US HB4077

Requires Medicare Advantage plans and Medicare Part D prescription drug plans to reimburse the VA for healthcare services provided to enrolled veterans, regardless of additional documentation or utilization management requirements the plans may impose, effective January 1, 2026

Expands the government's authority to recover costs for VA care provided to veterans with non-service-connected disabilities from third parties, including those liable in tort cases and entities responsible for medical expense payments beyond health plan contracts

Establishes a 45-day deadline for third parties to pay clean claims or respond with specific reasons for refusal, with interest penalties accruing on unpaid amounts at Treasury-established rates

Imposes civil penalties on third parties that fail to comply with reimbursement requirements, including up to triple the claim amount or $50,000 (adjustable for inflation) for willful refusal to pay, plus daily penalties for each day of noncompliance

Deposits all recovered funds into the Department of Veterans Affairs Medical Care Collections Fund and sets a six-year statute of limitations for recovery proceedings (three years for tort-based actions)