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Veteran Access to Neurosurgery Act of 2026
To require the Secretary of Veterans Affairs to carry out a pilot program to provide market-based rate adjustments to certain providers for furnishing qualifying specialized surgical services to veterans under the Veterans Community Care Program, and for other purposes.
Summary
This bill directs the Secretary of Veterans Affairs to establish a five-year pilot program allowing qualified providers to negotiate market-based rate adjustments for neurosurgery services furnished to veterans through the Veterans Community Care Program. The pilot program will operate in at least two Veterans Integrated Service Networks serving rural and highly rural areas. Market-based rate adjustments will be available if the provider demonstrates the adjustment is necessary, the current rate is insufficient to cover costs, and the veteran lives in an area without other neurosurgery services available within a 60-day wait time or 100-mile distance. The Secretary must issue regulations within 180 days and submit annual reports to Congress detailing patient numbers, services provided, costs, health outcomes, and recommendations. The Veterans Affairs Inspector General will conduct annual reviews to ensure program compliance and efficiency.
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)
- Sen. Cassidy, Bill [R-LA] (R-LA)
Money behind the sponsor
Top reported contributors to Bill Cassidy’s campaign committee (2024 cycle) — who funds the bill’s sponsor, not a claim about this bill. Data from FEC.
- ANDREESSEN HOROWITZ $59,100
- GENERAL ATLANTIC $37,700
- WELSH CARSON ANDERSON & STOWE $33,870
- OCHSNER HEALTH SYSTEM $33,250
- RA CAPITAL MANAGEMENT $30,200
Organizations whose employees gave the most — itemized individual contributions grouped by the donor’s reported employer (FEC Schedule A). Full finance for Bill Cassidy → · Outside spending →
Actions (2)
- Mar 18, 2026 Read twice and referred to the Committee on Veterans' Affairs. · senate
- Mar 18, 2026 Introduced in Senate
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 SENATE OF THE UNITED STATES
March 18, 2026
Mr. Cassidy introduced the following bill; which was read twice and referred to the Committee on Veterans’ Affairs
A BILL
To require the Secretary of Veterans Affairs to carry out a pilot program to provide market-based rate adjustments to certain providers for furnishing qualifying specialized surgical services to veterans under the Veterans Community Care Program, 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 “Veteran Access to Neurosurgery Act of 2026”.
SEC. 2. PILOT PROGRAM FOR MARKET-BASED RATE ADJUSTMENTS FOR QUALIFYING SPECIALIZED SURGICAL SERVICES UNDER THE VETERANS COMMUNITY CARE PROGRAM.
(a) In General.—Commencing not later than one year after the date of the enactment of this Act, the Secretary of Veterans Affairs shall carry out a pilot program to permit qualified providers to negotiate market-based rate adjustments for furnishing qualifying specialized surgical services to veterans under the Veterans Community Care Program (in this section referred to as the “pilot program”).
(b) Duration.—The Secretary may carry out the pilot program for the five-year period beginning on the commencement of the pilot program.
(c) Locations.—The Secretary shall carry out the pilot program in not less than two Veterans Integrated Service Networks of the Department of Veterans Affairs with a large number of veterans residing in locations that are in rural or highly rural areas.
(d) Determination of Market-Based Rate Adjustments.—In carrying out the pilot program, the Secretary shall provide a market-based rate adjustment to a qualified provider in furnishing qualified specialized surgical services to a veteran if—
(1) the provider demonstrates that the rate adjustment is necessary to furnish such services;
(2) the rate otherwise applicable to such services under the Veterans Community Care Program is insufficient to cover the cost of furnishing such services; and
(3) the veteran lives in a geographical area where there are no other qualifying specialized surgical services furnished by the Department of Veterans Affairs, either direct care or through the Veterans Community Care Program, available within either a 60-day wait-time or distance of 100 miles.
(e) Regulations.—Not later than 180 days after the date of the enactment of this Act, the Secretary shall prescribe, through notice and comment rulemaking, regulations necessary to implement this section.
(f) Inspector General Review.—Not later than one year after the date of the enactment of this Act, and not less frequently than annually thereafter for the duration of the pilot program, the Inspector General of the Department of Veterans Affairs shall—
(1) conduct a review of the pilot program to ensure compliance by the Secretary with requirements under the pilot program and to ensure the efficiency and effectiveness of the pilot program; and
(2) submit to the Secretary and the appropriate committees of Congress a report containing the findings from such review.
(g) Annual Report.—Not later than one year after the date of the enactment of this Act, and not less frequently than annually thereafter for the duration of the pilot program, the Secretary shall submit to the appropriate committees of Congress a report on the pilot program that includes, for the year covered by the report, the following:
(1) The number of patients served under the pilot program.
(2) The different types of qualifying specialized surgical services furnished under the pilot program and the number of veterans furnished each such service.
(3) The total costs incurred in furnishing services under the pilot program.
(4) A description of any measurable outcomes in terms of health results for patients under the pilot program.
(5) Any policy recommendations for improvement of the pilot program or recommendations as to whether the pilot program should be extended or made permanent.
(6) Such other information as the Secretary determines relevant to include.
(h) Definitions.—In this section:
(1) Appropriate committees of congress.—The term “appropriate committees of Congress” means—
(A) the Committee on Veterans’ Affairs of the Senate; and
(B) the Committee on Veterans’ Affairs of the House of Representatives.
(2) Qualified provider.—The term “qualified provider” means a board-certified surgeon.
(3) Qualifying specialized surgical services.—The term “qualifying specialized surgical services” means services relating to neurosurgery.
(4) Veterans community care program.—The term “Veterans Community Care Program” means the program under section 1703 of title 38, United States Code. <all>
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