(A) and (B), to
reflect these dates.
Thus, Sec. 71.20(a)(2)(ii) is amended to replace ``on the date
specified in a future Federal Register document'' with ``October 1,
2020''. Section 71.20(a)(2)(iii) is amended to replace ``two years
after the date specified in a future Federal Register document as
described in paragraph (a)(2)(ii) of this section'' with ``October 1,
2022''. Section 71.25(a)(3)(ii)(A) is amended to replace ``the date
published in a future Federal Register document that is specified in
such section'' and ``the date published in a future Federal Register
document that is specified in Sec. 71.20(a)(2)(ii)'' with ``October 1,
2020''. Section 71.25(a)(3)(ii)(B) is amended to replace ``the date
that is two years after the date published in a future Federal Register
document that is specified in Sec. 71.20(a)(2)(ii)'' each time it
appears with ``October 1, 2022''.
These are non-substantive technical amendments that will reflect
the publication of the October 7, 2020 FRN and add clarity to the
regulation but will have no impact on PCAFC eligibility criteria nor
VA's administration of PCAFC.
Additionally, in the July 31, 2020 rulemaking, VA redesignated
Sec. 71.30, which pertained to the Program of General Caregiver
Support Services (PGCSS), as Sec. 71.35. 85 FR 46296. The definition
for general caregiver under Sec. 71.15 refers to an individual who
meets the requirements of PGCSS; however, the cross-reference in the
definition directs readers to Sec. 71.30, which now pertains to
reassessments of eligible veterans and Family Caregivers. Accordingly,
the definition for general caregiver is amended to include the correct
cross-reference to Sec. 71.35.
Further, in Sec. 71.40 in the note to paragraph (c)(4)(ii)(C)(2),
VA is redesignating the note as ``Note 1 to paragraph
(c)(4)(ii)(C)(2)''. The Office of Federal Register has directed that
even if there is only one note in a section, it must still be
designated as ``Note 1.'' Therefore, we are redesignating the note
accordingly.
Administrative Procedure Act
The Secretary of Veterans Affairs finds that there is good cause
under 5 U.S.C. 553(b)(B) to publish this rule without prior notice and
opportunity for public comment, as notice and comment would be
impracticable and contrary to public interest. Generally, VA would seek
notice and comment in advance of issuing a final rule. However, in this
circumstance, VA does not have sufficient time to provide the public
with the opportunity for prior notice and comment and have the
amendments effective by October 1, 2022. To provide such opportunity
would cause harm to the eligible veterans and Family Caregivers who
greatly benefit from and rely on PCAFC. As discussed earlier, due to
the Veteran Warriors case, for those determinations involving the
``need for supervision, protection, or instruction'' definition in 38
CFR 71.15 that were still pending issuance of a last notice of decision
on March 25, 2022, VA must re-evaluate such determinations based on the
Veteran Warriors decision. VA cannot rely on preliminary findings
regarding stipend decreases and discharges for the legacy cohort that
were based on VA's regulatory definition for need for supervision,
protection, or instruction, and therefore these reassessments must be
repeated. At the time of the court's decision, VA had already completed
approximately 80 percent of assessments for the legacy cohort. However,
VA will not be able to repeat reassessments that were completed prior
to the Veteran Warriors decision in addition to completing remaining
reassessments that have yet to be completed by October 1, 2022. The
time period is much too short for VA to be able to repeat and complete
all these reassessments.
Therefore, absent regulatory action, as mentioned earlier, the
current regulations would require VA to proceed in one of two ways,
both of which would be harmful to a portion of legacy applicants,
legacy participants, and their Family Caregivers. First, VA could carry
out the stipend decreases and discharges based on the determinations
regarding the legacy cohort that were made before Veteran Warriors
using the ``need for supervision, protection, or instruction''
regulatory definition. In the alternative, VA could set aside the
stipend decreases and discharges based on the determinations that were
made before Veterans Warriors using the ``need for supervision,
protection, or instruction''
[[Page 57608]]
regulatory definition, but proceed in carrying out the stipend
decreases and discharges that were determined after Veteran Warriors,
as those determinations correctly used the statutory criteria in
section 1720G(a)(2)(C)(ii) and (iii). However, as explained earlier,
neither option would be fair and equitable to all members of the legacy
cohort.
