Clarification of VA's Processing of Survivors Benefits Claims

Published date11 March 2024
Record Number2024-04895
Citation89 FR 17354
CourtVeterans Affairs Department
SectionProposed rules
Federal Register, Volume 89 Issue 48 (Monday, March 11, 2024)
[Federal Register Volume 89, Number 48 (Monday, March 11, 2024)]
                [Proposed Rules]
                [Pages 17354-17358]
                From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
                [FR Doc No: 2024-04895]
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                DEPARTMENT OF VETERANS AFFAIRS
                38 CFR Parts 3, 8 and 20
                RIN 2900-AR32
                Clarification of VA's Processing of Survivors Benefits Claims
                AGENCY: Department of Veterans Affairs.
                ACTION: Proposed rule.
                -----------------------------------------------------------------------
                SUMMARY: The Department of Veterans Affairs (VA) proposes to amend its
                adjudication regulations concerning survivors benefits claims. With
                respect to claims processing, VA proposes to clarify that, if VA
                determines that a surviving spouse or child is eligible for dependency
                and indemnity compensation (DIC), VA would concurrently deny the co-
                existing claim for survivors pension, except where paying survivors
                pension would be more beneficial to the claimant, which would only be
                the case if the claimant is the veteran's surviving spouse and the
                claimant's application indicates that the claimant does not have any
                dependents, is currently in a nursing home, and has applied for or is
                currently receiving Medicaid. The intended effect of this rulemaking is
                to streamline and improve the timeliness of the adjudication of claims
                processing for VA survivors benefits while ensuring that claimants
                receive the greatest benefit allowed by law.
                DATES: Comments must be received on or before May 10, 2024.
                ADDRESSES: Comments must be submitted through www.regulations.gov.
                Except as provided below, comments received before the close of the
                comment period will be available at www.regulations.gov for public
                viewing, inspection, or copying, including any personally identifiable
                or confidential business information that is included in a comment. We
                post the comments received before the close of the comment period on
                the following website as soon as possible after they have been
                received: https://www.regulations.gov. VA will not post on
                Regulations.gov public comments that make threats to individuals or
                institutions or suggest that the commenter will take actions to harm
                the individual. VA encourages individuals not to submit duplicative
                comments; however, we will post comments from multiple unique
                commenters even if the content is identical or nearly identical to
                other comments. Any public comment received after the comment period's
                closing date is considered late and will not be considered in the final
                rulemaking. In accordance with the Providing Accountability Through
                Transparency Act of 2023, a 100 word Plain-Language Summary of this
                proposed rule is available at Regulations.gov, under RIN-2900-AR32.
                FOR FURTHER INFORMATION CONTACT: Eric Baltimore, Management and Program
                Analyst, Pension and Fiduciary Service (21PF), Veterans Benefits
                Administration, Department of Veterans Affairs, 810 Vermont Avenue NW,
                Washington, DC 20420; (202) 632-8863 (this is not a toll-free number).
                SUPPLEMENTARY INFORMATION: A surviving spouse or child of a Veteran may
                apply for any of several survivors benefits including DIC, survivors
                pension, and/or accrued benefits. See 38 U.S.C. 5101(b)(1). VA is
                required to address and make a decision on each benefit, irrespective
                of claimant intent, whenever a surviving spouse or child submits a
                claim for DIC, survivors pension, and/or accrued benefits on VA Form
                21P-534 or 21P-534EZ. This proposed rule would only address VA's
                processing of the survivors pension claims of surviving spouses and
                children whom VA has determined are eligible for DIC. VA is not
                proposing to change its processing of survivors pension claims in cases
                in which the claimant is ineligible for DIC. Nor is VA proposing to
                change its processing of accrued benefits claims.
                 DIC and survivors pension provide a basic rate of payment with
                increases where (1) the survivor is in need of regular aid and
                attendance, (2) the survivor is permanently housebound, or (3) the
                surviving spouse has custody of the veteran's minor child(ren), and, in
                each instance, the DIC rate exceeds the maximum annual pension rate.
