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US HB874

Bill

Status

Introduced

1/31/2025

Primary Sponsor

Richard McCormick

Click for details

Origin

House of Representatives

119th Congress

AI Summary

  • Requires the VA Secretary to establish location-specific payment rates for Community Care Program services based on where care is actually provided, not where the provider's headquarters is located

  • Specifies five distinct care settings for rate differentiation: inpatient hospitals, on-campus hospital outpatient departments, off-campus hospital outpatient departments, ambulatory surgical centers, and physician offices

  • Mandates that payment claims include a unique, geographically specific national provider identifier code identifying the actual service location

  • Requires the VA to pay the lowest applicable rate when multiple rates could apply for the same care or services

  • Takes effect January 1, 2026

Legislative Description

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

Last Action

Referred to the Subcommittee on Health.

3/4/2025

Committee Referrals

Subcommittee on Health3/4/2025
Veterans' Affairs1/31/2025

Full Bill Text

No bill text available