Veterans Millennium Health Care and Benefits Act

Veterans' Millennium Health Care and Benefits Act - Title I: Access to Care - Subtitle A: Long-Term Care - Directs the Secretary of Veterans Affairs (Secretary), through December 31, 2003, to provide nursing home care to any veteran in need of such care: (1) for a service-connected disability; or (2) who has a service-connected disability rated at 70 percent or more. Prohibits a veteran receiving such care from being transferred from the providing facility without the consent of the veteran or his or her representative. Includes noninstitutional extended care services within the definition of "medical services" authorized to be provided to eligible veterans through the above date. Directs the Secretary to operate and maintain a program to provide the following extended care services to eligible veterans: (1) geriatric evaluation; (2) nursing home care, either in facilities of the Department of Veterans Affairs or in community-based facilities; (3) domiciliary services; (4) adult day health care; (5) noninstitutional alternatives to nursing home care; and (6) respite care. Prohibits the Secretary from furnishing such services for a non-service-connected disability unless the veteran agrees to make a copayment for services of more than 21 days in a year. Requires the Secretary to establish a methodology for establishing the copayment amount. Establishes in the Treasury the Department of Veterans Affairs Extended Care Fund for deposits and disbursements to cover such care. Authorizes the Secretary to furnish adult day health care to veterans enrolled in the Department's annual patient enrollment system who would otherwise require nursing home care. Authorizes the Secretary to furnish respite care services through contract arrangements. Requires the Secretary to report to the congressional veterans' committees on the operation of this section. (Sec. 102) Directs the Secretary to carry out three pilot programs to determine the effectiveness of different models of all-inclusive care-delivery in reducing the use of hospital and nursing home care by frail, elderly veterans. Requires the Secretary, under one pilot program, to provide services to eligible veterans: (1) directly through Department facilities and personnel; (2) through a combination of services provided under contract with appropriate public and private entities and those provided through Department facilities and personnel; and (3) through a combination of services provided through cooperative arrangements with appropriate public and private entities and services provided through Department facilities and personnel. Terminates each pilot program three years after its commencement. Requires a report from the Secretary to the veterans' committees. (Sec. 103) Authorizes the Secretary to carry out a pilot program to determine the feasibility and practicability of enabling eligible veterans to secure needed assisted living services as an alternative to nursing home care. Requires such program to be carried out at a designated Department health care region selected by the Secretary. Authorizes the Secretary, under such program, to enter into contractual arrangements for the provision of up to six months of assisted living services for eligible veterans. Requires a program report from the Secretary to the veterans' committees. Terminates such program three years after its commencement. Subtitle B: Other Access-to-Care Matters - Authorizes the Secretary to reimburse for the reasonable value of emergency treatment furnished in a non-Department facility those veterans who are active Department health-care participants (enrolled in the annual patient enrollment system and recipients of Department hospital, nursing home, or domiciliary care under such system within the last 24-month period) and who are personally liable for such treatment. Provides reimbursement limitations. Provides an independent right of recovery for the United States when a third party subsequently makes a payment for the same treatment. Requires the veteran to notify the Secretary of any third party payment. Authorizes the Secretary to waive recovery of such payment in the best interests of the United States. Requires the Secretary to include in FY 2002 and 2003 budget justification materials a report on the implementation of the reimbursement program. (Sec. 112) Requires the Secretary to furnish hospital and medical services, and authorizes the Secretary to furnish nursing home care, to any veteran awarded a Purple Heart. (Sec. 113) Directs the Secretary of Defense to enter into an agreement with the Secretary for reimbursement to the Secretary for medical care provided by the Department to military retirees eligible for care under the TRICARE Program (a Department of Defense managed health care program). Provides agreement conditions and limitations. Requires such agreement to be entered into within nine months after enactment of this Act. Directs the Secretary of Defense to include in each future TRICARE contract provisions to implement such agreement. (Sec. 114) Removes certain restrictions on the authorized use of Department facilities to treat military personnel for an alcohol or drug dependence or abuse disability. (Sec. 115) Revises a program providing counseling and treatment for veterans who have experienced sexual trauma to: (1) extend such program through calendar year 2004; (2) require (currently authorizes) the Secretary to provide such care and services to those in need; and (3) ensure that information about such care and services is revised and updated and made available through appropriate means (requiring a report from the Secretary to the veterans' committees on implementation of such outreach efforts). Requires the Secretary to: (1) study, and report to the veterans' committees on, the possibility of extending eligibility for such care and services to former reserve personnel; and (2) report to such committees on implementation of the sexual trauma program. Requires the Secretary and the Secretary of Defense to jointly report to the appropriate congressional committees describing the efforts of their respective departments to ensure that military personnel, upon separation, are provided appropriate and current information about such counseling and treatment programs, including eligibility requirements and application procedures. (Sec. 116) Directs the Secretary to carry out a program to enhance the provision of specialized mental health services to veterans, including programs relating to the treatment of post-traumatic stress disorder and substance abuse disorders. Requires: (1) a minimum of $15 million to be allocated for such program; and (2) a report from the Secretary to the veterans' committees on program implementation. Title II: Medical Program Administration - Authorizes the Secretary, with respect to required copayments by veterans for medication furnished by the Department on an outpatient basis for the treatment of a nonservice-connected disability or condition, to: (1) increase the amount of such copayment (currently $2 for each 30-day supply of medication); and (2) establish maximum monthly and annual copayments for veterans who have multiple outpatient prescriptions. (Sec. 202) Establishes in the Treasury the Department of Veterans Affairs Health Services Improvement Fund for the deposit and disbursement of funds used for improving various health services to veterans, including services under this Act. (Sec. 203) Allows amounts from the Department of Veterans Affairs Medical Care Collections Fund to be distributed to each Department medical facility (currently, each designated health care region). (Sec. 204) Revises provisions establishing nonprofit research corporations at Department medical centers to: (1) authorize such corporations to provide education and training to Veterans Health Administration (VHA) health-care personnel; (2) include additional personnel on its board of directors; and (3) prohibit such corporations from expending funds for an education activity unless it is approved under procedures prescribed by the Department's Under Secretary for Health. (Sec. 205) Extends through calendar year 2003 the veterans' readjustment counseling program. Amends the Persian Gulf War Veterans' Benefits Act to extend through such year: (1) a newsletter concerning medical care furnished to Persian Gulf War veterans; and (2) a program for evaluating the health of spouses and children of such veterans. (Sec. 206) Amends the Veterans' Health Care Act of 1984 to extend certain required reports concerning the provision of care to veterans suffering from post-traumatic stress disorder. (Sec. 207) Directs the Secretary to prescribe for each State the number of nursing home and domiciliary beds for which assistance under veterans' domiciliary, nursing home, and hospital care may be authorized. Requires such number to be based on the projected demand for such care ten years after enactment of this Act by veterans who are 65 years old or older. Directs the Secretary, with respect to State applications for the construction or acquisition of new nursing facilities or the replacement or increase of beds at a current facility, to characterize the need of such facility as great, significant, or limited and to grant applications accordingly. Allows financial assistance only for renovation projects for which total construction costs are in excess of $400,000. Outlines State application requirements for such projects or assistance. (Sec. 208) Adds as a required condition to the authority of the Secretary to enter into an enhanced-use lease (the leasing of Department property not currently used by the Department) the Secretary's determination that the business plan proposed by the Under Secretary for Health for applying lease payments to the provision of medical care and services demonstrably improves services to eligible veterans in the geographic service-delivery area within which the leased property is located. Increases to 75 years the maximum authorized term for such leases. Requires funds received under such a lease and remaining after expense deductions to be deposited in the Department of Veterans Affairs Health Services Improvement Fund and used for authorized purposes. Extends through December 31, 2011, the authority to enter into such leases. Directs the Secretary to: (1) provide appropriate training and outreach to personnel of Department medical facilities regarding enhanced-use lease authority; and (2) secure an independent analysis of Department opportunities