Bill
Bill > HR874
US HR874
US HR874To 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.
summary
Introduced
01/31/2025
01/31/2025
In Committee
03/04/2025
03/04/2025
Crossed Over
Passed
Dead
Introduced Session
119th Congress
Bill Summary
A BILL 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.
AI Summary
This bill amends the existing law governing the Department of Veterans Affairs' Community Care Program to modify how healthcare providers are reimbursed for services. Specifically, the bill requires the VA Secretary to establish specific payment rates based on the precise location where care is provided, including inpatient hospitals, on-campus and off-campus hospital outpatient departments, ambulatory surgical centers, and physicians' offices. The bill mandates that providers submit claims with a unique, geographically specific national provider identifier code to help identify the exact location of service. Additionally, the bill introduces a provision that if multiple payment rates are possible for a particular service, the VA will pay the lowest rate. These changes are designed to create more precise and potentially cost-effective reimbursement methods for veterans' healthcare services. The amendments will take effect on January 1, 2026, giving healthcare providers and the VA time to prepare for the new payment structure.
Committee Categories
Health and Social Services, Military Affairs and Security
Sponsors (2)
Last Action
Referred to the Subcommittee on Health. (on 03/04/2025)
Official Document
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://www.congress.gov/bill/119th-congress/house-bill/874/all-info |
| BillText | https://www.congress.gov/119/bills/hr874/BILLS-119hr874ih.pdf |
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