                Compare 38 U.S.C. 1311 (providing the DIC rates for surviving spouses)
                and 1313 (providing the DIC rates for children), with 38 U.S.C. 1541
                (providing the survivors pension rates for surviving spouses) and 1542
                (providing the survivors pension rates for children). Because DIC and
                survivors pension are not payable concurrently, 38 U.S.C. 1317(a), once
                VA finds the survivor eligible for DIC, specific factual findings with
                respect to survivors pension will not result in VA paying additional
                benefits to that survivor.
                 ``VA possesses a duty not only to individual claimants, but to the
                effective functioning of the veterans [benefits] system as a whole.''
                Veterans Justice Grp., LLC v. Sec'y of Veterans Affairs, 818 F.3d 1336,
                1354 (Fed. Cir. 2016). Recipients of VA's survivors benefits--
                especially survivors pension--are some of VA's most vulnerable
                beneficiaries. Most beneficiaries who receive survivors pension are
                elderly widows or widowers who just lost their spouse's household
                income and have income below the maximum annual pension rate of $11,102
                (surviving spouse with no dependents effective December 1, 2023),
                established by Congress for entitlement to VA survivors pension. VA
                believes this population is best served by VA focusing its adjudication
                resources in the areas more likely to result in benefits flowing to
                survivors. To this end, VA proposes to amend 38 CFR 3.152 to
                specifically state the general rule that a grant of DIC would result in
                the automatic denial of survivors pension, to ensure that a surviving
                spouse or child would receive the greater benefit more quickly.
                 VA acknowledges its statutory obligation to ``decide all questions
                of law and fact necessary to a decision by [VA] under a law that
                affects the provision of benefits by [VA] to veterans or the dependents
                or survivors of veterans.'' 38 U.S.C. 511(a). A ``decision'' either
                grants or denies the
                [[Page 17355]]
                benefit sought. Maggitt v. West, 202 F.3d 1370, 1376 (Fed. Cir. 2000).
                With respect to claims for DIC and survivors pension, Congress has
                provided a general rule of decision by statute, stating that no person
                eligible for DIC shall be eligible for survivors pension. 38 U.S.C.
                1316(b), 1317(a). Therefore, once VA finds eligibility for DIC, there
                are no additional findings of law or fact necessary to decide the claim
                for survivors pension. The survivor's eligibility for DIC itself
                precludes eligibility for survivors pension. VA proposes to amend
                Sec. Sec. 3.5(c) and 3.152(b)(1) to clarify this point.
                 VA also recognizes that Congress has enacted an exception to the
                rule provided in 38 U.S.C. 1317(a), permitting a surviving spouse who
                is eligible for DIC to nonetheless receive survivors pension in certain
                circumstances. 38 U.S.C. 1317(b). VA proposes to amend Sec. Sec. 3.5
                and 3.152 to account for this exception as well. For context, 38 U.S.C.
                1317(a) states, in relevant part, ``[e]xcept as provided in subsection
                (b), no person eligible for [DIC] by reason of any death occurring
                after December 31, 1956, shall be eligible by reason of such death for
                any payments under . . . provisions of law administered by the
                Secretary providing for the payment of . . . death pension.'' Because
                survivors pension is only payable to surviving spouses and children of
                wartime veterans, this restriction on payment of survivors pension to
                someone eligible for DIC only affects those individuals. The exception
                states that ``[a] surviving spouse who is eligible for [DIC] may elect
                to receive death pension instead of such compensation.'' 38 U.S.C.
