Veterans Equitable Treatment Act

To amend title 38, United States Code, to provide for a more equitable geographic allocation of funds appropriated to the Department of Veterans Affairs for medical care. 1. Short title This Act may be cited as the Veterans Equitable Treatment Act 2. Standard for time for referral for specialist care (a) Time for specialist appointments (1) Requirement The Secretary of Veterans Affairs shall establish by regulation a maximum specialist referral period, subject to such exceptions as the Secretary considers necessary. (2) Specialist referral period defined For purposes of paragraph (1), the term specialist referral period (3) Department policies In establishing a maximum specialist referral period under paragraph (1), the Secretary shall act in a manner consistent with the current treatment policies of the Department based on clinical need and with the established 30–30–20 performance goal of the Department for such a referral period. (b) Standard for transportation The Secretary shall take such steps as necessary to ensure that the Department of Veterans Affairs is able to provide appropriate transportation services for qualified veterans within a reasonable time period of a scheduled appointment. 3. Contract care to be provided when Department of Veterans Affairs care not available in accordance with standards (a) Contract care In any case in which the Secretary of Veterans Affairs is not able to provide hospital care or medical services in accordance with the standard prescribed under section 2(a) or to provide transportation services in accordance with section 2(b), the Secretary shall promptly provide for such care or transportation from a private source. Hospital care or medical services so provided shall be those for which the veteran is otherwise eligible within the Department of Veterans Affairs medical care system. (b) Reimbursement rate Whenever care or services are provided under subsection (a), the Secretary shall reimburse the provider of such care or services for the reasonable value of such care or services, as determined by the Secretary. Such reimbursement shall be provided in the same manner as applies to reimbursement for emergency treatment under section 1725 (c) Expedited reimbursement procedures The Secretary shall take appropriate steps to expedite the reimbursement required by subsection (b) and consistent with the Veterans Health Administration policy that 90 percent of all non-VA Contract Care claims are processed within 30 days of receipt. Such steps may include steps to make use of advanced technology, such as smart card technology that would allow claims for such reimbursement to be processed electronically. The Secretary shall, to the extent possible, also apply such steps for expediting reimbursement to claims for emergency services provided to veterans for which the Secretary provides reimbursement under provisions of law in effect before the date of the enactment of this Act. 4. Termination of 24-month rule for reimbursement for emergency services The provisions of subparagraph (B) of section 1725(b)(2) 5. Reports The Secretary of Veterans Affairs shall submit to the Committees on Veterans’ Affairs of the Senate and House of Representatives a report at the end of each fiscal-year quarter on the waiting times for appointments in the Department of Veterans Affairs medical care system. The report shall describe any reductions in such waiting times and any experience with appointment delays.

Summary: Veterans Equitable Treatment Act - Directs the Secretary of Veterans Affairs (VA) to: (1) establish a maximum specialist referral period (the period between the date a veteran is referred to a VA specialty clinic by the veteran's VA primary care physician and the date the veteran is scheduled for an appointment with a VA specialist), subject to such exceptions as the Secretary considers necessary and consistent with current VA treatment policies based on clinical need and with the VA's 30-30-20 performance goal for such referral period; and (2) take steps to ensure that the VA is able to provide appropriate transportation services for qualified veterans within a reasonable time period of a scheduled appointment. Requires the Secretary to: (1) promptly provide for such specialty care or transportation from a private source if the Secretary is not able to meet such standards, (2) reimburse such private provider or the reasonable value of such care or services, and (2) take steps to expedite such required reimbursement, consistent with the Veterans Health Administration policy that 90% of all non-VA contract care claims are processed within 30 days of receipt. Terminates the requirement that a veteran must have received care from the VA within the 24-month period preceding the furnishing of emergency treatment at a non-VA facility in order to be considered an active VA health-care participant who is eligible for reimbursement for such treatment.