HR9476119th CongressWALLET

To direct the Secretary of Veterans Affairs to coordinate with the Secretary of Health and Human Services in administering the Veterans Community Care Program, and for other purposes.

Sponsored By: Representative Miller-Meeks, Mariannette [R-IA-1]

In Committee

Summary

This bill would create cross-agency coordination and data sharing between the Department of Veterans Affairs and the Department of Health and Human Services to better manage care for veterans who are also in Medicare. It also sets up offices and rules to make that coordination work.

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  • Veterans: Uses shared VA and Medicare data to help veterans enrolled in both systems avoid duplicative health care and duplicate payments.
  • VA operations: Requires the VA Secretary to seek a memorandum of understanding with HHS within one year to allow reciprocal access to enrollment and claims information. The Office of Integrated Veteran Care may establish a Veterans Affairs-Medicare Dual Eligibility Coordination Office to use that data.
  • CMS and Medicare Advantage plans: Directs CMS and VA coordination to identify specialized Medicare Advantage plans for special needs individuals that offer benefits important to veteran health. The bill lists example benefit categories such as adaptive sports equipment, hearing aids, traumatic brain injury rehabilitation, hyperbaric oxygen therapy, massage, residential rehabilitation, and complementary therapies, and asks VA to identify plans offering at least three of these.

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Bill Overview

Analyzed Economic Effects

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

Data sharing for veterans on Medicare

If enacted, the Secretary of Veterans Affairs would seek a memorandum of understanding with HHS within one year. The MOU would let VA and Medicare (including Medicare Advantage) share data about veterans enrolled in the VA patient enrollment system under 38 U.S.C. 1705(a) and in Medicare. If HHS sends data, VA would use it to avoid furnishing duplicate health care and to prevent erroneous or duplicate payments. VA would also use the data to identify specialized Medicare Advantage plans for special‑needs veterans that offer benefits important to veteran health, focusing on plans that offer at least three of the listed categories (for example: adaptive sports equipment; hearing aids and audiology; traumatic brain injury rehabilitation; hyperbaric oxygen therapy; massage therapy; residential rehabilitation; complementary and integrative health services). The bill would also authorize coordination offices in VA and CMS to manage these efforts.

Sponsors & CoSponsors

Sponsor

Miller-Meeks, Mariannette [R-IA-1]

IA • R

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

No roll call votes available for this bill.

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