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Caregiver groups urge VA clarity on PCAFC rule, veteran‑directed care and program continuity
Summary
Witnesses from the Elizabeth Dole Foundation and other caregiver organizations said the VA’s proposed rule for the Program of Comprehensive Assistance for Family Caregivers (PCAFC) remains complex, that legacy participants should be grandfathered, and that a paused contract supporting Veteran Directed Care certification threatens program access.
Representatives of caregiver groups told the House–Senate hearing that recent regulatory and contracting developments at VA risk disrupting programs that thousands of caregivers use to support veterans at home.
Meredith Beck of the Elizabeth Dole Foundation said the proposed PCAFC rule, while published, remains complex and hard to implement consistently. She urged Congress to exercise oversight, to grandfather the "legacy cohort" of post‑9/11 caregivers admitted…
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