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Adjusting Veteran Community Care Payment Rates Based on Service Location

This bill changes how the VA pays for medical services provided to veterans outside of VA facilities through the Community Care Program. It ensures that payment rates match the specific location where care is given, protecting veterans from incorrect billing.
Key points
Payment rates will now depend on the specific site of service, such as a doctor's office, surgical center, or hospital.
Every medical site must obtain and use a unique National Provider Identifier (NPI) for billing purposes.
Veterans are legally protected from being held liable for costs if the provider fails to use the correct site-specific ID on the claim.
Off-campus hospital departments must be treated as separate entities with their own unique identifiers to ensure accurate billing.
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Status:
Introduced
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Additional Information
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.
Print number: HR 8057
Sponsor: Rep. Miller-Meeks, Mariannette [R-IA-1]
Process start date: 2026-03-24