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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 federal law to require the Department of Veterans Affairs to establish location-specific payment rates for care and services provided under the Community Care Program, rather than using uniform rates. Payment rates would vary based on whether care is provided at inpatient hospitals, on-campus or off-campus hospital outpatient departments, ambulatory surgical centers, or physician offices. The bill requires that claims for payment include a geographically specific provider identifier code. It also specifies that when multiple payment rates could apply, the VA must pay the lowest rate. The amendments take effect on January 1, 2026.
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
- Rep. Crane, Elijah [R-AZ-2] (R-AZ)
Money behind the sponsor
Top reported contributors to Richard Mccormick’s campaign committee (2024 cycle) — who funds the bill’s sponsor, not a claim about this bill. Data from FEC.
- NULL $21,624
- INFO REQUESTED $18,600
- CEO $15,700
- EXECUTIVE $12,900
- SANKRANTI / VENSAI TECHNOLOGIES $12,505
Organizations whose employees gave the most — itemized individual contributions grouped by the donor’s reported employer (FEC Schedule A). Full finance for Richard Mccormick → · Outside spending →
Actions (3)
- Mar 4, 2025 Referred to the Subcommittee on Health. · house
- Jan 31, 2025 Referred to the House Committee on Veterans' Affairs. · house
- Jan 31, 2025 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
January 31, 2025
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) of title 38, United States Code, is amended—
(1) in paragraph (1)—
(A) by striking “Except as provided in paragraph
(2), and to the extent practicable” and inserting
“(A) To the extent practicable”; and
(B) by adding at the end the following new subparagraphs:
“(B) The Secretary shall establish rates for payments under subparagraph (A) that are specific with respect to the following locations at which the care or services were provided (regardless of the location of the headquarters of the provider):
“(i) An inpatient hospital.
“(ii) An on-campus hospital outpatient department.
“(iii) An off-campus hospital outpatient department.
“(iv) An ambulatory surgical center.
“(v) The office of a physician.
“(C) The Secretary shall ensure that a claim for payment under this paragraph includes a unique, geographically specific national provider identifier code that identifies the location of the provider as described in subparagraph (B).”; and
(2) by adding at the end the following new paragraph:
“(7) If the Secretary may pay more than one rate under this paragraph for care or services, the Secretary shall pay the lowest such rate.”.
(b) Effective Date.—The amendments made by subsection (a) shall take effect on January 1, 2026. <all>
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