Paul - since I retired from the HOUSE VETS AFFAIRS COMMITTEE 18 months ago, I am going to wing it based on my experience, but sounds like the following. For real details, vets should check with their service officer or call their VA Regional office (yes, I know... fat chance).
1. Establish a clear net-worth limit for income and assets for Veterans to qualify for pension:
A: Eligibility for VA's non-service connected disability pension program is based on a a maximum of combination of income and net worth. In the past max income was roughly the official poverty level - about $17K-$18K for a single vet or about $21k-22K for a married vet. Income over those amounts when exemptions like medical expenses were deducted would cause a dollar-for-dollar in the VA payment to bring the total to those levels. I am not sure about net worth, but suffice it to say, a vet with a house or other assets worth millions will have a hard time qualifying.
2. Establish a 36-month look-back period to review asset transfers at less than fair market value that reduce net worth and create pension entitlement:
A: As in #1, if a vet owns a house or other significant assets and reduces the total net worth by giving or selling them at well below market value to reduce net worth in order to qualify for VA pension, VA will likely deny pension and VA will now look back 3 years to analyze the disposition of that net worth.
3. Establish up to a five-year penalty period to be calculated based on the portion of the covered assets that would have made net worth excessive:
A: This is a complete guess, but it sounds like when VA finds a case described in #2, they could deny qualification for pension for up to 5 years, probably based on some amortization of the amount of excess net worth over time.
4. Updates medical expense definitions for consistency with VA internal guidelines:
A: Medical expenses reduce the max income and possibly net worth in determining whether a vet qualifies for pension. I do not remember for sure whether the reduction is dollar-for-dollar, but if it is, assuming if a vet has an income of $20K per year and spends $10K on non-service and service-connected medical care, only $10K would be counted as income and VA would give pension payments sufficient to bring the vet's total income to the limits noted in #1.
VA's website has a fairly good explanation of the pension program for non-service connected wartime vets. see...
https://www.benefits.va.gov/pension/pencalc.asp