                1317(b). When considered in isolation, subsection (b) appears to create
                an unfettered right of election for surviving spouses, which would mean
                that the general rule only applies to children. Yet, of the 259,462
                surviving spouses and children receiving DIC at the time the exception
                was enacted, less than nine percent were children. More than 91 percent
                were surviving spouses. Because ``it is hard to even imagine a rational
                statutory exception that is intentionally designed to swallow the
                rule,'' AFGE v. Trump, 318 F. Supp. 3d 370, 434 (D.D.C. 2018), vacated
                on other grounds by 929 F.3d 748, 761 (D.C. Cir. 2019)), ``[i]n
                construing provisions . . . in which a general statement of policy is
                qualified by an exception, [courts] usually read the exception narrowly
                in order to preserve the primary operation of the provision.'' Comm'r
                v. Clark, 489 U.S. 726, 739 (1989) (citing Phillips, Inc. v. Walling,
                324 U.S. 490, 493 (1945)). Therefore, we turn to legislative history
                for further insight into congressional intent. See Reid v. Department
                of Commerce, 793 F.2d 277, 282 (Fed. Cir. 1986) (``resort[ing] to
                legislative history to ascertain the intent of Congress'' when ``a
                literal reading of the statute'' ``would lead to a result at variance
                with the policy of the legislation as a whole'').
                 The legislative history discusses a surviving spouse's election of
                survivors pension solely in terms of cost savings for the Federal
                Government. See Public Law 103-446, sec. 111 (captioned ``Cost-Savings
                Provisions''). As stated previously, the applicable DIC rate always
                exceeds the maximum annual pension rate. Therefore, looking only at the
                monthly benefit payments, the default rule that a person eligible for
                the greater benefit is ineligible for the lesser benefit would increase
                costs. From that perspective, it would appear that permitting any
                surviving spouse to elect the lesser benefit would yield the most cost
                savings. However, VA's costs are not limited to benefit payments. VA
                also incurs adjudication-related costs. The default rule in section
                1317(a) reduces adjudication costs because VA only has to adjudicate
                entitlement to the lesser benefit if the claimant is ineligible for the
                greater benefit. Cost savings can only be realized through an election
                provision if enough claimants actually elect the lesser benefit that
                the aggregate reduction in benefit payments actually exceeds the
                additional administrative costs associated with the adjudication of
                entitlement to the lesser benefit.
                 Yet, the Court of Appeals for Veterans Claims has recognized the
                high improbability that a claimant would intentionally seek less than
                the maximum benefit. AB v. Brown, 6 Vet. App. 35, 38 (1993) (``the
                claimant will generally be presumed to be seeking the maximum benefit
                allowed by law and regulation''). Further, it is very unlikely that
                Congress established section 1317(b) for the purpose of allowing
                claimants to elect the lesser benefits where doing so is contrary to
                their own interests.
                 Nonetheless, the legislative history does identify one situation in
                which the payment of survivors pension would result in more funds
                actually ending up in the hands of the claimant, while at the same time
                yielding cost savings to the Federal government: if a surviving spouse
                who has no dependents is receiving nursing home care paid for by a
                joint Federal and state program known as Medicaid. If an individual
                does not have dependents, Medicaid will not pay for the individual's
                nursing home care unless all of the individual's income is first used
                toward the nursing home costs. As a result, if VA pension constitutes
                countable income for Medicaid purposes, the VA pension program is
                essentially paying for nursing home care that would otherwise be paid
                for by Medicaid. Recognizing this, in 1990, Congress enacted a
                provision providing pension payments at $90.00 per month for Veterans
                who have no dependents and are receiving nursing home care at Medicaid
                expense. H.R. Rep. No. 101-964, at 982-83 (1990). Congress also made
                clear that the $90.00 per month was not countable income for Medicaid
                purposes, which provided an incentive for Veterans to elect the pension
                benefit.
                 In 1992, Congress extended the same policy to surviving spouses.
                Veterans Benefits Act of 1992, Public Law 102-568, sec. 601(a).