for using such lease authority. (Sec. 209) Makes ineligible for employment as a VHA health-care professional an individual who was licensed, registered, or certified to practice in more than one State when any of those States has since terminated such license, registration, or certification. (Sec. 210) Directs the Secretaries of Veterans Affairs and Defense to report jointly to the veterans' and defense committees on cooperation between their respective departments in the procurement of pharmaceuticals and medical supplies. (Sec. 211) Directs the Secretary, during the one-year period beginning on the date of enactment of this Act, to use the fee-for-service payment schedule for the reimbursement of medical expenses of veterans in Alaska rather than the Participating Physician Fee Schedule under the Medicare program. Requires a joint report from the Secretaries of Veterans Affairs and Health and Human Services to the veterans' committees on the use of the latter program to calculate such reimbursement rates. Title III: Miscellaneous Medical Provisions - Prohibits the Secretary from closing in any fiscal year more than 50 percent of the beds within a Department medical center unless the Secretary first submits to the veterans' committees a justification for such closure. Prohibits any such closure until 21 days after submission of the report. Requires the Secretary to report annually to such committees on bed closures during the preceding fiscal year. (Sec. 302) Revises provisions concerning the Veterans Canteen Service to remove a provision limiting such services to the sales of merchandise and services for consumption and use on the premises. (Sec. 303) Requires the Department's Under Secretary for Health to establish a VHA policy regarding the role of chiropractic treatment in the care of veterans. (Sec. 304) Designates the hospital bed replacement facility under construction at the Ioannis A. Lougaris Department of Veterans Affairs Medical Center in Reno, Nevada, as the Jack Streeter Building. Title IV: Construction and Facilities Matters - Authorizes the Secretary to: (1) carry out major medical facility projects in Lebanon, Pennsylvania; Fargo, North Dakota; Kansas City, Missouri; Atlanta, Georgia; Leavenworth, Kansas; and Orlando, Florida; and (2) enter into leases for medical facilities at Lubbock, Texas, and San Diego, California. (Sec. 403) Authorizes appropriations for FY 2000 and 2001 for the Construction, Major Projects, account and the Medical Care account. Title V: Benefits and Employment Matters - Subtitle A: Compensation and DIC - John William Rolen Act - Authorizes the payment of dependency and indemnity compensation (DIC) for the surviving spouse of a former prisoner of war whose disability was continuously rated as totally disabling for the one-year period immediately preceding death. (Sec. 502) States that the remarriage of the surviving spouse of a veteran shall not bar the furnishing of the following benefits to such person if the remarriage has been terminated by death or divorce, unless the Secretary determines that the divorce was secured through fraud or collusion: (1) DIC; (2) medical care for survivors and dependents of certain veterans; (3) educational assistance; and (4) housing loans. (Sec. 503) Includes bronchiolo-alveolar carcinoma within the list of diseases presumed to be service-connected, in the case of exposure to ionizing radiation, and therefore compensable for purposes of veterans' disability compensation and medical care. Subtitle B: Employment - Amends Federal employment law to provide for the competitive and appointment status of preference eligible veterans. Title VI: Memorial Affairs Matters - Subtitle A: American Battle Monuments Commission - Directs the American Battle Monuments Commission to solicit and accept contributions for establishing the World War II memorial in the District of Columbia or its environs (authorized under prior law). Establishes in the Treasury a fund to hold and expend such contributions. Authorizes the Commission to: (1) borrow up to $65 million from the Treasury to ensure that memorial groundbreaking, construction, and dedication are completed on a timely basis; and (2) accept voluntary services in furtherance of fund-raising activities (authorizing reimbursement of volunteer incidental expenses). Extends until December 31, 2005 (currently, May 25, 2000) the authority to construct the memorial. (Sec. 602) Revises current Commission authority to receive State, local, and private amounts for establishing the memorial to: (1) authorize the Commission to solicit (currently, only receive) such contributions; and (2) require the deposit of such amounts in a separate Treasury account. Requires the Commission to establish written guidelines for the acceptance of funds and in-kind contributions. (Sec. 603) Authorizes the Commission to adopt, obtain, use, register, and license trademarks, copyrights, and patents in connection with intellectual property and related items. Subtitle B: National Cemeteries - Directs the Secretary to establish a national cemetery in each of the six areas of the United States determined to be in most need of such a cemetery to serve the needs of veterans and their families. Obligates FY 2000 funds for such projects. Requires reports from the Secretary to Congress on the establishment of such cemeteries. (Sec. 612) Authorizes the Secretary to provide for flat grave markers at the Santa Fe National Cemetery, New Mexico. (Sec. 613) Directs the Secretary to contract with one or more qualified organizations to conduct an independent study of national cemeteries, including repairs needed and additional cemeteries required. Requires a report from the organization to the Secretary, and from the Secretary to the veterans' committees. Subtitle C: Burial Benefits - Directs the Secretary to contract with one or more qualified organizations to conduct a study for improvements to veterans' burial benefits. Requires a report from the organization to the Secretary, and from the Secretary to the veterans' committees. Title VII: Education and Housing Matters - Subtitle A: Education Matters - Amends Federal veterans' educational assistance benefits provisions to authorize the use of such benefits for preparatory courses for tests for admission to colleges and graduate schools. (Sec. 702) Continues eligibility for basic educational assistance benefits under the Montgomery GI Bill for individuals who are discharged from enlisted or warrant officer service for immediate reenlistment to accept, without a break in service, a commission as an officer for a period of active duty. (Sec. 703) Directs the Secretary to report to the veterans' committees on veterans' education and vocational training benefits provided by the States. Subtitle B: Housing Matters - Extends through September 30, 2007 (currently September 30, 2003) the eligibility of certain former members of the Selected Reserve for veterans' housing loans. Title VIII: Department of Veterans Affairs Administrative Matters - Directs the Secretary to carry out a quality assurance program in the Veterans Benefits Administration of the Department, either through a single division or separate quality assurance entities. Requires: (1) the Under Secretary for Benefits to perform and oversee quality reviews of the Administration's organizational elements; (2) an adequate number of quality assurance personnel within the Administration; and (3) an annual report from the Secretary to Congress on quality assurance activities. (Sec. 802) Extends through December 31, 2003: (1) the authority to maintain a regional office in the Republic of the Philippines; and (2) the Advisory Committee on Minority Veterans. Title IX: Homeless Veterans Programs - Directs the Secretary to conduct, directly or by grant or contract, programs to expedite the reintegration of homeless veterans into the labor force. Authorizes the Secretary to monitor the expenditure of funds under such programs. Authorizes appropriations for FY 2000 through 2003. (Sec. 902) Extends through December 31, 2003, a program for furnishing housing assistance for homeless veterans. (Sec. 903) Amends the Homeless Veterans Comprehensive Service Programs Act of 1992 to: (1) extend through FY 2003 the authority to make grants for housing assistance for homeless veterans; and (2) authorize appropriations for such grants for FY 2000 and 2001. (Sec. 904) Directs the Secretary to report to the veterans' committees a detailed plan for evaluating the effectiveness of programs to assist homeless veterans. Title X: United States Court of Appeals for Veterans Claims - Court of Appeals for Veterans Claims Amendments of 1999 - Subtitle A: Transitional Provisions to Stagger Terms of Judges - Allows one eligible judge of the Court of Appeals for Veterans Claims (Court) to retire in 2000 or 2001, and one additional judge to retire in 2001. Provides early retirement requirements. Requires the judge to: (1) notify the President and the Court's chief judge of the intent to retire; and (2) retire during the calendar year in which notification is provided, but not earlier than 30 days following such notification. Makes recall-eligible retired judges and judges who were removed from such eligibility due to disability eligible for annual adjustments in judges' retired pay as provided by law. Requires a judge retiring early to continue to serve until a successor is appointed or the date on which the judge's original appointment would have expired, whichever is earlier. Allows a judge, during such transitional service, to continue to accrue retirement credit. Requires such judges to receive a combination of salary and retirement benefits equal to the pay of other judges. (Sec. 1012) Makes the term of office of the first two judges appointed to the Court after the enactment of this Act 13 years. Makes such judges eligible for retirement after such 13-year (currently 15-year) period. Subtitle B: Other Matters Relating to Retired Judges - Authorizes a retired Court judge to be recalled for further service if such judge, at the time of retirement, provided written notice of such judge's availability for further service. Allows the Court chief judge to recall such a judge if substantial service is expected to be performed for the recall period. Prohibits a recalled judge from serving for more than 90 days in a calendar year without the judge's consent or for more than 180 days during a calendar year in any event. Requires a chief judge to remove from the recall-eligible list a judge who: (1) is recalled but declines; or (2) becomes permanently disabled and unable to perform judicial service. (Sec. 1022) Provides retired pay computation for judges who were recall-eligible but lost such status and for judges who chose not to provide a notice of availability for recall. Allows for a cost-of-living adjustment to the retired pay of a Court judge only up to an amount that would make the retired pay equal to the pay received by a current Court judge. (Sec. 1023) Makes a surviving spouse of a Court judge eligible for a survivor annuity after being married for at least one year (currently, two years) before such judge's death. Allows a Court judge to elect to participate in a survivor annuity within six months after marriage if such judge has retired. Reduces the percentage of pay reduction required of active judges as contributions toward retirement annuities. Prohibits interest payments on retirement pay reductions in the case of Court judges for any period during which such judges: (1) were separated from judicial service or service as a Member of Congress or congressional employee; and (2) were not receiving retired pay or annuities based on such service. Allows a surviving annuity to be paid to the survivors of a judge who dies after having rendered at least 18 months (currently, five years) of creditable civilian service. Allows a survivor annuity without a creditable service requirement in the case of a judge who is assassinated. Repeals a current requirement that a surviving spouse be at least 50 years of age before receiving such annuity. (Sec. 1024) States that a recall-eligible retired Court judge who legally represents a client in a claim for veterans' benefits shall be considered to have declined recall service and be removed from recall-eligible status. Subtitle C: Rotation of Service of Judges as Chief Judge of the Court - Eliminates the requirement of a separate appointment to the position of chief judge. Designates as chief judge the most senior judge of the Court. Requires such chief judge to serve in such position for five years or until becoming 70 years of age, after which the next most senior judge would assume such duties. (Sec. 1033) Requires Court judge salaries to be the same as U.S. district court judges. Title XI: Voluntary Separation Incentive Program - Department of Veterans Affairs Employment Reduction Assistance Act of 1999 - Requires the Secretary, before obligating any funds for the payment of voluntary separation incentive payments under this title, to submit to the Director of the Office of Management and Budget an operational plan concerning such payments. Limits the number of Department personnel and elements to which such plan may apply. Requires plan approval by the Director. (Sec. 1103) Authorizes the Secretary to pay a voluntary separation incentive payment to a Department employee who has been employed continuously for at least three years only: (1) to the extent necessary to reduce or restructure the positions and functions identified in the approved plan; and (2) if the Under Secretary or staff head concerned approves such payment to such employee. (Sec. 1104) Requires an individual who accepts such a payment and is reemployed with the Federal Government within five years to repay, before such reemployment, the entire amount of such payment. Authorizes the waiver of such repayment for certain individuals possessing unique abilities who are the only qualified applicants. (Sec. 1105) Requires the Secretary to contribute a specified amount to the Civil Service Retirement and Disability Fund as agency contributions toward retirement annuities for such separated personnel. (Sec. 1106) Provides continued health insurance coverage for individuals involuntarily separated from a position in the Department due to a reduction in force or a staffing readjustment. (Sec. 1107) Prohibits the total full-time equivalent employment in the Department from being reduced by reason of the separation of such employees. (Sec. 1109) Prohibits any separation incentive payment from being made under this title based on the separation of an employee after December 31, 2000.

Veterans Benefits Act of 1999 - Title I: Medical Care - Subtitle A: Long-Term Care - Includes the following types of noninstitutional extended care services within the definition of "medical services" authorized to be provided to eligible veterans: (1) home-based primary care; (2) adult day health care; (3) respite care; (4) palliative and end-of-life care; and (5) home health aide visits. (Sec. 102) Directs the Secretary of Veterans Affairs (Secretary) to carry out three pilot programs for determining the feasibility and practicability of a variety of methods of meeting the long-term care needs of eligible veterans. Requires each such program to be carried out in two designated Department of Veterans Affairs health care regions selected by the Secretary. Requires the services provided under each pilot program to include a comprehensive array of services which meet such long-term needs, including: (1) inpatient long-term care in intermediate beds, nursing homes, and domiciliary care facilities; and (2) non-institutional long-term care. Requires the Secretary to: (1) provide appropriate case management services; and (2) emphasize the provision of preventive care services. Requires the Secretary, under one pilot program, to provide long-term care services to eligible veterans: (1) directly through Department facilities and personnel; (2) through a combination of Department facilities and services provided under cooperative arrangements with public and private nongovernmental entities; and (3) through arrangements with non-Department entities under which the Secretary acts solely as the case manager for such services. Directs the Secretary to: (1) collect data concerning program cost, quality, and effectiveness; and (2) report to Congress on services furnished to meet the long-term care needs of eligible veterans. (Sec. 103) Directs the Secretary to carry out a pilot program to determine the feasibility and practicability of providing assisted living services to eligible veterans. Requires such program to be carried out at a designated Department health care region selected by the Secretary. Prohibits such services from being provided unless the eligible veteran agrees to pay the United States a certain statutory amount for such services. Allows such services to be provided to the spouse of such veteran as long as such services are provided coincidentally with the services provided the veteran and the spouse pays a like amount for such services. Requires annual program reports from the Secretary to the congressional veterans' committees. Subtitle B: Management of Medical Facilities and Property - Increases to 55 years the maximum authorized term for leases of Department real property entered into by the Secretary (enhanced-use leases). Allows funds for Department minor projects construction to be used by the Secretary to contribute to capital activities on such leased property. Extends through December 31, 2011, the authority to enter into such leases. Directs the Secretary to: (1) provide appropriate training and outreach to personnel of Department medical facilities regarding enhanced-use lease authority; and (2) secure an independent analysis of Department opportunities for using such leasing authority. (Sec. 112) Designates the hospital bed replacement facility under construction at the Ioannis A. Lougaris Department of Veterans Affairs Medical Center in Reno, Nevada, as the Jack Streeter Building. Subtitle C: Other Health Care Provisions - Authorizes the provision of emergency health care in non-Department facilities for veterans enrolled in the Department's annual patient enrollment system. Defines an emergency medical condition as one which does or could result in: (1) placing the health of the individual in serious jeopardy; or (2) serious impairment to bodily functions or serious dysfunction of a body organ or part. Authorizes: (1) the use of contract care to treat such conditions; and (2) reimbursement of veterans for expenses incurred in receiving such care in a non-Department facility. Directs the Secretary, as a condition to payment for such treatment under a contract, to require that payment shall be made by the Secretary for such care only after any payment that may be made with respect to such treatment: (1) under part A or B of Medicare (title XVIII of the Social Security Act); or (2) by a third-party insurer. (Sec. 122) Directs the Secretary to carry out programs to enhance the provision of specialized mental health services to veterans, including programs relating to the treatment of post-traumatic stress disorder and substance use disorders. Requires reports from the Secretary to Congress in each of the years 2000 through 2002. (Sec. 123) Removes certain restrictions on the authorized use of Department facilities to treat military personnel for an alcohol or drug dependence or abuse disability. (Sec. 124) Allows amounts from the Department of Veterans Affairs Medical Care Collections Fund to be distributed to each Department medical facility (currently, each designated health care region). (Sec. 125) Amends the Persian Gulf War Veterans' Benefits Act to extend through December 31, 2002: (1) a newsletter concerning medical care furnished to Persian Gulf War veterans; and (2) a program for evaluating the health of spouses and children of such veterans. (Sec. 126) Directs the Secretaries of Veterans Affairs and Defense to report jointly to the veterans' and defense committees on cooperation between their respective departments in the procurement of pharmaceuticals and medical supplies. (Sec. 127) Directs the Secretary, during the one-year period beginning on the date of enactment of this Act, to use the fee-for-service payment schedule for the reimbursement of medical expenses of veterans in Alaska rather than the Participating Physician Fee Schedule under the Medicare program. Requires a joint report from the Secretaries of Veterans Affairs and Health and Human Services to the veterans' committees on the use of the latter program to calculate such reimbursement rates. (Sec. 128) Repeals the four-year term limit for the positions of Under Secretary for Health and Under Secretary for Benefits within the Department. Subtitle D: Major Medical Facility Projects Construction Authorizations - Authorizes the Secretary to carry out major medical facility projects at Department facilities in Lebanon, Pennsylvania; Fargo, North Dakota; Kansas City, Missouri; and Atlanta, Georgia. Authorizes