The bill removes copayments and expands evidence-based preventive care for veterans and their families—improving access, prevention, and affordability—while increasing VA program costs, straining service capacity, and introducing administrative and potential legal/political challenges.
Veterans, survivors, and dependents will no longer pay copayments for a broad set of preventive services, reducing out-of-pocket healthcare costs for routine care.
Veterans (including seniors/retirees) gain free access to evidence-based preventive care—including ACIP-recommended immunizations, USPSTF A/B screenings, and major professional organization-recommended services—improving disease prevention, early detection, and management of chronic conditions.
Women veterans and dependents will receive required coverage of contraception (drugs, devices, biologics) and related services, lowering barriers to reproductive healthcare.
Large numbers of veterans gaining free preventive services could increase demand for VA appointments and services, potentially lengthening wait times and delaying care for some beneficiaries.
Eliminating copayments for many preventive services will raise VA healthcare program costs, potentially requiring higher federal appropriations or reallocation of VA resources and affecting taxpayers and budget priorities.
Tying required coverage to recommendations from 'major professional organizations' could create ambiguity and variability in what services the VA must cover, complicating administration and clinical decision-making.
Based on analysis of 2 sections of legislative text.
Eliminates VA copayments for a broadened set of preventive services (including OTC meds, recommended immunizations, USPSTF A/B services, and contraception).
Official title: Amend title 38, United States Code, to eliminate copayments by the Department of Veterans Affairs for preventive health services and medicines relating to preventive health services, and for other purposes.
Introduced March 26, 2026 by Tammy Duckworth · Last progress March 26, 2026
Eliminates VA copayments for a broad set of preventive health services for eligible veterans, survivors, and dependents, and explicitly expands the statutory definition of "preventive health services" to include over‑the‑counter (OTC) medications, ACIP- and adult-schedule-recommended immunizations, USPSTF A/B–rated evidence‑based services, contraception (drugs, devices, biologics), breastfeeding supports, obesity prevention for midlife women, well-woman visits, and other preventive screenings and counseling. The changes amend multiple sections of Title 38 U.S.C. and take effect 180 days after enactment.