                However, the statutory bar in 38 U.S.C. 1317(a) against eligibility for
                survivors pension when an individual was eligible for DIC limited the
                cost savings to the Federal Government, because it required VA to pay
                DIC rather than the protected pension benefit. To address this, in
                1994, Congress enacted 38 U.S.C. 1317(b) as a cost-saving measure,
                enabling surviving spouses to elect survivors pension in lieu of DIC.
                H.R. Rep. No. 103-669, at 11. A surviving spouse who has no dependents
                and requires nursing home care and who receives DIC would have to use
                all the DIC for nursing home care costs before Medicaid coverage would
                apply. A surviving spouse requiring nursing home care may, instead,
                choose to elect survivors pension to receive $90.00 per month, which is
                not countable income for Medicaid purposes, in addition to receiving
                Medicaid coverage. As a result, the surviving spouse's nursing home
                care costs would be covered more by Medicaid and less by VA and the
                Federal Government.
                 VA acknowledges that the text of section 1317(b) is not expressly
                limited to the circumstance involving a surviving spouse who has no
                dependents and requires nursing home care paid by Medicaid or with an
                application pending with Medicaid for such care. However, the only fact
                pattern addressed in legislative history materials produced during the
                conference report stage was that involving surviving spouses who do not
                have any dependents and who are receiving nursing home care paid by
                Medicaid, see H.R. Rep. No. 103-669 at 11; see 140 Cong. Rec. 11355
                (daily ed. Oct. 7, 1994) (joint explanatory statement) (``This would
                permit surviving spouses who are in Medicaid-covered nursing homes and
                who receive
                [[Page 17356]]
                DIC to elect to receive death pension, in order to be able to retain
                $90 of their monthly benefits''). ``The conference report stage is
                closest to final passage and is generally thus the best indicator of
                legislative meaning apart from the statute itself.'' Disabled in Action
                of Metro. New York v. Hammons, 202 F.3d 110, 125 (2d Cir. 2000).
                 Moreover, VA is unaware of a comparable fact pattern in which a
                lesser VA benefit may result in a greater aggregate recovery for a
                claimant. As noted above, Congress established in section 1317(a) a
                general rule that entitlement to DIC precludes entitlement to survivors
                pension, and the exception in section 1317(b) was enacted to address a
                narrow situation, in which the exception serves both to maximize VA
                payments to the claimant and to limit Federal expenditures that would
                otherwise be diverted to third parties. VA believes that applying the
                exception only to those cases involving a surviving spouse who has no
                dependents and requires nursing home care paid by Medicaid or with an
                application pending Medicare for such care best balances the goals of
                section 1317(a) and (b), and best serves VA claimants by avoiding the
                unnecessary case-specific and systemic delays and the Federal
                expenditures that would result from developing and deciding pension
                claims that would not maximize VA benefits to claimants.
                 Therefore, VA interprets section 1317(b) as applying only in the
                circumstance involving a surviving spouse who has no dependents and
                requires nursing home care paid by Medicaid or with an application
                pending with Medicaid for such care. Because survivors pension would be
                the better benefit for the surviving spouse when a surviving spouse
                with no dependents is receiving nursing home care paid by Medicaid, VA
                would automatically grant survivors pension, provide a formal rating
                decision denying DIC, and inform the surviving spouse why VA is
                granting survivors pension. If VA grants a surviving spouse survivors
                pension in lieu of DIC as the more advantageous benefit, the surviving
                spouse is not barred from reapplying for and receiving DIC in the event
                the surviving spouse becomes ineligible for survivors pension at the
                rate provided for in 38 U.S.C. 5503(d). In that circumstance, if the
                surviving spouse's application were received within one year of the
                date on which Medicaid-covered nursing home care ended, VA would deem
                the application to have been received on the date that Medicaid covered
                nursing home care ended and DIC benefits would be effective as of the
                calendar month after Medicaid-covered nursing home care ended.
