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1 1 (August 20, 2020)

handle is hein.crs/govdbmc0001 and id is 1 raw text is: The Armed Forces Retirement Home August20,2020 Since the late 1700s, Congress has established numerous federal programs to provide housing, housing assistance, and health care supportto certain wounded, ill, or injured servicemembers, military retirees, and other veterans. Sont of those programs included the establishment of military as ylums for temporarily or permanently disabled servicemembers. Mostmilitary asylums have since closed or been transferred to the Department of Veterans Affairs (VA) or state agencies that separately orjointly administer a variety ofresidentialsocialsupport programs. Congress also later established the Armed Forces Retirement Home (AFRH) as the only federal military retirement community. In so doing, AFRH absorbed two previously existing military asylums, later converted to Department of Defense- affiliated retirement homes. AFRH now provides residential care to military retirees and certain other veterans. Th'-e Naval om On February 26,1811, Congress directed the establishment of Navy hospitals (2 Stat. 650). Then-Secretary of the Navy Paul Hamilton utilized that authority to establish an interim Navy hospital in Philadelphia, Pennsylvania. In 1834, the hospital became an asylum, laterrenamed the NavalHome, to provide for decrepit anddis abled naval officers, seamen, and Marines. In 1976, the Naval Home moved to a new permanent site in Gulfport, Mississippi. The Soldirs' Hone and AirrnesHm On March 3, 1851, Congress directed the establishment of a Military Asylum for the reliefand support ofinvalid and disabled Soldiers ofthe Army ofthe United States (9 Stat. 595). Washington, D.C., became the location of the primary asylum. Temporary facilities in Louisiana, Mis sissippi, and Kentucky were also established and subsequently closed. Reoraniznintothe AFRH In 1990, Congress consolidated the two existing military retirement homes into an independent federal agency known as the AFRH (P.L. 101-510 § 1511) and subsequently renamed each respective site: AFRH- Washington (which also houses theheadquarters office) and AFRH-Gulfport. Purpose & Organizatin By law (24 U.S.C. §411), the purpose of the AFRH is to provide residences andrelated services for certain retired and formermembers of the Armed Forces. The AFRHis led by a Secretary of Defense-appointed Chief Operating Officer (COO). Chapter 10of Title 24, U.S. Code, assigns certain administrative and oversight responsibilities of the AFRH to DOD. These responsibilities include appointment of executive staff members and the AFRH Advisory Council, technical support for clinical and non-clinical functions, periodic inspections by theDOD Inspector General, and administrative support. Eligibility for Residency Current statute (24 U.S.C. §412) defines eligibility for AFRH residency. In general, residents must meet one of the following eligibility requirements: * age 60 or over and dischargedorreleasedfrommilitary service after 20 or more years of active service; * suffering froma service-connected disability (as determined by the AFRH COO) incurred during military service; * served in a war theater during a time of war declared by Congress, orwere eligible forhostile fire, imminent danger, or hazardous duty pay; or * served in a women's component ofthe Armed Forces prior to June 12, 1948, and meets certain eligibility criteria establishedby the AFRH COO. Non-military spouses may also be eligible forresidency on a space-available basis. In fiscalyear (FY) 2019, there were 712 residents in total. Of those, 562 residents (79%) required only domiciliary care (i.e., independent senior living), while 150 residents (21%) required at leastpart- time nursing home care. At maximum capacity, the AFRH can accommodate at least 1,100residents. ir Hore Servics The AFRH offers five levels of care for eligible residents, each with varying requirements for non-medicalsupport or limited skilled nursing care, including: * Independent Living-residents do not require assistance with activities of daily living (ADL; i.e., hygiene/grooming, medication administration, ambulating, eating/drinking, or dressing); * Independent Living Plus -residents require some assistance with ADL; * Assisted Living-residents receive regular assistance with ADL and support by full-time nursing coverage; * Long -TermCare-res idents with a chronic illness or dis ability receive full-time nursing coverage and assistance with ADL; * Memory Support-residents with cognitive deficiency receive full-time nursing coverage and assistance with ADL. The AFRH does not offer comprehensive nursing home, long-termacute (inpatient) care, orhospice services. It partners with localVA medical centers and military treatment facilities to coordinate additional health care services for residents. ,\g nmq\ \\q pgpg\\\ \\

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