HR668119th CongressWALLET

Coordinating Care for Senior Veterans and Wounded Warriors Act

Sponsored By: Representative Ciscomani

In Committee

Summary

Coordinate and streamline care for veterans enrolled in both Medicare and VA. This bill would create a VA pilot to assign case managers, share medical records, and test value-based care models across 3 to 5 Veterans Integrated Service Networks that include rural and medically underserved areas.

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  • Covered veterans: Each participating veteran would be assigned a case manager who develops an individualized needs assessment and a care coordination plan and helps the veteran access services under VA law and Medicare.
  • Access and providers: The pilot aims to improve access, quality, and health outcomes while lowering per-capita costs by eliminating gaps and duplicate services and by enabling timely sharing of medical records among VA facilities, VA community care providers, and Medicare providers.
  • Administration and oversight: The VA Center for Innovation for Care and Payment would run the pilot for a three-year period. The Secretary may contract with private sector health programs to design and manage the pilot and must report tracked metrics and results regularly to the House and Senate Veterans’ Affairs Committees.

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Bill Overview

Analyzed Economic Effects

1 provisions identified: 1 benefits, 0 costs, 0 mixed.

Coordinated VA and Medicare care pilot

This bill would direct the VA and HHS to run a three-year pilot to coordinate care for covered veterans. Covered veterans are those enrolled in both Medicare and VA annual patient enrollment. The pilot would operate in 3 to 5 VISNs and must include rural and medically underserved areas. Each participant would get a case manager and an individualized care coordination plan. VA would use value-based models, may hire private partners, and must track care use, costs, access, quality, and satisfaction. VA would report quarterly during the first two years and submit a final report 180 days before the pilot ends.

Sponsors & CoSponsors

Sponsor

Ciscomani

AZ • R

Cosponsors

  • Davis (NC)

    NC • D

    Sponsored 1/23/2025

  • Turner (OH)

    OH • R

    Sponsored 1/23/2025

  • Van Drew

    NJ • R

    Sponsored 2/5/2025

  • Barrett

    MI • R

    Sponsored 2/7/2025

  • Neguse

    CO • D

    Sponsored 7/22/2025

  • Vindman

    VA • D

    Sponsored 10/14/2025

Roll Call Votes

No roll call votes available for this bill.

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