                Otherwise, DIC benefits would not be effective earlier than the date VA
                receives the claim. Similarly, if a surviving spouse who, but for
                receipt of DIC, would be eligible for survivors pension begins
                receiving Medicaid-covered nursing home care, the surviving spouse
                would not be barred from reapplying for and receiving survivors pension
                at the rate provided for in section 5503(d). In that circumstance, the
                effective date of survivors pension would be based on the date of claim
                for survivors pension and the date DIC payments were discontinued. VA
                proposes to amend Sec. Sec. 3.402 and 3.502(f) to address this change.
                 Furthermore, it is not VA's intent to eliminate a survivor's
                opportunity to claim more than one benefit on a single form--rather it
                is to reduce the administrative burden for both VA and the claimant and
                to expedite the delivery of benefits to survivors. If VA determines
                that the claimant is the veteran's surviving spouse or child, but that
                the veteran's death does not entitle the veteran's survivor to DIC, see
                38 U.S.C. 1310, 1318, VA will decide the additional questions of fact
                or law necessary to grant or deny survivors pension. Similarly, where
                VA determines that the claimant is the veteran's surviving spouse and
                the veteran's death entitles the veteran's survivors to DIC, VA will
                determine whether, but for DIC entitlement, the surviving spouse would
                be entitled to survivors pension at the rate provided for in 38 U.S.C.
                5503(d). In addition, in all cases, VA will provide notice of its
                decision with respect to DIC and survivors pension in accordance with
                38 U.S.C. 5104, including any favorable findings that were necessary to
                those decisions and provide such decision notification in writing to
                the claimant and his or her representative, if applicable.
                 Therefore, VA proposes to amend Sec. Sec. 3.5(c), 3.152(b)(1) and
                3.702(d)(2) to clarify VA's authority to pay the higher or better
                benefit between DIC and survivors pension. The intended effect of this
                amendment is to streamline and improve the timeliness of the
                adjudication of claims processing for VA survivor benefits and deliver
                decisions on claimed benefits and services more timely to beneficiaries
                in need and during a difficult time.
                 VA also proposes to replace the term ``death pension'' with the
                term ``survivors pension'' each place it appears in VA's implementing
                regulations. This will ensure that the language of VA's implementing
                regulations aligns with current usage. Also, VA proposes to replace the
                words ``or compensation'' with ``or death compensation'' each place
                they appear in VA's implementing regulations.
                Executive Orders 12866, 13563 and 14094
                 Executive Order 12866 (Regulatory Planning and Review) directs
                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. Executive Order 14094 (Executive order on
                Modernizing Regulatory Review) supplements and reaffirms the
                principles, structures, and definitions governing contemporary
                regulatory review established in Executive Order 12866 and Executive
                Order 13563. The Office of Information and Regulatory Affairs has
                determined that this rulemaking is not a significant regulatory action
                under Executive Order 12866, as amended by Executive Order 14094. The
                Regulatory Impact Analysis associated with this rulemaking can be found
                as a supporting document at www.regulations.gov.
                Paperwork Reduction Act
                 Although this proposed rule contains collection of information
                under the provisions of the Paperwork Reduction Act of 1995 (44 U.S.C.
                3501-3521), there are no provisions associated with this rulemaking
                constituting any new collection of information or any revisions to the
                existing collection of information. The collection of information for
                Sec. 3.152 is currently approved by the Office of Management and
                Budget and has been assigned OMB control number 2900-0004.
                 VA's proposed changes would not result in a reduction of an
                information collection burden. A surviving spouse or child applies for
                both DIC and survivors pension using a single form. While some of the
                information solicited by the form is pertinent to either benefit (e.g.,
                the claimant's relationship to the veteran and information regarding
                the veteran's service), other information is specific to one benefit
                (e.g., income and asset information with respect to survivor's
                pension). Pursuant to this rulemaking, if VA grants DIC to a
                [[Page 17357]]
                surviving spouse who is not eligible for the exception under 38 U.S.C.
