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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.

USA119th CongressHR-874| House 
| Updated: 3/4/2025
Richard McCormick

Richard McCormick

Republican Representative

Georgia

Cosponsors (1)
Elijah Crane (Republican)

Health Subcommittee, Veterans' Affairs Committee

  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted
This bill proposes to amend the Department of Veterans Affairs (VA) Community Care Program by modifying how payment rates are determined for services provided to veterans. It mandates that the VA Secretary establish specific payment rates based on the location where the care or services are rendered , rather than the provider's headquarters. The bill specifies distinct locations for which rates must be set, including: Inpatient hospitals On-campus and off-campus hospital outpatient departments Ambulatory surgical centers Physician offices Furthermore, it requires that claims for payment include a unique, geographically specific national provider identifier code to identify the service location. A key provision also stipulates that if more than one rate could apply for a particular service, the Secretary must pay the lowest applicable rate . These changes are set to take effect on January 1, 2026.
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Timeline
Jan 31, 2025
Introduced in House
Jan 31, 2025
Referred to the House Committee on Veterans' Affairs.
Mar 4, 2025
Referred to the Subcommittee on Health.
  • January 31, 2025
    Introduced in House


  • January 31, 2025
    Referred to the House Committee on Veterans' Affairs.


  • March 4, 2025
    Referred to the Subcommittee on Health.

Armed Forces and National Security

Health care costs and insuranceVeterans' medical care

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.

USA119th CongressHR-874| House 
| Updated: 3/4/2025
This bill proposes to amend the Department of Veterans Affairs (VA) Community Care Program by modifying how payment rates are determined for services provided to veterans. It mandates that the VA Secretary establish specific payment rates based on the location where the care or services are rendered , rather than the provider's headquarters. The bill specifies distinct locations for which rates must be set, including: Inpatient hospitals On-campus and off-campus hospital outpatient departments Ambulatory surgical centers Physician offices Furthermore, it requires that claims for payment include a unique, geographically specific national provider identifier code to identify the service location. A key provision also stipulates that if more than one rate could apply for a particular service, the Secretary must pay the lowest applicable rate . These changes are set to take effect on January 1, 2026.
View Full Text

Suggested Questions

Get AI-generated questions to help you understand this bill better

Timeline
Jan 31, 2025
Introduced in House
Jan 31, 2025
Referred to the House Committee on Veterans' Affairs.
Mar 4, 2025
Referred to the Subcommittee on Health.
  • January 31, 2025
    Introduced in House


  • January 31, 2025
    Referred to the House Committee on Veterans' Affairs.


  • March 4, 2025
    Referred to the Subcommittee on Health.
Richard McCormick

Richard McCormick

Republican Representative

Georgia

Cosponsors (1)
Elijah Crane (Republican)

Health Subcommittee, Veterans' Affairs Committee

Armed Forces and National Security

  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted
Health care costs and insuranceVeterans' medical care