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US HB5261
Bill
Status
Introduced
9/10/2025
Primary Sponsor
Debbie Dingell
Click for details
AI Summary
- Amends Section 1725(c)(4)(D) of title 38, U.S. Code to limit VA reimbursement restrictions to copayments under $100, removing the broader "or similar payment" exclusion
- Defines "copayment" specifically as a fixed amount paid for covered health services, explicitly excluding deductibles and coinsurance from this definition
- Applies retroactively to emergency treatment reimbursement claims submitted to the VA for care furnished on or after February 1, 2012
- Covers claims by members of the certified class in the ongoing lawsuit Wolfe v. McDonough (No. 18-6091, U.S. Vet. App.)
- Expands reimbursement eligibility to include veterans' out-of-pocket costs (copayments, deductibles, coinsurance) for emergency treatment at non-VA facilities when they have private health insurance
Legislative Description
Veterans Emergency Care Reimbursement Act of 2025
Armed forces and national security
Last Action
Referred to the Subcommittee on Health.
9/22/2025
Committee Referrals
Subcommittee on Health9/22/2025
Veterans' Affairs9/10/2025
Full Bill Text
No bill text available