US SB3532

State Veterans Homes certified by the Department of Veterans Affairs would be deemed compliant with Medicare and Medicaid nursing facility requirements, eliminating duplicate federal inspections

VA must submit inspection documentation to HHS upon request and undergo joint review of survey standards with CMS at least every 2 years to confirm alignment with Medicare Conditions of Participation

HHS retains authority to conduct complaint investigations, impose civil monetary penalties, terminate participation, or revoke deemed status if VA certification processes fall below federal standards

VA inspection findings, deficiency statements, and quality metrics must be incorporated into the Nursing Home Care Compare website for public transparency

Amendments take effect 90 days after enactment, with HHS required to issue harmonization guidance within 180 days