                1317(b), or to a child, VA would be able to adjudicate the application
                for survivors pension without making specific factual findings
                regarding income and net worth because the claimant's entitlement to
                DIC would itself be a bar to entitlement to survivor's pension.
                Conversely, if VA denies DIC or if the surviving spouse had potential
                eligibility for the exception under 38 U.S.C. 1317(b), VA would have a
                legal obligation to solicit income and net worth information from the
                claimant. Isenhart v. Derwinski, 3 Vet. App. 177, 179-80 (1992). Yet,
                whether that information would be necessary to the adjudication of the
                application would only be known after VA makes a determination
                regarding eligibility for DIC. Considering VA's duties to individual
                claimants as well as the functions of the benefits system as a whole,
                VA believes that continuing to collect information pertinent to
                survivors pension entitlement at the time a surviving spouse or child
                applies for DIC would promote streamlined claims processing and reduce
                the likelihood that claimants would be subject to multiple, separate
                requests for information.
                Regulatory Flexibility Act
                 The Secretary certifies that this proposed rule would 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. There are no small entities involved with the process and/or
                benefits associated with this rulemaking. 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 proposed rule would have no such
                effect on State, local, and tribal governments, or on the private
                sector.
                List of Subjects
                38 CFR Part 3
                 Administrative practice and procedure, Claims, Disability benefits,
                Health care, Pensions, Radioactive materials, Veterans, Vietnam.
                38 CFR Part 8
                 Life insurance, Military personnel, Veterans.
                38 CFR Part 20
                 Administrative practice and procedure, Claims, Veterans.
                Signing Authority
                 Denis McDonough, Secretary of Veterans Affairs, signed and approved
                this document on March 1, 2024, 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.
                Michael P. Shores,
                Director, Office of Regulation Policy & Management, Office of General
                Counsel, Department of Veterans Affairs.
                 For the reasons set forth in the preamble, VA proposes to amend 38
                CFR chapter 1 as set forth below:
                PART 3--ADJUDICATION
                Subpart A--Pension, Compensation, and Dependency and Indemnity
                Compensation
                0
                1. The authority citation for part 3, subpart A, continues to read as
                follows:
                 Authority: 38 U.S.C. 501(a), unless otherwise noted.
                0
                2. Amend Sec. 3.5 by revising paragraph (c) to read as follows:
                Sec. 3.5 Dependency and indemnity compensation.
                * * * * *
                 (c) Exclusiveness of remedy. (1) Except as provided in paragraph
                (c)(2) of this section, no person eligible for dependency and indemnity
                compensation by reason of a death occurring on or after January 1,
                1957, shall be eligible by reason of such death for survivors pension
                or death compensation under any other law administered by the
                Department of Veterans Affairs.
                 (2) A surviving spouse who, but for the surviving spouse's
                eligibility for dependency and indemnity compensation, would be
                eligible to receive survivors pension at the rate provided for in 38
                U.S.C. 5503(d) will receive survivors pension instead of such
                compensation.
                (Authority: 38 U.S.C. 1317)
                * * * * *
                0
                3. Amend Sec. 3.152 by:
                0
                a. Redesignating paragraph (b)(1) as paragraph (b)(1)(i); and
                0
                b. Adding paragraph (b)(1)(ii).
                 The addition reads as follows:
                Sec. 3.152 Claims for death benefits.
                * * * * *
                 (b)(1)(i) * * *
                 (ii)(A) Except as provided in paragraph (b)(1)(ii)(B) of this
                section, an award of dependency and indemnity compensation to a
                surviving spouse or child will result in the denial of survivors
                pension.
                 (B) With respect to a claim by a surviving spouse, if the evidence
                establishes that, but for the surviving spouse's eligibility for
                dependency and indemnity compensation, the surviving spouse would be
                eligible to receive survivors pension at the rate provided for in 38
                U.S.C. 5503(d), survivors pension will be paid instead of such
                compensation.