appropriations, with a limitation. Amends the Veterans Programs Enhancement Act of 1998 to make certain funds appropriated for FY 2000 pursuant to authorization under this Act available for projects under such Act. Title II: Benefits Matters - Subtitle A: Homeless Veterans - Amends the Homeless Veterans Comprehensive Service Programs Act of 1992 to: (1) authorize the Secretary to make grants to expand existing programs for furnishing certain assistance to homeless veterans; (2) extend through FY 2001 the authority to make such grants; and (3) authorize appropriations for such programs for FY 2000 and 2001. (Sec. 203) Amends the Stewart B. McKinney Homeless Assistance Act to authorize appropriations for FY 2000 and 2001 for homeless veterans' reintegration projects. (Sec. 204) Directs the Secretary to report to the veterans' committees a detailed plan for evaluating the effectiveness of programs to assist homeless veterans. Subtitle B: Other Matters - Requires Filipino veterans of World War II, in order to receive burial benefit payments, to be individuals who, on their date of death: (1) were citizens of the United States; (2) were residing in the United States; and (3) either were receiving veterans' disability compensation or, if their service was deemed active military service, would have been paid a military pension but for an applicable net worth limitation. (Sec. 212) Extends through December 31, 2004: (1) the authority to maintain a regional office in the Republic of the Philippines; and (2) the Advisory Committee on Minority Veterans. (Sec. 214) Authorizes the payment of dependency and indemnity compensation for the surviving spouse of a former prisoner of war whose disability was continually rated as totally disabling for the one-year period immediately preceding death. (Sec. 215) Repeals certain limitations on the payment of benefits to incompetent institutionalized veterans. (Sec. 216) Amends Federal employment law to provide for the competitive and appointment status of preference eligible veterans. Title III: Education Matters - All-Volunteer Force Educational Assistance Programs Improvements Act of 1999 - Amends Federal veterans' educational assistance benefits provisions to: (1) authorize the use of such benefits for preparatory courses for tests for admission to colleges and graduate schools; (2) increase the monthly rate of basic educational assistance; and (3) increase the rate of survivors' and dependents' educational assistance, including assistance used for correspondence courses, special restorative training, and apprenticeship training. (Sec. 305) Authorizes individuals eligible for basic educational assistance as either active-duty or Selected Reserve personnel to make contributions (not to exceed $600) for an increased amount of such assistance. (Sec. 306) Continues eligibility for basic educational assistance for individuals who are discharged for immediate reenlistment to accept a commission as an officer and who subsequently complete the resulting period of obligated active duty service as such an officer. (Sec. 307) Allows an individual who previously elected not to participate in the educational assistance program to withdraw such election at any time before his or her discharge or release from active duty or reserve service. Requires such individual's monthly basic pay to be reduced for program participation. (Sec. 308) Authorizes the Secretary to pay educational assistance on an accelerated basis, at the request of an individual. Reduces the total assistance entitlement for such an individual by the appropriate amount. (Sec. 309) Directs the Secretary to report annually to the veterans' committees on veterans' education and vocational training benefits provided by the States. Expresses the sense of Congress that each of the States should admit qualified veterans to publicly-supported higher educational institutions on a tuition-free basis. Title IV: Memorial Affairs - Subtitle A: Arlington National Cemetery - Arlington National Cemetery Burial and Inurnment Eligibility Act of 1999 - Authorizes the remains of the following individuals to be buried in Arlington National Cemetery (Cemetery): (1) any member who dies while on active duty; (2) any retired member and any person who served on active duty who at the time of death was entitled to military retired pay (or would have been so entitled but for his or her age); (3) any former member who was separated for physical disability before October 1, 1949, who served on active duty, and who would have been eligible for disability retirement if such provisions had been in effect on such date; (4) any former member whose last active military service was terminated honorably and who has been awarded one of a number of specified military decorations; (5) any former prisoner of war who dies on or after November 30, 1993; (6) the President and any former President; and (7) any former member whose last discharge or separation from active service was under honorable conditions and who is or was a Vice President, Member of Congress, Chief or Associate Supreme Court justice, head of an executive department or agency, or individual who died while serving in a hostile action as part of the foreign or national security services. Authorizes the Secretary of Defense or the President, upon a determination that certain acts, service, or other contributions so merit, to bury a member in such Cemetery, as long as the member's last discharge or release from active duty was under honorable conditions. Requires, in such cases: (1) a report from either the President or such Secretary to the veterans' committees within 72 hours after such authorization; and (2) publication of a notice of such authorization in the Federal Register as soon as practicable. Authorizes Cemetery burial for certain family members of individuals made eligible under the above provisions, with conditions. Makes the above eligibility the exclusive eligibility for Cemetery burial. States that a request for Cemetery burial made before the death of the individual may not be considered by the Secretary of the Army, the Secretary of Defense, or other responsible official. Directs the Secretary of the Army to maintain and make public a register of each individual buried in the Cemetery. Requires such register, for each individual buried on or after January 1, 1998, to include a brief description of the eligibility basis for such burial. Requires the Secretary of the Army to publish an updated pamphlet describing Cemetery burial eligibility. (Sec. 403) Authorizes the cremated remains of the following individuals to be placed in the columbarium in the Cemetery: (1) all persons made eligible for burial under this title; (2) a veteran whose last period of active service ended honorably; and (3) the spouse, minor child, and, at the discretion of the Superintendent of the Cemetery, unmarried adult child of such veteran. Subtitle B: Other Memorial Matters - Directs the Secretary to establish national cemeteries in the following areas to serve veterans and their families: (1) Atlanta, Georgia; (2) southwestern Pennsylvania; (3) Miami, Florida; (4) Detroit, Michigan; and (5) Sacramento, California. (Sec. 412) Authorizes the Secretary to provide for flat grave markers at the Santa Fe National Cemetery, New Mexico. Requires a report from the Secretary to the veterans' committees on the advantages and disadvantages of the use of flat and upright grave markers by the National Cemetery Administration. Subtitle C: World War II Memorial - World War II Memorial Completion Act - Directs the American Battle Monuments Commission (Commission) to solicit and accept contributions for establishing the World War II memorial in the District of Columbia or its environs (authorized under prior law). Establishes in the Treasury a fund to hold and expend such contributions. Authorizes the Commission to: (1) borrow up to $65 million from the Treasury to ensure that memorial groundbreaking, construction, and dedication are completed on a timely basis; and (2) accept voluntary services in furtherance of fund-raising activities (authorizing reimbursement of volunteer incidental expenses). Extends until December 31, 2005 (currently May 25, 2000), the authority to construct the memorial. (Sec. 423) Revises current Commission authority to receive State, local, and private amounts for establishing the memorial to: (1) authorize the Commission to solicit (instead of just receive) such contributions; and (2) require the deposit of such amounts in a separate account in the Treasury. Requires the Commission to establish written guidelines for the acceptance of funds and in-kind contributions. (Sec. 424) Authorizes the Commission to adopt, obtain, use, register, and license trademarks, copyrights, and patents in connection with intellectual property and related items. Title V: United States Court of Appeals for Veterans Claims - Allows a judge of the United States Court of Appeals for Veterans Claims (Court) whose term expires in 2004 or 2005 and who completes such term or retires to continue to serve on the Court without reappointment. Requires such judge to notify the chief judge of the Court of the intent to so continue at least 30 days before the earlier of the expiration of such judge's term or the date on which the judge qualifies for retirement. Prohibits the total number of judges serving on the Court at any one time from exceeding seven. Allows such a judge to continue to serve temporarily until the earlier of: (1) 30 days after the Court chief judge certifies to the President and Congress that the caseload can be performed timely by judges who are senior to the judge electing to continue; or (2) the date on which the person appointed to succeed such continuing judge is qualified for the position. Outlines provisions concerning: (1) temporary service in other judge positions; (2) compensation for periods of temporary service; and (3) creditable service computation for retirement purposes. (Sec. 502) Provides for a 13-year term for any Court judge who is appointed to a judge position that becomes vacant in 2004. Makes such judge eligible for retirement benefits after such 13-year (currently 15-year) period. (Sec. 503) Authorizes a voluntary separation incentive payment of $25,000 for Court judges who: (1) meet the age and service requirements for retirement; (2) submit a notice of intent to retire; and (3) retire from the Court within 30 days after qualifying for retirement. Terminates such incentive payment authority for any judge retiring after December 31, 2002.

