Veterans Care and Cost Coordination Act of 2026
Sponsored By: Representative Murphy, Gregory F. [R-NC-3]
In Committee
Summary
Data sharing between the Department of Veterans Affairs and Medicare to detect and prevent duplicate care and payments. This bill would require the VA to negotiate a memorandum of understanding with HHS within 1 year to exchange enrollment, billing, and diagnostic data for veterans enrolled in both the VA patient enrollment system and either Medicare or a Medicare Advantage plan.
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Bill Overview
Analyzed Economic Effects
2 provisions identified: 1 benefits, 0 costs, 1 mixed.
VA data used in Medicare Advantage benchmarks
If enacted, the bill would amend the Social Security Act to require HHS to use information sent by VA under the VA–HHS agreement when developing a specific Medicare Advantage estimate. CMS would be required to include VA-transmitted data in that benchmark-related estimate used in Medicare Advantage payment calculations. That change could alter payments to Medicare Advantage plans and may affect plan premiums or benefits for Medicare enrollees.
VA data sharing to avoid duplicate care
If enacted, VA and the Department of Health and Human Services would enter a data-sharing agreement within one year. VA would send information about veterans enrolled in the VA patient enrollment system (38 U.S.C. 1705(a)) who get hospital care or medical services, including billing and diagnostic codes. HHS would use that data to identify veterans also enrolled in Medicare or a Medicare Advantage plan and send lists back to VA. VA would use the lists for community care utilization management to try to avoid duplicate care and duplicate payments and to inform veterans about follow-up services. Within one year after signing the agreement, and every two years after, VA would report to Congress describing activities and assessing effectiveness in preventing duplicate or erroneous billings and payments.
Sponsors & CoSponsors
Sponsor
Murphy, Gregory F. [R-NC-3]
NC • R
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
No roll call votes available for this bill.
View on Congress.gov