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Veterans' Healthcare Cost Recovery from Medicare Advantage Plans

New legislation aims to ensure the Department of Veterans Affairs (VA) can recover healthcare costs for veterans enrolled in Medicare Advantage or Medicare prescription drug plans. This means insurance companies will be required to reimburse the VA for medical services, potentially improving funding for veterans' care. The bill also introduces penalties for companies that fail to reimburse in a timely manner.
Key points
Insurance companies offering Medicare Advantage and Medicare prescription drug plans must reimburse the Department of Veterans Affairs (VA) for healthcare provided to veterans, even for non-service-connected disabilities.
The VA will be able to recover these funds, which will be deposited into the Veterans Affairs Medical Care Collections Fund, potentially enhancing the availability and quality of veteran healthcare services.
Financial penalties and interest will be imposed on insurance companies that fail to reimburse costs within specified deadlines, aiming to ensure prompt payments.
The act streamlines the VA's ability to recover costs from third parties (e.g., auto insurers, tortfeasors) for veterans' medical care related to non-service-connected injuries.
article Official text account_balance Process page
Introduced
Citizen Poll
No votes cast
Additional Information
Print number: 119_HR_4077
Sponsor: Rep. Doggett, Lloyd [D-TX-37]
Process start date: 2025-06-23
Lustra uses Artificial Intelligence. Verify details in source documents.
Summarized by: gemini-2.5-flash
Source data: api.congress.gov
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OFFICIAL LEGAL TITLE

GUARD Veterans’ Health Care Act

FREQUENTLY ASKED QUESTIONS

What is the official ID of this bill?

The official print number for this legislation is 119_HR_4077.

Which chamber initiated this legislation?

This legislation was initiated in the House of Representatives.

When did the legislative process begin?

The process officially started on 2025-06-23.

What are the main provisions?

Key points include:

  • Insurance companies offering Medicare Advantage and Medicare prescription drug plans must reimburse the Department of Veterans Affairs (VA) for healthcare provided to veterans, even for non-service-connected disabilities.
  • The VA will be able to recover these funds, which will be deposited into the Veterans Affairs Medical Care Collections Fund, potentially enhancing the availability and quality of veteran healthcare services.
  • Financial penalties and interest will be imposed on insurance companies that fail to reimburse costs within specified deadlines, aiming to ensure prompt payments.
  • The act streamlines the VA's ability to recover costs from third parties (e.g., auto insurers, tortfeasors) for veterans' medical care related to non-service-connected injuries.
What is the specific legal status?

The current status is Introduced.

Where can I read the full text of this legislation?

The full official text is available at: View full text

Who is the primary sponsor?

The primary sponsor is Rep. Doggett, Lloyd [D-TX-37].

What is the latest detailed status?

The latest detailed status is: Introduced in House

Is this summary verified?

Yes. This content was analyzed by AI and verified by the Lustra Judge System on 2025-12-22.

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Health Benefits