Beginning, in FY2022, VA has a rapid plan for nationwide expansion of VDC expected from Federal Fiscal Year 2022 – 2026. In addition, other Federal Initiatives and pending legislation, including the Elizabeth Dole Home Care Act, emphasize the importance of innovative programs such as Veteran Directed Care (VDC) and the need to increase access to self-directed services for Veterans at-risk of nursing home placement. This 2022 National Self-Direction Conference session reviewed these updates and other important topics for Financial Management Services (FMS) providers interested in or operating VDC Programs.