I 
119TH CONGRESS 
1ST SESSION H. R. 6526 
To amend title 38, United States Code, to require the Secretary of Veterans 
Affairs to establish and maintain a publicly available directory of health 
care providers that accept assignments under the CHAMPVA program, 
and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
DECEMBER 9, 2025 
Mrs. KIGGANS of Virginia introduced the following bill; which was referred to 
the Committee on Veterans’ Affairs 
A BILL 
To amend title 38, United States Code, to require the Sec-
retary of Veterans Affairs to establish and maintain a 
publicly available directory of health care providers that 
accept assignments under the CHAMPVA program, and 
for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Clarity on Care Op-
tions Act’’. 
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SEC. 2. PUBLICLY AVAILABLE DIRECTORY OF HEALTH 
CARE PROVIDERS THAT ACCEPT ASSIGN-
MENTS UNDER THE CHAMPVA PROGRAM. 
(a) ANNUAL QUERY.—The Secretary of Veterans Af-
fairs shall require each entity that administers a network 
of health care providers under section 1703 of title 38, 
United States Code, to, on an annual basis— 
(1) query each provider in such network to de-
termine whether the provider accepts assignments 
under the CHAMPVA program; and 
(2) submit the results of such queries to the 
Secretary. 
(b) DIRECTORY.—Utilizing the information sub-
mitted under subsection (a) and any other information 
available to the Secretary, the Secretary shall establish 
and maintain a publicly available directory of providers in 
such networks that accept assignments under the 
CHAMPVA program. 
(c) IMPLEMENTATION.— 
(1) ANNUAL QUERIES.—The first queries re-
quired by subsection (a) shall be completed, and the 
results submitted to the Secretary, not later than 90 
days after the date of the enactment of this Act. 
(2) LIST OF PROVIDERS.—The first directory of 
providers required by subsection (b) shall be made 
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publicly available not later than 180 days after the 
date of the enactment of this Act. 
(d) ANNUAL REPORT.—Not later than one year after 
the date of the enactment of this Act, and annually there-
after for four additional years, the Secretary shall submit 
to Congress a report on the extent to which the providers 
in 
such 
networks 
accept 
assignments 
under 
the 
CHAMPVA program. The report shall include the fol-
lowing information, broken down by State (as defined in 
section 101 of title 38, United States Code) and by Vet-
erans Integrated Service Network: 
(1) The number of providers in such networks 
that accept assignments under the CHAMPVA pro-
gram. 
(2) The percentage of providers in such net-
works 
that 
accept 
assignments 
under 
the 
CHAMPVA program and the percentage of pro-
viders in such networks that do not accept such as-
signments. 
(3) The specific geographical areas that contain 
CHAMPVA program beneficiaries but do not con-
tain providers that accept assignments under the 
CHAMPVA program. 
(e) DEFINITIONS.—In this section: 
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(1) The term ‘‘accept assignment’’, with respect 
to the CHAMPVA program, means to accept respon-
sibility for the care of a CHAMPVA program bene-
ficiary and thereby agree to accept the amount de-
termined allowable under the CHAMPVA program 
as full payment for services and supplies rendered to 
the beneficiary. 
(2) The term ‘‘CHAMPVA program’’ means the 
Civilian Health and Medical Program of the Depart-
ment of Veterans Affairs under section 1781 of title 
38, United States Code, and Part 17 of title 38, 
Code of Federal Regulations. 
Æ 
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