H.R. 542 would require the Department of Veterans Affairs (VA) to establish agreements with outside providers to furnish medical and social services to veterans who are not in VA nursing homes. The bill also would require VA to improve in-home assistance and support for caregivers of veterans and raise the limit on expenses for nursing home care provided outside of VA facilities. In addition, the bill would require VA to conduct several studies related to medical and health services for elderly veterans and report on those topics. Finally, the bill also would make changes to VA’s home loan guarantee program.