This bill changes how the VA pays non-VA doctors and clinics that treat veterans through the Community Care Program. It sets payment rates based on the exact place where care happens—like an inpatient hospital, a hospital outpatient department (on- or off-campus), an ambulatory surgery center, or a doctor’s office. It also requires each claim to include a location-specific provider ID so the VA can confirm where the care was given. If more than one rate could apply, the VA must pay the lowest one.

Key points:

• Who is affected: Veterans getting care through VA Community Care and the non-VA providers who treat them.
• What changes: VA payment rates are tied to the care location, and claims must include a location-specific provider ID; when multiple rates fit, the lowest rate is paid.
• When: Takes effect January 1, 2026.