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Foreign Medical Program Integrity and Improvement Act
To improve the integrity and oversight of the Foreign Medical Program of the Department of Veterans Affairs, and for other purposes.
Summary
- Limits VA payments for foreign medical care to the lesser of the amount billed or what Medicare pays for the same service, with exception for emergencies to ensure veteran access.
- Prohibits the VA from paying for care furnished to or by deceased individuals, as identified in the Death Master File.
- Requires the VA to refer suspected fraudulent claims to the Inspector General and allows withholding of payment during investigation.
- Requires the VA to deny fraudulent claims determined by the Inspector General and to recover any previously paid funds related to fraudulent claims.
- Requires the VA to maintain a list of providers who submitted fraudulent claims and prohibits payment to providers appearing on that list.
- Requires the VA to designate a Fraud Detection and Prevention Coordinator and allows the Secretary to contract with third-party entities to administer claims and operate information technology systems for the program.
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)
- Rep. Harrigan, Pat [R-NC-10] (R-NC)
Actions (3)
- Jun 30, 2026 Referred to the Subcommittee on Health. · house
- Jun 25, 2026 Referred to the House Committee on Veterans' Affairs. · house
- Jun 25, 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
June 25, 2026
Mr. Harrigan introduced the following bill; which was referred to the Committee on Veterans’ Affairs
A BILL
To improve the integrity and oversight of the Foreign Medical Program of the Department of Veterans Affairs, 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. SHORT TITLE.
This Act may be cited as the “Foreign Medical Program Integrity and Improvement Act”.
SEC. 2. FOREIGN MEDICAL PROGRAM OF THE DEPARTMENT OF VETERANS AFFAIRS: RATES OF PAYMENT; OVERSIGHT.
(a) Rates of Payment.—Section 1724 of title 38, United States Code, is amended by adding at the end the following new subsection:
“(g)(1) Subject to paragraph (2), the rate paid for hospital care or medical services under this section shall be the lesser of—
“(A) the amount billed for such hospital care or medical services; or
“(B) the rate paid by the United States to a provider of services (as defined in section 1861(u) of the Social Security Act (42 U.S.C. 1395x(u))) or a supplier (as defined in section 1861(d) of such Act (42 U.S.C. 1395x(d))) under the Medicare program under title XVIII of the Social Security Act (42 U.S.C. 1301 et seq.), including section 1834 of such Act (42 U.S.C. 1395m), for the same care or services.
“(2) The Secretary may make a payment in excess of the rate determined under paragraph (1) to ensure that a veteran has access to hospital care or medical services, including in an emergency.”.
(b) In the Case of a Deceased Veteran or Provider.—Section 1724 of title 38, United States Code, is amended by adding at the end the following new subsection:
“(h)(1) The Secretary may not use any Federal funds to pay for care or services furnished under this section—
“(A)(i) to an individual who appears in the Death Master File; or
“(ii) by an individual who appears in the Death Master File; and
“(B) after the date of death of such individual.
“(2) In this subsection, the term ‘Death Master File’ has the meaning given such term in section 203 of the Bipartisan Budget Act of 2013 (Public Law 113-167; 42 U.S.C. 1306c).”.
(c) In Cases of Fraud.—Section 1724 of title 38, United States Code, is further amended by adding at the end the following new subsections:
“(i) In the case of a claim for payment for care or services furnished under this section that the Secretary suspects constitutes fraud, waste or abuse, the Secretary—
“(1) shall refer such claim to the Inspector General of the Department;
“(2) may withhold such payment during the investigation of such claim;
“(3) shall approve the claim and release such payment as soon as practicable if the Inspector General determines that the claim is proper; and
“(4) shall, if the Inspector General determines that such claim constitutes fraud, waste or abuse—
“(A) deny the claim; and
“(B) take action the Secretary determines appropriate to recover any Federal funds already paid in relation to such claim, claimant, or provider.
“(j)(1) The Secretary shall maintain a list of providers of care or services furnished under this section who have submitted fraudulent claims for such care or services.
“(2) The Secretary may not use any Federal funds to pay for care or services furnished under this section by a provider whose name appears on the list.
“(3) Each time the Secretary adds the name of a provider to the list, the Secretary shall distribute the list electronically to veterans registered in a program under this section.
“(j) The Secretary shall designate a Fraud Detection and Prevention Coordinator to carry out subsections (h), (i), and (j) of this section.”.
(d) Authority To Contract.—
(1) In general.—Section 1724 of title 38, United States Code, is further amended by adding at the end the following new subsection:
“(k) The Secretary may enter into an agreement with an entity pursuant to which such entity shall serve as a third-party administrator of claims for care or services furnished under this section.”.
(2) Temporary expansion.—The Secretary of Veterans Affairs may enter into an agreement with an entity pursuant to which such entity shall provide to the Secretary access to an information technology system for the administration of claims for care or services furnished under such section. If the Secretary exercises such authority, the Secretary shall ensure that implementation of such system is complete not later than one year after the date of the enactment of this Act. <all>
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