; and (B) who absent such participation would be at increased risk for hospitalization, placement in a nursing home, or emergency room care. (6) The term home health agency has the meaning given that term in section 1861(o) of the Social Security Act ( 42 U.S.C. 1395x(o) ). (7) The term home health aide means an individual employed by a home health agency to provide in-home care services. (8) The term in-home care service means any service, including a personal care service, provided to enable the recipient of such service to live at home. (9) The term Native American veteran has the meaning given that term in section 3765 of this title. (10) The terms Native Hawaiian and Native Hawaiian health care system have the meanings given those terms in section 12 of the Native Hawaiian Health Care Improvement Act ( 42 U.S.C. 11711 ). (11) The term resident caregiver means a caregiver or a family caregiver of a veteran who resides with the veteran. (12) The terms tribal health program and Urban Indian organization have the meanings given those terms in section 4 of the Indian Health Care Improvement Act ( 25 U.S.C. 1603 ). . (2) Clerical amendment The table of sections at the beginning of such subchapter is amended by inserting after the item relating to section 1720J the following new item: 1720K. Home and community based services: programs. . (b) Deadline for improved administration The Secretary shall ensure that the Veteran Directed Care program and the Home Maker and Home Health Aide program are administered through each medical center of the Department in accordance with section 1720K of title 38, United States Code (as added by subsection (a)(1)), by not later than two years after the date of the enactment of this Act. (c) Administration of Veteran Directed Care program (1) Procedures The Secretary shall establish procedures to identify staffing needs for the Program and define the roles and responsibilities of personnel of the Program at the national, Veterans Integrated Service Network, and facility levels,