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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.
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.
Summary
This bill amends the Community Care Program of the Department of Veterans Affairs to require location-specific payment rates for healthcare providers. The Secretary of Veterans Affairs must establish separate rates based on the site of service where care is actually provided, including hospital outpatient departments, ambulatory surgical centers, and physician offices. Each service site must obtain a separate and unique National Provider Identifier, and claims for payment must include the identifier for the site where services were provided. Off-campus outpatient departments must be assigned unique health identifiers and bills must use the separate identifier for that department. These changes take effect January 1, 2027.
AI-generated plain-language summary of the bill text — neutral, and may be imperfect. See the full text below for the exact wording.
Sponsor (1)
1 cosponsor
Money behind the sponsor
Top reported contributors to Mariannette Miller-Meeks’s campaign committee (2024 cycle) — who funds the bill’s sponsor, not a claim about this bill. Data from FEC.
Organizations whose employees gave the most — itemized individual contributions grouped by the donor’s reported employer (FEC Schedule A). Full finance for Mariannette Miller-Meeks → · Outside spending →
Actions (2)
- Mar 24, 2026 Referred to the House Committee on Veterans' Affairs. · house
- Mar 24, 2026 Introduced in House
Similar bills (6)
Bills with similar text or summary — includes reintroductions across Congresses. Ranked by semantic similarity of the bill text (computed locally); a neutral discovery aid, not a claim the bills are duplicates.
Full text
IN THE HOUSE OF REPRESENTATIVES
March 24, 2026
Mrs. Miller-Meeks (for herself and Mr. McCormick) introduced the following bill; which was referred to the Committee on Veterans’ Affairs
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.
Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,
SECTION 1. RATES OF PAY FOR A PROVIDER OF CARE OR SERVICES FURNISHED TO A VETERAN UNDER THE COMMUNITY CARE PROGRAM OF THE DEPARTMENT OF VETERANS AFFAIRS.
(a) Rates.—Section 1703(i)(1) of title 38, United States Code, is amended—
(1) by striking “Except as provided in paragraph (2),” and inserting “(A) Except as provided in paragraph (2),”; and
(2) by adding at the end the following new subparagraphs:
“(B) Not later than January 1, 2027, the Secretary shall establish rates for payments to providers of care or services under subparagraph
(A) that are specific with respect to the following sites of service at which the care or service is actually provided (regardless of the physical location of the headquarters of the provider):
“(i) A hospital outpatient department.
“(ii) An ambulatory surgical center.
“(iii) The office of a physician.
“(iv) Such other sites as the Secretary determines appropriate in carrying out this paragraph.
“(C) The Secretary shall ensure that—
“(i) each site specified in subparagraph (B) obtains a National Provider Identifier under section 6225 of the Consolidated Appropriations Act, 2026 (Public Law 119-75) that is separate and unique from such identifier for such provider; and
“(ii) no payment for care or services under any provision in this title may be made unless the claim for such payment includes the National Provider Identifier for the site at which such hospital care, medical services, or extended care services were furnished.
“(D) In the case of covered OPD services (as defined in section 1833(t)(1)(B) of the Social Security Act (42 U.S.C. 1395l(t)(1)(B)) that are provided on or after January 1, 2027, by a provider that is an off-campus outpatient department of a provider (as defined in section 1833(t)(21)(B) of the Social Security Act (42 U.S.C. 1395l(t)(21(B)), disregarding clauses (ii) and (iv) thereof, as if such clauses did not exist), the Secretary shall ensure that such department is treated as a subpart of such provider and assigned a unique health identifier pursuant to subparagraph (C) of this paragraph, and that such provider includes such identifier on any claim form it submits under this subsection, and that such provider may not hold a veteran liable for such item or service unless such care or services are billed using the separate unique health identifier established for such department under this paragraph.
“(E) Nothing in this paragraph may be construed to—
“(i) prevent the Secretary from determining the appropriate amount of a facility fee;
“(ii) require the Secretary to pay, for the same item or service—
“(I) an independent physician the same amount as the Secretary would pay a hospital-based physician; or
“(II) a hospital-based physician less than the Secretary would pay an independent physician; or
“(iii) affect the authority of the Secretary under paragraph (2).”.
(b) Effective Date.—The amendments made by subsection (a) shall take effect on January 1 of the first calendar year beginning after the date of the enactment of this Act. <all>
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