# 119-hr-8057: 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.

119-hr-8057, 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., is a 119th Congress bill sponsored by Rep. Miller-Meeks, Mariannette [R-IA-1] (R-IA); status introduced; PRIA reads it as touching household money (as of 2026-04-21).

- Canonical: https://policyrisk.com/legislation/119-hr-8057
- As of: 2026-04-21
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-8057
- Congress: 119
- Title: 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.
- Status: introduced
- Introduced: 2026-03-24
- Sponsor: Rep. Miller-Meeks, Mariannette [R-IA-1] (R-IA)
- Cosponsors: 1
- Policy area: Armed Forces and National Security
- Touches household money: yes
- Last recorded action: 2026-04-21

## Summary

**Would create site-specific payment rates for VA Community Care services.** It would require the Department of Veterans Affairs to set separate payment rates by site of service and to use unique site-level National Provider Identifiers for billing. - Veterans: Off-campus hospital outpatient departments would be treated as a subpart of the provider and assigned a unique department identifier for VA claims. For covered outpatient department services provided on or after Jan 1, 2027, veterans may not be held liable for charges unless the claim uses that department's identifier. - Providers: Each care site such as hospital outpatient departments, ambulatory surgical centers, and physician offices would need a separate National Provider Identifier to receive payment. Claims without the site NPI could not be paid and the VA could pay different amounts to hospital-based physicians and independent physicians for the same service. - VA operations: The VA would have until Jan 1, 2027 to establish the site-specific rates and would retain discretion to set facility fees and other payment rules.

## Cosponsors (1)

- Rep. McCormick, Richard [R-GA-7] (R-GA), 2026-03-24T00:00:00.000Z

## Provisions PRIA read

- New VA site-based payment rules: mixed, low. This bill would require the VA to set different payment rates for care based on the place the care was given. The VA would have to create site-specific rates not later than January 1, 2027. Each care site would need its own separate National Provider Identifier (NPI), and VA would not pay a claim u…

## Related bills

- 119-hr-9237: Take Care of America’s Veterans Act
- 119-hr-4669: FEMA Act of 2025
- 119-hr-3151: SHIPS for America Act of 2025
- 119-hr-4317: PBM Reform Act of 2025
- 119-hr-1656: PLUS for Veterans Act of 2025
- 119-hr-3132: CHOICE for Veterans Act of 2025

## Sources
- [119-hr-8057 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/8057)

## Related
- [119-hr-9237: Take Care of America’s Veterans Act](https://policyrisk.com/legislation/119-hr-9237)
- [119-hr-4669: FEMA Act of 2025](https://policyrisk.com/legislation/119-hr-4669)
- [119-hr-3151: SHIPS for America Act of 2025](https://policyrisk.com/legislation/119-hr-3151)
- [119-hr-4317: PBM Reform Act of 2025](https://policyrisk.com/legislation/119-hr-4317)
- [119-hr-1656: PLUS for Veterans Act of 2025](https://policyrisk.com/legislation/119-hr-1656)
- [119-hr-3132: CHOICE for Veterans Act of 2025](https://policyrisk.com/legislation/119-hr-3132)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-8057 (as of 2026-04-21).