To amend title 38, United States Code, to provide for adjustments on a State-by-State basis of income thresholds for eligibility for health care from the Department of Veterans Affairs.

Directs the Secretary of Veterans Affairs, on January 1 annually, to adjust on a State-by-State basis the income threshold for eligibility for hospital and nursing home care and medical services for veterans residing in above-median income States. Defines an "above-median income State" as a State having a median family income (based on a family of four) in excess of the national median family income.