                (Authority: 38 U.S.C. 1317)
                * * * * *
                0
                4. Amend Sec. 3.402 by adding paragraph (d) to read as follows:
                Sec. 3.402 Surviving spouse.
                * * * * *
                 (d) Medicaid-covered nursing home care. (1) If a surviving spouse
                spouse described in Sec. 3.152(b)(1)(ii)(B) stops receiving Medicaid-
                covered nursing home care, dependency and indemnity compensation, if
                otherwise in order, will be effective as of the date Medicaid coverage
                ceased, if a claim for dependency and indemnity compensation is
                received within one year of the date Medicaid coverage ceased;
                otherwise, it will be effective as of the date of receipt of claim or
                date entitlement arose, whichever is later.
                 (2) If a surviving spouse who is receiving dependency and indemnity
                compensation and who, but for eligibility for dependency and indemnity
                compensation, would be eligible for survivors pension, begins receiving
                Medicaid-covered nursing home care, survivors pension will be effective
                as of the first day of the month after dependency and indemnity
                compensation was discontinued, if a claim for survivors pension is
                received within one year of the date dependency and indemnity
                compensation was discontinued; otherwise, it will be effective as of
                the date of receipt of claim or date entitlement arose, whichever is
                later.
                0
                5. Amend Sec. 3.502 by revising the paragraph heading of paragraph (f)
                to read as follows:
                Sec. 3.502 Surviving spouses.
                * * * * *
                [[Page 17358]]
                 (f) Medicaid-covered nursing home care. * * *
                * * * * *
                Sec. 3.658 [Amended]
                0
                5. Amend Sec. 3.658 by, in paragraph (b), removing the words ``or
                compensation'' and adding, in their place, the words ``or death
                compensation''.
                0
                6. Amend Sec. 3.702 by revising paragraph (d) to read as follows:
                Sec. 3.702 Dependency and indemnity compensation.
                * * * * *
                 (d)(1) Except as noted in paragraphs (d)(2) and (g) of this
                section, an election to receive dependency and indemnity compensation
                in lieu of death compensation is final, and the claimant may not
                thereafter reelect death compensation in that case. An election is
                final when the payee (or the payee's fiduciary) has negotiated one
                check for this benefit or when the payee dies after filing an election
                but prior to negotiation of a check.
                 (2) A surviving spouse's receipt of survivors pension at the rate
                provided for in 38 U.S.C. 5503(d) in lieu of dependency and indemnity
                compensation will not be a bar to the surviving spouse's receipt of
                such compensation in the event the surviving spouse becomes ineligible
                for survivors pension at the rate provided for in 38 U.S.C. 5503(d).
                * * * * *
                0
                7. Amend part 3, by removing the words ``death pension'', wherever it
                appears, and adding, in their place, the words ``survivors pension''.
                PART 8--NATIONAL SERVICE LIFE INSURANCE
                0
                8. The authority citation for part 8 continues to read as follows:
                 Authority: 38 U.S.C. 501, 1901-1929, 1981-1988, unless otherwise
                noted.
                Sec. 8.4 [Amended]
                0
                9. Amend Sec. 8.4, in the introductory text and paragraph (b), by
                removing the words ``death pension'' and adding, in their place, the
                words ``survivors pension''.
                PART 20--BOARD OF VETERANS' APPEALS: RULES OF PRACTICE
                0
                10. The authority citation for part 20 continues to read as follows:
                 Authority: 38 U.S.C. 501(a), and as noted in specific sections.
                Sec. 20.104 [Amended]
                0
                11. Amend Sec. 20.104, in paragraph (a)(4), by removing the words
                ``death pension'' and adding, in their place, the words ``survivors
                pension''.
                [FR Doc. 2024-04895 Filed 3-8-24; 8:45 am]
                BILLING CODE 8320-01-P
                

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