Veterans' Millennium Health Care Act - Title I: Access to Care - Directs the Secretary of Veterans Affairs to operate and maintain a program to provide the following extended care services to eligible veterans: (1) geriatric evaluation; (2) nursing home care, either in facilities of the Department of Veterans Affairs (Department) or in community-based facilities; (3) domiciliary services; (4) adult day health care; (5) noninstitutional alternatives to nursing home care; and (6) respite care. Makes eligible for such care any veteran in need of such care: (1) for a service-connected disability; or (2) who has a service-connected disability rated at 50 percent or more. Directs the Secretary to give the highest priority to such veterans in making placements for nursing home care in Department facilities. Prohibits the Secretary from furnishing such services for a nonservice-connected disability not rated at least 50 percent unless such veteran agrees to make a copayment for services of more than 21 days in any year. Requires the Secretary to establish a methodology for establishing the copayment amount. Establishes in the Treasury the Department of Veterans Affairs Extended Care Fund for deposits and disbursements to cover such care. Directs the Secretary to develop and begin to implement a plan to carry out the recommendations of the Federal Advisory Committee on the Future of Long-Term Care to increase the options, services, and budget level of community-based care for eligible veterans. Authorizes the Secretary to furnish adult day health care to veterans enrolled in the Department's annual patient enrollment system who would otherwise require nursing home care. Authorizes the Secretary to furnish respite care services: (1) outside of a hospital, nursing home, or Department facility; and (2) through contract arrangements. (Sec. 102) Authorizes the Secretary to reimburse for the reasonable value of emergency treatment furnished in a non-Department facility those veterans who are active Department health-care participants (enrolled in the annual patient enrollment system and recipients of Department hospital, nursing home, or domiciliary care under such system within the last 12-month period) and who are personally liable for such treatment. Provides reimbursement limitations. Provides an independent right of recovery for the United States when a third party subsequently makes a payment for the same treatment. Requires the veteran to notify the Secretary of any such payment. Authorizes the Secretary to waive recovery of such payment in the best interests of the United States. Requires the Secretary to include in annual budget justification materials a report on implementation of the extended care services. (Sec. 103) Requires the Secretary to furnish hospital and medical services, and authorizes the Secretary to furnish nursing home care, to a veteran who: (1) is wounded in action by an enemy of the United States or by any weapon fire while directly engaged in armed conflict; or (2) is retired from active-duty service, is eligible for care under the TRICARE Program (a Department of Defense managed health care program), and is not otherwise eligible for such care. Requires, in the latter case, an agreement between the Secretaries of Veterans Affairs and Defense for reimbursement to the Secretary of Veterans Affairs for services provided. Provides agreement conditions and limitations. Requires such agreement to be entered into within nine months after enactment of this Act. Directs the Secretary of Defense to include in each future TRICARE contract provisions to implement such agreement. (Sec. 105) Authorizes the payment of veterans' disability compensation and dependency and indemnity compensation for persons disabled by participation in a compensated work therapy program. (Sec. 106) Authorizes the Secretary to carry out a three-year pilot program to provide primary health care services for the spouse or child of a veteran who is enrolled in the annual patient enrollment system and is able to pay for such care or services either directly or through reimbursement or indemnification from a third-party insurer. Authorizes the Secretary to provide such services either through a Department facility or by contract. Prohibits such services from being provided in a Department facility if it would deny or delay access to care for any enrolled veteran at that facility. Entitles the United States to recover from a third-party insurer the reasonable charges for such care or services. Requires the Secretary to designate (under specified criteria) no more than four veterans integrated service networks in which such pilot program shall be carried out. Directs the Comptroller General to: (1) monitor the program; and (2) report to the Secretary on findings and recommendations. (Sec. 107) Directs the Secretary, in providing hospital care and medical services through network-based planning, to establish an enhanced service program at Department medical centers that are so designated by the Secretary (designated centers). Requires such designated centers to improve access, and quality of services provided, to veterans served by those medical centers. Directs the Secretary to develop a plan for each center to improve access to, and quality of, care and services provided. Outlines designation criteria and plan requirements. Prohibits any such plan from being implemented until at least 45 days after its submission to the appropriate congressional committees. Provides for plan implementation and funds allocation. Requires the Secretary to report to Congress on implementation of the enhanced service program. (Sec. 108) Revises a program providing counseling and treatment for veterans who have experienced sexual trauma to: (1) extend such program through calendar year 2002; (2) require (currently authorizes) the Secretary to provide such care and services to those in need; and (3) ensure that information about such care and services is revised and updated and made available through appropriate means (requiring a report from the Secretary to the veterans' committees on implementation of such outreach efforts). Requires the Secretary: (1) to study, and report to the veterans' committees on, the possibility of extending eligibility for such care and services to former reserve personnel; and (2) report to the veterans' committees on implementation of the sexual trauma program. Requires the Secretary and the Secretary of Defense to jointly report to the appropriate congressional committees describing the efforts of their respective departments to ensure that military personnel, upon separation, are provided appropriate and current information about such counseling and treatment programs, including eligibility requirements and application procedures. Title II: Program Administration - Authorizes the Secretary, with respect to required copayments by veterans for medication furnished by the Department on an outpatient basis for the treatment of a nonservice-connected disability or condition, to: (1) increase the amount of such copayment (currently $2 for each 30-day supply of medication); (2) establish a maximum annual copayment for veterans who have multiple outpatient prescriptions; and (3) require certain veterans to pay a reasonable copayment for sensori-neural aids, electronic equipment, and any other costly item furnished for a nonservice-connected disability (other than a wheelchair or artificial limb). (Sec. 202) Establishes in the Treasury the Department of Veterans Affairs Health Services Improvement Fund for the deposit and disbursement of funds used for improving various health services to veterans, including services under this Act. (Sec. 203) Establishes in the Treasury the Veterans Tobacco Trust Fund. Provides that if a lawsuit is brought by the United States against tobacco manufacturers for costs incurred due to tobacco-related illnesses, there shall be credited to the Fund, without further appropriation, the amount that bears the same ratio to the amount recovered as the amount of the Department's costs for health care attributable to tobacco-related illnesses bears to the total amount sought in the suit. Makes such amounts available to the Secretary for: (1) furnishing veterans' medical care and services; and (2) conducting medical, rehabilitation, and health systems research, with particular emphasis on research relating to the prevention and treatment of, and rehabilitation from, tobacco addiction and diseases associated with tobacco use. (Sec. 204) Revises provisions establishing nonprofit research corporations at Department medical centers to: (1) authorize such corporations to provide education and training to Veterans Health Administration (VHA) health-care personnel; (2) include additional personnel on its board of directors; and (3) prohibit such corporation from expending funds for an education