To amend title 38, United States Code, to modify the rate of pay for care or services provided under the Community Care Program of the Department of Veterans Affairs based on the location at which such care or services were provided, and for other purposes.
Armed Forces and National Security
3 pages
house
senate
president
Introduced on January 31, 2025 by Rich McCormick
Sponsors (2)
House Votes
Vote Data Not Available
Senate Votes
Vote Data Not Available
AI Summary
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.
Text Versions
Text as it was Introduced in House
ViewJanuary 31, 2025•3 pages
Amendments
No Amendments