Requires Medicare Advantage and Medicare prescription drug plan (Part D) sponsors to reimburse the Department of Veterans Affairs for health care items and services the VA provides to beneficiaries who are enrolled in those plans when the items or services are covered by the plan. It also strengthens the VA’s existing authority to recover reasonable charges for care the VA furnishes for non‑service‑connected conditions by adding deadlines, payment rules, penalties, interest, a definition of a “clean claim,” and clearer rules about which third parties can be pursued for payment.

The changes aim to improve coordination of benefits, increase VA collections for care it furnishes to insured veterans, and give the VA specific enforcement tools and timelines to obtain reimbursement from private plans, insurers, and other third parties. One new rule applies to plan years beginning on or after January 1, 2026; other recovery provisions take effect on enactment.