Veterans Emergency Care Reimbursement Act of 2025
Sponsored By: Representative Dingell
In Committee
Summary
Would cap and define veteran emergency-care copayments as a fixed amount below $100 for Department of Veterans Affairs reimbursement. It clarifies that a copayment is a fixed dollar amount and does not include deductibles or coinsurance, and it applies to emergency care in non-VA facilities back to February 1, 2012.
Show full summary
- Veterans and families: Veterans could seek reimbursement of copayments treated as fixed amounts under $100 for emergency treatment at non-VA facilities. This includes claims submitted on or after February 1, 2012.
- Members of the Wolfe v. McDonough class: Class members may submit or reassert reimbursement claims covered by this definition, including claims previously rejected or denied.
- Department of Veterans Affairs claims processing: Reimbursement claims would use the new copayment definition and the bill explicitly includes claims for copayments, deductibles, coinsurance, or other cost shares for emergency treatment in non-VA settings.
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Bill Overview
Analyzed Economic Effects
1 provisions identified: 1 benefits, 0 costs, 0 mixed.
More VA reimbursement for emergency care
If enacted, VA would broaden paybacks to veterans for emergency care outside VA. Claims could include copays, deductibles, coinsurance, and other cost shares for care on or after February 1, 2012. The bill defines a copay as a fixed amount and ties the limit to copays under $100. It would also cover claims VA rejected or denied before, including the Wolfe v. McDonough class. You would need emergency treatment at a non‑VA facility and to submit a claim to VA.
Sponsors & CoSponsors
Sponsor
Dingell
MI • D
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
No roll call votes available for this bill.
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