activity unless it is approved under procedures prescribed by the Department's Under Secretary for Health. (Sec. 205) Extends through: (1) calendar year 2002 the veterans' readjustment counseling program; (2) 2003 required reports concerning the provision of care to severely chronically mentally ill veterans; and (3) March 1, 2000, and February 1, 2001, certain reports concerning the provision of counseling and treatment for veterans suffering from post-traumatic stress disorder. Amends the Homeless Veterans Comprehensive Service Programs Act of 1992 to: (1) extend through FY 2002 the authority to make grants for housing assistance for homeless veterans; and (2) remove a limitation on the number of such programs which may incorporate the procurement of vans as part of such program. (Sec. 206) Directs the Secretary to prescribe for each State the number of nursing home and domiciliary beds for which assistance under veterans' domiciliary, nursing home, and hospital care may be authorized. Requires such regulations to be based on the projected demand for such care ten years after enactment of this Act by veterans who are 65 years old or older. Directs the Secretary, with respect to State applications for the construction or acquisition of new nursing facilities or the replacement or increase of the number of beds at a current facility, to characterize the need of such facility as great, significant, or limited and to grant applications accordingly. Allows financial assistance only for renovation projects for which total construction costs are in excess of $400,000. Outlines State application requirements for such projects or assistance. (Sec. 207) Adds as a required condition to the authority of the Secretary to enter into an enhanced-use lease (the leasing of Department property not currently used by the Department) the Secretary's determination that the business plan proposed by the Under Secretary for Health for applying lease payments to the provision of medical care and services demonstrably improves services to eligible veterans in the geographic service-delivery area within which the leased property is located. Increases to 75 years the authorized term for such leases. Requires funds received under such a lease and remaining after expense deductions to be deposited in the Department of Veterans Affairs Health Services Improvement Fund and used for authorized purposes. Requires at least 75 percent of such funds to be made available to the designated VHA health care region within which the leased property is located. (Sec. 208) Makes ineligible for employment as a VHA health-care professional an individual who was licensed, registered, or certified to practice in more than one State when any one of those States has since terminated such license, registration, or certification. Title III: Miscellaneous - Prohibits the Secretary from closing in any fiscal year more than 50 percent of the beds within a Department medical center unless the Secretary first submits to the veterans' committees a justification for such closure. Prohibits any such closure until 21 days after submission of the report. Requires the Secretary to report annually to such committees on bed closures during the preceding fiscal year. (Sec. 302) Revises provisions concerning the Veterans Canteen Service to remove a provision limiting such services to the sales of merchandise and services for consumption and use on the premises. (Sec. 303) Directs the Secretary to report to the veterans' committees on the feasibility of establishing a pilot program to assist veterans in receiving assisted living services. (Sec. 304) Requires the Department's Under Secretary for Health to establish a VHA policy regarding the role of chiropractic treatment in the care of veterans. (Sec. 305) Designates the hospital bed replacement building under construction at the Ioannis A. Lougaris Department of Veterans Affairs Medical Center in Reno, Nevada, as the Jack Streeter Building. Title IV: Construction and Facilities Matters - Authorizes the Secretary to: (1) carry out major medical facility projects in Orlando, Florida, and Kansas City, Missouri; and (2) enter into leases for medical facilities at Lubbock, Texas, and San Diego, California. (Sec. 403) Authorizes appropriations for FY 2000 and 2001 for the Construction, Major Projects, account and the Medical Care account.

TABLE OF CONTENTS: Title I: Access to Care Title II: Program Administration Title III: Miscellaneous Title IV: Construction and Facilities Matters Veterans' Millennium Health Care Act - Title I: Access to Care - Directs the Secretary of Veterans Affairs to operate and maintain a program to provide the following extended care services to eligible veterans: (1) geriatric evaluation; (2) nursing home care, either in facilities of the Department of Veterans Affairs (Department) or in community-based facilities; (3) domiciliary services; (4) adult day health care; (5) noninstitutional alternatives to nursing home care; and (6) respite care. Makes eligible for such care any veteran in need of such care: (1) for a service-connected disability; or (2) who has a service-connected disability rated at 50 percent or more. Directs the Secretary to give the highest priority to such veterans in making placements for nursing home care in Department facilities. Prohibits the Secretary from furnishing such services for a nonservice-connected disability not rated at least 50 percent unless such veteran agrees to make a copayment for services of more than 21 days in any year. Requires the Secretary to establish a methodology for establishing the copayment amount. Establishes in the Treasury the Department of Veterans Affairs Extended Care Fund for deposits and disbursements to cover such care. Directs the Secretary to develop and begin to implement a plan to carry out the recommendations of the Federal Advisory Committee on the Future of Long-Term Care to increase the options, services, and budget level of community-based care for eligible veterans. Authorizes the Secretary to furnish adult day health care to veterans enrolled in the Department's annual patient enrollment system who would otherwise require nursing home care. Authorizes the Secretary to furnish respite care services: (1) outside of a hospital, nursing home, or Department facility; and (2) through contract arrangements. (Sec. 102) Authorizes the Secretary to reimburse for the reasonable value of emergency treatment furnished in a non-Department facility those veterans who are active Department health-care participants (enrolled in the annual patient enrollment system and recipients of Department hospital, nursing home, or domiciliary care under such system within the last 12-month period) and who are personally liable for such treatment. Provides reimbursement limitations. Provides an independent right of recovery for the United States when a third party subsequently makes a payment for the same treatment. Requires the veteran to notify the Secretary of any such payment. Authorizes the Secretary to waive recovery of such payment in the best interests of the United States. Requires the Secretary to include in annual budget justification materials a report on implementation of the extended care services. (Sec. 103) Requires the Secretary to furnish hospital and medical services, and authorizes the Secretary to furnish nursing home care, to a veteran who: (1) is wounded in action by an enemy of the United States or by any weapon fire while directly engaged in armed conflict; or (2) is retired from active-duty service, is eligible for care under the TRICARE Program (a Department of Defense managed health care program), and is not otherwise eligible for such care. Requires, in the latter case, an agreement between the Secretaries of Veterans Affairs and Defense for reimbursement to the Secretary of Veterans Affairs for services provided. Provides agreement conditions and limitations. Requires such agreement to be entered into within nine months after enactment of this Act. Directs the Secretary of Defense to include in each future TRICARE contract provisions to implement such agreement. (Sec. 105) Authorizes the payment of veterans' disability compensation and dependency and indemnity compensation for persons disabled by participation in a compensated work therapy program. (Sec. 106) Authorizes the Secretary to carry out a three-year pilot program to provide primary health care services for the spouse or child of a veteran who is enrolled in the annual patient enrollment system and is able to pay for such care or services either directly or through reimbursement or indemnification from a third-party insurer. Authorizes the Secretary to provide such services either through a Department facility or by contract. Prohibits such services from being provided in a Department facility if it would deny or delay access to care for any