Therefore, extending the transition and reassessment period in
advance of October 1, 2022, is necessary to provide time for VA to
repeat reassessments that were completed prior to the Veterans Warriors
decision (in addition to complete remaining reassessments) in order to
maintain equity and parity among the legacy applicants, legacy
participants, and their Family Caregivers. Otherwise, certain eligible
veterans and Family Caregivers may be harmed, which would be contrary
to public interest.
Notwithstanding the need to publish these amendments as an interim
final rule, VA invites public comments on the amendments and will fully
consider and address any comments received.
For the reasons stated above, the Secretary also finds good cause
under 5 U.S.C. 553(d)(3) to make this interim final rule effective on
the date of its publication in the Federal Register.
Executive Orders 12866 and 13563
Executive Orders 12866 and 13563 direct agencies to assess the
costs and benefits of available regulatory alternatives and, when
regulation is necessary, to select regulatory approaches that maximize
net benefits (including potential economic, environmental, public
health and safety effects, and other advantages; distributive impacts;
and equity). Executive Order 13563 (Improving Regulation and Regulatory
Review) emphasizes the importance of quantifying both costs and
benefits, reducing costs, harmonizing rules, and promoting flexibility.
The Office of Information and Regulatory Affairs has determined that
this rule is a significant regulatory action under Executive Order
12866. The Regulatory Impact Analysis associated with this rulemaking
can be found as a supporting document at www.regulations.gov.
Regulatory Flexibility Act
The Secretary hereby certifies that this interim final rule will
not have a significant economic impact on a substantial number of small
entities as they are defined in the Regulatory Flexibility Act (5
U.S.C. 601-612). This interim final rule extends the time for VA to
conduct reassessments of legacy applicants, legacy participants, and
their Family Caregivers and the transition period for such individuals.
This rule will have no impact on small entities. Therefore, pursuant to
5 U.S.C. 605(b), the initial and final regulatory flexibility analysis
requirements of 5 U.S.C. 603 and 604 do not apply.
Unfunded Mandates
The Unfunded Mandates Reform Act of 1995 requires, at 2 U.S.C.
1532, that agencies prepare an assessment of anticipated costs and
benefits before issuing any rule that may result in the expenditure by
State, local, and tribal governments, in the aggregate, or by the
private sector, of $100 million or more (adjusted annually for
inflation) in any one year. This interim final rule will have no such
effect on State, local, and tribal governments, or on the private
sector.
Paperwork Reduction Act
This interim final rule contains no provisions constituting a
collection of information under the Paperwork Reduction Act of 1995 (44
U.S.C. 3501-3521).
Congressional Review Act
Pursuant to Congressional Review Act) (5 U.S.C. 801 et seq.), the
Office of Information and Regulatory Affairs designated this rule as
not a major rule, as defined by 5 U.S.C. 804(2).
List of Subjects in 38 CFR Part 71
Administrative practice and procedure, Claims, Health care, Health
facilities, Health professions, Mental health programs, Public
assistance programs, Travel and transportation expenses, Veterans.
Signing Authority
Denis McDonough, Secretary of Veterans Affairs, approved this
document on August 19, 2022, and authorized the undersigned to sign and
submit the document to the Office of the Federal Register for
publication electronically as an official document of the Department of
Veterans Affairs.
Consuela Benjamin,
Regulations Development Coordinator, Office of Regulation Policy &
Management, Office of General Counsel, Department of Veterans Affairs.
For the reasons stated in the preamble, the Department of Veterans
Affairs amends 38 CFR part 71 as follows:
PART 71--CAREGIVERS BENEFITS AND CERTAIN MEDICAL BENEFITS OFFERED
TO FAMILY MEMBERS OF VETERANS
0
1. The authority citation for part 71 continues to read as follows:
Authority: 38 U.S.C. 501, 1720G, unless otherwise noted.
