{"data":{"id":"us/38-cfr-59.40","jurisdiction":"us","citation":"38 CFR 59.40","heading":"Maximum number of nursing home care and domiciliary care beds for veterans by State.","body":"(a) Except as provided in paragraph (b) of this section, a state may not request a grant for a project to construct or acquire a new state home facility, to increase the number of beds available at a state home facility, or to replace beds at a state home facility if the project would increase the total number of state home nursing home and domiciliary beds in that state beyond the maximum number designated for that state, as shown in the following chart. The provisions of 38 U.S.C. 8134 require VA to prescribe for each state the number of nursing home and domiciliary beds for which grants may be furnished (i.e., the unmet need). A state's unmet need for state home nursing home and domiciliary beds is the number in the following chart for that state minus the sum of the number of nursing home and domiciliary beds in operation at state home facilities and the number of state home nursing home and domiciliary beds not yet in operation but for which a grant has either been requested or awarded under this part.\nState Maximum number of state home, nursing home \u0026 domiciliary beds based on 2020 projections\nAlabama 1007\nAlaska 179\nArizona 1520\nArkansas 653\nCalifornia 4363\nColorado 1114\nConnecticut 559\nDelaware 207\nDistrict of Columbia 83\nFlorida 4049\nGeorgia 1975\nHawaii 268\nIdaho 394\nIllinois 1754\nIndiana 1216\nIowa 578\nKansas 518\nKentucky 818\nLouisiana 638\nMaine 362\nMaryland 1102\nMassachusetts 944\nMichigan 1786\nMinnesota 1058\nMississippi 480\nMissouri 1257\nMontana 281\nNebraska 371\nNevada 649\nNew Hampshire 361\nNew Jersey 992\nNew Mexico 417\nNew York 2209\nNorth Carolina 1900\nNorth Dakota 137\nOhio 2143\nOklahoma 766\nOregon 907\nPennsylvania 2336\nPuerto Rico 288\nRhode Island 157\nSouth Carolina 1089\nSouth Dakota 179\nTennessee 1311\nTexas 4119\nUtah 426\nVermont 142\nVirginia 1903\nVirgin Islands 12\nWashington 1687\nWest Virginia 406\nWisconsin 1062\nWyoming 154\nAmerican Samoa 0\nGuam 12\nN. Mariana Islands 1\nNote to paragraph (a):\nThe provisions of 38 U.S.C. 8134 require that the “un-met need” numbers be based on a 10-year projection of demand for nursing home and domiciliary care by veterans who at such time are 65 years of age or older and who reside in that state. In determining the projected demand, VA must take into account travel distances for veterans and their families.\n(b) A State may request a grant for a project that would increase the total number of State nursing home and domiciliary beds beyond the maximum number for that State, if the State submits to VA, documentation to establish a need for the exception based on travel distances of at least two hours (by land transportation or any other usual mode of transportation if land transportation is not available) between a veteran population center sufficient for the establishment of a State home and any existing State home. The determination regarding a request for an exception will be made by the Secretary.","path":["Title 38—Pensions, Bonuses, and Veterans' Relief","CHAPTER I—DEPARTMENT OF VETERANS AFFAIRS","PART 59—GRANTS TO STATES FOR CONSTRUCTION OR ACQUISITION OF STATE HOMES"],"source_url":"https://www.ecfr.gov/api/versioner/v1/full/2026-08-25/title-38.xml","current_through":"2026-08-25","vintage":"","retrieved_at":"2026-08-27T02:25:50Z","sha256":"d3eb9a6f29cabd5361059314e71b7d04d5e486781fff310f3493431b562f52d9","source_id":"us-cfr","stale":true,"prev":"us/38-cfr-59.30","next":"us/38-cfr-59.50"},"notice":"GroundRules: Original legal text. Not legal advice."}