enrolled veteran at that facility. Entitles the United States to recover from a third-party insurer the reasonable charges for such care or services. Requires the Secretary to designate (under specified criteria) no more than four veterans integrated service networks in which such pilot program shall be carried out. Directs the Comptroller General to: (1) monitor the program; and (2) report to the Secretary on findings and recommendations. (Sec. 107) Directs the Secretary, in providing hospital care and medical services through network-based planning, to establish an enhanced service program at Department medical centers that are so designated by the Secretary (designated centers). Requires such designated centers to improve access, and quality of services provided, to veterans served by those medical centers. Directs the Secretary to develop a plan for each center to improve access to, and quality of, care and services provided. Outlines designation criteria and plan requirements. Prohibits any such plan from being implemented until at least 45 days after its submission to the appropriate congressional committees. Provides for plan implementation and funds allocation. Requires the Secretary to report to Congress on implementation of the enhanced service program. (Sec. 108) Revises a program providing counseling and treatment for veterans who have experienced sexual trauma to: (1) extend such program through calendar year 2002; (2) require (currently authorizes) the Secretary to provide such care and services to those in need; and (3) ensure that information about such care and services is revised and updated and made available through appropriate means (requiring a report from the Secretary to the veterans' committees on implementation of such outreach efforts). Requires the Secretary: (1) to study, and report to the veterans' committees on, the possibility of extending eligibility for such care and services to former reserve personnel; and (2) report to the veterans' committees on implementation of the sexual trauma program. Requires the Secretary and the Secretary of Defense to jointly report to the appropriate congressional committees describing the efforts of their respective departments to ensure that military personnel, upon separation, are provided appropriate and current information about such counseling and treatment programs, including eligibility requirements and application procedures. Title II: Program Administration - Authorizes the Secretary, with respect to required copayments by veterans for medication furnished by the Department on an outpatient basis for the treatment of a nonservice-connected disability or condition, to: (1) increase the amount of such copayment (currently $2 for each 30-day supply of medication); (2) establish a maximum annual copayment for veterans who have multiple outpatient prescriptions; and (3) require certain veterans to pay a reasonable copayment for sensori-neural aids, electronic equipment, and any other costly item furnished for a nonservice-connected disability (other than a wheelchair or artificial limb). (Sec. 202) Establishes in the Treasury the Department of Veterans Affairs Health Services Improvement Fund for the deposit and disbursement of funds used for improving various health services to veterans, including services under this Act. (Sec. 203) Establishes in the Treasury the Veterans Tobacco Trust Fund. Provides that if a lawsuit is brought by the United States against tobacco manufacturers for costs incurred due to tobacco-related illnesses, there shall be credited to the Fund, without further appropriation, the amount that bears the same ratio to the amount recovered as the amount of the Department's costs for health care attributable to tobacco-related illnesses bears to the total amount sought in the suit. Makes such amounts available to the Secretary for: (1) furnishing veterans' medical care and services; and (2) conducting medical, rehabilitation, and health systems research, with particular emphasis on research relating to the prevention and treatment of, and rehabilitation from, tobacco addiction and diseases associated with tobacco use. (Sec. 204) Revises provisions establishing nonprofit research corporations at Department medical centers to: (1) authorize such corporations to provide education and training to Veterans Health Administration (VHA) health-care personnel; (2) include additional personnel on its board of directors; and (3) prohibit such corporation from expending funds for an education activity unless it is approved under procedures prescribed by the Department's Under Secretary for Health. (Sec. 205) Extends through: (1) calendar year 2002 the veterans' readjustment counseling program; (2) 2003 required reports concerning the provision of care to severely chronically mentally ill veterans; and (3) March 1, 2000, and February 1, 2001, certain reports concerning the provision of counseling and treatment for veterans suffering from post-traumatic stress disorder. Amends the Homeless Veterans Comprehensive Service Programs Act of 1992 to: (1) extend through FY 2002 the authority to make grants for housing assistance for homeless veterans; and (2) remove a limitation on the number of such programs which may incorporate the procurement of vans as part of such program. (Sec. 206) Directs the Secretary to prescribe for each State the number of nursing home and domiciliary beds for which assistance under veterans' domiciliary, nursing home, and hospital care may be authorized. Requires such regulations to be based on the projected demand for such care ten years after enactment of this Act by veterans who are 65 years old or older. Directs the Secretary, with respect to State applications for the construction or acquisition of new nursing facilities or the replacement or increase of the number of beds at a current facility, to characterize the need of such facility as great, significant, or limited and to grant applications accordingly. Allows financial assistance only for renovation projects for which total construction costs are in excess of $400,000. Outlines State application requirements for such projects or assistance. (Sec. 207) Adds as a required condition to the authority of the Secretary to enter into an enhanced-use lease (the leasing of Department property not currently used by the Department) the Secretary's determination that the business plan proposed by the Under Secretary for Health for applying lease payments to the provision of medical care and services demonstrably improves services to eligible veterans in the geographic service-delivery area within which the leased property is located. Increases to 75 years the authorized term for such leases. Requires funds received under such a lease and remaining after expense deductions to be deposited in the Department of Veterans Affairs Health Services Improvement Fund and used for authorized purposes. Requires at least 75 percent of such funds to be made available to the designated VHA health care region within which the leased property is located. (Sec. 208) Makes ineligible for employment as a VHA health-care professional an individual who was licensed, registered, or certified to practice in more than one State when any one of those States has since terminated such license, registration, or certification. Title III: Miscellaneous - Prohibits the Secretary from closing in any fiscal year more than 50 percent of the beds within a Department medical center unless the Secretary first submits to the veterans' committees a justification for such closure. Prohibits any such closure until 21 days after submission of the report. Requires the Secretary to report annually to such committees on bed closures during the preceding fiscal year. (Sec. 302) Revises provisions concerning the Veterans Canteen Service to remove a provision limiting such services to the sales of merchandise and services for consumption and use on the premises. (Sec. 303) Directs the Secretary to report to the veterans' committees on the feasibility of establishing a pilot program to assist veterans in receiving assisted living services. (Sec. 304) Requires the Department's Under Secretary for Health to establish a VHA policy regarding the role of chiropractic treatment in the care of veterans. (Sec. 305) Designates the hospital bed replacement building under construction at the Ioannis A. Lougaris Department of Veterans Affairs Medical Center in Reno, Nevada, as the Jack Streeter Building. Title IV: Construction and Facilities Matters - Authorizes the Secretary to: (1) carry out major medical facility projects in Orlando, Florida, and Kansas City, Missouri; and (2) enter into leases for medical facilities at Lubbock, Texas, and San Diego, California. (Sec. 403) Authorizes appropriations for FY 2000 and 2001 for the Construction, Major Projects, account and the Medical Care account.