Section 71.40 also issued under 38 U.S.C. 111(e), 1720B, 1782.
Section 71.47 also issued under 31 U.S.C. 3711; 38 U.S.C. 5302,
5314.
Section 71.50 also issued under 38 U.S.C. 1782.
Sec. 71.15 [Amended]
0
2. Amend Sec. 71.15 by, in the definition of ``General Caregiver'',
removing ``Sec. 71.30'' and adding in its place ``Sec. 71.35''.
Sec. 71.20 [Amended]
0
3. Amend Sec. 71.20 by:
0
a. In paragraph (a)(2)(ii), removing ``on the date specified in a
future Federal Register document'' and adding in its place ``October 1,
2020''.
0
b. In paragraph (a)(2)(iii), removing ``two years after the date
specified in a future Federal Register document as described in
paragraph (a)(2)(ii) of this section'' and adding in its place
``October 1, 2022''.
0
c. In paragraphs (b) and (c), removing ``two years'' and adding in its
place ``five years''.
Sec. 71.25 [Amended]
0
4. Amend Sec. 71.25 by:
0
a. In paragraph (a)(3)(ii)(A), removing ``the date published in a
future Federal Register document that is specified in such section''
and ``the date published in a future Federal Register document that is
specified in Sec. 71.20(a)(2)(ii)'' and adding in their places
``October 1, 2020''.
0
b. In paragraph (a)(3)(ii)(B), removing ``the date that is two years
after the date published in a future Federal Register document that is
specified in Sec. 71.20(a)(2)(ii)'' each time it appears and adding in
its place ``October 1, 2022''.
Sec. 71.30 [Amended]
0
5. Amend Sec. 71.30(e)(1) and (2) by removing ``two-year'' and adding
in its place ``five-year''.
0
6. Amend Sec. 71.40 by:
0
a. In the introductory text of paragraph (c)(4)(i)(B), removing ``two
years'' and adding in its place ``five years''.
0
b. In paragraphs (c)(4)(i)(C) and (D), removing ``two years'' and
adding in its place ``five years''.
0
c. In paragraph (c)(4)(ii)(C)(2)(i):
[[Page 57609]]
0
i. Removing ``two-year'' each time it appears and adding in its place
``five-year''.
0
ii. Adding a sentence to the end of the paragraph.
0
d. In paragraph (c)(4)(ii)(C)(2)(ii), removing ``October 1, 2022'' each
time it appears and adding in its place ``October 1, 2025''.
0
e. In the note to paragraph (c)(4)(ii)(C)(2):
0
i. Redesignating the note as note 1 to paragraph (c)(4)(ii)(C)(2).
0
ii. Removing ``October 1, 2022'' each time it appears and adding in its
place ``October 1, 2025''.
The revision reads as follows:
Sec. 71.40 Caregiver benefits.
* * * * *
(c) * * *
(4) * * *
(ii) * * *
(C) * * *
(2) * * *
(i) * * * Notwithstanding the previous sentence, if the first
reassessment during the five-year period beginning on October 1, 2020
was completed by VA before March 25, 2022, and such reassessment did
not result in an increase in the monthly stipend payment, the
retroactive payment described in this paragraph (c)(4)(ii)(C)(2)(i)
applies to the first reassessment initiated by VA on or after March 25,
2022 that applies the criteria in 38 U.S.C. 1720G(a)(2)(C)(ii) and
(iii) in place of the definition of ``need for supervision, protection,
or instruction'' that was invalidated by Veteran Warriors, Inc. v.
Sec'y of Veterans Affairs, 29 F.4th 1320, 1342-43 (Fed. Cir. 2022), if
such reassessment results in an increase in the monthly stipend
payment, and only as a result of such reassessment.
* * * * *
[FR Doc. 2022-20271 Filed 9-20-22; 8:45 am]
BILLING CODE 8320-01-P