I 
118TH CONGRESS 
2D SESSION H. R. 10430 
To amend title 38, United States Code, to require the Department of Veterans 
Affairs to furnish hospital care and medical services outside a State 
to veterans with service-connected disabilities rated as permanent and 
total, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
DECEMBER 16, 2024 
Mr. LALOTA 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 De-
partment of Veterans Affairs to furnish hospital care 
and medical services outside a State to veterans with 
service-connected disabilities rated as permanent and 
total, 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 ‘‘Veterans Foreign Med-
ical Coverage Equality and Modernization Act of 2024’’. 
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SEC. 2. DEPARTMENT OF VETERANS AFFAIRS FURNISHING 
OF HOSPITAL CARE AND MEDICAL SERVICES 
OUTSIDE A STATE TO VETERANS WITH SERV-
ICE-CONNECTED 
DISABILITIES 
RATED 
AS 
PERMANENT AND TOTAL. 
(a) IN GENERAL.—Section 1724 of title 38, United 
States Code, is amended— 
(1) in subsection (a), by striking ‘‘and (f)’’ and 
inserting ‘‘(f), and (g)’’; and 
(2) by adding at the end the following new sub-
sections: 
‘‘(g) The Secretary shall furnish hospital care and 
medical services outside a State to a veteran with a serv-
ice-connected disability rated as permanent and total who 
is otherwise eligible to receive hospital care and medical 
services if the Secretary determines that— 
‘‘(1) the hospital care or medical services fur-
nished are consistent with the standard medical 
practice in the United States; and 
‘‘(2) in the case of any prescription medication 
furnished, such medication is approved by the Food 
and Drug Administration. 
‘‘(h) In carrying out this section, the Secretary shall 
ensure that— 
‘‘(1) reimbursements made to veterans and 
medical providers can be made by direct deposit pay-
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ments in such a manner as to expedite such reim-
bursements, improve efficiency, and reduce adminis-
trative costs; and 
‘‘(2) the appropriate mobile applications of the 
Department provide for— 
‘‘(A) the digital submission and real-time 
tracking of any forms and supporting docu-
mentation required for the receipt of hospital 
care or medical services, or reimbursement for 
such care or services, under this section; and 
‘‘(B) the availability of any benefits au-
thorization letter, predetermination letter, or 
continuity of care document associated with 
hospital care or medical services furnished 
under this section.’’. 
(b) EFFECTIVE DATE.—The amendments made by 
subsection (a) shall take effect on the date that is 90 days 
after the date of the enactment of this Act and apply with 
respect to hospital care or medical services furnished on 
or after such date. 
(c) REPORT.—Not later than two years after the date 
of the enactment of this Act, the Secretary of Veterans 
Affairs shall submit to Congress a report on the amend-
ments made by this Act. Such report shall include an anal-
ysis of the implementation of such amendments, any chal-
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lenges encountered, and the efficacy of the hospital care 
and medical services furnished pursuant to such amend-
ments. 
Æ 
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