TABLE OF CONTENTS: Title I: Access to Care Title II: Program Administration Title III: Miscellaneous Veterans' Millennium Health Care Act - Title I: Access to Care - Directs the Secretary of Veterans Affairs to operate and maintain a program to provide the following extended care services to eligible veterans: (1) geriatric evaluation; (2) nursing home care, either in facilities of the Department of Veterans Affairs (Department) or in community-based facilities; (3) domiciliary services; (4) adult day health care; (5) noninstitutional alternatives to nursing home care; and (6) respite care. Makes eligible for such care any veteran in need of such care: (1) for a service-connected disability; or (2) who has a service-connected disability rated at 50 percent or more. Directs the Secretary to give the highest priority to such veterans in making placements for nursing home care in Department facilities. Prohibits the Secretary from furnishing such services for a nonservice-connected disability not rated at least 50 percent unless such veteran agrees to make a copayment for services of more than 21 days in any year. Requires the Secretary to establish a methodology for establishing the copayment amount. Establishes in the Treasury the Department of Veterans Affairs Extended Care Fund for deposits and disbursements to cover such care. Directs the Secretary to develop and begin to implement a plan to carry out the recommendations of the Federal Advisory Committee on the Future of Long-Term Care to increase the options, services, and budget level of community-based care for eligible veterans. Authorizes the Secretary to furnish adult day health care to veterans enrolled in the Department's annual patient enrollment system who would otherwise require nursing home care. Authorizes the Secretary to furnish respite care services: (1) outside of a hospital, nursing home, or Department facility; and (2) through contract arrangements. (Sec. 102) Authorizes the Secretary to reimburse for the reasonable value of emergency treatment furnished in a non-Department facility those veterans who are active Department health-care participants (enrolled in the annual patient enrollment system and recipients of Department hospital, nursing home, or domiciliary care under such system within the last 12-month period) and who are personally liable for such treatment. Provides reimbursement limitations. Provides an independent right of recovery for the United States when a third-party subsequently makes a payment for the same treatment. Requires the veteran to notify the Secretary of any such payment. Authorizes the Secretary to waive recovery of such payment in the best interests of the United States. Requires the Secretary to include in annual budget justification materials a report on implementation of the extended care services. (Sec. 103) Requires the Secretary to furnish hospital and medical services, and authorizes the Secretary to furnish nursing home care, to a veteran who: (1) is wounded in action by an enemy of the United States or by any weapon fire while directly engaged in armed conflict; or (2) is retired from active-duty service, is eligible for care under the TRICARE Program (a Department of Defense managed health care program), and is not otherwise eligible for such care. Requires, in the latter case, a memorandum of understanding between the Secretaries of Veterans Affairs and Defense for reimbursement to the Secretary of Veterans Affairs for services provided. (Sec. 105) Authorizes the payment of veterans' disability compensation and dependency and indemnity compensation for persons disabled by participation in a compensated work therapy program. (Sec. 106) Authorizes the Secretary to carry out a three-year pilot program to provide primary health care services for the spouse or child of a veteran who is enrolled in the annual patient enrollment system and is able to pay for such care or services either directly or through reimbursement or indemnification from a third-party insurer. Authorizes the Secretary to provide such services either through a Department facility or by contract. Prohibits such services from being provided in a Department facility if it would deny or delay access to care for any enrolled veteran at that facility. Entitles the United States to recover from a third-party insurer the reasonable charges for such care or services. Requires the Secretary to designate (under specified criteria) no more than four veterans integrated service networks in which such pilot program shall be carried out. Directs the Comptroller General to: (1) monitor the program; and (2) report to the Secretary on findings and recommendations. (Sec. 107) Directs the Secretary, in providing hospital care and medical services through network-based planning, to establish an enhanced service program at Department medical centers that are so designated by the Secretary (designated centers). Requires such designated centers to improve access and quality of services provided to veterans served by those medical centers. Directs the Secretary to develop a plan for each center to improve access to, and quality of, care and services provided. Outlines designation criteria and plan requirements. Prohibits any such plan from being implemented until at least 45 days after its submission to the appropriate congressional committees. Provides for plan implementation and funds allocation. Requires the Secretary to report to Congress on implementation of the enhanced service program. (Sec. 108) Revises a program providing counseling and treatment for veterans who have experienced sexual trauma to: (1) extend such program through calendar year 2002; (2) require (current law authorizes) the Secretary to provide such care and services to those in need; and (3) ensure that information about such care and services is revised and updated and made available through appropriate means (requiring a report from the Secretary to the veterans' committees on implementation of such outreach efforts). Requires the Secretary: (1) to study, and report to the veterans' committees on, the possibility of extending eligibility for such care and services to former reserve personnel; and (2) report to the veterans' committees on implementation of the sexual trauma program. Requires the Secretary and the Secretary of Defense to jointly report to the appropriate congressional committees describing the efforts of their respective departments to ensure that military personnel, upon separation, are provided appropriate and current information about such counseling and treatment programs, including eligibility requirements and application procedures. Title II: Program Administration - Authorizes the Secretary, with respect to required copayments by veterans for medication furnished by the Department on an outpatient basis for the treatment of a nonservice-connected disability or condition, to: (1) increase the amount of such copayment (currently $2 for each 30-day supply of medication); (2) establish a maximum annual copayment for veterans who have multiple outpatient prescriptions; and (3) require certain veterans to pay a reasonable copayment for sensori-neural aids, electronic equipment, and any other costly item furnished for a nonservice-connected disability (other than a wheelchair or artificial limb). (Sec. 202) Establishes in the Treasury the Department of Veterans Affairs Health Services Improvement Fund for the deposit and disbursement of funds used for improving various health services to veterans, including services under this Act. (Sec. 203) Establishes in the Treasury the Veterans Tobacco Trust Fund. Provides that if a lawsuit is brought by the United States against tobacco manufacturers for costs incurred due to tobacco- related illnesses, there shall be credited to the Fund, without further appropriation, the amount that bears the same ratio to the amount recovered as the amount of the Department's costs for health care attributable to tobacco-related illnesses bears to the total amount sought in the suit. Makes such amounts available to the Secretary for: (1) furnishing veterans' medical care and services; and (2) conducting medical, rehabilitation, and health systems research, with particular emphasis on research relating to the prevention and treatment of, and rehabilitation from, tobacco addiction and diseases associated with tobacco use. (Sec. 204) Revises provisions establishing nonprofit research corporations at Department medical centers to: (1) authorize such corporations to provide education and training to Veterans Health Administration (VHA) health-care personnel; (2) include additional personnel on its board of directors; and (3) prohibit such corporation from expending funds for an education activity unless it is approved under procedures prescribed by the Department's Under Secretary for Health. (Sec. 205) Extends through: (1) calendar year 2002 the veterans' readjustment counseling program; (2) 2003 required reports concerning the provision of care to severely chronically mentally ill veterans; and (3) March 1, 2000, and February 1, 2001, certain reports concerning the provision of counseling and treatment for veterans suffering from post-traumatic stress disorder. Amends the Homeless Veterans Comprehensive Service Programs Act of 1992 to: (1) extend through FY 2002 the authority to make grants for housing assistance for homeless veterans; and (2) remove a limitation on the number of such programs which may incorporate the procurement of vans as part of such program. (Sec. 206) Directs the Secretary to prescribe for each State the number of nursing home and domiciliary beds for which assistance under veterans' domiciliary, nursing home, and hospital care may be authorized. Requires such regulations to be based on the projected demand for such care ten years after enactment of this Act by veterans who are 65 years old or older. Directs the Secretary, with respect to State applications for the construction or acquisition of new nursing facilities or the replacement or increase of the number of beds at a current facility, to characterize the need of such facility as great, significant, or limited and to grant applications accordingly. Allows financial assistance only for renovation projects for which total construction costs are in excess of $400,000. Outlines State application requirements for such projects or assistance. (Sec. 207) Adds as a required condition to the authority of the Secretary to enter into an enhanced-use lease (the leasing of Department property not currently used by the Department) the Secretary's determination that the business plan proposed by the Under Secretary for Health for applying lease payments to the provision of medical care and services demonstrably improves services to eligible veterans in the geographic service-delivery area within which the leased property is located. Increases to 75 years the authorized term for such leases. Requires funds received under such a lease and remaining after expense deductions to be deposited in the Department of Veterans Affairs Health Services Improvement Fund and used for authorized purposes. Requires at least 75 percent of such funds to be made available to the designated VHA health care region within which the leased property is located. (Sec. 208) Makes ineligible for employment as a VHA health-care professional an individual who was licensed, registered, or certified to practice in more than one State when any one of those States has since terminated such license, registration, or certification. Title III: Miscellaneous - Prohibits the Secretary from closing in any fiscal year more than 50 percent of the beds within a Department medical center unless the Secretary first submits to the veterans' committees a justification for such closure. Prohibits any such closure until 21 days after submission of the report. Requires the Secretary to report annually to such committees on bed closures during the preceding fiscal year. (Sec. 302) Revises provisions concerning the Veterans Canteen Service to remove a provision limiting such services to the sales of merchandise and services for consumption and use on the premises. (Sec. 303) Directs the Secretary to report to the veterans' committees on the feasibility of establishing a pilot program to assist veterans in receiving assisted living services. (Sec. 304) Requires the Department's Under Secretary for Health to establish a VHA policy regarding the role of chiropractic treatment in the care of veterans.